NACCHO Aboriginal #Heart Health : @HeartAust #HeartWeek2018 Download @RoyalFlyingDoc Report : Cardivascular health in #remote and #rural communities

 

” The over-representation of males and Indigenous Australians in aeromedical transports for CVD, compared with females and non-Indigenous Australians, is unacceptable.

It suggests that prevention, early intervention and ongoing treatment for people with CVD should target all remote and rural males and Indigenous Australians of all ages.

The data shows that Indigenous patients were picked up from a wide spatial distribution but with a focus on Queensland and some specific centres including Rockhampton and Alice Springs.

That suggests early intervention, prevention and treatment services should be prioritised in these areas.”

This latest RFDS publication is a valuable addition to the data available for policy decisions : Download HERE

Royal Flying Doctors _Cardiovascular_Disease_Research_Report_D3

CVD is a major cause of morbidity and mortality among Indigenous Australians : See Part 2 below

The Royal Flying Doctor Service (RFDS) is one of the largest and most comprehensive aeromedical organisations in the world. It provides primary health care through general practice and nursing clinics to people in remote and rural Australia who are beyond reasonable access to medical infrastructure in more urbanised areas.

In 2016–17, the RFDS delivered 5,615 general practice clinics to 37,689 patients and 3,429 nursing clinics to 18,909 patients.

The RFDS has established a Research and Policy Unit whose role is to gather evidence about, and recommend strategies for improving health outcomes and health service access for patients and communities cared for by RFDS programs.

This latest publication is a valuable addition to the data available for policy decisions. https://bit.ly/2HImal9

The research indicates there is an opportunity for the RFDS to review its data collection procedures and to develop a national data collection policy. This would enable better reporting of programs, facilitate direct comparisons of data across Australia, and enable better assessment of outcomes, and evaluations of, RFDS delivered programs.

More specifically, the RFDS has an opportunity to review its own data collection processes to ensure all relevant data around aeromedical transports are collected.

Data linkage between the RFDS and state, territory and national clinical datasets has commenced and as linkages grow, longitudinal data on patients initially transported by the RFDS, and treated in hospital for CVD, will enable the RFDS to access comprehensive information on a patient’s prognosis, treatment, recovery, and rehabilitation.

Data linkage with local service providers that operate in areas where the RFDS delivers services, such as local GPs, Aboriginal Community Controlled Health Organisations or local hospitals would also assist in providing a more complete picture of the health outcomes of people from remote and rural Australia.

Part 2 :  3.4 CVD in Indigenous Australians

“CVD is a major cause of morbidity and mortality among Indigenous Australians. It is more common in the Aboriginal and Torres Strait Islander population, and occurs at much younger ages compared to the non-Indigenous population” (Australian Institute of Health and Welfare, 2016b, p. 157) (Figure 3.8).

Source: Australian Institute of Health and Welfare (2016b, p. 159).

Figure 3.8 demonstrates that in 2011 the burden from CVD among Indigenous Australians was low in childhood but increased rapidly from about age 30 (Australian Institute of Health and Welfare, 2016b).

Specifically, CHD and stroke contributed significantly to the burden of CVD from age 40 onwards (Australian Institute of Health and Welfare, 2016b).

The burden from CHD peaked at around ages 45–54, and then declined (Australian Institute of Health and Welfare, 2016b). The burden from stroke peaked at around ages 50–64, and then declined (Australian Institute of Health and Welfare, 2016b).

In 2011, CVD burden was greater in Indigenous males than females (58% versus 42%), but this varied by type of CVD disease (Figure 3.9) (Australian Institute of Health and Welfare, 2016b).

“Indigenous males experienced the majority of burden from aortic aneurysm (77%), hypertensive heart disease (72%) and CHD (67%), whereas Indigenous females experienced the majority of burden due to peripheral vascular disease (68%), rheumatic heart disease (61%), and stroke (58%)” (Australian Institute of Health and Welfare, 2016b, p. 160).

NACCHO Aboriginal Health Conferences and events : 2018 SAVE A DATE : @HeartAust #HeartWeek2018 #Prevention2018 #FamilyMattersWeek @AbSecNSW @fam_matters_au #BecauseOfHerWeCan #NACCHOagm2018 , @NATSIHWA , @AIDAAustralia , @CATSINaM @hosw2018

In 2018, Heart Week is celebrated from 29 April–6 May. It will focus on the benefits of physical activity and empower Australians to get moving.

What’s a heart health check?

  • All Aboriginal and Torres Strait Islander peoples over the age of 35 should have regular heart health checks. These are simple and painless.
  • A heart health check can be done as part of a normal check up with your ACCHO doctor or health practitioner.
  • Your ACCHO doctor will take blood tests, check your blood pressure and ask you about your lifestyle and your family (your grandparents, parents, brothers and sisters).

See Previous NACCHO HEART WEEK POST

You might be shocked to know:

  • over half of Australians (52%) are not active enough
  • almost two in three Australian adults are overweight or obese
  • one in four children are overweight or obese
  • 5,000 Australians die per year from physical inactivity

Australia is an inactive nation. Increasingly greater numbers of us are spending too much time sitting or being inactive – travelling to school or work by car, sitting at work and using screens for leisure.

So, this Heart Week our ‘Don’t get the sits’ campaign encourages all Australians to get moving and keep your heart strong, because like any other muscle your heart needs exercise.

Learn more about how physical activity keeps the heart healthy.

You might be shocked to know:

  • over half of Australians (52%) are not active enough
  • almost two in three Australian adults are overweight or obese
  • one in four children are overweight or obese
  • 5,000 Australians die per year from physical inactivity

Australia is an inactive nation. Increasingly greater numbers of us are spending too much time sitting or being inactive – travelling to school or work by car, sitting at work and using screens for leisure.

So, this Heart Week our ‘Don’t get the sits’ campaign encourages all Australians to get moving and keep your heart strong, because like any other muscle your heart needs exercise.

2. This week follow #Prevention2018

The Public Health Prevention Conference is a newly established conference, convened by the Public Health Association of Australia (PHAA).

In 2018, the Public Health Prevention Conference will focus on prevention and protection, consistent with the World Federation of Public Health Associations’ (WFPHA)’s Global Charter for the Public’s Health.

Download the full program

NACCHO Save a date Prevention 2018 Program

This conference will provide a platform to engage, challenge and exchange ideas, where pivotal issues for building prevention in Australia will be discussed and where delegates will learn from the experience, opinions and perspectives of sector leaders and their peers.

In 2018 the Conference vision is that ‘We can do more and we must’. Three Conference Themes will guide the program:

  • Systems thinking;
  • Translation of research and evidence into action;
  • Advocacy and where our efforts should be focused in order to strengthen prevention.

The themes are designed to set the new prevention agenda for Australia. They draw attention to the fragmented nature of prevention in Australia and the imperatives to move forward to strengthen systems and actions for prevention.

The Conference will have high quality national experts presenting various aspects of this rapidly moving and exciting era of public health prevention. The conference will have a focus on cross sector, multilevel interventions to build a healthier Australia through prevention.

We hope that you can be a part of this vibrant scientific program showcasing exciting and innovative work in public health prevention.

CONFERENCE OBJECTIVES

  • Create an environment for knowledge sharing, collaboration and relationship building;
  • Promote collaboration, knowledge sharing and facilitate engagement by delegates to work together to achieve better health outcomes for Australians;
  • Engage professionals in public health prevention;
  • Provide guidance and insight into capacity building and strengthening prevention;
  • Provide conference delegates with new and innovative ideas that can be applied to local settings and systems to help create and improve health systems for local communities.

TARGET AUDIENCE  The target audience for the Public Health Prevention Conference 2018 is stakeholders able to effect and/or influence change at the systems and/or practice level including:

  • Researchers and Academics;
  • General practice sector;
  • Health care professionals engaged in prevention (doctors, nurses, allied health, dentists, pharmacists);
  • Commonwealth and state policy staff including Ministers/ministerial staff, and health and social sector department representatives;
  • Local government;
  • NGO/community and social sector provider and advocacy organisations
3.The next Family Matters Week of Action Monday 14 May.
The Week of Action is an annual opportunity to shine a light on the 17,000+ Aboriginal kids in the child protection system across the country.
It’s a time to remind our politicians as well as members of the public that it’s not acceptable for child protection authorities to remove Aboriginal kids from their families 10 times more than non-Indigenous children.
But it’s also a time for optimism, because we have promising solutions to build a better system based on self-determination.
In NSW, we’re offering sponsorships of up to $500 to people, groups or organisations hosting local events.
The application form is available on our website and must be returned to us no later than Friday 4 May.
Please look out for Family Matters on social media during the Week of Action and add your voice to our call for a better system! Visit our social profiles below to like and follow us ahead of the big week.
4.On Federal Budget night 8 May follow our NACCHO  extensive media coverage
Follow #Budget2018NACCHO on Twitter , FACEBOOK , Instagram and NACCHO TV for live and recorded interviews /analysis of Aboriginal Health issues

Download PDF copy 2018 Calendar

NACCHO Save a date Master 17 April

1.National NAIDOC Aboriginal and Torres Strait Islander Woman’s Conference 11-12 July

It is with great excitement that Ngiyani Pty Ltd as the host of the National NAIDOC Aboriginal and Torres Strait Islander Woman’s Conference with Project Management support from Christine Ross Consultancy proudly announce Registrations have officially OPENED. Please see the link below

https://www.ngiyani.com/because-of-her-we-can/

The dates for the conference are the 11 – 12 July 2018 at UNSW Kensington Campus in Sydney.

Please note the $350 Conference Registration for 2 days or $175 for one day is non- refundable or transferrable.

The Conference Dinner is optional on Wednesday 11 July 2018 at 7.00 – 11.00pm cost is an additional $80.00. food and entertainment will be provided (this is an alcohol free event). The Dinner is open to all Conference Delegates including Sponsors (so blokes are welcome) Details will be posted at a later date.

You will be able to choose your Workshops when you Register so please take the time to read Workshop outlines.

This Conference is incredibly popular and seats are limited, it will book out so to ensure you don’t miss out BOOK SOON.

Please note if you wish to purchase tickets to the National NAIDOC Awards Ceremony to be held Friday 13 July 2018 in Sydney. This is a seperate event to the Conference and first release tickets go on sale through Ticketek at 9.00 am AEST on Thursday 3 May 2018.Second release tickets go on sale at 9.00 am AEST 10 May 2018. Cost of tickets is $185.00 or $1,850.00 per table.

It will be a massive week in Sydney as we celebrate the theme:
‘Because of Her, We Can’

A huge thanks to our Sponsors: Reconciliation Australia, UNSW, Rio Tinto, JobLink Plus, Lendlease, Westpac, Veolia, NSWALC, Griffith Business School, Macquarie University, Accor Hotels, Warrikal, PwC Indigenous Consulting, Gilbert and Tobin and National Library of Australia.

2. Sir Michael Marmot in Alice Springs 4 May : Health equity : Taking Action

3.New : Finding Common Ground and a Way Forward for Indigenous Recognition 

Written submissions should be received by Monday 11 June

Above NACCHO Library image

A new committee met yesterday, to further consider matters regarding recognition of Australia’s indigenous people, and will be co-chaired by Senator Patrick Dodson, Senator for Western Australia, and Mr Julian Leeser MP , Member for Berowra.

The Joint Select Committee on Constitutional Recognition Relating to Aboriginal and Torres Strait Islander Peoples is expected to report by the end of November this year, with an interim report due in July.

The Committee is calling for submissions and is considering options for public meetings and hearings.

Co-Chairs Senator Dodson and Mr Leeser MP said: ‘As a committee, we are looking for common ground and ways forward on these critical matters for Australia’s future. We hope to hear from Australians about the next steps for recognition of First Nations peoples.

We plan to consult widely, starting with First Nations leadership. We understand that a great deal of work has already been done: the job of this committee is to build on that work and to now take the next steps.’

The Committee website has details of Committee membership, and will be the first point of information about the work of the Committee.

Written submissions should be received by Monday 11 June, to assist with planning meetings and hearings, but the Committee may accept submissions after this date.

For background:

Please contact the Committee secretariat on 02 6277 4129

or via email at jsccr@aph.gov.au

Interested members of the public may wish to track the committee via the website.

WEBSITE

Click on the blue ‘Track Committee’ button in the bottom right hand corner and register

4. 2018 NACCHO Annual Members’ Conference and AGM SAVE A DATE

Follow our conference using HASH TAG #NACCHOagm2018

This is Brisbane Oct 30—Nov 2

The NACCHO Members’ Conference and AGM provides a forum for the Aboriginal community controlled health services workforce, bureaucrats, educators, suppliers and consumers to:

  • Present on innovative local economic development solutions to issues that can be applied to address similar issues nationally and across disciplines
  • Have input and influence from the ‘grassroots’ into national and state health policy and service delivery
  • Demonstrate leadership in workforce and service delivery innovation
  • Promote continuing education and professional development activities essential to the Aboriginal community controlled health services in urban, rural and remote Australia
  • Promote Aboriginal health research by professionals who practice in these areas and the presentation of research findings
  • Develop supportive networks
  • Promote good health and well-being through the delivery of health services to and by Indigenous and non-Indigenous people throughout Australia.

More Info soon

5. NACCHO Aboriginal Male Health Ochre Day

Hobart  Aug 27 –28

More Info soon

6. NATSIHWA National Professional Development Symposium 2018

We’re excited to release the dates for the 2018 National Professional Development Symposium to be held in Alice Springs on 2nd-4th October. More details are to be released in the coming weeks; a full sponsorship prospectus and registration logistics will be advertised asap via email and newsletter.

This years Symposium will be focussed on upskilling our Aboriginal and/or Torres Strait Islander Health Workers and Health Practitioners through a series of interactive workshops. Registrants will be able to participate in all workshops by rotating in groups over the 2 days. The aim of the symposium is to provide the registrants with new practical skills to take back to communities and open up a platform for Health Workers/Practitioners to network with other Individuals in the workforce from all over Australia.

We look forward to announcing more details soon!

8.AIDA Conference 2018 Vision into Action


Building on the foundations of our membership, history and diversity, AIDA is shaping a future where we continue to innovate, lead and stay strong in culture. It’s an exciting time of change and opportunity in Indigenous health.

The AIDA conference supports our members and the health sector by creating an inspiring networking space that engages sector experts, key decision makers, Indigenous medical students and doctors to join in an Indigenous health focused academic and scientific program.

AIDA recognises and respects that the pathway to achieving equitable and culturally-safe healthcare for Indigenous Australians is dynamic and complex. Through unity, leadership and collaboration, we create a future where our vision translates into measureable and significantly improved health outcomes for our communities. Now is the time to put that vision into action.

AIDA Awards
Nominate our members’ outstanding contributions towards improving the health and life outcomes of Aboriginal and Torres Strait Islander Peoples.

9.CATSINaM Professional Development Conference

Venue: Hilton Adelaide 

Location:  233 Victoria Square, Adelaide, SA 

Timing: 8:30am – 5:30pm

We invite you to be part of the CATSINaM Professional Development Conference held in Adelaide, Australia from the 17th to the 19th of September 2018.
The Conference purpose is to share information while working towards an integrated approach to improving the outcomes for Aboriginal and Torres Strait Islander Australians. The Conference also provides an opportunity to highlight the very real difference being made in Aboriginal and Torres Strait Islander health by our Members.
To this end, we are offering a mixed mode experience with plenary speaker sessions, panels, and presentations as well as professional development workshops.

More info

The CATSINaM Gala Dinner and Awards evening,  held on the 18th of September, purpose is to honour the contributions of distinguished Members to the field.
10.Study Question: What would it take to address Family Violence in Aboriginal and Torres Strait Islander Communities?

The Australian National University is seeking partnerships with Aboriginal and Torres Strait Islander communities to conduct research to find out what communities need to promote and improve safety for families.  We want to partner and work with local organisations and communities to make sure the research benefits the community.

Who are we?

We work at the Australian National University (ANU).  The study is led by Aboriginal and Torres Strait Islander researchers.  Professor Victoria Hovane (Ngarluma, Malgnin/Kitja, Gooniyandi), along with Associate Professor Raymond Lovett (Wongaibon, Ngiyampaa) and Dr Jill Guthrie (Wiradjuri) from NCEPH, and Professor Matthew Gray of the Centre for Social Research and Methods (CSRM) at ANU will be leading the study.

 Study Question:  What would it take to address Family Violence in Aboriginal and Torres Strait Islander Communities?

 How are we going to gather information to answer the study question?

A Community Researcher (who we would give funds to employ) would capture the data by interviewing 100 community members, running 3 focus groups for Men /  Women / Youth (over 16).  We would interview approx. 5 community members to hear about the story in your community.

We know Family Violence happens in all communities.  We don’t want to find out the prevalence, we want to know what your communities needs to feel safe. We will also be mapping the services in your community, facilities and resources available in a community.  All this information will be given back to your community.

What support would we provide your service?

We are able to support your organisation up to $40,000 (including funds for $30 vouchers), this would also help to employ a Community Researcher.

Community participants would be provided with a $30 voucher to complete a survey, another $30 for the focus group, and another $30 for the interview for their time.

 What will we give your organisation?

We can give you back all the data that we have captured from your community, (DE identified and confidentialised of course). We can give you the data in any form you like, plus create a Community Report for your community.  There might be some questions you would like to ask your community, and we can include them in the survey.

 How long would we be involved with your community / organisation?

Approximately 2 months

How safe is the data we collect?

The data is safe. It will be DE identified and Confidentialised.  Our final report will reflect what Communities (up to 20) took part in the study, but your data and community will be kept secret.  Meaning, no one will know what data came from your community.

Application close April 27

If you think this study would be of benefit to your community, or if you have any questions, please do not hesitate to contact Victoria Hovane, or the teamon 1300 531 600 or email facts.study@anu.edu.au.

11.Healing Our Spirit Worldwide

Global gathering of Indigenous people to be held in Sydney
University of Sydney, The Healing Foundation to co-host Healing Our Spirit Worldwide
Gawuwi gamarda Healing Our Spirit Worldwidegu Ngalya nangari nura Cadigalmirung.
Calling our friends to come, to be at Healing Our Spirit Worldwide. We meet on the country of the Cadigal.
In November 2018, up to 2,000 Indigenous people from around the world will gather in Sydney to take part in Healing Our Spirit Worldwide: The Eighth Gathering.
A global movement, Healing Our Spirit Worldwidebegan in Canada in the 1980s to address the devastation of substance abuse and dependence among Indigenous people around the world. Since 1992 it has held a gathering approximately every four years, in a different part of the world, focusing on a diverse range of topics relevant to Indigenous lives including health, politics, social inclusion, stolen generations, education, governance and resilience.
The International Indigenous Council the governing body of Healing Our Spirit Worldwide has invited the University of Sydney and The Healing Foundation to co-host the Eighth Gathering with them in Sydney this year. The second gathering was also held in Sydney, in 1994.
 Please also feel free to tag us in any relevant cross posting: @HOSW8 @hosw2018 #HOSW8 #HealingOurWay #TheUniversityofSydney

NACCHO Aboriginal Health and #Sugartax : @4Corners #Tippingthescales: #4corners Sugar, politics and what’s making us fat #rethinksugarydrinks @janemartinopc @OPCAustralia

On Monday night Four Corners investigates the power of Big Sugar and its influence on public policy.

“How did the entire world get this fat, this fast? Did everyone just become a bunch of gluttons and sloths?”  Doctor

The figures are startling. Today, 60% of Australian adults are classified as overweight or obese. By 2025 that figure is expected to rise to 80%.

“It’s the stuff of despair. Personally, when I see some of these young people, it’s almost hard to imagine that we’ve got to this point.”  Surgeon

Many point the finger at sugar – which we’re consuming in enormous amounts – and the food and drink industry that makes and sells the products fuelled by it.

Tipping the scales, reported by Michael Brissenden and presented by Sarah Ferguson, goes to air on Monday 30th of April at 8.30pm. It is replayed on Tuesday 1st of May at 1.00pm and Wednesday 2nd at 11.20pm.

It can also be seen on ABC NEWS channel on Saturday at 8.10pm AEST, ABC iview and at abc.net.au/4corners.

See Preview Video here

 ” In 2012-13, Aboriginal and Torres Strait Islander people 2 years and over consumed an average of 75 grams of free sugars per day (equivalent to 18 teaspoons of white sugar)1. Added sugars made up the majority of free sugar intakes with an average of 68 grams (or 16 teaspoons) consumed and an additional 7 grams of free sugars came from honey and fruit juice. “

NACCHO post – ABS Report abs-indigenous-consumption-of-added-sugars 

Amata was an alcohol-free community, but some years earlier its population of just under 400 people had been consuming 40,000 litres of soft drink annually.

The thing that I say in community meetings all the time is that, the reason we’re doing this is so that the young children now do not end up going down the same track of diabetes, kidney failure, dialysis machines and early death, which is the track that many, many people out here are on now,”

NACCHO Post : Mai Wiru, meaning good health, and managed by long-time community consultant John Tregenza.

See Previous NACCHO Post Aboriginal Health and Sugar TV Doco: APY community and the Mai Wiru Sugar Challenge Foundation

4 Corners Press Release

“This isn’t about, as the food industry put it, people making their own choices and therefore determining what their weight will be. It is not as simple as that, and the science is very clear.” Surgeon

Despite doctors’ calls for urgent action, there’s been fierce resistance by the industry to measures aimed at changing what we eat and drink, like the proposed introduction of a sugar tax.

“We know about the health impact, but there’s something that’s restricting us, and it’s industry.”  Public health advocate

On Monday night Four Corners investigates the power of Big Sugar and its influence on public policy.

“The reality is that industry is, by and large, making most of the policy. Public health is brought in, so that we can have the least worse solution.”  Public health advocate

From its role in shutting down debate about a possible sugar tax to its involvement in the controversial health star rating system, the industry has been remarkably successful in getting its way.

“We are encouraged by the government here in Australia, and indeed the opposition here in Australia, who continue to look to the evidence base and continue to reject this type of tax as some sort of silver bullet or whatnot to solve what is a really complex problem, and that is our nation’s collective expanding waistline.” Industry spokesperson

We reveal the tactics employed by the industry and the access it enjoys at a time when health professionals say we are in a national obesity crisis.

“We cannot leave it up to the food industry to solve this. They have an imperative to make a profit for their shareholders. They don’t have an imperative to create a healthy, active Australia.”  Health advocate

NACCHO post – Sixty-three per cent of Australian adults and 27 per cent of our children are overweight or obese.

 “This is not surprising when you look at our environment – our kids are bombarded with advertising for junk food, high-sugar drinks are cheaper than water, and sugar and saturated fat are hiding in so-called ‘healthy’ foods. Making a healthy choice has never been more difficult.

The annual cost of overweight and obesity in Australia in 2011-12 was estimated to be $8.6 billion in direct and indirect costs such as GP services, hospital care, absenteeism and government subsidies.1 “

 OPC Executive Manager Jane Martin 

BACKGROUND

 ” This campaign is straightforward – sugary drinks are no good for our health. It’s calling on people to drink water instead of sugary drinks.’

Aboriginal and Torres Strait Islander people in Cape York experience a disproportionate burden of chronic disease compared to other Australians.’

‘Regular consumption of sugary drinks is associated with increased energy intake and in turn, weight gain and obesity. It is well established that obesity is a leading risk factor for diabetes, kidney disease, heart disease and some cancers. Consumption of sugary drinks is also associated with poor dental health.

Water is the best drink for everyone – it doesn’t have any sugar and keeps our bodies healthy.’

Apunipima Public Health Advisor Dr Mark Wenitong

Read over 48 NACCHO articles Health and Nutrition HERE

https://nacchocommunique.com/category/nutrition-healthy-foods/

Read over 24 NACCHO articles Sugar Tax HERE  

https://nacchocommunique.com/category/sugar-

NACCHO Aboriginal Health @VACCHO_org @Apunipima join major 2018 health groups campaign @Live Lighter #RethinkSugaryDrink launching ad showing heavy health cost of cheap $1 frozen drinks

NACCHO Aboriginal Health #Junkfood #Sugarydrinks #Sugartax @AMAPresident says Advertising and marketing of #junkfood and #sugarydrinks to children should be banned

NACCHO and @RACGP National Guide to a preventative health assessment for Aboriginal and Torres Strait Islander people : 2 new podcasts released #MentalHealth Dr #TimSenior and #Smoking Professor David Thomas @MenziesResearch Plus Interview Dr @normanswan

 ” There’s quite a lot that is in new in this third edition. We surveyed general practitioners across Australia and got a fantastic response rate. And so we came up with new topics that were about fetal alcohol spectrum disorder, preventing child maltreatment, family abuse and violence, lung cancer, as well as some more emphasis on the health of young people.

But of course the existing topics which comprise the vast bulk of primary healthcare and preventive interventions like screening for alcohol, early detection of diabetes, promoting stop smoking, the benefits of immunisation, child health, like picking up anaemia early in children who are at risk, these things were revised to reflect changes in research literature.”

Dr Sophie Couzos is one of the editors of the guide. Sophie is an Associate Professor in General Practice and Rural Medicine at James Cook University in Queensland, and the project lead on the new national guide

 ” Many of the problems that confront Aboriginal people and Torres Strait Islanders are social, they are about identity, they are about self-determination, they are about poverty and disadvantage, they are about access to education.

You might not blame a GP for thinking, well, what am I going to do about all those, because those are the upstream causes of the problems that Aboriginal people can confront, not all, but can confront.

But you are arguing presumably that there are just simple things that GPs could do that would make a difference without having to change the world.”

Norman Swan Radio full Radio National Interview with Dr Sophie Couzos See Part 2 below

2 National Guide podcasts have been released this month:

bit.ly/2DZ5pzm

A/Prof Peter O’Mara, NACCHO Chair John Singer Minister Ken Wyatt & RACGP President Dr Bastian Seidel launch the National guide at Parliament house 28 March

A new guide for Aboriginal preventive health was recently  released by the RACGP and NACCHO . It’s aimed at stopping conditions from developing before they occur, and also secondary prevention, which is existing conditions, from getting worse, and that’s through screening, testing and the like.

And that is made easier when a general practitioner is clued in about what conditions the people they are treating are more likely to develop.

That’s especially important for Aboriginal and Torres Strait Islander people who are at increased risk of a variety of medical problems, not least being type 2 diabetes and heart disease.

That is what has prompted the development of this preventative health guide for GPs and Aboriginal healthcare services. The guide outlines health checks doctors can do, questions to ask that are aimed at picking up some of these preventable conditions.

Download the Guideline and supporting documentation

Part 2 Sophie Couzos: It’s a pleasure to be here, thanks Norman.

Norman Swan: What is the significance of this guide? You’d think that doctors should know what to do about Aboriginal and Torres Strait Islander people in terms of what to check and so on. Why do you need a guide like this?

Sophie Couzos: There’s a lot of evidence to show that doctors and healthcare providers could do a lot better in offering preventive health assessments or health checks to the Aboriginal and Torres Strait Islander population.

One of the reasons is that healthcare providers just don’t know what they should offer, how they should have a conversation, what they should talk about, what are the priority issues.

There’s a lot of variability and there’s a lot of clinical practice uncertainty as well. So when we developed the national guide way back in 2000, the late, great Dr Puggy Hunter and myself got together and thought, well, let’s provide some evidence-based guidelines to help healthcare providers offer the right sort of assessment for Aboriginal peoples and Torres Strait Islanders.

Norman Swan: This is presumably not just for doctors and Aboriginal health workers in Aboriginal medical services, very specific community controlled organisations of which I think there are 300 outlets around Australia. Presumably a significant percentage of Aboriginal people go to regular general practitioners, so it’s for regular GPs too who’ve got Aboriginal patients.

Sophie Couzos: Absolutely. I call them mainstream general practices and they have an important role to play.

Norman Swan: There is a totally unacceptable gap, depending how you measure it, of between 11 and 17 years, that’s the life expectancy gap, but there’s all sorts of other gaps as well in terms of heart disease, kidney disease, child development and so on, and you take that comprehensive lifespan approach in this preventative guide.

Sophie Couzos: Prevention really starts from the antenatal period, and there’s preventive interventions at every point, and there’s a tremendous opportunity when a patient presents to a healthcare service provider to use that time to consider how disease can be prevented and what sort of risk factors can be identified in order to pick up conditions that may be asymptomatic, and that means that a person might have a disease and not know it, and so a preventive health check is there to pick that up. Or to have a discussion about preventing disease completely. A great example for that intervention is immunisation.

Norman Swan: Many of the problems that confront Aboriginal people and Torres Strait Islanders are social, they are about identity, they are about self-determination, they are about poverty and disadvantage, they are about access to education.

You might not blame a GP for thinking, well, what am I going to do about all those, because those are the upstream causes of the problems that Aboriginal people can confront, not all, but can confront.

But you are arguing presumably that there are just simple things that GPs could do that would make a difference without having to change the world.

Sophie Couzos: Absolutely. I mean, problems like low birth weight can be prevented.

When you say that some aspects of Aboriginal health seem to be overwhelming for healthcare providers, well, simple things like a good antenatal care, good quality healthcare and preventive healthcare and patient-centred care can make a huge difference to health outcomes, and this is the purpose of the national guide, is to make the evidence for these sorts of interventions and choices that healthcare providers can make to improve quality care, to make it easy, make it accessible.

Norman Swan: So as you said at the beginning, it’s been going for a while. This is the third edition. What’s new in the third edition?

Sophie Couzos: There’s quite a lot that is in new in this third edition. We surveyed general practitioners across Australia and got a fantastic response rate. And so we came up with new topics that were about fetal alcohol spectrum disorder, preventing child maltreatment, family abuse and violence, lung cancer, as well as some more emphasis on the health of young people.

But of course the existing topics which comprise the vast bulk of primary healthcare and preventive interventions like screening for alcohol, early detection of diabetes, promoting stop smoking, the benefits of immunisation, child health, like picking up anaemia early in children who are at risk, these things were revised to reflect changes in research literature.

You’d think that Australia really had this right, you’d think that our Australian healthcare system is already configured around patient-centred care, but it isn’t. So there’s a lot of work to be done in improving Aboriginal people’s access to preventive healthcare, primary healthcare.

Norman Swan: So when you talk about poor access, Sophie, what are you talking about?

Sophie Couzos: I’m talking about two pieces of information that is regularly released by the Australian Institute of Health and Welfare which shows that access to Medicare and access to the PBS, which is the Pharmaceutical Benefits Scheme, is much less on a per capita basis for Aboriginal and Torres Strait Islander peoples than it is for other Australians.

Norman Swan: So for the level of ill health, they are underutilising what’s available.

Sophie Couzos: Yes, that’s right…

Norman Swan: And I think we’ve covered this before some years ago with the late Gavin Mooney where in fact suburbs like Toorak, Armadale, Vaucluse, Nedlands, have much higher proportion to use of these Medicare and PBS items and paradoxically they are healthier, and if you look at postcodes for Aboriginal people they are at a very low level.

Sophie Couzos: That’s right, and here’s an easy example for you, the Pharmaceutical Benefits Scheme, for every dollar that a non-Indigenous Australian spends or is expended, only 63c is spent on an Aboriginal and Torres Strait Islander person. That is really astonishing, given the three times rate of morbidity and disease that exists in the Aboriginal and Torres Strait Islander population.

Norman Swan: So circling back to the guide, this identifies people who might need statins or anti high blood pressure tablets or other treatments, and increase the access to them.

Sophie Couzos: Absolutely, and having that continuity of care with your patient.

Norman Swan: Sophie, thanks for joining us.

Sophie Couzos: It’s a real pleasure, thanks Norman.

Norman Swan: Dr Sophie Couzos is project lead on the National Guide to Preventive Health Assessment for Aboriginal and Torres Strait Islander People, and a public health physician who works with the Queensland Aboriginal and Islander Health Council. The third edition of the national guide is being launched on Wednesday at Parliament House, and it will also be available on the website of the National Aboriginal Community Controlled Health Organisation, NACCHO .

 

 

Minister @KenWyattMP launches NACCHO @RACGP National guide for healthcare professionals to improve health of #Aboriginal and Torres Strait Islander patients

 

All of our 6000 staff in 145 member services in 305 health settings across Australia will have access to this new and update edition of the National Guide. It’s a comprehensive edition for our clinicians and support staff that updates them all with current medical practice.

“NACCHO is committed to quality healthcare for Aboriginal and Torres Strait Islander patients, and will work with all levels of government to ensure accessibility for all.”

NACCHO Chair John Singer said the updated National Guide would help governments improve health policy and lead initiatives that support Aboriginal and Torres Strait Islander people.

You can Download the Guide via this LINK

A/Prof Peter O’Mara, NACCHO Chair John Singer Minister Ken Wyatt & RACGP President Dr Bastian Seidel launch the National guide at Parliament house this morning

“Prevention is always better than cure. Already one of the most widely used clinical guidelines in Australia, this new edition includes critical information on lung cancer, Foetal Alcohol Spectrum Disorder and preventing child and family abuse and violence.

The National Guide maximises the opportunities at every clinic visit to prevent disease and to find it early.It will help increase vigilance over previously undiagnosed conditions, by promoting early intervention and by supporting broader social change to help individuals and families improve their wellbeing.”

Minister Ken Wyatt highlights what is new to the 3rd Edition of the National Guide-including FASD, lung cancer, young people lifecycle, family abuse & violence and supporting families to optimise child safety & wellbeing : Pic Lisa Whop SEE Full Press Release Part 2 Below

The Royal Australian College of General Practitioners (RACGP) and the National Aboriginal Community Controlled Health Organisation (NACCHO) have joined forces to produce a guide that aims to improve the level of healthcare currently being delivered to Aboriginal and Torres Strait Islander patients and close the gap.

Chair of RACGP Aboriginal and Torres Strait Islander Health Associate Professor Peter O’Mara said the third edition of the National guide to a preventive health assessment for Aboriginal and Torres Strait Islander people (the National Guide) is an important resource for all health professionals to deliver best practice healthcare to Aboriginal and Torres Strait Islander patients.

“The National Guide will support all healthcare providers, not just GPs, across Australia to improve prevention and early detection of disease and illness,” A/Prof O’Mara said.

“The prevention and early detection of disease and illness can improve people’s lives and increase their lifespans.

“The National Guide will support healthcare providers to feel more confident that they are looking for health issues in the right way.”

RACGP President Dr Bastian Seidel said the RACGP is committed to tackling the health disparities between Indigenous and non-Indigenous Australians.

“The National Guide plays a vital role in closing the gap in Aboriginal and Torres Strait Islander health disparity,” Dr Seidel said.

“Aboriginal and Torres Strait Islander people should have equal access to quality healthcare across Australia and the National guide is an essential part of ensuring these services are provided.

“GPs and other healthcare providers who implement the recommendations within the National Guide will play an integral role in reducing health disparity between Indigenous and non-Indigenous Australians, and ensuring culturally responsive and appropriate healthcare is always available.”

The updated third edition of the National Guide can be found on the RACGP website and the NACCHO website.

 

Free to download on the RACGP website and the NACCHO website:

http://www.racgp.org.au/national-guide/

and NACCHO

Part 2 Prevention and Early Diagnosis Focus for a Healthier Future

The critical role of preventive care and tackling the precursors of chronic disease is being boosted in the latest guide for health professionals working to close the gap in health equality for Indigenous Australians

The critical role of preventive care and tackling the precursors of chronic disease is being boosted in the latest guide for health professionals working to close the gap in health equality for Indigenous Australians.

Minister for Indigenous Health, Ken Wyatt AM, today launched the updated third edition of the National guide to a preventive health assessment for Aboriginal and Torres Strait Islander people.

“Prevention is always better than cure,” said Minister Wyatt. “Already one of the most widely used clinical guidelines in Australia, this new edition includes critical information on lung cancer, Foetal Alcohol Spectrum Disorder and preventing child and family abuse and violence.

“The National Guide maximises the opportunities at every clinic visit to prevent disease and to find it early.

“It will help increase vigilance over previously undiagnosed conditions, by promoting early intervention and by supporting broader social change to help individuals and families improve their wellbeing.”

The guide, which was first published in 2005, is a joint project between the National Aboriginal Community Controlled Health Organisation (NACCHO) and the Royal Australian College of General Practitioners RACGP).

“To give you some idea of the high regard in which it is held, the last edition was downloaded 645,000 times since its release in 2012,” said Minister Wyatt.

“The latest edition highlights the importance of individual, patient-centred care and has been developed to reflect local and regional needs.

“Integrating resources like the national guide across the whole health system plays a pivotal role in helping us meet our Closing the Gap targets.

“The Turnbull Government is committed to accelerating positive change and is investing in targeted activities that have delivered significant reductions in the burden of disease.

“Rates of heart disease, smoking and binge drinking are down. We are on track to achieve the child mortality target for 2018 and deaths associated with kidney and respiratory diseases have also reduced.”

The National Guide is funded under the Indigenous Australian’s Health Programme as part of a record $3.6 billion investment across four financial years.

The RACGP received $429,000 to review, update, publish and distribute the third edition, in hard copy and electronic formats.

The National Guide is available on the RACGP website or by contacting RACGP Aboriginal and Torres Strait Islander Health on 1800 000 251 or aboriginalhealth@racgp.org.au.

 

 

 

NACCHO Aboriginal Health @VACCHO_org @Apunipima join major 2018 health groups campaign @Live Lighter #RethinkSugaryDrink launching ad showing heavy health cost of cheap $1 frozen drinks

 

“A cheeky, graphic counter-campaign taking on cheap frozen drink promotions like $1 Slurpees and Frozen Cokes has hit Victorian bus and tram stops to urge Australians to rethink their sugary drink. 

Rather than tempt viewers with a frosty, frozen drink, the “Don’t Be Sucked In” campaign from LiveLighter and Rethink Sugary Drink, an alliance of 18 leading health agencies, shows a person sipping on a large cup of bulging toxic fat. “

NACCHO has published over 150 various articles about sugar , obesity etc

Craig Sinclair, Chair of Cancer Council Australia’s Public Health Committee, said while this graphic advertisement isn’t easy to look at, it clearly illustrates the risks of drinking too many sugary drinks.

“Frozen drinks in particular contain ridiculous amounts of added sugar – even more than a standard soft drink.”

“A mega $3 Slurpee contains more than 20 teaspoons of sugar.

That’s the same amount of sugar as nearly eight lemonade icy poles, and more than three times the maximum recommended by the World Health Organisation of six teaspoons a dayi.”

“At this time of year it’s almost impossible to escape the enormous amount of advertising and promotions for frozen drink specials on TV, social media and public transport,” Mr Sinclair said.

“These cheap frozen drinks might seem refreshing on a hot day, but we want people to realise they could easily be sucking down an entire week’s worth of sugar in a single sitting.”

A large frozen drink from most outlets costs just $1 – a deal that major outlets like 7-Eleven, McDonald’s, Hungry Jacks and KFC promote heavily.

LiveLighter campaign manager and dietitian Alison McAleese said drinking a large Slurpee every day this summer could result in nearly 2kg of weight gain in a year if these extra kilojoules aren’t burnt

“This summer, Aussies could be slurping their way towards weight gain, obesity and toxic fat, increasing their risk of 13 types of cancer, type 2 diabetes, heart and kidney disease, stroke and tooth decay,” Ms McAleese said.

“When nearly two thirds of Aussie adults and a third of kids are overweight or obese, it’s completely irresponsible for these companies to be actively promoting excessive consumption of drinks completely overloaded with sugar.

“And while this campaign focuses on the weight-related health risks, we can’t ignore the fact that sugary drinks are also a leading cause of tooth decay in Australia, with nearly half of children aged 2– 16 drinking soft drink every day.ii 

“We’re hoping once people realise just how unhealthy these frozen drinks are, they consider looking to other options to cool off.

“Water is ideal, but even one lemonade icy pole, with 2.7tsp of sugar, is a far better option than a Slurpee or Frozen Coke.”

Mr Sinclair said a health levy on sugary drinks is one of the policy tools needed to help address the growing impact of weight and diet-related health problems in Australia.

“Not only can a 20% health levy help deter people from these cheap and very unhealthy drinks, it will help recover some of the significant costs associated with obesity and the increasing burden this puts on our public health care system,” he said.

This advertising will hit bus and tram stops around Victoria this week and will run for two weeks. #

 

FROZEN DRINKS: More  FACTSiii 

About LiveLighter: LiveLighter® is a public health education campaign encouraging Australian adults to lead healthier lives by changing what they eat and drink, and being more active.

In Victoria, the campaign is delivered by Cancer Council Victoria and Heart Foundation Victoria. In Western Australia, LiveLighter is delivered by Heart Foundation WA and Cancer Council WA.

For more healthy tips, recipes and advice visit

www.livelighter.com.au

About Rethink Sugary Drink: Rethink Sugary Drink is a partnership between the Apunipima Cape York Health Council, Australian Dental Association, Australian Dental and Oral Health Therapists’ Association, Cancer Council Australia, Dental Health Services Victoria, Dental Hygienists Association of Australia, Diabetes Australia, Healthier Workplace WA, Kidney Health Australia, LiveLighter, The Mai Wiru Sugar Challenge Foundation, Nutrition Australia, Obesity Policy Coalition, Stroke Foundation, Parents’ Voice, the Victorian Aboriginal Community Controlled Health Organisation (VACCHO) and the YMCA to raise awareness of the amount of sugar in sugar-sweetened beverages and encourage Australians to reduce their consumption.

Visit www.rethinksugarydrink.org.au for more information.

NACCHO Aboriginal Health #Junkfood #Sugarydrinks #Sugartax @AMAPresident says Advertising and marketing of #junkfood and #sugarydrinks to children should be banned

 

 ” Poor nutrition has been linked to the reduced health outcomes experienced by Aboriginal and Torres Strait Islander people, contributing to conditions known to disproportionately affect this population, including type 2 diabetes, kidney disease and some cancers.

Twenty two per cent of Aboriginal and Torres Strait Islander people live in a household that has, in the past 12 months, run out of food and not been able to purchase more. Food insecurity increases for Aboriginal and Torres Strait Islander people who live in remote areas.

Efforts to Close the Gap must recognise the potential impacts of improved nutrition on health outcomes, as well as the implications of food insecurity “

AMA Position Statement on Nutrition 2018

Download AMA Position Statement on Nutrition 2018

Advertising and marketing of junk food and sugary drinks to children should be banned, and a tax on sugar-sweetened beverages should be introduced as a matter of priority, the AMA says.

Releasing the AMA Position Statement on Nutrition 2018, AMA President, Dr Michael Gannon, said today that eating habits and attitudes toward food are established in early childhood.

“Improving the nutrition and eating habits of Australians must become a priority for all levels of government,” Dr Gannon said.

“Governments should consider the full complement of measures available to them to support improved nutrition, from increased nutrition education and food literacy programs through to mandatory food fortification, price signals to influence consumption, and restrictions on food and beverage advertising to children.

“Eating habits and attitudes start early, and if we can establish healthy habits from the start, it is much more likely that they will continue throughout adolescence and into adulthood.

“The AMA is alarmed by the continued, targeted marketing of unhealthy foods and drinks to children.

“Children are easily influenced, and this marketing – which takes place across all media platforms, from radio and television to online, social media, and apps – undermines healthy food education and makes eating junk food seem normal.

“Advertising and marketing unhealthy food and drink to children should be prohibited altogether, and the loophole that allows children to be exposed to junk food and alcohol advertising during coverage of sporting events must be closed.

“The food industry claims to subscribe to a voluntary code, but the reality is that this kind of advertising is increasing. The AMA calls on the food industry to stop this practice immediately.”

The Position Statement also calls for increased nutrition education and support to be provided to new or expecting parents, and notes that good nutrition during pregnancy is also vital.

It recognises that eating habits can be affected by practices at institutions such as child care centres, schools, hospitals, and aged care homes.

“Whether people are admitted to hospital or just visiting a friend or family member, they can be very receptive to messages from doctors and other health workers about healthy eating,” Dr Gannon said.

“Hospitals and other health facilities must provide healthy food options for residents, visitors, and employees.

“Vending machines containing sugary drinks and unhealthy food options should be removed from all health care settings, and replaced with machines offering only healthy options.

“Water should be the default beverage option, including at fast food restaurants in combination meals where soft drinks are typically provided as the beverage.”

NACCHO Campaign 2013 : We should health advice from the fast food industry !

Key Recommendations:

·         Advertising and marketing of unhealthy food and beverages to children to be prohibited.

·         Water to be provided as the default beverage option, and a tax on sugar-sweetened beverages to be introduced.

·         Healthy foods to be provided in all health care settings, and vending machines containing unhealthy food and drinks to be removed.

·         Better food labelling to improve consumers’ ability to distinguish between naturally occurring and added sugars.

·         Regular review and updating of national dietary guidelines and associated clinical guidelines to reflect new and emerging evidence.

·         Continued uptake of the Health Star Rating system, as well as refinement to ensure it provides shoppers with the most pertinent information.

Aboriginal and Torres Strait Islander people

Food insecurity

Food insecurity occurs when people have difficulty or are unable to access appropriate amounts of food.13

It has been estimated that four per cent of Australians experience food insecurity,14 though it is likely the extent of the problem is much higher.

Food insecurity is associated with a range of factors, including unstable living situations, geographic isolation and poor health.

It is more prevalent in already disadvantaged communities. In households with limited incomes, food budgets can be seen as discretionary and less of a priority.

This can result in disrupted eating habits and an over-reliance on less nutritious foods.

Food insecurity can have significant health implications, such as increased hospitalisation and iron deficiency anemia (in children) and increased kidney disease, type 2 diabetes and mental health issues (among adolescents and adults).

Poor nutrition has been linked to the reduced health outcomes experienced by Aboriginal and Torres Strait Islander people, contributing to conditions known to disproportionately affect this population, including type 2 diabetes, kidney disease and some cancers.16

Twenty two per cent of Aboriginal and Torres Strait Islander people live in a household that has, in the past 12 months, run out of food and not been able to purchase more. Food insecurity increases for Aboriginal and Torres Strait Islander people who live in remote areas.17

Efforts to Close the Gap must recognise the potential impacts of improved nutrition on health outcomes, as well as the implications of food insecurity. The development and implementation of potential solutions must be led by Aboriginal and Torres Strait Islander people.

The nutrition of Aboriginal and Torres Strait Islander people living in remote communities may be heavily dependent on Outback Stores. The 2009 Parliamentary Inquiry ‘Everybody’s Business: Remote Aboriginal and Torres Strait Community Stores’ resulted in a number of practical recommendations to increase the availability and affordability of healthy foods in Outback Stores, many of which have not been implemented.

Recommendation

These Stores, in consultation with local communities, should prioritise and facilitate access to affordable nutritious foods.

The AMA Position Statement on Nutrition 2018 is available at https://ama.com.au/position-statement/nutrition-2018

 

NACCHO Aboriginal #HealthyFutures : Making @DeadlyChoices Your 2018 New Year #HealthyChoice Resolutions

 ” In 2012–13, more than two-thirds (69%) of Aboriginal and Torres Strait Islander adults were overweight or obese (29% overweight but not obese, and 40% obese). Indigenous men (69%) and women (70%) had similar rates of overweight and obesity (ABS 2014a).

One-third (32%) of Indigenous men and more than one-quarter (27%) of Indigenous women were overweight but not obese, while 36% of Indigenous men, and 43% of Indigenous women were obese ”

See NACCHO Aboriginal Health article

Background AMA FACTS

·         According to CSIRO, four out of five Australians do not eat the recommended five servings of vegetables and two of fruit daily.

·         One-third of daily food consumption comes from discretionary foods – energy-dense foods that are typically high in saturated fats, sugar, and salt.

·         In 2014-15, nearly two-thirds (63 per cent) of Australian adults were overweight or obese, up from 57 per cent in 1995.

·         One in four children (aged 2-17) were overweight or obese in 2014-15.

·         Overweight and obesity was responsible for 7 per cent of the total health burden in Australia in 2011.

·         In 2011-12, obesity was estimated to cost the Australian economy $8.6 billion. The World Obesity Federation estimated that rose to $12 billion in 2017 and has forecast it to rise to $21 billion by 2025.

·         Australia’s obesity rate (28 per cent) is the fifth highest among Organisation for Economic Cooperation and Development (OECD) countries, behind the United States of America (38 per cent), Mexico (33 per cent), New Zealand (32 per cent), and Hungary (30 per cent).

·         Being overweight or obese is associated with a higher death rate, cutting two to four years off the life expectancy of a person with a Body Mass Index (BMI) between 30 and 35, and eight to 10 years for a person with a BMI of over 40.

·         Increased BMI is also linked to an increased risk of death from colon, rectum, prostate, cervical, and breast cancers.

See Deadly Choices Facebook Page

If you’re looking for a New Year’s Resolution that will improve your health, here are the resolutions we recommend:

The Healthy Weight Guide has been developed to provide you with the information you need to help you understand the importance of healthy eating and physical activity in achieving and maintaining a healthy weight.

Whether you already have a good understanding of what is required or if you are just starting out, the Healthy Weight Guide can help.

You might find achieving and maintaining a healthy weight easier if you break it down into the following seven steps:

Get started

An important first step towards achieving and maintaining a healthy weight is to understand what your journey will involve. You might like to start by finding out if you are a healthy weight. Setting goals and planning are also important steps. Once you are on your journey, it is important to monitor what you do to ensure you can maintain the healthy habits you set up. Registering with the Healthy Weight Guide can help you with all of these steps.

Set goals

It’s a good idea to set yourself some goals to help keep focused. Your goals might be related to your weight or about changing your behaviour, such as increasing your fitness or eating more healthily.  In the set goals section you will find some useful tips and ideas to help you decide on your goals and how you will achieve them. You will also find a downloadable goal setting form in this section. Alternatively, the My Goals section in the My Dashboard registered area will help you to set up and keep track of your goals.

Get active

Creating opportunities to be physically active every day can help you to achieve and maintain a healthy weight. In the get active section you will find helpful hints on finding out what physical activities you like and how to incorporate them into your day. For some people, planning to do physical activity at a regular time every day or week is more likely to make it a habit.  Get active also has a downloadable Physical Activity Planner to help you plan what physical activity you will do and when. The My Planner section of the My Dashboard registered area also has great tool to plan and monitor your physical activity.

Eat well

Developing healthy eating habits is important to being a healthy weight. You might like to start with a few small changes and gradually incorporate more. In the eat well section you will find some great suggestions on healthy shopping, cooking and eating out. You will also find a downloadable meal planner to help you plan and monitor your meals. The My Planner section of the My Dashboard registered area also has great tool to plan and monitor your meals and calculate your energy requirements.

Keep in check

Some people who keep track of their progress are more likely to make the changes that over time become new healthy habits. The keep in check section will give you some suggestions on how to continue to keep track of the healthy habits you have set. You might find the My Dashboard registered area useful to help you monitor your progress.

Managing the challenges

There may be times when you find managing your weight a challenge. The managing the challenges section has useful suggestions to help manage some of the common challenges you might face along the way.

Get informed and get support

In the get informed section you will find information related to achieving and maintaining a healthy weight from the Australian Dietary Guidelines and Australia’s Physical Activity and Sedentary Behaviour Guidelines. There is also information on different weight loss methods. You might find all this information helpful when setting your goals and making your healthy eating and physical activity plans. The getting support section has useful information on who you might be able to reach out to and how they might help. After all, everyone needs a helping hand.

If you’re looking for a New Year’s Resolution that will improve your health, here are 7 resolutions we also recommend: Adapted from

  1. Drink 8 glasses of water per day.  8 can be substituted for however many your body needs .Be sure to track your progress – find a way to track how many glasses you’re drinking per day, and to “check off” the days when you achieve your goal!
  2. Eat 2 servings of fruits and vegetables with every meal.  You could also choose to try for 4 different types of fruits and vegetables every day, or to try a new vegetable every month, or to achieve the recommended 9 servings of fruits and vegetables each day.  Any specific target that increases your vegetable consumption is a great resolution!
  3. Fit in some movement (or stretching) every day.  We are not saying you don’t need rest days, or you need to push yourself to exhaustion every day.  But even on your busiest days, try for a quick lunchtime walk, 10 minutes of stretching before bed, or even a quick interval workout
  4. Learn a new type of exercise, or achieve a new fitness goal.  Working on a new skill can be a great motivation to get active.  Set a resolution that you’ll learn a new activity   Or, set a specific goal in a mode of exercise you already practice (with interim steps along the way!).  Is there a certain weight you want to be able to deadlift, a certain KM time you’ve been hoping for, or a certain pose in yoga you’ve been dying to achieve?  Figure out how you’ll get there this year!
  5. Reduce added sugars (and/ or artificial sweeteners).  This is a lofty and hard-to-measure target, so I recommend you do this in smaller mini-goals.  For example, reduce the 2 tsp of sugar in your coffee to 1 tsp, or go for plain yogurt with fruit instead of sweetened, fruit-flavored yogurt.
  6. Eat at home 4 nights per week, or pack your lunch 2 times per week.  Of course, the numbers are arbitrary, so set a goal that works for you.  The point is to increase the number of home-cooked meals you prepare … so much better for your wallet and your health!
  7. Commit to a small, incremental change every month.  In January, you may order a side of veggies instead of french fries every time you go out to eat.  In February, you may switch from coffee with skim milk.  In March, you may add 5 minutes to your daily 30-minute walk.  Whatever it is, choose a small change that you can add on every single month.

NACCHO Aboriginal #ChooseHealth wishes you a very Healthy Xmas and #sugarfree 2018 New Year #SugaryDrinksProperNoGood

 ”  This campaign is straightforward – sugary drinks are no good for our health.It’s calling on people to drink water instead of sugary drinks.’

Aboriginal and Torres Strait Islander people in Cape York and throughout all our communities experience a disproportionate burden of chronic disease compared to other Australians.’

‘Regular consumption of sugary drinks is associated with increased energy intake and in turn, weight gain and obesity. It is well established that obesity is a leading risk factor for diabetes, kidney disease, heart disease and some cancers. Consumption of sugary drinks is also associated with poor dental health.

Water is the best drink for everyone – it doesn’t have any sugar and keeps our bodies healthy.’

Apunipima Public Health Advisor Dr Mark Wenitong

WATCH Apunipima Video HERE

“We tell ‘em kids drink more water; stop the sugar. It’s good for all us mob”

Read over 30 NACCHO articles Health and Nutrition HERE

https://nacchocommunique.com/category/nutrition-healthy-foods/

 ” Let’s be honest, most countries and communities (and especially Aboriginal and Torres Strait Islanders ) now face serious health challenges from obesity.

Even more concerning, so do our kids.

While no single mission will be the panacea to a complex problem, using 2017 to set a new healthy goal of giving sugar the kick would be a great start.

Understand sugar, be aware of it, minimise it and see it for what it is – a special treat for a rare occasion.

This New Year’s, make breaking up with sugar your planned resolution.

“Hey sugar – it’s not me, it’s you…”

Alessandro R Demaio  Global Health Doctor; Co-Founded NCDFREE & festival21; Assoc. Researcher, University of Copenhagen and NACCHO supporter ( First Published 2016 see in full below )

 

We recommend the Government establish obesity prevention as a national priority, with a national taskforce, sustained funding and evaluation of key measures including:

  • Laws to stop exposure of children to unhealthy food and drink marketing on free to air television until 9.30 pm
  • Mandatory healthy food star rating from July 2019 along with stronger food reformulation targets
  • A national activity strategy to promote walking, cycling and public transport use
  • A 20 per cent health levy on sugary drinks

Australia enjoys enviable health outcomes but that is unlikely to last if we continue to experience among the world’s highest levels of obesity.

 CEO of the Consumers Health Forum, Leanne Wells

NACCHO Aboriginal #HealthStarRating and #Nutrition @KenWyattMP Free healthy choices food app will dial up good tucker

” Weight gain spikes sharply during the Christmas and New Year holiday period with more than half of the weight we gain during our lifetime explained just by the period between mid-November and mid-January.

Public Health Advocacy Institute of WA

 ” Labels that warn people about the risks of drinking soft drinks and other sugar-sweetened beverages can lower obesity and overweight prevalence, suggests a new Johns Hopkins Bloomberg School of Public Health study.

The study used computer modelling to simulate daily activities like food and beverage shopping of the populations of three U.S. cities – Baltimore, San Francisco and Philadelphia.

It found that warning labels in locations that sell sugary drinks, including grocery and corner stores, reduced both obesity and overweight prevalence in the three cities, declines that the authors say were attributable to the reduced caloric intake.

The virtual warning labels contained messaging noting how added sugar contributes to tooth decay, obesity and diabetes.

The findings, which were published online December 14 in the American Journal of Preventive Medicine, demonstrates how warning labels can result in modest but statistically significant reductions in sugary drink consumption and obesity and overweight prevalence.”

Diabetes Queensland : Warning labels can help reduce sugary drinks consumption and obesity, new study suggests

 

Global recognition is building for the very real health concerns posed by large and increasing quantities of hidden sugar in our diets. This near-ubiquitous additive found in products from pasta sauces to mayonnaise has been in the headlines and in our discussions.

The seemingly innocuous sweet treat raises eyebrows from community groups to policy makers – and change is in the air.

Let’s review some of the sugar-coated headers from 2016 :

  • The global obesity epidemic continued to build while more than two-in-three Australian adults faced overweight or obesity – and almost one in four of our children.
  • Science around sugary drinks further solidified, with consumption now linked to obesity, childhood obesity, heart disease, diabetes (type-2), dental caries and even lower fertility.
  • Australians were estimated to consume a staggering 76 litres of sugary drinks each since January alone, and new reports highlighted that as much as 15% of the crippling health costs associated with obesity could result from sugary drinks consumption.
  • Meanwhile around the planet, more countries took sound policy measures to reduce sugar consumption in their citizens. France, Belgium, Hungary, Finland, Chile, the UK, Ireland, South Africa and many parts of the United States implemented, continued or planned the implementation of pricing policies for sugary drinks.

In short, the over-consumption of sugar is now well recognised as a public health challenge everywhere.

With all this in mind and a New Year ahead, it’s time to put big words into local action. With resolutions brewing, here are seven helpful tips to breaking up with sugar in 2017.

1. Understand sugar

When it comes to sugar, things can get pretty confusing. Below, I shed some light on the common misunderstandings, but let’s recheck sugar itself – in simplest terms.

Sugar is a type of refined carbohydrate and a source of calories in our diet. Our body uses sugar and other sources of calories as energy, and any sugar that is not used is eventually stored as fat in our liver or on our bellies.

“Free sugars” are those added to products or concentrated in the products – either by us or by the manufacturer. They don’t include sugars in whole fruits and vegetables, but more on that later. For a range of health reasons, the World Health Organization recommends we get just 5% of our daily calories from free sugars. For a fully grown man or woman, this equates to a recommended limit to sugar consumption of roughly 25 grams – or 6 teaspoons. For women, it’s a little less again.

Consume more than this, and our risk of health problems rises.

2. Quit soft drinks

With 16 teaspoons of sugar in a single bottle serving – that’s more than 64 grams – there’s nothing “soft” about soft drinks. Including all carbonated drinks, flavoured milks and energy drinks with any added sugars, as well as fruit drinks and juices, sugary drinks are a great place to focus your efforts for a healthier 2018. Sugary drinks provide no nutritional value to our diets and yet are a major source of calories.

sugartax

What’s more concerning, evidence suggests that when we drink calories in the form of sugary drinks, our brains don’t recognise these calories in the same way as with foods. They don’t make us feel “full” and could even make us hungrier – so we end up eating (and drinking) more. In this way, liquid calories can be seen as even more troubling than other forms of junk foods. Combine this with studies that suggest the pleasure (and sugar spike) provided by sugary drinks may make them hard to give up – and it’s not difficult to see why many of us are drinking higher amounts, more often and in larger servings. This also makes cutting down harder.

The outcome is that anything up to one-seventh of the entire public cost of obesity in Australia could now result from sugary drinks. In other words, cut out the sugary drinks and you’ll be doing your own health a favour – and the health of our federal and state budgets.

3. Eat fruit, not juice

When it’s wrapped in a peel or a skin, fruit sugars are not a challenge to our health. In fact, the sugars in fruit are nature’s way of encouraging us to eat the fruit to begin with. Fruits like oranges, apples and pears contain important fibres. The “roughage” in our foods, this fibre is healthy in many ways but there are three in particular I will focus on. First, it slows our eating down; it is easy to drink a glass of juice squeezed from 7 apples, but much harder to eat those seven pieces whole. Second, it makes us feel full or satiated. And third, it slows the release of the sugars contained in fruit into our blood streams, thus allowing our bodies to react and use the energy appropriately, reducing our chances of weight gain and possibly even diabetes.

Juice, on the other hand, involves the removal of most of those fibres and even the loss of some of the important vitamins. What we don’t lose though, is the 21 grams or more than five teaspoons of sugar in each glass.

In short, eat fruit as a snack with confidence. But enjoy whole fruit, not juice.

4. Sugar by any other name

High-fructose corn syrup, invert sugar, malt sugar and molasses – they all mean one thing: sugar.

As the public awakens to the health challenges posed by sugar, the industry turns to new ways to confuse consumers and make ‘breaking up’ more difficult. One such way is to use the many alternative names for sugar – instead of the ‘s’ word itself. Be on the lookout for:

Evaporated cane juice, golden syrup, malt syrup, sucrose, fruit juice concentrate, dextrose and more…

5. Eat whole foods where possible

Tomato sauce, mayonnaise, salad dressings, gravies, taco sauces, savoury biscuits and breakfast cereals – these are just some of the many foods now often packed with hidden, added sugars.

A study found that 74% of packaged foods in an average American supermarket contain added sugars – and there is little evidence to suggest Australia would be dramatically different. Added to food to make it more enjoyable, and moreish, the next tip when avoiding such a ubiquitous additive is to eat whole foods.

It’s hard to hide sugar in plain flour, or a tomato, or frozen peas. Buying and cooking with mostly whole foods – not products – is a great way to ensure you and your family are not consuming added sugars unaware.

6. See beyond (un)healthy claims

Words like “wholesome”, “natural” and “healthy” are clad on many of our favourite ingredients. Sadly, they don’t mean much.

Even products that are full of sugar, like breakfast cereals and energy bars, often carry claims that aim to confuse and seduce us into purchase. Be wary – and be sure to turn the package over and read the ingredients and nutrition labelling where possible (and if time permits).

7. Be okay with sometimes

The final but crucial message in all of this is that eating or drinking sugar is not a sin. Sugar is still a part of our lives and something to enjoy in moderation. The occasional piece of cake, or late night chocolate – despite the popular narrative painted by industry to undermine efforts for true pricing on sugar – these occasional sweet treats are not the driving challenge for obesity. The problem is that sugary drinks, and sugar in our foods, have become every day occurrences.

With this in mind, let’s not demonise sugar but instead let’s see it for what it is. Enjoy some juice or bubbles from time to time but make water the default on an everyday basis. With the average can of cola containing 39 grams or 9 teaspoons of sugar, be OK with sometimes.

Bitter truth

Let’s be honest, We now face serious health challenges from obesity.

Even more concerning, so do our kids.

Learn more about our ACCHO making Deadly Choices

 

NACCHO Aboriginal Health and #Nutrition : Download Guide , Posters , Activity sheets @MenziesResearch SHOP@RIC (Stores Healthy Options Project at Remote Indigenous Communities )

 

” This guide presents information on the consumer education strategy used in the SHOP@RIC study.

SHOP@RIC (Stores Healthy Options Project at Remote Indigenous Communities) is one of four studies in the world to provide evidence on the effect of a price discount with and without nutrition education on food purchasing.”

Download Guide Here :  SHOP_RIC_Consumer_Education_Guide

Read over 35 NACCHO Aboriginal Health and Nutrition articles HERE

This study is the largest nutrition-related trial to be conducted with remote Aboriginal communities in Australia.

It provides an example of a successful collaboration between communities, retailers, health professionals and academics.

Many people participated in making SHOP@RIC the success that it was.

See full resources website

The SHOP@RIC consumer education strategy was delivered with a price discount on fresh and frozen fruit, vegetables, artificially sweetened soft drinks and water.

We hope that the information presented here will inspire readers to use the consumer education strategy resources and the evaluation tools we have made available on the Menzies School of Health Research website.

Below are six poster options for download.

This should be read in conjunction with SHOP@RIC Consumer Education Guide.

Title SHOP@RIC consumer education posters
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SHOP@RIC poster theme 1
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SHOP@RIC poster theme 2 (landscape)
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SHOP@RIC poster theme 3
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SHOP@RIC poster theme 4
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SHOP@RIC poster theme 5 (landscape)
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SHOP@RIC poster theme 6

Below are several web activity sheet options for download.

This should be read in conjunction with SHOP@RIC Consumer Education Guide.

Title SHOP@RIC consumer activity sheets
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SHOP@RIC activity sheet – beverages theme 1
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SHOP@RIC activity sheet – beverages theme 2
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SHOP@RIC activity sheet – beverages theme 3
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SHOP@RIC activity sheet – beverages theme 4
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SHOP@RIC activity sheet – beverages theme 5
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SHOP@RIC activity sheet – beverages theme 6
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SHOP@RIC activity sheet – fruit and veg theme 1
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SHOP@RIC activity sheet – fruit and veg theme 2
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SHOP@RIC activity sheet – fruit and veg theme 3
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SHOP@RIC activity sheet – fruit and veg theme 4
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SHOP@RIC activity sheet – fruit and veg theme 5
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SHOP@RIC activity sheet – fruit and veg theme 6