NACCHO Aboriginal Health #Sugartax News : @Apunipima Dr Mark Wenitong launches #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 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 30 NACCHO articles Health and Nutrition HERE

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

Read over 15 NACCHO articles Sugar Tax HERE  

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

Apunipima Cape York Health Council  launched its Sugary Drinks Proper No Good – Drink More Water Youfla social marketing campaign on Thursday 2 November.

The campaign was developed with, and for, Aboriginal and Torres Strait Islander people of Cape York, and is supported by the national Rethink Sugary Drink Alliance – a group of organisations, including Apunipima, Diabetes Australia and the Cancer Council, concerned about the health impacts of sugary drinks.

The launch will see the campaign webpage (part of the Rethink Sugary Drink website) go live, and the release of three videos featuring NRL legend Scotty Prince inviting people to Drink More Water Youfla.

Channel 7 News Coverage

#SugaryDrinksProperNoGood and #DrinkMoreWaterYoufla.

VIEW HERE

Media was invited to Apunipima’s Cairns office where the three clips were distributed, a sugary drinks display set up, and Apunipima Public Health Medical Advisor Dr Mark Wenitong was for interview and photos opportunities.

‘This campaign is straightforward – sugary drinks are no good for our health. It’s calling on people to drink water instead of sugary drinks like soft drinks, sports drinks and fruit drinks,’ Dr Wenitong said.

Head of Prevention at Cancer Council Victoria and spokesperson for Rethink Sugary Drink Alliance Craig Sinclair said Apunipima’s campaign was prevention – focused and could save lives.

‘This is a vitally important campaign that has the capacity to not only improve lives but save them.’

‘It may sound simple, but cutting out sugary drinks can have a big impact on your health. Sugary drinks are key contributor to being overweight or obese which puts you at risk of cancer, heart disease, type 2 diabetes, stroke, and kidney disease. Apunipima Cape York Health Council is to be congratulated for taking this innovative prevention-led approach.’

The campaign was funded by the Australian government via the Northern Queensland Primary Health Network (NQPHN).

‘We’re pleased to be supporting Apunipima in this comprehensive health promotion initiative to address consumption of sugary drinks, which are one of the key contributors to overweight and obesity,’ said NQPHN CEO Mr Robin Moore.

‘Apunipima have a strong track record of developing and undertaking effective health promotion initiatives for our local communities, and are a key agency improving the skills and knowledge of the health promotion workforce across the region.’

‘NQPHN is committed to helping to close the gap and we are confident this initiative will make a significant contribution to that goal.’

Prominent Far Northern doctor calls for Australian sugar tax

A PROMINENT doctor has reignited calls for a sugar tax, in order to prevent the Far North’s chronic disease rate from climbing even higher.

Apunipima Cape York Health Council has launched a federally-funded social media campaign, to discourage Aboriginal and Torres Strait Islander people from consuming sugary drinks.

The “Sugary Drinks Proper No Good — Drink More Water Youfla” campaign, featuring videos by NRL legend Scotty Prince.

It calls on people to drink water instead of sugary drinks, like soft drinks, sports drinks, and fruit drinks.

The campaign has been launched to tackle the high rate of chronic diseases in the Far North such as Type 2 diabetes and heart disease.

Apunipima public health medical advisor Dr Mark Wenitong said a sugar tax placed on junk food and beverages would go a long way to helping reduce this rate.

“We’ve seen this happen in a few South American countries, in Mexico,” he said.

“If those countries can introduce (a sugar tax) as a health benefit to their population, then I don’t see why we can’t.

“I know the beverage industry will often say ‘this will affect the most disadvantaged people, because they’ll have to pay’, our answer to that is, it’s killing most disadvantaged people already, because they’ve got higher risk factors.

“It affects their chronic disease status more than other people in Australia.”

Cairns Hospital, earlier this year, became one of the first hospitals in Queensland to implement strategies to restrict patient and staff access to soft drinks.

Vending machines and the two cafes at the hospital only sell sugar-free soft drinks.

Dr Wenitong said the Cairns and Hinterland Hospital and Health Service should go an extra step by restricting other junk food being sold at its facilities, like chocolate bars and chips.

“At some stage, I think they’ll have to think about the accessibility of those things, particularly for younger people,” he said.

“I don’t think it’s a bad idea, by at least making them less visible and less accessible, so kids just don’t see them and want them.”

CHHHS executive director Tina Chinery said they had received no complaints from patients, staff or visitors when their healthier drink strategy was rolled out earlier this year.

“Healthcare facilities play an important role in promoting the health and wellbeing of patients, staff and visitors,” she said.

“Cairns Hospital is leading by example and creating environments that support patients, staff and visitors to make healthy choices easy.”

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

“Users simply scan the barcode of a product with their phone to see if it’s a healthy choice,

Once scanned, the app gives a ‘thumbs up’, ‘thumbs down’, or ‘thumbs sideways’ message, according to how healthy the product is.

“One of the app’s best features is that, once it’s downloaded, all the information is on your phone and there’s no need for the internet, so it’s ideal for people living in remote areas.”

Minister for Indigenous Health, Ken Wyatt AM, said the Uncle Jimmy’s Good Tucker app was easy to use and a first for remote communities.

Read over 30 NACCHO Articles about Healthy Food and Nutrition

The GOOD TUCKER app has been launched with the intention to assist people living in remote Aboriginal and Torres Strait Islander communities to make healthier food and beverage choices at the local store.

Federal Minister for Indigenous Health, the Hon Ken Wyatt AM gave the official thumbs up to the free app today. The app allows shoppers to scan a food or beverage product’s barcode and instantly reveal if it is a healthy option, should be consumed in moderation or avoided altogether.

DOWNLOAD INFO HERE

The app has been championed by the Menzies School of Health Research (Menzies), the University of South Australia (UnisSA) and Uncle Jimmy Thumbs Up! , which has been promoting awareness and the benefits of a healthy diet to Indigenous children for more than 10 years.

Graham “Buzz” Bidstrup, CEO of Uncle Jimmy Thumbs Up!, said there was an overwhelming need for the app.

“We know that there is over consumption of ultra-processed foods particularly in remote Indigenous Australian communities. These foods are typically energy dense and high in added sugar and salt which fuels the obesity epidemic and a raft of early onset chronic diseases.

“The GOOD TUCKER app shows at a glance how healthy or unhealthy a product is with a simple thumbs up, sideways or down message. The Thumbs rating is derived from a combination of the products’ Health Star Rating and Australian Bureau of Statistics’ discretionary food classification,” Mr Bidstrup said.

The app has been more than two years in the making with joint input from Menzies, UniSA and Uncle Jimmy Thumbs Up!.

Associate Professor Julie Brimblecombe, head of the nutrition program at Menzies, said she hoped the GOOD TUCKER app would help to tackle the significant health gap facing many people living in remote communities.

We know that nutrition plays a huge role in contributing to poor health. Making even small changes to our diets, such as consuming a little less salt and added sugar, and eating less fat (particularly saturated fat) and energy (kilojoules) could help prevent diseases including high blood pressure, high cholesterol, obesity and type 2 diabetes.

This app will help people to change their shopping habits as well as generate new learning about healthy food choices for community residents and store managers,” Assoc Prof Brimblecombe said.

The GOOD TUCKER app, which is powered by the highly successful FoodSwitch app, provides Thumbs ratings for tens of thousands of products on sale in food stores all across Australia.

It also provides guidance about take-away foods, such as pizzas and burgers and other non-packaged, non-barcoded items like fresh fruit and vegetables.

Prior to the launch the app was trialled by Indigenous musicians and performers at the Bush Band Bash concert in Central Australia , Wiraduri woman, Johanna Campbell said she found it educational and easy to use and is looking forward to it being introduced into rural and remote communities across Australia.

“The GOOD TUCKER app is great. To be able to scan the barcode on a food packet to find out if it is healthy or not will be really useful. Some foods are not so obviously unhealthy, so to be able to receive a thumbs up, sideways or down will help buy healthier options at the store,” Ms Campbell said.

Dr Tom Wycherley from UniSA’s Alliance for Research in Exercise, Nutrition and Activity (ARENA), said the app uses imagery and branding that is easily interpretable and familiar to communities.

“The GOOD TUCKER app builds on existing Thumbs Up! branding that has been seen in many communities for over 10 years and provides information in a culturally appropriate form. Early feedback is really positive but the real test now will be to see if this can noticeably change food choices.”

A full evaluation of the app is planned to take place after the release.

The GOOD TUCKER app works on:

1. Apple mobile devices that have a camera with auto-focus. Requires iOS 7.0 or later.

2.Android devices running versions 4.0.x and above that have a camera with autofocus.

As all the information is in the app there is no need for the user to be in internet or phone range to use the app

Part 2 Minister Wyatt’s Press Release  :Free healthy food app dials up good tucker for remote Indigenous communities

A new mobile phone app launched today promises to help Aboriginal and Torres Strait Islander people in remote areas make healthy food choices.

The thumbs rating is based on the Government’s Health Star Rating system and the Australian Dietary Guidelines.

“The app is named in honour of legendary singer Jimmy Little, who established the Jimmy Little Foundation and dedicated much of his life to promoting better Indigenous health,” said Minister Wyatt.

“People in remote communities can face considerable food challenges, from the combination of limited supplies, particularly the difficulty in getting fresh fruit and vegetables, and limited storage.

“Uncle Jimmy’s app will complement our work to make good food more accessible in remote areas, through the Outback Stores scheme. The accredited stores provide healthy food cheaper than in other remote area stores and implement a nutrition strategy that includes health promotion activities and cooking demonstrations.

“Improving food choices is one of the most effective ways of helping close the gap in Indigenous health, with poor diet behind 10 per cent of diseases.”

The Good Tucker app was created by the Jimmy Little Foundation, in partnership with the Menzies School of Health Research, the University of South Australia and the George Institute for Global Health.

The app links with the Health Star Ratings system, which has more than 7,500 food products displaying the Health Star Rating logo.

Background

The GOOD TUCKER app was developed by Uncle Jimmy Thumbs Up!, The University of South Australia and Menzies School of Health Research in partnership with The George Institute, to provide a simple way for people to identify the healthiest food and drink options available in stores.

Uncle Jimmy Thumbs Up! was established in 2007 by legendary Australian entertainer Dr. Jimmy Little AO with veteran musician and founding CEO Graham “Buzz” Bidstrup.

The Thumbs Up! program uses music and new media to bring awareness of good nutrition and healthy lifestyle to Indigenous children living in regional and remote communities across Australia. Thumbs Up! engages with the whole of community, including traditional owner groups, schools, local food stores, health services and community groups.

 How do I get the Good Tucker app?

iPhone1 users: Download Good Tucker from the App Store1, either online or on your device.

Android2 smartphone users: Download Good Tucker from Google Play2, either online or on your Android smartphone.

The app is free of charge. An internet connection (mobile/cellular data or Wi-Fi) is required to download it and to share information by social media and email. Standard usage charges may apply – check with your internet and mobile service providers for more information.

Once the Good Tucker app has been downloaded onto your phone you do NOT need to have phone or internet connection for it to operate. All information on products will be stored on the phone.

Other FAQs about the APP

Welcome to the Good Tucker APP!

A simple and easy way of checking out how healthy a food product is.

Download from

Aboriginal Heart Health @AHPC_VU #HeartHealth: the first step in getting Australia’s health on track

 

” One Australian dies every 12 minutes from CVD including heart attack and stroke – 40 percent prematurely. People with type 2 diabetes are 3-4 times more likely to suffer a heart attack or stroke. People with CVD are also at risk of kidney disease.”

Australia spends more on cardiovascular diseases than on any other disease group (3). The costs of CVD amount to over 12% of all health care expenditure. In 2011, CVD was the second most burdensome disease group in Australia, causing 15% of the total $4.5 million disability-adjusted life years lost (4).

Diseases of the circulatory system are also closely associated with other major chronic health conditions such as diabetes, cancer, chronic obstructive pulmonary disease and arthritis.

This policy paper builds upon the work of the National Vascular Disease Prevention Alliance (NVDPA) and leading Australian health researchers to reinvigorate and reinforce the case for preventing CVD and its risk factors and in turn, to reduce disability, comorbidity and premature death.

These experts agree that the most important next step that the Australian Government should take to prevent and manage CVD is promoting an Absolute Cardiovascular Risk Assessment in primary practice.

The experts called for:

Targeted screening and treatment for absolute risk assessment of cardiovascular disease for adults aged 45–74 years and from 35 years for Aboriginal and Torres Strait Islanders in line with guidelines.”

Heart Health: the first step in getting Australia’s health on track

 ” The National Vascular Disease Prevention Alliance (NVDPA) has today supported calls for heart and stroke disease risk assessments to be embedded alongside type 2 diabetes and kidney disease risk assessment in routine GP visits for everyone over 45.

Australian Health Policy Collaboration (AHPC) released the policy paper Heart Health: the first step in getting Australia’s health on track in Canberra today.”

Download a copy : Heart Health: the first step in getting Australia’s health on track

 

AHPC-heart-health-policy-paper

Read over 30 Aboriginal Heart Health articles HERE

 ” Aboriginal and Torres Strait Islander people are up to three times more likely to suffer a stroke than non-Indigenous Australians and almost twice as likely to die, according to the Australian Bureau of Statistics “

Read over 70 Aboriginal Stroke Health articles HERE

Read over 130 Aboriginal Diabetes Health Articles HERE

The paper recommends a national investment in Absolute Cardiovascular Risk Assessment (ACVR) screening and outlines a national primary care strategy to reduce the impact of cardiovascular disease (CVD) on the community.

This paper builds on the NVDPA proposal for an integrated health check for cardiovascular disease, type 2 diabetes and chronic kidney disease.

NVDPA member and Stroke Foundation Chief Executive Officer Sharon McGowan said regular integrated health checks delivered by GPs will ensure people at high risk were identified and managed.

“Chronic diseases are Australia’s greatest health challenge and leading cause of illness, disability and death. However, much of this burden could be prevented through early detection and early treatment,’’ Ms McGowan said.

“Integrated health checks will help ensure Australians stay alive, stay well longer and stay out of hospital.”

AHPC Director Professor Rosemary Calder said embedding risk assessments into GP visits would be the single most effective strategy for chronic disease prevention.

The NVDPA and AHPC both recommend that integrated risk assessments be supported by the Medicare Benefits Schedule and promoted through the community and Primary Health Networks.

The AHPC Heart Health report was developed in collaboration with leading national clinical and policy experts and in consultation with the Royal Australian College of General Practice and the NVDPA.

The NVDPA includes the Stroke Foundation, the National Heart Foundation, Kidney Health Australia and Diabetes Australia.

The Heart Health report follows the AHPC’s policy roadmap, Getting Australia’s Health on Track, 2016 which aims to significantly reduce preventable illness and disability.

See NACCHO Aboriginal Health Alert #GetonTrack Report : The ten things we need to do to improve our health 

NACCHO Aboriginal Health and #Obesity : Download #TippingtheScales Report Leading health orgs set out 8 urgent actions for Federal Government

“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 

Download the report HERE  tipping-the-scales

Read over 30 + NACCHO Obesity articles published last 5 years

Read over 30+ NACCHO Nutrition and Healthy foods published last 5 years

Thirty-four leading community, public health, medical and academic groups have today united for the first time to call for urgent Federal Government action to address Australia’s serious obesity problem.

In the ground-breaking new action plan, Tipping the Scales, the agencies identify eight clear, practical, evidence-based actions the Australian Federal Government must take to reduce the enormous strain excess weight and poor diets are having on the nation’s physical and economic health.

Led by the Obesity Policy Coalition (OPC) and Deakin University’s Global Obesity Centre (GLOBE), Tipping the Scales draws on national and international recommendations to highlight where action is required. Areas include:

  1. Time-based restrictions on TV junk food advertising to kids
  2. Set clear food reformulation targets
  3. Make the Health Star Rating mandatory by July 2019
  4. Develop a national active transport strategy
  5. Fund weight-related public education campaigns
  6. Introduce a 20% health levy on sugary drinks
  7. Establish a national obesity taskforce
  8. Develop and monitor national diet, physical activity and weight guidelines.

OPC Executive Manager Jane Martin said the eight definitive policy actions in Tipping the Scales addressed the elements of Australia’s environment which set individuals and families up for unhealthy lifestyles, rather than just focusing on treating the poor health outcomes associated with obesity.

Watch video HERE : How does junk food marketing influence kids

“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,” Ms Martin said.

“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 But Australia still has no strategy to tackle our obesity problem. It just doesn’t make sense.

“Without action, the costs of obesity and poor diet to society will only continue to spiral upwards. The policies we have set out to tackle obesity therefore aim to not only reduce morbidity and mortality, but also improve wellbeing, bring vital benefits to the economy and set Australians up for a healthier future.”

Professor of Epidemiology and Equity in Public Health at Deakin University, Anna Peeters, said the 34 groups behind the report were refusing to let governments simply sit back and watch as growing numbers of Australians developed life-threatening weight and diet-related health problems.

“For too long we have been sitting and waiting for obesity to somehow fix itself. In the obesogenic environment in which we live, this is not going to happen. In fact, if current trends continue, there will be approximately 1.75 million deaths in people over the age of 20 years caused by diseases linked to overweight and obesity, such as type 2 diabetes, cancer heart disease, between 2011-20501,” Professor Peeters said.

“Obesity poses such an immense threat to Australia’s physical and economic health that it needs its own, standalone prevention strategy if progress is to be made. There are policies which have been proven to work in other parts of the world and have the potential to work here, but they need to be implemented as part of a comprehensive approach by governments. And they need to be implemented now.

“More than thirty leading organisations have agreed on eight priorities needed to tackle obesity in Australia. We would like to work with the Federal Government to tackle this urgent issue and integrate these actions as part of a long-term coordinated approach.”

In addition to the costs to society, the burden of obesity is felt acutely by individuals and their families.

As a Professor of Women’s Health at Monash University and a physician, Professor Helena Teede sees mothers struggle daily with trying to achieve and sustain healthy lifestyles for themselves and their families, while having to deal with the adverse impact of unhealthy weight, especially during pregnancy.

“As a mother’s weight before pregnancy increases, so does the substantive health risk to both the mother and baby. Excess weight gain during pregnancy further adds to these risks and is a key driver of infertility, long-term obesity, heart disease and type 2 diabetes, while for the child, their risk of becoming overweight or obese and developing chronic diseases in later life greatly increases,” Professor Teede said.

“The women I see are generally desperate for help to improve their lifestyle and that of their families. They want to set themselves and their families up for healthy, long lives.

“Currently, there is a lot of blame placed on individuals with unhealthy diets and lifestyles seen as being due to individual and family discipline. Women from all backgrounds and walks of life struggle with little or no support to achieve this. It is vital that we as a community progress beyond placing all responsibility on the individual and work towards creating a policy context and a society that supports healthy choices and tips the scales towards obesity prevention to give Australian families a healthy start to life.”

The calls to action outlined in Tipping the Scales are endorsed by the following organisations: Australian Chronic Disease Prevention Alliance (which includes the Heart Foundation, Cancer Council Australia, Kidney Health Australia, Diabetes Australia and the Stroke Foundation), Australian Health Policy Collaboration (AHPC), Australian Medical Students’ Association (AMSA), Australian & New Zealand Obesity Society (ANZOS), Australasian Society of Lifestyle Medicine, Baker Heart & Diabetes Institute, CHOICE, Consumers Health Forum of Australia, Deakin University’s Global Obesity Centre (GLOBE), Institute For Physical Activity and Nutrition (IPAN), Monash Centre for Health, Research and Implementation (MCHRI), LiveLighter, Menzies School of Health Research, The University of Melbourne’s Melbourne School of Population & Global Health, Melbourne Children’s (which includes The Royal Children’s Hospital Melbourne, Murdoch Children’s Research Institute and the University of Melbourne), the National Rural Health Alliance Inc, Nutrition Australia, Obesity Australia, Obesity Policy Coalition, Obesity Surgery Society of Australia & New Zealand, Parents’ Voice, Public Health Association of Australia and Sugar By Half.

Download the Tipping the Scales action plan and snapshot at opc.org.au/tippingthescales


1. Obesity Australia. Obesity: Its impact on Australia and a case for action. No time to Weight 2. Sydney, 2015.

NACCHO Aboriginal Health #Strokeweek : #Fightstroke Aboriginal people are up to three times more likely to suffer a stroke than non-Indigenous

 

” Aboriginal and Torres Strait Islander people are up to three times more likely to suffer a stroke than non-Indigenous Australians and almost twice as likely to die, according to the Australian Bureau of Statistics. It’s an alarming figure and one that  prompted the National Stroke Foundation in 2016 to urge the Federal Government to fund a critical $44 million awareness campaign in a bid to close the gap .

The good news is most strokes are preventable and treatable.

However communities need to be empowered to protect themselves from this insidious disease.”

Sharon McGowan, Stroke Foundation CEO ( see full Aboriginal Stroke statistics part 2 below

Download the 48 Page support guide :

journeyafterstroke_indigenous_0

Read over 75 Stroke related articles published by NACCHO over past 5 years

“Never had I ever come across one ( stroke ) or heard much about them. I had nothing to do with them,”

When I woke up, I didn’t know what was going on. I couldn’t communicate. I couldn’t tell anyone I was still here. It was really scary. I’d never seen the effects of a stroke.

First, I lost my voice, then my vision, my [ability to] swallow and my movement of all my body parts. I lost all my bowel and bladder function. I’ve still got bad sight but I can see again. My speech took about six months.

With help from the Aboriginal Disability Network, they advocated to get me out and get the right support equipment at home “

For Tania Lewis, an Awabakal woman, stroke was something that only happened to older people. But in 2011, Tania suffered a severe stroke at the age of 39 that would leave her with permanent right-sided hemiplegia – paralysis of one side of the body.

Pictured above : Editor of NACCHO Communique and Stroke Foundation Consumer Council Board Member Colin Cowell (left ) with fellow stroke survivor Tania Lewis at an NDIS workshop in Coffs Harbour conducted by Joe Archibald (right )

Part 1 Stroke Foundation in 2016 called on government to close the gap

Originally published here

A stroke occurs when supply of blood to the brain is disturbed suddenly. The longer it remains untreated, the heightened the risk of stroke-related brain damage.

Medical treatment during the first onset of symptoms can significantly improve a sufferer’s chance of survival and of successful rehabilitation.

In Australia, stroke is the leading cause of long-term disability in adults, accounting for 25 per cent of all chronic disability. The NSF reports that roughly 50,000 strokes occur per year with over 437,000 people living with stroke across the country. While severity varies, two thirds of victims, like Tania, are left with impeding disabilities

But in 2011, Tania suffered a severe stroke at the age of 39 that would leave her with permanent right-sided hemiplegia – paralysis of one side of the body.

The burden of stroke doesn’t just fall on the patient, but can take a significant toll on family and carers.

“The doctor at the hospital tried to take Power of Attorney and Guardianship away from me and give it to the Guardianship Board, because he didn’t believe that [my husband] Len or anyone could look after me,” Tania recalls.

“I was put through hell. I figured life wasn’t worth living anymore because they took everything away from me. I couldn’t go home to my family. So I tried to off myself.

“Then all of a sudden, one day the doctor said, ‘You can go home. We can’t rehabilitate you anymore’. At home, I was having seizures for a while. My hubby wouldn’t sleep. He and his mum would take shifts looking after me. We tried to get assistance but there was nothing for young people. So one day, my husband collapsed on the lounge room floor from exhaustion. It was just a nightmare. That’s how I ended up in aged care.”

Tania spent the next two and a half years between three aged care facilities.

“I wouldn’t wish it upon nobody,” she says.

It was during her nightly ritual of chatting with her daughter via Facebook that Tania typed “young people in nursing homes” into Google. The search engine’s results would lead to her life-changing encounter with the YPINH.

“With help from the Aboriginal Disability Network, they advocated to get me out and get the right support equipment at home. Whatever I need, physio, OT – they’ve got my back. I can’t thank them enough for what they’ve done for me.”

Today, Tania is working with the Aboriginal Disability Network, helping Indigenous Australians navigate their way through the National Healthcare System.

It has long been recognised that Aboriginal and Torres Strait Islander people have a life expectancy that is approximately 20 years less than non-Indigenous Australians (Australian Bureau of Statistics). Recent data from the ABS shows that up to 80 per cent of the mortality gap can be attributed to chronic diseases such as heart disease, stroke, diabetes and kidney disease.

For many Aboriginal communities, especially those in remote regions, socio-economic factors play an important role. Kerin O’Dea from Darwin’s Menzies School of Health Research cites unemployment, poor education outcomes and limited access to fresh foods as key factors in her paper, Preventable chronic diseases among Indigenous Australians.

Lifestyle related risks such as smoking, alcohol misuse, stress, poor diet, and inadequate physical activity also need to be addressed, according to the Australian Institute of Health and Welfare .

But the first step, McGowan says, is for indigenous stroke sufferers to recognise the signs of a stroke in themselves and their family members. The NSF recommends the F.A.S.T. test as the most effective way to remember the most common signs of a stroke.

Face: Check their face. Has their mouth drooped?
Arms: Can they lift both arms?
Speech: Is their speech slurred? Do they understand you?
Time: Is critical. If you see any of these signs call 000 straight away.

“If I had known that because I’d lost my vision I had suffered a stroke, I could’ve put two and two together and got help, but I didn’t know anything,” Tania says.

“I was a heavy smoker, but not anymore – no way. Life’s too important. I didn’t ever know anything about a stroke – I was more thinking when you smoke, you can have lung problems and lose your fingers, like on the packets. But they don’t say anything about a stroke – they don’t advertise that stuff.”

The Stroke Foundation called on the Federal Government to fund an urgent $44 million campaign to address the gap in stroke care. For more information on stroke and the campaign, visit strokefoundation.com.au.

Part 2 Aboriginal Stroke Facts

From here

  • The incidence rate of stroke for Aboriginal and Torres Strait Islander Australians has been found to be 2.6 times higher for men and 3.0 for women (Australian Institute of Health and Welfare, 2008; Katzenellenbogan et al. 2010) compared to non-Aboriginal and Torres Strait Islander Australians and many suggest that these figures may in fact be underestimates (Thrift et al 2011).
  • Aboriginal and Torres Strait Islander Australians are known to experience stroke at a younger age than their non-Aboriginal and Torres Strait Islander counterparts, (Katzenellenbogen et al., 2010; Australian Institute of Health and Welfare, 2004) with 60% of Aboriginal and Torres Strait Islander non-fatal stroke burden occurring in the 25-54 year age-group compared to 24% in the non-Aboriginal and Torres Strait Islander group (Katzenellenbogen et al., 2010).
  • The prevalence of stroke is similarly significantly higher at younger ages among Aboriginal and Torres Strait Islander people (Katzenellenbogen 2013), with a significantly higher prevalence of co-morbidities among Aboriginal and Torres Strait Islander patients under 70 years of age, including heart failure, atrial fibrillation, chronic rheumatic heart disease, ischaemic heart disease, diabetes and chronic kidney disease. This reflects the increased clinical complexity among Aboriginal and Torres Strait Islander stroke patients compared with non-Aboriginal/Torres Strait Islander patients.
  • Aboriginal and Torres Strait Islander stroke patients aged 18–64 years have a threefold chance of dying or being dependent at discharge compared to non-Aboriginal and Torres Strait Islander patients (Kilkenny et al., 2012).

Aboriginal Health Conferences and Events #SaveAdate #StrokeWeek #NACCHOAgm2017 #OchreDay2017 #ClintonsWalk

3 September  : Clintons Walk for Justice arrives in Canberra

6 September Brisbane One Day NATSIHWA Workshop QLD Forum

4 -10 September National Stroke Week, the Stroke Foundation’s annual awareness campaign is taking place

12 – 14 September SNAICC National Conference

13 September : Webinar Reducing the mental health impact of Indigenous incarceration on people, communities and services

20-23 September : AIDA Conference 2017

29 September : Closing the Prison Gap Focus on the Children Tweed Heads NSW

4- 5 October Aboriginal Male Health Ochre Day Darwin NT

9- 10 October  : Indigenous Affairs and Public Administration Conference : Can’t we do better?

10 October  : CATSINAM Professional Development Conference Gold Coast

18 -20 October  : 35th Annual CRANAplus Conference Broome

20 October : ‘Most influential’ health leaders to appear in key forum at major rural medicine conference

18- 20 October First 1000 Days Summit Abstracts close August 11

26-27 October  :Diabetes and cardiovascular research, stroke and maternal and child health issues.

31 October –2 Nov  :NACCHO AGM Members Meeting Canberra ABSTRACTS close 21st August 2017

15 November  One Day NATSIHWA Workshop SA Forum

14- 15 November  : 6th Annual NHMRC Symposium on Research Translation.

15 -18 November  :National Conference on Incontinence Scholarship Opportunity close 1 September

27-30 November  :Indigenous Allied Health Australia : IAHA Conference Perth

14 December Shepparton  One Day NATSIHWA Workshop VIC Forum

11-12 April 2018  :6th Rural and Remote Health Scientific Symposium  Canberra call for extracts

If you have a Conference, Workshop Funding opportunity or event and wish to share and promote contact

Colin Cowell NACCHO Media Mobile 0401 331 251

Send to NACCHO Social  Media

mailto:nacchonews@naccho.org.au

3 September  : Clintons Walk for Justice arrives in Canberra

After almost a year and 5580kms, Clinton’s Walk for Justice is reaching it’s final destination…Canberra

Clinton will soon be welcome in Canberra to speak with the Governor General and share the messages he has received from communities along the way!You are invited to come along and support Clinton during this history making visit to Parliament House!

Clinton’s journey has shown us that one man CAN make a difference, so let’s get behind him and show him he has ALL OF OUR SUPPORT!

The United Ngunnawal Elders Council will be hosting, facilitating and organising the event in unity with community Ngunnawal Elders, community members, The Tent Embassy & Clinton’s Walk for Justice Team.

This event will be completely run on a volunteer basis with everything being donated by community.

If you would like to volunteers to help please contact Selina Walker – mailto:sel_walker@outlook.comto join our volunteer team.

Clintons Facebook Page

6 September Brisbane One Day Workshop QLD Forum

National Aboriginal and Torres Strait Islander Health Workers Association (NATSIHWA) 

Join the National Aboriginal and Torres Strait Islander Health Workers Association (NATSIHWA) for a one day CPD networking workshop focussed on current workforce development opportunities.

Upskill and strengthen your skill level in a specialised area and find out what is happening through program development, education and funding opportunities.

Hear from organisations such as: PHN Primary Heath Network, CranaPlus, Autism QLD, Rheumatic Heart, PEPA Program of Experience in the Palliative Approach, Diabetes Australia, IBA Indigenous Business Australia, HESTA Superannuation, 1800 RESPECT, Hearing Australia and more to be annuonced in the coming months (tailored for your specific region).

Register Here

4 -10 September National Stroke Week, the Stroke Foundation’s annual awareness campaign is taking place

National Stroke Week, the Stroke Foundation’s annual awareness campaign is taking place 4 to 10 September 2017.

Read over 70 Stroke related articles published by NACCHO over 5 years

Australians are being asked to join the FAST response team by knowing the signs of stroke. Paramedics, nurses and doctors can only treat stroke if Australians recognise the signs of stroke and call 000 immediately.

Could your community recognise the signs of stroke F.A.S.T?

Face – Check their face. Has their mouth drooped?
Arms – Can they lift both arms?
Speech – Is their speech slurred? Do they understand you?
Time – Time is critical. If you see any of these symptoms Act FAST and call 000.

Sharing the FAST message with those around you could save their life.

REGISTER online to get your FREE Stroke Week kit

Once you register you will be sent a FREE Stroke Week kit including posters, campaign booklet and resources to support your activity.

Click here to register now.

What does an awareness activity involve?

  • Set up a public awareness display in your local shopping centre.
  • Host a public morning/afternoon tea.
  • Organise a healthy event i.e. social walk around the park or a healthy bake sale.
  • You can also add a health check to your activity. We provide the tools to make this simple.

Visit www.strokefoundation.org.au/strokeweek for more details.

Join the FAST response team for National Stroke Week.

12 – 14 September SNAICC National Conference

Includes 2 pre-conference masterclasses, 3 plenaries, 56 concurrent sessions, and a social/cultural program.

Register now!

13 September : Webinar Reducing the mental health impact of Indigenous incarceration on people, communities and services

Developed in consultation with NACCHO and produced by the Mental Health Professionals’ Network a federally funded initiative

Join our interdisciplinary panel as we explore a collaborative approach to reducing the mental health impact of Indigenous incarceration on people, communities and services.

The webinar format will include a facilitated question and answer session between panel members exploring key issues and impacts of incarceration on individuals, families and communities.

The panel will discuss strategies to enhance cultural awareness and develop responsive services for Indigenous communities affected by incarceration. Strategies to increase self-esteem and enhance emotional, physical and spiritual wellbeing of individuals will also be explored.

When: Wednesday 13th September, 2017

Time: 4.30pm – 5.45pm (AEST)

Where: Online – via your computer, tablet or mobile

Cost: Free

Panel:

  • Dr Mark Wenitong (Medical Advisor based in QLD)
  • Dr Marshall Watson (Psychiatrist based in SA)
  • Dr Jeffrey Nelson (Clinical Psychologist based in QLD)
  • Julie Tongs (OAM) (CEO Winnunga Nimmityjah Aboriginal Health Service – Narrabundah ACT)

Facilitator:

  • Dr Mary Emeleus (General Practitioner and Psychotherapist based in QLD)

Read more about our panel.

Learning Outcomes:

Through an exploration of incarceration, the webinar will provide participants with the opportunity to:

  • Describe key issues and impacts of incarceration on individuals, families and communities
  • Develop strategies to enhance culturally aware and responsive services for Indigenous people and communities affected by incarceration
  • Identify strategies to increase self-esteem and enhance emotional, physical and spiritual wellbeing

Before the webinar:

Register HERE

 

20-23 September AIDA Conference 2017

The AIDA Conference in 2017 will celebrate 20 years since the inception of AIDA. Through the theme Family. Unity. Success. 20 years strong we will reflect on the successes that have been achieved over the last 20 years by being a family and being united. We will also look to the future for AIDA and consider how being a united family will help us achieve all the work that still needs to be done in growing our Indigenous medical students, doctors, medical academics and specialists and achieving better health outcomes for Aboriginal and Torres Strait Islander people.

This conference will be an opportunity to bring together our members, guests, speakers and partners from across the sector to share in the reflection on the past and considerations for the future. The conference will also provide a platform to share our individual stories, experiences and achievements in a culturally safe environment.

Conference website

29 Sept : Closing the Prison Gap Focus on the Children Tweed Heads NSW

  • Emeritus Professor Judy Atkinson and Margaret Hayes will “Focus on the Children”, describing their work with young people excluded from mainstream schools due to their behaviour.
  • Leanne Phillips and Cathy Stillwell will talk about “Healing the Womyn Healing the Child”
  • Jyi Lawnton and Casey Bird will describe “Indigenous Policy and the Scientific Gaze”
  • Chris Lee and Associate Professor Helen Farley discuss “Making the Connection”, the use of technology to address the issues of literacy and numeracy in juvenile justice settings
  • Dr Anthea Krieg will talk about her work in Ceduna, South Australia, coordinating services to prevent incarceration of First Nations children.

More info bookings Website

30 Sept : The 2017 Human Rights Photography competition 

The 2017 Human Rights Photography competition is now open to children and adults around the country, with a $600 camera prize up for grabs for the most outstanding image!

For almost a decade, the Australian Human Rights Commission has been holding photo competitions every couple of years. Our last competition attracted a record 450 entries.

Photography is a powerful medium with a long history in the promotion and advancement of human rights around the world. Photos foster empathy for the suffering and experience of others, community engagement and positive social change. No one can forget the impact of photos such as Nick Ut’s famous photo The Terror of War of child Kim Phuc after a napalm attack during the Vietnam War.

Our focus for this year’s competition will be the experiences of people at home. The theme for the 2017 competition is Home, inspired by Eleanor Roosevelt’s famous quote “Where, after all, do universal human rights begin? In small places, close to home…

The shortlisted and winning photos to be displayed at the 2017 Human Rights Awards on 8 December in Sydney.

So, what are you waiting for?

About the competition

  • Enter at https://photocompetition.humanrights.gov.au/
  • There will be two categories for entries: Under 18 and 18 & over.
  • Overall winners will receive their prizes at the 2017 Human Rights Awards on December 8 in Sydney. A selection of photos from the Competition will also be on display.
  • Main prizes worth $600.
  • The competition will close on 30 September 2017.

If you have a query about the competition, please email photocomp@humanrights.gov.au

Photo Credit: Nimboi’s Bat by Sean Spencer, from the 2011 competition.

4- 5 October Aboriginal Male Health Ochre Day Darwin NT  

2017 Ochre Day Registration

Where: Darwin
When: 4th & 5th October 2017

This year NACCHO is pleased to announce the annual NACCHO Ochre Day will be held in Darwin during October 2017.

Beginning in 2013, Ochre Day is an important NACCHO Aboriginal male health initiative. Aboriginal males have arguably the worst health outcomes of any population group in Australia.

NACCHO has long recognised the importance of addressing Aboriginal male health as part of Close the Gap by 2030.

All information provided in registering for the NACCHO Ochre Day remains entirely confidential and will only be used to assist with planning i.e. catering etc.

  • There is no registration cost to attend the NACCHO Ochre Day (Day One or Two)
  • All Delegates will be provided breakfast & lunch on Day One and morning & afternoon tea as well as lunch on Day Two.
  • All Delegates are responsible for paying for and organising your own travel and accommodation.

For further information please contact Kyrn Stevens:
Phone: 08 8942 5400
Email: naccho.ochre@ddhs.org.au

Each Delegate is required to complete a separate applicatiom

REGISTER HERE 

9- 10 October Indigenous Affairs and Public Administration Conference : Can’t we do better?

 

This year marks 50 years since the 1967 referendum resulted in the Commonwealth gaining national responsibilities for the administration of Indigenous affairs. This is a shared responsibility with state and territory administrations.

Website

ANZSOG and the Department of the Prime Minister and Cabinet are providing travel support and waiving conference fees for Aboriginal and Torres Strait Islander community leaders and public servants attending the conference from remote locations.

To enquire about your eligibility, please contact conference2017@anzsog.edu.au

In partnership, the Department of the Prime Minister and Cabinet (DPMC), the University of Sydney, and the Australia and New Zealand School of Government (ANZSOG) are holding an international conference that questions the impact of the past 50 years of public administration and raise issues for the next 50 years in this important nation building area.

DPMC is seeking to build and foster a public canon of knowledge to open the history of Indigenous policy and administrative practice to greater scrutiny and discussion.

The Indigenous Affairs and Public Administration Conference will be attended by Aboriginal and Torres Strait Islander representatives, other Indigenous peoples, public servants from state and federal governments, and the academic community.

 The conference will feature a range of guest presenters, including Australia’s Chris Sarra, Andrea Mason and Martin Nakata, New Zealand’s Arapata Hakiwai and Geraint Martin, as well as other international speakers.

The deliberations and discussions of the conference will feed into a final report that will be used to guide Federal government policy formation at a series of roundtables in late 2017 and early 2018.

REGISTER

2017 Indigenous Affairs and Public Administration Conference

October 9-10
The Refectory, University of Sydney

October 9, 6:00pm – 9:30pm: Pre-conference dinner
October 10, 8:30am – 5:00pm: Conference

Cost:

Early bird tickets (until September 1): $150
Regular tickets: $250
Full time PhD student concession tickets: $25

Register Here

10 October CATSINAM Professional Development Conference Gold Coast

catsinam

Contact info for CATSINAM

18 -20 October 35th Annual CRANAplus Conference Broome

We are pleased to announce the 35th Annual CRANAplus Conference will be held at Cable Beach Club Resort and Spa in Broome, Western Australia, from 18 to 20 October 2017.

THE FUTURE OF REMOTE HEALTH AND THE INFLUENCE OF TECHNOLOGY

Since the organisation’s inception in 1982 this event has served to create an opportunity for likeminded remote and isolated health individuals who can network, connect and share.

It serves as both a professional and social resource for the Remote and Isolated Health Workforce of Australia.

We aim to offer an environment that will foster new ideas, promote collegiate relationships, provide opportunities for professional development and celebrate remote health practice.

Conference Website

18- 20 October First 1000 Days Summit

 

The First 1000 Days Australia Summit is a three-day event that will bring together Aboriginal and Torres Strait Islander Elders, researchers, community members, front- line workers and policy makers involved in areas relevant to the work of First 1000 Days Australia. Lectures, panel discussions and workshops will address topics such as caring and parenting, infant and child development, family strengthening, implementation and translation, as well as a number of other areas.

The theme for the Summit is ‘Celebrating our leadership, strengthening our families’. We invite interested presenters to submit abstracts for oral presentations, workshops and posters that align with the aims, principles and research areas of First 1000 Days Australia, and of First 1,000 Days international.

20 October : ‘Most influential’ health leaders to appear in key forum at major rural medicine conference 


‘Most influential’ health leaders to appear in key forum at major rural medicine conference

RMA Presidents’ Breakfast
Friday 20 October 2017
Pullman Albert Park, Melbourne


www.ruralmedicineaustralia.com.au

Australia’s most influential health leaders will discuss critical health policy issues in a key Presidents’ Breakfast forum at the Rural Medicine Australia 2017 conference, to be held in Melbourne in October.Dr Ewen McPhee, President of the Rural Doctors Association of Australia (RDAA), will host the forum and will be joined on the panel by Associate Professor Ruth Stewart, President of the Australian College of Rural and Remote Medicine (ACRRM); Dr Bastian Seidel, President of the Royal Australian College of General Practitioners (RACGP); and Dr Tony Bartone, Vice President of the Australian Medical Association (AMA).

26-27 October Diabetes and cardiovascular research, stroke and maternal and child health issues.

‘Translation at the Centre’ An educational symposium

Alice Springs Convention Centre, Alice Springs

This year the Symposium will look at research translation as well as the latest on diabetes and cardiovascular research, stroke and maternal and child health issues.  The event will be run over a day and a half.
The Educational Symposium will feature a combination of relevant plenary presentations from renowned scientists and clinicians plus practical workshops.

Registration is free but essential.

Please contact the symposium coordinator on 1300 728 900 (Monday-Friday, 9am-5pm) or via email at events@baker.edu.au  

31 October2 Nov NACCHO AGM Members Meeting Canberra

We welcome you to attend the 2017 NACCHO Annual Members’ Conference.

On the new NACCHO Conference Website  you find links to

1.Registrations now open

2. Booking Your Accommodation

3. Book Your Flights

4. Expressions of Interest Speakers, case studies and table top presentations Close

5. Social Program

6.Conferences Partnership Sponsorship Opportunities

7.NACCHO Conference HELP Contacts

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.

Where :Hyatt Hotel Canberra

Dates : Members’ Conference: 31 October – 1 November 2017
Annual General Meeting: 2 November 2017

CLICK HERE

15 November  One Day NATSIHWA Workshop SA Forum

National Aboriginal and Torres Strait Islander Health Workers Association (NATSIHWA) 

Join the National Aboriginal and Torres Strait Islander Health Workers Association (NATSIHWA) for a one day CPD networking workshop focussed on current workforce development opportunities.

Upskill and strengthen your skill level in a specialised area and find out what is happening through program development, education and funding opportunities.

Hear from organisations such as: PHN Primary Heath Network, CranaPlus, Autism QLD, Rheumatic Heart, PEPA Program of Experience in the Palliative Approach, Diabetes Australia, IBA Indigenous Business Australia, HESTA Superannuation, 1800 RESPECT, Hearing Australia and more to be annuonced in the coming months (tailored for your specific region).

Register HERE

14-15 November : 6th Annual NHMRC Symposium on Research Translation.

The National Health and Medical Research Council (NHMRC) and the Lowitja Institute, Australia’s national institute for Aboriginal and Torres Strait Islander health research, are proud to be co-hosting the 6th Annual NHMRC Symposium on Research Translation.

This partnership indicates an alignment of priorities and a strong commitment from our two institutions to deliver a measurable, positive impact on the health and wellbeing of Australia’s First Peoples.

Under the theme “The Butterfly Effect: Translating Knowledge into Action for Positive Change”, the Symposium will be an opportunity to bring relevant expertise to the business of Aboriginal and Torres Strait Islander health research translation and put forward Indigenous perspectives that inform the most effective policies and programs. It will also be a forum to share knowledge of what successful research looks like at community level and what the key elements of success are.

We look forward to the participation of delegates with community, research and policy expertise, including outstanding keynote speakers Dr Carrie Bourassa (Canada) and Sir Mason Durie (New Zealand). We are confident that through our joint commitment to Aboriginal and Torres Strait Islander health research, the Symposium will make a significant contribution to the health of Aboriginal and Torres Strait Islander communities, families and individuals. This commitment also signals the importance of working together as equal partners, Indigenous and non-Indigenous.

More info HERE

15 -18 November  :National Conference on Incontinence Scholarship Opportunity close 1 September

The Continence Foundation of Australia is offering 10 scholarships to support health professionals to attend the 26th National Conference on Incontinence. The conference will be held in Sydney on 15-18 November 2017.  The conference program and registration brochure can be found here.
This scholarship program is open to registered nurses and physiotherapists with an interest in continence care working in rural and remote areas of Australia. The scholarship includes full conference registration, including clinical workshops and social events, flights and accommodation. The top applicant also has the opportunity to participate in a placement at a Sydney continence clinic. Previous unsuccessful applicants are encouraged to apply.
Applications close Friday 1 September.
Applications are being taken online. Click here to find out more and to apply.  

27-30 November Indigenous Allied Health Australia : IAHA Conference Perth

iaha

Abstracts for the IAHA 2017 National Conference are now open!

We are calling for abstracts for concurrent oral presentations and workshops under the following streams:
– Care
– Cultures
– Connection

For abstract more information visit the IAHA Conference website at: https://iahaconference.com.au/call-for-abstracts/

14 December Shepparton  One Day NATSIHWA Workshop VIC Forum

National Aboriginal and Torres Strait Islander Health Workers Association (NATSIHWA) 

Join the National Aboriginal and Torres Strait Islander Health Workers Association (NATSIHWA) for a one day CPD networking workshop focussed on current workforce development opportunities.

Upskill and strengthen your skill level in a specialised area and find out what is happening through program development, education and funding opportunities.

Hear from organisations such as: PHN Primary Heath Network, CranaPlus, Autism QLD, Rheumatic Heart, PEPA Program of Experience in the Palliative Approach, Diabetes Australia, IBA Indigenous Business Australia, HESTA Superannuation, 1800 RESPECT, Hearing Australia and more to be annuonced in the coming months (tailored for your specific region).

Register HERE

11-12 April 2018 6th Rural and Remote Health Scientific Symposium  Canberra call for extracts

About the Symposium

Drawing upon a tradition which commenced with the first rural and remote health scientific conference ‘Infront Outback’ held in Toowoomba in 1992, the 6th Rural and Remote Health Scientific Symposium will be held in Canberra, 11-12 April 2018.

The Symposium will celebrate 20 years since the establishment of the first university department of rural health in 1997 and will highlight the research and knowledge that followed this innovation.

Outback Infront will celebrate the leadership that has emerged from the rural and remote health research community, while at the same time, support early career academics and the next generation of rural health researchers.

The Symposium will focus on rural and remote health research that informs strategic health policy and health service challenges in rural and remote Australia.

The Symposium will provide an opportunity to share and develop research that seeks to understand and deliver innovative change through building evidence that has the potential to transform health outcomes and service delivery.

Who should attend

The Symposium program will be designed to engage academics, policy makers, expert researchers in rural and remote health and clinician-researchers, as well as emerging and early career researchers.

It will also be relevant to policy makers, university departments of rural health, rural clinical schools, research collaborations and bodies, rural workforce organisations and health services delivery networks and providers.

Program

As well as key presentations from respected researchers in rural and remote health the Symposium will also feature Rogano presentations (scholarly debate on a current research project that answer “how to” questions and encourage scholarly thinking and debate) and a return of the popular Lightning Talk presentations to support early career academics and the next generation of rural health researchers.

Abstracts are now being sought for general presentations, Lightning talks and Rogano presentations

Aboriginal #Nutrition Health and #Sugar : @healthgovau Health Star Rating System review closes 17 August

 ” The Health Star Rating System has been marred by anomalies. Milo powder (44% sugar) increased its basic 1.5 Stars to 4.5 by assuming it will be added to skim milk. About one in every seven products bearing health stars goes against the Department of Health’s own recommendations.

Those of us working in public health question why obvious junk foods get any stars at all.”

See Sugar, sugar everywhere MJA insight article in full Part 3 below

  ” 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. “

ABS Report abs-indigenous-consumption-of-added-sugars 

See Part 1 below for Aboriginal sugar facts

The Health Star Rating (HSR) Advisory Committee (HSRAC), responsible for overseeing the implementation, monitoring and evaluation of the HSR system is undertaking a five year review of the HSR system.

The five year review of the system is well underway, with a public submission process opening on 8 June 2017 on the Australian Department of Health’s online Consultation Hub.

Since the consultation period has been opened there has been strong interest in the system from stakeholders representing a diverse range of views.

To ensure that as much evidence as possible is captured, along with stakeholders’ views on the system, a further two week extension to the consultation period has been agreed and it will now close on 17 August 2017

See full survey details Part 2 Below

Part 1 Aboriginal sugar facts

ABS Report

abs-indigenous-consumption-of-added-sugars

Aboriginal and Torres Strait Islander people consume around 14 per cent of their total energy intake as free sugars, according to data from the Australian Bureau of Statistics (ABS).

The World Health Organization (WHO) recommends that free sugars contribute less than 10 per cent of total energy intake.

Director of Health, Louise Gates, said the new ABS report showed Aboriginal and Torres Strait Islander people are consuming an average of 18 teaspoons (or 75 grams) of free sugars per day (almost two cans of soft drink), four teaspoons more than non-Indigenous people (14 teaspoons or 60 grams).

OTHER KEY FINDINGS

    • Aboriginal and Torres Strait Islander people derived an average of 14% of their daily energy from free sugars, exceeding the WHO recommendation that children and adults should limit their intake of free sugars to less than 10% of dietary energy.
    • Free sugars made the greatest contribution to energy intakes among older children and young adults. For example, teenage boys aged 14-18 years derived 18 per cent of their dietary energy from free sugars as they consumed the equivalent of 25 teaspoons (106 grams) of free sugars per day. This amount is equivalent to more than two and a half cans of soft drink. Women aged 19-30 years consumed 21 teaspoons (87 grams) of free sugars, which contributed 17 per cent to their total energy intake.
    • The majority (87%) of free sugars were consumed from energy dense, nutrient-poor ‘discretionary’ foods and beverages. Two thirds (67%) of all free sugars consumed by Aboriginal and Torres Strait Islander people came from beverages, led by soft drinks, sports and energy drinks (28%), followed by fruit and vegetable juices and drinks (12%), cordials (9.5%), and sugars added to beverages such as tea and coffee (9.4%), alcoholic beverages (4.9%) and milk beverages (3.4%).
    • Intakes were higher for Aboriginal and Torres Strait Islander people living in non-remote areas where the average consumption was 78 grams (18.5 teaspoons), around 3 teaspoons (12 grams) higher than people living in remote areas (65 grams or 15.5 teaspoons).
    • Aboriginal and Torres Strait Islander people consumed 15 grams (almost 4 teaspoons) more free sugars on average than non-Indigenous people. Beverages were the most common source of free sugars for both populations, however Aboriginal and Torres Strait Islander people derived a higher proportion of free sugars from beverages than non-Indigenous people (67% compared with 51%).

Part 2 @healthgovau Health Star Rating System review closes 17 August

Introduction

The Health Star Rating (HSR) Advisory Committee (HSRAC), responsible for overseeing the implementation, monitoring and evaluation of the HSR system, is undertaking a five year review of the HSR system. The HSR system is a front-of-pack labelling (FoPL) scheme intended to assist consumers in making healthier diet choices. The findings of the review will be provided to the Australia and New Zealand Ministerial Forum on Food Regulation (Forum) in mid‑2019.

In parallel with this consultation on the HSR system five year review, the HSRAC is conducting a dedicated investigation of issues and concerns raised about the form of the food (‘as prepared’) rules in the Guide for Industry to the HSR Calculator. These enable additional nutrients to be taken into account when calculating star ratings based on foods prepared according to on-label directions. A specific consultation process seeking input into this investigation opened on 19 May 2017 and will close at 11.59 pm 30 June 2017. The form of the food (‘as prepared’) consultation can be viewed on the Australian Department of Health’s Consultation Hub.

The HSR system

The HSR system is a public health and consumer choice intervention designed to encourage people to make healthier dietary choices. The HSR system is a voluntary FoPL scheme that rates the overall nutritional profile of packaged food and assigns it a rating from ½ a star to 5 stars. It is not a system that defines what a ‘healthy’ or ‘unhealthy’ food is, but rather provides a quick, standardised way to compare similar packaged foods at retail level. The more stars, the healthier the choice. The HSR system is not a complete solution to assist consumers with choosing foods in line with dietary guidelines, but should be viewed as a way to assist consumers to make healthier packaged food choices.  Other sources of information, such as the Australian Dietary Guidelines and the New Zealand Eating and Activity Guidelines, also assist consumers in their overall food purchasing decisions.

The HSR system aims to:

1. Enable direct comparison between individual foods that, within the overall diet, may contribute to the risk factors of various diet related chronic diseases;

2. Be readily understandable and meaningful across socio-economic groups, culturally and linguistically diverse groups and low literacy/low numeracy groups; and

3. Increase awareness of foods that, within the overall diet, may contribute positively or negatively to the risk factors of diet related chronic diseases.

The HSR system consists of the graphics, including the words ‘Health Star Rating’, the rules identified in the HSR system Style Guide, the algorithm and methodology for calculating the HSR identified in the Guide for Industry to the HSR Calculator, and the education and marketing associated with the HSR implementation.

The HSR system is a joint Australian, state and territory and New Zealand government initiative developed in collaboration with industry, public health and consumer groups. The system is funded by the Australian government, the New Zealand government and all Australian jurisdictions during the initial five year implementation period.

From June 2014, food manufacturers started to apply HSRs to the front of food product packaging. Further information on the HSR system is available on the HSR website. The New Zealand Ministry for Primary Industries (MPI) website also provides information on the HSR system in New Zealand.

Purpose and scope of the review
The five year review of the HSR system will consider if, and how well, the objectives of the HSR system have been met, and identify options for improvements to and ongoing implementation of the system (Terms of reference for the five year review).

With a focus on processed packaged foods, the objective of the HSR system is:

To provide convenient, relevant and readily understood nutrition information and /or guidance on food packs to assist consumers to make informed food purchases and healthier eating choices.

The HSRAC has agreed that the areas of communication, system enhancements, and monitoring and governance will be considered when identifying whether the objectives of the HSR system have been achieved.

Although HSRAC will need to be a part of the review process, a degree of independence is required and independent management and oversight of the review is an important factor to ensure credible and unbiased reporting. An independent consultant will be engaged to undertake the review. Specific detail about the scope of the review will be outlined in the statement of requirement for the independent consultant. A timeline for the five year review of the HSR system has been drafted and will be updated throughout the review.

Next steps in the review process

As part of the five year review, HSRAC is seeking evidence based submissions on the consultation questions provided in this discussion paper.

This consultation is open to the public, state and territory governments, relevant government agencies, industry and public health and consumer groups.

Making a submission

The HSRAC is seeking submissions on the merits of the HSR system, particularly in response to the consultation questions below. The aim of the questions is to assist respondents in providing relevant commentary. However, submissions are not limited to answering the questions provided.  Please provide evidence or examples to support comments. Some areas of this review are technical in nature therefore comments on technical issues should be based on scientific evidence and/or supported by research where appropriate. Where possible, please provide citations to published studies or other sources.

While the HSRAC will consider all submissions and proposals put forward, those that are not well supported by evidence are unlikely to be addressed as part of the five year review.

Enquiries specifically relating to this submission process can be made via email to: frontofpack@health.gov.au. Please DO NOT provide submissions by email.

After the consultation period closes the HSRAC will consider the submissions received and will prepare a summary table of the issues raised which will be published on the HSR website. All information within the summary table will be de-identifiable and will not contain any confidential material.

HSRAC will treat information of a confidential nature as such. Please ensure that material supplied in confidence is clearly marked ‘IN CONFIDENCE’ and is provided in a separate attachment to non-confidential material. Information provided in the submissions will only be used for the purpose of the five year review of the HSR system and will not be used for any other purpose without explicit permission.

Please see the Terms of Use and Privacy pages at the bottom of this page for further information on maintaining the security of your data.

For further information about the HSR system, including its resources and governance structure, please refer to the Australian HSR website and the New Zealand MPI website.

Part 3 Sugar Sugar MJA Insights

Originally published Here

IT’S hard to escape sugar, not only in what we eat and drink, but also in the daily news and views that seep into so many corners of our lives.

There’s nothing new about concern over sugar. I can trace my own fights with the sugar industry back to the 1960s, and since their inception in 1981, the Australian Dietary Guidelines have advised limiting sugary foods and drinks. The current emphasis in many articles in newspapers, magazines, popular books and online blogs, however, go further and recommend eliminating every grain of the stuff from the daily diet.

Taking an academic approach to the topic, the George Institute for Global Health has published data based on the analysis of 34 135 packaged foods currently listed in their Australian FoodSwitch database. They found added sugar in 87% of discretionary food products (known as junk foods in common parlance) and also in 52% of packaged foods that can be described as basic or core foods.

The George Institute’s analysis is particularly pertinent to the Department of Health’s Health Star Rating System, and found that some of the anomalies in the scheme could be eliminated by penalising foods for their content of added sugars rather than using total sugars in the product, as is currently the case.

The definition of “added sugars” used in Australia also needs attention, a topic that has been stressed in the World Health Organization’s guidelines. I will return to this later.

In Australia, the nutrition information panel on the label of packaged foods must include the total sugars present. This includes sugars that have been added (known as extrinsic sugars) as well as any sugars present naturally in ingredients such as milk, fruit or vegetables (intrinsic sugars).

There is no medical evidence to suggest that intrinsic sugars are a problem – at least not if they occur in “intact” ingredients. If you consume fruit, for example, the natural dietary fibre and the bulk of the fruit will limit the amount of the fruit’s intrinsic sugars you consume. However, if the sugar is extracted from the structure of the fruit, it becomes easy to consume much larger quantities. Few people could munch their way through five apples, but if you extract their juice, the drink would let you take in all the sugar and kilojoules of five apples in less than a minute.

The Australian Dietary Guidelines do not include advice to restrict fruit itself because there is high level evidence of its health value. The guidelines do, however, recommend that dried fruit and fruit juice be restricted – the equivalent of four dried apricot halves or 125 mL juice consumed only occasionally.

Contrary to the belief of some bloggers, Australia’s dietary guidelines have never suggested replacing fat with sugar. That was a tactic of some food companies who marketed many “low” or “reduced” fat foods where the fat was replaced with sugars or some kind of refined starch.

The wording of Australia’s guideline on sugar has changed. The initial advice to “avoid too much sugar” led to the sugar industry’s multimillion dollar campaign “Sugar, a natural part of life”. This included distributing “educational” material to the general public, politicians, doctors, dentists, pharmacists and other health professionals discussing the importance of a “balanced diet”.

In spite of fierce lobbying by the sugar industry, the next revision of the guidelines retained a sugar guideline, although it was watered down to “eat only moderate amounts of sugars”. Some school canteen operators reported that they had been confronted by sweet-talking sellers of junk foods omitting the word “only” from this guideline.

The evidence for sugar’s adverse effects on dental health have long been known, but the evidence against sugar and its potential role in obesity and, consequently, in type 2 diabetes and other health problems has grown stronger. The most recent revision of the National Health and Medical Research Council’s Dietary Guidelines, therefore, emphasises the need to “limit” added sugars and lists the foods that need particular attention.

Sugary drinks have been specifically targeted because the evidence against them is strong and extends beyond epidemiological studies. Double-blind trials now clearly link sugary drinks with weight gain, the only exceptions being a few trials funded by the food industry.

Added sugar is not the only topic for public health concern, and hence the government’s Health Star Rating System was set up to introduce a simple front-of-pack labelling scheme to assist Australians reduce their intake of saturated fat, salt and sugars from packaged foods.

A specially commissioned independent report (Evaluation of scientific evidence relating to Front of Pack Labelling by Dr Jimmy Chun Yu Louie and Professor Linda Tapsell of the School of Health Sciences, University of Wollongong) found that added sugars were the real problem, but the food industry argued that the scheme should include total sugars because this was already a mandatory inclusion on food labels and routine chemical analysis couldn’t determine the source of sugars.

This was a strange argument since food manufacturers know exactly how much sugar they add to any product, just as they know how many “offset” points the Health Star Rating System allows for the inclusion of fruit, vegetable, nuts or legumes. The content of these ingredients is only disclosed on the food label if used in the product’s name.

The Health Star Rating System has been marred by anomalies. Milo powder (44% sugar) increased its basic 1.5 Stars to 4.5 by assuming it will be added to skim milk. About one in every seven products bearing health stars goes against the Department of Health’s own recommendations.

Those of us working in public health question why obvious junk foods get any stars at all.

How can caramel topping or various types of confectionery, such as strawberry flavoured liquorice, each get 2.5 stars? Why do some chocolates sport 3.5 stars, while worthy products such as Greek yoghurt without any added sugars get 1.5 and a breakfast cereal with 27% sugar gets four stars?

The fact that over a third of Australian’s energy intake comes from discretionary products (40% for children) is the elephant in the room for excess weight. We need to reduce consumption of these products and allotting them health stars is not helping.

It’s clearly time to follow our dietary guidelines and limit both discretionary products and added sugar. Of the nutrients used in the current algorithm for health stars, the George Institute’s analysis shows that counting added rather than total sugars has the greatest individual capacity to discriminate between core and discretionary foods.

However, in moving to mandate added sugars on food labels and using added sugars in health stars, it’s vital to define these sugars. The World Health Organization has done so: “Free sugars refer to monosaccharides (such as glucose, fructose) and disaccharides (such as sucrose or table sugar) added to foods and drinks by the manufacturer, cook or consumer, and sugars naturally present in honey, syrups, fruit juices and fruit juice concentrates”.

Regular sugar in Australia could be described as cane juice concentrate. It has no nutrients other than its carbohydrate. Fruit juice concentrates are also just sugars with no nutrients other than carbohydrates. At present the Health Star Rating System allows products using apple or pear juice concentrate to be counted as “fruit” and used to offset the total sugars. This is nonsense, and gives rise to confectionery, toppings and some breakfast cereals scoring stars they do not deserve.

Other ways to boost health stars also need attention. Food technologists boast they can manipulate foods to gain extra stars (Health Star Rating Stakeholders workshop, Sydney, 4 August 2016). For example, adding wheat, milk, soy or other protein powder, concentrated fruit purees or a laboratory-based source of fibre such as inulin will all give extra “offset” points to reduce adverse points from saturated fat, sugar or salt. Indeed, some food technologists have even suggested they could revert to using the especially nasty trans (but technically unsaturated) fatty acid from partially hydrogenated vegetable oils to replace naturally occurring saturated fat.

My alternative is to go for fresh foods and minimise packaged foods. If the stars look too good to be true, check the ingredient list. But remember that Choice found sugar may go by more than 40 different names. Buyer beware!

NACCHO Aboriginal Dental Health @AUS_Dental : It’s #DentalHealthWeek #SugaryDrinksProperNoGood

” Apunipima is participating in a range of activities over the next fortnight to celebrate Dental Health Week (7-13 August)

Our staff will be talking about the link between sugary drinks and tooth decay, and promoting the messages

#SugaryDrinksProperNoGood and #DrinkMoreWaterYoufla,

part of Apunipima’s Healthy Communities social marketing campaign, which aims to reduce sugary drinks consumption among Aboriginal and Torres Strait Islander people in Cape York.”

From Apunipima’s Healthy Communities Mob Part 2 below

 ” The National Oral Health Plan outlines guiding principles that will underpin Australia’s oral health system and provides national strategic direction including targeted strategies in six Foundation Areas and across four Priority Populations. Aboriginal and Torres Strait Islander People being a priority population.”

Download plan here

 Watch our interview with Aboriginal dentist Gari Watson on NACCHO TV

Part 1 : National Oral Health Plan identifes Aboriginal People as Priority Population

A proportion of Aboriginal and Torres Strait Islander people have good oral health. On average, however, Aboriginal and Torres Strait Islander people experience poor oral health earlier in their lifespan and in greater severity and prevalence than the rest of the population. Aboriginal and Torres Strait Islander people are also less likely to receive treatment to prevent or address poor oral health, resulting in oral health care in the form of emergency treatment.

  • There is limited representation of Aboriginal and Torres Strait Islander people in the oral health workforce and many dental services are not culturally sensitive. For example, strict appointment times and inflexibility regarding ‘failure to attend’ may result in a fee to the consumer.
  • Trends indicate that the high-level dental decay in deciduous (baby) teeth is rising
  • Aboriginal people aged 15 years and over, attending public dental services, experience tooth decay at three times the rate of their Non-Indigenous counterparts and are more than twice as likely to have advanced periodontal (gum) disease
  • Aboriginal people experience complete tooth loss at almost five times the rate of the non-Indigenous population
  • The rate of potentially preventable dental hospitalisations for Aboriginal and Torres Strait Islander people is higher than other Australians. Accessibility of services is a key factor contributing to the current gap between the oral health of Aboriginal and Torres Strait Islander people and the rest of the population.
  • More than two in five Aboriginal and Torres Strait Islander people over the age of 15 defer or avoid dental care due to cost. This is compared with one in eight (12.2%) who delayed or did not go to a GP.

Improving the overall oral health of the Aboriginal and Torres Strait Islander people will require more than a focus on oral health behaviours. Culture, individual and community social and emotional wellbeing, history, demography, social position, economic characteristics, biomedical factors, and the available health services within a person’s community all form part of the complex causal web which determines an individual’s oral health status.

“Reducing sugary drinks will not only protect their teeth but also their wider health.This is yet another justification for the introduction of a health levy on sugar-sweetened beverages as a preventive public health measure”

This Dental Health Week Michael Moore, CEO of the ( PHAA)  Public Health Association of Australia (PHAA) and other members of the Rethink Sugary Drink Alliance are urging Australians to reduce their consumption of sugary drinks.

Read over 25 NACCHO dental articles

Read over 25 NACCHO Nutrition  Articles

Read over 10 NACCHO Articles Sugar Tax

Dental Health Week Website

Dept of Health Dental Website

Part 2  #SugaryDrinksProperNoGood – It’s Dental Health Week!

Apunipima staff will run activities with children and young people as well as hold health information stalls in Weipa, Napranum and Mapoon to promote the campaign messages in Dental Health Week

‘The team will run a workshop for Western Cape College secondary students alongside Dr Matt More, Head of Dental Services for Torres and Cape Hospital and Health Service in Weipa,’ Apunipima Health Promotion Officer Kiarah Cuthbert said.

‘We will be talking to young people about the amount of sugar in popular drinks, such as soft drinks, sports drinks and energy drinks and the impact of that sugar on your teeth and overall health.’

‘From there, we will head to Mapoon to spend time at the primary school yarning with kids about the sugar in drinks. We will also invite the kids to take part in a local art competition with the winner’s work used to promote the #DrinkMoreWaterYoufla message in Mapoon.’

‘Apunipima staff will then hold a health information stall at Napranum store and run an after school activity at Napranum PCYC, where young people will also have the chance to take part in a local art competition to promote the #DrinkMoreWaterYoufla message.

These activities will be supported by Napranum Tackling Indigenous Smoking Health Worker, Ernest Madua who will also be yarning with people about what smoking can do to your teeth and mouth.’

Apunipima Child Health Nurse Robyn Lythall, Chronic Disease Health Worker Georgia Gibson and Dietitian Jarrah Marsh gave kids from Nola’s Daycare and George Bowen Memorial Kindergarten Apunipima ‘Drink More Water Youfla’ water bottles last week which will really save the staff lugging big containers of water!

The bottles are plastic, easily stored in the fridge and will have the children’s photos on them so the kids know which one is theirs!

Big esso (thank you) to the Apunipima teams that helped with this!

The few remaining water bottles are being kept for children receiving their four year old health checks and their immunisations to help them get healthy habits for school.

Staff are encouraging kids coming in for health checks and shots to fill their bottles from the watercooler at the Hopevale Primary Health Care Centre on their way out.

The Healthy Communities Project Team (Cara Laws, Tiffany Williams, Kiarah Cuthbert and Kani Thompson) would like to thank Hopevale staff for sharing the water bottles, which are merchandise from our Sugary Drinks Proper No Good – Drink More Water Youfla campaign.

Picture: Childcare worker Auntie Irene Bambie and Georgia Gibson

Acid, sugar in sugary drinks pose serious threat to teeth

Part 3 Australians urged to choose tap water this Dental Health Week

Many Australians know that sugary drinks are not a healthy dietary choice, but they may not realise the serious damage they cause to teeth.

In line with the theme of Dental Health Week (7–13 August 2017) – Oral Health for Busy Lives, the health and community organisations behind Rethink Sugary Drink are calling on Australians to think of their teeth before reaching for a sugary drink when out and about.

Chair of the Australian Dental Association’s Oral Health Committee, Professor David Manton, said sugary drinks contained sugar and acid that weakens tooth enamel and can lead to tooth decay.

“Dental decay is caused by sugars, especially the type found in sugary drinks. These drinks are often acidic as well. Sugary drinks increase the risk of decay and weaken the tooth enamel, so it’s best to avoid them,” Prof Manton said.

“The best advice is to stick to tap water. Carry a water bottle with you to avoid having to buy energy drinks, soft drinks, sports drinks and other sugary drinks when you’re on the go. You’ll be doing your bank balance a favour too.”

Chair of the Public Health Committee at Cancer Council Australia, Craig Sinclair, said knowing the oral health impacts associated with sugary drinks further highlighted the need for a health levy on these beverages in Australia.

“Australians, and our young people in particular, are drinking huge volumes of sports drinks, energy drinks, soft drinks and frozen drinks on a regular basis – some are downing as much as 1.5 litres a day,” Mr Sinclair said.

“While regular consumption is associated with increased energy intake, weight gain and obesity, it also heightens the risk of tooth decay.

“We know through economic modelling that a 20 per cent health levy on sugar-sweetened beverages could reduce consumption in Australia and prevent thousands of cases of type 2 diabetes, heart disease and stroke over 25 years, while generating $400-$500m each year.

“This extra revenue could be used for public education campaigns and initiatives to prevent chronic disease, reduce dental caries and address childhood obesity.

“While a health levy is not the only solution for reducing sugary drink consumption, if coupled with a range of strategies it could have a significant impact on the amount Australians are drinking and minimise their impact.”

The Rethink Sugary Drink alliance recommends the following actions in addition to a health levy to tackle sugary drink consumption:

  • A public education campaign supported by Australian governments to highlight the health impacts of regular sugary drink consumption
  • Restrictions by Australian governments to reduce children’s exposure to marketing of sugar-sweetened beverages, including through schools and children’s sports, events and activities
  • Comprehensive mandatory restrictions by state governments on the sale of sugar-sweetened beverages (and increased availability of free water) in schools, government institutions, children’s sports and places frequented by children
  • Development of policies by state and local governments to reduce the availability of sugar-sweetened beverages in workplaces, government institutions, health care settings, sport and recreation facilities and other public places.

Protect your teeth from sugary drinks with these tips:

  • Follow the Australian dietary guidelines: Focus on drinking plenty of tap water (it has no acid, no sugar and no kilojoules), limiting sugary foods and drinks and choosing healthy snacks (e.g. fruits and vegetables).
  • Find out how much sugar is in your favourite drink using the nutrition information panel on your drink or on the Rethink Sugary Drink website – it might surprise you
  • Carry a water bottle and fill up at the tap, so you don’t have to buy a drink if you’re thirsty.
  • Be aware of sugar disguised as a ‘healthy’ ingredient such as honey or rice syrup. It might sound wholesome but these are still sugars and can still cause decay if consumed frequently.
  • If you do drink sugary drinks, use a straw so your teeth are less exposed to the sugar and acid.
  • Take a drink of water, preferably tap water that has been fluoridated, after a sugary or acidic drink to help rinse out your mouth and dilute the sugars.
  • Do not sip a sugary or acidic drink slowly or over a long duration. Doing so exposes your teeth to sugar and acid attacks for longer.

For more information, visit http://www.dentalhealthweek.com.au/

About Rethink Sugary Drink: Rethink Sugary Drink is a partnership between the Apunipima, 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, Heart Foundation, 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.

Part 4  : Sugary drinks erode more than tooth enamel poor oral health brings knock-on effects

This Dental Health Week the Public Health Association of Australia (PHAA) and other members of the Rethink Sugary Drink Alliance are urging Australians to reduce their consumption of sugary drinks. “Reducing sugary drinks will not only protect their teeth but also their wider health”, said Michael Moore, CEO of the PHAA. “This is yet another justification for the introduction of a health levy on sugar-sweetened beverages as a preventive public health measure”, he added.

Australia is in the top ten of countries with the highest level of soft drink consumption. Around a third of Australians regularly consume sugar-sweetened beverages (SSBs) such as soft drinks, flavoured waters and energy drinks. These drinks are widely recognised by dental experts as a major contributor to tooth decay and erosion.

Mr Moore said, “It’s well known that sugary drinks are linked to dental health problems which can lead to significant amounts of discomfort and disability in themselves. However poor oral health is also associated with major chronic health conditions such as heart disease, diabetes and respiratory disease. Additionally, there are often compounding health effects between these types of comorbidities. Sugary drinks also strongly contribute to weight gain and obesity, so they negatively impact on health in multiple ways”.

Mr Moore continued, “At the individual-health level, it’s very important people avoid consuming these drinks on a regular basis, while at the population-health level it’s time we introduce a health levy on sugar-sweetened beverages to reduce the harms they cause.”

“Research shows that a health levy on these drinks will effectively reduce their consumption, especially if implemented as part of a wider approach to address poor nutrition and diet-related disease. What is needed is a national nutrition policy, restrictions on the marketing of sugary drinks toward children, limiting their availability in schools and at events attended by children and young people and public education campaigns about the adverse health impacts of SSBs. These could easily be funded by the revenue generated by the levy”.

The theme of 2017 Dental Health Week is ‘Anywhere Anytime – Oral Health for Busy Lives’, which recognises that many Australians feel they don’t have time to properly care for their oral health due to their busy schedules. However, avoiding sugary foods and beverages which damage teeth is a simple preventive measure people can take and can be encouraged by governments.

“Along with maintaining proper oral health care, one of the easiest things people can do to protect their teeth and in turn their broader health, is to avoid sugar-laden drinks and to favour drinking tap water,” Mr Moore concluded.

 

NACCHO Research Alert : @NRHAlliance Aboriginal health risk factors #rural and #remote populations

 ” Health risk factors like smoking, excessive drinking, illicit drug use, lack of physical activity, inadequate fruit and vegetable intake and overweight have powerful influences on health, and there are frequently clear inter-regional differences between the prevalence of these.

While it can be argued that there is some degree of personal choice involved in whether individuals have a poor health risk profile, there is clear evidence that external factors such as environment, opportunity, and community culture each have very strong influences.

For example, access to affordable healthy food can often be poor in smaller communities and this, coupled with lower incomes in these areas, adversely affects the quality of peoples’ diets, the prevalence of overweight, and consequently the prevalence of chronic disease.”

From the National Rural Health Alliance Research View HERE

National data pertaining to personal health risk factors typically comes from the ABS National Health Survey and the AIHW National Drug Strategy Household Survey (NDSHS). Some State and Territory Health Departments run their own health surveys (which cannot be aggregated nationally with each other or with the ABS survey because of the different methodologies and definitions used (think different State rail gauges). Consequently data describing aspects of health in regional and especially remote areas can be thin (ie with imprecise estimates in some or all areas).

Example 1

Table 14: Fruit and vegetable consumption, Aboriginal and Torres Strait Islander people 15+ years, 2012-13

Roughly 60% of Aboriginal and Torres Strait Islander Australians 15+ in Major cities and regional/rural areas have inadequate fruit intake, closer to 50% in remote areas (compared with around 50% of all Australians 18+ in major cities and regional/rural areas).

Roughly 95% of Aboriginal and Torres Strait Islander Australians 15+ in Major cities and regional/rural areas have inadequate vegetable intake, perhaps higher (98%) in Very remote areas (compared with around 90%-94% of all Australians 18+ in major cities and regional/rural areas).

Example 2

NACCHO provided graphic

Table 16 Below : Overweight and Obesity, Aboriginal and Torres Strait Islander people 15+ years, 2012-13

Aboriginal and Torres Strait Islander people in rural/regional and Remote areas (29%-33%) were a little more likely to be overweight than those in Major cities (28%), with those in Very Remote areas (26%) least likely to be overweight.

Aboriginal and Torres Strait Islander people in Inner regional areas (41%) were more likely to be obese than those in Major cities (38%), but those in Outer regional (36%) and remote areas (~33%) were less likely to be obese.

Overall, Aboriginal and Torres Strait Islander people in Inner Regional areas were most likely to be overweight/obese (70%), those in Major cities, Outer Regional and Remote areas were less likely to be overweight/obese (~66%), while those in Very Remote areas were the least likely to be overweight/obese (59% )

At the time of writing, the most recent National Health Survey was conducted in 2014-15[1], while the most recent AIHW NDSHS[2] was conducted in 2016, with most recently available results from the 2013 NDSHS. The most recent ABS Australian Aboriginal and Torres Strait Islander Health Survey[3] was conducted in 2012-13.

Some organisations (eg the Public Health Information Development Unit (PHIDU)) have calculated modelled estimates for small areas (eg SLA’s and PHN’s), where the prevalence of some risk factors has been predicted based on the age, sex and socioeconomic profile of the population living there.

Some sites (eg ABS) present risk factor data as crude rates, other sites (eg PHIDU) present risk factor data as age-standardised rates.  The advantage of the age-standardised rates is that the effect of age is largely removed from inter-population comparisons.

For example, older populations (eg those in rural/regional areas) would be expected to have higher average blood pressure than younger (eg Major cities) populations even though the underlying age-specific rates happened to be identical in both populations (because older people tend to have higher blood pressure than younger people).

While crude rates for the older population will be higher, the age-standardised rates in such a comparison would be the same – indicating a higher rate that is entirely explainable by the older age of one of the populations.

Both crude and age standardised rates are useful in understanding the health of rural and remote populations.

 


[1] http://www.abs.gov.au/ausstats/abs@.nsf/mf/4364.0.55.001

[3] http://www.abs.gov.au/AUSSTATS/abs@.nsf/DetailsPage/4727.0.55.0012012-13?OpenDocumentSmoking

Table 1: Smoking status, by remoteness, 2013 and 2014-15

MC

IR

OR/Remote

Percentage

Current daily smoker (18+) (crude) 2014-15 (a)

13.0

16.7

20.9

Current smoker (18+) (Age standardised) 2014-15 (b) (includes daily, weekly, social etc smoking)

14.6

19.0

22.4

MC

IR

OR

Remote+ Very Remote

Current smoker (daily, weekly, or fortnightly) 14+ (crude) 2013 (c)

14.2

17.6

22.6

24.6

Current smoker (daily, weekly, or fortnightly) 14+ (Age standardised) 2013 (d)

14.2

18.6

23.6

24.4

Mean number of cigarettes smoked per week, smokers aged 14 years or older 2013 (e)

85.9

113.1

109.4

126.2

Sources:

Compared with Major cities (13%), the prevalence of daily smoking by people 18 years and older in Inner regional (17%) and Outer regional/Remote areas (21%) is higher.

The NDSH survey reflects these trends albeit with a slightly different age group (14+) and a different definition of smoking (daily plus less frequently), but the NDSH survey adds detail for remote areas where smoking rates are higher again (around 25% versus around 23% in Outer regional).

In addition, the average number of cigarettes smoked by each smoker is higher in regional/rural areas (~110/week) than in Major cities (86/week), and higher again (126/week) in remote areas.

 

Smoking – exposure, uptake, establishment, quitting

Table 2: Smoking characteristics by Remoteness, 2013, 2014 and 2014-15

MC

IR

OR

remote

8.8

17.8

19.3

27.8

Proportion of pregnant women who gave birth and smoked at any time during the pregnancy (2013, crude, National Perinatal Data Collection, exposure tables, Table 5.1.2 )

8.5

17.0

18.9

27.5

Proportion of pregnant women who gave birth and smoked in the first 20 weeks of pregnancy (2013, crude, National Perinatal Data Collection) exposure tables, Table 5.2.2)

3.6

3.1

4.1

*9.4

Proportion of dependent children (aged 0–14) who live in a household with a daily smoker who smokes inside the home (2013, crude, NDSHS exposure tables, Table 6.3)

2.5

2.0

2.7

*2.9

Proportion of adults aged 18 or older who live in a household with a daily smoker who smokes inside the home (2013, crude, NDSHS, exposure tables, Table 7.3)

16.2

15.4

14.7

15.5

Average age at which people aged 14–24 first smoked a full cigarette (2013, crude, NDSHS, uptake tables, Table 9.3)

17.8

22.7

17.8

28.3

Proportion of 12–17 year old secondary school students smoking at least a few puffs of a cigarette (2014, crude, Australian Secondary Students Alcohol and Drug Survey 2014, uptake tables, Table 10.3

54.7

61.1

64.9

67.2

Proportion of persons (aged 18 or older) who have smoked a full cigarette (2013, crude,  NDSHS, uptake tables, Table 10.8)

2.5

3.4

2.5

3.7

Proportion of secondary school students (aged 12–17) who have smoked more than 100 cigarettes in their lifetime (2014, crude, Australian Secondary Students Alcohol and Drug Survey 2014, transition tables, Table 2.3)

20.2

25.9

44.1

45.2

Proportion of young people (aged 18–24) who have smoked more than 100 cigarettes in their lifetime (2013, crude, NDSHS, transition tables, Table 2.6)

21.3

16.8

19.0

15.5

Quitting: Proportion successfully gave up for more than a month (2013, crude, NDSHS, cessation tables, Table 4.3)

29.2

34.2

31.7

32.9

Quitting, Proportion unsuccessful (2013, crude, NDSHS, cessation tables, Table 4.3)

46.3

48.0

47.4

45.2

Quitting: Proportion any attempt (2013, crude, NDSHS, cessation tables, Table 4.3)

35.2

36.3

36.1

36.0

Mean age at which ex-smokers aged 18 or older reported no longer smoking (2013, crude, NDSHS, cessation tables, Table 11.2)

53.1

51.5

46.3

45.0

The proportion of ever smokers aged 18 or older who did not smoke in the last 12 months (2013, crude, NDSHS, cessation tables, Table 12.3)

4.9

6.0

4.8

7.0

Proportion of secondary school students (aged 12–17) who were weekly smokers (2014, crude, Australian Secondary Students Alcohol and Drug Survey 2014, established tables, Table 1.3)

6.9

9.3

6.8

10.4

Proportion of secondary school students (aged 12–17) who were monthly smokers (2014, crude, Australian Secondary Students Alcohol and Drug Survey 2014, established tables, Table 13.3)

13.0

16.7

21.2

18.8

Proportion of adults aged 18 or older who are daily smokers (2014-15, crude, ABS NHS, established tables, Table 3.3)

10.9

7.8

2.9

n.p.

Proportion of smokers aged 18 or older who are occasional smokers (smoke weekly or less than weekly) (2014-15, crude, ABS NHS, established tables, Table 14.3)

40.1

44.7

42.3

52.7

Proportion of Aboriginal and Torres Strait Islander people aged 18 or older who are daily smokers (2012-13, crude, ABS Australian Aboriginal and Torres Strait Islander Health Survey 2012–13, established tables, Table 8i.3)

Source: http://www.aihw.gov.au/alcohol-and-other-drugs/data/ (sighted 11/7/17)
Note: Those estimates above with asterix have large standard errors and should be treated carefully.

Women in rural and remote areas were much more likely to smoke during pregnancy, with 28% of women in remote areas smoking during pregnancy, compared with 18-19% in regional/rural areas, and 9% in Major cities.

It is unclear whether exposure to environmental tobacco smoke varies by remoteness.

Young people outside major cities appeared to have their first cigarette at an earlier age (~15 years as opposed to ~16 years in Major cities.

Secondary school students in Inner regional (~23%) and remote (~28%) areas were more likely to have had at least a few puffs of a cigarette than those in major cities (~18%).

While 20% of young people in Major cities had smoked more than 100 cigarettes in their lifetime, 26%, 44% and 45% of young people in Inner regional, Outer regional and remote areas had done so.

People outside Major cities were as likely or slightly more likely to have attempted to quit smoking, but were less likely to be successful (and more likely to be unsuccessful).

A higher proportion of secondary students outside Major cities were weekly or monthly smokers (6%, 5% and 7% in IR, OR and remote areas versus 5% in Major cities weekly, 9%, 7%, and 10% in IR, OR and remote areas versus 7% in Major cities monthly).

Table 3: Current daily smoker, Aboriginal and Torres Strait Islander people 15+ years, by Remoteness, 2012-13

MC

IR

OR

R

VR

Crude Percent

Current daily smoker

36.2

40.9

39.8

47.4

51.1

Source: http://www.abs.gov.au/AUSSTATS/abs@.nsf/DetailsPage/4727.0.55.0012012-13?OpenDocument Table 2 (sighted 12/7/17)

Prevalence of smoking amongst Aboriginal and Torres Strait Islander people 15 years and older is around 35%-40% in Major cities and regional/rural areas, and close to 50% in remote areas. Note that while the pattern is similar in Table 2 and Table 3 above, the figures for 18+ and 15+ year olds are slightly different.

Smoking Trends

Table 4: Comparison of declines in smoking rate estimates across remoteness areas, people 18+, based on ABS NHS surveys, 2001 to 2011-12

Survey year

MC

IR

OR/Rem

Australia

Crude percent daily smokers

2001

21.9

21.9

26.5

22.4

2004-05

19.9

23.0

26.2

21.3

2007-08

17.5

20.1

26.1

18.9

2011-12

14.7

18.3

22.2

16.1

2014-15

13.0

16.7

20.9

14.5

Source: ABS National Health Surveys

From Table 4 above, rates of smoking have clearly declined in Major cities areas, but have been slower to decline in Inner regional and Outer regional/Remote areas. Rates of smoking in rural areas, apparently static last decade, now appear to be declining. Rates in Major cities and Inner regional areas have declined to 0.59 and 0.76 times the 2001 rates in these areas. The 2014-15 rate in Outer regional areas is 0.79 times the 2001 rate.

Figure 1: Daily smokers 18 years and older, 2007-08, 2011-12 and 2014-15, NHS

Figure 1: Daily smokers 18 years and older, 2007-08, 2011-12 and 2014-15, NHS

Source: ABS NHS http://www.aihw.gov.au/alcohol-and-other-drugs/data/ established tables, Table 3.3 (sighted 11/7/17)

Figure 2: Smokers 14 years and older, 2007, 2010 and 2013, NDSHS

Figure 2: Smokers 14 years and older, 2007, 2010 and 2013, NDSHS

Source: AIHW NDSHS http://www.aihw.gov.au/alcohol-and-other-drugs/data/ tobacco smoking table S3.12 (sighted 11/7/17)

Note: Smokers include daily, weekly and less frequent smokers.

Figures 1 and 2 above both show clear declines in Major cities and Inner regional areas, but the trend in Outer regional and Remote areas is less clear, with ABS data showing a decline in daily smoking rates for people aged 18+ between 2007-8 and 2014-15, but NDSHS data showing little change in smoking rates for people 14+ between 2007 and 2013.

Alcohol

Table 5: Alcohol risk status, by remoteness, 2013 and 2014-15

Alcohol consumption

MC

IR

OR/Rem

Exceeded 2009 NHMRC lifetime risk guidelines, people 18+, crude %, 2014-15 (a)

16.3

18.4

23.4

Exceeded 2009 NHMRC lifetime risk guidelines, people 15+, age standardised %, 2014-15 (b)

15.7

17.4

22.0

Exceeded 2009 NHMRC single occasion risk guidelines, people 18+, crude %, 2014-15 (a)

42.7

48.5

46

MC

IR

OR

R/VR

Abstainer/ex-drinker, crude %, 14+, 2013 (c)

23.1

18.9

20.5

17.5

Low lifetime risk, crude %, 14+, 2013 (c)

60.2

62

56.9

47.6

High lifetime risk, crude %, 14+, 2013 (c)

16.7

19.1

22.6

34.9

low single occasion risk, crude %, 14+, 2013 (c)

40.4

41.8

38.1

30.8

Single occasion risk less than weekly, crude %, 14+, 2013 (c)

23.5

24.4

23.6

22.8

Single occasion risk at least weekly, crude %, 14+, 2013 (c)

13

14.9

17.8

28.9

Sources:

Table 6: Alcohol consumption against 2009 NHMRC guidelines, Aboriginal and Torres Strait Islander people 15+ years, by Remoteness 2012-13

MC

IR

OR

R

VR

Percent

Exceeded lifetime risk guidelines

18.0

18.7

18.2

22.5

14.3

Exceeded single occasion risk guidelines

56.7

57.4

50.7

59.0

41.4

Source: http://www.abs.gov.au/AUSSTATS/abs@.nsf/DetailsPage/4727.0.55.0012012-13?OpenDocument Table 2 (sighted 12/7/17)

The figures in Table 6 are not strictly comparable with those for the total population in Table 5, because  Table 6 refers to people who are 15 years and older, while Table 5 refers to people who are 18 years and older.

The percentage of the 15+ ATSI population exceeding 2009 NHMRC Lifetime risk guidelines is around 15-20% with little apparent inter-regional variation, compared with, for the total population 18+,  16% in Major cities, increasing to 23% in Outer regional/remote areas.

The percentage of the 15+ ATSI population exceeding the 2009 single occasion risk guidelines is around 50-60%, and around 40% in Very remote areas, compared with, for the total population 18+,  40-50% in Major cities, rural and regional areas.

Alcohol trends

Table 7: Type of alcohol use and treatment for alcohol, by remoteness area (per 1,000 population)

MC

IR

OR

R/VR

single occasion risk (monthly) 2004

287

304

321

370

2007

285

292

312

437

2010

274

312

329

413

2013

250

273

315

422

lifetime risk 2004

200

215

234

262

2007

199

210

238

314

2010

189

225

251

310

2013

167

191

226

349

very high risk – yearly 2004

167

185

206

243

2007

172

183

206

288

2010

161

183

218

266

2013

151

166

194

258

very high risk – monthly 2004

77

84

104

130

2007

78

89

100

153

2010

79

94

113

154

2013

70

70

100

170

very high risk – weekly 2004

21

27

41

38

2007

24

28

24

50

2010

37

43

54

78

2013

27

28

38

70

Closed treatment episodes 2004–05

61

72

60

58

2007–08

76

84

80

129

2010–11

69

96

87

135

2013–14

68

79

93

155

Source: NDSHS,  http://www.aihw.gov.au/alcohol-and-other-drugs/data/  alcohol -supplementary data tables, Table S18

Notes:
Single occasion risk (monthly): Had more than 4 standard drinks at least once a month
Lifetime risk: On average, had more than 2 standard drinks per day
Very high risk (yearly): Had more than 10 standard drinks at least once a year
Very high risk (monthly): Had more than 10 standard drinks at least once a month
Very high risk (weekly): Had more than 10 standard drinks at least once a week

There is a clear increase in the prevalence of people who drink alcohol in such a way as to increase their single occasion risk (eg from car accident, assault, fall, etc) and their lifetime risk (eg from chronic disease – liver disease, dementia, cancer etc) as remoteness increases.

In 2013, single occasion risk ranged from 25% of people 14 years or older in major cities to 42% of people in remote areas, while lifetime risk increased from 17% in major cities to 35% in remote areas.

In 2013, The prevalence of people who drank more than 10 standard drinks in one sitting at least once per week, increased from just under 3% in Major cities to 7% in remote areas.

In 2013-14, there were just under 70 closed treatment episodes per 1,000 people living in Major cities, increasing to around 80 and 90 per 1,000 population in Inner and Outer regional areas, to 155 per 1,000 people living in remote Australia.

 

Illicit drug use 2013

Table 8: Illicit drug use, “recent users” 14+, 2013

MC IR OR remote

Crude percent

Cannabis

9.8

10.0

12.0

13.6

Ecstasy

2.9

1.5

1.6

*1.8

Meth/amphetamine

2.1

1.6

2.0

*4.4

Cocaine

2.6

0.8

*1.1

*2.5

Any illicit drug

14.9

14.1

16.7

18.7

Source: AIHW National Drug Strategy Household Survey, 2013. http://www.aihw.gov.au/alcohol-and-other-drugs/data/  Illicit drug use (supplementary) tables S5.6, S5.11, S5.17, S5.21, S5.26.

Note: * indicates large standard error (therefore some degree of uncertainty)

Illicit drug use appears to be higher in Outer regional and remote areas compared with Major cities and Inner regional areas, in large part due to higher rates of cannabis use in these areas, but with apparent lower use of ecstasy and cocaine in regional areas compared with Major cities.

 

Physical activity

Table 9: Physical inactivity, people 18+, 2014-15

MC

IR

OR/Remote

Percentage of people aged 18+ who undertook no or low exercise in the previous week (crude) (a)

64.3

70.1

72.4

Percentage of people aged 18+ who undertook no or low exercise in the previous week (age standardised) (b)

64.8

68.6

71

Sources:
(a) ABS NHS (http://www.abs.gov.au/AUSSTATS/abs@.nsf/DetailsPage/4364.0.55.0012014-15?OpenDocument Table 6.3)
(b) PHIDU (ABS NHS data) (http://phidu.torrens.edu.au/social-health-atlases/data#social-health-atlas-of-australia-remoteness-areas) sighted 18/7/2017

Note that level of exercise is based on exercise undertaken for fitness, sport or recreation in the last week.

Physical inactivity appears to be more prevalent with remoteness, increasing from 65% of people in Major cities to 71% in Outer regional/remote areas.

Table 10: Average daily steps, 2011-12

MC

IR

OR/Rem

Average daily steps, 18+ years, 2011-12 (a)

7,393

7,388

7,527

Average daily steps, 5-17years, 2011-12 (b)

9,097

9,266

9,160

Sources:

In 2011-12, adults living in Outer regional/Remote areas took slightly more steps than those living in Major cities or Inner regional areas, while the number of steps taken by children and adolescents in regional/Remote areas was slightly greater compared with those in Major cities.

Table 11: Average time spent on physical activity and sedentary behaviour by persons aged 18+, 2011-12

MC

IR

OR/Remote

Australia

Hours

Physical activity(a)

3.9

3.4

3.9

3.8

Sedentary behaviour (leisure only)(b)

29.3

28.0

27.9

28.9

Sedentary behaviour (leisure and work)(b)

40.2

35.2

36.0

38.8

Notes:
(a) Includes walking for transport/fitness, moderate and vigorous physical activity.
(b) Sedentary is defined as sitting or lying down for activities.

Source: ABS 2011-12 Australian Health Survey (Physical activity) http://www.abs.gov.au/AUSSTATS/abs@.nsf/DetailsPage/4364.0.55.0042011-12?OpenDocument  Table 5.1

Adults living in Inner regional and Outer regional/Remote areas were about as likely as (or very slightly less likely than) those in Major cities to be sedentary in their leisure time, but appeared to be slightly less likely to be sedentary overall (ie their work involved a greater level of physical activity).

Table 12: Whether children aged 2-17 years met physical and screen-based activity recommendations, 2011-12

MC

IR

OR/Rem

Crude percentage

Met physical activity recommendation on all 7 days(a)(b)

27.5

34.3

34.2

Met screen-based activity recommendation on all 7 days(b)(c)

28.0

29.7

31.0

Met physical activity and screen-based recommendations on all 7 days (a)(b)(c)

9.7

10.9

14.2

Notes:
(a) The physical activity recommendation for children 2–4 years is 180 minutes or more per day, for children 5-17 years it is 60 minutes or more per day. See Physical activity recommendation in Glossary.
(b) In 7 days prior to interview.
(c) The screen-based recommendation for children 2–4 years is no more than 60 minutes per day, for children 5-17 years it is no more than 2 hours per day for entertainment purposes.

Source:
ABS 2011-12 Australian Health Survey (Physical activity) http://www.abs.gov.au/AUSSTATS/abs@.nsf/DetailsPage/4364.0.55.0042011-12?OpenDocument  Table 14.3

Children in rural and regional Australia appeared more likely (34% vs 28%) to meet physical activity recommendations and slightly more likely (30%vs 28%) to meet screen-based activity recommendations than their Major cities counterparts.

 

Fruit and vegetable consumption

Table 13: Fruit and vegetable consumption, people 18+ years, by remoteness, 2014-15

MC

IR

OR/Remote

Crude Percentage

Inadequate fruit consumption(a)

50.0

50.6

51.2

Inadequate fruit consumption(b)

50.4

48.3

48.0

Inadequate vegetable consumption(a)

93.4

93.5

89.3

Inadequate vegetable consumption(b)

n.p.

n.p.

n.p.

Sources:
(a) ABS NHS (http://www.abs.gov.au/AUSSTATS/abs@.nsf/DetailsPage/4364.0.55.0012014-15?OpenDocument Table 6.3)
(b) PHIDU (ABS NHS data) (http://phidu.torrens.edu.au/social-health-atlases/data#social-health-atlas-of-australia-remoteness-areas) sighted 18/7/2017

Note that adequacy of consumption is based on comparison with 2013 NHMRC guidelines.

Half of adult Australians eat insufficient fruit, with little clear difference between major cities and regional/rural areas.

Around 90% of adult Australians ate insufficient vegetables, with little clear difference between major cities and regional/rural areas.

Table 14: Fruit and vegetable consumption, Aboriginal and Torres Strait Islander people 15+ years, 2012-13

MC

IR

OR

R

VR

Crude Percent

Inadequate daily fruit consumption (2013 NHMRC Guidelines)

59.0

60.6

56.9

54.9

49.1

Inadequate daily fruit consumption (2003 NHMRC Guidelines)

62.1

63.6

59.8

58.3

51.6

Inadequate daily vegetables consumption (2013 NHMRC Guidelines)

95.9

93.5

93.6

94.5

97.9

Inadequate daily vegetables consumption (2003 NHMRC Guidelines)

93.8

90.6

90.5

91.2

96.1

Source: http://www.abs.gov.au/AUSSTATS/abs@.nsf/DetailsPage/4727.0.55.0012012-13?OpenDocument Table 2 (sighted 12/7/17)

Roughly 60% of Aboriginal and Torres Strait Islander Australians 15+ in Major cities and regional/rural areas have inadequate fruit intake, closer to 50% in remote areas (compared with around 50% of all Australians 18+ in major cities and regional/rural areas).

Roughly 95% of Aboriginal and Torres Strait Islander Australians 15+ in Major cities and regional/rural areas have inadequate vegetable intake, perhaps higher (98%) in Very remote areas (compared with around 90%-94% of all Australians 18+ in major cities and regional/rural areas).

 

 

Overweight and Obesity

Table 15: Overweight and Obesity, people 18+ years, by remoteness, 2014-15

MC

IR

OR/Remote

Crude Percentage

Persons, overweight/obese (a)

61.1

69.2

69.2

Age standardised percentage

Males overweight (b)

43.8

41.1

34.3

Males obese (b)

25.8

33.1

38.2

Females overweight (b)

28.9

28.3

30.1

Females obese (b)

25.0

32.4

33.7

People  overweight (b)

36.2

34.4

31.4

People obese (b)

25.4

32.6

35.8

Sources:
(a) ABS NHS (http://www.abs.gov.au/AUSSTATS/abs@.nsf/DetailsPage/4364.0.55.0012014-15?OpenDocument Table 6.3)
(b) ABS NHS http://phidu.torrens.edu.au/social-health-atlases/data#social-health-atlas-of-australia-remoteness-areas

Adults in rural/regional areas are more likely to be overweight or obese than people in Major cities (69% vs 61%).

However, there were inter-regional BMI and gender differences:

  • Compared with those in Major cities, males in Inner regional and especially Outer-regional areas were less likely to be overweight (41% and 34%, vs 44%) but much more likely to be obese (33% and 38% vs 26%).
  • Compared with those in Major cities, females in Inner regional and Outer-regional areas were about as likely to be overweight (~29%) but much more likely to be obese (~33% vs 25%).

 

Table 16: Overweight and Obesity, Aboriginal and Torres Strait Islander people 15+ years, 2012-13

MC

IR

OR

R

VR

Crude Percent

Overweight

27.5

28.8

30.1

32.5

26.4

Obese

37.9

41.3

36.2

33.1

32.3

Overweight/obese

65.4

70.1

66.2

65.6

58.8

Aboriginal and Torres Strait Islander people in rural/regional and Remote areas (29%-33%) were a little more likely to be overweight than those in Major cities (28%), with those in Very Remote areas (26%) least likely to be overweight.

Aboriginal and Torres Strait Islander people in Inner regional areas (41%) were more likely to be obese than those in Major cities (38%), but those in Outer regional (36%) and remote areas (~33%) were less likely to be obese.

Overall, Aboriginal and Torres Strait Islander people in Inner Regional areas were most likely to be overweight/obese (70%), those in Major cities, Outer Regional and Remote areas were less likely to be overweight/obese (~66%), while those in Very Remote areas were the least likely to be overweight/obese (59%).

These figures compare with 61% – the prevalence of overweight/obesity for (predominantly non-Indigenous) people living in Major cities.

 

High blood pressure

Table 17: High blood pressure, people 18+, by Remoteness, 2014-15

MC

IR

OR/Remote

Percentage

Crude % (a)

21.9

27.1

24

Age standardised % (b)

22.7

24.6

22.1

Sources:

(a) ABS NHS (http://www.abs.gov.au/AUSSTATS/abs@.nsf/DetailsPage/4364.0.55.0012014-15?OpenDocument Table 6.3)
(b) ABS NHS http://phidu.torrens.edu.au/social-health-atlases/data#social-health-atlas-of-australia-remoteness-areas

Age for age, people in rural/regional Australia appeared to be as likely, or very slightly more likely to have high blood pressure than their counterparts in Major cities (~23% vs ~24%). However, because people in rural/regional areas are older (on average), the prevalence of people with high blood pressure is higher (~26% vs 22%) than

Updated 31/07/2017
To view archived Risk Factors click here

NACCHO @FPDNAus Aboriginal Health @NDIS 2016 progress report survey The National #Disability Strategy

 ” By any measure Aboriginal and Torres Strait Islander people with disability are amongst some of the most disadvantaged Australians; often facing multiple barriers to meaningful participation within their own communities and the wider community.

The prevalence of disability amongst Aboriginal and Torres Islander people is significantly higher than of the general population. Until recently, the prevalence of disability in Aboriginal and Torres Strait Islander communities has only been anecdotally reported. However, a report by the Commonwealth Steering Committee for the Review of Government Service Provision made the following conclusions:

The proportion of the indigenous population 15 years and over, reporting a disability or long-term health condition was 37 per cent (102 900 people). The proportions were similar in remote and non-remote areas. This measure of disability does not specifically include people with a psychological disability. [note 1]

The high prevalence of disability, approximately twice that of the non-indigenous population, occurs in Aboriginal and Torres Strait Islander communities for a range of social reasons “

SEE First Peoples Disability Network Australia (FPDN) Intro and Ten-point plan for the implementation of the NDIS in Aboriginal and Torres Strait Islander Communities VIEW HERE or Below

Read over 15 NACCHO NDIS Articles published

 See Background 1 below

The DSS need to improve under the National Disability Strategy.

We want to hear your thoughts about disability policy in Australia!

Are you a person with disability, a family member, a carer, or are you just interested in the rights of people with disability?

Tell us what you think about the lives of people with disability in Australia. This may include questions about things like health care, employment and access to the local community for people with disability.

Answer this survey and tell us how things have improved in the last two years. This feedback will help us understand what areas need to improve under the National Disability Strategy.

The National Disability Strategy

The National Disability Strategy 2010-2020 (the Strategy) helps us to create better policies, programs and communities so people with disability are able to lead happy and fulfilling lives.

The Strategy identifies six areas that people with disability are concerned about.  They are:

  1. Taking part in the in the community
  2. Your rights to fair treatment
  3. Work and money
  4. Personal and community support
  5. Learning and Skills
  6. Health and Wellbeing

What will my feedback be used for?

Your feedback will help inform the 2016 Progress Report.  Reporting is an important part of the Strategy.  Every two years we develop a progress report that looks at the achievements of the Strategy.  An important part of the report is finding out what people with disability, their families and carers think.  We also work with other government agencies and state and territory governments to collect feedback and data to help inform the 2016 Progress Report.

How can I access the survey?

The survey can be completed online via the 2016 Progress Report Stakeholder Survey page.

If you would like a hard copy of the survey to complete, please email nationaldisabilityst@dss.gov.au or ring (02) 6146 2507.

Please note: Requests for a hard copy of the survey must be made by 4 August 2017.

Completed hard copy surveys can be mailed to:

National Disability Policy Team
The Department of Social Services
Reply Paid
GPO Box 9820
Canberra ACT 2601

When will the survey open/close?

The survey will be open from Monday 17 July 2017 and will close on Monday 21 August 20

Background 1 of 2

What is the NDIS?

Will the NDIS mean more or less support?

Is the NDIS diagnosis based or needs based?

Am I eligible for the NDIS?

Where is the NDIS available now?

What supports does the NDIS cover?

How does the NDIS process work?

I have an NDIS plan. What’s next?

When will the NDIS be here for all Australians?

Where can we get more help

Full details below or download Help Guide Here :

NDIS your Questions answered Download

NACCHO Aboriginal Health #disability and @NDIS : Your Top 10 Questions answered about the National Disability Insurance Scheme

BACKGROUND from FPDN

Ten-point plan for the implementation of the NDIS in Aboriginal and Torres Strait Islander Communities

Introduction

We are First Peoples Disability Network Australia (FPDN) – a national organisation of and for Australia’s First Peoples with disability, their families and communities. Our organisation is governed by First Peoples with lived experience of disability

By any measure Aboriginal and Torres Strait Islander people with disability are amongst some of the most disadvantaged Australians; often facing multiple barriers to meaningful participation within their own communities and the wider community.

The prevalence of disability amongst Aboriginal and Torres Islander people is significantly higher than of the general population. Until recently, the prevalence of disability in Aboriginal and Torres Strait Islander communities has only been anecdotally reported. However, a report by the Commonwealth Steering Committee for the Review of Government Service Provision made the following conclusions:

The proportion of the indigenous population 15 years and over, reporting a disability or long-term health condition was 37 per cent (102 900 people). The proportions were similar in remote and non-remote areas. This measure of disability does not specifically include people with a psychological disability. [note 1]

The high prevalence of disability, approximately twice that of the non-indigenous population, occurs in Aboriginal and Torres Strait Islander communities for a range of social reasons, including poor health care, poor nutrition, exposure to violence and psychological trauma (e.g. arising from removal from family and community) and substance abuse, as well as the breakdown of traditional community structures in some areas. Aboriginal people with disability are significantly over-represented on a population group basis among homeless people, in the criminal and juvenile justice systems[note 2], and in the care and protection system (both as parents and children).[note 3]

The advent of the National Disability Insurance Scheme (NDIS) presents an opportunity for Aboriginal and Torres Strait Islander people with disabilities to engage – many for the first time – with the disability service system in a substantive way. Currently, most Aboriginal and Torres Strait Islander people with disabilities remain at the periphery of the disability service system. This continues to occur for a range of reasons some of which are well established. However, one factor that remains little understood is the reluctance of Aboriginal and Torres Strait Islander people with disabilities to identify as people with disability. This preference to not identify presents a fundamental barrier for the successful implementation of the NDIS. The First Peoples Disability Network (Australia) (FPDN) argues that it has a central role in addressing not only this fundamental barrier but also in facilitating the roll out of the NDIS more broadly into Aboriginal and Torres Strait Islander communities.

FPDN argues passionately that for positive change to happen in the lives of Aboriginal and Torres Strait Islander people with disability, the change must be driven by community itself. It cannot be imposed, implied, intervened or developed with well-meaning intention from an external service system that the vast majority of Aboriginal and Torres Strait Islander people with disabilities have little or no experience of in the first place.

Throughout many communities across the country, Aboriginal and Torres Strait Islander people with disability are supported and accepted as members of their communities. However, many communities lack the resources to adequately support people with disability. Furthermore, the service system tends to operate from a ‘doing for’ as opposed to ‘doing with’ approach, which only further disenfranchises communities because they simply do not feel that they can self-direct their future. The NDIS does have the potential to address some of these concerns by giving Aboriginal and Torres Strait Islander people with disability the opportunity to self-direct their funding, for instance. The challenge in this area will be that many Aboriginal and Torres Strait Islander people with disability have had little or no experience in self-managing funds.

It must be remembered that in many ways the social movement of Aboriginal and Torres Strait Islander people with disability is starting from an absolute baseline position. This is reflected, for example, by the fact that few Aboriginal and Torres Strait Islander people with disability have an understanding of the language of the disability service system. It is the view of FPDN that the application of the NDIS in Aboriginal and Torres Strait Islander communities will need to have a different look and approach to what is advocated for with regard the rest of the Australian population. It may be that the application of the NDIS in Aboriginal and Torres Strait Islander communities takes a longer process. But the FPDN argues that it is critical to get it right as it is the experience of many Aboriginal and Torres Strait Islander people that they are usually the first to be blamed when new programs are not taken up by Aboriginal and Torres Strait Islander people.

FPDN has developed a 10-point plan for the implementation of the NDIS in Aboriginal and Torres Strait Islander people with disabilities. The development of this 10 point plan is based upon extensive consultation as well as drawing upon the decade long experience of the FPDN in advocating for the rights of Aboriginal and Torres Strait Islanders people with disabilities.

The plan was launched in May 2013 at Parliament House, Canberra.

Ten-point plan

  • Recognise that the starting point is the vast majority of Aboriginal people with disability do not self-identify as people with disability. This occurs for a range of reasons including the fact that in traditional languages there are no comparable words for disability. Also, many Aboriginal people with disability are reluctant to take on the label of disability; particularly when they already experience discrimination based on their Aboriginality. In many ways disability is a new conversation in many communities. In these instances the NDIS is starting from a baseline position. As a consequence change in this area is likely to happen on a different timeline to that of the mainstream NDIS.
  • Awareness raising via a concerted outreach approach informing Aboriginal and Torres Strait Islander people with disability, their families and communities about their rights and entitlements, and informing Aboriginal and Torres Strait communities about the NDIS itself and how to work this new system effectively. There is no better way to raise awareness then by direct face-to-face consultation. Brochures and pamphlets will not be appropriate as this is a new conversation in many communities.
  • Establish the NDIS Expert Working Group on Aboriginal and Torres Strait Islander People with disability and the NDIS. In recognition of the fact that there is a stand-alone building block for the NDIS focused upon Aboriginal and Torres Strait Islander people with disability, FPDN views it not only as critical but logical that a specific Expert Working Group be established to focus on Aboriginal and Torres Strait Islander people with disability. The new working group would operate in the same way the four current working groups do, that is it would be chaired by two members of the National People with Disability and Carers Council. To ensure its effectiveness but also critically to influence prominent Aboriginal leaders as well as the disability sector, members would be drawn from Aboriginal and Torres Strait Islander people in community leadership positions, as well as involving prominent disability leaders. The FPDN believes such an approach is warranted not only because of the degree of unmet need that is well established but also because this has the potential to be a very practical and meaningful partnership between government, the non-government sector, and Aboriginal and Torres Strait Islander communities.
  • Build the capacity of the non-Indigenous disability service system to meet the needs of Aboriginal people with disability in a culturally appropriate way. Legislate an additional standard into the Disability Services Act focused upon culturally appropriate service delivery and require disability services to demonstrate their cultural competencies.
  • Conduct research on the prevalence of disability and a range other relevant matters. Critically, this work must be undertaken in partnership with Aboriginal and Torres Strait Islander people with disability to ensure a culturally appropriate methodology. There remains very little reference material about disability in Aboriginal and Torres Strait Islander communities. This needs to be rectified to ensure that we are getting a true picture of the lived experience of Aboriginal and Torres Strait Islander people with disability.
  • Recognise that  a workforce already exists in many Aboriginal and Torres Strait Islander communities that does important work, often informally. This work needs to valued and recognised, with the potential for employment opportunities in some communities.
  • Recognise that it’s not always about services. Many communities just need more resources so that they can continue to meet the needs of their own people with disabilities. There may be perfectly appropriate ways of supporting people already in place, however what is often lacking is access to current technologies or appropriate technical aids or sufficient training for family and community members to provide the optimum level of support.
  • Recruitment of more Aboriginal and Torres Strait Islander people into the disability service sector.
  • Build the capacity of the social movement of Aboriginal and Torres Strait Islanders with disability by supporting existing networks and building new ones in addition to fostering Aboriginal and Torres Strait Islander leaders with disability. These networks play a critical role in breaking down stigma that may exist in some communities but are also the conduits for change, and will be integral to the successful implementation of the NDIS in Aboriginal and Torres Strait Islander communities.
  • Aboriginal and Torres Strait Islander ‘Launch’ sites focused upon remote, very remote, regional and urban settings. It is critical that this major reform be done right. Therefore it is appropriate to effectively trial its implementation. To this end, FPDN can readily identify key communities that would be appropriate as trial sites.