The report emphasises the importance of services and programs being carried out in partnership with Aboriginal people, their communities, the Aboriginal Community Controlled Health Sector and across government. Services and programs that have helped to achieve improvements in Aboriginal child health are highlighted throughout the report.
The report is divided into 3 life stages: before birth, infant health and early childhood.
Assuring equity of access and quality outcomes for older Aboriginal and Torres Strait Islander peoples: what needs to be done?
The workshop aimed to address the inequities of access and outcomes for older Aboriginal and Torres Strait Islander peoples under the current aged care reform program, and suggest directions for the future.
Key issues identified at the workshop were:
- current barriers to equity of access and quality outcomes
- specialist targeted services for Aboriginal and Torres Strait Islander Elders
- delivery of appropriate care by mainstream aged care service providers
- an aged care workforce that improves access and quality care
- advocacy services
- appropriate aged care needs assessment
- an evidence-based approach.
A study led by Adams, published on Monday in the journal Sleep Medicine, found that 31% of survey respondents were suffering social jetlag. That is, the time of their sleep on work nights was more than an hour out of sync with sleeps on weekends or other days off.
Read more at: https://www.theguardian.com/australia-news/2018/jul/09/sleep-deprived-a-third-of-australians-suffering-social-jetlag
The top four drugs that led clients to seek treatment were alcohol (32% of all treatment episodes), amphetamines (26%), cannabis (22%) and heroin (5%). The proportion of closed treatment episodes where clients were receiving treatment for amphetamines has more than doubled over the last 10 years, from 11% of treatment episodes in 2007–08 to 27% in 2016–17.
Two-thirds (66%) of all clients receiving treatment in 2016–17 were male and the median age of clients remains at 33 years.
https://www.aihw.gov.au/reports-statistics/health-welfare-overview/australias-health/overview Australia's health 2018 is the AIHW's 16th biennial report on the health of Australians. It examines a wide range of contemporary topics in a series of analytical feature articles and short statistical snapshots. The report also summarises the performance of the health system against an agreed set of indicators.
Australia's health 2018: in brief is a companion report to Australia's health 2018.
The initial sections of this Overview provide information about the context of Aboriginal and Torres Strait Islander health, population, and various measures of population health status. Most of the subsequent sections about specific health conditions comprise an introduction about the condition and evidence of the current burden of the condition among Aboriginal and Torres Strait Islander people. Information is provided for state and territories and for demographics such as sex and age when it is available and appropriate.
While it provides a comprehensive review of key indicators across a range of health topics, it is beyond the scope of this Overview to provide detailed information on other aspects, such as the availability and use of services (including barriers to their use) and strategies and policies related to specific health topics.
Accompanying the Overview is a set of PowerPoint slides designed to help lecturers and others provide up-to-date information.
The Toolkit has been developed to provide practical information on key components of care for children and adolescents admitted with an eating disorder including:
• Triage in the Emergency Department;
• Identifying those in need of admission;
• Admitting the patient;
• Accessing specialist assistance;
• Treatment planning;
• Implementing treatment (primarily medical, nutritional and psychological aspects);
• Involving the family and other health professionals;
• Transition from inpatient care; and
• Accessing further information and support.
Impact of a remotely delivered, writing for publication program on publication outcomes of novice researchers
Publishing research findings in peer-reviewed journals is an important aspect of research knowledge exchange1. However, the motivators to publish vary between individuals and settings. In academic settings, the drive to publish health research findings can potentially be motivated by a need to maximise publication rates for academic advancement or promotion as much as the desire to share findings for the good of health consumers and providers2,3. Within health services, research and the publication of findings is increasingly being linked to translation of research into policy or practice change processes4 aimed at improving health service delivery or health outcomes for consumers.
See more at: https://www.rrh.org.au/journal/article/4468
Associate Professor Frances Kay-Lambkin and Professor David Lubans are part of the online Health4Life Initiative, launched today at UNSW Sydney.Led by UNSW’s Professor Maree Teesson AC, the project aims to help to help thousands of young Australian high school children reduce their chance of developing chronic diseases, including heart disease and mental health disorders, by preventing and modifying lifestyle risk behaviours that commonly emerge in adolescence.
See more at: https://www.newcastle.edu.au/newsroom/featured-news/ehealth-program-targets-young-peoples-big-six-behaviours-to-reduce-chronic-disease-risk
The report, Admitted patient care 2016–17: Australian hospital statistics, shows that of the 11 million admissions to hospitals in 2016–17, 6.6 million were in public hospitals and 4.4 million were in private hospitals.
'Admissions rose by 4.3% on average each year for public hospitals and 3.6% for private hospitals between 2012–13 and 2016–17, and these were greater than the average growth in population of 1.6% over the same period' said AIHW spokesperson Jenny Hargreaves.
In 2016–17, the majority of admissions to public hospitals (83% or 5.5 million) were for public patients—however, about 1 in 7 (14% or 912,000 admissions) were for patients who used private health insurance to fund all or part of their admission.
Public hospitals accounted for the majority of emergency admissions (92%), medical admissions (77%) and childbirth admissions (76%) in 2016-17. 'By contrast, 59% of admissions for surgery were in private hospitals,' Ms Hargreaves said.MyHospitals: Patient admissions in 2016–17
Deficit discourse and strengths-based approaches: Changing the narrative of Aboriginal and Torres Strait Islander health and wellbeing
There is evidence that deficit discourse has an impact on health itself — that it is a barrier to improving health outcomes. Accordingly, there are growing calls for alternative ways to think about and discuss Aboriginal and Torres Strait Islander health and wellbeing. This report builds on Deficit Discourse and Indigenous Health by reviewing and analysing a growing body of work from Australia and overseas that proposes ways to displace deficit discourse in health, or that provides examples of attempts to do so. The most widely accepted approaches to achieving this come under the umbrella term 'strengths-based', which seek to move away from the traditional problem-based paradigm and offer a different language and set of solutions to overcoming an issue.
The term draws attention to the circulation of ideas, the processes by which these ideas shape conceptual and material realities, and the power inequalities that contribute to and result from these processes. 'Deficit discourse' refers to discourse that represents people or groups in terms of deficiency – absence, lack or failure.
It particularly denotes discourse that narrowly situates responsibility for problems with the affected individuals or communities, overlooking the larger socio-economic structures in which they are embedded. Understanding how deficit discourses are produced and reproduced is essential to challenging them. Thus, this report examines various aspects of deficit discourse in policy, but in particular considers deficit metrics: the ways in which Aboriginal and Torres Strait Islander Australians are homogenised and statistically compared to non-Indigenous Australians.
Researchers at the Murdoch Childrens Research Institute reviewed all admissions to the mental health unit at Royal Children's Hospital in Melbourne between October 2013 and September 2014.
In total, there were 271 adolescents admitted during the period, with 212 (78 per cent) due to suicidal behaviours.
Further analysis of clinical reports and past medical history found overwhelmingly the kids who were admitted to hospital for suicidal behaviour came from traumatic backgrounds.Three-in-five had been bullied, more than half reported significant family trauma, such as as witnessing a parent have a drug overdose or being incarcerated, said lead researcher Dr Rohan Borschmann.
Read more at: https://www.centralwesterndaily.com.au/story/5417653/suicidal-teens-suffer-poor-sleep-bullying/?cs=7
On 14 May, Murray was announced as the new CEO of Suicide Prevention Australia, a peak body for the suicide prevention sector. Murray, who is a member of the Australian Institute of Company Directors and fellow of the Australian Institute of Managers and Leaders, was named one of Australia’s 100 Most Influential Women by the Australian Financial Review in 2013.
In this week’s Changemaker, Murray discusses the leadership approach she intends to take at SPA, explains her immediate priorities as CEO and reveals her new passion for playing the harp.
Read more at: https://probonoaustralia.com.au/news/2018/05/new-leadership-suicide-prevention/
How primary health care staff working in rural and remote areas access skill development and expertise to support health promotion practice
For primary healthcare staff working in rural and remote locations, access to professional development can be limited by what is locally available and prohibitive in terms of cost for travel and accommodation. This study provides insight into how staff at a large north Queensland Aboriginal community controlled health service access skill development and health promotion expertise to support their work.
See more at: https://www.rrh.org.au/journal/article/4413
Advance care planning in aged care: a guide to support implementation in community and residential settings
Engaging in advance care planning helps people to determine their healthcare priorities, and thereby to align their health and care preferences with the actual care they receive.
Advance care planning is not a single event but an ongoing process, which should be revisited regularly. This is especially important when a person's health or social situation changes.
Key components of advance care planning are:
- having a conversation about the person's values, beliefs and goals and how these influence preferences for care – this may include specific care and treatment preferences
- selecting and appointing a substitute decision-maker
- documenting a person's preferences in an Advance Care Directive or Advance Care Plan
- regularly reviewing and updating the plan or directive.
Eye injuries in Australia 2010-11 to 201415 This report shows 51,778 people were hospitalised as a result of an eye injury in the 5-year period, 1 July 2010 to 30 June 2015; two-thirds of these were males. Falls (35%) and assaults (23%) were the most common causes of eye injuries. The most common type of eye injury was an open wound of the eyelid and periocular area (27%). Some 86,602 presentations were made to an emergency department due to an eye injury in the 2-year period, 1 July 2013 to 30 June 2015; 1% of these presentations were admitted to hospital.
Trends in hospitalised injury, Australia 1999-00 to 2014-15 This report shows that the rate of hospitalised injury cases in Australia rose between 1999-00 and 2014-15 by an average of 1% per year. In 2014-15, case numbers and rates were higher for males than females for all age groups up to 60-64, and higher for females for those aged 65-69 and older.
Spinal cord injury, Australia 2014-15In 2014-15, 264 newly incident cases of traumatic spinal cord injury (SCI) due to external causes were reported to the Australian Spinal Cord Injury Register. Males accounted for 4 in 5 (80%) of traumatic SCI cases. Land transport crashes(42%) were the leading mechanism of injury for cases of traumatic SCI sustained in 2014-15, followed by falls (40%). Around one-third (35%) were sustained during sports or leisure activities.
Please click on the link below to download a free PDF copy of the reports
Around 55% of women in the target age group of 20-69 took part in the National Cervical Screening Program in 2015 and 2016, with more than 3.8 million women screening.Cervical cancer incidence and mortality have both decreased since the National Cervical Screening Program began in 1991-incidence from 17 to 10 new cases per 100,000 women aged 20-69 and mortality from 4 to 2 deaths per 100,000 women aged 20-69.
1. In 2015-2016, more than 3.8 million women participated in cervical screening. This was 55% of women aged 20-69
2. 10% of women with a negative screen in 2015 rescreened earlier than the recommended 2 years, continuing a downward trend
3. In 2016, for every 1,000 women screened, 7 women had a high-grade abnormality detected by histology
4. In 2015, 143 women aged 20-69 died from cervical cancer.
This report presents statistics on the National Bowel Cancer Screening Program using key performance indicators. Of those who were invited to participate in the program between 1 January 2015 and 31 December 2016, 41% were screened. Of those, 8% had a positive result warranting further assessment, and 1 in 26 participants who had a follow-up diagnostic assessment was diagnosed with a confirmed or suspected cancer.
1. Of the 3.2 million people invited between January 2015 and December 2016, 41% participated in the National Bowel Cancer Screening Program
2. The recurring participation rate in 2015-2016 for people who had taken part in an earlier invitation round and were receiving a subsequent screening invitation was 77%
3. Of participants assessed in 2016 after a positive screening test, 1 in 26 were diagnosed with a confirmed or suspected cancer
4. Since the program began in August 2006, about 4.4 million NBCSP screening tests have been completed
5. The median time from positive screening test result to diagnostic assessment was 54 days.
Download report: Cervical screening in Australia 2018
Download report: National Bowel Cancer Screening Program: monitoring report 2018
The Australian Institute of Health and Welfare has released a new web update:
Mental health services in Australia-Emergency department 2016-17:
- 276,954 presentations to Australian EDs in 2016-17 were mental health-related, which was 3.6% of all presentations.
- 79.2% of these mental health-related ED presentations were classified with a triage status of either Semi-urgent (patient should be seen within 60 minutes) or Urgent (seen within 30 minutes).
- 68.0% of mental health-related ED presentations were seen on time (based on triage status) compared with 73.0% of all ED presentations
- More than half (53.5%) of mental health-related ED presentations had a principal diagnosis of either Neurotic, stress-related and somatoform disorders or Mental and behavioural disorders due to psychoactive substance use.
View web pages
"Growing up strong Buraay" is a book full of games and ideas for Wiradjuri parents on ways to interact with their toddlers (Buraay). Available in PDF from : http://www.community.nsw.gov.au/__data/assets/pdf_file/0010/319807/par_buraay.pdf
This is one of a number of Indigenous parenting resources sponsored by the Department of Family and Community services. See: http://www.community.nsw.gov.au/parents,-carers-and-families/parenting/for-aboriginal-parents-and-carers
Two further versions of interest are:
Kiilalaana marta-marri – Growing up really big in Barkindji – resource for Aboriginal and Family Workers in the Far West region of NSW: Broken Hill and surrounding region.
1. In 2010-2014, 4,843 new cases of cancer were diagnosed in adolescents and young adults.2. In 2011-2015, 499 adolescents and young adults died from cancer.
3. In 2010-2014, 5-year relative survival from all cancers combined for adolescents and young adults was 89%.
4. Adolescent and young adult cancer survivors had a 1.9 times increased risk of developing a second cancer
The site is part of a 3-year project funded by the Australian Government Department of Health which aims to improve the care of older Australians through advance care planning activities and palliative care connections.
AHHA is a member of the ELDAC consortium led by the Queensland University of Technology, Flinders University and the University of Technology Sydney, and including Palliative Care Australia, Aged and Community Services Australia, Leading Age Services Australia, and Catholic Health Australia.
'As an ELDAC project partner we are proud to have been involved in the development of this website, where health professionals and aged care workers can access information, guidance, and resources to support palliative care and advance care planning for older people and their families', Ms Verhoeven said.
'One of the features of the site is a set of 5 online toolkits developed by palliative care, aged care, primary care and legal experts covering Residential Aged Care, Home Care, Primary Care, Working Together, and Legal matters.
'For example, the Primary Care toolkit, which was developed by AHHA, leads healthcare workers and primary care teams through the various steps involved in supporting advance care planning with patients and their families, including considerations for people of various religious and cultural backgrounds. There are links to fact sheets, guides, discussion starters, patient resources and podcasts.
'Users can also access materials on assessing palliative care needs, providing palliative care, managing dying, and bereavement', Ms Verhoeven said.
So, how do we combat this? How do we lower the risks or delay the development of dementia, and design care and treatment interventions that reduce the personal and economic costs of the disease?
This research brief explores the impacts of cognitive ageing and decline on individuals, as well as on the wider Australian economy. The brief emphasises how cognitive impairment is a significant barrier to those over sixty staying in the workforce and managing their finances properly. The brief also discusses the current and proposed future ways to diagnose and prevent cognitive impairment before it becomes severe.
Among Australians 45 and over who visited a GP in the past year, those living in rural and remote areas were less likely than others to have a usual GP or place of care. Not having facilities nearby was a barrier to seeing a specialist and having a medical test.
Key findings: * 3 in 5 people in Remote/Very remote areas said not having a specialist nearby stopped them from seeing one. * People in Remote/Very remote areas were the most likely to report going to an ED because no GP was available. * People reported decreasing information sharing between health providers as remoteness increased. * People in Outer regional and Remote/Very remote areas were the least likely to have a usual GP.
- An average of 112 patients per week or 16 patients per day were transported for CVD;
- On average, per day, 10.1 (63%) were male and 5.9 (37%) were female, a ratio of 1.7 males for every female;
- All age groups were represented; the mean age group was 55–59 years, more than one-third (35.3%) were aged 60–74 years, and 1% were children under the age of 5 years.
More than half (52.5%) of all CVD transports were for CHD. The two main CHDs that lead to a patient requiring an aeromedical transport were 'acute myocardial infarction' (heart attack) (38.9%) and 'angina pectoris' (angina) (9.4%). Almost one-quarter (22.2%) of CVD transports were for patients experiencing other forms of heart disease; the two main other forms of heart disease were 'heart failure' (4.6%) and 'atrial fibrillation and flutter' (4.0%).
This report's purpose is to detail the CVD burden on remote and rural Australia, and to propose action to ameliorate CVD impacts. Many CVD events are preventable. Increased investment in, and access to, evidence-based, culturally appropriate prevention and early intervention for people at increased risk of CVD, and those who have experienced a CVD event, is required.
Similarly, better treatment options for remote and rural Australians are also required. For example, between 2001 and 2008 the South Australian integrated Cardiovascular Clinical Network (iCCNet) established a support program for remote and rural primary care services to manage heart attacks by providing expert risk stratification, point-of-care troponin testing and cardiologist-supported decision making. The program's evaluation demonstrated a 22% improvement in 30-day survival rates for remote and rural patients, which closed the mortality disparity that had previously existed between city and country hospitals.
This paper uses the latest 2016 Census figures to provide a snapshot of how the ATSI peoples of NSW compare with non-Indigenous residents across a range of key indicators, including population, age, education, income and employment. The paper also provides a comparative analysis of these indicators over three Censuses (2006, 2011 and 2016) for both NSW as a whole and for three custom NSW regions that incorporate different State Electorates based on their location. These geographies were selected to not only to provide an indication as to how location affects the wellbeing of the State's Indigenous peoples, but to also help Members of the NSW Parliament gain greater insight into the Indigenous peoples residing in or around their electorates.
Impact of alcohol and illicit drug use on the burden of disease and injury in Australia: Australian Burden of Disease Study 2011 [AIHW]
The report highlights that health inequalities exist, with lower socioeconomic groups and more remote areas generally experiencing higher rates of disease burden due to alcohol and illicit drug use.
* Nearly 1 in every 20 deaths in 2011 were from alcohol and illicit drug use, equating to 6,660 deaths.* 6.7% of all disease burden in Australia was from alcohol and illicit drug use in 2011 (9% for males and 4% for females).* 4.6% of all disease burden in Australia was from alcohol use alone, of which one-third was due to alcohol dependence.* On its own, illicit drug use was responsible for 2.3% of Australia's disease burden.* 41% of the illicit drug use burden was from opioids, followed by amphetamines (18%), cocaine (8%) and cannabis (7%).* Alcohol use was responsible for around one-third of the burden of road traffic injuries. * The rate of burden from alcohol use fell slightly between 2003 and 2011 and further reductions are expected by 2020.* The rate of burden due to amphetamine use is projected to rise by 14% between 2011 and 2020.
Download report: Impact of alcohol and illicit drug use on the burden of disease and injury in Australia: Australian Burden of Disease Study 2011
Media release:1 in 20 Australian deaths caused by alcohol and illicit drugs.
- equips primary healthcare providers and their teams with a comprehensive and concise set of recommendations for Aboriginal and Torres Strait Islander patients, with additional information about tailoring advice depending on risk and need
- advises on activities that can help prevent disease, detect early and unrecognised disease, and promote health in Aboriginal and Torres Strait Islander communities, while allowing for local and regional variations.
- encourages clinicians to consider the social determinants of health when providing preventive healthcare
- Includes the following new topics and features:
- Fetal alcohol spectrum disorder
- Preventing child maltreatment – supporting families to optimise child safety and wellbeing
- Family abuse and violence
- Prevention of lung cancer
- Young person lifecycle summary wall chart
The Closing the Gap framework provides an annual national snapshot of progress made against the targets – and helps maintain our collective focus. While acknowledging this, it is important to recognise the success and achievements of many Aboriginal and Torres Strait Islander people, demonstrating that when equal opportunities are provided, disadvantage can be overcome.
The chapters in this report detail the progress made against the seven Closing the Gap targets – and focus on health, education, employment and community safety. They also showcase a range of Indigenous success stories – from inspiring individuals, to growing businesses and organisations making a positive difference to their communities.
Latest nutrition review confirms that community control is critical to improve the nutritional status of Aboriginal and Torres Strait Islander people
This review highlights the importance of nutrition promotion and the prevention of diet-related disease, and provides information on relevant programs, services, policies and strategies that help improve food supply, diet and nutritional health among Aboriginal and Torres Strait Islander people.
NATSIHWA encourages using a ‘Scope of Practice’ for Aboriginal and/or Torres Strait Islander Health Workers and Health Practitioners
Ms Josslyn Tully, Chairperson of NATSIHWA said 'Aboriginal and Torres Strait Islander Health Workers and Health Practitioners are vital to improving the health of our peoples. The Framework for developing a Scope of Practice will better enable and support these employees in health services to reach their potential and utilise their skills and capabilities.
The inquiry was approved in the Senate on Monday with backing from Labor and the Greens and will look at the higher rates of suicide in rural Australia, quality of and access to mental health services in rural and remote Australia, shortfalls in the mental health workforce, and the use of technology and e-health services.
Rural areas have higher rates of suicide than capital cities and the rates of suicide for Aboriginal and Torres Strait Islander people is twice the non-Indigenous suicide rate.
Read more at: https://www.theguardian.com/australia-news/2018/mar/19/senate-inquiry-to-examine-claims-indigenous-suicide-prevention-funding-misspent
Data visualisations can be explored by age, sex, trends, population groups (Indigenous status, remoteness and socioeconomic groups), and geographic areas (state and territory, Primary Health Network and statistical area level 3) for type 1 diabetes and insulin-treated type 2 diabetes.
Download web report: Incidence of insulin-treated diabetes in Australia.
* The Health Translations Directory provides direct links to reliable translated health resources produced in Australia. Organisations are responsible for registering their own multilingual resource on the Health Translations Directory.
* Over 14000 resources in over 100 languages and counting : New resources are regularly being added.
* Information can be found in a variety of ways. Search on topics, languages, or organisations.
* Health practitioners and organisations who work with culturally and linguistically diverse communities can use the site to find reliable translated health information, including a unique tool to help identify what language your client speaks.
The leading causes of death for these older Australians were Coronary heart disease (14% of deaths), Dementia (9%), Cerebrovascular disease (stroke) (8%), Lung cancer (5%), Chronic obstructive pulmonary disease (5%) and Diabetes (3%).
These 6 conditions also account for more than 40% of the total burden of disease for older Australians.
4 in 5 (80%) of people in the study cohort had used an aged care program sometime before their death. Cause of death patterns differed somewhat between this group and people who had not used any aged care.
Coronary heart disease (14%) was the leading underlying cause of death for people who had used aged care, followed by Dementia (11%). For people who had not used aged care, Coronary heart disease was also the leading underlying cause of death (16%), but this was followed by Lung cancer (9%). Cancer-related causes were more common among those who had not used any aged care.
During Friday’s Friday Forum at 12pm, The Land and the Rural Adversity Mental Health Program (RAMHP) are partnering to bring together the Rural Resilience Workers, RAMHP, NSW Farmers and a researcher to answer your questions, including the warning signs someone isn’t coping; how to prepare mentally for drought; signs of depression; practical ways to stay mentally healthy, and getting farmers to talk openly about mental health.
Cancer in Aboriginal and Torres Strait Islander people of Australia presents the latest available information on national population screening programs, cancer incidence, survival, prevalence and mortality for Aboriginal and Torres Strait Islander Australians, compared with non-Indigenous Australians. Information is available to explore by sex, age, state and territory, remoteness area and trend.
* Between 2009 and 2013, an average of 1,279 new cancer cases were diagnosed each year in Indigenous Australians
* Between 2011 and 2015, there was an average of 551 cancer-related deaths each year for Indigenous Australians
* In 2007-2014, Indigenous Australians diagnosed with cancer had a 50% relative chance of surviving five years
* In 2009-2013, Indigenous Australians were 1.1 times as likely to be diagnosed with cancer as non-Indigenous Australians
* In 2011-2015, Indigenous Australians were 1.4 times as likely to die from cancer as non-Indigenous Australians
* In 2007-2014, Indigenous Australians had lower five-year relative survival compared with non-Indigenous Australians
Download web report: Cancer in Aboriginal and Torres Strait Islander people of Australia.
The NSW Cannabis Medicines Advisory Service provides expert clinical guidance and support to NSW doctors considering prescribing a cannabis medicine for their patient.Based at John Hunter Hospital at Hunter New England Local Health District, the Service offers expert clinical advice to NSW doctors on whether cannabinoids may be an appropriate treatment option for their patient, available clinical evidence, known contraindications and risks, available products, and monitoring requirements.
The Service is part of the NSW Government $21 million commitment to advance our understanding for the safe and appropriate use of cannabis medicines to treat serious and debilitating symptoms. It is available to NSW doctors and health care professionals. It is operational Monday to Friday 9am to 5pm snd can be contacted by email HNELHD-CMAS@hnehealth.nsw.gov.au<mailto:HNELHD-CMAS@hnehealth.nsw.gov.au or by telephone (02) 4923 6200.
The Service can assist with:
* understanding the latest evidence around cannabis medicines
* understanding the regulatory requirements for cannabis prescription
* considering tools to monitor a patient's progress whilst using cannabis medicines
* provision of protocols to facilitate cannabis medicine prescribing
* information about dosing and titration in individual patients
In one of the largest health studies carried out at a workplace, two thousand participants in the Stepathlon, a corporate wellness challenge dedicated to achieving better physical and mental health outcomes, reveals consistent and positive impacts on all measures of mental health.
Read more at: https://www.myvmc.com/news/10000-steps-day-keeps-blues-away/
After only two drinks, the researchers noted changes in the working of the prefrontal cortex of the brain, the part normally involved in tempering a person's levels of aggression.
The study, led by Associate Professor Thomas Denson of the UNSW School of Psychology, is published in the journal Cognitive, Affective, & Behavioral Neuroscience, which is an official journal of the Psychonomic Society and is published by Springer.
In this study, Denson and his team recruited 50 healthy young men. The participants were either given two drinks containing vodka, or placebo drinks without any alcohol. While lying in an MRI scanner, the participants then had to compete in a task which has regularly been used over the past 50 years to observe levels of aggression in response to provocation.
Read more at:https://newsroom.unsw.edu.au/news/science-tech/brain-scans-show-why-people-get-aggressive-after-drink-or-two
The result was a “warning shot across the bow” for doctors and public health officials fighting antibiotic resistance, CARAlert’s senior medical adviser said.A total of 742 reports of critically resistant bacteria were collected by the early-warning system from 65 laboratories nationwide between April and September last year, a 75 per cent rise on the 423 cases reported in the same period during 2016.
Read more at:http://www.smh.com.au/national/gonorrhoea-super-superbugs-triple-in-six-months-20180212-p4z01e.html
This report exposes the flaws in Australian hospitals' safety and quality monitoring regime, and recommends reforms that could result in an extra 250,000 patients leaving hospital each year free of complications.
At the moment, hospital safety policies focus on only a small subset of complications classified by government as being 'preventable'. Instead policy should be directed towards reducing all complications to the best rate achievable. This requires building up a comprehensive picture of patient outcomes, and understanding how some hospitals and clinical teams reduce all complications and achieve excellent outcomes.
Report: All complications should count.
In fact, a December 2017 Australian Institute of Health and Welfare report found the mortality and life expectancy gaps are actually widening due to accelerating non-Indigenous population gains in these areas.
The COAG Closing the Gap Strategy was developed by Australian governments following their signing of the Close the Gap Statement of Intent from March 2008 onwards. The Close the Gap Statement of Intent is, first, a compact between Australian governments and Aboriginal and Torres Strait Islander peoples. Second, it embodies a human right to health-based blueprint for achieving health equality referred to hereon as the 'close the gap approach'.
CTG 10 year review and Executive Summary.
Royal Australasian College of Physicians response.
Public Health Association of Australia: Close the Gap Strategy continues to fall short.
This injury report provides information on hospitalisations as a result of injury which occurred on a farm.
The report finds:
* Almost 22,000 people were hospitalised in the period 2010-11 to 2014-15 as a result of injury which occurred on a farm
* Injuries involving motorcycles and quad bikes on farm accounted for 42% of all hospitalisations in children aged 0-14
* Injuries involving horses accounted for 16% of hospitalisations in children aged 0-14, 80% of which involved girls
The 2017 Report Card on Indigenous Health identifies chronic otitis media as a 'missing piece of the puzzle for Indigenous disadvantage' and calls for an end to the preventable scourge on the health of Indigenous Australians.
Otis media is a build up of fluid in the middle ear cavity, which can become infected. While the condition lasts, mild or moderate hearing loss is experienced. Otitis media is very common in children and for most non-Indigenous children, is readily treated. But for many Indigenous people, otitis media is not adequately treated. It persists in chronic forms over months and years.
This Report Card calls for a national, systematic approach to closing the gap in the rates of chronic otitis media between Indigenous and non-Indigenous infants and children in Australia, and a response to the lasting, disabling effects and social impacts of chronic otitis media in the Indigenous adult population.
2017 Report Card on Indigenous Health
The Centre for Rural and Remote Mental Health believes that 5 focus areas are needed to address this situation. Two are for immediate action to prevent suicide deaths (now and into the future) and three are designed to prevent deaths in the future. The prevention of rural suicide is not the sole responsibility of health services or of mental health services. There are important roles for governments, private sector, health and welfare institutions, rural and remote communities, and individuals.
Rural Suicide and its Prevention: a CRRMH position paper.
Summary - Rural Suicide and its Prevention: a CRRMH Prevention Paper.
The report found higher than average rates of family violence in Aboriginal and Torres Strait Islander communities can be linked to specific factors such as Intergenerational Trauma, the destruction of positive cultural practices and ongoing disadvantage.
The report promotes 6 critical factors proven to lead to long term success for Aboriginal and Torres Strait Islander people, by studying programs at Dardi and others in WA, NSW and the Northern Territory. The report also calls for programs to involve an historic context and focus on healing families and communities collectively, co-designing programs with community and supporting strong men into mentoring roles.
Trends in Indigenous mortality and life expectancy 2001–2015: evidence from the enhanced mortality database
The WayAhead Directory is a searchable online database that anyone in the community can use to access local mental health and related services. These services also include community support organisations, legal, employment and recreation services and information resources when and where they're needed.
Currently, the WayAhead Directory lists information on more than 5,600 mental health and other related services. Search results are determined by location and can be filtered by demographic subgroups, types of services and more.
The WayAhead Directory.
This collection of reports provides data from 2008-09 to 2013-14 on the incidence of traumatic spinal cord injury, the people injured, the care provided to them, and the causes of the injuries. Each reporting year is covered in its own report, and, in addition, the older years of data are summarised in Spinal cord injury, Australia: summary 2008-09 to 2012-13.
The latest report shows that in 2013-14, 236 new incident cases of spinal cord injury due to external causes were reported to the Australian Spinal Cord Injury Register. Males accounted for 81% of traumatic spinal cord injury cases. Land transport crashes (46%) were the leading mechanism of injury followed by falls (32%). Nearly half (45%) occurred while the person was engaged in a sport or leisure activity.
Spinal cord injury, Australia: summary 2008-09 to 2012-13.
Spinal cord injury, Australia, 2008-09.
Spinal cord injury, Australia, 2009-10.
Spinal cord injury, Australia, 2010-11.
* Over 100 million Pharmaceutical Benefits Scheme/Repatriation Pharmaceutical Benefits Scheme prescriptions for cardiovascular medicines were dispensed to the Australian community in 2015. These comprised one-third (34%) of the total prescription medicines dispensed.
* Blood pressure lowering medicines (such as perindopril and irbesartan) and blood cholesterol lowering medicines (such as atorvastatin and rosuvastatin) were the most commonly dispensed prescription medicines in Australia in 2015.
* Almost 1 in 5 (18%) of all medications prescribed by GPs in 2015-16 were for the cardiovascular system, at a rate of 9.4 per 100 problems managed. Many of these prescriptions included orders for repeats.
* Almost three-quarters (72%) of the estimated 4.1 million Australians who reported having a cardiovascular condition in 2014-15 had used a cardiovascular system medicine in the previous fortnight.
Medicines for cardiovascular disease