NSW Cannabis Medicines Advisory Service


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

NSW Mothers and Babies Report 2016

This nineteenth annual report documents findings on the number of births across NSW and provides information on recent trends in the health of mothers and babies in NSW, maternity services provided by hospitals, clinical indicators and the health of Aboriginal mothers and babies.​

10,000 steps a day keeps the blues away

New research published in BMC Psychiatry reveals that walking 10,000 steps a day, over the course of 100 days, can have a positive impact on mental wellbeing, weight loss, blood pressure and cardiovascular health.

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/

Brain scans show why people get aggressive after a drink or two

Researchers have used magnetic resonance imaging scans that measure blood flow in the brain to better understand why people often become aggressive and violent after drinking alcohol.

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

Gonorrhoea 'super-superbugs' triple in six months

Cases of a strain of gonorrhoea impervious to an antibiotic have almost tripled in six months, the latest report from the National Alert System for Critical Antimicrobial Resistance (CARAlert) reveals.

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

All complications should count (Grattan Institute)

1 in 9 patients who go into hospital suffers a complication, and the risk varies dramatically depending on the hospital. An extra 250,000 patients would leave hospital complication-free each year if all hospitals lifted their performance to match the best 10 per cent of hospitals.

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.

Media release.

10-year review of the Closing the Gap Strategy released

This review assesses the most significant national effort to date to improve Aboriginal and Torres Strait Islander health: the 2008 Council of Australian Governments' (COAG) Closing the Gap Strategy with its target to achieve life expectancy (health) equality by 2030.10-years after its commencement, it is time to critically reflect on why Australian governments have not yet succeeded in closing the health gap to date, and why they will not succeed by 2030 if the current course continues.

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.

Hospitalised farm injury, Australia: 2010-11 to 2014-15 [AIHW]

Hospitalised farm injury, Australia: 2010-11 to 2014-15.

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