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Australia's Future Health
 

Australia's Future Health

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A presentation by Australia's Chief Medical Officer, Professor Jim Bishop AO to National Catholic Health Australia Conference - Adelaide

A presentation by Australia's Chief Medical Officer, Professor Jim Bishop AO to National Catholic Health Australia Conference - Adelaide

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    Australia's Future Health Australia's Future Health Presentation Transcript

    • AUSTRALIA’S FUTURE HEALTHNational Catholic Health Australia Conference ADELAIDE – 23 August 2010 Professor Jim Bishop AO Chief Medical Officer Australian Government Department of Health and Ageing
    • OECD HEALTH DATA 2010 How Does AUSTRALIA Compare Health Expenditure per capita, public and private expenditure, OECD countries, 2008 ($US PPP)8,000 75387,0006,000 50045,000 4627 4210 4079 4063 39704,000 3793 3737 3696 3677 3540 3470 3359 3353 3129 3060 3008 2902 28703,000 2729 2687 2683 21512,000 1801 1781 1737 1437 1213 999 8521,000 767 0 1 Refers to insured po pulatio n rather than resident po pulatio n. 2. Current expenditure. 3. 2006. 4. 2007. So urce: OECD, OECD Health Data, June 201 . 0 Public expenditure on health Private expenditure on health
    • AUSTRALIA’S RANKING AMONG OECD COUNTRIES 1987-2006 Source: AIHW Australia’s Health 2010
    • SELF- ASSESSED PHYSICAL & MENTAL HEALTH, 2007 Source: AIHW Australia’s Health 2010
    • MAJOR DISEASE BURDEN in AUSTRALIA
    • BROAD CAUSE MORTALITY TRENDS IN AUSTRALIA Source: AIHW
    • AGED ADJUSTED DEATH RATES From CVD, 1907 - 2006 Source: AIHW Australia’s Health 2010
    • Mortality-to-incidence ratio 0.0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1.0 Ke ny a NiSource: IARC 2010. ge ria Eg yp Vi t et Na m Tu rk ey In di a Ch in a Ru So ss ut ia h Af ric a G re ec e Br az il Cz Ja ec pa h n Re pu bl ic Un ite Ita d ly Ki ng do m Ca na da G er m an Sw y Ne ed w en Ze al an d US Au A st ratios for selected countries - 2008 ra lia Males Females ALL CANCER – MORTALITY/INCIDENCE
    • CHANGES IN DEATH RATES IN MALES using Joinpoint Analysis Source: Tracey et al – Cancer Institute NSW
    • CHANGES IN DEATH RATES IN FEMALES Using Joinpoint Analysis Source: Tracey et al – Cancer Institute NSW
    • CANCERS WITH REDUCING DEATH RATES 1997 to 2006 – ALL AGES 0 -5-10-15cancers, -13.8 All Breast, -13.8 -7.9-20 Lung, -18.5 Bladder, -18.5 Colon, -19.6Rectum Prostate, -19.7 Bowel -19.0 , -19.9 , -19.7-25 -19.0 Leukaemia, -23.7Head and Neck, -23.7 , -18.9 Unknown, -24.8 , -15.2 , -24.3 Kidney , -21.1 , -24.1-30 Stomach, -29.4 -18.5 NHL, -25.1-35 -31.9-40 Cervix, -38.3 Testicular, -42.2-45 Male Female Source: Tracey et al, Cancer Institute NSW
    • PROJECTED BURDEN of MAJOR DISEASE GROUPS, 2010Source: AIHW Australia’s Health 2010
    • TRENDS IN LEADING CAUSESOF DISEASE BURDEN 2003-2023 Source: AIHW Australia’s Health 2010
    • TOTAL CANCER CASES & DEATHS per year (1972 to 2036) Source: Cancer Institute NSW
    • HOW CAN HEALTH BE IMPROVED ?
    • THE KEYS TO PREVENTION Tobacco Blood pressure Overweight/obesity Physical inactivity Blood cholesterol Alcohol Fruit/vegetables Illicit drugs Air pollution Total of 32% Unsafe sex 0.0 2.0 4.0 6.0 8.0 % DALYsSource: Table 4.1 AIHW Australia’s Health 2008
    • AUSTRALIA’S RANKING AMONG OECD COUNTRIES 1987-2006 Source: AIHW Australia’s Health 2010
    • SMOKING IN AUSTRALIASMOKING NSW VIC QLD WA SA TAS ACT NT AUS STATUSDaily 16.4 16.5 17.2 14.8 16.5 22.7 14.7 25.3 16.6Weekly 1.2 1.5 1.4 1.2 1.5 0.6 0.9 1.2 1.3Less than 1.4 1.7 1.3 1.4 1.8 1.6 1.6 1.3 1.5WeeklyEx-smoker 24.7 24.4 25.7 28.3 24.1 26.5 24.8 22.4 25.1Never 56.3 55.9 54.5 54.3 56.2 48.6 57.9 49.8 55.4smoked National Drug Strategy Household Survey 2007Australian Government Source: 2007 Household Survey,
    • AUSTRALIA’S INITIATIVES IN TOBACCO CONTROL Advertising Bans Under the counter at retail sites Banning smoking in restaurants, pubs and cars Graphic warnings on cigarette packets Anti-tobacco campaigns Increase in tobacco excise Plain packaging
    • OBESTITY INCREASING FOR ALL Source: AIHW: Australia’s Health 2008
    • AUSTRALIAN HEALTH SURVEY Four components run by ABS 2011-13 - Health Survey - ATSI Health Survey - Nutrition and Physical Activity Survey - Health measurement Survey Around 50,000 participants De-identified data available as summary statistics, tables
    • MILESTONES IN CANCER CONTROL Public health measures in smoking reduction, screening breast, cervix, bowel, health literacy Adjuvant treatment of breast, lung and bowel cancer New anti-cancer drugs and symptom control drugs Cancer research translated into practice Cancer registries, data linkage and analysis
    • BREAST CANCER MORTALITY NEJM 2005Source: New Engl.Journ. Med: 353:17
    • PROJECTED YLLs – Threescenarios, Australia – 1980 to 2016 Source: Bishop et al – Cancer Institute NSW
    • NON-COMMERCIAL CANCERRESEARCH EXPENDITURE, 2004 (A$ per CAPITAL) Source: Eckhouse et al (2007), ABS
    • PRIORITY HEALTH AREAS SOURCE: NHMRC Research funding 2010 facts book
    • CLINICAL GUIDELINES SUPPORTS FOR CLINICAL DECISION MAKING Evidence Base Highest Impact Range of best practice tools Successful implementation methods Monitor and report
    • AUSTRALIA’S FUTURE HEALTH SERVICES CONCLUSIONS Orientated to known burden of disease Emphasis on prevention, early interventions Driven by evidence from medical research Evidence based standards and guidelines implemented and monitored