Professor Brendan Murphy
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This document discusses a multijurisdictional response to a syphilis outbreak in Australia. It notes that the outbreak began in northern Queensland in early 2011 and has since spread to the Northern Territory, Western Australia, and South Australia. The outbreak predominantly affects young indigenous Australians between the ages of 15-29 and initially was concentrated in remote areas but has spread to some cities. There have been 12 cases of congenital syphilis resulting in 5 deaths. Contributing factors discussed include population mobility, loss of focus on regular testing, family dynamics, education not targeting early sexual activity, and outdated antenatal care guidelines. A national response is proposed that focuses on enhanced screening, treatment, education, antenatal care guidelines, and
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1) The Defence Reconciliation Action Plan and Air Force Indigenous Strategy which aim to foster meaningful relationships with Aboriginal and Torres Strait Islander peoples.
2) Indigenous youth training programs like cultural camps and pre-recruitment programs to provide experiences in the Air Force and support individual development.
3) The Kummundoo Program, focused on community health and wellbeing, which provides dental services and aims to expand its memorandum of understanding to 2025 to deliver additional health services and youth programs.
Telethon Kids, END RHD | Pat Turner, Jonathan Carpetis and Raychelle McKenzie
This document outlines a strategy to end rheumatic heart disease (RHD) in Australia through research-backed, community-driven solutions. It discusses establishing an Aboriginal and Torres Strait Islander-led structure to implement the strategy. Key aspects of the strategy include investing in community-level environmental health and infrastructure solutions, comprehensive skin and throat programs, and ensuring quality care for people with existing RHD. Modeling shows this multi-pronged approach could significantly reduce both the prevalence and mortality of RHD. The strategy emphasizes community involvement and empowerment to address the social determinants of health contributing to RHD.
Antimicrobial Stewardship (AMS) | A/Prof Bhavini Patel, Emily Waddell and Dr ...
1) The document discusses antimicrobial stewardship (AMS) programs in primary health care settings for Aboriginal communities. It describes the high rates of antimicrobial use and emerging resistance in these communities.
2) An effective AMS program requires a multidisciplinary team approach and systems to promote appropriate antimicrobial use. Key elements include evidence-based guidelines, formularies, prescription review, and education.
3) Studies in Northern Australia found most antimicrobial use was appropriate but identified opportunities to optimize dosing and reduce unnecessary use. Pharmacists can play an important leadership and advisory role in developing and implementing a successful AMS program.
Naloxone Program | Penelope Wood
The document discusses a naloxone program that aims to educate patients at risk of opioid overdose about naloxone and train them on its use. It describes different naloxone formulations, identifies at-risk patients, and discusses approaches to patient education and training. The need for the program is highlighted by unintentional overdose being a significant cause of death in Australia. Success stories and barriers to the program are also mentioned.
How to keep an accurate medicines list | Chris Braithwaite
This document discusses how to keep an accurate medicines list through an organizational approach. It describes Galambila Aboriginal Health Service, which aims to ensure patients and providers receive accurate medicines lists. Regular audits of medicines lists provide a platform for sustainable change to improve accuracy. Having GP champions and understanding clinical software helps facilitate keeping accurate lists, which benefits patients, the health service, and community pharmacies. Measurable improvements will be developed through the audit process.
Australian Bureau of Statistics | Jesse Bonson
This document presents statistics from the 2014-15 National Aboriginal and Torres Strait Islander Social Survey on holistic health indicators. Some key findings include:
- 65% of Aboriginal and Torres Strait Islander people reported having a long-term health condition, with mental health conditions being more common than physical conditions alone.
- Self-assessed health status and the ability to have a say within one's community and with family/friends on important issues are closely linked, with better health and social connections reported by those who feel more empowered.
- Mental health conditions in particular showed strong associations with feeling able to participate within one's social networks.
National Hearing health Coordinator Program | Lorraine Taui and Mark Mitchell
The National Hearing Health Coordinator Program aims to improve Aboriginal and Torres Strait Islander ear and hearing health through coordination and collaboration. It has expanded from 5 coordinators to 11.5 coordinators with increased funding. Key activities of the coordinators include providing training, supporting screening and referrals, strengthening partnerships, and facilitating development of resources and programs. The program aims to better embed ear health practices and use continuous quality improvement.
Strong eyes, Strong communities | Maureen O'Keefe
This document outlines a five year plan called "Strong eyes, strong communities" to improve Aboriginal and Torres Strait Islander eye health and vision from 2019-2024. The plan was developed by Vision 2020 Australia and contains 27 recommendations focused on enhancing eye care service delivery, strengthening partnerships, embedding eye care in primary care settings like ACCHOs, and eliminating trachoma. It emphasizes the importance of children's vision, addresses high rates of trachoma in Australia, and recommends expanding access to affordable glasses and developing a national strategy to promote early identification of vision issues in Aboriginal and Torres Strait Islander children.
Hearing Assesment Program | Selma and Sherliee McManus
This document provides information about the Hearing Assessment Program - Early Ears (HAP-EE). It discusses the background and timeline of the program's development, its three main components, anticipated outcomes, and some initial results from locations that have participated. It also addresses common questions about how services can get involved and what the process looks like for a community that decides to participate. The goal of HAP-EE is to improve early hearing screening and referrals for Aboriginal and Torres Strait Islander children.
IUIH Pharmacy - Whats working for us | Lucky Zeniou
This document discusses initiatives at IUIH Pharmacy that are improving health outcomes. It describes integrating a health worker into the Home Medicines Review (HMR) model, which has increased the rate of HMR completion from 46.5% in 2017 to 74% in the first half of 2019. The health worker schedules HMR interviews and ensures the HMR report is reviewed by the patient's GP. The document also mentions the pharmacist's activities like clinic visits, the Work it Out program, smoking cessation education, and audits. In general, the integrated health worker role and pharmacist services are enhancing care coordination and medication management for patients.
NACCHO Partnerships Stream (All presentations combined)
The document summarizes a project between PwC's Indigenous Consulting, Griffith University First Peoples Health Unit, and AHPRA to design and deliver Aboriginal and Torres Strait Islander cultural safety training. The partnership aims to establish a consistent national approach to cultural safety learning using the NACCHO Cultural Safety Standards. Key aspects of the project include developing a cultural safety learning framework, training program, and evaluation framework to measure the impact on over 1,000 health practitioners. The partnership brings expertise in Indigenous health, cultural safety, and a national reach to help improve health outcomes for Aboriginal and Torres Strait Islander people.
AHPRA Cultural Safety Project
The document discusses AHPRA's cultural safety project being delivered by PwC's Indigenous Consulting and Griffith University. It provides an overview of the project, which includes designing and delivering cultural safety training to AHPRA staff, boards and committees. It will use the NACCHO Cultural Safety Standards as a framework and involve training over 75 sessions to 1,392 participants across Australian capital cities. PwC's Indigenous Consulting and Griffith University bring expertise in Aboriginal health and cultural safety to ensure a consistent national approach to the training.
Kimberly Mum's Mood Scale - Kimberly Aboriginal Medical Services and Rural Cl...
The document describes the Kimberley Mum's Mood Scale (KMMS) validation project, which aims to improve mental health screening for Aboriginal and Torres Strait Islander women. The KMMS was developed and validated in the Kimberley region as an adapted, culturally-appropriate alternative to standard postnatal depression screening tools. It focuses on strengths, resilience and risk factors through a narrative-based approach. Consultations found the KMMS acceptable to women and health professionals. The project now aims to validate and implement the KMMS in other regions like the Pilbara and Far North Queensland to improve screening rates and support for Indigenous women.
Health Justice Conversation | Donnella Mills and Tessa Boyd-Caine
This document discusses a health justice conversation between Donnella Mills from NACCHO and Tessa Boyd-Caine from Health Justice Australia at an NACCHO conference in 2019. It provides data on the growth of health justice partnerships in Australia from 2008 to 2018, with most new partnerships established after 2013. It also summarizes common legal issues addressed by health justice services, such as family violence, family law, fines, and housing. The document notes that economic disadvantage is a factor for most health justice clients and discusses the Aboriginal understanding of holistic health.
Indigenous Evaluation Strategy | Productivity Commissioner, Romalie Mokak
The Productivity Commission has been tasked by the Australian Government to develop a whole-of-government Indigenous Evaluation Strategy. They have engaged in extensive consultation with Indigenous organizations and communities. The strategy will establish principles for evaluating programs affecting Aboriginal and Torres Strait Islander people and identify priorities for evaluation. It aims to improve the design, delivery and evaluation of policies and ensure Indigenous perspectives are respected. The draft report will be released in February 2020 following further engagement.
National Health Implementation Plan | Donna Ah Chee and Tom Calma
The document discusses revising the Implementation Plan for the National Aboriginal and Torres Strait Islander Health Plan 2013-2023. Key points:
- An Implementation Plan Working Group has been established to partner with the Department of Health to develop the revised Plan.
- The revised Plan will embed social and cultural determinants of health, align with relevant policies like Closing the Gap, and simplify goals and actions.
- A draft framework takes a life course approach and identifies focus areas like workforce, healthy living, cultural wellbeing, and cross-sector partnerships to drive improved health outcomes.
More from NACCHOpresentations (20)
Telethon Kids, END RHD | Pat Turner, Jonathan Carpetis and Raychelle McKenzie
Telethon Kids, END RHD | Pat Turner, Jonathan Carpetis and Raychelle McKenzie
Antimicrobial Stewardship (AMS) | A/Prof Bhavini Patel, Emily Waddell and Dr ...
Antimicrobial Stewardship (AMS) | A/Prof Bhavini Patel, Emily Waddell and Dr ...
How to keep an accurate medicines list | Chris Braithwaite
How to keep an accurate medicines list | Chris Braithwaite
National Hearing health Coordinator Program | Lorraine Taui and Mark Mitchell
National Hearing health Coordinator Program | Lorraine Taui and Mark Mitchell
Hearing Assesment Program | Selma and Sherliee McManus
Hearing Assesment Program | Selma and Sherliee McManus
IUIH Pharmacy - Whats working for us | Lucky Zeniou
IUIH Pharmacy - Whats working for us | Lucky Zeniou
NACCHO Partnerships Stream (All presentations combined)
NACCHO Partnerships Stream (All presentations combined)
Kimberly Mum's Mood Scale - Kimberly Aboriginal Medical Services and Rural Cl...
Kimberly Mum's Mood Scale - Kimberly Aboriginal Medical Services and Rural Cl...
Health Justice Conversation | Donnella Mills and Tessa Boyd-Caine
Health Justice Conversation | Donnella Mills and Tessa Boyd-Caine
Indigenous Evaluation Strategy | Productivity Commissioner, Romalie Mokak
Indigenous Evaluation Strategy | Productivity Commissioner, Romalie Mokak
National Health Implementation Plan | Donna Ah Chee and Tom Calma
National Health Implementation Plan | Donna Ah Chee and Tom Calma
Recently uploaded
The Electrocardiogram - Physiologic Principles
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Journal Article Review on Rasamanikya
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
Cell Therapy Expansion and Challenges in Autoimmune Disease
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
Histopathology of Rheumatoid Arthritis: Visual treat
Histopathology of Rheumatoid Arthritis: Visual treat
Integrating Ayurveda into Parkinson’s Management: A Holistic Approach
Explore the benefits of combining Ayurveda with conventional Parkinson's treatments. Learn how a holistic approach can manage symptoms, enhance well-being, and balance body energies. Discover the steps to safely integrate Ayurvedic practices into your Parkinson’s care plan, including expert guidance on diet, herbal remedies, and lifestyle modifications.
NARCOTICS- POLICY AND PROCEDURES FOR ITS USE
This document outlines policies and procedures for handling narcotic and controlled drugs in NABH accredited hospitals.
pathology MCQS introduction to pathology general pathology
pathology MCQS introduction to pathology general pathology
Hiranandani Hospital Powai News [Read Now].pdf
Hiranandani Hospital in Powai, Mumbai, is a premier healthcare institution that has been serving the community with exceptional medical care since its establishment. As a part of the renowned Hiranandani Group, the hospital is committed to delivering world-class healthcare services across a wide range of specialties, including kidney transplantation. With its state-of-the-art facilities, advanced medical technology, and a team of highly skilled healthcare professionals, Hiranandani Hospital has earned a reputation as a trusted name in the healthcare industry. The hospital's patient-centric approach, coupled with its focus on innovation and excellence, ensures that patients receive the highest standard of care in a compassionate and supportive environment.
Adhd Medication Shortage Uk - trinexpharmacy.com
The UK is currently facing a Adhd Medication Shortage Uk, which has left many patients and their families grappling with uncertainty and frustration. ADHD, or Attention Deficit Hyperactivity Disorder, is a chronic condition that requires consistent medication to manage effectively. This shortage has highlighted the critical role these medications play in the daily lives of those affected by ADHD. Contact : +1 (747) 209 – 3649 E-mail : sales@trinexpharmacy.com
All info about Diabetes and how to control it.
One health condition that is becoming more common day by day is diabetes.
According to research conducted by the National Family Health Survey of India, diabetic cases show a projection which might increase to 10.4% by 2030.
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
It includes regulation of combination products and medical devices. FDA and industry liaisons.
Artificial Intelligence Symposium (THAIS)
Artificial Intelligence Symposium (THAIS). Parc Taulí. Sabadell
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
- Video recording of this lecture in English language: https://youtu.be/Pt1nA32sdHQ
- Video recording of this lecture in Arabic language: https://youtu.be/uFdc9F0rlP0
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Hemodialysis: Chapter 4, Dialysate Circuit - Dr.Gawad
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
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Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
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Integrating Ayurveda into Parkinson’s Management: A Holistic Approach
pathology MCQS introduction to pathology general pathology
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REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
Ear and its clinical correlations By Dr. Rabia Inam Gandapore.pptx
Ear and its clinical correlations By Dr. Rabia Inam Gandapore.pptx
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
Hemodialysis: Chapter 4, Dialysate Circuit - Dr.Gawad
Hemodialysis: Chapter 4, Dialysate Circuit - Dr.Gawad
Professor Brendan Murphy
- 1. Multijurisdictional Response Syphilis Outbreak 0 Brendan Murphy Australian Government Chief Medical Officer
- 2. Syphilis Outbreak • Generally higher background STI & BBV rate in Indigenous Australians, previous outbreaks • Current Syphilis outbreak early 2011 (Nth Qld) now spread to NT, WA and SA • Predominantly young 15- 29 year olds (2/3) • Initially remote predominance, some cities (Darwin) • 12 cases of congenital syphilis – 5 deaths • Also rising HIV, different demography (2x rate). • Other STI/BBV higher, more stable • Data issues – testing rate, identifiers 1
- 3. 2 0 10 20 30 40 50 60 70 80 Jan Mar May Jul Sep Nov Jan Mar May Jul Sep Nov Jan Mar May Jul Sep Nov Jan Mar May Jul Sep Nov Jan Mar May Jul Sep Nov Jan March May July Sep Nov Jan March May July Sep 2011 2012 2013 2014 2015 2016 2017 Notifications Year and month SA WA NT Qld Outbreak commenced Qld Outbreak commenced NT Outbreak commenced WA Outbreak commenced SA 1689
- 4. Contributing Factors? • Remote workforce – recruitment, retention, $ • Population mobility • Loss of focus on regular testing • ?Wasted energy - follow up & tracing – versus “test, treat and go” • Family dynamics– trauma - parenting, young “consequences of actions” • Education not targeting early sexual activity • Outdated antenatal care guidelines • Drug and alcohol • Poor data and poor identification 3
- 5. National Response • Short & longer term (sustainable) • Short term –screen & treat, POC, surge workforce – mobile, local teams • Pathology– investigating see & treat processes • Consistent reporting • Enhanced education (Young Deadly), younger • Build on sporting clubs and carnivals • Other incentives for testing • Antenatal care – increased testing, guidelines • Identification of other BBV/STI • STI ? mandatory in health check, normalise • Governance 4
- 6. Other BBV/STI 5 Indigenous rate /100,000 population Non indigenous rate /100,000 population Gonorrhoea 626 62 Chlamydia 1325 391 Syphilis 61 10 HIV (new diagnosis) 6.8 3.1 Hepatitis C 167 36 Hepatitis B 66 22
- 7. •Consultations completed •Strategy drafting underway •AHMAC and CHC early next year 6 5th National Aboriginal & Torres Strait Islander BBV & STI strategy