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Health News

RACGP: Drug-induced death rates a wake-up call for Australia’s leaders

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RACGP: Drug-induced death rates a wake-up call for Australia’s leaders 

Royal Australian College of GPs

The Royal Australian College of General Practitioners (RACGP) has today called on the nation’s leaders to end the pointless “war on drugs” and act to save lives.

It comes following a new report from the National Drug and Alcohol Research Centre which found that there were 1,788 drug-induced deaths Australia-wide in 2021, which is the equivalent of five drug-induced deaths every day. Natural and semi-synthetic pharmaceutical opioids including morphine and oxycodone are the primary opioids involved in overdose deaths, followed by heroin.

RACGP President Dr Nicole Higgins called for action.

“If this isn’t a wake-up call, I don’t know what is,” she said.

“We have made in-roads in Australia, including recent announcements such as the Queensland Government expanding police drug diversion programs for people carrying small amounts of illicit drugs. However, as the RACGP has noted recently – we have a long way to go. New South Wales doesn’t even offer police the discretion to send a person to a diversion program, only the ACT and the Queensland have given the green light to pill testing, and the entire country has just two medically supervised injecting facilities. There are also limitations affecting people across Australia including access to ready and affordable drug and alcohol treatment, particularly for those with opioid dependence. That must change if we want to reverse current trends and save lives at risk.

“The ‘war on drugs’ mindset has got us nowhere and its high time for change. As a nation, we gain precisely nothing from throwing the book at people, treating alcohol and other drug use some sort of moral failing, stigmatising people, and putting them in the ‘too-hard basket’. It’s not working, five people are dying on average per day, many of them from opioid drugs. It’s time for governments to act decisively and put in place the measures that have been proven to work in Australia and overseas.”

RACGP Alcohol and Other Drugs spokesperson Dr Hester Wilson said that there wasn’t a moment to lose.

“Governments across Australia must ramp up their efforts and save lives,” she said.

“There are signs of progress, which can help build momentum in Australia. It’s positive news that Health and Aged Care Minister Mark Butler announced on Friday that the Government would invest in increased access to opioid dependency therapy through pharmacies. It’s critical that we significantly scale up access to these treatments because opioid dependence treatment programs, including pharmacotherapy services like methadone or buprenorphine, can make all the difference.

“More must be done to ensure that people can access the treatment they need in communities across Australia, including rural areas, so that no one should be left behind. A key factor reported on recently, is cost, with medications on the opioid treatment program requiring patients to pay a private pharmacy dispensing fee of between $5 to $15 a day. Many people with opioid dependence simply can’t afford this and so they go without. Let’s remedy that right away, because every life matters. People with opioid dependency need help to get their lives on track and removing all roadblocks stopping them from getting the treatment that could save their lives must happen without delay.

“Diversion programs make an enormous difference; however, instead of one ‘strike’ or ‘three strikes’ or whatever number you settle on, we should instead simply aim for a health-first approach for personal consumption of illicit drugs. People who are using drugs often have tremendous difficultly quitting so we should not put an arbitrary limit on the number of times they can be diverted from the criminal justice system. We don’t do the same for people quitting cigarettes, and really, it’s no different – quitting a harmful and addictive substance takes time.

“It’s also vital that we boost access to naloxone, a drug that can temporarily reverse an opioid overdose. More must be done to get this drug into the hands of people who need it most – including people at risk of overdose and their loved ones.

“Not enough people know about this incredible, life-saving drug, including the fact that an intranasal spray version is now available meaning you don’t have to inject it. It’s vital to spread the message that naloxone is now free under the Take Home Naloxone program at locations including pharmacies, treatment centres, needle and syringe programs and custodial release programs and you don’t need a prescription. Let’s boost awareness amongst GPs, other healthcare workers including nurses, people who use opioid drugs, people who know people who use these drugs, and the broader community – everyone needs to know about the benefits of naloxone.

“As I have said many times before – people who have a problematic relationship with alcohol and other drugs, including opioids like oxycodone, need help, support and compassion. Throwing them into gaol or judging them or pushing them to the margins of society doesn’t achieve anything and, in my view, diminishes us as a nation. Every person’s life matters, it’s as simple as that.”

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Northern Rivers health workers up for awards

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Northern Rivers health workers up for awards

By Tim Howard

Staff from Northern NSW Local Health District have been named as finalists for the 2024 NSW Health Awards for their extraordinary efforts to improve the NSW public health system.

Now in its 26th year, the awards acknowledge the personalised, sustainable, and digitally enabled programs that contribute to the wellbeing of patients and the community.

The Rheumatic Heart Disease Project and the Rural Paediatric Complex Care Coordination Project are among 42 finalists from across the state competing for the Excellence in Aboriginal Healthcare Award and Health Innovation Award, respectively.

The Rheumatic Heart Disease Project  aims to address the significant public health issue of Acute Rheumatic Fever (ARF) and RHD among Aboriginal communities in Northern NSW.

The project was led by Aboriginal Health Nurse Manager Emma-Jane Davies and supported by Robin Auld, Sally Adams and Daniel Ashton, with valuable advice and advocacy from Aboriginal Medical Service partners, in particular Scott Monaghan from Bulgarr Ngaru Medical Aboriginal Corporation.

The Rural Paediatric Complex Care Coordination Project improves care coordination for regional NSW children, reduces family costs and disruptions, and improves outcomes for families in regional NSW.

This is a joint project with Northern NSW, Murrumbidgee, Southern NSW and Western NSW local health districts, together with the Sydney Children’s Hospitals Network.

Rheumatic Heart Disease Project team members, from left, Tracy Bradshaw (Aboriginal Health Worker, Chronic Care for Aboriginal People), Sasha Harrington (Aboriginal Health Engagement and Governance Manage), Daniel Ashton (Aboriginal Health Performance and Project Analyst), Emma-Jane Davies (Nurse Manager Aboriginal Health) and Kirsty Glanville (executive director Aboriginal Health, NNSWLHD).

Northern NSW Local Health District also partnered with Justice Health, the Forensic Mental Health Network, NSW Health Pathology and NSW Health in the NSW Dried Blood Spot Validation Study that has been named a finalist in the Health Innovation Award.

This project is the first of its kind, and aims to make dried blood spot testing a standard diagnostic tool and, if successful, will change how testing is offered for people at risk of hepatitis C.

NNSWLHD chief executive Tracey Maisey praised the achievements of local finalists who have been recognised for their passion and commitment.

“I am thrilled to congratulate our NNSWLHD staff on having their outstanding contributions to our health system recognised,” Ms Maisey said.

NSW Health secretary Susan Pearce AM said it is really exciting to celebrate the people and teams who are enriching health in millions of ways every day.

“These awards are a chance to recognise our incredible healthcare staff and volunteers, across the public health system,” Ms Pearce said.

“I congratulate the finalists, but I also want to acknowledge the work being done across the system every day, by our teams of doctors, nurses, midwives, allied health and support staff.”

NSW Health received 186 nominations across the 12 award categories.

The finalists and winners will be celebrated at the NSW Health Awards ceremony, which will be held on Thursday, October 24 at the International Convention Centre in Sydney.

It will also be livestreamed from 6pm.

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Forty per cent of women from Northern NSW overdue for breast screening

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Forty per cent of women from Northern NSW overdue for breast screening

By Ian Rogers

This Breast Cancer Awareness Month, women aged 50-74 in the Northern NSW Local Health District are being encouraged to schedule a free mammogram, as over 40% (44.7%) of women in the region are overdue for their biannual breast cancer screening.

Patrick Magee, Acting Director of BreastScreen NSW’s North Coast Screening and Assessment Service, emphasized that with around 300 local women expected to be diagnosed with breast cancer this year, now is the time to book a free, potentially life-saving breast screen.

“For women aged 50-74, a breast screen every two years is still the best way to detect breast cancer early – before it can be seen or felt,” Mr Magee said.

“If you’re aged 50 – 74, make breast screening a priority. It only takes 20 minutes and no doctor’s referral is needed.”

This Breast Cancer Awareness Month, BreastScreen NSW is urging women to “Be A Friend, Tell A Friend” about the importance of regular mammograms. The campaign encourages women to spread the word through conversation and social media, reminding friends, family, and colleagues to prioritize breast cancer screenings.

Professor Tracey O’Brien AM, NSW Chief Cancer Officer and CEO of the Cancer Institute NSW, highlighted that early detection is key: when breast cancer is found in its earliest stages, the five-year survival rate is 98 percent. However, this drops to 43.9 percent when the cancer has spread to other organs.

“More than 6500 women in NSW are expected to receive a breast cancer diagnosis this year, and 1,000 women are expected to lose their lives to the disease in 2024, so we need to do everything we can to support women and encourage them to book in a life-saving breast screen,” Professor O’Brien said.

“Early detection not only significantly increases a person’s chance of survival it can also greatly reduce the need for invasive treatment like a mastectomy.

“I know how hard it can be to block out time for yourself. Unfortunately, breast cancer doesn’t wait, so I encourage all eligible women to stop and put themselves first – for themselves and their family.”

Breast cancer is the most common cancer among women, with age and gender being the biggest risk factors—family history is not the primary concern.

Women aged 50-74 are advised to have a breast screen every two years. BreastScreen NSW also recommends that Aboriginal women begin screening at 40, as research indicates they are more likely to be diagnosed at a younger age, with more advanced cancer at diagnosis and poorer survival rates compared to the general female population.

Any woman who notices changes in her breasts, such as a lump, should consult her doctor immediately.

For more information and to make an appointment at a local BreastScreen NSW clinic or mobile van, call 13 20 50 or book online at www.breastscreen.nsw.gov.au.

For more information about the Be A Friend Tell A Friend promotion visit here.

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Breast Cancer Awareness Month

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Breast Cancer Awareness Month

The Honorable Aileen MacDonald has reminded the public that October is Breast Cancer Awareness Month.

Ms. MacDonald emphasised the importance of supporting the National Breast Cancer Foundation during this time, as breast cancer remains the second most commonly diagnosed cancer in Australia, claiming the lives of nine people each day.

“The aim of Breast Cancer Awareness Month is to shine a light on the devastating impact breast cancer has on thousands of Australians each day,” Ms MacDonald said.

“The statistics are alarming. Every year more than 21,000 people in Australia, including around 200 men, will be diagnosed with breast cancer,” she said.

“It saddens me that every year more than 3,300 people in Australia, including 33 men, will die from breast cancer.”

Ms. MacDonald encouraged everyone to undergo screenings, as early detection significantly improves the chances of successful treatment for breast cancer confined to the breast.

“If you experience any symptoms such as lumps, dimples, discharge or discolouration, head to your doctor for further examination,” she said.

For further information Ms MacDonald said visit the National Breast Cancer Foundation website.

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