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Health News

STUDIES SHOW IGNORING ORAL HEALTH CAN HAVE SERIOUS IMPACTS ON THE REST OF THE BODY

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ORAL HEALTH NSW Northern Rivers

STUDIES SHOW IGNORING ORAL HEALTH CAN HAVE SERIOUS IMPACTS ON THE REST OF THE BODY

Previously unknown health risks for Australians – that gum disease suffered by one in three Australian adults1 could increase the risk of serious cardiovascular events, Type 2 diabetes and adverse pregnancy outcomes – are now coming to light following decades of dental and medical studies.

For Dental Health Week (2-8 August) this week, the Australian Dental Association (ADA) wants to alert Australians to the very close links between what goes on in their mouths and the far-reaching effects on the rest of the body.

The latest research across a range of studies2 has shown that people with advanced gum disease (periodontitis) have a much higher risk of a heart attack than people without it.(See Background at end of release for more.)

In another study3 conducted recently by Prof Joerg Eberhard, an oral health scientist and Chair of Lifespan Oral Health at the University of Sydney’s School of Dentistry, it was found that not brushing your teeth caused systemic inflammation which could prompt serious cardiac events.

“We asked a cohort of healthy young people with no cardiovascular risk factors, to not brush the same quadrant of their mouths, that’s seven teeth, for three weeks, to see what effect it would have on their health,” explained Prof. Eberhard.

“After three weeks we measured the inflammation in that quadrant of the mouth and we found the inflammation caused by not brushing there, had reached other parts of their body.

“But as soon as they started brushing that quadrant again, C-reactive protein, a risk marker for heart attacks, went down to normal levels. It’s another clear and concerning link between mouth health and whole of body health.”

Extensive research over decades has found that the main conditions that link the mouth with the rest of the body are cardiovascular, Type 2 diabetes and adverse pregnancy outcomes4.

Studies are also being conducted into the effects of periodontitis on pregnant women. Some early data suggests that if the gum disease is treated, the risk of having a premature baby declines.

The ADA’s Oral Health Promoter and dentist Dr Mikaela Chinotti said:“These serious health conditions and events can be significantly reduced if people regularly look after their mouths.

“That means brushing twice a day with a small amount of fluoridated toothpaste, flossing daily, eating a diet low in sugar and seeing your dentist regularly for checkups. These typically include a scale and clean which is vital for removing the bacteria that build up and start the process of periodontitis and inflammation.”

Another recent international study5 by a group of cardiologists and dentists showed that treatment for gum disease reduced blood pressure (BP) normally only achieved through medications, because high BP can come about due to a loss of elasticity in blood vessels and this loss can be caused by inflammation from gum disease.

Lifestyle also plays a big role in oral health: in a three year study6 of people from Queensland with poor oral health including gum disease, Prof. Eberhard and colleagues found that by adopting better teeth brushing techniques, going regularly to the dentist and adopting a healthier diet all led to reduced systemic markers which are predicters for a heart attack.

The ADA’s Dr Chinotti explained that periodontitis signs can be difficult to spot and may include bleeding from the gums and very little or no pain, and without treatment, the condition can worsen over time until affected teeth may finally become loose.

Risk factors include older age, smoking, drinking alcohol above recommended levels, the presence of diabetes and poor oral health practices.

“While periodontitis damage can’t be reversed, you can stop its progression by seeing a dental practitioner for treatment, including professional cleaning of the teeth above and below the gums which the patient cannot access, which halts the disease and reduces inflammation.”

More advanced cases may need surgical treatment performed by a specialist periodontist under a local anaesthetic to access difficult to reach areas under the gums.

“Regular dental visits are the best way to keep on top of your oral health and detect and manage conditions such as periodontitis, in their earliest stages of development.

“This is in addition to those other oral health basics that add up to only about six minutes a day but which protect the health of your whole body and not just your mouth.

“For too long mouth health has been separated from body health. It’s time to put the mouth back in the body.

“The ADA hopes that by making this mouth and whole-of-body relationship more widely known to Australians, they’ll understand oral health is an integral part of general health.”

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Health News

Can severe weather changes make allergies worse?

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severe weather changes make allergies worse

Can severe weather changes make allergies worse?

Although allergies are normally associated with the spring and fall, it may feel like allergy season never left this winter. From cold fronts to rainy days and back to warmer days, an allergy expert at Baylor College of Medicine explains that it is not uncommon for frequent weather changes to worsen people’s allergy symptoms.

“People who have allergies, sinusitis, asthma or any other airway inflammatory disease frequently complain that their symptoms get worse with changes in the weather, and it seems like it’s when various fronts come through and there is a big temperature change,” said Dr. David Corry, professor of medicine-immunology, allergy and rheumatology at Baylor.

Pollen
Tree and grass pollen are one of the most common triggers for those who suffer from seasonal allergies. When the weather brings a mix of several cold and warm fronts, Corry explains that it can carry pollen in the air from other parts of the country, such as pollen from Juniper Ashe trees in West Texas.
“When fronts come from the west to the east, they can bring a lot of pollen, particularly in the ‘cedar fever’ season, which is roughly during mid-January to February,” Corry said. “Those fronts can bring in that cedar pollen, which is extremely abundant and irritating.”

Mold
Another main cause of allergies is mold spores. When weather fronts bring in a series of thunderstorms, rain or other forms of precipitation, the wet environment can cause mold to bloom strongly and trigger allergy symptoms.
“The main thing that might be bothering people’s allergies is mold, which can be in the air at any time of year,” Corry said. “It gets worse with major rain or precipitation, especially if a big storm like a hurricane comes through. Cases of severe allergy or asthma can skyrocket.”
Changes in humidity
Although research is still being done on the topic, Corry said that some studies suggest that changes in humidity levels might also trigger allergies. When a cold front comes in, the humidity can plummet after the initial rain and the nose can dry out, which can cause irritation and lead to allergic rhinitis symptoms.

Allergies vs. COVID-19
With the rise of the omicron variant that appears to cause milder symptoms in those who are fully vaccinated and boosted, it might be difficult to determine whether you are experiencing COVID symptoms or allergies.
Allergies mainly cause itchy and watery eyes, runny nose, congestion and sneezing. Corry said the main differences between allergy and COVID symptoms are a fever, sore throat and itching, such as itchy eyes, nose and ears.
“Viruses, including the omicron variant of COVID-19 and the common cold, can first appear like allergies, but there are certain symptoms that help distinguish the two,” Corry said. “You almost never get prominent itching with a virus, and COVID often produces fever, which you never see in allergies. A prominent sore throat also indicates a virus.”
Allergies also are unlikely to cause profound tiredness, fatigue and muscle and joint aches.
If you are still unsure if you are experiencing allergies or an illness, try taking over-the-counter antihistamines to see if it helps with symptoms.

Treatment
Corry recommends treating allergies by using over-the-counter nasal steroid sprays for up to two weeks and taking oral antihistamines like cetirizine, loratadine or fexofenadine.
If symptoms are not relieved, Corry recommends reaching out to a primary care provider or an allergist for further treatment or allergy testing

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COVID-19 Northern Rivers News

Northern NSW remains consistently busy despite Delta

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The Northern Rivers Times Edition 76

Northern NSW remains consistently busy despite Delta

Northern NSW Local Health District (NNSWLHD) continued to provide high quality and safe care during the Delta outbreak, which started mid-June 2021. The Delta variant had a pronounced impact and was the most challenging quarter for the NSW Health system since Bureau of Health Information reporting began.
Emergency departments across NNSWLHD saw just shy of 50,000 attendances in the July to September quarter of this year according to the latest Bureau of Health Information (BHI) quarterly report.
The report, which measures hospital performance across the state, showed a 4.7 per cent increase in activity in Northern NSW emergency departments compared with the same quarter in 2020, despite stay-at-home restrictions across Local Government Areas in Northern NSW during the reporting quarter.
A total of 49,811 people attended Northern NSW EDs for treatment. This also included 9,038 patients arriving by ambulance, an 8.5 per cent increase on the same quarter in 2020.
Across the LHD, 72.9 per cent of people left the ED within 4 hours, a 2.6 per cent decrease on the comparable quarter but above the state average of 67.5 per cent.
NNSWLHD Chief Executive Wayne Jones said the results show the region’s health services coped well under the pressure of COVID-19 Delta and thanked staff for their ongoing dedication to their patients.
“I want to thank our hardworking staff for continuing to provide our community with high-quality and safe care throughout the Delta outbreak. While we are still on high alert and prepared for any increased demand, we are seeing hospital activities and attendances get back to normal levels,” Mr Jones said.
“With the state opening up and restrictions continuing to ease, we naturally expect to see greater numbers of people presenting to hospital once again.
“We also anticipate more visitors from other areas coming into the region, especially during the summer break, but our health services are primed and ready should COVID-19 hospitalisations increase.”
There were 261 presentations categorised as T1: resuscitation, the most urgent triage category, the same number as the comparable quarter, while T2, T3 and T4 categories saw increases of 4.3 per cent, 8.0 per cent, and 2.9 per cent respectively.
Elective Surgery
During July to September 2021, 3,905 elective surgeries were performed, 4.6 percent fewer than in the same quarter in 2020. The median waiting time for urgent elective surgery decreased by 1 day, to an average of 14 days. Patients on the waiting list at the end of the quarter decreased to 5,727, a 5.9 per cent drop.
More surgeries were performed on time across all urgency categories when compared to the same quarter in 2020. Almost all urgent procedures (99.5 per cent) were completed on time, with 81.3 per cent of semi-urgent, and 83.5 per cent of non-urgent surgeries performed on time.
The 2021-22 budget for Northern NSW Local Health District is over $946 million, an increase of nearly $33 million, or 3.6 per cent more, than the previous year’s budget.
INDIVIDUAL HOSPITAL RESULTS
BALLINA DISTRICT HOSPITAL had 4,092 ED attendances, a 4.1 per cent decrease on the same quarter last year. 72.2 per cent of patients started their treatment on time, with 76.9 per cent leaving the ED within 4 hours. The median time to leave the ED was 2 hours and 14 minutes.
BYRON CENTRAL HOSPITAL saw 4,876 people attend the emergency department, a 0.6 per cent drop on the comparable quarter. 81.7 per cent of patients started their treatment on time, above the state average of 74.5 per cent. 80.9 per cent of patients left the ED within 4 hours, with the median time from arrival to leaving the ED being 1 hour and 53 minutes.
CASINO & DISTRICT MEMORIAL HOSPITAL had 3,332 people attend the ED in the July-September quarter, a 21.4 per cent increase on the same quarter in 2020. Despite this significant increase in attendance, 67.6 per cent of patients started treatment on time, with 84.6 per cent leaving the ED within 4 hours. The median time spent in the ED was 1 hour and 40 minutes.
GRAFTON BASE HOSPITAL had 6,576 people attend its ED the last quarter, a 9.9 per cent increase in activity. 74.3 per cent of patients started their treatment on time, with the median time from arriving to leaving at 2 hours and 21 minutes. 72.4 per cent of patients left within 4 hours.
LISMORE BASE HOSPITAL saw 9,563 attendances, with a 7.7 per cent increase in arrivals by ambulance. 55.6 per cent of patients left the ED within 4 hours, with the median time at 3 hours and 35 minutes.
MACLEAN DISTRICT HOSPITAL had 3,436 attendances, a 22.6 per cent increase in activity. 70.1 per cent of patients started their treatment on time, with 88.4 per cent leaving the ED within 4 hours.
MURWILLUMBAH DISTRICT HOSPITAL had 4,117 attendances, an increase of 2.7 per cent, this included 331 arrivals by ambulance, a 6.1 per cent increase. 81.8 per cent of patients started their treatment on time and 84.2 per cent left the ED within 4 hours, with median time at 1 hour and 43 minutes.
THE TWEED HOSPITAL had 11,706 people attend in the July-September quarter, a 3.1 per cent increase. This included 2,725 arrivals by ambulance, a 10.6 per cent increase. 77.9 per cent of patients started their treatment on time, with the median time spent in ED at 2 hours and 41 minutes.

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Health News

Pharmacists’ remuneration for COVID-19 vaccinations must be addressed

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The Northern Rivers own newspaper

Pharmacists’ remuneration for COVID-19 vaccinations must be addressed

The Pharmaceutical Society of Australia (PSA) is calling on Federal Government to equally remunerate pharmacists for their involvement in the national vaccination strategy.

As present, pharmacists are receiving $16 per booster vaccine administered, whilst other providers such as general practitioners can receive up to $63.55 – an unfair disparity for providing the same service.

PSA National President, A/Prof Chris Freeman, stressed that the current remuneration model for COVID-19 vaccinations simply isn’t sustainable.

“On Monday, paediatric vaccinations were approved by the TGA, opening up vaccination eligibility to 2.3 million Australian children. This means that extra consultation time will be required to undertake appropriate assessment and consenting, placing further strain on service sustainability.

“As mass vaccination hubs continue to downscale operations over the coming months and we revert to pre-pandemic primary health arrangements, responsibility will fall back on immunisation providers to cover both the 5-11s cohort as well as those eligible for their booster dose.

“Frustration is mounting within the profession. Our pharmacists have had enough and can no longer justify running this service at a loss.

“If the disparity isn’t addressed soon, I am worried we’ll see pharmacies withdrawing their involvement in the national strategy, causing further setbacks in 2022.

“If pharmacists are forced to withdraw from the program, pressure will fall on already-overworked GPs and other primary care providers to deliver – causing patients to delay their vaccination.

“As a nation that is on the verge of more widely opening up to domestic and international travel, we simply cannot afford to drop the ball on this.

“We need to support our frontline pharmacists so they can continue to support the Australian community,” A/Prof Freeman said.

Background

The following table shows a breakdown of the pay rates for different providers:

Pharmacists' remuneration for COVID-19 vaccinations must be addressed

Pharmacists’ remuneration for COVID-19 vaccinations must be addressed

Pharmacists receive a flat $16 for administering a booster vaccine, whilst GPs may be able to claim additional dose administration ($24.45), and a suitability assessment ($39.10) for a total of $63.55. This is higher for GP’s in rural areas and after hours.

No after-hours payments are available for pharmacists despite many providing access outside of normal business hours.

If all three doses and a COVID-19 Vaccine Suitability Assessment are provided by the same practitioner, in a major city, a pharmacist would receive $58, whilst a GP would receive $129.05.

*MMM = Modified Monash Model defines whether a location is a city, rural, remote or very remote. It measures remoteness and population size on a scale of Modified Monash (MM) category MM 1 to MM 7. MM 1 is a major city and MM 7 is very remote.

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