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Health News

Suicide prevention approach to be updated in light of COVID-19 and bushfire impacts

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Federal Government’s COVID-19 Disaster Payments
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Suicide prevention approach to be updated in light of COVID-19 and bushfire impacts

The Mental Health Commission of NSW will lead an update of the Strategic Framework for Suicide Prevention in NSW 2018-2023 in the wake of a series of destructive natural disasters and the COVID-19 pandemic during the past two years.

Australian Bureau of Statistics annual figures released today show that 876 people died due to suicide in NSW during 2020, at a rate of 10.5 suicides per 100,000 people. While this is a decrease from 937 suicide deaths at a rate of 11.4 per 100,000 in 2019, it is far too high and underscores the continued need for prevention to be a top priority.

NSW provides its own monthly reporting of suicides across the state through the Suicide Monitoring and Reporting System which provides estimates on suspected and confirmed numbers, using data collected from NSW Police and the State Coroner. This provides regular and timely information and records that in 2020 there were 896 people reported as suspected suicide deaths in NSW. This number varies slightly from the ABS report, which counts the number of people whose suicides have been confirmed or are being finalised through the coronial process. Taken together, they confirm that continued effort and focus is needed in the ongoing priority to reduce suicide in the community.

NSW Mental Health Commissioner Catherine Lourey said while it is too early to gauge the impact of the COVID pandemic or natural disasters based on the 2020 data released, there are a number of emerging trends creating concern.

“While we do not yet have clear data on the impact of natural disasters and the COVID-19 pandemic on suicide rates, we are seeing increased demand for suicide prevention support services, increased mental health presentations in emergency departments, and greater use of mental health services booked through Medicare.

“Families, friends and communities across NSW are devastated by the impact of suicide, with an estimated 17 lives lost each week. These are not just statistics, each number is a person with their own story leaving bereaved loved ones behind. Tragically, suicide is the leading cause of death for people aged 15–44 years,” Ms Lourey said.

“In updating the Strategic Framework for Suicide Prevention in NSW the lived experience of people who have lived with suicidal thoughts or through a suicidal crisis, those bereaved by suicide and people caring for those who live with suicidal thoughts will be critical to our review. Together with other stakeholders and experts, we will be able to look behind the data to understand what’s really happening in our communities, what people’s own experience sheds light on and what types of interventions and support are most effective.”

The Strategic Framework for Suicide Prevention in NSW 2018-2023 launched in 2018 was followed by the Premier’s Priority Towards Zero Suicides Initiative which aims to reduce the suicide rate by 20 per cent from 2018 to 2023. This Initiative has provided $87 million to leading practice crisis care and support, building local community resilience and improving systems and practices to reduce the suicide rate in NSW. Additional funding has been provided in response to increased demand, including $8 million for programs in regional NSW.

The updated Framework will provide a set of key directions for a five year, whole of Government strategy to reduce the rate of suicide, draw upon best evidence and contemporary service approaches, build upon the work achieved under the Towards Zero Suicides initiative, and embed community responses and the voice of lived experience of suicide, suicidality, bereavement and caring.

Ms Lourey said consultation will begin shortly with people with lived experience, the community, the NSW Ministry of Health, lead Government agencies, the community managed sector and expert organisations.

Today’s ABS figures show suicide remains the leading cause of death among people aged 15-24, 25-34 and 35-44 years in NSW. The suicide rate of Aboriginal and Torres Strait Islander people at 21.6 is twice that of non-indigenous people which is 9.8. The suicide rate in rural and regional NSW is 15.4, which is twice that of Greater Sydney at 8.1. Involving these communities in the update of the Strategic Framework for Suicide Prevention will also be essential.

NOTE: The ABS counts suicides that have been confirmed or are being finalised through the coronial process while the NSW Suicide Monitoring and Data Management System provides estimates on suspected and confirmed suicides in NSW, using data collected from NSW Police and the State Coroner. See the latest NSW Suicide Monitoring System data at: https://www.health.nsw.gov.au/mentalhealth/resources/Publications/sums-report-jun-2021.pdf

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Vape Laws Spark Opposition

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Vape Laws Spark Opposition

 

Queuing at local pharmacies is expected to become longer and more complex due to new laws permitting pharmacies to sell e-cigarettes, commonly known as vapes.

As of 1 July, pharmacies are the sole legal dispensers of nicotine-containing vapes. Initially, customers will need a prescription to purchase these products, but starting 1 October, adults will be able to buy them after a consultation with the pharmacist.

However, the new legislation has sparked significant opposition from many pharmacy chains and independent chemists. The Pharmacy Guild of Australia has strongly criticised the move, describing the expectation for pharmacists to retail vapes as “insulting.”

“Pharmacists are healthcare professionals, and community pharmacies do not want to supply this potentially harmful, highly addictive product without a prescription,” stated Anthony Tassone, the guild’s national vice-president. Tassone also emphasised that vaping products have not been approved by the Therapeutic Goods Administration (TGA) and no nicotine-containing vape is listed on the Australian Register of Therapeutic Goods.

The controversial laws were passed by Parliament following a compromise between Labor and the Greens. Beginning 1 October, pharmacists who opt to sell vapes will be able to provide them to customers aged 18 or over with proper ID but without requiring a prescription, as nicotine vapes will be reclassified from schedule 4 to schedule 3 of the poison’s standard. However, individuals under 18 will still need a prescription to purchase nicotine vapes.

The intent behind the new laws is to regulate the sale of nicotine vapes more strictly while making them accessible for adults who choose to use them. Despite this, the Pharmacy Guild remains critical, highlighting the health risks associated with vaping and the added responsibility placed on pharmacists to manage these products safely.

As the implementation date approaches, the debate within the healthcare community and among the public is likely to intensify, raising questions about the balance between accessibility and safety in the regulation of nicotine vapes.

 

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Onsite Pharmacists – Just What the Doctor Ordered

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Onsite Pharmacists – Just What the Doctor Ordered

 

The Aged Care Onsite Pharmacist (ACOP) program aims to revolutionise medication delivery in residential facilities by placing trained professionals directly on-site.

Addressing Medication Mismanagement

The mismanagement of medications, inconsistent safety procedures, and low vaccination rates in aged care homes have long been controversial. Health authorities are urging providers to increase vaccine rates, as the lives of residents and communities are at risk. Despite these pleas, the Royal Australian College of General Practitioners reported that 97 aged care facilities had COVID-19 vaccination rates below 10%. Additionally, 706 facilities reported less than 50% of their residents vaccinated against COVID, with the lowest coverage in various states including New South Wales, Queensland, South Australia, Tasmania, Victoria, and Western Australia.

The Role of Onsite Pharmacists

The Aged Care Royal Commission identified medication delivery as a crucial area for improvement in aged care homes, recommending the employment of allied health practitioners, including pharmacists. Responding to this, the Federal Government has allocated $333.7 million to fund the ACOP program. This initiative enables residential aged care providers to engage pharmacists through local pharmacies or direct employment. These pharmacists will deliver personalised medications, manage frequent medication reviews, and administer antipsychotic drugs and vaccinations.

Goals of the ACOP Program

The ACOP aims to:

  • Improve medication use and safety in aged care homes, particularly the use of high-risk medications.
  • Ensure continuity in medication management through regular reviews and prompt issue resolution.
  • Provide easy access to pharmaceutical advice for residents and staff.
  • Integrate on-site pharmacists with the healthcare team, including local GPs, nurses, and community pharmacies.
  • Enhance understanding and response to individual resident needs.

Support from the Pharmacy Guild of Australia

The initiative has garnered support from the Pharmacy Guild of Australia, recognising the potential to elevate the role of pharmacies. This program enables pharmacists not only to deliver medications and dose administration aids but also to provide quality use of medicines within the facility. A Pharmacy Guild spokesperson highlighted the additional services pharmacists can offer, such as vaccinations, as they begin to practice to their full scope. This will create further opportunities for community pharmacies to become significant providers of healthcare services to aged care facilities.

Funding Model

The ACOP funding model is divided into two tiers:

  • Tier 1: Community pharmacies receive payments to engage with specific residential aged care facilities.
  • Tier 2: Residential aged care facilities can claim up to $138,282 per year for the full-time equivalent employment of an on-site pharmacist.

This government-funded initiative promises to improve medication management and overall healthcare in aged care facilities, ensuring better health outcomes for residents.

 

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Foods That Can Help Reduce or Prevent Joint Pain

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Minimally processed, whole foods That Can Help Reduce or Prevent Joint Pain
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Foods That Can Help Reduce or Prevent Joint Pain

 

Minimally processed, whole foods — including brightly coloured fruits and vegetables, healthy fats, and lean proteins — may help relieve inflammation and other symptoms that lead to joint pain. Inflammation is a common cause of joint pain, often associated with arthritis and other joint conditions. Eating foods that help reduce inflammation may improve joint pain and offer additional health benefits, such as improved heart health.

Can Diet Help Reduce Joint Pain?

Research indicates that diet can significantly impact joint health. A survey of 217 people with rheumatoid arthritis (RA) found that 24% reported their diet affected their symptoms. A 2023 study on osteoarthritis supports the idea that certain diet patterns can improve joint symptoms. Diets high in nuts, legumes, fruits, vegetables, and seafood, which contain anti-inflammatory properties like antioxidants and phytochemicals, may help reduce joint pain.

Beneficial Foods for Joint Pain

Incorporating anti-inflammatory foods into your diet can help reduce joint pain and slow disease activity. Beneficial foods include:

  • Nuts: Rich in healthy fats and antioxidants.
  • Legumes: High in fibre and protein, reducing inflammation.
  • Fruits and Vegetables: Packed with vitamins, minerals, and antioxidants.
  • Seafood: Especially fatty fish like salmon and mackerel, high in omega-3 fatty acids.

Foods to Avoid

To manage joint pain, limit or avoid processed foods, trans fats, and added sugars. A nutrient-rich diet can also help maintain a moderate weight, reducing strain on the joints.

Popular Diets for Joint Pain

The Mediterranean Diet

Emphasises fruits, vegetables, whole grains, legumes, and healthy fats, with moderate seafood and poultry, and limited dairy and red meat. Associated with reduced inflammation and improved joint health.

The DASH Diet

Includes fruits, vegetables, fish, poultry, nuts, whole grains, and low-fat dairy while restricting salt, sugar, fats, and red meat. May help improve and reduce the risk of gout, a type of arthritis that causes joint pain.

Conclusion

Incorporating a variety of nutrient-rich, anti-inflammatory foods into your diet can help manage and prevent joint pain. Following dietary patterns like the Mediterranean or DASH diets may offer comprehensive benefits for joint health and overall well-being.

 

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