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Health News

THE WHOLE TOOTH ABOUT COVID’S EFFECTS ON OUR ORAL HEALTH

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THE WHOLE TOOTH ABOUT COVID’S EFFECTS ON OUR ORAL HEALTH 1/8/22

For Dental Health Week (1-7 August), one of the key findings from the Australian Dental Association’s (ADA) annual Consumer Survey of 25,000 Aussies, is that one in three people postponed dental treatment in the last 12 months due to COVID-related concerns.

Of those that postponed, this included 23% of 18-24s rising to 41% of 65-74s, with more women than men putting it off across all age ranges.

Why the delay? The main reason for delaying, as cited by respondents, is that they felt that their dental problem was not urgent (26%), while 17% were concerned about catching COVID at the dental clinic or travelling to it, 16% reported not being in a financial position for dental care and 14% did not attend due to lockdowns or were unable to travel to the dental clinic.

Of those who delayed their dental consultations, 21% felt this adversely affected them, while 17% were unsure whether it did. Residents of Victoria, NSW and the ACT who experienced greater periods of lockdown, more commonly reported that their oral health was adversely affected.

“These statistics tell us a lot about where oral health is sitting for people during the Covid pandemic,” said Dr Mikaela Chinotti, the ADA’s Oral Health Promoter and Sydney dentist.

“With people losing their jobs or working reduced hours, dental care took on a lesser priority or was inaccessible during lockdowns for some families.

“That said though, with two thirds of people still getting treatments or attending for check-ups particularly in states less impacted by lockdowns, this is good news for the nation’s oral health because oral conditions left untreated can result in serious consequences including on the rest of the body.”

Delaying tactics: Of those who put off a visit, 42% were putting off a usual dental check-up, 26% were putting off checking a new problem, and 24% were delaying treating an existing problem.

A further 8% put off their appointment for ‘Another Reason’. Reasons for doing so (in order from most reported) included a referral from another health professional for a related medical condition such as teeth grinding, care for a minor injury, cosmetic concerns such as teeth whitening, adjustment or fitting of a dental device like braces and buying dental products like a mouthguard or whitening products.

The next dental visit: Fortunately many Aussies don’t plan to delay for too long: 54% planned to go in the next 1-3 months, 22% were going to book within 3-12 months and others were either waiting for the pandemic to ease, or to reach full vaccination status or were still unsure.

“Anecdotally we’ve heard from many ADA dentist members that with the stress of the pandemic there’s been an increase in cracked teeth, tooth sensitivity and/or pain associated with clenching or grinding of the teeth and an increase in discomfort from the jaw joint,” said Dr Chinotti.

“For those Aussies who delayed dental care due to the COVID pandemic, Dental Health Week is a great reminder that it’s time to show you teeth some love by taking them on a date to the dentist.

“When not at the dentist, Aussies can also find up-to-date and evidence-based oral health advice online in the form of short educational videos, articles and a multi-episode podcast on the ADA’s consumer-focused website: www.teeth.org.au.”

 

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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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