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News and Reviews

Be prepared for vaping law changes

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Federal Government’s COVID-19 Disaster Payments
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Be prepared for vaping law changes

The Royal Australian College of General Practitioners (RACGP) is urging GPs to be prepared for changes to vaping laws coming into effect on 1 October.

Under the changes nicotine vaping products, such as nicotine e-cigarettes, nicotine pods and liquid nicotine, will be available only by prescription as a smoking cessation tool. People will no longer be able to buy these products or import them from overseas websites without a valid prescription.

GPs can prescribe nicotine vaping products by becoming an Authorised Prescriber (only takes a few minutes and is free), through the Special Access Scheme or providing a prescription for three months’ supply via the Personal Importation Scheme.

The RACGP has produced evidence-based guidance for health professionals to support smoking cessation. The guidance covers the evidence on effectiveness of nicotine vaping products for supporting smoking cessation, their place in therapy and the practicalities of prescribing them. In the absence of an evidence base for how to prescribe these products for therapeutic use, practice points have been developed to minimise risk to prescribers and patients, including:

· nicotine vaping products are currently not approved therapeutic products, and it is valid and reasonable for medical practitioners to opt not to prescribe them

· if prescribing, use the Authorised Prescriber or Special Access Scheme prescribing pathways instead of the Personal Importation Scheme to minimise the risk of the patient receiving imported products that do not meet the TGO 110 requirements. These include requirements on labelling, child-resistant packaging, and the prohibition of other active ingredients beside nicotine

· avoid prescribing free-base nicotine at concentrations over 20mg/mL and limit the quantity of nicotine vaping products per prescription to a maximum of three months’ supply (and align the duration of supply with the timing of follow-up)

· avoid the use of flavours or limit these to just tobacco flavour since flavouring chemicals are not standardised and their safety for inhalation into the lung is not known.

· provide follow up as well as behavioural support.

RACGP President Dr Karen Price encouraged all GPs to familiarise themselves with the changes.

“GPs have a lot on their plate right now but it’s important that they are aware of what these changes to vaping laws mean for them and their patients,” she said.

“Prescriptions for nicotine vaping products are not a first-line treatment for smoking cessation and should only be tried when other measures, such as nicotine replacement therapy with behavioural support, have failed.

“It will be the job of GPs in communities across Australia to apply discretion and judgment when considering the patient’s individual circumstances.

“Those who do have a prescription will be able to obtain nicotine vaping products by filling the prescription via a pharmacy.”

The RACGP President said that there were resources available to help bring GPs up to speed with the changes.

“Any GP keen to learn more about these changes can take part in a webinar organised by Quitline and accredited by the RACGP on 5 October, which includes clinical guidance for nicotine vaping products,” she said.

“The webinar will describe the process for prescribing nicotine vaping products and outline all the clinical considerations involved. I encourage all GPs to sign up and learn about these changes that are coming into effect.

“It’s important that GPs are wary of being pressured into prescribing these nicotine vaping products. The laws governing these products are in place for a reason – the long-term health effects of using e-cigarettes or ‘vaping’ are unknown and the evidence base for their efficacy as a smoking cessation tool remains uncertain.

“A prescription for these products should only be used as a last resort, vaping is not a risk-free, harmless version of smoking cigarettes. These are addictive and harmful products that can prove fatal if ingested in certain amounts.”

Dr Price also urged people seeking access to nicotine vaping products to be patient and respectful of GPs and practice staff.

“I understand that these changes will take some people by surprise. Please don’t take your frustrations out on GPs, practice managers, nurses, receptionists or administrative workers,” she said.

“They are not the ones who made these rules and GPs will only be able to prescribe these products as a last line treatment for smoking cessation.

“I encourage anyone who smokes or vapes to consult with their GP about quitting and explore the pharmacotherapy and behavioural treatments and supports available. This includes nicotine replacement therapy in the form of a patch, spray, gum or lozenge. There are also several effective drugs that are available such as varenicline, which blocks the pleasure and reward response to smoking, as well as bupropion hydrochloride, which reduces the urge to smoke.

“Many people see quitting as just too difficult but with the right approach, including the support and guidance of a GP and having strong strategies in place, it is possible. It could be the best health decision you ever make.”

Details about the webinar on 5 October and registration can be found here.

The RACGP was selected as one of the recipients of the 2020 World No Tobacco Day awards for our valuable work including the release of new Smoking Cessation Guidelines 2020. Note: The smoking cessation guideline’s conditional recommendation 15 concerning vaping can be found here on the RACGP website.

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News and Reviews

Lennox Head para surfer Joel Taylor wins world title

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Lennox Head para surfer Joel Taylor wins world title

 

By Sarah Waters

Not many people can experience a devastating, lifechanging injury and then go on to be a world champion.

But in a story of unbelievable triumph, Lennox Head para surfer Joel Taylor, 43, has done exactly that.

Joel is now the 2023 ISA World Para Surfing Champion.

The competition, held at Huntington Beach in California, attracted 184 of the world’s best para surfers from 27 countries, who competed over six days for the champion title.

Joel competed in the Men’s Prone 1 Division and got off to a strong start, topping the leaderboard in the two qualifying rounds.

He pushed himself to the limit in round three and the semifinals to qualify for the final, which he finished with an amazing score of 13.17 points out of 20.

Joel Taylor surfed five rounds over six days at Huntington Beach in California against the world’s best para surfers. Credit: ISA / Sean Evans

Joel Taylor surfed five rounds over six days at Huntington Beach in California against the world’s best para surfers. Credit: ISA / Sean Evans

Joel said he dreamt of being a world champion since he was 13 years old, when he first saw Australian bodyboarder Michael ‘Eppo’ Eppelstun win the bodyboarding world championship in 1993.

“I’m so stoked and really proud – and kind of relieved,” he said.

“I’ve been focused on winning this contest pretty much since I started para surfing just over 12 months ago, to do so, with my family on the beach, is a dream come true.”

What made Joel’s victory so remarkable was that up until last year, he hadn’t been in the ocean for two decades.

At 21-years-old he was Australia’s rising star of bodyboarding.

But things went horribly wrong for him in the lead up to the 2001 Pipeline Pro bodyboarding competition in Hawaii.

A ‘shockwave’ flipped him out of control and forced him down feet first onto the shallow reef below him, injuring his spinal cord and leaving him paralysed from the waist down.

He has been confined to a wheelchair ever since.

Surrounded by family, Joel secured his long held dream of winning a world championship title. Credit: ISA / Pablo Franco.

Surrounded by family, Joel secured his long held dream of winning a world championship title. Credit: ISA / Pablo Franco.

Despite the dark years that followed the accident, as Joel tried to process his new reality, he managed to launch a new business venture, Unite Clothing Company.

It has gone on to be one of the country’s top bodyboarding brands and a formidable clothing label in its own right.

The thought of surfing again at a competition level was pushed aside as his life was consumed with work.

Eventually, he met his wife Lorin, and they had two young boys, Jay and Sunny, who he wanted to introduce to the ocean.

“We have world renowned beaches and surf spots here in the Northern Rivers,” Joel said.

“I was lucky enough to grow up here too, so I wanted to give my young sons the same lifestyle that I had growing up.

“That was my main motivation.”

Joel Taylor finished the final round with an impressive score, which put him on the winner’s podium. Credit: ISA / Sean Evans

Joel Taylor finished the final round with an impressive score, which put him on the winner’s podium. Credit: ISA / Sean Evans

Last year, Joel decided to get back on a board and enter the ocean again.

The ocean gave him a renewed sense of freedom and energy that he hadn’t felt for 22 years.

It wasn’t long before his competitive spirit came back and although he may not have been able to bodyboard like he used to, he adapted his style to the next closest thing – para surfing.

Joel trained at the gym almost every day and surfed as much as possible at Northern Rivers beaches, which had similar waves to Huntington Beach in California.

“My arms are pretty strong from pushing a wheelchair around for the past 20 years and chasing my boys around in it,” he said.

“But it took me about four months to get my paddle fitness up again.

“I knew if I trained hard and prepared well, I’d have a good shot at claiming gold, so I did everything I could beforehand to make it happen,” he said.

Lennox Head para surfer Joel Taylor claims the 2023 ISA World Para Surfing Champion title. Credit: ISA / Pablo Franco

Lennox Head para surfer Joel Taylor claims the 2023 ISA World Para Surfing Champion title. Credit: ISA / Pablo Franco

While, claiming the ISA World Para Surfing Championship title may have secured Joel’s long held dream of becoming a world champion, the competition also proved to be a great eye-opener and inspiration for him.

He is now going to enjoy time with his family without the pressure of competition on his shoulders.

He also wants to explore the boundaries of what’s possible for a paraplegic surfer and is looking at adjusting his surfboards so he can ride bigger waves, like the ones he used to as a bodyboarder.

 

For more sports news, click here.

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News and Reviews

Carrs Dr development approved on appeal

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Subdivision plan showing location of building envelope outside of C2 zone at Carrs Dr
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Carrs Dr development approved on appeal

 

By Tim Howard

Clarence Valley Council continues to approve developments on land that is in danger of flooding.

At its October meeting the councillors overturned their decision in April to knock back a proposal for a six-lot subdivision at 181 Carrs Dr, Yamba.

The council was asked to review its decision after the developers amended the DA to address the issues raised in April.

They were:

a) The land being a wetland (swamp forest of swamp oak) making it unsuitable for the proposed development;

b) The nine submissions raised major concerns about the potential for flooding, impacts of stormwater runoff and clearing of natural vegetation.

c) The likely impacts of the development on the natural environment;

d) Impact on areas of C2 zoning for some infrastructure.

In a report to the October meeting council staff recommended the DA be approved as the amended document address the reasons for refusal.

The proposal for six large lots, with a minimum lot size of 5000 square metres, was zoned R5 Rural, with a section of the sixth lot zone C2 Conservation.

Councillors objected to effluent disposal on the C2 area, the blocking of a wildlife corridor through the site for the Yuraygir and Bundjalung national parks and the flood prone nature of the site, which had been inundated during the 2022 floods in February and March.

The developer requested a review of the refusal after making changes to the DA which removed infrastructure on the C2 area as well as restricting the building envelope for structures on the other lots.

The developers also argued the site was not a mapped wetland or located with 100m of a wetland as indicated by State Environmental Planning Policy.

In a Biodiversity Diversity Assessment Report, it said the plant community type, swamp oak forest, did not constitute a wetland community type, but rather, was vegetation aligned with swamp oak forest.

There was a similar rationale to account for the presence of a paperbark swamp forest located nearby but not affected by the development.

The land was considered suitable for the proposed development because the biodiversity impact could be offset under the terms of the Biodiversity Offset Scheme.

Subdivision plan showing location of building envelope outside of C2 zone

Subdivision plan showing location of building envelope outside of C2 zone

Other issues of flooding, impacts on the environment were also considered to have have been satisfactorily amended.

Cr Karen Toms, who supported the original development, moved to also accept the revised DA.

Cr Debrah Novak wanted to know what changes had had been made and director environment and planning Andrew Cameron answered.

“All infrastructure for the proposed lat six has been relocated outside the C2 environmental conservation zone and a reduction in building envelope size for the proposed lots two to six from 20 by 20 to 15 by 20,” he said.

“So they’re the two main changes that have been made in response to the previous council report.”

Cr Greg Clancy was not convinced changes were sufficient.

“While, I note that the there is no map wetlands on the site or being impacted, the fact that there were swamp oaks of coastal lowlands of the NSW North Coast bio-region and there’s 0.415ha to be impacted, flags to me that the site is a very low lying site and would be subject to flooding,” he said.

“And this was an issue that I was concerned about during the original DA when it was before council previously.

“I still have concerns that it is too low lying and it is basically a swamp even if it’s not mapped as such.”

He said there needed to be changes to stop people building in flood prone areas.

“I do not think we should be approving housing in areas which are most likely to be flooding,” he said.

“And I think that might be one in 20 or something like that rather than one and 100. So, to me, it’s not good planning to be putting houses in areas that are quite likely to flood.”

But Cr Toms said the rules were the rules.

“Under the Environment Planning and Assessment Act 1979, people have an opportunity for a review under Section 8.28 of that Act. And that’s what has happened,” she said.

“The applicant has requested a further review of their determination and they have made some changes to to rectify the concerns that were caused that caused the refusal the last time.”

“So they’re tweaked to make concessions to their subdivision to satisfy the reasons why it was refused last time. So that’s the process. That’s their lawful right.”

The council voted 7-2 to approve the DA.

 

For more local Clarence Valley news, click here.

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News and Reviews

Lawrence power to win over Iluka

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Lawrence batter Rowan Green top scored for his team with a stylish 37 against Harwood at Lower Fisher Park 1, Grafton, on Saturday.
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Lawrence power to win over Iluka

 

By Tim Howard

Wet weather and player unavailability played havoc with the the Clarence Valley’s Premier League and first grade cricket matches at the weekend.

In Premier League Brothers have forfeited to Harwood when they could only find five players to take the field for the game scheduled for Harwood Oval on November 11 and 18

Harwood skipper Ben McMahon said the club got the call from the Brethren that they had to forfeit ahead of the game.

He said it had shocked him that a club as strong as Brothers had fallen on hard times.

“Before we left the premier league a few years ago, Brothers was one of the strong teams in the competition,” he said.

“Now they’re struggling to field one team in the competition and could only get five players for Saturday.”

McMahon said it was fortunate for some of the team they were selected in the North Coast Zone team to play in the Country Championships over the next weekend.

“We’ve got the buy in the next game so there could be a long break without some cricket,” he said.

Only one game completed was in first grade, between Iluka and Lawrence, at Iluka Sportsground.

Lawrence proved too strong for the hosts, dismissing Iluka for 103 and chasing down the total for the loss of two wickets.

Iluka could not support middle order batter James Duff, who scored 45 and captain Beau-Dean Oestmann, 20.

No-one else reached double figure and the innings was over in 22.3 overs.

Nathan Anderson had the best figures for Lawrence with 3/26 from seven over and Ben Shaw and Christopher Townson each took two wickets.

Lawrence openers Mark Ensbey, 39 and Ben Hill, 30, sliced a big lump from the chase before Rowan Green 22no and Darby Rouse, 4no, finished it off.

Dean Bartlett with 2/16 from seven overs was easily the pick of the Iluka bowling.

 

For more sports news, click here.

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