×

“London to Sydney – by any means”

BY DR CLIVE FRASER

The 1968 London to Sydney Marathon

It’s been almost 50 years since an adventurous group of drivers in 98 cars set off from London on a long road race to the Antipodes (aka Sydney) on the other side of the world.

The idea for the race came from the owner of the Daily Express newspaper, who reasoned that the stagnant UK economy could be bolstered by the world-wide attention that the race would create.

He put up £10,000 in prize money and off they went.

The rules were simple.  Go as fast as possible and try to get to Sydney first.

Repairs could be undertaken en route, but no one was allowed to touch their vehicle whenever it was being transported by boat.

The field was made up of a range of vehicles from Hillman Hunters to Falcon GTs and the drivers were as diverse as privateers and seasoned rally drivers such as Andrew Cowan.

I was 10 years old when the race was run and I recall being mesmerized as I followed the field across the globe.

After all, this was all before Apollo 11 and man setting foot on the Moon.

There were still remote places on Earth and National Geographic maps were still being used for navigation.

Unbeknown to me, a family from Australia were making the same trip from London to Sydney in a recently purchased Kombi van.

Their route would be more circuitous taking them first to Norway, across Scandinavia and down through Europe into Spain.

From there they were finally heading in an Easterly direction towards the Middle East and onwards.

I recently met the driver who is not far off becoming a Centenarian.

He has so many stories to tell and I had so many questions to ask.

For starters, “Did the Kombi break down?”

The answer being, “No, never.”

“Did you have any dramas on the trip?”

The answer being, “Only in Afghanistan!”

No surprises there I thought, after all even today Afghanistan is still a remote and dangerous place.

“Oh no, not at all,” I was told.

“We’d camped for the night in a field. We were just about asleep when there was a knock on the window. It was a police officer. He told us that there’d been some problems between a local tribe and another traveller recently. He thought it would be safer if we camped in the police station compound, which we did.”

“What was the highlight of the trip?” I asked.

“The roads, how great the roads were, in … in Afghanistan,” came the reply.

I thought I’d misheard the last sentence. 

Afghanistan and great roads, could that be possible?

Well, yes.

Between 1960 and 1967 the US Army Corp of Engineers built 2,700 miles of paved highways in Afghanistan.

According to my research, the purpose of the regional transportation project was peaceful with no mention of the politics of the Cold War and the northern Russian neighbours.

The construction of just one highway between Kabul and Kandahar would shorten the journey from 10 days to six hours.

I’m not sure how many of the 50-year-old highways still remain, but since November 2016 they are being re-built again with the US stating that: “The most effective weapon America possesses in the war on terrorism may not be its military capacity, but rather rural roads and access to technology.”

Andrew Cowan won the London to Sydney Marathon in a Hillman Hunter and that model continued production in Iran until 2005.

My almost Centenarian friend also got to Sydney and is still running his marathon.

Safe motoring,

Doctor Clive Fraser

doctorclivefraser@hotmail.com

[Comment] Offline: Planetary health—the great acceleration

“Eviscerate it!” Laurie Garrett was at her most pugnacious. She was speaking last week at the New York headquarters of the Rockefeller Foundation. Her subject was Planetary Health 2.0 and her target was the Intergovernmental Panel on Climate Change (IPCC), specifically its work on health. Yes, humans are of course sensitive to weather. Yes, existing health problems will get worse as the climate crisis gets worse. But she wasn’t buying the IPCC’s conclusion that “the present worldwide burden of ill health from climate change is relatively small compared with other stressors on health”.

National Women’s Health Survey: have your say

The Women’s Health Survey, the only national survey focusing on women’s health behaviour and information needs, is underway for the third year.

Run by national not-for-profit organisation Jean Hailes for Women’s Health, the survey asks women about a range of health issues, including body image, mental health, sex, relationships, weight, and healthy living.

Last year’s survey revealed that Australian women are most worried about gaining weight, but their doctors think they are more concerned about their mental health.

Thousands of women across Australia from different life stages, ages and background have responded to the survey in previous years.

The responses are collated anonymously and statistically analysed, and used to develop free resources on a wide range of issues for health professionals, government and women.

The survey can be accessed at bit.ly/jeanhailessurvey, and takes around 10 minutes to complete.

Treat addiction as health issue, not crime – experts

Australian governments are continuing to ignore the recommendations of the Ice Taskforce to treat ice addiction as a health and social issue, rather than a criminal justice problem, two prominent drug law reform advocates say.

Dr Matthew Frei, the clinical director of Turning Point, and Dr Alex Wodak from St Vincent’s Hospital’s Alcohol and Drug Service, say that the prevailing theme of the Ice Taskforce report was an emphasis on drug treatment over law enforcement, but governments had failed to act.

“Governments continue to define the issue as primarily a criminal justice problem, use pejorative terms when referring to people who use drugs, and generously support law enforcement measures while parsimoniously funding health and social interventions,” they wrote in the Medical Journal of Australia.

“Australian Commonwealth, State and Territory governments allocated about two-thirds of drug spending to law enforcement and only 9 per cent for prevention, 21 per cent for drug treatment, and 2 per cent to harm reduction over the 2009-10 financial year.

“After decades of this approach, Australia’s illicit drug market is expanding. Not only are illicit drugs easy to obtain, but prices have fallen and many newly identified psychoactive drugs have appeared, often more dangerous than older drugs.

“Over recent decades, drug-related deaths, disease, crime, corruption and violence appear to have increased.

“Vast sums spent on criminal justice measures have only succeeded in making a bad problem much worse.”

Ice, or crystalline methylamphetamine, now dominates the market, compared with less potent powder forms of the drug.

“While the Ice Taskforce acknowledgment of the role of treatment is positive, it follows years of parsimonious funding for drug treatment that has left Australia with an inflexible, poor quality system with limited capacity,” Dr Frei and Dr Wodak wrote.

“This would not be considered acceptable anywhere else in the health sector.”

However, there were some promising signs.

“An encouraging aspect of the Taskforce recommendations was the provision of Medicare item numbers for the relatively new discipline of addiction medicine,” they said.

“This was implemented in November 2016, ending many years of struggle for this important specialty.

“[This] will help addiction medicine recruit new trainees, and build a specialist alcohol and other drug sector.”

Maria Hawthorne

 

Brexit could lead to med-exit in UK

European-trained doctors are considering leaving the United Kingdom because they don’t feel welcome following the Brexit vote, according to research undertaken by the British Medical Association.

The survey of 1,193 European Economic Area doctors working in the UK revealed about two in five might leave the UK due to the referendum result.

That equates to a possible 12,000 doctors who qualified in the EEA leaving the UK because of Brexit.

With an already struggling National Health Service in Britain and a growing personnel shortage problem in its hospitals, fears have been raised a health care disaster could sweep the nation if so many EEA doctors leave.

The research found European doctors now feel significantly less appreciated by the UK Government than they did before the Brexit vote.

Many feel uncertain about their futures in Britain, with some already making plans to return to their countries of origin.

Among other questions, the survey asked how committed the doctors were to working in the UK. Before the Brexit vote, the average response to that question rated nine out of ten. That has fallen to six out of ten in this latest survey.

On the question of how appreciated they felt working in the UK, the average response has fallen from seven out of ten to less than four out of ten.

On the latest figures, there are 280,932 doctors on the UK medical register, with 30,733 having attained their qualifications in another EEA country.

 The EEA includes all 28 members of the European Union as well as Iceland, Norway and Liechtenstein.

Chris Johnson

 

The AMA Indigenous Medical Scholarship Becomes Tax Deductible

 The number of Aboriginal and Torres Strait Islander people attending university is sharply increasing; and more Indigenous people are choosing to study medicine.  

There are now well over 200 Indigenous doctors practicing medicine across Australia, but barriers remain that prevent many Aboriginal and Torres Strait Islander people from completing a medical degree.  Factors, such as cultural differences, racism, high expectations, financial hardship, and lack of academic support all play a role in preventing students from realising their dream of being a medical professional.

The AMA has a scheme in place to support more Indigenous students to pursue their dream of becoming a doctor – the Indigenous Medical Scholarship. Each year, the AMA offers a Scholarship to an eligible Aboriginal or Torres Strait Islander student, providing financial support for the full duration of a medical degree.

Since its inception in 1994, the Indigenous Medical Scholarship has helped more than 20 Indigenous men and women become doctors, many of whom may not have otherwise had the financial resources to study medicine. Despite this success, the AMA hopes to expand the number of Scholarships on offer each year to meet the increasing demand for the Indigenous Medical Scholarship. The number of applicants for the Indigenous Medical Scholarship is increasing each year, and we expect this this to increase even more in the future.

It can cost between $10,400 and $15,000 to attend one year of university to study medicine and students typically undertake four to six years to complete their degree to become a registered medical practitioner.

There is evidence that Aboriginal and Torres Strait Islander people have improved health outcomes when they are treated by Indigenous doctors and health professionals. Indigenous doctors have a unique ability to align their clinical and sociocultural skills to improve access to services, and provide culturally appropriate care for Aboriginal and Torres Strait Islander people. Yet, Aboriginal and Torres Strait Islander doctors comprise less than 1 per cent of the entire medical workforce.

The AMA is seeking contributions towards the Indigenous Medical Scholarship to increase our support for Indigenous medical students, and to help grow the Indigenous medical workforce. All contributions can be claimed as a tax deduction.

By supporting an Indigenous medical student throughout their medical training, you are positively contributing to improving health outcomes for Aboriginal and Torres Strait Islander people.

If you are interested in making a donation to the Indigenous Medical Scholarship, please contact Ms Sandra Riley at the AMA via email at indigenousscholarhip@ama.com.au or phone (02) 6270 5400.

Further information about the Indigenous Medical Scholarship can also be found online at: advocacy/indigenous-peoples-medical-scholarship.

 

The Scholarship was established in 1994 with a contribution from the Australian Government.

 The AMA would like to acknowledge the contribution of the Reuben Pelerman Benevolent Foundation and also the late Beryl Jamieson’s wishes for donations towards the Scholarship

 DONATE TO THE AMA’S INDIGENOUS MEDICAL SCHOLARSHIP TODAY!

 

 

Vaccinations debate gets a shot in the arm

One Nation leader Pauline Hanson has sparked outrage and ignited a fresh debate over vaccinations by saying the Government was blackmailing parents into immunising their children.

Reinforcing her belief that vaccinations have links to autism and can cause other ill effects, Senator Hanson suggested parents have their children tested first to determine if they will react adversely to the shots.

“I’ve heard from parents and their concerns about it and what I have said is I advise parents to go out and do their own research with regards to this,” she told the ABC’s Insiders program.

“Look, there is enough information out there. No-one is going to care any more about the child than the parents themselves. Make an informed decision.

“What I don’t like about it is the blackmailing that’s happening with the Government. Don’t do that to people. That’s a dictatorship. I think people have a right to investigate themselves. If having vaccinations and measles vaccinations is actually going to stop these diseases, fine, no problems.

“Some of these – parents are saying – vaccinations have an effect on some children. Go and have your tests first. You can have a test on your child first.

“Have a test and see if you don’t have a reaction to it first. Then you can have the vaccination. I hear from so many parents. Where are their rights? Why aren’t you prepared to listen to them? Why does it have to be one way?”

Senator Hanson did not stipulate what test she was referring to and some days later apologised, saying she was wrong about it.

She has also stated that her comments were only a personal opinion and admitted that she had had her own children vaccinated.

But she maintains her distaste for the current Government policy to withhold some welfare payments and childcare fee rebates from parents who don’t fully immunise their children.

“I’m not saying to people don’t get your children vaccinated. I’m not a medical professional” she said while campaigning in the WA State election.

“I had my children vaccinated. I never told my children not to get their children vaccinated. All I’m saying is get your advice.”

Her initial remarks, however, have caused a backlash from a host of experts, commentators and politicians – including Prime Minister Malcolm Turnbull.

“If parents choose not to vaccinate their children, they are putting their children’s health at risk and every other person’s children’s health at risk too,” Mr Turnbull said.

Health Minister Greg Hunt described Senator Hanson’s comments as “incorrect in fact” and not what a Member of Parliament should be making.

He also acknowledged that the so-called No Jab, No Pay policy is a strong and tough policy, but one he backed 100 per cent.

“I take a very clear, strong view of this. Vaccination is fundamental to protecting not just our own children, but everybody else’s children,” Mr Hunt said.

“There are decades and decades of different sources of evidence and practise and simply reduced incidences of conditions such as mumps and measles, rubella, whooping cough.

 “So the evidence is clear, overwhelming and very broadly accepted.”

 The AMA has provided much of that evidence over a long period of time.

 Responding to Senator Hanson’s controversial remarks, AMA President Dr Michael Gannon praised the national immunisation program.

 “The false claims, the mistruths, the lies that you can find on the internet are of a great concern to doctors,” Dr Gannon said.

 “The national immunisation program is a triumph. There is good news in this story – 95 per cent of one-year-olds in Australia are fully vaccinated, 93 per cent of five-year-olds are fully vaccinated.

 “But we know that a lot of parents are doing this with some reservations, and that’s of great concern.

 “The person to give you the most accurate information about the benefits of vaccination to allay your concerns is your local immunisation provider. In many cases, that’s your family GP.

 “I can assure you that there is some absolutely galling rubbish available to parents on the internet.

 “They need to be taught how to find credible sources of information. Anything which weakens this most important of public health measures really needs to be stepped on.”

 Meanwhile, a new national survey has revealed that health care providers are refusing to treat one in six children who are not up to date with their vaccinations.

 The sixth Australian Child Health Poll was conducted and released by the Royal Children’s Hospital Melbourne and published in March under the title Vaccination: Perspectives of Australian Parents.

 It also found that 95 per cent of parents kept their children up to date with vaccines, but that almost a third of parents held concerns about vaccination safety.

 Dr Gannon labelled it an interesting and important study.

 “It refers to health care providers. I would be surprised if we were talking about doctors. It’s not ethical to deny treatment to unvaccinated children,” he said.

 “I suspect we would hear many, many complaints if this was the fact, that these were doctors refusing to treat these kids.

 “Certainly legally they can refuse treatment, but ethically they shouldn’t. Parents who deny their children the individual benefits of vaccination against preventable and infectious disease are already doing their child a disservice. Doctors would not seek to enhance that disadvantage.

 “This study is a good news story in many ways. It shows the overwhelming support that the vaccination program enjoys amongst Australian parents.”

 Director of the Child Health Poll, paediatrician Dr Anthea Rhodes, said the survey suggested a worrying pattern of practice not previously identified in Australia.

 “All children, regardless of their vaccination status, have an equal right to health care,” Dr Rhodes said.

 Chris Johnson

 

 

 

 

 

Flu vaccine not available until April 2017

The Federal Government has announced that the quadrivalent influenza vaccine stocks won’t hit GPs until mid-April this year.

According to a Health department spokeswoman, “The vaccine companies are finding it harder each year, with some many strain changes, to produce enough vaccine for mass distribution before April.“

Although flu vaccines are being administered in some chemists from mid March, there is an advantage to a slightly later vaccination date.

According to Australian Technical Advisory Group on Immunisation (ATAGI) advice, “Recent evidence suggests protection against influenza may start to decrease from 3 to 4 months following vaccination and early vaccination needs to be balanced with this.”

The peak month for influenza in Australia is August and it’s estimated to be responsible for more than 5000 hospitalisations and almost 170 deaths each year.

Related: MJA – Influenza vaccine effectiveness in general practice and in hospital patients in Victoria, 2011–2013

The strains covered in this year’s vaccination are:

  • A (H1N1): an A/Michigan/45/2015 (H1N1)pdm09* like virus
  • A (H3N2): an A/Hong Kong/4801/2014 (H3N2) like virus
  • B: a B/Brisbane/60/2008 like virus
  • B: a B/Phuket/3073/2013 like virus

Typically, people most commonly affected are young children and older adults with pregnant women particularly high risk of becoming seriously ill.

The immunisation vaccine is funded under the National Immunisation Program for certain at risk groups. They are:

  • Aboriginal and/or Torres Strait Islander children between 6 months and 5 years and 15 years and over,
  • Anyone 65 years and over,
  • Anyone 6 months and over who have certain medical conditions including severe asthma, lung or heart disease, low immunity or diabetes,
  • Pregnant women.

For more information, visit the: Australian Technical Advisory Group on Immunisation (ATAGI) advice for immunisation providers regarding the administration of seasonal influenza vaccines in 2017 and the updated Australian Immunisation Handbook 10th edition.

Latest news

[Comment] Offline: Looking forward to Donald Trump

Perhaps we should be more relaxed about Donald Trump as America’s next President. First, he will likely serve only one term. It will be over before you can say Hillary Clinton. Second, if Nigel Farage was to become Her Majesty’s Ambassador to the United States of America, it would exclude a particularly disagreeable voice from British politics. We might be grateful. Third, Mr Trump is not a Republican. He may find he has two parties opposing him in Congress, instead of one. Gridlock plus plus plus.

[Comment] India’s new health systems knowledge platform—making research matter

The recent decision by the Government of India’s Ministry of Health and Family Welfare to set up the National Knowledge Platform (NKP) for health systems and public health research1 could be a watershed in how key decisions get made in India’s complex, federal health system. The NKP aims to support health systems research and its uptake in policy. It has been established after consultations involving the central government, the Alliance for Health Policy and Systems Research, WHO’s country office in India, and national-level technical organisations.