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[Department of Error] Department of Error

Bertram MY, Sweeny K, Lauer JA, et al. Investing in non-communicable diseases: an estimation of the return on investment for prevention and treatment services. Lancet 2018; 391: 2071–78—In this Series paper (published online first on April 4, 2018), a copyright line has been added. This correction has been made to the online version as of April 5, 2018, and the printed Series paper is correct.

[Department of Error] Department of Error

Niessen L, Diwakar M, Akouku JK, et al. Tackling socioeconomic inequalities and non-communicable diseases in low-income and middle-income countries under the Sustainable Development agenda. Lancet 2018; 391: 2036–46—In this Series paper (published online first on April 4, 2018), the degree for Jonathan K Akuoku has been corrected to “J K Akuoku PhD”. This correction has been made to the online version as of May 2, 2018, and the printed Series paper is correct.

Disease and wounds get Ministerial attention

Health Minister Greg Hunt used his AMA National Conference address to commit funding towards wound management and Human T-cell Lymphotropic Virus-1 (HTLV-1) programs.

As the keynote speaker at conference’s opening day, Mr Hunt praised the AMA, gave thanks to outgoing President Dr Michael Gannon, and repeated the Federal Government’s long-term health plan for the nation.

He wound up his remarks by announcing the new funding initiatives.

The Federal Government will provide $8 million to form a taskforce, in collaboration with the States and Territories, to combat emerging communicable diseases such as HTLV-1 in remote communities, he said.

Led by the Commonwealth’s Chief Medical Officer, Professor Brendan Murphy, the taskforce will bring together Aboriginal communities, relevant health providers, researchers, clinicians and all levels of Government.

The taskforce will investigate enhanced responses to communicable diseases, including the drivers behind the emerging prevalence of HTLV-1, a blood-borne virus, in remote communities.

It will do this in close collaboration with Aboriginal communities and develop a roadmap to respond to this issue, the Minister said.

“In terms of Indigenous health, one thing that is an unacceptable national shame is the level of transmissible sexual diseases,” Mr Hunt said.

“So the STIs and infections are at an unacceptable level. We will be investing $8 million to ensure that there is a response to the HTLV-1 virus. That’s working with Indigenous communities, under the leadership of the Chief Medical Officer and (Indigenous Heath Minister) Ken Wyatt.”

In relation to wound management, Mr Hunt recognised that it was a personal passion of many doctors.

He told conference delegates that the Government would embark on a comprehensive wound management program.

“I am referring wound management to the Medicare Taskforce for consideration,” he said.

“Secondly, there will be $1 million in relation to a wound management pilot program under the primary healthcare system. And thirdly, it will be the first priority of the new health system’s translation program under the MRFF (Medical Research Future Fund).”

The Minister also committed to legislating in the coming months with regards to medical indemnity, to ensure universal coverage and a level playing field.

That comment was received with instant applause from the conference floor.

Another welcome remark was his insistence on ending the mandatory reporting practice.

“Our doctors… are under stress, under challenge and always facing difficult issues that affect their own mental health,” he said.

“We will continue to work, and I am utterly committed, to ending the mandatory reporting practice.

“We have worked together. There are one or two States who still have some issues, but on our watch, in our time, that will become a reality that every doctor who wants and needs help will be able to seek that help without fear.”

In closing, the Minister thanked Dr Gannon for his work as the AMA President.

Calling him a friend, Mr Hunt described Dr Gannon in terms of Olympic sports.

“More a decathlete meets Greco-Roman wrestler,” he said.

“He is skilled at close quarters grappling and he usually ends up pinning his opponent.

“But at the end of the day, he’s a fine doctor, a fine leader, and above all else, a fine person.”

CHRIS JOHNSON

 

[Perspectives] Rachel Nugent: global health economist making NCDs count

Women make up most of the global health workforce yet occupy less than a quarter of the most influential leadership positions. Rachel Nugent, Vice President of Global Non-communicable Diseases (NCDs) at RTI International based in Washington DC, USA, and Affiliate Associate Professor of Global Health at the University of Washington in Seattle, WA, USA is one of those rare few. She’s calling for a sea change in the way we finance efforts to control and manage NCDs. “The investment case has been out there for other areas of global health—for vaccines, child and maternal health, HIV/AIDS.

[Comment] Taxes for health: evidence clears the air

Non-communicable diseases (NCDs) are the leading cause of premature death in most of the world, and lower income households in most societies bear a disproportionate share of the associated preventable deaths. The papers by the Lancet Taskforce on NCDs and economics1–5 are a welcome addition to the evidence we need for reducing this disease burden. The papers show yet again that the necessary prevention and control measures for NCDs are multisectoral. The Lancet Taskforce on NCDs and economics highlights the role of fiscal policies in encouraging healthy diets and lifestyles to reduce the largest contributors to preventable NCDs—namely, smoking, harmful alcohol consumption, and obesity.

[Comment] 2018 must be the year for action against NCDs

2018 is a pivotal year for progress towards the defeat of non-communicable diseases (NCDs). The 2011 Political Declaration on the Prevention and Control of NCDs, led by WHO’s then Assistant Director-General Ala Alwan, was a turning point in the history of global health. For the first time, and often in the face of severe resistance by governments and health-harming industries, nations accepted that chronic diseases were a critical force influencing human development. But since 2011, and despite much exclamatory rhetoric, momentum behind efforts to mobilise action against NCDs has stalled (and that is putting it politely).

[Comment] Acting on NCDs: counting the cost

We all know the numbers. Non-communicable diseases (NCDs) kill 40 million people each year, accounting for about 70% of all deaths globally.1 Some 15 million of those deaths are in people aged between 30–69 years, and more than 80% of these premature deaths are in low-income and middle-income countries (LMICs).1

[Editorial] Turning climate change legislation into public health policy

The effects of climate change are inextricably entwined with health: ranging from the WHO estimate of 7 million deaths from breathing polluted air indoors and outdoors; through the impact of weather-related natural disasters; negative effects on crop yields and food security; and changing patterns of vector-borne diseases; to the shaping of social and environmental determinants of health. 2018 marks 10 years of the UK’s 2008 Climate Change Act, which mandated reduction of UK carbon dioxide emissions by 80% by 2050 to 1990 levels, and legislated an independent Committee on Climate Change.

Farcical play has serious side

If there was one fictional short story from the 19th century that helped open discussion about mental health it would have to be the absurd yet powerfully clever Diary of a Madman by Russian author Nikolai Gogol.

Written in 1835, the story of a low-level public servant’s descent into insanity was ahead of its time and has proved to be an important sociological tool that helped psychologists more accurately diagnose schizophrenia in a time when such diseases were not widely studied.

Because it is one of the first accounts, albeit fictional, of schizophrenia, it emerged as an important reference tool for researchers and even today plays a vital role in the study of the history of the treatment of mental illness.

The story itself, however, is brilliant and engaging on every level.

Gogol’s masterpiece easily translates into a dark comedy perfectly designed for the stage.

And the good folk at Canberra’s intimate Street Theatre have done just that with it.

A short season of Diary of a Madman opens at the Street on June 2, playing through to June 16.

Award-winning actor PJ Williams portrays the protagonist Poprishchin, who slaves away in relative anonymity while yearning for his existence to be acknowledged – by his colleagues, his superiors and by a beautiful woman.

Written, and therefore acted, as diary entries, this narration of the life of the story’s hero (anti-hero) is filled with laughter, tragedy, rage and rapture. Originally set in St Petersburg at the time of the Tsar, it depicts alienation in society extremely well.

While Gogol’s story has long been recognised as a powerful dissection of mental disintegration, it was also hugely influential on a generation of writers who followed.

And if the Street Theatre is true to form, their production will be nothing short of outstanding.

Bookings and more information on (02) 6247 1223 or through www.thestreet.org.au

CHRIS JOHNSON

 

Photo by Shelly Higgs

[Articles] Prevalence and risk factors of chronic obstructive pulmonary disease in China (the China Pulmonary Health [CPH] study): a national cross-sectional study

Spirometry-defined COPD is highly prevalent in the Chinese adult population. Cigarette smoking, ambient air pollution, underweight, childhood chronic cough, parental history of respiratory diseases, and low education are major risk factors for COPD. Prevention and early detection of COPD using spirometry should be a public health priority in China to reduce COPD-related morbidity and mortality.