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CRE ABORIGINAL & TORRES STRAIT ISLANDER STREAM
NEWSLETTER – April 2014 We acknowledge and respect the traditional owners of country where we work
across this great land!
Inside this issue Page
Projects updates 1
The NHPA report 2
Feedback – NIIR workshop 4
The Lowitja Congress 2014 5
Data linkage roundtable 8
VPD report 2006 2010 8
HPV campaign 9
Upcoming events 11
Welcome to the electronic newsletter of the
Aboriginal & Torres Strait Islander stream of
the Centre for Research Excellence in
Immunisation.
We are calling for stories so keep them coming
in to Elizabeth at
e.kpozehoven@unsw.edu.au
1
Projects updates
7 research project are ongoing within the stream, there is great progress on these
projects. Here are some of the updates:
Project 3: Pen Cat project- Rob Menzies
The CRE is collaborating with the Queensland
Aboriginal and Islander Health Council (QAIHC)
to develop immunisation modules for Pen CAT.
These modules will help services monitor and
improve their immunisation performance, and
provide vaccination coverage data.
Updates:
The project has been piloted in Queensland
will possibly be available to all Pen Cat users by
end of April. Pen CAT software is applicable to
almost all GP software.
Active training programme should be
developed in collaboration with Primary Health
care to be delivered alongside the
implementation of the Pen Cat programme.
Next step will be to initiate a research project
with improvement foundation, health services
providers will be enrolled to participate in the
project.
More research is planned to validate data that
has been collected through the system
Project 1: HPV Vaccine Impact in the Australian
Indigenous Population (VIP-I) (Dina Saulo,
Bette Liu, John Kaldor)
Updates:
Ethics approval has been obtained from all
jurisdictions except Southern Queensland
The groups of researchers in this project have
run presentations, workshops and training
sessions in some of the research sites
Recruitment of study participants has
started in some of the research sites
Project 2: Linkage of the Australian Childhood
Immunisation Register (ACIR) and State-based
registers to evaluate and inform Australia's
Immunisation programs (H Gidding, B Liu, P
McIntyre and WA researchers )
Updates:
Commonwealth Health Department approval
for release of the ACIR data has been received
and data extraction is now underway
A project grant application for 2015 has been
submitted to NHMRC to examine the impact of
timeliness of vaccination on disease burden
2
Project 4: Developing an understanding of how
two Aboriginal communities see and experience
immunisation during pregnancy
(A Creighton )
Updates:
Ethics application has been submitted to the
local ethics committee for approval
Ethical approval from ANHMRC will be sought
as well
Consultations with the community are ongoing
Interviews will be begin after obtaining ethics
approval
Project 5: Identification of culturally sensitive
approaches to improve immunisation coverage
and timeliness of Aboriginal and Torres Strait
Islander children and their families( J Royle)
Updates:
Ethics application to be submitted to the
University of New South Wales Ethics
Committee.
Jenny Royle was advised to look at a New
Zealand project which compares characteristics
of practices that have achieved good
immunisation coverage versus practices that
have not, and to learn from any relevant lessons
from the project.
The NHPA report The National Health Performance Authority Immunisation rates for children in 2012–13 report
has been released
Percentages of Aboriginal and Torres Strait Islander children fully
immunised
In 13 of the 58 reported Medicare Local catchments, 95% or more of
Aboriginal and Torres Strait Islander children were fully immunised in at least
one age group, compared with four Medicare Local catchments for all
children.
Many local areas had less than 90% of Aboriginal and Torres Strait Islander
children aged 5 fully immunised:
• Eighteen of 58 reported Medicare Local catchments
• Eight of 34 reported SA3s
The percentages of Aboriginal and Torres Strait Islander children fully
immunised ranged from:
• 1 year of age
Highest at 91.9% – Hunter (NSW)
Lowest at 68.7% – Central Adelaide & Hills
• 2 years of age
Highest at 97.0% – Far North Qld
Lowest at 81.6% – Central Adelaide & Hills
3
• 5 years of age
Highest at 97.0% – Gippsland (Vic)
Lowest at 80.6% – Central Adelaide & Hills
In 51 of the 58 reported Medicare Local catchments, less than 90% of Aboriginal and Torres
Strait Islander children were fully immunised in at least one age group. Of these,
13 recorded less than 80%, all in the 1-year-old age group. By comparison, no Medicare
Local catchment returned results below 80% for all children (Figure 4, page 13).
The gap between the percentages of Aboriginal and Torres Strait Islander children fully
immunised and all children was greatest among the 1-year-old age group in most Medicare
Local catchments. The gap in percentages between Aboriginal and Torres Strait Islander
children and all children narrowed in many Medicare Local catchments when the rates for
the 2-year-old age group were compared
Numbers of Aboriginal and Torres Strait Islander children not fully immunised
The five Medicare Local catchments with the greatest number of Aboriginal and Torres Strait
Islander children not fully immunised aged 1, 2 and 5 years combined were Northern
Territory (272), Far North Qld (263), Townsville-Mackay (Qld) (235), North Coast NSW (198)
and Western NSW (192).
Changes in child immunisation rates from 2011–12 to 2012–13
The Authority‟s previous report on child immunisation identified 23 Medicare Local
catchments where less than 90% of children aged 5 years were fully immunised. In 2012–
13, this had dropped to 13 Medicare Local catchments.
Across Medicare Local catchments changes in the percentages of children fully immunised
from 2011–12 to 2012–13 were greatest among 5-yearold children. Across almost all
Medicare Local catchments, there were improvements in the percentages of 5-year-old
Aboriginal and Torres Strait Islander children between 2011–12 and 2012–13. Of the 55
Medicare Local catchments reported for both years, the number with more than 90% of
children fully immunised increased from 17 to 38 Medicare Local catchments across the two
years.
Source: The National Health Performance Authority Immunisation rates
for children in 2012–13
4
A common theme of the workshop was the untapped potential of the Australian Childhood Immunisation
Register (ACIR) to inform Indigenous immunisation strategies. The three presentations in this session
showed how the full potential of ACIR could be realised using population-based data linkage. Hannah
Moore explained how the linkage of individual-level data across multiple population-based datasets can
bring together a wealth of information about each person, such as their vaccine preventable disease
history and associated morbidity, vaccination status, detailed demographic information, and co morbid
conditions, whilst at the same time maintaining privacy. Heather Gidding described progress with the first
study to link ACIR data (to state-based data sets in Western Australia and New South Wales) for the
purposes of measuring the effectiveness of Australia‟s immunisation program. The key outcomes will
include the following, all of which were considered priorities by the workshop participants:
1) Accurate measures of Indigenous status (Indigenous status on the ACIR has never been compared
with other data sources); 2) Population-based estimates of vaccine coverage and effectiveness (VE) by
Indigenous status; and 3) predictors of these measures. In particular, factors associated with timeliness of
vaccine receipt (significantly lower in Indigenous children).
A specific question is whether the rotavirus vaccine is less effective in Indigenous populations. In the final
presentation, Sarah Sheridan described how she will use linked state datasets in the Northern Territory
and Queensland to examine this question, using ACIR data to estimate coverage for „control‟ groups. It
will be interesting to compare Sarah and Heather‟s results once their studies are completed.
Feedback from the National indigenous immunisation research
workshop
Author: Heather Gidding
The Lowitja Congress 2014
5
Summary of the Lowitja Congress 2014 - Author Jenny Royle-
CQI Conference 17-18 March 2014, Etihad Stadium, Melbourne Docklands
Congress Lowitja was preceded by the Lowitja Institute 2nd National Conference on Continuous Quality
Improvement (CQI) in Aboriginal and Torres Strait Islander Primary Health Care. Information about the
CQI Conference is available on the Lowitja Institute website- www.lowitja.org.au/cqi-2014.
Congress Lowitja 19-20 March 2014, Etihad Stadium, Melbourne Docklands
Welcome to country: Aunty Di Kerr
Performances celebrating Aboriginal Culture:
Ms Deborah Cheetham, Koori Youth Will Shake Spears, Skin Choir.
Opening:
Dr Lowitja O‟Donoghue AC CBE DSG, Patron, The Lowitja Institute
Lowitja O‟Donoghue was the inaugural Chair of the Cooperative Research Centre (CRC) for Aboriginal
and Tropical Health (1997-2003), which led to the CRC for Aboriginal Health (2003-2009) and current
CRC for Aboriginal and Torres Strait Islander Health, which is incorporated in the Lowitja Institute.
This presentation by Lowitja O‟Donoghue covered many aspects of the development of the Lowitja
Institute. She touched on themes which recurred throughout the Congress- carrying out research that
does not just sit on the shelf and striving for equality in health outcomes for Aboriginal and Torres Strait
Islander Peoples.
Keynote Address:
„Future of Aboriginal and Torres Strait Islander Health‟
Mr. Warren Mundine, Chairman, Prime Minister‟s Indigenous Advisory Council.
Mr. Mundine outlined some of the roles of the Advisory Council:
To focus on practical changes to improve the lives of Indigenous people
Improve school attendance
Increase employment opportunities
Empowering communities, increasing capacity of communities
Shared responsibility to achieve constitutional recognition
6
Plenary Session
„Future Thinking in Aboriginal and Torres Strait Islander Health‟
Ms Pat Anderson, Chairperson, the Lowitja Institute Board
Ms Pat Anderson presented an inspiring long-term approach and powerful view of the future. She
described how we now live in a world unimaginable a few decades ago- many Aboriginal and Torres Strait
Islander peoples attending Universities, becoming sophisticated advocates. She outlined the history of the
development of the Aboriginal Community Controlled Organisations starting in 1971 in Redfern.
Ms Pat Anderson said despite the success stories of our ACCHOs there will be increasing pressure to
focus on a narrow medical model of care, limited individual approach and non-holistic. She strongly
believes the health services in our ACCHOs could be under increasing pressure to change to providing a
narrower service contrary to the current successful established holistic care.
Young Orator’
Ms Shannon Dodson, Digital Campaign Manager, Recognise
Shannon Dodson presented a memorable, inspiring, personal oration from the perspective of a blond, fair
skinned young Aboriginal adult. She shared the assumptions that have been made about her because of
her surname, her father‟s connection with and role on the national stage, and as an individual who doesn‟t
fit the stereotype of what she, as an Aboriginal, should look like.
“I will not accept other people deciding who I am”. “I will decide who I identify as”. “I am a proud Aboriginal
woman. I will not accept criticism of this.”
Day 2, Opening
Dr Tim Soutphommasane, Race Discrimination Commissioner, Australian Human Rights Commission.
Dr Soutphommasane spoke with conviction, determination and knowledge regarding the goal of health
equality and the cost of racism. He acknowledged racism is a fundamental driver of poor health. His
description of the cost of racism focused around diminished social cohesion and harmony that racism
brings. He presented data on percentages of Australians as a whole who suffer from different forms of
racism. The impact of racial vilification is on the health of individuals and communities. It is not appropriate
for people to say others should develop a „thicker skin‟. Racism inflicts injury on each and every occasion.
Keynote Address
Dr Alessandro Demaio, Global Health Fellow, Harvard Medical School and CoFounder, NCDFree.
Dr Demaio presented global health tasks and optimism in youth to address these tasks by their will and
drive and global connectedness. We strive for a healthy global community with equity of health and equity
of access. He believes the two greatest global health challenges are climate change and non-
communicable diseases (NCDs).
Workshop: ‘Cultural Competency of Health Services’
Facilitator: Dr Michael Tynan, Associate Director, Knowledge Exchange and Research, Lowitja Institute
This workshop commenced with detailed examples of cultural competency work in the hospital setting.
The St Vincent‟s Hospital in Melbourne outlined their Cultural Competency training program, which is up
and running well. They highlighted the need for the involvement of Aboriginal people in the planning of
such programs and tailoring the program to be locally specific.
7
The Future of the Lowitja Institute
Ms Lynn Brodie, CEO Lowitja Institute
Ms Brodie provided a snapshot of key Lowitja Institute concepts
Embracing the many partnerships and looking at increasing partnerships
Shared understanding of knowledge exchange
Implementation and translation focus
Don‟t do research that will sit on the shelf
Need to be nimble and responsive
Integrated health research centre
Sophisticated system of social and emotional well being- holistic
Dr Michael Tynan, Associate Director, Knowledge Exchange and Research, Lowitja Institute
Dr Tynan highlighted the need for research leadership across program areas, project review, rapid policy
synthesis, public comment on key emerging issues and mentoring emerging researchers. He outlined the
Lowitja Institute faculty concept and 3 programs.
Program 1: Community capability and the social determinants of health
Program 2: ATSI health workforce
Program 3: Health policy systems
Closing Speaker
Prof Marcia Langton AM, Foundation Chair in Australian Indigenous Studies, University of Melbourne
Prof Langton complemented the organizers of the Congress on the range and quality of presentations and
summarized the key points of each.
Prof Langton said the need for Constitutional change is vital. So many people do not know Aboriginal and
Torres Strait Islander people are not mentioned in the constitution. She described the constitutional
change as the vital next step- the Redfern Speech, the Apology and now constitutional recognition. This
vital next step is a further platform to lift us up. “We deserve parity in all walks of life”.
Additional Lowitja Congress presentations and workshops
This summary does not include information on the Constitutional Recognition Panel session (March 19th)
or 5 additional parallel workshops held across the 18-19th March.
The congress website can be accessed to read the detailed program- www.lowitja.org.au/congress-2014.
Prof Marcia Langton AM, Foundation Chair of Australian Indigenous Studies, University of Melbourne
Find more information
8
The Lowitja Institute and Australian Institute of Aboriginal and Torres Strait Islander Studies (AIATSIS)
roundtable on Aboriginal and Torres Strait Islander Health Data Linkage was held in Melbourne, on 31
October 2013. The roundtable was attended by approximately 30 people from diverse range of
organisations across the country with an interest in data and data linkage, including the Aboriginal
Community Controlled sector, government agencies, health service providers/clinics, research institutes
and non-government organisations.
The purpose of the roundtable was to:
bring together researchers, community controlled services and government agencies involved in data
collection, analysis and usage, data management and data integration and linkage
provide an overview of data gaps and barriers to good health data and linkage concerning Aboriginal and
Torres Strait people
identify opportunities for closing data gaps through data linkage strategies, including the linking of
registry and administrative databases across jurisdictions
improve data linkages at the regional level
establish better communication/collaboration across the different health systems to improve data linkage
capacity
identify potential interventions based on the sharing of ideas on data and data linkages
share information about current data linkage initiatives in different States around Aboriginal and Torres
Strait Islander health data
discuss ownership and use of data and their linkages.
Visit the Lowitja website for report, presentations and related materials
.
Roundtable on Aboriginal and Torres Strait Islander Health Data
Linkage
Vaccine preventable diseases and vaccination coverage in
Aboriginal and Torres Strait Islander people, Australia 2006–2010
„Vaccine preventable diseases and vaccination coverage in Aboriginal and Torres Strait Islander people
2007 to 2010‟ is the third in a series of reports published in Communicable Diseases Intelligence. It
provides data on disease notifications, hospitalisations, deaths and childhood vaccinations, comparing
rates in Aboriginal and Torres Strait Islander and non-Indigenous people. It identifies areas of success
and improvement, and areas that need further attention.
This report was prepared at the National Centre for Immunisation Research and Surveillance of
Vaccine Preventable Diseases (NCIRS)
Vaccine preventable diseases and vaccination coverage in Aboriginal and Torres Strait Islander people,
Australia 2006–2010 - Printable version (PDF 1894 KB)
9
The national HPV vaccination program - New resources for
Aboriginal and Torres Strait Islander communities
An HPV vaccination comic book for Aboriginal and Torres Strait Islander Males and
females is now available
Comic book for girls
10
The national HPV vaccination program - New resources for
Aboriginal and Torres Strait Islander communities
Comic book for boys
11
14th National Immunisation Conference: Maintaining excellence in immunisation: Consolidating
gains, identifying gaps
17 – 19 June 2014, Pullman Melbourne
Click here to register
Workshop: Equity in disease prevention_ Vaccine for the elderly
Date: Friday, 20th June 2014 (9am – 4:30 pm)
Workshop venue: Lakeside 3, Bayview On the Park Hotel, (Map), 52 Queens Road, Melbourne, VIC 3004,
Australia
We live in an ageing society, where positive ageing and prevention are key to a healthy future. Vaccines
can prevent disease, suffering and death. The elderly are at increased risks of vaccine preventable
diseases such as influenza, pneumococcal disease, herpes zoster and pertussis. Immunisation is an
effective and available strategy for reducing disease burden in the elderly, yet vaccines for the elderly are
under-utilised and under-valued compared to children. “Pneumonia is the old man‟s friend” is a common
misperception, laden with value judgement about the elderly and does not take into account the suffering
associated with acute infections, nor the transmissibility to others. The “older” elderly and people with
dementia are less likely to be vaccinated than younger, more health elderly. For many reasons, there are
missed opportunities for preventing vaccine preventable-diseases and suffering in the elderly.
Find more information WORKSHOP FLYER and PROGRAM
For enquiries, contact Elizabeth Kpozehouen e.kpozehoven@unsw.edu.au
REGISTER , places are filling up
Upcoming events
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CONTACT US
CRE Office | Room 323 | Level 3 Samuels Building | The School of Public Health and Community Medicine | Gate 11 Botany Street, Randwick | The University of New South Wales, Sydney NSW 2052, Australia. Website: www.creimmunisation.com.au
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