Australia has high levels of antibiotic usage compared to similar high income countries and antimicrobial resistance is now a significant issue for healthcare workers and their patients(1). Urinary tract infections (UTI) are the most common indication for antibiotics in nursing homes and whilst they are mainly used to treat cystitis, they are often used for asymptomatic bacteriuria (ASB) and pyelonephritis(2).

The 2017 Aged Care National Antimicrobial Prescribing Survey (acNAPS) found continuing high rates of inappropriate antimicrobial use in aged care homes(2), presenting an opportunity for all health care professionals to use antimicrobial stewardship practices to optimise antimicrobial usage in nursing homes(1). Furthermore, addressing antimicrobial usage in nursing homes will contribute to an overall reduction of antimicrobials within Australia and reduce the risk of antibiotic resistance.

Face to Face; image by Dougal Binns

While in some ways we are more connected to each other than ever before, electronic communication is not a substitute for human contact. Facebook and other forms of social media are not for everyone, and, even for those that use such platforms, there is a limit to the emotional satisfaction one can gain from these ‘fast’ and often superficial means of communication.

In recent years, there has been a great deal of research into the effect of technological communication on mental health. Despite there being many positive attributes to these online modes (such as a more democratic representation of voices), they can lack humanity. Email does not conjure the same feeling as posting a letter; even handwritten aerograms sent overseas to loved ones a few decades ago seemed to have more meaning. Similarly, the user-experience of online mass media differs from reading printed copy, and quality journalism seems to have suffered across the board. In turn, as discussed recently on ABC radio, we are seeing a turning away from ‘too-much-ness’ and an ‘attention economy’ with a return to ‘slow journalism’ and more meaningful forms of communication.

NSW Health Notification Form

In a “Dear Doctor” letter to the state’s medical practitioners the NSW Health Secretary Elizabeth Koff has advised that the Abortion Law Reform Act 2019, passed on 2 October after criticism by objecting MPs and their supporters, means that terminations are now legal but must be reported within 28 days of the procedure.

The single-page notification form requires information on the LHD in which the woman resides, the gestation of the foetus - ranging from under 9 weeks to 22 weeks, after which special conditions apply - where the termination took place (public or private hospital, or non-hospital facility), the postcode of the provider, and perhaps more controversially, whether the termination was carried out “for the sole purpose of sex selection”, unless the foetus had medical conditions.

During the acrimonious debates that preceded the bill’s passing a number of critics suggested that certain ethnic communities preferred male children and would seek to abort girls. 

While the government considers mandatory bottle warning labels about the risks of alcohol to unborn babies, the alcohol lobby is reacting in a similar way to tobacco marketers more than twenty years ago.

Food Standards Australia and New Zealand (FSANZ) has released a draft label for alcohol bottles, with a graphic showing a silhouette of a pregnant woman and the message, ‘‘Health warning: Any amount of alcohol can harm your baby’’.

Submissions to the FSANZ process closed on 4 October 2019.

Both governments advise women not to consume any alcohol during pregnancy: “Exposure of the foetus to alcohol can cause a range of physical, cognitive, behavioural and neurodevelopmental disabilities, collectively known as Foetal Alcohol Spectrum Disorder (FASD).” 

Simply put, “FASD is preventable by avoiding alcohol consumption during pregnancy.”

Michael Tizzard, ACON Health

Not many years ago a diagnosis of HIV-AIDS was generally regarded as a death sentence, and many gay men, or men who had occasional sex with men, began planning for the end of their days. Hoping to make the most of the time left, a good number sold up down south and moved to the NSW Northern Rivers, a place of tolerance, cultural and climatic appeal, and decent health services.

Most expected to die, but one of those rare medical ‘miracles’ occurred, slowly at first, as is the way with research, and then picked up pace: treatments for the HIV virus, and more recently, preventative medications, were developed, found successful, and became widely available. Today, the anti-viral prophylactic PREP and the ‘morning after’ pill PEP, both prescribed by GPs, are the new normal.