Showing posts with label health. Show all posts
Showing posts with label health. Show all posts

Thursday 7 September 2023

The pharmacists of Australia turned faces of naked entitlement towards Parliament and their own client base, jeering and yelling on Monday 4 September 2023

 

Financial Review, 4 September 2023:


Hundreds of pharmacists were in Canberra for a protest on Monday morning, and many pharmacists attended question time in white uniforms, jeering as Prime Minister Anthony Albanese defended Labor’s consultation over the plan.

In an already rowdy question time, Speaker of the House of Representatives Milton Dick warned people in public galleries that they were present as observers, not participants, in parliamentary proceedings and should refrain from interjecting.

But hostilities escalated dramatically when members of the group loudly exited the chamber, with many yelling at MPs on the chamber floor below in a co-ordinated exit.

Some shouted “lies” and at least one pharmacist raised his middle fingers as he walked out. The sitting was disrupted for a few minutes…..




Pharmacists leaving House of Representatives visitor's gallery after disrupting Question Time and also allegedly abusing Parliament House staff. IMAGE: Canberra Times




MPs on the Opposition benches in the House of Representatives cat calling & encouraging pharmacists in the Visitor's Gallery during Question Time on 4 September 2023. It is believed that some of the pharmacists were signed in as visitors by one or more Liberal Party MPs. IMAGE: Daily Mail



Because the industry union, Pharmacy Guild of Australia, has run such a virulent campaign against the the federal government’s reduction of prescription medicine costs to eligible consumer/patients via the introduction of 60-day prescriptions for certain medicines and because Liberal & Nationals members of federal parliament are attempting to turn this issue into a political football, there may be a need to restate what the 60-day prescription scheme entails.


Australian Government, Dept. of Health and Aged Care, 4 September 2023:


60-day prescriptions of PBS medicines


Learn about the changes to Pharmaceutical Benefits Scheme (PBS) medicine prescriptions.


From 1 September 2023, nearly 100 common medicines listed on the Pharmaceutical Benefits Scheme (PBS) will have the option of a 60-day prescription. This means many patients can now receive twice the medication for the cost of a single prescription. To qualify, patients must be:

  • living with an ongoing health condition

  • assessed by their prescriber to be stable on their current medicine/medicines

  • have discussed with their prescriber and obtained a new prescription for a 60-day quantity of medicine per dispensing.


The changes are happening in 3 stages over 12 months and will apply to more than 300 medicines once completed on 1 September 2024.


The changes follow advice from the independent Pharmaceutical Benefits Advisory Committee (PBAC), which recommended it was clinically safe and suitable to allow 60-day prescriptions for eligible patients.


The full list of PBS medicines recommended by PBAC as suitable for dispensing in increased quantities includes some medicines for ongoing health conditions, such as:

  • asthma

  • breast cancer

  • cardiovascular disease

  • chronic obstructive pulmonary disease (COPD)

  • constipation

  • chronic renal failure

  • Crohn’s disease

  • depression

  • diabetes

  • endometriosis

  • endometrial cancer

  • epilepsy

  • glaucoma and dry eyes

  • gout

  • heart failure

  • high cholesterol

  • hormonal replacement and modulation therapy

  • hypertension

  • osteoporosis

  • Parkinson’s disease

  • ulcerative colitis.


The full list of medicines recommended by the PBAC for 60-day prescribing is available on the medicine list for increased dispensing quantities.


Prescribers have the option to prescribe these medicines for either 30 or 60-day prescriptions, according to their professional clinical judgement.


Benefits and cost savings


Patients with a 60-day prescription for a PBS medicine may save up to:

$180 a year, per medicine for Medicare card holders who do not have a concession card

$43.80 a year, per medicine for concession cardholders….


Stage one – available from 1 September 2023


The first stage of medicines available for 60-day prescriptions will support patients stable on their current treatment and living with ongoing health conditions including:


  • cardiovascular disease

  • Crohn’s disease

  • gout

  • heart failure

  • high cholesterol

  • hypertension

  • osteoporosis

  • ulcerative colitis.


Stage one includes nearly 100 medicines and represents roughly one third of all the medicines available for 60-day prescriptions.


See the list of stage one medicines. The Department is finalising the order of medicines available in stage 2 and 3.


Medicine supply


The move to 60-day prescriptions won’t cause medicine shortages as patients will still buy the same amount of medicine annually. While eligible patients are able to buy double the medication on a single prescription, demand for medicines will remain unchanged.


Of the more than 300 medicines PBAC recommended for 60-day prescriptions, the vast majority have no shortage of supply in Australia. The Department is monitoring the 60-day dispensing medicine list and has ensured that medicines were only included in stage one if they were not in shortage or at risk of shortage.


Medicine shortages can occur for different reasons, like:

  • shortages of raw material

  • transport issues

  • factory quality control issues

  • temporary factory closures

  • natural disasters.


Most shortages are short-term, temporary disruptions and often only limit some brands, strengths or formulations.


The introduction of 60-day prescriptions in three stages over 12 months reduces pharmacy disruption and let’s supply chains adapt, as eligible patients will use existing prescriptions first.


Helping to ensure good medicine supply


Pharmaceutical companies must tell the Therapeutic Goods Administration (TGA) of expected medicine shortages. This means any medicine supply not likely to meet normal or projected consumer demand at any point during the next 6 months.


The Australian Government has made changes to the Medicines Supply Security Guarantee. From 1 July 2023, medicine manufacturers must have more onshore stockholdings for chosen brands. This will help make sure there is stock onshore, ready for pharmacy delivery to meet any temporary increase in demand.


Wholesalers must deliver to any pharmacy in 24 hours (excluding weekends or public holidays) if they are running low on medicine. This applies for most medicines.


Reinvestments into pharmacy services


The government commits to supporting a thriving community pharmacy sector.


All money saved by the government from reductions in fees paid to pharmacy for supplying medication to patients will be reinvested into community pharmacy.


This is to support the ongoing vital role of the pharmacy sector and give new opportunities for expanding pharmacists scope of practice.


Note: All yellow highlighting is mine.


Read the full advice at:

https://www.health.gov.au/our-work/60-day-prescriptions


Thursday 27 July 2023

On 25 July 2022 the NSW Legislative Council announced the “Inquiry into current and potential impacts of gold, silver, lead and zinc mining on human health, land, air and water quality in New South Wales”

 


On 25 July 2022 the NSW Legislative Council announced the Inquiry into current and potential impacts of gold, silver, lead and zinc mining on human health, land, air and water quality in New South Wales”


Triggered by community concerns wherever gold, silver, lead or zinc mining exploration is occurring or active mines are established and, the ongoing NSW Environmental Protection Agency investigation of Newcrest’s Cadia Holdings Pty Ltd mine near Orange, the NSW Parliament Legislative Council has acted.


Portfolio Committee No. 2 – Health was established on 10 May 2023 in the 58th Parliament to inquire into and report on any matters relevant to the public administration of:


Health, Regional Health, the Illawarra and the South Coast, Water, Housing, Homelessness, Mental Health, Youth, the North Coast.


The composition of Portfolio No.2 Committee is:


Chair: Cohn, Amanda (GRNS, LC Member)

Deputy Chair: Carter, Susan (LIB, LC Member)

Members: Buttigieg, Mark (ALP, LC Member)

Donnelly, Greg (ALP, LC Member)

Faehrmann, Cate (GRNS, LC Member)

Suvaal, Emily (ALP, LC Member)

Taylor, Bronnie (NAT, LC Member)


On Tuesday 25 July 2023 this Standing Committee created a Select Committee to inquire into and report on the current and potential impacts of gold, silver, lead and zinc mining on human health, land, air and water quality in New South Wales.


Submissions to the inquiry will close on 5 September 2023 and the select committee reports on its findings by 21 November 2023.


Submissions can be lodged via the inquiry webpage at:

https://www.parliament.nsw.gov.au/committees/inquiries/Pages/inquiry-details.aspx?pk=2976#tab-submissions


The Inquiry’s terms of reference can be read abd downloaded at:

https://www.parliament.nsw.gov.au/lcdocs/inquiries/2976/Terms%20of%20reference.pdf



This Upper House inquiry is of more than passing interest to Northern Rivers communities given that by 2022 the NSW Government had granted 18 Mineral Mining Leases (MLs) and Gold Leases (GLs) and over 35 Mineral Exploration Licences (ELs) in the Clarence electorate, along with 6 new exploration leases [Clarence Catchment Alliance, retrieved 26.07.23].


Friday 19 May 2023

World Meteorological Organization predicts one year in the next five will almost certainly be the hottest on record and there’s a 66% chance a single year will cross the crucial 1.5℃ global warming threshold


….So what is driving the bleak outlook for the next five years? An expected El Niño, on top of the overall global warming trend, will likely push the global temperature to record levels. Has the Paris Agreement already failed if the global average temperature exceeds the 1.5℃ threshold in one of the next five years? No, but it will be a stark warning of what’s in store if we don’t quickly reduce emissions to net zero.” [Dr Andrew King, Climate Extremes Research Fellow, School of Earth Sciences, Faculty of Science, University of Melbourne, writing in The Conversation on 17 May 2023]


World Meteorological Organization (WMO), media release, 17 May 2023:


Global temperatures set to reach new records in next five years


Geneva, 17 May 2023 (WMO) – Global temperatures are likely to surge to record levels in the next five years, fuelled by heat-trapping greenhouse gases and a naturally occurring El Niño event, according to a new update issued by the World Meteorological Organization (WMO).


There is a 66% likelihood that the annual average near-surface global temperature between 2023 and 2027 will be more than 1.5°C above pre-industrial levels for at least one year. There is a 98% likelihood that at least one of the next five years, and the five-year period as a whole, will be the warmest on record.


This report does not mean that we will permanently exceed the 1.5°C level specified in the Paris Agreement which refers to long-term warming over many years. However, WMO is sounding the alarm that we will breach the 1.5°C level on a temporary basis with increasing frequency,” said WMO Secretary-General Prof. Petteri Taalas.


A warming El Niño is expected to develop in the coming months and this will combine with human-induced climate change to push global temperatures into uncharted territory,” he said. “This will have far-reaching repercussions for health, food security, water management and the environment. We need to be prepared,” said Prof. Taalas.


There is only a 32% chance that the five-year mean will exceed the 1.5°C threshold, according to the Global Annual to Decadal Climate Update produced by the United Kingdom’s Met Office, the WMO lead centre for such predictions.


The chance of temporarily exceeding 1.5°C has risen steadily since 2015, when it was close to zero. For the years between 2017 and 2021, there was a 10% chance of exceedance.


Global mean temperatures are predicted to continue increasing, moving us away further and further away from the climate we are used to,” said Dr Leon Hermanson, a Met Office expert scientist who led the report.


Key points


> The average global temperature in 2022 was about 1.15°C above the 1850-1900 average. The cooling influence of La Niña conditions over much of the past three years temporarily reined in the longer-term warming trend. But La Niña ended in March 2023 and an El Niño is forecast to develop in the coming months. Typically, El Niño increases global temperatures in the year after it develops – in this case this would be 2024.

> The annual mean global near-surface temperature for each year between 2023 and 2027 is predicted to be between 1.1°C and 1.8°C higher than the 1850-1900 average. This is used as a baseline because it was before the emission of greenhouse gases from human and industrial activities.

> There is a 98% chance of at least one in the next five years beating the temperature record set in 2016, when there was an exceptionally strong El Niño.

> The chance of the five-year mean for 2023-2027 being higher than the last five years is also 98%.

> Arctic warming is disproportionately high. Compared to the 1991-2020 average, the temperature anomaly is predicted to be more than three times as large as the global mean anomaly when averaged over the next five northern hemisphere extended winters.

> Predicted precipitation patterns for the May to September 2023-2027 average, compared to the 1991-2020 average, suggest increased rainfall in the Sahel, northern Europe, Alaska and northern Siberia, and reduced rainfall for this season over the Amazon and parts of Australia.


Paris Agreement


In addition to increasing global temperatures, human-induced greenhouse gases are leading to more ocean heating and acidification, sea ice and glacier melt, sea level rise and more extreme weather.


The Paris Agreement sets long-term goals to guide all nations to substantially reduce global greenhouse gas emissions to limit the global temperature increase in this century to 2 °C while pursuing efforts to limit the increase even further to 1.5 °C, to avoid or reduce adverse impacts and related losses and damages.


The Intergovernmental Panel on Climate Change says that climate-related risks for natural and human systems are higher for global warming of 1.5 °C than at present, but lower than at 2 °C.


The new report was released ahead of the World Meteorological Congress (22 May to 2 June) which will discuss how to strengthen weather and climate services to support climate change adaptation. Priorities for discussion at Congress include the ongoing Early Warnings for All initiative to protect people from increasingly extreme weather and a new Greenhouse Gas Monitoring Infrastructure to inform climate mitigation.


Ensemble mean forecast 2023-2027


Notes For Editors:


The Global Annual to Decadal Update is one of a suite of WMO climate products, including the flagship State of the Global Climate, which seek to inform policy-makers. WMO will release its provisional statement on the State of the Global Climate in 2023 at the UN Climate Change Conference, COP28, in December.


The UK’s Met Office acts as the WMO Lead Centre for Annual to DecadalClimate Prediction. This year there are 145 ensemble members contributed by 11 different institutes to the predictions, which start at the end of 2022. Retrospective forecasts, or hindcasts, covering the period 1960-2018 are used to estimate forecast skill.


Confidence in forecasts of global mean temperature is high since hindcasts show very high skill in all measures.


The forecasts shown here are intended as guidance for Regional Climate Centres (RCCs), Regional Climate Outlook Forums (RCOFs) and National Meteorological and Hydrological Services (NMHSs). It does not constitute an official forecast for any region or nation, but RCCs, RCOFs and NMHSs are encouraged to appropriately interpret and develop value-added forecasts from this Climate Update.


The World Meteorological Organization is the United Nations System’s authoritative voice on Weather, Climate and Water


~~~~~~~~~~~~~~~~~


Excerpts from WMO Global Annual to Decadal Climate Update: Target years: 2023 and 2023-2027 specifically mentioning Australia:


  • Predicted precipitation patterns for the May to September 2023-2027 average, relative to

the 1991-2020 average, suggest an increased chance of above average rainfall in the Sahel, northern Europe, Alaska and northern Siberia, and reduced rainfall for this season over the Amazon and parts of Australia.


Near-surface temperatures in 2023 are likely to be higher than the 1991-2020 average in almost all regions except for Alaska, South Africa, South Asia and parts of Australia (Figure 7). Parts of the South Pacific Ocean are likely to be cooler than average. Skill is estimated from hindcasts to be medium or high in most regions (Figure 8) giving medium to high confidence in the forecast…..


This section shows predictions for the average of the next five extended seasons for May to September and November to March.

For the May to September average, predicted temperature patterns over the years 2023-2027 show a high probability of temperatures above the 1991-2020 average almost everywhere, with enhanced warming over land (Figure 9). Skill is very high in most regions, giving high confidence in this prediction (Figure 10). For the same season, sea-level pressure is predicted to be anomalously low over the Mediterranean and surrounding countries, and high over the maritime continent and surrounding countries.

There is medium skill for most of these regions, giving medium confidence.

Predictions of precipitation show wet anomalies in the Sahel, northern Europe, Alaska and northern Siberia, and dry anomalies for this season over the Amazon and western Australia. Skill is low to medium for these regions, giving low to medium confidence.

For the November to March average over the years 2023/24-2027/28 (Figure 11), the predictions show warm anomalies are likely almost everywhere, with land temperatures showing larger anomalies than those over the ocean. The Arctic (north of 60°N) near-surface temperature anomaly is more than three times as large as the global mean anomaly. The North Atlantic subpolar gyre shows negative anomalies, the so-called warming hole, which has been liked to a reduction in the AMOC. Skill is high in most regions apart from parts of the North Pacific, some areas in Asia, Australia, and the Southern Ocean (Figure 12), giving medium to high confidence…..


NOTE: My yellow highlighting throughout this post


Thursday 9 March 2023

RBA Governor Lowe set to meet with Suicide Prevention Australia after indications there is a surge in people reporting elevated distress over cost-of-living pressures

 


The 10th consecutive cash rate rise announced by the Reserve Bank of Australia has low income and middle income Australia reeling.


Post, a daily newsletter from The Saturday Paper, from the pen of the Emails Editor, 8 March 2023, excerpt:


RBA governor Philip Lowe has announced a record 10th consecutive interest rate rise, but signalled the run may be coming to an end amid concerns the hikes are hurting wellbeing.


What we know:


  • The RBA increased rates by 25 basis points at the board's March meeting, to 3.6% — the highest interest rate since May 2012 (Nine);


  • Mortgage holders with a balance of $750,000 will pay an extra $121 a month — and are now likely paying about $18,900 more in repayments annually since May (realestate.com.au);


  • Lowe’s language softened on the prospect of future rate rises however, with economists suggesting there might only be one or two left (AFR $);


  • He is set to meet representatives of Suicide Prevention Australia, the peak body that has raised the alarm about a surge in people reporting elevated distress over cost-of-living pressures (The Age);


  • Research by Suicide Prevention Australia, given to Lowe late last week, shows 46% of people are reporting high levels of cost-of-living distress;


  • There has also been a lift in the number of people reporting serious thoughts of suicide, which reached 16%, with sharp increases in NSW and Victoria;


  • Lowe will give further clues as to the RBA’s plans in a speech about inflation and recent economic data to a business conference today (Canberra Times);


  • The RBA governor has previously warned of a wage-price spiral driving inflation, though wage growth has been slowing, while corporate profits are surging (The Saturday Paper).



BACKGROUND


Reserve Bank of Australia

Media Release

Statement by Philip Lowe, Governor: Monetary Policy Decision


Number 2023-07

Date 7 March 2023


At its meeting today, the Board decided to increase the cash rate target by 25 basis points to 3.60 per cent. It also increased the interest rate on Exchange Settlement balances by 25 basis points to 3.50 per cent.


Global inflation remains very high. In headline terms it is moderating, although services price inflation remains elevated in many economies. It will be some time before inflation is back to target rates. The outlook for the global economy remains subdued, with below average growth expected this year and next.


The monthly CPI indicator suggests that inflation has peaked in Australia. Goods price inflation is expected to moderate over the months ahead due to both global developments and softer demand in Australia. Services price inflation remains high, with strong demand for some services over the summer. Rents are increasing at the fastest rate in some years, with vacancy rates low in many parts of the country. The central forecast is for inflation to decline this year and next, to be around 3 per cent in mid-2025. Medium-term inflation expectations remain well anchored, and it is important that this remains the case.


Growth in the Australian economy has slowed, with GDP increasing by 0.5 per cent in the December quarter and 2.7 per cent over the year. Growth over the next couple of years is expected to be below trend. Household consumption growth has slowed due to the tighter financial conditions and the outlook for housing construction has softened. In contrast, the outlook for business investment remains positive, with many businesses operating at a very high level of capacity utilisation.


The labour market remains very tight, although conditions have eased a little. The unemployment rate remains at close to a 50-year low. Employment fell in January, but this partly reflects changing seasonal patterns in labour hiring. Many firms continue to experience difficulty hiring workers, although some report a recent easing in labour shortages. As economic growth slows, unemployment is expected to increase.


Wages growth is continuing to pick up in response to the tight labour market and higher inflation. At the aggregate level, wages growth is still consistent with the inflation target and recent data suggest a lower risk of a cycle in which prices and wages chase one another. The Board, however, remains alert to the risk of a prices-wages spiral, given the limited spare capacity in the economy and the historically low rate of unemployment. Accordingly, it will continue to pay close attention to both the evolution of labour costs and the price-setting behaviour of firms.


The Board recognises that monetary policy operates with a lag and that the full effect of the cumulative increase in interest rates is yet to be felt in mortgage payments. There is uncertainty around the timing and extent of the slowdown in household spending. Some households have substantial savings buffers, but others are experiencing a painful squeeze on their budgets due to higher interest rates and the increase in the cost of living. Household balance sheets are also being affected by the decline in housing prices. Another source of uncertainty is how the global economy responds to the large and rapid increase in interest rates around the world. These uncertainties mean that there are a range of potential scenarios for the Australian economy.


The Board’s priority is to return inflation to target. High inflation makes life difficult for people and damages the functioning of the economy. And if high inflation were to become entrenched in people’s expectations, it would be very costly to reduce later, involving even higher interest rates and a larger rise in unemployment. The Board is seeking to return inflation to the 2–3 per cent target range while keeping the economy on an even keel, but the path to achieving a soft landing remains a narrow one.


The Board expects that further tightening of monetary policy will be needed to ensure that inflation returns to target and that this period of high inflation is only temporary. In assessing when and how much further interest rates need to increase, the Board will be paying close attention to developments in the global economy, trends in household spending and the outlook for inflation and the labour market. The Board remains resolute in its determination to return inflation to target and will do what is necessary to achieve that.



Wednesday 15 February 2023

NSW State of Play 2023: governments being 'city-centric' has consequences that follow remote & outer regional populations to their graves

 

The Australia Institute, media release, 14 February 2023:


New analysis reveals residents born in Far West NSW are suffering substantially worse health outcomes than residents in Sydney.


People in Far West NSW are dying earlier than they should, from avoidable causes, and while suicide rates have steadied in Sydney, they are on the rise in the most remote parts of the state.


The report warns of serious and growing inequality in health outcomes between city and country residents and recommends immediate investment in the sector.


Key points:


  • Life expectancy: People born in the Far West have a life expectancy 5.7 years less than those in Sydney, with the divide worsening


  • Premature death: Residents in Far Western NSW are 2x more likely to die prematurely than those in Sydney


  • Avoidable death: ‘Potentially avoidable deaths’ are 2.5x more likely in the Far West than in Sydney


  • Suicide: Residents in the NSW Far West are 2x as likely to commit suicide than those in Sydney, with a clear upwards trend in suicide rates


Far West NSW is in serious need of medical attention. Where you live shouldn’t dictate how long you’ll live, but unfortunately in NSW it does” said Kate McBride, Researcher at The Australia Institute.


Those in the Far West have significantly poorer health outcomes, inferior access to health services and face substantial financial challenges to access services.


Life expectancy, premature deaths, and ‘potentially avoidable’ deaths are key statistical indicators of whether our health system is working. It is clear from the analysis in this report, sirens should be sounding from the Far West of the state.


There’s a compelling case for significant investment across the continuum of care, from disease prevention to rehabilitation and ongoing care, in regional NSW.


The first release in a series, this report reflects a wider national trend: That the health system is failing those living in regional and remote Australia” said Kate McBride.


~~~~~~~~~~~~~~~~~~~~~~


RELATED RESEARCH

Kate McBride, The Unlucky Country: Life expectancy and health in regional and remote Australia. Part 1: NSW, February 2023.

FULL REPORT

~~~~~~~~~~~~~~~~~~~~~~


Excerpts from the McBride report:


Australia has the world’s third highest life expectancy at 84.3 years. However, this national average masks the fact that the ‘lucky country’ has some rather less lucky residents. In every state and territory, those in regional and remote areas have life expectancies several years lower than in the city.


New South Wales (NSW) is a stark example of this divide. Life expectancy in Far West NSW is 79.1 years compared to 84.5 years in Sydney. This more than five-year gap has grown from relative parity at the turn of the millennium to the current gap. Today, a person in far west NSW is more than twice as likely to die prematurely (under 75) than someone in Sydney.


While there are many possible reasons for this discrepancy, overall, people die of the same causes in urban and remote parts of NSW; a comparison of the top causes of death in each area reveals that the top 10 are almost identical. However, regional and remote people are dying younger and from preventable causes at much higher rates than those in Sydney. Deaths considered ‘potentially avoidable’ are more than two and a half times as common in the far west than in the state’s capital.


It has been known for years that there is a suicide issue in regional Australia. Suicide rates in far west NSW—already more than twice as high than those in Sydney—are continuing to rise, while those in urban areas remain steady. But while suicide is a significant problem, it is only the tenth leading cause of death in the region. Suicide tends to take people at a younger age than other causes and as a result can disproportionally skew life expectancy, having said this there are other factors likely at play.


In 2022, a NSW Parliamentary Inquiry into health outcomes and access to services in rural, regional, and remote NSW found that people outside urban areas had significantly poorer health outcomes, inferior access to health services, and faced substantial financial challenges to access services.


This divide between life expectancy in the cities and in the country is a problem that extends beyond far western NSW. The city/country divide exists across Australia, and it is growing. Inequity between Australians living in capitals and remote areas is a significant problem that demands government intervention, particularly concerning overwhelmed and under resourced health systems.”








































NOTE: I draw to the attention of "North Coast Voices" readers, living in what is the Australian Bureau of Statistics' Coffs Harbour-Grafton Level 4 Statistical Area, the fact that the combined populations of Clarence Valley and Coffs Harbour City have a projected life expectancy at birth which is 3.9 years lower than that of the population of the Greater Sydney metropolitan area. Only the projected life expectancy at birth for the Far West and Orana region has a worse comparative figure.

























The only differences are dehydration and suicide (more below) in the Far West being replaced by heart failure and breast cancer in Greater Sydney. The similarity in causes of death suggests that the factors driving lower life expectancy in the far west are not due to different physical conditions or different lifestyles, but to how causes of death are prevented and managed. [my yellow highlighting]





















Sadly, what the preceding paragraph is politely hinting at is that there is a culture within governments which tolerates and, perhaps even relies upon, inequality of access to health care along with an acceptance of delivery of poorer quality health care to those living in remote areas of New South Wales, as one of the tools which allows the provision of a much higher quality of health care to those living in metropolitan centres and inner regional areas on the fringes of major cities. 


That is where the bulk of the state's electorates and voter numbers are concentrated and, it will come as no surprise that ahead of the March 2023 state election little electoral growth was expected in the western half of New South Wales [Report of the Electoral Districts Redistribution Panel on the draft determination of the names and boundaries of electoral districts of New South Wales, 9 Nov 2020].


Saturday 4 February 2023

Clarence Valley-wide Level 4 Water Restrictions are in place on town water supplies until further notice

 



Clarence Valley Council, 31 January 2023:


Immediate Level 4 (Severe) Water Restrictions

Due to a prolonged dirty water event in the Nymboida River, immediate Level 4 (Severe) Water Restrictions have been introduced in order to avoid the need to call a Boil Water Alert for the whole Clarence Valley water supply system. This does NOT include Minnie Water and Wooli residents.


The Boil Water Alert for Coutts Crossing remains in place…..


Wednesday 1 February 2023 update

What we know

Coutts Crossing is on a boil water alert.

Level 4 restrictions are in place for all town water customers across the Valley.

The return flow from Coffs Harbour was interrupted late last year following a fire at Karangi Dam, and reliance on the water supply was switched to the Nymboida River.

Replenishing water supply has been impacted by dirty water at the Nymboida River intake following rain events.

Daily consumption over the past week has been the highest on record, and stored treated water is quickly depleting.

Since the March 2022 rainfall event, the water in Shannon Creek Dam has been too dirty to use. This is thought to be due to impacts from the 2019 bushfires. 



































Clarence Valley Independent, 2 February 2023:


Residents across the Clarence Valley are being asked to restrict town water consumption in line with Level 4 (Severe) Water Restrictions to avoid an LGA-wide boil water alert.


Currently, only residents in Coutts Crossing are affected by the boil water alert.


This is due to the village’s storage having to be topped up directly from the Nymboida River which had elevated levels of turbidity that exceeded the NSW Health levels for drinking water.


Clarence Valley Council (CVC) General Manager Laura Black said over the past week, the water supply has experienced the highest daily consumption levels in several years which has triggered greater concern over the capacity of stored water supply.


If we are forced to continue to supply the higher demand, we will need to draw dirty water into the system which may trigger the need for an LGA-wide boil water alert,” she said.


The situation has arisen because the water in the Nymboida River has a high turbidity level (dirty) following recent rain events, which impacts council’s ability to draw water directly from that source.


High turbidity has been experienced in the Shannon Creek Dam since the 2019 bushfires, exacerbated by the subsequent floods, restricting council’s use of that source also.


Until late last year, Clarence Valley water storage was being supplemented by accessing a return flow from Karangi Dam in Coffs Harbour.


However, things changed late last year when Coffs Harbour Council advised, due to damage to a switchboard, it could no longer provide the Clarence Valley with return flow, leaving the Nymboida River as the only drinking water source.

In response CVC approved the implementation of a number projects including:


· Construction of settling pond at Rushforth Road Water Treatment Plant (RRWTP), which will enable the drawing of water from the Nymboida River and/or Shannon Creek Dam when turbidity is higher than is currently acceptable.


· Hire and installation of filtration units in the villages of Coutts Crossing and Glenreagh, both of which are affected by the raw water supply to Coffs Harbour.


These activities were commenced prior to Christmas and are nearing completion (weather permitting).


Over the Christmas and summer period daily consumption, dirty water levels at the intake, and stored and treated water levels have been monitored around the clock to mitigate risk of water restrictions and a boil water alert with the assistance of the NSW Departments of Planning, Industry and Environment and Health staff,” Ms Black said.


In other positive news, recommencement of the return flow of water from Coffs Harbour was negotiated this week.


This, coupled with the works already in train at RRWTP, Coutts Crossing and Glenreagh, is indicative of Council moving quickly to respond and resolve the current situation while causing the least amount of inconvenience to residents.


CVC Mayor Ian Tiley said the governing body has been kept abreast of the situation since it changed last year, and is appreciative of the staff effort to manage the situation and avoid water restrictions or boil water alerts over the Christmas period.


Staff are monitoring the turbidity at the Nymboida River intake and as soon as it is safe to do so will draw more water into the system,” he said.


I am confident the inconvenience will be short-lived.”

In the meantime, residents are asked to be patient and abide by the water restrictions.