Sugar in Australia: A Food Systems Approach

Sugar in Australia: A Food Systems Approach

The George Institute for Global Health global thought leadership program seeks to challenge the status quo and foster the kind of debates and discussions that lead to positive changes in health outcomes in a range of strategic focus areas, such as promoting healthy environments.

In Australia much of the debate around sugar to date has focussed on a sugar tax, a concept which is often polarising and where we haven’t seen much progress. It could also be argued that it is only a small part of a bigger problem. With this in mind, The George Institute commissioned a report, “Sugar in Australia: A Food System Approach. Competing Issues, Diverse Voices, and Rethinking Pathways to a Sustainable Transition”, with the objective of broadening the debate through investigating different sides of sugar in Australia from a food systems-perspective.

The report was launched at a breakfast meeting in Sydney on 20th February 2020. The report’s author, Vanessa Clarkson, presented the findings followed by a lively discussion chaired by Professor Bruce Neal and attended by 50 delegates from across health, environmental and food industry sectors. Further information on planned next steps will be posted here in March.

 

Also read Sweet Transition: Priorities for collaborating to transform the food system in Australia

FoodSwitch app in use

Accelerating Research and Development in NSW

The George Institute for Global Health is pleased to make this submission, Accelerating Research and Development (R&D) in NSW.

Our mission is to improve the health of millions of people worldwide, particularly those living in under-served or low resource settings, by challenging the status quo and using innovative approaches to prevent and treat non-communicable diseases (NCD) and injury. Many of the innovative projects we have developed include:

  • The Affordable Dialysis System - our peritoneal dialysis machine can sterilise water in places where water supply may be contaminated by using solar power, can fit in a small suitcase, and runs on a few dollars a day.
  • Polypill - patients only need to take one pill, once a day, to receive the multiple drugs they need to prevent secondary events.
  • SMARThealth - a low cost, digital platform that supports clinical decision-making and improves the screening, detection and management of chronic disease in adults.
  • FoodSwitch App - designed to help people make healthier choices by empowering users with information, and suggesting healthier alternatives.

In October 2019, The George Institute established Genovate, a social entrepreneurship and innovation program. Genovate is dedicated to creating further healthcare solutions that address unmet health needs in underserved populations. It works with our researchers and partners to fast track product development and guide innovation teams toward commercialisation and market success, so we can improve the lives of millions of people.

Pre-Budgert Submission 2020-21

Federal Government Pre-Budget Submission 2020–21

There are economic benefits investing in medical research. In 2018, KPMG calculated that for every $1 invested in medical research, $3.90 is returned to the broader economy. The Australian economy is now entering its 28th year of uninterrupted annual economic growth. The Budget is forecast to return to surplus for the first time in 12 years. We note there are economic headwinds facing the economy, such as lower household consumption, lower wage growth, the impact of drought, and the devastating bushfires.

The George Institute for Global Health’s 2020–21 Pre-Budget Submission outlines our key priorities in numerous policy areas, from investing in health and medical research, improving the food environment and promoting stability in the Indo-Pacific region. This advocacy aligns with our mission – to improve the health of millions of people worldwide. We do this by investigating the biggest burden of death and disability – chronic disease and injury.

Download our 2020-2021 Pre-Budget Submission (PDF 387 KB)

 
Public Consultation

Food Regulation Policy Guideline

As a research organisation with a chronic disease focus, The George Institute for Global Health is interested in the impact of these policy guidelines on public health. Guidelines that are clearly aligned with promoting healthy food consumption will enhance our ability to advocate for effective regulatory strategies to improve population diets.

The George Institute supports the development of a policy guideline to provide guidance to FSANZ when developing or reviewing food labelling measures. This type of guidance has potential utility in empowering FSANZ’s increasing work on the public health objective of reducing obesity and diet-related chronic disease.

Download the submission (PDF 936 KB)

injury strategy australia

The National Injury Prevention Strategy 2020 - 2030

In the 2018-19 budget, the Australian Government committed to developing a National Injury Prevention Strategy (the Strategy) in recognition of the ongoing and substantial burden of injury in Australia. This new strategy follows the expiration of the previous National Injury Prevention and Safety Promotion Action Plan (2004-2014).

In March 2019, The George Institute for Global Health was appointed by the Federal Department of Health as the Project Lead to facilitate and write the Strategy. The George Institute partnered with the Australasian Injury Prevention Network, Monash University and the Ngarruwan Ngadju First Peoples Health and Wellbeing Research Centre at the University of Wollongong to develop the Strategy.

The Team:

  • Dr Kate Hunter: Senior Research Fellow in the Injury Division at The George Institute, and conjoint Senior Lecturer in the Faculty of Medicine, University of New South Wales
  • Associate Professor Julie Brown: Program Head of the Injury Division at The George Institute, and Associate Professor at UNSW Sydney
  • Dr Amy Bestman: Research Fellow, Injury Division, Conjoint Lecturer, UNSW Medicine, University of New South Wales
  • Jacek Anderst: Research Associate, Injury Division, The George Institute
  • Keziah Bennett-Brook: Manager, Aboriginal and Torres Strait Islander Health Program, The George Institute
  • Chelsea Hunnisett: Policy and Advocacy Adviser, Global Advocacy & Policy Engagement, The George Institute
  • Professor Lisa Keay: Head of the School of Optometry and Vision Science and Honorary Professorial Fellow at The George Institute
  • Dr Ben Beck: President of the Australasian Injury Prevention Network, Deputy Head of Prehospital, Emergency and Trauma Research, School of Public Health and Preventive Medicine, Monash University.
  • Professor Kathleen Clapham: Director, Ngarruwan Ngadju First Peoples Health and Wellbeing Research Centre, University of Wollongong.
  • Dr Jane Elkington: Principal, Jane Elkington & Associates.

What will a National Injury Prevention Strategy do?

The National Injury Prevention Strategy will create a national focus on injuries and their prevention.

The Strategy has priority areas for action around injuries that place a high burden on the community, particularly on groups at high risk of injury, for which there is evidence of promising injury prevention approaches. The Strategy will complement rather than duplicate existing strategies and frameworks for action.

The National Injury Prevention Strategy is being developed in recognition of the following:

  • Injuries are the leading cause of death of all people aged 1-44 years yet are rarely a focus of national attention;
  • Intentional and unintentional injuries are preventable; 
  • There is demonstrable success in some areas (e.g. road trauma) with lessons that can be applied to other areas;
  • Given the aging population, increasing urbanisation, climate change and associated increasing extreme weather events and prolonged periods of heat and drought, many types of injuries are expected to rise, placing increased pressures on the health care system;
  • Change will require coordinated action across many and varied departments and agencies – health, transport, housing, urban planning, work health and safety, social services, education, policing and justice;
  • There is a need for focused, evidence-based action that will ensure that emphasis is placed on preventing injury among people and population groups most at risk.

What types of injury will be covered in the Strategy?

The Strategy adopts the Aboriginal and Torres Strait Islander holistic view of health. Injuries are not just the physical harm caused by an external event, but the spiritual, emotional and cultural aspects of harm. This means that injury prevention should focus not only on reduced hospital bed days or lives lost, but also the safety and emotional well-being of individuals as well as the whole community.

An injury event can be caused by the exchange of energy between the environment and a person, or by the sudden absence of oxygen or warmth, which take the body beyond its bounds of resilience. Whether physical, psychological or social harm, injuries can be unintentional or intentional. In 2002, the World Health Organization broadened this definition of injury from physical injuries to include psychological, maltreatment or deprivation.

The Strategy addresses these broadest definitions of injuries – the physical, cultural, spiritual and community cost of injuries. It addresses intentional injuries, including violence and self-harm and unintentional injuries, including road traffic injuries, falls, sports-related injuries, poisoning, drowning and burns, although many of these latter types of injuries can also be the result of intended harm.

How is the Strategy being developed?

In developing the Strategy, actions to date and planned include:

  1. Two round table discussions in March 2019.
  2. A literature review June 2019. The review was conducted by a collaboration led by The George Institute and provided a summary of current data on the burden of injury in Australia and available evidence on intervention strategies that address this burden.
  3. An Expert Advisory Group, comprising representatives from government and non-government organisations, was appointed to advise development of the Strategy.
    • Ms Tiali Goodchild (Chair), Assistant Secretary, Preventive Health Policy Branch, Population Health & Sport Division, Australian Government Department of Health
    • Ms Pamela Binnington, Director, Evidence and Strategic Policy, Safe Work Australia
    • Colette Colman, Director, Policy and Strategy Development, National Rural Health Alliance
    • Dr John Crozier Chair, National Trauma Committee Royal Australasian College of Surgeons
    • Mick Drew, Australian Sports Commission
    • Prof Caroline Finch, Deputy Vice-Chancellor (Research), Edith Cowan University
    • Ms Jessica Hall, First Assistant Secretary, Department of Infrastructure, Regional Development and Communications
    • Prof Rebecca Ivers, Head of School Public Health and Community Medicine, The University of New South Wales
    • Ms Andrea Kelly, Branch Manager, Health and Wellbeing Branch, Social Policy and Programs Group, National Indigenous Australians Agency
    • Mr Justin Mohamed, Commissioner for Aboriginal Children and Young People, Commission for Children and Young People
    • Dr Matthew O'Meara, NSW Chief Paediatrician, Health and Social Policy Branch, Maternity, Child, Youth and Paediatrics, NSW Health
    • Mr Nick Pascual, Director Child and Family Health Section, Early Years and Engagement Branch, Indigenous Health Division, Department of Health
    • Dr Brett Shannon, Occupational Registrar Non-executive deputy chair, LIME Medicolegal and Phoenix Occupational Medicine Brisbane Aboriginal and Torres Strait Islander Community Health Service
    • Ms Lyndall Soper, Deputy – Monitoring and Reform, National Mental Health Commission
    • Ms Vicki Sweeney, Acting Director Policy and Governance Section, Alcohol, Tobacco & Other Drugs Branch, Population Health & Sport Division, Department of Health
    • Ms Marissa Veld, Head, Injuries and System Surveillance Unit, Health Systems Group, Australian Institute of Health and Welfare
    • Ms Ashley Walsh, Director Children’s Policy, Children Policy Branch, Department of Social Services
  4. An outline of the Strategy was developed August and the Expert Advisory Group provided feedback on that outline in September 2019.
  5. Stakeholder consultations August - October 2019 to provide input into the framing and priorities of the Strategy.
  6. Draft Strategy developed and feedback received from the EAG, November 2019.
  7. Draft Strategy to be released for broad public and government feedback via the Australian Government Department of Health Consultation Hub.

How to get in touch

If you have any questions about the Strategy, you can email InjuryStrategy@georgeinstitute.org.au

Additional Reading

Round Table Consultation Report – March 2019

National Injury Prevention Strategy – Literature Review

waglett

Food and Water for Life

The George Institute has been working with Yuwaya Ngarra-li, a community-led partnership between the Dharriwaa Elders Group and UNSW Sydney, and NSW government to find a solution to high sodium levels in the bore water in Walgett, NSW, Australia.

In April 2019, a Food Forum was held in Walgett, hosted by the Yuwaya Ngarra-li partnership. The forum was attended by over 50 people from all aspects of the Walgett community.

Dr Jacqui Webster of The George Institute presented at the Forum on the sodium levels in the water and effective community interventions to improve the food environments worldwide; and has been providing ongoing expert comment on the health risks of the bore water in Walgett.

Recent NSW government commitment of funding to remove salt from the emergency bore water in Bourke and Walgett is welcome.  

More about the Food Forum here.

Recent media coverage here.

science-of-salt-weekly

Reducing population salt intake to save lives

As a WHO Collaborating Centre on Salt we are supporting governments on salt reduction, for example most recently, in Malaysia we evaluated their strategy to meet salt targets by 2025 and supported them to secure a $200k LINKS grant from Resolve to Save Lives to reduce salt in street foods. In Vanuatu we have contributed to a multi-sectoral government strategy to improve food policy and have been asked to support with their next non-communicable disease risk factor survey.  

More about this work here

Women’s health Australia

The overarching principle of our Women’s Health Program in Australia is to promote a life-course approach that addresses the burden of NCDI. This approach recognises health and wellbeing from birth to death as interconnected periods, in which early health-related markers can be indicators for health outcomes later in life.

Major global study highlights improved

Improving treatment for stroke worldwide

Our ENCHANTED research study investigated the safety of a controversial clot busting drug used to treat the most common form of stroke. The results of the trial involving more than 3000 patients worldwide showed a modified dosage of intravenous rtPA (or alteplase) can reduce serious bleeding in the brain and improve survival rates.

This will change the way the most common form of stroke is treated globally and could save the lives of many tens of thousands of people.

ENCHANTED was rated in the top five clinical studies in Australia in 2016.

Its impact includes:

  • A major influence on guidelines and practice, particularly in Asia where low dose rtPA is preferred
  • The Royal College of Physicians (UK) national guidelines state the modified dose could ‘reduce the early risk  of symptomatic intracerebral hemorrhage (ICH)

More about this research here.

affordable dialysis

The world’s first affordable dialysis

Ellen Medical Devices is developing the world’s first affordable dialysis to stop millions of people dying unnecessarily because they cannot access treatment for kidney failure.

The new dialysis system is a breakthrough in the treatment of kidney disease. Focused on underserved populations, particularly in low- and middle-income countries, the Ellen Medical Dialysis System will increase access to lifesaving treatment and improve dialysis management and patient outcomes.

The system is portable, affordable and patient-centred. Costing under $1,000 to build and $5 a day to run, the system radically reduces costs for patients and payers. It uses peritoneal dialysis, which is as safe and effective as the better known haemodialysis, and is recommended by the International Society of Nephrology as the preferred choice for patients with kidney failure.

We are working in partnership with Australia’s leading biomedical engineering product development companies, while we look for global partners to help get affordable dialysis to as many people as possible worldwide, and save millions of lives.

Clinical trials clinical trials of the system are scheduled to begin in July 2020.

Ellen Medical Devices was founded by The George Institute to build and market the Affordable Dialysis System.

Read the latest related media coverage here.