National Health Priority Areas (NHPAs)

1. National Health Priority Areas (NHPAs)

2. NHPAs • Cancer control • Cardiovascular disease • Injury prevention and control • Mental health • Arthritis and musculoskeletal conditions • Asthma • Diabetes • Obesity • Dementia

3. Arthritis and musculoskeletal conditions • Arthritis is a term used to describe a disorder of one or more joints. Arthritis disorders are part of a broader group of disorders of the muscles and bones called musculoskeletal disorders. This NHPA is focussed on: • osteoarthritis • rheumatoid arthritis • osteoporosis.

4. Osteoarthritis A degenerative joint condition affecting the weight-bearing joints such as the hips, knees and ankles as well as the hands and spine. In the initial stages pain occurs in the joints during and after activity, but as the condition progresses pain may be experienced from minimal movement or during rest.

5. Rheumatoid arthritis • An auto-immune disease causing chronic inflammation of the joints. It most commonly affects the hand joints and can lead to deformities • of the hands.

6. Osteoporosis • A condition whereby there is a progressive loss of bone density and decrease in the strength of the skeleton with a resultant risk of fracture.

7. Strategy Waves Warm Water Wellness Program • Arthritis Victoria’s Waves program provides gentle warm water exercise classes in hydrotherapy pools and offers a general workout for the whole body. Exercising in warm water is one way to help people with arthritis remain physically active

8. Arthritis and musculoskeletal conditions

9. Asthma • A chronic condition that affects the small air passages of the lungs. When exposed to certain triggers, the airways of people with asthma will narrow, making it difficult to breathe.

10. Asthma Friendly Schools Program The Asthma Friendly Schools Program is a national program that targets school students, staff and parents and was developed to help schools provide a safer environment for children with asthma. The aim of this program is to achieve improved quality of life, health outcomes and wellbeing for school children with asthma. Schools are required to meet a number of essential criteria in order to become an Asthma Friendly School.

11. Asthma

12. Cancer control Cancer control is about attempting to control or stop the growth of a group of diseases in which the cells become defective and behave abnormally. Eight priority cancers have been identified; • Lung cancer melanoma, • non-melanocytic skin cancer • colorectal cancer prostate cancer • non-hodgkinslymphoma, cervical and breast cancer

13. Which cancers were the most common in 2007? In 2007, the most commonly reported cancers were: • Prostate cancer (19,403 cases) • Bowel cancer (14,234 cases) • Breast cancer (12,670 cases) • Melanoma of the skin (10,342 cases) • Lung cancer (9,703 cases).

15. How many people died from cancer in 2007? • A total of 39,884 people died from cancer in 2007 (22,562 males and 17,322 females), this equates to an average of 109 people dying from cancer every day. • Cancer was the second most common cause of death in 2007, accounting for approximately three of every ten deaths (29%).

16. http://www.aihw.gov.au/cancer/

17. Why was it selected? 1.Because it is the leading cause of disease burden in Australia 2.Because of the potential for the prevention of many cases of cancer 3.Due to the large economic burden it places on the health care system

18. National Bowel Cancer Screening Program Medicare Australia and the Department of Health and Ageing are working together to implement this program. Currently fewer than 40% of bowel cancers in Australia are detected early. Bowel cancer screening involves testing for bowel cancer in people who do not have any obvious symptoms of the disease. Screening involves a test called a Faecal Occult Blood Test (FOBT), which involves an individual sending a sample to a laboratory for analysis. The goals for this program are to reduce the incidence and mortality rate of bowel cancer through screening to detect abnormalities early.

20. Cancer control

21. Cardiovascular Health Cardiovascular health is about maintaining a healthy heart and circulatory system. Cardiovascular diseases include all diseases and conditions of the heart and blood vessels including coronary heart disease, stroke and peripheral vascular disease. It is caused mainly due to damage to the blood supply to the heart, brain and legs.

23. The main types of CVD in Australia are: • coronary heart disease • stroke • heart failure and cardiomyopathy • acute rheumatic fever and rheumatic heart disease • peripheral vascular disease • congenital heart disease. • The main cause of most CVDs in Australia is atherosclerosis, which is an abnormal build-up of fat and other substances which form plaque inside the arteries. • Atherosclerosis is most serious when it leads to reduced or blocked blood supply to the heart (causing angina or heart attack) or to the brain (causing a stroke).

24. The major preventable risk factors for cardiovascular disease are: • Tobacco smoking • Poor diet and nutrition • Physical inactivity • Overweight and obesity • High blood pressure • High blood cholesterol • Diabetes

25. Why was it selected 1. To improve the cardiovascular health of Australians by reducing coronary heart disease and the impact that it has on the population 2. Because it is the largest cause of premature death and the second leading cause of disease burden in Australia 3.Because of the potential for the prevention of many cases of cardiovascular disease 4.Due to the large economic burden on the health care system as the most expensive disease group

26. Cardiovascular health • Cardiovascular disease is the largest cause of premature death in Australia

27. Strategies The Tick Program The Tick Food Approval Program is a public health nutrition program that was established in 1989 as part of the Heart Foundation’s long term strategy to improve the eating patterns of all Australians. It is a guide to help people make healthy food choices quickly and easily. Its also encourages food manufacturers to develop products that support the Heart Foundations guidelines. To earn the Tick, foods need to meet a standards in relation to fat levels, trans fats, kilojoules, salt, fibre and calcium. To earn the Tick products need to be lower in fats and salt and higher in other nutrients such as fibre than other foods in the same defined food category.

28. Cardiovascular disease

29. Diabetes Mellitus • Diabetes is a long-term (chronic) condition in which the body loses its ability to control the level of glucose (sugar) in the blood. Insulin is a hormone produced by special cells in the pancreas that helps the body to convert glucose from food into energy. People with diabetes either don’t have enough insulin or their body cannot use insulin effectively

30. Type 2 Diabetes Mellitus • Type 2 diabetes is the most common form of diabetes. • It occurs mostly in people aged 50 years and over and, • People with type 2 diabetes produce insulin, but cannot use it effectively or may not produce enough. • Type 2 diabetes may initially be managed with changes to diet and exercise, and/or oral glucose-lowering drugs. • People with type 2 diabetes may progress to needing insulin or a combination of these therapies if their condition cannot be managed through lifestyle changes and/or oral drugs. • Type 2 diabetes accounts for 87% of all people with diabetes, according to self-reported data from the 2007–08 National Health Survey.

31. Risk factors • http://www.aihw.gov.au/diabetes/risk-factors/

34. Diabetes mellitus

35. injury prevention and control • This NHPA aims to reducing the incidence of injuries such as intentional harm including suicide and unintentional injuries such as falls, poisoning and transport accidents

36. Injury contributes substantially to the burden of disease. In 2010, injury was estimated to account for 6.5% of the total burden of disease in Australia. • Each year about 400,000 people suffer an injury severe enough to be admitted to a hospital. • Older people, particularly women, have higher rates of injury as a result of falls.

37. Why was it selected? 1.Because it is a significant cause of disease burden in Australia 2.Because of the potential for the prevention of many injuries 3.Due to the large economic burden it places on the health care system

38. Arrive Alive 2008-2017 Arrive Alive 2008-2017 is the Victorian Government’s new 10-year road safety strategy to help combat road trauma, deliver further major improvements to our road transport system and improve safety for all Victorian road users. The strategy incorporates the Safe System approach to road safety –safer roads and roadsides; safer vehicles; safer road users. It also incorporates initiatives in the key areas of: road improvements; drug driving; young drivers; strategic enforcement; safe vehicles. Arrive Alive’s target is by the end of 2017, a reduction in deaths and serious injuries by 30% and save an extra 100 lives a year, prevent over 2000 serious injuries and reduce the severity of serious injuries.

39. Injury prevention and control

40. Mental Health • Mental health is about promoting a state of wellbeing in which the individual realizes his or her own abilities, can cope with the stresses of life, can work productively and fruitfully, and is able to make a contribution to his or her community

41. 3.2 million Australians (20% of the population aged between 16 and 85) had a mental disorder in the twelve months prior to the survey.

42. Why was it selected? 1.Because it is the leading cause of non-fatal disease burden in Australia 2.Due to the large economic burden it places on the health care system

43. MindMatters MindMatters is a national mental health initiative for secondary schools funded by the Australian Government Department of Health and Ageing and is implemented by Principals Australia. MindMatters uses a whole school approach to mental health promotion and with this focus, embeds promotion, prevention and early intervention; enhances the development of school environments; develops social and emotional skills; helps school communities; develops strategies; and working with families all with the aim of raising awareness and providing coping strategies for all individuals.

44. Mental health

45. obesity

48. http://www.aihw.gov.au/overweight-and-obesity/burden-of-disease/http://www.aihw.gov.au/overweight-and-obesity/burden-of-disease/