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Tim Gill raises some weighty issues for the Feds

Dr Tim Gill, Principal Research Fellow at the Institute of Obesity, Nutrition and Exercise, University of Sydney writes:

Tackling health problems requires reliable, independent evidence in order to be able to evaluate the impact of policies.

We know a lot about the health problems caused by poor nutrition and physical inactivity – it is estimated that these two risk factors contribute to almost one-third of the burden of illness in Australia.

But we know very little about the risk factors themselves – about patterns in peoples’ eating and activity habits and how they may be changing over time.

For years, public health experts have been urging the Federal Government to establish a regular nutrition and health survey.

Most other developed countries already do this.  Even lower income countries such as the Philippines and Thailand recognise the merit of doing such surveys regularly.

But in Australia, the last national nutrition survey was conducted in 1995. A one-off survey of children’s dietary and physical activity patterns was conducted in 2007, only after the offer of some financial support from the food industry.

A commitment from the current Government to deal with this oversight was warmly welcomed.

A host of reports and experts had urged the Government to fund regular surveys to collect good quality dietary and activity data together with limited physical measurements on a large sample of Australians.  It was recommended that these be overseen by an existing central agency such as the ABS or the Australian Institute of Health and Welfare who have the experience and resources to conduct these surveys efficiently and will ensure consistency between surveys.

Additional consultations and discussions within COAG agreed that supplementary resources should be made available to assess other markers of chronic disease risk at the same time.

It seemed the sensible course of action was laid out and straightforward enough for the Government to follow.

But the recent release of a hastily prepared consultation paper on a National Health Risk Survey by the Department of Health and Ageing suggests that this is advice likely to be ignored.

The paper presents a confused model for the proposed survey and shies away from key elements of previous recommendations, including the value of the survey being managed by a central agency.

It appears key stakeholders were not involved in the development of the consultation paper and some were not even aware of its release.

The rationale for revising previous models and ignoring past advice is not apparent from the Consultation paper.

It has raised suspicions that an allocation may be made within the upcoming budget to a non government organisation to undertake this work quickly.

This may be expeditious but it would be unsatisfactory.

We have waited a long time to get another national survey of diet and physical activity behaviours in Australia and a lot of thought has gone into determining how the data could be best collected on a regular basis.

Another one-off survey which does not pay heed to this work not only compromises the quality of data it collects now, but also fails to address future health planning needs.

These can only be met by an ongoing, integrated system for monitoring nutrition, physical activity and health risk.

Why is the Government ignoring the wealth of advice it has been given about how to build such a system?

Comments 1

  1. Catriona Bonfiglioli says:

    Thanks Tim for raising these important issues.
    One of the most frustrating aspects of reporting on health and medical research is being forced to compare apples with oranges: for example when the latest survey of some important health factor in Australian life reveals crucial information about the now but provides little or no information about change over time because some or all of the key factors are (once again) being measured a/differently, b/ for the first time or c/ not at all this time. These changes must also create frustrations for health professionals and policy makers trying to design interventions which improve health.
    This is not an argument against designing and conducting the best possible new survey of nutrition and physical activity (which Australia urgently needs) but an argument to urge funding bodies to commission and fund regular surveys using the same parameters so we can get a clear picture of trends which can underpin rational interventions. It almost goes without saying that such a survey should not be funded by industry.
    Catriona

    Catriona Bonfiglioli

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#CroakeyLIVE #DigitalNationBuilding
#CroakeyLIVE #VoiceForHealth
#PHAAThinkTank2023
The Health Wrap
ICYMI
@WePublicHealth
@WePublicHealth2023
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Croakey longreads
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CroakeyEXPLORE
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Mapping CroakeyGo
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Croakey Funding Drive June 2024
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The Croakey Archives
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#LoveRural 2014
Croakey Conference News Service 2013 – 2023
2023 Conferences
#GreenHealthForum23
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Our Democracy Forum
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2022 Conferences
#16nrhc
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#RTP22
GiantSteps22
Equally Well 2022 Symposium
Choosing Wisely National Meeting 2022
2021 conferences
#21OPCC
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#HealthClimateSolutions21
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#ShiftingGearsSummit
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#WCepi2021
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2020 conferences
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2019 Conferences
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#EquallyWellAust
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#LowitjaConf2019
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#NNF2019
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#RANZCOG19
#RANZCP2019
#ruralhealthconf
#VMIAC2019
#WHOcollabAHPRA
2018 conferences
#6rrhss
#ACEM18
#AHPA2018
#ATSISPC18
#CPHCE
#MHED18
#NDISMentalHealth
#Nurseforce
#OKToAsk2018
#RANZCOG18
#ResearchIntoPolicy
#VHAawards
#VMIACAwards18
#WISPC18
2017 conferences
#17APCC
#ACEM17
#AIDAconf2017
#BTH20
#CATSINaM17
#ClimateHealthStrategy
#IAHAConf17
#IDS17
#LBQWHC17
#LivingOurWay
#OKtoAskAu
#OTCC2017
#ResearchTranslation17
#TheMHS2017
#VMIACConf17
#WCPH2017
Australian Palliative Care Conference
2016 conferences
#AHHAsim16
#AHMRC16
#ANROWS2016
#ATSISPEP
#AusCanIndigenousWellness
#cphce2016
#CPHCEforum16
#CRANAplus2016
#IAMRA2016
#LowitjaConf2016
#PreventObesity16
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#VMIAC16
#WearablesCEH
#WICC2016
2015 conferences
#CPHCEforum
#CRANAplus15
#HSR15
#NRHC15
#OTCC15
Population Health Congress 2015
2014 conferences
#IPCHIV14
AIDA Conference 2014
Congress Lowitja 2014
CRANAplus conference 2014
Cultural Solutions - Healing Foundation forum 2014
Lowitja Institute Continuous Quality Improvement conference 2014
National Suicide Prevention Conference 2014
Racism and children/youth health symposium 2014
Rural & Remote Health Scientific Symposium 2014
2013 conferences
Australian Centre for Health Services Innovation Forum 2013
Australian Health Promotion Association Conference 2013
Closing the Credibility Gap 2013
CRANAplus Conference 2013
FASD Conference 2013
Health Workforce Australia 2013
International Health Literacy Network Conference 2013
NACCHO Summit 2013
National Rural Health Conference 2013
Oceania EcoHealth Symposium 2013
PHAA conference 2013
Croakey Professional Services archive
#CommunityControl
#CommunityControl Twitter Festival
#COVIDthinktank21
Healthdirect Australia series 2019
Lowitja Indigenous knowledge translation series
Croakey projects archive
#PHAAThinkTank 2022
Summer reading 2022-2023
#CommunityMatters
#CroakeyFundingDrive 2022
#CroakeyLIVE #Budget2021Health
#CroakeyLIVE #USvotesHealth
#CroakeyLIVE Federal election 2022
#CroakeyYOUTH
#HousingJusticeAus
#IndigenousHealthSummit
#IndigenousNCDs
#JustClimate
#JustJustice
#LookingLocal
#OutOfPocket
#OutOfTheBox
#RuralHealthJustice
#TalkingTeeth
@WePublicHealth2022
@WePublicHealth2021
@WePublicHealth2020
AroundTheTraps
Croakey register of influence
Croakey Register of Influencers in Public Health
Croakey Register of Unreleased Documents
Gavin Mooney
Inside Story
Journal Watch
Naked Doctor
Poems of Public Health
Summer reading 2021-2022
Summer reading 2020-2021
Summer Reading 2019-2020
Summer Reading 2017-2018
Summer Reading 2016-2017
The Koori Woman
TOO MUCH of a Good Thing
Wonky Health
CroakeyGO archive 2017 – 2018
CroakeyGo 2018
#CroakeyGO #QuantumWords 2018
#CroakeyGO #VicVotes 2018
#CroakeyGO Albury 2018
#CroakeyGO Callan Park 2018
#CroakeyGO Carnarvon 2018
#CroakeyGO Marrickville 2018
#CroakeyGO Palm Island 2018
CroakeyGo 2017
#CroakeyGO Adelaide 2017
#CroakeyGO Melbourne 2017
#CroakeyGO Newcastle 2017
#CroakeyGO Sydney 2017
Elections and Budgets 2013 – 2021
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Budget2020Health
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#AusVotesHealth Twitter Festival 2019
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Federal Election 2019
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NT Election 2016
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Qld Election 2015
NSW Election 2015
Federal Budget 2014-15
Victorian Election 2014
Federal Budget 2013-14
Federal Election 2013
Federal Budget 2012-2013
Federal Budget 2011
Federal Budget 2010
Federal Election 2010
Federal Budget 2009-2010

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