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Angela Kiszko, left, walks with an unidentified woman after leaving a court house in Perth, Australia, on Friday, May 20, 2016, after a judge ruled in favor of a couple who refused to allow their 6-year-old son to undergo radiotherapy for a malignant brain tumor. SYDNEY (AP) a€” An Australian judge on Friday ruled in favor of a couple who refused to allow their 6-year-old son to undergo radiotherapy for a malignant brain tumor.Princess Margaret Hospital in Perth had applied for a Family Court order forcing Oshin Kiszko to undergo radiotherapy for a rare cancer known as medulloblastoma.
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All women capable of becoming pregnant are advised to meet the daily recommendation for this B vitamin.
A new report from the Australian Institute of Health and Welfare details the health of Australia's children, including health inequalities.
The report also showed that while exclusive breastfeeding was initiated for 90 per cent of infants at birth, only 40 per cent of infants were exclusively breastfed to around 4 months (exclusive breastfeeding is recommended to 6 months). Around 42 per cent of children aged 6 have dental decay, as do 39 per cent of children aged 12. About 7 per cent of Australian children had a disability in 2009 and, of these, over half had profound or severe core activity limitations.
Aboriginal and Torres Strait Islander children experience higher death rates than the national average. Shoalhaven Tourism and Bannisters join forces to launch “Secret Stories” social media campaignSee the beautiful imagery of the region and uncover stories of people, places and produce. Lesley Barclay has just ended a five-year NHMRC-funded research project with two of the largest remote Aboriginal communities and health system leaders in the Top End of the Northern Territory. Australian Aboriginals are at most risk of bad physical and mental health and they have the worst health services in the country. Aboriginal people living in remote communities have much worse health status and longevity than other Australians. Offering Australians at most risk of bad physical and mental health the worst health services is a social justice issue. In recent years, we have worked together on research lead by Tricia Nagel around remote mental health services.
We know that complex chronic disease starts in the womb and we know social distress contributes to mental illness and self-harm. But Aboriginal infants in northern Australia still begin life lighter than other Australian babies and nearly 30% require admission to a neonatal nursery for care.
At six months, 68% of Aboriginal infants are anaemic, and 86% show faltering growth in their first 12 months. Rates of anxiety and depression symptoms among Aboriginal people are between twice and three times higher than for non-Indigenous Australian adults. Surveys of Aboriginal and Torres Strait Islander people show consistently higher rates of psychological distress; their rates of anxiety and depression symptoms are between twice and three times higher than for non-Indigenous Australian adults.
Despite all this, our research shows many Northern Territory clinicians struggle to identify and treat anaemia and low weight in infants.


A poor start to life can be modified, to an extent, by natural resilience, and at least some individuals do have the ability to bounce back. There are effective treatments to mitigate some of the consequences of Aboriginal disadvantage, but government-run services do not always provide them.
We could promote healthy weight gain in underweight infants and identify problems of mental health and well-being before they become severe.
But this requires a community-based and client-centred approach to care, rather than the current health-centre focused model. Such cultural challenges persist because there are so few Aboriginal health professionals available to provide care and teach their non-Aboriginal colleagues. Medical staff in remote communities are generally few in number and under-qualified to deal with the volume and acuity of care in child and mental health. Similarly, the burden of mental disorders is so severe in remote communities that it will require skills and confidence to engage in care, early intervention and provision of culturally-appropriate treatment. Continuity of care is improving the quality of anetnatal and post-natal care in the Northern Territory.
What it has achieved could guide system improvement within mental and child health across northern Australia.
Midwives now work with pregnant women and new mothers in larger communities in the territory; and one known midwife provides consistent care for women transferred to regional centres for birth. How women engage with the health system has improved, resulting in midwives receiving text messages reporting baby weight many weeks after birth. The remote substance misuse workforce receives daily supervision from staff in health centres, as well as face-to-face supervision, training and advocacy support from specialist alcohol and other drug-use nurses and psychologists.
A specific chronic disease worker role has recently been established, alongside improved data monitoring and skilled clinical governance. The Northern Territory health system has made good progress in chronic disease management and maternity care, and is investigating better ways to provide child health services. The underlying issue is equity – a significant number of already vulnerable Australians are getting much worse health care than they need and deserve.
The lack of staff adequately prepared to deal with the volume and acuity of infant illness and the lack of physical and mental wellness in remote Aboriginal communities would not be acceptable elsewhere in Australia.
Avoiding or delaying diagnosis means people miss out on treatments that might have eased their suffering. The State of Western Australia, the Department of Health WA and their respective officers, employees and agents (“the Relevant Persons”) do not accept legal liability or responsibility for the content of the advice or information or any consequences arising from its use.
Princess Margaret Hospital in Perth had applied for a Family Court order forcing Kiszko's son, Oshin, to undergo radiotherapy for a rare cancer known as medulloblastoma that was diagnosed in December.
His parents did not want him to undergo the treatment due to the risk of severe side effects.Family Court Chief Judge Stephen Thackray had previously ordered Oshin to submit to two rounds of chemotherapy, which his parents were also against. The majority of households with children in Australia perceive their neighbourhood as safe. They also had higher smoking rates than the general child population and were less likely to have achieved reading and numeracy minimum standards.


We use a Creative Commons Attribution NoDerivatives licence, so you can republish our articles for free, online or in print. And this imbalance will not be remedied until governments work with Aboriginal leaders and communities to address inequalities in education, economic opportunities, and housing. Poorly-designed mental and child health service models and the lack of adequately specialised staff is compounded by the absence of Aboriginal community leadership.
Lesley Barclay has recently been working on a project aiming to inform improvements in maternal and infant health care, while Tricia Nagel has been exploring Aboriginal and Torres Strait Islander perspectives of mental health. Nor do they deal adequately with the persistent grief and mental and social distress of many Aboriginal people. The skills and knowledge of health practitioners and their capacity to work effectively across cultures is sorely lacking.
But we need accessible, culturally safe assessments and appropriate interventions to do this.
Sensitive screening can identify needs and institute treatments before a minor problem becomes a crisis. There are no full-time, qualified child health workers devoted solely to the hundreds of children under five in large communities, for instance. Despite facing the same challenges as the rest of northern Australia, the Northern Territory’s health system has considerably improved how it deals with chronic disease, maternity care and substance misuse recently. A cost-consequences analysis has shown savings based mainly on significantly reduced birthing and neonatal nursery costs.
This appears to be making a significant difference in the quality of care by using locally-managed treatments. But there is still a long way to go to improve infant care and promote mental health and well-being. A change in circumstances after a document is placed on the Site may impact on the accuracy of the information. But he sided with the parents when it came to radiation therapy, noting that the parents had agreed to continue chemotherapy instead."I acknowledge Oshin's parents, who have done what they thought was right," Thackray said.
Most households also reported that they could get assistance from outside the household in times of crisis.
And without leadership, Aboriginal people struggle to access effective and culturally safe treatment. The Relevant Persons cannot ensure the accuracy of any information or advice contained after publication on the Site.
They asked for palliative care instead, so they could focus on improving his quality of life.Generally in Australia, parents have the right to refuse a doctor's recommended treatment for their child.



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