Interesting to look at some of the connections between these two @CroakeyNews stories, on antibiotic overuse in Australia, and our poor record on addressing health inequities... cc @evelynedeleeuw @ACSQHC
Here's a hint: "On global comparisons, primary care antimicrobial prescribing in Australia continues to outstrip Canada and most European countries, with rates more than double those of benchmark countries such as The Netherlands....
Looking at the connections between these articles reminded me of this 2015 paper: #PLOSONE: Antimicrobial Resistance: The Major Contribution of Poor Governance and Corruption to This Growing ... dx.plos.org/10.1371/journa…
"These findings support the hypothesis that poor governance & corruption contributes to levels of antibiotic resistance & correlate better than antibiotic usage volumes with resistance rates....
"We conclude that addressing corruption and improving governance will lead to a reduction in antibiotic resistance."
Perhaps if government and governance were aimed at reducing health inequities (and inequities generally), then there would be wide-ranging benefits, some unexpected and unforeseen...

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More from @MelissaSweetDr

1 Sep
Many timely reflections in this recent article re the capacity of health systems and workforce now and into the future croakey.org/under-pressure… #AusPol #COVID
On the importance of timely lockdowns & continuing other sensible public health measures, Prof @JBraithwaite1 says: "I would argue for prudence and holding the course. We risk unprecedented cases, deaths, and economic mayhem otherwise...
"I’d go for 90 percent, not 70 percent, vaccination rates, and counsel continuing public health measures, as stringently as possible," says @JBraithwaite1
Read 31 tweets
31 Aug
Lock down smarter, not harder. Excellent article by @engagedpractx croakey.org/lock-down-smar… Thanks @insidestorymag for permission to cross post #publichealth #AusPol
"Instead of putting police and the military on the streets of LGAs with significant migrant populations from war-torn countries, [a smart lockdown] would further invest in building the capacity of affected communities to respond to the outbreak...
"The same interpersonal networks that can transmit a pathogen or misinformation can be harnessed to pass on resources & skills for protecting yourself, your loved ones and your community from the crisis...
Read 4 tweets
31 Aug
What is needed to deliver on the investment in the Medical Research Future Fund? Part 2 of an investigation by @LRussellWolpe croakey.org/what-is-needed… #AusPol
"As previously noted, the $20 billion that makes up the capital of the MRFF is savings from the Health and Indigenous Affairs portfolios.... #MRFFtransparency
Says @LRussellWolpe : "I argue this increases the onus on the MRFF to show that it is privileging research and translation efforts to improve the health of all Australians and especially the lives of Aboriginal and Torres Strait Islander people...
Read 6 tweets
31 Aug
Overdose deaths remain stubbornly high: here are 5 ways to do more to save lives croakey.org/overdose-death… By @dan_lubman & @DrSuziNielsen on #IOAD21
1. Naloxone must be freely accessible everywhere
We must urgently increase access to the life-saving overdose reversal drug naloxone, which is available as an easy-to-use nasal spray. #IOAD21
2. We need more medically supervised injecting centres
Medically supervised injecting centres save lives, help people access treatment, reduce public drug use and related harm, and take the pressure off our health care system. #IOAD21
Read 7 tweets
31 Aug
Interesting analysis/comparison of health equity/inequities in Australia, the Netherlands, Denmark etc croakey.org/inequity-in-he… By Professor @evelynedeleeuw, Director of CHETRE, UNSW, and Editor-In-Chief of Health Promotion International. #SDOH
"The success of Nordic and Bismarckian welfare states has not been the result of a conscious (autocratic or democratic) decision but rather the result of centuries of relatively close-knit joining of forces...
"Our (local, state/territory, federal) governments time and again claim pride in being the wealthiest and luckiest, and even among the healthiest, countries in the world. They refuse to face the truth – we are also one of the most unequal and inequitable nations."
Read 4 tweets
29 Aug
COVID sparks sharp fall in antibiotic use, but threat of antimicrobial resistance remains via @CroakeyServices croakey.org/covid-sparks-s… HT @ACSQHC #sponsoredcontent #publichealth
"While the pandemic-driven shifts in primary care prescribing are welcome, AURA 2021 shows many areas of antimicrobial use across Australia where improvement is needed...
"On global comparisons, primary care antimicrobial prescribing in Australia continues to outstrip Canada & most European countries, with rates more than double those of benchmark countries such as The Netherlands, where there was also far less use of broad-spectrum preparations
Read 4 tweets

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