Explaining Disparities in Employment Growth Between Metropolitan and Regional Australia

Total Page:16

File Type:pdf, Size:1020Kb

Explaining Disparities in Employment Growth Between Metropolitan and Regional Australia Explaining disparities in employment growth between metropolitan and regional Australia Authored by: William Mitchell Ellen Carlson Centre of Full Employment and Equity University of Newcastle [email protected] Explaining disparities in employment growth between metropolitan and regional Australia Mitchell and Carlson 1. Introduction1 Over the last few decades there has been considerable change in the industrial and demographic composition of employment with substantial impacts on the spatial economy. There are significant disparities in employment growth rates across metropolitan and regional areas of Australia. These disparities are intrinsically linked to the persistence of unemployment rate differentials across the same spatial units and the accompanying social disadvantage (Mitchell and Carlson, 2003a). The capital cities experience lower unemployment rates, higher employment growth and recover from recession more easily. Demarcating the regions into Capital City and Rest of State with the Territories as single regions (based on ABS Labour Force categories) and employing an array of statistical techniques (multiple regression, contingency table analysis, causality analysis, vector autoregression, and cointegration analysis), Mitchell and Carlson (2003a) examined the relative significance of national factors and region-specific factors in explaining these disparities. They concluded that a region’s unemployment ranking is negatively influenced by its employment growth and this, in turn, is significantly influenced by aggregate (national) fluctuations. However, region-specific fluctuations were also found to be important. The regions were grouped into high growth regions (both regions in WA and QLD, NT, ACT - see Appendix for regional mnemonics), moderate growth regions (both regions in VIC and NSW) and low growth regions (both regions in TAS and SA) in terms of employment outcomes. The spatial diversity of response to aggregate fluctuations and region-specific dynamics was notable with the high growth regions able to resist the negative impacts of the national contractions more effectively than the other regions. The low growth regions have stagnant labour markets and negative shocks appear to endure for long periods. The disaggregated data set used was a development on previous studies of regional unemployment, which have used States and Territories as the regional unit (for example, Dixon and Shepherd, 2001). This research bears directly on the contested issue in regional economic debate concerning the relative importance of regional-specific versus macroeconomic factors in determining regional employment outcomes. The theoretical impasse is also evident in regional development policy (Rissman, 1999). Keynesian macroeconomics 1 The authors are Professor of Economics and Director of the Centre of Full Employment and Equity, and Senior Research Fellow, Centre of Full Employment and Equity, respectively. They thank Victor Quirk for excellent research assistance. All errors are our own. State of Australian Cities National Conference 2003 Page 2 Explaining disparities in employment growth between metropolitan and regional Australia Mitchell and Carlson typically argues that regional employment variations are caused by the impact of the national business cycle on growth rates across industries, which reflect changes in aggregate factors, such as fiscal and monetary policy settings, business and consumer confidence and productivity trends. Thus, the cyclical sensitivity of regional outcomes reflects the impact of common aggregate shocks and the specific regional industry mix. Regions dominated by goods-production allegedly lose employment share in recessions relative to service-providing regions. The solution is for aggregate policy to maintain strong growth with industry policy attenuating structural shifts. The current Australian Government has pursued a different interpretation of the “macro” view and has eschewed both stimulatory macro policy and specific regional policy. Its low-inflation policy with fiscal restraint is designed to create a macro environment within which economic growth will flourish. Supplementary microeconomic labour market and welfare reforms aim to provide market incentives to promote individual participation in economic activity. Rather than introduce regionally-targetted policies, this strategy places faith in market forces to redress the regional problems - through labour mobility away from and firm relocation into areas of low labour utilisation response to falling wages and improved local labour skills. While the national economy has demonstrated consistent output growth over the last decade, the regional disparities in labour market outcomes persist. The tight macro policy has sustained high unemployment and mobility patterns and relative wage movements have not promoted regional convergence (Martin, 1997; Debelle and Vickery, 1999). Disparities in regional incomes and employment are persistent and in many cases increasing (ALGA, 2002). For such reasons, the “macro” view (irrespective of the guise it takes) is now under challenge. There is also growing anecdotal evidence that regional development agencies are adopting a paradigm that has been termed new regionalism, which emerged in the mid-1980s and was inspired by case studies documenting economic successes in regions such as Silicon Valley and Baden Württemberg. Scott and Storper (1989) posited that regions had displaced nation states as sites of successful economic organisation. The upshot is that there is now an emphasis on localised institutions and collaborations. The status of macroeconomic policy is now considered peripheral to the growth potential of any particular region (Castells and Hall, 1994; Cooke and Morgan, 1998). Despite the growing popularity of new regionalism, the claim that the State of Australian Cities National Conference 2003 Page 3 Explaining disparities in employment growth between metropolitan and regional Australia Mitchell and Carlson region offers a convincing theoretical explanation of recent and future economic development is under-researched and has weak empirical underpinnings. There is little known about how the national economy interacts with the regions. Further, no empirical evidence exists to verify assumptions of, first, the emergence of capitalism centred on spatialised, autonomous economies, and, second, a hollowed out, macro- weakened nation state (Lovering, 1999; Markusen, 1996). In this paper we seek to extend the work of Mitchell and Carlson (2003a) to develop a better understanding of the disparities in employment growth across regions which appear to account for the observed persistence in the disparities with respect to unemployment outcomes. There is very little research on this issue in Australia. The paper also seeks to determine whether the metropolitan areas have benefited from favourable industry locations relative to the "de-industrialised" regional areas. Using dynamic shift-share analysis (Arcelus, 1984; Barff and Knight, 1988) we decompose regional employment growth into a national growth component, an industry mix component and a regional growth component and examine industry level data by full- time and part-time employment to relate these shares to the observed employment growth differentials between the metropolitan and regional labour markets. We also examine the regional impact of the increasing significance of part-time work in overall employment creation in Australia by decomposing the employment dynamics into part-time and full-time components to explore the spatial disparities more closely. The research will assist in tracing the types of influences that public policy can have to reduce the negative consequences of the changing spatial employment structure. 2. Data issues The typical unit of analysis for Australian regional studies, particularly in cross- national studies, has been the State/Territory (see Dixon and Shepherd, 2001). However more detailed regional labour force data for 64 Major Statistical Regions was first collected in 1986 through the Australian Labour Force Survey. To focus attention on industry employment movements the lowest disaggregation available is at the capital city (metropolitan)/rest of state level. Accordingly, in this paper, the capital city (metropolitan) and rest of State is used with the ACT and NT being treated as complete regions. This data are available from 1978 for the standard labour force categories and from 1985 for detailed employment data for the 17 State of Australian Cities National Conference 2003 Page 4 Explaining disparities in employment growth between metropolitan and regional Australia Mitchell and Carlson ANZSIC industries (see Appendix for description of ANZSIC classification). The latter data are available for full-time, part-time and total employment by industry by region. The following (annualised) employment growth measures are used throughout. Using quarterly data, regional employment growth is defined as: (1) gErr=100*log( t/ Ert−4 ) th where Ert is the level of employment at time t in the r region. Similarly, national employment growth (annualised) is defined as: (2) gEnt=100*log( / Et−4 ) where Et is the total national (n) employment level at time t. Net regional employment growth is the difference between regional employment growth and national net employment growth, ggrr=−tgnt. The net employment growth rate for each region thus indicates the changing share of each region in total national employment.
Recommended publications
  • Why Do Disparities in Employment Growth Across Metropolitan and Regional Space Occur?
    Working Paper No. 03-09 Why do disparities in employment growth across metropolitan and regional space occur? William Mitchell and Ellen Carlson1 November 2003 [revised December 2003] Centre of Full Employment and Equity The University of Newcastle, Callaghan NSW 2308, Australia Home Page: http://e1.newcastle.edu.au/coffee Email: [email protected] 1. Introduction Over the last few decades there has been considerable change in the industrial and demographic composition of employment with substantial impacts on the spatial economy. There are significant disparities in employment growth rates across metropolitan and regional areas of Australia. These disparities are intrinsically linked to the persistence of unemployment rate differentials across the same spatial units and accompanying social disadvantage (Mitchell and Carlson, 2003). The capital cities typically fare better in terms of lower unemployment rates and higher employment growth and appear to be able to recover from recession more easily. Demarcating the regions into Capital City and Rest of State with the Territories as single regions (based on ABS Labour Force categories) and employing an array of statistical techniques (multiple regression, contingency table analysis, causality analysis, vector autoregression, and cointegration analysis), Mitchell and Carlson (2003) examined the relative significance of national factors and region-specific factors in explaining these disparities. They concluded that a region’s unemployment ranking is negatively influenced by its employment growth and this, in turn, is significantly influenced by aggregate (national) fluctuations. However, region-specific fluctuations were also found to be important. Mitchell and Carlson (2003) grouped the regions into high growth (both regions in WA and QLD, NT, ACT - see Appendix for regional mnemonics), moderate growth (both regions in VIC and NSW) and low growth (both regions in TAS and SA) in terms of employment outcomes.
    [Show full text]
  • Fauna of Australia 2A
    FAUNA of AUSTRALIA 10. FAMILY RANIDAE Glen J. Ingram 1 10. FAMILY RANIDAE Pl. 1.1. Rana daemeli (Ranidae): the only member of the Ranidae in Australia; Cape York and Arnhem Land. [J. Wombey] 2 10. FAMILY RANIDAE DEFINITION AND GENERAL DESCRIPTION Australian Ranidae, or ‘True frogs’, are ground-dwelling frogs characterised by the following features. The pectoral girdle is firmisternal, with the sternum fused to the pectoral arch and the epicoracoidal cartilages fused (Fig. 1.5B; Duellman & Trueb 1986). The phalangeal formula is normal in that there are no intercalary cartilages, the toes and fingers have grooved, dilated tips and the toes are webbed. There is a dorso-lateral skin fold from behind the eye to the hindlimb (Pl. 1.1). Maxillary teeth are present. The sacral diapophyses are cylindrical and the sacrum has a bicondylar articulation with the coccyx. The ilial shaft bears a large, tapering, fin-like, dorsal crest (Tyler 1976c). The tadpole has an emarginated oral disc with a fringe of elongated papillae along the posterior margin of the disc (Fig. 10.1; Richards 1992). The family is cosmopolitan, though very poorly represented in southern South America and Australia (Frost 1985). In Australia only one species, Rana daemeli, is recorded from northern Queensland and north-east Northern Territory. It also occurs in New Guinea. HISTORY OF DISCOVERY The presence of ranid frogs in Australia was first noted by Günther (1867), British Museum. He examined two female specimens (see Boulenger 1882), found by Edward Dämel on Cape York in the latter half of 1866. However, he identified them as Hylorana erythraea, a South-East Asian species.
    [Show full text]
  • Early Language Education in Australia: Challenges and Creative Responses Susana A. Eisenchlas, School of Humanities, Languages A
    Early language education in Australia: Challenges and creative responses Susana A. Eisenchlas, School of Humanities, Languages and Linguistics, Griffith University, Brisbane, Australia, [email protected] Andrea C. Schalley, Department of Language, Literature and Intercultural Studies, Karlstad University, Karlstad, Sweden, [email protected] Abstract While Australia is a highly linguistically diverse country, its educational policy is strongly dominated by a monolingual mindset, and thus languages other than English find little institutional support. A few selected languages, considered of vital importance to the country, are taught as foreign languages, but there is little provision for heritage or foreign languages at the preschool level. Using Chua and Baldauf’s (2011) model of Language Policy and Planning as the analytical framework, the chapter explores formal and non-formal activities to foster the development of languages in young children at preschool level. These initiatives range from macro-level planning, targeting mostly English-speaking children acquiring a small number of languages, to micro-level planning, aimed at supporting home language maintenance and development. Micro-level initiatives can be parent-initiated, e.g., playgroups for diverse languages, family day care in the relevant languages, or sojourning to the parents’ home countries, or include more formal programs, usually developed and run by communities, such as supplementary schooling (e.g., Community Language Schools). The chapter shows that,
    [Show full text]
  • Multifunction Polis Concept, to Australia Its Failure
    20, í:; M ULTIFUNCTION POLIS LOST CITY OF OPPORTUNITY Coral Baines July 1999 This thesis is submitted to the Department of Politics, The University of Adelaide for the degree of Doctor of PhilosoPhY. ABSTRACT its possibilities and This thesis examines the Multifunction Polis concept, to Australia its failure. of primary concern is the proposal of the concept concept was the by the Japanese in 1987. The rationale for this original as the means promotion of twenty first century manufacturing industry thesis therefore is to revive economic growth. Part of the context of the 1980s' the faltering state of the Australian economy in the mid 1980s was a time of The Japanese context is also examined. The mid the possibility of a spirited d.ebate about Japan's economic success and world was based on the Japanese bid for global hegemony. The post-war political structures principles which embod.ied the social, economic and concessions that reflected America,s internal power structures, including growth was to remove mad,e to labour. America's solution to stalled world International barriers to free trad.e and withdraw its support for the principles of weak Labor organisation, effectively universalising the new its own interests as state and weak labour. since Australia had identihed economic coterminous with those of the united States, its shift to those terms' rationalism and enterprise bargaining can be explained in development However, Japan had, d,eveloped a unique mod'e of capitalist principles in the face and its challenge was to retain its own constitutive the new trade of increasing pressltres from America to align itself with order.
    [Show full text]
  • Intercountry Adoptive Families in Western Australia: the Well-Being of Their Four to Sixteen-Year-Old Adoptees
    Edith Cowan University Research Online Theses : Honours Theses 1994 Intercountry adoptive families in Western Australia: The well-being of their four to sixteen-year-old adoptees Trudy Rosenwald Edith Cowan University Follow this and additional works at: https://ro.ecu.edu.au/theses_hons Part of the Family, Life Course, and Society Commons Recommended Citation Rosenwald, T. (1994). Intercountry adoptive families in Western Australia: The well-being of their four to sixteen-year-old adoptees. https://ro.ecu.edu.au/theses_hons/278 This Thesis is posted at Research Online. https://ro.ecu.edu.au/theses_hons/278 Edith Cowan University Copyright Warning You may print or download ONE copy of this document for the purpose of your own research or study. The University does not authorize you to copy, communicate or otherwise make available electronically to any other person any copyright material contained on this site. You are reminded of the following: Copyright owners are entitled to take legal action against persons who infringe their copyright. A reproduction of material that is protected by copyright may be a copyright infringement. Where the reproduction of such material is done without attribution of authorship, with false attribution of authorship or the authorship is treated in a derogatory manner, this may be a breach of the author’s moral rights contained in Part IX of the Copyright Act 1968 (Cth). Courts have the power to impose a wide range of civil and criminal sanctions for infringement of copyright, infringement of moral rights and other offences under the Copyright Act 1968 (Cth). Higher penalties may apply, and higher damages may be awarded, for offences and infringements involving the conversion of material into digital or electronic form.
    [Show full text]
  • Submission to the Inquiry Into the Impact of Social Media on Elections and Electoral Administration
    EMC Submission No. 74 Received 29 September 2020 Submission to the Inquiry into the Impact of Social Media on Elections and Electoral Administration In a democracy, knowledge is power.1 Summary The potential for social media and online advertising to interfere in democratic elections via the dissemination of false information and the use of strategies such as micro- targeting has been thrown into sharp relief by the 2016 US Presidential election, the 2016 Brexit referendum, the 2017 French and German elections, and even the 2019 Australian federal election. Without appropriate regulation aimed at achieving transparency and accountability of online political advertising, the integrity of Victoria’s elections and electoral administration are at risk. Although measures adopted voluntarily by social media platforms – and resourced and maintained by them at their pleasure – can go some way towards redressing the current situation, Silverstone’s conclusion that “the media are too important to be left to the media” is axiomatic and appropriate regulation is imperative. 2 We therefore make the following recommendations, noting that they are predicated on the existence of a well-resourced regulator with a mandate to vigorously enforce its powers: 1. Urgent action be taken to protect Victoria’s democracy through regulation in respect of political advertising expenditure and truth in political advertising; 2. Consideration be given to whether the transparency and accountability of political advertising online and via social media in Victoria could be promoted by: - maintaining advertisement repositories; - requiring parties to disclose how they use data. - regulating the use of personal data for political campaigning; and - considering the definition of digital campaigning.
    [Show full text]
  • Early Language Education in Australia Susana A. Eisenchlas, School of Humanities, Languages and Linguistics, Griffith University
    Early language education in Australia Susana A. Eisenchlas, School of Humanities, Languages and Linguistics, Griffith University, Brisbane, Australia, [email protected] Andrea C. Schalley, Department of Language, Literature and Intercultural Studies, Karlstad University, Karlstad, Sweden, [email protected] Abstract While Australia is a highly linguistically diverse country, its educational policy is strongly dominated by a monolingual mindset, and thus languages other than English find little institutional support. A few selected languages, considered of vital importance to the country, are taught as foreign languages, but there is little provision for heritage or foreign languages at the preschool level. Using Chua and Baldauf’s (2011) model of Language Policy and Planning as the analytical framework, the chapter explores formal and non-formal activities to foster the development of languages in young children at preschool level. These initiatives range from macro-level planning, targeting mostly English-speaking children acquiring a small number of languages, to micro-level planning, aimed at supporting home language maintenance and development. Micro-level initiatives can be parent-initiated, e.g., playgroups for diverse languages, family day care in the relevant languages, or sojourning to the parents’ home countries, or include more formal programs, usually developed and run by communities, such as supplementary schooling (e.g., Community Language Schools). The chapter shows that, despite a societal monolingual orientation, communities can be creative in developing initiatives. Not every community is active in pursuing language maintenance, however, and the overview suggests that some languages are better placed for intergenerational transmission than others. Keywords Australia, intergenerational transmission, non-mainstream languages, preschool language education, bilingualism Contents 1 Introduction 1.1 Australia: A multicultural society 1.2 Non-mainstream language education in the Australian context: A brief historical overview 1.2.1.
    [Show full text]
  • Infertile Women, Tall Girls, Short and Orphaned Children: the Socially Vulnerable Prey of Australian Medical Imperialists Healthsharing Women, 1997: 8: 10­15
    Infertile Women, Tall Girls, Short and Orphaned Children: The Socially Vulnerable Prey of Australian Medical Imperialists Healthsharing Women, 1997: 8: 10-15. Lynette Dumble, Ph D, M Sc, Senior Research Fellow, History and Philosophy of Science, University of Melbourne, Parkville, Victoria, 3052, AUSTRALIA. Background: Medical imperialism is a criticism which in the past has been reserved for the paradigms behind the sterilization of Afro-Americans in the United States in the first half of the twentieth century, and the eugenic crimes against humanity in Adolf Hitler's World War II Germany. More recently the term has also been used to condemn the medicalized fertility regulation which is overwhelmingly inflicted on women in developing countries, the use of New Zealand and Indian women as commodities in cervical cancer experiments during the 1980s and 1990s respectively, the abandonment of African women in AIDS trials in the 1990s, and the political undertones which have made infertile women and third world countries the invisible and/or would-be victims of mad cow and Creutzfeldt-Jakob disease [CJD] imperialists in the 1990s. Australian Medical Imperialism: Revelations in the 1990s indicate that Australian medicine has long been fraught with its own brand of imperialism; one which, in the main, has preyed on socially vulnerable women and children, and, which, despite stricter ethical guidelines, the medical fraternity still seeks to dismiss on the grounds of its self-ordained role to tell women what is best for them and their children. In 1985, like similar programmes in most other parts of the world, the two decades-old government-sponsored Australian Pituitary Hormone Programme was abruptly halted when four young adults, one in the UK and three in the US, who had been exposed to human pituitary growth hormone [hGH] injections more than a decade earlier, suddenly died within months of each other from the brain illness referred to as CJD.
    [Show full text]
  • 10-12 Arena Mag #103
    4 LEAD GRAPHIC • • • • • Climate • Justice ? • Cam Walker • ........................................... • • • The developed world must lead in 1992. Awareness that climate change was posing • a serious threat to humanity and our ecosystems • the charge in combating climate led to commitment to develop a global response— AGAINST • in 1997 the Kyoto Protocol became the implement- THE CURRENT • change. • ing mechanism for taking action. This was a As climate change bears down on us, the public historic moment because the Protocol accepted • debate about this most pressing question has • the rich world had caused most of the world’s perhaps never been so confusing and muddied. At • environmental problems and hence expected the • the national level we have had the grinding debate Climate Justice rich would go first in accepting binding green- • over the Emissions Trading Scheme (ETS), and house gas emissions. Shameful lobbying by the • the very public civil war within the Coalition Howard government resulted in Australia getting • about whether climate change is even caused by permission to actually increase its emissions, Cam Walker • human action. We have the mad suggestion that despite the glaring reality of our carbon debt to • Victoria could develop its own export industry the rest of the planet, especially the developing • for our dirty brown coal, and vigorous argument • world where per capita emissions are so low. Cam Walker is the about whether so-called clean coal technology • campaigns co- Industry lobbyists will be at Copenhagen in their • will ever actually be viable. And there is, of ordinator for • course, huge debate about the climate change thousands, and will find common cause with Friends of the Earth • negotiations about to be held in Copenhagen.
    [Show full text]
  • Restorying Indigenous Leadership Second Edition RESTORYING INDIGENOUS LEADERSHIP Wise Practices in Community Development Second Edition
    Restorying Indigenous Leadership Second edition RESTORYING INDIGENOUS LEADERSHIP Wise Practices in Community Development Second edition Edited by Cora Voyageur, Laura Brearley, and Brian Calliou Banff Centre Press Dedication Warning: Readers should be aware that this Library and Archives Canada We would like to dedicate this book about restorying Indigenous book includes names of deceased people, Cataloguing in Publication which may cause sadness or distress to leadership to two Indigenous elders who have been very influen- Restorying indigenous leadership : wise Indigenous peoples. practices in community development / tial to the work we do in our Indigenous Leadership and Manage- edited by Cora Voyageur, Laura Brearley, Restorying Indigenous Leadership: ment program area at The Banff Centre. First, we dedicate it to and Brian Calliou. — Second edition. Wise Practices in Community Development Elder Tom Crane Bear, a member of the Siksika Nation, part of the Copyright © 2015 by the contributors Includes bibliographical references. Blackfoot Confederacy, in Treaty 7 territory in southern Alberta, Any unauthorized reprint or use of this material Issued in print and electronic formats. is prohibited. No part of this book may be ISBN 978-1-894773-83-6 (paperback).— Canada. Elder Tom has been an elder and cultural advisor to The reproduced or transmitted in any form or by ISBN 978-1-894773-84-3 (epub).— Banff Centre’s Indigenous programming for over fifteen years any means, electronic or mechanical, including ISBN 978-1-894773-85-0 (mobi) photocopying, recording, or by any information and is a respected elder who does important work in sharing and storage and retrieval system without express 1.
    [Show full text]
  • Modelling the Resilience of Australian Savanna Systems to Grazing Impacts
    Environment International 27 (2001) 167–172 www.elsevier.com/locate/envint Modelling the resilience of Australian savanna systems to grazing impacts John A. Ludwiga,*, Michael B. Coughenourb, Adam C. Liedloff a, Rodd Dyerc aTropical Savannas CRC, c/- CSIRO Sustainable Ecosystems, PMB 44, Winnellie, Darwin 0822, Australia bNatural Resource Ecology Laboratory, Colorado State University, Fort Collins, CO 80523, USA cTropical Savannas CRC, c/- Northern Territory Department of Primary Industries and Fisheries, PO Box 1346, Katherine NT 0851, Australia Abstract Savannas occur across all of northern Australia and are extensively used as rangelands. A recent surge in live cattle exports to Southeast Asia has caused excessive grazing impacts in some areas, especially near watering points. An important ecological and management question is ‘‘how resilient are savanna ecosystems to grazing disturbances?’’ Resilience refers to the ability of an ecosystem to remain in its current state (resist change) and return to this state (recover) if disturbed. Resilience responses can be measured using field data. These responses can then be modelled to predict the likely resistance and recovery of savannas to grazing impacts occurring under different climatic conditions. Two approaches were used to model resilience responses. First, a relatively simple mathematical model based on a sigmoid response function was used. This model proved useful for comparing the relative resilience of different savanna ecosystems, but was limited to ecosystems and conditions for which data were available. Second, a complex process model, SAVANNA, was parameterised to simulate the structure and function of Australian savannas. Simulations were run for 50 years at two levels of grazing to evaluate resistance and then for another 50 years with no grazing to evaluate recovery.
    [Show full text]
  • General Practitioners and HIV
    General Practitioners and HIV In the primary care setting, General Practitioners (GPs) play a vital role in the prevention of transmission of the Human Immunodeficiency Virus (HIV), and the provision of care to people living with HIV (PLHIV), specifically in early diagnosis and management. mean age of the HIV‑positive population has increased quite This resource will address the following: dramatically since 1986. The health needs of the aging HIV positive population are similar to PREVENTION those of the general aging population. However, special attention • Pre‑exposure prophylaxis (PrEP) is required for their relatively higher susceptibility to co‑morbidities, • Post‑exposure prophylaxis (PEP) such as malignancies and cardiovascular disease. PLHIV will continue • Treatment as Prevention (TaSP) to need comprehensive general practice care to age successfully. DIAGNOSIS Breaking HIV down • Testing The Virus MANAGEMENT HIV is a single‑stranded ribonucleic acid (RNA) virus. It has an outer • GP shared care arrangements for PLHIV envelope that surrounds two copies of single‑stranded RNA as well • Becoming accredited to prescribe as a number of viral proteins. The HIV replication commences when antireretroviral therapy (ART) the envelope 120 glycoprotein (gp 120) attaches to CD4 receptors expressed on the surface of lymphocytes. Is HIV still a concern… the numbers Attachment allows fusion of the membranes of virus and cell at viral • At the end of 2017, 27,545 people were estimated to be living entry. The RNA is converted to deoxyribonucleic acid (DNA) which with HIV in Australia. migrates to the cell nucleus and integrates as proviral DNA into the • Prevalence highest in men who have sex with men (MSM).
    [Show full text]