PHAA ANNUAL REPORT 2013 – 2014

ANNUAL REPORT 2013 – 2014

of the

Public Health Association of Australia Incorporated

The Annual Report of the Public Health Association of Australia including: 1 July 2013 – 30 June 2014 • Reports of the Executive

• Report of the CEO

• Progress Against Strategic Plan

• Branch Reports • Special Interest Group Reports • PHERT and PHRAG Reports • Audited Financial Statements

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Contents

Contents ...... 2 The Public Health Association of Australia ...... 5 The Board ...... 6 Board as at July 2014 ...... 6 President’s Report ...... 8 Vice-President (Development) Report ...... 10 Vice-President (Policy) Report ...... 11 Vice President (Finance) Report ...... 12 Overview of Financial Performance 2013-2014 ...... 12 Audit Report ...... 12 Operating Result ...... 13 Balance Sheet ...... 13 Vice President (Aboriginal/Torres Strait Islander) Report ...... 14 Vision for a healthy population ...... 16 PHAA’s Mission ...... 16 Aims ...... 16 Support and build current advocacy, policy and communication activities ...... 17 Population Health Congress Partnership ...... 17 Social determinants of health and addressing inequities ...... 18 Social Determinants of Health Alliance ...... 19 The Public Forum on Racism and Culture as Social Determinants, 20 February 2014 ...... 19 Senate Standing Committee on Community Affairs Inquiry ...... 20 Loss of public health workforce and community based services ...... 20 Global health, climate change and economics ...... 21 Trans-Pacific Partnership Agreement (TPPA) ...... 21 Climate and Health Alliance ...... 21 Food and Nutrition ...... 21 Council of Academic Public Health Institutions Australia (CAPHIA) ...... 23 The National Complex Needs Alliance ...... 25 The inaugural meeting of the National Complex Needs Alliance, 5 December 2013 ...... 25 The second meeting of the National Complex Needs Alliance, 27 June 2014 ...... 26 Population Health Congress Partnership ...... 26 Commitment to sector capacity building ...... 27

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National Social Inclusion and Complex Needs Conference 2013 ...... 27 PHAA 42nd Annual Conference 2013 ...... 28 Australasian Fetal Alcohol Spectrum Disorders (FASD) Conference 2013 ...... 29 Immunisation Conference 2014 ...... 29 Developing Quality Research...... 31 2013 Policy Process ...... 31 2014 Policy Process ...... 32 Stakeholder engagement & consultation activities across the public health network ...... 33 Engagement and consultation with stakeholders – a snapshot ...... 33 June 2014 (an illustrative example) ...... 34 Submissions to Government ...... 35 MEDIA ...... 38 Australian and New Zealand Journal of Public Health (ANZJPH) ...... 39 Membership ...... 42 Branch Reports ...... 43 Australian Capital Territory Branch ...... 43 New South Wales Branch ...... 44 Northern Territory Branch...... 45 Queensland Branch ...... 46 South Australian Branch ...... 47 Tasmanian Branch ...... 49 Victorian Branch ...... 50 Western Australian Branch ...... 51 Special Interest Group Reports ...... 55 Aboriginal & Torres Strait Islander Health ...... 55 Alcohol ...... 55 Child Health ...... 56 Ecology & Environment ...... 57 Evidence, Research and Policy in Complementary Medicine ...... 57 Food & Nutrition ...... 58 Health Promotion ...... 59 Immunisation ...... 60 Injury Prevention ...... 61 International Health ...... 62 Justice Health ...... 63 Mental Health ...... 64 One Health...... 65 Oral Health ...... 65

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Political Economy of Health ...... 67 Primary Health Care ...... 67 Women's Health ...... 69 Public Health Education and Research Trust ...... 70 Public Health Research Advisory Group ...... 70 PHAA Financial Statements ...... 74 Public Health Education and Research Trust Financial Statements ...... 93

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The Public Health Association of Australia The Public Health Association of Australia Incorporated (PHAA) provides a forum for the exchange of ideas, knowledge and information on public health. The Association is also involved in advocacy for public health policy, capacity building, development, research and training.

PHAA has Branches in every state and territory. Membership of around 1900 individuals spans the health spectrum and over 40 public health related occupations are represented. PHAA has seventeen Special Interest Groups for members to meet with those who have similar interests and passions, to exchange information and to develop policy positions and papers.

As PHAA has a national and multidisciplinary perspective on public health issues it is able to make a major contribution to the public health debate in Australia through representation on government boards, committees and other decision-making bodies such as the National Health and Medical Research Council and the Australian Institute of Health and Welfare. PHAA members also sit on many state and territory committees contributing to a broad spectrum of public health issues. Membership is open to any person who is supportive of the objects of the Association.

PHAA members also contribute to the development and execution of public health policy in Australia, and in particular bring their experience and expertise to the development of policies for the Association. These policies are developed by the appropriate Special Interest Groups, reviewed by the broader membership and finalised at the annual general meeting of the membership. When endorsed these policies become the basis for public health action for the Association.

PHAA has links with public health associations world-wide and is an active member of the World Federation of Public Health Associations and also provides leadership and links closely with a network of Australian public health organisations. The Association produces a bi-monthly academic-refereed journal, the Australian and New Zealand Journal of Public Health, which disseminates public health research and ideas throughout Australia and internationally. PHAA undertakes project and conference work on issues such as immunisation, justice health, public health workforce and training and knowledge development in health promotion.

The Public Health Association of Australia is an organisation dedicated to the promotion of public health. It is a forum through which those interested in health can develop professional and academic networks.

The PHAA is guided by its Constitution and more immediately by the Strategic Plan 2013-2018 and the Implementation Plan 2010-18. These also form a key element of this Annual Report. In effect the report is designed to be an assessment of achievements of the Association against the specific objects of the plans.

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The Board Board as at July 2014

President Professor Heather Yeatman Heather Yeatman

Vice- President (Policy) A/Prof Marion Carey

Vice-President (Development) Marion Carey Dr Yvonne Luxford Yvonne Luxford

Vice-President (Aboriginal/Torres Strait Islander) Ms Vanessa Lee

Vice-President (Finance) Professor Rachel Davey Vanessa Lee Rachel Davey

Branch Presidents' Representatives Russell McGowan Emma Croager

Special Interest Group (SIG) Emma Croager Russell McGowan Convenors' Representatives Associate Professor Jaya Earnest Associate Professor Richard Franklin

Chief Executive Officer Adjunct Professor Michael Moore

Jaya Earnest Richard Franklin

Michael Moore

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Staff at National Office

Chief Executive Officer Michael Moore

Deputy CEO Melanie Walker

Michael Moore Melanie Walker Gabrielle Weppner Executive & Projects Coordinator Gabrielle Weppner

Finance Manager

Anne Brown

Membership Coordinator

Kylie Monro

Publications Coordinator Kylie Monro Anne Brown Vicki Thompson Vicki Thompson

National Conference Manager Julie Woollacott

Conference & Marketing Coordinator Janine Turnbull

Julie Woollacott Janine Turnbull

20 Napier Close Deakin ACT Australia, 2600 – PO Box 319 Curtin ACT Australia 2605 T (02) 6285 2373 F (02) 6282 5438 E [email protected] W www.phaa.net.au 7 President’s Report Professor Heather Yeatman

The year 2013/14 started with the ratification of our new Strategic Plan 2013–18 at the AGM in Melbourne, with our mission: As the leading public health advocacy group, to drive better health outcomes through health equity and sound, population-based policy and vigorous advocacy. This mission has been enacted by PHAA members and staff through a myriad of activities throughout the year. The Association completed the year in a strong, stable position but public health challenges continue to grow and will require our continued diligence and action going forward.

There were a number of significant advances over this reporting year. The PHAA was active in the actions of the Social Determinants of Health, Climate and Health and Social Inclusion and Complex Needs Alliances and continued to work in partnership with many other alliances and agencies on public health advocacy. An excellent example of one output of such collaborations is the joint statement on food security and Aboriginal and Torres Strait Islander peoples. The approval by Food Ministers to proceed with the Health Star Rating System on food labels was also a culmination of several year’s advocacy and collaboration with many other public health and consumer groups.

Action to support and advance public health education and workforce development progressed through support of CAPHIA and also work with the World Federation of Public Health Associations (WFPHA). In conjunction with the WFPHA the PHAA hosted 2 public health fellows (from China and Nepal) to assist the development of their country’s public health association’s administrative and advocacy activities. We have collaborated in a global working group to develop a draft public health framework.

The PHAA, together with partner organisations, were successful in our bid to host the 2017 World Congress on Public Health in Melbourne. This will be an important action to focus the world’s attention on global public health actions and also to put a spotlight on public health issues and actions in Australia. Additionally our CEO Michael Moore has been elected to the Vice-Presidency / Presidency Elect of the WFPHA, ensuring that the PHAA will continue to strengthen its global presence and engagement. Closer collaborations were also developed during the year with colleagues in the Asia-Pacific region and also with our counterpart ABRASCO in Brazil.

Unfortunately during the year public health action also suffered terrible losses wrought by the federal government’s budget. Many years of the dedicated work of not only the PHAA but also our partners, government agencies and many public health workers were wiped away. I will not repeat the long list of changes that occurred. The PHAA was very aggressive in its response to the budget, which it considers to be regressive and short-sighted, and to have particularly high impact on low income and disadvantaged Australians. The PHAA also remained diligent in monitoring the deliberations around the Trans Pacific Partnership Agreement which also has the potential to significantly impact on important policy and infrastructures that are fundamental to public health.

This report highlights the significant actions and achievements of the PHAA. These of course would not be possible without the commitment and contributions of many members and our wonderful staff. I would like to thank many people. The Board has continued to be very active and diligent. Discussions have considered where best to direct actions within our constrained finances but I am

10 PHAA ANNUAL REPORT 2013 – 2014

pleased to report that we finish the year in a sound financial situation. The branches and special interest groups are where much of the PHAA action occurs and I thanks executives and coordinators for their time and efforts.

Our journal, the ANZJPH, continues to provide an important academic platform for informed debate and dissemination of important and contemporary public health issues. My thanks to John Lowe for his leadership of the journal, and to the editorial team and our many reviewers for their contributions. The journal continues to gain status and recognition for its contributions to the academic literature

The PHAA has a particularly strong group of national office staff, without whom our actions would not be possible. I extend my gratitude and thanks to them all. Michael Moore our CEO is totally committed to positioning the PHAA as the leading public health advocacy group in Australia. I acknowledge his very considerable contributions during the year and his support for myself and the Board. Melanie Walker, Deputy CEO, returned to the office after maternity leave and has not stopped since, taking the lead on several issues and also taking carriage of our policy documents.

Our conference team, Julie Woollacott and Janine Turnbull, have been particularly active during the year, always efficient and ensuring the continued success of our conferences. The number of conferences that the PHAA runs has continued to grow in response to demand, placing greater pressures on this team but they have always responded positively and with good cheer. My thanks are also extended to our other staff Gabrielle Weppner, Anne Brown, Vicki Thompson, and Kylie Monro, who provide critically important roles within the PHAA.

Finally I would like to acknowledge and pay respect to our many public health colleagues who have passed away during the year. I would also like to recognise that people, communities and cultures are facing multiple challenges in Australia and in other countries and regions. Civic unrest, unjust laws and practices, infectious and non-communicable diseases, climate events, economic powers and conflict are all impacting public health across the globe. Strong public health advocacy remains an important contribution to achieving just and healthy societies.

I look forward to working with you during the year ahead, confident in the PHAA’s capacity to respond to the challenges facing public health in Australia and elsewhere in the world.

Heather Yeatman PHAA President

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Vice-President (Development) Report Dr Yvonne Luxford The adoption of the Strategic Plan 2013–18 at the AGM marked the beginning of an active growth year for the PHAA. The introduction to the Plan sets out many of the challenges which were summarised as follows: “as the leading independent public health association in Australia, we not only have a role but also a responsibility to lead and influence public health discourse and advocacy actions. That said, we are also very modest in size and most of our actions are taken through the voluntary capacities of our members”. Members, Special Interest Groups and Branches have been extraordinarily active in supporting the direction of the organisation in many ways. A glance at the later sections of this Annual Report reflect the increased activity taken on by the PHAA. The PHAA has developed strengthened its current alliances and developed further alliances with the intention of providing leadership across the public health space where appropriate and supporting the leadership of others who are providing action on public health issues. The Complex Needs Alliance (CNA), the Social Determinants of Health Alliance (SDOHA) both now operate out of the PHAA offices in a similar manner to the Council of Public Health Institutions of Australia (CAPHIA) and in each of these alliances the Association is playing a key supportive role. Additionally, the PHAA continues to work closely with other organisations on a range of fundamental public health issues with groups like the Climate and Health Alliance (CAHA), the Australian Health Care Reform Alliance (AHCRA), the National Alliance for Action on Alcohol (NAAA). Development of the Association, its members and the public health workforce continued through a range of conferences from the Annual Conference in Melbourne to the Fetal Alcohol Syndrome Conference in Queensland and the National Immunisation Conference in Melbourne. For the coming year the PHAA has now taken on conferences on Communicable Diseases, Complex Needs and are planning with our partner organisations for the 2015 Population Health Congress in Hobart. The issue of Primary Health Care has developed into both a challenge and an opportunity for the PHAA. The decision by the Federal Government to defund the AML Alliance from the start of the 2014-15 financial year has left a huge gap in need for advocacy and capacity building in the Primary Health Care space. The PHAA through its Primary Health Care Special Interest Group and through signing a Memorandum of Understanding with the Australian Health Care and Hospital Alliance will develop their involvement in this area. The 2014 Primary Health Care Conference Roadshow is a first step. The PHAA continues to grow in recognition and influence and I am proud of having been a part of the Board and part of the process.

Yvonne Luxford PHAA Vice- President (Development)

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Vice-President (Policy) Report A/Prof Marion Carey

PHAA members have been highly active on the policy front again this year. The diversity and rigor of our policies and the robustness of our policy process are the envy of other organisations.

Twenty (three new and seventeen revised) draft policies were approved at the 2013 AGM, following consultation with members. New policies included alcohol, women’s preconception fertility and limits to growth.

The 2014 policy development process is well underway in preparation for this year’s AGM , with 23 new and revised policies posted to the Draft Policy Forum for comment. New policies have been developed in the areas of environmental noise and lead exposure, and in the area of mental health relating to work and to insurance.

The range of interests, the enthusiasm and expertise of members, contribute greatly to the quality of our policies. I would like to thank all the Special Interest Groups and their convenors for their work and commitment. I would also like to thank Michael Moore, Melanie Walker and especially Gabrielle Weppner for coordination of the process and attention to detail, helping to bring it all together.

Our policies in the hands of skilled advocates such as our CEO Michael Moore are powerful ways of achieving the organisation’s goals and communicating to the media and the public, ultimately for the improvement of public health.

I would also like to thank our President Heather Yeatman , all the Board members and staff, who together with our members make PHAA an organisation to be proud of.

Marion Carey PHAA Vice- President (Policy)

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Vice President (Finance) Report Professor Rachel Davey

Overview of Financial Performance 2013-2014

This Section provides a summary of the PHAA’s financial performance for 2013-14 and may be read in conjunction with the Association’s Financial Report for the year ended 30 June 2014. The Board developed its 2013-14 Budget with the intention of having a budget surplus. In tight financial times the budget was revisited in December and modified in the light of the information available. The intention was still to retain at least a small surplus. In the previous year the Board operated in deficit following two years of surplus. On this occasion it is pleasing that the result of the budget is much closer to the surplus that had originally been set in the budget rather than the reset amount that had been established in the December ‘mini-budget’.

Audit Report

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Operating Result The Association’s Income Statement for 2013-14 reports an audited operating surplus of $70,727 compared to operating deficit of $228,805 in 2012-13 of and surpluses of $279,000 2010-11 and $70,000 in 2011-12. There were operating deficits of $53,000 for 2009-10 and $124,000 for 2008-09 and $366,000 for 2007-08. The relevant financial information is presented in the table below.

Year 2007-08 2008-09 2009-10 2010-11 2011-12 2012-13 2013-14

Actual Actual Actual Actual Actual Actual Actual

$'000 $'000 $’000 $’000 $’000 $’000 $’000

Revenue 761 1,348 1,250 2,158 1,947 1,379 1,954

Expense 1,127 1,472 1,303 1,879 1,877 1,607 1,883

Operating Surplus/Deficit -366 -124 -53 279 70 -228 71

Historical view of PHAA budget over last seven years

There are some important considerations to take into account when looking at the financial performance of the PHAA over this period. Historically PHAA achieves a better result in every other year, being the year that Immunisation Conference is run. In the future the PHAA is hoping to compensate for this by running the Communicable Diseases Conference in the alternative years to the Immunisation Conference.

The surplus result in the year 2013-14 can be attributed to the performance of the Immunisation Conference but also the effort made by staff and members to contain costs. The result is better than predicted in the December “mini” budget.

Balance Sheet The PHAA’s Audited Net Assets at 30 June 2014 were $917,836 up from the previous year when the net assets were $847,109. A copy of the balance sheet as at 30 June 2013 is included in the Association’s Audited Financial Report for the year ended 30 June 2014 is attached at the end of this Annual Report.

Rachel Davey PHAA Vice President (Finance)

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Vice President (Aboriginal/Torres Strait Islander) Report Vanessa Lee

The PHAA has been ongoing in its commitment of Aboriginal and Torres Strait Islander health. By demonstrating that we are serious about having a voice in the advocacy of this area including positioning ourselves within the constitutional recognition of Aboriginal and Torres Strait Islander people. The seriousness of the constitutional recognition has led to an invitation from the Lowitja Institute for the PHAA to be a founding member of the Health System Coalition in support of constitutional recognition of Aboriginal and Torres Strait Islander peoples of which we accepted. We have also achieved some serious collaborative action and community engagement, however, there is still a long way to go. In 2013, we were invited to participate on expert roundtables in collaboration with the National Health Leadership Forum of the National Congress of Australia’s First Peoples with the National Aboriginal Community Controlled Health Service; and National Aboriginal and Torres Strait Islander Health Equality Council (NATSIHEC) for the development of the National Aboriginal Health Plan. The National Aboriginal Health Plan continues to be implemented today under the Abbott Government. Mid-year saw a request for our expertise as a panel member on the National Alcohol Advertising Review Board and this membership is ongoing. We also saw an invitation for the reference group of the Child Aware and Approaches conference committee. This reference group membership involves discussions and collaborations with the Human Rights Commissioner for Children and the Australian Institute of Family Studies. Throughout this membership panel discussions have taken place in reference to social policy and Aboriginal and Torres Strait Islander children and young people and the VP role in this was instrumental in highlighting the macro social factors and the structural factors of the social determinants contributing to Aboriginal and Torres Strait Islander Peoples health. We have been invited back onto this reference group for 2014. By the end of 2013, we had also established the representation of the PHAA on to the executive committee of the Close the Gap campaign, Australian Human Rights Commission and Oxfam Australia. In 2014, we were active in the Strategic Planning of the campaign and continue to be actively involved in the implementation. Recently, early 2014, we were invited to provide an expert submission to the Australian Human Rights Commission: National Children’s Commissioner examination of intentional self-harm and suicidal behaviour in Aboriginal and Torres Strait Islander children and young people. From this submission our expertise was invited to facilitate a discussion for the Commissioner for Children and young people.

Vanessa Lee Vice President (Aboriginal and Torres Strait Islander)

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CEO’s Report Michael Moore

The vision for the PHAA is for “a healthy region, a healthy nation, healthy people: Living in a healthy society and a sustaining environment, improving and promoting health for all”. It is a grand vision and one to which all members of the PHAA are committed. It is refreshing that so many of our members take action in so many ways to deliver on this vision.

This year there has been an extraordinary amount of work undertaken in a manner consistent with our strategic plan by our Board, Branches, Special Interest Groups and by individual members in a range of ways to deliver on the vision.

Networking with other organisations and maintaining a presence with bureaucrats, politicians and others has remained a key part of the work of the National Office. The support provided by Branches and SIGs in so many ways has been appreciated.

The development of policies continues in an appropriate manner so that advocacy work undertaken by the PHAA is consistent with the principles of the PHAA and, through the policy process, are academically sound. The policies form the backbone of the Association’s advocacy ability as they provide a strong scientific evidence base for the positions that are adopted by the Association. The care that is taken in their preparation is fundamental to the PHAA’s credibility. The work that Marion Carey, the VP (Policy), puts into these is extensive and pays dividends. The meetings and collaborations that have been developed take into account the work that has been achieved through this process.

The issue of Complex Needs touches on so many elements of the social determinants of health and has taken considerable effort by PHAA to get on the agenda. PHAA Deputy CEO, Melanie Walker, has provided a leading role in this work and we are looking forward to a much stronger recognition in the community, the bureaucracy and across all Australian governments for action in this area to ensure a proper focus on the individual and their needs rather than on the ready-made solutions of many providers.

The recognition by the World Federation of Public Health Associations of PHAA’s capacity to run the international Congress in 2017 also reflects the time and effort of many of our members and particularly of Past-President Helen Keleher who played a key role in initially planning our bid and supporting the effort in Geneva.

The PHAA is in a positive space to continue working to deliver on our vision, mission and aims as set out in our 2013-2018 Strategic Plan.

Michael Moore PHAA Chief Executive Officer

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Overview of Strategic Plan 2013 -2018

Vision for a healthy population • A healthy region, a healthy nation, healthy people: Living in a healthy society and a sustaining environment, improving and promoting health for all PHAA’s Mission • As the leading public health advocacy group, to drive better health outcomes through health equity and sound, population-based policy and vigorous advocacy

Aims • Advance a caring, generous and equitable Australian society with particular respect for Aboriginal and Torres Strait Islanders as the first peoples of the nation • Promote and strengthen public health research, knowledge, training and practice • Promote a healthy and ecologically sustaining human society across Australia, including tackling global warming, environmental change and a sustainable population • Promote universally accessible people centred and health promoting primary health care and hospital services that are complemented by health and community workforce training and development • Promote universal health literacy as part of comprehensive health care • Support health promoting settings, including the home, as the norm • Assist other countries in our region to protect the health of their populations, and to advocate for trade policies that enable them to do so. • Promote the PHAA as a vibrant living model of its vision and aims

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Support and build current advocacy, policy and communication activities Continuing to support Australian public health alliances and build on current advocacy, policy and communication activities aimed at enhancing the health of at-risk populations, expanding on current joint policy and advocacy activities to include other partner organisations in new initiatives in line with achieving broader public health goals

Population Health Congress Partnership (PHAA, AHPA, AEA and AFPHM)

Numerous meetings of the Population Health Congress partners have been held to develop appropriate steps to be taken together on matters of public health importance. In addition to face- to-face meetings, the Congress partners have participated in regular teleconferences during this period, with a view to progressing a collective agenda on key public health issues.

The four Congress partners are the Public Health Association of Australia (PHAA), the Australasian Epidemiological Association (AEA), the Australian Health Promotion Association (AHPA) and the Australasian Faculty of Public Health Medicine (AFPHM), within the Royal Australasian College of Physicians (RACP).

The main issues that the Congress partners are currently progressing collaborative work on are planning for the next Population Health Congress to be held in Hobart on 7-9 September 2015 and the initial planning of the of the 15th World Congress on Public Health to be held in Melbourne 2017, which will be co-hosted by the Population Health Congress Partnership and the Public Health Association of New Zealand.

The Congress partners - and 1150 delegates from over 20 countries - met in Adelaide on 10-12 September 2012 to take stock of the achievements of public health in Australasia, and agree on priority areas for future action. Through adoption of the Population Health Congress Communique, the Congress partners affirmed our commitment to improving the health and wellbeing of the Australian and New Zealand populations through collective action in relation to:

1. Social determinants of health and addressing inequities 2. Loss of public health workforce and community based services 3. Global health, climate change and economics

It has been agreed that it is appropriate for the partner organisations to continue working both independently and together on these issues. The Population Health Congress partners continue to collaborate to advance advocacy objectives in relation to these three identified priority areas.

The Population Health Congress Communique sets out the agenda for joint advocacy by the partner organisations ahead of the 2015 Population Health Congress and is available on the PHAA website at: http://www.phaa.net.au/documents/121004_Congress%20Communique%20FINAL.pdf

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Advocacy activities by the Population Health Congress partners during the last financial year have also continued to focus on both the need to mitigate the factors creating problems for health through climate change and to be adaptive to climate change in order to protect and improve health.

Social determinants of health and addressing inequities

The Social Determinants of Health provide a key underpinning to the activities of each of the organisations. In all submissions to Governments and parliamentary committees PHAA emphasises the importance of equitable outcomes. Under the previous Funding Agreement, PHAA worked with AHPA in particular to advocate that the National Preventative Health Taskforce and the new Australian National Preventive Health Agency continue to include the social determinants as a base for dealing with the specific issues of alcohol, tobacco and obesity.

PHAA has been involved in a series of meetings over time with Medicare Locals to ensure that the population planning approach of the new bodies takes into account the social determinants of health as a fundamental part of primary health care.

PHAA has maintained its Health Inequities Policy as well as ensuring that all other policies include a strong focus on access, equity and social determinants of health as part of its annual policy review processes. In addition, PHAA has implemented changes to its Constitution to embed consideration of the social determinants of health in its organisational frameworks. PHAA provides copies of updated and new policies to all national and jurisdictional Health Ministers and Shadow Health Ministers each year as part of its advocacy activities.

Promoting health equity and emphasising the importance of focusing on social determinants of health forms the foundation of PHAA’s current advocacy activities overall, and also informs representations on a range of specific policy areas within health. PHAA’s new Strategic Plan 2013- 2018 includes an overarching emphasis on equity and social determinants that guides PHAA activities.

PHAA’s Health Inequities Policy is the only PHAA policy that is developed cooperatively by all Special Interest Groups and applied across all other policy areas. Numerous other policies also include additional specific references and measures designed to address equity issues and the impact of social determinants within particular contexts.

PHAA’s new internal operational plan at the national level includes a range of additional initiatives and practical activities specifically designed to advance organisational priorities in relation to addressing health inequities and acknowledging the impact of the social determinants of health. For instance – there is the ongoing commitment to the development of new organisational partnerships and Alliances, such as the Social Determinants of Health Alliance and the National Complex Needs Alliance; the administration of scholarship initiatives to enable people from disadvantaged backgrounds to engage in PHAA activities such as conferences; and PHAA engagement in cross- portfolio campaigns and activities. PHAA also maintains a network position with PHAA having maintained long-term executive membership of the Australian Health Care Reform Alliance (AHCRA) which maintains a focus on the social determinants of health. Additionally, PHAA maintains a wide

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range of less formal networking arrangements with organisations as diverse as Palliative Care Australia, the Australian Medical Association, individual Medicare Locals and with the public health schools and institutes at universities.

Social Determinants of Health Alliance Since the Population Health Congress in 2012, PHAA has been integrally involved in the establishment of the Social Determinants of Health Alliance (SDOHA), and is currently managing the SDOHA Secretariat and is represented on the Management Committee.

The SDOHA was launched on 7 February 2013. The Alliance is a collaboration of health, social service and public policy organisations calling on governments at all levels to consider how the legislative decisions they make will affect the health of the nation and address increasing health inequity across Australia. The Alliance currently has over 60 organisational members.

In February 2014, PHAA took over management of the Secretariat for SDOHA. In practical terms, this means that our Finance Manager Anne Brown is now working an extra day each week, and one day a week of Deputy CEO Melanie Walker’s time is also now to be dedicated to SDOHA activities. Taking on this role aligns with PHAA’s strategic priorities and also the broader goal of developing diversified sources of organisational funding.

SDOHA has held a number of events in the last financial year– in addition to its regular meetings. Please see below outline of previous and upcoming SDOHA events

The Public Forum on Racism and Culture as Social Determinants, 20 February 2014

The Public Forum on Racism and Culture as Social Determinants was held on 20 February 2014 at Koori Heritage Trust in Melbourne. Around 70 people from the health and community sectors attended the public forum to discuss the impact of racism and culture on health outcomes in Australia. This event attracted significant national media attention.

Speakers at the forum included:

• Professor Dennis McDermott (Faculty of Health Sciences, Flinders University) • Associate Professor Yin Paradies (Centre for Citizenship and Globalisation, Deakin University) • Dr Barri Phatarfod (Doctors for Refugees) • Professor Andrew Markus (School of Philosophical, Historical and International Studies, Monash University) • Liam Leonard (Director, Gay and Lesbian Health Victoria) • Katherine Thurber (Doctoral Candidate, Australian National University)

The forum received extensive media coverage including by:

• SBS TV News • ABC News Radio • NITV News • SBS Radio National Radio News • 93.7FM Koori Radio (based in Sydney)

The media release relating to the event is available on the SDOHA website at:

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www.socialdeterminants.org.au . Powerpoint slides and audio recordings of the presentations are also available on the website. Senate Standing Committee on Community Affairs Inquiry PHAA played a pivotal role in advocating for the establishment of the recent Senate Standing Committee on Community Affairs Inquiry into Australia's domestic response to the World Health Organisation's (WHO) Commission on Social Determinants of Health report Closing the gap within a generation. SDOHA was actively engaged in the Committee’s inquiry process and has subsequently been engaged in advocacy activities in line with the recommendations of the Committee’s report that was tabled on 20 March 2013.

The Liberal/Labor/Greens Inquiry made five recommendations that the Australian Government:

1. Adopt the WHO Report and commit to addressing the social determinants of health relevant to the Australian context.

2. Adopt administrative practices that ensure consideration of the social determinants of health in all relevant policy development activities, particularly in relation to education, employment, housing, family and social security policy.

3. Place responsibility for addressing social determinants of health within one agency, with a mandate to address issues across portfolios.

4. Give greater emphasis in National Health and Medical Research Council (NHMRC) grant allocation priorities to research on public health and social determinants research.

5. Make annual progress reports to Parliament a key requirement of the body tasked with responsibility for addressing the social determinants of health.

Whilst it is for the Australian Government to provide a formal response to these tripartisan recommendations, several of the recommendations involve policy matters of joint responsibility of the federal, state, and territory governments. The population health improvements the Senate Inquiry said could be achieved through implementation of the five recommendations would also be of shared benefit to federal, state, and territory governments together with the wider Australian population.

Loss of public health workforce and community based services

Activities under this priority area include:

• Highlighting the impact of recent cuts to public health workforce and infrastructure within jurisdictions, recognising that cuts to public health services impact heavily on marginalised and disadvantaged communities. • Demonstrating the cost effectiveness of expenditure on health promotion and disease prevention programs, consistent with the recommendations of the National Preventative Health Taskforce. • Ensuring expansion of resources for health promotion and population health, and effective

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inclusion of health promotion/ population health into Medicare Locals. • Working collectively to strengthen the workforce voice.

Outputs in line with these activities include the development of PHAA’s submissions to the National Commission of Audit and the Senate Select Committee into the Abbott Government’s Commission of Audit. Global health, climate change and economics

Trans-Pacific Partnership Agreement (TPPA) Activity under this priority area has included leadership in advocacy to address the potential impact of trade agreements in undermining public health policy within Australia and the region. For instance, the capacity for the current Trans-Pacific Partnership Agreement (TPPA) discussions to impact on plain packaging legislation, alcohol labelling initiatives and access to medicines under the Pharmaceutical Benefits Scheme. PHAA has played a leadership role in advocacy through participation in meetings and public forums, development of submissions and engagement with media agencies. A range of advocacy materials in relation to the TPPA are available on the PHAA website at: www.phaa.net.au

Climate and Health Alliance A stronger coalition of interests was established during the period of the previous Funding Agreement, building on the initial work of the Congress partners and developing to a broader alliance with the formal establishment of the Climate and Health Alliance (CAHA) in August 2010.

CAHA continues to grow as a coalition of organisations and individuals from a broad cross-section of the sector, including health care professionals, health care service providers, institutions, academics, researchers, and health care consumers. PHAA is represented on CAHA’s Executive Committee.

The Alliance aims to contribute to the development and implementation of evidence based public policy to protect the community from the adverse consequences of climate change, and promote recognition that policies to reduce greenhouse gas emissions and protect the environment have the potential to bring important public health benefits.

The Alliance facilitates collaboration in the sector for the development of effective responses to climate change as well as promoting sustainable practices in health care to reduce the sector’s environmental footprint. Further information on the current work of CAHA can be found on the Alliance website at: www.caha.org.au. PHAA continues to provide administrative support to CAHA on behalf of the Congress partners.

Food and Nutrition On these issues PHAA continues to work with other non-government organisations such as the Heart Foundation, Cancer Council Australia, Obesity Policy Coalition, Dietitians Association of Australia and Australian Red Cross. Additionally, our policy development work involves close contact with a wide range of academics in universities such as Deakin, Flinders, Curtin, Wollongong and Queensland.

Where appropriate, PHAA continues to work with the Australian Food and Grocery Council (AFGC)

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and with food organisations such as Dairy Australia, the Meat and Livestock Association, Horticulture Australia, Nuts for Life and others who are interested in reformulation in an attempt to reduce the amount of fat, sugar and salt consumed by Australians. PHAA has continued to play a key role as part of the Food and Health Dialogue that is chaired by the Parliamentary Secretary for Health and includes the Heart Foundation, the AFGC, Commonwealth Scientific and Industrial Research Organisation (CSIRO) and Woolworths.

Front of Pack Labelling Committee PHAA has also continued to be actively involved in progressing the public health food policy agenda via participation in Departmental initiatives in relation to Front-of-Pack Labelling (FoPL). On 9 December 2011 the Forum on Food Regulation provided its response to Labelling Logic: Review of Food Labelling Law and Policy (2011), which included an agreement to develop a single interpretive FoPL system. Ministers requested that an interpretive FoPL system be developed through a coordinated approach.

The Food Regulation Standing Committee (FRSC) is responsible for leading the process for developing this system with industry, public health and consumer stakeholders. In March 2012, FRSC established a Steering Committee to manage the process. The Steering Committee comprised all FRSC members and a representative from the Australian Health Ministers’ Advisory Council (AHMAC). A Project Committee was also established to develop the system.

The Chief Executive Officer (CEO) of the PHAA (Michael Moore) was invited to be on the Project Committee on FoPL that is chaired by Secretary of the Department, Jane Halton. Mr Moore was Co- Chair of the Technical Working Group of the Committee. He also participated in the Project Committee on food chaired by Ms Halton on general level food claims. For both of these committees Mr Moore was instrumental in organising parallel consultation processes in order to get as close as possible to a single voice coming from the public health, nutrition and consumer communities.

On 14 June 2013, the Legislative and Governance Forum on Food Regulation (the Forum) endorsed a FoPL system that, except for agreed exemptions, applies to all packaged, manufactured or processed foods presented ready for sale to the customer in the retail sector. The Forum recognised that further work was required to finalise some of the details of the system and that this work would be undertaken over the next 12 months led by the existing FoPL Project Committee.

On 13 December 2013 the Forum considered refinements made to the Health Star Rating (HSR) Calculator to address initial technical issues with star ratings for dairy products. The Forum endorsed the Calculator for the HSR system. The Forum also noted that a process for addressing anomalies would be developed by the FoPL Oversight Committee. The Forum agreed on membership of the FoPL Oversight Committee, comprising nine representatives from government, industry and community. The FoPL Oversight Committee includes:

• Dr Kevin Buckett – Committee Chair (SA Health). • Dr Anne Astin – (Commonwealth). • Dr Lisa Szabo – NSW Food Authority (NSW Health). • Professor Geoffrey Dobb – Australian Medical Association (WA) (Public Health).

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• Ms Jenni Mack – Choice (Consumer). • Mr Michael Moore – Public Health Association of Australia (Public Health). • Mr Gary Dawson – Australian Food and Grocery Council (Industry). • Mr Russel Goss – Australian National Retailers Association (Industry). • Mr Tim Piper – Australian Industry Group (Industry).

National Alliance for Action on Alcohol PHAA has taken a leadership role, together with VicHealth and Cancer Council Victoria, in bringing together a wide range of organisations to form a strong, coordinated voice on alcohol policy issues. The National Alliance for Action on Alcohol (NAAA) is a PHAA-initiated collaborative venture which continues to build in strength. A series of NAAA meetings and events have been held during the current reporting period, with numerous public statements being issued highlighting both the establishment of, and key priorities determined by, the group.

Currently comprising over 70 major organisations with a focus on public health and alcohol, NAAA is a national coalition of health and community organisations from across Australia that has been formed with the goal of reducing alcohol-related harm. NAAA is currently co-chaired by PHAA and Cancer Council Victoria.

NAAA was established in 2009 and has identified the following initial priority areas to improve the health of Australians: reforming alcohol taxation; access and availability; effective regulation of alcohol promotion including an end to alcohol advertising through sports sponsorship before 8.30pm; increasing investment in prevention; and health information labelling on alcohol products.

NAAA has agreed on a series of working protocols and a set of principles that guide participating organisations with regard to specific policy issues. NAAA also released a position paper entitled Reducing harm from alcohol-CREATING A HEALTHIER AUSTRALIA.

Further information of the work of NAAA is available on the website at: www.actiononalcohol.org.au

Council of Academic Public Health Institutions Australia (CAPHIA) As the principal non-government organisation for public health in Australia, PHAA was approached in late 2010 by the former Australian Network of Academic Public Health Institutions (ANAPHI) to assist with the establishment of the Council of Academic Public Health Institutions Australia (CAPHIA).

CAPHIA was formally established in mid-2011 and now has around 27 member institutions which represent well over 90% of the university public health higher education and research sector, with its Project Manager located in and supported by the PHAA National Office.

CAPHIA is the peak organisation that represents Heads of Schools and Discipline leaders of public health in universities that offer undergraduate and postgraduate programs and research and community service activity in public health throughout Australia, and the Executive Committee meets monthly by teleconference. Its purpose is to maintain high quality academic standards in the education and development of public health practitioners and researchers, to lead and represent public health education in the tertiary sector and to be a respected voice and advocate for the

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development of public health professionals and researchers within Australia. CAPHIA's annual activities include a national teaching and learning forum, a national research seminar and other activities as appropriate to enhance teaching and research endeavours amongst academic public health institutions.

CAPHIA facilitated a Think Tank ‘Working Definitions and Ambitions’ at Parliament House on 26 March that was sponsored by the Shadow Minister for Health, Ms Catherine King MP. There was very good attendance from CAPHIA Heads of Schools and the discussions included useful perspectives from Ms King and Greens Senator Richard Di Natale on how politicians view proposals. Other guests included PHAA President Professor Heather Yeatman and Professor Mike Daube, and there was a meeting following the Think Tank with an Adviser from Mr Dutton’s Office. A draft report from the Think Tank addressed:

• Defining “Public Health” so that it resonates with politicians, policy makers and the community and how they can best contribute • Australian Public Health priorities for 2014 and beyond • Communicating the Australian definitions and visions for Public Health

CAPHIA has joined the Croakey Consortium for 2014 to provide co-funding support for the Crikey Health and Medical Panel and Croakey Health Blog.

CAPHIA has launched three awards for excellence in public health teaching and research. Applications for these awards closed on Monday 28 July 2014. These awards were introduced to recognise those teachers and researchers who have made exceptional contributions to public health teaching or research. The awards and the recipients will help to promote greater awareness about the role of public health, the contributions which public health make to the community, and the outstanding quality of our teachers and researchers.

The Awards are:

CAPHIA AWARD FOR EXCELLENCE AND INNOVATION IN PUBLIC HEALTH TEACHING This award recognises individual staff or a staff team who have made an outstanding contribution to public health teaching and learning and who have clearly demonstrated excellence and innovation in teaching.

CAPHIA AWARD FOR EXCELLENCE AND INNOVATION IN PUBLIC HEALTH RESEARCH This award recognises a research team that demonstrates an outstanding level of achievement in public health research.

CAPHIA AWARD FOR PhD EXCELLENCE IN PUBLIC HEALTH This award recognizes the postgraduate researcher who has completed an outstanding PhD body of work in the field of public health, or in a closely related field, and made a valuable contribution to public health theory, knowledge, policy and practice.

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The CAPHIA President and Chair, Prof Catherine Bennett, met with the Heads of Public Health Schools, or senior delegates, in NSW, QLD and the ACT on 17-19 June, as part of an annual program of consultations with member universities in their jurisdictions.

CAPHIA is pleased to have been elected a Regional Member of the World Federation of Public Health Associations (WFPHA) at the General Assembly of member associations of the WFPHA in Geneva on 18 May 2014.

Further information on the work of CAPHIA is available on its website at: www.caphia.com.au

The National Complex Needs Alliance

PHAA held the first National Social Inclusion and Complex Needs Conference in April 2013, with attendees endorsing a Conference Declaration outlining actions to progress an ongoing agenda for change in relation to addressing complex needs. The Conference Declaration is available on the PHAA website at: http://www.phaa.net.au/conferenceRes.php.

The term ‘complex needs’ refers to people who have more than one problem on their plate. For instance, people with mental health and alcohol and other drug problems, victims of prior abuse, people with disabilities and their carers, who may also have trouble accessing education and training, getting work and/or supporting themselves, or who may have come into contact with the criminal justice system due to behavioural problems. Homelessness is also a key issue. It has long been acknowledged that people with complex needs often fall through the cracks in service delivery – between national and jurisdictional service delivery, between government and non-government services, and between services delivered by different portfolio agencies.

People don’t live their lives within portfolios, and those with complex needs in particular need help to negotiate their way through the maze of available services. The new National Complex Needs Alliance will be seeking to engage with both national and jurisdictional governments, policy makers and funding providers to raise awareness of issues relating to complex needs and the need for government policy and funding structures to facilitate collaborative cross-portfolio approaches to service delivery.

The Alliance already has around 90 organisational members from health, community services and related sectors at the national, jurisdictional and local levels. Essentially, the National Complex Needs Alliance is focused on promoting partnerships in service delivery to achieve better long term outcomes for people with complex needs.

The inaugural meeting of the National Complex Needs Alliance, 5 December 2013

The inaugural meeting of the National Complex Needs Alliance, held at Parliament House in Canberra on 5 December 2013, represented the first of the actions arising from the Conference Declaration which called for the establishment of a National Alliance to:

‘progress a collaborative and ongoing agenda/program of stakeholder, individual, family and community engagement and advocacy to remove red tape and break down structural and systemic barriers to the development and implementation of comprehensive, multifaceted, cross-sectoral

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approaches to achieving better health and social outcomes for people, families and communities with complex needs.’

Around fifty representatives from health and community sector organisations from around the country came together for the inaugural meeting of the newly formed National Complex Needs Alliance. The meeting was also attended by a number of Parliamentarians from across the political spectrum.

The second meeting of the National Complex Needs Alliance, 27 June 2014

PHAA convened the 2nd meeting of the newly established National Complex Needs Alliance on Friday 27 June 2014 at Parliament House in Canberra. The meeting attracted around 40 attendees including representatives from member organisations as well as observers from Government agencies and political offices, and politicians from major parties at the national and jurisdictional levels.

This meeting focussed on developing a Terms of Reference for the alliance, discuss and approve a draft Position Statement for the alliance and talk about the next steps in progressing the advocacy agenda.

The third meeting of the National Complex Needs Alliance will be held on Wednesday 3 December 2014. Population Health Congress Partnership Retaining current agreement provisions with regard to the ongoing work between the Population Health Congress Partners working towards a successful Population Health Congress in September 2012 and continuing arrangements for 4-yearly Population Health Congresses

The next Population Health Congress has been moved forward by 12 months to be held in 2015, given the timing of the World Federation of Public Health Associations Congress in 2017. The previous Congress took place from 10-12 September 2012 at the Adelaide Convention Centre.

Given this decision, early preparations for the Population Health Congress 2015 are already well underway. The next Population Health Congress will be held at the Hotel Grand Chancellor in Hobart on 7-9 September 2015.

The Congress is Australasia’s pre-eminent population health event, jointly hosted by: • Australasian Epidemiological Association (AEA); • Australasian Faculty of Public Health Medicine (AFPHM); • Australian Health Promotion Association (AHPA); and • Public Health Association of Australia (PHAA).

The event management company MCI Australia has been engaged by the Congress Partners to run the event in 2015, following a select tender process.

The Conference Organising Committee met face to face in Hobart on Friday 21 February 2014 in Sydney on Friday 2 May 2014 and was attended by representatives of each of the partner organisations (Congress Partners) listed above.

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Commitment to sector capacity building Building the number of conferences PHAA runs as part of its commitment to sector capacity building from two to three per annum.

The following conferences have been held during the 2013/14 financial year. Links to the conference resolutions from each of the events are also provided below.

National Social Inclusion and Complex Needs Conference 2013

Organisations from around the country focused on delivering services to some of the most marginalised and disadvantaged Australians came together on 15-16 April 2013 for PHAA’s National Social Inclusion and Complex Needs Conference in Canberra.

The conference focus on Working together to achieve better outcomes for people and communities attracted around 300 participants looking to showcase and debate new ideas and also attracted significant media attention. It has long been acknowledged that people with complex needs often fall through the cracks in service delivery – between national and jurisdictional service delivery, between government and non-government services, and between services delivered by different portfolio agencies. The conference sought to identify and showcase successful collaborative efforts in service delivery, with a view to informing whole-of-government approaches to policy and program development.

Headline issues discussed included: the work of the Australian Social Inclusion Board; innovative approaches to service delivery in Australia and abroad; housing and homelessness; cross-sectoral considerations in refugee healthcare; smoking and social inclusion in Aboriginal and Torres Strait Islander communities; and Australia’s first National Report Card on Mental Health and Suicide Prevention. Among the hot topics discussed at the conference were ways to break down traditional barriers to achieving better outcomes for people with complex needs.

The conference was opened by the Hon Mark Butler MP, then Minister for Social Inclusion, Mental Health, Housing and Homelessness.

Attendees at the conference endorsed a Conference Declaration outlining actions to progress an ongoing agenda for change in relation to addressing complex needs. The Conference Declaration is available on the PHAA website at: http://www.phaa.net.au/conferenceRes.php .

The first of the actions arising from the Conference Declaration called for the establishment of a National Alliance to:

‘progress a collaborative and ongoing agenda/program of stakeholder, individual, family and community engagement and advocacy to remove red tape and break down structural and systemic barriers to the development and implementation of comprehensive, multifaceted, cross-sectoral approaches to achieving better health and social outcomes for people, families and communities with complex needs.’

Organisations that were involved with the conference were subsequently invited to join the new

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National Complex Needs Alliance. The inaugural meeting of the National Complex Needs Alliance was held at Parliament House in Canberra on 5 December 2013. The meeting provided an opportunity for Alliance members to discuss how best to continue progressing the advocacy agenda with a view to influencing policy and programs at the national, state/territory and local levels.

Further information about the conference, including audio and powerpoints from the plenary sessions, is available on the PHAA website at: http://www.phaa.net.au/Complex_Needs_Conference_2013.php .

PHAA 42nd Annual Conference 2013 Public health experts and practitioners from around the country and eminent overseas visitors came together for PHAA’s 42nd Annual Conference in Melbourne on 16-18 September 2013. The theme for 2013’s conference of A ‘fair go’ for health: tackling physical, social and psychological inequality attracted around 300 participants, looking to discuss and take action on social inequalities in health.

The conference promoted the sharing of knowledge through keynote papers by leading international and national figures, and presentations of the latest Australian research. Those attending also had the opportunity to learn about and contribute to the development of PHAA policy and advocacy on issues of current concern to public health.

The three sub-themes for the 2013 conference were physical, social and psychological inequalities, and the broad range of papers presented focused on issues including:

• Inequalities in physical and natural environments • Psychological inequalities • Social inequalities • Health Promotion • Alcohol, tobacco and other drugs • Nutrition and Food Security • Public Health Policy and Practice • Aboriginal and Torres Strait Islander Peoples’ Health • Women’s Health • Child Health • Ecology and the Environment • Communicable Disease • Oral Health • Injury Prevention • International, Migrant and Refugee Health • Epidemiology and Research • Political Economy of Health • Primary Health Care • Justice Health • Evidence, Research and Policy in Complementary Medicine

Papers were presented by public health practitioners, as well as those working in health promotion and policy from sectors including academia, local government, education, transport, environment,

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Further information about the conference, along with the conference resolutions, can be found on the PHAA website at: http://www.phaa.net.au/conferences.php .

Australasian Fetal Alcohol Spectrum Disorders (FASD) Conference 2013 PHAA and the Foundation for Alcohol Research and Education (FARE) held the Australasian Fetal Alcohol Spectrum Disorders (FASD) Conference in Brisbane on 19-20 November 2013.

The conference aimed to share knowledge about FASD and bring people together from around the region to exchange ideas, practice, research and policy discourse. The conference united nearly 200 attendees passionate about this area of work and provided an environment to make new connections and partnerships, attracting significant media coverage.

The program focused on the key areas of prevention; screening and diagnosis; community and practice; policy and practice; and support for those who are affected by FASD. The event also outlined up to date research and surveillance information and policy implications for FASD in the region.

FASD is currently the leading preventable cause of non-genetic, intellectual disability in Australia. Like many other disabilities, people who are born with FASD have the condition for life, and the implications are far-reaching.

For PHAA, progressing the FASD agenda also aligns with our broader organisational priorities in relation to achieving better outcomes for people and communities with complex needs. These issues obviously resonate with families, communities and organisations with an interest in FASD, and the FASD agenda is closely aligned to broader priorities for policy and programs addressing complex needs.

The Australasian FASD Conference was held by PHAA and FARE in association with the National Organisation for Fetal Alcohol Syndrome Disorders (NOFASD), the Russell Family Fetal Alcohol Disorders Association (RFFADA), Telethon Institute for Child Health Research, University of Sydney, Alcohol HealthWatch New Zealand and the University of Queensland.

Further information about the conference, including the Call to Action endorsed by delegates, is available on the PHAA website: http://www.phaa.net.au/AFASDC_2013.php .

Immunisation Conference 2014 “A roaring success” was the way one of the attendees described the 14th PHAA Immunisation Conference which was held in Melbourne form June 17th to the 19th. With the Conference were also the pre-conference workshop “Getting the Jabs Done” with Dr Greg Rowles facilitating and the post Conference workshop on Immunisation and the Elderly organised by Prof Raina MacIntyre.

This year’s focus on Maintaining Excellence in Immunisation: Consolidating Gains, Identifying Gaps attracted close to 600 participants looking to showcase and debate new ideas. Headline issues that were discussed included: coverage and implementation of vaccination programs; National Immunisation Programme developments; polio eradication; vaccine safety; pertussis (whooping cough) in infants; growing challenges around the elimination of measles, invasive pneumococcal

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disease and rotavirus (which causes viral gastroenteritis); and new vaccines.

The conference would not have been possible without the dedication of the scientific committee under the leadership of Professor Peter McIntyre. The PHAA is grateful for the commitment made by Peter and every other person involved in the development of the program, reviewing abstracts, chairing sessions and in helping in many other ways.

The conference was formally opened by Public Health Association of Australia (PHAA) Chief Executive Officer (CEO) Michael Moore who urged attendees not to be complacent about the attacks on preventive health in the Federal budget but acknowledged “The federal health minister does assure re-assure us of his support for immunisation. And the Liberals do have a good track record in this area”.

This commitment was reinforced in an address by The Hon David Davis MLC, Victorian Minister for Health who stated; ““Victoria’s immunisation coverage for the childhood program is impressively high, with 93 per cent of children currently immunised before they start school.” In a video message from The Hon Peter Dutton MP, Federal Minister for Health the conference was reassured of his personal, and the government’s commitment, to immunisation.

The opening plenary of the conference focussed on coverage and implementation of vaccination programs with perspectives from the United States by Professors Orenstein and LaForce with Associate Professor Julie Leask presenting on challenges of reaching people who were reluctant to vaccinate.

Other special features on the first day program included an update on the National Immunisation Programme Developments from Australia’s Chief Medical Officer, Professor Chris Baggoley AO and the Feery Oration delivered by Professor Orenstein. Professor Orenstein’s oration focused on progress and problems in achieving the global eradication of polio.

On each of the days were concurrent sessions that provided an insight into the extraordinary work being done in Australia at the coal face, in research and in research translation right across the vaccination spectrum.

The second day’s program opened with a session on vaccine safety and adverse events and moved on to consider issues around whooping cough (pertussis) with leading presentations from a wide range of people with expertise including Nikki Turner from New Zealand, and local experts such as Mike Gold, Kristine Macarteney, Nicole Gilroy, Nicholas Wood and Nigel Crawford. A highlight was a video link with Dr Gayatri Amirthalingam from the Centre for Infectious Disease Surveillance and Control in England.

Things did not slow down on day three. with a session providing ‘report cards’ on measles eradication, invasive pneumococcal disease, rotavirus (which causes viral gastroenteritis) and the National Human Papillomavirus Vaccination Program. There was also a focus on new vaccines. Some of the outstanding speakers from Day three included Helen Marshall, David Goldblatt, Terry Nolan and Marc LaForce

The 14th PHAA Immunisation Conference also developed a series of resolutions including calling on the government to “reconsider the $7.00 co-payment”, to commit “to an all-of-life Immunisation

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Register” and, “with the demise of the Australian Medicare Local Alliance, for the Federal government to fund a similar but expanded role through an appropriate progressive organisation”.

The following awards were announced at the Wednesday night dinner:

• The PHAA National Immunisation Achievement Award o presented to Professor C Raina MacIntyre by Professor Peter McIntyre • University of New South Wales/Department of Health Aileen Plant Memorial Prize in Infectious Diseases Epidemiology o presented to Dr Hammad Ali by Professors Raina MacIntyre • The Early in Career Public Health Award in Immunisation o presented to Bing Wang by Dr Paul Armstrong on behalf of PHAA • PHAA Poster Prizes presented by A/Professor Kristine Macartney o Natalie Allan & Katrina Clark (Theme 1) and Kathryn Taylor (Theme 2) o Highly commended Tanya Perrin and Georgina Lewis

The PHAA would like to thank all who were involved, from attendees to our keynote speakers, to the presenters and panellists as well as to those displaying posters. We would especially our sponsors: The Department of Health, Australian Government, bioCSL, GSK, Sanofi Pasteur, Pfizer Vaccines, Novartis and the State Government of Victoria.

Our Conference Committee was a key element in such a successful conference. Thank you to: Peter McIntyre, (Convenor) Rosemary Lester, (Deputy Convenor) Kristine Macartney, Stephen Lambert, Heath Kelly, Helen Marshall, Nicholas Wood, Nigel Crawford, Michelle Wills, Angela Newbound and Andrea Forde Developing Quality Research undertaking further quality research with input from the Participant’s membership, the growing number of Special Interest Groups, and other experts and from that research, develop evidence based policy that is appropriately considered by the Participant’s Board Members (in accordance with the established annual policy revision and development process)

2013 Policy Process

The 2013 Annual General Meeting (AGM) was held at PHAA’s 42nd Annual Conference in Melbourne in September 2013. Twenty organisational policies were endorsed at the AGM, providing a strong foundation for future advocacy activities by the PHAA on a broad range of public health issues.

All PHAA policies are reviewed and updated every three years, and in 2013 there were three new and seventeen revised policies adopted at the AGM, following a broader process of consideration and endorsement by all PHAA members. Policies are primarily developed by PHAA’s seventeen Special Interest Groups, with input and assistance from a variety of specialist organisations and experts within particular topic areas from around the country.

The following twenty (three new and seventeen revised) draft policies were endorsed at the 2013 AGM, following consultation with members:

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• New – Limits to Growth and Public Health Policy • New – Alcohol Policy • New – Women’s Preconception Health Fertility Policy • Revised - Aboriginal and Torres Strait Islander Peoples’ Substance Use Policy • Revised - Nuclear Industry Policy • Revised - Safe Climate Policy • Revised- Preparing for Peak Oil Policy • Revised - Sustainable Population for Australia Policy • Revised - Genetically Modified Foods Policy • Revised - Illicit Drug Problems Policy • Revised - Injury Prevention and Safety Promotion Policy • Revised - Gambling Industry Funding Policy • Revised - Prisoner Health Policy • Revised - Incarceration of Aboriginal and Torres Strait Islander People Policy • Revised - Breastfeeding Policy • Revised - Domestic/Family Violence Policy • Revised - Promoting Healthy Weight: The Prevention and Management of Overweight and Obesity in Australia Policy • Revised - Pharmaceutical Drug Misuse Policy • Revised - Exposure to Second-hand Smoke Policy • Revised – Ecologically Sustainable Human Society Policy

Two Position Statements were also approved at the PHAA AGM in 2013:

• Aboriginal and Torres Strait Islander People in the Constitution • Research Involving Aboriginal and Torres Strait Islander Communities

A Joint Policy on Food Security for Aboriginal and Torres Strait Islander Peoples developed by PHAA, Australian Red Cross and the Dietitians Association of Australia (DAA), was also endorsed and released in 2013.

2014 Policy Process

The following is a numbered list of PHAA policies that have been revised this year (according to the rolling three-yearly policy renewal program). The current versions of the policies can be found on the PHAA website at http://www.phaa.net.au/policyStatementsInterim.php .

1. NEW Health Impacts of Wind Turbines Policy 2. NEW Environmental Lead Policy 3. NEW Environmental Noise Policy 4. NEW Climate change and Food Security 5. NEW Contraception Policy 6. NEW Mental Health & Work Policy 7. NEW Mental Health & Insurance Policy 8. REVISED Tobacco Control Policy

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9. REVISED Nuclear Energy as a response to Global Warming Policy 10. REVISED Public Health Impacts of Nano technology Policy 11. REVISED Low Emissions & Active Transport Policy 12. REVISED Safe Climate Policy 13. REVISED Food & Nutrition Monitoring & Surveillance in Australia Policy 14. REVISED Health Claims on Food Policy 15. REVISED Landmines & Cluster Ammunition 16. REVISED Biological and Toxic Weapons Policy 17. REVISED Physical Activity Policy 18. REVISED Smoke Alarms in Residential Housing Policy 19. REVISED Primary Health Care Policy 20. REVISED Gambling and Health Policy 21. REVISED Abortion Policy 22. REVISED Gender and Health Policy 23. REVISED Lesbian and Bisexual Women’s Health Policy 24. REVISED Oral Health Policy

These policies were placed on the PHAA Members section of the website from 20 June to 3 August 2014 and comprehensive feedback was provided from membership during this period. These comments will be considered before the final draft policies are taken to the AGM in September 2014 to be endorsed.

Stakeholder engagement & consultation activities across the public health network Coordinating a wide range of stakeholder engagement and consultation activities across the public health network and expand on this contribution with additional activities and submissions focusing on key issues throughout the project period. The PHAA must support the health reform process including raising awareness about the determinants of health action, and seeking to embed that thinking in Medicare Locals through population health planning

Engagement and consultation with stakeholders – a snapshot A key element of the work of PHAA is engaging and consulting with a range of stakeholders. This engagement is both systematic and opportunistic. However, the individuals, organisations and businesses that form part of our broad network are instrumental in ensuring success in the role that PHAA plays particularly in advocacy and capacity building.

The following provides an insight into the PHAA participation in events and meetings during the past financial year and illustrate the efforts that are made by PHAA as part of its commitment to stakeholder engagement and consultation. A more detailed list is provided to the Board at each of its meetings and to the SIG and Branch representatives. However, the following is provided as a snapshot to illustrate the types of activities undertaken.

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June 2014 (an illustrative example) During this month a series of meetings took place including:

Ministers • Australian Government Health Minister Peter Dutton and Chief of Staff Cath Patterson • Food Ministers’ Meeting – Health Star Rating system adopted • Deputy CEO liaised with Minister for Veterans Affairs adviser in relation to announcement on additional government support for veterans and families •

Parliament • PHAA and SDOHA representatives (Michael, Melanie and Liz Callaghan from Catholic Health) appeared at a Senate Community Affairs Committee hearing on the ANPHA Abolition Bill. PHAA’s was a joint submission with Australian Health Promotion Association (represented at the hearing by Michele Herriot). PHAA, AHPA and SDOHA appeared before the Senate Committee on a panel along with representatives of the Consumers Health Forum • Deputy CEO Meeting with Senator Richard Di Natale’s office

Bureaucracy • Front of Pack Oversight Committee (FOPOC) meeting • CEO continues to work on the Local Hospital Network Council • PHAA representatives met with Dr Allan Hawke AC – Commissioner conducting the Northern Territory inquiry into the potential environmental impacts of hydraulic fracturing • CEO and Deputy CEO attended the ACT Budget Lockup

PHAA • CEO participated in various teleconferences for the upcoming Immunisation Conference, Annual Conference and Population Health Congress 2015 • CEO participated in meetings with Branch Presidents and SIG Convenors

Networking with Health and other organisations • Webinar on Advocacy for the Dietitians Association of Australia – Rohan Greenland (Heart Foundation) and Michael Moore (PHAA) • Series of discussions with AML Alliance on the future of Primary Health Care • World Federation of Public Health Associations meetings by teleconference • Series of local and national organisations o Asthma Foundation Network (ACT) o Heather Yeatman, Melanie Walker, Jo Walker, Russell McGowan and Bruce Simmons attended – and delivered presentations at - the National Health Reform Summit (Australian Healthcare Reform Alliance). o PHAA Board Members Vanessa Lee and Russell McGowan elected to Australian Health Care Reform Alliance Board o CAPHIA Board Meeting o National Alliance for Action on Alcohol Day of Action at Parliament House – attended by Michael Moore and Mike Daube

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o National Complex Needs Alliance meeting o Social Determinants of Health Alliance (SDOHA) Management Committee teleconference o Deputy CEO chaired Hepatitis Australia Board meeting (Deputy CEO is Vice President of Hepatitis Australia) • Deputy CEO engaged in extensive liaison with member organisations, speakers and Parliamentary Offices in relation to the upcoming meeting of the National Complex Needs Alliance.

The Board receives similar and more detailed report at each meeting of the engagement that takes place through the National Office. However, it is also important to remember that ongoing liaison is occurring through Branches, SIGs and members of the PHAA on an ongoing basis. Specifically, these examples simply provide an insight into the work of PHAA at the national level. We are particularly pleased at the leadership role that we have been able to play and the growing enthusiasm of the networks to build alliances, linkages and partnerships. In addition to the work at the national level the Branches of PHAA have been in close contact with National Office and have been building similar alliances and partnerships at the state and territory levels. There have also been stronger efforts to engage at the local level and in a range of appropriate settings. Submissions to Government The provision of formal submissions to Government forms a part of PHAA’s strategy to ensure that policy and advocacy outcomes developed on key public health issues are communicated to Government. The following formal submissions were developed and provided by the PHAA to government, parliamentary committees and other relevant bodies during the reporting period. This list is not exhaustive and does not include less formal representations - such as correspondence, petitions etc. – but does demonstrate the range and scope of PHAA submissions throughout the reporting period.

• Submission to the AML Alliance on funding issues • PHAA Expression of Interest in supporting the National Secretariat of the Alliance for Forgotten Australians • PHAA Funding Application to the Australian Government Department of Social Services for ‘Establishment of a National Secretariat to support the work of the National Complex Needs Alliance’ project • PHAA (NT Branch) submission to the Northern Territory Legislative Assembly Inquiry into Hydraulic Fracturing • PHAA submission on the Environmental Protection and Biodiversity Conservation Amendment (Bilateral Agreement Implementation) Bill 2014 • PHAA (NT Branch) submission to NT Select Committee on Action to Prevent Foetal Alcohol Spectrum Disorder • Joint submission on the ANPHA Abolition Bill (2014) - PHAA and Australian Health Promotion Association

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• PHAA submission to the Pharmaceutical Benefits Advisory Committee on Mifepristone and Misoprostol • PHAA submission to the Australian Human Rights Commission: National Children’s Commissioner examination of intentional self-harm and suicidal behaviour in children • Social Determinants of Health Alliance (SDOHA) submission on the Australian National Preventive Health Agency (Abolition) Bill 2014 • Public Health Association of Australia (Ecology & Environment SIG) submission to the Review of the Renewable Energy Target (RET) • Public Health Association of Australia submission on the Environmental Protection and Biodiversity Conservation Amendment (Bilateral Agreement Implementation) Bill 2014. • Public Health Association of Australia (NT Branch) submission to NT Select Committee on Action to Prevent Foetal Alcohol Spectrum Disorder • JOINT submission on the ANPHA Abolition Bill (2014) from the Public Health Association of Australia and the Australian Health Promotion Association. • Second Progress Report on current Funding Agreement with the Australian Government Department of Health • Joint PHAA, DAA and Australian Red Cross submission to ANAO Performance Audit of Food Security in Remote Indigenous Communities • PHAA submission on the ACT Multicultural Framework (ACT Branch submission with input from International Health SIG) • PHAA additional input to ABS (in collaboration with DAA) on discretionary foods in the Australian Health Survey • PHAA submission on the voting system in the Senate - Inquiry into the Commonwealth Electoral Amendment (Above the Line Voting) Bill 2013 by the Joint Standing Committee on Electoral Matters • PHAA input re Nutrition Outputs of the ABS Australian Health Survey • PHAA Budget submission: Secretariat position to support the work of the National Complex Needs Alliance • PHAA submission on the Energy White Paper Issues paper • PHAA submission to the Senate inquiry into Direct Action Plan and related climate policy • PHAA submission to the Senate Select Committee into the Abbott Government’s Commission of Audit • PHAA submission on the voting system in the Senate • PHAA submission on Review of Medicare Locals • PHAA response to the FRSC consultation on Ministerial Council Policy Guidance regarding caffeine in the food supply • PHAA submission to Tasmanian MLCs - PHAA recommendations on pregnancy termination laws in Tasmania • PHAA submission to the ACT Government on Crimes Legislation Amendment Bill 2013 • PHAA submission to Senate Environment and Communications Committee: Inquiry into Clean Energy Legislation (Carbon Tax Repeal) Bill 2013 and related bills • PHAA submission to the National Commission of Audit • PHAA response to Climate Change Authority Draft Report Reducing Australia’s Greenhouse Gas Emissions – Targets and Progress Review

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• PHAA submission on the Legislative Council Government Administration Committee Reproductive Health (Access to Terminations) Bill 2013 • PHAA submission to the independent review of coal seam gas activities in NSW (human health and environment effects) • The Alcohol and other Drugs Council of Australia (ADCA) and PHAA responded to the Consultation Draft of the Code of Best Practice for Engagement. • PHAA submission to the Department of Health and Ageing on a Proposal for the Chronic Disease Prevention and Service Improvement Fund • Alcohol and other Drugs Council of Australia (ADCA) and the PHAA response to the ANPHA paper on Alcohol Advertising: the effectiveness of current regulatory codes in addressing community concerns. • PHAA submission to the Victorian Minister for Mental Health - Reducing the alcohol and drug toll: Victoria's Plan 2013-2017 • Public Health Association of Australia submission on the proposed changes to pregnancy termination laws in Tasmania • PHAA submission on ‘The Foundation to Year 10 Draft Australian Curriculum: Health and Physical Education’ • PHAA submission to the Senate Standing Committee on Finance and Public Administration Legislation Committee: Inquiry into the Health Insurance Amendment (Medicare Funding for Certain Types of Abortion) Bill 2013 • PHAA submission to the House of Representatives Standing Committee on Health and Ageing Inquiry into Adult Dental Services in Australia • PHAA follow-up (2nd) submission to Productivity Commission Inquiry into Compulsory Licensing of Patents • PHAA (SA Branch) submission re Liquor Licensing Act reform and the sale of wine in supermarkets • PHAA Environment and Ecology SIG submission regarding the DA 2012/1480 Otford Valley/Helensburgh • PHAA (SA Branch) submission re SA Public Health Plan • PHAA (TAS Branch) submission re proposed changes to Pregnancy Termination Laws in Tasmania • NT Branch correspondence to NT Govt re nomination of Muckaty Station for National Radioactive Waste Dump • PHAA support for Australian Injecting and Illicit Drug Users League project funding application - Deadly Choices, Deadly Futures project (resources for young Aboriginal and Torres Strait Islander people who may be using, or have used, illicit drugs with the aim of reducing the likelihood of first time incarceration or reincarceration)

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MEDIA Indicative indicator of PHAA media presence during 2012-13

Following is a graph generated by our media monitoring agency noting coverage of PHAA from 30 June 2013-1 July 2014. It should be noted that the graph is limited to online content, so does not include broadcast media coverage or print media coverage that did not appear on media websites – as such it significantly understates actual coverage of PHAA across all media types.

Despite this limitation, the graph still indicates a strong, ongoing media presence for PHAA, with peaks directly correlating with PHAA media statements and events. It should be noted that there was not a single week in the past year in which PHAA did not appear in some media coverage.

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Australian and New Zealand Journal of Public Health (ANZJPH) The Australian and New Zealand Journal of Public Health (ANZJPH) continues to be the flagship of the PHAA. The Journal continues to be highly rated as a substantial peer reviewed journal.

At the PHAA Annual General Meeting in September 2013, previous Managing Editor of ANZJPH Associate Professor Jeanne Daly retired, and the former Senior Editor Professor John Lowe took up the position as Editor in Chief. Professor Lowe is supported by an editorial team that has been convened to provide a broad range of expertise in the different areas of public health.

Submissions of paper have increased substantially in total submissions. The ANZJPH has seen more overseas submission of papers. This could be due to the ease of submitting on ScholarOne, an online submission and correspondence system. This year the Journal induced a new section entitled commentaries.

The Journal underwent a complete facelift and type style to promote a cleaner, more moderate cover and insides. The cover clearly identifies the journal’s name. The trademark initials continue on the contents page. Each issue’s cover continues to have a relevant photo representing some of the contents.

We are pleased that the rejection rate has now fallen to 52% from the 58% from last year. All manuscripts are reviewed by the Editor in Chief and at least one editor and at times all editors, before going out to review. This helps to ensure our reviewers, who volunteer their time, are not burdened with the task of reviewing articles that have little chance of being published. The editors continue to work well together and bring different skill sets to the Journal.

1 July 2011 – 1 July 2012 – 30 June 1 July 2013 – 30 June 2014 30 June 2012 2013

Papers Received 365 375 436

Status @ 30 June

Rejected, Lapsed or 243 (67%) 218 (58%) 247 (52%) Withdrawn

Live (In Review or 84 72 85 Revision)

Accepted (not yet 35 43 49 published)

Accepted (published) 28 42 55* (See Note)

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Source

Australia 303 270 306

New Zealand 43 44 45

Other Overseas 19 61 85

UK (3), US, Bangladesh, Brazil, Afghanistan, Albania, Canada, France, Chile, Canada, China Bangladesh (2), Brazil (2), Iran, Saudi (11), Egypt (2), India (4), Canada, China (12), France, Arabia (2), Iran (6), Iraq, Ireland, French Polynesia, Bangladesh, Israel, Italy, Japan, Germany, India (7), China, Hungary, Korea (2), Macao, Indonesia, Iran (3), Italy (2), Russia, Spain, Malaysia, New Korea (9), Malaysia, Nigeria Turkey (1) Caledonia, Nigeria, (2), Norway, Pakistan (3), Qatar, Romania, Russia, Poland (2), Portugal, Saudia Arabia, Spain (2), Russia, Saudi Arabia, Sweden, Taiwan, Turkey Serbia, South Africa (2), (8), United Kingdom (3), Spain (3), Sweden, Taiwan United States of (3), Thailand (2), Turkey (9), America (4) United Kingdom (5), United States of America (3)

Content Published

Editorials 21 16 9

Commentary 0 0 5

Articles / Brief Reports 69 + 9/11 73 + health equity 80 special special

Letters to the Editor 37 41 36

Book Reviews 14 13 16

TOTAL 141 143 146

The ANZJPH’s change in February 2014 to a three-column format means we are publishing more papers each issue.

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•

The editors of the ANZJPH include: Professor John B. Lowe- Editor in Chief Professor Alistair Woodward – Editor Dr Priscilla Robinson – Editor Dr Anna Ziersch – Editor Dr Sandra Campbell – Editor Dr Melissa Stoneham- Editor

The Editorial board provides guidance and advice to the Editor in Chief and editors. Those on the Editorial board are: Professor Gabriele Bammer Professor John Lynch Professor Terry Nolan Professor Joan Cunningham Assoc. Professor Andre Renzaho Dr Rhys Jones Professor Catherine D’Este Professor Peter Sainsbury Professor Donna Cross Professor Kevin Dew Dr Martin Tobias Professor Rachel Davey Professor Annette Dobson Professor Gavin Turrell Professor Chris Del Mar Professor Gary Dowsett Assoc. Professor Yin Paradies Professor Robyn McDermott Professor Janet Hiller Professor Ross Bailie Professor Rob McGee Adjunct Professor Heath Kelly Professor Alison Venn Professor Bryan Rodgers Professor Cindy Shannon Professor Alan Shiell Dr Jackie Street Assoc. Professor David Thomas Dr. Vicki Xafis

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Membership Membership over the period 2010-11 – 2013-14

2010-2011 2011-2012 Total New Total New Month Financial Students Month Financial Students Members Members Jul-10 1639 73 27 Jul-11 1876 67 26 Aug-10 1662 50 22 Aug-11 1932 54 26 Sep-10 1713 83 28 Sep-11 1972 48 25 Oct-10 1667 49 20 Oct-11 1653 54 17 Nov-10 1724 29 10 Nov-11 1723 38 26 Dec-10 1744 16 4 Dec-11 1778 26 10 2011 2012 Jan-11 1792 30 10 Jan-12 1824 49 17 Feb-11 1847 46 21 Feb-12 1877 45 20 Mar-11 1903 48 26 Mar-12 1916 39 28 Apr-11 1704 31 19 Apr-12 1820 56 28 May-11 1741 30 24 May-12 1833 13 6 Jun-11 1807 62 17 Jun-30 1905 56 26 2012-2013 2013-14 Total New Total New Month Financial Students Month Financial Students Members Members Jul-12 1981 82 33 Jul-13 1915 56 31 Aug-12 2033 57 26 Aug-13 1973 58 38 Sep-12 1558 54 21 Sep-13 1512 64 34 Oct-12 1661 40 24 Oct-13 1622 26 10 Nov-12 1747 31 10 Nov-13 1668 24 11 Dec-12 1829 20 9 Dec-13 1709 27 12 2013 2014 Jan-13 1881 36 6 Jan-14 1785 44 18 Feb-13 1945 47 20 Feb-14 1842 50 21 Mar-13 2002 55 33 Mar-14 1910 55 30 Apr-13 1740 42 27 Apr-14 1666 25 13 May-13 1785 36 19 May-14 1722 58 33 Jun-13 1824 36 10 Jun-14 1804 58 23

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Branch Reports Australian Capital Territory Branch

Russell McGowan – President Secretary: David McDonald Treasurer: Cathy Banwell

The ACT Branch has had a quiet year. The Branch committee attempts to meet monthly but has had difficulty reaching a quorum during the autumn and winter months. Cutbacks to Canberra based member organisations following the change of government has restricted the availability of some Branch Committee members, whilst others have relocated interstate and overseas. Branch secretary David McDonald and branch member Liz Hanna became Fellows of the PHAA in September 2013, whilst branch committee member A/Professor Michael Levy was awarded an AM in the 2014 Queen’s Birthday Honours List for significant service to medicine in the field of public health as a clinician, academic and educator.

Partnerships and Advocacy

Branch members continue to engage with NCEPH, the ACT Medicare Local, the Canberra Health Alliance and the University of Canberra Centre for Research and Action in Public Health, in seminars on population health issues of interest to the ACT community. The NSW/ACT Alcohol Policy Alliance which we joined last financial year was launched in the ACT on 1 August 2013 at the Canberra Museum and Gallery. The Branch also contributed to the development of the recently adopted ACT Health Multicultural Co-ordinating Framework during the first few months of 2014.

Public and member events

In February 2014, Branch Committee member Peter Tait organised a screening at ANU of the PHAA sponsored film Human Cost of Power which was produced by the Climate and Health Alliance.

The annual Sax Oration for 2014 is yet to be conducted as there has been difficulty in mobilising members for an event during winter.

Governance

Russell McGowan has continued as branch president in 2013/14, with David McDonald and Cathy Banwell continuing as secretary and treasurer respectively. The position of vice president remains vacant. The Branch AGM is being organised for September in accordance with usual practice.

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New South Wales Branch

Devon Indig – President Vice-President: Jude Page Treasurer: Anthony Santella Secretary: Therese Carroll Student Intern: Jannah Jones

The NSW Branch focused this year on strengthening the public health workforce through provision of two new scholarships (for rural members and general members) for the national conference, developing a student internship, and creating a speed mentoring event.

Member events

The NSW Branch partnered with the Australian Health Promotion Association NSW Branch during Anti- Poverty week for a seminar in October, which was titled ‘Changes that make a difference’ with presentations by Stephanie Harvey and Jacqueline Phillips. In May, we held an event called ‘Speed mentoring: sharing the tools of the trade’ which was included 60 participants, 8 committee members and 6 guest mentors. Discussions included tips on getting the most from public health training, insider knowledge into emerging issues, pathways and leadership in public health and tips to navigate challenges. The evaluation was completed by 22 participants (37% response rate), and had very positive feedback.

Scholarships and Awards We funded four scholarships to attend the PHAA national conference in September, which included 21 applicants among a strong field of nominees. The winner of the 2014 scholarships were: Suzanne Gannon for the Aboriginal and Torres Strait Islander scholarship ; Monica Alcock for the rural scholarship; Serene Yoong for the member scholarship; and Jannah Jones for the student internship. The 2014 NSW Public Health Impact Award for significant achievement in public health which was awarded to Professor Rebecca Ivers for her contribution to injury prevention and management.

Strengthening the public health workforce

We were represented at the University of Sydney Medicine & Health Careers and Research Fair, and we have been regularly approached to provide advice on career opportunities in public health to students and professionals. We also had Christmas drinks to expand networking opportunities among members, set up and started utilising our NSW Branch Facebook page and ensured all our files were available on Dropbox for better committee operations. Thank you to the NSW Branch Executive Committee 2013-2014

The committee includes: Jude Page (Vice President), Therese Carroll (Secretary), Anthony Santella (Treasurer), Rachel Katterl, Claire Phelan, Catriona Bonfiglioli, Toby Dawson, Solange Frost, Rebecca Heron- Dowling and Jannah Jones.

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Northern Territory Branch Rosalie Schultz – President Secretary: Michael Fonda Treasurer: Warwick Beever General Committee members: Liz Moore and Alyson Muecke

Thank you to all NT members who provide both moral and financial support and especially to everyone who has attended meetings. Advocacy has been our key function, urgently needed in NT and our key concerns are alcohol, road safety, the nuclear industry, primary health care and Aboriginal health.

Achievements in past 12 months:

1. A small but committed executive group meets by phone monthly 2. Alcohol: a. Submission to Senate inquiry to alcohol-related harm among indigenous Australians b. Submission to NT inquiry into prevention of FASD, and invitation for to provide further input through attendance at hearing c. Partnership with People's Alcohol Action Coalition 3. Road safety: Speed limit was removed for a 200km section of the Stuart Highway on 1st February 2014. We have expressed our concerns to the Chief Minister, Minister for Transport and national media both before and after this development, particularly the withholding of multiple reports that the government commissioned about this decision. We have also expressed our willingness to be involved in evaluation of this policy at the end of the 12 month trial. 4. Nuclear industry: a. Active involvement in successful campaign to prevent nuclear waste dump development at Muckaty station b. Submission to government Social Impact Assessment concerned about proposed expansion of Ranger Uranium mine, particularly leaks of radioactive material c. Partnership with Australian Nuclear Free Alliance (ANFA), an group of Aboriginal Australians working with environmental organisations to promote a nuclear free future d. Joint Health Sector position statement on nuclear medicine e. Action around legacy uranium mines lobbying both local and NT government for identification and signage 5. Primary health care: a. Partnership with Top End Women's Legal Service and Family Planning and Welfare Association to lobby for law reform for safer policy environment around to termination of pregnancy b. Meetings with parliamentarians to discuss policy reform on termination of pregnancy c. Involvement in development of new NT legislation for health department reform. Since July 2013 all NT government hospitals and primary health care services are under single regional management, creating a risk for primary health care d. Advocacy work to support well-being of asylum seekers currently in detention in Darwin under unacceptable conditions 6. Other issues: submissions to Commonwealth Inquiry into Environmental Protection and Biodiversity Conservation Amendment 2014, and NT Inquiry into Hydraulic Fracturing. 7. Upcoming issue is the proposed NT hosting of 2016 national conference, to be held in Darwin since the 2006 conference was in Alice Springs and location should alternate between these centres.

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Queensland Branch

Dr Sara Gollschewski - President Vice President: Dr Peter Anderson Secretary: Dr Danette Langbecker Treasurer: Tania Patrao Committee members: Shannon Dias, Dr Paul Gardiner, Letitia Del Fabbro, Dr Kyoko Miura, Vidya Gopinath

In 2014, the Queensland Branch (PHAA-Q) Executive Committee redeveloped the Branch Strategic Plan to map to the National PHAA Strategic Plan (Part 1). We continue to focus on engagement and collaborations with Queensland Universities and other health organisations, supporting public health workforce development and growing our communication strategies with our branch membership. The PHAA-Q 2014 AGM was held on the 14th of July and we held our election for branch officers. The new elected positions are President: Paul Gardiner; Vice-President: Peter Anderson; Secretary: Kyoko Miura and Treasurer: Tania Patrao. The elected committee members are Sara Gollschewski, Danette Langbecker, Shannon Dias, Letitia Del Fabbro, Tamzyn Davey, Georgina Dove, Kate Row, Anne Walsh, Bridie Thompson and Vidya Gopinath. The PHAA-Q branch committee would like to thank outgoing Branch President and Secretary, Sara and Danette, for their hard work and dedication to PHAA-Q Branch over the last 4 years.

We were delighted that our nomination for the Sydney Sax Public Health Medallist for 2013 was successful. Professor Caroline de Costa has made a significant contribution to the protection and promotion of public health, primarily through abortion advocacy, law reform, improved abortion services, destigmatisation of societal views of abortion and research into clinical and societal aspects of abortion provision in Australia. PHAA-Q has collaborated with Professor de Costa over many years on this issue in Queensland. PHAA-Q would also like to congratulate our former President Dr Sara Gollschewski who was last year awarded a PHAA Fellowship for her outstanding contribution to PHAA and our new President Dr Paul Gardiner who was awarded Health Promotion Association Special Interest Group Early Career Award in 2013.

In the last year, we have held a series of meetings with the Queensland Branch of the Australian Health Promotion Association (AHPA). Given the changing landscape of public health and health promotion in Queensland, the PHAA-Q Branch has been very keen to explore opportunities for collaboration with other health organisations and associations. The PHAA-Q President and Secretary recently attended the Queensland Branch’s strategic planning day to further discuss potential synergies and collaborations between the two Branches in Queensland. We look to strengthen and grow this relationship in the coming years.

The PHAA-Q President and Secretary have attended a number of planning workshops facilitated by the Queensland University of Technology. These workshops are linking together key health organisations, community groups, health professionals and universities with the aim of building strong collaborations and developing new ways of working together. These discussions have been positive and are ongoing.

In addition, Branch Executives continue to represent PHAA-Q at the Australasian Epidemiological Association dinner and University of Queensland dinner for the Review of the School of Population Health. Branch Executives are continuing to communicate about PHAA activities to universities and have had strong presence at the University of Queensland and Griffith University.

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We have focused on expanding our communication strategies in the last year. In addition to our website (www.phaaqld.org.au), PHAA-Q recently joined Twitter (@PHAAQldbranch), with the aim of raising public awareness of public health issues, disseminating current public health evidence, and promoting professional development and networking activities for those in the field. The Branch has contributed three articles to PHAA’s Intouch newsletter over the last 12 months: 1) The new public health in Queensland: an era of collaboration (April 2013); 2) Sidney Sax Public Health Medallist for 2013 Professor Caroline de Costa (October 2013); and Understanding Workforce and Member Needs to Support Best Practice: The Future of PHAA Queensland (April 2014).

PHAA-Q has continued to award students prizes for outstanding achievement at Brisbane-based universities and is looking to expand this arrangement to other Queensland universities with public health programs. We congratulate Kate Galloway and Christopher Gill from the Queensland University of Technology, Evelyn Clarke and Alisha D’Souza from the University of Queensland and Alisia Jordan from Griffith University on their academic achievements and wish them much success with their future public health careers. In addition, PHAA-Q supported Suzanne Moore, Malcolm Forbes and Annie Preston-Thomas to attend the PHAA 42nd Annual Conference in Melbourne.

PHAA-Q continues to facilitate a number of professional development activities and workshops for the Queensland membership and broader population health workforce. In December 2013 we surveyed our Branch Membership to elicit their ideas about professional development activities. The results of this survey will enable the Branch Committee to continue to deliver relevant professional development to our membership. In July 2013, Professor Philip Baker facilitated a workshop on efficient preparation of systematic reviews and Professor Adele Green, Queensland Australian of the Year for 2013, presented the 2013 Elkington Oration.

South Australian Branch

Rebecca Tooher – President Natasha Howard - Vice-President Emily Bain – Treasurer Isobel Ludford - Secretary

It has been another busy year for the PHAA SA Branch. In light of continuing changes to funding arrangements for health promotion and prevention services both at state and federal level we have continued to partner with like minded organisations to advocate on behalf of our members and more broadly to keep public health and prevention on the agenda as decisions about service cuts and budgets are made. We have also continued to provide career development opportunties for students and early career public health professionals and to support the activities of PHAA special interest groups in SA. Our membership base has fallen slightly this year (as some student members have not converted to full membership) and we will have an increased focus on membership for 2014-15.

I would like to thank the members of the SA Branch Executive their continued commitment to public health in South Australia and the activities of the SA Branch which are detailed below.

Public Events 2013-2014

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• August – our popular Careers in Public Health Workshop was attended by over 60 students and early careers professionals. Michael Moore was the guest speaker. There has been interest from interstate branches in replicating the event. • August – Mentoring program networking event – held prior to the careers event. A Facebook page for the program has also been established. There has also been interest from other states to replicate the program. • October – State Population Health Conference – the SA Branch lead the organisation of the conference, with Executive member Dr Lareen Newman as the Conference Convener. Associate Professor John Moss (University of Adelaide) was our key note speaker and a panel on Child Health led by Professor Colin MacDougall from the Child Health Special Interest Group was held in the afternoon. • April – we helped organise the Injury Prevention SIG workshop held at the University of Adelaide, as part of an Australia wide consultation process. • We have continued to expand our website www.phaasa.com

Public Recognition Prizes

The PHAA recognises public health and primary health care leaders and their contribution to these fields of endeavour, with 3 Awards:

• The Kerry Kirke Student Award - Open to all students of public health in the state, and awarded to recognise the public health benefit of the student’s work, along with its quality, originality, and degree of difficulty. The 2013 recipient was Sabitra Kaphle. • The SA Community Health Association Primary Health Care Practitioner Award for 2013 (jointly awarded with AHPA) went to the Centre for Health Promotion, SA Health. • The Basil Hetzel Leadership in Public Health Award for 2013 was received by Philip Ryan.

Scholarships The PHAA SA branch supports students in several ways, including through provision of several scholarships to attend national PHAA conferences. The 2013 winner of the Indigenous scholarship was Kellie Graves and the Konrad Jamrozik scholarship went to Lori Baugh Littlejohns.

The Public Health Mentoring Program

This program is a way of supporting early career public health researchers/practitioners in public health, and the program was managed for 2013 by Dr Chris Barton and Kate Kameniar in conjunction with AHPA SA. In 2013 there were 31 mentees paired with a mentor from a chosen area of public health. In 2014 PHAA SA Branch is again offering the Mentoring program but without APHA involvement for this year (due to changes in their membership base and committee structure). 11 mentor/mentee pairs have been established.

Networks

PHAA SA continues to maintain ongoing links with other like-minded organisations, including AHPA, AFPHM, AEA, SACOSS, and Environmental Planning Australia.

Advocacy

PHAA SA Branch has continued to engage in a range of advocacy activities including:

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• Participating in the consortium established following the McCann review in 2012 – members include SACOSS, the Australian Nursing and Midwifery Federation (SA), AHPA SA, and the Health Consumers Alliance of SA • Joining the SA Health Alliance which has formed to address changes to public health and prevention funding in the 2014 federal and state budgets • Publishing an article in the Crikey health blog Croakey entitled: Now this is a “Budget emergency”: the decimation of the public health workforce. • Establishment of a prevention taskforce in collaboration with AHPA and SACOSS, in response to the federal budget.

SA Branch Members

We currently have 183 members. In coming year there will be focus on encouraging members to maintain their membership, and to expand the student membership base.

Planning for 2014-2015 There are a range of events coming up in 2014-2015. The annual careers workshop will be held at South Australian Medical Research Institute’s new building on 20 August and we are once again leading the organisation of the State Population Health Conference on 18 October 2014.

Tasmanian Branch

Ingrid Van der Mei (Immediate Past Branch President)

The branch had a stable membership in the last year (~50 members).

The highlight for the branch was that the Tasmanian Reproductive Health (Access to Terminations) Bill passed in November 2013. It officially came into effect on February 12, 2014. It marked a great step forward for Tasmanian women’s reproductive health in Tasmania with abortions now being taken out of the criminal code. It is hoped that this will improve termination services and make them more equitable. For more information, go to http://www.dhhs.tas.gov.au/pophealth/termination_of_pregnancy

Other positive developments that the branch is involved in: • The Health in All Policies Collaboration, of which the branch is a part of, appeared for a Parliamentary Joint Select Committee hearing on 22/10/2013 in relation to Preventive Health Care. No conclusion was reached prior to the change in Tasmanian government. It is hoped this work by will continued by the new government. • The Department of Education is continuing its work in relation to the implementation of the Relationships and Sexuality Education Strategy 2012-2014, by training teachers to provide this education. The fact that it is now also embedded in the Australian Curriculum on health and wellbeing means that this work will be further expanded in the future. It is hoped that this will reduce the high teenage pregnancy rate as well as having wider influences including a reduction of sexually transmitted diseases. • The development of a Masters of Public Health at the University of Tasmania is beneficial for the education of public health in Tasmania. Resources of the individual units will be used for multiple target groups.

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• Two members provided input on physical activity related matters via their role on the board of the Premier’s Physical Activity Council. One of them is also a member of the Active Launceston Steering Committee, a community driven partnership between the University of Tasmania and Launceston City Council. She was also invited as an expert to develop a Key Action Area for an update to the Heart Foundation’s Blueprint for an Active Australia document. • The Food and Nutrition group sent a letter to Baker’s delight in relation to reducing the salt content in their breads. • A Tasmanian Health Conference was held on 19-20 October 2013, involving Tasmanian researchers, clinicians and public health workers. It was highly beneficial for networking. • The Social Determinants of Health Advocacy Network organised a successful forum on 27-28 November 2013, partly a tribute to Prof Gavin Mooney.

Seminars We have run a number of seminars on public health stories that are special for Tasmania. It is important to share these parts of history: • 15/10/2013 “Hydatid eradication in Tasmania – a triumph for public health” presented by Emeritus Professor John Goldsmid and Dr Silvana Bettiol • 15/10/2013 “Tobacco Control in Tasmania - a triumph of reform, with a few hiccups.” presented by Kathryn Barnsley. • 24/6/2014 “Purple Haze: the battle to defeat iodine deficiency disorders” presented by Professor John Burgess

Executive committee Since June 2013: President – Ingrid van der Mei; Treasurer – Dawn Dore; Secretary – Gillian Mangan; Other committee members – Kristy Sanderson, Emily Mauldon, Laura Laslett, Kylie Smith and Kim Jose.

Victorian Branch

Bruce Bolam – President Treasurer: Melissa Graham Secretary: Katherine Middleton

The Victorian Branch has had another productive year in 2013/14, with a committee of energetic and vibrant members. We have continued to focus on engaging our members in seminars and events and building on our links with Universities and other Victorian peak public health bodies. The following key activities were delivered by the Victorian branch:

Mentoring and student engagement In 2014, the Victorian Branch facilitated a student-led video project on ‘Public Health in Action’. Twenty- three students from Melbourne, Deakin, Latrobe and Monash Universities volunteered to be a part of this exciting initiative. The aims of the project were to increase awareness of the breadth of public health roles across Victoria and demonstrate the effects and impacts that these public health roles have on our communities and daily lives, as well as to engage students and future public health professionals with public health and related disciplines through multi-media and social marketing. It also provided an opportunity for students to build professional networks in public health. Students worked in small teams to contact health professionals and then conduct and film an interview. The students will be actively involved in the evaluation process to inform future mentoring projects conducted by the Victorian Branch.

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Strengthening links with other networks and health promoting organisations The Victorian Branch has continued to strengthen shared work with the Victorian Branches of the Australian Health Promotion Association, Australasian Faculty of Public Health Medicine and the Australasian Epidemiological Association. Most of the collaboration this year has focused on joint seminars, in particular the population health careers seminar.

Seminars and communications Six seminars on a range of topical issues are scheduled for the 2014 calendar year. The first event for the year was on gambling and its harms held in conjunction with Responsible Gambling Awareness Week.

We have continued to develop the Victorian Branch web site to facilitate and promote key public health events in Victoria. Our website is now easier to find and appears on the first page of results when using the phrases “PHAA” and “Victoria” in the major Internet search engines. We have been investigating the use of LinkedIn to increase our social media presence and see this as another way to engage our members in their professional context.

Government and advocacy and submissions

In 2013-14, the Victorian Branch made five submissions to the State Government.

The Branch made two separate submissions in response to Plan Melbourne: Melbourne Metropolitan Strategy, welcoming the Strategy as a significant opportunity to build on Melbourne’s planning strengths while also being concerned that the Strategy did not recognise the crucial link between the built environment and its impact on the health and wellbeing of Victorians.

We also made two separate submissions to the Victorian Ministers for Health and Mental Health, supporting new restrictions on smoking in public outdoor areas frequented by underage Victorians but also calling for the Government to ban smoking in outdoor drinking and dining areas.

Together with the Alcohol and Other Drugs Council of Australia, the Victorian Branch made a submission to the Victorian Minister for Mental Health regarding Reducing the alcohol and drug toll: Victoria's plan 2013- 2017, recognising the importance a whole-of-government approach to prevention and early intervention in the alcohol and drug space.

The Victorian Branch was also an active member of the Alcohol Policy Coalition, contributing to the development of the APC’s policy statements and submissions.

Western Australian Branch

Emma Croager – President

Vice President: Laura Depczynski Secretary: Emily O’Connell Treasurer: Poonam Pannu (Convenor PD Committee) Committee members: • Danica Keric (Convenor Advocacy Committee) • Jason Wells (Convenor Awards Committee) • Jillian Abraham (Convenor Newsletter Committee) • Jessamie Godsell • Emma Douglas

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Below is a summary of WA Branch activities for 2013-14. Advocacy

• Updated PHAA WA Branch Advocacy plan, which aims to provide PHAA support to key public health issues (tobacco, alcohol, overweight & obesity) and for PHAA to take a leading role in issues such as prostitution law reform, firearms law reform, gambling, passing of the Public Health Act, fly-in fly- out workforce health issues. • Member of H+M Consortium, which consists of WA health agencies whose representative meet two- monthly to support the H+M editorial team with ideas for health content to cover. H+M was first established in 1999 as a pilot health promotion project and has proven to be a worthwhile and credible source of health information for the WA community. • Provided support for frozen sugary drinks tactical advertisement ‘Don’t be Sucked In’ (by LiveLighter) to be placed in the West Australian newspaper and on bus shelters around Perth. • Submissions and other activities in 2013-14: 1. Received written commitment from the Hon Colin Barnett, Leader of the Liberal Party, and Hon Mark McGowan, WA Labor Party in the lead up to the WA State Election to uphold gaming machine restrictions to the casino in WA. 2. Submission and appearance before Parliamentary Committee for the WA Parliamentary enquiry on the implications for Western Australia for hydraulic fracturing of unconventional gas. 3. Letter of support to City of Perth Mayor Lisa Scaffidi for proposal for smoke free malls, which has been adopted. 4. Letter published in The West Australian and letters of congratulations sent to Perth Glory Owner, Tony Sage, and Manager, Anthony Radich, for their leadership in adopting Healthway’s LiveLighter sponsorship of Perth Glory. 5. TV interview in support of Smoke Free malls in the City, Channel Ten, November 2013. 6. Letter sent to Assistant Minister for Health Senator Fiona Nash calling for reversal of decision to defund the Alcohol and other Drug Council of Australia (ADCA). 7. Letter sent to Minister for Racing and Gaming, Hon Terry Waldron about the independent review of the Liquor Control Act and urging the government to implement key recommendations to protect children and young people from alcohol-related harms early. 8. Co-signed a letter calling for a review of the sponsorship agreement between select local governments, the Bicycle Network and Coca Cola through the Happiness Cycle campaign (coordinated by LiveLighter). 9. Coordinated a letter to McDonalds Australia CEO, in cooperation with seven other health organisations, including the Public Health Advocacy Institute of WA, Environmental Health Australia (WA), Heart Foundation, Australian Health Promotion Association (WA Branch), Telethon Kids Institute, LiveLighter, and Cancer Council WA, in response to a fast food outlet development across from a school. The letter urged McDonalds to pledge not to place outlets within 800m of schools. 10. Prepared an infographic on key issues affecting West Australians as a result of the 2014 Federal Budget and circulated to all members via email and the WA and national In Touch newsletters and encouraged members to take action and ensure their voices are heard.

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11. Currently preparing a submission to the WA Law Reform Commission on the WA Firearms Act Review.

Professional Development Events

• Social media & population health: how to effectively engage the online world, 24 July 2013 – partnership with AHPA • Groundwater Replenishment and Water Recycling, 30 August 2013 – partnership with AHPA and Environmental Health Australia (EHA) • Informed choice: why evidence and preferences are important in health, Professor Alex Barratt, Monday 5 August – partnership with WA Clinical Oncology Group • Student Careers Night, Wednesday 25 September 2013 – partnership with AHPA • Shift work and cancer risk – lessons for the WA workforce, Professor Eva Schernhammer – partnership with Cancer Council WA • The role of leadership and advocacy in public health, Healthway Visiting Fellow, Professor Sir Ian Gilmore, Thursday 7 November, 2013 • WA Population Health Forum, Adapting to change, Professor Martin McKee and Professor Gerard Hastings, 1 May 2014 – partnership with AHPA, EHA and PHAIWA • Introduction to Mindfulness, David Michie and Clare Goodman, Monday 23 June 2014.

2014 Annual PHAA Conference

PHAA WA Branch is hosting the 2014 Annual PHAA Conference – The future of public health, big challenges, big opportunities, Monday 15-Wednesday 17 September 2014. Planning is underway under the direction of the Scientific Advisory Committee, comprising PHAA WA Branch President, Michael Moore (PHAA CEO), Jo Clarkson (Healthway), Mike Daube (PHAIWA), Tarun Weeramanthri (Department of Health) and Emma Croager (PHAA WA Branch President).

Strategic Planning

The PHAA WA Branch held a Strategic Planning Session on Monday 11 November 2013. A Strategic Advisory Committee was formed in the lead up to this session and participated in the planning (Membership and TOR attached).

As a result, the PHAA WA Branch compiled a Strategic Plan to guide the Committee’s work (attached). A number of key priority areas were established as a result. These include:

• Increasing the profile of PHAA in WA • Increase membership and engagement with current members • Get and keep public health on the agenda through advocacy and professional development • Develop capacity of PHAA WA members and WA Branch Committee

Communications

In Touch in WA Newsletter

• 2013 Editions: June, September, December • 2014 Editions: March, July

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• All newsletters are available on the PHAA website: http://phaa.net.au/wa.php • Provided 2 articles for national In Touch newsletter on WA Branch activities

A significant amount of work goes into creating these newsletters and we are grateful to everyone who provides content for these.

Twitter

• Developed Twitter Communication Plan and started @_PHAA_WA Twitter account

Public Health Association of Australia (PHAA) WA Branch provides a forum for exchanging ideas, knowledge and information on public health in Western Australia.

Find out about public health events, activities and news by following us @_PHAA_WA

Membership strategy

Developed and implemented new Membership strategy. This included a competition offering a free membership for the 2014-15 financial year to one new member and one renewing member as well as a student opinion piece competition offering a free student membership. Winners were: • New member winner: Sally Singleton • Renewing member winner: Isle O’Ferrall • Student opinion piece winner: Ashlyn Poole

Congratulations to Sally, Isle and Ashlyn

Awards strategy

Developed and implemented Awards nomination strategy for 2014. Winners for the 2013 Community, Aboriginal Health, Early Career and President’s awards were announced at the 2013 AGM and are: • President’s Award: Professor Tarun Weeramanthri, Executive Director of the Public Health and Clinical Services Division at the WA Department of Health. • Community Awards: Melissa Stoneham, Public Health Advocacy Institute of WA ; Robyn Bowcock, Kimberley Population Health Unit. • Early Career Award: Dr Shaouli Shahid, National Health and Medical Research Council Early Career Research Fellow. • Aboriginal Health Awards: The SHINE Program – Students Hairdressing Incorporating Education – at John Willcock College in Geraldton.

Other activities • Eight Branch Committee meetings • Six National teleconferences • Planning underway for 2014 PHAA National Conference, hosted by the WA Branch • PHAA WA Branch President is member of PHAA Board

Once again we had an enthusiastic PHAA WA committee elected for 2014 and the combination of new and experienced committee members set us up for another productive year. I’d like to thank all members of the WA Branch Committee for their ongoing commitment and hard work.

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Special Interest Group Reports As with previous years, the Special Interest Groups (SIG) have worked hard to maintain and build on PHAA policy, to participate in advocacy work and to assist in building capacity. Many of the SIGs have been active in the preparation of submissions and in engaging with the media. This year the SIGs have again stepped up to the mark to address a range of emerging issues.

Aboriginal & Torres Strait Islander Health Co-Convenors – Vanessa Lee and Jessica Stewart

The SIG’s pre-conference panel held on Sunday 15th September 2013 on the topic National health reform: How are Medicare Locals and Local Hospital Networks addressing Aboriginal and Torres Strait Islander health priorities? with presentations by Debbie Blumel, CEO of NT Medicare Local, Brian Grant, Australian Medicare Local Alliance, Jessica Stewart, National Health Performance Authority. The pre-conference panel resulted in establishing community engagement and beginning conversations with organisations in Alice Springs and Mutujulu. This identified issues that could continue to advocate for.

In 2013 several position statements and policies that were updated, these included: Research involving Aboriginal and Torres Strait Islander communities; Policy-at-a-glance - Incarceration of Aboriginal and Torres Strait Islander people policy; and Policy-at-a-glance - Aboriginal and Torres Strait Islander peoples substance use policy. New position statements that were developed in 2013 included: Recognition of Aboriginal and Torres Strait Islander people in the Constitution and the position statement: Health reform and the Aboriginal Community Controlled Health Sector. With the current Federal budget the SIG has been working with the PHAA as a whole to advocate against several items and will continue to do so.

Alcohol Convenor – Mike Daube

The PHAA has worked closely with the National Alliance for Action (NAAA) on Alcohol, the McCusker Centre for Action on Alcohol and Youth (MCAAY), the Foundation for Alcohol Research and Education (FARE), and other health and research groups.

The PHAA supports a comprehensive approach to prevention, research, treatment and support services to minimise alcohol harms. In pursuit of this approach the PHAA has worked with partner organisations on activities such the Fetal Alcohol Syndrome Conference and has participated in and helped to organise a number of forums and networking actions to change policy in order to draw attention to and reduce the harms associated with alcohol.

Policy goals that are being pursued and have been the subject of many media interviews and meetings with Ministers and other Members of Parliament and other decision-makers include:

Alcohol taxation can increase the price of alcohol with the aim of decreasing the level of alcohol consumption and related problems. This taxation should be maintained as it has proven to be an effective policy intervention. There should be a high priority on implementing volumetric tax approaches.

Alcohol marketing should be regulated by governments, with a special focus on minimising exposure to children and young people. Areas to concentrate on include sporting and music events, television time slots,

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online promotions and lobbying.

Alcohol availability in the form of late trading hours and outlet density can lead to alcohol-related violence and other harms. Governments should place public health and safety ahead of the needs of alcohol retailers in framing licensing legislation and when making determinations on current and future outlet developments. There should be continuing focus on ensuring that children and young people are not able to purchase or be inappropriately provided with alcohol, and that there are constraints on sales of products such as “energy drinks” in association with alcohol.

Adequately funded, sustained alcohol education and awareness programs, independent of the alcohol industry, should be supported as part of a long-term comprehensive approach to reducing harm to the individual and the community. There should also be specific programs for disadvantaged groups.

Evidence and research-based warning labels on alcoholic beverages should be required by governments. There should be a special focus on the risks of consuming alcohol while pregnant, particularly Fetal Alcohol Spectrum Disorder (FASD).

The Alcohol SIG will continue to work with the members of the NAAA and other organisations to reduce the harm associated with alcohol. Child Health Co-Convenors – Colin MacDougall and Elisha Riggs

The objectives of the Child Health Special Interest Group are to:

• provide a focal point for discussion of and action on child health issues; • provide a formal vehicle for networking, advocacy and collaboration in public health nutrition; • promote development of a framework for education and professional development of public health workers interested in child health, and; • ensure that child health is represented in the affairs of the PHAA.

The main activity for the year was to continue engagement with child focussed agencies such as the Australian Research Alliance for Children and Youth (ARACY) and the Paediatrics and Child Health Division of The Royal Australasian College of Physicians. During the development of a Child Healthy Equity Statement we consulted with these organisations and presented a draft for comment at the South Australian State Conference in September 2013. To develop the draft, we worked with the Aboriginal and Torres Strait Islander SIG, whose convenor co-authored the final statement which was published in the ANZ Journal of Public Health (MacDougall, Riggs and Lee 2014). The statement is now the basis for a future Position Statement and overarching policy to guide individual policy work, engagement with other SIGs and child focussed agencies.

As part of our plan to involve other SIGs we worked with the Women’s Health SIG to consider a joint workshop at the 2013 PHAA Conference. This workshop was subsequently postponed until July 2014 and in the meantime the SIG continues to pursue advocacy opportunities on the topic of reducing violence against women and their children.

MacDougall, Colin, Riggs, Elisha & Lee, Vanessa. (2014) "Writing a new story for Australia’s children. " Australian & New Zealand Journal of Public Health. doi: 10.1111/1753-6405.12248 38. 3. 203-4.

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Ecology & Environment

Convenor: Peter Tait

I would like to thank the committee: Michael Bentley, Liz Hanna, Melissa Haswell, Adrian Heard, Terese Lewis, Roseanne Peel, Clive Rosewarne, Rosalie Schultz, Glenda Verrinder and Jo Walker for the support and efforts they have made during the year. Thanks also to the other SIG members who have responded to calls for help during the year. I am really encouraged by the help of these members who have drafted and reviewed policies during the past few months.

The inaugural Tony McMichael Public Health Ecology and Environment Award was presented to David Shearman at the 2013 conference dinner in Melbourne in recognition of the extraordinary effort he has contributed to raising the profile the environment for health over decades..

Since the federal election, activity has been reactive as this government has tried to dismantle environmental safeguards and increase fossil fuel use. The main foci of activity the Defending Safe Climate campaign. Nine submissions and letters have been sent to inquiries and parliamentarians. On fossil fuel we have continued with the Energy Choices and Health campaign with the Climate and Health Alliance; submitted to the Energy White Paper, Renewable Energy Target, and the NT Hydraulic Fracturing Inquires; and active in the Protect Sydney’s Water Alliance (presentations and submissions) to avert CSG developments and further long wall coal mining in the catchments. In the NT we helped achieve a win with the Northern Land Council withdrawing its nomination of Muckaty Station and the Federal government agreeing that a radioactive waste dump will not go ahead on the site.

The SIG continued to represent PHAA on several external committees including enHealth, National Industrial Chemicals Notification and Assessment Scheme (NICNAS), Standing Committee on Chemicals Stakeholder Forum, and the Australian Nuclear Free Alliance.

Evidence, Research and Policy in Complementary Medicine

Convenor: Jon Adams

The ERPCM SIG has continued to grow and advance public health scholarship and research both nationally and internationally over the last 12 months (2013-2014).

In November 2013, Professor Jon Adams (SIG National Convenor) was invited to present the Mary Cooley Special Lecture at the American Public Health Association 141st Annual Meeting held in Boston, US. In his talk Professor Adams discussed key aspects of the broad research program undertaken by members of the PHAA ERPCM SIG and outlined some of the areas where further public health investigation relating to complementary medicine practice and use are required. The APHA Primary Interest Group in Traditional, Complementary and Integrative Medicine kindly hosted Prof Adams and meetings helped to further strengthen the collaborative ties between the two Public Health Association’s Interest Groups. Prof Adams received the ‘Recognition of Global Vision in Integrative and Complementary Health’ Special Award from the APHA for his presentation.

In May 2014 the PHAA ERPCM SIG was invited to visit Executive Board Members of the Chinese Preventive Medical Association (CPMA) in Beijing to discuss collaborative opportunities around the topic of traditional

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and complementary health care. The PHAA ERPCM SIG and the CPMA are currently in ongoing discussions exploring a number of workshop, research project and capacity building collaborations.

The ERPCM is also developing close ties with the Public Health Association of South Africa (PHASA) who also have a keen interest and focus upon traditional and complementary medicine research. Professor Gail Hughes, PHASA Executive Board Member and Director, South African Herbal Science and Medicine Institute (SAHSMI), University of Cape Town has recently been awarded a Visiting Fellowship (from the South African Government) to fund a visit in July 2014 to collaborate and explore further research opportunities with the PHAA ERPCM SIG. Prof Hughes has recently been confirmed an Honorary appointment as Visiting Professor at the Australian Research Centre in Complementary and Integrative Medicine (ARCCIM), Faculty of Health, University of Technology Sydney. The PHASA has also invited the National Convenor of the ERPCM to deliver a Plenary at the PHASA Annual Conference in September 2014.

Senior members of the ERPCM SIG are facilitating a Pre-Congress Workshop at the WFPHA 14th World Congress on Public Health to be held in Kolkata in February 2014. The interactive workshop will enable participants to explore a number of key public health issues relating to traditional and complementary medicine around the world. The workshop is currently recruiting participants - all with an interest in the public health of traditional and complementary medicine are encouraged to enrol for this half day workshop. Food & Nutrition

SIG Co-Convenors – Helen Vidgen and Simone Braithwaite

It has been a busy year for FANSIG. In December, together with the Dietitians Association of Australia and Australian Red Cross, we launched a joint organizational policy on Food Security for Aboriginal and Torres Strait Islander Peoples at Parliament House in Canberra. This policy later formed the basis of these three organizations’ submission on the Performance Audit of Food Security in Remote Indigenous Communities. Special thanks to committee members Maree Ferguson and Christina Pollard for their work on this. This year we reviewed our policies on Health Claims (thanks to Mark Lawrence and Julie Woods), and Food and Nutrition Monitoring and Surveillance (thanks to Elizabeth Good and Judy Seal). PHAA also contributed to the Australian Bureau of Statistics reporting of the nutrition component of the Australian Health Survey. We are also progressing work with the Environment SIG on a suite of policies relating to food, climate change and the environment. In terms of media, FANSIG contributed to press releases on: • The Health Star Rating System • Abandoning of the AMAIF council • The health costs of obesity • Proposed expansion of GST on foods

In May, we held a satellite event to the national Dietitians Association of Australia conference in Brisbane. The Navigating Through Nutrition Policy in Australia one day seminar was jointly supported by PHAA, QUT School of Exercise and Nutrition Sciences, Heart Foundation, NAQ, and DAA. We attracted a wonderful group of speakers and around 100 enthusiastic and passionate participants. All presentations are available on the PHAA website. Organisations are now looking towards joint activity to support the development of a revised Australian food and nutrition policy.

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Health Promotion

Convenor – Carmel Williams

Co-Convenors Justine Leavy and Emma Croager stepped aside from their positions in February 2014, and the new Convenor Carmel Williams was nominated and elected and has taken over the role.

Committees

A small and flexible National Committee has been established, which has provided timely and strategic advice on a range of health promotion matter. Members have been generous with their time playing active roles in a variety of sub-committees, including the Travel Scholarship, Health Promotion Awards, and the SIG Pre-conference Workshop.

Current members of the National Health Promotion SIG Committee are: Richard Franklin, Rebecca Armstrong, Joanne Walker, Debra Hector, Candice Kielly-Carroll, Vincy Li, Shanti Thuraisingam and Luke Wolfenden. The Minute Secretary is Debra Hector and Vincy Li has been supporting the SIG Convenor through coordination of teleconference, emails and other activities. A number of other SIG members have expressed interest in supporting the work of the Health Promotion SIG, but due to other commitments have not been able to participate.

Policies

Three policies were presented to the Health Promotion SIG for review. These included the Physical Activity Policy, HIV/AIDS Policy, and Hepatitis C Prevention and Control Policy. As the new National Blood Borne Virus and Sexually Transmitted Infections and New Hepatitis C Strategies were due to be released at the International AIDS Conference in July this year, it was decided to defer the updating of the HIV/AIDS Policy and the Hepatitis C Prevention and Control Policy until next year. The Physical Activity Policy was updated to align with the new national guidelines. The SIG Committee would like to thank those involved in providing advice on the status of the three policies, particularly Emma Croager who led the revision of the Physical Activity Policy.

Travel Scholarships to the PHAA Conference

This year, all PHAA members were invited to apply for the Health Promotion SIG Travel Scholarship and eight applications were received. The selection criteria were broader than last year’s, for example, applicants were not required to be members of the Health Promotion SIG as long as they were prepared to do so should their application be successful. The applications received were impressive and therefore the National SIG Committee decided to offer a third travel scholarship.

Health Promotion SIG Awards

Invitations have been circulated to Health Promotion SIG Members asking them to nominate health promotion SIG members who they consider to have made outstanding contributions to the field of health promotion. There are two award categories: the Individual Award for members who have worked in health promotion for ten or more years, and the Early Career Award. The awards will be presented to successful applicants at the National PHAA conference in September 2014.

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Health Promotion Pre-Conference SIG workshop

The Pre-conference Workshop, titled ‘Health in All Policies: How to influence public policy-makers’ will be jointly convened by PHAA Health Promotion SIG and the International Union for Health Promotion and Education. It will be facilitated by Carmel Williams and Louise Signal. This practical one-day workshop will focus on improving health and wellbeing through inter-sectoral public policy making. The workshop will be based on the World Health Organisation and South Australia’s Health in All Policies 2011 Summer School that was led by Ilona Kickbusch and adapted in February 2014 for a New Zealand public health audience by Associate Professor Louise Signal and Carmel Williams. Louise is Regional Director of the International Union for Health Promotion and Education

Immunisation Co-Convenors –Angela Newbound and Michelle Wills

“Australia declared measles-free by World Health Organisation”.

On 1st April 2014, the PHAA released a Media statement advising the Australian community that Australia is among the first countries in the World Health Organization’s (WHO) Western Pacific Region to be declared measles-free. WHO defines that measles elimination can be verified when there is “documentation that shows interruption of endemic measles virus transmission for a period of at least 36 months” in the presence of a well-performing surveillance system and supportive genotyping evidence. Congratulations must go out to all immunisation providers and vaccine recipients as this achievement has occurred because of high immunisation rates.

However, now is not the time to become complacent as Australia has experienced a high number of measles cases in the past few years with the majority of these being in communities with low immunisation rates. With approximately 76,000 Australian children not fully immunised and approximately 36,000 children registered as conscientious objectors to immunisation, immunisation providers must look at effective methods of engaging parents in conversation about immunisation. The Australian Immunisation Handbook, 10th Edition 2013 recommends providers consider HALO (Health, Age, Lifestyle and Occupation) with every client and ensure every consult is an opportunity to consider immunisation requirements.

The PHAA 14th National Immunisation Conference was held in Melbourne from 17-19 June. Once again the conference didn’t disappoint. Congratulations go to Michael Moore, his wonderful team and to all who contributed to the organisation and smooth running of the conference. The presentations by invited speakers were interesting, relevant and of high quality, while the poster presentations and concurrent session presentations showcased a vast array of innovative projects and resources that have been developed by a range of immunisation providers around Australia. “Immunisation providers and immunised people need to be loud and proud” stated one speaker. Is this what is missing from our system? Many vaccine preventable diseases are now out of sight, out of mind and as a consequence of this, people are not thinking about vaccination. To ensure immunisation rates remain stable (or improve), providers need to develop strategies to keep the immunisation conversation going because as another speaker at the conference stated: “diseases such as measles will infiltrate any deficit in your health system”. So the challenge for 2014 – 2015 is to encourage service providers to engage with the community, promote immunisation at every opportunity, follow the HALO principle and ‘be loud and proud’!

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The Honourable Peter Dutton, MP Federal Minister for Health addressed the audience at the Immunisation Conference through a video message and confirmed ongoing commitment to the Immunisation Program as did the Hon. David Davis, MLC, Minister of Health, Victoria. Whilst those involved in Public Health and Immunisation programs are grateful for the pledged ongoing government support for the Program, the impending closure of the Medicare Local network by 30th June 2015 is concerning. Childhood immunisation rates increased substantially with the introduction of the Divisions of General Practice in 1998 and have remained above 90% during the short time Medicare Locals have operated. Both of these organisations have provided quality and timely support to immunisation providers. A small number of “Primary Health Network” (PHN) organisations will be implemented around Australia on 1st July 2015 but at this time, information about the function of the PHN’s is limited and there is no clear reassurance that Immunisation Program Support will be appropriate and adequate. The Immunisation SIG will endeavour to seek clarification and commitment from government to the ongoing provision of provider support within the PHNs.

Injury Prevention Co-Convenors – Richard Franklin and Patsy Bourke

The last 12 months have been a whirlwind of activity for the Injury Prevention SIG with workshops being run across the country exploring the Future of Injury Prevention in Australia, as well as the updating of the smoke alarms policy. The workshops have been undertaken, not as a program of work to replace the existing plans, but to provide a framework for the development of future activities in injury prevention. The need for this activity has become critical as the National Injury Prevention Plan 2004-2014 comes to the end of its life at the end of 2014, and while the ‘National Falls Prevention for Older People Plan: 2004 Onwards’ and ‘The National Aboriginal Torres Strait Islander Safety Promotion Strategy’ have an ongoing life span there appears to be a decreasing investment at National and State levels into these national priority areas.

It should be noted that this activity has been undertaken with a range of partner organisations and a group of enthusiastic and willing volunteers, who have provided input, participated in, written & reviewed material, helped to organise and generally been very supportive of the process. In particular the Australian Injury Prevention Network (AIPN), the peak national body advocating for injury prevention and safety promotion in Australia has been a partner with us throughout the process.

The first of these workshops was held prior to the National PHAA Conference in Melbourne in September 2013, this workshop explored what were the big challenges for injury prevention and also the process for developing a new plan/strategy, we then held another workshop in Perth in conjunction with the Injury Prevention Conference exploring what can be undertaken at a national level to support local action. The Perth workshop also brought in Injury Control Council of Western Australia (ICCWA) and the Safe Communities Foundation as partners and we saw a large turnout of people interested injury prevention. In 2014 we held workshops in Brisbane exploring translating evidence to action, Adelaide where we explored what an’ injury prevention in all’ policy might look like and Sydney where we explored what an Injury Prevention Council of Australia might look like, who should be involved and what would they do.

Each of these workshops was well attended given the limited budget and often tight timeframes to try and organise them to coincide with other ongoing activities. Again we wish to thank the Queensland Injury Prevention Network, the South Australian Branch of the PHAA and Neuroscience Research Australia for their support and providing logistics to help with the organisation of the workshops.

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So what does all this activity mean and where to from here? The future as we all know is hard to predict, however with the current disinvestment in prevention both at National and State levels we will mean it is an ongoing challenge to find resources for programs and activities, however this should not be seen as all doom and gloom as it was exciting to see the level of interest and commitment from a small and committed workforce. As was pointed out time and time again, injury prevention has been very successful in achieving a reduction in injuries in a wide range of areas from road safety to drowning. The next stage for us is to try and bring together all those organisational players who have an interest in injury prevention to advocate, work together, and ensure we continue to reduce the burden of injury.

For the IP SIG we need to work with the other SIGs to ensure injury is imbedded into their work, we will continue to take a lead on the development of this collaborative group and we will continue to ensure that there are policies for addressing injury challenges, as well is trying to promote the importance of undertaking injury prevention.

I would also like to thank the AIPN for their partnership in the workshops we have undertaken, a big thank you to Patsy Bourke and Lara Harvey for their involvement in the workshops, without them we would not have achieved as much as we have and also a big thank the PHAA staff who have been very supportive in helping ensure the workshops run as smoothly as possible.

On a final note, I would like to quickly say that injury is not unencumbered from a range of other public health issues, the smoke alarms policy is a good example of this, drawing to our attention how we handle and dispose of radioactive material (a component of some smoke alarms). Smoke alarms save lives and we would not like to see that in our pursuit of saving lives from fires we are causing harm in another area, nor do we wish to see smoke alarms stopped being used because of disposal concerns. The good news here is that there is an alternative technology, photoelectric smoke alarms which are better at detecting fire in the earliest, smouldering stage can be used in place of ionising alarms. A continuing challenge however is to ensure people replace batteries and alarms which have reached the end of their life.

The injury prevention SIG achieves what it does because of its members and I would like to thank all those who have at some stage or stages as the case may be, participated in the work of the SIG. We are richer for having worked together. The next 12 months will see the SIG continue to renew policies, continue our work on the Future of Injury Prevention and continue to advocate for support for the prevention of injuries.

International Health Convenor - Jaya Earnest Committee Members: Dr Ian Howard, Prof Maxine Whittaker, Dr Kris Hort & Dr Mridula Bandhopadhyay The International Health Special Interest Group has been involved in a number of advocacy, conference and student support activities since August 2013. This short summary details the activities: September 2013: Attendance at the PHAA Board Members and SIG conveners’ face to face meeting Dr Jaya Earnest – the SIG convenor attended the face to face meeting of the PHAA Board and other SIG conveners at the PHAA conference in September 2013 for planning and deliberations for 2014.

Abstract reviewing Members of the International Health SIG committee continue to volunteer in reviewing abstracts for various conferences: • Dr Earnest reviewed abstracts for the Trans Refugee Health conference held in November 2013.

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• Dr Earnest and other committee members reviewed abstracts for the PHAA annual conference to be held in September 2014 in the area of International, Refugee and Migrant Health. • Abstracts were also reviewed for the Sexual and Reproductive Health Conference to be held in November 2014.

Policy update 2 policies have been updated this year with comment from members who volunteered. The International Health SIG will also support the Women’s Health SIG in developing an FGM policy for 2016 • The Landmine and Unexploded Ordinance Policy was reviewed and updated in May 2014 • The Biological and Toxin Weapons and Small Pox Policy was also reviewed and updated in • The International Health SIG will support Women’s Health SIG in developing a position statement in female genital mutilation in 2015.

Advocacy The International Health SIG has supported the following advocacy activities during the year: 1) Reviewed and provided feedback to the ACT Branch on a submission on the draft ACT Health Multicultural Co-ordinating Framework. In January 2014 2) Commented on the National Complex Needs Alliance draft Position Statement and draft Terms of Reference 3) Supported a media release in March 2014 on ‘Inadequate health services for asylum seekers could cost lives’

The In touch Newsletter The International Health SIG contributed to several issues of Intouch in 2013-2014 • In October 2013 – Prof Maxine Whittaker discussed efforts at Malaria elimination in the Asia Pacific • In February 2014 – Ass/Prof Jaya Earnest shared glimpses from her East Africa trip • In August 2014 – Dr Brahm Marjadi discussed ‘the devils’ in the ethics of conducting cross cultural research.

In 2014, the International Health SIG AGM will be held during the PHAA conference, the SIG hopes to appoint a co-convenor, and have new committee members in each state and engage with the International SIG membership more. The International Health SIG membership as at 1 July 2014 stands at 350 members

Justice Health Co Convenors: Stuart Kinner & Tony Butler

Key activities for the Justice Health SIG in 2012-13 included a project investigating the basis for prisoners' exclusion from Medicare and the PBS, assisting the Australian Institute of Health and Welfare with on-going development of a National Prisoner Health Data Collection, and planning for a justice health satellite event at the PHAA National Social Inclusion and Complex Needs Conference in 2015.

At a Justice Health SIG event in 2012 the Australian Medical Association released a Position Statement, echoing calls from the PHAA, to end prisoners' exclusion from Medicare and the PBS. However, the legislative basis for this exclusion is not well understood, and as such it is unclear how reform could be achieved. During 2012-13 the Justice Health SIG supported a law graduate from the University of Melbourne

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to explore the legislative basis for prisoners' exclusion from Medicare and the PBS, and to make informed recommendations about avenues for reform. As part of this process, the convenors also consulted with John Deeble, often described as one of the 'architects of Medicare'. This work is on-going and the findings will be released by peer-reviewed publication, and at the PHAA Social Inclusion conference in 2015.

Both Tony Butler and Stuart Kinner continued to serve on the National Prisoner Health Information Committee, providing expert advice on the on-going evolution of Australia's National Prisoner Health Data Collection. This world-first data collection has so far resulted in three AIHW-branded reports on the health of Australia's prisoners, plus a number of targeted bulletins. An emerging focus in this work is the structure and effectiveness of correctional health services; this health services theme will be a focus of the Justice Health satellite event at the 2015 Social Inclusion conference in Canberra.

Mental Health Co-Convenors – Kristy Sanderson and Michael Smith Committee members: Fiona Cocker, Sarah Dwyer, Seona Powell, Robin Tapp, Harris Eyre & Melissa Raven.

Diego Rodriguez (Queensland Alliance for Mental health) recently stepped down from the committee, and the SIG would like to acknowledge and thank Diego for his contributions throughout the year. The Mental health SIG would also like to thank Steve Druitt for his contribution and support throughout the year.

Policies • Position statements for ‘Work and health’ and ‘Mental health and Insurance’ were submitted and are being accepted as policies. Position statements • Despite some delays work to continue on position statement on mental health promotion and prevention. • Positions statements on Nutrition and mental health and Physical health and mental health are in draft form and ready to be distributed to the MH SIG membership and other SIGs for comment. Submissions • Advocacy and submission with International health SIG and Children’s Health SIG regarding the mental health and physical health of Asylum Seekers in offshore detention that resulted in the PHAA co-hosting the Global health Asylum Seeker Forum in May 2014 with the University of NSW.

Raising awareness of MH SIG • Advocating for and successful in getting a mental health stream for the PHAA annual conference • Ongoing newsletters to the MH SIG membership • Promotion of MH SIG at Mental Health Conferences by committee members.

Communication with members • Regular email newsletters have commenced to keep SIG members informed of key events and opportunities for consultation, including the development of the National Framework for Recovery Oriented Mental Health Service Provision, and the National Report Card on Mental Health and Suicide Prevention.

Consultation

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• Representation at the Intentional Self-harm and Suicidal Behaviour in Children- Aboriginal and Torres Strait Islander Roundtable June 25 2014 • Attendance at the Complex needs alliance meetings with the PHAA head office at Parliament House Canberra June 27 2014.

Other work • Review of abstracts for the National PHAA Conference • Article in PHAA intouch magazine

Goals • Continue to build the profile of the MH SIG within the PHAA • Build membership and improve membership participation • Improve mental health outcomes in Australia

One Health Co- Convenors: Moira McKinnon and Simon Reid

• The One Health SIG group has been meeting on a two monthly basis, has a membership of approximately fifty, with eight new memberships this financial year. • The convenor Simon Reid attended and provided feedback on the International One Health conference in Davos • The OH SIG group has emphasised a move to wider remit in One Health beyond emergent infectious disease and this is reflected in rewriting of the One Health web page. • Outcomes from the One Health Workshop in October 2013 have been distributed and conversation initiated on how to progress two main priorities that of developing post graduate curriculum and a research platform for One Health. • The SIG is planning a workshop in regard to One Health and Food Safety.

Oral Health Convenor: Bruce Simmons

Our oral health care system remains highly inequitable. In spite of growing individual and government expenditure on oral health care, wide gaps remain in both access to dental care and in oral health outcomes across the Australian population that demand fundamental reforms to how oral health is promoted and the ways in which dental care is perceived, funded and delivered.

Media Releases:

20 May 2014 - Joint Media Release: Guarantees sought for public dentistry patients 6 March 2014 Renewed calls to cut sugar intake - obesity and oral health risks 7 March 2014 Joint Media Release - Improved dental care must remain a top priority 21 February 2014 - Saying 'no' to sugary drinks - a big 'yes' for children's health 20 Napier Close Deakin ACT Australia, 2600 – PO Box 319 Curtin ACT Australia 2605 T (02) 6285 2373 F (02) 6282 5438 E [email protected] W www.phaa.net.au 65 PHAA ANNUAL REPORT 2013 – 2014

13 August 2013 - Joint Media Release: Dental care - a priority issue for many Australians

OHSIG Membership: As at 24th July 2014, there were 75 members.

OHSIG Financial Statement: As at 30th June 2014, balance of $3,188.65. Majority of this amount will be used to meet the 2014 Colgate Population Oral Health Essay Competition costs, which is funded through Colgate-Palmolive’s generous annual donation of $2000.00

Summary of OHSIG Activity

It has been another active year for our SIG. As the media releases indicate, we have continued to support PHAA advocacy for oral health on a number of fronts, including fluoridation policy and the Commonwealth government’s very disappointing $630m budget cuts to new programs. Other OHSIG activities have included:

• The PHAA has maintained a National Oral Health Alliance (NOHA) with four other national organisations (Australian Hospitals and Healthcare Association (AHHA), ACOSS, National Rural Health Alliance (NRHA) and the Australian Health Care Reform Alliance (AHCRA) to lobby the Commonwealth government and other key players on oral health issues. There is the potential for the professional dental associations (DHAA, ADOHTA and ADA) to join NOHA where there is consensus with NOHA’s five partners. The OHSIG has been a key player in building NOHA and keeping it active.

• The PHAA’s Oral Health Policy has been updated for 2014 PHAA Annual Conference endorsement.

• At the 2013 Conference, Australia’s recently retired but former leading public dental services CEO, Dr Martin Dooland, gave a Public Oral Health Dinner Oration. The OHSIG plans to continue this celebration of achievement whenever it can.

• Thanks to Rebecca Heron-Dowling and our new Student Rep, Jessica Zachar, who have again organised a nation-wide PHAA OHSIG and Colgate-Palmolive Essay Competition on Public Oral Health open to all students.

• Bruce has continued to represent the PHAA on the international Oral Health Working Group of the World Federation of Public Health Associations.

Committee:

Russell McGowan (ACT) Ms Chris Morris (SA) Assoc Professor Leonie Short (QLD) Ms Jessica Zachar (Student Rep) Prof Linda Slack-Smith (WA) Ms Jenny McKibben (TAS) Dr Bruce Simmons (NT) Dr Paul Greham (TAS) Dr Jamie Robertson (VIC) Ms Rebecca Heron-Dowling (Treasurer) Ms Natalie Savin (VIC) Dr John Rogers (Secretary) Prof Clive Wright (NSW)

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Political Economy of Health Convenor – Deborah Gleeson

PHAA’s Political Economy of Health (PEH) SIG provides a space for public health people in Australia to assemble the evidence, share in the analysis and mobilise and advocate for health policies which are informed by a robust analysis of the global, political economic context. Our main activities over the last year have been our annual workshop and continued advocacy focused on the Trans Pacific Partnership Agreement.

The PEH SIG committee during 2013-14 included Deborah Gleeson (Convenor), David Legge (Deputy Convenor), Sharon Friel (ACT Representative), Tracy Schrader (QLD Representative), Paul Laris (SA

Representative), Patricia Morton (NSW Representative) and Liz Moore (NT Representative).

Annual workshop 2013

In September 2013 we held a very successful two-day workshop in Melbourne prior to the PHAA conference. On Day 1 we trialled an intensive short course on the political economy of health which is being designed as an online course for the International People’s Health University. David Legge presented four topics central to the political economy of health: The global economy; Neoliberalism; The finance sector, tax justice, debt crisis and austerity; and Political theory and activist strategy. Day 2 involved participants presenting draft submissions for the special issue of the Journal of Australian Political Economy (JAPE) on the Political Economy of Health. Approximately 25 people attended.

Advocacy

PEH SIG’s advocacy has continued to focus on the Trans Pacific Partnership during 2013-14. This has included several letters to ministers in the incoming government, press releases and press conferences.

PHAA, with input from PEH SIG, has led a health impact assessment (HIA) of the TPPA based on leaked negotiating texts, which involves a large advocacy group of health organisations and a technical group of academics. The HIA is now nearing completion.

Joint activities with the People’s Health Movement

PEH SIG continues to work closely with PHM Oz. In June 2014 we held the joint webinar: Abbott Attack on Medicare: What is to be done? in which Tim Woodruff and Peter Sainsbury provided a robust critique of the current government’s policies.

The recording of the webinar is here

Primary Health Care Co-Convenors – Rachel Tham and Joanne Walker

Committee: Jacqui Allen (Vic), Paul Tuvey (Vic), Veronica Perera-Muscat (Vic), Emily Mauldon (Tas) Gwyn Jolley (SA), Andrew Waters (WA), Joanne Sahdeo (WA), Hope Alexander (WA) , David Lim (QLD ), Shalomie Kiruba Shadrach(QLD), Teresa Lewis (QLD), Russell McGowan (ACT), Rosalie Schultz (NT), Jo Walker (NSW).

Action Areas 2013/2014

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1. To update and review two PHCSIG policies (the Primary health care policy and the Gambling and health policy) and use these policies as a framework for the PHCCSIG to actively work with internal and external stakeholders around these PHC issues;

2. Continue to promote whole of system approach (to de-silo) while focusing on person-centered care; the needs of marginalized groups (i.e. a focus on social inclusion); and the use of population health evidence to inform PHC policy; and

3. For the PHC SIG to be responsive to changing political and social priorities to develop timely and supportive policy responses.

Outcomes 2013-2014

The financial year started with a pre National PHAA Conference workshop that focussed on promoting social inclusion as a core component of primary health care. The workshop was a collaboration with the Health Promotion SIG and was held at Deakin University, Melbourne, on Sunday 15 September. It was well attended with (42 participants) and the evaluation of this event indicated high levels of satisfaction with regard to meeting learning objectives and connecting with other people in PHC sectors.

In the first half of 2014 the PHC SIG provided a response to the Medicare Locals Review, had an article published in Croakey in response to the proposed $7 GP co-payment and had began working with the Australian Medicare Local Alliance and the National Rural Health Alliance as part of meeting our goal of being responsive to emerging political and social priorities in the PHC sector.

Two PHCSIG policies were up for review this year (the Primary health care policy and the Gambling and health policy). These policies have been the main focus of work for the PHC SIG and required active involvement of SIG members, collaboration with Health Promotion SIG and Mental Health Sig and external stakeholders to update the policies; ensure they reflected the current evidence base and Australian health context and provided a platform to formulate and implement joint advocacy work around these two policy topic areas in the future. In March 2014 a gambling and health forum was convened at Deakin University. A wide range of gambling and health experts participated in the forum and provided invaluable assistance in refining the gambling and health policy.

Jo Walker has continued to represent the PHAA on the Australian Health Care Reform Alliance (AHCRA) Executive Committee for whom PHC plays a significant role. During the 2013 Federal Election campaign, AHCRA was quoted in the media in relation to health consumers’ out-of-pocket expenses and the current and future roles of Medicare Locals. Jo also represented PHC issues as part of the AHCRA delegation on several visits to meet with and discuss health reform issues with politicians at parliament house throughout 2013/2014.

The PHC SIG Convenors have continued with the welcome letters to all new members and regularly tweeting through @phcsig. The biannual newsletter continues to receive positive feedback and thanks go to the newsletter working group: Joanne Sahdeo, David Lim, Shalomie Kiruba Shadrach, Jo Walker Rachel Tham, Jacqui Allen and all those who contributed articles throughout the year. We believe the newsletter is a testament to the diversity and commitment of Australian Primary Health Care consumers, service providers and academics.

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Women's Health Co-Convenors –Catherine Mackenzie and Louise Johnson

Following the success of the First National Sexual and Reproductive Health conference held in 2012, the PHAA won funding for a second conference which will be held 18-19 November 2014. Leading international and national keynote speakers will present on topics including preventing and reducing unintended and unwanted pregnancies, and current issues in fertility and infertility. More than 100 abstracts have been accepted for concurrent oral presentation sessions and around 30 posters.

The First National Sexual and Reproductive Health Conference led to the development of the document Advancing sexual and reproductive wellbeing in Australia: the Melbourne proclamation which can be accessed from the PHAA website. The Second conference aims to build on the Melbourne proclamation by bringing further attention to the importance of sexual and reproductive health, particularly of people from disadvantaged or marginalised communities

The WHSIG reviewed four policies to be adopted at National Conference 2014, including the Abortion, Gender and Health, Lesbian and Bisexual Women’s Health policies. The Emergency Contraception Policy was also due for revision in 2014 and this policy has been changed to include all forms of contraception and renamed the Contraception Policy. The WHSIG endorsed Sexual Health & Family Planning Australia’s position paper on Long Acting Reversible Contraception Methods in late 2013 and has included these forms of contraception in the new, revised version for adoption at National Conference.

The WHSIG has also revised the Breastfeeding Background Paper this year. In addition, the WHSIG is currently drafting a position paper on mammography screening and is planning to introduce a new policy on Female Genital Mutilation and Cutting in 2015, following the endorsement of the Multicultural Women’s Health position statement on this issue.

The WHSIG has engaged in a range of advocacy work in the first half of 2014, including re-sending a submission to Senator Madigan’s Health Insurance Amendment (Medicare Funding for Certain Types of Abortion) Bill 2013 when it appeared on the Notice Paper. The PHAA WHSIG has also been represented at Equality Rights Alliance meetings regarding sexual and reproductive health policy.

The CH and WH SIGs met in Melbourne in July this year to develop a policy on the effects of domestic and family violence on women’s and children’s health, using an equity and rights framework. The policy will initially be written as a position paper and submitted for endorsement at the 2015 National Conference.

The convenors wish to thank the WH SIG Committee for their ongoing support.

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Public Health Education and Research Trust Report from the Trustees of the Public Health Education and Research Trust

Chair: Peter Trebilco

The trustees used teleconferencing to meet last year, and had to discuss two requests for funding, outside the remit of the Trust agreement. For this reason, despite their merits and worth, both had to be rejected.

The other significant issue, as the Profit and Loss accounts show, is that the Trust is still very short of assets. The Board, SIG representatives and the trustees all agree that the PHAA must have a substantial fund to cushion it against possible financial claims in the future. No organisation that relies so much on external, governmental funding is ever safe from necessary reductions.

The trustees are in the process of seeking professional fund raising advice, and intend to launch a major appeal. This is not to denigrate the very kind and substantial donations that have been received over the years, nor the intention of so many me members to include a bequest in their will. But the monies are needed now, rather than in a hopefully far distance.

Public Health Research Advisory Group Chair: Professor Fran Baum

The Public Health Association of Australia’s (PHAA) Public Health Research Advisory Group (PHRAG) aims to promote and advocate for public health research and development so that members, stakeholders and the Australian community will benefit from a sound, strategic and shared research base in public health.

PHRAG’s activities include to:

• Identify, promote and advocate opportunities for training and continuing professional development in public health research for PHAA members • Contribute to informed public and professional debate about public health research • Encourage the monitoring of public health research funding in Australia and contribute to efforts to increase funding in absolute terms • Encourage more effective links between public health policy, research and practice • Encourage PHAA representation on research and other relevant groups and working parties of the NHMRC and advocate for increased representation • Liaise with the Population Health Division of the Commonwealth Department of Health, other government health bureaucracies and non-government organisations with an involvement or stake in public health research and development • Maintain a 'watching brief' on national level medical and public health research developments • Advocate for increased representation and offer support to public health representatives • Encourage best practice in research through recognised awards, including liaison with and enhancement of PHERT, dissemination through the Journal and other strategies

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Actions in 2013-14

The main activities of PHRAG during 2013-14 were:

• Preparing and submitting a letter from PHAA/PHRAG to the Minister for Health advocating Commonwealth support for public health research • Co-authoring an editorial published in the December 2013 edition of the Australian and New Zealand Journal of Public Health focused on issues relating to National Health and Medical Research Council funding for public health research • Providing advice on a public campaign and on-line petition led by the chair of PHRAG and supported by PHAA opposing the Australian government’s budget measure for the introduction of a new co-payment for visits to a GP and other primary care providers, and the proposed use of the income from that measure create a fund for medical research.

Correspondence from PHAA/PHRAG to the Commonwealth Minister for Health

In the lead up to the 2014 Federal Budget PHRAG took the initiative to write to the Federal Minster for Health, the Hon. Peter Dutton to raise concerns about the current national funding environment for public health research in Australia. The letter was sent in April, co-signed by PHAA CEO, Michael Moore and PHRAG Chair, Prof Fran Baum, and called on the Federal government, ‘to ensure ongoing and apt support for public health research, with priority given to research in: social determinants of health (SDH), evaluation of public health interventions, Indigenous health, and translation of public health evidence into policy.’ A reply was received from the Minister in late May.

Editorial published in the December 2013 edition of the Australian and New Zealand Journal of Public Health

In late 2013 the PHRAG Chair and other members co-authored an article titled Funding the “H” in NHMRC, together with Dprof Dennis Trewin of the Academy of Social Sciences in Australia, which was published as an editorial by the ANZJPH*. The article pointed out that the National Health and Medical Research Council (NHMRC) continues to direct an excessively large proportion of funds toward biomedical research and called for increased funding for public health research, including research on social determinants on health; where the emphasis is on understanding how to promote good health and prevent disease.

The article referred in particular to outcomes of a Roundtable on Research on the Social Determinants of Health in Australia arranged by PHRAG and held in Canberra in September 2012 under the auspices of the Academy of the Social Sciences in Australia (ASSA) and PHAA. A copy of the Roundtable report is available at here. The editorial was co-authored by Dennis Trewin, representing ASSA. The roundtable was reported in the PHRAG report for 2012-13.

The article also referred to the 2013 Australian Senate Standing Committee on Community Affairs report on Australia's domestic response to the World Health Organization's (WHO) Commission on Social Determinants of Health report "Closing the gap within a generation", which recommended that the NHMRC ‘give greater emphasis in its grant allocation priorities to research on public health and social determinants research.’

(*Baum, F., Fisher, M., Trewin, D., Duvnjak, A. & members of the Public Health Research Advisory Group of the Public Health Association of Australia (2013) Funding the “H” in NHMRC. (Editorial) Australian and New Zealand Journal of Public Health, 37(6):

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503-505. Available at: http://onlinelibrary.wiley.com/doi/10.1111/1753-6405.12165/full)

Public campaign and on-line petition on the new ‘GP Tax’

Following the Federal budget in May, Prof Baum and colleagues at the Southgate Institute decided to launch a campaign to engage health and medical researchers – and others – to oppose the proposed new ‘co- payment’ or tax for use of GP services, and use of that revenue to create a medical research fund. PHRAG members provided advice on development of the campaign and support for its dissemination. PHAA has given the campaign full support and disseminated through all its networks. The following text was used to on the campaign Facebook page:

NO GP tax in our name!

Great societies improve health and wellbeing through health and medical research. Public funds should provide most of the funding raised through universal, fair and progressive taxation. This shares the load according to capacity to pay.

The idea of taxing people who go to the GP and then holding them to ransom by saying the GP tax will be used to fund medical research is unethical. Our society is diminished when an unfair burden falls on patients to fund research.

Seven dollars for each visit to a GP will create a hole in many people’s budgets. Imagine a pensioner with a chronic disease such as diabetes, heart disease or dementia. They will make frequent visits to the GP and require medicines. Now they are to be told they need to pay because otherwise medical research won’t be funded.

In Fiona Stanley’s words, the co-payments “will affect those who are the sickest, most marginalised, the poorest”.

This research should be funded through our normal taxation system. We all want to see more health and medical research, but the government has many other funding and taxing options.

Surely a country like Australia, with low debt levels and low taxes by OECD standards, can afford to fund vital research by involving everybody, according to their capacity to pay, working together for a fairer and healthier society.

Why should we educate GPs for all these years to turn them in to tax collectors? Why not let them get on with the job of managing and preventing disease in the community, working with people who most need their services and who should not be denied access to the care they need?

Medical and public health researchers who work day in and day out to cure disease and keep us healthy should not be used as an excuse to undermine Medicare and penalise the poor. And researchers should not have to face the prospect that their funding may come at the cost of reducing services to those who need them most.

20 Napier Close Deakin ACT Australia, 2600 – PO Box 319 Curtin ACT Australia 2605 T (02) 6285 2373 F (02) 6282 5438 E [email protected] W www.phaa.net.au 72 PHAA ANNUAL REPORT 2013 – 2014

We need research targeted to promoting health and reducing the burden of disease. Not a hastily thought out scheme that sees money diverted from the health system, and effectively penalise those who are sick and disadvantaged. A compassionate country, caring for all, can and should be better than this.

No GP tax in our name!

The campaign change.org petition has gathered over 2,000 signatures.

I would like to thank all members of PHRAG for their contribution and Dr. Matt Fisher for acting as an honorary Executive Officer for PHRAG.

Membership of PHRAG 2013-14:

1. Prof Fran Baum (Chair) 8. Prof John Lowe 2. Prof Ross Bailie 9. Dr. John Marrone 3. Prof Annette Dobson 10. Prof Sally Redman 4. Dr. Matt Fisher 11. Dr. Vanessa Rose 5. Prof Sharon Friel 12. Assoc Prof Peter Sainsbury 6. Dr. Fahad Hanna 13. Dr. Jonathan Wardle 7. Ms Vanessa Lee 14. Michael Moore (ex officio)

20 Napier Close Deakin ACT Australia, 2600 – PO Box 319 Curtin ACT Australia 2605 T (02) 6285 2373 F (02) 6282 5438 E [email protected] W www.phaa.net.au 73 PHAA ANNUAL REPORT 2013 – 2014

PHAA Financial Statements

20 Napier Close Deakin ACT Australia, 2600 – PO Box 319 Curtin ACT Australia 2605 T (02) 6285 2373 F (02) 6282 5438 E [email protected] W www.phaa.net.au 74 PHAA ANNUAL REPORT 2013 – 2014

20 Napier Close Deakin ACT Australia, 2600 – PO Box 319 Curtin ACT Australia 2605 T (02) 6285 2373 F (02) 6282 5438 E [email protected] W www.phaa.net.au 75 PHAA ANNUAL REPORT 2013 – 2014

20 Napier Close Deakin ACT Australia, 2600 – PO Box 319 Curtin ACT Australia 2605 T (02) 6285 2373 F (02) 6282 5438 E [email protected] W www.phaa.net.au 76 PHAA ANNUAL REPORT 2013 – 2014

20 Napier Close Deakin ACT Australia, 2600 – PO Box 319 Curtin ACT Australia 2605 T (02) 6285 2373 F (02) 6282 5438 E [email protected] W www.phaa.net.au 77 PHAA ANNUAL REPORT 2013 – 2014

20 Napier Close Deakin ACT Australia, 2600 – PO Box 319 Curtin ACT Australia 2605 T (02) 6285 2373 F (02) 6282 5438 E [email protected] W www.phaa.net.au 78 PHAA ANNUAL REPORT 2013 – 2014

20 Napier Close Deakin ACT Australia, 2600 – PO Box 319 Curtin ACT Australia 2605 T (02) 6285 2373 F (02) 6282 5438 E [email protected] W www.phaa.net.au 79 PHAA ANNUAL REPORT 2013 – 2014

20 Napier Close Deakin ACT Australia, 2600 – PO Box 319 Curtin ACT Australia 2605 T (02) 6285 2373 F (02) 6282 5438 E [email protected] W www.phaa.net.au 80 PHAA ANNUAL REPORT 2013 – 2014

20 Napier Close Deakin ACT Australia, 2600 – PO Box 319 Curtin ACT Australia 2605 T (02) 6285 2373 F (02) 6282 5438 E [email protected] W www.phaa.net.au 81 PHAA ANNUAL REPORT 2013 – 2014

20 Napier Close Deakin ACT Australia, 2600 – PO Box 319 Curtin ACT Australia 2605 T (02) 6285 2373 F (02) 6282 5438 E [email protected] W www.phaa.net.au 82 PHAA ANNUAL REPORT 2013 – 2014

20 Napier Close Deakin ACT Australia, 2600 – PO Box 319 Curtin ACT Australia 2605 T (02) 6285 2373 F (02) 6282 5438 E [email protected] W www.phaa.net.au 83 PHAA ANNUAL REPORT 2013 – 2014

20 Napier Close Deakin ACT Australia, 2600 – PO Box 319 Curtin ACT Australia 2605 T (02) 6285 2373 F (02) 6282 5438 E [email protected] W www.phaa.net.au 84 PHAA ANNUAL REPORT 2013 – 2014

20 Napier Close Deakin ACT Australia, 2600 – PO Box 319 Curtin ACT Australia 2605 T (02) 6285 2373 F (02) 6282 5438 E [email protected] W www.phaa.net.au 85 PHAA ANNUAL REPORT 2013 – 2014

20 Napier Close Deakin ACT Australia, 2600 – PO Box 319 Curtin ACT Australia 2605 T (02) 6285 2373 F (02) 6282 5438 E [email protected] W www.phaa.net.au 86 PHAA ANNUAL REPORT 2013 – 2014

20 Napier Close Deakin ACT Australia, 2600 – PO Box 319 Curtin ACT Australia 2605 T (02) 6285 2373 F (02) 6282 5438 E [email protected] W www.phaa.net.au 87 PHAA ANNUAL REPORT 2013 – 2014

20 Napier Close Deakin ACT Australia, 2600 – PO Box 319 Curtin ACT Australia 2605 T (02) 6285 2373 F (02) 6282 5438 E [email protected] W www.phaa.net.au 88 PHAA ANNUAL REPORT 2013 – 2014

20 Napier Close Deakin ACT Australia, 2600 – PO Box 319 Curtin ACT Australia 2605 T (02) 6285 2373 F (02) 6282 5438 E [email protected] W www.phaa.net.au 89 PHAA ANNUAL REPORT 2013 – 2014

20 Napier Close Deakin ACT Australia, 2600 – PO Box 319 Curtin ACT Australia 2605 T (02) 6285 2373 F (02) 6282 5438 E [email protected] W www.phaa.net.au 90 PHAA ANNUAL REPORT 2013 – 2014

20 Napier Close Deakin ACT Australia, 2600 – PO Box 319 Curtin ACT Australia 2605 T (02) 6285 2373 F (02) 6282 5438 E [email protected] W www.phaa.net.au 91 PHAA ANNUAL REPORT 2013 – 2014

20 Napier Close Deakin ACT Australia, 2600 – PO Box 319 Curtin ACT Australia 2605 T (02) 6285 2373 F (02) 6282 5438 E [email protected] W www.phaa.net.au 92 PHAA ANNUAL REPORT 2013 – 2014

Public Health Education and Research Trust Financial Statements

20 Napier Close Deakin ACT Australia, 2600 – PO Box 319 Curtin ACT Australia 2605 T (02) 6285 2373 F (02) 6282 5438 E [email protected] W www.phaa.net.au 93 PHAA ANNUAL REPORT 2013 – 2014

20 Napier Close Deakin ACT Australia, 2600 – PO Box 319 Curtin ACT Australia 2605 T (02) 6285 2373 F (02) 6282 5438 E [email protected] W www.phaa.net.au 94 PHAA ANNUAL REPORT 2013 – 2014

20 Napier Close Deakin ACT Australia, 2600 – PO Box 319 Curtin ACT Australia 2605 T (02) 6285 2373 F (02) 6282 5438 E [email protected] W www.phaa.net.au 95 PHAA ANNUAL REPORT 2013 – 2014

20 Napier Close Deakin ACT Australia, 2600 – PO Box 319 Curtin ACT Australia 2605 T (02) 6285 2373 F (02) 6282 5438 E [email protected] W www.phaa.net.au 96 PHAA ANNUAL REPORT 2013 – 2014

20 Napier Close Deakin ACT Australia, 2600 – PO Box 319 Curtin ACT Australia 2605 T (02) 6285 2373 F (02) 6282 5438 E [email protected] W www.phaa.net.au 97 PHAA ANNUAL REPORT 2013 – 2014

20 Napier Close Deakin ACT Australia, 2600 – PO Box 319 Curtin ACT Australia 2605 T (02) 6285 2373 F (02) 6282 5438 E [email protected] W www.phaa.net.au 98 PHAA ANNUAL REPORT 2013 – 2014

20 Napier Close Deakin ACT Australia, 2600 – PO Box 319 Curtin ACT Australia 2605 T (02) 6285 2373 F (02) 6282 5438 E [email protected] W www.phaa.net.au 99 PHAA ANNUAL REPORT 2013 – 2014

20 Napier Close Deakin ACT Australia, 2600 – PO Box 319 Curtin ACT Australia 2605 T (02) 6285 2373 F (02) 6282 5438 E [email protected] W www.phaa.net.au 100