Category: Health

  • MIL-OSI New Zealand: Health – New factsheet a reminder that healthier environments reduce cancer

    Source: Alcohol Healthwatch

    Newly released factsheet titled Ka Hua Mai Te Mate Pukupuku I Te Inu Waipiro – Alcohol Causes Cancer by the Royal Society Te Apārangi is a reminder that, like tobacco and asbestos, alcohol causes cancer.
    Although the link between alcohol and cancer has been known for over 100 years and 4 in 5 New Zealanders drink alcohol, only 1 in 5 of us are aware that alcohol can cause cancer.
    The factsheet also talks about how our environment can be improved to reduce alcohol-related cancers. This includes increasing the price of alcohol, reducing the availability of alcohol, and restricting its marketing.
    “Drinking patterns are highly influenced by our environment,” says Alcohol Healthwatch Health Promotion Advisor Sarah Sneyd. “Alcohol is freely available on street corners and through a click of a button on your phone, it’s cheaper today than it ever has been before, and there is so much advertising that we even see alcohol billboards outside primary schools. There is enormous pressure to drink, and unfortunately every drink increases the risk of seven different types of cancer.”
    Sneyd welcomes the report with hopes that it helps raise awareness of the links between alcohol and cancer, and how we can reduce the cancer burden.
    “With increased environmental protections in our communities, not only will alcohol-related cancers decrease, we will also see fewer drink-driving accidents, less family violence, fewer children maltreated, and less violent crime. Everything we care about will start to improve.”

    MIL OSI New Zealand News

  • MIL-OSI New Zealand: Public health service’s food truck tantrum is ridiculous

    Source: ACT Party

    The following is a statement from Southland-based MP and ACT Health spokesperson Todd Stephenson:

    I love food trucks. They bring life, commerce, and tasty treats to our towns.

    But in Invercargill, joyless food fascists are trying to crack down.

    The city council asked for feedback from locals on food truck locations. Instead, they got a scolding from the National Public Health Service.

    These taxpayer-funded busybodies complained that Invercargill’s food trucks serve meals that ‘tend to be processed, high in fat, and in some cases sugar’.

    Heaven forbid someone burning calories on a worksite might want to buy a bacon buttie or a donut.

    The bureaucrats told the council it should use licencing fees to push food trucks into offering healthy food options. That’s just ridiculous. The council needs to maintain pipes and roads, not hire compliance officers sticking their beaks into food truck menus.

    The health service goes on to whinge that food trucks ‘operate in locations where there are few or no other food options’.

    In other words, if it weren’t for food trucks, some parts of town would have no food options at all. So why would we impose new rules that make it harder to open a food truck?

    The NPHS needs to butt out. No-one is forced to buy nachos or a curry.

    The good news is Invercargill City Council told the NPHS where to stick it, saying that so long as the food is safe, health concerns won’t be considered.

    Meanwhile, with the Government looking to find savings, a new target may have presented itself.

    MIL OSI New Zealand News

  • MIL-OSI USA: Tax Relief for the Heartland: Wagner Joins Ways & Means Tax Team Event in St. Louis

    Source: United States House of Representatives – Congresswoman Ann Wagner (R-MO-02)

    Washington, D.C. – Representative Ann Wagner (R-MO) joined Ways and Means Committee Chairman Jason Smith (MO-08) and Ways and Means Representative Darin LaHood (IL-16) in hosting a roundtable discussion at Centene in St. Louis, Missouri, to hear from local business leaders and workers urging Congress to take action to prevent the looming $7 trillion tax hike proposed by the Biden-Harris Administration.

    “I joined my Missouri colleague Congressman Jason Smith, Chair of the Ways and Means Committee, for a roundtable in St. Louis with local business leaders. We had an extremely productive conversation about the upcoming expiration of the Tax Cuts and Jobs Act and how much our local businesses, employees, and economy here in St. Louis will be harmed if taxes are hiked,” said Rep. Wagner. “If the Trump tax cuts expire, the average taxpayer in Missouri’s 2nd District would have their taxes raised by 20%, a nearly unmanageable cost, especially in the wake of Joe Biden and Kamala’s Harris’ rampant inflation.”

    “It is abundantly clear that the tax hikes proposed by the Biden-Harris Administration would be devastating for the workers and job creators of the heartland and communities across this country,” said Chairman Smith. “The Ways and Means Committee has held 120 Tax Team events in 20 states across the country, and the message is clear. Workers’ wages are still lagging behind inflation and small businesses are struggling to grow. If we want to repair the economic damage of the last four years, Congress must build on the success of the Trump Tax Cuts and deliver pro-growth policies that allow families to thrive, businesses to expand, and workers to earn a living.”

    “It was a pleasure to join Ways and Means Chairman Jason Smith in St. Louis to hear from Midwest businesses about the success of the Trump Tax Cuts, bringing business back to United States, incentivizing growth, and strengthening our workforce. The Trump Tax Cuts created the best economy of my lifetime for small businesses and workers of all backgrounds, and we can’t allow that progress to be undone,” said Rep. LaHood. “Under Chairman Smith’s leadership, Ways and Means Republicans have hit the ground running through our Tax Teams to ensure that we strengthen the Trump Tax Cuts, and that House Republicans are prepared for the ‘Super Bowl of Tax’ on day one of 119th Congress. As the Chair of the American Workforce Tax Team, I’ll continue to work with Chairman Smith and our Ways and Means colleagues to advance pro-growth tax policies that allow our communities in Illinois and across the country to thrive.”

    Over the past several months, Ways and Means Committee Republicans have been traveling to communities throughout the country to listen to workers and small business owners on how best to extend key provisions of the 2017 Trump Tax Cuts before their expiration next year. The St. Louis roundtable marks the second tax team event Chairman Smith has personally hosted in Missouri to bring attention to the economic challenges facing the Show Me State.

    During the event, attendees stressed the need for Congress to extend the Section 199A small business deduction, a provision in the 2017 Trump Tax Cuts that allows small businesses to compete fairly with larger corporations and helps them expand, hire new employees, grow wages, and reinvest in their communities. Participants noted that the Biden-Harris plan to see this provision expire would increase the tax rate paid by small businesses to over 43 percent – nearly 20 percentage points higher than what businesses pay in Communist China.

    Roundtable attendees included:

    • Centene
    • Evernorth Health Services
    • Wideman Pools
    • Speed Fabrication LLC
    • Reinsurance Group of America (RGA)
    • Ameren
    • Hunter Engineering
    • Bunge
    • Sitelines
    • Emerson

    To learn more about the work of the Ways and Means Committee Tax Teams, click here.

    MIL OSI USA News

  • MIL-OSI USA: Governor Katie Hobbs Announces Jerry McPherson as New Executive Director of the Commission of African American Affairs

    Source: US State of Arizona

    Phoenix, AZ – Today, Governor Katie Hobbs announced that Jerry McPherson, longtime Phoenix community leader, will serve as the new Executive Director of the Commission of African American Affairs. The Commission plays an important role in serving the vibrant African American community in Arizona, including supporting economic advancement, promoting equality and justice, and providing educational tools and resources needed to thrive.

    “I am thrilled to have Jerry McPherson as The Commission’s new Executive Director,” said Governor Katie Hobbs. “He has a strong track record of leadership in both the public and private sectors and has spent his career finding new and innovative ways to empower his community. I know Jerry’s breadth of experience and determination will unlock a bright future for The Commission and I look forward to seeing what they will accomplish together.”

    “I am deeply honored and grateful to Governor Hobbs and our Commissioners for entrusting me with this critical responsibility,” said Jerry McPherson. “Our mission—to unite African American leaders and communities in the pursuit of opportunity and equity—has never been more urgent. I look forward to collaborating with our elected and appointed officials to transform our aspirations into lasting change. Through our pillars of Economic Development, Justice, Health, and Education, we can ensure that African-Americans throughout the state can embrace a future filled with promise and opportunity.”

    Jerry McPherson is a U.S. Army Veteran and graduate of the Flinn-Brown Fellowship. He has served in advisory roles for the cities of Phoenix and Tempe, and has experience leading some of Arizona’s most pivotal economic and community organizations including the Greater Phoenix Urban League and Valley of the Sun United Way. Jerry most recently served as a Commissioner on the Commission of African American Affairs and was Managing Director at Per Scholas Phoenix.

    MIL OSI USA News

  • MIL-OSI USA: Kidney transplantation between donors and recipients with HIV is safe

    Source: US Department of Health and Human Services – 2

    Media Advisory

    Wednesday, October 16, 2024

    NIH-funded study provides evidence on transplantation practice currently limited to research settings.

    Kidney transplantation from deceased donors with HIV (HIV D+) to recipients with HIV (HIV R+) was safe and comparable to kidney transplantation from donors without HIV (HIV D-) in a multicenter observational study in the United States. The clinical outcomes observed were consistent with smaller pilot studies, but this National Institutes of Health (NIH)-funded clinical trial was the first statistically powered to demonstrate noninferiority, which means that an approach being studied is as good as standard clinical practice. The results were published today in the New England Journal of Medicine.

    Kidney transplants offer a survival benefit to people with HIV and end-stage kidney disease, but an organ shortage limits access. In addition, people with HIV face a higher risk of death while on the organ waitlist and have lower access to transplants than people without HIV. To help address these disparities, the HIV Organ Policy Equity Act (HOPE) was implemented in 2015 and legalized transplants between donors and recipients with HIV. Currently, the HOPE Act limits this practice to research settings to carefully evaluate outcomes. These include post-transplant survival, post-transplant kidney function (also known as graft survival), and kidney rejection. Research studies also assess unique potential risks of this practice, such as acquiring a second, genetically distinct HIV strain from the donor that could affect the recipient’s HIV disease.

    The present study enrolled 198 adults with HIV and end-stage kidney disease who received kidney transplants at 26 centers, comparing the outcomes of 99 study participants who had donors with HIV versus 99 whose donors did not have HIV. Transplants were completed between April 2018 and September 2021 and recipients were monitored subsequently for about three years.

    The outcomes for overall survival, graft survival, and rejection events were similar between the two groups. After one year post-transplant, recipient survival was 94% in HIV D+/R+ and 95% in HIV D-/R+. At three years, recipient survival rates were 85% in HIV D+/R+ and 87% in HIV D-/R+. After one year post-transplant, graft survival was 93% in HIV D+/R+ and 90% HIV D-/R+. At three years post-transplant, graft survival rates were 84% in HIV D+/R+ and 80% in HIV D-/R+. Finally, at one year post-transplant, rejection incidence was 13% in HIV D+/R+ and 21% HIV D-/R+ and at three years, 13% in HIV D+/R+ versus 21% in HIV D-/R+. Rates of serious adverse events, surgical site infections, surgical/vascular complications, and cancer were also comparable between the two groups. One case of a recipient who may have acquired a second genetically distinct HIV strain from their donor was observed, but there were no notable clinical consequences.

    Overall, the findings show kidney transplantation between donors and recipients with HIV was safe and noninferior to transplantation from donors without HIV. According to the authors, these findings offer evidence to support the expansion of the practice outside of research settings.

    The study was led by the Johns Hopkins University School of Medicine, Baltimore, and funded by NIH’s National Institute of Allergy and Infectious Diseases (NIAID).

    For more information about this trial, please visit ClinicalTrials.gov using the study identifier NCT03500315.

    ARTICLE:
    Durand et al. Safety of Kidney Transplantation from Donors with HIV under the HOPE Act. NEJM. DOI: 10.1056/NEJMoa2403733 (2024).

    WHO:
    Andrew Redd, Ph.D., International Virology Unit, Head, Laboratory of Immunoregulation, National Institute of Allergy and Infectious Diseases.

    NIAID conducts and supports research—at NIH, throughout the United States, and worldwide—to study the causes of infectious and immune-mediated diseases, and to develop better means of preventing, diagnosing and treating these illnesses. News releases, fact sheets and other NIAID-related materials are available on the NIAID website.

    About the National Institutes of Health (NIH): NIH, the nation’s medical research agency, includes 27 Institutes and Centers and is a component of the U.S. Department of Health and Human Services. NIH is the primary federal agency conducting and supporting basic, clinical, and translational medical research, and is investigating the causes, treatments, and cures for both common and rare diseases. For more information about NIH and its programs, visit http://www.nih.gov.

    NIH…Turning Discovery Into Health®

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    MIL OSI USA News

  • MIL-OSI New Zealand: Health Professionals Caution Minister – Doctors, nurses, practice owners and their professional bodies all urge the Minister to pause over physician associates

    Source: Association of Salaried Medical Specialists

    Doctors, nurses, practice owners and colleges have joined to express their strong reservations to the Government over plans to sanction and regulate the employment of physician associates in the New Zealand health system.
    Health unions ASMS, NZRDA, NZNO and APEX, along with the Royal New Zealand College of General Practitioners and College of Nurses of Aotearoa New Zealand, and the General Practice Owners Association Aotearoa GENPRO have written to the Minister of Health Dr Shane Reti before he brings any formal proposal on physician associates to Cabinet.
    “There is no task that a physician associate would potentially perform, that is not already being undertaken by a currently regulated health worker who is already trained and employed here in Aotearoa,” says ASMS Executive Director Sarah Dalton.
    “Right now it appears the Government is not providing the funding to employ enough doctors and nurses. The last thing we should do is spend time and money setting up a new system of vocational registration for a whole new profession when the Government isn’t currently spending enough to fund the existing workforces.”
    “All the signatories to this letter support growing the health workforce and want to ensure primary and secondary health care is staffed to safe levels, more people can train as healthcare professionals, and more patients get timely and equitable access to healthcare. It just makes sense to do that through existing occupations rather than inventing new ones.”

    MIL OSI New Zealand News

  • MIL-OSI USA: Guarding the Grid: Wyoming Army Guard Undergoes Critical Cybersecurity Evaluation

    Source: US State of Wyoming

    CHEYENNE, Wyo. – In today’s environment, cyber threats are more pervasive than ever. Transnational criminal groups and nation-states engage in daily cyber attacks, targeting critical infrastructure.

    The U.S. Army National Guard Cyber Hygiene Assistance Team helps protect our grid. They conducted an assistance mission from Aug. 19 to 23, 2024, to assist the Wyoming Army National Guard with preparations for the U.S. Army Cyber Command Cyber Operational Readiness Assessment to evaluate their cybersecurity posture.

    The assessment is part of ongoing efforts to ensure the highest level of security across the Department of Defense Information Network.

    “Every computer and networking device connected to the network is an avenue nefarious actors can use to access our network,” said Lt. Col. Stephen Fish, the Army Guard CHAT team lead. “Ensuring these devices are secure is not just about protecting data but safeguarding our entire national defense infrastructure.”

    The CORA inspection is a comprehensive process that scrutinizes both the technological infrastructure and the operational practices related to cybersecurity. This two-week inspection assesses an organization’s overall risk to the DOD Information Network, with risk levels ranging from very low to very high. Organizations with high or very high risk may face severe consequences, such as being quarantined or disconnected from the network.

    “CORA isn’t just a check on the technology in use,” Fish explained. “It’s an all-encompassing inspection that looks at the security-minded culture of users, leadership engagement in cyber and personal security, policies, procedures, and how information is secured on classified and unclassified networks. This holistic approach reduces overall risk to our national security.”

    The Army Guard’s preparation for CORA begins six months before the inspection, with weekly meetings and in-depth evaluations of various cybersecurity areas. The CHAT conducts a one-week on-site mission three months before the inspection, collaborating directly with personnel and administrators to access and enhance their cybersecurity posture. After this mission, preliminary results are presented to state senior leadership, providing a clear picture of their security status and allowing them to make informed decisions on necessary actions.

    “The CHAT program has been instrumental in increasing cybersecurity across the Army Guard,” Fish said. “When I started in 2019, the Army Guard had a pass rate of around 50% in the predecessor to CORA, the Command Cyber Readiness Inspection. Thanks to the efforts of the CHAT program, this pass rate has soared to over 90%, a testament to the effectiveness of our approach.”

    Fish shares the secret to his team’s success.

    “We don’t just come to do an assessment, leave a location with a list of things to fix and wish them luck,” he said. “We start working with locations months in advance, build relationships and stick with them all the way through the end of their inspection.”

    Additionally, the team includes highly talented Soldiers from multiple states, according to Fish. “Active duty and reserves do not have the capability or flexibility in force structure to establish the same type of program, which is why we are so successful.”

    In response to these escalating cyber threats, the Army Guard has implemented proactive measures to strengthen its defenses. However, Lejeune emphasized that every user plays a role in safeguarding the network.

    “The Army National Guard deploys a sophisticated and effective cyber defense infrastructure to protect against these threats,” said Lt. Col. Robert Lejeune, Wyoming Army Guard deputy chief of staff information management. “However, technology alone is not the answer—people are the solution. Our G6 [Department of Information Management] has a very talented group of individuals who fight this fight every day, but everyone who uses the network is needed to defend it.”

    Lejeune provides five essential tips for regular users to enhance cybersecurity efforts:

    Don’t leave your Common Access Card in your computer, and avoid using your phone number as your PIN: With the rise of identity theft and the ease of accessing personal information, securing your access credentials is crucial.

    Avoid using wireless keyboards and mice: The frequencies used by these devices are not secure and can be intercepted. Wired versions offer a more secure alternative.

    Protect personally identifiable information and adhere to Health Insurance Portability and Accountability Act requirements: Preventing identity theft is essential for maintaining individual readiness.

    Follow controlled unclassified information, operational, informational and physical security measures: Protecting sensitive and classified information is vital to national security.

    Educate and protect yourself: Start with the personal measures outlined in the annual Cyber Awareness Challenge. These steps will protect you and safeguard your loved ones.

    “The collective effort of every individual using the network is crucial to defending it against potential threats,” Lejeune said. “By adhering to these tips, users can significantly bolster the cybersecurity efforts of DOIM, ensuring a more secure environment for all.”

    MIL OSI USA News

  • MIL-OSI USA: Public Health Order on firearms expires – Key components of order will remain under MOU’s

    Source: US State of New Mexico

    SANTA FE – A public health order that imposed temporary firearm restrictions, enhanced drug monitoring, and other public safety measures in response to gun violence and substance misuse expired on Saturday and will not be renewed, Gov. Michelle Lujan Grisham announced Wednesday.

    “The public health order, though temporary, allowed us to implement urgent and necessary measures that have had a measurable, positive effect on public safety in our state,” Lujan Grisham said. “I have decided to allow the public health order to expire, but our fight to protect New Mexico communities from the dangers posed by guns and illegal drugs will continue.”

    Lujan Grisham first issued the public health order in September 2023 after the tragic shooting death of an 11-year-old boy in Albuquerque. Emphasizing the urgent need to address gun violence in the state, the governor’s temporary restrictions banned firearms in public parks and playgrounds in Bernalillo County, strengthened oversight of firearm sales and implemented wastewater testing for fentanyl in public schools.

    The Public Health Order also led to the establishment of memorandums of understanding between the state of New Mexico and the Bernalillo County Sheriff’s Office, Albuquerque Police Department and the 2nd Judicial District to share public safety data and ensure transparency and accountability.

    In the year since the governor’s public health order went into effect, significant strides were made in reducing gun violence in New Mexico. Key accomplishments include:

    • More than 1,700 firearms collected through gun buy-back events.
    • A doubling of arrests in Albuquerque including 36% related to violent and/or gun-related crimes.
    • Increased public awareness about the serious issue of juveniles being detained for gun possession.
    • Fewer gunfire incidents in Albuquerque, as reported by the city’s gunshot detection system.
    • In the last year, 52,743 free gun locks have been distributed by the New Mexico Department of Health.
    • The New Mexico Department of Health has distributed 31,806 doses of naloxone to reverse opioid overdoses, with 3,653 overdose reversals reported in the last year.
    • An interactive dashboard developed by the New Mexico Environment Department that shows drug testing of wastewater from public schools across the state, helping school officials and communities understand drug trends in their areas.
    • Increased inmate population at the Bernalillo County Metropolitan Detention Center.
    • A coalescing of state and local agencies, including New Mexico State Police, Albuquerque Police, Bernalillo County Sheriff, and others, to develop a coordinated response to tackle gun violence.

    “Our work is not done,” said Lujan Grisham. “We need the legislature to pass stronger public safety laws, increase penalties for violent offenders, and ensure that those suffering from substance misuse have access to treatment. This is no time to slow down—we must accelerate our efforts to protect our families. The legislature must also prioritize budget requests from our law enforcement agencies, who need more resources to continue their fight against crime.”

    MIL OSI USA News

  • MIL-OSI Canada: Continuing care: Ministers LaGrange and Nixon

    Source: Government of Canada regional news

    “We are committed to ensuring Alberta has a continuing care system that provides Albertans with the health care, personal care services and accommodations they need to support their independence and quality of life.“Establishing a new provincial health agency dedicated to continuing care gives us the opportunity to broaden our efforts to care for all Albertans who need daily supports and services in continuing care homes, supportive living or through home and community care.“Minister of Seniors, Community and Social Services Jason Nixon will become the sector minister for the new continuing care provincial health agency.  “As the oversight minister, and the minister responsible for the health care system in Alberta, I will ensure Alberta Health works alongside the Ministry of Seniors, Community and Social Services as we continue to deliver these critical services and build towards the standing up of the new continuing care agency. Alberta Health will continue to assist in determining how services will be delivered in the future.”

    Adriana LaGrange, Minister of Health

    “As the new sector minister for continuing care, I am committed to ensuring seniors, people with disabilities, people facing homelessness and other vulnerable Albertans are supported with comprehensive, wraparound services that meet both their medical and non-medical needs.“This change will not interrupt service delivery or impact funding in any way.“We will be looking to ensure all aspects of continuing care – including home care and community care – can be expanded in innovative ways to support people as their situations and needs evolve.“We will be looking to make the system easier to access. A new, unified approach will include a new, user-friendly online platform to connect partners and Albertans to continuing care supports and enable people to request the services they need directly.“And we won’t be doing this in isolation – we are establishing a transitional committee that will help guide the transformation, and we will be consulting with key organizations, operators and experts.”With the experience of health care professionals and social service specialists, we will develop services that work together, while continuing to support Albertans in choosing where and how they would like to live.”

    Jason Nixon, Minister of Seniors, Community and Social Services

    Related information

    • Refocusing health care in Alberta

    MIL OSI Canada News

  • MIL-OSI USA: CONGRESSMAN BISHOP ANNOUNCES $14 MILLION IN FEDERAL HEAD START FUNDS SERVING THE CHATTAHOOCHEE VALLEY AND MIDDLE GEORGIA

    Source: United States House of Representatives – Congressman Sanford D Bishop Jr (GA-02)

    FORT VALLEY, Ga. – Congressman Sanford D. Bishop Jr. (GA-02) is happy to announce that the U.S. Department of Health and Human Services is awarding $6,134,765 to the Macon-Bibb County Economic Opportunity Council, $7,186,306 to the Fort Valley State University, and $705,440 to the Enrichment Services Program, Inc. in Columbus, GA to support their Head Start programs. The Head Start program supports disadvantaged families by providing early learning and development, health, and well-being to newborns and children up to five years of age.

    “The years leading up to primary school are crucial in setting children up to be successful throughout their education and eventually finding good-paying jobs. The Head Start program enriches youngsters by providing a quality preschool experience, while also providing working parents with affordable, reliable childcare,” said Congressman Bishop. “It is so important that these funds are made available to dependable organizations in every community to support for family activities and childhood development.”

    “The funds provided will be utilized to purchase a facility that will serve over 160 children in the Chattahoochee Valley. And with this purchase it will allow us to provide a safe location for children to gain school readiness skills and set them up to be successful in school and life,” said Enrichment Services Program, Inc. CEO Belva Dorsey-Mott. “We thank Congressman Bishop for his ongoing support to ensure that funds are available to help children prepare for school and support families which are the foundation for strong communities.”

    “This is exciting news, and we are very honored to have been named recipient of this federal grant award,” said Ms. Sarita R. Hill, Chief Executive Officer of the Macon-Bibb County Economic Opportunity Council. “This substantial funding is designated for the construction of our new Head Start building in Macon, tentatively scheduled for completion in December 2025. The 32,000 sq. ft. building will provide 24 classrooms that will accommodate up to 384 children. This will have a meaningful impact on the many lives of those we support by increasing the invaluable services provided by Head Start and Early Head Start programs.”

    “Fort Valley State University’s Head Start program will create a safe and innovative learning environment that empowers families, supports mental health, and promotes school readiness.” Said Ms. Nikkia Mosley, Executive Program Director at Fort Valley State University. “Together, we will make a lasting impact on our community and foster the growth and well-being of every child.”

    Head Start and Early Head Start programs across Middle and Southwest Georgia provide comprehensive, high-quality family and community services to eligible children. Head Start programs help prepare young children, infants to school aged, to succeed in school and throughout the rest of their lives through individualized learning experiences in a creative environment.

    Congressman Bishop is a strong supporter of the Head Start Program. As a senior member of the House Appropriations Committee, he has worked to establish substantial funding that meets the changing needs of the program each year.

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    MIL OSI USA News

  • MIL-OSI USA: NC Health and Human Services Secretary Kody H. Kinsley Travels to Buncombe and Henderson Counties

    Source: US State of North Carolina

    Headline: NC Health and Human Services Secretary Kody H. Kinsley Travels to Buncombe and Henderson Counties

    NC Health and Human Services Secretary Kody H. Kinsley Travels to Buncombe and Henderson Counties
    stonizzo

    North Carolina Health and Human Services Secretary Kody H. Kinsley will travel to Buncombe and Henderson counties tomorrow with Senator Jim Burgin to survey damage and meet with people impacted by Hurricane Helene in these counties. They will first stop in Henderson County at the Disaster-SNAP (D-SNAP) Assistance Center in Hendersonville and then travel to the Henderson County Health Department to discuss recovery efforts and hold a brief media availability. Later, they will travel to Buncombe County with stops at the General Public Shelter at the Western NC Agricultural Center and Beloved Asheville, where there will be a brief media availability.

    WHAT:      NC Health and Human Services Secretary travels to

                        Buncombe and Henderson Counties 

    WHO:        Kody H. Kinsley, Secretary, NCDHHS

                        Jim Burgin, NC State Senator, R-District 12 

    WHEN:    Thursday, Oct. 17, 2024  

    WHERE: D-SNAP Assistance Center

                      Blue Ridge Commons Shopping Center 

                      2111 Asheville Hwy

                      Hendersonville, NC 28739 

                      Tour and Media Availability 

                      12:15 p.m. – 1 p.m. 

     

                      BeLoved Asheville

                      32 Old Charlotte Hwy

                      Asheville, NC 28803 

                      Tour and Media Availability 

                      2:30– 3 p.m.  

    MEDIA: Credentialed media should RSVP to news@dhhs.nc.gov for each stop they plan to attend. 

    Oct 16, 2024

    MIL OSI USA News

  • MIL-OSI Asia-Pac: Using Seniors Mobility and Enabling Fund for hearing aids

    Source: Asia Pacific Region 2 – Singapore

    NOTICE PAPER NO. 3061
    NOTICE OF QUESTION FOR ORAL ANSWER
    FOR THE SITTING OF PARLIAMENT ON OR AFTER 16 OCTOBER 2024
    Name and Constituency of Member of Parliament
    Mr Dennis Tan Lip Fong
    MP for Hougang 
    Question No. 6578
    To ask the Minister for Health in view of studies linking uncorrected hearing loss with dementia, whether the Ministry will consider allowing seniors to use MediSave for the purchase of their hearing aids.
    1     Seniors who require hearing aids can tap on the Seniors’ Mobility and Enabling Fund, which provides eligible Singaporeans with means-tested subsidies of up to 90%. Those with severe hearing loss requiring hearing implants such as bone conduction hearing or cochlear implants, can tap on subsidies, MediSave and MediShield Life. The Agency for Integrated Care can also provide additional support. While it is understandable that many Singaporeans wish to use more of their MediSave, we also need to ensure that Singaporeans have adequate MediSave balances to support their medical expenses for major health episodes, which tend to happen when they are in an advanced age.

    MIL OSI Asia Pacific News

  • MIL-OSI Asia-Pac: Adjournment Motion on Enhancing the Well-Being of Women – A Gendered Informed Response to Menopause

    Source: Asia Pacific Region 2 – Singapore

    SPEECH BY MDM RAHAYU MAHZAM, MINISTER OF STATE, MINISTRY OF HEALTH AND MINISTRY OF DIGITAL DEVELOPMENT AND INFORMATION, ON RESPONSE TO ADJOURNMENT MOTION ON “ENHANCING THE WELL-BEING OF WOMEN: A GENDERED INFORMED RESPONSE TO MENOPAUSE” ON 16 OCTOBER 2024

    1.     Sir, Assoc Prof Razwana spoke about enhancing the well-being of women going through perimenopause or menopause, and gave suggestions that the Ministry of Health (MOH), Ministry of Manpower (MOM) and Ministry of Education (MOE) could consider to better support women through this critical phase in their lives. I thank her for her speech and suggestions. I agree with many of the points raised by Assoc Prof Razwana. She shared about the health impact of menopause on women and how we can address this impact with training of healthcare providers, research into contributing factors and management, public education and social support. I will now address her points in my speech.  

    Health Impact of Menopause on Women
    2.     Every woman’s experience during menopause is different. Some may experience significant impact to their health and well-being, beyond the more common symptoms such as hot flushes, night sweats, and insomnia. For example, cardiovascular health may be affected. This is because as the protective effects of oestrogen on the heart diminish, this can potentially lead to an increased risk of heart disease and stroke. Changes in metabolism during menopause can also result in weight gain, particularly around the abdomen, which may increase the risk of diabetes and other metabolic disorders. Assoc Prof Razwana also highlighted that women undergoing menopause can experience changes in mood, which can impact their mental well-being. 
    3.     It is important to note that while these health impacts are of concern, they can be managed. Regular check-ups, a healthy lifestyle, including exercise, eating well, and finding ways to relax can help. Simple things like using moisturisers for dryness and choosing appropriate clothing to manage hot flushes can also make a difference. For significant symptoms impacting quality of life, women should see their doctor to explore suitable interventions to manage the impact on both physical and mental health.
    The role of training and research for the healthcare system
    4.     We agree that educating our medical students and medical practitioners on menopause is important, and we have been doing so. In our three local medical schools, knowledge of symptoms, diagnosis and management of menstrual disorders, including menopause, is one of the core learning outcomes for the medical students. Postgraduate family medicine programmes such as the Family Medicine residency programme and the Graduate Diploma in Family Medicine include training on common women’s health conditions, including menopause, in the curriculum. Professional bodies such as the College of Family Physicians Singapore also run skills courses on a variety of topics relevant to primary care practice. 
    5.     These efforts enable our primary care doctors to be a source of support to women in managing the health issues that may arise during this life transition. Under Healthier SG, the relationship between the primary care doctor and enrolee is central. Women who are experiencing menopausal symptoms can inform their primary care doctor, who would be well-placed to assess the symptoms, the patient’s needs and make recommendations on further management. The member also mentioned KK Women’s and Children’s Hospital (KKH) and the KK Menopause Centre. This multi-specialty practice comprising gynaecology, family medicine, dermatology and mental health specialists, has been trained to support a range of needs of women with menopausal-related health issues. Mental health services are also available in various care settings to identify women who may be experiencing psychological symptoms and provide interventions when required.
    6.     Research into menopause would provide more insight into how it affects women’s overall health and well-being, and enable better ways to manage menopause symptoms and its impact. The National University Hospital currently conducts the Integrated Women’s Health Programme (IWHP) which is a cohort study looking at health issues experienced by Singaporean women. Issues studied include the associations between menopause and age-related health issues such as osteoporosis and sleep disturbances. The research team plans to conduct follow-up studies, and we look forward to further insights that the IWHP and other researchers can provide on women’s health in general, as well as menopause specifically.
    Empowering women through better support and awareness 
    7.     Women should not feel ashamed, misunderstood or embarrassed to speak openly about menopause. As a society, we should work to remove the stigma surrounding menopause, and we are already taking steps to educate the public. Reliable information on menopause can be found on HealthHub and the websites of our public healthcare institutions (PHIs). KKH has also launched the Women In all Stages Empowered (WISE) Health Guide, which highlights important health advice for women, including advice on menopause. Education about menopause is important to help women understand what to expect and how to manage the changes to their body. We will continue to empower women to approach menopause with confidence and make informed decisions about their health and well-being. 
    8.     To truly enhance women’s well-being during menopause, we must address not only the physical symptoms but also the psychological and social impacts. This includes combating stigma, promoting open dialogue, and ensuring that women have access to accurate information and supportive resources. Civil society and community organisations are well-placed to participate in this effort. They can play a critical role in providing support for women, and creating platforms for the public in general, to discuss and better understand issues surrounding menopause. MOH is supportive of such efforts.  
    9.     In addition, many women who are going through menopause are concurrently taking on caregiving responsibilities. We support caregivers to balance caregiving while pursuing their aspirations and caring for their own health. We are enhancing options to make childcare and eldercare more accessible, affordable and available, for example, by scaling up childcare and eldercare capacity, and providing multiple layers of financial support. These, in tandem with other moves to support women at work, will support women to better balance their responsibilities and their own health and well-being. 
    Educating the young and supporting women in the workforce  
    10.     Assoc Prof Razwana also spoke about suggestions for MOE and MOM, touching on educating people about menopause in schools, and workplace policies that better support women with menopause. 
    11.     In MOE’s Sexuality Education and Science curriculum, students learn about menstrual health in women. Primary 5 students learn about the physiological changes that occur during puberty, such as menstruation. Students are also educated on human reproduction and issues related to menstrual health in Lower Secondary Science and Upper Secondary Biology. In Upper Secondary Biology, students will also learn about changes to the menstrual cycle as a female ages, leading to menopause.
    12.     On workplace policies, women who experience severe menopausal symptoms can already seek subsidised medical treatment at PHIs, and take sick leave to rest and recover, just like any other medical need. There have been calls for menopause leave or reproductive leave in other countries. Most recently in the UK, the Government rejected a call by the Women and Equalities Committee to conduct a trial of menopause leave last year. Like the UK, our preferred approach is to support women to remain in the workforce and be well-supported at work. Introducing specific menopause leave may inadvertently negatively impact the employability of women in this age group rather than helping them, which we should be careful to avoid. 
    13.     In addition, flexible work arrangements (FWAs) can help employees with other medical conditions to balance the care needs for their condition with work responsibilities, including women experiencing perimenopause or menopause. The upcoming Tripartite Guidelines on FWA Requests, which will take effect on 1 December this year, aim to cultivate a norm where employees feel it is acceptable to request for and use FWAs. We encourage employers to use these Guidelines to engage their employees in conversations and find mutually beneficial arrangements.
    14.     The government will continue to work with Tripartite Partners to foster supportive workplaces so that all employees can participate fully at work while managing their own personal needs such as family responsibilities and medical conditions.
    Conclusion
    15.     In conclusion, supporting women through menopause is not just a medical issue, it is also about awareness and empowerment. The Government is committed to building a society where all Singaporeans have full and equal opportunities to flourish and achieve their aspirations. Civil society and community organisations have an important part to play as well. Together, by providing education and support, we hope to take a whole of society approach to enable women to navigate this transition with confidence, maintaining their well-being and full participation in all aspects of life. 
    16.     Thank you.

    MIL OSI Asia Pacific News

  • MIL-OSI Asia-Pac: Upcoming measures addressing mental health issues among youth

    Source: Asia Pacific Region 2 – Singapore

    NOTICE PAPER NO. 3126
    NOTICE OF QUESTION FOR ORAL ANSWER
    FOR THE SITTING OF PARLIAMENT ON OR AFTER 16 OCTOBER 2024
    Name and Constituency of Member of Parliament
    Assoc Prof Razwana Begum Abdul Rahim
    Nominated MP
    Question No. 6649
    To ask the Minister for Health in light of the Ministry’s statement on 19 September 2024 that findings from the National Youth Mental Health Study affirmed the approach under the National Mental Health and Well-Being Strategy to tackling youth mental health issues and that many of the measures under the Strategy are already in place while others will be progressively rolled out across the next few years (a) what are the measures that are yet to be rolled out; and (b) what is timetable for their introduction.
    1     We will be designating first-stop touchpoints to enable individuals to receive support early and to facilitate access to higher-tier services when needed. For instance, a new national mental health helpline and text line service will be introduced in mid-2025 to offer psychological first-aid for those facing mental distress. Those who require additional support including crisis management will be referred to the relevant services. 
    2     Our other upcoming measures include The Positive Use Guide on Technology and Social Media which will be ready in the first half of 2025. It will guide healthy and positive uses of technology and social media, and provide recommendations to mitigate their potential negative impact. In addition, the Ministry of Digital Development and Information, and the Infocomm Development Authority are studying whether further requirements such as age assurance are needed to prevent children and youths from accessing age inappropriate content on relevant online communication services. 

    MIL OSI Asia Pacific News

  • MIL-OSI Asia-Pac: Career support for healthcare workers in public healthcare sector

    Source: Asia Pacific Region 2 – Singapore

    NOTICE PAPER NO. 3129
    NOTICE OF QUESTION FOR ORAL ANSWER
    FOR THE SITTING OF PARLIAMENT ON OR AFTER 16 OCTOBER 2024
    Name and Constituency of Member of Parliament
    Mr Louis Ng Kok Kwang
    MP for Nee Soon GRC
    Question No. 6660
    To ask the Minister for Health whether any schemes are available to encourage administrative and support healthcare workers to stay and build their careers in the public healthcare sector.
    The Ministry of Health (MOH) actively works with the public healthcare clusters and community care organisations to ensure that they are able to recruit and retain sufficient staff to meet their needs. This includes ensuring competitive salaries, career development opportunities and safe working environments.  
    2     For administrative and support healthcare workers, we pay special attention to redesign their roles and career pathways so that they have more development and career progression opportunities. MOH has worked with the clusters to develop the Care Support Associate and Patient Service Associate roles, which incorporates an expanded mix of patient caregiving, administrative and operations tasks. This is currently being rolled out, with training support available, to enable existing staff to take up the expanded roles.  

    MIL OSI Asia Pacific News

  • MIL-OSI Australia: Trial underway to help school-aged boys develop healthy masculinities

    Source: Ministers for Social Services

    The Albanese Labor Government is investing $3.5 million to support three innovative projects promoting and encouraging healthy perceptions of masculinity among school-aged boys.

    The Healthy MaTE trial has been given to three projects:

    • Empowering Boys to Become Great Men – The Man Cave
    • The Common Ground Project: Future Fit Masculinities –  a consortium led by the Foundation for Positive Masculinity
    • Active Respect – The Men’s Project (Jesuit Social Services)

    Each of the projects will receive around $1 million in funding to trial activities that focus on influencing and changing attitudes and behaviours that may lead to gender-based violence by encouraging healthy, respectful relationships among school-aged boys.

    This includes in-person workshops to build the emotional resilience of young men and boys.

    The projects will begin from early 2025 and run through to 2026.

    Minister for Social Services Amanda Rishworth will today visit The Man Cave in Melbourne to see planning for the new projects in action and speak with young students about respect. She emphasised the importance of encouraging healthy understandings of masculinity for Australian youth.

    “This funding is ultimately about creating safe, respectful and empowered communities – and that starts with our young people,” Minister Rishworth said.

    The National Plan to End Violence against Women and Children 2022-2032 specifically identifies the need to engage with men and boys to develop healthier and more satisfying positive relationships with their male peers.

    “Through the delivery of positive, educational workshops in schools, such as Empowering Boys to Become Great Men by The Man Cave, we can evaluate and determine what approaches are effective in encouraging healthy expressions of masculinities among school-aged boys.”

    Assistant Minister for the Prevention of Family Violence, Justine Elliot, said these initiatives will help participants gain greater understanding of healthy forms of masculinity resulting in better outcomes for participants and their peers.

    “Through initiatives like Healthy MaTE, we can challenge gendered social norms, and address the underlying values, attitudes and behaviours that can lead to healthier masculinities,” Assistant Minister Elliot said.

    “I look forward to working with The Man Cave, Jesuit Social Services, and the Foundation for Positive Masculinity on how these initiatives contribute towards a whole-of-society approach to encouraging healthy masculinities among school-aged boys.”

    CEO and Founder of The Man Cave, Hunter Johnson, said: “The Healthy MaTE initiative is a landmark investment into our school-based programs, and it means we can reach thousands more young men before negative attitudes, behaviours and belief systems take hold.”

    “We know from experience, and the evidence, that this is the first critical step required to drive down rates of gendered violence, male suicide and mental ill-health,” Mr Johnson said.

    Ray Swann, Executive Director at the Foundation for Positive Masculinity spoke about the broad approach that projects like these will take.

    “We believe in a whole community approach, working together with parents/guardians, students (of all genders), and educators,” Dr Swann said.

    “Focused on year levels 7 to 11 across four nationally representative schools, our plan, over the next two years, is to establish evidence-based activities and programs that encourage healthy expressions of what it means to be a man today and tackle social attitudes and behaviours that drive violence against women and children, stopping gender-based violence before it starts.”

    Matt Tyler, Executive Director of Community and Systems Impact at Jesuit Social Services, said the trial will build on existing successful programs to promote positive and flexible ideas around masculinities and help young people to be their best selves.

    “We know that by working directly with young people and those who support them – like sports coaches – we can shift behaviour and ultimately work to prevent gender-based violence,” Mr Tyler said.

    “This project will equip young soccer players and their coaches across 30 Victorian soccer clubs to lead positive and tangible change on and off the pitch.”

    More information on the National Plan to End Violence against Women and Children 2022-2032 is available on the Department of Social Services website.

    If you or someone you know is experiencing, or at risk of experiencing, domestic, family, or sexual violence, call 1800 737 732, text 0458 737 732 or visit http://www.1800RESPECT.org.au for online chat and video call services.

    If you are concerned about your behaviour or use of violence, you can contact the Men’s Referral Service on 1300 766 491 or visit http://www.ntv.org.au

    Feeling worried or no good? Connect with 13YARN Aboriginal & Torres Strait Islander Crisis Supporters on 13 92 76, available 24/7 from any mobile or pay phone, or visit http://www.13yarn.org.au No shame, no judgement, safe place to yarn.

    MIL OSI News

  • MIL-OSI New Zealand: Future focus critical for Doubtless Bay restoration | Conservation blog

    Source: Department of Conservation

    Erosion-prone banks, sedimented estuaries and waterways smothered with all the worst weeds. This is the confronting riverscape in Doubtless Bay on Northland’s east coast.  

    Scratch below the surface though and you find secretive native fish, kōura and insects thriving in little pockets, excellent swimming holes, hapū who care deeply for their awa and whenua, and a community that totally supports work to restore the rivers. It’s for their children, mokopuna and future generations.   

    Climate change effects in the bay   

    DOC’s Ngā Awa river ranger Maddy Jopling lives in the area and has seen issues with flooding, erosion and pollution after storms and heavy rain first-hand. She’s not alone.  

    Farmers have come to fear heavy rain warnings, knowing they will be faced with costs to move and repair fences. Slips destabilise plantation forests and add to fine sediment being carried downstream. Hapū have noticed the loss of prime cockle beds near the Taipā River mouth in the last 20 years. Lifestyle block owners are concerned about the rivers nibbling away at their land and its value diminishing. 

    “We’re already seeing climate change happening here with more intense weather and more frequent, damaging floods,” says Maddy.

    “And sadly, there are other things we’ll have to contend with in the future, such as worse droughts, increased risk of wildfires and sea-level rise affecting land around the coast.”

    Taipā River estuary where hapū have noticed increased sediment and falling numbers of cockles in the last 20 years. Image credit: Sarah Wilcox.

    Healthy rivers need healthy land 

    Maddy’s job as river ranger for Doubtless Bay is to work with hapū and community to restore the biodiversity of the rivers from source to sea. The bay’s three rivers and their tributaries are treated as a single catchment, so there’s a big area involved.  

    “It’s critical to think about the future when planting or restoring habitat for native species in Doubtless Bay. Otherwise we won’t get the improvements in river health and biodiversity that we all want.”  

    A local hapū collective and many local landowners, groups and agencies are interested in or are already involved in restoration work. There is also support from industry representatives.    

    “The hapū collective wanted to know more about how climate change is likely to affect their rohe and what they could do now to build resilience. I’d also heard a lot of people talk about how the trees they’d put in had collapsed or fencing that had been washed away by floods.” 

    River ranger Maddy Jopling pointing out locations of the day’s site visits. Image credit: Sarah Wilcox.

    Equipping the community with best practice revegetation information  

    Maddy says she saw an opportunity for DOC to support future work by providing best-practice, practical information to help advise and prioritise restoration planting in the catchment.  

    “We wanted to help people make the best decisions about what to plant where and how to tackle the really difficult issues.  

    “People also told me about what had worked for them in the past. So when we were setting up the project, we knew it was going to be important to visit a whole range of different places, especially those that are typical of many places here. It makes sense that local people know their land better than anyone.”  

    Drawing on ecology and mapping expertise  

    The project started with hapū, community members and DOC science and technical staff taking forest ecologist Dr Adam Forbes and mapping specialist Dr Brad Case on a tour of the catchment. The group visited more than 20 diverse sites in the in the Awapoko, Oruru and Oruaiti subcatchments over 3 days in late summer. 

    Brad Case presenting maps at a community seminar before the site visits. Image credit: Sarah Wilcox.

    Based on this information and the site visits, the pair have created treatments for 12 different types of habitat in the catchment. The treatments outline possible changes to the vegetation to take climate change and human preferences into account, protect the coast and freshwater and restore wetlands.  

    Adam says visiting all the different sites in Doubtless Bay was really important.  

    Adam Forbes discussing revegetation options on a site visit. Image credit: Sarah Wilcox.

    “I couldn’t have done this without going to the sites and talking to everyone. It enabled me to find out what’s out there and what the issues are.” 

    He has mined a range of databases to create the treatments, drawing on list of plants for the area, planting densities, flammability ratings and listed options to tackle some of the catchment’s big issues.  

    “I’ve included a list of species that are relevant for restoration in these catchments for both the pioneer stage and the enrichment stage, once the canopy has been established. There are some neat regionally specific endemic species included, which provide options for people.”  

    Adam has helpfully provided information on timing, risks, management, maintenance and avenues of support. 

    Some examples of revegetation treatments  

    One suggested treatment is for sites in the lower rivers where īnanga spawn. The areas are currently open and weedy with willows and poplars that can keel over into the river during floods. Adam suggests getting light native forest established, including species that īnanga favour for spawning.  

    Alligator weed, crack willow and ginger are among the profilic weeds established at many sites in the lower rivers. Image credit: Sarah Wilcox.

    Another treatment is for steep hill country with a tendency to slip. These areas are currently in pasture but establishing native vegetation would stabilise the hillsides and reduce erosion downstream.   

    Mapping reveals hotspots for priority work 

    Brad has created a series of catchment maps that show different information about the catchment such as susceptibility to erosion and flooding. Overlaying the maps highlights hotspots where multiple issues overlap.  

    Adam has included many of these areas in his 12 revegetation treatments.  

    Map of the Doubtless Bay catchment showing vulnerability to climate change effects from lowest (green) to highest (red). 

    Maddy continues, “When I saw the catchment mapping, I was really excited about the fact that it will help us prioritise restoration as a community at a landscape scale.”  

    “When you’re going out and doing your restoration work, the scale can be quite overwhelming. There’s so much to do! But the way Brad’s done the modelling makes it really obvious where we need to focus a bit more effort from a climate change perspective.”  

    Sharing the findings  

    The report is now available from our website: Doubtless Bay rivers webpage (or download Doubtless Bay revegetation options)

    “Adam and Brad have shared the report and discussed their findings with the community already. We’re really interested in feedback though and will continue to work with the community to put the information into practice.”  

    About Ngā Awa river restoration programme 

    Taking a whole catchment approach, Ngā Awa is working in partnership with iwi, hapū and communities to restore the biodiversity of 12 rivers from mountains to sea. The three rivers in Doubtless Bay are one of the restoration catchments.  

    The programme’s goal is to see river ecosystems and species thriving from mountains to sea, which enrich people’s lives. This is achieved by collaborating with others, co-designing and co-leading with iwi, hapū and whānau and recognising climate change. Planning the restoration work is underpinned by sound technical and scientific advice.

    From left, Adam Forbes, Brad Case and Tiger Tukariri (Matarahurahu, Kenana) checking possible sites to visit in the upper Oruaiti catchment. Image credit: Sarah Wilcox.

    MIL OSI New Zealand News

  • MIL-OSI Australia: Joint press conference, Bendigo

    Source: Australian Treasurer

    LISA CHESTERS:

    It’s also an important milestone in Bendigo here, particularly in this particular precinct to officially open the Medicare Urgent Care Clinic and I’m so proud to have the Treasurer of Australia, a good friend of mine, Jim Chalmers here to do that official opening. I acknowledge also too all of our amazing health professionals that are here, our doctors, our nurses, our administrators, people who do bookings, we’ve got [indistinct] here. Thank you very much for joining us the CEO of Bendigo Health, the Primary Healthcare Network they’ve also joined us here today. And I know that we are having a press conference in the middle of what is a very busy day here at Bendigo Primary Care. Thank you for hosting us.

    This has been a long time coming for us here in Bendigo. As I was telling the Treasurer, it was the former Treasurer, Wayne Swan, who actually funded the initial funding for this building to be built. It was built under the former Labor government’s GP Super Clinic funding model and the idea back then, and I’m telling the former federal Member for Bendigo’s story Steve Gibbons, and [indistinct] who also served on the board for a while with the Primary Healthcare Network. The vision was for always for this to be a Medicare‑funded Urgent Care Clinic. The ability to do that after‑hours care, the ability to bulk bill where it wasn’t about your credit card, it was about your Medicare card, making sure that everybody in our postcode could have access to that primary care that they needed after‑hours.

    So, it took us a long time to get here. There was a period when we were in Opposition where we had funding cuts to Medicare, it made it very hard for doctors to bulk bill and very hard for clinics to stay open. But the investment that we’ve seen in Medicare has really turned that around and has brought us to where we are today. So, it’s a proud moment for us in Bendigo. It’s a proud moment for our health precinct, but it’s a really proud moment for us in federal Labor. We’re committed to Medicare and we’re reinvesting and strengthening Medicare each and every day, which is why I’m really proud to introduce the Treasurer of Australia here to officially open the Medicare Urgent Care part of this clinic. So welcome back to Bendigo, Jim.

    JIM CHALMERS:

    Thanks, Lisa. It’s very kind of you, Lisa, to invite me here and to introduce me to all of these healthcare super stars at the Urgent Care Clinic here in Bendigo for a very, very proud day for your wonderful local community, and for all of the people who are providing just first‑class healthcare for people of this community and the surrounding areas as well. It’s a real honour to be here as Treasurer. It’s a real honour to have funded so many of these Urgent Care Clinics around Australia. In our 3 Budgets we found $720 million to fund Urgent Care Clinics – 76 of them so far – including this one that we open today.

    One of the things that is really terrific about Urgent Care Clinics is the way that they help healthcare providers in communities like this one work as a team, take pressure off the local hospital, work with each other to provide the best standard of care that we can for the families and pensioners and people of communities like this one here in Bendigo.

    This one’s got a terrific vibe to it, a really amazing vibe to it, because you can tell the teamwork that makes it all work here in Bendigo. As I understand it, more than 800 presentations already. It’s only been open for a month or so, taking the pressure off Bendigo Hospital and providing a bit of peace of mind too for local families and local pensioners and others, knowing that they’ve got another option that they can come to when they’re looking for Healthcare and where they can stay out of the emergency department if that’s possible.

    Most importantly a massive thank you to all of you. It’s a really proud day, a really exciting day. Before we unveil the plaque, I just have to make some broader points as well. We’ve also got a national announcement that’s happening today and so I just wanted to touch on that.

    One of our motivations when it comes to the billions of dollars we’re investing in strengthening Medicare, and the $720 million we’re investing as part of that in Urgent Care Clinics is helping people with the cost of living. Out‑of‑pocket health costs are one of the big pressures on household budgets, and so what we’re trying to do as an Albanese Labor government is to try and take some of the sting out of these cost‑of‑living pressures that we know people are feeling right around Australia in communities like this one.

    So out‑of‑pocket health costs, but also the tax cuts for every taxpayer, energy bill relief for every household, cheaper medicines, cheaper early childhood education, which is a real passion of Lisa’s, more rent assistance, getting wages moving again, fee‑free TAFE, strengthening Medicare, all of these things are about easing cost‑of‑living pressures. Easing cost‑of‑living pressures are the number one priority of the Albanese Labor government. That’s why we’re investing so substantially in easing out‑of‑pocket health costs, and that’s one of the reasons why Urgent Care Clinics are so important.

    But today we’re taking another step as well. Today we are announcing the next steps in banning unfair trade practices. A lot of businesses in our community do the right thing and they’ve got nothing to worry about, but we’re also seeing the troubling escalation in dodgy trading practices, whether it’s the way that people find it hard to get out of subscriptions, the way prices increase while people are making a transaction, the farming of people’s information, dodgy marketing practices like pretending that there’s a limited time that people can buy something online.

    There are a whole bunch of practices that we are worried about, which put additional pressure on people when it comes to the cost of living. So, we want to ban unfair trading practices. We’ve put in train the steps to do that today. Yesterday we talked about our intention, our willingness to ban surcharges on the use of debit cards. People shouldn’t have to pay huge fees to use their own money. Yesterday’s announcement was about debit cards, today we’re talking about banning unfair trading practices. This is all part of our efforts to deal with or address these cost‑of‑living pressures that people are under.

    From time‑to‑time people will say to us: how big a difference can you make in Medicare out‑of‑pocket health costs? How big a difference can you make with all of this competition policy, empowering the ACCC, banning surcharges on debit cards, cracking down on dodgy trading practices? The truth is we are coming at this cost‑of‑living challenge from every conceivable angle. Not with one or 2 policies, but the highest priority of this Albanese government dealing with cost‑of‑living pressures that we know people are facing in housing, in out‑of‑pocket health costs and in other areas as well. The highest priority for our government, and that’s why these Urgent Care Clinics are so important as well, as part of our efforts.

    Okay, tricky questions to Lisa, easy questions to me. I’m in your hands.

    JOURNALIST:

    I was just wondering if I start on just why – or if there is any particular urgent need that you’ve seen for this place [indistinct] prior to this opening? Was there an urgent need?

    CHESTERS:

    Yeah, definitely. This is one of the clinics that was funded for a short period by the state Labor government, and then our Health Minister – Mark Butler – let me know that negotiations were on that the federal government would take it over as part of its Medicare Urgent Care Clinic. We know that there had been pressure on EDs. Any parent that’s had to go up there with an urgent issue knows the wait times. Locally we knew it anecdotally, we also knew it through the data coming through that there was a lot of pressure on EDs. We also knew because the previous government cut so much money out of Medicare – and froze the Medicare rebate and froze the Medicare incentive – that doctors weren’t doing after‑hours services any more. So, the need was there, the data was there and that’s why I’m really proud that our government has prioritised this clinic, coming on board with the federal fund and becoming a federally funded Medicare Urgent Care Clinic.

    CHALMERS:

    I really want to pay tribute to Lisa Chesters here. Strengthening Medicare is one of Lisa’s reasons for being and one of our government’s reasons for being, and we know from Lisa’s advocacy for this local community just how important it is to build an Urgent Care Clinic here to take some of the pressure off the hospital. There’s an urgent need in a lot of communities around Australia for more bulk billing options and more Medicare‑supported doctors, and that’s why we’re building 76 of these and providing $720 million to keep them running. It’s obvious in communities like these the need, and we’re delighted to see the way that all the different parts of the health system are working together to make it a success already. It’s only been open for a month, but already hundreds of people who would otherwise be in the ED at the hospital are coming here to get first‑class treatment and that’s a great thing.

    JOURNALIST:

    Just on another local health issue, and then we can go to other matters. We got word earlier this month that Bendigo Health has flagged job cuts at some of the hospitals, 5,000‑odd staff. The Australian Nursing Midwifery Federation says there’s a major restructure but they understand 9 full‑time clinical nursing jobs will be lost. What do you say to those staff who believe there isn’t any investment into expanding the health workforce by the federal government?

    CHESTERS:

    It’s one of those ones we’ll have to take on notice. It really is a state government matter but what I will say is that I know that the state and federal government are constantly in discussions about how can we better fund our health and hospitals sector. It is something that I know that they’re working through methodically. They’ve engaged the unions in doing this in a fair and transparent process. It’s not new, but it really is one that the state government is working closely with the Bendigo Health on.

    JOURNALIST:

    What’s the difference between a federal Urgent Care Clinic and the state‑run Priority Care Clinic?

    CHESTERS:

    The federal government pays the bills for a Medicare Urgent Care Clinic. That’s essentially the big difference. Which is our role, it’s primary healthcare and it fits within the broader GP, Medicare scope of practice.

    JOURNALIST:

    And how – what does it work when a patient comes in? How do they present? What’s the process?

    CHESTERS:

    You can call, the majority of patients are encouraged to make a phone call to book themselves in. They first are triaged by the nurse or the team that answers the call. If it’s considered to be emergency, they’re encouraged to call an ambulance, 000, or go straight to EDs. But if it’s more an urgency care matter they make an appointment for them. They don’t have to be sitting here; they’re sent a reminder message and then just encouraged to be here about 20 minutes prior to the appointment and I’m hoping I got that right. Not that I’ve had to use the service yet. It’s because we use online, because we’re all used to using the phones and the booking system, it’s well organised. On the busier days it’s 10 til 10. Critical being that after‑hours after‑school opportunity, over the weekends. And it’s a service that’s proving to be very popular because it is where you can get a bulk‑billed GP appointment within 24 hours of needing one.

    JOURNALIST:

    Just on the announcement today, regarding putting an end to hidden in‑ticket purchases, like you promised to consider debit card surcharges, this is a promise that will mean there’ll be consultation down the road. When it’s possible your government may not be in power next year, why not just act now rather than push [indistinct] down the track?

    CHALMERS:

    Consultation is a good thing. We want to make sure that as we crack down on excessive fees and we crack down on dodgy trade practices that we’re doing that in a way that looks after the interests of consumers and small businesses, and makes sure that there aren’t unintended consequences. We’ve shown a real enthusiasm, a real willingness, a real commitment to crack down on the sorts of fees and practices which risk ripping people off. We have empowered and funded the ACCC to do their really important work and we’ve flagged the next steps that we’re taking when it comes to this. But I don’t think we should see consultation as a bad thing, consultation’s a good thing. We’re a government that works through issues in a considered and a methodical but ultimately in an impactful way. We know that people are at risk here when it comes to anti‑competitive behaviour and dodgy behaviour, and fees that they increasingly can’t afford, and so we’re acting on their interests and we’re making sure that we get it right.

    JOURNALIST:

    Look, I just want to confirm which industries the government are wanting to focus on in this crackdown. Are you looking at live music? There’s been some discussion about gym subscriptions.

    CHALMERS:

    We’re talking about a wide range of practices but including subscription traps – where it’s really hard to get out of a subscription, that happens across a number of different sectors. Drip pricing where there are hidden fees throughout the stages of a purchase. There are manipulative online practices, including where there’s a sense of urgency like a countdown timer to make people make rash decisions about what they want to buy. We’re worried about dynamic pricing which is where, during the actual course of the transaction the price keeps escalating. We’re worried about businesses which ask customers for too much information, in some cases much more than is necessary to buy the good or the service. We’re also worried about those instances where it’s hard to contact a business if you haven’t got the product that you were looking for or you had some other question after sale. These are the sorts of issues that we’re looking at. That obviously has relevance to a whole range of sectors – particularly those available for online purchasing. We’re not taking a very specific sector‑specific approach here. We’re looking at all of these potentially dodgy practices and making sure we can rub them out where we can.

    JOURNALIST:

    Given lock‑in subscriptions are a fundamental part of some business models, like gyms, how will you stop them, those businesses from being shuttered down completely?

    CHALMERS:

    We obviously want to see a healthy, profitable business sector but those profitable businesses can’t be making profits on the back of dodgy practices. Again, as a huge supporter of the business community in this country – and particularly the small business community, we want to make sure that there aren’t unintended consequences for the vast majority of businesses who do the right thing. But when some are tempted to do the wrong thing, we need to crack down on that. We need to make sure, when it comes to subscriptions, it can’t be incredibly easy to sign up to a subscription and incredibly difficult to get out of it. We get a lot of feedback about that. We want to work with the ACCC to crack down on that too.

    JOURNALIST:

    Look, do you think the timing of the PM’s decision to buy a new home is poor given an election is coming up? Many Australians are struggling to pay their mortgage or rent. I mean, look, I understand that the PM – people can buy property wherever they want, but I mean here, and particularly in Bendigo, we have a huge homelessness problem. The list of people waiting for social housing are at a 1,000 in this local area. I mean, what do you say especially to those who are sleeping rough and may see coverage of the PM buying such an expensive house on the Central Coast and, you know, wondering what this government’s on about?

    CHALMERS:

    I understand. The government’s highest priority is easing the cost of living and a big part of that is our housing agenda. Too many people are sleeping rough. Too few people can find an affordable place to rent or buy. It is becoming too hard for young people in particular to get a toehold in the housing market, and these are the motivations behind the $32 billion that we have invested through 3 Budgets in building more homes, to make it easier for more Australians to find a place to rent or find a place to buy. This is our highest priority, cost of living, and housing is an important part of that.

    When it comes to the decisions that the Prime Minister has made about his own personal arrangements, I do understand that there’s a lot of interest in it. We do understand, I think collectively, that Prime Ministers decisions like this are scrutinised. I would say a couple of things about that. First of all, I work incredibly closely with the Prime Minister. I work as closely, if not more closely than anybody else. I have seen first‑hand for myself his 100 per cent focus on easing the cost of living and building more homes for Australians and making the right economic decisions for the right economic reasons. I cannot fault for one second his commitment to easing the cost‑of‑living pressures that people confront and building more homes as the important part of that.

    He has made a decision with Jodie that they want to have a place which is closer to Jodie’s family. I think a lot of Australians would understand that aspect of it. Certainly, I understand that aspect of it. But his focus is on easing cost‑of‑living pressures for the whole country, I’ve seen that laser‑like focus for myself up close.

    JOURNALIST:

    In terms of the Urgent Clinics here Bendigo and other areas, is it going to help the healthcare system or is it just going to shuffle everything around and not take the pressure off?

    CHALMERS:

    It’s already taking pressure off the emergency department at Bendigo Hospital. One of the heartening things just meeting some of the professionals who have joined us today, some of them on their day off – we appreciate that – one of the things that really strikes you about this Urgent Care Clinic, and I’ve seen it in others, is the way that the whole health system, the whole local health ecosystem, works together to deliver great outcomes for people, often at the most stressful times.

    Lisa and I know, as parents, it’s so stressful when your kid is sick or your mum, and you want to make sure that there are options and the heartening thing, the inspiring thing frankly, about the work in clinics like this one and emergency departments is the way that the place is working together. I just heard really quite a remarkable thing about where, if one place is quieter than the other, there are calls between different parts of the health system to make sure that we’re getting people through. That’s exactly as we want it. That means that every single cent of these hundreds of millions of dollars we’re investing in Urgent Care Clinics is money well spent.

    JOURNALIST:

    Those that don’t have access to these Urgent Care Clinics, as such, what do you say to them if they’re struggling to get into their GPs, their EDs are full, you know, what do they do?

    CHALMERS:

    We’re building as many as we can afford to build. There are 76 of these now, that’s what $720 million is buying. Every community would like one and we are doing our best to put one in as many communities as we can – here in Bendigo, in my hometown, right around Australia. We know that there’ll always be a need for more investment in health. We’re enthusiastic about that, billions and billions of dollars of investment in strengthening Medicare to help ease out‑of‑pocket costs to give people peace of mind when they’re sick or when their loved ones are sick, and people should expect that to continue for as long as there’s a federal Labor government working closely with state governments like this one.

    JOURNALIST:

    Australian birth rates declined once again. Is this becoming a problem for our economy?

    CHALMERS:

    That has been a long‑term trend and there are reasons for that, including good reasons for it. As I’ve said before, it can be expensive to have kids, and people make their own decisions for their own reasons. My job, working closely with Lisa and other colleagues, is to make sure that people can have the choice of whether to have more kids or not. Our investment in early childhood education, our investment in healthcare, paying superannuation on paid parental leave, all of these decisions that we’ve taken as a government working closely with Katy Gallagher, the Women’s Minister and others, is about making it easier for people to have more kids if they want to. But we know that affordability is a big part of that challenge and that’s why our cost‑of‑living help is so important as well.

    JOURNALIST:

    Is the government talking to Westpac about the repeated outages that we’ve been seeing this week, affecting mobile and online banking? I believe there’s been 3 already this week for customers of Westpac and St George, BankSA.

    CHALMERS:

    We have been speaking with Westpac about these really concerning developments. They have had a number of outages in recent days, and when something like that happens it enlivens the cybersecurity part of our government. In the last couple of years we’ve gotten much better at working with private sector entities like Westpac and others who are the subject of various – whether it’s denial of service or other kinds of interruptions. But we do work closely, whether it’s with the banks or the other businesses and organisations, to make sure that when something happens like this, as unwelcome as it is, that we’re responding when we can and that also we’re keeping each other informed as things develop.

    JOURNALIST:

    Does more need to be done to secure crucial services for bank customers? I mean this is not unusual.

    CHALMERS:

    Unfortunately, this is a sign of the times. We are seeing more of these sorts of interruptions in an economy which is becoming increasingly digital and where the technological changes so fast we are at risk of some of these sorts of interruptions. We’ve got a colleague now, Andrew Charlton, who’s been appointed to oversee cybersecurity in particular, working closely with Tony Burke. Our whole government sees it as an important part of our responsibilities to make sure that we catch up and keep up with developments in this space because we don’t want to see people inconvenienced by these kinds of interruptions.

    JOURNALIST:

    I have just one more question, sorry. Just on the economy and from a business perspective, here in Bendigo, there’s been significant issues in the CBD for some time: for‑lease signs on shop fronts, particularly in the Hargreaves Mall. We hear from businesses and ABC Central Vic, that your government is not doing enough for small businesses. What do you say to people in regional communities like Bendigo who despair in the fact that they may not be able to sustain businesses or even keep shop fronts open until the end of the year?

    CHESTERS:

    The problem with the Bendigo Mall is a perpetual problem that we’ve had for decades, and anybody who says otherwise hasn’t lived in Bendigo for a long time. It’s long been identified that the challenges sometimes relate to the landlords and who they’re trying to attract into the businesses in the mall. We’ve also had some other issues in the mall. There’s quite a bit of construction going on. But this is one of those ones which local chambers of commerce, Be.Bendigo has worked with the City of Greater Bendigo to bring them all together to talk about ‘what’s the vibe? What do we want? Who do we want to prioritise to be our businesses?’ It really starts with the landlords, it starts with Be.Bendigo and it starts with local government. In terms of the federal government support that we have with small business, we’re doing what we can, whether it be the instant asset write‑off, whether it be helping people with their payroll, whether it be investing where we can, supporting people with skills, helping with apprentices, making sure that we’ve got the skilled workers that we need coming through our TAFE. This is the federal government making sure that we stay in our lane and our responsibility. This issue comes up every federal election, every state election, every local government election. But the answer is the same. It comes back to what are the landlords, what’s the vision, how are they working with our local chambers of commerce about who we want to attract in businesses in the CBD.

    JOURNALIST:

    I mean, Bendigo itself are driving hard the tourism dollar here. We’ve seen major events here. We are seeing a comedy festival here. People are travelling to this town in particular and wanting to come to Bendigo to see the lovely, you know, Bloom Festival and a couple of days ago it was beautiful. But seeing – walking a couple of shops – blocks down the street, it’s not such a great story. I mean, I think that there obviously needs to be a whole – is there not a whole – isn’t there more – shouldn’t there be more approach to ensure that the city is at least pleasurable for people to visit?

    CHESTERS:

    It is and people love coming to Rosalind Park. What the state government has done in reducing train fares to get people into town’s been fantastic. Any day on the weekend I love getting stopped and people asking me for directions because it means they’re not local. It means we’ve got people coming in. Last weekend was a big example of that. This weekend coming. The town is abuzz on the weekend and that’s what you want to have happen. I’m sure the landlords will get together with Be.Bendigo and City of Greater Bendigo to work it out. We are seeing a revival and a change of shops coming into the mall. This is one of those issues where if you get too many people involved in the discussion, it takes longer.

    MIL OSI News

  • MIL-OSI USA: Durbin Announces New Resources To Address Child Lead Poisoning Risks In Chicago

    US Senate News:

    Source: United States Senator for Illinois Dick Durbin

    10.16.24

    CHICAGO Today, U.S. Senate Majority Whip Dick Durbin (D-IL) joined officials from CountyCare, Cook County Health, and the Cook County Department of Public Health to unveil new proactive measures taken by all five Medicaid managed care insurance companies (MCOs) in Illinois in response to a request by Durbin and U.S. Senator Tammy Duckworth (D-IL) to address lead poisoning risks to children in Chicagoland.

    In March, Durbin and Duckworth had urged MCOs to step up to address lead poisoning risks to children in Chicago by preemptively sending drinking water test kits, water filters, home visitors, and educational materials to all enrolled children in the city. As a result of these letters, CountyCare, the largest MCO in Cook County, agreed to the Senators’ request and sent educational materials as well as a coupon redeemable at local Jewel-Osco grocery stores for a free water filter to nearly 90,000 families in Cook County. The other four MCOs made similar commitments, including providing grants to primary care providers for lead tests and to local community organizations to distribute free water filters to low-income families.

    “Children continue to face the unacceptable risk of lead poisoning in the very place they call home,” said Durbin. I sent letters with Senator Duckworth to the five Medicaid insurance companies in Illinois, calling upon them to take new, proactive measures to address this dire health risk. I applaud CountyCare for being the first to step up and implement innovative strategies to prevent the threat of lead exposure for low-income children. Today’s announced initiatives from all five insurance companies will support children’s health and provide some peace of mind for parents as we continue to work towards replacing lead pipes in our community.”

    “We appreciate the leadership of Senator Durbin and Senator Duckworth in addressing the number one environmental hazard that is 100 percent preventable. Collaboration is key in tackling public health issues, and efforts like this are crucial in preventing such problems whenever possible. Let’s continue working together to build healthier and safer communities,” said LaMar Hasbrouck, MD, Chief Operating Officer of the Cook County Department of Public Health. 

    “There is no safe level of lead exposure for children. Lead can cause serious and permanent health problems, including irreversible brain damage,” said Dr. Erik Mikaitis, Interim CEO of Cook County Health, which includes CountyCare, the largest Medicaid Managed Care Plan serving residents of Cook County. “I am grateful to Senator Durbin and Senator Duckworth for their leadership on this issue. By creating these new outreach strategies, we are strengthening our collaborative, multi-faceted approach to prevent, mitigate and treat lead exposure and keep children safe.”

    Today’s announcement comes during Children’s Health Month and ahead of National Lead Poisoning Prevention Week.  The Senators’ letters to CountyCare, Aetna, BlueCross, Meridian, and Molina followed the finding earlier this year that 129,000 Chicago children—68 percent of those younger than age six—were potentially exposed to lead in their home drinking water, due to the presence of lead pipes—given that Chicago has the highest number of lead pipes of any city in the country.  

    Medicaid, the federal-state health insurance program for low-income individuals, has a comprehensive benefit for kids—requiring all covered children to receive lead screenings at ages one and two. The Centers for Medicare and Medicaid Services (CMS) states that there is a specific and presumptive risk of lead exposure for children on Medicaid. Further, if a child tests for an elevated blood lead level, states are required to provide diagnostic and treatment services.

    Last week, the U.S. Environmental Protection Agency (EPA) announced its final Lead and Copper Rule Improvements (LCRI) to address lead in drinking water, which requires 100 percent lead pipe replacement in 10 years among other requirements to protect public health. In Illinois, the state reported more than one million lead service lines (LSLs), the most per capita in the nation, and replacing LSLs statewide is estimated to cost $11.6 billion. Illinois has received more than $578 million from the Bipartisan Infrastructure Law earmarked for LSLs from EPA. The Natural Resources Defense Council found that Illinois will benefit the most from lead pipe remediation, with up to $89 billion in avoided health costs.

    Earlier this year, Durbin reintroduced his Lead-Safe Housing for Kids Act, a bill to require the Department of Housing and Urban Development (HUD) to update its lead poisoning prevention measures to reflect modern science and ensure that families and children living in federally assisted housing are protected from the devastating consequences of lead poisoning. 

    -30-



    MIL OSI USA News

  • MIL-OSI USA: Congresswoman Wilson Presents $225,000 Check to Broward Community and Family Health Centers for a Mobile Dental Clinic Van

    Source: United States House of Representatives – Congresswoman Frederica S Wilson (24th District of Florida)

    On Wednesday, Congresswoman Frederica Wilson visited Broward Community and Family Health Centers, Inc. (BCOM), to Present a $225,000 Check for a Mobile Dental Clinic Van.

    This van will provide dental services for all residents—children and adults—within the local communities. Congresswoman Wilson successfully acquired this funding through the Congressional Appropriations for Fiscal Year 2022.

    Congresswoman Frederica Wilson said, “As we present this check today, we are investing in the smiles and health of our community. I am so proud to have advocated for this funding to assist the Broward Community and Family Health Centers. Today, we proudly present this check to fund a mobile dental clinic van, bringing vital dental care directly to those in need. Together, we are ensuring that everyone, regardless of background, has access to the essential dental care they deserve. This van will ensure that no one in our community is left behind when it comes to their health and well-being.”

    “Dental health is a critical component of overall well-being, and at BCOM, we are committed to ensuring that every member of our community has access to top-notch oral care,” said Broward Community and Family Health Centers CEO, Rosalyn Frazier. “This innovative initiative will allow us to reach more residents across Broward County, breaking down barriers to access and delivering essential dental services directly to those in need.”

    BCOM’s Board President and Mayor of West Park, Felicia Brunson, stated, “We are thrilled to introduce the BCOM Mobile Dental Unit to the West Park community, expanding access to essential dental care for our residents. This initiative reflects our commitment to improving health outcomes by bringing services directly to those who need them most. We extend our deepest gratitude to Congresswoman Frederica Wilson for her steadfast leadership and unwavering support of West Park, which continues to drive positive change in our city.”

    ###

    MIL OSI USA News

  • MIL-OSI USA: C&A Naturistics Issues Voluntary Nationwide Recall of AK Forte Tablets con Ortiga y Omega 3 Due to the Presence of Undeclared Drug Ingredients: Diclofenac, Dexamethasone, and Methocarbamol

    Source: US Department of Health and Human Services – 3

    Summary

    Company Announcement Date:
    FDA Publish Date:
    Product Type:
    Drugs
    Reason for Announcement:

    Recall Reason Description

    Device & Drug Safety – Unapproved Drug

    Company Name:
    C&A Naturistics
    Brand Name:

    Brand Name(s)

    AK Forte

    Product Description:

    Product Description

    AK Forte Dietary Supplement


    Company Announcement

    FOR IMMEDIATE RELEASE – 10/8/24 – National City, CA, C&A Naturistics is voluntarily recalling all lots of AK Forte, 400 mg tablets, to the consumer level. FDA analysis has found the product to be tainted Diclofenac, Dexamethasone, and Methocarbamol. Products containing diclofenac, dexamethasone, and methocarbamol cannot be marketed as dietary supplements. AK Forte tablets is an unapproved new drug for which safety and efficacy have not been established and, therefore, subject to recall.

    Risk Statement: Dexamethasone is a corticosteroid commonly used to treat inflammatory conditions. Corticosteroid use can impair a person’s ability to fight infections and can cause high blood sugar levels, muscle injuries and psychiatric problems. When corticosteroids are taken for a prolonged period, or at high doses, they can suppress the adrenal gland. Abrupt discontinuation can cause withdrawal symptoms. In addition, the undeclared dexamethasone in AK Forte may cause serious side effects when combined with other medications. Diclofenac is a non-steroidal anti-inflammatory drug (commonly referred to as NSAIDs). NSAIDs may cause increased risk of cardiovascular events, such as heart attack and stroke, as well as serious gastrointestinal damage, including bleeding, ulceration, and fatal perforation of the stomach and intestines. This hidden drug ingredient may also interact with other medications and significantly increase the risk of adverse events, particularly when consumers use multiple NSAID-containing products. Methocarbamol is a muscle relaxant that can cause sedation, dizziness, and low blood pressure. Methocarbamol can also impair mental and physical abilities to perform certain tasks, such as driving a motor vehicle or operating machinery. To date, C&A Naturistics has not received any reports of adverse events related to this recall.

    AK Forte is marketed as a dietary supplement for Joint pain and Arthritis and is packaged in a cardbox type of packaging, with white, blue, red and gold logo of AK with a gold crown on top with 100 tablets per units, and all codes. The affected product AK Forte, all lots were distributed Nationwide via our Ebay and Etsy store.

    C&A Naturistics is notifying its distributors and customers and is arranging for return/replacement etc. of all recalled products.

    Consumers taking this product should immediately consult with their health care professional to safely discontinue use of this product. The risks of withdrawal from corticosteroids should be assessed by a healthcare professional. Only licensed health care professionals can evaluate patients for the risk, or confirm the existence, of adrenal suppression. Consumers that have product which is being recalled should return to place of purchase or discard.

    Consumers with questions regarding this recall can contact Company by phone 619-498-9811 or naturisticsca@gmail.com M-F 10am-7pm Pacific standard zone. Consumers should contact their physician or healthcare provider if they have experienced any problems that may be related to taking or using this drug product. Adverse reactions or quality problems experienced with the use of this product may be reported to the FDA’s MedWatch Adverse Event Reporting program either online, by regular mail or by fax.

    • Complete and submit the report Online
    • Regular Mail or Fax: Download form or call 1- 800-332-1088 to request a reporting form, then complete and return to the address on the pre-addressed form, or submit by fax to 1-800-FDA-0178

    This recall is being conducted with the knowledge of the U.S. Food and Drug Administration.


    Company Contact Information


    Product Photos

    MIL OSI USA News

  • MIL-OSI Australia: Allens advises Multiplex on a big year of city-shaping projects

    Source: Allens Insights

    In the latest in a succession of major social and commercial infrastructure projects, Allens has advised Multiplex as Managing Contractor for the Victorian Health Building Authority’s Parkville Precinct Redevelopment – Materials Handling Building Project.

    The Parkville Precinct Redevelopment is an important step in the staged redevelopment of the Royal Melbourne Hospital and Royal Women’s Hospital.

    The redevelopment adds to a run of city-shaping commercial and mixed use residential projects in Victoria and South Australia for Multiplex. In the past 12 months, other project that Allens has advised Multiplex include:

    • Cbus Property’s $1 billion sustainable office tower at 435 Bourke Street;
    • each of Brookfield Asset Management, Citiplan and Journal Student Living’s student accommodation projects at Grattan Street and Market Way (Franklin Street);
    • OSK Property’s BLVD residential tower at OSK Property’s $3 billion Melbourne Square precinct, one of Australia’s largest development projects;
    • Chasecrown’s Parkline all-electric mixed-use luxury apartment complex in Kent Town, South Australia; and
    • City of Adelaide and ICD Property’s vibrant new mixed-use precinct, the expansion of Adelaide Central Market. 

    ‘These projects show that there remains strong private capital appetite for quality social infrastructure and commercial development projects,’ said Partner David Donnelly, who led the Allens team on each of the transactions.

    ‘We have loved partnering with Multiplex for the long term. Not only does it provide scale and efficiency benefits for Multiplex, but it provides invaluable learning opportunities for our lawyers at all levels,’ said Managing Associate Ben van Weel.

    Allens has also advised Multiplex on numerous critical infrastructure projects in recent years, including the New Footscray Hospital PPP, Frankston Hospital Redevelopment PPP, GLM 2 Social Housing PPP, the Western Sydney Airport Terminal and National Resilience Centres in Victoria, Queensland and WA.

    Allens legal team

    David Donnelly (Partner), Ben van Weel (Managing Associate), Ashleigh Blumor (Senior Associate), Tom Bleby (Associate), Soha Refaat (Associate), Lana Yang (Associate), Lisa Wang (Associate), Roberta Hernandez (Lawyer), Harrison Philp (Lawyer), Penny Hollingdale (Lawyer)

    MIL OSI News

  • MIL-OSI Asia-Pac: Government accepts MediShield Life Council’s recommendations to enhance MediShield Life scheme, Government support more than offsets premium increases

    Source: Asia Pacific Region 2 – Singapore

             The Government has accepted the MediShield Life Council’s recommendations for the MediShield Life 2024 review. The recommendations will enhance the MediShield Life scheme, to better protect Singaporeans against major health episodes that result in large medical bills. They will also enable Singaporeans to afford new types of care. The changes will be implemented progressively from April 2025.

    2.     To support the enhancements to MediShield Life, premiums will need to increase, starting from April 2025 upon policy renewal. The total premium increases will amount to $1.8 billion over the next review cycle of three years. To help Singaporeans manage the premium increases, the Government will provide an additional $4.1 billion in support measures, comprising $3.4 billion in MediSave top-ups and $0.7 billion in premium subsidies for the next three years. 

    3.     For the great majority of Singaporeans – more than nine in ten – the additional MediSave top-ups, and premium subsidies and support, will more than offset the premium increases over the next three years.

    MediShield Life Council’s recommendations

    4.     There are a few key considerations in this review. First, as a national health insurance scheme, MediShield Life was designed to fully cover nine in ten subsidised bills in public healthcare institutions, with the deductible and co-insurance covered by patients’ MediSave. However, rising medical bills have eroded the coverage of the existing claim limits, and MediShield Life currently fully covers just under eight in ten subsidised bills. 

    5.     Second, there has been an increased shift in healthcare delivery from hospitals to the outpatient, community and home settings, which MediShield Life mostly does not cover. Finally, advances in medical technologies have resulted in new, potentially life-saving therapies, such as Cell, Tissue, and Gene Therapy Products (CTGTPs), which MediShield Life also does not cover.

    Enhancements to benefits and revisions to scheme parameters

    6.     With these factors in mind, the MediShield Life Council has recommended the following changes to the scheme, after considering both the need for better coverage and the impact on premiums. 

    a. Increase claim limits and refresh scheme parameters. This comprises:

    i. Increase in existing inpatient and day surgery claim limits to fully cover nine in ten subsidised bills. For example, the daily claim limits for the first two days of a normal ward stay will go up from $1,000 to $1,630. The daily claim limits for Intensive Care Unit ward stays will more than double, from $2,200 to $5,140. 

    ii. Increase in the policy year claim limit from $150,000 to $200,000, to provide greater assurance for patients with exceptionally large bills. 

    iii. Increase in the inpatient deductible by up to $1,500, to keep coverage focused on larger bills and moderate the extent to which premiums need to increase.

    iv. Revision of the pro-ration factors for private unsubsidised bills, to prevent cross-subsidisation of private bills by subsidised bills. 

    b. Enhance outpatient coverage significantly. This comprises:

    i. Refresh of outpatient claim limits to fully cover nine in ten subsidised bills. For example, the claim limits for kidney dialysis will increase from $1,100 per month to $1,750 per month.

    ii. Expansion of coverage to new outpatient treatments and home-based medical care, to enable access to more convenient care options beyond the traditional hospital setting. One such treatment is the repetitive Transcranial Magnetic Stimulation used to treat depression.

    iii. Introduction of a new outpatient deductible of $500 per year, to keep coverage focused on larger bills and moderate premium impact.

    iv. Decrease in co-insurance for outpatient treatments – from a flat 10% to a tiered structure ranging from 3% to 10% – to be consistent with how co-insurance is computed for inpatient bills and make larger outpatient bills more affordable.

    c. Expand coverage to high-cost treatments that are clinically effective and cost-effective, to improve affordability and access. This covers two areas: 

    i. CTGTPs that have demonstrated the potential to treat cancers and serious diseases effectively. 

    ii. High-cost drugs for blood conditions and conditions with childhood onset. 

    Adjustment to premiums

    7.     With higher claims and expansion of coverage, premiums will need to increase. The Council has worked with the scheme’s actuaries to determine the premium adjustments needed to ensure the scheme remains sustainable. Older Singaporeans in particular, will see larger increases. Hence the Council has recommended several measures to cushion the premium increases: 

    a. Cap the total premium increase at 35%, and phase in the increases evenly over three years, from April 2025 to March 2028. With this, premiums will increase by an average of 22% per policyholder by the end of the third year. This can be funded through a one-off release of capital from the MediShield Life Fund. Due to the Monetary Authority of Singapore’s adoption of the Risk-Based Capital Framework 2, there is a change in the MediShield Life Fund’s risk model which will enable some excess capital to be released, so as to cap the total premium increase at 35% and phase it in evenly. The Fund will remain in a healthy position after this release of capital. 

    b. For the Government to consider:

    i. Enhancing existing premium subsidies to provide more assistance to the lower- and middle-income groups. 

    ii. Providing MediSave top-ups to support Singaporeans through the Pioneer Generation, Merdeka Generation and Majulah Packages. This will be especially helpful to Singaporeans with low MediSave balances, such as homemakers and informal workers. 

    iii. Providing premium discounts to policyholders who lead healthy lifestyles, such as exercising regularly and going for recommended health screenings. 

    Government accepts the recommendations, adjusts MediSave withdrawal limits accordingly 

    8.     The Government has reviewed the Council’s recommendations on the MediShield Life scheme and agrees that these will ensure that MediShield Life continues to provide adequate and meaningful protection to Singaporeans. 

    9.     The Government will also adjust the MediSave withdrawal limits so that patients can use MediSave to cover the co-insurance and the revised deductibles. 

    10.     The revised MediShield Life benefits and MediSave limits will be implemented progressively from 1 April 2025, together with the first phase of the increase in inpatient deductible. The outpatient deductible will be introduced on 1 January 2026, followed by the second phase of the increase in inpatient deductible on 1 April 2027. All other changes will be made progressively from 1 April 2025 onwards. Please refer to Annex A for details of changes to MediShield Life claim limits and MediSave withdrawal limits, and Annex B for bill examples that reflect the changes to the MediShield Life scheme.

    Government provides premium subsidies and MediSave top-ups, which will more than offset premium increases

    11.     The Government accepts the Council’s recommendation to release capital from the MediShield Life Fund to cap and phase in the premium increases. This will require a release of around $600 million from the Fund, and will not affect the scheme’s ability to meet its claim obligations. 

    12.     In addition, over the next three years, the Government will provide an additional $4.1 billion in premium support measures, which will more than offset the cumulative $1.8 billion increase in additional premiums over the next three years. The offset package comprises:

    a. Increases in premium subsidies, including enhancements to means-tested premium subsidies amounting to $ 0.7 billion. The Government will increase premium subsidies by five to ten percentage points for lower-income and middle-income Singaporeans in older age groups. From 1 April 2025, they will be able to receive premium subsidies of up to 60%, from up to 50% today.

    b. Additional MediSave top-ups of $ 3.4 billion. The Government will:

    i. Increase annual MediSave top-ups for the Pioneer Generation. The Government will increase this annual top-up by up to $300, bringing the maximum annual top-up to $1,200. Under the Pioneer Generation Package, those who are above the age of 90 in 2025 will continue to have their MediShield Life premiums fully covered by these annual MediSave top-ups and their existing special subsidies, while younger Pioneer Generation seniors will continue to see about two-thirds of their premiums covered. 

    ii. Enhance the one-time Majulah Package MediSave Bonus. The Majulah Package was announced in August 2023 to provide greater assurance over healthcare costs for seniors, including Young Seniors in their 50s and early 60s. Under the Majulah Package, the Government announced that Singaporeans born in 1973 or earlier will receive a one-time MediSave Bonus of up to $1,500. This MediSave Bonus will be enhanced by $500. The MediSave Bonus will be paid in December 2024. 

    iii. Provide an additional MediSave Bonus for Young Seniors and the Merdeka Generation with lower MediSave balances. Recognising that some Young Seniors and Merdeka Generation seniors born between 1950 and 1973 (inclusive) may not have been able to accumulate enough savings in their MediSave account, the Government will give a further MediSave Bonus of $500 in 2025 to help cover the rise in premiums for those with low MediSave balances. 

    iv. Enhance the one-time Budget 2024 MediSave Bonus. At Budget 2024, the Government announced that Singaporeans born between 1974 and 2003 (inclusive) will receive a one-time MediSave Bonus of up to $300. This MediSave Bonus will be enhanced by $200, and will be paid in December 2024. 

    v. Increase MediSave Grant for Newborns. From 1 April 2025, the Government will increase this grant from $4,000 to $5,000. With the increase, a Singapore Citizen newborn’s MediShield Life premiums will continue to be fully covered up till age 21.

    c. Expansion of Additional Premium Support amounting to $80 million. Additional Premium Support is for Singaporeans who are unable to afford their MediShield Life premiums after premium subsidies, and have limited family support. The Government will expand the eligibility criteria to cover more lower-income Singaporeans.

    13.     The package will offset the cumulative increase in MediShield Life premiums over the next three years for almost all ages and income levels.

    14.     No one will be denied coverage due to an inability to pay their premiums. Please refer to Annex C for details of the Government’s premium support measures, Annex D for details of the revised premiums, and Annex E for household archetypes and worked examples.

    Redemption of premium discounts using Healthpoints

    15.     The Government also agrees with the Council’s recommendations to offer premium discounts for those who lead a healthier lifestyle. This can be done through the Health Promotion Board’s (HPB) Healthy 365 programme, which already awards Healthpoints in exchange for rewards.

    16.     In support of Healthier SG, policyholders aged 40 and above may redeem MediShield Life premium discounts via HPB’s Healthy 365 app, at a conversion rate of 150 Healthpoints to $2, higher than the regular conversion rate of 150 Healthpoints to $1. To earn Healthpoints, they can participate in healthy lifestyle programmes and challenges on the Healthy 365 app, or enrol with a Healthier SG clinic and complete the first Health Plan consultation. For instance, an individual who, on average, does 30 minutes of moderate to vigorous physical activity almost daily for the entire year, could redeem $80 worth of discounts off his or her MediShield Life premiums.

    17.     This programme will commence in the third quarter of 2025, and will run as a pilot for three years. The Government will review the outcomes of the pilot before deciding whether to make it a permanent feature of MediShield Life. 

    Pilot financing framework for CTGTPs

    18.     While CTGTPs have the potential to transform healthcare and treat serious diseases, they have high upfront costs. Without financing support, patients may not be able to access these potentially effective treatments.

    19.     However, such financing must also be designed in a sustainable manner given the high cost of CTGTPs and uncertainty around their longer-term effectiveness. Hence the Government has introduced a pilot financing framework to focus support only on CTGTPs that have been assessed to be both clinically effective and cost-effective. The first CTGTP to be listed on the Ministry of Health’s (MOH) CTGTP list is tisagenlecleucel (Kymriah), for the treatment of relapsed/refractory B-cell acute lymphoblastic leukaemia, and relapsed/refractory diffuse large B-cell lymphoma. Over time, more CTGTPs will be added to the list.

    20.     Since 1 August 2024, eligible patients who require the use of CTGTPs that are included on MOH’s CTGTP List have been able to receive means-tested subsidies of up to 75%, capped at $150,000 per treatment course, at public healthcare institutions. 

    21.     From October 2025, the Government will also extend MediShield Life and MediSave coverage to CTGTPs on MOH’s CTGTP List. Given the high costs of CTGTPs, MediShield Life and MediSave limits will be sized to fully cover two in three subsidised patients initially. Please refer to Annex F for details. 

    22.     The Government thanks the MediShield Life Council for the significant time and effort they have committed to review MediShield Life. We note that the Council has carefully considered all aspects of the scheme, and engaged many Singaporeans and stakeholders for their input along the way. The Council’s recommendations strike a good balance between providing greater protection for Singaporeans against large medical bills and keeping premiums affordable and sustainable. 

    MINISTRY OF HEALTH 

    15 OCTOBER 2024

     

    Annex A

    Changes to MediShield Life Claim Limits and MediSave Withdrawal Limits 

    Table A-1: Revised MediShield Life claim limits and MediSave withdrawal limits for treatments currently covered by MediShield Life

     

    Table A-2: MediShield Life claim limits and MediSave withdrawal limits for
    new treatments to be covered by MediShield Life 

     

    Annex B

    Bill Examples Incorporating MediShield Life Scheme Changes

    Illustration 1: Higher payouts for subsidised patients seeking inpatient care

    Illustration 2: Higher payout for subsidised patient seeking dialysis treatment

     

    Annex C

    Details of the MediShield Life 2024 Review Premium Support Measures

     

    Table C-1: Summary of the Premium Support Measures

     

    Table C-2: Enhanced Means-Tested Premium Subsidies for Singapore Citizens

     

    Table C-3: Additional Merdeka Generation Subsidies

     

    Table C-4: Pioneer Generation Special Subsidies and MediSave Top-Ups

    Table C-5: Revised Majulah Package MediSave Bonus

     

    Table C-6: Additional MediSave Bonus

     

    Table C-7: Revised Budget 2024 MediSave Bonus

     

    Table C-8: MediSave Grant for Newborns 

     

    Annex D

    Revised MediShield Life Premiums

    Table D-1: MediShield Life Premium Schedule for Singapore Citizens in 2025
    After Phased Increase

    Table D-2: MediShield Life Premium Schedule for Singapore Citizens in 2027
    After Increase Has Been Fully Phased In

    Annex E

    Household Archetypes and Worked Examples

    The following figures illustrate the premium impact on various groups.

    Illustration 1: Mr A 

    • Single Merdeka Generation (MG) senior, 67 years old 

    • 2-room HDB 

    • Per capita household income of $1,000 monthly 

     

    Mr A would enjoy means-tested subsidies of 40%, additional MG subsidies of 5%, and support to phase the increase evenly over the next three years. 

    Note: Figures in brackets refer to the increase in premiums using 2024 as the base year. Cumulative increase over 2025 to 2027 refers to the sum of the figures in brackets. 

    After subsidies and phasing, Mr A’s cumulative net premium increase over 2025 to 2027 of $109 will be fully offset with the enhanced MediSave Bonus of $1,250 under the Majulah Package

    If he has a low MediSave balance, he may also be eligible for the additional MediSave Bonus of $500 in 2025 which could further help him pay his annual premiums and other healthcare expenses. 

     

    Illustration 2: Mrs B

    • Single Pioneer Generation (PG) senior, 87 years old

    • 2-room HDB

    • No household income

    Mrs B would enjoy special PG subsidies of 59% and an annual PG MediSave top-up of $700. She would also receive support to phase in the increase evenly over the next three years. As a younger PG, she will continue to see at least two-thirds of her premium covered. 

    Note: Figures in brackets refer to the increase in premiums using 2024 as the base year. Cumulative increase over 2025 to 2027 refers to the sum of the figures in brackets.

    After subsidies and phasing, Mrs B’s cumulative net premium increase of $574 will be fully offset with the enhanced MediSave Bonus of $1,250 under the Majulah Package. 

    Any remainder could be used to further help her pay her annual premiums and other healthcare expenses.

     

    Illustration 3: Mr and Mrs C 

    • MG senior couple, 67 years old

    • Private residential property

    • Per capita household income of more than $3,600

    Mr and Mrs C would enjoy MG subsidies of 5% and support to phase in the increase evenly over the next three years. 

    Note: Figures in brackets refer to the increase in premiums using 2024 as the base year. Cumulative increase over 2025 to 2027 refers to the sum of the figures in brackets.

     

    After subsidies and phasing, Mr and Mrs C’s cumulative net premium increase of $758 will be fully offset with the enhanced MediSave Bonus of $2,500 (i.e. $1,250 each) under the Majulah Package which they will both receive. 

    Any remainder could be used to pay for their annual premiums and other healthcare expenses. 

    Illustration 4: The D family 

    • Grandfather and grandmother (both 67-year-old MGs) 

    • Husband and wife, 42 years old, both working

    • Primary school-going daughter and son

    • 5-room HDB 

    • Per capita household income of $2,500 monthly

    The D family would benefit from means-tested subsidies of up to 35%, additional MG subsidies of 5%, and support to phase in the increase evenly over three years. 

    Note: Figures in brackets refer to the increase in premiums using 2024 as the base year. Cumulative increase over 2025 to 2027 refers to the sum of the figures in brackets.

    After subsidies and phasing, this family’s cumulative net premium increase of $722 will be fully offset with the enhanced MediSave Bonus of $3,500 which the grandparents (i.e. $1,250 each) and parents (i.e. $500 each) will receive, and the MediSave Grant for Newborns which the children had received previously. 

    Any remainder could further help the D family to pay their annual premiums and other healthcare expenses.

     

    Annex F

    Details of CTGTP Pilot Financing Framework

    Illustration 1: Reduced out-of-pocket cash payment for subsidised patient

    MIL OSI Asia Pacific News

  • MIL-OSI Asia-Pac: DOORSTOP INTERVIEW BY MR ONG YE KUNG, MINISTER FOR HEALTH, AT THE MEDISHIELD LIFE 2024 REVIEW, 11 OCTOBER 2024

    Source: Asia Pacific Region 2 – Singapore

    Appreciation to Council
             I want to first thank the MediShield Life Council for working so hard. I think they did a very thorough analysis and came up with very comprehensive recommendations. I want to thank Mrs Fang Ai Lian and the team for their contributions. Also not forgetting the Secretariat, who has been working very hard for over one year to support the Council. 
    2.     Let me just go through some salient points of this package of measures, which I think is quite a significant one.
    Package of Measures in a Glance
    3.     Number one is to recognise the rising healthcare costs. In particular we are most concerned about unexpected health episodes that require you to stay in hospital for a long time, maybe even in the Intensive Care Unit (ICU). Some unfortunate things happen, and you chalk up a big bill that is unexpected. And that bill is rising and therefore we are increasing the claim limits for such bills. 
    4.     It is quite a significant increase. For two-day normal ward charges, the claim limits have gone up from $1,000 to about $1,600 – a 50 percent increase. The increase for ICU is significant. It does not happen very often but should it be needed, daily claims have gone up from $2,200 to over $5,000 or more than double. So it is a very good safety net and peace of mind. 
    5.     The second salient point is outpatient treatment. That is also rising, and I think it is hurting the pockets of patients, so we are also raising the claim limits for outpatients. In particular, one area we are quite concerned about is kidney dialysis. The costs have been going up. If nothing is done, it is only a matter of time before kidney dialysis patients have to pay cash out of their own pockets for dialysis. So we are increasing the claim limits from $1,100 per month to about $1,700 per month.
    6.     Third area is out-of-hospital bills. One major trend in healthcare is that more and more treatments are done outside the hospital, in the community and home settings. We are increasing coverage for such treatments, such as wound dressing, and treatment for depression. This is being done for the first time and some of the services that are done in home settings are now also covered.
    7.     Number four is technological advances. New and novel drugs, such as cell, tissue, gene therapy products (CTGTP), can be very expensive, but they are breakthroughs. They are one-time expensive treatments that promise to cure severe diseases like cancer. If we do nothing, chances are, in time only the rich can access these treatments. So we need to bring some of them into both our subsidy as well as MediShield Life framework. 
    8.     We have done so for subsidies, provided they are proven to be clinically effective and cost-effective. So just very few drugs but it is a starting point. Today we agree with the recommendations of the Council to also bring these same drugs into the MediShield Life framework. That way, at least for these drugs, all Singaporeans can access them.
    9.     Number five is that we are increasing the deductibles. I think it is necessary to do that because that way, we focus the resources and help on the bigger bills which is what we are most concerned about. Your smaller bills will rise a little bit, deductibles will go up, but you can pay for it with MediSave. 
    10.     And finally, the Council recommended that with all these changes, strengthening of the claim system and the safety net, premiums will have to go up by quite a significant number. But we should have a comprehensive package of measures to support these increases so that the great majority of Singaporeans can continue to pay for these increases using their MediSave and they do not have to come up with cash from their own pocket. 
    11.     We agree with that, and we are doing so. If we take the cumulative increase in premiums across the population, it is $1.8 billion. We have come up with a package that costs $4.1 billion over the next review cycle, which is about three years. So the package far exceeds the increase in premiums. Therefore, in other words, we are taking this opportunity to also build up the MediSave balances for Singaporeans. 
    Support Package 
    12.     What is this package? Let me elaborate. There are two parts to this. 
    13.     Out of this $4.1 billion, $700 million or $0.7 billion, is to increase MediShield Life premium subsidies. Another $3.4 billion is for MediSave top-ups. So added together, it is $4.1 billion.
    14.     First on the $700 million of MediShield Life premium subsidies. This will be focused especially on those who are older. The increase is about 5 to 10 percentage points. In the past, the maximum subsidy was 50%, meaning 50% of premiums is subsidised, paid for by the government. That will now increase to 60%, so it will help many people and cost us $700 million.
    15.     The MediSave top-ups are much more complicated. What we have done, actually is quite a long exercise. Essentially, we identified every single MediSave Life top-up initiative and tried to strengthen every one of them. Why did we do it that way? I think by so doing, we try to cover as many age groups as possible, practically all age groups. So what are they? 
    16.     Let me start with the oldest which is Pioneer Generation (PG). As you know, PG can get MediSave top-ups every year throughout their life. For the older PG who are 90 years this year, born in 1934 or earlier, they will have top-ups that will basically offset all the premium increases. Their top-ups are enough for them to pay their MediShield premiums throughout their lives. For the younger PG, their top-ups will be sufficient to cover two-thirds of the premium increases. 
    17.     At last year’s National Day Rally, then-Prime Minister Lee announced the Majulah Package. Basically for all those born in 1973 or earlier – that means it covers PG, Merdeka Generation (MG), as well as the new term, Young Seniors who are in their 50s and 60s – will receive MediSave top-ups. For this whole group, the MediSave top-ups will be enhanced by $500. In the past, the MediSave top-up was $1,500 maximum. Now, the maximum goes up to $2,000.
    18.     Third, within a subset of this group, there is a group which is born between 1950 and 1973. These are the MG, as well as the young seniors. They, unlike the PG, do not have any more MediSave top-ups. So, some of them, because of their work history, do not have sufficient MediSave balances. So, for this group we will do something extra for them – an extra $500 per person.
    19.     Number four, at Budget 2024 this year, Finance Minister and current Prime Minister announced that a younger group born between 1974 and 2003 will get MediSave top-ups. We will enhance their MediSave top-ups by another $200. For this group, their premiums are not as high because they are relatively younger, so their top-ups are less.
    20.     Finally, newborns get a newborn grant of $4,000. The newborn grant will be enhanced to $5,000, so this is sufficient to pay for their MediShield Life premiums up to the age of 21. 
    21.     So, this is the package that we are putting out – $4.1 billion over the next few years. 
    Encouraging Healthier Lifestyles
    22.     The Council has always recommended that we should encourage Singaporeans to lead healthier lifestyles. This year, they went a bit further. Since we have Healthier SG, they asked why not link the two together.
    23.     It makes a lot of sense, because adopting a healthier lifestyle is something we can choose to do. We can do more exercises, eat healthy, sleep better, quit smoking, sign up for Healthier SG and go for regular screenings. All these are within our control, and if we do them, we get a discount on our MediShield Life premiums.
    24.     We decided to try this out. After all, many Singaporeans have already joined the Health Promotion Board’s Healthy 365 programme to collect Healthpoints.
    25.     From the third quarter of 2025, we will start to allow Singaporeans 40 and above to use their Healthpoints and convert them to discounts or deductions in MediShield Life premiums. 
    26.     We will work in a fairly favourable conversion rate. All in all, this means that if you are someone who is quite active, who exercises for about 30 minutes every day, you should have enough Healthpoints to receive a discount of about $80 per year off your annual MediShield Life premium. For a young person, this discount is slightly less than or almost half of their premium. So this is the whole package. 
    Multiple Layers of Safety Net
    27.     It has been many months in the making. Late last month, I announced the change in our effective date of the change in our subsidy system.
    28.     Essentially we are changing the per capita household income (PCHI) thresholds, such that more Singaporeans are eligible for higher subsidies. 1.1 million Singaporeans will benefit. 
    29.      Today, we are strengthening our MediShield Life system as well as the MediSave system. This is our classic S+2M framework. We are strengthening both and it is very important that these two safety nets work hand in hand.
    30.     There are many countries that focus a lot on subsidies. When you focus a lot on subsidies, it is funded by taxation. When funded by taxation, things tend to be cheap or free and this causes excess demand, so waiting time becomes very long in the hospitals and the clinics. While it is very affordable, it is not very accessible. 
    31.     Then there are other countries who focus a lot on insurance. Insurance has much less of a problem of excess demand, because when you fall sick, you have to file a claim, and there is a certain discipline in the application process around it. It is accessible, but, if you do not have insurance, it is not affordable. So all countries, in the end, realise you have to have both subsidy and insurance. 
    32.     That is what we have done. S+2M has worked well for us and we will continue to improve our system. 

    MIL OSI Asia Pacific News

  • MIL-OSI United Nations: Financial support for women’s health: UNFPA and Charité present new “WomenX Collective” programme in Berlin

    Source: United Nations Population Fund

    UNFPA, the United Nations Population Fund, launched its new  “WomenX Collective” programme at the World Health Summit in Berlin on October 15, in conjunction with the opening of its first hub office in a global network of centres specializing in the promotion of women’s health, especially sexual and reproductive health, in the German capital.  

    The Berlin office will be run in cooperation with Charité – Universitätsmedizin and the Berlin Institute of Health at Charité (BIH). With their new partnership, UNFPA and Charité aim to promote women’s health, particularly in middle and low income countries and to address the lack of solutions and financial resources in this field.  

    “Every minute, at least two women die globally from breast or cervical cancer or from  pregnancy-related complications due to inequitable access to healthcare,” says Dr. Natalia Kanem, Executive Director of UNFPA. “Through the WomenX Collective, UNFPA and  Charité aim to help bring innovative health solutions to underserved communities, closing  the health gap for women worldwide.” 

    Initial financing commitments in place 

    With initial funding commitments from international donors, including the Children’s Investment Fund Foundation (CIFF), Organon & Co., as well as a donation from Deutsche Postcode Lotterie, the WomenX Collective programme aims to raise at least  $100 million in catalytic investment by 2030 to support women’s health projects, scale innovative solutions locally and promote these solutions across sectors. This has the potential to avert more than 10.4 million unintended pregnancies, 3.2 million unsafe abortions, and 21,000 maternal deaths. With the network of hub offices, the programme aims to bring together experience and technical expertise from different countries and regions, as well as modern  technologies and sustainable financing. The office in Berlin will be followed by a hub in Nairobi in 2025. 

    To mark the opening of the hub office and the ceremonial signing of the partnership between UNFPA and Charité, partners of the WomenX Collective programme will be joined by Dr.  Bärbel Kofler, Parliamentary State Secretary to the Federal Minister for Economic  Cooperation and Development, as well as representatives of the German healthcare sector  and stakeholders from the Global South.  

    Additional quotes from participating organisations: 

    “The investment in women’s health is convincing with numbers: Through new, women-centred evidence-driven investment opportunities, we want to show that for every euro invested, a dividend of over 7 euros is possible by 2030″, says Dr. Nigina Muntean, Chief of  Innovation at UNFPA. “By investing in women’s health and fostering innovation, we can unlock significant economic returns and ensure advancements reach those most in need.” 

    “Women’s health is still under-researched and under-funded,” says Prof. Dr. Heyo K.  Kroemer, Chairman of the Board of Charité – Universitätsmedizin Berlin and partner of the  WomenX Collective initiative. “We are convinced of the collaborative and integrative approach of WomenX, so I am pleased that Charité can make a contribution here. In order to  address women’s health in a sustainable way, we need strong partnerships with institutions  from the global North and South.” 

    “We are delighted to welcome the WomenX Collective programme under our roof and to  contribute to the success of this important project,” says Prof. Dr. Christopher Baum, Chairman of the BIH Board of Directors at Charité and Chairman of the Translational Research Department at Charité – Universitätsmedizin Berlin. “WomenX Collective aims to  leverage proximity to innovations and experts and Berlin features an outstanding ecosystem of health and innovation.” 

    “The opening of UNFPA programme in Berlin in partnership with the Charité/BIH offers an  opportunity to intensify the diverse initiatives in the field of women’s health and to make this  even more effective,” says Prof. Dr. Jalid Sehouli, Medical Director Department of Gynecology including center of oncological surgery (Campus Virchow Klinikum) and  Department of Gynaecology (Campus Benjamin Franklin). 

    About UNFPA:  

    UNFPA is the United Nations sexual and reproductive health agency. UNFPA’s mission is to  deliver a world where every pregnancy is wanted, every childbirth is safe and every young  person’s potential is fulfilled. UNFPA calls for the realization of reproductive rights for all and  supports access to a wide range of sexual and reproductive health services, including  voluntary family planning, quality maternal health care and comprehensive sexuality  education.

    About Charité:  

    Charité – Universitätsmedizin Berlin, a cutting-edge medical institution, is a leader in  diagnosis and treatment, with a special focus on severe, complex, and rare diseases and  health conditions. A medical school and university medical center in one, Charité has earned  an outstanding reputation worldwide, combining first-class patient care with excellence in  research and innovation, state-of-the-art teaching, and high-quality training and education.  At Charité, people and their health come first. Charité is dedicated to transformative  translational research, applying the very latest scientific findings to prevention, diagnostics,  and treatment and harnessing clinical observations to develop new lines of research and  scientific questions. Charité’s foremost goal is to actively help shape the medicine of the  future, all with one aim in mind: improving patients’ lives and quality of life.  

    With more than 100 departments and institutes spanning four campuses and 3,293 beds,  Charité is one of Europe’s largest university medical centers. At Charité, the areas of  research, teaching, and medical care are closely interconnected. Averaging about 23,500  across the entire group of companies, Berlin’s university medicine organization remained  one of the capital city’s largest employers in 2023. Last year, Charité provided care for some  138,000 inpatients and day case patients and about 788,000 outpatients. There are 9,879  students enrolled in medicine, dentistry, health care sciences, and nursing programs here, at  one of Germany’s largest medical schools. https://www.charite.de/en/ 

    About the Berlin Institute of Health at Charité:  

    The mission of the Berlin Institute of Health at Charité (BIH) is medical translation:  transferring biomedical research findings into novel approaches to personalized prediction,  prevention, diagnostics and therapies and, conversely, using clinical observations to develop  new research ideas. The aim is to deliver relevant medical benefits to patients and the  population at large. As the translational research unit within Charité, the BIH is also  committed to establishing a comprehensive translational ecosystem – one that places  emphasis on a system-wide understanding of health and disease and that promotes change  in the biomedical translational research culture. The BIH was founded in 2013 and is funded  90 percent by the Federal Ministry of Education and Research (BMBF) and 10 percent by  the State of Berlin. The founding institutions, Charité – Universitätsmedizin Berlin and Max  Delbrück Center, were independent member entities within the BIH until 2020. Since 2021  the BIH has been integrated into Charité as its so-called third pillar. The Max Delbrück  Center is now the Privileged Partner of the BIH.

    MIL OSI United Nations News

  • MIL-OSI United Kingdom: Our Future Health becomes world’s largest research programme of its kind

    Source: United Kingdom – Executive Government & Departments

    Our Future Health has now reached a critical milestone with over a million people from across the UK having completed all steps of the joining process. This makes it now the largest longitudinal cohort study in the world.

    The programme aims to transform the prevention, detection and treatment of conditions such as dementia, cancer, diabetes, heart disease and stroke. With eventually up to five million volunteers right across the UK, the goal is to create one of the most detailed pictures ever of people’s health. Our Future Health already has the largest ever number of participants from under-represented groups in a health research programme.

    To coincide with this milestone, the SMC invited Dr Raghib Ali OBE, Chief Executive and Chief Medical Officer of Our Future Health, to brief journalists on the socio-demographic and health characteristics of the first million participants for the first time and the impact such a large and diverse cohort will have on the prevention, detection and treatment of diseases.

    Speakers included: 

    Dr Raghib Ali OBE, Chief Executive and Chief Medical Officer of Our Future Health

    Professor Michael Cook, Executive Director of Science, Our Future Health

    Professor Dame Anna F Dominiczak, Chief Scientific Adviser for Health, Scottish Government

    MIL OSI United Kingdom

  • MIL-OSI United Kingdom: Major crackdown on NHS waste

    Source: United Kingdom – Executive Government & Departments

    A new strategy is being published to radically cut the number of single-use medical devices in the health service.

    • Move to scrap single-use MedTech as Health and Social Care Secretary launches waste blitz
    • Tens of millions of disposable items are binned after just one use
    • MedTech companies incentivised to produce sustainable products – pumping millions back to NHS frontline and cash into economy

    The government is launching a major crackdown on waste in the NHS to save millions of pounds a year, helping to divert more resources to frontline care.

    A new strategy – the Design for Life Roadmap – is being published to radically cut the number of single-use medical devices in the health service and reduce our reliance on foreign imports.

    Disposable medical devices substantially contribute to the 156,000 tonnes of clinical waste that the NHS produces every year in England alone. The roadmap paves the way to slashing this waste and maximising reuse, remanufacture and recycling in the NHS. 

    Doing so will create thousands more UK jobs and help transform the country into a life sciences superpower. As it stands, millions of devices like walking aids and surgical instruments are thrown away after just one use.

    Harmonic shears – surgical devices which seal patients’ wounds using ultrasound waves – each cost more than £500 and around 90% of them are binned after a single use. Innovative companies are already purchasing these used devices and safely remanufacturing them at a lower price.

    The government will encourage more of this kind of innovation to safely remanufacture a wider range of products and drive costs down, including by changing procurement rules to incentivise reusable products and rolling out examples where hospitals are already leading the way on cutting wasteful spending and practices.

    Approximately £10 billion each year is spent on medical technology like this in the NHS, but too much of it is imported via vulnerable routes that risk disrupting patient care.  

    A Circular Economy Taskforce has already been created to foster more highly skilled green jobs and smarter use of our resources. An economy wide shift to a circular economy could add £75 billion to the economy and create 500,000 jobs by 2030.

    Health and Social Care Secretary Wes Streeting said:

    The NHS is broken. It is the mission of this government to get it back on its feet, and we can’t afford a single penny going to waste.

    Because the NHS deals in the billions, too often it doesn’t think about the millions. That has to change. This government inherited a £22 billion blackhole in the public finances, so we will have a laser-like focus on getting better value for taxpayers’ money.

    Every year, millions of expensive medical devices are chucked in the bin after being used just once. We are going to work closely with our medical technology industry, to eliminate waste and support homegrown medtech and equipment.

    The below case studies illustrate the potential savings:

    • Mid Yorkshire Trust uses 330,000 single use tourniquets in a year, but a single reusable tourniquet can be used 10,000 times. In a one-year trial, reusable alternatives saved £20,000 in procurement costs and 0.75 metric tonnes of plastic waste.
    • In Northampton Hospitals NHS Trust, a single Ophthalmology department saved 1,000 pairs of disposable scissors and £12,000 in a year by switching to reusable pairs. Single-use scissors are often used in surgical settings. NHS procurement data shows that several million pairs of single-use scissors were purchased by the NHS in a single year (2022-23). That is the equivalent of hundreds of pairs of scissors thrown away every hour.
    • Leeds Teaching Hospitals Trust saved £76,610 in costs purchasing 604 remanufactured Electrophysiology (EP) Catheters, and generated a further £22,923 for selling used devices for collection. If the same approach were to be scaled up across the UK, the NHS could save millions of pounds per year on EP catheters alone, just a few product lines among hundreds of thousands.
    • Harmonic shears are complex devices for performing surgical procedures and cost more than £500 each, yet around 90% are binned after a single use. Leeds University Teaching Hospitals Trust has demonstrated that companies can safely remanufacture them, giving up to 50% cost savings.

    The Design for Life programme will reduce this kind of waste and achieve an NHS-wide move to sustainable alternatives– also supporting the government’s net zero goals.

    A new roadmap sets out 30 actions to achieve this shift – including how the government will work with companies to encourage the production of more sustainable products, along with training for NHS staff on how to use them.

    Taking this approach will mean more money can be spent in the UK, driving growth, creating more engineering, life sciences and research jobs – all while securing savings for the NHS budget.

    Many of these products include precious metals such as platinum and titanium which are in high demand but go to landfill when they could be recovered and sold. A reduction in the amount of disposed single-use devices will also reduce the country’s carbon footprint and plastic pollution.

    The government will encourage industry figures to innovate by making sure benefits of reusable MedTech are part of how the NHS chooses the products it buys.

    Baroness Merron visited University College London Hospital on Tuesday, 15 October. The hospital is a member of the Circular Economy Healthcare Alliance, which advocates for sustainable practices within the NHS.

    Health Minister Baroness Gillian Merron said:

    Design for Life doesn’t just deliver on the Health Mission, to build an NHS fit for the future, it also delivers on our Growth Mission to make the UK a life science superpower and our commitment to get the NHS to net zero by 2045.

    She toured a mock operating theatre and was shown various sustainable products its NHS staff use – from simple products like gowns and scissors to sophisticated, expensive products like harmonic shears.

    Professor Sir Stephen Powis, National Medical Director of NHS England, said:

    While the NHS is treating record numbers of patients, we know there is much more to do to ensure taxpayers get value for money.

    The NHS made a record £7.25bn worth of efficiency savings last year and is targeting a further £9bn of savings for 2024/25. But we are rightly still looking for ways to get our money’s worth for every penny we spend.

    NOTES TO EDITORS:

    • The Design for Life programme was developed with more than 80 stakeholders from the UK MedTech industry, the health and care system, and research organisations.
    • It forms part of the government’s ambition to transform the UK into a life sciences superpower and ensure sustainability.

    Updates to this page

    Published 16 October 2024

    MIL OSI United Kingdom

  • MIL-OSI Australia: Joint doorstop interview, Brisbane

    Source: Australian Treasurer

    JIM CHALMERS:

    Welcome to the most important electorate in Australia, the People’s Republic of Rankin. Welcome to the PM, Clare, Meaghan, this is our home patch. Cameron Dick and I and Shannon Fentiman, we’re really proud to represent this part of South East Queensland. We’ve got really 2 fantastic announcements to be making today.

    The first one which Clare will elaborate on is that we are announcing more money for this part of the world for more housing. More housing for Meadowbrook, more housing for South East Queensland, more housing for middle Australia, and most importantly, more housing for essential workers and social housing tenants near where the jobs and essential services are being provided. The wonderful thing about this part of South East Queensland – we’ve got a university there, a hospital and a TAFE there, a retail centre there, 2 motorways, a train station – and this is all about making sure that we build more homes for Australians where the jobs and essential services are. And so it’s a really important day to be making this announcement. This kind of funding is at risk with the worst combination of David Crisafulli and Peter Dutton and we make that clear as well today.

    More homes for our local community. Our highest priorities are housing and the cost of living and the Albanese Labor government, the Miles Labor government, we work together really closely to do whatever we can to build more homes and to ease the cost of living for more people. And a really important part of what we’re announcing today are our efforts to crack down on excessive charges when it comes to using credit cards and debit cards and tapping your phone. Too many Australians are paying too much when they tap their phone or use their credit cards. Too many Australians are paying too much when it comes to excessive fees on debit cards, in particular. We are cracking down on excessive fees for debit cards and we are funding the ACCC to do their important work in this regard as well. We are prepared to ban surcharges on debit cards subject to the important work that the RBA is doing, and also making sure that there aren’t unintended consequences for small businesses and for consumers. This is all about a better deal for consumers and small businesses. People are paying surcharges which are too high just to use their own money, and we want to see what we can do to crack down on that. We are prepared to ban the surcharges on debit cards subject to making sure that consumers and small businesses are the beneficiaries of any change. This is a really complex system. There are a number of fees at play in this system. It’s why the RBA’s work is so important, and it’s why it’s so important that this Albanese Labor government is taking action to crack down on excessive fees. While this work is being undertaken, we will provide $2.1 million to the ACCC for their education and monitoring and to make sure that businesses are doing the right thing when it comes to the charging of these fees and surcharges. We are making it really clear today. This Albanese Labor government is about easing the cost of living and building more homes. Whether it’s excessive surcharges using debit cards, whether it’s building more homes in communities, just like the Miles government, we are focused on the main game for middle Australia and that’s why we’re here today. I’ll throw you over to the Deputy Premier and Treasurer of Queensland, Cameron Dick.

    CAMERON DICK:

    Well, thanks, Jim. It is terrific to have the Prime Minister, Jim, Clare and Meaghan in Logan here today to announce more homes for Queenslanders. And this is what happens when you have a State Labor government and a Federal Labor government working together to deliver for the people of Queensland. This isn’t something you get from the Greens and it is certainly something you would never get from the LNP. It’s also great to have 2 Queensland based institutions, the Australian Retirement Fund and the Brisbane Housing Company, collaborating together to deliver on this project. We’ve already got homes through that collaboration coming out of the ground in Redcliffe, Chermside and Southport and now we will see more homes right here in Logan for hardworking Queenslanders. And so we very much welcome this announcement today and we thank the Prime Minister and his federal team for supporting Queensland.

    I just wanted to say something briefly before I hand over to the Prime Minister on David Crisafulli and the LNP’s election commitments, their costings and of course, their plan for cuts. Yesterday, David Crisafulli said he wouldn’t borrow for the operational costs of government. That would mean David would have to cut $3 billion as soon as he took office in October. It means David Crisafulli would have to cut $10 million a day, each and every day until the 30th of June next year to deliver on his promise. That means there are 17,000 Queenslanders whose jobs are now on the line under David Crisafulli and the LNP. And that is before he even finds one cent to pay for the $18 billion in election commitments that are unfunded and that he has already announced in this campaign. David Crisafulli won’t even tell Queenslanders the total of the election commitments he’s made in this campaign so far. That’s because he would have to tell Queenslanders what he would have to cut to deliver on those promises.

    I’ll hand over to the Prime Minister and thank him again for coming to Queensland and making this important announcement for the people of our state.

    ANTHONY ALBANESE:

    Well, thanks very much, Treasurer. And it’s great to be here with 2 treasurers and 2 housing ministers and I think 3 local members here in Logan. It’s fantastic to be, particularly to be in my friend, the Treasurer’s electorate of Rankin, and to show what happens when good Labor governments work together. This is about 1,100 new homes for Queenslanders – 1,100 new homes that will be built, including right here on this site, but throughout South East Queensland as well. It comes on top of, just a couple of weeks ago, the announcement we made in Cairns with about 500 new affordable and social homes being built there. This is about increasing housing supply, which is what our commitment is to do.

    It’s also about easing the cost of living and the measures that the Treasurer spoke about before in outlawing debit card surcharges, having a real crack at making sure that people, when they use their own money, there shouldn’t be surcharges on them using their money. And that’s why we are providing additional funds – $2.1 million for the ACCC – but also the Reserve Bank doing their inquiry to make sure that the details of this are got right, that small businesses looked after on the way through. This is my government’s priority, looking after the cost of living whilst also delivering on housing supply in partnership with state and territory governments. And it stands in stark contrast to our opponents. Be it David Crisafulli, who doesn’t seem to have too many policies I’ve got to say, at the Queensland election, and certainly no costed ones, and the Federal Opposition that today Michael Sukkar was out there once again just being opposed to our investment in new housing. They said they’ll get rid of the Housing Australia Future Fund. They’ve said they’re against the targets that we’ve set in partnership with state and territory governments, with those financial incentives for better planning for state and territory governments to make sure that we increase the supply. This project here as well is about our support for infrastructure in order so that homes can be built. It’s one of the missing pieces in the puzzle of housing supply that we are addressing. Making sure that energy, sewerage, water can all be connected so that new homes can be built. Something that we are providing that was never provided under the former government that didn’t for a while even bother to have a Housing Minister. I’ll turn to Clare and then we’re happy to take questions.

    CLARE O’NEIL:

    Thank you, PM and Treasurer, can I thank you for welcoming us to your beautiful electorate. We all know a bit about Jim Chalmers and one way to get the guy talking is to ask him about his community here in Rankin and you won’t hear the end of it. He is a huge advocate for this local area, he’s very proud of where he comes from, and it’s fantastic to be here. This is a really big and important announcement for South East Queensland where the Albanese government and the Miles Labor government here are announcing 1,100 new homes for Queenslanders. Five hundred will be constructed on this site here in Meadowbrook and 600 others will be scattered around some of the nearby suburbs. This is a reflection of what gets done when state and federal governments identify something that matters hugely to our constituents and that’s housing, and then works together to make a difference to that problem. We are, without question, one of the boldest and most ambitious Commonwealth governments on housing that we have seen for a generation in this country. We came from a standing start. The Prime Minister here mentioned that for most of the time the Coalition were in power, they didn’t even have a Housing Minister. Didn’t even have a Housing Minister. That’s how tapped out they were on this critical problem. Well, we have changed all that. Our country, led as it is by a Prime Minister whose access to housing in his childhood totally transformed the rest of his life. So, what are we doing? We’re building more homes. An ambitious target to build 1.2 million homes around the country over the coming 5 years. We’re helping renters through the work we’re doing with National Cabinet and lifts to the Commonwealth Rent Assistance payment. And we’re making sure that more Australians can own their own homes. We’ve helped 120,000 citizens get into home ownership in the time we’ve been in government. And we would be able to do more if other parties in the Parliament would come together and work with us. Now, we’ve got boldness and we’ve got ambition. But what do I see when I look at other parties in the Parliament? Well, I see the Greens who say some of the right things about housing. But when it comes time to make real progress for real people, instead of helping childcare workers and aged care workers get into housing, they instead try to play politics and stand in their path. And then I see the Liberals who have not a shred of credibility when it comes to housing. We heard this morning the Shadow Housing Minister, Michael Sukkar, make extraordinary admissions in a radio interview where, firstly, he said that the government is being too ambitious about housing. He says that if the Liberals are elected federally, they will scrap having a housing target altogether. Well, it’s that kind of low ambition that got us to where we are right now. And that is in a housing crisis where this is affecting the lives of millions of people in our country and the Liberals want us to lower our ambitions. The second thing he told us is that they want to make more cuts to states and territories in the funding that we’re giving them to make housing possible. Well, this is where we are right here. 1,100 new homes that’s made through that partnership that we’ve worked through with National Cabinet and we know with the Liberals we’ll get what we always get. That is cuts, cuts, cuts that hurt real people.

    ALBANESE:

    Happy to take questions.

    JOURNALIST:

    PM, on the banking surcharge, it’s been welcomed by some, but others are saying that a few cents here and there might not save people that much in a cost living crisis. I guess, how do you expect it to assist people if they’re only saving small amounts on these surcharges?

    ALBANESE:

    We think it’ll make a difference. And when people go and they see a price up on the board at the business where they’re making a purchase – that should be the purchase price. There shouldn’t be hidden charges and surcharges there when people are using their own money. Bear this in mind – a debit card is taking money directly from people’s accounts. It is their money and there shouldn’t be surcharges on it.

    JOURNALIST:

    Prime Minister, this is a housing announcement, do you think it’s a good look to be buying a $4.2 million home during a cost‑of‑living crisis?

    ALBANESE:

    Well, Jodie and I are getting married, as is known, and I’m pleased about that. And Jodie’s a Coastie. She’s a proud Coastie. She’s as proud of being a Coastie as Jim is here, of being a Logan lifelong resident. There are 3 generations of Haydons on the coast there. And when your relationship changes, your life changes and you make decisions. But what I’m focused on is making sure that everyone can get a roof over their head. I’m focused on increased public housing and social housing investment. That’s why we have our Housing Australia Future Fund. We’re focused on increased rentals, which is why we have our Build to Rent scheme. And we’re focused, in addition to that, in getting more housing supply, such as the 1,100 homes for Queenslanders that we’re announcing right here.

    JOURNALIST:

    PM, buying a $4 million dollar home is very different to buying a modest family home or living on a block like this. Do you think it’s a good look?

    ALBANESE:

    I have – of course, I am much better off as Prime Minister. I earn a good income. I understand that. I understand that I’ve been fortunate, but I also know what it’s like to struggle. My mum lived in the one public housing that she was born in for all of her 65 years. And I know what it’s like, which is why I want to help all Australians into a home, whether it be public homes or private rentals or home ownership.

    JOURNALIST:

    PM, it’s been reported that Australia is seeking an assurance from PNG it won’t sign new security agreements with China in return for the $600 million assistance package for its NRL bid. Can you confirm if there is a security element in this agreement and what exactly it says?

    ALBANESE:

    This is a relationship between friends and what we don’t do is have our security arrangements out there in public. What we do is to work with our friends and partners. Papua New Guinea has made it very clear that Australia is their security partner of choice.

    JOURNALIST:

    PM, do you plan to retire at that house on the New South Wales Central Coast?

    ALBANESE:

    Sorry?

    JOURNALIST:

    Are you planning to retire there?

    ALBANESE:

    I’m planning to be in my current job for a very long period of time.

    JOURNALIST:

    Are you going to rent it out in the meantime?

    ALBANESE:

    I’m planning to be in my current – I haven’t bought it yet. To be clear, it hasn’t settled yet, these arrangements, I’m very transparent. I declare everything. I’ve declared, some time ago, if you followed the story that I was selling a house in the Inner West that will make a contribution towards this.

    JOURNALIST:

    There’s been a lot of commentary around the hope from Federal Labor that some of the frustration may be taken out on October 26 and then maybe go easy at the federal election. What do you make of this and are you concerned about support for Labor in Queensland?

    ALBANESE:

    I want people to vote Labor in Queensland and to return Steven Miles as the Premier and this bloke here as the Deputy Premier, because I want a government that actually cares about Queenslanders. It’s a government that’s committed to increasing housing supply, that’s committed to dealing with cost‑of‑living pressures, including the 50 cent fares. I had the privilege of going on Gold Coast Light Rail yesterday. It’s committed to the free school lunches to make sure that people are looked after. This is a government that is getting things done and is worthy of re‑election and I’m very pleased to campaign with them.

    JOURNALIST:

    PM, Canada has expelled 6 Indian diplomats, accusing them of being part of a criminal network targeting the Sikh diaspora. Have you spoken, or do you plan to speak with Canada’s Prime Minister, Justin Trudeau about this?

    ALBANESE:

    I speak with the Prime Minister of Canada all the time.

    JOURNALIST:

    Does Australia –

    ALBANESE:

    I speak with the Prime Minister of Canada all the time. And what I do in my relationships with international leaders is I have proper discussions with them and that’s how we get things done. And that’s why – one of the reasons why my government has been so effective in international diplomacy.

    JOURNALIST:

    On the Bruce Highway, why won’t you match Peter Dutton’s commitment for an 80/20 split.

    ALBANESE:

    He hasn’t done anything. His commitment? He was part of a government that didn’t fund things, that was good at media releases. I’ll give you the big clue. You can’t drive on a media release. What you can drive on is a road. And to build a road, you need money. So, Rockhampton Ring Road, for example, was $700 million short in terms of its funding. The former government made announcements with $0 attached to it, from time to time. When we came into government last time, we put record funding into the Bruce Highway. $1.3 billion under the Howard government, $7.6 billion under us, and we have $10 billion in our plan for the Bruce Highway, including additional money that we put in in the last Budget.

    JOURNALIST:

    So, those accusations are credible that we were talking about just before?

    ALBANESE:

    I’ve answered your question.

    JOURNALIST:

    Queensland has – you took a 50 cent fare yesterday. Obviously it’s a fair bit more expensive in Sydney, Melbourne, Canberra, to take a light rail, in Canberra. Should it not be? I mean, it’s increased our patronage in Queensland and would not do the same thing elsewhere?

    ALBANESE:

    Well, it’s a matter for state and territory governments. But I say this, that the Queensland government – and Cameron or Meaghan might want to comment on this as well – it’s been a huge success. Increasing patronage gets cars off the road, saves people money and also it’s good for people’s health. It’s good for a range of reasons to increase public transport patronage and from a Commonwealth government perspective, I make this point, when it comes to infrastructure. Gold Coast Light Rail, $365 million in the 2009 budget from the government when I was the Infrastructure Minister and now stage 3 underway, will be completed next year. It was opposed by the LNP – state and federal. You had federal LNP members like Steve Ciobo collecting petitions against Gold Coast Light Rail. Cross River Rail, major project to increase the whole capacity of the network was funded $715 million from the Commonwealth with an availability payment going forward each year in partnership with what was the Queensland LNP government then, originally started under the Labor government. Tony Abbott got elected, the whole thing crashed, and then they came up with this ridiculous plan that didn’t go anywhere. Cross River Rail would be open today if Labor governments had kept being elected. That’s why we believe in this. That’s why we’re funding Sunshine Coast Rail as well.

    JOURNALIST:

    Question for Mr Dick, please.

    ALBANESE:

    Sure.

    JOURNALIST:

    Credit rating agency S&P Global has warned Queensland’s AA+ credit rating is in danger of being downgraded due to your spending. How concerning is that?

    DICK:

    Well, S&P Global and Moody’s went through the Queensland Budget books top to bottom, left to right, up and down after our Budget, and they reaffirmed our AA+ credit rating. And when you look at our competitor states, our comparative states in New South Wales and Victoria, we are streets ahead of them when it comes to budget management and fiscal management in this state. Just a week ago, I announced the unaudited financial results for Queensland. Our net debt for last financial year has been halved from $12 billion to just under $6 billion. Our surplus went up from $600 million to $1.7 billion. And let’s put that in comparison to New South Wales and Victoria. So, our net debt at the end of last financial year was $5.7 billion. In New South Wales , it was $97 billion. In Victoria it was $136 billion. So, that means New South Wales debt is 16 times higher than Queensland and Victoria’s debt is 22 times higher. And so we are in a really strong position to make commitments and deliver on them because our commitments are fully funded. And the question for David Crisafulli and David Janetzki, who did 2 train wreck interviews today, the Shadow Treasurer who’s been in an LNP witness protection program, has not been seen with the Leader on the campaign trail for 2 weeks. And that is disrespectful to train wrecks because a train needs momentum and forward movement before it can run off the rails. We haven’t seen or heard from that bloke. And when he came out today, he didn’t say to Queenslanders – he couldn’t even tell Queenslanders what the total cost of their commitments would be, nor how they would pay for them. Now, their election commitments in this campaign are twice as high as ours. The LNP election commitments in this campaign now total $18 billion, twice as high as Labor. We’ve been upfront about how we’re paying for that. The only way that David Crisafulli can deliver on his promise of not borrowing for operational costs of government, by spending more, reducing taxation, lowering debt, delivering balanced budgets, not having a fiscal deficit, having a fiscal surplus. He has promised all of those things in this campaign. The only way he can deliver that is by cutting and that is what he is going to do. And that should put a shiver down the spine of every Queenslander, because the last LNP leader who offered to the community that he would look after the money of the people of Queensland, the last LNP leader who said that he would deliver a fiscal surplus was Campbell Newman. And 14,000 Queenslanders paid for that promise with their jobs. They built nothing for 3 years. So, they cut operating expenditure and they cut infrastructure expenditure. And the hide of David Crisafulli to say to Queenslanders that he respects money. The hide of David Crisafulli. David Crisafulli doesn’t respect public or private money. This is a man who was responsible for a training company that collapsed under $3 million of debt and owed the Australian Taxation Office $750,000. That’s not a man who respects money. That’s a man who disregards every single creditor of that company, including creditors that came from this community. And so we are fighting hard for the future of Queensland. Fully costed, fully funded plans, our promises will be delivered within the budget envelope and the funding envelope we’ve set aside. You cannot say the same for David Crisafulli.

    JOURNALIST:

    He wouldn’t have said what they’d said if they didn’t have concerns, though, surely?

    DICK:

    Well, let’s see what happens when I do – if I have that privilege – when I do the Budget update in December and when I do the Budget next year. Because there are 2 aspects to budgets, one’s expenditure and one’s revenue. And so you have to look at the budget position in total before we go to the ratings agencies and before they look at us. And so we’ll continue to deliver as we’ve delivered for every budget, except my first one, we’ve beaten our debt projections in every budget that I’ve delivered as Treasurer and we’ll continue to work hard to maintain that AA+ credit rating. We are the only state of the big 3 states that didn’t have a credit rating downgrade during or subsequent to COVID. That was because of our effective and appropriate financial and budgetary management and we’re going to continue on that path and people can trust us to deliver on our promises. The only thing you can trust David Crisafulli to do if he’s elected Premier is to cut. Anything else?

    JOURNALIST:

    Mr Janetzki was on radio this morning that he would release his costings once they make their final announcement. Is that the typical convention? Are you aware of that? And do you think it’s good enough considering voters already going to the polls?

    DICK:

    Look, this is all just a smokescreen for David Crisafulli to hide his plan for cuts. Our Party, Queensland Labor, has been the most transparent of any political party in any election in history. We put our costings live 2 weeks ago. We said upfront what we would do and how we would pay for it. And I released a budget economic and tax plan 2 weeks ago. Two years ago, David Crisafulli promised to release a tax and debt plan for Queensland. It is now 11 days until the election. David Crisafulli has been the Leader of the LNP now for more than 1,200 days and he still won’t be honest with the people of Queensland. And look, it’s just obvious the reason they won’t tell Queenslanders the total of their election commitments is because they would have to reveal to Queenslanders what they need to cut to deliver those election commitments. Which is why they’re hiding their costings, hiding their funding sources, because their single biggest funding source is to cut. And that’s why they’re not being honest with you.

    JOURNALIST:

    Amy McMahon from the Greens reckons you’re a hypocrite for recommending a preference for the Katter Australia Party in North Queensland. Are you not assisting an anti‑abortion party here by putting them above the Liberal Party?

    DICK:

    I don’t take political advice from the Queensland Greens Political Party. I never have and I never will. Anything else?

    JOURNALIST:

    What have you made of voter sentiment on the ground?

    CHALMERS:

    I don’t like being called the other Treasurer, but sure, you go ahead.

    JOURNALIST:

    What have you made of voter sentiment around the area? How closely will you be watching the result, particularly around this area?

    CHALMERS:

    Oh, look, Queenslanders right around our state desperately need a re‑elected Miles Labor government. You know, I was listening to Cameron and to the PM a moment ago. You know, Cameron is running one of the strongest budgets in the Commonwealth and that’s because we have a couple of things in common. You know, we are all about responsible economic management so that we can afford to provide cost‑of‑living relief for people who really need it, whether it’s in our community right around Queensland or indeed right around Australia. So, we have that in common and we want to work with the Miles Labor government after the election in a couple of weeks’ time. Now, as Cameron rightfully pointed out a moment ago, David Crisafulli and Peter Dutton have got something in common as well. Neither of them will come clean on their secret cuts. And those cuts that Peter Dutton and David Crisafulli won’t tell us about will make Queenslanders and Australians personally financially worse off. They’ll come after wages, they’ll come after housing, they’ll come after health. They will absolutely gut the joint. And we know this because Peter Dutton did that last time with Medicare when he was the Health Minister. And we know this because David Crisafulli is essentially Campbell Newman 2.0. And that was devastating for our local community. That has been a real low point for this part of the world seeing the way that Campbell Newman slashed and hacked at the essential services that local people desperately need. You asked a moment ago about our surcharging change and what it will mean for the cost of living. Now, that’s an important step that we are taking to help ease the cost of living, but it’s not the only step. Tax cuts for every taxpayer, Energy Bill Relief for every household, cheaper medicines, Rent Assistance, cheaper early childhood education, getting wages moving again. And here we have an enthusiastic and willing partner in the Miles Labor government. Cheaper fares for these communities in the outer suburbs are absolutely transformational. I’ve lost count of the amount of times that people have come up to me and said, ‘if you run into Cameron, or if you run into Steven, can you tell him how much we value those 50 cent fares?’ So, I’ll do that in front of all of our friends now, Cam. People appreciate the Energy Bill Relief that we’re working together with Steven and Cameron and Meaghan to provide. And so we desperately need a Miles Labor government re‑elected. We love working with these guys, not because we always have an identical view about every single issue, but because we’ve got a heart for local people. And that shows when it comes to housing, when it comes to health, and when it comes to cost of living.

    JOURNALIST:

    Sorry, just on the sentiment, you pick up anything on the ground around you?

    CHALMERS:

    Yeah, well, in our communities, people are desperately relying on the cost‑of‑living help that the Miles government and the Albanese government are providing. Now, we know that people are under pressure. You know, we know that people are doing it tough, but more than acknowledge that, we’re doing something about it. In all of the ways that I ran through a moment ago. And today, in addition, when it comes to surcharging on people’s debit cards, people shouldn’t be paying huge fees to use their own money. The Prime Minister has made that clear and we’ve made that clear today. So, in these local communities, we take no votes for granted. We don’t take any outcome for granted in this election. But I know I’ve seen what it’s like to have mostly state LNP members around here. I’ve seen what it’s like to have mostly Labor state members around here. We desperately need Labor members in this part of the world to look after the interests of the people and to work with Albo and I to make sure we’re rolling out that cost‑of‑living help.

    JOURNALIST:

    So, Queensland has – the Liberal National Party in Queensland has 21 of the federal seats in Queensland. Do you think that a plebiscite on nuclear power might change that?

    CHALMERS:

    Oh, we need to do better federally in Queensland. We’ve made that clear. You know, Anthony is an honorary Queenslander. You know, he spends a lot of time here in Queensland and I think Queenslanders understand because he is a practical, pragmatic leader and we are practical and pragmatic people in Queensland. And so, we need to do better, we’ve acknowledged that. Queensland is front and centre when it comes to our efforts as a Federal Labor government, including in the upcoming federal campaign. But first, we’ve got to re‑elect these guys because 2 Labor governments working together are better for local communities like this one.

    JOURNALIST:

    Queensland Labor has announced help for GP clinics that bulk bill. Isn’t that a tacit admission that Federal Labor hasn’t done enough to stop the gap, the Medicare gap, which has led to this?

    CHALMERS:

    No, I think it’s a tacit admission that both Labor governments are investing, in our case, billions and billions of dollars in strengthening Medicare. Now, there’s an Urgent Care Clinic down the road in Browns Plains which is making a major difference, taking the pressure off Logan Hospital, which is just next door. These are the investments that Labor governments make in local communities in getting out of pocket health costs down. And we welcome the contribution that the Miles Labor government comes to the table with when it comes to providing more money for health, so that we can get out of pocket costs down, so we can get the waiting times down, so that we can take pressure off local hospitals. But most importantly, make sure that we’re providing the healthcare that local families and pensioners need.

    JOURNALIST:

    When you were in Opposition, how many days before the election did you announce your costings?

    CHALMERS:

    Well, we did, unfortunately, we had a couple of goes at it when we were in Opposition and the timing of that varied. The difference was, you know, we didn’t have a big agenda for secret cuts like David Crisafulli does, and like Peter Dutton has. You know, Peter Dutton and Angus Taylor say that there’s $315 billion of spending in the Commonwealth Budget that they don’t support. That includes pension indexation, that includes Medicare funding, that includes funding for veterans, it includes funding for housing. And David Crisafulli and Peter Dutton are joined at the hip when it comes to their secret plans for cuts. I don’t think Queenslanders are asking too much when they say to David Crisafulli, ‘come clean in time for us to make an informed decision.’ And when they do, and if they do, they will understand that the Miles Labor government is providing cost‑of‑living relief, investing in housing and health, and David Crisafulli will cut all of those things as sure as night follows day.

    JOURNALIST:

    Why upgrade the travel advice to Israel and the Occupied Palestinian Territories?

    ALBANESE:

    It’s a dangerous place at the moment. We know that that’s the case. So, what we do is we take advice from our security agencies and the government then implements that advice. We know that travelling into an area where there is conflict is a dangerous thing to do and it’s appropriate that the federal government make announcements in accordance with that advice from the security agencies. Can I just make one further point before we wrap up, which is that I was noticing – Clare probably noticed as well this morning – Michael Sukkar actually speak about the delay in implementing the Housing Australia Future Fund roll out and Help to Buy scheme that’s stuck in the Senate. Well, Labor are the builders, they’re the blockers. Between the LNP and the Greens, they blocked the Housing Australia Future Fund and now they’re still blocking the Help to Buy scheme. They could vote for it tomorrow or the next day that Parliament sits, but they don’t. So, they vote against it, block it and then complain that there’s a delay in its implementation. That says it all about how hopeless the Opposition are when it comes to policies that will actually deliver more housing supply. Thanks very much.

    MIL OSI News

  • MIL-OSI USA: What is a Coral Reef?

    Source: NASA

    Coral reefs cover only 1% of the ocean floor, but support an estimated 25% of all marine life in the ocean, earning them the moniker ‘rainforest of the sea.’ They also play a critical role for coastal communities; preventing coastal erosion, protecting coastlines from hurricane damage, and generating $36 billion in annual income worldwide.
    We asked Juan Torres-Pérez, a research scientist and coral reef expert at NASA Ames Research Center, about the science behind coral reefs, and the role they play in both marine ecosystems and human communities.

    Reef
    Reefs are ridge-like structures, either natural or artificial. “A reef by definition is a structure that provides some relief above the ocean floor,” Torres-Pérez said. “It could be something man-made: you can pile a bunch of car tires, and then they get colonized by different organisms. Or it could be natural: a small hill on top of the ocean floor in which the primary framework is a rock.”
    Corals
    Corals are animals from the phylum Cnidaria, typically found along tropical coastlines. They comprise hundreds to thousands of living organisms called polyps, each only a few millimeters in diameter. Each polyp has its own body and a mouth with stinging tentacles to capture food such as plankton and small fish. The polyps grow together until they form a colony, and it is this colony that we recognize as a coral. There are two types of coral: hard corals and soft corals. Hard corals, also known as stony corals or more formally as Scleractinians, secrete calcium carbonate to form a hard skeleton; it is this type of coral that form a coral reefs. Soft corals, also known as Alcyonacea, are fleshy and bendable, often resembling trees or fans.  

    The colorful appearance of corals comes from the microscopic algae that live inside coral cells, called zooxanthellae. These algae perform photosynthesis, bringing vital food and nutrients to the corals. “The majority of the products from photosynthesis, about 80 to 90%, pass on to the coral, and then the coral uses those for its own metabolism,” said Torres-Pérez. “This is why corals are usually found in shallow waters: because these organisms need the sunlight to photosynthesize.”
    Coral Reefs
    A coral reef is a term used to describe the collective structure of hard corals that help shape a coral reef ecosystem. “A coral reef is a reef whose main structure is made by living organisms, in this case corals,” said Torres-Pérez. “A coral reef will always be a reef, but not all reefs are coral reefs.” The largest coral reef in the world is Australia’s Great Barrier Reef, which is over 1,000 miles long and covers around 133,000 square miles.

    Healthy coral reefs play a crucial role in providing coastal protection, habitats for marine life, and even key ingredients for potential new medicines.
    “Coral reef ecosystems provide habitat for thousands of species, from unicellular organisms like bacteria or some phytoplankton communities, to large organisms like sharks, groupers or snappers, and reptiles like sea turtles,” Torres-Pérez said.
    Corals act as a protective barrier during big storm events such as typhoons or hurricanes and have proven to be 97% effective in preventing damage to the natural and built environment. As coral reefs have been damaged in recent decades, coastal flooding and erosion have increased, causing significant damage to coastal communities.
    Many communities depend on coral reefs as a resource to sustain their livelihoods. “These are critical ecosystems, not only in terms of the whole biodiversity of the planet but because they also provide sustenance for millions of people, especially in island nations,” Torres-Pérez said. Coral reefs also support fisheries (fish caught for commercial, recreational, or subsistence purposes), recreational activities, and educational purposes.
    Scientists have been exploring coral as a new ingredient source for some medicines. They have discovered that a chemical from coral can be extracted to create antibiotics that are effective against bacteria resistant to other types of antibiotics. These ingredients are replicated in a lab, eliminating the need to continuously harvest and harm corals.

    According to a 2020 report produced by the Global Coral Reef Monitoring Network (GCRMN), 14% of the world’s coral reefs have been lost since 2009. In the wake of the 2023-2024 global coral bleaching event, that number is expected to increase.

    Coral bleaching is caused by increasing ocean temperatures. As water temperatures rise, it causes corals to expel their zooxanthellae, leaving behind a bone-white shell and depriving the coral of its main food source. “Eventually what happens is that the coral is too weak to compete with other organisms, like filamentous algae, that can overgrow the coral and eventually kill the whole colony,” said Torres-Pérez.
    Other threats to coral reefs come from human activity, such as pollution or physical damage. “Increases in sedimentation from poor land management get deposited into the reefs,” said Torres-Pérez, citing urban stormwater runoff and deforestation as two examples of sedimentation. Coral sedimentation is the deposition and accumulation of sediments, like fine sands or mud, on a reef. This clouds the waters, blocking critical sunlight and reducing the ability of zooxanthellae to photosynthesize.
    Another human-caused threat to corals is eutrophication, the unnatural increase of nutrients in the water. “Eutrophication provides grounds for the development of filamentous algae, which grows much faster than corals,” said Torres-Pérez. Some of these excess nutrients in the water come from sewage released into coastal waters or runoff of agricultural fertilizers into the ocean. The algae feed off the excess nutrients and grow into massive blooms, which suppress the growth of corals.

    Moreover, Torres-Pérez pointed out that human-caused physical damage to reefs can result from mechanical damage, such as ship anchors being thrown onto corals. Some fishing techniques, like deep water trawling (dragging fishing nets along the sea floor), can also damage reefs by pulling and tearing corals away from their bases. On a more individual scale, coral damage can also result from being stepped on by humans, or accumulated trash left behind by beach-goers.

    Many coral reefs in the world are still unclassified, unexplored, or yet to be discovered. NASA’s NeMO-Net hopes to change that. Torres-Pérez, who is a Co-Investigator for NeMO-Net, described how the citizen science project functions like an interactive mobile video game, allowing anyone to identify corals. “Users can characterize different components of a coral reef based on 2D [and 3D] images of a coral reef,” said Torres-Pérez. “which goes into a machine learning component.” The information from these classifications is fed into a scientific model and helps NASA both classify and assess the health of coral reefs around the world. To learn more about NeMO-Net and how to get involved, check out their website.
    In 2022, Torres-Pérez founded OCEANOS (Ocean Community Engagement and Awareness using NASA Earth Observations and Science for Hispanic/Latino Students), a program aimed at bringing oceanography and STEM opportunities to the next generation of Hispanic/Latino students in Puerto Rico. During the program, students build and test their own low-cost optical sensors, test data in a phytoplankton lab, replant coral reefs, and create storymap presentations of their work. “We want students to feel confident and capable to pursue STEM careers,” Torres-Pérez said, “and we want them to become agents of change in their community to share the importance of preserving the ocean.”

    Outside of NASA, Torres-Pérez is an active member of the U.S. Coral Reef Task Force (USCRTF); an interagency body established in 1998 from Executive Order 13089: Coral Reef Protection that aims to preserve, protect, and restore coral reef ecosystems.

    To learn more about coral reefs and how they are monitored, Torres-Pérez recommends checking out resources from the National Oceanic and Atmospheric Administration (NOAA), which has a section on their website dedicated to corals. One notable coral reef resource from NOAA is their Coral Reef Watch website, which monitors sea surface temperatures on global and local scales. The website serves government and non-governmental agencies with their data products, which are used to monitor and predict climate impacts on coral reefs worldwide.
    Written by: Katera Lee, NASA Ames Research Center

    MIL OSI USA News

  • MIL-OSI Australia: NSW Government supports amended Equality Bill

    Source: New South Wales Government 2

    Headline: NSW Government supports amended Equality Bill

    Published: 16 October 2024

    Released by: Attorney General


    The NSW Government is today announcing the government’s support of the proposed amended Equality Bill to offer protections for members of the LGBTIQA+ community.

    First introduced to NSW Parliament in August 2023 by the Independent Member for Sydney Alex Greenwich, this Bill has been subject to extensive consultation, including a Parliamentary inquiry.

    The NSW Government has worked with the Member of Sydney on a number of proposed amendments.

    The amended Equality Legislation Amendment (LGBTIQA+) Bill 2023 proposes various legislative changes, including:

    • Allowing people to change their registered sex through an administrative process, without requiring surgery.
    • Making hatred for or prejudice against transgender, gender diverse or intersex people an aggravating factor in sentencing.
    • Updating terminology in laws to replace terms such as “HIV infection” and “suffering with AIDS” to “living with HIV/AIDS”.
    • Clarifying in the Mental Health Act 2007 that expressing, or refusing to express, a particular gender identity does not that someone has a mental illness.
    • Enabling a parentage order to be made for a child born through international commercial surrogacy, if it is in the best interests of the child and other criteria and important safeguards are met.

    The changes to allow people to register a change of sex without surgery are simple changes that will bring NSW in line with all other jurisdictions across the country.

    This follows ongoing work by the NSW Government to progress reforms that ensure all members of our community feel valued, respected and equal.

    The Minns Labor Government has already fulfilled our election commitment to ban ‘LGBTQ+ conversion practices’ through the Conversion Practices Ban Act 2024, which passed the NSW Parliament in March.

    The Premier also issued a formal apology in June to people convicted under discriminatory laws that criminalised homosexual acts, and passed legislation this year that meant more of these offences were able to be extinguished.

    In September, the NSW Government supported all 19 recommendations delivered by the Special Commission of Inquiry into LGBTIQ hate crimes, which examined the unsolved deaths of LGBTIQ people and found shortfalls in historical responses by the NSW Government.

    The Government has also announced that it is establishing the LGBTIQ+ Advisory Council, which will provide a mechanism for ongoing community consultation.

    Penny Sharpe, Leader of the Government in the Legislative Council said:

    “The changes proposed by the Equality Bill will make NSW a safer and more inclusive place – and they’ve been a long time coming.

    “People in every other state of Australia are already able to change their sex without requiring surgery, and this legislation will bring us in line with the rest of the country.

    “As a government, we’ve been committed to equality for a long time. Supporting this bill is our latest step to ensure every citizen in NSW is valued.”

    Michael Daley, Attorney General of New South Wales said:

    “The Equality Bill seeks to change multiple pieces of legislation to make NSW a more inclusive place.

    “As legislators, it is our job to reflect the views of the community, and in this instance, it is clearly time for these pieces of legislation to be updated.”

    MIL OSI News