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Australia’s greatest health challenge

Chronic diseases are responsible for 83 per cent of all premature deaths in Australia and 85 per cent of the burden of disease.

So it comes as no surprise that they have been described as “Australia’s greatest health challenge”.

Chronic diseases, also known as non-communicable diseases (NCDs), are health conditions which are of long duration, slow progression and are not transmitted from person to person.

These diseases significantly reduce quality of life, not just for the affected individual but also for their family and friends who may be bearing practical and emotional burdens. Approximately 2.7 million Australians provide informal care to an older person or someone with a long-term health condition or disability. This includes 770,000 who identified as the primary carer.

More broadly, chronic diseases also impose significant costs to Australia, through health system expenditure and reduced workforce participation and productivity.

Dealing with chronic disease comes at a $27 billion cost to the Australian community and accounts for more than a third (36%) of our national health budget.

And as Australia’s population ages, this chronic disease burden will grow, placing even greater pressure on our already overstretched health system.

Australia’s commitment

The majority of chronic diseases can be traced back to four modifiable behavioural risk factors: tobacco use, alcohol use, physical inactivity and poor nutrition.

This has been recognised by the World Health Organization (WHO) who have developed a set of global targets to achieve a 25 per cent reduction in the burden of chronic disease by the year 2025.

Australia is a signatory to this Global Action Plan, and with the 2025 deadline looming, it is imperative that decisive action be taken to ensure that these targets are met.

In order to give full effect to our commitment, Australian governments need to agree to and establish firm and definite targets to complement WHO’s Global Action Plan.

Putting prevention first

Prevention is the key to stemming the ever increasing tide of chronic diseases and reaching these global targets.

Thanks to vigorous prevention efforts, Australia has seen dramatic declines in the incidences of tobacco-related diseases and drink driving.

Sustained and increased efforts in these areas, as well as equivalent attention to other risk factors for chronic diseases, are likely to yield significant benefits to individuals and the community – reducing the incidence of disease, disability and death and resulting in improved societal standards about what constitutes healthy and ‘normal’ behaviour.

Prevention is not only good policy, it is good economics. Research has found that even a small package of four interventions could result in 650,000 fewer years lived with a disability for the Australian population and would generate $6 billion of net savings to the health system.

To ensure greater success in preventing chronic diseases, it is essential that the targets identified by WHO to address the common risk factors (tobacco, alcohol, diet and physical activity) are appropriately reflected in Australian preventive efforts.

This is where Prevention 1st comes in.

Prevention 1st is a new campaign by the Foundation for Alcohol Research and Education (FARE) and the Public Health Association of Australia (PHAA), calling on all Australian governments and political parties to commit to a strong preventive health agenda to tackle Australia’s greatest health challenge.

With only ten years remaining to honour our WHO commitment, prevention must be a key focus of governments in order to reduce the burden of chronic disease.

Ensuring that preventive health is at the forefront of the healthcare agenda will ensure that Australia is once again seen as a leader in this space.

> Find out more about Prevention 1st and add your organisation’s voice to the efforts to advocate for evidence-based health policies which will benefit all Australians. 

> View the Prevention 1st submission to the Standing Committee on Health Inquiry into best practice in chronic disease prevention and management in primary healthcare

Michele Kosasih

Michele Kosasih

Michele Kosasih is a Senior Policy Officer for FARE. She has two kids, a Bachelor of Science – Psychology (Hons) and a sizeable collection of loud Hawaiian shirts which have recently vanished (person of interest, Mrs Lanny Kosasih, denies any knowledge of their possible whereabouts). In her spare time she can be found watching TV, visiting random tourist attractions around Canberra and combing St Vinnies in a thus-far fruitless attempt to recover said shirts.

1 comment

  • For those not genetically thus disposed, it seems that abuse of alcohol, tobacco, and junk-food are motivated by similar factors as for other addictive behaviours generally, including all other drug-abuse and over-indulgence in dopamine-inducing activities such as playing computer games, viewing pornography, and vigorous exercise.

    Those motivations include comfort derived from a familiar activity; a feeling of control and mastery; relief and distraction from worries, fears, and stresses; a feeling of excitement that contrasts with a life otherwise perceived to lack meaning; a feeling of acceptance by one’s self and others; shedding of inhibitions that prevent, or self-granting of permission to indulge in, expression of a genuinely-felt self; access to a higher form of consciousness in which creative thought flows freely.

    Therefore abuse of unhealthy substances could be expected to decline among those who frequently perform engaging activities they enjoy and are good at, who feel worthwhile and accepted, who have learned to cope with negative emotions such as fear, stress, and anxiety, and who regularly express facets of their personalities that they value, perhaps through creative activity.

    There are also society-specific factors mitigating abuse, such as social disapproval in some European cultures of drunkenness, and of bombardment advertising that can trigger abuse, in Australia often through peer-pressure.

    Could one key to prevention be setting people up early in life to know who they are and what is most important to them, and to feel comfortable and confident in that knowledge whatever it may be?

    Interestingly, the addictive aspect of vigorous exercise could be harnessed to combat physical inactivity!

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