Lost in transition? Access to and uptake of adult health services and outcomes for young people with type 1 diabetes in regional New South Wales

Australia’s response to the human immunodeficiency virus type 1 (HIV-1) pandemic led to effective control of HIV transmission and one of the world’s lowest HIV incidence rates—0.14%. Although there has been a recent decline in new HIV diagnoses in New South Wales (NSW), the most populous state in Australia, there has been a concomitant increase with non-B subtype infections, particularly for the HIV-1 circulating recombinant form CRF01_AE. This aforementioned CRF01_AE sampled in NSW, were combined with those sampled globally to identify NSW-specific viral clades. The population growth of these clades was assessed in two-year period intervals from 2009 to 2017. Overall, 109 NSW-specific clades were identified, most comprising pairs of sequences; however, five large clades comprising ≥10 sequences were also found. Forty-four clades grew over time with one or two sequences added to each in different two-year periods. Importantly, while 10 of these clades have seemingly discontinued, the remaining 34 were still active in 2016/2017. Seven such clades each comprised ≥10 sequences, and are representative of individual sub-epidemics in NSW. Thus, although the majority of new CRF01_AE infections were associated with small clades that rarely establish ongoing chains of local transmission, individual sub-epidemics are present and should be closely monitored.

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REGIONAL ORGANIZATION OF HEALTH SERVICES IN NEW SOUTH WALES

The Medical Journal of Australia ◽

10.5694/j.1326-5377.1971.tb50389.x ◽

1971 ◽

Vol 2 (1) ◽

pp. 1-2

Keyword(s):

Health Services ◽

New South ◽

New South Wales ◽

Regional Organization ◽

South Wales

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The burden of disease and injury in Australia

Australian Health Review ◽

10.1071/ah000216 ◽

2000 ◽

Vol 23 (1) ◽

pp. 216 ◽

Cited By ~ 36

Author(s):

Colin Mathers ◽

Theo Vos ◽

Chris stevenson

Keyword(s):

Health Services ◽

Burden Of Disease ◽

New South ◽

New South Wales ◽

South Wales

Reviewed by Don Hindle, Visiting Professor, School of Health Services Management,University of New South Wales

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Mental health data: A case for the African communities in New South Wales

Australasian Review of African Studies ◽

10.22160/22035184/aras-2021-42-1/64-80 ◽

2021 ◽

Vol 42 (1) ◽

pp. 64-80

Author(s):

Daniel Kwai Apat ◽

Wellington Digwa

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Mental Disorders ◽

Health Services ◽

New South ◽

Mental Health Policy ◽

New South Wales ◽

Community Members ◽

South Wales ◽

Health Related

This paper examines mental health policies in relation to African communities residing in New South Wales, Australia and the attitudes of African communities toward mental disorders and mental health services. Current mental health policy frameworks have shown an inadequate inclusion of African communities. This may negatively affect the design of mental health interventions and how African communities engage with mental health services. The available mental health literature on African communities showed disjointed and uncoordinated data which focuses on specific community-groups within African communities. Insufficient mental health or suicide data, combined with African community members’ perception toward mental disorders and mental health services, makes it very difficult to progress engagement and interventions. There is a need for proper and sizable data on mental health related to people of African descent in NSW and Australia wide, if positive outcomes are to be realised.

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Voices of Children and Young People in Foster Care, Report from a consultation with children and young people in foster care in New South Wales, Community Services Commission NSW July 2000

Children Australia ◽

10.1017/s1035077200009998 ◽

2000 ◽

Vol 25 (4) ◽

pp. 45-45

Author(s):

Lloyd Owen

Keyword(s):

Foster Care ◽

Young People ◽

New South ◽

New South Wales ◽

Community Services ◽

Children And Young People ◽

South Wales

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What proportion of sexually transmissible infections and HIV are diagnosed in New South Wales’ public sexual health services compared with other services?

Sexual Health ◽

10.1071/sh12020 ◽

2013 ◽

Vol 10 (2) ◽

pp. 119 ◽

Cited By ~ 6

Author(s):

Chris Bourne ◽

Debbie Allen ◽

Katherine Brown ◽

Stephen C. Davies ◽

Anna McNulty ◽

...

Keyword(s):

Health Services ◽

Sexual Health ◽

New South ◽

New South Wales ◽

Large Contribution ◽

Geographical Variations ◽

South Wales ◽

Sexually Transmissible Infections ◽

Geographical Regions ◽

High Risk Populations

Background: In New South Wales (NSW), publicly funded sexual health services (PFSHSs) target the populations at greatest risk for important sexually transmissible infections (STIs) and so may make a large contribution to the diagnosis of notifiable STIs. We aimed to determine the proportions of STIs diagnosed in PFSHSs and notified to the NSW Ministry of Health in 2009, and describe geographical variations. Methods: The number of notifiable STIs (infectious syphilis, gonorrhoea, HIV and chlamydia) diagnosed in 2009 was obtained for each Area Health Service (AHS) and each PFSHS. The proportion of diagnoses made by PFSHSs was calculated at the state and AHS level according to five geographical regions: inner and outer metropolitan, regional, rural and remote. Results: The overall proportions of diagnoses made by NSW PFSHSs were syphilis, 25%; gonorrhoea, 25%; HIV, 21%; and chlamydia, 14%. Within each zone, the proportions of these STIs were (respectively): (i) inner metropolitan: 32%, 26%, 21% and 13%; (ii) outer metropolitan: 41%, 24%, 43% and 9%; (iii) regional: 62%, 15%, 23% and 10%; (iv) rural: 8%, 29%, <5% and 20%; and (v) remote: <5%, 43%, <5% and 29%. There was considerable variation in proportions of STIs between and within AHSs (<5–100%). Conclusions: NSW PFSHSs contribute a large proportion of diagnoses for syphilis, gonorrhoea and HIV, but less so for chlamydia. Across AHSs and zones, there was considerable variation in the proportions. These data support the role of PFSHS in identifying and managing important STIs in high-risk populations.

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