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UTHSAC Newsletter - March 2019

Page 1

UTHS CLINIC 

Dr. Judy McDonald - General Physician

Dr. Melissa Hudson - General Physician

Dr. Dr Nich Williams - General Physician Dr. Danny Beran - General Physician

MARCH 2019 | UTHSAC NEWSLETTER | ISSUE 23


Measles case in Adelaide

Content

SA Health has been notified of a case of measles in a 20 year old male South Australian

Measles case in Adelaide

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Drug Forum 2018

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during the incubation period for

Prevention and minimising harmful effects of AOD

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measles. There were two cases

Pneumonia

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2018, and this is the second

UTHSAC Clinic Calendar

12

case for 2019. The case was in

Don’t Worry Be Happy!

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The New Cervical Screening Program

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Oodnadatta Community Program

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My Recovery Story

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Women’s Program Art & Craft

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Harm Minimisation Group

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There have been multiple notifications of measles in Australia in the last few

UTHS Clinic Visiting Doctors & Specialist

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months, mostly overseas-acquired, but with some secondary cases. Measles

resident who has not travelled

of measles notified in SA in

the settings listed below whilst infectious. People in these settings at the specified times may have been exposed:

»

Western Clinic Medical Centre at 152/154 Henley Beach Road, Torrensville, 5031 on 1 February 2019 between 11:15 a.m. and 12:30 p.m.

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Australian Clinical Laboratory collection centre at the above Clinic on 2 February 2019 between 8.45 a.m. and 9.30 a.m.

vaccine should be considered as a travel vaccine in susceptible persons prior to overseas travel. Measles is transmitted via respiratory aerosols that remain a risk to others for up to 30 minutes after the person has left the area. The incubation period is about 10

days (range 7 to 18 days) to the onset of prodromal symptoms and about 14 days to rash appearance. The illness is characterised by cough, coryza, conjunctivitis, a descending morbilliform rash, and fever present at the time of rash onset. The infectious period is from 24 hours prior to onset of the prodrome until 4 days after the onset of the rash. 03


Doctors with patients suspected of having measles are asked to:

Measles vaccination

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Notify urgently any patient with suspected measles to the CDCB on 1300

measles. Offer measles vaccine (unless contraindicated, for example in pregnant women or immunosuppression) to all potentially susceptible persons who attend your practice.

232 272 (24 hours/7 days). Do not wait for laboratory confirmation.

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Arrange urgent laboratory testing through SA Pathology. Take throat swabs

»

in viral transport medium for measles PCR (preferred specimen) and urine

While most people born in Australia before 1966 will have had measles in childhood, those born in the late 1960s to mid-1980s may have only received one measles vaccine.

for measles PCR (yellow top container).

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Two doses of a measles containing vaccine are highly effective at preventing

Isolate suspected and confirmed measles cases and exclude from child-care/ school/ workplace for 4 days after rash appearance.

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Ensure all household and other contacts are protected against measles as indicated in the Australian Immunisation Handbook (opens in a new window).

Minimise transmission of measles:

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Examine patients suspected of having measles in their own homes wherever possible.

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Ensure the patient is only seen by practice staff who have confirmed Immunity to measles.

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Ensure suspected cases do not use the waiting room, and conduct the consultation in a room that can be left vacant for at least 30 minutes afterwards.

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Treat all people who attend the rooms at the same time as and up to 30 minutes after the infectious patient has left the rooms as contacts.

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DRUG FORUM

2018 “Thank you for thoughts & ideas�

The Drug Forum was held on 04.12.2018 at Drug and Alcohol centre. Most of the community members from Coober Pedy Council, Police, Complete Personnel, Coober Pedy School, Hospital, Aboriginal Health Council, Housing SA, Families SA, Foot Steps, Umoona Council were attended to share their thoughts and Ideas for a better future for our community. At Drugs-Forum, we pride ourselves on the quality of the information and advice that we offer. In keeping with our mission to provide reliable information about drugs, all posts must meet high standards of quality. As a result of our strict moderation, Drug Forum offers a safe space for discussion of all aspects of recovery and drug use, both medical and recreational. There is very little flaming or abuse, and our membership includes researchers, harm reduction and addiction specialists, public officials, lawyers, physicians, representatives of NGOs, and mental health professionals.

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Drugs Forum is highly regarded among academics, and it has been referenced in hundreds of studies and dozens of books. Research has also shown that Drugs Forum can be used to predict drug trends. Drugs Forum encourages intelligent, thoughtful discussion of drug-related politics, and we strive to maintain an environment free from sensationalism and bias. Drugs Forum also boasts a vibrant recovery community where senior members are always willing to lend an ear to those struggling to overcome substance abuse. Around members utilize our recovery journals to document their progress towards sobriety and gain support from our recovery community. Drugs Forum also saves lives through harm reduction-oriented peer-to-peer advice and helps members avoid life-threatening overdoses with up-to-date information about bad batches.

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Prevention and minimising harmful effects of drug and alcohol This program was held on 05th February 2019. This program was held in order to assist the clients regarding minimizing harmful effects of drug and alcohol. In this program we particularly discussed about drinking at a low risk level and using alcohol and other drugs with minimized harm for health. Clients were also acknowledged about where to seek help if they need further support. This program was done in collaboration with DASA. Craig Hendry, Lauren Simpson and Mark Thompson were invited due to their specialization and in order to give clients a clearer picture

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It is an undeniable fact that in the present scenario there has been unprecedented

PNEUMONIA

level of increasing incidence of pneumonia which can be prevented by adopting primary preventive techniques. Moreover, there are different types of pneumonia affecting the individual both physically, mentally and psychologically rendering to

It is an undeniable

various complications. Recently, there has been few cases identified with the

fact that in the

infection in the community which led to hospitalization of few clients, paving a way to

present scenario

ponder over the situation and adopting various strategies to tackle it. The

there has been

predominant way of protecting ourselves from community or hospital acquired

unprecedented

pneumonia is adopting personal protective techniques like mask, gloves, frequent

level of increasing

hand washing and isolating the client to prevent transmission of infection.

incidence of

It would be authentic to discuss regarding the different types of pneumonia

pneumonia which

prevalent in the community. Walking pneumonia, hospital acquired pneumonia,

can be prevented

community acquired pneumonia, bacterial pneumonia are the various types of

by adopting

pneumonia which needs to be treated in the primary stage otherwise the severity

primary preventive

would be unpredictable and could lead to irreversible pneumonia. With the

techniques.

advancement of scientific technology, there are various antibiotics and antiviral

Moreover, there are different types of pneumonia affecting the individual both physically, mentally and psychologically rendering to various complications. Recently, there has been few cases identified with the infection in the community which led to

medications available which could dissipate the incidence of pneumonia to a considerable extent. To conclude, there has been exponential growth in the incidence of pneumonia in

recent times. However, primary prevention measures would definitely keep at bay

hospitalization of few clients, paving a way to ponder over the situation and

the rising trend of infectious disease and promote well- being of an individual in a

adopting various strategies to tackle it. The predominant way of protecting ourselves from community or hospital acquired pneumonia is adopting personal

better way.

protective techniques like mask, gloves, frequent hand washing and isolating the client to prevent transmission of infection. It would be authentic to discuss regarding the different types of pneumonia

prevalent in the community. Walking pneumonia, hospital acquired pneumonia, community acquired pneumonia, bacterial pneumonia are the various types of pneumonia which needs to be treated in the primary stage otherwise the severity would be unpredictable and could lead to irreversible pneumonia.

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UPCOMING DOCTORS & SPECIALISTs MAY 2019

MARCH 2019 SUN

MON

TUE

WED

THU

FRI 1

3

4 GP

5 GP

6 GP

7 GP

SAT

SUN

11 CLINIC

12 Dietitian

13 Dietitian

14 Dietitian

CLOSED 17

24

8 GP

9

5

15 NO

12

16

Doctor

18 GP &

19 GP &

20 GP &

21 GP &

22 GP &

Dentist

Dentist

Dentist

Dentist

Dentist

25 GP

26 GP &

27 GP &

28 GP &

29 GP

9AM-4.30PM Podiatrist

Podiatrist

Podiatrist

9AM-4.30PM

23

30

31

7

14

21

28

MON

TUE

WED

THU

FRI 6

2 GP &

3 GP &

4 GP &

5 GP &

Dentist

Dentist

Dentist

Dentist

Dentist

8 GP &

9 GP &

10 GP

11 GP

12 NO

13

Audiologist

Audiologist

9AM-4.30PM 9AM-4.30PM

15 GP &

16 GP &

17 GP &

18 GP &

19 CLINIC

20

Registrar

Registrar

Registrar

Registrar

CLOSED

22 CLINIC

23 NO

24 NO

25 CLINIC

26 NO

CLOSED

Doctor

Doctor

CLOSED

29 GP

30 GP

9AM-4.30PM 9AM-4.30PM

THU

FRI

1 GP

2 GP

3 GP &

9AM-4.30PM

9AM-4.30PM

Cardiologist

7 NO

8 NO

9 NO

10 NO

Doctor

Doctor

Doctor

Doctor

Doctor

13 Dentist

14 Dentist

15 Dentist

16 Dentist

17 Dentist

9AM-4.30PM

9AM-4.30PM

9AM-4.30PM

9AM-4.30PM

9AM-4.30PM

19

20 Respiratory 21 Respiratory 22 Respiratory 23 Dietitian & 24 NO Physician Physician & Physician & Audiologist Doctor Dietitian Dietitian

26

27 NO

28 Endocrinol- 29 Endocrinol- 30 NO ogist ogist)

Doctor

SAT 4

11

18

25

31 NO

Doctor

All the consultations are done by appointments only. This can be done by contacting our

SAT

1 GP &

WED

6 NO

Doctor

APRIL 2019 SUN

TUE

2

9AM-4.30PM 9AM-4.30PM 9AM-4.30PM 9AM-4.30PM 9AM-4.30PM 10

MON

reception on

08 8672 5255 between 8.30 am to 4.30pm

Monday to Friday For more information visit our website www.uths.com.au

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Doctor

Clinic is Closed on Weekends and Public Holidays. 12

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Don’t Worry Be Happy!

Think before you act. Emotions can be powerful. Give yourself time to think,

and be calm before you say or do something you might regret. 

Social and emotional wellbeing is an essential part of human health and happiness. Promoting positive social and emotional development and wellbeing around your children impacts on their behaviour, learning and positive health outcomes. Learning how to manage your feelings, manage friendships and solve problems are the key to a happy life and happy family. These are essential life skills that support wellbeing and positive mental health. Social and emotional skills promote children's ability to cope with difficulties and help to prevent mental health problems.

Manage stress. Try to change situations causing you stress. Learn relaxation methods to cope with stress. These could include deep breathing, meditation, and exercise.

Strive for balance. Find a healthy balance between work and play and between activity and rest. Make time for things you enjoy. Focus on positive

things in your life. 

Take care of your physical health. Your physical health can affect your emotional health. Exercise regularly, eat healthy meals, and get enough sleep. Don’t abuse drugs or alcohol.

How can YOU improve your emotional wellbeing?

There are many ways to improve or maintain good emotional health.

Be aware of your emotions and reactions.

Express your feelings in appropriate ways.

Think before you act.

Manage stress.

Strive for balance.

Take care of your physical health.

Connect with others.

Find purpose and meaning.

Be aware of your emotions and reactions. Notice what in your life makes you

with other people. Make a lunch date, join a group, and say hi to strangers. 

Find purpose and meaning. Figure out what it is important to you in life, and focus on that. This could be your work, your family, volunteering, caregiving, or something else. Spend your time doing what feels meaningful to you.

Stay positive. Focus on the good things in your life. Forgive yourself for making mistakes, and forgive others. Spend time with healthy, positive people.

A healthy Mind helps to have a healthy family and a Happier You!

For more information on our programs please contact our SEWB Team at Drug Alcohol Centre

On 08 8672 5580

sad, frustrated, or angry. Make changes to address those things. 

Connect with others. We are social creatures. We need positive connections

Express your feelings in appropriate ways. Let people close to you know when something is bothering you. Keeping feelings of sadness or anger inside adds to stress. It can cause problems in your relationships and at work or school. 14

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The National Cervical Screening Program

The new cervical screening program

The two yearly Pap test for people aged 18 to 69 has been replaced by a five yearly human papillomavirus (HPV) test for people aged 25 to 74. People are due for their first Cervical Screening Test at the age of 25 or two years after their last Pap test. The changes include:

In December 2017, the Cervical Screening Test replaced the Pap test in Australia.

»

A more accurate Cervical Screening Test has replaced the Pap test

Cervical cancer is one of the most preventable cancers. Routine cervical screening

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The time between tests has changed from two to five years

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The age at which screening starts has increased from 18 years to 25 years,

is your best protection against cervical cancer. The Cervical Screening Test is expected to protect up to 30% more women. The Cervical Screening Test is more effective than the Pap test at preventing

or two years after the last Pap test if the Pap test was done at the age of 23

cervical cancers, because it detects the human papillomavirus (known as HPV),

or over

whereas the Pap test looked for cell changes in the cervix. HPV is a common

»

infection that can cause cervical cell changes that may lead to cervical cancer.

People aged 70 to 74 years will be invited to have a Cervical Screening Test.

The Cervical Screening Test is more effective than the Pap test at preventing cervical cancers, and is just as safe to be done every five years instead of every two. The test is a simple procedure to check the health of your cervix. It feels the same as the Pap test, but tests for the human papillomavirus (known as HPV). For most

women aged 25 to 74, your first Cervical Screening Test is due two years after your last Pap test. After that, you will only need to have the test every five years if your result is normal. If you are due for testing, contact your healthcare provider to book an appointment. For more information regarding this program please contact the Umoona Tjutagku Health Service on (08) 8672 5255. If at any age you have symptoms, such as unusual vaginal bleeding, discharge or pain during sex, you should see your healthcare provider as soon as possible.

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P.T.O

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If you’re under 25

»

The Cervical Screening Test has replaced the Pap test.

»

Routine cervical screening commences at 25 years of age.

Oodnadatta Community Program Oodnadatta Visit was mainly planned to follow up and support the clients who are

If you have previously had a Pap test with a normal result:

»

in that region. On this day a BBQ was offered to the clients along with the service promotional handouts. Enthusiastic participation of the clients were seen while the

before 23 years old, you should get screened at the age of 25.

discussions were going on about the services that we offer. Many clients raised

»

at 23 years or above, you should get screened two years after your last Pap

questions and clarified their doubts on AOD related issues. Further clients were

test.

provided information on how to contact us if they have further queries.

If you have not previously had a Pap test, even if you are sexually active, it is safe to commence screening at 25 years of age. If you received an abnormal test result for your last Pap or Cervical Screening

Test, continue to follow your healthcare provider’s advice. If you received an unsatisfactory test result for your last Pap test you should get screened at the age of 25. If at any age you have symptoms such as unusual vaginal bleeding, discharge or pain during sex, you should see your healthcare provider as soon as possible.

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And family referred me to UTHS Drug and Alcohol Centre in Coober Pedy. At the

My Recovery Story

beginning I was only wanted to get some support with my legal issues with them But eventually I realised I require Support with my Alcohol and other Drugs issue. I approached AOD therapy team for support. I was really happy about the AOD

S. O’toole

programs and attending those program kept me away from the Alcohol they

When did you start abusing drink and drugs?

allocated me staff to monitor me daily basis. I was given care plan and had Daily

I started to experiment with drugs when I was about 12 or 13 years old. At first I

Counselling sessions with AOD Therapist.

had Alcohol when I can was given opportunity with Adults occasionally. I liked the

AOD Therapist Also given feedback about my Counselling session and the

feeling they gave me but as I knocked about with older lads in the community, I

progress to ALRM team of Lawyers in Port Augusta Continuously it help me with

soon progressed to cannabis and alcohol.

my court case.

Why I Used AOD?

Where would I be now?

Maybe I was just rebelling or perhaps, it was to fit in as all the lads I hung around

Would probably be in jail serving another sentence. Some people say AOD

with where older than me. But one thing I knew, I liked how drugs and alcohol

Therapy Program saved their lives and I know this to be true. I don’t know if AOD

made me feel.

Therapy Program saved my life but it has definitely given me my life back!

When did it become a problem?

How am I now?

It wasn’t a problem from the start, but it didn’t escalate until Alcohol become issue

I can’t believe my life today. All that was promised by my AOD Team worker has

between me and my partner. I got drunk and got angry few times and I had trouble

come true. With a bit of effort I was able to overcome my AOD Issue and Legal

with the police. I was not allowed to been around my family when my wife needed

issues. Now I have re united with my family and spending some quality time with

help from me to look after my kids. I wanted to spend some times with my children

children.

but court didn’t allowed me for that. What made me get help? Just couldn’t stop using. I couldn’t live with drugs and Alcohol also couldn’t live without them. I was drinking every day Why AOD Therapy Program?

I did realised I have legal issue and a drug and Alcohol issue and i seek support from Aboriginal legal rights movements. My friends

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