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
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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:
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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
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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
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8 GP
9
5
15 NO
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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
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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
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20 Respiratory 21 Respiratory 22 Respiratory 23 Dietitian & 24 NO Physician Physician & Physician & Audiologist Doctor Dietitian Dietitian
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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.
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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
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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
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The Cervical Screening Test has replaced the Pap test.
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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:
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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
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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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