Indigenous health: tell us your story

Not so long ago, we at The Medical Journal of Australia realised that, when it came to Indigenous health, we were great at publicising the problems. Most of the articles we publish are observational studies confirming that, yes, in health, as well as in almost every other area, Indigenous Australians are worse off than other Australians and, indeed, Indigenous populations worldwide.

The competition is open to any Indigenous person who is working, researching or training in a health-related field; we are looking for essays that present original and positive ideas aimed at promoting health gains and health equity for Australia’s Indigenous peoples. After all, real insights and solutions come from within, not from without.

The essays should be no more than 2000 words long, and must be submitted by Monday, 10 January 2005. A panel, including external experts and MJA editorial staff, will judge finalist essays, and judges will be blinded to the identities of the authors. The judges’ decision will be final. The winning entry will be published in the 2005 Indigenous Health issue of the Journal (the second issue in May), and the author will receive $5000. Other essays of high merit may also be published.

We asked the members of the Australian Indigenous Doctors’ Association (AIDA) to help us name the prize and they chose to name it after Dr Ross Ingram (see Box). Ross’s story of premature death from natural causes is not an unusual one. More than half the deaths in Indigenous men occur before they reach the age of 50, compared with 13% of deaths among non-Indigenous men. The members of AIDA chose Ross not just because he was the first known Indigenous doctor to die, but because his plight typified that of many of the people currently working in Indigenous health. The human reality of statistics like those mentioned above is that Indigenous Australians inhabit a world of sickness, death and tragedy. Many of the seeds of future ill health are present from before birth. To a greater extent than most of their non-Indigenous colleagues, Indigenous doctors risk becoming a part of the problem they are trying to treat.