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Health of Aboriginal and Torres Strait Islander children in remote Far North Queensland: findings of the Paediatric Outreach Service

Med J Aust 2007; 186 (10): 519-521.

Summary

Aim: To describe the pattern of disease and other health problems in children living in remote Far North Queensland (FNQ).

Design, setting and participants: Retrospective review of the FNQ Paediatric Outreach Service’s Medical Director database for the period June 2001 to February 2006. Three subpopulations were compared: children from predominantly Aboriginal communities, predominantly Torres Strait Islander communities, and other communities. All children referred to the service during the study period were reviewed.

Main outcome measures: Number of children seen and common diagnoses.

Results: 3562 children were referred during the study period, and a total of 3932 diagnoses were made; 56% of the paediatric population of the Aboriginal communities and 23% of the paediatric population of Torres Strait Islander communities were seen. Of 40 separate diseases/health problems reviewed, the three most common reasons for presentation were chronic suppurative otitis media, suspected child abuse and neglect, and failure to thrive. In the paediatric population of Aboriginal communities, the prevalence of fetal alcohol spectrum disorder was at least 15/1000 (1.5%), and in Torres Strait Islander children, rheumatic heart disease prevalence was at least 6/1000 (0.6%). Rheumatic fever rates were among the highest in Australia.

Conclusion: Rates of preventable complex and chronic health problems in Aboriginal and Torres Strait Islander children in remote FNQ are alarmingly high. Areas requiring urgent public health intervention include alcohol-related conditions and rheumatic fever.

  • Jonty Rothstein1
  • Richard Heazlewood2
  • Marnie Fraser2

  • 1 Kimberley Aboriginal Medical Services Council, Broome, WA.
  • 2 Cairns Base Hospital, Cairns, QLD.

Correspondence: jontyr@kamsc.org.au

Acknowledgements: 

We would like to thank Dr Carmel Nelson, Dr Alex Balzarelli, Sue Metcalf, Julia Marley, Carole Honner, Kate Gale and the Kimberley Aboriginal Medical Services Council.

Competing interests:

None identified.

  • 1. Australian Bureau of Statistics. Population distribution, Aboriginal and Torres Strait Islander Australians, 2001. Canberra: ABS, 2002: 42-44, 46. (ABS Cat. No. 4705.0.) http://www.abs.gov.au/Ausstats/abs@.nsf/ca79f63026ec2e9cca256886001514d7/7243c2de7b43332aca2568a900143cbd!OpenDocument (accessed Apr 2007).
  • 2. Harper C, Cardona M, Bright M, et al. Health determinants Queensland 2004. Brisbane: Public Health Services, Queensland Health, 2004.
  • 3. Carapetis JR, Wolff DR, Currie BJ. Acute rheumatic fever and rheumatic heart disease in the Top End of Australia’s Northern Territory. Med J Aust 1996; 164: 146-149.
  • 4. Centers for Disease Control and Prevention (CDC). Fetal alcohol syndrome — South Africa, 2001. MMWR Morb Mortal Wkly Rep 2003; 52: 660-662.
  • 5. Prevention of hearing impairment from chronic otitis media. Report of a WHO/CIBA Foundation Workshop held at the CIBA Foundation, London, 19–21 Nov 1996. London: CIBA Foundation, 1996. (WHO/PDH/98.4.) http://www.who.int/pbd/deafness/en/chronic_otitis_media.pdf (accessed Apr 2007).
  • 6. Blair EM, Zubrick SR, Cox AH, on behalf of the WAACHS Steering Committee. The Western Australian Aboriginal Child Health Survey: findings to date on adolescents. Med J Aust 2005; 183: 433-435. <MJA full text>
  • 7. Streissguth AP, Aase JM, Clarren SK, et al. Fetal alcohol syndrome in adolescents and adults. JAMA 1991; 265: 1961-1967.
  • 8. Communicable Diseases Unit, Queensland Health. Notifiable conditions counts and rates 2001–2005 by Area Health Service and Health Service District. Brisbane: Queensland Health, 2006: 11. http://www.health.qld.gov.au/phs/Documents/cdu/31764.pdf (accessed Apr 2007).
  • 9. Chang AB, Grimwood K, Mullholland EK, Torzillo PJ, for the Working Group on Indigenous Paediatric Respiratory Health. Bronchiectasis in Indigenous children in remote Australian communities. Med J Aust 2002; 177: 200-204. <MJA full text>

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