Upstream or downstream?

Victoria C Smith
Med J Aust 2015; 203 (10): 412-413. || doi: 10.5694/mja15.00718

The river analogy helps describe the health continuum from prevention to treatment

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  • Victoria C Smith

  • Monash University, Melbourne, VIC

Competing interests:

No relevant disclosures.

  • 1. Taylor K, Guerin P. Healthcare and Indigenous Australians: cultural safety in practice. South Yarra: Palgrave MacMillan, 2010.
  • 2. McDonald E, Bailie R. Hygiene improvement: essential to improving child health in remote Aboriginal communities. J Paediatr Child Health 2010; 46: 491-496.
  • 3. Lee AJ, Leonard D, Moloney AA, Minniecon DL. Improving Aboriginal and Torres Strait Islander nutrition and health. Med J Aust 2009; 190: 547-548. <MJA full text>
  • 4. King M, Smith A, Gracey M. Indigenous health part 2: the underlying causes of the health gap. Lancet 2009; 374: 76-85.


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