Review of the Food Standards Australia New Zealand Act 1991 (the Act) submission on the impact analysis
The George Institute is pleased to provide a submission to the review of the FSANZ Act.
The current food regulatory system in Australia and New Zealand excels at food safety but falls short on public health. A review of the Food Standards Australia New Zealand Act is underway to address this.
Key issues:
Growing rates of diet-related chronic diseases like type-2 diabetes and obesity.
Food regulations don't adequately consider the long-term health impact of what's on our plates.
Public health and consumer voices haven't been well-represented in the proposals put forward for legislative change.
Proposed changes:
Include a "Public Health Test" in the Act to ensure food regulations prioritize public health.
Increase transparency and stakeholder engagement in the regulatory process.
Address the specific needs of Aboriginal, Torres Strait Islander, and Māori communities.
The outcome of this review will significantly impact the health of Australians and New Zealanders. A strong public health focus is needed alongside measures to streamline the regulatory system.
The George Institute makes the following recommendations:
Strengthening Public Health:
Define "public health" in the Act to consider diet-related risks.
Introduce a "Public Health Test" to guide decisions and prioritize public health.
Improving Efficiency:
Set time limits for reviewing food standards (3 years).
Set time limits for processing proposals (3 years).
Ensure Ministerial guidelines have priority.
Remove the expedited application process.
Funding and Representation:
Implement an industry levy to properly fund FSANZ.
Include Aboriginal, Torres Strait Islander, and Māori voices in consultations.
Transparency and Methodology:
Develop and consult on a risk-based framework separately.
Re-do the cost-benefit analysis to properly consider public health impacts.
Early identification of stroke type could be key to harnessing the benefits of very early in-ambulance blood pressure lowering treatment in patients with suspected acute stroke, according to new research.
For the People, With the People: Joining Hands & Using Evidence to Advance Social Participation for Universal Health Coverage (UHC)
Social Participation for Health (SPH)—defined as empowering people, communities, and civil society, through inclusive participation in decision-making processes that affect health—has demonstrated positive impacts in health system reform and is seen as critical on the path to UHC. However, there remain gaps in our understanding of how best to implement SPH across diverse sociopolitical contexts, with attention to the inclusion of communities facing marginalisation.
Focusing on Argentina, Kenya, Tunisia, and Vietnam, the Social Participation for Health Engagement, Research and Empowerment (SPHERE) consortium is advancing the evidence base on SPH through advocacy-research projects working to (1) document and distil implementation lessons from existing participatory mechanisms, and (2) integrate those lessons to deepen SPH (e.g., through evidence-informed capacity strengthening of relevant actors). SPHERE has also led a global evidence review to discern the nature and impact of strategies for enhancing the inclusiveness of SPH. Looking ahead to the expected adoption of the WHA77 resolution on social participation for universal health coverage, health, and well-being, we will highlight evidence-based guidance for implementing and sustaining meaningful, inclusive SPH, emphasising the critical role of civil society, researchers, and government in collaborating to uphold commitments to and inform the implementation of SPH.
To implement the requests within the resolution, we need solidarity and multi-stakeholder action at the subnational, national, and international levels. Governments and civil society must engage in intergenerational and multi-stakeholder dialogue to share insights and exchange learnings around SPH implementation. Civil society can monitor progress and hold governments accountable for their (in)action, in partnership with researchers employing innovative approaches to help inform, monitor, and evaluate SPH. The event will thus bring together and energise diverse stakeholders to co-implement commitments to SPH following WHA77.
Event objectives
Inform civil society about country-specific experiences and research evidence on enablers and barriers of meaningful and inclusive social participation in decision-making related to health.
Mobilise civil society to build support and coalitions to fulfil commitments at the national and regional levels ahead of the expected adoption of the WHA77 resolution on social participation.
Disseminate advocacy tools that have been developed to support civil society actions related to social participation for health for Universal Health Coverage (UHC)
13:00-13:05 Welcome and scene setting – Chair, Amy Boldosser-Boesch
13:05-13:10 Update on the WHA resolution on Social Participation for Health - Nanoot Mathurapote
13:10-13:35 Fire-side chat on country experiences and the evidence base for social participation for health – Dr Moncef Bel Haj Yahya, Virginia Zalazar, Dr Margaret Lubaale, Khuất Thị Hải Oanh
13:35-13:40 A snapshot of the evidence base on inclusiveness of social participation for health initiatives globally- Shraddha Mishra
Amy Boldosser-Boesch, Civil Society Engagement Mechanism (CSEM) for UHC2030
Dr Margaret Lubaale, Health NGOs' Network (HENNET), Kenya
Dr Moncef Bel Haj Yahya, Secretary General of the Tunisian Association for Defense of the Right to Health, Tunisia
Khuất Thị Hải Oanh, Executive Director, The Center for Supporting Community Development Initiatives (SCDI), Vietnam
Shraddha Mishra, SPHERE Secretariat, The George Institute for Global Health
Virginia Zalazar, Coordinator, Social Research Unit, Fundación Huésped, Argentina
Kira Koch, Technical Officer, World Health Organization
Nanoot Mathurapote, Head Global Collaboration Unit, National Health Commission Office, Thailand
Related updates
Join the ministerial side-evented titled Moving from principles to action on social participation for UHC, health and well-being, taking place on 28 May 2024, 6-8pm CEST. The event is co-hosted by Brazil, France, Norway, Slovenia, Thailand, Tunisia, and the United States of America, in collaboration with the European Health Observatory, the UHC Partnership, UHC2030 and the CSEM for UHC2030. Ministers of Health, Member State delegations and civil society representatives will speak about the importance of social participation in accelerating progress towards UHC, health and well-being; and the priority actions needed to advance social participation implementation, particularly at the country level. On the sidelines of the WHA, UHC2030 and the CSEM will provide space for civil society to network and discuss advocacy strategies to drive action on UHC at the country level.
Use the new civil society toolkit to urge Ministers of Health to show support for the adoption and implementation of the WHA Resolution on social participation for universal health coverage, health and well-being.
On the sidelines of the WHA, UHC2030 and the CSEM will provide space for civil society to network and discuss advocacy strategies to drive action on UHC at the country level. Learn more here.
Globally, people are eating too much salt and sugar. The World Health Organisation recommends reducing salt and sugar to prevent non-communicable diseases like heart disease, stroke, diabetes and obesity.
George Institute announces new Women’s Health lead in Australia
The George Institute for Global Health is pleased to announce that Amanda Henry has been appointed to the role of Program Head, Women’s Health (Australia). Currently Associate Professor, Women’s and Children’s Health at UNSW Medicine and Clinical Academic at St George Hospital Sydney, she will be taking up her new Professorial role on May 20.
“I’m delighted to be taking on this opportunity at such an exciting time, with our recent launch of the Centre for Sex and Gender Equity in Health and Medicine, and a growing body of research into unmet needs in women’s health,” she said.
Prof Henry has been a women’s health clinician for over 20 years, specialist obstetrician since 2011, gained a Masters in Public Health in 2012, and completed her PhD in Obstetrics and Gynaecology in 2016. She also finds time to supervise five HDR candidates, one of them at The George, and is Director of the Master of Women’s Health Medicine course at UNSW, Sydney.
Prof Henry is no stranger to The George, having been seconded in a part time capacity to assist with the initial establishment of the Women’s Health Program. This allowed her to make connections and collaborate with a number of the Institute’s researchers both in Australia and globally and she has also been an Honorary Senior Research Fellow at The George since 2020.
An obstetrician and gynaecologist by training, Prof Henry’s own research program focuses on pregnancy and non-communicable diseases, but during her career she has been involved in many other areas of women’s health including sex differences in pain, and domestic and family violence. Prof Henry is also a strong advocate for women’s health and translating research into practice through her leadership roles with professional societies, including as Councillor for the Royal Australian and New Zealand College of Obstetricians and Gynaecologists and the Society of Obstetric Medicine of Australia and New Zealand.
The George Institute’s Women’s Health Program was established in 2018 with a bold vision consistent with the United Nations Sustainable Development Goals: namely, to improve the health of women worldwide, as well as achieve gender equality and empower all women, by 2030.
Prof Henry also has her own big vision for the future of the women’s healthcare, “I want to break down the silos of care so that women’s health is addressed across the life course, rather than fragmented care delivered in isolation.”
Professor Jane Hirst, Program Director, Women's Health (Global), said:
“With her breadth of experience, her academic connections and her history with The George, Prof Henry is an excellent addition to the Women’s Health Program team and I’m looking forward to working with her to continue to build on the already substantial program of work in Australia.”
Funding for new research projects set to improve outcomes in stroke and brain injury
Two George Institute research projects have been successful in the National Health and Medical Research Council’s Clinical Trials and Cohort Studies funding round.
Professor Craig Anderson, Director, Global Brain Health at The George Institute and Conjoint Professor, Faculty of Medicine, UNSW and his team will analyse the effectiveness of a particular ‘clot-busting’ drug in 4,000 patients with presumed acute ischaemic stroke.
Stroke is a critical illness, the second leading cause of death, and the third leading cause of disability, with its prevalence increasing in ageing populations, worldwide. Most strokes are ‘ischaemic’ resulting from the blockage of a blood vessel in the brain. Opening up blocked blood vessels with intravenous thrombolysis is a proven treatment for this type of stroke, but there are still knowledge gaps over the balance of benefits and risks of this treatment in certain types of patients.
“Our study will solve important outstanding questions to define which patients have the most to gain with the lowest risk of bleeding from using modern ‘clot-busting’ thrombolysis treatment for acute ischaemic stroke due to a blocked blood vessel in the brain.”
While speed of treatment reduces risks and increases the chance of good outcome, it requires organised systems of care, an experienced team, and ultimately confidence in treatment for the attending clinician.
“This is the first adaptive platform trial in acute stroke that will allow important clinical questions to be addressed for patients in different regions of the world, both low- and middle-income as well as high-income, to improve their chances of recovery from this common and serious illness,” Prof Anderson added.
Associate Professor Anthony Delaney, Professorial Fellow in the Critical Care Program at The George Institute, A/Prof Faculty of Medicine, UNSW, and Senior Intensive Care Specialist at Royal North Shore Hospital, and his team will conduct a clinical trial to assess whether giving antibiotics to people with severe brain injury who require assistance with their breathing in intensive care will improve outcomes.
Patients with severe acute brain injury who require treatments to support their breathing in an intensive care unit are at high risk of developing a lung infection. Those that do develop lung infections have a higher risk of dying and may not recover as well as they could from the brain injury.
“Our trial will determine if giving antibiotics early in the course of the ICU treatment can prevent these infections and increase the chance of surviving and improve the recovery of brain function’” he said.
The team will use a new tool to measure how well people with severe brain injury recover that was developed specifically by patients to measure a variety of brain functions that are not normally measured by the tools that have been used traditionally.
“For patients who survive a severe acute brain injury, limiting further brain damage by preventing infection may avoid the need for decades of care, improve quality of life and allow people to return to the workforce, as well as reducing healthcare costs,” he added.