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Summary framework for consultation: SA DRAFT State Public Health Plan 2019-2024

South Australia's second state public health plan is currently under development. The DEA(SA) committee recently prepared a submission commenting on the draft summary framework for the new plan, highlighting opportunities for increased consideration of environmental health issues and the need for a 'climate and health in all policies' approach. DEA(SA) has offered to provide ongoing input during the development of the new plan, with a draft expected in August 2018.

Response to Central Queensland Coal Project (Styx) Supplementary EIS

DEA made a submission opposing this new coal mine. Our criticisms were opposed in a supplementary EIS.
We have responded to this repeating that this is a dangerous mine to travelers on the Bruce Highway, is harmful to the Reef and the groundwater of the region.

Stock Journal: Why electric cars should be powering Aussie roads

Electric vehicles can dramatically reduce the numbers of premature deaths from air pollution in Australia, reduce greenhouse gas emissions and also provide a range of terrific benefits for drivers. However despite the many pluses, Australia will continue to be a dumping ground for high polluting vehicles, writes Dr Graeme McLeay.  

Exploring ways to improve farmers' interaction with the EPBC Act 1999 

DEA has made a submission to this review. The government notice says “Independent Reviewer, Dr Wendy Craik, is undertaking a short-term targeted review to reduce red-tape and find practical ways to help farmers meet the requirements of the Environment Protection and Biodiversity Conservation Act 1999 (the EPBC Act). The review will help unpack the issues faced by farmers to find real solutions while maintaining the high environmental standards Australia is renowned for." The use of the words “red tape” is likely to indicate the real intent but DEA has risen above these political aims.

Acland mine expansion versus human health

Young people and medical students in Queensland are not being heard in the decisions on new coal mines. We are going to have to manage the environmental, community and health mess left by the fossil fuel industry and New Acland Coal (NAC). The latest event is that Queensland’s environment department is investigating claims that the mining company New Hope may have circumvented due process by expanding stage 2 operations (some of which overlap with proposed stage 3 operations) at its New Acland coalmine without waiting for approval. This is disturbing given the Courts have not made their final judgment on stage 3 of this protracted case. Read the full analysis in the article by Kaiya Ferguson the National Student Representative of Doctors for the Environment Australia. She is a final year medical student in Brisbane, at the University of Queensland. 

Why Australia’s youth vote is the key to climate action - Openforum

The Coalition’s failure to mention climate change even once in the budget is a reckless betrayal of the community’s right to good health— especially for young Australians. Young people are recognising that they are the most affected by the government’s decisions and becoming more politically active. Youth groups such as The Australian Youth Climate Coalition (AYCC), Australia’s first Indigenous youth climate network SEED and Fossil Free Unis are engaging in political activism such as protesting, petitioning and in direct communication with politicians. Medical student members of Doctors for the Environment Australia promote divesting from fossil fuels for doctors, their universities and for themselves as well as briefing politicians.
Read the full article in Open Forum from Edward Stoios, student member of DEA Queensland Committee.

Climate policy is a fiendish problem for governments – time for an independent authority with real powers

The Conversation is a prestigious publication and DEA publishes in it from time  to time. The Conversation is  having its annual donations drive and to mark this, 8 articles known by the editors to have had an impact over the past 12 months are republished.
One of the eight is by Peter Doherty, member of DEA Scientific Advisory Committee on the New Generation of Environmental Laws. Read here

Queensland’s land clearing laws: a victory for health

Queensland contributed 19 million tonnes of greenhouse gas in 2015 from land clearing, which was 80 percent of all the greenhouse gas from land use change in Australia for that year. After much anticipation, Queensland’s land clearing laws were finally passed last month. The laws are a significant step forward. The Annastacia Palaszczuk Government’s land clearing bill will start rectifying much of the terrible damage done to Queensland’s bushland, ecosystems and wildlife under the previous Liberal National Party government.  As explained by Lucy-Jane Watt, DEA secretary of the DEA QLD committee, this is a health issue. Read full article in Croakey.

DEA commends the AMA for supporting the Uluru statement

Doctors across the nation will commend the AMA President Dr Tony Bartone for his support of the Uluru Statement from the Heart. DEA believes that the need for Constitutional reform as expressed in this Statement will help to remove from our nation the stain of dispossession and neglect and will be an important step in improving the health and well being of Aboriginal people. READ ON

The Doctor as Leader in Sustainable Healthcare, Dr David Pencheon

This is an armchair medical recording of Dr David Pencheon OBE speaking at the Western Sydney Forum during his recent tour of Australia. Dr Pencheon is the founding Director of the Sustainable Development Unit (SDU) for NHS England and Public Health England (www.sduhealth.org.uk). The SDU was established in 2007 with the task of ensuring the NHS operated in an environmentally sustainable way – starting with reducing its carbon emissions. Between 2007 and 2015 the NHS reduced its carbon emissions by 11% – exceeding the 10% target set in 2009, despite health and care activity increasing by 18%. This represents a saving of £1.85bn, and more broadly, the first steps in a transition towards a sustainable and resilient health and care system.

Independent Australia: Electric vehicles threaten oil but are a boon for health

THE 2018 Australian Petroleum Production and Exploration Association (APPEA)  conference to discuss better ways to dig fossil fuels out of the Earth wrapped up in Adelaide recently and it’s a sure bet they did not discuss your health. A report by consulting firm Deloitte presented at APPEA reveals oil and gas executives see electric vehicles as a threat to their industry. They are right to be worried about their bottom line, writes Dr Graeme McLeay.

Video: The story of Green Hospitals

DEA is proud to bring you the Story of Green Hospitals, a must-view short video on sustainable healthcare by our talented medical student members!  While hospitals are designed to improve health, they also contribute to the burden of disease because of their significant environmental footprint. There are a range of practical solutions that hospitals can adopt to improve health outcomes for people and planet, as well as reduce costs to the healthcare budget. View now!

The Conversation: Five ways hospitals can reduce their environmental footprint

Our healthcare sector produces 7% of Australia's emissions. Hospitals are only responsible for half of that, but there are many ways to reduce their environmental footprint and improve sustainability. DEA's Dr Forbes McGain, an expert in sustainability, outlines five of them.

Gloucester Advocate: Public meeting ahead of mine appeal

The Department of Planning and Environment and the Planning Assessment Commission in NSW knocked back an application for the Rocky Hill coal mine because the development is not in the public interest. The mine applicants  will challenge this decision at the Land and Environment Court in August.  NSW doctors, including DEA members, have written a Letter to the Editor of the Gloucester Advocate about their concerns, and have also urged readers to attend a public meeting on Wednesday 23 May at 6.30pm at Gloucester Soldiers Club.  Want to know more about DEA's position?  

Croakey: And here is the Budget reply speech that Bill Shorten should have given

In his Budget reply speech last week, Opposition leader Bill Shorten mentioned tax 39 times and climate change twice, while hospitals were mentioned 12 times.  Shorten missed an important opportunity to advocate for urgent climate action, according to Professor David Shearman who is the Hon Secretary of Doctors for the Environment Australia and Emeritus Professor of Medicine at the University of Adelaide.  Shearman says the 2018 federal budget should have been a piece of cake for climate and health, leadership and democracy. Instead, the carve-up of the budgetary chocolate cake was driven by self-interest, rather than care for future generations. 

No extra public air monitoring but Vales Point license tightened

The communities around the Vales Point coal-fired power station in NSW suffer an increased incidence of asthma. The power station may now face stricter and more consistent pollution licensing as a result of recommendations from the NSW Environment Protection Authority (EPA). DEA and Environmental Justice Australia have had a significant role in bring this about as you can read in this article.

What in health’s name is an ERT?

Emissions reduction targets are not an idle, notional concept but give reassurance and certainty to those involved in changing the energy mix.
DEA suggests that the Victorian government should be setting strong targets up to 2030 in pursuit of its goal of net-zero emissions by 2050, in order to safeguard the health of future generations.” Read full article in Renew Economy.

Labor’s 2018 budget reply speech: A Fair go for Australia?

Among the long list of initiatives aimed at giving Australians a “fair go”, Opposition leader Bill Shorten’s much-awaited budget reply speech did not offer anything new on climate change, emissions or renewables. This is despite the urgent need to address global warming,  a public health emergency whose impacts we are seeing daily through avoidable sickness and deaths from extreme weather events. Nonetheless while Labor could have dared to be bolder, raised the bar that much further on climate policies, these are a step in the right direction. 

The Mercury: All not well in the greenhouse

The Tasmanian Government may well be celebrating an apparent benchmark of becoming Australia’s first carbon neutral state 30 years ahead of its plans. But as Dr Rohan Church writes in this opinion piece, the reality is  that the Will Hodgman Government is riding on the back of a collapse in the logging industry, and has taken few, if any, active steps towards this goal. 

An Australian Healthcare Sustainability Unit (HSU)  - DEA Proposal

A Healthcare Sustainability Unit (HSU) would assist the Australian health care system (primary, secondary and tertiary) to deliver quality health care in environmentally and financially sustainable ways. A HSU could lead research, policy development, system changes and education of staff, fulfilling a central national co-ordinating role for maximum effectiveness and successful implementation of initiatives at state, regional, health network, hospital and practice levels.

Download the DEA HSU Proposal 05-18

Improving a hospital’s environmental impact: what can a doctor do?

To initiate change within large highly structured organisations such as hospitals is not easy. Doctors for the Environment Australia’s (DEA) practical guide therefore aims to identify areas where change can most easily be initiated to improve a hospital’s environmental impact. Though some suggestions may be seemingly trivial, experience indicates that all of the suggestions in this guide can have a positive impact on environmental outcomes and that doctors can help instigate change. 58% of the NHS’s 2015 CO2 emissions were from the procurement of goods and services (15% medical drugs) whilst powering of buildings contributed to 20% of emissions and staff and patient travel 12%.

Download the DEA Sustainable Hospitals Guide - practical assistance

The 2018 federal budget misses the math on climate and health

It is the opinion of DEA that the federal budget was a short-sighted political maneuver at the expense of a looming climate crisis that will weigh heavily on our children’s future. The scant attention to climate change mitigation and adaptation will dent the government’s capacity to deliver these goals. The budget failed health by almost halving climate spending to $1.6 billion, dropping to $1.2 billion by 2020, and by phasing out of the Renewable Energy Target by 2020. This shows there is no commitment in this budget to do anything about curbing emissions beyond this time.

Interim Emissions Reduction Targets for Victoria

DEA is concerned by the outlook for human and planetary health of inadequate control of global warming and climate change. In a submission to the Victorian government on emissions reduction targets, DEA supports the leadership and actions undertaken by Victoria in the absence of genuine action by the Federal Government to meet Australia’s commitments to the Paris Agreement 2015.

Pollution from coal-fired power plants should be reviewed: NSW EPA

“The state's five coal-fired power stations are allowed "unnecessary variation" in their pollution and operate "well below" licensed limits, providing scope for more consistent and tighter controls, the Environment Protection Agency has found”.
In other words they pollute and are contributing to ill health and causing deaths! DEA and EJA, named in the article, have been working on this reform for some time and the statement by the EPA is an important step forward; the next step is to have the licensing fee for pollution raised as detailed in DEA submissions to Federal and NSW Parliaments. Read it in the SMH and Brisbane Times.

Why greening healthcare is essential for health

While general practice has a relatively small environmental footprint, its role is important in the broader context of sustainability... Sustainability in health is more than just about “greening” the health sector, although environmental sustainability is an important consideration. A sustainable health and care system needs to be able to go on forever within the limits of financial, social and environmental resources. It needs to deliver high-quality care and improved public health without exhausting natural resources or causing severe ecological damage. Read full article in the Medical Republic or on the DEA website.

Climate change: Australia's position is unconscionable for a wealthy country

"There is no planet B" says President Macron in an electrifying speech to Congress, yet for most of us climate change is of much less concern than the cost of living, taxes, schools and health services. As a slow creeping threat, "unlikely to affect me much anyway", climate change is easy to dismiss and therefore is never high on the election stakes where it is easy for our leaders to say they are doing everything they should — which they are not. Read full article on ABC NEWS online

Tasmanian Times: Doctors alarmed by renewed Tarkine destruction

DEA doctors in Tasmania have been alarmed to see escalated threats to biodiversity with renewed and seemingly accelerated destruction of native forests in the takayna / Tarkine region. DEA has called for a halt in logging. Read more.

Croakey. The National Energy Guarantee and DEA

On April 14, Doctors for the Environment Australia's national conference issued a joint statement to state and territory Energy Ministers from 150 concerned GPs, emergency doctors, public health physicians, paediatricians, physicians, surgeons, medical students and other health specialists. It said: “As doctors, we call on the energy ministers to enact energy policy that protects public health as a matter of priority”. Read on.

The Guardian; Don't believe the hype on natural gas. It's a fossil fuel just like coal

The scale of the developments in WA is enormous: a recent report states that the total global emissions from all of WA’s gas reserves (conventional and unconventional) is equivalent to 36.4bn tonnes of C02, that is eight times more than the planned Adani coal mine would produce in its lifetime.

The Courier-Mail; Protection of marine ecosystems risks being watered down

At a time when marine ecosystems are under threat from climate change increase in sea water temperature and local pollution, widespread cutbacks to marine sanctuaries are proposed by the Coalition government. Read the article by Katherine Barraclough. This is a further indication of the governments ignorance on the fundamental importance of ecosystems to human existence detailed in a recent DEA submission.

Dr Bob Brown - Keynote Address

Watch Dr Bob Brown deliver the keynote address at our recent conference - iDEA18 in Newcastle.

Dr Steve Robinson received an award from DEA at the iDEA conference

At the IDEA conference in Newcastle Dr Steve Robinson received an award for exceptional dedication to DEA and our values in the Gloucester region of NSW. The citation at the presentation is included here...

A joint statement addressed to energy ministers meeting at COAG by 150 concerned medical doctors: No NEG

WHAT:
A joint statement addressed to energy ministers meeting at COAG by 150 concerned GPs, emergency doctors, public health physicians, paediatricians, physicians, surgeons, medical students and other health specialists.

Shouldn't 'planetary health' be our bread and butter as primary care physicians?

The Anthropocene is of great significance to modern medicine. Air pollution, climate change, extreme weather events and food insecurity are now some of human health’s most pressing issues. Most days in my general practice I see a patient whose presentation has some connection to our rapidly changing ecosystem. Read full article in Medical Observer or on the DEA site (read on).

Why the way we eat is making us sick

When I joined Doctors for the Environment Australia (DEA) some years ago, I couldn’t understand why they were silent on the topic of food. After all, even by conservative estimates, the production of the world’s food is responsible for the majority of land degradation, biodiversity loss and fresh water use, and for around one third of global greenhouse gas emissions.
Read why the silence

Media release - iDEA18: Why your doctor is talking climate change

Australia’s doctors will meet in Newcastle, NSW, this weekend to discuss how they can protect the community from pollution, climate change impacts such as heatwaves and other environmental hazards.

Action on Hunter coal mines after years of community dust complaints

In the Hunter region, community action including that of DEA has at last brought action by the state government with night time inspections to curb current dust production during night time mine work when air quality becomes even worse than daytime. Read full article.

The ACCC and Liddell; just opinion and no facts

Mr Vesey of AGL has refused the request from the Federal Government to extend the life of the Liddell power station beyond 5 years. When he said ‘‘Somebody has to be on the bleeding edge, we [AGL] are going to be the biggest emitter (of carbon dioxide] - that means we are going to need to be responsible, and take action”, he was recognising the social licence increasingly necessary for industry and was filling a role abdicated by the federal government. Now read on.

Greens icon (Bob Brown) says Liddell power station closure a 'watershed moment' for owner AGL

Bob Brown will speak at the iDEA conference on Saturday 14th  in Newcastle and in the Newcastle Herald today he writes about closure of the Liddell power station and the contributions by DEA to the control of pollution from coal fired power stations.

Only one industry is exempt from a NSW scheme to make industry pay for pollution

The answer is COAL! In this Editorial in the Newcastle Herald, DEA is quoted extensively on the pollution from coal fired power stations in NSW and the harm to health that results. The Herald asks why the pollution licencing system suggested by DEA and supported by the NSW EPA has not been implemented.

Sustainable Development Goals (SDGs) are important

The United Nations sets these goals not just for developing countries but for all countries including Australia. Although Australia has one of the highest life expectancies in the world, our SDG targets, particularly on health and the environment, have slipped 6 places in the last reporting year to 26th place globally. Furthermore, our overseas development aid to help others attain their goals is inadequate. DEA has made a submission to Parliament on SDGs

Power station emissions hit the stratosphere despite government assurances on pollution controls

Dangerous fine particle emissions from Bayswater power station jumped by 69 per cent in 2017, according to new national data showing the Hunter’s biggest air polluters are releasing more toxic emissions than ever before. This Bayswater figure was dwarfed by a 179 per cent jump in PM2.5 fine particle emissions from Vales Point power station. Read DEA’s Ben Ewald’s comment in this article.

The planet’s health is no place for politics, and new laws for Australia might just make it so

The recent proposal from legal experts and the Environmental Alliance for new environmental laws recognises that health and the environment are indivisible. It is now the task of doctors' organisations to develop their input. This is a preventative health issue above all, and needs recognition of common cause between doctors and the environmental movement. This article in Croakey explains how reform of climate change and air pollution policy can begin.

DEA and a new generation of national environmental laws: time to make history in law reform

A delegation of DEA doctors (Ben Ewald, Arnagretta Hunter, Selina Lo) attended the "Better Laws for a Better Planet Symposium" hosted by the Australian Panel of Experts on Environmental Law (APEEL), IUCN Australia Committee, National Environmental Law Association, and Places You Love Alliance, on March 27, in Canberra at University House Hotel.

Coal and Gas Mining News- DEA action in March

The proposed mining of coal in Queensland is a matter of national and international concern, demanding condemnation from Australian leaders at least of the magnitude of that they expended on sandpaper and a cricket ball. On a week that the UK banned development of a coal mine because of greenhouse emissions, Queensland quietly revived the proposal for a vast dormant mine approval at Wilton, North Queensland.

Peter Doherty writes on the importance of the NEPA

While it’s a good bet that developing such a major national initiative will, at best, be a long, slow and arduous process, it is true that (to quote Laozi): “A journey of a thousand miles begins with a single step”. What is also clear is that “business as usual” is not a viable option for the future economy, defence and health of Australia”

Why Australians need a national environment protection agency to safeguard their health

Australia needs an independent National Environmental Protection Agency to safeguard the environment and deliver effective climate policy, according to a new campaign launched today by a coalition of environmental, legal and medical organisations, including DEA. The initiative was launched today in Canberra and David Shearman has written this article to explain its role.

Read the full article

Media release: Health experts call for "Reserve Bank" like authority to reform failing environmental laws

The federal government must establish an independent statutory authority much like the Reserve Bank to provide strong climate action based on consensus scientific and technological expertise to meet the unprecedented threats of climate change to human health and survival.

The burning question for Australia's politicians

Malcolm Turnbull has accused Senator Richard Di Natale of a lack of empathy in making the connection between climate and bushfires following the late season bushfires in Victoria and NSW in recent days, saying now is not the time to “politicise” these terrible events.

Your asthma puffer is probably contributing to climate change, but there's a better alternative

The gas norflurane, most often found in asthma metered dose inhalers, is 1,430 times more potent than carbon dioxide as a global warming gas. Another, apaflurane, is 3,220 times more potent. Globally, tens of millions of tons of carbon dioxide equivalent are attributable annually to these inhaler gases.

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