GLEN EIRA CITY COUNCIL MUNICIPAL PUBLIC HEALTH AND WELLBEING PLAN 2013–2017 Table of Contents Introduction ............................................................................................................................ 3 1 Background to the Municipal Public Health and Wellbeing Plan ....................................... 4 1.1 What is a Municipal Public Health and Wellbeing Plan? ............................................ 4 1.2 What are the public health and wellbeing priorities of the Federal Government? ..... 5 1.3 What are the public health and wellbeing priorities of the State Government? ......... 6 1.4 What are the public health and wellbeing responsibilities of the Glen Eira City Council? ............................................................................................................................... 7 2 3 4 Planning approach.......................................................................................................... 11 2.1 The Municipal Public Health and Wellbeing Plan development process .................. 11 2.2 Planning framework for the Municipal Public Health and Wellbeing Plan ................ 12 2.3 Municipal scan and consultation ............................................................................. 12 Council's role in public health and wellbeing .................................................................. 17 3.1 Planning and service provision ................................................................................ 17 3.2 Partnerships with local health providers.................................................................. 18 3.3 Advocacy ................................................................................................................. 19 3.4 Key achievements of the Municipal Public Health Plan 2009-2012 .......................... 19 Municipal Public Health and Wellbeing Plan 2013 2017 ................................................ 22 4.1 Objectives and actions ............................................................................................ 24 References ............................................................................................................................ 39 Page 2 of 40 E P P 2017 Introduction Glen Eira City Co ’s Municipal Public Health and Wellbeing Plan 2013-2017 identifies the health and wellbeing needs of the Glen Eira community o s Co ’s o s strategies for the next four years. The 2013-2017 Plan builds on the work of the previous 2008-2012 Plan and meets the legislative responsibilities of the Public Health and Wellbeing Act 2008. While the Federal and State Governments have the primary responsibility for the provision and funding of health services, local governments in partnership with local health organisations can make a significant contribution within the realm of their responsibility. Glen Eira City Council has identified the following priorities to focus on over the next four years: promote healthier eating and a physically active community; promote community wellbeing and connectedness; improve mental health; reduce harm from tobacco, alcohol and drugs; deliver public health protection; and deliver public health leadership. The priorities and strategies included in the Plan have been identified through analysis of health and other relevant data from various sources and through consultation with local health agencies and community members. The Plan presents the health planning approach adopted by Council, an environmental scan of the local community and a detailed list of actions that Council will undertake to address the health and wellbeing needs of the Glen Eira community. Page 3 of 40 E P P 2017 1 Background to the Municipal Public Health and Wellbeing Plan While Federal and State Governments have the primary responsibility for the funding and delivery of health services, Local Government is in a unique position to create positive change in the health and wellbeing of local people as it is the closest level of Government to the community it serves. Councils have an important role in leadership, advocacy, regulation, funding and service delivery. Municipal Public Health and Wellbeing Plans were introduced into Victorian public health legislation in 1988 as part of world-wide recognition of the importance to plan for health and wellbeing at the local level. An important understanding underpinning the legislation was that s “ … a complete state of physical, mental and social wellbeing, and not merely the s of s s o f m y” (Co s o of o O s o , 6). Eira City Council was one of the first councils in Victoria to develop and implement a Municipal Public Health Plan. 1.1 What is a Municipal Public Health and Wellbeing Plan? The Municipal Public Health and Wellbeing Plan is a strategic approach to local public health planning. It aims to protect and improve the public health and wellbeing of the Glen Eira community, by informing and integrating with other public health planning processes, and avoiding the duplication of planning effort at the local level. The Public Health and Wellbeing Act 2008 describes the legislative responsibilities of councils to prepare a Municipal Public Health and Wellbeing Plan and the planning processes that need to be included in its development. A plan must be prepared within the period of 12 months after each general election of Council. A Municipal Public Health and Wellbeing Plan must: include an examination of data about health status and health determinants in the municipal district; identify goals and strategies based on available evidence for creating a local community in which people can achieve maximum health and wellbeing; provide for the involvement of people in the local community in the development, implementation and evaluation of the public health and wellbeing plan; specify how Council will work in partnership with the department and other agencies undertaking public health initiatives, projects and programs to accomplish the goals and strategies identified in the Public Health and Wellbeing Plan; be consistent with — (i) the Council Plan prepared under section 125 of the Local Government Act 1989; and (ii) the Municipal Strategic Statement prepared under section 12A of the Planning and Environment Act 1987. In preparing a Municipal Public Health and Wellbeing Plan, a Council must have regard to the State Public Health and Wellbeing Plan prepared under section 49. Page 4 of 40 E P P 2017 1.2 What are the public health and wellbeing priorities of the Federal Government? The National Health Priority Areas initiative is collaborative action between Commonwealth, State and Territory Governments, non-government organisations, health experts, clinicians and consumers. The initiative is based on recognising that the strategies for reducing the burden of illness should encompass the continuum of care. That is, from prevention through to treatment, management and maintenance and should be based on appropriate research and data sources. By targeting specific areas that impose high social and financial costs on Australian society and through collaborative action, significant and cost-effective advances can be achieved in improving the health status of Australians. The nine National Health Priority areas that have been selected are: cancer control; cardiovascular health; injury prevention and control; mental health; diabetes mellitus; asthma; arthritis and musculoskeletal conditions; obesity; and dementia. (Australian Institute of Health and Welfare, 2013) In 2008, a National Preventative Health Taskforce was established to provide evidence-based advice to governments and health providers on preventative health programs and strategies, focusing on the burden of chronic disease currently caused by obesity, tobacco and the excessive consumption of alcohol. According to the taskforce: “ ... obesity, tobacco and alcohol feature in the top seven preventable risk factors that influence the burden of disease, with over 7% of the total burden being attributed to each of obesity and smoking, and more than 3% attributed to the harmful effects of alcohol. Along with a range of other risk factors and accounting for their interactions, approximately 32% of Australia’s total burden of disease can be attributed to modifiable risk factors” (Australian Government Preventive Health Task Force, 2009). The National Preventative Health Taskforce Strategy was seen to be needed for three reasons: To prevent hundreds of thousands of Australians dying prematurely, or falling ill and suffering, between now and 2020. To minimise the impending overload of the health and hospital systems. To s o v y fo om v ss of A s ’s workforce. Page 5 of 40 E P P 2017 The Strategy has also set the following targets: Halt and reverse the rise in obesity. Reduce the prevalence of daily smoking to 10 per cent or less. Reduce the proportion of Australians who drink at short-term risky/high-risk levels to 14 per cent, and the proportion of Australians who drink at long-term risky/high-risk levels to seven per cent. Contribute to the Close the Gap target for Indigenous people, reducing the life expectancy gap between Indigenous and non-Indigenous people. (Australian Government Preventive Health Task Force, 2009) 1.3 What are the public health and wellbeing priorities of the State Government? The goal of the Victorian Public Health and Wellbeing Plan 2011–2015 s “ ... to improve the health and wellbeing of all Victorians by engaging communities in prevention, and by strengthening systems for health protection, health promotion and preventive healthcare across al s o s v s of ov m ” (V o D m of , ). The Victorian Public Health and Wellbeing Plan contains four priority settings as the major focus for action over the life of the Plan: 1. Local communities — building on the strong tradition of community participation in Victoria, with a major focus on the role of local councils in Municipal Public Health and Wellbeing planning, as well as the Prevention Community Model developed under the Council of Australian Governments, National Partnership Agreement on Preventive Health. 2. Workplaces — building on investment to date in workplace health promotion, and the contribution of agencies such as VicHealth, and programs such as WorkHealth and the National Partnership Agreement on Preventive Health Healthy Workers Initiative. 3. Early childhood and education settings — building on the recommendations of the parliamentary inquiry into the potential for schools to become a focus for promoting healthy community living, and new initiatives under the National Partnership Agreement on Preventive Health Healthy Children Initiative. 4. Health services — o V o ’s s o omm y sys m, s opportunities for health promotion across the continuum of care, and the wider contribution of health services beyond direct service delivery — such as through health promoting hospital initiatives. Page 6 of 40 E P P 2017 1.4 What are the public health and wellbeing responsibilities of the Glen Eira City Council? Local Government plays an important role in controlling public health threats by enforcing up-to-date public health standards and through fulfilling its statutory obligations such as those contained in the Victorian Health, Food and Environment Protection Acts, associated regulations and standards. State and Federal Governments are responsible for the provision of services to treat these chronic and acute illnesses. Local Government can assist in addressing these health needs by assisting other local health organisations to implement and promote strategies that meet the o omm y’s s. The public health priorities of Council are: 1. statutory public health functions of Council; 2. initiatives that support improved rates of compliance with public health standards and legislation; and 3. to partner with local health organisations to improve wellbeing and address chronic health needs of the local community. 1. Statutory public health functions of Council Food safety The Food Act 1984 requires Council to register and inspect food premises annually, investigate complaints relating to food safety and undertake food sampling to monitor the safety of food sold within the municipality. In 2012 public health: conducted 1,702 inspections of food businesses; obtained 379 samples from food businesses; and investigated 149 food safety related complaints. Immunisation The Public Health and Wellbeing Act 2008 requires Council to co-ordinate and provide immunisation services to children living or being educated within the municipal district. In 2012 : 5,643 early years immunisations were conducted; and 2,917 school immunisations were completed. Tobacco control The Tobacco Act 1987 requires Council to enforce tobacco related laws regarding sale of cigarettes to minors, tobacco displays, advertising, smoke free areas and smoke free areas such as food establishments. In 2012, public health investigated nine tobacco complaints relating to matters such as tobacco sales to minors, smoke free workplaces and smoke free dining. Page 7 of 40 E P P 2017 Control of infectious disease The Public Health and Wellbeing Act 2008 requires Council to register and inspect all: hairdressers, beauty therapists, tattooists, colonic irrigation, businesses performing body piercing and public swimming and spa pools. In 2012 Public Health: conducted 214 inspections of registered public health and wellbeing businesses such as hairdressers, beauty therapists, tattooists and body piercing premises; investigated seven complaints relating to hairdressers and beauty therapist businesses; conducted 66 inspections of public swimming and spa pools; and obtained 107 water samples from public swimming and spa pools. Prescribed accommodation The Public Health and Wellbeing Act 2008 requires Council to register and inspect all accommodation premises where six or more residents are living. Rooming or boarding houses must also be registered with Council under the provisions of the Act where four or more residents are living. Council must inspect these premises to ensure compliance with public health standards contained in the Public Health and Wellbeing Regulations 2009. In 2012 Public Health: conducted 35 inspections of registered prescribed accommodation businesses; and investigated 39 complaints relating to the suspected operation of illegal prescribed accommodation businesses. Public health nuisances The Public Health and Wellbeing Act 2008 requires Council to investigate all complaints that are liable to impact upon the health of the community. Council investigates approximately 200 complaints each year concerning safe asbestos removal, sewage, odour and residential noise. Public health emergencies The Emergency Management Act 1986 requires Council to respond to supress public health emergencies and to assist community recovery after an emergency event. Council is also required to develop and implement a Pandemic Flu Plan to control disease outbreaks and a Heatwave Plan to protect the community during extreme weather conditions. Page 8 of 40 2. Initiatives that support improved rates of compliance with public health standards and legislation. Five-Star Safe Food program Co ’s Five-Star Safe Food program provides incentives for high performing businesses that actively manage food safety risks and continuously improve practices to make food production safer, premises cleaner and improve staff food handling practises. Poor performing b s ss s o o s o o Co ’s o v strategies are subject to sanctions to ensure public safety is not compromised. Incentives for Five-Star Food businesses include: Five-Star Food safety certificates reduced Council registration fees and free publicity in the Council produced Glen Eira Safe Food Guide. In 2012 Public Health: conducted 648 Five-Star Food safety assessments; and awarded 215 food businesses with a Five-Star rating. Education about Victorian tobacco laws Council delivers education about Victorian tobacco laws to food proprietors, tobacco retailers, tobacconists and licensed premises. These services are delivered in accordance with the Department of Human Services funding agreements administered by the Municipal Association of Victoria. In 2012 Public Health conducted 24 educational visits to tobacco retailers, specialist tobacconists and food premises (smoke free dining). Nutrition Council's Taste 4 Health nutrition program educates local food establishments on how to improve the nutritional value of the food they serve. Nutrition criteria for the program were developed in partnership with dieticians from the International Diabetes Institute, Caulfield Community Health Service and Bentleigh-B ys Comm y . Co ’s Taste 4 Health Kids program encourages food establishments to implement healthy initiatives to reduce fat, salt and refined sugar and increase dietary fibre in children's menu choices. In 2012 Public Health conducted 50 nutrition inspections of food businesses in relation to Co ’s Taste 4 Health and Taste 4 Health Kids programs. Immunisation Council actively markets and promotes the importance of children and adults maintaining their immunisation status in accordance with the Australian Standard Vaccination Schedule. If enough people in the community are immunised, the general level of immunity is increased and the spread of infection is minimised. Council provides community immunisation each month, a secondary school vaccination program, opportunistic immunisation at Maternal and Child Health Centres and delivers special immunisation sessions for four-year-old children that include free show bags, face , oo s ’s s. Page 9 of 40 E P P 2017 3. Partner with local health organisations to improve wellbeing and address chronic health needs of the local community. Council partners with local hospitals, community health centres and other local service providers to implement initiatives and deliver community education in relation to mental health, cardiovascular health, cancer control, diabetes, obesity, dementia and injury prevention. Council also actively participates in national, state and local health and wellbeing campaigns that promote healthy lifestyles such as active living and healthy eating. Council also promotes community awareness in relation to cancer screening, gambling awareness, sun smart, White Ribbon Day (Stop Violence Against Women), Dementia Awareness Week and Pink Ribbon Day (breast cancer awareness). Page 10 of 40 E P P 2017 2 Planning approach The organisational planning context for this Municipal Public Health and Wellbeing Plan can be fo Co ’s Community Plan. The Community Plan sets out the strategic direction of Council. The Plan also guides Council's decision-making, resource allocation and organisational focus, and details the priorities that Council will pursue to meet the needs of the Glen Eira community. 2.1 The Municipal Public Health and Wellbeing Plan development process The aim of the Municipal Public Health and Wellbeing Plan is to develop an ongoing strategic public health planning process to identify and address current and emerging public health issues and concerns. The development process for the Plan consisted of six major phases as depicted below. Pre-Planning Consider legislative requirements, state and federal health priorities & processes Identify key strategic planning objectives (Community Plan & Municipal Strategic Statement) Refer Sections 1.1, 1.2 and 1.3 Key Achievements & Health Priorities Achievements identified and goals and strategies developed to address areas requiring Change as identified in the municipal scan and consultation. Refer to Sections 3.3 and 4.1 Actions Development of actions to address identified areas, community health needs and the legislative obligations of Council Municipal scan Data collection and analysis to: develop preliminary understanding of community health and wellbeing status and determinants identify the context of other local, state and national health policy & issues Refer to Section 2.3 Consultation The process included: a forum with key organisations which influence health and wellbeing an online survey and community forum analysis of previous consultation carried out for other Council plans Refer to Section 2.3 Implementation & Review The Plan and its priorities will be reviewed annually to ensure implementation in accordance with the Action Plan and to identify changing needs and issues Refer to Section 4.2 Page 11 of 40 E P P 2017 2.2 Planning framework for the Municipal Public Health and Wellbeing Plan The Municipal Public Health and Wellbeing Plan has a number of legislative, policy and planning links. Importantly, there are several planning and policy links across Council that influence the development and content of the Plan and, in turn, are influenced by the Plan. The diagram below outlines these legislative, policy and planning links which inform the Municipal Public Health and Wellbeing Plan. Municipal Public Health and Wellbeing Plan planning and legislation links Ageing Strategy Community Plan Municipal Early Years Plan Public Health and Wellbeing Act 2008 Disability Action Plan Environmental Sustainability Strategy Municipal Public Health and Wellbeing Plan Sustainable Transport Strategy Victorian Public Health and Wellbeing Plan 2011-2015 Climate Change Act 2010 Road Safety Strategy Bicycle Strategy Municipal Strategic Statement Municipal Emergency Management Plan 2.3 Municipal scan and consultation Municipal scan During the municipal scan phase, a variety of the standard measures often used by government and researchers to measure health and illness in a population were examined and the resulting implications for the development of this Plan assessed. Information used includes: Australian Bureau of Statistics 2011 Census data; The Community Indicators Victoria 2013 survey data; Victorian Population Health Survey 2008; Department of Health Statistical Profile: Glen Eira 2013; and Victorian Health Information Surveillance System data. Page 12 of 40 E P P 2017 Glen Eira demographics/who are we? According to the Australian Bureau of Statistics Census of Population and Housing 2011, there are 137,566 residents living within Glen Eira. This figure is predicted to increase to 156,334 by 2031 according to the future population predictions developed by the Department of Planning and Community Development. The population is ageing, with 14 per cent of the population expected to be aged over 70 by 2031. There will also be an increase in the number of lone households, with around one third of all households expected to be occupied by people living alone (Department of Planning and Community Development, 2012). There is a high level of cultural diversity, with 28.3 per cent of Glen Eira residents born in a non-English speaking country, and 30.7 per cent speaking a language other than English at home. The most common overseas country of birth is India (3.8 per cent), and most commonly spoken languages other than English are Greek (4.5 per cent), Russian (3.8 per cent) and Mandarin (3.3 per cent) (Australian Bureau of Statistics, 2013). Median household incomes are above average, and levels of educational attainment are high, with performance of Year Nine students among the highest in the state, a low percentage of persons without Year 12, and high percentages of persons with a higher education qualification (Department of Health, 2013a). The tables below highlight a range of statistics used as indicators for health and their implications for the development of this plan. Illness and disease Avoidable mortality in Glen Eira 2002 2006 Top 5 causes Total deaths 1. Ischemic heart disease 147 2. Lung cancer 130 3. Colorectal cancer 70 4. Suicide 54 5. Breast cancer 54 Avoidable hospitalisations in Glen Eira 2011 Top 5 causes Hospital admissions 1. Diabetes complications 1,071 2. Kidney/urinary tract inflammation 449 3. Dental conditions 354 4. Congestive cardiac failure 372 5. Chronic obstructive pulmonary disease 315 Chronic disease in Glen Eira 2007 2008 Chronic disease % of population Respiratory system disease 16.2% Circulatory system disease 16.2% Hypertensive diseases 8.8% High cholesterol 5.4% Type 2 diabetes 4.1% Planning implications Collectively, cancers contribute significantly to the avoidable deaths in Glen Eira. Early detection can reduce the severity of cancers. Therefore, cancer screening promotion could be used to reduce mortality rates. Poor diet, smoking, alcohol consumption and low levels of physical activity contribute to many of the top causes of avoidable hospitalisations in Glen Eira. Chronic diseases are serious health issues that may require ongoing medication for life. However, most chronic diseases are preventable for most people through healthy lifestyle choices. An emphasis on promoting healthy lifestyles in this Plan can decrease the impact of chronic disease on the community. Page 13 of 40 E P P 2017 Source: Department of Health (2012) Victorian Health Information Surveillance System Public Health Information Development Unit 2011 Lifestyle behaviours Health risk factor Persons who are obese or overweight - Males - Females Persons aged 18 plus who are current smokers - Males - Females Persons at risk of shortterm harm from alcohol consumption Persons who purchased alcohol in the past seven days Persons who do not meet fruit and vegetable guidelines - Males - Females Persons who do not meet physical activity guidelines - Males - Females Glen Eira 43.7% Victoria 48.6% 54.7% 33.4% 14.9% 57.2% 40.3% 19.1% 18.3% 11.5% 6.9% 21.4% 16.9% 10.2% 38.4% 36.3% 47.0% 48.2% 38.1% 57.6% 27.7% 41.9% 54.8% 27.4% Planning implications Obesity is a major risk factor in many of the diseases which affect Glen Eira residents such as heart disease, cancer, stroke and respiratory diseases. The prevalence of tobacco smoking among adults in Victoria has been steadily declining for many years. This continuing fall has the potential to contribute to a reduction in chronic disease over time. Therefore, programs should focus on continuing to decrease smoking rates. Glen Eira has a lower percentage of people at risk of short-term harm from alcohol consumption than Victoria however, it is of concern that over a third of adults purchased alcohol in the past seven days and half (50.4 per cent) of 15 to 17-year-olds consumed alcohol in the previous month. This emphasises the need to promote safe consumption of alcohol, particularly to young people. Almost a third of the Glen Eira population does not meet the Federal ov m ’s o ys 26.2% 27.5% activity guidelines. Physical activity, as well as having 29.6% 27.2% important health and social benefits, plays a vital Gaming machine losses $669 $602 role in the prevention of mortality and morbidity per head of adult from cardiovascular disease, type 2 diabetes, some population forms of cancer and morbidity from some injuries Drug usage and 1.8 3.4 and mental health conditions. Therefore, possession offences per encouraging and providing opportunities to be 1,000 physically active will have an impact on a range of population health conditions. Source: Department of Health (2013a) Statistical Profile: Glen Eira Protective health behaviours Health risk factors Glen Eira Victoria Planning implications Infants fully breastfed at 64.1% 51.8% Glen Eira rates positively on most health status three months indicators however, screening participation rates are low, particularly bowel cancer and breast Children fully immunised 92.4% 93.4% cancer screening participation which is below at 24 27 months average. Breast cancer screening 54.2% 54.7% participation Promotional methods could be used to boost Cervical cancer screening 66.1% 60.7% immunisation and screening rates in order to participation prevent or early diagnose treatable diseases. Bowel cancer screening 33.2% 37.1% participation Source: Department of Health Statistical Profile: Glen Eira, 2013 Indicators of community strength Health risk factor Glen Eira Community acceptance of 93.1% diverse cultures Feel safe walking alone 98.3% Victoria 89.4% 97% Planning implications There are relatively high levels of community involvement in Glen Eira. This can be enhanced through a range of community building programs. Page 14 of 40 E during the day Feel safe on street alone 75.3% 70.3% after dark Participation in arts and 79.1% 63.6% cultural activities Participation in citizen 46.9% 50.5% engagement in last year Source: Community Indicators Victoria, 2013 Indicators of mental health and wellbeing Health risk factor Glen Eira Victoria Persons reporting high to 9.3% 11.4% very high degree of psychological distress Feeling part of the 73.7% 72.3% community Satisfaction with their 78.3% 77.5% lives Source: Community Indicators Victoria, 2013 P P 2017 Strengthening community connections will also help to maintain the existing high perceptions of safety in Glen Eira. Planning implications Levels of psychological stress in Glen Eira are slightly lower than the state average. Feeling part of the community and life satisfaction measures are both linked to mental wellbeing. Glen Eira has rates similar to the state average on these measures. Consultation The consultation process was informed by data collected in the municipal scan phase and included: an online survey and quick poll; two community forums and an additional forum for local service providers including health services, disability services and emergency services; and analysis of previous consultation undertaken in the development of other Council plans. Key themes to emerge from this consultation process include: Physical activity Those consulted identified the importance of physical activity for both physical health and social interaction. They emphasised the need for community members of all age groups to be able to access local affordable facilities, open spaces and sporting grounds. Feeling part of the community Social isolation was viewed as a major factor leading to poor health and wellbeing. Having a strong sense of community and the opportunities to attend community events were seen as protective factors. Having a place to go or group to be involved with was seen as important. Healthy ageing The ageing population of Glen Eira was recognised with activities that allow older residents to stay active in the community and remain in their homes for as long as possible was identified as a priority. Community safety During consultations it was identified that feeling safe to go out at night would lead to more opportunities for physical activity and social activities which were both key priority areas for health. Page 15 of 40 E P P 2017 Access to services Having access to services and knowing how and where to access them was a recurring theme and accepted as being important in achieving positive health and wellbeing. Summary and key considerations The Glen Eira community enjoys a comparatively high level of health and wellbeing. Even so, residents are not immune to lifestyle related risks such as obesity, insufficient exercise, poor nutrition, smoking and alcohol. Along with stress, high cholesterol and high blood pressure, these risk factors contribute significantly to the burden of disease in Glen Eira and provide opportunities for future health gain through early prevention and appropriate management of these risk factors (Department of Health, 2013a). The table below shows the relationship between chronic disease and selected lifestyle risk factors. Chronic disease or condition Poor diet Physical inactivity Tobacco smoking Excess alcohol use Excess weight Coronary heart disease Cerebrovascular disease Colorectal cancer Type 2 diabetes Chronic kidney disease Osteoarthritis Osteoporosis Source: Australian Institute of Health and Welfare, 2008 The ageing population in our community presents health challenges associated with a longer life expectancy. We can expect an increase in people living with chronic diseases and disabilities and it will result in a higher demand for health services. It will be important for Glen Eira to focus on healthy ageing to enable residents to contribute to the community and remain in their homes for as long as possible. In addition, the key considerations for the Plan will be: prevention and early intervention as key strategies to reduce lifestyle related diseases; promotion of screening to minimise preventable cancer deaths; immunisation to minimise death and illness from preventable diseases; monitoring health conditions, disease notification and adoption of healthy behaviours throughout the life of the Plan in order to respond to emerging issues; development of partnerships with external health agencies and services to enable delivery of programs promoting positive health and wellbeing; and ongoing consultation and involvement with the community to understand their needs and ensure strategies respond appropriately. We are fortunate that Glen Eira residents enjoy a health status above the state average. However, risk factors for our community are expected to increase with an ageing population. The provision of information, services and programs and the continued provision of a safe environment enables residents to make healthy lifestyle decisions ensuring a healthy future for Glen Eira. Page 16 of 40 3 Council's role in public health and wellbeing 3.1 Planning and service provision Council is a key player in a network of local and regional public health and wellbeing planners and service providers and it works in partnership with the State Government and other selected agencies and providers, undertaking public health initiatives, projects and programs to accomplish the goals and aims of the Municipal Public Health and Wellbeing Plan. Council does this by: participating in local health strategy planning and development; participating in service provider-led consultation; sharing health data information; supporting local health initiatives; participating in Inner South East Partnership in Community and Health meetings and initiatives; participating in Bayside Medicare Local meetings and initiatives; and consultation with the Department of Health (central and regional offices) on health related issues. Local and regional health providers and networks are integral in promoting and enhancing health and wellbeing in Glen Eira. Council also has a range of functions determined by the Public Health and Wellbeing Act 2008 which are relevant to the protection, improvement and promotion of public health and wellbeing of the Glen Eira community. Specifically, these responsibilities are: Creating an environment which supports the health of members of the local community and strengthens the capacity of the community and individuals to achieve better health. Initiating, supporting and managing public health planning processes at the local level. Implementing public health initiatives within the municipal district. Developing and enforcing public health standards and intervening if the health of people within the municipal district is affected. Supporting local agencies whose work has an impact on health and wellbeing in the local community. Co-ordinating and providing immunisation services to children living or being educated within the municipal district. Ensuring that the municipal district is maintained in a clean and sanitary condition. The responsibilities are actioned by Council through the delivery of health protection and innovative health promotion programs addressing areas of food safety, tobacco control, infectious disease management, immunisation and regulation of businesses that pose a risk to public health. Page 17 of 40 E P P 2017 3.2 Partnerships with local health providers Glen Eira City Council will work in partnership with a range of local health providers and services across the municipality to ensure effective and efficient health and wellbeing outcomes for the Glen Eira community. These partnerships include: Department of Health Council is represented on the Department of Health Southern Region Health Network. Council works in partnership with the Department of Health through this network to undertake public health initiatives, projects and programs to accomplish the goals and strategies identified in the Municipal Public Health and Wellbeing Plan. Inner South East Partnership in Community Health (ISEPICH) T s s s o o ISEPIC ’s Ex v Comm v working groups, to ensure priorities are established between acute and community health care service providers to plan and co-ordinate health services within the cities of Glen Eira, Stonnington and Port Phillip. Bayside Medicare Local The partnership with Bayside Medicare Local establishes and maintains strong links with a o of m y ov s, o os wo ks o P’s. T partnership provides an opportunity for better targeting of services and establishing formal and informal links with the acute and aged care sectors. Community health services Council will work alongside Bentleigh Bayside Community Health Service and Caulfield Community Health Service in undertaking the joint initiatives highlighted through the Comm y ’s I P omo o Municipal Public Health and Wellbeing Plan. The partnership will bring together a diversity of skills and resources for more effective health planning outcomes for the community. Glen Eira City Council is committed to continue working in partnership with a range of government, non-government and community organisations. To ensure effective and efficient health planning initiatives and projects, Glen Eira City Council recognises it will need to identify and seek new partnerships, as well as maintain its existing relationship with stakeholders. Page 18 of 40 3.3 Advocacy Council takes its responsibility as an advocate for the Glen Eira community seriously. Through its varied relationships with other Governments, community organisations and interest groups, Council officers give voice to local opinions, communica Co ’s os o o issues, and initiate action in a deliberate attempt to influence outcomes. Advocacy is particularly important in the health arena for Council because our direct involvement in health service delivery is small and focused on prevention efforts. For this reason, our advocacy efforts are directed through our partners to improve community connections and mental health, health promotion and healthy lifestyles, healthy environments and protection, and emergency response. 3.4 Key achievements of the Municipal Public Health Plan 2009-2012 Council has already achieved significant progress in providing health and wellbeing initiatives for the Glen Eira community through the previous Municipal Public Health Plan 2009 2012. Food safety From 2009 2012, 1,540 food businesses were assessed and 89 per cent complied with the Australian food safety standards. From 2009 2012, Co ’s environmental health officers undertook 3,510 food safety assessments of local food businesses to ensure that food safety risks were effectively managed. Five-Star Safe Food Program In 2012, 56.6 per cent of Class 1 Food Businesses received a Five-Star Food safety rating. The Five Star Safe Food Program provides incentives for high performing businesses that actively manage food safety risks and continuously improve practices to make food production safer, food businesses cleaner, improve staff education and implement best practice. Co ’s Five-Star Safe Food Program was further enhanced with the introduction of a risk based approach to the way food safety assessments are conducted. This enhancement provides Council with greater flexibility to identify and manage the risks posed by each food premises. Healthy ageing Council offers residents over 50 years-of-age the opportunity to participate in exercise classes and walking groups that are designed to improve balance, encourage confidence and to build a better sense of wellbeing. The Explorers Program offers a wide range of excursions (scenic drives, luncheons, picnics, and movies) designed to encourage confidence and an opportunity to make new friends. Page 19 of 40 E P P 2017 An average of 230 socially isolated older people attend physical activity and social connection programs each year. Disability From 2009 2012, 72 local food businesses improved disability access by meeting disability access criteria. Co ’s Access 4 All Program is designed to reward those food businesses that provide accessible initiatives for people of all-abilities. By making minor structural changes and improving customer awareness and service needs, food businesses are rewarded not only with an increase in trade, but are also provided with an Access 4 All Award to promote the accessibility of their food business. Health promotion programs From 2009 2012, more than 1,000 residents attended health promotion programs, gaining valuable knowledge and skills in improving their own healthy behaviours and lifestyles. Popular events included Maintain Your Brain Alzhe m ’s v o s ss o s, T v Sm fo o residents, food insecurity information sessions, Responsible Service of Alcohol forums and car seat restraint checks. Community safety Twelve initiatives were provided in 2011-2012 to address the issue of community safety. Workshops and educational programs included safe living programs, Community Safety Month events, falls prevention sessions and safety around schools campaigns. Nutrition From 2009 2012, 206 food businesses developed healthy menu items to improve the nutritional value of food sold within the municipality. The Taste 4 Health and Taste 4 Health Kids program educates businesses on how to improve the nutritional value of the food they serve. The criteria were developed in partnership with dieticians from the Bentleigh-Bayside Community Health Centre. Local food businesses are encouraged to make small changes to their menu items to provide food that is low in salt, sugar and fat and high in dietary fibre while maintaining taste and quality. Infectious diseases prevention, surveillance and control From 2009 2012, 948 inspections of personal care businesses that pose a potential risk to public health (hairdressers, beauty therapy and skin penetration premises) were assessed against state public health standards. From 2009 2012, 61 gastrointestinal and infectious disease outbreaks were investigated and controlled by Council within childcare and aged care facilities. Council annually registers all public health and wellbeing businesses under the provisions of the Public Health and Wellbeing Act 2008. Public health and wellbeing businesses include hairdressing, beauty therapy, skin penetration (ear piercing), tattooing and colonic irrigation premises. Environmental health officers inspect these businesses to ensure that they maintain hygiene and safety standards. Page 20 of 40 E P P 2017 Immunisation More than 28,000 vaccinations were administered from 2009 2012. More than 90 per cent of children are up-to-date with vaccinations meeting national immunisation targets. Council promotes and encourages the immunisation of children and adults through its diverse range of immunisation sessions; including Maternal and Child Health sessions, community sessions, a special four-year-old session, staff flu immunisation sessions and the Year 7 Gardasil vaccine program. Water sampling From 2009-2012, 368 water samples were taken from public swimming pools and spa pools and 89 per cent complied with Water Quality Standards. Council regularly monitors the water quality at all public swimming pools and spas within the municipality. Swimming pool and spa water samples are collected for chemical and microbiological analysis to ensure the facilities are safe for public use. Page 21 of 40 E P P 2017 4 Municipal Public Health and Wellbeing Plan 2013 2017 Glen Eira City Council has identified the following public health and wellbeing priorities for the next four years. These priorities will ensure Council complies with its legislative responsibilities in line with the Community Plan and other key Council plans and strategies. 1. Promote a healthier eating and physically active community Council will undertake strategies to inform and educate residents regarding healthy eating and physical activity. This is a key priority area for Council as poor diet and low levels of physical activity contribute to many of the top causes of ill health and avoidable hospitalisations. A range of health promotion projects, combined with partnerships that support the community to make healthy lifestyle choices and advocacy is most likely to make a difference to the Glen Eira community. 2. Promote community wellbeing and connectedness In order to achieve this priority, Council will undertake community consultation, provide a range of events, festivals and community celebrations, as well as encourage and promote volunteering. Fostering participation and a sense of community builds a strong and resilient community and contributes to wellbeing. Council will provide community grants to support local community groups to meet identified community needs. 3. Improve mental health Creating a socially inclusive community where people feel valued, respected and can live with dignity contribute to reducing the impact and may prevent the onset of mental health issues. Council will focus activity on improving social, physical and economic environments. Age related mental health issues are likely to increase in Glen Eira; preventative mental health activities such as those associated with increasing connectedness will assist in addressing these mental health issues. Activities will include strengthening understanding in the community about mental health, developing a cohesive, focused and co-ordinated effort in close collaboration with key partners and supporting individual efforts to achieve and maintain mental health. 4. Reduce harm from tobacco, alcohol and drugs Strategies to inform and educate residents regarding tobacco, alcohol misuse and drugs will assist state and federal governments in advancing population health. The focus on advocacy and partnership is particularly important in this priority area as many of the controls for tobacco, alcohol and drugs are driven by law. Council has a role in monitoring and enforcement as well as health promotion. 5. Deliver public health protection Council will continue to enforce up-to-date public health standards and will provide public health intervention programs to improve community health. These services include immunisation programs, food safety, tobacco control, environmental health and water quality initiatives. Council will continue to run programs to protect the health and wellbeing of young children and frail older adults. Page 22 of 40 E P P 2017 6. Deliver initiatives in public health leadership Glen Eira will continue to be a leader in public health initiatives with innovations such as the Five-Star Food premise certification and vaccination sessions for four-year-olds demonstrating our strong public health commitment. Council will focus leadership activity that promotes safe, stable and prevention focussed activities and programs that educate, provide incentives for improvement, protect vulnerable community members and target health issues in Glen Eira. Page 23 of 40 4.1 Objectives and actions Promote healthy eating and a physically active community What do we know? Unhealthy eating and low fruit and vegetable consumption contribute to high blood pressure, high blood cholesterol and high rates of obesity. These risk factors cause up to 16 per cent of the burden of disease in Australia (VicHealth, 2012). Increased levels of physical activity help to decrease obesity which is a major risk factor in many of the diseases which effect Glen Eira residents such as heart disease, cancer, stroke and respiratory diseases. Physical activity also benefits mental health and wellbeing and increases opportunities for people to socialise (VicHealth, 2012). Why is it important to health and wellbeing in Glen Eira? Lifestyle related chronic disease is responsible for most of the burden of disease in Glen Eira. Physical inactivity and obesity are recognised as having significant links to a range of chronic diseases. Almost a third of the Glen Eira population does not meet the National Physical Activity Guidelines (Department of Health, 2013a). Almost half of the Glen Eira population does not meet the recommended daily intake of fruit or vegetables (Department of Health, 2013a). Community members said: “P ys “A v yw ss o s f , o o oo x s s q s k y of life and good health outcomes for an ageing population.” ks, y sw m k m x s mo .” Goal 1. Promote healthier eating and a physically active community Objectives Action Measure Timeframe 1.1 Promote healthy behaviours and support the community to make healthy lifestyle choices. Identify state and/or national health priority campaigns that have relevance for the local community and inform the community through promotion and information sessions. Health food literacy promoted in Glen Eira News. 2013/14 Support and encourage participation of early childhood services and schools in the Victorian Prevention and Health Promotion Achievement Program, particularly with achievements of the healthy eating and oral health benchmarks. Promote the program and suggest ideas for meeting healthy eating and oral health benchmarks in newsletters. Quarterly Page 24 of 40 E P P Goal 1. Promote healthier eating and a physically active community Objectives Action Measure 1.2 1.3 Foster joint planning and action to improve healthy eating and physical activity. Promote physical activity initiatives to support the community in leading healthy and active lifestyles. 1.4 Improve the supply of and access to a variety of safe and nutritious food in the community. 2017 Timeframe Develop an annual program of health promotion seminars and events in partnership with the Department of Health, ISEPICH, Bayside Medicare Local and community health centres. Promote cycling as an alternative mode of transport. Run health promotion projects targeting: - healthy eating; and - physical activity. Two cycling articles promoted in Glen Eira news. 2013/14 2015/16 P omo Co ’s T v Sm Map to residents to encourage walking and cycling in the municipality. TravelSmart Maps promoted to residents through articles in the Glen Eira News and v o Co ’s website. 2014/15 Promote the National Physical Activity Guidelines and raise awareness of the importance of physical activity to all residents. National Physical Activity Guidelines posted on Co ’s w s . December 2013 Implement nutrition program to eligible local food businesses and award those that offer healthy food choices to the public. Eligible businesses assessed on healthy menu criteria. Annually E s Co ’s D v s program provides nutritious food choices for all older persons participating in the service. The nutritious food value of the Delivered Meals program audited with assistance from dietician. Twice each year 2013/2014 2014/2015 1.5 Promote activity and connect socially isolated older adults with their community. Deliver outings and exercise classes to socially isolated senior citizens. Two hundred socially isolated residents attend programs each year. Annually 1.6 Increase capacity of the community to be active by improving personal safety and preventing injury. Promote road safety information to improve awareness around pedestrian and driver safety. Road safety articles promoted in Glen Eira News. 2016/17 2016/17 Advocacy Council will advocate to the State and Federal Governments to address the following needs of residents and ratepayers: Increased funding for community care meals services. Advocate with health partners to obtain funding for national health priority campaigns of relevance to the community. Page 25 of 40 E P P 2017 Promote community wellbeing and connectedness What do we know? People who are socially isolated or excluded have between two and five times the risk of dying prematurely from all causes compared to those who maintain strong ties with family, friends and community (Brasher and Wiseman, 2007). Social interaction is particularly important after retirement when the social contact that comes with being in the workforce is gone. Factors such as living alone, low income, reduced physical mobility due to illness or lack of access to transport can increase the risk of social isolation for both the elderly and wider community (Better Health Channel, 2013). Why is it important to health and wellbeing in Glen Eira? 11.3 per cent of Glen Eira residents are aged over 70. Thirty-one per cent of those residents aged over 70 are living in lone person households, putting them at risk of being socially isolated (Department of Health, 2013). Community connection is strong in Glen Eira with 73.7 per cent of the community reporting feeling part of the community and 90.4 per cent of residents reporting that they could definitely get help from friends, family or neighbours when they needed it (Community Indicators Victoria, 2013). Seventy nine per cent of Glen Eira residents report participation in arts and cultural activities compared to 63.6 per cent of Victorians (Community Indicators Victoria, 2013). Community members said: “T s extraordinary sense of community which means that my children are cared for by those in my street and surrounds.” “I k y v s v o community in which I live and work.” m ms s o o .” “I ov f o o Goal 2. Promote community wellbeing and connectedness Objectives Action Measure Timeframe 2.1 Deliver at least $350,000 in community grants to community groups. Annually - Parties in the Park - Music festivals - Storytelling Festival Annually Service level agreements with all community houses. Annually Support community connectedness and participation by promoting and providing community events and programs. Support local community groups by providing community grants for health education programs, prevention of alcohol and drug abuse and the minimisation of social isolation. Provide a range of events, festivals and community celebrations to build social connectedness and promote community inclusion. Fund community houses to provide a range of community programs that decrease social isolation and increase community connectedness. Page 26 of 40 E P P 2017 Goal 2. Promote community wellbeing and connectedness Objectives Action Measure Timeframe 2.2 2.3 2.4 2.5 Increase the number and diversity of people who are involved in volunteering and recognise the achievements of local volunteers. Promote volunteerism and recognise the contribution volunteers make in the community. Fund Community Information Glen Eira (CIGE) to implement a volunteer referral service that identifies opportunities, issues and resources for current and future volunteering needs. Volunteer recognition award ceremony held. Annually CIGE meet funding agreement through the referral of at least 1,000 volunteers, and more than 100 volunteer organisations registered on the service. Annually Connect socially isolated older adults and people with disabilities with their communities. Provide social support programs which support frail older people and people with disabilities. Provide 21,500 hours of social support. Annually Promote Co ’s om library service for frail older people and people with a disability. Increase number of people who have access to the home library service. Annually Provide transport to enable frail older adults to access community facilities and venues. Thirty residents registered to receive weekly shopping services to local shopping centres. Annually Expand our community care transport service to enable access to other community facilities. Two thousand older residents utilise Co ’s S o C z C ’s y . June 2014 Facilitate and promote opportunities for Glen Eira residents to be socially active. Improve community members’ understanding of personal safety and injury prevention. Support senior citizens clubs to enhance social inclusion of older persons. Annually Promote and encourage a range of activities that build community spirit such as Neighbour Day and community gardens. Promotion and delivery of informational resources to improve personal safety and prevent injury. Encourage community houses to participate in Neighbour Day. Annually Community safety articles promoted in Glen Eira News. Annually Promote and implement a range of community safety information and programs during Community Safety Month. Three community safety initiatives held during Community Safety Month. Annually Page 27 of 40 E P P 2017 Advocacy Council will advocate to the State and Federal Governments to address the following needs of residents and ratepayers: Funding for volunteering and community groups. Increased funding for home and community care services to meet previously agreed 80 per cent federal and state commitments. Page 28 of 40 E P P 2017 Improve mental health What do we know? Our social connections comprise people we know; the friends we confide in, the family we belong to and the community we live in. The need to belong, be connected and engaged in group and civic activities are intrinsic to mental health and wellbeing (VicHealth, 2013). A safe environment where people can live, work or play has a direct impact on the omm y’s ys , so mo o w (B C , ). In contrast to the overall physical health gains in recent decades, the burden of mental illness, in particular depression, is an important global health problem due to both its relatively high lifetime prevalence and the significant disability that it causes (VicHealth, 2013). Promoting safety and safe practices within the community can contribute to increasing the confidence of residents about safety (Victoria Police, 2013). Why is it important to health and wellbeing in Glen Eira? While Glen Eira residents experience a relatively good measure of mental health and wellbeing, preventative measures will protect against the growing burden of psychological stress across the general population. Strengthening community connections will help to maintain existing high perceptions of safety in Glen Eira. With lone households increasing in Glen Eira, social isolation may become more prevalent and this may impact on the mental health of these residents. Community members said: “I k y v s, s, o s, omm y s, m k s, s and parks are invaluable and help minimise disconnection and related negative mental and physical health outcomes.” “ o s o o v o om … need to look into ways to make them feel needed and respected.” Goal 3. Improve mental health Objectives Action 3.1 Facilitate and promote opportunities for Glen Eira residents to feel valued, be connected and socially active across the life span. Measure Timeframe Promote the Glen Eira Community Register and encourage socially isolated senior citizens to register. Community register promoted in Glen Eira News two times per year. Annually Provide information, support and referrals to young people who are disadvantaged, isolated or at risk. One thousand young people supported o Co ’s Youth Services support programs. Annually Offer a range of library services and programs which encourage family and community involvement. Provide StoryTime and BabyTime sessions for 40,000 attendees at the libraries in Bentleigh, Carnegie, Caulfield and Elsternwick. Annually Page 29 of 40 E Goal 3. Improve mental health Objectives Action 3.2 Foster joint mentalhealth and wellbeing planning and action. Maintain partnerships with the Inner South East Partnership in Community Health (ISEPICH) and Bayside Medicare Local to deliver initiatives and activities that improve community wellbeing and connectedness. P P 2017 Measure Timeframe Participate in ISEPICH projects and initiatives throughout the year. Ongoing Representation on ISEPICH Executive and Steering Committees. Participation in Bayside Medicare Local activities and working groups. 3.3 Ensure access to physical environments that build social connections and individual capacity to be physically and mentally well. Increase capacity of the community to improve personal safety and prevent injury. 3.4 3.5 Provide services that enhance maternal mental health. Develop an annual program of health promotion seminars and events in partnership with the Department of Health, ISEPICH, Bayside Medicare Local and community health centres. Run health promotion projects targeting key health priorities: - mental health; and - healthy ageing. Provide access to Council sporting grounds and pavilions for community activities and sport. Information about grounds, access and activities provided on Council website. Annually Partner with local community groups and service providers to facilitate the development of programs that improve personal safety and prevent injury. Community workshops for service providers and community groups held twice each year. Annually Support the wellbeing of mothers and babies through postnatal depression support in our Maternal and Child Health services. Nurses to implement postnatal depression guidelines. Annually Develop a partnership with Alfred Child Youth and Mental Health Service (CYMHS) to deliver postnatal support. Annually 2015/2016 2015/2016 Advocacy Council will advocate to the State and Federal Governments to address the following needs of residents and rate payers: Ongoing support of the community register for socially isolated senior citizens. Adequate funding for suicide prevention and education. Funding to support postnatal depression services. Funding to enable the promotion of mental health through increased awareness of risk factors. Page 30 of 40 E P P 2017 Reduce harm from tobacco, alcohol and drugs What do we know? More than 200 types of short and long-term preventable harms can result from alcohol misuse. These include accident and injury, cancer, heart attack, stroke and liver cirrhosis. The harmful community impacts of alcohol include drink driving, alcohol-related injury, assault and chronic disease (VicHealth, 2012). Even though the smoking rate has dropped in Victoria, smoking remains the leading preventable cause of many cancers and respiratory, cardiovascular and other diseases (VicHealth, 2012). Illicit drugs cause significant harm to individuals and the broader community, including the loss in workplace productivity and the cost to our health and criminal justice systems (DoH, 2012c). Why is it important to health and wellbeing in Glen Eira? Four key health risk factors: smoking; harmful use of alcohol; physical inactivity; and obesity are recognised as having significant links to a range of chronic diseases. Around half of Glen Eira residents aged over 18 have at least one of those four risk factors (Department of Health, 2013a). While Glen Eira has a lower percentage of people at risk of short-term harm from alcohol consumption, half of 15 to 17-year-olds report consuming alcohol. Community members said: “So m y ss s m ov w like smoking and alcohol.” “R smok o o yo o s s x s — like mental health, general health and giving up things s.” Goal 4. Reduce harm from tobacco, alcohol and drugs Objectives Action Measure Timeframe 4.1 Reduce the incidence of smoking through education and enforcement of the Victorian Tobacco Act. Monitor and enforce standards for the display and sale of cigarettes and smoke free requirements in tobacco retailers, certified tobacconists, eating establishments and licensed premises. Provide education and conduct inspections in 40 per cent of tobacco retailers, 100 per cent of certified tobacconists, five per cent of eating establishments and 10 per cent of licensed premises. Annually 4.2 Encourage reduction in smoking rates in Glen Eira. Support local community groups by providing grants for health education related to non-smoking. Prioritise programs that promote non-smoking in community grants. Annually Page 31 of 40 E P P 2017 Goal 4. Reduce harm from tobacco, alcohol and drugs Objectives Action Measure Timeframe 4.3 Minimise the harm caused by tobacco, alcohol and other drugs in the community. 4.4 Partner with key local health providers to develop approaches to reduce harm from alcohol, tobacco and drugs. Raise awareness of the impact of binge drinking, smoking and other drugs via a community information session. Community information session held. 2013/2014 Promote the responsible service of alcohol through the provision of Responsible Service of Alcohol courses for sporting clubs and other community groups. Develop an annual program of health promotion seminars and events in partnership with the Department of Health, ISEPICH, Bayside Medicare Local and community health centres. Two Responsible Service of Alcohol courses held per year. Annually Run health promotion projects targeting key health priorities: - smoking prevention; and - alcohol misuse. 2013/2014 2014/2015 Advocacy Council will advocate to the State and Federal Government to address the following needs of residents and ratepayers: Ensure that recently increased tobacco funding levels are maintained. Support the implementation of outdoor smoking bans. Page 32 of 40 Deliver Public health protection What do we know? Improvements in sanitation, drinking water quality, food safety, disease control and housing conditions have been central to the significant improvement of quality of life and longevity experienced over the last 100 years (Australian Government Department of Health and Ageing, 2013). Vaccination has been demonstrated to be one of the most effective and cost-effective public health interventions. Immunisation not only protects individuals, but also others in the community, by reducing the spread of disease. Since the introduction of childhood vaccination, deaths in Australia from vaccine preventable diseases (VPDs) have declined by more than 99 per cent (Australian Government Department Health and Ageing). Food poisoning is caused by eating contaminated food. The risk can be minimised by taking simple precautions. Some people are more at risk including: pregnant women, the elderly, young children and anyone with an illness. E.coli, salmonella, listeria and campylobacter are some bacteria that cause food poisoning (Better Health Channel, 2013). Services that support and assist senior citizens protect them from infectious disease, injury, poor nutrition and mental illness. Why is it important to health and wellbeing in Glen Eira? 92.6 per cent of five--year-old children starting school in Glen Eira have been fully immunised (Department of Health 2013b). I , 5 s s of s s foo o so w o o E ’s P Health Unit. There were eight infectious disease outbreaks in Glen Eira in 2011/12. There were 43 serious injuries resulting from motor vehicle accidents in Glen Eira between 1 January and 30 June 2012 (Department of Transport, 2013). Community members said: “A ss o healthy and clean.” y foo — confidence to know you can go anywhere and the food will be hygienic, “Imm k s o s sw , o ; x m Goal 5. Deliver public health protection Objectives Action 5.1 Enforce public health standards to ensure the residents of Glen Eira can feel confident about the environment in which they live, work and play. of P S v ”. Measure Timeframe Inspect registered food businesses to assess compliance with National Food Safety Standards. Conduct 800 food safety assessments for at least 95 per cent of all registered food businesses. Annually Analyse food samples from registered food businesses. One hundred and eighty seven food samples analysed per year. Annually Page 33 of 40 E Goal 5. Deliver public health protection Objectives Action 5.2 Provide services to protect the health of children. 5.3 Investigate and respond to community concerns about public health complaints. P P 2017 Measure Timeframe Undertake food safety risk assessments of registered s ss s s ‘ sk foo s’ ( f s, childcare facilities, restaurants, cafes, takeaway premises) to identify and mitigate food safety risks. Inspect all hairdressers, beauty therapists, prescribed accommodation, skin penetration and colonic irrigation businesses to assess the safety and hygiene standards and prevent the spread of infectious disease. Risk assessments conducted at 600 food premises per year. Annually Conduct 220 Public Health and Wellbeing Act Inspections for at least 95 per cent of all public health and wellbeing businesses. Annually Inspect all tattooist premises to assess the safety and hygiene standards and prevent the spread of infectious disease. Inspect all tattooist premises. Three times per year Regular analysis of water quality from all local public swimming and spa pools to assess the water quality and hygiene levels at each facility. Conduct water sampling at each public swimming and spa pool. Four times per year Deliver maternal and child health services that meet State Government standards. Fifteen thousand key ages and stages visits delivered. Annually Provide vaccinations to infants and school children in accordance with the National Immunisation Schedule. Eight thousand vaccinations provided to infants and school children. Annually Investigate and respond to public health nuisance complaints including residential sewerage spills and residential noise control. Investigate all notified public health nuisance complaints. As required Investigate community concerns about asbestos and provide community education about safe asbestos removal. Investigate all complaints about unsafe asbestos removal. As required Asbestos safety information posted on Co ’s w s . December 2013 Investigate all notified incidents of infectious disease outbreaks and notifications. As required Investigate incidents of infectious disease outbreaks and notifications. Page 34 of 40 E Goal 5. Deliver public health protection Objectives Action 5.4. Respond to emergencies and incidents threatening public health and wellbeing. P P 2017 Measure Timeframe Action all relevant food recalls within the City of Glen Eira as notified by the State Government to ensure all potentially unsafe or unsuitable food is removed from sale. Investigate and recall all potentially unsafe or unsuitable food, as notified by the State Government. As required Inspect all fire damaged food businesses within 24 hours of notification to ensure all potentially unsafe and unsuitable food is removed from sale. All fire damaged food businesses inspected within 24 hours of notification. As required Attend all notified aged and childcare gastrointestinal outbreaks to determine the source and provide advice to prevent the ongoing spread of infectious disease. Investigate all notified aged and childcare gastrointestinal outbreaks and provide health and safety advice as necessary. As required R v w Co ’s Influenza Pandemic Plan to ensure disease control and management practices are relevant for emerging worldwide infectious diseases. R v w Co ’s Influenza Pandemic Plan and report outcomes to the Municipal Emergency Management Committee. Annually Im m Co ’s Heatwave Plan to support and safeguard the most vulnerable residents in the event of a heatwave. Ensure heatwave safety information is refreshed and posted o Co ’s w s annually and is promoted in Glen Eira News. November March Annually Advocacy Council will advocate to the State and Federal Government to address the following needs of residents and ratepayers: Funding for increased immunisation services and prevention of cost shifting to local government. Equitable funding of Maternal and Child Health services and a return to the agreed equal State and Local Government funding model for Maternal and Child Health. Page 35 of 40 E P P 2017 Deliver initiatives in public health leadership What do we know? Over the next 25 years, the percentage of Glen Eira residents aged over 60 is expected to increase to 23.6 per cent (Glen Eira Ageing Strategy). Childhood diseases such as measles and whooping cough are serious and potentially fatal. The risk of complications from disease is much higher than the risks of complications from immunisation (Better Health Channel). T of mo y ’s y v s impact on health and socio-economic status throughout life. Many chronic health problems in adulthood, such as obesity, heart disease, diabetes and mental health problems have their origins in early childhood (DEEWR). Gaming losses in Glen Eira are higher than the Victoria measure at $669 per head of adult population compared to $602. Why is it important to health and wellbeing in Glen Eira? There were 42 unintentional injuries and two intentional injuries per 100,000 population in Glen Eira treated in hospital in 2011/2012 (Department of Health Statistical Profile: Glen Eira2013a). A key challenge as the population ages over the next 10 years is to meet the increasing demand for Home and Community Care services to keep people in their own homes longer. Whilst the State Government funds Home and Community Care services, Council is a provider of this much valued service. Health screening participation rates of Glen Eira residents are low. In particular, bowel cancer and breast cancer screening participation is below average. Community members said: “T m y ss o s v “N o s fo s o existing health issues.” s fo those who need it most.” v o of ss s mo yo Goal 6. Deliver initiatives in public health leadership Objectives Action 6.1 Encourage businesses to maintain public health standards. o o s sw s m of Measure Timeframe Provide incentives for food businesses to produce safe food in clean hygienic premises. Provide reduced annual registration fees for Five-Star Food premises, deliver annual Business Awards Night and provide certificates to Five-Star Food businesses. Annually Produce a newsletter for local food businesses to provide information about food safety law, advice and emerging food technology. Distribute four issues of Foodline newsletter. Annually Page 36 of 40 E P P 2017 Goal 6. Deliver initiatives in public health leadership Objectives Action Measure Timeframe 6.2. Provide services to enhance and protect the health of children. Deliver four-year-old community vaccination sessions with childhood entertainment to attract participants and increase four-year-old vaccination rates. Encourage breastfeeding through promotion of breastfeeding support services. Provide quality accredited aged care services. Twelve four-year-old vaccination sessions conducted. Annually Three and six month breastfeeding targets exceed state average. Deliver accredited Home and Community Care and Residential Aged Care services to the Glen Eira community. Annually Deliver falls prevention and education sessions to senior citizens. Promote safety information on how to stay safe and recover from a flood. Falls prevention seminars provided to at least 50 residents. Flood safety information provided: - Co ’s w s ; and - Glen Eira News. 2015/16 Reduce recreation related oral injuries by promoting the use of mouthguards for contact sport. Information regarding mouthguard use sent to sporting clubs. Annually Work in partnership with the Department of Health, ISEPICH, Bayside Medicare Local and community health centres. Facilitate discussion between community health service providers regarding community health priorities Provide access to information which will maximise health and wellbeing of children and families. Run health promotion projects targeting cancer screening. 6.3. Provide services to protect the health of senior citizens. 6.4 6.5 6.6 Increase the capacity of the community to improve personal safety and prevent injury. Foster joint local public health and wellbeing planning and action. Promote healthy behaviours and support the community to make healthy lifestyle choices. Promote breastfeeding friendly zones in Council MCH centres and four municipal libraries. Ongoing June 2014 2014/15 2013/2014 Document priorities December 2014 Ten parent education sessions delivered. Monthly February November Twenty group sessions delivered for parents of young children on key health and development issues. Promote breastfeeding zones in Glen Eira News and Family and C ’s s v s newsletters. Fortnightly between February December Annually Page 37 of 40 E Goal 6. Deliver initiatives in public health leadership Objectives Action 6.7 Reduce the impact of problem gambling on the community. P P 2017 Measure Timeframe Continue to monitor gaming in the City, its impact on the community and appropriate responses in consultation with gambling support services. Develop key partnerships with Gamblers Help Southern. Ongoing Effectively report and allow community comment on the social and economic impact of gaming in the Glen Eira community. Complete community impact statements as necessary. As required Raise awareness of issues associated with problem gambling. Run an event to promote Gambling Awareness Week. 2014 2015 Advocacy Council will advocate to the State and Federal Government to address the following needs of residents and ratepayers: Funding for increased immunisation services and prevention of cost shifting to Local Government. Equitable funding of Maternal and Child Health services and a return to the agreed equal State and Local Government funding model for Maternal and Child Health. Implementation of the productivity commission recommendations in relation to $1 limits, restriction of ATM daily withdrawals and a full pre-commitment system. Page 38 of 40 References Australian Bureau of Statistics (2013) Census of Population and Housing 2011 http://www.abs.gov.au/census, accessed 10 May 2013. Australian Government Department of Health and Ageing (2013) Population Health Division http://www.health.gov.au/internet/main/publishing.nsf/Content/phd-prevention-np, accessed 6 May 2013. Australian Government Preventive Health task Force (2009) Australia: The Healthiest Country by 2020 National Preventative Health Strategy Overview, Canberra. Australian Institute of Health and Welfare (2008) Indicators for chronic diseases and their determinants 2008, Canberra. Australian Institute of Health and Welfare (2013) National Health Priority Areas, http://www.aihw.gov.au/nationalhealth-priority-areas, accessed May 3 2013. Better Health Channel (2013) Better Health Channel http://www.betterhealth.vic.gov.au, accessed 12 May 2013. Brasher, K and Wiseman, J (2007) University of Melbourne: Community wellbeing in an un-well world: Trends, challenges and opportunities, Melbourne. City of Stonnington (2009) Municipal Public Health and Wellbeing Plan 2009-2013, Malvern. Climate Commission (2013) Effects: Extreme Weather http://climatecommission.gov.au/effects/extreme-weather/ accessed 23 May, 2013. Community Indicators Victoria (2013) Glen Eira Wellbeing Report http://www.communityindicators.net.au/wellbeing_reports/glen_eira, accessed 15 May 2013. Constitution of the World Health Organisation (2006) Basic Documents- Forty-fifth edition Supplement http://www.who.int/governance/eb/who_constitution_en.pdf, accessed 11 May 2013. Corangamite Shire (2009) Municipal Public Health and Wellbeing Plan 2009-2013, Camperdown. Department of Health (2013a) Department of Health Statistical Profile: Glen Eira http://docs.health.vic.gov.au/docs/doc/Glen-Eira-(C), accessed 15 April 2013. Department of Health (2013b) Local Government Area Immunisation Statistics, Melbourne. Department of Health (2012) Victorian Health Information Surveillance System https://hns.dhs.vic.gov.au/3netapps/vhisspublicsite/ViewContent.aspx?TopicID=1 ,accessed 15 May 2013. Department of Health (2009) Victorian Population Health Survey 2008 Glen Eira City Selected Findings http://docs.health.vic.gov.au/docs/doc/Glen-Eira, accessed 15 May 2013. Department of Planning and Community Development (2012) Victoria in the Future http://www.dpcd.vic.gov.au/home/publications-and-research/urban-and-regional-research/census-2011/victoria-infuture-2012,accessed 10 May 2013. Department of Transport (2013) Victorian Transport Statistics Portal http://www1.transport.vic.gov.au/VTSP/homepage.html ,accessed May 23, 2013 Page 39 of 40 E P P 2017 Monash City Council (2010) Public Health and Wellbeing Plan 2010-2013, Glen Waverly. Public Health Information Development Unit (2013) The Social Health Atlas of Australian Local Government Areas 2011http://www.publichealth.gov.au/data/ ,accessed 14 May 2013 VicHealth (2012) Local Government Action Guides, http://www.vichealth.vic.gov.au/Publications/VicHealth-General-Publications/VicHealth-local-government-actionguides.aspx, accessed May 15 2013 Victorian Department of Health (2011) Victorian Public Health and Wellbeing Plan 2011–2015, Melbourne. Victorian Police (2013) Community Safety http://www.police.vic.gov.au/content.asp?Document_ID=9539, accessed 18 May 2013. Page 40 of 40
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