Suicidality in detention centre: a case study
This study aimed to explore in-depth how suicidality arises and develops in offshore detention centres. Design/methodology/approach A single case-study approach was used. Findings This case study presents the findings on the suicidal process of an asylum seeker who attempted suicide three times while in Nauru Regional Processing Centre, the last of which being a near-lethal one. The prolonged mandatory detention, together with lack of clarity about the timeframes of detention and constant postponing of the legal processes were identified as the main factors driving the suicidal intent. The suicidal behaviour escalated fr...
Source: International Journal of Migration, Health and Social Care - January 23, 2017 Category: Global & Universal Source Type: research

Behind the fence: An account of a Nauru whistle ‐blower
(Source: Journal of Paediatrics and Child Health)
Source: Journal of Paediatrics and Child Health - December 17, 2016 Category: Pediatrics Authors: Tobias N Gunn Tags: Viewpoint Source Type: research

Torture, healthcare and Australian immigration detention
Australia has arguably led the developed world in implementing the most damaging and regressive measures aimed at deterring asylum seekers and refugees. The harms of this system have long been documented and only re-enforced more recently in a number of investigations that have detailed riots, violence and widespread physical and sexual abuse in offshore detention, with adults and children reported as victims.1 2 After time spent in an offshore processing centre on Nauru, Isaacs has emerged as a vocal critic of Australia's immigration detention policies. In his article,3 he argues that the mandatory and prolonged detention...
Source: Journal of Medical Ethics - June 26, 2016 Category: Medical Ethics Authors: Essex, R. Tags: Clinical ethics, Child health Asylum Source Type: research

PS289 Challenges Facing Sustainability and Integration of RHD Control and Prevention Programmes in Pacific Small Island Nations
The Pacific region has the highest documented Rheumatic Heart Disease (RHD) prevalence globally yet it struggles to achieve the profile and attention it deserves from governments and funding bodies. In 2010, the Pacific RHD control programme with aid from the Australian government endeavored on a project to assist Ministries of Health in four Pacific Island countries (Kiribati, Solomon Islands, Nauru and Tuvalu) control RHD. (Source: CVD Prevention and Control)
Source: CVD Prevention and Control - May 31, 2016 Category: Global & Universal Authors: E. Kennedy, S. La Vincente, P. Timeon, T. Tiro, N. Conway, T. Nasi, G. Kenilorea, D. Engelman, J. Carapetis, S. Colquhoun Tags: Poster Abstract Source Type: research

Comparing metabolic control and complications in type 2 diabetes in two pacific islands at baseline and following diabetes care intervention
Conclusions This study indicates improved metabolic control but little change in diabetes complications 15 months after intervention. Efforts to improve and evaluate the ongoing quality and accessibility of diabetes care in Pacific Island settings need to be further strengthened. (Source: Journal of Clinical and Translational Endocrinology)
Source: Journal of Clinical and Translational Endocrinology - March 23, 2016 Category: Endocrinology Source Type: research

Health Impacts of Climate Change in Pacific Island Countries: A Regional Assessment of Vulnerabilities and Adaptation Priorities
Conclusion: Pacific island countries are among the most vulnerable in the world to the health impacts of climate change. This vulnerability is a function of their unique geographic, demographic and socioeconomic characteristics, combined with their exposure to changing weather patterns associated with climate change, the health risks entailed, and the limited capacity of the countries to manage and adapt in the face of such risks. This EHP Advance Publication article has been peer-reviewed, revised, and accepted for publication. EHP Advance Publication ar...
Source: EHP Research - December 8, 2015 Category: Environmental Health Authors: Web Admin Tags: Research Article Source Type: research

One psychiatrist's experience of visiting offshore processing centres for people seeking asylum in Australia.
CONCLUSIONS: The author acknowledges the importance of stopping the boats and proposes that a more humane approach is needed for asylum seekers who arrive by boat. PMID: 26405075 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - September 23, 2015 Category: Psychiatry Authors: Adler R Tags: Australas Psychiatry Source Type: research

Nauru and detention of children
(Source: Journal of Paediatrics and Child Health)
Source: Journal of Paediatrics and Child Health - April 1, 2015 Category: Pediatrics Authors: David Isaacs Tags: Editorial Source Type: research

IJERPH, Vol. 11, Pages 12896-12914: A Health Impact Assessment Framework for Assessing Vulnerability and Adaptation Planning for Climate Change
The objectives of the framework are to improve the methodology for understanding and assessing the risks associated with potential health impacts of climate change, and to provide decision-makers with information that can facilitate the development of effective adaptation plans. While the process presented here provides guidance with respect to this task it is not intended to be prescriptive. As such, aspects of the process can be amended to suit the scope and available resources of each project. A series of working tables has been developed to assist in the collation of evidence throughout the process. The framework has b...
Source: International Journal of Environmental Research and Public Health - December 12, 2014 Category: Environmental Health Authors: Helen BrownJeffery SpickettDianne Katscherian Tags: Article Source Type: research

Obesity emergence in the Pacific islands: why understanding colonial history and social change is important.
CONCLUSIONS: Colonial processes may have put in place the conditions for subsequent rapidly escalating obesity. Of the three frameworks discussed, social change under colonial influence is not immutable to further change in the future and could take place rapidly. In theorising obesity emergence in the Pacific islands, there is a need to incorporate the idea of obesity being a product of interdependence and interconnectedness, rather than independence and individual choice. PMID: 25166024 [PubMed - as supplied by publisher] (Source: Public Health Nutrition)
Source: Public Health Nutrition - August 29, 2014 Category: Global & Universal Authors: McLennan AK, Ulijaszek SJ Tags: Public Health Nutr Source Type: research

Molecular epidemiology of hepatitis delta virus in the Western Pacific region
Conclusions: This study has confirmed endemic HDV infection in Micronesia and identified Kiribati as having amongst the highest prevalence for HDV viraemia in patients with CHB. Further investigations are ongoing into the origins of this unique HDV Pacific strain, and its inter-relationship with HBV. (Source: Journal of Clinical Virology)
Source: Journal of Clinical Virology - June 9, 2014 Category: Virology Authors: Meifang Han, Margaret Littlejohn, Lilly Yuen, Rosalind Edwards, Uma Devi, Scott Bowden, Qin Ning, Stephen Locarnini, Kathy Jackson Tags: Full length articles Source Type: research

The prevalence of diabetes complications and associated risk factors in Pacific Islands countries
Abstract: Aim: To determine the prevalence of diabetes complications and associated risk factors among people with type 2 diabetes in three Pacific Island countries, Nauru, Solomon Islands and Vanuatu.Methods: This cross-sectional study was carried out on a sample of 459 people with diabetes. Subjects were screened for complications using a standardised protocol which gathered information on demographics, physical and biochemical parameters.Results: Of the 459 subjects, 47% were female, mean age was 54 years and mean duration of diabetes was eight years. The prevalence of diabetes complications was significantly higher in ...
Source: Diabetes Research and Clinical Practice - November 25, 2013 Category: Endocrinology Authors: Si Thu Win Tin, Geoffrey Kenilorea, Eva Gadabu, John Tasserei, Ruth Colagiuri Tags: Epidemiology Source Type: research

Processed foods available in the Pacific Islands
Conclusions: The globalisation of the food supply is having considerable impacts on diets in the Pacific Islands. While nutrient labels can be informative for consumers looking for healthier options, difficulties still exist with poor labelling and interpretation can be challenging. (Source: Globalization and Health)
Source: Globalization and Health - October 25, 2013 Category: Global & Universal Authors: Wendy SnowdonAstika RajErica ReeveRachael GuerreroJioje FesaituKatia CateineCharlene Guignet Source Type: research