Public Health

Generation Victoria (GenV): Every baby. Every parent. Everybody.

Very large, truly population-representative pregnancy cohorts are rare internationally. Generation Victoria (GenV) is a whole-state cohort targeting all newborns (~150,000) and their parents over 2 full years. Components include (i) families recruited soon after birth, (ii) biospecimens from pregnancy onwards, (iii) extensive data linkage supplemented by (iv) minimal GenV collected data, all enabling (v) many additional integrated research studies, both observational and interventional.

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Finding a way through the challenges and turmoil of the experience of sibling sexual abuse: How hope can help

Sibling sexual abuse is 3-5 times more common than father/step-father abuse. This study looked past the factors that might contribute to the occurrence of sibling sexual abuse with the aim of better understanding the experience of therapists working with families with such experience and collaboratively developing principles to guide practice in this complex area of child sexual abuse.

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3.6 million and counting: Victoria’s Newborn bloodspot screening program – recent innovations and future directions

Victoria’s newborn bloodspot screening (NBS) program commenced in 1966 with screening for phenylketonuria, and from the early 1970’s close to 100% of newborns were being screened. Improvements in analytical and genetic testing technologies saw the successive introduction of screening for congenital hypothyroidism, cystic fibrosis and 22 metabolic conditions. Today, Victoria’s NBS program detects about 80 babies per year with these conditions, preventing life-long debilitating outcomes and even death.

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Making mental health everyone’s business, an update on the Campus Mental Health Strategy

The Melbourne Children’s Campus (the Campus) has the culture and expertise to provide our infants, children and young people, and their families with world class mental health care (The RCH), built on sound evidence (MCRI), and workforce training and education (University of Melbourne, Department of Paediatrics). The integration of mental health research, education and care across the Campus underpins the Campus Mental Health Strategy (Strategy), a five-year Strategy that has been funded for the first 2 years by The RCH Foundation. A team of 14 people will lead and implement the Strategy, supported by many leaders and staff from across the Campus.

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Community capability and capacity building – the secret to great care everywhere

What does great care, everywhere really look like when one in five children begin school with an established or emerging health or development need? One of the best strategies for optimising children’s health is building the capability and capacity of communities to meet their needs locally.

This Grand Round explores the partnership between the Wimmera Southern Mallee By Five project and the Centre for Community Child Health. It examines what it looks like when primary health, education and social care unite to build relational practice, capability and capacity for the sake of a community’s children.

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COVID-19: An Update: What have we learnt over the last 12 months?

Never in the field of health was so much learned by so many in so few months. This Grand Round will recap the lessons from last year, take stock of where we are in February 2022, describe the complex situation with vaccines, and look to what the year might hold for the pandemic and children in Australia and countries around the world. 

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Prevention of child drownings: everybody’s business. Lessons from Life Saving Victoria in 2020-21

Fifteen children aged up to 14 years drowned in Victoria in July 2020 to June 2021.  This is an alarming increase on the 10-year average of four child drowning deaths per year. Life Saving Victoria (LSV) is the peak agency in the State for water safety recognised by the Victorian Government. LSV analyses data on fatal and non-fatal drownings each year among people of all ages, to identify prevention and risk-mitigation strategies and inform education programs.

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Covid-19 in India and South Africa – Back of the queue or leading the world?

“Vaccine inequity – The world is on the brink of a catastrophic moral failure, and the price of this failure will be paid with lives and livelihoods in the world’s poorest countries.”    
Dr Tedros Adhanom Ghebreyesus, WHO Director-General.

The availability of effective vaccines for the prevention of covid-19 has led to an unseemly competition as countries rushed to sign deals with manufacturers, often outbidding each other for access, to the exclusion of poorer countries. In high income countries 60% of people have received at least one dose of Covid vaccine, while in low income countries the figure is 3%.

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Working together to optimise children’s mental health: The Campus Mental Health Strategy

Mental Health is an issue of growing concern across the community. This has been amplified through the COVID-19 pandemic. Child mental health is also an ongoing priority for the Melbourne Children’s Campus (MCC) and its three partners. The RCH treats many vulnerable patient groups (e.g., children with chronic illness, neurodevelopmental disorders, psychosocial challenges) with elevated risk of psychological and mental health difficulties. This extends across our inpatient and outpatient services and into the community. Despite this, mental health services can be fragmented and difficult to access. 

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Improving services, prevention and outcomes for tuberculosis

Tuberculosis is a major cause of child morbidity and mortality globally. Young children are at particular risk of severe and disseminated disease following exposure to a person with tuberculosis. Public health and clinical services, including in Victoria, focus on early detection and treatment of both disease and infection. There have been recent developments that potentially strengthen and decentralise services for tuberculosis.

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