NSW Public Health Bulletin最新文献

Unlabelled: Telecommuniciation technologies, including audio and videoconferencing facilities, afford geographically dispersed health professionals the opportunity to connect and collaborate with others. Recognised for enabling tele-consultations and tele-collaborations between teams of health care professionals and their patients, these technologies are also well suited to the delivery of distance learning programs, known as tele-learning.

Aim: To determine whether tele-learning delivery methods achieve equivalent learning outcomes when compared with traditional face-to-face education delivery methods.

Methods: A systematic literature review was commissioned by the NSW Ministry of Health to identify results relevant to programs applying tele-learning delivery methods in the provision of education to health professionals.

Results: The review found few studies that rigorously compared tele-learning with traditional formats. There was some evidence, however, to support the premise that tele-learning models achieve comparable learning outcomes and that participants are generally satisfied with and accepting of this delivery method.

Conclusion: The review illustrated that tele-learning technologies not only enable distance learning opportunities, but achieve comparable learning outcomes to traditional face-to-face models. More rigorous evidence is required to strengthen these findings and should be the focus of future tele-learning research.

Aim: To examine trends in the incidence of typhoid fever in NSW to inform the development of prevention strategies.

Methods: Typhoid fever case notification data for the period 2005-2011 were extracted from the NSW Notifiable Conditions Information Management System. Population incidence rates were calculated and analysed by demographic variables.

Results: There were 250 case notifications of typhoid fever in NSW from 2005 to 2011, of which 240 are likely to have been acquired overseas. Case notifications remained relatively stable over the review period with the highest rates in Western Sydney Local Health District (10.9 per 100,000 population). Two-thirds (66.4%) of all case notifications are likely to have been acquired in South Asia, and about half of overseas-acquired case notifications were most likely to have been associated with travel to visit friends and relatives. Hospitalisation was required for 79.6% of cases where hospitalisation status was known. Prior typhoid vaccination was reported in 7% of cases in 2010 and 2011 where vaccination status was known.

Conclusion: While typhoid fever rates remain low in NSW, case notifications of this preventable infection continue to be reported, particularly in travellers visiting friends and relatives in South Asia. Further research to better understand barriers to the use of preventive measures may be useful in targeting typhoid fever prevention messages in high-risk groups, particularly South Asian communities in NSW.

Aim: This study explores knowledge and beliefs about longer-term health risks related to alcohol consumption among Australian adults.

Methods: Data were drawn from the 2009 Cancer Institute NSW Lifestyle and Cancer Survey, a telephone survey of adults in NSW. Participants (n=1255) were asked about their alcohol consumption, knowledge of the Australian guidelines (revised in 2009), and personal perceptions and beliefs about longer-term health risks from alcohol consumption.

Results: Seventy-eight percent of the sample drank alcohol either occasionally or weekly, with 37% of drinkers drinking above the current Australian guidelines (two standard drinks on any day). Two-thirds (67%) correctly nominated the maximum number of standard drinks per day that met the current Australian guidelines, and a similar proportion (64%) agreed that regular moderate alcohol consumption can have serious health consequences in the longer term. Knowledge of the guidelines and longer-term health consequences was lower for drinkers, especially those drinking above the guidelines. Less than half (48%) of the participants were aware that drinking alcohol could cause cancer and 51% were aware that limiting alcohol intake helps prevent cancer.

Conclusion: The current Australian guidelines, the longer-term health risks and the link with cancer are not well understood, especially by those who drink frequently and above the guidelines.