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The Oceania region, particularly Australia and New Zealand, has recently welcomed a suite of strategies and policies to support the development of hydrogen. Australia’s current National Hydrogen Strategy strives to position the country as a top three global exporter of hydrogen by 2030. New Zealand’s Interim Hydrogen Roadmap aims to utilise hydrogen to decrease domestic emissions, foster economic development, and enhance energy security while supporting its 100 per cent renewable electricity by 2030 target. To achieve these hydrogen strategies and targets, it is essential to establish enabling regulatory frameworks. Regulation is required to strategically plan, identify, assess, and permit the development of onshore hydrogen production facilities and associated infrastructure, ensuring coexistence with multiple and diverse land uses. The chapter investigates the strategies, policies, and developing planning and licensing regulatory regimes for the development of renewable hydrogen in Australia and New Zealand. Specifically, it examines recent regulatory developments in two Australian states, Western Australia, and South Australia. Regulatory developments in both states are designed to facilitate the assessment and award of hydrogen production licences on Crown-owned pastoral leasehold land. As interest increases in the assessment and structure of hydrogen production licensing on complex land uses, the experiences in Australia and New Zealand provide important legal case studies. These experiences highlight the diverse approaches to planning and permitting hydrogen on pastoral land uses and offer valuable insights to support the development of future hydrogen economies.
This study presents surveillance data from 1 July 2003 to 30 June 2023 for community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA) notified in the Kimberley region of Western Australia (WA) and describes the region’s changing CA-MRSA epidemiology over this period. A subset of CA-MRSA notifications from 1 July 2003 to 30 June 2015 were linked to inpatient and emergency department records. Episodes of care (EOC) during which a positive CA-MRSA specimen was collected within the first 48 hours of admission and emergency presentations (EP) during which a positive CA-MRSA specimen was collected on the same day as presentation were selected and analysed further. Notification rates of CA-MRSA in the Kimberley region of WA increased from 250 cases per 100,000 populations in 2003/2004 to 3,625 cases per 100,000 in 2022/2023, peaking at 6,255 cases per 100,000 in 2016/2017. Since 2010, there has been an increase in notifications of Panton-Valentine leucocidin positive (PVL+) CA-MRSA, predominantly due to the ‘Queensland Clone’. PVL+ CA-MRSA infections disproportionately affect younger, Aboriginal people and are associated with an increasing burden on hospital services, particularly emergency departments. It is unclear from this study if PVL+ MRSA are associated with more severe skin and soft-tissue infections, and further investigation is needed.
In Sydney’s north, planning for an eruv began in the early 2000s by a group of Shabbat-observant Jews. What looked like an innocent project that did not involve much more than erecting a couple of poles in inconspicuous colours with wire attached to them, most of them on private land with the consent of the owners, became a several years-long dispute in which the imagined boundary turned into a real one for many residents, which they sought to prevent by recourse to planning law. This chapter explores how residents and councillors in St. Ives mobilised planning law to draw the acceptable boundaries of Jewishness. By analysing public documents, including a survey on the eruv commissioned by the Local Council as well as Council meeting minutes, media reports, and submissions to local newspapers, I trace the implicit religious and racial boundaries of belonging in this Australian suburb that the eruv rendered visible and I examine how the planning law regime participated in protecting these boundaries, thereby affirming White Christian settlers as rightful inhabitants of this suburban land.
The record of mammal declines and extinctions in Australia raises concerns regarding geographically restricted and poorly known taxa. For many taxa, the existing data are insufficient to assess their conservation status and inform appropriate management. Concerns regarding the persistence of the subspecies of yellow-footed rock-wallaby Petrogale xanthopus celeris, which is endemic to Queensland, have been expressed since the 1970s because of red fox Vulpes vulpes predation, competition with feral goats Capra hircus and land clearing. This rock-wallaby is rarely observed, occupies rugged mountain ranges and, prior to our surveys, had not been surveyed for 25 years. We surveyed 138 sites across the range of this rock-wallaby during 2010–2023, including revisiting sites surveyed in the 1970s–1980s and locations of historical records. We examined occurrence in relation to habitat variables and threats. Occupancy and abundance remained similar over time at most sites. However, by 2023 the subspecies had recolonized areas in the north-east of its range where it had disappeared between surveys in the 1980s and 2010s, and three south-western subpopulations that were considered extinct in the 1980s were rediscovered. Recolonization and increases in abundance at numerous sites between the 2010s and 2020s are associated with declines in feral goat abundance, indicating dietary and habitat competition are major threats. Exclusion fences erected since 2010 could limit genetic exchange between rock-wallaby subpopulations whilst allowing domestic goats to be commercially grazed. Petrogale xanthopus celeris should remain categorized as Vulnerable based on these ongoing threats. Repeated monitoring approximately every decade should underpin management of this endemic taxon.
Australian Banking and Finance Law and Regulation provides a comprehensive, up-to-date and accessible introduction to the complexities of contemporary law and regulation of banking and financial sectors in one volume. The book provides a detailed analysis of Australia's financial market regulatory framework and the theoretical underpinnings of government intervention in the field. It delves into the legal changes implemented in response to the Global Financial Crisis and recent local scandals, exploring the complexities and subtleties of the 'banker–customer' relationship. Readers will appreciate the clear and concise treatment of key issues, cases and examples that offer an overview of major developments. The questions and answers at the end of each chapter serve as an effective tool for readers to assess and reinforce their grasp of the fundamental principles discussed.
To describe the type of evidence and the clinical benefit of cancer medicines assessed for funding in Australia by the Pharmaceutical Benefits Advisory Committee (PBAC) and to assess it with the European Society of Medical Oncology Magnitude of Clinical Benefit Scale version 1.1 (ESMO-MCBS).
Methods
All data on applications submitted to PBAC between 2010 and 2020 were extracted from PBAC Public Summary Documents available online. ESMO-MCBS ratings were retrieved from the ESMO-MCBS website.
Results
Then, 182 cancer indications for 100 cancer medicines were examined by PBAC, including 124 (68.1 percent) for solid tumors and 58 (31.9 percent) for hematological cancers. A total of 137 (75.3 percent) indications were recommended for PBS funding and 40 (21.9 percent) were rejected. Randomized clinical trials (RCTs) were the main source of evidence in 154 indications (84.6 percent), single-arm studies in 28 (15.4 percent) indications. Statistically significant improvement in overall survival (OS) was reported in 80 (44 percent) of the indications, with a median OS gain of 3.0 months (range 0.9–17.0) for solid tumors and 8.2 months (range 1–49.1) for hematological cancers when mature OS data were available. The ESMO-MCBS score was available for 99 solid tumor indications, of which 51 (51.5 percent) showed substantial clinical benefit according to ESMO-MCBS, including 40 (54.1 percent) of PBAC-recommended indications and 9 (42.9 percent) of PBAC-rejected indications. There was no association between the ESMO scoring and PBAC decision.
Conclusions
Most cancer medicines indications considered by PBAC were supported by RCTs. A minority showed a substantial improvement in OS.
The performance of ‘Chinese music’ in Australian has a long and varied history. Performances of sonic arts which display a Chinese origin or connection range across various genres including classical, folk, opera, popular and sacred music. The performers are and have been equally diverse, including immigrants, international students, visiting artists and cosmopolitans from mainland China, the Sinosphere and the population of ‘Chinese overseas’, as well as people born or permanently residing in Australia of both Chinese and non-Chinese heritage. This chapter focuses on contemporary practice of different genres and on ethnographic examples from our own experience, but as space and historical records allow, we also look back in time. Our discussion illustrates some of the main ways that music has served to enhance social connections within and beyond Australia’s Chinese community, including within an Australian sociocultural fabric that has increasingly acknowledged and valued cultural diversity and multiplicities of cultural identity.
This chapter discusses how historical exchanges with Makassan and other seafaring peoples from beyond the Arafura Sea remain a profound influence on Yolŋu music and culture that endures to this day. We explore how Yolŋu people, through their enduring ceremonial traditions, elaborately integrate song, dance and design elements to recount exchanges with Makassan seafarers, the boats in which they sailed, and the goods they carried. We also discuss how, since the mid-1980s, this autonomous history of Yolŋu exchanges with foreigners has been remembered and continues to inspire new forms of Yolŋu cultural expression that overtly reach out across cultures. Our approach is informed by our long history of researching Yolŋu song in all its forms and working together to document the Yolŋu public ceremonial song tradition known as manikay. Garawirrtja’s expertise is further grounded in his extensive training and practice as a Yolŋu elder and ceremonial singer of the manikay tradition, who maintains hereditary songs that recount Yolŋu contact histories with Makassan and other seafarers.
This article explores the importance of music to Australian Torres Strait Islanders, in their home islands and on the Australian mainland, for maintaining and sustaining connections with the historical traditions of the Torres Strait region in far northern Queensland. Beginning post-World War Two, there was a sizeable diaspora to the Australian mainland and also the gradual unravelling of race-based laws aimed at controlling the travels and personal lives of Islanders, and Aboriginal peoples. Because of the diaspora, there were some changes in Islander sociality and culture over time, place and situation, in particular regarding performance and performativity. However, aspects of Islander music practices remain similar to what had occurred traditionally, but with some modifications via adoptions, adaptations and innovations befitting new social, cultural and economic environments. This article concludes with discussion of how traditional practices have contributed to contemporary Islander music variously as culture, commerce and creativity.
The rock art of Australia is among the oldest, most complex, and most fascinating manifestations of human creativity and imagination in the world. Aboriginal people used art to record their experiences, ceremonies, and knowledge by embedding their understanding of the world in the landscape over many generations. Indeed, rock art serves as archives and libraries for Australia's Indigenous people. It is, in effect, its repository of memory. This volume explores Indigenous perspectives on rock art. It challenges the limits and assumptions of traditional, academic ways of understanding and knowing the past by showing how history has literally been painted 'on the rocks'. Each chapter features a biography of an artist or family of artists, together with an artwork created by contemporary artist Gabriel Maralngurra. By bringing together history, archaeology, and Indigenous artistic practice, the book offers new insights into the medium of rock art and demonstrates the limits of academic methods and approaches.
Confounding refers to a mixing or muddling of effects that can occur when the relationship we are interested in is confused by the effect of something else. It arises when the groups we are comparing are not completely exchangeable and so differ with respect to factors other than their exposure status. If one (or more) of these other factors is a cause of both the exposure and the outcome, then some or all of an observed association between the exposure and outcome may be due to that factor.
In this chapter, we look at the analytic studies that are our main tools for identifying the causes of disease and evaluating health interventions. Unlike descriptive epidemiology, analytic studies involve planned comparisons between people with and without disease, or between people with and without exposures thought to cause (or prevent) disease. They try to answer the questions, ‘Why do some people develop disease?’ and ‘How strong is the association between exposure and outcome?’. This group of studies includes the intervention, cohort and case–control studies that you met briefly in Chapter 1. Together, descriptive and analytic epidemiology provide information for all stages of health planning, from the identification of problems and their causes to the design, funding and implementation of public health solutions and the evaluation of whether these solutions really work and are cost-effective in practice.
People live complicated lives and, unlike laboratory scientists who can control all aspects of their experiments, epidemiologists have to work with that complexity. As a result, no epidemiological study can ever be perfect. Even an apparently straightforward survey of, say, alcohol consumption in a community, can be fraught with problems. Who should be included in the survey? How do you measure alcohol consumption reliably? All we can do when we conduct a study is aim to minimise error as far as possible, and then assess the practical effects of any unavoidable error. A critical aspect of epidemiology is, therefore, the ability to recognise potential sources of error and, more importantly, to assess the likely effects of any error, both in your own work and in the work of others. If we publish or use flawed or biased research we spread misinformation that could hinder decision-making, harm patients and adversely affect health policy. Future research may also be misdirected, delaying discoveries that can enhance public health.
If the results of a study reveal an interesting association between an exposure and a health outcome, there is a natural tendency to assume that it is real. (Note: we are considering whether two things are associated. This does not imply that one causes the other to occur.) However, before we can even contemplate this possibility we have to try to rule out other possible explanations for the results. There are three main ‘alternative explanations’ that we have to consider whenever we analyse epidemiological data or read the reports of others, whatever the study design; namely, could the results be due to chance, bias or error, or confounding? We discuss the first of these, chance, in this chapter and cover bias and confounding in Chapters 7 and 8, respectively.
When we speak of prevention in the context of public health, we usually think of what is sometimes called ‘primary prevention’, which aims to prevent disease from occurring in the first place; that is, to reduce the incidence of disease. Vaccination against childhood infectious diseases is a good example of primary prevention, as is the use of sunscreen to prevent the development of skin cancer. However, somewhat confusingly, the term ‘prevention’ is also used to describe other strategies to control disease. One of these is the use of screening to advance diagnosis to a point at which intervention is more effective, often described as ‘secondary prevention’. What is sometimes called ‘tertiary prevention’ is even more remote from the everyday concept of prevention, usually implying efforts to limit disease progression or the provision of better rehabilitation to enhance quality of life among those who have been diagnosed with a disease.
The importance of simple descriptive data was recognised by William Farr, whom we mentioned briefly in Chapter 1 for his seminal work using the newly established vital statistics register of England in the nineteenth century. As we discussed in Chapter 1, this descriptive epidemiology, concerned as it is with ‘person, place and time’, attempts to answer the questions ‘Who?’, ‘What?’, ‘Where?’ and ‘When?’. This can include anything from a description of disease in a single person (a case report) or a special survey conducted to measure the prevalence of a particular health issue in a specific population, to reports from national surveys and data collection systems showing how rates of disease or other health-related factors vary in different geographical areas or over time (time trends). In this chapter we look in more detail at some of the most common types of descriptive data and where they come from. However, before embarking on a data hunt, we first need to decide exactly what it is we want to know, and this can pose a challenge. To make good use of the most relevant descriptive data, it is critical to formulate our question as precisely as possible.
In this chapter we look at the ways in which we calculate, use and interpret ‘measures of association’, so-called because they describe the association between an exposure and a health outcome. An understanding of these measures will help you to interpret reports on the causes of ill health and the effects of particular exposures or interventions on the burden of illness in a community. Note that, while we discuss the measures in the context of an ‘exposure’ and ‘disease’, they can be used to assess the association between any measure of health status and any potential ‘cause’.
The search for the causes of disease is an obvious central step in the pursuit of better health through disease prevention. In the previous chapters we looked at how we measure health (or disease) and how we look for associations between exposure and disease. Being able to identify a relation between a potential cause of disease and the disease itself is not enough, though. If our goal is to change practice or policy in order to improve health, then we need to go one step further and decide whether the relation is causal because, if it is not, intervening will have no effect. As in previous chapters, we discuss causation mainly in the context of an exposure causing disease but, as you will see when we come to assessing causation in practice, the concepts apply equally to a consideration of whether a potential preventive measure really does improve health.
The goal of public health is to improve the overall health of a population by reducing the burden of disease and premature death. In order to monitor our progress towards eliminating existing problems and to identify the emergence of new problems, we need to be able to quantify the levels of ill health or disease in a population. Researchers and policy makers use many different measures to describe the health of populations. In this chapter we introduce more of the most commonly used measures so that you can use and interpret them correctly. We first discuss the three fundamental measures that underlie both the attack rate and most of the other health statistics that you will come across in health-related reports, the incidence rate, incidence proportion (also called risk or cumulative incidence) and prevalence, and then look at how they are calculated and used in practice. We finish by considering other, more elaborate measures that attempt to get closer to describing the overall health of a population. As you will see, this is not always as straightforward as it might seem.
While it is important to be able to read and interpret individual papers, the results of a single study are never going to provide the complete answer to a question. To move towards this, we need to review the literature more widely. There can be a number of reasons for doing this, some of which require a more comprehensive approach than others. If the aim is simply to increase our personal understanding of a new area, then a few papers might provide adequate background material. Traditional narrative reviews have value for exploring areas of uncertainty or novelty but give less emphasis to complete coverage of the literature and tend to be more qualitative, so it is harder to scrutinise them for flaws. Scoping reviews are more systematic but still exploratory. They are conducted to identify the breadth of evidence available on a particular topic, clarify key concepts and identify the knowledge gaps. In contrast, a major decision regarding policy or practice should be based on a systematic review and perhaps a meta-analysis of all the relevant literature, and it is this approach that we focus on here.