Episode Transcript
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is an abc podcast
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hello
0:05
and welcome to the health report with me
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taking tyler
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today, a man who overdosed
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on vitamin supplements, how
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to identify a life threatening condition
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with really vague symptoms
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and back in two thousand and
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nine australia launched a national preventative
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health strategy with a lofty goal to
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be the healthiest country in the world by
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twenty twenty well none of
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us back then could have imagined the health crisis we'd
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all be dealing with in twenty twenty that
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this strategy focused on three particular
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areas tobacco use alcohol
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use and obesity tobacco
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wait until you well alcohol were
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improving that slowly obesity
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has gone in the other direction according
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to figures released last week by the australian
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institute of health and welfare the
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ninety ninety five about one in five
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as giants with her this now that's just
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under one in three they
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won't actually works when it comes to obesity let's
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ask an expert here sign martin
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from the obesity policy coalition hi
1:10
jane hi taken the
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obesity is often framed as an issue individual
1:15
responsibility that people should simply choose
1:17
to be healthier that will make them lose weight
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is this the
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the patch
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no the causes of weight
1:23
gain a complex and there's a range
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of issues i'm in our society
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with impact on what ways and
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you know awake stigma i'm and blaming
1:34
people is a you know it can exacerbate
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weight gain and lie to physical health consequences
1:39
including people avoiding healthcare
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so it's really important that
1:44
we don't blame individuals
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and that we look to the other reasons in
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our society and our community that
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is shaping what we ate and how much physical
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activity we do
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right
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there be am i the measure as an individual level
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is really fraud it's a blunt instrument
1:59
affairs at a population level
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it's useful as a the health issue because
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there are links at a puppy level between
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high whites and chronic disease like
2:09
diabetes and cancer yeah
2:11
that's right it's really important to understand
2:13
what direction the population wise is
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because this has an impact on on the
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health services that are acquired it
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impacts on the supports that a needed
2:23
for , who are unable to work and and suffer
2:26
from disability as a result of their ways
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ways so we need to be prepared
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and as he say what's been happening
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is our white has been increasing
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across the population so we
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know that this is a big problem and
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we are building hospitals that can
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meet i managed people with a guy who
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are above a healthy weight because that is
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the population we have twelve and we have million
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adults who are unhealthy weight category
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and many of them are suffering from the
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diseases and disability that comes with
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that
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so mentioned at the beginning
2:59
tobacco as a driver of
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then trouble disease or in inverted commas
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and that's really come down from from
3:06
a high and on the to be about equal with
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obesity in terms of drivers of disease
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that's happened because of interventions
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odds interventions like what we've done with said or
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what we should be looking at for
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are they said yes
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and up until now i'm the actions
3:22
that the ussr and government have taken that
3:25
were outline many of them in the preventative
3:27
health society obesity tester
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i haven't been implemented a many of those
3:32
would could tell the commercial interests as
3:34
the ultra prices food industry in
3:36
particular so there's a lot of
3:39
pushback , from these industry
3:42
so that would be their recommendation such
3:44
as protecting tude of from the marketing
3:46
of unhealthy foods we are very
3:48
successfully removed tobacco sponsorship
3:50
tobacco advertising on television on
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there's no actually no tobacco advertising
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allowed in australia we
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also brought in regulations run the
4:00
packaging of tobacco smoke
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free environments and really
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increase the price of tobacco on
4:07
plus provided services were thorough
4:10
pathways and services like the crete line
4:12
as well as some acidic foods to support
4:14
people who people who the quit smoking
4:16
so i really integrated approach
4:19
not just relying on public education
4:21
and and people to do better about
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really pressing nice leyva is that site
4:25
how people behave to support
4:27
them to be healthier and
4:30
the similar sort of things that we could do
4:32
to support people to have healthy diet is taking
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sugary drinks out of hospitals and health
4:36
care services ensuring that
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schools are promoting healthy food
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not doing the chocolate fundraiser i'm
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ensuring contains a full of healthy
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nutritious food for children really
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changing social norms so
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that ultra priciest sugary drinks
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and processed foods aren't
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easy to guess i'm as they are now
4:57
and really pushing healthy fresh
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vegetables fruits and other options
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to
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support and or
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i know that is a of a sick feeling
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between what people eight and white
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that they're at said it's not it's not the only
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thing that drives that if we're talking about obesity
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as this that of end result is
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the focusing just on a prices food
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and sugary drinks the answer i
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think we need to look at the whole system
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i mean at the moment this is sort of a
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really a tipping point in our society
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where we saying the cost of
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fresh fried food we
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really i'm jump to a huge
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extent that we've never you know we haven't seen
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in in recent times and that's a really serious
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issue how to weeds reorientate the
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food system so that you know the
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healthy foods fruits and vegetables
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are cheap the people arm
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and these ultra prices seats aren't
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cheap so you know what they've done in other
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countries is an increase the prices
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of sugary drinks by
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are putting a levy on manufacturers to
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reformulate that has resulted in reformulate
5:58
since and the high sugar
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drinks go up and people stop drinking
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nice strength and then the fun to put towards health
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promotion is since i'm and that's had
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a lot of success in the city three
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countries around the world have done that now i'm
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so you know you could look at those sorts
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of pricing leave his arm
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and then support you know dies on low
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income to purchase com
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seeds healthy foods at a cheaper i
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say there's a couple of recommendations that your group
6:25
has put forward but if i wanted him his sook attacks
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on drink that something it's been in the national
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conversation on an offer few years now
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and they have been talks about industry sort
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of having fallen quick hide is that
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halfway point that is need
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to be regulated i
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think you need to create a level playing field
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and regulate that arm and
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ensure that it happens in a timely way in the uk
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they implemented it within a year and
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over that period drinks manufacturers'
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reformulated their drinks and people
6:55
just announcing that policy people
6:57
start drinking sugary drinks because
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they weren't aware of how much sugar within those
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strength said it was harmful to their health harmful
7:04
to the dental health so it really said
7:06
a quad a strong message across
7:08
, british society and people
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responded before there was even on
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up a disincentive through price
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so it shows how powerful that
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sort of policy implementation
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and even announcements can be
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we talk about obesity is a bit proxy
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for
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the help market is and this is this
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is something that happens that a global level what
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what's the data telling us about
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that and also what works
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when it comes to reducing people's right to
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a population level is there any way that's
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actually doing it well yes
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well yes , are but some
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said obesity is a a
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proxy and make see more vulnerable
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to type two diabetes cardiovascular
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disease thirteen types of cancer
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including com and cancers like breast and
7:58
bowel cancer that it that puts
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a huge strain on your am body
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and and there are at his it's associated
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with outsiders disease or
8:07
mental health issues on
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that's that's something that people aren't necessarily
8:12
aware , so it does have huge impacts
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and our population is i'm got getting
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into these unhelpful unhealthy weight category
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that younger ages so people i'm at
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higher risk and they may develop
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these diseases and live with them for a long
8:26
a long time which has a big impact
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on the arms on our economy
8:31
because people are not able
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to work work be
8:35
productive over there last time if they're suffering
8:37
from undies chronic long chronic conditions
8:41
astray is not aligned a we have one of
8:43
the lowest smoking prevalence is in the world
8:46
but i'm we have one of the highest
8:49
levels of either ways and obesity
8:51
in either ways developed world as
8:54
well so we're not alone
8:56
and the countries that have some really
8:58
looked at introducing comprehensive
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approach is similar to what as radio has
9:03
done into this code control ah
9:05
latin america they have a huge problem
9:07
with type two diabetes and
9:10
an ultra processed foods and drinks a very
9:12
cheap and available so
9:15
they've done things like put a health levy
9:17
on the manufacturers of sugary drinks for
9:19
them to reformulate
9:22
, protected children from the marketing
9:24
of unhealthy foods or stops and suit
9:26
advertising sent seat advertising children
9:28
on television that got rid of the cartoon
9:31
characters on packaging packaging
9:34
were aimed at children so high so
9:36
the cereals that kind of things and
9:38
on puts an interpretive labeling
9:41
politico did labeling on the front of put
9:43
food packaging or or warning labels
9:45
on the front of food packaging
9:47
morning people is the products high in fat salt
9:49
sugar or just an overall and
9:52
energy and having a package of measures
9:54
that we did with tobacco control really
9:58
is and we need a comprehend
9:59
the upright they do have that road map
10:02
we have the national obesity strategies
10:04
and we have the national preventative health strategy
10:06
on which again mira married many of those
10:08
recommendations and made to
10:11
bring a stray yeah i'm up
10:13
to the healthiest country are by twenty
10:15
twenty one giant think so
10:17
much for joining us thanks very
10:19
much the martin is executive
10:22
manager the obesity policy colonies
10:24
you're listening to the health report on our end with
10:26
me taken taylor
10:31
we've all watched those medical shows with a patient
10:33
tens up with vague symptoms and a team
10:36
of doctors frantically trying to figure out
10:38
the source of the problem the for it's too late
10:41
don't tell me you haven't what size like these your
10:43
health report the i know what you like but
10:45
what's it like to be that percent
10:48
well one person who knows very well
10:50
is caitlin also back in
10:52
twenty eighteen when she was twenty three she
10:54
was dubbed mystery girl by the
10:56
medical team trying to save her life
10:59
the her
11:00
it started with a weird read
11:02
on her chest
11:04
why don't we had this random bread ration
11:06
ongoing for a couple of months i'd
11:08
been so she different doctors and
11:11
you know it's just been trying to figure out what it was
11:13
like , lot of young people day i just
11:15
kept working and ignored it it
11:18
it wasn't until i was
11:20
just got a really big like your eight
11:23
and you do when you just so really unwell and you
11:25
want to keep pushing on but i was
11:27
feeling really saw some quite feverish
11:29
went see the ducks i take our medical
11:32
certificate for work of for the
11:34
doctor thought they it was just the for the
11:36
couple more days went by and caitlin started
11:38
to had a feeling like seed beaten had soon
11:41
she was feeling of color says she took a
11:43
nap on evening the white up
11:45
dribbling to find her tongue small
11:48
one on one side to the point where she couldn't
11:50
speak she texted her aunt
11:52
who took her to the local emergency
11:54
department they say o s
11:56
forty five minutes and sylvia not
11:59
for a think it
11:59
if they do
12:01
adrenaline and as every
12:04
and it has
12:04
the opposite effect
12:06
that my blood pressure completely dropped
12:09
breathing lessons i get this
12:11
muffled blue and red rats all over me
12:14
and i just keep passing outfield really
12:16
on while this is when africa
12:18
we don't know what this is that's
12:21
quite a brave decision to them as flight
12:23
my cat that was when they
12:25
called mom has emergency contacts
12:27
and they said we're going to have to send
12:30
her an emergency ambulance but apostles trust
12:32
me in the ambulance hey
12:35
a big a hospital they telling you that there's a
12:37
chance of them i have to cut his throat opens in this
12:39
ambulance okay
12:42
so still medical mystery and
12:44
everything just kept getting worse unless i kept
12:47
curated
12:48
boeing karma case paralyzed
12:50
inspired me
12:51
they figured out what was going on my body
12:54
akira
12:55
they thought it was a to think that sounds
12:57
just a hunch and they did the city's
12:59
gonna send out the inside my jaw
13:02
my wisdom teeth was impacted and
13:04
infected a had no pain no symptoms
13:07
that this wisdom teeth had turned into an infection
13:12
infection had treated caitlin body
13:14
to go into severe sepsis
13:17
and inflammatory overreaction that
13:19
can cause damage to tissues and organs
13:22
caitlin spent nine days in a climber
13:25
as the medical team worked to fight
13:27
the and section
13:28
then it was really
13:29
it's scary but the doctors were amazing the
13:31
pressure from the infection status
13:34
crushed my drug dealer
13:35
the my com was black they were talking about agitating
13:37
and much as your veins as
13:40
get crushed islam
13:41
after any intervention from their doctors
13:44
that was there i really good start
13:46
to turn a corner how many people
13:48
were involved have you ever done the mess on how many people
13:50
were in your care from start
13:52
i went to rely on what
13:55
i've been told that i was told that when i
13:57
got air that twenty people waiting for mean risk
13:59
races
13:59
medical mystery a mystery girl
14:02
mystery girl cold and then knows that a hundred
14:04
trying to figure out what on earth was going on
14:06
dvd like the amount of been opportunities earlier
14:09
in your care that someone could have identified
14:11
it as sepsis that might have made a difference the
14:13
you
14:14
i'm on earth is and i'm
14:16
really grateful that someone didn't escalate
14:18
my can
14:19
but if they had of recognize that it was sepsis
14:21
about very cesspool i probably would
14:23
have been a very different outcome because
14:26
it would have been so much faster
14:30
dot a treatment not have ended
14:32
up you know i retained paralyzed
14:35
so you've come to that explains
14:37
you will this as it's happen obviously terrifying
14:39
and then what's the sort of return to
14:42
your normal as thing the
14:44
i'm really lucky compared to a lot of other people
14:46
here have had success in i
14:48
don't have any amputations or anything
14:51
like that there were talks as and beheading my tongue
14:53
but , did wake up with all of these
14:56
stars and unidos lot of like brain
14:58
fog since in the recovery was a little bit slow
15:00
in that usually sleep wake up from acquiring
15:03
you have no idea what's going on you turn
15:05
is that of peace everything together but
15:08
i was able to recover
15:11
i do have some ongoing thing as well i didn't
15:14
have like a lot sicker than most people just
15:16
being really grateful to be alive and be here
15:19
they sepsis it's , condition
15:22
that claims thousands of the stallion laws
15:24
each year but especially in the early
15:26
stages it's symptoms a super vague
15:29
vague these telling commission on safety and
15:31
quality and health care has created a national
15:33
clinical kissed and it's a sepsis a
15:36
, to the commission's clinical director of the
15:38
carolyn hollick earlier this
15:40
is a last threatening condition and it's a medical
15:42
emergency that many of us
15:44
no too much about and in australia
15:46
more than i didn't have thousand people died
15:48
she was success which is pretty phenomenal
15:51
number and more than they pull it off
15:53
approach on was struck that with no clue what about
15:55
since this is actually the body's
15:58
response to an infection so
15:59
happened after any and sections but
16:02
what happens put your body starts
16:04
to have this function of organs related
16:06
to the infection which can be lost no
16:08
you're not critical reception as can actually
16:10
have ongoing once and problems of
16:12
mobility provided fifty one
16:15
the people who aren't familiar with sets as can you talk us
16:17
what's happening in the body
16:19
they can have enough to any infection
16:21
and what happens is your your immune system starts
16:24
to read x that infection a men
16:26
your immune system can actually have impacts
16:28
on your heart lungs and brain
16:30
and i think sometimes and they think about
16:32
curtains and we talk about long traded
16:34
in some i was talking about similar things
16:37
related to upset
16:39
you mention a scale of the problem and whites needed
16:41
what was the situation before
16:43
this
16:43
new national standard the think
16:45
the good thing about this new national standard
16:48
which is actually pretty remarkable is that
16:50
we've got all the states and territories and mr and
16:52
government to agree on how we should manage
16:54
sepsis so previously different
16:56
conditions different states and territories
16:59
had different standards set by
17:01
bringing everyone together men's which will be on
17:03
the sun page lutz said
17:05
after what has some of the things that have changed
17:07
like what are some of these steps that have been
17:09
implemented heroics hundreds of
17:11
the didn't three parts or it's the
17:13
first three statements are about what
17:15
happens when you think someone might have sepsis
17:18
how do we recognize that how do we diagnose
17:20
it totally trade it said then the next
17:22
statement surround sound of it'll cost of people
17:24
to hospital multidisciplinary kid
17:27
communicating with families and then the last
17:29
one is or the going home in what should happen
17:31
after hospital it's one of the things the
17:34
people who survive sits is a told us about
17:36
is that when they get back out into the community
17:38
even if this be critical young well in intensive
17:41
care that they they play than the rest of
17:43
their families and care providers sadness
17:45
or know what to do or how to manage them
17:48
with this it's
17:49
one of the consumer soda said she didn't
17:51
have any obvious limb amputation
17:53
director thinks she's been in intensive care and
17:55
when she went home she kind of expected to build
17:57
to go straight back to work but she's having
17:59
hoping
18:00
i'm driving and just doing her average
18:03
daily tasks and let's just took
18:05
much longer than six assists recover from
18:07
sepsis
18:07
and she was should know that before sex
18:09
left hospital rights as some of this is geared
18:12
towards can seem as the majority that's geared
18:14
towards the medical system but
18:17
for consumers it's navy more common
18:19
than people realize that is rare
18:21
slots in a level of awareness to innate in the community
18:24
like with strike we have strike i s t
18:26
fast as display of diagnosing that
18:28
was recognizing someone that you're with
18:30
might be having that strike do we need something
18:32
like that to set
18:34
the first statement around intercepts
18:36
this clinical care said it is just could be sepsis
18:39
i think that's think that's good question for both
18:41
clinicians and for consumers to think about
18:44
and it's i present to hospital and say to the
18:46
trash nurse couldn't be sepsis it helps
18:48
to trigger different thinking about
18:50
what the problem as you can imagine
18:52
and children consistently one of the commonest
18:54
reason for children come to the emergency departments
18:57
favorite an infection and try to
18:59
tell a child who has set this amongst
19:01
all the other children if have my the bar with
19:03
mrs can be really difficult so
19:05
we just want people to think about could this be set
19:08
for something that's the most important thing and
19:10
then hopefully the systems are in place to then
19:12
trigger the rest of the system to do the right things
19:15
the addition to being involved in this your
19:18
also an image the position yourself
19:20
what sort of frustration seaside in his
19:22
space in you clinical work
19:23
he gets frustrating i've seen some the emergency
19:26
departments actually designed says
19:28
identification of critically ill people
19:30
but probably frustrating said tyson's who have
19:33
baby lowered acuity problems in my
19:35
do quite a long time but i think
19:37
when people rise quickly as well
19:40
the burleigh you to or cast to pick losses
19:43
i think the challenge to be part is actually the ones
19:45
who remotely the portal on like you're
19:47
probably thinking that a fast also
19:49
the low blood pressure to the hotmail aesthetic
19:51
really go to the resources i should buy all
19:54
the systems to didn't we do very well
19:56
but it's the ones in between my way into our
19:58
could it be sepsis i'm not sure what is
20:00
that another diagnosis the that statistical
20:02
sounds and group i we can on
20:04
a thing for nothing for having systems
20:06
in place already have a going to manage sets
20:09
western that helps to capture some of that
20:11
not so straightforward
20:12
what sort of a difference does it make if he can catch
20:15
someone and diagnose them early
20:17
compared to one there in that more critical
20:19
say
20:19
the catch phrases
20:21
every minute counts but basically the
20:24
longer it takes for us to diagnose sepsis
20:26
and the longer it takes for tyson's pretty soon to
20:28
get antibiotics the worse outcomes
20:30
that i can help and that's what such as time
20:32
critical emergency
20:34
if people take one thing away from these guidelines
20:36
what the hype it is i think
20:37
the takes up too seriously and
20:40
to think about couldn't be sepsis and
20:42
i think the other parties around making
20:44
so that we listen patients and families
20:46
and take they can some seriously and
20:49
tell them
20:49
they kept is a concerned about
20:51
couldn't be set
20:53
carolyn how it is an emergency
20:55
physician and clinical director of the sterling
20:57
commission on safety and quality and health
20:59
care that we talked before
21:01
on this so about the evidence or lack
21:04
thereof in favor of vitamin supplement
21:07
the including that a monday many
21:09
, a told to take a vitamin d supplement
21:11
especially in winter when is less sunshine but
21:14
it's possible to have too much of a good thing
21:16
thing we got my colleague science
21:19
reporter gemma conroy talking about
21:21
a case of something i'd never heard of before
21:23
vitamin d toxicity i
21:26
gemma tell us about this guy
21:29
hi thanks for having me teeth on
21:31
yes i do with this man in the uk
21:33
recently who came to hospital
21:36
former same time real
21:38
on you know his on you
21:41
were almost shutting down and
21:43
blood tests revealed that he
21:45
actually had east vitamin d levels
21:47
with seven times or the limits
21:49
as because he was taking a cocktail
21:52
of twenty different software it's including
21:54
a whopping one hundred and fifty thousand
21:56
international units of vitamin
21:59
d
21:59
he'd been experiencing this thirty
22:02
three months as soon as
22:04
he started taking these really
22:06
high doses of these supplements arm
22:09
he pretty much started experiencing symptoms
22:11
one month then he stopped are
22:13
taking them that is continuing to experience
22:16
these nasty symptoms on
22:18
and it just goes to so you
22:20
can definitely have too much for good thing
22:23
right so why did why was he taking so
22:25
much well when i spoke
22:27
to dr elemental condi he
22:29
said that said main motivation
22:32
for this man he was feeling really low in
22:34
energy and he sought
22:36
out the advice of advice nutritionist who
22:38
advised him to take some
22:40
high doses of different vitamins
22:43
and one of them with vitamin d
22:45
so i think he's sort of thought that perhaps
22:48
the vitamin d can sort of pick him up a little bit he
22:50
had had had history of some pretty severe
22:52
health problems i'm although he wasn't
22:54
sort of suffering from them i thought
22:56
sort of time but yeah he was really
22:58
just looking to sort of you know be a bit more
23:00
active have active bit of extra pepper
23:02
and he set and you feel this was the way to go
23:05
following the advice of advice new there's really
23:08
not he quantum well what's
23:11
the treatment for vitamin d toxicity
23:14
sorry he spent eight days in hospital
23:16
and say that flashy system out
23:19
with intravenous fluids
23:21
and they put him on a midget medication to reduce
23:23
these calcium levels because actually
23:26
that that's what happens with von monday
23:28
toxicity is it makes a calcium
23:30
levels in your blood on go rice
23:32
have which lays the all these symptoms
23:35
arms can leave include things like
23:37
an isis ah the abdominal
23:39
pain on nods
23:42
is a huge range of since the t he'd
23:44
lost so i almost think kilos
23:47
in that short space of time and
23:49
not the menace of be discharged from hospital
23:52
that when he came back to to take in
23:54
two months later he's calcium levels return
23:56
to normal but he vitamin d levels
23:58
of still sky high hi and
24:01
that's because vitamin d is it takes
24:03
a long time sodas and flush out of
24:05
the system it's because it's a fat soluble
24:07
fought a minute stored in you is
24:10
that tissue it it's actually got
24:12
a very slow turnover sorry
24:14
it took a long time to undo the
24:16
damage right so
24:18
you can we talk the it's still a cautionary
24:20
tale says how much vitamin d's
24:23
the right amount
24:23
at for you
24:24
the or human so generally
24:27
in australia the government advises
24:30
government advises
24:30
no
24:31
than two hundred or four hundred
24:33
six hundred international units
24:36
each day that's five to fifteen micrograms
24:39
i'm a if you're severely deficient
24:42
or you've got health problems such as diabetes
24:44
and cardiovascular disease he might be
24:46
you might get a higher dose than that i
24:48
think the faith upper limit is something
24:50
like four thousand international units
24:52
but again you wouldn't take that much unless he had
24:55
a very specific reason for doing so
24:57
or your doctor advised you to and
24:59
the toxic a level is some if he's taking
25:02
forty thousand two hundred thousand
25:04
international units that's when you've
25:06
got a high chance of coming
25:08
down with vitamin d toxicity and
25:11
this man was taking even more than that so
25:13
i most australians are getting enough vitamin d just
25:15
from getting out in the sunshine there's a
25:17
in some certain fades
25:19
any insights on the psychology
25:22
of why people maybe take extra
25:24
high doses things like supplements
25:27
yeah salsa think they're still
25:30
looking at reception that net
25:32
so automatically means safe
25:34
and in our with these sort of natural
25:36
substances he knows recent getting
25:38
these things every day it's easy to sort
25:40
of fall into that trap of thinking oh
25:43
more is this whole arm
25:45
and arm big problem is problem is vitamins
25:47
and supplements aren't regulated like
25:49
you know he the counter medications
25:52
of the scripts and medications
25:54
soil is yeah people to sit easily
25:56
fall into that trap of thinking
25:58
that you know that
25:59
they have to say well being or improves
26:02
their immune system despite of taking
26:04
supply does the vitamins but as this case
26:06
so that it's quite easy for
26:08
overdo it and another thing is
26:10
is that manufactures because they aren't regulated
26:13
manufacturers on obligated to
26:15
warn people about the possible risks
26:18
of have some of these vitamins disciplines and
26:20
how they interact with medications the
26:22
dangers of taking too much and
26:25
that's something that doctor jody most
26:27
she's a pharmacists at the university
26:29
of queensland that something that she said
26:31
has to change
26:33
how will be calling for anything
26:35
with a slice nice to that potential
26:37
it says it will soon as i can
26:38
the choice i know some if
26:41
your face and i phone so it's
26:43
because the game most consistent
26:45
with bargains a specialized cells
26:47
his pocket i felt that the
26:49
jeremy
26:50
try to see the pharmacist at the university queensland
26:52
talkin about people just
26:54
much self dicing it's
26:56
a vitamin
26:57
supplements, not benign, definitely
26:59
have effects, definitely can be
27:01
overdosed on so if people are thinking that i might
27:03
want to supplement what
27:05
what should people be doing beforehand definitely
27:08
, to your g p or other
27:10
health professional before he tried
27:13
and yusuf who disagrees we've already got some
27:15
health issues and you're on prescription
27:17
medications i'm in as
27:19
i mentioned earlier this man sort out
27:21
the advice for nutritionist and other
27:23
a lot of really great nutritionists out there a big
27:25
problem is the fact that
27:28
you know on need treatment possession itself
27:30
is you know it's not regulated
27:32
a the pretty much anyone can call themselves
27:34
and nutritionist they say so it's
27:36
best to subtle eg pay
27:39
or another health professional before taking
27:41
any news ottoman or some point okay
27:44
he and also in the uk ah
27:46
gemma has it made you change your mind about any supplements
27:49
the have been taking kinda definitely have a dot
27:51
vitamin i take vitamin d myself
27:53
in a month now rusted some have a look at like
27:56
what level it was on the bottle
27:58
and to thousand international yeah i'm
28:01
doing okay in fear of aden obviously
28:03
and winter months we didn't listen it it's not
28:05
a bad idea his arms his is
28:07
often bottom and day but i'm definitely
28:09
not that much yeah pull back on that
28:11
same i think so much for joining us something
28:14
gemma conroy is a science reporter in the a
28:16
b c science unit which may taken
28:19
taylor and next week we back again
28:21
with doctor norman slung will
28:23
see you then
28:24
you've been listening to an a b c podcast
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