Indigenous group to take over healthcare delivery in ‘Australian first’ trial

Delivering primary health care in Queensland’s largest indigenous community will be handed over to a community-controlled group in an Australian first.


The new model of indigenous health care will be presented by the Queensland government to Australia’s health ministers at a conference in Cairns tomorrow.

Gurriny Yealamucka has been given 12 months to prove it can provide primary health care to the almost 3,000 residents of Yarrabah, near Cairns, in far-north Queensland.

“This will be the first time in Queensland, indeed in Australia, where there’s been a significant transition of a state-controlled primary health service to an indigenous-controlled primary health care organisation,” said Queensland health minister Lawrence Springborg.

“There’s a lot of research around that says if you can empower them, if you can give them the control, you get far better outcomes with the health services that are provided.”

Yarrabah’s council fought for three decades for community control of primary health, spurred in part by a shocking youth suicide rate in the 1990s.

“It’s a milestone, a big step for our community. It brings a lot of pride to our community that Yarrabah is leading the way in health,” said Yarrabah mayor Errol Neal.

Yarrabah, like many indigenous communities, suffers from high rates of chronic disease, social disadvantage and legacy of the Stolen Generation.

It has been a long and at times difficult journey and the transition is an emotional moment for Sue Andrews, chief executive of the Gurriny Yealamucka primary health service.

“I think of the elders, sitting under the tree, talking about community control. They’re the people who aren’t here today that would have seen their vision come to fruition,” said Ms Andrews.

“When you look at community control, it encompasses clinical health as well as social health, meaning we don’t just fix the individual, but the family and the whole community.”

The Queensland government says the transition will cut service duplication but not Yarrabah’s health budget.

“There’s plenty of money in health care, no-one should think otherwise,” said Mr Springborg.

“What we’ve had is a lot of waste in health care in the past few years, lots of duplication and triplication of with regards to the delivery of services, there’s a lack of co-ordination, disjointed systems, and real losers have been indigenous patients.”

The Queensland government is planning to hand over control of primary health in more than a dozen indigenous communities across the state.

Dutch police receive 150 MH17 crash images

Witnesses have uploaded 150 photos and videos to a Dutch police server set up to help piece together the downing of Malaysia Airlines flight MH17 over east Ukraine, a spokeswoman says.


The police issued an online appeal last week for images of the crash site – before, during and after – to aid a reconstruction of events.

From the server opening last Friday evening to noon on Monday, 150 images were uploaded via portals in four different languages: Dutch, English, Russian and Ukrainian, spokeswoman Franki Klarenbeek said.

And more are coming in.

“We don’t know yet where the images are from, but we do know they were uploaded via all four language portals,” said Klarenbeek.

The online appeal had been “aimed specifically at people in the disaster zone”, according to the website.

The plane with 298 people on board came down on July 17 in an area of east Ukraine where pro-Russian separatists are battling government forces.

The Netherlands, which is leading the crash probe and body identification, lost 193 citizens on the flight.

Washington alleges the flight was downed by a Russian-made surface-to-air missile fired by pro-Moscow militants.

On Monday, Kiev said data from the doomed plane’s black boxes showed the crash was caused by shrapnel from a rocket explosion.

Russia has denied the Western accusations, and rebel commander Igor Strelkov has said his side did not have anything to do with the MH17 disaster.

Several investigations are under way to determine what caused the crash, who is to blame, and whether any prosecution will follow for what the UN has said may amount to a war crime.

Dugan to remain centred

Josh Dugan is facing the increasingly likely prospect his move to centre could be a long-term one with St George Illawarra after Dylan Farrell was ruled out for the season with a pectoral injury.


The luckless Farrell only played six games since his move from South Sydney for the 2014 season, after also sustaining the injury in round six against Melbourne.

Dugan’s mid-season move from fullback to centre has proven to be a masterstroke by caretaker coach Paul McGregor, with the former Canberra custodian a key figure in NSW’s State of Origin series win, in the position.

The change has added balance and strike to a Dragons side previously lacking in attack, with Adam Quinlan making a fist of the fullback spot.

Dugan is certain to play out the rest of the year in the line and the 24-year-old concedes his days as a No.1 might be over.

“Ever since ‘Mary’ (McGregor) spoke to me about the move to centre it is something I have enjoyed and I feel I am improving every week,” Dugan told AAP.

“It is a challenge and one I want to make the most of, and if it does become a permanent move then so be it.

“I will probably be there for the rest of the season and then after that I will sit down with `Mary’ and see what he wants to do moving forward and what is best for the team.

“It will be up to ‘Mary’ where he wants me.”

“I’m really trying to make it work. I feel I’m doing a decent job there and hopefully I will continue to get better.”

Dugan said McGregor’s tuition and that of fellow former Kangaroos centre Matt Cooper had greatly helped his transition to centre from fullback.

He also praised fullback Adam Quinlan for making it possible.

“He is a tough player, he reminds me of Preston Campbell,” Dugan said.

“He is a great support player, and he is great under the high ball too and that is what you have seen from him.”

After Sunday’s impressive win over the Wests Tigers kept them in the finals hunt, the Dragons face struggling premiers the Sydney Roosters at Allianz Stadium on Saturday in round 21 NRL action.

“It is a good test of where we are at,” Dugan said.

“These are the type of games you want to play and want to win this time of year if you want to play in the semi-finals.”

Catalan Dragons coy on Carney move

Catalan Dragons have distanced themselves from a move for controversial Australian five-eighth Todd Carney.


Dragons coach Laurent Frayssinous hinted his club could throw a career lifeline to the 28-year-old former international player of the year after he was suspended by his NRL club Cronulla following the circulation of a lewd photograph on social media.

But Frayssinous insists the move never got off the ground.

“I didn’t say we were going to contact Todd Carney,” Frayssinous said.

“I said every coach in Super League would be interested to have such a quality player in their squad.”

Carney, who has also previously been sacked by Canberra and Sydney Roosters for disciplinary issues, has sought leave to appeal the decision of the Sharks to terminate his five-year contract with immediate effect and is expected to hold mediation talks with the club.

Effectively banned from the NRL, Carney’s options appear to lie either with a switch of codes or a move to Super League.

He actually signed for Huddersfield in 2008 only for the deal to fall through when he was denied a visa but the Catalans are not affected by the same restrictions.

In 2009 they signed another controversial Australian, Greg Bird, after his proposed transfer to Bradford collapsed and Frayssinous has not completely ruled out a move for Carney.

“We’ll have a break after Warrington (on Friday) and have a think about it,” he added.

“At the moment we’re just thinking about finishing in the top eight.

“When the time is right, we’ll see where Todd Carney is – whether he’s still in Australia or if he’s playing union or whatever – and if we have a spot in the squad for him, but at the moment there is nothing more to say.”

Teen fails Games doping test

Sixteen-year-old weightlifter Chika Amalaha’s record-breaking Commonwealth Games gold medal performance is under a doping cloud after she returned a positive test.


The diminutive Nigerian made headlines when she became the youngest woman to win a Commonwealth weightlifting gold medal after taking out the 53kg class in Glasgow on Friday.

She set a new Games record with a 85kg lift in the snatch on her way to an overall winning weight of 196kg and told AAP her story of overcoming family opposition to compete in her sport.

“Weightlifting is a great sport but my family didn’t like me doing it as they said it would make me muscly and unattractive and stop me from having children,” she said.

“I had to get my coach to speak to them. She has four children and she proved that it was OK to lift and have a family.

“I told them it’s not about muscle, it is about technique. But they are happy now and they will be very pleased that I have won gold.”

Now all that is in jeopardy, with the CGF identifying her as the first athlete to test positive during the Glasgow Games.

Amalaha has been provisionally suspended after her A sample allegedly revealed traces of a diuretic and a masking agent. Her B sample will be tested in London on Wednesday.

If found guilty of a doping she faces being disqualified, suspended and stripped of her gold medal.

Papua New Guinea veteran Dika Toua took the silver in Friday’s contest while India’s Santoshi Masta claimed bronze with her countrywoman Swati Singh fourth and Australia’s Erika Ropati-Frost fifth.

Hooper said the banned substances had been identified as amiloride and hydrochlorothiazide, both prohibited under class s5 of WADA’s Prohibited List.

“Ms Amalaha has pursued her right to have her B sample tested, which will take place at the accredited laboratory in London on July 30,” he said.

Earlier this week, Hooper said the Games were using an “anywhere, anytime” testing regime, which focused on a targeted approach at the Games and out-of-competition testing in the lead up.

He said medal winners were not necessarily being tested at these Games, but estimated about 1000 athletes would be randomly tested during competition.

Tests conducted prior to the beginning of the Games have already resulted in the suspension of two Welsh athletes – European 400m hurdles champion Rhys Williams and 800m runner Gareth Warburton.

Puma gets boost from World Cup, Arsenal deal

BERLIN (Reuters) – German sportswear firm Puma <PUMG.


DE> said sales of World Cup soccer boots and national team shirts as well as new Arsenal jerseys beat its expectations as it reported second-quarter earnings that fell less than feared and reiterated its outlook.

Puma is trying to restore its reputation for sports performance gear after a foray into fashion has seen it slip further behind the world’s biggest sportswear firms Nike and Adidas . To that end, it ousted Nike as kit supplier to English soccer club Arsenal from next season.

Puma said on Tuesday earnings before interest and tax (EBIT) fell 60 percent to 12.6 million euros ($16.92 million), while net profit was down 76 percent to 4.2 million, above average analyst forecasts for 10.4 million and 3.6 million, respectively.

Puma shares, which had slid on Monday ahead of the results, were up 1.7 percent at 1010 GMT. French luxury group Kering , which has built up a 86 percent holding in Puma since first buying a stake in 2007, reports results on Wednesday.

As it refocuses on sport, Puma will launch its biggest marketing campaign to date on Aug. 7 set to run until the 2016 Olympics, showcasing athletes including sprinter Usain Bolt, soccer star Mario Balotelli and golfer Rickie Fowler.

Puma said second-quarter operating expenditure was broadly unchanged despite increased marketing spending around the World Cup, where it provided shirts to eight teams and kitted out its players with eye-catching boots: one blue and one pink.


Chief Executive Bjorn Gulden said sales of the boots and national jerseys had exceeded Puma’s expectations, while initial sales of replica Arsenal shirts, which went on sale in July, had been good across the world, including in the United States and Asia, quickly selling out in many stores.

“Arsenal was a super deal for Puma, financially, strategically and for our image and you will see that in the figures from now on,” Gulden told a media conference call.

Group quarterly sales fell 5.8 percent to 652.2 million euros, but were up 0.6 percent when stripping out the impact of volatile currencies, at the low end of consensus forecasts.

Puma reiterated a 2014 forecast for flat currency-adjusted sales and for EBIT and net earnings to rise by 5 percent and 3 percent respectively.

Puma said apparel sales, which account for more than a third of its total, rose 6.2 percent to 241 million euros, helped by strong demand for replica jerseys of the Italian, Chilean and African teams at the World Cup.

Even though Puma’s dual-coloured World Cup boots have now largely sold out, footwear sales, which have suffered from a decline in the motorsports business, fell almost 16 percent to 277.6 million euros.

However, Gulden, the former managing director of European footwear chain Deichmann, said feedback from retailers had been positive for Puma’s spring/summer 2015 collection – the first designed since he took over as CEO a year ago.

“The design direction that we have started has been confirmed… we feel more comfortable,” he said.

Gulden said Puma had no immediate plans to buy into German first-division soccer club Borussia Dortmund , but noted as the shares were publicly listed it could buy them at any time and would have to communicate if it took a big stake.

Puma said it had appointed Lars Radoor Soerensen, who previously worked at fashion firms Bestseller and Esprit as well as Adidas and Lego, as new chief operating officer, replacing Andy Koehler, who only joined Puma a year ago along with Gulden but is stepping down for personal reasons.

($1 = 0.7444 Euros)

(Reporting by Emma Thomasson; Editing by Mark Potter and Louise Heavens)

Critics claim fading stars unlikely to shine on in India

Pires became the latest big overseas name to sign up for the tournament on Monday when the former France international joined ex-Arsenal team mate Freddie Ljungberg in the eight-team Indian Super League (ISL) scheduled from Oct.


12 to Dec. 20.

While the 40-year-old Pires has yet to be confirmed on the roster of a specific team, Spanish World Cup-winner Capdevila agreed to join North East United on July 16.

Capdevila’s compatriot Luis Garcia will represent the Kolkata franchise, co-owned by Atletico Madrid, while the former Liverpool and England goalkeeper David James has also committed to playing in the league.

“I am very happy to be part of the new league when passion for football in India is on the rise,” ISL’s official Tweeter feed (@IndSuperLeague) quoted Pires as saying.

“It will be great to play in front of enthusiastic Indian fans as well as share my knowledge with my team mates,” the former Arsenal midfielder added.

However, not everyone is convinced that the marquee players, all well past their prime, can impress upon either the fans or local players.

“It’s a good marketing strategy but in the end, it all boils down to the standard of football,” former India player Satyajit Chatterjee told Reuters.

“Young fans want good football and they’ve grown up watching the English Premier League, La Liga and the Bundesliga. They won’t settle for anything less.

“I don’t think over-the-hill players can dish out that kind of football,” said Chatterjee, considered one of India’s best attacking midfielders.


“The first season will have a novelty factor but how do you sustain the interests of fans who have sampled top class soccer? They are likely to feel disappointed.

“I still believe the organisers should have roped in current players from Europe or Latin America, even if it’s not a (Lionel) Messi.

“It’s a new effort and I welcome it. But I’m not sure having retired footballers as your marquee player is a great idea,” said Chatterjee, who played 15 consecutive years at Mohun Bagan until 2000 and briefly coached the club as well.

Soccer writer Jaydeep Basu felt ISL, modelled on the Indian Premier League Twenty20 tournament, was a natural destination for the ageing players.

“They are done with top class soccer and the space is shrinking for them. Good money and the comparatively brief duration of the tournament make ISL a natural choice for them,” Basu said.

“We should have reasonable expectations from them. Football is not a place for a one-man revolution. They can’t lift the standard of the game here, which depends on so many other factors.”

Cricket is firmly established as India’s number one sport while the country of 1.2 billion languishes 151st in the latest FIFA world rankings.

“Even the ISL seems beset with teething problems. They already have had three postponements and beyond their marketing drive, they are yet to establish a concrete structure with technical personnel,” Basu lamented.

(Editing by John O’Brien)

Can computers stop suicides?


Watch SBS Insight on SBS ONE Tuesday at 8.


30pm (repeat Wednesday 1pm)Join the conversation on Twitter using #insightsbsHow seeking help turned NRL player’s life around

A painful divorce and work-related stress saw Dr Geoff Toogood fall into severe depression last year.

The 54-year-old cardiologist from Melbourne said he was overwhelmed by everything that was going on in his life.

“I could not take the mental pain anymore and the suffering,” he said.

“There was relationship breakdown, we were in the Family Court, I was having issues with my kids, I had serious work issues that sort of hit the front page of papers; not related to me but related around me. So I was under a lot of financial, economic and personal pressures.”

Toogood told Insight he never acted on his thoughts about ending his life and had put in place preventative plans to stop him from making a snap decision. He joined Facebook to keep in contact with people and had helplines stuck on his fridge.

“Sometimes either someone needs to help you, or you have to go out and get the help. Because it’s a preventable death,” Toogood said. 

Australian Bureau of Statistics data shows that in 2012, three-quarters or 1901 of the deaths from intentional self-harm were men.

“Lots of men get lost in those critical transitions in life.”

Professor Ian Hickie, is the former CEO of Beyond Blue and head of the Brain and Mind Research Institute at the University of Sydney. He says initiatives targeting the youth are working but there is still a long way to go with the other age groups, particularly the middle-aged and elderly.

“So we’re doing a better job now with younger people. But we still are really, really struggling, really between 25 and 40, with men who have got mental health problems or substance-abuse problems or other difficulties actually that being at a stage of life where people assume they’re coping, that they’re okay, but actually they are quite disconnected.” 

“Lots of men get lost in those critical transitions in life. The transition out of family into school, from school to employment, employment to relationships, and those critical early periods of their life where they’re not so confident about who they are and staying connected.”

“And I think that remains then the really big challenge. We’ve got greater awareness about mental health problems, greater access to services but how do we stay connected so that when you’re going through one of those tough times, you’re still alive at the end of it?”

Clinical psychiatrist Richard Harvey, from Deakin University in Victoria, told Insight it’s always a challenge for doctors to assess whether someone is suicidal. He said doctors are influenced by their engagement with the patient and dependent on what the patient will disclose, which unfortunately means they don’t always get it right.

He’s teamed up with computer scientist Professor Svetha Venkatesh, and together they’ve devised a way to look at the hospital data in more useful ways, studying inpatient admissions and emergency department visits and trying to find patterns.

“A clinician seeing someone in the [hospital] emergency department who’s presenting in a suicidal state will ask a lot of questions. They want to collect lots of information. But it’s filtering that and determining what’s really important and particularly picking up when there has been a serious attempt at suicide in the past,” Harvey said.

He told Insight this computer system is two-thirds better in predicting the likelihood of a serious event.

Ultimately, Harvey says their work is not about predicting suicide, but about assisting those who are immediately at risk so that the limited resources can be allocated more efficiently and in a more targeted way.

“It might take the clinician several hours to go through thousands of pages of medical records and summarise it all. So what the system does it very quickly picks out and presents visually a map of previous presentations and what’s happened to this person.”

While it’s still in a trial phase at hospitals in Melbourne, it’s an initiative welcomed by Geoff Toogood.

“I think any idea that can identify someone at high risk is good. Because sometimes it’s a gut feeling, it’s a doctor’s gut feeling. Sometimes you can’t identify it. Sometimes the risk is over a period of time. So if you can identify someone at risk, it’s very helpful because the impact of suicide on the family and friends in the workplace that these people are in is just a lot.”


This week, a policeman, a cardiologist and a footy star join a room of men to discuss why male suicide rates are so high – and how some of them made it back from the brink.

Readers seeking support and information about suicide prevention can contact Lifeline on 13 11 14 or Suicide Call Back Service 1300 659 467

Broad double rocks India in third Test

Stuart Broad took two wickets as England tightened their grip on the third Test against India at Southampton on Tuesday.


At lunch on the third day, India were 3-108 in reply to England’s imposing 7-569 declared, a deficit of 461 runs after Broad had dismissed Cheteshwar Pujara (24) and Murali Vijay (35).

Virat Kohli was 18 not out and Ajinkya Rahane 11 not out, with India needing a further 262 runs to avoid the follow-on.

Following a minute’s silence on Tuesday to commemorate cricketers who were killed during the First World War, a hundred years on from the start of that conflict, India resumed on 1-25.

Opener Vijay, averaging 90 in the series, was 11 not out and Pujara four not out.

England, 1-0 down in the series, and without a victory in their previous 10 Tests, knew they had to ‘win’ Tuesday’s play if they were to have a realistic chance of drawing level in this match.

After the batsmen made a solid start against England, with bowlers appreciably quicker than those playing for India in the absence of the injured Ishant Sharma, the seven-wicket hero of the tourists’ 95-run win in the second Test at Lord’s, Broad made the breakthrough.

Pujara, trying to sway out of the way of a well-directed short ball, didn’t withdraw his bat and gloves in time and gave Buttler a simple catch for his first Test dismissal.

Kohli, whose best score in four previous innings this series was only 25, drove Chris Jordan through the covers for four.

But Broad struck again when Vijay, trying to withdraw his bat, deflected the ball onto his stumps and was bowled.

Broad had taken two wickets for 10 runs in 22 balls and India, on a sunny day ideal for batting, were 3-88.

England thought they had Rahane, who made a superb hundred at Lord’s, caught by Buttler for eight off occasional off-spinner Moeen Ali.

It was an excellent legside take by Buttler and the Hot Spot replay confirmed a thin touch on the glove.

However, Australia umpire Rod Tucker ruled not out and with India objections meaning the Decision Review System is not being used this series, Rahane survived.

In a blow for England, Ian Bell was sent for an X-ray after suffering a thumb injury while fielding during the first session on Tuesday.

Early in the day’s play, India’s Murali Vijay edged James Anderson just short of Bell at second slip, with the ball hitting the fielder’s left thumb.

Bell immediately shook his hand in pain and, after treatment by the England physiotherapist, walked off the field.

Monday saw Bell end a run of 19 Test innings without a hundred by top-scoring with 167 in England’s first innings 569 for seven declared.

Talks aim to get experts to MH17 site

The head of the international monitoring group in Ukraine is hopeful unarmed Australian and Dutch police will be able to access the MH17 crash site and start retrieving bodies “within one or two days”.


OSCE chief monitor Ertugrul Apakan met with top Ukrainian officials in Kiev on Tuesday after the international policing mission was unable to reach the site for a third day running due to heavy shelling in the Donetsk region.

Mr Apakan said Ukrainian president Petro Poroshenko had now “instructed all institutions to be helpful to the OSCE” special monitoring mission (SMM).

“He’s asking us to reach the crash site as soon as possible in order to remove the remnants of the bodies and carry out an investigation by the international taskforce,” the chief monitor told reporters in Kiev.

“There’s progress and we expect that the SMM will move to the crash site, with the international taskforce, within a short span of time, tomorrow or the other (next) day.

“We are working, if possible, within one or two days to be there.”

Mr Apakan said the OSCE was coordinating with all the parties on the ground including pro-Russia militants who have conceded they are losing territory to Ukrainian forces.

Acting Prime Minister Volodymyr Groysman, speaking alongside the OSCE chief monitor, said Ukraine was making continuous efforts to secure entry to the crash site “but we continuously encounter provocations”.

Mr Groysman said the president was making “every effort humanly possible to stop the provocations”.

“We have designed a clear-cut plan that will provide for our final entry,” the acting PM told reporters via a translator.

“We are in close co-operation with the Netherlands and our colleagues from Australia and other international partners.”

Mr Groysman is hopeful of some good news “in the forthcoming hours or maybe a day”.

He vowed there’d be no military action within a 20km exclusion zone and no shots would be fired “in the direction of the area where we will have some movements of the taskforce”.

The acting PM added: “We know that terrorists are still in control of the territory.”

Mr Groysman expects parliament on Thursday to ratify deals between Australia and the Netherlands and Ukraine regarding the humanitarian policing mission.

“This will enable the exercise of actions that will lead to a quicker investigation of what has happened,” he said on Tuesday afternoon.

The deployment agreements would allow Australia and the Netherlands to send in armed police or soldiers if required.