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While national policies and state wide approaches to preventive health and health promotion is definitely required to
address the issue of chronic disease globally; local and smaller catchment surveillance systems are the need of the hour to
continuously implement focused strategies targeting these conditions at small community levels and thereby actively evaluating
local health strategies so as to regularly monitor the trends of chronic disease across nations such as Australia. On these lines the
Illawarra-Shoalhaven Medicare Local which is one of the 61 medicare locals formed under the Australian government National
Health Reform Agreement, undertook a pilot study to assess the feasibility of implementing a sentinel site surveillance system in
regional NSW to monitor chronic disease prevalence and its associated risk factors. The study was conducted in one of the major
general practices in the Illawarra-Shoalhaven catchment of regional NSW and found higher than national average estimates
were found for the age-adjusted prevalence of obesity/overweight (67.1 vs. 63.4%). These findings were higher than prevalence
estimates of obesity identified in the regional health profile of the Illawarra-Shoalhaven region which estimated an obesity
prevalence of 57.2%.
While the pilot study has demonstrated that routinely collected general practice data offers a feasible opportunity for
monitoring obesity prevalence and its associated risk factors; further research is being undertaken to include larger number
of sentinel sites that are generalizable to the population being served to provide an accurate and region-specific system for the
purposes of planning evidence based and consumer specific interventions to control the burgeoning epidemic of obesity in
regional Australia.
Biography
Abhijeet Ghosh has a Bachelor of Medicine & Bachelor of Surgery (MBBS) from University of Delhi, India and post graduate qualifications in Medical
Ultrasonography. Furthermore, he completed his Master of Science in Population Health in 2010 and has been working in the field of Public Health
research and health management since 2007. He is currently the manager of Population Health and Planning at the Illawarra-Shoalhaven Medicare
Local, a not-for-profit health organisation in NSW Australia. Additionally he has also been teaching Epidemiology at the University of Wollongong
since 2011.
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