Indigenous health

Approach to indigenous health

**common exam topic**

**In your management plan, must mention aboriginal health worker**

Common clinical problems in children

Perinatal

• Low birthweight
• Asphyxia
• Infections 

Preschool

• Failure to thrive
• Malnutrition 
• Anaemia -- check for hookworm 
• Respiratory infection 
• Diarrhoea disease
• hepatitis B
• Skin infection/infestation 
• scabies
• Urinary tract infection 
• Meningitis 
• Joint and bone infection 
• Chronic suppurative otitis media 
• Trachoma

Later childhood and adolescence

• Bacterial and viral infections 
• Parasitic infestation 
• Streptococcal infection:
• Rheumatic fever
• Glomerulonephritis
• Trauma 
• Substance abuse
• Chronic suppurative otitis media 

Adults

• Diabetes
• Cardiovascular disease
• Injury (and youth suicide)
• Kidney disease
• STIs
• Mental health
• Poor nutrition 
• Ear infections 
• Women's problems

Socioeconomic

• Education of aboriginal children
• Housing 
• Water supply
• Alcohol and substance misuse
• Domestic violence and sexual abuse
• Child abuse 
• Gambling 
• Unemployment

Immunisation schdule

• Normal 
• Aboriginal and Torres Strait Islander People