Australia is about to get a center to control diseases. How will he face public health challenges? | health

Australia is a step closer to the presence of its own national agency to inform and coordinate public health responses – a permanent Australian center for control.

It was the long -awaited legislation project It was presented in Parliament Last week to establish this permanent disease control center, which will start from January 1, 2026.

It is a milestone for public health in Australia.

This National Agency will help protect us from urgent issues, including bird flu (bird flu), and healthy installation coverage. Under the path, it is expected to treat other public health areas such as cancer, diabetes and heart disease.

But there is a lot that we do not know about how to run the agency. We also need to ensure that there are guarantees against Political intervention In the general health, which we see I play In the United States.

Nearly 40 years in making

It was public health experts Call The Australian Disease Control Center since 1987.

At that time, the Australian Epidemiological Association noted the division of diseases control efforts throughout the country. It was particularly concerned that there was no time to report the public health response to HIV/AIDS.

More than three decades later, the Covid-19 pandemic also revealed a weakness in the public health system in Australia.

Covid-19 response response I found that the Australian Disease Control Center could have helped. It could have been a reliable voice for governments and the public; It could have clearly summarized evidence and data because it became available to inform politics and the public; It can be considered better and coordinating responses for future epidemics.

The long road to the Australian Diseases Control Center

1987

Epidemiologist Professor Bob Douglas is asking in the Australian Medical Journal Does Australia need a center for anti -disease?

2011

Australia Public Health Association and Australian Public Health College Discussion paper About the need for the Australian Diseases Control Center

June 2020

Then the leader of the opposition, Anthony Albaniz, calls for Australian independent CDC

October 2022

The federal budget of 2022-23 includes $ 3.2 million to design the Australian Disease Control Center

May 2023

90 million dollars dedicated More than two years to create the Australian Diseases Control Center

January 2024

The Australian Disease Control Center in the Ministry of Health and Care of the Elderly begins

October 2024

Covid-19 response report It recommends that the government establish a center for controlling Australian diseases. The government $ 251 million is allocated For four years

September 3, 2025

The Australian Disease Control Center Law 2025 and the Australian Center for Disease Control (consecutive amendments and transitional provisions) draft law 2025 It was presented in the Australian Parliament

January 1, 2026

Australian CDC to start

Based on a summary of the events you presented Public Health Association in Australia

How will the Australian Diseases Control Center help?

The federal government has committed more than 250 million dollars over a period of four years To finance the total activities of the Center for Disease Control.

But how will a new national agency help face public health challenges? Let’s take the vaccination as an example, which has already been coordinated at the national level.

under National fortification programAll government levels have roles to play. The federal government evaluates and purchased vaccines; State and land governments distribute; All levels of government are funded by service providers who manage vaccines. Independent experts, such as Australian technical consulting group on immunization (Which I am a former member), put advice on immunization, with the support of National Center for Virtue Research and Monitoring.

However, the lack of the center of control over diseases highlights some of the system’s weaknesses.

Countries and regions collect data on vaccine diseases that can be re -executed, but not all data are shared at the national level. So we You don’t always have complete image.

Vaccine financing can also differ throughout the country. For example, all people between the ages of six months or more Queensland and Western Australia You can get a free flu vaccine in 2025. But eligibility in most other judicial states is limited to high -risk groups.

The Australian Diseases Control Center can provide evidence of what is the best strategy to reduce influenza diseases (including vaccination and also other possible measures), and develop national communications to increase vaccination absorption and evaluate results to inform continuous control efforts.

How can we protect against political intervention?

like Experience in the United States It reminds us, government agencies can be subject to political intervention.

Obligations or evidence of political intervention or the threat of influencing the policies of the United States have affected various topics such as Frank vaccinesand Scientific researchand External aid to HIV/AIDS and Signs of alcohol.

But political intervention in the United States is not a new phenomenon. In the nineties, the political opposition had to stop the center of diseases in the United States The issue of public health.

Closer to the home, many in the public health community remember the Australian National Preventive Agency. This was established in 2011 however get rid of After a few years.

In the end, the Center for Disease Control will need a close relationship with the government. It will need appropriate financing, provide inputs in government policies, and accountable for its work.

However, it should be independent and transparent. Guarantees in the legislation project I mean, for example, the director of the Disease Control Center, in most cases, must Publishing advice to the government and the logical basic associated with it.

So if any governments make decisions against the advice of the Disease Control Center, it will be clear. This is similar to Victorian Epidemia Legislation – The Minister of Health makes decisions, but it is required to consider advice from the chief health official.

Early signs of the Australian Disease Control Center are positive.

What do not know yet

Many questions remain. the Legislation project Concepts in determining the scope of public health so that its activities are not short.

For example, will the infections gained from hospitals be considered a general health problem (and is undergoing CDC storage), or a health care quality problem (and is treated by another agency)?

The relationship of the Australian Diseases Control Center with current agencies, such as Australian Committee for Safety and Quality in Health Care and Australian Institute of Health and WelfareYou will need to clarify.

We have no time schedules for what the Disease Control Center plans to achieve, nor a strategic plan and implementation of how to reach there. While infectious diseases are a concept priority area, how long will the center of control over diseases reach other important areas such as cancer, diabetes and heart disease?

We do not know the role of the Center for Disease Control in defining the areas of priority for research financing, and how resources will be allocated within the Center for Disease Control, and there is no mention of its role in training the workforce in public health in the future.

But the answers to these and other questions will come over time.

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