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POPULATION HEALTH NEWSLETTER
Issue: Community update
June 2020
The Population Health team would like to say thank you and well done to our community for continuing to follow restrictions and protocol set by the Victorian Government. This has meant the easing of some restrictions, allowing us to resume some of the every day activities that we know and love. 
You can check out the Victorian Government website for details of new restrictions and what you are now able to do. 
It's important to remember that the easing of these restrictions has come about due to high testing rates and the great work of all Victorians in complying with restrictions. 
Remember to continue to follow these new restrictions and maintain physical distancing of 1.5m when outside your home. 
COMMUNITY HEALTH SERVICES RESUME IN PERSON
From Monday June 1st all community health services have resumed for in person appointments, including Centrelink services in Daylesford.   If you had an appointment that was cancelled during the shutdown period you will be contacted by community health staff to rebook. Standard social distancing of 1.5 metres applies.  There is a limited waiting area so please arrive on time for your appointment and only bring an escort if necessary to avoid overcrowding.  All people entering the building will need to wash their hands with the antiseptic hand rub provided and undergo a temperature check.  If you have a fever, cough, sore throat or shortness of breath do not come to your appointment but contact the community health centre where your appointment is and reschedule: Contact details can be found on our website. Also call the Respiratory Clinic on 5321 6654 to organise a test for Covid-19.
MATERNAL AND CHILD HEALTH SERVICES 
Hepburn Shire Maternal and Child Health Service, will be offering face to face consultations to all families from the 1st July. We will be following the CHO/Commonwealth advice, we ask that only one adult and the child/baby being assessed is brought to the consultation. To ensure the continued safety of our community we request that families only attend their appointment with the MCH nurse if well, have not been in close contact with positive Coronavirus case and do not have a fever or cough.

Central Highland Rural Health have introduced a policy that all clients attending appointments within Central Highlands Rural Health facilities will undergo a temperature check upon arrival.  If your temperature or your child’s temperature is above 37.5 you will need to go home and the MCH nurse will contact you to offer you another appointment.

Our team is looking forward to seeing all of our wonderful families once again.
Please remember to bring the Green Book, 2 bunny rugs, a clean nappy and a nappy sac with you to your appointment.

To make an appointment from the 1st July contact central booking on 5321 6500.
MEN'S HEALTH WEEK
Central Highlands Rural Health supported by Hepburn Shire Council are working together to promote Men’s Health Week 2020 across the Hepburn Shire throughout the month of June. 

Men’s Health Week is celebrated across Australia and provides the opportunity to address men’s health issues by promoting positive health and wellbeing messaging specific for men and to help raise the awareness and importance of men’s health in our community.



Throughout June the CHRH Population Health team will be promoting an online Men’s Health ‘Show bag’ and sharing men’s health promotion material via social media and website posts accompanied by the following hashtags #centralhighlandsmenshealthweek2020 #communitiestogether #preventingsuicidetogether #activehepburnshire #hepburnshiremenshealthweek2020
The Men's Health 'Show Bag' will sent out via this platform, so subscribe here.
In doing so, you'll be the first to receive the men's health promotion material, which you can utilise for yourself and share with the men in your life! These resources will also be available at CHRH Community Health centres. 
We will also be encouraging men to lead healthy lifestyles by improving their physical activity by participating in a month long self-led Strava challenge throughout June. Join the challenge here

We encourage you to share your participation in the Strava challenge, with the above hashtags on social media. This will help to promote Men's Health Week across your networks also. 
To find our more and stay up to date, check out the Facebook Event page. 
This Men’s Health Week reach out to the men in your life and encourage them to have a conversation with yourself or a professional about their own health – physical and mental.
FAREWELL RHEANNON
The Population Health Team would like to take this opportunity to bid a fond farewell to Rheannon Owen as she follows her passion in working with young people by embarking on further studies to become a Secondary School Teacher.

Rheannon has been a Health Promotion Officer at CHRH (previously Hepburn Health Service) for the past 4.5 years. During this time she has contributed greatly within the organisation, particularly in her development and delivery of the highly successful The Cook the Chef and Us program which has been running at Daylesford College since 2017. Rheannon’s dedication and hard working nature has resulted in many accolades associated with the program.  This has included Rheannon being selected as a top 3 finalist in the Seven News Young Achievers Awards- Leadership category. In addition, the program has received recognition as a finalist in the 2019 AOD Awards for the Alcohol and Drug Foundation- Primary Prevention Award, 2018 & 2019 VicHealth Awards- Mental Wellbeing and 2019 Victorian Public Healthcare Awards- Chief Health Officer for Supporting Healthy Populations.

We wish Rheannon all the best in her future endeavours and on behalf of everyone would like to thank you for all your hard work, enthusiasm and overall great attitude that you have continued to display throughout your time at CHRH.

FAMILY VIOLENCE IN THE PANDEMIC
The risk of family violence has increased during the pandemic, with an increased restriction of movements of victim-survivors and heightened stressors in the home. 

Specialist Family Violence Services (SFVS) are finding that many are choosing to not engage in services, likely due to their safety, which has resulted in an increase of police referrals for cases that are progressing at higher escalation and greater difficulty. 
This has created an increased workload for services, who have already had to adapt to COVID-19 restrictions. There has also been a strong representation of adolescents using violence in the home, from police referrals that are taking place. 
The pandemic has meant fewer 'eyes' on families, including children, which is heightening risk by removing a key mechanism of oversight. Keep this in mind when engaging with individuals in your workplaces and community, to ensure that we are looking out for the safety of everyone. 

It's also important to remember that Specialist Family Violence Services are still available to access, just through alternate modes of delivery. 

If you or someone you know is experiencing family violence, please contact the following:
000 - If you are concerned about your safety
Safe Steps 1800 015 188 - For family violence information, support and referrals via phone 
Berry Street 5331 3558 - For family violence crisis services 

The following link provides a detailed list of Family Violence Support Services in the Hepburn Shire.
NATIONAL RECONCILIATION WEEK

National Reconciliation Week (NRW) is a time for all Australians to learn about our shared histories, cultures, and achievements, and to explore how each of us can contribute to achieving reconciliation in Australia.  
NRW is celebrated every year from May 27 to June 3 and the theme for this year is In This Together. This theme is more important than ever could have been anticipated, with all that is going on in the world. However, we take this time to consider and strive for Reconciliation, in the hope that we can create a nation strengthened by respectful relationships between the wider Australian community, and Aboriginal and Torres Strait Islander peoples. 

 
To learn more about Reconciliation in Australia, head to the website.
Hepburn Shire Council also run events during NRW, which you can check out here.  
NATIONAL VOLUNTEER WEEK
CHRH celebrated National Volunteer Week, which took place from May 18-24. Although we were unable to celebrate in the way we would've liked; with a cup of tea and a treat, we want to thank all of our wonderful volunteers for the work they do! Due to the current restrictions we are missing the friendly faces that assist in many volunteer roles across our organisation. 
We cannot wait to have all our volunteers back, but in the mean time we want to say thank you and we appreciate all that you do for CHRH.  
 
COVID-19 MENTAL HEALTH IMPACTS
Isolation, home-schooling and a host of other factors are impacting on people’s mental health.  For some, this may result in anxiety, depression or other mental health issues.  For others it may trigger past trauma or result in increased drug or alcohol use. 
Psychology, Social Work and Alcohol and Other Drug services are available at all Central Highlands Rural Health Community Health Centres. Social Work and Alcohol and Drug services can be accessed directly by contacting your local community health centre and are free of charge.
To see a Psychologist you will need to visit your GP and discuss a Mental Health Treatment Plan.  You can have 10 visits free of charge with a Mental Health Treatment Plan. 
For further information about these services visit our website
The Alcohol and Drug Foundation (ADF) have released a short video about alcohol consumption in isolation and the habits that children may be picking up on. You can view it here
WORKING FROM HOME 
By now many of us may have settled into this different routine, which may include working from home. We might be enjoying spending more time with our children or pets, or the extra sleep we get in the mornings! However our body may also be feeling a little more physically tired, maybe with some aches and pains, as we spend our days working from an area that may not be set up perfectly. You've probably heard about the importance of having a designated work area (not the couch or your bed), but it's also important to ensure that area is set up well for our bodies! 

James, one of our Physios here at CHRH, share his 3 top tips for working at home.

#1 Change your position every hour, on the hour - go from the sit to stand position. 
  • You can create your own sit/stand desk with some books or boxes that you have at home.

#2 Stretch your upper back


#3 Stretch the front of your hips 



Check out James' video here where he discusses the importance of these 3 tips and how we can help look after our bodies whilst working from home. 
SLEEP HYGIENE  
With sleep being so important for our mental health, getting a good’s night sleep is essential now more than ever. 
Namita Trensky, one of our Psychologists here at CHRH, gives us her tips for a sound and restful sleep.  
1.    Keep a regular sleep routine of 7-9 hours 
2.    Keep your sleep area clean and clutter free – make it a relaxing, soothing place to be
3.    Be conscious of doing relaxing activities for your mind and body in the evening. These could include: 
•    Conversation that is kind and easy to engage in 
•    Light reading 
•    Gentle stretching 
•    Light household tasks 
•    Dim lighting 
•    Gentle music 
•    No caffeine or sugar
Hopefully this will help you to set yourself up for a deep and restful sleep! 
If you would like some more information or tips on how to get a good night’s sleep check out the following:  You can also check out this short video, on the CHRH Vimeo, where Namita shares her tips for a sound and restful sleep.  
CARING FOR CARERS
For some the Victorian government restrictions that have been in place may have been a little tougher than others. Many people within our community who are carers for family, friends or other community members may have faced greater challenges during these past few months and might not know about the support services and resources that are available. 
We are here to remind you that it is more important than ever before to look after your own health, to ensure that you can be there for those you provide care to. 




Dora, our Treehouse Program Coordinator here at CHRH, talks in this short video about the importance of looking after yourself and shares some resources that may help.
ORAL HEALTH 
As Dental Services begin to slowly re-open, it's important to schedule in an oral health check up. 
In the mean time, keep following these key messages to ensure the overall health of your teeth and gums!
  • Eat Well            
  • Drink Well 
  • Clean Well 
You can check out this short video where our Dental Therapist, Sam, shares these key messages and how to properly look after your oral health. 

For more information on dental services and oral health, head to the Dental Health Services Victoria website.
HEALTHY EATING 
This delicious Zucchini Slice is simple enough to whip up for dinner, just add a green side salad. Or bake it on the weekend and have it as a morning snack during the week. 
ZUCCHINI SLICE 
Serves: 6
Ingredients
5 eggs
pepper
1 large zucchini, grated
400 g carrot, sweet potato or pumpkin, peeled and grated
1 1/2 cups canned corn kernels or frozen peas, drained

1 medium brown onion, peeled and diced
2 tsp dried mixed herbs
3/4 cup wholemeal self-raising flour
1 cup reduced-fat cheddar cheese, grated
olive or canola oil spray
3 large tomatoes, sliced, optional
green side salad, to serve
Method
  1. Preheat oven to 200°C (180ºC fan forced).
  2. Whisk eggs in a medium jug, season with black pepper and set aside.
  3. In a large bowl combine remaining ingredients except tomato. Add eggs and stir mixture until well combined.
  4. Spray a large baking dish with oil. Pour in zucchini mix and flatten with a spoon. Cover with tomato slices arranged in a single layer.
  5. Bake for 40-45 minutes or until firm and golden brown.
  6. Rest in the pan for 10 minutes before dividing into 6 pieces and cutting into slices. Serve with a green side salad.

Variation: Substitute other vegetables including baby spinach, cherry tomatoes, broccoli florets, chopped asparagus or mushrooms, grated parsnip or potato and add fresh parsley, basil or dill.

Serving Suggestion: Serve hot or cold, as a healthy favourite for toddlers, children and adults alike. Great to take on a picnic, served as a finger food cut into small squares.


To find this and other great healthy recipes head to Live Lighter
Remember to drink water regularly (approximately 6-8 glasses a day) to stay healthy and hydrated and try to eat a variety of 5 portions of vegetables and 2 of fruit each day.
TESTING CLINIC - DAYLESFORD
From Monday 25th May, our Daylesford campus has opened a Respiratory Clinic to test for COVID-19.  
Those who are experiencing the following symptoms can call and discuss an appointment:
  • Cough 
  • Fever
  • Sore throat
  • Chills
  • Shortness of breath 
  • Runny nose
  • Loss of sense of smell
In certain circumstances headache, muscle soreness, stuffy nose, nausea, vomiting and diarrhoea may also be considered. 
If you are symptomatic, until your test results are known it is very important that you self-isolate and monitor your symptoms. 
The clinic is located at the Central Highlands Rural Health, Community Health Centre at 13 Hospital Street Daylesford. (corner of Jamieson Street). The clinic is by appointment only. Appointments can be made on 5321 6654.
VIMEO VIDEOS 
The Population Health team are continuing to create some short videos comprising of health and wellbeing advice and tips from a range of health professionals within CHRH. Videos cover many topics related to active living, healthy eating and mental wellbeing and we hope to have some more out soon! 

To check out the latest videos please head to the CHRH Vimeo page here. Feel free to share these videos within your networks.
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Central Highlands Rural Health 
Integrated Primary Care 
13 Hospital St
Daylesford 3460

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Central Highlands Rural Health · 13 Hospital Street · Daylesford, Vic 3460 · Australia

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