Monday, March 26, 2007

New mothers badly treated in government hospitals

A CRISIS in Queensland's maternity service is leaving one in three mothers traumatised and endangering the health of their babies. A Sunday Mail investigation has revealed shocking lapses in care in overcrowded maternity units, with mothers going into labour in corridors and others pressured into having unnecessary caesarean deliveries. Poor post-natal care has led to some women needing emergency hysterectomies after developing avoidable infections.

A new study by Jenny Gamble, state president of the Australian College of Midwives, has found 30 per cent of mums experience symptoms of psychological stress after giving birth in Queensland hospitals. Lobby group the Maternity Coalition said overcrowding was now a problem statewide following the closure of 38 maternity units. In rural Queensland, a different study shows five women a week give birth before reaching a hospital with specialised maternity care.

The State Government was warned of the appalling state of maternity services two years ago, but midwives say it has so far failed to help frontline staff or their patients.

A Sunshine Coast couple have launched a court action against Queensland Health, alleging their son was born with cerebral palsy as a result of an emergency caesarean. On Thursday, an inquest was told that a young Brisbane mother suffered a fatal brain haemorrhage after another caesarean delivery.

Maternity Coalition president Joanne Smethurst said Australia's standard of care was almost "Third World". "The health of mothers and babies is suffering every day, but the Government has wasted two years doing nothing," she said, adding that hospitals were encouraging women to be induced and undergo caesareans because of a shortage of midwives and beds. Queensland has a caesarean rate of 32 per cent. The World Health Organisation recommends 10-15 per cent. Dr Gamble, who also runs the midwifery program at Griffith University, wants a community midwife scheme introduced: "We know what the problems are, we just need the Government to get on with it."

Since 1995, Queensland Health has received 20 reports on the state of its maternity services. The most recent, presented by the department's maternity services steering committee, said action was needed to improve care for women in rural areas and called for the introduction of post-birth care for all. In the past two years, the steering committee has spent almost $1 million on paperwork to prepare for the creation of yet another committee on the crisis. Steering committee chairwoman Cherrell Hirst said State Cabinet still had to approve the second committee and would make a decision by the end of the month.

She said it could be four years before any improvements in care were seen. "Stage one was setting up the interim committee, ahead of establishing the second committee," she said.

Opposition health spokesman John-Paul Langbroek said the situation was outrageous. "We get review after taskforce after investigation, and meanwhile services suffer," he said. A spokeswoman for Queensland Health said "moves are under way" for change. The Gold Coast Health Service District Birthing Centre, opened in May 2006, offers an "alternative model of care for birthing", but nothing has been rolled out state-wide

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Fresh food now bad for you!

FRESH fruit, vegetables and salad sprouts are responsible for an increase in food poisoning caused by the potentially deadly salmonella and E-coli bacteria. There were 27 outbreaks of gastroenteritis between January 2001 and June 2005 across Australia due to fresh, uncooked produce including orange juice, cucumbers, lettuce and alfalfa spouts, resulting in almost 700 people becoming ill, with 51 hospitalised, a conference has been told. At least half of the outbreaks occurred at restaurants and nearly one-fifth of gastro illnesses were linked to fast food or takeaway shops.

The Communicable Disease Control Conference was told this month that fresh produce in particular may cause outbreaks because it was often eaten raw. Adrian Bradley from the NSW Food Authority said the widely held assumption that fresh produce didn't harbour pathogens such as salmonella, norovirus and Campylobacter was now known to be incorrect. OzFoodNet, the national food-borne illness surveillance system, shows that three major salmonella outbreaks occurred in 2006. More than 120 people in Western Australia and Victoria fell ill in the first half of last year after eating alfalfa sprouts. In October 2006, more than 120 cases of food poisoning caused by eating rockmelons occurred along the eastern seaboard. In November there was a small outbreak of salmonella linked to pawpaw.

Overseas evidence suggests contaminated water, fertiliser, contact with pests or animal faeces or insufficient cleaning of produce prior to sale could cause contamination. A spokesman for the Department of Health and Ageing said centralised growing and distribution of fresh produce, as well as enhanced detection, might be a factor in the increase in outbreak numbers. Food Standards Australia and New Zealand (FSANZ) plans to introduce primary production and processing standards for high-risk fresh produce such as sprouts.

The NSW Food Authority said people considered "vulnerable" such as young children, the elderly, diabetics, pregnant women and those with cancer or suppressed immune systems should never eat any type of sprout. It advises avoiding any bruised, damaged, mouldy or slimy produce and washing all produce with cool tap water immediately before eating.

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"Outcomes-based" education shown the door

The widely criticised model of outcomes-based education introduced in West Australian schools was effectively dismantled yesterday when the Government announced the return of syllabuses specifying what students should be taught and a return to traditional marking methods.

Education Minister Mark McGowan has commissioned a detailed action plan addressing problems with the curriculum for kindergarten to Year 10 after an independent evaluation concluded the changes introduced over the past decade "cannot be regarded as a success". Mr McGowan described the evaluation report as a "cold shower" and announced that syllabuses detailing the content of courses would be reintroduced next year. The changes also include providing clear reports to parents based on grades linked to common standards, providing resources for teachers for planning and assessing students, and reintroducing traditional methods of marking, such as percentages.

Under the curriculum framework introduced in 1998, marks were replaced by "levels" at which students were working, based on the idea that students travel along at their own pace. The curriculum adopted an outcomes approach to learning that focused on what students should achieve and assessed what they learn rather than traditional syllabuses that focus on content and how and when it is taught. The state Government has faced widespread criticism over its changes to school education, particularly over the introduction of levels, and the new courses of study for Years 11 and 12, which are claimed to be of poor academic standard.

A group of teachers formed to fight the changes, People Lobbying Against Teaching Outcomes, welcomed the announcement as a step in the right direction. PLATO president Marko Vojkovic said the syllabuses and levels were two key pieces of the outcomes-based education jigsaw but there was still a way to go. Teachers will be able to choose the type of assessment they use, marks or levels, which Mr Vojkovic said was unacceptable. "Levels should be abandoned altogether," he said. "There shouldn't be a choice between a valid and invalid method; if it's invalid it should be thrown out." He said the draft syllabuses did not contain enough specific content but their reintroduction was a philosophical move away from outcomes-based education.

In a letter sent to teachers yesterday, the department said syllabuses would contain explicit descriptions of core elements to be taught. In kindergarten to Year 3, the emphasis would be on literacy, numeracy, social, emotional and physical development. In Years 4-7, syllabuses will expand to include science, civics and citizenship, and information and communication technologies. Syllabuses for Years 8-10 will cover all learning areas. The evaluation of the curriculum changes found almost 60percent of teachers did not agree the changes had improved teaching and learning or student assessment in recent years.

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Australia's humane British founders

Leftist historians give the impression that Australia's founders were genocidal military dictators. But many of Australia's early colonial leaders were human rights activists ahead of their time, as Keith Windschuttle documents below. Australia's first governor, Capt. Phillip was anti-slavery before Wilberforce! Following the documentation below is a summary of what the Leftists say -- and a rebuttal of it

According to British Prime Minister Tony Blair, the 200th anniversary of his country's abolition of the slave trade tomorrow offers the chance to say how profoundly shameful slavery was. Equally, however, it provides the occasion to commemorate those who abolished the trade. In 1807, the British were the first people in the world to do so. This was one of the great feats in the history of human freedom and its originators and their motives deserve to be understood and celebrated today.

Moreover, there was a strong connection between the British colonisation of Australia and those who campaigned against slavery. Today, our contemporary historians avoid this topic. Hence, few Australians are aware of how powerful the abolitionist sentiment was in colonial Australia or how strongly English abolitionists influenced the political and moral foundations of this country.

Soon after British secretary for home affairs, Lord Sydney, appointed him the first governor of NSW in September 1786, Arthur Phillip drew up a detailed memorandum of his plans for the proposed new colony. In one paragraph he wrote: "The laws of this country (England) will of course be introduced in New South Wales, and there is one that I would wish to take place from the moment his majesty's forces take possession of the country: that there can be no slavery in a free land, and consequently no slaves."

In all of Australia's founding documents this statement stands out starkly. There are no other appeals to great principles, no declaration of independence, no constitutional preamble full of nation-building sentiment. Instead, we were founded by bureaucratic correspondence from the British Home Office to the Admiralty, the Navy Board and the Treasury, by other letters, commissions of appointment and warrants for transportation, and by one act of the British parliament concerned mostly with "the transportation of felons and other offenders". Hence Phillip's paragraph above, especially his unequivocal and spare avowal, "there can be no slavery in a free land", is probably the best founding proclamation we have.

It was a remarkable declaration to make at the time. For a start, it demonstrated that its governor and those who appointed him had more ambitious plans for the new colony than they made public. "A free land" meant much more than a dumping ground for convicts. Phillip clearly expected NSW eventually to be composed largely of free settlers. Moreover, Phillip's objection to slavery was noticeably ahead of his time. At this distance, it may seem part of the stock opinion of the day, just one more expression of the abolitionist movement that persuaded the British parliament to outlaw the transportation of slaves on the high seas. But there was more to it than that. As Phillip said, the laws of England did not permit slavery. The ownership and sale of human beings had been illegal in England since the early Middle Ages, but by the 1700s the growth of the slave trade to the Americas saw thousands of black slaves employed as servants in London, Edinburgh and other urban centres. In the celebrated James Somerset case of 1772, Lord Mansfield found that English law did not permit slavery and that black servants were free to go as they pleased.

Nonetheless slavery still thrived across the British Empire. The merchant fleet of Liverpool dominated the transport of slaves from Africa to the Americas; the sugar plantations of Britain's Caribbean colonies were dependent on slave labour; and slavery was widespread in the Muslim realms of British India. Moreover, Britain's former colonies in North America had just formed an independent union based on an appeal to freedom and equality, yet still they housed almost 700,000 slaves.

Phillip wrote his memorandum before the abolitionist movement gained public momentum. At the time, to take a stand for this moral cause put him decidedly on the progressive side of politics. The abolitionists' parliamentary leader, William Wilberforce, decided to take up the issue only in May 1787, eight months after Phillip declared his own attitude. The abolitionist evangelicals in the Church of England and their Quaker supporters were then a marginal group of activists. Their spokesman, Thomas Clarkson, had not yet begun the speaking tours of British cities that were to make abolition a popular cause. By 1791, when Wilberforce introduced his first bill to abolish the slave trade, the movement had made progress but parliament still rejected it decisively by 163 votes to 88.

Although the evangelicals were the main force behind the abolitionist movement and Wilberforce its best-known politician, Phillip had not been greatly influenced by them. Indeed, he was not an especially religious man. His 1786 memorandum discussed his proposed colony's housing, health care, clothing, relations with the Aborigines, rewards and punishments for convicts, land grants, shipping regulations, exploration and trade. Conspicuously, he mentioned neither religion nor the church. In practice, he seemed to regard religion primarily as a utilitarian device for maintaining social order and good behaviour.

Instead, he took a more secular political position that saw slavery as an offence against the tradition of "the freeborn Englishman" that defined his country. This was a political and a folk tradition that extended back at least to the English Civil War but probably much further. It meant that no one in England could be born into slavery, bondage or vassalage. All were born with inalienable rights to freedom.

Phillip was also the inheritor of the British naval tradition that looked down on Europe's original imperial powers, Spain and Portugal. Since the Spanish Armada, English Protestant sailors had been nourished on a diet of anti-Spanish stories designed to show that the adherents of the Catholic Church were capable of any cruelty. Tales of the atrocities of the Spanish Inquisition and the brutal treatment of African slaves and the indigenous people of the Americas entrenched the sentiment.

A further influence on Phillip was the humanitarian movement that emerged within the British Enlightenment in the late 1700s. This movement, which had support from early British anthropologists and the Anglican Church, emphasised the unity of humankind. All human beings, whatever their skin colour, were members of the one species and were thus equal, both at law and before God. This sentiment led several Scottish intellectuals to openly condemn slavery, especially Adam Smith in The Theory of Moral Sentiments (1759), plus George Wallace and Adam Ferguson. In England, William Blackstone's Commentaries on the Laws of England (1765-69) made a firm break with Roman law on the subject.

In April 1787, Phillip made another memorable statement that applied this egalitarian sentiment to the Aborigines of NSW: "Any Man who takes the life of a Native will be put on his Trial the same as if he had kill'd one of the Garrison. This appears to me not only just but good policy."

Since his early 20s, Phillip had found slavery repugnant. As a junior naval officer on a tour of duty to the Caribbean in 1760-62 he saw the Spanish and British slave plantations on Jamaica, the Leeward Islands and Cuba. "By the time he left the lavish islands," writes his biographer Alan Frost, "Phillip has come to see that behind their gleaming skin lurked a gruesome skull." The evil commerce and the lot of the slaves, Frost records, made an abiding impression on the young naval officer. Phillip spent the years 1775-78 in Brazil as a captain in the Portuguese navy. During a lull in duties at sea, he made an investigation of the king of Portugal's Brazilian diamond mines. He discovered much about Brazil's "Forbidden District", where 5000 African slaves mined diamonds under the constant gaze of their individual overseers. This experience confirmed his aversion to slavery.

Phillip's successors as governors of NSW, John Hunter, Philip Gidley King and William Bligh, were all naval men who shared similar ideas and experiences. All had served in the West Indies or North America and subscribed to the same naval values and humanitarian spirit. They had directly encountered or heard tales of the slave trade to the Americas much like that experienced by Lachlan Macquarie in August 1809 while en route to NSW. Off the Brazilian coast, Macquarie's ship accosted a Portuguese slaver bound for Rio de Janeiro carrying 540 African females. Disease had broken out and, to prevent the infection from spreading, the captain had thrown 50 live women overboard. Elizabeth Macquarie was shocked. Her husband's biographer, John Ritchie, records: "Elizabeth's humanity shuddered at this monstrousness and caused her to think of the abolitionist William Wilberforce."

As well as the Enlightenment tradition of the naval officers, the Australian colony harboured a vigorous evangelical movement. Evangelicalism was a reform movement that arose within the Church of England in the late 18th century. It aimed to apply the principles of the Gospels to social life. Its main causes were penal reform, the abolition of slavery and missions to the native people of the empire. The founding of NSW as a convict society in the Pacific, where the Australian and Pacific Island tribes seemed ripe for conversion, was tailor-made for the movement. Although Wilberforce's main project was the abolition of slavery, he was also concerned with improving the living conditions of convicts, Aborigines and Pacific Islanders. From the outset, he took a close interest in NSW, soliciting reports from his evangelical followers in the colony and acting as patron of their appointments. He successfully nominated the colony's first two chaplains, Richard Johnson and Samuel Marsden.

He thought the key to good colonial order was religious observance. In 1792 he wrote to home secretary Lord Dundas saying he had information from NSW that among "the higher, as well as the lower ranks, a degree of open profligacy and vice is allowed if not encouraged there". He urged Dundas "to introduce and keep alive amongst the bulk of the people such a sense of religion as will make them temperate and orderly, and domestic and contented".

Until 1796, Lachlan Macquarie had unquestioningly accepted slavery. He was then a captain in the British army in India. At the time, India had a population of eight million slaves and the institution had existed since time immemorial. Indeed, in 1794, when he joined his regiment in Calicut, Macquarie purchased two slave boys from the market in Cochin. His first wife, Jane, was the daughter of the chief justice of Antigua in the West Indies and she owned a small number of slaves there. Jane died of consumption in 1796 and in her will she set her slaves free. Her husband followed her example and emancipated his Indian slaves, enrolling them in a parish school at Bombay to learn to read and write.

Later, as military secretary to the governor of Bombay, Jonathan Duncan, and as a friend of wealthy merchant Charles Forbes - two Englishmen who endorsed the emerging humanitarian sentiment of the time - Macquarie became a critic of slavery. He returned to England in 1807, the year of the abolitionists' victory, and caught the enthusiasm for their cause. That year he married his second wife, Elizabeth, and came under the influence of her religious outlook, especially her belief that all human creatures were equal in the eyes of God.

These views changed the course of Australian colonial history. Determined to avoid any comparison between convict transportation and slavery, Macquarie radically reformed the punitive regime for convicts, turning it into a program for their regeneration. He moderated corporal punishment, reduced life sentences to 15 years and reprieved numerous convicts sentenced to death. Where Bligh had granted two pardons during his 18-month term as governor, between 1810 and 1820 Macquarie gave 366 absolute pardons, 1365 conditional pardons and 2319 tickets-of-leave (certificates of exemption from compulsory labour). He granted land to emancipists (pardoned convicts) and expirees, and even invited some to dine with him. He appointed former convicts as magistrates, as assistant surgeon, acting surveyor, civil architect and poet laureate. To celebrate St Patrick's Day in 1810, Elizabeth Macquarie invited to dinner 58 convicts and their overseers.

Although Lachlan Macquarie's generosity and clemency sowed seeds of dissension among the free settlers that eventually brought him down, he demonstrated that a penal regime of this kind worked. Most successive governors kept his policies largely intact. The long-term result was that probably more than half of the 160,000 convicts transported in 80 years were transformed from the criminal subcultures of their youth into useful citizens: farmers, tradesmen, soldiers and, in a small but notable number of cases, successful professional and business men and women. Transportation to Australia became history's most successful large-scale experiment in penal reform.

Macquarie translated Wilberforce's agenda into policy towards the Aborigines. He established the Native Institution for Aboriginal children; he settled Aboriginal adults on a farm at George's Head and gave them seed and tools; he built huts for others at Elizabeth Bay and gave them a boat, fishing tackle, salt and casks; in 1814 he inaugurated an annual gathering and feast for all the Aborigines of the Sydney region.

Left-wing historians today record with some satisfaction that all his Aboriginal policies eventually failed. They still demonstrated Macquarie's intention towards the Aborigines, which was to give them the gift of British civilisation. He regarded them as his equals and thought that with only a little assistance they could make the transition from hunting and gathering to agriculture.

In the 1820s, two other Australian colonial governors, Ralph Darling and George Arthur, owed their positions partly to the reputations they gained for actions against the slave trade. Other prominent Australian colonists who had dealings with Wilberforce in London or who gained positions here on his recommendation included navigator Matthew Flinders, lieutenant-governor Charles La Trobe, judge Barron Field; merchant and philanthropist Robert Campbell, banker and newspaper editor Edward Hall Smith, author Nicholas Liddiard, pastoralist John Leake and Anglican clergyman Thomas Hassall.

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Leftist historians hide Australia's humane past

The idea that slavery was an affront to humanity that had no place in a free land was part of the original definition of what it meant to be an Australian. Unfortunately, in today's academic climate in which the Left dominates history and the prevailing mind-set is to disparage our origins, very few academic historians discuss these issues. Anyone looking to the Oxford Companion to Australian History for insight will find its editors, Graeme Davison, John Hirst and Stuart Macintyre, did not think the abolitionists worthy of an entry or even a mention in the subject index.

Moreover, although NSW founder Arthur Phillip's original anti-slavery declaration was once well known to earlier generations of students, historians today rarely mention it. Even when they do, their intention is usually to qualify it heavily. For instance, in The Europeans in Australia (1997), Alan Atkinson calls Phillip's statement "almost gratuitous", then tries to make him look the odd man out in the colony by saying that once he returned to England, the officers of the marines hoped the Aborigines "might be harnessed to a form of slavery on the current American model".

This claim is hardly credible. The sole evidence for it is half a sentence written in 1795 in the diary of the alcoholic, dissolute magistrate Richard Atkins, a long-time adversary of the officers, who did not name those concerned. Moreover, Atkinson neglects to inform his readers that the other half of Atkins's sentence mocks the very notion. The full sentence Atkins wrote was: "They seem to adopt the Idea that the Natives can be made Slaves of, than which nothing can be more false, they are free as air and Govr. Phillip's conduct was highly approved of for reprobating that idea."

Worse still, students of Australian history taught by the present generation of university lecturers are swamped by allegations that colonial officials were guilty of genocide against the Aborigines. According to Ann Curthoys and John Docker of Australian National University, joint editors of the 2001 edition of the academic journal Aboriginal History, Britain was the most "overtly genocidal" of the European colonial powers and its colonisation of Australia produced a genocide comparable to that of Nazi Germany. Most other authors in that journal agreed with them.

Since genocide is a crime of government and a crime of intent, this accusation is disturbing. If true, it means that all those Australian colonial officials who supported the abolition movement, who were proteges of William Wilberforce and who publicly declared that all human beings were equal before the law, must have been liars and hypocrites. Moreover, their words must have been the opposite of their deeds not just once but consistently across several decades and throughout many colonial administrations. In other words, the accusation is implausible on these grounds alone and is evidence not of the intentions of our founders but of how something has gone seriously wrong with the historical interpretation that prevails in this field.

Today, on the rare occasions it is discussed in Australian history books, the abolitionist movement that triumphed in 1807 usually figures only as an introduction to the campaign in the late 1830s to end convict transportation. Those colonists and their English supporters who were opposed to transportation often compared it with slavery. It is true that Britain's Molesworth Committee of 1838, whose report effectively ended transportation to NSW two years later, did use the comparison with slavery to capitalise on abolitionist sentiment in the wake of the 1833 act outlawing the ownership of slaves in the British Empire.

This makes recent historians think they are licensed to repeat the charge as if it were true. In her volume of the Oxford History of Australia (1992), Jan Kociumbas calls the convict regime variously "slavery" (her scare quotes), semi-slavery and a system of slave labour. This analogy is false since convicts could not be bought or sold in Australia and most were sentenced to fixed terms, after which they were free to remain here or return home. And unlike slaves, their children were always born free. Hence, it is historically inaccurate to use the term today to describe what the convict system was really like.

However, in an era when readers of Australian history are so readily seduced by the pseudo-scholarship of books such as Robert Hughes's bestseller The Fatal Shore, which portrays the convict era as Britain's equivalent of Joseph Stalin's gulag archipelago, bad news is obviously what sells. That Australia's founders were so closely connected to, and so strongly motivated by, one of history's great movements for human liberation is, for some perverse reason, something we now prefer not to know.

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