House debates

Monday, 21 November 2011

Private Members' Business

Tuberculosis

12:32 pm

Photo of Louise MarkusLouise Markus (Macquarie, Liberal Party) Share this | Hansard source

I am honoured to have the opportunity to speak on this important private member's motion, and I thank the member for Leichhardt for his work in raising awareness of the challenge tuberculosis poses for Papua New Guinean and Australian citizens in our north. Firstly, can I say that I am disappointed that this is not supported in a bipartisan way. This is a critical issue for our nearest neighbour, for our region and for the residents of our own nation in our north. The risk of the infection spreading across our borders is great, due to Australia's close proximity to Papua New Guinea, particularly the Western Province, which is extremely isolated and which this issue gravely concerns.

The lack of long-term funding to tuberculosis health clinics in Papua New Guinea is a serious, life-threatening challenge that this government has chosen to address with its typical response, a short-term solution: a $631,000 one-off payment to two clinics on Saibai and Boigu islands and $1.1million for work on the Daru Hospital. This financial gesture will look good in the next news cycle; however, it does not deliver any long-term or real solutions or benefits.

TB clinics were, until recently, operational on Saibai and Boigu islands, providing vital TB surveillance and clinical care for Papua New Guinean nationals. The solution this government has provided is short-term funding to keep these clinics operational only until next year. Having lost financial commitment from the Queensland Labor government, this government is not doing enough to address the long-term funding these clinics need to continue to operate. This government has acknowledged that tuberculosis is one of the most significant public health threats to the global population. Words are not enough.

Further, the Department of Health and Ageing claims that Australia has one of the lowest rates of TB in the world. In contrast, PNG has the highest rate of TB in the Pacific region. Australia's border is so close to PNG, particularly to the Western Province, that the risk of infection to our own residents as well as to Papua New Guinean nationals is very serious. To treat Papua New Guinean nationals is to protect our Australian citizens. Instead this government refuses to proactively address this concern. The Gillard Labor government will wait until disaster strikes, fumble its way through a series of policy debacles—which we have seen in other areas—and capitalise on a trendy headline and photo opportunity but without considering either the national interest or the interest of our nearest neighbours. While our Pacific brothers and sisters have very limited capacity to respond to this health disaster, they require our assistance. They require us to come and work alongside them in partnership on a plan and its implementation and also to make sure that its delivery is culturally appropriate.

It is a regional travesty that this short-term-thinking Labor government does not have either the passion or the foresight to take action so that we can work towards addressing more effectively TB in our Pacific region. Efforts should be concentrated on long-term funding for long-term gain. Even for a government that usually thinks only about itself and its own interests, it is baffling that it fails to address the challenge that is sitting on our doorstep. The government will take extensive measures to protect itself but not Australians and Papua New Guinean nationals. Australia's efforts to minimise TB can only be supported by adequate funding allocated to research, drugs, administration and delivery of health services. Australia has been very successful in its treatment of this disease. However, this disease is becoming more and more challenging to treat among PNG nationals, particularly with the increasing prevalence of drug resistant strains of TB. There are challenges with distribution and the correct use of medication, which require doctors and healthcare workers who understand how PNG, its cultures and its village system work. Australia needs to work alongside PNG to provide the correct and adequate resources to alleviate TB in its early stages. We need to work on contact tracing, going all the way back to the village and making sure that every single person in the clan receives medication and treatment. This will require our working very closely with the PNG government to ensure that the plan that we implement together with them will work on the ground. (Time expired)

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