Little evidence for an epidemic of myopia in Australian primary school children over the last 30 years

BACKGROUND: Recently reported prevalences of myopia in primary school children vary greatly in different regions of the world. This study aimed to estimate the prevalence of refractive errors in an unselected urban population of young primary school children in eastern Sydney, Australia, between 1998 and 2004, for comparison with our previously published data gathered using the same protocols and other Australian studies over the last 30 years. METHODS: Right eye refractive data from non-cycloplegic retinoscopy was analysed for 1,936 children aged 4 to 12 years who underwent a full eye examination whilst on a vision science excursion to the Vision Education Centre Clinic at the University of New South Wales. Myopia was defined as spherical equivalents equal to or less than -0.50 D, and hyperopia as spherical equivalents greater than +0.50 D. RESULTS: The mean spherical equivalent decreased significantly (p < 0.0001) with age from +0.73 ± 0.1D (SE) at age 4 to +0.21 ± 0.11D at age 12 years. The proportion of children across all ages with myopia of -0.50D or more was 8.4%, ranging from 2.3% of 4 year olds to 14.7% of 12 year olds. Hyperopia greater than +0.50D was present in 38.4%. A 3-way ANOVA for cohort, age and gender of both the current and our previous data showed a significant main effect for age (p < 0.0001) but not for cohort (p = 0.134) or gender (p = 0.61). CONCLUSIONS: Comparison of our new data with our early 1990s data and that from studies of over 8,000 Australian non-clinical rural and urban children in the 1970's and 1980's provided no evidence for the rapidly increasing prevalence of myopia described elsewhere in the world. In fact, the prevalence of myopia in Australian children continues to be significantly lower than that reported in Asia and North America despite changing demographics. This raises the issue of whether these results are a reflection of Australia's stable educational system and lifestyle over the last 30 years

Disability and migration in urban Australia: The case of Liverpool

This article presents and analyses population data on the Liverpool area of Greater Western Sydney, identifying trends with significant policy implications. Liverpool city is home to one of the highest concentrations of Australia’s recent arrivals, many of whom have refugee backgrounds. From those who arrived under Australia’s post-Second World War resettlement programme to new arrivals, it is also home to a rich diversity of sociocultural and linguistic communities at different stages of settlement. Demographic data show significant relationships between age, country of origin, year of arrival and need for assistance variables, many of which are either qualitatively distinct or quantitatively different from other regions in Sydney, New South Wales and Australia. Building on this analysis, the article further identifies significant policy issues in relation to disability, care and support. While Western Sydney has figured prominently in national and state public-policy directives, particularly in relation to economic growth, public infrastructure and transport mobility corridors, the analysis presented here illustrates that national policy directives for socioeconomic imperatives, such as the appropriate uptake of the National Disability Insurance Scheme, are critical to facilitate social sustainability, cohesion and equity within the region

Can you use community policing for counter terrorism? Evidence from NSW, Australia

A contested question in the international policing literature is whether it is possible to undertake effective anti-terrorism community policing. The NSW Police Force’s Counter Radicalisation Strategy involved a community engagement initiative that used community liaison officers, mostly working with Sydney Muslim communities. This study reviews the success of this initiative, drawing on data from a survey of Sydney Muslims. The community engagement initiative was found to have direct contact with the community, it was public, and it involved aspects of partnership and relations of depth. For these reasons, the initiative was within the community policing paradigm. There was strong community awareness of the programme, and a majority saw it as successful. There remained pockets of community suspicion and critique, which require attention. The respondents recommended an enhancement of the community policing aspects: more (and wider) contact, visibility and partnership. The findings affirm the utility of community policing for counter-terror work