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South Australian Health and Medical Research Institute

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116-616: The South Australian Health and Medical Research Institute ( SAHMRI ) is an independent health and medical research institute in Adelaide , South Australia . The institute is housed in a purpose-built eponymous building with its iconic " cheese-grater " design created by architects Woods Bagot , located in South Australia's health and biomedical precinct on North Terrace , just east of the Royal Adelaide Hospital . The institute

232-558: A concrete slab foundation , lined with Gyprock , and with an outer skin of brickwork, to cope with Adelaide's reactive soils , particularly Keswick Clay, black earth and some red-brown earth soils. The use of precast concrete panels for floor and wall construction has also increased. In addition to this, a significant factor in Adelaide's suburban history is the role of the South Australian Housing Trust . Adelaide has

348-484: A 10-year program aimed at improving the health of Indigenous and Torres Strait Island. Specific types of cancer including lung and cervical cancer occurs to 52% of indigenous women due to their smoking habit. In 2010, the rate of high or very high levels of psychological distress for Aboriginal and Torres Strait Islander adults was more than twice that of non-Indigenous Australians. A 2007 study in The Lancet found that

464-489: A 20th-century motor city. The Mannum–Adelaide pipeline brought River Murray water to Adelaide in 1955 and an airport opened at West Beach in 1955. Flinders University and the Flinders Medical Centre were established in the 1960s at Bedford Park, south of the city. Today, Flinders Medical Centre is one of the largest teaching hospitals in South Australia. In the post-war years around the early 1960s, Adelaide

580-650: A combination of many factors. Racial discrimination towards Indigenous peoples that stems from processes of colonialism leads to a cumulative exposure to racism , and this is related to negative health outcomes. It produces feelings of anger and shame, which limits active participation in the mainstream healthcare system and society at large. The outstation movement of the 1970s and 1980s, when Aboriginal people moved to tiny remote settlements on traditional land, brought health benefits, but funding them proved expensive, training and employment opportunities were not provided in many cases, and support from governments dwindled in

696-499: A complex social structure including a class of sorcerers separated from regular society. Within a few decades of European settlement of South Australia , Kaurna culture was almost completely destroyed. The last speaker of Kaurna language died in 1929. Extensive documentation by early missionaries and other researchers has enabled a modern revival of both, which has included a commitment by local and state governments to rename or include Kaurna names for many local places. Based on

812-646: A hectic era of land booms and tumultuous expansionism. Financial institutions in Melbourne and banks in Sydney closed. The national fertility rate fell and immigration was reduced to a trickle. The value of South Australia's exports nearly halved. Drought and poor harvests from 1884 compounded the problems, with some families leaving for Western Australia. Adelaide was not as badly hit as the larger gold-rush cities of Sydney and Melbourne, and silver and lead discoveries at Broken Hill provided some relief. Only one year of deficit

928-482: A higher rate than non-Indigenous Australians. In 2010–11, Indigenous Australians used hospitals 2.5 times more frequently than non-Indigenous people. This rate comes from an age-standardised separation rate (hospital check-out) of 911 per 1,000 for Indigenous people. The 2010–11 age-standardised separation rate for Indigenous people living in the NT was 1,704 per 1,000, 7.9 times the rate for non-Indigenous people. About 80% of

1044-502: A higher risk of developing type 2 diabetes after pregnancy and birth. Compared with the general Australian population, Indigenous Australians develop type 2 diabetes at a younger age. The incidence rate of cancer in Indigenous Australians compared with non-Indigenous Australians has varied between 2009 and 2017 and by state, but mostly showing a higher rate at between 1.1% and 1.4% for all cancers. Lung and breast cancers were

1160-487: A hot-summer Mediterranean climate ( Csa ) under the Köppen climate classification . The city has hot, dry summers and cool winters with moderate rainfall. Most precipitation falls in the winter months, leading to the suggestion that the climate be classified as a "cold monsoon". Rainfall is unreliable, light and infrequent throughout summer, although heavy falls can occur. The winter has fairly reliable rainfall with June being

1276-483: A plan to help direct Indigenous health and research investment for the next ten years. The Council of Australian Governments initiated the first multi-sector approach in regards to initiating strategies to overcome the large discrepancy between Indigenous and European health statistics. The strategy, named Closing the Gap, was launched in 2008. The plan's success was dependent on the level of collaboration between all levels of

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1392-522: A significant increase in the state government's spending on Adelaide's infrastructure occurred. The Rann government invested A$ 535 million in a major upgrade of the Adelaide Oval to enable Australian Football League to be played in the city centre and more than A$ 2 billion to build a new Royal Adelaide Hospital on land adjacent to the Adelaide Railway Station. The Glenelg tramline

1508-550: A substantial majority of the South Australian House of Assembly. Of the 47 seats in the chamber, 34 seats (three-quarters of the legislature) are based in Adelaide, and two rural seats include Adelaide suburbs. The Adelaide metropolitan area is divided between nineteen local government areas . At its centre, the City of Adelaide administers the Adelaide city centre , North Adelaide , and the surrounding Adelaide Parklands . It

1624-639: A team of men to set out Adelaide, using various templates for city plans going back to Ancient Greece , including Italian Renaissance designs and the similar layouts of the American cities Philadelphia and Savannah –which, like Adelaide, follow the same layout of a central city square, four complementing city squares surrounding it and a parklands area that surrounds the city centre. The benefits of Light's design are numerous: Adelaide has had wide multi-lane roads from its beginning, an easily navigable cardinal direction grid layout and an expansive green ring around

1740-483: A third of the burden, with diabetes, chronic respiratory disease and cancers the next three leading causes. Also, Indigenous people carried a disproportionate share of the total disease burden for the state, increasing as remoteness increased. The study also highlighted the lack of data on epidemiology of many of the conditions suffered by the Indigenous population. Health problems with the highest disparity (compared with

1856-554: A total land area of 870 km (340 sq mi), while a more expansive definition by the Australian Bureau of Statistics defines a "Greater Adelaide" statistical area totalling 3,259.8 km (1,258.6 sq mi). The city sits at an average elevation of 50 metres (160 ft) above sea level. Mount Lofty , east of the Adelaide metropolitan region in the Adelaide Hills at an elevation of 727 metres (2,385 ft),

1972-539: A widely quoted gap of 17 years between indigenous and non-indigenous life expectancy, though the ABS does not now consider the 2005 figures to be reliable. The Social Justice Report: 2005 by the Australian Human Rights Commission reported a seventeen-year gap between the life expectancy of Indigenous Australians and non-Indigenous Australians. This prompted health and human rights activists to establish

2088-698: Is a social determinant of health, and social marginalisation allows for injustices against Indigenous people to persist. Political disempowerment prevented them from accessing social services, sickness benefits, and from voting until the 1960s. Socio-economic inequality has resulted in poor employment opportunities, housing, education and healthcare. One in seven Indigenous Australians reported difficulty in accessing healthcare for their children, which include transportation costs and prescription costs. Displacement and disenfranchisement prevents access to healthcare resources such as screening programs, and results in delayed or inadequate treatment. An example of this can be seen in

2204-648: Is composed of approximately 700 researchers, many of whom have links to, and work collaboratively with, other research institutes in Australia and overseas. The institute was officially incorporated in December 2009, and opened in its current location on 29 November 2013. A second building (SAHMRI 2) is under construction as of August 2022, and will house the Australian Bragg Centre for Proton Therapy & Research after its completion, scheduled in late 2023. In 2007

2320-638: Is left to be found in reserves such as the Cleland National Park and Belair National Park . A number of creeks and rivers flow through the Adelaide region. The largest are the Torrens and Onkaparinga catchments. Adelaide relies on its many reservoirs for water supply with the Happy Valley Reservoir supplying around 40% and the much larger Mount Bold Reservoir 10% of Adelaide's domestic requirements respectively. Adelaide and its surrounding area

2436-454: Is likely that the health of Indigenous Australians was better than that of the inhabitants of poorer sections of Europe. Colonisation impacted the health of Indigenous Australians via land dispossession, social marginalisation , political oppression , incarceration , acculturation and population decline . The process of colonisation began with the arrival of the First Fleet in 1788. In

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2552-683: Is north of the Fleurieu Peninsula, on the Adelaide Plains between the Gulf St Vincent and the low-lying Mount Lofty Ranges. The city stretches 20 km (12 mi) from the coast to the foothills, and 90 km (56 mi) from Gawler at its northern extent to Sellicks Beach in the south. According to the Regional Development Australia, an Australian government planning initiative, the "Adelaide Metropolitan Region" has

2668-508: Is now responsible for "lead[ing] and coordinat[ing] the development and implementation of Australia's Closing the Gap targets in partnership with Indigenous Australians". In 2009, 26% of Indigenous Australians living in remote areas experienced 40% of the health gap of Indigenous Australians overall. The most common cause of hospital admissions for Indigenous Australians is for kidney dialysis treatment, as of 2014 . End-stage kidney (or renal) disease (ESKD or ESRD) and hospitalisation for

2784-493: Is now the suburb of Glenelg North . The event is commemorated in South Australia as Proclamation Day . The site of the colony's capital was surveyed and laid out by Colonel William Light , the first surveyor-general of South Australia, with his own original, unique, topographically sensitive design. The city was named after Queen Adelaide . Adelaide was established as a planned colony of free immigrants, promising civil liberties and freedom from religious persecution, based upon

2900-467: Is one of the main factors contributing to chronic disease. Amongst Indigenous Australians 1 in 5 mortalities are caused by smoking. If the number of smoking Indigenous Australians is reduced to equal the number of non-smoking non-Indigenous individuals there is a potential decrease of 420 mortalities among Aboriginal and Torres Strait Islanders. In 2010 the Australian Government have put in place

3016-480: Is one of the most seismically active regions in Australia. On 1 March 1954 at 3:40 am Adelaide experienced its largest recorded earthquake to date, with the epicentre 12 km from the city centre at Darlington , and a reported magnitude of 5.6. There have been smaller earthquakes in 2010, 2011, 2014, 2017, 2018 and 2022. The uplands of the Adelaide Hills , part of the southern Mount Lofty Ranges to

3132-683: Is scheduled to be completed in 2023, with the first patients seen in 2025. Like the first building, SAHMRI 2 has also been designed by Woods Bagot. The federal government is providing A$ 68m and the state government A$ 47.4m towards the A$ 500m project, part of which will be spent on relocating the Train Control Centre to Dry Creek . The new building will be adjacent to the University of Adelaide ’s Health & Medical Science Building, opened in 2017, on its eastern side. The operational costs of running

3248-448: Is the capital and most populous city of South Australia , and the fifth-most populous city in Australia . The name "Adelaide" may refer to either Greater Adelaide (including the Adelaide Hills ) or the Adelaide city centre . The demonym Adelaidean is used to denote the city and the residents of Adelaide. The traditional owners of the Adelaide region are the Kaurna . The area of

3364-431: Is the most common condition with females suffering at 21% and males at a lower, 12%. Many Indigenous communities suffer from a range of health, social and legal problems associated with substance abuse of both legal and illegal drugs, including but not limited to alcohol abuse , petrol sniffing , the use illegal drugs such as methamphetamines and cannabis and smoking tobacco . Tobacco use has been estimated to be

3480-491: Is the oldest municipal authority in Australia and was established in 1840, when Adelaide and Australia's first mayor, James Hurtle Fisher , was elected. From 1919 onwards, the city has had a Lord Mayor , the current being Lord Mayor The Right Honourable Jane Lomax-Smith . Adelaide's inhabitants are known as Adelaideans. Indigenous Australians%27 health Indigenous health in Australia examines health and wellbeing indicators of Indigenous Australians compared with

3596-467: Is the site of many governmental and financial institutions. Most of these are concentrated in the city centre along the cultural boulevards of North Terrace and King William Street . The area around modern-day Adelaide was originally inhabited by the Indigenous Kaurna people, one of many Aboriginal tribes in South Australia. The city and parklands area was known as Tarntanya, Tandanya, now

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3712-475: Is the tallest point of the city and in the state south of Burra . The city borders the Temperate Grassland of South Australia in the east, an endangered vegetation community. Much of Adelaide was bushland before British settlement, with some variation – sandhills, swamps and marshlands were prevalent around the coast. The loss of the sandhills to urban development had a particularly destructive effect on

3828-470: Is viewed as a product of historical, political and social factors. European colonisers believed that Indigenous people were intellectually inferior, and education was thus denied as it was considered pointless. Low levels of education increase the likelihood of engaging in high risk health behaviours, as well as lower rates of participation in health screening and treatment. However, poor health behaviours and low utilisation of healthcare resources can be due to

3944-581: The Adelaide city centre and a ring of parks, known as the Adelaide Parklands , surrounding it. Light's selection of the location for the city was initially unpopular with the early settlers, as well as South Australia's first governor, John Hindmarsh, due to its distance from the harbour at Port Adelaide, and the lack of fresh water there. Light successfully persisted with his choice of location against this initial opposition. Recent evidence suggests that Light worked closely with George Kingston as well as

4060-517: The Australian Space Agency being headquartered here. Adelaide's quality of life has ranked consistently highly in various measures through the 21st century, at one stage being named Australia's most liveable city, third in the world. Its aesthetic appeal has also been recognised by Architectural Digest , which ranked Adelaide as the most beautiful city in the world in 2024. As South Australia's government and commercial centre, Adelaide

4176-554: The SA Government announced plans for a network of transport-oriented developments across the Adelaide metropolitan area and purchased a 10 hectare industrial site at Bowden for $ 52.5 million as the first of these developments. Historically, Adelaide's suburban residential areas have been characterised by single-storey detached houses built on 1,000-square-metre ( 1 ⁄ 4 -acre) blocks. A relative lack of suitable, locally-available timber for construction purposes led to

4292-549: The Stolen Generations , with this resulting in unstable parenting and family situations. Some mental health problems are attributed to the inter-generational trauma brought about by the Stolen Generations . There are known links between mental health and substance abuse . The 2019 ABS data showed that about 24% of Indigenous people, including children with 23% of males and 25% of females distribution, experienced mental health issues. The survey indicated that anxiety

4408-947: The Stolen Generations . Many of these children were neglected, abused, and denied of an education. The Australian government forced the Indigenous populations to assimilate into the colonisers' culture through schools and programs, where Indigenous languages were banned and any resistance to these practices could result in imprisonment or death. This process of acculturation has led to trauma, including historical, inter-generational, and social trauma. Issues such as anxiety, stress, grief, and sadness are produced from this trauma, which have led to higher suicide rates, violence, substance abuse and incarceration of Indigenous peoples today. Social, political and economic factors that result from colonisation present barriers to quality healthcare, health education, and health behaviours. Acculturation has produced xenophobia, which has socially marginalized Indigenous people and excluded them from society. Social inclusion

4524-1102: The Torrens Building in Victoria Square as the Adelaide campus for Carnegie Mellon University, University College London, and Torrens University; the Stock Exchange building as the Science Exchange of the Royal Institution Australia; and the Glenside Psychiatric Hospital as the Adelaide Studios of the SA Film Corporation . The government invested more than A$ 2 billion to build a desalination plant , powered by renewable energy, as an "insurance policy" against droughts affecting Adelaide's water supply . The Adelaide Festival , Fringe , and Womadelaide became annual events. Adelaide

4640-668: The lower house known as the House of Assembly and the upper house known as the Legislative Council . General elections are held every four years, the last being the 2022 South Australian state election . As Adelaide is South Australia's capital and most populous city, the State Government co-operates extensively with the City of Adelaide . In 2006, the Ministry for the City of Adelaide

4756-427: The suicide rate among Indigenous Australians as a "catastrophic crisis": In 2015, more than 150 Indigenous people died by suicide, the highest figure ever recorded nationally and double the rate of non-Indigenous people, according to the Australian Bureau of Statistics. Additionally, Indigenous children make up one in three child suicides despite making up a minuscule percentage of the population. Moreover, in parts of

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4872-590: The " City of Churches " due to its diversity of faiths. The city has also been renowned for its automotive industry , as well as being the original host of the Australian Grand Prix in the FIA Formula One World Championship from 1985 to 1995. Today, Adelaide is known by its many festivals and sporting events, its food and wine , its coastline and hills, its large defence and manufacturing sectors, and its emerging space sector, including

4988-665: The " Close the Gap " campaign, which focused on health equality for Indigenous Australians, including increasing life expectancy, and associated factors such as housing. In 2009, after previous methods of comparing life expectancy rates proved unreliable, a new method was developed by the ABS, based on tracing the deaths of people identified as Indigenous at the 2006 census. In 2009 the ABS estimated life expectancy at 67.2 years for Indigenous men (11.5 years fewer than for non-Indigenous) and 72.9 years for Indigenous women (9.7 years fewer than for non-Indigenous). Estimated life expectancy of Indigenous men ranged from 61.5 years for those living in

5104-571: The "greatest contributor (23%) to the gap in the disease burden between Indigenous and non-Indigenous Australians", with Indigenous people more than 2.5% likely to smoke daily than non-Indigenous Australians. The 2004–05 National Aboriginal and Torres Strait Islander Health Survey (NATSIHS) by the ABS found that, after adjusting for age differences between the two populations, Indigenous adults were more than twice as likely as non-Indigenous adults to be current daily smokers of tobacco. NATSIHS 2004/5 found that

5220-570: The 1970s, deep red and brown bricks became popular. Until the 1970s, roofs tended to be clad with (painted) corrugated iron or cement or clay tiles, usually red "terracotta". Since then, Colorbond corrugated steel has dominated. Most roofs are pitched. Flat roofs are not common. Up to the 1970s, most houses were of "double brick" construction on concrete footings, with timber floors laid on joists supported by "dwarf walls". Later houses have mainly been of " brick veneer " construction – structural timber or, more recently, lightweight steel frame on

5336-574: The 2000s, particularly in the era of the Howard government . Health issues cannot be separated from social and cultural factors such as racism , discrimination, cultural disconnection and lack of employment and educational opportunities. Colonisation has had an ongoing impact. Overcrowding and poor housing contributes to poor health and family dysfunction and violence . High rates of incarceration of adults and youth contribute to early death and poor mental health . Indigenous Australians go to hospital at

5452-404: The 2010 figures show a difference of 9.7 years – 72.9 years for Aboriginal and Torres Strait Islander women and 82.6 years for non-Indigenous women. Indigenous Australians are more likely to die at a younger age than their non-Indigenous counterparts due to being unhealthy. A 2013 study, referring to the national Indigenous reform policy launched in 2008, Closing the Gap (see below), looked at

5568-791: The 2014 South Australian Architecture Awards, awarded by the Australian Institute of Architects . The firm received the Keith Neighbour Award for Commercial Architecture, the Robert Dickson Award for Interior Architecture, the Jack McConnell Award for Public Architecture, the Derrick Kendrick Award for Sustainable Architecture, and the COLORBOND Award for Steel Architecture. The building was mainly funded by

5684-442: The Australian Government provided A$ 200 million to help build the institute's building. The institute was incorporated in December 2009. SAHMRI is governed by a nine-person board which includes representatives of South Australia's three universities: Flinders University , the University of Adelaide and the University of South Australia . SAHMRI's inaugural executive director since 2011 is Professor Steve Wesselingh. The institute

5800-583: The Australian Government, Indigenous leaders/communities and the health sector. Although there was some improvement in some areas, only two out of its seven targets were met. In July 2019, at the end of the first 10-year phase of Closing the Gap, the National Indigenous Australians Agency was established in July 2019, under the Minister for Indigenous Australians , Ken Wyatt , and this agency

5916-556: The Australian states were established after the Murray River was successfully navigated in 1853 by Francis Cadell , an Adelaide resident. South Australia became a self-governing colony in 1856 with the ratification of a new constitution by the British parliament. Secret ballots were introduced, and a bicameral parliament was elected on 9 March 1857, by which time 109,917 people lived in

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6032-606: The Northern Territory (NT). RAHC operates by facilitating short-term placements, ranging from three to 12 weeks, while concurrently augmenting the pool of professionals equipped with the requisite skills and competencies to administer culturally sensitive care within these communities. The initiative particularly targets urban-based professionals who have previously lacked experience in remote healthcare settings. In 2021-2022, RAHC received A$ 6.4 million in funding, spending A$ 5.4 million due to less placements than anticipated during

6148-523: The Northern Territory to a high of 69.9 years for those living in New South Wales, and for Indigenous women, 69.2 years for those living in the Northern Territory to a high of 75.0 years for those living in New South Wales. As of 2010, life expectancy for Aboriginal and Torres Strait Islander men was estimated to be 11.5 years less than that of non-Indigenous men – 67.2 years and 78.7 years respectively. For Aboriginal and Torres Strait Islander women,

6264-594: The Resident Commissioner, James Hurtle Fisher . The rural area surrounding Adelaide was surveyed by Light in preparation to sell a total of over 405 km (156 sq mi) of land. Adelaide's early economy started to get on its feet in 1838 with the arrival of livestock from Victoria , New South Wales and Tasmania . Wool production provided an early basis for the South Australian economy. By 1860, wheat farms had been established from Encounter Bay in

6380-533: The South Australian Government commissioned the Review of Health and Medical Research in South Australia. The review was conducted by Professor John Shine and Alan Young. In May 2008 the review recommended that the South Australian Government establish a new health and medical research institute, and a fund to finance the institute. The South Australian Government committed to establish the institute, and

6496-399: The ability to work and receive wages; and access to medical care and educational institutions. Legislation also allowed for the separation of Indigenous families , with guardianship being awarded to government officials called Protectors of Aborigines . Indigenous children forcibly removed from their families under Protection legislation in the first half of the 20th century are referred to as

6612-468: The arts, building upon the biennial " Adelaide Festival of Arts " that commenced in 1960. The State Bank collapsed in 1991 during an economic recession. The effects lasted until 2004, when Standard & Poor's reinstated South Australia's AAA credit rating. Adelaide's tallest building, completed in 2020, is called the Adelaidean and is located at 11 Frome Street. In the early years of the 21st century,

6728-421: The cancers that they tend to develop are often more lethal than other cancers. The 2022 AIHW report showed that the cancer death rate rose from 205 to 235 per 100,000. In central Australia, Indigenous Australians have human T-lymphotropic virus 1 at a rate thousands of times higher than non-Indigenous Australians. In 2008, 45% of Aboriginal and Torres Strait Islander adults were current daily smokers. Smoking

6844-730: The city centre and surrounding Park Lands is called Tarndanya in the Kaurna language . Adelaide is situated on the Adelaide Plains north of the Fleurieu Peninsula , between the Gulf St Vincent in the west and the Mount Lofty Ranges in the east. Its metropolitan area extends 20 km (12 mi) from the coast to the foothills of the Mount Lofty Ranges, and stretches 96 km (60 mi) from Gawler in

6960-499: The city centre in a grid layout known as " Light's Vision ", interspaced by wide boulevards and large public squares, and entirely surrounded by park lands. Early colonial Adelaide was shaped by the diversity and wealth of its free settlers, in contrast to the convict history of other Australian cities. It was Australia's third most populated city until the post-war era. It has been noted for its leading examples of religious freedom and progressive political reforms, and became known as

7076-507: The city centre. There are two sets of ring roads in Adelaide that have resulted from the original design. The inner ring route ( A21 ) borders the parklands, and the outer route ( A3 / A13 / A16 / A17 ) completely bypasses the inner city via (in clockwise order) Grand Junction Road , Hampstead Road, Ascot Avenue, Portrush Road , Cross Road and South Road . Suburban expansion has to some extent outgrown Light's original plan. Numerous former outlying villages and "country towns", as well as

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7192-399: The city. The plan involved the construction of freeways, expressways and the upgrade of certain aspects of the public transport system. The then premier Steele Hall approved many parts of the plan and the government went as far as purchasing land for the project. The later Labor government elected under Don Dunstan shelved the plan, but allowed the purchased land to remain vacant, should

7308-496: The coastline due to erosion. Where practical, the government has implemented programs to rebuild and vegetate sandhills at several of Adelaide's beachside suburbs. Tennyson Dunes is the largest contiguous, tertiary dune system contained entirely within Metropolitan Adelaide, providing refuge for a variety of remnant species formerly found along the entire coastline. Much of the original vegetation has been cleared with what

7424-533: The country such as Kimberley, WA, suicide rates among Indigenous people are among the highest in the world. The report advocates Indigenous-led national response to the crisis, asserting that suicide prevention programmes have failed this segment of the population. The ex-prisoner population of Australian Aboriginal people is particularly at risk of committing suicide; organisations such as Ngalla Maya have been set up to offer assistance. There are high incidences of anxiety , depression , PTSD and suicide amongst

7540-615: The difference between these rates was due to higher separations for Indigenous people admitted for dialysis . The 2020 AIHW reported that Indigenous children are more likely to get hospitalized and experience tooth decay. Lack of access to the right diet, dental services, and other social disadvantages are reported as contributing factors to such poor health. From 1996 to 2001, the Australian Bureau of Statistics (ABS) used indirect methods for its calculations, because census results were deemed to be unreliable, and figures published in 2005 (59.4 years for males and 64.8 years for females) indicated

7656-465: The difficulties in interpreting the extent of the gap because of differing methods of estimating life expectancy between 2007 and 2012. It concluded: A specific estimate of the life expectancy gap has not been established among stakeholders in Indigenous health. Agreement on the magnitude of the gap is arguably needed in order to evaluate strategies aimed at improving health outcomes for Indigenous Australians. Moreover, measuring progress towards 'closing

7772-580: The downthrown St Vincent Basin and its embayments, including the Adelaide Plains Sub-basin, and the Golden Grove, Noarlunga and Willunga Embayments. These basins contain deposits of Tertiary marine and non-marine sands and limestones, which form important aquifers. These deposits are overlain by Quaternary alluvial fans and piedmont slope deposits, derived from erosion of the uplands, consisting of sands, clays and gravels, interfingering to

7888-536: The early development of a brick-making industry, as well as the use of stone, for houses and other buildings. By 1891, 68% of houses were built of stone, 15% of timber, and 10% of brick, with brick also being widely used in stone houses for quoins, door and window surrounds, and chimneys and fireplaces. There is a wide variety in the styles of these houses. Until the 1960s, most of the more substantial houses were built of red brick, though many front walls were of ornamental stone. Then cream bricks became fashionable, and in

8004-627: The east of Adelaide, are defined on their western side by a number of arcuate faults (the Para, Eden, Clarendon and Willunga Faults), and consist of rocks such as siltstone , dolomite and quartzite , dating from the Neoproterozoic to the middle Cambrian , laid down in the Adelaide Rift Complex, the oldest part of the Adelaide Superbasin . Most of the Adelaide metropolitan area lies in

8120-605: The federal government ( A$ 200 million ), with the state government putting in A$ 85 million into the project, which would also go towards running costs. Construction of the SAHMRI 2 building, which will house the Australian Bragg Centre for Proton Therapy & Research, starts in July 2020. This will be the first proton therapy unit in Australia, treating cancer patients with the advanced precision radiation treatment. The building

8236-481: The federal government to address health issues was via the creation of the Office of Aboriginal and Torres Strait Islander Health (OATSIH) in 1994, but this is no longer in existence. In 2007/08, the Australian government focused mainly on decreasing "overcrowding" within remote indigenous communities in endeavours to improve health in rural populations. The Implementation of Australian Rural Accommodation (ARIA) Programme

8352-402: The following decades, foreign diseases, dispossession, exploitation, warfare and violence proved devastating for the Indigenous population, and the immediate effect was a widespread increase in mortality and disease. By the end of the 19th century, Indigenous Australians were greatly reduced in numbers and the survivors were largely confined to remote reserves and missions. They were associated in

8468-479: The four greatest preventable contributions to the Indigenous mental health burden of disease were: alcohol consumption, illicit drugs, child sexual abuse and intimate partner violence . Up to 15% of the 10 year life expectancy gap compared to non-Indigenous Australians has been attributed to mental health disorders. Mental health should be taken into consideration in the Aboriginal concept of health and well-being. In

8584-625: The future need for freeways arise. In 1980, the Liberal party won government and premier David Tonkin committed his government to selling off the land acquired for the MATS plan, ensuring that even when needs changed, the construction of most MATS-proposed freeways would be impractical. Some parts of this land have been used for transport, (e.g. the O-Bahn Busway and Southern Expressway), while most has been progressively subdivided for residential use. In 2008,

8700-558: The gap' depends on the availability of comparable estimates, using the same techniques of measurement to assess changes over time. The 2019 report by the Close the Gap campaign reported that the gap in life expectancy was "widening rather than closing". The 2022 AIHW report showed that the cancer death rate rose from 205 to 235 per 100,000. In 1989, the National Aboriginal Health Strategy was created. Another attempt by

8816-787: The high rates of cervical cancer, where a meta-analysis of Indigenous women from Australia, New Zealand , Canada and the United States attributed these rates to "socio-economic disenfranchisement resulting from colonialism", rather than genetics. The displacement of Indigenous Australians to reserves and the isolation from society led to generations suffering from starvation and malnutrition . This has had profound effects on physical and intellectual development; Indigenous communities today in remote locations continue to suffer from malnutrition and chronic health problems, as well as lower levels of education. The persistence of inequality in educational attainment among contemporary Indigenous communities

8932-575: The ideas of Edward Gibbon Wakefield about colonial reform, Robert Gouger petitioned the British government to create a new colony in Australia, resulting in the passage of the South Australia Act 1834 . Physical establishment of the colony began with the arrival of the first British colonisers in February 1836. The first governor proclaimed the commencement of colonial government in South Australia on 28 December 1836, near The Old Gum Tree in what

9048-589: The ideas of Edward Gibbon Wakefield . Wakefield had read accounts of Australian settlement while in prison in London for attempting to abduct an heiress, and realised that the eastern colonies suffered from a lack of available labour, due to the practice of giving land grants to all arrivals. Wakefield's idea was for the Government to survey and sell the land at a rate that would maintain land values high enough to be unaffordable for labourers and journeymen. Funds raised from

9164-450: The incidence of children and the elderly many problems tend to be hidden. Some of the behavioural problems encountered tend to be linked to neurodevelopment delay and a failing education system. Mental health , suicide and self-harm remain major concerns, with the suicide rate being double that of the non-Indigenous population in 2015, and young people experiencing rising mental health rates. A 2017 article in The Lancet described

9280-619: The institute have been funded by a combination of various government grants, mainly through the National Health and Medical Research Council (for example, a total of A$ 34,354,553 in 2017) and various other sources. The South Australian Health and Medical Research Institute Trust was registered as a charitable trust on 23 November 2015, and the Institute is supported by a variety of corporate sponsors, private philanthropists and philanthropic foundations. In December 2018, A$ 12m in grant funding

9396-720: The is much higher among Indigenous than non-Indigenous Australians, in particular those living in remote areas, who are 70 times more likely to be hospitalised. A 2007 study by the University of Queensland found that the 11 largest preventable contributions to the Indigenous burden of disease in Queensland were from the joint contribution of 11 risk factors, with the top three being high body mass (12.1%), tobacco (11.6%), and inadequate physical activity (7.9%). high cholesterol , alcohol , high blood pressure , low intake of fruit and vegetables , intimate partner violence , illicit drugs , child sexual abuse and unsafe sex completed

9512-476: The list. A 2014 follow-up report concluded that the "leading causes of disease and injury burden in the Aboriginal and Torres Strait Islander population were largely the same as in the non-Indigenous population: mental disorders, cardiovascular disease, diabetes, chronic respiratory disease and cancers" in the 2007 study. However, the rate and age distribution between the two populations are very different. Mental disorders and cardiovascular disease account for almost

9628-403: The most common in the Indigenous population, and both lung and liver cancers were more common in the Indigenous than non-Indigenous population. Overall mortality rate from cancer was higher in New South Wales, Victoria, Queensland, WA, and the NT 2007–2014 (50% vs 65%, or 1.3 times as likely to die); this may be because they are less likely to receive the necessary treatments in time, or because

9744-479: The non-Indigenous population) in incidence as of 2003 are outlined in the table below: Each of these indicators is expected to underestimate the true prevalence of disease in the population due to reduced levels of diagnosis. In addition, the following factors have been at least partially implicated in the inequality in life expectancy: In some areas of Australia, particular the Torres Strait Islands ,

9860-494: The north to Sellicks Beach in the south. Named in honour of Queen Adelaide of Saxe-Meiningen , wife of King William IV , the city was founded in 1836 as the planned capital for the only freely-settled British province in Australia. Colonel William Light , one of Adelaide's founding fathers, designed the city centre and chose its location close to the River Torrens . Light's design, now listed as national heritage , set out

9976-409: The only transport infrastructure developed to cope with the urban growth. The O-Bahn Busway is an example of a unique solution to Tea Tree Gully's transport woes in the 1980s. The development of the nearby suburb of Golden Grove in the late 1980s followed a planned approach to urban growth. In the 1960s, a Metropolitan Adelaide Transport Study Plan was proposed to cater for the future growth of

10092-494: The pandemic. In 2010–2011, health expenditure for Aboriginal and Torres Strait Islander people was estimated at A$ 4.6 billion , or 3.7% of Australia's total recurrent health expenditure. The Aboriginal and Torres Strait Islander population comprised 2.5% of the Australian population at this time. Expenditure equated to A$ 7,995 per Indigenous person, which was 1.47 times greater than the A$ 5,437 spent per non-Indigenous Australian in

10208-631: The plains which stretched north and south of Tarntanya as well as the wooded foothills of the Mt Lofty Ranges . The River Torrens was known as the Karrawirra Pari (Red Gum forest river). About 300 Kaurna populated the Adelaide area, and were referred to by the settlers as the Cowandilla. There were more than 20 local clans across the plain who lived semi-nomadic lives, with extensive mound settlements where huts were built repeatedly over centuries and

10324-457: The prevalence of type 2 diabetes among Indigenous Australians is between 25 and 30%. In Central Australia high incidences of type-2 diabetes has led to high chronic kidney disease rates amongst Aboriginals. The most common cause of hospital admissions for Indigenous Australians in mainland Australia was for dialysis treatment. Indigenous women experience twice the adjusted-age risk of gestational diabetes, thus leading to Indigenous women having

10440-612: The proportion of the Indigenous adult population engaged in "risky" and "high-risk" alcohol consumption (15%) was comparable with that of the non-Indigenous population (14%), based on age-standardised data. The definition of "risky" and "high-risk" consumption used is four or more standard drinks per day average for males, two or more for females. The 2007 National Drug Strategy Household Survey reported that Indigenous peoples were "more likely than other Australians to abstain from alcohol consumption (23.4% versus 16.8%) and also more likely to consume alcohol at risky or high-risk levels for harm in

10556-533: The province. In 1860, the Thorndon Park reservoir was opened, providing an alternative water source to the now turbid River Torrens. Gas street lighting was implemented in 1867, the University of Adelaide was founded in 1874, the South Australian Art Gallery opened in 1881 and the Happy Valley Reservoir opened in 1896. In the 1890s Australia was affected by a severe economic depression, ending

10672-407: The public mind with disease, which led to exclusion from institutions and isolation from non-Indigenous society for fear of contamination. These colonial policies resulted in segregated oppression and a lack of access to adequate medical care, leading to further disease and mortality. The Australian government proceeded to deny the Indigenous people of their civil rights , including property rights;

10788-409: The reports of visitors in the early 20th century, noting that "many visitors to Adelaide admired the foresighted planning of its founders", as well as pondering the riches of the young city. Adelaide enjoyed a postwar boom, entering a time of relative prosperity. Its population grew, and it became the third most populous metropolitan area in the country, after Sydney and Melbourne . Its prosperity

10904-464: The rest of the population. Statistics indicate that Aboriginal Australians and Torres Strait Islanders are much less healthy than other Australians. Various government strategies have been put into place to try to remediate the problem; there has been some improvement in several areas, but statistics between Indigenous Australians and the rest of the Australian population still show unacceptable levels of difference. Prior to European colonisation , it

11020-403: The sale of land were to be used to bring out working-class emigrants, who would have to work hard for the monied settlers to ever afford their own land. As a result of this policy, Adelaide does not share the convict settlement history of other Australian cities like Sydney , Brisbane and Hobart . As it was believed that in a colony of free settlers there would be little crime, no provision

11136-522: The same year. In 2010–2011, Governments funded 91.4% of health expenditure for Indigenous people, compared with 68.1% for non-Indigenous people. In July 2018, Health Minister Greg Hunt and Ken Wyatt , then Minister for Indigenous Health, announced A$ 23.2 million in funding for 28 new health initiatives through the National Health and Medical Research Council (NHMRC), including expanding renal health units in remote parts so that patients could stay on country with their families. The NHMRC also launched

11252-563: The satellite city of Elizabeth , have been enveloped by its suburban sprawl . Expanding developments in the Adelaide Hills region led to the construction of the South Eastern Freeway to cope with growth, which has subsequently led to new developments and further improvements to that transport corridor. Similarly, the booming development in Adelaide's South led to the construction of the Southern Expressway . New roads are not

11368-438: The short name of Tandanya National Aboriginal Cultural Institute , Tarndanya, or Tarndanyangga , now the dual name for Victoria Square, in the Kaurna language . The name means 'male red kangaroo rock', referring to a rock formation on the site that has now been destroyed. The surrounding area was an open grassy plain with patches of trees and shrubs which had been managed by hundreds of generations. Kaurna country encompassed

11484-673: The south to Clare in the north. George Gawler took over from Hindmarsh in late 1838 and, despite being under orders from the Select Committee on South Australia in Britain not to undertake any public works, promptly oversaw construction of a governor's house, the Adelaide Gaol , police barracks, a hospital, a customs house and a wharf at Port Adelaide . Gawler was recalled and replaced by George Edward Grey in 1841. Grey slashed public expenditure against heavy opposition, although its impact

11600-605: The summer typically range from 8 to 10 °C (46 to 50 °F). There are usually several days in summer where the temperature reaches 40.0 °C (104.0 °F) or above; the frequency of these temperatures has been increasing in recent years . Temperature extremes range from −0.4 °C (31.4 °F), 8 June 1982 to 47.7 °C (117.9 °F), 24 January 2019. The city features 90.6 clear days annually. The average sea temperature ranges from 13.7 °C (56.7 °F) in August to 21.2 °C (70.2 °F) in February. Adelaide

11716-407: The west with transgressive Pleistocene to Holocene marine sands and coastal sediments of the shoreline of Gulf St Vincent. Adelaide is a planned city, designed by the first Surveyor-General of South Australia, Colonel William Light . His plan, sometimes referred to as "Light's Vision" (also the name of a statue of him on Montefiore Hill ), arranged Adelaide in a grid , with five squares in

11832-455: The wettest month of the year, averaging around 80 mm. Frosts are occasional, with the most notable occurrences in 1908 and 1982. Hail is common in winter. Adelaide is a windy city with significant wind chill in winter, which makes the temperature seem colder than it actually is . Snowfall in the metropolitan area is extremely rare, although light and sporadic falls in the nearby hills and at Mount Lofty occur during winter. Dewpoints in

11948-575: The world's second National Park City, after the state government had lobbied for this title. It was ranked the most liveable city in Australia by the Property Council of Australia , based on surveys of residents' views of their own city, between 2010 and 2013, dropping to second place in 2014. Adelaide, as the capital of South Australia, is the seat of the Government of South Australia . The bicameral Parliament of South Australia consists of

12064-519: Was announced by the government to support research in Aboriginal health , infection and immunity, and cancer . In August 2019, additional funding of more than A$ 10.5 million over five years was announced by the NHMRC. Adelaide Adelaide ( / ˈ æ d ɪ l eɪ d / AD -il-ayd , locally [ˈædəlæɪd] ; Kaurna : Tardanya , pronounced [ˈd̪̥aɳɖaɲa] )

12180-470: Was consistently ranked in the world's 10 most liveable cities through the 2010s by The Economist Intelligence Unit . In June 2021, The Economist ranked Adelaide the third most liveable city in the world, behind Auckland and Osaka . In June 2023, Adelaide was ranked the twelfth most liveable city in the world by the Economist Intelligence Unit. In December 2021, Adelaide was named

12296-606: Was created to facilitate the State Government's collaboration with the Adelaide City Council and the Lord Mayor to improve Adelaide's image. The State Parliament's Capital City Committee is also involved in the governance of the City of Adelaide, being primarily concerned with the planning of Adelaide's urban development and growth. Reflecting South Australia's status as Australia's most centralised state, Adelaide elects

12412-444: Was expanded at the nearby port of Whyalla . The South Australian Government in this period built on former wartime manufacturing industries but neglected cultural facilities which meant South Australia's economy lagged behind. International manufacturers like Holden and Chrysler made use of these factories around the Adelaide area in suburbs like Elizabeth , completing its transformation from an agricultural service centre to

12528-410: Was extended through the city to Hindmarsh down to East Terrace and the suburban railway line extended south to Seaford. Following a period of stagnation in the 1990s and 2000s, Adelaide began several major developments and redevelopments. The Adelaide Convention Centre was redeveloped and expanded at a cost of A$ 350 million beginning in 2012. Three historic buildings were adapted for modern use:

12644-556: Was granted A$ 293.6 million over four years to induce a significant level of housing reform. In 2008, Aspen Medical established the Remote Area Health Corps (RAHC) as a non-profit subsidiary which was funded by the Australian Government through the Indigenous Australians' Health Programme: Stronger Futures Northern Territory initiative. Its primary objective is to alleviate persistent and chronic shortages in healthcare personnel within remote Aboriginal communities situated in

12760-772: Was made for a gaol in Colonel Light's 1837 plan. But by mid-1837 the South Australian Register was warning of escaped convicts from New South Wales and tenders for a temporary gaol were sought. Following a burglary, a murder, and two attempted murders in Adelaide during March 1838, Governor Hindmarsh created the South Australian Police Force (now the South Australia Police ) in April 1838 under 21-year-old Henry Inman . The first sheriff, Samuel Smart,

12876-452: Was negligible at this point: silver was discovered in Glen Osmond that year, agriculture was well underway, and other mines sprung up all over the state, aiding Adelaide's commercial development. The city exported meat, wool, wine, fruit and wheat by the time Grey left in 1845, contrasting with a low point in 1842 when one-third of Adelaide houses were abandoned. Trade links with the rest of

12992-439: Was officially incorporated in December 2009. The institute is composed of approximately 700 researchers, many of whom have links to, and work collaboratively with, other research institutes in Australia and overseas. After nearly four years of construction, the institute opened in its new building on 29 November 2013. Woods Bagot, architects of the first SAHMRI building, with its iconic "cheese-grater" style, won several awards in

13108-464: Was recorded, but the price paid was retrenchments and lean public spending. Wine and copper were the only industries not to suffer a downturn. Adelaide was Australia's third largest city for most of the 20th century. Electric street lighting was introduced in 1900 and electric trams were transporting passengers in 1909. 28,000 men were sent to fight in World War I . Historian F. W. Crowley examined

13224-574: Was short-lived, with the return of droughts and the Great Depression of the 1930s. It later returned to fortune under strong government leadership. Secondary industries helped reduce the state's dependence on primary industries . World War II brought industrial stimulus and diversification to Adelaide under the Playford Government, which advocated Adelaide as a safe place for manufacturing due to its less vulnerable location. Shipbuilding

13340-411: Was surpassed by Brisbane as Australia's third largest city. The Dunstan Governments of the 1970s saw something of an Adelaide "cultural revival", establishing a wide array of social reforms. The city became noted for its progressivism as South Australia became the first Australian state or territory to decriminalise homosexuality between consenting adults in 1975. Adelaide became a centre for

13456-552: Was wounded during a robbery, and on 2 May 1838 one of the offenders, Michael Magee, became the first person to be hanged in South Australia. William Baker Ashton was appointed governor of the temporary gaol in 1839, and in 1840 George Strickland Kingston was commissioned to design Adelaide's new gaol. Construction of Adelaide Gaol commenced in 1841. Adelaide's early history was marked by economic uncertainty and questionable leadership. The first governor of South Australia, John Hindmarsh , clashed frequently with others, in particular

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