The Albanese government is currently pushing legislation through the lower house to produce a National Occupational Respiratory Disease Registry. Bills are being debated in parliament this week after being introduced to the House of Representatives on 21 June 2023 by the Assistant Minister for Health and Aged Care. Unfortunately, the development process has lacked genuine consultation and user engagement. What is being produced is a system that is punitive to physicians who are trying to look after their patients and may unintentionally make it more difficult for patients with silicosis to access medical care.
A registry for workers exposed to occupational silica dust was first called for by the Thoracic Society in 2018 and 2020. In fact, Thoracic Society members were the first to identify workers with silicosis in 2016 and have been strongly advocating for their protection ever since.
The Thoracic Society is an 1,800-strong respiratory not-for-profit with membership from world-leading clinicians, scientists, researchers, and other health professionals. Thoracic Society members care deeply about the lung health of their patients and wider community.
The National Dust Diseases Taskforce recommended the development of a national dust disease registry in June 2021. The advice was to prioritise silica and occupational respiratory disease research expertise in Australia and operationalise the registry as soon as possible, with an initial focus on mandatory reporting of silicosis, and voluntary reporting of other occupational respiratory diseases.
If implemented correctly, this registry is an excellent opportunity to put in place nation-wide occupational health monitoring, surveillance, and screening.
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Vincent So
Unfortunately, looking at the draft legislation and the road ahead, there have been some crucial missteps taken by the Department of Health in developing the registry. These issues – which the Thoracic Society has brought to the attention of the Legislation Committee – will plague health professionals, and ultimately impact the effectiveness of this much needed protection mechanism for Australian workers.
The Thoracic Society’s policy stance is led by our members – professionals on the frontline who have witnessed firsthand the impact of patients suffering from dust-related occupational diseases. Our members possess the clinical and research expertise to understand the implications of even minor deviations in the draft legislation, and they have concerns with the proposed shape of the registry.
Let’s delve into key aspects of the legislation that warrant careful re-consideration.
A registry for early detection and protection