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In January 2021, Australia initiated a national COVID-19 vaccine rollout strategy but faced setbacks, leading to negative press and media controversy, which may have diminished vaccine confidence. This study aimed to assess the factors influencing vaccine confidence in Australian adults (≥18 years of age) following the administration of a COVID-19 vaccine. Conducted at Blacktown Hospital, Sydney, a cross-sectional survey with 1053 respondents gauged vaccine confidence and influencing factors. The results showed overall high confidence (mean score 33/40). Trusted sources included the Australian Department of Health (77.8%), NSW Health (76.7%), and general practitioners (53.7%), while social media was distrusted (5.9%). The motivations for vaccination varied: university-educated individuals prioritised personal health (X2 = 17.81; p < 0.001), while religious and/or older respondents (≥50 years of age) emphasised community (X2 = 11.69; p < 0.001) and family protection (X2 = 17.314; p < 0.001). Multivariate logistic regression revealed use of the Australian Department of Health website as a trusted source of COVID-19 information as the strongest predictor of high confidence (>30; OR 1.43; p = 0.041), while exposure to fake news decreased confidence (OR 0.71; p = 0.025). The study underscores the importance of reliable health information sources in bolstering vaccine confidence and highlights the detrimental effects of misinformation. Promoting awareness of trustworthy health channels is crucial to combat vaccine hesitancy in Australia. [ABSTRACT FROM AUTHOR]

This paper presents the findings of the National Fluoride Varnish Workshop in 2018 along with subsequent actions to scale-up the use of fluoride varnish nationally in Australia. The use of fluoride varnish programs to prevent dental caries in high-risk child populations is an evidence-based population health approach used internationally. Such programs have not been implemented at scale nationally in Australia. A National Fluoride Varnish Consensus Workshop was held in Sydney in November 2018 with an aim of sharing the current work in this area being undertaken by various Australian jurisdictions and seeking consensus on key actions to improve the scale-up nationally. Forty-four people attended the Workshop with oral health representatives from all Australian state and territory health departments, as well as the Australian Dental Association (ADA) at both NSW branch and Federal levels. There was strong support for further scale-up of fluoride varnish programs nationally and to see the wider use of having non-dental professionals apply the varnish. This case study identifies key actions required to ensure scale-up of systematic fluoride varnish programs as part of a strategic population oral health approach to preventing dental caries among high-risk children who may not routinely access dental care. [ABSTRACT FROM AUTHOR]

Smoke pollution from landscape fires is a major health problem, but it is difficult to predict the impact of any particular fire. For example, smoke plumes can be mapped using remote sensing, but we do not know how the smoke is distributed in the air-column. Prescribed burning involves the deliberate introduction of smoke to human communities but the amount, composition, and distribution of the pollution may be different to wildfires. We examined whether mapped plumes produced high levels of particulate pollution (PM2.5) at permanent air quality monitors and factors that influenced those levels. We mapped 1237 plumes, all those observed in 17 years of MODIS imagery over New South Wales, Australia, but this was only ~20% of known fires. Prescribed burn plumes tended to occur over more populated areas than wildfires. Only 18% of wildfire plumes and 4% of prescribed burn plumes passed over a monitor (n = 115). A minority of plumes caused a detectable increase in PM2.5: prescribed burn plumes caused an air quality exceedance for 33% of observations in the daytime and 11% at night, wildfire plumes caused exceedances for 48% and 22% of observations in the day and night-time, respectively. Thus, most plumes remained aloft (did not reach the surface). Statistical modelling revealed that wind speed, temperature, and mixing height influenced whether a plume caused an exceedance, and there was a difference between prescribed and wild fires. In particular, in wind speeds below 1 kmhr−1, exceedance was almost certain in prescribed burns. This information will be useful for planning prescribed burning, preparing warnings, and improving our ability to predict smoke impacts. [ABSTRACT FROM AUTHOR]

Quarrying for aggregate material at Hornsby in New South Wales (Australia) exposed a >100 m-deep cross-section of the volcanic neck of a Jurassic diatreme, which extruded through the Sydney Basin deposits. The cross-section reveals volcanic features at many scales. Globally, there are very few instances of such excellent 3D exposure. It is arguable that this exposure alone makes it a geosite of international value. However, evaluation of the Hornsby Diatreme using a geoheritage toolkit shows that it meets various geoheritage conservation criteria, being a reference site, and an historically and culturally important site, as well as hosting important archival material. It has significant features at various scales: at the macroscale, where dish beds are visible on all quarry walls, preserving the structure formed during volcanic accretion and later caldera collapse; at the mesoscale, where breccia and surge layers are visible, providing insight into how magma interacted with various host rock types; and at the microscale, where lapilli, chilled margins on host rock blocks, and carbon-rich xenoliths are visible in hand specimens. As such, the Hornsby Quarry hosts a world-class array of volcanic features and preserves an important period of volcanic and post-volcanic history within the Sydney Basin, fostering geoeducation and geotourism. [ABSTRACT FROM AUTHOR]

Recent landscape‐scale wildfires in eastern Australia have made apparent the need for a greater understanding of the flammability dynamics of forested ecosystems. Fire severity is a measure of the impact of a fire on vegetation, but little is known about the landscape‐scale response of the fire‐prone dry sclerophyll forests of eastern Australia to different levels of fire severity. Species in these forests have multiple responses to fire, which can be dependent on the fire severity. In this study, we aimed to determine the effect of fire severity on the vegetation structure, and therefore flammability, of these forests. We addressed two hypotheses that 1) High severity fire would result in a denser understory than low severity fire after 5 years and that 2) High severity fire would reduce the vertical separation between understory and canopy after 5 years. Field surveys of 38 forest sites with differing fire severity but standardised time since fire and forest type, in Sydney region of New South Wales, Australia, were used to test these hypotheses. We found lower canopy cover and greater understory cover (0.5–4 m height) after high severity fire compared with sites which burnt at low severity. Vertical separation was less between the canopy and understory at sites after high severity fire than after low severity fire. The greater quantity of understory fuel and greater vertical continuity in fuel structure observed suggests a potential increase in forest flammability after high severity fire compared with lower severity fires in these forest types. [ABSTRACT FROM AUTHOR]