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Abstract: A key environmental concern is pollution loads released from human activity, since excessive pollutant loads can cause significant public health and/or environmental impacts. A principal objective of environmental regulation is therefore to minimise pollutant releases. The most common approach to assessing and monitoring pollutant loads is through pollutant release databases, with such systems now operating throughout Europe, North America and Australia. This paper has compiled and analysed an extensive data set on Australian coal mining and associated pollutant emissions reported through the National Pollutant Inventory (NPI). In Australia, the coal industry has been growing rapidly over recent decades, and this is causing significant community concerns over cumulative environmental impacts. The pollutant loads and intensities from coal mining are analysed in conjunction with production data. The trends identified in this paper provide an important basis to understand the value of pollutant release and transfer registers, such as the NPI, and demonstrate the critical need to integrate such data with ongoing trends in industry and environmental management initiatives. [Copyright &y& Elsevier]

Objectives: Using the concept of avoidable mortality, international studies suggest that healthcare has been effective in reducing mortality. This paper provides an analysis of avoidable mortality in Australia and compares trends with those of Western Europe. Methods: Using unit-record mortality data, we calculated avoidable mortality rates in Australia for 1968-2001. We partitioned avoidable causes into three categories: those amenable to medical care; those mainly responsive to health policy; and ischaemic heart disease. We used Poisson regression to model the trends. We compared trends with those of nine European countries using published data. Results: Total avoidable death rates fell by 68% in females and 72% in males. The corresponding non-avoidable death rates fell by 35 and 33%. The annual declines in avoidable mortality rates were: 3.47% [95% confidence intervals (CI) 3.44-3.50%] in males and 3.89% (95% CI 3.86-3.91%) in females. For non-avoidable mortality rates, the annual declines were 1.09% (95% CI 1.05-1.13%) and 0.95% (95% CI 0.92-0.98%), respectively. In females, declines in death rates from causes amenable to medical care contributed 54% to the decline in avoidable mortality rates, ischaemic heart disease contributed 45%, and causes responsive to health policy intervention contributed 1%. In males, the corresponding contributions were 32, 57 and 11%. These rates, and the declines between 1980 and 1998, were comparable with selected European countries, with Australia's ranking improving over the period. Conclusion: Trends in avoidable mortality in Australia suggest that the Australian healthcare system has been effective in improving population health. Australia's experience compares favourably with that of Europe. [ABSTRACT FROM AUTHOR]