Cancer costs Australia nearly $2 billion per year in lost labour

A new study calls for additional support from government, employers and the medical profession for cancer survivors wanting to return to work.
from shutterstock.com

Antolin Bonnett, The Conversation

Australia loses nearly A$2 billion of GDP every year due to people with cancer leaving the workforce.

A study published today in BMC Public Health showed that 67% of Australians of working age (25-64) diagnosed with cancer reported changes to their employment in 2015, such as reduced hours and stopping work. Around 50,000 people with cancer weren’t working at all.

The authors calculated this equated to a loss of A$1.7 billion in GDP.

Compared to the workforce rates of other long-term health conditions, such as chronic epilepsy, heart disease and diabetes, those with cancer were almost twice as likely to not be in the workforce.

A previous report showed loss of productivity due to cancer diagnosis accounts for around 54% of the total lifetime cost of cancer. This is compared to only 29% in direct costs, such as medical treatment.

Previous studies show around 40% of cancer survivors will return to work after treatment at six months following a diagnosis, and 89% after two years.

The authors called for additional support from government, employers and the medical profession for cancer survivors wanting to return to work.

Lead author and lecturer at James Cook University, Nicole Bates, said returning to work was “an important milestone, both financially and emotionally”.

Australians with a cancer diagnosis who didn’t have a tertiary qualification were nearly four times as likely to not be working as those who did. Other factors affecting work status included having a manual labour job, less flexible working arrangement, and the type of cancer and treatment.

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Read more:
We need more support systems for people who want to work during and after cancer treatment

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Professor and medical oncologist at Flinders University, Bogda Koczwara, said lack of flexible employment was a significant roadblock to cancer survivors re-entering the workforce. She added Australian systems only allowed people to be either “on or off”.

“In Australia, there isn’t a lot of room for return to employment. Sometimes a person may be willing to return to work but not capable of doing so at full capacity. But they’re better off staying at home and claiming full insurance than going back to work partially because that way they lose their payments,” she said.

Professor Koczwara, who was not involved in the study, also said it was important to not only consider medical ways to assist cancer patients returning to work.

Miss Bates said employers could work with the cancer survivor and their medical professionals to “enable returning to work within their capabilities”.

Director of the Australian Healthy Policy Collaboration at Victoria University, Rosemary Calder, said it would be useful to explore how cancers that shared common risk factors with preventable chronic diseases contributed to the productivity impact.

“Given what we know about the shared risk factors for some cancers and other chronic diseases, if we invested in prevention of these risk factors, we potentially could reduce the productivity impact of cancers related to those risk factors,” she said.

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Read more:
Interactive body map: what really gives you cancer?

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The researchers analysed data from the 2015 Australian Bureau of Statistics Survey of Disability, Ageing and Carers according to education, health condition, and employment status.

The study was limited by its inability to differentiate the rates of workforce participation of those currently undergoing treatment compared to those in remission.

This article has been updated to include other long-term health conditions that affected return to work, and clarify that the estimated loss of productivity due to cancer compared to direct medical costs was from a previous report.

Antolin Bonnett, Editorial Intern, The Conversation

This article was originally published on The Conversation. Read the original article.

Child Labour

Bangladesh: Persecution News Update

The link below is to an article reporting on persecution news from Bangladesh where Christian girls are being abducted and forced into labour and prostitution. 

For more visit:
http://www.persecution.org/2013/05/05/young-christian-girls-trafficked-into-forced-labor-and-sex-slavery/

Burmese Army Oppresses Chin Christians, Study Says

Report shows widespread abuses, including murder, rape and forced labor.

DUBLIN, January 19 (CDN) — Burmese soldiers are systematically using forced labor, torture and rape to persecute majority-Christian residents of Chin state in western Burma, according to a report released today.

Entitled, “Life Under the Junta: Evidence of Crimes Against Humanity in Burma’s Chin State,” the report by Physicians for Human Rights (PHR) documented “extraordinary levels of state violence” against the Chin ethnic population in Burma, also called Myanmar.

Due to the influence of U.S. missionaries last century, the Chin are estimated to be 90 percent Christian, and the study indicates that it is therefore difficult to separate religious attacks from ethnic and other human rights abuses. Persecution of Christians is reportedly part of a wider campaign by the Burmese junta to create a uniform society in which the only accepted religion is Buddhism, according a 2007 government memo circulated in Karen state giving instructions on how to drive Christians out of the state.

Respondents who were specifically targeted for their Christian faith and ethnicity said soldiers had threatened them with the destruction of their homes or villages and threatened to harm or kill family members. A total of 71 households from 13 of 90 villages and towns surveyed also said government authorities had destroyed their local church buildings.

The most brutal attacks included the forced conscription, abduction or murder of children under the age of 15, and the rape of men, women and children. Burmese soldiers, locally known as the Tatmadaw, also confiscated food, livestock and other property and forced families to grow the cash crop jatropha, used to produce biofuel, instead of food crops required for basic survival. The study states that this caused many Chin to flee across land borders to India or Bangladesh.

Burmese soldiers were responsible for 94.2 percent of all specifically ethnic and religious incidents in the survey, supporting claims by advocacy organizations such as Christian Solidarity Worldwide that the military government is systematically working to “cleanse” Burma of ethnic and religious minorities.

Government agents also placed votes for Chin residents during national elections last November, warning them that soldiers in a nearby camp were ready to arrest them if they complained, and ordered a church to close after the pastor refused to wear a campaign T-shirt. (See “Burmese Officials Order Closure of Chin Church,” Nov. 18, 2010.)

When asked why the Burmese army acted as it did, 15 percent of respondents answered, “Because we are Christians.” Another 23 percent replied, “To persecute us,” and a further 23 percent said, “Because we are Chin.”

The report confirms evidence submitted to the United Nations for Burma’s Universal Periodic Review, to take place in Geneva from Jan. 24 through Feb. 4, that holds the ruling military junta responsible for widespread abuse of its citizens.

 

‘Crimes Against Humanity’

PHR and five partner organizations, including the Chin Human Rights Organization (CHRO), used scientific methods to carry out the survey in the early months of 2010, training 23 local surveyors to question a random sample of 621 households across all nine townships in Chin state. PHR identified the households only by survey number to protect their identity.

Those interviewed reported a total of 2,951 incidents in the previous 12 months, of which 95 percent were carried out by the Tatmadaw, local government officials, Burmese police or border security forces.

The report made a clear distinction between internationally recognized “crimes against humanity” and general human rights violations. Of the crimes against humanity, the most prevalent was forced labor for 91.9 percent of those surveyed, followed by ethnic-religious persecution at 14 percent. After these crimes came arbitrary arrest, detention or imprisonment at 5.9 percent, abduction at 4.8 percent, torture at 3.8 percent, rape or other sexual violations at 2.8 percent, murder at 1 percent and miscellaneous abuses at 0.2 percent.

As for lesser human rights violations, 52.5 percent of households surveyed reported livestock killed, 50.6 percent were forced to give food, 42.8 percent forced to give money, 12.8 percent had property attacked or destroyed, 11.2 percent had family members beaten and 9.1 percent had family members wounded from gunshots, explosions or deadly weapons.

In many cases, people suffered from the full range of human rights violations.

Six households, or 1 percent of those surveyed, reported family members killed by the Tatmadaw in 2009, with two households reporting multiple family members killed, and two of the victims being under the age of 15. Three of the six households believed they were specifically targeted because of their ethnicity and Christian faith.

An elderly grandfather who spoke to PHR in March 2010 said he felt depressed and helpless after a year when the Tatmadaw killed an 18-year-old family member and forced others in the family to build roads, porter supplies and carry weapons, threatening to kill them if they refused. The military also stole livestock, demanded food supplies, and forced the family to grow a single crop rather than food crops needed for basic survival.

“We dare not refuse the Tatmadaw, as even mothers with little children are beaten,” one respondent said.

Burmese soldiers tortured more than one person in the family of a 46-year-old man, while local government authorities forced them to relinquish livestock, food and money. Seventeen percent of torture victims and 29 percent of rape victims were under the age of 15.

A 36-year-old father of five in Paletwa township said Burmese soldiers had raped more than one member of his family at knifepoint within the past year, arbitrarily detained another member of the household at gunpoint, conscripted a family member into the army and burned down the church that once stood in his village.

In a foreward to PHR’s report, Richard Goldstone, a PHR board member and former U.N. chief prosecutor, and the Rev. Desmond Tutu of Chairman of The Elders, an independent group of prominent global leaders, urged that a U.N. commission of inquiry be established to investigate reports of human rights violations in Burma.

“It is unconscionable that suffering as dire as that of the Chin people under Burma’s dictatorship should be allowed to persist in silence,” they wrote.

They also urged Burma’s immediate neighbors and trade partners to use the occasion of Burma’s Universal Periodic Review to discuss the violations committed in Chin state and elsewhere in Burma, and work towards an alternative ‘roadmap’ to democracy for the Burmese people.

Report from Compass Direct News

Karen Christians pressed between Thailand and Myanmar

The Thai government and local military leaders want to force Karen Christians back into Myanmar, and they’re willing to use military force to clear refugee camps within the next two weeks, reports MNN.

The camps are full because the Burmese army is wiping out the Karen. Wes Flint with Vision Beyond Borders says, "I’m shocked that the free world is just allowing this to continue."

The ruling junta has been battling Christian-majority Karen rebels for decades. Similar army crackdowns forced thousands of villagers to flee their homes, and they found their way across the border to Thailand’s refugee camps.

Many of the more-recently displaced were forced to hide in the Burma jungle.

Human rights groups protested the Thai plan to repatriate the refugees in Burma over concern that once back in Myanmar, the refugees will be subject to "severe human rights violations, including forced labour and rape by soldiers of the Burma Army," according to a leader at Christian Solidarity Worldwide.

No one expects the situation to improve, but VBB teams are trying to intervene. "We try to create a safe environment for them, to bring them in, to provide food for them, and medical care."

VBB’s Patrick Klein wrote this from Myanmar: "Due to rice fields and crops being destroyed and attacks on villagers by the Burmese army, we have a group of 100 children who are in urgent need of food. They are on the brink of starvation. Currently they are in hiding with their parents inside Burma. Our caretaker in our Shekinah children’s home in one of the official refugee camps asked if we can help those children with food and get them out of Burma."

It’s dangerous work, but there are friends of the ministry who are trying to get those 100 children to the VBB camp in the mountains.

Klein says, "If we are able to get them out, we will build housing for them. The parents are ready to die and give whatever food they find to their children for now. Please pray with us that God will make a way for these children and help our attempts to get them safely into one of the camps where we have a Children’s Home."

The VBB team delivered 45 bags of rice and medicines to partners who will take all the supplies to the Internally Displaced People inside Burma–those hiding from the Burmese Army.

It’s hard to imagine what is going unnoticed in front of so many international eyes. Flint explains, "There’s what they would call an ‘ethnic cleansing’ going on, but it seems that most of their targets are Christians."

Does their identity as a Christian mark them as Karen–or possibly something more? Flint says, "This persecution has really refined them. They have been great ambassadors to reach out to the Buddhist community–even to those that are persecuting them."

Report from the Christian Telegraph 

Christmas could be cancelled by British government

Christmas could be cancelled by a bill being put forward by the Labour government, the Catholic bishops of England and Wales have said, reports Hilary White, LifeSiteNews.com.

In a letter to MPs, Monsignor Andrew Summersgill, general secretary of the Catholic Bishops’ Conference, said that Harriet Harmon’s Equality Bill will have a "chilling effect" on local councils, town halls and other organizations clamping down on Christmas festivities for fear of offending people of other religions.

The Equality Bill combines all previous equality legislation in the U.K., and includes a range of new provisions.

"Under existing legislation," Summersgill wrote, "we have seen the development of a risk-averse culture with outcomes as ridiculous as reports of a local authority instructing tenants to take down Christmas lights in case they might offend Muslim neighbours, or of authorities removing the word Christmas out of cultural sensitivity to everyone except Christians.

"If this bill is serious about equality, everything possible must be done to avoid it having a chilling effect on religious expression and practice."

The Christian Institute, Britain’s leading Christian political lobby group, has listed incidents where public displays of Christianity at Christmas have already come under attack. Councils around Britain are removing all references to the name "Christmas" from their 2009 events. Birmingham City Council has changed the name of this year’s light-switching-on event to the generic "Winterval." Last November an attempt by Oxford City Council to drop Christmas from the title of the city’s celebrations was condemned by both residents and religious leaders.

The Christian Institute complained about the bill, saying that councils "are already over-zealous in applying equality laws." The bill, they said, "will make this worse."

In fact, some of the Labour government’s closest advisors have already urged it to abolish public displays of a Christian origin at Christmas. The Institute for Public Policy Research (IPPR), which has shaped many Labour party policies, said in 2007 that Christmas "should be downgraded to help race relations."

The equality legislation leads only to the law favoring aggrieved minority lobby groups over the existing Christian culture, the Christian Institute says. The group pointed to the closure and forced secularization of several of Britain’s Catholic adoption agencies under similar legislation, the Sexual Orientation Regulations (SORs) of the 2007 Equality Act.

Under the SORs, they said, "the rights of children have been trumped by the rights of homosexual adults. Any agency which refuses to do homosexual adoptions becomes a target for closure."

Report from the Christian Telegraph 

AZERBAIJANI PASTOR VOWS TO FIGHT ON; MINISTRY CONTINUES TO PRAY

Slavic Gospel Association has been following the trial of a persecuted Azerbaijani pastor who was arrested and held on false charges. SGA’s Joel Griffith says they just got the verdict, reports MNN. “Pastor Hamid Shabanov was actually convicted on the false charge of possessing an illegal weapon.”

Unless Shabanov’s conviction is quashed, he will have a criminal record. Griffith says, “He’s insisting that he’s innocent. He’s going to continue fighting to clear his name.”

The court gave Shabanov a two-year corrective labour sentence. However, because imprisonment counts as three times’ corrective labour, Shabanov’s sentence is the equivalent of eight months’ imprisonment. As he was in pre-trial detention or house arrest for just over seven months, he has 27 days more to serve from February 11.

Griffith says there’s a question as to whether Shabanov will have to go back to jail at all. He was also fined 20 percent of his salary for the remaining 27 days of his sentence. But Shabanov does not have a job, therefore he does not have a salary.

It’s interesting to note that the conviction might have been an acknowledgment of Shabanov’s innocence. “If he had actually been found innocent, then that reflects poorly on the police and the authorities, and it could get them into some sort of legal ‘hot water.’ So it’s assumed that convicting him but not sending him to jail was sort of a way for the local authorities to ‘save face.'”

Pastor Shabanov told Forum 18 that at the trial, he repeatedly said that he was being prosecuted to punish him for his Christian faith. His ministry has gotten particularly close scrutiny. Although SGA supports work in the region, there is much opposition.

Report from the Christian Telegraph