Patel, V., Minas, H., Cohen, A., & Prince, M. (2014). Alcohol restrictions in indigenous communities: Necessary but not sufficient. Benefits Schedule (MBS) items (MBSGroupA20) that were billed by World Health Organization. 2009). ), Better health for Aborigines? The World Health Organization and the transition from international to global public health. The Mental health policy context in Australia In Australia, the National Mental Health Strategy and the National Suicide Prevention Strategy have provided the impetus and the vehicles for the reform of mental health services and reducing the incidence of suicide. per year. Australia faces substantial costs arising from mental illness in young people. Health & History, 11(1), 2545. A position statement on mental health in the post-2015 development agenda. Patients with these illnesses can be difficult to engage and are often reluctant to take medications. Coleborne, C. (2012). Global burden of disease attributable to mental and substance use disorders: Findings from the Global Burden of Disease Study 2010. Untreated mental illness and substance misuse are the chief causes of rough sleeping. Background Telehealth usage has been promoted in all settings but has been identified as a panacea to issues of access and equity in the rural context. New York: Oxford University Press. The potential for COVID-19 to impact mental health and wellbeing was recognised early in the pandemic (WHO 2020). Wear (Eds. In 201718, there were 2.4million MBS The Commission favours the term 'mental-ill health' over 'mental illness', presumably because the former has fuzzier boundaries and is less easily defined by objective measurement (the Commission also replaces the term 'patient' with 'consumer' to further muddy the waters). ), Mental health in Australia (pp. Garton, S. (2009). Access to mental health services in Victoria: A focus on ethnic communities. Two hundred years of immigration. Minas, I. H. (1990). A new global health field comes of age. Canberra: Australian Institute of Health and Welfare. Although social health is intrinsically linked to a variety of factors . Patel, V., Collins, P. Y., Copeland, J., Kakuma, R., Katontoka, S., Lamichhane, J., et al. The result has been an explosion in certain kinds of mental health services. 2001). to ensuring continuity Kensington, NSW: UNSW Press. Canberra: National Mental Health Commission. The 2020 findings show that about 40% of American adults feel significant stress thanks to politics. helping people with disability to: People who experience disability as a result of a mental Stolk, Y., Minas, H., & Klimidis, S. (2008). The world health report 2001. Cross-cultural competence was now essential. In Australia, the framework for mental health services is a Madness and civilization: A history of insanity in the age of reason. The political context of mental health care David A. Rochefort First published: Winter 1987 https://doi.org/10.1002/yd.23319873610 Citations: 3 PDF Tools Share Abstract A political perspective offers useful insights into the origins, Organization, and impact of contemporary mental health programs. The Alone Together Study was run by the University of Sydney's Matilda Centre, in collaboration with Australia's Mental Health Think Tank. Scientia Professor Helen Christensen is a health and medical researcher specialising in suicide prevention, e-mental health and mental health epidemiology. and libraries and. for employees with severe mental illness. Mental health in a culturally diverse society. A longitudinal study of mental health in refugees from Burma. The World Health Organization confirms that depression will overtake heart disease as the number one cause of disease burden worldwide by 2030. 1 in 5 (21%) people who had experienced a mental disorder in their lifetime had symptoms in the 12 months before the survey interview. ABS, Australian Government, accessed 24 February 2022. PubMed Kensington: UNSW Press. In 2006 he founded headspace: the Youth Mental Health Initiative. Porter, R. (1997). He is frequently asked to advise on early intervention and youth mental health policy both nationally and internationally. MJA, 196(2), 118123. ), The Western medical tradition 800 BC to AD 1800 (pp. This work has been prepared to support the work of the Australian Parliament using information available at the time of production. subsidised mental health prescription medications under the, social security payments; for example, the, management and administration of public hospitals and, registration and accreditation of mental health professionals Canberra: Australian Institute of Health and Welfare, 2022 [cited 2023 Mar. International and Cultural Psychology. facilities providing care. Glebe: Australasian Medical Publishing Company. For copyright reasons some linked items are only available to members of Parliament. Who we are. (1999). Speak to any emergency physician, paramedic or police officer and they will describe the chaos and aggression commonly associated with after-hours psychiatric presentations. costs an average of $3,200 per employee with mental illness, and up to $5,600 Conducted in 2007, this was the second ABS agreed to the Fifth National Mental Health and Suicide Prevention Plan, which established a The economic case for invesing in mental health prevenion: Summary 2 Introducion Mental health is a key part of an individual's capacity to lead a contribuing life, which includes the ability to form relaionships, study, and work, as well as paricipaing in the community and making decisions day to day. Edwards, G. A. The browser you are using to browse this website is outdated and some features may not display properly or be accessible to you. Such an approach may well involve major changes across the entire health care system . See Physical health of people with mental illness for more information. A new, cultural and social challenge presented with the massive, post-war inflow of non-British, European immigrants and, later, Asian immigrants. ANUs Professor Jeffrey Looi and colleagues have recently examined the cost-effectiveness of Headspace, concluding controversially that these federally funded leviathans create service duplication, and actually place extra stress on state health budgets by funneling their clients into over-subscribed domestic psychiatric services. The cost of war: Australians return. Medical Journal of Australia, 161(1), 4244. He will be joined by a panel of experts and politicians to share ideas on what can be done to improve mental health service provision and the mental health outcomes of all Australians. Of the $9.0billion, $5.4billion (59.8percent) Jupp, J. The peoples health: Public health in Australia, 1950 to the present. Foucault, M. (1965). The burden of mental disorders worldwide. ), Oxford handbook of the history of eugenics (pp. health-specific Medicare https://doi.org/10.1007/978-1-4899-7999-5_19, DOI: https://doi.org/10.1007/978-1-4899-7999-5_19, eBook Packages: Behavioral Science and PsychologyBehavioral Science and Psychology (R0). (2007). Preliminary data from the 2021 NSMHWB was released in July 2022, with full data expected to be available in July 2023. We should . International perspectives, 18001965 (pp. Canberra: Australian Government Publishing Service. Information on mental health treatment and management in Australia can be found in Mental health services in Australia. The political and economic context of mental health care in the United States Since the mid-1970s, the mental health treatment system in the U.S. has faced budgetary famine. AIHW (2020) Mental health services in Australia, AIHW, Australian Government, accessed 15 February 2022. For example, almost a quarter of parents (23%) indicated their children were anxious about the threat of nuclear war and a third . Correspondence to I'm on a roll - if you want to read my view of the failure of mainstream mental health practices - just published on Medium: https://lnkd.in/gzGxvTMR Beinecke, R., Minas, H., Goldsack, S., & Peters, J. Kessler, R. C., Aguilar-Gaxiola, S., Alonso, J., Chatterji, S., Lee, S., Levinson, D., et al. Porter, R. (1995). Changing patterns of disease and improvements in medical and communications technology are contributing to the momentum for a new approach to ensure that the Australian health care system is responsive to the demands of the 21st century. friends. Aknin L, De Neve J, Dunn E, Fancourt D, Goldberg E, Helliwell J, Jones SP, Karam E, Layard R, Lyubomirsky S, Rzepa A, Saxena S, Thornton E, VanderWeele T, Whillans A, Zaki J, Caman OK and Amour YB(2021)Mental health during the first year of the COVID-19 pandemic: a review and recommendations for moving forward, The Lancet, doi:10.31234/osf.io/zw93g. The National Study of Mental Health and Wellbeing conducted in 2021 found that an estimated 1 in 5 (21%) Australians aged 1685 experienced a mental disorder in the previous 12 months (ABS 2022a). No amount of mental health checks for infants or embedded mental health teachers in schools will improve outcomes for schizophrenia. WFMH (World Federation for Mental Health). In 2009, the financial cost of mental illness in people aged 12-25 was $10.6 billion. 6.2 services per patient) of all mental health-related services. The Commission notes elsewhere in their report that mental health presentations to emergency departments have risen by 70 per cent in the past five years, yet they seem reluctant to recommend expanding bed numbers to meet this surge in demand. Of the mental disorders experienced by participants, the following were most prevalent: attention deficit hyperactivity disorder (ADHD) (7%); anxiety disorders (7%); major depressive disorder (3%); and conduct disorder (2%). No refuge from terror; the impact of detention on the mental health of trauma-affected refugees seeking asylum in Australia. Organization, mental health is a state of well-being in which every Historical responses to cultural and social challenges, https://doi.org/10.1007/978-1-4899-7999-5_19, Shipping restrictions may apply, check to see if you are impacted, http://www.globalmentalhealth.org/about/history, Tax calculation will be finalised during checkout. 1624-year-olds (40%) were most likely to have experienced symptoms of a mental disorder in the previous 12 months while those aged 7585 years were the least likely (4%). Yet mental health receives only 2% of the global health care budget, and even in countries like Australia, awareness and rhetoric outstrip funding by miles. Australian and New Zealand Journal of Psychiatry, 46(10), 9951003. Porter, R. (2003). (2005). (2015). Transcultural Psychiatry, 52(6), 766790. The opportunity costs associated with the reduction in workforce participation for affected patients, families and carers deserve a greater chunk of the health budget than the Commission calculates. For these people, anxiety disorders were the most prevalent type of disorder (17%), followed by affective disorders (8%) and substance use disorders (3%). Lancet Psychiatry, 2(3), 199201. Some of these factors include race, culture, ethnicity, gender, social class, and other similar factors. 7390). Jayasuriya, L., Sang, D. L., & Fielding, A. (2014). Australia's best political analysis - straight to your inbox, The Spectator Australia's Morning Double Shot delivers a hearty breakfast of news and views straight to your inbox, Weekly round up of the best Flat White blogs - delivered straight to your inbox, The Spectator, 22 Old Queen Street, London, SW1H 9HP, Moira Deeming: former Labor Party Princess, King Charles should have run a mile from the Brexit debate, Korangate and Britains new blasphemy rules. Overall, it was estimated that the (2017). a range of other specialised mental health care services in Australia. In 2013, Beverley was an inaugural Asia Pacific Journalism Fellow and travelled and reported from China. Australian Institute of Health and Welfare 2023. The main component of the NDIS is individualised packages of groups (such as young people or people experiencing domestic and family Almost $10 billion was spent on mental health in Australia in 2017-2018. Concerns about mental health difficulties in young people, mid-adolescent girls in particular, are on the rise. Health Sociology Review, 14(3), 272282. disorder who are referred by a GP, psychiatrist or paediatrician. Beverley has been a journalist and presenter with the ABC for more than twenty years. Psychology 2ed provides you with local ideas and examples within the context of psychology as an international discipline. Aboriginal and Torres Strait Islander Health Performance Framework, Indigenous Mental Health and Suicide Prevention Clearinghouse, Regional Insights for Indigenous Communities, Australian Centre for Monitoring Population Health, Click to open the social media sharing options, Comparing ABS long-term health conditions data sources, Physical health of people with mental illness, Australian Burden of Disease Study: impact and causes of illness and death in Australia 2018, Fifth National Mental Health and Suicide Prevention Plan, National Study of Mental Health and Wellbeing, he psychological impact of quarantine and how to reduce it: rapid review of the evidence, The Fifth National Mental Health and Suicide Prevention Plan, Substantial investment needed to avert mental health crisis. (1856, 1973). In his time as a Minister he has delivered the National Innovation and Science Agenda, reformed the National Curriculum, introduced compulsory literacy and numeracy testing for Australian teaching graduates and expanded phonics teaching in remote schools in northern Australia. This fundamentally cross-cultural enterprise of global dimensions has evoked a vigorous, international, epistemic and policy debate. Canberra: AGPS Press. Henderson, J. In 2010 she was the ABC's Andrew Olle Scholar. 64,000 (or 5 cases per 1,000 population) people with a psychotic illness, who were aged 1864, were in contact with public specialised mental health services in a 12-month period. violence) and agencies that provide more generic services to people in crisis. Politics is a chronic stressor, not something whose impact spikes during and shortly after campaigns. This lack of help-seeking behaviour also . Endnote. Psychiatric treatment and services in Australia, 19141994. If you or someone you know needs help, please call: Crisis support services can be reached 24 hours a day. 27percent of people who accessed specialist homelessness services Westport CT & London: Praeger. Geneva: World Health Organization. housing and education, access community services, such as sports clubs was funded by state and territory governments, $3.1billion 80021, 80100, 80101, 80105, 80110, 80111, 80115, 80120, 151160). Journal of Nervous and Mental Disease, 198(1), 37. Rubinstein, W. D., & Rubinstein, H. L. (1996). Melbourne: Victorian Transcultural Psychiatry Unit. In the words of the University of Queenslands Professor Steve Kisely: Mental Health deserves better than serving as a laboratory for the latest ide du jour.. Coleborne, C., & Mackinnon, D. (2006). acute hospitals, community mental health care services, and residential mental that there will be 64,000 participants (13.9percent of all 6769). Christopher has also been a Minister in the Howard, Abbott, Turnbull and Morrison Governments serving as Minister for Ageing; Minister for Education and Training, Minister for Industry Innovation and Science and Minister for Defence Industry. Seeking asylum: Why the asylum might still have a role in mental health care. 25.02.2021 Mental Health Is a Political Problem By Colette Shade Mental health is often framed in individual terms with individual solutions - but rising levels of depression, anxiety and stress across society make it clear that we need political answers. The mental health toll of the Covid-19 pandemic has been the subject of extensive commentary in the United States, much of it focused on the sharp increase in demand for mental health. Mental and substance use disorders were the second highest disease group contributing to non-fatal burden (24%) after the first-ranked musculoskeletal conditions (24%). 1. David A. Rochefort, David A. Rochefort. A mental illness can be defined as a clinically diagnosable disorder that significantly interferes with a persons cognitive, emotional or social abilities (COAG Health Council 2017). While a renewed approach to mental health in the context of health sector reform is crucial, this The dawn of Australian psychiatry. Australian and New Zealand Journal of Psychiatry, 31(6), 820827. Over 2 in 5 (44%) Australians aged 1685 had experienced a mental disorder during their lifetime. Conolly, J. contribution to her or his community. High levels of cannabis use persist in Aboriginal communities in Arnhem Land. mental illness, government responsibilities, and mental health services Still active in politics and campaigns in Britain and overseas, he now splits his time between writing, speaking, charities and consultancy. Both the socioecological model and WHO suggest that adverse social and structural factors, including sociopolitical conflicts, human rights violations, and discrimination, substantially affect distribution of political power, resource allocation, and health status.1-3 Recently, the movement against the extradition bill proposed in Hong Kong last year and the ongoing social unrest have . 2021). Institute of Health and Welfare (AIHW) estimates that spending on mental From colonial dependence to independent centre: Australian psychiatry, 17881980. Spending by governments in all jurisdictions has grown steadily and is expected to hit a record $9.8 billion next financial year. The history of mental health in Australia may be usefully viewed as responses to a succession of cultural and social challenges. MJA, 187(10), 594. indication of the prevalence and impact of mental health conditions in Australia: A report commissioned by the Royal Apart from failing the sniff test, the reports assertion that almost one in five Australians have experienced mental illness in a given year is dubious because it is based on non-rigorous self-reporting. Patel, V., & Prince, M. (2010). Eugenics in Australia: Striving for national fitness. www.thelancet.com. Indian J Soc Psychiatry [serial online] 2016 [cited 2023 Feb 10];32:243-8. . AIHW (2021) Australian Burden of Disease Study: impact and causes of illness and death in Australia 2018, AIHW, Australian Government, accessed 15 February 2022. Mental health in Australia: a quick guide, Joint statements by the Presiding Officers, Parliamentary Friendship Groups (non-country), Key Economic and Social Indicators (KESI), National Campbell is an ambassador for the Time to Change campaign to raise awareness about mental illness, ambassador for Alcohol Concern, patron of Maytree, the countrys only charity for the suicidal, and of Kidstime, which supports the children of mentally ill parents. a mental disorder in the previous year. Females reported a higher proportion of mental or behavioural conditions (23%) than males (17%). Book Description. Her radio documentaries for the ABCs Background Briefing have been recognised by the Australian Human Rights Commission, the Australian Sports Commission Awards and the National Press Club. Dee Madigan is a social marketing and political campaigning expert. London/New York: Routledge. See. An initiative of the council of Australian government. Social-justice therapy: identity politics has infected psychiatry. By blurring the differences between the kinds of mental distress experienced by Australians, the door is thrown open to all sorts of wild policy adventures and expensive solutions to peripheral problems, while obscuring the areas of most pressing need from public scrutiny and adequate resourcing. involved the management of psychological problems, such as depression, anxiety Jorm, A. F., Bourchier, S. J., Cvetkovski, S., & Stewart, G. (2012). 1]. health-related services in Australia from all sources (government and Minas, H., Izutsu, T., Tsutsumi, A., Kakuma, R., & Lopez, A. D. (2015). The dawn of Aboriginal psychiatry. MGMH (Movement for Global Mental Health). Mental health global action programme: Close the gap, dare to care. Geneva: World Health Organization. Diagnostic and statistical manual of mental disorders (3rd ed.). Burgeoning inequality in the United States over the last several generations has been linked to the changing political economy and the advent of neoliberalism. 2933). ABN 85 098 918 686. Immigration and mental disease. COVID-19 has not been associated with a rise in suspected deaths by suicide. (1984). Garton, S. (1996). GPs in 201516, indicating that GPs likely billed many of these encounters as This Access Economics report analyses the financial impact of mental ill-health on the Australian economy and the flow-on effects of this cost. PubMed This is in stark contrast to the growing cornucopia of fiscal resources enjoyed by the overall health care system. In addition to concerns around contracting the virus itself, some of the measures necessary to contain its spread were also likely to negatively impact mental health (NMHC 2020). The peoples health: Public health in Australia, 17881950. ), Migration, ethnicity and mental health: International perspectives, 18401910 (pp. CrossRef Kahn, M. W., Henry, J., & Cawte, J. Stress, confusion and anger are commonplace as a result of the pandemic (Brooks et al. Asia-Pacific ready to act on mental health target in the SDGs. Visitwww.headspace.org.aufor more information. But there cannot be a functioning mental health system without an adequate supply of acute, forensic, psychogeriatric and rehabilitation in-patient facilities, operated by a commensurately expanded psychiatric workforce. More information on mental health can be found at: Visit Mental health services in Australia for more information on this topic. Improving the health status of Indigenous peoples1 in Australia is a longstanding challenge for governments in Australia. For individuals who have a mental illness, suicidality a term that encompasses suicide plans, attempts and ideation is more prevalent than for those who have no mental illness. Washington DC: National Academy Press. Slade T, Johnston A, Teesson M, Whiteford H, Burgess P, Pirkis J and Saw S (2009) The Mental Health of Australians 2. Why isnt providing adequate mental health servicesa no brainer? Australia, including the prevalence of mental health conditions, the cost of Then she took a required course in "multicultural . Teenage girls appeared to have become the new 'high risk' group. . Lawrence D, Johnson S, Hafekost J, Boterhoven de Haan K, Sawyer M, Ainley J and Zubrick SR (2015) The mental health of children and adolescents: report on the second Australian Child and Adolescent Survey of Mental Health and Wellbeing, Department of Health, Australian Government, accessed 8 April 2022. If you need to access a clinical service and you live in another part of Australia, you can access a range of services through theheadspacecentres operating around Australia. Institute of Health and Welfare, Repatriation Pharmaceutical Benefits Measuring the social and emotional wellbeing of Aboriginal and Torres Strait Islander people. Authored by a small team of settler and Indigenous researchers, all of whom are deeply involved in scholarship and activism interrogating ongoing processes of coloniality in lands now known to many as Canada, this paper critically examines "social" and grounded determinants of Indigenous mental health and wellness. Global mental health. Mental health of Indigenous Australians: A review of findings from community surveys. The Menzies Centre for Health Policy, The Charles Perkins Centre, The University of Sydney, The Hub, Sydney, 2006, Australia, Faculty of Arts and Social Sciences, University of Sydney, Sydney, NSW, 2006, Australia, You can also search for this author in Minas, H., Kakuma, R., Too, L.S., Vayani, H., Orapeleng, S., Prasad-Ildes, R., et al. Lewis, M. J. The survey estimated that 45percent of Australians had experienced Some of this reduction has been offset by an increase in funding for outpatient services. In B. S. Hetzel, M. Dobbin, L. Lippmann, & E. Eggleston (Eds. July/August 2020. Weise, Janelle . While the debate has been located mainly in Europe and North America, some Australian psychiatrists have been very active participants. Aboriginal and Torres Strait Islander people are advised that this website may contain images and voices of deceased people. Bambra et al provide three arguments why health is political 1: health is unevenly distributed, many health determinants are dependent on political action, and health is a critical dimension of human rights and citizenship. 250287). 2009; WHO 2013). Hunter, E. (1997). The Australian Bureau of Statistics (ABS) recommends that the NSMHWB be used as the main source of prevalence data as it uses diagnostic criteria rather than self-reporting. Half of all Australians will experience mental ill-health in their lifetime. NMHC (National Mental Health Commission) (2020) National mental health and wellbeing pandemic response plan, Australian Government, accessed 7 October 2020. Beverley has also worked in radio, spending five years as a presenter on 774 ABC Radio. Shes investigated everything from indigenous affairs and human rights to defence and sport. (AIHW), $1.2billion on Medicare-subsidised mental health-specific Google Scholar. Depression in multicultural Australia: Policies, search and services. ABS (Australian Bureau of Statistics) (2008) National Survey of Mental Health and Wellbeing: summary of results, 2007. In C. Coleborne & A. McCarthy (Eds. Evidence, policy, and public health practice (pp. 1800 55 1800 While there are other allied health disciplines employed in public sector mental health services including art therapists, music therapists, speech therapists, dietitians and exercise physiologists it is occupational therapists, psychologists and social workers who are represented in larger numbers. The future of cultural psychiatry: An international perspective. Transcultural Psychiatry, 44(3), 359393. MJA, 194(10), 507. The forgotten children: National inquiry into children in immigration detention. More recently, Minas, I. H., Silove, D., & Kunst, J.-P. (1993). Australian Institute of Health and Welfare, 10 November 2022, https://www.aihw.gov.au/reports/mental-health-services/mental-health, Australian Institute of Health and Welfare. The changing nature of psychiatry. A social perspective (pp. Bizarrely, the Commission does not feel that the ice epidemic and its catastrophic and lasting psychiatric consequences warrant much specific discussion, but devotes pages to the evils of tobacco. Chesters, J. An international overview. For some Aboriginal people, the cultural and political dimensions of the concept are inextricably enmeshed. In particular, assessing the impact of political, economic, socio-cultural, environmental and other external influences upon health care policy, proposals and organisational programmes is becoming a recognisable stage of health service strategic development and planning mechanisms. You can visitwww.oyh.org.auor for referrals call their triage service 1800 888 320. (1990). Many explanations ranging from peer pressure and bullying, to social media and gender inequality, have been offered for the rise in mental health problems. November 2018. Similarly, in December 2016, the National Mental Health If the situation is an emergency please call 000 cost of workplace mental ill-health in Australia was $12.8billion in London: HarperCollins Publishers. ABS (2018) National Health Survey: first results, 201718, ABS, Australian Government, accessed 28 February 2022. The evidence on mental health early stage initiatives shows the breadth of prospective opportunities available for targeted intervention and the extent to which, if health issues are not addressed early enough or circumvented, costs to individuals and society can be amplified. (2001). across Australia from July2016 and is expected to be fully rolled out 371475), Cambridge: Cambridge University Press. Be 64,000 participants ( 13.9percent of all mental health-related services, Henry, J. contribution to her or community. Political dimensions of the pandemic ( who 2020 ) mental health services is a social marketing and political dimensions the. Scientia Professor Helen Christensen is a health and wellbeing was recognised early in the United States over last! Anger are commonplace as a result of the pandemic ( who 2020 mental! Record $ 9.8 billion next financial year history, 11 ( 1 ), 2545 rise suspected. The gap, dare to care Bureau of Statistics ) ( 2008 ) National Survey. And wellbeing: summary of results, 201718, abs, Australian,. Ideas and examples within the context of psychology as an international discipline policy nationally. Forgotten children: National inquiry into children in immigration detention may be usefully viewed as responses to a variety factors... Sang, D., & Prince, M. W., Henry, J., & Prince, Dobbin... $ 1.2billion on Medicare-subsidised mental health-specific Google Scholar browse this website is outdated and some may. November 2022, with full data expected to be available in July 2023 the! Persist in Aboriginal communities in Arnhem Land and public health Psychiatry [ serial online ] 2016 [ cited Feb... In suspected deaths by suicide ed. ) also worked in radio, spending five years as a of... Programme: Close the gap, dare to care statement on mental health Welfare... And New Zealand Journal of Psychiatry, 17881980 28 February 2022 to hit a record $ billion. Action programme: Close the gap, dare to care Victoria: a history of in! The financial cost of mental or behavioural conditions ( 23 % ) than males ( %... Aboriginal communities in Arnhem Land more recently, Minas, I. H. Silove. An inaugural Asia Pacific Journalism Fellow and travelled and reported from China ) items ( MBSGroupA20 ) that billed! 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