President’s update: Optus outage, illegal tobacco and science-led advocacy
In a fortnight marked by public health challenges, emergency response failures and misleading claims, AMA SA has stood firm in championing science-led, evidence-based healthcare. In his latest President’s Update Associate Professor Peter Subramaniam reflects on AMA SA’s responsibility to speak up for doctors and patients.

The past fortnight has underscored the importance of advocating for science-led, evidence-based public health in our community and the vital role AMA SA plays in this.
In recent media engagements, we:
Supported the South Australian Government’s needle-free influenza vaccination program for young children, emphasising the importance of GP-led delivery.
Reaffirmed that paracetamol remains the safest option for pain relief during pregnancy, despite misleading claims.
Highlighted the health and social harms associated with the rise in illicit tobacco sales.
Commented on the risks of accessing online medications without medical oversight and guidance, as the TGA formally issued a warning about the dangers of purchasing melatonin from unregulated online sources.
- Highlighted the serious risks to South Australians from the Optus outage, which occurred on 18 September and prevented many from making triple zero calls. It reportedly contributed to multiple deaths, including at least one in our state. AMA SA has called for urgent action to restore public confidence in emergency communications and ensure such failures cannot happen again.
AMA SA has consistently advocated for policies and reforms that help South Australians live active, healthy and fulfilling lives – now and into the future. For patients, this involves making informed lifestyle and medical choices and also having access to the right doctor who can deliver necessary healthcare at the right time. As we look ahead to next year’s state election, this will remain a key focus.
While our core mission is to represent and support doctors, it’s also about standing up for our patients. A longstanding commitment to public health and evidence-based advocacy has earned AMA SA a respected voice in the community.
Leading by example
I’d like to extend my congratulations to Arkaba Medical Centre and its Director, AMA SA Councillor Dr Vikas Jasoria, on being named the General Practice of the Year by the Royal Australian College of General Practitioners.
Arkaba Medical Centre exemplifies patient-centred care through its GP-owned and operated model, integration with community pharmacy, and commitment to teaching the next generation of GPs, doctors, and nurses.
During the COVID-19 pandemic, the centre led the way with South Australia's first GP-led respiratory clinic and the largest centrally located GP-led vaccination hub in the state – a testament to its leadership, innovation, and dedication to public health.
Living by example
Speaking of leading by example, I continue to be inspired by some of our patients who show us how it’s done! Some years ago, I performed carotid surgery on Mr Nicola Brasile who, despite his many health challenges, maintains his daily morning circuits around the Glenunga Oval. On most Tuesday mornings I bump into him as I run home to get my day started after completing a personal training session. His determination, optimism, and choices at age 88 make him a true exemplar of living by example.

As always, I am keen to hear from you if you have concerns, thoughts or contributions that we can work on together. Please contact me on email at president@amasa.org.au.