Australia Yearbook - 2001

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378 Year Book Australia 2001 Fertility, family size and overcrowding As the fertility of women decreased, the average number of births for women less than 45 years old fell from around seven before 1900 to three in 1920s (Williams 1989). This meant fewer children to look after, less crowding in housing and better provision of those things essential for good health for the children. In 1920s and 1930s there were still many living in crowded and poor industrial areas of large cities and in poor rural areas in inadequate housing and conditions, and unemployment made it hard for families, even those of smaller size, to provide for their children. Advances in medical science Throughout the century, scientific discoveries started to impact upon health and medical services. Before World War II few vaccines were available, the most significant for children being diphtheria and tetanus antitoxoid. Pertussis, polio and other viral vaccines soon followed. The impact of polio on deaths in young children and teenagers is shown in graph C6.11; the graph does not show the large numbers of young people permanently paralysed due to this virus. The effect of vaccination was dramatic (Ada and Isaacs 2000). C6.11 DEATHS DUE TO POLIOMYELITIS, By Age—1922 to 1998 Rate(a) 0to4 5to14 12.5 15 to 19 10.0 0.0 1922 1928 1935 1942 1949 1956 1963 1970 1977 1984 1991 1998 (a) Rate per 100,000 population. Source: AIHW Mortality Monitoring System. 7.5 5.0 2.5 no.(a) 80 C6.12 INVASIVE HIB DISEASE IN AUSTRALIA 60 40 20 0 Jan 1990 Jan 1992 Jan 1993 Jan 1994 Jan 1995 Jan 1996 Jan 1997 Jan 1998 Jan 1999 Jan 2000 (a) Number of cases. Source: Communicable Diseases Network–Australia New Zealand—National Notifiable Diseases Surveillance System.
Chapter 9—Health 379 There continue to be success stories with new and effective infant vaccines. In 1980s Haemophilus influenzae (Hib) was the most serious infection in young children (graph 6.12). Invasive Hib disease (meningitis, septicaemia) had a high case fatality, particularly among Indigenous infants, and left many surviving children with severe intellectual and physical disabilities (Hanna 1992). Parents’ fear of polio in the 1950s and of meningitis in the 1990s resulted in high levels of participation in these vaccination programs. As the incidence and severity of infections has fallen, parents have become apathetic about vaccination and some actively oppose it. Because of its very effectiveness, vaccination is regarded by a significant proportion of the community as unnecessary or dangerous. Yet its success to prevent disease depends upon high rates of participation. Current rates of vaccination in Australian children are less than those in Viet Nam; this is another public health challenge for us in the 21st century. Sulphonamides to treat infections were introduced in early 1940 and penicillin, dramatically effective against Streptococcal infections including bacterial meningitis, became available immediately after World War II. Other antibiotics followed, and the death and complication rates of all bacterial infections fell markedly (Williams 1989). However the excessive use of antibiotics has resulted in increasing numbers of organisms resistant to their effects. This situation is extremely worrying and makes the case for primary prevention even more powerful. From 1945 until 2000, with infectious disease rates very low, and other public health measures almost taken for granted, medical care began its revolutionary impact on illness and death. Children were to be beneficiaries of new knowledge in biomedical science as well as from the specialisation in paediatric care. The sciences of physiology, biochemistry and pathology blossomed throughout the 20th century, following fast on the tracks of bacteriology. Knowledge about how the body worked and how diseases were caused meant that diagnosis became accurate and treatments more focused and effective. X-rays, surgery and anaesthesia, fluid and electrolyte metabolism, chemotherapy and other drugs such as those for epilepsy, pain relief and many disorders, have been so effective that many now believe that everything can be cured or will be very soon. Public health, once centre stage and still vital, is often ignored. Child illnesses in the 20th century Morbidity and disability While death rates in the early decades of 20th century probably reflected the occurrence of illness reasonably well, the rarity of death among children now means that death rates do not reflect the burden of illness and disability affecting our children and youth. Morbidity data for all Australian children are available via surveys, such as the National Health Survey, and from data collated by AIHW. And some States, such as WA, have good record-linked and special survey data to describe the recent pattern of child and adolescent morbidity (Stanley, Read et al. 1997). The rise of complex disease—the challenge of the late 20th century Improvements in social and economic circumstances in Australia have changed the face of child health. Similar to other developed countries, we have observed increases in ‘complex’ diseases in the cohorts of children born in the last three decades. Suicide and mental health morbidities have been described already and appear to be related to the social changes in our communities. The increased rates of cerebral palsy in very preterm and low birthweight survivors following the introduction of intensive care are an unwelcome outcome of effective technologies aimed at reducing deaths (Stanley, Blair et al. 2000). Two other examples are asthma and juvenile diabetes, both of which have increased considerably. They head a list of complex disorders which have taken over from infectious diseases as the most serious threats to the health of our young people. A review of population data and national health surveys (Bauman 1993) showed an increase in asthma symptoms, such as recent and cumulative wheeze and diagnosed asthma between the 1970s and 1990s (graph C6.13).
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2001 YEAR BOOK AUSTRALIA
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2001 YEAR BOOK AUSTRALIA This editi
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ISSN 0312-4746 © Commonwealth of A
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14 Environment 577 15 Agriculture 6
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Year Book Australia 2001 ix Year Bo
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1 Geography and climate Introductio
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4 Year Book Australia 2001 Landform
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6 Year Book Australia 2001 Today a
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10 Year Book Australia 2001 1.6 MON
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38 Year Book Australia 2001 The map
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48 Year Book Australia 2001 A centu
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Political parties 69 The party syst
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68 Year Book Australia 2001 Territo
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3 International relations Introduct
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Chapter 3—International relations
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4 Defence Introduction 117 Australi
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118 Year Book Australia 2001 Evolut
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122 Year Book Australia 2001 Defenc
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126 Year Book Australia 2001 Biblio
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Chapter 5—Population 129 Introduc
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Chapter 5—Population 131 5.1 ESTI
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Chapter 5—Population 133 Million
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Chapter 5—Population 135 5.8 ESTI
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Chapter 5—Population 137 2008-09,
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Chapter 5—Population 139 5.14 POP
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Chapter 5—Population 141 5.16 EST
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Chapter 5—Population 143 5.19 RUR
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Chapter 5—Population 145 0-14 yea
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Chapter 5—Population 147 Deaths I
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Chapter 5—Population 157 5.42 CRU
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Chapter 5—Population 159 Series A
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Chapter 5—Population 161 immigrat
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Chapter 5—Population 163 Separati
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Chapter 5—Population 165 Western
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Chapter 5—Population 167 Bibliogr
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Chapter 5—Population 169 A centur
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Chapter 5—Population 171 C4.3 POP
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Chapter 5—Population 173 C4.6 CUM
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Chapter 5—Population 175 C4.9 TOT
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Chapter 5—Population 177 '000 100
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Chapter 5—Population 189 Age and
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Chapter 5—Population 197 The Indi
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Chapter 5—Population 203 C4.42 UR
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Chapter 5—Population 205 Overall,
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Chapter 5—Population 207 Endnotes
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Chapter 5—Population 209 Glover,
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6 Labour Introduction 213 Labour ma
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214 Year Book Australia 2001 6.1 TH
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216 Year Book Australia 2001 6.3 LA
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218 Year Book Australia 2001 Table
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222 Year Book Australia 2001 Undere
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246 Year Book Australia 2001 Althou
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7 Income and welfare Introduction 2
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Chapter 7—Income and welfare 251
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Chapter 8—Housing 299 Introductio
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Chapter 8—Housing 301 8.3 DWELLIN
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Chapter 8—Housing 303 8.6 NUMBER
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Chapter 8—Housing 305 Home owners
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Chapter 8—Housing 307 For many ho
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Chapter 8—Housing 315 Home purcha
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Chapter 8—Housing 317 assistance,
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Chapter 8—Housing 319 Dwellings a
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Chapter 8—Housing 321 8.22 HOUSIN
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Chapter 8—Housing 323 Bibliograph
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Private health insurance 358 Health
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Chapter 11—Crime and justice 449
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Film and video distribution 513 Mot
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500 Year Book Australia 2001 railwa
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502 Year Book Australia 2001 Memori
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506 Year Book Australia 2001 docume
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508 Year Book Australia 2001 Archiv
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532 Year Book Australia 2001 Biblio
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534 Year Book Australia 2001 Accoun
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538 Year Book Australia 2001 museum
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540 Year Book Australia 2001 twenti
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546 Year Book Australia 2001 Museum
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558 Year Book Australia 2001 within
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560 Year Book Australia 2001 5 Thes
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13 Industry overview Introduction 5
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566 Year Book Australia 2001 Measur
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568 Year Book Australia 2001 Table
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570 Year Book Australia 2001 indust
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572 Year Book Australia 2001 Change
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574 Year Book Australia 2001 Chapte
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14 Environment Introduction 579 Env
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580 Year Book Australia 2001 Graph
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582 Year Book Australia 2001 % 100
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602 Year Book Australia 2001 The Au
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604 Year Book Australia 2001 Local
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606 Year Book Australia 2001 Cooper
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608 Year Book Australia 2001 OECD,
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Meat production and slaughtering 64
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612 Year Book Australia 2001 § Lan
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614 Year Book Australia 2001 § Rel
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642 Year Book Australia 2001 Signif
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16 Forestry and fishing Introductio
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Chapter 16—Forestry and fishing 6
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17 Mining Introduction 671 Article
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Chapter 17—Mining 671 Introductio
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Chapter 17—Mining 673 opened. Aus
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Chapter 17—Mining 675 Over 60% of
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Chapter 17—Mining 677 Turnover in
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Chapter 17—Mining 679 17.4 MINERA
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Chapter 17—Mining 681 Iron ore Re
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Chapter 17—Mining 685 17.6 PRIVAT
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Chapter 17—Mining 687 Australian
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Chapter 17—Mining 689 Bibliograph
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Chapter 18—Energy 693 Introductio
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Chapter 18—Energy 695 18.3 ENERGY
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Chapter 18—Energy 697 18.6 AUSTRA
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Chapter 18—Energy 699 Black coal
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Chapter 18—Energy 701 18.13 TOTAL
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Chapter 18—Energy 703 In 1996-97
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Chapter 18—Energy 705 18.18 CARBO
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Chapter 18—Energy 707 Bibliograph
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19 Manufacturing Introduction 711 A
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20 Construction Introduction 731 Pe
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21 Service industries Introduction
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Chapter 21—Service industries 749
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22 Tourism Introduction 785 Economi
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788 Year Book Australia 2001 22.4 V
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790 Year Book Australia 2001 Visito
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792 Year Book Australia 2001 Inboun
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23 Transport Introduction 801 Trans
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Chapter 23—Transport 801 Introduc
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Chapter 23—Transport 803 New Sout
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Chapter 23—Transport 805 23.8 COA
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Chapter 23—Transport 807 Domestic
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Chapter 23—Transport 809 23.16 SC
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Chapter 23—Transport 811 23.20 RO
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Chapter 23—Transport 813 Contribu
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Chapter 23—Transport 817 23.30 MO
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Chapter 23—Transport 821 and Niss
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Chapter 23—Transport 823 The comp
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Chapter 28—Prices 945 Introductio
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Chapter 28—Prices 947 28.1 CONSUM
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Chapter 28—Prices 949 Year 28.3 C
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Chapter 28—Prices 951 28.6 CONSUM
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Chapter 28—Prices 953 28.7 Wages
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Chapter 28—Prices 955 Price index
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Chapter 28—Prices 961 28.15 INTER
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Chapter 28—Prices 963 Sep 1998 28
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Chapter 29—National accounts 969
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30 International accounts and trade
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1002 Year Book Australia 2001 earne
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1006 Year Book Australia 2001 Inter
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1014 Year Book Australia 2001 A cen
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1016 Year Book Australia 2001 Inter
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1018 Year Book Australia 2001 Forei
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1022 Year Book Australia 2001 Endno
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1024 Year Book Australia 2001 Altho
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1026 Year Book Australia 2001 Total
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1032 Year Book Australia 2001 Merch
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1036 Year Book Australia 2001 The l
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1038 Year Book Australia 2001 Modes
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Year Book Australia 2000 1043 List
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Year Book Australia 2001 1045 Ackno
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Year Book Australia 2001 1047 Dr An
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Year Book Australia 2001 1051 Index
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Year Book Australia 2001 1053 motor
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Year Book Australia 2001 1055 Austr
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Year Book Australia 2001 1057 busin
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Year Book Australia 2001 1059 coast
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Year Book Australia 2001 1061 crowd
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Year Book Australia 2001 1063 Dwyer
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Year Book Australia 2001 1065 field
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Year Book Australia 2001 1067 gover
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Year Book Australia 2001 1069 elect
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Year Book Australia 2001 1071 input
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Year Book Australia 2001 1073 leisu
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Year Book Australia 2001 1075 Milit
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Year Book Australia 2001 1077 natur
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Year Book Australia 2001 1079 Partn
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Year Book Australia 2001 1081 taxes
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Year Book Australia 2001 1083 rice
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Year Book Australia 2001 1085 sight
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Year Book Australia 2001 1087 pensi
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Year Book Australia 2001 1089 unemp
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Year Book Australia 2001 1091 WoolS
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Australia Yearbook - 2001

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