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Under the mid-morning sun beaming down over the Garma Festival site in Northeast Arnhem Land, the Garrtjambal auditorium is filled with the hum of people finding their seats and finishing their cups of coffee.

But as Yothu Yindi Foundation CEO Denise Bowden takes the stage, a sharp focus stills the air.

The power of her words reverberates across the main forum.
Some in the crowd sit in quiet respect, others dab away tears as harsh realities are laid bare.

“Despite the success that you see around you here, during your short stay on Gumatj Country, you will leave behind a world that remains in crisis mode,” Denise Bowden said in her address to the main forum on Saturday.

‘A destructive tide that keeps breaking’

Bowden has been the Chief Executive of the Yothu Yindi foundation and the director of the Garma Festival for years.
This year, the 25th anniversary of Garma Festival’s founding, she addressed one of the most pressing health issues of the region, rheumatic heart disease (RHD).
RHD is the most critical form of acquired heart disease in children and young adults living in developing countries.

Beginning as a bacterial infection on the skin or in the throat, if untreated it causes permanent damage to heart valves.

Despite that, RHD continues to disproportionately affect Aboriginal and Torres Strait Islander Peoples especially in remote regions.
Citing a 2018 study by Medical Journal of Australia, Ms Bowden said one in 10 young people in the nearby remote community of Maningrida live with RHD.
“That is the highest-ever recorded rate in the world for RHD,” Ms Bowden said.
“Not even in sub-Saharan Africa is there a higher rate of RHD.
“And it certainly does not exist in the non-Aboriginal community.

“Imagine if it did.”

NT incarceration second to El Salvador

Ms Bowden also highlighted the rapidly increasing rates of Indigenous incarceration in the Northern Territory, the highest in the country with over 1 per cent of its population incarcerated.

The incarceration rate in the Northern Territory is 1,238 per 100,000 people.

Worldwide, the NT is second only to El Salvador where the rate is 1659.
In Australia, the NT’s incarceration rate is three times greater than next worst, which is WA.
“This is a crisis that was decades in the making and is getting worse not better,” she said.

“We know that this problem is related to systemic failures right throughout the systems of government and that only when those structural issues are solved will the dysfunction that leads to incarceration improve.”

A call to action

Though not shying away from some of the region’s harsh realities, Ms Bowden was also quick to praise the festival’s continuing legacy of achieving results for Yolngu people.
She encouraged attendees not to forget the area and its peoples when the tents are pulled down and the busses roll out.
“The Garma stamp is now an important part of the cultural, political and economic life of our great Australian nation,” Ms Bowden said.
“The heartbeat of Garma lies in the challenge to reconcile this past, with the reality of the present.
“Don’t leave Garma and put things on endless repeat. Don’t be fooled into thinking your attendance here is enough.

“Action is needed now.”

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