Can Skin Infection With Group A Streptococcus Cause Acute Rheumatic Fever?
Funder
National Health and Medical Research Council
Funding Amount
$459,450.00
Summary
It is traditionally taught that the cause of acute rheumatic fever (ARF) is always infection of the throat with the bacterium group A streptococcus (GAS). However, in Aboriginal communities of the Top End of the Northern Territory the incidence of ARF is the highest reported in the world, yet GAS is uncommonly isolated from the throat. There is further information to suggest that GAS skin sores may underlie many cases of ARF. If this were proven, it would completely alter the traditional view of ....It is traditionally taught that the cause of acute rheumatic fever (ARF) is always infection of the throat with the bacterium group A streptococcus (GAS). However, in Aboriginal communities of the Top End of the Northern Territory the incidence of ARF is the highest reported in the world, yet GAS is uncommonly isolated from the throat. There is further information to suggest that GAS skin sores may underlie many cases of ARF. If this were proven, it would completely alter the traditional view of the cause of ARF, and have important implications for prevention of ARF around the world. Presently, these approaches focus on diagnosing and treating sore throat, but no country has proven that such a program can be successful in substantially reducing new cases of ARF. If it was known that skin infection could lead to ARF, then countries (including Australia) could emphasise the importance of skin health programs. A further benefit of this knowledge would be to influence GAS vaccine development, which presently is largely focused on the prevention of sore throat. A different possibility has recently been raised - that the cause of ARF may not always be GAS, but instead that the related bacteria GCS and GGS may have the potential to cause this disease. Proof of this hypothesis would even more dramatically alter our understanding of disease causation, prevention, and vaccine development. We propose to determine the cause of ARF in Aboriginal communities by regularly swabbing families of people with a history of ARF, and using genetic fingerprinting of the bacteria from the skin and throat swabs. When cases of ARF occur, we will be able to determine the site and type of infection that precipitated the attack. We will conduct a related study in more communities, in which we will swab family members of people with ARF and of control families (without ARF) to determine the bacteria most commonly isolated from ARF families.Read moreRead less
The National First Nations Research Network will mark a transformation in First Peoples livelihoods and Health Equity. Delivered and led by Indigenous Peoples for Indigenous Peoples, guided by self-determination, this Network will nurture culturally safe environments, connect expertise, catalyse research methods, training and development. The Network will create career pathways to achieve national capability and generational growth, for sustained health and wellbeing of our communities.
Bushfire smoke and the relationship between human and landscape health. A team of landscape ecologists, environmental chemists and public health specialists will determine the ecological causes and adverse health effects of different levels of bushfire smoke in Darwin. Darwin is an ideal setting for this research because the only source of air pollution is the high incidence of controlled and uncontrolled bushfires during the dry season causing variable air quality: a preliminary study found a ....Bushfire smoke and the relationship between human and landscape health. A team of landscape ecologists, environmental chemists and public health specialists will determine the ecological causes and adverse health effects of different levels of bushfire smoke in Darwin. Darwin is an ideal setting for this research because the only source of air pollution is the high incidence of controlled and uncontrolled bushfires during the dry season causing variable air quality: a preliminary study found a link between smoke pollution levels and asthma. The findings of the proposed research will contribute to improved fire management practices to reduce injurious smoke pollution events and contribute to setting appropriate national air quality standards.Read moreRead less
Modelling and control of mosquito-borne diseases in Darwin using long-term monitoring. Management of mosquito populations is a high public health priority because these insects can spread diseases such as malaria, dengue, Ross River virus, Barmah Forest virus, Murray Valley encephalitis, Japanese encephalitis and Kunjin/West Nile virus. Our research into the effectiveness of mosquito control programs in Darwin is of immediate national relevance and priority given the need to Safeguard Australia ....Modelling and control of mosquito-borne diseases in Darwin using long-term monitoring. Management of mosquito populations is a high public health priority because these insects can spread diseases such as malaria, dengue, Ross River virus, Barmah Forest virus, Murray Valley encephalitis, Japanese encephalitis and Kunjin/West Nile virus. Our research into the effectiveness of mosquito control programs in Darwin is of immediate national relevance and priority given the need to Safeguard Australia from invasive diseases. There is an urgency to undertake our research because global environmental change and increasing movements of people (particularly military personnel) from overseas regions where these diseases are endemic is increasing the vulnerability of northern Australia to the (re)establishment of mosquito borne diseases.Read moreRead less
Fostering Aboriginal sexual well-being by building on strengths. This project aims to use a strengths-based approach to examine how Aboriginal young people draw on social, cultural and personal resources to build their sexual well-being. Many Aboriginal Australians see strengths approaches as essential to addressing disadvantage. However, to date they have not been widely used to address the significant sexual health inequalities experienced by Aboriginal young people. The project will create ne ....Fostering Aboriginal sexual well-being by building on strengths. This project aims to use a strengths-based approach to examine how Aboriginal young people draw on social, cultural and personal resources to build their sexual well-being. Many Aboriginal Australians see strengths approaches as essential to addressing disadvantage. However, to date they have not been widely used to address the significant sexual health inequalities experienced by Aboriginal young people. The project will create new knowledge about ‘what works’ in supporting the sexual well-being of Aboriginal young people, that has relevance to a broad range of disciplines beyond the area of health and well-being.Read moreRead less
CENTRE OF RESEARCH EXCELLENCE TO REDUCE INEQUALITY IN HEART DISEASE
Funder
National Health and Medical Research Council
Funding Amount
$2,607,253.00
Summary
There is increasing recognition of a societal responsibility to provide effective and sustainable health care to the entire population and not just to selected parts. Indigenous and regional Australians are most affected by Australia's biggest killer - heart disease. In response, the CRE to Reduce Inequality in Heart Disease, is a national collaboration of researchers from a range of health disciplines. Together they aim to address this problem by developing sustainable and cost-effective health ....There is increasing recognition of a societal responsibility to provide effective and sustainable health care to the entire population and not just to selected parts. Indigenous and regional Australians are most affected by Australia's biggest killer - heart disease. In response, the CRE to Reduce Inequality in Heart Disease, is a national collaboration of researchers from a range of health disciplines. Together they aim to address this problem by developing sustainable and cost-effective health care services.Read moreRead less
Challenges, Possibilities and Future Directions: A National Assessment of Australia's Children's Courts. Children's Courts occupy a unique position in the child welfare and juvenile justice systems in responding to often marginalized delinquent youth and vulnerable children and families. Philosophical and structural shifts in Australia and overseas suggest community and legal system responses are often ineffective and contribute to longer-term problems, creating social challenges for governments ....Challenges, Possibilities and Future Directions: A National Assessment of Australia's Children's Courts. Children's Courts occupy a unique position in the child welfare and juvenile justice systems in responding to often marginalized delinquent youth and vulnerable children and families. Philosophical and structural shifts in Australia and overseas suggest community and legal system responses are often ineffective and contribute to longer-term problems, creating social challenges for governments and communities alike. This national study will examine how key stakeholders, including, significantly, judicial officers, view the Children's Court's contemporary responses and challenges, their preferred alternatives responses and the viability of suggested reforms, thus offering a unique contribution to informing legal and social policy change.Read moreRead less
Linkage Infrastructure, Equipment And Facilities - Grant ID: LE180100053
Funder
Australian Research Council
Funding Amount
$358,031.00
Summary
A national facility for the analysis of pyrogenic carbon. This project aims to develop a national facility for pyrogenic carbon analysis. Pyrogenic carbon is a poorly constrained, slow-cycling terrestrial carbon pool with significant carbon sequestration potential. The project expects to expand the newly developed hydrogen pyrolysis analytical capability to provide high throughput, robust measurement of the abundance and isotope composition of pyrogenic carbon in soils and sediments. This will p ....A national facility for the analysis of pyrogenic carbon. This project aims to develop a national facility for pyrogenic carbon analysis. Pyrogenic carbon is a poorly constrained, slow-cycling terrestrial carbon pool with significant carbon sequestration potential. The project expects to expand the newly developed hydrogen pyrolysis analytical capability to provide high throughput, robust measurement of the abundance and isotope composition of pyrogenic carbon in soils and sediments. This will provide significant benefit, such as the ability to make significant advances in areas as diverse as geochronology, archaeology, palaeoecology, soil science geomorphology and carbon cycle/sequestration science.Read moreRead less
Modelling the Causes of Regional Disparities across Australia. This project aims to explain the changing patterns of regional economic performance across Australia between 2001-2011 in the context of two developments: major structural shifts in world trade and commodity prices spawning massive mining growth and negative exchange rate impacts elsewhere (for example, manufacturing); and the financial crisis ending the credit boom leaving east coast economies struggling. The resulting regional disp ....Modelling the Causes of Regional Disparities across Australia. This project aims to explain the changing patterns of regional economic performance across Australia between 2001-2011 in the context of two developments: major structural shifts in world trade and commodity prices spawning massive mining growth and negative exchange rate impacts elsewhere (for example, manufacturing); and the financial crisis ending the credit boom leaving east coast economies struggling. The resulting regional disparities have policy implications for education and skills training, housing affordability, infrastructure provision, and community sustainability. These issues will be investigated using a new functional economic regions geography and state of art spatial modelling tools supplemented by regional case studies.Read moreRead less