Genetic Epidemiology Of Chronic Respiratory Diseases From Childhood To Adulthood: A Prospective Study Of Sibships
Funder
National Health and Medical Research Council
Funding Amount
$889,220.00
Summary
Chronic Respiratory Diseases (CRDs) are a major public health problem. It is known that CRDs change over time but we have no information on causes of these changes. Some childhood asthmatics continue to have asthma as adults and-or develop Chronic Obstructive Pulmonary Disease (COPD) while others are free of any adult CRD. Some of those who do not have childhood asthma develop asthma and-or COPD as adults while the others remain free of CRDs from childhood to adulthood. To investigate risk facto ....Chronic Respiratory Diseases (CRDs) are a major public health problem. It is known that CRDs change over time but we have no information on causes of these changes. Some childhood asthmatics continue to have asthma as adults and-or develop Chronic Obstructive Pulmonary Disease (COPD) while others are free of any adult CRD. Some of those who do not have childhood asthma develop asthma and-or COPD as adults while the others remain free of CRDs from childhood to adulthood. To investigate risk factors for these changes, following up siblings over time is a powerful tool. As siblings share the childhood environment but not the adult environment, it helps to disentangle childhood environment, adult environment and genetic factors. The Tasmanian Asthma Study (TAS) is amongst worlds' major longitudinal respiratory studies and it is unique because it was conceived as a family study, with all the family members and the family environment being surveyed. TAS commenced in 1968 by investigating 8,585 school children born in 1961 (referred to as probands), their parents (16,267) and siblings (21,044). By the end of 2006, we will have completed the 37-year follow-up of the TAS probands, which focuses on non-genetic risk factors for middle-age CRDs. This follow-up together with baseline data now provides a unique opportunity for conducting a sibling study, which can concurrently examine genes, childhood environment and adult environment for change in CRDs. Also, it will provide a platform for future studies to investigate the progression of CRDs in this family cohort. Therefore, we now seek funding to extend the current follow-up to include the siblings. This will be the world's only population-based respiratory sibling study that spans childhood to adulthood. This will provide information for preventing chronic respiratory morbidity and disability in the future, which will be original and significant not only in Australia but also internationally.Read moreRead less
Occupational Exposure To Lead Compounds And Human Cancer
Funder
National Health and Medical Research Council
Funding Amount
$222,887.00
Summary
This study aims to investigate whether there is a link between cancer (in particular cancer of the stomach, lung, kidney and central nervous system) and occupational exposure to lead compounds. There are only a few published cohort studies available on occupational exposures in use and applications of lead compounds, despite the widespread use of these compounds in the past 50 years. Since the late 1980s the use of lead compounds in Australia has decreased, but Australian and world lead producti ....This study aims to investigate whether there is a link between cancer (in particular cancer of the stomach, lung, kidney and central nervous system) and occupational exposure to lead compounds. There are only a few published cohort studies available on occupational exposures in use and applications of lead compounds, despite the widespread use of these compounds in the past 50 years. Since the late 1980s the use of lead compounds in Australia has decreased, but Australian and world lead production has increased. Australia is the world's biggest producer of lead. The precise number of lead workers worldwide is unknown but there are likely to be more than 2 million workers of which many are in developing countries where control of lead exposure is unsatisfactory and occupational exposure limits are considerably higher than in developed countries. Evidence for or against cancer risk with exposure to lead compounds , in particular inorganic lead, will therefore have implications for many Australian and international workers. This is also important for health risk assessment for environmental contamination in the Australian community. In our study we will review the state government archived records of about 8,000 lead workers in New South Wales, Victoria and South Australia, who took part in lead compound exposure surveys and had blood tests in the 1970s, 1980s and 1990s, as part of government lead regulations in force at the time. We will then match the details of these workers against the National Cancer and Death registry data to calculate cancer rates. This should involve a sufficient number of workers to enable us to undertake a comprehensive health evaluation of cancer risk and exposure to lead compounds.Read moreRead less
Work-related fatal and non-fatal accidents and injuries and exposure to workplace hazards in migrant workers in Australia. Do migrants have worse workplace conditions and more work-related accidents and injuries than Australian-born workers? This project will analyse national deaths and hospital discharge data, and determine best practice methods to include migrant workers in a future cross-sectional study looking at occupational health and safety.
This project will update the Wittenoom cohorts by tracing cancers and deaths in Australia and Italy. This will improve risk estimates of lung cancer and mesothelioma. In particular we will see if that risk declines with more than 40 years since exposure, in collaboration with Italian colleagues. We will continue developing an interactive community website to act as a support platform, a layman's bridge to medical research knowledge, public health information and an archive of personal stories.
Occupational injury prevention in high temperature environments. This project aims to explore the contribution of heat as a risk factor in work-related illness and injury. Approximately 600 000 Australians experience a work-related illness or injury each year. Hot weather may directly or indirectly lead to accidents, but heat as a risk factor has not been systematically explored, and is particularly relevant in a warming climate. This project aims to improve safety and productivity in Australian ....Occupational injury prevention in high temperature environments. This project aims to explore the contribution of heat as a risk factor in work-related illness and injury. Approximately 600 000 Australians experience a work-related illness or injury each year. Hot weather may directly or indirectly lead to accidents, but heat as a risk factor has not been systematically explored, and is particularly relevant in a warming climate. This project aims to improve safety and productivity in Australian industry by generating new evidence and predictive models to inform injury prevention policy and guidance, and facilitating the development of practical, targeted resources. This project expects to add to the body of knowledge regarding workers’ health and safety and to be of benefit to industry and subpopulations at risk.Read moreRead less
Perinatal Exposure To Household And Environmental Toxins And The Risk Of Asthma And Allergic Disease Up To 25 Years
Funder
National Health and Medical Research Council
Funding Amount
$291,078.00
Summary
Perinatal exposure to household and environmental toxins may increase asthma and allergic disease risk. Adverse exposures in this critical developmental window may have a marked and prolonged effect on health. A birth cohort of high-allergy risk children will be used to investigate the effect of common chemical exposures on the risk of asthma and allergic disease up to 25 years. This evidence could be used to inform guidelines on common household chemical exposures
Understanding individual, workplace and system level influences on return to work in a changing Australian labour market. This project will identify where challenges arise in return to work after a work-related injury or illness for older workers and people with mental stress claims. The results of this project will help form the basis of policy and program changes to address these issues and enable these groups of workers to have better health and economic outcomes.
The impact of policy, demography and geography on work disability. This project aims to map the burden of work disability in Australia through geographic, socioeconomic, demographic and occupational factors. The project intends to determine the impact of state and territory workers' compensation practice on work disability and identify target groups for intervention. Expected outcomes include new insights which nation’s workers’ compensation systems can use in order to implement policy practices ....The impact of policy, demography and geography on work disability. This project aims to map the burden of work disability in Australia through geographic, socioeconomic, demographic and occupational factors. The project intends to determine the impact of state and territory workers' compensation practice on work disability and identify target groups for intervention. Expected outcomes include new insights which nation’s workers’ compensation systems can use in order to implement policy practices that will reduce the burden of work disability in Australia. This outcome would, in turn, improve national productivity and lead to flow-on benefits for the Australian economy and social protection systems such as social security and healthcare.Read moreRead less
Climate Change and Burden of Disease: Current Risk and Future Burden. Climate change has had a negative impact on human health. However, few studies have assessed burden of diseases (BOD) for these climate-sensitive/heat attributable diseases. We will generate the first national picture of the climate attributable BOD in Australia, measured in Disability-Adjusted Life Year (DALY), the attribution from climate, and project future BOD under various climatic/demographic change scenarios. This proje ....Climate Change and Burden of Disease: Current Risk and Future Burden. Climate change has had a negative impact on human health. However, few studies have assessed burden of diseases (BOD) for these climate-sensitive/heat attributable diseases. We will generate the first national picture of the climate attributable BOD in Australia, measured in Disability-Adjusted Life Year (DALY), the attribution from climate, and project future BOD under various climatic/demographic change scenarios. This project will rank Australian climate-sensitive/heat attributable diseases by their current burden and projected increase under climate changes, and provide needed scientific evidence to policy-makers in the development, prioritization and implementation of current and future climate change and health adaptation strategies. Read moreRead less