Evaluating The Genetic Contribution To Rheumatic Heart Disease Pathogenesis In Australian Aboriginal And Torres Strait Islander Communities
Funder
National Health and Medical Research Council
Funding Amount
$1,782,074.00
Summary
Rheumatic heart disease is highly prevalent in Aboriginal people in Australia and leads to early cardiac disease. Despite decades of research, the underlying genetic mechanisms for why it occurs are not well understood. We are conducting a genetic study to better understand why some people are susceptible to RHD and others are not. The study will involve substantial Aboriginal leadership and consultation and will be a model for the conduct of genetic studies in Aboriginal populations.
Acute rheumatic fever (ARF) and rheumatic heart disease (RHD) are a major problem for Australian Indigenous people. Accurate diagnosis of ARF allows for early preventive therapy with long acting penicillin, which can prevent RHD from developing or worsening. The aim of this study is to recruit a cohort of children and young people with ARF and apply the latest technologies to their blood samples, with the aim of developing a diagnostic test and open leads for potential new treatments.
Rheumatic Fever Follow-up Study (RhFFUS) _ Determining The Optimal Clinical Response For Minor Heart Valve Abnormalities In An Indigenous Australian Setting
Funder
National Health and Medical Research Council
Funding Amount
$1,394,792.00
Summary
Acute rheumatic fever (ARF) and rheumatic heart disease (RHD) are a major health issue for Indigenous Australians. In a previous study heart ultrasounds in Aboriginal and Torres Strait Islander children frequently showed suspicious but not diagnostic changes. RhFFUS (Rheumatic Fever Follow-Up Study) aims to see if these changes are associated with a higher risk of ARF and progression to RHD. If this is the case these high risk children could be identified earlier and offered regular antibiotics ....Acute rheumatic fever (ARF) and rheumatic heart disease (RHD) are a major health issue for Indigenous Australians. In a previous study heart ultrasounds in Aboriginal and Torres Strait Islander children frequently showed suspicious but not diagnostic changes. RhFFUS (Rheumatic Fever Follow-Up Study) aims to see if these changes are associated with a higher risk of ARF and progression to RHD. If this is the case these high risk children could be identified earlier and offered regular antibiotics to prevent this cause of heart disease.Read moreRead less
Improving Delivery Of Secondary Prophylaxis For Rheumatic Heart Disease: A Stepped-wedge, Community-randomised Trial
Funder
National Health and Medical Research Council
Funding Amount
$1,913,074.00
Summary
Rheumatic heart disease (RHD) is a major health problem in Indigenous communities. Continued progress in controlling RHD requires an understanding of how to improve delivery of regular injections of penicillin - secondary prophylaxis (SP). We will evaluate a systems-based approach to improving delivery of SP, using a stepped-wedge trial in 12 communities in NT and Qld. If successful, this model will provide a practical and transferable model.
Australian Predicting Infectious ComplicatioNs In Children With Cancer (PICNICC) Project
Funder
National Health and Medical Research Council
Funding Amount
$694,980.00
Summary
Children undergoing cancer treatment are at an increased risk of infection. This is managed by admission to hospital for antibiotics which can be a frightening experience for the child, disruptive for their family and expensive for the healthcare system. While many need admission, a proportion of patients can be safely managed at home with oral or intravenous antibiotics. This project aims to identify these children, so as to improve their quality of life, and decrease cost of treatment.
Central Nervous Pathways For The Sympathetic Control Of Immune Function
Funder
National Health and Medical Research Council
Funding Amount
$300,741.00
Summary
The nervous system regulates immune system function by a special set of nerves that are part of the sympathetic nervous system. This project aims to work out which brain pathways control them.
Q Fever: How Common Is It And How Can We Best Prevent It? Research To Inform Q Fever Vaccine Policy In Australia And Internationally
Funder
National Health and Medical Research Council
Funding Amount
$743,376.00
Summary
Q fever is a disease of worldwide importance which has special significance for Australia where outbreaks continue to occur. We will measure the burden of Q fever in the Australian population for the first time, measure how long immunity lasts following vaccination, collect extra information on adverse events in young adults and survey knowledge and attitudes of Q fever disease and vaccine. The results will inform policies for the control of Q fever in Australia and internationally.
Forecasting The Impact Of Climate Change On Dengue Transmission
Funder
National Health and Medical Research Council
Funding Amount
$506,432.00
Summary
Dengue fever (DF) is the most important mosquito-transmitted viral disease in the world. The large-scale re-emergence of DF in the Asia-Pacific region during the past few decades has renewed its status as a serious international public health problem. Global climate change is anticipated to impact upon the biology and ecology of vectors and consequently the risk of DF transmission. The principal research aim of this study is to project the impact of future climate change on DF.
A Targeted Molecular Approach To Treating Scabies And Associated Bacterial Infections.
Funder
National Health and Medical Research Council
Funding Amount
$518,334.00
Summary
Chronic infestation of human skin with parasitic scabies mites is a severe health burden in Australian Indigenous communities and other disadvantaged communities around the world. Secondary infections with bacteria exacerbate this skin problem, with long-term, systemic and often fatal consequences including rheumatic heart disease. Analyses of the scabies mite genome and associated bacteria will accelerate biomedical research toward improved treatment and control of this neglected disease.
Development Of A Preventive Strategy For Rheumatic Heart Disease Using An Experimental Model
Funder
National Health and Medical Research Council
Funding Amount
$370,846.00
Summary
Based on animal studies, we aim to demonstrate that the worsening of heart damage seen in patients with rheumatic heart disease (RHD) is due to repeated infections with bacteria (group A streptococci: GAS). The heart damage is caused by continual immune damage to the heart and valves and this has adverse effects on heart function. We will also investigate a novel way to prevent the development of RHD.