DOCSLIB.ORG

Annals of the Australasian College of Tropical Medicine September 2014

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Annals of the Australasian College of Tropical Medicine September 2014 ANNALS OF THE ACTM AN INTERNATIONAL JOURNAL OF TROPICAL & TRAVEL MEDICINE IN THIS ISSUE Vector-Borne Diseases MALARIA AND GLOBAL HEALTH POLICY MALARIA IN LONG-TERM TRAVELLERS AND WORKERS ELIMINATION OF LYMPHATIC FILARIASIS THE RTS,S MALARIA VACCINE PLAGUE IN THE MODERN WORLD DENGUE FEVER IN QUEENSLAND, 2008-9 ISSN 1448-4706 Official Journal of The Australasian College of Tropical Medicine Volume 15 Number 2 September 2014 Volume 15 Number 2 1 ANNALS OF THE ACTM 1 ANNALS OF THE ACTM AN INTERNATIONAL JOURNAL OF TROPICAL & TRAVEL MEDICINE CONTENTS MAY 2014 Officers of The Australasian College of EDITORIAL Tropical Medicine In this issue: vector-borne diseases President Associate Professor Peter Nasveld John Frean ����������������������������������������������������������������������������������������������������������������������������������������������������������� 21 Immediate Past President Professor John McBride Vice President COMMENTARY Professor Marc TM Shaw Policy perspective: malaria and global health Honorary Secretary Dr Colleen Lau Frank Ng and Peter A Leggat ������������������������������������������������������������������������������������������������������������������������������ 22 Honorary Treasurer Professor Peter A� Leggat, AM Council Members REVIEW ARTICLES Dr Richard Bradbury, Dr Kym Daniell, Malaria infection in long-term travellers and workers in malaria-endemic regions Professor Bart Currie, Associate Professor David Porter, Dr John Heydon Claire Woollacott ������������������������������������������������������������������������������������������������������������������������������������������������� 25 Chair, Faculty of Travel Medicine Professor Peter A� Leggat AM (Acting) Chair, Faculty of Expedition and Wilderness Medicine Elimination of lymphatic filariasis: time to think locally and act globally Professor Marc Shaw Glenn R Close ������������������������������������������������������������������������������������������������������������������������������������������������������ 28 Chairs of Standing Committees Professor Tim Inglis (Disaster Health) Dr Richard S� Bradbury (Medical Parasitology & Zoonoses) Targeting the sporozoite: the RTS,S malaria vaccine Associate Professor John Frean (Publications) Dr Ken D� Winkel (Toxinology) Johanna Thomson ���������������������������������������������������������������������������������������������������������������������������������������������� 32 Secretariat ACTM Secretariat, PO Box 123, Plague – a forgotten threat to the modern world Red Hill QLD 4059 AUSTRALIA Tel: +61-7-3872-2246 Liana Varrone ������������������������������������������������������������������������������������������������������������������������������������������������������ 37 Fax: +61-7-3856-4727 Email: actm@tropmed�org Website: http://www�tropmed�org A review of hospitalised cases of dengue in Cairns, Queensland, during a dengue serotype 3 virus epidemic in 2008-2009 Editorial Board Jasmine Dillon and John McBride� ��������������������������������������������������������������������������������������������������������������������� 41 ANNALS OF THE ACTM Editor-in-Chief Associate Professor John Frean Emeritus Editor-in-Chief Professor John M� Goldsmid Professor Derek Smith Executive Editor Professor Peter A� Leggat, AM ACTM Newsletter Editor ACTM Newsletter Professor John McBride Board Members and Review Panel Emeritus Professor Roderick SF Campbell, AM, Professor David Durrheim, Dr Michael Humble, Associate Professor Tim Inglis, Professor Ahmed Latif OAM, Dr Alan Mills, Cover photo: The Australian Institute of Tropical Medicine in 1916 (photo courtesy of James Cook University) Professor John H� Pearn, AO, RFD, Dr Ken D� Winkel © Copyright 2014 ACTM Material published in the Annals of the ACTM is covered by copyright and all rights are reserved, excluding “fair use”, as permitted under copyright law� Permission to use any material published in the Annals of the ACTM should be obtained in writing from the authors and Editorial board� EDITORIAL VECTOR-BORNE DISEASES: MALARIA, LYMPHATIC FILARIASIS, PLAGUE AND DENGUE Compared with what it was a decade ago, the global malaria situation has early stages of the third plague pandemic in the early 20th century but improved somewhat, with a decrease in the estimated mortality worldwide fortunately did not become established, unlike the situation in many other (from about a million to about 660 000 deaths per annum)�1 Improved countries, where it persists or recrudesces, sometimes after many years funding for research and implementation of sustainable control measures of quiescence�9 The article by Liana Varrone in this issue points out that has led to elimination (that is, no local malaria transmission in a defined worldwide, plague is still very much with us, and that changes in the geographic area) being planned or implemented in 34 malaria-endemic epidemiology of plague, as well as other vector-borne diseases, may result countries�2,3 However, it is clear that for the foreseeable future, malaria will from global warming�10 Climate change may also be contributing to the remain a major public health problem in many countries, particularly those expansion of the geographic reach of dengue fever, a mosquito-borne viral in sub-Saharan Africa� Frank Ng and Peter Leggat provide a commentary disease� Dengue has been introduced periodically into northern Queensland on global malaria control policy in this issue�4 If they survive for the first for more than 100 years, and the Cairns Base Hospital experience in the 5 years or so of life, residents of high-transmission regions may develop 2008-2009 dengue epidemic has been documented by Jasmine Dillon and sufficient immunity to malaria to avoid severe or fatal infection and in John McBride in this issue�11 some cases, even symptomatic malaria� Travellers, visitors and expatriate workers from non-endemic countries, however, are not thus protected and John Frean need to take malaria-prevention measures, including chemoprophylaxis� The article by Claire Woolacott in this issue5 reviews the difficult situation Editor-in-Chief, Annals of the ACTM; Associate Professor and Deputy Director, National Insti- tute for Communicable Diseases, Johannesburg, South Africa. of preventing malaria in long-term (>6 months) travellers and workers, the issue of self-diagnosis, and the evidence for acquisition of some References degree of immunity in this population� Although the malaria parasite 1. World Health Organization� World Malaria Report, 2012� Geneva: World Health Organization, 2012� is an elusive immunological target, ultimately vaccines will probably be http://www�who�int/malaria/publications/world_malaria_report_2012/en/ (accessed 12 August 2013)� 2� Cotter C, Sturrock HJ, Hsiang MS, et al� The changing epidemiology of malaria elimination: new strategies key to elimination or even eradication� The RTS,S malaria vaccine from for new challenges� Lancet 2013; 382:900-911 [http://dx�doi�org/10�1016/S0140-6736(13)60310-4] GlaxoSmithKline is the first to reach the stage of large-scale clinical trials, 3� World Health Organization� Malaria Elimination: A Field Manual for Low and Moderate Endemic Countries� Geneva: World Health Organization, 2007� http://whqlibdoc�who�int/publications/2007/9789241596084_eng� and Johanna Thomson reviews the results of the trial data published to pdf (accessed 11 August 2013)� date�6 Although clearly an imperfect vaccine, RTS,S has shown sufficient 4� Ng FCH, Leggat PA� Policy perspective: malaria and global health� Ann Austr Coll Trop Med 2014; 15(2): 22-24 promise for GSK to announce its marketing at low cost as a public health 5� Woolacott C� Malaria infection in long-term travellers and workers in malaria-endemic regions� Ann Austr measure. Another mosquito-borne parasitic infection is lymphatic filariasis, Coll Trop Med 2014; 15(2): 25-27 6� Thomson J� Targeting the sporozoite: the RTS,S malaria vaccine� Ann Austr Coll Trop Med 2014; 15(2): a very appropriate subject for an Australasian medical journal, because of 32-36 the pioneering work of Joseph and Thomas Lane Bancroft in Brisbane that 7� Pearn J� Insects and human disease: the pioneering roles of Joseph and Thomas Lane Bancroft of Brisbane� Ann Austr Coll Trop Med 2009; 10:11-13� elucidated the transmission cycle and clinical effects of the filarial parasite 8. Close G. Elimination of lymphatic filariasis: time to think locally and act globally. Ann Austr Coll Trop Med in the 19th century�7 Although lymphatic filariasis has been declared a 2014; 15(2): 27-31 9� Easterday WR, Kausrud KL, Star B, et al� An additional step in the transmission of Yersinia pestis� ISME J potentially eradicable disease, and there have been substantial successes in 2012; 6:231-236� controlling it in some areas, there are several obstacles to elimination that 10� Varrone L� Plague – a forgotten threat to the modern world� Ann Austr Coll Trop Med 2014; 15(2): 37-40� 11� Dillon J, McBride WJH� A review of hospitalised cases of dengue in Cairns, Queensland, during a dengue are described by Glenn Close in the review of the WHO’s Global Programme serotype 3 virus epidemic in 2008-2009� Ann Austr Coll Trop Med 2014; 15(2): 41-44� to Eliminate Lymphatic Filariasis�8 Plague reached Australian ports in the Public Health & Tropical Medicine At the Anton Breinl Centre Public Health and Tropical Medicine at the Anton Breinl Centre seeks to undertake high quality and relevant teaching, research and training in population health, with a special focus on tropical
Load more

Recommended publications
  • Geography, Race Andnation: Remapping "Tropical" Australia
    Chapter 8 Geography, Race and Nation: Remapping "Tropical" Australia, 1890-1930 WARWICK ANDERSON In March 1885, the government Resident of the Northern Territory of Australia issued a report on the problem of tropical development. "To the ordinary English emigrant", wrote J Langdon Parsons, "the bare mention of 'the tropics' is sufficient to create a scare, and conjure up visions of pasty-faced children, delicate women, and men with bad livers".' But in 1925, Sir James Barrett, a leading figure in the medical school of the University of Melbourne, could declare: "The deliberate opinion of the vast majority of medical men and physiologists is, that so far as climate is concerned, there is nothing whatever to prevent the peopling of tropical Australia with a healthy and vigorous white race."2 It is between these two quotations, between the voice of the administrator and the voice of the medical expert, between environmental determinism and cultural autonomy, between colonial pessimism and national optimism, that I would like to frame this essay. What had happened to ideas of man and ideas of nature in northern Australia during this period? Throughout the nineteenth century medical geographies of northern Australia had reiterated that the tropics were no place for permanent European settlement. And yet, with the federation of the colonies in 1901, Australia was committed politically to the exclusion of non-Europeans and to the forced repatriation of the Pacific Islanders who had been compelled to labour in tropical Warwick Anderson, Centre for the Study of Health and Society and History and Philosophy of Science Department, University of Melbourne, Parkville 3052, Australia.
    [Show full text]
  • CISTM12 Program Book
    13th Conference of the International Society of Travel Medicine Maastricht, The Netherlands Maastricht Exposition and Conference Center (MECC) 19-23 May 2013 Early Registration: 31 December 2012 Abstract Submission: 17 January 2013 13th Conference of the The International Society of Travel Medicine International Society of Travel Medicine Executive Board Maastricht, The Netherlands President Alan J. Magill, United States of America President-Elect Fiona Genasi, United Kingdom Maastricht Exposition and Conference Center (MECC) Past-President Frank von Sonnenburg, Germany Counselor Eric Caumes, France 19-23 May 2013 Counselor Lin H. Chen, United States of America Counselor David R. Shlim, United States of America Counselor Annelies Wilder-Smith, Singapore Secretary/Treasurer David O. Freedman, United States of America Publication Editors Editor, Journal of Travel Medicine Robert Steffen, Switzerland NewsShare Editor Peter Leggat, Australia ISTM Web Editor Hans D. Nothdurft, Germany Standing Committee Chairs Certificate Of Knowledge Exam Kenneth R. Dardick, United States of America Continuing Professional Development Phyllis Kozarsky, United States of America Development Committee Liaison Robert Steffen, Switzerland Professional Education Michele Barry, United States of America Publications Charles D. Ericsson, United States of America Research & Awards Anne E. McCarthy, Canada Professional Group Chairs Nursing Jane Chiodini, United Kingdom Pharmacy Chair Larry Goodyer, United Kingdom Pharmacy Chair-Elect Jeffery A. Goad, United States of America Interest Group Chairs Destination Community Support Assunta Marcolongo, Canada Migrant and Refugee Health Elizabeth Barnett, United States of America Pediatrics Philip R. Fischer, United States of America Psychological Health of Travelers Ted Lankester, United Kingdom Executive Director Diane L. Nickolson, United States of America International Society of Travel Medicine 315 W.
    [Show full text]
  • Vale Emeritus Professor Richard Speare Phd, MBBS (Hons), FAFPHM, FACTM, MACVS (2 August 1947 – 5 June 2016)
    Vale Emeritus Professor Richard Speare PhD, MBBS (hons), FAFPHM, FACTM, MACVS (2 August 1947 – 5 June 2016) Emeritus Professor Rick Speare AM died in a motor vehicle accident on the night of Sunday June 5th while travelling from his property on the Atherton Tablelands down to James Cook University to present a Master’s of Public Health Course. Rick’s was a life of learning, friendships, humour and above all, generous concern and care for other beings. He was awarded his Bachelor of Veterinary Science (1st class honours) in November 1970 and his Medical Bachelor, Bachelor of Surgery (1st class honours) in November 1975, both degrees from the University of Queensland. During the period of his Medical Course he also ran a part-time veterinary practice in Brisbane, Western Australia and Papua New Guinea. In 1976 he became Resident Medical Officer at Townsville General Hospital and subsequently in 1977 Medical Registrar there and resident Medical Officer at Alice Springs Hospital. Rick commenced PhD studies at James Cook University in 1978 under the supervision of Bruce Copeman while maintaining his hand in both veterinary and medical practice. Because of his medical background, Bruce suggested a project on Strongyloides in aboriginal communities. Rick, however, was more interested in wildlife at the time and provided substantial veterinary advice to Peter Johnson, a National Parks and Wildlife officer, based in Townsville, who successfully set up captive breeding colonies of various endangered macropodid species in north Queensland. Although ultimately successful, the early days of these colonies were fraught, with disease causing significant mortality and Rick’s support proved to be vital in the resolution of many of the health problems encountered in the early days.
    [Show full text]
  • The Pioneers of Australian Military Malariology: Some Biographical Profiles (Part 1)
    History The Pioneers of Australian military malariology: Some biographical profiles (Part 1) Ian Howie-Willis Abstract Australian military malariology has a long but discontinuous history extending back to the Boer War and possibly earlier. Its origins could possibly have been in the Sudan campaign (1885) and more certainly in the second Boer War (1899–1902) in the years before the establishment of the Australian Army. The discipline has continued, increasingly purposefully during the past half-century, to the present. The continuing struggle of the Australian Defence Force against malaria is now led by the Australian Army Malaria Institute (AAMI), the forerunner of which, the 1st Malaria Research Laboratory (1MRL), was founded in June 1966. The Army’s anti-malaria effort has typically been led by officers of the Royal Australian Army Medical Corps; however, particular distinguished civilian malariologists have also influenced the directions taken by Australian military malariology. This article is the first in a proposed series that will trace the careers of about 20 Australian malariologists who have made significant, pioneering contributions to the development of their discipline. As the AAMI will be able to celebrate the 50th anniversary of the formal establishment of the 1MRL on 14 June 2016, such a series is timely. Later articles in the series will demonstrate how the AAMI has grown from humble, even inauspicious origins as the 1MRL to become a leading malariological research agency. Introduction One way of conceptualising the development of Australian malariology is to view it through a Malariology was a late developing discipline in ‘biographical prism’, that is to trace the growth of the Australia.
    [Show full text]
  • For Peer Review Only
    BMJ Open BMJ Open: first published as 10.1136/bmjopen-2016-011604 on 7 July 2016. Downloaded from Aqueous Versus Alcoholic Antisepsis with Chlorhexidine for Skin Excisions – The AVALANCHE Trial. Protocol for randomized controlled trial for the prevention of superficial surgical site infection after minor surgery in general For peer reviewpractice. only Journal: BMJ Open Manuscript ID bmjopen-2016-011604 Article Type: Protocol Date Submitted by the Author: 20-Feb-2016 Complete List of Authors: Heal, Clare; James Cook University, School of Medicine and Dentistry; Anton Breinl Research Centre for Health Systems Strengthening, Australian Institute of Tropical Health and Medicine Charles, Daniel; James Cook University, School of Medicine and Dentistry Hardy, Alexandra; James Cook University, School of Medicine and Dentistry Delpachitra, Meth; James Cook University, School of Medicine and Dentistry Banks, Jennifer; James Cook University, School of Medicine and Dentistry Wolfahrt, Michael; James Cook University, School of Medicine and Dentistry Buttner, Petra; James Cook University, School of Public Health, Tropical Medicine and Rehabilitation Sciences http://bmjopen.bmj.com/ <b>Primary Subject Public health Heading</b>: Secondary Subject Heading: Evidence based practice Keywords: PRIMARY CARE, WOUND MANAGEMENT, SURGERY on October 3, 2021 by guest. Protected copyright. For peer review only - http://bmjopen.bmj.com/site/about/guidelines.xhtml Page 1 of 12 BMJ Open 1 BMJ Open: first published as 10.1136/bmjopen-2016-011604 on 7 July 2016. Downloaded from 2 3 TITLE 4 5 Aqueous Versus Alcoholic Antisepsis with Chlorhexidine for Skin Excisions – The 6 AVALANCHE Trial. Protocol for randomized controlled trial for the prevention of superficial 7 surgical site infection after minor surgery in general practice.
    [Show full text]
  • A Conceptual Framework to Guide Medical Schools Robyn Preston1,3* , Sarah Larkins1,3,4, Judy Taylor1,3,4 and Jenni Judd1,2,3,4
    Preston et al. BMC Medical Education (2016) 16:227 DOI 10.1186/s12909-016-0741-y RESEARCH ARTICLE Open Access Building blocks for social accountability: a conceptual framework to guide medical schools Robyn Preston1,3* , Sarah Larkins1,3,4, Judy Taylor1,3,4 and Jenni Judd1,2,3,4 Abstract Background: This paper presents a conceptual framework developed from empirical evidence, to guide medical schools aspiring towards greater social accountability. Methods: Using a multiple case study approach, seventy-five staff, students, health sector representatives and community members, associated with four medical schools, participated in semi-structured interviews. Two schools were in Australia and two were in the Philippines. These schools were selected because they were aspiring to be socially accountable. Data was collected through on-site visits, field notes and a documentary review. Abductive analysis involved both deductive and inductive iterative theming of the data both within and across cases. Results: The conceptual framework for socially accountable medical education was built from analyzing the internal and external factors influencing the selected medical schools. These factors became the building blocks that might be necessary to assist movement to social accountability. The strongest factor was the demands of the local workforce situation leading to innovative educational programs established with or without government support. The values and professional experiences of leaders, staff and health sector representatives, influenced whether the organizational culture of a school was conducive to social accountability. The wider institutional environment and policies of their universities affected this culture and the resourcing of programs. Membership of a coalition of socially accountable medical schools created a community of learning and legitimized local practice.
    [Show full text]
  • A Doctor Across Borders Raphael Cilento and Public Health from Empire to the United Nations
    A DOCTOR ACROSS BORDERS RAPHAEL CILENTO AND PUBLIC HEALTH FROM EMPIRE TO THE UNITED NATIONS A DOCTOR ACROSS BORDERS RAPHAEL CILENTO AND PUBLIC HEALTH FROM EMPIRE TO THE UNITED NATIONS ALEXANDER CAMERON-SMITH PACIFIC SERIES Published by ANU Press The Australian National University Acton ACT 2601, Australia Email: [email protected] Available to download for free at press.anu.edu.au ISBN (print): 9781760462642 ISBN (online): 9781760462659 WorldCat (print): 1088511587 WorldCat (online): 1088511717 DOI: 10.22459/DAB.2019 This title is published under a Creative Commons Attribution-NonCommercial- NoDerivatives 4.0 International (CC BY-NC-ND 4.0). The full licence terms are available at creativecommons.org/licenses/by-nc-nd/4.0/legalcode Cover design and layout by ANU Press. Cover images: Cilento in 1923, John Oxley Library, State Library of Queensland, Neg: 186000. Map of the ‘Austral-Pacific Regional Zone’, Epidemiological Record of the Austral-Pacific Zone for the Year 1928 (Canberra: Government Printer, 1929), State Library of New South Wales, Q614.4906/A. This edition © 2019 ANU Press Contents Abbreviations . vii Map and plates . ix Acknowledgements . xi Introduction . 1 1 . An education in empire: Tropical medicine, Australia and the making of a worldly doctor . 17 2 . A medico of Melanesia: Colonial medicine in New Guinea, 1924–1928 . 51 3 . Coordinating empires: Nationhood, Australian imperialism and international health in the Pacific Islands, 1925–1929 . 93 4 . Colonialism and Indigenous health in Queensland, 1923–1945 . 133 5 . ‘Blueprint for the Health of a Nation’: Cultivating the mind and body of the race, 1929–1945 . 181 6 . Social work and world order: The politics and ideology of social welfare at the United Nations .
    [Show full text]
  • Anton Breinl and Tropical Health
    213 ANTON BREINL AND TROPICAL HEALTH by Lori Harloe Anton Breinl was an internationally acclaimed medical scientist who worked on an important national problem in an isolated tropical backwater during the first decades of the twentieth century. Widely known at the time, but lost to two generations, was the Australian Institute of Tropical Medicine, the inaugural Director of which was the gentle Sudeten, Anton Breinl, whose work and importance to AustraUan history has not yet been adequately recognised. Anton BreirU was an honorable, bright, energetic and sensitive man. He spoke several European languages. His EngUsh was heavily accented. He was not a tall man. It is known that he was remarkably athletic and enjoyed horse riding and swimming. He played the violin well, in fact to concert standard. His thirst for adventure led him into tropical medicine and research at the time when major advances in tropical medicine and health were being recorded by all the Western colonial powers. In 1906 shortly after graduation with the degree of Medicine Universalis Doctor from the university of Prague, Breinl began working with one of the two dominant figures of this branch of science. Sir Ronald Ross of malarial mosquito fame. It was not long before Breinl had demonstrated his extraordinary abilities and became one of the pre-eminent medical scientists in the world. He was awarded the Mary Kingsley Medal for exemplary scientific investigations into African tick fever and the life cycle of the Piroplasma canis and in recognition of his "atoxyl" work. The significance of this award is appreciated when one recaUs other luminaries who were bestowed with same honour — Patrick Manson, David Bruce, Alphonse Laveran, and Robert Koch.
    [Show full text]
  • Assessment of Febrile Illness in the Returned Traveller
    THEME Travel medicine Assessment of febrile illness in the returned traveller Peter A Leggat BACKGROUND MD, PhD, DrPH, FAFPHM, Fever is among the most frequently reported problems in returning travellers. FACTM, is Professor and OBJECTIVE Deputy Director, Anton Breinl Centre for Public Health and This article provides an overview of the general approach to fever in the returned traveller, including identification of Tropical Medicine, James Cook common causes and management. University, Townsville. peter. [email protected] DISCUSSION The returned traveller may present with fever and it is important to exclude life threatening conditions such as malaria that may be related to the travel. A complete risk assessment should be undertaken, including a complete travel history, examination and further investigations, to help to narrow the differential diagnosis. Common tropical diseases found include malaria, dengue, enteric fever, rickettsial infections and respiratory infections. General practitioners should be alert to the public health implications of travel related diseases. Fever is an important and relatively common recently, particularly due to promotional campaigns by presentation of infections in returning travellers. The immigration authorities. An accurate history will assist in most common infections diagnosed in febrile returning developing an appropriate differential diagnosis and help travellers are malaria, dengue, mononucleosis, rickettsial guide initial investigations. Ask about: infections and typhoid and paratyphoid, but
    [Show full text]
  • Knowledge About Pandemic Influenza and Compliance with Containment
    Knowledge about pandemic influenza and compliance with containment measures among Australians Keith Eastwood,a David Durrheim,b J Lynn Francis,a Edouard Tursan d’Espaignet,a Sarah Duncan,a Fakhrul Islam a & Rick Speare c Objective To examine the level of stated compliance with public health pandemic influenza control measures and explore factors influencing cooperation for pandemic influenza control in Australia. Methods A computer-assisted telephone interview survey was conducted by professional interviewers to collect information on the Australian public’s knowledge of pandemic influenza and willingness to comply with public health control measures. The sample was randomly selected using an electronic database and printed telephone directories to ensure sample representativeness from all Australian states and territories. After we described pandemic influenza to the respondents to ensure they understood the significance of the issue, the questions on compliance were repeated and changes in responses were analysed with McNemar’s test for paired data. Findings Only 23% of the 1166 respondents demonstrated a clear understanding of the term “pandemic influenza”. Of those interviewed, 94.1% reported being willing to comply with home quarantine; 94.2%, to avoid public events; and 90.7%, to postpone social gatherings. After we explained the meaning of “pandemic” to interviewees, stated compliance increased significantly (to 97.5%, 98.3% and 97.2% respectively). Those who reported being unfamiliar with the term “pandemic influenza,” male respondents and employed people not able to work from home were less willing to comply. Conclusion In Australia, should the threat arise, compliance with containment measures against pandemic influenza is likely to be high, yet it could be further enhanced through a public education programme conveying just a few key messages.
    [Show full text]
  • 135859Spums Contents
    ISSN 0813 - 1988 Volume 34 No. 2 ABN 29 299 823 713 June 2004 Quarterly Journal of the South Pacific Underwater Medicine Society (Incorporated in Victoria) A0020660B Hyperbaric chambers Attendant safety Oxygen delivery Risk, perception and sport Risk management in scientific and recreational diving Freediving in cyberspace The Broome chamber Print Post Approved PP 331758/0015 South Pacific Underwater Medicine Society (SPUMS) Journal Volume 34 No. 2 June 2004 OBJECTS OF THE SOCIETY To promote and facilitate the study of all aspects of underwater and hyperbaric medicine To provide information on underwater and hyperbaric medicine To publish a journal To convene members of the Society annually at a scientific conference OFFICE HOLDERS President Dr Robyn Walker RAN, Headquarters Australian Theatre, 14-18 Wylde St E-mail <[email protected]> Potts Point, New South Wales 2011 Past President Dr Guy Williams P.O.Box 190, Red Hill South E-mail <[email protected]> Victoria 3937 Secretary Dr Cathy Meehan McLeod Street Medical, 67 McLeod Street E-mail <[email protected]> Cairns, Queensland 4870 Treasurer Dr Andrew Patterson 28A Roland Avenue E-mail <[email protected]> Wahroonga, NSW 2076 Editor Dr Mike Davis SPUMS Journal, C/o Office 137, 2nd Floor, E-mail <[email protected]> Christchurch Hospital, Private Bag 4710, Christchurch, NZ Education Officer Dr Chris Acott 30 Park Ave, Rosslyn Park, SA 5072 E-mail <[email protected]> Public Officer Dr Guy Williams P.O.Box 190, Red Hill South E-mail <[email protected]> Victoria 3937 ChairmanANZHMG
    [Show full text]
  • Essay Reviews
    Essay Reviews JAMES A. GILLESPIE, The price of health: Australian governments and medical politics 1910-1960, Studies in Australian History, Cambridge University Press, 1991, pp. xvii, 358, £40.00, $59.50 (0-521-38183-5). ROY MacLEOD and DONALD DENOON, Health and healing in tropical Australia and Papua New Guinea, Townsville, James Cook University of North Queensland, 1991, pp. viii, 214, A$16.00 (within Australia plus postage), A$25.00 (outside Australia incl. postage) (0-86443-490-5). LYNDA BRYDER (ed.), A healthy country: essays on the social history of medicine in New Zealand, New Zealand, Bridget Williams Books, 1991, pp. 252, NZ$29.95 (0-908912-10-2). These three books present some of the best recent research in the burgeoning medical history field in Australia and New Zealand. James Gillespie's monograph is the most important of the three. He provides a thorough, considered and censorious account of five decades of the enduring struggle between Australian federal and state governments and medical faction leaders over the aims of health policies, modes of supplying medical services, and the underwriting of payments to doctors. Much of Gillespie's story will appear familiar to readers in other parts ofthe British Commonwealth and the United States. But federal intricacies and the frequency of Labor Party administrations give his narrative a peculiarly Australian twist. Throughout the period Labor politicians were much readier than their conservative opponents to back national hygienists in the public health bureaucracies. The hygienists wanted national efficiency and Australia for the white race. The Labor activists wanted that too, but they also yearned to institute equitable access to medical services.
    [Show full text]