Linking Genomics Of Burkholderia Pseudomallei To Melioidosis: Diversity Of Clinical Manifestations, Changing Epidemiology And Microevolution In Chronic Carriage.
Funder
National Health and Medical Research Council
Funding Amount
$602,769.00
Summary
The Darwin Prospective Melioidosis Study has documented 761 cases since 1989, with 102 fatalities. This study has led to improved therapy and public health initiatives. New technology to sequence whole bacterial genomes provides an opportunity to determine why urban melioidosis is increasing and to analyse this unique 22+ year set of bacteria and their linked patient data to find the important bacterial virulence factors, forming a foundation for future diagnostics, therapeutics, and vaccines.
Defining the links between climate change, marine disease and food security. This project will deliver critical new knowledge on the causes of marine pathogen outbreaks that threaten Australia’s $1.6 billion aquaculture industry. Several members of the same genus of bacteria have been implicated in recent mass mortality events in aquaculture species, as well as human illness in consumers of seafood, yet the triggers for unprecedented outbreaks of these pathogens are unknown. By coupling a suite ....Defining the links between climate change, marine disease and food security. This project will deliver critical new knowledge on the causes of marine pathogen outbreaks that threaten Australia’s $1.6 billion aquaculture industry. Several members of the same genus of bacteria have been implicated in recent mass mortality events in aquaculture species, as well as human illness in consumers of seafood, yet the triggers for unprecedented outbreaks of these pathogens are unknown. By coupling a suite of sophisticated molecular biological tools and physiological measurements, this research will resolve the role of environmental disturbances including marine heat waves, floods and plastic pollution in stimulating marine pathogen outbreaks, thereby informing efforts to safeguard Australia’s food security and food safety.Read moreRead less
Learning to Talk, Talking to Learn: Effects of an early childhood language program in remote Northern Territory indigenous communities. Both the quality and quantity of language children hear, and adult understandings of child development, drive children's future outcomes. Understanding how to improve both is critical to the lifelong education, employment and social potential of children from low socioeconomic families, especially with hearing loss. This project aims to examine to what extent a ....Learning to Talk, Talking to Learn: Effects of an early childhood language program in remote Northern Territory indigenous communities. Both the quality and quantity of language children hear, and adult understandings of child development, drive children's future outcomes. Understanding how to improve both is critical to the lifelong education, employment and social potential of children from low socioeconomic families, especially with hearing loss. This project aims to examine to what extent a parent-implemented early childhood language program designed to buffer against effects of childhood otitis media can support indigenous children in remote northern Australia. Outcomes aim to be data on effects on children's language, attention, and school readiness, plus uptake of strategies and knowledge by parents and other adults, and evidence regarding best practice in such contexts.Read moreRead less
The Centre will enhance Australian clinical immunisation research and training, focussing upon clinical questions with translatable outcomes not easily addressed by industry. Optimal immunisation and interventions to maximise uptake of existing and new vaccines in high risk patient groups, such as children with cancer, immigrants, children with chronic diseases and adolescents will be studied. New vaccine trials, innovative use of existing vaccines, systematic collection of vaccine failure data, ....The Centre will enhance Australian clinical immunisation research and training, focussing upon clinical questions with translatable outcomes not easily addressed by industry. Optimal immunisation and interventions to maximise uptake of existing and new vaccines in high risk patient groups, such as children with cancer, immigrants, children with chronic diseases and adolescents will be studied. New vaccine trials, innovative use of existing vaccines, systematic collection of vaccine failure data, and targeted epidemiology and disease modelling vaccine preventable disease will also allow a broad program of research, enabling training and mentoring of young clinical nurse and physician researchers. Collaborations with existing national immunisation, infectious diseases and research institutions will allow maximal effectiveness of clinical studies.Read moreRead less
Australian Partnership (for) Preparedness Research On InfectiouS (disease) Emergencies (APPRISE)
Funder
National Health and Medical Research Council
Funding Amount
$4,996,416.00
Summary
We have assembled national experts in clinical, laboratory and public health research to ensure Australia is equipped for a coordinated, effective and evidence based response to infectious diseases. This multidisciplinary team will create and share new knowledge to detect, prevent and manage emerging infection threats. We will train a robust cross-sectoral work force and develop sustainable research capacity integrated within the health system to ensure national and regional health security.
The Darwin Prospective Melioidosis Study: Years 27-31
Funder
National Health and Medical Research Council
Funding Amount
$1,281,718.00
Summary
The Darwin Prospective Melioidosis Study has documented 914 cases since 1989, with 115 fatalities. A surge in Darwin melioidosis cases over the past 5 years has been linked to urban development and the discovery of a new bacterial strain. Whole genome sequencing of our unique 25+ year set of bacteria and their linked patient data will unravel the changing epidemiology and identify important virulence factors, forming a foundation for future diagnostics, therapeutics, and vaccines.
A Randomised Controlled Trial Of Alternative Treatments To Intramuscular Penicillin For Impetigo In Aboriginal Children
Funder
National Health and Medical Research Council
Funding Amount
$1,326,182.00
Summary
We will conduct clinical trials to find an effective, simple and cheap oral alternative to injected penicillin for skin sores which could become the universal standard of care whether the patient is in Melbourne or Milingimbi. It would also likely be adopted by the World Health Organization as a standard of care for developing countries. This would lead directly to a reduced burden of skin sores and their complications. It would also open the way for studies to explore even simpler regimens.
Understanding The Role Of The Two Major Bacterial Pathogens In The Upper And Lower Airways Of Indigenous Children With Chronic Lung Disease
Funder
National Health and Medical Research Council
Funding Amount
$743,282.00
Summary
Lung infections are a major disease burden worldwide. Indigenous Australians are affected more; adults with severe lung disease can die in their 30s and 40s. These diseases start early, yet no in-depth studies of bacteria causing lung infections in children have been done. Our expert team proposes to use existing lung fluids from nearly 500 children with chronic lung disease (58% Indigenous), and state-of-the-art laboratory methods, to inform the design of vaccines to prevent lung disease.
Estimating fishing-related mortality and designing sustainable management protocols for shark fisheries in Northern Australia. Sharks are extremely valuable economically, with the landed catch in the NT alone exceeding $10 million in 2004. The increasing world demand for high-quality protein will necessitate appropriate management so that over-exploitation does not occur as it has in most other shark fisheries worldwide. The proposed project will provide key information that will direct careful ....Estimating fishing-related mortality and designing sustainable management protocols for shark fisheries in Northern Australia. Sharks are extremely valuable economically, with the landed catch in the NT alone exceeding $10 million in 2004. The increasing world demand for high-quality protein will necessitate appropriate management so that over-exploitation does not occur as it has in most other shark fisheries worldwide. The proposed project will provide key information that will direct careful and informed management decisions well into the future. The added benefit of collecting information on the rarer and more susceptible non-target species caught in this fishery will ensure that any negative impacts are reduced. The project will also provide information on the potential impact of illegal fishing by neighbouring countries to our north.Read moreRead less
Effects of maternal foraging success and oceanographic variation on offspring behaviour and survival in the southern elephant seal. Juvenile survival is the key determinant of mammalian population performance, but the proximate determinants of this have rarely been established in large, long-lived predators. Southern elephant seals, with their concentrated lactation effort and marked separation of energy acquisition (at-sea foraging) and expenditure (on-land lactation) provide an ideal model for ....Effects of maternal foraging success and oceanographic variation on offspring behaviour and survival in the southern elephant seal. Juvenile survival is the key determinant of mammalian population performance, but the proximate determinants of this have rarely been established in large, long-lived predators. Southern elephant seals, with their concentrated lactation effort and marked separation of energy acquisition (at-sea foraging) and expenditure (on-land lactation) provide an ideal model for investigating these factors. In this study, we investigate the partitioning of pre-partum performance (fat acquired in mothers) relative to spatial-temporal variation in ocean productivity and the effect of this expenditure on offspring condition and survival. Here, the final missing link of energy transfer and its effects on offspring will be a major outcome of this project.Read moreRead less