Melanoma Diagnosis, And The Effect Of Screening On Depth Of Invasion Of Melanoma.
Funder
National Health and Medical Research Council
Funding Amount
$399,961.00
Summary
AIMS This study will assess how melanoma is diagnosed in Queensland, and if improvements can be made. It will assess if skin screening gives earlier diagnosis of some melanomas, and also if it leads to the diagnosis of some thin melanomas which would not progress if left alone. SIGNIFICANCE Melanoma is the most common invasive cancer in Queensland, with some 1,963 people diagnosed annually with the disease. The outlook for these patients varies dramatically with the depth of invasion of melanoma ....AIMS This study will assess how melanoma is diagnosed in Queensland, and if improvements can be made. It will assess if skin screening gives earlier diagnosis of some melanomas, and also if it leads to the diagnosis of some thin melanomas which would not progress if left alone. SIGNIFICANCE Melanoma is the most common invasive cancer in Queensland, with some 1,963 people diagnosed annually with the disease. The outlook for these patients varies dramatically with the depth of invasion of melanoma. Melanoma diagnosed and treated when very thin has an excellent long-term outcome, whereas the outcome for deeply invasive melanoma is much less favourable. Improvements to diagnosis are currently our best hope of reducing deaths and serious distress from this disease. This will be the largest study in the world of the process of diagnosis of melanoma: information on how melanoma presents, and the time between presentation and diagnosis will be compared between thin and deeply invasive melanoma. Results may indicate areas for improvement in education or health services. The use of screening, either by individuals themselves or by health professionals, has the potential to achieve early diagnosis. However, there is currently no good information on whether screening is actually effective. This study will assess the impact of self-screening and doctor screening on the depth of invasion of melanoma at presentation, and ultimately on the likelihood of dying from melanoma. The study will also assess the potential impact of screening on the over-diagnosis of lesions which while labeled as melanoma, may in fact be biologically non-progressive. This is an important issue of current concern internationally. This study will be one of only two studies in the world currently addressing this issue. This project is directly relevant to the early detection and optimum management of the most common invasive cancer in Queensland, and will have relevance internationally.Read moreRead less
Identification Of Risk Factors Associated With Exposure To Australian Bat Lyssavirus
Funder
National Health and Medical Research Council
Funding Amount
$230,344.00
Summary
Australia is one of the few countries in the world known to be free of rabies. A dramatic impact on this status occurred in 1996. A flying fox in northern NSW was found to be infected with a rabies-like virus. Within 16 weeks of this discovery the first human case occurred. A further human case has now been reported. The newly discovered virus, named Australian bat lyssavirus (ABL) was found to be closely related to, but distinguishable from, rabies virus. Rabies virus is responsible for thousan ....Australia is one of the few countries in the world known to be free of rabies. A dramatic impact on this status occurred in 1996. A flying fox in northern NSW was found to be infected with a rabies-like virus. Within 16 weeks of this discovery the first human case occurred. A further human case has now been reported. The newly discovered virus, named Australian bat lyssavirus (ABL) was found to be closely related to, but distinguishable from, rabies virus. Rabies virus is responsible for thousands of human infections each year, mainly in Asia and South Asia where it is endemic in urban dogs. In contrast, other rabies-like viruses have caused only a handful of human infections. Although the number of human cases of ABL is likely to remain low, each of the two known cases has aroused a great deal of public anxiety. The natural hosts appear to be various species of bats which collectively have a distribution along the entire northern and eastern coastlines. The number of potential exposures is therefore quite large and state health departments are devoting considerable resources to dealing with public concerns. This project will establish clearly defined risk factors for exposure to ABL and will allow health authorities to better manage expensive and limited vaccine and therapy resources.Read moreRead less
Epidemiology Of Middle-age BHR: A Prospective Study From Childhood To Middle Age
Funder
National Health and Medical Research Council
Funding Amount
$593,840.00
Summary
Increased airway reactivity (BHR) in middle-age increases the risk of chronic respiratory diseases (CRDs) in old age, which are recognised as a major public health problem. Knowledge on the causes of these conditions is currently limited. This project will improve our understanding of the childhood and adult causes of increased reactivity of the airways in middle-age. Such knowledge will help in identifying preventive strategies for middle age BHR and thereby CRDs in old age.
Comprehensive Assessment Of Genetic And Environmental Risk Factors For Melanoma: A Population-based Family Study
Funder
National Health and Medical Research Council
Funding Amount
$150,679.00
Summary
Excessive sunlight can cause melanoma, a serious type of skin cancer. However, there are other factors including a person's genetic make-up that are thought to put some people at higher risk. Many 'healthy' people have small changes in their genes that might make them more likely to develop melanoma. We need to know more about these genetic factors. Our study will investigate how particular small genetic changes influence a person's likelihood of developing melanoma.