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.
Understanding Health Professionals' Infection Control Practices In The Acute Care Setting
Funder
National Health and Medical Research Council
Funding Amount
$151,196.00
Summary
Health-care acquired infections have a considerable personal, social and economic impact in Australia, and better understanding of the causes of these infections is necessary. Failure by health professionals to follow infection control recommendations has important consequences in terms of the personal risk of acquiring an infection as well as the risk of infection transmission to patients. In Australia surgical site infections alone are estimated to cost as much as 268 million dollars a year. H ....Health-care acquired infections have a considerable personal, social and economic impact in Australia, and better understanding of the causes of these infections is necessary. Failure by health professionals to follow infection control recommendations has important consequences in terms of the personal risk of acquiring an infection as well as the risk of infection transmission to patients. In Australia surgical site infections alone are estimated to cost as much as 268 million dollars a year. Health-care acquired infections are associated with poorer health outcomes, a greater probability of prolonged hospital stays, greater re-hospitalisation rates, and significant reductions in health related quality of life. In this qualitative study we will use grounded theory and a comparative analysis strategy. We will initially identify participants sampled from health professionals employed in the acute care setting at a major teaching hospital in Perth, Western Australia. We will seek representation of a range of health professionals recruited from multiple occupational groups, including doctors, nurses and paramedical staff who have direct patient contact in the study sample. Sampling will also aim to recruit participants from a number of different acute care areas within the hospital, and staff with a range of individual characteristics, experiences and beliefs. We will interview a range of health care workers in order to explore their experiences of engagement in infection control practices and the factors influencing these experiences. We aim to develop a substantive theory that explains health professionals' engagement in high-risk infection control practices in the acute care setting. This will have implications for current understandings of the factors influencing adherence to recommended infection control practices, current theoretical perspectives which guide infection control practice, and strategies used to promote compliance with recommended practices.Read moreRead less
Sex-related Changes In Asthma During The Transition Through Puberty In The CAPS Birth Cohort
Funder
National Health and Medical Research Council
Funding Amount
$831,581.00
Summary
Early adolescence is a critical period in the life of people with asthma. Some children grow out of their asthma and others acquire the disease for the first time. There are important sex differences in the pattern of change. We believe these changes are related to the passage through puberty. This study will examine changes in the features of asthma and allergy during this period and their relation to early life and current environmental exposures.
About 1.5 million Australians may be currently exposed to carcinogens in their jobs. This estimate is based on European data and we need Australian information in order to direct future Australian research, policy and practice. The project will survey 5000 Australian workers to estimate the exposure to up to 53 prioity occupational chemicals. This will provide a sound basis for estimating the occupational risk of cancers for Australian workers and determining how to decrease the number of cancer ....About 1.5 million Australians may be currently exposed to carcinogens in their jobs. This estimate is based on European data and we need Australian information in order to direct future Australian research, policy and practice. The project will survey 5000 Australian workers to estimate the exposure to up to 53 prioity occupational chemicals. This will provide a sound basis for estimating the occupational risk of cancers for Australian workers and determining how to decrease the number of cancers caused by work.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
Emerging Techniques For Earlier Diagnosis And Assessment Of Severity And Progression Of Artificial Stone Silicosis
Funder
National Health and Medical Research Council
Funding Amount
$994,642.00
Summary
Stonemasons who have worked with engineered stone have been shown to develop a rapidly progressive and potentially fatal form of silicosis. This research will use data from affected workers from Victoria, Western Australia and Queensland. The research will comprise a suite of projects to investigate many uncertainties related to radiological screening methods, as well as investigating new methods to assess disease severity and identify indicators of progression to inform future practice.