The Relationship Between Airborne Particle Exposure, Incident Respiratory Symptoms And Decline In Lung Function
Funder
National Health and Medical Research Council
Funding Amount
$315,497.00
Summary
Air pollution has been consistently identified as the environmental health problem of greatest concern to the general public in Australia. Yet hard evidence of adverse health effects from air pollution in Australian cities and towns is limited to date. It has been estimated that high levels of particles in urban air could be responsible for as many as 2,400 deaths nationally, costing approximately $4,300 million each year. This study will follow two groups of young Melbourne adults recruited som ....Air pollution has been consistently identified as the environmental health problem of greatest concern to the general public in Australia. Yet hard evidence of adverse health effects from air pollution in Australian cities and towns is limited to date. It has been estimated that high levels of particles in urban air could be responsible for as many as 2,400 deaths nationally, costing approximately $4,300 million each year. This study will follow two groups of young Melbourne adults recruited some years ago for studies of respiratory health. They will be a sent a questionnaire by mail and invited back to our laboratory for breathing tests. We will obtain routinely collected air quality data and measure fine particles < 2.5 thousandths of a mm in outdoor air. A subgroup of 100 subjects will also participate in some measurements of indoor air pollution. The analysis will look for relationships between particles in the air, new symptoms and changes in lung function over time. Comparisons will also made with other centres doing a very similar study in Europe. Reviews commissioned by the National Environment Protection Council have highlighted the lack of Australian data to assist in setting standards for particulate air pollution. The proposed study would provide some of the necessary local data and assist in the development of new health based environmental protection measures for fine particles. Once these measures have been implemented, we would expect to see an improvement in the respiratory health of the Australian population.Read moreRead less
Impaired Bone Remodelling Leads To Failure Of Orthopaedic Prostheses
Funder
National Health and Medical Research Council
Funding Amount
$515,917.00
Summary
The failure of bone prostheses is becoming a major health problem. More than 26,000 hip, and an equal number of knee, replacements were performed in Australia in 2002 with the number increasing between 5%-10% each year for the previous 10 years. Disturbingly, the incidence of revision hip surgery in Australia is now more than 15%, meaning that, despite the impressive success of joint replacement surgery, a significant number of arthroplasties fail. It is becoming more common for young, active in ....The failure of bone prostheses is becoming a major health problem. More than 26,000 hip, and an equal number of knee, replacements were performed in Australia in 2002 with the number increasing between 5%-10% each year for the previous 10 years. Disturbingly, the incidence of revision hip surgery in Australia is now more than 15%, meaning that, despite the impressive success of joint replacement surgery, a significant number of arthroplasties fail. It is becoming more common for young, active individuals to receive joint replacement surgery to improve their quality of life. This, combined with increasing life expectancy, and the known higher rate of failure of joint replacements in younger patients, means that the morbidity of a failed replacement, and the mobidity and associated mortality of revision surgery, will become an increasingly important health issue, with a major impact upon health budgets. The overwhelming majority of hip and knee prostheses have metal or ceramic on polyethylene bearing surfaces. It is now apparent that most implants fail due to bone loss around them leading to loosening, and evidence is accumulating that polyethylene wear particles are a major contributing factor to this process. It is therefore vital that we obtain better understanding of the causes of implant failure in order to extend the life of these implants and this project is designed to do so.Read moreRead less
Artificial joint implants are widely used to replace diseased or damaged joints. Despite the impressive success of joint replacement many artificial joints do not last indefinitely. In many patients joints last for 25 years or more but in about 15% the artificial joints will fail prematurely. Artificial joints need to be replaced because of loosening resulting from the loss of bone from around the artificial joint. The bone loss is caused by large numbers of small particles generated by excessiv ....Artificial joint implants are widely used to replace diseased or damaged joints. Despite the impressive success of joint replacement many artificial joints do not last indefinitely. In many patients joints last for 25 years or more but in about 15% the artificial joints will fail prematurely. Artificial joints need to be replaced because of loosening resulting from the loss of bone from around the artificial joint. The bone loss is caused by large numbers of small particles generated by excessive wear of the artificial joint. We now know that specialised cells in the body react to the wear particles and try to destroy them. During this process they produce molecules which lead to bone destruction. This project seeks to investigate the way particles cause bone loss and to develop drug treatments that will either prevent the loss of bone or promote new bone to replace that which has been lost. The increasing use of joint replacement and an aging population means that the number of patients with artificial joint failure will increase. This will mean that an increasing amount of medical recourses will be needed to replace failed and painful artificial joints. It is planned that the findings obtained from this project will eventually result in drug treatments which can reduce the need for the replacement of artificial joints.Read moreRead less
Very high levels of air pollution kill people. Although air quality is quite good in most Australian cities, the levels of particles are still too high. There are many sources of particles in the air including diesel vehicles and wood fires. There is a National Environment Protection Measure for particles less than 10 thousandths of a millimetre in diameter. However some recent overseas studies have suggested that tiny particles less than 0.1 thousandths of a millimetre might have the greatest e ....Very high levels of air pollution kill people. Although air quality is quite good in most Australian cities, the levels of particles are still too high. There are many sources of particles in the air including diesel vehicles and wood fires. There is a National Environment Protection Measure for particles less than 10 thousandths of a millimetre in diameter. However some recent overseas studies have suggested that tiny particles less than 0.1 thousandths of a millimetre might have the greatest effects on the heart and lungs. We will conduct the first Australian study of the health effects of these tiny particles. Particle counts will be measured in Melbourne by CSIRO using state of the art equipment. Two groups of older subjects will be recruited: patients with chronic lung diseases such as emphysema and patients with heart disease. They will perform regular breathing tests and-or have the electrical activity of their hearts recorded. The recordings will be analysed to detect small variations in heart rate. If we find relationships between particle counts and lung function or heart rate variability, this will provide new evidence of the health effects of air pollution. When the NEPMs are revised, new measures may be required for tiny particles. Particle counts can then be reduced by measures such as better controlling diesel exhaust and more efficient wood stoves.Read moreRead less