I am a salaried-full time Physician in Respiratory Medicine at a major teaching hospital with postgraduate training, research experience and qualifications in clinical medicine and the epidemiology of occupational and environmental lung diseases and cance
The Extended Australian Workplace Exposures Study - AWES2
Funder
National Health and Medical Research Council
Funding Amount
$541,293.00
Summary
Work-related asthma and cancer are largely preventable conditions, but we need to understand the risks faced by workers in order to direct prevention policy and practice. We will survey 5000 Australian workers to estimate the exposure to asthma- and cancer-causing agents in the workplace. This partnership between university researchers and government and non-government organisations will provide a sound basis for determining how to decrease the number of these occupational diseases.
Risk Factors For Asthma, Chronic Bronchitis And Emphysema In Older Adults
Funder
National Health and Medical Research Council
Funding Amount
$330,574.00
Summary
Chronic obstructive pulmonary disease (including chronic bronchitis and emphysema) is a major public health problem in Australia. The main known cause is cigarette smoking, which peaked among Australian men shortly after the second world war. Now that the consequences of this epidemic of smoking are passing, more attention needs to be paid to other causes of the condition. The proposed study will focus on occupational and domestic exposures and dietary factors in older people. Dusty jobs have lo ....Chronic obstructive pulmonary disease (including chronic bronchitis and emphysema) is a major public health problem in Australia. The main known cause is cigarette smoking, which peaked among Australian men shortly after the second world war. Now that the consequences of this epidemic of smoking are passing, more attention needs to be paid to other causes of the condition. The proposed study will focus on occupational and domestic exposures and dietary factors in older people. Dusty jobs have long been associated with COPD. However it is not known to what extent other occupational exposures to fumes and vapours are also responsible. Identifying such jobs would lead to better workplace conditions and prevention of further cases. Workers who have already developed COPD could be more fairly compensated. Similarly if indoor exposures to tobacco smoke and unvented gas appliances were found to play a role, further controls on smoking, flues and improved ventilation could also prevent cases of COPD. It is generally thought that emphysema develops from an imbalance between the oxidative stresses on the lungs and protective enzymes. A diet high in antioxidant vitamins and fish may protect against the development of COPD. If confirmed by this study, it would then be possible to conduct clinical trials of supplementation in smokers at risk of developing COPD. Public nutritional education could reduce the incidence of the condition in the future.Read moreRead less
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
An integrated model for assessing health effects of nanoparticle inhalation. This project aims to examine the associated risks of nanoparticle inhalation on heath by developing a toxicological predictive tool for health risk assessment. The outcomes of this research will lead to greatly improved preventative measures, thereby reducing occupational diseases and the health socio-economic burden of Australia.
A Multiscale Modelling Platform for Nanoparticle Inhalation Risk Assessment. This project aims to explore the health risks caused by nanoparticle inhalation and its penetration through respiratory mucus and tissue cells. Exposure to nanoparticles has the potential to cause serious and possibly fatal health effects. An understanding of nanoparticle toxicology would enable us to appropriately protect the public’s health and safety. The project plans to consider human respiratory anatomy and physio ....A Multiscale Modelling Platform for Nanoparticle Inhalation Risk Assessment. This project aims to explore the health risks caused by nanoparticle inhalation and its penetration through respiratory mucus and tissue cells. Exposure to nanoparticles has the potential to cause serious and possibly fatal health effects. An understanding of nanoparticle toxicology would enable us to appropriately protect the public’s health and safety. The project plans to consider human respiratory anatomy and physiology and use advanced computer modelling and experimental techniques to evaluate the health risk of exposure to the burgeoning number of nanomaterials found in consumer products. The expected outcome of the project is a predictive tool that determines nanoparticle exposure risk and its health consequences.Read moreRead less
Competing demands on the axial muscles: Effects, consequences, compensations and mechanisms. Back and neck pain are major health issues and are associated with considerable cost to society and an individual's quality of life. A major issue is to identify factors that increase the chance of developing pain. This project will investigate a novel and innovative possibility; that competition between the many functions of the trunk muscles may increase the possibility for injury. We will study how th ....Competing demands on the axial muscles: Effects, consequences, compensations and mechanisms. Back and neck pain are major health issues and are associated with considerable cost to society and an individual's quality of life. A major issue is to identify factors that increase the chance of developing pain. This project will investigate a novel and innovative possibility; that competition between the many functions of the trunk muscles may increase the possibility for injury. We will study how the nervous system coordinates functions as diverse and movement of the spine, breathing, and control of head and eye movement. A key issue will be to identify whether situations arise in which control of the spine is compromised, potentially leading to increased risk of pain and injury. Such data can aid prevention and rehabilitation.Read moreRead less
Genetic Epidemiology Of Chronic Respiratory Diseases From Childhood To Adulthood: A Prospective Study Of Sibships
Funder
National Health and Medical Research Council
Funding Amount
$889,220.00
Summary
Chronic Respiratory Diseases (CRDs) are a major public health problem. It is known that CRDs change over time but we have no information on causes of these changes. Some childhood asthmatics continue to have asthma as adults and-or develop Chronic Obstructive Pulmonary Disease (COPD) while others are free of any adult CRD. Some of those who do not have childhood asthma develop asthma and-or COPD as adults while the others remain free of CRDs from childhood to adulthood. To investigate risk facto ....Chronic Respiratory Diseases (CRDs) are a major public health problem. It is known that CRDs change over time but we have no information on causes of these changes. Some childhood asthmatics continue to have asthma as adults and-or develop Chronic Obstructive Pulmonary Disease (COPD) while others are free of any adult CRD. Some of those who do not have childhood asthma develop asthma and-or COPD as adults while the others remain free of CRDs from childhood to adulthood. To investigate risk factors for these changes, following up siblings over time is a powerful tool. As siblings share the childhood environment but not the adult environment, it helps to disentangle childhood environment, adult environment and genetic factors. The Tasmanian Asthma Study (TAS) is amongst worlds' major longitudinal respiratory studies and it is unique because it was conceived as a family study, with all the family members and the family environment being surveyed. TAS commenced in 1968 by investigating 8,585 school children born in 1961 (referred to as probands), their parents (16,267) and siblings (21,044). By the end of 2006, we will have completed the 37-year follow-up of the TAS probands, which focuses on non-genetic risk factors for middle-age CRDs. This follow-up together with baseline data now provides a unique opportunity for conducting a sibling study, which can concurrently examine genes, childhood environment and adult environment for change in CRDs. Also, it will provide a platform for future studies to investigate the progression of CRDs in this family cohort. Therefore, we now seek funding to extend the current follow-up to include the siblings. This will be the world's only population-based respiratory sibling study that spans childhood to adulthood. This will provide information for preventing chronic respiratory morbidity and disability in the future, which will be original and significant not only in Australia but also internationally.Read moreRead less
This project will take robust evidence regarding inflammation based management, comorbidity and self management and translate it into practice using a national implementation framework.