The Effect Of Airborne Particles On Chronic Respiratory Disease And The Role Of Public Health Interventions.
Funder
National Health and Medical Research Council
Funding Amount
$54,255.00
Summary
Chronic respiratory diseases place a significant burden on health services in Australia. Defining the role of airborne particles in the exacerbation of chronic respiratory diseases could enable many patients to control respiratory symptoms more effectively, thus improving lung function, reducing medication use and lowering the demand for non-urgent health services. Public health interventions, such as health-based air quality warning systems, could also play an important role in heightening awar ....Chronic respiratory diseases place a significant burden on health services in Australia. Defining the role of airborne particles in the exacerbation of chronic respiratory diseases could enable many patients to control respiratory symptoms more effectively, thus improving lung function, reducing medication use and lowering the demand for non-urgent health services. Public health interventions, such as health-based air quality warning systems, could also play an important role in heightening awareness of potential environmental triggers of respiratory symptoms, and assist people to manage their exposures and respiratory health more effectively. The project aims to: 1 _ to measure the public health impacts of airborne particulate matter and pollen, on chronic respiratory diseases in Australia. 2 _ to investigate public health interventions that may be used to reduce the number of people adversely affected, to reduce the severity of such effects and to enhance public awareness of the health impacts of environmental allergens.Read moreRead less
Breathe Well: A Centre For Research Excellence In Chronic Respiratory Diseases And Lung Ageing
Funder
National Health and Medical Research Council
Funding Amount
$2,527,082.00
Summary
Our CRE is based on common respiratory conditions covering wide spectrum of ages and severity. We will investigate how to maintain optimal respiratory health, through innovative approaches to early detection, improved therapy and adherence. We have a strong multi-disciplinary team of collaborators and we will build capacity through post-doctoral fellowships to improve our structural balance and optimise translational outputs. Tasmania is an ideal community to host a strong CCRE.
High Flow Cannula Therapy In Bronchiolitis, A Randomised Controlled Trial
Funder
National Health and Medical Research Council
Funding Amount
$1,283,342.00
Summary
Bronchiolitis is the leading cause of paediatric hospitalisation in Australia. Despite multiple research studies the outcome has not changed. Our recent studies supported by other international studies have shown that the use of high flow nasal cannula oxygen may reduce the severity and prevent progression of the disease. We aim to investigate if HFNC in regional hospitals can reduce the number of infants transferred to specialist children’s hospitals and reduce the socio-economic burden.
This project will investigate the causes of respiratory disease and poor lung function across the life course. Using existing lung health data from Australia and Europe, we will determine which behavioral, environmental, occupational, nutritional, other modifiable lifestyle, or genetic factors play a role in lung health. This research will enable the development of a personalised risk predictor application for implementation with patients and health care providers as well as the general public.
Improving Risk Assessment For Recycled Water: Domestic Laundries And Recreational Parks
Funder
National Health and Medical Research Council
Funding Amount
$81,250.00
Summary
Recent droughts in Australia have meant that recycled water is becoming increasingly important to ensure the sustainability of our water resources. There are four different classes of recycled water (Class A, B, C and D), depending on the level of microbiological contamination. The potential level of exposure of the population to recycled water determines the class of water suitable for various reuse purposes. The need to address water recycling issues in Australia has resulted in increasing num ....Recent droughts in Australia have meant that recycled water is becoming increasingly important to ensure the sustainability of our water resources. There are four different classes of recycled water (Class A, B, C and D), depending on the level of microbiological contamination. The potential level of exposure of the population to recycled water determines the class of water suitable for various reuse purposes. The need to address water recycling issues in Australia has resulted in increasing numbers of innovative recycling schemes such as dual reticulation systems which supply two qualities of water to households, one of high quality for drinking and a second piped system delivering treated recycled water for non-potable (non-drinking) use. In this project, we will investigate the safety of using recycled water in different situations by using water with different known concentrations of micro-organisms to simulate recycled waters of different classes. Most state health authorities in Australia do not approve the use of recycled water for machine washing because of a lack of safety data, but its use in laundries could significantly reduce the need for high quality drinking water. We will perform experiments to help determine the safety of using recycled water for rinsing clothes during a washing machine cycle. Another use of recycled water is for irrigation of recreational parks. Because of safety concerns, when recycled water of Class B or C is used, some states advocate that the public must wait at least 4 hours after watering before they can gain access. This time period may be unnecessary. We will perform experiments to assess the potential exposure to micro-organisms in grass for park users at different time periods following irrigation with water of various classes. The information obtained from this project will help in the decision-making of health and water regulatory agencies.Read moreRead less
Acute Bronchitis In General Practice: What Factors Predict A Poor Outcome And Can Antibiotics Help?
Funder
National Health and Medical Research Council
Funding Amount
$393,750.00
Summary
In Australia acute bronchitis is one of the commonest reasons for patients to attend their general practitioner. It can have considerable impact on patients lives with patients coughing on average for two weeks, with a third spending some time in bed and a quarter not returning to their usual activities for many weeks. If they attend a general practitioner (GP) it is likely they will receive antibiotics. But researchers believe that antibiotics are over prescribed for this condition and the emer ....In Australia acute bronchitis is one of the commonest reasons for patients to attend their general practitioner. It can have considerable impact on patients lives with patients coughing on average for two weeks, with a third spending some time in bed and a quarter not returning to their usual activities for many weeks. If they attend a general practitioner (GP) it is likely they will receive antibiotics. But researchers believe that antibiotics are over prescribed for this condition and the emergence of bacterial resistance is a real concern to health authorities. GPs are therefore being urged to reduce the prescription of antibioics for this common condition. But surveys by the National Prescribing Service (NPS) indicate that this is one area where GPs find it difficult to meet national recommendations. In part this may be because GPs do not wish to undertreat or miss a serious respiratory illness. Also results from randomised controlled trials examining the effectiveness of antibiotics for acute bronchitis suggest some benefit from treatment, at least in some patients. However it is not clear who these patients are and how much benefit they would get from receiving antibiotics. This creates a great deal of uncertainity for GPs who then opt for a 'just in case prescription' for everyone presenting with acute bronchitis. Our study will re-examine the symptoms, and clinical findings of patients presenting to their GP with acute cough and explore the impact of this common illness on patients lives. We will determine who does and does not benefit from antibiotics, and give guidance to GPs about the symptoms, clinical findings and investigations that predict a poorer outcome. Evidence from this study will be incorporated into treatment guidelines for acute bronchitis leading to more rational and effective management of this common problem.Read moreRead less
Pneumococcal Conjugate Vaccine (PCV) Schedules For The Northern Territory (NT): Randomised Controlled Trial Of Booster Vaccines To Broaden And Strengthen Protection From Invasive And Mucosal Infections.
Funder
National Health and Medical Research Council
Funding Amount
$2,078,861.00
Summary
Very few Indigenous children in remote communities have healthy ears or lungs; almost 20% have eardrum perforations. The associated hearing loss causes educational disadvantage with life long impacts on quality of life. New pneumococcal conjugate vaccines target a broader diversity of pathogens that cause eardrum perforation and lung infections, but the best schedules and combinations have not been tested. This randomised controlled trial will compare immune response, bacterial carriage and clin ....Very few Indigenous children in remote communities have healthy ears or lungs; almost 20% have eardrum perforations. The associated hearing loss causes educational disadvantage with life long impacts on quality of life. New pneumococcal conjugate vaccines target a broader diversity of pathogens that cause eardrum perforation and lung infections, but the best schedules and combinations have not been tested. This randomised controlled trial will compare immune response, bacterial carriage and clinical outcomes of different vaccine schedules.Read moreRead less
Gaining Two-way Understanding Of Recovery From Chronic And Recurring Mental Disorders In FNQ Indigenous Communities.
Funder
National Health and Medical Research Council
Funding Amount
$110,519.00
Summary
Little is known about the rates of chronic and recurring mental illness in the Indigenous population, particularly in remote Indigenous communities. This research aims to document the extent of the problem and explore the factors that place individuals at risk of poorer mental health outcomes as well as those factors that promote resiliency and recovery in the face of such risk. In addition, the concept of recovery in mental illness will be expanded to include Indigenous views.