The END RHD CRE: Developing An Endgame For Rheumatic Heart Disease In Australia
Funder
National Health and Medical Research Council
Funding Amount
$2,601,147.00
Summary
Rheumatic heart disease (RHD) is caused by an abnormal immune reaction to some bacterial infections. Although RHD is rare in developed countries, Indigenous Australians still live with the burden of RHD. The END RHD CRE will explore risk factors for RHD, prevention with antibiotics, management of RHD and the potential for vaccine development. Individuals and communities experiencing RHD are integral partners to this work. The CRE will establish a strategy for ending RHD in Australia.
Improved Tissue Characterisation With Cardiac Magnetic Resonance Imaging And Echocardiography In Identification Of Acute Rheumatic Fever And Its Chronic Sequelae
Funder
National Health and Medical Research Council
Funding Amount
$124,676.00
Summary
Rheumatic heart disease, a consequence of acute rheumatic fever, is a disease of poverty. Despite a dramatic reduction of RHD in Australia overall, it continues to be a major contributor to childhood and adult cardiac disease in Indigenous communities. These studies seek to enhance the detection of patients with suspected ARF and improve the prediction of the development of future RHD. We will demonstrate changes in heart muscle and valve structure and function using non-invasive testing.
Rheumatic Fever Follow-up Study (RhFFUS) _ Determining The Optimal Clinical Response For Minor Heart Valve Abnormalities In An Indigenous Australian Setting
Funder
National Health and Medical Research Council
Funding Amount
$1,394,792.00
Summary
Acute rheumatic fever (ARF) and rheumatic heart disease (RHD) are a major health issue for Indigenous Australians. In a previous study heart ultrasounds in Aboriginal and Torres Strait Islander children frequently showed suspicious but not diagnostic changes. RhFFUS (Rheumatic Fever Follow-Up Study) aims to see if these changes are associated with a higher risk of ARF and progression to RHD. If this is the case these high risk children could be identified earlier and offered regular antibiotics ....Acute rheumatic fever (ARF) and rheumatic heart disease (RHD) are a major health issue for Indigenous Australians. In a previous study heart ultrasounds in Aboriginal and Torres Strait Islander children frequently showed suspicious but not diagnostic changes. RhFFUS (Rheumatic Fever Follow-Up Study) aims to see if these changes are associated with a higher risk of ARF and progression to RHD. If this is the case these high risk children could be identified earlier and offered regular antibiotics to prevent this cause of heart disease.Read moreRead less
A Dual Antigen Synthetic Peptide Subunit Vaccine Approach To Prevent Streptococcal Associated Cardiovascular Disease
Funder
National Health and Medical Research Council
Funding Amount
$604,017.00
Summary
Infection with streptococcus is responsible for causing more than 500,000 deaths each year, the majority of which are due to rheumatic fever and rheumatic heart disease, which contributes to cardiovascular disease. Our research is aimed at the development of a vaccine to prevent heart disease and involves targeting multiple molecules present on the bacterial surface. We will use a novel vaccine delivery system developed in the laboratory, which will enable the vaccine to be delivered nasally.
Enhancing The Prevention, Diagnosis And Management Of Acute Rheumatic Fever And Rheumatic Heart Disease In Aboriginal Australian And Torres Strait Islander Populations
Funder
National Health and Medical Research Council
Funding Amount
$73,688.00
Summary
I am a health researcher focused on improving the diagnosis and care of rheumatic heart disease (RHD) in Indigenous Australians. I am examining the use of heart ultrasounds to detect the earliest stages of RHD in Indigenous children. Earlier detection can lead to earlier treatment and therefore less heart damage. I also intend to improve care for people with RHD by evaluating health services to determine what factors enhance outcomes for people with RHD.
Development Of A Preventive Strategy For Rheumatic Heart Disease Using An Experimental Model
Funder
National Health and Medical Research Council
Funding Amount
$370,846.00
Summary
Based on animal studies, we aim to demonstrate that the worsening of heart damage seen in patients with rheumatic heart disease (RHD) is due to repeated infections with bacteria (group A streptococci: GAS). The heart damage is caused by continual immune damage to the heart and valves and this has adverse effects on heart function. We will also investigate a novel way to prevent the development of RHD.
Rheumatic heart disease (RHD) is rare in developed countries except in indigenous populations where there is a shortage of quality health care, overcrowding, poverty and poor nutrition as in remote Australia. Advanced RHD affects the heart valves which can lead to heart failure, an increased risk of stroke and infection of the heart. The aim of this research project will be to inform the development of rational and evidence-based recommendations for the management of advanced RHD.
Better Care Of Heart And Lung Disease For Aboriginal And Torres Strait Islander People In Rural And Remote Australia
Funder
National Health and Medical Research Council
Funding Amount
$380,583.00
Summary
Lung and heart disease are major contributors to the Aboriginal Australian and Torres Strait Islander health gap. This is even more so in remote and regional Australia. This Fellowship will generate new knowledge regarding how best to prevent, diagnose and treat heart and lung disease in this setting. Based in Alice Springs, it will bring together researchers and health care providers across northern and Central Australia and link them with our leading national research institutes.