ORCID Profile
0000-0001-5108-103X
Current Organisation
Evaluation & Epidemiology International
Does something not look right? The information on this page has been harvested from data sources that may not be up to date. We continue to work with information providers to improve coverage and quality. To report an issue, use the Feedback Form.
Publisher: World Health Organization, Western Pacific Regional Office
Date: 14-03-2017
Publisher: Elsevier BV
Date: 02-2022
Publisher: Wiley
Date: 20-04-2011
Publisher: World Health Organization, Western Pacific Regional Office
Date: 25-09-2017
Publisher: Wiley
Date: 18-05-2016
DOI: 10.1111/TMI.12711
Abstract: The Pacific Syndromic Surveillance System (PSSS), launched in 2010, provides a simple mechanism by which 121 sentinel surveillance sites in 21 Pacific island countries and areas perform routine indicator- and event-based surveillance for the early detection of infectious disease outbreaks. This evaluation aims to assess whether the PSSS is meeting its objectives, what progress has been made since a formative evaluation of the system was conducted in 2011, and provides recommendations to enhance the PSSS's performance in the future. Twenty-one informant interviews were conducted with national operators of the system and regional public health agencies that use information generated by it. Historic PSSS data were analysed to assess timeliness and completeness of reporting. The system is simple, acceptable and useful for public health decision-makers. The PSSS has greatly enhanced Pacific island countries' ability to undertake early warning surveillance and has contributed to efforts to meet national surveillance-related International Health Regulation (2005) capacity development obligations. Despite this, issues with timeliness and completeness of reporting, data quality and system stability persist. A balance between maintaining the system's simplicity and technical advances will need to be found to ensure its long-term sustainability, given the low-resource context for which it is designed.
Publisher: Informa UK Limited
Date: 22-02-2018
Publisher: BMJ
Date: 08-09-2011
DOI: 10.1136/BMJ.D5408
Publisher: Wiley
Date: 05-03-2013
DOI: 10.1111/IRV.12098
Publisher: Springer Science and Business Media LLC
Date: 2013
Publisher: American Association for the Advancement of Science (AAAS)
Date: 28-08-2009
Publisher: Elsevier BV
Date: 03-2016
Publisher: WHO Press
Date: 19-02-2016
Publisher: Springer International Publishing
Date: 2015
Publisher: Centers for Disease Control and Prevention (CDC)
Date: 10-2011
Publisher: Frontiers Media SA
Date: 28-06-2016
Publisher: Springer Science and Business Media LLC
Date: 06-12-2019
Publisher: Oxford University Press (OUP)
Date: 05-2017
Abstract: Acute flaccid paralysis (AFP) surveillance rates are used as an indicator of surveillance sensitivity to detect poliomyelitis with an expected rate of ≥1 case per 100 000 population in children under 15 years of age. The Australian AFP detection rates at sub-national (statistical local area) level were analysed using χ2 goodness of fit tests and exact Poisson probabilities for the combined years 2001-2015 to detect 'silent areas', which may require improved AFP detection efforts, and areas with greater than expected rates, which may indicate unexplained clusters such as those due to enterovirus infection. Eight (n=8/87, 9%) local areas had AFP surveillance detection rates that were less than expected, and eighteen local areas (n=18/87, 21%) had rates that were greater than expected. However, based on available evidence, it is unlikely that these indicated previously unidentified, enterovirus clusters. While Australia has regularly met the national AFP surveillance performance indicators, at the subnational level nine per cent of local areas demonstrated statistically significant lower AFP detection rates. All countries, even those with relatively small populations, should actively identify silent AFP areas to prompt surveillance improvements.
Publisher: Elsevier BV
Date: 09-2014
Publisher: Springer Science and Business Media LLC
Date: 21-01-2014
Abstract: Flying foxes (megachiroptera) and insectivorous microbats (microchiroptera) are the known reservoirs for a range of recently emerged, highly pathogenic viruses. In Australia there is public health concern relating to bats’ role as reservoirs of Australian Bat Lyssavirus (ABLV), which has clinical features identical to classical rabies. Three deaths from ABLV have occurred in Australia. A survey was conducted to determine the frequency of bat exposures amongst adults in Australia’s most populous state, New South Wales explore reasons for handling bats examine reported practices upon encountering injured or trapped bats or experiencing bat bites or scratches and investigate knowledge of bat handling warnings. A representative s le of 821 New South Wales adults aged 16 years and older were interviewed during May and June 2011, using a computer assisted telephone interview (CATI) method. Frequencies, proportions and statistical differences in proportion were performed. Using an α-value of 0.05 and power of 80%, it was calculated that a s le size of 800 was required to provide statistical significance of +/− 5% for dichotomous variables. One-hundred-and-twenty-seven (15.5%) respondents indicated that they had previously handled a bat, being 22% (48/218) rural and 13% (78/597) urban respondents ( χ 2 = 9.8, p = 0.0018). Twenty one percent of males (63/304) had handled bats compared with 12% (64/517) of females ( χ 2 = 10.2, p = 0.0014). Overall, 42.0% (n = 345) of respondents reported having seen or heard a warning about handling bats. If faced with an injured or trapped bat, 25% (206/821) indicated that they would handle the bat, with 17% (36/206) saying that they would use their bare hands. For minor scratches, 14% (117/821) indicated that they would ignore the injury while four respondents would ignore major scratches or bites. Previous human-bat interactions were relatively common. Bat exposures most frequently occurred with sick or injured bats, which have the highest risk of ABLV. On encountering an injured or sick bat, potentially high risk practices were commonly reported, particularly among rural males. It is important to understand why people still handle bats despite public health warnings to inform future communication strategies.
Publisher: Massachusetts Medical Society
Date: 06-09-2012
DOI: 10.1056/NEJMC1208413
Publisher: BMJ
Date: 2013
Publisher: Oxford University Press (OUP)
Date: 15-07-2013
DOI: 10.1093/CID/CIT458
Publisher: Public Library of Science (PLoS)
Date: 05-07-2011
Publisher: Springer Science and Business Media LLC
Date: 2014
Publisher: Cambridge University Press (CUP)
Date: 13-04-2015
DOI: 10.1017/S0950268815000527
Abstract: Few countries routinely collect comprehensive encephalitis data, yet understanding the epidemiology of this condition has value for clinical management, detecting novel and emerging pathogens, and guiding timely public health interventions. When this study was conducted there was no standardized diagnostic algorithm to aid identification of encephalitis or systematic surveillance for adult encephalitis. In July 2012 we tested three pragmatic surveillance options aimed at identifying possible adult encephalitis cases admitted to a major Australian hospital: hospital admissions searches, clinician notifications and laboratory test alerts (CSF herpes simplex virus requests). Eligible cases underwent structured laboratory investigation and a specialist panel arbitrated on the final diagnosis. One hundred and thirteen patients were initially recruited into the 10-month study 20/113 (18%) met the study case definition, seven were diagnosed with infectious or immune-mediated encephalitis and the remainder were assigned alternative diagnoses. The laboratory alert identified 90% (102/113) of recruited cases including six of the seven cases of confirmed encephalitis suggesting that this may be a practical data source for case ascertainment. The application of a standardized diagnostic algorithm and specialist review by an expert clinical panel aided diagnosis of patients with encephalitis.
Publisher: Elsevier BV
Date: 02-2016
Publisher: Wiley
Date: 05-2015
DOI: 10.1111/IMJ.12749
Abstract: Encephalitis is a complex neurological syndrome caused by inflammation of the brain parenchyma. The management of encephalitis is challenging because: the differential diagnosis of encephalopathy is broad there is often rapid disease progression it often requires intensive supportive management and there are many aetiologic agents for which there is no definitive treatment. Patients with possible meningoencephalitis are often encountered in the emergency care environment where clinicians must consider differential diagnoses, perform appropriate investigations and initiate empiric antimicrobials. For patients who require admission to hospital and in whom encephalitis is likely, a staged approach to investigation and management is preferred with the potential involvement of multiple medical specialties. Key considerations in the investigation and management of patients with encephalitis addressed in this guideline include: Which first-line investigations should be performed? Which aetiologies should be considered possible based on clinical features, risk factors and radiological features? What tests should be arranged in order to diagnose the common causes of encephalitis? When to consider empiric antimicrobials and immune modulatory therapies? and What is the role of brain biopsy?
Publisher: The Sax Institute
Date: 2011
DOI: 10.1071/NB10076
Publisher: Elsevier BV
Date: 11-2015
Location: United Kingdom of Great Britain and Northern Ireland
No related grants have been discovered for Beverley Paterson.