Issues
Volume 204 Issue 7
News
Editorials
Zika preparedness in Australia
Our comprehensive national response encompasses prevention and surveillance, as well as monitoring and controlling Aedes aegypti in Australia
Chris Baggoley FACEM, BM BS, BVSc · Katrina Knope BSc, MPH · Anna Colwell MB BS(Hon), FRACGP, MPH · Jenny Firman MB BS, FRACGP
The ASID test
The Australasian Society for Infectious Diseases view on infectious diseases challenges in 2016 and beyond
Cheryl A Jones MB BS(Hon), PhD, FRACP · Joshua S Davis MB BS, DTM · David FM Looke FRACP, FRCPA, MMedSci(ClinEpid)
Multidrug-resistant tuberculosis in Australia and our region
MDR-TB threatens TB control programs in Australia’s region and will not diminish without concerted efforts
James M Trauer MPH, FRACP, FAFPHM · Allen C Cheng MPH, PhD, FRACP
Local transmission of hepatitis E virus in Australia: implications for clinicians and public health
Outbreak indicates that HEV should be considered in cases of acute hepatitis, irrespective of the patient’s travel history
Joseph S Doyle PhD, FRACP, FAFPHM · Alexander JV Thompson MB BS(Hons), PhD, FRACP
Perspectives
Ebola outbreak in West Africa: considerations for strengthening Australia’s international health emergency response
It is time for a common vision and strategy for deploying Australian expertise to international public health emergencies
Alexander Rosewell PhD, MAppEpid, MIPH · Paul Effler MD, MPH, FAFPHM · Chaturangi Yapa BSc, MB ChB, MPhilApplEpid · Barbara Telfer MPH, GradDipAppEpid, BPhty · Jennie Musto MPH · Raina MacIntyre FRACP, FAFPHM, PhD
Short reports
Shigellosis: high rates of antibiotic resistance necessitate new treatment recommendations
Time to review the treatment guidelines in light of changing resistance patterns
Jeremy Brown MB BS, BMedSci · Simon J Willcox MPH(Hons), BCom · Neil Franklin MPH, BSc(Hons) · Briony Hazelton MPH · Matthew VN O'Sullivan PhD, FRACP, FRCPA
Polymerase chain reaction testing for faecal parasites: risks and alternatives
Recommendations to optimise testing and eliminate uncertainties
Asha C Bowen PhD, FRACP, MB BS · Harsha Sheorey MB BS, FRCPA, FACTM · Penelope A Bryant BM BCh FRACP, PhD · Jennifer Robson FRACP, FRCPA, FACTM · David P Burgner MB ChB, FRACP, PhD
Immunisation for medical researchers: an ethical and practical imperative
Researchers should maintain immunisation currency to prevent disease transmission to study participants
Michelle L Townsend PhD · Brin FS Grenyer BA(Hons), MSc, PhD · Wilfred Yeo MB ChB, MD, FRACP · Ian Wright FRACP
A case of subacute sclerosing panencephalitis in a 23-year-old recent immigrant to Australia
Measles vaccination rates in Australia need to be higher
Eloise Williams MB BS, BMedSci, MPHTM · Iain J Abbott MB BS, FRCPA, FRACP · Lai Yin Law MB BS · Stephen David Guy MB BS(Hons), FRACP
Rising incidence of invasive meningococcal disease caused by Neisseria meningitidis serogroup W in Victoria
An old foe with a new disguise
Katherine A Bond BSc, MB BS, DTMH · Kerrie Stevens BAppSc, GradDipMicrobiol · Dieter Bulach PhD, MSc, BSc(Hons) · Kylie Carville BSci(Hons), MAppEpid · Katherine S Ong MPH, PhD, FAFPHM · Benjamin P Howden FRACP, FRCPA, PhD
Dengue fever in travellers: are we missing warning signs of severe dengue in a non-endemic setting?
We need to know more about how warning signs in those with dengue fever can predict severe disease
Alex Tai MB BS, BMedSci(Hons) · Roselle Robosa MB BS, BSc · Alexander A Padiglione MB BS(Hons), FRACP, PhD · Chamila Dalpatadu MB BS, MD · Tony M Korman MB BS(Hons), FRACP, FRCPA
Clinical focus
Australian recommendations for the management of hepatitis C virus infection: a consensus statement
Summary of a consensus statement prepared by an expert panel on hepatitis C management with new direct-acting antiviral therapies
Alexander JV Thompson MB BS(Hons), PhD, FRACP
Research
Old but not forgotten: Antibiotic allergies in General Medicine (the AGM Study)
Putative allergies are common in older patients, but a significant proportion involve non-genuine allergies or low risk responses
Jason A Trubiano BBiomedSci, MB BS, FRACP · Rekha Pai Mangalore MB BS · Yi-Wei Baey MB BS(Hons) · Duy Le BPharm(Hons) · Linda V Graudins BPharm, DHP, PGDipClinEpi · Patrick GP Charles MB BS, PhD, FRACP · Douglas F Johnson MB BS, PhD, FRACP · Ar Kar Aung MB BS, FRACP, MPHTM
First reported outbreak of locally acquired hepatitis E virus infection in Australia
HEV should be considered in patients presenting with a compatible illness, even without a history of overseas travel
Chaturangi M Yapa BSc, MB ChB · Catriona Furlong BN, MPH · Alexander Rosewell PhD, MAppEpid, MIPH · Kate A Ward BPhty(Hons), MPH · Sheena Adamson BVetMed, PhD · Craig Shadbolt PhD, BSc(Hons) · Jen Kok FRACP, FRCPA, PhD · Samantha L Tracy MSc · Scott Bowden PhD · Elizabeth J Smedley BN, GDPublHealth · Mark J Ferson MD, FAFPHM, FRACP · Vicky Sheppeard MB BS, MPH(Hons), FAFPHM · Jeremy M McAnulty MB BS, MPH
Trends and patterns in vaccination objection, Australia, 2002–2013
An estimated 3.3% of 1–6-year-old children are affected by registered or unregistered vaccination objection
Frank H Beard MB ChB, MPH, FAFPHM · Brynley P Hull BSc(Hons), MPH · Julie Leask PhD, MPH, DipHealthSci · Aditi Dey PhD, MPH, MB BS · Peter B McIntyre FAFPHM, FRACP, PhD
Characterising health care-associated bloodstream infections in public hospitals in Queensland, 2008–2012
A range of risks are associated with these infections, each of which requires a different prevention strategy
Damin Si PhD · Naomi Runnegar MB BS, FRACP, FRCPA · John Marquess BSc, MPH · Mohana Rajmokan MSc, BEd · Elliott G Playford PhD, FRACP, FRCPA
Case reports
Unexpected cause of urticaria
A 30-year-old man presented with acute generalised urticaria
Takeshi Kondo MD · Kazuhiko Terada MD
Carbapenemase-producing Klebsiella pneumoniae: a major clinical challenge
New strategies, and new antibiotics, are required to meet the challenge
Christine L Mandrawa MB BS · Katie Cronin MB BS(Hons) · Kirsty L Buising MPH, MD, FRACP · Yves S Poy Lorenzo BPharm · Mary J Waters MSc, MB BS, FRCPA · Cameron J Jeremiah MB BS, FRACP
Reflections
Aileen Joy Plant
Professor Aileen Plant (1948–2007) was a renowned medical epidemiologist and an outstanding global public health leader
Moira McKinnon MB BS, FAFPHM
Careers
Network committed to healthy unis
Representatives from 25 Australian universities have joined to form the Australian Health Promoting Universities Network
Cate Swannell
Around the universities and research institutes
The University of Notre Dame’s Broome campus-based Nulungu Research Institute has appointed Professor Jeanette Ward as Adjunct Professor to its teaching and research team. Nulungu is one of three research institutes of the UND. Professor Ward holds the position of Consultant, Public Health Medicine with WA Country Health Services and this adjunct appointment aims to further strengthen the connection between Nulungu and health service providers in the Kimberley region. Her role with WA Country Health Services focuses on strategic development of public health, primary health care and stakeholder partnerships to improve population outcomes. Professor Ward will work with Nulungu and the Notre Dame Fremantle campus-based Institute for Health Research (IHR) to undertake “collaborative research, implementation projects and higher-degree student supervision in ways that promote academic support for Aboriginal community re-empowerment and evaluate the effectiveness of strategies to shift control from distant institutions to local governance structures and partnership”, said Nulungu’s director, Associate Professor Sandra Wooltorton. “Subsidiarity as an organisational principle will be explored in this work. As an academic institution, Nulungu fosters Aboriginal intellectual traditions, according respect and recognition of ownership of Country, Aboriginal Knowledges, continuing cultural practice and cultural governance. This further acknowledges the cultural heritage that underpins contemporary community actions to create a better future for the people of the Kimberley and beyond. Nulungu’s guiding principle is to work with ‘Right People, Right Country, Right Way’,” she said. Researchers at Monash University and the Hudson Institute of Medical Research have received a highly competitive Victoria Cancer Agency (VCA) grant worth $2 million to determine whether particular prostate and colorectal cancer patients will respond to a new class of cancer drug known as BET inhibitors. Unlike chemotherapy which indiscriminately attacks ‘good’ and ‘bad’ cells, BET inhibitors — a type of epigenetic therapy — work on a genetic level to turn off the growth of cancer cells. Lead researcher is Dr Arun Azad, Senior Research Fellow at Monash University and Consultant Medical Oncologist at Monash Health. The collaborative research project builds on the previous work of Hudson Institute’s Associate Professor Ron Firestein, who identified the RNA biomarker and potential benefit of BET inhibitors in pre-clinical models in his previous laboratory at Genentech Inc. Undertaken at Monash Health, the trial will recruit 25 patients with advanced prostate or colorectal cancer and for whom other treatments options have failed. Co-collaborators on this study include Monash University’s Professor Gail Risbridger, Associate Professor Helen Abud, colorectal surgeon Associate Professor Paul McMurrick and Cabrini’s Dr Simon Wilkins. Four members of Flinders University’s School of Medicine, Nursing and Health Sciences have received 2016 Vice-Chancellor Awards for Early Career Researchers. Dr Kate Laver, from the School of Health Sciences, aims to take evidence-based interventions for people with dementia into their homes using telehealth technologies. Dr Amanda Muller (School of Nursing and Midwifery), supports the language needs of over 500 international nursing students at Flinders, delivering face-to-face classes and providing online support. She also researches English for Specific Purposes (Nursing English and Academic English) and the use of computer games to teach language. Dr Andrew Vakulin’s (Medicine) current research focus is the exploration of novel neurophysiological, neurobehavioural and biological measures or “biomarkers” that may be useful in clinically identifying individual patients who may be more vulnerable to sleepiness-related impairments and accident risk, as well as the efficacy of sleep apnoea treatments. Dr Annabelle Wilson (Health Sciences) has worked with Aboriginal people both as a dietitian and a researcher in urban, rural and remote communities across Australia. New South Wales’ first full undergraduate medical degree in a regional centre will be offered in Port Macquarie next year, the President and Vice-Chancellor of University of NSW Ian Jacobs has announced. Developing a full undergraduate medical degree was a key component of a collaborative project announced in 2011 between UNSW, the University of Newcastle and North Coast Institute of TAFE. The project secured $20 million in federal funding for a purpose-built facility, the Port Macquarie Shared Health Research and Education Campus (SHREC). UNSW currently provides medical education for 4 years of a medical degree — Years 3 to 6 — through its Rural Clinical School campuses in Port Macquarie, Coffs Harbour, Albury, Griffith and Wagga Wagga. Dean of UNSW Medicine Professor Rodney Phillips said the Faculty had undertaken an assessment of the new facility and what needed to be in place to offer the full 6-year program. Clinical training for University of Queensland medical and allied health students will be boosted with the opening of student training centres at the Queen Elizabeth II Jubilee and Redland hospitals. UQ Vice-Chancellor Professor Peter Høj said the new facilities would “revolutionise” training practices at the hospitals and offer more clinical placement opportunities for students. The training centres have been built with $2.2 million from the Federal Government Health Workforce Australia Fund and $1.15 million from UQ, on hospital campus sites provided by the State Government’s Metro South Hospital and Health Service. About 300 UQ medical students rotate through the Redland and QEII Jubilee hospitals each year for specialist training in medicine, surgery, gynaecology and critical care disciplines. A further 100 students from other UQ schools rotate through the sites for clinical training in areas such as physiotherapy, occupational therapy and pharmacy.
Cate Swannell
Supplement
Value co-creation: a methodology to drive primary health care reform
Med J Aust 2016; 204 (7 Suppl).
The changing face of the MJA
Nicholas J Talley MD, PhD, FRACP
The role of neurosurgery in the treatment of chronic pain
Peter J Teddy DPhil, FRACS, FFPMANZCA
Futility and utility
Ian Maddocks MD, FRACP, FAChPM
Improving quality in prostate cancer
Paul S Craft MB BS, FRACP, MPH
News briefs
Cate Swannell
Resistance sans frontières: containing antimicrobial resistance nationally and globally
John Turnidge MB BS, FRACP, FRCPA · Chris Baggoley FACEM, BMBS, BVSc · Mark Schipp BSc, BVMS · Robyn Martin BVMS, PhD
Improving health outcomes for linguistically diverse patients
Christine B Phillips MB BS, MPH, FRACGP