scholarly journals Epidemiology of lymphogranuloma venereum in New South Wales, 2006–2015

2019 ◽  
Vol 43 ◽  
Author(s):  
Damian P Kotevski ◽  
Meeyin Lam ◽  
Christine Selvey ◽  
David J Templeton ◽  
Linda G Donovan ◽  
...  

Aim To describe the epidemiology of lymphogranuloma venereum (LGV) in New South Wales (NSW) from 2006 to 2015. Methods LGV notification data between 2006 and 2015 from New South Wales were analysed to describe time trends in counts and rates by gender, age group and area of residence, as well as anatomical sites of infection. A positivity ratio was calculated using the number of LGV notifications per 100 anorectal chlamydia notifications per year. Data linkage was used to ascertain the proportion of LGV cases that were co-infected with HIV. Results There were 208 notifications of LGV in NSW from 2006 to 2015; all were among men, with a median age of 42 years, and half were residents of inner-city Sydney. Annual notifications peaked at 57 (1.6 per 100,000 males) in 2010, declined to 16 (0.4 per 100,000 males) in 2014, and then increased to 34 (0.9 per 100,000 males) in 2015. Just under half (47.4%) of LGV cases were determined to be co-infected with HIV. Conclusion The number of LGV notifications each year has not returned to the low levels seen prior to the peak in 2010. Continued public health surveillance is important for the management and control of LGV.

1997 ◽  
Vol 37 (4) ◽  
pp. 439 ◽  
Author(s):  
T. S. Andrews ◽  
C. E. Jones ◽  
R. D. B. Whalley

Summary. Four experiments were conducted to determine the effects of temperature, light and leaf extract solutions on the germination of Giant Parramatta grass [GPG, Sporobolus indicus (L.) R. Br. var. major (Buse) Baaijens] collected from a population on the North Coast of New South Wales. In the first experiment, seeds were subjected to one of a range of temperature combinations immediately after collection and again after 8 and 27 weeks. Germination was restricted to a narrow range of alternating temperatures with a peak at 35°C day/15°C night when seeds were tested immediately after collection. More seeds germinated when the samples had been stored, although germination remained depressed at constant temperatures. These data indicate that freshly collected GPG seeds are subject to primary dormancy and that few would germinate in the field immediately after seed fall. In a second experiment, seeds were buried beneath leaf litter in a pasture immediately after collection. After 7 months, the seeds were exhumed and subjected to either constant (20°C) or alternating (35/15°C) temperatures in either full light, reduced red:far-red (R : FR) light or dark treatments. Over 95% of GPG seeds germinated when subjected to alternating temperatures, regardless of light treatment. At constant temperatures, 97% of seeds germinated under full light, 59% at reduced R : FR light and <1% in dark treatments. A germination response to alternating temperatures and/or light treatments has been reported in pasture weeds and may be an adaptation to detecting gaps in the pasture canopy. Consequently, the germination of GPG in a pasture may be manipulated to some extent by altering the amount of pasture cover using grazing management, mowing and fertiliser applications. In experiment 3, leaves from a range of coastal grasses were mixed with water and the solutions were used to germinate GPG seeds. Solutions extracted from setaria (Setaria sphacelata) leaves completely inhibited GPG germination while 27% of GPG seeds germinated when imbibed with kikuyu leaf extract solution. Solution extracted from carpet grass (Axonopus affinis) leaves had the least effect on GPG germination. In experiment 4, the effects of solutions that had been leached from the leaves of either setaria or carpet grass on seed germination, and root and shoot lengths of GPG seedlings were compared. Germination was less inhibited by leachate solutions compared with the extract solutions used in experiment 3. Seedlings in setaria leachates had significantly shorter roots and shoots than both those germinated in carpet grass leachates and control seedlings. This may explain, at least in part, why carpet-grass-based pastures are readily infested with GPG while setaria-based pastures are relatively resistant to infestation. The potential for allelopathic interactions between GPG and setaria to be fully utilised to reduce the abundance of GPG in coastal New South Wales pastures is discussed.


2020 ◽  
Vol 32 (4) ◽  
pp. 599-603 ◽  
Author(s):  
Michael M Dinh ◽  
Kendall J Bein ◽  
John Delaney ◽  
Saartje Berendsen Russell ◽  
Tim Royle

Author(s):  
Katrina Spilsbury ◽  
Anna Ferrante ◽  
Diana Rosman ◽  
Janine Alan ◽  
James Boyd ◽  
...  

ABSTRACT ObjectivesThe Population Health Research Network (PHRN) was established to increase data linkage capacity in Australia. A proof of concept study investigating cross border hospital use and hospital mortality was undertaken to demonstrate the effectiveness of increased data linkage capacity in supporting nationally significant health research. The objective of this study was to evaluate whether cross-jurisdictional linkage of hospital and death records across Australian states could refine estimation of Hospital Standardised Mortality Ratios (HSMRs). ApproachIn Australia, administrative hospital and death data are collected by individual state governments. The newly established Centre for Data Linkage created a cross-jurisdictional linkage key that brought together hospital and death records belonging to individuals across four Australian states over a five year period (1st July 2004 – 30th June 2009). Hospital inpatient records from public, psychiatric and private hospitals and private day surgery centres were provided by New South Wales, Western Australia and Queensland. South Australia provided public hospital inpatient records only. The linked data underwent extensive cleaning and standardisation to improve the validity of interstate comparisons. The final cohort comprised 7.7 million hospital patients. In-hospital deaths and deaths within 30 days of hospital discharge from the four state jurisdictions were used to estimate the SMR of hospital groups defined by geography and type of hospital (grouped HSMR) under three record linkage scenarios; 1) cross-jurisdictional person-level linkage, 2) within-jurisdictional (state-based) person-level linkage and 3) unlinked records. All public and private hospitals in New South Wales, Queensland, Western Australia and public hospitals in South Australia were included in this study. Death registrations from all four states were obtained from state-based registries of births, deaths and marriages. Results Cross-jurisdictional linkage identified 11,116 cross-border hospital transfers of which 170 resulted in a cross-border in-hospital death. An additional 496 cross-border deaths occurred within 30 day of hospital discharge. The inclusion of cross-jurisdictional person-level links to unlinked hospital records reduced the coefficient of variation amongst the grouped HSMRs from 0.19 to 0.15; the inclusion of 30 day deaths reduced the coefficient of variation further to 0.11. There were minor changes in grouped HSMRs between cross-jurisdictional and within-jurisdictional linkages, although the impact of cross-jurisdictional linkage increased when restricted to geographic regions with high cross-border hospital use such as the New South Wales and Queensland border area. ConclusionCross-jurisdictional data linkage modified estimates of grouped HSMRs, particularly for hospitals groups that were likely to receive a high proportion of cross-border users.


Author(s):  
Kathleen Falster ◽  
Mark Hanly ◽  
Rhiannon Pilkington ◽  
Marilyn Chilvers ◽  
Elizabeth Whittaker ◽  
...  

IntroductionA recent independent review of the child protection system in New South Wales (NSW), Australia, highlighted the need for whole-of-government reform to improve outcomes for children at risk of, or experiencing, maltreatment. Population-level evidence on outcomes of children who enter and progress through the child protection system is currently lacking. Objectives and ApproachWe aimed to quantify developmental vulnerability at age five among children who enter and progress through the child protection system during early childhood to demonstrate the value of cross-sectoral data linkage to inform and evaluate policy at a population-level. We used Australian Early Development Census (AEDC) data linked to cross-sectoral population datasets in NSW, including birth registrations, perinatal, and child protectionnotification and out-of-home care (OOHC) placement data. Linked AEDC data, collected in 2009 and 2012, areavailable for 153,670 NSW children. Socio-demographic and perinatal characteristics available in the linked data were used to characterise the population. Results21,179 (13.9%) children had ≥1 ‘screened in’ notification, 4927 (3.2%) had ≥1 substantiated abuse and neglect notification, and 2177 (1.4%) had ≥1 OOHC placement before their fifth birthday. Indicators of disadvantage and adverse birth outcomes were more common among children who progressed to higher levels of the child protection system. The proportion developmentally vulnerable on ≥1 domains of the AEDC increased for children who entered and progressed through the child protection system; from 21% of children with no contact with child protection before age five, to 39% of children with ≥1 ‘screened in’ notification, 50% with ≥1 substantiated notification, and 54% with ≥1 OOHC placement before their fifth birthday. Comparison of findings from other Australian jurisdictions with similar data will be discussed. Conclusion/ImplicationsThis study demonstrates there is scope to improve developmental outcomes through targeted interventions among children who become known to child protection during early childhood in NSW. Moreover, it illustrates that cross-sectoral data linkage can be used to inform and evaluate policy reforms to drive better outcomes for vulnerable children.


BMJ Open ◽  
2017 ◽  
Vol 7 (4) ◽  
pp. e015627 ◽  
Author(s):  
Simone Reppermund ◽  
Preeyaporn Srasuebkul ◽  
Theresa Heintze ◽  
Rebecca Reeve ◽  
Kimberlie Dean ◽  
...  

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