scholarly journals The Identification, Management, and Control of Scabies in Australian Aboriginal and Torres Strait Islander Communities

Author(s):  
Timothy Mettam

Background: Scabies is an unfortunately neglected tropical skin disease. Scabies occurs in Australia, however it is drastically more common amongst select socioeconomically disadvantaged groups. Amongst these, Aboriginal and Torres Strait Islander communities are affected particularly severely, likely secondary to rampant overcrowding. Methods: This literature review has comprehensively explored the relevant evidence available since the year 2000. Objectives: The objective of this article is to provide updates on the identification, management, and control of scabies in Aboriginal and Torres Strait Islander communities. The article also aims to reveal issues with these factors that may be contributing to the inflated prevalence of scabies amongst these groups. Conclusions: Diagnosis currently depends upon clinical examination, dermatoscopy, and skin scraping microscopy; all of which are prone to error. In Australia, topical permethrin remains first-line treatment, however resistance is developing. Other management aspects to consider are environmental measures and treating secondary infections. Scabies prevention is far more cost-effective than managing advanced individual cases, typically ensured through mass drug administration of permethrin or ivermectin. Sustained prevention can prove troublesome for some communities. In order to address the status of scabies as a neglected tropical disease, these issues must be managed first.

Author(s):  
Timothy Mettam

Background: Scabies is an unfortunately neglected tropical skin disease. Scabies occurs in Australia, however it is drastically more common amongst select socioeconomically disadvantaged groups. Amongst these, Aboriginal and Torres Strait Islander communities are affected particularly severely, likely secondary to rampant overcrowding. Methods: This literature review has comprehensively explored the relevant evidence available since the year 2000. Objectives: The objective of this article is to provide updates on the identification, management, and control of scabies in Aboriginal and Torres Strait Islander communities. The article also aims to reveal issues with these factors that may be contributing to the inflated prevalence of scabies amongst these groups. Conclusions: Diagnosis currently depends upon clinical examination, dermatoscopy, and skin scraping microscopy; all of which are prone to error. In Australia, topical permethrin remains first-line treatment, however resistance is developing. Other management aspects to consider are environmental measures and treating secondary infections. Scabies prevention is far more cost-effective than managing advanced individual cases, typically ensured through mass drug administration of permethrin or ivermectin. Sustained prevention can prove troublesome for some communities. In order to address the status of scabies as a neglected tropical disease, these issues must be managed first.


2019 ◽  
Vol 56 (3) ◽  
pp. 487-504
Author(s):  
Suzanne Plater ◽  
Julie Mooney-Somers ◽  
Lesley Barclay ◽  
John Boulton

This article reports on a study that explored what it means to be a mature-age Aboriginal and Torres Strait Islander university graduate in the context of age, life-stage, history, culture, socioeconomic status, race and place. Using narrative interview data and fieldwork observation, we focus on the graduates’ workplace experiences and take a case study approach to amplify their voices. We argue that the data challenges the ideological construct of Australia as a ‘post-racial’ society and illustrates how interrelated variants of structural racism function to sanction, silence and control educated Aboriginal and Torres Strait Islander people, divide communities into quasi-hierarchies, and sustain white power and privilege. We show how these variants are expressed as low expectations, shadeism, culturism and privilege protectionism, and argue that their enactment can erect an invisible barrier to Aboriginal and Torres Strait Islander professional progression: a ‘white ceiling’ above which many graduates struggle to ascend.


Author(s):  
Gail Garvey ◽  
Kate Anderson ◽  
Alana Gall ◽  
Tamara L. Butler ◽  
Joan Cunningham ◽  
...  

Aboriginal and Torres Strait Islander people experience a greater range of health and social disadvantages compared to other Australians. Wellbeing is a culturally-bound construct, and to date, a national evidence base around the components of wellbeing for Aboriginal and Torres Strait Islander people is lacking. Understanding and measurement of wellbeing for this population is critical in achieving health equity. This paper aims to identify and describe the foundations of wellbeing for Aboriginal and Torres Strait Islander adults. This national qualitative study was underpinned by an Indigenist research approach which privileges the voices of Aboriginal and Torres Strait Islander people. Aboriginal and Torres Strait Islander adults were purposively recruited from around Australia between September 2017 and September 2018 to participate in Yarning Circles, led by Aboriginal and Torres Strait Islander researchers. Yarning Circles were audio recorded, transcribed and analyzed. A Collaborative Yarning Methodology was used, which incorporated reflexive thematic analysis to identify and describe the foundations of wellbeing reported by participants. A total of 359 Aboriginal and Torres Strait Islander adults participated. Our analysis revealed five foundations of wellbeing: belonging and connection; holistic health; purpose and control; dignity and respect; and basic needs. These foundations were deeply interwoven by three interconnected aspects of Aboriginal and Torres Strait Islander life: family, community and culture. The findings of this study will substantially aid our efforts to develop a new wellbeing measure for Aboriginal and Torres Strait Islander adults. The iterative Indigenist methods used in this study provide a robust research methodology for conducting large-scale, nationally-relevant qualitative research with Aboriginal and Torres Strait Islander people. Policies and practices that are informed by our results have the potential to address outcomes that are meaningful for Aboriginal and Torres Strait Islander people.


Author(s):  
Gerino Mappatao ◽  
Isaiah Mari Zebedia Bautista ◽  
Marc Kevin Orsos ◽  
Mark Aldrine Ribo ◽  
Joseph Castillo

<span>Whenever a broadcast transmitter is on-air, it is required to be tended by licensed broadcast technicians. Technicians periodically monitor the transmitter performance, record the supply voltage and current at the last stage of the power amplifier and keeps a copy for at least two years. Also recorded are the times the transmitter is turned ON and OFF as well as the times the transmitter shuts down and returns back to air. This paper proposes a system to remotely tend analog transmitters in one central monitoring station. The remote tending of several transmitters in one location is made possible through internet connection. However, the challenge in the proposed system is in the gathering of transmitter data. A prototype of the system was constructed and tested in an FM broadcast transmitter. Test results on the prototype performance show that the proposed system can effectively be used to remotely monitor, record data and control the status of analog broadcast transmitters. The primary feature of the proposed system of monitoring several transmitters in one location will bring cost effective advantages to the broadcast operators. </span>


2021 ◽  
Vol 9 (2) ◽  
pp. 30-41
Author(s):  
David Rhodes ◽  
Matt Byrne

Existing research has explored inclusion in education, however, issues related to Aboriginal and Torres Strait Islander LGBTIQ+ young people, with some notable exceptions, have, until recently, seldom been included in any meaningful academic discussion. Issues of youth race, gender and sexuality have been interrogated as discrete issues. This small but growing body of research demonstrates the potential impacts of intersectional disadvantages experienced by Aboriginal and Torres Strait Islander LGBTIQ+ young people in Australia (Uink, Liddelow-Hunt, Daglas, &amp; Ducasse, 2020). This article seeks to explore the existing research and advocate for the embedding of a critical pedagogy of care in primary Initial Teacher Education (ITE) curricula, inclusive of diversity of race, ethnicity, socio-economic-status, gender and sexuality. Employing intersectionality theory, this research will examine the specific disadvantages that arise as the result of occupying multiple minority demographic categories, which are relational, complex and shifting, rather than fixed and independent. Primary educators are well positioned to name disadvantage, racism and heterosexism, make them visible and, through culturally responsive pedagogical approaches and inclusive curricula, challenge the status quo. To ensure that learning and teaching moves beyond stereotypes, primary curricula should be representative of all students and present alternate ways of being human in culturally appropriate, positive ways, to the benefit of all students. ITE programs provide the ideal arena to equip teachers with the knowledge and competency to respond to the needs of Aboriginal and Torres Strait Islander LGBTIQ+ young people.


2016 ◽  
Vol 8 (3) ◽  
Author(s):  
Deborah Van Gaans ◽  
Sarah Ahmed ◽  
Katina D'Onise ◽  
Sean Matthew Taylor ◽  
R McDermott

Good quality data on Aboriginal and Torres Strait Islander peoples are needed to assess the effectiveness of programs and interventions, and to evaluate policies that are designed to improve the status of, and service delivery to, Aboriginal and Torres Strait Islander peoples.  Due to the lack of longitudinal data it is difficult to gain knowledge on the specific causes or consequences of changes in indigenous outcomes.  Variables such as name, date of birth and address variables for Aboriginal and Torres Strait Islanders may be subject to more variation and be less consistently reported among Aboriginal and Torres Strait Islander Australians than among other Australians.  Improving the collection and management of key identifying variables for Aboriginal and Torres Strait Islanders are key to providing more quality information on this population group.


2019 ◽  
Vol 43 ◽  
Author(s):  
Amalie Dyda ◽  
Surendra Karki ◽  
Marlene Kong ◽  
Heather F Gidding ◽  
John M Kaldor ◽  
...  

Background: There is limited information on vaccination coverage and characteristics associated with vaccine uptake in Aboriginal and/or Torres Strait Islander adults. We aimed to provide more current estimates of influenza vaccination coverage in Aboriginal adults. Methods: Self-reported vaccination status (n=559 Aboriginal and/or Torres Strait Islander participants, n=80,655 non-Indigenous participants) from the 45 and Up Study, a large cohort of adults aged 45 years or older, was used to compare influenza vaccination coverage in Aboriginal and/or Torres Strait Islander adults with coverage in non-Indigenous adults. Results: Of Aboriginal and non-Indigenous respondents aged 49 to <65 years, age-standardised influenza coverage was respectively 45.2% (95% CI 39.5–50.9%) and 38.5%, (37.9–39.0%), p-value for heterogeneity=0.02. Coverage for Aboriginal and non-Indigenous respondents aged ≥65 years was respectively 67.3% (59.9–74.7%) and 72.6% (72.2–73.0%), p-heterogeneity=0.16. Among Aboriginal adults, coverage was higher in obese than in healthy weight participants (adjusted odds ratio (aOR)=2.38, 95%CI 1.44–3.94); in those aged <65 years with a medical risk factor than in those without medical risk factors (aOR=2.13, 1.37–3.30); and in those who rated their health as fair/poor compared to those who rated it excellent (aOR=2.57, 1.26–5.20). Similar associations were found among non-Indigenous adults. Conclusions: In this sample of adults ≥65 years, self-reported influenza vaccine coverage was not significantly different between Aboriginal and non-Indigenous adults whereas in those <65 years, coverage was higher among Aboriginal adults. Overall, coverage in the whole cohort was suboptimal. If these findings are replicated in other samples and in the Australian Immunisation Register, it suggests that measures to improve uptake, such as communication about the importance of influenza vaccine and more effective reminder systems, are needed among adults.


2020 ◽  
Vol 2020 (3) ◽  
pp. 60408-1-60408-10
Author(s):  
Kenly Maldonado ◽  
Steve Simske

The principal objective of this research is to create a system that is quickly deployable, scalable, adaptable, and intelligent and provides cost-effective surveillance, both locally and globally. The intelligent surveillance system should be capable of rapid implementation to track (monitor) sensitive materials, i.e., radioactive or weapons stockpiles and person(s) within rooms, buildings, and/or areas in order to predict potential incidents proactively (versus reactively) through intelligence, locally and globally. The system will incorporate a combination of electronic systems that include commercial and modifiable off-the-shelf microcomputers to create a microcomputer cluster which acts as a mini supercomputer which leverages real-time data feed if a potential threat is present. Through programming, software, and intelligence (artificial intelligence, machine learning, and neural networks), the system should be capable of monitoring, tracking, and warning (communicating) the system observer operations (command and control) within a few minutes when sensitive materials are at potential risk for loss. The potential customer is government agencies looking to control sensitive materials and/or items in developing world markets intelligently, economically, and quickly.


Sign in / Sign up

Export Citation Format

Share Document