Praveena J Gunaratnam, Robin E Gilmour, Chris Lowbridge, Peter B McIntyre
{"title":"Bug Breakfast in the Bulletin: invasive pneumococcal disease.","authors":"Praveena J Gunaratnam, Robin E Gilmour, Chris Lowbridge, Peter B McIntyre","doi":"10.1071/NB12117","DOIUrl":"https://doi.org/10.1071/NB12117","url":null,"abstract":"Invasive pneumococcal disease (IPD) is caused by the bacterium Streptococcus pneumoniae and is a major cause of illness in children and adults worldwide. The bacterium is transmitted between people via respiratory droplets. Many people carry S. pneumoniae harmlessly in their throats but the bacterium occasionally spreads from the upper respiratory tract to other parts of the respiratory tract to cause non-invasive disease (including otitis media) or enters the bloodstream to cause invasive disease (including pneumonia, meningitis or septicaemia). In Australia, only invasive disease is notifiable under public health law.","PeriodicalId":29974,"journal":{"name":"NSW Public Health Bulletin","volume":"24 3","pages":"142"},"PeriodicalIF":0.0,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31974234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Communicable Diseases Report, NSW, April-June 2013.","authors":"Communicable Diseases Branch","doi":"10.1071/NB13013","DOIUrl":"https://doi.org/10.1071/NB13013","url":null,"abstract":"Enteric infections Outbreaks of suspected foodborne disease There were 11 outbreaks of foodborne or suspected foodborne disease investigated by NSW Public Health Units (PHUs) in the second quarter of 2013. Three outbreaks were due to Salmonella Typhimurium, one was due to S. Zanzibar, one was due to Listeria monocytogenes, and one was due to norovirus. The remaining five outbreaks were due to unknown pathogens.","PeriodicalId":29974,"journal":{"name":"NSW Public Health Bulletin","volume":"24 3","pages":"143-7"},"PeriodicalIF":0.0,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31974235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jennifer M Noller, John C Skinner, Anthony S Blinkhorn, Greer M Dawson
{"title":"Oral health promotion in NSW.","authors":"Jennifer M Noller, John C Skinner, Anthony S Blinkhorn, Greer M Dawson","doi":"10.1071/NB12107","DOIUrl":"https://doi.org/10.1071/NB12107","url":null,"abstract":"A healthy mouth is essential for general health and wellbeing, enabling individuals to communicate effectively, and to eat and enjoy a variety of foods. It is important for overall quality of life, self-esteem and social confidence. The cost of oral disease to individuals and society extends beyond the oral health burden alone; there is, for example, lost productivity due to absenteeism fromwork and school, and reduced quality of life.","PeriodicalId":29974,"journal":{"name":"NSW Public Health Bulletin","volume":"24 3","pages":"125-7"},"PeriodicalIF":0.0,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31973274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"An evaluation of dental information sessions provided to childcare educators in NSW in 2010-2011.","authors":"Jennifer M Noller","doi":"10.1071/NB12092","DOIUrl":"https://doi.org/10.1071/NB12092","url":null,"abstract":"<p><p>Childcare services provide ideal settings to promote good oral health and help reduce tooth decay in young children. This paper reports the results of an evaluation of the dental information session component of the NSW Little Smiles Program provided by public oral health service professionals to childcare educators in NSW in 2010-2011. The evaluation sought to determine if a face-to-face information session provided to childcare educators by oral health professionals: (i) can improve the confidence of childcare educators to reach national quality standards that relate to oral health; and (ii) is an appropriate model to use. In 2010-2011, 163 dental information sessions were provided to 1716 participants from over 526 childcare centres across NSW. Results showed that a dental information session can improve the confidence of childcare educators to assist their service to reach the required national quality standards for oral hygiene and diet-related oral health issues. Further evaluation is required to determine if oral health can be embedded in the daily practice of childcare services and other options need to be explored to deliver the sessions in a more cost-effective way. </p>","PeriodicalId":29974,"journal":{"name":"NSW Public Health Bulletin","volume":"24 3","pages":"135-40"},"PeriodicalIF":0.0,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31974232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Year in review: health protection in NSW, 2012.","authors":"Health Protection Nsw","doi":"10.1071/NB13009","DOIUrl":"https://doi.org/10.1071/NB13009","url":null,"abstract":"Health protection involves the prevention and control of threats to health from communicable diseases and the environment. In New South Wales (NSW) in 2012 these functions were carried out by a range of groups, among them Health Protection NSW’s Communicable Diseases and Environmental Health Branches, the NSW Ministry of Health’s Population and Public Health Division, Public HealthUnits, clinicians, LocalHealthDistrict services, local government, other government agencies, and communities.","PeriodicalId":29974,"journal":{"name":"NSW Public Health Bulletin","volume":"24 3","pages":"105-18"},"PeriodicalIF":0.0,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31973272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"EpiReview: Meningococcal disease in NSW, 1991-2011: trends in relation to meningococcal C vaccination.","authors":"Erin Passmore, Mark J Ferson, Sean Tobin","doi":"10.1071/NB12121","DOIUrl":"https://doi.org/10.1071/NB12121","url":null,"abstract":"<p><strong>Aim: </strong>To review the epidemiology of invasive meningococcal disease in NSW for the period 1991-2011, in particular since the introduction of the meningococcal C vaccination program in 2003.</p><p><strong>Methods: </strong>We undertook a descriptive analysis of NSW notifications of invasive meningococcal disease for the period 2003-2011, and explored long-term changes in the epidemiology of invasive meningococcal disease over the period 1991-2011.</p><p><strong>Results: </strong>In the period 2003-2011, there were 1009 notifications of invasive meningococcal disease in NSW, an average annual rate of 1.6 per 100000 population. Notification rates were highest in the 0-4 and 15-19-year age groups (8.5 and 3.6 per 100000 population respectively). In the period 1991-2011, invasive meningococcal disease notifications increased between 1991 and 2000, peaking at 3.8 notifications per 100000 population in 2000. Notifications have decreased since that time to 1.0 per 100000 population in 2011, most markedly for serogroup C disease since the introduction of the meningococcal C vaccination program in 2003. Meningococcal C notifications reduced from 54 in 2002 (0.8 per 100000 population) to two in 2011 (0.03 per 100000 population). Meningococcal C deaths have also decreased, from nine in 2002 to zero in 2011. The greatest reduction in meningococcal C notifications has been in those aged 1-19 years, the target group for the vaccination program. Meningococcal B notifications have also decreased over the study period, however serogroup B remains the predominant serogroup for invasive meningococcal disease in NSW.</p><p><strong>Conclusion: </strong>Notification rates of invasive meningococcal disease have decreased in NSW since 2000. Rates of serogroup C disease have decreased since the introduction of the meningococcal C vaccination program in 2003. Most of the burden of invasive meningococcal disease in NSW is now due to serogroup B disease.</p>","PeriodicalId":29974,"journal":{"name":"NSW Public Health Bulletin","volume":"24 3","pages":"119-24"},"PeriodicalIF":0.0,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31973273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Amanda J Ampt, Jane B Ford, Lee K Taylor, Christine L Roberts
{"title":"Are pregnancy outcomes associated with risk factor reporting in routinely collected perinatal data?","authors":"Amanda J Ampt, Jane B Ford, Lee K Taylor, Christine L Roberts","doi":"10.1071/NB12116","DOIUrl":"https://doi.org/10.1071/NB12116","url":null,"abstract":"<p><strong>Aim: </strong>To assess reporting characteristics of commonly dichotomised pregnancy outcomes (e.g. preterm/term birth); and to investigate whether behaviours (e.g. smoking), medical conditions (e.g. diabetes) or interventions (e.g. induction) were reported differently by pregnancy outcomes.</p><p><strong>Methods: </strong>Further analysis of a previous validation study was undertaken, in which 1680 perinatal records were compared with data extracted from medical records. Continuous and polytomous variables were dichotomised, and risk factor reporting was assessed within the dichotomised outcome groups. Agreement, kappa, sensitivity and positive predictive value calculations were undertaken.</p><p><strong>Results: </strong>Gestational age, birthweight, Apgar scores, perineal trauma, regional analgesia and baby discharge status (live birth/stillbirth) were reported with high accuracy and reliability when dichotomised (kappa values 0.95-1.00, sensitivities 94.7-100.0%). Although not statistically significant, there were trends for hypertension, infant resuscitation and instrumental birth to be more accurately reported among births with adverse outcomes. In contrast, smoking ascertainment tended to be poorer among preterm births and when babies were <2500 g.</p><p><strong>Conclusion: </strong>Dichotomising variables collected as continuous or polytomous variables in birth data results in accurate and well ascertained data items. There is no evidence of systematic differential reporting of risk factors.</p>","PeriodicalId":29974,"journal":{"name":"NSW Public Health Bulletin","volume":"24 2","pages":"65-9"},"PeriodicalIF":0.0,"publicationDate":"2013-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31837546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kate E Charlesworth, D Lynne Madden, Anthony G Capon
{"title":"Environmentally sustainable health care: using an educational intervention to engage the public health medical workforce in Australia.","authors":"Kate E Charlesworth, D Lynne Madden, Anthony G Capon","doi":"10.1071/NB12097","DOIUrl":"https://doi.org/10.1071/NB12097","url":null,"abstract":"<p><strong>Unlabelled: </strong>Awareness of the benefits of environmentally sustainable health care is growing. In the United Kingdom in 2010, an educational intervention on sustainable health care was successfully delivered to public health registrars. We conducted a feasibility study to test the intervention in Australia.</p><p><strong>Methods: </strong>The intervention consisted of a 1-day workshop delivered face-to-face covering climate change, sustainability and health. The workshop was modified, piloted and then delivered to 33 health professionals. Modifications included using Australian resources, introducing active learning exercises and including guest speakers. Delivery by videoconference was trialled. Outcomes were assessed in three areas - awareness, advocacy and action - using questionnaires and follow-up telephone interviews.</p><p><strong>Results: </strong>There were improvements in participants' mean awareness and advocacy scores. All participants rated sustainability as 'important' for health professionals and many looked to their professional organisation to take a lead advocacy role on this issue.</p><p><strong>Discussion: </strong>This study demonstrated that the workshop is feasible for use in Australia; the modifications and delivery by videoconference were well received.</p>","PeriodicalId":29974,"journal":{"name":"NSW Public Health Bulletin","volume":"24 2","pages":"76-80"},"PeriodicalIF":0.0,"publicationDate":"2013-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31837548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Challenges in the use of tests to diagnose tuberculosis infection.","authors":"Claudia C Dobler","doi":"10.1071/NB13012c","DOIUrl":"https://doi.org/10.1071/NB13012c","url":null,"abstract":"","PeriodicalId":29974,"journal":{"name":"NSW Public Health Bulletin","volume":"24 2","pages":"93"},"PeriodicalIF":0.0,"publicationDate":"2013-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31836450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tony D Merritt, Michelle A Cretikos, Wayne Smith, David N Durrheim
{"title":"The health of Hunter Valley communities in proximity to coal mining and power generation, general practice data, 1998-2010.","authors":"Tony D Merritt, Michelle A Cretikos, Wayne Smith, David N Durrheim","doi":"10.1071/NB12109","DOIUrl":"https://doi.org/10.1071/NB12109","url":null,"abstract":"<p><strong>Aim: </strong>An analysis of general practice data for rural communities in close proximity to coal mining and coal-fired power generation in the Hunter Valley region of NSW was conducted to identify unusual patterns of illness.</p><p><strong>Methods: </strong>Bettering the Evaluation and Care of Health general practice consultation data from the Hunter Valley region for 1998-2010 were compared with data from all other rural NSW residents.</p><p><strong>Results: </strong>There were no significantly higher rates of problems managed or medications prescribed for Hunter Valley region residents compared with the rest of rural NSW. Rates of respiratory problem management in the Hunter Valley region did not change significantly over time, while for all other rural NSW areas these rates significantly decreased.</p><p><strong>Conclusion: </strong>There was no evidence of significantly elevated health issues for residents in the Hunter Valley region of NSW. The diverging trend for respiratory problem management over time is worthy of further exploration.</p>","PeriodicalId":29974,"journal":{"name":"NSW Public Health Bulletin","volume":"24 2","pages":"57-64"},"PeriodicalIF":0.0,"publicationDate":"2013-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31837545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}