Catherine Niven , Kim A. Vuong , Luke Nottage , James E. Harrison , Holger Möller , Jesani Catchpoole , Rebecca Ivers , Kirsten Vallmuur
{"title":"Navigating child product safety: Perspectives from experts on international challenges and priorities in regulation and research","authors":"Catherine Niven , Kim A. Vuong , Luke Nottage , James E. Harrison , Holger Möller , Jesani Catchpoole , Rebecca Ivers , Kirsten Vallmuur","doi":"10.1016/j.anzjph.2023.100103","DOIUrl":"10.1016/j.anzjph.2023.100103","url":null,"abstract":"<div><h3>Objective</h3><p>To elicit and summarise collective expert opinion on contemporary child product safety risks, challenges and priorities.</p></div><div><h3>Methods</h3><p>An online survey targeted international experts from a cross-section of product safety fields.</p></div><div><h3>Results</h3><p>Fifty-five experts participated, representing 1,137 years of product safety experience, from a broad range of fields including industry risk management, product assessment and testing, policy and regulation, research, paediatric medicine, advocacy and product liability. Participants identified the leading product safety hazards across all age brackets as falls, drowning and chemical hazards, with variance in specific age brackets, particularly the threat to breathing hazards for infants. The leading products of concern to experts were electrical connection/distribution products, primarily button batteries and lithium-ion batteries, infant furnishing products and household furniture. Product safety priorities and challenges were identified under five themes: regulatory, surveillance, industry, consumer and product-specific.</p></div><div><h3>Conclusions</h3><p>The gains in knowledge, insight and understanding from experts on contemporary child product safety risks and issues should inform policy and future research.</p></div><div><h3>Implications for Public Health</h3><p>There are significant consequences of unsafe consumer products on population health, and the results are timely as we face new product safety issues emerging from e-commerce, the digital transition and innovative product technologies.</p></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"47 6","pages":"Article 100103"},"PeriodicalIF":3.5,"publicationDate":"2023-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1326020023052809/pdfft?md5=593e85d73eb022f3dca10d047829a2a2&pid=1-s2.0-S1326020023052809-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138046100","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tina Brodie , Natasha J. Howard , Odette Pearson , Kootsy Canuto , Alex Brown , The Advisory Group
{"title":"Enhancement of scoping review methodology to reflect Aboriginal and Torres Strait Islander ways of knowing, being and doing","authors":"Tina Brodie , Natasha J. Howard , Odette Pearson , Kootsy Canuto , Alex Brown , The Advisory Group","doi":"10.1016/j.anzjph.2023.100096","DOIUrl":"https://doi.org/10.1016/j.anzjph.2023.100096","url":null,"abstract":"<div><h3>Objective</h3><p>This paper argues for the enhancement of scoping review methods to incorporate Indigenous ways of knowing, being, and doing for more effective understandings of evidence of importance to Indigenous populations.</p></div><div><h3>Methods</h3><p>Scoping review methodology typically aims to understand existing evidence and support translation of evidence into practice. Levac and colleagues (2010) scoping review methodology stages: 1) Identify the research question; 2) Identify relevant studies; 3) Study selection; 4) Charting the data; 5) Collating, summarising, and reporting results; and 6) Consultation were considered from the perspective of Indigenous knowledges and adapted accordingly.</p></div><div><h3>Results</h3><p>An enhanced method better aligns with Indigenous methodologies which are based on relationality, collaboration, partnership, reciprocity, and benefit. Consultation was redefined in this enhancement as <em>partnership</em> and integrated throughout scoping review stages, which are underpinned by key methodological principles.</p></div><div><h3>Conclusions</h3><p>Enhancement of scoping review stages with Indigenous ways of knowing, being, and doing has the potential to strengthen the utility of scoping review methods to better meet the needs of and ensure relevance for Indigenous populations.</p></div><div><h3>Implications for public health</h3><p>These enhancements can increase the potential for knowledge translation and implementation of culturally relevant evidence-based approaches into practice for Indigenous populations and for other populations who experience health inequities.</p></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"47 6","pages":"Article 100096"},"PeriodicalIF":3.5,"publicationDate":"2023-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1326020023052731/pdfft?md5=6f9af17c9ecd65c2b354309e54c6be5a&pid=1-s2.0-S1326020023052731-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134654928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
James Harris, Alexandra Uren, James Smith, Emily Titmus, Megan Young
{"title":"Evaluating the benefit of serology during potential Australian bat lyssavirus and rabies post-exposure prophylaxis","authors":"James Harris, Alexandra Uren, James Smith, Emily Titmus, Megan Young","doi":"10.1016/j.anzjph.2023.100091","DOIUrl":"10.1016/j.anzjph.2023.100091","url":null,"abstract":"<div><p>Post-exposure prophylaxis (PEP) for potential lyssavirus exposures consists of wound management, rabies vaccination and may include rabies immunoglobulin (RIG). Rabies serology is sometimes indicated if there is risk of PEP failure.</p></div><div><h3>Objectives</h3><p>Evaluate the benefit of serology by indication.</p></div><div><h3>Methods</h3><p>Chart review of potential lyssavirus exposures managed at a Public Health Unit (June 2015 – December 2022) where serology was requested was conducted. The proportion of non-therapeutic titres was compared by sex, age, Indigenous status, serology indication, and whether RIG was given.</p></div><div><h3>Results</h3><p>46 notifications with serology were included. Males (5/19) and people over 40 (3/16) were more likely to demonstrate a non-therapeutic response. 2/3 of cases where vaccine doses were not given in the deltoid were non-therapeutic. The rate of non-therapeutic titres was similar for RIG given into the ipsilateral arm (2/11) and given excess RIG for weight (1/4). Although this small sample was inconclusive in isolation, it was also noted that all cases who did not receive RIG had therapeutic serology, whereas 6/35 of those receiving RIG had non-therapeutic serology.</p></div><div><h3>Conclusions</h3><p>This study supports broader literature questioning the utility of systemic RIG administration as likely limited and potentially detrimental considering the increased risk of immune interference.</p></div><div><h3>Implications for public health</h3><p>Highlights a need to review Australian national guidelines to align with World Health Organization advice recommending local RIG administration only.</p></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"47 6","pages":"Article 100091"},"PeriodicalIF":3.5,"publicationDate":"2023-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1326020023052688/pdfft?md5=b82c63f35f552e3a84dbc7fc865ff02b&pid=1-s2.0-S1326020023052688-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71520316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Area-level geographic and socioeconomic factors and the local incidence of SARS-CoV-2 infections in Queensland between 2020 and 2022","authors":"Selina Ward, Angela Cadavid Restrepo, Lisa McHugh","doi":"10.1016/j.anzjph.2023.100094","DOIUrl":"10.1016/j.anzjph.2023.100094","url":null,"abstract":"<div><h3>Objective</h3><p>Calculate the incidence of SARS-CoV-2 (COVID-19) infection notifications and the influence of area-level geographic and socioeconomic factors in Queensland using real-time data from the COVID-19 Real-time Information System for Preparedness and Epidemic Response (CRISPER) project.</p></div><div><h3>Design and setting</h3><p>Population-level ecological study and spatial mapping of the incidence of COVID-19 infection notifications in Queensland, by postcode, 2020–2022.</p></div><div><h3>Main outcome measures</h3><p>Proportions and distribution of COVID-19 infection notifications by year, age-group, socioeconomic disadvantage, and geospatial mapping. Incidence rate ratios (IRRs) were calculated.</p></div><div><h3>Results</h3><p>Between 28 January 2020 and 30 June 2022, a total of 609,569 cases of COVID-19 associated with a Queensland postcode were recorded. The highest proportion of cases occurred in 2022 (96.5%), and in the 20- to 24-year age category (IRR = 1.787). In non–Major City areas, there was also a higher incidence of COVID-19 cases in lower socioeconomic areas (IRR = 0.84) than in higher socioeconomic areas (IRR = 0.66).</p></div><div><h3>Conclusions</h3><p>Queensland experienced its highest proportion of COVID-19 cases once domestic and international borders opened. However, geographic and socioeconomic factors may have still contributed to a higher incidence of COVID-19 cases across some Queensland areas.</p></div><div><h3>Implications for Public Health</h3><p>Although Australia has moved from the emergency response phase of the COVID-19 pandemic, we need to ensure ongoing prevention strategies target groups and areas that we have identified with the highest incidence.</p></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"47 6","pages":"Article 100094"},"PeriodicalIF":3.5,"publicationDate":"2023-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41189613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sarah Mitchell, Alexandra Macmillan, Kate C Morgaine, Patricia Priest
{"title":"Transdisciplinary stakeholder understandings of antimicrobial resistance: An integrative approach in Aotearoa New Zealand","authors":"Sarah Mitchell, Alexandra Macmillan, Kate C Morgaine, Patricia Priest","doi":"10.1016/j.anzjph.2023.100093","DOIUrl":"10.1016/j.anzjph.2023.100093","url":null,"abstract":"<div><h3>Objective</h3><p>Antimicrobial resistance (AMR) is a complex public health issue, with a range of influences across human, animal, and environmental health. Given the complexity of the problem, the diversity of stakeholders, and the failure of current policies to curb AMR worldwide, integrative approaches are needed to identify effective actions. Underpinned by systems thinking and One Health principles, this qualitative study explored how diverse AMR experts in Aotearoa New Zealand perceive the main drivers and effects of AMR.</p></div><div><h3>Methods</h3><p>Semi-structured interviews with clinical, academic, policy, community, and industry representatives were designed to elicit mental models of the causes and outcomes of AMR across dimensions.</p></div><div><h3>Results</h3><p>Thematic analysis revealed contrasting understandings of AMR causes across four domains: food-producing animals (livestock), healthcare, community, and environment. AMR was often framed as a problem of individual behaviour, despite many implicit references to underlying structural economic influences. The politics of collaboration was a further major underlying theme. The interviews highlighted fundamental connections between AMR and other complex issues, including poverty and environmental pollution.</p></div><div><h3>Implications for public health</h3><p>This study brings together the understandings of AMR of transdisciplinary stakeholders, providing some immediate insights for policy makers and setting the foundation for developing a collaborative system model of AMR as a basis for decision-making.</p></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"47 6","pages":"Article 100093"},"PeriodicalIF":3.5,"publicationDate":"2023-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49673797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The enduring harm from permanent offshore processing arrangements in the Pacific Islands","authors":"Kyli Hedrick , Rohan Borschmann","doi":"10.1016/j.anzjph.2023.100095","DOIUrl":"10.1016/j.anzjph.2023.100095","url":null,"abstract":"","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"47 6","pages":"Article 100095"},"PeriodicalIF":3.5,"publicationDate":"2023-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41189614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Natasha Egoroff , Hilary Bloomfield , Wanamula Gondarra , Brando Yambalpal , Terrence Guyula , Demi Forward , Gemma Lyons , Emer O’Connor , Lou Sanderson , Michelle Dowden , Desley Williams , Jessica de Dassel , Pasqualina Coffey , Elizabeth Rrapa Dhurrkay , Veronica Gondarra , Deborah C. Holt , Vicki L. Krause , Bart J. Currie , Kalinda Griffiths , Karen Dempsey , Anna Glynn-Robinson
{"title":"An outbreak of acute rheumatic fever in a remote Aboriginal community","authors":"Natasha Egoroff , Hilary Bloomfield , Wanamula Gondarra , Brando Yambalpal , Terrence Guyula , Demi Forward , Gemma Lyons , Emer O’Connor , Lou Sanderson , Michelle Dowden , Desley Williams , Jessica de Dassel , Pasqualina Coffey , Elizabeth Rrapa Dhurrkay , Veronica Gondarra , Deborah C. Holt , Vicki L. Krause , Bart J. Currie , Kalinda Griffiths , Karen Dempsey , Anna Glynn-Robinson","doi":"10.1016/j.anzjph.2023.100077","DOIUrl":"10.1016/j.anzjph.2023.100077","url":null,"abstract":"<div><h3>Objectives</h3><p>We describe the public health response to an outbreak of acute rheumatic fever (ARF) in a remote Aboriginal community.</p></div><div><h3>Methods</h3><p>In August 2021, the Northern Territory Rheumatic Heart Disease Control Program identified an outbreak of acute rheumatic fever in a remote Aboriginal community. A public health response was developed using a modified acute poststreptococcal glomerulonephritis protocol and the National Acute Rheumatic Fever Guideline for Public Health Units.</p></div><div><h3>Results</h3><p>12 cases were diagnosed during the outbreak; six-times the average number of cases in the same period in the five years prior (n=1.8). Half (n=6) of the outbreak cases were classified as recurrent episodes with overdue secondary prophylaxis. Contact tracing and screening of 11 households identified 86 close contacts.</p></div><div><h3>Conclusions</h3><p>This outbreak represented an increase in both first episodes and recurrences of acute rheumatic fever and highlights the critical need for strengthened delivery of acute rheumatic fever secondary prophylaxis, and for improvements to the social determinants of health in the region.</p></div><div><h3>Implications for Public Health</h3><p>Outbreaks of acute rheumatic fever are rare despite continuing high rates of acute rheumatic fever experienced by remote Aboriginal communities. Nevertheless, there can be improvements in the current national public health guidance relating to acute rheumatic fever cluster and outbreak management.</p></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"47 5","pages":"Article 100077"},"PeriodicalIF":3.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10070294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Helen Fordham , Heath Greville , Monica Moran , Dane Waters , Sandra C. Thompson
{"title":"Changing conversations about family violence in regional Western Australia: A primary prevention communication case study","authors":"Helen Fordham , Heath Greville , Monica Moran , Dane Waters , Sandra C. Thompson","doi":"10.1016/j.anzjph.2023.100089","DOIUrl":"10.1016/j.anzjph.2023.100089","url":null,"abstract":"<div><h3>Objective</h3><p>To illuminate the enablers and challenges of implementing a communication strategy designed to support Community, Respect, Equality (CRE) and a family and domestic violence (FDV) primary prevention plan in a regional Western Australian town.</p></div><div><h3>Method</h3><p>This research draws on documentation and interviews with members of Leading Lights, an advocacy group arising from a collaboration of local organisations to communicate the goals and priorities of the CRE action plan. Interviews explored how primary prevention messages were promoted to foster supportive community attitudes toward addressing the drivers of FDV.</p></div><div><h3>Results</h3><p>The initiative fostered a learning community that coordinated public messaging about the drivers of FDV for organisations pledged to the CRE values. The diffusion of messaging was affected over time by inconsistent staffing, discontinuities in resourcing and individual organisational commitment, and concerns about gender equality messaging.</p></div><div><h3>Conclusion</h3><p>The communications strategy increased awareness of the drivers of FDV among the members of the Leading Lights. In turn, this group produced media content that made visible each organisation’s commitment to addressing the attitudes and behaviours that enable FDV.</p></div><div><h3>Implications for public health</h3><p>Community collaborations need time, resourcing, and coordination to sustainably prompt changes in social norms that underpin violence.</p></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"47 5","pages":"Article 100089"},"PeriodicalIF":3.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41105322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Brianna Poirier, Dandara Haag, Gustavo Soares, Lisa Jamieson
{"title":"Whose values, what bias, which subjectivity?: The need for reflexivity and positionality in epidemiological health equity scholarship","authors":"Brianna Poirier, Dandara Haag, Gustavo Soares, Lisa Jamieson","doi":"10.1016/j.anzjph.2023.100079","DOIUrl":"10.1016/j.anzjph.2023.100079","url":null,"abstract":"","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"47 5","pages":"Article 100079"},"PeriodicalIF":3.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10430620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Simone Pettigrew , Michelle I. Jongenelis , Zenobia Talati , Gael Myers , Nina Sapountsis
{"title":"Dimensions of the diet-exercise relationship in later life: A qualitative study","authors":"Simone Pettigrew , Michelle I. Jongenelis , Zenobia Talati , Gael Myers , Nina Sapountsis","doi":"10.1016/j.anzjph.2023.100090","DOIUrl":"10.1016/j.anzjph.2023.100090","url":null,"abstract":"<div><h3>Objective</h3><p>Diet and physical activity are two lifestyle behaviours that are critical for healthy ageing. The aim of this study was to explore how older adults negotiate dietary and physical activity decisions to identify areas of intersection between these two behaviours and inform health promotion interventions targeting both diet and exercise.</p></div><div><h3>Methods</h3><p>This exploratory study utilised a novel data collection approach that involved lay interviewers recruiting their peers to (i) participate in two interviews over a period of six months and (ii) make notes on their thoughts relating to diet and physical activity. Participants were 75 adults aged 60+ years in Western Australia (n = 64 females).</p></div><div><h3>Results</h3><p>Three primary themes were identified: (i) the importance but difficulty of achieving energy balance; (ii) issues relating to managing food intake before, during, and after physical activity; and (iii) reciprocal opportunities for eating and physical activity.</p></div><div><h3>Conclusions</h3><p>Diet and physical activity are linked in complex ways, highlighting the need for multi-factorial interventions.</p></div><div><h3>Implications for public health</h3><p>When developing communications strategies designed to encourage older people to both improve their diets and increase their physical activity, consideration could be given to leveraging existing perceived alignments between healthy eating and being active.</p></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"47 5","pages":"Article 100090"},"PeriodicalIF":3.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41103202","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}