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2. Asthma management in indigenous children of a remote community using an indigenous health model

Author

Chang, Anne B., Shannon, C., O'Neil, M. C., Tiemann, A. M., Valery, Patricia C., Craig, D., Fa'Afoi, E., Masters, Ian B., Chang, Anne B., Shannon, C., O'Neil, M. C., Tiemann, A. M., Valery, Patricia C., Craig, D., Fa'Afoi, E., and Masters, Ian B.

Abstract

OBJECTIVE: To describe the management of asthma in children in a remote indigenous community and the delivery of subspecialist service through the indigenous health-care model. METHODOLOGY: Children referred by indigenous health-care workers were evaluated prospectively by paediatric respiratory physicians, based on a standardized protocol, at a primary health care setting at Thursday Island, Queensland. RESULTS: Forty of the 54 children referred with a provisional diagnosis of asthma did have asthma, with 30% having persistent asthma. Only 59% of parents knew the dose of the medication prescribed and 80% had minimal knowledge of the medications. In 88% of children, the management of asthma was improved by introduction of an appropriate spacer device and changing the dose and type of medications. CONCLUSIONS: The management of children with asthma in the Torres region can be improved substantially by the use of age appropriate delivery devices and medications, and improving knowledge of asthma. Specialist delivery service to remote indigenous communities can be effectively delivered in partnership with the indigenous health service. The high proportion of persistent asthma in the Torres Straits community in comparison to urbanised Australia raises issues of inequity of appropriate medical service delivery to remote indigenous communities.

Published
2000

3. Report of the Australian Malaria Register for 1992 and 1993

Author

Bryan J, Fa'afoi E, and Simon Forsyth

Subjects
Male, Travel, Incidence, Plasmodium falciparum, Australia, Malaria, Papua New Guinea, Age Distribution, Population Surveillance, Animals, Humans, Female, Registries, Sex Distribution, Plasmodium vivax
Abstract

Australia is free from endemic malaria but several hundred imported cases occur each year. Notification and screening data on malaria cases are collected by State and Territory health authorities and laboratories and forwarded to the Australian Malaria Register (AMR) for national collation and analysis. This report provides information on 758 malaria cases with 5 deaths reported in Australia in 1992 and 712 cases with 1 death in 1993. In both years, just over 70% of cases were male and the modal age group was 20 to 29 years. Cases were reported from all States and Territories, with Queensland reporting the greatest number of cases in both years. The predominant species was Plasmodium vivax, although P. falciparum accounted for just over a quarter of the cases each year. Papua New Guinea (PNG) was the most common source of cases in both years, reflecting the number of people who move between Australia and PNG and the high endemicity of malaria in PNG. The incidence of malaria was also high in travellers from the Solomon Islands in both years and from Ghana in 1992 and Nigeria in 1993. The six deaths over two years highlight the need for medical practitioners to consider malaria as a diagnosis in patients with a history of travel to malarious countries and to provide appropriate advice on malaria prophylaxis to intending travellers.

4. Report of the Australian Malaria Register for 1992 and 1993.

Author

Bryan J, Fa'afoi E, and Forsyth S

Subjects
Age Distribution, Animals, Australia epidemiology, Female, Humans, Incidence, Malaria mortality, Male, Papua New Guinea epidemiology, Plasmodium falciparum isolation & purification, Plasmodium vivax isolation & purification, Population Surveillance, Registries, Sex Distribution, Travel, Malaria epidemiology
Abstract

Australia is free from endemic malaria but several hundred imported cases occur each year. Notification and screening data on malaria cases are collected by State and Territory health authorities and laboratories and forwarded to the Australian Malaria Register (AMR) for national collation and analysis. This report provides information on 758 malaria cases with 5 deaths reported in Australia in 1992 and 712 cases with 1 death in 1993. In both years, just over 70% of cases were male and the modal age group was 20 to 29 years. Cases were reported from all States and Territories, with Queensland reporting the greatest number of cases in both years. The predominant species was Plasmodium vivax, although P. falciparum accounted for just over a quarter of the cases each year. Papua New Guinea (PNG) was the most common source of cases in both years, reflecting the number of people who move between Australia and PNG and the high endemicity of malaria in PNG. The incidence of malaria was also high in travellers from the Solomon Islands in both years and from Ghana in 1992 and Nigeria in 1993. The six deaths over two years highlight the need for medical practitioners to consider malaria as a diagnosis in patients with a history of travel to malarious countries and to provide appropriate advice on malaria prophylaxis to intending travellers.

Published
1998

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