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K Donald

Publications and source records attributed to K Donald.

7 recordsLinked to original sources

Climate variability and Ross River virus transmission.

OBJECTIVES: (1) To examine the feasibility to link climate data with monthly incidence of Ross River virus (RRv). (2) To assess the impact of climate variability on the RRv transmission. DESIGN: An ecological time series analysis was performed on the data collected between 1985 to 1996 in Queensland, Australia. METHODS: Information on the notified RRv cases was obtained from the Queensland Department of Health. Climate and population data were supplied by the Australian Bureau of Meteorology and the Australian Bureau of Statistics, respectively. Spearman's rank correlation analyses were performed to examine the relation between climate variability and the monthly incidence of notified RRv infections. The autoregressive integrated moving average (ARIMA) model was used to perform a time series analysis. As maximum and minimum temperatures were highly correlated with each other (r(s)=0.75), two separate models were developed. RESULTS: For the eight major cities in Queensland, the climate-RRv correlation coefficients were in the range of 0.12 to 0.52 for maximum and minimum temperatures, -0.10 to 0.46 for rainfall, and 0.11 to 0.52 for relative humidity and high tide. For the whole State, rainfall (partial regression coefficient: 0.017 (95% confidence intervals 0.009 to 0.025) in Model I and 0.018 (0.010 to 0.026) in Model II), and high tidal level (0.030 (0.006 to 0.054) in Model I and 0.029 (0.005 to 0.053) in Model II) seemed to have played significant parts in the transmission of RRv in Queensland. Maximum temperature was also marginally significantly associated with the incidence of RRv infection. CONCLUSION: Rainfall, temperature, and tidal levels may be important environmental determinants in the transmission cycles of RRv disease.

Alphavirus Infections↗

Geographic variation of notified Ross River virus infections in Queensland, Australia, 1985-1996.

The spatial and temporal variations of Ross River virus infections reported in Queensland, Australia, between 1985 and 1996 were studied by using the Geographic Information System. The notified cases of Ross River virus infection came from 489 localities between 1985 and 1988, 805 between 1989 and 1992, and 1,157 between 1993 and 1996 (chi2(df = 2) = 680.9; P < 0.001). There was a marked increase in the number of localities where the cases were reported by 65 percent for the period of 1989-1992 and 137 percent for 1993-1996, compared with that for 1985-1988. The geographic distribution of the notified Ross River virus cases has expanded in Queensland over recent years. As Ross River virus disease has impacted considerably on tourism and industry, as well as on residents of affected areas, more research is required to explore the causes of the geographic expansion of the notified Ross River virus infections.

Alphavirus Infections↗

The establishment of an industry-based education program in public health.

Commonwealth reforms have led to staff of the Department of Health and Aged Care needing a greater knowledge of public health, to more effectively evaluate evidence and to quickly acquire competence in new emerging areas. The department's requirements of a training program could not be met by existing university-based public health courses. A consortium of five universities and the department worked together to develop an industry-based course that would meet the Commonwealth's needs. The course was constituted within university regulations; had an incremental and articulated structure with exit points at certificate, diploma and Masters levels; was relevant to the work of staff; offered subjects which complemented the staff's existing skills, training and career aspirations; drew upon expertise across the universities; and was flexible in its delivery. The Commonwealth's and universities' experience has been sufficiently positive to conclude that a corporate public health postgraduate program has a place alongside university-based programs.

Australia↗

Is it time to limit the role of the judiciary in compensation matters?

The current use of expert medical opinion in both adversarial and inquisitorial legal matters has been criticised and a number of alternatives have been suggested. These alternatives include pre-trial (non-adversarial) consensus reports by panels of experts, College-appointed panels of experts, or expert assessors to sit with and advise the judge. A further model that deserves consideration is that of the Repatriation Medical Authority (RMA). This has an established role in the compensation system for Australian Veterans and specified Defence Force personnel. The RMA provides Statements of Principles which state the causes, within the bounds of the Veterans' Entitlements Act, of a specified disease, injury or death on the basis of the available 'sound medical scientific evidence'. The RMA is an example of the uses of epidemiology in providing compensation-based social services. This model has emerged as one which has clear implications for other compensation environments as well as in other evidence-based social policy decision making arenas. A description of the development and function of the RMA is outlined and the essential features for its operation are detailed. Fundamentally, this model promotes consistency and equity by the use of impartial and evidence-based decision making.

Australia↗

Multiple mycotic pseudoaneurysms due to Yersinia enterocolitica: report of a case and review of the literature.

The etiology of mycotic aneurysms is variable but most often includes streptococci, staphylococci, Salmonella, and Pseudomonas infections. Yersinia enterocolitica is an organism that has been infrequently associated with vascular infections. We report a case of two ruptured mycotic pseudoaneurysms occurring in the same patient in the superficial femoral artery and the infrarenal abdominal aorta only 10 days apart. The literature is reviewed, and the clinical findings and pathology are discussed. The unique problem of multiple mycotic aneurysms developing at different times as a result of Yersinia bacteremia suggests the need to monitor these patients longitudinally and evaluate multiple sites on the arterial tree to detect occult pseudoaneurysms and prevent late death from rupture.

Aneurysm, False↗