- Viral Infections and Outbreaks Research
- Disaster Response and Management
- Public Health Policies and Education
- COVID-19 epidemiological studies
- Influenza Virus Research Studies
- Viral gastroenteritis research and epidemiology
- Respiratory viral infections research
- Cardiac, Anesthesia and Surgical Outcomes
- Tuberculosis Research and Epidemiology
- Animal Disease Management and Epidemiology
- Pneumonia and Respiratory Infections
- Acute Kidney Injury Research
- COVID-19 and healthcare impacts
- Viral Infections and Vectors
- Disaster Management and Resilience
- Infection Control and Ventilation
- Pneumocystis jirovecii pneumonia detection and treatment
- Salmonella and Campylobacter epidemiology
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Vibrio bacteria research studies
- SARS-CoV-2 detection and testing
- Interpreting and Communication in Healthcare
- COVID-19 impact on air quality
- Food Safety and Hygiene
- Zoonotic diseases and public health
Australian National University
2011-2024
Government of Western Australia Department of Health
2011-2023
Australian Government
2023
Act Health
2023
ACT Government
2023
Government of the Northern Territory
2021
World Health Organization Regional Office for the Western Pacific
2015-2020
Documentation Center of Cambodia
2017-2018
World Health Organization - Pakistan
2017
Department of Health
2015
During a COVID-19 outbreak on the Diamond Princess cruise ship we sampled environmental surfaces after passengers and crew vacated cabins. SARS-CoV-2 RNA was detected in 58 of 601 samples (10%) from case cabins 1-17 days were but not noncase There no difference detection proportion between symptomatic (15%, 28/189; cycle quantification [Cq], 29.79-38.86) asymptomatic cases (21%, 28/131; Cq, 26.21-38.99). No virus isolated any samples. Transmission risk patients may be similar could involved...
Objective: Overdose Fatality Review (OFR) is a public health process in which cases of fatal overdose are carefully reviewed to identify prevention strategies. Current OFR requires review multiple unconnected data sources, manually intensive process. We aimed use human factors design principles develop comprehensive dashboard that could facilitate enhanced processes support OFR. Materials and Methods: first surveyed leaders Wisconsin using the NASA Task Load Index (NASA-TLX) conducted...
ABSTRACT Human infections with influenza A(H5N1) virus in Cambodia increased sharply during 2013. Molecular characterization of viruses detected clinical specimens from human cases revealed the presence mutations associated alteration receptor-binding specificity (K189R, Q222L) and respiratory droplet transmission ferrets (N220K Q222L). Discovery quasispecies at position 222 (Q/L), addition to absence poultry/environmental samples, suggested that occurred infection did not transmit further.
Summary Background A COVID-19 outbreak occurred in a cruise ship with 3711 passengers and crew 2020. This study is to test the hypothesis that environmental surfaces played important roles transmission for SARS-CoV-2 during this outbreak. Methods We sampled including air from common areas cabins which confirmed cases non-cases had stayed after they left cabins. tested samples by rt-PCR conducted viral isolation. Findings Of 601 tested, RNA was detected 58 (10%) case-cabins 1-17 days before...
Abstract Background Rapid and effective emergency response to address health security relies on a competent suitably trained local international workforce. The COVID-19 pandemic has highlighted that the workforce needs be well equipped tackle current future challenges. In this study, we explored whether training in applied epidemiology was meeting of Method We conducted cross-sectional online survey available English French. used purposive snowballing sampling techniques identify potential...
Objective: To establish seasonal and alert thresholds transmission intensity categories for influenza to provide timely triggers preventive measures or upscaling control in Cambodia.Methods: Using Cambodia's influenza-like illness (ILI) laboratory-confirmed surveillance data from 2009 2015, three parameters were assessed monitor activity: the proportion of ILI patients among all outpatients, samples positive product two.With these parameters, four threshold levels (seasonal, moderate, high...
To determine the challenges met by, and needs of, epidemiology emergency response workforce, with aim of informing development a larger survey, by conducting key informant interviews public health experts.We defined our study population as experts experience deployment. Using purposive sampling techniques, we applied random number to shortlists potential interviewees provided organizations obtain 10 participants; identified three additional through snowballing. The same interviewer conducted...
In July 2012, an outbreak of Campylobacter infection was investigated by the South Australian Communicable Disease Control Branch and Food Policy Programs Branch. The initial notification identified illness at a surprise birthday party held restaurant on 14 2012. objective investigation to identify potential source institute appropriate intervention strategies prevent further illness.A guest list obtained retrospective cohort study undertaken. A combination paper-based telephone...
Improving the epidemiological response to emergencies requires an understanding of who responders are, their role and skills, challenges they face during responses. In this paper, we explore epidemiologist identify emergency response.We conducted a cross-sectional survey learn more about epidemiologists respond public health emergencies. The online included open closed-ended questions on faced while responding, roles epidemiology responders, self-rating support needed received. We used...
Abstract Background Influenza virus circulation is monitored through the Cambodian influenza‐like illness (ILI) sentinel surveillance system and isolates are characterized by National Centre (NIC). Seasonal influenza has previously been year‐round activity a peak during rainy season (June‐November). Objectives We documented of seasonal in Cambodia for 2012‐2015 investigated genetic, antigenic, antiviral resistance characteristics isolates. Patients/Methods Respiratory samples were collected...
The COVID-19 pandemic challenged the Global Outbreak Alert and Response Network's (GOARN) mechanism used to rapidly deploy technical support for international responses highlighted areas that require strengthened capacity within Network. GOARN's partners in World Health Organization's (WHO) South-East Asia Western Pacific regions were engaged explore their levels of preparedness, readiness ability respond public health emergencies.
Abstract Thirty-five human influenza A(H5N1) cases were reported in Cambodia during 2013–2014 after emergence of a clade 1.1.2 reassortant virus. We tested 881 villagers and found 2 pauci- or asymptomatic infection. Seroprevalence the strain (0.2%) was lower than aggregate seroprevalence 1.3% earlier studies.
Introduction Determinants and drivers for emergencies, such as political instability, weak health systems, climate change forcibly displaced populations, are increasing the severity, complexity frequency of public emergencies. As emergencies become more complex, it is increasingly important that required skillset emergency response workforce clearly defined. To enable essential epidemiological activities to be implemented managed during an emergency, a with right mix skills, knowledge,...
Healthcare workers (HCWs) are at an increased risk of TB worldwide. Individual knowledge and attitudes may influence HCW behaviour, subsequently, risk. Indonesia has the second highest case-load globally.
Enteric fever is a systemic bacterial infection in humans that endemic Cambodia and for which antibiotic resistance increasingly reported. To guide public health programs, this qualitative study sought to explore community perceptions on transmission treatment. Participant observation was carried out hospital settings, pharmacies, at level Phnom Penh. In-depth interviews 39 one focus group discussion were with blood culture–confirmed enteric patients purposively selected key informants....
Childcare centres can be high-risk settings for SARS-CoV-2 transmission due to age, vaccination status, and infection control challenges. We describe the epidemiology clinical characteristics of a childcare Delta outbreak. When outbreak occurred, little was known about dynamics ancestral strains among children. Vaccinations coronavirus disease 2019 (COVID-19) were not mandatory staff, children (< 12 years) ineligible.A retrospective cohort design attendees used investigate age-cohorts...
Healthcare workers (HCWs) are at risk of contracting TB, particularly when in high tuberculosis (TB) burden settings. Routine surveillance data and evidence limited on the TB amongst HCWs Indonesia. We aimed to measure prevalence infection (TBI) disease among four healthcare facilities Yogyakarta province Indonesia, explore factors for TBI. A cross-sectional screening study targeted all from pre-selected (1 hospital, 3 primary care) Yogyakarta, Voluntary included symptom assessment, Chest...
BackgroundBetween December 2013 and June 2016, West Africa experienced the largest Ebola virus disease (EVD) outbreak in history. Understanding EVD pregnancy is important for clinical screening infection prevention control.MethodsWe conducted a review of medical records investigation reports from three districts Sierra Leone. We report presentations maternal fetal outcomes six pregnant women with atypical EVD, subsequent transmission events perinatal care.ResultsThe (ages 18–38) were all...
Introduction: The COVID-19 pandemic response has required a rapid influx into the public health workforce, demanding wide range of skills to address crisis. As second wave escalated in southern Australian state Victoria during 2020, Public Health Association Australia and Australasian Epidemiological partnered implement mentorship program support surge workforce within Department Human Services. We conducted an evaluation this identify whether model is valuable for future emergency...
To describe epidemiologists' experience of team dynamics and leadership during emergency response, explore the utility Team Emergency Assessment Measure (TEAM) tool future public health responses. The TEAM included categories for leadership, teamwork, task management.We conducted a cross-sectional survey between October 2019 February 2020 with global applied field epidemiology workforce. validate our context, we used exploratory confirmatory factor analysis.We analysed 166 completed surveys....