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Related Concept Videos

Principles of Disease Surveillance01:26

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Disease surveillance is the systematic collection, analysis, and interpretation of health data essential to the planning, implementation, and evaluation of public health practice. This process integrates data dissemination to entities responsible for preventing and controlling disease, injury, and disability. Surveillance systems provide crucial information for action, helping public health authorities make informed decisions to manage and prevent outbreaks, ensure public safety, optimize...
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A Murine Model of Group B Streptococcus Vaginal Colonization
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A pilot study to develop assessment tools for Group A Streptococcus surveillance studies.

Janessa Pickering1, Claudia Sampson2, Marianne Mullane1

  • 1Wesfarmers Centre for Vaccines and Infectious Diseases, Telethon Kids Institute, University of Western Australia, Nedlands, Australia., Perth, Australia.

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|March 20, 2023
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Summary
This summary is machine-generated.

This pilot study developed culturally appropriate tools to track Group A Streptococcus (GAS) infections like sore throats and skin sores in Aboriginal children. This surveillance is vital for preventing rheumatic fever (RF) in high-risk communities.

Keywords:
GAS impetigoGAS pharyngitisGAS skin soresGroup A Streptococcus (GAS)Rheumatic fever (RF)

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Area of Science:

  • Public Health
  • Infectious Diseases
  • Epidemiology

Background:

  • Group A Streptococcus (GAS) causes pharyngitis and impetigo, which are linked to rheumatic fever (RF) in Australian Aboriginal children.
  • Understanding the burden of these superficial GAS infections is crucial for RF prevention strategies.

Purpose of the Study:

  • To pilot surveillance tools for concurrent monitoring of sore throats and skin sores in Aboriginal children.
  • To develop a culturally appropriate sore throat checklist for Aboriginal families.
  • To assess the feasibility and acceptability of new and established surveillance methods for GAS infections.

Main Methods:

  • Culturally appropriate sore throat checklists were developed through yarning circles with Aboriginal caregivers.
  • A pilot cross-sectional surveillance study was conducted using these checklists alongside established GAS detection methods (bacteriological culture, rapid antigen detection, serology) and pharyngeal photography.
  • Feasibility, acceptability, and costs of the surveillance tools were evaluated in Aboriginal children attending health clinics.

Main Results:

  • Yarning circles successfully generated a culturally relevant sore throat questionnaire.
  • The pilot surveillance study recruited 17 Aboriginal children, demonstrating high acceptability of the assessment methods.
  • Pharyngeal photography was found to be concordant with on-the-day assessments, and specimen transport allowed for gold-standard testing.

Conclusions:

  • Culturally adapted surveillance tools, including a sore throat checklist and photography, are feasible, practical, and acceptable for monitoring GAS infections in remote Australian communities.
  • Effective surveillance of GAS pharyngitis and impetigo is essential for primary RF prevention and has potential global implications.