2020
DOI: 10.4269/ajtmh.19-0490
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Rapid Progress toward Elimination of Strongyloidiasis in North Queensland, Tropical Australia, 2000–2018

Abstract: Infection with Strongyloides stercoralis can cause life-threatening disease in immunocompromised patients. Strongyloidiasis is thought to be hyper-endemic in tropical Australia, but there are limited contemporary seroprevalence data to inform local elimination strategies. To define the temporospatial epidemiology of strongyloidiasis in Far North Queensland, tropical Australia, the serology results of 2,429 individuals tested for the infection between 2000 and 2018 were examined. The proportion of positive test… Show more

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Cited by 10 publications
(10 citation statements)
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“…The high seropositivity in regions across northern Australia, north-east NSW and northwest SA confirming earlier work [5][6][7][9][10][11][12][13][14][45][46][47], likely reflected infections mainly in Aboriginal and Torres Strait Islander Australians who were infected in Australia. The high seropositivity in regions in Greater Capital Cities likely reflected mainly people who were infected in other countries: immigrants and returned international travellers including Armed Services personel [17][18][19]21,22,48].…”
Section: Plos Neglected Tropical Diseasessupporting
confidence: 86%
“…The high seropositivity in regions across northern Australia, north-east NSW and northwest SA confirming earlier work [5][6][7][9][10][11][12][13][14][45][46][47], likely reflected infections mainly in Aboriginal and Torres Strait Islander Australians who were infected in Australia. The high seropositivity in regions in Greater Capital Cities likely reflected mainly people who were infected in other countries: immigrants and returned international travellers including Armed Services personel [17][18][19]21,22,48].…”
Section: Plos Neglected Tropical Diseasessupporting
confidence: 86%
“…This paradoxical situation is not limited to RHD. The local Indigenous population, particularly those living in remote, socioeconomically disadvantaged locations bear a disproportionate burden of both infectious and non-communicable diseases, but also has less access to sophisticated healthcare [ 14 , 16 , 28 – 33 ]. And this captures the essence of the challenges in addressing the life expectancy gap between Indigenous and non-Indigenous Australians.…”
Section: Discussionmentioning
confidence: 99%
“…Greater construction and improved maintenance of housing is one of the key initiatives of this program which also addresses sanitation, vector control, food hygiene and animal management [ 39 ]. There are some data to suggest that these environmental interventions are beginning to have an impact with the rates of leprosy and strongyloidiasis declining sharply in the region during this period [ 14 , 15 ]. However, these infections are arguably far easier to address than GAS which are part of the normal human skin flora.…”
Section: Discussionmentioning
confidence: 99%
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“…This current study's data lead to the greater truth that while almost all the patients in this cohort presented PLOS NEGLECTED TROPICAL DISEASES acutely, their clinical presentation and death from melioidosis was, in many cases, decades in the making. Despite Australia's universal health system, this finding is not unique to melioidosis; an association with socioeconomic disadvantage is seen in a variety of infectious diseases and non-communicable diseases seen in the region [13,[26][27][28][29][30][31][32].…”
Section: Plos Neglected Tropical Diseasesmentioning
confidence: 99%