Locally acquired strongyloidiasis in remote Australia: why are there still cases?
In Australia, strongyloidiasis primarily affects returned travellers, Vietnam veterans and refugees or asylum seekers, and First Nations people. Non-overseas acquired cases are seen almost exclusively in Australian First Nations remote communities. Australian First Nations communities have one of th...
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crroyalsociety:10.1098/rstb.2022.0435 2024-06-02T08:06:38+00:00 Locally acquired strongyloidiasis in remote Australia: why are there still cases? Ross, Kirstin 2023 http://dx.doi.org/10.1098/rstb.2022.0435 https://royalsocietypublishing.org/doi/pdf/10.1098/rstb.2022.0435 https://royalsocietypublishing.org/doi/full-xml/10.1098/rstb.2022.0435 en eng The Royal Society https://royalsociety.org/journals/ethics-policies/data-sharing-mining/ Philosophical Transactions of the Royal Society B: Biological Sciences volume 379, issue 1894 ISSN 0962-8436 1471-2970 journal-article 2023 crroyalsociety https://doi.org/10.1098/rstb.2022.0435 2024-05-07T14:16:16Z In Australia, strongyloidiasis primarily affects returned travellers, Vietnam veterans and refugees or asylum seekers, and First Nations people. Non-overseas acquired cases are seen almost exclusively in Australian First Nations remote communities. Australian First Nations communities have one of the highest rates of strongyloidiasis in the world. Our work has shown that strongyloidiasis is a disease of poverty. Acknowledging this is important—we need to shift the lens to socioeconomic factors, particularly environmental health hardware such as working toilets and sewerage systems, showers and laundries, and effective wastewater and rubbish removal. The rates of strongyloidiasis in First Nations communities is a result of decades of inadequate, poorly constructed and/or poorly maintained housing, and poor environmental health hardware (hereafter hardware). The solution lies in adequate funding, resulting in well designed and maintained housing and appropriate hardware. Governments need to allow First Nations communities themselves to take the lead role in funding allocation, and design, construction and maintenance of their housing and hardware. This will ensure housing and hardware fulfils cultural and physical needs and desires, and protects health. Improving housing and hardware will also improve other health outcomes. This article is part of the Theo Murphy meeting issue ‘ Strongyloides : omics to worm-free populations’. Article in Journal/Newspaper First Nations The Royal Society Philosophical Transactions of the Royal Society B: Biological Sciences 379 1894 |
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In Australia, strongyloidiasis primarily affects returned travellers, Vietnam veterans and refugees or asylum seekers, and First Nations people. Non-overseas acquired cases are seen almost exclusively in Australian First Nations remote communities. Australian First Nations communities have one of the highest rates of strongyloidiasis in the world. Our work has shown that strongyloidiasis is a disease of poverty. Acknowledging this is important—we need to shift the lens to socioeconomic factors, particularly environmental health hardware such as working toilets and sewerage systems, showers and laundries, and effective wastewater and rubbish removal. The rates of strongyloidiasis in First Nations communities is a result of decades of inadequate, poorly constructed and/or poorly maintained housing, and poor environmental health hardware (hereafter hardware). The solution lies in adequate funding, resulting in well designed and maintained housing and appropriate hardware. Governments need to allow First Nations communities themselves to take the lead role in funding allocation, and design, construction and maintenance of their housing and hardware. This will ensure housing and hardware fulfils cultural and physical needs and desires, and protects health. Improving housing and hardware will also improve other health outcomes. This article is part of the Theo Murphy meeting issue ‘ Strongyloides : omics to worm-free populations’. |
format |
Article in Journal/Newspaper |
author |
Ross, Kirstin |
spellingShingle |
Ross, Kirstin Locally acquired strongyloidiasis in remote Australia: why are there still cases? |
author_facet |
Ross, Kirstin |
author_sort |
Ross, Kirstin |
title |
Locally acquired strongyloidiasis in remote Australia: why are there still cases? |
title_short |
Locally acquired strongyloidiasis in remote Australia: why are there still cases? |
title_full |
Locally acquired strongyloidiasis in remote Australia: why are there still cases? |
title_fullStr |
Locally acquired strongyloidiasis in remote Australia: why are there still cases? |
title_full_unstemmed |
Locally acquired strongyloidiasis in remote Australia: why are there still cases? |
title_sort |
locally acquired strongyloidiasis in remote australia: why are there still cases? |
publisher |
The Royal Society |
publishDate |
2023 |
url |
http://dx.doi.org/10.1098/rstb.2022.0435 https://royalsocietypublishing.org/doi/pdf/10.1098/rstb.2022.0435 https://royalsocietypublishing.org/doi/full-xml/10.1098/rstb.2022.0435 |
genre |
First Nations |
genre_facet |
First Nations |
op_source |
Philosophical Transactions of the Royal Society B: Biological Sciences volume 379, issue 1894 ISSN 0962-8436 1471-2970 |
op_rights |
https://royalsociety.org/journals/ethics-policies/data-sharing-mining/ |
op_doi |
https://doi.org/10.1098/rstb.2022.0435 |
container_title |
Philosophical Transactions of the Royal Society B: Biological Sciences |
container_volume |
379 |
container_issue |
1894 |
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1800751589623857152 |