Infectious diseases in Northern Australia

[Extract] This issue of Microbiology Australia covers biomedical research and workforce training in Northern Australia and our northern neighbouring countries. The north of Australia is a tropical region and has a larger representation of Australian First Nations peoples than other States and Territories of Australia. In Australia, Aboriginal and Torres Strait Islander people represent 3.2% of the total Australian population. However, in the Northern Territory, the Australian census (2021) shows that approximately 26.3% of the total population identify as Aboriginal and Torres Strait Islander. This underpins the need for Northern Australia to have continued funding to enable health research, workforce training and health and community services that address the currently unmet and still growing needs of this population demographic

Statistical Analysis of the Blizzard Challenge 2007 Listening Test Results

Blizzard 2007 is the third Blizzard Challenge, in which participants build voices from a common dataset. A large listening test is conducted which allows comparison of systems in terms of naturalness and intelligibility. New sections were added to the listening test for 2007 to test the perceived similarity of the speaker’s identity between natural and synthetic speech. In this paper, we present the results of the listening test and the subsequent statistical analysis Index Terms: Blizzard Challenge, speech synthesis, evaluation, listening tes

Tracing melioidosis back to the source: using whole-genome sequencing to investigate an outbreak originating from a contaminated domestic water supply

Melioidosis, a disease of public health importance in Southeast Asia and northern Australia, is caused by the Gram-negative soil bacillus Burkholderia pseudomallei. Melioidosis is typically acquired through environmental exposure, and case clusters are rare, even in regions where the disease is endemic. B. pseudomallei is classed as a tier 1 select agent by the Centers for Disease Control and Prevention; from a biodefense perspective, source attribution is vital in an outbreak scenario to rule out a deliberate release. Two cases of melioidosis within a 3-month period at a residence in rural northern Australia prompted an investigation to determine the source of exposure. B. pseudomallei isolates from the property's groundwater supply matched the multilocus sequence type of the clinical isolates. Whole-genome sequencing confirmed the water supply as the probable source of infection in both cases, with the clinical isolates differing from the likely infecting environmental strain by just one single nucleotide polymorphism (SNP) each. For the first time, we report a phylogenetic analysis of genomewide insertion/deletion (indel) data, an approach conventionally viewed as problematic due to high mutation rates and homoplasy. Our whole-genome indel analysis was concordant with the SNP phylogeny, and these two combined data sets provided greater resolution and a better fit with our epidemiological chronology of events. Collectively, this investigation represents a highly accurate account of source attribution in a melioidosis outbreak and gives further insight into a frequently overlooked reservoir of B. pseudomallei. Our methods and findings have important implications for outbreak source tracing of this bacterium and other highly recombinogenic pathogens

Design and Development of an Internationally Applicable Educational Video to Increase Community Awareness in Regions with High Prevalence of Melioidosis and Diabetes

Melioidosis is a neglected tropical disease that causes high morbidity and mortality. Public health awareness is essential for both prevention and early detection of the infection. This project aimed to develop an internationally applicable educational tool to increase community awareness in regions with high prevalence of diabetes and melioidosis. The animation was created with international collaboration. Sixty-four delegates from different cultural backgrounds participated in the survey to evaluate the animation. Feedback was positive, with 85% agreeing that they would use this video for public education and 82% agreeing that the video was culturally appropriate to them in the context of their region. The animation was refined after feedback. To supplement the 3-minute animation, a 13-minute film footage of interviews with clinicians, researchers and patients was also created. These materials have been made available online through the International Melioidosis Network and can be readily downloaded or subtitled in any language using publicly available software, demonstrating the utility of developing low-cost adaptable health education material targeted for widespread use internationally

Host Range and Emerging and Reemerging Pathogens

Emerging and reemerging species of human pathogens are associated with a broad range of nonhuman hosts