Diana Mendez

James Cook University · Australian Institute of Tropical Health and Medicine

Drug-resistant tuberculosis (DR-TB) is an ongoing challenge in the Torres Strait Islands (TSI) / Papua New Guinea (PNG) border region. Treatment success rates have historically been poor for patients diagnosed with DR-TB, leading to increased transmission. This study aimed to identify variables associated with unfavourable outcome in patients diagn...

There are almost 9,500 full-time employees in Australia's thoroughbred horse breeding industry. During foaling, they can be exposed to bodily fluids and mucous membranes which may present risks for zoonotic disease. These risks can be mitigated through personal biosecurity strategies. The aim of this study was to identify which personal biosecurity...

The international border between Australia and Papua New Guinea (PNG) serves as a gateway for the delivery of primary and tertiary healthcare for PNG patients presenting to Australian health facilities with presumptive tuberculosis (TB). An audit of all PNG nationals with presumptive TB who presented to clinics in the Torres Strait between 2016 and...

The risk of accident and injury from interacting with horses is well known, but there are also personal health risks from exposure to zoonotic diseases. These include known zoonoses such as Hendra virus, salmonellosis, chlamydiosis and MRSA infection as well as emerging zoonoses. Coming into contact with bodily fluids from horses increases the risk...

Drug-resistant tuberculosis (DR-TB) is an ongoing challenge in the Torres Strait Islands (TSI) / Papua New Guinea (PNG) border region. Treatment success rates have historically been poor for patients diagnosed with DR-TB, leading to increased transmission. This study aimed to identify variables associated with unfavourable outcome in patients diagn...

Tuberculosis (TB) remains a disease of public health significance at the Australia / Papua New Guinea (PNG) international border. In the remote Torres Strait Islands, aeromedical evacuation is a necessary but costly component of TB management and patients with critical care needs require support to prevent onward TB transmission. A detailed costing...

Wildlife health assessments help identify populations at risk of starvation, disease, and decline from anthropogenic impacts on natural habitats. Here, we provide an overview of available health assessment studies in non‐captive vertebrates, and propose a framework to strategically integrate health assessments in population monitoring. Using a syst...

Introduction: Smear-positive pulmonary tuberculosis (PTB) requires rapid diagnosis and treatment to prevent ongoing transmission. Collection of two sputum specimens is considered the minimum requirement for the diagnosis of PTB but current guidelines in the Torres Strait Islands, Australia, recommend three sputum specimens; this frequently delays...

Employees in the equine industry are at occupational risk of zoonoses such as Hendra virus and equine chlamydiosis through exposure to infected materials. This study aimed to gain a deeper understanding of the views and experiences of employees, and the key drivers of infection control and personal biosecurity (PB) practices in the Thoroughbred bre...

Background To determine the rabies vaccination status of Queensland veterinarians and veterinary students and their perception of zoonotic risk from Australian bat lyssavirus (ABLV). Design Cross‐sectional questionnaire surveys. Methods Questionnaires were sent by post in 2011 to veterinary surgeons registered in Queensland, to final‐year veterin...

Background: Australian bat lyssavirus (ABLV) causes human illness that is indistinguishable from classical rabies. All Australian bats have the potential to carry and transmit ABLV, and potentially risky human exposures to bats are common. ABLV infection has resulted in three human deaths in Australia since 1996. Objective: The aim of this artic...

Background Communication skills are essential for veterinarians who need to discuss animal health related matters with their clients. When dealing with an emerging zoonosis, such as Hendra virus (HeV), veterinarians also have a legal responsibility to inform their clients about the associated risks to human health. Here we report on part of a mixed...

Physicians appear to find zoonotic diseases a challenge and consider that this topic belongs more to the veterinary profession. However, veterinarians have no formal role in clinical medicine. Data were collected as part of the Queensland Social Survey 2014 to determine the willingness of the public, if diagnosed with a zoonotic disease, to consult...

Following the emergence of Hendra virus (HeV), private veterinarians have had to adopt additional infection control strategies to manage this zoonosis. Between 1994 and 2010, seven people became infected with HeV, four fatally. All infected people were at a higher risk of exposure from contact with horses as they were either veterinary personnel, a...

Background Veterinary infection control for the management of Hendra virus (HeV), an emerging zoonosis in Australia, remained suboptimal until 2010 despite 71.4% (5/7) of humans infected with HeV being veterinary personnel or assisting a veterinarian, three of whom died before 2009. The aim of this study was to identify the perceived barriers to ve...

To identify the perceived barriers to Hendra virus (HeV) management by private equine veterinarians in Queensland. An exploratory qualitative study of private equine veterinarians registered and working in coastal Queensland. A questionnaire that included eight open-ended questions about the management of HeV was used in face-to-face in-depth inter...

A cross-sectional study of private veterinarians providing equine services in Queensland. The study revealed that a majority of veterinarians would support the introduction of a Hendra virus (HeV) vaccine. Moreover, almost half of the respondents intended to make vaccination a prerequisite to horse patient presentation. However, participants also r...

Chytridiomycosis is the worst disease to affect vertebrate biodiversity on record. In Australia, it is thought to have caused the extinction of four frog species, and it threatens the survival of at least 10 more. We report the current distribution and host range of this invasive disease in Australia, which is essential knowledge for conservation m...

We analyzed submission data from a wildlife care group during amphibian disease surveillance in Queensland, Australia. Between January 1999 and December 2004, 877 white-lipped tree frogs Litoria infrafrenata were classified according to origin, season and presenting category. At least 69% originated from urban Cairns, significantly more than from r...

A qualitative study of equine veterinarians and allied staff from Queensland, Australia, showed that veterinarians are ceasing equine practice because of fears related to Hendra virus. Their decisions were motivated by personal safety and legal liability concerns.

We validated the diagnostic tests for the high-profile disease, chytridiomycosis, in wild amphibian populations. We compared histological samples with a Taqman real time quantitative PCR (qPCR) test in five species of frogs at different times of the year at six locations in the wet tropics of northern Queensland. The sensitivity and specificity of...

Spread of the amphibian chytrid fungus Batrachochytrium dendrobatidis (Bd), which causes chytridiomycosis, has resulted in the extinction of frogs, but the distribution of Bd is incompletely known. We trialled the survey protocol for Bd by attempting to systematically map its distribution in Queensland, Australia. Bd was easily detected in known in...

Many of the recent global amphibian mass mortalities, declines and extinctions have been attributed to the emerging infectious disease chytridiomycosis. There have been mass mortalities due to ranaviral disease but no major declines or extinctions. Controlling the transmission and spread of disease is of utmost importance, especially where there is...

Since the early 1980s, the southern corroboree frog Pseudophryne corroboree and northern corroboree frog P. pengilleyi have been in a state of decline from their sub-alpine and high montane bog environments on the southern tablelands of New South Wales, Australia. To date, there has been no adequate explanation as to what is causing the decline of...

Cutaneous trombidiosis caused by larvae of trombiculid mites (Vercammenia gloriosa and V. zweifelorum) in the skin of a wild tree frog, Litoria wilcoxii, in northern Queensland, Australia manifested as small, domed vesicular lesions on the dorsal and lateral surfaces posterior to the eyes. The lesions contained small, orange trombiculid mites, with...

Chytridiomycosis is the worst disease to affect vertebrate biodiversity on record. In Australia, it is thought to have caused the extinction of four frog species, and it threatens the survival of at least 10 more. We report the current distribution and host range of this invasive disease in Australia, which is essential knowledge for conservation m...

Hygiene protocols for handling amphibians in the field and in laboratories have been proposed to decrease the transmission of chytridiomycosis caused by infection with the amphibian chytrid fungus Batrachochytrium dendrobatidis, which is responsible for global amphibian declines. However, these protocols are mainly based on theoretical principles....

Spread of the amphibian chytrid fungus Batrachochytrium dendrobatidis (Bd) has caused the decline and extinction of frogs, but the distribution of Bd is not completely known. This information is crucial to implementing appropriate quarantine strategies, preparing for outbreaks of chytridiomycosis due to introduction of Bd, and for directing conserv...

Chytridiomycosis, a disease contributing to amphibian declines worldwide, is caused by the fungus Batrachochytrium dendrobatidis. Identifying efficient and practical disinfectants effective against B. dendrobatidis is important to reduce the spread of the disease both in the wild and captivity. Previous studies identified a range of suitable disinf...

Th e amphibian chytrid fungus Batrachochytrium dendrobatidis causes chytridiomycosis, a let- hal skin disease in frogs. Batrachochytrium dendrobatidis has been reported in fi ve countries of Mesoa- merica: Mexico, Guatemala, Honduras, Costa Rica and Panama. We here document for the fi rst time the presence of chytridiomycosis, diagnosed by histolog...

MS-222 (tricaine methane sulfonate) is an agent commonly used to anaesthetise or euthanize amphibians used in experiments. It is administered by immersing the animal to allow absorption through the skin. Chytridiomycosis is an important disease of amphibians and research involves experiments with live animals. Batrachochytrium dendrobatidis, the fu...

In the early 19905 stream-associated amphibian populations in tropical upland North Queensland experienced severe declines resulting in extinction of three species, local elimination of four species, marked reductions in one species and apparently no declines in other species, Chytridiomycosis, a disease due to the amphibian chytrid fungus, Batrach...

Chytridiomycosis is a disease of post-metamorphic frogs caused by the fungus Batrachochytrium dendrobatidis and is associated with large declines in frog populations on a global scale. B. dendrobatidis is found only in the keratinised tissues, which include the mouthparts of healthy tadpoles. The epidermis of infected post-metamorphic frogs is thic...

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