Peter A Leggat

Peter A Leggat
James Cook University · Anton Breinl Centre for Public Health & Tropical Medicine

AM, ADC MD, PhD, DrPH, FAFPHM, FFPH RCP(UK), FPHAA, FACRRM, FACAsM, FACTM, FFTM FEWM ACTM, FFTM RCPSG, FISTM FSIA, FACE, FAICD, FRGS, FRAS, Hon.FFPM RCP(UK), Hon.FACTM, Hon.FFTM ACTM

About

403
Publications
79,232
Reads
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6,478
Citations
Citations since 2016
78 Research Items
3086 Citations
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20162017201820192020202120220100200300400500
20162017201820192020202120220100200300400500
20162017201820192020202120220100200300400500
Introduction
Professor Peter A Leggat, AM, ADC, currently works at the College of Public Health, Medical and Veterinary Sciences, James Cook University, Australia. Peter does research and teaching in Public Health, Tropical and Travel Medicine and Disaster Health Management.
Additional affiliations
February 2014 - February 2016
James Cook University
Position
  • Head of Faculty
April 1987 - present
Australian Army
Position
  • Medical Officer
Description
  • Australian Regular Army, 1987-1991; Inactive reserve, 1992-1998; Active Reserve, 1999-2017; Standby Reserves, 2017-Present. Present Rank: Colonel (Promotion, Substantive 2013)
Education
January 2001 - September 2003
The University of Queensland
Field of study
  • Medicine

Publications

Publications (403)
Article
Full-text available
Background and aim Pharmacists have an important role in providing travel health services and medications to travelers. However, given the limited literature on this topic, the aim of this study is to systematically review the types and outcomes of pharmacist-managed travel health services. Methods A comprehensive literature search was performed i...
Article
Aims: To focus on the needs, challenges and opportunities to improve access to cardiac rehabilitation (CR) (Heart: Road to health [HRH]) for Aboriginal and Torres Strait Islander peoples in rural and remote (R&R) areas of North Queensland. Context: It is known that there is insufficient access to HRH for Aboriginal and Torres Strait Islander peo...
Article
Background: Staff members' views can have a significant impact on sexuality issues of people with intellectual disabilities. Research on the impact of sociocultural factors in this area in the Chinese context is sparse. Methods: Semi-structured interviews were conducted with seven professionals (social worker, nurse, life skills trainer and mana...
Article
Objectives: Wave forced impacts are known to result in cervical spine injuries (CSI) and approximately 20% of drownings in Australia occur at the beach. The most common mechanism of injury in studies examining the frequency of CSI in drowning patients is shallow water diving. The aim of the present study was to determine what proportion of CSIs oc...
Article
Full-text available
Objective Surf zone injuries include cervical spine injuries (CSI). Risk factors for CSI have not been extensively investigated. The objective was to examine risk factors associated with diagnosed CSI that occurred in a beach setting. Methods This retrospective case series used manually linked data from Sunshine Coast Hospital and Health Service E...
Article
Full-text available
People with intellectual disabilities share the same human need for affectionate and intimate relationships as people without a disability. Limited research has investigated sexual issues and concerns among adults with intellectual disabilities, including dating, intimate relationships, and marriage. This study employed Interpretative Phenomenologi...
Article
Full-text available
Highlight This cross-sectional study evaluated the adaptations of current ISTM members in relation to the disruption caused by the COVID-19 pandemic. It demonstrates that the majority of members remain engaged with travel medicine and ISTM educational activities, while adapting to COVID-related clinical demands.
Article
Full-text available
Objective: To address access to cardiac rehabilitation (CR) for people in R&R areas, this research aimed to investigate: (1) post discharge systems and support for people returning home from hospital following treatment for heart disease (HD). (2) propose changes to improve access to CR in R&R areas of NQ. Setting: Four focus communities in R&R...
Article
Objective: To explore injury deaths in international and domestic interstate travellers, together with those newly arrived to Australia. Methods: A population-based cohort study of all injury-related deaths between 1January 2006 and 31 December 2017 registered with Births Death and Marriages in Australia was conducted using Australian Bureau of...
Article
Full-text available
Objective: To explore rural motor vehicle collision (MVC) fatalities by trends over time, mode of transport, age, state, sex, and Aboriginal and Torres Strait Islander status. Design: A retrospective total population-based time series was conducted using the Australian Bureau of Statistics (ABS) death registration data. Setting: All statistica...
Article
This qualitative study explored the attitudes and experiences of Hong Kong Chinese parents/carers relating to the sexual needs of their child with intellectual disabilities. Semi‐structured interviews were conducted in Hong Kong with seven parents/carers applying Interpretative Phenomenological Analysis to explore their experiences of and attitudes...
Article
Objective To assess implementation of in-patient cardiac rehabilitation (Phase-1-cardiac rehabilitation), impact on people in rural and remote areas of Australia and potential methods for addressing identified weaknesses. Design Exploratory case study methodology using qualitative and quantitative methods. Qualitative data collection via semi-stru...
Article
Background/Aims Heart disease is the largest single cause of death and contributes to poor quality of life and high healthcare costs in Australia. There are higher rates of heart disease in rural and remote areas, with the highest rates in Aboriginal and Torres Strait Islander people. Cardiac rehabilitation is known to improve health outcomes for p...
Article
Full-text available
Background Drowning is a cause of significant global mortality. The mechanism of injury involves inhalation of water, lung injury and hypoxia. This systematic review addressed the following question: In drowning patients with lung injury, what is the evidence from primary studies regarding treatment strategies and subsequent patient outcomes? Meth...
Chapter
Cruise ships were carrying record numbers of passengers each year until COVID-19 struck in early 2020. With COVID-19 vaccination commencing in many major source countries for cruise ship passengers, it is expected that cruise ship travel will start to recover in the latter part of 2021. Cruise ship travel remains a relatively small part of the over...
Chapter
Injury is a leading cause of death for tourists and a common complication of travel. Advice for travellers predominantly focuses on infectious diseases. Injury is contextually specific (e.g., environment, age, gender), and consequently, prevention strategies to reduce injury should also be context-specific. There are few recent global studies on to...
Chapter
At the time of writing the most pressing issue for the tourism industry is to survive economically until vaccines for COVID-19 can be widely distributed, allowing travel to recommence globally. While international travel has been largely suspended in 2020 the industry focus has turned to domestic tourism in most destinations, taking onboard COVID-s...
Chapter
Following a period of steady growth in tourism, COVID-19 has caused a tremendous decrease in tourist numbers travelling around the world. With the advent of COVID-19 vaccine programs we will no doubt see a resurgence in travel, but it may take years to recover to pre-COVID-19 levels. Travel medicine aims to assist travellers remain healthy and safe...
Book
The COVID-19 pandemic has changed the face of international and domestic tourism and sharply focused attention on the importance of tourist health, safety and wellbeing like never before. This book offers a unique perspective on the challenges facing the world’s largest service industry to protect and care for customers in a rapidly evolving enviro...
Article
Full-text available
Background Drowning is a significant public health issue, with females accounting for one third of global drowning deaths. The rate of female drowning has not decreased within high-income countries and presentations to hospital have increased. This scoping review aimed to explore adult female unintentional drowning, including risk factors, clinical...
Article
Full-text available
People with intellectual disabilities (PID) experience the same range of sexual thoughts, feelings, desires, and activities as anyone else. However, the public’s view, especially about stereotypes, is noticeable to have an impact on sexuality and people with disabilities, thereby influencing the population which includes the families of PID, health...
Article
Full-text available
Objective: This study aimed to describe the epidemiology and risk factors contributing to drowning among migrants in Australia. Methods: A total population retrospective epidemiological study of unintentional drowning deaths in Australia between 1 July 2009 and 30 June 2019 of people born outside Australia (migrants). Cases were extracted from t...
Conference Paper
Context Drowning is a public health challenge worldwide; however, not everyone has access to prevention programs. In Australia, people from migrant backgrounds have been identified as being at greater risk for drowning with 26% of drowning deaths being people born outside of Australia and 81% male. This study explores adult migrant experiences with...
Conference Paper
Context Rivers are the leading drowning location in Australia yet, until recently, had attracted limited research, attention or funding for preventative efforts Process A description of the research, policy and programmatic changes in the field of river drowning prevention, and the degree to which these outputs were influenced by a mixed methods P...
Conference Paper
Background In Australia, people born overseas are considered at higher-risk of drowning. Common perceptions is that being from overseas (including tourists), with English as another language makes someone more vulnerable to drowning. The aims were to analyse drowning deaths of people born overseas, and to identify specific risk factors to better in...
Conference Paper
Context Agriculture, forestry and fishing industries are among the most dangerous industries in which to work, in Australia and internationally. Australia and its states & territories have robust work health and safety regulation, enforcement and prosecution systems outlined via Work Health and Safety (WHS) Acts (and Regulations), in Queensland the...
Article
Issue addressed Drowning is a global public health challenge with a need to ensure equity to drowning prevention information and interventions. In Australia, people born overseas are identified as being at greater risk of drowning. This paper presents findings from a community‐based qualitative evaluation of swimming and water safety (SWS) programs...
Article
Objective Aeromedical services are an essential part of the healthcare system. Centralised coordination of aeromedical retrieval tasking offers benefits for safety, timeliness and efficiency in service delivery. The aim of the present study is to review aeromedical retrievals in Queensland exploring patient demographics, temporal patterns and usage...
Article
Full-text available
The deployment of United States (US) Armed Forces personnel into the central Pacific islands of Samoa and Tonga, which is highly-endemic for lymphatic filariasis (LF), resulted in thousands of cases of the acute form of this disease and greatly reduced their ability to carry out their mission. The major driving factor for the intensity of transmiss...
Article
Full-text available
Introduction: Divers with suspected decompression illness require high concentration oxygen (O₂). There are many different O₂ delivery devices, with few data comparing their performance. This study evaluated O₂ delivery, using tissue O₂ partial pressure (PtcO₂), in healthy divers breathing O₂ via three different delivery devices. Methods: Twelve...
Article
Objectives: To describe rates of hospitalisation and Coaching on Achieving Cardiovascular Health referral, for Queensland's adults with heart and related disease, and comparisons between Aboriginal and Torres Strait Islander and non-Indigenous peoples in northern Queensland. Design: Descriptive retrospective epidemiological study of Queensland H...
Article
Full-text available
Introduction: Some populations have been less susceptible to reductions in drowning than others. It has been hypothesised that this is due to prevention strategies failing to account for the influence of social determinants (such as ethnicity, socioeconomic status). Populations such as ethnic minorities have been over-represented in injury statist...
Article
Primary aeromedical retrievals are a direct scene response to patients with a critical injury or illness using a medically equipped aircraft. They are often high‐acuity taskings. In Australia, information on primary retrieval taskings is housed by service providers, of which there are many across the country. This exploratory literature review aims...
Article
Full-text available
Vertical loading rate could be associated with residuum and whole body injuries affecting individuals fitted with transtibial prostheses. The objective of this study was to outline one out of five automated methods of extraction of vertical loading rate that stacked up the best against manual detection, which is considered the gold standard during...
Article
Full-text available
Rivers are a leading location for drowning, yet little is known about people’s usage of these waterways. This pilot study aimed to test the use of direct observations to calculate river usage. Direct observations were conducted at regular intervals within defined zones at four river drowning locations in Australia (including weekends and the Austra...
Poster
Full-text available
In Australia, an average of 279 people die from unintentional drowning annually 1. Rivers, creeks and streams are the leading location for drowning, accounting for 26% of all deaths. Drowning risk in rivers is impacted by a range of factors including geographical isolation. Cardiopulmonary resuscitation (CPR) is recognised as a tertiary drowning pr...
Article
Background: Millions of tourists visit Malaysia annually while a large number of Malaysians travel overseas. Taking care of travellers' healthcare needs is important aspect of the healthcare system. Community pharmacies are ideally positioned to provide travel health-related services. However, studies are lacking in this area. Therefore, this stud...
Article
Full-text available
Objective: To examine fatal drowning associated with aquatic rescues and prior self‐reported experience of undertaking an aquatic rescue in Australia. Methods: Previous aquatic rescue experience was sourced through the 2013 Queensland Computer Assisted Telephone Instrument Survey and compared to data on rescue‐related fatal unintentional drowning...
Article
Full-text available
People with intellectual disabilities (PID) share the same needs for affectionate and intimate relationships as other people. In this study, a review of the literature was performed to (a) examine the opinions reported in the peer-reviewed literature regarding the sexual experiences of PID and (b) identify factors that contribute to the promotion o...
Article
Background: Cycling engagement in tourists is increasing; yet, bicycle helmet usage is not widely mandated internationally. Exploring hypothetical helmet use intentions when cycling in a foreign location for residents were the ability to decide in their home setting is removed presents a novel enquiry into the relationship between habit and tourist...
Article
Full-text available
Introduction Natural disasters often damage or destroy the protective public health service infrastructure (PHI) required to maintain the health and well-being of people with noncommunicable diseases (NCDs). This interruption increases the risk of an acute exacerbation or complication, potentially leading to a worse long-term prognosis or even deat...
Article
Full-text available
Introduction Natural disasters often damage the public health infrastructure required to maintain the wellbeing of people with noncommunicable diseases. This increases the risk of an acute exacerbation or complications, potentially leading to a worse long-term prognosis or even death. Disaster-related exacerbations of noncommunicable diseases will...
Article
Issue addressed: Cycling participation rates in Australia and Queensland remain low. Rural residents typically do not have distinct cycling infrastructure available for use. Investigating current cycling participation and barriers to cycling engagement will inform future work to promote cycling engagement. Methods: Data were collected through th...
Article
Introduction First aid, particularly bystander cardiopulmonary resuscitation (CPR), is an important element in the chain of survival. However, little is known about what influences populations to undertake first aid/CPR training, update their training, and use of the training. Objectives The aim of this study was to explore the characteristics of...
Article
Full-text available
Introduction Internationally, rivers are a leading drowning location, yet little evidence exists evaluating river drowning prevention strategies. This study aims to use expert opinion to identify strategies more likely to be effective. Methods Using a modified Delphi process, a virtual panel of 30 experts from 12 countries considered, grouped and...
Article
Full-text available
Objectives This longitudinal comparative study investigated the effect of preventive chemotherapy (PC) on covert tissue changes associated with lymphatic filariasis (LF) among young people living in an LF‐endemic area in Myanmar. Methods Tissue compressibility and extracellular free fluid in the lower limbs of people aged 10 – 21 years were measur...
Article
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Background Little is known about people’s river usage, a leading drowning location. This study examines alcohol consumption patterns of river users and their attitudes to drowning risk. Methods A convenience sample of adult (18+ years) river users were surveyed at four river locations. The survey covered eight domains: demographics; river attendan...
Article
Full-text available
INTRODUCTION: Morbidity and mortality from heart disease continues to be high in Australia with cardiac rehabilitation (CR) recognised as best practice for people with heart disease. CR is known to reduce mortality, reoccurrence of heart disease, hospital readmissions and costs, and to improve quality of life. Australian Aboriginal and Torres Strai...
Poster
Full-text available
This poster, synthesizing information from my PhD on river drowning and its prevention, was presented at the Safety 2018 conference in Thailand, 5-7 November 2018.
Conference Paper
Background Rivers are a leading location for drowning internationally. To understand how to prevent river drowning, multiple perspectives are required. We present the results of a multi-phase study. Objective To understand and prevent river drowning. Methods Methods used included a systematic literature review, epidemiological analysis of coronia...
Conference Paper
Background Quad-bikes are commonly used for agricultural and recreational purposes in rural and remote locations and are a leading cause of unintentional deaths on farms. Of the 81 quad-bike related deaths that occurred in Australia between 2010 and 2014, 26 (32%) occurred in Queensland. Aims Review of Queensland aeromedical data from 2010 to 2014...
Conference Paper
Background and aims Remoteness of residence has been found to be a factor influencing health. Appropriate prevention strategies to prevent future injuries in rural and remote Australia are required. The purpose of this epidemiological study was to examine the incidence and patterns of injury in Australia by remoteness area, to inform targeted injur...
Article
Issue addressed Rivers are a leading location for fatal drowning worldwide; often geographically isolated from timely medical assistance. Cardio‐pulmonary resuscitation (CPR) benefits drowning victims and those who suffer cardiac arrests. This study explored CPR and first aid training of river users in Australia. Methods Adult river users (18+ yea...
Article
Full-text available
Introduction Flooding is a common natural disaster affecting 77.8 million people and claiming the lives of 4,731 people globally in 2016. During times of flood, drowning is a leading cause of death. Flooding is a known risk factor for river drowning in Australia. With little known about river usage in Australia, this study aimed to examine the link...
Article
Introduction Globally, rivers are a common drowning location. In Australia, rivers are the leading location for fatal drowning. Limited information exists on exposure and impact on river drowning risk. Methods Australian unintentional fatal river drowning data (sourced from coronial records) and nationally representative survey data on river visit...
Article
This article investigates the incidence, prevalence and factors associated with occupational tuberculosis (TB) in healthcare workers (HCWs) in sub-Saharan Africa (SSA). Studies were extracted from MEDLINE, PsycINFO, CINAHL, Cochrane Library, and SCOPUS databases following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statem...
Article
Issue addressed Coronial data provides rich information on drowning causal factors. Coroners may make recommendations to prevent future drowning events. Rivers are the leading drowning location in Australia. This study examines coronial recommendations associated with unintentional fatal drowning in Australian rivers from an injury prevention persp...
Article
Full-text available
Improvements in life expectancy and changes in lifestyle have contributed to a “disease transition” from communicable to noncommunicable diseases (NCDs). Damage to public health infrastructure (PHI), such as sanitation and water, places people with NCDs at risk of disease exacerbation or even death. We propose the interdisciplinary characteristics...
Article
Full-text available
The increasing noncommunicable disease burden and frequency of natural disasters across the world has created an immediate need to implement strategies for reducing the risk of indirect mortality and morbidity post disaster. People at greatest risk of their condition worsening or even death post disaster are those with cancer, cardiovascular condit...
Article
Full-text available
Introduction: Globally, flooding is the most common of all natural disasters and drowning is the leading cause of death during floods. In Australia, rivers are the most common location of drowning and experience flooding on a regular basis. Methods: A cross-sectional, total population audit of all known unintentional river flood related fatal drown...
Article
Full-text available
Study/Objective To develop a framework for reducing the risk of Non-Communicable Disease (NCD) exacerbation after a disaster. Background Worldwide, there has been a “disease transition” to NCDs, creating challenges for governments, health care, and service providers. Prominent NCDs are cardiovascular diseases, cancers, diabetes, respiratory condit...
Article
http://www.sciencedirect.com/science/article/pii/S0001457516303700 Abstract Objective: Examine the prevalence of alcohol and its contributory role in unintentional fatal river drowning in Australia to inform strategies for prevention. Methods: Cases of unintentional fatal river drowning in Australia, 1-July-2002 to 30-June-2012, were extracted...