Ongoing transmission of tuberculosis in Aboriginal communities in NSW

Devlin, Sue; Passmore, Erin

doi:10.1071/nb12113

Cited by 10 publications

(18 citation statements)

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“…An active program for diagnosing and treating LTBI in Indigenous people by contact, community, school and prison screening is one strategy used in some areas to better prevent and to ultimately eliminate TB 27 . The complex nature of TB in Indigenous Australians has been discussed elsewhere 28 …”

Section: Discussionmentioning

confidence: 99%

“…27 The complex nature of TB in Indigenous Australians has been discussed elsewhere. 28 A large number of TB notifications were of children with refugee or humanitarian status or who used Australian medical care under the Torres Strait Treaty. It is recommended that all refugees, including children, be screened for LTBI and then referred to local TB services if a positive culture is obtained.…”

Section: Discussionmentioning

confidence: 99%

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The epidemiology of tuberculosis in children in Australia, 2003–2012

Teo

Tay²,

Douglas

et al. 2015

Medical Journal of Australia

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The epidemiology of tuberculosis in children in Australia, 2003–2012

Teo

Tay²,

Douglas

et al. 2015

Medical Journal of Australia

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“…Aboriginal Australians’ families in northern NSW who have been affected by the ongoing transmission of TB since 200023 requested that our Participatory Action Research (PAR) collaborative investigate the published literature with the following broad questions:…”

Section: Methodsmentioning

confidence: 99%

“…Indigenous Australians are prioritised in Australia’s Strategic Plan towards the elimination of TB,13 but ongoing TB transmission in specific families and social groups continues despite the implementation of clinical and public health actions 16–25. Current TB control activities exist within the context of the Australian Government’s ‘Close the Gap’ Indigenous Health Campaign that aims to close the health and life expectancy gap between Indigenous Australians and non-Indigenous Australians within a generation 26.…”

Section: Introductionmentioning

confidence: 99%

The missing voices of Indigenous Australians in the social, cultural and historical experiences of tuberculosis: a systematic and integrative review

et al. 2019

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IntroductionDisparities in tuberculosis (TB) rates exist between Indigenous and non-Indigenous populations in many countries, including Australia. The social determinants of health are central to health inequities including disparities in TB rates. There are limitations in the dominant biomedical and epidemiological approaches to representing, understanding and addressing the unequal burden of TB for Indigenous peoples represented in the literature. This paper applies a social determinants of health approach and examines the structural, programmatic and historical causes of inequities for TB in Indigenous Australia.MethodsAboriginal Australians’ families in northern New South Wales who are affected by TB initiated this investigation. A systematic search of published literature was conducted using PubMed, PsycINFO, Scopus and Informit ATSIhealth databases, the Australian Indigenous Health, InfoNet and Google. Ninety-five records published between 1885 and 2019 were categorised and graphed over time, inductively coded and thematically analysed.ResultsIndigenous Australians’ voices are scarce in the TB literature and absent in the development of TB policies and programmes. Epidemiological reports are descriptive and technical and avoid analysis of social processes involved in the perpetuation of TB. For Indigenous Australians, TB is more than a biomedical diagnosis and treatment; it is a consequence of European invasion and a contributor to dispossession and the ongoing fight for justice. The introduction and spread of TB has resulted in the stealing of lives, family, community and cultures for Indigenous Australians. Racist policies and practices predominate in the experiences of individuals and families as consequences of, and resulting in, ongoing structural and systematic exclusion.ConclusionDevelopment of TB policies and programmes requires reconfiguration. Space must be given for Indigenous Australians to lead, be partners and to have ownership of decisions about how to eliminate TB. Shared knowledge between Indigenous Australians, policy makers and service managers of the social practices and structures that generate TB disparity for Indigenous Australians is essential.A social determinant of health approach will shift the focus to the social structures that cause TB. Collaboration with Indigenous partners in research is critical, and use of methods that amplify Indigenous peoples' voices and reconfigure power relations in favour of Indigenous Australians in the process is required.

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“…As the State’s responsibility is to every child, our collective actions against TB must protect the newborn, the infant, the pre-school child (Zahra from our vignette), the school-age child (Jamil from our vignette) and the adolescent, with a particular focus on those children who are living in poverty, or are in other ways marginalized, economically and/or socially excluded. For instance, TB rates have been shown to be several fold higher in indigenous populations in Brazil, Canada, Greenland and Canada, although paediatric specific data is (again) limited [16, 47, 48]. Article 2 (Table 3) of the CRC makes explicit the principle of non-discrimination for the overall implementation of the Convention.…”

Section: Introductionmentioning

confidence: 99%

Why the Convention on the Rights of the Child must become a guiding framework for the realization of the rights of children affected by tuberculosis

Roy

Brandt

Moodie³

et al. 2016

BMC Int Health Hum Rights

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BackgroundUntil recently, paediatric tuberculosis (TB) has been relatively neglected by the broader TB and the maternal and child health communities. Human rights-based approaches to children affected by TB could be powerful; however, awareness and application of such strategies is not widespread.DiscussionWe summarize the current challenges faced by children affected by TB, including: consideration of their family context; the limitations of preventive, diagnostic and treatment options; paucity of paediatric-specific research; failure in implementation of interventions; and stigma. We examine the articles of the Convention on the Rights of the Child (CRC) and relate them to childhood TB. Specifically, we focus on the five core principles of the CRC: children’s inherent right to life and States’ duties towards their survival and development; children’s right to enjoyment of the highest attainable standard of health; non-discrimination; best interests of the child; and respect for the views of the child. We highlight where children’s rights are violated and how a human rights-based approach should be used as a tool to help children affected by TB, particularly in light of the Sustainable Development Goals and their focus on universality and leaving no one behind.SummaryThe article aims to bridge the gap between those providing paediatric TB clinical care and conducting research, and those working in the fields of human rights policy and advocacy to promote a human rights-based approach for children affected by TB based upon the Convention on the Rights of the Child.

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Ongoing transmission of tuberculosis in Aboriginal communities in NSW

Cited by 10 publications

References 10 publications

The epidemiology of tuberculosis in children in Australia, 2003–2012

The epidemiology of tuberculosis in children in Australia, 2003–2012

The missing voices of Indigenous Australians in the social, cultural and historical experiences of tuberculosis: a systematic and integrative review

Why the Convention on the Rights of the Child must become a guiding framework for the realization of the rights of children affected by tuberculosis

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