Comparing two acute post-streptococcal glomerulonephritis outbreaks in the Torres Strait and Northern Peninsula Area, Queensland
DOI:
https://doi.org/10.33321/cdi.2025.49.062Keywords:
acute post-streptococcal glomerulonephritis, glomerulonephritis, Streptococcus pyogenes, Indigenous health, First Nations health, Aboriginal and Torres Strait Islander health, kidney diseaseAbstract
In late 2023, an outbreak report of acute post-streptococcal glomerulonephritis (APSGN) in the Torres Strait documented seven confirmed cases and one probable case. This prompted an island-wide mass drug administration of oral trimethoprim/sulfamethoxazole to children aged 12 months to 17 years of age, possibly the first of its kind in response to an APSGN outbreak. In early 2024, an APSGN outbreak was declared with one confirmed and two probable cases, in the nearby Northern Peninsula Area of Cape York. The public health response to this outbreak included screening all children between 12 months and < 17 years of age for skin sores and sore throats, with treatment provided as deemed clinically appropriate. Both outbreaks reported nil further cases in the four months following each response. The relative merits of the different approaches will be discussed.
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Australian Bureau of Statistics. Thursday Island: 2021 Census All persons QuickStats. [Webpage.] Canberra: Australian Bureau of Statistics; 2021. Available from: https://abs.gov.au/census/find-census-data/quickstats/2021/SAL32823.
Queensland State Government Department of Health (Queensland Health), Torres and Cape Hospital and Health Service. Thursday Island Hospital. [Internet.] Cairns: Torres and Cape Hospital and Health Service; October 2023. Available from: https://www.torres-cape.health.qld.gov.au/hospitals-and-health-centres/thursday-island-hospital.
Queensland Government. New Mapoon. [Internet.] Brisbane: Queensland Government; 2 March 2017. Available from: https://www.qld.gov.au/firstnations/cultural-awareness-heritage-arts/community-histories/community-histories-n-p/community-histories-new-mapoon.
Australian Bureau of Statistics. New Mapoon: 2021 Census Aboriginal and/or Torres Strait Islander people QuickStats. [Webpage.] Canberra: Australian Bureau of Statistics; 2021. Available from: https://abs.gov.au/census/find-census-data/quickstats/2021/ILOC30300803.
Brant Pinheiro SV, de Freitas VB, de Castro GV, Rufino Madeiro BC, de Araújo SA, Silva Ribeiro TF et al. Acute post-streptococcal glomerulonephritis in children: a comprehensive review. Curr Med Chem. 2022;29(34):5543–59. doi: https://doi.org/10.2174/0929867329666220613103316.
Chaturvedi S, Boyd R, Krause V. Acute post-streptococcal glomerulonephritis in the Northern Territory of Australia: a review of data from 2009 to 2016 and comparison with the literature. Am J Trop Med Hyg. 2018;99(6):1643–8. doi: https://doi.org/10.4269/ajtmh.18-0093.
Worthing KA, Lacey JA, Price DJ, McIntyre L, Steer AC, Tong SYC et al. Systematic review of group A streptococcal emm types associated with acute post-streptococcal glomerulonephritis. Am J Trop Med Hyg. 2019;100(5):1066–70. doi: https://doi.org/10.4269/ajtmh.18-0827.
Queensland Health. Acute Post-Streptococcal Glomerulonephritis (APSGN). [Webpage.] Brisbane: Queensland Health; December 2023. Available from: https://www.health.qld.gov.au/cdcg/index/acute-post-streptococcal-glomerulonephritis-apsgn.
Bowen AC, Tong SY, Andrews RM, O'Meara IM, McDonald MI, Chatfield MD et al. Short-course oral co-trimoxazole versus intramuscular benzathine benzylpenicillin for impetigo in a highly endemic region: an open-label, randomised, controlled, non-inferiority trial. Lancet. 2014;384(9960):2132–40. doi: https://doi.org/10.1016/S0140-6736(14)60841-2.
Lake SJ, Kaldor JM, Hardy M, Engelman D, Steer AC, Romani L. Mass drug administration for the control of scabies: a systematic review and meta-analysis. Clin Infect Dis. 2022;75(6):959–67. doi: https://doi.org/10.1093/cid/ciac042.
Ramaiah KD, Ottesen EA. Progress and impact of 13 years of the global programme to eliminate lymphatic filariasis on reducing the burden of filarial disease. PLoS Negl Trop Dis. 2014;8(11):e3319. doi: https://doi.org/10.1371/journal.pntd.0003319.
(No authors listed). WHO Alliance for the Global Elimination of Trachoma by 2020: progress report on elimination of trachoma, 2014–2016. Wkly Epidemiol Rec. 2017;92(26):359–68. Available from: https://iris.who.int/bitstream/handle/10665/255778/WER9226.pdf.
Johnston F, Carapetis J, Patel MS, Wallace T, Spillane P. Evaluating the use of penicillin to control outbreaks of acute poststreptococcal glomerulonephritis. Pediatr Infect Dis J. 1999;18(4):327–32. doi: https://doi.org/10.1097/00006454-199904000-00003.
McDonald MI, Towers RJ, Andrews R, Benger N, Fagan P, Currie BJ et al. The dynamic nature of group A streptococcal epidemiology in tropical communities with high rates of rheumatic heart disease. Epidemiol Infect. 2008;136(4):529–39. doi: https://doi.org/10.1017/S0950268807008655.
Chisholm RH, Lacey JA, Kokko J, Campbell PT, McDonald MI, Corander J et al. Global and local epidemiology of Group A Streptococcus indicates that naturally-acquired immunity is enduring and strain-specific. [Preprint.] arXiv. 2021:2111.06498. doi: https://doi.org/10.48550/arXiv.2111.06498.
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