Use of a multi-criteria analysis framework to inform the design of risk based general surveillance systems for animal disease in Australia.

Australia is a major exporter of livestock and livestock products; a trade assisted by a favourable animal health status. However, increasing international travel and trade, land use changes and climatic change increase the risks of exotic and emerging diseases. At the same time, public sector resources for managing these risks are static or declining. Animal health authorities in Australia identified the need to develop a consistent national approach to surveillance that allocates resources according to risk. A study was undertaken to assess the relative likelihood of occurrence of eight significant diseases of concern to animal health authorities with the aim of producing risk maps to better manage animal disease surveillance. The likelihood of disease occurrence was considered in terms of the likelihood that a disease is introduced and the likelihood that the disease establishes and spreads. Pathways for introduction and exposure and for establishment and spread were identified and data layers representing the factors contributing to each pathway produced as raster maps. A multi-criteria analysis process was used to combine data layers into pathways and pathways into likelihood maps using weightings that reflect the relative importance of each layer and pathway. The likelihood maps for introduction and exposure and for establishment and spread were combined to generate national likelihood maps for each disease. To inform Australia's general surveillance system that exists to detect any disease of importance, the spatial profiles of the eight diseases were subsequently combined using weightings to reflect their relative consequences. The result was a map of relative likelihood of occurrence of any significant disease. Current surveillance activity was assessed by combining data layers for government disease investigations, proximity to vets and wildlife disease investigations. Comparison of the overall risk and current surveillance maps showed that the distribution of current effort was well matched to the distribution of risk.

Effectiveness of control measures against mosquitoes at a constructed wetland in southern California.

The effectiveness of larvicide and adulticide treatments against mosquitoes at a constructed wetland in San Jacinto, California was assessed with larval surveys, trapping of emerging adults, and collections of host-seeking females by carbon dioxide-baited traps. Bacillus thuringiensis var. israelensis (Bti, Bactimos pellets) applied at a rate of 19 kg/ha did not demonstrably affect Culex larval and emergent adult populations. Larval populations in the seven marshes of the wetland decreased from approximately one third-fourth instar larva/dip to undetectable levels following two applications of Bacillus sphaericus (Vectolex CG) at a rate of either 19 or 23.6 kg/ha. The largest decline in the number of adult mosquitoes emerging per day from vegetated regions of the wetland occurred after B. sphaericus treatments. The Culex erythrothorax host-seeking population declined about 80-fold during September beginning three weeks after the first treatment with B. sphaericus; however, the Culex tarsalis host-seeking population did not decline abruptly until mid-October 1997. This result suggests that immigration of females from other developmental sites might be an important factor influencing the Cx. tarsalis host-seeking population at the wetlands. Safety concerns required that insecticide applications were carried out during daylight hours, and two daytime applications of adulticide (Pyrenone) in early August were ineffective against mosquitoes resting in the thick vegetation.

A novel, sensitive bioassay for transforming growth factor beta.

We have developed a simple, sensitive bioassay for transforming growth factors beta 1 and beta 2 (TGF-beta 1 and TGF-beta 2) based on the ability of these cytokines to inhibit the interleukin-5 induced proliferation of the erythroleukaemia cell line, TF-1. This assay is rapid, reproducible and sensitive to less than 500 fg/ml of TGF-beta 1, and 5-10 pg/ml TGF-beta 2. The assay is 100-1000-fold less sensitive to other inhibitory molecules such as interferon-beta, interferon-gamma and TNF-alpha. The assay can be made specific for TGF-beta 1 or TGF-beta 2 by including specific neutralising antibodies for TGF-beta 1 or TGF-beta 2. The assay can recognise all the readily available recombinant molecular species of these molecules as well as the natural proteins produced from human and bovine platelets and detects TGF-beta in serum samples.

Service and teaching issues in an inner-city university-based psychiatry clinic.

The provision of quality out-patient psychiatric care to a predominately black inner-city population, in a University setting such as ours, is a complex and challenging task. This paper addresses service and teaching issues related to the provision of that care in the Adult Unit of the Howard University Hospital Mental Health Clinic. In this setting there is a mandate for clinical teaching and research as well, two vital components in the delivery of quality psychiatric service by knowledgeable and skilled health care providers.