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Intensive fishing is altering the functioning of aquatic ecosystems worldwide, threatening both biodiversity and food security. No‐fishing reserves have proven effective at restoring food‐web structure and enhancing fisheries in marine ecosystems, but remain virtually untested in freshwater systems. Using experiments inside and outside of community‐created riverine reserves in Thailand, we describe a trophic cascade across six trophic levels, from humans to algal responses to nutrient availability. Protection from fishing profoundly reconfigures fish communities – greatly increasing biodiversity, biomass, and body size – yet mean trophic position was unaffected. Cascade dynamics from fish to algae were observed regardless of protection status, although fishing intensified trophic interactions through strong effects on grazing insect behavior. The marked effectiveness of these small, grassroots reserves offers an important conservation‐planning model for protecting food webs and augmenting fishery yields in biodiverse tropical rivers. [ABSTRACT FROM AUTHOR]

Urban streams are often severely impaired due to channelization, high loads of nutrients and contaminants, and altered land cover in the watershed. Physical restoration of stream channels is widely used to offset the effects of urbanization on streams, with the goal of improving ecosystem structure and function. However, these efforts are rarely guided by strategic analysis of the factors that mediate the responsiveness of stream ecosystems to restoration. Given that ecological gradients from headwater streams to mainstem rivers are ubiquitous, we posited that location within a river network could mediate the benefits of channel restoration. We studied existing stream restorations in Milwaukee, Wisconsin, to determine (1) whether restorations improve ecosystem function (e.g., nutrient uptake, whole‐stream metabolism) and (2) how ecosystem responses vary by position in the urban river network. We quantified a suite of physicochemical and biological metrics in six pairs of contiguous restored and concrete channel reaches, spanning gradients in baseflow discharge (19–196 L/s) and river network position (i.e., headwater to mainstem). Hydrology differed dramatically between the restored and concrete reaches; water velocity was reduced 2‐ to 13‐fold while water residence time was 50–5,000% greater in adjacent restored reaches. Restored reaches had shorter nutrient uptake lengths for ammonium, nitrate, and phosphate, as well as higher whole‐stream metabolism. Furthermore, the majority of reaches were autotrophic (i.e., gross primary production > ecosystem respiration), which is not common in stream ecosystems. The difference in ecosystem functioning between restored and unrestored reaches was generally largest in headwaters and declined to equivalence in mainstem restorations. Our results suggest that headwater sites offer higher return on investment compared to larger downstream channels, where ecosystem responsiveness is low. If this pattern proves to be general, the scaling of ecosystem responses with river size could be integrated into planning guidelines for urban stream restorations to enhance the societal and ecological benefits of these expensive interventions. [ABSTRACT FROM AUTHOR]

Abstract: A hallmark of industrialization is the construction of dams for water management and roads for transportation, leading to fragmentation of aquatic ecosystems. Many nations are striving to address both maintenance backlogs and mitigation of environmental impacts as their infrastructure ages. Here, we test whether accounting for road repair needs could offer opportunities to boost conservation efficiency by piggybacking connectivity restoration projects on infrastructure maintenance. Using optimization models to align fish passage restoration sites with likely road repair priorities, we find potential increases in conservation return‐on‐investment ranging from 17% to 25%. Importantly, these gains occur without compromising infrastructure or conservation priorities; simply communicating openly about objectives and candidate sites enables greater accomplishment at current funding levels. Society embraces both reliable roads and thriving fisheries, so overcoming this coordination challenge should be feasible. Given deferred maintenance crises for many types of infrastructure, there could be widespread opportunities to enhance the cost effectiveness of conservation investments by coordinating with infrastructure renewal efforts. [ABSTRACT FROM AUTHOR]

Objectives: To determine the degree of agreement of diagnoses by audiologists and otolaryngologists of otitis media (OM) in Aboriginal children. Design: Cross-sectional study of agreement between diagnoses. Setting: Study of Environment on Aboriginal Resilience and Child Health (SEARCH), a prospective cohort study of Aboriginal children attending four Aboriginal Community Controlled Health Services in New South Wales (three metropolitan, one regional) during 2008-2012. Participants: 1310 of 1669 SEARCH participants (78.5%; mean age, 7.0 years; SD, 4.4 years) were assessed and received a diagnosis from one of five experienced audiologists. Test results (but not case histories) were forwarded to one of three otolaryngologists for blinded independent assessment. Main outcome measures: Agreement of OM diagnoses by audiologists and otolaryngologists at ear and child levels; correctness of audiologist diagnoses (otolaryngologist diagnosis as reference). Results: Paired diagnoses by audiologists and otolaryngologists were available for 863 children at the child level and 1775 ears (989 children) at the ear level. Otolaryngologists diagnosed OM in 251 children (29.1%), including 11 (1.3%) with tympanic membrane perforation, and in 396 ears (22.3%), including 12 (0.7%) with perforation. Agreement between audiologists and otolaryngologists for OM at the ear level was 92.2% (k = 0.78; 95% CI, 0.74-0.82), and at the child level 91.7% (k = 0.81; 95% CI, 0.77-0.85). No otolaryngologist-diagnosed perforation was missed by audiologists. Among 1000 children triaged by an audiologist, there would be 45 false positives and 30 false negatives when compared with assessments by an otolaryngologist, with no missed perforations. Conclusions: There was substantial agreement between audiologists' and otolaryngologists' diagnoses of OM in a high prevalence population of Aboriginal children. In settings with limited access to otolaryngologists, audiologists may appropriately triage children and select those requiring specialist review. [ABSTRACT FROM AUTHOR]

Objectives: To describe trends in the age-specific incidence of serogroup B invasive meningococcal disease (IMD) in Australia, 1999-2015.Design, Setting, Participants: Analysis in February 2017 of de-identified notification data from the Australian National Notifiable Diseases Surveillance System of all notifications of IMD in Australia with a recorded diagnosis date during 1999-2015.Major outcomes: IMD notification rates in Australia, 1999-2015, by age, serogroup, Indigenous status, and region.Results: The incidence of meningococcal serogroup B (MenB) disease declined progressively from 1.52 cases per 100 000 population in 2001 to 0.47 per 100 000 in 2015. During 2006-2015, MenB accounted for 81% of IMD cases with a known serogroup; its highest incidence was among infants under 12 months of age (11.1 [95% CI, 9.81-12.2] per 100 000), children aged 1-4 years (2.82 [95% CI, 2.52-3.15] per 100 000), and adolescents aged 15-19 years (2.40 [95% CI, 2.16-2.67] per 100 000). Among the 473 infants under 2 years of age with MenB, 43% were under 7 months and 69% under 12 months of age. The incidence of meningococcal serogroup C (MenC) disease prior to the introduction of the MenC vaccine in 2003 was much lower in infants than for MenB (2.60 cases per 100 000), the rate peaking in people aged 15-19 years (3.32 per 100 000); the overall case fatality rate was also higher (MenC, 8%; MenB, 4%). The incidence of MenB disease was significantly higher among Indigenous than non-Indigenous Australians during 2006-2015 (incidence rate ratio [IRR], 3.8; 95% CI, 3.3-4.5).Conclusions: Based on disease incidence at its current low endemic levels, priority at risk age/population groups for MenB vaccination include all children between 2 months and 5 years of age, Indigenous children under 10 years of age, and all adolescents aged 15-19 years. Given marked variation in meningococcal disease trends over time, close scrutiny of current epidemiologic data is essential. [ABSTRACT FROM AUTHOR]

Objective: To evaluate trends in the proportion and severity of community-acquired pneumonia (CAP) attributable to Streptococcus pneumoniae (pneumococcus) in Australians aged 18 years and over. Study design: Systematic review with unpublished data from the largest study. Data sources: Multiple key bibliographic databases to June 2016. Study selection: Australian studies on the aetiology of CAP in adults. Data synthesis: In the 12 studies identified, pneumococcus was the most common cause of CAP. Four studies were assessed as being of good quality. Participants in two studies were predominantly non-Indigenous (n = 991); the proportion of pneumococcal CAP cases declined from 26.4% in 1987e88 to 13.9% in 2004e06, and the proportion with bacteraemia decreased from 7.8%to 3.8%. In two studies with predominantly Indigenous participants (n = 252), the proportion with pneumococcal bacteraemia declined from 6.8% in 1999e2000 to 4.2% in 2006e07. In the largest study (n = 885; 2004e06), 50.8% (60/118) of pneumococcal CAP occurred in people who were ≥ 65 years old. Among patients aged ≥ 65 years, intensive care unit admission and death were more common in patients who were ≥ 85 years old compared with younger patients (12.5% v 6.8%; 18.8% v 6.8% respectively), and also more common in the 19 patients with bacteraemia than in those without it (15.8% v 2.6%; 10.5% v 7.9% respectively). Of 17 cases of bacteraemia serotyped, 12 were due to 13-valent pneumococcal conjugate vaccine (13vPCV) serotypes and three to additional serotypes in 23-valent pneumococcal polysaccharide vaccine (23vPPV). Conclusions: Available data suggest that the proportion of CAP attributable to pneumococcus (both bacteraemic and nonbacteraemic) has been declining in Australian adults. Should 13vPCV replace the 23vPPV currently funded by the National Immunisation Program for persons aged ≥ 65 years, surveillance to track non-bacteraemic pneumococcal CAP will be essential to evaluate the impact. [ABSTRACT FROM AUTHOR]

Conservation planning aims to optimize outcomes for select species or ecosystems by directing resources toward high-return sites. The possibility that local benefits might be increased by directing resources beyond the focal area is rarely considered. We present a case study of restoring river connectivity for migratory fish of the Great Lakes Basin by removing dams and road crossings within municipal jurisdictions versus their broader watersheds. We found that greater river connectivity could often be achieved by considering both intra-jurisdictional and extra-jurisdictional barriers. Focusing on jurisdictional barriers alone generally forfeited <20% (median = 0%) of habitat gains for those who value solely habitat gains within the jurisdiction, but >75% (median = 100%) for planners who value larger-scale habitat gains. Similarly, cost savings tended to be between −50% and +50%, but in some cases were very negative. Our study underscores the local-scale benefits of broadening restoration investments, especially for decision makers of the Great Lakes Basin and contributes to a discussion of appropriate and efficient scales of conservation planning. Copyright © 2017 John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]

High-resolution analysis of growth increments, trace element chemistry and oxygen isotope ratios ( δ 18O) in otoliths were combined to assess larval and post-larval habitat use and growth of Awaous stamineus, an amphidromous goby native to Hawai'i. Otolith increment widths indicate that all individuals experience a brief period of rapid growth during early life as larvae and that the duration of this growth anomaly is negatively correlated with larval duration. A protracted high-growth period early in larval life is associated with a lower ratio of Sr:Ca, which may reflect low salinity conditions in nearshore habitats. A distinct shift in δ 18O (range: 4-5‰) is closely associated with the metamorphic mark in otoliths, indicating that larval metamorphosis occurs promptly upon return to fresh water. Strontium and other trace elements are not as tightly coupled to the metamorphosis mark, but confirm the marine-to-freshwater transition. Integration of microstructural and microchemical approaches reveals that larvae vary substantially in growth rate, possibly in association with habitat differences. Although time and financial costs make it difficult to achieve large sample sizes, present results show that examining even a small number of individuals can lead to novel inferences about early life history in diadromous fishes and illustrates the value of integrating analyses. [ABSTRACT FROM AUTHOR]

The prevalence and histopathology of neoplastic lesions were assessed in white sucker Catostomus commersonii captured at two Lake Michigan Areas of Concern ( AOCs), the Sheboygan River and Milwaukee Estuary. Findings were compared to those observed at two non- AOC sites, the Root and Kewaunee rivers. At each site, approximately 200 adult suckers were collected during their spawning migration. Raised skin lesions were observed at all sites and included discrete white spots, mucoid plaques on the body surface and fins and large papillomatous lesions on lips and body. Microscopically, hyperplasia, papilloma and squamous cell carcinoma were documented. Liver neoplasms were also observed at all sites and included both hepatocellular and biliary tumours. Based on land use, the Kewaunee River was the site least impacted by human activities previously associated with fish tumours and had significantly fewer liver neoplasms when compared to the other sites. The proportion of white suckers with liver tumours followed the same patterns as the proportion of urban land use in the watershed: the Milwaukee Estuary had the highest prevalence, followed by the Root, Sheboygan and Kewaunee rivers. The overall skin neoplasm (papilloma and carcinoma) prevalence did not follow the same pattern, although the percentage of white suckers with squamous cell carcinoma exhibited a similar relationship to land use. Testicular tumours (seminoma) were observed at both AOC sites but not at the non- AOC sites. Both skin and liver tumours were significantly and positively associated with age but not sex. [ABSTRACT FROM AUTHOR]

Most ecosystems are impacted by multiple local and long-distance stressors, many of which interact in complex ways. We present a framework for prioritizing ecological restoration efforts among sites in multi-stressor landscapes. Using a simple model, we show that both the economic and sociopolitical costs of restoration will typically be lower at sites with a relatively small number of severe problems than at sites with numerous lesser problems. Based on these results, we propose using cumulative stress and evenness of stressor impact as complementary indices that together reflect key challenges of restoring a site to improved condition. To illustrate this approach, we analyze stressor evenness across the world's rivers and the Laurentian Great Lakes. This exploration reveals that evenness and cumulative stress are decoupled, enabling selection of sites where remediating a modest number of high-intensity stressors could substantially reduce cumulative stress. Just as species richness and species evenness are fundamental axes of biological diversity, we argue that cumulative stress and stressor evenness constitute fundamental axes for identifying restoration opportunities in multi-stressor landscapes. Our results highlight opportunities to boost restoration efficiency through strategic use of multi-stressor datasets to identify sites that maximize ecological response per stressor remediated. This prioritization framework can also be expanded to account for the feasibility of remediation and the expected societal benefits of restoration projects. [ABSTRACT FROM AUTHOR]

Visual surveys are conducted to rapidly estimate population densities of stream fishes, often without calibration against more established or more widely used methods to determine precision and accuracy or to correct for potential biases. We compared population density estimates from a visual survey (VS) point quadrat method widely used in Hawaii with estimates from “in hand” individual and batch mark–recapture (BMR) methods. Visual survey sampling and individual mark–recapture (IMR) sampling were conducted in three watersheds that represent gradients of land use and prevalence of nonnative poeciliid fishes on the Island of Hawaii. Focusing on adult O‘opu NākeaAwaous stamineus, VSs were conducted prior to IMR events to allow direct comparisons of results independent of location and time. Density estimates of O‘opu Nākea from VS and IMR samplings were strongly correlated, although VS estimates were generally higher and underrepresented exceptionally large fish. Batch mark–recapture estimates of O‘opu Nākea densities were conducted for comparison with VSs at 13 sites across the archipelago. Estimates of VSs were not significantly different from BMR estimates. Estimates of VSs also exhibited less variance than did BMR estimates across sites. General linear models showed that the relationship between VS and IMR estimates varied significantly among watersheds but not seasons and that land use was associated with a greater mismatch between VS and BMR estimates of population density. These findings indicate that visual surveys using a point quadrat method are an efficient and accurate approach for estimating the abundance of small benthic fishes, such as O‘opu Nākea, in wadeable streams and that obtaining absolute densities or size distributions from VS methods would benefit from a calibration with IMR not BMR estimates. Received July 15, 2015; accepted February 23, 2016 Published online June 29, 2016 [ABSTRACT FROM AUTHOR]

Objectives: To examine geographic and demographic trends in objection to vaccination in Australia. Design: Cross-sectional analysis of Australian Childhood Immunisation Register (ACIR) data (2002–2013) for children aged 1–6 years. Main outcome measures: Immunisation status according to whether an objection had been registered, and remoteness and socio-economic status of area of residence. Registration of children with Medicare after 12 months of age was used as a proxy indicator of being overseas-born. Results: The proportion of children affected by a registered vaccination objection increased from 1.1% in 2002 to 2.0% in 2013. Children with a registered objection were clustered in regional areas. The proportion was lower among children living in areas in the lowest decile of socio-economic status (1.1%) than in areas in the highest socio-economic decile (1.9%). The proportion not affected by a recorded objection but who were only partly vaccinated for vaccines due at 2, 4 and 6 months of age was higher among those in the lowest decile (5.0% v 3.4%), suggesting problems of access to health services, missed opportunities, and logistic difficulties. The proportion of proxy overseas-born for whom neither vaccinations nor an objection were recorded was 14 times higher than for other children (17.1% v 1.2%). These children, who are likely to be vaccinated although this is not recorded on the ACIR, resided predominantly in major cities. Conclusions: There was a small increase in registered objection rates since 2002. We estimate that 3.3% of children are affected by registered or presumptive (unregistered) vaccination objection, which suggests that the overall impact of vaccination objection on vaccination rates has remained largely unchanged since 2001. Incomplete records, barriers to access, and missed opportunities are likely to be responsible for most other deficiencies in vaccination coverage. [ABSTRACT FROM AUTHOR]

Age estimates based on calcified structures are central to the analysis and management of fish populations. A variety of structures have been used in studies of Northern Pike Esox lucius despite limited data on whether the structures provide comparable results. We quantified precision and bias of ages estimated from cleithra, otoliths, anal fin rays, and scales of Northern Pike sampled in tributaries of Green Bay, Lake Michigan. For three independent readers, the precision (CV) of age estimates did not significantly differ among otoliths, cleithra, and anal fin rays but was significantly lower for scales than for the other structures. Similarly, partial agreement among readers was greater than 90% for ages estimated from otoliths, cleithra, and anal fin rays, whereas partial agreement was 76% for scale‐based ages. We discuss the tradeoffs associated with precision and bias for each structure in the context of reader experience, fish age, and management goals. We recommend that when fish mortality is not a concern, otoliths or cleithra should be used to achieve high‐precision aging of Northern Pike. For strictly nonlethal sampling scenarios, the anal fin rays of Northern Pike will yield more precise age estimates than scales. Received January 20, 2015; accepted September 17, 2015 [ABSTRACT FROM AUTHOR]

To assess potential effects of climate change on Great Lakes fish populations, we evaluated trends in the reproductive phenology of Yellow Perch Perca flavescens (spring spawner) and Lake Trout Salvelinus namaycush (autumn spawner). For Yellow Perch in Lake Michigan, the estimated reproductive midpoint date (50% of mature females ripe or spent, 50% not yet spawned) took place 6.2 d/decade earlier in the spring near Milwaukee from 1988 to 2012 and 1.8 d/decade earlier in Green Bay from 1980 to 2012. At both locations water temperatures at the spawning sites on the midpoint date showed no trends, but mean water temperatures during the spring at the spawning site and midlake increased over the study period. This suggests that Yellow Perch spawning areas were warming sooner in the spring and that Yellow Perch were spawning earlier to maintain a consistent spawning temperature. Lake Trout phenological patterns were more complex. For Lake Trout in Lake Michigan near Milwaukee, there was a marginally significant trend for spawning to take place 2.1 d/decade later in the autumn from 1983 to 2006. However, water temperatures at the spawning site at the midpoint date did not change and autumn temperatures at the site and at midlake did not show a warming trend. For Lake Trout in Lake Superior near the Apostle Islands, the midpoint date did not change from 1988 to 2012. Water temperatures at the spawning site on the midpoint date and during the autumn also showed no trends, but midlake summer and autumn water temperatures increased significantly. Overall, Yellow Perch in Lake Michigan have shifted reproductive timing in a manner consistent with a warming climate, but the relationship of climate change to reproductive phenology remains unclear for Lake Trout in Lake Michigan and Lake Superior. [ABSTRACT FROM AUTHOR]

Ecological restoration programs often attempt to maintain or enhance ecosystem services (ES), but fine-scale maps of multiple ES are rarely available to support prioritization among potential projects. Here we use agency reports, citizen science, and social media as data sources to quantify the spatial distribution of five recreational elements of cultural ES (CES) - sport fishing, recreational boating, birding, beach use, and park visitation - across North America's Laurentian Great Lakes, where current restoration investments exceed US$1.5 billion. These recreational CES are widely yet unevenly distributed, and spatial correlations among all except park visitation indicate that many locations support multiple CES benefits. Collectively, these five service metrics correlate with tourism gross domestic product, indicating that local economies benefit from ecosystem conditions that support CES. However, locations of high recreational CES delivery are often severely affected by environmental stressors, suggesting that either ecosystem condition or human enjoyment of these recreational CES is resilient even to substantial levels of stress. Our analyses show that spatial assessments of recreational CES are an informative complement to ecosystem stress assessments for guiding large-scale restoration efforts. [ABSTRACT FROM AUTHOR]

Ecosystems often experience multiple environmental stressors simultaneously that can differ widely in their pathways and strengths of impact. Differences in the relative impact of environmental stressors can guide restoration and management prioritization, but few studies have empirically assessed a comprehensive suite of stressors acting on a given ecosystem. To fill this gap in the Laurentian Great Lakes, where considerable restoration investments are currently underway, we used expert elicitation via a detailed online survey to develop ratings of the relative impacts of 50 potential stressors. Highlighting the multiplicity of stressors in this system, experts assessed all 50 stressors as having some impact on ecosystem condition, but ratings differed greatly among stressors. Individual stressors related to invasive and nuisance species (e.g., dreissenid mussels and ballast invasion risk) and climate change were assessed as having the greatest potential impacts. These results mark a shift away from the longstanding emphasis on nonpoint phosphorus and persistent bioaccumulative toxic substances in the Great Lakes. Differences in impact ratings among lakes and ecosystem zones were weak, and experts exhibited surprisingly high levels of agreement on the relative impacts of most stressors. Our results provide a basin-wide, quantitative summary of expert opinion on the present-day influence of all major Great Lakes stressors. The resulting ratings can facilitate prioritizing stressors to achieve management objectives in a given location, as well as providing a baseline for future stressor impact assessments in the Great Lakes and elsewhere. [ABSTRACT FROM AUTHOR]

The authors share their thoughts about the No Jab, No pay and the No Jab, No Play legislation targeting vaccine refusal for children in Australia.

Developing conservation strategies for migratory fishes requires an understanding of connectivity among populations. Neotropical rivers contain diverse and economically important assemblages of migratory fishes, but little is known about the population biology of most species. We examined the population structure ofProchilodus mariae, an abundant migratory fish species found in Venezuelan rivers that plays essential roles in both regional fisheries and ecosystem dynamics. By coupling otolith microchemistry and microsatellite genetic analyses, we were able to evaluate both natal origins of individual fish and genetic structure on a regional level. The chemistry of otolith cores inferred separate breeding grounds for four of six populations, with 75–85% of individuals from each river sharing a natal signature that is distinct from the other populations. In contrast, we detected no genetic structure, indicating that gene flow among these rivers prevents population differentiation. These disparate inferences underscore the complexity of conserving migratory species; otolith data suggest that ensuring fishery sustainability requires recognizing distinct breeding stocks, while gene flow reflects the importance of connectivity across the broader river network on an evolutionary time scale. We conclude that multiple methodological approaches may often be necessary to fully understand the spatial ecology and management needs of migratory fishes and, therefore, also influence local management practices. Received June 8, 2012; accepted May 1, 2013 [ABSTRACT FROM AUTHOR]

A key challenge in aquatic restoration efforts is documenting locations where ecological connectivity is disrupted in water bodies that are dammed or crossed by roads (road crossings). To prioritize actions aimed at restoring connectivity, we argue that there is a need for systematic inventories of these potential barriers at regional and national scales. Here, we address this limitation for the North American Great Lakes basin by compiling the best available spatial data on the locations of dams and road crossings. Our spatial database documents 38 times as many road crossings as dams in the Great Lakes basin, and case studies indicate that, on average, only 36% of road crossings in the area are fully passable to fish. It is therefore essential that decision makers account for both road crossings and dams when attempting to restore aquatic ecosystem connectivity. Given that road crossing structures are commonly upgraded as part of road maintenance, many opportunities exist to restore connections within aquatic ecosystems at minimal added cost by ensuring upgrade designs permit water flow and the passage of fish and other organisms. Our findings highlight the necessity for improved dam and road crossing inventories that traverse political boundaries to facilitate the restoration of aquatic ecosystem connectivity from local to global scales. [ABSTRACT FROM AUTHOR]

Alteration of rivers for human use has resulted in substantial biodiversity declines, particularly for species restricted to the largest rivers. Conservation and restoration efforts on large rivers often focus on the mainstem, but societal reliance on benefits derived from these alterations generally prevents complete restoration of the river. We propose that certain tributaries, by virtue of their lower degree of alteration, offer underappreciated opportunities for conserving large-river biota. Using the distribution patterns of large-river specialist fishes from the Mississippi River Basin, we identify a threshold discharge (166 cubic meters per second) beyond which tributaries support all or most of these species. We merge our macroecological analysis of assemblage structure with data on dam locations to identify tributaries where restoration efforts offer the highest potential conservation gains for 60 of the 68 large-river specialist fish species that are of state, federal, or international conservation concern. Given the highly altered state of many mainstem rivers, this analytical approach could be used to select tributaries that will aid in the conservation of large-river species worldwide. [ABSTRACT FROM AUTHOR]

A biography of pediatrician Margaret Anne Burgess is presented. She was born in Sydney, Australia and studied at the University of Sydney. She was the first woman to enrol in medicine in Australia. Her interests towards child health began and pediatrics began after the death of her sister due to congenital heart disease. She was married an endocrinologist with two sons. One of her accomplishments is to develop a vaccine for the prevention of rubella infection.

Objectives: To describe the epidemiology of mumps and examine potential factors underlying the recent increase in the incidence of mumps in Australia.Design, Setting and Participants: Analytical descriptive study, for all Australian states and territories, of mumps notifications (1994-2007); hospitalisations for mumps (1994-2005); and mumps seroprevalence in a nationally representative sample of 2787 subjects (1997).Main Outcome Measures: Incidence of notifications and hospitalisations for mumps; seropositivity by birth cohort.Results: Notified mumps cases increased from 60 in 2002 to 231 in 2005 and 512 in 2007. Between 1994 and 2005, there were 605 hospitalisations for mumps. Mumps seropositivity in all states and territories in 1997 was high (range, 87.1%-94.3%). The predominant age group affected by mumps shifted to adults over time: between 2005 and 2007, 41% of cases occurred among people aged 20-29 years. Cases were concentrated among the birth cohort of 1978 to 1982, who had higher rates of notifications and hospitalisations for mumps and a lower seropositivity rate (92% [95% CI, 89%-94%]) than other birth cohorts.Conclusions: The birth cohort of 1978 to 1982 was too old to reliably receive a second dose of measles-mumps-rubella (MMR) vaccine in the 1998 Australian Measles Control Campaign and too young to have had mumps infection. Renewed efforts to maximise two-dose MMR coverage are important for prevention of mumps and measles in young adults. [ABSTRACT FROM AUTHOR]

The diet and habitat of eight danionin species ( Danio and Devario) from 18 sites in India and Thailand are reported. At every site, habitat characteristics, including pH, light penetration, water temperature, current speed, stream dimensions, canopy cover and substratum type, were recorded. Danionins were found primarily in warm (24–35° C), moving water of moderate clarity and pH (6·6–8·2) and there were significant differences among species in water temperature, pH and current speed. Deep-bodied Devario species were generally associated with faster water currents than more slender-bodied Danio species. Gut content analyses of 327 individuals representing 17 populations showed that insects were the primary food resource for the eight Danio and Devario species. Crustaceans, fish scales, algae and detritus were also important supplements for particular species. Stable isotope data from syntopic species indicated long-term differences in consumption of terrestrial v. aquatic insects in one of two population pairs. [ABSTRACT FROM AUTHOR]

The epidemiology of hepatitis A is changing, with an increasing proportion of the population becoming susceptible to infection. The burden of hepatitis A is comparable to that of other vaccine-preventable diseases for which new vaccines are available. Options for vaccination include selective programmes for high-risk groups, which could involve screening prior to vaccination, or universal programmes for infants and/or adolescents. Selective programmes have been shown to be highly cost-effective if well implemented, but there is evidence that they might be poorly implemented. If a universal vaccination programme were considered for Australia, an infant programme, with doses at 18 months and 2 years, possibly with an additional adolescent programme, would be the recommended option. Universal hepatitis A vaccination for infants and/or adolescents is of comparable cost-effectiveness compared with other preventive strategies, but needs to be considered in the context of competing vaccination options. [ABSTRACT FROM AUTHOR]

In this article the author discusses the development of the meningococcal control and immunization programme in Great Britain in 2000.

Objective: Few data are available on invasive disease due to Streptococcus pneumoniae in representative Australian childhood populations. This study aimed to determine the age-specific incidence of invasive pneumococcal disease in Sydney children.Methodology: Population-based prospective study where isolates of Streptococcus pneumoniae from normally sterile sites were identified through an established laboratory surveillance network. Isolates came from children aged under 15 years living within the boundaries of Central, Eastern. Southern, Western and South-western Sydney Area Health Services from 1 July 1991 to 30 June 1996.Results: Invasive pneumococcal disease was identified in 320 children during a 5-year period, of whom 193 (60%) were under 2 years of age. The incidence per 100,000 children was 12.7 per 100,000 (95% CI: 11.4-14.2/100,000) under 15 years; 31.7 (95% CI 28.1-35.7) under 5 years, and 45.5 (95% CI 38.9-53.3) under 2 years. The incidence of pneumococcal meningitis in children aged under 2 years was 10.5 per 100,000 (95% CI: 7.4-14.5/100,000).Conclusions: The incidence of childhood invasive pneumococcal disease in Sydney was stable during 1991-96 and comparable to rates reported from other industrialized countries. There was no evidence of any change in pneumococcal disease incidence with reduction in invasive Haemophilus influenzae type b (Hib) disease following introduction of Hib immunization. [ABSTRACT FROM AUTHOR]

We conducted laboratory experiments to determine relationships between water turbidity, piscivory, fork length, and development of the retina in juvenile walleyes Stizostedion vitreum. Walleyes 85 mm and longer ate a greater weight and number of fathead minnows Pimephales promelas in turbid water than in clear water. Feeding was inhibited at the highest turbidities (100 and 161 nephelometric turbidity units, NTU) in 1-h feeding trials but not at the highest turbidity (121 NTU) in 4-h trials. In contrast, walleyes in the shorter length-group (≤75 mm) fed at approximately the same rate in clear and turbid trials, but consumption was inhibited at the two highest turbidities (100 and 161 NTU) used in 1-h trials. The tapetum lucidum was present in the retina of walleyes used in all the experiments. Aggregation of photoreceptor cells in the retina into groups of 20 to 30 (to form macroreceptors) begins when walleyes are approximately 60 mm long. Macroreceptors are believed to increase acuity in dim light. In our experiments, the development of macroreceptors was related to increased feeding efficiency in turbid water. The development of scotopic vision early in life permits walleyes to exploit dimly lit environments not used by other predators. [ABSTRACT FROM AUTHOR]

The author discusses the impact of the Wakefield study allegedly linking measles-mumps-rubella (MMR) vaccination with inflammatory bowel disease and autism in the U.S., Great Britain and Australia. Published by the journal "The Lancet" in 1998, the study was retracted 12 years after findings proved the safety of the vaccine. It speculates on why Great Britain was more affected by the vaccine scare than Australia and the U.S. It lists lessons learned from the Wakefield experience, such as accepting vaccine scares as inevitable and plan accordingly.

The article discusses study on the rates of herpes zoster(HZ)-related hospitalizations of Indigenous and non-Indigenous Australians during 2007-2011 and increase in burden of severe HZ among Indigenous Australians in their 60s is higher than for non-Indigenous Australians.

In this article the author focuses on how to improve protection against pertussis. It states that pertussis is a disease of significant morbidity in infants and mentions that Australia has had the highest reported rates of pertussis in the world. It reports that acellular vaccines are highly effective in preventing severe pertussis.

Objectives: To measure the acute burden of and to identify risk factors associated with notified Q fever in older adults in New South Wales.Design, Settings and Participants: A prospective cohort of adults aged 45 years and over (the 45 and Up Study) recruited during 2006-2009 and followed using linked Q fever notifications, hospital records and death records during 2006-2012.Main Outcome Measures: Incident cases of Q fever, based on a linked Q fever notification; proportion of cases with a Q fever-coded hospitalisation.Results: A total of 266 906 participants were followed up for 1 254 650 person-years (mean, 4.7 ± 1.0 years per person). In our study population, the incidence of notified Q fever during follow-up was 3.6 (95% CI, 2.7-4.8) per 100 000 person-years. After adjustments, age (≥ 65 years v 45-54 years: hazard ratio [HR], 0.39; 95% CI, 0.16-0.96), sex (women v men: HR, 0.48; 95% CI, 0.26-0.88), and area and type of residence (P < 0.001 for trend) remained significantly associated with Q fever. Compared with those living in an inner regional area but not on a farm, the risk of notified Q fever was highest for those living on a farm in outer regional or remote areas (HR, 11.98; 95% CI, 5.47-26.21), followed by those living on a farm in inner regional areas (HR, 4.95; 95% CI, 1.79-13.65). Of notified Q fever cases, 15 of 39 (38%) had been hospitalised with a diagnosis consistent with Q fever.Conclusions: Adults living on a farm in outer regional and remote areas are at a substantially greater risk of contracting Q fever. This suggests that, as well as targeting specific occupational groups for vaccination, there would be benefits in increasing public awareness of Q fever and vaccination among those living on and near farms in outer regional and remote areas of Australia. [ABSTRACT FROM AUTHOR]

A response from the authors of the article "Impact of pneumococcal polysaccharide vaccine in people aged 65 years or older," in the 2014 issue is presented.

We studied the effects of upwelling on nutrient and phytoplankton dynamics in the pelagic and littoral zones of Lake Tanganyika near Kigoma, Tanzania. During the dry season of 2004, a rise in the thermocline and sudden drop in surface water temperatures indicated a substantial upwelling event. Increases in concentrations of nitrate, soluble reactive phosphorus, and silica in the surface waters occurred simultaneously after the temperature drop. Within days, chlorophyll a concentrations increased and remained elevated, while inorganic nutrient concentrations returned to preupwelling levels and organic nutrient concentrations peaked. We observed parallel temporal patterns of water temperature, nutrient concentrations, and phytoplankton chlorophyll in both the pelagic and the littoral zones, demonstrating that upwelling strongly affects the nearshore ecosystem as well as the pelagic zone. Concurrent records from 12 littoral sites indicated spatial variation in the timing, magnitude, and biological response to upwelling. There was no discernable latitudinal pattern in the timing of upwelling, suggesting that mixing did not result from a progressive wave. Our monitoring, as well as other multiyear studies, suggests that dry-season upwelling occurs during most years in northern Lake Tanganyika. The observed sensitivity of littoral nutrients and phytoplankton to upwelling suggests that reductions in upwelling due to global climate change could strongly affect the dynamics of the spectacular nearshore ecosystem of Lake Tanganyika, as has been proposed for the pelagic zone. [ABSTRACT FROM AUTHOR]