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2. Aboriginal and Torres Strait Islander women's views of cervical screening by self?collection: a qualitative study

Author

Whop, Lisa J., Butler, Tamara L., Lee, Natasha, Cunningham, Joan, Garvey, Gail, Anderson, Kate, Condon, John R., Tong, Allison, Moore, Suzanne, Maher, Clare M., Mein, Jacqueline K., Warren, Eloise F., and Brotherton, Julia M.L.

Subjects
Australian aborigines -- Beliefs, opinions and attitudes -- Health aspects, Cancer -- Diagnosis, Cervical cancer -- Diagnosis, Health
Abstract

: Objective: This study aimed to describe Aboriginal and Torres Strait Islander women's views of self?collection introduced in the renewed National Cervical Screening Program. Methods: A total of 79 Aboriginal and/or Torres Strait Islander women (50 screened in previous five years, 29 under?screened) from five clinics across three Australian states/territories participated. Topics discussed were perceptions of self?collection, the instruction card and suggestions for implementing self?collection. We employed yarning (a qualitative method), which established relationships and trust between participants and researchers to facilitate culturally safe conversations. Transcripts were analysed thematically. Results: Most women were unaware of self?collection before the yarn but found it to be an acceptable way to participate in cervical screening. Women perceived self?collection would be convenient, provide a sense of control over the screening experience, and maintain privacy and comfort. The instructions were perceived to be simple and easy to follow. Women had concerns about collecting the sample correctly and the accuracy of the sample (compared to clinician?collected samples). Conclusions: Self?collection is acceptable to Aboriginal and Torres Strait Islander women. Implications for public health: Given the inequitable burden of cervical cancer experienced by Aboriginal and Torres Strait Islander women, self?collection is likely to significantly improve participation and ultimately improve cervical cancer outcomes., Incidence and mortality rates from cervical cancer are two and four times higher, respectively, for Aboriginal and Torres Strait Islander women compared with non?Indigenous women, despite a nationally organised cervical [...]

Published
2022
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3. Discord between presence of follicular conjunctivitis and Chlamydia trachomatis infection in a single Torres Strait Island community: a cross?sectional survey

Author

Lynch, Kathleen D., Brian, Garry, Ahwang, Tomasina, Newie, Tomi, Newie, Victoria, Perrett, Christine, Wharton, Ghislaine, Brown, Anthony, Tozer, Sarah, Kaldor, John M., Whop, Lisa J., Andrews, Ross M., and Lambert, Stephen B.

Subjects
Conjunctivitis -- Distribution -- Demographic aspects, Chlamydia trachomatis -- Health aspects, Company distribution practices, Health
Abstract

: Objective: Recent surveys identified trachomatous inflammation ? follicular (TF) at endemic levels in the Torres Strait Islands; however, local health staff do not report trachomatous trichiasis (TT) in adults. We undertook a cross?sectional survey involving eye examination and microbiological testing to better understand this disconnect. Methods: We examined 169 of 207 (82%) residents and collected ocular swabs for polymerase chain reaction (PCR) testing for Chlamydia trachomatis. Other viral PCR tests and bacterial culture were also performed. Results: TF prevalence in children aged 5?9 years was 23% (7/30). No ocular C. trachomatis was identified by PCR. For the 72 participants (43%) with follicles, bacterial culture was positive for 11 (15%) individuals. No individual had trachomatous trichiasis. Conclusions: Follicular conjunctivitis consistent with TF was prevalent but ocular C. trachomatis and cicatricial trachoma were absent. Non?chlamydial infections or environmental causes of follicular conjunctivitis may be causing TF in this community. Implications for public health: In similar settings, reliance on simplified clinical assessment alone may lead to an overestimation of the public health problem posed by trachoma. Consideration should be given to incorporating C. trachomatis PCR, and in certain settings, a detailed clinical exam could be performed by an experienced ophthalmologist during prevalence surveys., Trachoma, caused by ocular infection with specific serovars of the bacterium Chlamydia trachomatis, is the world's leading infectious cause of blindness.[sup.1] In communities where trachoma is endemic, children suffer repeated [...]

Published
2022
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4. ‘Dispelling the smoke to reflect the mirror’: the time is now to eliminate tobacco related harms

Author

Maddox, Raglan, Kennedy, Michelle, Drummond, Ali, Waa, Andrew, Bradbrook, Shane, Tautolo, El?Shadan, Calma, Tom, and Whop, Lisa J.

Subjects
Smoking -- Health aspects -- Control, Maoris -- Health aspects, Health
Abstract

We have known for more than 70 years about the harms of commercial tobacco use, as and when used as directed: commercial tobacco use kills.[sup.1,2] Commercial tobacco has been used [...]

Published
2022
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9. Nudging towards COVID-19 and influenza vaccination uptake in medically at-risk children: EPIC study protocol of randomised controlled trials in Australian paediatric outpatient clinics

Author

Wang, Bing, primary, Andraweera, Prabha, additional, Danchin, Margaret, additional, Blyth, Christopher C, additional, Vlaev, Ivo, additional, Ong, Jason, additional, Dodd, Jodie M, additional, Couper, Jennifer, additional, Sullivan, Thomas R, additional, Karnon, Jonathan, additional, Spurrier, Nicola, additional, Cusack, Michael, additional, Mordaunt, Dylan, additional, Simatos, Dimi, additional, Dekker, Gustaaf, additional, Carlson, Samantha, additional, Tuckerman, Jane, additional, Wood, Nicholas, additional, Whop, Lisa J, additional, and Marshall, Helen, additional

Published
2024
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13. Assessing the Prevalence of Trachoma: Lessons from Community Screening with Laboratory Testing in Australia's Torres Strait Islands.

Author

Lynch, Kathleen D., Brian, Garry, Ahwang, Tomisina, Morotti, Wendy, Wharton, Ghislaine, Newie, Tomi, Newie, Victoria, Perrett, Christine, Ware, Wagie, Mosby, Lucy, Walters, Shelley, Brown, Anthony, Whop, Lisa J., and Lambert, Stephen B.

Subjects
TRACHOMA, CHLAMYDIA trachomatis, STRAITS, TESTING laboratories, POLYMERASE chain reaction
Abstract

We undertook a screening program between 2016 and 2019 to determine if trachoma was endemic in the Torres Strait Islands of Queensland, Australia. Eleven screening surveys assessing trachoma prevalence were undertaken in seven communities using the World Health Organization (WHO) simplified grading tool. Additionally, an ophthalmologist performed a detailed clinical assessment including examination for Herbert's pits and corneal pannus and, where clinically indicated, collection of conjunctival specimens to investigate the presence of Chlamydia trachomatis nucleic acid. Prevalence of trachomatous inflammation—follicular (TF) in children aged 5–9 years for the aggregated first survey across all communities was 6% (17/284). No child had trachomatous inflammation—intense, trachomatous scarring, corneal pannus, or Herbert's pits. Of the 66 times any child was tested for C. trachomatis by polymerase chain reaction (PCR), the result was negative. No cicatricial trachoma was identified amongst the adults (n = 186) who were opportunistically offered examination. Whilst TF was present, the lack of intense inflammatory thickening in any child examined, the lack of end-stage trachomatous disease, and the lack of ocular C. trachomatis detection by PCR indicate trachoma is not endemic in the Torres Strait Islands, and no ongoing public health intervention is required. These findings add to a growing body of evidence suggesting that use of the WHO simplified grading tool alone in the peri-elimination setting may overestimate the community burden of trachoma. [ABSTRACT FROM AUTHOR]

Published
2023
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14. The Indigenous Australian Human Papillomavirus (HPV) Cohort Study 2, Continuation for 5 to 10 Years: Protocol for a Longitudinal Study

Author

Hedges, Joanne, primary, Sethi, Sneha, additional, Garvey, Gail, additional, Whop, Lisa J, additional, Canfell, Karen, additional, Dodd, Zell, additional, Larkins, Priscilla, additional, Antonsson, Annika, additional, Smith, Megan A, additional, Mittinty, Murthy, additional, Leane, Catherine, additional, Reid, Nicolas, additional, Ooi, Eng H, additional, Ju, Xiangqun, additional, Logan, Richard, additional, and Jamieson, Lisa, additional

Published
2023
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17. Ethical publishing in ‘Indigenous’ contexts

Author

Maddox, Raglan, Drummond, Ali, Kennedy, Michelle, Martinez, Sydney A, Waa, Andrew, Nez Henderson, Patricia, Clark, Hershel, Upton, Penney, Lee, Juliet P, Hardy, Billie-Jo, Tautolo, El-Shadan, Bradbrook, Shane, Calma, Tom, and Whop, Lisa J

Abstract

Ethical publishing practices are vital to tobacco control research practice, particularly research involving Indigenous (Indigenous peoples: For the purposes of this Special Communication, we use the term Indigenous people(s) to include self-identified individuals and communities who frequently have historical continuity with precolonial/presettler societies; are strongly linked to the land on which they or their societies reside; and often maintain their own distinct language(s), belief and social-political systems, economies and sciences. The authors humbly acknowledge, respect and value that Indigenous peoples are diverse and constitute many nations, cultures and language groups. Many Indigenous peoples also exist as governments in treaty relations with settler-colonial societies, and all Indigenous peoples have inherent rights under international law. The language and terminology used should reflect the local context(s) and could include, but are not limited to, terms such as Aboriginal, Bagumani, Cherokee, First Peoples, First Nations, Inuit, Iwaidja, Kungarakan, Lakota, Māori, Mѐtis, American Indian, Navajo, Wagadagam, Wiradjuri, Yurok, etc) people. These practices can minimise, correct and address biases that tend to privilege Euro-Western perspectives. Ethical publishing practices can minimise and address harms, such as appropriation and misuse of knowledges; strengthen mechanisms of accountability to Indigenous peoples and communities; ensure that tobacco control research is beneficial and meaningful to Indigenous peoples and communities; and support Indigenous agency, sovereignty and self-determination. To ensure ethical practice in tobacco control, the research methodology and methods must incorporate tangible mechanisms to include and engage those Indigenous peoples that the research concerns, affects and impacts.Tobacco Controlis currently missing an ethical research and evaluation publishing protocol to help uphold ethical practice. The supporters of this Special Communication call on Tobacco Controlto adopt publication practice that explicitly upholds ethical research and evaluation practices, particularly in Indigenous contexts. We encourage researchers, editors, peer reviewers, funding bodies and those publishing in Tobacco Controlto reflect on their conduct and decision-making when working, developing and undertaking research and evaluation of relevance to Indigenous peoples.Tobacco Controland other publishers, funding bodies, institutions and research teams have a fundamental role in ensuring that the right peoples are doing the right work in the right way. We call for Tobacco Controlto recognise, value and support ethical principles, processes and practices that underpin high-quality, culturally safe and priority-driven research, evaluation and science that will move us to a future that is commercial tobacco and nicotine free.

Published
2024
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19. Ethical publishing in ‘Indigenous’ contexts

Author

Maddox, Raglan, primary, Drummond, Ali, additional, Kennedy, Michelle, additional, Martinez, Sydney A, additional, Waa, Andrew, additional, Nez Henderson, Patricia, additional, Clark, Hershel, additional, Upton, Penney, additional, Lee, Juliet P, additional, Hardy, Billie-Jo, additional, Tautolo, El-Shadan, additional, Bradbrook, Shane, additional, Calma, Tom, additional, and Whop, Lisa J, additional

Published
2023
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20. Assessing the Prevalence of Trachoma: Lessons from Community Screening with Laboratory Testing in Australia’s Torres Strait Islands

Author

Lynch, Kathleen D., primary, Brian, Garry, additional, Ahwang, Tomisina, additional, Morotti, Wendy, additional, Wharton, Ghislaine, additional, Newie, Tomi, additional, Newie, Victoria, additional, Perrett, Christine, additional, Ware, Wagie, additional, Mosby, Lucy, additional, Walters, Shelley, additional, Brown, Anthony, additional, Whop, Lisa J., additional, and Lambert, Stephen B., additional

Published
2022
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21. Clinical signs of trachoma and laboratory evidence of ocular Chlamydia trachomatis infection in a remote Queensland community: a serial cross‐sectional study

Author

Lynch, Kathleen D, primary, Morotti, Wendy, additional, Brian, Garry, additional, Ketchup, Lenore, additional, Kingston, Kozue, additional, Starr, Mitchell, additional, Ware, Robert S, additional, Everill, Beth, additional, Asgar, Nazihah, additional, O'Keefe, Anne, additional, Whop, Lisa J, additional, Kaldor, John M, additional, and Lambert, Stephen B, additional

Published
2022
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22. Under-screened Aboriginal and Torres Strait Islander women’s perspectives on cervical screening

Author

Butler, Tamara L., primary, Lee, Natasha, additional, Anderson, Kate, additional, Brotherton, Julia M. L., additional, Cunningham, Joan, additional, Condon, John R., additional, Garvey, Gail, additional, Tong, Allison, additional, Moore, Suzanne P., additional, Maher, Clare M., additional, Mein, Jacqueline K., additional, Warren, Eloise F., additional, and Whop, Lisa J., additional

Published
2022
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26. Aboriginal and Torres Strait Islander women's views of cervical screening by self‐collection: a qualitative study

Author

Whop, Lisa J., primary, Butler, Tamara L., additional, Lee, Natasha, additional, Cunningham, Joan, additional, Garvey, Gail, additional, Anderson, Kate, additional, Condon, John R., additional, Tong, Allison, additional, Moore, Suzanne, additional, Maher, Clare M., additional, Mein, Jacqueline K., additional, Warren, Eloise F., additional, and Brotherton, Julia M.L., additional

Published
2022
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27. Discord between presence of follicular conjunctivitis andChlamydia trachomatisinfection in a single Torres Strait Island community: a cross‐sectional survey

Author

Lynch, Kathleen D., primary, Brian, Garry, additional, Ahwang, Tomasina, additional, Newie, Tomi, additional, Newie, Victoria, additional, Perrett, Christine, additional, Wharton, Ghislaine, additional, Brown, Anthony, additional, Tozer, Sarah, additional, Kaldor, John M., additional, Whop, Lisa J., additional, Andrews, Ross M., additional, and Lambert, Stephen B., additional

Published
2022
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30. School-Level Variation in Coverage of Co-Administered dTpa and HPV Dose 1 in Three Australian States

Author

Vujovich-Dunn, Cassandra, primary, Skinner, Susan Rachel, additional, Brotherton, Julia, additional, Wand, Handan, additional, Sisnowski, Jana, additional, Lorch, Rebecca, additional, Veitch, Mark, additional, Sheppeard, Vicky, additional, Effler, Paul, additional, Gidding, Heather, additional, Venn, Alison, additional, Davies, Cristyn, additional, Hocking, Jane, additional, Whop, Lisa J., additional, Leask, Julie, additional, Canfell, Karen, additional, Sanci, Lena, additional, Smith, Megan, additional, Kang, Melissa, additional, Temple-Smith, Meredith, additional, Kidd, Michael, additional, Burns, Sharyn, additional, Selvey, Linda, additional, Meijer, Dennis, additional, Ennis, Sonya, additional, Thomson, Chloe A., additional, Lane, Nikole, additional, Kaldor, John, additional, and Guy, Rebecca, additional

Published
2021
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37. What Matters 2 Adults (WM2Adults): Understanding the Foundations of Aboriginal and Torres Strait Islander Wellbeing

Author

Garvey, Gail, primary, Anderson, Kate, additional, Gall, Alana, additional, Butler, Tamara L., additional, Cunningham, Joan, additional, Whop, Lisa J., additional, Dickson, Michelle, additional, Ratcliffe, Julie, additional, Cass, Alan, additional, Tong, Allison, additional, Arley, Brian, additional, and Howard, Kirsten, additional

Published
2021
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38. sj-pdf-1-msc-10.1177_0969141320984199 - Supplemental material for Temporal and area-level variation in prevalence of high-grade histologically confirmed cervical abnormalities among Indigenous and non-Indigenous women, Queensland, Australia, 2008–2017

Author

Paramita Dasgupta, Aitken, Joanne F, Condon, John, Garvey, Gail, Whop, Lisa J, DeBats, Claire, and Baade, Peter D

Subjects
111708 Health and Community Services, FOS: Clinical medicine, 111402 Obstetrics and Gynaecology, FOS: Health sciences
Abstract

Supplemental material, sj-pdf-1-msc-10.1177_0969141320984199 for Temporal and area-level variation in prevalence of high-grade histologically confirmed cervical abnormalities among Indigenous and non-Indigenous women, Queensland, Australia, 2008–2017 by Paramita Dasgupta, Joanne F Aitken, John Condon, Gail Garvey, Lisa J Whop, Claire DeBats and Peter D Baade in Journal of Medical Screening

Published
2021
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39. sj-pdf-2-msc-10.1177_0969141320984199 - Supplemental material for Temporal and area-level variation in prevalence of high-grade histologically confirmed cervical abnormalities among Indigenous and non-Indigenous women, Queensland, Australia, 2008–2017

Author

Paramita Dasgupta, Aitken, Joanne F, Condon, John, Garvey, Gail, Whop, Lisa J, DeBats, Claire, and Baade, Peter D

Subjects
111708 Health and Community Services, FOS: Clinical medicine, 111402 Obstetrics and Gynaecology, FOS: Health sciences
Abstract

Supplemental material, sj-pdf-2-msc-10.1177_0969141320984199 for Temporal and area-level variation in prevalence of high-grade histologically confirmed cervical abnormalities among Indigenous and non-Indigenous women, Queensland, Australia, 2008–2017 by Paramita Dasgupta, Joanne F Aitken, John Condon, Gail Garvey, Lisa J Whop, Claire DeBats and Peter D Baade in Journal of Medical Screening

Published
2021
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40. Black to the Future : Making the Case for Indigenist Health Humanities

Author

Watego, Chelsea, Whop, Lisa J., Singh, David, Mukandi, Bryan, Macoun, Alissa, Newhouse, George, Drummond, Ali, Mcquire, Amy, Stajic, Janet, Kajlich, Helena, Brough, Mark, Watego, Chelsea, Whop, Lisa J., Singh, David, Mukandi, Bryan, Macoun, Alissa, Newhouse, George, Drummond, Ali, Mcquire, Amy, Stajic, Janet, Kajlich, Helena, and Brough, Mark

Abstract

This paper outlines the development of Indigenist Health Humanities as a new and innovative field of research building an intellectual collective capable of bridging the knowledge gap that hinders current efforts to close the gap in Indigenous health inequality. Bringing together health and the humanities through the particularity of Indigenous scholarship, a deeper understanding of the human experience of health will be developed alongside a greater understanding of the enablers to building a transdisciplinary collective of Indigenist researchers. The potential benefits include a more sustainable, relational, and ethical approach to advancing new knowledge, and health outcomes, for Indigenous people in its fullest sense.

Published
2021

41. Temporal and area-level variation in prevalence of high-grade histologically confirmed cervical abnormalities among Indigenous and non-Indigenous women, Queensland, Australia, 2008–2017

Author

Dasgupta, Paramita, Aitken, Joanne F., Condon, John, Garvey, Gail, Whop, Lisa J., DeBats, Claire, Baade, Peter D., Dasgupta, Paramita, Aitken, Joanne F., Condon, John, Garvey, Gail, Whop, Lisa J., DeBats, Claire, and Baade, Peter D.

Abstract

Objective: Despite Australia’s National Cervical Screening Program, Indigenous women have a disproportionately high burden of cervical cancer. We describe temporal and area-level patterns in prevalence of histologically conformed high-grade cervical abnormalities (hHGA) among cytologically screened women by Indigenous status. Methods: This was a population-based study of 2,132,925 women, aged 20–69, who underwent cervical screening between 2008 and 2017, in Queensland, Australia. Of these, 47,136 were identified as Indigenous from linked hospital records. Overall patterns in hHGA prevalence by Indigenous status were quantified using prevalence rate ratios (PrRR) from negative binomial models. Bayesian spatial models were used to obtain smoothed prevalence estimates of hHGA across 528 small areas compared to the state average. Results are presented as maps and graphs showing the associated uncertainty of the estimates. Results: Overall, screened Indigenous women had significantly higher hHGA prevalence than non-Indigenous women. However, the magnitude of the difference reduced over time (p < 0.001). Adjusted for age and area-level variables, Indigenous women had 36% higher hHGA prevalence (PrRR 1.36, 95% confidence interval [1.21–1.52]) than non-Indigenous women between 2013 and 2017. The overall effect of age decreased over time (p = 0.021). Although there was evidence of moderate spatial variation in 10-year prevalence estimates for both groups of women, the high levels of uncertainty for many estimates, particularly for Indigenous women, limited our ability to draw definitive conclusions about the spatial patterns. Conclusions: While the temporal reduction in Indigenous: non-Indigenous differential in hHGA prevalence is encouraging, further research into the key drivers of the continuing higher risk among Indigenous women is warranted.

Published
2021

42. Access to Aboriginal Community-Controlled Primary Health Organizations Can Explain Some of the Higher Pap Test Participation Among Aboriginal and Torres Strait Islander Women in North Queensland, Australia

Author

Dasgupta, Paramita, Condon, John R., Whop, Lisa J., Aitken, Joanne F., Garvey, Gail, Wenitong, Mark, Baade, Peter D., Dasgupta, Paramita, Condon, John R., Whop, Lisa J., Aitken, Joanne F., Garvey, Gail, Wenitong, Mark, and Baade, Peter D.

Abstract

Background: Aboriginal and Torres Strait Islander Community-Controlled Health Organisations (ACCHOs) provides culturally appropriate primary care for Aboriginal and Torres Strait Islander people in Australia. The population of North Queensland has a higher proportion of Aboriginal and Torres Strait Islander people, a greater population coverage of ACCHOs, and higher cervical screening participation than the Rest of Queensland. The association between regional differences in the use of ACCHOs for cervical screening and variations in screening participation among Aboriginal and Torres Strait Islander women is currently unknown. Methods: This is a population-based study of 1,107,233 women, aged 20–69 years who underwent cervical screening between 2013 and 2017. Of these women, 132,972 (12%) were from North Queensland, of which 9% were identified as Aboriginal and Torres Strait Islander women (2% Rest of Queensland) through linkage to hospital records. Regional differentials in screening by Aboriginal and Torres Strait Islander status were quantified using participation rate ratios (PRRs) with 95% confidence intervals (CIs) from negative binomial regression models. Logistic regression was used to identify factors associated with Aboriginal and Torres Strait Islander women being screened at ACCHOs. Results: Aboriginal and Torres Strait Islander women from North Queensland (versus) Rest of Queensland had higher odds of screening at ACCHOs after adjusting for age and area-level variables. After adjustment for non-ACCHO variables, the regional differential in screening among Aboriginal and Torres Strait Islander women was significantly higher (PRR 1.28, 95% CI 1.20–1.37) than that among other Australian women [PRR = 1.11 (1.02–1.18)], but was attenuated on further adjustment for ACCHO variables, [PRR = 1.15, (1.03–1.28)] to become similar to the corresponding point estimate for other Australian women [PRR = 1.09, (1.01–1.20)]. However, the significant interaction between Ab

Published
2021

43. Investigating inequities in cardiovascular care and outcomes for Queensland Aboriginal and Torres Strait Islander people: protocol for a hospital-based retrospective cohort data linkage project

Author

Kearns, Therese, primary, Diaz, Abbey, additional, Whop, Lisa J, additional, Moore, Suzanne P, additional, Condon, John R, additional, Andrews, Ross M, additional, Katzenellenbogen, Judith M, additional, Matthews, Veronica, additional, Wang, William, additional, Johnston, Trisha, additional, Taylor, Catherine, additional, Potts, Boyd, additional, Kathage, Alex, additional, Suleman, Abdulla, additional, Stanley, Lucy, additional, Mitchell, Louise, additional, Garvey, Gail, additional, and Williamson, Daniel, additional

Published
2021
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46. Clinical signs of trachoma and laboratory evidence of ocular Chlamydia trachomatisinfection in a remote Queensland community: a serial cross‐sectional study

Author

Lynch, Kathleen D, Morotti, Wendy, Brian, Garry, Ketchup, Lenore, Kingston, Kozue, Starr, Mitchell, Ware, Robert S, Everill, Beth, Asgar, Nazihah, O'Keefe, Anne, Whop, Lisa J, Kaldor, John M, and Lambert, Stephen B

Abstract

To compare the findings of standard clinical assessments and of complementary clinical and laboratory methods for determining whether community‐wide treatment for trachoma is warranted in a remote Queensland community. Three cross‐sectional screening surveys, 2019–2021, complemented by laboratory pathology testing. Small community in northwest Queensland with geographic and cultural ties to Northern Territory communities where trachoma persists. Children aged 1–14 years; opportunistic screening of people aged 15 years or more. Prevalence of clinical signs of trachoma, Chlamydia trachomatisinfection, ocular non‐chlamydial infections, and seropositivity for antibodies to the C. trachomatisPgp3 protein. During the three surveys, 73 examinations of 58 children aged 1–4 years, 309 of 171 aged 5–9 years, and 142 of 105 aged 10–14 years for trachoma were undertaken, as were 171 examinations of 164 people aged 15 years or more; 691 of 695 examinations were of Aboriginal or Torres Strait Islander people (99%), 337 were of girls or young women (48%). Clinical signs consistent with trachomatous inflammation–follicular were identified in 5–9‐year‐old children 23 times (7%), including in eleven with non‐chlamydial infections and one with a C. trachomatisinfection. One child (10–14 years) met the criteria for trachomatous scarring. Two of 272 conjunctival swab samples (all ages) were polymerase chain reaction‐positive for C. trachomatis(0.7%). Two of 147 people aged 15 years or more examined in 2019 had trichiasis, both aged 40 years or more. Seven of 53 children aged 1–9 years in 2019 and seven of 103 in 2021 were seropositive for anti‐Pgp3 antibodies. Despite the prevalence of clinical signs consistent with trachomatous inflammation–follicular among 5–9‐year‐old children exceeding the 5% threshold for community‐wide treatment, laboratory testing indicated that childhood exposure to ocular C. trachomatisis rare in this community. Laboratory testing should be integrated into Australian trachoma guidelines.

Published
2022
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