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Argument for Inclusion of Strongyloidiasis in the Australian National Notifiable Disease List

College of Science and Engineering, Flinders University, Bedford Park, SA 5042, Australia
School of Health Medical and Applied Sciences, Centre of Indigenous Health Equity Research, Central Queensland University, Bundaberg, QLD 4670, Australia
Department of Pharmacy and Applied Science, La Trobe University, Bendigo, VIC 3552, Australia
Miwatj Health Aboriginal Corporation, Nhulunbuy, NT 0881, Australia
Public Health and Tropical Medicine, James Cook University, Cairns, QLD 4870, Australia
Indigenous Research Unit, Griffith University, Nathan, QLD 4111, Australia
College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, QLD 4811, Australia
Author to whom correspondence should be addressed.
Trop. Med. Infect. Dis. 2018, 3(2), 61;
Received: 7 May 2018 / Revised: 23 May 2018 / Accepted: 31 May 2018 / Published: 5 June 2018
PDF [270 KB, uploaded 6 June 2018]


Strongyloidiasis is an infection caused by the helminth, Strongyloides stercoralis. Up to 370 million people are infected with the parasite globally, and it has remained endemic in the Indigenous Australian population for many decades. Strongyloidiasis has been also reported in other Australian populations. Ignorance of this disease has caused unnecessary costs to the government health system, and been detrimental to the Australian people’s health. This manuscript addresses the 12 criteria required for a disease to be included in the Australian National Notifiable Disease List (NNDL) under the National Health Security Act 2007 (Commonwealth). There are six main arguments that provide compelling justification for strongyloidiasis to be made nationally notifiable and added to the Australian NNDL. These are: The disease is important to Indigenous health, and closing the health inequity gap between Indigenous and non-Indigenous Australians is a priority; a public health response is required to detect cases of strongyloidiasis and to establish the true incidence and prevalence of the disease; there is no alternative national surveillance system to gather data on the disease; there are preventive measures with high efficacy and low side effects; data collection is feasible as cases are definable by microscopy, PCR, or serological diagnostics; and achievement of the Sustainable Development Goal (SDG) # 6 on clean water and sanitation. View Full-Text
Keywords: strongyloidiasis; Strongyloides stercoralis; notifiable; Australia strongyloidiasis; Strongyloides stercoralis; notifiable; Australia
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).
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Beknazarova, M.; Whiley, H.; Judd, J.A.; Shield, J.; Page, W.; Miller, A.; Whittaker, M.; Ross, K. Argument for Inclusion of Strongyloidiasis in the Australian National Notifiable Disease List. Trop. Med. Infect. Dis. 2018, 3, 61.

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Trop. Med. Infect. Dis. EISSN 2414-6366 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
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