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Healthy Skin and ARF Prevention

Our aim is for all kids to have healthy skin. We work with communities to reduce the burden of Strep A skin sores and sore throats to prevent rheumatic fever.

Our aim is for all kids to have strong, healthy skin.

Through science, community driven action, and a focus on health equity, especially for Aboriginal children, we work to reduce the burden of Strep A skin sores and sore throats to prevent acute rheumatic fever. We know that Strong Skin leads to Strong Kids and Strong Communities. 

The skin is the body’s largest and only externally visible organ.

The skin protects the inner workings of the body. Healthy skin is essential for maintaining overall health and well-being. Itchy skin infections such as scabies, tinea, headlice and eczema can cause breaks in the skin, facilitating the entry of bacteria including Streptococcus pyogenes (Strep A) and Staphylococcus aureus. This can lead to the development of skin sores and boils. When left untreated, these conditions can progress to life-threatening complications such as sepsis, bone and joint infections, acute post-streptococcal glomerulonephritis (APSGN) and acute rheumatic fever (ARF), the precursor to rheumatic heart disease (RHD).

Current research shows skin infections affect more than 162 million children around the world at any one time, with the highest numbers in the Pacific, Asia, and Africa. In Australia, nearly half of remote living Aboriginal children experience a skin sore at any one time, by far the highest rate in the world. We are also working to better understand how much of a problem skin sores are for urban living Aboriginal children.

Through partnering with communities and yarning with families, we've identified key priorities to improve the skin health of children. One challenge that we have identified is that skin infections, despite being so common, are often overlooked or untreated. Drawing on the strengths of community, we co-develop culturally informed health promotion tools such as storybooks in local languages and hip-hop videos. These resources help families and clinicians recognise problematic skin conditions and understand how to access treatment. Explore the resources.

Our work focusses on Western Australia and extends nationally and globally. Ultimately, we’re working to improve skin health for children through prevention, early detection, and community-led, data-driven research for strong skin.

National Healthy Skin Guideline

National Healthy Skin Guideline is designed to help health care providers easily recognise, diagnose, and treat skin infections using online resources such as photographs, learning tools and an interactive questionnaire. The Guideline also provides plenty of information on how to stop the spread of germs and keep skin strong and healthy.

Learn more about the National Healthy Skin Guideline

Healthy Skin Resource

Our team has worked alongside Elder Researchers and community members from across WA to bring together a suite of Healthy Skin resources that are both culturally and geographically appropriate. These resources include health promotion books that incorporate traditional language and medicine, music videos, clinical factsheets, and guidelines.

Learn more about the Healthy Skin Resource Hub

Ngangk Ngabala Ngoonda (Sun Safety)

The Ngangk Ngabala Ngoonda (Sun Safety) project aims to address an urgent health issue and knowledge gap by generating a greater understanding of the barriers to sun protective behaviours and skin cancer prevention among Aboriginal CYP and their families in WA.

Current Projects

Koolungar (Children) Moorditj (Strong) Healthy Skin

The Koolungar (children) Moorditj (strong) Healthy Skin project is the first ever co-designed research-service Australian study to describe skin health in urban-living Aboriginal koolungar.

See, Treat, Prevent Skin Sores and Scabies (SToP) Trial

Healthy skin is important for maintaining overall health and wellbeing. Some skin infections, if untreated, can lead to serious downstream health complications such as heart disease, kidney disease, or sepsis.

SNAP-PY

There are an estimated 5000 episodes per year of bloodstream infections due to Staphylococcus aureus (golden staph) in Australia and an associated mortality of 20%. Despite this, there is little clinical trials evidence to guide best management.

Team leader

Professor Asha Bowen
Professor Asha Bowen

BA MBBS DCH FRACP PhD GAICD FAHMS OAM

Head, Healthy Skin and ARF Prevention

Team members (22)

Lisa Wiese
Lisa Wiese

BSc Dip Gov

Program Manager, Skin Health

Hannah Thomas
Hannah Thomas

Bsc (Hons), MSC, PhD

Postdoctoral Research Officer - SToP Trial

Keerthi Anpalagan
Keerthi Anpalagan

B.Biomed (Hons)

PhD Candidate and Research Assistant

Dr Bernadette Ricciardo
Dr Bernadette Ricciardo

MBBS (hon) DCH FACD

PhD Candidate

Eloise Delaney
Eloise Delaney

BBiomedSc (Honours)

Clinical Trial Officer

Stephanie Enkel
Stephanie Enkel

BSc (Hons), MPH, MIPH

Research Assistant; PhD Candidate

Aboriginal Project Officer, Skin Health

Jane McNally
Jane McNally

DipSc Grad Dip Cert

Honorary Team Member

Tracy McRae
Tracy McRae

BBCJ, MPH, PhD

Post-doctoral Researcher

Dr Anita Campbell
Dr Anita Campbell

MBBS, DCH, PG DipPID, FRACP, NHMRC Postgraduate Scholarship

Infectious Diseases Physician, Deputy Head of the Wesfarmers Centre of Vaccines and Infectious Diseases

Program Advisor, SToP Trial

Anita Smith
Anita Smith

MD, BPharm

Masters Research Student

Emma Pearson
Emma Pearson

BSc Biomedical Science

Aboriginal Research Assistant

Aboriginal Research Assistant

Aboriginal Health Project Officer

Anna Clements

Anna Clements

Project Officer

Healthy Skin and ARF Prevention projects

Show more projects

Featured projects

Acute Rheumatic Fever Diagnosis Collaborative Network (ARC)

ARC is a global network of collaborators committed to reducing the burden of RHD in our lifetime.

See, Treat, Prevent Skin Sores and Scabies (SToP) Trial

Healthy skin is important for maintaining overall health and wellbeing. Some skin infections, if untreated, can lead to serious downstream health complications such as heart disease, kidney disease, or sepsis.