A community laundry project in the Northern Territory is dramatically reducing rheumatic heart disease by tackling scabies infections in remote Aboriginal communities. Former Olympian Liz Morgan-Brett launched the initiative after witnessing unsafe living conditions, including scabies outbreaks that lead to acute rheumatic fever and ultimately rheumatic heart disease.
How Scabies Leads to Rheumatic Heart Disease
Scabies is a parasitic skin infection that spreads rapidly in overcrowded housing. Up to 70% of Indigenous children in remote communities contract scabies before their first birthday. When scabies sores become infected with group A streptococcus bacteria, they can trigger acute rheumatic fever, which damages heart valves and causes rheumatic heart disease.
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The Role of Clean Laundry in Prevention
Rheumatic heart disease was eliminated in developed nations by the mid-20th century through access to running water and clean laundry. In remote Australia, broken housing and lack of commercial-grade washers and dryers perpetuate the cycle. The Aboriginal Investment Group (AIG) built the first prototype laundry in Barunga in 2019, providing free commercial-grade facilities.
| Location | Scabies Reduction | New Rheumatic Heart Disease Cases |
|---|---|---|
| Barunga | 60% drop in 2 years | Zero |
| All 7 sites combined | 88,000+ wash cycles | Significant decline |
Key Takeaways from the Community Laundry Model
- Free commercial-grade laundry reduces scabies transmission by enabling regular washing of bedding and clothing.
- Overcrowded housing is a major driver of scabies and rheumatic heart disease in remote communities.
- No new cases of rheumatic heart disease were reported in Barunga after the laundry opened.
- The program is Indigenous-owned and community-led, ensuring cultural relevance and sustainability.
Expanding the Impact
Since the first prototype, AIG has built and delivered six more laundries across the Northern Territory. These facilities are used free of charge by community members, including teachers like Gemma Brogan in Gunbalanya. The project demonstrates that a simple intervention—access to clean laundry—can prevent a deadly disease.
FAQ
What is rheumatic heart disease?
Rheumatic heart disease is a condition where heart valves are damaged by acute rheumatic fever, which can follow untreated streptococcal infections like those from scabies sores.
How does a community laundry reduce heart disease?
By providing free commercial-grade washers and dryers, the laundry allows families to wash bedding and clothing regularly, killing scabies mites and preventing the bacterial infections that lead to rheumatic heart disease.
Where are these laundries located?
Currently, seven laundry sites operate across the Northern Territory, including in Barunga and Gunbalanya, serving remote Aboriginal communities.
This innovative program proves that targeted, community-driven solutions can eliminate diseases that have plagued remote Australia for generations. Support for the Aboriginal Investment Group is crucial to expanding this life-saving work.