A5073170344- Vaccine Coverage and Hesitancy
- Influenza Virus Research Studies
- COVID-19 epidemiological studies
- Data-Driven Disease Surveillance
- HIV, Drug Use, Sexual Risk
- HIV/AIDS Research and Interventions
- Viral Infections and Outbreaks Research
- COVID-19 Impact on Reproduction
- COVID-19 and healthcare impacts
- SARS-CoV-2 and COVID-19 Research
- Bacterial Infections and Vaccines
- COVID-19 Clinical Research Studies
- Food Security and Health in Diverse Populations
- Bacillus and Francisella bacterial research
- Hepatitis B Virus Studies
- COVID-19 Digital Contact Tracing
- Geriatric Care and Nursing Homes
- Respiratory viral infections research
- Misinformation and Its Impacts
- Legionella and Acanthamoeba research
- LGBTQ Health, Identity, and Policy
- Vibrio bacteria research studies
- COVID-19 and Mental Health
- Sex work and related issues
- Indigenous Health, Education, and Rights
Emory University
2015-2024
DeKalb County Board of Health
2019-2022
Georgia Department of Public Health
2020
Engineering Associates (United States)
2018
Alfred P. Sloan Foundation
2017
Georgia Southern University
2017
AID Atlanta
2014
Office of Readiness and Response
2013
University Prep
2013
The Centers
2012
To estimate (1) the proportion of children not adhering to Advisory Committee on Immunization Practices (ACIP) recommended early childhood immunization schedule and (2) associations between adherence, sociodemographic characteristics, up-to-date status by 19 35 months age.We used 2014 National Survey provider-verified vaccination data classify patterns as "recommended" (ie, in line with ACIP dose- age-specific recommendations), "alternate" either limiting number shots per visit or skipping...
Improving influenza and tetanus, diphtheria acellular pertussis (Tdap) vaccine coverage among pregnant women is needed.To assess factors associated with intention to receive and/or Tdap vaccinations during pregnancy a focus on perceptions of disease severity safety.Participants were 325 in Georgia recruited from December 2012 - April 2013 who had not yet received 2012/2013 or while pregnant. Women completed survey assessing vaccination history, likelihood receiving antenatal vaccines,...
Black, Hispanic, and Indigenous persons in the United States have an increased risk of SARS-CoV-2 infection death from COVID-19, due to persistent social inequities. However, magnitude disparity is unclear because race/ethnicity information often missing surveillance data.
This report describes an analysis of facility-wide COVID-19 testing at long-term care facilities in Fulton County, Georgia, which found that active staff and residents could help identify cases early prevent widespread infection.
The optimal interval between the first and second doses of COVID-19 mRNA vaccines has not been thoroughly evaluated. Employing a target trial emulation approach, we compared effectiveness different interdose intervals among >6 million vaccine recipients in Georgia, USA, from December 2020 to March 2022. We three protocols defined by interval: recommended Food Drug Administration (FDA) (17-25 days for Pfizer-BioNTech; 24-32 Moderna), late-but-allowable (26-42 33-49 late ( ≥ 43 ≥50 Moderna)....
Evidence-based interventions to improve influenza vaccine coverage among pregnant women are needed, particularly those who remain unvaccinated late into the season. Improving rates of antenatal tetanus, diphtheria and acellular pertussis (Tdap) vaccination is also needed.To test effectiveness a practice-, provider-, patient-focused Tdap promotion package on improving in obstetric setting.A cluster-randomized trial 11 practices Georgia was conducted 2012-2013. Intervention adopted...
For adequate provision of preventive services, there is an interplay between activities at the healthcare practice, provider, and patient levels clinical encounter. Commonly used health promotion behavior theoretical models address some these three levels, but none fully account for all three. Building off key components many existing models, including Health Belief Model, Theory Planned Behavior/Theory Reasoned Action, Social Cognitive Theory, Ecological Systems Model Clinical Preventive...
Abstract Background COVID-19 case and death rates have been variable across geography time; an understanding of community social vulnerability variation in outcomes is needed to better respond acute public health needs prioritize post-pandemic recovery. Methods We analyzed records confirmed cases (N = 106,037) deaths 2,107) Fulton County, Georgia, from 3/4/2020 11/11/2021. developed the Social Vulnerability Index-Plus (SVI+) as a composite measure 19 census tract-level indicators summarizing...
This article presents a notional scheme of global surveillance and response to infectious disease outbreaks reviews 14 international programs. In combination, the programs illustrate how, in an ideal world real world, public health significance could be detected contained. Notable practices achievements are cited; these may useful when instituting new or redesigning existing ones. Insufficiencies identified four critical areas: infrastructure; scientific methods concepts operation; essential...
Statins have antiinflammatory effects that may impact vaccine-induced immune responses. We investigated the of statin therapy on influenza vaccine effectiveness (VE) against medically attended acute respiratory illness (MAARI).We conducted a retrospective cohort study over nine seasons using research databases large managed care organization in United States. Influenza vaccination and prescription statuses members MAARI cases were ascertained per-season basis. Incidence rate ratios (IRRs)...
Objective: We sought to examine the effectiveness of persuasive communication interventions on influenza vaccination uptake among black/African American pregnant women in Atlanta, Georgia. Methods: recruited ages 18 50 y from GA participate a prospective, randomized controlled trial immunization messaging conducted January April 2013. Eligible participants were 3 study arms. follow-up questionnaires at 30-days post-partum with all groups. Chi-square and t tests evaluated group differences,...
Human papillomavirus (HPV) and HPV-associated cancer rates are high among men who have sex with (MSM). The US Advisory Committee on Immunization Practices recommends HPV vaccination for all MSM through age 26 years. We examined trends in vaccine uptake young between 2014 2017.
Objectives Although disparities in maternal vaccine acceptance among racial/ethnic groups are well documented, the reasons for these unclear. The objective of this study was to describe differences pregnant women’s knowledge, attitudes, beliefs, intentions, and trust regarding infant vaccines by race/ethnicity. Methods We collected survey data from 1862 women diverse prenatal care practices Georgia Colorado June 2017 through July 2018. performed multiple logistic regressions determine...
Vaccine coverage for maternal vaccines is suboptimal; only about half of pregnant women received influenza and Tdap in 2018. We explored knowledge, attitudes, beliefs, intentions, trust regarding infant among women. Between June 2017 July 2018, we surveyed 2196 recruited from geographically socio-demographically diverse prenatal care practices Georgia Colorado (56% response rate). Fifty-six percent intended to receive both during pregnancy 68% vaccinate their baby with all recommended on...
Concern over the adequacy of biosafety training and incident-reporting practices within biological laboratories in United States has risen recent years due to increase research on infectious diseases concomitant rise number biocontainment laboratories. Reports laboratory-acquired infections delays reporting such incidents have also contributed concern. Consequently, are being given considerable attention by both executive branch Congress. We conducted a 51-question survey professionals June...
Objective: Prenatal providers are pregnant women's most trusted sources of health information, and a provider's recommendation is strong predictor maternal vaccine receipt. However, other ways women prefer receiving vaccine-related information from prenatal providers, aside face-to-face conversations, unclear. This study explores what secondary communication methods preferred for information. Study design: Obstetric patients at four clinics around Atlanta, Georgia received 27-item survey...
Objective: To determine the willingness to discuss and be screened for pre-exposure prophylaxis (PrEP) in pharmacies among MSM. Methods: Led by Georgia’s Fulton County Board of Health, this study surveyed individuals who attended 2 Atlanta-based Gay Pride events 2018. This analysis was limited those identified as men have sex with (MSM) were not HIV positive reported never using PrEP. Multivariable regression used correlates PrEP in-pharmacy. Results: Most (69%) willing pharmacy staff 61.35%...
Background: We present data on risk factors for severe outcomes among patients with coronavirus disease 2019 (COVID-19) in the southeast United States (U.S.). Objective: To determine associated hospitalization, intensive care unit (ICU) admission, and mortality confirmed COVID-19. Design: A retrospective cohort study. Setting: Fulton County Atlanta Metropolitan Area, Georgia, U.S. Patients: Community-based individuals of all ages that tested positive SARS-CoV-2. Measurements: Demographic...