- Viral Infections and Outbreaks Research
- COVID-19 epidemiological studies
- Disaster Response and Management
- Global Security and Public Health
- Zoonotic diseases and public health
- SARS-CoV-2 and COVID-19 Research
- HIV/AIDS Research and Interventions
- Viral Infections and Vectors
- Food Security and Health in Diverse Populations
- HIV, Drug Use, Sexual Risk
- COVID-19 Clinical Research Studies
- HIV/AIDS Impact and Responses
- Global Health and Surgery
- Global Maternal and Child Health
- Vaccine Coverage and Hesitancy
- Disaster Management and Resilience
- Adolescent Sexual and Reproductive Health
- Infection Control and Ventilation
- HIV Research and Treatment
- Health and Conflict Studies
- Travel-related health issues
- Child Nutrition and Water Access
- COVID-19 Impact on Reproduction
- HIV/AIDS drug development and treatment
- COVID-19 Digital Contact Tracing
Harvard University
2017-2025
Brigham and Women's Hospital
2016-2025
Harvard Global Health Institute
2017-2025
Boston University
2025
Sierra Leone Urban Research Centre
2017-2022
Africa Centres for Disease Control and Prevention
2021
Stanford University
2012-2018
Men's Health Boston
2018
Advisory Board Company (United States)
2017
University of Sierra Leone
2016-2017
Introduction The HIV pandemic disproportionately impacts young women. Worldwide, women aged 15–24 are infected with at rates twice that of men, and alone account for nearly a quarter all new infections. incommensurate incidence in – often poor underscores how social economic inequalities shape the epidemic. Confluent forces, including political gender violence, poverty, racism, sexism impede equal access to therapies effective care, but most constrain agency Methods prevalence data was...
The continued inordinate demise from communicable pathogens in the global South is not result of an intractable problem thwarting our best efforts to prevent and cure disease; we have means. Rather, as accomplice contemporary imperialism, public health manages (as a profession) maintains academic discipline) inequity. It does this through 'bourgeois empiricist' models disease causation, which serve protected affluence by uncritically reifying inequitable social relations modern/colonial...
An epidemic of Ebola virus disease (EVD) beginning in 2013 has claimed an estimated 11 310 lives West Africa. As the EVD subsides, it is important for all who participated emergency response to reflect on strengths and weaknesses response. Such reflections should take into account perspectives not usually included peer-reviewed publications after-action reports, including those from public sector, nongovernmental organizations (NGOs), survivors Ebola, Ebola-affected households communities....
Background Despite an improvement in the overall TB cure rate from 40–74% between 1995 and 2011, incidence South Africa continues to increase. The epidemic is notably disquieting schools because vulnerable population compelled be present. Older learners (age 15–19) are at particular risk given a smear-positive of 427 per 100,000 year significant amount time they spend indoors. High therefore important locations for potential infection thus prevention efforts. Methods Findings Using portable...
In the United States, Black Americans are suffering from a significantly disproportionate incidence of COVID-19. Going beyond mere epidemiological tallying, potential for racial-justice interventions, including reparations payments, to ameliorate these disparities has not been adequately explored.
As of 26 March 2021, the Africa Centres for Disease Control and Prevention had reported 4 159 055 cases COVID-19 111 357 deaths among 55 African Union member states; however, no country has published a nationally representative serosurvey as October 2021. Such data are vital understanding pandemic's progression on continent, evaluating containment measures, policy planning.We conducted cross-sectional, representative, age-stratified in Sierra Leone 2021 by randomly selecting 120 Enumeration...
Introduction Evidence for minimally symptomatic Ebola virus (EBOV) infection is limited. During the 2013–16 outbreak in West Africa, it was not considered epidemiologically relevant to published models or projections of intervention effects. In order improve our understanding transmission dynamics EBOV humans, we investigated occurrence quarantined contacts reported disease cases a recognized 'hotspot.' Methodology/Principal Findings We conducted cross-sectional serosurvey Sukudu, Kono...
Context High-income country (HIC) trainees are undertaking global health experiences in low- and middle-income (LMIC) host communities increasing numbers. Although the benefits for HIC well described, drawbacks LMIC not captured. Objectives This study evaluated perspectives of supervising physicians local programme coordinators from who engaged with context latter's short-term health. Methods Thirty-five semi-structured interviews were conducted community collaborators a US-based, non-profit...
► Transmission of Ebola virus in West Africa and the Democratic Republic ofthe Congo has been traced to local people's belief misinformation low trust institutions.► But such analyses-and others-of transmission employ bourgeois empiricist methodologies draw from a mental map whose contours are shaped by coloniality.► By tracing human rights failings impoverished discursive infrastructure objectivist epidemiology, we can transform global health transforming its representations.
### Summary box > “No man is an island, > > entire of itself; > each a piece the continent, > part main. > If clod be washed away by sea, > Europe less, > as well if promontory were, > manor thy friend’s > or thine own were. > Each man’s death diminishes me, > for I am involved in mankind. > And therefore never send to know > whom bell tolls; > it tolls thee.” John Donne wrote these lines 1624 series meditations conducted during period what we would now term social distancing, while he...
The effect of preexisting neutralizing antibodies (NAb) on SARS-CoV-2 shedding in postvaccination infection (PVI) is not well understood. We characterized viral longitudinally nasal specimens relation to baseline (pre/periinfection) serum NAb titers 125 participants infected with variants. Among 68 vaccinated participants, we quantified the maximum RNA and infectivity duration. Baseline NAbs were higher targeted a broader range variants monovalent ancestral booster vaccinations compared...
Abstract Emerging research increasingly links climate change to infectious disease outcomes, including zoonotic transmission and spillover events destruction of health-supporting infrastructure (i.e. housing, nutrition, sanitation, healthcare). However, Indigenous communities have understood the interdependence ecological human health for millennia. This knowledge is encompassed by relationality, an ontological epistemological stance that revolves around relationships with relatives...
Based on a serosurvey conducted in March 2021, Barrie and colleagues published the first nationally representative SARS-CoV-2 Africa, estimating seroprevalence of 2.6% Sierra Leone, 43 times higher than reported number cases at that time. Over following two years, increasingly transmissible variants—specifically Delta Omicron—proliferated across globe, their impact Africa is poorly understood. Additional data are therefore necessary to understand pandemic’s progression continent for...
In 1950, Merrill Flood and Melvin Dresher of the RAND Corporation developed a theoretical model cooperation conflict, which was later formalised by Albert W Tucker as prisoner's dilemma.1Kuhn S Prisoner's dilemma.https://plato.stanford.edu/entries/prisoner-dilemma/Date: 2014Google Scholar This represents situation in two prisoners each have option to confess or not, but their sentencing outcomes depend crucially on simultaneous choice other (figure).1Kuhn Fittingly, it has become...
As of April 2019, the current Ebola virus disease (EVD) outbreak in Democratic Republic Congo (DRC) is occurring a longstanding conflict zone and has become second largest EVD history. It suspected that after violent events occur, transmission will increase; however, empirical studies to understand impact violence on are lacking. Here, we use spatial temporal trends case counts compare rates between health zones have versus not experienced recent during outbreak.
ABSTRACT This article explores the relationship between 2014–2016 Ebola outbreak and political economy of diamond mining in Kono District, Sierra Leone. The authors argue that foreign companies have recycled colonial strategies indirect rule to facilitate illicit flow resources out Drawing on field research conducted during its aftermath, they show how this ‘indirect redux’ undermines democratic governance development revenue-generation institutions. Finally, consider linkages outbreak,...
As of May 27, 2018, 6 suspected, 13 probable and 35 confirmed cases Ebola virus disease (EVD) had been reported in Équateur Province, Democratic Republic Congo. We used case counts time series from prior outbreaks to estimate the total outbreak size duration with without vaccine use. modeled transmission using a stochastic branching process model that included reproduction numbers past particle filtering method generate probabilistic projection conditioned on its trajectory date; high (62%),...