- Breastfeeding Practices and Influences
- Per- and polyfluoroalkyl substances research
- SARS-CoV-2 and COVID-19 Research
- Nutritional Studies and Diet
- Health, Environment, Cognitive Aging
- Effects and risks of endocrine disrupting chemicals
- Child Nutrition and Feeding Issues
- COVID-19 Clinical Research Studies
- Birth, Development, and Health
- Kawasaki Disease and Coronary Complications
- Obesity, Physical Activity, Diet
- Maternal Mental Health During Pregnancy and Postpartum
- Air Quality and Health Impacts
- COVID-19 epidemiological studies
- Nutrition, Genetics, and Disease
- COVID-19 Impact on Reproduction
- Iron Metabolism and Disorders
- Phytoestrogen effects and research
- Global Cancer Incidence and Screening
- Child Nutrition and Water Access
- Media Influence and Health
- Folate and B Vitamins Research
- Sodium Intake and Health
- Vaccine Coverage and Hesitancy
- Food Security and Health in Diverse Populations
Centers for Disease Control and Prevention
2016-2024
Epidemic Intelligence Service
2022-2024
National Center for Chronic Disease Prevention and Health Promotion
2022-2024
United States Public Health Service
2022-2023
United States Public Health Service Commissioned Officers Association
2023
Emory University
2017-2022
Atlanta Research and Education Foundation
2022
Georgia Department of Public Health
2022
New Mexico Department of Health
2022
New York State Department of Health
2022
The first U.S. case of COVID-19 attributed to the Omicron variant SARS-CoV-2 (the virus that causes COVID-19) was reported on December 1, 2021 (1), and by week ending 25, 2021, predominant circulating in United States.* Although COVID-19-associated hospitalizations are more frequent among adults,† can lead severe outcomes children adolescents (2). This report analyzes data from Coronavirus Disease 19-Associated Hospitalization Surveillance Network (COVID-NET)§ describe (aged 0-11 years)...
The B.1.1.529 (Omicron) variant of SARS-CoV-2, the virus that causes COVID-19, has been predominant circulating in United States since late December 2021.* Coinciding with increased Omicron circulation, COVID-19-associated hospitalization rates rapidly among infants and children aged 0-4 years, a group not yet eligible for vaccination (1). Coronavirus Disease 19-Associated Hospitalization Surveillance Network (COVID-NET)† data were analyzed to describe hospitalizations U.S. years March 2020....
On October 29, 2021, the Food and Drug Administration expanded Emergency Use Authorization for Pfizer-BioNTech COVID-19 vaccine to children aged 5-11 years; CDC's Advisory Committee on Immunization Practices' recommendation followed November 2, 2021.* In late December B.1.1.529 (Omicron) variant of SARS-CoV-2 (the virus that causes COVID-19) became predominant strain in United States,† coinciding with a rapid increase COVID-19-associated hospitalizations among all age groups, including years...
<h3>Importance</h3> The number of SARS-CoV-2 infections and COVID-19–associated hospitalizations deaths prevented among vaccinated persons, independent the effect reduced transmission, is a key measure vaccine impact. <h3>Objective</h3> To estimate adults in US. <h3>Design, Setting, Participants</h3> In this modeling study, multiplier model was used to extrapolate from data on stratified by state, month, age group (18-49, 50-64, ≥65 years) US December 1, 2020, September 30, 2021. These...
Importance Current data identifying COVID-19 risk factors lack standardized outcomes and insufficiently control for confounders. Objective To identify associated with COVID-19, severe SARS-CoV-2 infection. Design, Setting, Participants This secondary cross-protocol analysis included 4 multicenter, international, randomized, blinded, placebo-controlled, vaccine efficacy trials harmonized protocols established by the Prevention Network. Individual-level from participants randomized to receive...
Although breastfeeding is the ideal source of nutrition for most infants, racial and ethnic disparities exist in its initiation. Surveillance rates based on aggregated data can challenge understanding monitoring effective, culturally appropriate interventions among subgroups. Aggregated have historically estimated a few large groups. We examined differences initiation by disaggregation to finer subgroups race ethnicity.We analyzed births from January 1, 2020, through December 31, 2021, 48...
Background: Previous studies of endocrine-disrupting chemicals have examined one these at a time in association with an outcome; studying mixtures better approximates human experience. We investigated the prenatal exposure to persistent endocrine disruptors (perfluoroalkyl and polyfluoroalkyl substances [PFAS], polychlorinated biphenyls [PCBs], organochlorine pesticides) birth size among female offspring Avon Longitudinal Study Parents Children (ALSPAC), based United Kingdom 1991–1992....
BackgroundWhile vaccines have established utility against COVID-19, phase 3 efficacy studies generally not comprehensively evaluated protection provided by previous infection or hybrid immunity (previous plus vaccination). Individual patient data from US government-supported harmonized vaccine trials provide an unprecedented sample population to address this issue. We characterized the protective of SARS-CoV-2 and COVID-19 early in pandemic over three-to six-month follow-up compared with...
Breastfeeding is associated with reductions in morbidity and mortality among mothers children.1–4 The Dietary Guidelines for Americans, American Academy of Pediatrics, World Health Organization recommend exclusive breastfeeding 6 months, continued at least 1 (Dietary Americans5) or 2 years (American Pediatrics,6 Organization3), while complementary foods are introduced.Benefits longer durations have been documented3,4; however, limited studies describe US duration past 18 months.7 Using data...
Importance SARS-CoV-2 viral load (VL) in the nasopharynx is difficult to quantify and standardize across settings, but it may inform transmission potential disease severity. Objective To characterize VL at COVID-19 diagnosis among previously uninfected unvaccinated individuals by evaluating association of demographic clinical characteristics, variant, trial with VL, as well ability predict severe disease. Design, Setting, Participants This secondary cross-protocol analysis used...
In 1995, journalist Gary Taubes published an article in Science titled “Epidemiology faces its limits,” which questioned the utility of nonrandomized epidemiologic research and has since been cited more than 1000 times. He highlighted numerous examples topics he viewed as having questionable merit. Studies have accumulated for these associations. We systematically evaluated current evidence 53 example associations discussed article. Approximately one-quarter those presented doubtful are now...
Infants younger than 4 months are not ready for complementary foods/drinks (any solid or liquid other breast milk infant formula). Almost half of US infants participate in the Special Supplemental Nutrition Program Women, and Children (WIC), which provides nutrition education support to low-income families. We describe prevalence early introduction (<4 months) examine association feeding type (fully breastfed, partially breastfed fully formula fed) with foods/drinks. used data from 3310...
<b><i>Background:</i></b> Oxidative stress and inflammation are proposed mechanisms of nonspecific kidney injury progressive failure. Higher dietary oxidative balance scores (OBS) associated with lower prevalence chronic disease (CKD). <b><i>Methods:</i></b> We investigated the association between OBS biomarkers using data from Reasons for Geographic Racial Differences in Stroke (REGARDS) study. Nutrient estimates Block Food Frequency...
Food consumption, particularly of animal-based products, is considered the most important contributor to persistent endocrine disrupting chemical (EDC) exposure. This study aims describe association between maternal diet during pregnancy and exposure EDCs using dietary pattern analysis. based on subsamples Avon Longitudinal Study Parents Children (ALSPAC) (N=422) Norwegian Mother, Father, Child Cohort (MoBa) (N=276) which uses data from Medical Birth Registry Norway (MBRN). Women in both...
Objectives: We aim to describe hospitals' implementation of the Ten Steps Successful Breastfeeding (Ten Steps), changes over time, and a majority (≥6) by hospital characteristics state. Methods: The biennial Maternity Practices in Infant Nutrition Care (mPINC) survey assesses all hospitals United States (including District Columbia territories) that routinely provide maternity care services. analyzed data from 2018, 2020, 2022 cycles trends prevalence implementing policies practices are...
Abstract Background Experiences during the birth hospitalization affect a family’s ability to establish and maintain breastfeeding. The Ten Steps Successful Breastfeeding (Ten Steps) describe evidence-based hospital policies practices shown improve breastfeeding outcomes. We aim hospitals’ implementation of Steps, changes over time, majority (≥ 6) by characteristics state. Methods biennial Maternity Practices in Infant Nutrition Care (mPINC) survey assesses all hospitals United States...
Hurricane Ida, a Category 4 hurricane, made landfall in southern Louisiana August of 2021, causing widespread wind damage and flooding. The objective this study was to investigate knowledge, attitudes, practices related post-hurricane mold exposure cleanup among residents workers areas affected by Ida assess changes that have occurred over the past 16 years since Katrina. We conducted in-person interviews with 238 68 mold-remediation around New Orleans ask about their knowledge practices,...
To describe child, caregiver, and household characteristics associated with fruit vegetable intakes among US children aged 1–5 years, we examined (less than daily vs. daily) using data from the 2021 National Survey of Children’s Health years. Multiple logistic regression provided adjusted odds ratios for factors (1) (2) intakes. Among 68% (n = 11,124) consumed daily, 51% 8292) vegetables daily. Both intake were child age, race ethnicity, frequency family meals. For example, who ate a meal...