- COVID-19 epidemiological studies
- Syphilis Diagnosis and Treatment
- Data-Driven Disease Surveillance
- COVID-19 Digital Contact Tracing
- Reproductive tract infections research
- Viral Infections and Outbreaks Research
- Prenatal Screening and Diagnostics
- Vaccine Coverage and Hesitancy
- HIV/AIDS Research and Interventions
- Child and Adolescent Health
- Folate and B Vitamins Research
- Medication Adherence and Compliance
- Influenza Virus Research Studies
- Suicide and Self-Harm Studies
- Female Genital Mutilation/Cutting Issues
- Pharmaceutical Practices and Patient Outcomes
- Global Public Health Policies and Epidemiology
- Congenital Anomalies and Fetal Surgery
- School Health and Nursing Education
- COVID-19 and Mental Health
- SARS-CoV-2 detection and testing
- Virology and Viral Diseases
- Antibiotic Use and Resistance
- Global Security and Public Health
- Adolescent Sexual and Reproductive Health
Centers for Disease Control and Prevention
2011-2024
Yale University
2023
National Center for HIV/AIDS Viral Hepatitis STD and TB Prevention
2022
The Centers
2021
AID Atlanta
2020
Office of Science
2019-2020
Center for Surveillance, Epidemiology, and Laboratory Services
2020
Office of the Director
2017-2018
Workplace Health, Safety and Compensation Commission
2018
National Center on Birth Defects and Developmental Disabilities
2011-2015
Sexually transmitted infections (STIs) caused by the bacteria Neisseria gonorrhoeae (gonococcal infections) have increased 63% since 2014 and are a cause of sequelae including pelvic inflammatory disease, ectopic pregnancy, infertility can facilitate transmission human immunodeficiency virus (HIV) (1,2). Effective treatment prevent complications transmission, but N. gonorrhoeae's ability to acquire antimicrobial resistance influences recommendations complicates control (3). In 2010, CDC...
BACKGROUND AND OBJECTIVES: Children with Down syndrome (DS) have lower birth weights and grow more slowly than children without DS. Advances in increased access to medical care improved the health well-being of individuals DS; however, it is unknown whether their growth has also improved. Our objective was develop new charts for DS compare them older from United States contemporary Kingdom. METHODS: The Syndrome Growing Up Study (DSGS) enrolled a convenience sample up 20 years age followed...
Hypertension is generally defined as systolic blood pressure ≥140 mmHg, or diastolic ≥90 mmHg. A person who currently uses pressure-lowering medication also having hypertension. a leading risk factor for cardiovascular disease and stroke (1,2). affects nearly one third of U.S. residents aged ≥18 years (approximately 75 million persons), in approximately half adults with hypertension (nearly 35 it uncontrolled (2). Among these hypertension, 33% (11.5 persons) are not aware their 20% (7 but...
ABSTRACT Purpose To determine which medications are most commonly used by women in the first trimester of pregnancy and identify critical gaps information about fetal risk for those medications. Methods Self‐reported first‐trimester medication use was assessed among delivering liveborn infants without birth defects serving as control mothers two large case–control studies major defects. The Teratology Information System (TERIS) expert Advisory Board ratings quality quantity data available to...
Congenital syphilis is an infection with Treponema pallidum in infant or fetus, acquired during pregnancy from a mother untreated inadequately treated syphilis. can cause miscarriage, stillbirth, early death, and infected infants experience lifelong physical neurologic problems. Although timely identification treatment of maternal prevent congenital (1,2), the number reported cases United States increased 261% 2013-2018, 362 to 1,306. Among 2018, total 94 resulted stillbirths deaths (3)....
Adherence to prescribed medications is associated with improved clinical outcomes for chronic disease management and reduced mortality from conditions (1). Conversely, nonadherence higher rates of hospital admissions, suboptimal health outcomes, increased morbidity mortality, care costs (2). In the United States, 3.8 billion prescriptions are written annually (3). Approximately one in five new never filled, among those approximately 50% taken incorrectly, particularly regard timing, dosage,...
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Preterm birth (delivery before 37 weeks and 0/7 days of gestation) is a leading cause infant morbidity mortality in the United States. In 2013, 11.4% nearly 4 million U.S. live births were preterm; however, 36% 8,470 deaths attributed to preterm (1). Infants born at earlier gestational ages, especially <32 weeks, have highest (Figure) rates. Morbidity associated with includes respiratory distress syndrome, necrotizing enterocolitis, intraventricular hemorrhage; longer-term consequences...
<h3>Importance</h3> Contact tracing is a multistep process to limit SARS-CoV-2 transmission. Gaps in the result missed opportunities prevent COVID-19. <h3>Objective</h3> To quantify proportions of cases and their contacts reached by public health authorities amount time needed reach them compare risk positive COVID-19 test between general during 4-week assessment periods. <h3>Design, Setting, Participants</h3> This cross-sectional study took place at 13 departments 1 Indian Health Service...
Contact tracing is a strategy implemented to minimize the spread of communicable diseases (1,2). Prompt contact tracing, testing, and self-quarantine can reduce transmission SARS-CoV-2, virus that causes coronavirus disease 2019 (COVID-19) (3,4). Community engagement important encourage participation in cooperation with SARS-CoV-2 (5). Substantial investments have been made scale up for COVID-19 United States. During June 1-July 12, 2020, incidence cases North Carolina increased 183%, from...
Case investigation and contact tracing are core public health tools used to interrupt transmission of pathogens, including SARS-CoV-2, the virus that causes coronavirus disease 2019 (COVID-19); timeliness is critical effectiveness (1,2). In May 2020, CDC funded* 64 state, local, territorial departments† support COVID-19 response activities. As part monitoring process, case metrics for June 25-July 24, were submitted by 62 departments. Descriptive analyses load, timeliness, yield (i.e.,...
The COVID-19 pandemic impacted sexually transmitted disease (STD) services. Of 59 US-funded STD programs, 91% reported a great deal to moderate impact from staff reassignment in April 2020, with 28% of respondents reporting permanent intervention specialist staff. Telemedicine was implemented 47%. Decreases case reports were by most jurisdictions.
Worldwide, stroke is the second leading cause of death and a serious long-term disability. In United States, nearly 800,000 strokes occur each year; thus fifth overall fourth among women (1). Major advances in prevention through treatment known risk factors has led to being considered largely preventable. For example, mortality rates have declined 70% over past 50 years, large part because important reductions hypertension, tobacco smoking, more recently, increased use anticoagulation for...
Research suggests that many disparities in overall health and well-being are rooted early childhood (1,2). Stressors can disrupt neurologic, metabolic, immunologic systems, leading to poorer developmental outcomes (1). However, consistent, responsive caregiving relationships supportive community care environments promote an optimal trajectory (3,4). The first 8 years of a child's life build foundation for future success (5-7). Thus, the cumulative lifelong impact experiences, both positive...
Approximately 42 million adolescents aged 10-19 years, representing 13% of the population, resided in United States 2014 (1). Adolescence is characterized by rapid and profound physical, intellectual, emotional, psychological changes (2), as well development healthy or risky behaviors that can last a lifetime. Parents have strong influence on their adolescent children's lives, family-based programs help parents support development. Because schools are natural learning environments,...
BACKGROUND AND OBJECTIVES During 2014–2018, reported congenital syphilis (CS) cases in the United States increased 183%, from 462 to 1306 cases. We reviewed infants diagnosed with CS beyond neonatal period (&gt;28 days) during this time. METHODS surveillance case report data for delivered 2014–2018 and identified those signs or symptoms. describe these identify possible missed opportunities earlier diagnoses. RESULTS Of 3834 of we 67 symptomatic period. Among findings, 67% had physical...
Mathematical models incorporate various data sources and advanced computational techniques to portray real-world disease transmission translate the basic science of infectious diseases into decision-support tools for public health. Unlike standard epidemiologic methods that rely on complete data, modeling is needed when there are gaps in data. By combining diverse sources, can fill critical decisions must be made using incomplete or limited information. They used assess effect feasibility...
Healthy aging is not merely the absence of disease or disability, but requires physical and mental health ongoing social engagement (1). As average U.S. life expectancy increases, recognition that public can play a vital role in promoting healthy, successful even face increased prevalence chronic diseases, including types dementia, among older adults (i.e., aged ≥65 years) has grown. Furthermore, actively engaging prevention wellness along with involving their caregivers family friends who...
Case investigation and contact tracing (CI/CT) is a critical part of the public health response to COVID-19. Individuals' experiences with CI/CT for COVID-19 varied based on geographic location, changes in knowledge guidelines, access testing vaccination, as well demographic characteristics including age, race, ethnicity, income, political ideology. In this paper, we explore behaviors adults positive SARS-CoV-2 test results, or who were exposed person COVID-19, understand their knowledge,...
Recent public health emergencies have highlighted the unique vulnerabilities of pregnant women and infants to emerging threats critical role surveillance. Surveillance systems can collect data measure impact a disease or disaster be used inform clinical guidance prevention strategies. These also tailored on vulnerable populations, such as their infants. Novel surveillance assess risks outcomes been established during but typically cease collection once response has ended, limiting our...
Approximately 100,000 Americans have sickle cell disease (SCD), a group of recessively inherited red blood disorders characterized by abnormal hemoglobin, called hemoglobin S or in the cells. Persons with SS Sß0 thalassemia, also known as anemia (SCA), most severe form SCD. Hemoglobin SC and Sß+ thalassemia are other common forms Red cells that contain inflexible can stick to vessel walls, causing blockage slows stops flow. When this happens, oxygen cannot reach nearby tissues, leading...
Congenital syphilis (CS) is on the rise in United States and a growing public health concern. CS an infection with Treponema pallidum infant or fetus, acquired via transplacental transmission when pregnant woman has untreated inadequately treated syphilis. Pregnant women are more likely to experience pregnancies complicated by stillbirth, prematurity, low birth weight, early death, while their children can develop clinical manifestations of such as hepatosplenomegaly, bone abnormalities,...