A5046581066- Vaccine Coverage and Hesitancy
- Viral gastroenteritis research and epidemiology
- Virology and Viral Diseases
- Viral Infections and Immunology Research
- Hepatitis Viruses Studies and Epidemiology
- Influenza Virus Research Studies
- Viral Infections and Outbreaks Research
- Respiratory viral infections research
- Pneumonia and Respiratory Infections
- Cervical Cancer and HPV Research
- Zoonotic diseases and public health
- SARS-CoV-2 and COVID-19 Research
- Syphilis Diagnosis and Treatment
- Bacterial Infections and Vaccines
- Hepatitis B Virus Studies
- Immunodeficiency and Autoimmune Disorders
- Global Maternal and Child Health
- COVID-19 epidemiological studies
- Vibrio bacteria research studies
- Immune responses and vaccinations
- Mosquito-borne diseases and control
- Global Public Health Policies and Epidemiology
- Child Nutrition and Water Access
- Whipple's Disease and Interleukins
- Global Cancer Incidence and Screening
Milken Institute
2019-2025
George Washington University
2019-2025
Yahoo (United Kingdom)
2024
Center for Global Health
2017-2021
University of Colorado Anschutz Medical Campus
2021
University of Colorado Denver
2019-2021
Colorado School of Public Health
2020
Sage (United Kingdom)
2020
World Health Organization Regional Office for the Americas
2006-2019
University of Colorado Boulder
2019
The increasing geographical spread and disease incidence of arboviral infections are among the greatest public health concerns in Americas. region has observed an trend dengue last decades, evolving from low to hyperendemicity. Yellow fever also intensified this period, expanding sylvatic-restricted activity urban outbreaks. Chikungunya started spreading pandemically 2005 at unprecedented pace, reaching Americas 2013. following year, Zika emerged with explosive outbreak, carrying devastating...
The Global Vaccine Action Plan 2011–2020 (GVAP) was developed to realize the ambitions of Decade Vaccines – that all individuals and communities enjoy lives free from vaccine-preventable diseases. It included a comprehensive monitoring evaluation/accountability framework assess progress towards global targets with recommendations for corrective actions. While many GVAP are very unlikely be met by end 2020, substantial has nevertheless been made, establishing strong foundation successor...
In Latin America and the Caribbean, rotavirus causes approximately 15,000 deaths, 75,000 hospitalizations, 2 million clinic visits 10 cases of diarrhea annually. Two safe vaccines are available that effective in preventing severe illness. To date, seven countries (Brazil, Ecuador, El Salvador, Panama, Mexico, Nicaragua Venezuela) have introduced vaccine. For successful vaccine introduction, lessons learned re-emphasize critical need for to precise plans will ensure technical, programmatic...
In 2003, the Pan American Health Organization (PAHO) adopted a resolution calling for rubella and congenital syndrome (CRS) elimination in Americas by year 2010. To accomplish this goal, PAHO advanced CRS strategy including introduction of rubella-containing vaccines into routine vaccination programs accompanied high immunization coverage, interruption transmission through mass adolescents adults, strengthened surveillance CRS. The strategies were aligned with successful measles strategies....
This paper reviews the key design features, accomplishments of and lessons learned from two regional group procurement mechanisms dealing with vaccines that have been in operation for more than 25 years. The Pan American Health Organization (PAHO) EPI Revolving Fund purchases immunization supplies on behalf 35 countries Latin Caribbean region. Based a 'central contracting' model, program handles most aspects procurement—from tendering to contracting paying producers—using common fund pay...
Study Objective: During 1987, the rate of syphilis among heterosexual adults in Oregon increased 159%, yet number cases gonorrhea remained stable. Our study was done to evaluate why same control measures contained but not this population. Design: Exploratory case-control study. Setting: Public health clinics Portland, and Salem, Oregon. Patients: All 146 with early all 164 acute reported public during April July 1988. Intervention: A questionnaire administered case-patients patients (those...
ABSTRACT Rubella virus infection is typically diagnosed by the identification of rubella virus-specific immunoglobulin M (IgM) antibodies in serum, but approximately 50% serum samples from cases collected on day rash onset are negative for IgM. The ability to detect IgM sera and oral fluids was compared with RNA reverse transcription-PCR (RT-PCR) using paired taken within first 4 days after suspected during an outbreak Perú. Sera were tested both indirect capture enzyme immunoassays (EIAs),...
Seasonal influenza is a viral disease whose annual epidemics are estimated to cause three five million cases of severe illness and 250,000 500,000 deaths worldwide. Vaccination the main strategy for primary prevention.To assess status vaccination in Americas, data reported Pan American Health Organization (PAHO) through 2008 were analyzed.Thirty-five countries territories administered vaccine their public health sector, compared 13 2004. Targeted risk groups varied. Sixteen coverage among...
Oral cholera vaccines (OCVs) have been recommended in cholera-endemic settings and preemptively during outbreaks complex emergencies. However, experience guidelines for reactive use after an outbreak has started are limited. In 2010, over a century without epidemic cholera, was reported Haiti earthquake. As intensive nonvaccine control measures were initiated, the feasibility of OCV considered. We reviewed characteristics recommendations their assessed global vaccine availability capacity to...
Summary. For the first time a global meeting on hepatitis A virus (HAV) infection as vaccine preventable disease was organized at end of 2007. More than 200 experts from 46 countries gathered to investigate changing HAV epidemiology reflecting increasing numbers persons risk for severe clinical and mortality infection. The benefits childhood adult (HepA) vaccination strategies data needed by individual international health organizations assess current HepA prevention were discussed. New...
No vaccine has been more effective in reducing disease burden, especially preventing child deaths, than measles-containing vaccine. The return on investment makes one of the most cost-effective public health measures available. Exhaustive reviews biological, technical, economic and programmatic evidence have concluded that measles can should be eradicated, by including rubella antigen vaccine, congenital syndrome will also eradicated. All World Health Organisation Regions pledged to achieve...
This report reviews national data from all Member States on measles, rubella, and congenital rubella syndrome (CRS) elimination in the Region of Americas during 2019–2023. It includes an analysis compliance with vaccination coverage, surveillance indicators, measles outbreaks, as well response capacity laboratory network a country case study that meets indicators. The sources information were integrated epidemiological system for Pan American Health Organization (PAHO)/World (WHO) Joint...
New and underutilized vaccines are becoming available to combat important public health challenges.Each year, rotavirus is estimated cause approximately 111 million episodes of gastroenteritis, which requires home care, 25 clinic visits, 2 hospitalizations, 440,000 deaths in children younger than 5 years age worldwide.Children the poorest countries account for 82% deaths.An 16,000 by rotavirus-induced diar-Editor's note: The thoughtful article Dr. Andrus his colleagues describing utility Pan...
Global nuclear proliferation, bioterrorism, and emerging infections have challenged national capacities to achieve maintain global security. Over the last century, infectious disease threats resulted in development of preliminary versions International Health Regulations (IHR) World Organization (WHO). The current HR(2005) contain major differences compared earlier versions, including: substantial shifts from containment at border source event; a rather small list (smallpox, plague, cholera,...