- Mosquito-borne diseases and control
- Child Nutrition and Water Access
- Viral Infections and Vectors
- Zoonotic diseases and public health
- Malaria Research and Control
- Food Security and Health in Diverse Populations
- COVID-19 epidemiological studies
- Climate Change, Adaptation, Migration
- Rabies epidemiology and control
- Indigenous Health and Education
- Antibiotic Resistance in Bacteria
- Virology and Viral Diseases
- Viral Infections and Outbreaks Research
- Climate Change and Health Impacts
- Vector-borne infectious diseases
- Pharmaceutical and Antibiotic Environmental Impacts
- Sex work and related issues
- Poverty, Education, and Child Welfare
- Diverse Applied Research Studies
- Antibiotic Use and Resistance
- Business, Innovation, and Economy
- Aquaculture disease management and microbiota
- Public Health and Social Inequalities
- Leptospirosis research and findings
- Educational Innovations and Technology
Pontifical Catholic University of Peru
2018-2025
Universidad Peruana Cayetano Heredia
2015-2023
Loyola University Chicago
2023
United States Naval Medical Research Unit SOUTH
2007-2022
Johns Hopkins University
2010-2018
Asociación para la Conservación de la Cuenca Amazónica
2016
Tulane University
2015-2016
Centers for Disease Control and Prevention
2015
Duke University
2015
United States Department of the Navy
2015
Rickettsiae are a family of ectoparasite-borne bacteria that can produce high morbidity and mortality among humans. There scarce data on rickettsial ecology in rural areas the Peruvian Amazon basin, where seroprevalence has not been determined, identities animals acting as reservoirs these known. We conducted cross-sectional study Zungarococha (between 2019 2021), community located approximately 20 km away from Iquitos city. Blood samples were collected humans (175), dogs (123), cats (12)....
Abstract After a human rabies outbreak in southeastern Peru, we collected bats to estimate the prevalence of various species. Among 165 from 6 genera and 10 species, 10.3% were antibody positive; was similar vampire nonvampire bats. Thus, may also be source for Peru.
Although malaria control investments worldwide have resulted in dramatic declines transmission since 2000, progress has stalled. In the Amazon, resurgence followed withdrawal of Global Fund support Project for Malaria Control Andean Border Areas (PAMAFRO). We estimate intervention-specific and spatially-explicit effects PAMAFRO program on incidence across Loreto region Peru, consider influence environmental risk factors presence interventions. conducted a retrospective, observational,...
Antibiotic resistance in pathogenic bacteria is a serious public health issue. The growing threat cause for concern and action to prevent the emergence of new resistant strains spread existing ones humans via environment. This study aimed at identifying fecal pathogens drinking water obtained from rural Andean households Cajamarca, Peru, measuring antibiotic profile Escherichia coli . was embedded within community-randomized controlled trial among 102 communities northern highlands Cajamarca...
Antimicrobial resistance (AMR) is a global public health threat, especially for low and middle-income countries (LMIC) where the threat has not been fully identified. Our study aims to describe E. coli AMR in rural communities expand our knowledge on bacterial contamination. Specifically, we aim identify potential dissemination routes of AMR-carrying bacteria humans (children's stools), community water sources (reservoirs household sources), environments (yard soil) domestic animals...
Household water contamination at point of use depends on human, animal and environmental factors embodying all aspects a One Health approach. This study investigated the association between household factors, presence thermotolerant coliform, antibiotic resistant bacteria in drinking among 314 households with children under 5 Cajamarca, Peru. analysed data from baseline sampling randomized controlled trial, including surveys covering management such as animals, well microbiological samples...
The interoceanic highway (IOH) in Madre de Dios, Peru has driven dramatic change the Peruvian Amazon basin. We conducted a mixed methods study to examine impact of these changes on subjective well-being (SWB) four communities IOH. Themes that emerged qualitatively included changing health threats, environmental degradation, and increased migration. To achieve higher level SWB, respondents emphasized need for incomes, opportunities learn new skills, better education their children. Potential...
E. coli that produce extended-spectrum β-lactamases (ESBLs) are major multidrug-resistant bacteria. In Peru, only a few reports have characterised the whole genome of ESBL enterobacteria. We aimed to confirm identity and antimicrobial resistance (AMR) profile two isolates from dog faeces drinking water rural Andean households determine serotype, phylogroup, sequence type (ST)/clonal complex (CC), pathogenicity, virulence genes, their plasmids. To AMR profiles, we used VITEK®2 system....
This study examines the associations between water insecurity, self-reported physical health, and objective measures of biological health among 225 Awajún adults (107 women; 118 men) living in Peruvian Amazon, a "water-abundant" region.A survey, which included multiple such as blood pressure nutritional immune biomarkers.Greater insecurity was associated with including higher incidence reported diarrhea, nausea, back pain, headaches, chest fatigue, dizziness, overall poor perceived "being...
Madre de Dios is located in the southeastern Amazonian region of Peru. Rodents have been estimated to be reservoirs for up 50 % emerging zoonotic pathogens, including a host viruses, bacteria, and parasites. As part larger study involving both human animal research, this serves obtain broader understanding key challenges concerns related health rodent-borne illnesses from perspective people living these communities.We used mixed methods approach, which comprised 12 focus group discussions,...
Please cite this paper as: Salmón-Mulanovich et al. (2010) Frequency of human bocavirus (HBoV) infection among children with febrile respiratory symptoms in Argentina, Nicaragua and Peru. Influenza Other Respiratory Viruses 5(1), 1–5. Background Globally, infections are the primary cause illness developing countries, specifically children; however, an etiological agent for many these illnesses is rarely identified. Objectives Our study aimed to estimate frequency pediatric populations...
We investigated hantaviruses in rodents the southern Amazon Basin of Peru and identified an Andes virus variant from Neacomys spinosus mice. This finding extends known range this South America recognized Peru. Further studies epizoology region are warranted.
Background The southern Amazon Basin in the Madre de Dios region of Peru has undergone rapid deforestation and habitat disruption, leading to an unknown zoonotic risk growing communities area. Methodology/Principal findings We surveyed prevalence rodent-borne Leptospira Bartonella, as well potential environmental sources human exposure Leptospira, 4 along Inter-Oceanic Highway Dios. During rainy dry seasons 2014–2015, we captured a total 97 rodents representing 8 genera areas that had...
Rickettsia and Leptospira spp. are under-recognized causes of acute febrile disease worldwide. species often placed into the spotted fever group rickettsiae (SFGR) typhus (TGR). We explored antibody prevalence among humans for these two groups in four regions Peru (Lima, Cusco, Puerto Maldonado, Tumbes) Maldonado Tumbes. also assessed risk factors seropositivity collected serum samples ectoparasites from peri-domestic animals households sites with high human seroprevalence. In total, we...
Introduction Understanding human mobility’s role in malaria transmission is critical to successful control and elimination. However, common approaches measuring mobility are ill-equipped for remote regions such as the Amazon. This study develops a network survey quantify effect of community connectivity on transmission. Methods We measure across area using respondent driven sampling design among key informants who at least 18 years age. 45 initial communities will be selected: 10 Brazil,...
Short courses that build skills for investigating and responding to disease outbreaks may enhance response potential epidemics in resource-limited settings.
Dengue virus (DENV) was reintroduced to Peru in the 1990s and has been reported Puerto Maldonado (population ∼65,000) Peruvian southern Amazon basin since 2000. This region also highest human migration rate country, mainly from areas not endemic for DENV. The objective of this study assess proportion household income that is diverted costs incurred because dengue illness compare these expenses between recent migrants (RMs) long-term residents (LTRs). We administered a standardized...
Gender Based Violence (GBV) is a global pandemic and water insecurity increasing in intensity extent. This study explores the association between these two health threats. Cross-sectional, quantitative data were collected via surveys (n = 365 adult women) to measure household (HWI) women's experiences of GBV last year. Qualitative from semi-structured interviews 24 men women), focus group discussions 25 multi-stakeholder meeting 35 explore experiences, attitudes risk factors associated with...
There is a growing need to facilitate the interdisciplinary study of relationship between environment and human health well-being. It increasingly recognized that vulnerability key construct allowing discipline-specific research questions on these topics be meaningfully contextualized. However, there little consensus regarding meaning concept or how it can best utilized in studies. In this perspective article, we use metaphor "cookbook" review promising trends make body accessible...
Madre de Dios, a southern state in the Peruvian Amazon basin, has experienced rapid development as well an influx of migrants since construction Interoceanic Highway (IOH) connecting Brazil, Bolivia, and coast. We explored perceptions migration up to eight communities along IOH Dios following highway. conducted multiple methods study involving focus group (FG) discussions interviews with key informants (KIs) Dios. The data was used develop apply survey on demographics, financial, personal,...