- Parasites and Host Interactions
- Global Maternal and Child Health
- Zoonotic diseases and public health
- Child Nutrition and Water Access
- Parasite Biology and Host Interactions
- Parasitic Diseases Research and Treatment
- Animal Disease Management and Epidemiology
- Vibrio bacteria research studies
- Vaccine Coverage and Hesitancy
- COVID-19 epidemiological studies
- Global Health and Epidemiology
- Climate Change and Health Impacts
- Energy and Environment Impacts
- Insect Pest Control Strategies
- Vector-Borne Animal Diseases
- Pesticide Exposure and Toxicity
- Hydropower, Displacement, Environmental Impact
- Global Health and Surgery
- Empathy and Medical Education
- Clinical Nutrition and Gastroenterology
- Adolescent Sexual and Reproductive Health
- Viral Infections and Outbreaks Research
- Patient-Provider Communication in Healthcare
- Microbial infections and disease research
- Economic and Environmental Valuation
Stanford University
2016-2023
University of Colorado Anschutz Medical Campus
2022-2023
Colorado School of Public Health
2022-2023
Aarhus University Hospital
2023
Emory University
2012-2017
Dams have long been associated with elevated burdens of human schistosomiasis, but how dams increase disease is not always clear, in part because many ecological and socio-economic effects. A recent hypothesis argues that block reproduction the migratory river prawns eat snail hosts schistosomiasis. In Senegal River Basin, there evidence prawn populations declined schistosomiasis increased after completion Diama Dam. Restoring to a water-access site upstream dam reduced density reinfection...
Reducing the burden of neglected tropical diseases (NTDs) is one key strategic targets advanced by Sustainable Development Goals. Despite unprecedented effort deployed for NTD elimination in past decade, their control, mainly through drug administration, remains particularly challenging: persistent poverty and repeated exposure to pathogens embedded environment limit efficacy strategies focused exclusively on human treatment or medical care. Here, we present a simple modelling framework...
Recently, the World Health Organization recognized that efforts to interrupt schistosomiasis transmission through mass drug administration have been ineffective in some regions; one of their new recommended strategies for global control emphasizes targeting freshwater snails transmit schistosome parasites. We sought identify robust indicators would enable precision these snails. At site world’s largest recorded epidemic—the Lower Senegal River Basin Senegal—intensive sampling revealed...
Significance Here, we show how a conservation–health care exchange in rural Borneo preserved globally important forest carbon and simultaneously improved human health well-being, region of historically intense environmental destruction, widespread poverty, unmet needs. To evaluate this long-term conservation intervention, analyzed earth observation data, clinic records, socioeconomic surveys to quantify conservation, health, sustainable development outcomes simultaneously. Results...
Schistosome parasites infect more than 200 million people annually, mostly in sub-Saharan Africa, where may be co-infected with one species of the parasite. Infection risk for any single is determined, part, by distribution its obligate intermediate host snail. As World Health Organization reprioritizes snail control to reduce global burden schistosomiasis, there renewed importance knowing when and target those efforts, which could vary schistosome species. This study estimates factors...
Human schistosomiasis is a snail-borne parasitic disease affecting more than 200 million people worldwide. Direct contact with snail-infested freshwater the primary route of exposure. Water management infrastructure, including dams and irrigation schemes, expands snail habitat, increasing risk across landscape. The Diama Dam, built on lower basin Senegal River to prevent saltwater intrusion promote year-round agriculture in drought-prone Sahel, paradigmatic case. Since dam completion 1986,...
As cholera spread from Haiti to the Dominican Republic, Haitian migrants, a largely undocumented and stigmatized population in society, became focus of public health concern. Concurrent epidemic, legislature enacted new documentation requirements. This paper presents findings an ethnographic study anti-Haitian stigma Republic June August 2012. Eight group discussions (FGDs) were held with community members. Five in-depth interviews key informants migration policy sector. Theoretical...
Abstract Background Water resources development promotes agricultural expansion and food security. But are these benefits offset by increased infectious disease risk? Dam construction on the Senegal River in 1986 was followed transmission of human schistosomes. Yet mechanisms linking two processes at individual household levels remain unclear. We investigated association between land use schistosome infection children. Methods analyzed cross-sectional survey data ( n = 655) collected 16...
The purpose of this study was to examine how social and behavioral factors such as age first intercourse, mother-daughter communication, perceived norms are associated with human papillomavirus (HPV) vaccination behaviors, whether ethnicity moderates those associations (non-Latina White versus Latina participants). From June through December 2009, we surveyed a community sample 309 women, ages 15 30. We recruited participants from local health care clinics in Des Moines, Iowa. Vaccination...
Background Infectious disease risk is driven by three interrelated components: exposure, hazard, and vulnerability. For schistosomiasis, exposure occurs through contact with water, which often tied to daily activities. Water contact, however, does not imply unless the environmental hazard of snails parasites also present in water. By increasing reliance on hazardous activities environments, socio-economic vulnerability can hinder reductions a hazard. We aimed quantify contributions presence...
Dam development improves water, food, and energy security but often with negative impacts on human health. The transmission of dam-related diseases persists in many dammed catchments despite treatment campaigns. On the Senegal River Basin, Schistosoma spp. parasites has been elevated since construction dams late 1980's. We use narrative analysis qualitative content archival documents from this setting to examine health as a component food-energy-water (FEW) nexus understand priorities...
Dams enable the production of food and renewable energy, making them a crucial tool for both economic development climate change adaptation in low- middle-income countries. However, dams may also disrupt traditional livelihood systems increase transmission vector- water-borne pathogens. These health impacts diminish benefits to rural populations dependent on rivers, as hydrological ecological alterations flood regimes, reduce nutrient transport lead loss biodiversity. We propose four...
To examine how general practitioners (GPs) respond to patients who are non-compliant with medical advice and doctors believe act irresponsibly towards their health.Quantitative analysis of responses questionnaire case histories.93 questionnaires completed by a random stratified sample Norwegian GPs.Scores relating GPs' feelings choice main sub-strategies for further treatment patients.The respondents typically felt discouraged or unaffected patients, younger more often helpless while older...
Schistosomiasis, or “snail fever”, is a parasitic disease affecting over 200 million people worldwide. People become infected when exposed to water containing particular species of freshwater snails. Habitats for such snails can be mapped using lightweight, inexpensive and field-deployable consumer-grade Unmanned Aerial Vehicles (UAVs), also known as drones. Drones obtain imagery in remote areas with poor satellite imagery. An unexpected outcome drones public engagement. Whereas sampling...