A5035072886- Mosquito-borne diseases and control
- Viral Infections and Vectors
- Public Health Policies and Education
- Malaria Research and Control
- COVID-19 epidemiological studies
- SARS-CoV-2 and COVID-19 Research
- Travel-related health issues
- Long-Term Effects of COVID-19
- Primary Care and Health Outcomes
- Retinal and Optic Conditions
- Peripheral Neuropathies and Disorders
- Viral gastroenteritis research and epidemiology
- Vaccine Coverage and Hesitancy
- Viral Infections and Outbreaks Research
- Wildlife Ecology and Conservation
- Education and Critical Thinking Development
- Health Policy Implementation Science
- Genetic and phenotypic traits in livestock
- Respiratory viral infections research
- Geography Education and Pedagogy
- SARS-CoV-2 detection and testing
- Occupational Health and Performance
- Climate Change and Health Impacts
- Service-Learning and Community Engagement
- Virus-based gene therapy research
United States Coast Guard
2014-2024
United States Public Health Service
2018-2023
United States Public Health Service Commissioned Officers Association
2018-2023
University of Michigan–Ann Arbor
2010-2021
Uniformed Services University of the Health Sciences
2014-2020
Centers for Disease Control and Prevention
2014-2020
Grady Memorial Hospital
2020
Puerto Rico Department of Health
2016-2019
National Center for Health Statistics
2018-2019
United States Department of Veterans Affairs
2019
Zika virus, a mosquito-borne flavivirus, spread to the Region of Americas (Americas) in mid-2015, and appears be related congenital microcephaly Guillain-Barré syndrome (1,2). On February 1, 2016, World Health Organization (WHO) declared occurrence cases association with virus infection Public Emergency International Concern.* December 31, 2015, Puerto Rico Department (PRDH) reported first locally acquired (index) case disease jurisdiction United States patient from southeastern Rico. During...
Guillain-Barré syndrome (GBS) is a postinfectious autoimmune disorder characterized by bilateral flaccid limb weakness attributable to peripheral nerve damage (1). Increased GBS incidence has been reported in countries with local transmission of Zika virus, flavivirus transmitted primarily certain Aedes species mosquitoes (2). In Puerto Rico, three arthropod-borne viruses (arboviruses) are currently circulating: Zika, dengue, and chikungunya. The first locally acquired virus infection Rico...
Zika virus is a flavivirus transmitted primarily by Aedes aegypti and albopictus mosquitoes, infection can be asymptomatic or result in an acute febrile illness with rash (1). during pregnancy cause of microcephaly other severe birth defects (2). Infection has also been associated Guillain-Barré syndrome (GBS) (3) thrombocytopenia (4,5). In December 2015, the Puerto Rico Department Health (PRDH) reported first locally acquired case infection. This report provides update to epidemiology...
<h3>Importance</h3> The pathophysiologic mechanisms of Guillain-Barré syndrome (GBS) associated with Zika virus (ZIKV) infection may be indicated by differences in clinical features. <h3>Objective</h3> To identify specific features GBS ZIKV infection. <h3>Design, Setting, and Participants</h3> During the epidemic Puerto Rico, prospective retrospective strategies were used to patients who had neurologic illness onset 2016 hospitalized at all 57 nonspecialized hospitals 2 rehabilitation...
Zika virus is a flavivirus transmitted primarily by Aedes species mosquitoes, and symptoms of infection can include rash, fever, arthralgia, conjunctivitis (1).* during pregnancy cause microcephaly other severe brain defects (2). Infection has also been associated with Guillain-Barré syndrome (3). In December 2015, Puerto Rico became the first U.S. jurisdiction to report local transmission virus, index patient reporting symptom onset on November 23, 2015 (4). This provides an update...
During a dengue epidemic in northern Mexico, enhanced surveillance identified 53 laboratory-positive cases southern Texas; 26 (49%) patients acquired the infection locally, and 29 (55%) were hospitalized. Of 83 patient specimens that initially IgM negative according to ELISA performed at commercial laboratory, 14 (17%) virus positive by real-time reverse transcription PCR Centers for Disease Control Prevention. Dengue types 1 3 identified, molecular phylogenetic analysis demonstrated close...
The US Coast Guard Academy began adenovirus vaccination of incoming cadets in 2022. Of 294 vaccine recipients, 15%-20% had mild respiratory or systemic symptoms within 10 days postvaccination but no serious adverse events after 90 days. Our findings support the continued use vaccines congregate military settings.
Disaster responders work among poorly characterized physical and psychological hazards with little understood regarding health consequences of their work.A survey administered to 2834 US Coast Guard Hurricanes Katrina Rita provided data on exposures effects. Prevalence odds ratios (PORs) evaluated associations between baseline characteristics, missions, exposures, effects.Most frequent were animal/insect vector (n = 1309; 46%) floodwater 817; 29%). Most effects sunburn 1119; 39%) heat stress...
To assist with public health preparedness activities, we estimated the number of expected cases Zika virus in Puerto Rico and associated healthcare needs. Estimated annual incidence is 3.2-5.1 times baseline, long-term care needs are predicted to be 3-5 greater than years no virus.
Abstract We assessed how community education efforts influenced pregnant women’s Zika prevention behaviors during the 2016 Centers for Disease Control and Prevention–Puerto Rico Department of Health virus response. Efforts included training, distribution kits, a mass media campaign, free home mosquito spraying. used telephone interview data from women participating in Puerto Rico’s Women, Infants, Children Program to test associations between program participation behaviors. Behavior...
On December 1, 2015, the Puerto Rico Department of Health (PRDH) was notified by a local hospital suspected human rabies case. The previous evening, Rican man aged 54 years arrived at emergency department with fever, difficulty swallowing, hand paresthesia, cough, and chest tightness. next morning patient left against medical advice but returned to in afternoon worsening symptoms. patient's wife reported that he had been bitten mongoose during first week October, not sought care for bite....
Abstract Background Although a human adenovirus (HAdV) vaccine is available for military use, officers-in-training are not routinely vaccinated. We describe an HAdV-associated respiratory outbreak among unvaccinated cadets at the US Coast Guard Academy and its impact on cadet training. Methods defined case as with new onset cough or sore throat during August 1–October 4, 2019. reviewed medical records distributed questionnaire to identify cases estimate performed real-time polymerase chain...
Military training centers and seagoing vessels are often environments at high risk for the spread of COVID-19 other contagious diseases, because military trainees personnel arrive after traveling from many parts country live in congregate settings. We examined whether levels SARS-CoV-2 genetic material wastewater correlated with infections among living communal barracks US Coast Guard United States.
In Brief Objective: To identify the primary sources of information utilized by a vulnerable population during 2009 influenza pandemic and examine disease prevention behaviors related to reports local H1N1 transmission. Design: Cross-sectional study. Setting: Between May December 2009, face-to-face interviews were conducted in towns located 3 Mississippi counties along Gulf Coast. Participants: Two hundred sixteen residents Coast interviewed. Main Outcome Measures: Analysis interview results...
Dengue, a mosquito-borne viral disease, is increasingly being identified as cause of outbreaks in the United States. During July-December 2013, total three south Texas counties reported 53 laboratory-confirmed dengue cases; 26 were locally acquired, constituting largest outbreak since 2005. Because are expected to continue and early case identification timely treatment can reduce mortality, we sought determine clinicians' knowledge its clinical management. A survey was sent 2,375 clinicians;...
This article compares activities of the University Michigan School Public Health Action Support Team (PHAST) to Centers for Disease Control and Prevention/Council State Territorial Epidemiologists Applied Epidemiology Competencies (AECs) determine utility using competencies assess extracurricular student training. We mapped from eight PHAST trips occurring 2006 2009 34 AECs Tier 1 epidemiologists by examining project how closely they aligned with AECs. provided students opportunities address...
Dengue is an acute febrile illness caused by any of four mosquito-transmitted dengue virus (DENV) types. endemic in Jamaica, where epidemic occurred 2012. An investigation was conducted multiple agencies for 66 missionaries traveling from nine US states to Jamaica after 1 missionary the group confirmed have dengue. Travelers were offered diagnostic testing, and a survey administered assess knowledge, behaviors, illness. Of 42 respondents, 9 (21%) respondents reported during or travel...
On July 16 2015, the Puerto Rico Department of Health (PRDH) was notified a case malaria, diagnosed by hospital parasitology laboratory in student who had traveled to Punta Cana, Dominican Republic, during late June for school-organized graduation trip. Malaria is mosquito-borne parasitic infection, characterized fever, shaking chills, headaches, muscle pains, nausea, general malaise, and vomiting (1). can be clinically difficult distinguish from other acute febrile illnesses, definitive...
Abstract Military training centers may be high risk environments for the spread of disease such as COVID-19. Individuals arrive after traveling from many parts country, live in communal settings, and undergo high-interaction training. A pilot study wastewater testing was initiated February, 2021 to determine its feasibility a sentinel surveillance tool U.S. Coast Guard SARS-CoV-2. Wastewater analyzed presence two viral genes, N E, quantified relative levels fecal indicator virus, Pepper Mild...