A5011181449- Poxvirus research and outbreaks
- Cervical Cancer and HPV Research
- Bacillus and Francisella bacterial research
- Reproductive tract infections research
- COVID-19 Impact on Reproduction
- Adolescent Sexual and Reproductive Health
- Vaccine Coverage and Hesitancy
- Zoonotic diseases and public health
- Reproductive Health and Technologies
- Virology and Viral Diseases
- Reproductive Health and Contraception
- Viral Infections and Vectors
- Herpesvirus Infections and Treatments
- Assisted Reproductive Technology and Twin Pregnancy
- Pregnancy and preeclampsia studies
- Global Cancer Incidence and Screening
- Demographic Trends and Gender Preferences
- Global Maternal and Child Health
- Poverty, Education, and Child Welfare
- Hepatitis B Virus Studies
- Yersinia bacterium, plague, ectoparasites research
- Ectopic Pregnancy Diagnosis and Management
- Child Nutrition and Water Access
- Family Dynamics and Relationships
- Pregnancy and Medication Impact
University of Minnesota
2019-2024
Epidemic Intelligence Service
2023-2024
Minnesota Department of Health
2019-2024
Centers for Disease Control and Prevention
2023-2024
Chicago Department of Public Health
2023-2024
Government of the United States of America
2024
Abstract Background The natural history of human papillomavirus (HPV)-induced cervical cancer (CC) is not directly observable, yet the age HPV acquisition and duration preclinical disease (dwell time) influences effectiveness alternative preventive policies. We performed a Cancer Intervention Surveillance Modeling Network (CISNET) comparative modeling analysis to characterize cancer-causing infections implied dwell times for distinct phases carcinogenesis. Methods Using four CISNET-cervical...
Abstract Background After months of few mpox cases, an increase in cases was reported Chicago during May 2023, predominantly among fully vaccinated (FV) patients. We investigated the outbreak scope, differences between and unvaccinated patients, hypotheses for monkeypox virus (MPXV) infection after vaccination. Methods interviewed patients reviewed medical records to assess demographic, behavioral, clinical characteristics; vaccine status; administration routes. evaluated serum antibody...
Measles, a highly contagious respiratory virus with the potential to cause severe complications, hospitalization, and death, was declared eliminated from United States in 2000; however, ongoing global transmission, infections still occur.On March 7, 2024, Chicago Department of Public Health (CDPH) confirmed case measles male aged 1 year residing temporary shelter for migrants Chicago.Given congregate nature setting, high transmissibility measles, low vaccination coverage among residents, had...
Abstract Objectives To define pregnancy episodes and estimate gestational age within electronic health record (EHR) data from the National COVID Cohort Collaborative (N3C). Materials Methods We developed a comprehensive approach, named Hierarchy rule-based episode Inference integrated with Pregnancy Progression Signatures (HIPPS), applied it to EHR in N3C (January 1, 2018–April 7, 2022). HIPPS combines: (1) an extension of previously published algorithm, (2) novel algorithm detect...
COVID-19 vaccines have been shown to be effective in preventing severe illness, including among pregnant persons. The appear safe pregnancy, supporting a continuously favorable overall risk/benefit profile, though supportive data for the U.S. over different periods of variant predominance are lacking. We sought analyze association adverse pregnancy outcomes with vaccinations pre-Delta, Delta, and Omicron SARS-CoV-2 variants’ dominant (constituting 50% or more each pregnancy) persons large,...
The Chicago Department of Public Health tested wastewater samples for the presence Monkeypox Virus (MPXV) from March 13 through June 26, 2023. There were persistent detections prior to reported cases. This indicated baseline levels MPXV prevalence might warrant routine monitoring. Detections in areas without corresponding clinical cases highlight where are being under-reported by traditional surveillance.
We investigated an mpox outbreak after a 2022 LGBTQ event in Chicago, Illinois, USA. Among case-patients, 38% had received 1 dose of vaccine, none 2 doses; most reported sexual activity during the probable exposure period. other preventive measures, persons at risk should complete vaccination 14 days before event.
Background. To interpret cervical cancer screening model results, we need to understand the influence of structure and assumptions on incidence mortality predictions. Cervical cases deaths following can be attributed 1) (precancerous or cancerous) disease that occurred after screening, 2) was present but not screen detected, 3) detected successfully treated. We examined relative contributions each these using 4 Cancer Intervention Surveillance Modeling Network (CISNET) models. Methods. The...
Abstract HIV is associated with severe mpox. Sexually transmitted infections (STIs) could facilitate mpox transmission. We estimated and STI frequency among patients compared characteristics severity. Mpox cases during 1 June 2022 to 31 March 2023 were matched Illinois HIV/AIDS surveillance data. Among 1124 mpox, 489 (44%) had 786 (70%) prior or concurrent STI; 307 (39%) ≥3 episodes. More who living hospitalized than those without (10.3% vs 4.1%, P < .001). screening visits are...
Human papillomavirus (HPV) vaccination rates among adolescents are increasing in Minnesota (MN) but remain below the Healthy People 2020 goal of 80% completion series. The this study was to identify messaging and interventions impacting HPV vaccine uptake MN through interviews with clinicians key stakeholders.We conducted semi-structured participant providers stakeholders involved efforts between 2018 2019. Provider interview questions focused on around clinic-based strategies impact uptake....
Background: The burden of infertility is serious for women in high-fertility countries.Objectives: We sought to identify demographic, behavioral/environmental, and reproductive risk factors various (i.e., ovarian, tubal, uterine/cervical, male/other) among seeking treatment central Tanzania; determine the association between pelvic inflammatory disease (PID) tubal factor (TFI); barriers by women’s home regional zone.Methods: conducted a cross-sectional survey Dodoma, Tanzania from...
Internal migration's effect on family planning behavior depends upon migration circumstances. While many studies describe instability and displacement's access, fewer consider the positive association between internal behavior. Using Performance Monitoring for Action (PMA) survey data, we examine relationship unmet need in Ethiopia from 2017-2018. We determinants of by migrant status model using multilevel logistic regression. migrants studied tend to be more educated wealthier have less...
Background Although the human papillomavirus (HPV) vaccine has been approved for use in adolescents US over a decade, vaccination uptake remains low. Of concern, HPV coverage is below national average Minnesota, USA. To understand reach of current programming and research, we an online media scan; this method may be applied to other jurisdictions gain insight about various public health issues. Design Methods This scan describes nature scope ongoing activities increase Minnesota. The...
Expedited partner therapy (EPT) refers to the practice of having patients diagnosed with chlamydia or gonorrhea deliver medication directly their partner(s) treat them presumptively for infection. Although EPT facilitates timely treatment and prevents reinfection, it remains underused. We used findings from key informant interviews design implement a statewide survey estimate knowledge utilization identify barriers facilitators among Minnesota providers.From November December 2020, we...
The Chicago Department of Public Health tested wastewater samples for the presence Monkeypox Virus (MPXV) from March 13 through June 26, 2023. There were persistent detections prior to reported cases. This indicated baseline levels MPXV prevalence might warrant routine monitoring. Detections in areas without corresponding clinical cases highlight where are being under-reported by traditional surveillance.
Drug-resistant shigellosis is increasing, particularly among men who have sex with (MSM). During July-October 2022, an extended-spectrum beta-lactamase producing Shigella sonnei cluster of 9 patients was identified in Chicago, whom 8 were MSM and 6 festival attendees. The also included 4 domestic travelers to Chicago. Sexual health care for should include diagnosis prevention.
Human papillomavirus (HPV) vaccination coverage in the United States is far below for other routine adolescent vaccines. We examined whether missed opportunities HPV among adolescents differ by parental nativity (country of origin) Minnesota.We retrospectively analyzed birth record and immunization information data Minnesota born during 2004-2007 using from January 1, 2015, through December 31, 2018. Using logistic regression, we assessed association between vaccine initiation, or receipt...
To define pregnancy episodes and estimate gestational aging within electronic health record (EHR) data from the National COVID Cohort Collaborative (N3C).
Objective(s): To understand the association between children's anthropometric measures and maternal HIV status in Zimbabwe to determine whether these relationships changed over time. Design: Data from Demographic Health Surveys rounds 2005, 2010, 2015 were used conduct cross-sectional analyses of child (stunting, underweight, wasting). Methods: Using separate logistic regression models for each measures, we estimated adjusted prevalence odds ratio (OR) stunting, wasting children according...