Cara C. Burns

ORCID: 0000-0003-2582-2476
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About
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Research Areas
  • Viral Infections and Immunology Research
  • Viral gastroenteritis research and epidemiology
  • Respiratory viral infections research
  • Animal Disease Management and Epidemiology
  • SARS-CoV-2 and COVID-19 Research
  • RNA and protein synthesis mechanisms
  • Plant Virus Research Studies
  • Animal Virus Infections Studies
  • Immunodeficiency and Autoimmune Disorders
  • Whipple's Disease and Interleukins
  • Virus-based gene therapy research
  • Bacteriophages and microbial interactions
  • HIV Research and Treatment
  • Celiac Disease Research and Management
  • Virology and Viral Diseases
  • Hepatitis B Virus Studies
  • Cardiomyopathy and Myosin Studies
  • Immune Cell Function and Interaction
  • Viral Infectious Diseases and Gene Expression in Insects
  • Polyomavirus and related diseases
  • Nerve injury and regeneration
  • Pain Mechanisms and Treatments
  • Neuropeptides and Animal Physiology
  • Pneumonia and Respiratory Infections
  • T-cell and Retrovirus Studies

Des Moines University
2025

Centers for Disease Control and Prevention
2015-2024

National Center for Immunization and Respiratory Diseases
2015-2024

United States Department of Health and Human Services
2023

Center for Global Health
2023

Center for Surveillance, Epidemiology, and Laboratory Services
2020-2021

AID Atlanta
2020

National Center for Infectious Diseases
2002-2014

Hyattsville Community Development Corporation
2014

Kenya Medical Research Institute
2013

In March 2003, a novel coronavirus (SARS-CoV) was discovered in association with cases of severe acute respiratorysyndrome (SARS). The sequence the complete genome SARS-CoV determined, and initial characterization viral is presented this report. 29,727 nucleotides length has 11 open reading frames, its organization similar to that other coronaviruses. Phylogenetic analyses comparisons showed not closelyrelated anyof previouslycharacterized

10.1126/science.1085952 article EN Science 2003-05-06

An outbreak of paralytic poliomyelitis occurred in the Dominican Republic (13 confirmed cases) and Haiti (8 cases, including 2 fatal during 2000-2001. All but one patients were either unvaccinated or incompletely vaccinated children, cases communities with very low (7 to 40%) rates coverage oral poliovirus vaccine (OPV). The was associated circulation a derivative type 1 OPV strain, probably originating from single dose given 1998-1999. vaccine-derived had biological properties...

10.1126/science.1068284 article EN Science 2002-04-12
Ruth Link-Gelles Emily Lutterloh Patricia Schnabel Ruppert P. Bryon Backenson Kirsten St. George and 91 more Eli S. Rosenberg Bridget J. Anderson Meghan Fuschino Michael Popowich Chitra Punjabi Maria Júlia Silveira Souto Kevin McKay Samuel Rulli Tabassum Z. Insaf Dustin Hill Jessica Kumar Irina Gelman Jaume Jorba Terry Fei Fan Ng Nancy Gerloff Nina B. Masters Adriana Lopez Kathleen Dooling Shannon Stokley Sarah Kidd M. Steven Oberste Janell Routh Hanen Belgasmi Barrett Brister James E. Bullows Cara C. Burns Christina J. Castro Janine Cory Naomi Dybdahl-Sissoko Brian Emery Randall English Ann D. Frolov Halle Getachew Elizabeth Henderson Alexandra Hess Karen Mason Jeffrey W. Mercante Stacey Jeffries Miles Hongmei Liu Rachel L. Marine Nehalraza Momin Hong Pang Daniel B. Perry Shannon Rogers Brandon Short Hong Sun Farrell Tobolowsky Eileen Yee Scott Hughes Enoma Omoregie Jennifer B. Rosen Jane R. Zucker Mohammed Alazawi Ursula Bauer Alex Godinez Brianna Hanson Eugene Heslin James McDonald Neida K. Mita-Mendoza Megan Meldrum Dana Neigel Robin Suitor David A. Larsen Christina Egan Nicola Faraci G. Stephanie Feumba Todd Gray Daryl Lamson Jennifer Laplante Kathleen McDonough Natalie Migliore Amruta Moghe Simon Ogbamikael Jonathan Plitnick Rama Ramani Lindsey Rickerman Erik Rist Lynsey Schoultz Matthew Shudt Julie Krauchuk Eric Medina Jacqueline Lawler Heather Boss Emanuele Barca Danish Ghazali Tarini Goyal Sean J.P. Marinelli Jackson A. Roberts Grace B. Russo Kiran T. Thakur Vivian Q. Yang

the New York State Department of Health (NYSDOH) notified CDC detection poliovirus type 2 in stool specimens from an unvaccinated immunocompetent young adult Rockland County, York, who was experiencing acute flaccid weakness.The patient initially experienced fever, neck stiffness, gastrointestinal symptoms, and limb hospitalized with possible myelitis (AFM).Vaccine-derived (VDPV2) detected obtained on days 11 12 after initial symptom onset.To date, related Sabin-like polioviruses have been...

10.15585/mmwr.mm7133e2 article EN MMWR Morbidity and Mortality Weekly Report 2022-08-16

Abstract Vaccination with Sabin, a live attenuated oral polio vaccine (OPV), results in robust intestinal and humoral immunity has been key to controlling poliomyelitis. As any RNA virus, OPV evolves rapidly lose attenuating determinants critical the reacquisition of virulence 1–3 resulting vaccine-derived, virulent poliovirus variants. Circulation these variants within underimmunized populations leads further evolution circulating, vaccine-derived higher transmission capacity, representing...

10.1038/s41586-023-06212-3 article EN cc-by Nature 2023-06-14

In 1988, poliomyelitis (polio) was targeted for eradication.Global efforts have led to the eradication of two three wild poliovirus (WPV) serotypes (types 2 and 3), with only WPV type 1 (WPV1) remaining endemic, in Afghanistan Pakistan.This report describes global polio immunization, surveillance activities, epidemiology during January 2022-December 2023, using data current as April 10, 2024.In Pakistan identified 12 total WPV1 cases, compared 22 2022.WPV1 transmission detected through...

10.15585/mmwr.mm7319a4 article EN MMWR Morbidity and Mortality Weekly Report 2024-05-16

We replaced degenerate codons for nine amino acids within the capsid region of Sabin type 2 oral poliovirus vaccine strain with corresponding nonpreferred synonymous codons. Codon replacements were introduced into four contiguous intervals spanning 97% region. In most highly modified virus construct, effective number used (N(C)) fell from 56.2 to 29.8, CG dinucleotides rose 97 302, and G+C content increased 48.4% 56.4%. Replicative fitness in HeLa cells, measured by plaque areas yields...

10.1128/jvi.80.7.3259-3272.2006 article EN Journal of Virology 2006-03-14

ABSTRACT Replicative fitness of poliovirus can be modulated systematically by replacement preferred capsid region codons with synonymous unpreferred codons. To determine the key genetic contributors to reduction, we introduced different sets into coding an infectious clone derived from type 2 prototype strain MEF-1. in HeLa cells, measured plaque areas and virus yields single-step growth experiments, decreased sharply increased frequencies dinucleotides CpG (suppressed higher eukaryotes most...

10.1128/jvi.00508-09 article EN Journal of Virology 2009-07-16

ABSTRACT Since 2005, a large poliomyelitis outbreak associated with type 2 circulating vaccine-derived poliovirus (cVDPV2) has occurred in northern Nigeria, where immunization coverage trivalent oral vaccine (tOPV) been low. Phylogenetic analysis of P1/capsid region sequences isolates from each the 403 cases reported 2005 to 2011 resolved into 23 independent (VDPV2) emergences, at least 7 which established lineage groups. Virus one emergence (lineage group 2005-8; 361 isolates) was estimated...

10.1128/jvi.02954-12 article EN Journal of Virology 2013-02-14

Since the Global Polio Eradication Initiative was launched in 1988 (1), number of polio cases worldwide has declined by >99.99%. Among three wild poliovirus (WPV) serotypes, only type 1 (WPV1) been detected since 2012. This decline is attributable primarily to use live, attenuated oral vaccine (OPV) national routine immunization schedules and mass vaccination campaigns. The success safety record OPV offset rare emergence genetically divergent vaccine-derived polioviruses (VDPVs), whose...

10.15585/mmwr.mm6742a5 article EN MMWR Morbidity and Mortality Weekly Report 2018-10-25

Use of oral live-attenuated polio vaccines (OPV), and injected inactivated (IPV) has almost achieved global eradication wild viruses. To address the goals achieving maintaining minimising risk outbreaks vaccine-derived polioviruses, we tested novel monovalent type-2 poliovirus (OPV2) vaccine candidates that are genetically more stable than existing OPVs, with a lower reversion to neurovirulence. Our study represents first in-human testing these two OPV2 candidates. We aimed evaluate safety...

10.1016/s0140-6736(19)31279-6 article EN cc-by The Lancet 2019-06-04

Wild poliovirus has remained endemic in northern Nigeria because of low coverage achieved the routine immunization program and supplementary activities (SIAs). An outbreak infection involving 315 cases type 2 circulating vaccine-derived (cVDPV2; >1% divergent from Sabin 2) occurred during July 2005-June 2010, a period when 23 34 SIAs used monovalent or bivalent oral vaccine (OPV) lacking 2. In addition, 21 "pre-VDPV2" (0.5%-1.0% divergent) this period. Both cVDPV pre-VDPV were clinically...

10.1093/infdis/jiq140 article EN The Journal of Infectious Diseases 2011-03-14

The live, attenuated oral poliovirus vaccine (OPV) provides a powerful tool for controlling and stopping the transmission of wild polioviruses (WPVs), although risks vaccine‐associated paralytic polio (VAPP) circulating vaccine‐derived (cVDPV) outbreaks exist as long OPV remains in use. Understanding dynamics cVDPV emergence function population immunity other risk factors may help to improve management development strategies respond possible outbreaks. We performed comprehensive review...

10.1111/risa.12022 article EN Risk Analysis 2013-03-07

Abstract Enormous progress has been made in global efforts to eradicate poliovirus, using live-attenuated Sabin oral poliovirus vaccine (OPV). However, as the incidence of disease due wild declined, vaccine-derived (VDPV) emerged areas low-vaccine coverage. Coordinated cessation routine, type 2 OPV (OPV2) use not resulted fewer VDPV outbreaks, and continued outbreak-response campaigns seeded new emergences low-coverage areas. The limitations existing vaccines current eradication challenges...

10.1038/s41541-020-0176-7 article EN cc-by npj Vaccines 2020-03-20

Circulating vaccine-derived polioviruses (cVDPVs) can emerge in areas with low poliovirus immunity and cause outbreaks* of paralytic polio (1-5). Among the three types wild poliovirus, type 2 was declared eradicated 2015 (1,2). The use trivalent oral vaccine (tOPV; 1, 2, 3 Sabin strains) ceased April 2016 via a 1-month-long, global synchronized switch to bivalent OPV (bOPV; 1 immunization activities (1-4). Monovalent (mOPV2; strain) is available for cVDPV (cVDPV2) outbreak response number...

10.15585/mmwr.mm6916a1 article EN MMWR Morbidity and Mortality Weekly Report 2020-04-23

Certification of global eradication indigenous wild poliovirus type 2 occurred in 2015 and 3 2019. Since the launch Global Polio Eradication Initiative (GPEI) 1988 broad use live, attenuated oral vaccine (OPV), number cases has declined >99.99% (1). Genetically divergent vaccine-derived poliovirus* (VDPV) strains can emerge during spread underimmunized populations, becoming circulating VDPV (cVDPV) strains, resulting outbreaks paralytic poliomyelitis.† In April 2016, all polio vaccination...

10.15585/mmwr.mm6845a4 article EN MMWR Morbidity and Mortality Weekly Report 2019-11-14

Since the Global Polio Eradication Initiative (GPEI) was established in 1988, two of three wild poliovirus (WPV) serotypes (types 2 and 3) have been eradicated.* Transmission WPV type 1 (WPV1) remains uninterrupted only Afghanistan Pakistan. This report summarizes progress toward global polio eradication during January 1, 2018-March 31, 2020 updates previous reports (1,2). In 2019, Pakistan reported highest number WPV1 cases (176) since 2014. During 1-March (as June 19), 54 were reported, an...

10.15585/mmwr.mm6925a4 article EN MMWR Morbidity and Mortality Weekly Report 2020-06-25
A. Blythe Ryerson Daniel J. Lang Mohammed Alazawi Milagros Neyra Dustin Hill and 95 more Kirsten St. George Meghan Fuschino Emily Lutterloh Bryon Backenson Samuel Rulli Patricia Schnabel Ruppert Jacqueline Lawler Nancy McGraw Andrew Knecht Irina Gelman Jane R. Zucker Enoma Omoregie Sarah Kidd David E. Sugerman Jaume Jorba Nancy Gerloff Terry Fei Fan Ng Adriana Lopez Nina B. Masters Jessica Leung Cara C. Burns Janell Routh Stephanie R. Bialek M. Steven Oberste Eli S. Rosenberg Bridget J. Anderson Noelle Anderson Jed A. Augustine Megan E. Baldwin Kelly M. Schiabor Barrett Ursula Bauer Andrew Beck Hanen Belgasmi Lydia J. Bennett Achal Bhatt Debra Blog Heather Boss Isaac Ravi Brenner Barrett Brister Travis Wayne Brown Tavora Buchman James E. Bullows Kara Connelly Blaise Cassano Christina J. Castro Cynthia Cirillo G. Cone Janine Cory Amina Dasin Adina de Coteau Anny DeSimone Francoise Chauvin Cynthia Dixey Kathleen Dooling Shawn Doss Christopher Duggar Christopher N. Dunham Delia Easton Christina Egan Brian Emery Randall English Nicola Faraci Hannah E. Fast G. Stephanie Feumba N. W. Fischer Stephen A. Flores Ann D. Frolov Halle Getachew Brittany Gianetti Alejandro Godinez Todd Gray William J. Gregg Christina Gulotta Sarah Hamid Tiffany Hammette Rafael Harpaz Lia Haynes Smith Brianna Hanson Elizabeth Henderson Eugene Heslin Alexandra Hess Dina Hoefer Jonathan Hoffman Lyndsey Hoyt Scott Hughes Anna R. Hutcheson Tabassum Z. Insaf Christopher Ionta Stacey Jeffries Miles Anita Kambhampati Haley R. Kappus-Kron Genevieve N. Keys Michael Kharfen Gimin Kim Jenna Knox

§ A VDPV is a strain related to the attenuated live poliovirus contained in OPV.VDPV2s are OPV virus strains that >0.6%divergent (or at least six nucleotide changes) from OPV2 complete VP1 genomic region.https://polioeradication.org/wp-content/uploads/2016/09/ Reporting-and-Classification-of-VDPVs_Aug2016_EN.pdf ¶ The term PV2, referring all serotype 2 polioviruses, used throughout report indicate either confirmed VDPV2 or type Sabin-like genetically Rockland County patient.A one of Sabin...

10.15585/mmwr.mm7144e2 article EN MMWR Morbidity and Mortality Weekly Report 2022-10-28

In 1988, the World Health Assembly established Global Polio Eradication Initiative (GPEI). Since then, wild poliovirus (WPV) cases have decreased approximately 99.99%, and WPV types 2 3 been declared eradicated. Only Afghanistan Pakistan never interrupted type 1 (WPV1) transmission. This report describes global progress toward polio eradication during January 1, 2020-April 30, 2022, updates previous reports (1,2). activity was reviewed by CDC conducted consistent with applicable federal law...

10.15585/mmwr.mm7119a2 article EN MMWR Morbidity and Mortality Weekly Report 2022-05-12

Since the World Health Assembly established Global Polio Eradication Initiative (GPEI) in 1988, two of three wild poliovirus (WPV) serotypes (types 2 and 3) have been eradicated, global WPV cases decreased by more than 99.9%. Afghanistan Pakistan remain only countries where indigenous type 1 (WPV1) transmission has not interrupted. This report summarizes progress toward polio eradication during January 1, 2021-March 31, 2023, updates previous reports (1,2). In 2022, reported 22 WPV1 cases,...

10.15585/mmwr.mm7219a3 article EN MMWR Morbidity and Mortality Weekly Report 2023-05-11

Circulating vaccine-derived poliovirus (cVDPV) outbreaks* can occur when oral vaccine (OPV, containing one or more Sabin-strain serotypes 1, 2, and 3) strains undergo prolonged circulation in under-vaccinated populations, resulting genetically reverted neurovirulent virus (1,2). Following declaration of the eradication wild type 2 2015 global synchronized switch from trivalent OPV (tOPV, types to bivalent (bOPV, 1 3 only) for routine immunization activities† April 2016 (3), cVDPV (cVDPV2)...

10.15585/mmwr.mm7214a3 article EN MMWR Morbidity and Mortality Weekly Report 2023-04-06

Circulating vaccine-derived polioviruses (cVDPVs) can emerge and lead to outbreaks of paralytic polio as well asymptomatic transmission in communities with a high percentage undervaccinated children. Using data from the World Health Organization Polio Information System Global Laboratory Network, this report describes global due cVDPVs during January 2023-June 2024 updates previous reports. During reporting period, 74 cVDPV were detected 39 countries or areas (countries), predominantly...

10.15585/mmwr.mm7341a1 article EN MMWR Morbidity and Mortality Weekly Report 2024-10-17

A 44-year-old woman with long-standing common variable immunodeficiency who was receiving intravenous immune globulin suddenly had paralysis of all four limbs and the respiratory muscles, resulting in death. Type 2 vaccine-derived poliovirus isolated from stool. The viral capsid protein VP1 region diverged vaccine strain at 12.3% nucleotide positions, two attenuating substitutions reverted to wild-type sequence. Infection probably occurred 11.9 years earlier (95% confidence interval [CI],...

10.1056/nejmoa1008677 article EN New England Journal of Medicine 2011-06-15

Poliovirus vaccine coverage in Israel is over 90%. The last nine birth cohorts have been vaccinated exclusively with inactivated polio (IPV). However, between February and July 2013 type 1 wild poliovirus (WPV1) was detected persistently 10 intermittently 8 of 47 environmental surveillance sites southern central 30 stool samples collected during from healthy individuals Israel. We report results sequence phylogenetic analyses genes encoding capsid proteins to determine the source...

10.2807/1560-7917.es2014.19.7.20709 article EN cc-by Eurosurveillance 2014-02-20
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