- Disaster Response and Management
- Viral Infections and Outbreaks Research
- Disaster Management and Resilience
- Public Health Policies and Education
- Climate Change and Health Impacts
- Influenza Virus Research Studies
- Risk Perception and Management
- Infant Development and Preterm Care
- Data-Driven Disease Surveillance
- SARS-CoV-2 and COVID-19 Research
- Cleft Lip and Palate Research
- Food Security and Health in Diverse Populations
- Forensic Toxicology and Drug Analysis
- Effects and risks of endocrine disrupting chemicals
- Blood disorders and treatments
- Ecosystem dynamics and resilience
- Plant Toxicity and Pharmacological Properties
- Educational Practices and Challenges
- Injury Epidemiology and Prevention
- Agriculture and Farm Safety
- Flood Risk Assessment and Management
- COVID-19 epidemiological studies
- Language Development and Disorders
- Breastfeeding Practices and Influences
- African history and culture analysis
Office of Readiness and Response
2013-2024
Centers for Disease Control and Prevention
2012-2024
Computer Emergency Response Team
2023
United States Public Health Service
2020-2021
Fisher College
2021
United States Public Health Service Commissioned Officers Association
2019
National Center for Immunization and Respiratory Diseases
2017-2018
Epidemic Intelligence Service
2013-2018
United States Department of Health and Human Services
2015
Nashua School District
2013
Polycystic Ovary Syndrome (PCOS) is an endocrine-metabolic disorder that affects approximately 6-10% of women child-bearing age. Although preliminary studies suggest certain pollutants may act as endocrine disruptors in animals, little known about their potential association with PCOS. The objective this case-control pilot study to determine whether PCOS have higher concentrations specific environmental contaminants compared who not developed Fifty-two case-patients (diagnosed using the...
An illness was categorized as one compatible with COVID-19 if symptoms met the Council of State and Territorial Epidemiologists (CSTE) clinical criteria in case definition, including 1) cough, shortness breath, or difficulty breathing 2) two more other (fever [measured subjective], chills, rigors, myalgia, headache, sore throat, new olfactory taste disorders).https://cdn.ymaws.com/www.cste.org/resource/resmgr/2020ps/interim-20id-01_covid-19.pdf.reported here does not represent seroprevalence...
As of January 20, 2023, >90% circulating SARS-CoV-2 variants in the United States, specifically Omicron BQ.1, BQ.1.1, XBB, and XBB.1.5 sublineages, are unlikely to be susceptible combined monoclonal antibodies, tixagevimab cilgavimab (Evusheld) used for preexposure prophylaxis against infection (1). The Food Drug Administration announced on 26, that Evusheld is not currently authorized States (2). It important persons who moderately severely immunocompromised,* those might have an inadequate...
Our objective was to inform state and community interventions focused on increasing household preparedness by examining the association between self-reported possession of disaster items (ie, a 3-day supply food water, written evacuation plan, working radio flashlight) perceptions 3-point scale from "well prepared" "not at all prepared." Data were analyzed 14 states participating in large state-based telephone survey: 2006-2010 Behavioral Risk Factor Surveillance System (BRFSS) (n =...
Previous oil spills and disasters from other human-made events have shown that mental health effects to the affected population are widespread can be significant.There has been concern regarding likelihood existing public surveillance was not capturing by Gulf Coast spill. The objectives of this study were assess needs coastal communities in states Alabama Mississippi following Deepwater Horizon spill.A cluster sampling methodology used status residents three counties four months 2010 spill,...
Objectives. To evaluate the Public Health Emergency Preparedness (PHEP) program’s progress toward meeting public health preparedness capability standards in state, local, and territorial departments. Methods. All 62 PHEP awardees completed Centers for Disease Control Prevention’s self-administered Impact Assessment as part of program review measuring before September 11, 2001 (9/11), 2014. We collected additional self-reported self-assessments from 2016. analyzed trends congressional funding...
Abstract Background On April 20, 2010, the Deepwater Horizon drilling unit exploded off coast of Louisiana, resulting in 11 deaths and largest marine petroleum release history. Previous oil spill disasters have been associated with negative mental health outcomes affected communities. In response to requests from Mississippi Alabama, potential issues this event were identified by implementing a novel use Community Assessment for Public Health Emergency Response (CASPER) months immediately...
We describe the demographics of decedents from tornado outbreak in Alabama on April 27, 2011; examine circumstances death surrounding these fatalities; and identify measures to prevent future tornado-related fatalities.We collected information about certificates, disaster-related mortality surveillance, interview data by American Red Cross volunteers decedent's families. demographic characteristics, causes death, sheltering behaviors before death.Of 247 fatalities, females older adults were...
Statewide birth certificate and preschool exceptionality records were integrated to identify risk factors for developmental delay (DD). Epidemiological methods used investigate both individual-level population-level DD associated with a number of child maternal factors. Infants born very low weight at the greatest DD, whereas prematurity (gestational age less than 37 weeks) education posed risk. For comparative purposes, speech disability other disabilities was also determined. The nearly...
An 8.3 magnitude earthquake followed by tsunami waves devastated American Samoa on September 29, 2009, resulting in widespread loss of property and public services. initial a follow-up Community Needs Assessment for Public Health Emergency Response (CASPER) objectively quantified disaster-affected population needs.Using 2-stage cluster sampling method CASPER, household questionnaire eliciting information about medical basic needs, illnesses, injuries was administered. To assess response...
The United States Public Health Service Substance Abuse and Mental Services Administration is alerting medical professionals that a substantial percentage of cocaine imported into the adulterated with levamisole, veterinary pharmaceutical can cause blood cell disorders such as severe neutropenia agranulocytosis. Levamisole HCl active ingredient in number drugs approved to treat worm infestations animals. was also human drug for oral administration on June 18, 1990, adjuvant treatment...
On January 13, 2018, at 8:07 a.m. Hawaii Standard Time, an errant emergency alert was sent to persons in Hawaii. An employee the Emergency Management Agency (EMA) via Wireless Alert (WEA) system and System (EAS) during a ballistic missile preparedness drill, advising seek shelter from incoming missile. WEA delivers location-based warnings wireless carrier systems, EAS sends alerts television radio (1). After 38 minutes, 8:45 a.m., EMA retracted (2). To understand impact of alert, social...
The Centers for Disease Control and Prevention (CDC) responds to public health emergencies at various levels within its organization. Overtime, CDC’s response capabilities have matured across the organization due years of emergency management investment experience agency. In 2019, CDC began implement Graduated Response Framework formalize an approach managing that recognizes meets evolving needs country. This brief report summarizes structure, how escalates de-escalates according resource complexity.
Developmental epidemiological methods were used to identify risk factors for speech impairment (SI), specific language (SLI), and combined (CSLI) in a statewide sample of preschool-age children. Level was determined by comparing the rate occurrence between 12,799 children with SI, SLI, or CSLI comparison group 946,177 Multiple birth, presence newborn condition, congenital abnormality, maternal age greater than 35 years, medical history factor associated increased CSLI. Prematurity very low...
Educational outcomes were evaluated for 2,046 preschool children identified with developmental delay. Results indicated that at third grade, 26% in regular education and the remaining 74% receiving special services. The most common disability classifications outcome specific learning disabilities educable mentally handicaps. Regular education, but not had higher retention rates than did general population. presence of one or more secondary exceptionalities was children. differ on other...
Emergence of a novel infectious disease, such as pandemic influenza, is the one global crisis most likely to affect greatest number people worldwide. Because potentially severe and contagious nature rapid multifaceted response, which includes nonpharmaceutical interventions (NPIs) effective strategies for communication with public are essential timely response mitigating spread disease. A web-based questionnaire was administered via email in July 2015 62 Public Health Emergency Preparedness...
Dangerously cold weather threatens life and property. During periods of extreme due to wind chill, the National Weather Service (NWS) issues chill warnings prompt public take action mitigate risks. Wind are based on ambient temperatures speeds. Since 2010, NWS has piloted a new warning issued for in nonwind conditions. The North Dakota Department Health, NWS, Centers Disease Control Prevention collaborated conducting household surveys Burleigh County, Dakota, evaluate this warning....
Objectives. To assess how US Public Health Emergency Preparedness (PHEP) awardees plan to respond an influenza pandemic with vaccination. Methods. The Centers for Disease Control and Prevention developed the Pandemic Influenza Readiness Assessment, online survey sent PHEP directors, analyze, in part, readiness of vaccinate 80% populations their jurisdictions 2 doses vaccine, separated by 21 days, within 16 weeks vaccine availability. Results. Thirty-eight 60 (63.3%) reported being able...