A5008671147- HIV/AIDS Research and Interventions
- Adolescent Sexual and Reproductive Health
- Viral Infections and Outbreaks Research
- Reproductive tract infections research
- HIV, Drug Use, Sexual Risk
- Disaster Response and Management
- Syphilis Diagnosis and Treatment
- Pneumocystis jirovecii pneumonia detection and treatment
- HIV Research and Treatment
- Global Maternal and Child Health
- Malaria Research and Control
- Vaccine Coverage and Hesitancy
- HIV/AIDS drug development and treatment
- Data-Driven Disease Surveillance
- Child Nutrition and Water Access
- Food Safety and Hygiene
- Advanced Optical Network Technologies
- HIV/AIDS oral health manifestations
- Antifungal resistance and susceptibility
- Advanced Photonic Communication Systems
- Urinary and Genital Oncology Studies
- Viral Infections and Vectors
- Software-Defined Networks and 5G
- Intimate Partner and Family Violence
- Mosquito-borne diseases and control
Centers for Disease Control and Prevention
1999-2020
Center for Global Health
2017-2019
Ministry of Health and Social Welfare
2016
United Nations
2016
National Institutes of Health
2016
Karolinska Institutet
2016
SUNY New Paltz
2014
AIDS United
2012
Centers for Disease Control and Prevention
2004-2007
National Center for HIV/AIDS Viral Hepatitis STD and TB Prevention
1998-2006
In Brief Background Repeated infection with Chlamydia trachomatis increases the risk for serious sequelae: pelvic inflammatory disease, ectopic pregnancy, infertility, and chronic pain. A substantial proportion of women treated C are reinfected by an untreated male sex partner in first several months after treatment. Effective strategies to ensure treatment needed. Goal The goal study was determine whether repeated infections can be reduced giving doses azithromycin deliver partners. Study...
Summary Objective To evaluate the association between a positive serum cryptococcal antigen (CRAG) test at baseline and mortality during first 12 weeks on antiretroviral therapy (ART). Cryptococcal meningitis is leading cause of HIV‐related in Africa, but current guidelines do not advocate CRAG testing as screening tool. Methods Between May 2003 December 2004, we enrolled HIV‐1 infected individuals into study ART monitoring rural Uganda. was conducted retrospectively stored pre‐ART samples...
Diarrhea is frequent among persons infected with human immunodeficiency virus (HIV) but few interventions are available for people in Africa. We conducted a randomized controlled trial of home-based, safe water intervention on the incidence and severity diarrhea HIV living rural Uganda. Between April 2001 November 2002, households 509 1,521 HIV-negative household members received closed-mouth plastic container, dilute chlorine solution, hygiene education (safe system [SWS]) or simply alone....
Background: In sub-Saharan Africa, most people with HIV do not know they are infected. Methods: We conducted door-to-door home-based testing and counseling (HBTC) in rural western Kenya (Lwak) an informal urban settlement Nairobi (Kibera) 2008. After consent, eligible persons (adults adolescents aged 13 years or older children 12 younger, whose biologic mother was HIV-infected deceased) received parallel fingerstick rapid counseling. Persons newly diagnosed were referred to care services,...
Abstract The severe epidemic of Ebola virus disease in Liberia started March 2014. On May 9, 2015, the World Health Organization declared free Ebola, 42 days after safe burial last known case-patient. However, another 6 cases occurred during June–July; on September 3, country was again Ebola. had by then reported 10,672 and 4,808 deaths, 37.0% 42.6%, respectively, 28,103 11,290 deaths from 3 countries that were heavily affected at time. Essential components response included government...
To better understand the prevalence, incidence, and risk factors for sexually transmitted diseases (STDs) among female adolescents, a prospective 6-month cohort study was conducted at four teen clinics in southeastern city. At enrollment, 260 (40%) of 650 active females ages 14–19 years had an STD: chlamydia, 27%; herpes simplex virus type 2 (HSV-2), 14%; gonorrhea, 6%; trichomoniasis, 3%; hepatitis B, 2%. follow-up, 112 (23%) 501 participants incident infection: 18%; HSV-2, 4%; 3%. either...
Background: The effect of cotrimoxazole prophylaxis taken by persons with HIV on community health and antimicrobial resistance is unknown. Objective: To assess the morbidity, mortality, diarrheal pathogens infecting their HIV-negative family members. Design: Prospective cohort in rural Uganda. Methods: A total 879 2771 members received weekly home-visits. After 5 months, daily households were followed for an average 17 additional months. Findings: During study, 224 participants (25%) 29...
Objective: To compare prevention effectiveness of multisession group counseling with standard HIV for reducing risk behaviors and new sexually transmitted diseases (STDs). Methods: Small groups consenting STD clinic patients were randomized to four 1-hour small interventions based on the information-motivation-behavioral skills (IMB) model a booster session at 2 months or two 20-minute individual sessions. Follow-up interviews examinations 2, 6, 9, 12 after enrollment. Results: From March...
Objective: To implement an HIV prevention intervention among female commercial sex workers (CSW), and to monitor key outcomes using routinely collected clinical laboratory data. Design: Cross-sectional longitudinal analysis of data from open-enrollment cohort. Setting: One public sexually transmitted disease (STD) clinic about 25 brothels in La Paz, Bolivia. Participants: A total 508 CSW who work at attend a STD clinic. Intervention: Improved care, supported by periodic testing, behavioral...
The purpose of this prospective cohort study was to assess the effect cotrimoxazole prophylaxis taken by human immunodeficiency virus (HIV)–infected persons on selection sulfadoxine-pyrimethamine (SP)–resistant malaria parasites among HIV-uninfected household members. A total 2,567 from 605 households were followed and blood specimens collected each time an episode Plasmodium falciparum diagnosed. Study participants living in where HIV-infected either taking (exposed) or not (unexposed)...
Objectives Achieving the Sustainable Development Goals will require data-driven public health action. There are limited publications on national information systems that continuously generate data. Given need to develop these systems, we summarised their current status in low-income and middle-income countries. Setting The survey team jointly developed a questionnaire covering policy, planning, legislation organisation of case reporting, patient monitoring civil registration vital statistics...
To obtain information regarding sexual behavior and related policies in state residential facilities for individuals with mental retardation/developmental disabilities, we sent surveys to 168 members listed the Association of Public Developmental Disabilities Administrators 1998-1999 directory. Response rate was 68.5%. For 46 where 50% or fewer clients had profound retardation, relations between reported occur "sometimes" "often" by 29 (63%). Six 115 (5.2%) administrators at least one client...
The purpose of this study was to develop a method identify persons at high risk for acquiring new sexually transmitted infections.Computerized medical records from disease clinics in Dade County, Florida, were used conduct retrospective cohort study. For all patients who visited 1987, factors identified returning the within year with infection. Predictor variables derived index visit and any visits prior visit. Logistic regression model that applied attended 1989.Of 24,439 attending 18.5%...
Global health security depends on effective surveillance for infectious diseases. In Uganda, resources are inadequate to support collection and reporting of data necessary an responsive system. We used a cross-cutting approach improve laboratory capacity in Uganda by leveraging existing pediatric inpatient malaria sentinel system collect expanded causes illness, facilitate development real-time surveillance, provide antimicrobial resistance. Capacity blood culture was established, along with...
Experimental results are presented from an SDN/NFV testbed with automated, dynamically provisioned, 125 km optical WAN. Live VM migration for NFV video serving is demonstrated, along Layer 0-3 orchestration using Open Daylight, OpenFlow, and DOVE.
During the second half of 1980s, Miami had a syphilis epidemic while gonorrhea rates decreased. To determine whether direction these trends truly differed within all population subgroups or they resulted from aggregating groups which were similar, records four sexually transmitted disease clinics 1986 to 1990 and census data used compare race-, sex-, age-, zip code-specific groups. Syphilis clustering was similar; 50% cases occurred in same codes, representing 10% population. In groups,...
Objectives. This analysis describes trends in the prevalence of genital chlamydial infection economically disadvantaged young women entering a national job training program. Methods. We examined chlamydia test data for May 1990 through June 1997 aged 16 to 24 years who enrolled The significance was evaluated with χ 2 trend. Results. Prevalence declined 32.9%, from 14.9% 10.0% (P < .001). decreased significantly all age groups, racial/ethnic and geographic regions. Conclusions. decrease...
Objective To assess trends in the prevalence of HIV infection among voluntary counseling and testing (VCT) clients Uganda to describe utility VCT data for monitoring epidemic 1992–2000. Methods We analyzed routinely collected from first-time not reporting illness as a reason testing. developed model adjusting test site, couple testing, premarital assessed adjusted shifts age-specific peak prevalence, compared antenatal clinic (ANC) surveillance trends. Results Among 201,741 clients, declined...
To evaluate changes in Ebola-related knowledge, attitudes and prevention practices during the Sierra Leone outbreak between 2014 2015.Four cluster surveys were conducted: two before peak (3499 participants) after (7104 participants). We assessed effect of temporal geographical factors on 16 attitude practice outcomes.Fourteen outcomes improved across all regions from to peak. The proportion respondents willing to: (i) welcome Ebola survivors back into community increased 60.0% 89.4%...