A5009485509- HIV/AIDS Research and Interventions
- HIV, Drug Use, Sexual Risk
- Migration, Health and Trauma
- Adolescent Sexual and Reproductive Health
- Sex work and related issues
- Syphilis Diagnosis and Treatment
- Reproductive tract infections research
- HIV Research and Treatment
- Hepatitis C virus research
- Vaccine Coverage and Hesitancy
- Tuberculosis Research and Epidemiology
- Global Health Workforce Issues
- Food Security and Health in Diverse Populations
- Pneumocystis jirovecii pneumonia detection and treatment
- Hepatitis B Virus Studies
- Public Health and Social Inequalities
- Respiratory viral infections research
- SARS-CoV-2 and COVID-19 Research
- Infectious Diseases and Tuberculosis
- Opioid Use Disorder Treatment
- Racial and Ethnic Identity Research
- Venezuelan Migration and Society
- Health Policy Implementation Science
- Mental Health Treatment and Access
- Substance Abuse Treatment and Outcomes
Johns Hopkins University
2016-2025
Johns Hopkins Medicine
2016-2025
Baltimore City Health Department
2014-2024
Bloomberg (United States)
2024
Pontificia Universidad Católica de Valparaíso
2022-2023
Rutgers, The State University of New Jersey
2023
University of Chicago
2023
Office of Infectious Diseases
2021-2023
Martinez VA Medical Center
2022
Community Partners
2022
Background— Chronic thromboembolic pulmonary hypertension results from incomplete resolution of emboli. Pulmonary endarterectomy (PEA) is potentially curative, but residual following surgery common and its impact on long-term outcome poorly understood. We wanted to identify factors correlated with poor after specifically define clinically relevant post-PEA. Methods Results— Eight hundred eighty consecutive patients (mean age, 57 years) underwent PEA for chronic hypertension. Patients...
Undocumented U.S. Immigrants and Covid-19 Years of anti-immigrant policies rhetoric will be difficult to reverse, but it’s essential that the Trump administration address needs undocumen...
Health inequities have long defined health and the healthcare system in USA. The clinical research capacity across USA is unparalleled, yet compared to other high even some middle-income countries, average indicators of population remain suboptimal 2020, a finding at least part explained by inequity access. In this context, COVID-19 has rapidly emerged as major threat public's health. While it was initially thought that severe acute respiratory syndrome coronavirus 2 would be great equaliser...
Ukachi N. Emeruwa, MD, MPH; Samsiya Ona, MD; Jeffrey L. Shaman, PhD; Amy Turitz, Jason D. Wright, Cynthia Gyamfi-Bannerman, MSc; Alexander Melamed, MPH
Migrant and refugee women adolescents are extremely vulnerable in humanitarian crisis armed conflict contexts. The Venezuelan has unleashed the largest exodus of migrants/refugees recent Latin American history, most whom have relocated to Colombia. There is a scarcity research addressing how adverse traumatic experiences related violence presents mental health amidst Venezuelan-Colombian context it affects communities relocation communities. This study sought explore pre-, during...
<h3>Background</h3> Treatment of latent tuberculosis infection (LTBI) is an important aspect control in the United States, but effectiveness this strategy compromised by poor adherence to recommended 9-month isoniazid regimen. In study, we compared treatment completion and clinically recognized adverse drug reactions patients prescribed 9 months therapy or 4 rifampin for LTBI. <h3>Methods</h3> Retrospective chart review who received LTBI at a public health clinic. <h3>Results</h3> A total...
Executive Summary Venezuela’s economic crisis has triggered mass migration; more than 3.4 million Venezuelans have fled to other countries in the region and beyond. An assessment mission Cúcuta, Colombian border state of North Santander, was undertaken from July 26 August 1, 2018, Bôa Vista Pacaraima, Roraima, Brazil, between 24 28, 2018. Interviews were conducted with key informants, including health providers organizations engaged humanitarian response. Secondary analysis gray literature...
Lessons We’ve Learned In Baltimore, Covid-19 spread rapidly in the immigrant Latinx community. Transmission was fueled by poverty and economic necessity, precarious housing arrangements fea...
The Centers for Disease Control and Prevention recommends pharyngeal screening of Neisseria gonorrhoeae (GC) rectal GC Chlamydia trachomatis (CT) in HIV-infected at-risk men who have sex with (MSM). There are currently no recommendations to routinely screen women at extragenital sites. We define the prevalence CT attending 2 urban sexually transmitted disease clinics Baltimore City compare it infections MSM women.All patients reported exposures preceding 3 months, presented care between June...
Because of common barriers to care, many undocumented immigrants and their families go without needed detriment sometimes that others. Trump administration comments actions will most likely further dampen health care utilization.
Study objectives The marginalisation of undocumented migrants raises concerns about equitable access to COVID-19 vaccination. This study aims describe migrants’ hesitancy the vaccination during early phase campaign. Setting multicentric cross-sectional survey was conducted in health facilities providing care USA, Switzerland, Italy and France February–May 2021. Participants Eligibility criteria included age >16 years, being foreign origin living without valid residency permit country...
Abstract Background Sixty-eight percent of the nearly 3.5 million people living with hepatitis C virus (HCV) in United States are who inject drugs (PWID). Despite effective treatments, uptake remains low PWID. We examined social determinants health (SDoH) that affect HCV care cascade. Methods conducted a secondary analysis data from 720 PWID cluster-randomized trial. recruited 12 drug-affected areas Baltimore. Inclusion criteria were injection prior month or needle sharing past 6 months....
To describe diversity programs for racial and ethnic minority faculty in U.S. medical schools identify characteristics associated with higher diversity.The authors conducted a cross-sectional survey study of leaders at 106 MD-granting 2010. Main outcome measures included African American Latino representation, correlations to program characteristics, student state demographics.Responses were obtained from 82 the institutions (77.4%). The majority respondents deans, associate assistant deans...
Summary Testing and linkage to care are important determinants of hepatitis C virus ( HCV ) treatment effectiveness. Public health clinics serve populations at high risk . We investigated their potential as sites for testing, initiation care. Cross‐sectional study patients accessing sexually transmitted infection STI the Baltimore City Health Department BCHD clinics, from June 2013 through April 2014 was conducted. Logistic regression used assess factors associated with specialist Between 24...
Colombia hosts a large number of Venezuelan migrants and refugees who are uniquely vulnerable have been markedly impacted by the COVID-19 pandemic. It is necessary to understand their experiences inform future policy decisions both in during disease outbreaks other humanitarian contexts future. As part larger study focused on HIV among Venezuelans residing Colombia, qualitative interviews were conducted this population's access healthcare.
To address disparities in COVID-19 outcomes among Latinos with limited English proficiency Maryland, our team developed a culturally congruent intervention that coupled statewide social marketing campaign community-based services. In the first year, we reached 305 122 people through media advertisements and had 9607 visitors to Web site. Social campaigns represent an opportunity promote testing vaccine uptake Latino populations, especially when they are paired community services...
Population-based estimates of syphilis prevalence are critical to informing public health response. We aimed measure among Venezuelan refugees and migrants in Colombia inform programming.
Abstract Background and aims People who inject drugs (PWID) are at risk for adverse outcomes across multiple dimensions. While evidence‐based interventions available, services often fragmented difficult to access. We measured the effectiveness of an integrated care van (ICV) that offered PWID. Design, setting participants This was a cluster‐randomized trial, which took place in Baltimore, MD, USA. Prior randomization, we used research recruit PWID cohorts from 12 Baltimore neighborhoods...
To assess how U.S. academic health centers (AHCs) define the term underrepresented minority (URM) and apply it to their diversity programs, following 2003 revision of Association American Medical Colleges' (AAMC's) definition URM.In 2010, authors developed deployed a cross-sectional survey leaders at 106 AHCs. The included questions about leader institution's program; URM definition; application that leader's perceptions representation institutional contribution various ethnic/racial groups....
Introduction People who use drugs (PWUD) face a multitude of barriers to accessing healthcare and other services. Mobile health clinics (MHC) are an innovative, cost-effective care delivery approach that increases access vulnerable populations medically underserved areas. There is limited understanding, however, how PWUD perceive experience MHCs.Methods Semi-structured interviews were conducted with 31 – 16 had received (clients) on MHC (The Spot) 15 not (non-clients) explore their...