A5052853261- Vibrio bacteria research studies
- Child Nutrition and Water Access
- Food Security and Health in Diverse Populations
- HIV/AIDS Research and Interventions
- Influenza Virus Research Studies
- Salmonella and Campylobacter epidemiology
- Vaccine Coverage and Hesitancy
- COVID-19 epidemiological studies
- Global Maternal and Child Health
- SARS-CoV-2 detection and testing
- SARS-CoV-2 and COVID-19 Research
- Global Public Health Policies and Epidemiology
- Escherichia coli research studies
- Aquaculture disease management and microbiota
- Poverty, Education, and Child Welfare
- Biosensors and Analytical Detection
- HIV Research and Treatment
- Viral Infections and Outbreaks Research
- Cassava research and cyanide
- Global Health and Surgery
- Food Safety and Hygiene
- Viral gastroenteritis research and epidemiology
- HIV/AIDS Impact and Responses
- Disaster Response and Management
- Health and Conflict Studies
Harvard University
2016-2025
Center for Global Health
2017-2025
Massachusetts General Hospital
2006-2025
Harvard Global Health Institute
2014-2024
Boston University
2011-2024
Brigham and Women's Hospital
2012-2023
Harvard University Press
2023
Partners In Health
2010-2019
Cornell University
2016
The University of Sydney
2014
The world's wealthiest countries have been gripped by resource shortages, including shortages of personal protective equipment (PPE) and ventilators, during the coronavirus disease 2019 (COVID-19) pandemic [1,2].In order to guarantee these resources for their own nation's health workers, governments around world are bargaining share in a strangled global supply chain.For example, such as Taiwan, Thailand, Russia, Germany, Czech Republic, Kenya blocked export all face masks [3].There...
Since 2002, the HIV Equity Initiative of nongovernmental organization Partners in Health has been expanded conjunction with Haitian MOH to cover 7 public clinics. More than 8000 HIV-positive persons, 2300 whom are on antiretroviral therapy (ART) now followed. This article describes interventions promote access care and adherence ART developed reference specific context poverty rural Haiti. User fees for clinic attendance have waived all patients tuberculosis women presenting prenatal...
The impact of phage predation on bacterial pathogens in the context human disease is not currently appreciated. Here, we show that predatory interactions a with an important environmentally transmitted pathogen, Vibrio cholerae, can modulate evolutionary trajectory this pathogen during natural course infection within individual patients. We analyzed geographically and temporally disparate cholera patient stool samples from Haiti Bangladesh found drive genomic diversity intra-patient V....
BackgroundBetween April and June, 2012, a reactive cholera vaccination campaign was done in Haiti with an oral inactivated bivalent whole-cell vaccine. We aimed to assess the effectiveness of vaccine case-control study likelihood bias that bias-indicator study.MethodsResidents Bocozel or Grand Saline who were eligible for (ie, age ≥12 months, not pregnant, living region at time campaign) included. In primary study, cases had acute watery diarrhoea, sought treatment one three participating...
Cholera had not been seen in Haiti at least 100 years, but 9 months after the January 2009 earthquake, it somewhat unexpectedly emerged a densely populated zone with little sanitary infrastructure and limited access to potable water.
Few data are available to guide programmatic solutions the overlapping problems of undernutrition and HIV infection. We evaluated impact food assistance on patient outcomes in a comprehensive program central Haiti prospective observational cohort study.Adults with infection were eligible for monthly rations if they had any one of: tuberculosis, body mass index (BMI) <18.5kg/m2, CD4 cell count <350/mm3 (in prior 3 months) or severe socio-economic conditions. A total 600 individuals (300 300...
A cholera epidemic has claimed the lives of more than 8,000 Haitians and sickened 650,000 since outbreak began in October 2010. Early intervention focused on case-finding, treatment, water sanitation interventions for prevention transmission. Use oral vaccine (OCV) as part a complementary set control activities was considered but initially rejected by policymakers. In December 2011, Minister Health Haiti called demonstration acceptability feasibility use OCV urban rural Haiti. This paper...
Introduction Haiti has the highest maternal mortality rate in Western Hemisphere. Facility-based childbirth is promoted as standard of care for reducing and neonatal mortality. We conducted a convergent, mixed methods study to assess barriers facilitators facility-based at Hôpital Universitaire de Mirebalais (HUM) Mirebalais, Haiti. Methods secondary analyses prospective cohort pregnant women seeking antenatal HUM quantitatively assessed predictors not having HUM. prospectively enrolled 30...
Background: Haiti is among the countries facing serious shortages in human resources for healthcare. In rural Haiti, need daily, long-term adherence to medication HIV and TB was initially driving factor recruitment of community health workers (CHW) during scale-up services. Their role became broader over time. This qualitative study evaluated CHW system as a whole both non-HIV-related services investigated challenges facilitating factors their work. Methods: We used methods including focus...
Although surgical care has not been seen as a priority in the international public health community, disease constitutes significant portion of global burden and must urgently be addressed. The experience nongovernmental organizations Partners In Health (PIH) Zanmi Lasante (ZL) Haiti demonstrates potential for success program rural, resource-poor area when services are provided through sector, integrated with primary services, free charge to patients who cannot pay. Providing...
Background Studies of the immunogenicity killed bivalent whole cell oral cholera vaccine, Shanchol, have been performed in historically cholera-endemic areas Asia. There is a need to assess vaccine Haiti and other populations without historical exposure Vibrio cholerae. Methodology/Principal Findings We measured immune responses after administration 25 adults, 51 older children (6–17 years), 47 younger (1–5 years) Haiti, where was introduced 2010. A≥4-fold increase vibriocidal antibody titer...
No study of long-term protection following killed oral cholera vaccination has been done outside the historically cholera-endemic areas south Asia, or examined after a single-dose regimen. To address this, we duration standard two-dose regimen and an incomplete one dose up to 4 years in Haiti.In setting campaigns with killed, bivalent, whole-cell vaccination, did case-control from October, 2012 through November, 2016. Eligible participants were required be resident vaccine catchment area...