A5018081249- HIV, Drug Use, Sexual Risk
- HIV/AIDS Research and Interventions
- Food Security and Health in Diverse Populations
- Data-Driven Disease Surveillance
- Sex work and related issues
- Health disparities and outcomes
- Healthcare Policy and Management
- HIV-related health complications and treatments
- Adolescent Sexual and Reproductive Health
- Global Maternal and Child Health
- Hepatitis B Virus Studies
- Reproductive tract infections research
- Birth, Development, and Health
- School Health and Nursing Education
- Global Public Health Policies and Epidemiology
- HIV Research and Treatment
- Genital Health and Disease
- Cervical Cancer and HPV Research
- Maternal Mental Health During Pregnancy and Postpartum
- Child and Adolescent Health
- Viral-associated cancers and disorders
- Public Health Policies and Education
- Homelessness and Social Issues
District of Columbia Department of Health
2016-2023
Government of the District of Columbia
2016-2023
Johns Hopkins University
2003-2004
The National HIV/AIDS Strategy calls for active surveillance programs human immunodeficiency virus (HIV) to more accurately measure access and retention in care across the HIV continuum persons living with within their jurisdictions identify who may need public health services. However, traditional methods face substantial technological privacy-related barriers data sharing.This study developed a novel data-sharing approach improve timeliness quality of three where often travel borders...
Background HIV cohort studies have been used to assess health outcomes and inform the care treatment of people living with disease. However, there may be similarities differences between participants general population from which they are drawn. Objective The objective this analysis was compare who not enrolled in DC Cohort study whether a representative citywide sample District Columbia (DC). Methods Data Health (DCDOH) surveillance system were matched identify residents had consented for...
Background: Accurate HIV surveillance data are essential to monitor trends help end the epidemic. Owing strict policies around security and confidentiality, have not been routinely shared across jurisdictions except a biannual case-by-case review process identify remove duplicate cases (Routine Interstate Duplicate Review, RIDR). estimates for District of Columbia (DC) complicated by migration care seeking throughout metropolitan area, which includes Maryland Virginia. To address gaps in...
Background People with HIV infection in the United States are often affected by chronic viral hepatitis. These coinfected people either HBV or HCV at increased risk for serious, life-threatening complications. Coinfections hepatitis may also complicate delivery of anti-retroviral therapy (ART) escalating drug-related hepatoxicity. According to Centers Disease Control and Prevention (CDC), approximately 10 percent have HBV, 25 coinfection. With advent highly active antiretroviral (HAART)...
District of Columbia (DC) has high rates HIV infection and human papillomavirus (HPV)-associated cancers. People living with (PLWH) are at risk for developing HPV-associated Previous studies identified factors that may further increase the cancer among PLWH such as age, race/ethnicity, sex, factor transmission, stage infection, age diagnosis. The extent to which in DC affected by cancers not previously been well described, our knowledge, relationship between bacterial sexually transmitted...
Concurrent with the UNAIDS 90-90-90 and NHAS plans, District of Columbia (DC) launched its 90/90/90/50 plan (Plan) in 2015. The Plan proposes that by 2020, 90% all DC residents will know their HIV status; living be sustained treatment; those treatment reach “Viral Suppression” achieve 50% reduction new cases. To these goals targeted prevention strategies are imperative for areas where relative risk (RR) not being linked to care (NL), retained any (NRC) low viral suppression (NVSP) highest...
To address high HIV prevalence, the District of Columbia (DC) Department Health has implemented multiple strategies to increase routine testing since 2006. Examination delayed diagnosis over time can demonstrate population-level impact public health promote testing. Using surveillance data, we examined in DC (stage 3 within 90 days diagnosis), CD4 count at diagnosis, linkage care, and viral suppression among residents age 13 above who were diagnosed from 2006 2016. We used Cochran-Armitage...
Background: Repeat sexually transmitted infections (STIs) in DC primarily results from untreated sexual partners. This analysis aims to identify high-risk areas and temporal trends of repeat STIs for pre-exposure prophylaxis scale-up STI mitigation DC. Methods: We identified the Department Health HIV data management systems, diagnosed 2014 2018. The cases were geocoded aggregated by census tracts. Poisson discrete scan statistic was implemented SaTScan software find clusters. Weighted moving...
Through a collaboration among Fairfax County Health Department (FCHD), Public Schools (FCPS), Morehouse School of Medicine (MSM), George Mason University College Health, federally qualified health centers, hospital systems, non-profits, and other agencies, this initiative targets underserved high school students as way to increase diversity community professionals, build generational health, provide participants with tools enhance their post-secondary educational career opportunities.
Abstract Background Research suggests that human immunodeficiency virus (HIV)–positive individuals with a sexually transmitted infection (STI) may be at increased risk of transmitting HIV to someone else through unprotected sex. The primary aim the analysis is identify high-risk geographic areas transmission coinfections and factors associated poor outcomes viral suppression within these higher-risk areas, thus important in prevention. Methods We used surveillance data reported by all...
Abstract Background Mode of transmission–based hotspots is a smart approach to HIV mitigation, yet remains poorly evaluated and implemented in the United States. The primary aim was identifying mode populations at risk lower viral suppression assist targeted planning implementation programs. Methods We spatial statistics identify global-local regression analysis find within hotspots. Data were obtained from District Columbia’s (DC’s) active surveillance system, which geocoded based on...
Social network strategies have been used by health departments to identify undiagnosed cases of HIV. Heterosexual cycle (HET4) National HIV Behavioral Surveillance (NHBS) is a social strategy implemented in jurisdictions. The main objectives this research are 1) evaluate the utility NHBS HET data for analysis; 2) apply statistical analysis support previous research, as well develop new results focused on demographic variables and prevention/intervention with respect heterosexual risk; 3)...
<sec> <title>BACKGROUND</title> Accurate HIV surveillance data is essential to monitoring the trends end epidemic. Due strict policies around security and confidentiality, has not been routinely shared across jurisdictions, with exception of a biannual case-by-case review process identify remove duplicate cases (Routine Interstate Duplicate Review, RIDR). estimates for District Columbia (DC) are complicated by migration care-seeking throughout metropolitan area, which includes Maryland (MD)...
<sec> <title>BACKGROUND</title> HIV cohort studies have been used to assess health outcomes and inform the care treatment of people living with disease. However, there may be similarities differences between participants general population from which they are drawn. </sec> <title>OBJECTIVE</title> The objective this analysis was compare who not enrolled in DC Cohort study whether a representative citywide sample District Columbia (DC). <title>METHODS</title> Data Health (DCDOH) surveillance...