A5005152853- Antibiotic Use and Resistance
- Antifungal resistance and susceptibility
- COVID-19 epidemiological studies
- Fungal Infections and Studies
- LGBTQ Health, Identity, and Policy
- Antibiotic Resistance in Bacteria
- SARS-CoV-2 and COVID-19 Research
- Patient Satisfaction in Healthcare
- COVID-19 Clinical Research Studies
- Poxvirus research and outbreaks
- Homelessness and Social Issues
- Infection Control in Healthcare
- Nosocomial Infections in ICU
- Urinary Tract Infections Management
- Bacillus and Francisella bacterial research
- Geriatric Care and Nursing Homes
- Bacterial Identification and Susceptibility Testing
- HIV/AIDS Research and Interventions
- Birth, Development, and Health
- COVID-19 and Mental Health
- SARS-CoV-2 detection and testing
- Sexuality, Behavior, and Technology
- Adolescent Sexual and Reproductive Health
- Antimicrobial Resistance in Staphylococcus
- Health disparities and outcomes
Chicago Department of Public Health
2016-2025
Simon Fraser University
2022-2024
Western University
2022
University of British Columbia
2019-2021
Center for Non-Communicable Diseases
2020-2021
British Columbia Centre on Substance Use
2021
University of Worcester
2014
The Ohio State University Wexner Medical Center
2013
University College London
2007-2011
MRC Unit for Lifelong Health and Ageing
2010-2011
Coronavirus disease 2019 (COVID-19) is a caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), first detected in China December, 2019. In January, 2020, state, local, and federal public health agencies investigated the case of COVID-19 Illinois, USA.Patients with confirmed were defined as those positive SARS-CoV-2 test. Contacts people exposure to patient on or after patient's symptom onset date. underwent active monitoring for 14 days following their last exposure. who...
Carbapenem-resistant Enterobacteriaceae (CRE) producing the New Delhi metallo-β-lactamase (NDM) are rare in United States, but have potential to add increasing CRE burden. Previous NDM-producing clusters been attributed person-to-person transmission health care facilities.
Candida auris, an emerging fungus that can cause invasive infections, is associated with high mortality and often resistant to multiple antifungal drugs. C. auris was first described in 2009 after being isolated from external ear canal discharge of a patient Japan (1). Since then, reports including bloodstream have been published several countries, Colombia, India, Israel, Kenya, Kuwait, Pakistan, South Africa, Korea, Venezuela, the United Kingdom (2-7). To determine whether present States...
Evaluating and testing persons for
There is growing interest in the relationship between time spent adverse circumstances across life course and increased risk of chronic disease early mortality. This accumulation hypothesis usually tested by summing indicators binary variables span to form an overall score that then used as exposure regression models for health outcomes. article highlights potential issues interpretation results obtained from such approach.We propose a model-building framework can be formally compare...
Introduction The authors examined how body mass index (BMI) across life is linked to the risk of midlife knee osteoarthritis (OA), testing whether prolonged exposure high BMI or at a particular period has greatest influence on OA. Methods A population-based British birth cohort 3035 men and women underwent clinical examination for OA age 53 years.Heights weights were measured 10 times from 2 years. Analyses stratified by gender adjusted occupation activity levels. Results prevalence was...
Abstract Introduction More than 93,000 cases of coronavirus disease (COVID-19) have been reported worldwide. We describe the epidemiology, clinical course, and virologic characteristics first 12 U.S. patients with COVID-19. Methods collected demographic, exposure, information from confirmed by CDC during January 20–February 5, 2020 to Respiratory, stool, serum, urine specimens were submitted for SARS-CoV-2 rRT-PCR testing, virus culture, whole genome sequencing. Results Among patients,...
Twenty-two possible breakthrough SARS-CoV-2 infections occurred among fully vaccinated persons ≥14 days after their second dose of COVID-19 vaccine. Two thirds were asymptomatic. A minority with infection experienced mild to moderate COVID-19–like symptoms; two COVID-19–related hospitalizations and one death occurred. No facility-associated secondary transmission was identified.
Since the identification of first 2 Candida auris cases in Chicago, Illinois, 2016, ongoing spread has been documented Chicago area. We describe C. emergence high-acuity, long-term healthcare facilities and present a case study public health response to carbapenemase-producing organisms (CPOs) at one ventilator-capable skilled nursing facility (vSNF-A).We performed point prevalence surveys (PPSs) identify patients colonized with infection-control (IC) assessments provided support for IC...
Abstract Background Environmental contamination is suspected to play an important role in Candida auris transmission. Understanding speed and risks of after room disinfection could inform environmental cleaning recommendations. Methods We conducted a prospective multicenter study associated with C. colonization at 6 ventilator-capable skilled nursing facilities 1 acute care hospital Illinois California. Known carriers were sampled 5 body sites followed by sampling nearby surfaces before 0,...
This article describes 22 cases of breakthrough SARS-CoV-2 infection among over 14,000 fully vaccinated skilled nursing facility residents and staff. The majority such infections were asymptomatic or associated with mild symptoms, there was no intra- spread related to these cases. report suggests that postvaccination are rare, but also confirms vaccines do not offer 100% protection even in nonimmunosuppressed hosts, thus underscoring the need for studies vaccine efficacy immunosuppressed...
Candida auris is an emerging multidrug-resistant yeast that contaminates healthcare environments causing healthcare-associated outbreaks. The mechanisms facilitating contamination are not established.
Abstract Background After months of few mpox cases, an increase in cases was reported Chicago during May 2023, predominantly among fully vaccinated (FV) patients. We investigated the outbreak scope, differences between and unvaccinated patients, hypotheses for monkeypox virus (MPXV) infection after vaccination. Methods interviewed patients reviewed medical records to assess demographic, behavioral, clinical characteristics; vaccine status; administration routes. evaluated serum antibody...
Data on transmission of SARS-CoV-2, the virus that causes coronavirus disease 2019 (COVID-19), among college athletes are limited. In August 2020, Chicago Department Public Health (CDPH) was notified a cluster COVID-19 cases university's men's and women's soccer teams. CDPH initiated an investigation, interviewed members both teams, collated laboratory data to understand SARS-CoV-2 within Numerous social gatherings with limited mask use or distancing preceded outbreak. Transmission resulted...
Background The 2016 WHO Standards for improving quality of maternal and newborn care in health facilities established patient experience as a core indicator quality. Global experts have described loss autonomy disrespect mistreatment. Risk abuse is higher when provider opinions differ, but little known about service users experiences declining aspects their maternity care. Methods To address this gap, we present qualitative content analysis 1540 written accounts from 892 or refusing options...
To examine the association between number of children and coronary heart disease (CHD) risk factors in women men.Prospective cohort study.Britain.A total 2977 individuals (51% women) from Medical Research Council National Survey Health Development, a birth study born Britain 1946 followed up regularly throughout life.Blood pressure, body mass index (BMI), waist to hip ratio (WHR), total, high-density lipoprotein low-density cholesterol triglyceride levels, glycated haemoglobin (HbA1C)...
People experiencing homelessness are at increased risk of coronavirus disease 2019 (COVID-19), but little is known about specific factors for infection within homeless shelters.We performed widespread severe acute respiratory syndrome 2 (SARS-CoV-2) polymerase chain reaction testing and collected factor information all shelters in Chicago with least 1 reported case COVID-19 (n = 21). Multivariable, mixed-effects log-binomial models were built to estimate adjusted prevalence ratios (aPRs)...
Correctional and detention facilities are disproportionately affected by COVID-19 due to shared space, contact between staff detained persons, movement within facilities. On March 18, 2020, Cook County Jail, one of the United States' largest, identified its first suspected case in a person.This analysis includes SARS-CoV-2 cases confirmed molecular detection among persons Sheriff's Office staff. We examined occurrence symptomatic each building proportions asymptomatic testing positive,...