Kristen E. Marshall
A5027306326- COVID-19 and Mental Health
- COVID-19 and healthcare impacts
- COVID-19 Clinical Research Studies
- Infection Control and Ventilation
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Animal Disease Management and Epidemiology
- Tuberculosis Research and Epidemiology
- Bacillus and Francisella bacterial research
- Herpesvirus Infections and Treatments
- Long-Term Effects of COVID-19
- Mycobacterium research and diagnosis
- Poxvirus research and outbreaks
- Viral Infections and Outbreaks Research
- Viral gastroenteritis research and epidemiology
- Viral Infections and Vectors
- Occupational and environmental lung diseases
- Pharmaceutical Practices and Patient Outcomes
- Smoking Behavior and Cessation
- Cardiac Arrest and Resuscitation
- SARS-CoV-2 detection and testing
- Bacterial Identification and Susceptibility Testing
- Pharmacovigilance and Adverse Drug Reactions
- Influenza Virus Research Studies
- Pediatric health and respiratory diseases
- Primary Care and Health Outcomes
Centers for Disease Control and Prevention
2021-2024
Epidemic Intelligence Service
2021-2024
Office of Readiness and Response
2023
Colorado Department of Public Health and Environment
2021-2023
Minnesota Department of Health
2021
University of New Mexico
2021
New Mexico Department of Health
2021
University of Rochester Medical Center
2021
Oregon Health Authority
2021
CDC, the Food and Drug Administration (FDA), state local health departments, public clinical partners are investigating a multistate outbreak of lung injury associated with use electronic cigarette (e-cigarette), or vaping, products. In late August, CDC released recommendations for care providers regarding e-cigarette, product (EVALI) based on limited data from first reported cases (1,2). This report summarizes national surveillance describing features more recently interim these U.S. caring...
Since April 2024, sporadic infections with highly pathogenic avian influenza (HPAI) A(H5) viruses have been detected among dairy farm workers in the United States. To date, mostly through worker monitoring, and mild despite possibility of more severe illness. During June-August CDC collaborated Michigan Department Health Human Services Colorado Public Environment to implement cross-sectional serologic surveys ascertain prevalence recent infection HPAI virus workers. In both states, a...
CDC, the Food and Drug Administration, state local health departments, other public clinical stakeholders are investigating a national outbreak of electronic-cigarette (e-cigarette), or vaping, product use-associated lung injury (EVALI) (1). As October 22, 2019, 49 states, District Columbia (DC), U.S. Virgin Islands have reported 1,604 cases EVALI to including 34 (2.1%) EVALI-associated deaths in 24 states. Based on data collected as 15, this report updates patient characteristics substances...
Most current evidence on risk factors for hospitalization because of coronavirus disease 2019 (COVID-19) comes from studies using data abstracted primarily electronic health records, limited to specific populations, or that fail capture over-the-counter medications and adjust potential confounding factors. Properly understanding will help improve clinical management facilitate targeted prevention messaging forecasting prioritization public resource needs.To identify patient questionnaires...
The risk for monkeypox transmission to health care personnel (HCP) caring symptomatic patients is thought be low but has not been thoroughly assessed in the context of current global outbreak (1). Monkeypox typically spreads through close physical (often skin-to-skin) contact with lesions or scabs, body fluids, respiratory secretions a person an active infection. CDC currently recommends that HCP wear gown, gloves, eye protection, and N95 (or higher-level) respirator while suspected...
The risk for transmission of highly pathogenic avian influenza A(H5N1) virus from dairy cows to humans is currently low; however, personal protective equipment (PPE) use during work activities on farms has not been well described. PPE can protect farmworkers when they are working with A(H5N1)-infected cows. Colorado Department Public Health and Environment (CDPHE) the Agriculture (CDA) offered all before or an outbreak in 2024. CDPHE surveyed 83 workers three a confirmed bovine outbreak....
Abstract A nationwide tuberculosis outbreak linked to a viable bone allograft product contaminated with Mycobacterium was identified in June 2021. Our subsequent investigation 73 healthcare personnel new latent infection following exposure the product, recipients, surgical instruments, or medical waste.
On March 26, 2020, Colorado instituted stay-at-home orders to reduce community transmission of SARS-CoV-2, the virus that causes coronavirus disease 2019 (COVID-19). To inform public health messaging and measures could be used after reopening, persons with laboratory-confirmed COVID-19 during 9-26 from nine counties comprising approximately 80% state's population† (Adams, Arapahoe, Boulder, Denver, Douglas, El Paso, Jefferson, Larimer, Weld) were asked about possible exposures SARS-CoV-2...
To determine risk factors for coronavirus disease (COVID-19) among US healthcare personnel (HCP), we conducted a case-control analysis. We collected data about activities outside the workplace and COVID-19 patient care from HCP with positive severe acute respiratory syndrome 2 (SARS-CoV-2) test results (cases) negative (controls) in facilities 5 states. used conditional logistic regression to calculate adjusted matched odds ratios 95% CIs exposures. Among 345 cases 622 controls, associated...
Eight people with human body louse-borne Bartonella quintana infections were detected among experiencing homelessness (PEH) in Denver during January-September 2020, prompting a public health investigation and community outreach. Public officials conducted in-person interviews PEH to more fully quantify lice prevalence, transmission risk factors, access resources, how the COVID-19 pandemic has affected resource access. Recent exposure was reported by 35% of 153 interview participants. In...
This article describes 313 healthcare providers in Colorado who were exposed to patients with monkeypox and had low rates of personal protective equipment use postexposure prophylaxis vaccination. Despite this, through 21 days follow-up, none the acquired infection, suggesting risk for acquiring among U.S. is very low. reassuring data organ procurement teams are potential donors possible infection or undiagnosed skin lesions. The transmission health care personnel (HCP) caring symptomatic...
Abstract Healthcare personnel with severe acute respiratory coronavirus virus 2 (SARS-CoV-2) infection were interviewed to describe activities and practices in outside the workplace. Among 2,625 healthcare personnel, workplace-related factors that may increase risk more common among nursing-home than hospital whereas selected workplace personnel.
Background: The Colorado Department of Public Health and Environment (CDPHE) detected an increase in Klebsiella pneumoniae carbapenemase-producing carbapenem-resistant Enterobacterales (KPC-CRE) infections October 2022. We investigated patient epidemiological links isolate relatedness to characterize interfacility transmission KPC-CRE the Denver metro area inform regional prevention strategies. Methods: defined a case as polymerase chain reaction detection KPC from clinical or screening...
Background: During 2021–2023, an increase in Klebsiella pneumoniae carbapenemase producing Enterobacterales species (KPC-CRE) cases occurred among patients admitted to several overlapping healthcare facilities, prompting investigation by the Colorado Department of Public Health and Environment (CDPHE). We applied social network analysis (SNA) identify KPC-CRE networks other multidrug-resistant organism (MDRO) transmission, created a tool for public health prevention planning facilities...
Abstract Electronic medical records (EMRs) are important for rapidly compiling information to determine disease characteristics (eg, symptoms) and risk factors underlying comorbidities, medications) disease-related outcomes. To assess EMR data accuracy, agreement between abstractions patient interviews was evaluated. Symptoms, history, medication use among patients with COVID-19 collected from EMRs were compared using overall (ie, same answer in interview), reported (yes both interview those...
In 2020–2021, a Colorado corrections facility experienced four COVID-19 outbreaks. Case counts, attack rates (ARs) in people who are detained or incarcerated (PDI), and mitigation measures used each outbreak were compared to evaluate effects of combined strategies. Serial PCR testing, isolation/quarantine, masking implemented 1. Daily staff antigen testing began 2. Facility-wide vaccination started 3 coverage increased by the end 4 (PDI: <1% 59%, staff: 27% 40%). Despite detection variants...
Background: Healthcare facilities have experienced many challenges during the COVID-19 pandemic, including limited personal protective equipment (PPE) supplies. personnel (HCP) rely on PPE, vaccines, and other infection control measures to prevent SARS-CoV-2 infections. We describe PPE concerns reported by HCP who had close contact with patients in workplace tested positive for SARS-CoV-2. Method : The CDC collaborated Emerging Infections Program (EIP) sites 10 states conduct surveillance...
<h3>Introduction</h3> Malignant Pleural Mesothelioma (MPM) is presaged by Benign Asbestos Effusion (BAPE) in some patients. In a future study (called Meso-ORIGINS) we will collect longitudinal BAPE-MPM tissue pairs patients who develop MPM following BAPE and use this material the PREDICT-Meso CRUK Accelerator programme. define key biological events that drive or permit evolution of MPM, generate new pre-clinical models therapeutic targets. At initial planning, only data reporting rate were...