Public Health Commons^™

Controlling Influenza A (H1n1) In China: Bayesian Or Frequentist Approach, Dejian Lai, Chiehwen Ed Hsu

Chiehwen Ed Hsu

In this article we discuss two approaches to controlling the newly identified influenza A (H1N1) via Bayesian and frequentist statistical reasoning. We reviewed the measures implemented in China as an example to illustrate these two approaches. Since May 2009, China has deployed strict controlling mechanisms based on the strong prior Bayesian assumption that the origin of influenza A (H1N1) was from outside China and as such strict border control would keep the virus from entering China. After more than two months of hard work by Chinese health professionals and officials, the number of confirmed influenza A (H1N1) has increased steadily …

The Determinants Of First Nation And Inuit Health: A Critical Population Health Approach, Chantelle A.M. Richmond, Nancy A. Ross

Aboriginal Policy Research Consortium International (APRCi)

Environmental dispossession disproportionately affects the health of Canada’s Aboriginal population, yet little is known about how its effects are sustained over time. We use a critical population health approach to explore the determinants of health in rural and remote First Nation and Inuit communities, and to conceptualize the pathways by which environmental dispossession affects these health determinants. We draw from narrative analysis of interviews with 26 Community Health Representa- tives (CHRs) from First Nation and Inuit communities across Canada. CHRs identified six health determinants: balance, life control, education, material resources, social resources, and environmental/ cultural connections. CHRs articulated the role …

Whether To Get An H1n1 Vaccination Or Not?, Chiehwen Ed Hsu

Chiehwen Ed Hsu

In this interview Dr. Hsu provided public health informatics expertise to answer why or why not to receive H1N1 vaccination.

Swine Flu Myths - Experts Debunk Four Common Myths About Swine Flu, Chiehwen Ed Hsu

Chiehwen Ed Hsu

To date, no evidence has been found to link eating or handling pork to contracting swine flu. As the cases of the new swine flu virus continue to rise, so too do the misconceptions about the illness. "By eating pork or handling pork products you won't [contract] H1N1," said Ed Hsu, an associate professor of health informatics at the University of Texas Health Science Center and a contributor to ABC News's OnCall+ Swine Flu site. "There is no scientific evidence or literature or any studies that suggest that one contracts H1N1 virus through eating pork or handling pork products." Additionally, …

Should I Wear A Mask To Protect Myself From The Flu?, Chiehwen Ed Hsu

Chiehwen Ed Hsu

It depends. If you already have H1N1 virus infection, you are recommended to wear a mask just to prevent yourself from spreading the virus to others.

Can One Get H1n1 Flu (Swine Flu) From Eating Pork?, Chiehwen Ed Hsu

Chiehwen Ed Hsu

there is no literature (study) suggesting that human being would get swine flu by eating pork or handling raw pork. Usually, if you prepare or cook your pork/meat product above temperature 70C (160F) the temperature could kill most of the germs and viruses, including h1n1 virus

Swine Flu Vs. Bird Flu: Which Is The Greater Pandemic Threat? New Research Hints At Why Swine Flu Overshadows Bird Flu In Pandemic Potential, Chiehwen Ed Hsu

Chiehwen Ed Hsu

Ed Hsu, associate professor of public health informatics at the University of Texas School of Health Information Sciences and School of Public Health, agreed. "This study renders potential explanations for why Avian Flu virus does not effectively transmit from human to human -- an important indicator for raising pandemic level." Take, for example, the virulence of bird flu. Despite the relative paucity of human cases of bird flu among humans, Hsu said, 258 people have died since 2003 as a result of the bird flu virus -- a case fatality rate of more than 60 percent. "Once [bird flu] viruses …

2 Billion Infected? Who Stokes Swine Flu Fear, Chiehwen Ed Hsu

Chiehwen Ed Hsu

One could reasonably question the reliability of WHO's statement of mass infection," he said. "By making such statement without strong backing WHO may risk putting its accountability on the line. "I think that WHO could serve the world health better by providing a more evidence-based, sensible 'benchmark' of H1N1 infection," said Ed Hsu, associate professor of public health informatics at the University of Texas School of Health Information Sciences and School of Public Health. He argued that the 2 billion figure, based on past pandemics, does not take into account recent public health improvements. Moreover, his own research has suggested …

Swine Flu Likely To Return To U.S. Next Winter - Experts Can't Predict Whether It Will Be More Virulent Or Not, Chiehwen Ed Hsu

Chiehwen Ed Hsu

explained C. Ed Hsu, an associate professor of public health informatics at the University of Texas School of Health Information Sciences at Houston and associate director of health informatics at the Center for Biosecurity and Public Health Preparedness at the University of Texas School of Public Health. "How and when the flu spreads is dependent on other factors as well: the fitness and efficiency of the virus itself along with its innate ability to replicate; the susceptibility of the host; and the environment, which includes not only the weather, but also human behavior (for example, groups of people confined together …

Flu Experts Debate Potential Number Of H1n1 Infections Worldwide, Chiehwen Ed Hsu

Chiehwen Ed Hsu

According to ABC News. "I think that WHO could serve the world health better by providing a more evidence-based, sensible 'benchmark' of H1N1 infection," said Ed Hsu, associate professor of public health informatics at the University of Texas School of Health Information Sciences and School of Public Health. Hsu said that while the WHO's estimates are grounded in historic data, they fail to consider improvement in public health, and his research shows signs that the numbers of swine flu infections in the U.S. are stabilizing. "One could reasonably question the reliability of WHO's statement of mass infection," Hsu said. "By …

Protecting The Young From Pandemic Flu., Chiehwen Ed Hsu

Chiehwen Ed Hsu

whether these past findings will be borne out with this new virus have yet to be seen, warns Ed Hsu, associate professor at the University of Texas School of Health Information Sciences and School of Public Health. "We may need another week until the H1N1 outbreak runs the full course of its incubation and infectivity period," he said. "By this weekend we should have enough data to make some meaningful inferences from worldwide distribution of the disease, including susceptibility or vulnerability by age over time."

Cautious Optimism On Swine Flu?, Chiehwen Ed Hsu

Chiehwen Ed Hsu

"I'm cautiously optimistic that we will begin seeing a decline in swine flu cases by mid-May or in a couple of weeks," said C. Ed Hsu, director of Preventive Health Informatics and SpaTial Analysis at the University of Texas Health Science Center

Swine Flu -- Answers To Your Questions., Chiehwen Ed Hsu

Chiehwen Ed Hsu

Ed Hsu from the University of Texas predicts a rise in cases over the next week followed by a sharp decline thereafter: “Based on the analysis of the SARS data … and our analysis of worldwide H5N1 data, if the trends hold true for H1N1 [swine flu], we will see substantial increase …next week through early May. However, again if the trends hold true, we can also reasonably expect the cases will go down dramatically beginning the week after (i.e., week of 5/3). Note that the rise in cases in next week is normal and expected …Next week will be …

Public Health Informatics Perspective On Swine Flu, Chiehwen Ed Hsu

Chiehwen Ed Hsu

Despite the action being taken by national and international health organizations, some infectious disease experts, including Ed Hsu, say it is far too early to fear the worst -- a global flu pandemic.

Physical Activity Levels Of Older Community-Dwelling Adults Are Influenced By Summer Weather Variables, Caitlin A. Brandon, Dawn P. Gill, Mark Speechley, Jason Gilliland, Gareth R. Jones

Geography & Environment Publications

Adequate daily physical activity (PA) is important for maintaining functional capacity and independence in older adults. However, most older adults in Canada do not engage in enough PA to sustain fitness and functional independence. Environmental influences, such as warmer daytime temperatures, may influence PA participation; however, few studies have examined the effect of summertime temperatures on PA levels in older adults. This investigation measured the influence of summertime weather variables on PA in 48 community-dwelling older adults who were randomly recruited from a local seniors’ community centre. Each participant wore an accelerometer for a single 7-consecutive-day period (between 30 May …

The Influence Of The Physical Environment And Sociodemographic Characteristics On Children's Mode Of Travel To And From School, Kristian Larsen, Jason Gilliland, Peter Hess, Patricia Tucker, Jennifer Irwin, Meizi He

Geography & Environment Publications

Objectives: We examined whether certain characteristics of the social and physical environment influence a child's mode of travel between home and school.

Methods: Students aged 11 to 13 years from 21 schools throughout London, Ontario, answered questions from a travel behavior survey. A geographic information system linked survey responses for 614 students who lived within 1 mile of school to data on social and physical characteristics of environments around the home and school. Logistic regression analysis was used to test the influence of environmental factors on mode of travel (motorized vs "active") to and from school.

Results: Over 62% of …

A Photovoice Participatory Evaluation Of A School Gardening Program Through The Eyes Of Fifth Graders, Catherine Sands, Krista Harper, Lee Ellen Reed, Maggie Shar

Anthropology Department Faculty Publication Series

In the springtime, fifth grade students at the Williamsburg Elementary School in rural Western Massachusetts ask to snack on sorrel and chives from the school garden, between planting potatoes and building a shade structure for their outdoor classroom. They are members of the first cohort of the curriculum-integrated program initiated by Fertile Ground, a grassroots organization in western Massachusetts. The children’s delight in the fresh greens they have grown marks a national phenomenon: the farm-to-school movement. With limited resources, parents, teachers, students, administrators, and community activists are developing inroads to better school food and food education, by constructing school teaching …

A Photovoice Participatory Evaluation Of A School Gardening Program Through The Eyes Of Fifth Graders, Catherine Sands, Krista Harper, Lee Ellen Reed, Maggie Shar

Krista M. Harper

In the springtime, fifth grade students at the Williamsburg Elementary School in rural Western Massachusetts ask to snack on sorrel and chives from the school garden, between planting potatoes and building a shade structure for their outdoor classroom. They are members of the first cohort of the curriculum-integrated program initiated by Fertile Ground, a grassroots organization in western Massachusetts. The children’s delight in the fresh greens they have grown marks a national phenomenon: the farm-to-school movement. With limited resources, parents, teachers, students, administrators, and community activists are developing inroads to better school food and food education, by constructing school teaching …

Computing Travel Time When The Exact Address Is Unknown: A Comparison Of Point And Polygon Zip Code Approximation Methods, Ethan M. Berke, Xun Shi

Dartmouth Scholarship

Travel time is an important metric of geographic access to health care. We compared strategies of estimating travel times when only subject ZIP code data were available.Using simulated data from New Hampshire and Arizona, we estimated travel times to nearest cancer centers by using: 1) geometric centroid of ZIP code polygons as origins, 2) population centroids as origin, 3) service area rings around each cancer center, assigning subjects to rings by assuming they are evenly distributed within their ZIP code, 4) service area rings around each center, assuming the subjects follow the population distribution within the ZIP code. We used …

Temporal And Spatial Stability Of Anopheles Gambiae Larval Habitat Distribution In Western Kenya Highlands, Li Li, Ling Bian, Laith Yakob, Guofa Zhou, Guiyun Yan

Political Science & Geography Faculty Publications

Background: Localized mosquito larval habitat management and the use of larvicides have been proposed as important control tools in integrated malaria vector management programs. In order to optimize the utility of these tools, detailed knowledge of the spatial distribution patterns of mosquito larval habitats is crucial. However, the spatial and temporal changes of habitat distribution patterns under different climatic conditions are rarely quantified and their implications to larval control are unknown.

Results: Using larval habitat data collected in western Kenya highlands during both dry and rainy seasons of 2003-2005, this study analyzed the seasonal and inter-annual changes in the spatial …

Ua94/6/1 Student / Alumni Personal Papers Western Kentucky University Small Collections, Wku Archives

WKU Archives Collection Inventories

Small collections of personal papers and oral histories relating to the Western Kentucky University.

Validation Of Inverse Seasonal Peak Mortality In Medieval Plagues, Including The Black Death, In Comparison To Modern Yersinia Pestis-Variant Diseases, Mark R. Welford, Brian H. Bossak

School of Earth, Environment, and Sustainability Faculty Publications

Background: Recent studies have noted myriad qualitative and quantitative inconsistencies between the medieval Black Death (and subsequent ‘‘plagues’’) and modern empirical Y. pestis plague data, most of which is derived from the Indian and Chinese plague outbreaks of A.D. 1900615 years. Previous works have noted apparent differences in seasonal mortality peaks during Black Death outbreaks versus peaks of bubonic and pneumonic plagues attributed to Y. pestis infection, but have not provided spatiotemporal statistical support. Our objective here was to validate individual observations of this seasonal discrepancy in peak mortality between historical epidemics and modern empirical data.

Methodology/Principal Findings: …

A Photovoice Participatory Evaluation Of A School Gardening Program Through The Eyes Of Fifth Graders, Catherine Sands, Krista Harper, Lee Ellen Reed, Maggie Shar

Catherine Sands

In the springtime, fifth grade students at the Williamsburg Elementary School in rural Western Massachusetts ask to snack on sorrel and chives from the school garden, between planting potatoes and building a shade structure for their outdoor classroom. They are members of the first cohort of the curriculum-integrated program initiated by Fertile Ground, a grassroots organization in western Massachusetts. The children’s delight in the fresh greens they have grown marks a national phenomenon: the farm-to-school movement. With limited resources, parents, teachers, students, administrators, and community activists are developing inroads to better school food and food education, by constructing school teaching …