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A Geographical Analysis Of Hiv/Aids Infection In Nigeria, 1991-2001, Chinekwu Azuka Obidoa, Robert G. Cromley

Journal of Social, Behavioral, and Health Sciences

Abstract

Objectives: Within the gradually accumulating literature on the Acquired Immune Deficiency Syndrome (AIDS) in Nigeria, investigations concerning the spatial dimensions of the infection are virtually non-existent. An understanding of the spatial dimensions of the epidemic is central in the development and implementation of appropriate intervention strategies. This study is a geographic analysis of HIV/AIDS infection in Nigeria from 1991 – 2001. The three objectives of this study were: 1) to examine the geographic pattern of the epidemic, 2) to examine the spatial-temporal trend and diffusion pattern of the epidemic, and 3) to explore the factors associated with the spatial …

Prevalence Of Streptococci And Increased Polymicrobial Diversity Associated With Cystic Fibrosis Patient Stability, L. M. Filkins, T. H. Hampton, A. H. Gifford, M. J. Gross, D. A. Hogan, M. L. Sogin, H. G. Morrison, B. J. Paster, G. A. O'Toole

Dartmouth Scholarship

Diverse microbial communities chronically colonize the lungs of cystic fibrosis patients. Pyrosequencing of amplicons for hypervariable regions in the 16S rRNA gene generated taxonomic profiles of bacterial communities for sputum genomic DNA samples from 22 patients during a state of clinical stability (outpatients) and 13 patients during acute exacerbation (inpatients). We employed quantitative PCR (qPCR) to confirm the detection of Pseudomonas aeruginosa and Streptococcus by the pyrosequencing data and human oral microbe identification microarray (HOMIM) analysis to determine the species of the streptococci identified by pyrosequencing. We show that outpatient sputum samples have significantly higher bacterial diversity than inpatients, but …

Two Boundaries Separate Borrelia Burgdorferi Populations In North America, Gabriele Margos, Jean I. Tsao, Santiago Castillo-Ramirez, Yvette A. Girard, Anne G. Hoen

Dartmouth Scholarship

Understanding the spread of infectious diseases is crucial for implementing effective control measures. For this, it is important to obtain information on the contemporary population structure of a disease agent and to infer the evolutionary processes that may have shaped it. Here, we investigate on a continental scale the population structure of Borrelia burgdorferi, the causative agent of Lyme borreliosis (LB), a tick-borne disease, in North America. We test the hypothesis that the observed d population structure is congruent with recent population expansions and that these were preceded by bottlenecks mostly likely caused by the near extirpation in the 1900s …

Increasing Rate Of Pneumonia Hospitalizations Among Older American Indian And Alaska Native Adults, Robert C. Holman, Krista L. Yorita, Rosalyn J. Singleton, James E. Cheek, Edna L. Paisano, Jay C. Butler, Larry J. Anderson, Alicia M. Fry

Journal of Health Disparities Research and Practice

Objective: To examine rates and trends of pneumonia hospitalization among older American Indian and Alaska Native (AI/AN) adults.

Methods: Pneumonia hospitalizations for older AI/AN adults ≥65 years of age living in the Alaska and Southwest Indian Health Service (IHS) regions during 1988 through 2002 from the IHS hospital discharge data were analyzed.

Results: The average annual hospitalization rate for first-listed pneumonia for older AI/AN adults in both the Alaska and the Southwest regions has increased (15.3 and 23.0 in 1988-1990 to 25.9 and 28.8 in 2000-2002 per 1,000 population, respectively), with the greatest increase seen among older AI/AN adults in …

The Emerging Hiv Epidemic On The Mexico-U.S. Border: An International Case Study Characterizing The Role Of Epidemiology In Surveillance And Response, Steffaine Strathdee, Carlos Magis-Rodriguez, Richard Jimenez

Walden Faculty and Staff Publications

Purpose

Human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome surveillance data are critical for monitoring epidemic trends, but they can mask dynamic subepidemics, especially in vulnerable populations that underuse HIV testing. In this case study, we describe community-based epidemiologic data among injection drug users (IDUs) and female sex workers (FSWs) in two northern Mexico-U.S. border states that identified an emerging HIV epidemic and generated a policy response.

Methods

We draw from quantitative and qualitative cross-sectional and prospective epidemiologic studies and behavioral intervention studies among IDUs and FSWs in Tijuana, Baja California, and Ciudad Juarez, Chihuahua.

Results

The recognition that the HIV epidemic …

Mapping Populations At Risk: Improving Spatial Demographic Data For Infectious Disease Modeling And Metric Derivation, Andrew J. Tatem, Susana Adamo, Nita Bharti, Clara R. Burgert, Marcia Castro, Audrey Dorelien, Gunter Fink, Catherine Linard, Mendelsohn John, Livia Montana, Mark R. Montgomery, Andrew Nelson, Abdisalan M. Noor, Deepa Pindolia, Greg Yetman, Deborah Balk

Publications and Research

The use of Global Positioning Systems (GPS) and Geographical Information Systems (GIS) in disease surveys and reporting is becoming increasingly routine, enabling a better understanding of spatial epidemiology and the improvement of surveillance and control strategies. In turn, the greater availability of spatially referenced epidemiological data is driving the rapid expansion of disease mapping and spatial modeling methods, which are becoming increasingly detailed and sophisticated, with rigorous handling of uncertainties. This expansion has, however, not been matched by advancements in the development of spatial datasets of human population distribution that accompany disease maps or spatial models. Where risks are heterogeneous …

Population Based Model Of Gonorrhea And Interventions Against Increased Antibiotic Resistance, Courtney Henry

Theses and Dissertations

Gonnorrhea is an infectious sexually transmitted disease (STD) caused by the bacterium Neisseria gonorrhoeae that commonly reproduces in the reproductive tract.The Centers of Disease Control and Prevention (CDC) estimate that more than 700,000 individuals in the U.S. contract new gonorrheal infections per year. During recent years, there has been a progressive global increase of drug-resistant strains of gonorrhea. Therefore, there exists the necessity for health organizations to encourage the monitoring, research and development of innovative treatment regimens. We have developed multiple mathematical models to explore the gonorrheal disease state. The first objective of model formulation was to fit the model …

A Mathematical Model For Dengue Fever In A Virgin Environment, Jason K. Bowman

Senior Honors Projects

Dengue is a mosquito-borne viral infection found in tropical and subtropical regions around the world. The disease was named in 1779 and the first recorded epidemic of it occurred simultaneously on three continents within the following decade. Dengue is characterized by flu-like symptoms and, while its symptoms are generally reported as quite unpleasant, is rarely fatal. However, in some cases patients can contract a more serious form of the disease, known as Dengue Hemorrhagic Fever, which is far more dangerous. The World Health Organization estimates that today over 2.5 billion people are at risk for Dengue (over 40% of the …

Multistate Assessment Of Public Health Surveillance Relevant To American Indians And Alaska Natives, 2007, Jeanne Bertolli, Ed Chao, Michael Landen, Eden Wells, John M. Hayes, Zeenat Mahal, Ralph T. Bryan

Journal of Health Disparities Research and Practice

Improving the health of American Indian and Alaska Native (AI/AN) populations involves multiple agencies, levels of government, and jurisdictions. We assessed collaboration between state health departments and AI/AN Tribes and agencies through an online survey of State Epidemiologists. Frequencies and percentages of responses were examined by univariate and bivariate analyses. Among 39 states with federally recognized or state-recognized Tribes or federally funded urban Indian health centers, 25 (64%) participated. Nineteen had discussed public health surveillance with an AI/ AN government or nongovernment entity in the past 2 years (10 (53%) of these had ongoing, regular discussions about public health surveillance; …

Tropical Medicine Training In The Department Of Defense, Rodney L. Coldren, David Brett-Major, Patrick W. Hickey, Eric Garges, Peter J. Weina, Paula Corrigan, Gerald Quinnan

Journal Articles: Epidemiology

No abstract provided.

Ecology And Geography Of Human Monkeypox Case Occurrences Across Africa, Christine K. Ellis, Darin S. Carroll, Ryan R. Lash, A. Townsend Peterson, Inger K. Damon, Jean Malekani, Pierre Formenty

United States Department of Agriculture Wildlife Services: Staff Publications

As ecologic niche modeling (ENM) evolves as a tool in spatial epidemiology and public health, selection of the most appropriate and informative environmental data sets becomes increasingly important. Here, we build on a previous ENM analysis of the potential distribution of human monkeypox in Africa by refining georeferencing criteria and using more-diverse environmental data to identify environmental parameters contributing to monkeypox distributional ecology. Significant environmental variables include annual precipitation, several temperature-related variables, primary productivity, evapotranspiration, soil moisture, and pH. The potential distribution identified with this set of variables was broader than that identified in previous analyses but does not include …

Genetic Measures Confirm Familial Relationships And Strengthen Study Design, Stacie J. Robinson, Ryan D. Walrath, Timonthy R. Vandeelen, Kurt C. Vercauteren

United States Department of Agriculture Wildlife Services: Staff Publications

Social structure and behavioral interactions between individuals shape basic biological processes, such as breeding; foraging and predator avoidance; movement and dispersal; and disease transmission. We used a targeted trapping strategy to capture kin groups of white-tailed deer (Odocoileus virginianus) during 2007 and 2008 in Sandhill Wildlife Research Area, Wisconsin, USA, in order to observe social behaviors. Because inferring family relationships from observation of behavior is subjective, we usedmeasures of genetic relatedness and parentage assignment tests to determine that our capture strategy was efficient for capturing related pairs (78% of groups contained 1 dyad of related animals). The results of …

Brucellosis In The Greater Yellowstone Area: Disease Management At The Wildlife–Livestock Interface, Brant A. Schumaker, Dannelle E. Peck, Mandy E. Kauffman

Human–Wildlife Interactions

Elk (Cervus elaphus) and bison (Bison bison) of the Greater Yellowstone area are the last known reservoir of bovine brucellosis (Brucella abortus) in the United States. Domestic cattle occasionally contract the disease while grazing in areas where infected wild ungulates have aborted their fetuses or have given birth. Cases of brucellosis in cattle trigger costly quarantine, testing, and culling procedures. Government agencies and stakeholders, therefore, allocate valuable resources to prevent wildlife-to-cattle transmission. Scientific uncertainty about the biology, epidemiology, and economics of brucellosis makes it difficult to determine the length to which society should go to control it or the combination …

Role Of Bird Movements In The Epidemiology Of West Nile And Avian Influenza Virus, Sabir B. Muzaffar, Nichola J. Hill, John Y. Takekawa, William M. Perry, Lacy M. Smith, Walter M. Boyce

Human–Wildlife Interactions

Avian influenza virus (AIV) is influenced by site fidelity and movements of bird hosts. We examined the movement ecology of American crows (Corvus brachyrhynchos) as potential hosts for West Nile virus (WNV) and greater white-fronted geese (Anser albifrons frontalis) as potential hosts for AIVs. Research was based on radio-telemetry studies conducted in the Central Valley of California, USA. While crows were restricted to a small area of only a few square kilometers, the distribution of the geese encompassed the northern Central Valley. The crows used 1.5 to 3.5 different roosting areas monthly from February through October, …

Epidemiology And Public Health Significance Of Bovine Tuberculosis In Cattle In The Highlands Of Cameroon, Julius Awah Ndukum

Other Faculty of Science and Engineering Theses

Bovine tuberculosis (TB) is a contagious neglected zoonosis of cattle that is prevalent but under-investigated in Cameroon, hence this study was designed to assess the epidemiology of bovine TB in cattle, risks for M. bovis infection in cattle and humans; and public health implications of zoonotic bovine TB in the highlands of Cameroon. A retrospective study of meat inspection records (1994 – 2010) was done to estimate the prevalence of TB lesions in slaughtered cattle in the North West region. The prevalence of bovine TB and anti-bovine TB antibodies in live cattle based on tuberculin skin tests (2 surveys) and …

Analysis Of The Morbidity And Mortality Of Severe Influenza Infection In Clark County, Nevada For The 2010--2011 Influenza Season, Kindra Maureen St. Jacques

UNLV Theses, Dissertations, Professional Papers, and Capstones

Influenza circulates in the community in a fairly predictable manner each year; however, throughout the duration of any influenza season, influenza strains have the ability to evolve through antigenic mutations, viral reassortment, development of anti-viral resistance, and alterations in virulence. These changes are likely to cause illness among the unimmunized and can result in severe illness or death. Therefore, it is especially important to closely monitor severe influenza-associated hospitalizations and deaths. The University of Nevada, Las Vegas in collaboration with the Southern Nevada Health District (SNHD), Office of Epidemiology (OOE) analyzed data from the severe hospitalized influenza morbidity and mortality …

A Draft Genome Of Yersinia Pestis From Victims Of The Black Death, Kirsten I. Bos, Verena J. Schuenemann, G. Brian Golding, Hernán A. Burbano, Nicholas Waglechner, Brian K. Coombes, Joseph B. Mcphee, Sharon Dewitte, Matthias Meyer, Sarah Schmedes, James Wood, David J. D. Earn, D. Ann Herring, Peter Bauer, Hendrik N. Poinar, Johannes Krause

Faculty Publications

Technological advances in DNA recovery and sequencing have drastically expanded the scope of genetic analyses of ancient specimens to the extent that full genomic investigations are now feasible and are quickly becoming standard1. This trend has important implications for infectious disease research because genomic data from ancient microbes may help to elucidate mechanisms of pathogen evolution and adaptation for emerging and re-emerging infections. Here we report a reconstructed ancient genome of Yersinia pestis at 30-fold average coverage from Black Death victims securely dated to episodes of pestilence-associated mortality in London, England, 1348–1350. Genetic architecture and phylogenetic analysis indicate …

Mathematical Modeling And Analysis Of Epidemiological And Chemical Systems, Calistus N. Ngonghala

Graduate Theses, Dissertations, and Problem Reports (ETD)

This dissertation focuses on three interdisciplinary areas of applied mathematics, mathematical biology/epidemiology, economic epidemiology and mathematical physics, interconnected by the concepts and applications of dynamical systems.;In mathematical biology/epidemiology, a new deterministic SIS modeling framework for the dynamics of malaria transmission in which the malaria vector population is accounted for at each of its developmental stages is proposed. Rigorous qualitative and quantitative techniques are applied to acquire insights into the dynamics of the model and to identify and study two epidemiological threshold parameters reals* and R0 that characterize disease transmission and prevalence, and that can be used for disease control. It …

Real-World Comparison Of Two Molecular Methods For Detection Of Respiratory Viruses, Syed Asad Ali, James E. Gern, Tina V. Hartert, Kathryn M. Edwards, Marie R. Griffin, E Kathryn Mille, Tebeb Gebretsadik, Tressa Pappas, Wai Ming Lee, John V. Williams

Department of Paediatrics and Child Health

Background: Molecular polymerase chain reaction (PCR) based assays are increasingly used to diagnose viral respiratory infections and conduct epidemiology studies. Molecular assays have generally been evaluated by comparing them to conventional direct fluorescent antibody (DFA) or viral culture techniques, with few published direct comparisons between molecular methods or between institutions. We sought to perform a real-world comparison of two molecular respiratory viral diagnostic methods between two experienced respiratory virus research laboratories.
Methods: We tested nasal and throat swab specimens obtained from 225 infants with respiratory illness for 11 common respiratory viruses using both a multiplex assay (Respiratory MultiCode-PLx Assay [RMA]) …

The Application Of Gis And Spatiotemporal Analyses To Investigations Of Unusual Marine Mammal Strandings And Mortality Events, Stephanie A. Norman, Jessie Huggins, Tim E. Carpenter, James T. Case, Dyanna M. Lambourn, Jim Rice, John Calambokidis, Joseph K. Gaydos, M. Bradley Hanson, Deborah A. Duffield, Sandra Dubpernell, Susan Berta, Matt Klope

United States Department of Commerce: Staff Publications

In 2006–2007, an unusually high number of harbor porpoises (Phocoena phocoena) stranded along the Washington and Oregon coastlines. Spatiotemporal analyses were used to examine their ability to detect clusters of porpoise strandings during an unusualmortality event (UME) in the Pacific Northwest using stranding location data. Strandings were evaluated as two separate populations, outer coast and inland waters. The presence of global clustering was evaluated using the Knox spatiotemporal test, and the presence of local clusters was investigated using a spatiotemporal scan statistic (space–time permutation). There was evidence of global clustering, but no local clustering, supporting the hypothesis that …

Distribution Of Culicoides Sonorensis (Diptera: Ceratopogonidae) In Nebraska, South Dakota, And North Dakota: Clarifying The Epidemiology Of Bluetongue Disease In The Northern Great Plains Region Of The United States, E. T. Schmidtmann, M. V. Herrero, A. L. Green, D. A. Dargatz, J. M. Rodriquez, T. E. Walton

Zoonotics and Wildlife Disease: Publications

The presence or absence of the biting midge Culicoides sonorensis Wirth & Jones (Diptera: Ceratopogonidae), a primary vector of bluetongue viruses (genus Orbivirus, family Reoviridae, BTV) in North America, was assessed on ranches and farms across the Northern Great Plains region of the United States, specifically Nebraska, South Dakota, and North Dakota, as part of a 2-yr regional study of BTV exposure among cattle. Blacklight/suction trap samples totaling 280 2-night intervals were taken at 140 aquatic sites (potential larval habitat for C. sonorensis) on 82 livestock operations (ranches and farms) that span a south-to-north gradient of expected decreasing …

The Impact Of Infectious Disease On Chronic Disease: A Review Of Contemporary Findings, Wendy Bjerke

All PTHMS Faculty Publications

Infectious diseases are among the top causes of death in adults and children. Chronic diseases such as cardiovascular disease and cancer are among the top causes of death in adults. Associations between bacterial and viral infectious agents and subsequent development of chronic disease have been made in the past but are currently being reexamined with more rigor and specificity. This review examines infectious disease agent causes and associations with cancer, cardiovascular disease, metabolic disease, and neurodegenerative disease. These associations will impact future research, surveillance, treatment, and prevention of both infectious and chronic diseases.

Assessment Of The Findings On The Existence Of Complications In Brucellosis, Cemal Bulut, Meltem Arzu Yetki̇n, Gülruhsar Yilmaz, Fatma Şebnem Erdi̇nç, Çi̇ğdem Ataman Hati̇poğlu, Sami̇ Kinikli, Behi̇ç Oral, Necla Tülek, Ali̇ Pekcan Demi̇röz

Turkish Journal of Medical Sciences

Brucellosis is a prevalent disease in Turkey. The object of this study was to assess the findings in brucellosis cases with and without complications. Materials and methods: A total of 324 patients diagnosed with brucellosis between 1999 and 2005 were reviewed retrospectively. The diagnosis of brucellosis was established serologically and/or by positivite blood culture. Epidemiologic features, clinical symptoms, and laboratory findings of the patients were assessed in both complicated and noncomplicated brucellosis cases by univariate and multivariate analysis. Results: The mean age of patients was 44.0 ± 18.3 years (range 15-83 years). In addition, 56% of the patients were male. …

Norovirus Epidemiology And Duration Of Shedding In Michigan, 2007-2008, Nodira A. Abdujamilova, David Dixon, Laura Mosher, Patricia Somsel, Anthony Muyombwe, Patricia A. Clark, Jeffrey Massey, Brenda Brennan, Paul C. Bartlett

Michigan Journal of Public Health

Background: In the United States, an estimated 23 million cases of norovirus (NoV) are reported each year, and although mortality is low, the morbidity and economic impact are substantial. Methods: RT-PCR and sequencing were used for identification of NoV genotypes obtained from outbreak and sporadic cases. RT Quant PCR was used to determine the viral load in fecal specimens. In order to rule out bacterial infection as the cause for acute gastroenteritis (AGE), bacterial culture for Salmonella, E.coli O157, Shigella, Campylobacter and Clostridium difficile was performed by standard laboratory procedures. The duration of NV shedding was investigated with longitudinal sampling …

The Impact Of Infectious Disease On Chronic Disease: A Review Of Contemporary Findings, Wendy Berke

Journal of Social, Behavioral, and Health Sciences

Infectious diseases are among the top causes of death in adults and children. Chronic diseases such as cardiovascular disease and cancer are among the top causes of death in adults. Associations between bacterial and viral infectious agents and subsequent development of chronic disease have been made in the past but are currently being reexamined with more rigor and specificity. This review examines infectious disease agent causes and associations with cancer, cardiovascular disease, metabolic disease, and neurodegenerative disease. These associations will impact future research, surveillance, treatment, and prevention of both infectious and chronic diseases.

Legacy - August 2010, South Carolina Institute Of Archaeology And Anthropology--University Of South Carolina

SCIAA Magazine - Legacy & PastWatch

Contents:

New USC Press Book on the Discovery of Rock Art in South Carolina.....p. 1
Director's Note - Student Support and Volunteers.....p. 2
Savannah River Valley - 2010 Field Season.....p. 4
New Post-Doctoral Scholar Joins Staff.....p. 11
Tar River Geoarchaeological Survey.....p. 12
Camden Battlefield.....p. 8
Williamson's Plantation Battlefield.....p. 18
Archaeological Resources Act Signed by Governor Sanford.....p. 20
Carmen Beard Leaves SCIAA.....p. 21
What is SCAPOD.....p. 22
South Carolina Archaeology Month 2010.....p. 24
New Book on Brunswick Town by Stanley South.....p. 25
Topper Documentary Award.....p. 25
ART/SCIAA Donors 2009-2010.....p. 26
ART CHALLENGE.....p. 28

New Post-Doctoral Scholar Joins Staff In 2010-2011, Charles R. Cobb

Faculty & Staff Publications

No abstract provided.

Case Fatality Rates Based On Population Estimates Of Influenza-Like Illness Due To Novel H1n1 Influenza: New York City, May–June 2009, James L. Hadler, Kevin Konty, Katharine H. Mcveigh, Anne Fine, Donna Eisenhower, Bonnie Kerker, Lorna Thorpe

Publications and Research

Background The public health response to pandemic influenza is contingent on the pandemic strain's severity. In late April 2009, a potentially pandemic novel H1N1 influenza strain (nH1N1) was recognized. New York City (NYC) experienced an intensive initial outbreak that peaked in late May, providing the need and opportunity to rapidly quantify the severity of nH1N1. Methods and Findings Telephone surveys using rapid polling methods of approximately 1,000 households each were conducted May 20–27 and June 15–19, 2009. Respondents were asked about the occurrence of influenza-like illness (ILI, fever with either cough or sore throat) for each household member from May …

Modeling And Support Tools For Studying Disease Spread In Livestock Using Networks, Joel Francis, Greg Klotz, Neil Harvey, Deborah Stacey

International Congress on Environmental Modelling and Software

The natural occurrence or intentional release of highly contagious agents of livestock disease can have serious consequences for any country’s agricultural economy. Successful control and management of animal disease outbreaks require that adequate response strategies be developed beforehand. Disease spread simulation models are being used by veterinary epidemiologists to evaluate strategies for the control of disease spread. These models enable decision-makers and emergency preparedness personnel to explore many different scenarios to determine the effects of control measures such as vaccination, and study the likely size, duration and cost of outbreaks. This paper presents an overview of livestock disease spread modeling …

Modeling And Support Tools For Studying Disease Spread In Livestock Using Networks, Joel Francis, Greg Klotz, Neil Harvey, Deborah Stacey

International Congress on Environmental Modelling and Software

The natural occurrence or intentional release of highly contagious agents of livestock disease can have serious consequences for any country’s agricultural economy. Successful control and management of animal disease outbreaks require that adequate response strategies be developed beforehand. Disease spread simulation models are being used by veterinary epidemiologists to evaluate strategies for the control of disease spread. These models enable decision-makers and emergency preparedness personnel to explore many different scenarios to determine the effects of control measures such as vaccination, and study the likely size, duration and cost of outbreaks. This paper presents an overview of livestock disease spread modeling …