Digital Commons Network^™

The Lyme Disease Spirochete, Borrelia Burgdorferi, In Tick Species Collected From Raccoons (Procyon Lotor) And Opossums (Didelphis Virginiana) Trapped In The Warren And Barren Counties Of South Central Kentucky, Kristina Tackett

Masters Theses & Specialist Projects

The incidence of tick-borne zoonoses such as Ehrlichiosis, Rocky Mountain Spotted Fever, and Lyme disease has steadily increased in the southeastern United States in recent years. According to the Centers for Disease Control and Prevention (CDC), the southeastern states accounted for 1,200 of the 27,000 total cases of Lyme disease reported in the U.S. in 2007. Although Ixodes scapularis is the most commonly recognized vector for the Lyme disease spirochete Borrelia burgdorferi, Dermacentor variabilis (a common vector for Rocky Mountain Spotted Fever) also has been shown to be a viable host for this pathogen. The purpose of the present …

Strengthening Security And Oversight At Biological Research Laboratories, Michael Greenberger

Congressional Testimony

With the advent of the Anthrax attacks in the fall of 2001, this Nation has been confronted with a serious policy conundrum. On the one hand, we have strengthened programs that encourage the use of our best scientific resources to develop countermeasures to the weaponization of highly dangerous biopathogens. On the other hand, research on those countermeasures requires the use of the very biopathogens we seek to defeat. There have been many mishaps in the handling of those pathogens, which raises the frightening prospect that the research may be as (or more) dangerous than the potential bioterrorist acts themselves. Indeed, …

The Malawi Religion Project: Data Collection And Selected Analyses, Jimi Adams, Jenny Trinitapoli

Faculty Publications

Scholars have recently become increasingly interested in the role religion plays in the responses to the HIV/AIDS epidemic in sub-Saharan Africa. Here, we present the Malawi Religion Project (MRP), which provides data to examine the relationship between religion and HIV/AIDS through surveys and in-depth interviews with denominational leaders, congregational leaders, and congregation members in three districts of rural Malawi. In the paper, we outline existing perspectives on the religionHIV/AIDS link, describe the MRP's design, implementation, and subsequent data; provide initial evidence for a series of general research hypotheses; and describe how these data can be used both to extend explorations …

Pharmacy & Therapeutics Update: Drug Information For Health Care Professionals, September 2009, Medical University Of South Carolina, Heather Kokko, Kelli Garrison, Jason Cooper, Chris Wisniewski, James New

Pharmacy & Therapeutics Update: Drug Information for Health Care Professionals

No abstract provided.

Pharmacy & Therapeutics Update: Drug Information For Health Care Professionals, July/August 2009, Medical University Of South Carolina, Heather Kokko, Kelli Garrison, Jason Cooper, Chris Wisniewski, James New

Pharmacy & Therapeutics Update: Drug Information for Health Care Professionals

No abstract provided.

Pandemic Flu Planning In Africa: Thoughts From A Nigerian Case Study, Cheryl Loeb, Lynn Mcgrath, Sudhir Devalia

Defense and Technology Papers

This paper discusses the Avian Influenza/Pandemic Influenza Policy Planning workshop held in Nigeria in June 2007, the objective of which was assisting selected Nigerian officials in evaluating their nation’s pandemic response plan.

Training Future Physicians As Public Health Leaders: Jefferson's Md/Mph Graduate Education Program, Rob Simmons Drph, Mph, Ches

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Detecting, Preventing, And Treating Sexually Transmitted Diseases Among Adolescent Arrestees: An Unmet Public Health Need, Steven Belenko, Richard Dembo, Matthew Rollie, Kristina Childs, Christopher Salvatore

Department of Justice Studies Faculty Scholarship and Creative Works

Studies of detained and incarcerated adolescent offenders in the United States indicate that these juveniles have an elevated risk of sexually transmitted diseases (STDs). However, many more arrestees enter the “front end” of the juvenile justice system that is detained or incarcerated, and research into the STD risk profiles and service needs of this larger group is lacking. An expansion of STD testing (including of asymptomatic youths), prevention, and treatment is needed, as is improved knowledge about gender- and race-specific services. A pilot program in Florida has shown that juvenile justice and public health systems can collaborate to implement STD …

A Broader Liberty: Js Mill, Paternalism, And The Public’S Health, Lawrence O. Gostin, Kieran G. Gostin

O'Neill Institute Papers

Is the ‘harm principle’, famously propounded by JS Mill and widely adopted in bioethics, an appropriate principle to guide public health regulation? The harm principle limits liberty-limiting interventions to only those instances where the person poses a significant risk of harm to others. However, much of public health regulation is not primarily directed to avert risk to others, but to safeguard the health and safety of the individual him or herself. Think about regulations regarding seatbelts, motorcycle helmets, or the fluoridation of water as illustrations of pervasive public health regulations that are primarily intended to safeguard the individual’s own health …

Science, Politics, And Values: The Politicization Of Professional Practice Guidelines, Lawrence O. Gostin, John D. Kraemer

O'Neill Institute Papers

The Connecticut Attorney General’s recent allegations that the Infectious Disease Society of America violated antitrust law through its treatment guidelines for Lyme disease were neither based in sound science or appropriate legal judgment. Strong scientific evidence favors IDSA’s position that chronic infection with the etiologic agent of Lyme disease does not occur in the absence of objective signs of ongoing infection and that long-term antibiotic use to treat dubious infection, recommended in the quasi-scientific guidelines put forth by the International Lyme and Associated Diseases Society (ILADS), are of no benefit. In siding with ILADS and other chronic Lyme disease advocates, …

An Hsus Report: The Impact Of Industrialized Animal Agriculture On World Hunger, The Humane Society Of The United States

Impact of Animal Agriculture

Of the world’s nearly 6.8 billion humans, almost 1 billion people are malnourished. Feeding half the world’s grain crop to animals raised for meat, eggs, and milk instead of directly to humans is a significant waste of natural resources, including fossil fuels, water, and land. Raising animals for food is also a major contributor to global warming, which is expected to further worsen food security globally. To meet the daily nutritional needs of a rapidly expanding population, the world’s human community, particularly in Western countries, must reduce its reliance on animal products and shift to a more plant-based diet.

The Problem Of Vaccination Noncompliance: Public Health Goals And The Limitations Of Tort Law, Daniel B. Rubin, Sophie Kasimow

Michigan Law Review First Impressions

Imposing tort liability on parents who fail to vaccinate their children would not serve the public health and public policy interests that drive childhood immunization efforts. The public policy goals of vaccination are to slow the spread of disease and to reduce mortality and morbidity. Our country’s public health laws already play a substantial role in furthering these goals. Although application of tort law may be an appropriate response to some of the problems that result from vaccination noncompliance, there also is a need to cultivate public understanding of the connection between individual actions and collective wellbeing. It is doubtful …

Gambling With The Health Of Others, Stephen P. Teret, Jon S. Vernick

Michigan Law Review First Impressions

The health and wellbeing of the public is, in part, a function of the behavior of individuals. When one individual’s behavior places another at a foreseeable and easily preventable risk of illness or injury, tort liability can play a valuable role in discouraging that conduct. This is true in the context of childhood immunization.

Parents Should Not Be Legally Liable For Refusing To Vaccinate Their Children, Jay Gordon

Michigan Law Review First Impressions

Should a parent who takes advantage of a personal belief exemption to avoid vaccinating a child be held liable if that child infects other people? No, because there are valid medical reasons for choosing this exemption and tracing direct transmission of these illnesses from an unvaccinated child to another person is virtually impossible.

Choices Should Have Consequences: Failure To Vaccinate, Harm To Others, And Civil Liability, Douglas S. Diekema

Michigan Law Review First Impressions

A parent’s decision not to vaccinate a child may place others at risk if the child becomes infected and exposes others to the disease. Should an individual harmed by an infection transmitted from a child whose parents chose to forgo vaccination have a negligence claim against those parents? While I do not hold a legal degree and therefore cannot speak directly to issues of law, as a physician and ethicist it seems to me that the basic elements that comprise negligence claims—harm, duty, breach of duty, and causation—are met in some cases where parents forgo vaccination.

After The Revolution: Global Health Politics In A Time Of Economic Crisis And Threatening Future Trends, David P. Fidler

Articles by Maurer Faculty

In 2008, global health’s political revolution, which unfolded over the preceding 10-15 years, ended when four global crises damaged global health and altered the political, diplomatic, and governance contexts in which global health activities operate. The climate change, energy, food, and economic crises revealed limitations in global health’s ability to shape large-scale political, economic, and environmental problems that adversely affect health or harm underlying determinants of health. In addition, projected trends in world affairs potentially threaten health and the ability of countries to craft effective collective action responses to global problems damaging health directly and indirectly. In the post-revolution period, …

When Every Drop Counts: The Public Health Impact Of Drought, Steven Konkel

Environmental Health Planning and Policy

No abstract provided.

Pharmacy & Therapeutics Update: Drug Information For Health Care Professionals, November/December 2008, Medical University Of South Carolina, Paul Bush, Kelli Garrison, Jason Cooper, Chris Wisniewski, Ashley Lewis

Pharmacy & Therapeutics Update: Drug Information for Health Care Professionals

pharmacy, pharmacology, therapeutics, medicine, drug utilization, public health, sodium phosphate, catheter obstruction, weight loss drugs, cathartics, phosphates, colon, anti-obesity agents, drug labeling, United States Food and Drug Administration

Obesity And Spatial Context In Appalachia, Roberta J. Alt

Graduate Theses, Dissertations, and Problem Reports (ETD)

The prevalence of obesity has increased substantially over the past 30 years. Obesity is a multi-factorial disorder, which is often associated with many other significant diseases such as diabetes, hypertension and other cardiovascular diseases, osteoarthritis and certain cancers. For these reasons, it is a complex health issue to address. The objective of this study is to identify the factors which are responsible for the spatial variation of adult obesity throughout the Appalachian region. In addition, preliminary examinations are made to identify potential associations between geographic variability in the prevalence of obesity and the characteristics of individuals and places with variable …

“This Isn’T Like Diphtheria, You Know?”: The Sociocultural Context Of Human Papillomavirus Immunization, Potential Mandates, And Narratives Of Risk Among, Hannah Louise Helmy

USF Tampa Graduate Theses and Dissertations

Many in the biomedical community have praised the recently released Human Papillomavirus (HPV) vaccine, Gardasil, for having the potential to significantly reduce the disease burden of cervical cancer and genital warts. However, complex intersections of ideology, morality, and politics have made this new vaccine considerably contested, particularly as public debate has turned to the ethics of state-mandated HPV vaccination for 11-12 year old girls. Subsequently, the extent to which mandatory vaccinations are accepted by parents and implications regarding the infringement of these coercive measures on their rights to make health care decisions for their children has become powerfully positioned in …

Global Health Law: Health In A Global Community, Lawrence O. Gostin

O'Neill Institute Papers

The examination of public health law traditionally focuses on constitutions, statutes, regulations, and common law at the national and sub-national level. However, the determinants of health (e.g., pathogens, air, food, water, even lifestyle choices) do not originate solely within national borders. Health threats inexorably spread to neighboring countries, regions, and even continents. Peoples’ lives are profoundly affected by commerce, politics, science, and technology from all over the world. Global integration and interdependence occur “as capital, traded goods, persons, concepts, images, ideas, and values diffuse across state boundaries.” It is for this reason that law and policy need to be transnational, …

Global Health Law: A Definition And Grand Challenges, Lawrence O. Gostin, Allyn L. Taylor

O'Neill Institute Papers

It has been only recently that scholars have engaged in a serious discussion of "public health law." This academic discourse examines the role of the state and civil society in health promotion and disease prevention within the country. There is an important emerging literature on the international dimensions of health, but no similar systematic definition and exposition of a field we call "global health law." In this article we aim to fill this gap by defining global health law and characterizing the grand challenges. Given the rapid and expanding globalization that is a defining feature of today's world, the need …

Global Health Law Governance, Lawrence O. Gostin

O'Neill Institute Papers

The field of public health law traditionally focuses on law at the national and sub-national level. National legal systems, however, are inadequate to deal with major threats to humans. Despite the inadequacies of national governance, there are fundamental questions that need resolution in the field of global health law: Why should governments care about the health of people far away? Are profound health disparities just and, if not, is there a corresponding obligation to redress the injustice? Can international law effectively bind governments, foundations, and corporations to act for the global good? This article, based on a lecture at Emory …

A Theory And Definition Of Public Health Law, Lawrence O. Gostin

O'Neill Institute Papers

The literature, both academic and judicial, on the intersection of law and health is pervasive. The subject of law and health is widely taught, practiced, and analyzed. The fields that characterize these branches of study are called health law, health care law, law and medicine, forensic medicine, and public health law. Do these names imply different disciplines, each with a coherent theory, structure, and method that sets it apart? Notably absent from the extant literature is a theory of the discipline of public health law, an exploration of its doctrinal boundaries, and an assessment of its analytical methodology.

Public health …

Human Dispersal Of Trichinella Spiralis In Domesticated Pigs, Benjamin Rosenthal, Giuseppe Larosa, Dante Zarlenga, Detiger Dunams, Yao Chunyu, Liu Mingyuan, Edoardo Pozio

United States Department of Agriculture-Agricultural Research Service / University of Nebraska-Lincoln: Faculty Publications

To investigate the human impact on the evolutionary ecology of animal pathogens, we compared genetic diversity of severe foodborne parasites contracted by eating infected pork or wild game. In particular, we characterized Trichinella spp. from twenty-eight countries and four continents by genotyping nine microsatellite loci and sequencing one-fifth of the mitochondrial genome. All specimens of Trichinella spiralis, a swine parasite that can infect many species of wildlife, were remarkably uniform across Europe, North Africa, and the Americas. Far greater diversity characterized a comparable sample of Trichinella britovi, which parasitizes various sylvatic mammals endemic to Eurasia and North-Western Africa. A limited …

Water System Preparedness For Pandemic Influenza, Phil Van Atta

Master of Public Health Program Student Publications

This project involved an investigation of water utility preparedness and best practices for pandemic influenza. A pandemic could cause serious disruptions to the operations of critical infrastructure, including drinking water systems. These disruptions could be caused by staffing shortages, power disruptions, and shortages of chemicals and other supplies. Ensuring continuity of operations for drinking water systems is crucial to protect public health and safety, and to the economy of all communities. Literature searches, interviews, and a survey of Ohio water systems indicated that water systems in Ohio and across the United States are preparing for pandemic influenza. Pandemic influenza preparation …

An Hsus Report: Human Health Implications Of Non-Therapeutic Antibiotic Use In Animal Agriculture, The Humane Society Of The United States

Impact of Animal Agriculture

For decades, the U.S. meat industry has fed medically important antibiotics to chickens, pigs, and cattle to accelerate their weight gain and prevent disease in the stressful and unhygienic conditions that typify industrialized animal agriculture production facilities. A strong scientific consensus exists, asserting that this practice fosters antibiotic resistance in bacteria to the detriment of human health. In response to this public health threat, the European Union has banned the non-therapeutic feeding of a number of antibiotics of human importance to farm animals. Given these serious concerns as well as recent data that suggest an overall lack of financial benefit, …

An Hsus Report: Human Health Implications Of Intensive Poultry Production And Avian Influenza, The Humane Society Of The United States

Impact of Animal Agriculture

The high stocking density, stress, unhygienic conditions, lack of sunlight, and breeding practices typical of industrial poultry and egg production systems may facilitate the emergence and spread of diseases, including highly pathogenic avian influenza viruses with public health implications such as H5N1.

An Hsus Report: Food Safety Concerns With The Slaughter Of Downed Cattle, The Humane Society Of The United States

Impact of Animal Agriculture

Nonambulatory cattle may be at higher risk of harboring foodborne pathogens such as E. coli O157:H7, Salmonella, and, very rarely, the infectious agent that causes bovine spongiform encephalopathy, colloquially known as “mad cow disease.” The exclusion of nonambulatory cattle from slaughter for human consumption may strengthen the safety of the food supply and is a prudent measure already in place throughout the European Union.

An Hsus Report: Factory Farming In America: The True Cost Of Animal Agribusiness, The Humane Society Of The United States

Impact of Animal Agriculture

Across the United States, nearly 10 billion land animals are raised and killed each year for meat, eggs, and milk. More than half of all confined farm animals by weight—54%—are concentrated in just 5% of the country‟s industrial animal production farms. The realities of today‟s animal agribusiness practices are a far cry from the ones embraced by the small, family farms that once supplied the marketplace. Industrialization and raising unprecedented numbers of farm animals have resulted in the intensive confinement of these chickens, pigs, turkeys, cattle, and other animals—and the intensive problems faced by those who must contend with the …