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Chandy John Interviewed for ASTMH Blog

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Chandy John, M.D., M.S.

An interview with Global Pediatrics division director, Chandy John, appeared in a May 15 post on the American Society of Tropical Medicine and Hygiene blog. From the interview:

Q: Given your background in pediatrics and malaria, what were you thinking about on World Malaria Day?

A: I was thinking about how remarkable it is that there IS a World Malaria Day. I got into malaria work because I saw kids dying of malaria in Bangladesh, Nigeria and Laos as a medical student and resident, and yet there were very few people doing malaria research in the United States at the time, particularly in my area of training (pediatrics). That has really changed, and it's not just physicians... continue reading

Dr. John is an active member of the ASTMH and chairs the Kean Fellowship Committee, which selects medical students to receive fellowships that support clinical or research electives in tropical medicine.
 
Read the full interview here
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Katherine Matthews and Judith Eckerle

Minnetonka high school student, Katherine Matthews, completed a six-month internship experience with Judith Eckerle, MD, as part of her school district's Honors Mentor Connection program. Katherine explains:

With Dr. Eckerle's guidance I gathered data, wrote, and created a poster for my research paper titled, "Health of Children Considered for Adoption from China". I meticulously combed through deidentified medical records of 105 patients who have been seen in the International Adoption Clinic. I recorded each child's age, sex, birth weight, and whether or not they had special needs (long-term health issues). From there, the data was statistically analyzed to provide percentages of incidence of each of these groups of health issues.

We now can answer parents' and social workers' questions about what they might expect to see medically from children adopted from China, and how many children usually have a certain condition.

In order to keep track of the complex vocabulary used in what I was researching, I made an appendix of over 55 medical terms unique to the referrals that the Adoption Clinic usually sees from China. This list will be available as a reference for residents to use during their time at the IAC and is complete with case numbers and additional references for further information if necessary.

View Katherine's poster here

Says Katherine of her experience, "I'm very lucky to have had Dr. Eckerle as my mentor for this program; she's been a wonderful influence and a real inspiration for me."

Hamre Awarded 2013-14 Fogarty Fellowship

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Karen Elaine Stella Hamre, MPH
Current course of study: Doctor of Philosophy in Epidemiology, University of Minnesota School of Public Health


Congratulations to Karen Hamre, who has been awarded a Fogarty fellowship for 2013-14. Learn more about her project and goals, in her own words:

Highland areas (>1,500m above sea level) are targeted for malaria elimination due to their unstable transmission patterns. Unlike in malaria holoendemic regions where partial immunities to malaria are built-up and sustained through years of infectious mosquito bites, populations in highland areas are susceptible to epidemics as their immune responses wane due to the highly seasonal and sporadic nature of transmission.

Dr. Chandy John and his colleagues at the Kenya Medical Research Institute (KEMRI), Dr. John Vulule and Dr. George Ayodo, have been conducting research in the highland areas of Kipsamoite and Kapsisiywa in western Kenya for over a decade. 

Through his active and passive surveillance studies, he reported evidence of local malaria transmission interruption from April 2007-March 2008 after the Kenyan Ministry of Health implemented annual indoor residual spraying and switched to first-line artemisinin-combination therapy anti-malarial drugs for treatment of uncomplicated malaria. 

Interrupting local transmission is the first step towards the elimination stage.

During my 11 months in Kisumu, Kenya, as a Fogarty Global Health Scholar, I plan to utilize the rich data Dr. John is collecting on anthropogenic (e.g., roof structure, wall material, bednet usage, numbers in household), demographic (e.g., age, gender), entomologic (e.g., vector density and species), environmental (e.g., rainfall and temperature), and spatial (e.g., global positioning information of households, schools, forests, swamps) factors to study the epidemiology of malaria across time and transmission patterns in the same study population and location.

I intend to contribute to the understanding of the epidemiology of malaria in this highland area by making comparisons of predictors of malaria risk before and after interruption of transmission.

Specifically, I aim to determine where clustering of incidence occurs (i.e., identify 'hot spots' of malaria) after the period of interruption, and evaluate whether these clusters and related predicting ecologic risk factors correlate with those reported during epidemic and non-epidemic months before interruption.

Understanding how malaria interruption may affect several predictors of risk in highland settings will help inform future targeted control and elimination strategies.


For more information on the Fogarty fellowships, visit the Global Peds website
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Global Pediatrics faculty, Judy Eckerle, published in the April issue of Maternal Child Health: "Vision and Hearing Deficits and Associations With Parent-Reported Behavioral and Developmental Problems In International Adoptees". Dana Johnson was a co-author.

Global Child Health Educators Poster at APPD 2013

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L to R: Chuck Schubert (Cincinnati Children's Hospital), Nicole St. Clair (Medical College of Wisconsin), Cindy Howard (University of Minnesota), Jacquelyn Kuzminski (MCW), Sabrina Butteris (University of Wisconsin-Madison), Laura Houser (UW-Madison)

In April 2013, Cindy Howard and colleagues presented a poster: Global Child Health Educators: Local Collaboration To Optimize Global Education at the 2013 annual meeting of Association of Pediatric Program Directors (APPD).

The poster described the planning, organization and scholarly products that have resulted from our collaborative efforts as part of the Midwest Consortium of Global Health Educators. Formed in 2009, the Consortium brought together global health education programs with residency tracks from:

  • Cincinnati Children's Hospital
  • May Clinic College of Medicine
  • Medical College of Wisconsin
  • Northwestern University
  • Rainbow Babies & Children's Hospital
  • University of Minnesota
  • University of Wisconsin - Madison
Our institutions share competencies, knowledge assessments and curriculum resources as part of an innovative way to achieve effective global health education across pediatric residency programs.

911 Education For New Immigrants

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Pediatric Global Health Track resident, Kristina Krohn, was published in the April issue of Minnesota Medicine with a piece she co-wrote about the importance of educating new immigrants on 911 and the emergency medical system in the U.S.

Said Krohn, "I started this article with Pat Walker over a year ago, and can see how much I've grown since I started writing this. It is fun to see how journalistic and scientific writing can meet."

Read the full article

Vote For Digital African Health Library Project

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Digital African Health Library needs your help!

Many of you know Dr. Bruce Dahlman, an innovative health educator who has spent his career in East Africa. 

Bruce has created the Digital African Health Library, which contains health information resources to be used at the point of care by rural African primary care physicians. This tool is ready to distribute to thousands of physicians in East Africa.

The next phase of development requires additional funds to add more resources to the library and set up a distribution network in East and South African countries.

Bruce has applied to the Grand Challenges Canada for $100,000 of funding. He needs us to vote for his project.

HOW TO VOTE

1. Watch the video

2. Click Like This Application and complete the Captcha to register your vote. You can vote once per day, so make sure to visit the site again daily.

3. Forward the link to your friends and ask them to vote, too!

Together, let's help Bruce's important and exciting health education project succeed and bring the resources doctors need to the point of care.

Slusher Teaches At Angkor Children's Satellite Clinic

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Tina Slusher participates in a Women's Day activity at AHC Satellite Clinic

During Tina Slusher's March 2013 trip to Cambodia, she observed at Angkor Children's Hospital's Pediatric Intensive Care Unit. While there as an observer, she was asked to do some informal teaching in their PICU and some formal teaching for their residents, consultants and staff. 

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PICU staff report having made several changes to practice as a result of Dr. Slusher's teaching and recommendations.

As part of that invitation, she also was able to enjoy a day a their satellite clinic site, where she taught and observed. The AHC Satellite Clinic is about 20 miles outside of Siem Reap, part of the government-owned Sotnikum Referral Hospital.

Dr. Slusher relays the message that AHC welcomes further U of Minnesota residents who wish to participate, and that this open invitation is largely due to our longstanding partnership  with AHC.

Angkor Children's Hospital is a non-profit hospital that provides care to children in northern Cambodia, with arrivals of more than 400 children and families every day.

Cusick Commentary Published On UNICEF Website

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Screenshot of Cusick's commentary on UNICEF Office of Research website

A commentary by Global Pediatrics faculty member Sarah Cusick was published by the UNICEF Office or Research. Her commentary defends the importance of nutrition in brain development in the first 1000 days of life. 

Friesen Receives 2013 UMAA Student Leadership Award

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Alexis Friesen

Alexis Friesen, who works in the labs of Drs. Gregory Park and Chandy John, received a 2013 UMAA Student Leadership Award. This award honored Alexis for her exceptional academic achievements, personal character, leadership qualities and contributions to the University of Minnesota. Alexis's work in the labs of Drs. Park and John is on the relationship between severe malaria and HRP2 and TGF-beta. Congratulations, Alexis!