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TB Notes 3, 2004
The Mycobacteriology Laboratory Branch officially joined DTBE on
Monday, July 19, 2004. We welcome our new division coworkers! Following
are brief biographical sketches of the Mycobacteriology Laboratory
Kris Birkness, microbiologist, works primarily with cell
cultures developing models for studying TB pathogenesis. One
of these models, a bilayer built with human cells to resemble the
epithelial and endothelial layers of the human alveoli, offers the
opportunity to look at the earliest stages of infection and the
elicited host immune response. A second model is that of an
early granuloma, combining human peripheral blood mononuclear cells
with autologous macrophages to observe their interaction and to
determine the immunological signals that bring these cells together
in response to TB infection.
W. Ray Butler, MS, microbiologist, came to CDC in 1976 and
has spent his career working in the mycobacteriology laboratory.
His most significant achievement was the development of a novel
method for identification of species of Mycobacterium by
mycolic acid analysis using high-performance liquid chromatography
(HPLC). The method has been widely adopted by mycobacteriology
laboratories. His main area of expertise is mycobacterial
taxonomy and characterization of new species, including Mycobacterium
celatum, Mycobacterium triplex, Mycobacterium kubicae, Mycobacterium
shottsii, Mycobacterium hackensackense, Mycobacterium cosmeticum,
and recently Mycobacterium pinnipedii, the newest member
of the Mycobacterium tuberculosis complex.
Debra Carter, Program Operations Assistant, joined the Branch
in September. She came to CDC in 1997 as the Administrative
Operations Assistant for the Division of DTBE Office of the Director.
Prior to CDC she worked for Fulton County Administrative Office
in the Department of MH/ MR/SA, later on transferring to South Fulton
Day Treatment Center where she performed audits and assisted with
Nadege Charles, MS, a microbiologist in the mycobacteriology
reference laboratory joined the Branch in 2003. She graduated
with honors from the University of Florida. She has been conducting
reference and diagnostic studies. She also participates in
research projects with colleagues to meet the goals of the Branch.
Mani Cheruvu, PhD, began her research career in the field
of tuberculosis while working for her doctoral degree at Tuberculosis
Research Centre, Chennai, India. Her doctoral work involved standardization
and evaluation of a new drug susceptibility test for rapid identification
of multidrug-resistant strains of M. tuberculosis. After
finishing her PhD in March 2003, Mani came to CDC on an ASM/NCID
postdoctoral fellowship. Her postdoctoral work involves analyzing
the intracellular survival of M. tuberculosis.
Lauren Cowan, PhD, a senior service fellow, is focused on
developing improved methods for the genotyping of M. tuberculosis
isolates such as her recently developed automated method for spoligotyping.
She has played a key role in implementing high throughput genotyping
methods in the contract genotyping laboratories and will continue
to provide technical guidance to the laboratories and advice on
interpretation of genotyping results.
Jack Crawford, PhD, began studies on the molecular biology
of mycobacteria in 1977 at the VA Medical Center in Little Rock,
Arkansas, working with Dr. Joe Bates. His research team was the
first to clone IS6110 and demonstrate its use as a target
for PCR detection and DNA fingerprinting of M. tuberculosis.
He came to CDC in 1990 as head of the mycobacteriology reference
laboratory. He has played a key role in the implementation of genotyping
in the United States, serving as a project officer for the National
Tuberculosis Genotyping and Surveillance Network and the current
genotyping laboratory contracts.
Lois Diem, a biologist in the mycobacteriology reference
laboratory, performs and analyzes M. tuberculosis genotyping
for outbreak and false positive culture investigations in collaboration
with DTBE, as well as hospital, public, or state laboratories. She
came to CDC in 1997 after having worked in the Grady Hospital microbiology
laboratory for 13 years, with the last 7 of those years primarily
working with tuberculosis.
Adriane Eubanks, MPH, joined the branch in 2004. She will
be conducting diagnostic and reference studies in the areas of drug
susceptibility and mycobacteriology identification. She will also
be participating in various research projects throughout the branch.
Courtney Maus, ORISE Fellow/Emory University PhD candidate,
is studying the
mechanism of capreomycin resistance in M. tuberculosis.
She is also investigating the molecular basis of the variable cross
resistance among capreomycin, kanamycin, amikacin, and viomycin.
Beverly Metchock, DrPH, came to CDC in 1997 as head of
the mycobacteriology reference laboratory. Prior to joining
CDC, she was the technical director of the clinical microbiology
laboratory at Grady Memorial Hospital in Atlanta and an Associate
Professor of Pathology and Laboratory Medicine at Emory School of
Medicine. She is board certified in clinical and public health microbiology
by the American Board of Medical Microbiology.
Glenn Morlock, MS, is a microbiologist whose primary research
interest is drug-resistance mechanisms in M. tuberculosis and
detection of resistance mutations using molecular methods. His recent
study of mechanisms of ethionamide and INH resistance was nominated
for the Shepard Award. He also provides DNA sequencing support
for molecular epidemiology and rapid drug resistance detection.
Bonnie Plikaytis, MS, microbiologist, has worked at CDC
for 26 years, starting in 1978 with Legionnaires Disease then the
last 16 years for the Hansens Disease Laboratory which became part
of the Tuberculosis/Mycobacteriology Branch. During the time spent
in the mycobacteriology group, she conducted research about and
development of rapid typing methods for mycobacteria through which
she became involved with the study and epidemiology of the multidrug-resistant
M. tuberculosis strain W. More recently, her interests
have centered on the pathogenesis and capreomycin resistance of
M. tuberculosis. In addition to her research, she also
teaches and guides the graduate students and postdoctoral fellows
in the branch to maximize their learning experience and productivity.
David Sikes, biologist, began working in the mycobacteriology
reference laboratory in 1999 after working for 7 years for the Emory
University Hospital system as a clinical microbiologist. In
his current position he performs reference drug susceptibility testing
for M. tuberculosis and nontuberculous mycobacteria isolates
referred from state health department laboratories or other facilities
nationally and internationally. In addition to this service, he
also actively participates in ongoing research projects and reference
studies involving susceptibility testing.
David Temporado, biologist, began his career at CDC
with the former Hospital Infections Program (HIP) as a part-time
employee on Project ICARE in 1996. He joined the Diagnostic/Mycobacteriology Section
performing susceptibility testing. He also did a rotation in the
ID part of the laboratory. Later, he was trained by Dr. Charles
Woodley in genotyping, and he performs many other diagnostic
molecular-based tests as well.
Sean R. Toney, biologist, worked as a microbiologist for
the Texas Center for Infectious Disease (TCID)/Texas Department
of Health (TDH) in San Antonio from 1994 until joining the mycobacteriology
reference laboratory in July 2000. He is a reference-level
diagnostic specialist responsible for performing both high performance
liquid chromatography (HPLC) identification of Mycobacterium
species and antimicrobial susceptibility testing of rapidly growing
mycobacteria. He also participates in research that identifies and
characterizes unknown species of mycobacteria and outbreak investigations
involving nontuberculous mycobacteria (NTMs). He also serves as
a technical advisor for the QuantiFERON TB screening assay.
Mitchell Yakrus, MS, MPH, is a microbiologist who specializes
in identification and typing of nontuberculous mycobacteria (NTM)
in support of epidemiological investigations. His customers include
other federal agencies, state health departments, hospitals,
and medical facilities. Previous investigations have included outbreaks
of NTM associated with hot tubs, LASIK procedures, footbaths in
nail salons, cosmetic surgery, and surgical implants. Other projects
involve identifying potential sources of NTM infection such
as potable water, biofilms, soil, and food products.
Other DTBE personnel announcements are as follows:
Rana Jawad Asghar, MD, MPH, (goes by “Jawad”) joined the
Surveillance, Epidemiology, and Outbreak Investigations Branch as
a new Epidemic Intelligence Service (EIS) officer in July 2004.
Jawad is a medical doctor with an MPH from the University of Washington,
where he was also a fellow in the emerging infectious disease program.
He has a strong background in infectious diseases and also has experience
in lab-based research. Jawad was a clinical lecturer at the clinical
research unit in the Department of Infectious and Tropical Diseases
at the London School of Hygiene and Tropical Medicine where in addition
to teaching graduate students, he developed training strategies
for malaria control in African countries for the Gates Malaria Program.
Recently, he was the provincial coordinator for the USAID-funded
Child Survival Project in Mozambique.
Robert Bailey, MPH, has joined the Epidemiology Team of
the Surveillance, Epidemiology, and Outbreak Investigations Branch
(SEOIB). Robert has a BS degree in biology from Morehouse College
and an MPH from the Rollins School of Public Health at Emory University.
Before joining SEIOB, Robert worked as a contract public health
analyst in the Division of HIV/AIDS Prevention. As a member of the
special projects team in the Program Evaluation Research Branch,
he worked on the monitoring and evaluation of HIV prevention programs
for community-based organizations that targeted communities of color.
He has also worked as a member of research teams that addressed
other HIV, TB, arthritis, adolescent and minority health issues.
He joins SEOIB to assist with project management activities related
to the TBESC.
Carrie Bridges, MPH, finished her 6-month assignment in
the Field Services and Evaluation Branch of DTBE on August 13.
While with DTBE, Carrie served on the Strategic Planning and Tools
teams of the Evaluation Working Group. She also worked on two other
initiatives, the Controlling and Eliminating TB in the African American
Community (CETBA) demonstration project in Fulton County, Georgia,
and a research project using a private-claims database to investigate
TB health services utilization. For the next 2 years, Carrie will
complete her Public Health Prevention Service fellowship with a
field assignment at the Rhode Island Department of Health (HEALTH).
In Providence, Carrie will join the Office of Minority Health’s
Refugee Program as the Refugee Health Coordinator. In her new capacity,
Carrie looks forward to continued collaboration with the TB network.
Kevin Cain, MD, is one of DTBE’s new EIS Officers and is
assigned to the International Research and Programs Branch (IRPB).
Kevin is a medical doctor with a specialty in internal medicine.
He conducted research on the prevalence and cause of bloodstream
infections in Dar es Salaam, Tanzania, together with staff of the
Division of Healthcare Quality Promotion in CDC’s National Center
for Infectious Diseases. He has also researched the association
between fever and malaria parasitemia in Ghana. In addition, Kevin
has directed TB screening programs at health clinics in West Philadelphia,
and has taught science to underprivileged children.
Viva Combs, MPH, of DTBE’s Surveillance, Epidemiology,
and Outbreak Investigations Branch (SEOIB) left CDC in August. She
is moving to Oslo, Norway, where she will be studying at the University
of Oslo, in the Faculty of Medicine within the International Community
Health program. She plans to pursue a PhD in mother-to-child
transmission of HIV and the impact of stigma on prevention, community
support, and infant feeding practices in Africa (in Botswana, South
Africa, Malawi, or Tanzania). Viva was closely involved with the
development and start-up of the TB Epidemiologic Studies Consortium
(TBESC). She helped provide the vision for the TBESC and helped
turn it from a disparate group of sites and people into a fully
functioning consortium with serious research and collaboration.
She also worked on a number of state-of-the-art applications that
enhanced the efforts of the TBESC. We wish her bon voyage
and the very best of luck.
Vincent Fears was selected for the public health advisor
(PHA) position in Detroit, Michigan. His start date in his new position
was July 12, 2004. Since 2002, Vincent has been assigned to the
Chicago Health Department. He was responsible for coordinating TB
case and contact investigation activities conducted by program staff
and partner agencies. Vincent joined DTBE in January 2001 and was
assigned to the Chicago program as a field investigator, learning
the basics of TB control and program protocols. He transferred to
DTBE from the Division of Sexually Transmitted Disease Prevention
(DSTDP), where he was last assigned to the Baton Rouge, Louisiana,
program. Vincent had previous DSTDP assignments in West Palm Beach,
Florida, and Cleveland, Ohio. He is a 1991 graduate of Alabama State
University with a bachelor of science degree in biology.
Derrick Felix was selected for the public health advisor
position in Fort Wayne, Indiana, and began his new assignment on
September 5, 2004. Derrick joined DTBE in April 2003 and was assigned
to the Chicago Department of Public Health TB Program. In
this assignment, he led and participated in monthly case conferences;
conducted surveillance activities, case management, and contact
and source case investigations; and provided DOT. Derrick also participated
in large screenings within worksites and schools. He developed an
Access database to track contacts found during contact investigations
and made modifications to another database to analyze Class B1 /
B2 immigrant screening data. Derrick also collaborated with the
Division of Global Migration and Quarantine at Chicago’s O’Hare
International Airport to evaluate and improve a newly implemented
appointment system for Class B1 / B2 notification. Additionally,
he participated in temporary duty assignments in Portland, Maine,
to assist in a TB outbreak among the homeless; in Augusta, Maine,
to implement a database allowing outbreak analysis and oversite
at the state; and in Fort Wayne, Indiana, to assist in an outbreak
among the African American community. Prior to joining CDC, Derrick
worked for the Florida Department of Health TB Program in Palm Beach
County from June 2002 to April 2003. As a health services representative,
he was assigned TB case work. Before joining the Florida
Department of Health, from August 2000 to June 2002, Derrick worked
as a health fitness specialist for Johnson & Johnson Health
Care Systems in Juno Beach, Florida. Derrick, a graduate of
the University of Florida, has a BS degree in Health Science Education.
Hsin-Hsin Foo, MPH, completed her second year as an
Association of Schools of Public Health (ASPH) fellow with
DTBE in the Communications, Education, and Behavioral Studies Branch
(CEBSB) and left DTBE on September 3. In CEBSB she worked on
a number of health communication projects such as revising and updating
the poster on placement and interpretation of the Mantoux skin test.
She also played a major role in the development and promotion of
CEBSB’s TB Education and Training Resources Web site. Hsin-Hsin
was recently selected for a health education specialist position
in the CDC National Center for Injury Prevention and Control (NCIPC)
Division of Violence Prevention. We will certainly miss her, but
are pleased that she is staying in the CDC family.
Theresa Harrington, MD, MPH, joined the Outbreak Investigations
Team of the Surveillance, Epidemiology, and Outbreak Investigations
Branch on June 29 as medical epidemiologist. Prior to joining DTBE,
Dr. Harrington was a state-based Epidemic Intelligence Service (EIS)
Officer in Mississippi. During her EIS training, she worked on multiple
infectious-disease outbreaks related to Hepatitis B, Meningococcal
meningitis, and West Nile virus. She also worked on a case-control
study of risk factors for infection and predictors of morbidity
from West Nile virus infection in Mississippi. Dr. Harrington is
a graduate of Tulane University and is board certified in internal
medicine and pediatrics, and also holds a bachelors degree in microbiology
and immunology from the University of California, Berkley.
Bryan Kim, MPH, joined the International Research and Programs
Branch as a program analyst on June 1, 2004. Bryan recently served
as a Public Health Analyst with the Capacity Building
Branch (CBB), Division of HIV/AIDS Prevention, National Center for
HIV, STD, and TB Prevention, CDC. In this position, he provided
guidance and technical assistance to international, national, state,
and local health agencies in planning, implementing, and evaluating
their HIV prevention and capacity-building assistance programs. He was
the lead coordinator for the Youth Capacity-Building Assistance
Initiative in CBB. Bryan also served as a faculty advisor to
several scholars for the Institute for HIV Prevention Leadership,
an HIV prevention training program for program managers in
community-based organizations. During his tenure at CBB, Bryan
authored or co-authored several publications on international
and domestic HIV prevention research. He was recently detailed
to the Global AIDS Program in Hanoi, Viet Nam, to provide support
to the Deputy Director in monitoring CDC’s cooperative agreement
with Viet Nam’s Ministry of Health (MOH) by monitoring HIV
prevention activities and conducting site visits. Bryan
also developed an operational manual to assist the Viet Nam MOH
and provincial health staff on the development of HIV
prevention program plans. Bryan received his BA in psychology
from the University of New Mexico, and a masters degree in
public health from the University of North Carolina at Chapel
Barbara Lassiter joined the DTBE Field Services and Evaluation
Branch on July 12 as the new Program Operations Assistant. Barbara
began her federal career in 2000 working as a secretary to the Branch
Chief of the Exposure Investigations and Consultation Branch, Agency
for Toxic Substances and Disease Registry (ATSDR). She had prior
experience in the health care field working at Grady Memorial Hospital
as a medical assistant for 9 years.
Lynn Latimer has joined the Surveillance, Epidemiology,
and Outbreak Investigations Branch (SEOIB) as the contract surveillance
data manager. Lynn joined SEOIB on August 30. She worked for many
years as a Data Collection Manager and Information Systems Manager
for the Georgia Department of Education, directing the No Child
Left Behind data reporting project. This project involved the data
collection and analysis of over 1.5 million student and assessment
records. She served as a liaison between the 25-member development
team and the business owners, developing requirements documents
and use cases, analyzing and verifying data, and presenting key
project status reports to management. In addition, she developed
a Web-based reporting portal with over 3000 users to track progress
for Georgia’s 2000 public schools. Lynn’s data management experience
began in 1998 at the Gwinnett County Board of Education, where she
supervised a three-member technology support team responsible for
designing and implementing a comprehensive personnel system, among
other key Information Technology projects. Lynn has a BS in dietetics
and institutional management and an MS in nutrition science, both
from the University of Georgia. Lynn is currently pursuing an MS
in information technology from Southern Polytechnic State University.
Kelly McCarrier, an Association of Schools of Public Health
(ASPH) fellow with the Clinical and Health Systems Research Branch,
will be leaving CDC in September to pursue a doctorate degree in
Health Services Research at the University of Washington, Seattle.
Since his arrival in Atlanta last fall, Kelly has been a valuable
member of the Health Systems Research Team and has contributed his
skills and efforts to a number of projects. He has been primarily
involved in the ethnographic study "Perceptions of TB Among
Foreign-born Persons," coding and analyzing the qualitative
data from in-depth interviews. He also played active roles in the
DTBE/HRSA collaborative study, "Improving TB Services for Persons
with HIV Infection," the TB Behavioral and Social Science Research
Forum, and the Evaluation Workgroup. He has also served as co-leader
of the Atlanta Area Evaluation Association's "New Evaluators"
group. We will miss Kelly's intellectual contributions to projects
and his ability to “think outside the circle.” We wish Kelly
the very best in his new endeavors in Seattle.
Jane Mezoff, PhD, who joined DTBE 1 year ago in the Communications,
Education, and Behavioral Studies Branch (CEBSB), accepted a position
with the Special Projects Team, Program Evaluation Research Branch,
Division of HIV/AIDS-Prevention, Intervention, Research, and Support. She
began her new job on August 9. While in CEBSB, Jane contributed
to a number of projects related to behavioral studies, and was particularly
involved in the development and conduct of DTBE’s TB Behavioral
and Social Science Research Forum that was held in Atlanta last
December, as well as with compiling and producing the proceedings
of the Forum.
Angela Rodgers Moore, MPH, is serving her first 6-month
assignment under the PHPS program with the Field Services and Evaluation
Branch (FSEB). PHPS is 3-year training program that consists of
training for 1 year with a an assignments at CDC and a 2-year field
assignment at a local or state health department. Angela is a recent
graduate of the University of Alabama at Birmingham School of Public
Health, concentrating in Maternal and Child Health. She has also
worked for a nonprofit community-based organization that works primarily
with parents whose children have been lead poisoned. This particular
CBO works with local health departments to educate and screen those
who have been affected by lead contamination, as well as allocating
resources to remedy contamination in homes. She is excited about
blending her skills and competencies with FSEB and looks forward
to working with the staff. Angela will be working specifically on
Evaluation Work Group projects with Maureen Wilce and Dr. Mark Lobato.
Maria Luisa Moore, MD, MPH, left her post as Chief of the
Surveillance Team of DTBE on August 1, 2004, to become CDC’s Tuberculosis
Medical Officer in San Diego, California. Maria Luisa, known by
all as Marisa, received her MD degree at the University of California
at San Diego in 1989. She completed her residency training in internal
medicine at the Mayo Graduate School of Medicine and received a
masters degree in public health from the University of Minnesota
in 1994. Marisa began her CDC career as an Epidemic Intelligence
Service (EIS) Officer in DTBE in 1995, and joined the DTBE Surveillance
branch in 1997, when her EIS training finished. In 2000, she was
selected to be the Chief of the Surveillance Section of the Surveillance
and Epidemiology Branch (now the Surveillance Team of the Surveillance,
Epidemiology, and Outbreak Investigations Branch). In this position,
she carried on and improved upon the strong surveillance structure
she inherited from Dr. Eugene McCray. Marisa also recognized the
urgency of announcing annual TB surveillance data as soon as possible.
She convinced field staff to finalize their annual reports within
10 weeks of the end of the reporting year, provided technical assistance
to accomplish this, and oversaw the data analysis that was needed
to quickly understand and summarize the major epidemiologic trends.
For the last 2 years, Marisa’s team has published an analysis of
provisional surveillance data in March. More remarkable still is
the fact that these provisional data have been >99% accurate
when compared with the final official data. In addition, Marisa
formed and chaired the Tuberculosis Surveillance Analytic Steering
Committee to encourage senior epidemiologists at CDC and elsewhere
to undertake analytical projects and see them through to completion.
She also worked with Dr. Lori Armstrong to create an online, searchable,
public-use TB dataset that will provide access to TB surveillance
data to scientists everywhere. And with CDC’s implementation of
the National Electronic Disease Surveillance System (NEDSS), Marisa
served as the CDC subject-matter expert before her departure, overseeing
the incorporation of TB surveillance data requirements into the
NEDSS reporting system. She established a steering committee of
surveillance experts from state TB programs, thus ensuring input
and guidance from end users of the new system. Her input resulted
in a 230-page document that specifies in precise detail the requirements
for the new system, guaranteeing that the new system will respond
accurately to user needs and will maintain high-quality national
data. The Surveillance Team at DTBE will miss her enormously, but
fortunately, we are not really losing her. She has returned to southern
California to work with Dr. Kathy Moser and the San Diego County
TB control program as a medical officer and medical epidemiologist.
We wish Marisa the best as she undertakes this exciting new direction
in her career.
Gabe Palumbo was selected for the public health advisor
(PHA) position in the TB program in Berkley, California. Gabe joined
the DTBE field staff in 1993 with an assignment to the New York
City TB Program. This assignment provided him with a
broad understanding of public health and knowledge about programmatic
issues and clinical services. In 1996, Gabe was reassigned
to the New York State TB Control Program with responsibilities for
both Nassau and Suffolk counties. Gabe was subsequently reassigned
to the Wisconsin TB Program in 1997, where he provided consultation
and technical advice on statewide TB program development and assistance
to local jurisdictions. In January 1999, he was selected for
the senior PHA position in Hawaii, where he was responsible for
TB program management activities. Most recently, in 2001, Gabe reported
to Lansing, Michigan, where he was responsible for providing technical
advice and assistance to the Michigan TB Program, as well as working
with local health departments in TB prevention and control efforts.
Brian Pascual has been selected for an epidemiologist position
in the Clinical and Health Systems Research Branch (CHSRB). Brian
comes to DTBE from the National Immunization Program (NIP) and reported
to DTBE on September 6. Brian will be working with Dr. Jerry Mazurek
on research projects and issues related to the QuantiFERON TB test.
Margaret Patterson has accepted a transfer from her public
health advisor (PHA) position in the Palm Beach County Health Department,
Riviera Beach, Florida, to the South Carolina TB Control Program,
Columbia, South Carolina. Her transfer was effective on September
5, 2004. Margaret has over 15 years’ public health experience, working
mostly in the South Carolina Sexually Transmitted Disease (STD)
Control Program. She began her federal career in 2001 with CDC’s
STD program and was assigned to Washington, DC. In 2003, Margaret
elected to leave the CDC STD program to become a PHA with DTBE.
While assigned to West Palm Beach, she worked closely with the homeless
and substance abuse populations in conducting targeted testing.
She provided DOT and conducted contact investigations among the
homeless. She had the opportunity to work on two high school
contact investigations. Margaret testified in two court hearings
that resulted in detentions of patients for nonadherence to treatment.
Dana Peebles, MPH, joined DTBE as a first-year ASPH Fellow
in the Communications, Education, and Behavioral Studies Branch
(CEBSB) on August 2. Dana recently moved to Atlanta from the Washington,
DC, area. Upon moving to Maryland in 2001, she worked as the Assistant
Director of Programs at the National Congress of Black Women. The
following year, Dana conducted biomedical research as a Research
Assistant at the Uniformed Services University of the Health Sciences
and began working towards her masters degree in public health in
health promotion at George Washington University. Last summer, as
an intern in CDC's Division of Parasitic Diseases, she developed
an educational workshop and supplemental materials for the Parasitic
Diseases Branch. While in her second year at George Washington,
she was a health educator and mentor at the Boys & Girls Club
in DC. The internships at CDC and the Boys & Girls Club further
developed her interests in instructional design and curriculum development.
The fellowship is an excellent opportunity for Dana to expand her
knowledge base in TB and health education. She is a native of North
Carolina and a 2000 graduate of Hampton University.
Michael Qualls recently left DTBE for a position in CDC’s
Global AIDS Program. Michael has done a tremendous job in his role
as Deputy Branch Chief for the International Research and Programs
Branch (IRPB) and for the Division since joining DTBE in December
2000. Among the tremendous contributions he made to the branch
as the deputy chief, he managed eight cooperative agreements, including
launching five new ones with Ministries of Health and international
organizations, and was instrumental in helping to define and establish
CDC's role in the USAID-supported TB Coalition for Technical Assistance.
He also successfully organized the international assignments of
five DTBE employees (in Russia, France/IUATLD, India, Thailand,
and Botswana) and three contractors (two in Botswana and one in
Brazil). In addition to the extensive contributions he made in the
administrative realm, he also made considerable contributions in
the technical realm including performing consultancies and trainings
on infection control in Estonia, Russia, and Philippines, and also
in developing and implementing critical programmatic indicators
for the monitoring and evaluation of DOTS expansion projects in
partnership with WHO and USAID. He has led and helped to shepherd
numerous initiatives for IRPB and DTBE that have allowed for substantial
growth and expansion of DTBE’s international activities and he has
demonstrated amazing creativity and resourcefulness in problem solving.
We deeply appreciate his commitment to the mission and work of DTBE
and we will miss him very much. Michael leaves us for an exciting
new opportunity in the field working as the Deputy Director of CDC/GAP-Cambodia.
We wish him all the best with his new pursuits.
Cathy Rawls, MPH, has completed her first year as an ASPH
Fellow with the Communications, Education, and Behavioral Studies
Branch (CEBSB) and will spend her second year of the fellowship
working in the Clinical and Health Systems Research Branch (CHSRB).
While with CEBSB, Cathy contributed to a number of projects related
to behavioral studies, such as assisting with planning and conducting
the TB Behavioral and Social Science Research Forum and developing
a database that contains citations and short abstracts of articles
on behavioral and social science studies.
Frank Romano was selected for the senior public health
advisor (PHA) position in Columbus, Ohio. Since 2002, Frank has
been working with senior PHA Heather Duncan on a number of programmatic
and operational activities in Tallahassee, Florida. Frank began
his career in public health in 1994 as a Disease Intervention Specialist
for the Louisiana TB control program in New Orleans. In 1998, Frank
was promoted to Regional TB Surveillance Coordinator responsible
for all surveillance and reporting activities in New Orleans and
the surrounding region. His first assignment with DTBE was in 2001
in Chicago, where he spent 18 months before moving to Florida. Frank
began work in Columbus on July 12, 2004.
Kathryn Ruck has been selected for the public health advisor
(PHA) position in Trenton, New Jersey. From March to June 2004
she served as technical and programmatic advisor to the South Carolina
TB Controller, with a specific focus on the DTBE's project Intensive
Interventions to Increase the Impact of Contact Investigations.
While in this position, she conducted statewide trainings on contact
investigations, developed state contact investigation policies and
procedures, participated in audits and quality assurance reviews,
and developed the content and reports for the Tuberculosis Contact
Investigation System (TBCIS). Prior to that assignment, Kate served
as a PHA for the New Jersey Department of Health and Senior Services,
assigned to the Hudson County TB Program as a public health field
representative. Before coming to DTBE, she was a member of the TB
Control Program for the Louisiana Office of Public Health. Kate
began her assignment on June 27, 2004.
N. Sarita Shah, MD, MPH, is one of DTBE’s new Epidemic
Intelligence Service (EIS) Officers; she is assigned to IRPB. Sarita
is a medical doctor, and is receiving her MPH from Columbia University.
She is also currently an Instructor in Clinical Medicine at Columbia-Presbyterian
Medical Center. Sarita has been working with the New York City Department
of Health and Mental Hygiene on a number of projects, including
the NYC HIV Incidence Project, which she helped to design. She has
conducted both malaria and TB research in Iquitos, Peru, and traveled
to India after the earthquake in northern Gujarat to help in the
recovery process. Sarita has a special interest in photography and
has had photos published in JAMA and the New England Journal
Brian Sizemore, MBA, has recently joined the Epidemiology
Team of DTBE’s Surveillance, Epidemiology, and Outbreak Investigations
Branch (SEOIB). Brian received his bachelor of science degree in
Industrial Management with a focus on the textile industry from
Clemson University. He continued his studies at Clemson, receiving
a masters degree in business administration. He is working with
SEOIB as a contractor with Westat, assisting Betty Bouler and Tammy
Roman with TBESC invoices and other budget analyses.
April A. Thornton is welcomed to the Surveillance, Epidemiology,
and Outbreak Investigations Branch of DTBE as the branch’s new Program
Operations Assistant. April was most recently a Public Affairs
Assistant in CDC’s Office of Communications. Prior to that position,
she was a secretary in the Division of Reproductive Health, National
Center for Chronic Disease Prevention and Health Promotion. She
began her federal career in 1990 as an administrative assistant
at the Federal Highway Administration in Atlanta. April reported
to SEOIB on June 28, 2004.
Paul Weinfurter recently accepted the position of project
coordinator for Task Orders number 5 and 13 of the TBESC. Paul graduated
from the University of Georgia in 2002 with a bachelors degree in
microbiology. He then earned a masters degree in public health in
epidemiology from the Rollins School of Public Health of Emory University.
While at Emory he worked with the Center for Public Health Preparedness
on bioterrorism-related projects. He then took a position at Emory
University Hospital, managing the data for polycystic kidney disease
patients, and used these data to complete his master’s thesis.
Kai H. Young, MPH, is a new ASPH/CDC fellow in the Field
Services and Evaluation Branch (FSEB), working on program evaluation.
She graduated from the University of California, San Diego, with
a bachelor of science degree in biology/biochemistry in 2000. Kai
had developed an interest in public health from volunteer work,
and moved to Atlanta to pursue a masters degree in public health
at Rollins School of Public Health, Emory University. She recently
graduated from the department of behavioral science and health education
with a focus in behavioral science. While attending Rollins School
of Public Health, Kai became interested in evaluation and worked
on several evaluation projects, including California Healthy Cities
and Communities, Tribal Effort Against Lead (TEAL), the Teen Pregnancy
Prevention program in Oklahoma City (Hearts of OKC), and Girl Scouts
of Northwestern Georgia. She has served as the co-chair of the New
Evaluator/Student group at the Atlanta-area Evaluators Association.
Kai is interested in both evaluation and behavioral science research.
She hopes to work toward strengthening the capacity of local public
health organizations to help programs reach their full potential
while empowering those who serve the needs of the communities. She
is very excited to have this fellowship opportunity, and is eager
to learn about and engage in the activities of the division.
William W. Stead, M.D., internationally recognized physician,
scientist, educator, and humanitarian, died on July 8, 2004. Born
on January 4, 1919, in Decatur, Georgia, William White Stead was
the son of Emily White and Eugene Anson Stead and the youngest of
five children. After earning an AB degree in 1940 and an MD degree
in 1943 from Emory University in Atlanta, Georgia, he embarked on
an academic medical career spanning six decades. In the course of
his career he served as a medical officer in both the U.S. Navy
and the U.S. Army, on the medical faculties of the University of
Cincinnati, the University of Minnesota, the University of Florida,
and the Medical College of Wisconsin before becoming a Professor
of Medicine at the University of Arkansas College of Medicine in
1972. He became the Director of the TB Program at the Arkansas Department
of Health in 1973, and remained in this position until his retirement
in July 1998. Dr. Stead died at home in Little Rock, Arkansas, from
complications of Alzheimer’s disease.
Dr. Stead was a scholar of pulmonary diseases and TB throughout
his professional career. He held several prestigious clinical appointments
and in the course of his career made a number of landmark observations
on the pathogenesis, treatment, and prevention of TB. As a consequence
of his achievements, he received numerous professional awards and
was regarded as the outstanding clinician in TB in the United States
and perhaps worldwide. One of his outstanding achievements was the
development with his colleagues in the 1970s of a highly innovative,
short-course therapy for TB. This therapy was adopted both in the
United States and worldwide as the definitive treatment for this
disease because it improved outcomes while markedly shortening the
time and cost of therapy. Through his work and perseverance as the
Director of the TB Program at the Arkansas Department of Health,
Dr. Stead uncovered an important epidemic of TB in the prison system
in Arkansas, which led to the understanding and correction of TB
as a public health problem in jails and prisons nationally and internationally.
Ironically he had to “break in” to Cummins prison; his efforts to
investigate the TB problem there were met with resistance from prison
authorities, leading him to personally appeal his case to the governor.
He made major contributions to the understanding of the transmission,
epidemiology, treatment, and prevention of TB in the elderly in
nursing homes. Based on his work in Arkansas nursing homes, he discovered
differences in the racial and genetic susceptibility to TB, resulting
in a landmark paper in the New England Journal of Medicine
in 1990. His work on TB surveillance and control in prisons and
nursing homes serves as a model that has been adopted nationally
He published extensively, authoring or co-authoring almost 200
publications in medical journals, including the New England Journal
of Medicine and the Journal of the American Medical Association,
and the two major textbooks of medicine. He served on the American
Board of Internal Medicine, as President of the American Federation
of Clinical Research, and on the editorial boards of several medical
journals, and was a member of the Advisory Council for the Elimination
of Tuberculosis for CDC in Atlanta. As a consequence of his clinical
and scientific achievements, Dr. Stead received numerous national
and international awards.
Dr. Stead was recognized for his passion for teaching and medical
education. He was also known for his quiet, selfless dedication
to patients, going far beyond the usual care. For years he traveled
weekly to the far corners of Arkansas to see patients in public
health clinics, not infrequently making house calls to explain the
importance of full compliance of TB therapy to patients and their
families. He would provide financial assistance to patients and
help them pay for their personal expenses and support them in other
ways in order to promote their successful treatment of TB.
Dr. Stead was a champion of environmental and social causes. Although
he received many medical awards over the years, he was perhaps most
proud of "The Peacemaker" award from the Arkansas Peace
He had a profound love of nature and outdoor Arkansas — camping,
canoeing, sailing, swimming, hiking, all of it. He and his wife
Joan were frequent visitors to many parks in the state of Arkansas
including the Buffalo River, Mt. Magazine, Pinnacle Mountain State
Park, and Two Rivers parks in Little Rock where several benches
and improvements bear their names.
In lieu of flowers, the family has requested donations to the William
W. Stead, MD, Family Memorial Fund, c/o Jesse Tolleson, Regions
Bank, at 800 S. Shackleford Rd, Little Rock, AR 72219. Proceeds
from this fund will support programs to advance the understanding,
diagnosis, and treatment of tuberculosis and to enhance selected
public natural spaces honoring his memory in the state of Arkansas.