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TB Notes 1, 2002

Personnel Notes

Lauri Bazerman, MS, completed her 2-year ASPH fellowship with the Field Services Branch (FSB) in December 2001. During her time with DTBE, Lauri spearheaded an evaluation of the CDC recommendations for TB prevention and control in jails. This project is an important contribution to understanding the present state of TB control in correctional settings. Lauri also worked on evaluating the California TB Indicators Project (TIP). For her role in that project, Lauri was nominated for the Carl W. Tyler, Jr., Award for Excellence in Public Health Practice offered by ASPH and CDC. Lauri has relocated to Providence, Rhode Island, where she will be consulting on a community-based needs assessment and working to assist the community in setting health priorities. We wish Lauri good luck in her new public health career.

Betty Bouler joined the Epidemiologic Studies Section of the Surveillance and Epidemiology Branch (SEB), DTBE, as a Program Analyst in early December 2001. She will help develop and support the financial side of the newly formed Tuberculosis Epidemiologic Studies (TBES) Consortium. Betty received her BA in General Business from the University of Maryland. She has worked in various capacities in grants and contracts organizations for over 25 years, and has been employed at all levels of government, including federal, state, and local as well as for private nonprofit organizations. She has been with CDC in the Procurement and Grants Office for the past 17 years and worked most recently as the Chief, Information Technology Section, where she and her staff were responsible for purchasing all of the computer equipment, software, and services required by all of CDC's organizations. During her time with CDC she has also worked with contracts involving scientific research and studies, purchase and maintenance of scientific equipment, consultant services, and financial management systems.

Jeanne Courval, PhD, MPH, has joined DTBE as a research statistician in the Surveillance and Epidemiology Branch. She graduated from Columbia University School of Public Health in 1993 with a PhD in epidemiology and strong training in biostatistics and epidemiologic methods. Her primary area of interest is infectious diseases, especially tropical public health, and health needs of underserved populations. From 1993 to 1998, Jeanne was an assistant professor in the Department of Epidemiology at Michigan State University in East Lansing, Michigan, where she participated in the development of a masters in epidemiology program which accepted its first students in fall 1994. While at Michigan State University, her research areas included efforts to field test newly developed malaria diagnostic methods, analysis of clinical trials of new treatments for severe malaria, and investigation of associations between consumption of sport-caught Great Lakes fish and human reproductive health outcomes. Another major area of interest is the epidemiology of drug resistance, especially application of molecular technologies to study the occurrence and spread of drug resistance. Her primary focus in this research has been drug- resistant malaria, but she has also had experience with investigations of the development of drug resistance in amebiasis, nosocomially acquired enterococcus, and schistosomiasis. After relocating to Atlanta in 1998, she began working with CDC in the Hospital Infections Program in 1999 as a research specialist, moved to the Division of Parasitic Diseases in 2000 as a research epidemiologist (both in the National Center for Infectious Diseases), and came to DTBE in September 2001 as a research statistician.

Charles ("Chuck") Woodrow Gaines retired from CDC on January 3, 2002, after serving many years as an effective and knowledgeable TB control public health advisor. Chuck joined CDC with the Sexually Transmitted Disease (STD) program on November 14, 1971, as a Co-Op, a position which later came to be known as Disease Intervention Specialist. His first STD assignment was with the Detroit, Michigan, Department of Health. Chuck's next move with the STD program took him to Gary, Indiana. In 1974 he joined the Division of TB Control and transferred to New York City. He had a 5-year tour of duty in NYC, where he worked as a clinic manager at the Bedford-Stuyvesant TB Clinic, at Kings County Hospital, at Metropolitan Hospital, and at Staten Island. In 1980, he transferred to Philadelphia, Pennsylvania, as the TB program manager. In 1980 he assisted with the Cuban Refugee Program at Ft. Chaffee, Arkansas. He was also a member of the team that assisted with the first documented outbreak of drug-resistant TB that occurred in 1976/77 in rural Alcorn County, Mississippi. In 1982, he moved to Chicago as the assistant TB Program Manager under John Kuharik. Later, he returned to the STD program as the district program manger in Toledo, Ohio. Leaving Ohio in 1990, he served as the assistant to the program manager in the Jackson, Mississippi, STD program and as assistant to the program manger for the STD program in Richmond, Virginia, in 1993. In 1997 he came to CDC headquarters in Atlanta, Georgia, to accept responsibilities in the Division of TB Elimination as a program consultant and project officer. His work with TB control officers and other public health officials resulted in enhanced TB prevention and control activities in the Western regions of the United States. Chuck was responsible for managing and providing consultation and technical assistance to over 12 project areas, mostly Western states, including Alaska. He took great pride in providing direction, leadership, and proper stewardship of each project's use of federal funds in achieving national TB goals and objectives. Chuck leaves a rich and robust legacy of communicable disease interventions and experience upon his retirement from the CDC. He is looking forward to being "captain of leisure time" as he guides his fishing boat in search of the Big One. We wish him great success and happiness.

Kashef Ijaz, MD, MPH, joined DTBE in the Surveillance and Epidemiology Branch (SEB) on January 13, 2002. He has 7 years of experience in public health and community medicine and 6 years of experience working in TB control as a medical epidemiologist in Arkansas. Dr. Ijaz has extensive experience in TB outbreak investigations, public health field work, high-risk population groups (prisons, shelters and nursing homes.), TB molecular and genetic epidemiology and a host of other TB experiences. He obtained his medical degree from King Edward Medical College, University of Punjab, Lahore, Pakistan, and his masters degree in public health from the University of Oklahoma Health Sciences Center in Oklahoma City, Oklahoma. He joined SEB as a medical epidemiologist in the Outbreak Investigation Section.

Scott Jones of the Field Services Branch has transferred from his position as a Program Consultant in Atlanta after having accepted a reassignment to Montgomery, Alabama. He will serve as the senior public health advisor for the Alabama Department of Public Health. He will work closely with Nancy B. Keenon, Director of TB Control for Alabama, and will provide assistance and technical support to the state. Scott has been an outstanding Program Consultant with Field Operations Section II of FSB since he arrived at headquarters in November 1998. He has provided strong guidance, direction, and support to his project areas over the course of the past 3 years, and has taken a very active role with numerous assignments within the division. Scott will bring to his new assignment his field experiences in New Orleans, South Carolina, Kentucky, and Texas. His report date for Montgomery was November 18, 2001.

Dhananjay Manthripragada has joined the staff of the Surveillance and Epidemiology Branch as a visiting student researcher from Duke University in North Carolina. Dhananjay brings with him a wide range of public health experience, including stints with the Occupational Safety and Health Division of the World Health Organization in Geneva and the Government Relations Department of the American Public Health Association in Washington, DC. In addition, Dhananjay has contributed to a number of grass-roots public health initiatives in Brazil, Greece, and India. Dhananjay has been a part of the SEB team since the beginning of October 2001. He has been learning about and contributing to DTBE efforts with the 2RZ investigation, the 1998-2000 transgender TB outbreak in Baltimore/NYC, and the ongoing investigation into the cluster of TB cases among exotic dancers and their close contacts in Wichita, Kansas.

Stuart McMullen has rejoined DTBE and the Field Services Branch (FSB) after his assignment to the Global AIDS Program. Stuart will begin his new assignment at headquarters as the FSB information technology coordinator for the case management module of TIMS/NEDDS. Stuart has been with CDC since 1989, beginning his career with the Sexually Transmitted Disease (STD) program in Miami, Florida. His next two assignments continued with the STD program in Philadelphia (1991/92) and Los Angeles (1992/93). It was during his Los Angeles (LA) assignment that Stuart joined DTBE in June 1993. During his tenure in LA, he was involved in projects relating to high-risk populations and multidrug-resistant TB, conducted quality assurance reviews, and worked with nursing managers on reporting requirements. He managed the Satellite TB Clinic Food and Housing Homeless Incentive Program, developed database systems, developed incentive programs, and carried out numerous other activities in LA. In 1996 Stuart was promoted to the position of senior public health advisor to the California Department of Health Services, TB Control Branch in Berkeley, California. Stuart reported to Atlanta on November 28.

Sonal Munsiff, MD, has been selected as the Director of the New York City TB Control Program where she has been serving as the Acting Director since December 2000. As a Medical Officer for CDC in the Division of TB Elimination, Dr. Munsiff will remain with the New York City Department of Health. She is board certified in internal medicine and infectious diseases and has a broad range of experience in the field of TB. She has been with the TB Program since the height of the recent TB epidemic in New York City in 1992, initially as physician-in-charge at the Morrisania chest clinic, then as medical consultant for the Queens and Bronx regions and from 1996 as Director of the Epidemiology Unit for the program. She became quite familiar with the epidemiology and management of TB in the City over the past decade. Dr. Munsiff is interested in further developing research in the epidemiology and treatment of drug-resistant TB, clinical aspects of TB in HIV-infected persons, the global epidemiology of TB particularly as it affects the TB incidence in New York City, and the challenges of identifying and treating persons with latent TB infection who are at high risk of developing disease.

John Seggerson, DTBE's Associate Director for External Relations, retired from CDC on January 3, 2002. John is well known as an enthusiastic and seemingly tireless advocate of and contributor to public health programs and especially to TB control. His 38-year career with CDC began in June 1963. Soon after graduating with a major in history from St. Joseph's College, he joined CDC as a cooperative employee of the Division of Venereal Disease Control assigned to the Chicago Board of Health. In 1964-65, he was responsible for management of the Venereal Disease Control Unit of the Cook County (Illinois) Health Department. His work in TB began in 1965 when he transferred to the Division of TB Control and was assigned to northeastern Pennsylvania to coordinate projects in Wilkes-Barre, Scranton, and Kingston. He transferred to Buffalo, New York, in 1967 and for 2 years was the TB program manager at the Erie County Health Department. He was assigned to the Bureau of TB Control, New York State Department of Health, in 1968 and served for 2 years as the manager of the statewide program. In 1970 he was selected for the supervisory public health advisor position in CDC's Region III office in Philadelphia. In 1972 he was appointed Acting Associate Regional Health Director and Program Director for Disease Control with responsibility for CDC programs and supervision of STD, TB, immunization, and lead prevention field staff in Region III. He became Director, Division of Prevention, in 1974 and had broad responsibility for Region III's CDC-funded programs and field staff in STD, TB, immunization, lead prevention, and rat control. In 1977 John transferred from the regional office to the Division of TB Control in Atlanta and served as Chief of the Program Services Branch for 19 years. In that capacity, he nurtured the new TB cooperative agreements of the early 1980s and played a major role in managing the division's funding of state, city, and territorial programs. He was also responsible for the division's training and education activities; programmatic, technical, and management consultation and assistance; national surveillance system; evaluation of TB programs; and supervision of CDC staff assigned to state and local health departments. In recognition of John's unique attributes and interpersonal skills in networking and partnership-building, he was appointed Associate Director for External Relations, DTBE in August 1996. In that capacity, he lead the division's work and coordination with non-CDC government, private, professional, and voluntary organizations and agencies. Among those groups with which John established new and strengthened affiliations are the National Coalition for the Elimination of TB, the American Lung Association, the American Thoracic Society, the National TB Controllers Association, and the National TB Nurse Coalition. He was responsible for coordinating efforts of the Federal TB Task Force and assisting with coordination of the Department of Health and Human Services Advisory Council for the Elimination of Tuberculosis. He also provided the division's oversight of the three CDC-funded Model TB Centers in New York City, Newark, and San Francisco and played a lead role in planning and producing the annual National TB Controllers Conferences.

John had several special assignments, including the Indochinese Refugee Health Screening Program at Fort Indiantown Gap, Pennsylvania, in 1975; the Legionnaire's Disease Investigation Team in 1976; the Cuban Refugee Screening Program in 1980; and the TB Review Team in Southeast Asia in 1986. He served on numerous national and state committees and task forces, was a member of several American Lung Association-sponsored TB program review teams, and was an active contributor to the planning for World TB Day from 1997 through 2000. In 1988/89, he was President of the Watsonian Society, a CDC organization for public health advisors that was established in 1986.

Everyone who has worked with John through the years knows what a loss his departure represents. His loyalty to CDC, dedication to the DTBE mission, and ability to challenge and inspire his coworkers will be greatly missed. It is difficult to visualize the division without John. Some staff have affectionately said that he would work until CDC's mission had been completed and turn off the lights the day CDC closes. Although his plans for the future are not firm at this time, he hopes to continue to be involved in public health and TB. He said, "TB elimination for me is more than a job - it is a passion, and I do not intend to give it up in retirement." This is good news and provides incentive to those who remain to work toward the day when John can come back and turn off the lights.

Erika Vitek, MD, joined DTBE's International Activities in November as a senior service fellow. She received her MD from the First Moscow Medical Academy in 1989 and worked as an epidemiologist in the Russian National Diphtheria Unit in Gabrichevsky Institute, Moscow. She also worked as a trainer for CDC epidemiology courses for visiting epidemiologists from the former Soviet Union. She joined the Communications and Education Branch of DTBE in 2000, where she assisted staff in developing training materials for field activities in Russia. Erika will be working on TB prevention and control efforts in countries in Eastern Europe and Russia with a focus on multidrug-resistant (MDR) TB. She will be involved in a number of diverse activities including developing protocols, technical papers, scientific manuscripts, translating technical written materials between Russian and English, and conducting monitoring missions to field sites to evaluate progress in programmatic activities.

In Memoriam

Lydia B. Edwards, MD, died in Bedford, Massachusetts, on November 7, 2001, at the age of 96. She was born in Berkeley, California, on June 6, 1905. Educated at the Ecole Superieure in Brussels, Belgium, the Mozarteum in Salzburg, Austria, the University of Rome, and the University of Paris, she graduated from Radcliffe College in 1927 and Johns Hopkins Medical School in 1932, where she later served as Director of the Pediatric Outpatient Department and Director of the Children's Tuberculosis Clinic. In 1943 she was appointed to the U.S. Public Health Service, at the time the only woman to be a commissioned officer therein, and served for the duration of World War II in Yugoslavia. In 1946 Dr. Edwards joined the National Institutes of Health TB Research Program in Bethesda, Maryland, and in 1948 was asked by the World Health Organization to help expand the anti-TB program throughout the world. From 1948 to 1955 she was based in Copenhagen, Denmark, and traveled throughout Europe, India, Russia, and Japan to support and oversee the program. From 1955 until her retirement as Colonel in 1973, Dr. Edwards continued her work with the Public Health Service in Bethesda, living in Washington, DC. During retirement, she served as a tutor at a public school in Washington; lectured on epidemiology at Johns Hopkins School of Epidemiology; and was an active member of Friends of the National Zoo, the Women's National Democratic Club, the Chevy Chase Club, the Colonial Dames Society, and Radcliffe and Johns Hopkins alumnae/alumni groups. She was honored by the Johns Hopkins School of Hygiene and Public Health as a "Hero of Public Health" and by Radcliffe College for her work in medicine and epidemiological research.

Richard L. Riley, MD, died December 20, 2001, in Athol, Massachusetts, at the age of 90. Dr. Riley's work with guinea pigs at Johns Hopkins Hospital in the 1950s proved that particles the size of a mote of dust could transmit TB. Although he retired in 1978, Dr. Riley consulted on various projects until his death. His work from the 1950s and 1960s is still widely discussed, as scientists try to understand more about drug-resistant TB, and even how inhalation anthrax can be prevented. Recently, researchers gathered at CDC in Atlanta to discuss a federally funded project that will attempt to duplicate his TB experiments in Witbank, South Africa. Using his model, this project will try to determine how long people remain contagious from TB, and will also examine the effectiveness of using ultraviolet light to eradicate TB germs. That technique, which Dr. Riley pioneered at Hopkins, is now part of a national project to prevent the spread of TB at homeless shelters. The project was started by Dr. Edward Nardell, a Harvard Medical School professor who began working with Dr. Riley in 1983 after hearing him give a talk on ultraviolet light. A native of North Plainfield, New Jersey, Dr. Riley graduated from Harvard University in 1933 and Harvard Medical School in 1937. During World War II naval service in Pensacola, Florida, he became interested in the problem of how pilots could go higher and still breathe properly and launched his research on the physiology of respiration. After the war, he went to the Columbia School of Medicine in New York but was recruited in 1950 by Johns Hopkins. Six years later, at a time when TB was a major national killer, he and a team that included his former Harvard mentor launched a 4-year experiment that became crucial to preventing the disease. Taking over a six-room ward at the top of the Veterans Administration Hospital in Baltimore, Dr. Riley's team set up 150 guinea pigs in cages, and connected air ducts from the cages to the rooms of TB patients. The results proved that even the tiniest particles, called droplet nuclei, coughed up by infected people could transmit the disease. From 1960 to 1977, Dr. Riley was chairman of the Department of Environmental Medicine at Hopkins, and in 1970, the National Tuberculosis and Respiratory Disease Association awarded him its highest honor, the Edward Livingston Trudeau Medal.

George Victor Tomlinson of Richmond, Virginia, died November 24, 2001. Mr. Tomlinson was the father of Missouri TB Controller Vic Tomlinson. Better known as "Tommy" to friends and coworkers, he was a long-time employee of the Virginia Department of Health (VDH), where he worked for the Division of TB Control. Tommy retired from his career at VDH as the coordinator of the x-ray program in the late 1980s. Tommy closed out an era in TB Control when it was not uncommon to see mobile units offering x-rays at factories, schools, and even street corners. Tommy will be missed by all.


Released October 2008
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