Last data update: May 06, 2024. (Total: 46732 publications since 2009)
Records 1-3 (of 3 Records) |
Query Trace: McWhorter A[original query] |
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New challenges, evolved approach: The public health response readiness framework
Noelte KC , Kosmos C , McWhorter A . Health Secur 2023 21 S89-S94 Since its inception following the events of September 11, 2001, the US Centers for Disease Control and Prevention (CDC) Division of State and Local Readiness (DSLR) has supported the development and sustainability of response-ready state, tribal, local, and territorial (STLT) public health departments through the Public Health Emergency Preparedness (PHEP) program.1,2 The program's cooperative agreements provide guidance, funding, field staff, technical assistance, and resources to 62 response-ready public health departments across the nation. The program is grounded in the 15 public health emergency preparedness and response capabilities, outlined in Public Health Emergency Preparedness and Response Capabilities: National Standards for State, Local Tribal, and Territorial Public Health,3 which serve as national standards for public health readiness and provide a blueprint that guides the development of STLT preparedness programs nationwide. | | Recipients of the cooperative agreements have credited these preparedness and response capabilities and the dedicated PHEP program funding with creating a strong foundation that readies jurisdictions for all types of public health emergencies, from localized events, such as small-scale disease outbreaks, weather-related events, and environmental hazards, to large-scale catastrophic events such as global pandemics.4 The scale, scope, and complexity of the COVID-19 pandemic challenged even the most prepared jurisdictions. |
Perfluorooctanoate and changes in anthropometric parameters with age in young girls in the Greater Cincinnati and San Francisco Bay Area
Pinney SM , Windham GC , Xie C , Herrick RL , Calafat AM , McWhorter K , Fassler CS , Hiatt RA , Kushi LH , Biro FM . Int J Hyg Environ Health 2019 222 (7) 1038-1046 METHODS: We conducted a study of per- and polyfluoroalkyl substance biomarkers, including PFOA, in girls from Greater Cincinnati (CIN, N=353) and the San Francisco Bay Area (SFBA, N=351). PFOA was measured in the baseline serum sample collected in 2004-2007 of 704 girls at age 6-8 years. Mixed effects models were used to derive the effect of PFOA on BMI, waist-to-height and waist-to-hip ratios over increasing age in this longitudinal cohort. RESULTS: Median PFOA serum concentrations were 7.3 (CIN) and 5.8 (SFBA) ng/mL, above the U.S. population median for children 12-19 years in 2005-2006 (3.8 ng/mL). Log-transformed serum PFOA had a strong inverse association with BMIz in the CIN girls (p = 0.0002) and the combined two-site data (p = 0.0008); the joint inverse effect of PFOA and Age*PFOA weakened at age at 10-11 years. However, in the SFBA group alone, the relationship was not significant (p = 0.1641) with no evidence of changing effect with age. The effect of PFOA on waist:height ratio was similar to BMIz at both sites, but we did not find a significant effect of PFOA on waist:hip ratio in either the CIN or SFBA girls. CONCLUSIONS: PFOA is associated with decreased BMI and waist:height ratio in young girls, but the strength of the relationship decreases with age. Site heterogeneity may be due to greater early life exposure in Cincinnati. DISCLAIMER: The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention. Use of trade names is for identification only and does not imply endorsement by the CDC, the Public Health Service, or the US Department of Health and Human Services. |
Travel health alert notices and Haiti cholera outbreak, Florida, USA, 2011
Selent MU , McWhorter A , Beau De Rochars VM , Myers R , Hunter DW , Brown CM , Cohen NJ , Molinari NA , Warwar K , Robbins D , Heiman KE , Newton AE , Schmitz A , Oraze MJ , Marano N . Emerg Infect Dis 2011 17 (11) 2169-2171 To enhance the timeliness of medical evaluation for cholera-like illness during the 2011 cholera outbreak in Hispaniola, printed Travel Health Alert Notices (T-HANs) were distributed to travelers from Haiti to the United States. Evaluation of the T-HANs' influence on travelers' health care-seeking behavior suggested T-HANs might positively influence health care-seeking behavior. |
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