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WGHA Discovery Series: Ann Marie Kimball

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UWGlobalHealth

"Update on the Evolving Swine Influenza Outbreak”

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“ Flu”:Globalization, Global Transmission and Pandemic Risk Ann Marie Kimball MD, MPH, FACPM
What we know ,[object Object],[object Object],[object Object],[object Object]
Levels of Prevention: Levels of Microbial Traffic Mechanisms TRANSNATIONAL TRAFFIC WHATS MISSING FROM THIS PICTURE? Local Health Containment option PANDEMIC Tertiary : Geographically Dispersed Clusters Secondary : Local extension Primary : Point of Emergence Species jumping, Ecological pressure Trade, Travel Direct Contagion
 
H5N1 Infection of Agriculture Workers (recent studies) Result Viral Subtype Study Risk factors associated with seropositivity.1:80 (owning a farm, living on a swine farm, entering a swine barn>4x per week, over 50 years of age.) H1N1 Cross section 74 Wisc. Swine workers, 114 urban controls Odds ratio Farmer 35.5 Vet 17.8 Meat packer 6.5 H1N1 Cross section 111 Iowa swine workers 79 referents
 
“Take away” points ,[object Object],[object Object],[object Object],[object Object]
Thank you! …Go to APEC EINet http://depts.washington.edu/einet

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WGHA Discovery Series: Ann Marie Kimball

  • 1. “ Flu”:Globalization, Global Transmission and Pandemic Risk Ann Marie Kimball MD, MPH, FACPM
  • 2.
  • 3. Levels of Prevention: Levels of Microbial Traffic Mechanisms TRANSNATIONAL TRAFFIC WHATS MISSING FROM THIS PICTURE? Local Health Containment option PANDEMIC Tertiary : Geographically Dispersed Clusters Secondary : Local extension Primary : Point of Emergence Species jumping, Ecological pressure Trade, Travel Direct Contagion
  • 4.  
  • 5. H5N1 Infection of Agriculture Workers (recent studies) Result Viral Subtype Study Risk factors associated with seropositivity.1:80 (owning a farm, living on a swine farm, entering a swine barn>4x per week, over 50 years of age.) H1N1 Cross section 74 Wisc. Swine workers, 114 urban controls Odds ratio Farmer 35.5 Vet 17.8 Meat packer 6.5 H1N1 Cross section 111 Iowa swine workers 79 referents
  • 6.  
  • 7.
  • 8. Thank you! …Go to APEC EINet http://depts.washington.edu/einet