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Article: Cluster of human Salmonella Guinea infections: Reported reptile exposures and associated opportunities for infection prevention — Ohio, 2019–2020

Dewart, Courtney M. / Waltenburg, Michelle A. / Dietrich, Stephen / Machesky, Kimberly / Singh, Amber / Brandt, Eric / de Fijter, Sietske

Preventive veterinary medicine. 2022 Jan., v. 198

2022

Abstract: A cluster of five human Salmonella Guinea cases was identified among Ohio residents through core genome multilocus sequence typing of clinical isolates. An investigation was conducted to characterize illnesses and identify common exposures. Four patients ...

Abstract	A cluster of five human Salmonella Guinea cases was identified among Ohio residents through core genome multilocus sequence typing of clinical isolates. An investigation was conducted to characterize illnesses and identify common exposures. Four patients were aged ≤5 years and three of four patients with information available regarding exposure to animals reported prior exposure to bearded dragons. Practices that potentially increased the risk for Salmonella transmission from reptiles to humans included allowing pet reptiles to roam freely in the home, cleaning reptile habitats indoors, and kissing reptiles. These findings prompted a multistate investigation that resulted in the identification of additional closely related Salmonella Guinea isolates from patients across multiple states. The investigation of cases in Ohio and information shared by other states indicated the potential association between human Salmonella Guinea infections and reptiles, particularly bearded dragons. To prevent Salmonella transmission from reptiles, continued educational efforts should address pet owners and focus on specific reptile ownership practices.
Keywords	Salmonella ; genome ; humans ; multilocus sequence typing ; reptiles ; risk ; veterinary medicine ; Guinea ; Ohio
Language	English
Dates of publication	2022-01
Publishing place	Elsevier B.V.
Document type	Article
ZDB-ID	43399-8
ISSN	1873-1716 ; 0167-5877
ISSN (online)	1873-1716
ISSN	0167-5877
DOI	10.1016/j.prevetmed.2021.105530
Database	NAL-Catalogue (AGRICOLA)

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Article ; Online: Cluster of human Salmonella Guinea infections: Reported reptile exposures and associated opportunities for infection prevention - Ohio, 2019-2020.

Dewart, Courtney M / Waltenburg, Michelle A / Dietrich, Stephen / Machesky, Kimberly / Singh, Amber / Brandt, Eric / de Fijter, Sietske

Preventive veterinary medicine

2021 Volume 198, Page(s) 105530

Abstract	A cluster of five human Salmonella Guinea cases was identified among Ohio residents through core genome multilocus sequence typing of clinical isolates. An investigation was conducted to characterize illnesses and identify common exposures. Four patients were aged ≤5 years and three of four patients with information available regarding exposure to animals reported prior exposure to bearded dragons. Practices that potentially increased the risk for Salmonella transmission from reptiles to humans included allowing pet reptiles to roam freely in the home, cleaning reptile habitats indoors, and kissing reptiles. These findings prompted a multistate investigation that resulted in the identification of additional closely related Salmonella Guinea isolates from patients across multiple states. The investigation of cases in Ohio and information shared by other states indicated the potential association between human Salmonella Guinea infections and reptiles, particularly bearded dragons. To prevent Salmonella transmission from reptiles, continued educational efforts should address pet owners and focus on specific reptile ownership practices.
MeSH term(s)	Animals ; Bacterial Zoonoses/epidemiology ; Humans ; Lizards/microbiology ; Ohio/epidemiology ; Salmonella ; Salmonella Infections, Animal/epidemiology ; Salmonella Infections, Animal/prevention & control
Language	English
Publishing date	2021-11-01
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	43399-8
ISSN	1873-1716 ; 0167-5877
ISSN (online)	1873-1716
ISSN	0167-5877
DOI	10.1016/j.prevetmed.2021.105530
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Article ; Online: COVID-19 Prevention Facilitators and Barriers among Specific Ethnic Minority Communities in Rural Ohio

Pordell, Paran / Ali, Hammad / Medina Martinez, Gisela / Taylor, Brandi / Kondapally, Karthik / Salehi, Ellen / de Fijter, Sietske / Hayes, Nikki / Lloyd, Spencer

medRxiv

Abstract: Abstract Objective: To assess knowledge, beliefs, and behaviors concerning COVID-19 among Guatemalan, Marshallese, and Amish populations in rural Ohio; identify individual, interpersonal, community, and structural level challenges within each community; ... ...

Abstract	Abstract Objective: To assess knowledge, beliefs, and behaviors concerning COVID-19 among Guatemalan, Marshallese, and Amish populations in rural Ohio; identify individual, interpersonal, community, and structural level challenges within each community; and provide population-specific recommendations to prevent and mitigate further SARS-CoV-2 transmission among these rural communities. Methods: We conducted 30 key informant interviews in four rural counties in Ohio, in May 2020. Three teams of two investigators conducted interviews with local health department staff, community members, meat packing plant management, and community leaders from three communities disproportionately affected by the COVID-19 pandemic [Guatemalan (N=12), Marshallese (N=7), Amish (N=11)]. We used the Social Ecological Model to identify and categorize themes. Results: Emerging and overall themes were identified and defined. Investigators identified COVID-19 knowledge gaps, myths, and misinformation, food insecurity, community cohesion, stigma, community culture and norms, lack of workplace safety policies, and access to testing as key themes to COVID-19 prevention. Conclusions: Understanding specific barriers and identifying facilitators that most effectively provide resources, healthcare services, education, and social support tailored to specific communities would help deter SARS-CoV-2 transmission.
Keywords	covid19
Language	English
Publishing date	2021-10-25
Publisher	Cold Spring Harbor Laboratory Press
Document type	Article ; Online
DOI	10.1101/2021.10.21.21265302
Database	COVID19

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Article ; Online: Subclinical Burkholderia pseudomallei Infection Associated with Travel to the British Virgin Islands.

Dewart, Courtney M / Almeida, Francisco A / Koval, Christine / Nowicki, Scott / Gee, Jay E / Elrod, Mindy Glass / Gulvik, Christopher A / Salzer, Johanna S / de Fijter, Sietske / Liu, Lindy

Emerging infectious diseases

2021 Volume 27, Issue 12, Page(s) 3182–3184

Abstract: Phylogenetic analysis of a clinical isolate associated with subclinical Burkholderia pseudomallei infection revealed probable exposure in the British Virgin Islands, where reported infections are limited. Clinicians should consider this geographic ... ...

Abstract	Phylogenetic analysis of a clinical isolate associated with subclinical Burkholderia pseudomallei infection revealed probable exposure in the British Virgin Islands, where reported infections are limited. Clinicians should consider this geographic distribution when evaluating possible infection among persons with compatible travel history.
MeSH term(s)	British Virgin Islands ; Burkholderia pseudomallei/genetics ; Humans ; Melioidosis/diagnosis ; Melioidosis/epidemiology ; Phylogeny ; Travel
Language	English
Publishing date	2021-11-22
Publishing country	United States
Document type	Journal Article
ZDB-ID	1380686-5
ISSN	1080-6059 ; 1080-6040
ISSN (online)	1080-6059
ISSN	1080-6040
DOI	10.3201/eid2712.211816
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Article ; Online: Notes from the Field: Multidrug-Resistant Tuberculosis Among Workers at Two Food Processing Facilities - Ohio, 2018-2019.

Talwar, Amish / Stewart, Rebekah / Althomsons, Sandy P / Rinsky, Jessica / Jackson, David A / Galvis, Maria E / Graham, Philip / Huaman, Moises A / Karrer, James / Kondapally, Karthik / Mitchell, Sarah / Wortham, Jonathan / de Fijter, Sietske

MMWR. Morbidity and mortality weekly report

2020 Volume 69, Issue 32, Page(s) 1104–1105

MeSH term(s)	Contact Tracing ; Food-Processing Industry ; Humans ; Mycobacterium tuberculosis/drug effects ; Mycobacterium tuberculosis/genetics ; Mycobacterium tuberculosis/isolation & purification ; Occupational Diseases/epidemiology ; Ohio/epidemiology ; Tuberculosis, Multidrug-Resistant/epidemiology ; Tuberculosis, Multidrug-Resistant/transmission
Language	English
Publishing date	2020-08-14
Publishing country	United States
Document type	Journal Article
ZDB-ID	412775-4
ISSN	1545-861X ; 0149-2195
ISSN (online)	1545-861X
ISSN	0149-2195
DOI	10.15585/mmwr.mm6932a6
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Article ; Online: COVID-19 Outbreak in an Amish Community - Ohio, May 2020.

Ali, Hammad / Kondapally, Karthik / Pordell, Paran / Taylor, Brandi / Martinez, Gisela Medina / Salehi, Ellen / Ramseyer, Stacey / Varnes, Susan / Hayes, Nikki / de Fijter, Sietske / Lloyd, Spencer

MMWR. Morbidity and mortality weekly report

2020 Volume 69, Issue 45, Page(s) 1671–1674

Abstract: In the United States, outbreaks of SARS-CoV-2, the virus that causes coronavirus disease 2019 (COVID-19), were initially reported in densely populated urban areas (1); however, outbreaks have since been reported in rural communities (2,3). Rural ... ...

Abstract	In the United States, outbreaks of SARS-CoV-2, the virus that causes coronavirus disease 2019 (COVID-19), were initially reported in densely populated urban areas (1); however, outbreaks have since been reported in rural communities (2,3). Rural residents might be at higher risk for severe COVID-19-associated illness because, on average, they are older, have higher prevalences of underlying medical conditions, and have more limited access to health care services.* In May, after a cluster of seven COVID-19 cases was identified in a rural Ohio Amish community, access to testing was increased. Among 30 additional residents tested by real-time reverse transcription-polymerase chain reaction (RT-PCR; TaqPath COVID-19 Combo Kit),
MeSH term(s)	Adolescent ; Adult ; Aged ; Aged, 80 and over ; Amish/psychology ; Amish/statistics & numerical data ; COVID-19 ; Child ; Coronavirus Infections/epidemiology ; Coronavirus Infections/transmission ; Disease Outbreaks ; Female ; Humans ; Male ; Middle Aged ; Ohio/epidemiology ; Pandemics ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/transmission ; Rural Population/statistics & numerical data ; Social Behavior ; Young Adult
Keywords	covid19
Language	English
Publishing date	2020-11-13
Publishing country	United States
Document type	Journal Article
ZDB-ID	412775-4
ISSN	1545-861X ; 0149-2195
ISSN (online)	1545-861X
ISSN	0149-2195
DOI	10.15585/mmwr.mm6945a2
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Article ; Online: Adolescent Opioid Misuse Attributable to Adverse Childhood Experiences.

Swedo, Elizabeth A / Sumner, Steven A / de Fijter, Sietske / Werhan, Luke / Norris, Kirkland / Beauregard, Jennifer L / Montgomery, Martha P / Rose, Erica B / Hillis, Susan D / Massetti, Greta M

The Journal of pediatrics

2020 Volume 224, Page(s) 102–109.e3

Abstract: Objectives: To estimate the proportion of opioid misuse attributable to adverse childhood experiences (ACEs) among adolescents.: Study design: A cross-sectional survey was administered to 10 546 seventh-to twelfth-grade students in northeastern Ohio ... ...

Abstract	Objectives: To estimate the proportion of opioid misuse attributable to adverse childhood experiences (ACEs) among adolescents. Study design: A cross-sectional survey was administered to 10 546 seventh-to twelfth-grade students in northeastern Ohio in Spring 2018. Study measures included self-reported lifetime exposure to 10 ACEs and past 30-day use of nonmedical prescription opioid or heroin. Using generalized estimating equations, we evaluated associations between recent opioid misuse, individual ACEs, and cumulative number of ACEs. We calculated population attributable fractions to determine the proportion of adolescents' recent opioid misuse attributable to ACEs. Results: Nearly 1 in 50 adolescents reported opioid misuse within 30 days (1.9%); approximately 60% of youth experienced ≥1 ACE; 10.2% experienced ≥5 ACEs. Cumulative ACE exposure demonstrated a significant graded relationship with opioid misuse. Compared with youth with zero ACEs, youth with 1 ACE (aOR 1.9, 95% CI, 0.9-3.9), 2 ACEs (aOR, 3.8; 95% CI, 1.9-7.9), 3 ACEs (aOR, 3.7; 95% CI, 2.2-6.5), 4 ACEs (aOR, 5.8; 95% CI, 3.1-11.2), and ≥5 ACEs (aOR, 15.3; 95% CI, 8.8-26.6) had higher odds of recent opioid misuse. The population attributable fraction of recent opioid misuse associated with experiencing ≥1 ACE was 71.6% (95% CI, 59.8-83.5). Conclusions: There was a significant graded relationship between number of ACEs and recent opioid misuse among adolescents. More than 70% of recent adolescent opioid misuse in our study population was attributable to ACEs. Efforts to decrease opioid misuse could include programmatic, policy, and clinical practice interventions to prevent and mitigate the negative effects of ACEs.
MeSH term(s)	Adolescent ; Adverse Childhood Experiences/psychology ; Adverse Childhood Experiences/statistics & numerical data ; Causality ; Cohort Studies ; Cross-Sectional Studies ; Female ; Humans ; Male ; Ohio/epidemiology ; Opioid-Related Disorders/epidemiology ; Opioid-Related Disorders/psychology
Language	English
Publishing date	2020-05-11
Publishing country	United States
Document type	Journal Article
ZDB-ID	3102-1
ISSN	1097-6833 ; 0022-3476
ISSN (online)	1097-6833
ISSN	0022-3476
DOI	10.1016/j.jpeds.2020.05.001
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Article ; Online: Associations Between Social Media and Suicidal Behaviors During a Youth Suicide Cluster in Ohio.

Swedo, Elizabeth A / Beauregard, Jennifer L / de Fijter, Sietske / Werhan, Luke / Norris, Kirkland / Montgomery, Martha P / Rose, Erica B / David-Ferdon, Corinne / Massetti, Greta M / Hillis, Susan D / Sumner, Steven A

The Journal of adolescent health : official publication of the Society for Adolescent Medicine

2020 Volume 68, Issue 2, Page(s) 308–316

Abstract: Purpose: Youth suicide clusters may be exacerbated by suicide contagion-the spread of suicidal behaviors. Factors promoting suicide contagion are poorly understood, particularly in the advent of social media. Using cross-sectional data from an ongoing ... ...

Abstract	Purpose: Youth suicide clusters may be exacerbated by suicide contagion-the spread of suicidal behaviors. Factors promoting suicide contagion are poorly understood, particularly in the advent of social media. Using cross-sectional data from an ongoing youth suicide cluster in Ohio, this study examines associations between suicide cluster-related social media and suicidal behaviors. Methods: We surveyed 7th- to 12th-grade students in northeastern Ohio during a 2017-2018 suicide cluster to assess the prevalence of suicidal ideation (SI), suicide attempts (SAs), and associations with potential contagion-promoting factors such as suicide cluster-related social media, vigils, memorials, news articles, and watching the Netflix series 13 Reasons Why before or during the cluster. Generalized estimating equations examined associations between potential contagion-promoting factors and SI/SA, adjusting for nonmodifiable risk factors. Subgroup analyses examined whether associations between cluster-related factors and SI/SA during the cluster varied by previous history of SI/SA. Results: Among participating students, 9.0% (876/9,733) reported SI and 4.9% attempted suicide (481/9,733) during the suicide cluster. Among students who posted suicide cluster-related content to social media, 22.9% (267/1,167) reported SI and 15.0% (175/1,167) attempted suicide during the suicide cluster. Posting suicide cluster-related content was associated with both SI (adjusted odds ratio 1.7, 95% confidence interval 1.4-2.0) and SA during the cluster (adjusted odds ratio 1.7, 95% confidence interval 1.2-2.5). In subgroup analyses, seeing suicide cluster-related posts was uniquely associated with increased odds of SI and SA during the cluster among students with no previous history of SI/SA. Conclusions: Exposure to suicide cluster-related social media is associated with both SI and SA during a suicide cluster. Suicide interventions could benefit from efforts to mitigate potential negative effects of social media and promote prevention messages.
MeSH term(s)	Adolescent ; Cross-Sectional Studies ; Humans ; Ohio/epidemiology ; Risk Factors ; Social Media ; Suicidal Ideation ; Suicide, Attempted
Language	English
Publishing date	2020-07-07
Publishing country	United States
Document type	Journal Article ; Research Support, U.S. Gov't, P.H.S.
ZDB-ID	1063374-1
ISSN	1879-1972 ; 1054-139X
ISSN (online)	1879-1972
ISSN	1054-139X
DOI	10.1016/j.jadohealth.2020.05.049
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Article ; Online: Investigation of Acute Flaccid Paralysis Reported with La Crosse Virus Infection, Ohio, USA, 2008-2014.

Hennessey, Morgan J / Pastula, Daniel M / Machesky, Kimberly / Fischer, Marc / Lindsey, Nicole P / DiOrio, Mary / Staples, J Erin / de Fijter, Sietske

Emerging infectious diseases

2017 Volume 23, Issue 12, Page(s) 2075–2077

Abstract: Infection with La Crosse virus can cause meningoencephalitis, but it is not known to cause acute flaccid paralysis (AFP). During 2008-2014, nine confirmed or probable La Crosse virus disease cases with possible AFP were reported in Ohio, USA. After an ... ...

Abstract	Infection with La Crosse virus can cause meningoencephalitis, but it is not known to cause acute flaccid paralysis (AFP). During 2008-2014, nine confirmed or probable La Crosse virus disease cases with possible AFP were reported in Ohio, USA. After an epidemiologic and clinical investigation, we determined no patients truly had AFP.
MeSH term(s)	Acute Disease ; Adolescent ; Aged ; Animals ; Child ; Child, Preschool ; Diagnostic Errors ; Encephalitis, California/pathology ; Encephalitis, California/physiopathology ; Encephalitis, California/virology ; Female ; Fever/physiopathology ; Headache/physiopathology ; Humans ; La Crosse virus/pathogenicity ; La Crosse virus/physiology ; Male ; Medical Records ; Muscle Weakness/physiopathology ; Ohio ; Paraplegia/diagnosis
Language	English
Publishing date	2017
Publishing country	United States
Document type	Case Reports ; Journal Article
ZDB-ID	1380686-5
ISSN	1080-6059 ; 1080-6040
ISSN (online)	1080-6059
ISSN	1080-6040
DOI	10.3201/eid2312.170944
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Article ; Online: Missed Opportunities for Human Immunodeficiency Virus (HIV) Testing During Injection Drug Use-Related Healthcare Encounters Among a Cohort of Persons Who Inject Drugs With HIV Diagnosed During an Outbreak-Cincinnati/Northern Kentucky, 2017-2018.

Furukawa, Nathan W / Blau, Erin F / Reau, Zach / Carlson, David / Raney, Zachary D / Johnson, Tisha K / Deputy, Nicholas P / Sami, Samira / McClung, Robert P / Neblett-Fanfair, Robyn / de Fijter, Sietske / Ingram, Tim / Thoroughman, Doug / Vogel, Stephanie / Lyss, Sheryl B

Clinical infectious diseases : an official publication of the Infectious Diseases Society of America

2020 Volume 72, Issue 11, Page(s) 1961–1967

Abstract: Background: Persons who inject drugs (PWID) have frequent healthcare encounters related to their injection drug use (IDU) but are often not tested for human immunodeficiency virus (HIV). We sought to quantify missed opportunities for HIV testing during ... ...

Abstract	Background: Persons who inject drugs (PWID) have frequent healthcare encounters related to their injection drug use (IDU) but are often not tested for human immunodeficiency virus (HIV). We sought to quantify missed opportunities for HIV testing during an HIV outbreak among PWID. Methods: PWID with HIV diagnosed in 5 Cincinnati/Northern Kentucky counties during January 2017-September 2018 who had ≥1 encounter 12 months prior to HIV diagnosis in 1 of 2 Cincinnati/Northern Kentucky area healthcare systems were included in the analysis. HIV testing and encounter data were abstracted from electronic health records. A missed opportunity for HIV testing was defined as an encounter for an IDU-related condition where an HIV test was not performed and had not been performed in the prior 12 months. Results: Among 109 PWID with HIV diagnosed who had ≥1 healthcare encounter, 75 (68.8%) had ≥1 IDU-related encounters in the 12 months before HIV diagnosis. These 75 PWID had 169 IDU-related encounters of which 86 (50.9%) were missed opportunities for HIV testing and occurred among 46 (42.2%) PWID. Most IDU-related encounters occurred in the emergency department (118/169; 69.8%). Using multivariable generalized estimating equations, HIV testing was more likely in inpatient compared with emergency department encounters (adjusted relative risk [RR], 2.72; 95% confidence interval [CI], 1.70-4.33) and at the healthcare system receiving funding for emergency department HIV testing (adjusted RR, 1.76; 95% CI, 1.10-2.82). Conclusions: PWID have frequent IDU-related encounters in emergency departments. Enhanced HIV screening of PWID in these settings can facilitate earlier diagnosis and improve outbreak response.
MeSH term(s)	Delivery of Health Care ; Disease Outbreaks ; Drug Users ; HIV ; HIV Infections/diagnosis ; HIV Infections/epidemiology ; Humans ; Kentucky/epidemiology ; Pharmaceutical Preparations ; Substance Abuse, Intravenous/epidemiology
Chemical Substances	Pharmaceutical Preparations
Language	English
Publishing date	2020-08-04
Publishing country	United States
Document type	Journal Article ; Research Support, U.S. Gov't, Non-P.H.S.
ZDB-ID	1099781-7
ISSN	1537-6591 ; 1058-4838
ISSN (online)	1537-6591
ISSN	1058-4838
DOI	10.1093/cid/ciaa507
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