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Research Spotlight: Valerie Cortez

Valerie Cortez received her PhD in molecular and cell biology from the University of Washington last spring and did her thesis work on HIV vaccine design. She is currently researching zoonotic infectious diseases in Peru as a Fogarty Fellow.

I began my Fogarty Fellowship a little over two months ago, and have spent as much time settling into my new apartment in Lima as I have trekking through the Madre de Dios region of the Peruvian Amazon. I recently returned from my first month-long field work trip to the jungle, and I admittedly found it hard to come back to the city. Although the work was physically demanding, especially in temperatures above 95F/35C, and there were things I lost on the trip—15 lbs, my reluctance to bathe in murky waters—as well as gained—lingering rashes, a plethora of persistent insect bites— I truly enjoyed every minute of it.

I am currently working with my mentor, Dr. Daniel Bausch, and colleagues at the U.S. Naval Medical Research Unit-6 (NAMRU-6) on a five year project to survey rodent populations along the Trans-Oceanic Highway, which bisects a previously remote and undeveloped region of the Amazon. The effects of this highway and the subsequent changes in land use in the area have been dramatic, as the economic opportunities for farming and mining continue to increase. Indeed, I witnessed forest burnings on a daily basis, with the land being cleared for growing papaya, corn, watermelon and other crops. It is unclear how these changes may be impacting the wild rodent populations in the area, and in turn, the microbial communities they harbor, as domestic animals and humans now encroach on these previously undisturbed lands. The potential for zoonotic transmission of rodent-borne pathogens could be significant, and this highlights the need for surveillance in the region. To this end, NAMRU-6 has begun rodent sampling trips four times a year, with each trip directed by a rotating team of two veterinarians, one mammologist, eight field workers, and a few fellow bench scientists. We visit four different towns during each trip and in each town we spend four “trap nights,” setting up over 400 large and small traps across six grids in the areas surrounding the town, each chosen based on their level of land disturbance. Using a delicious concoction of peanut butter, oatmeal, and tuna, we bait the traps at dusk, and then collect them the following day at dawn. In between these times, we process the captured rodents in a makeshift “lab” that we set up and breakdown each day. Powered air-purifying respirators and other personal protective equipment are donned during this time to prevent any potential exposures while we obtain blood samples and biometric data before tattooing the footpads of the animals in order to track whether they are recaptured later in the study. Since my project specifically aims to survey the prevalence of Leptospira species in the environment and rodent communities, when I wasn’t tattooing animals, I collected water samples and inoculated cultures in the field to hopefully obtain isolates of the bacteria, as new species are still being identified.

Overall, I feel like this was an absolutely amazing introduction to field work and I am incredibly fortunate to have had the opportunity to learn about so many new plant and animal species. But I really have my colleagues to thank for having such a fun, productive, and perhaps most importantly, safe field work experience. While I’m excited about the next phase of fellowship setting up assays in the lab, I cannot wait for my next field work trip in January!

This article was originally published in the NPGH Fogarty Fellows November Newsletter

November 2014 Newsletter

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Fogarty Scholar Spotlight: CoCo Alarcon

Fogarty Scholar: Coco and Joe from NPGH Fogarty Fellows on Vimeo.

Anya Romanoff on Peruvian News

Anya Romanoff spoke on the local news in Cusco, Peru to encourage women to get screened for breast cancer and engage in healthy lifestyles as part of her project.

Collaborating for Injury Prevention in Ghana

Peter Donkor, MD MPH is a Professor of Oral and Maxillofacial Surgery at the Kwame Nkrumah University of science and Technology in Kumasi, Ghana and is also Pro Vice-Chancellor. He has earned degrees, fellowships, and diplomas from six different colleges, taught at the University of Sydney and the University of Birmingham, and served on numerous advisory boards throughout his productive career.

Ghana, an African country of 25 million inhabitants is located 80 north of the Equator and 20 west of the Prime Meridian. This uniquely places it closest to the center of the earth, with her citizens being among the friendliest in the world. Other unique features about Ghana include the hand woven kente cloth; the Volta Lake (a large man-made lake); “red-red”, a favorite local dish; open drains, and mini-buses inscribed with social, religious and political messages.

The buses which are mostly used are “home second-hand” imports from Europe, and form the backbone of the public transportation system that includes vehicles that have been written off in their countries of origin either after an accident or because they are unserviceable. These buses often also serve as ambulances for the transport of the seriously ill or injured to health facilities.

Mechanics in Ghana have developed skills for restoring “dead” vehicles regardless of their state. Thus rusty old vehicles get patched up and rendered “roadworthy”. A Mercedes Benz car with a failed engine may get refitted with a used but functional Toyota engine, while the rusty frame of a Mazda vehicle may be replaced with a newer Nissan one. In the same manner that imported used clothing keeps the not-so-well-off in Ghana decently attired, imported used vehicle tires keep vehicles moving on the very poor road network across the length and breadth of the country. Like many developing countries, injuries from road crashes contribute disproportionately to the burden of disease, and undoubtedly dilapidated vehicles contribute significantly to the problem.

Over the past twenty years one NIH/FIC funded research collaboration between the University of Washington (UW) in Seattle and the Kwame Nkrumah University of Science and Technology (KNUST) in Kumasi has focused on injury control. Activities under this collaboration have included driver education in first aid and safe transport of the injured; training of district medical officers in emergency surgical procedures; teaching of undergraduate medical students in trauma; workshops for media practitioners, police, fire personnel, lawyers, judges, parliamentarians, surgeons, social workers, engineers etc. Several Ghanaian graduates have gained MPH degrees in injury research, and faculty exchanges have also taken place.

Domestic violence, unintentional injuries such as accidental ingestion of chemicals by children, burns, suicide, and road traffic injuries require the combined efforts of law enforcement agencies, engineers, medical personnel, law makers, policy makers, researchers, and international agencies for effective control. Efforts at controlling this menace in Ghana require a multi-pronged approach and must include a strengthening of the entire health system. In an increasingly globalized world, international collaboration is a sine qua non. The recent Ebola epidemic in West Africa, and the threat it poses to the entire global community is a reminder that unless we collaborate internationally to solve global health problems, we stand the risk of perishing together. Therefore, as we celebrate the successes of the UW/KNUST collaboration, greater efforts are needed for extending the gains to benefit more communities.

This article was originally published in the NPGH Fogarty Fellows October 2014 Newsletter

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