67th Annual Epidemic Intelligence Service (EIS) …

 67th Annual Epidemic Intelligence Service (EIS) Conference

April 16?19, 2018

Monday

Agenda-at-a-Glance

WELCOME AND CALL TO ORDER ....................................................................................................... 8:15?8:45 am SESSION A: Stephen B. Thacker Opening Session ..................................................................................... 8:45?10:30 am CONCURRENT SESSION B1: Influenza ........................................................................................ 10:50 am?12:15 pm CONCURRENT SESSION B2: Chronic Disease Prevention ................................................................ 10:50 am?12:15 pm LUNCH (on your own) ........................................................................................................................... 12:20?1:35 pm SPECIAL SESSION 1: Rohingya Refugee Crisis ........................................................................................ 12:25?1:25 pm SPECIAL SESSION 2: Big Data in a Fast-Changing World .......................................................................... 12:25?1:25 pm EIS Recruitment Information Session ................................................................................................ 1:45?2:45 pm SESSION C: J. Virgil Peavy Memorial Award Finalists ................................................................................... 1:45?3:30 pm CONCURRENT SESSION D1: Vaccine Preventable Diseases ...................................................................... 3:45?5:10 pm CONCURRENT SESSION D2: Antimicrobial Resistance and Treatment ........................................................ 3:45?5:10 pm CONCURRENT SESSION D3: Mortality Surveillance ................................................................................ 3:45?5:10 pm EIS Alumni Association Meeting (private event sponsored by EISAA) ....................................................... 5:30?7:30 pm

Tuesday

CONCURRENT SESSION E1: Healthcare-Associated Infections ................................................................. 8:30?10:15 am CONCURRENT SESSION E2: Injury: Violence and Opioid Overdose .......................................................... 8:30?10:15 am SESSION F: Donald C. Mackel Award Finalists .................................................................................... 10:35 am?12:00 pm LUNCH (on your own) ........................................................................................................................... 12:05?1:20 pm SPECIAL SESSION 3: TED-Style Talks: Behind the Scenes with Officers and Fellows ..................................... 12:10?1:10 pm POSTER SYMPOSIUM I ...................................................................................................................... 1:30?2:55 pm SESSION G: Laboratory Leadership Service Presentations ............................................................................. 1:30?2:55 pm CONCURRENT SESSION H1: Global Health ........................................................................................... 3:10?4:55 pm CONCURRENT SESSION H2: Occupational and Environmental Health ........................................................ 3:10?4:55 pm LLS Recruitment Information Session ................................................................................................ 4:00?5:00 pm PREDICTION RUN ......................................................................................................................................... 6:00 pm SESSION I: FETP International Night -- Poster Presentations (sponsored by TEPHINET & CDC Foundation) .......... 6:00?8:30 pm

Wednesday

CONCURRENT SESSION J1: Hurricane Response .................................................................................. 8:30?10:15 am CONCURRENT SESSION J2: HIV, Tuberculosis, and Hepatitis .................................................................. 8:30?10:15 am POSTER SYMPOSIUM II ................................................................................................................. 10:30?11:45 am Extending Your Public Health Legacy: A Planned Giving Seminar with the CDC Foundation ................... 11:50 am?1:05 pm LUNCH (on your own) ...................................................................................................................... 11:50 am?1:05 pm SPECIAL SESSION 4: The 1918 Influenza Centenary ....................................................................... 11:55 am?12:55 pm CONCURRENT SESSION K1: One Health .............................................................................................. 1:15?3:00 pm CONCURRENT SESSION K2: Measles, Mumps, and Meningitis Outbreaks................................................... 1:15?3:00 pm SESSION L: Alexander D. Langmuir Lecture ................................................................................................ 3:15?4:45 pm SESSION M: FETP International Night -- Oral Presentations (sponsored by TEPHINET & CDC Foundation) ........... 6:30?9:00 pm

Thursday

CONCURRENT SESSION N1: Fungal Infections ...................................................................................... 8:30?9:55 am CONCURRENT SESSION N2: Preconception, Pregnancy, and Maternity Care .............................................. 8:30?9:55 am CONCURRENT SESSION O1: Food and Water .................................................................................... 10:10?11:55 am CONCURRENT SESSION O2: Child Health ......................................................................................... 10:10?11:55 am LUNCH (on your own) ........................................................................................................................... 12:00?1:10 pm SPECIAL SESSION 5: U.S. Opioid Epidemic: Maternal and Child Health Response Opportunities ..................... 12:05?1:05 pm CONCURRENT SESSION P1: Notes from the Field .................................................................................. 1:15?3:00 pm CONCURRENT SESSION P2: Emerging and High Consequence Pathogens .................................................. 1:15?3:00 pm SESSION Q: Awards and Late-Breaking Reports ........................................................................................... 3:15?5:05 pm CLOSING REMARKS ............................................................................................................................ 5:05?5:15 pm POSTCONFERENCE EIS SATIRICAL REVIEW ............................................................................................... 7:30 pm

Awards presented during session.

Disclaimer: The findings and conclusions of the reports presented at the 67th Annual EIS Conference are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention (CDC). Use of trade names and commercial sources is for identification only and does not imply endorsement by the Division of Scientific Education and Professional Development; Center for Surveillance, Epidemiology, and Laboratory Services; CDC; the Public Health Service; or the U.S. Department of Health and Human Services. Published April 2018.

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2018 EIS Conference

Hilton Atlanta Second Floor Meeting Facilities

Name Tags Color Key

EIS Alumni Current EIS Officers Incoming EIS Officers Current LLS Fellows LLS Alumni Incoming LLS Fellows Conference Participants Prospective EIS Officers Conference Staff Field EIS Alumni Recruiters Media

SAVE THE DATE

68EEPIIDSEMthCIACOINNTNENLLIFGUEENARCEELSNERVCICEE

April 29?May 2, 2019

Centers for Disease Control and Prevention

Atlanta, Georgia

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Contents

Agenda-at-a-Glance....................................................................................................................................................................... ii Hilton Atlanta Second Floor Meeting Facilities ..................................................................................................................... iii Save the Date.................................................................................................................................................................................. iii Preface ........................................................................................................................................................................................... vii EIS Alumni Association ............................................................................................................................................................. ix Scientific Program Committee .................................................................................................................................................. x General Information ................................................................................................................................................................... xi Instructions for Obtaining Continuing Education (CE) .................................................................................................... xii 67th Annual EIS Conference Schedule ...................................................................................................................................... 1 Awards Descriptions and Committee Members ................................................................................................................... 11

Awards Presented at the 2017 EIS Conference .............................................................................................................. 12 Alexander D. Langmuir Lectures, 1972?2017 ............................................................................................................... 13 Alexander D. Langmuir Prize Manuscripts, 1966?2017 .............................................................................................. 14 Philip S. Brachman Awards, 1983?2017 ......................................................................................................................... 17 Distinguished Friend of EIS Awards, 1984?2017 .......................................................................................................... 17 Iain C. Hardy Awards, 1996?2017 ................................................................................................................................... 18 J. Virgil Peavy Memorial Awards, 2003?2017 ..................................................................................................................... 18 Donald C. Mackel Memorial Awards, 1987?2017 ........................................................................................................ 18 Outstanding Poster Presentation Awards, 1986?2017 .................................................................................................. 20 Paul C. Schnitker International Health Awards, 1995?2017 ....................................................................................... 21 James H. Steele Veterinary Public Health Awards, 1999?2017 ................................................................................... 21 Mitch Singal Excellence in Occupational and Environmental Health Awards, 2010?2017 .................................... 22 Stephen B. Thacker Excellence in Mentoring Award, 2013?2017 .............................................................................. 22 67th EIS Conference Abstracts ................................................................................................................................................. 23 SESSION A: Stephen B. Thacker Opening Session ....................................................................................................... 23 CONCURRENT SESSION B1: Influenza ...................................................................................................................... 26 CONCURRENT SESSION B2: Chronic Disease Prevention ...................................................................................... 29 SPECIAL SESSION 1: Rohingya Refugee Crisis ........................................................................................................... 32 SPECIAL SESSION 2: Big Data in a Fast-Changing World ......................................................................................... 33 SESSION C: J. Virgil Peavy Memorial Award Finalists ................................................................................................ 34 CONCURRENT SESSION D1: Vaccine Preventable Diseases ................................................................................... 37 CONCURRENT SESSION D2: Antimicrobial Resistance and Treatment ................................................................ 40 CONCURRENT SESSION D3: Mortality Surveillance ............................................................................................... 43 CONCURRENT SESSION E1: Healthcare-Associated Infections ............................................................................. 47 CONCURRENT SESSION E2: Injury: Violence and Opioid Overdose .................................................................... 50 SESSION F: Donald C. Mackel Award Finalists ............................................................................................................ 53 SPECIAL SESSION 3: TED-Style Talks: Behind the Scenes with Officers and Fellows .......................................... 56 POSTER SYMPOSIUM I .................................................................................................................................................. 57 SESSION G: Laboratory Leadership Service Presentations ......................................................................................... 64

Awards presented during session.

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CONCURRENT SESSION H1: Global Health .............................................................................................................. 67 CONCURRENT SESSION H2: Occupational and Environmental Health ............................................................... 70 SESSION I: FETP International Night -- Poster Presentations (sponsored by TEPHINET & CDC Foundation) ... 73 CONCURRENT SESSION J1: Hurricane Response ..................................................................................................... 75 CONCURRENT SESSION J2: HIV, Tuberculosis, and Hepatitis ............................................................................... 78 POSTER SYMPOSIUM II ................................................................................................................................................ 81 SPECIAL SESSION 4: The 1918 Influenza Centenary ................................................................................................. 88 CONCURRENT SESSION K1: One Health .................................................................................................................. 89 CONCURRENT SESSION K2: Measles, Mumps, and Meningitis Outbreaks .......................................................... 92 SESSION L: Alexander D. Langmuir Lecture ................................................................................................................ 95 SESSION M: FETP International Night -- Oral Presentations (sponsored by TEPHINET & CDC Foundation) ... 96 CONCURRENT SESSION N1: Fungal Infections ........................................................................................................ 97 CONCURRENT SESSION N2: Preconception, Pregnancy, and Maternity Care ................................................... 100 CONCURRENT SESSION O1: Food and Water ........................................................................................................ 103 CONCURRENT SESSION O2: Child Health .............................................................................................................. 106 SPECIAL SESSION 5: U.S. Opioid Epidemic: Maternal and Child Health Response Opportunities .................. 109 CONCURRENT SESSION P1: Notes from the Field ................................................................................................. 110 CONCURRENT SESSION P2: Emerging and High Consequence Pathogens ....................................................... 113 SESSION Q: Awards and Late-Breaking Reports ........................................................................................................ 116 Presentation of Awards ................................................................................................................................................... 116 Late-Breaking Reports .................................................................................................................................................... 116 EIS Officers, Class of 2016 ...................................................................................................................................................... 121 EIS Officers, Class of 2017 ...................................................................................................................................................... 123 LLS Fellows, Class of 2016 ....................................................................................................................................................... 125 LLS Fellows, Class of 2017 ....................................................................................................................................................... 125 Incoming EIS Officers, Class of 2018 ................................................................................................................................... 126 Incoming LLS Fellows, Class of 2018 .................................................................................................................................... 126 Index of EIS Officer Presenters .............................................................................................................................................. 127

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Preface

Dear Conference Participants,

Welcome to the 2018 annual conference of CDC's Epidemic Intelligence Service (EIS). This is my first time attending the conference as chief of the EIS program and Epidemiology Workforce Branch; I'm honored to be in this role and grateful for your participation.

What is the allure of the EIS program? Is it the mystique surrounding the "disease detective"

experience, our training, or maybe the heights to which many of our graduates have

ascended? I would argue that the foundation of the program and the element that separates it from other training programs is you--the alumni, the subject matter experts at CDC and state and local health departments, and our international partners. You provide the unique

Eric Pevzner, PhD, MPH CAPT, U.S. Public

Health Service

opportunity for EIS officers to gain on-the-job training in applied epidemiology and public

health. You are the teachers, mentors, and scientists creating opportunities for EIS officers to

practice applied epidemiology. You are the ones planning and pushing EIS officers to use data for public health

action. You are the foundation of this great program and the embodiment of the science and service in this year's

conference theme.

Our conference theme, Innovations in Public Health: From Science to Service, is the very core of what the EIS program strives to accomplish with our training. We seek to attract bright scientific minds with a passion for service. We then provide them with training, mentors, and opportunities to apply innovative thinking to address public health problems through service. This year's Langmuir speaker personifies the conference theme and the mission of EIS. As the Indiana State Health Commissioner from 2014 to 2017, Surgeon General Jerome M. Adams brought innovative approaches to responding to and halting the opioid fueled HIV outbreak in his state. We are fortunate to have the Surgeon General in attendance and hope you will join us for his Langmuir Lecture on Wednesday afternoon.

As part of the conference, we are also highlighting the scientific accomplishments and service of fellows from the Laboratory Leadership Service (LLS) and the Field Epidemiology and Training Program (FETP). The second cohort of LLS fellows is preparing to graduate this spring and is making remarkable contributions at CDC and with state and local public health laboratories. LLS fellows are participating with EIS officers on Epi-Aids, deploying to support CDC's response to public health emergencies, and leading Lab-Aids. The work of several LLS fellows is included in the general scientific program and in the LLS session on Tuesday afternoon. The work of several FETP fellows will be featured during International Nights on Tuesday and Wednesday.

Our training must constantly evolve to keep pace with the ever changing fields of epidemiology, laboratory science, and communication. We are constantly evaluating our training so that we can provide fellows with the training and experiences to prepare them to meet the needs of the public health workforce. From our fellowship survey, we know that the ability to communicate persuasively is a highly desired skill from both the perspective of employers and EIS graduates. We have revised our training to better prepare EIS officers to communicate effectively, both verbally and in writing. We are also asking them to practice communicating through a variety of channels to better reach their intended audiences. We expect that our emphasis on the use of data visualization techniques will improve your understanding and retention of our EIS officers' and LLS fellows' work. I also invite you to join us for the inaugural TED-style Special Session during lunch on Tuesday, featuring the work of EIS officers and LLS fellows.

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Preface (continued)

Planning the EIS conference requires the effort and time of many people including our staff, the Scientific Planning Committee, EIS officers and LLS fellows, supervisors, and the EIS Alumni Association. Our approach to the conference is the same as our approach to training our fellows. We are collecting data to evaluate what we do, with the goal of always looking for ways to improve the conference. We ask that you please take the time to complete the consolidated conference evaluation that will be emailed to all registered conference participants.

Innovative thinking and the practice of applied epidemiology resulting in service is the conference theme but also a core value of EIS. We hope that everyone attending the conference can take away a lesson learned, an idea generated, or a connection made that leads to innovation in your work, and ultimately, public health action. Thanks for making the time to attend the EIS conference.

Eric Pevzner, PhD, MPH CAPT, U.S. Public Health Service Chief, Epidemiology Workforce Branch, Epidemic Intelligence Service (EIS) Division of Scientific Education and Professional Development Center for Surveillance, Epidemiology, and Laboratory Services

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