Research Topics
| E EfflerSummaryAffiliation: Hawaii State Hospital Country: USA Publications
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Publications
Dengue fever, Hawaii, 2001-2002Paul V Effler
Disease Outbreak Control Division, Hawaii State Department of Health, Honolulu, Hawaii 96813, USA
Emerg Infect Dis 11:742-9. 2005..aegypti were found. This outbreak underscores the importance of maintaining surveillance and control of potential disease vectors even in the absence of an imminent disease threat...- Evaluation of the indirect hemagglutination assay for diagnosis of acute leptospirosis in HawaiiP V Effler
Epidemiology Branch, Communicable Disease Division, Hawaii State Department of Health, Honolulu, Hawaii 96813, USA
J Clin Microbiol 38:1081-4. 2000..More sensitive leptospirosis screening tests are needed in Hawaii... - Evaluation of eight rapid screening tests for acute leptospirosis in HawaiiPaul V Effler
Epidemiology Branch, Communicable Disease Division, Hawaii State Department of Health, Honolulu, Hawaii 96813, USA
J Clin Microbiol 40:1464-9. 2002..Improved leptospirosis screening tests are needed... - Enhancing public health surveillance for influenza virus by incorporating newly available rapid diagnostic testsPaul V Effler
Hawaii State Department of Health, Room 444, 1250 Punchbowl Street, Honolulu, HI 96813, USA
Emerg Infect Dis 8:23-8. 2002..This is the first evaluation of integrating influenza rapid testing into public health surveillance. Coupling rapid tests with cultures appears to be an effective means of improving influenza surveillance... - Factors contributing to the emergence of Escherichia coli O157 in AfricaE Effler
Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA
Emerg Infect Dis 7:812-9. 2001..Drought, carriage of E. coli O157 by cattle, and heavy rains with contamination of surface water appear to be important factors contributing to this outbreak... - Isolate removal methods and methicillin-resistant Staphylococcus aureus surveillanceFenfang Li
University of Hawaii School of Medicine, Honolulu, Hawaii, USA
Emerg Infect Dis 11:1552-7. 2005..Considering the ease of implementation and comparability of results, we recommend using the first isolate of a given species per patient to calculate susceptibility frequencies for S. aureus to oxacillin... - Racial/ethnic differences in the incidence of Kawasaki syndrome among children in HawaiiRobert C Holman
Division of Viral and Rickettsial Diseases, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, US Department of Health and Human Services, Atlanta, Georgia 30333, USA
Hawaii Med J 69:194-7. 2010..To describe the occurrence of Kawasaki syndrome (KS) among different racial/ethnic groups in Hawaii... - Severe bronchiolitis and respiratory syncytial virus among young children in HawaiiKrista L Yorita
Division of Viral and Rickettsial Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, US Department of Health and Human Services, Atlanta, GA 30333, USA
Pediatr Infect Dis J 26:1081-8. 2007..Our objective was to describe the incidence and epidemiology of severe bronchiolitis, respiratory syncytial virus (RSV), and pneumonia among children in Hawaii... - Hawaii physician and nurse bioterrorism preparedness surveyAlan R Katz
Department of Public Health Sciences and Epidemiology, John A Burns School of Medicine, University of Hawaii, Honolulu, Hawaii 96822, USA
Prehosp Disaster Med 21:404-13. 2006..However, most published bioterrorism preparedness surveys focus on gathering information related to self-assessed knowledge or perceived needs and abilities... - Leptospirosis on Oahu: an outbreak associated with flooding of a university campusKate Gaynor
Disease Outbreak Control Division, Hawaii State Department of Health, Honolulu, Hawaii 96813, USA
Am J Trop Med Hyg 76:882-5. 2007..Health care providers should maintain a high level of suspicion for leptospirosis after flooding events, and local public health officials should promote leptospirosis awareness among flood-affected populations... - Leptospirosis in Hawaii, USA, 1999-2008Alan R Katz
Department of Public Health Sciences, John A Burns School of Medicine, University of Hawaii, Biomedical Sciences Building, Rm D104M, 1960 East West Rd, Honolulu, HI 96822, USA
Emerg Infect Dis 17:221-6. 2011..Also, during the past 20 years, recreational exposures have plateaued, while occupational exposures have increased. Ongoing surveillance is needed to clarify and track the dynamic epidemiology of this widespread zoonosis... - Eosinophilic meningitis attributable to Angiostrongylus cantonensis infection in Hawaii: clinical characteristics and potential exposuresNatasha S Hochberg
Division of Parasitic Diseases and Malaria, Centers for Disease Control and Prevention, Atlanta, Georgia, USA
Am J Trop Med Hyg 85:685-90. 2011..001) and to see snails/slugs on produce (56% versus 0%, P = 0.03). Residents and travelers should be aware of the potential risks of eating uncooked produce in Hawaii, especially if it is from the island of Hawaii and locally grown... - Epidemiology of methicillin-resistant Staphylococcus aureus among incarcerated population in Hawai'i, 2000-2005Fenfang Li
School of Social Work, University of Hawai i, Honolulu, HI 96822, USA
Hawaii Med J 69:99-102. 2010..Active surveillance of MRSA infection in the inmate population is an important public health tool and should be continued... - Hawaii veterinarians' bioterrorism preparedness needs assessment surveyAlan R Katz
Department of Public Health Sciences and Epidemiology, John A Burns School of Medicine, University of Hawaii at Manoa, 1960 East West Road, Biomedical Sciences Building, Room D204, Honolulu, HI 96822, USA
J Vet Med Educ 33:612-7. 2006..Additional bioterrorism preparedness training should be made available, both in the form of continuing educational offerings for practicing veterinarians and as a component of the curriculum in veterinary schools... - Prevalence of chlamydial and gonorrheal infections among females in a juvenile detention facility, Honolulu, HawaiiAlan R Katz
Department of Public Health Sciences and Epidemiology, John A Burns School of Medicine, University of Hawaii, Honolulu, HI 96822, USA
J Community Health 29:265-9. 2004..gonorrhoeae. Three females were co-infected with both organisms. The high STD rates justify the institution of a routine screening program for this high risk and previously underserved group... - False-positive gonorrhea test results with a nucleic acid amplification test: the impact of low prevalence on positive predictive valueAlan R Katz
Department of Public Health Sciences and Epidemiology, John A Burns School of Medicine, University of Hawaii, Honolulu, HI 96822, USA
Clin Infect Dis 38:814-9. 2004.... - Dengue risk among visitors to Hawaii during an outbreakCarrie E Smith
Hawaii State Department of Health, Honolulu, Hawaii 96813, USA
Emerg Infect Dis 11:750-6. 2005..0 cases per person-year. Thus, the risk for dengue infection for visitors to Hawaii during the outbreak was low... - Identifying risk factors for underimmunization by using geocoding matched to census tracts: a statewide assessment of children in HawaiiSara J Whitehead
Preventive Medicine Residency Program, Career Development Division, Office of Workforce and Career Development, Centers for Disease Control and Prevention, Atlanta, Georgia, USA
Pediatrics 120:e535-42. 2007..To identify factors that are associated with delayed immunization, we collected school-entry immunization records statewide and used geocoding to link to publicly available census tract sociodemographic data... - Assessing age-related risk for gonococcal and chlamydial infections among females in Hawaii, 2001: a comparison of morbidity rates with screening test positivityAlan R Katz
Department of Public Health Sciences and Epidemiology, John A Burns School of Medicine, University of Hawaii, Honolulu, Hawaii 96822, USA
Ambul Pediatr 4:188-91. 2004..This study compared morbidity rates with screening test positivity for gonorrhea and chlamydia to better define age-related STD risk among females in Hawaii... - Contacting passengers after exposure to measles on an international flight: Implications for responding to new disease threats and bioterrorismLara E Lasher
School of Public Health, University of California Los Angeles, Los Angeles, CA, USA
Public Health Rep 119:458-63. 2004..This experience highlights the need for more complete and timely methods of contacting passengers potentially exposed to infectious agents aboard flights... - Distribution of eosinophilic meningitis cases attributable to Angiostrongylus cantonensis, HawaiiNatasha S Hochberg
Centers for Disease Control and Prevention, Atlanta, Georgia, USA
Emerg Infect Dis 13:1675-80. 2007..3 vs. 2.1), the Big Island of Hawaii (1.1 vs. 7.4), and Maui County (0.4 vs. 4.3). These findings underscore the need to consider the diagnosis of A. cantonensis infection, especially in the state of Hawaii... - Rickettsia typhi and R. felis in rat fleas (Xenopsylla cheopis), Oahu, HawaiiMarina E Eremeeva
Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA
Emerg Infect Dis 14:1613-5. 2008..8%) DNA were detected in rat fleas (Xenopsylla cheopis) collected from mice on Oahu Island, Hawaii. The low prevalence of R. typhi on Oahu suggests that R. felis may be a more common cause of rickettsiosis than R. typhi in Hawaii... - A case control investigation of hepatitis C risk factors in HawaiiLara E Lasher
Disease Investigation Branch, Hawaii State Department of Health, Honolulu, HI 96813, USA
Hawaii Med J 64:296-300, 302-4. 2005..or oral surgery, and HIV infection were associated with HCV Future public health efforts in Hawaii should focus on developing effective and appropriate community interventions targeting those with well-established risk factors for HCV.. - Comparison of serology and isolates for the identification of infecting leptospiral serogroups in Hawaii, 1979-1998Alan R Katz
Department of Public Health Sciences and Epidemiology, John A Burns School of Medicine, University of Hawaii, Honolulu, HI 96822, USA
Trop Med Int Health 8:639-42. 2003..In establishing the prevalence of serogroups, results obtained via MAT serology (in the absence of serogrouped isolates) should be considered presumptive rather than definitive... - Methicillin-resistant Staphylococcus aureus, Hawaii, 2000-2002Fenfang Li
University of Hawaii School of Medicine, Honolulu, Hawaii, USA
Emerg Infect Dis 11:1205-10. 2005..05). Although MRSA isolates from adults demonstrated high resistance to most non-beta-lactams, most MRSA isolates from pediatric outpatients remained susceptible to most non-beta-lactams... - Dentists' preparedness for responding to bioterrorism: A survey of Hawaii dentistsAlan R Katz
Department of Public Health Sciences and Epidemiology, John A Bums School of Medicine, University of Hawaii, Biomedical Sciences Building, Honolulu, Hawaii 96822, USA
J Am Dent Assoc 137:461-7. 2006..The authors conducted a survey of dentists in Hawaii to assess their knowledge of, perceived readiness for and willingness to respond to bioterrorist (BT) events... - Low risk of measles transmission after exposure on an international airline flightPauli N Amornkul
Department of Preventive Medicine, Epidemiology Program Office, National Immunization Program, Centers for Disease Control and Prevention, Atlanta, Georgia, USA
J Infect Dis 189:S81-5. 2004..An aggressive response by health departments may not be warranted after airborne exposure to measles. Each health department should make such determinations on the basis of specific circumstances and availability of resources... - Pandemic preparedness in Hawaii: a multicenter verification of real-time RT-PCR for the direct detection of influenza virus types A and BA Christian Whelen
State Laboratories Division, Hawaii State Department of Health, Pearl City, HI 96782, USA
Public Health Rep 125:81-7. 2010..We integrated multicenter, real-time (RTi) reverse transcription polymerase chain reaction (RT-PCR) screening into a statewide laboratory algorithm for influenza surveillance and response... - Near elimination of hepatitis B virus infections among Hawaii elementary school children after universal infant hepatitis B vaccinationJoseph F Perz
Division of Viral Hepatitis, Centers for Disease Control and Prevention, Department of Health and Human Services, 1600 Clifton Rd, Mailstop G 37, Atlanta, GA 30333, USA
Pediatrics 118:1403-8. 2006..6% had chronic hepatitis B virus infection, and 2.1% had resolved infection. We conducted a follow-up survey to examine changes in hepatitis B virus infection rates... - Molecular epidemiologic comparison of 2 unusual clusters of group a streptococcal necrotizing fasciitis in HawaiiGuliz Erdem
John A Burns School of Medicine, University of Hawaii, Honolulu, HI 96826, USA
Clin Infect Dis 40:1851-4. 2005..5%) of the isolates were considered to be uncommon in the continental United States. These findings suggest that unusual emm types might be responsible for invasive GAS infections in patients from Hawaii... - Kawasaki syndrome in HawaiiRobert C Holman
Office of the Director, Division of Viral and Rickettsial Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, U.S. Department of Health and Human Services, Atlanta, GA, USA
Pediatr Infect Dis J 24:429-33. 2005..The incidence among Japanese American children in Hawaii was higher than that among other racial groups in the state and when compared with children living in Japan... - Multidrug-resistant Neisseria gonorrhoeae with decreased susceptibility to cefixime-Hawaii, 2001Susan A Wang
Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA
Clin Infect Dis 37:849-52. 2003..This report of the first 3 patients in the United States identified with this multidrug-resistant strain may portend an emerging problem for clinicians and public health officials... - Household responses to pandemic (H1N1) 2009-related school closures, Perth, Western AustraliaPaul V Effler
Emerging Infectious Diseases Journal, Centers for Disease Control and Prevention, Atlanta, Georgia, USA paul effl
Emerg Infect Dis 16:205-11. 2010.... - "Probable" versus "confirmed" leptospirosis: an epidemiologic and clinical comparison utilizing a surveillance case classificationAlan R Katz
Department of Public Health Sciences and Epidemiology, John A Burns School of Medicine, University of Hawaii, Honolulu 96822, USA
Ann Epidemiol 13:196-203. 2003..quot; The objective of this study was to provide data to refine the current surveillance case classifications... - Underrecognition of leptospirosis during a dengue fever outbreak in Hawaii, 2001-2002Tania Ellis
Department of Public Health Sciences, John A Burns School of Medicine, University of Hawaii at Manoa, Manoa, Hawaii, USA
Vector Borne Zoonotic Dis 8:541-7. 2008..Physicians should maintain a high index of suspicion for leptospirosis when assessing patients presenting with acute febrile illness among residents and visitors to Hawaii... - Leptospirosis in Hawaii, 1974-1998: epidemiologic analysis of 353 laboratory-confirmed casesAlan R Katz
Department of Public Health Sciences and Epidemiology, John A. Burns School of Medicine, University of Hawaii, Honolulu 96822, USA
Am J Trop Med Hyg 66:61-70. 2002..This series represents the first large U.S. leptospirosis surveillance report since 1979. With leptospirosis recently being identified as a re-emerging zoonosis, continued national surveillance and case reporting should be reconsidered... - Risk factors for infection during a dengue-1 outbreak in Maui, Hawaii, 2001John Mosely Hayes
Dengue Branch, Division of Vector Borne Infectious Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, 1324 Calle Cañada, San Juan, PR 00920 3860
Trans R Soc Trop Med Hyg 100:559-66. 2006..Our data suggest that ecological characteristics may help Hawaii health officials identify communities at increased risk of dengue infection... - A statewide hepatitis B vaccination program for school children in Hawaii: vaccination series completion and participation rates over consecutive school yearsAthmanundh Dilraj
HIV Prevention and Vaccine Research Unit, Medical Research Council, Congella, South Africa
Public Health Rep 118:127-33. 2003.... - Food safety for first respondersMary K Afton
Emerg Infect Dis 11:508-9. 2005 - Characterization of a community cluster of group a streptococcal invasive disease in Maui, HawaiiGuliz Erdem
Department of Pediatrics, University of Hawaii, John A Burns School of Medicine, Honolulu, Hawaii
Pediatr Infect Dis J 23:677-9. 2004..The identification of uncommon emm types suggested that group A streptococcal sero-types in Hawaii are different from those in the continental United States and can result in serious disease... - Fluoroquinolone resistance among Neisseria gonorrhoeae isolates in Hawaii, 1990-2000: role of foreign importation and increasing endemic spreadChristopher J Iverson
Epidemic Intelligence Service, Epidemiology Program Office, Hawaii Department of Health, Honolulu, Hawaii
Sex Transm Dis 31:702-8. 2004..In 1999, an increase in ciprofloxacin-resistant Neisseria gonorrhoeae isolates was identified in Hawaii, prompting initiation of investigative studies... - Ciprofloxacin resistance in Neisseria gonorrhoeae: trends in Hawaii, 1997-2002Alan R Katz
Lancet 362:495. 2003