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-1CURRICULUM VITAE January 2003 George Wills Comstock Part II TEACHING Advisees (in chronological order): NAGUIB, Samir M. Acceptance and Results of a Cervical Cytology Screening Program in Washington County, Maryland. Dr. P.H. 1966 GANLEY, James Powell Epidemiology Characteristics of Presumed Ocular Histoplasmosis. Dr.P.H. 1971 THOMAS, David B. Oral Contraceptives and Cervical Neoplasia. Dr. P.H. 1971 NOMURA, Abraham M. Y. The Relationship of Estrogenic Preparations to Benign Breast Tumors. Dr. P.H. 1974 SHAW, Robert The Relationship of Respiratory Variables to Illness Absence Resulting from Coronary Heart Disease. Dr. P.H. 1975 ABUDEJAJA, Awad Hussein Some Determinants of Compliance with Treatment Following Community Blood Pressure Screening. Ph.D. 1978 SUTRISNA, Bambang Epidemiologic Characteristics of Pulmonary Tuberculosis and a Suggested Control Program for Indonesia. M.H.S. 1979 CAUTHEN, George McKinstry Relationship Between Blood Pressure and Characteristics of Drinking Water in A County Population. Sc.D. 1980 -2McCARTER, Robert J. Jr. Congenital Malformations in the Offspring of Diabetic Women. Sc.D. 1983 FREEMAN, Richard W. Volume I. A Survey of Neurologic Symptoms among Members of the International Brotherhood of Painters and Allied Trades. Volume II. A Survey of Neurologic Symptoms among Members of the International Brotherhood of Painters and Allied Trades. Sc.D. 1985 MENKES, Marilyn Judith Spivak Vitamins A, E, Selenium and Risk of Lung Cancer. Ph.D. 1985 SCHOBER, Susan Elizabeth Vitamin A, Vitamin E, Selenium, and Colon Cancer Risk. Ph.D. 1985 TEPPER, Allison A Follow-Up Study of Chronic Respiratory Disease in Baltimore City Firefighters. Ph.D. 1986 HSING, Ann Wu Fung-Fung Pre-diagnostic Serum Hormones and Prostate Cancer. Ph.D. 1987 LINKINS, Robert Wilson Depressed Mood and Development of Cancer. Ph.D. 1987 MAURER, Kurt R. The Epidemiology of Gallstone Disease in the Mexican American, Cuban American, and Puerto Rican Populations of the United States, 1982-84. Ph.D. 1987 MENON, Sreekumar Rotavirus Diarrhea in Apache Children. Study. Ph.D. A Case-Control FISCHER, Ellen Pauline Suicide by Jumping in the City of New York. Ph.D. 1987 1988 -3KOPPIKAR, Aparna Mahesh Can Hypertension Be a Predictor of Clinical Diabetes Mellitus? Ph.D. 1988 MEBANE, Irma Laurice Depressive Symptomatology and Subsequent Morbidity: A Followup Study of Washington County, Maryland Residents. Ph.D. 1988 COBERLY, Jacqueline S. A Comparison of the Immunogenicity of the Standard and Two Low-Dose Hepatitis B Vaccine Regimens in Infants. Ph.D. 1989 BASER, Michael E. Distribution of Ventilation in the Aging Lung. Ph.D. 1991 HAWKINS, Barbara Snyder A Study of the Risk of Visual Impairment Attributable to Ocular Histoplasmosis Ph.D. 1992 SCOTT, Jean C. A Study of Cigarette Smoking and the Risk Factors for Hip Fracture in Elderly Women. Dr.P.H. 1992 ALBERG, Anthony John Structured Social Involvement and Cigarette Smoking among Adolescents. Ph.D. 1994 STREET, Debra Ann A Population-based Case-control Study of the Association of Myocardial Infarction and Serum Levels of Carotenoids and alpha-tocopherals. Ph.D. 1994 GEITER, Lawrence J. Results of a Randomized, Controlled Trial to Assess the Toxicity and Patient Adherence with Two Short-course Regimens for the Prevention of Tuberculosis, a Two-month Regimen of Rifampin and Pyrazinamide or a Four-month Regimen of Rifampin Only, in Comparison with a Control Regimen of Six-months of Isoniazid. Ph.D. 1997 -4KIMURA, Moriya Comparison between a Whole Blood Interferon-γ Release Assay and Tuberculin Skin Testing for the Detection of Tuberculosis Infection among Patients at Risk for Tuberculosis Exposure. Post-Doctoral Fellow 1999 PAPADOPOULOS, Emily C. A Prospective Study of Antiphospholipid Antibodies and Incident Thrombotic Events in Systemic Lupus Erythematosus. Sc.M. 1999 JORGENSON, Lindsey MHS ORAL EXAMINATIONS Departmental 1997 Smith, Jennifer 1997 Henderson, Leigh (Alt) 1998 Henderson, Leigh 1998 Scher, Ann 1999 Lucas, Katherine 1999 Cowgill, Karen 2001 Marsh, Marta J. 2002 Merkin, Sharon Preliminary 1997 Gruskin, Leslie 1997 Kacena, Katherine 1997 Weeks, Kathleen (Alt) 1997 Davidson, Michael 1998 Paredes, Patricia 1998 Sato, Reiko 1998 Ruhl, Constance 1999 Riley, Elise 2001 Sadaphal, Pankaj 2001 Fong, Christy 2001 Pope, Diana 2002 Hansen, Christy 2002 Shukla, Rajendra 2002 Khan, Aamir 2001 -5Final 1995 1996 1997 1997 1997 1998 1998 1999 2000 2000 2000 2001 2001 Faerstein, Eduardo (Alt) Tangrea, Joseph A Yeh, Hsin-Chieh Wu, Kana (Alt) Erickson, Ralph Smit, Ellen Rice, Amy Rosenberg, Marsha Sato, Reiko Georgakopoulos, Dimitri Ruhl, Constance Bellette, Bahrie Maher, Dana (Alt.) Thesis Committees, 2002 Fong, Christy Golub, Jonathan Onawola, Ronald Pope, Diana Werther, Winifred Classroom instruction, 2002 Epidemiologic Basis for Tuberculosis Control (340:612) AM Session: 53 students PM Session: 22 students Summer Course: 9 students Methods in Epidemiology, Summer Course, 23 students Intermediate Epidemiology, Instructor Design and Application of Case-Control Studies, Instructor RESEARCH GRANT PARTICIPATION (current listings) Gene-Environment Interactions: The Odyssey Cohort National Cancer Institute: 09/30/99 - 06/30/04 P.I.: Dr. K. J. Helzlsouer Main objective: Population-based cohort study to examine the broad impact of genetic variation in candidate genes and their interaction with environmental exposures on cancer incidence and survival, specifically health and aging. Responsibilities: In addition to being a co-author (and editor) on reports from this study, Dr. Comstock is primarily responsible for community contacts, including a local community research review committee, publicity, and relationships with physicians and community agencies. He participates in planning, conducting, and reporting of individual studies under this grant. -6Clue Studies: Evaluating Biomarkers of Carcinogenesis National Cancer Institute: 04/01/00 - 03/31/05 P.I.: Dr. K. J. Helzlsouer Main objective: To compare serum fatty acid synthase concentrations in serum (plasma) samples taken at varying time intervals prior to diagnosis in women with and without breast cancer. Responsibilities: As above. Career Research Award: Follow-up Studies of Cardio-Respiratory Disease: National Heart, Lung and Blood Institute: 04/01/64 - 3/31/04 P.I.: (Awardee): Dr. G. W. Comstock Main objective: To provide partial financial support for a career in research. Responsibilities: This award provides partial support for Dr. Comstock’s research in tuberculosis and his participation in research based on linking the information from the Washington County Serum Bank with outcomes determined in The Atherosclerosis Risk in Communities (ARIC) study and the Cardiovascular Health Study (CHS) among Washington County participants. ACADEMIC SERVICE (partial) Division or Department 1994 Committee on Biology and Epidemiology 1994-95 Committee on Core Competencies 1996 General Knowledge Committee School c.1967-75 c.1980-present c.1981 1991-95 c.1992 1993-94 Advisory Committee for General Preventive Medicine Residency Serology Committee for Training Center for Public Health Research Chair, Search Committee for Chair of Department of Biostatistics Committee on Professional Misconduct Search Committee for Chair of Department of Environmental Health Sciences Data and Safety Monitoring Committee for JHU/CDS Tuberculosis Chemoprophylaxis Trial -7PRESENTATIONS Scientific Meetings: Menkes M, Comstock G: Vitamins A and E and lung cancer (abstract). Am J Epidemiol 120:491, 1984. Klag MJ, Moore RD and Comstock GW: Alcohol and blood pressure in American and Japanese executives (abstract). Clin Res 34:371A, 1986. Harlow S, Goldberg E and Comstock GW: Depressed mood and widowhood: A prospective study of bereavement in elderly women (abstract). Am J Epidemiol 124:505, 1986. Menkes M and Comstock GW: Serum and dietary carotene levels and lung cancer (abstract). Am J Epidemiol 124:502, 1986. Sandler DP, Helsing KJ, Shore DL and Comstock GW: Heart disease mortality in smokers and nonsmokers who live with smokers. Am J Epidemiol 126:741, 1987. Hsing AW, Polk BF, Comstock GW and Abbey H: Serum androgens, vitamins, and subsequent prostate cancer (abstract). Am J Epidemiol 126:766-767, 1987. Helzlsouer, KJ, Comstock GW and Morris S: Selenium, betacarotene, and vitamins A and E -- a possible role in the prevention of bladder cancer. Am J Epidemiol 128:930-931, 1988. Hsing AW and Comstock GW: Serum hormones and risk of subsequent prostate cancer (abstract). Am J Epidemiol 130(4):829, 1989. Helzlsouer K, Gordon G, Longcope C, and Comstock GW. Cigarette smoking and levels of endogenous hormones in premenopausal women. Am J Epidemiol 132(4):769-770, 1990. Mellington A, Carter B, Cohen BH, Comstock GW. Risk of death from pneumonia and household heating sources. Am Rev Respir Dis 141(4, part 2):A426, 1990. Street DA, Comstock GW, Salkeld RM, Schüep W and Klag M: A population-based case-control study of the association of serum antioxidants and myocardial infarction (abstract). Am J Epidemiol 134(7):719-720, 1991. -8Bush T, Gordon G, Alberg T, Helzlsouer K and Comstock GW. Serum dehydroepiandrosterone (DHEA) and dehydroepiandrosterone sulfate (DHEAS) levels and risk for ovarian cancer (abstract). Am J Epidemiol 134(7):760, 1991. Alberg T, Bush T, Helzlsouer K and Comstock GW: Prediagnostic serum retinol, carotenoids, vitamin E and selenium and subsequent risk of squamous cell skin cancer (abstract). Am J Epidemiol 134(7):764, 1991. Scott J, Comstock GW, Hochberg M, Diamond E. Cigarette smoking and other risk factors for hip fracture in elderly women. Am J Epidemiol 136:977, 1992. Scott JS, Hochberg MC, Comstock GW. Mortality after hip fracture in community-dwelling elderly. Am J Epidemiol 138:622, 1993. Nieto FJ, Szklo M, Comstock GW. Childhood weight as a predictor of cardiovascular risk factors in adult participants of the Atherosclerosis Risk in Communities study. Am J Epidemiol 138(8):629, 1993. Fetting JH, Comstock GW, Huelskamp A, Sullivan S, Eby S, Piantadosi S, Kass FH, McCormack MJ, and Smith R. Treatment for metastatic breast cancer in a defined population: Are the elderly underserved? ASCO Annual Meeting, May 1993. Gordon GB, Helzlsouer KJ, Bush TL, and Comstock GW. Dehydroepiandrosterone: A chemopreventive steroid. NCI sponsored "Chemoprevention of Breast Cancer: Surrogate Endpoints and Chemopreventive Agents in Short-term Clinical Trials, October 1993. Masi AT, Chatterton RT, Comstock GW, Malamet RL, and Hochberg MC. Decreased androgenic-anabolic (AA) hormone levels in sera of white women before onset of rheumatoid arthritis: A controlled, prospective study. ACR abstract at 57th Annual Scientific Meeting, November 1993. "Role of Training Center for Public Health Research in Education and Research at Johns Hopkins School of Hygiene and Public Health" -- Health Program Alliance -- 6/28/94 Gershon RRM, Karkashian C, Burnside JF, Comstock GW. Occupational risk of tuberculosis in funeral service practitioners: A pilot study. SOEH abstract, 1994. "Prevention of tuberculosis", at Tuberculosis in the 1990's: Epidemiology, Treatment, and Control. Johns Hopkins Medical Institutions, Baltimore, 12 September 1994. -9Wu K, Helzlsouer KJ, Alberg AJ, Norkus E, Hoffman SC, Comstock GW. Prediagnostic ascorbic acid levels and the risk of breast cancer. Am J Epidemiol 141(11):Suppl, June 1995. Scott JC, Hochberg MC, Comstock GW. Questionnaire report of functional disability is associated with hip fracture in elderly women. Am J Epidemiol 141(11):Suppl, June 1995. Nieto FJ, Adam E, Sorlie PD, Farzadegan H, Melnick JL, Comstock GW. A prospective study of cytomegalovirus and other herpes viruses as predictors of subclinical atherosclerosis. Am J Epidemiol 141:S83, 1995. Masi AT, Chatterton RT, Lu YC, Comstock GW, Malamet RL, Hochberg MC, Aqodian MS, Oio-Amaize E. Low serum dehydroepiandrosterone sulfate (DHAS) levels, rheumatoid factor (RF) and elevated serum tumor necrosis factor α (TNFα) without cytokine receptor (CR) elevations predict long-term onset of RA in women: A controlled, prospective study. Am Coll Rheumatology Poster Session, October 1995. Arthr Rheumatol 38:S214, 1995. Coresh J, Jaar B, Klag MJ, Whelton PK, Hoffman SC, and Comstock GW. High blood pressure predicts the incidence of end-stage renal disease in both men and women. Am J Epidemiol 143:S11, 1996. Wu K, Selhub J, Hoffman SC, Comstock GW and Helzlsouer KJ. Serum pyridoxal-5π-phosphate (B6), B12 and folate and consequent breast cancer risk. Am J Epidemiol 143:S87, 1996. Shah KV, Viscidi RP, Alberg AJ, Helzlsouer KJ, Comstock GW. Antibodies to HPV-16 capsids predict risk of future cervical cancer. 15th International Papillomavirus Workshop, December 1996. "The George Comstock Address: Tuberculosis Control -Past, Present and Future", Annual Meeting, North American Region, International Union Against Tuberculosis and Lung Disease, 2/28/97 "Overview of Tuberculosis Epidemiology", Maryland Tuberculosis Conference, 5/6/97 "Overview of Tuberculosis; Princeton Project 55 Tuberculosis Initiative, Baltimore, 11/1/97 Valmadrid CT, Whelton PK, West SK, Comstock GW. Isolated systolic hypertension and seven-year risk of age-related posterior subscapular cataract extraction: A populationbased, prospective study. ARVO abstract, 1997. -10Scott JC, Hochberg MC, Comstock GW. Do risk factors for trochanteric and cervical hip fractures differ? Am J Epidemiol 145:(11)Suppl, 1997. Masi AT, Chatterton RT, Fecht T, Aldag JC, Comstock GW, Helzlsouer KJ, Hoffman SC, and Malamet RL. Disassociation of serum dehydroepiandrosterone sulfate (DHEAS) and cortisol levels in younger premenopausal women prior to onset of rheumatoid arthritis (RA) before age 50: Results of a prospective, controlled study. Arthritis Rheum 41:S126, 1998. Masi AT, Chatterton RT, Aldag JC, Comstock GW, Helzlsouer KJ, Hoffman SC, Malamet RL and Agopian MS. Decreased serum dehydroepiandrosterone sulfate (DHEAS) levels in menstruating women prior to onset of RA before age 50. Independent reference laboratory assays validate previous significant results. Arthritis Rheum 41:S126, 1998. Masi AT, Chatterton RT, Comstock GW, Helzlsouer KJ, Hoffman SC, Malamet RL, Sipe JD, MacCarthy K, Agopian MS, OioAmaize E. A positive history of rheumatoid arthritis (RA) in a first degree relative (FDR) or a positive serological predictor for RA prior to disease onset before age 50 were uniformly present in a sample of younger premenopausal incident cases results of a prospective, controlled study. Arthritis Rheum 41:S126, 1998. “Third annual T. E. Woodward Lecture: Tuberculosis— past and present challenges.” Annual Meeting of Medical and Chirurgical Society of Maryland, Baltimore, MD. 2 May 1998. “Simple practical ways to assess the efficacy of a new tuberculosis vaccine.” International Symposium on Tuberculosis Vaccine Development and Evaluation. San Francisco, CA. 26-28 August 1998. “How much isoniazid is needed for prevention of tuberculosis among immunocompetent adults?” ATS/CDC Meeting on TB Screening and Preventive therapy, Decatur, GA. 14-15 September 1998. Maher D, Helzlsouer KJ, Armenian HK, Alberg AJ and Comstock GW. Appliance use and breast cancer: A case-control study. SER abstract #228. Am J Epidemiol 149(11):S57, 1999. “Why BCG Doesn’t Work — or Does It?” American Thoracic Society International Meeting. San Diego, CA. 27 Apr 1999. -11“Epidemiology of Tuberculosis in the U.S. at the End of the 20th Century.” Centennial Festschrift, National Jewish Medical and Research Center, Denver, CO. 1 Oct 1999 Keynote Address: “What We Know and Don’t Know about Current Tuberculosis Risk, and What We Need to Know to Plan Interventions in the Future.” Tuberculosis Infection Control in the 21st Century, Crystal City, VA. 12 Dec 1999. “Contacts: Don’t Let the Numbers Lie: Comstock calipers for PPD’s.” Maryland Tuberculosis Annual Meeting, Anne Arundel County, MD. 16 Dec 1999. Alberg A, Selhub J, Shah K, Viscidi R, Comstock G, and Helzlsouer K. The risk of cervical cancer in relation to serum concentrations of folate, vitamin B12, and homocysteine. SER abstract #276. Am J Epidemiol 149(11):S69, 1999. Helzlsouer KJ, Burke A, Hoffman S, Alberg AJ, Norkus E, Morris S, and Comstock GW. Selenium α-tocopherol and γtocopherol and subsequent prostate cancer. SER abstract #280. Am J Epidemiol 149(11):S70, 1999. Masi AT, Aldag JC, Chatterton RT, Teodorescu M, Malamet RL, Comstock GW, Helzlsouer KJ, Hoffman SC and Agopian MS. Independent risk markers (RMs) for RA onset in males include rheumatoid arthritis (RA) in a first degree relative (FDR+) rheumatoid factor (RF+): combined low serum cortisol and testosterone (low C & T), and heavy cigarette smoking (CS 30+/d). Arthritis Rheum 43:S70, 2000. Masi AT, Aldag JC, Pirzada FA, Pirzada N, Chatterton RT, Malamet RL, Comstock GW, Helzlsouer KJ, Hoffman SC, Sipe JD, and Agopian MS. Serum hormone and biological mediator correlations were found many years before onset of rheumatoid arthritis (RA) in 18 pre-RA males, but not in 72 matched controls (CN). Arthritis Rheum 43:S158, 2000. Masi AT, Aldag JC, Chatterton RT, Malamet RL, Comstock GW, Helzlsouer KJ, Hoffman SC, Teodorescu M, Agopian MS. Precursor risk markers (RMs) were identified in 94 percent of 18 pre-rheumatoid arthritis (pre-RA) males compared to 28 percent of 72 matched controls (CN) in a communitybased, prospective study. Arthritis Rheum 43:S167, 2000. “Problems with the Use of Animal Systems to Evaluate Vaccines Against Tuberculosis”, TB Vaccine 2000 Conference, Providence, RI, 3 November 2000. -12Discussant, “Occupational Exposure to Tuberculosis: Evidence Review”, Institute of Medicine Workshop on Regulation. Occupational Exposure to Tuberculosis, Washington, DC, 8 August 2000. Congress of Epidemiology, 2001 Sato R, Alberg AJ, Hoffman SC, Comstock GW, Helzlsouer KJ. Physical activity in older adults: Are guidelines being followed? Hoffman SC, Burke AE, Comstock GW, Helzlsouer KJ. Is body mass index (BMI) at age 21 predictive of the development of type 2 diabetes later in life? Huang H-Y, Alberg AJ, Hoffman SC, Appel LJ, Comstock GW, Helzlsouer KJ. From clinical trials to the general population: Use of aspirin in the prevention of cardiovascular disease. Newschaffer CJ, Sato R, Comstock GW, Helzlsouer KJ. Conservation of specimen bank resources: Application of early stopping approaches to nested case-control studies in the CLUE cohort. Comstock GW. BCG: A review. Northeastern Tuberculosis Controllers Annual Meeting, Ocean City, MD, Oct. 11, 2001. Invited Seminars: "Epidemiology of Tuberculosis", Frontiers of Research and Clinical Management of Asthma and Allergy, Francis Scott Key Hospital, Baltimore, 1/19/97 "Tuberculosis", School of Medicine, Johns Hopkins University, 1/29/97 "Epidemiology of Tuberculosis in the '90's and Beyond", Maryland Tuberculosis Today Meeting, 10/7/97 “Tuberculosis Update.” Staff Meeting, Frederick Memorial Hospital, Frederick MD. 6 Mar 1998. “Epidemiology of tuberculosis in the ‘90's and beyond.” Maryland TB Today Course, Mariottesville, MD. 5 May 1998. “Historical perspectives of tuberculosis.” Annual Meeting of Mycobacterium Tuberculosis Study Support Program, Bethesda, MD. 20 October 1998. -13“Tuberculosis Update.” Western Maryland Center, Hagerstown, MD. 22 October 1998. “Fifty years of public health: Local health department policies and practices in the 1940's and 1990's.” Washington County Health Department Staff Development Day, Clear Spring, MD. 23 October 1998. “History of Tuberculosis Control.” World TB Day, A. G. Holley State Hospital, Lantana, FL. 24 Mar 1999. “Epidemiology of Tuberculosis.” Maryland TB Today. Mariottsville, MD. 11 May 1999. “Tuberculosis”, Introduction to Epidemiology, Homewood Campus, 5 January 2000. “BCG Vaccination”, Department of Preventive Medicine seminar, University of Maryland, 27 Jan 2000. “Epidemiology of Tuberculosis”, TB Today, Maryland Department of Health and Mental Hygiene, Marriottsville, MD, 26 Apr 2000. “Influenza”, Advisory Commission to the Washington County Health Department, Hagerstown, MD, 8 May 2000. “Overview of BCG Trials”, Clinical Trials Seminar, 1 Nov 2000. “Epidemiology of Tuberculosis”, Clinical Fellows Seminar, Bayview Campus, 17 Nov 2000. Epidemiology of Tuberculosis, Maryland TB Today, Marriottsville, MD, 24 April 01 Epidemiology of Tuberculosis, Maryland TB Today, Marriottsville, MD, 13 April 02. “Tuberculosis as a World-wide Problem”, Homewood Intersession Course, 1/17/02. “TB Today”, Maryland Department of Health and Mental Hygiene, 4/23/02. -14ADDITIONAL INFORMATION Research interests and objectives: Although I seem to be generally associated with tuberculosis, a review of my publications will show that my research interests have been very broad. The common thread through most of these studies has been that they are based on local communities— Muscogee county, GA; Bethel area of Alaska; and Washington County, MD. During the past 30 years, a major part of my research has dealt with the relationships of serum or plasma concentrations of micronutrients, hormones, and viral antibodies to the subsequent development of cancer. More recently, the interactions of gene and environmental characteristics have been a major focus. I have also been concerned with some of the elementary (but ignored) problems of long-term storage of biologic specimens— temperature variation within freezers, changes on concentrations of analytes with prolonged storage, and the degree of agreement of analyte concentrations in specimens from the same individual separated by years of storage. Another major portion of my research has been collaboration in studies of cardiovascular outcomes associated with serologic and clinical characteristics determined years earlier. Specifically, this has involved linkage of records from the Washington County portions of ARIC (Atherosclerosis Risk in Communities) and CHS (Cardiovascular Health Study) with records from our two big blood collection projects, CLUE I and CLUE II. The combination is a unique resource. Keywords: Atherosclerosis, Biological Markers, Epidemiologic Methods, Micronutrients, Neoplasms, Tuberculosis.