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Projects with the CDC International Emerging Infections Program in Guatemala The mission of the IEIP in Guatemala is to assure a rapid and effective response to emerging infectious disease threats by contributing to the capacity of the Ministry of Public Health (MOPH) to recognize emerging infections and prevent, control and treat important infectious diseases. To this end, we work in five main areas: development of new knowledge and information to better achieve public health goals; strengthening capacity of MOPH and academic partners to conduct epidemiologic research, surveillance and analysis; strengthening capacity of the national laboratory network to conduct high quality diagnostic assays; promotion of foodborne disease outbreak and epidemiologic investigation through a regional network; and evaluation of public health programs. Every year, the IEIP hosts and supervises public health students with excellent skills and great potential for significant future contributions to the area of global health who are interested in working collaboratively to achieve these goals. Below is a selection of areas in which students can have an impact on epidemiology and health programs in Guatemala. We welcome suggestions for additional projects or different approaches that fit within our focus areas. Surveillance Officers A. Collaborate with the Guatemala National Center for Epidemiology and the Health Areas of Santa Rosa and Quetzaltenango, where IEIP has population-based surveillance for respiratory, diarrhea and febrile diseases, in the analysis and presentation of surveillance data to assess and describe the health situation of the country and identify priority areas for prevention and control of disease; B. Assist the IEIP to prepare quarterly analysis reports to analyze long-term trends in mortality, antibiotic susceptibility, disease incidence and risk factors for respiratory and diarrheal diseases. 1 Version 1. October 19, 2009 Development of Early Warning Systems for Respiratory and Diarrheal Diseases Assist in the implementation of the CDC Early Aberration Reporting System for early warning of outbreaks and seasonal increases in infectious diseases in Guatemala. Work with the MOPH in integrating IEIP databases automatically into the EARS system to provide daily or weekly notice of possible outbreaks. Spatial analysis of disease clusters to detect environmental risk factors Using data from Nueva Santa Rosa where there is comprehensive surveillance for respiratory and diarrhea illness, use spatial statistical methods to identify clusters of disease related to topography, sources of water, housing characteristics and other environmental factors that would permit health area authorities to better target disease control and prevention efforts. Foodborne disease epidemiology Participate in the design, implementation and analysis of studies to describe the burden of illness due to foodborne diseases in Guatemala and other countries in Central America. Improving diagnosis of blood-stream infections Analyze a large database of blood culture results from hospitals with blood cultures supported by IEIP and describe the pathogen profile by clinical, demographic and epidemiologic characteristics of patients. Determine whether recent addition of a dedicated fulltime phlebotomy team has improved the quantity and quality of blood cultures. For further information, please contact: Dr. Kim Lindblade Director, IEIP Guatemala [email protected] 2 Version 1. October 19, 2009 3 Version 1. October 19, 2009