Book of Abstracts October 28 – November 1, 2019 Atlanta Evergreen Marriott Hotel and Conference Center 4021 Lakeview Drive, Stone Mountain, GA 30083 #TEPHINET2019 The Global FETP Enterprise: Applied Epidemiology in the 21st Century 10th TEPHINET Global Scientific Conference Book of Abstracts October 28 – November 1, 2019 Atlanta Evergreen Marriott Hotel and Conference Center 4021 Lakeview Drive, Stone Mountain, GA 30083 #TEPHINET2019 The abstracts in this publication were edited and officially cleared by the respective authors and their organizations. Therefore, TEPHINET is not responsible for the content or editorial quality of this material. The find- ings and conclusions in these abstracts are those of the authors and do not necessarily represent the views of TEPHINET or any of our confer- ence sponsors. Cover image: Auria Ribeiro Banze, Mozambique Field Epidemiology and Laboratory Training Program (FELTP), 2018 Table of Contents This PDF is interactive. Click on a section title to navigate to that section in this book. i. Acknowledgements ii. Welcome Message from TEPHINET iii. Welcome Message from the Epidemic Intelligence Service iv. Conference Committees v. Thank You to Our Partners vi. Abstract Reviewers vii. List of Awards ix. Award Selection Procedures xii. TEPHINET Travel Grant for Environmental Epidemiology for Planetary Health xv. Abstract Introduction and Color Key for Poster Presentations xvi. Schedule of Oral and Poster Presentations 1. Abstracts Acknowledgements Thank you to the following organizations for providing funding support to this conference and/or its Interactive Learning Sessions: i. Welcome Message from TEPHINET Dear Partners and Friends, Greetings and welcome to the tenth TEPHINET Global Scientific Conference, the first since my tenure as TEPHINET Director began in August. This conference is a new arrival to Atlanta, as am I; for the first time, TEPHINET is holding this biennial event in the United States, in a city that has become a major global public health hub over the past few decades. Atlanta is home to the Centers for Disease Control and Pre- vention (CDC), The Task Force for Global Health (TEPHINET’s parent organization), and several other key players in public health. As the theme of this year’s event is, “The Global FETP Enterprise: Applied Epide- miology in the 21st Century,” it is fitting that we are gathered in the birthplace of the Epidemic Intelligence Service (EIS), the prototype for Field Epidemiology Training Programs (FETPs) worldwide. What exactly do we mean by “the global FETP enterprise”? As our Tuesday plenary panelists will explain, this term reflects a reframing of the overall FETP initiative as a true, multi-partner global enterprise with numerous leaders, stakeholders, implementing partners, and funders. In June 2018, participants from TEPHINET and its network of programs and partners convened at a meeting organized by The Task Force for Global Health to develop a roadmap for building enhanced, sustainable global applied epidemiological capacity through FETPs. The guiding vision that emerged states that, “Every country in the world has the applied epidemiology capacities needed to protect and promote the health of its own population, and to collaborate with others to promote global health.” Over the next week, we will network and learn with hundreds of field epidemiologists from around the world who are at the front lines of protecting and promoting health. We are facing an important moment in the development of epidemiology, with an increased commitment to One Health and stronger focus on social and environmental risk factors for disease, increased recognition of FETP as essential to global initiatives by the World Health Organization (WHO), and an ever-expanding set of tools to ensure better surveillance and rapid response capacity for epidemic control. I look forward to learning along with our attendees and, in particular, hearing our more than 200 oral and poster presenters, who are all fellows or graduates of FETPs. I sincerely thank all of our planning partners, sponsors, and exhibitors for their support of this event and wish all of our participants an excellent week filled with insights and inspiration for your future work. Sincerely, Carl Reddy, MB.BCh, FCPHM, M.Sc. (Epi) TEPHINET Director ii. Welcome Message from the Epidemic Intelligence Service Dear Colleagues, It is an honor to welcome you to Atlanta, Georgia, the home of the U.S. Centers for Disease Control and Prevention (CDC). As the field epidemiology training program for the United States, CDC’s Epidemic Intelligence Service (EIS) is excited to co-host the 10th TEPHINET Global Scientific Conference, The Glob- al FETP Enterprise: Applied Epidemiology in the 21st Century. Together with our sibling program, CDC’s Field Epidemiology Training Program (FETP), and TEPHINET we expect to have an inspirational week of scientific sharing, learning, and networking. While you are attending the conference, please make time to meet and learn about the many amazing people from around the world all committed to strengthening the public health workforce. It is a unique opportunity to be surrounded by people committed to training, learning, and public health. Take a mo- ment to introduce yourself to the person sitting next to you. Share stories and learn about each other’s experiences and work. When attending the presentations, please remember this conference features the work of trainees—be sure to ask questions that encourage discussion and learning. Lastly, if you get a chance please take time to explore the city of Atlanta. Atlanta is home to many landmarks of the civil rights movement in the United States. Atlanta is also considered by some to be the public health capital of the world, so plan ahead to meet with colleagues and visit the CDC museum, Task Force for Global Health, Rollins School of Public Health, American Cancer Society, or The Carter Center and Presidential Library and Museum, just to name a few. The EIS program is grateful for the opportunity to have the TEPHINET conference in our backyard. With the conference in Atlanta, I am thankful that many of our EIS officers, alumni, and staff can attend. By attending, they will learn about the work of other FETP trainees, meet with you and exchanges ideas, and share CDC’s work. It is a tremendous honor and responsibility to be part of TEPHINET. Through the work of our EIS officers, we will have on display our new training on data visualization and emphasis on how to more effectively communicate scientific findings and recommendations. The EIS program is committed to working with TEPHINET on how to provide the best training in applied epidemiology and ensure that our work leads to evidence-based public health action. Welcome to Atlanta. Respectfully, Eric Pevzner, PhD, MPH CAPT U.S. Public Health Service | Chief, Epidemic Intelligence Service (EIS) Center for Surveillance, Epidemiology, and Laboratory Services U.S. Centers for Disease Control and Prevention (CDC) iii. Conference Committees TEPHINET Advisory Scientific Committee Laura-Lee Boodram, PhD, MSc Caribbean Regional Field Epidemiology and Laboratory Training Program, Caribbean Public Health Agency Sahar El-Shourbagy, MD, MPH Egypt Field Epidemiology Training Program, Ministry of Health and Population of Egypt Angela Hilmers, MD, MPH, MS TEPHINET, The Task Force for Global Health Eric Pevzner, PhD, MPH Epidemic Intelligence Service, Centers for Disease Control and Prevention David Rodriguez, MD, MPH Central American Regional Field Epidemiology Training Program, Executive Secretary of the Council of Health Ministers of Central America and the Dominican Republic Cynthia Semá Baltazar, MPH Mozambique Field Epidemiology and Laboratory Training Program, National Institute of Health of Mozambique Carmen Varela Santos, DVM, MSc European Centre for Disease Prevention and Control Ad hoc members: Reina Turcios-Ruiz, MD Workforce and Institute Development Branch, Centers for Disease Control and Prevention Seymour Williams, MD Workforce and Institute Development Branch, Centers for Disease Control and Prevention Conference Planning Committee Miriam Alderman, MBA TEPHINET, The Task Force for Global Health Kip Baggett, MD, MPH Workforce and Institute Development Branch, Centers for Disease Control and Prevention Khurram Butt, MBA TEPHINET, The Task Force for Global Health Amber Ellithorpe TEPHINET, The Task Force for Global Health Karen Fain, MBA TEPHINET, The Task Force for Global Health Jessica Gourdet-Murray, MPH TEPHINET, The Task Force for Global Health Angela Hilmers, MD, MPH TEPHINET, The Task Force for Global Health Patrick O'Carroll, MD, MPH The Task Force for Global Health Babatunde Olowokure, MD, MPH, PhD World Health Organization Eric Pevzner, PhD, MPH Epidemic Intelligence Service, Centers for Disease Control and Prevention Carl Reddy, MB.BCh, FCPHM, M.Sc.(Epi) TEPHINET, The Task Force for Global Health Tina Rezvani, MA, MS TEPHINET, The Task Force for Global Health iv. Thank You to Our Partners TEPHINET extends our gratitude to the members of the standing advisory committees and working groups linked to our major initiatives which are being highlighted during the 10th TEPHINET Global Scien- tific Conference. These individuals represent many of our member field epidemiology training programs (FETPs), regional FETP networks, and other key partners. This list is current as of October 21, 2019. TEPHINET Advisory Board FETP Learning Advisory Council Kashef Ijaz Nissaf Bouafif ép Ben Alaya Martyn Kirk Richard