th 57 Annual EIS Conference Epidemic Intelligence Service A a a i p g r r i l o 1 e 4 G - 1 , 8 a , t 2 n a 0 l 0 t 8 A • • C ia ro in w av ne -R Plaza Atlanta Crowne Plaza at Ravinia Contents Mark Your Calendar ................................................................................................................................... 2 Preface ........................................................................................................................................................... 3 Program Committees ............................................................................................................................... 5 General Information ................................................................................................................................. 6 Conference Program Schedule ............................................................................................................. 7 Presenting EIS Officers, by Coordinating Office, National Center, or OD Office ...............17 Incoming EIS Class of 2008 ...................................................................................................................18 Awards and Prize Manuscripts ............................................................................................................19 2008 Award Committee Members ....................................................................................................20 Awards Presented at the 2007 Conference ....................................................................................21 Alexander D. Langmuir Lectures, 1972–2007 ................................................................................22 Alexander D. Langmuir Prize Manuscripts, 1966–2007 .............................................................24 Continuing Education Credits.............................................................................................................27 Abstracts .....................................................................................................................................................29 Index of Presenters............................................................................................................................... 100 Mark Your Calendars! 58th Annual Epidemic Intelligence Service (EIS) Conference April 20–24, 2009 Centers for Disease Control and Prevention Atlanta, Georgia 2 Preface Dear Friends of EIS: Welcome to the 57th Annual Epidemic Intelligence Service (EIS) Conference. We are delighted that you are able to attend our annual conference, which highlights the professional activities of EIS officers. The scientific program this year includes 95 oral presentations and 30 poster presentations. In addition, your experience this week will be enriched by International Night, the EIS skit, the Prediction Run, special award presentations, and other activities that have long been a tradition at the Conference. In past years, I have usually started this introduction with a description of the participation of EIS officers in major public health emergencies, including anthrax, SARS, West Nile Virus, hurricanes, and tsunamis. Fortunately, for the second year in a row, we have not had to face a major public health disaster (pandemic influenza is still out there lurking in the wings). Nevertheless, officers have been busy with more traditional investigations, many of which have made the nightly news. This past year, EISOs investigated clusters of MDR TB, botulism in canned chili, formaldehyde in FEMA trailers, and multistate outbreaks of Salmonella sp. associated with pot pies, cheese, dog food, and small turtles. And of course they were faced with the Georgia resident with diagnosed XDR TB who traveled throughout Europe. Internationally, we witnessed a resurgence of the hemorrhagic fevers, with Rift Valley Fever in Kenya, Marburg virus in Uganda, and Ebola virus in both Uganda and the Democratic Republic of Congo. You should hear about all of these and many more investigations in greater detail during this year’s program. As always, we extend a special welcome to the new incoming EISOs, members of the Class of 2008. This was another very successful application process, with >300 applications received. Several very accomplished applicants who would likely have been offered spots in the past were not accepted because the applicant pool was so competitive. Once again, I believe that the strong applicant pool mostly results from efforts of our alumni. Word-of-mouth still seems to be our most effective recruiting tool, although this year we again made use of a number of professional and academic list-serves to get the message out. This year’s 81 “red tags” are a select group of men and women with a broad array of interests and skills. Fifty- eight of the new officers are women (72%), and 11 are citizens of other nations (14%). The countries represented in this year’s class are Bosnia and Herzegovina, Brazil, Canada, Colombia, India (2), Italy, Nepal (2), Pakistan, and South Korea. Among the 70 who are U.S. citizens or permanent residents, 26 represent racial and ethnic minority groups (37%). Included are 36 PhD-level scientists (45%), 31 physicians(39%), 12 veterinarians(15%), one dentist(1%), and one doctor of physical therapy (1%). One of the MDs and one of the veterinarians also hold PhDs, and two of the PhDs are also nurses. Nine members of the class have accepted prematch assignments in state health departments. This year, we will again be running concurrent oral sessions on Tuesday and Wednesday mornings, so please check your program carefully. Several special sessions will also be included in this year’s conference. Tuesday’s lunchtime session is entitled “Tracking Our Future: National Center for Health Statistics Data and Activities in Monitoring Child and Adolescent Health and Well-Being.” A special session on Thursday at lunchtime is entitled “Overdosed America: Medication Morbidity and Mortality in the United States.” Finally, Friday’s lunchtime will include a special session entitled “Current Status and New Directions for EIS.” The 2008 Conference provides you the opportunity to hear about many current applications of epidemiology to public health and prevention by EIS officers. We welcome you to an exciting series of days and evenings in the EIS experience, an opportunity to learn, to meet old and new friends, and to welcome the incoming officers. I look forward to seeing you during the week. Douglas Hamilton, MD, PhD Director, Epidemic Intelligence Service Career Development Division Office of Workforce and Career Development 3 Program Committees 2008 EIS Conference Scientific Program Committee Lara Akinbami, National Center for Health Statistics Diana Bensyl, Office of Workforce and Career Development Bruce Bernard, National Institute for Occupational Safety and Health, Co-Chair Thomas Clark, National Center for Immunization and Respiratory Diseases Julie Gilchrist, National Center for Injury Prevention and Control Maryam Haddad, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention Ruth Jiles, National Center for Chronic Disease Prevention and Health Promotion George Luber, National Center for Environmental Health/Agency for Toxic Substances and Disease Registry Eric Mintz, National Center for Zoonotic, Vector-Borne, and Enteric Diseases, Chair Priti Patel, National Center for Preparedness, Detection, and Control of Infectious Diseases Nancy Sahakian, National Institute for Occupational Safety and Health Theresa Smith, National Center for Zoonotic, Vector-Borne, and Enteric Diseases Lorraine Yeung, National Center on Birth Defects, and Developmental Disabilities 2008 EIS Conference Scientific Program Committee Front row, left to right, E. Mintz, N. Sahakian, J. Gilchrist, D. Bensyl, T. Smith, R. Jiles, L. Yeung Back row, left to right, M. Haddad, B. Bernard, G. Luber, T. Clark, L. Akinbami, P. Patel 4 Latebreaker Session Committee Diana Bensyl, Office of Workforce and Career Development , Chair Maryam Haddad, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention Theresa Smith, National Center for Zoonotic, Vector-Borne, and Enteric Diseases Program Production Ron Edwards, EIS Program Doug Hamilton, EIS Program Dorothy N. Jones, EIS Program Mae Lee, EIS Program Erica Lowe, EIS Program Leslie Parker, Creative Services Kay Smith-Akin, OWCD Science Office Alene Westgate, EIS Program The EIS Program gratefully acknowledges the invaluable assistance and cooperation of Creative Services, the Management Analysis and Services Office, and the editorial and support staff of all CDC administrative units participating in the 2008 EIS Conference. Abstracts in this publication were edited and officially cleared by the respective national centers. Therefore, the EIS Program is not responsible for the content, internal consistency, or editorial quality of this material. Use of trade names throughout this publication is for identification only and does not imply endorsement by the U.S. Public Health Service or the U.S. Department of Health and Human Services. The findings and conclusions in these presentations have not been formally disseminated by the Centers for Disease Control and Prevention and should not be construed to represent any agency determination or policy. 5 Nonsmoking Conference: Smoking is not permitted General Information in any of the conference sessions, hallways or PURPOSE STATEMENT meeting rooms. The primary purpose of the EIS Conference is to Cellular Phones