Joan M. Neyra

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BACKGROUND A timely detection of outbreaks through surveillance is needed in order to prevent future pandemics. However, current surveillance systems may not be prepared to accomplish this goal, especially in resource limited settings. As data quality and timeliness are attributes that improve outbreak detection capacity, we assessed the effect of two(More)
BACKGROUND Infectious disease surveillance is a primary public health function in resource-limited settings. In 2003, an electronic disease surveillance system (Alerta) was established in the Peruvian Navy with support from the U.S. Naval Medical Research Center Detachment (NMRCD). Many challenges arose during the implementation process, and a variety of(More)
BACKGROUND Antimicrobial resistance (AMR) is a growing public health threat around the world and is not well characterized in the developing setting. Specifically, there is a lack of information regarding nasal colonization with S. aureus and methicillin-resistant Staphylococcus aureus (MRSA) in Latin America and Peru. METHODS This is the report of the(More)
Introduction Syndromic surveillance can supplement diagnosis-based surveillance in resource-limited settings with limited laboratory infrastructure. Syndromic surveillance allows for early outbreak detection relative to traditional systems and enables community health monitoring during outbreaks1. Monitoring and disease diagnosis can be strengthened using(More)
BACKGROUND The incidence of obstructive sleep apnea (OSA) in the military has risen dramatically. OSA is considered "service connected" and compensable by the Veterans Administration. The association between body mass index (BMI) (kg/m(2)) measured at initial enlistment and development of OSA has yet to be assessed. METHODS Data were obtained from the(More)
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