Mosanda M. Mvula

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This study investigates the prevalence of asthma and asthma-related symptoms in New Orleans inner-city schoolchildren. A cross-sectional survey of 1535 elementary, middle, and high school children (aged 5-18) was conducted by using the International Study of Asthma and Allergies in Childhood (ISAAC) written questionnaire. Lifetime prevalence of wheezing was(More)
BACKGROUND Childhood asthma morbidity and mortality in New Orleans, Louisiana, is among the highest in the nation. In August 2005, Hurricane Katrina created an environmental disaster that led to high levels of mold and other allergens and disrupted health care for children with asthma. OBJECTIVES We implemented a unique hybrid asthma counselor and(More)
BACKGROUND Rain and flooding from Hurricane Katrina resulted in widespread growth of mold and bacteria and production of allergens in New Orleans, Louisiana, which may have led to increased exposures and morbidity in children with asthma. OBJECTIVES The goal of the Head-off Environmental Asthma in Louisiana (HEAL) study was to characterize post-Katrina(More)
BACKGROUND In the city of New Orleans, Louisiana, and surrounding parishes (NOLA), children with asthma were perilously impacted by Hurricane Katrina as a result of disrupted health care, high home mold and allergen levels, and high stress. OBJECTIVES The Head-off Environmental Asthma in Louisiana (HEAL) study was conducted to examine relationships(More)
Mold and other allergen exposures exacerbate asthma symptoms in sensitized individuals. We evaluated allergen concentrations, skin test sensitivities, and asthma morbidity for 182 children, aged 4-12 years, with moderate to severe asthma, enrolled 18 months after Katrina, from the city of New Orleans and the surrounding parishes that were impacted by the(More)
OBJECTIVE To examine the relationship of patient knowledge concerning seven health behaviors identified by the U.S. Public Health Service Expert Panel and low birth weight. METHODS Interviews of 538 women delivering at an inner-city hospital in New Orleans were conducted. Information concerning patient characteristics, health behavior knowledge, and birth(More)
OBJECTIVES To review how disasters introduce unique challenges to conducting population-based research and community-based participatory research (CBPR). METHODS From 2007-2009, we conducted the Head-off Environmental Asthma in Louisiana (HEAL) Study in the aftermath of Hurricane Katrina in a Gulf Coast community facing an unprecedented triple burden:(More)
OBJECTIVE To analyze the relationship of phencyclidine (PCP) and pregnancy outcome, as judged by low birth weight (< 2,500 g). STUDY DESIGN A retrospective, case-control study of PCP use was conducted among pregnant women who delivered at a large hospital in New Orleans. PCP use was ascertained by urine screening at the time of obstetric admission. Three(More)
OBJECTIVE To evaluate the effectiveness of an advanced-practice nurse-obstetrician collaborative prenatal practice. METHODS A group of 194 consecutively enrolled medically low-risk obstetric patients was identified between January 1, 1994 and December 31, 1994 at Neighborhood Pregnancy Care, a collaborative-practice site. An equal number of medically(More)
OBJECTIVE To report implementation strategies and outcomes of an evidence-based asthma counseling intervention. The Head-off Environmental Asthma in Louisiana (HEAL) intervention integrated asthma counseling (AC) capacity and addressed challenges facing children with asthma in post-disaster New Orleans. METHODS The HEAL intervention enrolled 182 children(More)