Paul Campbell Erwin

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La Crosse (LAC) virus, a California serogroup bunyavirus, is the leading cause of pediatric arboviral encephalitis in the United States and an emerging disease in Tennessee, West Virginia, and North Carolina. Human cases of LAC encephalitis in Tennessee and North Carolina have increased above endemic levels during 1997 to 1999 and may represent an expansion(More)
A blinded cohort study was conducted in 2000 to better understand the emergence of La Crosse virus infection in eastern Tennessee, with special emphasis on the potential mosquito vector(s). Children with suspected central nervous system infection were enrolled at the time of clinical presentation at a large pediatric referral hospital. Clinical,(More)
BACKGROUND Despite overwhelming evidence of the health benefits of physical activity, most American youth are not meeting the 60 minutes per day recommendation for moderate- to vigorous-intensity physical activity (MVPA). Policy changes have the potential to bring about substantial increases in physical activity in youth, within school and community(More)
La Crosse virus is a mosquito-borne arbovirus that causes encephalitis in children. Only nine cases were reported in Tennessee during the 33-year period from 1964-1996. We investigated a cluster of La Crosse encephalitis cases in eastern Tennessee in 1997. Medical records of all suspected cases of La Crosse virus infection at a pediatric referral hospital(More)
BACKGROUND Use of smokeless tobacco (ST) can lead to nicotine addiction and long-term use can lead to health problems including periodontal disease and cancer. OBJECTIVES To assess the effects of behavioural and pharmacologic interventions for the treatment of ST use. SEARCH STRATEGY We searched the Cochrane Central Register of Controlled Trials(More)
2258 Emerging Infectious Diseases • • Vol. 10, No. 12, December 2004 conducted by the African Large Predator Research Unit, University of Bloemfontein. Whole blood samples were drawn aseptically from each lion into EDTA tubes, stored at 4°C before being returned to the laboratory, and then frozen at –70°C in the laboratory. Subsequently,(More)
Local health department (LHD) performance measurement provides an opportunity to link inputs, outputs, and outcomes in a manner that should facilitate quality improvement. Since inputs flow from LHDs that vary substantially in size, organization, funding, and other characteristics, it is Reasonable to assume that these variable inputs may affect LHD(More)
Three cases of meningitis due to multidrug-resistant serotype 14 Streptococcus pneumoniae occurred at a day care center (DCC) over 5 days. Cultures of nasopharyngeal samples were done at the index DCC, 2 comparison DCCs, and a pediatrics practice. Isolates were serotyped and subtyped by pulsed-field gel electrophoresis (PFGE) with SmaI. Pneumococcal(More)
OBJECTIVE To examine the attitudes, knowledge, and practices of Tennessee veterinarians and physicians engaged in clinical practice regarding the risk for and prevention of zoonoses in people with HIV infection or AIDS. DESIGN Cross-sectional survey. SAMPLE Licensed Tennessee veterinarians and physicians engaged in clinical practice. PROCEDURES A(More)
A Tennessee regional health officer reviews the literature to see whether use of combined oral contraceptives (OCs) during lactation affects infant growth and development. He looks at studies with anthropometric measurements, those measuring the amount of steroid secreted in breast milk, and case reports on direct effects of the hormones on the nursing(More)