October 2018 - The Epidemiology Monitor by The Epidemiology Monitor

Expert Panel Reports On Possible Acceleration Of Efforts To Limit Global Warming To 1.5ºC Rather Than 2.0ºC Above Pre-industrial Levels Epidemiologists Call For A Greater Role In Climate Change Research Consequences

“The next few years are probably the most important in our history”. That’s the simple and straightforward yet extremely powerful statement coming from Debra Roberts, co-chair of the working group on impacts, adaptation, and vulnerability on the Intergovernmental Panel on Climate Change (IPCC). The Panel is the leading world body for assessing the science related to climate change, its impacts and potential future risks, and possible response options.

Roberts’ remarks were made in a press release describing the latest IPCC report investigating the possibility and impact of limiting global warming to 1.5 ºC rather than 2 ºC above preindustrial era levels. Temperatures have already risen by 1ºC, and this amount of global warming is already producing more extreme weather, - Climate cont'd on page 2

In This Issue -3WHO Report on Men's Health

-6Reprint: Turning Research Data Into Policy

-8Notes on People

REMINDER - 2018 Salary Survey responses due November 12th

UCLA Investigators Seek To Determine How Research Evidence Can Be Made More Useful For Public Health A Limited Study In The UK Found That Policymakers Considered Existing Evidence Irrelevant A small British study more than a decade ago found that policy advisors working to improve health equity in the UK considered the bulk of scientific evidence irrelevant in meeting their needs. Achieving health equity in this study was understood as the attainment of the highest level of October 2018

-11Near Term Epidemiology Event Calendar

health possible for all people. The data irrelevance was attributed to dual factors, namely the naiveté of researchers about the context of policy making and the nature of the scientific - Evidence cont'd on page 5 •

Volume Thirty Nine •

Number Ten

-12Marketplace

-Climate cont'd from page 1 The Epidemiology Monitor ISSN (0744-0898) is published monthly by Roger Bernier, Ph.D., MPH at 33 Indigo Plantation Rd, Okatie, SC, 29909, USA.

Editorial Contributors Roger Bernier, PhD, MPH Editor and Publisher Operations Linda Bernier, PhD, MS Operations Manager Advertising Sales Linda Bernier, PhD, MS Director of Advertising 770.670.1946 linda@epimonitor.net

rising sea levels, and diminishing Arctic sea ice, according to the Panel. Benefits Keeping the increase to 1.5 ºC would mean a 10cm lower global sea level rise, an Arctic Ocean free of sea ice less often, and only a 70-90 percent instead of a 99 percent decline in coral reefs. A lower increase would also give people and ecosystems more room to adapt and remain below relevant risk thresholds and make it easier to achieve the UN’s sustainable development goals. Tough Changes

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The requirements for limiting warming by 1.5 ºC are daunting because there would need to be “rapid and far-reaching” changes to achieve global net human-caused emissions of carbon dioxide 45% lower from 2010 levels by 2030 and reach net zero by 2050. That 2030 target is only 12 years away. “Limiting global warming to 1.5 ºC is possible within the laws of chemistry and physics but doing so would require unprecedented changes,” according to Jim Skea, co-chair of the working group on mitigation. Epidemiologists Speak Out In a related development, a policy brief prepared by members of the International Network for Epidemiology in Policy and the Policy Committee of the International Society for Environmental Epidemiology has been published in Epidemiology calling for a better understanding of the population health risks caused by climate change. Among the recommendations

made by the group of epidemiologists are: Recommendations 1. More interdisciplinary research to better appreciate the health aspects of climate change. 2. Greater collaboration between epidemiologists and policymakers to identify areas where epidemiology can be most helpful. 3. Increased funding for collaborative research on the impacts of climate change on health. The report also recommends activities for epidemiologists and collaborators from other disciplines, namely Using health impact assessment methods in the pre-implementation phase of programs to evaluate the health consequences of any policies and programs. Promoting training and capacity building for epidemiologists in the climate change arena. Developing new epidemiologic approaches addressing climate change. Developing integrated surveillance and monitoring systems. Incorporating uncertainties into any projections of health risks from climate change. Sharing data globally on health impacts. The policy brief was co-authored in Epidemiology by Wael Al-Delaimy from the University of California San Diego and Michal Krzyzanowski from King’s College London. To read the policy brief in full, visit: https://bit.ly/2yFR6iF ■

WHO Report Documents Striking Differences In Men’s Health In The European Region “The burden of premature mortality is so great and has been observed for so long that, in many countries, it is considered to be a natural and unmodifiable phenomenon,” according to a new report from the European region of the World Health Organization entitled “The health and well-being of men in the WHO European Region: better health through a gender approach (2018). Life expectancy at birth differs by almost 20 years between the western and eastern regions of Europe ranging from 62.2 to 81.3 years according to the report and this variation dispels the fallacy that the death rates are unchangeable. Causes of Death The leading causes of death in all countries of the region are noncommunicable diseases, especially cardiovascular diseases, cancers, respiratory diseases, and injuries. In particular, the gender differences in injury rates are striking. Seventy percent of deaths due to injuries are in males, and approximately the same percentage of all road traffic deaths occur among men under 25 years of age. Suicide is more than three times higher among males than females in all age groups over the age of 15 years with an almost tenfold difference between countries. According to the report, the health patterns among men are related to risk factors such as alcohol consumption, tobacco, and other substance abuse and being overweight. Tobacco,

alcohol, and drug use are all strongly determined by gender norms and roles and socioeconomic background and are more common in men of all ages. Other notable observations in the report are that men make up the majority of victims and perpetrators of interpersonal violence. Key Goals The WHO report highlights three goals for the region as a whole 1. Reduce premature mortality among men due to noncommunicable diseases and unintentional and intentional injuries. 2. Improve the health and well-being among men of all ages while reducing inequalities between and within countries of the region 3. Improve gender equality through structures and policies that advance men’s engagement in self-care, fatherhood, unpaid care, violence prevention, and sexual and reproductive health.

“Life expectancy at birth differs by almost 20 years between the western and eastern regions of Europe..."

Priority Areas Five broad interrelated priority areas were identified as part of a comprehensive approach to the challenge of men’s health. Each of these five areas contains multiple specific recommended actions. We cite a single example for each of the areas below.  Strengthening governance for health and well-being of men. For example, working across sectors to eliminate gender

- Men cont'd on page 4

"...variation dispels the fallacy that the death rates are unchangeable."

-Men cont'd from page 3



"...build campaigns that promote a positive image of boys and men..."



stereotypes harmful for health at all levels of education. Making gender equality a priority for men’s health. For example, assessing the health impact of parental leave policies and flexible working arrangements for men. Making health systems gender responsive. For example, strengthening the competencies of the health workforce in addressing interactions between biology, gender, and other determinants of health. Improving health promotion. For example, build campaigns that promote a positive image



of boys and men regardless of age, sexual orientation, gender identity, ethnicity, culture, and religion. Building on a strong evidence base. For example, collecting and using disaggregated data to inform policies and programs.

To read the full report, visit https://bit.ly/2NHVN0A To read the actual strategy for action, visit https://bit.ly/2pnaOvg ■

2018 NATIONAL SURVEY OF FACULTY SALARIES IN EPIDEMIOLOGY: ADD YOUR INFORMATION TO THE MIX! The Epidemiology Monitor has partnered with the Center for Clinical Epidemiology and Biostatistics (CCEB) and the Department of Biostatistics, Epidemiology and Informatics (DBEI) of the University of Pennsylvania’s Perelman School of Medicine to conduct a new, expanded survey that will help epidemiology and preventive-medicine department leaders promote competitive faculty salaries. Contribute to this important effort and receive a report of the results! To join our list of 100+ department and divisions or to ask questions, contact the EpiMonitor, epimon@aol.com, as soon as possible.

The deadline to complete the survey is November 12, 2018.

-Evidence cont'd from page 1 evidence itself which was not easily translatable to the real world. In short, there was a supply and demand disconnect between the “fact suppliers” and the “fact consumers” leading to a lack of data translation. Follow Up In order to determine if the UK observations are valid for the US, a group of UCLA investigators led by Kimberly Danae Cauley Narain and colleagues interviewed 25 public health leaders or their designees from different geographic areas across the country. The goal was to further examine any existing gap between evidence needs and evidence availability. Themes Researchers uncovered seven major themes from their semi-structured qualitative interviews: 1. Funders are key drivers of scientific evidence use. The principal need for scientific evidence appeared to come more from the requirements of grant funders than from the public health needs of the population. This occurs when funders require the use of science based interventions and these are the ones chosen by health departments since they depend on grants from these funders. The need for evidence in carrying out day to day operations, outbreak investigations, and even routine policymaking did not appear important in the study. 2. CDC and national organizations are important suppliers of scientific evidence. Scientists are disseminating information through journals or in

ways that are different from how users retrieve information, according to the investigators. There are “middle men” organizations involved. Thus, if not collecting their own data, users often sought trusted sources rather than going to the original published work. 3. Information on intervention cost effectiveness is key to addressing health equity. This information was seen as potentially useful in gaining support for implementation of interventions. The cost information should be from the local level and should show how costs and benefits can be allocated from the government’s or the payer’s limited perspectives and not the broader societal perspective. 4. Information on effectiveness at the local level is essential for compelling stakeholders to act. Users want more granular information from the local level and want to be able to tailor interventions to suit their needs. Also, greater collaboration between “fact providers” and “fact consumers” before the research is designed would be very helpful. 5. Framing scientific evidence to resonate with different audiences would help increase the impact of evidence collected. In short, helping users to better understand when and for whom the results might be useful would increase translation. 6. Use simple terminology that resonates with stakeholder users as well as policymakers and elected officials. The presentation of evidence needs to appeal to data utilizers on more than one level. - Evidence cont'd on page 6

“...there was a supply and demand disconnect between the 'fact suppliers' and the 'fact consumers'..."

"There are 'middle men' organizations involved."

-Evidence cont'd from page 5

“...users want to know how the results would apply in their area, for whom, and at what cost."

7. Summaries of science and systematic reviews are highly valued. Furthermore, grading the strength or quality of the evidence and making recommendations for how to use the evidence were seen as particularly valuable. User-Friendly In summarizing their work, UCLA investigators concluded that users of scientific evidence are eager to make

use of information, but they would like research designed, executed, and results packaged in more user-friendly ways. And users want to know how the results would apply in their area, for whom, and at what cost. This work was published in BMJ on September 26, 2018. To read the article in full, visit: https://bit.ly/2NK3kMC ■

Reprint Article

Transcending the Rational Model: How to Turn Research Data Into Policy [Editor’s Note: The news article this month reporting on the UCLA study about how research evidence can be made more useful for public health brought to mind several earlier articles published in The Epidemiology Monitor over the years. One in particular seemed relevant to the UCLA findings and it is reprinted below. It provided the perspective of Bill Sederburg, PhD, former chair of the health policy committee in the Michigan state legislature. He spoke in 1993 to a group of CDC conference attendees in Salt Lake City. Links to other policy and data utilization topics published in the Monitor over the years are provided below. Learn and enjoy.]

"...the rational model doesn’t always apply in the legislative community..."

Scientists are trained to believe that rational decision-making is the best model to follow, but the rational model doesn’t always apply in the legislative community, said Bill Sederburg, PhD, former chair of the health policy committee in the Michigan state legislature, speaking at the 7th National Conference on Chronic Disease Prevention and Control in Salt Lake City recently. The rational model is ineffective for politicians because they operate in a different environment than does the scientist, said Sederburg, who is currently the director of Public Opinion Research for Public Sector

Consultants. Instead, politicians depend on an “intuitive” model for decision-making: they scan the political horizon for problems or problems are presented to them; they evaluate their options based on previous experience, and then they assess the political reaction to the decisions that could be made. Sederburg said scientists should be aware of the impediments to rational decision-making. For example: • When there is no consensus on the problem, there can be no consensus on the solutions - Data cont'd on page 7

-Data cont'd from page 6 • The outcome of the political process is compromise, not maximization

his appropriations committee once told him, said Sederburg.

• Legislators are generalists, not experts. “It isn’t what’s true, it’s what the public thinks is true,” says Sederburg.

• Use the press to influence public opinion. “If you can affect public opinion, you can affect what goes on within the institution of the legislature,” Sederburg said.

• Evaluation standards are different; politicians are evaluated strictly on image.

One last piece of advice was to try to understand that change is incremental.

• Politicians look to health issues for political payoffs rather than rational solutions.

• You don’t maximize change, you make small steps along the way, he said.

But these differences can be transcended, according to Sederburg, who offered the following suggestions for bridging the gap between the rational or medical model and the intuitive or political model:

Published January 1993 ■

• Make data understandable. Present information with as much visual material as possible, such as with slides and charts. • Use outside expertise to validate your opinion. While trying to get seat belt legislation passed in Michigan, for example, Sederburg depended on data from the Centers for Disease Control and Prevention (CDC) which showed every dollar spent on promoting the use of seat belts would save $105 in health care costs. “The CDC is the nation’s number one validating institution when it comes to health issues,” he said. “People hear (the CDC’s data) and they say, ‘it must be true’.” • Drop the medical jargon. Words such as “correlations,” “regression analysis” and “paradigms” only confuse your issue. “A paradigm is what you need to buy a cup of coffee,” the chairman of

"Politicians look to health issues for political payoffs rather than rational solutions."

Other data and policy articles from the Epi Monitor: 1. Why Epidemiology is Underutilized as a Tool For Decision-Making in Health Services https://bit.ly/2OrRA6v 2. Community Members, Epidemiologists, and Political Leaders: Essential Partnership For Sound Health Policy https://bit.ly/2pTl3HO 3. Translating Epi Data Into Public Policy is Subject of Hopkins Symposium

"You don’t maximize change, you make small steps along the way, he said."

https://bit.ly/2pWK44R

Notes on People Do you have news about yourself, a colleague, or a student? Please help The Epidemiology Monitor keep the community informed by sending relevant news to us at the address below for inclusion in our next issue.

people@epimonitor.net

Notes on People Awardee: Gregg Gonsalves, Yale epidemiologist, with a MacArthur Foundation “Genius” award worth $625,000 over five years with no strings attached. The award is given to talented individuals who have shown extraordinary originality and dedication in their creative pursuits and a marked capacity for self-direction. The Foundation described Gonsalves as an epidemiologist and global health advocate integrating his experiences as a community activist with quantitative analysis and operations research to improve responses to global public health challenges. Honored: Marshalyn Yeargin-Allsopp, with a SAMMIE, a Samuel Heyman Service to America Medal for career achievement. These awards in several categories honor members of the federal government workforce, highlighting the work of employees making significant contributions to the governance of the United States. The awards are considered "the Oscars" of American government service. Dr. Yeargin-Allsop is Associate Director for Children with Special Health Care Needs at CDC in Atlanta. According to Coleen Boyle, director of the CDC’s National Center on Birth Defects and Developmental Disabilities, “Marshalyn’s major accomplishment was really bringing developmental disabilities into the mainstream of epidemiology.”

Reappointed: Eduardo Franco, as Chair of the Gerald Bronfman Department of Oncology in the Faculty of Medicine at McGill University. Dr. Franco is James McGill Professor in the Departments of Oncology and Epidemiology, Biostatistics, and Occupational Health and Director of the Division of Cancer Epidemiology.

Honored: Margaret Honein, with a SAMMIE, a Samuel Heyman Service to America Medal in the science and environment category. These awards in several categories honor members of the federal government workforce, highlighting the work of employees making significant contributions to the governance of the United States. The awards are considered "the Oscars" of American government service. Dr. Honein is Director of Congenital and Developmental Disorders at CDC. According to Anne Schuchat, CDC’s principal deputy director, Honein "brought extraordinary scientific expertise, leadership, and management to an unprecedented emergency response to the Zika virus.”

Appointed: Anne Rimoin, as the Director of the UCLA Center for Global and Immigrant Health. Dr Rimoin has been the associate director of the Center since 2014. She is currently an associate professor of epidemiology at UCLA.

Notes on People, continued from page 8 Honored: Victor Schoenback, with the Abraham Lilienfeld award from the American College of Epidemiology. The award recognizes a senior leader who has made extraordinary contributions to the field of epidemiology over the course of his or her career through teaching, mentoring, research, and/or scholarship. Department chair Til Sturmer stated “This is a well-deserved recognition of Vic’s outstanding lifetime contributions to epidemiology. The award is a great honor for Vic and the department.”

Honored: Michele Forman, with the 2018 Special Award for Epidemiologic Research on Critical and Sensitive Windows for Health Across the Lifespan from the American College of Epidemiology (ACE). Dr. Forman is distinguished professor and head of the Department of Nutrition Science in the College of Health and Human Sciences at Purdue University.

Appointed: Noah Kiwanuka, as the new chair of the Department of Epidemiology and Biostatistics at Makerere University School of Public Health in Kampala Uganda. Dr Kiwanuka is a Senior Lecturer in the Department, with 17 years experience in the design, conduct and analysis of population-based cohort studies and clinical trials. He is the Director of the Makerere University Clinical Trials Unit (MakCTU) and conducts research in HIV prevention and vaccines. He is a specialist in survival analysis and longitudinal data analysis.

Interviewed: Cara Maesano, environmental epidemiologist in the newsletter published by MyScienceWork, a website which promotes easy access to scientific publications, unrestricted diffusion of knowledge and open science. Dr Maesano earned a PhD in particle physics at UC Davis and is now a post-doc at Sorbonne University in environmental epidemiology doing work on air pollution. According to Maesano, “ I don’t want to give anyone the illusion that it’s easy to change fileds between a PhD and a post-doc…but it’s interesting to see science from a different perspective.”

Appointed: Joseph Lewnard, as Assistant Professor of Epidemiology at the Berkeley School of Public Health. Dr Lewnard studies the transmission dynamics of infectious disease agents and the effectiveness of interventions such as vaccination. He completed a PhD at Yale and a postdoctoral fellowship at Harvard.

Notes on People, continued from page 9 Honored: William Schaffner, as recipient of the 2018 D.A. Henderson Award for Outstanding Contributions to Public Health given by the Infectious Disease Society of America. According to IDSA, Shaffner has advanced epidemiologic science, translated that science into national health policy, and eloquently communicated these developments and countless other infectious disease-related topics to the public throughout his career. Dr Schaffner is currently professor of preventive medicine in the Department of Health Policy and a professor of medicine in the Division of Infectious Diseases at Vanderbilt University. Profiled: Charles Rotimi, Director of the Trans NIH Center for Genomics and Global Health at the NIH, as the “Genome Collector” in The Scientist Magazine. The article describes Rotimi’s interesting and improbable journey from humble beginnings in Nigeria to a distinguished scientific career at NIH. Studying genomes from around the world, Rotimi notes “…We have these categories for people that we try to justify in biological, cultural, and social ways, but in the end it all breaks down, because one thing humans do very well is to share their DNA.” And in another observation, “Using genetics to define race is like slicing soup: you can cut wherever you want, but the soup stays mixed.” Appointed: Duncan Maru, as Associate Professor at The Arnhold Institute for Global Health at Icahn School of Medicine at Mount Sinai. According to a Mt Sinai press release, Dr Maru is an epidemiologist and physician who conducts research on strategies to health care interventions in settings of extreme poverty. Dr Maru is co-founder of Possible, a non-profit public-private partnership with the Nepali government that develops and tests innovations in integrated health care delivery systems and provides hospital and home-based care to 150,000 patients each year [https://possiblehealth.org/]. Prior to joining Mount Sinai, he served on the faculties of Brigham and Women’s Hospital Division of Global Health Equity, Boston Children’s Hospital Complex Care Service, and Harvard Medical School’s Department of Global Health and Social Medicine. Awardee: Enrique Schisterman, as recipient of the 2018 American College of Epidemiology Outstanding Contributions in Methods Development Award. This award is given to recognize an epidemiologist for exemplary work in theoretical or applied research methodology that has demonstrably advanced the practice of epidemiology. According to ACE, Dr. Schisterman’s development of novel study designs and methods for causal inference and the analysis of biomarker data is relevant for all epidemiologic specialties, and demonstrates his creativity and dedication in advancing epidemiologic practice. Dr. Schisterman is currently Chief and Senior Investigator, Epidemiology Branch, Division of Intramural Population Health Research, in the Eunice Kennedy Shriver National Institute of Child Health & Human Development.

Near Term Epidemiology Event Calendar Every December The Epidemiology Monitor dedicates that issue to a calendar of events for the upcoming year. However that often means we don't have full information for events later in the year. Thus an online copy exists on our website that is updated regularly. This year we will print upcoming events in the Monitor monthly. To view the full year please go to: http://www.epimonitor.net/Events

November 2018 November 6-9 https://tinyurl.com/y7zc472l Conference: 14th International Conference on Molecular Epidemiology / Elsevier / Sitges, Spain November 10-12 https://tinyurl.com/yauuehoa Conference: APHA 2018 / American Public Health Association / San Diego, CA November 12-16 https://tinyurl.com/ydytyole Symposium: 15th Annual Symposium of Veterinary Epidemiology & Economics / ISVEE / Chaing Mai, Thailand November 21-23 https://tinyurl.com/yd9zjjdc Conference: ESCAIDE 2018 / European Scientific Conference on Applied Infectious Disease Epidemiology / St. Julien, Malta Nov 28- Dec 1 https://ephconference.eu/ Conference: 11th European Public Health Conference / EPU (European Publich Health Association) and National Institute of Public Health / Ljubljna, Slovenia November-TBA https://tinyurl.com/ya6tzxbt Short Course: Causal Inference in Epidemiology / London School of Hygiene & Tropical Medicine / London, England November-TBA https://tinyurl.com/ya8z6jbv Short Course: Clinical Epidemiology / Erasmus MC / Rotterdam, The Netherlands

December 2018 December 620-21 https://tinyurl.com/y9x6gtnk ICTID 2018 - International Conference on Tropical Infectious Diseases / World Academy of Science, Engineering and Technology (WASET) / Bangkok, Thailand

List Your 2019 Epidemiology Event We are currently assembling our 2019 calendar issue. Don't be left off the list Send us the details of your event: http://epimonitor.net/Post-an-Event.htm Advertising opportunities also exist in this digital publication, on our website and Facebook page, and in our Epi-Gram emails. Linda Bernier linda@epimonitor.net 770.670.1946

Epidemiology Tenure-Track or Tenured Faculty The Vanderbilt Epidemiology Center at Vanderbilt University Medical Center (VUMC) invites candidates to apply for tenured or tenure-track faculty positions. More than 50 epidemiologists at Vanderbilt conduct clinical and population-based studies, including three large cohort studies in the U.S. and abroad with survey data and biological samples from approximately 225,000 study participants. Areas of ongoing research include diet and nutrition, health behaviors, environmental exposure, reproductive epidemiology, genetic and other biomarkers for disease risk and progression, and racial disparities in health outcomes. The Center is particularly interested in expanding its research and training programs in the epidemiology of cancer and other chronic diseases. Successful candidates will have a doctorate in epidemiology or a related field with additional training or experience in epidemiologic research, and a demonstrated ability to develop and sustain an independent research program. Vanderbilt fosters a rich environment of cross-disciplinary collaboration, providing exciting opportunities to work on cohort consortium projects and collaborate on ongoing research projects in epidemiology. Vanderbilt University School of Medicine is ranked #17 on the recent US News and World Report list of top medical schools for research in the US. VUMC is home to the Vanderbilt-Ingram Cancer Center, an NCI-designated Cancer Center. VUMC is an Equal Opportunity / Affirmative Action employer. Nashville, the state capital, is the largest metropolitan area in Tennessee, with a temperate climate, low cost of living, affordable residential areas, vibrant cultural activities and abundant recreational opportunities. To Apply: Email a cover letter, briefly describing research experience and interests, and curriculum vitae to marshal.s.younger@vumc.org Address the cover letter to: Dr. Wei Zheng, c/o Marshal Younger, Vanderbilt University medical Center, 2525 West End Ave., 8th Floor, Nashville, TN 37203-1738. Vanderbilt Epidemiology Center online: https://www.vumc.org/vec/

Epidemiology Director

Psychiatric Epidemiology Program Columbia University Psychiatric Epidemiology Training Program announces openings for pre-and postdoctoral fellows, beginning September 2019. The program provides social scientists, epidemiologists, psychologists, and psychiatrists with research skills in psychiatric epidemiology. Training involves coursework in substantive issues and research methods, and participation in an affiliated research unit. Postdoctoral stipends range from $48,432 to $59,736, depending on years of experience. Predoctoral stipends are $24,324. Application deadline: December 1, 2018. Contact: PET Program Administrator, Columbia University, School of Public Health, 722 W. 168th St., Room 720-A, New York, NY 10032; email: bls85@cumc.columbia.edu Columbia University is an equal opportunity employer (EEO).

JOB RESPONSIBILITIES Conducts complex activities around surveillance of disease (in individuals and outbreaks) including disease associated with food, water, and those suspected of being due to weapons of mass destruction biological agents. Responsibilities include interviewing individuals and writing up these reports for submission to an electronic database. This may also entail questionnaire and interview design. Will also advise patients regarding their disease and how to prevent future occurrence (if the disease can recur). Directly Supervise Epidemiology program including disease reporting, surveillance, investigation and control. Ensure targets are met regarding the timeliness and accuracy of disease reporting and entry into the Merlin system. Ensures the DOH-Broward meets all epidemiology preparedness capacities outlined by the CDC and NACCHO in Project Public Health Ready. Oversee influenza surveillance in coordination with sentinel physicians. In coordination with the Environmental Health Director, oversee investigation of food and water borne disease outbreaks. Oversee Hepatitis surveillance, including perinatal Hepatitis B program. Ensure outreach to community partners, laboratories and providers for the purpose of sharing health and epidemiology information and increasing disease reporting. Work with other Senior Leaders to integrate epidemiology into all CHD programs with regards to program development, monitoring and evaluation. View Full Listing Here: https://bit.ly/2RUrOWN

Cancer Epidemiology: Assistant / Associate Faculty Member

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The Division of Public Health Sciences at Fred Hutchinson Cancer Research Center invites applications for a faculty position at the Assistant or Associate Member (equivalent to Assistant or Associate Professor) level depending on qualifications. We seek candidates who share our goals to advance an understanding of the etiology of cancer and survivorship. Areas of particular interest include, but are not limited to molecular and genetic epidemiology, integrated tumor epidemiology, pharmacoepidemiology; use of electronic health records, mobile technology, and other novel biomedical data sources. The successful candidate will develop a dynamic independent research program and will join in collaborative multidisciplinary and translational endeavors pertinent to our mission of reducing cancer incidence, progression, and sequelae through the identification of risk determinants and translation of discoveries into preventive strategies. Applicants should have a doctoral (PhD or MD with MPH/MS) degree or equivalent training in cancer epidemiology (or a related discipline) and relevant research experience. Please submit all application materials including cover letter, curriculum vitae, a statement describing current and future research interests, and three references to https://apply.interfolio.com/53328. Please direct any questions related to this search to Teri Martinez (mailto:tmartine@fredhutch.org). The applicant review process begins as applications arrive, but any application received by Dec 1, 2018, will be guaranteed consideration for the position. Applications that arrive after that date will be considered as long as the position remains open. Fred Hutchinson Cancer Research Center is an equal opportunity/affirmative action employer. The institution is building culturally diverse faculty and strongly encourage applications from female and minority candidates.

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