Richard Garfein and Kevin Patrick Named M2M Pioneers

Applying Machine-to-Machine (M2M) Technology to Verify Compliance with Tuberculosis Treatment Regimen

Dr. Richard Garfein

Dr. Richard Garfein

UC San Diego’s Richard Garfein and Kevin Patrick have been named M2M Pioneers for 2013 for their Video Directly Observed Therapy (VDOT) Program for tuberculosis.

The honor comes from Connected World magazine, which presents the M2M Pioneer awards to a small number of outstanding innovators in machine-to-machine technology each year.

The VDOT program uses smartphone video to verify that tuberculosis patients comply with the painstaking six-month regimen of antibiotics required for a cure. Incomplete treatment fails to cure the TB and raises the risk that antibiotic-resistant strains of TB will develop.

Richard Garfein, PhD, MPH, an infectious disease epidemiologist, is professor of medicine in the Division of Global Public Health. The inspiration for the VDOT program came to him as he watched his children use smartphones to send videos to their friends.

Dr. Kevin Patrick

Dr. Kevin Patrick

Kevin Patrick, MD, MS, is director of the Center for Wireless and Population Health Systems at the Qualcomm Institute (the San Diego division of Calit2) and professor of family and preventive medicine in the Division of Preventive Medicine.

In their NIH-funded pilot study in San Diego and Tijuana in 2011-2012, Garfein and Patrick demonstrated that the VDOT program was an effective tool for ensuring that patients adhered to their treatment regimens.

They also showed that VDOT could reduce costs for the local public health agency; in the pilot study, the San Diego County Health and Human Services Agency. The agency’s only previous option had been to send health workers to patients’ homes to watch them take their medications.

Garfein and Patrick reported their results in an mHealth Summit Meeting abstract published in the Journal of Mobile Technology in Medicine.

Now, Garfein and colleagues are working on implementing the program on a larger scale through a public/private partnership with the Verizon Foundation, which provides funding and in-kind assistance.

The Garfein-Patrick team included other faculty and staff of the Global Public Health division and a number of specialists from the Qualcomm Institute.

Steffanie Strathdee, PhD

Dr. Steffanie Strathdee. Image ©International AIDS Society/Marcus Rose/Workers’ Photos. Used with permission.

“Congratulations to them both, and to Ramesh Rao and their team from the Qualcomm Institute, for this fantastic achievement and excellent teamwork,” said Steffanie Strathdee, PhD, Harold Simon Professor, Associate Dean of Global Health Sciences and chief of the Division of Global Public Health.

Ramesh Rao, PhD, director of the San Diego division of the Qualcomm Institute, holds the QUALCOMM Endowed Chair in Telecommunications and Information Technology. He is professor of electrical and computer engineering in the Jacobs School of Engineering at UC San Diego.

Said Garfein, “Working with Kevin and collaborating with the expert programmers at the Qualcomm Institute has been one of the highlights of my academic career.

“Although they are not included in the article because of the magazine’s information technology focus, we wouldn’t have been as successful if it weren’t for all the hard work by Jazmine Cuevas-Mota, Kelly Collins, and Fatima Muñoz in the Division of Global Public Health, and the dedicated employees of the San Diego County TB Control Program led by Dr. Kathleen Moser,” he said.

In the Division of Global Public Health, Cuevas-Mota is a project coordinator for Garfein, Collins is an assistant project coordinator and Muñoz is a postdoctoral fellow on the project.

“This has been a terrific project and it’s been a true pleasure to work with Richard and his team on it,” said Patrick.

“With a bit of luck, this could have world-wide impact on the health of the public. When all is said and done, this is why we are in this game.”

“This is very exciting and well deserved,” said Susan Taylor, PhD, UC San Diego professor of chemistry and biochemistry and pharmacology. She is a Howard Hughes Medical Institute investigator in biophysics and structural biology.

“It has been so much fun for me to watch these amazing things unfold and to realize how much we can achieve by working together and building bridges across the boundaries of our campus. This is much of what makes UCSD so special.

UC San Diego Health Sciences Video: VDOT Technology Eases Monitoring for Patients with Tuberculosis

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Global Public Health Division’s Projects Highlighted During Chancellor’s Visit to Tijuana Clinic

University of California, San Diego, Chancellor Pradeep K. Khosla’s visit to Tijuana, B.C., on May 3 included a stop at the Health Frontiers in Tijuana (HFiT) Clinic, a free clinic where students and faculty from the UC San Diego Division of Global Public Health team up with their counterparts from the Universidad Autónomo de Baja California (UABC) to provide health care in one of the poorest parts of Tijuana.

Chancellor Pradeep Khosla and Jose Luis Burgos.

Dr. Jose Luis Burgos with Chancellor Khosla outside HFiT Clinic. Photo by Erik Jepsen/UC San Diego Publications

In the photo above, Chancellor Khosla speaks with Jose Luis Burgos, MD, MPH, outside the clinic. An assistant professor of medicine in the Division of Global Public Health, Burgos is a faculty mentor at the clinic and a specialist in global health and development. His current research project: The Role of Economic Evaluation in Translating HIV/AIDS Behavioral Interventions.

At the HFiT Clinic, faculty mentors from both UC San Diego and UABC direct the medical students, fellows and other medical trainees in caring for patients.  The clinic is now a part of MED 239, an elective course for medical students in the UCSD School of Medicine.

The students and faculty working in the clinic also contribute to global public health division projects investigating prevention of HIV and STD, substance abuse, policing practices and sex trafficking.  |  More about current projects

Dr. Steffanie Strathdee at work in the El Cuete program.

Dr. Steffanie Strathdee during a visit to Tijuana for the El Cuete program, a global public health division epidemiology project tracing HIV, tuberculosis and other infections among injection drug users.

During her presentation on the chancellor’s tour, global public health division chief Steffanie Strathdee said, “We align research, training and service. And we, the professors, learn as much from the students as they learn from us.”

Steffanie Strathdee, PhD, is associate dean of global health sciences, Harold Simon Professor and chief of the Division of Global Public Health and director of the Global Health Initiative at UC San Diego.

Strathdee’s current research projects: Impact of Drug Policy Reform on the HIV Risk Environment Among IDUs in Tijuana (El Cuete, Phase IV) and HIV/STI Risks among FSWs and Their Non-Commercial Partners (Proyecto Parejas).

Jay Silverman, PhD

Dr. Jay Silverman. Photo by Erik Jepsen/UC San Diego Publications

At left below, global public health professor Dr. Jay Silverman speaks during a presentation about the division’s work in Tijuana.

Silverman is regarded as the world’s leading public health authority on trafficking of women and girls for sexual exploitation.

He is principal investigator of the first R01 research grant the National Institutes of Health has ever issued on sex trafficking. Funded by the National Institute on Drug Abuse, the four-year project is “Epidemiology of Sex Trafficking, Drug Use and HIV at the U.S.-Mexico Border.”

Drs. Kimberly Brouwer (below) and Victoria Ojeda also presented their projects during the tour.

Dr. Kimberly Brouwer

Dr. Kimberly Brouwer during her presentation in Tijuana. Photo by Erik Jepsen/UC San Diego Publications

Brouwer is an associate professor of medicine in the Division of Global Public Health. Her work focuses on the spatial and molecular epidemiology of infectious diseases.

She is principal investigator of two R01 research grants from the National Institute on Drug Abuse, one investigating factors that influence HIV transmission in the U.S. – Mexico border region: Evolving HIV/STI Risk Environments of FSWS on the Mexico/U.S. Border.

Victoria Ojeda (below) is an assistant professor in the global health division. Her project, “Social Incorporation Following Deportation and Implications for Health Status and Access to Care,” is based at the HFiT Clinic.

Dr. Victoria Ojeda

Dr. Victoria Ojeda.

Funding for the project comes from Ojeda’s 2012-2013 University of California Global Health Institute (GloCal) Health Fellowship, one of only three such fellowships awarded last year.

Below, Ojeda is pictured at the HFiT Clinic.

Dr. Victoria Ojeda.

Dr. Victoria Ojeda at the HFiT Clinic in Tijuana, where her GloCal Fellowship project is based.

 


Global public health division faculty with Pradeep Khosla, UC San Diego chancellor.

Chancellor Khosla with members of the Division of Global Public Health.

Sources

Chancellor Khosla’s visit to Tijuana was covered in Kristin Luciani’s UCSD News story, “Cross-Border Connections: Chancellor Visits Tijuana to Learn about Industry, Healthcare and Education,” released May 9. The photos for that story and the images of Drs. Burgos, Silverman and Brouwer and the group shown here are by Erik Jepsen of UC San Diego Publications.

For more information about the global public health division’s projects in the U.S. – Mexico border area and elsewhere in the world, visit the Division of Global Public Health academic website.

Dr. Victoria Ojeda Receives UCGHI Junior Faculty Fellowship Award

Dr. Victoria OjedaVictoria Ojeda, MPH, PhD, public health researcher and assistant professor of medicine in the Division of Global Public Health, has received a Junior Faculty Fellowship Program award for 2013-2014 from the University of California Global Health Institute (UCGHI).

The UCGHI Junior Faculty Fellowship Program, funded by a private donor, supports global health investigators in focused, multidisciplinary projects to develop their skills in investigation, training and leadership.

The award will support Ojeda’s ongoing work with deportees in Tijuana, Baja California, funding her project, “Tijuana Business Attitudes Toward Deportees and the Acceptability of an Employment Opportunities Program.”

Ojeda’s related Tijuana study, “Social incorporation following deportation and implications for health status and access to care,” is supported by a UCGHI GloCal Health Fellowship award she received in 2012. The GloCal Fellowship, a one-year mentored research fellowship, is a program of the National Institutes of Health Fogarty International Center and a UCGHI consortium.

Ojeda focuses her research on substance use, HIV/AIDS infection, and mental health co-morbidities in migrant populations, including injection drug users and female sex workers. Through a number of studies in Tijuana and elsewhere, she is examining how patterns of population movement, including migration and deportation, affect the transmission of HIV/AIDS and other blood-borne infections in the United States-Mexico border region.

Ojeda earned her MPH and PhD in Community Health Sciences at the School of Public Health at UCLA and completed a NIMH Post-doctoral fellowship in Mental Health Policy at the Department of Health Care Policy at the Harvard Medical School.

She is principal investigator of a five-year, NIDA-funded K01 career development project Mexican Female Migration, Substance Use, Sex work, and HIV Risks in Tijuana (Mujer Migrante). She is a research associate of the UCSD Center for Comparative Immigration Studies and a faculty member in the UCSD-SDSU Joint Doctoral Program in Global Public Health.

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UC San Diego Sulpizio Cardiovascular Center Leader Selected “Woman of the Year”

East County Chamber of Commerce Honors Lisa Murphy for achievements in health care

Lisa Murphy, associate administrator for University of California, San Diego Health System and administrative director for Cardiovascular and Medicine Services, has been chosen “Woman of the Year” in the field of health care by the Women in Leadership program sponsored by the San Diego East County Chamber of Commerce.  Murphy is one of six women of achievement – in various categories, including business, non-profit, education, government, arts/culture/media and health care – honored at the 10th Annual Women in Leadership Luncheon at the Town & Country Hotel. … Read the full story from the UCSD Newsroom

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UC San Diego Health System Honored with Magnet® Status

On December 12, 2011, UC San Diego Health System was bestowed Magnet® status by the American Nurses Credentialing Center (ANCC). The Magnet Recognition Program® recognizes health care organizations for quality patient care, nursing excellence and innovations in nursing practice. UC San Diego Health System is one of 25 health systems in California to achieve this prestigious recognition…. Read the full story from the UCSD Newsroom

Magnet® and Magnet Recognition Program® are registered trademarks of the American Nurses Credentialing Center. All rights reserved.

UC San Diego Health System Receives Prestigious Quality Award from Integrated Healthcare Association

UC San Diego Health System has been recognized by the Integrated Healthcare Association (IHA) as a top performing hospital in California. Out of over 200 physician organizations, UC San Diego Health System was recognized as a “Top Overall Physician Performing Organization” with honorable mentions in “Diabetes Care” and “IT Enabled Systemness.” This is the third consecutive year that UC San Diego Health System has been recognized by IHA for its clinical quality, patient experience, IT capabilities, and coordinated care.” … Read the full story from the UCSD Newsroom

UCSD Health Sciences Partners with Pfizer to Speed Drug Delivery

Research agreement could represent more than $50 million over five years for development of new therapies to benefit major medical needs

In an innovative collaboration designed to speed the process of drug discovery, Pfizer, Inc. and the University of California, San Diego Health Sciences announced today that UC San Diego has joined the ranks of other top-tier life science research institutions across the country as part of Pfizer’s Centers for Therapeutic Innovation (CTI)…. Read the full story from the UCSD Newsroom

UC San Diego Moores Cancer Center Celebrates 5th Anniversary with Open House

For more than three decades, researchers and clinicians at the University of California, San Diego School of Medicine have led the way in cutting-edge cancer research and patient care. On Saturday, January 22, 2011, they will celebrate five years of delivering comprehensive outpatient cancer care and dedicated research in a single location as the Moores Cancer Center hosts an open house… Read the full story from the UCSD Newsroom

In the Media: Drs. Beatrice Golomb and Joe W. Ramsdell

Dr. Beatrice Golomb and Dr. Joe W. Ramsdell and colleagues are the authors of an Archives of Internal Medicine Research Letter titled “Electronic Medical Records and Upper Extremity Symptoms: Pain With the Gain?” The letter appeared in the April 12, 2010, issue.

Beatrice Golomb, M.D., Ph.D., is Associate Professor of Medicine in General Internal Medicine.

Joe W. Ramsdell, M.D., is Professor of Clinical Medicine in the Division of General Internal Medicine and director of the UCSD Clinical Trials Center.