Dania M. Rodríguez
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View article: Dengue epidemic alert thresholds for surveillance and decision-making in Puerto Rico: development and prospective application of an early warning system using routine surveillance data
Dengue epidemic alert thresholds for surveillance and decision-making in Puerto Rico: development and prospective application of an early warning system using routine surveillance data Open
Objectives The Puerto Rico Department of Health (PRDH) seeks to identify dengue epidemics as early as possible with high specificity. Design Development and prospective application of an early warning system for dengue epidemics using rout…
View article: Dengue Outbreak and Response — Puerto Rico, 2024
Dengue Outbreak and Response — Puerto Rico, 2024 Open
Dengue, a mosquitoborne viral infection, is a public health threat in Puerto Rico, where multiple dengue virus (DENV) serotypes circulate. Dengue causes an acute febrile illness that can progress to severe disease or death. The last outbre…
View article: Machine learning for predicting severe dengue in Puerto Rico
Machine learning for predicting severe dengue in Puerto Rico Open
View article: Longitudinal analysis of SARS-CoV-2 IgG antibody durability in Puerto Rico
Longitudinal analysis of SARS-CoV-2 IgG antibody durability in Puerto Rico Open
View article: Epidemiology of Dengue — Puerto Rico, 2010–2024
Epidemiology of Dengue — Puerto Rico, 2010–2024 Open
Dengue is a mosquitoborne viral illness that can cause acute febrile illness, severe disease, or death. Worldwide, the number of dengue cases is increasing. During the last dengue outbreaks in Puerto Rico throughout 2010-2013, dengue virus…
View article: Machine learning for predicting severe dengue, Puerto Rico
Machine learning for predicting severe dengue, Puerto Rico Open
Background Distinguishing between non-severe and severe dengue is crucial for timely intervention and reducing morbidity and mortality. Traditional warning signs recommended by the World Health Organization (WHO) offer a practical approach…
View article: Machine learning for improved dengue diagnosis, Puerto Rico
Machine learning for improved dengue diagnosis, Puerto Rico Open
Background Diagnosing dengue accurately, especially in resource-limited settings, remains challenging due to overlapping symptoms with other febrile illnesses and limitations of current diagnostic methods. This study aimed to develop machi…
View article: Dengue epidemic alert thresholds, a tool for surveillance and epidemic detection
Dengue epidemic alert thresholds, a tool for surveillance and epidemic detection Open
Epidemic detection enables swift public health responses. Dengue viruses pose a significant public health challenge in Puerto Rico, where they are endemic and cause intermittent epidemics. A weekly intercept-only negative binomial regressi…
View article: Durability of SARS-CoV-2 IgG Antibodies: Insights from a Longitudinal Study, Puerto Rico
Durability of SARS-CoV-2 IgG Antibodies: Insights from a Longitudinal Study, Puerto Rico Open
Understanding the dynamics of antibody responses following vaccination and SARS-CoV-2 infection is important for informing effective vaccination strategies and other public health interventions. This study investigates SARS-CoV-2 antibody …
View article: Diagnostic Accuracy of the Abbott BinaxNOW COVID‐19 Antigen Card Test, Puerto Rico
Diagnostic Accuracy of the Abbott BinaxNOW COVID‐19 Antigen Card Test, Puerto Rico Open
Background The COVID‐19 pandemic underscored the need for rapid and accurate diagnostic tools. In August 2020, the Abbott BinaxNOW COVID‐19 Antigen Card test became available as a timely and affordable alternative for SARS‐CoV‐2 molecular …
View article: Sentinel Enhanced Dengue Surveillance System — Puerto Rico, 2012–2022
Sentinel Enhanced Dengue Surveillance System — Puerto Rico, 2012–2022 Open
SEDSS is the only site-based enhanced surveillance system designed to gather information on AFI cases in Puerto Rico. This report illustrates that SEDSS can be adapted to detect dengue, Zika, chikungunya, COVID-19, and influenza outbreaks,…
View article: Investigating SARS-CoV-2 Incidence and Morbidity in Ponce, Puerto Rico: Protocol and Baseline Results From a Community Cohort Study
Investigating SARS-CoV-2 Incidence and Morbidity in Ponce, Puerto Rico: Protocol and Baseline Results From a Community Cohort Study Open
Background A better understanding of SARS-CoV-2 infection risk among Hispanic and Latino populations and in low-resource settings in the United States is needed to inform control efforts and strategies to improve health equity. Puerto Rico…
View article: Diagnostic Accuracy of the Abbot BinaxNOW COVID-19 Antigen Card Test, Puerto Rico
Diagnostic Accuracy of the Abbot BinaxNOW COVID-19 Antigen Card Test, Puerto Rico Open
Background The COVID-19 pandemic underscored the need for rapid and accurate diagnostic tools. In August 2020, the Abbot BinaxNOW COVID-19 Antigen Card test became available as a timely and affordable alternative for SARS-CoV-2 molecular t…
View article: Quantifying the relationship between arboviral infection prevalence and human mobility patterns among participants of the Communities Organized to Prevent Arboviruses cohort (COPA) in southern Puerto Rico
Quantifying the relationship between arboviral infection prevalence and human mobility patterns among participants of the Communities Organized to Prevent Arboviruses cohort (COPA) in southern Puerto Rico Open
Human movement is increasingly being recognized as a major driver of arbovirus risk and dissemination. The Communities Organized to Prevent Arboviruses (COPA) study is a cohort in southern Puerto Rico to measure arboviral prevalence, evalu…
View article: Investigating SARS-CoV-2 Incidence and Morbidity in Ponce, Puerto Rico: Protocol and Baseline Results From a Community Cohort Study (Preprint)
Investigating SARS-CoV-2 Incidence and Morbidity in Ponce, Puerto Rico: Protocol and Baseline Results From a Community Cohort Study (Preprint) Open
BACKGROUND A better understanding of SARS-CoV-2 infection risk among Hispanic and Latino populations and in low-resource settings in the United States is needed to inform control efforts and strategies to improve health equity. Puerto Ric…
View article: Travel-Associated Dengue Cases — United States, 2010–2021
Travel-Associated Dengue Cases — United States, 2010–2021 Open
Dengue, the leading cause of arboviral disease worldwide, can be fatal without appropriate treatment. Among 7,528 confirmed or probable travel-associated U.S. dengue cases reported during 2010-2021, one in five (1,474, 20%) was reported in…
View article: Previous Dengue Infection among Children in Puerto Rico and Implications for Dengue Vaccine Implementation
Previous Dengue Infection among Children in Puerto Rico and Implications for Dengue Vaccine Implementation Open
Limited dengue virus (DENV) seroprevalence estimates are available for Puerto Rico, which are needed to inform the potential use and cost-effectiveness of DENV vaccines. The Communities Organized to Prevent Arboviruses (COPA) is a cohort s…
View article: Dengue vaccine acceptability before and after the availability of COVID-19 vaccines in Puerto Rico
Dengue vaccine acceptability before and after the availability of COVID-19 vaccines in Puerto Rico Open
Dengue is a growing public health threat, causing approximately 400 million infections annually. In June 2021, the Advisory Committee on Immunization Practices recommended the first dengue vaccine (CYD-TDV) for children aged 9-16 years wit…
View article: Epidemiologic Trends of Dengue in U.S. Territories, 2010–2020
Epidemiologic Trends of Dengue in U.S. Territories, 2010–2020 Open
The Advisory Committee on Immunization Practices recommends vaccination with Dengvaxia for children aged 9-16 years with evidence of previous dengue infection and living in areas where dengue is endemic. The recommendation for the dengue v…
View article: Dengue Vaccine Acceptability Before and after the Availability of COVID-19 Vaccines in Puerto Rico
Dengue Vaccine Acceptability Before and after the Availability of COVID-19 Vaccines in Puerto Rico Open
View article: Arbovirus risk perception as a predictor of mosquito-bite preventive behaviors in Ponce, Puerto Rico
Arbovirus risk perception as a predictor of mosquito-bite preventive behaviors in Ponce, Puerto Rico Open
Mosquito-borne arboviruses are an important cause of morbidity and mortality in the Caribbean. In Puerto Rico, chikungunya, dengue, and Zika viruses have each caused large outbreaks during 2010–2022. To date, the majority of control measur…
View article: COVID-19 Vaccination Intention in a Community Cohort in Ponce, Puerto Rico
COVID-19 Vaccination Intention in a Community Cohort in Ponce, Puerto Rico Open
As of January 20, 2022, > 247,000 confirmed COVID-19 cases and 3,600 deaths were reported in Puerto Rico (PR). We interviewed participants aged ≥ 14 years in the Communities Organized to Prevent Arboviruses (COPA) study, a community-based …
View article: Risk factors for infection with chikungunya and Zika viruses in southern Puerto Rico: A community-based cross-sectional seroprevalence survey
Risk factors for infection with chikungunya and Zika viruses in southern Puerto Rico: A community-based cross-sectional seroprevalence survey Open
Chikungunya virus (CHIKV) caused a large outbreak in Puerto Rico in 2014, followed by a Zika virus (ZIKV) outbreak in 2016. Communities Organized for the Prevention of Arboviruses (COPA) is a cohort study in southern Puerto Rico, initiated…
View article: Arbovirus risk perception as a predictor of mosquito-bite preventive behaviors in Ponce, Puerto Rico
Arbovirus risk perception as a predictor of mosquito-bite preventive behaviors in Ponce, Puerto Rico Open
Mosquito-borne arboviruses are an important cause of morbidity and mortality in the Caribbean. In Puerto Rico, chikungunya, dengue, and Zika viruses have each caused large outbreaks during 2010–2022. To date, the majority of control measur…
View article: Arbovirus risk perception as a predictor of mosquito-bite preventive behaviors in Ponce, Puerto Rico
Arbovirus risk perception as a predictor of mosquito-bite preventive behaviors in Ponce, Puerto Rico Open
Mosquito-borne arboviruses are an important cause of morbidity and mortality in the Caribbean. In Puerto Rico, chikungunya, dengue, and Zika viruses have each caused large outbreaks during 2010–2022. To date, the majority of control measur…
View article: Sistemas de salud y definición del concepto salud pública, un dilema en tiempos de pandemia
Sistemas de salud y definición del concepto salud pública, un dilema en tiempos de pandemia Open
View article: Risk Estimation of Sexual Transmission of Zika Virus—United States, 2016–2017
Risk Estimation of Sexual Transmission of Zika Virus—United States, 2016–2017 Open
Background Zika virus (ZIKV) can be transmitted sexually but the risk of sexual transmission remains unknown. Most evidence of sexual transmission is from partners of infected travelers returning from areas with ZIKV circulation. Methods W…
View article: Estimating incidence of infection from diverse data sources: Zika virus in Puerto Rico, 2016
Estimating incidence of infection from diverse data sources: Zika virus in Puerto Rico, 2016 Open
Emerging epidemics are challenging to track. Only a subset of cases is recognized and reported, as seen with the Zika virus (ZIKV) epidemic where large proportions of infection were asymptomatic. However, multiple imperfect indicators of i…
View article: HTrack: A new tool to facilitate public health field visits and electronic data capture
HTrack: A new tool to facilitate public health field visits and electronic data capture Open
Many applications have been developed for electronic data collection. However, offline field navigation tools incorporating secure electronic data capture and field visit tracking are currently scarce. We created an R-Shiny application, HT…
View article: Estimating incidence of infection from diverse data sources: Zika virus in Puerto Rico, 2016
Estimating incidence of infection from diverse data sources: Zika virus in Puerto Rico, 2016 Open
Emerging epidemics are challenging to track. Only a subset of cases is recognized and reported, as seen with the Zika virus (ZIKV) epidemic where large proportions of infection were asymptomatic. However, multiple imperfect indicators of i…