Publications by authors named "Justin Remais"

Background: Coccidioidomycosis, caused by inhalation of spp. spores, is an emerging infectious disease that is increasing in incidence throughout the southwestern US. The pathogen is soil-dwelling, and spore dispersal and human exposure are thought to co-occur with airborne mineral dust exposures, yet fundamental exposure-response relationships have not been conclusively estimated.

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  • Coccidioidomycosis is a fungal infection mainly transmitted through inhaling spores, but studying its airborne aspects has been difficult due to low recovery rates from air samples.
  • Researchers used uncrewed aircraft systems (UAS) with air samplers to capture and analyze spores in eastern San Luis Obispo County, California, where the fungus is present in soil.
  • During September 2023, they conducted 41 flights and found fungal DNA in 2 out of 41 air samples, marking the highest airborne detection known, which could advance knowledge of fungal dispersal in challenging environments like dust storms and wildfires.
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  • The study investigates how elementary school eligibility affects COVID-19 incidence among children, highlighting its potential implications for future epidemic responses.
  • Data was collected from California's pediatric COVID-19 cases between May 2020 and December 2022, focusing on children near the age threshold for school attendance.
  • Results showed that kindergarten-eligible children had significantly higher COVID-19 incidence rates compared to those just over the eligibility age, even after accounting for testing biases.
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Coccidioidomycosis, a fungal disease caused by soil-borne spp., exhibits pronounced seasonal transmission, with incidence in California typically peaking in the fall. However, the influence of climate on the timing and duration of transmission seasons remains poorly understood.

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  • * A study conducted in Carrizo Plain National Monument found that soil microbial communities, particularly in rodent burrows, showed a higher diversity and a significant association with the presence of the pathogen compared to surface soils.
  • * Results indicated that soil from rodent burrows had greater microbial diversity, suggesting that these environments may enhance the presence of the pathogen, challenging previous assumptions about microbial diversity and its relation to Coccidioidomycosis.
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Microorganisms, including bacteria, archaea, viruses, fungi, and protists, are essential to life on Earth and the functioning of the biosphere. Here, we discuss the key roles of microorganisms in achieving the United Nations Sustainable Development Goals (SDGs), highlighting recent and emerging advances in microbial research and technology that can facilitate our transition toward a sustainable future. Given the central role of microorganisms in the biochemical processing of elements, synthesizing new materials, supporting human health, and facilitating life in managed and natural landscapes, microbial research and technologies are directly or indirectly relevant for achieving each of the SDGs.

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Background: Coccidioidomycosis, an emerging fungal disease in the western USA, exhibits seasonal patterns that are poorly understood, including periods of strong cyclicity, aseasonal intervals, and variation in seasonal timing that have been minimally characterized, and unexplained as to their causal factors. Coccidioidomycosis incidence has increased markedly in recent years, and our limited understanding of intra- and inter-annual seasonality has hindered the identification of important drivers of disease transmission, including climate conditions. In this study, we aim to characterize coccidioidomycosis seasonality in endemic regions of California and to estimate the relationship between drought conditions and coccidioidomycosis seasonal periodicity and timing.

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  • Coccidioidomycosis, also known as Valley fever, is a fungal infection linked to wet winters following drought periods, with a significant spike in cases seen in California in 2023 due to wetter conditions after a statewide drought from 2020-2022.
  • The California Department of Public Health (CDPH) issued alerts due to the anticipated rise in infections, leading to nearly 9,054 reported cases in 2023 and forecasts for continued high risk in 2024-2025.
  • An ensemble model predicts that California could see over 12,000 cases in 2024-2025, especially in regions like the Southern San Joaquin Valley and Southern Coast, highlighting the seasonal peak in cases expected
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Importance: A SARS-CoV-2 vaccine was approved for adolescents aged 12 to 15 years on May 10, 2021, with approval for younger age groups following thereafter. The population level impact of the pediatric COVID-19 vaccination program has not yet been established.

Objective: To identify whether California's pediatric COVID-19 immunization program was associated with changes in pediatric COVID-19 incidence and hospitalizations.

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Unlabelled: The frequency and severity of wildfires in the Western United States have increased over recent decades, motivating hypotheses that wildfires contribute to the incidence of coccidioidomycosis, an emerging fungal disease in the Western United States with sharp increases in incidence observed since 2000. While coccidioidomycosis outbreaks have occurred among wildland firefighters clearing brush, it remains unknown whether fires are associated with an increased incidence among the general population.

Methods: We identified 19 wildfires occurring within California's highly endemic San Joaquin Valley between 2003 and 2015.

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  • Many low- and middle-income communities face interconnected challenges related to infectious diseases, food insecurity, and water access, which lack effective solutions.
  • A study in West Africa shows that agricultural development can inadvertently increase schistosomiasis by promoting the growth of invasive aquatic vegetation that hosts disease-carrying snails; however, removing this vegetation led to lower infection rates in schoolchildren and no long-term negative impact on water quality.
  • The removal process not only provided a cost-effective alternative for livestock feed but also helped return nutrients to agriculture while offering substantial public health benefits, creating a promising model for addressing poverty, disease, and environmental sustainability simultaneously.
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Coccidioidomycosis is a typically respiratory fungal disease that, in the United States, occurs primarily in Arizona and California. In California, most coccidioidomycosis cases occur in the San Joaquin Valley, a primarily agricultural region where the disease poses a risk for outdoor workers. We collected 710 soil samples and 265 settled dust samples from nine sites in the San Joaquin Valley and examined how Coccidioides detection varied by month, site, and the presence and abundance of other fungal species.

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Optimal control theory can be a useful tool to identify the best strategies for the management of infectious diseases. In most of the applications to disease control with ordinary differential equations, the objective functional to be optimized is formulated in monetary terms as the sum of intervention costs and the cost associated with the burden of disease. We present alternate formulations that express epidemiological outcomes via health metrics and reframe the problem to include features such as budget constraints and epidemiological targets.

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Use of agrochemicals, including insecticides, is vital to food production and predicted to increase 2-5 fold by 2050. Previous studies have shown a positive association between agriculture and the human infectious disease schistosomiasis, which is problematic as this parasitic disease infects approximately 250 million people worldwide. Certain insecticides might runoff fields and be highly toxic to invertebrates, such as prawns in the genus Macrobrachium, that are biocontrol agents for snails that transmit the parasites causing schistosomiasis.

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Background: Drought is an understudied driver of infectious disease dynamics. Amidst the ongoing southwestern North American megadrought, California (USA) is having the driest multi-decadal period since 800 CE, exacerbated by anthropogenic warming. In this study, we aimed to examine the influence of drought on coccidioidomycosis, an emerging infectious disease in southwestern USA.

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With the aid of laboratory typing techniques, infectious disease surveillance networks have the opportunity to obtain powerful information on the emergence, circulation, and evolution of multiple genotypes, serotypes or other subtypes of pathogens, informing understanding of transmission dynamics and strategies for prevention and control. The volume of typing performed on clinical isolates is typically limited by its ability to inform clinical care, cost and logistical constraints, especially in comparison with the capacity to monitor clinical reports of disease occurrence, which remains the most widespread form of public health surveillance. Viewing clinical disease reports as arising from a latent mixture of pathogen subtypes, laboratory typing of a subset of clinical cases can provide inference on the proportion of clinical cases attributable to each subtype (i.

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Dispersal is a key force in the assembly of fungal communities and the air is the dominant route of dispersal for most fungi. Understanding the dynamics of airborne fungi is important for determining their source and for helping to prevent fungal disease. This understanding is important in the San Joaquin Valley of California, which is home to 4.

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  • The text discusses progress made by sustainable development practitioners in reducing human infectious diseases while promoting conservation through a systematic literature review of 46 proposed solutions.
  • Some solutions showed medium to high-quality evidence of success, but there were significant evidence gaps indicating a need for further research.
  • Stakeholders are encouraged to use the Review and an online database to discover, customize, or innovate new win-win interventions.
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Background: Reliable and field-applicable diagnosis of schistosome infections in non-human animals is important for surveillance, control, and verification of interruption of human schistosomiasis transmission. This study aimed to summarize uses of available diagnostic techniques through a systematic review and meta-analysis.

Methodology And Principal Findings: We systematically searched the literature and reports comparing two or more diagnostic tests in non-human animals for schistosome infection.

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Background: The San Francisco Bay Area was the first region in the United States to enact school closures to mitigate SARS-CoV-2 transmission. The effects of closures on contact patterns for schoolchildren and their household members remain poorly understood.

Methods: We conducted serial cross-sectional surveys (May 2020, September 2020, February 2021) of Bay Area households with children to estimate age-structured daily contact rates for children and their adult household members.

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Passive surveillance systems are widely used to monitor diseases occurrence over wide spatial areas due to their cost-effectiveness and integration into broadly distributed healthcare systems. However, such systems are generally associated with imperfect ascertainment of disease cases and with heterogeneous capture probabilities arising from factors such as differential access to care. Augmenting passive surveillance systems with other surveillance efforts provides a way to estimate the true number of incident cases.

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Emerging evidence supports a link between environmental factors-including air pollution and chemical exposures, climate, and the built environment-and severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) transmission and coronavirus disease 2019 (COVID-19) susceptibility and severity. Climate, air pollution, and the built environment have long been recognized to influence viral respiratory infections, and studies have established similar associations with COVID-19 outcomes. More limited evidence links chemical exposures to COVID-19.

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  • The study evaluated school reopening policies during the Delta variant surge, focusing on the impact of vaccination and non-pharmaceutical interventions (NPIs) like masking and testing.
  • At 70% community vaccination, universal masking significantly decreased infection rates among students, with stricter measures needed to achieve lower excess infection thresholds.
  • The findings suggest that while schools can pose risks for COVID-19 transmission, high vaccination rates and proper safety measures can mitigate these risks effectively.
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  • Schistosome parasites, affecting over 200 million people mainly in sub-Saharan Africa, show varied infection risks based on the distribution of their intermediate host snails.
  • The study examines schistosomiasis risk in 16 villages along the Senegal River, focusing on the spatial distribution of snails and their relationship to human infections of two species, S. haematobium and S. mansoni.
  • Results indicate that S. haematobium infection risk increases with snail habitat up to 120 meters from shore and larger water access sites, while S. mansoni risk relates to smaller, sheltered sites without a positive correlation to snail habitat.
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