2017 Zika SummitLexington Center

May 11, 2017

2017 Kentucky Zika Summit Thursday May 11, 2017

7:30 AM – 8:30 AM 8:30 AM – 9:00 AM 9:00 AM – 9:55 AM 9:55 AM – 10:50 AM

Registration Desk Open Presentation: Opening Remarks Speakers: Cabinet for Health and Family Services Secretary Vickie Yates Brown Glisson; Kentucky Commissioner of Agriculture Ryan Quarles; Kentucky Department for Public Health Commissioner Dr. Hiram Polk, Jr. Presentation Growing Threat of Vector-Borne Diseases Speaker: Grayson Brown Ph.D. Presentation: Zika Virus Update Speaker: Anna Likos M.D.

Heritage Lobby Heritage Hall East Heritage Hall East Heritage Hall East

10:50 AM – 11:05 AM Break

11:05 AM – 12:00 PM

Presentation: Congenital Zika Infection: Prenatal Diagnosis and Neuropathology Speaker: Rita Driggers M.D.

Heritage Hall East

12:00 PM – 12:45 PM

Presentation: Kentucky’s Zika Response Plan in Action Speaker: Rebecca Gillis

Heritage Hall East

12:45PM- 2:15PM Lunch 1:00 PM – 2:00 PM

*(Lunch vouchers expire at 2:00 PM) Visit Vendor Booths and Truck Demonstration

Heritage Lobby

1:30 PM – 2:00 PM Presentation: Hot Topics Speaker: Dora Savani-Blackham M.D.

Ballroom Two

2:15 PM – 3:05 PM Breakout Session One

Presentation: Importance of Monitoring Insecticide Susceptibility of Mosquitoes Speaker: Roxanne Connelly Ph.D. Presentation: The Role of the Healthcare Provider Speaker: Brooke Happ Presentation: Florida’s Response to Local Vector-Borne Transmission of Zika Speaker: Anna Likos M.D.

Ballroom One Ballroom Two Ballroom Three

Presentation: Mosquito 101 Speaker: Grayson Brown Ph.D.

Heritage Hall East

3:05 PM – 3:15 PM Break 3:15 PM – 4:05 PM Breakout Session Two

Presentation: A Risk Communications Approach to Talking About Zika and Pesticides Speaker: Richard Levine Presentation: US Zika Pregnancy Registry and Zika-Related Birth Defects Surveillance Speaker: Judy Theriot M.D. Presentation: The Miami-Dade Zika Control Operation Speaker: Brian Dennihan Presentation: Perceptions of Zika Virus Among Travelers to Zika-Affected Areas Speaker: Gillian Steelfisher Ph.D. followed by; Presentation: Zika-Related Knowledge, Attitudes and Practices Among Women of Childbearing Age Who Received a negative Zika Test Speaker: Kristen Heitzinger Ph.D.

Ballroom One Ballroom Two Ballroom Three Heritage Hall East

4:05 PM – 4:15 PM Break

4:15 PM – 4:45 PM Presentation: Panel Q & A Discussion Heritage Hall East 4:45 PM – 5:00 PM

Speakers: All Closing Remarks

Heritage Hall East

Please be sure to visit the registration desk in the Heritage Lobby to sign up for CME’s and CEU’s that are available for this conference. Videos of the presentations will be available for viewing after the summit by visiting the Kentucky Health Alerts website at: http://healthalerts.ky.gov/Pages/summit.aspx.   Please be sure to visit our vendor and educational booths located in the Heritage Lobby area for more information about Zika and to speak with experts in the field. There will be information from the following:

University of Kentucky Entomology Department

Clarke Mosquito Control

Jessamine County Health Department

Kentucky Department of Agriculture (outside of Heritage Lobby)

Kentucky Department for Public Health

Kentucky Division of Laboratory Services

Presentation Abstracts Grayson Brown, Ph.D., University of Kentucky, Lexington, KY “Growing Threat of Vector-Borne Diseases” [plenary session]: Attendees will learn about emergent, vector-borne diseases that may be important in Kentucky. “Mosquito 101”: This discussion will present a basic understanding of the entomology of mosquitoes. Roxanne Connelly, Ph.D., University of Florida, Vero Beach, FL “Importance of Monitoring Insecticide Susceptibility of Mosquitoes”: Dr. Connelly will relate the results of studies on the development of pesticide resistance in mosquitoes.” Bryan Deenihan, Clarke Mosquito Control Products, Inc., Saint Charles, IL “The Miami-Dade Zika Control Operation”: Attendees will learn about the protocols, technologies, and public education strategies used to control mosquitoes in Miami, Florida, during the Zika emergency of 2016. Rita Driggers, M.D., Johns Hopkins Medical Institute, Washington, DC “Congenital Zika Infection: Prenatal Diagnosis and Neuropathology”: Dr. Driggers will describe pregnancy outcomes associated with maternal Zika virus infection, and present the earliest prenatal diagnosis of congenital Zika syndrome, as well as lessons learned. Rebecca Gillis, Kentucky Department for Public Health, Frankfort, KY “Kentucky’s Zika Response Plan in Action”: Staff of the Kentucky Department for Public Health, the Division of Laboratory Services, and the Lexington-Fayette County Health Department will describe the steps involved in responding to a potential case of Zika virus disease involving local transmission. Presenting with her will be Dr. Kraig Humbaugh, Luke Mathis, Molly Roberts, Kimberly Yazell and Brooke Happ Brooke Happ, Kentucky Department for Public Health, Frankfort, KY “The Role of the Healthcare Provider”: The clinical manifestation and clinical management of Zika virus disease will be discussed, as well as the process for identifying and counseling at-risk patients.

Presentation Abstracts Kristen Heitzinger, Ph.D., CDC/CSTE Health Systems Integration Program Fellow, Frankfort, KY “Zika-Related Knowledge, Attitudes, and Practices Among Women of Childbearing Age Who Received a Negative Zika Test”: Attendees will learn about Zika epidemiology in the U.S. and Kentucky, what segments of the population are less knowledgeable about Zika, and be able to identify ways to provide Zika-related education to this population. Richard Levine, Risk Communications Professional, College Park, MD “A Risk Communications Approach to Talking About Zika and Pesticides”: The presentation will focus on effectively communicating with individuals who express concerns about methods used for pest management. Anna Likos, M.D., Florida Department of Health, Monticello, FL “Zika Virus Update” [plenary session]: Attendees will hear a first-hand account of the state and local emergency responses to the Zika virus threat in Miami, Florida, in 2016. “Florida’s Response to Local Vector-Borne Transmission of Zika”: Dr. Likos will discuss the challenges of conducting epidemiological investigations in the midst of the Zika virus emergency in Florida. Dora Savani-Blackham, M.D., Edgewood, KY “Hot Topics”: The attendees will receive an update on the latest issues being discussed in the scientific and medical community regarding the Zika virus. Gillian Steelfisher, Ph.D., Harvard T. H. Chan School of Public Health, Boston, MA “Perceptions of Zika Virus Among Travelers to Zika-Affected Areas”: The risk perceptions of travelers, their general knowledge and information gaps about the Zika virus has been analyzed and will be discussed. Judith Theriot, M.D., University of Louisville and Kentucky Commission for Children with Special Health Care Needs, Louisville, KY “US Zika Pregnancy Registry and Zika-Related Birth Defects Surveillance”: Attendees will be presented with the latest strategies developed by CDC to identify and track the outcomes of patients diagnosed with maternal Zika virus disease.

Speaker Biographies

Dr. Grayson Brown, a faculty member of the University of Kentucky’s Department of Entomology since 1978, is currently a professor of entomology and director of the Public Health Entomology Laboratory. Known for his work in IPM, modeling, and mosquito management systems, he has published more than 100 referenced publications and 18 books/chapters, received more than $3 million in competitive grants, given more than 100 professional presentations, and trained numerous Ph.D. and M.Sc. students. His work involves researching mosquitos in urban and suburban environments and evaluating/developing management techniques for them. Engaged in Public Health Entomology with an emphasis on integrated management of human disease vectors, Dr. Brown spearheaded the international “Summit of the Americas” in Brazil in March of 2016. Zika

expert, Dr. Grayson Brown’s research includes the Aedes aegypti mosquito. Dr. Brown received his doctorate degree from Washington State University in 1978.

Dr. Roxanne Connelly received her PhD in Entomology from Louisiana State University, majoring in Medical Entomology with a minor in Epidemiology and Community Health. She works at the University of Florida, IFAS, Florida Medical Entomology Laboratory where she is a Professor and Extension Specialist in Medical Entomology. Responsibilities include maintaining close contact with over 50 mosquito control districts in the state of Florida to address their research and training needs; maintaining contact with the county extension faculty and the public at large by developing educational materials and participating in short courses on topics related to medical entomology. Her research includes biology and identification of mosquitoes, protection from mosquito‐borne diseases, and insecticide resistance monitoring. She also mentors graduate students in medical entomology. She is a

Past President of the American Mosquito Control Association and the Florida Mosquito Control Association, and is a Board Certified Entomologist of the Entomological Society of America.

Bryan Deenihan is a Control Consultant for Clarke Mosquito Control, Inc. Brian services the states of Ohio, Kentucky and Tennessee providing service, products, equipment, and knowledge to assist municipalities in controlling mosquitoes. He has worked with Clarke Mosquito Control assisting communities since 1999. He is a member of the Ohio Mosquito Control Association, Tennessee Mosquito Control Association and past member of the American Mosquito Control Association. He works annually with Ohio Department of Agriculture, Kentucky Department of Agriculture and the Tennessee Department of Agriculture to provide continuing education units in each state each year in an Integrated Pest Management program to control mosquito-borne diseases and infestations. He works annually with the Ohio Department of Health and the Kentucky Department of Agriculture to provide equipment training, calibration and characterization workshops. He is the author of

the larviciding and adulticiding portions of the West Nile Virus Response Plan for the state of Ohio. He provides annual workshops in the states of Ohio, Kentucky and Tennessee, which provide updated knowledge and continuing education units (CEU’s) to technicians regarding mosquito control in both the private and public sector. Brian was a presenter at the Ohio Department of Health Zika Conference in 2016 and at 4 Zika Conferences in 2017.

Dr. Rita Driggers attended medical school at the University of Tennessee followed by residency in Obstetrics and Gynecology at the Uniformed Services Residency at Walter Reed National Military Medical Center in Bethesda, MD. She then completed fellowship training in Maternal-Fetal Medicine at Johns Hopkins Hospital in Baltimore, MD, which was followed by a solo tour as the Maternal-Fetal Medicine Consultant for the US Navy Pacific Region in Okinawa, Japan. Following the Okinawa tour, she returned to Walter Reed National Military Medical Center, where she served the remainder of her 14 years in the U.S. Navy as Chief of Obstetrics and Director of the Maternal-Fetal Medicine Division as well as Associate Residency Program Director. Upon leaving the Navy, Dr. Driggers joined the

Speaker Biographies faculty at MedStar Washington Hospital Center in Washington, DC, serving as the Program Director of the Maternal-Fetal Medicine Fellowship and Associate Professor of Obstetrics and Gynecology at Georgetown University School of Medicine. Dr. Driggers is currently Associate Professor of Obstetrics and Gynecology at Johns Hopkins University School of Medicine and the Medical Director of Maternal Fetal Medicine at Johns Hopkins Sibley Memorial Hospital. In her spare time, Dr. Driggers serves as an American Board of Obstetrician and Gynecologists (ABOG) General Oral Board Examiner and a member of the American College of Obstetricians and Gynecologists (ACOG) Scientific Program Committee. Her Zika research and publication in the New England Journal of Medicine led to her appointment on the ACOG Zika Expert Work Group.

Rebecca Gillis is the Director of Public Health Protection and Safety at the Kentucky Department for Public Health. Ms. Gillis has worked in public health preparedness since 2002 and served as Branch Manager for the Preparedness Program since 2009. Kentucky is in the top 10 for Presidentially-declared disasters in the nation and her experience includes managing the State Health Operations Center during numerous statewide emergencies and health events such as 2009 swine flu pandemic. Ms. Gillis oversees six branches in the Division with approximately 140 employees as well as working closely with 61 local health departments and dozens of contractors. Community health promotion was the focus of her undergraduate training and her background includes service at state and local health departments as well as other non-profit community organizations, boards and

agencies in a variety of roles including working in property management, substance abuse prevention, domestic violence initiatives and senior care. Ms. Gillis holds a Master of Public Health degree with concentration in Chemical Abuse Dependency and Counseling, is a Certified Health Education Specialist and FEMA qualified Master Exercise Practitioner. Ms. Gillis is a lifelong Kentuckian and grew up in Appalachian Mountains of Eastern Kentucky. She currently lives in Frankfort with her husband of 11 years, two children, and three dogs.

Vickie Yates Brown Glisson was appointed secretary of the Kentucky Cabinet for Health and Family Services by Gov. Matthew G. Bevin on Dec. 9, 2015. An attorney with extensive experience in health care law and finance with special expertise in the privacy, security and technology transfer of health information, Secretary Glisson worked closely with the University of Louisville Foundation on planning development, building partnerships and securing Tax Increment Finance funding for Nucleus: Kentucky’s Innovation Center at the University of Louisville. In 2008, Glisson was named president and CEO of Nucleus and oversaw its mission fostering the growth of innovative research and technology companies in the Louisville area. A nationally recognized health care and health insurance attorney, Glisson served as the co-chair of the Health Law Practice group at the law firm of Frost

Brown Todd and chairwoman of the Health Law Section of the American Bar Association. She also served as vice chair of the Health Enterprises Network and was a member of the editorial board of the BNA Health Law Reporter. She often has written and lectured on health law topics, particularly the Affordable Care Act and the privacy and security of health information. She has delivered numerous national and international presentations and co-authored three publications on health care law and government regulation. Secretary Glisson has held a number of government appointments, including serving as a member of the National Institutes of Health Advisory Council for the Human Genome Project and the Advisory Council of the National Institute of Diabetes, Digestion and Kidney Disease as part of the National Institutes of Health. She also has served on the board of directors of the UL and Kentucky One Health Cardiovascular Innovation Institute. Glisson has received a number of honors, including selection in The Best Lawyers of America, Kentucky Super Lawyer and The Guide to the Leading Healthcare Lawyers in America. Glisson was named the 2013 Woman of Influence by Louisville's Business First magazine. She also received the 2013 Martha Layne Collins Leadership Award for Women Leading Kentucky. Glisson was selected as the Ernst and Young 2013 Supporter of Entrepreneurship for South Central Ohio and Kentucky and was a finalist for the Business First 2013 Business Leader of the Year Award. She also received the 2013 Silver Fleur de Lis Award for fostering technology research and innovation from Greater Louisville Inc., the Metro Chamber of Commerce. A Spencer County native, Secretary Glisson is a magna cum laude graduate of Georgetown College and the University of Kentucky College of Law. She resides in Louisville with her husband.

Speaker Biographies

Brooke Happ is an epidemiologist in the Infectious Diseases Branch – Reportable Diseases Section at Kentucky Department for Public Health, where she conducts surveillance activities for cases of Zika virus and coordinates Kentucky’s participation in the US Zika Pregnancy Registry, which tracks pregnant women with evidence of Zika virus infection and their infants. Previously, Brooke has worked on foodborne and waterborne illnesses in the Infectious Diseases Branch and also served as a CDC fellow at KDPH in the areas of public health preparedness and sexually transmitted infections.

Kristen Heitzinger is a CDC/CSTE Health Systems Integration Program Fellow in the Division of Epidemiology at KDPH. She contributes to research, syndromic surveillance, and public health response on a range of topics, including Zika virus infection, injury related to severe weather events, and opioid abuse. Prior to starting at KDPH, Kristen conducted water quality and diarrheal disease research in Latin America. She received a PhD and master’s degree in epidemiology from the University of Washington in Seattle.

Richard Levine, co-author of IPM for the Urban Professional: A Study Guide for the Associate Certified Entomologist, managed the communications program at the Entomological Society of America from 2006-2016. Prior to that, he worked as a communications consultant on agricultural issues for government agencies, non-profit organizations, and private companies. He has given presentations on risk communications to scientists in Kenya, Nigeria, Panama, and the U.S. He holds a bachelor’s degree in English and a master’s degree in American Studies from the University of Maryland.

Dr. Anna M. Likos very recently retired as the State Epidemiologist and Interim Deputy Secretary for Health in Florida. About one year ago, she also retired her commission as a Lieutenant Colonel in the Air National Guard where she served as a physician ensuring that Air Force personnel were medically fit and ready for immediate deployment if required. Dr. Likos began her medical career later in life than usual and was actually 41 years old when she entered the University of Oklahoma, School of Medicine in Oklahoma City to pursue her medical degree. Since that time, she has completed a residency in Internal Medicine at Yale, practiced as a hospitalist in Springfield, Missouri, and completed her MPH as well as a second residency in Preventive Medicine at Johns Hopkins School of Public Health. Prior to coming to Florida, she worked for the CDC first as an Epidemic intelligence Service Officer in

the Poxvirus branch, followed by positions as a Medical Epidemiologist in the Influenza Branch, as the CDC Country Director in Haiti and Ivory Coast, as the resident advisor for the Field Epidemiology Training Program in Morocco and as the Deputy for the African Team in the Polio Eradication Response out of CDC’s Emergency Operations Center. Three and a half years ago, she hung up her frequent flyer number and took on a new role as the State Epidemiologist and Director of the Division of Disease Control and Health Protection for the Department of Health in Tallahassee, Florida. After a short 2.5 years, she was asked to step into the Deputy Secretary position, where she has served for a year while continuing as the State Epidemiologist. It was in this context that she had to deal with the transmission of Zika virus in South Florida. Earlier this month, she retired from the Florida Department of Health but intends to remain busy in the realm of public health.

Speaker Biographies

Dr. Hiram C. Polk Jr., a renowned surgeon, is a native of Jackson, Mississippi, graduate of Harvard Medical School and served as the Ben A. Reid Professor and Chairman of Surgery at the University of Louisville from 1971 to 2005. Dr. Polk received his surgical training at Washington University in St. Louis and was a fellow at the Lister Institute of Preventive Medicine in London as well as the Pasteur Institute in Paris, France. Dr. Polk is known for his pioneering research on proper surgical antibiotic use to reduce surgical site infections, burn care, concepts in treatment of malignant melanoma, surgical oncology, hiatal hernia treatment, Trauma surgery and systems development, and many contributions in the development of contemporary surgical training methods and models. In June of 2016, Dr. Hiram Polk was appointed as commissioner for the state Department for Public Health. Dr.

Polk also serves as a Steward of The Jockey Club and is a director of the Grayson Research Foundation and the Biomedical Research Foundation in Washington, D.C.

Ryan Quarles grew up on his family's farm in Scott County, coming from a family that has lived in central Kentucky for over 200 years. Ryan completed three undergraduate majors and two graduate degrees in just four years at the University of Kentucky, graduating in 2006. In 2008, Harvard University awarded Ryan a full scholarship with the Zuckerman Fellows Program, which enabled him to continue his studies at the Harvard Graduate School of Education, the Kennedy School of Government, and Harvard Law School. In 2009, he graduated from Harvard with a Master’s degree in higher education before moving back to Kentucky to finish his last year of law school. Ryan was elected to the Kentucky General Assembly in 2010, representing Scott, Owen, and Fayette counties. Ryan served as vice-chairman of the House Judiciary Committee and served on the Agriculture and Small Business Committee, the Tobacco Master Settlement Oversight Committee, and the Banking

and Insurance Committee. In 2015, Ryan was elected Kentucky’s Commissioner of Agriculture. At 33, Commissioner Quarles is currently the youngest statewide elected official in the United States.

Dr. Dora Savani-Blackham Born and educated in Brazil, she moved to England in 1982 where she learned English and did her initial training in Internal Medicine. Upon completion she moved to Durham, North Carolina in 1984 and worked as a research associate at Duke University in Infectious diseases under Dr. David Durack and Dr. John Perfect and while there published her first papers. In 1987 she relocated to Cincinnati, Ohio and began her Internal Medicine residency and subsequently her Infectious Disease fellowship at the University of Cincinnati under Dr. Ward Bullock. In 1994 she moved to Lexington, Kentucky and worked as an Infectious Disease specialist at the Lexington Clinic-St. Joseph Hospital through a private practice partnership with Dr. Ardis Hoven. In 2000, she returned to Cincinnati Ohio and began working in a private practice, of which she is now a senior partner, which serves St. Elizabeth Hospital in Northern Kentucky where she continues to

practice Infectious Diseases. She is married with four boys, two granddaughters and one grandson on the way.

Dr. Gillian SteelFisher is a Senior Research Scientist at the Harvard T.H. Chan School of Public Health. She serves as the Deputy Director of the Harvard Opinion Research Program (HORP) and the Director of its Global Polling Unit. Dr. SteelFisher leads HORP’s efforts in emergency polling with the Centers for Disease Control and Prevention (CDC) through a cooperative agreement with the Association of State and Territorial Health Officials (ASTHO). This includes a series of polls domestically and internationally to understand the public response to key public health crises, including Zika virus, Ebola, H1N1 and pandemic flu. She also leads a collaboration with UNICEF to use polling studies of parent and caregiver views on vaccination to support global polio eradication as well as broader immunization services. Dr. SteelFisher received her PhD in Health Policy from Harvard University and served as an Agency for Health Care Research and Quality (AHRQ) Fellow in Health

Services Research in the Department of Health Policy and Management at the Harvard T.H. Chan School of Public Health. She also received her Master of Science with a focus on health behavior and communication from

Speaker Biographies

the Harvard T.H. Chan School of Public Health. Dr. SteelFisher currently serves President Emeritus for the New England Chapter of the American Association of Public Opinion Research and as a thought leader for the National Public Health Information Coalition (NPHIC).

Dr. Judith Theriot has served as the medical director for the Kentucky Commission for Children with Special Health Care Needs since 2013. She received her medical school and residency training at the University of Louisville School of Medicine (UofL). Fo llowing residency, she completed a chief resident year helping to oversee the UofL Department of Pediatrics residency program. She then joined the Pediatric faculty of UofL, Division of General Pediatrics based at the Children and Youth Project, a multidisciplinary pediatric primary care clinic for high-risk infants and children, where she was medical director for nine years. She has served on numerous department, community and hospital committees. She has been active in her community and served as President of the Kosair Children’s Hospital Medical Staff in 2010. She was a founder and the President of, BookStart for Life long

Success, a grass roots organization supplying age appropriate books to infants and preschool children at well child visits in some of Kentucky’s highest risk Appalachian counties. Dr. Theriot is a certified physician executive and continues to teach at UofL as a professor of General Pediatrics. Kentucky Department for Public Health would like to extend a big THANK YOU to all the presenters

and exhibitors at the 2017 Kentucky Zika Summit!

Zika Summit Planning Committee

Jennifer Bardroff, Franklin County Health Department

Leigh Ann Bates, Kentucky Department for Public

Health

Jeff Brock, Kentucky Department for Public Health

Monica Clouse, Kentucky Department for Public Health

Noel Coplen, Graves County Health Department

David Carney, Kentucky Department for Public

Health

Beth Fisher, Cabinet for Health and Family Services

Barbara Fox, Cabinet for Health and Family Services

Dr. Grayson Brown, University of Kentucky

Rudrani Ghosh, Jessamine County Health

Department

Rebecca Gillis, Kentucky Department for Public Health

Sandy Glover, Kentucky Department for Public

Health

Jessica Gover, Kentucky Department for Public Health

Joseph Hale, Kentucky Department for Public

Health

Brooke Happ, Kentucky Department for Public Health

Margaret Hibbs, Kentucky Department for Public

Health

Carol Hisle, Lexington-Fayette County Health Department

Lisa Hopper, Hopkins County Health Department

Dr. Ardis Hoven, Kentucky Department for Public

Health

Karen Howard, Kentucky Department for Public Health

Karen King, Madison County Health Department

Betsy Kitchens, Kentucky Department for Public

Health

Luke Mathis, Lexington-Fayette County Health Department

Cassie Prather, Woodford County Health

Department

Kim Porter, Centers for Disease Control and Prevention

Steve Sieberts, Cabinet for Health and Family

Services

Teddy Slone, Kentucky Department for Public Health

Sashanna Taylor, Centers for Disease Control and

Prevention

Heather Walls, Kentucky Department for Public Health

David Wayne, Kentucky Department of Agriculture

Sandi Wright, Kentucky Department for Public

Health

Kim Yazell, Kentucky Department for Public Health