Rebuilding the Unity of Health and the Environment: The Greater Houston Metropolitan Area: Workshop Summary

Hurricane Harvey was one of the most extreme weather events to occur in Texas, USA; there was a huge amount of urban flooding in the city of Houston and the adjoining coastal areas. In this study, we reanalyze the spatiotemporal evolution of inundation during Hurricane Harvey using high-resolution two-dimensional urban flood modeling. This study’s domain includes the bayou basins in and around the Houston metropolitan area. The flood model uses the dynamic wave method and terrain data of 10-m resolution. It is forced by radar-based quantitative precipitation estimates. To evaluate the simulated inundation, on-site photos and water level observations were used. The inundation extent and severity are estimated by combining the retrieved water depths, images collected from the impacted area, and high-resolution terrain data. The simulated maximum inundation extent, which is frequently found outside of the designated flood zones, points out the importance of capturing multi-scale hydrodynamics in the built environment under extreme rainfall for effective flood risk and emergency management.

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Rapid diagnosis of new and relapse tuberculosis by quantification of a circulating antigen in HIV-infected adults in the Greater Houston metropolitan area

BMC Medicine ◽

10.1186/s12916-017-0952-z ◽

2017 ◽

Vol 15 (1) ◽

Cited By ~ 2

Author(s):

Jia Fan ◽

Hedong Zhang ◽

Duc T. Nguyen ◽

Christopher J. Lyon ◽

Charles D. Mitchell ◽

...

Keyword(s):

Metropolitan Area ◽

Rapid Diagnosis ◽

Circulating Antigen ◽

Houston Metropolitan Area

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1293. Bundled HIV/Hep C testing 4 Years of Implementation at 9 Emergency Departments in the Houston Metropolitan Area

Open Forum Infectious Diseases ◽

10.1093/ofid/ofz360.1156 ◽

2019 ◽

Vol 6 (Supplement_2) ◽

pp. S466-S466

Author(s):

Gilhen Rodriguez ◽

Samuel Prater ◽

Gloria Heresi ◽

James Murphy ◽

Audrey Wanger ◽

...

Keyword(s):

Metropolitan Area ◽

Emergency Departments ◽

Linkage To Care ◽

Fourth Generation ◽

Health It ◽

Males And Females ◽

Living With Hiv ◽

Hiv 1 ◽

Made In ◽

Houston Metropolitan Area

Abstract Background Individuals living with HIV infection and/or Hep C infection and unaware of their infected status are at risk of significant morbidity and a risk to public health. It has been recommended that all conscious adults presenting to Emergency Departments (EDs) be tested for HIV and increasingly testing for Hep C. Testing of all arrivals is important because a majority of both infections may not present signature signs or symptoms associated with the reason for the ED visit. For these reasons, the implementation of a bundled HIV/HepC testing protocol is reported here. Methods Data from 4 years of HIV/Hep C screening of patients 18 to 64 years old made in 9 EDs in the Houston Metropolitan Area are reviewed. Screening for HIV was using HIV fourth-generation ADVIA Centaur™ Ag/Ab COMBO (Siemens) and Hep C was tested for using Gilead Hep C Ab testing. Results During January 2013 until October 2016, 3,976 HIV/Hep C test bundles were performed. There were 40 (1.0%) HIV+ and 407 (10.2%) Hep C positive detected. Nine (0.2%) of these individuals were positive for both HIV and Hep C. A 22.5% of HIV-positive patients were co-infected with Hep C. The population had a median age of 53 years, comprising an equal number of males and females. Conclusion A significant prevalence of Hep C (10%) and HIV (1%) was found in patients presenting for any cause of major EDs in the Houston region. Bundled HIV/Hep C testing of all arrivals to EDs is an effective way to identify individuals that need to be directed to antiviral and linkage to care. Disclosures All authors: No reported disclosures.

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