Anne Schuchat

Centers for Disease Control and Prevention, Atlanta, Michigan, United States

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Publications (207)2558.29 Total impact

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    ABSTRACT: Accomplishments of this program have provided numerous dividends and might benefit areas outside infectious diseases.
    Emerging Infectious Diseases 08/2015; 21(9):1499-509. DOI:10.3201/eid2109.150619 · 6.75 Impact Factor
  • Anne Schuchat · Jordan Tappero · John Blandford
    The Lancet 07/2014; 384(9937). DOI:10.1016/S0140-6736(14)60570-5 · 45.22 Impact Factor
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    ABSTRACT: Since mid-March 2014, the frequency with which cases of Middle East respiratory syndrome coronavirus (MERS-CoV) infection have been reported has increased, with the majority of recent cases reported from Saudi Arabia and United Arab Emirates (UAE). In addition, the frequency with which travel-associated MERS cases have been reported and the number of countries that have reported them to the World Health Organization (WHO) have also increased. The first case of MERS in the United States, identified in a traveler recently returned from Saudi Arabia, was reported to CDC by the Indiana State Department of Health on May 1, 2014, and confirmed by CDC on May 2. A second imported case of MERS in the United States, identified in a traveler from Saudi Arabia having no connection with the first case, was reported to CDC by the Florida Department of Health on May 11, 2014. The purpose of this report is to alert clinicians, health officials, and others to increase awareness of the need to consider MERS-CoV infection in persons who have recently traveled from countries in or near the Arabian Peninsula. This report summarizes recent epidemiologic information, provides preliminary descriptions of the cases reported from Indiana and Florida, and updates CDC guidance about patient evaluation, home care and isolation, specimen collection, and travel as of May 13, 2014.
    MMWR. Morbidity and mortality weekly report 05/2014; 63(19):431-6.
  • The Journal of pediatrics 07/2013; 163(1 Suppl):S1-3. DOI:10.1016/j.jpeds.2013.03.022 · 3.79 Impact Factor
  • Anne Schuchat · Jacqueline M Katz
    The Journal of Infectious Diseases 07/2012; 206(6):803-5. DOI:10.1093/infdis/jis428 · 6.00 Impact Factor
  • Anne Schuchat · Kevin M De Cock
    The Journal of Infectious Diseases 03/2012; 205 Suppl 1(suppl 1):S1-3. DOI:10.1093/infdis/jir801 · 6.00 Impact Factor
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    Anne Schuchat
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    ABSTRACT: Few medical interventions compete with vaccines for their cumulative impact on health and well-being of entire populations. Routine immunization of children in the United States now targets 16 vaccine-preventable diseases; and vaccines are now routinely given across the lifespan. Immunization efforts achieved the global eradication of smallpox, as well as the elimination of polio, measles, and rubella from the Americas. The childhood vaccine series including DTP, polio, MMR, Hib, hepatitis B, and varicella vaccines is estimated to prevent 14 million infections, avoid 33,000 premature deaths, and save $9.9 billion in direct medical costs as well as $33 billion in indirect costs for each U.S. birth cohort fully vaccinated. Newer vaccines such as pneumococcal conjugate, rotavirus, and hepatitis A vaccines have also reduced illness and hospitalizations among the target populations but also have amplified benefits beyond their direct effects through reduced transmission from those immunized to other groups. Although for most of the 20th century there was a substantial delay between a vaccine's introduction in developed countries and its broad use in poor countries, newer global public-private partnerships and advocacy are leading to accelerated uptake of new and underutilized vaccines. Since the Measles Initiative was established in 2001, more than 700 million children worldwide have received a measles vaccination and an estimated 4.3 million childhood measles deaths have been averted. The full impact of increasing routine immunization further and implementing new vaccines against pneumonia and diarrhea agents in the poorest countries could prevent more than 2 million additional childhood deaths each year. (C) 2011 Published by Elsevier Ltd. Selection and/or peer-review under responsibility of Integrated Laboratory Systems, Inc.
    Procedia in Vaccinology 12/2011; 5:120-126. DOI:10.1016/j.provac.2011.10.008
  • Alan R Hinman · Walter A Orenstein · Anne Schuchat
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    ABSTRACT: During 1946-2005, vaccine-preventable diseases were the topic of approximately 20% of all epidemic-assistance investigations by the Centers for Disease Control and Prevention. Both in the United States and abroad, current and former Epidemic Intelligence Service officers have played a critical role in describing the epidemiology of vaccine-preventable diseases, contributing to development of immunization policies, participating in the implementation of immunization programs, and establishing effective means for assessing adverse events following immunization. As newer vaccines are developed and introduced, they will continue to play similar roles and most likely will be involved increasingly in investigations of the factors that affect people's willingness to accept vaccination for themselves or their children.
    American journal of epidemiology 12/2011; 174(11 Suppl):S16-22. DOI:10.1093/aje/kwr306 · 5.23 Impact Factor
  • Alan R Hinman · Walter A Orenstein · Anne Schuchat
    MMWR. Surveillance summaries: Morbidity and mortality weekly report. Surveillance summaries / CDC 10/2011; 60 Suppl 4(Suppl 4):49-57.
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    ABSTRACT: The rate of bacterial meningitis declined by 55% in the United States in the early 1990s, when the Haemophilus influenzae type b (Hib) conjugate vaccine for infants was introduced. More recent prevention measures such as the pneumococcal conjugate vaccine and universal screening of pregnant women for group B streptococcus (GBS) have further changed the epidemiology of bacterial meningitis. We analyzed data on cases of bacterial meningitis reported among residents in eight surveillance areas of the Emerging Infections Programs Network, consisting of approximately 17.4 million persons, during 1998-2007. We defined bacterial meningitis as the presence of H. influenzae, Streptococcus pneumoniae, GBS, Listeria monocytogenes, or Neisseria meningitidis in cerebrospinal fluid or other normally sterile site in association with a clinical diagnosis of meningitis. We identified 3188 patients with bacterial meningitis; of 3155 patients for whom outcome data were available, 466 (14.8%) died. The incidence of meningitis changed by -31% (95% confidence interval [CI], -33 to -29) during the surveillance period, from 2.00 cases per 100,000 population (95% CI, 1.85 to 2.15) in 1998-1999 to 1.38 cases per 100,000 population (95% CI 1.27 to 1.50) in 2006-2007. The median age of patients increased from 30.3 years in 1998-1999 to 41.9 years in 2006-2007 (P<0.001 by the Wilcoxon rank-sum test). The case fatality rate did not change significantly: it was 15.7% in 1998-1999 and 14.3% in 2006-2007 (P=0.50). Of the 1670 cases reported during 2003-2007, S. pneumoniae was the predominant infective species (58.0%), followed by GBS (18.1%), N. meningitidis (13.9%), H. influenzae (6.7%), and L. monocytogenes (3.4%). An estimated 4100 cases and 500 deaths from bacterial meningitis occurred annually in the United States during 2003-2007. The rates of bacterial meningitis have decreased since 1998, but the disease still often results in death. With the success of pneumococcal and Hib conjugate vaccines in reducing the risk of meningitis among young children, the burden of bacterial meningitis is now borne more by older adults. (Funded by the Emerging Infections Programs, Centers for Disease Control and Prevention.).
    New England Journal of Medicine 05/2011; 364(21):2016-25. DOI:10.1056/NEJMoa1005384 · 55.87 Impact Factor
  • Anne Schuchat
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    ABSTRACT: The author reflects on her personal experiences during the 2009 H1N1 influenza, acquired immune deficiency syndrome (AIDS), and severe acute respiratory syndrome (SARS) pandemics. The roles played by the Centers for Disease Control and Prevention related to pregnancy-associated influenza during the 2009 pandemic are described. Risk communication principles are summarized and resources provided.
    American journal of obstetrics and gynecology 02/2011; 204(6 Suppl 1):S4-6. DOI:10.1016/j.ajog.2011.02.039 · 4.70 Impact Factor
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    Anne Schuchat · Beth P Bell · Stephen C Redd
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    ABSTRACT: A strong evidence base provides the foundation for planning and response strategies. Investments in pandemic preparedness included support for research that aided early detection, response, and control of the 2009 influenza A (H1N1) (pH1N1) pandemic. Scientific investigations conducted during the pandemic guided understanding of the virus, disease severity, and epidemiologic risk factors. Field investigations also produced information that strengthened guidance for the use of antivirals, identification of target populations for monovalent pH1N1 vaccine, and refinement of recommendations for social distancing measures. Communication of this evolving evidence base was important to sustaining credibility of public health. Areas where substantial controversy emerged, such as the optimal approach to respiratory protection of healthcare workers, often suffered from gaps in the evidence base. Many aspects of the 2009-2010 pandemic influenza experience provide ongoing opportunities for additional study, which will strengthen plans for future pandemic response as well as control of seasonal influenza.
    Clinical Infectious Diseases 01/2011; 52 Suppl 1(Supplement 1):S8-12. DOI:10.1093/cid/ciq007 · 8.89 Impact Factor
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    ABSTRACT: To calculate the burden of 2009 pandemic influenza A (pH1N1) in the United States, we extrapolated from the Centers for Disease Control and Prevention's Emerging Infections Program laboratory-confirmed hospitalizations across the entire United States, and then corrected for underreporting. From 12 April 2009 to 10 April 2010, we estimate that approximately 60.8 million cases (range: 43.3-89.3 million), 274,304 hospitalizations (195,086-402,719), and 12,469 deaths (8868-18,306) occurred in the United States due to pH1N1. Eighty-seven percent of deaths occurred in those under 65 years of age with children and working adults having risks of hospitalization and death 4 to 7 times and 8 to 12 times greater, respectively, than estimates of impact due to seasonal influenza covering the years 1976-2001. In our study, adults 65 years of age or older were found to have rates of hospitalization and death that were up to 75% and 81%, respectively, lower than seasonal influenza. These results confirm the necessity of a concerted public health response to pH1N1.
    Clinical Infectious Diseases 01/2011; 52 Suppl 1(suppl 1):S75-82. DOI:10.1093/cid/ciq012 · 8.89 Impact Factor
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    ABSTRACT: The introduction of Haemophilus influenzae type b (Hib) vaccine in developing countries has suffered from a long delay. Between 2005 and 2009, a surge in Hib vaccine adoption took place, particularly among GAVI-eligible countries. Several factors contributed to the increase in Hib vaccine adoption, including support provided by the Hib Initiative, a project funded by the GAVI Alliance in 2005 to accelerate evidence-informed decisions for use of Hib vaccine. This paper reviews the strategy adopted by the Hib Initiative and the lessons learned in the process, which provide a useful model to accelerate uptake of other new vaccines.
    Vaccine 10/2010; 28(43):7123-9. DOI:10.1016/j.vaccine.2010.07.028 · 3.62 Impact Factor
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    ABSTRACT: We examined associations between the socioeconomic characteristics of census tracts and racial/ethnic disparities in the incidence of bacteremic community-acquired pneumonia among US adults. We analyzed data on 4870 adults aged 18 years or older with community-acquired bacteremic pneumonia identified through active, population-based surveillance in 9 states and geocoded to census tract of residence. We used data from the 2000 US Census to calculate incidence by age, race/ethnicity, and census tract characteristics and Poisson regression to estimate rate ratios (RRs) and 95% confidence intervals (CIs). During 2003 to 2004, the average annual incidence of bacteremic pneumonia was 24.2 episodes per 100 000 Black adults versus 10.1 per 100 000 White adults (RR = 2.40; 95% CI = 2.24, 2.57). Incidence among Black residents of census tracts with 20% or more of persons in poverty (most impoverished) was 4.4 times the incidence among White residents of census tracts with less than 5% of persons in poverty (least impoverished). Racial disparities in incidence were reduced but remained significant in models that controlled for age, census tract poverty level, and state. Adults living in impoverished census tracts are at increased risk of bacteremic pneumonia and should be targeted for prevention efforts.
    American Journal of Public Health 10/2010; 100(10):1904-11. DOI:10.2105/AJPH.2009.181313 · 4.55 Impact Factor
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    ABSTRACT: Human immunodeficiency virus (HIV) infection and AIDS increase the risk of invasive pneumococcal disease (IPD). We evaluated IPD among HIV-infected adults over a 10-year period in the US to identify opportunities for prevention of IPD among HIV-infected adults. IPD and HIV surveillance in seven population-based and laboratory-based Active Bacterial Core surveillance areas. IPD cases were adults 18-64 years old with pneumococcus isolated from a normally sterile site during 1998-2007. Isolates were serotyped using the Quellung reaction. HIV/AIDS status was determined by medical record review. We calculated incidence of IPD among adults with AIDS using national case-based surveillance data. Of 13 812 IPD cases among 18-64-year-olds, 3236 (23%) occurred among HIV-infected adults (with or without AIDS) and 1313 (10%) occurred among the subset of HIV-infected adults with AIDS. Compared with the period (1998-1999) before childhood 7-valent pneumococcal conjugate vaccine (PCV7) introduction in the US, the overall incidence of IPD among adults with AIDS decreased 25% from 399 to 298 cases per 100 000 by 2007 (P = 0.008). In 2006-2007, 8, 39 and 55% of IPD cases among adults with AIDS were caused by serotypes included in the 7-valent PCV, 13-valent PCV and 23-valent pneumococcal polysaccharide vaccines, respectively. Sustained declines in IPD have occurred among adults with AIDS in the US, but incidence remained high 7 years after PCV7 introduction. More aggressive efforts, including HIV-prevention measures and the use of new PCVs in children and possibly HIV-infected adults, are necessary to further reduce IPD among HIV-infected adults.
    AIDS (London, England) 09/2010; 24(14):2253-62. DOI:10.1097/QAD.0b013e32833d46fd · 5.55 Impact Factor
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    ABSTRACT: We conducted a case-control study to evaluate risk factors for invasive pneumococcal disease (IPD) among children who were aged 3 to 59 months in the era of pneumococcal conjugate vaccine (PCV7). IPD cases were identified through routine surveillance during 2001-2004. We matched a median of 3 control subjects to each case patient by age and zip code. We calculated odds ratios for potential risk factors for vaccine-type and non-vaccine-type IPD by using multivariable conditional logistic regression. We enrolled 782 case patients (45% vaccine-type IPD) and 2512 matched control subjects. Among children who received any PCV7, children were at increased risk for vaccine-type IPD when they had underlying illnesses, were male, or had no health care coverage. Vaccination with PCV7 did not influence the risk for non-vaccine-type IPD. Presence of underlying illnesses increased the risk for non-vaccine-type IPD, particularly among children who were not exposed to household smoking. Non-vaccine-type case patients were more likely than control subjects to attend group child care, be male, live in low-income households, or have asthma; case patients were less likely than control subjects to live in households with other children. Vaccination with PCV7 has reduced the risk for vaccine-type IPD that is associated with race and group child care attendance. Because these factors are still associated with non-vaccine-type IPD risk, additional reductions in disparities should be expected with new, higher valency conjugate vaccines.
    PEDIATRICS 07/2010; 126(1):e9-17. DOI:10.1542/peds.2009-2150 · 5.47 Impact Factor
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    ABSTRACT: Polysaccharide-protein conjugate vaccines against Haemophilus influenzae type b (Hib) and Streptococcus pneumoniae have proven efficacy against radiologically confirmed pneumonia. Measurement of pneumonia incidence provides a platform to estimate of the vaccine-preventable burden. Over 24 months, we conducted surveillance for radiologically confirmed severe pneumonia episodes among children <2 years of age admitted to a rural hospital in Manhiça, southern Mozambique. Study children were tested for HIV during the second year of surveillance. Severe pneumonia accounted for 15% of 5132 hospital admissions and 32% of in-hospital mortality among children <2 years of age. Also, 43% of chest radiographs were interpreted as radiologically confirmed pneumonia. HIV-infection was associated with 81% of fatal pneumonia episodes among children tested for HIV. The minimum incidence rate of radiologically confirmed pneumonia requiring hospitalization was 19 episodes/1000 child-years. Incidence rates among HIV-infected children were 9.3-19.0-fold higher than HIV-uninfected. Introduction of Hib and pneumococcal conjugate vaccines would have a substantial impact on pneumonia hospitalizations among African children if vaccine effects are similar to those observed in clinical trials.
    Vaccine 04/2010; 28(30):4851-7. DOI:10.1016/j.vaccine.2010.03.060 · 3.62 Impact Factor
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    Public Health Reports 04/2010; 125 Suppl 3:3-5. · 1.55 Impact Factor
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    ABSTRACT: Nearly 1 million sepsis-related deaths per year occur in developing countries, primarily in the first week of life. In 2 nonrandomized studies in Africa, intravaginal washes during labor with cotton wipes soaked in chlorhexidine, a commonly available wide-spectrum antibiotic, were associated with reductions of 50% to 75% in neonatal sepsis-related morbidity and mortality. The lack of a definitive randomized, controlled trial has impeded widespread acceptance and use of chlorhexidine wipes. The results of a meta-analysis including randomized or quasi-randomized trials showed that chlorhexidine significantly reduced vertical transmission of group B streptococcus, but not early-onset neonatal infection caused by this bacterium or other neonatal pathogens. This randomized controlled trial investigated the efficacy of intravaginal chlorhexidine in reducing early-onset neonatal sepsis (the first 3 days of life) and vertical transmission of group B streptococcus. The study was conducted between 2004 and 2007 at a hospital in Soweto, South Africa. A total of 8011 pregnant women (age, 12–51 years) in active labor, were randomly assigned to intravaginal washes with either chlorhexidine wipes (interventional group) or external genitalia water wipes (control group); their 8129 newborn babies were assigned to either full-body (intervention group, n = 4072) or foot (control group, n = 4057) washes at birth, respectively. After delivery, swabs of the maternal lower vagina and neonatal skin were obtained from a maternal subset (n = 5144) to assess colonization with potentially pathogenic bacteria. The analysis was according to intention to treat. A total of 289 cases of early-onset sepsis occurred, with no difference in rates of neonatal sepsis between the chlorhexidine (34.6 per 1000 births) and control groups (36.5 per 1000 births). Similarly, the rates of colonization with group B streptococcus in neonates born to mothers in the chlorhexidine (54%, 217/401) and control groups (55%, 234/429) did not differ and there was no substantial reduction in vertical transmission. These findings demonstrate that the use of maternal and neonatal chlorhexidine wipes does not prevent the occurrence of early-onset sepsis or affect vertical transmission of one of the main sepsis-causing pathogens.
    Obstetrical and Gynecological Survey 03/2010; 65(4):215-216. DOI:10.1097/01.ogx.0000371707.62844.fa · 1.86 Impact Factor

Publication Stats

17k Citations
2,558.29 Total Impact Points


  • 1991–2014
    • Centers for Disease Control and Prevention
      • • Center for Global Health
      • • National Center for Immunization and Respiratory Diseases
      • • National Center for Emerging and Zoonotic Infectious Diseases
      • • Division of Bacterial Diseases
      Atlanta, Michigan, United States
  • 2007
    • University of London
      Londinium, England, United Kingdom
  • 2003
    • American Congress of Obstetricians and Gynecologists
      Washington, Washington, D.C., United States
  • 1999–2003
    • United States Army Medical Research Institute for Infectious Diseases
      Фредерик, Maryland, United States
    • Baylor College of Medicine
      • Department of Pediatrics
      Houston, Texas, United States
  • 1995–2002
    • National Institute of Allergy and Infectious Diseases
      Maryland, United States
  • 2001
    • Aarhus University
      Aarhus, Central Jutland, Denmark
  • 1998
    • University of California, Berkeley
      Berkeley, California, United States
    • University of Pittsburgh
      Pittsburgh, Pennsylvania, United States
    • Emory University
      • Department of Pediatrics
      Atlanta, GA, United States
  • 1997
    • Magee-Womens Hospital
      Pittsburgh, Pennsylvania, United States
  • 1996
    • Tripler Army Medical Center
      Honolulu, Hawaii, United States