Ronald Valdiserri

Ronald Valdiserri
Emory University | EU · Department of Epidemiology

About

170
Publications
48,630
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5,487
Citations
Citations since 2017
20 Research Items
815 Citations
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2017201820192020202120222023020406080100120140
2017201820192020202120222023020406080100120140
Introduction
Ronald Valdiserri MD, MPH is a Professor in the Department of Epidemiology, Rollins School of Public Health, Emory University.
Additional affiliations
June 2010 - January 2016
U.S. Department of Health and Human Services
Position
  • Deputy Assistant Secretary for Health, Infectious Diseases
June 2010 - December 2015
U.S. Department of Health and Human Services
Position
  • Deputy Assistant Secretary for Health, Infectious Diseases

Publications

Publications (170)
Article
Full-text available
Background AIDSVu is a public resource for visualizing HIV surveillance data and other population-based information relevant to HIV prevention, care, policy, and impact assessment. Objective The site, AIDSVu.org, aims to make data about the US HIV epidemic widely available, easily accessible, and locally relevant to inform public health decision m...
Article
COVID-19 has caused devastating health consequences and social inequities globally and in the United States. Unfortunately, the US has not developed a comprehensive National COVID-19 Strategy. In this editorial, we briefly review lessons about the development, structure, implementation and evaluation of the National HIV/AIDS Strategy (NHAS) for the...
Preprint
BACKGROUND AIDSVu is a public resource for visualizing HIV surveillance data and other population-based information relevant to HIV prevention, care, policy, and impact assessment. OBJECTIVE The site, AIDSVu.org, aims to make data about the US HIV epidemic widely available, easily accessible, and locally relevant to inform public health decision m...
Article
Accelerating the fight against HIV globally and achieving the goals of the U.S. National HIV/AIDS Strategy will require an integrated health system that addresses all dimensions of wellness and is not limited to disease diagnosis and treatment or to monolithic prevention strategies. Since the HIV/AIDS epidemic was first recognized in 1981, HIV prev...
Article
The ability to depict surveillance and other complex health-related data in a visual manner promotes sound public health practice by supporting the three core functions of public health: assessment, policy development, and assurance. Further, such efforts potentiate the use of surveillance data beyond traditional public health audiences and venues,...
Article
Full-text available
LGBT (lesbian, gay, bisexual and transgender) populations experience disparities in health outcomes, both physical and mental, compared to their heterosexual and cis-gender peers. This commentary confronts the view held by some researchers that the disparate rates of mental health problems reported among LGBT populations are the consequences of pur...
Chapter
The United States of America’s (USA) first-ever comprehensive, National HIV/AIDS Strategy (NHAS) was released in July 2010 and delineated three goals: reduce new HIV infections, increase access to care and improve health outcomes for people living with HIV and reduce HIV-related disparities and health inequities. Increased attention to the social a...
Article
The November 2016 general election and subsequent voting of the Electoral College resulted in the selection of Donald Trump as President of the United States. The incoming Administration ran a campaign that indicated a desire for substantial change in health policy, including the repeal of the Affordable Care Act (ACA). President Trump has said ver...
Article
The National HIV AIDS Strategy (NHAS) calls for a more coordinated response to the HIV epidemic. The Global Engagement in Care Convening created a forum for domestic and international experts to identify best practices in HIV care. This manuscript summarizes the meeting discussions and recommendations from meeting notes and an audio recording of th...
Article
Full-text available
The answer, of course, is action. Public health surveillance without responsive public health action is, at best, wasted effort and at worst, negligence. The action must be timely and commensurate with the scale and scope of the problem but, above all else, it must be informed. This last statement brings us to another well-accepted (if hard won) ax...
Article
We apply a social determinants of health model to examine the association of select social and structural influences on AIDS diagnosis rates among men who have sex with men (MSM) in the U.S. states. Secondary data for key social and structural variables were acquired and analyzed. Standard descriptive and inferential statistics were used to examine...
Article
We are witnessing revolutionary advances in the treatment of hepatitis C virus (HCV) infection. The development of medications that can be taken orally for shorter periods and with fewer adverse effects than the older regimens of injected pegylated interferon and ribavirin (1) has initiated a profound change in our approach to treating this disease...
Article
: Nurses' expanding role in public health and coordination of care. Over the past 15 years, the incidences of hepatitis A and B virus infection in the United States have declined significantly. By contrast, the incidence of hepatitis C virus infection, formerly stable or in decline, has increased by 75% since 2010. Suboptimal therapies of the past,...
Article
Full-text available
Hepatitis C virus infection is a significant public health problem in the United States and an important cause of morbidity and mortality. Recent reports document HCV infection increases among young injection drug users in several US regions, associated with America's prescription opioid abuse epidemic. Incident HCV infection increases among young...
Chapter
The history of HIV/AIDS prevention is, without question, a great, unfinished work. True, there have been important milestones in the three decades since the epidemic was first described in the United States [1]—accomplishments in science, advances in policy and the evolution of organized efforts to prevent the spread of the human immunodeficiency v...
Article
Full-text available
To determine whether improper high-level disinfection practices during endoscopy procedures resulted in bloodborne viral infection transmission.  Retrospective cohort study.  Four Veterans Affairs medical centers (VAMCs).  Veterans who underwent colonoscopy and laryngoscopy (ear, nose, and throat [ENT]) procedures from 2003 to 2009.  Patients were...
Article
The prevention of hepatitis C virus (HCV) infection and associated health conditions (eg, cirrhosis and hepatocellular carcinoma) is a public health priority in the United States. Hepatitis C virus–related morbidity and mortality is increasing at a time when the advent of highly effective therapies greatly increases opportunities to prevent HCV tra...
Article
Objective To determine whether improper high-level disinfection practices during endoscopy procedures resulted in bloodborne viral infection transmission. Design Retrospective cohort study. Setting Four Veterans Affairs medical centers (VAMCs). Patients Veterans who underwent colonoscopy and laryngoscopy (ear, nose, and throat [ENT]) procedures...
Article
This review explores the policy implications of findings from the HIV Prevention Trials Network (HPTN 052) treatment as prevention (TasP) study. To date, the potential of antiretrovirals to prevent sexual transmission of HIV by infected persons has been grounded in observational cohort, ecological, mathematical modeling, and meta-analytic studies....
Article
Objectives: We measured HIV testing and seropositivity among veterans in Veterans Affairs (VA) care for calendar years 2009 through 2011 and analyzed 2011 results by patient demographics. Methods: We performed a repeated-measures cross-sectional study using standardized electronic data extraction from the VA electronic health records for all vet...
Article
In response to the first U.S. National HIV/AIDS Strategy released in July 2010, we assessed how HIV/AIDS funding is spent by the Department of Health and Human Services (HHS) and how these resources align geographically with the HIV/AIDS epidemic according to various measures. Estimated FY2010 spending information was gathered from HHS agencies, in...
Article
Full-text available
The year 2011 marks the thirtieth anniversary of the first case reports in the United States of what we now know to be end-stage HIV disease. This chronological milestone provides an opportunity to reflect upon the changing context of the American HIV/AIDS epidemic. Using two seminal documents as a framework, the 1986 Institute of Medicine Report,...
Conference Paper
Results of iPrEX trial were published in the New England Journal of Medicine in November 2010. Briefly, there was a significant reduction of HIV infection, which increased with higher adherence rates among study subjects who received the active drug compared to those who received the placebo. Based on these findings, the CDC published interim guide...
Article
Full-text available
In July 2010, the Obama Administration released a National HIV/AIDS Strategy for the United States to refocus national attention on responding to the domestic HIV epidemic. The goals of the strategy are to reduce HIV incidence; to increase access to care and optimize health outcomes among people living with HIV; and to reduce HIV-related disparitie...
Article
Full-text available
Information technology promises to improve health care through reporting of standardized quality-of-care measures. In 2008, the National Quality Forum (NQF) first endorsed performance measures for human immunodeficiency virus (HIV)/AIDS care. Little is known about performance on these measures in routine medical practice. We assessed performance us...
Article
Late diagnosis of HIV infection contributes to poor medical outcomes and helps sustain continued transmission of virus. Published evidence suggests that despite current public health recommendations, patients receiving care in the Veterans Health Administration (VHA) system are not being routinely tested for HIV infection. Using a sample of compute...
Article
This chapter provides a overview of prevalent sexually transmitted diseases (STDs) among gay and bisexual men. Descriptive epidemiology is presented for bacterial (gonorrhea, syphilis, chlamydia), viral (human papillomavirus, herpes simplex virus, and human herpes virus 8), and enteric STDs. It discusses various factors responsible for disparate ra...
Article
Full-text available
We evaluated the frequency of HIV testing across the Department of Veterans Affairs (VA), the largest provider of HIV care in the United States. An electronic survey was used to determine the volume and location of HIV screening, confirmatory testing, rapid testing and laboratory consent policies in VA medical centers between October 1, 2005, and S...
Article
Full-text available
I enter your portal through a scrim of invisible rays, beads of energy outnumbering my regrets. Supine on a cold bed, part supplicant, part sacrifice. Like all captives, fearing judgment. Woosh, then comes the warm tingle of the dye, everywhere at once. It feels like a cleansing... washing away debris, debt, equivocation. "no," silently, I correct...
Chapter
This chapter provides an overview of how best to move the field of health research among gay and bisexual men forward. It starts with a description of "generations" of research, i.e., research at the description, correlational, and intervention generations and makes the case that with few exceptions, research among gay men is still at the first gen...
Article
Since the first report of AIDS in 5 men who have sex with men (MSM) from Los Angeles,1 MSM have accounted for a higher proportion of AIDS cases than any other group in countries such as the United States (44%), Canada (65%), and Australia (64%).2- 4 Although MSM first brought human immunodeficiency virus (HIV)/AIDS to the world's attention and, eve...
Conference Paper
Gay and bisexual men in the United States experience stigma and discrimination that have the potential to negatively affect their physical and mental health. This presentation summarizes the findings of a newly completed series of systematic reviews that document health disparities experienced by gay and bisexual men. Evidence of disparities in the...
Conference Paper
STDs are an especially important health concern for men who have sex with men (MSM). Compared to heterosexual men, MSM in the U.S. are at disproportionate risk for many STDs, including HIV, gonorrhea, syphilis, HPV, HSV-2, and HHV-8. For example, studies of gonorrhea prevalence among STD clinic attendees show rates of gonorrhea among MSM nearly dou...
Article
Full-text available
The author discusses a new study that models the impact of the CDC's new recommendation of opt-out HIV testing in all health care encounters in the US for persons 13-64 years old.
Article
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The need for a new surveillance approach to understand the clinical outcomes and behaviors of people in care for HIV evolved from the new challenges for monitoring clinical outcomes in the HAART era, the impact of the epidemic on an increasing number of areas in the US, and the need for representative data to describe the epidemic and related resou...
Article
Full-text available
The need for a new surveillance approach to understand the clinical outcomes and behaviors of people in care for HIV evolved from the new challenges for monitoring clinical outcomes in the HAART era, the impact of the epidemic on an increasing number of areas in the US, and the need for representative data to describe the epidemic and related resou...
Article
Full-text available
In January 2005, the U.S. Centers for Disease Control and Prevention hosted a national consultation of scientists, public health officials, and community service providers to address growing concerns about the association of methamphetamine use and sexual risk behavior for HIV/STD infection, which is well documented among men who have sex with men....
Article
The recent resurgence of syphilis among men-who-have-sex-with-men (MSM) and concerns about a potential increase in HIV incidence have sparked public health authorities to search for new approaches to address this converging problem. Epidemiologic investigations suggest that the Internet plays an important role in facilitating syphilis outbreaks. Th...
Article
In this Q & A, AIDS Alert interviews Ronald Valdiserri, MD, MPH, deputy director of the National Center for HIV, STD, and TB Prevention at the CDC. Valdiserri discusses what has been achieved by the HIV Prevention Strategic Plan Through 2005, and what more needs to be accomplished.
Article
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Article
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Because of concerns for HIV risks and need to plan effective programs, we assessed the number and risks of sex workers in Nha Trang City, Vietnam. Sex workers were contacted in streets, beaches, bars, and restaurants, and a capture-recapture method was used to estimate their number. An estimated 444 women worked on the streets and beach ("direct" s...
Article
This article explores the assumption that perceptions about the threat of HIV/AIDS have changed over the course of the epidemic. For want of a better term this phenomenon will be referred to as “HIV/AIDS complacency” and will be defined as minimizing discounting or discrediting the threat of HIV/AIDS. Although the majority of examples cited will ex...
Article
Reducing new HIV infections in the United States requires allocating public resources to interventions that will have the greatest impact on reducing the number of new infections. We report on the organizational experience of a federal agency's efforts to align its HIV prevention resources to reflect the specific priorities of a five-year strategic...
Article
Full-text available
The past two decades have witnessed substantial advances in the science of preventing HIV infection. Although important issues remain and there is a need for continuing research, arguably the biggest challenge in preventing HIV transmission is the full implementation of existing preventive interventions worldwide.
Article
Ronald O. Valdiserri, MD, MPH, deputy director of the National Center for HIV, STD, and TB Prevention for the CDC in Atlanta, talks about challenges brought about by good news--that people with HIV are living longer--and bad news--his concern that not enough progress is being made in combating the infection. He also addresses the use of abstinence-...
Article
Full-text available
In 2000, the government of Vietnam conducted the first assessment of its national peer education program for HIV prevention. Twenty (32%) of Vietnam's 61 provinces and urban areas had functioning peer education programs, and program coordinators of all 20 were interviewed regarding their programs. In addition, on-site reviews were done for 10 of th...
Article
Full-text available
Stigma is not new to public health, nor is it unique to HIV/AIDS. History provides an unfortunate abundance of examples of “prejudice, discounting, discrediting, and discrimination”1 directed toward persons who are ill or perceived to be ill. Leprosy was viewed as divine punishment for moral misconduct in centuries past, and persons infected with M...
Article
The United States is a country of immigrants, our government having been formed by recent arrivals. This trend has continued throughout our history; according to the Center for Immigration Studies, more than 26 million immigrants have settled in the United States since 1970, and approximately one million new immigrants come to the United States eac...
Article
Full-text available
Protecting public health requires the acquisition, use, and storage of extensive health-related information about individuals. The electronic accumulation and exchange of personal data promises significant public health benefits but also threatens individual privacy; breaches of privacy can lead to individual discrimination in employment, insurance...
Article
In the United States, HIV prevention programs have historically tailored activities for specific groups primarily on the basis of behavioral risk factors and demographic characteristics. Through the Serostatus Approach to Fighting the Epidemic (SAFE), the Centers for Disease Control and Prevention is now expanding prevention programs, especially fo...
Article
Full-text available
HIV remains a critical health issue for men who have sex with men (MSM). In the United States, an estimated 365,000 to 535,000 MSM are living with HIV, and 42% of new HIV infections occur in this population. Recent data on sexually transmitted diseases and on sexual behavior indicate the potential for a resurgence in HIV infections among MSM. Outbr...
Article
HIV surveillance and diagnostic testing for HIV infection share elements in common, yet differ notably in context. Clinical testing provides vital information for individual medical and behavioral decisions, whereas surveillance, which focuses on populations, provides information to develop policy, direct resources, and plan services. HIV/AIDS surv...
Article
HIV surveillance and diagnostic testing for HIV infection share elements in common, yet differ notably in context. Clinical testing provides vital information for individual medical and behavioral decisions, whereas surveillance, which focuses on populations, provides information to develop policy, direct resources, and plan services. HIV/AIDS surv...
Article
Since 1994, the Centers for Disease Control and Prevention has required that the 65 health department grantees that receive funding for HIV prevention interventions engage in a community planning process to involve affected communities in local prevention decision making; to increase the use of epidemiological data to target HIV prevention resource...
Chapter
Early national plans to prevent and control the spread of acquired immunodeficiency syndrome (AIDS), called for “the implementation of community risk reduction and health education programs to effect behavior change regarding high-risk sexual practices and the use of intravenous drugs.”1(p.454)As a means of furthering prevention efforts, the US Pub...
Article
We describe trends in seropositivity among clients attending publicly funded HIV counseling and testing sites across the United States and discuss implications for prevention policy. The present analysis used client-level data from 1990 through 1994 for 26 of 65 state, territorial, and local health departments receiving Centers for Disease Control...
Article
The development of an enzyme-linked immunosorbent assay (ELISA) for screening blood for antibodies to HIV was a major milestone in the history of AIDS prevention and treatment. Since early 1985, the Centers for Disease Control and Prevention (CDC) has provided public funds to state and local health departments to support a national HIV counseling-a...
Article
A previous study empirically compared the effects of two HIV-prevention interventions for men who have sex with men: (i) a safer sex lecture, and (ii) the same lecture coupled with a 1.5 h skills-training group session. The skills-training intervention led to a significant increase in condom use at 12-month follow-up, compared with the lecture-only...
Article
As the benefits of early diagnosis of HIV increase, US adults are more likely to be offered HIV counseling and testing in settings where they may not seek testing. Rates and determinants of counseling and testing acceptance in these settings are poorly understood. We reviewed articles and abstracts published from 1985 to 1995 which addressed rates...
Article
What are the variety and scope of administrative challenges faced by large bureaucratic structures when they implement system-wide change? Specifically, when decision making about priorities for human immunodeficiency virus (HIV) prevention programs was decentralized by the Centers for Disease Control and Prevention (CDC) and delegated to state and...
Article
A national random-sample survey of 4011 primary care physicians was conducted to determine the extent to which they are providing HIV prevention and clinical services, and to learn what characteristics and attitudes might impede the provision of such services. Physicians were asked about their history-taking practices for new adult and adolescent p...
Article
Two of the most important principles for the implementation of successful human immunodeficiency virus (HIV) prevention programs are the following: (a) planning for the programs must be done in conjunction with members of affected communities; and (b) the foundation of the programs should consist of solid behavioral, social, and epidemiological sci...

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