COHA Translational Fellowship Opportunity for Residency-Trained Veterinary Specialists Vector-borne Disease Epidemiology, Ecology, and Response: A ...

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COHA Translational Fellowship Opportunity
                  for Residency-Trained Veterinary Specialists
  Vector-borne Disease Epidemiology, Ecology, and Response: A One
      Health Approach to Tick-borne Disease in the Mid-Atlantic

Area of Research:
The Vector-Borne Disease Epidemiology, Ecology, and Response (VEER) Hub is a multi-
disciplinary research collaboration comprised of researchers and public health practitioners at
North Carolina State University (NC State) and the University of North Carolina at Chapel Hill
(UNC-CH). The primary goal of the collaboration is to develop and implement evidence-based,
surveillance, response, and control strategies to protect people, animals, and livelihoods from the
threat posed by vector-borne diseases.

University/Department:
The position will be based in the Vector-borne Disease Diagnostic Laboratory (VBDDL),
Department of Clinical Sciences and Comparative Medicine Institute (CMI) at NC State’s
College of Veterinary Medicine (CVM). The NC State-CVM is one of the top ranked veterinary
colleges in the US, with 150 faculty members and a 250-acre biomedical campus with state-of-
the-art facilities, including a Biosafety Level 3 laboratory. Fellows will have ample opportunities
to work with mentors and collaborators from the NC State-CVM, NC State Department of
Entomology and Plant Pathology, the UNC-CH School of Medicine, UNC-CH Gillings School
of Global Public Health, the NC Department of Health and Human Services (NCDHHS), and the
Department of Defense via a partnership with Fort Bragg.

Primary Mentor:
Barbara Qurollo, MS, DVM
Associate Research Professor
Department of Clinical Sciences-College of Veterinary Medicine
Vector-borne Disease Diagnostic Laboratory
North Carolina State University
baquroll@ncsu.edu

Mentor Team:
Ross M. Boyce, MD, MSc
Assistant Professor
Division of Infectious Diseases
University of North Carolina School of Medicine
roboyce@med.unc.edu

Michael H Reiskind, MPH, PhD
Associate Professor
Department of Entomology and Plant Pathology
North Carolina State University
mhreiski@ncsu.edu

Natalie Bowman, MD, MPH
Assistant Professor of Medicine
Division of Infectious Diseases
University of North Carolina School of Medicine
nbowman@med.unc.edu

Ed Breitschwerdt, DVM, DACVIM
The Melanie S. Steele Distinguished Professorship in Medicine
Professor, Internal Medicine
Department of Clinical Sciences-College of Veterinary Medicine
Vector-borne Disease Diagnostic Laboratory
North Carolina State University
ebbreits@ncsu.edu

Description of Potential Research Project(s):
The fellow will be part of a multi-institutional, inter-disciplinary team comprised of
computational biologists, epidemiologists, entomologists, physicians, molecular biologists, and
veterinarians assembled as part of the Vector-Borne Disease Epidemiology, Ecology, and
Response (VEER) Hub in North Carolina. VEER will implement a strong translational research
program for advancing our understanding of tick-borne disease (TBD) in NC and the Mid-
Atlantic region.

The fellow will be expected to lead an independent research project that applies a “One Health”
approach to the challenge of TBD in NC and the Mid-Atlantic. Potential projects, pending the
fellow’s interest, include: (1) establishing sentinel surveillance sites across NC counties of
predicted high TBD transmission intensity and vector suitability, (2) conducting an
epidemiological study of newly recognized ticks (e.g. Haemaphysalis longicornis) and emerging,
zoonotic pathogens (e.g. Heartland virus) that may impact human and animal health, and (3)
surveying TBD in humans, companion animals and reservoir hosts through participating
households, clinics and wildlife processing stations, respectively, in NC. Hosts will be tested for
a range of bacterial, protozoal and viral TBDs using serological and molecular identification
(PCR, RT-PCR and/or NGS modalities). The fellow may also participate in testing intervention
programs to minimize tick-host interactions with the goal of reducing the incidence of endemic
(i.e. rickettsioses) and emerging (i.e. Lyme disease) pathogens.

Additional Training Opportunities:
As a fellow at NC State’s CVM, they will have access to seminars, symposia, writing
workshops, and teaching opportunities. Specifically, fellows may attend and present at veterinary
specialty rounds (at the Veterinary Teaching Hospital), the CVM Research Forum, the
Postdoctoral Research Symposium, and the CMI Symposium; participate in grant writing
workshops and a monthly K Grant Writing Group through CVM’s Office of Research; teach
veterinary and undergraduate students as a guest lecturer, facilitator, or through week-long
electives for veterinary students (allows the fellow to design electives and practice teaching
methods such as active and problem-based learning or flipping the classroom); mentor students
through the VBDDL, mentors’ laboratories or through the CMI Summer Interdisciplinary
Research Initiative; and participate in the Teaching and Communications Certificate program,
Preparing the Professoriate program and Academy of Educators program. For further career
development opportunities, NC State and UNC both offer Professional Development Series’
including the NC State Preparing Future Leaders program and the UNC Center for Faculty
Excellence.

Working with collaborators, the fellow will participate in seminars and weekly meetings through
UNC-CH School of Medicine, Institute of Global Health and Infectious Diseases, and weekly
Infectious Diseases Epidemiology and Ecology Laboratory meetings. The fellow will be allowed
to shadow physicians in the Infectious Diseases Clinic and observe TBD management in human
medicine. VEER will support travel to a professional conference each year, first authorship of
manuscripts and grant writing opportunities for federal and state funding of projects.

Fellowships are for 2 years and provide stipend and employee benefits at
the NIH post-doctoral pay scale. Fellows may supplement their stipend
with up to 25% effort towards clinical work, if such work is in alignment
with the research and career development plan.

All fellowships will have a start date of fall 2021.

Biosketches of primary mentor and mentor team (NIH format, 4 pages):
OMB No. 0925-0001 and 0925-0002 (Rev. 03/2020 Approved Through 02/28/2023)

                                                 BIOGRAPHICAL SKETCH
                    Provide the following information for the Senior/key personnel and other significant contributors.
                                 Follow this format for each person. DO NOT EXCEED FIVE PAGES.

NAME: Barbara Qurollo

eRA COMMONS USERNAME (credential, e.g., agency login): baquroll

POSITION TITLE: Associate Research Professor

EDUCATION/TRAINING (Begin with baccalaureate or other initial professional education, such as nursing,
include postdoctoral training and residency training if applicable. Add/delete rows as necessary.)
                                                                      DEGREE              Completion
                                                                          (if               Date                    FIELD OF STUDY
          INSTITUTION AND LOCATION
                                                                     applicable)          MM/YYYY

 The University of West Florida, Pensacola FL                             BS                 05/1994           Biology
 NC State University, Raleigh NC                                          MS                 05/1999           Microbiology
 Colorado State University, Fort Collins, CO                             DVM                 05/2010           Veterinary Medicine
 Animal Emergency Center and Specialty Services,                          n/a                08/2011           Veterinary Internship
 Glendale, WI

 NC State University, Raleigh NC                                          n/a                08/2015           Postdoctoral Fellowship

A. Personal Statement

My research efforts are directed at advancing our understanding of the epidemiological and clinicopathological
effects of vector-borne diseases, with interest in Ehrlichia, Leishmania and Babesia organisms. My most recent
projects are related to vector-borne pathogen surveillance and discovery of zoonotic and emerging infectious
diseases, as well as developing improved molecular diagnostic techniques for vector-borne pathogens. During
my postdoctoral fellowship, I focused on vector-borne disease prevalence studies, clinical manifestations of
tick-borne infections in companion animals, and developing molecular diagnostics for the enhanced detection
of intracellular pathogens, including new assays for Anaplasma, Ehrlichia, Babesia, Bartonella, Leishmania,
Mycoplasma, Apicomplexa, Trypanosoma cruzi, and Rickettsia species. As a Research Associate Professor,
co-direct the Vector-borne Disease Diagnostic Laboratory at NC State College of Veterinary Medicine and am
currently working on several projects focused on vector-borne pathogen surveillance and discovery in Peru
and Madagascar. Furthermore, I am collaborating with two groups to utilize and expand upon next-generation
sequencing to detect novel pathogens in both companion animals and wildlife. Recent and current
collaborators include the University of North Carolina-Microbiome Core Facility, Duke University, The Duke
Lemur Center, and Universidad Peruana Cayetano Heredia, The College of Veterinary Medicine, Western
University in CA, the Universidad del Zulia, Maracaibo in Venezuela; Dipartimento di Sanità Pubblica
Veterinaria Faculty of Veterinary Medicine, University of Bari in Italy; St. George’s University School of
Veterinary Medicine in Grenada; and Oregon State University College of Veterinary Medicine in OR.

B. Positions and Honors

2020-present Associate Research Professor, North Carolina State University, College of Veterinary Medicine,
             Department of Clinical Sciences, Raleigh, NC
2015-2020    Assistant Research Professor, North Carolina State University, College of Veterinary Medicine,
             Department of Clinical Sciences, Raleigh, NC
2012-2015    Postdoctoral Research Scholar, North Carolina State University, College of Veterinary Medicine,
             Intracellular Pathogens Research Laboratory, Raleigh, NC
2010-2011       Veterinary Internship in Emergency Medicine and Critical Care, Animal Emergency Center and
                Specialty Services, Milwaukee, WI
2007-2010       Veterinary Student Research Assistant: Colorado State University (CSU), Animal Cancer
                Center, Fort Collins, CO
2005-2006       Scientist: AstraZeneca, Cancer Bioscience Discovery, Waltham, MA
2002-2005       Senior Associate Scientist: AstraZeneca, Cancer Bioscience Discovery, Waltham, MA
2001-2002       Senior Research Associate: Cereon Genomics, Microbial Discovery, Cambridge, MA
1999-2001       Research Associate: Cereon Genomics, Microbial Discovery, Cambridge, MA

Recognitions
2014      Postdoctoral Scholar of the Year Award, Department of Clinical Sciences, NCSU
2014         Travel Grant Award, Center for Comparative Medicine and Translational Research, NCSU
2013         Travel Grant Award, Center for Comparative Medicine and Translational Research, NCSU
2010         Clinical Oncology Award, CSU
2009         Professional Veterinary Medicine student grant

C. Contributions to Science

My most significant scientific contribution has been my involvement in vector-borne pathogen surveillance and
discovery of zoonotic and emerging infectious diseases, as well as developing improved molecular diagnostic
techniques for vector-borne pathogen discovery. Notable contributions include identification of a prevalent
Babesia species (B. vulpes; aka B. microti-like) in dogs in North America that caused clinical disease that was
previously thought to only be in dogs in Europe. Genetic organization of B. vulpes is in a clade that is
genetically different from typical NA canine Babesia spp., where routine molecular diagnostic assays did not
detect this species. I have identified and highlighted a high prevalence of tick-borne disease in Madagascar’s
endangered lemur populations.

D. Additional Information: Research Support and/or Scholastic Performance

Recent List of Published Work (2018-2020)
Qurollo BA, Stillman BA, Beall MJ, Foster P, Hegarty BC, Breitschwerdt EB; Ramaswamy Chandrashekar.
Comparison of Anaplasma and Ehrlichia species-specific peptide ELISA assays to immunofluorescent assays
for serological diagnosis of canine anaplasmosis and ehrlichiosis. 2020. In press AJVR.
First and corresponding author

Ernst E, Qurollo B, Olech C, and Breitschwerdt E. Bartonella rochalimae, a Newly Recognized Pathogen in
Dogs. 2020. In Press JVIM
Co-author, minor contribution

von Fricken ME, Qurollo BA, Boldbaatar B, Wang YW, Jiang RR, Lkhagvatseren S, Koehler JW, Moore TC,
Nymadawa P, Anderson BD, Matulis G. Genetic diversity of Anaplasma and Ehrlichia bacteria found in
Dermacentor and Ixodes ticks in Mongolia. Ticks Tick Borne Dis. 2020;11(1):101316.
Co-author, major contribution

Tyrell JD, Qurollo BA, Tornquist SJ, Schlaich KG, Kelsey J, Chandrashekar R, Breitschwerdt EB. Molecular
identification of vector-borne organisms in Ehrlichia seropositive Nicaraguan horses and first report of
Rickettsia felis infection in the horse. Acta tropica. 2019; 200:105170.
Corresponding author

Barash NR, Thomas B, Birkenheuer AJ, Breitschwerdt EB, Lemler E and Qurollo BA. Prevalence of Babesia
spp. and clinical characteristics of Babesia vulpes infections in North American dogs. JVIM. 2019; (5):2075-81.
Corresponding author

Qurollo BA, Ramaswamy C, Buch J, Beall MJ, Yancey C, Caudil A, Comyn A, and EB Breitschwerdt. Clinical
and laboratory findings in 41 dogs naturally infected with Ehrlichia ewingii. JVIM. 2019; 33:618-629.
First and corresponding author

Birkenheuer AJ, Marr HS, Wilson JM, Breitschwerdt EB, Qurollo BA. Babesia gibsoni cytochrome b mutations
in canine blood samples submitted to a US veterinary diagnostic laboratory. JVIM. 2018; 32:1965-1969.
Co-author, minor contribution

Vieira T, Qurollo BA, Mongruel A, Baggio RA, Vidotto O, Breitschwerdt EB, Viera RFC. Potentially same novel
Ehrlichia species in horses in Nicaragua and Brazil. Emerg Infect Dis. 2018; 24:953.
Co-author, major contribution

Lado P, Qurollo B, Williams C, Junge R, Klompen H. The microbiome of Haemaphysalis lemuris (Acari:
Ixodidae), a possible vector of pathogens of endangered lemur species in Madagascar. Ticks Tick Borne Dis.
2018; 9:1252-60.
Co-author, minor contribution

Qurollo BA, Larsen PA, Rakotondrainibe HH, Mahefarisoa K, Rajaonarivelo T, Razafindramanana
J, Breitschwerdt EB, Junge RE, Williams CV. Molecular surveillance of novel tick-borne organisms in
Madagascar's lemurs. Ticks Tick Borne Dis. 2018; 9:672-677.
First and corresponding author

Yancey CB, Diniz PP, Breitschwerdt EB, Hegarty BC, Wiesen C and Qurollo BA. Doxycycline treatment
efficacy in dogs with naturally occurring Anaplasma phagocytophilum infection. J Small Anim Pract. 2018; 59:
286 – 293.
Corresponding author

My bibliography from NCBI is available here:
https://www.ncbi.nlm.nih.gov/myncbi/1zO4fWZkqxUAz/bibliography/public/

Current Research Support

IDEXX Laboratories, Inc.
Salary support: Identify vector-borne infections and co-infections in companion animals and study associated
clinical manifestations (2018-2021)
Role: Recipient

Completed Research Support

Triangle Center for Evolutionary Medicine
Pan W (PI), Qurollo BA (Co-I), Lana J (Co-I), Kays RW. (Co-I). Cutaneous Leishmaniasis in Peru: A One
Health Working Group (2019-2020)
Role: Co-I

Comparative Medicine Institute, NC State                                B. Qurollo (PI), William Pan (PI),
Micheal Levy (Co-I), Roland Kays (Co-I), Charles Nunn (Co-I), Maggie Skiles (Co-I), Justin Lana (Co-I).
Untangling human-animal transmission of cutaneous leishmanaisis. Funded by NC State-Research Innovation
Seed Funding, NCSU-Comparative Medicine Institute, and matching funds Mike Levy (2017-2018).
Role: Co-PI

American Kennel Club Canine Health Foundation                                P.P. Diniz (PI), Oakley B. (PI), B.
Qurollo (Co-I). Improving and expanding the broad-range detection of canine tick-borne disease diagnostics
using next-generation sequencing. Funded by the American Kennel Club Canine Health Foundation (2016-
2019)
Role: Co-I

Triangle Center for Evolutionary Medicine
B. Qurollo (PI), P. Larsen (Co-I), C. Williams (Co-I), E. Breitschwerdt (Co-I). Prevalence and Zoonotic Potential
of Emerging Tick-borne Pathogens in Madagascar. Funded by TriCEM as Seed Funding for Research in
Evolutionary Medicine (2016-2019).
Role: PI

Comparative Medicine Institute/Center for Gastrointestinal Biology and Disease Microbiome Pilot Project
Initiative
Qurollo (PI) and E. Breitschwerdt (Co-I). Next Generation Sequencing to Detect Novel Pathogens in the Blood
of Dogs with Immune-mediated Hemolytic Anemia. Funded by the Comparative Medicine Institute/Center for
Gastrointestinal Biology and Disease Microbiome Pilot Project Initiative (2016)
Role: PI

IDEXX Laboratories, Inc.
Qurollo (PI) and E. Breitschwerdt (Co-I). Feline vector-borne disease in cats with acute onset fever (2016-
2018).
Role: PI
OMB No. 0925-0001 and 0925-0002 (Rev. 09/17 Approved Through 03/31/2020)

                                           BIOGRAPHICAL SKETCH
                                         DO NOT EXCEED FIVE PAGES.

NAME: Ross Mathew Boyce

eRA COMMONS USER NAME (credential, e.g., agency login): ROSS_BOYCE

POSITION TITLE: Assistant Professor

EDUCATION/TRAINING (Begin with baccalaureate or other initial professional education, such as nursing, include
postdoctoral training and residency training if applicable. Add/delete rows as necessary.)
                                                              DEGREE
              INSTITUTION AND LOCATION                                          MM/YY                FIELD OF STUDY
                                                          (if applicable)
  Davidson College                                             B.S.             05/01             Chemistry / Russian
  London School of Hygiene & Tropical Medicine               M.Sc.              03/12                Public Health
  University of North Carolina at Chapel Hill (UNC)           M.D.              05/12                  Medicine
  Massachusetts General Hospital (MGH)                     Residency            06/15              Internal Medicine
  University of North Carolina at Chapel Hill (UNC)        Fellowship           06/17             Infectious Diseases

A. Personal Statement
I am a physician scientist who uses epidemiological tools to identify, evaluate, and disseminate solutions to public
health problems, especially those related to infectious and vector-borne diseases. My areas expertise include tropical
medicine, clinical epidemiology, and spatial analysis, which I employ to advance our understanding of the geographic
factors that influence disease transmission. The underlying rationale behind my work is a desire to improve routine
disease surveillance and facilitate the implementation of evidence-based interventions in underserved areas.
Development and validation of robust diagnostic tools that can be deployed under sparse conditions to aid clinical
decision-making is a key component of this work. Overall, I believe that the leadership experience gained in the
military, together with formal training in infectious diseases and public health, provides me with a unique skillset to
serve as a mentor to a post-doctoral fellow undertaking One Health oriented research. I am invested and fully
committed to the success of the proposed program.

B. Positions and Honors
Positions and Employment
2002-2003       Rifle Platoon Leader, 2nd Infantry Division, US Army, Republic of Korea
2003-2004       Aide-de-Camp, 7th Infantry Division, US Army, Ft. Carson, CO
2004-2005       Reconnaissance Platoon Leader, 1st Cavalry Division, US Army, Baghdad, Iraq
2009-2010       Civil-Military Officer, 1st Cavalry Division, US Army, Mahmudiyah, Iraq
2012-2015       Resident, Internal Medicine, Massachusetts General Hospital, Boston, MA
                Clinical Fellow in Medicine, Harvard Medical School, Boston, MA
2015-2017       Fellow, Infectious Diseases, University of North Carolina at Chapel Hill, Chapel Hill, NC
2017-           Clinical Instructor, Division of Infectious Diseases, University of North Carolina at Chapel Hill
2018-           Visiting Associate Professor, Department of Community Health, Mbarara University of Science
                and Technology, Mbarara, Uganda
2018-           Associate Editor, International Health
2019-           Assistant Professor, University of North Carolina at Chapel Hill, Chapel Hill, NC

Other Experience and Professional Memberships
2012-          Member, American Medical Association
2012-          Member, American College of Physicians
2014-          Member, American Society of Tropical Medicine and Hygiene
2015-          Member, Infectious Disease Society of America
2015-           Diplomat, American Board of Internal Medicine: Certification in Internal Medicine
2017-           Diplomat, American Board of Internal Medicine: Certification in Infectious Diseases

Honors
1996            Eagle Scout, Boy Scouts of America
2001            Phi Beta Kappa, Davidson College
2001            Magna Cum Laude and Honors in Chemistry, Davidson College
2001            Honor Graduate, United States Army Infantry School
2004            Bronze Star Medal with Valor Device for Heroism in Combat, United States Army
2006            Fullerton Foundation Scholarship, University of North Carolina at Chapel Hill School of Medicine
2012            Okeke Prize & William Simpson Prize, London School of Hygiene & Tropical Medicine
2012            Alpha Omega Alpha, University of North Carolina at Chapel Hill School of Medicine
2012            Merck Manual Award, University of North Carolina at Chapel Hill School of Medicine
2014            MGH Jackson Society White Coat Fund for Resident Research
2015            Outstanding Research Award, MGH Internal Medicine Residency Program
2015            Elsevier Clinical Research Award (3rd Place), ASTMH Annual Meeting
2016            First Prize, International Journal of Epidemiology Photo Essay Competition
2016            UNC Global Health Scholar
2017            ASTMH/Bill & Melinda Gates Annual Travel Meeting Award
2018            Best Clinical Article of the Year, American Journal of Tropical Medicine & Hygiene

C. Contributions to Science

1. Since first traveling to Western Uganda in 2012, I have been focused on the spatial epidemiology of malaria in this
   highland area of great geographic diversity. With high mountain ridgelines nearing 2,000 meters in elevation only
   a few kilometers from low-lying river valleys, the region is a microcosm of global malaria transmission. My efforts
   to date have sought to better describe and explain the heterogeneity in transmission intensity across these
   environments. A key component of this work is the use of geographic information systems (GIS), which I used to
   create the first village-level map of the area. I am increasingly incorporating more powerful molecular measure of
   transmission intensity with the intent of more accurately and effectively targeting control and elimination
   interventions.

  1. Boyce R, Brazeau N, Fulton T, et al. Prevalence of molecular markers of antimalarial drug resistance across
     altitudinal transmission zones in highland Western Uganda . American Journal of Tropical Medicine and Hygiene.
     2019; 101(4):799-802. doi: 10.4269/ajtmh.19-0081.

   a. Boyce, R, Reyes, R, Mulogo, E, Ntaro, M, Matte, Metlay J, Band, L, Siedner, M. Severe flooding and
      malaria transmission in a highland area of Uganda: Implications for disease control in an era of global
      climate change. Journal Infectious Diseases. 2016: 214(9): 1403-1410. doi: 10.1093/infdis/jiw363.

   b. Boyce R, Hathaway N, Fulton T, et al. Reuse of malaria rapid diagnostic tests for amplicon deep
      sequencing to estimate Plasmodium falciparum transmission intensity in Western Uganda. Scientific
      Reports. 2018. 8: 10159. doi:10:1038/s41598-018-28534-3.

2. My initial interest in malaria rapid diagnostic tests (RDT) was spurred by an observation, made to me by a
   community health worker, that patients with both HRP-2 and pLDH antigen bands positive appeared more ill
than those with only a single positive antigen band. This led me to explore possible biologic mechanisms
     underlying the observation, eventually resulting in a small pilot study showing that patients with both antigen
     bands positive had higher parasite density and more severe anemia. These findings provided the basis for the
     larger, prospective Rapid Diagnostic Tests for Severe Malaria study, in which we attempted to use the
     discriminatory ability of the multiple-antigen RDT to identify patients at high risk for severe malaria. The
     overarching goal of this work is to improve the case management of malaria in high-transmission, rural settings
     without access to more advanced diagnostic modalities.

     a. Boyce, R, Reyes, R, Matte, M, Ntaro, M, Mulogo, E, Siedner, M. Use of a dual-antigen rapid diagnostic test to
        screen children for severe P. falciparum malaria in a high-transmission, resource-limited setting.
        Clinical Infectious Diseases. 2017: 65(9): 1509-1515. doi: 10.1093/cid/cix592

     b. Murungi, M, Fulton, T, Reyes, R, Matte, M, Ntaro, M, Mulogo, E, Juliano, J, Siedner, M, Boum, Y, Boyce, R.
        Improving the specificity of P. falciparum malaria diagnosis in high transmission settings with a two-step
        RDT and microscopy algorithm. Journal of Clinical Microbiology. 2017; 55(5): 1540-1549. doi:
        10.1128/JCM.00130-17.

     c. Boyce, R, Muiru, A, Reyes, R, Mulogo, E, Ntaro, M, Matte, M, Siedner, M. Impact of rapid diagnostic tests
        for the diagnosis and treatment of malaria at a peripheral health facility in Western Uganda: An
        interrupted time series analysis. Malaria Journal. 2015: 14: 203.

  3. During the World Health Organization’s most recent update of guidelines for the prevention and control of dengue
     (2009), it became clear that the evidence base supporting vector control strategies was extremely limited. Led by
     Dr. Olaf Horstick, we formed a collaboration seeking to consolidate existing studies through a series of systematic
     reviews in order to highlight best practices and identify knowledge gaps. We are now approaching the conclusion
     of this multi-year effort. I am transitioning to prospective, cross-sectional research to better define the
     epidemiology of dengue in East Africa with particular interest in the potential misdiagnosis of dengue as malaria.

     a. Horstick, O, Boyce, R, Runge-Ranzinger, S. Buidling the evidence base for dengue vector control:
        searching for certainty in an uncertain world. Pathogens and Global Health. 2018: 112(8): 395-403.

     b. Samuel, M, Maoz, D, Manrique, P, Ward, T, Ranzinger, S, Toledo, S, Boyce, R, Horstick, O. Community
        Effectiveness of Indoor Residual Spraying as a Method: A Systemic Review. PLoS Negl Trop Dis. 2017:
        11(8): e0005837. https://doi.org/10.1371/journal.pntd.0005837

     c. Boyce, R, Lenhart, A, Kroeger, A, Velayudhan, R, Roberts, B, Horstick, O. Bacillus thurengiensis irsraelensis
        (Bti) for the control of Dengue vectors: systemic literature review. Tropical Medicine & International
        Health. 2013: 18(5): 564-577. doi:10.1111/tmi.12087

  Complete list of published work in My Bibliography:
  https://www.ncbi.nlm.nih.gov/sites/myncbi/1FS5fC8omYg51/bibliography/48276562/public/?sort=date&directi
  on=ascending

D. Additional Information: Research Support and/or Scholastic Performance

  Ongoing Research Support

  Not assigned                             Boyce/Aiello (PI)              05/01/2019-04/30/2021
  CDC/NC DHHS
  Chatham County COVID Cohort (C4)
  The goal of this longitudinal population-based cohort is to monitor the seroprevalence of SARS-CoV-2 infection
  among a representative sample of residents in Chatham County.
  Role: Co-PI
COVID-19-2020-1                        Hernandez (PI)                    04/01/2020-09/1/2020
PCORI
Healthcare Worker Exposure Response and Outcomes of Hydroxychloroquine Trial (HERO-HCQ)
This multi-site, randomized controlled trial aims to test the effectiveness of hydroxychloroquine as prophylaxis against
COVID-19 in a large cohort of frontline healthcare workers.
Role: Site-PI

K23 AI141764                              Boyce (PI)                     12/01/2018-11/31/2023
NIAID
Serial killers to Mosquitos: The Spatial Targeting of Larval habitats in rural Uganda using geographic Profiling
This study seeks to evaluate the use of geographic profiling, a novel spatial analysis tool derived from
criminology, to more efficiently identify Anopheles larval habitats.
Role: PI

OPP1199232                                Boyce (PI)                     11/01/2018 – 04/30/2020
Gates Foundation
Accessible metrics of access: Novel tools to measure immunization coverage
The goal of the study is to assess three different metrics of healthcare access as surrogate measures of
immunization coverage by comparing facility-based estimates of healthcare access to immunization rates as
determined by a cross-sectional seroprevalence survey.
Role: PI

CFH Foundation                            Boyce (PI)                       03/01/2018-12/30/2019
Getting malaria “off the back” of women and children in Uganda
The aim of this pilot study is to determine the preliminary efficacy of applying insecticide to the cloth Ugandan
mothers use to carry young children on their backs to reduce the incidence of malaria among infants.
Role: PI

Takeda Vaccines                           Boyce (PI)                       07/01/2017 – 11/30/2019
Dengue as a cause of non-malarial febrile illness in Southwestern Uganda
The aim of this study is to determine if the dengue virus is endemic in Southwestern Uganda by testing patients
presenting with acute febrile illness with rapid diagnostic tests and PCR.
Role: PI

Completed Research Support

5T32AI007151-39                        Margolis (PI)               07/01/2017 – 11/30/2018
NIAID
Differing parasite populations in symptomatic and asymptomatic malaria
To determine the genetic relatedness of P. falciparum parasite populations among children with symptomatic
and asymptomatic malaria infection
Role: Post-doctoral trainee

Thrasher Research Fund                     Boyce (PI)                       12/18/2014 – 12/30/2017
Early Career Award (13469)
Rapid diagnostic tests for the identification of severe malaria
The goal of this study is to explore the efficacy of a multiple antigen RDT as a low-cost, scalable marker of severe
malaria for use in rural and peripheral health facilities
Role: PI
OMB No. 0925-0001/0002 (Rev. 08/12 Approved Through 8/31/2015)

                                    BIOGRAPHICAL SKETCH
    Provide the following information for the Senior/key personnel and other significant contributors.

                  Follow this format for each person. DO NOT EXCEED FIVE PAGES.
NAME: Reiskind, Michael
eRA COMMONS USER NAME (agency login): MREISKIND
POSITION TITLE: Associate Professor
EDUCATION/TRAINING (Begin with baccalaureate or other initial professional education, such as
nursing, include postdoctoral training and residency training if applicable.)
           INSTITUTION AND LOCATION                         DEGREE         Completion    FIELD OF
                                                         (if applicable)      Date        STUDY
                                                                           MM/YYYY
Amherst College, Amherst, MA                            AB               06/1995      Biology
University of Michigan, Ann Arbor, MI                   MPH              05/1999      Epidemiology
University of Michigan, Ann Arbor, MI                   PHD              05/2005      Biology
Florida Medical Entomology Laboratory, University Postdoctoral           08/2008      Mosquito
of Florida, Vero Beach, FL                              Fellow                        Biology

A. PERSONAL STATEMENT

I have the experience, training, and motivation to perform my role in the proposed research. I received
training in infectious disease epidemiology at the University of Michigan from 1997-1999, where I
completed thesis research on the epidemiology of dengue fever in the Amazonian region of Peru. This
research resulted in a publication that showed the importance of travel to urban centers as a risk factor for
dengue, and not peridomestic factors, an important discovery that other researchers have built upon. Since
that time, I have continued to focus my research on vector-borne disease, with a shift in focus to how
vector biology affects disease transmission in humans and animals. I have experience in several
mosquito-borne virus systems, including West Nile fever and chikungunya fever, in addition to dengue.
My research crosses several ecological scales, from individual physiology and behavior of mosquitoes to
landscape ecology of mosquito assemblages. I have also (starting in 2018), begun a research program on
the ecology of ticks as vectors of bacterial disease. My training and research experience are well suited to
the current proposal, as it will include a strong entomological component with a classic approach to the
epidemiology of a vector-borne disease. Publications pertinent to my abilities with regards to this
proposal:

    a. Reiskind, M.O.B., Labadie, P.E., Bargielowski, I., Lounibos, L.P., and Reiskind, M.H. 2018.
       Rapid evolution and the genomic consequences of selection against interspecific mating.
       Molecular Ecology 27 (18): 3641-3654. Doi: https://doi.org/10.1111/mec.14821.Reiskind, M.H.
       and Hopperstad, K.A. 2017. Gas stations for container breeding larval mosquito surveillance. J
       Med Entomol. doi: https://doi.org/10.1093/jme/tjx129
    b. Reiskind, M.H. and A.A. Zarrabi. 2012. Is bigger really bigger? Differential Responses to
       Temperature in Measures of Body Size of the Mosquito, Aedes albopictus. J Insect Physiol. 58
       (7): 911-917.
    c. Reiskind, M.H. and Lounibos, L.P. 2009. Effects of intraspecific larval competition on adult
       longevity in the mosquitoes Aedes aegypti and Aedes albopictus. Medical and Veterinary
       Entomology 23: 62-68.
B. POSITIONS AND HONORS

Positions and Employment
2008 - 2012     Assistant Professor, Department of Entomology and Plant Pathology, Oklahoma State
                University, Stillwater, OK
2012 - Present Assistant Professor, Department of Entomology, North Carolina State University,
                Raleigh, NC

Other Experience and Professional Memberships
2004 -         Member, Society of Vector Ecology
2005 -         Member, Entomological Society of America, Medical, Urban, and Veterinary Section
               Officer (VP, P, PP), 2018-2022 (anticipated).
2005 - 2009    Member, Ecological Society of America
2008 - 2012    Editorial Board, Journal of Medical Entomology, Entomological Society of America

Honors
2011             Best Paper, 2009-2011, Medical and Veterinary Entomology, Royal Entomological
                 Society
2016             Singapore Infectious Disease Initiative Short-term Visitorship, Singapore (through
                 Duke-NUS Medical School)
2016             CALS Teaching Award of Merit
2017             Outstanding Publication, University Center for Atmospheric Research, Boulder, CO.

C. CONRIBUTIONS TO SCIENCE
1. In my career, I have focused on the ecology of infectious disease, primarily through the lens of
mosquito-borne pathogens. I have examined the host-arthropod-pathogen interaction from the perspective
of the mosquito, the most important arthropod vector of disease. As with any ecological system, this
interaction benefits from an analysis at multiple scales. As such, I have examined how the ecology of
mosquitoes has potential impacts on the vectorial capacity of mosquito populations. At a coarse scale, my
research is examining mosquito distribution across a landscape and understanding how that may change
the risk of disease. I have described what landscape factors determine what species of mosquitoes are
found where, a critical piece of information knowing where to focus control efforts. Examples of this
include:

    a. Spence Beaulieu, M.R., Federico, J.L. and Reiskind, M.H. 2020. Mosquito diversity and dog
       heartworm prevalence in suburban areas. Parasites and Vectors 13, 12.
       https://doi.org/10.1186/s13071-019-3874-0
    b. Monaghan, A.J., Morin, C.W., Steinhoff, D.F., Wilhelmi, O., Hayden, M., Quattrochi, D.A.,
       Reiskind, M., Lloyd, A.L., Smith, K., Schmidt, C.A., Scalf, P.E., Ernst, K. 2016. On the
       seasonal occurrence and abundance of the Zika virus vector Aedes aegypti in the contiguous
       United States. PLoS Currents 8. doi:
       10.1371/currents.outbreaks.50dfc7f46798675fc63e7d7da563da76.
    c. Alto, B.W., Lounibos, L.P., Mores, C.N. and Reiskind, M.H. 2008. Larval competition alters
       susceptibility of adult Aedes mosquitoes to dengue infection. Proceedings of the Royal Society
       Biological Sciences 275: 463-471.
    d. Cooper, V. S., Reiskind, M. H., Miller, J. A., Shelton, K. A., Walther, B. A., Elkinton, J. S. and
       Ewald, P. W.. 2002. Timing of transmission and the evolution of virulence of an insect virus.
       Proceedings of the Royal Society of London Series B-Biological Sciences 269:1161-1165.
2. A second scale of inquiry to which I have made contributions is the interaction between species, with a
focus on competition between mosquito species, critical in determining the local/regional/global
distribution of vectors. Contributions in this area have been empirical and theoretical. I have also made a
unique contribution by illuminating the role of predation on adult mosquitoes with a study examining bats
and oviposition in Culex mosquitoes. These interactions can affect disease transmission either by altering
the landscape distribution (see previous) or by changing the vectorial capacity of a population of vectors.

    a. Yee D.A., Himel E., Reiskind M.H., Vamosi S.M. 2014. Implications of saline concentrations for
       the performance and competitive interactions of the mosquitoes Aedes aegypti (Stegomyia
       aegypti) and Aedes albopictus (Stegomyia albopicta). Med Vet Entomol. 28(1):60-9. doi:
       10.1111/mve.12007.. PubMed PMID: 23607885.
    b. Reiskind M.H., Wund M.A.. Experimental assessment of the impacts of northern long-eared bats
       on ovipositing Culex (Diptera: Culicidae) mosquitoes. J Med Entomol. 2009 Sep;46(5):1037-44.
       PubMed PMID: 19769034; PubMed Central PMCID: PMC3749376.
    c. Reiskind M.H., Wilson M.L. Interspecific competition between larval Culex restuans Theobald
       and Culex pipiens L. (Diptera: Culicidae) in Michigan. J Med Entomol. 2008 Jan;45(1):20-7.
       PubMed PMID: 18283938.
    d. Vandermeer, J., Evans, M. A., Foster, P., Hook, T. Reiskind, M. and Wund, M. 2002. Increased
       competition may promote species coexistence. Proceedings of the National Academy of Sciences
       of the United States of America 99: 8731-8736.

3. Finally, I am interested in tying larval physiology and behavior to outcomes at the adult stage critical
for disease transmission. These include daily survival, oviposition behavior, and vector-competence.
These contributions include highly cited articles and provide important parameters for predictive
mathematical models. I also want to note that often my work transcends at least two distinct scales of
inquiry (see sections 1 and 2).

    a. Spence-Beaulieu, M. and Reiskind, M.H. 2020. Comparative vector efficiency of two prevalent
       mosquito species for dog heartworm in North Carolina. Journal of Medical Entomology, 57 (2),
       608-614.
    b. Reiskind, M.H., and Janairo, M.S. 2018. Tracking larval behavior across development: effects of
       temperature and nutrients on individuals’ foraging behavior. Journal of Medical Entomology 55
       (5): 1086-1092. https://doi.org/10.1093/jme/tjy073.
    c. De Jesus, C.M. and Reiskind M.H. 2016. The importance of male body size on sperm uptake and
       usage, and female fecundity in Aedes aegypti and Aedes albopictus. Parasites and Vectors 9:447.
       Doi: 10.1186/s13071-016-1734-8.
    d. Westbrook C.J., Reiskind M.H., Pesko K.N., Greene K.E., Lounibos L.P. Larval environmental
       temperature and the susceptibility of Aedes albopictus Skuse (Diptera: Culicidae) to Chikungunya
       virus. Vector Borne Zoonotic Dis. 2010 Apr;10(3):241-7. doi: 10.1089/vbz.2009.0035. PubMed
       PMID: 19725768; PubMed Central PMCID: PMC2883477.

My bibliography from the NCBI is available
here: http://www.ncbi.nlm.nih.gov/sites/myncbi/1RiV8OBwveWA9/bibliograpahy/47426242/public/?sor
t=date&direction=ascending
D. RESEARCH SUPPORT

Completed Research Support
Faculty Research Development Program (internal). 2018-2019. “Testing Landscape Hypotheses of
                 Dengue Vector Mosquito Distributions.” $6,592. PI: M. Reiskind. Role: PI.
Inter-Institutional Planning Grant (UNC-GA). 2018-2019. “Establishing a State-Wide Public Health
                 Research Consortium: Addressing national entomological surveillance needs by
                 developing novel diagnostic methods through transdisciplinary collaborations.” $10,000.
                 PI: B. Byrd (WCU). Role: Co-PI
Department of Defense, Deployed Warfighters Protection Program, 2015-2019. “Kill-Pull-Kill: A New
                 Management Strategy for Filth Flies.” $749,109. PI: D.W. Watson, NCSU. Role: Co-PI.
Wake County, 2018-9. “Mosquito Surveillance Program for Wake County” $15,000. PI: M. Reiskind.
                 Role: PI.
North Carolina Department of Health and Human Services, 2018-9. “Mosquito-borne Disease Response
                 and Readiness for North Carolina.” $44,785. Role: PI.
North Carolina Department of Health and Human Services, 2018-9. “Tick Surveillance in North
                 Carolina.” $15,000. Role: PI.
North Carolina Department of Health and Human Services, 2018. “Investigations into North Carolina’s
                 Mosquito Threat.” $36, 916. Role: PI.
Wake County, 2018. “Mosquito Surveillance Program for Wake County ” $15,101. PI: M. Reiskind.
                 Role: PI.
North Carolina Department of Health and Human Services, 2017. “Mosquito Survey and Insecticide
                 Resistance in NC.” $54,844. PI: B. Byrd, Western Carolina University. Role: Co-PI.
North Carolina Department of Health and Human Services, 2017. “Vector-borne Disease Response.”
                 $30,000. PI: M. Reiskind. Role: PI.
North Carolina Department of Agriculture and Consumer Services, Pesticide Environmental Trust Fund,
                 2016-2017. “Regional Survey of Mosquito Control Knowledge and Usage in North
                 Carolina.” $6,625. PI: S. Richards, Eastern Carolina University. Role: Co-PI.
North Carolina Department of Health and Human Services, 2016. “Survey for Container-inhabiting
                 Aedes of Public Health Importance: North Carolina Preparedness Activities.”
                 $15,036.00. PI: B. Byrd, Western Carolina University. Role: Co-PI.
Wynne Innovation Grant, 2014-2015. “Development and application of a new genome sequencing
                 method for comparative genomics and gene mapping in non-model and ecologically
                 important species, the southern flounder (Paralichthys lethostigma) and the yellow fever
                 mosquito (Aedes aegypti). PI: M.O.B. Reiskind. Role: Co-PI. $40,000.

On-going Research Support
North Carolina Department of Health and Human Services, 2019-20. “Tick Surveillance for NC”
               $70,000. Role: PI.
Wake County, 2019-20. “Mosquito Surveillance Program for Wake County” $15,000. PI: M. Reiskind.
               Role: PI.
National Science Foundation, Systematics, Division of Environmental Biology, 2018-2021.
               “Phylogenomics to Advance Understanding of World Mosquito Diversity and Vector
               Ecology.” $1,190,595. PI: B. Wiegmann, NCSU. Role: Co-PI.
OMB No. 0925-0001 and 0925-0002 (Rev. 09/17 Approved Through 03/31/2020)

                                                 BIOGRAPHICAL SKETCH
                    Provide the following information for the Senior/key personnel and other significant contributors.
                                 Follow this format for each person. DO NOT EXCEED FIVE PAGES.

NAME: Bowman, Natalie McCarter

eRA COMMONS USER NAME: nbowman

POSITION TITLE: Assistant Professor of Medicine

EDUCATION/TRAINING
                                                                      DEGREE              Completion
                                                                          (if               Date                    FIELD OF STUDY
           INSTITUTION AND LOCATION
                                                                     applicable)          MM/YYYY

 Harvard College, Cambridge, MA                                           AB                 06/1999           Chemistry
 Cambridge University, Cambridge, UK                                    MPhil                11/2001           Biochemistry
 Columbia University College of Physicians and                            MD                 05/2007           Medicine
 Surgeons, New York, NY
 The Johns Hopkins Hospital, Baltimore, MD                           Residency               06/2010           Internal Medicine
 University of North Carolina, Chapel Hill, NC                       Fellowship              06/2013           Infectious Diseases
 UNC Gillings School of Global Public Health,                            MPH                 08/2013           Epidemiology
 Chapel Hill, NC

A. Personal Statement

I have diverse research and clinical experience in vector-borne infections, including Chagas disease, Zika, and
dengue. I have specific experience in the use of permethrin-impregnated clothing to protect from mosquito
bites, in a project where we demonstrated that permethrin-impregnated clothing maintained significant
repellant activity against Aedes aegypti mosquitoes despite genetic resistance to killing by pyrethroids. I also
have experience studying triatomines carrying At UNC, I have obtained a MPH in Epidemiology, which has
given me a strong methodological background in study design and data analysis. I have received funding from
the National Institutes of Health, Fogarty International Center, the UNC Center for AIDS Research (CFAR), and
the Burroughs Wellcome Fund/American Society of Tropical Medicine and Hygiene to support my research. I
am a practicing Infectious Diseases physician and routinely take care of vector-borne diseases in my patients. I
am currently working with the PI Dr. Boyce on another project examining the invasion of the Asian long-horned
tick into North Carolina, and I look forward to expanding our collaboration with this exciting new proposal.

B. Positions and Honors

Positions and Employment
1999-2000: Research assistant, Cardiology, Brigham and Women’s Hospital, Boston, MA
2004-2006: Research fellow, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, and AB
              PRISMA, Lima, Peru
2007-2010: Internal medicine resident, Johns Hopkins Hospital, Baltimore, MD
2010-2011: Freelance writer, Johns Hopkins POC-IT Guide, Baltimore, MD
2010-2013: Infectious diseases fellowship, University of North Carolina at Chapel Hill, Chapel Hill, NC
2011-2013: Locum tenens, Moses Cone Healthcare, Greensboro, NC
2013:         Locum tenens, Wake County Health Department HIV clinic, Raleigh, NC
2013-2014: Fogarty Global Health Fellow, University of North Carolina at Chapel Hill, Chapel Hill, NC
2013-2014: Clinical Instructor, University of North Carolina at Chapel Hill, Chapel Hill, NC
2014-present: Assistant Professor, University of North Carolina, Chapel Hill, Chapel Hill, NC
Licensing and Certifications
2010-present: North Carolina Medical License #2010-01099
2010-present: American Board of Internal Medicine certification in Internal Medicine
2012-present: American Board of Internal Medicine certification in Infectious Diseases

Professional Memberships
2011-present: Member, Infectious Diseases Society of America
2011-present: Member, HIV Medicine Association
2012-present: Member, American Society of Tropical Medicine and Hygiene

Honors and Awards
1995-1999: Harvard College Scholarship
2000-2001: Cambridge Overseas Trust Bursary
2004-2005: Fogarty Ellison Overseas Fellowship in Global Health and Clinical Research
2006:         Honorable mention, Alpha Omega Alpha Pharos Medical Student Essay Contest
2006:         CDC Foundation OC Hubert Fellowship
2012:         ID Week Fellows’ Day Workshop Travel Grant
2012:         American Society of Tropical Medicine and Hygiene 2012 Annual Meeting Travel Award
2012-present: NIH Loan Repayment Program
2013:         Delta Omega Honorary Society in Public Health
2013-2014: Fogarty Global Health Fellowship
2014-2016: UNC CFAR Developmental Award
2016:         UNC Junior Faculty Development Award
2016:         Caregivers at Carolina Travel Award
2017-present: Doris Duke Caregivers at Carolina Award
2019:         Dr. James W. Woods Junior Faculty Award

C. Contributions to Science

1. Epidemiology and biology of disease vectors
I have been involved in projects characterizing the biology and ecology of insect vectors of Chagas disease
(Triatoma infestans) and flaviruses including dengue and Zika (Aedes aegypti). Studies I have led recently
have examined the phenotypic repellant effect of pyrethroids on pyrethroid-resistant mosquitoes and
characterized the hindgut microbiome of triatomines.
• Waltmann A, Willcox AC, Balasubramanian S, Borrini Mayor K, Mendoza Guerrero S, Salazar Sanchez
    RS, Roach J, Condori Pino C, Gilman RH, Bern C, Juliano JJ, Meshnick SR, Levy MZ, Bowman NM.
    Hindgut microbiota in laboratory-reared and wild Triatoma infestans. PLoS Neglected Tropical Diseases,
    (2019) 13:e0007383. PMC6522061.
• Bowman NM, Akialis K, Cave G, Barrera R, Apperson C, Meshnick SR. Pyrethroid insecticides maintain
    repellent effect on knockdown resistant populations of Aedes aegypti mosquitoes. PLoS One (2018)
    13:e0196410. PMC5953453.
• Levy MZ, Bowman NM, Kawai V, Waller L, Cornejo del Carpio JG, Cordova Benzaquen E, Gilman RH,
    Bern C. Peri-urban infestation by Triatoma infestans carrying Trypanosoma cruzi in Arequipa, Peru.
    Emerging Infectious Diseases (2006) 12:1345-1352. PMC17073082.

2. Epidemiology, control, and pathogenesis of Zika virus infection
With collaborators in León, Nicaragua and at UNC, I participated in several projects studying the epidemiology
and pathogenesis of Zika virus infection during the American outbreak 2015-2017. My primary work involved a
longitudinal cohort of patients presenting with acute illness concerning for Zika virus. We followed these
patients for 6-12 months and measured viral shedding in various body fluids as well as examined risk factors
for infection. I was also involved in a pregnancy cohort and related birth cohort to examine neuropsychological
outcomes of Zika infection prior to birth or in early childhood.
• Becker-Dreps S, Stringer EM, Bucardo F, Bowman NM, Boivin MJ. Is there a silver lining to the American
     Zika epidemic? Lancet Infectious Diseases (2020) 20:14-15
•   Kalmin M, Gower E, Stringer E, Bowman N, Rogawksi E, Westreich D. Misclassification in defining and
    diagnosing microcephaly. Accepted to Paediatric and Perinatal Epidemiology (2019) 13:e0007383.
    PMC6662617.
•   *Reyes Y, *Bowman NM, Becker-Dreps S, Centeno E, Collins MH, Liou GJA, de Silva A, Bucardo F.
    Prolonged shedding of Zika virus RNA in vaginal secretions from Nicaraguan women. Emerging Infectious
    Diseases (2019) 25:808-810. PMC6433009.
•   Collins MH, Tu HA, Gimblet-Ochieng C, Liou G-JA, Jadi RS, Metz SW, Thomas A, McElvany BD, Davidson
    E, Doranz BJ, Reyes Y, Bowman NM, Becker-Dreps S, Bucardo F, Lazear HM, Diehl SA, de Silva AM.
    The human antibody response to Zika targets type-specific quaternary structure epitopes. JCI Insight
    (2019) 4:e124588. https://doi.org/10.1172/jci.insight.124588. PMC6538335.

3. The epidemiology of urban Chagas disease
This body of work describes the epidemiology of Chagas disease in periurban communities of Arequipa, Peru,.
In some neighborhoods, triatomines infested the majority of houses, but the presence of Trypanosoma cruzi
was more focalized. Our work showed that the parasite became established in a series of “micro-epidemics”
that occurred after widespread triatomine infestation in these neighborhoods. Since Chagas disease has
historically been a problem mainly in rural areas, these finding have important implications for control efforts,
especially vector control and human screening programs. Levy MZ, Small DS, Vilhena DA, Bowman NM,
Kawai V, Cornejo del Carpio JG, Cordova-Benzaquen EG, Gilman RH, Bern C, Plotkin J. Retracing micro-
epidemics of Chagas disease using epicenter regression. PLoS Computational Biology (2011) 7:e1002146.
PMC21935346.
• Levy MZ, Bowman NM, Kawai V, Plotkin JB, Waller LA, Cabrera L, Steurer F, Seitz AE, Pinedo-Cancino
    VV, Cornejo del Carpio JG, Cordova-Benzaquen E, McKenzie FE, Maguire JH, Gilman RH, Bern C. Spatial
    patterns in discordant diagnostic results for Chagas disease: links to transmission hotspots. Clinical
    Infectious Diseases (2009) 26:134-145. PMC19278335.
• Bowman, NM, Kawai V, Levy MZ, Cornejo del Carpio JG, Cabrera L, Delgado F, Malaga F, Cordova
    Benzaquen E, Pinedo VV, Steurer F, Seitz AE, Gilman RH, Bern C. Chagas disease transmission in
    periurban communities of Arequipa, Peru. Clinical Infectious Diseases (2008) 46:1822-8. PMC18462104.

4. Epidemiology of Plasmodium falciparum malaria
I have worked on several projects investigating the epidemiology of Plasmodium falciparum malaria in Africa.
In the first, we found that while humoral immune responses to malaria were long-lived in Kenyan children, only
shorter-lived cellular responses were associated with protection from infection. In the second, we found that
malaria diversity in Lilongwe, Malawi was higher in children than in adults, perhaps due to poorly developed
immunity, and that there were differences in parasite populations locally. In the third, we analyzed a cohort of
pregnant women followed and discovered that HIV only increased risk of parasitemia in multigravidae.
• Bowman NM, Juliano JJ, Snider CJ, Kharabora O, Meshnick SR, Vulule J, John CC, Moormann AM.
    Longevity of genotype-specific immune responses to Plasmodium falciparum merozoite surface protein 1 in
    Kenyan children from regions of different malaria transmission intensity. American Journal of Tropical
    Medicine and Hygiene (2016) 95:580-587. PMC5014263.
• Bowman NM, Congdon S, Mvalo T, Patel JC, Escamilla V, Emch M, Martinson F, Hoffman I, Meshnick
    SR, Juliano JJ. Comparative population structure of Plasmodium falciparum circumsporozoite protein
    NANP repeat lengths in Lilongwe, Malawi. Scientific Reports (2013) 3:1990. doi:10.1038/srep01990.
    PMC23771124.
• Nhkoma ET, Bowman NM, Kalilani-Phiri L, Mwpasa V, Rogerson SJ, Meshnick SR. The effect of HIV
    infection on the risk, frequency, and intensity of Plasmodium falciparum parasitemia in primigravid and
    multigravida women in Malawi. American Journal of Tropical Medicine and Hygiene (2012) 87:1022-1027.
    PMC23045249.

Online list of published work in MyBibliography:
https://www.ncbi.nlm.nih.gov/myncbi/natalie.bowman.1/bibliography/public/

D. Additional Information: Research Support

Ongoing Research Support
University of North Carolina               Bowman (PI)                                         04/03/2020-present
Epidemiological and immunological aspects of Coronavirus disease 2019 (COVID-19) in North Carolina
Role: Principal investigator
The goal of this project is to characterize clinical features of COVID-19 in the North Carolina population and
describe viral transmission through the population during the evolving SARS-CoV-2 epidemic.

NC TraCS 550KR242003                       Bowman (PI)                                     05/01/2020-04/30/2021
Epidemiological and immunological aspects of Coronavirus disease 2019 (COVID-19) in North Carolina
Role: Principal investigator
The goal of this project is to characterize clinical features of COVID-19 in the North Carolina population and
describe viral transmission through the population during the evolving SARS-CoV-2 epidemic.

University of North Carolina NC Collaboratory, NC DHHS             Bowman (PI)            06/01/2020-12/31/2020
Tracking COVID-19 outbreaks in the food supply industry
The goal of this project is to characterize transmission of SARS-CoV-2 in poultry, pork, and agricultural
industries and to define factors that affect risk of transmission in the workplace and home.
Role: Principal Investigator

2R01 AI107028                            Gilman (PI)                                  07/01/2019-06/31/2024
Title: Predictors of cardiomyopathy progression in a Chagas disease cohort in Bolivia
This study, a renewal of a cohort study examining biomarkers of Chagas cardiomyopathy, aims to more deeply
examine the pathogenesis of Chagas cardiomyopathy using cardiac testing and transcriptomics to characterize
immune and inflammatory pathways that play a role.
Role: Coinvestigator

R01 AI136722-01                           Gilman (PI)                                   06/18/2018-05/31/2023
Title: Novel nanoparticular diagnostics for cerebral toxoplasmosis and Chagas in HIV patients living in Latin
America
The goal of this award is to develop new nanoparticle-based antigen detection tests using urine and/or
cerebrospinal fluid to detect toxoplasmosis, Chagas disease, and tuberculosis in HIV-infected patients.
Role: Coinvestigator

R01 AI127845-01                          Becker-Dreps (PI)                               09/27/2016-08/31/2021
Natural history, immunity, and transmission patterns of sapovirus in a Nicaraguan birth cohort
The goal of this award is to understand the epidemiology and natural history of sapovirus, characterize the
development of immunity to sapovirus in early childhood, and describe patterns of transmission in households.
Role: Coinvestigator

R21 AI137902-01                             Bowman, Becker-Dreps, Bucardo (co-PIs)      04/01/2019-03/31/2021
Title: Implications of congenital Zika virus infection
This project evaluates the effect of maternal dengue immunity on risk of Zika virus infection during pregnancy,
assesses the impact of congenital Zika virus exposure on primary dengue infection, and describes kinetics of
Zika-specific maternally-acquired antibodies.
Role: Lead Principal Investigator

TriCEM Seed Grant                         Boyce (PI)                                     02/01/2020-01/31/2021
Title: Emergence of pyrethroid resistance in response to permethrin-treated uniforms
This project has a goal to evaluate the ecological effect of the use of permethrin-impregnated uniforms on the
prevalence of insecticide resistance in local mosquito populations.

UNC Explorations in Global Health          Bowman (PI)                                    08/01/2019-12/01/2020
Title: The use of novel point-of-care diagnostics for toxoplasmosis and Chagas disease in people living with
HIV in Peru and Bolivia
The goal of this project is to develop recombinase polymerase amplification-lateral flow assays to detect these
pathogens in the blood and cerebrospinal fluid of HIV-infected patients and to transfer this knowledge to
laboratories at our sites in Peru and Bolivia.
BIOGRAPHICAL SKETCH
        Provide the following information for the Senior/key personnel and other significant contributors.
                     Follow this format for each person. DO NOT EXCEED FIVE PAGES.
NAME: : Edward B. Breitschwerdt

eRA COMMONS USER NAME (credential, e.g., agency login): ebbreits

POSITION TITLE: Professor of Medicine and Infectious Diseases

EDUCATION/TRAINING (Begin with baccalaureate or other initial professional education, such as nursing,
include postdoctoral training and residency training if applicable. Add/delete rows as necessary.)
                                                                            Completion
                                                             DEGREE
                                                                              Date           FIELD OF STUDY
             INSTITUTION AND LOCATION                     (if applicable)
                                                                            MM/YYYY

 University of Maryland, College Park, MD                      BS             1970       Animal Science
 University of Georgia, College of Veterinary Medicine,       DVM             1974       Veterinary Medicine
 Athens, GA
                                                           Internship         1975       Board Certification,
 University of Missouri, Columbia MO                        Medicine          1977       Veterinary Internal
                                                           Residency                     Medicine

A.     Personal Statement

I have spent my career as an academic veterinary internist with a research interest in vector-transmitted
intracellular pathogens. For over 25 years, I have been the co-director of the NCSU-CVM Vector-Borne
Diseases Diagnostic Laboratory, principal investigator for the Intracellular Pathogens Research Laboratory and
more recently, Director of the NCSU Biosafety Level III Laboratory in the NCSU Comparative Medicine
Institute. Historically, our research has focused on important tick-transmitted pathogens in the genera
Anaplasma, Babesia, Borrelia, Ehrlichia and Rickettsia.

For the past decade, we have emphasized studies directed at the genus Bartonella. From a comparative
medical perspective, Bartonella are critically important emerging pathogens in both human and veterinary
medicine. Most recently, my research group has lead efforts to enhance the diagnostic detection of these
highly fastidious bacteria in animal and human patient samples. As a result, we have generated preliminary
case-based data to support chronic intravascular infection with several Bartonella spp. in immunocompetent
humans. We have also generated data to support a potential role for persistent Bartonella spp. infection as a
cause of cardiovascular, neurologic and rheumatologic abnormalities in human beings.

1. Breitschwerdt EB, RG Maggi, WL Nicholson, NA Cherry, CW Woods: Bartonella spp. bacteremia in
   patients with neurological and neuro-cognitive dysfunction. J Clin Microbiol 46:2856-2861; 2008.
2. Maggi RG, PE Mascarelli, EL Pultorak, BC Hegarty, JM Bradley, BR Mozayeni, EB Breitschwerdt: Bartonella
   spp. bacteremia in high-risk immunocompetent patients. Diagn Microbiol Infect Dis. 71: 43-37; 2011.
3. Yancey CB, Hegarty BC, Qurollo BA, Levy MG, Birkenheuer AJ, Weber DJ, Diniz PPVP, Breitschwerdt EB.
   Regional seroreactivity and vector-borne disease co-exposures in dogs in the United States from 2004-2010:
   Utility of canine surveillance. Vector Borne Zoonotic Dis 14:724-732; 2014.

B.     Positions and Honors

1982–present Associate/Professor: Medicine and Infectious Diseases, North Carolina State University College
             of Veterinary Medicine, Raleigh, NC
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