Jeffrey P. Koplan | |
---|---|
14th Director of the Centers for Disease Control and Prevention | |
In office October 5, 1998 –March 31, 2002 | |
President | Bill Clinton George W. Bush |
Preceded by | David Satcher |
Succeeded by | Julie Gerberding |
Personal details | |
Born | Boston,Massachusetts [1] |
Education | Yale University Harvard University (MPH) Mt. Sinai School of Medicine (MD) |
Jeffrey P. Koplan is an American physician and epidemiologist who is the Vice President for Global Health at Emory University. He established and became the first Director of the Emory Global Health Institute from 2006 to 2013. [2] Koplan was the director of the Centers for Disease Control and Prevention from 1998 [3] to 2002; [4] he had previously worked at the CDC for more than twenty years,looking into HIV-contaminated blood,as well as the Bhopal disaster. [5] During his tenure as Director,he fought syphilis, [6] and supervised the investigation into the 2001 anthrax attacks; [7] before leaving the agency in March 2002. [8]
Koplan earned a bachelor's degree in English from Yale University,a master's degree in public health from Harvard University and a medical doctorate from the Mt. Sinai School of Medicine. [1]
In the late 1990s,Congress gave the Centers for Disease Control (CDC) $23 million to conduct research on myalgic encephalomyelitis (also known as "chronic fatigue syndrome"). After concerns were raised about how these funds were being spent,an investigation was conducted by inspector general June Gibbons Brown. [9] The investigation revealed that $12 million of the funds were not properly allocated towards CFS research and the CDC had provided inaccurate statements (to Congress) regarding the CDC's investment in CFS research. Dr. Jeffrey Koplan defended the actions of the CDC with the following statement:"While CDC is not legally prohibited from spending funds budgeted for CFS on other programs,we acknowledge the importance of complying with the intent of Congress and providing information to Congress." [10]
The Centers for Disease Control and Prevention (CDC) is the national public health agency of the United States. It is a United States federal agency under the Department of Health and Human Services,and is headquartered in Atlanta,Georgia.
David Satcher,is an American physician,and public health administrator. He was a four-star admiral in the United States Public Health Service Commissioned Corps and served as the 10th Assistant Secretary for Health,and the 16th Surgeon General of the United States.
Julie Louise Gerberding is an American infectious disease expert who was the first woman to serve as the director of the U.S. Centers for Disease Control and Prevention (CDC). As of May 2022,she is the CEO of the Foundation for the National Institutes of Health (FNIH). Gerberding grew up in Estelline,South Dakota,attended Brookings High School,and earned undergraduate and graduate degrees from Case Western Reserve University. She was the chief medical resident at the University of California,San Francisco where she treated hospitalized AIDS patients in the first years of the epidemic. Gerberding became a nationally-recognized figure during the 2001 anthrax attacks in the United States during her tenure as the acting deputy director of the National Center for Infectious Diseases,where she was a prominent spokeswoman for the CDC during daily briefings regarding the attacks and aftermath. Gerberding then served as CDC director from 2002-2009,and was then hired as an administrator at Merck.
The history of chronic fatigue syndrome is thought to date back to the 19th century and before.
Treatment of chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME) is variable and uncertain,and the condition is primarily managed rather than cured.
Chronic fatigue syndrome (CFS) is an illness with a long history of controversy. Some professionals within the medical community do not recognize CFS as a genuine condition,nor is there agreement on its prevalence. There has been much disagreement over the pathophysiology of chronic fatigue syndrome,how it should be diagnosed,and how to treat it.
Clinical descriptions of chronic fatigue syndrome (CFS) vary. Different groups have produced sets of diagnostic criteria that share many similarities. The biggest differences between criteria are whether post-exertional malaise (PEM) is required,and the number of symptoms needed. The pathology of ME/CFS is unknown,and it can be a difficult condition to diagnose because there is no standard test,many symptoms are non-specific,and because doctors and patients may be unfamiliar with post-exertional malaise. Subgroup analysis suggests that,depending on the applied definition,CFS may represent a variety of conditions rather than a single disease entity.
Robert Ray Redfield Jr. is an American virologist who served as the Director of the U.S. Centers for Disease Control and Prevention and the Administrator of the Agency for Toxic Substances and Disease Registry from 2018 to 2021.
Walter Ian Lipkin is the John Snow Professor of Epidemiology at the Mailman School of Public Health at Columbia University and a professor of Neurology and Pathology at the College of Physicians and Surgeons at Columbia University. He is also director of the Center for Infection and Immunity,an academic laboratory for microbe hunting in acute and chronic diseases. Lipkin is internationally recognized for his work with West Nile virus,SARS and COVID-19.
Graded exercise therapy (GET) is a controversial programme of physical activity that starts very slowly and gradually increases over time. Intended as a treatment for chronic fatigue syndrome,its safety and effectiveness are disputed. GET is not recommended by the CDC and NICE specifically warns against it,but the Royal Australian College of General Practitioners still supports its use.
David Sheffield Bell is an American physician who has done extensive research on the clinical aspects of chronic fatigue syndrome (CFS). He has also conducted evaluations and research in pediatric CFS and written numerous articles about the condition.
Anne Schuchat is an American medical doctor. She is a former rear admiral and assistant surgeon general in the United States Public Health Service Commissioned Corps. She also served as the principal deputy director of the Centers for Disease Control and Prevention (CDC). In May 2021,Schuchat stepped down from her post.
Chronic fatigue syndrome (CFS),also called myalgic encephalomyelitis (ME) or ME/CFS,is a complex,debilitating,long-term medical condition. The root cause(s) of the disease are unknown and the mechanisms are not fully understood. Distinguishing core symptoms are lengthy exacerbations or flare-ups of the illness following ordinary minor physical or mental activity,known as post-exertional malaise (PEM);greatly diminished capacity to accomplish tasks that were routine before the illness;and sleep disturbances. The Center for Disease Control and Prevention's (CDC) diagnostic criteria also require at least one of the following:(1) Orthostatic intolerance or (2) impaired memory or attention. Frequently and variably,other common symptoms occur involving numerous body systems,and chronic pain is very common. The often incapacitating fatigue in CFS is different from that caused by normal strenuous exertion,is not significantly relieved by rest,and is not due to a previous medical condition. Diagnosis is based on the person's symptoms because no confirmed diagnostic test is available.
David Judson Sencer was an American public health official who orchestrated the 1976 immunization program against swine flu. Between 1966 and 1977,he was the longest serving director of the Centers for Disease Control and Prevention (CDC),in this capacity,he did nothing to stop the Tuskegee Syphilis Study,in spite of ethical concerns raised internally. From 1981 to 1986,he was Commissioner of Health of the City of New York.
Post-exertional malaise (PEM),sometimes referred to as post-exertional symptom exacerbation (PESE),is a worsening of chronic fatigue syndrome (ME/CFS) or long COVID symptoms that occurs after exertion. PEM is often severe enough to be disabling,and is triggered by ordinary activities that healthy people tolerate. Typically,it begins 12–48 hours after the activity that triggers it,and lasts for days,but this is highly variable. Management of PEM is symptomatic,and patients are recommended to pace their activities to avoid triggering PEM.
International May 12th Awareness Day,also known as International ME/CFS Awareness Day is held every year to raise awareness of myalgic encephalomyelitis (ME)/chronic fatigue syndrome (CFS),fibromyalgia,multiple chemical sensitivity,Gulf War syndrome and other chronic immunological and neurological diseases (CIND).
Idiopathic chronic fatigue (ICF) or chronic idiopathic fatigue or insufficient/idiopathic fatigue is characterized by unexplained fatigue that lasts at least six consecutive months. which does not meet the criteria for chronic fatigue syndrome. It is widely understood to have a profound effect on the lives of patients who experience it.
Peter C. Rowe is a physician and academic. A leading researcher in chronic fatigue syndrome,he is Professor of Pediatrics,Sunshine Natural Wellbeing Foundation Professor of Chronic Fatigue and Related Disorders,and Director of the Children's Center Chronic Fatigue Clinic at Johns Hopkins University School of Medicine.
John Michael Lane was an American epidemiologist who was a director of the Epidemic Intelligence Service's Global Smallpox Eradication program from 1973 to 1981,and who played a leading role in the eradication of smallpox in 1977.
The Open Medicine Foundation is a US-based charity that funds research into the illnesses myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS),fibromyalgia,post-treatment Lyme disease syndrome,and long COVID.