John A. Crump | |
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![]() Crump in 2019 | |
Alma mater | University of Otago London School of Hygiene and Tropical Medicine |
Awards | James H. Steele Veterinary Public Health Award (US Centers for Disease Control and Prevention, 2005) Bailey K. Ashford Medal (American Society of Tropical Medicine and Hygiene, 2012) Contents
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Scientific career | |
Fields | Infectious diseases Medical microbiology |
Institutions | University of Otago US Centers for Disease Control and Prevention Duke University |
Thesis | HIV prevention, treatment, and care in sub-Saharan Africa (Doctor of Medicine, 2012) |
Website | https://www.otago.ac.nz/profiles/professor-john-crump |
John Andrew Crump is a New Zealand-born infectious diseases physician, medical microbiologist, and epidemiologist. He is Professor of Medicine, Pathology, and Global Health at the University of Otago [1] and an adjunct professor of medicine, Pathology, and Global Health at Duke University. [2] He serves as Director of the Otago Global Health Institute, [3] one of the university's research centres. [4] His primary research interest is fever in the tropics, focusing on invasive bacterial diseases and bacterial and viral zoonoses. [1]
Crump was born in Oamaru and raised on a farm at Okaramio, attending Havelock School [5] and Marlborough Boys’ College. [6] He graduated MB ChB in 1993 and completed his MD doctoral thesis in 2013 on clinical and laboratory aspects of HIV in Tanzania from the University of Otago Medical School. [7] [8] He was awarded DTM&H in 1995 by the Royal College of Physicians after studying tropical medicine at the London School of Hygiene and Tropical Medicine. Crump trained as both an internist in infectious diseases and as a pathologist in medical microbiology in New Zealand, England, [9] Australia, and the US, being made MRCP(UK) in 1997, FRACP in 1999, FRCPA in 2004, and FRCP in 2009. He served as an Epidemic Intelligence Service Officer with the US Centers for Disease Control and Prevention (US CDC). [1]
Crump studies the diagnosis, management, and prevention of infectious causes of fever in the tropics other than malaria, a complex clinical problem that affects many millions annually particularly in low- and middle-income countries. [10] He has advocated for a comprehensive approach to investigating febrile illness as a necessary progression from the traditional disease-specific approach in tropical medicine. [11] He has contributed to describing the problem of malaria over-diagnosis, [12] and also to appreciation of range of neglected causes of fever including invasive bacterial diseases; [13] [14] bacterial zoonoses such as brucellosis, leptospirosis, Q fever, and rickettsioses; [15] [16] [17] [18] and viral diseases such as Rift Valley Fever. [19] [20] [21] Much of his research is trans-disciplinary involving close collaboration between human health experts, veterinarians, ecologists, and social scientists, and following the so-called 'One Health' approach. [22] [23]
Crump has led work characterizing the burden of typhoid fever, [24] [25] paratyphoid fever, [24] [25] and invasive nontyphoidal Salmonella disease [26] [27] that has contributed to diagnosis, management, and prevention efforts for these diseases, including vaccine deployment [28] and vaccine development. [29] He has served in a range of advisory roles to the World Health Organization, including on the burden of invasive salmonelloses to the Foodborne Diseases Epidemiology Reference Group, [30] the WHO Strategic Advisory Group of Experts on Immunization Working Group on Typhoid Vaccines, [31] and the WHO Immunization, Vaccines and Biologicals Technical Advisory Group on Salmonella vaccines. [32]
Crump has a research interest in ethics in global health training, spurred by concern for the unintended consequences of expansion of short-term global health training opportunities in low-resource areas. [33] With Dr. Jeremy Sugarman, Crump co-chaired the Wellcome Trust-funded Working Group on Ethics Guidelines for Global Health Training (WEIGHT) that developed initial guidelines for responsible global health training programs. [34] Crump has also highlighted the value of cosmopolitan principles and the challenges posed by health nationalism in global health responses. [35]
Crump was awarded the 2005 US CDC James H. Steele Veterinary Public Health Award [36] for outstanding contributions in the investigation, control, or prevention of zoonotic diseases or other animal-related human health problems. In 2012, Crump received the American Society of Tropical Medicine and Hygiene Bailey K. Ashford Medal [37] for distinguished work in tropical medicine. In 2022, Crump was awarded the Royal Society of Tropical Medicine and Hygiene Chalmers Medal for research of outstanding merit in tropical medicine and mentoring of junior investigators. [38] Crump was awarded the 2021 University of Otago Dunedin School of Medicine Dean's Medal for Research Excellence [39] and the 2024 University of Otago Distinguished Research Medal. [40]
As of December 2024, Crump had published >320 scientific manuscripts, cited >60,000 times. [41] He is a 2020 cross-field Clarivate Highly Cited Researcher, defined as having multiple papers ranked in the top 1% by citations for field and year.
Typhoid fever, also known simply as typhoid, is a disease caused by Salmonella enterica serotype Typhi bacteria, also called Salmonella typhi. Symptoms vary from mild to severe, and usually begin six to 30 days after exposure. Often there is a gradual onset of a high fever over several days. This is commonly accompanied by weakness, abdominal pain, constipation, headaches, and mild vomiting. Some people develop a skin rash with rose colored spots. In severe cases, people may experience confusion. Without treatment, symptoms may last weeks or months. Diarrhea may be severe, but is uncommon. Other people may carry it without being affected, but are still contagious. Typhoid fever is a type of enteric fever, along with paratyphoid fever. Salmonella enterica Typhi is believed to infect and replicate only within humans.
The fecal–oral route describes a particular route of transmission of a disease wherein pathogens in fecal particles pass from one person to the mouth of another person. Main causes of fecal–oral disease transmission include lack of adequate sanitation, and poor hygiene practices. If soil or water bodies are polluted with fecal material, humans can be infected with waterborne diseases or soil-transmitted diseases. Fecal contamination of food is another form of fecal-oral transmission. Washing hands properly after changing a baby's diaper or after performing anal hygiene can prevent foodborne illness from spreading.
An asymptomatic carrier is a person or other organism that has become infected with a pathogen, but shows no signs or symptoms.
Gastroenteritis, also known as infectious diarrhea, is an inflammation of the gastrointestinal tract including the stomach and intestine. Symptoms may include diarrhea, vomiting, and abdominal pain. Fever, lack of energy, and dehydration may also occur. This typically lasts less than two weeks. Although it is not related to influenza, in the U.S. and U.K., it is sometimes called the "stomach flu".
Tropical diseases are diseases that are prevalent in or unique to tropical and subtropical regions. The diseases are less prevalent in temperate climates, due in part to the occurrence of a cold season, which controls the insect population by forcing hibernation. However, many were present in northern Europe and northern America in the 17th and 18th centuries before modern understanding of disease causation. The initial impetus for tropical medicine was to protect the health of colonial settlers, notably in India under the British Raj. Insects such as mosquitoes and flies are by far the most common disease carrier, or vector. These insects may carry a parasite, bacterium or virus that is infectious to humans and animals. Most often disease is transmitted by an insect bite, which causes transmission of the infectious agent through subcutaneous blood exchange. Vaccines are not available for most of the diseases listed here, and many do not have cures.
Salmonellosis is a symptomatic infection caused by bacteria of the Salmonella type. It is the most common disease to be known as food poisoning, these are defined as diseases, usually either infectious or toxic in nature, caused by agents that enter the body through the ingestion of food. In humans, the most common symptoms are diarrhea, fever, abdominal cramps, and vomiting. Symptoms typically occur between 12 hours and 36 hours after exposure, and last from two to seven days. Occasionally more significant disease can result in dehydration. The old, young, and others with a weakened immune system are more likely to develop severe disease. Specific types of Salmonella can result in typhoid fever or paratyphoid fever. Typhoid fever and paratyphoid fever are specific types of salmonellosis, known collectively as enteric fever, and are, respectively, caused by salmonella typhi and paratyphi bacteria, which are only found in humans. Most commonly, salmonellosis cases arise from salmonella bacteria from animals, and chicken is a major source for these infections.
Paratyphoid fever, also known simply as paratyphoid, is a bacterial infection caused by one of three types of Salmonella enterica. Symptoms usually begin 6–30 days after exposure and are the same as those of typhoid fever. Often, a gradual onset of a high fever occurs over several days. Weakness, loss of appetite, and headaches also commonly occur. Some people develop a skin rash with rose-colored spots. Without treatment, symptoms may last weeks or months. Other people may carry the bacteria without being affected; however, they are still able to spread the disease to others. Typhoid and paratyphoid are of similar severity. Paratyphoid and typhoid fever are types of enteric fever.
A subclinical infection—sometimes called a preinfection or inapparent infection—is an infection by a pathogen that causes few or no signs or symptoms of infection in the host. Subclinical infections can occur in both humans and animals. Depending on the pathogen, which can be a virus or intestinal parasite, the host may be infectious and able to transmit the pathogen without ever developing symptoms; such a host is called an asymptomatic carrier. Many pathogens, including HIV, typhoid fever, and coronaviruses such as COVID-19 spread in their host populations through subclinical infection.
An attenuated vaccine is a vaccine created by reducing the virulence of a pathogen, but still keeping it viable. Attenuation takes an infectious agent and alters it so that it becomes harmless or less virulent. These vaccines contrast to those produced by "killing" the pathogen.
Ty21a is a live attenuated bacterial vaccine that protects against typhoid. First licensed in Europe in 1983 and in the United States in 1989, it is an orally administered, live-attenuated Ty2 strain of S. Typhi in which multiple genes, including the genes responsible for the production of Vi, have been deleted so as to render it harmless but nevertheless immunogenic. It is one of the three typhoid vaccines currently recommended by the World Health Organization.
Typhus, also known as typhus fever, is a group of infectious diseases that include epidemic typhus, scrub typhus, and murine typhus. Common symptoms include fever, headache, and a rash. Typically these begin one to two weeks after exposure.
John S. Marr is an American physician, epidemiologist, and author. His professional life has concerned outbreaks of infectious disease and thus his subsequent writing career has focused on that topic, particularly historical epidemics.
Edward Thomas Ryan is an American microbiologist, immunologist, and physician at Harvard University and Massachusetts General Hospital. Ryan served as president of the American Society of Tropical Medicine and Hygiene from 2009 to 2010. Ryan is Professor of Immunology and Infectious Diseases at the Harvard T.H. Chan School of Public Health, Professor of Medicine at Harvard Medical School, and Director of Global Infectious Diseases at the Massachusetts General Hospital. Ryan's research and clinical focus has been on infectious diseases associated with residing in, immigrating from, or traveling through resource-limited areas. Ryan is a Fellow of the American Society of Microbiology, the American Society of Tropical Medicine and Hygiene, the American College of Physicians, and the Infectious Diseases Society of America.
John Payne Woodall (1935–2016), known as Jack Woodall, was an American-British entomologist and virologist who made significant contributions to the study of arboviruses in South America, the Caribbean and Africa. He did research on the causative agents of dengue fever, Crimean–Congo hemorrhagic fever, o'nyong'nyong fever, yellow fever, Zika fever, and others.
Sheila Dorothy King, CD was a Barbadian-born, Jamaican academic and physician. She was the second woman to be appointed as full professor at the University of the West Indies (UWI). She was the first woman appointed as a professor in the Faculty of Medicine in 1983, ten years after she was appointed as head of UWI's Microbiology Department. A specialist in infectious disease and viral epidemiology, she advised numerous national, regional and international departments and governmental agencies on such diseases as dengue, influenza, and typhoid. In 1998, she was honored as a Commander of the Order of Distinction.
In 2000, typhoid fever caused an estimated 21.7 million illnesses and 217,000 deaths. It occurs most often in children and young adults between 5 and 19 years old. In 2013, it resulted in about 161,000 deaths – down from 181,000 in 1990. Infants, children, and adolescents in south-central and Southeast Asia experience the greatest burden of illness. Outbreaks of typhoid fever are also frequently reported from sub-Saharan Africa and countries in Southeast Asia. In the United States, about 400 cases occur each year, and 75% of these are acquired while traveling internationally.
Melita Alison Gordon is a gastroenterologist who works on invasive gut pathogens and tropical gastrointestinal disease. She leads the Malawi Liverpool Wellcome Trust Salmonella and Enterics Group. Gordon was awarded the British Society of Gastroenterology Sir Francis Avery Jones Research Medal in 2011.
Leopold Kirschner was an Austro-Hungarian, Dutch, and New Zealand bacteriologist specializing in leptospirosis. He is known for his work on the survival of Leptospira spp in the environment, research on conditions and media for Leptospira growth, his role in the initial discoveries of leptospirosis in New Zealand, for early epidemiologic descriptions of leptospirosis as an occupational disease of dairy farmers, and for the major pathogenic Leptospira species, Leptospira kirschneri, that was named in his honor.
David R. Murdoch is a New Zealand academic specialising in paediatric infectious diseases, especially pneumonia. He has also worked on Legionnaires' disease and has advised the Oxford University vaccine group and the New Zealand government on COVID-19. Murdoch served as Vice-Chancellor of the University of Otago between February 2022 and June 2023.
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