CDC PHIL Images From This Week

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PHIL Images From This Week 18000 3/2/2018 08:00 AM EDT Captured in September, 2014, by Ally Sterman, OC Hubert Fellow, Ohio State University School of Veterinary Medicine, this image depicts U.S. Centers for Disease Control and Prevention (CDC) Veterinary Medical Officer, Ryan M. Wallace, DVM, MPH, in the process of training veterinarians at a spay/neuter clinic in Ethiopia. In many parts of the world standard veterinary services, an integral component of rabies control, are not present. CDC is collaborating with the Ethiopian government, Gondar University, and Ohio State University to help improve veterinary infrastructure to keep animals healthier, and prevent rabies.   11653 3/1/2018 08:00 AM EDT This digitally-colorized scanning electron microscopic (SEM) image depicted a Giardia muris protozoan adhering itself to the microvillous border of an intestinal epithelial cell. Each small circular profile under the protozoan represents the rounded tip of a single microvillous, and it is estimated that 2000 to 3000 microvilli cover the surface of a single intestinal epithelial cell. The two circular lesions on the right side of the photograph are impressions made by the ventral adhesive disk of other G. muris organisms. This disk acts like a suction cup, facilitating the organism's attachment to the intestinal surface.   19843 2/28/2018 08:00 AM EDT This photograph depicts a tract of pastureland populated by a herd of cows and sheep, which were being managed by two herders (see PHIL 19840). In this view, you can see a group of sheep, as they were in the process of crossing a rural roadway. The image was captured during an investigation by a Georgian Field Epidemiology Training Program (FETP) team, into a cutaneous anthrax outbreak that involved the possible contamination of this grassland. Therefore, the animals, and the pasture itself, along with the human population, were all tested for the existence of Bacillus anthracis bacteria, or spores. The investigation took place in the Kakheti region, of Eastern Georgia, in 2012.   20023 2/27/2018 08:00 AM EDT Created on December 3, 2012, this photograph was provided by U.S. Centers for Disease Control and Prevention (CDC) Health Communication Specialist, Alan Janssen, MSPH, while he was in the northern Indian state of Uttar Pradesh reviewing the methods, and implementation of the regions measles and polio vaccination programs. In this particular view, Alan can be seen standing with a group of Indian social mobilizers in the center, back row, in order to pose for this quick snapshot during his immunization review exercise.   22485 2/26/2018 08:00 AM EDT Entitled, "Hygiene Program for Egyptian School Children", this image was captured by CDC Public Health Advisor, Kathie Fazekas, MPH, in the Center for Global Health (CGH), Division of Global HIV/AIDS, Program Budget and Extramural Management Branch. The photo shows the fruits of a program targeting school children in Cairo, Egypt. The program offered instructions on proper hand-washing technique, and how to cover coughs, in an effort to decrease transmission of the flu virus. Program activities included having the children create a play with songs about good hand-washing hygiene, and the importance of covering coughs and sneezes. This photo earned Kathie a tie for the First Place award in the 2011 CDC Connects Annual Public Health in Action Photo Contest, in the category of International Programs.

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22450 3/9/2018 08:00 AM EDT Captured by Centers for Disease Control and Prevention (CDC) staff member, Derek Sakris, this image depicts Erin Rothney (left), Officer In Charge of CDC's Chicago Quarantine Station, and Officer Chelsea Williams, as they were in the process of assessing a sick traveler arriving at Chicago's O'Hare International Airport. CDC's Quarantine Station public health officers respond to reports of sick travelers at 18 U.S. international airports, and land ports of entry, where most international travelers arrive. This picture was an entry in the 2016 CDC Connects, Public Health in Action Photo Contest, in the categories of Programs-Domestic and People-Domestic.   20582 3/7/2018 08:00 AM EDT After having collected their rickettsial investigation data in the form of field acquired specimens (see PHIL 20581), these epidemiologists had gathered around a table located inside an unknown medical facility, and upon which they'd placed their specimens, which they'd begun to analyze and collate. This epidemiologic study had been conducted in an unknown location in China. These field workers were still dressed in their personal protective equipment (PPE), which covered their heads and bodies, in order to protect them from the possibility of tick bites, and an ensuing rickettsial disease.   20577 3/6/2018 08:00 AM EDT Captured in an unidentified location in China, this image depicts two Chinese Field Epidemiology Training Program (FETP) students, who were in the process of assembling, and properly placing squirrel traps in a mountainous region near a scrub typhus outbreak. Scrub typhus, is caused by the rickettsial micro-organism, Orientia tsutsugamushi.   16517 3/5/2018 08:00 AM EDT Under a magnification of 158X, this Warthin-Starry stained photomicrograph of a heart tissue specimen revealed the presence of a number of Borrelia burgdorferi spirochetes. At this stage, after having infected the heart muscle, the disease is more specifically referred to as Lyme carditis.

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PHIL Images From This Week

11511 3/16/2018 08:00 AM EDT This home's interior, though beautiful, houses a potential hazard on many levels, therefore, special care need be taken in order to safely operate this wood-burning stove. Not only does it generate a terrific amount of heat, it does so by using flame, rather than electricity, which is much more difficult to control. This woman was about to place what appears to be a piece or treated lumber into the stove as fuel.   19637 3/15/2018 08:00 AM EDT This photograph was captured in November, 2014, and depicts entomologists with the Yemeni Field Epidemiology Training Program (FETP) team, as they were in the process of collecting samples from a stagnant water basin, during an outbreak investigation of Dengue fever in Alhudaidah, Yemen. These scientific investigators were checking for the presence of Aedes spp. mosquito larvae, which upon becoming adults, are responsible for transmitting the Dengue fever virus.   19919 3/14/2018 08:00 AM EDT This image was taken in the Kibaale District of Uganda, during that nation's July - August, 2012, Ebola outbreak, and depicts villagers posing for this picture, while standing in this banana field. Two of the women were wearing colorful, characteristic Ugandan outfits. According to the World Health Organization (WHO), it was inside the Kibaale District that the 2012, Ugandan Ebola outbreak began.   19859 3/13/2018 08:00 AM EDT Captured in November, 2012, this image depicts Chinese Field Epidemiology Training Program (FETP) resident, Dr. Xu Ye-qing, as she was taking snapshots of roadways in, and around Tienanmen Square, inside China's capital city of Beijing. Data collected by Dr. Ye-qing was used in an investigation involving the risk factors of bikeways shared with motor vehicles on the Square's main roads.   8035 3/12/2018 08:00 AM EDT This 2000 image depicted public health practitioners, and Stop Transmission of Polio (STOP) team members in the process of visiting a rural village, in order to check up on the inhabitants, and to follow up on suspected cases of acute flaccid paralysis (AFP), or frank poliomyelitis. The arrival of visitors to a village was always greeted by a large crowd of curious residents, many of whom were young children. This was one of many photographs provided by Chris Zahniser, BSN, RN, MPH, a STOP immunization initiative team member, and photographe,r who was assigned to the state of Uttar Pradesh in northern India, and spent three months working in the Districts of Gorakhpur, and Deoria.

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14576 3/23/2018 08:00 AM EDT Photographed by U.S. Navy photographer, Mass Communication Specialist, 2nd Class, Erik C. Barker, in Betania, Nicaragua, this 2008 image depicts U.S. Public Health Service (USPHS) Lt. Cmdr. Gary Brunette, in the process of cleaning and applying fluoride to the teeth of a young Nicaraguan boy, so that over time, the enamel of his teeth would be strengthened. Lt. Cmdr. Brunette was deployed aboard the amphibious assault ship, the USS Kearsarge (LHD 3), which was supporting the Caribbean phase of operation CP08, an equal partnership mission between the United States, Canada, the Netherlands, Brazil, Nicaragua, Panama, Colombia, Dominican Republic, Trinidad and Tobago and Guyana.   22739 3/22/2018 08:00 AM EDT

This photograph was captured in November, 2014, and depicts entomologists with the Yemeni Field Epidemiology Training Program (FETP) team, as they were in the process of collecting samples from a stagnant water basin, during an outbreak investigation of Dengue fever in Alhudaidah, Yemen. These scientific investigators were checking for the presence of Aedes spp. mosquito larvae, which upon becoming adults, are responsible for transmitting the Dengue fever virus.

19447 3/21/2018 08:00 AM EDT This image was captured in the country of Nepal in 2011, by U.S. Centers for Disease Control and Prevention (CDC) Epidemiologist, Adam Bjork, Ph.D., and depicts a Nepalese vaccinator using a chair's seat as a tabletop, while he was in the process of updating his vaccination registry during the country's Stop Transmission of Polio (STOP) Program.   19858 3/20/2018 08:00 AM EDT Captured on April 13th, 2012, this image depicts two Indonesian Field Epidemiology Training Program (IFETP) residents, Ade Irwan, and I. Wayan Gede Artawan, as they were hiking atop a mountain range, while on their way to conduct an investigation in response to a diphtheria outbreak in East Java, Indonesia.   16805 3/19/2018 08:00 AM EDT This 2014 image depicts Centers for Disease Control (CDC) microbiologist Johannetsy Avillan holding up an opened Petri dish culture plate, demonstrating the results of a modified Hodge test (MHT), which is used to identify resistance in bacteria known as Enterobacteriaceae. Bacteria that are resistant to carbapenems (Carbapenem-resistant Enterobacteriaceae (CRE)), which are considered last resort antibiotics, produce a distinctive clover-leaf shaped growth pattern, as was seen in this case.

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18001 3/30/2018 08:00 AM EDT Captured in September 2014, by Ally Sterman, OC Hubert Fellow, Ohio State University School of Veterinary Medicine, this image depicts U.S. Centers for Disease Control and Prevention (CDC) Veterinary Medical Officer, Ryan M. Wallace, DVM, MPH, in the process of training veterinarians at a spay/neuter clinic in Ethiopia. Here, Dr. Wallace was examining the oral cavity of a canine patient. In many parts of the world standard veterinary services, an integral component of rabies control, are not present. CDC is collaborating with the Ethiopian government, Gondar University, and Ohio State University to help improve veterinary infrastructure to keep animals healthier, and prevent rabies.   19883 3/29/2018 08:00 AM EDT This image depicts Nigerian Field Epidemiology Training Program (FETP) resident, Dr. Wada Imam Bello, as he was vaccinating a zero dose child with a dose of the oral polio vaccine (OPV), during the CDC Polio Fulani (the dominant nomadic tribe in northern Nigeria) Nomadic Mission. This picture was captured in the Local Government Area (LGA) of Faskari, in Katsina state, Nigeria, August 2012. Dr. Bello located the nomads using a global positioning system (GPS) guided device, then went into the field to administer the OPVs. The man next to Dr. Bello, is Mr. Kore Miyetti-Allah, Chairman of the Faskari LGA.   20882 3/28/2018 08:00 AM EDT Captured in 2012, in the Lao People's Democratic Republic (LPDR), this image depicts a pregnant woman receiving an influenza vaccine at the Maternal and Child Hospital in Vientiane. Laos.   18012 3/27/2018 08:00 AM EDT This image depicts a public health field scientist holding an unidentified bat by its splayed wings, which he'd captured during a study in Guatemala, carried out in order to determine the types of pathogens harbored by these potential vectors.   19688 3/26/2018 08:00 AM EDT This image depicts Iraqi Field Epidemiology Training Program (FETP) graduate, Wisaam Altaai, as he was in the process of completing a health assessment visit at a displacement camp in Diyala, Iraq. Health teams from the Department of Public Health in Diyala, and the FETP conducted health assessments at displacement camps in the region between June and December, 2014. In this view, you can see a young girl squatting next to a plastic basin, filled with what appeared to be cloudy water, as she was helping with the family's chores, by cleaning a drinking glass.

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20641 4/6/2018 08:00 AM EDT This image depicts what is an example of medical transportation in the East African nation of Tanzania, where people make do with whatever mode of transport is at hand. Here, a Tanzanian man was peddling on his elongated tricycle, which had been equipped with a wooden flatbed, in which two women had been situated. One was lying down on some cloths, and the other was sitting upright. It is not known if both passengers were ill, or if the seated woman was an assistant in this endeavor.   19829 4/5/2018 08:00 AM EDT This photograph was created in order to illustrate the overcrowded conditions, and poor ventilation, which went on to contribute to a nosocomial outbreak of Adenovirus illness among 32 young children in a hospital pediatric ward in the state of Johor, in southern Malaysia, June, 2012. The image was submitted by Malaysian Field Epidemiology Training Program (FETP) resident, Thilaka Chinnayah.   22522 4/4/2018 08:00 AM EDT Photographed in Thailand, this field epidemiologist was in the process of performing a mouth swab inside the beak of a white duck, in order to carry out an infectious disease investigation. Known as zoonoses, six out of every ten infectious diseases in humans are spread from animals.   19863 4/3/2018 08:00 AM EDT Wearing a white shirt, this image depicts Zimbabwean Field Epidemiology Training Program (FETP) resident, Dr. Pugie Chimberengwa, and school health master, Mrs. Hilda Manyengavana (pink dress), speaking before a group of school children, in order to educate pupils, teachers and members of the community about schistosomiasis, during a "culture day" held at the school.   12780 4/2/2018 08:00 AM EDT This image was created during an investigation into an outbreak of monkeypox, which took place in the Democratic Republic of the Congo (DRC), 1996 to 1997, formerly Zaire. Pictured here, was the team Chief, World Health Organization (WHO) epidemiologist, Dr. Florimont K. Tshioko, as he was communicating information over a satellite-powered phone, while in the den of the team's hut.

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8218 4/13/2018 08:00 AM EDT This 2002 image depicts a Nigerian woman drinking water directly from a local pond through a pipe filter. Similar to a straw, pipe filters are individual filtration devices, which allow people to filter their drinking water, in order to avoid contracting Guinea worm disease while traveling or working in the field. To prevent possible infection, all drinking water must be filtered in endemic areas to remove the microscopic copepods, or water fleas that carry the infective Guinea worm larvae.   19948 4/12/2018 08:00 AM EDT This photograph shows us a scene just outside of Kagadi Hospital in the Kibaale District of Uganda, during that nation's July-August, 2012, Ebola outbreak. These four men were positioning what appeared to be a 50 gallon, white plastic bucket containing bleach water to be used at a handwashing, and foot washing station. There were a number of these containers that had been strategically-placed around the hospital's exterior, and interior areas. Two of the four men, were members of Medecins Sans Frontieres (MSF), i.e., Doctors Without Borders, and were wearing the organization's logo on their clothing.   13823 4/11/2018 08:00 AM EDT This image depicts a father and his two children, walking hand-in-hand down a Georgia city street. His young son to his left, and daughter to his right, dad and kids were using the sidewalk as their path, on this beautiful southern day. Note that they were dressed appropriately, their clothing protecting them from an extended time spent in the sunshine, and their backpacks filled with the requisite water, additional sunscreen, and some energy-filled snacks.   19799 4/10/2018 08:00 AM EDT Three years after Haiti had been struck by a 2010 catastrophic magnitude 7.0 earthquake, this image was captured in the community of Trianon, during a visit by representatives of the Centers for Disease Control and Prevention (CDC) and CDC Foundation, who were in the process of journeying to the community's remotely-located spring, which provides fresh water to the entire town. The CDC visitors can be seen in PHIL 19785, 19786, and 19800. While on expedition, the cameraman stopped to take a quick picture of this young Trianon girl, who was carrying some of her clothing atop her head.   20077 4/09/2018 08:00 AM EDT Captured in the Kakuma refugee camp, located in the Turkana District of the northwestern region of Kenya, this group of three refugees, made up of a man and two women, one of whom was a mother who carried her child on her back supported in a cloth sling, were photographed while on one of the camp's dusty roads, making their way to pick up basic supplies from the central region of the camp. The man appeared to be carrying a container that he'd fill with an allotment of fresh water.

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19359 4/20/2018 08:00 AM EDT Entitled, Guinea Worm Eradication Work, this photo was taken during a Guinea worm extraction procedure in Ghana, Guinea worm disease (GWD) is an ancient parasitic infection that is transmitted by drinking contaminated water. Although GWD has been largely eradicated, it was endemic in several African nations when this photo was taken.   11836 4/19/2018 08:00 AM EDT This photograph depicts an African dwarf frog, Hymenochirus boettgeri.Beginning in 2009, the Centers for Disease Control and Prevention (CDC) has been collaborating with public health officials in many states, in on ongoing study, to investigate a multistate outbreak of human Salmonella, serotype typhimurium infections, due to contact with water frogs, including African dwarf frogs.   2195 4/18/2018 08:00 AM EDT This photomicrograph of a placental tissue specimen, revealed the presence of the malarial parasite Plasmodium falciparum, occupying parasitized erythrocytes, or red blood cells (RBCs).   8787 4/17/2018 08:00 AM EDT Under a high magnification of 3593X, which is approximately 8x that of PHIL 8786, this scanning electron microscopic (SEM) image revealed some of the morphologic features displayed on the distal tip of an Anopheles gambiae mosquito's labellum.   19714 4/16/2018 08:00 AM EDT Captured in the town of Dadaab, Kenya in December 2013, this image shows us a nomadic family's donkey, which was being used as a makeshift baby carrier. In this case, there were two infants atop the donkey, securely contained inside the load. You can see one of the babies here, whose head had popped outside the confines of his carrier, allowing him to observe the goings-on outside.

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10773 4/27/2018 08:00 AM EDT This 2001 photograph depicted a dorsal view of a poisonous saddleback caterpillar, which is actually the instar, or developmental stage through which the saddleback caterpillar moth, Sibine stimulea passes on its way to becoming an adult, or imago moth. Beware, for the spines, also known as urticating hairs, emanating from its dorsal proturberances, are capable of delivering a very painful sting, due to the irritating venom they secrete!!   20583 4/26/2018 08:00 AM EDT These Chinese epidemiologists had gathered in their laboratory in an unidentified location, in order to analyze specimens acquired during a Salmonella outbreak investigation. Here, it looks as though a possible team lead was discussing the contents of one of the specimen test tubes, while the rest of the group watched, and listened to his description.   15133 4/25/2018 08:00 AM EDT This photomicrograph of a blood smear revealed the presence of some of the normally-occurring cellular elements found throughout the body's circulatory system. Included in this view were numbers of biconcave red blood cells (RBCs), or erythrocytes, and three types of white blood cells (WBCs), or leukocytes, a segmented eosinophil granulocyte (top) with its multilobular nucleus, a basophil granulocyte (bottom), and a small lymphocyte with its proportionally-large nucleus.   19179 4/24/2018 08:00 AM EDT This image was created by Centers for Disease Control and Prevention (CDC) Public Health Advisor, Cleopatra Adedeji, RRT, BSRT, while the CDC's 2014, Domestic Training Course for healthcare workers was underway. Here, inside the mock Ebola Treatment Unit (ETU), we see a tabletop still-life, consisting of personal protective equipment (PPE) paraphernalia, and a list of items students were required to pick, in order to round out their complement of PPE.   6676 4/23/2018 08:00 AM EDT These are colonies of Escherichia coli bacteria, grown on a Hektoen enteric (HE) agar plate medium. Colonies of E. coli grown on HE agar display a characteristic, raised morphology, and are yellow to orange-yellow in color.

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19713 5/4/2018 08:00 AM EDT This image depicts a Kenyan Field Epidemiology Training Program (FETP) resident in the Cohort 9 group, Adam Haji, seen on the left, as he was addressing questions posed by community elders in the northern Kenyan town of Tula Tula. Village elders had concerns about vaccinations for women of child bearing age during the researchers' maternal and neonatal tetanus campaign in high risk districts in September, 2013.   18636 5/3/2018 08:00 AM EDT Photographed around the campus of one of the many metropolitan Atlanta, Georgia primary schools, here you see a teacher interacting with one of her Asian-American students, packing soil around a plant that they'd just introduced to a garden being tended by this teacher's class. This type of interaction with the outdoors provided these young students with time in the fresh air, and exercise for their growing bodies, burning off unwanted calories, and energy accumulated sitting in the classroom.   20643 5/2/2018 08:00 AM EDT This group photograph was captured at a gathering at the National Institute of Biomedical Research (INRB), in the capital city of Kinshasa, Democratic Republic of Congo (DRC), in January, 2016. Included, was Professor, and Director of INRB, Jean-Jacque Muyembe Tamfum, and INRB senior staff, as well as Centers for Disease Control and Prevention (CDC), Division of Global Health Protection (DGHP), Team Lead of the Country Strategy and Implementation Branch, Dr. Chastity L. Walker. Participants were there to review public health laboratory activities, and present an introduction to Global Health Security (GHS).   13697 5/1/2018 08:00 AM EDT This woman was pictured in her doctor's office, while undergoing an eye exam. Using an ophthalmoscope, the doctor was looking inside the interior of the patient's left eyeball, in order to see if any intraocular damage had occurred, as a result of this patient's diabetic condition.   18488 4/30/2018 08:00 AM EDT This image depicts a group of school children, who were seated in the lunchroom of a metropolitan Atlanta, Georgia primary school, taking their daily lunch break, during their school day activities. In this particular view, seated in the foreground, a smiling young Asian-American girl was holding up some of her dessert in her left hand, which consisted of green grapes, and what appeared to be small, bright orange kumquats, which this student was about to enjoy, as a terrific nutritious ending to her well-balanced meal.

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16869 5/11/2018 08:00 AM EDT This illustration depicts a three-dimensional (3D) computer-generated image of a group of extended-spectrum ß-lactamase-producing Enterobacteriaceae (ESBLs) bacteria, in this case, Escherichia coli. The artistic recreation was based upon scanning electron microscopic (SEM) imagery. This is an excellent visual example of the long, whip-like peritrichous flagellae sprouting from what appear to be random points on the organism's exterior, as well as the numerous shorter, and finer fimbriae, imparting a furry look to the bacteria.   22448 5/10/2018 08:00 AM EDT Captured by Centers for Disease Control and Prevention (CDC) staff member, Derek Sakris, this image depicts employees from the CDC, and the Fish and Wildlife Service (FWS) as they worked together at a U.S. port of entry.   19163 5/9/2018 08:00 AM EDT This image was created by Centers for Disease Control and Prevention (CDC) Public Health Advisor, Cleopatra Adedeji, RRT, BSRT, while the CDC's 2014, Domestic Training Course for healthcare workers was underway. This class participant was in the process of donning a pair of protective goggles, as part of her repertoire of personal protective equipment (PPE), and would subsequently participate in a phlebotomy, i.e., blood drawing, exercise inside this mock Ebola Treatment Unit (ETU).   11194 5/8/2018 08:00 AM EDT This magnified view reveals a pair of mating Schistosoma mansoni trematodes. Note that the thinner female is cradled inside the thicker male worm's gynecophoral canal.   19624 5/7/2018 08:00 AM EDT This July, 2013 photograph, depicts Yemeni Field Epidemiology Training Program (FETP) resident Mohammed Qasim, as he was in the process of educating community leaders about mosquito breeding sites and the importance of preventing disease transmission of Dengue fever, and West Nile virus (WNV) in Hadramout, Yemen.

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14027 5/18/2018 08:00 AM EDT The boy depicted here, was playing with one of his toys, while seated in a kneeling position on a carpeted floor. It is very important for daycare, and school personnel to practice stringent handwashing technique as often as possible, and to include the children in this practice, when appropriate. By doing so, this activity can affect a reduction in the possibility of transferring pathogens between daycare attendees.   10030 5/17/2018 08:00 AM EDT In this 2007 photograph, Centers for Disease Control and Prevention (CDC) biologist, Damian Danavall was shown setting up a liquid handling robot, to perform a quantitative PCR (polymerase chain reaction) analysis, able to detect the presence of herpes simplex virus-2 (HSV-2).   16878 5/16/2018 08:00 AM EDT TThis illustration depicts a three-dimensional (3D), computer-generated image of a number of rod-shaped, drug-resistant, Shigella sp. bacteria. The artistic recreation was based upon scanning electron microscopic (SEM) imagery. Note that the exterior of the Shigella bacteria is fimbriated, covered by numerous thin, hair-like projections, imparting a furry appearance. See PHIL 21920, for another, closer view of these bacteria.   19830 5/15/2018 08:00 AM EDT This image shows a Sector Health Nurse, as she was administering measles vaccine in the capital city of the Indian state of Tamil Nadu, in 2011. The photograph was submitted by Indian Field Epidemiology Training Program (FETP) resident, Tony Fredrick.   13214 5/14/2018 08:00 AM EDT This image depicts a North American deer mouse, Peromyscus maniculatus which had made its home amongst deteriorating sheets of fabric and bird feathers. Deer mice are the principal reservoir of Sin Nombre virus (SNV), a specie of the genus Hantavirus, the primary etiologic agent of hantavirus cardiopulmonary syndrome (HCPS), also referred to as hantavirus pulmonary syndrome (HPS).

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363 5/25/2018 08:00 AM EDT This photomicrograph depicts a close view of a number of proglottids, or segments, of the parasitic human tapeworm, Bertiella studeri.   20061 5/24/2018 08:00 AM EDT This September, 2013 image depicts a member of the oral cholera vaccine (OCV) campaign team in the extreme foreground, in the process of conducting an interview with a resident of the Haitian commune of Cerca Carvajal, who was cradling her young daughter in her lap.   20863 5/23/2018 08:00 AM EDT This image was captured in 2005, by Centers for Disease Control and Prevention (CDC) Health Scientist, Ginger L. Chew, Sc.D., and depicts a culture plate, which contained malt extract agar (MEA) that had been inoculated with an air sample obtained on a filter membrane inside a home flooded by Hurricane Katrina, and which exhibited visible mold growth on its walls and furnishings.   13053 5/22/2018 08:00 AM EDT This image depicts a grouping of healthy fruits and vegetables, including an ear of corn, papaya, avocado, habanero and chili peppers, black beans, a lime, and cilantro.   11651 5/21/2018 08:00 AM EDT This digitally-colorized scanning electron microscopic (SEM) image revealed the ventral surface of a Giardia muris trophozoite that had settled atop the mucosal surface of a rat's intestine. Note the microvilli, which can be seen in the background, as tiny rounded structures that are approximately 0.15µm in diameter.

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PHIL Images From This Week

16012 6/01/2018 08:00 AM EDT This image depicts a dorsal view of a female deer fly, Chrysops lateralis, which had been collected at White Pond in Sudbury, Massachusetts on July 3, 2013. This particular specimen had been feeding on both human beings and canines who'd been occupying a clearing at the edge of a pond.   17788 5/31/2018 08:00 AM EDT Captured in July, 2014, during an outbreak of chikungunya among Caribbean non-travelers, this image depicts the rear of a residence where an open-air toilet was situated (background), which was found to contain mosquito larvae. Mosquitoes can breed just about anywhere they find standing water, so it's important to empty plant saucers, buckets, bird baths, and kiddie pools every week.   21921 5/30/2018 08:00 AM EDT This illustration depicts a three-dimensional (3D) computer-generated image of a number of oblong-shaped, Vibrio parahaemolyticus bacteria. The artistic recreation was based upon scanning electron microscopic (SEM) imagery.   22426 5/29/2018 08:00 AM EDT Under the watchful eye of his training partner, CDC Epidemic Intelligence Service (EIS) officer, Dr. Rupa Narra, CDC employee Jeremy Sobel adjusts his goggles before entering a mock Ebola Treatment Unit (ETU) in Anniston, AL, as part of CDC's Ebola Safety Training Course, for health care workers deploying to West Africa.

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18328 6/08/2018 08:00 AM EDT Photographed October 15, 2014, by U.S. Army Africa (USARAF), Sgt. 1st Class Will Patterson, this image depicts from left to right Brig. Gen Daniel Ziankahn Jr., Chief of Staff of the Armed Forces of Liberia, Maj. Gen. Darryl A. Williams; Commanding General of USARAF, and Command Sgt. Maj. Jeffrey Stizel, Command Sergeant Major for USARAF, along with engineers working on the Tubmanburg Ebola treatment unit (ETU).   22436 6/07/2018 08:00 AM EDT During the 2014-2016 Ebola epidemic, the Centers for Disease Control and Prevention (CDC) deployed Border Health Teams to Guinea, Liberia, and Sierra Leone. These Border Health Teams provided technical assistance to airport staff, in implementing exit screening of travelers, helped seaports develop their response plans, and traveled to land borders by car, or helicopter, like the one pictured here, to assess screening procedures at border crossings.   19994 6/06/2018 08:00 AM EDT This image was captured on the grounds of Kagadi Hospital in the Kibaale District of Uganda, during the country's 2012, Ebola outbreak, and depicts a member of the organization, Doctors Without Borders, i.e., Médecins Sans Frontières (MSF) (Lt), as he, and a Ugandan health worker were preparing kits for patients to take home when they were discharged from the Hospital.   19809 6/05/2018 08:00 AM EDT Captured 3 years after Haiti's 2010 catastrophic, magnitude 7.0 earthquake, this image depicts a scene inside the cholera treatment center on the grounds of the Haitian Group for the Study of Kaposi Sarcoma and Opportunistic Infections (GHESKIO) compound, located in Haiti's capital, and largest city, Port-au-Prince. In this particular view, the entrance to the facility is highlighted, featuring a large United Nations Children's Fund (UNICEF) logo, displayed above the entranceway.   19612 6/04/2018 08:00 AM EDT This January 2015, image depicts Dr. Perdeep Kumar, a Field Epidemiology Training Program (FETP), Pakistan alumnus, and a National-Stop Transmission of Polio Program (N-STOP) officer, as he was in the process of inspecting three children under five years of age for their black ink-marked finger, which would indicate their having received their dosage of polio vaccine.

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PHIL Images From This Week

22792 6/15/2018 08:00 AM EDT This photograph was captured in 2015, in the capital city of Freetown, Sierra Leone, during the country's Ebola outbreak. It was determined that there were other threats about which the Centers for Disease Control and Prevention (CDC), and other responders were concerned, including rabies. Stray dogs are plentiful in Freetown, and one had to be careful wherever one walked. These dogs were escaping the hot summer heat beneath a vehicle, just outside of the Freetown Ebola Emergency Operations Center (EOC).   16301 6/14/2018 08:00 AM EDT As one of the primary natural hosts to the Rocky Mountain wood tick, Dermacentor andersoni (see PHIL 10865), this Columbian ground squirrel, Urocitellus columbianus, was infested by numerous nymphal-staged D. andersoni ticks. You can see these ticks obtaining their blood meal from this host, as they nestled around the animal's right eye and ear. D. andersoni is the vector responsible for transmitting the Coltivirus, Colorado tick fever (CTF) to humans.   19986 6/13/2018 08:00 AM EDT This image was captured somewhere in Uganda, during the country's July - August, 2012, Ebola outbreak, and depicts two wood-frame, roadside kiosks, which were open for business when the photograph was created. The wooden shed on the right, was occupied by its proprietor, who'd set out quite a colorful display of produce, which included pineapples, tomatoes, mangos, papaya, and potatoes. Note that even in a remote area such as this, the business owner held a cell phone in his hand.   16517 6/12/2018 08:00 AM EDT

Under a magnification of 158X, this Warthin-Starry stained photomicrograph of a heart tissue specimen revealed the presence of a number of Borrelia burgdorferi spirochetes. At this stage, after having infected the heart muscle, the disease is more specifically referred to as Lyme carditis.

7891 6/11/2018 08:00 AM EDT This is Dr. Robert Cooksey, who was shown holding a microfluidic LabChip®, a device that is used in a machine known as a bioanalyzer, to evaluate, in this case, the relationships between strains of Mycobacterium cosmeticum.

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12415 6/22/2018 08:00 AM EDT This photograph depicts the colonial morphology displayed by Gram-negative, Burkholderia thailandensis bacteria, which was grown on a medium of sheep's blood agar (SBA), for a 48 hour time period, at a temperature of 42 degrees C. Of importance, is the metallic sheen displayed by these colonies.   21351 6/21/2018 08:00 AM EDT This illustration provides a 3D graphical representation of a number of Rotavirus virions set against a black background. Note the organism's characteristic wheel-like appearance, which is visible when viewed under the electron microscope. It's this morphology that gives the Rotavirus its name, which is derived from the Latin rota, meaning wheel. Rotaviruses are nonenveloped, double-shelled viruses, making them quite stable in the environment.   20951 6/20//2018 08:00 AM EDT Created in 2014, on behalf of Centers for Disease Control and Prevention (CDC) Medical Officer, LCDR, E. Kainne Dokubo, this image depicts Dr. Dokubo while in the Port Loko District of Sierra Leone, on assignment as a field epidemiologist, instructing surveillance officers on how one captures coordinates of investigated Ebola cases, by using a GPS device to facilitate mapping of cases within the district.   19841 6/19/2018 08:00 AM EDT This photograph depicts a tract of pastureland populated by a herd of cows and sheep, which were being managed by two herders (see PHIL 19840). In this view, you can see the remnants of a dismembered animal carcass. The image was captured during an investigation by a Georgian Field Epidemiology Training Program (FETP) team, into a cutaneous anthrax outbreak that involved the possible contamination of this grassland. Therefore, the animals, and the pasture itself, along with the human population, were all tested for the existence of Bacillus anthracis bacteria, or spores. The investigation took place in the Kakheti region, of Eastern Georgia, in 2012.   22182 6/18/2018 08:00 AM EDT This female Ixodes scapularis tick was in the process of laying her clutch of eggs.

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15647 6/29/2018 08:00 AM EDT Under a magnification of 10X, this image depicts a number of Gram-positive, Sterne-strain, Bacillus anthracis bacterial colonies, which had been cultivated on a blood agar plate (BAP), and incubated for a 24-hour time period at a temperature of 35 degrees C.   18825 6/28/2018 08:00 AM EDT Captured during Guinea's 2014 Ebola outbreak, this photograph depicts a Centers for Disease Control and Prevention (CDC) Ebola Response Team member, Epidemic Intelligence Service (EIS) Officer, Dr. Heidi Soeters, as she was making use of a foot-bath station in an unknown location.   11649 6/27//2018 08:00 AM EDT This digitally-colorized scanning electron microscopic (SEM) image depicted the dorsal (upper) surface of a Giardia protozoan that had been isolated from a rat's intestine. Some of the identifying morphologic characteristics include pairs of thread-like flagella that facilitate motility, and a ventrolateral flange that appears as a "ruffle" around the anterior portion of the organism. The flagella seen here, were arranged in an anterior, posterior-lateral, and caudal pairing.   14075 6/26/2018 08:00 AM EDT The young woman photographed here, was getting in some exercise time, by practicing Yoga poses, having assumed the Cobra pose, a position that stretches the abdominal muscles, while flexing the spinal and triceps muscles. Note the resultant modified push-up position, with the knees and hips kept on the exercise mat. Hopefully, she'd applied sunscreen to her sun-exposed skin, and brought along some drinking water, so as to avoid the possible onset of dehydration.   7428 6/25/2018 08:00 AM EDT The man pictured in this 1975 image, was held in high regard as a community vaccinator. He was holding vaccination paraphernalia, consisting of a bifurcated smallpox needle, and some vaccine.

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19892 7/6/2018 08:00 AM EDT This image shows Pakistani Field Epidemiology Training Program (FETP) graduates, Dr. Furgan, and Dr. Muhammad Bilal Khan, in the process of obtaining a sample of a Pakistani community's secondary source of drinking water on September 4, 2013. This water pump was situated half a kilometer away from the community, and was suspected as the water source responsible for causing diarrhea among the dependent community's children, located in the Murree district of the Punjab province of Pakistan.   22401 7/5//2018 08:00 AM EDT This image, captured by Centers for Disease Control and Prevention (CDC) Epidemiologist, Patricia Bessler, depicts CDC Ebola Response Infection Prevention and Control (IPC) team member Esra Toussaint (RT) advising clinic staff on proper IPC procedures, in an urban clinic, in Freetown, Sierra Leone, May 18, 2015.   20612 7/3/2018 08:00 AM EDT This image depicts the beautiful faces of smiling Kenyan school children, as they stopped to pose for a quick picture, during a visit by the Centers for Disease Control and Prevention (CDC) field epidemiologists, who'd made a trip to Kenya to offer investigative assistance due to an unidentified public health concern.   9817 7/2/2018 08:00 AM EDT This 2006 photograph depicted a frontal view of an adult bedbug, Cimex lectularius, as it was in the process of ingesting a blood meal from the arm of a voluntary human host.

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22790 7/13/2018 08:00 AM EDT This photograph was captured in 2013, inside the City Park Market, near the Aga Khan University Hospital in Nairobi, Kenya. The photographer was on location, conducting research on interventional methods, which could be implemented to vaccinate food preparers in markets like this one, against typhoid. He came across this beautiful pile of fruit in one of the vender's stalls. Known as the large sourplum, its Latin name is, Ximenia caffra, and the locals call this bright red fruit, tree tomatoes.   19887 7/12/2018 08:00 AM EDT These Chinese Field Epidemiology Training Program (FETP) residents were in the process of registering marine puffer fish samples collected during an investigation of an outbreak of tetrodotoxin poisoning in August 2012, in Guangdong, a coastal province of southeast China.   20606 7/11/2018 08:00 AM EDT This photograph was captured in an unknown location in Indonesia, and depicts a mother holding her child, as she was adjusting the infant's collar. The image was created during an unidentified public health-related assignment.   19894 7/10/2018 08:00 AM EDT This image depicts Kenyan Field Epidemiology Training Program (FETP) cohort 9 resident, Adam Haji, as he was addressing the concerns posed by milk vendors in the Wajir County administrative division of Griftu, located in North Eastern Kenya. Earlier, researchers had been met with resistance from community members, who were hesitant to encourage mothers to receive vaccinations during the maternal, and neonatal tetanus campaign carried out in September 2013.   21843 7/9/2018 08:00 AM EDT This photomicrograph reveals some of the ultrastructural anatomy found in the siphon tube of a Mansonia uniformis mosquito larva. Here, you're able to get a good look at the serrated plates ensheathed within the tube. See PHIL 21844, for a depiction of a Mansonia uniformis mosquito larva attached to a plant stem. The chitinous, serrated plates contained within the sheath of the larva's siphon, are in the shape of a curved saw blade, and are used to pierce an aquatic plant rootlet, unto which it will latch, in order to obtain its oxygen supply, while the larva matures submerged within its aqueous environment.

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PHIL Images From This Week

19623 7/20/2018 08:00 AM EDT his July, 2013 photograph, depicts Yemeni Field Epidemiology Training Program (FETP) residents, Awadh Mohammed Basaleh, Adel Alhaddar, and Ali Binbreak, as they were looking for mosquito breeding sites during an outbreak investigation of Dengue fever, and West Nile virus (WNV) in Hadramout, Yemen.   15541 7/19/2018 08:00 AM EDT Photographed by U.S. Public Health Service (USPHS) Lt. Cmdr. Gary Brunette, this image depicts two USPHS officers, inspecting a drinking water purifier that had been set up in a Haitian town, shortly after the country's devastating earthquake in January 2010, after having been transported to the region by the Navy's Wasp-class amphibious assault ship, the USS Bataan.   19927 7/18/2018 08:00 AM EDT This image was taken during Uganda's July - August, 2012, Ebola outbreak, showing a Ugandan man posing for the camera, and wearing a t-shirt displaying drawings created in order to educate viewers, as to the visible symptoms associated with human plague. Note the representation of buboes on a child's neck, axilla, and groin, indicative of markedly-swollen lymph nodes, due to the infection by the plague bacterium, Yersinia pestis. Plague and Ebola are two distinct diseases, and it was purely a coincidence that this man happened to be wearing this shirt, unrelated to the Ebola epidemic.   22514 7/17/2018 08:00 AM EDT Captured in Bangladesh, this clinician was part of a team of disease detectives, who were investigating a case of suspected pesticide poisoning, linked to lychee consumption, and were in the process of identifying links in patterns and materials, which were used to spray the pesticide.   1427 7/16/2018 08:00 AM EDT This image depicts an example of the developmental stage known as the first instar larva of the rodent botfly, of the genus, Cuterebra.

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PHIL Images From This Week

9814 7/27/2018 08:00 AM EDT Photographed in Concord, Massachusetts, May 2006, by Harvard University, Dept. of Environmental Health and Safety entomologist/environmental biologist, Dr. Gary Alpert, this image depicted an anterior view of a Bald-faced hornet, Dolichovespula maculata. Though named as a hornet, this wasp is not a true hornet from the genus, Vespa, but is more closely related to the yellow jackets, and is a member of the genus Dolicovespula.   22455 7/26/2018 08:00 AM EDT Captured in 2016, by Centers for Disease Control and Prevention (CDC) staff member, Stefanie White, this image depicts CDC Quarantine Public Health, Officer Salimah Shaheed, as she was inspecting a dog importation at the George Bush Intercontinental Airport in Houston. CDC regulates dogs imported into the United States to ensure they appear healthy, and are fully vaccinated against rabies. CDC staff review dog importations at 18 international airports and land ports of entry. At other airports and land borders, CDC works with Customs and Border Protection (CBP) officers who inspect the imported dogs to make sure CDC's requirements are met. This picture was an entry in the 2016 CDC Connects, Public Health in Action Photo Contest, in the categories of Programs-Domestic and People-Domestic.   11516 7/25/2018 08:00 AM EDT This father and his two sons were about to embark on a freshwater fishing trip.People should consult their local fish advisories before planning a fishing trip. Not to be missed is the fact that the boys would be learning how to fish, as well as a set of values, enabling them to appreciate how important it is to respect nature, and to be conscious of their impact upon the ecological balance of the environment.   14073 7/24/2018 08:00 AM EDT The young woman depicted here, was on a tennis court, having taken the stance indicating the she was about to accept the serve from her opponent. She was wearing a sleeveless tennis outfit, and had applied sunscreen to her sun-exposed skin, which would protect her skin from the sun's harmful ultraviolet (UV) rays. Hopefully, she remembered to keep hydrated by drinking water, in amounts appropriate to the degree of exercise in which she was participating, so as to avoid the possible onset of dehydration.   1845 7/23/2018 08:00 AM EDT This photomicrograph of a brain tissue specimen, harvested from a West Nile encephalitis patient, revealed the antigen-positive neurons, and neuronal processes stained a red color.

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19366 8/3/2018 08:00 AM EDT Entitled, Children Playing in a River, this image was captured by CDC Public Health Advisor, Alison Smith, MPH, a staff member in the Malaria Branch, of the Division of Parasitic Diseases (DPDx). The picture shows two happy children at play in a dirty, polluted river in the Irrawaddy Delta region of Myanmar. This village is built entirely on stilts in the water, but the villagers do not have access to unpolluted water for drinking or bathing. This photo earned Smith the Third Place award in the 2009 CDC Connects Annual Public Health in Action Photo Contest, in the category of International People.   8211 8/2/2018 08:00 AM EDT This image depicts the subcutaneous emergence of a female Guinea worm, Dracunculus medinensis, from a sufferer's lower left leg, just distal to the lateral left knee. The white, spaghetti-like worm is being pulled from the wound by the gloved hand of a health worker.   15993 8/1/2018 08:00 AM EDT Its abdomen engorged with a host blood meal, this image depicts a lateral, or side view of a female blacklegged, deer tick, Ixodes scapularis..   22798 7/31/2018 08:00 AM EDT Captured in 2016, in the Haitian town of Limbe, this image depicts a piece of Styrofoam, that was being used to support pencils, each encircled by rings of filter paper that had been used to extract red blood samples from the local townsfolk, for purposes of conducting a lymphatic filariasis (LF) survey.   10995 7/30/2018 08:00 AM EDT Under a very high magnification of 25000X, this digitally-colorized scanning electron microscopic (SEM) image revealed the presence of a single, Gram-negative, Salmonella typhimurium bacterium, which was imaged right at the point, where it was completing the process of cell division, resulting in the formation of two separate organisms. This dividing bacterium had been isolated from a pure culture.

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