Michael E. DeWitt

The Section on Infectious Diseases and the Atrium Health Division of Infectious Diseases attended IDWeek 2024 in Los Angeles, CA and made a strong showing. Presentations and posters were presented by a variety of members including infectious diseases pharmacists, pharmacy residents, medical residents,infectious disease fellows, and infectious disease physicians.

IDWeek 2024

Michael DeWitt

Michael DeWitt attended the 2024 International Field Epidemiology and Tropical Medicine course in Peru hosted by the Universidad Peruana Cayetano Heredia and the EMERGE group(Unidad de Investigación en Enfermedades Emergentes y Cambio Climático) along with students and faculty from the University of Texas Medical Branch.

International Field Epidemiology and Tropical Medicine in Peru

Estimated Monkeypox Susceptible MSM Population in North Carolina Review

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Medical Student 2024

Erin Barnes

.wrappingr {   float: right;   shape-margin: 50px;   width: 40%; } .wrappingl {   float: left;   shape-margin: 50px;   width: 40%; } #fig-structure &gt; figure &gt; figcaption {   float: left;   clear: both; } Part 1: Defining Addiction   A 22 year old male is sitting in bed, pale and mildly short of breath. He is recovering from a surgery on his heart valve which was badly damaged by infection he developed from injecting drugs intravenously.

Why Medication for Opioid Use Disorder Is Not “Trading One Drug For Another”

Infectious diseases and addiction   One of the most frequent questions I am asked is, “What does infectious diseases have to do with addiction!? How did you get into this?” I began my fellowship in infectious diseases at AHWFB in Winston Salem, NC in 2014. At this time prescription opioid prescribing was still near its peak.

An Introduction to the Intersection of Infectious Diseases and Addiction

There are many arguments in academic circles about how to frame and think about addiction. In my personal experience, I find one of the most helpful ways to think of addiction is the classic framework that views addiction as a ‘biopsychosocial’ disease. I like this framework because it helps us identify and then examine all of the key ingredients that go into forming and maintaining a substance use disorder.

Addiction As a Biopsychosocial Disease

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<strong>
 What is happening when an addictive substance is used in the brain?
</strong>
Every addictive substance acts on a chemical in the brain called dopamine.

Why Medication for Opioid Use Disorder Is Not “Trading One Drug For Another: Part 2”

Our second year Infectious Diseases fellow Dr. Cook presented this work on serratia endocarditis at 2022 IDWeek in Washington DC! Here at AHWFB Health we have been seeing an increasing number of infections of the heart due to the bacteria Serratia marcescens in persons who inject drugs. This is a reddish-orange bacteria commonly found in soil and water that is not a usual cause of serious infections.

A Case Series of Serratia Marcescens in Persons Who Inject Drugs

Tracking the Outbreak   Learning lessons from the emergence of SARS-CoV-2 and the COVID-19 pandemic, we have launched a new website tracking the reported number of Monkeypox cases in North Carolina using data reported by the North Carolina Department of Health and Human Services (NCDHHS) as well as across the United States using data provided by the Centers for Disease Control and Prevention (CDC). Monkeypox virus (MPX), a double stranded DNA

Tracking Monkeypox Cases in North Carolina

.wrappingr {   float: right; shape-margin: 50px; width: 40%; } .wrappingl {   float: left; shape-margin: 50px; width: 40%; } #fig-structure &gt; figure &gt; figcaption {   float: left; clear: both; } Truly Trading One Drug for Another   ‘You are just trading one drug for another’ is a common refrain in the world of substance use disorders.

Truly Trading One Drug for Another”

Wake Forest School of Medicine Section on Infectious Diseases

::: {#tracking-the-outbreak .section .level2}
## Tracking the Outbreak {.anchored anchor-id="tracking-the-outbreak"}

Learning lessons from the emergence of SARS-CoV-2 and the COVID-19
pandemic, we have [launched a new
website](https://mpx.wakeforestid.com/) tracking the reported number of
[Monkeypox](https://www.cdc.gov/poxvirus/monkeypox/response/2022/index.html)
cases in North Carolina using data reported by the [North Carolina
Department of Health and Human
Services](https://epi.dph.ncdhhs.gov/cd/diseases/monkeypox.html)
(NCDHHS) as well as across the United States using data provided by the
[Centers for Disease Control and
Prevention](https://www.cdc.gov/poxvirus/monkeypox/response/2022/us-map.html)
(CDC). Monkeypox virus (MPX), a double stranded DNA virus belonging to
the orthopoxvirus genus,is endemic in West and Central Africa. In May
2022, reports emerged of growing cases of MPX in Europe and North
America with the World Health Organization declaring MPX a [*Public
Health Emergency of International
Concern*](https://www.npr.org/2022/07/23/1113183728/monkeypox-global-health-emergency-who)
on July 23, 2022.

You can visit the website at <https://mpx.wakeforestid.com>.
:::

::::: {#next-steps .section .level2}
## Next Steps {.anchored anchor-id="next-steps"}

We will be calculating relevant epidemiological metrics such as the
effective reproduction number and the doubling time of cases. We
anticipate that this website will continue to evolve as our
understanding of the current outbreak unfolds.

::: {.quarto-figure .quarto-figure-center}
<figure class="figure">
<p><img
src="https://wakeforestid.com/posts/2022-07-27-tracking-monkeypox-cases-in-north-carolina/preview.png"
class="img-fluid figure-img" /></p>
<figcaption>Reported MPX Cases in North Carolina</figcaption>
</figure>
:::

We provide an [interactive
longitudinal](https://mpx.wakeforestid.com/us.html) view of all states
using the CDC data.

::: {.quarto-figure .quarto-figure-center}
<figure class="figure">
<p><img
src="https://wakeforestid.com/posts/2022-07-27-tracking-monkeypox-cases-in-north-carolina/interactive-mpx.png"
class="img-fluid figure-img" /></p>
<figcaption>Interactive View of Reported MPX Cases by State</figcaption>
</figure>
:::
:::::

::: {#questions .section .level2}
## Questions? {.anchored anchor-id="questions"}

Please reach out to [your
provider](https://www.wakehealth.edu/specialty/i/infectious-diseases) if
you have any questions regarding monkeypox infections.
:::

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::::: {#quarto-reuse .section .quarto-appendix-contents}
## Reuse {#reuse .anchored .quarto-appendix-heading}

:::: {.quarto-appendix-contents}
<div>

[CC BY 4.0](https://creativecommons.org/licenses/by/4.0/){rel="license"}

</div>
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::::::: {#quarto-citation .section .quarto-appendix-contents}
## Citation {#citation .anchored .quarto-appendix-heading}

<div>

::: {.quarto-appendix-secondary-label}
BibTeX citation:
:::

``` {.sourceCode .code-with-copy .quarto-appendix-bibtex}
@online{dewitt2022,
  author = {DeWitt, Michael},
  title = {Tracking {Monkeypox} {Cases} in {North} {Carolina}},
  date = {2022-07-27},
  url = {https://wakeforestid.com/posts/2022-07-27-tracking-monkeypox-cases-in-north-carolina/},
  langid = {en}
}
```

::: {.quarto-appendix-secondary-label}
For attribution, please cite this work as:
:::

::: {#ref-dewitt2022 .csl-entry .quarto-appendix-citeas}
DeWitt, Michael. 2022. "Tracking Monkeypox Cases in North Carolina."
July 27, 2022.
<https://wakeforestid.com/posts/2022-07-27-tracking-monkeypox-cases-in-north-carolina/>.
:::

</div>
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