Jay Graham, MPH, MBA
Jay Graham directs the India Antimicrobial Resistance Control Program for PHI. He has over fifteen years of global environmental health research and practice experience, and has an M.P.H., M.B.A. and a PhD in Environmental Health Sciences from Johns Hopkins Bloomberg School of Public Health. Dr. Graham is a sanitation and hygiene expert and served as a lead technical advisor on water, sanitation and hygiene and household air pollution within the Bureau for Global Health at the United States Agency for International Development (USAID).
Prior to joining PHI, he was an assistant professor in the Environmental and Occupational Health Department at George Washington University where he directed the MPH in Global Environmental Health. He has worked in a variety of countries in Latin America, Asia and Africa, including a long-term position on the US-México border where he conducted research on the primary prevention of diarrheal diseases an d pneumonia within informal settlements of Ciudad Juárez, MX. His applied research focuses on developing more efficient and cost-effective approaches to scale-up environmental health initiatives and improving evaluation methods for large-scale interventions. He is currently the principal investigator on a NIH Fogarty International Center-funded study, based in Quito, Ecuador, that aims to characterize community transmission dynamics of zoonotic infectious diseases and antimicrobial resistance.
Antimicrobial Resistance Transmission Associated with Small-scale Food-Animal Production
Community acquired antimicrobial resistance (AMR) constitutes an increasingly critical human health threat. We have identified small-scale food-animal production animals (i.e. livestock raised for meat and dairy products), where antimicrobials are regularly used for growth promotion, disease prevention and/or disease treatment, to be associated with community acquired AMR in humans. This study will measure the extent to which AMR spills over from food-animals to young children and elucidate the risk factors, that increase AMR transmission. The study will also quantify the biological mechanisms – clonal dissemination versus horizontal gene transfer – that affect the spread of AMR between food-animals and young children.