Turning great ideas into healthier communities

Jay Graham, PhD, MPH

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 and 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.

India Antimicrobial Resistance Detection, Prevention and Control Program

The goal of this project is to support CDC India and the Tamil Nadu Directorate of Public Health and Preventive Medicine to expand infection prevention control (IPC) activities to selected primary health centers in the state. Additionally, we will work with our partners to specifically target reductions in maternal and neonatal infections in currently supported district hospitals.

Livestock Ownership Among Rural Households and Child Morbidity and Mortality (2017)

An Analysis of Demographic Health Survey Data from 30 Sub-Saharan African Countries (2005-2015) Children living in homes with livestock may hav...

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Small-Scale Food Animal Production and Antimicrobial Resistance: Mountain, Molehill, or Something in-between? (2017)

Small-scale food animal production is widely practiced around the globe, yet it is often overlooked in terms of the environmental health risks. Evi...

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Detection of Zoonotic Enteropathogens in Children and Domestic Animals in a Semirural Community in Ecuador (2016)

Animals are important reservoirs of zoonotic enteropathogens, and transmission to humans occurs more frequently in low- and middle-income countries...

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Community Health

Many local environments—especially in low-income communities—limit access to healthy foods and provide few opportunities for physi...

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The evaluation of public health programs and policies is essential to improving health outcomes. PHI offers a full suite of evaluation services&mda...

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Research - Surveillance

Understanding emerging and existing health threats begins with good data. Public health surveillance ensures that researchers, programs, and policy...

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