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infectious diseases

Charles Sande

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Email: 
csandeatkilifi [dot] kemri-wellcome [dot] org
Group: 
Epidemiological and Demographic Surveillance System (EPI-DSS)

Repiratory Syncytial Virus (RSV)

Principal Investigator(s): 
D James Nokes

A main focus of our current research is the transmission dynamics of respiratory syncytial virus, the major viral cause of infant and childhood severe pneumonia worldwide. RSV, as it is known, exhibits considerable genetic diversity (Groups A and B and within each a set of variants) which is apparently under immune selection. Occurrence of the virus is structured at the population level exhibiting sequential dominance of these variants; presumably resulting from (localised) strain specific herd immunity that provides competitive fitness to the least prevalent strains.

Aetiology and disease burden of respiratory and enteric viral pathogens

Principal Investigator(s): 
D James Nokes

• Viral aetiology, epidemiology and disease burden of paediatric pneumonia hospitalisations in the coastal Kenyan setting.

• Disease burden and genetic diversity of rotavirus in hospitalized rural Kenyan children

• Investigating the aetiology and spatial-temporal risk factors of diarrhoeal pathogens using a broad spectrum real-time PCR detection assay

Transmission dynamics of respiratory viruses

Principal Investigator(s): 
D James Nokes

• Household transmission of respiratory viruses: who acquires infection from whom (Patrick Munywoki - PhD student)

• Mathematical modelling of respiratory syncytial virus (RSV) transmission dynamics and the impact of different vaccination strategies for its control (Timothy Kinyanjui, PhD Student)

• Quantifying RSV re-infection in the community - transmission in the school setting (Dorothy Koech)

• Characterising contact patterns relevant to respiratory virus transmission (Moses Kiti)

• Oral-fluid sampling for the determination of RSV infection and immunity

 

Viral genetic and antigenic variation: infection, immunity, control

Principal Investigator(s): 
D James Nokes
Other Investigator(s): 
Charles Sande


• The effects of strain variation on respiratory syncytial virus infection and Immunity (Charles Sande, PhD Student)

• RSV evolution and molecular epidemiology (Charles Nyaigoti, WT Masters Fellow)

• Genetic diversity of group A rotavirus strains in severe diarrhoeal admissions

More information:

 

D James Nokes

james-nokes.jpg
Email: 
jnokesatkilifi [dot] kemri-wellcome [dot] org
Group: 
Epidemiological and Demographic Surveillance System (EPI-DSS)

Research area
Epidemiology and control of viral pathogens

Haemodynamics in children with acute non-traumatic coma

Principal Investigator(s): 
Charles Newton
Other Investigator(s): 
Samson Awili Gwer

Cerebral malaria, meningitis and encephalitis are the most common causes of acute encephalopathies in children in sub-Saharan Africa. All are associated with seizures and may be complicated by shock and intracranial hypertension. These features are associated with prolonged coma, increased mortality and both short and long-term cognitive and neurological deficits. Children with multiple risk factors have even poorer outcomes.


Seizures may be completely unapparent clinically. Clinical signs of intracranial hypertension are a late feature and intracranial pressure monitoring is an invasive procedure unavailable in most health units in sub-Saharan Africa.

Samson Awili Gwer

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Email: 
sgweratkilifi [dot] kemri-wellcome [dot] org
Group: 
Clinical Group

Kathryn Maitland

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Email: 
kmaitlandatkilfi [dot] kemri-wellcome [dot] org
Group: 
Clinical Group

Kathryn Maitland specialises in paediatric infectious disease, critical care and international child health.

Emelda Aluoch Okiro

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Email: 
eokiroatnairobi [dot] kemri-wellcome [dot] org
Group: 
Malaria Public Health and Epidemiology

Emelda graduated with a BSc in Chemistry and Biochemistry from Egerton University, Kenya in 2001 and joined KEMRI-Wellcome Trust-Kilifi Unit the same year as a research assistant involved in a larg