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Marcella Alsan

Assistant Professor of Medicine (PCOR)

Bio
Academic Appointments: 
Professional Organizations: 
Fellow, Stanford Center for Innovation in Global Health (2015 - Present)
Faculty Affiliate, Stanford Center for International Development (2015 - Present)
Faculty Research Fellow, National Bureau of Economic Research (2013 - Present)
Faculty Affiliate, Center for Effective Global Action, UC Berkeley (2015 - Present)
Research & Scholarship
Projects: 
Understanding Community-Acquired Antibiotic Resistance, Stanford & Gandhi
Title: 
Understanding Community-Acquired Antibiotic Resistance
Detail: 

This is a project about understanding the drivers of resistance in the community. It involved microbiology and survey techniques.

Location

Hyderabad India

Teaching
Courses Taught: 
Academic Year: 
2016-17
Courses: 
Independent Study Courses: 
Directed Reading
ECON 139D (Aut, Win, Spr)
Directed Reading
IPS 299 (Spr)
Graduate Research
HRP 399 (Aut)
Graduate Research
MED 399 (Aut)
Honors Thesis Research
ECON 199D (Aut, Win, Spr)
Medical Scholars Research
HRP 370 (Aut, Win, Spr)
Academic Year: 
2015-16
Independent Study Courses: 
Directed Reading
ECON 139D (Aut, Win, Spr)
Graduate Research
HRP 399 (Aut)
Graduate Research
MED 399 (Aut)
Honors Thesis Research
ECON 199D (Aut, Win, Spr)
Academic Year: 
2014-15
Courses: 
Independent Study Courses: 
Directed Reading in Medicine
MED 299 (Aut, Win, Spr)
Graduate Research
HRP 399 (Aut, Win, Spr)
Graduate Research
MED 399 (Aut, Spr)
Medical Scholars Research
HRP 370 (Aut, Win, Spr)
Medical Scholars Research
MED 370 (Aut, Win, Spr)
Undergraduate Research
HRP 199 (Win, Spr)
Undergraduate Research
MED 199 (Aut, Win, Spr)
Publications
Out-of-pocket health expenditures and antimicrobial resistance in low-income and middle-income countries: an economic analysis LANCET INFECTIOUS DISEASES Alsan, M., Schoemaker, L., Eggleston, K., Kammili, N., Kolli, P., Bhattacharya, J. 2015; 15 (10): 1203-1210
Risk factors for AIDS-defining illnesses among a population of poorly adherent people living with HIV/AIDS in Atlanta, Georgia AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV Chow, J. Y., Alsan, M., Armstrong, W., del Rio, C., Marconi, V. C. 2015; 27 (7): 844-848

Abstract

In order to achieve the programmatic goals established in the National HIV/AIDS Strategy, virologic suppression remains the most important outcome within the HIV care continuum for individuals receiving antiretroviral therapy (ART). Therefore, clinicians have dedicated substantial resources to improve adherence and clinic retention for individuals on ART; however, these efforts should be focused first on those most at risk of morbidity and mortality related to AIDS. Our study aimed to characterize the factors that are associated with AIDS-defining illnesses (ADIs) amongst people living with HIV (PLHIV) who are poorly adherent or retained in care in order to identify those at highest risk of poor clinical outcomes. We recruited 99 adult PLHIV with a history of poor adherence to ART, poor clinic attendance, or unsuppressed viral load (VL) from the Infectious Disease Program (IDP) of the Grady Health System in Atlanta, Georgia between January and May 2011 to participate in a survey investigating the acceptability of a financial incentive for improving adherence. Clinical outcomes including the number of ADI episodes in the last five years, VLs, and CD4 counts were abstracted from medical records. Associations between survey items and number of ADIs were performed using chi-square analysis. In our study, 36.4% of participants had ≥1 ADI in the last five years. The most common ADIs were Pneumocystis jirovecii pneumonia, recurrent bacterial pneumonia, and esophageal candidiasis. Age <42.5 years (OR 2.52, 95% CI = 1.08-5.86), male gender (OR 3.51, 95% CI = 1.08-11.34), CD4 nadir <200 cells/µL (OR 11.92, 95% CI = 1.51-94.15), unemployment (OR 3.54, 95% CI = 1.20-10.40), and travel time to clinic <30 minutes (OR 2.80, 95% CI = 1.20-6.52) were all significantly associated with a history of ≥1 ADI in the last five years. Awareness of factors associated with ADIs may help clinicians identify which poorly adherent PLHIV are at highest risk of HIV-related morbidity.

View details for DOI 10.1080/09540121.2015.1007114

View details for Web of Science ID 000353482500005

View details for PubMedID 25660100

The Effect of the TseTse Fly on African Development AMERICAN ECONOMIC REVIEW Alsan, M. 2015; 105 (1): 382-410
Out-of-pocket health expenditures and antimicrobial resistance in low-income and middle-income countries: an economic analysis. Lancet Infectious Disease Alsan, M., et al 2015
Out-of-pocket health expenditures and antimicrobial resistance in low-income and middle-income countries: an economic analysis. Lancet Infectious Diseases Marcella, A., et al 2015