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Public Health in a Border County
Seema Shah, MD, MPH
Medical Director, Epidemiology and Immunization Services Branch
County of San Diego Health and Human Services Agency
May 2, 2024
About Myself: Fast Facts
2
1st Generation Indian American
Moved back to India in middle school
Speak Gujarati and Hindi
Went to a combined undergrad/graduate
school at the University of Missouri Kansas City
Met my Indian American spouse in high school
About Myself: Spanish Culture
During undergrad had
a “crisis” and was not
so sure about my
path in Kansas City
Decided to take on
another major:
Spanish
Spent time in Xalapa,
Veracruz
Volunteered in the
hospital as a
translator
About Myself: Move to San Diego
Connection to the Spanish culture drove
the decision to come to San Diego to do
residency
During residency, volunteered as a
translator for the Genetics team in
Tijuana
Found a wonderful ability to connect
with my patients in Spanish
A Little More About
Myself: Professional
Career
UCSD Peds Residency
UCSD Peds EM Fellowship
Attending Physician in Peds EM
•Associate PD for PEM Fellowship
Clinical/Medical Director, Rady
ED + Interim Division Chief, PEM
5th largest
county in US
3.3 million
residents
12
What Does the County of
San Diego Do to Prevent
and Control Infectious
Diseases Among
Underserved Populations?
#1 Partnerships
• Community Health Workers
• Representative Associations
• Latinx LGBTQ+, Black Nurses
Association, etc
• Healthcare systems
• Small businesses
#2 Communication
• Translation into threshold languages
• Delivery of messages by trusted partners
• Focus groups to understand better ways of communication… and how
• Telebriefings
#3 Engaging in Community
• Participation in
Community events
• Vaccination events that
incorporate improved
health access
#4 Advocacy
DISEASE EXAMPLE:
VARICELLA
(CHICKENPOX)
DISEASE EXAMPLE:
MEASLES
DISEASE
EXAMPLE:
MALARIA
DISEASE EXAMPLE: HEPATITIS A
Questions?
24
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- What Does the County of San Diego Do to Prevent and Control Infectious Diseases Among Underserved Populations?
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- Disease Example: Varicella (Chickenpox)
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- Disease Example: Measles
- Disease Example: Malaria
- Disease Example: Hepatitis A
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