check notepad for instructions Public Health in a Border CountySeema Shah, MD, MPH Medical Director, Epidemiology and Immunization Services

check notepad for instructions 

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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