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PODCAST

ID4U - Infectious Disease Podcasts for Users of the CMES program

Jessica Pelletier

Techies Without Borders (TWB) is a non-profit organization that aims to deliver high-quality CME to low- and middle-income countries (LMIC) where there are significant cost and internet access barriers for clinicians to stay up-to-date. Our program is currently established in 19 countries, serving 13,000 doctors who care for more than 20+ million patients. Our primary content delivery method is via the Continuing Medical Education Solutions (CMES) and CMES-Pi, a small computer at each site that

health & fitness medicine

All Episodes

23:15

ID4U Episode 19 Loiasis ("African Eye Worm")

ID4U - Infectious Disease Podcasts for Users of the... ·

2025/10/30

Dr. Kakande Reagan, Dr. Bri Bennett, and Dr. Jessica Pelletier discuss the epidemiology, pathophysiology, clinical presentation, diagnostic workup, management, and prevention of loiasis.Take-Home Points:Loa loa is a multi-system parasitic disease with potentially serious complications if untreated.Diagnosis requires diurnal blood smears or thick-drop methods, and Giemsa or H&E staining is necessary to diagnose the worms appropriately.Microfilarial load dictates the treatment strategy.There is a

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33:27

ID4U Episode 18 Dengue ("Break Bone Fever")

ID4U - Infectious Disease Podcasts for Users of the... ·

2025/09/26

Dr. Stuart Allen, Dr. Jessica Pelletier, and Dr. Akan Otu discuss the epidemiology, pathophysiology, clinical presentation, diagnostic workup, management, and prevention of dengue.Take-Home Points:Dengue is an arboviral disease transmitted by the Aedes aegypti mosquitoIt is an NTD with a huge global burden of diseaseThe majority of cases are self-limiting, but severe dengue infections can cause massive hemorrhage, shock, multiorgan failure, and deathThere is no cure for dengue; supportive care for

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23:40

ID4U Episode 17 Lymphatic Filariasis

ID4U - Infectious Disease Podcasts for Users of the... ·

2025/08/17

Dr. Jessica Pelletier, John George Johnson, and Dr. Sheikh Omar Bittaye discuss the epidemiology, pathophysiology, clinical presentation, diagnostic workup, management, and prevention of lymphatic filariasis (LF).Take-Home Points:LF is the second most common mosquito-borne illness after malaria.This disease involves repeated cycles of infection and inflammation, much like trachoma, and can cause severe morbidity and social isolation.Treatment is with anti-parasitic agents and must be tailored

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19:29

ID4U Episode 16 Onchocerciasis

ID4U - Infectious Disease Podcasts for Users of the... ·

2025/07/14

Dr. Jessica Pelletier, Dr. Kakande Reagan, and Dr. Bri Bennett discuss the epidemiology, pathophysiology, clinical presentation, diagnostic workup, management, and prevention of onchocerciasis.Take-Home Points:Onchocerciasis is the second leading cause of blindness worldwideTransmission occurs via blackfly bitesClinical manifestations are typically dermatologic followed by ocularDiagnosis ideally occurs via PCR of skin snips, or RDT where this is availableTreatment is either with ivermectin or

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14:12

ID4U Episode 15 Trachoma

ID4U - Infectious Disease Podcasts for Users of the... ·

2025/06/28

Dr. Jessica Pelletier and Dr. Tracy Walczynski discuss the epidemiology, pathophysiology, clinical presentation, diagnostic workup, management, and prevention of trachoma.Take-Home Points:Trachoma is the most common infectious cause of blindness worldwideChlamydia trachomatis is spread via direct contact, and its spread is propagated in resource-limited settings where there is poor access to good sanitation and personal hygieneThis is a chronic condition involving cycles of infection and scarring

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16:37

ID4U Episode 14 Cholera

ID4U - Infectious Disease Podcasts for Users of the... ·

2025/05/28

Dr. Jessica Pelletier and Dr. Kamoga Dickson discuss the epidemiology, pathophysiology, clinical presentation, diagnostic workup, management, and prevention of cholera.Take-Home Points:Cholera is a disease with high morbidity that disproportionately affects sub-Saharan AfricaThe O1 and O139 serogroups of V. cholera make cholera toxin and cause the diseaseColonization happens in the small intestine, so higher volumes of bacteria that make it to the small intestine are more likely to cause diseaseThe

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17:16

ID4U Episode 13 Ebola Part 2

ID4U - Infectious Disease Podcasts for Users of the... ·

2025/04/09

Dr. Jessica Pelletier and Noah Kronk speak with Dr. Steve Liang and Dr. Gaston Omba about the diagnostic workup, management, and prevention of ebola virus disease (EVD).Take-Home Points:Patients may present in either the dry or wet phases of disease and may progress to death or recoveryEarly recognition of possible EVD cases helps protect more people from becoming infectedIPC measures are critical to break the cycle of infection and stop outbreaksCare in the ED is primarily supportivePatients with

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14:57

ID4U Episode 12 Ebola Part 1

ID4U - Infectious Disease Podcasts for Users of the... ·

2025/03/21

Dr. Jessica Pelletier and Noah Kronk speak with Dr. Gaston Omba, an emergency medicine resident physician with expertise in international cooperation, humanitarian aid, health management, and ebola epidemic response.Take-Home Points:Ebola virus outbreaks typically occur in Sub-Saharan AfricaThe natural reservoir is thought to be bats, but this isn’t definitiveEarly detection of suspected Ebola cases is crucial to prevent viral spreadFever is the most common early symptom, and may be accompanied by

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26:36

ID4U Episode 11 Mpox Part 2

ID4U - Infectious Disease Podcasts for Users of the... ·

2025/02/05

Dr. Jessica Pelletier and Noah Kronk speak with Dr. Stephen Liang, an emergency medicine physician and infectious disease expert, about the diagnosis and management of mpox in the ED setting.Take-Home Points:Two clades:Clade 1 (Central Africa): classic, more severe diseaseClade 2 (West Africa): subtle, non-classic presentations including genital/anal lesions and proctitis in the 2022 global outbreakTransmitted via exposure to body fluids, skin lesions, or respiratory secretionsIncubation period:

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17:03

ID4U Episode 10 Mpox Part 1

ID4U - Infectious Disease Podcasts for Users of the... ·

2025/01/26

Dr. Jessica Pelletier speaks with Ambrose Ndabahwerize, a nurse working in Uganda, regarding his first-hand experience working with mpox patients in a resource-limited setting.Take-Home Points:Most cases of mpox are non-severeTreatment of mpox is primarily supportiveCommunity education, isolation of suspected cases, and proper PPE access are key for preventing the spread of diseaseEpisode art attribution: image generated using Adobe Firefly

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18:28

ID4U Episode 9 Special Episode: What is Techies...

ID4U - Infectious Disease Podcasts for Users of the... ·

2025/01/15

In this special episode of ID4U, we move away from our focus on tropical medicine and instead discuss the non-profit Techies Without Borders (TWB). We learn the following:What does the TWB non-profit do?Why are the TWB volunteers passionate about their work?What is the Continuing Medical Education Solutions (CMES) initiative, and how does it work?How are donations used?You can learn more about TWB here: https://techieswithoutborders.us/You can learn more about CMES here: https://cmesworld.org/If you

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17:57

ID4U Episode 8 Tropical Infections and CKD Part 2

ID4U - Infectious Disease Podcasts for Users of the... ·

2025/01/06

Dr. Jessica Pelletier speaks with Dr. Emmanuel Effa, a nephrology expert, about tropical infections in chronic kidney disease (CKD) patients.Take-Home Points:CKD and particularly end-stage kidney disease (ESKD) impose significant morbidity and mortality.Early recognition and management of CKD is critical to prevent progression to ESKD.Numerous tropical infections can increase the risk for AKI, CKD, and ESKD.Management typically involves treatment of the underlying infectious cause.You can view the

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18:36

ID4U Episode 7 Tropical Infections and CKD Part 1

ID4U - Infectious Disease Podcasts for Users of the... ·

2025/01/01

Dr. Jessica Pelletier speaks with Dr. Emmanuel Effa, a nephrology expert, about tropical infections in chronic kidney disease (CKD) patients.Take-Home Points:CKD and particularly end-stage kidney disease (ESKD) impose significant morbidity and mortality.Early recognition and management of CKD is critical to prevent progression to ESKD.Numerous tropical infections can increase the risk for AKI, CKD, and ESKD.Management typically involves treatment of the underlying infectious cause.You can view the

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28:21

ID4U Episode 6 Malaria Vaccines

ID4U - Infectious Disease Podcasts for Users of the... ·

2024/12/16

Dr. Jessica Pelletier speaks with Dr. Ly Cloessner, a public health expert, about current malaria vaccines and the rollout processTake-Home Points:Malaria can cause severe symptoms requiring emergency care and lead to significant morbidity and mortality worldwide.Malaria prevention includes the use of bednets, insecticide spraying, and antimalarial medications, especially for pregnant women and children in high-transmission areas.Since 2019, the WHO has prequalified two malaria vaccines:

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20:39

ID4U Episode 5 Severe Malaria

ID4U - Infectious Disease Podcasts for Users of the... ·

2024/08/28

Dr. Jessica Pelletier speaks with Dr. Emmanuel Effa, a malaria expert, about diagnosing and managing severe malaria in the emergency setting.Take-Home Points:Severe malaria is characterized by parasitemia plus 1 or more of the severe features we discussed - basically, signs of organ damageKids are at higher risk of getting and dying from thisThese folks will often need resuscitation from an ABCDE standpointEarly recognition and aggressive antimalarial treatment is essentialPatients should be treated

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15:56

ID4U Episode 4 Malaria

ID4U - Infectious Disease Podcasts for Users of the... ·

2024/07/13

Dr. Jessica Pelletier speaks with Dr. Brit Long, who recently published a review article on malaria for emergency clinicians, about uncomplicated malaria infection. Take-Home Points: Malaria is a highly prevalent disease worldwide that causes millions of cases and hundreds of thousands of deaths, though improving prevention strategies are helping mitigate thisMalaria can be asymptomatic, uncomplicated, or complicated; we covered uncomplicated malaria todayUncomplicated malaria may come with fevers,

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24:31

ID4U Episode 3 Tuberculosis Part 2

ID4U - Infectious Disease Podcasts for Users of the... ·

2024/06/03

In Part 2, Dr. Jess Pelletier speaks with Dr. Moses Kitakule about tuberculosis (TB) complications, including pulmonary and extrapulmonary emergencies and serious side effects of anti-TB medications.Take-Home Points:There are a number of life-threatening pulmonary emergencies that can occur in active or latent TB patients due to structural lung changes, and we need to be ready to manage themExtrapulmonary TB can impact any organ system, but some of the most dangerous emergencies to be aware of

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15:47

ID4U Episode 2 Typhoid Fever

ID4U - Infectious Disease Podcasts for Users of the... ·

2024/05/14

In this episode, Dr. Jess Pelletier speaks with Dr. Emmanuel Effa about typhoid fever.Take-Home Points:Typhoid fever is endemic in settings with water and sanitation issuesIn other places, it is more commonly imported from overseas when people visit endemic areasTypically, infected people present with varying degrees of fever, fatigue, headaches, abdominal pains and constipation/diarrhea. It can run a severe course that leads to deathDiagnosis is based on clinical features and cultures of bone

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14:21

ID4U Episode 1 Tuberculosis Part 1

ID4U - Infectious Disease Podcasts for Users of the... ·

2024/04/18

In Part 1, Dr. Jess Pelletier speaks with Dr. Moses Kitakule about tuberculosis: epidemiology, pathophysiology, and diagnosis. Take-Home Points: TB is a pathogen impacting only humans which infects about ⅓ of the globe Most cases of TB are latent and asymptomatic, but TB can reactivate at any time, particularly if a host becomes immunocompromised or highly exposed to TBPatients with active pulmonary TB may have fevers, night sweats, weight loss, cough lasting more than 3 weeks, hemoptysis, dyspnea,

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