EDUCATION:
| M.D. |
Tulane
University School of Medicine (with highest honors), New
Orleans, LA |
| B.S. |
University
of Notre Dame (with honors), Notre Dame, IN |
EXPERTISE:
- 24+
years of post-graduate experience, including 12 years as
an infectious disease epidemiologist and 12 years in biologics
development and regulation (both at CBER/FDA [~8 yrs] and
industry [~4 yrs]). Product experience includes vaccines,
plasma derivatives, monoclonal antibodies and small molecules.
- Board
certified pediatrician with additional training and experience
in laboratory science, epidemiology, biostatistics, drug
safety, and project management
- Principal
investigator in epidemiologic research and large-scale vaccine
efficacy studies
- Extensive
international experience, including interactions with high-level
personnel within WHO, governmental and non-governmental
organizations
- Extensive
vaccine policy experience, both in the U.S. and abroad
- World-renowned
expert in influenza, poliomyelitis, measles, pertussis and
other vaccine-preventable diseases with ~100 peer-reviewed
journal articles, book chapters and books
INFLUENZA-
AND INFLUENZA VACCINE-RELATED EXPERTISE
- Lead
Medical Epidemiologist assigned to the Influenza Branch,
Centers for Disease Control and Prevention (CDC), Atlanta,
GA, USA
- Principle
Investigator in two influenza vaccine and therapeutics trials
- Organizer
and/or speaker for multiple scientific meetings and sessions
on influenza and influenza vaccines; author or co-author
of 30 peer-review publications on influenza and influenza
vaccines
- Former
Chairman of the Inter-Agency Working Group in Pandemic Preparedness
in the United States
- Supervisory
responsibility for all influenza vaccine-related regulatory
submissions while serving as Director of the Division of
Viral Products, Center for Biologics Evaluation and Research
(CBER)/FDA
- Lead
clinical reviewer for selected influenza-related INDs and
BLAs
- Chairman
of FDA/CBER's internal Cell Substrate Working Group
- Frequent
attendee and presenter at CDC's Advisory Committee on Immunization
Practices (ACIP) and FDA liaison member to the AAP's Committee
on Infectious Diseases
- Regulatory
lead for the successful approval of FluMist® (Influenza
Virus Vaccine Live, Intranasal) and transition to the new
refrigerator-stable formulation (CAIV-T). Also served as
Regulatory lead for 5 commercial manufacturing sites and
2 pilot plants, including FDA approval for MedImmune's new
state-of-the-art manufacturing facility in Speke, U.K.
- Member
of MedImmune's strategic and operations committees, including
Executive Management, Commercial Operations, Product Development,
Product Safety, Labeling and Corporate Compliance Committees.
Also served as regulatory lead for all mergers, acquisitions,
in-licensing, out-licensing and other business development
activities.
- Extensive
consulting experience with large and small developers of
influenza vaccines, including novel investigational products,
adjuvants, and routes of administration
| EXPERIENCE |
CURRENT
POSITION
May 2005 - present
|
|
Senior
Clinical Consultant, Biologics Consulting
Group, Inc.
Bethesda, MD.
- Provides
wide range of regulatory (strategic, CMC and
clinical) advice to various clients in the drug
industry, focusing primarily on vaccines and
other biological products.
- Specialties
include regulatory strategy, product development
strategy, clinical protocol design, submission
preparation and review, and FDA and Advisory
Committee meeting preparation.
|
|
|
|
| Aug.
2001 - Apr. 2005) |
|
Corporate
Head and Vice President, World-wide Regulatory
Affairs and Pharmacovigilance, MedImmune,
Inc., Gaithersburg, MD.
- Member
of key strategic and operations committees,
including Executive Management, Commercial Operations,
Product Development, Product Safety, Labeling
and Corporate Compliance Committees.
- Strategic,
operational and compliance responsibility for
5 licensed and 18 investigational products,
including vaccines, monoclonal antibodies, plasma
derivatives and small molecules.
- Also
provided regulatory support to 5 commercial
manufacturing sites and 2 pilot plants. Department
handled ~1000 regulatory submissions annually
(US and foreign).
- Built
Department from a staff of 12 members to 45.
Expanded each of three therapeutic areas (ID/Immunology,
Oncology and Vaccines)
- Created
a Regulatory Operations Division (including
submission publishing and electronic submissions
capability)
- Increased
post-marketing drug safety surveillance capability
(including installation of a new global safety
database)
- Established
risk management and regulatory intelligence
functions.
- Maintained
"hands on" skills by taking primary
responsibility for writing and coordinating
key submissions (including MedImmune's first
IMPD and CTD) and participating (typically as
lead) in all interactions with the FDA, including
sponsor and Advisory Committee meetings, telecons
and pharmacovigilance and BIOMO inspections
- Provided
support to QA for GMP inspections, including
PAIs and biannual (Team Biologics) inspections.
- Served
as regulatory lead for all mergers, acquisitions,
in-licensing, out-licensing and other due diligence
activities.
|
|
|
|
| 1995
- 2001 |
|
Deputy
Director (1995-1997), Acting Director (1997) and Director (1997-2001), Division
of Viral Products, Office of Vaccines Research
and Review, CBER, FDA, Bethesda, MD.
- Managed
full-time staff of ~100 employees, including
60 senior scientists involved in basic and applied
laboratory-based research in HIV and other retroviruses,
hepatitis, arboviruses, herpesviruses, poxviruses,
enteroviruses and respiratory viruses.
- Directed
Division activities related to the medical,
public health, and regulatory aspects of viral
vaccines, including licensed and investigational
products.
- Review
portfolio consists of hundreds of active INDs
and BLA supplements, Master Files, and 6 original
BLA applications.
- Responsible
for secondary and tertiary review; quality and
consistency of CMC and clinical reviews performed
by subordinate staff; and primary review for
selected INDs and BLAs.
- Integral
participant in licensing committee deliberations
and senior management oversight and approval
decisions.
- Interacted
extensively with industry during all phases
of product development, including Advisory Committee
Meetings, face-to-face meetings, and teleconferences
and ad hoc consultations.
- Participated
in Guidance Document development and review,
including ICH-related, combination vaccines,
toxicology, reproductive toxicology, surrogate
endpoints, and internal clinical review practices.
- Chair
of working group concerned with the development
and regulation of novel cell substrates for
the production of viral vaccines.
- Chair
of government-wide working group on influenza
pandemic preparedness in the U.S., with primary
focus on rapid development and deployment of
vaccines and antiviral agents.
- Member
of the Poliomyelitis Eradication Certification
Commission for the Western Pacific Region ,
World Health Organization (1996-2001).
- FDA
liaison representative to the American Academy
of Pediatrics Committee on Infectious Diseases
("Redbook Committee")
|
| |
|
|
| 1994
- 1995 |
|
FDA
Coordinator for the National Institute of Biologicals
Project, India, CBER, FDA, Office of Medical
and International Affairs, Office of the Director,
Bethesda, MD.
- In
collaboration with other scientists within CBER
and architects and engineers at the NIH, developed
scientific, regulatory and laboratory training
programs for the National Institute of Biologicals
(NIB) Project, India, a $100+ million project
sponsored by the U.S. and Japanese Governments.
- The
NIB is an independent agency established within
the Ministry of Health and Family Welfare, New
Delhi, that was responsible for quality control
testing of all biological products.
- Participated
in optimal facility design, testing algorithms,
and tech transfer of key in vitro and in vivo
assays from the U.S. FDA.
- Performed
product and clinical reviews of selected biologics
applications as assigned.
|
| |
|
|
| 1993 |
|
Associate
Director for Vaccine Research, National Vaccine
Program Office, DHHS, Office of the Assistant
Secretary for Health, Rockville, MD.
- Coordinated
vaccine-related research activities (domestic
and international) carried out by Federal Agencies
- Coordinated
activities related to vaccine safety; coordinated
Federal roles in the distribution and use of
vaccines in the U.S. and the interface between
public and private entities responsible for
vaccine development and immunization programs.
- NVPO
reorganized during my tenure and I was reassigned
to the FDA.
|
| |
|
|
| 1980
- 1993 |
|
Various
positions (with progression of responsibility),
Centers for Disease Control and Prevention (primarily
the National Immunization Program and the Division
of Viral and Rickettsial Diseases, NCID), Atlanta,
GA (1980 - 1993)
- Served
as Epidemic Intelligence Service (EIS) Officer
and Supervisory Medical Epidemiologist assigned
to various outbreak investigations and special
field studies, primarily related to influenza
and other vaccine-preventable diseases.
- Principal
investigator or Project Director for several
large-scale, controlled field trials and observational
research studies of licensed and investigational
vaccines, including influenza, polio, pertussis,
and measles.
- Established
poliomyelitis eradication activity at CDC to
provide WHO and WHO Regional Offices (esp. Americas
and Western Pacific) with funding, technical
support and training.
- Architect
of flaccid paralysis surveillance system used
in the Americas and performance indicators (later
adapted by other Regions).
- Wrote
the National Plan of Action for the Eradication
of Poliomyelitis in China (target achieved within
2 years).
|
|
| HONORS
AND AWARDS |
| 2001 |
|
FDA
Commissioner's Group Recognition Award (for
helping to avert a major influenza vaccine
shortage in the U.S.) |
| 2001 |
|
Center
for Biologics Evaluation & Research Group
Award (for outstanding public health achievement
related to risk assessment and public communication
regarding the presence of bovine-derived components
of vaccines and the potential for vCJD |
| 2000 |
|
U.S.
Public Health Service Outstanding Unit Citation
(for contributions related to the investigation
of intussusception among recipients of live,
attenuated rotavirus vaccine) |
| 1999 |
|
Certificate
of Commendation, American Academy of Pediatrics
("in recognition of important contributions
made to the mission and goals of the Academy
and to the children") |
| 1998 |
|
U.S.
Public Health Service Distinguished Service
Medal (for exemplary contributions related
to influenza control and pandemic preparedness
in the U.S.; this is the highest award given
to a Commissioned Officer) |
| 1997 |
|
FDA
Commissioner's Citation and U.S. Public Health
Service Unit Commendation (for public health
response to a voluntary recall of influenza
vaccine) |
| 1996 |
|
Center
for Biologics Evaluation & Research Group
Award (for outstanding public health achievement
related to the safety of substrates used in
the production of viral vaccines) |
| 1995 |
|
U.S.
Public Health Service Unit Commendation (for
contributions related to vaccine safety);
Center for Biologics Evaluation & Research
Group Award (for outstanding contributions
related to policy development for poliovirus
vaccines) |
| 1993 |
|
U.S.
Public Health Service Unit Commendation (for
operational research in support of CDC's Infant
Immunization Initiative) |
| 1991 |
|
U.S.
Public Health Service Outstanding Service
Medal (for contributions related to the poliomyelitis
eradication initiative). |
| 1988 |
|
U.S.
Public Health Service Medal of Commendation
(for contributions related to the prevention
and control of pertussis in the U.S.) |
| 1984 |
|
U.S.
Public Health Service Medal of Achievement
(for contributions related to the prevention
and control of influenza infection in nursing
homes) |
| 1982 |
|
Co
winner, Alexander D. Langmuir Prize for the
best manuscript submitted by an EIS Officer
("Risk Factors for Heatstroke: A Case
Control Study"). |
| 1976 |
|
Alpha
Omega Alpha (AOA) Honor Medical Society (Louisiana
Alpha Chapter, Tulane University School of
Medicine [as 3rd-year medical student]). |
|
| UNIFORMED
SERVICES EXPERIENCE |
| August
1, 2000 |
|
Voluntarily
retired as Captain (Rank 0-6), |
| 1980-2000 |
|
Served
as a Commissioned Officer in the United
States Public Health Service |
| |
|
|
|
| ACADEMIC
APPOINTMENTS |
| 1994-2001 |
|
Department
of International Health, Johns Hopkins University
School of Hygiene and Public Health |
| 1989-1993 |
|
Department
of International Health, Emory University
School of Public Health |
| |
|
|
|
| EDITIORIAL
REVIEW FOR PEER-REVIEWED JOURNALS |
- Journal
of Infectious Diseases
- Clinical
Infectious Diseases
- Annals
of Internal Medicine
- New
England Journal of Medicine
- Journal
of the American Medical Association
- Pediatrics
|
|
| PROFESSIONAL
SOCIETIES |
- American
Society for Microbiology
- Drug
Information Association (DIA)
- Food
& Drug Law Institute (FDLI)
- Infectious
Diseases Society of America (Fellow)
- Regulatory
Affairs Professional Society (RAPS)
|
| |
|
|
|
| BIBLIOGRAPHY |
| 1. |
|
Patriarca
PA. New options for prevention and control
of influenza (editorial). JAMA 1999;282:75-7. |
|
|
|
| 2. |
|
Gensheimer
KF, Fukuda K, Brammer L, Cox NJ, Patriarca
PA. Preparing for pandemic influenza. The
need for enhanced surveillance. Emerg Infect
Dis J 1999;5:297-9. |
|
|
|
| 3. |
|
Braun
MM, Terracciano G, Salive ME, Blumberg DA,
Vermeer-de Bondt PE, Heijbel H, Evans G. Patriarca
PA, Ellenberg SS. Report of a US Public Health
Service workshop on hypotonic-hyporesponsive
episodes (HHE) following pertussis immunization.
Pediatrics 1998;102:E52. |
|
|
|
| 4. |
|
Patriarca
PA, Cox NJ. Influenza pandemic preparedness
plan for the United States. J Infect Dis 1997;176(suppl
1):S4-7. |
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|
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| 5. |
|
Chen
RT, Glasser JW, Rhodes PH, ... and the Vaccine
Safety Datalink Team [P. Patriarca]. Vaccine
safety datalink project: A tool for improving
vaccine safety monitoring in the United States.
Pediatrics 1997;99:765-773 |
|
|
|
| 6. |
|
Braun
MM, Patriarca PA, Ellenberg SS. Syncope after
immunization. Arch Pediatr Adolesc Med 1997;151:255-259. |
|
|
|
| 7. |
|
Patriarca
PA, Sutter RW, Oostsvogel P. Outbreaks of
poliomyelitis, 1976-1995. J Infect Dis 1997;175(Suppl
1):S165-172. |
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| 8. |
|
Reichler
MR, Abbas A, Kharabsheh S, ... Patriarca PA.
Outbreak of paralytic poliomyelitis in a highly
immunized population in Jordan. J Infect Dis
1997;175(Suppl 1):S62-70. |
|
|
|
| 9. |
|
Reichler
MR, Kharabsheh S, Rhodes P, ... Patriarca
PA. Increased immunogenicity of oral poliovirus
vaccine administered in mass vaccination campaigns
compared with routine vaccination program
in Jordan. J Infect Dis 1997;175(Suppl 1):S198-204. |
|
|
|
| 10. |
|
WHO
Collaborative Study Group on Oral and Inactivated
Poliovirus Vaccines [PA Patriarca, Project
Director, CDC]. Combined immunization of infants
with oral and inactivated poliovirus vaccines:
results of a randomized trial in The Gambia,
Oman, and Thailand. J Infect Dis 1997;175(Suppl
1):S215-227 |
|
|
|
| 11. |
|
Posey
DL, Linkins RW, Couto Oliveria MJC, Monteiro
D, Patriarca PA. Effect of diarrhea on oral
poliovirus vaccine failure in Brazil. J Infect
Dis 1997;175 (Suppl 1):S258-263. |
|
|
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| 12. |
|
Modlin
JF, Halsey NA, Thoms ML, Meschievitz C, Patriarca
PA. Serum neutralizing antibody response to
three experimental sequential IPV-OPV immunization
schedules. J Infec Dis 1997;175(Suppl 1):S235-240. |
|
|
|
| 13. |
|
WHO
Collaborative Study Group on Oral and Inactivated
Poliovirus Vaccines [PA Patriarca, Project
Director, CDC]. Combined immunization of infants
with oral and inactivated poliovirus vaccines.
Bull WHO 1996;74:253-68. |
|
|
|
| 14. |
|
Patriarca
PA. Oral poliomyelitis vaccines [Commentary].
Lancet 1996;347:1495 |
|
|
|
| 15. |
|
Chen
RT, Hausinger S, Dajani AS, Hanfling M, Baughman
AL, Pallansch MA, Patriarca PA. Seroprevalence
of antibody against poliovirus in inner-city
preschool children. Implications for vaccination
policy in the United States. JAMA 1996;275:1639-45. |
|
|
|
| 16. |
|
Bart
KJ, Foulds J, Patriarca PA. Global eradication
of poliomyelitis: benefit-cost analysis. Bull
WHO 1996;74:33-43. |
|
|
|
| 17. |
|
Markowitz
LE, Albrecht P, Rhodes P, Demonteverde R,
Swint E, Maes EF, Powell C, Patriarca PA.
Changing levels of measles antibody titers
in women and children in the United States.
Impact on the response to vaccination. Pediatrics
1996;97:53-8. |
|
|
|
| 18. |
|
WHO
Collaborative Study Group on Oral Poliovirus
Vaccines [PA Patriarca, Project Director].
Factors affecting the immunogenicity of oral
poliovirus vaccine. A prospective evaluation
in Brazil and The Gambia. J Infect Dis 1995;171:1097-1106. |
|
|
|
| 19. |
|
Patriarca
PA, Strikas RA. Influenza vaccine for healthy
adults? [Editorial] N Engl J Med 1995;333:933-34. |
|
|
|
| 20. |
|
Richardson
G, Linkins RW, Eames MA, Wood DJ, Campbell
PJ, Ankers E, Deniel M, Kabbaj A, Magrath
DI, Minor PD, Patriarca PA. Immunogenicity
of oral poliovirus vaccine administered in
mass campaigns versus routine immunization
programmes. Bull WHO 1995;73:769-777. |
|
|
|
| 21. |
|
Linkins
RW, Mansour E, Wassif O, Hassan MH, Patriarca
PA. Evaluation of house-to-house versus fixed
site oral poliovirus vaccine delivery strategies
in a mass immunization campaign in Egypt.
Bull WHO 1995;73:589-95 |
|
|
|
| 22. |
|
Van
Loon F, Patriarca PA. Oral rehydration solution
as an adjuvant for oral vaccination. Lancet
1995;345:580-81. |
|
|
|
| 23. |
|
Patriarca
PA, Beeler JA. Measles vaccination and inflammatory
bowel disease [Commentary]. Lancet 1995;345:1062-3. |
|
|
|
| 24. |
|
Patriarca
PA. A randomized controlled trial of influenza
vaccine in the elderly: scientific scrutiny
and ethical responsibility (Editorial). JAMA
1994;272:1700-1 |
|
|
|
| 25. |
|
Mullooly
JP, Bennett MD, Hornbrook MC, Barker WH, Williams
WW, Rhodes P, Patriarca PA. Influenza vaccination
programs for elderly persons: cost-effectiveness
in a health maintenance organization. Ann
Intern Med 1994;121:947-52. |
|
|
|
| 26. |
|
Patriarca PA. Polio outbreaks: A tale of torment
[Commentary]. Lancet 1994;344:630-31 |
|
|
|
| 27. |
|
Strebel
P, Aubert-Combiescu A, Ion-Nedelcu N, Biberi
S, Combiescu M, Sutter R, Cochi S, Patriarca
PA, Pallansch MA, Kew OM, Chumakov K. Paralytic
poliomyelitis in Romania, 1984-1992: evidence
for a high risk of vaccine-associated disease
and reintroduction of wild-virus infection.
Amer J Epidemiol 1994;140:1111-24. |
|
|
|
| 28. |
|
Linkins
RW, Dini EF, Patriarca PA. A randomized trial
of the effectiveness of computer-generated
telephone messages in increasing immunization
rates among preschool children. Arch Pediatr
Adolesc Med 1994;148:908-14 |
|
|
|
| 29. |
|
Patriarca
PA, Foege WH, Swartz TA. Progress in polio
eradication. Lancet 1993;342:1461-4 |
|
|
|
| 30. |
|
Patriarca
PA. Poliomyelitis in selected African and
Asian countries. Public Health Rev 1993/94;21:91-8 |
|
|
|
| 31. |
|
Patriarca
PA. Global eradication of poliomyelitis. Summary
of a symposium. Public Health Rev 1993/94;21:161-4 |
|
|
|
| 32. |
|
Patriarca
PA, Linkins RW, Sutter RW. Poliovirus vaccine
formulations. In: Kurstak E (ed.): Measles
and Poliomyelitis: Vaccines and Immunization.
New York, Springer-Verlag, 1993; 242-51. |
|
|
|
| 33. |
|
Patriarca
PA, Linkins RW, Sutter RW, Orenstein WA. Optimal
schedule for the administration of oral poliovirus
vaccine. In: Kurstak E (ed.): Measles and
Poliomyelitis: Vaccines and Immunization.
New York, Springer-Verlag, 1993, pp.303-13 |
|
|
|
| 34. |
|
Sutter
RW, Cochi SL, Patriarca PA. Epidemiologic
and laboratory classification systems for
paralytic poliomyelitis cases. In: Kurstak
E (ed.): Measles and Poliomyelitis: Vaccines
and Immunization. New York, Springer-Verlag,
1993, pp.235-47. |
|
|
|
| 35. |
|
Sutter
RW, Patriarca PA. Inactivated and live attenuated
poliovirus vaccines. Mucosal immunity. In:
Kurstak E (ed.): Measles and Poliomyelitis:
Vaccines and Immunization. New York, Springer-Verlag,
1993, pp.279-94 |
|
|
|
| 36. |
|
Sutter
RW, Patriarca PA, Suleiman AJM, et al. Paralytic
poliomyelitis in Oman. Association between
regional differences in attack rate and variations
in antibody responses to oral poliovirus vaccine.
Int J Epidemiol 1993;22:936-44. |
|
|
|
| 37. |
|
Stehr-Green
PA, Dini EF, Lindegren ML, Patriarca PA. Evaluation
of the impact of computer-generated telephone
reminders on on-time immunization in inner-city
clinics. Public Health Rep 1993;108:426-30. |
|
|
|
| 38. |
|
Moriniere
BM, Van Loon FPL, Rhodes PH, Klein-Zabban
ML, Frank-Sennat B, Herrington JE, Pallansch
MA, Patriarca PA. Serologic responses following
a supplemental dose of oral vs. inactivated
poliovirus vaccine. Lancet 1993;341:1545-50. |
|
|
|
| 39. |
|
Farizo
KM, Cochi SL, Zell ER, Brink EW, Wassilak
SG, Patriarca PA. Epidemiologic features of
pertussis in the United States, 1980-1989.
Clin Infect Dis 1992;14:708-719. |
|
|
|
| 40. |
|
Farizo
KM, Stehr-Green PA, Markowitz LE, Patriarca
PA. Immunization levels and missed opportunities
for measles vaccination. A record audit in
a public pediatric clinic. Pediatrics 1992;89:589-592. |
|
|
|
| 41. |
|
Sutter
RW, Patriarca PA, Suleiman AJM, et al. Attributable
risk of DTP injection in provoking paralytic
poliomyelitis during a large outbreak in Oman.
J Infect Dis 1992;165:444-449. |
|
|
|
| 42. |
|
Sprauer
MA, Cochi SL, Zell ER, Sutter RW, Mullen JR,
Englander SJ, Patriarca PA. Prevention of
secondary transmission of pertussis in households
with early use of erythromycin. Am J Dis Child
1992;146:177-181. |
|
|
|
| 43. |
|
King
GE, Markowitz LE, Patriarca PA, Dales LG.
Clinical efficacy of measles vaccine during
the 1990 measles epidemic. Pediatr Infect
Dis J 1991;10:883-887 |
|
|
|
| 44. |
|
Patriarca
PA, Wright PF, John TJ. Factors affecting
the immunogenicity of oral poliovirus vaccine
in developing countries. A review. Rev Infect
Dis 1991;13:926-39 |
|
|
|
| 45. |
|
Patriarca
PA, Sutter RW. Poliomyelitis. In: Last JM
(ed.): Maxcy-Rosenau Public Health and Preventive
Medicine (13th Edition). East Norwalk, CT,
Appleton-Century-Crofts, 1991:80-81. |
|
|
|
| 46. |
|
Sutter
RW, Patriarca PA, Brogan S, Malankar PG, Pallansch
MA, Kew OM, Bass AG, Cochi SL, Alexander J,
Mohammed AJ, El-Bualy M. Outbreak of paralytic
poliomyelitis in Oman: Evidence for transmission
among fully vaccinated children. Lancet 1991;338:715-20 |
|
|
|
| 47. |
|
Cutts
FT, Henderson RH, Clements CJ, Chen RT, Patriarca
PA. Principles of measles control. Bull WHO
1991;69:1-7. |
|
|
|
| 48. |
|
Sutter
RW, Onorato IM, Patriarca PA. Current poliomyelitis
immunization policy in the United States.
Pediatr Ann 1990;19:702-6. |
|
|
|
| 49. |
|
Farizo
KM, Cochi SL, Patriarca PA. Poliomyelitis
in the United States. An historical perspective
and current vaccination policy. J Amer Coll
Health Assoc 1990;32:137-43. |
|
|
|
| 50. |
|
Patriarca
PA. Clinical experiences with acute hemorrhagic
conjunctivitis in the United States. In: Ishii
K (ed.) Acute hemorrhagic conjunctivitis.
Tokyo, University of Tokyo 1989, pp.285 9. |
|
|
|
| 51. |
|
Hutchins
SS, Cochi SL, Brink EW, Patriarca PA, Wassilak
SGF, Rovira EZ, Hinman AR. Current epidemiology
of pertussis in the United States. Tokai J
Exp Clin Med 1988;13(suppl):103-110. |
|
|
|
| 52. |
|
Patriarca
PA, Steketee RW, Biellik RJ, Wassilak SGF,
Brink EW, Burstyn DG, Manclark CW, Davis JP.
Outbreaks of pertussis in the United States.
The Wisconsin experience. Tokai J Exp Clin
Med 1988;13(suppl):117-124. |
|
|
|
| 53. |
|
Patriarca
PA, Laender F, Palmeira G, et al. A randomized
trial of alternative formulations of oral
polio vaccine in Brazil. Lancet 1988;i:429
33. |
|
|
|
| 54. |
|
Patriarca
PA, Biellik RJ, Sanden G, et al. Sensitivity
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