Richard L. Guerrant Explained
Richard L. Guerrant (born July 21, 1943) is an American physician, medical school professor, and medical researcher, specializing in infectious diseases and tropical medicine.
Biography
Guerrant received his bachelor's degree from Davidson College and his M.D. from the University of Virginia School of Medicine.[1] He completed his residency in internal medicine and infectious diseases at Harvard Medical Service at Boston City Hospital, where Maxwell Finland was his supervising attending physician and mentor.[2]
After his cholera field research in Bangladesh, he returned to the University of Virginia School of Medicine. There he became a professor and the founding director of the Center for Global Health.[2] He is the author or co-author of over 700 articles[3] and the co-editor of several books.
In field studies, particularly in Brazil, he and his colleagues investigated the developmental problems of children who suffered from persistent diarrheal diseases in the critical first years of their lives. These investigations showed that such diseases stunted growth and harmed cognitive skills. The pathological cognitive effects, involving losses up to 10 IQ points, were linguistically not phonetic, but semantic, similar to the cognitive deficits in Alzheimer's patients. Guerrant and his team also found that APOE-ε4, the main risk allele in Alzheimer's disease, protects children against such cognitive losses due to diarrhea. This protection is a possible explanation for the spread of the allele APOE-ε4.[4] [5] [6] [7] [8] This unexpected effect of the allele APOE-ε4 is analogous to the role of sickle cell anemia as a side effect of protection against malaria and the allele associated with cystic fibrosis as protection against cholera and other diarrheal diseases. He is continuing the research with a grant from the Bill and Melinda Gates Foundation.[2]
The Infectious Diseases Society of America honored Guerrant with the Joseph E. Lectureship in 1993[9] and the Walter E. Stamm Mentor Award in 2009.[10] In 1997 he was the president of the American Society of Tropical Medicine and Hygiene (ASTMH),[11] was named Henderson Innovator of the Year at the University of Virginia,[2] and received the Emilio Ribas Medal from the Sociedade Brasileira de Infectologia (Brazilian Society of Infectious Diseases).[12] In 2002 he gave the Wesley Spink Memorial Lecture at the University of Minnesota's Department of Medicine.[13] In 2003 Guerrant was elected a member of the National Academy of Medicine.[14] He received in 2008 the Walter Reed Medal from the ASTMH[15] and in 2014 the Maxwell Finland Award from the National Foundation for Infectious Diseases.[2]
Richard L. Guerrant and his wife Nancy B. Guerrant established the Richard and Nancy Guerrant Center for Global Health Scholar Award at the University of Virginia.[16] The couple have two sons and a daughter.
Selected publications
Articles
- 10.1016/0016-5085(90)90957-3. Urea protects Helicobacter (Campylobacter) pylori from the bactericidal effect of acid. 1990. Marshall. B.J.. Barrett. L.J.. Prakash. C.. McCallum. R.W.. Guerrant. R.L.. Gastroenterology. 99. 3. 697–702. 2379775.
- Guerrant, D. I.. Moore, S. R.. Lima, A. A.. Patrick, P. D.. Schorling, J. B.. Guerrant, R. L.. 1999. Association of early childhood diarrhea and cryptosporidiosis with impaired physical fitness and cognitive function four-seven years later in a poor urban community in northeast Brazil. The American Journal of Tropical Medicine and Hygiene. 61. 5. 707–713. 10.4269/ajtmh.1999.61.707. 10586898. 10.1.1.324.6795. 7040139 .
- 10.1086/318514. Practice Guidelines for the Management of Infectious Diarrhea. 2001. Guerrant. Richard L.. Van Gilder. Thomas. Steiner. Ted S.. Thielman. Nathan M.. Slutsker. Laurence. Tauxe. Robert V.. Hennessy. Thomas. Griffin. Patricia M.. DuPont. Herbert. Herbert L. DuPont. Bradley Sack. R.. Tarr. Phillip. Neill. Marguerite. Nachamkin. Irving. Reller. L. Barth. Osterholm. Michael T.. Bennish. Michael L.. Pickering. Larry K.. Infectious Diseases Society of America. Clinical Infectious Diseases. 32. 3. 331–351. 11170940. free.
- Kosek, Margaret. Bern, Caryn. Guerrant, Richard L.. The global burden of diarrhoeal disease, as estimated from studies published between 1992 and 2000. Bulletin of the World Health Organization. 81. 2003. 3. 197–204. 12764516. 2572419.
- 10.1093/ije/dyn099. Multi-country analysis of the effects of diarrhoea on childhood stunting. 2008. Checkley. William. Buckley. Gillian. Gilman. Robert H.. Assis. Ana MO. Guerrant. Richard L.. Morris. Saul S.. Mølbak. Kåre. Valentiner-Branth. Palle. Lanata. Claudio F.. Black. Robert E.. Childhood Malnutrition Infection Network. International Journal of Epidemiology. 37. 4. 816–830. 18567626. 2734063.
- 10.1111/j.1753-4887.2008.00082.x. Malnutrition as an enteric infectious disease with long-term effects on child development. 2008. Guerrant. Richard L.. Oriá. Reinaldo B.. Moore. Sean R.. Oriá. Mônica OB. Lima. Aldo AM. Nutrition Reviews. 66. 9. 487–505. 18752473. 2562291.
- 2276781 . 10.1172/JCI34005. Enteric infections, diarrhea, and their impact on function and development. 2008. Petri. William A.. Miller. Mark. Binder. Henry J.. Levine. Myron M.. Dillingham. Rebecca. Guerrant. Richard L.. Journal of Clinical Investigation. 118. 4. 1277–1290. 18382740.
- 10.1038/nrgastro.2012.239. The impoverished gut—a triple burden of diarrhoea, stunting and chronic disease. 2013. Guerrant. Richard L.. Deboer. Mark D.. Moore. Sean R.. Scharf. Rebecca J.. Lima. Aldo A. M.. Nature Reviews Gastroenterology & Hepatology. 10. 4. 220–229. 23229327. 3617052.
- 10.1016/S1473-3099(14)70772-8. A review of the global burden, novel diagnostics, therapeutics, and vaccine targets for cryptosporidium. 2015. Checkley. William. White. A Clinton. Jaganath. Devan. Arrowood. Michael J.. Chalmers. Rachel M.. Chen. Xian-Ming. Fayer. Ronald. Griffiths. Jeffrey K.. Guerrant. Richard L.. Hedstrom. Lizbeth. Huston. Christopher D.. Kotloff. Karen L.. Kang. Gagandeep. Mead. Jan R.. Miller. Mark. Petri. William A.. Priest. Jeffrey W.. Roos. David S.. Striepen. Boris. Thompson. R C Andrew. Ward. Honorine D.. Van Voorhis. Wesley A.. Xiao. Lihua. Zhu. Guan. Houpt. Eric R.. The Lancet Infectious Diseases. 15. 1. 85–94. 25278220. 4401121.
- 10.1016/S2214-109X(15)00151-5. Pathogen-specific burdens of community diarrhoea in developing countries: A multisite birth cohort study (MAL-ED). 2015. Platts-Mills. James A. with 29 co-authors including Richard L. Guerrant. Babji. Sudhir. Bodhidatta. Ladaporn. Gratz. Jean. Haque. Rashidul. Havt. Alexandre. McCormick. Benjamin JJ. McGrath. Monica. Olortegui. Maribel Paredes. Samie. Amidou. Shakoor. Sadia. Mondal. Dinesh. Lima. Ila FN. Hariraju. Dinesh. Rayamajhi. Bishnu B.. Qureshi. Shahida. Kabir. Furqan. Yori. Pablo P.. Mufamadi. Brenda. Amour. Caroline. Carreon. J Daniel. Richard. Stephanie A.. Lang. Dennis. Bessong. Pascal. Mduma. Esto. Ahmed. Tahmeed. Lima. Aldo AAM. Mason. Carl J.. Zaidi. Anita KM. Bhutta. Zulfiqar A.. The Lancet Global Health. 3. 9. e564–e575. 26202075. 7328884. 1.
Books
- Book: Guerrant, Richard L.. Walker, David. Weller, Peter. Tropical Infectious Diseases: Principles, Pathogens, and Practices. Churchill Livingston. 1999. 1st.
- 2 vols.
. ; 2nd edition, 2006; Book: Tropical Infectious Diseases: Principles, Pathogens and Practice E-Book. 978-1437737776. Guerrant. Richard L.. Walker. David H.. Weller. Peter F.. 5 April 2011. Elsevier Health Sciences .
- Book: Guerrant, Richard L.. Tropical and Travel-associated Diseases. 9781859221297. 1994. Current Science.
- 114 pages
.
- Book: At the Edge of Development: Health Crises in a Transitional Society. Guerrant, Richard L.. Auxiliadora de Souza, M.. Nations, Marilyn K..
- photography by Cynthia Lee Vukasovich
. Durham, North Carolina. Carolina Academic Press. 1996.
- Book: Essentials of Tropical Infectious Diseases. Guerrant, Richard L.. Walker, David H.. Weller, Peter F.. New York. Churchill Livingstone. 2001.
- Book: Guerrant, Richard L.. Evolution of Evolution: The Survival Value of Caring. 9781527514522. October 2018. Cambridge Scholars.
- 125 pages
.
References
- Web site: Guerrant, Richard L.. Research Faculty Directory, University of Virginia School of Medicine. (with Selected Publications)
- Web site: Richard L. Guerrant, MD, 2014 Maxwell Finland Award for Scientific Achievement Awardee. National Foundation for Infectious Diseases.
- Web site: Richard L. Guerrant, MD. Center for Global Health Equity, University of Virginia.
- 10.1203/01.PDR.0000148719.82468.CA. APOE4 Protects the Cognitive Development in Children with Heavy Diarrhea Burdens in Northeast Brazil. 2005. Oriá. Reinaldo B.. Patrick. Peter D.. Zhang. Hong. Lorntz. Breyette. De Castro Costa. Carlos Maurício. Brito. Gerly A C.. Barrett. Leah J.. Lima. Aldo A M.. Guerrant. Richard L.. Pediatric Research. 57. 2. 310–316. 15611352. 10285777. free.
- 10.1016/j.mehy.2006.09.036. Role of apolipoprotein E4 in protecting children against early childhood diarrhea outcomes and implications for later development. 2007. Oriá. Reinaldo B.. Patrick. Peter D.. Blackman. James A.. Lima. Aldo A.M.. Guerrant. Richard L.. Medical Hypotheses. 68. 5. 1099–1107. 17098371. 3993898.
- 10.1111/j.1753-4887.2008.00082.x. Malnutrition as an enteric infectious disease with long-term effects on child development. 2008. Guerrant. Richard L.. Oriá. Reinaldo B.. Moore. Sean R.. Oriá. Mônica OB. Lima. Aldo AM. Nutrition Reviews. 66. 9. 487–505. 18752473. 2562291.
- 10.6061/clinics/2012(01)03. Apolipoprotein E4 influences growth and cognitive responses to micronutrient supplementation in shantytown children from northeast Brazil. 2012. Mitter. SS. Oria. RB. Kvalsund. MP. Pamplona. P.. Joventino. ES. Mota. RMS. Goncalves. DC. Patrick. PD. Guerrant. RL. Lima. AAM. Clinics. 67. 1. 11–18. 22249475. 3248595.
- 10.1371/journal.pone.0089562. free. Apolipoprotein e Plays a Key Role against Cryptosporidial Infection in Transgenic Undernourished Mice. 2014. Azevedo. Orleâncio G. R.. Bolick. David T.. Roche. James K.. Pinkerton. Relana F.. Lima. Aldo A. M.. Vitek. Michael P.. Warren. Cirle A.. Oriá. Reinaldo B.. Guerrant. Richard L.. PLOS ONE. 9. 2. e89562. 24586873. 3938486. 2014PLoSO...989562A.
- Web site: Past Joseph E. Smadel Lectureship Winners. Infectious Diseases Society of America (IDSA).
- Web site: Past Walter E. Stamm Mentor Award Winners. Infectious Diseases Society of America (IDSA).
- Guerrant, R. L.. 1998. Why America must care about tropical medicine: threats to global health and security from tropical infectious diseases. The American Journal of Tropical Medicine and Hygiene. 59. 1. 3–16. 10.4269/ajtmh.1998.59.3. 9684618. 10.1.1.198.5345. (presidential address delivered December 9, 1997)
- Web site: Richard L. Guerrant. antimicrobe.org.
- Web site: Annual Wesley Spink Memorial Lecture. Department of Medicine, University of Minnesota. 15 December 2019.
- Web site: Guerrant, Richard L.. General Directory, National Academy of Medicine.
- Web site: Walter Reed Medal. American Society of Tropical Medicine and Hygiene.
- Web site: The Richard and Nancy Guerrant Center for Global Health Scholar Award. Center for Global Health Equity, University of Virginia.