Internists, Infectious Disease Specialist (virus, bacteria, parasites), Preventive Medicine / Wellness
33 years of experience

3601 C St
Midtown, Anchorage, AK 99503
907-269-8004
Locations and availability (1)

Education ?

Medical School Score Rankings
Indiana University (1977)
  • Currently 3 of 4 apples
Top 50%

Publications & Research

Dr. Funk has contributed to 10 publications.
Title Endemic Foodborne Botulism Among Alaska Native Persons--alaska, 1947-2007.
Date May 2011
Journal Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America
Excerpt

Foodborne botulism resulting from consumption of uncooked aquatic game foods has been an endemic hazard among Alaska Native populations for centuries. Our review was conducted to help target botulism prevention and response activities.

Title Top Ehr Challenges in Light of the Stimulus. Enabling Effective Interdisciplinary, Intradisciplinary and Cross-setting Communication.
Date February 2010
Journal Journal of Healthcare Information Management : Jhim
Excerpt

US healthcare is undergoing a transformation. The economic stimulus plan is intended to transform healthcare through health IT. The government has defined "meaningful use" of health IT. Healthcare is a team activity, and as such presents a challenge to the concept of meaningful use. While encoding clinical data into a computer is a positive step, it is not enough. A continuity-of-care record is needed to document and measure care; support clinical care; and coordinate care with public health agencies. This paper examines current research to assist decisionmakers moving forward. To realize the promise, integration across all clinical disciplines is critical. There are many challenges. These include: the threat of information overload, both at the transitions of care and between disciplines; the need to provide for data-sharing between clinical and public health agencies, an important component in both local community and national health issues; how to use health IT to improve the delivery of healthcare, especially with unintended outcomes of any change in healthcare and paper persistence; and addressing different views of "meaningful" for different uses and users of health IT. All of these challenges need to be considered for wise installation of health IT. In addition, attention must be paid to weaknesses in the current healthcare system to prevent codifying them in health IT.

Title Association of Regulatory Issues with an Echovirus 18 Meningitis Outbreak at a Children's Summer Camp in Alaska.
Date October 2004
Journal The Pediatric Infectious Disease Journal
Excerpt

We document an echovirus 18 meningitis outbreak occurring at a remote overnight children's camp in Alaska. The outbreak involved 26% of 113 camp residents, was associated with building overcrowding and occurred in a camp with a contaminated drinking water source. Lack of specific children's camp regulations and failure to implement and enforce existing regulations may have contributed to the outbreak.

Title Incremental Effectiveness of 2 Doses of Measles-containing Vaccine Compared with 1 Dose Among High School Students During an Outbreak.
Date June 2004
Journal The Journal of Infectious Diseases
Excerpt

A measles outbreak occurred among a highly vaccinated population in Alaska during 1998, providing an opportunity to determine the incremental efficacy of >or=2 doses of measles-containing vaccine (MCV) compared with 1 dose. Of 33 confirmed case patients identified, 31 had been vaccinated with 1 dose of MCV, 1 had received 2 doses, and vaccination status was unknown in 1 case. Seventy percent of cases were school-associated; 58% of cases occurred in 2 high schools. Of 3679 students attending the 2 schools, 50.4% and 45.5% had received >or=2 doses of MCV before measles introduction at the schools. The relative risk of developing measles among persons vaccinated with >or=2 doses of MCV compared with 1 dose was 0.06 (95% confidence interval, 0.01-0.44; P<.001), yielding an estimated incremental vaccine efficacy of 94.1% (95% confidence interval, 55.9%-99.2%; P<.001). Rapid implementation of a mandatory second-dose MCV requirement probably limited the extent of this outbreak.

Title Tuberculosis Contact Investigations in Rural Alaska: a Unique Challenge.
Date April 2004
Journal The International Journal of Tuberculosis and Lung Disease : the Official Journal of the International Union Against Tuberculosis and Lung Disease
Excerpt

Alaska Natives suffered extraordinary rates of disease and death from tuberculosis (TB) during the first half of the 20th century. Although the epidemic was largely controlled in the 1960s, rates of TB among Alaska Natives remain higher than for other Alaskans, and village outbreaks of TB continue to pose major threats. In 2000, a contact investigation around a case patient with infectious TB involved eight villages in south-western Alaska and found 26 additional persons with TB disease and 48 people with newly positive TB skin tests. Rural Alaska brings unique challenges to TB contact investigations not seen elsewhere in the United States because many villages are accessible only by small aircraft or boat. To conduct an investigation, a public health nurse must fly into the village, bring food and water, and sleep at the village clinic or school. In spite of these obstacles, over the past 4 years contact investigations have been initiated for all TB cases with acid-fast bacilli smear-positive sputum, and the proportion of adequately examined contacts has increased from 51% to 75%. The Alaska TB Program plans to improve contact investigations through ongoing reports to regional public health centers and through a statewide training workshop.

Title Preparedness for a Bioterrorism Event in Alaska. Part 1: Detection and Identification of a Biologic Event.
Date November 2003
Journal Alaska Medicine
Excerpt

U.S. military and public health experts are increasingly concerned that the general public is at risk for terrorist attacks. Traditional weapons of mass destruction such as explosive and chemical devices remain the most likely forms of terrorism, however the threat of bioterrorism is also present and may be increasing. An intentional biologic event may be covert and if so, will not become apparent for days or even weeks when many ill people present with an unidentified illness. Health care providers will be the first responders during a biologic attack and will be called upon to diagnose diseases such as anthrax, tularemia or even smallpox. In the first of a two-part article, a hypothetical scenario is presented to illustrate how such an attack might first be discovered and the agent identified. As the scenario unfolds, evidence is collected that suggests the outbreak was intentional. Information about epidemiologic clues, disease syndromes and specific high-risk agents are discussed.

Title Tuberculosis Control Among Alaska Native People.
Date December 1998
Journal The International Journal of Tuberculosis and Lung Disease : the Official Journal of the International Union Against Tuberculosis and Lung Disease
Title Anaphylaxis Due to Chloramphenicol.
Date August 1984
Journal The American Journal of the Medical Sciences
Excerpt

A patient with group B Streptococcal meningitis and a history of penicillin allergy sustained an anaphylactic reaction following intravenous chloramphenicol. The purity of the infusate was confirmed by reverse-phase high-speed liquid chromatography. Anaphylaxis is a rare event following chloramphenicol administration, but physicians should be aware of this complication, especially in patients with prior exposure to the drug.

Title Antimicrobial Activity, Pharmacokinetics, Adverse Reactions, and Therapeutic Indications of Cefoperazone.
Date June 1983
Journal Pharmacotherapy
Excerpt

Cefoperazone is a parenteral cephalosporin antibiotic that is pending approval by the U. S. Food and Drug Administration. Compared to most other cephalosporins cefoperazone has a greatly expanded spectrum of bactericidal activity that encompasses most aerobic gram-positive bacteria except enterococci, most aerobic gram-negative bacteria, including a majority of Pseudomonas aeruginosa strains, and a number of pathogenic anaerobic bacteria. Its long serum half-life, approximately two hours, permits a twelve hourly dosing schedule. No dosage modification is required in patients with renal insufficiency, and only minor modification is needed in patients with hepatic insufficiency or biliary obstruction. Clinical trials have established cefoperazone's efficacy in lower respiratory tract infections, urinary tract infections, and a variety of other bacterial infections. Adverse reactions have been infrequent, and few serious reactions have been identified. Cefoperazone is a promising new agent for the treatment of gram-negative bacillary and polymicrobial infections, especially in settings that require empiric therapy.

Title Vaccinia Necrosum After Smallpox Vaccination for Herpes Labialis.
Date June 1981
Journal Southern Medical Journal
Excerpt

We have described a patient with vaccinia necrosum after smallpox vaccination for persistent herpes labialis. The patient eventually recovered after surgical resection of the lesion and multiple courses of vaccinia immune globulin and methisazone. This report emphasizes the needless risks of vaccinating patients with herpetic infections.

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