The University of Iowa

Margaret Carrel

Margaret Carrel
Assistant Professor
Education: 
PhD, University of North Carolina, Chapel Hill
Office: 
303 Jessup Hall
Phone: 
319-335-0154
Research Interests: 
geography of infectious disease, landscape genetics & disease ecology

My research centers on exploring geographic patterns of health and disease using GIS and spatial statistical techniques. The focus of my current research is to understand how complex interactions between people and environments result both in disease outcomes and the progressive evolution of human pathogens.

As a research emphasis, human-environment drivers of pathogenic evolution is situated in the emergent field of landscape genetics, which combines the spatial analytic techniques of landscape ecology and geography with the computational methods of population genetics. I am applying these landscape genetics methods to the study of H5N1 influenza in Vietnam, H1N1 in China, malaria drug resistance in the Congo and HIV drug resistance in North Carolina.

I also conduct diarrheal disease research in rural Bangladesh, examining how the installation of flood control measures and deep drinking water tubewells interact to produce or prevent diarrheal events. A new project based in Iowa examines how residential proximity to swine CAFOs is related to MRSA infections. 

Courses: 

Fall

  • 044:137 Environment & Health: GIS Applications:  a discussion/lab class designed to introduce students to the variety of spatial statistical techniques used to analyze health outcomes.
  • 044:151 Geography of Health:   examines how populations interact with their environments in ways that produce or prevent disease outcomes. 

Spring

  • 044:060 The Geography of Asia: From Japan to Pakistan:   explores the major issues facing contemporary Asia, including population growth, environmental degradation, human migration, emerging economies and natural disasters.
  • 044: 107 Hungry Planet: Global Geographies of Food:   explores how food environments are created and have changed through time, and the population and environmental repercussions of our current food system.
Graduate Advisees: 

Yiqing "Sunny" Shang, M.A.

Sean Young, Ph.D.

Grants & Funding: 

Investigator. Spatial patterns of reported Acinetobacter baumannii incidence and drug resistance. Comprehensive Access & Delivery Research & Evalutation, VA Medical Research Foundation, $28,562, 8/15/13-7/30/14

Co-Investigator. Spatio-temporal Patterns of Drug-Resistant Malaria in the Democratic Republic of Congo.  NSF BCS-1339949.  Iowa portion: $34,012.  9/1/13-2/28/17.

Co-Investigator, Evaluating the impact of environmental contaminants on neurocognitive functioning in schoolchildren: a novel geographical analysis of NHANES and SABINS Data, Seed Grant, Environmental Health Sciences Research Center, University of Iowa, $9,273.75,  5/1/12-12/30/13

Investigator, MRSA risk in veterans and proximity to CAFOS, Comprehensive Access & Delivery Research & Evalutation, VA Medical Research Foundation, $20,375.25, 6/1/13-8/1/13                                                                                                                                                 

Selected Publications: 

Carrel, M., Schweizer, M.L., Sarrazin, M.V., Smith, T.C., & Perencevich, E.N. Residential proximity to large swine confined animal feeding operations is associated with increased risk of MRSA colonization at time of hospital admission in rural Iowa veterans. Infection Control & Hospital Epidemiology. Accepted.

Wan, X-F., Carrel, M., Long, L., Alker, A. & Emch, M. (2013) Perspective on emergence and re-emergence of amantadine resistant influenza A viruses in domestic animals in China.  Infection, Genetics & Evolution. 20: 298-303.

Carrel, M. & Emch, M. (2013) Genetics: A new landscape for medical geography. Annals of the Association of American Geographers. 103(6): 1452-1467.

Winston, J., Escamilla, V., Perez-Heydrich, C., Carrel, M., Yunus, M., Streatfield, P.K., & Emch, M. (2013) Protective benefits of deep tubewells against childhood diarrhea in Matlab, Bangladesh.  American Journal of Public Health. 103(7), 1287-1291.

Carrel, M., Emch, M., Nguyen, T., Jobe, T. & Wan, X-F. (2012) Population and environment drivers of H5N1 avian influenza evolution in Vietnam. Health & Place 18(5): 1122-1131

Carrel, M., Wan, X-F., Nguyen, T., & Emch, M. (2012) Highly pathogenic H5N1 avian influenza viruses exhibit few barriers to gene flow in Vietnam. EcoHealth. 9(1): 60-69.

Carrel, M., Wan, X-F., Nguyen, T., & Emch, M. (2011) Genetic Variation of Highly Pathogenic H5N1 Avian Influenza Viruses in Vietnam Shows Both Species-Specific and Spatiotemporal Associations. Avian Diseases 55(4): 659-666.

Carrel, M., Escamilla, V., Messina, J., Giebultowicz, S., Winston, J., Yunus, M., Streatfield, P.K., & Emch, M. (2011) Diarrheal disease risk in rural Bangladesh decreases as tubewell density increases: a zero-inflated and geographically weighted analysis. International Journal of Health Geographics 10:41. doi:10.1186/1476-072X-10-41.

Emch, M., & Carrel, M. (2011). Neighborhoods & environmental determinants of infectious diseases. In J. Nriagu (Ed.), Encyclopedia of Environmental Health. Elsevier.

Carrel, M., Voss, P., Streatfield, P.K., Yunus, M. & Emch, M. (2010) Protection from annual flooding is correlated with increased cholera prevalence in Bangladesh: a zero-inflated regression analysis. Environmental Health 9(13). doi:10.1186/1476-069X-9-13.

Carrel, M., Emch, M., Jobe, R.T., Moody, A. & Wan, X-F. (2010) Spatio-temporal Structure of Molecular Evolution of H5N1 Highly Pathogenic Avian Influenza in Vietnam. PLoS One 5(1): e8631. doi:10.1371/journal.pone.0008631

Carrel, M., Emch, M., Streatfield, P.K., & Yunus, M. (2009) Spatio-temporal Clustering of Cholera: The Impact of Flood Control in Matlab, Bangladesh, 1983-2003. Health & Place 15(3): 741-752.

Carrel, M. & Rennie, S. (2008). Demographic & Health Surveillance: Longitudinal Ethical Considerations. Bulletin of the World Health Organization 86: 612-616.

Wan, X-F., Nguyen, T., Smith, C., Zhao, Z., Carrel, M., Davis, C., Balish, A., Luo, F., Emch, M., Klimov, A. & Donis, R. (2008). Genesis of Highly Pathogenic H5N1 Avian Influenza Viruses in Vietnam from 2001-2007: Introduction, Inheritance, Adaptation, and Selection. PLoS One 3(10): e3462.