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Washington's Public Health Month April 2009
Always Working for a Safer and Healthier Washington

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Marcia Goldoft
Communicable Disease Epidemiology Section

 Epidemiologist on front line in battle against disease

Marcia Goldoft is a physician, but she doesn’t focus on treating patients after they fall ill.

Proper hand-washing is a simple, effective way to fight contagious disease, but epidemiologist Marcia Goldoft says it’s essential to do it regularly.

Instead, she aims to prevent disease and keep people from getting sick.

 

As a medical epidemiologist with the Department of Health’s Communicable Disease Epidemiology Section, Marcia works to identify and stop the illnesses that afflict Washington residents.

Her job keeps changing as new public health dangers emerge.

“Keeping up to date is a positive challenge,” she says

She’s vigilant about new threats. At one time, hantavirus, West Nile virus and MRSA were rare or all but unheard of in Washington, but have become less so.

“Nothing goes away,” Marcia says. “The diseases just keep adding on.”

Diseases spread in new ways, she says. Meanwhile, because of medical advances, many people think infectious disease shouldn’t affect them.

Although epidemiology is complex, people can take simple steps to ward off some forms of disease – such as washing hands frequently and thoroughly.

But there’s a catch, Marcia warns.

“A lot of the prevention does seem low-cost and basic, and yet it has to be done every single time,” she says.

That means if you handle raw chicken or change a baby’s diaper, wash your hands repeatedly.

When problems do occur, quick work can reduce harmful effects. Marcia remembers the rapid, successful response to a 1993 E. coli outbreak linked to fast-food hamburgers.

“It was skill and luck that brought it together,” she recalls. “The local health (agencies) pulled together the information and the outbreak was stopped in its tracks.”

Even before a public announcement was made, an epidemiological study pointed to the source and the company pulled the product off the market.

Marcia especially enjoys working with local health partners.

“They’re really on the front lines,” she says. “It’s been an honor to work with them.”

Interacting with local public health isn’t always about solving problems, she says. More often, it’s about building relationships, trust, and information.

“We talk with local health offices every single day,” says Marcia, who also works closely with the agency’s Public Health Laboratories and handles state-level issues.

It’s all part of her goal: to prevent disease before it can do its damage.
 

 


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