Watson Institute for International and Public Affairs

Adam C. Levine, MD, MPH

Adam C. Levine, MD, MPH

Associate Professor of Emergency Medicine

Biography

Adam Levine is an Associate Professor of Emergency Medicine at the Warren Alpert Medical School of Brown University and Director of the Brown University Global Emergency Medicine Fellowship. He received his Medical Doctorate from the University of California, San Francisco and his Masters of Public Health from the University of California, Berkeley before completing his specialty training in Emergency Medicine at the Harvard Affiliated Emergency Medicine Residency in Boston.

In recent years, Dr. Levine has responded to humanitarian emergencies in Haiti, Libya, South Sudan, and Liberia and has led research and training initiatives in Zambia, Bangladesh, Rwanda, Liberia and Sierra Leone. He currently serves as the Emergency Medicine Coordinator for the USAID-funded Human Resources for Health Program, helping to develop the first Emergency Medicine training program in Rwanda; as Primary Investigator of the Ebola Research Team for International Medical Corps (IMC), a disaster and humanitarian relief organization; and as the Director for the new Humanitarian Innovation Initiative at Brown University, whose goals are to improve the quality and professionalize the delivery of humanitarian aid worldwide. Dr. Levine also serves as the Editor-in-chief for Academic Emergency Medicine's annual Global Emergency Medicine Literature Review. His own research focuses on improving the delivery of emergency care in resource-limited settings and during humanitarian emergencies.

Research

With funding support from the NIH and private foundations, Dr. Levine has carried out a series of studies over the past seven years focused on improving the delivery of emergency care for children with acute diarrhea worldwide. His early research in Rwanda focused on assessing the performance of currently recommended international guidelines for management of diarrhea in children, including the World Health Organization (WHO) Integrated Management of Childhood Illness (IMCI) guidelines. In Bangladesh, Dr. Levine launched the twin Dehydration: Assessing Kids Accurately (DHAKA) studies, which together derived and validated the very first clinical prediction model for assessing dehydration in children with diarrhea in a resource-limited setting: the DHAKA score. Taken together, these two studies enrolled nearly 1400 children, more than all previous diagnostic studies of dehydration in children combined together, and found the DHAKA score to be both more accurate and reliable than the current IMCI guidelines.

From 2015-2016, Dr. Levine assumed the new role of Primary Investigator for IMC’s Ebola Research Team, which was established in March 2015 with the goal of collecting, aggregating, cleaning, quality checking, and analyzing this data in order to better inform the scientific and humanitarian response to future such epidemics. His research has led to the development of new tools that front-line health workers can use to predict which patients are most likely to have EVD in the context of an epidemic, as well as new technologies for monitoring severely ill patients in the high-risk zone of an ETU. Future planned research will also provide new insight into the natural history of EVD in human populations, as well as in specific subpopulations such as children and pregnant women; the interaction between EVD and other common infectious diseases, such as malaria; and the impact of fluid resuscitation on mortality in patients with EVD.

Dr. Levine has also conducted prior research on the management of traumatic injuries, both in resource-limited settings such as Rwanda and Nicaragua and during humanitarian emergencies, such as the 2011 Libyan civil war. His research has focused both on understanding the burden of injury in these contexts, as well as methods for improving delivery of care to trauma patients despite severe resource limitations.

Publications

  1. Levine AC, Shetty PP, Burbach R, Cheemalapati S, Glavis-Bloom J, Wiskel T, Kesselly JKT. “Derivation and internal validation of the Ebola Prediction Score for risk stratification of patients with suspected Ebola Virus Disease.” Annals of Emergency Medicine, 2015; 66(3): 285-93. doi: 10.1016/j.annemergmed.2015.03.011.

  1. Modi P, Glavis-Bloom J, Nasrin S, Guy A, Chowa EP, Dvor N, Dworkis DA, Oh M, Silvestri DM, Strasberg S,  Rege S, Noble VE, Alam NH, Levine AC. “Accuracy of Inferior Vena Cava Ultrasound for Predicting Dehydration in Children with Acute Diarrhea in Resource-Limited Settings.” PLoS ONE, 2016; 11(1): e0146859. doi: 10.1371/journal.pone.0146859. 

  1. Levine AC, Glavis-Bloom J, Modi P, Nasrin S, Atika B, Rege S, Robertson S, Schmid CH, Alam NH. “External Validation of the DHAKA score and comparison to the current IMCI algorithm for the assessment of dehydration in children with diarrhoea.” Lancet Glob Health. 2016 Oct; 4(10): e744–e751. PMC5066390.

  1. Steinhubl SR, Faye D, Levine AC, Conkright C, Wegerich SW, Conkright G. “Validation of a Portable, Deployable System for Continuous Vital Sign Monitoring Using a Multi-Parametric Wearable Sensor and Personalized Analytics in an Ebola Treatment Center.” BMJ Global Health 2016;1:e000070. doi:10.1136/bmjgh-2016-000070.

  1. Roshania R, Mallow M, Dunbar N, Mansary D, Shetty P, Lyon T, Pham K, Abad M, Shedd E, Tran AA, Cundy S, Levine AC. “Successful implementation of a multi-country Ebola Virus Disease clinical surveillance and data collection system in West Africa: Findings and lessons learned.” Glob Health Sci Pract 2016; 4(3): 394-409.

  1. Mbanjumucyo G, George N, Kearney A, Karim N, Aluisio AR, Mutabazi Z, Umuhire O, Enumah S, Byiringiro JC, Levine AC. “Epidemiology of injuries and outcomes among trauma patients receiving prehospital care at a tertiary teaching hospital in Kigali, Rwanda.” Afr J Emerg Med, 2016. http://dx.doi.org/10.1016/j.afjem.2016.10.001.

  1. Aluisio AR, Teicher C, Wiskel T, Guy A, Levine AC. “Focused Training for Humanitarian Responders in Regional Anesthesia Techniques for a Planned Randomized Controlled Trial in a Disaster Setting.” PLOS Currents Disasters, 2016. doi:10.1371/currents.dis.e75f9f9d977ac8adededb381e3948a04.

  1. Waxman M, Aluisio AR, Rege S, Levine AC. “Baseline Characteristics and Survival of Patients Infected with Malaria and Ebola Virus in Sierra Leone.” Lancet Infectious Diseases, 2017. doi: 10.1016/S1473-3099(17)30112-3.

Teaching

Brown University DEVS 1802S: Human Security and Humanitarian Response
Directed Spring Semester Seminar Course
16 classes – 20 students

Brown International Advanced Research Institutes
Co-Convener for Institute on Humanitarian Response and Post Conflict Reconstruction
2 week course – 40 international students in attendance

News|Recent News

UN relief workers, military discuss humanitarian crisis (HI2 conference)

August 25, 2017 Washington Post

Humanitarian Innovation Initiative conference mentioned in the Washington Post, "Relief workers, U.S. and foreign military officials, and field experts are meeting at Brown University to figure out how to work better together as the world faces the largest humanitarian crisis since 1945."

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