Kimberly Powers
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Kimberly A. Powers is an American epidemiologist who is an associate professor of
epidemiology Epidemiology is the study and analysis of the distribution (who, when, and where), patterns and determinants of health and disease conditions in a defined population. It is a cornerstone of public health, and shapes policy decisions and evidenc ...
at the
UNC Gillings School of Global Public Health The UNC Gillings School of Global Public Health is the public health school at the University of North Carolina at Chapel Hill, a public research university in Chapel Hill, North Carolina. It offers undergraduate and graduate degrees and is accre ...
. She combines epidemiology, statistics and mathematical modelling to understand the transmission of infectious diseases. In 2011 her work on
antiretroviral therapy The management of HIV/AIDS normally includes the use of multiple Antiviral drug, antiretroviral drugs as a strategy to control HIV/AIDS, HIV infection. There are several classes of antiretroviral agents that act on different stages of the HIV life- ...
for the management of
human immunodeficiency virus The human immunodeficiency viruses (HIV) are two species of ''Lentivirus'' (a subgroup of retrovirus) that infect humans. Over time, they cause AIDS, acquired immunodeficiency syndrome (AIDS), a condition in which progressive failure of the ...
was selected by ''
Science Science is a systematic endeavor that builds and organizes knowledge in the form of testable explanations and predictions about the universe. Science may be as old as the human species, and some of the earliest archeological evidence for ...
'' as the breakthrough of the year. During the
COVID-19 pandemic The COVID-19 pandemic, also known as the coronavirus pandemic, is an ongoing global pandemic of coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The novel virus was first identif ...
, Powers looked to understand the spread of
SARS-CoV-2 Severe acute respiratory syndrome coronavirus 2 (SARS‑CoV‑2) is a strain of coronavirus that causes COVID-19 (coronavirus disease 2019), the respiratory illness responsible for the ongoing COVID-19 pandemic. The virus previously had a ...
.


Early life and education

As a child Powers considered becoming as physician. She eventually studied mathematics at
Hamilton College Hamilton College is a private liberal arts college in Clinton, Oneida County, New York. It was founded as Hamilton-Oneida Academy in 1793 and was chartered as Hamilton College in 1812 in honor of inaugural trustee Alexander Hamilton, following ...
and graduated in 1998. After graduating she joined a healthcare consultancy, where she was first introduced to epidemiology. She spent a year at
The University of New Mexico The University of New Mexico (UNM; es, Universidad de Nuevo México) is a public research university in Albuquerque, New Mexico. Founded in 1889, it is the state's flagship academic institution and the largest by enrollment, with over 25,400 ...
where she studied tobacco use in the community. In 2002 she moved to
Los Alamos National Laboratory Los Alamos National Laboratory (often shortened as Los Alamos and LANL) is one of the sixteen research and development laboratories of the United States Department of Energy (DOE), located a short distance northwest of Santa Fe, New Mexico, ...
, where she worked as a graduate assistant in the biophysics group. There she developed mathematical models that could describe viral transmission. She was eventually accepted as a graduate student at the
University of North Carolina at Chapel Hill A university () is an institution of higher (or tertiary) education and research which awards academic degrees in several academic disciplines. Universities typically offer both undergraduate and postgraduate programs. In the United States ...
, where she eared a Master's in Public Health. During her second year at UNC she saw a talk from Myron S. Cohen, and became interest in the use of antiretroviral drugs to treat
HIV The human immunodeficiency viruses (HIV) are two species of ''Lentivirus'' (a subgroup of retrovirus) that infect humans. Over time, they cause acquired immunodeficiency syndrome (AIDS), a condition in which progressive failure of the immune ...
. She remained at the University of North Carolina at Chapel Hill for her doctoral studies, where she studied the transmission dynamics of HIV in the laboratory of Cohen. During her doctoral research, Cohen realised that Powers would need formal training in epidemiology. She spent one year in the
United Kingdom The United Kingdom of Great Britain and Northern Ireland, commonly known as the United Kingdom (UK) or Britain, is a country in Europe, off the north-western coast of the continental mainland. It comprises England, Scotland, Wales and North ...
, studying at the
London School of Hygiene & Tropical Medicine The London School of Hygiene and Tropical Medicine (LSHTM) is a public research university in Bloomsbury, central London, and a member institution of the University of London that specialises in public health and tropical medicine. The inst ...
and
Imperial College London Imperial College London (legally Imperial College of Science, Technology and Medicine) is a public research university in London, United Kingdom. Its history began with Prince Albert, consort of Queen Victoria, who developed his vision for a cu ...
. In particular, her research considered acute- and early-stage
HIV infection Human immunodeficiency virus infection and acquired immunodeficiency syndrome (HIV/AIDS) is a spectrum of conditions caused by infection with the human immunodeficiency virus (HIV), a retrovirus. Following initial infection an individual ma ...
in
Lilongwe Lilongwe (, , ) is the capital and most populated city of the African country of Malawi. It has a population of 989,318 as of the 2018 Census, up from a population of 674,448 in 2008. In 2020 that figure was 1,122,000. The city is located in th ...
. She spent weeks at a time visiting a STD clinic in Lilongwe, where she looked to improve patient care as well as track trends in HIV transmission.


Research and career

In 2010 Powers started a postdoctoral research position at the
UNC Gillings School of Global Public Health The UNC Gillings School of Global Public Health is the public health school at the University of North Carolina at Chapel Hill, a public research university in Chapel Hill, North Carolina. It offers undergraduate and graduate degrees and is accre ...
. She identified that almost 40% of HIV transmission occurred before patients or physicians knew about it, meaning that treatment often started after infection had occurred. People who are unaware about their own HIV infection contribute significantly to the ongoing transmission of virus. She was awarded the University of North Carolina at Chapel Hill award for research excellence in 2011. Powers recognised that population-level prevention of HIV would require regular testing, to detect the virus in its early stages, as well as the provision of antiretroviral drugs. Powers was part of the
HPTN 052 HPTN 052 is the name of a clinical trial conducted in nine countries which examined whether starting people living with HIV on antiretroviral therapy (ART) can reduce the chance that they will pass HIV on to their sexual partners who do not have HIV ...
clinical trial, and demonstrated that there was a 96% reduction in transmission in couples who had been treated with
antiretroviral therapy The management of HIV/AIDS normally includes the use of multiple Antiviral drug, antiretroviral drugs as a strategy to control HIV/AIDS, HIV infection. There are several classes of antiretroviral agents that act on different stages of the HIV life- ...
. She looked to apply this understanding to other populations, including in the US prison community. The proportion of HIV positive Americans in the United States prison system is significant; between 5 and 7 times that of the general population. During the
COVID-19 pandemic The COVID-19 pandemic, also known as the coronavirus pandemic, is an ongoing global pandemic of coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The novel virus was first identif ...
, Powers looked to understand the spread of
SARS-CoV-2 Severe acute respiratory syndrome coronavirus 2 (SARS‑CoV‑2) is a strain of coronavirus that causes COVID-19 (coronavirus disease 2019), the respiratory illness responsible for the ongoing COVID-19 pandemic. The virus previously had a ...
in
North Carolina North Carolina () is a state in the Southeastern region of the United States. The state is the 28th largest and 9th-most populous of the United States. It is bordered by Virginia to the north, the Atlantic Ocean to the east, Georgia and So ...
. She predicted that by early April cases in North Carolina would reach 4,000. Her prediction was proved correct, even without people in North Carolina having access widespread testing. Her mathematical model included estimates of the rate at which people interact, and was adapted to take into account quarantine restrictions and social distancing.


Selected publications

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References

{{DEFAULTSORT:Powers, Kimberly Living people Year of birth missing (living people) American women epidemiologists American epidemiologists UNC Gillings School of Global Public Health alumni University of North Carolina at Chapel Hill faculty Hamilton College (New York) alumni 21st-century American women