Marie L. Spiker
Johns Hopkins University
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Featured researches published by Marie L. Spiker.
PLOS ONE | 2015
Roni A. Neff; Marie L. Spiker; Patricia L. Truant
The U.S. wastes 31 to 40% of its post-harvest food supply, with a substantial portion of this waste occurring at the consumer level. Globally, interventions to address wasted food have proliferated, but efforts are in their infancy in the U.S. To inform these efforts and provide baseline data to track change, we performed a survey of U.S. consumer awareness, attitudes and behaviors related to wasted food. The survey was administered online to members of a nationally representative panel (N=1010), and post-survey weights were applied. The survey found widespread (self-reported) awareness of wasted food as an issue, efforts to reduce it, and knowledge about how to do so, plus moderately frequent performance of waste-reducing behaviors. Three-quarters of respondents said they discard less food than the average American. The leading motivations for waste reduction were saving money and setting an example for children, with environmental concerns ranked last. The most common reasons given for discarding food were concern about foodborne illness and a desire to eat only the freshest food. In some cases there were modest differences based on age, parental status, and income, but no differences were found by race, education, rural/urban residence or other demographic factors. Respondents recommended ways retailers and restaurants could help reduce waste. This is the first nationally representative consumer survey focused on wasted food in the U.S. It provides insight into U.S. consumers’ perceptions related to wasted food, and comparisons to existing literature. The findings suggest approaches including recognizing that many consumers perceive themselves as being already-knowledgeable and engaged, framing messages to focus on budgets, and modifying existing messages about food freshness and aesthetics. This research also suggests opportunities to shift retail and restaurant practice, and identifies critical research gaps.
Vaccine | 2016
Leila A. Haidari; Shawn T. Brown; Marie Ferguson; Emily Bancroft; Marie L. Spiker; Allen Wilcox; Ramya Ambikapathi; Vidya Sampath; Diana L. Connor; Bruce Y. Lee
BACKGROUND Immunization programs in low and middle income countries (LMICs) face numerous challenges in getting life-saving vaccines to the people who need them. As unmanned aerial vehicle (UAV) technology has progressed in recent years, potential use cases for UAVs have proliferated due to their ability to traverse difficult terrains, reduce labor, and replace fleets of vehicles that require costly maintenance. METHODS Using a HERMES-generated simulation model, we performed sensitivity analyses to assess the impact of using an unmanned aerial system (UAS) for routine vaccine distribution under a range of circumstances reflecting variations in geography, population, road conditions, and vaccine schedules. We also identified the UAV payload and UAS costs necessary for a UAS to be favorable over a traditional multi-tiered land transport system (TMLTS). RESULTS Implementing the UAS in the baseline scenario improved vaccine availability (96% versus 94%) and produced logistics cost savings of
Obesity | 2017
Sara N. Bleich; Christina D. Economos; Marie L. Spiker; Kelsey A. Vercammen; Eric M. VanEpps; Jason P. Block; Brian Elbel; Mary Story; Christina A. Roberto
0.08 per dose administered as compared to the TMLTS. The UAS maintained cost savings in all sensitivity analyses, ranging from
Vaccine | 2017
Bruce Y. Lee; Patrick Wedlock; Leila A. Haidari; Kate Elder; Julien Potet; Rachel Manring; Diana L. Connor; Marie L. Spiker; Kimberly Bonner; Arjun Rangarajan; Delphine Hunyh; Shawn T. Brown
0.05 to
Environment Systems and Decisions | 2016
Brent F. Kim; Keeve E. Nachman; Roni A. Neff; Marie L. Spiker; Raychel Santo
0.21 per dose administered. The minimum UAV payloads necessary to achieve cost savings over the TMLTS, for the various vaccine schedules and UAS costs and lifetimes tested, were substantially smaller (up to 0.40L) than the currently assumed UAV payload of 1.5L. Similarly, the maximum UAS costs that could achieve savings over the TMLTS were greater than the currently assumed costs under realistic flight conditions. CONCLUSION Implementing a UAS could increase vaccine availability and decrease costs in a wide range of settings and circumstances if the drones are used frequently enough to overcome the capital costs of installing and maintaining the system. Our computational model showed that major drivers of costs savings from using UAS are road speed of traditional land vehicles, the number of people needing to be vaccinated, and the distance that needs to be traveled.
Public Health Reports | 2018
Sarah M. Bartsch; Lindsey Asti; Sindiso Nyathi; Marie L. Spiker; Bruce Y. Lee
Evidence on the effects of restaurant calorie labeling on consumer and restaurant behavior is mixed. This paper examined: (1) consumer responses to calorie information alone or compared to modified calorie information and (2) changes in restaurant offerings following or in advance of menu labeling implementation.
Vaccine | 2017
Leila A. Haidari; Shawn T. Brown; Patrick Wedlock; Diana L. Connor; Marie L. Spiker; Bruce Y. Lee
BACKGROUND While our previous work has shown that replacing existing vaccines with thermostable vaccines can relieve bottlenecks in vaccine supply chains and thus increase vaccine availability, the question remains whether this benefit would outweigh the additional cost of thermostable formulations. METHODS Using HERMES simulation models of the vaccine supply chains for the Republic of Benin, the state of Bihar (India), and Niger, we simulated replacing different existing vaccines with thermostable formulations and determined the resulting clinical and economic impact. Costs measured included the costs of vaccines, logistics, and disease outcomes averted. RESULTS Replacing a particular vaccine with a thermostable version yielded cost savings in many cases even when charging a price premium (two or three times the current vaccine price). For example, replacing the current pentavalent vaccine with a thermostable version without increasing the vaccine price saved from
Journal of the Academy of Nutrition and Dietetics | 2017
Marie L. Spiker; Hazel Hiza; Sameer M. Siddiqi; Roni A. Neff
366 to
The Journal of Agriculture, Food Systems, and Community Development | 2014
Melissa N. Poulsen; Marie L. Spiker; Peter J. Winch
10,945 per 100 members of the vaccines target population. Doubling the vaccine price still resulted in cost savings that ranged from
The Journal of Agriculture, Food Systems, and Community Development | 2018
Roni A. Neff; Elana K. Dean; Marie L. Spiker; Theresa Snow
300 to