性视界传媒

Coming Full-Circle: A Career Dedicated to Making Health Visible, Bookended by Two Pandemics

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Germaine Louis
Dr. Germaine Louis gives a patient a COVID-19 vaccine at the Mason and Partners Clinic vaccination event with Prince William Health District on February 23, 2021.

As Dean Germaine Louis retires at the end of the 2021-22 school year, we reshare this story where she reflects on the similarities in the beginning and end of her career.

When Germaine Louis became Dean of the College聽of聽Health and Human Services, she never envisioned serving聽during聽a pandemic聽like聽COVID-19.聽鈥淐ertainly,聽when I accepted the聽position in 2017, a pandemic聽was not on my horizon鈥攚hat was on my horizon was bringing together聽the College鈥檚聽faculty, staff, and students to聽become聽a college of public health.鈥澛

When asked about聽leading聽the future college of public health during聽COVID-19, Louis is quick to point out that聽the聽COVID-19聽is not聽the聽first pandemic聽in her lifetime or her聽30+ year聽career as an epidemiologist, referencing聽the AIDS pandemic which peaked in the U.S. while Louis was completing her聽graduate studies.聽鈥淏ecoming an epidemiologist聽during the AIDS pandemic was聽impactful聽for聽me聽on so many levels,聽as聽this聽new infectious agent disproportionately took the lives of young men and women. I sadly recall聽the聽stereotyping and other shaming actions on the part of some towards affected individuals.聽 As聽a reproductive epidemiologist,聽I understood why聽individuals with聽risky behaviors聽were聽often聽being聽blamed聽for their disease,聽and I recall with聽great聽pride聽the many scientific advances that led to successful treatment and a more compassionate understanding of AIDS."聽

鈥淥f course,聽COVID-19聽is very different聽from AIDS聽in many regards聽with聽a聽larger susceptible population聽and聽its airborne transmission,鈥澛爏ays Louis.聽 Still,聽COVID-19聽is聽an important聽reminder why public health聽is聽essential for contemporary life.聽鈥淐OVID-19聽has taught us that it鈥檚 almost聽impossible聽to imagine a world without a strong public health infrastructure聽to protect the health and safety of all people.鈥澛犅

Louis credits the College's faculty, staff, students, and alumni for their聽many聽contributions聽in聽fighting COVID-19聽and protecting communities, saying聽鈥淚鈥檝e been incredibly impressed with everyone in the聽College聽each of whom聽has聽stepped up to聽make sure we deliver on our聽academic聽mission聽and one that includes practice and community service.鈥澛

Leading by example, the Dean has also been active聽in the University鈥檚 response to COVID-19聽鈥 from helping develop Mason鈥檚 randomized surveillance聽testing聽plans to administering vaccines聽for聽the聽community聽at聽the聽 Mason and Partner聽Clinics. Louis聽can clearly see how聽her early career as a nurse and then as an epidemiologist led to聽this moment.聽

鈥淚 used to tell my nursing colleagues that being a nurse made me a better epidemiologist.聽What I鈥檇 learned in a hospital setting聽really聽helped me design better study protocols when focusing on clinical populations. I could think about what it聽meant聽to implement聽a research聽protocol in a hospital setting for busy nurses and physicians or patients under varying stages of duress. And I really do think that聽my聽experience as a nurse was聽formidable聽in the success that I聽experienced聽with clinical聽studies (e.g., Buffalo Women鈥檚 Health Study, ENDO Study, and NICHD Fetal Growth Study).聽聽What I didn鈥檛 expect at the time was that聽I would be using some nurse聽skills聽as an epidemiologist in responding to a pandemic,鈥 says Louis.聽

She reports that prior to volunteering at the MAP Clinic vaccination events, after years of not administering an聽intramuscular聽(IM)聽injection, she was required to refresh her injection聽skills聽and have her competency checked. 鈥淎ll聽of a聽sudden,聽I was聽very聽anxious聽about聽vaccinating聽after years of聽not doing so聽as some聽technical聽guidance had changed.聽 Mason鈥檚 student nurses were a great source聽of reassurance,聽and they shared tips with me.聽 I have found that聽early聽training聽really never leaves you,聽and it聽kicked in聽when聽I聽needed聽it聽most.聽 It does remind me of聽the importance of lifelong learning.聽聽

Louis shares a story about an opportunity to also bring her training in reproductive epidemiology to bear while vaccinating a group of early childhood聽workers.聽A young female聽worker聽asked if聽Louis聽had a few moments to talk with her聽after her vaccination.聽She聽wanted advice on聽when to safely begin trying for pregnancy following her vaccination. 鈥淎nd I thought,聽'Now that is something I know about,鈥欌 said Louis.聽

Germaine Louis
Dr. Germaine Louis began her career in nursing before becoming an epidemiologist.

After聽30聽years as a reproductive epidemiologist聽and working with couples trying for pregnancy,聽she聽was reminded how聽desperate聽people are for reliable聽information聽about pregnancy-related聽exposures聽and聽lingering聽data gaps.聽聽鈥淢y advice聽to her was that聽healthy聽pregnancies and babies聽start with healthy聽women and聽mothers. And,聽first and foremost,聽unless聽there is a contraindication from聽her physician,聽the woman聽was聽doing the right thing to ensure聽her own聽health by聽being聽vaccinated.聽I could see聽the woman鈥檚聽smile behind聽her聽mask聽and knew聽there was a good chance she聽would take that message back to sisters, friends,聽and coworkers聽who may have similar questions about the vaccine.鈥澛

鈥淚t is rewarding to think about taking nursing skills to epi and now epi skills back to nursing,鈥澛爏ays Louis.

When asked聽for聽advice聽she would share with聽future generations of聽men and women聽about empowering women who wish to make history in science, health, and leadership聽- Louis鈥櫬爎esponse is simple and clear: mentorship.聽

鈥淚 know what made a difference聽it made聽in my life 鈥 and that was having a mentor聽(who聽happened to be聽a man)聽who聽believed in me. When I was worried about finishing my dissertation, he was already talking about my聽first聽faculty appointment鈥攂efore I was even thinking about a聽position. When I was聽in my first faculty position聽and聽worried about tenure, he was聽already talking about my next career聽move. Having someone believe in you or to see something in you that you may not see聽in yourself聽is impactful聽- you need to pay attention to that.鈥澛

Louis believes that academicians have聽an obligation to聽seek out聽students聽who may have natural leadership abilities or聽who聽otherwise have聽a skillset or narrative that sets them apart聽and聽to talk with them聽...聽encourage them for聽even more. 鈥淲e聽should support everyone, but聽we聽will聽always need leaders,鈥 she says. 鈥淲e also need to do a better job of cultivating hunger in our graduates.聽By that,聽I mean聽helping students聽really think about聽and become excited about聽pursuing聽a career聽beyond聽having聽a job.聽聽聽

Louis closed the conversation by sharing a story about聽聽(former director of the聽National Institute of General Medical Sciences,聽deputy director of National Institutes of Health聽(NIH)聽in the 1990s,聽and acting director of the聽NIH聽in 1993 and 2000-2002) who聽during a presentation to聽female leaders at NIH聽once said聽that聽women聽sometimes聽need聽to聽鈥榬emind people to think of聽you.鈥櫬犫淗er advice聽has聽always聽resonated聽with me,鈥 said Louis.聽鈥淚t鈥檚 ok to self-nominate or to apply for positions even if not invited to do so,聽as long as you have the qualifications.鈥澛燣ouis聽also says聽that women聽can help others聽by nominating them for聽awards and special recognitions.聽鈥淢ost聽nominations聽take time and effort to do well," cautions Louis,聽鈥淏ut, if we don't create聽a culture of recognition聽for women and for future women leaders then we will never have the same recognition as others.鈥澛