Fall 2009 - Your Passport to a Changing World - Berkeley Health by UC Berkeley School of Public Health

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• Undergraduate and graduate alums from the Classes of 2005 to 2009, plus • Undergraduate graduate alums from Classes of 2005 to 2009, • Undergraduate andand graduate alums from thethe Classes of 2005 to 2009, plusplus current students who will graduate in spring 2010, are eligible. current students graduate in spring 2010, eligible. current students whowho willwill graduate in spring 2010, areare eligible. • All gifts up to $1,000 made to any school, college, or program through • gifts All gifts to $1,000 made to any school, college, or program through • All up up to $1,000 made to any school, college, or program through June 30, 2010, will be matched 3:1. June 2010, matched June 30,30, 2010, willwill be be matched 3:1.3:1. Thanks to the UC Berkeley Foundation Board of Trustees for making this challenge possible! Thanks to the Berkeley Foundation Board of Trustees making challenge possible! Thanks to the UC UC Berkeley Foundation Board of Trustees for for making thisthis challenge possible!

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University of California, Berkeley, School of Public Health

FALL 2009

Berkeley Health The Magazine for Alumni and Friends

FEATURES GETTING A JUMP ON GLOBAL CHANGE

Climate change, population migration, and economic globalization will all have a major impact on global health—and the Center for Global Public Health brings experts together for a plan of action.

STUDENTS GAIN A WORLD OF EXPERIENCE

A summer fellowship program gives graduate students the chance to travel internationally to address health challenges and gain on-the-ground experience in their chosen fields.

PEOPLE ON THE MOVE

As more people than ever before migrate from one place to another, new public health challenges emerge.

CO-BENEFITS AND CLIMATE CHANGE

When considering responses to climate change, policymakers could reduce the cost to society by prioritizing interventions that also have health benefits.

Student Spotlight: Laura Stachel

A SOLAR SOLUTION TO SAVE WOMEN’S LIVES IN NIGERIA

Alumnus Spotlight: David C. Roberts

TRANSFORMING HEALTH SYSTEMS AROUND THE WORLD

Fresh Perspective: Aubree Gordon UNCOVERING INFLUENZA IN THE TROPICS

Dean Stephen M. Shortell, Ph.D., M.P.H. Assistant Dean, External Relations and Development Patricia W. Hosel, M.P.A. Editor Michael S. Broder Associate Editor Linda Anderberg Design Archer Design, Inc.

Contributors Linda Anderberg, Michael S. Broder, Christopher E. Bush, Liz Catalano, Aubree Gordon, Johanna Van Hise Heart, Roberta Myers, Stephen M. Shortell Photography Peg Skorpinski, pp. 2, 20–23, 26, 33–34, 36, 39; Shutterstock, pp. 2, 5, 8, 10, 11,12, 32, 35; iStockPhoto, pp. 5, 9; Matt Evans, pp. 11, 13; Muyi Lawal, p.14; Laura Stachel, p.15; Jim Block, pp. 18, 29, 33, 37–38; Michael S. Broder, p. 31

DEPARTMENTS The Campaign for the School of Public Health

Around the School

Alumni News

Communications Advisory Board Linda Anderberg, Michael S. Broder, Patricia A. Buffler, Patricia W. Hosel, Joan Lam, Meredith Minkler, Linda Neuhauser, James Robinson, Steve Selvin, Stephen M. Shortell, John Swartzberg, Michael P. Wilson

Berkeley Health is published semiannually by the University of California, Berkeley, School of Public Health, for alumni and friends of the School.

UC Berkeley School of Public Health Office of External Relations and Development 417 University Hall #7360 Berkeley, CA 94720-7360 (510) 643-2556 © 2009, Regents of the University of California. Reproduction in whole or part requires written permission.

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Berkeley Health Fall 2009

FROM THE DEAN

THE CHANGING

GLOBAL NEIGHBORHOOD

Global health, defined as the distribution of health and disease throughout the world, has increasing national, state, and local consequences—for economic development, international security, and human rights. As Julio Frenk, my colleague at the Harvard School of Public Health, has said, “The world is a single neighborhood.” The two billion airline passengers traveling annually and the 200 million immigrants throughout the world bear testimony to the fact that it is also a very mobile neighborhood. As a result, we are coming to the realization that our own health and that of our family and friends is increasingly dependent on the health of our global neighbors. The current H1N1 swine flu pandemic is one “in our face” reminder. So, how well are we doing? According to the recent United Nations Millennium Development Goals Report 2009, progress has been made in some areas. This includes eliminating smallpox;

Berkeley Health Fall 2009

virtually eliminating polio; and making some modest advances with HIV/AIDS, malaria, and measles. Also, a greater percentage of the world’s population has access to safe drinking water. But the health of those living in extreme poverty has declined. Seventeen percent of the population in developing countries is malnourished including 25 percent of children, resulting in stunted growth. Maternal mortality continues relatively unabated in sub-Saharan Africa and southern Asia. And there are still 1.4 billion people without adequate sanitation.

These are the current conditions. They do not take into account the likely devastating impact of worldwide climate change, which will have a marked effect on food production, migration patterns, international travel, and foreign policy, in addition to the direct effects on human health. The impact will fall most heavily on our most vulnerable and poorest neighbors, but our entire “global neighborhood” will be affected. The rapid pace of global change and its impact on global health means that we must accelerate the quest for knowledge and our actions to meet these challenges. One of the cornerstones of our School’s mission is to move our research from “publication to public action.” This current issue of Berkeley Health provides examples. Two of our recent doctoral students, Aubree Gordon and Laura Stachel, discuss their experience conducting field research in Nicaragua and Nigeria respectively. They demonstrate the adaptability that will be required of all public health professionals working in the “global neighborhood.” Neither one ended up studying what she thought she would when she began her travels. Their stories

also highlight the importance of capacity building in the developing world if we hope to sustain health improvements over time. Our Center for Global Public Health and its companion Center for Emerging and Neglected Diseases are working together under the banner of the Berkeley Alliance for Global Health in more than 25 countries around the world. You will read about the recent symposium which examined the forces of population growth, migration, and climate change on global health. Under the auspices of the School’s Health Initiative of the Americas we have launched the new Migration and Health Research Center with UC Davis. Among its early projects will be to develop and evaluate a binational health insurance program between California and Mexico that could become a model for the nation.

the individual and collective health of all of us. We draw our inspiration not only from each other within the School but also from all of you who share our commitment and, in particular, our donors who help make our Campaign slogan “Healthier Lives in a Safer World” a growing reality. There is no greater return on one’s investment.

Best wishes,

Stephen M. Shortell, Ph.D., M.P.H., M.B.A. Dean, School of Public Health Blue Cross of California Distinguished Professor of Health Policy & Management Professor of Organization Behavior

These actions taken by our faculty and students, with the support of our staff, will help to ensure that our “global neighborhood” establishes the conditions needed to advance

Berkeley Health Fall 2009

FEATURE

GETTING A JUMP ON GLOBAL CHANGE By Linda Anderberg

“We know what to do. We know how to do it. We just have to do it!” This was a prevailing sentiment at the Center for Global Public Health’s (CGPH) inaugural research symposium, which focused on global change and urban health in the 21st century. Participants discussed three trends that will shape the future of global health: climate change, population migration, and economic globalization. But they also agreed that there is a lot of research, knowledge, and expertise out there that just isn’t being translated into results.

School of Public Health Professor Eva Harris, faculty director of CGPH, is familiar with this frustration. She and other faculty members founded the center in July 2007 with the mission of getting beyond the status quo and embracing interdisciplinary approaches to solving global health problems. Together with the Center for Emerging and Neglected Diseases, CGPH is part of the larger Berkeley Alliance for Global Health, which connects more than 80 faculty members from 12 different departments and schools to address the health challenges of the world’s underserved populations. “I thought about all the long-term international research initiatives already at the School,” said Harris, “and realized that we have such a wealth of experience, collaborators, and data available to share with each other. The potential to harness these resources, take action, and improve health on a global scale is just enormous.” The spring symposium built on the center’s interdisciplinary mission, and provided a way for leaders in the global health field to share knowledge and take stock of their progress and future challenges. It also galvanized CGPH’s action initiative in global change.

Berkeley Health Fall 2009

“The field of global health has traditionally focused on the prevention, monitoring, and mitigation of disease,” says program director Mirriam Rafiq. “However, with environmental changes and mass migration compromising the health of vulnerable populations, public health researchers increasingly need to understand the problems these trends create and how to solve them.” In both rural and urban regions of the globe, environmental changes are leading to increases in infectious and chronic diseases. So it’s more important than ever to collaborate on combating disease. As well, CGPH researchers can find themselves addressing the root causes— such as population, climate change, and migration—in addition to the health problems themselves. It’s a task that can seem complicated and overwhelming. Building on what has already been accomplished in the field can be a help. To that end, part of the CGPH research and action initiative centers around field sites in Latin America, Asia, and Africa where CGPH faculty members already have longstanding research projects in place. One goal of this initiative is to link the cohorts in these field sites with more data and research from other faculty members, as well as use them for studies beyond the original work at each site. Faculty, staff, and students will investigate how to integrate the cohorts of CGPH’s researchers to collect common information, add unexplored research areas, and

promote synergy between projects. For example, although Eva Harris’s research in Managua, Nicaragua, has primarily been focused on dengue fever, the cohort has recently been utilized for influenza research as well. (See page 18.) “Because we already have the data on a large population and connections with the Ministry of Health and other entities in Nicaragua, we were able to quickly show that influenza is a major issue in the tropical region, and we were in place to lead the way on researching the recent H1N1 pandemic in Nicaragua,” says Harris. Students, pre- and post-graduation, will also have an increased role at these field sites. The center hopes to build on its successful student research fellowship program, which supports eight master’s and doctoral students in the field each summer. (See next page.) The overarching goal behind the center’s initiative is to ensure that Berkeley’s wealth of long-term research in the global health arena gets translated into action. Rafiq says, “We need to determine what strategies are sustainable and scalable, and what policy advice can be given to decision makers on how to implement those strategies.”

Berkeley Health Fall 2009

FEATURE

STUDENTS

GAIN A WORLD OF

EXPERIENCE By Linda Anderberg

To help train the next generation of researchers and leaders in global public health, the School’s Center for Global Public Health sends students out into the field in countries around the world through its Summer Fellowship Program. The program offers selected students an award of up to $5,000 to support international travel and research activities for two to three months at an approved faculty project research site. Since its establishment two years ago, the center has already funded summer travel for 15 master’s and doctoral students: seven in 2008 and eight in 2009.

Students unfailingly cited the firsthand international experience—in countries including Japan, Nicaragua, Uganda, India, Mexico, and Brazil—as the best part of the fellowships. (“Thirty-plus hours of travel time to Tanzania,” “hot, humid weather!” and “finding internet access and office space” were all contenders for the “worst parts” of their summers.) School and community researchers also gain lasting benefits from the experiences of these motivated, intelligent students.

Berkeley Health Fall 2009

Ph.D. student Laura Packel (second from right) with her interview team in Tanzania

Lead poisoning from Monterey to Oaxaca

food imported from the Zimatlán region of Oaxaca, and having emigrated from there.

A high incidence of lead poisoning in Monterey County led Naya Vanwoerkom, a master’s student in health and social behavior, to spend her summer studying food traditions in the Zimatlán area of Oaxaca, Mexico. When a public health team investigated the lead problem in Monterey, they found two major risk factors for lead poisoning outbreaks: eating

Vanwoerkom, who grew up in Oaxaca, was very interested in studying the Zimatlán community members’ traditional food and health concerns and applying her findings to the ongoing investigations in Monterey County. She hopes her gathered information will illuminate the cultural relevance of a nutrition program targeting a migrant population with ties to Monterey and Oaxaca.

“The best part of this experience was learning about people’s every day life as it related to their diet,” says Vanwoerkom. “Oaxaca’s regions are very diverse and some food traditions can be traced back to pre-Hispanic times. Documenting the food ties between the past and present was fascinating, especially since I lived in Oaxaca for fifteen years and I am familiar with many of the traditional plants used for food.” For her research, Vanwoerkom worked with binational community health experts Xóchitl Castañeda, director of the Health Initiative of the Americas at the School of Public Health, and Margaret Handley, an assistant adjunct professor of family and community medicine at UCSF. Before coming to Berkeley to pursue her master’s in public health, Vanwoerkom worked as a nurse in a hospital. The desire to work binationally with indigenous communities brought her to the field of public health, and in the future she hopes to work in Oaxaca. “This fellowship definitely helped me become better prepared,” she says. “I was able to contact researchers working in Oaxaca with indigenous communities and learn about their projects.”

Finely identifying different strains of E. coli can lead to a better understanding of the molecular epidemiology of the E.coli that cause community-acquired UTIs. In addition to analyzing the clonal composition of the E. coli strains, Umene also investigated the risk factors associated with contracting UTIs. “It was a valuable experience getting exposure to both clinical and laboratory settings in Japan and contrasting their health care to the U.S. health care system,” says Umene. “Working with Dr. Riley has been both challenging and fulfilling.”

Nesting HIV studies in Africa Laura Packel, a Ph.D. student in health services and policy analysis, traveled to Ifakara, Tanzania, in order to discover whether cash incentives can motivate people to change their sexual behavior and avoid unsafe sex. Her qualitative study capitalizes on a large HIV-prevention study already in progress in Tanzania and led by Professor of Health Economics William H. Dow.

“I conducted in-depth interviews with study participants to find out what they think of the study, what they are or aren’t doing to change their behaviors, and why the cash incentive may or may not be effective in bringing about behavior change,” says Packel. Packel enjoyed the opportunity to talk face-toface with the study participants about their experiences with the study and also their lives in general. She recruited two community members to help her with her interviews. “I trained them in preparation for the interviews,” she says, “but every day out in the villages I was learning from them.” Packel believes the experience of working with people on the ground was an essential preparation for her continuing work in public health. “This is a must,” she says, “if you want to really understand, from the perspective of those you are trying to help, the problems they face on a daily basis, how they handle these problems, and how these problems could potentially be solved using methods that are feasible and acceptable to them.”

Battling bacteria in Japan Meanwhile on the other side of the Pacific Ocean, Diana Umene, a student in the UC Berkeley-UCSF Joint Medical Program, was spending her summer studying infectious disease in Japan. She worked closely with Professor Lee Riley, who chairs the School’s Division of Infectious Diseases and Vaccinology, and with several researchers with Japan’s National Institute of Infectious Diseases. At an outpatient clinic in Nagano, Japan, Umene researched the prevalence of drug-resistant E. coli found in patients with uncomplicated urinary tract infections (UTIs). “The increase of multi-drug resistant pathogens in hospitals and communities is a growing problem and a major public health concern,” says Umene, whose area of concentration is molecular epidemiology. “Globalization of the food trade may act as a new mechanism for the global spread of these drug-resistant organisms.”

Above: Women plant seeds in Oaxaca, Mexico, where M.P.H. student Naya Vanwoerkom spent her summer studying food traditions. Left: Joint Medical Program student Diana Umene works with Japan’s National Institute of Infectious Diseases.

Berkeley Health Fall 2009

PEOPLE ON THE MOVE:

FEATURE

MIGRATION AND THE HEALTH OF NATIONS By Linda Anderberg

Global health often requires its practitioners to travel far and wide, to sleepy rural villages in Haiti, to teeming urban slums in Brazil, to expansive grasslands in Africa. But global health is also in the United States, in California, in the apartment complex across the street. This is partly because now, more than ever before, people are on the move.

International migration has increased dramatically in the last few decades. In the 1950s, roughly 50 million people worldwide had migrated from their countries of origin to live and work in other places. By 2008, that number had grown to 200 million. This diaspora brings increased challenges to the field of public health, including the spread of infectious disease, barriers to health care and insurance for immigrants, and an exchange of health problems between countries. Health Initiative of the Americas (HIA) was founded in 2001 under the auspices of the UC Office of the President to address, from a binational perspective, the health care issues that immigrants from Mexico face in the United States. The initiative has since expanded to work with seven other countries: Guatamala, El Salvador, Honduras, Nicaragua, Colombia, Ecuador, and Peru. Today, as a center at the UC Berkeley School of Public Health, HIA continues to lead the way in this field as emigration from these areas increases. “Health Initiative of the Americas is a driving force behind our school’s ability to address one of the major issues of the twenty-first century— the rapid pace of global change fueled in large part by the migration of populations,” says Dean Stephen M. Shortell. There are many reasons why more people are traveling and seeking new places to live, but most move for economic opportunity. Xóchitl Castañeda, director of HIA, believes low-income immigrants face a lot of risks on a daily basis. She says, “They come here seeking the American Dream. But for many, the American Dream can become an American Nightmare.” Castañeda points out that some immigrants have an easier transition— she herself came to the United States from Mexico to pursue a graduate degree, then worked at UCSF and came to UC Berkeley to found and run HIA. Rather, she is mainly referring to low-income and underserved populations: “The farm workers who are in the streets offering their hands to work, their legs to carry, their backs to transport,” she says. And, yes, undocumented immigrants are a large part of that population. Many Americans would prefer to ignore the existence of undocumented immigrants in this country. Others, when they do acknowledge this

Berkeley Health Fall 2009

population, accuse them of being a drain on society’s resources and feel strongly they should return to their own countries. Rosario Alberro, associate director of HIA, believes undocumented immigrants are not motivated by a desire to stay in the country. “No matter how successful undocumented immigrants are in the United States,” Alberro says, “None of them want to stay here for long. I’m pretty sure that if I say all of them want to go back, I’m not mistaken.”

Dispelling myths about migration

Research on both sides of the border Members of HIA can speak with authority when it comes to facts about immigration, because the center is on the forefront of research in the field of mobile populations and health. The initiative has provided more than $3 million in funds to binational teams that include researchers from both the United States and the countries of origin. Says Castañeda, “In order to understand mobile populations, you can not just have the perspective of the receiving country. You also need to understand why people leave and what happens to the families they left behind.”

The toll of migration can be high—separation from family and isolation in a foreign culture. And, says Castañeda, “it’s worse for undocumented immigrants because they are excluded from a lot of the social benefits of this society, even though they are often paying taxes. So they end up subsidizing the welfare, including health issues, of the main society. But they are completely excluded.” As for the idea that the United States would be better off if there were no undocumented immigrants in the country? “There is a big lie there,” Castañeda responds forcefully. “Because this country would not be able to subsist one day without Mexicans and without Latinos.” The majority of people who move to the United States from Mexico are seeking employment, higher incomes, and a better life for themselves and their families. Synergistically, the United States has an aging population and needs able workers to contribute to its economy. While the baby boomers in the United States are thinking hard about retirement, the population of Mexico is relatively young, and the average age of immigrants from Mexico is 30 years. In addition to often being at the peak of their working years, Mexican immigrants end up concentrated in certain industries that may be unattractive to other workers. HIA recently released a report about the concentration of Mexicans in agriculture, a $30 billion industry that feeds the country. In California, 8 out of 10 farm workers are from Mexico. “Many immigrants end up living in isolated areas, mainly rural areas where there is agriculture,” says Castañeda. “Those communities do not necessarily have a lot of social factors like sewage, electricity, schools, and diversions. Also navigating a fragmented system like the health care system—it’s very difficult. Imagine you come from another country with another kind of health care system without really knowing the language or the culture here; you feel very intimidated. So they can not seek services in an efficient manner.” Health Initiative of the Americas helps immigrants navigate the health care system, and is also working to refute common misperceptions surrounding migration. Says Alberro, “A great deal of the American society, I think, is misinformed regarding the typical Latino migrants in the United States and the contributions they make. We’re trying to get rid of the myths and provide accurate information based on our research.”

On September 7, HIA launched the first center on migration and health in the western hemisphere, in collaboration with UC Davis. The Migration and Health Research Center (MAHRC) will conduct and sponsor multidisciplinary research to discover new information about migrant health. The findings will be translated into policy and other recommendations to reduce acute and chronic illness and injuries among migrant populations. MAHRC will also train students and support faculty in addressing critical issues in this field. “The UC system is leading one of the most needed research movements in the world today,” says Castañeda, who is the associate director of the new center. “And our two campuses are uniting in response to global needs.” Working together with other campuses and other countries is smart from the standpoint of sharing resources. “Especially in the state of California, resources are so scarce,” says Alberro. “So now we have the backup of the countries of origin, who can no longer say, ‘Okay you left my country, you are no longer my responsibility.’ No, you do have a responsibility. We can share responsibility.” Out of this binational research, HIA produces a range of publications, each very well tailored to its target audience. A one-page fact sheet with easy-to-read bullet points highlighting findings about the mental health of Latinos also contains policy recommendations for hospitals. A large, friendly bilingual guide contains straightforward yet detailed information continued on page 10 Berkeley Health Fall 2009

FEATURE

HEALTH OF NATIONS, cont’d about public and private programs that can provide health care services for low-income individuals in California. A report, Migration, Health & Work: The Facts behind the Myths, provides an in-depth look at the realities behind the common misperception that immigrants come to the United States primarily to seek health services. The report, a collaboration with the UCLA Center for Health and Policy Research, concluded that not only do immigrants make less intensive use of health care services in the United States, they often put their health at risk to perform jobs needed in our economy. It recommends that “if Latino immigrant workers are expected to keep contributing in the U.S. labor force, they must be provided the means to care for the health and social needs of their families.”

“They have so much invested in moving the reform forward,” Castañeda reasons, “that it would kill it to put that in. But I think because this is a population that is really in need, something needs to happen at the local level.” From a statistical standpoint, the need is obvious. There are an estimated 12 million undocumented immigrants in the United States and nearly 70 percent of them are uninsured. In addition, more than half of the 10 million documented Mexican immigrants in the United States also lack health insurance. The problem is amplified in California, where 43 percent of all Mexican immigrants to the United States reside. To meet this need, HIA has proposed a strategy for binational health insurance in California, which would involve a partnership between private insurers in the United States and public providers in Mexico. Because many immigrants travel back and forth between the two countries, it makes sense to collaborate on coverage. In addition, many Mexicans who are employed in California have dependent family members in Mexico and spend out-of-pocket on health care for their families. HIA’s goal in this arena is to set up a pilot project between California and Mexico, which could then serve as a model for other states. The Mexican government has shown a willingness to participate in this reform. And Castañeda feels that even though the federal government is not currently addressing health care for undocumented immigrants, that it can still proceed at a local and state level. “Once you enact big reform, you’re going to apply it, and you’re going to apply it locally,” she says. “In this country, the states are part of the federation but not necessarily dependent on the federation to act. Someone has to lead the way.”

A strategy for insuring undocumented immigrants Language in HR 3200, a major health care reform bill currently in Congress, specifically excludes undocumented immigrants from health care services such as government subsidies for insurance or access to any proposed public insurance plan. And in his speech to a joint session of Congress, President Barack Obama explicitly stated that the national health care proposal would not apply to undocumented immigrants.

Berkeley Health Fall 2009

History has shown that the United States as a whole benefits when those who come here from other places are allowed to thrive. “We need to remind ourselves that we are a nation of immigrants,” says Shortell. “It is our responsibility to ensure that the new wave of immigrants to our country—and in this global world to other countries as well—have the community, educational, and health-building resources to live meaningful, productive lives as those before them have largely enjoyed.”

CO-BENEFITS AND CLIMATE CHANGE:

PROTECTING HEALTH IN

A NEW ENVIRONMENT By Linda Anderberg

“The rich will find their world to be more expensive, inconvenient, uncomfortable, disrupted, and colorless—in general, more unpleasant and unpredictable, perhaps greatly so. The poor will die.”

Kirk R. Smith, Ph.D. ’77, M.P.H. ’72, professor of global environmental health, paints a grim picture of the impact of climate change on health in the 2008 Annual Review of Public Health. Smith is on the forefront of the emerging field of climate change and its impacts on the health of populations. In September, he was honored with the $100,000 Heinz award for his research exposing the relationships among air pollution, household fuel use, climate, and health. (See page 34.) Rapid climate change is a relatively new phenomenon in human history; however, its effects on health will in some ways be very familiar. Age-old threats, such as malnutrition and communicable disease, will rise with the temperatures and sea levels. For infectious diseases that are already widespread globally, even a slight increase in the percentage of cases will have a large effect. One million people die

of malaria each year, including many young children; a 10 percent increase in the spread of malaria would result in another 100,000 deaths per year. It is clear that the burden will be inequitable, with those disadvantaged populations already burdened most with ill health facing the most serious health consequences. Global response to climate change, while well intentioned, does not often improve health, and can sometimes lead to negative health impacts. For example, the recent push to develop biofuels has provided renewable energy resources that produce less greenhouse pollutants, especially in developed countries where fuel consumption is highest. However, it has also led to a decrease in the amount of crops that are available to feed people, which has exacerbated malnutrition problems in some areas and increased deforestation in others. (UC Berkeley’s Energy Biosciences Institute, however, is focusing on next-generation

Recipients of an energy-efficient stove are able to save money on fuel costs while protecting their locality from deforestation.

continued on page 12

Berkeley Health Fall 2009

FEATURE

CLIMATE CHANGE, cont’d cellulosic biofuels that don’t compete with crop production, such as algae tanks or dryland grass.) The attempts by the developed world to mitigate climate change do not often directly benefit those in the Third World, who are the most vulnerable to those health problems which are exacerbated by climate change— malnutrition and infectious disease. Similarly, even in developed countries, poor people can find some measures to be a hardship. Smith gives the example of increasing energy costs in order to encourage conservation, saying, “If you make energy more expensive, then poor people who don’t have a lot of money to spend may not be able to afford to heat their houses or cook their food.”

Seeking synergy Some public health practitioners believe poverty alleviation should be the primary focus of the field. Climate change can be framed similarly, as it is also a contributing factor to poor health. But alleviating poverty and global warming are both ongoing and slow processes. For that reason, Smith believes in attempting to improve health even in the face of poverty and issues of climate change. “The best single definition of public health I know is to find ways to make people healthy before they are wealthy,” he says, “and then keeping them that way.”

Berkeley Health Fall 2009

Smith has an elegant way out of the health/ climate change conundrum—to prioritize interventions with co-benefits. That is, solutions that improve both health and environment. The effects of these targeted strategies are amplified because they work to solve both sides of the equation. For example, encouraging people in high-income countries to reduce their red meat consumption can make them healthier, and it also helps to reduce the global greenhouse gas emissions generated by raising livestock. Livestock production also diverts food crop from human consumption to animal feed and thus contributes to food scarcity in poorer countries. Another example—reducing U.S. reliance on automobile transportation—will mitigate climate change by lowering fossil fuel consumption. It would also provide health benefits in the form of reduced air pollution, automobile accidents, and perhaps increased exercise via alternate forms of transportation such as walking and cycling. As policymakers increasingly focus on the mitigation of global warming, it is important

they are aware of areas where health benefits also occur. From a practical standpoint, health co-benefits will reduce the cost to society of taking action to mitigate climate change. Smith believes that the idea of co-benefits can hold appeal to developing countries like China and India, whose leaders might worry that changing policies would negatively affect their growth. “Co-benefits give them incentive because it’s their populations that will benefit,” he says. “The health benefits are local— reduction in indoor air pollution or urban air pollution. The greenhouse benefits are global.” Along with Associate Professor of Environmental Health Sciences Michael Jerrett, doctoral student Seth Shonkoff, M.P.H. ’08, and others around the world, Smith is coauthoring a series of papers on co-benefits to be published in The Lancet on November 25, with the goal of impacting the policy discussions at the 2009 United Nations Climate Change Conference in December in Copenhagen. Says Smith, “We’d like to point out to policymakers that if they exert their efforts in certain directions, they will obtain important health benefits as well as

climate benefits. You’re not going to solve the entire climate problem with these activities, but you should pick these things to do first that have these co-benefits, particularly among the poor.”

Putting research to work Smith has spent decades researching the health and climate effects from indoor cooking fires and stoves that use solid fuels. His research in this area contributed to the Intergovernmental Panel on Climate Change reports that helped earn the organization a 2007 Nobel Peace Prize, shared with former Vice President Al Gore. Smith’s research team has developed and tested more fuel-efficient, well-ventilated cook stoves in Guatemala. Not only can improved stoves reduce indoor air pollution in family dwellings locally, they also reduce greenhouse emissions globally. Solid fuel stoves are still being used in about half of the world’s households, meaning an intervention in this area offers enormous co-benefits for both health and the environment if adopted on a wide scale. Smith is now working to put his decades of pioneering research into practice—collaborating with Impact Carbon (formerly the Center for Entrepreneurship in International Health and Development) a nonprofit organization run by Evan Haigler, M.S. ’07. While at Berkeley, Haigler worked with Smith on carbon

Two of thousands of energy-efficient stoves brought to Uganda by Impact Carbon

methodology development and monitoring for improved stoves, and Impact Carbon uses that research to bring improved cook stoves to Asia, Africa, and Latin America.

World—Land Rover in this case—is buying carbon credits and the local people are reaping the benefits of lower air pollution and more energy efficiency with better stoves.”

“Kirk Smith has had a pioneering role in understanding and developing awareness of the dangers of both indoor air pollution and black carbon emissions,” says Matt Evans, director of business development at Impact Carbon. “His work with Impact Carbon is bridging the gap between research and real improvements in lives of people in the developing world. Kirk’s insight and support were instrumental in the results we have managed to achieve.”

Impact Carbon is also “hot on the trail” of a similar arrangement to bring 400,000 stoves to China in the near future, according to Smith. “That’s not a small amount,” he says, “We’re talking about potentially one hundred million dollars in carbon credits.”

Impact Carbon harnesses the power of entrepreneurs and the global carbon market to sustainably improve health and alleviate poverty in the developing world. In other words, the organization gets corporations to fund stove projects by purchasing carbon credits. In April, Impact Carbon established an agreement with Land Rover UK to fund the production of 20,000 stoves a year in Uganda.

While Smith may sound grim about the effects of climate change on society, he remains an optimist in regards to the ability of the public health community to effect positive change. Targeted interventions may not completely mitigate the effects of climate change, but they can offer a win-win situation for health and the environment.

“That’s co-benefits again,” says Smith, “The rubber hitting the road. The First

Berkeley Health Fall 2009

STUDENT SPOTLIGHT: LAURA STACHEL

A SOLAR SOLUTION TO SAVE WOMEN’S LIVES IN NIGERIA By Christopher E. Bush

Before Dr.P.H. candidate Laura Stachel, M.D., M.P.H. ’06, arrived in Nigeria in March 2008, she read verbal autopsies collected by Nigerian researchers from the families of rural women who had died in childbirth. One of these stories particularly stuck in her head.

“The family members stated that when they arrived at the hospital, the expectant mother was in the back of the car lying in a pool of blood,” recalls Stachel. “The health care provider came out, opened the car door, saw the blood, and told them they’d have to keep going, that they couldn’t take care of her there.” In Nigeria, which has the second-highest reported maternal mortality rate in the world, stories like this are all too common. For Stachel, who worked for years in the United States as a practicing obstetrician/gynecologist, her own observations at hospitals and clinics in northern Nigeria inspired a determination to find a way to provide better care.

The maternal mortality challenge More than 59,000 women die from childbirth-related complications in Nigeria every year. Most women receive no prenatal care, deliver their babies at home without a skilled attendant, and face an estimated 1 in 13 risk of dying from a pregnancy-related cause during their reproductive years.

Berkeley Health Fall 2009

Stachel became aware of this issue when the School of Public Health’s Bixby Center for Population, Health, and Sustainability invited her to participate in its research partnership project with Nigeria’s Ahmadu Bello University. She traveled to northern Nigeria and spent hours each day in hospitals, observing the nurses and doctors providing obstetric care and seeing firsthand the difficulties they faced.

trained OB/GYN might allow her to teach Nigerian health care providers new clinical skills in certain types of obstetric procedures. What she discovered, however, was that the hospitals faced a much more basic obstacle to providing care: poor infrastructure. Regular

“Because most women attempt to deliver at home, the ones who reach the hospital tend to be fairly sick,” Stachel says. “In fact, in my first two weeks in Nigeria I saw more complications than I probably had in my whole career up to that point.” At first, Stachel thought her background as an American-

Laura Stachel (right) at an equipment demonstration in Kofan Gayan Hospital in Nigeria

room, the delivery room, and the laboratory,” Stachel says.

Testing solar-powered lights in a Nigerian hospital

power outages made much of the equipment needed for diagnosis or surgery unusable, and a lack of reliable refrigeration made blood storage for transfusions impossible. “If an obstetric patient needed an ultrasound and there was no electricity, then the staff couldn’t perform a diagnostic test that was really important,” recalls Stachel. “Or if the doctor needed to do surgery, such as a C-section, at night and there was no light available in the room, then they needed to conduct the operation with a flashlight or ask the patient to seek help elsewhere.” Electricity shortages aren’t the only infrastructure issue facing Nigerian health care providers. Many facilities also lack access to reliable phone systems. When complications arise, midwives, who are usually the frontline workers caring for patients, can only contact doctors or lab technicians by sending messengers out to look for them. They then sometimes wait for hours not knowing when the doctor will arrive. The uncertainty can cause the midwives and nurses to either attempt complicated procedures on their own, delay care, or send the patient away to another hospital. These power and communications system problems not only make providing good care difficult, they also limit the number and types of patients a hospital can help. The verbal

autopsies from three Nigerian villages confirmed this. Stachel read story after story about women who waited for hours within hospitals to get care or, worse yet, were turned away four or five times before finding health facilities that would admit them.

Powering ideas When Stachel returned to the United States from her visit to Nigeria, she was convinced that solving these infrastructure problems could be a key to reducing maternal mortality rates. She discussed the issue with her husband, an expert on designing solar electricity systems. “He felt strongly that we could use solar power to address some of the problems,” Stachel says. “So we sat down and tried to think about the different situations I had seen where the lack of power really affected care.” Stachel identified several areas where solar energy could be used. She believed a communication system that didn’t rely on the country’s electric grid was indispensible. She also wanted reliable lighting and a way to power hospital equipment, such as an operating room suction machine. Finally, she knew that a refrigerator to store blood for transfusions was another critical need. Armed with these requirements, her husband went to work. “He designed a small standalone solar electric system for each area where we saw a critical need, including the operating

Meanwhile, Stachel began to look for funding to take the project forward. She entered a competition held by the Center for Information Technology Research in the Interest of Society (CITRIS) that offered a grand prize of $12,500. Enlisting the support of other UC Berkeley graduate students, she wrote and submitted a white paper describing the ways in which solar electricity could be used improve hospital infrastructure in one hospital in Nigeria to address the high rates of maternal mortality. The project didn’t win the grand prize—it received honorable mention—but the attention it garnered helped Stachel find funding through the Blum Center for Developing Economies. Once seed funding for the project was established, Stachel founded the nonprofit organization: Women’s Emergency Communication and Reliable Electricity, WE CARE Solar.

A solution in a suitcase Before attempting a full deployment, Stachel needed to test the solar solutions and work out installation details. She returned to Nigeria in August 2008 and tested the electricity requirements of each piece of medical equipment in the hospital room where it was used. “Once we were able to find out the energy load from those areas, we could then modify our solar electric system to match specific energy demands for each room,” says Stachel. “We tailored the system to the needs of each of the different wards of the hospital and we designed four separate set-ups: one for the operating theater, one for the labor room, one for the maternity ward, and one for the laboratory.” She also wanted to ensure that the solar systems would require as little maintenance and cost as possible, and enhance local capacity by using a Nigerian company to continued on page 16

Berkeley Health Fall 2009

STUDENT SPOTLIGHT, cont’d handle the installations. After careful research and interviewing different vendors, she found a contractor that offered a good combination of price and expertise to handle the work. Stachel used this trip to demonstrate to the Nigerian hospital staff how solar power could help alleviate their infrastructure problems. In one of her suitcases, she packed a small, portable solar electric system that could power overhead LED lighting and headlamps, as well as charge walkie-talkies.

A bright future for the solar system In early 2009, the first permanent photovoltaic system to power lighting, medical equipment, a blood bank refrigerator, and

Laura Stachel discusses the solar chargeable walkie-talkies, which give hospital staff a reliable way to communicate.

The system was a huge success. “When I unpacked the equipment and showed the staff our plans, not only did they like the demonstration, but they asked, ‘Can you please leave this here? Can we use what you’ve developed until you come back with the larger system?’” Stachel says. Because of the success of this small demonstration system, Stachel also had requests from several other small clinics and hospitals in the surrounding area for similar equipment. Based on these requests, back in the United States her team began developing a “solar suitcase” portable solution that could power lighting and communications devices like walkie-talkies.

Berkeley Health Fall 2009

communication equipment was installed in the hospital. Then in June, Stachel returned to Nigeria again with two of the new solar suitcases for field-testing in a small clinic and hospital. With several projects up and running, Stachel now is beginning to study the effects of these systems on maternal care to see what impact they’re having. “I’ve noticed in the hospital where we did our major installation that there has been a reduction in delays of care,” she reports. “In the first couple of months after the solar power system was installed, there were many fewer transfers of patients out of the hospital. The nurses told me that they were no longer transferring patients out and when I looked at the registry

book, there had been 30 more patients per month cared for during labor and delivery compared to average monthly admissions over the previous year. The hospital appears to be caring for more pregnant patients and turning fewer women away. What I also need to do is see if that translates into a reduction in maternal deaths. The first months did show a marked reduction, but we really need to study trends over a longer period of time to know if it is sustainable.” Anecdotally, Stachel has heard from the hospital staff that the solar system may indeed help reduce maternal mortality. One of the midwives Stachel interviewed told of a patient who came into the hospital with antepartum hemorrhage. “The midwife said that before the new solar power system was in place, she would not have been able to reach the lab scientist in the middle of the night and would not have been able to arrange for a blood transfusion,” Stachel says. “In this case, the laboratory scientist was contacted, the patient received two pints of blood, and her life was saved.”

In October, WE CARE Solar was selected as a winner of The New York Times “Half the Sky” contest, which received more than 700 entries of people and organizations working around the world to combat global poverty. The contest was run by Nicolas Kristof, a Times columnist who, with his wife, Sheryl WuDunn, coauthored Half the Sky, a book about emancipating women in order to combat global poverty. Kristof wrote of the three winners, “They are truly remarkable, particularly in the extraordinary work they represent. I’m proud to have these entries grace this site, and I hope they will inspire others.”

ALUMNUS SPOTLIGHT: DAVID C. ROBERTS

TRANSFORMING HEALTH SYSTEMS AROUND THE WORLD By Johanna Van Hise Heart David C. Roberts has gone global. Geographically speaking, he has moved about as far afield from his native England as is physically possible. Roberts has made a neat transition from a challenging role affecting reform within what was seen as a troubled sector of the United Kingdom’s National Health Service a few years ago to his current command heading up the Department of Health and Human Services in Tasmania, Australia. Professionally, Roberts hasn’t so much changed what he does (and does well) as seized an opportunity to bring his talents and experiences to bear on a new health system ripe for reform. In his previous post as CEO of University Hospitals Coventry and Warwickshire NHS Trust, Roberts was tasked with turning around what was considered in 2001 to be one of the worst-performing trusts in the United Kingdom. In his five years there, he successfully influenced key decision makers and more than 8,000 employees to move toward delivery of a new vision for their organization. “My passion is ‘integration’ building and developing the integration of systems, and now how social care systems integrate, as well,” he explains. Roberts has followed the international scene closely, observed the world’s health care systems, and participated in their development wherever possible. He has built networks among international health executives and business leaders operating within the global health arena. So it was natural that he sought out and participated in the Global Health Leadership Forum (GHLF)—a certificate

program offered by the UC Berkeley School of Public Health in partnership with the Barcelona Graduate School of Economics and the Universitat Pompeu Fabra Economics and Health Research Center. The annual, two-part program offers senior health care leaders from around the world the opportunity to explore health policy and health system change. “David was a lively member of the Global Health Leadership Forum’s first sessions in 2004 and 2005. He helped launch the program,” remembers GHLF program director Meg Kellogg. Roberts, in turn, credits his participation in GHLF with inspiring personal growth. “The standing and quality of the speakers was exceptional,” he says. “There were many practical examples and a wealth of strategic debate and focus. I had not expected to be subjected to quite as much material and learning potential as I was, but the content was very relevant to the agendas in which I was engaged.” This familiarity with best practices from around the world—new approaches to health challenges, modernization, and transformation of health and human service delivery—greatly informs his own efforts to achieve sustainable system reform. “I believe I am the health leader I am today because of this interest and exposure,” he says. But why exchange hemispheres—north for south, west for east? “Moving from running hospitals to running a system—one that has a broad range of those public services that either determine or influence health and well-being outcomes—was what drew me to Tasmania,” offers Roberts. In his current position as secretary of Tasmania’s Health and Human Services, he is responsible

for acute, primary, and community services provided to more than 1.5 million patients and clients, including ambulance, mental health, dental health, public health, public housing, child protection, family services, disability services, and youth justice. “The world does appear to be heading toward a number of significant health system challenges, and our systems are under more pressure than they have ever been,” says Roberts. “Chronic disease is embedding itself in our communities as an increasingly normalized health status. That, matched to the [aging] demographic of our populations, is forcing some pretty tricky system reform issues.” As chair of the Australian Health Workforce Principal Commitee, Roberts leads a nationwide committee of senior officials from each state and territory and the Commonwealth. “Our objective is to ensure that our health system most effectively uses a skilled workforce to best support service delivery to all Australians,” says Roberts. Kellogg reports that Roberts plans to return to GHLF in 2010. “The agenda is customized and revised every year based upon the feedback of participants,” explains Kellogg. Six years after his first watershed experience with the program, the agenda will be very different. So, too, are the set of challenges he will bring to GHLF’s uniquely global table.

Global Health Leadership Forum 2010 January 10–16, in Berkeley, California July 18–23, in Barcelona, Spain For more information, visit ghlf.berkeley.edu

Berkeley Health Fall 2009

FRESH PERSPECTIVE: A member of the Berkeley public health community speaks out on a current topic of interest

UNCOVERING INFLUENZA IN THE TROPICS By Aubree Gordon, Ph.D. ’09 (Epidemiology), M.P.H. ’05

When I left for Nicaragua to begin the field component of my dissertation research in 2006, I expected that the time I spent there would be crucial to my doctoral career at Berkeley. I did not expect that both my dissertation topic and my entire career trajectory would change. And yet that is just what happened, as I became involved in a field of research that was new to me and the country of Nicaragua— influenza epidemics in tropical locales. Upon arriving, I worked rapidly with our team to set up a hospital-based study on dengue fever. But only three months later, few dengue cases had occurred. This decrease in dengue was wonderful news for the country—and devastating for my dissertation. I began the daunting task of finding a new dissertation topic, and discovered one ripe for the picking and much needed. Nicaragua was experiencing a large and moderately severe epidemic of an acute respiratory illness. In the children’s hospital, we saw a surge of admissions, with offices being converted into patient rooms and hallways crowded with cots. Nicaragua, like most developing countries, had neither the necessary number of hospital beds nor mechanical respirators to deal with such an epidemic.

Berkeley Health Fall 2009

Surprisingly, no one knew for sure what virus was causing the epidemic, because the Nicaraguan Ministry of Health had no capacity to test for respiratory viruses. In addition, there was general confusion amongst public health professionals and the academic community as to whether or not influenza was a major burden in tropical countries, as it has been shown in animal models not to transmit at high temperature or humidity. There were also conflicting reports about the existence of any seasonality of influenza in the tropics. Clearly, there was a need to study influenza and other respiratory diseases in the tropics. Our team was in a unique position to do so, as my co-adviser, Professor Eva Harris, had established together with her colleagues at the Nicaraguan Ministry of Health an ongoing community-based study of dengue fever in 3,800 children aged 2 to 12 years in Managua. Since both dengue and influenza are febrile illnesses and children in the cohort visit our study physicians at the first sign of fever, this cohort would be able to capture influenza cases. As a first step, I performed a retrospective analysis of data collected through the dengue cohort, examining the incidence and seasonality of influenza-like illness (ILI). The analysis revealed a defined seasonality, with peaks each June to August and an additional peak some years in November through January. There was also a substantial burden of ILI in the Nicaraguan children, similar to what is seen in temperate countries such as the United States. Further serological analysis revealed that the peaks of ILI were indeed due to influenza.

We established a prospective study of influenza piggy-backed onto the existing dengue cohort, an efficient and economic way to study influenza in Nicaraguan children. During my time at Berkeley, I learned that local capacity building could and should be a part of research project in a developing country. Therefore the next step was clear: influenza testing using the latest methods needed to be set up at the Ministry of Health National Virology Laboratory. Thanks largely to capacity-building efforts through Professor Harris’s 20-year collaboration with the Ministry of Health, I was able to work with the lab and set up PCR-based testing within two months. In June 2007, the Nicaraguan Influenza Cohort Study was formally established in collaboration with the Ministry of Health. Study acceptance has been phenomenal since then, with 99 percent of eligible children participating. We have detected more than 500 cases of laboratory-confirmed influenza, and the findings have corroborated those from our ILI study—there is a substantial influenza burden with a defined seasonality in Nicaragua. When the H1N1 pandemic began in April of 2009, we moved quickly to assist the laboratory in setting up testing for novel influenza, and the first H1N1 case detected in the country was detected by our cohort study. The cohort study is ongoing and provides valuable community-based information on pandemic H1N1 in children in a tropical, developing country, which will be beneficial to the people of Nicaragua and the world as a whole.

DEAN’S CIRCLE The School of Public Health Dean’s Circle is a community of committed individual benefactors who share in and support the dean’s vision for the School’s future by making annual leadership gifts.

The following list reflects gifts received from July 1, 2008 to June 30, 2009

$100,000 & Above Anonymous Kathy Kwan & Robert Eustace Lisa & John Pritzker Leonard & Pamela Schaeffer

$25,000 to $99,999 Eleanor Langpaap Richard & Susan Levy J. Leighton & Carol Read Marie Stiefel

$10,000 to $24,999 Patricia & Richard Buffler Ranu Grewal-Bahl Anthony Iton Catherine & James Koshland Edward & Camille Penhoet Allan & Meera Smith

$5,000 to $9,999 Richard Glaser & Ann Stevens A. Arlene Kasa Nancy Lusk & Michael Smith J. Michael Mahoney William Plautz & Kathleen Welsh Robert & Patricia Spear

$1,000 to $4,999 Marcelle Abell-Rosen & Andrew Rosen Anonymous Stacey Baba & James Vokac

Grace Bardine Stephanie Bray Jeffrey & Cathleen Brown Warren Browner Teresa & John Carlson George & Eleanor Cernada Alice Chetkovich Eunice Childs Mark Cloutier Roberta & Leonard Cohn Charles Crane & Wendy Breuer Margaret Deane Jean Dixon Sandra & Jerry Dratler Susan & Michael Eckhardt Patricia Evans Donald & Diana Francis Jonathan Frisch Wallace Gee S. Katharine Hammond David & Katharine Hopkins Alexander Jacklin & Lucille Saloum Ross & Eve Jaffe Jane Kenyon Julia Klees Joan Lam Yvette Leung & Liwen Mah Virginia & Franklin Lew Leslie Louie & David Bowen Arthur McIntyre Arnold Milstein & Nancy Adler Mary & Raymond Murakami James Page Artist Parker

Janet Perlman & Carl Blumstein Robert Porter Malcolm Potts & Martha Campbell Darwin & Donna Poulos Sarah & Steven Presser Harper & Leonisa Puziss Lois Rifkin Shirley Roach Robert Rodriguez Theodore & Gayle Saenger Janet Schilling Steven & Sally Schroeder Peter Sherris Karen Shore Stephen & Susan Shortell Nancy & Robert Shurtleff Rosalind Singer Kirk Smith & Joan Diamond Shoshanna Sofaer & Lawrence Bergner Maury Spanier Susan & William Stokes L. James Strand John & Gail Swartzberg Paul & Andrea Swenson Patricia & Kenneth Taylor Kenneth Taymor & Elizabeth Parker Eric Vittinghoff Joan Wheelwright Warren Winkelstein Stephen Wold Suryanarayana Yenamandra Matthew Zack

The CAMPAIGN for the SCHOOL OF PUBLIC HEALTH

Fall 2009

HONOR ROLL The School of Public Health gratefully acknowledges the following individuals and organizations for their generous contributions from July 1, 2008 to June 30, 2009. INDIVIDUALS Partners ($500 to $999) Pamela & Rodrick Alston Rolf Augustine Marina Baroff Elizabeth Calfee Po-Shen Chang & Julie Craig-Chang Nancy Chapman Colb & Andrew Colb Lisa Chu Dale Danley Deborah Edelman Wetona Eidson-Ton & Hendry Ton Enid Emerson Michael & Sandra Fischman Michael Gallivan Carol Giblin Bruce Goldberg & Jana Good Amy Goldberg-Day & Mark Day Gary & Barbara Greensweig Hanns & Zarou Haesslin David Harrington & Denise Abrams James & Patricia Harrison Thomas Hazlet Mary Henderson John & Leta Hillman Genevieve Ho Robert Hosang & Joyce Yap The Hosel Family Jay & Kip Hudson Joseph Hummel Nancy Karp Laurence Kolonel Mark Kutnink Beverly & John Levy S.A. & Qiuyuan Liu Wallace Lowe John & Susan Mamer Anthony Marfin & Amy Bode Karen Martz David Matherly Caroline McCall & Eric Martin Sara McMenamin & Joel Kosakoff Lorraine Midanik & Stephen Blum Elizabeth & Robert Nobmann Mary & Craig Noke Nobuko Okano Nanette & John Orman Carol Parlette Carol Patterson

Mary Pittman-Lindeman & David Lindeman Joseph & Nancy Restuccia Ray & Simon Saeheng Gregg Schnepple Gordon & Rosemary Seck Donna Seid Tina & Jeff Sherwin Barton & Kathy Simmons Constantine & Nancy Tempelis Patricia & Phillip West Jeffrey Wiggins Susan Yeazel & Richard Seegers Jan Yuo Friends ($250 to $499) Clayton & Pamela Akazawa Ramona Anderson Anonymous Tania & James Araujo Aiyana Armijo Dean Baker John Beare P. Robert Beatty Ruth & John Bellows Tamara & Kenneth Benau Michelle Berlin Lowe & Robert Lowe Chhaganbhai & Sarojben Bhakta Julie Brown Peter Carpenter & Jane Shaw Sally & David Chambers Raymond & Grace Chan Ariela & Matthew Chick Carol & Ronald Clazie Linda & James Clever Nancy Collins & Francesco Adinolfi Bernard Cordes Douglas & Jacqueline Corley James & Dorothy Devitt Stephanie Digiorgio Lisa & Dirk Digiorgio-Hagg Michael & Sharon Dillon Davis Do Leonard Doberne & Cheryl Tau John & Marlene Eastman Denise & David Evans Daniel Freitas Jack & Karen Geissert Michael Ginther Janice Goode Mary Beahrs Grah

Healthier Lives Lives inin a Safer a Safer World World FallFall 2009 2009 2020 Healthier

Jill & Larry Granger William & Shand Green Sylvia & Simon Guendelman Richard Gustilo Nelden & Victoria Hagbom Barbara Hansen Alan & Harriet Hollett Hallie & Gilbert Holtzman Rita Hose James & Sarah Kimmey Robert & Barbara Kirshbaum Edward Klinenberg Denise Koo Sandra Lane Geoffrey Lang Carol Langhauser Rui Li Michael Lin

Kenneth Renwick & Trish Rowe Barbara Rever & Jerry Ginsburg Edward Reyes Anna Lisa Robbert Silvestre & Victor Silvestre Gordon & Whit Robbins Scott Robinson & Deborah Dobin Sidney & Sally Saltzstein Margery & Robert Schleh David & Lorraine Schnurr William Seavey Kirstin & Geoffrey Siemering Robert Simon James Slaggert Judy Spellings Gassett Judith Stewart Karen Sweeney & Byungyol Chun Barbara & Alfredo Terrazas Robert Tufel Craig van Roekens Ann Vuletich & Thomas Clark Michael Weiss Marni & Eric Welch Kathleen Wesner & Daniel Sullivan

Left to right: Virginia Lew, M.P.H. ‘76, Frank Lew, and Joan Lam ‘62 at the Dean’s Circle Dinner, held June 15 at Doe Library

David Lindquist Geoffrey Lomax Ying Lu & Weizhao Zhou Esminia Luluquisen David & Anne Manchester Grayson & Sally Marshall Stephen McCurdy & Kathleen Ries Rosa Medina Vincent Meehan Robert Meenan Daniel & N.E. Merians Pam Murakami Linda Neuhauser & Craig Buxton Sarah Nunn Karen Oppenheimer Douglas & Deloris Pike Kelvin Quan & Karen Lam

Katherine & Robert Westpheling Sandra Wexler Marian & Charles Woessner Carol & George Woltring Brian Wong & Cindy Gok Mary Woolley Annie Worth Kara Wright & T. James Lawrence Martha Young Katherine Yu & David Su Max Zarate Yi Zhou & Ququan Liu Supporters ($150 to $249) Barbara Abrams & Gary Root T. Elaine Adamson & Edward Gould Georgette Adjorlolo-Johnson

Judith Allen & Jeffrey Cooper Victor & Karen Alterescu Richard & Carlene Anderson Anonymous Sarah Archer John Balmes & Sherry Katz Hoang Banh & Charles Aldred Kevin Barnett & Alison Neurin Amy Bassell-Crowe & Jeffrey Crowe Lucinda & Ronald Bazile Robert & Meg Beck Harvey & Bonnie Bichkoff Nina & Steven Body Carissa Bongiorno & Richard Valeika Jeffrey Braff Tanya Brara Shah & Romit Shah Laura Brown & Mark Hanson Marcia Brown-Machen & Terry Machen Katherine Bryon Alexandre Bureau & Sylvie Marceau Lisanne Burkholder & Glenn Eldridge Bette Caan & Lawrence Mansbach Evelyn Caceres-Chu & Albert Chu Barbara Campbell Gerri Cannon-Smith Gretchen & Charles Carlson Matthew Carlson Edward & Joann Cavenaugh Thompson Chambers Albert & Yvonne Chang Pearl Chen Audrey Chiang Jerome & Moonhie Chin Karen Chu Ashley & Kenneth Coates Pamela Cocks Janet Coffman Simon & Janet Cohn Paul & Susan Conforti Laurence Corp Cynthia Crutchfield Edwin & Naomi Curtis Peter & Gwen Dailey Rena David & Walter Meyers Gary & Martha Davidson Harry & Laurie Davis Orville & Helen Deniston Louise Detwiler Stephen Dippe & Gerri Ferrara Andrew Doniger & Patricia Coury-Doniger Hellan & Bradley Dowden Kent & Irene Dunlap Leland & Marta Ehling

Leonor Ehling Linda Elam Megan & John Ellingsen Gerald & Lorraine Factor Tamar & Joe Fendel Kevin & Barbara Fennelly Sarah Flicker Benjamin & Marianne Fraticelli Peter & Robin Frazier Edward Gallagher Theresa & Michael Gasman James Daniel Gentry Philip Gillette Brenda Goldstein Mary Catherine Gonzalez & Enrique Gonzalez-Mendez Michael & Kazue Granich Susan & Lowell Greathouse William & Lynda Gross Richard Grundy & Jamei Haswell Michelle & Christopher Haan Judith Hahn Jean Hankin & Fred Jones Jovine Hankins John & Laure Hansen Wendy Hartogensis Glenn & Jan Hildebrand Richard Hirsh & Cathy Neto Carolyn Hoke-Van Orden & Frank Van Orden Nina Holland Elizabeth Holm Robina Ingram-Rich & Timothy Rich Kiersten Israel-Ballard Betty Izumi & Geoffrey Koch Max Jack Brennan & Fitzgerald James Paula Jennings Jon Johnsen Lorine Johnson Yeva Johnson & Michael Potter Clay & Clarissa Johnston Jerry & Darlene Jones Juanita Jones Laurie Jurs Walter Keller Kenneth & Marchelle Kesler Matthew & Linda Kidd Paul Klingenstein Arlene & David Klonoff Amy Kyle Andrew Lan Phuoc Le Kelvin & Brenda Lee Patricia & Po-Sun Lee Virginia Lew

William Light & Robin Vernay-Light Kris Lindstrom & Annette Chaplin Kate Lorig Bertram Lubin Donald Ludwig Peter Lurie Christiana & Charles MacFarlane Elizabeth Martini Nancy Masters & Paul Cohen John Mather Kevin McGirr Alan & Margaret McKay Marta McKenzie & Lawrence Chapter Virginia & Thomas McKone Hellmut Meister Angela Menegay Jane Merschen Rebecca Messing Leslie Mikkelsen John Minkler & Mary Lou Brauti-Minkler Luis Mireles Maryann & Daniel Montandon Michael Musante Ralph & Jane Myhre Katherine Nammacher & Dean Diongson Thanh Nguyen James & Audrey Nora Nora Norback Barbara Norrish Mary O’Connor & Emil Brown Roberta O’Grady Luna Okada & Wynn Sheade Cynthia & Brian O’Malley David & Mary O’Neill Martin & Muriel Paley Tyan Parker-Dominguez & Manuel Dominguez Peter Passano & Marina Dale Richard & Martha Pastcan Margaret Paternek Leland & Kristine Peterson Myrto-Xeni & Andrew Petreas Denise & Michael Prince Sheila Proctor Kimberley & Martin Ragnartz Maria Roberts Corinne Rocca James Rogge Anthony & Barbara Rooklin Thomas Rundall & Jane Tiemann Lisa Sadleir-Hart & Thomas Hart Jose Salazar Monica Salgado

Eunice Childs (left) and Roberta O’Grady at the Dean’s Circle Dinner

Sepehr Saljoughi Timothy & Kiyomi Sankary William & Enid Satariano Robert Schlegel & Janet Fogel Gretchen Schroeder & Toby Douglas Joann Schroeder Valerie Sheehan Elizabeth Shurtleff Elizabeth Sigman Phoenix Sinclair Joanna Smith Merritt & Angela Smith Susan Standfast & Theodore Wright Alan Steinbach Sheila Stewart & Charles Wilson Mark & Nanelle Sullivan Esther Tahrir & Axel Dubon William & Carolyn Talley Timothy Taylor Samuel Tekyi-Mensah Corinna & William Tempelis Joyce Thomas Robert Traxler John Troidl Laura Trupin Feng Tsai Christine Tucker Mary & Kenneth Tuckwell David Tuller Cassia van der Hoof Holstein Katrina Van Hoesen Presti & Blair Presti Kim Vu Elspeth & D.A. Walker Carolyn Wallace Leslie Wallace Morris & Audree Weiss Ardyce Wells

Jacquelyn Williams Julie Williamson Michael Wilson & Maria Kersey Marilyn Winkleby & Michael Fischetti Barbara Wismer Ashby Wolfe Otis & Teresa Wong Biao Xing John & Roxana Yau Grace Yeh Danya Zhang Contributors ($1 to $149) Anita Addison Sarah Adler-McDonald Jennifer Ahern & Yohance Edwards M. Bridget Ahrens & Jean Szilva Margo & Marcus Alford Ellen & Paul Alkon Donald Allari Richard & Sue Ames Adele Amodeo Henry & Virginia Anderson Patricia Anderson Shirley & Allan Anderson Anonymous Ellen Ansel Bradley & Elizabeth Appelbaum Joyce Appelbaum Michael & Bonnie Applebaum Maricarmen Arjona-Camacho John & Lauree Asarian Monisha Ashok Ann-Marie Askew N. Burton Attico Margaret Bradford Aumann Betty Austin Howard & Anita Backer Cheryl & Marc Bader

Christine Baek Anna Bagniewska Richard Bailey Jherna Balany Shelly Ball Janos Balog Jennifer Balogh Cecilia Barbosa Colleen Barclay John Barker & Fan Cheng Cheryl Barth & Tom McCurdie Elaine Base Robert & Linda Bates Kevin & Lori Beagan Gerald & Pamela Beck Stella Beckman Lisa Bedell & Paul August Charles Beesley & Deborah Raines Beesley James & Lisa Behrmann Daphne Benson Gowans Steven Billings Helen Black Annette Blackman-Barkan & Howard Barkan Carolyn Blackwood Babette & Sydney Bloch Richard Blohm Robert & Judith Blomberg Tanya Bobo Catherine & Erick Bohn Katherine Bones Cristina Booker Lavern & Jane Borg Elizabeth & James Bowe Lynda Bradford Joan Bradus & Dale Friedman Priscilla Branch Beth & K. Peter Brandon Russell Braun Donald Brecker & Ann Darling Claire & Ralph Brindis Donald Britt Iris & Howard Britton Andrew Brown Claude Brown Garrett Brown & Myrna Santiago Hayley Buchbinder Eliana Bukofzer Sally Bullock Kimberly Buss Lisa Butler & Jim Slotta Michael Butler Paris Butler Phillip Calhoun Allyn & Mark Callahan continued on page 22

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HONOR ROLL, continued Catherine Carpenter Alice Cartwright Sean Casey Benjamin Chaffee Peggy Chan & Frederick Gladstone Ryan Chan Shawn Chandler Uma Chandran & Shekhar Venkataraman Harry Chang Patricia & Scott Charles Helen Chase Shiva Chaturvedi Sheena Chen Susan Chen Chih-Tao Cheng Jonathan Chevrier Mary Chisholm Catherine Christopher Simon Chu Alfred Clancy Kim & Susan Clark Louis & Margaret Coccodrilli Jennifer Cockrill Bruce Cohen Seymour Cohen Jacqueline Colby Emily & Christopher Contois Carol & S. Bruce Copeland Laura Cotter Martin & Diane Covitz Lawrence & Constance Cowper Marguerite Cowtun & Henry Terrell Lavera Crawley James & Evelyn Crouch Juliette Cubanski Donna Dahrouge Richard Daniels & Arlene Kaplan Daniels David Dassey Stephen Davis & Christine Laszcz-Davis Robert Day & C.J. Taylor Barbara & Alain De Janvry Kathryn De Riemer Sylvia De Trinidad Marlene Dehn Peter & Sarah Dekker Alma DeLeon Robin Dewey & Mark Ibele Debra DeZarn Ephraim Diaz Alice & Robert Diefenbach Desiree Dieste Doris & Carl Disbrow Loren Dobkin

Neal Dockal & Judy Cook Irene Doherty & Timothy Wade Sonja Dominguez John & Mary Donahue Henry & Martha Donnell David & Reade Dornan John Downey Harriet & Albert Draper Katherine Drivas Jonathan & Susan Ducore Jacquolyn Duerr & Alberto Balingit Erin Dugan & Brian Purcell Gordon Dugan Megan Dunbar Ellen Dunn-Malhotra & Ripudaman Malhotra Kathleen Dunphy Adrian Durbin Jennifer Eames Kathleen Earnhart Abigail Eaton Joan Edelstein Molly & Kevin Efrusy Jose Eguia Lucky Ehigiator Don & Karen Eisenberg Robert Emrey & Maureen Norton Joseph Engelman Marsha Epstein Jacqueline Erbe & Andrew Talbot Shannon & Andrew Erstad Yvonne Esler Frank & Nora Estes Elaine & David Estess Garold & Joyce Faber Denise Fair Susan Fang Norma Faris Virginia Farmer Steven Feldman Bette & James Felton Rosa Fernandez & James Roybal Jared & Janet Fine Robin & Mark Fine Gerald & Linda Finer Laura Finkler & Lawrence Walter Jennifer Jean Flattery & Mark Vickness Carol & James Floyd Susan Foote & David Durenberger Orcilia Forbes Marjorie Forster E. Lynn Fraley & Kenneth Lindahl Karen Franchino & Reed Foster Ellen Frank Constance Fraser

Healthier Lives Lives inin a Safer a Safer World World FallFall 2009 2009 2222 Healthier

Left to right: Kathy Kwan, M.B.A., M.P.H. â&#x20AC;&#x2DC;93, J. Leighton Read, and David Chien at the Deanâ&#x20AC;&#x2122;s Circle Dinner, held June 15 at Doe Library Julie Frederick-Metos & Tim Metos Larri Fredericks & Corbin Collins Dava & Donald Freed Deborah Freund Katharine & Daniel Frohardt-Lane Charles & Marilyn Froom Elena Fuentes-Afflick Robert & Jennifer Futernick Atwood Gaines David Gan Quan Gan Anisha Gandhi Laura Gardner Naomi Garland Joan Gates Jaime Geaga Rosalie Gearhart & John Yob Liliane Geisseler & Svein Rasmussen Steven Gelber Betty & G.L. Gendler Neil Gesundheit & Eleanor Levin Kimberlee Gilhuly Nancy Gilien Renee Gindi Sarah Gluckstern Michael & Pearl Go Suneeta & Vishnu Godbole Thomas Goetz Betty & Larry Goldblatt Lisa Goldman Rosas & Martin Rosas Phyllis & Henry Gomez Laura & Yut Gong Marcela Gonzales Ramya & Ramesh Gopalan Aubree Gordon Wendi Gosliner & Michael Pierce Howard Graves & Julie Baller Christen Gray Marian & Roger Gray Sharon & Barry Gray

H. Gordon & Jean Green Nina & Richard Green Linda Greenberg & Hiroshi Motomura N. Anthony & Ella Greenhouse Jenalynn & William Greer Jennifer Grinsdale Amy Grossman Valerie Gruber Anne Gwiazdowski & William Andersen Victoria Ha Gregory & Stacy Hahn Evan Haigler Thomas & Denise Hales Rita Hamad Mary & Paul Hamer Mariah Hamilton Mary & Stuart Hanson John Haracz Robert & Martha Harrell Cheryl & Erik Harris Joan Harris William Harrison Constance & Gregory Haslett Janet Heins Julia Heinzerling Kathleen Hellum & W.R. Alexander Susan Helmrich & Richard Levine Rona & Robert Henry Judith Heumann & Jorge Pineda Constance Heye & Lance Smith Robert & June Hiatt Elizabeth Hibbard Judith & Michael Hibbard Elaine & Joseph Hiel Marisa Hildebrand Warren & Miriam Hill Beverly & Hugh Hilleary Cynthia Hines

Gerald & Nancy Hinkley Rosemary Hoban Donald & Marie Hochstrasser Renee Hoffman Arlen & Helen Hoh Karen Holbrook Melodie Holden Sara Holtzapple Claudia Hopenhayn David Hoskinson Mae Hsu Estie & Mark Hudes Karen Hughes & David Mayer Marjorie Hughes Wendy Hussey Jeanette Hyland James Hynes & Lisa Feuchtbaum Ernesto & I.D. Iglesias Priscilla Ilem Laurel Imhoff & German Ascani Ellen & Donald Irie James Jackson Kimberly Jackson Richard Jackson & Joan Guilford Loisann Jacovitz Patricia James Ameena & Firas Jandali Cornelius Jansen & Tanya Mamantov Marion Jarrett Marie Jenkins Kathony & Franklin Jerauld Petra Jerman Sarah Jewel Steven Joffe & Elizabeth Haas Bethelen Johnson Blair & Jeffrey Johnson Carol & Thomas Johnson Deborah Johnson Hayes & Terry Hayes Ian Jones Patricia Jones Rachael Jones Virginia Jones Jessica Jones-Smith Andrew Joseph Jessica Joseph Sharon Jotblad Dawn Joyce Alma & Ian Kagimoto Kathleen Kahler & Brian Stack David Kaisel Kaitlin Kalkstein Yoonjae Kang Barry & Toni Kaplan Jane Kaplan & Andrew Condey

Deborah Karasek Weslie Kary Lee Kaskutas Leanne & Richard Kaslow Gerald Kataoka Irene & Kiyoshi Katsumoto Susan & Harvey Kayman Marjorie Keck William Keene Steffi & Josh Kellam Jenness & James Keller Olivia & Richard Kendrick Suzanne Kent Margo Kerrigan Eric Kessell Alana Ketchel Ruthann Kibler Ahmed Kilani Hyungjin Kim Young Shin Kim Megan Kinsey Bradley Kittredge Nancy & Kenneth Klostermeyer Freyja Knapp & Laurent Morton Samara Knight Darryl Kong Kathryn Kotula Gloria Krahn Dorothy Kuhn Dorthy Kuhn Ruby Kuritsubo Marilyn Kwan Clement & Donna Kwong Jeanne Kwong Darwin & Merrily Labarthe Christine & Timothy Laddish Mariah Lafleur Carolyn Lake Bruce Lane Suzanne Larson & Jeffrey Bartfeld Pamela Larson-Hauser & Richard Hauser Abiose Lasaki Melinda Lassman Erin & Joseph Lauer Audrey Lawrence David & Stephanie Lawrence William Lawrence Janet Leader Frances & Ronald Ledford Carrie & John Lee Jennifer Lee Linda Lee Paul Lee Richard & Christine Lee Jocelyn Lehrer

Barbara Leicht Jonathan Leong Carl Lester Eric & Jasmin Levander Lynn Levin & Stanley Oshinsky Joel Levine & Jodi Berman-Levine Shelley Levine Sylvia Levinson Liana Lianov Shi Liaw Adrienne & Van Horn Lieu Maurine Lightwood Jennifer Lin Samuel Lind Donna Lohmann & Christopher Barker Lois & Donald Lollich Theresa Look & Watt Chin Peggy Loper & Michael McShane Diane & Bill Louie Elizabeth Lown Betty Lucas & Gordon Jackins Anne & Charles Ludvik Merle Lustig & Ronald Glass Marta Lutsky Marion & James Lyon Irene MacDonald Frank & Waneka MacKison Flora & Lincoln MacLise Erin Madden Albert Magwene Clare Mahan Cara Mai Shirley Main Mohsen Malekinejad Aditya Mane Harry & Claire Manji David Mark Jeffrey Martin Claudia Martinez-Schwarz & Henry Schwarz John Mateczun & Elizabeth Holmes Karen Matthews & John Oldson Julie Mattoon Marjorie & Robert McCarthy Robert & Darlene McCarthy Gary McCauley Brigid McCaw Mack & Julia McCoy Michael & Michele McCulloch Marian McDonald Ruth McHenry-Coe Jme McLean Janet McNamara Bessanderson McNeil Paul Mead

Lindsay Medema Raymond Meister & Mary Miller Christina & Randall Mellin Mark Mendell Ying-Ying Meng Larry & Nikki Meredith Caitlin Merlo Ruth & Harry Metzger Paul Meyer & Iris Colon Andrew Miller Walter & Gwendal Miner Maria Minjares Ray Minjares & Ryan Greene-Roesel Elizabeth Minkler Meredith Minkler & Jerry Peters Patrick Mitchell Seema Mittal Janet Mohle-Boetani & Mark Monasse Pega Montazeri Jose Montenegro & Loretta Mayer J.C. & Lark Montgomery Hilbert Morales & Elizabeth Rose-Morales Margaret & Talmage Morash

Heather Narciso Tiffany & Brian Neal Amalia & Carl Neidhardt William Neilson Raymond Neutra Sami Newlan Jeffrey Newman Beata Ng Samantha Ngo Valerie Ngo Ha Nguyen Margaret & Hugh Niall Tristan Nichols Russell Nickels Joel & Phyllis Nitzkin Lois Noda Aya Noma Ramona Noriega Jean Norris & Bluford Hestir Charlotte Noyes & Clark Watkins Helen Nunberg Juno Obedin-Maliver Carmen Ochoa & Eugenio Frongia Michelle Odden Marcellina Ogbu Afolabi & Mojirola Oguntoyinbo

Left to right: Dean Stephen M. Shortell; Chia-Chia Chien, M.S.W., M.P.H. ‘74; and John J. Troidl, Ph.D. ‘01, M.B.A., president of the Public Health Alumni Association, at the Dean’s Circle Dinner

Florence Morrison Clark & William Clark Kerry Morrissey Hallie Morrow Alison Motobu Robert Mueller & Marie Costa Marian Mulkey & John Powers Mark & Nancy Munekata Maria Munoz & David Edelman Judith Murphy Melissa Murphy Ruth Nagano

Christina O’Halloran Ann Oldervoll Mary O’Leary Perkins & Arthur Perkins Douglas Oman Alan Oppenheim & Alice Salvatore Juliana Oronos Megan Orr Charles & Barbara Osicka Ruth Osuch Michael O’Sullivan & Edna White-O’Sullivan

Beverly Ovrebo Leslie & Alex Palmerlee Valentine Paredes Melissa Parker Afshin & Carolyn Parsa Lisa Pascopella Shivani Patel Eileen & Mark Pearl Matrisha Person Karla Peterson Tanya Pham-Neff & Ralph Neff Thomas Piepmeyer Therese Pipe Tommie Pippins Jennifer & Matthew Plunkett Adam Polis Donald & Ann Porcella Susan & Tomi Poutanen Carter Pratt & Chris Sassetti Alice Pressman Allison Pulice Savitri Purshottam Nancy Puttkammer & David Saxen Huaxia Qin Mary & Tim Quach Patricia Quinlan & Kevin Costello Brian & Tacy Quinn Tricia Ramos Farah & Mubasher Rana Valerie Randolph & Donald Fenbert Barbara Razey-Simmons & Charles Simmons Consuella Reed Irene Reed Danielle Rees Kathleen Regilio Kyndaron Reinier & David Henehan Randy Reiter Justin Remais & Elena Conis Carol & Larry Retchin Patricia Brown & Pedro Reyes John & Mary Reynolds Michael Richards Rene Ricks Patricia & James Riddell Jean & Francis Riley Marc & Karen Rivo Sarah Roberts Katherine Robsky Beth Roemer Jamesine Rogers Judith & Paul Rogers Guido & Ruth Rosati Andrea Rosen Nicholas Ross Rebecca Roy continued on page 24

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HONOR ROLL, continued Alice Royal Rachel Royce & Matthew Farrelly Sarah Royce & David Theis Sheryl Ruzek & James Griesemer William Ryan Neil Sachs Jeffrey Sacks & Sue Binder Natalia & Michael Sadetsky Linnea Sallack Sarah Samuels & Joel Simon Ann & Lars Sandven Gopal & Andrea Sankaran Clea Sarnquist Ingrid Sausjord Leigh Sawyer & Gerald Quinnan Rachel Sax Brittan Scales Sunessa Schettler Mary Schnur Stephen Schultz & Mary Pacey Verena Schumacher Steven Schwartzberg Megan Schwarzman Victoria & Dell Schweitzer Erika Schwilk Katherine Scott Alicia Scribner Lynn Scuri & John Glaser Betty Seabolt Karen Sein Nancy Seldin Shira Shafir & Ted Kroeber Reema Shah Patricia Shane Donna Shelley Jack Sherman Tia Shimada Takeo & Maye Shirasawa James & Jo Shoemake Robert & Barbara Sholtz Sarah Short Sharon & Scott Shumway Stephen Sidney & Carolyn Schuman Jessica Siegel & Stephen Tsoneff Josiane Siegfried Marilyn Silva & Warren Musker Ruth Simerly Rose Sison Joan & David Skurnick Bethia Smith Esmond Smith Margot Smith Sharon & Harry Smith Linda Smith Schermer & Harry Schermer Lorraine Smookler Kristie Snider

Benjamin Ide Wheeler Society Recognizing donors who have expressed their intention to include the School of Public Health in their estate plans Simone Adams Dudley Aldous Paul Boumbulian Doris Brusasco Patricia & Richard Buffler Nilda Chong Paul & Susan Conforti Viola Egli Robert Frangenberg & Ingrid Lamivault Ivan Frohne Marcia & Sergio Gerin Morris Henrikson Kenneth & Marjorie Kaiser A. Arlene Kasa Jogi & Tejbir Khanna

Joan Lam Carol Langhauser Eleanor Langpaap Wallace Lowe Roberta Oâ&#x20AC;&#x2122;Grady Pamela Peeke Therese Pipe Robert Porter Harper & Leonisa Puziss Ronald & Genevieve Roberto Stephen Schultz & Mary Pacey Rosalind Singer Beulah & Carl Teravainen Helen Thorall Paola Timiras Barbara Whelan

Estates received from July 1, 2008 to June 30, 2009 William Sherman Douglas Fowler

J. Keith Thwaites

Krikor & Caline Soghikian Karen Sokal-Gutierrez Marcia & Robert Somers Sunoz Soroosh Andrew Spear & Sarah Horwich Sandra Spence Joan Sprinson Usha & Bharat Srinivasan Gail St. John Kenneth Stanton & Rivka Greenberg James Stark Jacklyn Stein & Matt Atwood Bruce Steir & Yen Aeschliman Edith & Guy Sternberg Wayne Steward Howard & Virginia Stiver Marilyn & William Stocker Martha Story Margaret Straub Corwin Strong Martin & Sharon Strosberg Sue Suchy Seiko & Lloyd Suehiro Anne Suess Eiko Sugano Richard Sun Somjit Supannatas Christine Swanson Louise Swig

Laurence & Ann Sykes Maida Taylor & Edward Kelly William & Judith Taylor Irene & Marsh Tekawa Marilyn Teplow Ronald Thiele Gregory & Bonita Thomas Hosea Thomas Geoffrey Thompson Hannah Thompson Lisa Thompson Nancy Thomson Colleen & Brian Thornton Beth & Robert Thurlow John Tobin Terry Tobin Diane Tokugawa & Alan Gould Claudine Torfs Janis & Daniel Tuerk Michael & Barbara Turell Sandra Tye Gail & Kazuo Unno Ludenia & Steven Varga Rajesh Vedanthan Barbara & Bud Veirs Juan Velasquez Rosalie & Paul Vlahutin Eileen & James Vohs Barry & Susan Wainscott Donald Waite

Healthier Lives Lives inin a Safer a Safer World World Fall Fall 2009 2009 2424 Healthier

Virginia Walega Mary Ann Wampler & Philip Bierman Huihui Wang Christine Ward Frances Washington Christina Watson R. Berna Watson Anielka Webb & Matthew McCoffer Harvey & Rhona Weinstein Rosana & Jeffrey Weldon Virginia & Wallace Wells David & Kathryn Werdegar Gordon Werner Sanford & Carolyn Werner Melanie Wice & Max Perkoff Colleen Wichser Ramsay & Jan Wiesenfeld John & Elizabeth Anne Wikle Christianna Williams Constance Williams John Williams Michael Williams Terry & Teri Winter Nancy & Bart Wise Sharon Witemeyer Sandra Witt Lynne Wittenberg & James Feathers Channing Wong Lisa, Henry & Ryoko Wong Ron & Genevieve Wood Elizabeth Wozniak Nancy & Douglas Wright William Wright Cheryl Wyborny & John Coulter Robert Yarwood Evelyn Yee Irene Yen Mary & Melvyn Yokan Suzanne & John Young Victoria & Emmett Young Stella Yu & Hingloi Hung Kevin Yuen Judith & Terry Zaccone Beth Zaentz-Trafton & Frank Trafton Walter Zaks Victoria & Steven Zatkin Stephen Zoloth Ann Zukoski & Mark Bartlett

ORGANIZATIONS Executive Circle ($100,000 & Above) American Cancer Society Anonymous Bessemer Trust Company Fred H. Bixby Foundation

Blue Shield of California The California Endowment California HealthCare Foundation The California Wellness Foundation The Commonwealth Fund Eustace-Kwan Family Foundation Flight Attendant Medical Research Genentech, Inc. The Helen Hay Whitney Foundation Robert Wood Johnson Foundation Kaiser Permanente Marisla Foundation The David & Lucile Packard Foundation Lisa & John Pritzker Foundation Directorâ&#x20AC;&#x2122;s Circle ($50,000 to $99,999) British United Provident Association Council for Education & Research on Toxics Public Health Institute J. Craig Venter Institute Leaders ($25,000 to $49,999) Bikes Belong Foundation Fidelity Charitable Gift Fund Stiefel Family Foundation Switzer Foundation University of Oxford Benefactors ($10,000 to $24,999) Alameda Radiation Oncology California Pacific Medical Center The Ford Foundation Give Something Back Global Health Research Foundation Hospital Corporation of America Gordon & Betty Moore Foundation The San Francisco Foundation Telecom Italia Sparkle of N A Patrons ($5,000 to $9,999) Fibrex Medical, Inc. The James Irvine Foundation Pfizer Foundation Sutter Health Care Advocates ($1,000 to $4,999) Stacey Baba & James Vokac Foundation Dextra Baldwin McGonagle Foundation The Friendship Fund Grantmakers in Health The Jason Family Foundation

Latino Health Collaborative March of Dimes National Committee for Quality Assurance Marcelle & Andrew Rosen Foundation The Schwab Fund Shell International Limited Shortell Trust UC Chinese Alumni Foundation UC Davis Partners ($500 to $999) BASF Corporation The Frankel Group KPMG Foundation Wells Fargo Foundation

Friends ($250 to $499) Acqua Hotel Alta Bates Medical Group Barclays Bank Foundation DoubleTree Hotels Envision Funky Door Yoga Nova Fisheries, Inc. The Oregon Community Foundation Pacific Gas & Electric Company Telecare Corporation Supporters ($150 to $249) Chevron Corporation Dartmouth Medical School The Hill Group

Lockheed Martin Corporation Foundation Mills College Peet’s Coffee & Tea, Inc. Semifreddi’s Bakery Tiburcio Vasquez Health Center Trader Vic’s Restaurant The United Way of the Bay Area WiRED International Contributors ($1 to $149) Amgen Foundation, Inc. Bank of America Foundation Berkeley Opera Boeing Company Caffe Venezia Cesar

Clongen Laboratories LLC Cobb’s Comedy Club Eastwind Books of Berkeley ECCOLO Fenton’s Creamery, Inc. Heyday Books Jodie’s Restaurant & Bar-B-Que La Nana Salon & Spa Lindsay Wildlife Museum Magnetic Imaging Medical Group Mario’s La Fiesta Merck Company Foundation Moe’s Books, Inc. New York Times Company Foundation OSIsoft, Inc. Perkoff-Wice Family Living Trust

Rialto Cinemas Elmwood Skates on the Bay Wellpoint Foundation Wyeth

GIFTS IN KIND Acqua Hotel Albatross Pub Ellen Ansel Lucinda & Ronald Bazile Beate Spa P. Robert Beatty Bellanico Restaurant Berkeley Natural Grocery Company Berkeley Opera Berkeley Repertory Theatre continued on page 26

Decade Club Recognizing individuals who have given for the past 10 years consecutively T. Elaine Adamson & Edward Gould Adele Amodeo Ramona Anderson Richard & Carlene Anderson Howard & Anita Backer Richard Bailey John Barker & Fan Cheng Marina Baroff James & Lisa Behrmann Claude Brown Jeffrey & Cathleen Brown Marcia Brown-Machen & Terry Machen Patricia & Richard Buffler Elizabeth Calfee Barbara Campbell Gretchen & Charles Carlson Raymond & Grace Chan Alice Chetkovich Chin Long & Fu Chen Chiang Eunice Childs Carol & Ronald Clazie Dolores & Samuel Clement Linda & James Clever Ashley & Kenneth Coates Seymour Cohen Carol & S. Bruce Copeland Bernard Cordes Martin & Diane Covitz Lawrence & Constance Cowper

Charles Crane & Wendy Breuer Dale Danley Gary & Martha Davidson Margaret Deane John & Marlene Eastman Susan & Michael Eckhardt Leland & Marta Ehling Patricia Evans Gerald & Lorraine Factor Robin & Mark Fine Michael & Sandra Fischman Julie Fishman & Terry Pechacek Carol & James Floyd Constance Fraser Katharine & Daniel Frohardt-Lane Charles & Marilyn Froom Wallace Gee Liliane Geisseler & Svein Rasmussen Carol Giblin Marian & Roger Gray William & Lynda Gross Richard Gustilo Jean Hankin & Fred Jones Jovine Hankins Frances Hanson Robert & Martha Harrell James & Patricia Harrison Thomas Hazlet Glenn & Jan Hildebrand David & Katharine Hopkins

Robert Hosang & Joyce Yap The Hosel Family David Hoskinson Estie & Mark Hudes Marjorie Hughes Deborah & Martin Inouye A. Arlene Kasa Leanne & Richard Kaslow James & Sarah Kimmey Julia Klees Laurence Kolonel Catherine & James Koshland Mark Kutnink Clement & Donna Kwong Joan Lam Bruce Lane Joyce & Richard Lashof Frances & Ronald Ledford Kelvin & Brenda Lee Carl Lester Lynn Levin & Stanley Oshinsky Leslie Louie & David Bowen Nancy Lusk & Michael Smith Shirley Main Grayson & Sally Marshall Elizabeth Martini Nancy Masters & Paul Cohen David Matherly Ruth McHenry-Coe Robert Meenan Mark Mendell Elizabeth Minkler Meredith Minkler & Jerry Peters Ralph & Jane Myhre Linda Neuhauser & Craig Buxton Jeffrey Newman

Beata & Harlen Ng Joel & Phyllis Nitzkin Elizabeth & Robert Nobmann Mary & Craig Noke Mary O’Connor & Emil Brown Ruth Osuch Artist Parker Edward & Camille Penhoet Janet Perlman & Carl Blumstein Malcolm Potts & Martha Campbell Darwin & Donna Poulos Savitri Purshottam Nancy Puttkammer & David Saxen Arthur Reingold & Gail Bolan Joseph & Nancy Restuccia Rene Ricks Lois Rifkin Shirley Roach Scott Robinson & Deborah Dobin Judith & Paul Rogers Thomas Rundall & Jane Tiemann Lisa Sadleir-Hart & Thomas Hart Sidney & Sally Saltzstein Leigh Sawyer & Gerald Quinnan Linda Smith Schermer & Harry Schermer Janet Schilling Takeo & Maye Shirasawa James & Jo Shoemake Stephen & Susan Shortell Elizabeth Shurtleff Nancy & Robert Shurtleff Rosalind Singer Allan & Meera Smith Esmond Smith

Kirk Smith & Joan Diamond Lorraine Smookler Shoshanna Sofaer Karen Sokal-Gutierrez Robert & Patricia Spear Usha & Bharat Srinivasan Susan Standfast & Theodore Wright Bruce Steir & Yen Aeschliman Edith & Guy Sternberg Howard & Virginia Stiver Marilyn & William Stocker Laurence & Ann Sykes Kenneth Taymor & Elizabeth Parker Irene & Marsh Tekawa Corinna & William Tempelis Marilyn Teplow Ronald Thiele Claudine Torfs John Troidl Laura Trupin Sandra Tye Eileen & James Vohs Harvey & Rhona Weinstein Ardyce Wells Katherine & Robert Westpheling John Williams Michael Williams Terry & Teri Winter Barbara Wismer Carol & George Woltring Brian Wong & Cindy Gok Channing Wong Katherine Yu & David Su

The TheCAMPAIGN CAMPAIGNforforthetheSCHOOL SCHOOLOF OFPUBLIC PUBLICHEALTH HEALTH Fall Fall2009 2009 2525

HONOR ROLL, continued Harvey & Bonnie Bichkoff Michael Bird Annette Blackman-Barkan & Howard Barkan Babette & Sydney Bloch Robert & Judith Blomberg Julie Brown Richard and Patricia Buffler Caffe Venezia California Alumni Association Cesar Bar & Restaurant Children’s Discovery Museum Carol & Ronald Clazie Cobbs Comedy Club Laurel Davis Joshua Deutsch DoubleTree Hotels Eastwind Books of Berkeley ECCOLO Fat Slice Pizza Fenton’s Creamery and Restaurant Rosa Fernandez & James Roybal Anne Foster-Rosales Jonathan Frisch Funky Door Yoga Kim Gilhuly Grand Lake Theatre David Harrington & Denise Abrams Heyday Books Renee Hoffman Angela Hunkler International House Café Jodie’s Restaurant & Bar-B-Que Anne Burns Johnson Korbel Champagne Cellars La Méditerranée La Nana Salon & Spa La Note Joan Lam Margaret Lapiz Melinda Lassman Lawrence Hall of Science Sally Lawrence & Graham Bullock Carl Lester Lindsay Wildlife Museum Leslie Louie & David Bowen Michelle Mann Mario’s La Fiesta Masse’s Pastries Andrea Menghetti Moe’s Books Inc Pam Murakami William Neilson Oakland Athletics Oakland Zoo Lisa Ota Peet’s Coffee & Tea Inc Pharmaca Integrative Pharmacy

Phnom Penh William Plautz & Kathleen Welsh Lisa & John Pritzker Red and White Fleet Rialto Cinemas Elmwood Laura Roche Rockridge Café Beth Roemer San Diego Zoo and Air and Space Museum San Francisco Museum of Modern Art San Francisco Zoo Janet Schilling Steven Schwartzberg Scott’s Restaurant See’s Candies Semifreddi’s Bakery Edna Shipley Karen Shore Josiane Siegfried Cindy Siljestrom Skates on the Bay Margot Smith Bruce Steir & Yen Aeschliman Elaine Swinyer Maxine Tatmon-Gilkerson Telecom Italia Sparkle of N A Nancy Thomson Trader Vic’s Restaurant Venezia Ristorante Wente Vineyards Yoshi’s

CLASS GIFT Maricarmen Arjona-Camacho Aiyana Armijo Monisha Ashok Jherna Balany Stella Beckman Katherine Bones Lisa Butler Paris Butler Alice Cartwright Benjamin Chaffee Ryan Chan Harry Chang Dena Chen Chih-Tao Cheng Simon Chu Jennifer Cockrill Emily Contois Davis Do Kathleen Dunphy Susan Fang Anisha Gandhi Naomi Garland

HealthierLives Livesinina aSafer SaferWorld World Fall Fall2009 2009 2626 Healthier

Jordan Levine by Joel Levine & Jodi Berman-Levine Princeton & Lois Lyman by Roberta & Leonard Cohn Tanya Mamantov by Cornelius Jansen “Our Students” by Robert & Meg Beck Sebero Salazar by Jose Salazar

Left to right: Donald P. Francis, chair of The Campaign for the School of Public Health; T.S. Khanna; Jogi Khanna, M.D., M.P.H. ‘63; and Patricia W. Hosel, assistant dean, external relations and development, at the Dean’s Circle Dinner, held June 15 at Doe Library

Sarah Gluckstern Lisa Goldman Rosas Aubree Gordon Mariah Hamilton John Hansen Wendy Hussey Kimberly Jackson Jessica Joseph Sharon Jotblad Kaitlin Kalkstein Yoonjae Kang Alana Ketchel Megan Kinsey Bradley Kittredge Darryl Kong Mariah Lafleur Linda Lee Marta Lutsky Mohsen Malekinejad Michael McCulloch Lindsay Medema Rebecca Messing Pega Montazeri Heather Narciso Sami Newlan Samantha Ngo Tristan Nichols Aya Noma Michelle Odden Juliana Oronos Shivani Patel Alice Pressman Sarah Roberts Katherine Robsky Corinne Rocca Alice Salvatore Brittan Scales Mary Schnur Erika Schwilk

Peter Sherris Tia Shimada Sunoz Soroosh Sandra Spence Martha Story Rosana Weldon Colleen Wichser William Wright Kevin Yuen

IN HONOR OF Lester Breslow by Henry & Virginia Anderson Jordan Brooks by Janet McNamara Chin Long Chiang by Margaret Deane Martha Combs by Desiree Dieste Brenda Eskenazi by R. Berna Watson

Sandra Shewry by Juliette Cubanski Stephen Shortell by Virginia Farmer James Daniel Gentry J. Michael Mahoney Len Syme by Marsha Epstein Samuel Lind Marilyn Winkleby & Michael Fischetti Helen Wallace by Claude Brown H. Gordon & Jean Green John Wennberg by Ross & Eve Jaffe Raymond Neutra Warren Winkelstein by Marsha Epstein Nicole Wojtal by The Jason Family Foundation

IN MEMORY OF Robert Amber by Donald Allari

Paul Farmer by Virginia Farmer Anna Leddy

Sally Bellows by Ruth & John Bellows Sara McMenamin & Joel Kosakoff Hellmut Meister

Tamar Fendel by Joe Fendel

Harry Bliss by Howard & Virginia Stiver

Bonnie Hutchings by Carol Langhauser Robert & Barbara Sholtz

Henrik Blum by Bernard Cordes Sylvia De Trinidad Nina & Richard Green

Iman Jandali by Ameena & Firas Jandali Tolulope Lasaki by Abiose Lasaki

Robert Bramson by Marni & Eric Welch

Alfred Childs by Eunice Childs Barbara Rever & Jerry Ginsburg Lloyd Churgin by Shoshanna Sofaer & Lawrence Bergner Michael DeZarn by Debra DeZarn Ramon Feliciano by Marian McDonald Frances Jones Freitas by Daniel Freitas Joseph Frisch by Jonathan Frisch Donald Gertner by Judith Stewart Gideon Glueck by Estie & Mark Hudes Wing Go by Michael & Pearl Go Michael Gomez by Phyllis & Henry Gomez Rudolf Grah by Mary Beahrs Grah William Griffiths by George & Eleanor Cernada Martin & Diane Covitz Sidney & Sally Saltzstein Riad Hamad by Rita Hamad

SCHOOL OF PUBLIC HEALTH POLICY ADVISORY COUNCIL 2009–2010 J. Leighton Read, M.D. General Partner Alloy Ventures

Kenneth S. Taymor, J.D., Chair Executive Director Berkeley Center for Law, Business, and the Economy UC Berkeley School of Law

Anthony B. Iton, M.D., J.D., M.P.H. ‘97 Senior Vice President, Healthy Communities The California Endowment

Raymond J. Baxter, Ph.D. National Senior Vice President, Community Benefit Kaiser Foundation Health Plan and Hospitals

Kenneth Kizer, M.D., M.P.H. Chairman of the Board Medsphere Systems Corporation

Teresa S. Carlson, M.P.H. ’84 Health Care Management Consultant (retired) Margaret Cary, M.D., M.B.A., M.P.H. Special Adviser, Medical-Surgical Services Veteran’s Health Administration Linda Hawes Clever, M.D., M.A.C.P. Chief, Occupational Health California Pacific Medical Center Founder, RENEW Deborah Freund, Ph.D., M.P.H. Distinguished Professor of Public Administration Center for Policy Research Senior Research Associate Syracuse University

Dana Jerome Hansen by Barbara Hansen

Lauren LeRoy, Ph.D. President and CEO Grantmakers in Health

Ruth Huenemann by Helen Black Laura Finkler & Lawrence Walter Jean Hankin & Fred Jones Alma & Ian Kagimoto A. Arlene Kasa Betty Lucas & Gordon Jackins Marilyn & William Stocker Beth & Robert Thurlow Mary & Kenneth Tuckwell

Frank Jarrett by Marion Jarrett Susan Kersch DeYoung by Margaret Bradford Aumann Isolde Loewinger Lorraine Smookler Connie Long by Lynn Levin & Stanley Oshinsky Shirley Roach Betty Seabolt Larry Macupa by Linnea Sallack

Theodore J. Saenger Member, Board of Directors Sutter Health Care Steven A. Schroeder, M.D. Distinguished Professor of Health and Health Care UCSF Department of Medicine

Richard M. Levy, Ph.D. Chairman of the Board Varian Medical Systems, Inc.   William E. Moeller, M.B.A. Operating Partner Linden, LLC

Sandra Shewry, M.S.W., M.P.H. ‘81 President and CEO California Center for Connected Health

Dean Ornish, M.D. Founder and President Preventive Medicine Research Institute

L. James Strand, M.D., M.B.A. General Partner Institutional Venture Partners

Martin Paley, M.P.H. ’58 Management Consultant

Barbara S. Terrazas, M.P.H. ’76 Director, Planning, Development and Policy, Tiburcio Vasquez Health Center, Inc.

Mary Pittman, Dr.P.H. ’87 President & CEO Public Health Institute Lisa Stone Pritzker Advocate and Activist for Child, Adolescent, and Women’s Health

Marie Hatherell by Alice & Robert Diefenbach Tom Haywood by Tommie Pippins Michael & Kazue Granich

Mary Robinson President Realizing Rights: The Ethical Globalization Initiative

John Troidl, Ph.D. ’01, M.B.A. President, Public Health Alumni Association Lecturer UC Davis School of Medicine

Mr. & Mrs. J.G. Okamoto by Ruth Nagano

Walter Mangold by L awrence & Constance Cowper Orville & Helen Deniston Harper & Leonisa Puziss

“Our Parents” by Chhaganbhai & Sarojben Bhakta

Don Minkler by Ann-Marie Askew Janos Balog Nelden & Victoria Hagbom Marisa Hildebrand Elizabeth Minkler John Minkler & Mary Lou Brauti-Minkler Gopal & Andrea Sankaran Joan & David Skurnick Bruce Steir & Yen Aeschliman Rajesh Vedanthan

Ralph Paffenbarger by Joann Schroeder Paul Palmisano by Joan Edelstein G. Nicholas Parlette by A. Arlene Kasa Betty Lucas & Gordon Jackins Elizabeth & Robert Nobmann Carol Parlette Therese Pipe William Reeves by Patricia & Kenneth Taylor Constantine & Nancy Tempelis Michael & Barbara Turell Byrle Roberts by Elaine Base Lucille Saloum by Alexander Jacklin Leona Shapiro by Helen Black Jean Hankin & Fred Jones A. Arlene Kasa Marilyn & William Stocker Beth & Robert Thurlow William Stiles by Elizabeth Calfee Jean Todd by Lynda Bradford Tom Tonkin by Jay & Kip Hudson Ilse Warner by Judith Heumann & Jorge Pineda Russell Watson by Christina Watson Harold Weiss by Hallie & Gilbert Holtzman Christina Marie Williams by J. Michael Mahoney

Every effort has been made to provide a complete and accurate listing of individual donors and their gifts to the School of Public Health from July 1, 2008 to June 30, 2009. Should you discover a mistake or omission, please accept our apologies and contact us at (510) 642-2299 or trini@berkeley.edu so that we can correct our records.

The TheCAMPAIGN CAMPAIGNforforthe theSCHOOL SCHOOLOF OFPUBLIC PUBLICHEALTH HEALTH Fall Fall2009 2009 27 27

Scholars in New Program Focus on Underserved, Vulnerable Populations In May the School announced the launch of Kaiser Permanente Public Health Scholars Program, an ambitious initiative designed to meet the increasing need for highly educated public health workers. Funded by a $5 million grant from a fund established in 2004 by Kaiser Permanente at the East Bay Community Foundation, the program is expected to expand California’s public health workforce, with an emphasis on recruiting students from underserved communities and placing them in health departments and other organizations that serve vulnerable populations.

Investing in future leaders “Kaiser Permanente’s generous gift through the East Bay Community Foundation sends a positive signal to the larger Bay Area philanthropic community about the importance of greater investment in public health,” said Dean Stephen Shortell. “We must increase our capacity to protect and enhance the health of all Californians, particularly those living in our most vulnerable communities.” In a declining economy, this grant increases enrollment, focuses on diversity, and supports graduates going into public health departments and underserved areas to meet society’s health needs. Specifically, the funds will be used to provide scholarships that will help recruit top students from underserved populations to the School of Public Health and provide additional teaching support to UC Berkeley faculty.

Healthier Lives in a Safer World

Fall 2009

“After graduating from UC Berkeley, these public health professionals will play an important role in protecting our population’s health, and making our environment healthier for everyone,” said Raymond J. Baxter, senior vice president for community benefit, research and health policy at Kaiser Permanente. “Investing in the training of these future leaders is a critical step toward addressing the growing health challenges in California and the nation.”

Scholars express gratitude, commitment to service The first class of 14 Kaiser Permanente Public Health Scholars entered the School this fall. At the Scholarship Tea, an annual event that brings together scholarship recipients and their sponsors, two of the Kaiser Permanente Public Health Scholars spoke to those assembled—a group that included their fellow Kaiser Permanente Public Health Scholars, representatives of Kaiser Permanente and the East Bay Community Foundation, other School of Public Health scholarship sponsors and recipients, alumni representatives, and the dean. The first student speaker was Karemi Alvarez, an M.P.H. student in health and social behavior with a specialty in multicultural health. Most recently she was the Latino campaign coordinator for the Network for a

Healthy California (formerly California 5 a Day Campaign) where she provided underserved communities throughout San Diego County with access to culturally-sensitive nutrition education and health-conducive built environments. She has worked with a variety of stakeholders, such as agricultural workers, elected officials, and community leaders. Alvarez led the revitalization of a vandalized park in a low-income community in Chula Vista, California, where she collaborated with English- and Spanish-language media, community-based organizations, and elected officials. This collaboration resulted in the City of Chula Vista providing $500,000 to restore the previously vandalized park. “I realized in my previous position that I needed the academic training that a master’s degree provides, especially from a school like UC Berkeley, in order to better serve low-income communities,” said Alvarez. “My goal, when I graduate, is to work again with low-income communities, mostly focusing on Latinos, and focusing on the built environment.” Katherine Lao, the second student speaker, graduated from UC Berkeley with a bachelor’s degree in public health and has returned to earn her M.P.H. in health policy and management. She immigrated to the United States from the Philippines at the age of 14 and participated in several health pipeline programs, which are designed to encourage and prepare underrepresented students early in their schooling to pursue careers in public health. Her interests include diversity in the health care workforce, sustainability of public health

Representing Kaiser Permanente at the Scholarship Tea were Loel Solomon, national director of community health initiatives, and Florence Raskin, M.P.H. ’82, continuum administrator.

Members of the first-ever group of Kaiser Permanente Public Health Scholars gathered for the Scholarship Tea at the Women’s Faculty Club on Sept. 10.

programs, and strengthening the relationship between medicine and public health. She has worked with health pipeline programs such as FACES for the Future at Children’s Hospital and Research Center Oakland and the UCSF School of Medicine Post Baccalaureate Program. Recently she assisted in the design of a pediatric advocacy curriculum, as well as the development of a farmer’s market at Children’s Hospital and Research Center Oakland. She has also conducted research on violence and urban youth and has participated in community development work in rural South America. “My personal experiences of growing up in urban Manila, as well as being a first-generation immigrant, and my work experiences in the rural provinces of South America and the underserved areas of Berkeley and Oakland have become my greatest strengths and my

chief sources of inspiration to pursue a career in this field,” said Lao in her remarks. “For that, I want to extend my thanks to all of you who share my vision, and especially acknowledge your commendable acts of generosity amidst tough economic times when protecting one’s own resources is the priority of many. Your acts of generosity provide many students, like me, the opportunity to ‘pay it forward’—to give back and work toward creating opportunities for many who face challenges of poverty, poor education, political strife.” Loel Solomon, national director of community health initiatives for Kaiser Permanente, addressed the students, saying, “When we think about health care reform, there are a lot of fireworks around some elements of coverage and care, but there is another really important part of health reform we need to keep our eye

on—the pieces related to primary prevention and the public health workforce. Those elements are so important if we’re serious about addressing HIV, chronic disease, H1N1, and the other major issues that challenge our health and drive health care costs. “Any amount of medical care, no matter how perfectly delivered, no matter how high quality it is, isn’t going to be able, by itself, to address underlying cost issues and morbidity and pain that our families feel. We need to get upstream and take a public health approach. That’s where you all fit in. And it’s why Kaiser Permanente has appreciated the importance of developing a public health workforce that is not only strong and well trained, but that is culturally competent and as diverse as the population we live in.”

The CAMPAIGN for the SCHOOL OF PUBLIC HEALTH

Fall 2009

New fund supports child, family, and community health In order to promote the health of children and families, Lisa and John Pritzker have given $250,000 to establish the Lisa and John Pritzker Fund. The fund will support students who concentrate their studies in child and family health, as well as allow the School to recruit faculty members who are experts in maternal and child health and other community-oriented specialties. “John and I use our philanthropy to support services for vulnerable children and their families. UC Berkeley’s School of Public Health is a wonderful place, and our partnership with Dean Shortell maximizes services and outreach to address pressing family and community health problems,” says Lisa Stone Pritzker, who

serves on the School’s Policy Advisory Council. Pritzker is an advocate and activist for child, adolescent and women’s health in the San Francisco Bay Area and nationally. The Pritzkers have given their fund a focus on child and family health, while allowing the flexibility for it to be used to fill changing education needs and meet tomorrow’s challenges. For instance, part of the gift has been used to determine the demand for executive M.P.H. and distance learning programs, an area which could allow qualified students to attend the

School part time. For people who work full time and parents who must juggle education and child care, distance learning is a great option to pursue their goals in the field of public health. “It’s become increasingly important to maintain flexibility in response to financial challenges, in order to ensure the future success of the School,” says Dean Stephen M. Shortell. “While many gifts are restricted for specific purposes, gifts like this one provide the needed flexibility to support those areas of the School in most need at a given point in time. This includes funds to recruit and retain faculty, student financial support, and seed funds to launch new programs. I am very grateful to Lisa and John for their continued support of our philanthropic goals.”

Great news if you’re… • At least 70½ years old • Taking distributions from your IRA (this year, distributions are not mandatory, but you may still take them) • Looking for a way to support the UC Berkeley School of Public Health tax free…

New legislation allows you to make gifts directly

to the School of Public Health totaling up to $100,000 a year from your Roth or Traditional IRA—without incurring income tax on the withdrawal. The provision is effective only for the 2009 tax year, so you must act by December 31 to take full advantage of this golden opportunity. For more information, contact the Office of Gift Planning at (800) 200-0575, or e-mail ogp@berkeley.edu.

Healthier Lives in a Safer World The CAMPAIGN for the SCHOOL OF PUBLIC HEALTH UNIVERSITY OF CALIFORNIA, BERKELEY

Healthier Lives in a Safer World

Fall 2009

Policy Advisory Council Welcomes Three New Members Kenneth W. Kizer, M.D., M.P.H.

Occupational and Environmental Medicine, the American College of Medical Toxicology, the American Academy of Clinical Toxicology, the American Academy of Medical Administrators, the Royal Society for the Promotion of Health, the Royal Society of Medicine, and the international Explorers Club.

Ken Kizer is a popular speaker and consultant who has been selected as one of the “100 Most Powerful People in Healthcare” by Modern Healthcare magazine on multiple occasions. From 2005 until 2007, he served as president, CEO, and chairman of Medsphere Systems Corporation, the leading commercial provider of open source information technology for the health care industry. He continues as chairman of the board, a position he has held since Medsphere was founded in 2002.

William E. Moeller, M.B.A.

Prior to joining Medsphere, Kizer served for six years as the founding president and CEO of the National Quality Forum in Washington, D.C. From 1994 through 1999, he served as the undersecretary for health in the U.S. Department of Veterans Affairs. From 1985 to 1991, Kizer was director of the California Department of Health Services. Prior to that, he was chief of public health for California and, before that, director of the Emergency Medical Services Authority for the state.

His career began at Citicorp, followed by more than six years at First Chicago, where he was executive vice president of the North American Banking Group. Subsequently, he served as executive vice president and president and chief executive officer of other financial service companies.

An honors graduate of Stanford University and UCLA, Kizer is board certified in six medical specialties and/or subspecialties, and has authored more than 400 original articles, book chapters, and other reports. He is a member of the Institute of Medicine of the National Academy of Sciences, the National Academy of Public Administration, Alpha Omega Alpha Honor Medical Society, and the Delta Omega Honorary Public Health Society. He is a certified health care executive and a distinguished fellow of the American College of Physician Executives, as well as a fellow of the American College of Emergency Physicians, the American College of Preventive Medicine, the American College of

Bill Moeller retired in 2008 as UnitedHealth Group senior vice president, relationship and business development. He joined the firm in 2001 as president and chief executive officer of UnitedHealthcare in Illinois.

Moeller has a strong relationship management background and credentials in the areas of change and crisis management, risk assessment and management, and process improvement, as well as the private equity business. He has been a business and civic leader in Chicago for more than 25 years. He is a director of the National Center for Healthcare Leadership, the National Center for Food Safety and Technology, the Chicago Horticultural Society, Jupiter Industries, Amsted Industries, and a portfolio company of the Chicago-based private equity firm Linden LLC, a health care and life science private equity firm where he is an operating partner. He earned an M.B.A. in finance and accounting from the Tuck School at Dartmouth in 1966 and a B.A. in economics from Yale University in 1964.

Mary Robinson, L.L.M. Mary Robinson, the first female president of Ireland (1990–1997) and more recently United Nations High Commissioner for Human Rights (1997–2002), has spent most of her life as a human rights advocate. Along with Nelson Mandela and Desmond Tutu, among others, she is a member of “The Elders.” Based upon the traditional village elders, who are used to resolve village conflicts, The Elders are a group of world leaders who have come together to guide and support our global village. Their work includes a call for more aid to help stabilize Zimbabwe in light of the country’s escalating humanitarian crisis, as well as lending support to the peacekeeping process in Cyprus and Sudan. She has received numerous honors and awards throughout the world, including Amnesty International’s Ambassador of Conscience Award for her work in promoting human rights and the Presidential Medal of Freedom from President Obama. She is the honorary president of Oxfam International, a founding member of the Council of Women World Leaders, and is Chair of the GAVI Alliance. Now based in New York, Robinson is currently president of Realizing Rights: The Ethical Globalization Initiative, which she founded in 2002, supported by a partnership of the Aspen Institute, Columbia University, and the Swiss based International Council on Human Rights Policy. Its goal is to bring the norms and standards of human rights into the globalization process and to support capacity building in good governance in developing countries, with an initial focus on Africa. Since 2004, she has also been professor of practice in international affairs at Columbia University, where she teaches international human rights. She is chancellor of Trinity College Dublin.

The CAMPAIGN for the SCHOOL OF PUBLIC HEALTH

Fall 2009

Around the School

Budget Update: We Move Forward By Dean Stephen M. Shortell

The economic crisis in California is severe and is having a marked impact on the University of California, the Berkeley campus, and our School of Public Health. In response, the School has had to absorb a 21 percent cut in our state budget, resulting in the elimination of numerous staff positions. In making these reductions, we have protected to the extent possible the core educational experience for our students, our research administrative support staff, and our fundraising unit. Only 11 percent of the School’s budget is now supported from the State of California. Systemwide, the state investment per student has declined from $16,000 in 1990 to $7,600 today. Numbers, of course, cannot possibly reflect the regret we have in eliminating staff positions or the anguish among those affected. The good news is that many of those laid off have found other positions and we are offering our assistance to all. This is not a temporary situation. The financial crisis in California is likely to last at least another two to three years. Even when the state economy recovers, the University will

need to operate on a fundamentally different business model. This model will involve a combination of increased enrollment of out-of-state students, increased student fees, and, most importantly, markedly increased philanthropic support. But we will remain committed to our public mission. In addition to achieving internal operating efficiencies, the School is working to increase our revenues. Some examples include: • increased philanthropic contributions; • increases in the Professional Degree Fee, with 50 percent returned to direct student financial aid plus related support; • pursuing new programmatic revenue producing initiatives such as executive education and distance learning programs; and • increasing our indirect cost rate on contracts. Fortunately, we are operating from a position of strength. In the past year we have successfully

recruited four outstanding young faculty members. Further, due to a generous $5 million grant from Kaiser Permanente, we have added 14 new students to the School; our first enrollment growth in over a decade. Also, our extraordinarily productive faculty have generated approximately $50 million in outside funded research over the past year, which generates student support in the form of graduate student research positions. Finally, we have a loyal and expanding base of alumni, friends. and donors committed to our goal of achieving “Healthier Lives in a Safer World.” Emerson once said, “The sun shines after every storm; there is a solution to every problem; and the soul’s highest duty is to be of good cheer.” So we can lament what has happened to us and feel “beat up” or we can accept the reality, move on, and choose to be “upbeat.” Feeling “beat up” has never solved anything. Feeling “upbeat” has often resulted in great achievements.

State Operating Funds (11%)

Government Research Funds

(62%)

Private Grants & Contracts

(21%)

Endowments

Student Fees

(2%)

(1%)

Gifts

(2%)

Support from the State of California has dwindled to just 11 percent of the School’s budget. 32

Berkeley Health Fall 2009

Other Central Revenues

(1%)

Around the School

Kudos!

Recent faculty promotions: Buehring, Fernald, Ozer Three faculty members at the School have recently been promoted. Gertrude Case Buehring, formerly an associate professor, is now a full professor of virology. Buehring’s areas of interest are bovine leukemia virus and its possible role in causing breast cancer, and early detection of breast cancer using breast fluid cytology. Lia C. Haskin Fernald and Emily J. Ozer have both been promoted from assistant professor to associate professor. Fernald is a public health nutrition expert who focuses on inequalities in health and how variations in socioeconomic status contribute to adverse nutritional outcomes in children and adults. Ozer is a psychologist whose primary interests are school and community-based interventions, promotion of mental and physical health among adolescents, violence prevention, and trauma and post-traumatic stress disorder.

Health Research for Action publications win honors Health Research for Action—a health communication, research, and policy center at the School of Public Health—won a 2009 Communicator Award from the International Academy of the Visual Arts for its Perspectives newsletter (Aug. 2008), “Fish Contamination: Environment and Health at Risk.” The issue won the Silver “Award of Distinction” for a newsletter from an educational institution. Together with the California Office of the Patient Advocate, Health Research for Action

won a Platinum Award for excellence, quality, and creativity in the 2009 international Hermes Creative Award competition for its latest California health plan guide, How to Use Your Health Plan. The purpose of the guide, which was produced in English, Spanish, and Chinese, is to help people get the most from their HMO or PPO.

others received awards at a reception hosted by Lord Turnberg and held in the House of Lords in London. Buffler holds the Kenneth and Marjorie Kaiser Chair in Cancer Epidemiology at the School.

Shortell receives award for sustained contributions to health

Amani Nuru-Jeter has received a 2009 Hellman Family Faculty Fund award from UC Berkeley. Created by a generous gift from distinguished Cal alumnus F. Warren Hellman, the awards support assistant professors who have shown evidence of promise for distinction in research. Nuru-Jeter’s winning project will examine the relationship between self-reported racism and stress biomarkers among African American women. She will receive recognition and significant funding to advance the research.

The University of Iowa College of Public Health recently presented its highest honor, the Richard and Barbara Hansen Leadership Award and Distinguished Lectureship, to Dean Stephen M. Shortell, who presented the 2009 Hansen Distinguished Lecture, “The PatientCentered Medical Home: Its Role in Health Care Reform,” on Sept. 18 as part of a statewide symposium on the Patient-Centered Medical Home. The Hansen Award is given annually by the University of Iowa College of Public Health to honor individuals who have made sustained contributions in the health field. The award recognizes exemplary leadership, high ethical standards, and an enduring commitment to improving health care on a national and international level.

Buffler honored for lifetime achievements fighting childhood leukemia Professor and Dean Emerita Patricia A. Buffler, Ph.D. ‘73, M.P.H. ‘65, received the 2009 Children with Leukaemia Science Award for her “lifetime contribution in the field of childhood leukaemia research.” Children with Leukaemia is a British charity that funds research into causes and treatments, supports families through welfare programs, and campaign on behalf of children with leukemia and their families. She and three

Nuru-Jeter wins competitive research grant

Penhoet appointed to presidential council Former dean and Professor Emertitus Edward E. Penhoet has been appointed to the President’s Council of Advisors on Science and Technology. In April, President Barack Obama announced the formation of the council, an advisory group of the nation’s leading scientists and engineers who directly advise the President and the Executive Office of the President. The council makes policy recommendations in the many areas where understanding of science, technology, and innovation is key to strengthening our economy and forming policy that works for the American people. The council is administered by the Office of Science and Technology Policy. continued on page 34

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Around the School

Kudos!, continued Global Health Accomplishments Earn Praise Hu receives multiple honors for achievements in health care economics and reform In recognition of his significant contributions to China over the past 30 years in health economics research, health care reform, capacity building for Chinese economists, and tobacco control, Professor Emeritus Teh-wei Hu was appointed chief health economist at the China Health Economics Institute, an organization under China’s Ministry of Health. The appointment took effect in March. In this capacity, Hu serves as an adviser for China’s health care reform research. At an event held in October, Tunghai University in Taiwan honored Hu with its Distinguished Alumni award for his achievements in health care reform, training young professionals, and tobacco control in Taiwan and China. Hu earned his bachelor’s degree at the university in 1959. Hu was a cochair of the International Health Economics Association’s 7th World Congress on Health Economics, held July 12–15 in Beijing, which was attended by more than 2,000 health economists from more than 65 countries. The theme of the conference was “Harmonizing Health and Economics.”

Kirk Smith receives Heinz Award in recognition of environmental achievement Kirk R. Smith, Ph.D. ‘77, M.P.H. ‘72, professor of global environmental health, received the 15th annual Heinz Award in recognition of his research exposing the relationships among air pollution, household fuel use, climate, and health. The 34

Berkeley Health Fall 2009

Heinz Family Foundation noted that Smith was the first to recognize and quantify the magnitude of the pollution exposure resulting from cooking indoors with solid fuels, such as wood and other biomass. About half of the world’s population uses such fuels daily, and the health impacts—including pneumonia, tuberculosis, cataracts, and chronic lung diseases—are disproportionately felt by the poorest women and children in developing countries. Smith also first recognized in poor countries the potential major co-benefits for both health and climate from improvements in household energy technologies. Smith and nine other recipients will each receive a $100,000 unrestricted award along with a medallion at a private ceremony in Washington, D.C.

UC Berkeley School of Public Health receives Global Citizen award from UN Association The School was honored as a “Global Citizen” by the United Nations Association USA-East Bay Chapter at the

Allan Smith honored for excellence in environmental epidemiology Professor of Epidemiology Allan H. Smith received the John Goldsmith Award for Outstanding Contributions to Environmental Epidemiology at the August annual conference of the International Society for Environmental Epidemiology (ISEE) in Dublin, where he presented the John Goldsmith lecture. Smith was selected for his lifetime contributions to assessing and mitigating the effects of arsenic in the water supply of Bangladesh and other countries. In his talk, titled “Epidemiology is Wonderful,” Smith described the work of Craig Steinmaus and other colleagues at the Berkeley Arsenic Health Effects Research Group. The award was established to honor John Goldsmith, one of the organizers, early leaders, and constant supporters of the ISEE, who passed away in Oct. 1999. This award recognizes environmental epidemiologists who, like John Goldsmith, serve as models of excellence in research, unwavering promotion of environmental health, and integrity.

chapter’s annual UN Day Celebration and Awards Dinner. This year’s event, held Oct. 23 at International House, focused on the United Nations Millennium Development Goals for public health: to reduce child mortality; improve maternal health; and combat HIV/AIDS, malaria, and other diseases. Professor Arthur Reingold accepted the award on behalf of the School, in recognition of the School’s work to improve health and life expectancy worldwide. Other honorees were Children’s Hospital Oakland Research Institute, Hesperian Foundation, and Rotary International’s East Bay districts and chapters.

Around the School

Headlines $10.9 million Gates award supports study of diarrheal disease interventions

Huge wage cost to filling gap in sub-Saharan Africa’s health workforce, study projects

The Bill and Melinda Gates Foundation has awarded $10.9 million to UC Berkeley, in collaboration with the International Centre for Diarrheal Disease Research, Bangladesh, and Innovations for Poverty Action, to conduct a study of three simple interventions to combat diarrheal disease in developing countries. An estimated 2.2 million children under the age of five years die from diarrheal disease each year. The study, coordinated by John Colford, Ph.D. ’96, M.P.H. ’92, professor of epidemiology, will test the impact of water, sanitation, and hygiene interventions (alone and in various combinations) in a randomized trial in Bangladesh and Kenya.

Hiring the workers needed to eliminate the staggering shortage of health care professionals in sub-Saharan Africa by 2015 will cost $2.6 billion a year, or 2.5 times the annual funds currently allocated for health worker wages in the region, according to a new study led by UC Berkeley researchers. Richard Scheffler, professor of health economics and public policy and director of the School’s Global Center for Health Economics and Policy Research, is lead author.

UC launches bold initiative to revolutionize breast cancer treatment UC Berkeley is one of six UC campuses participating in the ATHENA Breast Health Network, an unprecedented initiative to study and drive innovations in breast cancer prevention, screening, and treatment. Initially, an estimated 150,000 women throughout California will be screened for breast cancer and followed for decades through the five UC medical centers. Researchers at the UC Berkeley School of Public Health will contribute by developing a system for evidence-based management in the care of breast cancer patients. Working collaboratively with researchers at the UCSF Philip R. Lee Institute for Health Policy Studies, investigators at UC Berkeley will track patient preferences, physician preference, treatment choices, and clinical outcomes.

Study suggests ways to engineer attenuated pathogens to look more alive Most successful vaccines stimulate antibodies that attack and kill viruses as they scoot from one cell to another. But what about viruses and other pathogens that never leave the cell? A new theory of how the immune system recognizes pathogens suggests ways to make vaccines that trigger both antibodies and a T cell response, targeting extracellular as well as intracellular pathogens. Daniel Portnoy, professor of public health and of molecular and cell biology, is coauthor of the study, which appeared in the Sept. 4 online edition of the journal PLoS Pathogens.

Gene variant linked to higher risk of non-Hodgkin lymphoma A study led by UC Berkeley researchers has identified a gene variant that carries nearly twice the risk of developing an increasingly common type of non-Hodgkin lymphoma, a group of cancers that develop in the immune system’s white blood cells. Christine F. Skibola, Ph.D. ’01, associate adjunct professor of environmental health sciences is co-lead author.

Researchers find early markers of Alzheimer’s disease A large study of patients with mild cognitive impairment revealed that results from cognitive tests and brain scans can work as an early warning system for the subsequent development of Alzheimer’s disease. The findings by UC Berkeley researchers are a major step forward in the march toward earlier diagnoses of the debilitating disease. William Jagust, professor of public health and neuroscience, is principal investigator of the study.

Children susceptible to pesticides longer than expected, study finds UC Berkeley researchers recommend that the U.S. EPA re-evaluate current standards for pesticide exposure in light of a new study finding that children’s increased vulnerability to pesticides lasts much longer than expected. The study was conducted by UC Berkeley’s Center for the Health Assessment of Mothers and Children of Salinas. Karen Huen, M.P.H. ’05, the study’s lead author, is a Ph.D. student in environmental health sciences at the School; Nina Holland, adjunct professor of environmental health sciences, is the paper’s senior author.

For the full stories, visit the School’s web site at sph.berkeley.edu and click on “News.”

Berkeley Health Fall 2009

Around the School

News and Notes Ivorian Scholars Train at Berkeley For six weeks this past summer, the Epidemiology Division hosted eight health professionals from Abidjan, Côte d’Ivoire. The scholars were supported by the NIH Fogarty International Center’s AIDS/HIV International Training and Research Program at UC Berkeley, which is directed by Professor Arthur Reingold. The visiting scholars enrolled in coursework in biostatistics and epidemiology, and attended special workshops in monitoring and evaluation led by staff from the UCSF Center for AIDS Prevention Studies and the California State Department of Public Health’s STD/HIV Prevention Training Center. The scholars came from a variety of backgrounds and included a Ministry of Public Health pharmacist, a technical adviser for the Elizabeth Glaser Pediatric AIDS Foundation, a human resources management engineer with CDC/PEPFAR, a sociologist who administers the Anti-Retroviral Treatment Program at the Public Health Unit pharmacy, and the head doctor at the Central Police Laboratory. One of the scholars, Mah Konate Koudedia, wrote after returning to Abidjan, “The Fogarty program let us share some experiences with people coming from other countries in a multicultural environment. In addition, learning in English topics such as biostatistics and

epidemiology improved our language skills and helped us to better understand the public health field. The training contributed to building national capacity and developing our communities. Now I’m able to determine what type of study design is better to address a health problem and justify it. We have not many persons with public health master’s degrees in Côte d’Ivoire, and I hope that the Fogarty program will help us to increase that number.”

Students Take Action to Improve Lives More than 85 incoming graduate students in public health spent the afternoon performing public service for nonprofit organizations throughout Berkeley as part of the 5th annual UC Berkeley School of Public Health Volunteer Mobilization Day on Aug. 25. The event was sponsored by the UC Berkeley School of Public Health and the Berkeley Mayor’s Office.

Berkeley Health Fall 2009

Around the School

Meet the New Faculty Julianna Deardorff

Mahasin Mujahid

Assistant Professor, Maternal and Child Health King Sweesy and Robert Womack Endowed Chair in Medical Science and Public Health Ph.D., M.A., Clinical Psychology, Arizona State University B.A., English Literature, University of California, Los Angeles

Assistant Professor, Epidemiology Martin Sisters Endowed Chair in Medical Research and Public Health Ph.D., Epidemiologic Sciences, M.S., Biostatistics, University of Michigan, Ann Arbor B.S., Mathematics, Xavier University

Julianna Deardorff was working for UC Berkeley psychology professor Steve Hinshaw on a project studying pre-pubescent girls with ADHD when her interest was piqued by the vast discrepancies in pubertal development she observed among sixth grade girls. Today, as a faculty member, Deardorff is researching the pubertal transition process in girls and how it affects their physical and mental health—particularly among those who go through puberty earlier. She is examining what has caused puberty to start earlier in some girls, and is specifically examining the possibility that the absence of a biological father in a household may induce the early onset of puberty. Another thrust of Deardorff’s research centers on girls and sexual values, especially among young Latinas. She is interested what kinds of issues put young Latina girls at risk for early pregnancy and risky sexual outcomes like contraction of sexually transmitted infections. “What I’ve really been fascinated with is how the pubertal transition plays out across cultures and how it’s different for young Latinas versus girls from other ethnic backgrounds,” she says. In addition, she is interested in the relationship between the early onset of puberty and the occurrence of certain kinds of cancer, particularly breast cancer. It appears that early menarche leads to a higher risk of breast cancer later in life, she notes, but we don’t know much about timing of breast or pubic hair development. There is also some evidence that pubertal timing predicts testicular cancer among boys. “We know that early pubertal timing is linked to a number of deleterious effects for girls,” she says. “My hope is that we can start thinking about intervening earlier so that we can potentially ameliorate some of these issues.” Deardorff, who is currently teaching a new adolescent health course, is delighted to be back at Berkeley. “I’m looking forward to the opportunity to play a large role in educating the next generation of professionals and scholars,” she says.

In her work, Mahasin Mujahid examines the multi-level determinants of cardiovascular health and cardiovascular health disparities. She explains, “I’m interested in the role of neighborhood environment in shaping cardiovascular health—what are the specific features of neighborhood environments that matter, how do we measure those features, and how do we then link them to particular cardiovascular outcomes?” Another major interest of hers is how place and neighborhoods contribute to racial and ethnic differences in cardiovascular risk. “A great deal of the literature considers individual-level explanations and how factors like socioeconomic status or health behaviors contribute to the differences we see across race and ethnic groups,” she says. “An additional factor I believe is missing is the role of neighborhood environments over the lifecourse in terms of shaping cardiovascular risk behaviors, subsequently leading to poor cardiovascular health among racial and ethnic minority groups.” She also emphasizes that a common theme in her work is an interest in rigorous statistical methods. “There are a number of methodological challenges associated with studying place in relation to health. For instance, it’s very difficult to tease out race and place, and conclusively determine which matters more.” Mujahid hopes that, through her work, she will be able to tell the story of the experience of underrepresented groups. “The reality is that the positive resources and negative exposures that characterize an individual’s, family’s, community’s, and indeed, population’s experience shape behavior and preferences,” she says. “In communities where it’s not safe to go outside, is it fair to blame parents for having their kids planted in front of the television? We must consider the value of being accountable to and for each other, in addition to these unsafe and unhealthy neighborhoods.” She is excited to be on the Berkeley campus where there’s a balance between research and teaching. “It’s not just about research; it’s also about training the next group of public health professionals. That’s the nature of the University, and you can feel this immediately upon stepping onto the campus.”

Berkeley Health Fall 2009

Around the School

Meet the New Faculty Maya L. Petersen

Lonnie Snowden

Assistant Professor, Biostatistics M.D., UCSF Ph.D., Biostatistics, M.S., Health and Medical Science, UC Berkeley B.A., Human Biology, Stanford University

Professor, Health Policy & Management Ph.D., Community and Clinical Psychology, Wayne State University M.A., Clinical Psychology, Wayne State University B.A., Psychology, University of Michigan, Ann Arbor

Maya Petersen considers the opportunity to do multidisciplinary research an outstanding characteristic of the UC Berkeley School of Public Health. And she should know: She began her association with the School as a student in the UC Berkeley-UCSF Joint Medical Program, then decided instead to pursue a doctorate in epidemiology at UC Berkeley, then switched to biostatistics to finish her doctorate, and then completed her medical degree at UCSF before returning to UC Berkeley as a faculty member. “No one here blinked an eye when I switched,” she says. Regardless of the discipline, her research interest has remained constant: finding better ways to treat people in resource-limited settings (especially Africa) with antiretrovirals for HIV disease, given existing resource constraints. “I’m also interested in the bigger picture: If we are going to invest in infrastructure, what would be smart ways to do it?” she says. “As I got into this area of antiretroviral treatment, it became increasingly clear that you need advanced statistical methods to do a reasonable job of providing those answers.” One of Petersen’s current projects concerns the way in which laboratory testing is used to monitor whether or not antiretroviral regimens are working. In resource-rich places, regular viral load testing is used for this purpose. When the virus in a person’s body develops resistance to the drugs, the regimen can be changed. However, in resource-limited settings, this type of testing poses resource and infrastructure problems. “There is a drive to make this testing more available,” she explains, “but in the meantime, what do we need to do to deliver these drugs now, without the capacity for regular laboratory monitoring?” She is currently looking at use of observational cohort data to answer that question. There are challenges. “We’re not looking at just longitudinal treatment. It’s a dynamic treatment strategy—measure, respond, change treatment—and that brings a whole set of analytic complications.” But Petersen enjoys the combination of abstract problem-solving and concrete impact afforded by public health. “I’m very much interested in solving real-world public health problems that matter,” she says.

Berkeley Health Fall 2009

Strictly speaking, Lonnie Snowden is not a “new” faculty member. Though he was appointed to the School of Public Health’s faculty only last year, he has been on campus as a professor at the School of Social Welfare since 1978. Moving to the School of Public Health made sense, he says, because his primary collaborators have been public health faculty members. A mental health policy researcher, Snowden has focused primarily on racial, cultural, and ethnic disparities in mental health, as well as access to mental health care and quality of care. One of his current studies examines the response of California’s public mental health system to people who have limited proficiency in English. In another study, he is looking at disparities in African American health care in California, working with community stakeholders to prepare a series of reports that make policy recommendations. Snowden has also looked at the use of psychiatric hospitals by African Americans. “The pattern of mental health services characteristic of African Americans is to use in-patient care and psychiatric emergency services disproportionately and not to use out-patient care,” he says. “We want to try to understand why that’s true and what we can do to redesign mental health systems and programs so it will no longer be true.” He describes the general objective of his work as “the design of policies that will enable people to get better mental health care.” For example, he has worked to show the effectiveness of Medicaid’s Early Periodic Screening Diagnosis and Treatment (EPSDT) program, a comprehensive and preventive child health program that includes mental health. “Our study showed that county mental health programs that were doing the worst before with respect to providing mental health care to kids did a better job after fully implementing EPSDT mental health,” he says. “We hope that other states and policymakers elsewhere will see that this can be done.” Twenty-five years ago, Snowden notes, there was no such thing as a field of mental health policy. Since that time, he says, “treatments have gotten better. The pressing policy question is how to create incentives to implement them.”

Alumni News

Alumni Notes 1940s Herbert Bauer, M.D., M.P.H. ’48, is living a long, healthy, productive life at age 99. He served as Yolo County, California’s public health director from 1952 to 1971, building the department practically from scratch. After he retired from the county at age 61, he took up child psychiatry. “I considered mental health simply a part of public health,” he says. Since retiring from his psychiatry practice, he has studied ethics and belonged to “virtually every health committee there is.” Among other activities, he is past president of the California Lung Association, and he chaired the bioethical committees of Woodland Memorial Hospital and Sutter Davis Hospital. This year he plans to take a boat trip on the Danube.

1960s Bruce L. Douglas, D.D.S., M.P.H. ’62, continues to practice public health in Waukegan, Illinois, where he is the only oral and maxillofacial surgeon who limits his practice to Public Aid patients. He was the first (and founding) faculty member of the University of Illinois at Chicago School of Public Health (UIC SPH), which he helped establish and where he serves as an adjunct professor of occupational and environmental medicine to this day. He also served as professor of community dentistry at UIC. He has served as an elected member of the Illinois House of Representatives, served as a WHO consultant and Fulbright professor in many countries, was dental director of the Illinois Department of Public Health, and for two years served as senior scholar at the National Business Group on Health. Frederick B. Hodges, M.D., M.P.H. ’68, received the 2009 Henrik Blum Lifetime Achievement Award from the California Public Health Association-North at its April annual meeting. Over the course of his more than 40-year career with the State of California Departments of Public Health and Health Services, he has worked in many areas of public health, including a stint as director of public health from 1972 to 1973. His contributions are in areas as diverse as school health, farmworker health, child and youth health, and mental health. He started the State Preventive Residency Program and has been instrumental over the past 28 years in

mentoring and inspiring generations of public health physician and epidemiology leaders.

1970s Linda Randolph, M.D., M.P.H. ’71, was one of 21 individuals honored by Women’s eNews at a gala benefit dinner, “21 Leaders for the 21st Century,” held in New York City in May. The 21 honorees were chosen for their dedication to improving the lives of women. Randolph was recognized for her work to bridge the gap in health care services for women in general, and minority women in particular. Thomas Elwood, Dr.P.H. ’73, M.P.H. ’69, became the first American to deliver a keynote address at the annual conference of a consortium of 38 European health science universities in a meeting held in Estonia in April. His topic was “Immigration and the Graying of Developed Nations.” He also recently had a book published on the topic of U.S. federal health policy. In addition to serving as executive director of an organization in Washington, D.C., that represents 115 universities with programs in the health sciences, he is an adjunct professor at the University of Medicine and Dentistry of New Jersey. He also is chief editor of a health journal and serves on the editorial board of two other journals. Chia-Chia Chien, M.P.H. ’74, M.S.W., was presented with the National Association of Social Worker’s Lifetime Achievement in Social Work Award in May. She arrived in the United States from Taiwan in 1970 and was the first bilingual psychiatric social worker hired by the City of Berkeley’s mental health clinic, where she worked for 28 years. Alarmed by the fact that older Asian American women suffer more from depression and suicide than seniors in other cultures, she created the Culture to Culture Foundation and organized Chinese-American mental health professionals into the Chinese-American Mental Health Network. They set up meetings, Chinese-American senior centers, and community hotlines to educate the Asian public about depression, anxiety, bipolar disease, and

Public Health Alumni Association Board of Directors 2009–2010 John Troidl, Ph.D. ‘01, M.B.A. (President) Melinda Lassman, M.A. ’75, M.S. ’77 (Vice President) Lucinda Brannon Bazile, M.P.H. ’94 (Secretary-Treasurer) Beth Roemer, M.P.H. ’76 (Secretary-Treasurer) Shahram Ahari, M.P.H. ’05 Sally Lawrence Bullock, M.P.H. ’06 Rosa Vivian Fernandez, M.P.H. ’91 Michael Fischman, M.D., M.P.H. ’82 Jonathan Frisch, Ph.D. ’90, M.P.H. ’87 David Harrington, M.P.H. ’88 Kelvin Quan, J.D., M.P.H. ’81 Timothy Sankary, M.P.H. ’80 Jan Schilling, M.P.H. ’91 Karen Shore, Ph.D. ’98 Maxine Tatmon-Gilkerson, M.P.H. ’91 R. Berna Atik Watson, M.D., M.P.H. ’99 schizophrenia, letting them know what help is available and how to resist Asian cultural stigma against mental illness. She has received numerous awards, including UC Berkeley’s Peter E. Haas Public Service Award. Winnie Chu, M.P.H. ’76 “Currently I’m the executive director of Survivors International, a local nonprofit organization in the Bay Area that provides a range of psychological, health, and social services to survivors of political torture and gender violence. Our clients come from more than 100 countries seeking asylum in the United States/Bay Area to escape from persecution and possible death.” Michael Weiss, M.D., M.P.H. ’76 “Retired in March 2009 and joined the Peace Corps. I am working as a health educator with the Directorate of Public Health for the Korca Region [Albania] and with a number of NGOs.”

continued on page 40

Berkeley Health Fall 2009

Alumni News

Alumni Notes 1980s Edward C. Bishop, Ph.D. ’80, CIH, has been appointed to another three-year term on the National Academy of Sciences/National Research Council Committee on Toxicology Subcommittee on Acute Exposure Guideline Levels. The committee, whose members represent government, industry, and academic institutions, reviews research related to a variety of chemicals of concern and determines appropriate exposure levels. Bishop is director of project delivery for environmental and resource management at HDR, an employee-owned architectural, engineering, and consulting firm with more than 8,000 professionals in 186 locations worldwide. Valerie Parisi, M.D., M.B.A., M.P.H. ’80, has been named interim dean of Wayne State University’s School of Medicine for a three-year term. She has been the school’s vice dean of hospital relations and clinical affairs since July 2007. An obstetrician/gynecologist, she served for 10 years as director of the Division of Maternal-Fetal Medicine at the University of Texas Health Sciences Center, Houston. She also served as dean of medicine at the University of Texas Medical Branch, Galveston. Alan B. Bernstein, M.D., M.P.H. ’81 “I have been working as the chief medical officer for the past four years at a community health center in an urban setting in Orange County, New York. I have a wife who works in early childhood intervention and two great teenage boys.” Claire D. Brindis, Dr.P.H. ’82, was appointed director of the Philip R. Lee Institute for Health Policy Studies at UCSF, having served as acting director from 2006 to 2007 and interim director since 2007. She has been instrumental in founding several centers at UCSF, including the Bixby Center for Global Reproductive Health, the National Adolescent Health Information and Innovation Center, and the Public Policy Analysis and Education Center for Adolescent and Young Adult Health. She is a professor in the Department of Pediatrics, Division of Adolescent Medicine, and in the Department of Obstetrics, Gynecology, and Reproductive Health Services. Recently she received the 2009 UCSF Chancellor’s Award for the Advancement of Women.

Berkeley Health Fall 2009

Warren Browner, M.D., M.P.H ’84, was named chief executive officer of California Pacific Medical Center (CPMC), one of Northern California’s largest hospitals. In his new post, one of his key goals will be to work to make CPMC’s proposed new $1.7 billion Cathedral Hill hospital and medical campus a reality. He first joined the San Francisco hospital nine years ago as the first scientific director of its CPMC Research Institute. Before joining CPMC, he was a practicing general internist, chief of general internal medicine, and acting chief of the medical service at the San Francisco VA Medical Center. He was also professor of medicine and of epidemiology and biostatistics at UCSF and executive editor of the American Journal of Medicine. Elaine (Moquette) Magee, M.P.H. ’85, R.D., has published a book, Food Synergy (Rodale, 2008). She writes, “I feel passionately about this book and its message, since the bottom line to food synergy science is the importance of eating whole foods and that the nutritional power is in the packaging!” Her web site is www.recipedoctor.com. Tammy Pilisuk, M.P.H. ’85 “I work at the California Department of Public Health’s Immunization Branch working largely on combating misinformation about vaccines. This year, I received two awards for my ‘extracurricular’ public health volunteer work: Excellence in Health Care Reform Activism from the National Multiple Sclerosis Society, and I will be this year’s honoree for the Henrik Blum Award (my SPH mentor!) for excellence in health policy for my health care reform policy work within the American Public Health Association. I’m recently married and live in Berkeley with my husband.” Felicia S. Hodge, Dr.P.H. ’87, M.P.H. ’76 “Currently conducting a study on cancer symptom management (pain and depression) among American Indians residing in Arizona. Also examining human papilloma virus awareness and vaccine compliance. Invited as keynote speaker at an upcoming Maori conference in New Zealand.”

1990s Grayson W. Marshall, D.D.S., Ph.D, M.P.H. ’92, currently serves as president of the

American Association for Dental Research (AADR). He is professor and chair of biomaterials and bioengineering and vice chair of the Department of Preventive and Restorative Dental Sciences at UCSF. He is organizing a national conference on oral and craniofacial tissue engineering under the auspices of the AADR to be held at UCSF in Nov. 2009. Jonah Frohlich, M.P.H. ’98, was appointed deputy secretary for health information technology for the California Health and Human Services Agency by Gov. Arnold Schwarzenegger in April. He will lead the administration’s efforts to achieve statewide electronic health data exchange, uniform interoperability standards, and adoption of health information technologies, such as e-prescribing. He will also lead efforts to position California to maximize receipt of federal stimulus monies to support and accelerate the implementation and use of health information technology. He has served as a senior program officer for the California HealthCare Foundation since 2004.

2000s Melanie Moreno, M.S.W., M.P.H. ’00, was appointed chief of governmental affairs for the California Public Employees’ Retirement System (CalPERS) in May. She manages a staff of legislative analysts and serves as chief legislative advocate for CalPERS state and federal legislative programs. For the past seven years, she has held senior consultant positions on health care issues for both houses of the California Legislature. Most recently, she served as principal consultant for the California State Senate, analyzing statewide policy impacts of legislation before Senate committees on health. Gisele Norris, Dr.P.H. ’00, was recently promoted to managing director for the Western region of Aon Corporation. In her newly expanded role, she will lead the development of innovative risk solutions for health care organizations in the West, overseeing the delivery of Aon’s health care services and resources to nine states. For the past 13 years, she has played a principal role in Aon’s national health care practice by providing clients with risk and insurance consulting services, most recently as a primary leader of Aon’s Pandemic Preparedness Task Force.

Alumni News

Alumni Notes, continued David Kaisel, M.B.A., M.P.H. ’03 “Since Jan. 2008 I’ve been a product development and design research consultant for PATH in Seattle. I work with an global team of engineers, business strategists, user researchers, and public health experts on the Safe Water Project, an significant learning initiative funded by the Bill and Melinda Gates Foundation. The goal of the project is to make it possible for households at the base of the economic pyramid to purchase and consistently use accessible, affordable, and effective household water treatment and safe storage products. While the work initially concentrated on markets in India, we are now active in the Mekong region and Sub-Saharan Africa.” Tricia Michels Tayama, M.D., M.P.H. ’03 “After completing medical school, I received my pediatrics residency training at UCSF in the Pediatric Leadership for the Underserved program. Highlights from my chief residency included working at San Francisco General Hospital and having Katy Davis (M.P.H. ‘03, Interdisciplinary Program) as a co-chief. I am currently a pediatrician for the County of

San Mateo and the pediatric medical director for the Keller Center for Family Violence Intervention, where I work with children and families experiencing physical and sexual abuse. On a personal note, I recently married my former anatomy lab partner, Darren Tayama, who completed his residency and chief residency in Internal Medicine at Stanford and now works for XDx, a molecular diagnostics company.” Melodie Holden, M.S., M.P.H. ’05, was appointed president of Venture Strategies Innovations (VSI) in June. VSI is a California-based organization that works in collaboration with the Bixby Center for Population, Health and Sustainability at UC Berkeley, and VSI’s sister organization, Venture Strategies for Health and Development (VSHD), to bring low-cost, evidence-based health solutions to low-income people in developing countries. She has played an integral role at Venture Strategies since 2005, when she first took on the duties of managing the regulatory and distribution efforts in VSHD’s Misoprostol Program.

Christa Peacock, M.S.N., M.P.H. ’05 “After I completed the program at UC Berkeley, I applied to work for Doctors Without Borders, and I started out in a refugee camp in Thailand. For six months I supervised the health clinic staff and the community health workers. We performed an immunization survey of the children and the community and, based on those results, did two immunization campaigns. We also restructured the weekly immunization program to make it easier for parents to bring their children. In addition, I facilitated community health education programs in the camp for children and worked on a family planning campaign with the local midwives. The community health workers and I also did a Vitamin A and de-worming campaign for the children in the camp. In this work, I actually used some of the epidemiology and statistics that I learned at UC Berkeley! I recently returned to California, and I’m considering another assignment with Doctors Without Borders.”

In Memoriam Jean Jenkins Dixon ’49 died July 20, 2009, at age 82. Born in Los Angeles, she grew up in Colton and Monterey Park, California. She was awarded a scholarship to attend UC Berkeley, earning her bachelor’s degree in public health in 1949. In the 1950s, she worked as a medical technician in Merced and Sacramento, California, and at County Hospital in Los Angeles. In 1958 and 1959, she was employed by WHO on the island of St. Helena. She designed and equipped a medical laboratory on a budget of $1000, including a hand centrifuge and a monocular microscope, and she trained a local resident to run the lab after she left. In March 1960, she married Bill Dixon. After her children were grown, she returned to work, running early HIV tests at L.A. County Public Health. She was active in the Women’s Fellowship at the Manhattan Beach Community Church, and in the South Bay Cal Alumni Association. She was preceded in death by

her husband and a brother. She is survived by a brother, a daughter, three sons, and four grandsons. Charles Joseph Wellington, M.D., M.P.H. ’68, died July 11, 2009, at Washington Hospital Center, in Washington, D.C., at age 90. An obstetrician and gynecologist, he worked until he was 85 as a medical officer specializing in maternal and child health. He was born in New York City and graduated from Lincoln University in Pennsylvania in 1942 and from Meharry Medical College in Nashville, Tennessee, in 1946. After serving as a medical officer in the Air Force, he moved to San Francisco in 1956 to enter private practice as one of the city’s first African American obstetrician-gynecologists. Wellington received a master’s degree in public health from UC Berkeley in 1968. He began

working for the Maternal and Child Health Bureau in 1971 and continued working for the government while maintaining his OB-GYN practice until 1987. From 1987 to 1991, he was assigned to the D.C. Public Health Commission, where he led efforts to reduce infant mortality. He then spent a year as acting chief of the District’s health services program for children with disabilities and other special needs. From 1992 until retiring in 2004, he worked with the Maternal and Child Health Bureau. Wellington was active in the NAACP and participated in many civil rights marches, including the 1965 march in Selma, Alabama, with Martin Luther King, Jr. He was preceded in death by a son and a daughter. He is survived by his wife, Caroline B. Poole, a daughter, a grandson, and a great-granddaughter.

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