Spring 2003 - The Air That They Breathe - Public Health by UC Berkeley School of Public Health

SPRING 2003

University of California, Berkeley

Public Health The Air That They Breathe How Poor-Quality Cooking Fuels Are Quietly Killing Millions

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60 Years of Public Health at Berkeley

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Whatâ&#x20AC;&#x2122;s Next in Health Care?

Making “The Berkeley Difference” From the Dean I hope we have your attention with the new look to our magazine. It is designed to better highlight the remarkable achievements of the UC Berkeley Public Health community: our faculty, staff, students, alumni, and many friends and supporters. We intend to use the magazine as a forum for communicating the multiple dimensions of “The Berkeley Difference” and how that difference is improving human health. “The Berkeley Difference” comprises four elements: (1) a broad-based ecological approach to health that emphasizes the interactions between and among the biological, behavioral and social, and environmental determinants of health; (2) close interdisciplinary education and research linkages that capitalize on the strength of the world’s leading public university; (3) the commitment to influence policy and practice in communities throughout the state, country, and world, expressed by the phrase “moving from publication to public action”; and (4) our longstanding commitment to diversity, human rights, and social justice. Kirk Smith’s research featured in this issue (see “The Air That They Breathe,”pp. 5–7) challenges the conventional wisdom that poor people in developing countries should use reusable energy instead of gas for indoor cooking. It touches on several cornerstones of “The Berkeley Difference.” In particular, it reflects the interaction between environment and political factors; it has been drawn on by the World Health Organization and other groups to influence policy and practice in developing countries; and it directly addresses the health disparities in developing countries that result, in part, from differential exposure to environmental pollutants. An elected member of the National Academy of Sciences, Kirk is extending his important work to Guatemala, where he is currently conducting a randomized trial that replaces open-fire cooking sources in households with wood-burning stoves constructed from local materials.

Dean Stephen M. Shortell

Ecological Perspective

Interdisciplinary Approach

Biology

Goal: Improve Human Health Behavior

Diversity, Human Rights, and Social Justice

Environment

Movement from Publication to Public Action

Elements of ”The Berkeley Difference”

Our “Past, Present, Future” section underscores the interdisciplinary cornerstone of “The Berkeley Difference.” The seminal thinking of the “father of health planning,” Henrik Blum, is captured in an article about our distinguished emeritus faculty member. The contributions of our current cohort of Robert Wood Johnson Foundation Health Policy Research Scholars (in economics, political science, and sociology) are also highlighted. Further, a number of our Health Policy & Management faculty take a peek into the crystal ball to address the challenges and possible evolution of our nation’s health care system. You will discover other examples of “The Berkeley Difference” at work in other sections of the magazine. As this issue goes to print, the world faces pressing global concerns, including SARS and political unrest; the national and state economies are in significant decline; and the University is in the midst of implementing budgetary cutbacks. Some would suggest that this is a time to “hunker down.” But we at the School of Public Health are deliberately choosing a different response by positioning the school for future growth and enhancing our ability to address the newly emerging public health challenges that we face. You will hear about these in future issues of this magazine, newsletters, and other forums. As I complete my first year as dean, I want to thank all of you—faculty, staff, students, alumni, and our friends and supporters—for your encouragement and support. We have a mission of enormous importance and I am confident that by continuing to work together we will maximize the impact of our efforts.

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

University of California, Berkeley

Public Health Features 60 Years of Public Health at Berkeley

From training of public health sanitarians in the 1940s to infectious disease preparedness in the 21st century, a historical timeline chronicles the school’s evolution over 60 years.

The Air That They Breathe

by Johanna Van Hise Heart

Indoor smoke created by burning of biomass fuel is causing illness in many developing nations and is responsible for an estimated 1.6 million deaths worldwide each year.

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Departments Past, Present Future Young Scholars Address Complex Health Policy Issues Four future leaders from the Robert Wood Johnson Scholars in Health Policy Research Program describe their current research and how they were drawn to the field of health policy.

Henrik Blum, Health Planning Pioneer The innovative ideas of Professor Emeritus Henrik Blum paved the way for today’s public health students, professionals, and policymakers.

What’s Next in Health Care?

by Helen Ann Halpin, James C. Robinson, Thomas G. Rundall, Richard M. Scheffler, and Stephen M. Shortell

Five faculty members share their thoughts about where health care in the United States is headed. Faculty News and Notes Stover Investigates Human Rights Conditions in Iraq UC Berkeley Human Rights Center director Eric Stover traveled to Iraq during the recent conflict, finding numerous violations of human rights and the threat of imminent violence among ethnic groups.

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Research Highlights Breast Cancer Summit Calls for Expanded Studies

Physicians Often Fail to Use Recommended Care Management Processes

Partners in Public Health The school acknowledges those who have generously contributed their time and support.

Alumni News Alumnus Spotlight: Michael E. Bird Addressing disparities in health care is a top priority for Michael E. Bird, past president of the American Public Health Association and the first Native American to hold the office.

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Alumni Notes

In Memoriam

Associate Editor Johanna Van Hise Heart Dean Stephen M. Shortell, Ph.D., M.P.H.

Design Archer Design, Inc.

Assistant Dean for External Relations Patricia W. Hosel, M.P.A.

Contributors Trinidad Bidar, Michael S. Broder, Karl Leonard, Robert Sanders, Johanna Van Hise Heart, and Sarah Yang

Editor Michael S. Broder

Photography Nigel Bruce, cover, pp. 1 (center), 5 (upper), & 7 (lower); Peg Skorpinski, inside front cover, pp. 5 (lower), 8, 9 (left), 10–12, 13 (left & center), 20–21, & back cover; Jonathan Eubanks, p.3 (upper right); Jane Scherr, p. 4 (lower); Patricia W. Hosel, pp. 7 (upper right) & 13 (lower right); Eric Stover, p. 15;

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Michael S. Broder pp. 18 (upper) & 19; Sarber’s Portrait, p. 18 (lower); Johanna Van Hise Heart, p. 27 (upper); and Trend Photography, p. 28 (right).

UC Berkeley School of Public Health Office of External Relations and Development 140 Earl Warren Hall #7360 Berkeley, CA 94720-7360 (510) 642-9572

UC Berkeley Public Health is published semiannually in the spring and fall by the University of California, Berkeley, © 2003, Regents of the University School of Public Health for alumni of California. Reproduction in whole and friends of the school. or part requires written permission.

Public Health

60 of

years

Public Health at

Berkeley 2 1

1960 The school grants its first Ph.D.

1942 The Northern California Public Health Association appoints a committee on the establishment of a school of public health in California, chaired by William P. Shepard, second vice president of Metropolitan Life Insurance Company, with strong endorsement by the California Medical Association.

1 1945 The school launches a training program

for public health sanitarians. 1946 The American Public Health Association accredits the School of Public Health at UC Berkeley, making it the only accredited school of public health west of the Mississippi.

1943 Shepard, Larry Arnstein, Karl F. Meyer, and other interested constituents successfully present the necessity of a school of public health to the California State Legislature. The legislature enacts a law, signed by Governor Earl Warren, establishing the school at the University of California. 2 1944 Walter Brown becomes the school’s first dean. Margaret Beattie, Fern French, Walter Mangold, Harold Gray, Escholzia Lucia, and Frank Kelley constitute the school’s principal faculty. 1944 The school holds its first commencement.

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1946 William McDowell Hammon becomes the school’s second dean. 1946 Edward S. Rogers becomes the school’s third dean. 1947 The school grants its first Dr.P.H. 1951 Charles E. Smith becomes the school’s fourth dean.

3 1955 UC Berkeley Chancellor Clark Kerr ded4 icates Earl Warren Hall, named for the former

California governor and U.S. Supreme Court Chief Justice, who was instrumental in obtaining public funding for its construction.

1961 The school is accredited to offer M.D.s a residency program in preventive medicine—the first school of public health to receive such accreditation. 1967 William C. Reeves becomes the school’s fifth dean. 1968 The school ends its undergraduate degree program. 1971 Warren Winkelstein Jr. becomes the school’s sixth dean. 1971 The American Indian Graduate Program is founded to respond to a need for more Native American health professionals. 1979 The Minority Enrollment Program is established in response to California’s growing multicultural population. 1982 Joyce C. Lashof becomes the school’s seventh dean.

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1992 The school becomes a training center for Scholars in Health Policy Research, a national program supported by the Robert Wood Johnson Foundation and headed by Richard M. Scheffler. 1993 Leonard J. Duhl chairs the first International Healthy Cities and Communities Conference, held in San Francisco. 1993 The school commemorates its 50th anniversary with an all-day symposium featuring faculty research presentations and a gala dinner at the Claremont Hotel. Pictured: former deans Buffler and Winkelstein. 6

1993 The CDC chooses the School of Public Health as one of nine health promotion and disease prevention research centers around the nation. The Center for Family and Community Health is led by Ira Tager.

1982 The UCBUCSF Joint Medical Program is placed under the school’s administrative direction. 1983 The San Francisco Men’s Health Study is launched by Warren Winkelstein Jr. The study will provide key epidemiological support for the link between HIV and AIDS. 1984 The Berkeley Wellness Letter, under the leadership of Sheldon Margen, publishes its first issue. Today it is the most widely read health newsletter in North America. 1986 Leonard Syme develops the Wellness Guide to provide Californians with direct information on how to stay well and how to find help on a wide range of health-related topics. 1987 Martyn Smith is appointed director of the school’s Superfund Basic Research Program, which is supported by the National Institute of Environmental Health Sciences.

1994 The school’s first Policy Advisory Committee is established to advise the Dean and faculty on strategic development issues facing the school.

5 1988 Alice Martin establishes the school’s first two

endowed chairs: the Martin Sisters Chair and the King Sweesy and Robert Womack Chair. 1991 Berkeley students establish the Suitcase Clinic to address some of the health and social problems related to homelessness. 1992 Patricia A. Buffler becomes the school’s eighth dean. The school’s international health program is formally developed with the successful recruitment of Malcolm Potts to the Fred H. Bixby Endowed Chair in Population and Family Planning and multiple awards from the NIH Fogarty Center on International Health.

1994 UC Berkeley launches its Millennium Campaign, “The Promise of Berkeley—Campaign for the New Century.” By the end of the campaign, the School of Public Health surpasses its $20 million goal, raising more than $26 million. 1994 Arthur L. Reingold establishes the CDC California Emerging Infections Program. 1995 The school teams with the Peace Corps to establish the Master’s Internationalist Program. 1996 The school establishes the Public Health Heroes Award program to honor individuals and organizations for their unique contributions and exceptional commitment to improving public health.

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60 years of

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2001 Thomas G. Rundall becomes the first to hold the Henry J. Kaiser Endowed Chair in Organized Health Care Systems, established in 1996 by Kaiser Permanente. 2002 Stephen M. Shortell becomes the schoolâ&#x20AC;&#x2122;s tenth dean. 2002 The school receives a federal grant to establish the Center for Infectious Disease Preparedness following the 2001 anthrax attacks. Arthur L. Reingold serves as principal investigator.

1996 The school holds its first annual research symposium. 1998 Stephen M. Shortell becomes the first Blue Cross of California Distinguished Professor of Health and Policy Management, established with a $2.5 million gift from Blue Cross of California. 1998 Sponsored research activities grow to $25 million annually. 1998 Edward E. Penhoet becomes the schoolâ&#x20AC;&#x2122;s ninth dean. Under his leadership, the school focuses on the ecological approach to addressing health issues by underscoring the intersections of biology, behavior, and environment with health status.

University of California Berkeley

1999 The University launches the Berkeley Health Sciences Initiative, with leadership from Dean Penhoet, to encourage multidisciplinary research in the health sciences across the campus. 1999 The Nicholas C. Petris Center on Health Care Markets and Consumer Welfare is established. Richard M. Scheffler is appointed to its Distinguished Chair in Health Economics and Public Policy. 2000 Responding to the growth of the Internet and its potential to impact health, the school holds its first eHealth Summit and Forum. 2001 The Center for Health Research is established as a Universitywide effort administered by the School of Public Health. The center brings together UC Berkeley social scientists and other investigators to address challenging issues facing the health sector of society.

2002 The Center of Excellence for Environmental Public Health Tracking, funded by the CDC and headed by John Balmes, is established to investigate links between diseases and environmental pollutants. 2002 Brian and Jennifer Maxwell, founders of PowerBar, establish an endowed chair to support research impacting maternal and child health. Kirk R. Smith is appointed to the chair. 2003 Sponsored research activities expand to over $40 million annually. 2003 The school reestablishes an upper-division undergraduate major in public health. 2003 The School of Public Health marks its 60th anniversary.

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The Air That They Breathe By Johanna Van Hise Heart

How Poor-Quality Cooking Fuels Are Quietly Killing Millions

In her village home in the San Marcos highlands of Guatemala, five hours’ drive from the nearest big city, a woman prepares her family’s midday meal. As she directs her young son to bring wood for the open fire that serves as the family’s cooking center, her infant daughter, strapped to her back in a traditional carrier, observes the family tableau through a haze of smoke.

Kirk R. Smith holds a prototype he has developed for a relatively inexpensive airborne particulate monitor, which uses modified smoke detector technology to collect data.

According to Kirk R. Smith, key contributor to the recently publishedWorld Health Report 2002: Reducing Risks, Promoting Healthy Life, airborne particulates in the family’s home may pose a grave danger. Despite their rural location, the family experiences daily a kind of air pollution far more insidious in its relative anonymity than the traffic jam and smokestack exhaust experienced by families living in smog-ridden metropolises.

Biomass Fuel and Poor Ventilation: A Risky Combination Smith, professor and chair of Environmental Health Sciences at UC Berkeley’s School of Public Health and newly appointed Maxwell Chair in Maternal and Child Health, has spent more than two decades working to establish the relationship between the use of biomass fuel—wood, crop residue, and dung— and ill health, especially among women

Public Health

Feature

and children who spend most of their days within the confines of poorly ventilated houses. Although not widely recognized, the problem is extensive: the World Health Organization estimates that two-thirds of the developing world rely upon these biomass fuels. In homes without ventilation, exposures to particulate matter, along with carbon monoxide, formaldehyde, benzene, nitrogen dioxide, and other gases, can reach 1000 µg/m3 over a 24-hour period—more than 20 times higher than the standards set by the U.S. Environmental Protection Agency. Smith and former graduate students Sumi Mehta and Miriam Feuz established that the risk of ill health caused by exposure to indoor air pollution is far higher than previously anticipated. In fact, after scrupulous comparison of internationally culled data for a wide variety of illness and death risk factors, Smith and experts in other risk factor areas from around the world determined that indoor smoke ranked tenth among global risk factors for premature death. In the world’s lessdeveloped nations, figures are even higher, placing indoor air pollution as the fourthleading cause of premature death. Speaking in gross terms, an estimated 1.6 million deaths annually are attributable to poor indoor air quality—twice as many as outdoor air pollution globally. “Most people, when they think of air pollution, think about outdoor air pollution: smog in the cities,” Smith points out. “But poor people in rural areas of the world are using poor-quality fuel, which produces a rather large amount of pollution. If they have a stove without a chimney, particulate matter is released right where people are every day…. It is among the most important causes of ill health for approximately 40 percent of the world’s population.” The consequences of burning biomass fuel are especially tragic for children. Consistent exposure to airborne particulates increases the incidence of acute

lower respiratory infections (ALRI), such as pneumonia and bronchitis, in children under five years of age. In less-developed countries, where access to medical attention is limited, ALRI is the primary cause of death among children. Taking Illness, Disability Into Account Mortality rates are only part of the picture, however. The World Health Report sets out to measure the total impact of disease, injury and death in 14 global regions, but then goes on to calculate how much of this present burden could be avoided in the next 20 years. To accomplish this, Smith explained, his

fellow contributors (more than 100 experts from 30 institutions around the world) established a common set of criteria for comparing 26 risk factors relevant to policymakers. Not only were incorporated data required to come from heavily peer-reviewed sources, but great effort was made to improve upon past data summaries. The resulting report includes previously underrepresented regions, uses consistent definitions for disease states, has statistical integrity, and conceptualizes total impact of disease and injury by combining years of lost life (YLL) with years lost to disability (YLD) to measure DALYs (Disability Adjusted Life Years).

2000 World Disability Adjusted Life Years (DALYs) Acute Lower Respiratory Infection Perinatal HIV Depression Cancer Diarrhea Heart (Ischaemic) Child Cluster Malnutrition Stroke Road Traffic Malaria Tuberculosis Maternal Chronic Obstructive Pulmonary Disease Congenital 0.0 1.0 2.0 3.0 4.0 Percent of Total Wold DALYS

5.0

6.0

Source: Calculated by K.R. Smith from data in WHO World Health Reports 2001 and 2002.

Illustration at top: The redesigned plancha offers better ventilation, resulting in improved respiratory health. 6

University of California Berkeley

7.0

Smith Named to Maxwell Chair in Maternal & Child Health “By measuring time and assuming that everyone in the world has the right to the best life expectancy in the world,” says Smith, the use of DALYs levels the playing field. “The only differences in the rating of a death or disability are tied to age and sex, not income, culture, location, or social class.” Also, by quantifying living with as well as dying from disease or injury, the report gives more perspective. Whereas HIV was the fifth-leading global cause of death in 2000, once years of disability are added in, HIV is considered the third-weightiest global burden of 2000. Similarly, ALRI was the fourth-leading cause of death, yet it accounted for more than 6 percent of the entire global burden of disease—making this indoor air quality-associated risk factor the single largest category of ill health. “It was a very interesting exercise,” Smith says of the process of working as a committee to rank the world health risks. “We would bring calculations related to our risk factor—indoor air pollution— to a meeting with all the other risk factor groups. We would then present and argue about them.” In a sense, the process kept them honest, he explains. “In past such efforts, there had been little or no crosschecking…. There was basically no limit to what people could say, because no one else was looking over shoulders. With this effort, however, we were in a situation where, in all, there were 25 other risk factors looking over each of our shoulders.” The next iteration of the data, which will become the World Health Report for 2003, will be an exhaustive economic analysis of the DALY-weighted results from this year. Mehta, now working directly with the World Health Organization in Geneva, is tackling this task, establishing cost effectiveness while trying to determine, and to some degree predict, economic conditions in different parts of the world.

Possible Interventions What then should be done to respond to the problem of poor indoor air quality in resource-poor villages? Smith has a few ideas in the works. In a recent editorial in Science, he boldly contradicts widely held beliefs by suggesting that use of fossil fuels in developing nations is an appropriate interim step. He posits that greater fuel efficiency in the world’s auto fleet (as little as a 0.5 percent improvement) would free up enough petroleum to fuel clean-burning stoves in the developing world without changing the worldwide rate of fossil fuel use. Another intervention, already in trials in the Guatemalan highlands, exemplifies Smith’s concept of “co-benefits.” By replacing open cooking fires and inefficient, polluting stoves with well-constructed and well-ventilated wood-burning planchas, families have been able to improve their health while also reducing fuel use, household pollution, and greenhouse gas emissions. So far, the planchas are a big hit: people have even chosen to install them as centerpieces in living rooms, rather than tuck them away in cooking structures. While the statistics for indoor air pollution are staggering in the amount of mortality and morbidity they describe, Smith holds out hope that his careful gathering and interpretation of data will offer a clearer picture of worldwide public health risks and prompt interventions that save lives. Infants in Smith’s Guatemalan Stove Intervention Trial are examined regularly.

Kirk R. Smith (center) with Brian and Jennifer Maxwell

Kirk R. Smith, Ph.D., M.P.H., is the first recipient of the Brian and Jennifer Maxwell Endowed Chair in Maternal and Child Health. Part of a $5 million gift to the UC Berkeley campus from Brian and Jennifer Maxwell, the Maxwell Chair has been established to advance the study of public health with a focus on mothers and children. Investment income from the $500,000 endowment will help to support Smith’s teaching and research. “The Maxwells’ generosity provides a great boost to several projects that seek to understand and ameliorate the detrimental effects of indoor air pollution—especially on women and children, whose vulnerability to pollution is compounded by poor nutrition and other poverty-related factors,” says Smith. Widely recognized as an expert on indoor air pollution, Smith has already begun organizing supplemental studies to a two-year intervention trial in rural, highland Guatemala, which is quantifying reduction in acute respiratory infections among infants living in homes equipped with improved stoves and ventilation. The Maxwells are founders of PowerBar, Inc., manufacturer of high-energy nutritional bars for athletes. Both Maxwells are alumni of the University and generous supporters of their alma mater. The couple met when Brian, a world-ranked marathoner, coached Cal’s men’s cross-country team and Jennifer was a star runner for the women’s crosscountry team.

Public Health

Past, Present, Future

Young Scholars Address Complex Health Policy Issues The Robert Wood Johnson Foundation Scholars in Health Policy Research Program, directed by Richard M. Scheffler, was established in 1992 to foster the development of a new generation of creative thinkers in health policy research. Below, four current scholars describe how the program is helping to shape their understanding of health policy. “I’m interested in why American public policy is so court-centered,” says Thomas Burke, assistant professor of political science at Wellesley College. Burke, who received his Ph.D. in political science from Berkeley in 1996, is the author of Lawyers, Lawsuits and Legal Rights: The Struggle Over Litigation in American Society (UC Press, 2002). The book examines how litigious policies have come to shape public life and everyday practices in the United States. As a Robert Wood Johnson scholar, he is examining the implementation of the Americans with Disabilities Act in the United States and comparing it with disability rights policies adopted across nations. “The best way to study is comparatively, to see if other approaches succeed or fail,” he says. “In what ways do Europeans take on, reject, or alter the American approach?” Burke’s participation in the Robert Wood Johnson program gives him the opportunity to explore this research. “Young professors are so time-stressed, they tend to stagnate. This program gives them a chance to expand their horizons—something a lot of people don’t get to do until they get tenure.” Upon completion of the program, Burke will be returning to Wellesley, where he will teach a course on health politics. “I grew up in Los Alamos, New Mexico, where my father worked as a weapons scientist,” says Ann Keller, assistant professor in political science and environmental studies at the University of Colorado, Boulder. “It was in the late stages of the Cold War, which was a topic of concern in Los Alamos households.” Growing up in that environment encouraged Keller’s lifelong passion for science and politics. 8

University of California Berkeley

In 2001 she earned her Ph.D. in political science from Berkeley, writing her dissertation on the role of scientists in crafting domestic policy regarding acid rain and climate change. “The more I studied environmental policy, the more interested I became in taking my background in science and technology and applying it explicitly to public health questions.”

In particular, Keller is interested in the tension between expertdriven policy and community-level health concerns. For her research with the Robert Wood Johnson program, she is studying the way organizations function—where bureaucracies succeed and fail. “Large bureaucratic organizations are good at generalizing, but they don’t do well at the local level.” She is looking closely at the Centers for Disease Control and Prevention because it is one of the few large organizations that have enjoyed success at the local level, most notably in its work in disease outbreak sites. When Jonathan Ketcham was working toward his bachelor’s degree in economics at Baylor University, President Clinton’s health care proposal was making news headlines on a daily basis. “It made me realize that there were interesting questions to answer,” he says, and it inspired him to pursue a course of study that combined his interests in medicine and economics. In 2002, he earned his Ph.D. in economics from the Health Care Systems Department of University of Pennsylvania’s Wharton School. Ketcham is using the opportunity afforded him by the Robert Wood Johnson program to study the role of competition and regulation in health care markets. One focus of his research is pharmaceutical pricing. “I am looking at specific systems adopted by three other countries,” he says, noting that if Medicare provides prescription drug benefits in the future, this topic will be especially relevant. Another area he is examining is hospital quality—specifically, how the introduction of price competition affects inpatient mortality. Ketcham is also analyzing the influence of HMOs on competition among physician practices, looking at factors such as group size. Upon completing his research with the Robert Wood Johnson program, he will seek a faculty position that allows him to continue exploring health policy issues. “It’s fun for me to think about big-picture questions,” says Ketcham. “A doctor’s rewards come from helping individual patients; I like health policy because I can help shape an entire system.”

Henrik Blum, Health Planning Pioneer Public health professionals across the nation acknowledge the tremendous contributions of Professor Emeritus Henrik Blum—a tireless consensus builder and community organizer—to the field of health planning.

Karen Lutfey was excited to discover the field of medical sociology as an undergraduate majoring in sociology/ anthropology. “I found a dynamic and complex set of issues that were intellectually challenging and dealt with socially important problems,” she says. Lutfey, an assistant professor in sociology at the University of Minnesota, received both her M.A. and Ph.D. from Indiana University. In addition to medical sociology, her primary areas of research include social psychology and socio-linguistics. Lutfey says she appreciates the fact that the Robert Wood Johnson program is interdisciplinary, “yet there is the expectation that you don’t abandon your own disciplinary training.” Currently she is considering the implications of changes in health care systems for providers, patients, and their collaborative management of long-term medical treatment. She is especially interested in the social implications for people living with chronic illness. “I’m also concerned with patient adherence,” she says. “It is a lynchpin in health services research. A $64,000 question is: Why don’t patients do what their doctors tell them to do?” Lutfey is looking at the ways in which doctors assess adherence, including how they communicate with their patients, and how organizational features, such as continuity of care, play a role. “There are important factors within the medical system that influence assessments of patients and influence treatment decisions,” she says. “Looking strictly to patient behavior may be overlooking or under-appreciating things going on in the system.” –Michael S. Broder

Professor Emeritus Henrik Blum

A member of the school’s faculty from 1966 to 1984, Blum is the author of three seminal texts focusing on the health needs of communities: Public Administration: A Public Health Viewpoint, Health Planning, and Planning for Health. His leadership was crucial in developing UC Berkeley’s health planning program, the most comprehensive in the United States, with a stated emphasis on the necessity of minority recruitment. He was also instrumental in establishing the University’s American Indian Graduate Program, which has enabled more than 200 American Indians and Alaskan Natives to earn graduate degrees in public health.

As a medical student at UCSF, Blum interned at San Francisco General Hospital, where he came into contact with a large number of impoverished patients. “Much of what we saw was unnecessary illness and could have been prevented,” says Blum in an oral history published by the Bancroft Library in 1999. Appalled by the lack of regard for poor patients, Blum felt an affinity for the public health approach to care. “It fit in with my notions of how things ought to be done—that we ought to get there sooner, and it shouldn’t be dependent upon whether people have the money to pay for it.” After serving in the U.S. Public Health Service during World War II, Blum completed his medical residency at Stanford University. Ultimately, he says, he “succumbed to the lure” of public health and enrolled at the Harvard School of Public Health, where he earned his M.P.H. In 1955, Blum began a 17-year tenure as the health officer of Contra Costa County, California, during which time he introduced many groundbreaking health measures to the county. His achievements included a highly visible tuberculosis testing campaign, hard-line enforcement of food industry health codes, co-authoring the Bay Area Pollution Control Act, and ensuring the availability of safe birth control methods. Today’s public health students, professionals, and policymakers take for granted that responsible and effective health planning requires a thorough knowledge of the many environmental, social, cultural, economic, and educational forces that shape communities. Blum’s innovative ideas have produced generations of public health planners that are better able to negotiate the ever-changing, complex public health landscape. Public Health

What’s Next in Health Care? Has Medicare ceased to serve the nation, or does it simply need reform? Are we destined to pay out-of-pocket for declining care, or are our medical options more accessible and plentiful than ever? School of Public Health faculty members Helen Ann Halpin, James C. Robinson, Thomas G. Rundall, Richard M. Scheffler, and Stephen M. Shortell offer their perspectives on the future of health care in the United States.

Helen Ann Halpin, Ph.D., Professor of Health Policy; Director, Center for Health and Public Policy

The prospects for solving the problems of access, quality, and cost in the U.S. health care system seem dim in the near term. The country’s economy is sluggish, state and federal tax revenues are down, and spending on social programs, including health care, is being cut, not expanded. While the federal government is projecting the biggest budget deficit in history, the Republican-controlled Congress is unlikely to look to government to solve the country’s social ills. In addition, health care costs are rising

at double-digit rates, making health insurance even less affordable to lowincome working Americans, who make up 80 percent of the uninsured. In the short term, we can expect that state governments will cut Medicaid rolls and put off expansions of the Child’s Health Insurance Program; city and county governments will be unable to meet the demands for medical care from a growing uninsured population; employers that offer health benefits will pass on some of the cost increases to their employees in the form of higher out-ofpocket premiums and cost-sharing; and Congress will continue to talk about a prescription drug benefit for Medicare, yet the resulting legislation will likely provide far less than what is needed.

“We must be ready with a viable solution…when the next policy window opens.”—Helen Ann Halpin 10

University of California Berkeley

Past, Present, Future

“As the economists note, there is also a demand side to this market that will ensure a permanent revolution of rising expectations....” —James C. Robinson people without insurance. Quality of care seems to be falling, at least if we focus on malpractice lawsuits and estimated numbers of medical errors. Can things get any worse? Wouldn’t we all rather be sick in Canada or Britain? The reality beneath the rhetoric is that the quality of health care is the highest it has ever been. The pharmaceutical, biotechnology, and medical device industries are putting out one diagnostic and therapeutic technology after the other, most of which raise quality and costs. This stuff works. If we want it, we have to pay for it. The resulting higher premiums make health care finance painful for middle class Americans—both directly for their own care and indirectly to subsidize the care of less-fortunate citizens.

Without a reliable crystal ball, it is risky to predict the future. What is clear, however, is that health care reform will be an issue in the 2004 presidential election. The current political reality does not mean that we should stop working on new proposals to reform the system into one that is more efficient, equitable and gives Americans the choices they desire. We must be ready with a viable solution that has a broad base of support when the next policy window opens. James C. Robinson, Ph.D., M.P.H., Professor of Health Economics

The press, the pundits, and the politicians are having a field day trashing the American health care system. Health care costs and health insurance premiums are rising, as is the number of

New technological opportunities, of course, are only half the story. As the economists note, there is also a demand side to this market that will ensure a permanent revolution of rising expectations: everyone must have access to everything that has been proven to work. Woe to the bean counter, bureaucrat, or cost-benefit analyst who gets between the American consumer and that which the consumer wants to consume. Clearly there is a lot of administrative waste and inappropriate care in the U.S. health care system, but, when given a choice between accepting the waste and further empowering corporate or bureaucratic reformers, the American people have chosen and will choose the lesser of evils. Thomas G. Rundall, Ph.D., Henry J. Kaiser Professor of Organized Health Systems

Resentment of public and private health plans continues to

grow among many physicians, who perceive payments to be inadequate and constraints on decision making as eroding their professional authority. In response, some doctors are developing their own version of consumer-directed health care by withdrawing from participation in health plan contracts and dealing directly with their patients. This strategy is likely to grow and become more elaborate over the next few years. More physicians will refuse to sign contracts with health plans, requiring their patients to pay for care in cash and seek insurance reimbursement on their own. In wealthy areas, we will see more doctors requiring patients to pay a retainer fee. Other physicians will target HMOs and government health plans that they view as underpaying and overregulating.

“More physicians will refuse to sign contracts with health plans, requiring their patients to pay for care in cash and seek insurance reimbursement on their own.” —Thomas G. Rundall Indeed, recent data indicate that this trend is already well under way. A recent survey conducted by researchers at UCSF found that only 58 percent of California’s doctors are accepting new HMO patients while the percentage of specialists with HMO patients fell from 77 to 62 percent between 1998 and 2001. Other data suggest that this “backing away” by doctors from some forms of managed care is part of a broader pattern of change. Research from the Center for Health System Change shows that between 1997 and 2001 the proportion

Public Health

Past, Present, Future

“My view...is that the most powerful and dominant force that will affect the future of the health care system in the United States is biomedical research.”—Richard M. Scheffler of physicians in the United States serving Medicaid patients decreased from 87 to 85 percent. The percentage of Medicare seniors reporting delay or denial of needed care rose from 9 to 11 percent. Similarly, the percentage of privately insured people between the ages of 50 and 64 who reported access problems increased from 15 to 18 percent.

lesson I have learned in teaching international health policy is that each country’s health care system clearly needs to fit its culture and economic system. Given that the United States will, for the foreseeable future, be a market-driven system with appropriate regulations and a role for government, it would seem that our health care system will follow a similar pattern.

Policymakers will need to monitor closely physicians’ participation in public and private health plans. Access to care for all Americans is at stake.

While on the public side I anticipate success in increasing Medicare coverage (especially in the area of prescription drugs), in the private sector I predict that health coverage financing will continue to move from defined benefit plans to defined contribution plans, where the employer will not necessarily guarantee a certain health care plan or health care coverage, but will more likely guarantee a certain defined contribution, leaving the additional cost of coverage to the employee.

Richard M. Scheffler, Ph.D., Distinguished Professor of Health Economics & Public Policy; Director, Nicholas C. Petris Center on Health Care Markets & Consumer Welfare and Robert Wood Johnson Foundation Scholars Program

My view, supported by the recent doubling of the National Institute of Health budget, is that the most powerful and dominant force that will affect the future of the health care system in the United States is biomedical research.

It is most likely the case that we will have a fragmented, public-private health system with an increasing role for consumers as they pay for a larger share of the costs. Stephen M. Shortell, Ph.D., M.P.H., Blue Cross of California Distinguished Professor of Health Policy & Management; Dean, School of Public Health

of care, but recent evidence suggests wide variation in quality that also adds significant cost to the system. In particular, we do a poor job of managing the growing number of patients with chronic illness. So on all dimensions—cost, access, and quality—we are once again in a health care “crisis.” The latest band-aid solution is “consumer-driven” health care. Faced with significantly increased premiums, employers are pushing costs onto their employees with the expectation that employees will then choose cost-effective health plans and physicians. But without more effective risk adjustment for differences in health status and better information upon which to base choices, this “driver” alone is not likely to have much sustainable impact. The challenge in our pluralistic health system is to develop aligned financial incentives for all of the major parties— purchasers, plans, providers, consumers, and suppliers—that will encourage and reward desired behavior. We need to involve all of these groups in fundamentally changing the way in which health care is organized, delivered, and consumed. Finding a durable solution will take time. I expect that 10 years from now we will have a better-functioning health system in the United States than we have now. While we may have to go through a painful decade of change in the process, there are some encouraging signs— including promising “pay for performance” experiments demonstrating that it is possible to derive greater value for the money we are investing in our health system without sacrificing our desire for choice.

This increase of funding will undoubtedly lead to important new medical technologies, the use of which health economists internationally believe is responsible for more than half the increase in health care spending. This means the current growth rate for health care expenditures will continue and perhaps accelerate in the decade ahead. From the current level of 14 percent of the Gross Domestic Product, it is reasonable to anticipate that within 10 years, this figure could approach 18–20 percent.

Americans want simple, quick band-aid solutions to complex problems, and the country’s dysfunctional health system is a primary example. We spend more on health care per capita than any other country while still leaving approximately 40 million citizens uninsured. Historically we have prided ourselves on our quality

How will we pay for this increase in spending? I think the answer for the current system in the United States involves both public and private financing. One

“Finding a durable solution will take time. I expect that ten years from now we will have a better-functioning health system in the United States than we have now.”—Stephen M. Shortell

University of California Berkeley

Faculty News and Notes

Faculty News and Notes Joan Bloom, Ph.D., professor of health policy and management, was selected by the NIH to serve in the Social Sciences, Nursing, Epidemiology, and Methods (1) Study Section of the Center for Scientific Review through June 2006. The study section reviews grant applications submitted to the NIH, makes recommendations to NIH national advisory councils and boards, and surveys the status of research within the section’s field of science. Gertrude Case Buehring, Ph.D.,

received an award through the Fulbright U.S. Scholar Program to teach and conduct research at National University in Heredia, Costa Rica. The topic of her research is “Worldwide prevalence of bovine leukemia virus infection: Research to track the spread of infection and education to prevent further dissemination.” Patricia A. Buffler, Ph.D.,

dean emerita and professor of epidemiology, was a member of a panel of scientists convened by the WHO International Agency for Research on Cancer to analyze the combined results of more than 3,000 studies. Buffler and the others concluded that for types of cancer already known to be caused by smoking, the risk of tumors is even higher than previously noted. They further concluded that secondhand tobacco smoke increases the risk of lung cancer by 20 percent. Jeffrey Burack, M.D., M.P.P., is principal investigator for a three-year award of $757,000 from the University of California’s systemwide AIDS research program to establish the East Bay AIDS Research Institute at the East

Bay AIDS Center at Alta Bates Summit Medical Center. This new collaboration of researchers and clinicians in Alameda County will be dedicated to exploring and addressing the critical issues facing underserved people living with HIV. Working with him will be Professors John M. Colford Jr., M.D., Ph.D., M.P.H., and Nicholas Jewell, Ph.D.

Johnson Foundation through its Innovators Combating Substance Abuse program. The three-year grant, which ends in May 2004, supports interactive workshops and forums on alcohol and drug policy education and prevention activities related to substance abuse portrayal in rap music. Arthur C. Hollister, M.D., M.P.H.,

Sylvia Guendelman, Ph.D., M.S.W.,

was promoted to full professor of maternal and child health. Her contributions in the areas of access to health care services and the health status of Hispanic and Latino populations are recognized both nationally and internationally. Denise Herd, Ph.D., associate professor

of behavioral sciences and associate dean for public health practice and community health, received an award of $300,000 from the Robert Wood

former faculty member, was included in the 2002 edition of Who’s Who in America. Susan Ivey, M.D., M.H.S.A., assistant

clinical professor, recently published two chapters in A Brown Paper: The Health of South Asians in the United States. Published by the South Asian Public Health Association, the book is the first-ever comprehensive document on South Asian health in the United States and the first national initiative to evaluate and summarize existing knowledge about several key health indicators for South Asian Americans. Ivey’s chapters focus on cardiovascular disease and women’s health.

Sheldon Margen, M.D. (right), professor emeritus of public health nutrition, received the Lifetime Achievement Award from the California Public Health Association–North. Margen was presented with the honor at the association’s annual meeting. Pictured with him is John Swartzberg, M.D.

Public Health

Faculty News and Notes

Faculty News and Notes continued Nicholas Jewell, Ph.D., professor of biostatistics and statistics, has authored Statistics for Epidemiology, which will be published by Chapman Hall later this year. Joyce C. Lashof, M.D., professor

emerita of public health and former dean, was appointed to the California Department of Health Services Environmental Health Surveillance System technical working group. This group was formed as a result of Senate Bill 702, which made California the first state in the nation to mandate a process for recommending possible options for establishing an environmental health surveillance system. Thomas E. McKone, Ph.D., adjunct professor of environmental health sciences at the school and senior staff scientist at the Lawrence Berkeley National Laboratory, has been elected a fellow of the Society for Risk Analysis.

Participatory Research for Health (Jossey-Bass 2003). The book, which covers both methodological and ethical issues and includes theory-driven case studies and application tools, has been widely cited in response to the Institute of Medicine’s recent naming of community-based participatory research as one of eight new areas in which schools of public health should offer professional training. Joel M. Moskowitz, Ph.D., director

of the Center for Family and Community Health, presented survey data at the American Public Health Association’s 2002 annual meeting. The center conducted the California 2000 AIDS Knowledge, Attitudes, Beliefs and Behaviors Survey for the State of California’s Office of AIDS to examine the prevalence of risk behaviors, identify socioeconomic differences in knowledge and beliefs, and measure public support for key policy issues. Among the survey’s findings were that a majority of Californians support access to clean needles for injection drug users and giving condoms to prisoners to prevent the spread of HIV. Lee W. Riley, M.D., professor of epidemiology and infectious diseases, was selected as an Ellison Medical Foundation Senior Scholar in Global Infectious Diseases. The award supports his research on mycobacterium tuberculosis latency and reactivation tuberculosis.

Meredith Minkler, Dr.P.H., professor

of community health education, and Nina Wallerstein, Dr.P.H. ’80, a School of Public Health alumna and professor in the Department of Family and Community Medicine at the University of New Mexico, recently edited a new book, Community-Based

University of California Berkeley

George W. Rutherford, M.D.,

adjunct professor of epidemiology and health administration and interim director of the Institute for Global Health, received the 2002 F. Marian Bishop Educator of the Year Award from the Association of Teachers of Preventive Medicine.

Richard M. Scheffler, Ph.D.,

Distinguished Professor of Health Economics and Public Policy, received funding from the California HealthCare Foundation for “Hospital Service Changes in California: Trends, Community Impact, and Implications for Policy,” a study looking at how changes in hospital service influenced the financial viability of California’s general acute care hospitals between 1995 and 2000. Steve Selvin, Ph.D., professor of biostatistics and epidemiology, will have two books published in the near future. Biostatistics, to be published by Prentice Hall, will be available in time for fall classes, and the third edition of his book, Statistical Analysis of Epidemiologic Data, will be published by Oxford University Press in early 2004. Stephen M. Shortell, Ph.D., M.P.H.,

Blue Cross of California Distinguished Professor of Health Policy and Management, organized and cochaired the second-day plenary session, “Organizational Change and Leadership,” at the Institute of Medicine’s 2002 annual meeting. Shortell was also selected as the 2003 Distinguished Visitor by the National Health Care Group, Singapore, where he delivered several lectures and seminars. In addition, he was inducted into the UCLA School of Public Health’s Alumni Hall of Fame for his contributions in health services research, health care quality, and health systems management. Mark J. van der Laan, Ph.D.,

professor of biostatistics, authored Unified Methods for Censored Longitudinal Data and Causality with James M. Robins, published by Springer Verlag in 2002.

Faculty News and Notes

Stover Investigates Human Rights Conditions in Iraq Eric Stover, director of the Human Rights Center and adjunct professor of public health, left the tranquillity of the Berkeley campus to travel to war-ravaged Iraq earlier this year. Working with Human Rights Watch, the largest U.S.-based human rights organization, Stover remained in Iraq for five weeks in March and April to monitor possible violations of the Geneva Conventions on all sides of the conflict and to identify human rights disasters in the making. Stover and Hania Mufti, the London director for the Middle East and Northern Africa division of Human Rights Watch, spent much of their time interviewing displaced people and documenting human rights abuses. Among those interviewed were 35 Iraqi soldiers who had deserted their units and fled into Kurdish-controlled areas. The soldiers reported extremely low pay (approximately U.S. $2 a month) and meager food rations in their units. “Some days we were so hungry we would eat grass which we mixed with a little water,” said a 21-year-old soldier from Baghdad. Some of the soldiers described inhumane punishments, including beatings, and said that officers frequently threatened them with execution if they tried to escape. The officers carried out their threats: one soldier gave an eyewitness account of the execution of 10 suspected deserters. Early in their investigation, Stover and Mufti warned of a situation ready to explode into violence in Kirkuk, Iraq’s third largest city with about 500,000 people. The city is at the center of long-simmering ethnic tensions. From 1991 through 2002, an estimated 120,000 Kurds, Turkomans, and Assyrians were driven out of Kirkuk by

Kurds deface a portrait of Saddam Hussein soon after joint Kurdish and U.S. forces take control of the town of Kirkuk in Northern Iraq.

Hussein’s forces in order to gain control of the oil-rich region, which was resettled with Arab families. “Imagine what Kurds and other displaced ethnic groups would do if they returned to find a resettled family in the homes they were forced to leave,” said Stover. Following the withdrawal of Iraqi forces from Kirkuk on April 10, Stover and Mufti’s predictions became reality. Many Arabs were forcibly expelled from their homes, and widespread looting and destruction of property affected all the city’s ethnic groups. Human Rights Watch reported that at least 40 civilians were killed in Kirkuk within five days’ time. The organization issued a press release stating, “U.S. and coalition forces have failed to bring law and order to Kirkuk and ensure the security of civilians, and therefore [they] contravene the Geneva Convention provisions specifying the obligations of an occupying power.” Human Rights Watch called upon the U.S. and interim Iraqi authorities to take immediate steps to

establish mechanisms to settle claims over disputed property and other assets. This was not Stover’s first visit to Iraq. In 1991, he led a delegation of forensic scientists to Iraq to assist the Kurdish government in the investigation of Kurds who had disappeared under Saddam Hussein’s brutal Anfal campaign of forced relocation in the late 1980s. Some tens of thousands of Kurds were reportedly killed by the Iraqi government after they were driven out of their land. In 1992, Stover testified before Congress about the mass killings in Iraq. Stover’s work in the field of human rights over the past two decades has taken him to other areas of conflict. As former executive director of Physicians for Human Rights, he investigated mass graves in Bosnia in the 1990s while serving as an “Expert on Mission” for the International Crime Tribunal for the former Yugoslavia in The Hague. He has also investigated violations of human rights in Rwanda, Argentina, the Philippines, Chile, Mexico, South Africa, Cambodia, and Guatemala. Public Health

Research Highlights

Breast Cancer Summit Calls for Expanded Studies A report from the International Summit on Breast Cancer and the Environment released in March 2003 concludes that the search for environmental links to breast cancer must be expanded. The summit—a gathering of researchers, public health officials, and activists, held in Santa Cruz in May 2002—was charged with developing a broadly supported agenda for research into the relationship between breast cancer and the environment. More than 100 participants generated thousands of recommendations, which were eventually narrowed down to 28 high priorities organized into three areas: research, policy, and education and communication. The document emphasizes the principles of community-based participatory research, an approach based on the idea that the community lies at the heart of public health. These same principles were employed in the planning of the summit itself.

“This report is the closest anybody’s come to developing a single voice on the issue of environmental links to breast cancer,” said Patricia Buffler, dean emerita and professor of epidemiology, who served as the summit’s principal investigator. “It was born out of a process that brought together groups with different perspectives, backgrounds, and agendas for a productive dialogue on a difficult topic.” The report names specific improvements needed in research tools and techniques, such as improved exposure assessment; better biomarkers for exposure, disease, and susceptibility; and increased collaborative follow-up studies. In addition, it asserts that research should consider risk factors over a woman’s entire lifetime. In the area of policy, the report’s recommendations include the establishment of a national biomonitoring program to track exposures using body fluids; integrating the precautionary principle into policy decisions; and promoting prevention messages in the breast cancer movement. The effects of smoking also emerged as a major concern at the summit, leading to the policy recommendation that passive smoking exposures be eliminated nationwide. Moreover, the report encourages a national dialogue regarding breast cancer as a human rights issue and recommends that each national and state legislator be briefed, “not only on the breast cancer incidence in her/his district, but also within a larger context of national statistics, the research process, and the limitations of science.” The process that led to the summit and the final report was facilitated by a secretariat composed of public health and environmental health experts working closely with Buffler, including Elize Brown, Caitlin Brune, Ben Fraticelli, Belma González, Elaina Jannell, Amy Kyle, Marj Plumb, and Wendy Strickland. Berkeley researchers have submitted the report to the Centers for Disease Control and Prevention, which funded the summit through a grant to the UC Berkeley Center for Family and Community Health. Other sponsors of the summit included the UC Berkeley Environmental Health Sciences Center, funded by the National Institute for Environmental Health Sciences and the Environmental Cancer Epidemiology Unit of the WHO International Agency for Research on Cancer.

University of California Berkeley

Research Highlights

Physicians Often Fail to Use Recommended Care Management Processes Tens of millions of patients with chronic diseases in this country are not receiving the type of care management proven to be effective, according to “External Incentives, Information Technology, and Organized Processes to Improve Health Care Quality for Patients with Chronic Diseases,” a study by Stephen M. Shortell and colleagues, published in the January 22 issue of the Journal of the American Medical Association. The study’s objective was “to determine the extent to which physician organizations with 20 or more physicians use care management processes (CMPs) and to identify key factors associated with CMP use for four chronic diseases: asthma, congestive heart failure, depression, and diabetes.” Researchers found that physician groups on average use only 32 percent of 16 recommended care management processes, which include the use of nurse case managers, programs to help patients care for their illnesses, disease registries, reminder systems, and feedback to physicians on their quality of care. The study also found that one physician group in six uses none of these processes. “The results suggest that Americans are not receiving care that is as good as it could and should be,” says Shortell. “In many ways, physicians are still organized to practice medicine the way they did 100 years ago.” The four chronic diseases addressed by the study together account for 140,000 deaths and $173 billion in costs each year in the United States. Researchers surveyed 1,040 medical groups and

Researchers surveyed 1,040 medical groups and independent practice associations. independent practice associations with at least 20 physician members, surveying the presidents, chief executive officers or medical directors of the groups. “The processes we studied are known to improve the quality of patient care,” says Lawrence Casalino, assistant professor of health studies at the University of Chicago and lead author of the paper. “Our research indicates that physician organizations are beginning to create effective processes to increase quality, but most still have a long way to go.” The researchers found that physician groups are more likely to use organized processes to improve care when they have clinical information technology in place and are given external incentives such as financial rewards, public recognition, or better contracts with health plans for high-quality care. However, half of the groups reported having no clinical

information techonology, and one in three physcian groups reported having no external incentives to improve quality. “We know incentives work, but for the most part, they are not being used,” says Casalino. “The federal government and large employers have the most leverage to establish incentives. They have the opportunity and the responsibility to do so. Most Americans probably don’t realize that those who purchase health insurance on their behalf are not paying for quality care.” Other co-authors of the study are Robin R. Gillies, Julie A. Schmittdiel, James C. Robinson, Thomas Rundall, Helen Ann Halpin, and Margaret C. Wang from UC Berkeley’s School of Public Health; Thomas Bodenheimer from UC San Francisco’s Department of Family and Community Medicine; and Nancy Oswald from Healthcare Consulting in Berkeley.

Public Health

Partners in Public Health

Partners in Public Health Donor Honor Roll 2001–2002 The School of Public Health gratefully acknowledges the following individuals and organizations for their generous contributions from July 1, 2001, to June 30, 2002. $100,000 and Above Betty Grant Austin Marjorie & Kenneth Kaiser $10,000–$99,000 Elizabeth Calfee Marcia & Sergio Gerin Robert Hosang & Joyce Yap Richard Liu Edward & Camille Penhoet $5,000–$9,999 Patricia & Richard Buffler Farah Champsi Alfred & Eunice Childs Sylvie Griffiths Eva Harris Patricia & Frederick Hellman Allan & Meera Smith $1,000–$4,999 Gerson & Barbara Bakar Robert & Meg Beck Mardelle Buss Pansy L. Chan Irene & Hung Chow Margaret Liu Collins & Edward Collins Robert & Susan Crane Lois De Domenico Margaret Deane Susan & James Foerster Elizabeth Fray Wallace Gee Shand & William Green Nancy Hult Ganis & Sidney Ganis

Joan Lam Phillip & Lynda Levin Virginia C. & Franklin Lew Edward & Anita Marshall Anjali Morris Artist Parker Janet Perlman & Carl Blumstein Darwin & Donna Poulos J. Leighton & Carol Read William & Mary Jane Reeves Shirley Roberts Irving & Irma Tabershaw Kenneth Taymor & Elizabeth Parker Mary Woolley & Michael Campbell $500–$999 Seiko Baba Brodbeck Linda & James Clever Abla & Frank Creasey James Crouch Michael & Sandra Fischman Julie Fishman George Ann Garms Annette Goggio Mary Beahrs Grah Roderick & Frances Ann Hamblin David & Katharine Hopkins Julia Klees Daniel & Yvonne Koshland Catherine & James Koshland Francina Lozada-Nur Nancy Lusk Marlene & Gadi Maier Ruth & Harry Metzger Arnold Milstein

School of Public Health Policy Advisory Council. Front row (left to right): Nancy Lusk, Stephen M. Shortell, Lauren LeRoy, Alfred Childs. Back row: Kenneth Taymor, Margaret Cary, Robert Crane, Linda Hawes Clever, J. Leighton Read (Chair). Not pictured: Anne Bakar, Robert Beck, Peter Carpenter, Abla Creasey, Barbara Terrazas. Mary & Craig Noke Carol Patterson Shirley Roach Zak Sabry & Ruth Fremes Michelle Schwartz Robert & Patricia Spear James Stokes & Willa Jefferson-Stokes John & Gail Swartzberg Barbara & Alfredo Terrazas $250–$499 Lillian & Dudley Aldous Ramona Anderson Gail Bateson & David Rempel Maria Bautista Sally Bellows & Hellmut Meister Lawrence Bergner

Edward Bishop Joan & Howard Bloom Margaret Cary & Adam Darkins Carol & Ronald Clazie Nancy Chapman Colb & Andrew Colb Robert & Barbara De Riemer Patricia & Ronald Gates John & Marlene Eastman Susan Eckhardt Patricia Evans Robert Frangenberg & Ingrid Lamivault Dava & Donald Freed Frederick Grose Patricia & James Harrison Thomas Hazlet

Abla Creasey Named to Advisory Council Dean Shortell has appointed Abla Creasey, Ph.D., M.P.H. ’78, the newest member of the School of Public Health Policy Advisory Council. Creasey is vice president for product discovery and development at pioneering biotechnology company Chiron Corporation in Emeryville, California. Since 1991, she has led research teams seeking to identify new product opportunities related to cancer, cardiovascular disease, and infectious diseases. 18

University of California Berkeley

Creasey is a School of Public Health alumna and earned her doctorate in microbiology at Berkeley. She has been granted several patents for her work and publishes widely in professional journals. She is an executive member of the Coalition for Critical Care Excellence, a national committee providing global strategic and policy leadership in critical care, and served on the board of trustees for Mills College in Oakland, California, from 1992–1998. Established in 1993 by former dean Patricia Buffler, the Policy Advisory Council strives to support the school in its efforts to offer the highestquality professional education, research, and service in all aspects of public health. In addition, council members assist the school in its efforts to link basic research conducted by the University with the health of our communities locally, nationally, and internationally.

Partners in Public Health

Policy Advisory Council Spotlight

Linda Hawes Clever Genevieve Ho Robert & Barbara Jackson Nicole & David Janison Elizabeth Martini Robert & Faith Miller Mary & Raymond Murakami Marion Nestle Jeffrey Newman Martin & Muriel Paley Lynette Sawyer & Kent Dupuis Stephen & Susan Shortell Nancy & Robert Shurtleff Kathy & Barton Simmons Rosalind Singer & Jack Tessman Nicole Smith Jacqueline & William Smith Joanna Smith Kirk Smith & Joan Diamond Ashley Stiles Turek April & Timothy Watson Susan Yeazel & Richard Seegers $100–$249 George & Susan Abbott Barbara Abrams & Gary Root T. Elaine Adamson & Edward Gould Francesco Adinolfi & Nancy Collins Dorothy & Arthur Alcocer Laura Allen Ernest & Joan Altekruse Victor & Karen Alterescu Carlene & Richard Anderson Eleanor & John Anderson Kiyoto & Jeanette Arakawa Roland & Joyce Arango Ann-Marie Askew Howard Backer Anna Bagniewska Richard Bailey Dean Baker Marina Baroff Godfrey Becks & Patricia Malicoat-Becks Joyce Berger Doris Bloch Robert & Judith Blomberg Sandra & John Boeschen Maria & Shawn Bovill R. Bower & Sally Glaser Frances Bowman Judith Bramson Joseph Brazie Rosalyn & Michael Britt Claude Brown Jeffrey & Cathleen Brown Andrew Brown Katherine Bryon & Todd Kotler Linda Burden Alexandre Bureau Robert & Elaine Burgener Robert & Lili Cadl Phillip Calhoun & Karen Chin

Louie & Glennda Campos Debra Cannan Gerri Cannon-Smith Gretchen & Charles Carlson James Carpenter Wilton Castro & Laura Santos Peggy Chan Raymond & Grace Chan Hwa-Gan & Keh-Minn Chang Lawrence Chapter & Marta McKenzie Donna Chen Susan Chen & Gail Husson David & Stacie Cherner Chin Long & Fu Chen Chiang Nilda Chong Andrew Chow Dolores & Samuel Clement Ashley & Kenneth Coates Jonathan Cohn & Jeanne Raisler Stig & Kelin Colberg Ralph & Dorothy Conway Estelle Cook Bernard Cordes Martin & Diane Covitz Helena & James Daly Richard & Arlene Daniels Gary & Martha Davidson Laurel & Stuart Davis Robert Davis Mark & Amy Day Sigrid Deeds Colleen Denny-Garamendi & John Garamendi Louise Detwiler Doris & Carl Disbrow Judith Dobbins Jeane Doncaster Andrew Doniger & Patricia Coury-Doniger Barry Dorfman & Helen Leabah Winter Joan & Andrew Dorfman Reade & David Dornan Jacquolyn Duerr & Alberto Balingit Kent & Irene Dunlap Leland & Marta Ehling Kathleen & Gerald Eisman Sanford Elberg Teri Ellison Carol & Alan Eshleman Maria Espiritu-Fuller & Dave Fuller Donald & Charlene Faber Heidi Fancher Ellen & David Feigal Lynn & Kurt Fielder Carol & James Floyd Jean Follette & Adam Olivieri Mary Foran Karen Franchino Katharine & Daniel Frohardt-Lane Laura Gardner Nicole & H. Jack Geiger

Carol Giblin Debra Gilliss Marilyn & Amos Goldhaber Lynn Goldman & Douglas Hayward Janice Goode Mildred Goodman Lilyan Goossens Howard Graves & Julie Baller Barry & Sharon Gray Nina & Richard Green Linda Greenberg & Hiroshi Motomura Gail & Thomas Grogan William & Lynda Gross Christopher Grover & Ann Banchoff Gail Gullickson Richard Gustilo Corazon Halasan Beverly Halford S. Katharine Hammond Jean Hankin Howard Hansell Frances Hanson David Harrington & Denise Abrams Joan & Gene Harter Darla Henderson Janet & Leon Heon Daniel Hernandez Suzanne & Paul Herron Irva Hertz-Picciotto & Henri Picciotto Judith Heumann & Jorge Pineda Alfred & Stella Hexter George & Doris Highland Glenn & Jan Hildebrand Irene Hilton Frank & Helen Ho Nina Holland Patricia & Harold Hosel David Hoskinson John Hough Charles & Kathleen Howard Teh-Wei & Tien-Hwa Hu Mark & Estie Sid Hudes Marjorie Hughes Jeffrey Hunter Priscilla Ilem Deborah & Martin Inouye Robert & Beverly Isman Olive Jack James Jackson Paula Jennings Patricia & John Jensen Jerry & Darlene Jones Alma & Ian Kagimoto Kathleen Kahler & Brian Stack Soo-Hyang Kang A. Arlene Kasa Richard & Leanne Kaslow

Linda Hawes Clever, M.D., M.A.C.P., a member of the School of Public Health Policy Advisory Council since 1994, founded RENEW in 1999 as a response to the strains affecting her fellow physicians. RENEW helps doctors, nurses, and other health professionals maintain their creativity and effectiveness while managing competing demands on their time. “When doctors and nurses are drained and distracted, it becomes an urgent matter for their patients, their families, and the larger community,” she says. RENEW’s methods are based on Clever’s 25 years’ experience as an occupational health specialist, including her service as chief of occupational health at California Pacific Medical Center (CPMC) in San Francisco. A special project of CPMC’s Institute for Health and Healing, RENEW convenes conversation groups and workshops where health professionals and others with “callings” can identify the sources of meaning in their lives and make better personal decisions to function more effectively. “It’s not about snatching time away from your work to watch your child play soccer,” says Clever. “It’s about making choices about fulfilling practice and personal responsibilities based on your values.” For more information about RENEW, call (415) 459-7398 or visit renewnow.org.

Public Health

Partners in Public Health

2002–2003 School of Public Health scholarship recipients gather at the Women’s Faculty Club to meet their sponsors at the annual Scholarship Tea. $100–$249 continued Gerald Kataoka Kiyoshi & Irene Katsumoto Susan & Harvey Kayman Olivia & Richard Kendrick Laura Keranen & Desmond Gallagher Marchelle & Kenneth Kesler James & Sarah Kimmey David & Arlene Klonoff Kenneth & Nancy Klostermeyer Laura & Arthur Kodama Jean Kohn Laurence Kolonel Jill Korte Todd Kotler & Katherine Bryon Thomas & Shirley Ksiazek Leighton Ku Ruby Kuritsubo Clement & Donna Kwong Carol La Fromboise Darwin Labarthe Andrew Lan C. Suzanne Lea & Thomas Novotny Kelvin Lee Daniel & Beth Lewis Nellie Lomprey Candace & Andrew Longmire Leslie Louie & David Bowen James & Maureen Lubben Jane Luckham Donald & Elaine Ludwig Robert S. Lund Terry MacHen & Marcia Brown-MacHen Kathleen & Jun Makishima Grayson & Sally Marshall Karen Martz David Matherly Gary McCauley Janet McDonald Kevin McGirr Mara McGrath & George Pugh Alan & Margaret McKay 20

University of California Berkeley

George & Joanne McKray Sara McMenamin & Joel Kosakoff Valeria Mecham Rosa Medina Robert Meenan Edward Melia & Elaine Melia-Silver Mark Mendell Edward Mendoza Margaret Meyer Helimon Meyer-Schroeder Leslie Mikkelsen Joan & Graham Milburn Margaret & John Miller Robert Miller & Paula Shadle Donald & Elizabeth Minkler Meredith Minkler & Jerry Peters Hilbert Morales Rachel Morello-Frosch Lela & Walter Morris Robert Mueller & Marie Costa Masako & Richard Murakami Frank Mycroft & Sue Tsang Jane & Ralph Myhre Patricia & George Nakano Suzanne Nash & Christopher Horsley David Nelson Linda Neuhauser & Craig Buxton Harold & Marilyn Newman Peggy & Gary Noble Mary O’Connor & Emil Brown Harry & Thelma Offutt Catherine & Roderic Park Tyan Parker-Dominguez & Manuel Dominguez Carol Parlette Ronald & Marie Pasquinelli Mildred Patterson Ellen Peach & David Reese Eileen Peck Karen Peifer Kristine & Leland Peterson Mary Philp

Lawrence Plaskett William Plautz & Kathleen Welsh Mary Polan Dean Preston & Jenckyn Goosby Karen & Robert Pridemore Denise & Michael Prince Florence & Paul Raskin Judith & John Ratcliffe George & Lucy Rathjens Reimert & Betty Ravenholt Kathleen Regilio Kenneth Renwick & Trish Rowe Joseph & Nancy Restuccia Barbara Rever & Jerry Ginsburg Rene Ricks Kathleen Ries & Stephen McCurdy David & Mary Riese Lee Riley & Jesse Furman Whit & Gordon Robbins Olivier Robert & Lee Moore-Robert William Robertson Ricki & Joel Robinson Mary & Carl Rodrick Barbara & Anthony Rooklin Martin Rosenblum Rachel Royce & Matthew Farrelly Sidney Saltzstein Sarah Samuels & Joel Simon Janet Schilling Gregg Schnepple Stephen Schultz & Mary Pacey Peter Schultz Shirley Schwalm Betty Seabolt Donna Seid Duane & Arnita Sewell George Shaber Leona Shapiro Nan & Gary Shaw Donna Shelley Tina Sherwin Eugene Shurtleff Norman & Frances Siebe Joel & Jennifer Silberman Alan & Claudia Silverman Robert Simon Gary & Joanne Sims Phoenix Sinclair Lester & Pauline Smith Lorraine & Lawrence Smookler Shoshanna Sofaer Helen & Malcolm Sowers Susan Standfast & Theodore Wright Bruce Steir & Yen Aeschliman Howard & Virginia Stiver Corwin & Adrian Strong Roberta Sung Tricia Swartling & Chris Williams Ann & Laurence Sykes William & Judith Tanner Ellen & Donald Taves Virginia & William Taylor Janet Taylor

Samuel Tekyi-Mensah Constantine & Nancy Tempelis Pamela Thompson Richard & Mary Haven Thompson Shirley & Richard Timm Jean Ann Todd Claudine Torfs Hoa Tran John Troidl Kenneth Troutman Laura Trupin Mary & Kenneth Tuckwell Sandra & R. Dennis Tye Clarence & Judith Ueda John & Toni Varin Shekhar Venkataraman & Uma Chandran Jack Vermillion Robin Vernay-Light & William Light Anders Wagstaff & Laura Sisulak Susan & Barry Wainscott Lingtao & May-Choo Wang William Warner Susan Waters Russell Watson Walter Weick & Linda Robrecht Harvey & Rhona Weinstein Michael Weiss & Sarah Cox David & Kathryn Werdegar Katherine & Robert Westpheling Eddie & Lynn Whitehead Deborah Wilkinson & Allan Schild Wilkinson John & Elizabeth Williams Michael & Danelle Williams John Williams Julie Williamson Susan Wilson-Brown & Robert Brown Warren & Veva Winkelstein Carol & George Woltring Brian Wong & Cindy Gok Channing Wong Liane & Mitchell Wong Ai-Chu Wu & Winston Lee Cheryl Wyborny & John Coulter Linda Young John & Suzanne Young Ruth & Percy Young Zachary Zimmerman $1–$99 Beatrice & Larry Abrams Kathleen Adelgais Mary Ader Elizabeth & Nathan Adler Dorothy Aeschliman Benjamin & Dativa Agustin Jennifer Ahern Abbey Alkon & Jonathan Leonard Nancy Allen Nancy Altemus Catalina & Stevan Alvarado Edgar Alvarez

Partners in Public Health

Frank & Yolanda Alvarez Adele Amodeo Henry & Virginia Anderson Russell Anderson Joyce Appelbaum Balan & Gurdeep Arakoni Anne Ashe & Larry Orman Berna Atik Katherine Baer Lona & Darel Barham John Barker Robert Barr Robert & Linda Bates Herbert & Hanna Bauer Lori & Kevin Beagan P. Robert Beatty Lisa & James Behrmann Elena Berliner Muriel & Paul Beroza Ernest Bertellotti Glenn & Jeri Bissell Kirsten Black Karen Bloch Babette & Sydney Bloch Gladys Block Marilynn Bonin & Gregory Findley George & Linton Bowie W. Thomas & Jill Boyce Lynda Bradford Ellen & Nelson Branco Russell Braun Letitia Brewster & David Walton Catherine Briggs & Hamouda Hanafi Claire & Ralph Brindis Barry Brinkley Melissa Lim Brodowski & Jason Brodowski Garrett Brown & Myrna Santiago Hayley Bryant & Timothy Hobgood Linda Bryant Roy & Donna Bryggman Gertrude & William Buehring Jeffrey Burack

Martha & Gilles Bureau Colombe Burnett Kimberly Buss Tania Butkovic Lisa Butler & Jim Slotta Bette Caan Raul Caetano & Patrice Caetano Vaeth Antonino & Alice Calarco Rebekah Calhoun Myfanwy Callahan Mark & Allyn Callahan Barbara Campbell Patricia & Fritz Carlson Betty & Ralph Carpenter Diana Cassady Arthur Castillo Marcia Ceesay & Jeff Slater Shawn Chandler Holly Chaney Albert & Yvonne Chang Po-Shen Chang & Julie Craig-Chang Sophia W. Chang & Anson W. Lowe Nancy & Roger Chapman Patricia & Scott Charles Melody & Richard Chasen Mei & Matthew Cheung Ann Chou Herbert Christensen & Paula Miles Joanna Ciaglia Louis & Margaret Coccodrilli Pamela Cocks Deborah Cohan Paul Cohen & Nancy Masters William & Margaret Coit S. Bruce & Carol Copeland Kitty Corbett & Craig Janes Laurence Corp Maria & Jeffrey Corral-Ribordy Raymond & Kleona Corsini Charles Crane & Wendy Breuer Carol & James Cunradi

Betty Grant Austin (right), who established the C. C. Chen Fellowship, chats with 2002â&#x20AC;&#x201C;2003 recipient Xiaohui (Dorothy) Hou.

Peter & Gwen Dailey Ann & Loring Dales Thomas Daniel & Susan Erickson Dale Danley David Dassey & Mark Zellers Nadyne Davis Stephen Davis Alma Deleon-Nwaha Elizabeth Dell Walter & Patricia Denn Tri Do Joyce & Roscius Doan Deborah Dobin & Scott Robinson Linda Dong John & Betty Donnelly Albert & Harriet Draper Sandra & Jerry Dratler Steven Drown & Constance Steele Jonathan & Susan Ducore Erin Dugan & Brian Purcell Sally Duron Kathleen Dylan Kathleen Earnhart Kristie Ebi Molly Efrusy Jose Eguia Don & Karen Eisenberg Marsha Epstein & Paula Smith Rochelle Ereman Evelyn Ericson Shannon & Andrew Erstad Brenda Eskenazi & Eric Lipsitt Yvonne Esler Michael & Jennifer Faraci Harold & Diana Feiger Sue Felt Robin & Mark Fine Linda & Gerald Finer Stacey FitzSimmons & Jack Guralnik Elizabeth Flick Sylvia Flores Janet Fogel & Robert Schlegel Marion Fowler Norma Francisco Constance Fraser Elaine Frederick Laurence Freitas Dale Friedman & Joan Bradus Jonah Frohlich & Elizabeth Payne Charles Froom Elena Fuentes-Afflick Marianne Gallo Eileen Galloway Celeste Garamendi Hector & Catalina Garcia Carl & Carole Garner Liliane Geisseler & Svein Rasmussen Karen & Jack Geissert Jack Gerson Dana Gerstein Michael Gibson & Jeanne Darricades Philip & Geneva Gillette Renee Gindi

Sharonn & Alan Gittelsohn Virginia Gladney Larry & Betty Goldblatt Philippa Gordon & Stephen Talbot June Goshi & Samuel Sweitzer Michael & Laurel Gothelf Deanne Gottfried Heather Gould Jeffrey & Benina Gould Alfonso & Gloria Grace Roger & Marian Gray Susan & Lowell Greathouse Nathaniel Greenhouse L. Martin & Joyce Griffin Jennifer Grinsdale Nina Grove & Kenneth Johnson Valerie Gruber Sylvia & Simon Guendelman Casey & Erica Gunderson Richard & Karen Gunderson Nora Hall Jovine Hankins Lynne Haroun Robert & Martha Harrell Joan Harris Robert Harrison Stephen & Susan Haskell Jeanne Hathaway & Thomas Scammell Richard & Mary Hedrick Allan Heins Kathleen Hellum & W. R. Alexander Susan Helmrich & Richard Levine Nancy Heriza Rosana Hernandez Dorith Hertz Kate Heumann & James Meyers Elizabeth & David Hibbard Michael & Judith Hibbard Elaine & Joseph Hiel Marisa Hildebrand Warren & Miriam Hill Hugh & Beverly Hilleary Timothy Hobgood & Hayley Bryant Donald & Marie Hochstrasser Guenter & Karen Hofstadler Carolyn Hoke-Van Orden & Frank Van Orden Arthur & Olivia Hollister Audrey Holm David & Margaret Hooson Ralph Hornberger Hingloi Hung & Stella Yu George Hyde & June Brady Jeanette Hyland Mark Ibele & Robin Dewey Laurel Imhoff Ellen & Donald Irie Timothy & Heather Isaacson Kiersten Israel-Ballard Barbara Jackson Kurt & Nancy Jackson Susan Jamerson Public Health

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$1–$99 continued Patricia James Brian & Ingrid James Roland & Reona James Priscilla & Kenneth Jamieson Marie Jenkins Sarah Jewel Steven Joffe Jon Johnsen Blair & Jeffrey Johnson Richard & Eloise Johnston Andrea Jones Ronald & Ann Kaneko Jane Kaplan & Andrew Condey Snehendu & Barbara Kar Richard & Kathleen Karp Helen Kearns David Keepnews Steffi & Josh Kellam Graham & Wanda Kemp Jane Kenyon Eric Kessell Mi Khin Khin & Douglas Kaufman Ruthann Kibler Elizabeth & Jeremy Klein Dori Kojima Helen & Chong Koo Clarence & Carolyn Kooi Gloria Krahn Marlene Kramer & Walter Morgan Barbara & Don Kruse Eileen Kunz & Douglas Humphrey Susan Kunz Ellen & Frank Kushin Mark Kutnink Amy Kyle Susan Lambert Rebecca Landau Phyllis & Bruce Lane Suzanne Larson & Jeffrey Bartfeld Abiose Lasaki Diane Lattanzio Alan & Linda Lau Audrey Lawrence Ronald & Frances Ledford Andrea Lee Simon Lee Helga & Henry Leighton Patricia Lenox Jonathan Leonard & Abbey Alkon Carl Lester Margaret Leung Jane Lev Lynn Levin & Stan Oshinsky Shelley Levine Virginia F. Lew Arline Lewis Kris Lindstrom Henry & Eva Linker Edwin Linsley Sheri Lippman Fenyong Liu

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Suzanne Llewellyn Sibylle Lob & Robert Badal Marjorie Lollich Peggy Loper & Michael McShane Bill & Diane Louie Clyde & Cheryl Lovelady Betty Lucas & Gordon Jackins Roger Luckmann James & Marion Lyon Charles & Elissa Maas Lincoln & Flora Maclise Shirley Main Bruce & Lynne Man David & Anne Manchester Joseph & Deborah Marino David Mark Thelma & James Martin Claudia Martinez-Schwarz & Henry Schwarz Rani Marx & James Kahn Marlon Maus Mack & Julia McCoy Ruth McHenry-Coe Thomas & Virginia McKone Julie McManus Bessanderson McNeil Mary & D. Michael McRae Kristin McTague Raymond Meister & Mary Miller Molly Mettler & Donald Kemper Susan & Douglas Milikien Marlene & Thomas Miller Roy & Frances Minkler Patrick Mitchell John & Lisa Monteleone Matthew Moore Florence Morrison & William Clark Altrena Mukuria Marian Mulkey & John Powers Ryo & Mark Munekata Larry & Rita Murillo Ruth Nagano Paul & Jane Nakazato Kavita Nayak & Rajesh Kamath Richard Neumaier Beata & Harlen Ng Mark Nicas & Jennifer McNary Phyllis & Joel Nitzkin Elizabeth & Robert Nobmann Janiece & Robert Nolan James & Audrey Nora Nora Norback Barbara Norrish Ann & John Nutt May & Somao Ochi Elizabeth & Lambert O’Donnell John & Marcellina Ogbu Helen Oglesby Afolabi & Mojirola Oguntoyinbo Christina O’Halloran Ruby & Donald Okazaki

Kent Olson Alan Oppenheim & Alice Salvatore David & Laurie Ordin Susie Osaki Holm Lynn & Stan Levin Charles & Barbara Osicka June & Neil Ostrander Ruth Osuch Michael O’Sullivan & Edna White-O’Sullivan Lisa Ota Janice Owen Padmini Parthasarathy Lisa Payne Debra Pelkey-Creem & Mitchell Creem Edward Perry & Maureen Dion-Perry Mary & Abiathar Phillips Tomm Pickles Cheri Pies & Melina Linder Tommie & Thomas Pippins Donald & Ann Porcella Martha & Cas Pouderoyen Randolfo Pozos Savitri Purshottam Nancy Puttkammer Glenn Randall Ethel & Kenneth Read Irene Reed Arthur Reingold & Gail Bolan Dorothy & John Rice Timothy Rich & Robina Ingram-Rich Henry Richanbach Lois Rifkin Francis & Jean Riley Amanda Rittenhouse & Jonathan Botkin Michael & Sharon Rogers Paul & Judith Rogers James Rogge Guido & Ruth Rosati John Rosenberg E. Scott & Shirley Rosenbloom Elizabeth Rosenthal & Jorge Ibarra Elizabeth Rottger-Hogan Alice Royal Sarah Royce & David Theis Thomas Rundall & Jane Tiemann Susan Runyan Elva Rust William Ryan Lisa Sadleir-Hart & Thomas Hart Allyson Sage & Patrick Romano Linnea Sallack Leigh Sawyer & Gerald Quinnan Gene & Reiko Scalarone Linda Smith Schermer & Harry Schermer

Carolyn Schuman & Stephen Sidney Steven Schwartzberg Monika & Harry Scott William Seavey Ruth Selan George & Linda Sensabaugh Maye & Takeo Shirasawa Jo & James Shoemake Marilyn Silva Mitchell & Bonita Singal Gregory Slocum Aaron Smith Esmond Smith Terrill Smith Rosemary & John Snider Cynthia & Arden Snyder Susan & David Snyder Karen Sokal-Gutierrez & John Gutierrez Peter & Lucia Sommers Usha & Bharat Srinivasan Dorothy Stacey Kenneth Stanton & Rivka Greenberg Jacklyn Stein Edith & Guy Sternberg Mary Stevens Marilyn & William Stocker Susan & William Stokes Linda Strean & Howard Pollick Sharon & Martin Strosberg Frances & Mark Sturgess Seiko & Lloyd Suehiro John Sunkiskis Christine Swanson Louise Swig Ruth Sybers S. Leonard & Marilyn Syme Ira & Jilda Tager Josephine & Eric Tao Kenneth & Patricia Taylor Peter & Coralyn Taylor Irene & Marsh Tekawa Corinna & William Tempelis Marilyn Teplow Ronald Thiele Gregory & Bonita Thomas Terry Tobin Scott & Patricia Tschirgi Daniel & Janis Tuerk Jenifer & Stephen Turnbull Verna & V. E. Unger Katherine Van Leuwen & Robert Young Rosalie Vlahutin Donald Waite Hazelle Junker Walker Elana Wallenstein & Charles Silver Mary Ann Wampler & Philip Bierman

Partners in Public Health

Anne Waybur Patricia Weber Bernadine & Andrew Weir Gordon Werner Robert & Gwendolyn Werner Phillip & Patricia West Leland & Lene White Edna White-O’Sullivan & Michael O’Sullivan Diane Williams John & Irene Wilson Alvin Winder & Doris Raphael Terry Winter Barbara Wismer Sallie & Steven Wisner Sharon Witemeyer Ellen Wolfe George & Helen Woods Joyce Ycasas Katherine Yu & David Su Susan Zahner & Leon Olson Walter Zaks Jeremy Zhou 2002 Class Gift Kathleen Adelgais Lisa Butler Holly Chaney Ann Chou Deborah Cohan Elizabeth Dell Tri Do Jonathan Ducore Molly Efrusy Jose Eguia Dana Gerstein Heather Gould Jennifer Grinsdale Karen Gunderson Rosana Hernandez Laurel Imhoff Eric Kessell Elizabeth Klein Dori Kojima Margaret Leung Marlon Maus Janice Owen Tina Sherwin Nicole Smith John Troidl Gifts Made in Honor of Professor Emeritus Henrik Blum by Richard Dailey Susan Jamerson James Lubben Meredith Minkler Professor Patricia Buffler by Linda & James Clever Nancy Lusk Shirley Roach

Professor Emeritus Chin Long Chiang by Margaret Deane Samuel Tekyi-Mensah Professor Leonard Duhl by John Hough

Connie Long by Linda Burden Carol Cunradi Shirley Roach Betty Seabolt John Troidl

Professor Meredith Minkler by Jim Meyers

Lawrence Macupa by Linnea Sallack

Professor Edward Penhoet by Bruce Steir

C. Jean Morton by Deborah Wilkinson

V. Ramakrishma by Mildred Patterson

Dorothy Nyswander by Charles Froom Nora Hall Robert Miller Elizabeth O’Donnell

Professor Emeritus William Reeves by George Woods David Seeley by John Aird Professor John Swartzberg by Adele Amodeo Professor Emerita Helen Wallace by Claude Brown Gifts Made in Memory of Professor William Bruvold by John Hough David & Yoshi Carpenter by James Carpenter Asfa Desta by Robert Barr William Fray by Elizabeth Fray Don Galloway by Eileen Galloway Avraham & Leah Glueck by Mark & Estie Sid Hudes Joanna F. Gorzman by Aaron Smith Professor Emeritus William Griffiths by Martin Covitz Robert Miller Sidney Saltzstein Nell Hollinger by Sanford Elberg Ruth Huenemann by Elaine Hiel Eileen Peck Leona Shapiro Roger Kent by Heather Gould Nelly Li Kwong by Clement Kwong Marguerite de la Vega Linsley by Edwin Linsley

Mr. & Mrs. J.G. Okamoto by Ruth Nagano G. Nicholas Parlette by Ernest Bertellotti Carol Parlette Lynette Sawyer Dr. Catherine Cline Pike by Anne Waybur Mr. & Mrs. I.H. Schulman by Lois Rifkin Joseph & Esther Sholeye by Abiose Lasaki “Chuck” Smith by Lorraine Smookler Sanra Lurie Stein (Starr) by Shoshanna Sofaer Gary Stewart by Colleen Denny-Garamendi Professor Paul Taylor by Henry Anderson Elaine Walbroek by Susan Jamerson Dr. Mookie Wilson by Nora Norback Organizational Donors Dorothy D. Aeschliman Rev Trust Agape Foundation Alloy Ventures Alta Partners American Home Products Corporation Bank of America Foundation BASF Corporation Berlex Laboratories Inc. Fred H. Bixby Foundation Blue Cross of California Boeing Company Bristol-Myers Squibb Foundation The California Endowment California Healthcare Foundation The California Wellness Foundation Chiron Corporation

Dextra Baldwin McGonagle Foundation East Bay Community Foundation Eisenberg Olivieri & Associates EOA Inc. French Foundation for Medical Research & Education GE Fund General Motors Corporation Health Workforce Solutions Hewlett-Packard Company Jewish Community Endowment Fund Johnson & Johnson Family of Companies Foundation Robert Wood Johnson Foundation Kaiser Permanente Kaiser Permanente Medical Care Program Kellogg USA Inc. Leukemia Society of America Inc. Margaret Liu Foundation Richard Liu Foundation Malicoat Becks & Associates Inc. March of Dimes Birth Defects Foundation Marin Community Foundation Mid-Peninsula Ophthalmology Medical Group Inc. Gordon & Betty Moore Foundation Neurobiological Technologies Inc. Novartis US Foundation Palo Alto Medical Foundation The Pew Charitable Trusts Planned Parenthood Population & Development International-Venture Strategies Prytanean Alumnae Retirement Research Foundation William M. Ryan Co. Inc. The Sandler Family Supporting Foundation San Francisco Jewish Community Federation Scheffler & Associates Standard Process Inc. Sutter Health Sweetwater Springs Ranch Telecare Corporation UC Chinese Alumni Foundation V. I. Technologies Inc. The Weir Trust Wells Fargo Foundation Whitehead Family Trust Gifts in Kind Hop Kiln Winery Louis M. Martini Winery See’s Candies

Public Health

Alumni News

President’s Message Dear Friends,

Warm greetings on behalf of the Public Health Alumni Association board of directors. We are excited about some of the new ways in which we are reaching out to our alumni in the San Francisco Bay Area and beyond. Last October, we held the first Professional Development Workshop, a new event sponsored by the Public Health Alumni Association offering professional development opportunities for participants from all sectors of the public health world. The event featured two outstanding presenters, John Troidl, Ph.D., whose workshop taught skills to analyze financial statements, and Sandra Dratler, Ph.D., who helped participants discover their management styles. The reception after the workshops offered attendees the chance to socialize, network, and—in some cases—reconnect. The event’s success has us busily planning next fall’s workshops. We welcome any and all suggestions that will help us in the planning process. April Watson

One of the perks of being a graduate of the UC Berkeley School of Public Health is access to “Public Health @cal,” our special online community developed exclusively for School of Public Health alumni.

Also this past fall, alumni who attended the APHA Conference in Philadelphia enjoyed the school-sponsored social hour at the Marriott Hotel. Please be sure to mark your calendars for next year’s APHA conference as we will be the unofficial “host.” Tens of thousands will converge on San Francisco November 15–19, 2003, and we’d love for you to help us represent the school. The Public Health Alumni Association held a scholarship tea in December; students who received scholarships had the unique opportunity to meet the donors who helped make their education possible. In a delightful setting on campus—the Women’s Faculty Club—more than 40 students and donors enjoyed an afternoon tea together and received a special welcome from Dean Shortell. Mrs. Betty Grant Austin presented the background of the C. C. Chen Fellowship, named in honor of a public health professional who worked with her father in rural China. Current students and local alumni met over coffee and dessert to discuss career and internship opportunities at the third annual Career Café in February. This popular event highlights the diverse career paths and experiences of our alumni/practitioners and we encourage your participation in next year’s Career Café. This past May, we hosted a picnic for graduating students as our way of saying “Congratulations!” and “Welcome to your alumni association!” This was the first event of its kind sponsored by the alumni association, and we enjoyed the opportunity to interact with students in a fun and celebratory atmosphere. Before signing off, I’d like to remind each of you that one of the perks of being a graduate of the UC Berkeley School of Public Health is access to “Public Health @cal,” our special online community developed exclusively for SPH alumni. Register at https://sphalum.berkeley.edu and start taking advantage of the searchable alumni directory, career networking opportunities, and the Berkeley email forwarding service— all for free. The Public Health Alumni Association board of directors looks forward to seeing you at a public health event in the near future! Warm regards,

April Watson, M.P.H.’98 President Public Health Alumni Association 24

University of California Berkeley

Alumni News

Alumnus Spotlight

Michael E. Bird When Michael E. Bird, M.S.W., M.P.H. ’83 was inaugurated president of the American Public Health Association (APHA)—the oldest and largest organization of public health professionals in the world—it represented a milestone. Bird, who is a Santo Domingo-San Juan Pueblo Indian from New Mexico, was the first American Indian ever to lead the high-profile association. A member of APHA for more than 15 years, he chaired the organization’s executive board from 1998 to 1999, served as president-elect in 2000 and president in 2001. “To be the first American Indian elected president of this association was such a wonderful opportunity. It’s a real statement on where APHA is in terms of being consistent with its values and its commitment to diversity and social justice,” says Bird. This year he received the Healthcare Hero Award from the Congressional Black Caucus, the Congressional Hispanic Caucus, the Congressional Native American Caucus, and the Congressional Asian and Pacific American Caucus. Before assuming his current position as executive director of the National Native American AIDS Prevention Center in Oakland, Bird worked with the Indian Health Services, an agency of the Department of Health and Human Services, for 21 years. He is past president of the New Mexico Public Health Association and was a fellow in the U.S. Public Health Service Primary Care Fellowship Program and board member of HealthNet New Mexico. In addition to his M.P.H. from Berkeley, Bird earned a master’s degree in social work from the University of Utah. The experience of growing up with an alcoholic father sharpened Bird’s awareness of social issues and helped point him toward studies in social work and public health. His mother, who supported two children on her own without having completed high school, was a source of inspiration to him. His grandparents were also supportive

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Michael E. Bird

figures who encouraged him to go to school. “Idealistic and naïve as it may seem, I wanted to benefit Indian people and Indian communities,” he says. During his term as president of APHA, Bird highlighted the huge and growing disparities between rich and poor for all basic necessities, including health care. He continued the call for universal health care and made it a top priority to explore efforts to support indigenous peoples in countries around the world. In addition, he built positive relationships between APHA and other organizations. “The data has demonstrated that there’s not equality in this nation when it comes to health care,” says Bird. “The ‘Pledge of Allegiance’ articulates values of fairness, equality. When you have a nation that holds itself up as a leader in the world, you have to do more than talk about justice for all, you need to practice it.”

https://colt.berkeley.edu/urelgift/public_health.html What could be easier? Your tax deductible gift will support a broad range of valuable School of Public Health programs, such as scholarships, student recruitment efforts, capital improvements, and important enrichment activities for the school. Or mail your gift (payable to the "School of Public Health Fund") to: University of California, Berkeley School of Public Health External Relations & Development 140 Earl Warren Hall #7360 Berkeley, CA 94720-7360 For additional information about making a gift to the school, call Patricia Hosel, assistant dean for development and external relations, at (510) 642-9654.

He notes that the field of public health, which looks at systems, populations, and the environment, is consistent with indigenous perspectives, which focus on the interconnectedness of all things. “We all share this space, this country, this world. If you look at things like the economy and the spread of diseases, it is clear—especially nowadays— that everything is interconnected.”

–Michael S. Broder Public Health

Alumni Notes 1940s Dorothy Crouch, Ph.D., B.A. ’42 “I was a bacteriology major. I worked in a clinical lab and had a bioanalyst license. I have a Ph.D. in microbiology and taught.” Lois A. (Schulman) Rifkin, B.S. ’48 “I was a medical technologist for 50 years. During that time I worked in hospitals and inspected clinical laboratories for the State of California. I spent some retirement time as a laboratory consultant and became a private pilot. I am moving from the L.A. area before the year is out to Portland, Oregon, where my grown daughter, two granddaughters, and family reside.” James Basil Hall, M.D., M.P.H. ’49 was invited to join the family of Charles Lindbergh in a special celebration at the Smithsonian National Air and Space Museum in Washington, D.C., marking the 75th anniversary of Lindbergh’s flight across the Atlantic. Hall was a flight surgeon with the Army Air Forces when he first made Lindbergh’s acquaintance. 1950s Marjorie F. (Helgans) Hughes, M.D., M.P.H. ’54 retired in 1992 from the Arlington County, Virginia, Department of Public Health, where she was the director of school health for 35 years. Henry Anderson, M.P.H. ’56 received the Lifetime Achievement Award from the Southwest Labor Studies Association. Glenn I. Hildebrand, M.P.H. ’57 “I have been elected to the board of directors of the California Center for Public Health Advocacy and serve as the membership chair for the California Public Health Association–North.” Harry A. Scott, M.P.H. ’57 has been retired from the position of chief of the Alameda County Vector Control Services District for 5 years. He served as chief for 13 years beginning in 1984. Chhaganbhai B. Bhakta, B.S. ’58 is the proud grandfather of two granddaughters. The first, Kushmita, was born June 7, 1998, “a 44th wedding anniversary gift.” The second, Sajni, was born on Feb. 18, 2001. Bhakta and his wife visited India and Panama last year. John H. Donnelly, M.D., M.P.H. ’58 “After retirement from Boulder County, Colorado’s Health Department in 1985 and abundant

University of California Berkeley

traveling around the country by travel trailer and some European and Central/ South American countries by air, bus, and cruiseliner, I really retired to my writing (a biography), stamp collecting, working newspaper puzzles and computer solitaire. TV with my wife is a must.” Lee Holder, M.P.H. ’58 has been retired since 1996. He is involved in volunteer activities and enjoys visiting his five children and 12 grandchildren. He also continues to enjoy international travel. 1960s Lynn Deniston, M.P.H. ’62 “Retired and keeping fit via square dancing, fishing, golf, and gardening.” Corwin Strong, M.P.H. ’64 “Retirement life is fantastic! Volunteering for community services, travel, golf all make the past worthwhile.” Patricia E. (Lee) Taylor, Ph.D. ’64 “Continued working professionally in infectious disease in all of our postings while my husband was in the Canadian Diplomatic Service. After Ken’s tenure as Canadian Ambassador to Iran during the American hostage crisis, UC Berkeley, where he obtained his M.B.A., honored us in the Greek Theatre at the commencement exercises in 1980. Since that time we have lived in New York and I have been on staff as an epidemiologist in the Laboratory of Epidemiology at the New York Blood Center.” Bettie Basye Hutchinson Ott, M.P.H. ’65 is enjoying good health. She gardens, writes short autobiographical stories, and swims daily. She writes, “I miss the good work I was involved in for 22 years, health education, and my colleagues in the Class of ’65.” Mildred F. Patterson, M.P.H. ’65 turned 90 in October 2002. “Enjoying life,” she writes. Roger W. Haskell, M.P.H. ’66 “Enjoying my retirement in the the Bay Area. I have wonderful recollections of my times at Warren Hall. I remain in close contact with Dr. Aminullah Saboor, M.P.H. ’66, who has recently returned to Kabul, Afghanistan.” Hazelle (Junker) Walker, M.P.H. ’66 has been enjoying retirement since 1981. Walter Morgan, M.D., M.P.H. ’68 is currently working with medical students in community outreach projects. He also supports seven student-run community clinics.

1970s Adele R. Amodeo, M.P.H. ’70 is president of the California Public Health Association– North, and treasurer of the California Center for Public Health Advocacy. Alice Royal, M.P.H. ’72 continues her yearround volunteer work at Colonel Allensworth State Historic Park. She received an Outstanding Service Certificate for her work to develop and advance the park. Barbara Nowell Jackson, M.P.H.’73 has retired from home care after 50 years of community-based occupational therapy and professional writing. She now works parttime as a consultant to the State of North Carolina’s independent living program. Michael E. Williams, M.S. ’75, M.P.H. ’74 is in his fifth year managing an environmental health and safety consulting firm, Health Safety and Risk Management Services. (Jennifer) Suzanne (Dod) Thomas, M.P.H. ’76 “I am currently teaching part-time in the Sociology Department of the University of San Francisco.” Sandra Storch-Broad, M.P.H. ’77 is the breast-feeding coordinator for the Alameda County Women, Infants & Children program in addition to other roles there. Her sons, Max and Jeremy, are 15 and 12 years old. She cosponsored the Guinness World Record for Simultaneous Breastfeeding held in Berkeley last year. John C. Monteleone, M.D., M.P.H. ’78 “2003 marks 25 years since I completed my M.S./ M.P.H. degree in nutrition. I have many fond memories and I continually use clinical nutrition in my medical practice of sports and family medicine.” Mary Ann Thode, J.D, M.P.H. ’78 was appointed Northern California president of Kaiser Permanente, a system with 3.2 million members. She formerly served as Kaiser’s chief operating officer. Laura Peck, M.P.H. ’79 consults to collaboratives and boards and coaches executive leaders as part of the Claros Group. Her daughter is a freshman at UCSD. Laura’s husband, Alan Stein, M.P.H. ’78, is executive director of the West Coast Children’s Center.

Gerberding Discusses Preparedness, Receives Honor 1980s Gordon Belcourt, M.P.H. ’80 received the National Hero award from the School of Public Health (see back cover). Hellan Roth Dowden, M.P.H. ’80 is a consultant and lobbyist. Her firm, HR Dowden and Associates, will be managing a grant from the California Endowment to work with the California Teachers Association and the California Association of Health Plans. The grant is designed to help educate teachers on the availability of low- or no-cost health insurance for students and to assist in enrollment into these programs. Mary Henderson, M.B.A., M.P.H. ’81 was appointed to be Kaiser Permanente’s vice president of national HIPPA compliance and information technology compliance. Henderson has been with Kaiser Permanente for 15 years. She led Kaiser’s national Y2K project and was the project manager who formed its national IT organization. Marc Rivo, M.D., M.P.H. ’81 is the Florida regional medical director and adviser for Chronicare Programs for AuMed Health Plan, a nonprofit Kaiser affiliate in Florida. His wife Karen is a nurse and public health graduate. They have two daughters, Jessica, 14, and Julie, 11. Olivia Walden Kendrick, Dr.P.H. ’84 recently received the Joseph S. Rowland Award for Outstanding Teaching, the highest faculty honor at the University of Alabama’s College of Human Environmental Sciences. Christopher Jones, M.S.W., M.P.H. ’85 “After working for government public health for more than 15 years, I’ve quit to take a year sabbatical with my life partner, Bill Prince, M.D., to travel through Europe and North Africa. Most recently I was employed by Public Health Seattle and King Co. and served as regional vice president of the Washington State Public Health Association.” Rena Pasick, Dr.P.H. ’85, M.P.H. ’80 was appointed associate director for education and outreach at the UCSF Comprehensive Cancer Center. Maria Frizelle Roberts, M.P.H. ’85 “I wish everyone at UCB Public Health the very best. I would love to hear from my classmates.”

June P. Brady, M.P.H. ’86 “Although ‘retired,’ my international interest continues. I am on the American Academy of Pediatrics International Child Health Committee and on the Health Volunteers Overseas Committee, plus consultation in Equatorial Guinea in pediatric care.” Bruce S. Steir, M.D., M.P.H. ’86 has volunteered for the past two years at the Women’s Health Option Clinic at San Francisco General Hospital. Karen Sokal-Gutierrez, M.D., M.P.H. ’88 “I’m thrilled to have returned to work at the School of Public Health. I’m working at the Center for Community Wellness on the state-wide evaluation of the ‘Kit for New Parents’ and teaching at the UCB-UCSF Joint Medical Program.” David Nelson, M.P.H. ’88 “I am enjoying sharing mindful songs, stories, and lessons on my children’s radio show, ‘Shooting Stars,’ weekday afternoons on the Hopi public radio station.” John Wikle, M.D., M.P.H. ’88 “I am working with several managed care health plans to develop medical group-based disease management programs. I continue also practicing internal medicine half-time.” Martha A. Ryan, R.N.P., M.P.H. ’89 accepted the Organizational Hero award from the School of Public Health on behalf of The Homeless Prenatal Program, a nonprofit organization providing prenatal care and parenting support to homeless women (see back cover). 1990s Logan Marshall Blank, M.P.H. ’90 earned a law degree from the University of Montana in 2001 and was commissioned as an environmental sciences officer in the United States Army Reserve. Blank currently practices law in Missoula, Montana. Karla Pearcy, M.S.W., M.P.H.’90 and her husband Stanley live in Portland, Oregon, and are expecting their first child in March 2003. Karla works for the State of Oregon’s Women, Infants, & Children’s Program as a health educator/outreach coordinator.

Julie Gerberding and Dean Shortell

Julie Gerberding, M.D., M.P.H. ’90, director of the national Centers for Disease Control and Prevention (CDC), visited Berkeley on April 8 to discuss health preparedness and to accept the school’s Alumna of the Year Award. Dean Stephen M. Shortell presented her with a crystal bear and a Cal T-shirt, which she promised to hang above her desk at the CDC in Atlanta. Addressing the audience, Gerberding laid out her plans to improve the CDC’s emergency response and said that the first health care worker in the United States had come down with probable SARS. While acknowledging the significance of SARS and bioterrorism, Gerberding emphasized that these are just two of many health issues on which the CDC focuses. She said that chronic health problems, such as obesity, are the country’s major threats and noted that obesity is approaching tobacco as the top risk factor for disease in this country.

O’Neill Directs National AIDS Policy Office Joseph O’Neill, M.D., M.S., M.P.H.’83 was appointed director of the White House Office of National AIDS Policy by President Bush in July 2002. A member of the White House Domestic Policy Council, O’Neill leads the office responsible for domestic and international HIV and AIDS issues. Prior to his appointment, O’Neill was acting director of the Office of HIV/AIDS Policy in the Department of Health and Human Services. From 1997 to the end of 2001, he was associate administrator for HIV and AIDS in the Health Resources and Services Administration’s HIV/AIDS Bureau, where he directed the national Ryan White Comprehensive AIDS Resources Emergency (CARE) Act program.

Jill Granger, M.P.H. ’93 is an epidemiologist and has been working for the Michigan Department of Community Health since 1998. Alumni Notes continued on page 28

Public Health

In Memoriam June (McCartin) Foote, B.S. ’39 (Nursing), Cred. ’42 (Public Health) died June 26, 2002, in Medford, Oregon. Foote was a public health nurse until her retirement. A dedicated protector of nature, she was a founding board member of The Land Trust of Napa County and the Natural Science Docents. She is survived by her husband of 61 years, Si; two children, Nancy and Curt; and a grandchild. Victor Eisner Jr., M.D., M.P.H. ’63 died July 10, 2002, at Marin General Hospital in Greenbrae, California. A World War II veteran who earned a Purple Heart and four Bronze Stars, Eisner received his bachelor’s degree from Stanford University and his medical degree from Harvard University. After earning his M.P.H. at Berkeley in 1963, he served on the school’s faculty until 1980. He was predeceased by his wife, Rosemarie, and is survived by his daughter Julie, son Lorenz, son-in-law Chris, three grandchildren, brother Sigmund, sister-in-law Nancy, and numerous nephews, nieces, grandnephews, and grandnieces.

Eli Glogow, Dr. P.H., M.P.H. ’51 died September 12, 2002, at his home in Culver City, California. Glogow was an emeritus professor of public administration and a longtime administrator at the University of Southern California. He received numerous awards for teaching excellence and outstanding service and was published in more than 25 professional and academic publications. Glogow is survived by his wife of 24 years, Christine, as well as a son and a daughter, a sister, and grandchildren, nieces, and nephews.

Walter H. Graze, M.P.H. ‘85 died March 2, 2003. Graze was a senior industrial hygienist and manager of the Asbestos Contractors Registration Unit for the California Occupational Safety and Health Program in the California Department of Industrial Relations. Before that, Graze worked for the San Francisco Public Utility Commission, where he had health and safety management responsibility for the city’s Municipal Railroad and Hetch Hetchy Water System employees. He also worked with WORKSAFE and the Labor Occupational Health Program at UC Berkeley on a variety of projects. He is survived by his wife, Margene, daughters Maxine and Rita, and sister Natalie. Nell Hollinger, Ph.D. died April 23, 2002, at Carson-Tahoe Hospital in Carson City, Nevada. Hollinger, a professor emerita of public health, was on the

Alumni Notes continued from page 27

She has developed an occupational pesticide illness and injury surveillance program for the state to track occupational pesticide exposure. She is renovating a 120-year-old farmhouse with her husband Larry and their daughter Isabelle, who is five years old. Judith Feinson, M.C.P., M.P.H. ’94 is a program evaluator for the State of Delaware’s Department of Health and Social Services. She also conducts research on tobacco prevention and children for a pediatric pulmonologist. Audrey O. T. Lau, M.D., M.P.H. ’94 “I gave birth to my first child on April 14, 2002. His name is Buel Frederick Yat-Hay Rodgers or ‘Freddie’ for short.” David Zalk, M.P.H. ’94 has become president of the International Occupational Hygiene Association. The association includes 25 member organizations in 23 countries. Kay Wallis, M.P.H. ’96 is special projects manager in the Department of Medicine at UCSF and lives in Richmond, California. She writes, “I am active in local organizing to fight corporate polluters and support homeless rights. I have successfully utilized ‘media advocacy’ skills learned at SPH in several local campaigns.” 28

University of California Berkeley

Steffi Becht Kellam, M.P.H. ’98 “After living in Argentina for a year, we’ve moved back to Texas and now have a beautiful baby girl, Katherine Ann (Katie).” Michael P. Wilson, M.P.H. ’98 won a Switzer Environmental Fellowship, awarded by the Robert & Patricia Switzer Foundation to outstanding early-career environmental leaders. Wilson is at Berkeley working on his Ph.D. in environmental health sciences. Anna C. Ziedins, M.P.H. ’98 received her D.V.M. from UC Davis in June 2002. She has begun an internship at the Loomis Basin Veterinary Clinic. Anna is the daughter of Inta Ziedins, B.S. ’58. Kamyar Kalantar-Zadeh, M.D., M.P.H. ’99 has been promoted to step III assistant clinical professor of medicine and pediatrics at the UCLA School of Medicine and HarborUCLA Medical Center. He received a career award from the NIH to conduct a cohort study concerning nutrition and outcome in dialysis patients. Danielle A. Lloyd, M.P.H. ’99 married Stuart Evans on July 7, 2002, in Washington, D.C. Alaine Perry, M.P.H. ’99, was in attendance. After completing the presidential management

internship program at the Health Care Financing Administration and the House of Representatives Ways and Means Subcommittee on Health, Lloyd became vice president for federal reimbursement programs for the California Healthcare Association. 2000s Nilda Chong, M.D., Dr.P.H. ’00 is the author of The Latino Patient: A Cultural Guide for Health Care Providers, released last year by the Intercultural Press. The book provides an indepth exploration of Latino diversity, health status, relevant cultural values, health beliefs, and effective communication strategies. Chong is director of Kaiser Permanente’s Institute for Culturally Competent Care. Eric J. Chow, M.P.H. ’00 is in the midst of his pediatric residency at the University of Washington. Sara McMenamin, Ph.D. ’02, M.P.H. ’98 received her Ph.D. in health services and policy analysis in May 2002. On February 14, 2002, she gave birth to a son.

school’s faculty from 1944 to 1970. Born April 18, 1905, in Lordsburg, New Mexico Territory, she received her bachelor’s degree from Berkeley and her doctorate from Stanford University. She was a key member of the team that developed and produced the first betahemolytic streptolysin, the first successful attempt at a nationally available test for rheumatic fever. Hollinger was active in the American Society of Microbiology, the American Association of Clinical Chemists, and the American Association of University Women. Dorothy Rea MacGregor, B.A. ’43 (Public Health) died June 10, 2002, at her home in Victoria, British Columbia. MacGregor worked as a lab technician before retiring to raise her family. She is survived by her husband, Wallace MacGregor; her three children, Malcolm MacGregor, Janet MacGregor-Williams, and Kenneth MacGregor; and four grandchildren.

Stewart Harvey Madin, D.V.M., Ph.D., B.A.’40 (Public Health) died September 18, 2002, in his Orinda, California home at the age of 84. Born in England, he received both his B.A. and Ph.D. from Berkeley and his D.V.M. from Texas A&M University. Madin joined the faculty of the School of Public Health in 1961, transferring from the Department of Bacteriology, where he had held an appointment since 1950. His specialty area was animal viruses. Madin was known for his expertise in foot-and-mouth disease and contributed to early work on defenses against biological warfare. He served as an emeritus professor from 1986 until the time of his death and was an active mentor for students at the School of Public Health. Madin’s wife, Katherine, predeceased him by two months. He is survived by three sons.

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David Nishimura, M.P.H. ’84 died August 20, 2002, in Sacramento, California. Nishimura worked for the California State Department of Mental Health, and before that, the State Department of Corrections. Nishimura was an organizer and supporter of many charities including the March of Dimes. He is survived by his parents, Stan and Elaine Nishimura; sister Susan Carnes, brother Jim Nishimura, two nieces, and a nephew. Dianna Thomsen, J.D., M.P.H. ’86 died August 22, 2002, of a rare brain cancer at age 38. She was raised in Albany, California, and received her bachelor’s degree in biology cum laude in 1985 from Vassar College. She earned a law degree from Santa Clara University in 1987. In 1997 she joined the Washington, D.C., law firm of King & Spalding, where she specialized in representing companies before the Food and Drug Administration.

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2003 Public Health Heroes 1 On March 14 the School of Public Health honored four leaders at its 7th Annual Public Health Heroes Celebration, held at the Rotunda in Oakland. 2 Awards were presented to (left to right) the Homeless Prenatal Program represented by Martha A. Ryan; Ela Bhatt, founder of Indiaâ&#x20AC;&#x2122;s Self-Employed

Womenâ&#x20AC;&#x2122;s Association; Gordon Belcourt, executive director of Montana/ Wyoming Tribal Leaders Council and Area Indian Health Board; and Lester Breslow, professor emeritus at UCLA School of Public Health. 3 UCSF Professor Emeritus Philip R. Lee (left) presented Breslow with his award. 3