Advances – Special Issue: 2002-2003 Annual Report

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Special Issue: 2002-2003 Annual Report

Advances from the University of Minnesota School of Public Health


Photo: Tim Rummelhoff

SCHOOL OF PUBLIC HEALTH LEADERSHIP Back row, left to right: Mark P. Becker Dean John Connett Head, Division of Biostatistics Russell Luepker Head, Division of Epidemiology John Finnegan, Jr. Associate Dean for Research and Academic Affairs

Front row, clockwise Susan Bartlett Foote Head, Division of Health Services Research and Policy

Advances Editor Diana Harvey

Debra Olson Associate Dean for Public Health Practice Education

Managing Editor Kristin Stouffer

William Toscano Head, Division of Environmental and Occupational Health

Contributing Writer Leyla Kokmen

Mary Story Associate Dean for Student Affairs

Art Direction Todd Spichke Riverbrand Design


Table of

Contents 2

From the Dean

The School of Public Health’s positive momentum brings much

Advances

to celebrate in the areas of research, education, and outreach

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2002-2003 Annual Report

Research

SPH faculty, staff, and students study air quality in India, the work environment for nurses, HIV treatments, and more

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Education

The School rolls out new Web-based courses, an innovative

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training program, and the first-of-its-kind program in veterinary medicine and public health

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Outreach

Through its research, mentor program, and continuing education offerings, the School connects to government agencies, com-

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munity organizations, and more

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Graduates

Recent SPH graduates take their skills into the workplace to improve immigrant health, air pollution, clinical research, and more

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Philanthropy

Community leaders play an integral role in advancing the School through their financial support

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Centers

Profiles of the School’s nationally and internationally recognized research and outreach centers

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By the Numbers

A ten-year summary of finances and enrollment reflects the School’s positive momentum

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Donors

A list of 2002-2003 SPH donors

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FROM THE DEAN

Photo: Bill Alkofer

As 2003 draws to a close, I am pleased to report the University of Minnesota School of Public Health is enjoying positive momentum in the face of the state’s budget crisis, which led to historic cuts to the University’s funding. Sponsored research funding continues to grow and student enrollments are at all-time highs. Both trends reflect growing recognition of the importance of the field of public health and the vitality of our School. On the following pages, with stories highlighting our threepronged mission to educate, conduct research, and connect with communities, you will get a glimpse of the exciting directions in which we are headed. We are embracing the latest technology in our educational efforts and as a result are reaching students all over the globe. You can read about these exciting developments on page 8. And our faculty members are making a difference in the lives of our students. A prominent local businessman recently spent an afternoon walking around the University campus and asked several students to name a professor who changed their lives. One of the students named SPH associate professor Wendy Hellerstedt, who teaches courses in reproductive epidemiology and women’s health. Hellerstedt is this year’s winner of the Leonard M. Schuman Award for Excellence in Teaching, the School’s highest teaching honor. She is among our many talented faculty who are shaping the next generation of public health leaders.

The outstanding faculty and staff who lead our research programs are tackling some the most pressing issues of our time, including access to care, chronic disease prevention, infectious disease, the obesity epidemic, and more. The challenges of public health are not simple, and they can be politically charged. It is therefore imperative that we advance the knowledge base and scientific underpinnings of public health programs and policy. Read how our faculty members are doing just that beginning on page 4. Connecting to the public health community is a critical part of the School’s outreach activities. As you can see on page 13, the School’s Center for Public Health Education and Outreach conducted hundreds of courses last year to keep those on the front lines protecting the health of communities up to date on the latest public health issues. The publication of this annual report marks the end of my third year as dean at the University of Minnesota School of Public Health. I came to Minnesota because I saw an amazing opportunity to be part of a truly exceptional school. We enjoy strong working relationships with numerous external stakeholders, including the Minnesota Department of Health, the Minnesota Public Health Association, as well as many corporate and community partners. Alumni and friends of the School continue to make many important contributions to our success. Students, faculty, and staff are exceptionally talented and highly motivated. Bottom line—the school is robust. We have the momentum, the ingenuity, and the energy to continue to advance our mission and the field of public health.

Selected Presentations John Adgate. “Research Challenges: Assessing Children’s Pesticide Exposures.” National Academy of Science’s Science, Technology and Law Program, Committee on the Use of Third Party Toxicity Research with Human Research Participants. Washington, DC. March 2003. Bradley Carlin. “Hierarchical Multivariate CAR Models for Spatio-temporally Correlated Survival Data.’’ Seventh Valencia International Meeting on Bayesian Statistics. Tenerife, Spain. June 2002. Lynn Eberly. “Testing for Non-proportional Hazards in Stratified Models.” Joint Statistical Meetings. New York, NY. August 2002. 2 University of Minnesota School of Public Health

Jean Forster. “Effects of Tobacco Policy on Youth Tobacco Use.” National Cancer Institute meeting, Tobacco Control Research: Investing in Science for the Public’s Health. Washington, DC. June 2003.

Cheryl Perry. “Mobilizing Youth for Tobacco-Related Initiatives in India.” NIH Fogarty International Center Conference on International Tobacco Control. New Orleans, La. February 2003.

Susan Gerberich. “Unique Occupational Injury Surveillance: Regional Rural Injury Study–II.” Congress of Environmental and Occupational Epidemiology. Barcelona, Spain. September 2002.

Peter Raynor. “Experimental Evaluation of Evaporative Losses During Metalworking Fluid Mist Sampling.” 2003 American Industrial Hygiene Conference and Exposition. Dallas, Tex. May 2003

Robert Jeffery. “Community-based Interventions and Government Policies for Addressing the Obesity Epidemic.” International Association for the Study of Obesity’s Ninth International Congress on Obesity. Sao Paulo, Brazil. August 2002.


POINTS OF PRIDE Research Funding With $48 million in sponsored awards from the National Institutes of Health in 2003, the SPH remains number one in NIH funding among schools of public health located at public universities. In FY03, the SPH brought in 16 percent ($82.9 million) of all University of Minnesota grants and contracts, second only to the Medical School.

Invited Speakers

Kelli Komro received the 2003 Early Career Award from the Society for Prevention Research, given in recognition of major advances to the field of prevention science during the first decade of one’s career. Dianne Neumark-Sztainer received the Lori Irving Award for Excellence in the area of Eating Disorder Prevention and Awareness from the National Eating Disorders Association.

Julie Gerberding, director of the Centers for Disease Control and Prevention, delivered the commencement address to the 2003 SPH graduates.

Cheryl Perry received the Research Laureate Award from the American Academy of Health Behavior, the highest honor bestowed by the Academy on an individual.

D.A. Henderson, who is credited with leading the World Health Organization effort to eradicate smallpox and who currently serves as special advisor to Health and Human Services Secretary Tommy Thompson, received an honorary doctor of laws degree from the University and delivered the School’s annual Gaylord Anderson Lecture.

William Riley was awarded the School’s Charles N. Hewitt Creative Teaching Award. Mary Story received the 2002 Betty Hubbard Maternal and Child Health Leadership award and the 2003 Max Seham Award in Social Pediatrics for her work and leadership in childhood nutrition.

Faculty Awards and Appointments Donna Arnett and Bradley Carlin were named Mayo Professors in Public Health, an honor bestowed on SPH faculty for outstanding accomplishments. Kathleen Thiede Call received the SPH Community Service Award in recognition of her involvement in community-based initiatives aimed at eliminating health disparities. Lynn Eberly was appointed to the Board of the Medical Follow-Up Agency, Institutes of Medicine. Susan Bartlett Foote was appointed by the Secretary of the U.S. Department of Health and Human Services to serve on the Medicare Coverage Advisory Committee. Jean Forster received the Outstanding Public Service Medal from the U.S. Secretary of Defense for her work as a member of the Armed Forces Epidemiological Board. Susan Gerberich was elected to the Governing Council of the American Public Health Association’s Injury Control and Emergency Health Services Section. Wendy Hellerstedt was awarded the Leonard M. Schuman Award for Excellence in Teaching, the School's highest teaching honor. James Jaranson was elected to be an independent expert for the International Rehabilitation Council for Torture Victims.

Selected Publications Adgate JL, Ramachandran G, Pratt GC, Waller LA, Sexton K. (2003). Longitudinal Variability in Outdoor, Indoor, and Personal PM2.5 Exposure in Healthy Nonsmoking Adults. Atmospheric Environment. 37(7):993-1002. Banerjee S, Wall MM, Carlin BP. (2003). Frailty Modeling for Spatially Correlated Survival Data, with Application to Infant Mortality in Minnesota. Biostatistics. 4:123142. Eberly LE, Stamler J, Neaton JD. (2003). Relation of Triglycerides, Fasting and Non-fasting, to Coronary Heart Disease Mortality. Archives of Internal Medicine. 163:1077-1083. Foote SB. (2002). Why Medicare Cannot Promulgate a National Coverage Rule: A Case of Regula Mortis. Journal of Health Politics, Policy and Law. 27:707-730. Forster JL, Chen V, Blaine TM, Perry CL, Toomey T. (2003). Social Exchange of Cigarettes by Youth. Tobacco Control. 12:148-154. French SA, Story M, Fulkerson JA, Gerlach AF. (2003). Food Environment in Secondary Schools: A La Carte, Vending Machines, and Food Policies and Practices. American Journal of Public Health. 93:1161-1167. Gerberich SG, Sidney S, Braun B, Tolan K, Tekawa I, Quesenberry C. (2003). Marijuana Use and Injury Events Resulting in Hospitalization. Annals of Epidemiology. 13(4):230-237. Hennrikus DJ, Pentel PR, Sandell SD. (2003). Preferences and Practices Among Renters Regarding Smoking Restrictions in Apartment Buildings. Tobacco Control. 12:189-194. Jeffery RW, Utter J. (2003). The Changing Environment and Population of Obesity. Obesity Research. 11(suppl):12S-22S. Perry CL, Komro KA, Veblen-Mortenson S, Bosma LM, Farbakhsh K, Munson KA, Stigler MH, Lytle LA. (2003). A Randomized Controlled Trial of the Junior High D.A.R.E. and D.A.R.E Plus Programs. Archives of Pediatrics and Adolescent Medicine. 157:178-184. Raynor PC. (2002). Flow Field and Drag for Elliptical Filter Fibers. Aerosol Science and Technology. 36(12):1118-1127.

Robert and Rosalie Kane received the 2003 Dutch Kastenbaum Outstanding Gerontologist Award, given to those who make significant contributions to the lives of older people in Minnesota.

Story M, Sherwood NE, Himes JH, Davis M, Jacobs DR, Cartwright Y, Smyth M, Rochon J. (2003). An After-school Obesity Prevention Program for African-American Girls: The Minnesota GEMS Study. Ethnicity and Disease. 13:S54-S64. Veninga RL. (2003). Great Work Environments: 10 Strategies That Will Transform Your Organization. Health Progress. Points of Pride 3


RESEARCH so high, they affect the quality of indoor air. So LPG homes there have 10 times the amount of harmful particles than LPG homes in developed countries. That amount becomes 20 times worse in kerosene-burning homes.” They also found that women in traditional fuel-burning homes have significantly deteriorated lung function, worse than the researchers had anticipated. “I was shocked at how bad it was,” says Ramachandran. To get a better picture of these health effects, Ramachandran is collaborating with SPH colleagues. He has enlisted Bruce Alexander to lead an epidemiological study of 500 additional women and is working with William Toscano, head of Environmental and Occupational Health, to measure chemicals within the lungs. Homes in Bangalore, India.

Uncovering the Dangers of Indoor Air Pollution Photos: Sarah Harnden

Jaya is a 35-year-old woman living in Bangalore, India. Like most of the poor women in her country, her days are spent in a one-room straw and cement home. Like most Indian women, she doesn’t smoke. So why, when tested, do the lungs of this woman appear to be those of a 65-year-old? “Women in developing countries like India do all of the cooking,” says Gurumurthy Ramachandran, professor of environmental and occupational health. “They work in poorly ventilated homes with traditional fuels like wood, coal, and kerosene, which are very dirty and harmful to the lungs.” While identifying the cause of chronic respiratory diseases isn’t difficult, alarmingly little research has been done to address a problem that also affects millions of women in Southeast Asia, Latin America, and Africa. That prompted Ramachandran to lead an in-depth study to measure both indoor air pollution and its effects on lung health. After conducting field studies in 230 Indian homes in two cities, Ramachandran’s team found that women who use kerosene are exposed to harmful particles at twice the level of those who use liquefied petroleum gas (LPG)—a fuel option that is as clean as natural gas, which is used throughout the developed world. “But it gets worse,” he explains. “In India the levels of outdoor air pollution are 4 University of Minnesota School of Public Health

As evidenced by the black stain on the wall, cooking fuels are the cause of harmful indoor air pollution in India.

The body creates these chemicals, called cytokines, when it is exposed to harmful airborne particles. With a problem this pervasive and complex, clear causes don’t equate to easy solutions. Fueling homes with LPG is economically difficult in developing countries where kerosene is priced comparatively cheaper. But in the long term, LPG is the least expensive option. Ramachandran is working with SPH economist Robert Town to identify possible subsidies with the hope of finding viable LPG pricing. “The irony is that in India the upper class is actually paying less for fuel than the middle and lower classes,” says Ramachandran, “But there’s also hope in using this information to change things.”


The study was not limited to just physical assaults but also included non-physical violence such as threats, verbal abuse, and harassment. Because little is known about this topic, Gerberich estimated conservatively that five percent of nurses experience work-related physical assaults per year. Her study found a more troubling reality: Per year, 13 percent of Minnesota nurses experience physical assaults and 38 percent experience non-physical violence. “Those numbers don’t account for multiple assaults and non-physical violence events against the same individual,” she adds. Patients were found to be the primary perpetrators of physical assaults, while patients and coworkers contributed to non-physical violence events. Certain factors were also associated with decreased risks of assaults, including bright lighting and equipping nurses with cell phones or portable alarms. Gerberich plans to use these findings as a basis for further in-depth research, which includes evaluation of relevant interventions. “The more we understand the factors associated with assaults against nurses, and test the efficacy of various strategies, the more effective we will be in helping to decrease the violence problem in this profession.”

Making the Work Environment Safer for Nurses

On the Leading Edge of HIV Research

Work-related violence is a major public health problem. Homicide accounts for the third major cause of occupational fatality, overall, and is the second major cause for women. While there has been some research in the area of work-related homicide, little is known about non-fatal work-related violence. Susan Goodwin Gerberich, professor in Environmental and Occupational Health, is working to change that. She has directed the first major occupational-level research efforts aimed at understanding not only the magnitude and consequences of work-related violence against nurses but also the risk factors for physical assault. Her interest in studying nurses was prompted by an analysis she conducted of Minnesota workers’ compensation records, which showed that women had an assault rate twice that of men. “Based on those findings, I wanted to access a major occupational population that we knew was at risk,” says Gerberich, who directs the Center for Violence Prevention and Control. Her target population became all licensed registered (RN) and practical (LPN) nurses in Minnesota.

In the last year, Biostatistician Jim Neaton and his colleagues have made news not just for their findings on HIV treatments but also for taking on a pharmaceutical company that threatened to abandon research it deemed too costly to continue. Prescribed interruptions in antiretroviral therapy—or “drug holidays”—have become increasingly common in HIV treatment and have been the center of some debate. The Community Programs for Clinical Research on AIDS (CPCRA) recently reported the results of a study that found no benefit in treatment interruptions for those with drug-resistant HIV infection. Neaton directs the Statistical Center for the CPCRA and statisticians who work with him, Kathy Huppler-Hullsiek and Gary Collins, authored the report. Their study showed that interruptions in patients with advanced HIV may in fact hasten disease progression for those whose treatment has been rendered significantly less effective by the development of resistance to multiple anti-HIV drugs. continued on page 6

Research 5


RESEARCH continued from page 5

Neaton became involved with another treatment trial called SILCAAT when the pharmaceutical company Chiron announced a “business decision” to pull funding because the study they were sponsoring would take longer and be more expensive than expected. Chiron initiated the study to determine if the immunomodulator interleukin-2 (IL-2), which Chiron developed, could suppress the onset of AIDS in patients with advanced HIV. Nearly 2,000 people at 137 clinical sites in 11 countries had enrolled in the study. “Chiron was simply going to abandon them,” says Neaton. After several months of negotiations, the University of Minnesota, the National Institutes of Health (NIH), and Chiron reached an agreement whereby Chiron would fund the study through the University of Minnesota for significantly less than originally planned but hand over complete control of the study to the researchers, including Neaton. In addition, Chiron agreed to transfer the study’s investigational new drug to NIH. Through the School’s Coordinating Centers for Biometric Research (CCBR), Neaton assumed the study’s coordination, statistical, and data management functions. The CCBR plays a similar role for ESPRIT, the largest HIV treatment trial to date. ESPRIT is investigating the use of IL-2 among patients with less advanced HIV. Together, ESPRIT and SILCAAT involve more than 6,100 patients in 25 countries. Neaton is confident that the SILCAAT study is in better hands as it enters another five years of patient follow-up, and that the combined results of ESPRIT and SILCAAT will significantly advance knowledge about HIV treatments.

Working Toward a More Accurate Picture of Health Insurance Coverage As funds for public insurance programs become more strained, the need for a clear understanding of the nation’s uninsured becomes more important. To gain a more accurate picture of the uninsured, researchers at the School’s State Health Access Data Assistance Center (SHADAC) have been working with the U.S. Census Bureau to improve the way it analyzes and reports data from the Current Population Survey (CPS), one of the nation’s most utilized sources of socioeconomic information. SHADAC collaborated with the U.S. Census Bureau to determine the accuracy of public CPS data regarding health insurance coverage. Based on the strength of SHADAC’s findings, the Census Bureau revised its method of calculating estimates, increasing its standard errors by 55 percent. 6 University of Minnesota School of Public Health

“The Census Bureau was being too lenient in its calculations,” says SHADAC research fellow Michael Davern, who directed technical aspects of the collaboration. “By increasing the standard error, estimates of uninsured Americans have significantly improved.” The need for accurate data becomes even clearer when considering that CPS estimates are used in designing the federal formulas that distribute roughly $11 billion a year to public programs. SHADAC analysis revealed that between 1999 and 2002, random survey error contributed to fluctuations of nearly $10 million per state in State Children’s Health Insurance Program allocations. “In a time of severe budget deficits and rising health care costs, it is critical for policymakers to be able to distinguish real change in insurance coverage dynamics from random fluctuation due to survey error,” says SPH assistant professor Lynn Blewett, who directs SHADAC. “While technical in focus,” says Blewett. “These methodological improvements will affect policies that in turn will affect health care for millions of individuals. We are fortunate to have funding from the Robert Wood Johnson Foundation to focus on the policy implications of health services research.”


Educating About the Risks of Indoor Tanning A worrisome trend among teens is the desire to maintain a suntan year round. Hence, indoor tanning has become increasingly popular. This spurred epidemiology professors DeAnn Lazovich and Jean Forster to study the ways in which the indoor tanning industry is regulated and consumer awareness of the links between indoor tanning and skin cancer. Although a minor’s access to indoor tanning is regulated by state laws and local ordinances, compliance among business owners is low. In a study of Minnesota and Massachusetts tanning businesses, Lazovich and Forster found that when buying tanning sessions, teens reported that they were asked for parental permission less than 35 percent of the time. In addition, more than 80 percent of those businesses sold sessions to teens posing as customers. In attempting to discover the reasons behind the indoor tanning habits of teens, Lazovich and Forster found that children whose parents had used an indoor tanning booth in the past year were much more likely to have tried indoor

tanning themselves. They also found that teens and parents who tanned were less knowledgeable about skin cancer risks than their low-risk counterparts. “These results suggest that an effective indoor tanning intervention might be familybased,” says Lazovich. “It should try to change the tanning practices and beliefs of not just teens but also their parents.” To address the business side of the issue, Lazovich, Forster, and colleagues developed Equipping Leaders of Indoor Tanning Establishments (ELITE), an intervention designed to increase compliance of tanning businesses with regulations, especially those regulations designed to restrict access to underage buyers. The researchers are also pursuing funding to establish clearer links between indoor tanning and skin cancer. “Most studies in this area pre-date contemporary indoor tanning equipment,” says Lazovich. “We need to investigate the industry in its current state to accurately understand the health risks associated with it.”

Research 7


Dana Cruzen and Donovan Crew

EDUCATION

New M.S. Program Connects Students to Top Researchers

Distance Learning Courses Expand Classroom Walls and Minds A freshman learning about the perils of alcohol from older students. A biostatistics study group made up of students living in the United States, Spain, and Kenya. A classroom discussion that spans four time zones. These are all scenarios brought to reality in a pioneering crop of School of Public Health distance learning courses. The first online course of its kind, Alcohol and College Life, helps students navigate the pressures of freshman year. The course draws on research, accounts from real-life students who share their stories, and the teaching expertise of School of Public Health professor Jim Rothenberger. Rothenberger was one of the School’s first instructors to pursue the merits of Web-based instruction. Well loved by students, he is also the recipient of numerous teaching awards. “No matter how much technology we put between him and the students, Jim always comes through,” says Deborah Alexander, a web coordinator who helped design the course. “He’s a born teacher.” Students must agree: Enrollment has jumped from 80 to 300 during the course’s first two offerings. Similar trends in enrollment have occurred for three of the School’s online graduate courses, despite the challenges each presented in moving from a “brick to click” environment. 8 University of Minnesota School of Public Health

Associate professor Kristin Anderson wanted to enhance her online Fundamentals of Epidemiology course by offering students more than just text lecture on a computer screen. She and her teacher’s assistant storyboarded interactive Flash animation stories to illustrate concepts that have traditionally given students trouble. In professor Chap Le’s Biostatistical Methods, students post questions to discussion boards for other students to answer. “You could have a first-year master’s student learning from a physician who worked 15 years in Zaire, or a senior paramedic from South Dakota sharing stories with a health department virologist,” says Alexander. “It enables interaction with an amazing mix of people.” The most challenging move from a traditional classroom setting to an online format came with Fundamentals of Social and Behavioral Sciences, an interdisciplinary course team-taught by four professors that relies heavily on small group discussion. To achieve the same kind of interaction and spontaneity at a distance, the class used software that permitted instructors and students to talk with each other live and share notes through their Web browsers. Interactions are something akin to talk radio “but with a lot more substance,” says course director John Finnegan. Finnegan, who is also the School’s Associate Dean for Research and Academic Affairs, believes distance learning courses have changed—for the better—the roles of instructor and student. “Sometimes my job is to just get out of the way,” he says. “Learning now is often more peer to peer. Students are more in control of what they want to learn and how they learn it.”

Photo: Tim Rummelhoff

Recognizing that textbooks and classroom attendance alone are not enough to make students top health care experts, SPH faculty have redesigned the master’s program in Health Services Research, Policy and Administration. The program— which focuses on the organization, financing, and delivery of health care services—rolled out its revamped curriculum for the 2002-2003 academic year. The highlight of the new curriculum is a training program in which students work at various health care organizations and state agencies. In addition to working with top researchers on real-world projects, students earn a salary and qualify to have a portion of their tuition paid. Faculty used their industry ties to recruit the initial sponsors, which represent a mix of nationally recognized private and public organizations: Children’s Hospitals and


Clinics, HealthPartners Research Foundation, Ingenix, Minnesota Department of Health, Minnesota Veteran’s Administration, Park Nicollet Institute, and Stratis Health. “The training program allows me to apply problem-solving skills to pressing issues the industry,” says Donovan Crew, who is working at Ingenix, one of the industry’s largest private health care research companies. “Having Donovan on the Ingenix survey research team is a win-win situation,” says Dana Cruzen, manager of Survey Research Studies. “We gain a knowledgeable, contributing member, and he’s able to develop his skills in the arena of corporate health care research.” With a successful inaugural year, the program has more than doubled its sponsors. This will open the program to more students, giving them an invaluable learning opportunity as well as a helpful resource in funding their education.

SPH Launches Dual Degree in Veterinary Medicine and Public Health Students learn about the interrelation between animal and human health while touring an egg processing facility.

“Before this program officially began, some of our veterinary students began taking public health courses in anticipation of a dual degree,” says Will Hueston, professor and director of the University’s director of Center for Animal Health and Food Safety. “In fact, our students have been urging us to offer this program as soon as possible.” “When presented with the opportunity to pursue my MPH as a veterinary student, I jumped at it,” says Courtney Ikuta, a current student in the program, who last year completed a field project at the Veterinary Public Health Unit of the United Nations Food and Agriculture Organization. “A thriving DVM/MPH dual degree program is unique to Minnesota, and the enthusiasm with which my fellow veterinary students embraced the program demonstrates its potential impact.”

Education 9

Photo: Eric Miller

Developed in response to the critical national need for more veterinary public health professionals, the new dual Doctor of Veterinary Medicine/Master of Public Health (DVM/MPH) degree program is one of the first in the United States that enables students to complete work for both degrees in just four years. Offered for the first time in the 2002-2003 school year, the innovative MPH curriculum is designed so that students working toward a DVM at any accredited veterinary college nationwide can earn a dual Master of Public Health degree from the University of Minnesota School of Public Health. “Anthrax and West Nile virus demonstrate the interrelation between animal and human health,” says School of Public Health Dean Mark Becker. “Our goal is to help prepare professionals who can safeguard and enhance public health through their understanding of disease control in animal populations.” Students take public health coursework through online learning programs and during the summers of their veterinary training, including the three-week Public Health Institute offered each spring by the School. They also complete a field experience and a master’s project.


OUTREACH

Project Northland Chicago community organizers, from left, Angelique Orr, Mirlene Cadichon, and Maria T. Ramos.

hoods, kids get alcohol in parks,” says Linda Bosma, director of youth and community organizing for the program. “In other neighborhoods, merchants sell alcohol to minors.” Community organizers have assembled parent patrol groups to survey problem parks and create alternative activities like family festivals or movie nights. Asking alcohol merchants to sign a Project Northland pledge helps ensure that they will take precautions to prevent underage sales. “Parents are the most likely source of alcohol for young adolescents,” says Komro, who directed a survey of sixthgrade students in the program. The survey found that more than one-third of those who drank alcohol reported that the last time they had an alcoholic drink, their parent or guardian gave it to them. “Findings like these demonstrate why parent education and involvement are key components of our intervention,” says Sara Veblen-Mortenson, director of family and school initiatives for Project Northland Chicago. “We’ve really had to take time to build trust,” adds Bosma. “But it’s paying off now. We have a sense of what’s going on in these neighborhoods and what we need to do to make positive changes.”

Acclaimed Project Northland is Working in Chicago Developed by School of Public Health professors in the early 1990s, Project Northland is a nationally recognized intervention program aimed at reducing alcohol use among adolescents in rural areas, who, by virtue of their geography, are typically white. In the last two years, researchers have taken Project Northland to Chicago neighborhoods, establishing the largest community-wide alcohol prevention project of its kind to be funded in a racially diverse urban area. Project Northland Chicago—led by primary investigator Kelli Komro and fellow Division of Epidemiology investigators Cheryl Perry, Traci Toomey, Rhonda Jones-Webb, and Carolyn Williams—focuses on sixth- to eighth-grade students in 60 Chicago public schools and their surrounding neighborhoods. “Preventing early onset of alcohol use is very important, but also very difficult,” says Komro. “Project Northland Chicago encourages young people, families, schools, and communities to work together on this important public health issue.” Teachers in participating schools are trained in alcohol prevention curricula, and students are selected by their peers to lead the cause. The program also employs 10 full-time community organizers, dedicated to connecting with parents and neighborhood residents to form Community Action Teams. Each neighborhood has presented its own challenges in curbing adolescent access to alcohol. “In some neighbor10 University of Minnesota School of Public Health

SPH alumnae and current SPH mentor Haiyun Fan at a mentor program kickoff event.

Mentor Program Helps Prepare Next Generation of Public Health Leaders Sometimes it’s what students learn outside the classroom that starts them on a successful career. Connecting students to leaders in the public health field is the role of the SPH Mentor Program, one of the largest and most successful programs of its kind nationwide. The program has grown by double digits every year since its inception in 1995. During the 2002-2003 academic year, 120 students were matched with professionals representing 63 organizations from all sectors of the public health field, including the Mayo Clinic, 3M, and the World Bank. “A force behind the program’s momentous growth is mentors recruiting other mentors and generating enthusiasm


Minneapolis Girl Scouts practice for the KALC Radio Show with Calcy the Cow.

Partnering with the Girl Scouts to Build Strong Bones Bone fractures due to osteoporosis are a major health problem among older women. One important way to prevent fractures as an adult is to build bone density in adolescence. School of Public Health professors Simone French and Mary Story are working to build strong bones and life-long healthy habits in young girls. They are collaborating with local Girl Scout troops on Cal-Girls, a program to help fifth- and sixthgrade girls increase their calcium intake and bone-building physical activity. Fifteen participating Girl Scout troops are making Cal-Girls activities a part of their meetings for the next two years. These activities—which count toward Girl Scout patches and badges—include making “Calci-Yum” snacks, taking Bone-Builder Breaks for fun physical activities, and performing in the KALC Radio Show with Calcy the Cow, who answers questions about why its important for young girls to get enough calcium and exercise. The Cal-Girls staff also partnered with a local 4-H chapter to offer participating Girls Scouts a week-long summer day camp filled with similar activities. To encourage healthy behavior at home, girls and their parents for the program,” says program director Sharon Goodyear, can access helpful information from the Cal-Girls Web site who adds that new organizations are signing on every year. and complete take-home activities. “The program’s reputation is growing and employers are Bone scans and information taken throughout the two-year increasingly seeing the benefits of participating.” Students appreciate the benefits as well. Mentoring relation- study will help determine the program’s effectiveness in increasing bone density. “Research has shown that only three of ships have brought students into workplace activities not 10 6- to 11-year-old girls meet daily calcium recommendations, commonly open to outsiders, and led many to refine their and only 25 percent of adolescent girls get regular amounts career goals. International students have been especially of physical activity,” says French, who is leading the study. grateful for the chance to learn about navigating the American public health system. “It’s a tremendous help for She hopes the Cal-Girls program can help to change those them to network with someone in their chosen field, even statistics and eventually become available to more Girl Scout troops, perhaps nationwide. for an hour once a month,” says Goodyear. “This has been a wonderful experience for us,” says Making connections in a vast, fluid field like public health Jennifer Freeburg, vice president of program for the Girl is crucial for students in determining which job is right for Scout Council of Greater Minneapolis. “The University of them. Goodyear says the program has helped students to Minnesota researchers have done an excellent job of tying become more strategic about their field placements and given them new direction in their careers. Most rewarding hands-on activities to our badges and designing a team for her is to see students become mentors themselves, after approach to help the girls set goals together.” “We chose to work with the Girl Scouts because their graduating and gaining some professional experience. Haiyun Fan was a student in the mentor program two years philosophy of promoting healthy behavior and self-esteem dovetails nicely with the Cal-Girls program,” says ago. Now, thanks in part to the guidance she received from her mentor, she’s an advanced biostatistician in the French. “The partnership is working out just how we hoped it would.” pharmaceutical division of 3M. She says she decided to become a mentor because she wanted to give back to the program. “It wasn’t long ago that I had questions about starting my career,” says Fan. “I’d like to help students who are in that position now.” Outreach 11


OUTREACH

Advising Government on Medicare Pricing The most contentious subject in current Medicare reform debates is whether traditional fee-for-service Medicare should engage in direct premium competition with private health plans. Advocates of increased competition, who believe that current levels of Medicare spending are unsustainable, say that competition will result in higher quality care and lower government costs. Opponents worry that direct price competition will threaten the viability of traditional Medicare. The answer to this debate depends, in large measure, on the degree to which Medicare beneficiaries are sensitive to differences in out-of-pocket premiums when they choose a health plan. Bryan Dowd and Roger Feldman, professors in the School’s division of Health Services Research and Policy (HSRP), have been providing technical assistance on Medicare reform to government agencies for nearly 15 years. Most recently, they have been working with the Centers for Medicare and Medicaid Services (CMS). Feldman and Dowd were the first to estimate the price sensitivity of Medicare beneficiaries using national data. Their latest study, commissioned by the CMS, looks at how out-of-pocket premiums affect the county-level market shares of private health plans in 12 University of Minnesota School of Public Health

Medicare, also known as Medicare+Choice plans. A second study, co-authored with Adam Antherly, a graduate of HSRP’s doctoral program now at Emory University, examined the same issue using individual-level data. About 80 percent of all Medicare beneficiaries can choose at least one M+C plan. Dowd and Feldman studied group demand for all U.S. counties that offer more than one M+C plan. In those markets, they found that for every $10 increase in premium, a plan lost 4 percent of its M+C market share. The individual-level study found similar results, and also showed that some individuals would switch altogether to the fee-for-service sector. What does this mean for the current debate over Medicare? Dowd says it shows that Medicare beneficiaries are in fact sensitive to out-of-pocket premiums, which makes arbitrary increases in premiums more difficult for health plans. Says Dowd: “These findings suggest that increased price competition in Medicare would help keep prices close to a health plan’s true costs.” “Many members of Congress appear ready to try competitive pricing for Medicare,” adds Feldman. “Recent debate over adding drug coverage to the Medicare benefit package may prompt them to try competitive pricing in selected markets.”


The School’s Center for Public Health Education and Outreach helps prepare those who work on the front lines of public health.

Center for Public Health Outreach and Education is Avenue for Life-Long Learning Although Adam Sekely doesn’t always consider himself a member of the public health workforce, as a hydrologist for the Minnesota Pollution Control Agency who often oversees the clean-up of hazardous materials, he is on the front line of protecting the public’s health. Sekely attended a 40-hour course on handling hazardous materials and responding to hazardous material emergencies earlier this year through the School of Public Health’s Center for Public Health Education and Outreach. Through a blend of classroom work and staged drills in which class participants donned respirators and protective clothing, cleaned up mock spills and evaluated hazardous materials,

Sekely expanded his knowledge on important public health issues and saw firsthand the importance of his role in protecting communities from harm. “The training I receive through the School of Public Health not only keeps me informed of the latest public health issues, it also teaches valuable skills I use in protecting the public from contaminated soil and ground water,” he says. The Center for Public Health Education and Outreach is a bridge to the public health community. In 2003, the center offered hundreds of continuing education programs for public health professionals, helped to plan and execute numerous workshops, oversaw the highly successful 2003 Public Health Institute, and collaborated with universities and agencies in other states on public health programming. Public health professionals from the Minnesota Department of Health and other state agencies, as well as professionals whose work takes them into the realm of public health (first responders, hazardous waste managers, etc.), see the center as an avenue to either explore the public health aspects of their job or keep current on latest developments in the field of public health. This work is made possible through numerous training grants from the Centers for Disease Control and Prevention, the National Institute for Environmental Health Sciences, Occupational Safety and Health Administration and the Health Research Services Administration, to name just a few. “The Center for Public Health Education and Outreach is an avenue for public health professionals to be life-long learners,” says Debra Olson, associate dean for public health practice education. “Whether someone is new to the field and looking for public health fundamentals or is on the front lines and looking to stay on top of emerging public health issues, we have something for everyone.”

Outreach 13


GRADUATES

Photo: Bill Alkofer

An Liu arrived in the United States and at the

14 University of Minnesota School of Public Health

many ways her background—in nursing, kinesiology, and clinical research—seemed to be leading her down a path toward epidemiology. But as she became increasingly aware of the importance of understanding the health care system and its relationship with clinical trials and treatments, Vincent switched her focus and became a Ph.D. candidate in Health Services Research, Policy and Administration. In August she became senior director of clinical research at Minneapolis-based Medtronic Neurological. Now she takes the perspectives she gained in the Division of Health Services Research and Policy into the workplace, directing the company’s clinical research from Phase II human trials through regulatory approval and into post-marketing studies on health outcomes and economics. Thinking about the economics of treatment and care early on is crucial, says Vincent, 42. And to do that, it’s essential to understand how the health care system works, from access to care to insurance to the flow of referrals. “My studies at the University of Minnesota School of Public Health helped me on a methodological and theoretical level to think about how a treatment is used in the real world,” says Vincent, who finished her dissertation in January 2003. “If you have the perfect treatment but it’s never utilized, then you haven’t achieved your mission.”

Photo: Bill Alkofer

University of Minnesota in 1997. But it wasn’t until 2001, when he started course work in the Division of Biostatistics, that he found a home here. “It’s a good atmosphere,” says the 33-year-old, who received an M.S. in biostatistics in March 2003. “Not only for studying but for friendships and living.” Liu had an introduction to biostatistics as an undergraduate at China’s Nankai University. He came to the University of Minnesota to study water resource science, developing skills in mathematics and statistical modeling. Still, biostatistics was fairly new to him when he switched programs. “It’s challenging but very interesting to me and very rewarding,” Liu says. “Statistics; it’s not just techniques, not just math. It’s kind of a thinking process. You can apply statistical thinking to almost anything.” In summer 2002, Liu began work as a biostatistician at St. Paul-based 3M Pharmaceuticals. His work includes designing clinical trials, analyzing the data collected, and assisting in the regulatory approval process. He’s grateful not just for his biostatistics education, but also for the School’s career services and mentor program, which matched him with a mentor who worked at 3M. “He’s now my supervisor,” Liu says.

Lisa Griffin Vincent acknowledges that in


Emily Hansen,

Photo: Bill Alkofer

Pam DeShaw

Photo: Jeff Jankowski

had already had a lengthy career as a registered nurse when she entered the Division of Epidemiology’s Community Health Education program in 2000. Having worked since 1982 in the emergency room at Fairview-University Hospital’s Riverside campus in Minneapolis, DeShaw found that many members of the area’s growing Somali community would come to the ER for their basic medical needs. Through her course work, DeShaw focused her M.P.H. studies on developing and evaluating outreach programs for immigrant communities. “I came out excited to make a difference,” she says. “And not afraid because I had a strong foundation of learning.” Now the December 2002 graduate is taking the skills she learned in the classroom back to the community, through different projects that offer health education to Minnesota’s Somali community. Among her many undertakings are health classes for Somali women and a survey of Somalis about their use of the emergency room. She plans to develop an education program incorporating videotaped classes on different health topics aimed specifically at the Somali audience. And, even though it was daunting for the 57-year-old DeShaw to return to school (amid mostly younger classmates), she’s found that her age and experience have helped her gain the trust of the Somalis she works with. “The older you are, the more respected you are,” she says.

as a student in the Environmental Health program, took an air pollution course that she remembers as challenging. Lately, it’s been coming in handy. In August, Hansen, who received her M.P.H. in October 2002, began an Association of Schools of Public Health fellowship at the Centers for Disease Control and Prevention in Atlanta. As part of the CDC’s Environmental Public Health Tracking Branch, she’s researching air pollution and asthma, and looking at ways to connect data between environmental hazards and chronic health problems in order to build a framework for future research hypotheses. Hansen says her experiences at the University of Minnesota School of Public Health offered her enormous opportunities. She’s grateful for the School’s mentor program and required field experience, both of which connected her with officials at the Minnesota Department of Health. Hansen worked there during her last year of school, developing a program in birth defect surveillance. That experience—and her master’s thesis on environmental and public health surveillance—helped her land the coveted CDC fellowship. “When I went into the program I wasn’t sure what I wanted to focus on,” says Hansen, 27. “It allowed me to be flexible and try out several different areas. It put me in a place where I can work effectively with different professionals.”

Graduates 15


PHILANTHROPY

Chair in Pediatric and Community Health and is the recipient of the 2003 Josie R. Johnson Human Rights and Social Justice Award. Sue Deinard is a graduate of the University of Minnesota School of Nursing and has worked at the University of Minnesota Hospital and Clinic and Fairview-University Medical Center for more than 40 years in inpatient neurology and neurosurgery, and in outpatient neurology, dermatology, and surgery. Amos Deinard says he wishes to “blend a commitment to children with the vision of public health from the vantage point of a faculty member within the University.�

Amos Deinard

Amos and Sue Deinard: Bridging the Practices of Medicine and Public Health Photo: Bill Alkofer

Many professionals in the medical field are just beginning to understand the importance of viewing their work from a public health perspective. Increasing debate on how to best address infectious diseases, the obesity epidemic, and access to health care is underscoring the need for physicians and nurses to have a grounding in public health practices. Understanding the cultural and environmental factors that impact patient health has long been the focus of Amos and Michael Osterholm and Michael Ciresi Sue Deinard, who through an endowed gift support the Amos and Sue Deinard Public Health Fellowship Fund. Established in 2002, the fund supports University of Minnesota Department of Pediatrics residents or fellows who wish to earn a Masters of Public Health or nurses pursuing a degree or certificate at the School of Public Health. Since it began, just days before the terrorist attacks of Amos Deinard is an alumnus of the University of September 11, the Center for Infectious Disease Research Minnesota Medical School and the School of Public Health. and Policy (CIDRAP) directed by SPH faculty member He was director of the Community-University Health Care Michael Osterholm, has been a trusted national source for Center for 15 years and is a long-time faculty member in information on issues surrounding infectious diseases, Pediatrics and Epidemiology. He holds the Ruben-Bentson bioterrorism, and food safety.

Michael Ciresi: Advancing the Mission of Public Health Preparedness

16 University of Minnesota School of Public Health


John Pfrommer: Combining His Belief in Education and Public Health “If people have the ability and are willing to work hard, money shouldn’t preclude them from developing to their full potential,” says John Pfrommer, who has established three scholarship funds for School of Public Health students, and who this past year became a member of the Trustees Society, which recognizes donors who have given a cumulative gift of $100,000 or more to the University of Minnesota. Pfrommer’s belief in access to education comes from his own experience attending college and medical school on the military’s GI Bill and having received his M.P.H. at the urging of his superiors in the U.S. Air Force. Pfrommer has been a strong advocate of public health and the treatment of populations (versus individuals, the traditional medical paradigm) since his days in both graduate and medical school. But it was his career as a flight surgeon and subsequent travels throughout the world for the Air Force that gave him a population health perspective that he believes made him a better physician. When he later became an administrator of Air Force hospitals, Pfrommer continued to put his public health background to good use. “The military provides the ideal population in which to administer the basic public health tenet of prevention, whether you’re talking about infectious disease, mental health, or a host of other conditions,” he says.

CIDRAP’s doors only were open during this critical time because of the support of organizations like Robins, Kaplan, Miller, and Ciresi, LLP, which through its Foundation for Education, Public Health, and Social Justice has given a total of $850,000 to fund the work of the center. Michael Ciresi, senior partner at the firm, believes CIDRAP plays a vital role in public health preparedness. “This center is having a national and international impact on our thinking about critical public health issues,” says Ciresi. “Dr. Osterholm’s experience and leadership make him eminently qualified to lead the center. He is one of the most sought after experts in the country on bioterrorism and other public health issues.” Osterholm says that without Ciresi’s vision, CIDRAP would like have remained “just a planning document and hopeful conversation. The center is now one of the nation’s leading voices in public health preparedness.”

SPH Dean Mark Becker, right, acknowledges John Pfrommer, left, for his generous support of the School.

Pfrommer has always been interested in the social aspects of medicine. He recalls his days as a University of Minnesota medical student in the late 1940s when president Harry Truman became the first national politician to support the notion of a nationalized health service. Pfrommer heard similar sentiments being echoed at the time by Minneapolis mayor Hubert Humphrey. “Those two ignited a belief I already had in the importance of public health,” he says.

Philanthropy 17


CENTERS The School of Public Health is host to nationally and internationally recognized centers focused on high-caliber research, outreach, and training. Reflecting the breadth of research conducted within the School, these centers share a common goal of improving the health of all populations—and in doing so, they play a critical role in advancing the mission of the School.

Center for Environment and Health Policy (CEHP) Interim Director: William Toscano Focuses on improving the assessment, management, and communication of environmental health risks and fostering better environmental policy decisions. www1.umn.edu/eoh/files/research.html

Center for Infectious Disease Research and Policy (CIDRAP) Director: Michael Osterholm Strives to reduce illness and death from infectious diseases by conducting original, interdisciplinary research and by facilitating public policy refinement and the adoption of science-based best practices among professionals and the public. www.cidrap.umn.edu

Center for Public Health Education and Outreach (CPHEO) Associate Dean for Public Health Practice Education: Debra Olson Identifies professional and public learning needs and develops strategies to meet them in partnership with School faculty and public health professionals. www.cpheo.umn.edu Training centers within CPHEO include: • University of Minnesota Center for Public Health Preparedness • Midwest Center for Life-Long-Learning in Public Health • Midwest Center for Occupational Health and Safety (CE) • Midwest Consortium for Hazardous Waste Worker Training, partner • Great Lakes Regional OTI Education Center, partner

Center for Violence Prevention and Control (CVPC) Director: Susan Gerberich Facilitates interdisciplinary collaboration in research that can ultimately affect the prevention and control of violence. www1.umn.edu/cvpc/

Center for Youth Health Promotion (CYHP) Director: Cheryl Perry Disseminates to schools and communities innovative youth health promotion programs and materials created in the Division of Epidemiology. www.epi.umn.edu/cyhp/

Center on Aging (COA) Director: Robert Kane Fosters basic and applied interdisciplinary research and education in gerontology and geriatrics education, research, and service. www.hsr.umn.edu/coa/ 18 University of Minnesota School of Public Health

Center to Study Human-Animal Relationships and Environments (CENSHARE) Director: R.K. Anderson Creates opportunities to acquire, disseminate, and apply knowledge about the relationship between animals, humans, and their shared environment to improve the quality of life for all. www.censhare.umn.edu/

Clinical Outcomes Research Center (CORC) Co-Directors: Robert Kane and Marc Swiontkowski Offers an opportunity for clinical research faculty to develop projects that address the outcomes of care. CORC is a joint venture of the Medical School and the School of Public Health. www.hsr.umn.edu/corc/

Data Collection and Support Services (DCSS) Center Director: Phyllis Pirie Assists Division of Epidemiology investigators with data collection and handling for health-related studies. www.epi.umn.edu/admin/dcss.shtm

Epidemiology Clinical Research Center (ECRC) Director: Kristine Ensrud Facilitates studies that conduct research in osteoporosis, diabetes, obesity, estrogen, exercise, and cardiovascular disease prevention. www.epi.umn.edu/about/ecrc.shtm

Health Services Research Survey Center Director: Todd Rockwood Supports SPH research and partners with public health organizations in designing, conducting, and analyzing mail, telephone, and in-person surveys. www.hsr.umn.edu/res_pubs/info/researchcenters.htm

Managed Care Center Director: Doug Wholey Supports research related to managed care organization and performance and develops educational activities related to managed care. www.hsr.umn.edu/mcc/


Midwest Ecological Risk Assessment Center (MERAC)

Regional Injury Prevention Research Center (RIPRC)

Director: Deborah Swackhamer Integrates the emerging science of ecological risk assessment into existing environmental research and graduate education programs and serves as a centralized resource on ecological risk assessment for the Upper Midwest. www.merac.umn.edu/

Director: Susan Gerberich Provides a multidisciplinary program for the prevention and control of injuries, including catastrophic and long-term disabling injuries, with attention to the rural environment. www1.umn.edu/eoh/files/research.html

Minnesota Area Geriatric Education Center (MAGEC) Director: Robert Kane Pursues an interdisciplinary approach to advancing the quality and quantity of geriatric content in the health sciences. www1.umn.edu/coa/MAGEC/magec.html

Minnesota ECG Coding Center Director: Richard Crow Documents the prognostic and diagnostic value of electrocardiography for epidemiological studies and clinical trials nationally and worldwide. www.epi.umn.edu/research/index.shtm

Minnesota Technical Assistance Program (MnTAP) Director: Cindy McComas Helps Minnesota businesses implement solutions that maximize resource efficiency, prevent pollution, and reduce costs to improve public health and the environment. www.mntap.umn.edu

Nutrition Coordinating Center (NCC) Director: John Himes Develops, provides, and supports state-of-the-art methods and databases for researchers collecting and analyzing dietary data. www.ncc.umn.edu/

Research Data Assistance Center (ResDAC) Director: Marshall McBean Provides assistance to academic, government, and non-profit researchers interested in using Medicare and Medicaid data for their research. www.resdac.umn.edu/

Rural Health Research Center (RHRC) Director: Ira Moscovice Conducts research and disseminates information that will help policymakers better address the unique health care needs of rural America. www.hsr.umn.edu/rhrc/

State Health Access Data Assistance Center (SHADAC) Director: Lynn Blewett Helps states monitor rates of health insurance coverage, understand factors associated with uninsurance, and evaluate state policy initiatives. www.shadac.org

Centers 19


BY THE NUMBERS The following financial, enrollment, and employment figures reflect the School of Public Health’s positive momentum. Despite cuts in state funding, shown here over the last ten years, the School’s total revenues have increased almost 250 percent since 1993. This tremendous growth is due in

Revenue Sources Tuition and Fees State Support (includes State Special) Indirect Cost Recovery Other - Sales, Fees and Gifts Grants Total Revenue

great part to the School’s outstanding faculty, whose research attracts grants from a variety of funding agencies. Top-tier research and educational programs have contributed to a steady increase in student enrollment and kept faculty ranks consistently strong over the last decade.

1993 n/a* 6,924,758 1,413,636 2,714,599 27,390,827 38,443,820

1998 1,810,892 4,217,585 3,988,218 5,611,891 36,178,819 51,807,405

2003 4,477,547 5,532,280 6,253,717 9,419,520 67,030,038 92,713,102

1993 620 366 167

1998 544 362 148

2003 759 599 148

1993

1998

2003

72 17

62 30

71 30

*In 1993, tuition was included in the State Support. 1993 source: U of M Allocation sheet and

U of M Institutional Reporting 1998 source: U of M Allocation sheet

and U of M Academic Health Center reporting system

Applications Student Graduates Source: Association of Schools of

Public Health 2002 Annual Report

Faculty Tenured/Tenure-Track Non Tenure-Track Source: U of M Institutional Reporting

20 University of Minnesota School of Public Health


S C H O O L O F P U B L I C H E A LT H DONORS 2002-2003

$10,000 plus 3M Company Dr. Mark P. Becker and Laura Voisinet Buffets, Inc. Children’s Healthcare Children’s Hospitals & Clinics Ecolab, Inc. General Mills Foundation Greycoach Foundation Ingenix Enterprise Technology Ion Beam Applications Mountain States Group, Inc. Park Nicollet Health Services Dr. John R. Pfrommer, Jr. Roland B. Queneau Dr. Leon S. and Nancy A. Robertson Robins, Kaplan, Miller & Ciresi LLP Foundation Dr. Leonard M. Schuman Stratis Health UnitedHealth Foundation The William Randolph Hearst Foundation Ophelia Wright

$5,000 – $9,999 Harvard University Johns Hopkins University

$2,500 – $4,999 Dr. James L. and Roberta A. Craig Joan L. and James P. Gardner Drs. Stephen P. Glasser and Donna K. Arnett Ingenix Pharmaceutical Services University of Iowa Foundation Dr. Russell V. and Ellen T. Luepker, M.S.W. USF Medical Services Support Corporation Dr. James D. and Linda D. Neaton

$1,000 – $2,499 Susan Bartlett Foote and Senator David Durenberger Care Providers of Minnesota John E. and Jane Y. Connett Dr. Bryan E. and Susan Dowd Calvin Drake Ruth E. and Robert E. Foster Drs. Susan Goodwin and William W. Gerberich Dr. Frederick C. and Mary R. Goetz Dr. David C. and Terri B. Goff David R. Jacobs, Jr., Ph.D. Midwest Dairy Association Dr. Geary W. and Gail Olsen Dr. Michael M. Pullen Stephen J. and Jennifer Rapatz-Harr The Rathmann Family Foundation Dr. Cheri and Arthur J. Rolnick Dr. Eyal and Hava Shahar, R.N. Dr. J. Michael and Lynn K. Sprafka Alice M. Stang Lee D. Stauffer John E. Vilandre Dr. Lyle P. and Rosemary Vogel Susan K. Whitney Barker and Joel A. Barker Dr. Douglas R. and Dolores J. Wholey

Donors 2002-2003 21


DONORS 2002-2003

$1 – $99 Kenneth J. and Marylynn H. Aalderks

Dr. Lynn A. Blewett and Christian L. Franken

Community Hospital

Abdul Abba

Dr. Marvin J. and Shirley K. Block

Connect / US-Russia

Adams County Memorial Hosptial

Lori L. and John J. Boland

Dr. Donald P. and Roscella Connelly

John C. and Janette C. Albaugh

Margaret L. and David A. Bolte

Maureen D. Connor

Deborah J. K. Alexander

Sharon K. Borg

Susan L. Cooper

American Express Gift Matching Program

Bruce and Paulette Bowersox

Laird P. and Marcy L. Covey

American Hospital Association Services, Inc.

Arlene P. Bowles

Richard A. Cranford

Dr. Daniel M. Anderson and Marilyn E. Gyllstrom

Michael and Deena Bradley

Crete Area Medical Center

Donna M. Anderson

Peggy A. and Allen N. Brewer

Dr. Richard S. Crow

Dr. Kristin E. Anderson and Robert W. Reilly

Bonnie L. and Robert E. Briggle, Jr.

Evelyn M. and John J. Crowley

Dr. Robert K. and Winifred Anderson

James J. and Mary Ann Brinda

Laurie J. and Terry Dahl

Teresa Asper and Joel Peter Anderson

Brookdale Animal Hospital

Dr. Kathleen A. and Joseph Daly, J.D.

Ann M. and Jeremy M. Andrews

Elsie E. Brown

Col. Karl J. and Shirley Ann Daubel

Anonymous Donor

Merilys P. Brown

Alice B. Daugherty

James M. Armbrust

Richard O. and Drea Brown

Dr. Eunice A. and Gordon Davis

Thomas J. Arneson, M.D.

Sheila A. and Thomas E. Brunelle

Sharrel E. Davison

Ascension Health

Colette K. and Charles Brust

Gary L. and Jean C. Dean

Peter C. Ashbrook and Amanda H. Shepherd

Dr. Keith D. and Monika R. Burau

Frances A. Decker

Sister Mary Madonna Ashton

Dr. Howard B. and Margaret H. Burchell

Eileen J. Decorah

Diana A. and David Aston

Dr. John A. Burkart

Debra and Daniel Dees

Lila M. Atkisson

Burkart Associates

Barbara J. and Thomas DeLorenzo

Kishan P. S. and Rupinder K. Aujlay

Timothy D. Burkhardt

Dr. David L. and Kathryn J. DeMets

Automatic Data Processing, Inc.

Stephen J. and Sandra J. Burwell

Cathy Moore and Michael J. Denton

Evelyn A. Ayers and Timothy J. Looby

Dr. John L. and Bonnie J. Butenhoff

Dr. Donald G. and Vivian DeValois

Claudia Anne Baier

Susan Kripke and Jeffrey J. Byers

Dr. Stanley L. and Darlene Diesch

Dr. Barry K. and Sandra L. Baines

George and Kristine Byrns

Dr. Robert A. and Mary Ann Dietl

Dr. Macaran A. and Iris M. Baird

Lauren Weisser Cantu

Li Ding

Dr. Carl L. and Mary R. Bandt

Lynne F. and Dr. Lawrence R. Carleton

Ronald E. Dorris

Sharbani Chattopadhyay and Sudipto Banerjee, Ph.D.

Dr. Bradley P. and Caroline S. Carlin

Douglas County Hospital

Blaine B. and Arlene Q. Barker

Glenn D. and Bernice A. Carlson

Mary Kathryn Dozier

Susan M. and George F. Batchelder

Julie L. and Shannon D. Carlson

Carol Russell Drinkard, D.D.S., Ph.D.

Kenneth D. Bearman and Karla J. Larsen

Lawrence L. and Linda S. Carlson

Dr. David W. Drummond

Jean and Allan J. Beckel

Jeanette R. and Dr. Claude W. Carraway, Jr.

Brian N. and Mary D. Duehring

Jo Ann Beckie

Kathryn A. Carver

Arthur E. and Diane M. Dunn

Janet H. Benson

Nancy E. and Lewis M. Casey

Dr. Caroline L. Dunn

The Paula & William Bernstein Foundation

Michael B. Cavanagh and Jill M. Carlson

Drs. Katherine L. Duvall and Alexander S. Bozanich

Dr. Boris and Marina Bershadsky

Center for Oral & Maxillofacial Associates PC

Barbara M. Eaton

Dr. Everett D. Besch

Benjamin Y. and Chun-Lin G. Chan

Edward R. and Elvina Eberhardt

Roberta J. Bessette

Shun An Chang

Dr. Lynn E. Eberly and J. Andrew Scherrer

J. Maria Biernot, D.D.S.

Dale Jeanne Chapman

Kristen and Dr. Daniel Ehresmann

Alison S. Birchard

Donald K. H. and Cissie Y. Chock

Carol J. Eisenmann

Amanda S. Birnbaum, Ph.D.

Jai W. and Grace P. Choi

Mildred R. and Dr. John K. Emerson, Jr.

Dr. Ariel E. Birnbaum

Mary Lou Christensen

Gordon W. and Lynnette K. Engdahl

Dr. Henry W. Blackburn and Stacy L. Richardson

Wendy L. Christianson

Beverly A. Erickson

John T. and Kim A. B. Blair

Dora May Coleman

Dr. James H. and Shirley A. Erickson

Karyl K. and Edward A. Blair

Lynette T. and Phillip M. Collier

Steven M. and Julie Evans

22 University of Minnesota School of Public Health


Martin and Kathryn Fattig

Nina M. Hakanson and Mark J. Peschel

Carol E. Jackson

Margaret M. and Richard Ferber

Jennifer A. Hall

Dorothy O. and John S. Jackson

Dr. Isabel D. Fernandez

Glen F. and Helen Jean Hallman

Dr. Gerald A. and Naomi J. Jacobson

Fidelity Investments Charitable Gift Fund

Colleen M. and Michael G. Seliga Halpine

Kenneth E. James

Dr. Gary Filerman

Mary M. and David J. Hand

Ronald G. and Deborah E. Jans

Dr. Howard A. Fink

Peter J. and Nancy E. Hannan

Dr. James M. Jaranson

Janice M. and John R. Finnegan, Jr., Ph.D.

Hans Tronnes Associates

Dr. Robert W. and Betsy Jeffery

Gerald R. and Geraldine Fitzgibbon

Carol M. Hansen

Neil C. and Karen J. Jensen

Randall M. and Tina L. Flint

Greg and Stella Hanson

Deborah Bearman and Dr. Theodore T. Jewett

Noelle J. Follen

Marie F. Hanzel

Brenda G. Johnson, Ph.D.

Christine E. Follett

James N. Harbo, D.D.S.

Dr. Byron R. and Virginia W. Johnson

Dr. Aaron R. Folsom

Charles and Kristin Harms

Gary R. and Cynthia A. Johnson

Dr. Jean L. Forster

Dr. Lisa J. Harnack

Lynn Johnson

Dr. Stephen Fortmann

Patricia F. and Peter G. Harper, Jr.

Meryl E. and Bonnie S. Johnson

Annette J. Foss

Thomas B. and Cecelia Hart

Rosalind E. Johnson and Jerry R. Fruetel

Mr. and Mrs. Dan P. Fox

Johanne Harvey

David B. and Jill C. Jordahl

Suzanne M. Frase

Jane M. Harwood and Robert D. Petrosik

F. D. and Ning G. Jordan

James R. Freed

Bruce G. and Anne D. Haskin

Kathy Y. and Douglas D. Karsting

Dr. John Gordon and Ruth Freymann

Beverly J. and Roe H. Hatlen

Nancy A. and Kenton R. Kaufman

Dr. Joseph E. Fruland

Hatlen Foundation

Linda E. Keating

Dr. Gary D. and Jeanne Gackstetter

Helen Haverland

James E. Kelly and Laura R. Long

Dr. John W. and Nikki Gage

Healthcare Productivity Services, Inc.

Nancy M. Kelly

Susan M. Gapstur, D.V.M.

William J. and Cheryl L. Heath

Marla R. Kendig

Jennifer J. and Michael J. Gassman

Gregory M. and Linda K. Heck

Susan K. Kiley

GE Foundation

Craig W. Hedberg and Dorothy M. Jung

Charles T. and Mary V. Killian

Rita E. Gengler

Barbara J. Heideman

Andrea Kish, M.A.

Gail A. Gentling and Timothy Thorstenson

H.J. Heinz Company Foundation

Dr. George G. and Marjorie G. Klee

Dr. Ulric P. and Rosemary E. Gibson

Jonathan and Margaret Hellerstein

Dr. Lisa M. and Robert Klesges

John P. and Denise D. Glaser

Dr. Deborah J. Hennrikus

Dr. Susan E. Kline and Nirmal K. Bhattarai

Michael R. and Janet C. Gloor

Vonna J. and Richard W. Henry

Kathryn H. and Edwin W. Knowles, Jr.

Dr. Christopher J. Goerdt

Deborah K. Hiatt

Judith K. and David O. Knutson

William E. and Nili R. Gold

Gayle Hitson

Kenneth J. Koehler, Ph.D.

Richard H. and Audree A. Gordon

Laurel R. S. Hoff

Dr. Helen R. Kohler

Warren Y. and Ki Ki K. Gore

Dr. Richard G. Holcomb

Rebecca L. Kolinski

Katherine Graff

Steven M. and Mary E. Holman

Dr. Katherine M. Konzen

William B. and Mary Jo M. Graham

D. M. Holmgren

Peggy L. Kopf, M.P.H.

Dr. Ian A. Greaves

Debra R. and Joe P. Honey, Jr.

Dr. Richard A. Kopher

Dr. Michael N. and Patricia K. Gregerson

Wendy Joy and Dr. Edward P. Horvath, Jr.

Gerald E. Korbel

Judy K. and James D. Griffin, Jr.

Patricia House

Dr. Rahul S. and Manisha Koushik

Jayne M. Griffith

Household International

Erin Lydia Kraker

Glen A. Groves

Dr. George and Virginia J. Howard

Lt. Col. Margot R. and Gene L. Krauss

Clay T. Gustafson

Ann D. Hueller

Dr. Thomas D. and Janice Kummet

Roger G. Gustafson

Dr. William D. Hueston and Pamela J. Hand

Karen E. Kun

John J. and Judith Guzewich

Clint R. and Jennifer J. Hurt

John and Cindy Kurvink

Dr. Mylo M. and Lucille D. Hagberg

Interim Leadership, Inc. LLC

Dr. John H. Kvasnicka and Solveig A. Hansen

Marian E. Haij

Marjorie and Rev. Delmar Intveld

Barbara Kyle Donors 2002-2003 23


DONORS 2002-2003

Lafayette United Fund

Richard B. and Rosemary McHugh

Dorothy W. and Ferdinand R. Ohnsorg

Curtis L. and Marjorie O. Larson

Dr. Joseph K. and Jeanne F. McLaughlin

Dr. Thomas H. and Charissa Oliphant

Susan C. and Scott L. Larson

Christopher J. McLinn

Alicia V. Olson

Chris Laszcz-Davis

Meded Health Science Software

Debra K. and Gary G. Olson

Peter S. and Martha Laudert

Sarah M. Meek and Eric F. Swanson

Janet E. Olson

Larry A. Laudon

John T. and Helen M. Melbourn

Muriel S. and Roger D. Olson

Dr. Chap T. and Minhha Le

Metropolitan Pediatric Specialists, P.A.

Patricia A. and Lee B. Olson

Agnes T. Leitheiser and Jeffrey M. Schlosser

Jeffrey K. and Ann E. Meyer

Dr. Michael T. Osterholm and Barbara Colombo

Agnes T. Leitheiser and Jeffrey M. Schlosser

Dennis C. and Nancy A. Miley

Agnes A. Otieno

Drs. Arthur S. and Gloria R. Leon

Dr. Jeffrey S. and Susan M. Miller

Dr. Wei Pan and Yahui S. Li

Jane Ann Lewis

Dr. Johanna B. Miller

James S. Pankow and Megan Bard-Pankow

Angela S. Lillehei

Pamela J. Mink

William J. Parkhurst

Dr. Theodore J. Lillehei

Minnesota Institute of Public Health

John M. Patten

Kathryn M. and James A. Linde

Dr. Jingping Mo

Dr. Joan M. Patterson

Bruce and Deborah Lindgren

Mary C. and Eugene Mohni

Dr. Cheryl L. Perry and Sushil Kriplani

Heidi M. R. and Kevin G. Lindstrom

David and Reina Monaghan

Richard A. and Barbara L. Person

Doris W. Lister

E. Richard and Susan M. Moore

Linda M. and Steven C. Petersen

Muriel P. and Dr. Earl A. Loomis, Jr.

Jacqueline B. Moore

Bonnie Jane and Scott E. Peterson

Robert J. and Margaret S. Lorinser

Ann Moorhous

Eric M. Peterson

Dr. Thomas A. Louis

Dr. Ira S. Moscovice

Drs. Kevin A. and Alison M. Peterson

Dr. Bernard F. and Miriam T. Ludes

Diane Mountain

Dr. Lisa A. Peterson

Esther A. Ludewig

Dr. Donald H. and Ruth F. Mueller

Cathy L. Pfeil

Jeffrey A. Lulf

Mary J. Mueller

Pharmacia Foundation

Emily A. and Paul Lundberg

Drs. Michael R. Muellerleile and Jennifer G. Robinson

Sandra Pierce

Dr. Claudiu T. and Anca D. Lungu Mark P. Lunseth

Mary L. Mulcahy

Kathleen E. Lurn

Lorraine R. Mullis

Dr. Michael F. and Ann M. Lynch

Multiple Donors

Lori L. and Craig J. Malvey

Robert L. and Connie M. Murray

Rita Petty and Gerald B. Manninen

Gretchen G. Musicant

Robert E. and Mary Ellen Manske

Dr. Mark A. Nammacher and Mary Kay Stranik

John L. and Deborah J. Prondzinski

Ruth Holje and Gary M. Manuele

Andrew and Kelly Nelson

Wilho A. and Gertrude S. Puro

Dr. Karen L. Margolis

Dr. Douglas B. and Maureen M. Nelson

Janet M. Quarn

Vina L. Marquart and Karl A. Nilsson

Helen A. and Perry M. Nelson

Kristin K. Raab and Andrew J. Joyce

Beverly L. Martin

Dr. Dianne R. Neumark-Sztainer and Hector S. Sztainer

Dr. Alan Q. and Kim Peitersen Radke

Major Bonnie J. and Dr. Michael K. Martin Dr. Dawn L. Martin Dr. Elmer J. and Peggy J. Martinson Patricia S. and Ronald L. McAbier Hugh M. and Betty A. McAlear Jill M. and Thomas C. Mcartney Thomas C. and Jill M. McArtney Susan McClernon and Patrick J. Pfahl Barbara P. McCool and Montague Brown Sandra J. McCormick Dr. William F. and Janice McCulloch Alan V. and Suzanne M. McEmber 24 University of Minnesota School of Public Health

Antony J. and Wendy L. Newman Dr. James D. and Susan Nordin Dr. Thomas N. Norris Harriet O. and Robert L. Nutty Dr. Mavis C. Nymon Dennis J. and Lori J. O’Donnell Barbara V. O’Grady Jean A. and Dr. John B. O’Leary J. M. O’Leary Michael Oakes Dr. Shigeru and May K. Ochi Dr. Francis G. and Nancy R. Ogrinc

Dr. Phyllis L. Pirie James J. and Beth K. Plahn Platte Lake Association Mary Jo and Dr. Bennett J. Porter, III Ms. Janet E. Porter Dr. Robert A. and Sue V. Pretzel

Dr. David M. Radosevich and Kathleen C. Kelso Tracy and Steve Radtke Dr. Reimert T. and Betty B. Ravenholt Monica J. Raymond and Todd A. Smith Joseph J. Rebholz Sara Lee and Col. John Redmond, Jr. Dr. Timothy J. and Michelle M. Regan Elizabeth M. Reilly Mary Beth and Keith A. Rensberger Russell F. and Margaret A. Rhoades James R. Riley Rimrock Foundation


Jean Roberts

William A. Smoger

Elizabeth J. Virant

Dr. Robert A. and Stella M. Robinson

Mary H. and Ron W. Smyth

Dr. Beth A. Virnig and Jonathan B. Levy

Dr. Lisa M. Roche

Karen D. and Michael A. Spine

Edward E. and Karen A. Virnig

Immanuel F. and Lola Roesler

Roberta C. Sposato-Walls and Thomas Walls

Wendy A. Visscher, Ph.D.

Veronique Lee Roger and Maurice L. Enriquez-Sarano

Gordon M. and Dolores I. Sprenger

Jack B. Coffman and Melinda M. Voss, M.P.H.

Andrew J. and Charlene T. Starin

Dr. Alexander C. Wagenaar

Dr. Brenda L. and Daniel M. Rooney

Dane K. Stauffer

Gale N. and Jan M. Walker

Ken and Lana Rose

Kristian A. and Julie A. Stauffer

Betsy A. Walton

Kay A. and Thomas J. Rowntree

Lisa Stauffer

Anne L. Warner

Dr. Marcia A. and Richard Rubin

Lyn M. Steffen, Ph.D.

G. B. Warren

Linda and Richard R. Ruble

Bernita M. Steffl

Dr. Vernon E. and Joanne D. Weckwerth

Michael E. Russell

Carol M. Steinberg

Del K. and Karen K. Weed

Delana Cavitt Ruud

Susan and Leon I. Steinberg

Candace A. Wegerson

Charles D. Rydell

Dr. James H. Stephans

Dr. Craig R. Weinert

Elaine M. Saline

William S. Sternberg

Suzanne M. and Joseph G. Weisenburger

Gretchen M. Sampson

Jeffrey B. and Nancy A. Stevenson

Robert and Arlene S. Wellemeyer

Deborah A. Saulsbury and Doug B. Chapman

Linda M. Stewart

Peggy C. and Leroy D. Werley, Jr.

Sandra K. Savik

Prof. Ruth E. Stief

Dolores M. and Mark Clemand West

Janet Brush and Roger W. Schauer

Dr. Mary T. Story

Karen E. and Robert S. White

Dr. Conrad P. and Anne B. Straub

Wanda L. Wiik

Andrew J. and Barbara J. Streifel

Dr. George L. and Leni G. Wilcox

Jeanine J. and G. Alan Stull

Susan I. S. and Wayne H. Will

Sarah E. and Brian P. Sullivan

Janelle A. Willard

Larry B. Sundberg

Drs. Carolyn L. Williams and James N. Butcher

Dr. Linda Pearle P. Svec

Mary M. Winnett, M.D., M.P.H.

Ann D. Swagman

Col. Nat R. and Harriet J. Wisser

Nancy J. and Robert Gerald Swanson

Woodlane Veterinary Clinic

Dr. Carol Sweeney

Verna R. Woodrich

Dr. Marc F. and Beth E. Swiontkowski

April F. Wyncott

Anne M. Schloegel and Stephen M. Madsen Dr. Marlene M. and Paul J. Schmid Peter M. and Barb Schmitt Dr. M. Kathryn H. Schmitz Peggy M. Schram Dr. Pamela J. Schreiner W. Norris and Luella A. Schulz Virginia A. Schuster Robert W. and Phyllis M. Schwanke Richard S. and Deborah A. Scott Marie M. and Paul A. Sessa

Margaret M. Talbot

Susan J. Zahner and Leon J. Olson

Dr. John D. and Marlene Sexton

Drs. Guoyu Tao and Qian Li

Brian J. Zamora and Kathleen Faubion

Wei and Weijie Shen

Claire C. ten Bensel

Dr. David C. and Suzanne Zanick

Lenora J. and James D. Sherard

Dzung T. Thai

Mary Wagner Zbaracki and Tom Zbaracki, Jr.

Russell S. and Patricia L. Sherer

Deborah L. and Andrew S. Thexton

Dr. Larry R. and Victoria L. Zobel

Thomas J. and Nancy E. Sherwood Johnson, Ph.D.

James R. and Dianne S. Thill

Amy W. and Young-tzung Shih

Dr. William Thomas and Cynthia Launer

Tracy Sides

Dr. Paul E. Thompson

Mary Jo Siebenaler and Dr. Steven R. Kirkhorn, M.D. Cindy Silianoff Catherine S. and Christopher A. Sims Jean E. Small-Johnson and Timothy M. Johnson Dr. Daniel F. Smith and Margery Lackman Jeffrey J. and Jeanne F. Smith Joan M. and Richard L. Smith Judith Ann Smith and Howard A. Tomar Susan E. and David W. Smith Dr. Thomas Jay and Mary Pyne Smith

Peter W. Thoreen Ann M. Thorp Robert A. and Ruth A. Thurau Dr. Dag T. Torvik Annette M. Totten and Jeremy Speer Dr. Cleve Trimble James M. and Cynthia L. Valentine Virginia L. Valentine Dr. Robert L. and Karen A. Veninga Dr. Donald and Catherine Vesley

Stephanie A. Smith-Warner and Gregory J. Warner Donors 2002-2003


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