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UCLA School of
Public Health
JUNE 2001
UCLA
PUBLIC HEALTH
Everyone’s talking about a public health approach to violence, and the School’s faculty, students and alumni are showing the way.
No one can agree on how to arrive at final census figures. The stakes are huge. Enter Thomas Belin.
Heal the Bay’s Mark Gold uses “impact science” to clear the murky waters off of Santa Monica.
SPH Mag.June 2001.mw
6/18/01
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UCLA
PUBLIC HEALTH
Albert Carnesale, Ph.D. Chancellor
Linda Rosenstock, M.D., M.P.H. Dean, UCLA School of Public Health
Julie Tisdale Pardi, M.A. Assistant Dean for Communications
Dan Gordon Editor and Writer
fe a t u r e s
Martha Widmann Art Director
EDITORIAL BOARD Roshan Bastani, Ph.D. Associate Professor, Health Services
Thomas R. Belin, Ph.D. Associate Professor, Biostatistics
William Hinds, Ph.D. Professor, Environmental Health Sciences
Jeffrey Luck, Ph.D. Assistant Professor, Health Services
Hal Morgenstern, Ph.D. Professor, Epidemiology
Corinne Peek-Asa, Ph.D. Associate Professor, Epidemiology
Michael Prelip, D.P.A. Adjunct Assistant Professor, Community Health Sciences
Susan B. Sorenson, Ph.D. Professor, Community Health Sciences
Mara Baer President, Public Health Students Association
Joyce A. Page, M.S.P.H., J.D. Alumni Association President
9 Current Events Discussions of the hot topics of the day make the lectures, forums and seminars of the Healthcare Collaborative at UCLA can’t-miss affairs for a growing constituency.
10
Thomas Belin: Counting on a Controversy Sparks fly every 10 years over the high-stakes question of how to tally the U.S. population. One School of Public Health faculty member is among a select group of experts advising the U.S. Census Bureau.
1
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When the Best Medicine Is Public Health
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Pillars of the Community
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19
departments 4 RESEARCH Arsenic and cancer...chiropractic vs. medical care for lower-back pain...impact of mental health, coordination of care for elderly veterans... boron lowers prostate cancer risk...HIV treatment disparities...ethnic identity linked to good health...health-risk factors greater for lesbians.
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Striking a Blow Against Violence
The national shortage of physicians trained in public health is being addressed at the School, where M.D.’s find a variety of good reasons to enroll.
It’s no longer seen as random or inevitable. Public health leaders, including the School’s faculty, students and alumni, are showing that prevention approaches can successfully tackle a formidable foe.
Four years ago, Robert and Marion Wilson made a generous donation to support students in community-based health improvement efforts. The impact of their gift can be seen in neighborhoods across the region.
21 ALUMNI Heal the Bay’s Mark Gold
22 FACULTY 23 STUDENTS 24 FRIENDS
ON THE COVER High school students rising up to protest the rape of a classmate is but one example of the more activist approach being taken to preventing violence. Thanks to public health researchers and professionals, violence is now seen as neither random nor inevitable. Protest photo courtesy of the Los Angeles Commission on Assaults Against Women. Police tape from Eyewire. Shattered glass from PhotoDisc. Cover image created by Martha Widmann.
PHOTOGRAPHY ASUCLA / TOC: Current Events, Wilsons; p. 9; p. 19: Wilsons; p. 24: Rosenstock/Factor/Katzin Yvette Roman / cover: Belin, Gold; TOC: Belin, Ko, human target; p. 2; p.10; pp. 12-13; pp. 16-17: students with human target; p. 21; p. 22: Que Hee; p. 23: Souleles; p. 28
Reed Hutchinson / cover: Peek-Asa; p. 17: Peek-Asa Mary Ann Stuehrmann / p. 24: Bixby Foundation Trustees, Salinas/Gillespie Courtesy of Daily Bruin / pp. 16, 22: Sorenson Courtesy of LACAAW / pp. 14-15: protest Courtesy of Alina Bueno / p. 18 Courtesy of Rachel Gonzales / p. 19: Project E.M.P.A.C.T. Courtesy of Myra Bastidas / p. 20 Courtesy of the School of Public Health / p. 23: college bowl; pp. 26, 29 PhotoDisc / pp. 5, 6
School of Public Health Home Page: www.ph.ucla.edu E-mail for Application Requests: app-request@admin.ph.ucla.edu UCLA Public Health Magazine is published by the UCLA School of Public Health for the alumni, faculty, students, staff and friends of the School. Copyright 2001 by The Regents of the University of California. Permission to reprint any portion must be obtained from the editor. Contact Editor, UCLA Public Health Magazine, Box 951772, Los Angeles, CA 90095-1772. Phone: (310) 825-6381.
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dean’s message IN THIS FIRST ISSUE of the new UCLA Public Health Magazine, we have captured many of the year’s successes. The School is in a strong position — ranked 7th in the nation among schools of public health — and is poised to meet the challenges of the 21st century. Since my arrival on November 1, 2000, I have been working to not only ensure our continued prominence in the field, but to elevate the School to an even higher level. In these first seven months we have made a great deal of progress. The School is in the middle of a strategic planning process that will help clarify our vision for the future. The final plan, which will be available in the fall, will incorporate input from internal and external audiences. We are also undertaking an administrative review to help us ensure that the School is running most efficiently. While specific goals and objectives will be articulated through the strategic plan, we have already begun to make progress in a few broad areas that I emphasized throughout my recruitment process. One is to increase the visibility of the School and the field of public health. To that end, we have developed a logo for the School (below left) and produced documents such as a new School brochure, new SPH magazine, and a reformatted newsletter to help us better communicate with our many partners. Another area for emphasis is increased extramural research funding. The School has been successful in securing extramural funds (see the graph on next page). Of the UCLA profes-
UCLA
sional schools, the School of Public Health currently has the third-largest extra-
UCLAPUBLIC HEALTH
School of
Public Health
mural research budget. As new state money becomes less of a certainty — especially in light of the California energy crisis — our ability to secure other sources of funding is not only important to enable us to conduct cutting-edge research and training, but also necessary to ensure the growth and sustainability
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DEAN’S A DV I S O RY B OA R D
new members to the Dean’s Advisory Board: Linnae Anderson,
ANDREW ALLOCCO, JR.* IRA ALPERT* LINNAE ANDERSON DIANA BONTÁ* LESTER BRESLOW ROBERT DRABKIN TOM EPLEY GERALD FACTOR, Vice Chair ROBERT GILLESPIE ROGER F. GREAVES JOANNE HALE TERRY O. HARTSHORN* ALAN HOPKINS* STEPHEN W. KAHANE* CAROLYN KATZIN,* Chair CAROLBETH KORN* EDWARD J. O’NEILL* WALTER OPPENHEIMER FRED WASSERMAN*
Tom Epley, and Joanne Hale. They join our Board (see the entire
* SPH Alumni
of the School. To assist the School in increasing its extramural funding by finding new opportunities and facilitating faculty grant-getting success, I have created a new Associate Dean for Research position. I would also like to take this opportunity to welcome three
3
list on this page) just as we begin one of our most ambitious projects — raising $30 million for a new School of Public Health Building. The current building suffered significant damage in the 1994 Northridge earthquake and will be replaced as part of the overall seismic rebuilding of the Center for the Health Sciences. In addition to the seismic issues posed by the current facility, we have simply outgrown our current space. Working with the university, we have accelerated the planning of a new building. Based on available funding and continued planning, a new School of Public Health Building will be located adjacent to a new Medical Education Building across Westwood from the new hospital. This proximity to the new medical school will allow for continued academic collaboration and sharing of resources. The new state-of-the art building
TO TA L E X P E N D I T U R E S Grants and Contracts
will play a critical role in ensuring the School’s continued success, helping to
State Generated Funds
maintain our research competitiveness and attracting the best talent to the School.
Gifts and Other
I look forward to keeping you posted on the School’s activities, and invite you to communicate your thoughts on our strategic planning process or other activities through our Web site at www.ph.ucla.edu.
Linda Rosenstock, M.D., M.P.H. Dean
Fiscal Year 1999-2000 = $24 million
UCLAPUBLIC HEALTH
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research highlights Genetics Key to Arsenic’s Cancer-Causing Ability
UCLAPUBLIC HEALTH
Mortality Rate Ratios
THE LATEST IN A DECADE-LONG SERIES OF STUDIES by Dr. John Froines on the carcinogenicity of arsenic suggests that certain individuals are more genetically susceptible than others to the cancer-causing effects of the compound. “Based on our results, the ability of humans to metabolize arsenic — that is, to detoxify it — varies within the population, and appears to be an important factor in the carcinogenesis of arsenic,” says Froines, Professor of Environmental Health Sciences at the UCLA School of Public Health. Arsenic is found in the drinking water of certain parts of the country, particRELATION BETWEEN ARSENIC ularly in arid states in the West. Unsafe EXPOSURE AND CANCER RISK levels of the compound can cause cancer and other diseases. A 1999 report MALES FEMALES by the National Academy of Sciences 100 100 linked high levels of arsenic to bladder, lung and skin cancer, and possibly kidBladder ney and liver cancer. Kidney The Bush Administration outraged Skin Bladder many environmentalists and public health leaders earlier this year when it Kidney Skin announced it was rescinding a Clinton Administration decree lowering the 10 10 Lung amount of arsenic allowed in the nation’s drinking water, declaring that more studies were needed to determine Lung safe levels. Current regulations allow Liver Liver arsenic in tap water at a level of 50 parts per billion. The Clinton Administration ruling lowered the level to 10 parts per billion, the standard also adopted by the European Union and the World Health 200 400 600 800 200 400 600 800 0 0 Organization. Well Water Arsenic Concentration (parts per billion) Froines’ most recent study analyzed two years’ worth of data on aniCancer mortality rate ratios, 1973-1986 mals exposed to different concentrations of arsenic. While some of the animals (relative to rates in the Taiwanese general had regular diets, others consumed diets that were methyl-deficient — low in folic acid, methionine, and choline. In previous research, Froines had found that population), for the population of the arsenic exposure changes animals’ methylation of DNA, affecting genes possiblackfoot disease endemic area of bly related to cancer. Preliminary results from the follow-up study indicate that Taiwan, according to well water arsenic the arsenic-exposed animals on methyl-deficient diets developed liver cancer. In concentration (parts per billion). addition, the methyl deficiency alone was enough to produce lung cancer, regardless of whether there was arsenic exposure. Froines intends to continue looking at the role of DNA methylation and the mechanistic features of arsenic-related diseases. By performing molecular biology experiments on the animal tissues from the most recent studies, he hopes to shed light on the gene or genes involved in arsenic-related cancers. But while his work continues, Froines believes the evidence is already more than sufficient to lower the federal drinking water standard. “From a human health risk-assessment standpoint, the standard should probably be somewhere between 1 and 5 parts per billion,” he contends. “At the 10-20 parts per billion level being discussed, there is evidence for increased risk of cancer. Normally, one would want to set a standard considerably below that for public health protection.”
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Chiropractic Care Appears Slightly More Effective Than Medical Care for Treating Low-Back Pain
research
PRELIMINARY FINDINGS FROM A UCLA School of Public Health study comparing the effectiveness of medical and chiropractic care for low-back pain indicate that chiropractic care may be slightly more effective, and physical therapy may be marginally more effective than medical care alone for reducing disability in some patients. Physical modalities such as heat therapy, electrical muscle stimulation, and ultrasound do not appear to yield additional clinical benefit for chiropractic patients, though perceived treatment effectiveness was somewhat greater in these groups. Low-back pain affects the majority of Americans at some point in their lives, and thousands every year become disabled because of chronic pain. Moreover, the rate of disabling back pain has increased steadily in recent years. “Although back-pain sufferers have many treatment options available, there is little scientific evidence showing which of the most common approaches is most effective,” says Dr. Eric Hurwitz, who conducted the study along with his colleague in the Department of Epidemiology, Dr. Hal Morgenstern, and collaborators from the School of Public Health and School of Medicine. Hurwitz notes that back-pain sufferers may receive prescriptions for painkillers or muscle relaxants from conventional medical providers, or a referral to physical therapy. Still other patients may visit an alternative or complementary provider, such as a chiropractor or acupuncturist — indeed, more visits for back pain are to chiropractors than to any other type of health-care provider. The relative therapeutic benefits of each therapy, however, have not been known. From 1995 through 1998, a total of 681 low-back-pain patients were enrolled in the study and randomly assigned to one of four treatment protocols: medical care with and without physical therapy, and chiropractic care with and without physical modalities. Patients were followed up through 18 months. The researchers are now analyzing the data to address other objectives, including the cost effectiveness of low-back-pain care and the influence of occupational and psychosocial factors on low-back-pain prognosis. Patients’ satisfaction with care and their perceptions of treatment effectiveness and how these relate to clinical outcomes are also being investigated.
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Low-back pain affects the majority of Americans at some point in their lives, and thousands every year become disabled because of chronic pain.
Mental Health, Coordination of Care Reduce Health Costs for Elderly Veterans Group
continued on next page
UCLAPUBLIC HEALTH
INTERDISCIPLINARY MENTAL HEALTH TREATMENT and care coordination can help to reduce health care costs for elderly veterans who have undiagnosed psychiatric conditions, according to a large randomized clinical trial involving more than 1,600 elderly veterans hospitalized in nine Veterans Administration sites across the country. Dr. Gerald F. Kominski and colleagues at the UCLA School of Public Health evaluated data from a national clinical demonstration project with the VA known as the Unified Psychogeriatric Biopsychosocial Evaluation and Treatment (UPBEAT) program. The program, which took place from 1995 to 1998 and was headed by Dr. Lissy Jarvik of UCLA’s Neuropsychiatric Institute, provided individualized interdisciplinary mental health treatment and care coordination to elderly veterans with acute non-psychiatric conditions whose accompanying depression, anxiety, or alcohol abuse could result in overuse of inpatient services and underuse of outpatient services.
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The two critical elements of UPBEAT care were in-depth psychogeriatric assessment and proactive mental health care coordination by a multidisciplinary clinical team trained in psychogeriatrics, including nurses, psychiatrists, psychologists, and social workers. UPBEAT began once the patient was discharged from the hospital and was based on a comprehensive treatment plan that included regular telephone or face-to-face contact between the patient and an assigned clinician. This clinician acted as mental health care coordinator with patients, families, and primary care providers; facilitated and monitored ambulatory care; and provided continuity of care for both mental health and physical health. Kominski, Associate Professor of Health Services, found that because of UPBEAT’s emphasis on increased use of appropriate ambulatory care, veterans in the program had increased outpatient costs of $1,171 when compared with control-group patients. However, inpatient costs were significantly lower for the UPBEAT group, producing an overall savings of $1,856. Inpatient savings resulted from shorter lengths of stay rather than fewer admissions. Veterans with the most severe disease burden, defined as having one or more hospitalizations both before and after initial study enrollment, benefited the most from UPBEAT, with an overall savings of more than $6,000. “The care coordination that was an essential element of UPBEAT appears to accelerate the transition from inpatient to outpatient care for veterans with acute non-psychiatric admissions,” says Kominski, the lead author of the study (published in the journal Medical Care), who was joined in the effort by Drs. Ronald Andersen and Roshan Bastani. “The next step is to determine whether screening for, and treating, undiagnosed psychiatric conditions among veterans in ambulatory care settings proves to be more effective in reducing symptoms.”
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UCLAPUBLIC HEALTH
Diets High in Boron Lower Risk for Prostate Cancer
Boron can be found in nuts, avocados, red and white wine, grapes, peaches, nectarines, plums and apples.
THE FIRST EPIDEMIOLOGICAL STUDY TO LOOK AT THE RELATIONSHIP between dietary boron intake and prostate cancer has found that individuals with the highest boron intake (the top 25%) had a 65% lower risk of developing prostate cancer than did individuals with the lowest boron intake (the bottom 25%). Epidemiologist Zuo-Feng Zhang and colleagues at the UCLA School of Public Health used data from the third National Health and Nutrition Examination Survey to compare a group of 76 prostate cancer patients with 7,651 men without cancer. Dietary boron intake was estimated based on dietary history, and the results were adjusted for the effects of age, race, education, cigarette smoking, body mass index, and total dietary intake of calories. Although the study involved a relatively small number of patients with prostate cancer, Zhang says there was a clear relationship between boron intake and the disease: The lower the amount of boron consumed in the diet, the higher the risk for prostate cancer. The relationship was also very specific to prostate cancer. Consuming higher or lower amounts of boron did not appear to affect the likelihood of cancers of the breast, cervix, uterus, colon and rectum. Boron is present in the diet because it is an essential nutrient for plants and a natural component of plant cells. Foods high in boron include those associated with the Mediterranean diet such as nuts, avocados, red and white wine, grapes, peaches, nectarines, plums and apples. Prostate cancer is the most common malignancy in men after skin cancer, and the second leading cause of cancer death in men in the United States after lung cancer. Zhang was joined on the study by Dr. Curtis Eckhert, Chair of the Department of Environmental Health Sciences at the School, who initiated the research. According to Eckhert, boron’s ability to lower the risk of prostate cancer may be related to its role in cell division and growth. His laboratory has shown that fertilized eggs require boron to develop into embryos; he is currently studying the role of boron in gene expression.
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HIGHLY ACTIVE ANTI-RETROVIRAL THERAPY (HAART), the state of the art in HIV treatment, is less likely to be used by certain socioeconomically disadvantaged groups, according to the latest findings to come out of a large national research consortium based at UCLA and RAND. The recent study, headed by Dr. William Cunningham of the Schools of Public Health and Medicine, found that the major factor predicting lower use among populations was lack of insurance coverage. HAART, the drug cocktail that contains protease inhibitors, has been shown in other studies to improve health outcomes among people with HIV. PERCENTAGE OF AFRICAN Cunningham’s group found that by the end of 1996, the year protease inhibitors AMERICANS AND WHITES WHO became widely available, 37% of patients reported that they had EVER RECEIVED HAART taken the medication. Interviews with the same patients in January 1998 found that 71% had ever been on the medication. But the proportion of patients still taking HAART at the time of 78% the second interview was only 53%. Moreover, certain groups were least likely to be taking the 59% drug combination: African Americans, drug users, women who contracted HIV through heterosexual contact, people with less 47% education, the uninsured, and those covered by Medicaid. While insurance was the key determinant in this study, another study by the group identified other barriers to HAART use, including transportation and having competing subsistence needs. “Insofar as there are non-clinical explanations for these disparities, this fits a 20% pattern we have observed both in HIV and in other diseases, in which the most socioeconomically disadvantaged groups are not getting the best treatment,” Cunningham says. His group is now studying the effect of these differences on outcomes, and examJAN 1998 DEC 1996 ining interventions that could address the problem, including the use of case managers to ensure more coordinated and compreWhites African Americans hensive care. The research is part of the HIV Cost and Services Utilization Study, in which a national consortium of investigators, funded by the federal Agency for Healthcare Quality and Research, has been examining HIV/AIDS health services. Cunningham has led the access section along with Dr. Ronald Andersen, Chair of the UCLA School of Public Health’s Department of Health Services.
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research
Disadvantaged Groups Less Likely to Get State-of-the-Art HIV Treatment
Strong Ethnic Identity Among African American Women Is Linked to Good Mental, Physical Health
UCLAPUBLIC HEALTH
A UCLA SCHOOL OF PUBLIC HEALTH STUDY EXAMINING the relationship between obesity and depression in African American women links, for the first time, good mental and physical health with strong feelings of ethnic identity. The study, supported by a National Cancer Institute grant and published in Preventive Medicine, surveyed 429 Los Angeles women from a culturally tailored program promoting healthful eating and exercise. The research team, headed by Drs. Antronette K. Yancey and Judith M. Siegel, found an inverse relationship between depression and strong ties to the African American community, independent of other demographic and health factors. Their survey found the lowest levels of depression among women with strong ethnic identity and less excess weight. continued on next page
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“Ethnic-identity enhancement strategies should be studied for their effectiveness in strengthening identity and for their potential in attracting individuals especially likely to benefit from programs that promote healthier lifestyles,” says Yancey, an Associate Professor at the School and Director of the Division of Chronic Disease Prevention and Health Promotion in the Los Angeles County Department of Health Services. For people of color, a strong sense of ethnic identity may buffer the impact of discrimination on psychological well-being, the research suggests, as well as playing an indirect role in protecting individuals from physical risks such as high blood pressure. Other studies have shown that differences in blood pressure between blacks and whites are partially explained by exposure to racial discrimination and responses to unfair treatment. “The positive experience of cultural sensitivity in the health intervention program, in contrast with the experience of cultural insensitivity or discrimination in everyday life, helps create positive attitudes toward the program and increases the likelihood of sticking with its objectives,” says Siegel, a Professor in the Department of Community Health Sciences.
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Lesbians and Bisexual Women at Greater Risk for Smoking- and Obesity-Related Diseases HEALTH-RISK PATTERNS AND LOWER RATES OF IMPORTANT screenings among lesbians and bisexual women leave them at greater risk of cancer and other chronic diseases linked to smoking and obesity than heterosexual women, according to a UCLA School of Public Health study. The study, led by Dr. Susan D. Cochran and published in the RISK INDICATORS FOR U.S. WOMEN American Journal of Public Health, showed that lesbian and bisexual women have higher rates of obesity, alcohol use and tobacco Ever pregnant use than other women, and are less likely to have health insurance coverage or to have had a recent pelvic examination or Ever gave live birth mammogram. Self-reported histories of breast cancer, however, did not differ from estimates for the general U.S. female populaEver used birth control pills tion. “A key, and unexpected, finding is that lesbians and bisexual Current cigarette smoker women are more likely to be current or former tobacco smokers than women in general,” says Cochran. “The effects of cigarette Overweight smoking on health are broad and well documented. Considered in conjunction with other risk factors, such as obesity and alcoDrinks alcohol hol use, these finding raise new concerns about the health needs of lesbians and bisexual women.” Has health insurance Data were drawn from seven independent surveys conducted between 1987 and 1996 involving lesbian/bisexual health 0% 20% 40% 60% 80% 100% issues. The surveys assessed patterns of health screening, Lesbian/Bisexual Women All Women smoking and alcohol-use history, pregnancy, birth control and parity, prevalence of obesity, and breast cancer history. “Health care for women is organized around contraceptive needs, which bring women periodically into the health system,” says Cochran. “But lesbians typically don’t have contraceptive needs.” She also suggests that negative past experiences with the health care system might make lesbians more reluctant to get regular care. “For lesbians, experiences during late adolescence and early adulthood are likely to include exhortation to use contraceptives, disclosure of sexual orientation and provider discomfort or negative behaviors,” Cochran says. “If public health truly is for everyone, the results of this study demand the development of culturally competent educational campaigns and health care services to address the needs of this community.”
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LESBIANS AND BISEXUAL WOMEN HAVE GREATER HEALTH RISK FACTORS THAN EXPECTED
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Current
D ISCUSSIONS
OF
feature
Events
9
THE HOT TOPICS
It’s where
State Controller Kathleen Connell
chose to deliver an address on “The State of Health Care in California.” Where speakers from the state’s Department of Managed Health Care and a panel consisting of managed-care industry and provider representatives outlined The Healthcare Collaborative at UCLA facilitates the exchange of information and services to enhance the development of health care professionals and organizations in California. The Collaborative sponsors events on a variety of relevant topics, featuring speakers who are publicand private-sector health care leaders. • The Quarterly Forum (no fee) focuses on major policy issues, with speakers from the national, state, and local levels. The morning event includes breakfast and time for networking. • The Management Series (no fee) addresses the latest issues challenging the health care community, specifically managers. These monthly evening seminars are held at UCLA. • Health Care Business Seminars are all-day events, tackling timely issues from multiple perspectives.
a combined 60 years of experience as medical directors spoke of “Healthcare Survival: Solvency at Stake.” Whether the topic at hand relates to health policy, management challenges or e-health (the subject of a second day-long conference this spring), one thing doesn’t change. For professionals looking to keep their finger on the pulse of the rapidly changing health care industry, the monthly and quarterly events held by The Healthcare Collaborative at UCLA are not to be missed. Attendees include students, alumni, faculty and staff of the UCLA School of Public Health and the Anderson School at UCLA, along with more than 5,000 members of the Southern California health care community. There are physicians, nurses, lawyers, and executives from health plans, hospitals, medical groups, consulting firms, pharmaceutical companies, and ancillary health care providers. “It’s a great place to exchange information and ideas, a chance to meet people from other organizations and see how they’re confronting similar problems,” says Dr. Gail P. Grant, Medical Director of the Resource and Outcomes Management Department at Cedars-Sinai Medical Center and Chair of The Healthcare Collaborative at UCLA. Indeed, the opportunity for dialogue on timely topics between presenters and attendees — and among the attendees themselves — is a major part of the attraction, says Joseph Rooks, a management consultant who chairs the committee responsible for the quarterly forums and monthly management lecture series. “It’s a great place to network,” says Rooks. The Collaborative’s roots date to the mid-1980s, when a small group of physicians and alumni from the School of Public Health began to hold monthly lunch meetings where physician executives spoke on the day’s relevant topics. Soon the group grew beyond physicians to include business leaders and health care executives from all of Southern California. “Eventually we turned the planning over to the attendees themselves,” says Dr. Paul Torrens, the faculty member who spearheaded the early efforts, and whose Center for Health Services Management continues to provide the administrative support. “It’s really wonderful and quite unique.” Among the beneficiaries are students, many of whom attend the events. Says Marcus Fong, one of two student representatives on the Collaborative’s executive committee: “It is important for all students to see the changing face of health care. This brings real-life experiences to the program.”
THE LECTURES , FORUMS AND SEMINARS OF THE
H EALTHCARE C OLLABORATIVE AT
UCLA
CAN ’ T-
MISS AFFAIRS FOR A GROWING CONSTITUENCY.
Above: One of the Healthcare Collaborative’s quarterly breakfast forums. Top of page, l. to r.: Joseph Rooks, Series Committee Chair; Dr. Gail Grant, Chair of the Collaborative; and Dr. Paul Torrens of the School’s faculty, who helped to initiate the group. Upper left photo, l. to r.: Dr. Ross Miller, a 1998 graduate of the School’s M.P.H. for Health Professionals Program; Dr. Stuart P. Bowne, Adjunct Professor in that program; and Torrens.
UCLAPUBLIC HEALTH
For more information or to be added to The Healthcare Collaborative at UCLA’s mailing list, visit the group’s Web site at www.healthcarecollab.org or call (310) 206-3435.
“Responsibilities, Priorities and Future Directions.” Where three physicians with
OF THE DAY MAKE
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10 S PARKS EVERY
10
FLY
YEARS
OVER THE HIGH - STAKES QUESTION OF HOW TO TALLY THE
U.S.
POPULATION .
O NE S CHOOL
OF
P UBLIC H EALTH FACULTY MEMBER IS AMONG A SELECT GROUP OF EXPERTS ADVISING THE
U.S. C ENSUS B UREAU .
Thomas Belin: Counting on a Controversy In the census of 1790,
directed by then-Secretary of State
Thomas Jefferson, household rosters were posted in town squares so that people could catch errors in the
UCLAPUBLIC HEALTH
count. Still, Jefferson wrote in 1791, “We know that the omissions have been very great.” Political battle over census counts dates at least to the first use of the presidential veto, when George Washington blocked the original bill to reapportion the young Congress. In more recent censuses the battle has been waged over what to do about the undercount, specifically, of minority and inner-city residents. Since 1950, post-census surveys following each of the decennial head counts have found that these populations are disproportionately shortchanged. This has led to calls to adjust the original numbers using statistical formulas and sample-based evidence. But a Clinton Administration plan to use sampling in the 2000 census to follow up households that failed to return a census form led to the threat of a government shutdown and a lawsuit that ended up before the U.S. Supreme Court. The Court ruled that adjusted counts can’t be considered in apportioning Congress, but left the door open for other uses. The issue flared up again earlier this year, when the Census Bureau recommended against releasing adjusted counts for state redistricting.
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11 accurately than the African American and Hispanic populations. That’s bias. It means that going in, you know that cities such as Los Angeles are going to be losers relative to other communities.” As to how the decision should be made over what adjustment formula to use — or whether to use one at all — Belin would prefer that it be left with the professionals at the Census Bureau. “It doesn’t go to the Congressional committees to decide when to launch the space shuttle; that decision is made by scientists,” he says. “On the census issue, I would like the decision also to be vested close to the science, rather than driven by partisan politics.” Although many advocates for disenfranchised populations were unhappy with the Census Bureau’s recommendation this spring against using the adjusted counts for state redistricting, Belin, having worked with many of the decision-makers, is adamant that the decision was not a bow to pressure from the Bush Administration. “In 2000, the differential undercount between whites and minorities of roughly 2.5% was about half the level in previous censuses, and there were previously unseen inconsistencies between demographic analysis and coverage survey findings,” Belin notes. Given that adjustment still apparently yields gains in accuracy for large jurisdictions, Belin says he would not be surprised if the Census Bureau supports adjustment in a decision pending this fall regarding the mid-decade population estimates used in many funding formulas. Despite his misgivings about the way that politics has dominated recent discussions of the census to the exclusion of the underlying science, Belin — who admits to being something of a political junkie himself — doesn’t deny that politics will always surround the census. “The Constitution vests in Congress the power to ‘direct’ the census,” he notes. Belin is grateful to be contributing to the debate. “My interest in statistics sprang from a broader interest in the kinds of questions statistics can address,” he says. “Being in a field that bears on important issues of self-governance, not to mention the crucial issues of health and well-being we confront in the School of Public Health, has been wonderfully fulfilling.”
faculty profile
“The stakes are incredibly high. There’s a political context. There are a lot of messy details because of the complexity of the census and the country. And there is not a single right way to do it.”
UCLAPUBLIC HEALTH
Why so much bickering over the ritual counting process? Many observers suspect that adjusted figures would help Democrats, since the undercounted are disproportionately from groups likely to support Democratic candidates. But more than that, the outcome determines the fate of some $200 billion in federal funds for local services, including many that affect public health. Dr. Thomas Belin, Associate Professor of Biostatistics at the UCLA School of Public Health, first became interested in census issues upon reading an opinion piece while an undergraduate at Stanford University in the mid-1980s. When he started graduate school at Harvard, he learned of a new campus research program on statistical problems related to census adjustment. He approached the professor in charge and joined the research team. While at Harvard, Belin took a series of summer jobs at the U.S. Census Bureau, work that grew into his dissertation project. Since coming to UCLA he has continued to serve the Census Bureau in a consulting capacity. Recently, Belin was one of nine experts chosen from the American Statistical Association to sit on the Census Advisory Committee of Professional Associations, which will offer recommendations with a view toward the 2010 census. Although biostatisticians are frequently called on to quantify uncertainties, the census carries a set of thorny issues unlike any of the other projects he tackles. Says Belin: “The stakes are incredibly high. There’s a political context. There are a lot of messy details because of the complexity of the census and the country. And there is not a single right way to do it.” It is often left to statistical experts such as Belin to devise formulas for resolving the undercount uncertainties. Yet, statisticians themselves can’t agree on what is the “best” adjustment formula. Adjustment critics use this lack of consensus to argue that given the subjectivity of adjustment models, the fairest system is to stick with the original head count. “But maybe there’s some subjectivity in that as well,” Belin says. Statisticians often talk of a trade-off between bias and variance, he notes. Variance refers to uncertainty in value; bias means systematic departure from the truth. “In a lot of statistical procedures, bias and variance are treated equally,” Belin says. “But in this context, I think there’s an argument that variance is more fair than bias. We know in advance of the census that the white population is going to be counted more
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12
When the Best Medicine
Is Public Health
T HE
NATIONAL
SHORTAGE OF PHYSICIANS TRAINED IN PUBLIC HEALTH IS BEING ADDRESSED AT THE
S CHOOL ,
WHERE
M.D.’ S
FIND A VARIETY OF GOOD REASONS TO ENROLL .
During his training as a general and colorectal surgeon in the mid-1990s, Dr. Clifford Ko (pictured above) was struck
UCLAPUBLIC HEALTH
by the variability in the care patients received. “It seemed as if no one was measuring the quality of care,” he says. “Most physicians treat individual patients, and try to do the best they can with each one. But someone has to look at the bigger picture to determine what’s the most appropriate use of resources.” Ko decided he would help to fill that void. So, while practicing as a surgeon at UCLA Medical Center, he is an M.P.H. student in the Department of Health Services at the UCLA School of Public Health, preparing to venture into territory barely charted. “Most research that surgeons do is basic science — they play with test tubes and operate on rats,” Ko quips. “A few surgeons have M.P.H.’s, but they don’t use them. I’m one of the few who plans to do surgery and use my public health education to try to improve the health care system.”
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“I’ve learned from my public health education that we can’t depend on physicians who treat individual patients to improve what’s wrong with our system. It will also take people trained in public health.” —Dr. Clifford Ko
UCLAPUBLIC HEALTH
plinary training in maternal and child health practice, research and policy analysis for health professionals. “Before I got the M.P.H., I was very much a physician who focused on treating individual children,” says Limbos. “That program really broadened my scope of thinking by helping me to realize that with the interventions that could come out of that training, you affect an entire population.” Limbos is now at Children’s Hospital in Los Angeles, splitting her time between seeing patients and doing research on injuries in the Los Angeles Unified School District (see page 16). “The first time I ever heard of injury prevention as a science was when Dr. [Jess] Kraus [Professor of Epidemiology at the School] gave a guest lecture in one of my epidemiology courses,” she recalls. “Suddenly, it all made sense to me, and I realized that as a pediatrician, this was something I could play a role in.” Although some amount of public health is taught in medical schools, the M.D.’s interviewed for this story agree that the curriculum is so packed with biomedical and clinical subjects that core concepts of community and environmental health, health services, epidemiology and biostatistics tend to get lost. Ko is reminded of this when he gives presentations to surgeons across the country. “I talk about how much we spend on health care in the United States and how, compared with other countries, our care falls below the median in a lot of categories,” he says. “This is all very basic knowledge for a public health student. But to these world-famous surgeons, it’s very new — and surprising. “I’ve learned from my public health education that we can’t depend on physicians who treat individual patients to improve what’s wrong with our system. It will also take people trained in public health.”
feature
There is a national shortage of physicians trained in general preventive medicine and public health, according to recent Congressional testimony presented by the Association of Schools of Public Health. At UCLA, that shortage is being addressed through several programs that sponsor physicians pursuing public health degrees. Ko is part of UCLA’s Robert Wood Johnson Clinical Scholars Program, which develops researchers interested in the nonbiological aspects of health care. “Physicians are in a unique position to bridge the gap between patient care and population health,” says Dr. John Chang. While in medical school at Northwestern University in the early 1990s, Chang had a summer job in which he helped conduct epidemiologic research in the elderly. “I was working with a woman who had an M.P.H., and as she was showing me the ropes I was thinking, ‘This is something I should learn,’” he explains. So Chang took a break from medical school to get his M.P.H. at Yale, returned to complete his M.D., finished his internal medicine residency in 1999, and is now in the Ph.D. program at the UCLA School of Public Health, funded by a National Research Service Award training grant. He intends to become an academic general internist, with a research focus on chronic disease prevention and improving quality of care for the elderly. “We have an aging society, and it’s becoming increasingly important to help elderly in the community stay as high-functioning as possible,” Chang asserts. Dr. Ruth Hertzman-Miller also became interested in public health while in medical school. “I tried bench research, but it didn’t grab me,” she says. Two summer jobs did — one in the Department of Occupational Medicine at George Washington University, screening boilermakers for hearing loss, and another at the Food and Drug Administration, looking at vaccine safety. Drawn to the clinical research, Hertzman-Miller applied to the Clinical Scholars Program after completing her internal medicine residency, and is now an M.P.H. candidate in the School’s Department of Epidemiology. For many M.D.’s, public health education can be an eye-opener. Dr. Mary Ann Limbos (M.P.H. ’97) had just completed a pediatrics residency when she entered the School’s Child and Family Health Program in 1995. The program provides interdisci-
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Striking a Blow
AGAINST
Violence IT’S
NO LONGER
SEEN AS RANDOM OR INEVITABLE .
P UBLIC
HEALTH
LEADERS , INCLUD ING THE
S CHOOL’ S
FACULTY, STUDENTS AND ALUMNI , ARE SHOWING THAT PREVENTION APPROACHES CAN SUCCESSFULLY TACKLE A FORMIDABLE FOE .
Some incidents we know about — the horrifying shootings by schoolchildren of their classmates, shocking both for the age of the perpetrators and because they instill a feeling of vulnerability. Other incidents, no less tragic, receive little or no attention — from the gangand drug-related killings that fail to grab the headlines they once did, to the numerous cases of physical and sexual abuse in the home, most of which remain
UCLAPUBLIC HEALTH
hidden as always from public view. But violence is no longer seen as random or inevitable, thanks to the efforts of public health researchers and professionals. “When we examined it, it became clear that violence is very predictable,” says Dr. Corinne Peek-Asa, Associate Professor of Epidemiology at the UCLA School of Public Health and Associate Director of the Southern California Injury Prevention Research Center, based at the School. “It occurs in predictable sets of the population — there are individuals and communities at higher risk. To a public health researcher, that means it can be prevented.” Adds Billie Weiss, M.P.H. ’81, Director of the Injury and Violence Prevention Program of the Los Angeles County Department of Health Services: “Violence is the leading cause of death and disability for the population under 35. You can
Students at a high school in Los Angeles’ San Fernando Valley rallied against violence following the rape of a classmate. The students organized the rally with the assistance of the Los Angeles Commission on Assaults Against Women.
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cover story
“Violence is the leading cause of death and disability for the population under 35. You can measure it and find places to intervene to prevent it. In my mind, that makes it a public health issue.” —Billie Weiss, M.P.H. ’81
Isabelle Barbour, M.P.H. ’00
measure it and find places to intervene to prevent it. In my mind, that makes it a public health issue.” For a number of years, public health seemed to be the only field that viewed it that way. Now, there is a general consensus that criminologists and law enforcement represent only part of the solution, and that a multidisciplinary approach is needed. “It wasn’t until the 1990s that violence came to be widely recognized as a public health issue,” says Dr. Susan Sorenson, Professor of Community Health Sciences at the School. “There was a clear sense that approaching it only through the criminal justice system wasn’t working. The public health perspective brought a sense of hope and optimism that reducing violence wasn’t a futile endeavor. The idea of being able to prevent something from occurring rather than clamping down after the fact became very appealing.”
Cathy Taylor Taylor, a Dr.P.H. student at the School, is working on a study headed by Dr. Susan Sorenson to assess social norms related to violence against women. Nearly 4,000 interviews have been conducted with six ethnic groups in four languages. The survey, funded by the California Department of Health Services, poses various scenarios about domestic violence to examine how individuals’ responses change depending on the characteristics of a given incident. “We need to educate people in ways that will reduce domestic violence,” says Taylor. “But it’s hard to do that without knowing where people are in their understanding and awareness of the issue.” Adds Taylor, who has a background in mental health: “From talking with people who grew up with violence or are currently in a violent situation, I feel strongly that violence prevention efforts, especially in families, can have a far-reaching impact on our society.”
UCLAPUBLIC HEALTH
Some may argue that violence has been a fact of life throughout history, in all societies. Whether the problem is worse now than in other times is debatable, particularly since surveillance began only recently. What is clear is that violence in American society is more lethal than it was in the past, due to the greater access to firearms. “The rest of the world doesn’t have the level of gun violence that we have,” says Weiss. But she believes it’s not only a weapons issue. “When you consider that the leading cause of death for children in this society between the perinatal period and age 1 is abuse, that’s pretty shocking,” she says. “There is
As the Outreach and Advocacy Coordinator at the Los Angeles Commission on Assaults Against Women (LACAAW), Barbour consults on violence prevention strategies with school districts and individual schools, as well as service agencies. Recently, Barbour and her colleagues at LACAAW met with Genethia Hayes, President of the Board of Education for the Los Angeles Unified School District (LAUSD), about the idea of developing a violence prevention policy for the district. Hayes was receptive, and asked LACAAW to draft a policy. Building on research she had done on the issue dating to her days as a UCLA School of Public Health student, Barbour, along with Leah Aldridge, LACAAW’s Associate Director of Youth Violence Prevention Programs, drafted a policy. “The point we have emphasized is that even though schools are a very safe place for youths, between the school shootings, bullying, and level of sexual harassment that occur, there’s a lot of fear,” Barbour says. “It’s very hard to learn in that climate, and it’s very hard to teach.” The policy Barbour co-wrote is currently being considered for implementation by LAUSD.
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Mary Ann Limbos,
16
M.D., M.P.H. ’97
Rhea Durr
UCLAPUBLIC HEALTH
After graduating from the School with her M.P.H. this spring, Durr will begin a California State Senate Fellowship this fall. Once Durr has learned the inner workings of the political system, she intends to use her skills to provide a voice for underserved community residents through advocacy and policy analysis efforts, particularly on issues related to violence prevention. It is a field that has interested her since, as an adolescent, one of her close friends was the innocent victim of a drive-by shooting, and an acquaintance was killed in a gangrelated incident. Durr also witnessed domestic violence as a child. “I wanted to understand why these things were happening,” Durr says. “And as I learned more about it, I began to focus my efforts on advocating for prevention of these acts, so that what I experienced doesn’t happen to someone else.”
“The public health perspective brought a sense of hope and optimism that reducing violence wasn’t a futile endeavor.” —Dr. Susan Sorenson
Limbos, a general pediatrician at Children’s Hospital in Los Angeles, became interested in studying pediatric injuries while getting her M.P.H. at the School. She is currently working with Dr. Corinne Peek-Asa on a study examining intentional and unintentional injuries in the Los Angeles Unified School District. Nearly 12,000 injuries occur in the district each year, about one-fifth of which are intentional. The researchers have spent the past two years laying the groundwork by gathering general data; beginning this summer, they will focus on a specific area, around Children’s Hospital. Limbos hopes to get a sense of not only the school-related factors that contribute to intentional injuries, but also the community and individual risk factors that play a role. “The media has focused a great deal of attention on school violence, and it’s hard for us to say that there’s been an increase because there has been little data,” she says. While she hopes the study will point the way toward effective interventions to reduce intentional injuries in school, Limbos also believes it’s important to point out that children are at considerably greater risk for unintentional injury.
something in our culture that accepts violence, and even glorifies it.” Often, though, public perceptions don’t mesh with the actual risks. Fear of violence rose during the 1990s, a period during which the occurrence of violent crimes was declining dramatically. Weiss attributes this to the influence of media that play on people’s anxieties. Toward that end, she adds, one of the greatest fears among parents is that their child will be abducted on the streets by a stranger — an extremely rare event. “A child is much more likely to be harmed by a gun found in a friend’s house, or to be hit by a car,” she says. And for all the attention given to school shootings, kids are at greater risk of being the victims of violence in the home or on their way to and from school. Another example of perception not matching reality is in workplace violence. Based on media portrayals, the general perception in the 1990s was that most workplace homicides resulted from disgruntled workers taking out their frustrations on coworkers or supervisors. In fact, 75% of all workplace homicides are robbery-related. More than half occur in retail trade and service industries, where the almost daily killings of taxicab drivers, convenience store clerks and other retail workers go virtually unnoticed. Moreover, most work-related homicides are committed by strangers, unlike homicide in the general population. Despite lingering misperceptions, public health has made a significant impact in focusing attention on the biggest problems. “When research told us that you’re much more likely to be killed by someone you know — particularly an intimate partner if you are a woman — it had a great effect on law enforcement,” says Peek-Asa. “There is now training throughout most of the country in how to deal with domestic disputes.” One of the best illustrations of public health’s unique approach to violence is in the area of firearms. The handgun is the most common weapon used in both homicide and suicide in the United States. “The criminal justice system focuses on the user, whereas public health looks more upstream,” says Sorenson. Upstream strategies in reducing handgun-related injuries and deaths generally fall into one of two categories. Sorenson is among those who have focused on mechanism and design issues. The federal government is investing substantial resources in the development of “smart gun” technology, in which guns would
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—Dr. Corinne Peek-Asa
17
cover story
“When research told us that you’re much more likely to be killed by someone you know ... it had a great effect on law enforcement.”
Stephanie Monteleone, M.P.H. ’00
Left to right: Postdoctoral fellow Douglas Wiebe, doctoral students Cathy Taylor and Kate Vittes, and M.P.H. student Rhea Durr with the “human target.” Students visit a shooting range as part of the School’s gun policy course.
Kate Vittes Vittes, a Ph.D. student, has been part of a study headed by Sorenson on straw purchasers — people who commit the crime of buying guns for someone else, such as a felon or, as in the Columbine tragedy, a minor. The study examines the likelihood of gun dealers selling to a straw purchaser, using a national probability sample. Vittes, who is also analyzing data about attitudes toward firearms from a national survey of high school students, says she began to realize the importance of a public health approach to violence after a visit to Folsom State Prison last fall. "It became clear to me that more has to be done on the prevention side," she says, "and that’s where I feel I can make the most difference." She believes focusing on firearms access is the type of "upstream" approach that can make a major impact. "The United States has had a violence problem for a long time," Vittes says, "but in recent times, firearms are the most common weapons used in homicide and suicide."
UCLAPUBLIC HEALTH
fire only when held by the authorized user. Other designs, such as built-in locking mechanisms and magazine disconnects, reduce accidental shootings, Sorenson notes. Public health also focuses on firearms distribution — keeping guns out of the hands of people who shouldn’t have them. The second category, a social-change approach, emphasizes the inequalities that might give rise to violence. “Researchers try to understand why the differences exist, and then seek to identify ways to remedy the situation,” Sorenson explains. Examples include increasing educational, employment and recreational opportunities in communities. Sorenson believes both strategies — along with those not specific to public health, such as criminal justice — are needed. As the public health approach to violence has gained acceptance, a number of strategies have been employed, and studies have borne out the effectiveness of specific programs in working with specific populations. What’s needed now, experts in the field agree, are more global, community-wide evaluations of what works in reducing levels of violence. “Up until 1994, we saw escalating rates of violent crime,” says Peek-Asa. “Then, all of a sudden, rates plummeted across the board — rural, urban, workplace, school, domestic...almost every type of violent crime went down. And we don’t really know why. Economics probably had something to do with it, changing law enforcement practices may have contributed, community organizations were starting to play a very strong role — but we don’t really know. Now, we see rates starting to rise again. We desperately need comprehensive studies that evaluate what drives these broader trends.” Other issues Weiss sees as ripe for further study include the link between family violence and community violence. “Anecdotally, when I speak to kids who are in gangs or have been involved in gangs and violence, they’ve typically been victims or witnesses of family violence,” she says. Cultural differences related to violence are also important to examine. Peek-Asa and colleagues are completing
After graduating from the UCLA School of Public Health last year, Monteleone began working full-time as a Rape Prevention Education Coordinator at the Los Angeles Commission on Assaults Against Women (LACAAW). As part of the program, Monteleone conducts outreach to the 22 communities in her office’s service area in the West San Gabriel Valley, giving presentations on teen-relationship violence prevention, domestic violence prevention and sexual assault prevention education, as well as selfdefense classes. Among other sites, Monteleone facilitates these presentations at middle schools and high schools in the Pasadena, Arcadia, San Gabriel, El Monte, and Alhambra Unified School Districts. “I believe it is valuable for youths to learn about domestic violence and how to prevent violence against women,” she says. “Teens have told me they appreciate having the opportunity to discuss ways that they can build healthy relationships and prevent violence and abuse from occurring in their own lives.”
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Alina Bueno,
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M.P.H. ’99
Douglas Wiebe
UCLAPUBLIC HEALTH
Wiebe, a postdoctoral fellow, is working with Sorenson on her study of the relation between guns and nonfatal domestic violence, based on interviews with residents of battered women’s shelters in California. Wiebe is also conducting research on gun storage methods as a risk factor for homicide, suicide, and unintentional fatalities. His study, funded by the California Wellness Foundation and the Public Health Foundation, suggests that the way people store guns affects the risk of household members becoming victims in each of the three categories. Wiebe became interested in violence prevention while providing counseling for children in a residential care facility. “It was such a challenge for families to recover after violence occurred,” he recalls. Firearms are responsible for such a great proportion of unnatural deaths, he notes. At the same time, discussions about limiting access to firearms are rife with controversy. “Research can help address issues that are often swayed by politically motivated conjecture,” Wiebe says.
While a student at the School, Bueno learned the concept of photo voice — using photography as a vehicle for disenfranchised people to convey what their daily lives are like. During her second year in the M.P.H. program, Bueno devised Shoot with Cameras — Not Guns. Elementary schoolchildren learn the basics of photography, then photograph the positive and negative aspects of their community. Bueno, now a Program Coordinator at Harbor-UCLA’s Childhood Injury Prevention Center, continues to implement the program as part of her fulltime position. The children exhibit their photographs in the classroom to foster discussion, then identify and implement a community improvement activity. “The idea is to help them realize, even as young as 9 and 10 years old, that they have the ability to make a difference in their neighborhoods,” Bueno explains. Bueno started the program at a single elementary school in Wilmington, Calif.; this year she is also implementing it at a second school. In addition, she is helping to expand the program to 12 other sites across the country through the national Injury-Free Coalition for Kids.
Alina Bueno, M.P.H. ’99, with elementary school students in Wilmington, Calif., where Bueno has implemented Shoot with Cameras — Not Guns. The students exhibit their photographs showing both positive and negative aspects of their community.
an international collaborative study comparing both victimization and perceptions of the severity of abuse among women living in Mexico and women of Mexican descent living in the L.A. area. And on the topic of school shootings, an unresolved question is whether they are a sign of increasing overall aggression in schools, or merely a product of easier access to the lethal weapons. Public health researchers and professionals have had a major impact in shaping policy, particularly as it pertains to guns. Weiss notes that more health departments are recognizing the need to include injury and violence prevention as part of their core activities. But public health has been less effective in attracting funding for violence prevention research and programs. “We’re constantly looking for money,” says Weiss. Indeed, agrees Sorenson, scientific evaluations of existing policies are sorely needed, but limited resources are available to conduct these studies. The School has fared better than many at attracting funders, particularly from foundations, as well as from the state Department of Health Services. In fact, the School has long been a leader in violence prevention teaching and research. Since 1986, Sorenson has taught a course on family and sexual violence — a subject that, to this day, is part of only a handful of university curricula. She also teaches a gun policy course. A course on the epidemiology of assault, homicide and suicide is taught by Dr. Jess Kraus. Many graduates who have taken these courses are now making an impact in the community. In 1991, Sorenson co-founded the Violence Prevention Coalition of Greater Los Angeles. She and Peek-Asa have both played active roles in the organization, which Weiss, also a co-founder, serves as Executive Director. The Violence Prevention Coalition includes public health professionals and academics, law enforcement, and community-based organizations ranging from domestic violence prevention programs and shelters to job- and after-school programs. “You want to create the kind of nurturing environment in a community that enables children to flourish, and supports their parents,” says Weiss. Like the contribution of public health in general, the Violence Prevention Coalition has contributed a sense of optimism to groups dealing with a problem that once seemed inevitable. “This has made people aware that there’s something they can do,” Weiss says. “People are beginning to realize that working together, we can really make a difference in our communities.”
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Pillars of the Community
feature
While a student
19
at the UCLA School
of Public Health, Rachel Gonzales gave something back to the community in which she was raised. Gonzales and fellow M.P.H. student Mehrnaz Davoudi, working with the El Monte Union School District in Los Angeles’ San Gabriel Valley, implemented a school-based anti-tobacco program. Project E.M.P.A.C.T. (Empowerment and Media Prevention Advocacy for Controlling Tobacco) included
F OUR
YEARS AGO ,
R OBERT
awareness and knowledge of the influence of advertising and other media on AND
M ARION W ILSON ( ABOVE ) MADE A GENEROUS DONATION TO SUPPORT STUDENTS IN COMMUNITY- BASED HEALTH IMPROVE MENT EFFORTS .
T HE
an eight-week media literacy program for 10th graders, designed to increase
IMPACT OF
THEIR GIFT CAN BE SEEN IN NEIGHBORHOODS ACROSS THE REGION .
tobacco use.
In Project E.M.P.A.C.T., initiated by two UCLA School of Public Health students, high school students find tobacco ads in their libraries, then conduct “ad-busting” sessions in which they discuss the facts not mentioned in the ads.
UCLAPUBLIC HEALTH
“By instilling in the students critical thinking skills and the ability to decipher hidden messages in tobacco-company advertisements that targeted them, we hoped to change attitudes and decrease their tobacco use,” Gonzales explains. While Gonzales and Davoudi are still analyzing their results, the anecdotal evidence indicates that the program made a strong impact. “The change in the students from the beginning of the program to the end was very exciting,” Gonzales says. “They started out very reserved, because they’re used to the traditional format of listening to the teachers. By the end, they were much more actively involved, and were very anti-tobacco. They became advocates themselves.” Project E.M.P.A.C.T. is one of nearly four dozen UCLA School of Public Health student-initiated projects to make an impact on poor and underserved populations in Southern California communities since 1998. In 1997, UCLA alumni Robert and Marion Wilson made a generous gift to the School to provide internship stipends for students working in community-based health improvement efforts, particularly among the region’s poor and underserved. The gift enabled the School to establish the Community Health Promotion Program, which has supported 46 innovative public health projects, planned and implemented by the School’s students in conjunction with local community agencies (see the list on the next page). “Projects were extremely varied in topic and scope, but they shared the common goal of providing assistance to populations in need,” says Kirstin Chickering of the School’s Office of Public Health Practice, who administered the program. “The addition of this innovative program has enabled UCLA’s Public Health Practice Program to become a national model for public health schools throughout the country.” The underserved individuals and organizations targeted by the projects weren’t the only ones to benefit. Participating students spoke of the richness of
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Myra Bastidas (second from right) provided technical assistance to the Health Rescue Immunization Project in South-Central Los Angeles. The group presented its work on a poster board at last year’s APHA annual meeting.
their experiences — which, in many cases, have led to post-graduation jobs. “I recommend that students who are interested in program development take advantage of their time at the UCLA School of Public Health and actually implement a self-developed program,” says Davoudi. “We learn the ideal model of how public health programs should be operated, but once we graduate, we are faced with the realities of a system that is most often difficult to change. Being innovative public health professionals means initiating programs that take the theories and actually apply them to real-life settings.” Myra Bastidas agrees. Her spring 2000 project involved providing technical assistance to the Health Rescue Immunization Project in South-Central Los Angeles, where immunization rates are extremely low among Latino families. Using a teaching methodology known as Popular Education Methods, Bastidas assisted in training promotoras de vacunación, Latina women recruited and empowered to serve as advocates for timely immunization in their communities. Bastidas has seen the dramatic impact of the project in changing preconceived notions and attitudes about immunizations and ensuring that more Latino children become immunized. “It’s been so personally rewarding to know that by getting my training in public health, I’ve been able to make a contribution to improving the health of my community,” says Bastidas. “And professionally, this experience has opened so many doors,” including the opportunity to give a presentation at the American Public Health Association annual meeting. Concludes Bastidas, who completed her M.P.H. education this spring and continues to work at Health Rescue as Assistant Project Coordinator: “This is why I went into public health.”
Community Health Promotion Program Awardees
2000 Health Rescue/Rescatando Salud Promotora Immunization Project Myra Bastidas Evaluation of Shelter Nurse Program Heidi Behm Promotion of Folic Acid Use Among Low-Income Pregnant Women Katie Eilers Development of a Comprehensive Educational Program for the Community Coalition for Substance Abuse and Treatment in South Los Angeles Anne Farrell
UCLAPUBLIC HEALTH
The Anti-Tobacco E.M.P.A.C.T. Program Rachel Gonzalez, Mehrnaz Davoudi Basic Support Program for Homeless Individuals Koy Parada, Kevin Riley VCHC/COPE Family Assessment Julia Prentice
Study and Analysis of Barriers to Medical Participation and Retention in a Small, NonProfit Community-Based Clinic Stephanie Surbida Child Abuse and Neglect Education and Prevention Outreach Program Fumihiko Yokota
1999 Teen Violence Prevention Project in the Mid San Fernando Valley Isabelle Barbour Ethiopian Health Fair Expo Ruth Betru Diabetes and Diet Zinat Choudhury Hepatitis B and C Education for the Homeless Brenda Goldhammer Study of Personal, Indoor, and Outdoor Exposure to Fine Particulate Matter, Acid Aerosols, and Air Toxics Caroline Guillebard, Lisa Sabin, Derek Shendell, and Naomichi Yamamoto
Feeding Our Children Susan Kim Comprehensive Health Assessment of Riverside County Kami Lo Investigating the Incidence of Asthma and Respiratory Diseases in Schools Situated in Southeast L.A. Industrial Zones Fiona O’Kirwan Empowering the South Asian Community in L.A. Lisa Patel, Jasbir Virk Assessing Demography of Latina Women Who Are Victims of Sexual Assault and/or Domestic Violence Sarika Thakur
1998 Understanding and Promotion of Breastfeeding in High-Risk Women with a History of Chemical Dependence Linda Barthauer, Sarah Thomas
Increasing Access to and Utilization of WIC Services in South Central and South East Los Angeles Susan Diaz Native American Outreach Program for the PHFE-WIC Program Heidi Frith-Smith Emergency Preparedness Training for Underserved Elementary School Children Todd McNairy Using Home-Blood Glucose Testing to Improve Diabetic Patients’ Health Sara Mirza Characteristics of Adolescents and Women Seeking STDRelated Services at the T.H.E. Clinic in Los Angeles County Lisa V. Smith Shoot with Cameras — Not Guns Alina Bueno Health Rescue/Rescatando Salud Tina Christapolous Factors Influencing HighRisk Behaviors and Service Utilization of Transgender Youth Heather Corliss Fighting Cancer with Fitness Alexandra Ellis
TB Workshops in the Asian and Pacific Islander Community in L.A. County Shoko Ishikawa Teen Relationship Violence Prevention Sarah Kochly Students’ Health and Osteoporosis Understanding for Tomorrow (SHOUT) France Nguyen Community Outreach for Prevention & Education (COPE) Koy Parada Increasing the Capacity of Chaplain Services at KingDrew Medical Center to Provide Culturally Competent Care for the Poor and Underserved Kathryn Pitkin Teaching Love and Compassion (TLC) Lara Shing Characteristics of Medically Underserved Populations Utilizing a Mobile HIV Testing Van Lisa Smith Complementary Medicine for Indigenous Populations Patrice Wagonhurst
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alumni profile
21
alumni
Heal the Bay’s Mark Gold Uses “Impact Science” to Clear the Murky Waters Off of Santa Monica
“I think our use of science to educate the public and advocate on issues is what sets us apart from most groups.” UCLAPUBLIC HEALTH
MARK GOLD (D.Env ’94) REMEMBERS THE LECTURE like it was yesterday — even though it took place nearly 15 years ago, while Gold was taking courses toward his doctorate in the UCLA School of Public Health’s Environmental Science and Engineering (ESE) Program. “It was a talk given by someone from the California Department of Health Services,” Gold recalls. “He said, ‘If you in academia don’t make recommendations on technical issues, just remember, elected officials will. If you stay in that ivory tower, those multi-million dollar decisions that impact public health are going to be made without you.’ ” The statement reaffirmed what Gold had concluded while getting his master’s degree in biology at UCLA. “I decided I was a big-picture kind of guy, and that, rather than pure science, I wanted to do something that was going to make a difference in protecting the environment,” he says. He found his calling in 1986, shortly after entering the policyoriented ESE Program. Gold was in a class in which one of the guest speakers was Dorothy Green, who had just founded a nonprofit organization of volunteers concerned about coastal pollution in Santa Monica, where Gold had been raised. Gold began volunteering at Heal the Bay. Two years later, he was hired as the organization’s first employee, in the position of Staff Scientist. Since 1994, he has served as Executive Director. Heal the Bay was formed at a time when the Santa Monica Bay was, in Gold’s words, “a mess.” Pollution from sewage and storm drains was causing reproductive problems and tumors in fish, and a large section of the bay had become essentially lifeless. Sewage spills were shutting down the bay with regularity. An alarming number of surfers and swimmers were complaining of stomach flu, sinusitis, and other illnesses. Meanwhile, Gold had heard too many politicians use the lack of sound science on a given issue as an excuse not to protect the environment and public health. He vowed to fight back with data. Gold calls it “impact science” — timely research designed to assist decision-makers in acting in the public interest. “I think our use of science to educate the public and advocate on issues is what sets us apart from most groups,” he says. Today, Gold says, the Santa Monica Bay is in much better shape than when Heal the Bay began its efforts. Gold estimates that there has been a 90% reduction in sewage solids discharged to the bay since the mid-1980s, restoring plant and animal life to previous “dead” zones. Among its successes, Heal the Bay coauthored legislation setting the first statewide bathing water standards, along with a protocol for health warnings and beach closures. He’s quick to point out that there’s still work to be done, particularly in reducing storm water pollution, where little reduction has occurred despite Heal the Bay’s best efforts to push for tougher regulations. “The combination of inertia and dischargers’ refusal to do what’s necessary to protect water quality is continually frustrating,” Gold says. “People just hate to change.” But by harnessing the persuasive powers of its 10,000 members and 500 volunteers, Heal the Bay has already effected more change than could have been predicted. Gold, who is assisted by two staff scientists who are doing their dissertations through the ESE Program, says his D.Env. has been a key to his success. “It gives you the diversity of skills necessary to tackle complicated problems,” he says. “That’s critical, because environmental issues are a great deal more complex than a lot of other research issues.”
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faculty honors DR. RONALD ANDERSEN earned The Baxter Allegiance Prize for Contributions to Health Services Research. He served on the Institute of Medicine’s Committee on the Consequences of Uninsurance. DR. SUSAN COCHRAN received the 2001 Distinguished Contribution to Research in Public Policy award from the American Psychological Association. The award was given for Cochran’s body of research on lesbian and gay life. DR. WILLIAM G. CUMBERLAND was elected Fellow to the American Statistical Association. DR. WILLIAM HINDS testified at an Environmental Protection Agency hearing on proposed standards for heavy-duty vehicles and diesel fuel sulfur control. DR. JOHN FROINES was inducted into the Berkeley High School Hall of Fame in Berkeley, Calif. Previous inductees have included Pulitzer Prize-winning playwright Thornton Wilder, fitness expert Jack LaLanne, and Grateful Dead bassist Phil Lesh. DR. JESS F. KRAUS and CORINNE PEEK-ASA received the Best Video Award at the 5th World Conference on Injury Prevention and Control for “Work Alert: A Robbery and Violence Prevention Training Video.”
bookshelf ...recent books by UCLA School of Public Health authors
Changing the U.S. Health Care System: Key Issues in Health Services, Policy and Management, 2nd edition, edited by Ronald M. Andersen, Thomas H. Rice and Gerald F. Kominski. John Wiley.
Health Communication: A Multicultural Perspective, by Snehendu Kar, Rina Alcalay, and Shana Alex. Sage Publications.
Hearts of Wisdom: American Women Caring for Kin, 1850-1940, by Emily Abel. Harvard University Press.
DR. GANG LI was elected Fellow of the International Statistical Institute. DR. MARK LITWIN received the 2001 Gold Cystoscope Award from the American Urological Association. The annual award honors a young urologist with outstanding contributions to the field of urology. Litwin received the award for his pioneering work in urological health services research, much of it in quality of life in prostate cancer. DR. SHANE QUE HEE was named to a five-year term on the National Institute for Occupational Safety and Health Board of Scientific Counselors. DR. SUSAN SORENSON served on the planning board and as a peer reviewer for the Surgeon General’s Report on Youth Violence, and has been a consultant to UNICEF, Innocenti Digest on Domestic Violence.
UCLAPUBLIC HEALTH
DR. DAWN UPCHURCH received the Jacobs Institute— Ortho-McNeil Pharmaceutical Scholar in Women’s Health Award to further her research on the risk of involuntary sex among adolescent girls. The award is given annually by the nonprofit Jacobs Institute for research to improve the delivery of health care services to women. DR. ROBERT WEISS was Section on Bayesian Statistical Sciences Program Chair for the 2001 Joint Statistical Meetings in Atlanta.
Substance Abuse Prevention: A Multicultural Perspective, edited by Snehendu Kar. Baywood Publications.
Alternative Health Care: Medicine, Miracle or Mirage?, by Michael S. Goldstein. Temple University Press.
Hazardous Waste Analysis, by Shane Que Hee. Government Institutes.
The State of Health Insurance in California: Recent Trends, Future Prospects, by E. Richard Brown, Ninez Ponce, and Thomas Rice. UCLA Center for Health Policy Research.
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2001 student awards
DAVID M. SOULELES, M.P.H. ’91, a doctoral student at the School, has been appointed by Gov. Gray Davis to serve as Chief Deputy Director of Programs for the California Department of Health Services. In his new role, Souleles will have responsibility for a number of the Department’s programs, including Prevention Services, Primary Care and Family Health, Health Information and Strategic Planning, Information and Technology Services, and the offices of Women’s Health, Multicultural Health, and Public Information. Souleles has been serving as Special Assistant to the Director of the Department, Dr. Diana Bontá (M.P.H. ’75, Dr.P.H. ’92). In this capacity, he has been a primary advisor in the management of the Department and in the development of policy recommendations. He previously served as the Preventive Health Bureau Manager and AIDS Program Officer for the City of Long Beach Department of Health and Human Services.
American Association of Cancer Research, Pathobiology of Cancer Summer Workshop in Keystone, CO Susan Sheu Epidemiology American Association of Cancer Research, Young Investigator Travel Award V. Wendy Setiawan Epidemiology Ann G. Quealy Memorial Fellowship in Health Services Patricia Conaty Michelle Persha ASPH/CDC/ATSDR U.S.Mexico Border Infectious Disease Surveillance and Epidemiology Internship Maureen Lorena Fonseca ASPO (American Society of Preventive Oncology) New Investigator Award Gloria Mao Epidemiology
CDC Public Health Prevention Specialist Fellowship for 2001-2004 Maureen Lorena Fonseca Epidemiology Celia Blann Fellowship Peter V. Long Health Services Chancellor’s Fellowship Yun Jung Cho Environmental Health Sciences Laura Wei Jeou Ya Chyu Community Health Sciences Katherine J. Hoggatt Epidemiology Erin Lea Kasten Molecular Toxicology Elad Marish Environmental Science and Engineering Charles F. Scott Fellowship Eve Jokel Health Services Caroline M. Salinas Community Health Sciences Gayathri Sellakumar Health Services David L. Boren National Security Education Program Graduate International Fellowship Allison E. Head Epidemiology
Dr. Ursula Mandel Scholarship Catherine A. Taylor Community Health Sciences Eugene Cota Robles Award Andrea Loiselle Community Health Sciences Myduc Ta Epidemiology Foley and Lardner Fellowships in Health Services Anne R. Potter Formosa C. Chen Gordon Hein Memorial Award Christian S. Shinaberger Epidemiology Graduate Opportunity Fellowship Lisa Chuan Fu Community Health Sciences Monica F. McCann Community Health Sciences Monica F. Nickolas Community Health Sciences Caroline M. Salinas Community Health Sciences Health Policy and Management Alumni Association Scholarship Luella Penserga (2000 Awardee)
IARC (International Agency for Research on Cancer), Lyon, France, Special Training Award Jui-Chun Hung Epidemiology
students
Abdelmonem A. Afifi Fellowship Jose G. Carrillo Health Services
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Juneal Marie Smith Fellowship in International Nutrition Tracy Lynn Hazelton Community Health Sciences L.S. Goerke Memorial Award Katherine Deland Health Services National Institute of Aging Minority Supplemental Grant to Study Barriers to Accessing Health Care Maureen Lorena Fonseca Epidemiology NIH Demographic Training Program Grant Julia Prentice Community Health Sciences Pre-Doctoral Fellowship with the NIMH HIV/AIDS Training Grant Marjan Javanbakht Epidemiology Raymond Goodman Scholarship Adele M. Kirk Health Services Riti Shimkhada Epidemiology Research Mentorship Award Susan Sheu Epidemiology Ruth Richards Outstanding Student Award David E. Cardenas Epidemiology Kathryn E. Peterson Community Health Sciences Stephanie K. Surbida Health Services Rie Von Eyben Biostatistics Jingyang Zhang Environmental Health Sciences
Wayne SooHoo Fellowship Xiao Zhang Biostatistics
UCLAPUBLIC HEALTH
The UCLA School of Public Health's Department of Health Services team defeated a team from California State University Long Beach in the final round of the College Bowl, a competition featuring participants from health administration and policy programs in Southern California. The UCLA team, coached by Dr. Diana Hilberman from the Department's faculty (l.), included (continuing, l. to r.) Stephanie Surbida, Michelle Persha and Mae Fay Yeh. Not pictured: Team Captain Marcus Fong.
Samuel J. Tibbitts Fellowship Joy H. Lewis Health Services
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leadership giving THE SCHOOL IS GRATEFUL FOR THE GENEROUS GIFTS from all of our donors. In 2000 we saw growth in Leadership Giving — gifts of $1,000 or more. These gifts are particularly important to helping the School fulfill our mission and ensure continued success.
SPECIAL GIFTS $25,000 and above INDIVIDUALS:
FRANK AND CAROL BIONDI ROBERT J. DRABKIN NANCY D. RIORDAN MONICA SALINAS FOUNDATIONS:
Fred H. Bixby Foundation trustees Owen Patotzka, John Warren, and Howard Friedman
THE AHMANSON FOUNDATION ALZHEIMER’S ASSOCIATION AMERICAN PARKINSON’S DISEASE ASSOCIATION FRED H. BIXBY FOUNDATION THE CALIFORNIA ENDOWMENT THE CALIFORNIA WELLNESS FOUNDATION MAX FACTOR FAMILY FOUNDATION IOWA FOUNDATION FOR EDUCATION, ENVIRONMENT AND THE ARTS SUSAN G. KOMEN BREAST CANCER FOUNDATION DAVID AND LUCILE PACKARD FOUNDATION PUBLIC HEALTH FOUNDATION ENTERPRISES CORPORATIONS:
U.S. BORAX INC. Dean Linda Rosenstock with Jerry Factor and Carolyn Katzin (Vice Chair and Chair of the Dean’s Advisory Board) at the May 1 reception for the Dean at the home of Jerry and Lorraine Factor
D I S T I N G U I S H E D A D V O C AT E S $10,000 – $24,999
JERRY AND LORRAINE FACTOR CAROLYN F. KATZIN CAROLBETH G. KORN A.H. SCHUYLER A D V O C AT E S
UCLAPUBLIC HEALTH
$5,000-$9,999
Monica Salinas and Robert Gillespie at the 2001 Dean’s Dinner
IRA AND MARSHA ALPERT ROBERT D. BLAIR, JR. ALAN HOPKINS CAROLYN F. KATZIN JERRY LEEN JOHN MONAHAN EDWARD J. O’NEILL JOYCE A. PAGE MILTON AND RUTH ROEMER WILLIAM AND CINDY SIMON
GRAND SPONSORS $2,500-$4,999
ABDELMONEM AND MARIANNE AFIFI RONALD AND DIANE ANDERSEN LESTER AND DEVRA BRESLOW THOMAS AND JANE DAVID MILDRED MASSEY LESTER A. MEIS STEWART AND LYNDA RESNICK ANTHONY D. RODGERS PAUL R. TORRENS FRED AND PAMELA WASSERMAN BEATRICE B. ZEIGER DISTINGUISHED SPONSORS $1,000-$2,499
JAMES D. BARBER LINDA B. BOURQUE J.J. AND JUDY BRANDLIN STEVEN AND FRANCES CHASEN CALVIN S. CHUN ROBERT A. DAY, JR. JAMES AND MARTA ENSTROM ROSALIND ESSNER JONATHAN E. FIELDING ROBERT W. GILLESPIE DANIEL P. GROSZKRUGER SUSAN HULL RICHARD B. JACOBS RAYMOND AND JENNIE JING ALLAN K. JONAS JIM M. KADA STEPHEN KAHANE AND JANET WELLS-KAHANE NEAL D. KAUFMAN KENNETH AND CORNELIA LEE JOHN AND CHARLENE MILLER ALFRED K. NEUMANN PETER F. NORTON JOYCE A. PAGE ELAINE ROSE ALAN SAVITZ JACK R. SCHLOSSER GRANT SLATER AND ROSLYN ALFIN-SLATER RICHARD E. SINAIKO BARBARA J. SMITH ARTHUR M. SOUTHAM JOSEPH A. SYIEK GUSTAVO A. VALDESPINO CARL I. WEISSBURG CYNTHIA S. YORKIN
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honor roll 2000
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friends
THE SCHOOL THANKS ALL OF ITS DONORS for their financial support. The following list acknowledges gifts made to the UCLA School of Public Health from January 1, 2000 to December 12, 2000. Although space limitations allow only the listing of donations of $100 or more, contributions of every amount are of great importance to the School and are deeply appreciated. It is important to us that we acknowledge your gift properly. Please let us know of any omissions or errors in listing your name or gift, by calling (310) 825-6464. The Dean’s Council is the School’s Annual Fund, providing the Dean with essential, flexible funding to respond to opportunities and needs in the pursuit of building healthy futures.
DEAN’S COUNCIL SPECIAL GIFT THE
$25,000 and above AHMANSON FOUNDATION
DISTINGUISHED ADVOCATES $10,000 and above CAROLBETH G. KORN
ADVOCATES IRA
$5,000-$9,999 AND MARSHA ALPERT
DISTINGUISHED SPONSORS $1,000-$2,499 SUSAN HULL RAYMOND AND JENNIE JING JIM M. KADA KENNETH AND CORNELIA LEE JOSEPH A. SYIEK
SPONSORS $500-$999 VICTORIA R. ALLA RONALD AND DIANE ANDERSEN PAULA A. CARABELLI OMAR B. DICKERSON BERTELL W. FERGUSON JONATHAN E. FIELDING JOHN A. HIRSHLEIFER SUSAN D. HOLLANDER CAROLYN F. KATZIN LESTER AND JOANNE MANTELL JACK R. SCHLOSSER
DISTINGUISHED FRIENDS
FRIENDS $100-$249 SAMUEL ABRAHAM DONALD ADAMS AND MEI-MIAU WU ALEXANDER M. ADELEKE BARBARA JEAN AITKENHEINZEL LUTFUL K. AKHANJEE HUGO A. ALMEIDA DIXIE L. ARNEAL WENDY ARNOLD ALICESTINE D. ASHFORD TAKAMARU ASHIKAGA MARY E. ASHLEY CATHERINE BACHMANWUESTHOFF DILPRIT BAGGA MARY T. BARHAM PATTI J. BENSON MICHAEL K. BERRY RUS B. BILLIMORIA SUSAN K. BLACKWELL ANN E. BLAKELY STEWART N. BLUMENFELD GERALD M. BOROK KATHRYN J. BRAUDE CLAIRE BRINDIS BONNIE BRINTON E. RICHARD AND MARIANNE BROWN OPAL V. BUCHTHAL WAYNE AND SUZANNE BUCK CAROL W. BUITRAGO MICHELLE R. BURTON THERESA L. BYRD CELIA BYRNE SUSAN M. CAMPBELL MARIA D. CANFIELD LISA L. CAPLAN MARY E. CARR MARGARET CAULKINS CAROLE F. CHEW FRANK AND TERRY CHU ALEIN T. CHUN VIRGINIA A. CLARK LONNIE T. COLE
NANCY D. COMBS MARIA M. CORRAL WILLIAM H. CRAIG CAROLYN M. CRAVERO FINBARR CRISPIE AND CLARA PORCELLA MARY A. CUMMINGS MARTHA J. DEMAREE GERALDINE L. DICKINSON DAVID L. DICKSON SAM W. DOWNING HELEN M. DUPLESSIS CHARLES S. DUVALL KRISTINE A. EDWARDS ELLEN R. EISEMAN CALLISHA A. ELDRIDGE-BELL SAM ELROD AND MEREDITH L. ELROD PATRICIA A. ENGLISH EVELYN T. ERICSON AGNES K. EUBANKS DIONE M. FARRIA JEAN S. FELTON ANAMARIA B. FIFE PAUL M. FLEISS ARLENE FONAROFF CANDICE F. FROST MICHELE A. FULLMER TIE GAO ROBERT AND ROBERTA GERDING ELIZABETH B. GLASER DENISE R. GLOBE ALISA M. GOLDSTEIN CLAUDIA GRAHAM ROCHELLE S. GREEN MELVIN A. GREENSPAN PHYLLIS L. GUINN ANN S. HAMILTON JOANNA E. HARMON STEVEN L. HEILIG RICHARD C. HERIZA THOMAS J. HESSELMANN BOB HOKE ELISE M. HOLLOWAY GORDON D. HONDA PATRICIA S. IALONGO JOSELITO S. IGNACIO GAYLE M. INSEL DIANA L. KIEL DORA N. JAMES ELIZABETH D. JENKINS KATHERINE JEW MARLENE P. KAMIENNY JULIE L. KANTROWITZ LISA C. KASPIN
HERMAN E. KATTLOVE JOHN A. KAUFMANN JOHN B. KESSLER JIN Y. KIM ROSALYN C. KING JAMES KORELITZ AND ELIZABETH SLOSS DORINE G. KRAMER ANNA J. KRAUS DARA R. KURTZ JEAN P. LA COUR MARIE M. LA FARGUE JOSEPHINE H. LAI STEPHEN W. LAZICKI MARTHA B. LEE TERRENCE LEE ALAN T. LEFOR JOHN D. LEIGHTON YIN-PING LEUNG SHAW-FENG LIN LARRY D. LISENBEE CYNTHIA L. LLANES HERBERT L. LUNDBLAD ROBERTA E. MADISON NANCY R. MANN CHRISTOPHER J. MARDESICH NAOMI G. MAZIN WENDY B. MC GRAIL FRANK MEZA RUTH MICKEY ADRIENNE D. MIMS PATRICIA M. MIMS JAMES A. MODECKI RUTH A. MOHR LINDA L. MORAGA DAVID J. MORRIS ROBERT A. MURRAY CLAUDE J. NANJO ELIZABETH T. NASH NIEL S. NATHASON HARVEY L. NEGORO ROBERT G. NELSON SHARON L. NICHOLS WILMA P. NICHOLSON ALICE NORIEGA LARRY K. OLSEN BARBARA M. LANGLAND-ORBAN PAMELA A. OSTER ERNESTO O. PARRA ALAN C. PAULEY GERI L. PEAK GARY AND ROSA PECHERSKY CORINNE L. PEEK-ASA SONDRA T. PERDUE GARY R. PETERSON CARL E. PIERCHALA
NEILL F. PILAND ROBERT S. PLOURDE EDWARD M. POSTLETHWAITE SYLVIA P. PROSSOR ELLEN QUIGLEY ALVIN H. RANSOM MARILYN A. RAY IRENE REALYVASQUEZ LESTER REAMS AND PHYLLIS HAYES-REAMS JOSEFA RENTERIA JEAN L. RICHARDSON ECLEAMUS L. RICKS RICHARD RIOS BRYAN R. ROGERS NAOMI S. ROSEN NANCY R. ROSS CURTIS J. ROZAS JAIME G. SALAZAR ALAN SAMUELS KENNETH P. SATIN GAYLE A. SCHACHNE LINDA M. SCHAEFFER MARK D. SCHLUCHTER RICHARD A. SCRIBNER RICHARD A. SENKO ELESTIA E. SHACKELFORD DEBORAH T. SHAPIRO ATSUKO SHIBATA WILLIAM SHONICK IRWIN J. SHORR JERALD F. SIGALA JAMES B. SIMPSON CLIFFORD J. SMITH WILLIAM E. SMITH, JR. LAURA E. SNOW DAVIA S. SOLOMON HOWARD M. STANILOFF ELAINE J. STONE JOSEPH H. SUGERMAN CHRISTOPHER M. SULLIVAN CAROL E. SUTHERLAND ANNETTE M. SWEZEY MYDUC L. TA SUSAN P. TAYLOR JAMES B. TEHAN WALTER THISTLEWAITE AND KRISTINE MC COY S. S. TIBBITTS JEFFREY A. TIPTON CHERI A. TODOROFF CITRON AND GENEVIEVE TOY DIANE O. VALDEZ DAVID AND SUEBELLE VERITY IRENE N. VOLD ANNE F. WALONKER
UCLAPUBLIC HEALTH
$250-$499 CRAIG L. ANDERSON MARLENE D. BELSTOCK LINDA B. BOLTON LESTER E. BOSTON, JR. DAVID M. CARLISLE MARIA CASTANEDA LYNNE A. EMMA RAYMOND AND BETTY GOODMAN MARK E. GRANOFF NEAL HALFON CHELA M. HINESLEY ROBERT A. JACKSON JANET L. KIRKPATRICK LEONARD AND MELODYE KLEINMAN
HWAI-TAI C. LAM ROBERT D. MASSARO NELLY A. NIGRO MARGARET S. PATRICELLI DOLORES B. ROSS MIRIAM SCHOCKEN ROBERT SCOFIELD, JR. HERBERT N. SNOW MANUEL VANEGAS
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FRIENDS cont’d $100-$249 ALBERT B. WANG ANNE WAYBUR CORDELL R. WELCOME JOANNE WELLMAN-BENSON GEORGE WENZEL, III CAROLYN M. WHITE AMY R. WOHL GIRMA WOLDE-TSADIK DANNY Y. WONG PAUL Y. YAHIKU CHIERI YAMADA FRANCIS N. YEMOFIO ELEANOR D. YOUNG MICHAEL A. ZABLOCKI
D E PA R T M E N TA L , PROGRAM AND SCHOLARSHIP GIVING COMMUNITY HEALTH SCIENCES NINA D. CONSTANTINO KAREN J. LASSNER
EPIDEMIOLOGY TERRENCE LEE CORINNE L. PEEK-ASA
HEALTH SERVICES JONATHAN E. FIELDING ANTHONY D. RODGERS
HEALTH SERVICES COMMUNITY PARTNERS
UCLAPUBLIC HEALTH
BLUE CROSS OF CALIFORNIA THE CALIFORNIA ENDOWMENT HEALTH POLICY & MANAGEMENT ALUMNI ASSOCIATION
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KAISER PERMANENTE LA CARE HEALTH PLAN PACIFICARE BEHAVIORAL HEALTH PRICEWATERHOUSECOOPERS MILTON AND RUTH ROEMER ST. JOSEPH HEALTH SYSTEM, WILSHIRE FOUNDATION INC.
ENVIRONMENTAL SCIENCE AND ENGINEERING PROGRAM ASPEN ENVIRONMENTAL GROUP MARIJKE L. BEKKEN L. D. DUKE ROBERT B. GERDING MARK GOLD AND LISETTE BAUERSACHS HARLAN H. HASHIMOTO DONALD AND CAROLYN HUNSAKER STEPHEN KAHANE AND JANET WELLS-KAHANE MARGARET M. LOBNITZ JON B. MARSHACK GARY M. MEUNIER FRANCIS H. PALMER SUZANNE L. PHINNEY ALIREZA RABIZADEH HAMID RASTEGAR A. H. SCHUYLER STEVEN R. SIM PAUL E. SMOKLER
HEALTH POLICY & MANAGEMENT ALUMNI ASSOCIATION PROGRAM CAROL A. ADAMS JAMES P. AGRONICK IRA R. ALPERT RONALD M. ANDERSEN RONALD ARIAS AND ANGELA CORON
L. to r.: Anthony DiStefano, Professor Charlotte Neumann, Professor Emeritus Alfred Neumann, Robert Drabkin, Dean Linda Rosenstock, Dr. Mike Prelip, Astou Coly, Tracy Hazelton, and Natasha Razack at the Neumann-Drabkin International Fieldwork Fellowships Reception.
JAMES D. BARBER CHRISTY L. BEAUDIN ROBERT D. BLAIR LINDA B. BOURQUE DEVON C. BREAM LESTER BRESLOW PAULA A. CARABELLI WILLIAM B. CASWELL JODI COHN JEFFREY M. CONKLIN RODNEY L. CORKER MARK E. COSTA CREDIT SUISSE FIRST BOSTON CORPORATION JULIE E. CRONER BRUCE N. DAVIDSON KEITH DEISENROTH DANIEL ERSHOFF AND VIRGINIA QUINN ROSALIND ESSNER CONNIE J. EVASHWICK GAROLD AND JOYCE FABER JEFFERY E. FLOCKEN SUSAN FOGEL DAN FORD MICHAEL R. GALPER MATTHEW S. GERLACH SUSAN R. GOODGAME GREATER PACIFIC MEDICAL MANAGEMENT DANIEL P. GROSZKRUGER MARILYN W. GRUNZWEIG JAMES C. HANKLA JAMES E. HADEN REMY HART JOE AND DIANA HILBERMAN JOHN A. HIRSHLEIFER JOHN D. IVIE RICHARD B. JACOBS AVRAM W. KAPLAN NEAL D. KAUFMAN DANIEL S. KERR RICHARD K. KIEL, JR. GERALD KOMINSKI JAMES AND DIANE LAIRD GAIL C. LARSON NED LAUBACHER, JR. TERI D. LAUENSTEIN LISE L. LUTTGENS FRANK MATRICARDI AND DIANA BONTÁ JACQUELINE M. MEANEY JOHN MONAHAN NANCY J. MONK ZAHRA MOVAGHAR CRAIG G. MYERS THANH-HAI NGUYEN ELISA A. NICHOLAS WALTER W. NOCE, JR. JESSICA M. NUNEZ TINA NUNEZ ELIZABETH A. OSTHIMER CHRISTOPHER J. PANARITES MANISSA J. PEDROZA DANIEL PELLICCIONI AND LORI RICHARDSON-PELLICCIONI NINEZ A. PONCE JOEL J. PRELL PREMIER PHYSICIAN SERVICES
ANTHONY RAIA AND PAMELA DAVIDSON THOMAS H. RICE RIVERSIDE COMMUNITY HOSPITAL MILTON AND RUTH ROEMER CHRISTINE D. ROGEN MARTIN AND LORRAINE ROSS KARINN B. SAMMANN NATALIE L. SANDERS RENE G. SANTIAGO MARJORIE A. SANTOREBESSON ALAN SAVITZ SCAN JACK R. SCHLOSSER LISA B. SHAW MIKE SHEAD RICHARD E. SINAIKO LAURA E. SNOW ARTHUR M. SOUTHAM MELISSA TABBARAH TENET HEALTHCARE DAVID B. TILLMAN PAUL R. TORRENS JULIE TUGEND DIANE UNG GUSTAVO A. VALDESPINO ROBERT O. VALDEZ CARL I. WEISSBURG NIKKI COLE WEST ALLYSON B. WILLIAMS WALTER A. ZELMAN
SPH SCHOLARSHIP JOANNE LESLIE PHILIP M. ORAVETZ LIANE WONG
BRESLOW LECTURE LA CARE HEALTH PLAN
GOODMAN SCHOLARSHIP RAYMOND AND BETTY GOODMAN
JUNEAL SMITH FELLOWSHIP
RAYMOND AND BETTY GOODMAN DANIEL AND SHERYL GORDON FARHAD A. HAGIGI ALAN HOPKINS CARL AND FLORENCE HOPKINS JACK H. HUDES DEAN T. JAMISON SNEHENDU B. KAR CAROLYN F. KATZIN ELIZABETH J. KELLY LESTER AND CAROLBETH KORN CARLOS G. LAZARO ELISA T. LEE KAREN MARKUS MILDRED MASSEY LESTER A. MEIS MAX AND JEAN MICKEY RUTH MICKEY JOHN AND CHARLENE MILLER HAL MORGENSTERN ALFRED AND CHARLOTTE NEUMANN EDWARD J. O’NEILL JOYCE A.PAGE JONG-SOON P. PARK CARL E. PIERCHALA DALE L. PRESTON SHANE S. QUE HEE THOMAS H. RICE MILTON AND RUTH ROEMER STEVEN J. ROTTMAN GREGORY AND DANITA SCHWEMER JUDITH M. SIEGEL HERBERT N. SNOW SUSAN SORENSON ANTHONY AND GLORIA STYPINSKI AUDREY TIBBITTS RHEA P. TURTELTAUB NORA L. VALDIVIEZO FRED AND PAMELA WASSERMAN WENG-KEE WONG JEFFREY AND LAUREL WRUBLE
ELIZABETH K. JENSEN
NORTON MEMORIAL FELLOWSHIP
AFIFI FELLOWSHIP
ROBERT S. KLEINERMAN
RONALD AND DIANE ANDERSEN STANLEY P. AZEN THOMAS R. BELIN EMIL BERKANOVIC SALLY BLOWITZ LINDA B. BOURQUE DOROTHY K. BREININGER LESTER AND DEVRA BRESLOW E. RICHARD BROWN TODD A. CHENEY CALVIN S. CHUN WILLIAM G. CUMBERLAND ROBERT J. DRABKIN JAMES AND MARTA ENSTROM JERRY AND LORRAINE FACTOR THOMAS B. FARVER OSMAN GALAL AND GAIL HARRISON ROBERT W. GILLESPIE
VIVIAN WEINSTEIN ADVOCACY PROGRAM SHIRLEY ABRAMS JOHN AND BONNIE ARMSTRONG BONNIE L. BAILER STEVE AND JOAN BARANOV LYNN W. BAYER A. E. BENJAMIN, JR. MELINDA D. BESWICK RANDLE M. BIDDLE JUDY BILLINGS FRANK AND CAROL BIONDI J. J. AND JUDY BRANDLIN MICHELE BRESLAUER DEVRA M. BRESLOW MICHAEL AND JEAN BRUNELLI CALIFORNIA COMMUNITY FOUNDATION FRIEDA R. CAPLAN
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ways of giving THE SCHOOL DEPENDS ON THE GENEROSITY of alumni and friends to support its mission of teaching, research and service. Only one third of the School’s annual budget is provided by state funds; the rest comes from federal and state grants and contracts and private gifts. Almost every type of gift to The UCLA Foundation, which receives gifts for the School of Public Health, is completely or partially deductible from federal, and often state, income tax. Tax savings can reduce the “cost” of making a charitable gift.
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GIFTS OF CASH Donations of all sizes are welcome and appreciated! GIFTS OF APPRECIATED SECURITIES A gift of appreciated stock can contribute to the School’s work while minimizing your taxes. You pay no capital gains on appreciated stock, but receive an income tax deduction equal to the full amount of the stock at the time of transfer to UCLA. GIFTS OF PERSONAL PROPERTY The development staff can assist you in the identification and sale of items of value which may help you support the School, such as jewelry, art and classic automobiles. DEFERRED GIFT CHOICES You can name the School in your will, leaving an outright gift or a portion of your estate. Additionally, assets can be transferred into an income-producing gift arrangement that makes lifetime payments to you and/or other selected beneficiaries. After the lifetimes of all beneficiaries, the value of the remaining assets will be distributed to the School for the purpose you designated; thus the gift is “deferred.” NAMING OPPORTUNITIES The Dean may recommend to the Chancellor or the Regents that a room in the School of Public Health be named in recognition of gifts of $100,000 and above. Naming opportunities — for classrooms, lecture halls, suites, etc. — in both the current and future School of Public Health buildings are abundant. To date, the following places in the School have been named: Helga and Walter Oppenheimer Lobby Carolbeth G. Korn Meeting Room Frank J. Massey, Jr. Biostatistics Library TIPS
• You can contribute online at www.campaign.ucla.edu/gift.cfm; specify the School of Public Health in the Comments. • You can double your gift by checking to see whether your employer matches employee giving. • You can make gifts in honor or memory of friends, family and business acquaintances. We send the honoree or family member an appropriate card that recognizes you as the donor. RECOGNITION
• Donors of $100 and above are listed annually in the School’s Honor Roll. • Individual donors of $1,000 and above are honored at an event hosted by the Dean. • Donors of cumulative gifts of $50,000 and above to the School of Public Health are named on the School’s Donor Wall. For further information or assistance, contact Office of Development and Alumni Relations, UCLA School of Public Health, (310) 825-6464.
UCLAPUBLIC HEALTH
CONNIE LUE GAY E. MAC DONALD KATHLEEN V. MALASKE-SAMU JANE E. MARTIN PHYLLIS MASLOW ACQUELYN MCCROSKEY VIRGINIA P. MCDONALD MICHAEL MCKINLEY RITA B. MOYA WILLIAM L. NIGH PETER F. NORTON MARY ODELL RALPH M. PARSONS FOUNDATION GALE L. PAULEY ANNE R. PEBLEY JENNIFER L. PERRY SIMON AND MIRIAM PRUSSIN ROBERT AND MICHELE REINER STEWART AND LYNDA RESNICK BEN RINALDO NANCY D. RIORDAN MONICA H. ROHACEK ELAINE ROSE LEO ROSSMAN BRUCE P. RUBENSTEIN CHERYL SABAN CECILIA SANDOVAL MICHELE P. SARTELL PAUL M. SCHACHTER ARTHUR SCHAFFER MARTIN SCHLAGETER LEONARD AND PAULA SCHNEIDERMAN LORRAINE SCHRAG TONI M. SCHULMAN SANDRA J. SCHWARM SEIU LOCAL 660 AFL-CIO WILLIAM SHONICK WILLIAM AND CINDY SIMON ROBERT SIMONDS BARBARA J. SMITH KATHRYN A. SMITH SONOMA STATE UNIVERSITY ACADEMIC FOUNDATION, INC. SAMUEL AND HELEN SOREF FOUNDATION BARBARA L. STOKELY MARK TAIRA AND TERESAMAE OGAWA PETER TAYLOR AND CORALYN ANDRES-TAYLOR JANET TEAGUE LINDA UMBDENSTOCK GLORIA L. WALDINGER TRICIA WARD SHARON G. WATSON DAVID WEINSTEIN AND NANCY FULLER STEVEN AND MOLLIE WEST MARIANNE WHITE JON AND NANCY WILKMAN ADELE A. YELLIN CYNTHIA S. YORKIN JONATHAN ZASLOFF BEATRICE B. ZEIGER HELEN J. ZISKIND
friends
ALEXANDER CAPRON AND KATHLEEN WEST STEVEN AND FRANCES CHASEN CHILD & FAMILY SERVICES CARL E. COAN JEAN F. COHEN JONATHAN COLLIER AND LAURIE GROTSTEIN CONNECTIONS FOR CHILDREN RICHARD J. COHEN, JR. MICHAEL AND PATRICIA CURRY BARBARA G. CULL THE DAVID FAMILY FOUNDATION, INC. THOMAS AND JANE DAVID EZRA C. DAVIDSON, JR. GRAY AND SHARON DAVIS ROBERT A. DAY, JR. ROBERT AND CAROLYN DENHAM LUCILLE A. DERRIG JACQUELINE G. DOLAN PETER A. DUBOIS HELEN M. DUPLESSIS MICHAEL AND JANE EISNER NANCY ENGLANDER KERRY L. ENGLISH EUGENE FERKICH ALVIN FERLEGER JONATHAN E. FIELDING MARIANNA FISHER DOROTHY FLEISHER STEPHEN M. FOX JONATHAN AND GAIL FREEDMAN PEGGY FUNKHOUSER PAUL J. GELLER DALE AND ANGIE GARREL HARRIET R. GLICKMAN HELEN GAVRON GREENWOOD, SYLVAIN & GREENWOOD SUSAN G. GRINEL JUDITH M. HANE ELIZABETH M. HITESHEW HOLLYGROVE-LOS ANGELES ORPHANS HOME SOCIETY INC. INFANT DEVELOPMENT ASSOCIATION ALLAN K. JONAS KAISER PERMANENTE KAISER PERMANENTE/WATTS COUNSELING & LEARNING CTR LEON KAPLAN SY AND ANITA KATZ NEAL D. KAUFMAN JANICE P. KERN LYNN KERSEY ROBERT A. KETCH THE MICHAEL KING FAMILY FOUNDATION KENNETH AND HELEN KLEINBERG LORRAINE V. KLERMAN MARA V. KOHN WENDY LAZARUS ROBERT D. LEE LINDA LEWIS JOHN A. LINDON EMILY R. LLOYD ELIZABETH H. LOWE
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UCLA School of Public Health
endowed funds
GIFTS OF $100,000 AND ABOVE may be placed in named, endowed funds. The principal of these gifts is invested, and the income funds the donors’ intentions in perpetuity. Additional gifts may be made to these funds at any time, increasing both their principal values and the annual level of support to their public health purposes.
FRED H. BIXBY DOCTORAL FELLOWSHIP Support for doctoral students researching domestic or international population control and family planning issues. FRED H. BIXBY PROGRAM ON POPULATION Funding start-up research grants for faculty and students, annual lectures, summer internships and fellowships for master’s students, and additional doctoral student fellowships. CELIA AND JOSEPH BLANN FELLOWSHIP Created by a gift of the Annette Blann Living Trust and H. Marshall Blann, in memory of their parents Celia and Joseph, and awarding outstanding students School-wide. LESTER BRESLOW DISTINGUISHED LECTURE A gift of Betty and Ray Goodman, M.D., M.P.H. ’72 and Adjunct Associate Professor in the School, honoring Lester Breslow’s service as Dean; provides for an annual lecture from a public health leader.
UCLAPUBLIC HEALTH
UCLA School of Public Health Donor Wall
ELEANOR J. DEBENEDICTIS FELLOWSHIP Given in memory of Eleanor DeBenedictis, B.S. ’39, by her husband Aldo DeBenedictis, and providing School-wide fellowships to doctoral students in nutrition. ABDELMONEM A. AFIFI FELLOWSHIP Contributed by the Dean’s Advisory Board and the School community in honor of Abdelmonem Afifi’s service as Dean, and awarding students Schoolwide for outstanding scholarship.
GLADYS A. EMERSON SCHOLAR In memory of Gladys Emerson, Professor of Environment and Nutritional Science in the School from 1955 to 1970, supporting visiting scholars in nutrition.
ARCO FELLOWSHIP Established by the Atlantic Richfield Company, funding master’s and doctoral students in the Department of Environmental Health Sciences.
ENVIRONMENTAL SCIENCE AND ENGINEERING PROGRAM Created by the graduates of this interdepartmental doctoral program, for scholarships to current students.
FRED H. BIXBY CHAIR IN POPULATION, FAMILY AND INTERNATIONAL HEALTH An endowed chair in the Department of Community Health Sciences honoring Fred Bixby, a rancher whose family built one of the largest real estate and ranching operations in the West. The chair, held by Judith Blake from 1975 to 1993 and Anne R. Pebley from 1999 to present, supports a faculty member with expertise in population control and family planning.
RAYMOND D. GOODMAN SCHOLARSHIP A gift of Betty and Ray Goodman, M.D., M.P.H. ’72 and Adjunct Associate Professor in the School, supporting School-wide student scholarships. HEALTH POLICY AND MANAGEMENT ALUMNI ASSOCIATION PROGRAM Contributed by the gifts of graduates of the Department of Health Services, and funding departmental scholarships and priorities.
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Raymond Goodman congratulates Jianming Wang, who was one of the recipients of the 2000 Raymond D. Goodman Scholarship.
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WILLIAM AND FLORA HEWLETT FOUNDATION ENVIRONMENTAL SCHOLARSHIP Ongoing student support to Environmental Science and Engineering Program, an interdepartmental doctoral program. BETTE AND HANS LORENZ FELLOWSHIP Provided by their estate, Bette and Hans Lorenz’ fellowship supports outstanding students School-wide. MAXICARE RESEARCH FELLOWSHIP A gift of Maxicare Health Plans, Inc., for faculty and doctoral student research projects in the Department of Health Services. TONY NORTON MEMORIAL FELLOWSHIP Contributed by family and classmates in memory of Tony Norton, M.P.H. ’91 in Environmental Health Sciences, and awarded annually to an outstanding and activist Environmental Health Sciences student. ANNE G. QUEALY MEMORIAL FELLOWSHIP Donated by Linda Lichtenfels in memory of her friend Anne Quealy, Dr.P.H. ’73, M.P.H. ’72, for students in the Department of Health Services. ROEMER HEALTH SERVICES ADMINISTRATION FELLOWSHIP A gift of School faculty members Milton and Ruth Roemer, supporting candidates for the Doctor of Public Health degree. THE RALPH R. SACHS VISITING SCHOLAR Honoring the memory of Ralph Sachs, Associate Clinical Professor in Behavioral Sciences and Health Education in the School from 1959 to 1976 and a visionary public health leader in Southern California, for a visiting public health scholar from the University of California.
FRED H. AND PAMELA K. WASSERMAN CHAIR IN HEALTH SERVICES An endowed chair in the Department of Health Services, named for its donors Fred Wasserman, Dr.P.H. ’76, M.P.H. ’72 and Pamela Wasserman, M.P.H. ’72, co-founders of Maxicare Health Plans Inc. Held by Ronald M. Andersen, 1991-present. VIVIAN WEINSTEIN PROGRAM Contributed by members of the Los Angeles community in memory of Vivian Weinstein, a leading children’s advocate and mentor, to support the interdisciplinary training of graduate students in children’s advocacy. WEISMAN FAMILY FOUNDATION Given in honor of Professor Barbara Visscher by Richard Weisman and family, and supporting the Department of Epidemiology.
ANONYMOUS LESTER & DEVRA BRESLOW ANNE & JOHN COULSON RALPH FRERICHS ROBERT & DIANA GHIRELLI RAYMOND & BETTY GOODMAN CARL & FLORENCE HOPKINS GERALD KOMINSKI DAVID KRASNOW LESTER & GENEVA MEIS JEAN MICKEY HELGA & WALTER OPPENHEIMER JEANNETTE OREL ANNE REHER-LIVIO GURDON & MARY ANN SMITH SUEBELLE & DAVID VERITY
WILSHIRE FOUNDATION INC. GERIATRIC MEDICINE Supporting School-wide student public health practice in elder care and policy.
C A M PA I G N U C L A S C H O O L O F P U B L I C H E A LT H Faculty $ 941,480 Students $ 1,967,842 Discretionary $ 1,543,248 Capital $ 6,366 Program/Research $ 13,297,995
Progress Toward Goal as of April 30, 2001
Anne and John Coulson
UCLAPUBLIC HEALTH
MONICA SALINAS INTERNSHIP IN LATINO AND LATIN AMERICAN STUDIES A gift of Monica Salinas to underwrite internships for students with interests in the health of Latinos or Latin Americans.
SAMUEL J. TIBBITTS FELLOWSHIP Contributed by family and alumni colleagues of Sam Tibbitts, M.P.H., B.S. ’49, honoring the memory of this pioneer in managed health care for School-wide fellowships.
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JUNEAL MARIE SMITH FELLOWSHIP IN INTERNATIONAL NUTRITION Created by her parents in memory of Juneal Smith, Ph.D. ’95, M.P.H. ’92, and funding doctoral students School-wide for work in international nutrition.
First Century Society members are alumni, faculty, staff and friends who have made provisions for UCLA in their Will, Trust, or other planned giving arrangements. With generosity and foresight, the following members have designated the School of Public Health as a beneficiary:
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