UCLA Public Health Magazine - Spring 1989 by UCLA Fielding School of Public Health

DEAN'S MESSAGE

he Institute of Medicine of the Naconcern to Califortional Academy of Sciences has nians and map out ~ .â&#x20AC;˘; published its long anticipated rean agenda for ac- ~ . port titled "The Future of Public ti on to improve the ~ , Health. " The report is the result of exfuture of public iO tensive efforts undertaken by a comhealth in the state. Â§ mittee of 22 health professionals The feature arti- ii: charged with the assessment of public des in this issue iihealth in the United States. lustrate three areas of activity of our Of the committee's members, only faculty and students. The article on two were on the faculties of schools of measuring hazards in the air gives us a glimpse of an ongoing research propublic health and both were from UCLA. The report was dedicated to Beject dealing with an important issue, verlee Myers, who died in December namely that of air pollution in the work environment. The artiof 1986. Professor Myers served as professor of cle illustrates what it takes health services at UCLA. The to outfit a modern laboratoOne of the rery in a school of public other member is Lester Breslow, who served as health. port's recommenThe interview with Prodean of the UCLA School of fessor Judith Blake, on the Public Health from 1972 to dations is for other hand, deals with a so1980 and is currently propublic health cial issue of concern to socifessor of health sciences. ety and individuals in the One of the report's rec- schools to estabpost Malthusian era. It ommendations is for public clears the air of some of the health schools to establish lish firm practice myths surrounding the confirm practice links with links with state cept of the lonely, only state and/or local pub I ic child. health agencies. To this end and/or local Another article describes the UCLA School of Public public health the efforts of faculty and stuHealth is developing several dents to clear the mystery reprojects to increase its efagencies. lated to another issue forts with the Los Angeles namely sudden infant death County Health Department. syndrome. Behavioral, physiological These include intensifying training opand genetic factors could all be the culportunities for students in the departprits. ment, building on the experience of In this issue we also profile an alumthe department's staff to strengthen nus who obtained his bachelor's dethe practice aspects of the school's gree from our school before it became curriculum and involving faculty more independent of the UC Berkeley actively in the educational and service School of Public Health. We will beneprograms of the department. fit from Samuel Tibbitts' wealth of exAnother example is the co-sponsorship of a leadership conference to be perience in his capacity as a member of the recently formed Board of Advisheld in March in Oakland, Calif., ers for the school. which will bring together a number of Finally, as we grow and graduate organizations, both educational and more students, it is important that we practice oriented, to discuss issues of

keep in touch with our alumni constituency. By their continuing involvement, alumni affirm the value of their education at UCLA, while helping shape our current and future academic programs. Alumni are needed to participate in many ways - to help recruit students and faculty; to assist with career guidance and placement; and to participate in Alumni Association activities. Alumni commitment is also essential in fund-raising, demonstrating to others that the institution is a worthy investment. Beginning this year, we are pleased to announce that dues are no longer required for membership in the UCLA Public Health Alumni Association. All graduates are, by definition, members of that community. We hope that alumni, who are able to do so, will contribute by becoming members of the Dean's Council or in response to special project solicitations. The Dean's Council remains the school's primary fund-raising organization for annual support. Our alumni continue to be a great source of pride for us. It is our hope to serve them as well as they serve us.

e. Dr. Abdelmonem A Afifi

UCLA PUBLIC HEALTH \blume 8, Nwnber l

Spring 1989

MEASURING HAZARDS IN THE AIR Charles E. Young CHANCEU.OR

Abdelmonem A. Afifi, Ph.D. DEAN

Wind tunnel helps explain effects of airborne particles on workers.

Michael T. McManus ASSISTANT YlCE CHANCEU.OR, PUBLIC COMMUNICATIONS

Rich Elbaum DIRECTOR, HEALTH SCIENCES COMMUNICATIONS

THE MYTH OF THE LONELY, ONLY CHILD An only child has advantages not seen in larger families.

mrrmw. BOARD

Abdelmonem A. Afifi, Ph.D. Df:AN

Peggy K. Convey ASSOCIATE DEAN, ADM IN ISTRATION

Susan C. Scrimshaw, Ph.D. ASSOCIATE DEAN, ACADEMIC PROGRAMS

Birgitta Granberg DIRECTOR OF DEVELOPMENT

Sleuths tackle invisible killer.

Rich Elbaum

DIRECTOR, HEAITH SCIENCES COMMUNICATIONS

Joseph Pomento EDITOR

Juliet Beynon ART DIRECTOR

Barbara Kelly DESIGNER

SAM TIBBITTS Alumnus, who pioneered many cost savings in health care, guides health care merger through early stages.

UCLA Public /-lea/th is published by Health Sciences Communications. UCLA Public Affairs, for the UCLA School of Public Health. It is published for the alumni, faculty, students, staff and friends of the School.

Copyright 1989 by The Regents of the University of California. Permission to reprinc any portion of UCLA Public /-lea/th must be obtained from the editor. Contact UCLA Health Sciences Communications, llOO Glendon Avenue, Suite 1501, Westw00d Center, Los Angeles, Californ ia 90024 (213) 206-1960.

16 NEWS 19 PROJECT UPDATES FACULTY NOTES

20 ALUMNI NOTES DEAN'S COUNCIL LÂ£TTIRS We would l ike you to be a pan of UCLA Public Health magazine. Send your comments, questions and ideas to: Letters, UCLA Public /-lealtb, 1100 Glendon Avenue, Suite 1501 , Los Angeles, California 90024-1 708. COVER PHOTO BY Wil.lJAM RIVEUl

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"The question is not whether they get into the lungs, but if they get into the nose

or mouth:'

onstruction workers, machinists, exterminators and workers in metal plating shops have been bombarded by airborne particles on the job site for years. However, limited research has been done to document the effects of these dust-like particles on the workers, according to Dr. William Hinds. What size airborne particles in the workplace can be inhaled? Does wearing a hard hat affect the amount of dust which enters the mouth and nose? At what point do these particles pose a potential threat to workers, and how can one accurately sample the particles? Dr. Hinds, professor of environmental and occupational health sciences, wanted to find the answers to these questions and others. However, to perform the necessary experiments, he needed something that wasn't available at the UCLA School of Public Health - a low-velocity wind tunnel that could duplicate the common air currents found in the workplace. Until recently, industrial hygienists - environmental specialists responsible for recognizing, evaluating and controlling environmental hazards in the workplace - have been worried about small particles that may cause lung injuries. Although those studies are important, Dr. Hinds said there are other sit-

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uations that are equally significant. "There are particles - such as lead, cadmium, pesticides and radioactive particles - where the question is not whether they get into the lungs, but if they get into the nose or mouth," said Dr. Hinds. "The larger particles are often filtered out by the nose or mouth before they reach the lungs, but still can be absorbed by the body. To study what happens in the workplace, we have to be able to duplicate under controlled conditions the low air velocities. Because it is experimentally difficult, little research has been done in this area." Dr. Hinds, who came to UCLA in 1982 and set up the Industrial Hygiene Program, has the only low-velocity wind tunnel in the nation and only the second one in the world that is designed to study the effects of large particles - 10 to 100 micrometers. (A micrometer is one-thousandth of a millimeter.) To find out about the inhalation of these larger particles, Dr. Hinds designed a low-velocity wind tunnel to duplicate the air currents found in most workplaces. The chamber was constructed with the assistance of the machine shop at the UCLA School of Engineering and Applied Science. Dr. Hinds has received financial support from the National Institute of Occupational Safety and Health which

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Dr. Hinds stands in the doorway of the only low-velocity wind tunnel in the country.

"We need environmental samplers that mimic the way people inhale particles, which is a complicated aerodynamic process:Âˇ

contributed partial funding for the wind tunnel construction. He said he will wait until the project is further along to pursue additional fund ing. Dr. Hinds said the hazards associated with large particles tend to be restricted to the vicinity of the machine that produces the dust. Because the particles are so heavy, he explained, they tend to settle within relatively short distances. In the wind tunnel, Dr. Hinds can recreate air currents that vary from 10 feet per minute, which is barely moving, to 400 feet per minute, a breeze of 4.5 mph. Com mon air currents could be caused by someone walking by a work

station - walking can create a wind of 4 mph. Even the air currents caused by body heat can affect what is inhaled, he said. There are a lot of sources of wind that are not considered in the normal industrial setting. The experiment5 will be concerned with the amount of dust particles that are inhaled and the ways to measure and limit that exposure. Industrial hygienists are currently concerned with the effects of breathing wood dust, which has been a5sociated wid1 na5al cancer. In that case, he said, the danger to employees is posed by the dust getting into the nose rather than the lungs. According to Dr. Hinds, the direction and speed of air currents, even

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imperceptible ones, can have a significant effect on whether particles can be inhaled. Even the visor of a hard hat can affect the air currents and the amount of particles that may be inhaled, he said. "We also need the wind tunnel to evaluate the accuracy of environmental samplers as a means of assessing the hazards involved," Dr. Hinds explained. "We need environmental samplers that mimic the way people inhale particles, which is a complicated aerodynamic process. What little research there is suggests that 50 percent of the 100-micrometer particles can be inhaled. " The first step of the research project was to build the wind tunnel and calibrate it. Dr. Hinds said a lot of debugging was needed before he was confident of its measurements. The second part of the project will take six months to a year and involves developing an aerosol injection system that will produce particles of proper size and disperse them uniformly into the wind tunnel. The effects of the particles will be measured at various locations in the tunnel, using a mannequin set up with a mechanical breathing machine. The wind tunnel was built and designed with the idea that it should be moveable. Therefore, the entire tunnel was fabricated in 4-foot sections that will just fit into standard-sized elevators. Over the years, Dr. Hinds has been concerned with the effects of airborne particles on workers. In 1982, he published the first textbook on the subject. He also has studied how particles are deposited in the lungs, air-cleaning equipment, sampling and measuring equipment and the characteristics of airborne particles in the environment. Besides the experiment with the low-velocity wind tunnel, Dr. Hinds is also studying the formation of particles when oil bubbles burst. The results of this study will have applications for those who work in plating shops and similar situations. He also has a three-year grant to study the performance of industrial respirators.

OUTf ITTING ~HIGH Tf CH M

ention the word "laboratory" and searchers carry floppy disks in their most people will think of a small briefcases. room cluttered with beakers and As the equipment evolved over the flasks spewing steamy vapors. past 30 years so has the price tag. Panaqua said a chromatograph of the '60s In real life, however, those items are cost about $2,000. A sophisticated verjust a small part of a lab, according to Mario Panaqua, director of laboratory sion on today's market can set a reand administrative services at the searcher back $60,000 to $80,000. UCLA School of Public Health. Dr. Afifi said the funding for re"There is a trend toward complexsearch equipment comes from numerity," Panaqua explained of today's labs. ous sources. The school receives some "As our environment becomes more money for equipment through camcomplex, the questions become more pus funding, but other resources complex and we must align with techresearch contracts, grants and private nology as we look for the donations - also must be solutions. developed. "That brings us to our Dr. William Glaze's re"To be in the current situation. To not cent acquisition of a gas only compete, but to be in chromatograph and mass forefront of the forefront of research, spectrometer - a complex research, we we need the technology to analyzer that will be used to study water qua! ity - cost answer these complex need the questions." the school about $170,000. Dr. Abdelmonem Afifi, Panaqua said the funding technology to came from four or five dean of the school, said reanswer these sources, with Dow Chemisearch is necessary to integrate the environmental, cal contributing $50,000 for complex biological and sociological the purchase. sciences to improve the Panaqua said the tendenquestions." quality of life. cy during the past few years has been toward pooling Researchers need techthe purchase and use of expensive nology to keep up with problems as they evolve, Dr. Afifi added. If researchpieces of lab equipment. "Often, one individual wouldn't be ers do not have the instruments to able to afford to buy one piece of look at the questions, they cannot genequipment," he said. "But, finding erate the data to find solutions. three or four other colleagues who Today's labs are showcases of modern electronic wizardry. Computers could use it makes it more attainable. We are also seeing collaborative studand electronic analyzers now crowd ies outside the individual's departmost lab benches. ment." The equipping of labs has changed during the years. As the problems have Modern technology is also necessary so the university can educate the become more sophisticated so have professionals who will staff the labs. the tools used by the scientists who "If we can't teach a course using look for the solutions. modern technology, then we are doing During the '60s, a tool of those involved in research was the slide rule. a disservice to the graduate students That gave way to the calculator, which, who come to UCLA," said Panaqua, who is also an adjunct lecturer in the in turn, was replaced by reams of computer paper that were carried around School of Public Health. by researchers, he said. Nowadays, re-

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n only child sits alone, playing quietly with silent toys. Does this child grow up lonely, selfish and socially deprived? Is it harder for this child to succeed in school and later in the professional world because he lacks sibling interaction during these crucial formative years? Does he step into life disadvantaged because he has no brothers or sisters to help him along the way? Another child is surrounded by siblings, a virtual built-in coterie of playmates. Is she practicing social skills which will help her succeed as an adult? Does this child reap many rewards from belonging to a large family, advantages which will prove essential to attaining success and a good quality of life? Not so, according to Judith Blake, Ph.D. , the Fred H. Bixby Professor of Population Policy at the UCLA School of Public Health. In her new book, Family Size and Achievement, (University of California Press), Dr. Blake has exposed these widely held perceptions as little more than common myths. According to Dr. Blake, the opposite is a much more accurate portrait of the relationship of family size to a child's chances for future success as an adult.

THE LONELY, ONLY CHILD

UCLA PUBLIC HEALTH

"We're saying a person's chances of doing well are much greater if they come from a small family."

In fact, adults from one- and twochild families attain two years more schooling than those from families of seven or more children, even after socioeconomic background has been taken into account. Dr. Blake recently described the themes of her book for UCLA Public Health magazine. Following are excerpts from that conversation: Q. Is the only child at a disadvantage socially or developmentally? A. We looked at this whole issue of whether only children are more isolated, engage less in extracurricular activities, are less liked and so forth. None of that is true - in fact, they come out ahead on these things. And, actually, it's quite logical. Only children are much more motivated to seek friends outside of the family and hence they have to make themselves attractive to other children or else they will be lonely. In a way, their social skills are more sophisticated than those of children who come from very large families. Q. You looked primarily at educational attainment as a means of measuring success. Why? A. We concentrated o n education because it has so many ramifications for other things - the occupations people will have, the quality of parenting they will give the ir children and the quality o f their own lives. Moreover, as you are upgrad ing the young adult population educatio nally, you're also upgrad ing the parents o f tomorrow so that the schooling task society has is made a lot easier. Q. Where did you notice the big change in educatio nal attainment?

Dr. Judith Blake

I initially tho ught that the big break point wou ld be whether people would go to college, but the results of o ur research are very different. We fou nd that kids from large families start fa lling away before hig h school graduation. The biggest single place where they lose that average of two years of education is in the high school years. We're talking about people for whom this curtailme nt of ed ucatio nal activity begins at a ve ry early age. I wasn't prepared for that find ing at all. I thought because school is free, they would have gone through high school. But that isn't true because a very large proportion of kids who aren't very good at school have already dropped o ut. Q. Where did that find ing lead' A. That question led us to look at the I.Q. data. What comes out very clearly in these data is that it's really in the verbal ability that they are having proble ms.

Q. How does this apply to the ir family size? A. Psychologists have fou nd that interaction with adu lts is the biggest sing le determinant of verbal ability. When we looked at whether verbal ability makes much difference in how people do in school, we found that it is the single biggest determinant of success. So, we feel this is an important link because it is an explanation of why kids from large families will hit school with a big deficit compared to childre n from small fam ilies. Kids are ve ry much a coterie of the ir own in large families. Whereas, the smaller the family, the more inte ractio n children tend to have with adults. There is much more constant interactio n , with parents spending more time correcting grammar and word usage, eating with children more ofte n rather than feeding the kids separate ly. Plus, these chil-

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dren are listening to adult children. There are a lot of other things they could be conversation all the time "Their social and are not overwhelmed doing. Hence, the recent 'baby bust.' in a sea of kids. skills are more This is very important beQ. How does that contrast cause it's saying it's not that with other parts of the sophisticated world? children from large families than those of are stupid, it's that they A. If you turn it the other aren't given as much cogniway around and ask 'Why do children who tively relevant opportunity women in India or Pakistan Q. Would you explain the come from large or Jordan have so many children?' one reason is they broader imp I ications of families:Âˇ don't have othe r alternayour research? How does tives. They're not educated. They have the question of smaller families fit into our changing society? little ability to get into the labor force. A. The Western World, as well as JaThey are caught in the kinship system which doesn't allow them to do a lot of pan, is continuing to curtail its reproduction. And, that is by choice. It's ofthings. They are also very dependent ten said that people curtail their reon their children, particularly their production because of what they want boy children. to offer their children. I think that it's Also, in many developing countries, in large part what they want to do by the time a child is 5, parents are themselves - the advantages and disalready beginning to get a payoff. In India, they are sending 5-year-old chiladvantages to the parents. dren to work in the carpet factories. There are very few reasons for parQ. Does your research merely reflect ents to be involved in a heavy burden of reproduction when there is little to popular trends or do you think it may be gained from that in the long run. actually affect them? We're looking at a situation where A. That raises an interesting quespeople can rationally ask themselves, tion. I would imagine if people take 'Am I better off having more children this research seriously, those who do not find it convenient to have more in the hope that they're going to do than one child will feel somewhat resomething for me or having fewer assured. Many people who are having children and banking the money that those children would have cost?' a second child will say they are having The other side is purely sociologiit because they really don't want Junior cal. It's costing women in the Western to be an only child. I think there is a great fear that an World a lot in terms of opportunity when they have more than one or two only child is going to be some sort of

Faculty Bookshelf Several other faculty books are either recently or soon-to-be published. These include: "Defining Rape," Dr. Linda Bourque (Duke University Press, 1989). "Community Nutrition Assessment," Dr. Derrick Jelliffe, Patrice Jelliffe, in collaboration with A. Zerfas and Dr. Charlotte Neumann (Oxford University Press, 1989). "Rapid Assessment Proceduresfor Nutrition and Primary Health Care," Dr. Susan Scrimshaw and Elena Hurtado (UCLA Latin American Center with The United NaÂˇ lions University and UNICEF, 1988). weird person. We're saying let's look at it the other way around. We're saying a person's chances of doing well are much greater if they come from a small family. Today I think many young women would be relieved to hear about this. They would be happy if you told them it's not going to make any difference. If all you want is one child, have just one child.

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hey die quietly in their sleep, usually before they reach 6 months old. These infants, apparently healthy one day, are literally gone the next, leaving few clues as to the cause of their passing. For hundreds of years, these unexplained deaths were overshadowed because so many infants died of so many other causes. But, as infant mortality decreases, casualties from Sudden Infant Death Syndrome (SIDS) stand out as brutal, unanswered questions. Marc Bulterys, M.D., M.P.H., a doctoral candidate studying under Dr. Jess Kraus, professor of epidemiology in the UCLA School of Public Health and a respected SIDS researcher, is investigating the causes G 0 R y of SIDS. Dr. Kraus conducted the first statewide cohort study of SIDS in the United States in 1972. Later, he was one of six principal investigators of the National Institute of Child Health and Human Development Cooperative Study of Risk Factors for Sudden Infant Death Syndrome. He has authored a number of research papers on SIDS, most recently on the relationship between socioeconomic status and SIDS. Much like sleuths Eracing the footprints of an invisible culprit, Ors. Kraus and Bulterys and Dr. Sander Greenland, associate professor of epidemiology, are gathering clues which, when added to the collective knowledge of scientists around the world, may eventually work to diffuse the silent power of SIDS. "We are looking primarily at what happens within the first 20 weeks of pregnancy which could affect the development of the fetal central nervous system, particularly the brain stem," Dr. Bulterys explained. "At this point, postnatal factors have been studied in

Unraveling the Mystery of

"We are looking primarily at what happens within the first 20 weeks of pregnancy which could affect the development of the fetal central nervous system, particularly the brain stem:Âˇ

much more detail than what happens during pregnancy "Then later in life, there may be other factors that trigger sudden death in a baby susceptible because of what happened in pregnancy One of the most interesting things we're looking at now is chronic fetal hypoxia (not enough oxygen reaching the fetus). We hypothesized that reduced oxygen delivery to the fetus may contribute to the etiology of SIDS by impairing the normal development of the fetal central nervous system." Other risk factors for SIDS include low birth weight and growth retardation. Maternal risk facto rs include young age, high parity (many children), inadequate prenatal care, low income, low educational level, short interval between pregnancies, anemia, smoking, drug addiction and possibly nutrient deficiencies. Because so many diverse factors, many of which are interrelated, may be associated with SIDS, isolating the actual causes of SIDS is quite difficult, according to Dr. Bulterys. "For instance, we are trying to get at chronic fetal hypoxia by looking at smoking during pregnancy, which causes hypoxic damage through a variety of mechanisms," Dr. Bulterys explained. "Then we looked at smoking, while contrail ing for all the other risk factors. For example, if you control for maternal education, family income, high parity, young maternal age and number of prenatal visits - all associations with SIDS that are also associated with smoking it could be that these factors would account for the association of smoking with SIDS. We found that, even while controlling for the other factors, it appears that smoking is an independent risk factor. We even controlled for low birth weight, which is itself associated with smoking." Dr. Bulterys and his colleagues have also investigated d1e combined effects of smo king and anemia. "What we found is that if the mother is not anemic, then the effect of smoking is very low. On the other hand, the more anemic the mother is during pregnancy, the more important smoking becomes as a risk factor for SIDS. This observation

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Dr. Marc Bulterys, left, and Dr. jess Kraus sift through reams of data that may lead to a better understanding of SIDS has not been made before and it appears to argue in favor of our chronic fetal hypoxia hypothesis," according to Dr. Bulte1ys. "I think it's very important to keep in mind that there probably are different origins and different etiologies for SIDS," Dr. Bulte1ys commented. "A<; such, epidemiological research becomes an exercise in isolating the various factors in order to examine them independently." This process has uncovered misconceptions among current thought having to do with d1e causes of SIDS. Dr. Bui-

terys explained that for a long time, breast-feeding was thought to be protective of SIDS. "But, our data suggest that the lower frequency of breast-feeding among SIDS cases can be explained by the fact that well-educated women are more likely to breast-feed while premature infants (at high risk of SIDS) are less likely to be breast-fed." One important outcome of earlier research by Drs. Kraus, Greenland and Bulterys and Parivash Nourjah, also a doctoral student in epidemiology, contradicts previous studies linking ethnicity with SIDS. "After control I ing for ma-

ternal education and family income, the higher risk of SIDS among black infant5 completely disappeared." It is just this kind of detailed research approach which brought Dr. Bulterys here from his native Belgium . "This type of analysis is much more sophisticated than you 'll see in most medical journals," he said. "That's one of the reasons I came here, to learn to do epidemiological research. " Before receiving a Fulbright scholarship to come to the United States, Dr. Bulterys had earned his M.D., completed a co-residency in pediatrics and spent nine months in Rwanda, completing his internship in the tiny central African nation. "It was then that I realized the importance of pub I ic health and saw how it is possible to do more," he said. He returned to the University ofLeuven in Belgium to finish his co-residency in pediatrics with the idea of working in pediatric and perinatal epidemiology, combining pediatrics and neonatology with population research. Studying with Dr. Derrick jelliffe, professor of population and family health at the UCLA School of Public Health, Dr. Bulterys completed his master's degree focusing on international health issues, then began working on his doctorate in epidemiology. Once he completes his dissertation this spring, Dr. Bulterys and his wife Ann Chao, also a doctoral student in the UCLA School of Public Health, hope to spend at least two years working at d1e International Center for Diarrheal Disease Research in Bangladesh. The subject of his current research was hit home for Dr. Bulterys when a close friend lost her child to SIDS. And recently, he and his wife welcomed the birth of their first child, experiencing some of the apprehension of many new parents in the face of an unexplained disease. "I think we will understand SIDS step-by-step," he said. "But, unless we have a method of being able to partition SIDS deaths into sub-groups such as those related to child abuse, those related to metabolic defects, and so on, it will be very difficult to isolate the etiology of SIDS."

UCLA PUBLIC HEALTH

Alumnus Pioneers Numerous Cost-saving Innovations in 38 J-ears in Health Care Field After Leading Health Care Merger

fter 38 years in health care, Samuel ]. Tibbitts wants to sit back and write the first good story about a hospital administrator. Tibbitts, B.S. '49, said the majority of books and lV programs depicting hospital administrators over the years have shown them as persons driven only by profits. Although revenue keeps a hospital in business, Tibbitts said, good administrators know that to keep a facil ity functioning smoothly takes teamwork

between them and the medical staff. That, however, is something that is seldom shown. "After 38 years of experience, I do have some interesting stories to tell," he laughed as he talked about a second career as a writer. ''The problem is to avoid being sued." The San Marino resident is already an accomplished author, having two published books, PPOs: An Executive's Guide (1983) and Making Innovation Practical (1986) and hundreds of arti-

des to his credit. However, the health care professional wants to try his hand at fiction writing for a change, relying on his wealth of experiences for story ideas. Tibbitts, 64, is semi-retired. Two years ago, he told the board of directors of Lutheran Hospital Society of Southern Californ ia, where he is president, that he wanted to step down in 1988. However, the administrator is still far from ready to spend his days in a rocking chair or at the golf course, which he likes but joked that the skill of the game eludes him. Instead , he will be guiding the merger of two Southern Californ ia health care groups through a transition period. In mid-1988, the Lutheran Hospital Society of Southern California, one of the oldest hospital groups in the nation, merged with HealthWest, a Southern California hospital group. The resulting health care group was named UniHealth America. Tibbitts was named chairman of the board in June and was asked to see the firm through the transition period. UniHealth operates 14 hospitals, three free-standing mental health facilities, skilled nursing facilities, home health care service and two health

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maintenance organizations. Tibbitts said the not-for-profit health care firm has 15,000 employees and is expected to have revenues of more than $1.3 billion this year. As retirement nears, Tibbitts looks with pride to a long 1ist of accomplishments. • He pioneered shared services data processing, laundry, printing and human resources - among hospitals as a way to cut costs. • In 1975, Tibbitts received a federal grant to establish a HMO that eventually became PacifiCare Health Systems and boasts more than 350,000 members. • Tibbitts also has served on numerous state and federal commissions dealing with health care issues. He has served as a delegate to the White House Conference on Aging, the California Health Facilities Commission, the state Advisory Health Council and the National Industry Council on HMO Development. • During his career, he has presented more than 500 speeches and lectures at institutes, seminars and conventions. Tibbitts received the Lester Breslow Distinguished Lectureship Award from the UCLA School of Public Health in 1983. When Tibbitts graduated from the

UCLA School of Public tor, and seven years later Health, the school was 5 was named president of the In 1975, Tibbitts hospital group. years old. Quonset huts served as makeshift classBut as he prepares to received a federrooms for the small school wind up a long career, Tibthat offered majors in envial grant to estab- bitts looks forward to the ronmental health and things there was never lish a HMO that enough time to do. health education and was a "I have plenty of things to training ground for public eventually bekeep me busy," he smiled, health officers. came PacifiCare sitting in his Pasadena office "I had decided after coming back from World War II that is crammed with Health Systems memorabilia of the past 40 that I wouldn't go into medicine, but I was interand boasts more years. ested in health," said TibBut he won't get comthan 350,000 bitts, a pre-med student bepletely away from the field fore the wa[ of public health. Tibbitts members. Tibbitts stayed in the was recently named to the health care field, but decidDean's Advisory Board for ed to major in environmental health. the School of Public Health. The comThe occupation of hospital adminismittee's purpose is to serve as a liaison trator was beginning to surface as a between the school and the corporate profession when Tibbitts graduated. community and to advise on matters of Since UCLA did not have a program, promotion and fund-raising. Tibbitts attended UC Berkeley, where With his wife of 39 years, Audrey, Tibhe earned a master's degree in hospibitts plans to do some traveling now tal administration. that he has free time. Retirement also means he'll be able to spend more time He was in the right place at the right time. His achievements in health care with his four grandchildren. span nearly four decades. And who knows, maybe readers will In 1950, he started as an administraget to see that novel about hospital administrators before long. tive resident at the California Hospital Medical Center in Los Angeles. In 1959, Tibbitts was named administra-

UCLA PUBLIC HEALTI-1

Lester Breslow Receives Charles A. Dana Award

ester Breslow, M.D., M.P.H., received the prestigi o us Charles A Dana Award in recognition of his nearly 40 years of scientific investigations that have reshaped the concept and practice of preventing chronic disease and promot ing good health. The Charles A Dana Awards for Pioneering Achievements in Health and Higher Educat ion, with an honorarium of $50,000, recognize individuals responsible for creative contributions that hold major promise for the improvement of the human condition. They are the only awards made exclusively to recognize innovative ideas in health promotion and disease prevention and are the first major national awards for innovations that advance the qua! ity of undergraduate education. Dr. Breslow's large-scale, longterm studies showed, for the first time, that living longer and staying healthier in later years are associated with simple health practices such as eating breakfast, getting exercise, using alcohol in moderation or not at all, and sleeping seven or eight hours each night. As chronic illnesses such as atherosclerosis, cancer, heart disease, stroke and hypertension became linked with health habits and lifestyle, Dr. Breslow's work stimulated a surge of public interest in the ideas of self-responsib ility for health. Dr. Breslow, who served as dean of the School of Public Health from 1972 to 1980, is now emeritus professor of health services at the school and director of health services research within the Division of Cancer Control,

Dr. Lester Breslow

Jonsson Comprehensive Cancer Center at UCLA He accepted the award at ceremonies on Nov. 2 at the WaldorfAstoria Hotel in New Yo rk.

HCOP Offers Support to Minority Students

n a little more than seven years, the Health Careers Opportunity Program (HCOP) at the UCLA School of Public Health has become one of the most successful in the nation at attracting underrepresented minorities into the public health field. Kathleen A Torres, program director, said 45 percent of the minority applicants were accepted to the school in 1985. In 1988, that figure jumped to 54.2 percent. In addition, the school has a retention rate of between 97.5 percent and 100 percent. Dean Abde lmo ne m A Afifi, School of Public Health, attributes this recruitment and retention success to HCOP, a comprehensive program that prepares minority applicants to succeed within the education system and the workplace. Underrepresented minorities include American Indian, Afro-American/black and

Hispanic/Chicano who have attended high school and undergraduate college in the United States. "The program works to prepare students to become competitive applicants for graduate school by offering counseling, GRE preparatory courses, applicant and counselor conferences, alumni counseling and networking and a monthly job bank," said Torres. "The program also helps minority students with academic preparation and placement into internships and jobs. We know what it takes for students to be successful. We offer unde rgraduate and graduate students a very supportive environment. " The program's strength, Torres explained, lies in the close ties it maintains with alumni, who serve as role models for the students. Alumni also work closely with HCOP staff to provide summer internships for students and notify the office when jobs open in their agencies. "The alumni serve as role models and mentors," she said. "They come in during lunch and on the weekends to participate in seminars to share their expertise and experience UCLA's HCOP program boast~ 92 minority students, the largest public health enrollment of underrepresented black, Hispanic and American Indian minorities in the nation. Another service for undergraduate minority students will start this summer when HCOP will hold its first summer enrichment program. The eight-week residential program was designed to expand academic ability, prepare students to complete their undergraduate studies and inform students of career opportunities in public health by providing hands-on experience. The summer program starts Monday, June 26. For more information on the summer enrichment program, contact the HCOP

office at 41-240 CHS, Los Angeles, Calif., 90024-1772; or call (213) 825-7449. The Heald1 Careers Opportunity Program honors the graduating and incoming minority classes at an annual meeting each spring with special awards for the alumnus of the year; student of the year; and facu lty of the year. Last yea1; Stephen Keith, M.D., M.S.P.H. '82, was the keynote speaker and alumnus of the year, speaking on "Perspectives on Health Policy in d1e 1990s." Dr. Keith is a health policy advisor to Sen. Edward Kennedy (D-Mass.) Paul Torrens, M.D., M.P.H., professor of health services, was named faculty of the year and Karen Weber, M.P.H. , received the student of the year award. This year's annual minoritv meeting will be held on Friday, June 16.

Dr. Stephen Keith

UCLA PUBLIC HEALTH

Breslow Lectureship Tackles HIV Epidemic

ristine Gebbie, R.N., M.N., delivered the 15th annual Lester Breslow Distinguished Lectureship in November, discussing ''The Presidential Commission on the HIV Epidemic: What Did It Do'" Gebbie, who served on the commission, is director of the Health Division for Oregon's Department of Human Resources and is an alumna of the UCLA School of Nursing. Faced with the enormous task of advising the president of the United States and his relevant cabinet members of the "medical, legal, ethical, social and economic impact from the spread of HIV and the resultant illness," the commission tackled a wide spectrum of pub[ ic heal th issues. Gebbie began the lecture by pointing out what the commission failed to accomplish - such as solve the national AIDS crisis, as some critics hoped it would. But well before the evening was through, Gebbie had pointed out several significant accomplishments of the multi-disciplinary commission. "One thing I think we did was to translate the epidemic into accessible language for many citizens," Gebbie explained. "Not that the report will ever become a supermarket bestseller, but any county commissioner, hospital board of trustees member, school board member, minister,businessperson or parent seriously trying to identify what their next step should be, should be able to find some guidance on what might be an appropriate and effective thing to do. "Also, we articulated the social contract that I think is applicable to conditions of public health importance such as an infectious disease - the contract society makes with its public health agencies: to act responsibly and re-

Kristine Gebbie

sponsively to protect the public, the absolute obligation of society to provide care in a nondiscriminatory manner and an equally firm expectat ion that those affected by the disease (in th is case, those infected) will do all that they can to prevent further spread of the epidemic. That is a series of mutual contracts which must be understood and acted on if we are to be successful." The UCLA School of Public Health Alumni Association established the Lester Breslow Distinguished Lectureship in 1974. Six years later it was named afte r then-retiring Dean Breslow. It is supported by a gift from the Dean's Council, the Raymond and Betty Goodman Foundation and the UCLA Graduate Students A5sociation.

Detels Awarded $3 million For AIDS Training Program

r. Roger Detels, professor of epidemiology, has received a $3 million grant from the Fogarty International Center to establish a training program in epidemiology related to AIDS in South America and Southeast A5ia. Short-term courses, lasting from three days to one week, will be offered on specific topics re lat-

ed to AIDS. The classes will be taught in the countries selected for the studies - Brazil, Singapore, the Philipines and Thailand. Brazil was selected, Dr. Detels explained, because the country has the third highest number of AIDS cases in the world. Southeast Asia was selected because the AIDS epidemic is 1ikely to take off there in the near future, he said . The research team also wil l collaborate with the host institutions to provide field training for master's, doctoral and postdoctoral students. Academic training will be conducted at the UCLA schools of pub lic hea lth and medicine. Professor Barbara R. Yisscher is a co-director of the project that will last through 1993.

Visiting South African Scholar Returns Home

isiting scholar Lungi Phung u la rece n tly has been named to direct an educational program aimed at teens who do not attend school in her homeland of Durban, South Africa. Phungula was hosted by the School of Public Health, studyi ng the American approach to adolescent and women's health issues. In Durban, Phungula is a health educator fo r the Department of Health in adolescent programs, specializing in teeQ sex education. She has recently been appointed to launch an educational project di rected towa rd nonschool-going teens. During her eight-month stay in the United States, Phungula says she experienced significant similarities between our diverse cultures, in particular that "health problems are the same everywhere from teen pregnancy to the breakdown in commu nication between parent and child." However, some differences were very apparent to the visiting scholar. "In my country there is

no pattern for dating," she explained. "In fact, we don't even have a word for 'date.' Instead, a suitor courts a woman for a long period of time, proposes love for a long period of time and finally, proposes marriage." Despite the tradition of courteous courtship, teen pregnancies do occur, calling to light another significant cultural difference between South Africa and the West. "While abortion is legal and normal practice in other parts of the West, it is illegal in South Africa," Phungula said. "In black culture, a child is God's gift- a child cannot be easily given away for adoption." Phungula said she wants to implement change in her country's system of health education upon her return. In particular, she plans to introduce the notion of teen advocate programs - training teens to educate their peers on topics of health and sexuality The 28-year-old scholar also said she plans to return to UCLA to pursue a master's degree in public health.

Preparing for Disaster

orothy Hines spent countless hours climbing stairs, walking the hallways and generally getting to know the building that houses the UCLA School of Public Health. As the person responsible for developing the emergency recovery plan for the school, Hines, special projects coordinator, wanted to know the obstacles she would face in developing the plan for the seven-story building. The school was one of the first on campus to develop a comprehensive disaster plan. Until the Whittier temblor in 1987, little emphasis had been placed on developing an overall emergency recovery plan that would provide for the care of faculty, students and visitors for at

UCLA PUBLIC HEALTH

least 72 hours following a major disaster. Today, the school has water, first-aid supplies, emergency rescue tools and communications equipment on hand. Hines said individuals were asked to provide things the school could not, such as food , sturdy shoes and personal items. The School of Public Health's plan was devised to handle contingencies for five kinds of disasters - earthquake, fire, bomb threat, civil disobedience or a hazardous spill. Because of the widespread effects of an earthquake, it is potentially the only disaster that could isolate the campus. The plan was based on caring for 500 students, faculty and visitors who could be trapped, Hines explained. She ordered the supplies needed to increase the chances of survival based upon this estimate. Faculty and staff helped store the 1,500 gallons of water that were distributed throughout the school 's seven floors. "We asked every faculty and staff member to take two cases of water to store in their offices," she said. ''That was one way to get distribution and have water available on every floor. " First-aid kits were assembled and were placed on each floor. Each kit contains enough medical supplies to treat 25 injured people. Additional bandages and supplies were stored in the emergency operations ce nter in the School of Public Health. In addition, the plan called for rescue tools on each floor of the school. The tools include prybars for lifting lockers, file cabinets or bookcases from victims; pliers for turning off water or gas valves; heavy-duty gloves for removing debris; and safety lanterns that will enable the work to be done even though power may be disrupted.

Wilshire Foundation Establishes Research Endowment

T Staff of the School of Public Health assemble first aid kits for each floor as part of the school's emergency recovery plan. Stafffrom left are. Mary Hunter, joy Morimoto, Evalon Witt and Dorothy Hines. A key part of the plan is communications with other parts of the university, as well as damage and rescue reports from the community. Because telephone service is expected to be knocked out by a major earthquake, Hines said the plan called for two two-way radios that will allow school officials to keep in contact with the Medical Center and other emergency centers throughout the campus. For internal communications , there are limited-range two-way radios that will allow those within the school to communicate with one another. Training also is a vital part of the plan. Faculty and staff received training in first-aid , CPR and the use of basic firefighting tools. "If everybody knows what to do, we can minimize the destruction," Hines said. ''The purpose of all this is to give people a response. If they be! ieve they are in control, they will feel better. Just the psychological aspect of not being helpless is important." It is a plan, however, that Hines expects to see evolve. She said the school's goal was to do certain things each year to further prepare faculty, staff and students for emergencies.

School's Presence is Felt at A.P.H.A. Convention

he American Public Health Association annual convention in Boston this year drew over 15,000 public health professionals for an intensive fourday exchange of ideas and latebreaking news on current public health issues. The UCLA School of Public Health hosted a booth on the convention floor staffed by faculty, administrators , students and alumni who welcomed a steady flow of guests. The school also hosted a luncheon for alumni and co-sponsored a cocktail hour with the Association of Schools of Public Health. Several faculty members from the school made presentations regarding significant public health issues to groups of convention attendees, while the RAND/UCLA Center for Health Policy Study was present at a booth sponsored by the Pew Memorial Foundation. The 1989 AP.HA convention is scheduled to take place Oct. 22 to 26 in Chicago.

he Wilshire Foundation has given $100,000 to the UCLA schools of public health and medicine to establish the Wilshire Foundation Endowment in Geriatric Medicine and Lo ngTerm Care. This research endowment initiates the university's effort to raise $500,000 to support the work of a distinguished scientist who will conduct research and train students in the medical , social and emotional care of the elderly. Mr. Ira Alpert, M.S.P.H. '66, is president of the Wilshire Foundation, which supports health care and related human-services programs and projects. Alpert recently joined the Dean's Advisory Council for the School of Public Health formed by Dean Afifi. The Wilshire Foundation gift was received in support of the UCLA Campaign , a campuswide effort to raise more than $300 million for academic programs by Dec. 31, 1988

Business Cooperation Urged to Protect Environment

r. William Glaze, professor of environmental and occupational health sciences, urged the cooperation of Los Angeles executives and banking leaders in the effort to protect the environment. Good environmental management makes good business sense, Dr. Glaze told the business leaders during a UCLA School of Public Health sponsored meeting at the University Club in downtown Los Angeles. Acid rain, depletion of the ozone layer and clean water and

UCLA PUBLIC HEALTH

air are concerns that should be addressed by all sectors of society. Pollution not only affects the quality of life, but it also affects worker productivity and profits. Environmental hazards, he explained, contribute to a loss of productivity by the industrial worker as well as the executive. Congested freeways affect air quality, as well as cause commuting and delivery delays. Rather than paint a picture of gloom, Dr Glaze suggested that the answer to many of the problems facing the Southland lies in the cooperation between business, industry and the research universities. Environmental research is no longer strictly the domain of the university, Dr. Glaze said. It is time the private sector for med a partnership - expertise as well as financial - with universities to work toward a common goal.

Alumni Association Plans Lecture Series

he UCLA School of Public Health Alumni Association is planning its first of many annual lectures featuring members of the public health community discussing current issues in the field. The lecture, planned for the spring quarter, wil l tackle the topic of "Access to Health Care for Californians: A Legislative Update." The event will be open to alurnni, students and members of the general public, free of charge. For further information, contact Joan Seckler at (213) 744-6442.

PROJECT UPDATES Health ;md Safety Standards for Child Day Care Dr Albert Chang, associate professor of population and family health, is developing specific standards in health, safety, nutrition and sanitation for child day care centers, family day care homes and group family day care homes, which will be considered for possible adoption by state and local licensing agencies. The two-year project is scheduled for completion in June 1990 and is funded by the Bureau of Maternal and Child Health and Resource Development and the Department of Health and Human Services. Contact number: (213) 825-9481.

National Health Insurance for Indonesia Dr. Paul R. Torrens, professor of health services, is developing a national health insurance program for the Republ ic of Indonesia. The project, funded by the U.S. Agency for International Development, has been underway for three years and will last another five. Contact number: (213) 825-7640.

Effects of Arsenic Exposure Dr. Jane L. Valentine, associate professor of environmental and occupational health sciences, is investigating the health effects of exposure to trace metals - such as arsenic, selenium, lead and cadmium - in the environment. Drs. Richard Bennett and Bahram Faraji are also working on the study which was funded by the Water Resources Center at UC Davis. Contact number: (213) 825-8751.

Long-Term Care lnsur;mce Dr. Shoshanna Sofaer, assistant professor of heal th services, is investigating the estimated impact of long-ter m care insurance on the elderly and individuals on Medi-Cal. Doctoral students Erin Kenny, Roberta Wyn and Chris Hafner are also working on the study The California Policy Seminar has provided funds for the project which is scheduled to be completed June 30, 1989. Contact number: (213) 825-5773

Paragonimiasis Control in China Dr. Virginia C. Li, professor of behavioral sciences and health education, is a consultant on a project which aims to reduce the incidence of paragonimiasis infection by means of health education in the Jiangxi and Anhui Province of China. The Beijing Research Institute of Tropical Medicine is conducting the study under principal investigator, Dr. Xu Zhi-biao. The project, funded by the International Development and Research Centre, is scheduled to be complete inJune 1989. Contact number: (213) 825-8132.

Response to Whittier Earthquake Dr. Paul R. Torrens

Dr Linda Bourque, professor of population and family health, is coprincipal investigator on a study of public response to the Oct. 1, 1987, Whittier Narrows earthquake. The Nationa l Science Foundation

Earthquake Hazard Mitigation Program provided partial funding for the one-year study Eve Fielder of the Institute for Social Science Research andJim Goltz of the Soud1ern California Earthquake Preparedness Project are also working on the study Contact number: (213) 825-3738.

Effects of Oils on Serum Lipids Dr. Roslyn B. Alfin-Slater, professor emeritus of nutritional sciences, received an $80,000 award from Palm Oil Research Institute of Malaysia to study the effect~ of palm oil on serum lipids in humans. Dr. Alfin-Slater has also received a grant from the Skin Research Foundation to study the effect of fish oils on serum lipids of psoriatic patients given etretinate. Contact number: (213) 825-5657.

FACULTY NOTES Or. Derrick Jelliffe, professor of population and family health, and Patrice Jelliffe, lecturer in the School of Public Health, recently returned from Amman, Jordan, where they participated in a two-day seminar on breast-feeding, hosted by Her Majesty Queen Noor. The Ministry of Health, in cooperation with The Noor Al Hussein Foundation and the United States Agency for International Development (USAID ), sponsored the event. Dr. Glenn Melnick, assistant professor of health services, published a study investigating rising hospital costs in the journal of the American Medical Association. The study, a joint UCLNRAND project, found that state and federal laws targeted at rising medical bills are slowing the growth of hospital costs. The study provided the first evidence that policies to foster price competition among hospitals can help moderate or reverse rising expenditures. The study received national media attention,

UCLA PUBLIC HEALlH

including stories in the Wall Street Journal, New York Times and Los Angeles Times.

Dr. Shoshama Sofaer, assistant professor of health services, Dr. Elizabeth Castro, assistant professor of nutritional sciences, and Dr. Robert Valdez, assistant professor of health services, have each received Career Development Awards designed to help junior faculty members move toward tenure. The awards are presented through the Chancellor's Office. Dr. Sofaer plans to use her sabbatical quarter to prepare articles for publication from data generated by her research into health insurance and uncompensated hospital care. Dr. Castro used her grant during the summer quarter to continue her research into nutrition and zinc deficiencies. Dr. Valdez used his to complete a pa.per on the "Effects of Insurance Generosity on Psychological Distress and Psychological Wellbeing of the General Public" to be published in early 1989. Dr. Valdez also was awarded a $600,000 grant from the Hewlett Foundation to study Latinos in California. Dr. Albert Chang, associate professor of population and family health, authored a book chapter titled "Accidental Death and Injuries" in the 1988 edition of Clinical Preventive Medicine. Dr. Chang published "Management of Illness and Temporary Disability in Children Enrolled in Day Care Centers" in the June 1988 issue of the American journal qfDiseases of Children. He also presented a lecture titled "Prevention of Childhood Injuries" to the Department of Pediatrics at the University of Padua School of Medicine in Padua, Italy Dr. Jille Valentine, associate professor of environmental and occupational health sciences, recently presented a paper on "Selenium Status and Age Effects" at the Selenium in Biology and Medicine fourth international symposium

at the University of Tubingen, West Germany

Center for Management Development at the University of Denver.

DEAN'S COUNCIL

Dr. Judith M. Siegel, associate professor of behavioral sciences and health education, recently co-authored the article, "A Prospective Study of Stressful Circumstances, Illness Symptoms, and Depressed Mood Among Adolescents," in Developmental Psychology.

Diilla Bonta, M.P.H. '75 and a doctoral candidate in population and family health, was named direaor of the Long Beach Department of Health and Human Services. Ms. Bonta has worked as a regional administrator for the state Department of Health overseeing the operation of 14 rural health clinics from the San Joaquin Valley to the Mexican border. For the last five years, she was deputy executive director for the Los Angeles Regional Family Planning Council.

Contributions to the Dean's Council have provided important unrestriaed support for development of research projects, for guest lecturers, for professional meetings and conferences, and for other special programs for which no other funding is available. Membership in the Dean's Council may be obtained for a minimum donation of $100. Categories of membership are:

Dr. Peter Lachenbruch, professor of biostatistics, published the article, "Mu ltiple Reading Procedures: The Performance of Diagnostic Tests," in the May 1988 issue of Statistics in Medicine, and "A Note on Sample Size Computation for Testing Interactions," in the April 1988 issue of the magazine. Dr. Lachenbruch also presented his study titled "Two-Part Mode ls in Biomedical Research" at the International Biometrics Conference in Belgium and was recently appointed chairman of the Biometrics section of the American Statistical Association. Dr. Linda Bourque, professor of population and family health, co-wrote "Predicting the Educational Attainment of Los Angeles Women," an article that will be published in the April issue of Sociological Prespectives.

DianaBonta

Dr. Joseph Patterson, Dr.P.H. '68, was appointed distinguished visiting scholar at the Pennsylvania State University School of Public Health. During the summer, he taught a graduate course entitled "Current Issues in Public Health. "

Dr. Richard Ropers, postdoctoral scholar '82-'84, recently published Invisible Homeless: A New Urban Ecology, a book based on a twoyear study he conducted while at UCLA. The book deals with the contemporary homeless on the West Coast. An assistant professor of sociology at South Utah State College, Dr. Ropers also has been appointed to the Governor's Coordinated Committee on the Homeless in Utah and he is involved with a state project looking into the problems of the rural homeless.

Dr. Margaret Cary, M.P.H. '74 in nutrition, was appointed to a four-year term on tl1e Colorado State Board of Medical Examiners by Governor Roy Romer. Dr. Cary is presently enrolled in the M.B.A. program at the University of Colorado and is also an instructor in the

Evelyn Fassberg, M.P.H. '84, was named information systems specialist with the Los Angeles Resource Center. She is responsible for several publications, including a newsletter, a quarterly training calendar, and monthly and quarterly reports on the agency's services.

AL U MN I .N 0 T E ~S~

$2,500 Benefactor $1,000 Patron $600 Sponsor $300 Sustaining $100 Individual While membership recognition is extended only to those who provide contributions of $100 or more, gifts below that amount are gratefully received and used for the same purposes as Council funds. All contribucions are t<L'I: deductible and should be made payable to The UCLA Foundation. Please send your contributions to The UCLA School of Public Health Dean's Council, Post Office Box 54468, Los Angeles, California, 90054. For further information, telephone (213) 8255119. The following list of Dean's Council members represents those who contributed for 1988 fiscal year.

UCLA PUBLIC !-!EALTH

BEllEFACTORS Mr. and Mrs. Thomas E. Pion Wilshire Foundation, Inc.

PATRONS Carolbeth G. Korn. B.S.

SPONSORS Diana M. Bonra, M.P.H. Dr. and Mrs. Lester Breslow Ms. Peggy King Convey Frank P. Matricardi, Dr.P.H.

SUSDINING MEMBERS Ahdelmonem A. Afifi, Ph.D., and Marianne Afifi, M.BA Ira R. Alpert, M.S.P.H. Mr. and Mrs. John Coulson Jonathan E. Fielding, M.D., M.P.:H. Raymond D. Goodman. M.D., M.P.H. Kung-Kai Kuo, M.D., M.P.H. Cha_rles N. Moss, M.D .. D1:P.H. D1: Elizabeth M. Osterkamp Dr. and Mrs. Stephen C. Peacock Herbert N. Snow, D.V.M., M.P.H. Kathleen A. Torres, M.P.H. Sue Verity, Dr.P.H., M.P.H. Dr. Fredrick H. Kahn and Dr. Barbara R. Visscher Fred W Wasserman, Dr.P.H., and Pamela Anderson Wasserman, M.P.H.

INDIVIDUAl MEMBERS Rina Alcalay. Ph.D. Omar S. Alfi, M.D. Jeffrey L. Anderson, M.S.P.H. Barbara L. Annaelsteen. M.S. P.1-l.. Donald W. Avant, M.S.P.H. Sandra Lee Bade1; M.S.P.H. Captain Samuel H. Barb0<> Dr. and Mrs. Allan R. Barr Beatriz H. Beliz, M.P.H. William Alan Benpassat, Dr.P.H. Dr. Andrew G. Berman Mr. Peter Bjorklund and Ann Bjorklund, M.P.H. Judith Blake. Ph.D. Ms. Kimberlv Jeanne Bradley Clifton R. Brooks, Dr.PH. · E. Richard Brown, Ph.D. Helene G. Brown, BA Wayne 0. Buck, M.D., M.P.H. Mr. and Mrs. Charles E. Cable Dr. Sanders Seval I and Dr. Elizabeth Castro Henry Sik Hoi Chan, M.P.H. Dr and Mrs. Pau·ick Chavis Portia S. Choi. M.D .. M.P.H. Mr. and Mrs. Frank]. Chu Mr. Welden E. Clark and Virginia A. Clark, Ph.D. Dr and Mrs. Douglas B. Clarkson Dr and Mrs. Roger A Clemens Dr. and Mrs. Richar<l Cohen Dr. Jean F. Coria-Mc Michael Vivian Bonnickson Cravath, M.P.H. Mr. Daniel and Di: Anahid Crecelius Mr. Emmett Keeler and Dr Shan Cretin William G. Cumberland, Ph.D. Mary Alice Cummings, DrP.H. Jing Ling Dai. M.P.H. Bruce N. Davidson, M.P.H. Allvson Ross Davies, Ph.D. Dr. and Mrs. Climis A. Davos

Rosalyn A Deigh Hev.renson. M.P.H. Brian P. Dolan, M.0., M.P.H. Alexander. M. Dupe Iman, M.D. Olive Jean Dunn, Ph.D. Curtis D. Etkhert, Ph.D. Ellen Rose Eiseman,M.1>-Fl. Joel M.'Elleniweig, M.D., M.P.H. Mr. and Mrs. Sam Elrod James E. Enstrom, Ph.D. George E. w Ettima, Dr.P.:H. Agnes K. Eubanks, M.P.fl. Mrs. Robin Brvn~t Evans Garold Faber, ·M.D.,.M.P.H., !"ACM Mt: Randolph N C. Farber Gail C. Farmer, Dr.P.H Natalie $. Felix, Ph.D. Jean S. Felton, M.D. David M. Fer(iss,Jr., M.D Eve Picardv Fielder, M.P.H. Mr. Martin.D. Finn Paul M. Pleiss, M.1)., M.P.H. Cunis A. Foster, M.f)., M.P.!l Pamela Frerichs, M.P.H. Dr. Ralph R. Frerichs Mr. Jeffrey S. Friedman Dr. and Mrs. William H. Rochelle Green, M.S. Mr. Richard Greene and Nancy Greene, .t)U.H. Mr. and Mrs Murr'<\Y Greenwood Mr. Robert R. Herrick William C. .Hinds, Sc.D Dr an<l Mrs. Cad E. Hopkins Marry Houston, M.P.H. Deborah HO\V.lrd, M.P.H. Donald M. Hmhines, f)r.P.H. Mr. and Mrs. Robert Hutchins Dr. and Mrs. Joseph K. Indenbaum Dr. and Mr~. Stephen .:B· lnkeles Mr Jay Janis and f)r. Juel Jan!s Paul S. Jarett, M.P..H. Dr. and Mrs. ben;ickB. Jelliffe Stephen w Kahane, Ph.D. Mr. Jonathan Katz Dr. and Mrs.. Steding King Ms NancyJ Kingston Melvin H. Kirschner, MD Kenneth W. Kize~ M.O. Leonard E. Kleininan •. 1'!.D., M.P.H.. and Melodye T Kleinman, M.PJ-I. Hester A Kobaya..,hi, Dr.r.H. Pamela L. Kotler, Pl.i.D Dr. and Mrs.Joel w Kovner Dr. and Mrs. Jess F. Kraus Pamela C. Krathalk, Or.P.H. Dr. and Mrs . Calman Kurtzman Jean P. La Cour, Dr.PH., M.P.l'i. Barbara M. Langland-Orban, Ph.D. rsaiah C. Lee, .Dr.P.H. Donald A Levine, M.D., M.P.I{ Deborah A Levy, M.P.H. Virginia Cheng Li, Ph.D., M.P.H. Mr. and Mrs. Clifford W.. L<> Ange J. J.oube_,. M.D. Dr. and Mrs. Irvin M. Lourie Mr. Herbert L. Lundblad Joseph B. McCarthw M.S.P.H. Luke Mc lntqsh, Jr. Marie E. Michnicb, Dr.P.H. Rutb M. Mickey, Ph.D. James L Monahan, D.D.S.1 M.P.!1. Young Hahn Moon, M.D, M.P.1-!. Hal Morgenstern, Ph.D. Dr. and Mrs. DGnald .E. Morisky Marc. D. Moser, M.P.H. Eva Jean Muchnick, Dr.P.H. Dixie NlGhOIS Leyhe, M.P.H.

Delores Veronica Olambiwonnu. M.P.H. Dr. and Mrs. Edward .J. O'Neil I Gene L. Oppenheim, M.D. Jean J. Ospital, Dr.P.H., M.P.H. James]. Palmersheim, Ph.D. Catherine G. Percy, BA Carl Pierchala, Ph.D. Neill Finnes Piland, D1:P.H. James D. Pinckney, B.S. Patricia A. Rainey,' M.P.H. Marilyn A Ray, M.P.H Lester C. Reams, M. P.!-l. Shirley w RJch, M.P.H. Rmh I' Richards, M.P.H., M.A. Mr. and Mrs. Mark A. Robbins Mr. Stanlev H. Rosenthal Mr. Scott R. Ross Wilma R Rowe, M.S.P.!-1. Dr. and Mrs. Harold H. Rovaltev Mrs. Barbara E. Rydgren ' · Ralph R. Sachs, M.D. Alan Samuels, M.P.H. August W Schara, M.S.P.H. Dr. and Mrs. Max H. Schoen Dr. and Mrs. Stuart O. ~'khweirzer Robert Scofield, Jr., Ph.D., M.P.H. Ms. Kay Yamada Shishima Ms. Maryln S. Slawson Daniel F. Smirh, Dr.P.H. Dr. and Mrs. Garv W Smith William E. Smith, Jr., M.P.H. Paul E. Smokier, M.P.H. Ms. Nandini Sodhi Dr. Shoshanna Sofaer Burton z. Sokoloff, M.D. Carl L. Speizer, Dr.P.!-l. Howard M. Staniloff. M.D. Mr. Theodore Sweet<>er, III and Dr. Jane Valentine Marian E. Swencl.,eid, Ph.D. Peter A Szekrenvi, Di:P.H. Fote.5t S. Tennant, Jr., M.D., DrP.1-1. Mr. and Mrs. Samuel J. Tibbitts Dr. Paul R. Torrens Mr. Citron Toy Dr. Robert Valdez and Ms. Mary Winter Beverly M. Ware, Dr.P.H. Ms.Jo Weber Emma B. Wharton, M.D., M.l'.H. Graeme AW Williams, M.D., M.P.H. Dr. Girma Wolde-Tsadik and Ms. Aster Teshome Judith Shaw Wolstan, M.P.H. Ms. Melanie S. Wong Robert D. Wood, Or.P.H. Mr. Thomas Wright Ms. Sharon L. Yamasaki Mimi C. Yu, Ph.D., M.S.

MATCHING Gin COMPANIES Many companies match gifts provided by their employees to nonprofit organizations. The School of Public Health extends its appreciariOn t() the following for their matching contriblttioos.

Abborr Laboratories The Aerospace Corporation BP America, ln.c. Cigna Foundation Hughes Aircraft Company Times Mirror Company The Upjohn Company Vll.rian Associates, Inc.

SPECIAL Glm The School of Public Health gratefully acknowledges the following individuals, corporations and foundations for their gifts to fund programs, scholarships, fellowships, research, equipment and space improvement. American Cancer Society Inc. American Diabetes Association Atlantic Richfield Company Atlantic Ri'chfield Foundation Baxter Heal th care Corporation Beckman Research Institute The Fred H. Bixby Foundation Mrs. A Evangeline Brooks Calreco Inc. Chavez & Associates Institute Dr and Mrs. Frank I. Cooper Mr. G. Mark Cullingham Dr. Jo Ann Dawson The Dow Chemical Co. Foundation Ms. Penelope Louise Edwards Mr. and Mrs. Jerome Eglin Epilepsy Foundation of America Equitable Real Estate Mr. and Mrs. John 0. Erickson Mr. and Mrs. Warren W. Flack The Ford Foundation Friends of $()()Chow Mr. and Mrs. Richard B. Gibbs Dr. Basia Gingold Dr. Lennin H. Glass Mrs. Jac.queline Goldman Mr. Charles W Gronbach Ms.Jihui Guan Dr and Mrs. Irwin Harris Dr. Isabelle Flora Huot Janss Foundation Dr. and Mrs. Goteti B. Krishnamurry Ms. Maureen Lahiff Miss Linda Louise Lichtenfels Bhavana Likhananont Los Angeles Childbirth Center National Bugmobiles Inc. Dick O'Brien & Associates Inc. PM Inc. Palm Oil Research Institute RAND Corporation Mr. Lester Curtis Reams The Rockefeller Foundation Mr. and Mrs. Lewis Samuels Ms. Rebecca E. Sanchez Dr. Jean Sanville Mr. and Mrs. Mark D. Schluchter Scientific Data Analysis Inc. Mr. Irwin]acob Shorr Mr. and Mrs. William R. Simpson Skin Research Foundation Dr. and Mrs. Sidney Smith Mr. and Mrs. Ellis Jack Sturz Swiss National Fund for Scientific Research Takon Manufacturing Dr.Jeremy M.G. Taylor UQ.A Medical Center Auxiliarv Dr. Jane L. valentine . Wallace Genetic Foundation Dr. and Mrs. Daniel Murray Wilner Wilshire Foundation, Inc. The World Bank Al/gift listingsareasofOct. 1, 1988.

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