UCLA Public Health Magazine - Spring 1991 by UCLA Fielding School of Public Health

UCLA Public Health \ . 0 L l . \I E

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'''ltf!Mf11Mm maintain and increase o ur streng th in the analytical fie lds of public health. Some of the research, professional, and s tud e nt ac tivit ies o f one of those program s, the Department of Epidem iology, are high lighted in thi s issue. You will notice some changes in o ur magazine format. We have added a regu lar column, "Q & A," in which one of our facu lty is interviewed on a timely public health topic. This, along with our news section, now appears at the front of the magazine. In addition, we have expanded our other departments. The " Research Notes" section now includes an update on the projects of a different department each issue- this time, it is the Department of Epidemiology. In " Faculty Notes," you will find an article introducing our four new faculty members. We have also added a student profile to the magazine, beginning this issue with Sana Loue. Finally, the "Alumni Notes" section consists of news on events and issues of interest to our alumni ; the brandnew Job Reso urce Network questionnaire designed to better fac ilitate the internship and job-placement efforts of a lumni and students; and updates of alums' whereabouts, inc luding expanded profiles of two alumni: Sam Elrod and Elena Hurtado. On the last page of this issue, you will find a list of the people who were concerned enough to become members of the UCL A School of Public Hea lth Dean's was based o n the excellent progress that the program has made under the leadership of its new director, Dr. Arthur Counc il. Their contribu tio ns constitute a fle xible reWiner, who joined the school in January 1990. It also source used to support many aspects of our research, retook into account the additional resources in faculty and cruitment and community-related activities that are not possible to support from state funds. space that we have comm itted to the program. The approval is one indication of how well we are doing toward As you may have heard, the University of California achieving one of our goals: strengthening the school's system faces substantial state budget cuts. This has left environmental health sciences program. the School of Public Health more reliant than ever before Two other o bjecti ves are ex pand ing on the financial support of its alumni and the school's geronto logy research and friends. One way you can help, if you are teaching activities and strengthening the not already a mem ber, is to j oin the The approval of the Dean 's Council by sending your memberDepartment of Health Services. Both of these goals are reflected in the articles apship contribution in the enclosed envelope. Environmental Science pearing in this issue on long-term care inAlso , o ur development d irector, Larry surance and Medicare. We also intend to Pi lcher, will be pleased to discuss with and Engineering program you other giving opportunities. His telephone number is (213) 825-5119. s we were gett ing ready to send this issue off to press, we received some very good news. After two yea rs of intens ive rev iew by the UCLA Grad uate Co un c il , the inte rd e partm e nta l Environmental Science and Engineering program was approved for the max imum period of eight years. This

Dr. Abdelmonem A. Afifi (I.), dean of the UCLA School of Public Health, with Dr. Hiroshi Nakajima, director-general of the World Health Organization, at the International Epidemiological Association scientificmeeting at UCLA last August (story, page 4).

for the maximum eight years is one indication of how well we aredoing toward achieving our goals.

C. e. Dr. Abdelmonem A. Afifi

UCLA PUBLIC HEALTH

Volume 10, Number I. Spring 1991

Charles E. Young CHANCELLOR

Abdelmoncm A. Afifi. Ph.D. DEAN

Michael T. McManus ASSISTANT VICE CHANCELLOR. UN IVERSITY COMMUNICATIONS

Rich Elbaum DIRECrQR. llEALTll SCIENCES COMM UN ICATIONS

Editorial Board Abdclmonem A. Afifi, Ph.D. DEAN

Jan B. Stephens. M.S. ASSOCIATE DEA FOR ADMIN ISTRATION

Susan C. Scrimshaw, Ph.D. ASSOCIATE DEA N FOR ACADEMIC PROGRAMS

EPIDEMIOLOGY CENTRAL The UC L A School o f Publ ic Health draws rave reviews for IEA sc ientific conference here.

8 MEDICARE'SBIG SCREEN(ING)TEST Should the federal government pay for health promotion and routine screening in the elderly? A UCLA School of Public Health study will provide some answers.

Linda Bourque. Ph.D. PROFESSOR. COMMUNITY HEALTH SCIENCES

Robert W. Haile, Dr. P.H. ASSOCIATE PROFESSOR. EPIDEMIOLOGY

Larry L. Pilcher, Dr.P.A. DIRECTO R OF DEVELOPMENT Diana Caldwell ALUMNI ASSOCIATION

MAKING SENSE OF LONG-TERM CARE INSURANCE Dr. Shoshanna Sofaer 's new g uide sheds l ight on an issue 1hat is at once confusing and Jroubling.

Walton Sen1erfi11, M.P.H. PRESIDENT. STUDENT'S ASSOCIATION

Vicki Beck

FROM CONGRESS TO THE CLASSROOM

ASSISTANT DIRECTOR. HEALTH SCIENCES COMM U !CATIONS

W herever her busy i tinerary takes her, student/researcher/au omey Sana L oue leaves her mark.

Dan Gordon EDITOR

Dcborrah M. Wilkinson ASSOCIATE EDITOR

Juliel Beynon ART DIRECTOR

NEWS

3 Q&A

Rob Buscher. Jackie Morrow DESIGNERS

Kathy Perdue, Ramon Aninag

RESEARCH NOTES

ADM INISTRATIVE ASS ISTANTS

UCLA Public Health is publi shed by

Health Sciences Communications, UCLA Public Affairs and Development, for the alumni. faculty. students. staff and friends of the UCLA School of Public Health. Copyright 199 1 by The Regents o f the University of California. Permission to reprint any ponion of UCLA Public Health must be obtained from the editor. Contact UCLA Health Sciences Communications. 1100 Glendon Avenue. Suite 1501. Westwood Center, Los Angeles. California 90024-1708. (2 13) 206-1960.

16 FACULTY NOTES 18 ALUMNI NOTES

DEAN'SCOUNCIL ON T HE COVER: Wi ll M ed icare soon cover preventive health services 10 help keep 1his woman healthy? I f she should ever require long-term care, w ill she be able to afford it? These are amo ng the topics addressed in our two cover stories, beginn ing on page 8. Cover photo hy Rohert Landau.

School Raising Funds for American Indian Fellowship

fellows hip for Am er ican In dian s tuden t s is be in g es tabli s hed at the UCL A School of Public Health. The school 's Health Careers Opportunity Program (HCOP) has launched a fund-raising campaign for the George Bl ue Spruce, Jr.. Fellowship, the school 's first-ever scholarship for Ame rican Ind ian students. The fu nds w ill be used to provide fina ncial aid and loans to Ame r ic an Indian s tud e n ts who couldn' t otherwise afford to attend the school , according to the HCOP's Kathleen A. Torres. The fe llowship is named for Dr. George Blue Spruce, Jr., a leading advocate for the health of American Indians. Blue Spruce ea rned a D.D .S. at C reigh ton University in 1956 and an M.P. H. at UC Berkeley in 1967.

Di s tin g ui s hed Career Se rv ice Award from the American Public Health Association. T h e an nu a l awa rd , w hi ch was prese nt ed a t the nat io n al professional assoc iation meeting in New York last October, recognizes leading contributors to the fie ld of p ublic health w ho have demonstrated outstanding quality and me ri t, a nd w ho h ave contributed to the advancement of the profession and serv ice to the public. Kraus' researc h has foc used on injury and e nv ironm e ntal epide mi o lo gy . with a pr im a ry foc us on brain and s pinal cord inju r ies . He ha s a ls o s tu d ie d alcohol and brain injuries, motorcyc le-crash injuries, and occupational trauma, including homicide in the workplace.

Stephens Named New Associate Dean

J Dr. George Blue Spruce, Jr. T hi s mark s th e th ird fun d established at the UC LA School of Public Health to support the r ec ru itm e nt a n d re te ntion of m inority s tude nts . In 198 7, the Richard Chavez Scholarsh ip Fund wa s es ta bli s hed for H is panic s tude nts. a nd in 1990 the Be tty Smith Williams Scholarship Fund was es tab l is hed for A fr ica n American stude nts .

Kraus Receives APHA Award r. Jess Kraus, professo r of epidemiology and director of the Sou th e rn Ca li fo rni a Inj ury P r eve nt io n Re search Cente r. has been honored with the

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an B. Stephens has joined the UC L A S c hoo l o f P ub li c Health staff as associate dean fo r admin is tra t ion. S te ph e ns comes to UCLA fro m UC Lrvine, where he was the administrative officer for the Office o f Teacher Educa tio n a nd th e Prog ram in Soc ial E co logy fo r the pa st I 0 yea rs. He r ece ived a B.A. in E ng lis h fro m the Uni vers ity o f Idaho in 19 7 0 and a n M.S . in management from UC Irvine in 1979.

Alums' HHS Proposal Awarded Prize

h ree 1990 grad uates o f the UC L A Sc h oo l o f Publi c Health were awarded a thirdp lace prize of $ 1.000 by Hea lth and Human Services Secreta ry L o u is W . S ulli va n fo r t h ei r proposa l d es ig ned to impro ve m edical s t ud ent s' k now ledge abo u t p reve n t ion o f sexu all y transmitted diseases so that they can counse l patie nts a nd reduce the incidence a nd p revale nce o f these diseases. T he pa pe r s ubmitted by Jane Steinbe rg, Joa n M e lrod and

Dean Joyce Lashof of the UCBerkeley School of Public Health and Dean Abdelmonem A. Afifi of the UCLA School of Public Health, at areception jointly sponsored by the two schools during the American Public Heallh Association's1181h annual meeting last October in New York City. Approximately300 UCLA and UCBerkeley students, alumni, friends, faculty and staff attended the catered affair, which was held at the F.A.O.Schwarz Toy Store. Joanne W ellman, each of whom rec e ived an M.P.H. from the UCLA Sc hoo l of Publ ic Health last year, was c hosen from nea rly 1,3 00 sc h oo ls' e ntrie s in the eighth a nnual competition for the Secre tary's Award for Lnnovations in Health Promotion and Disease Prevention.

School Awarding Biostatistics Grant for AIDS h e n a ti on 's f i r s t A ID S traini ng grant in biostatistics is now being offered by the UCL A Schoo l o f Publ ic Health und e r fund in g b y th e Nat io nal Institutes of Health. Unde r the grant, which is now e ffec ti ve , d oc to r a l s tud e nt s receive a s tipend o r $8,800 pe r year, as well as tuition and fees and the opportunity to attend one national or regiona l meeting pe r year. For postdoc toral stude nts, the s tipend ranges from $ 18,600 to $32 ,30 0 , as s pec ified by the National Institutes of Health, dependi ng on how many years they have advanced past their doctoral degree. The grant has several purposes. s ay s D r. Pe te r L ache nb ruc h , profe ssor of bio s tat is t ics a n d pri ncipa l in ves t ig ator for the g ra nt. For d octoral stude nts, the g oal is to tra in bi os ta tis ti c ia ns who will be able to use statistical

theory to respond to the problems presented by AIDS. The postdoctoral com p o nent is twofold: to take p e r so n s a lready tr a i ned i n biostatistics and o ffe r specialized AIDS training; and to give students w ith nonstatistical backg rounds sufficient training to allow them to serve as h igh- leve l collaborato rs o n researc h projec ts in vol v ing statistics.

UCLA, Mexican Government To Study Border Health Problems C LA School of Public Health researche rs a nd health a nd s ani tary offic ials from the Mexican government have joined forces to study e nvironmental and o cc upat io na l hea lt h problem s affecting workers and res idents of t he bo rder area b e t wee n the United States and Mexico. The goa l of t he fi ve-ye ar p roj ect. based on a cooperative agreement s igned by UCLA and Mexican government representatives last October, is to learn about the scope and effec ts of problem s p os in g a r is k to the Baja California region, and to produce data that will be used to develop strategies for so l v in g the problems. â&#x20AC;˘

Robert Valdez on

Latino Access to Health Care Mexican-Americans are less likely to have health i11sura11ce than a11y eth11ic group ill the U11ited States, accordi11g to a study spo11sored by the UCLA School of Public Health and the University of Texas Medical Branch in Galveston. The study, which was published in the January 9, 1991, Journal of the American Medical Association,/01111d that 37 percent of Mexican-Americans are not covered for medical expenses, compared with 20 percent of Cuban-Americans, 20 percent of African-Americans, 16 percent of Puerto Ricans and 10 percent of Caucasians. The researchersfo1md that a significant portion of Mexican-Americans are employed in low-paying jobs without health insurance benefits, and are less likely than other groups to seek needed medical care. UC LA Public Health magazine's Deborrah Wilkinson asked Dr. R obert Valdez, an assistant professor of health policy and management at the UCLA School of Public Health, to elaborate 011 the research he conducted in collaboration with Drs. Fernando Trevitio, associate professor of preventive medicine and community health at the University of Texas Medical Branch at Galveston, and M. Eugene Moyer, an economist with the U.S. DeptÂˇ. of Health and Human Services.

Q: From apublic-policy standpoint, what was your key finding?

Q: What impact do you think your research will have

on the federal government? A: I certainly hope we wi ll infl uence decision-makers in

Our work demon s trate s th at h e alth in s uranc e coverage- private or public- plays a significant role in whether or not people seek formal medical care. It illustrates that without hea lth in s urance, Lati nos w ill go without health care even in the face of major medical problems.

desig ning , eval uating and develop ing public policy. That is the primary purpose of my research. Fortunately, minority health issues have recently caught the attention of the federal government.

Q: Why was it important to report your findings for each Latino group--

Q: Will this country ever adopt anational health insurance program?

Puerto Ricans,Cuban-Americans and Mexican-Americans?

A: That

A: In prev ious stud ies, researchers genera ll y lump all Latinos together, wh ich is li ke mixing apples, oranges and pears and calling the mi xture fruits. While Latino s s hare common characteris tics such as Lati n American origin and the S pani s h language, each o f the major groups have d istinct settlement and migration his tories, and live in vastly d ifferent regions of the country . Each region has disti nctly different industrial structures and di ffers considerably in available health-care resources.

Q: How did these differences manifest themselves in the results of your study? A: Puerto Ricans in the Northeast and Cuban-Americans in south Florida have a very recent history of being in the Uni ted States. On the othe r h and , the MexicanA meri ca n co mmunit y, located pr im ari ly in th e South west , has inhabi ted the reg ion for a lo ng time. There are a number of d ifferent soc ial, politica l and historica l institutions that come into play and affect the amount and types of health-care services available. For example, if you look at the proportion of Latinos w ho are part icipating in the g overnment- spon so red health insurance program Medicaid, you di scover that Puerto Ri can s in the Northeast are more like ly to be covered than Mexican-Americans; therefore, they also have a lower uninsured rate.

would be an easy solut ion to a very complex problem, but I don' t see it happening very soon. I do see some movement in a number o f states and I hope over the next few years that California will lead the way in developing a model that can be adopted nationwide. Every sector of our society is experiencing prob lems w ith health ins urance coverage. When the problem gets big enough and really has an adverse effect on the middle class, I think our political leaders w ill fi na lly begin to hear the des ire by our society to c hange our current approach.

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"Without health insurance, Latinos will go without health care even in the face of major medical problems. "

Q: What's the next step in formulating the Latino health agenda? A: We are in the process of deve loping a cente r at UCLA devoted to the study of Latino health issues. I expect the ce nte r to s u pport the research efforts of nume rous UCLA facu lty already conduct ing work on these issues, recruit additional health services researchers and faculty, and fu rther develop re lat ionships with comm uni ty p rograms serv ing California 's Latino popu lation. In collaboration w ith o thers across the country, we are preparing several manuscripts that define research agendas critical for planning and implementing serv ice programs in Cali forn ia and other Southwestern states. â&#x20AC;˘

UCLA PUBLIC HEA L TH

UCLA PUBLIC HEALTH

Epidemiol9QY Central: The UCLA School of Public Health draws rave reviews for IEA scientific conference here

BY DAN GORDON

ALesson in Hospitality... ... This lesson is given by UCLA School of Public Health students, who make their international guests feel right at home n exc hange f or 15 hours of donated assistance at th e Interna tional Epidemiological A ssoc iat ion m ee tin g. UCLA School of Public

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hey cam e fro m al l over the world-epi dem iolog ists from as far as Lithuan ia and as near as L os Angel es: from the tec hn olog ica ll y advanced West and ti ny. developing African nations. H und reds of them tou c hed down in L os Ange les Internat ional A irport last August. were met by UCLA School of Public Health student volunteers. and were ushered to the UCLA campus for a meeting organi zed by UCL A School of Publi c Hea lth Epidemi o logy

Health students were allowed to attend the conference at no cost. But. fo r t he overwhe lming maj ority of the student volunteers-

some of whom put in as many as I 00 hours-the sc holarships were onl y an incidental motivating factor. " It was a com binat ion of sc hool spiritwanting to collaborate to pu t on somethi ng that wou ld be good for the school and the university- and the opportunity 10 be involved in a more m ea ni ng fu l way in a

Department faculty. students and staff. After five days of speeches and sessions, of professional and social interaction. they left. But the memories of what everyone agreed was a highly successful meeting, and of a gracious host that was able to give the epidemiology world an up-close view of its work, won ·t go away so quick ly. When the Internati onal Epidemiological Association, wh ich holds i ts international sc ientific meeting every three years, chose UCLA for its 12th conference, it was "an indication of the esteem in which the UCLA School of Public Health, and the epidemiology department in particular, are held," says Dean Abdelmonem A. Afi fi, who greeted conference participants at a welcom ing ceremony in UCLA's Royce Hall. In the meeting's afterm ath, the consensus among those i nvol ved here is that the already-respected epidemio logy depart men t was given in va luable face-toface exposure. the ramificat ions of which w ill be felt for years. " It was an opport un ity for epidemiologists from all over the world to learn more about who' s here and the kinds o f thi ng s th at we're doing." says Dr. Roger Detels, professor of epidemiology at the UCLA School of Public Hea lth. Detcls, who chaired the conference's organi zing comm illee and served as treasurer of the IEA for si x years, was elected 10 a three-year term as president of the assoc iation effective at the end of the meeting. Adds Dr. Robert Hail e, associate professor of epi demiology at the UCL A School of Public Health and a member of the conference organi zi ng commillee: " A lot of people know of our department through publications and some of the faculty members. but for them to be here in person and to meet with our faculty and students was crucially important- both in terms of rec ru iting. where we ·re al ready reaping the benefits. and in terms of research possibil ities." Producing a quality conference was no easy feat. "The scope of thi s meeti ng was comp lex-unl ike any the schoo l had been ex posed to previous l y:· says Devra

co n fe rence of peo p le from all over the world ," says W al t Senterfi t t , presi dent of the UCL A Public Health Student 's A ssoc iation and a leader in organizing the student invol vement. Th at in vo l vem ent re ached leve ls no one coul d reca ll see ing at past professional meetings. Approx imately 60 stud en t s alt e rn at ely

served as goodwill ambassadors, porters, interpreters, tour guides, regis t rant s, dinner hosts, present at ion assistants. and all-purpose troubleshooters. early a year prior to the conference, notices began to appear soliciting student helP.. Some signed up and began assisting wi th the preparations-proofreading ab-

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Breslow. 1hc conference's coordinator. Epidemiology dcpanmen1 foculty accep1ed tasks ranging from planning a five-day program and prepari ng abstract books to fundraising. Their efforts were augmented by those of ex is1ing and specia ll y recruil ed staff. A nd s1Udent organ izers rounded up dozens of s1uden1 volunteers to greet a11endees at 1he airport. lead tours of the school and the city. and staff a wide range of activities to help ensure a smoothrunning conference (see ..A Lesson in H ospi1ali1y ...... below). All told. approxi mately 700 epidemiologists from 69 nations a11ended the meeting. giving it an unusually di-

ve rse cuhural mi x, accordi ng to many of the part ic ipants. The major reason: an unprecedented drive 10 provide fi nancial ass istance to part ic ipants. most of them from developing countries. who otherw ise could not have afforded lo allend. In less than a year. the organi zers rai sed $170.000. enoug h 10 invi te I 16 epidemiologists- 98 of whom were able to come. M ore travel fellowsh ips were offered than for any previous IEA meeti ng: indeed, observed one faculty member. the proportion of fi nancially assisted a11endees was higher than for any professional meeti ng he knew of.

1rac1 volumes, helping 10 des i g n and prepare the program and orientati on materi als, slllffing packets and the like. A the meeting drew close r , th o ug h, it beca me c l ea r that mo re vo lunt ee r hou rs we re needed. " We scoured up probabl y 500 more s1udent ho urs, a Âˇkin g every body to do a li11le bit more," recalls Senterfill,

languages.) ..You have to piclUre, say you' re coming from an A fri ca n nation such as Gh ana. and you 've neve r l eft yo ur hom e country," says Dr. Ralph R. Frerichs, chair of the sc hool 's epidemi ol ogy departm ent. " All o f a sudd en, you l and in LAX , and it 's prett y scar y. W e' re an aloof soc iety; we don't nor-

a Ph.D. candidate in epi demiology. It didn 't take long for the conference allendees to see the student participation that was in store. Delegates fly ing in from other countries were met at the airport by the volunteers-in many cases students w ho spoke their nati ve tongue. ( Between 1hem. the student volunteers spoke 14 di fferent

m all y g ree t ho no red guests at the airport." The students greeted these guests, and didn ' t stop there. In one case, Senter fill remem bers, a delegate arrived from I nd ia to fin d that her baggage was lost. She was to make a presentation the next day and insisted she could not appea r i n Western attire. The student assi gned to

meet her made severa l frantic calls before finding a friend to loan the delegale the tradi tional Ind i an c lo th in g she sought. Stu dent vo lunt ee rs al so gave i mprompt u to urs of the UCL A School of Public Health and the Cen ter for the Hea lth Sc iences comp lex , sin ce t he act ual mee ti ng sites we re on UCLA PUBLIC HEA LTH

"That 's the major mission of the IEA: to be g lobal , to encourage younger epidemiologists to mix with the more seaso ned people." Detels explains. Adds Dr. Ralph R. Fre richs. chair of UCLA 's epide miology depart me nt and c hair of the confere nce's program committee: " If you have an internat ional organi zation made up on ly o f those who ca n affo rd to pay , what y o u re a l l y e nd up with i s t h e E uropean/ Ame r ic a n/ Au s tra l ia n Ep id e m io logica I Assoc iation. T hi s is the /111em a1io11a/ Epidemiological Assoc iation. So, if you want to share ideas wit h col leagues in Bo li via, or Malays ia, or Ke nya , you have to provide finan cial support.'' Hav in g a trul y inte rnati o nal ga the ri ng . Freric hs notes, pointed out the differences in approach to the science. In the United States, for ex ample, the focus is on etiologic and causative research. Epidemiolog ists he re work full -time to unravel the complex it ies surrounding diseases. In many developi ng nations. Fre richs continues. epidemiologists have the hearts of researchers but lack the financia l wherewithal and are forced to foc us heav ily on us ing cost-effective means to fi nd answers. In addition , Frerichs notes, the meeting was an opport unity to confer with colleagues who see up close a number of diseases-particularly those common to tropical reg ions-wi th which U.S. epidemio log ists have little contact. "T hese arc peop le who are rig ht there to

ca mpu s . Many o f th e de legates were interested in the schoo l 's acad e mi c program s and course reading lists; others asked to take application packets home to students and colleagues who might be interested in coming here for adva nced or profess io nal training. Many de lega tes e nlisted student help in exploring the city. "They'd ask, ' W he re are t h e ni g ht spo ts?' ' Wher e can I go to walk around?' ' Wh e r e c an I tak e my kids ?'" Scnterfitt recounts. Students o bliged by a cco mpa n y in g t he conference attendee on after-ho urs excurs io ns, particularly to multiethnic areas.

UCLA PUBLIC llEALTll

"Some of the de legates to ld us that those experiences were among the most grati fying that they wo ul d take from the conference, and that they fo und the students here to be the most inte res t in g , li vely and helpfu l that they had enco unte red." Se nt e rfitt says. The fee ling was mutu a l. Con fe re nce o rganizer Devra Breslow rec a 11 s t h at at t h e mee t ing's las t soc ia l event , a Weste rn -style ba rbec ue at UC L A 's Sunset Canyon Recreation Ce nter, a group o f s tudents and de lega tes spontaneous ly began to folk-dan ce as a ba nd played bluegrass music. " E veryo ne ca me bac k the next d ay fee ling so

exhi lara te d ," Bres low asse rt s . " There was a tre m e ndou s se nse of bonding." Add s Dr. Robe rt Haile, associate professo r of ep ide m io logy he re a nd the facu lty member who he lped coord inate the student invo lvemen t: " I've trave led to o the r meetings since the conference and have gotte n very pos itive comment s o n how he lpfu l our s t ude nts were." For Senterfitt, one of the most poig nant moments of the conference came when he watched a Nigeri an woman g ive a presentation about an interv en ti on program to reduce infant morta lity. Unlike t he e labora te, computer-driven presen-

count the bodies," he asserts. The conference was also notable for the keynote address del ivered by Dr. Hiroshi akajima. director-general of the World Health Organization. akajima emph asized the imp o rt an ce of epi de mio logy in t he func tioning of the W HO and advocated strengthening its role wi thin the organ ization, reports Detels. Outside of the forma l sess ions, there were severa l socia l fu nctions, including a catered d inner he ld o n the lawn between Royce Hall and Powell Library o n campus. and a Western-style barbecue at UCLA 's S unset Canyon Recreation Center on the meeting's last night. For Breslow, who has attended seven previous IEA meetings, the hi ghlig ht of thi s one was the vol unteer he lp provi ded by t he st udents, s ta ff an d fac ult y. " Everyone wanted to show that we could produce a meeting of this caliber," she says. "The degree of commitment and action was a fa ntastic bonus. Th is was the first IEA meeting where graduate students were not only visible but were indispensable." As a result , says Detels, " the epidemiolog ists who attended came away think ing that here is a department that not o nl y is among the best in the world, but also one where they would be welcomed warmly, where they would be accepted as colleagues, and where they'd fee l at home." â&#x20AC;˘

tations he had become accu stomed to see ing, th e woman 's po s te rs were handwritten and accompan ied on ly by photographs. " It was heart-touching," Sen te rfit t says. "This was a rare opportunity for many of these people-for some , the only chance they' ll have to ge t to the United States and spend time in a p lace w ith t he re sources UCLA has. I fe lt that as students, we had an obligation particu lar1y to these people to he lp them get the most out of it." Of course, the s tudents got a lot out of the experience themselves, and not just fr o m th e satisfaction of contribut-

ing to a successful conference. They participated actively in the scientific d iscuss ions. Some were doing dissertations on the topi cs covered; others were particularly interes ted in presentat ions from co untries where they had lived or visi ted. They we re able to make contacts for career or research possi bi lities, a nd s im p ly to m ingle wi th professionals in the fie ld. "S tud e nt s c an hear about theory in a classroom s ituat ion," co ncludes Frerichs. ''but it's no t like hearing someone from another count ry de sc rib in g the research he 's done." â&#x20AC;˘ - D.G.

New IEA President Detels Discusses Epidemiology's Direction Dr. Roger Detels, professor of epidemiology at the UCLA School of Public Health, became president of the International Epidemiological Association effective at the end of the IEA conference here last year. In the following interview, hediscusses epidemiology'spast, present and future. 0: How rapidly isthe field changing? A: Very rapidly. I got my training in the mid- ·6os. and the stuff we ' re doing now I had never heard of then. I wasn·1 tau g ht about it: it esse ntiall y didn ·1 exist. There have been rap i d advances both in the discipline itself and i n the vario us applications to different di seases. The center for mcthodologic progress in epi demiology durin g the last 25 years has c learly been the Uni ted States and. to a lesser ex tent , England. That' s a shi ft. because prior to that, the advances and the definition of the field came pri marily out of England.

0: Are different people entering the field? A: Twe nt y -fi ve years ago. epidemiology was a discipline that required indiv i dua l s who had a prior medica l degree. Then. th ey usuall y received anyw here from one to three years o f training in epidemiology and preventi ve medicine. Now, we ll over hal f of th e epidemio l og i s t s train ed in th e United States are actually being trained with a primary discipline in epidem iolo-

gy. as opposed to superimposing epi demi ology on another discip l ine. such as medi c ine. Th e meth odology has beco m e ve r y co mpl ex. Ana l yti c strat eg ies and analytic methods are the aspect that 's been part icu la r l y str engthened in the last 25 years. In part. that ·s because epidemi ology now draws from man y different ba c k gro und s. and I think that 's strengthened the field.

0: In what direction would you like to see the discipline head in the future?

A: Epidemiol ogy ha s a ve ry strong hi sto ry of be ing used to elucidate the natural history of disease and disease mechani sms. the transmission of infect ious-disease agents. and risk factors for prob l em s suc h as heart disease. cancer and chroni c respiratory disease. But I th ink we ·re begin ning to recogn ize th at we have a st rong contributi on to make in t he fie l d of decis i onmaking to improve th e quality and effectiveness of health serv ices. One of th e maj o r problems con front in g developing countries. for exampl e. is that they

have a minisculc budget and a mamm oth hea lth problem. The two can' t po ss ibl y coinc id e. So they have to use the l imited dollars they have in the most effect ive way poss ibl e. T o really do th at , yo u need to use epidemi ology 10 define what your health prob1ems are. And after you' ve done that , yo u need epid em iology to define and evaluate how you can use those dollars most effecti vely to intervene in the health probl ems that yo u find. Epidemiology is the root science for both of those approaches. I think we· re becoming more ;md more aware that that' s a role that we need to take the initiat ive on. Epidemi o l og ists are al so begi nn ing 10 reali ze that in the past. we tended to deal exc lu si vel y with disease as our focal point. In the fu tu re. we need to foc us on th e issue of health. There's a subtl e difference between a di sease-oriented di sc ipl ine and a hea lthori cnted discipline. For example. an indi vi dual can be di sease- free. bu t the field of health promoti on says that in fact to rea l ize their optimal health. peo pl e need to adopt healthy li fe-styles. Wha t are those healthy life-sty les? Which ones reall y impro ve health? Epidemiolog ists can do a lot in terms of defining that. What about major reasons for years of producti ve life lost? When I went thro ugh trai n ing. we talked abou t deat h

rat es f ro m di se ases . Now. we're begi nning to tal k about diseases in tenns of years of produc1ive life lost. I f a person die s at 25. t ha t has a very di fferent impact on soc iety compared to a person w ho dies at 75. So we're de f i ning the impact or diseases in a

different way. A nd then you look. for example. at this cou ntry. and w hat are the major causes for loss of productive years of life? Acciden ts. v iolence. A I DS ... onl y one of these three has any thing 10 do w ith disease agen t s or biological causes. So i f' we're going 10 con ti nue 10 have an im pac t on the heal th of the communi ty. epidemiolog ists have got to start paying a11cntion to these problems. •

Dr. Roger Detels

UCLA PUBLIC HEALT H

Medicare's Big Screen{i ng) Test By Dan Gordon

Should the federal government pay for health promotion and routine screening in the elderly? AUCLA School of Public Health study willprovide some answers

he way Dr. Stuart 0. Schwei tzer sees it, M edicare is there for the eld erly w hen th ey' re sick. bu t nowhere to be found when they' re healthy. A nd. w ith mounting ev idence suggesting that preventi ve serv ices today can decrease the likelihood of medical and other problems down the road. an elderly pat ient who becomes sick enough to require M ed icare coverage might logically ask: " Where were you when I needed your Schweitzer, professor and chair of the Department of Hea lth Services at the UCL A School of Public Health, believes i t 's a ques ti on worth exp l orin g. So does Congress, which passed legislation in 1986 orderi ng the Hea lth Care Financing Administration (HCFA) to find out the following:

• W o uld the quality of life among th e el derl y i mprove if M edica re ex panded to include preventive services. such as routine sc reenings and ri sk assessments? • I f M edi care cove red these se rv ices, wou ld uti li zation patterns change significantly? • What woul d be the fi nancial impact on HC FA. both short- and long-run? Follow i ng it s congressional manda te. HCFA i s funding studi es c urren tly in progress at five publichealth schools across the country, including the UCLA Med icare Screening and Health Promot ion Trial , which Schweit zer is leading w ith co- investigat ors James E. Lubben, K athryn A tchison and A llison M ayer-Oakes of

UCLA PUBLIC HEALTH

the UCLA schools o f soc ial we l fa re. denti stry and med icine, respect i vely. There's litt le data presently avai lable on the effects of preventive health care in the elderly: in fact. it ·s not clear to what extent the elderly use preventive services. since M edicare docsn 't pay for them. But Schweitzer suspects that. in the absence of Medicare coverage. a large proportion of the elderly simpl y wait un til something goes wrong. "One hypothesis is that the elderly have a number of health risks, and if we can do something to reduce those risks, we cou ld improve the quality of the years of li fe remaining." he explains. The way to do that. Schweitzer says. is to screen elderly pat ients for health ri sks. then ei ther treat any problems detected or cou nsel them on how to reduce risks for fut ure problems. In the UCLA study, approximately 2.000 peop le arc rand om l y div ided in to an in ter vention group and a control group. A ll of the subjects complete a medication surv ey and answer an extensive questionnaire by telephone designed to assess their health risks. Only the intervention group. though. is urged to attend an annual Healt h Day. at which members receive hand s-on sc reen ing and assessment, counsel ing. and education. At t he end of t he st udy, th e two groups w il l be compared. The third and final Health Day was held in March at the same site as the first two: not in the typical confines

Growth of the Elderly Population Percent of Population over 65 20

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of a hospital or health clinic, but at the UCLA Faculty Center. "'We've tried to de-m edicalize the process." Schweitzer says. T he Health Day attendees begin their m orning wi th a health-education di sc uss ion, then wa lk thro ug h seven sc reening and assess ment s tat ions: for height and

weight , blood pressure, vis ion. hearing . physica l therapy (gait and balance), oral health , and social fun ction. Reports from all of the stat ions are stream lined and combined wi th resu lt s of the te lephone ris k apprai sal. A nurse practitioner then sits down w ith the patient and discusses where problems might ex ist. Where appropriate. the patient is assigned to healt h-education workshops on such topics as smok ing cessation , diet, household safety, taking medication, communicating with one 's physic ian, oral health , and successful social ization. He or she may also be d irected to comm un ity resources that would be he lpful. Finall y, the patient 's physician is forward ed a re port based on the results o f the patient 's screenings. "[Medicare} wants Schweitzer' s group will continue tracking data unti l to do what's good for 1994, with a report due the foll ow ing year. By that time, he believes, there wil l be some indication o f the long- elderly people, but at term benefit s of geriatric health promotion. the same time it must In these times of budgetary restraint, he conced es, remain financially HCFA wi ll have to look as closely at the fi scal res ults of solvent," Schweitzer the s tud y as it does at th e hea lt h- re lated o utcomes . " Medicare has to be o f two m inds," he notes. " It wants notes. to do what 's good for elder ly people, but at the sam e time it must remain financiall y solvent. " Schweit zer warns that the short-term result of expanding benefits to include Percentage preventi ve services is like ly to be a rise of Study Population with Preventable in co sts as more patie nt s seek routine Health Risks: sc ree n ings and problem s are d etected and dealt with at an earlier stage. "The 13.0 costs of prevention are all up fron t,'' he Currently Smoke asserts. ''The benefits are downstream .'' 8.8 It see m s c lea r to S c h we itze r a nd Drink more than two drinks per day o t hers that a s tudy s uc h as thi s w ill de mon s trate that improved h ea lth is 13.9 in c lude d am o n g th ose be ne fit s . But Rarely or never use seat belt would a s hort -run increase in utili zation 45.4 o f se r v ices a lso le ad to a lon g- run No regular exercise reduction in costs? And is such a result necessary fo r the financ ial ly strapped 40.2 fe d e r a l g ov e rnm e nt t o m a k e t h e No mammogram in past year change? 51.4 " I think the important thing is that if No flu shot in past year prev e nt ive se r v ices do inc rease t he qu a lit y of life. and do red uce th e 52.9 e pi sodes of illness in the e lderly, then at No 1e1a1ms sho1 in 10 years least there is an a rgum ent in favor of expanding Medicare to cover these serv ices.'' says Schweitzer. ÂˇÂˇcan Medicare afford it? Should it spend the money that way? I don ' t know. But there's no reason in the world wh y it sho uld sp end the money that way if it doesn ' t know that it's going to do any good ." â&#x20AC;˘

UCLA PUBLIC HEALTH

Making Sense of Long· Term Care Insurance By Dan Gordon

Dr. Shoshanna Sofaer'snew guide sheds light on an issue that is at once confusing and troubling

• Ma ny mi stakenl y believe tha t Medicare or the ir private in s urance covers long-tem1 care services.

• Those who have purchased longterm care ins urance in the past have been stuck wit h some bad po lic ies, industry analysts agree. • And , although today's po lic ies are much improved ove r those o f a few yea rs ago. they' re no eas ie r to comprehend. "You almost have to be a geni us to under-

UCL APUBLIC HEALTH

Th a nk s to Dr. Shos hanna Sofaer. an assistant professor of heal th services at the UCLA School of Publ ic Health , Cal iforn ians now have a way to make some sense o f a complex tas k. Sofaer, along with co- investigators Roberta Wyn and Diana Mellon-Lacey, two doctora l stude nt s in the UCLA Schoo l of Public Health's Depart ment of Health Services. has authored The California Consumers' Guide 10 Long-Term Care Insurance. published by the California Policy Seminar. The guide helps consumers decide whether long-term care insurance is for them and, if so. what to look for in a policy. While many Cali forn ians arc covered by some fonn o f health insu rance, these pol icies generally prov ide only for medical services. Medicare and Medicare supplemental insurance plans offer very few benefits for long-tenn care, and most pre-1990 long-term care policies lack many featu res that are necessary for adequate reimbursement of long-tem1 care services, according to Sofaer. Th e Healt h In sura nce Assoc iation of America estimates that 1.65 million Ameri ca ns owned a longterm care policy in 1990-approximately five times the 1986 n umber. bu t st ill quite s ma ll co nsidering the number of peop le w ho, eit her now or in the future. require nursing-home o r home-health services. Whil e some false ly believe their hea lth insurance covers them fo r long-tenn care, others are too caught up in denial to consider such pol icies, Sofaer contends.

t's every senior ci ti zen's nightmare: a life's savi ngs wiped out by the need for lo ng-tenn care. In 1990. $50 billion was s pent on nursi n g -hom e an d ho m e hea lth care in the Un ited States. The pat ients· o ut-ofpocket tab: $28.35 bill ion. or more than hal f. Whil e mos t ins urance companies now o ffer lo ngterm care policies. the vast majority o f cons umers ei the r wo n ' t bi te, don ' t Long-Term CarePayment Sources,1990, in Billions: think they need to, make ill -informed decisions, or are so confused that they 28.35 opt to remain uncovered: 0111-of-Pocket

• Others don' t want to admi t they wil l ever need nursing-ho me or home hea lth care. Ofte n, by the time they realize they're wrong it 's too late.

stand what these long-term care benefi ts are and how they work," laments Gera ld ine Dal le k, exec ut ive director of the Los Angeles-based Medicare Advocacy Project.

19.19

Medicaid

2.53 Medicare

0.43 Priva1e Insurance SOURCE: UFEPLANS INC .. LONG-TERM CARE MODEL. 1990.

" It ·s an emotionally loaded question:· she explains. " People say, ' My fam ily would never let me go into a nursing home .' Well , have you asked your family lately?" A nd, as much as Sofaer is concerned that confusion or denial might prevent someone from finding a bene fi cia l long-term care policy, she also notes that "for many years, the policies were so lousy that I wouldn 't wi h them on my worst enemies" and concludes. " I would be

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equally afraid of people buy ing a long-term care policy without understanding what they' re getting into." Indeed. Sofaer·s guide notwithstanding, it 's hard to know just how those w ho are interested in a long-tem1 care policy are making their decisions. " It's a new and compl icated product," says Yan Ellet, a se nior poli cy analyst on long-term care for th e America n A ssoc iation o f Retired Persons. '' It 's an incredibly difficult decision given that you don 't know the extent of the disability you ·re going to encounter.'' Sofaer' s research began in 1988. shortly after she had completed a study in which she compared elderly patients' out-of-pocket costs for three types of insurance coverage, using 13 common illness scenarios in a tec hn ique she developed called the " Illness Episode Approach." While presenting that research in poster sessions at the American Public Health Association annual meeting in 1987, Sofaer reca ll s. she and her colleagues were besieged w ith suggestions that they conduct a similar study of long-term care policies. Upon thei r return, they wrote a proposa l for the Berkeley-based Ca lifornia Policy Seminar, a joint UC/state of California program; shortl y thereafter, they received funding for the project. The guide recommends that consumers start at an early age to consider what resources will be availab le to them to finance long-term care. If long-term care insurance is an option, they are adv ised to carefully rev iew provisions for dai ly nursing-home benefits, inflationadj ustment options, deductibles, length of coverage, and home health care and benefits. Sofaer says that the three most critical points learned by her research team were: I ) Up until the last couple of years, long-term care policies carried almost no value: 2) for any policy to have value, it must include some

fonn of inflation protection; and 3) even the best policies currently avai lable generally do a poor job of covering home health care. Policies offered in the last few years have improved dramatically, Sofaer says, particularly in nursing-home coverage. One major contributor was California legislation (S B 170 and SB 96) making i t i llegal to market policies that exclude serv ices for cognitive impairment, While some falsely or to require prior hospitalizat ion for reimbursement of believe their health nursing-home or home-health benefit s. But not everything was solved. Trad itional indemni ty insurance covers policies have a long way to go before they're going to them for long-term be useful for home health coverage, Sofaer contends. Long-tem1 care can also be problematic for those who care, others are too provide the care: Approxi mately 70 percent of the caught up in functi onally di abled elderly w ho arc liv ing in the denial to consider community get all their help from family and friends. In addition, many who bought the earl ier policies are such policies, still pay ing premiums on them, even though they may Sofaer contends. be of little va lue. Moreove r , Sofaer continu es , ·'you have to be well to be eligible for a poliLong-Term Care cy. A nd you have to be able to pay subInsurance Policies Sold: stantial premiums, especially i f you sign up when you're over 65, because the pre100,000 mium s are age-related." before 198) Sofae1"s research illu strates the ad8 15 ,000 vantage of purchasing coverage early on, as of December 1987 assuming that it includes in flation protection. For instance, a policy that costs I .I million $ 13 per month if bought at the age of 40 as of December 1988 i s $ 139 per month if purc hased at 65. 1.5 million By the age of 75, the 40-year-old would as of December 1989 have spent $5,460 on premiums and the 1.65 million 65-year-old wou ld have spent $ 16,680. as of.lune 1990 " It 's a good idea that peopl e sta rt thinking about this in their 40s or 50s," SOURCE: HEALTH INSURANCE ASSOCIATION OF AMERICA. Sofaer suggests. ''Most people, though, don' t start thinking about it until they're in their 60s or their 70s. By that time, the insurance is too expensive." Current long-term care pol icies are still best al covering cases that immediately follow acute care and that end wi th the recovery of the patient, Sofaer notes.

To order a copy of The Ca li fornia Consumers' Guide to L ong-Term Care Insurance, send $10 with your name and address to: Cons umer Guide/California Policy Seminar, 404 Great Western Bu ilding, University of California, Berkeley, CA 94720. Checks should be made payable to The Regents of the University ofCal1fo mia. •

UCLA PUBLIC HEALT H

from Congress to the Classroom Wherever her busy itinerary takes her, studenV researcher/ attorney Sana Loue leaves her mark

BY DAN GO RD ON

UCLA PUBLIC llEAL1·11

wice a week. Sana Loue·s alarm awakens her at 3 a.m. She 's on the freeway by 4. making the commute from her home in San Diego 10 the UCLA School of Public Health. where shc"s a secondyear doctoral student in epidem i o logy. She arriv es sometime between 6:30 a.m. and 7:30 a.m .. depending on the traffi c. She spends the remaind er of th e day studying, attending c lasses. sipping decaffeinated coffee. and participating in studi es at th e Southern Ca lifornia Injury Preve nti on Researc h Center. She leaves by 8 p.m. and is home by I I p.m .. 19 hours after she left in the morning. Three day s a week. she work s at the Legal Aid Society of San Diego. where she handles a full- time caseload. dealing mostly wi th immigrati on cases involving H IV -positive persons. She' s also the managing attorney of the 40-person agency. w hich prov ides free legal serv ices to indigent clients. Her hours are 6 a.m. 10 6 p.m. during normal weeks: during es pec iall y busy weeks. she' ll put in as many as 60 hou rs. As a nati onally recognized expert on immigration law with a particular interest in the law as it pertains lo H IV. she speaks at conferences. writes scholarly artic les and anal yzes legislation for the American Immigration Lawyers Association. Her shining moment came last year. when Congress passed and President Bush signed the Immigration Reform Act of 1990. wh ich included a key health portion drafted almost verbatim from a paper

she wrote. She also makes time for sleep-four or five hours of it each night. And vacations? Her idea of a vacati on is a journey into the wi lds of Peru. Nepal and similarly needy areas. w here she has voluntee red her time on health-related projec ts involving innoculation s. blood test ing and other medical assistance. Sana Loue·s expl anation for her tireless li fe-style is simple and mailer-of-fact: " There 's too much to do." Those w ho know her are quicker 10 give her credit. "She is one of the most organ ized . dedicated and focused indi viduals I have ever met-in the law or out side of it:· asserts Gregory Knoll. execu tive director and chief counsel for the Legal A id Society of San Diego. "She's one of the few people I've known who can do so many things at once. have so many balls in the ai r. wi thout any of them fall ing." ouc. 37. grew up in Connect icut and received her undergrad uat c deg r ee i n soc i al wo rk from the Uni versi ty of West Florida in 1975. She was a soc ial worker in Florida while working toward her master" s in ed ucation. She combin ed ful l-time soc ial work w ith part- ti me teac hi ng for a whi l e. then opted for l aw school. She gradu ated from the University of San Diego School of Law in 1980. moved back East 10 work at first one and then anot her pri vate f irm. then eventuall y returned 10 San Diego. where she was hired by the Legal A id Society in 1984. Loue·s interest in immigration was a natural: Her father 's family came here from the Sov iet Union. her mother is from Poland. and she is happil y married to a man who is from India. She has trave led extensively. studied ot her cu ltures. and learned to speak severa l languages. But. whi le her interests haven· 1 changed. Loue dec ided several years ago to combine her law expert ise wi th a background in public health-spec ifically epidemiology. Pan of the reason she wou ld like 10 branch into an other area. she concedes. i s the una voidable burnout that comes after years or working w i th clients facing not just immigration troubles but serious health

and financial woes and. in many cases, a history of torture. 'T ve found cases involving torture to be the most difficult."' she says. "because I go home at the end of the day wondering. 'Why docs one human being decide that it' s leg itimate to do th is to another human being?" I have never resolved that questi on for mysel f." Over an ex tended period or time. Loue believes, the emotional toll becomes great. She worried that constant work with individu al client s in an emotionall y draining area or law wou ld lead to a " tunnel vision" that she wanted to avoid. " f felt I needed to diversi fy. I cou ldn't see myself doing that for another 30 years... she explains. "But I knew that whatever I chose to do had to be related to something that for me was a basic value. Health and access to health care. I think . arc reall y basic ... Seeing all of the povert y and d iseases in her travel s through South America. Africa and A sia. she says. " has forced me to think about what" s important. where my priorities arc and where I want to put my energies. You only have so much time in this world: what do you want to do with it?" She went to San Diego State U ni vers ity for her M .P. H .. w ith her master's thesis looking at marijuana, alcohol and cocai ne as r isk factors for HIV seropos iti vi ty in a cohort or gay men. A nd when i t was ti me to think about Ph.D. programs. she says. her deci sion was si mple. "UCLA offers such a breadth of experience. such a

phenomenal choice of courses and the opportunity to study under such fantastic people that to me the quest ion was. 'W hy wo11ld11'1 I go there?'" she says, adding that. long com mute and all, she hasn't regretted her decision. lrcady. she says, her background in epidemiology has been helpfu l as she prepares cases for her im Sana Loue m igration client s, all of whom have medical-related problems and the majority of whom arc HI V- infected. Loue hasn't dec ided where she would like to go once she's compl eted her studies here. She hopes to find a positi on that invol ves input into publi c heal th-related policy developmen t. whether at the state or federa l level. but hasn' t narrowed the field beyond that. One thi ng you can count on: She wi ll continue to do as much as she can. for as long as she can. " f have a vision of a society where the systems don ' t incorporate un fai rness and inequity and injustice," she explains. " I thi nk everyone has it to some degree. and you either v isuali ze it or you act on it." Sana Louc acts. even if it ca uses her to lose some sleep. â&#x20AC;˘

Sana Loue'sheclic schedule includes a substantial amount of driving time. She commutes twice aweek from her San Diego home to the UCLA School of Public Health,where she is aPh.D. student in epidemiology.

UCL/\ PUBLIC llEALTH

l;IJ1fj;ljll~l•llJW Adult Health Support Services

Rheumatoid Arthritisand Depression Dr. Emil Berkanovic. profe sso r of community health sciences. has rece i ved funding fro m t he Nationa l Institutes of' Heal th to st udy the in terre l at io nshi ps amo ng rheuma to i d ar t hr i t is, co-morb idities. illness episodes, physician v isits and depressi ve sy mptoms. Berkanovic i s al so conducting a comparative study. ··well- Being Among Chi nese Aged.'' through funding provided by t he Pacifi c Rim Studies Ce nter . which examines the health: hea l t h statu s: healt h be l iefs and behaviors: mental well-being: use of services: and soc ial support s among older Ch inese in Beijing. Hong K ong and Lo s Ang e l es. Contac t number: (213) 825-6063.

Effects of Gout Dr. Dona ld E. Morisky. assoc i ate professor of co mmunity healt h sc ien ces. i s ex ami ni ng t he co nce rn s. needs and health services of pati ent s sufferi ng from gout. Educational inte r venti ons will be devel oped and tested during the second year of the study. Contact number: (2 13) 825-8508.

UCLA PUBLIC HEALTH

Dr. Shane Que Hee

Environmental Health Hazards Dr. Shane Que Hee , a ss ociat e profe ss or of environmen tal health sciences, is studying the de ve l opmen t of fla t b uttonshaped materials that turn colors on exposure to aromatic hyd rocarbons by direc t reading of passive sa mplers of hazardous vapors. He is al so exam inin g ozono l ysis by-prod uc ts and Micro tox toxic it y of d ri nk ing wa ter at th e L os A nge les A queduc t and the Metropo litan W ater D istrict of Sou th er n Cal i fo rn ia. Contac t numbe r : (213) 825-7 104.

AIDS-Related Educational Needs Dr. Charles Lewis, professor of health services, received a $1,030.000 grant from the ational Institute of Menta l H ea l th to assess, des i gn and im plement A IDSrelated educational programs to meet the needs of health service prov iders over a two-year period. H e also received fund ing from th e H ea lth Reso urces an d Services Adm inistration to assess th e A IDS- re l ated educa ti ona l needs of primary-care providers serving minority popu lations in Los Angel es by providing and evaluating ed ucat ional programs. Contact number: (213) 825-6709.

Dr. Ste ven P. Wal lace , assistan t professor of community health sc iences. received funding from the UCL A Academic Senate to examine factors contributing to th e lowe r use of formal health se r v i ces by el der l y L at i nos. W allace i s also co-pr in c i pa l investigator in a study funded by the Un i vers i ty o f M i ssouri to assess the organizational structure of al l adult day -ca re facilities and se rvices available for the disabled el derl y in the state. Contact number: (213) 825-5379.

Dr. Stuart 0. Schweitzer

Health Care Decision-Making in the Elderly Dr. Stuart 0. Schweitzer. profe ssor of health services, and Dr. Sh oshanna Solae r, assistant professor of health services, arc studying how the elderly make important health-care decisions. Contact number: (2 13) 825-2595.

Health Intervention Dr. Robert Valdez, assistant professor of hea lth serv ices, is eval uating ed uca t ion and i n ter ve n tion effort s fu nded under AB 76, Califo rn ia' s anti-smok i ng campaign aimed at Asian, Latino and African -America n populations in L os Angeles. Contact number: (2 13) 825-5773.

Dr. Derrick B.Jellitte

Nutrition Education Dr. Derrick 8. Jelliffe. professo r o f communi ty health sciences. and E. F. Patrice Jelliffe. lecturer in community hea lth sc iences. are conducting a world review of literature and a global interdi sc i plinary questionnaire on the use and effectiveness of colostrum in the prevention of morbidity and morta l ity from various c linica l di sorders of infancy . They are also conduct ing a global st udy in al l Worl d H eal th Organi zati on areas on the present statu s of nur sing tra ining. u s in g a questionnaire method. Contact numbers: (2 13) 825-4053 and (2 13) 206-1898.

ArsenicExposure Dr. Jane Vale nti ne . a ss ociate pro fessor of environmental heal th sc iences. received funding from the En v i ronmental Protection Agency to assess the health status and t ap-wa ter co n s u mption pattern s of pe rsons ex posed to arsen i c in northern Me xico t h rough a quest ionnaire response. Contact number: (2 13) 825-8751.

FOCUS: DEPARTMENT OF EPIDEMIOLOGY

Following is an updme on the current projecrs of six members of rhe UCLA School of Public Healrh epidemiology faculty:

Reducing Births in Kenya Dr. Ralph R. Frerichs, departm e nt chair, is working with the Kenya Population Co un c il , us ing the tools of epidemiology to stimulate research on ways Lo reduce unwanted births by chiing ing the compo ne nt s of the co untry's hea lth -ca re s yste m. Frerichs' group developed a microcomputer sp reads heet mode l identifyin g areas where it could intervene , then developed strategies on how to do so. His research found that i f 80 perc e nt of the wo m e n coming to a health clinic received just one fa mily-planning discussion, it could red uce the li fetime fertility rate fr o m th e cu r re nt average o f 6.7 births per woman to 6.2. Freric hs plans to return late r this year to see how s uccessful the research has been.

Workplace Exposure to Cancer-Causers Dr. Sander Greenland recent Iy completed a case-control study of canc e r m o rta l it y at th e Genera l Electri c trans formerassembl y p la nt in Pitt s field , Ma ss. Morta lity at 17 c ancer s it es wa s e xa min e d for it s a ssoc iation w ith seve n m ajor expos ures in plant operati o ns: Py rano l (a co mpound of po lyc h lor in ated b iph e n y l s a nd trichlorobenzene), trichloroethyle ne, be nzene, o the r so lvent s, a s be s tos, res in s ys te m s, a nd m ac hinin g fluid s . T he mo s t promi ne nt find ing was of a n association between resin systems and lung cancer.

Risk Factors for Polyps Dr. Robert Haile recently rece ived fund ing for a s igmoidoscopy ba sed case-co n trol s tud y of polyps. The $942,000, four-year s t ud y is be in g c onduct ed in co ll aborat ion wi th Kai se r Permanente Hospitals. His study w il l attempt to id e ntify ri s k factors for the initial occurrence of a polyp. Hail e's contin uing projec ts inc lude two nat io nal tria ls of patients w ith poly ps, including a five-center study on the e ffects o f calcium ; and one that randomly assigns patients to var io us nutr ie nt s that mi g ht prevent the recurrence of polyps. He is also director of a multicenter geneti c e pid e mio logy s tud y of bilateral breast cancer in premenopa usa l wom e n in the U nit e d States, C anada and China, and is he lping to launch a s imilar s tud y in He idelberg, Germany.

offer s wo r k s hop s o n t h e d iagnos is o f parasitic diseases; recently, he has traveled to New Orleans and abroad to Indonesia and Colombia to discuss AIDSrelated parasites.

Dr. Roger Detels !:;

AIDS Training Dr. Roger Detels continues to head

the UCLA Fogarty International Tra ining Program for AIDSre lated epide mi o logy. UCLA , whi c h is o ne of t he cen ter s involved in the p rogram , trains resea rc h e r s i n d eve loping c ountri es th at have s udde n ly been confronted with the threat of an ALDS epidemic. The program at UCLA has been expanded to inc lude Indonesia and Hung ary a long w ith th e o ri g ina l fo u r ...l co untries, Brazi l, Singapore, ...l '"z T ha iland and the Phi l ippines. 0 Dete ls ha s a lso app l ied for a ~ renewal of the Multicenter AIDS "''" Cohort S tudy (MACS). Dete ls IDr. Lawrence R. Ash began studies of AIDS in homosex ua l men at UCLA in 1982. Parasites Atlas The MA CS now inc ludes four Dr. Lawrence R. Ash's color atlas of othe r centers and 5 ,000 ho mosex ua l me n. Researc hers interparasites th a t occur in human t iss ues is ex pected to be com - v ie w the vo l unteer s ubjec t s pl e te d toward th e e nd of t h is a t s ix - month in t e r va l s a nd year. The atlas will be publi shed by American Society of Cli nical Path o log is t s Press . He a l s o

d ocument s uch information as risk factors for becoming infected , characteri stic s of the viru s th a t cause the d i sease, th e response of the immune system to the AIDS v irus, the invol vement of the nervous system, and the relations hip of coping skills to disease progression.

ffi ....

Dr. Barbara R. Visscher

AIDS Dementia Dr. Barbara R. Visscher is the principal investigator in an ongoing study o n AIDS dementia. The A IDS virus invades the brain early, she s ays, but t he re's bee n s om e question as to whether the actual d e me nt ia occ u rs before ot her symptom s of AIDS or AIDS related complex. He r group is testing in fected and uninfected m e n eve r y s i x m on th s for cogn iti ve func t ion , a nd ha s fo u nd the propo rtion who are abnormal to be the same in the H IV-infected men with no AJDS symptoms as in the uninfected men. â&#x20AC;˘

UCL A PUBLIC HEALT H

Dr. Albert Chang, associate professor o f communi ty hea lth sc i ences, was elected chair of the Maternal and Child Health Section of the American Public Health Association.

Dr. Isabelle Hunt , professo r of com munit y hea lth sc i ences, published " Bone Mineral Content in Post menopa usa l W omen, Calcium Intake Early in Life and Estrogen Therapy" in Nut rition

Dr. Jonathan Fielding , professor of health services. was reappointed to a five-year term as associate editor of the Annual R eview of Public H ealth. H e publi shed "Effect of a Comprehensive Health Promotion Program on Employee Attitudes·· in the J oumal of Ocrnpational Medicine. Fielding al so presented " I nves tm en t i n Health Promotion" at the World Health Organization conference in Bonn, Gennany.

Research.

Dr. Ralph R. Frerichs, professor and chair of epidemiology. published ··Epidemiol ogic Su rve illance i n Deve lopin g Coun tries" in th e

Annual Re1•iew of Public Health. Dr. John Froines, associate professor of environmental health sciences and direc tor of th e UCL A Occupational Health Center. was appointed to the Scientific Review Panel on T oxic Air Contaminants o f the Ca lifornia State Air R eso urces B oa rd . H e a l so co-authored " Mut agenic it y o f U ntreated and O zonated Water from the Pico-Kenter Stom1 Drain and Pilot Plant" in a report to the city of Santa M on ica. Dr. Shane Que Hee, associate professor of environmental health sciences. has published ;,Mutagcnesis Essays on U rines Produced by Pati ent s Administered Ad riam yc in and Cyclophosphamide.'' £111'iro11111e111al Molecular Mutagensis. and " Biological Monitoring Screening of Patients Provided Antineoplastic Drugs, Inc luding Adr i am yc in, Cyclophosphamide, 5-Fluorourncil, M ethotrexate and Vincristine" in

Cancer Research.

Dr. Dean T. Jamison, professo r o f comm unity health sciences, was selected to give the Health C lark Lecture at the London School of H ygiene and Tropica l Medicine. H is lec ture w as en titl ed, " The Changing Economics of Disease Control in Developing Countries." Jamison also publi shed ';Disease Contro l Pri orit ies i n Developing Countries: Health Policy Responses to Epidemi ologica l Change" in the American Joumal of Public

Health. Dr. Derri ck Jelliffe, professo r of community health sciences, and E.F. Patrice Jelliffe, lecturer and associ ate researc her in com munit y hea lth sc iences, rece i ved th e United Nations Award presented b y th e UN I CEF Cente r in Florence, Italy. as we ll as the IBFA I nt ern ati o nal Award given by the International Breast Feedi ng Act ion N etwork in M an i l a. They al so co-authored "Anth ropo logica l M ed icalists" for Med ic al Anthropology and a chapter entitled " Re ce nt Deve lopmc111s in Breastfeeding" in Interna t io nal H ealth ; and ed ited and co-w rote seve ra l c hap ter s in th e book C hild Health in the Tropics . now in its sixth edition. Dr. Charles Lewis, professor of health serv ices, publi shed "Satisfacti on with the Prac ti ce of Interna l M edic ine: A Nat ional Survey" and " The Counseling Practices of Interni st s" in the Annals of Internal Medicine, and 'The HIV Testing Policies of U.S. Hospitals" in the Joumal of the American

Medical Association.

UC LA PUBLIC llE/\LTll

Minority access to health care has been the subject of several recent publications and presentations by members of the UCLA School of Public Health faculty.

Dr. Donald E. Morisky, associate professor of community hea lth sciences, pub li shed " A Patient Educati on Program to Improve Adherence Rates with A ntituberculosis Drug Reg imens" in Health Education Quarterly 1990. Dr. Susan C.M. Scrimshaw, professor of community health sc iences and associate dean for academ ic programs, pre sented '' M ethod d' Evaluation Rapide, N utri tion et Soins de Sante Primai res" at the UC L A Latin American Center. U nit ed Nation s U ni ve r s it y and UN I CEF, and pr ese nt ed " Rapid A ssessment Procedures" workshops in K enya, Ca i ro and Washington, D.C. Dr. Robert Valdez, assistant professor of hea lth services, p ubl i shed " Se lected M easu res of H ea l th Stat us for M ex ica n-Ame rican, M ain l and Pu erto R ica n and Cuban-American C hildren" and " Health Insurance Coverage and Utilization of Health Serv ices by M ex ican- America ns, M ain l and Puerto Ri cans and C uban Amcricans" in the Joumal of the

American Medical Associatio11; "The Effects of Prepa id Group Pract i ce o n M ental H ea l th Ou tcome" i n Health Services Research, and "A Compari son Study of H omeless and Housed Poor Fami lies in L os Angeles" in the American J ourna l of

Public Health. Dr. Barbara Visscher, pr ofessor o f epidemiology, received recognition for ser v ice on the Inst i tu tional Review Board of the Los Angeles Regional Fami ly Planning Council. Dr. Steven 0. Wal lace , assis t ant professor of comm unity health sc i ences, pu b li shed " The Pol i tical Eco nomy o f H ea l t h Ca r e for Elderly Bl acks" in the

lntemational Joumal of Health Sen·ices. and ·' R ace Versus Class i n the H ealt h Care o f African-American Elde r ly" i n Social Problems. H e al so co-authored " A Lamb in Wolf's Clothing?" in Critical Perspectil•es

in Agi11g.

Faculty Newcomers Embarkon UCLA Careers he 1990-9 1 UCLA School o f Public Health fac ulty inc ludes four new members, w ith two additio ns. to the b ios tatisti cs de partme nt. o ne to comm unit y h ea lth sc ie n ces and o ne to e n v ironm e nt a l hea lth sciences:

T T

he uniqueness .o f the school's Environ.mental Science and En g ineering prog ram wa s all 1t took to lure Dr. Irwin " Mel" S uffet , a world -re nowned env iron mental chemist, away from Drexel University, where he had taught fo r the last 20 years. ..T his is like a second s tart for me." says an e lated Suffet. "Afte r two decades on a traditiona l uni versity fac ulty at one instillltion. I'm now working in a positio n with po licy implicatio ns." S uffct had a di sting ui shed career at Phi lade lphia 's Drexel Uni vers ity in water-quality and water-treatment research. He pioneered the application of sophisticated analytical chemistry techniques to the identification and mit igation of hazardo us and odorous chemicals in aqueous systems: deve loped treatment techno logies such as the use o f g ranulated activated carbon: and pu blished more than 180 papers and several books. The most prcst ig io u s among hi s man y hon o rs wa s th e A me ri can C he mi c al So c ie ty's F. J. Z imm e rman Award in Env ironmental Science. Suffet was born and raised in ew Yo rk C ity, picking up hi s nick name at an earl y age ('" I rea ll y don ' t know how ·Mel' came about. but 'Irw in' wasn ' t going to be a surv ivor in the school-yard sports scene o f New York ..). He received his Ph.D. from Rutgers University. then began his career at Drexel. He calls his move to Southern Cali fornia ·'a cullllral evo luti o n. not a revolutio n," adding ironica lly, .. I've a lways had a fascination w ith rollerskating, but it was frowned on in the East.'' He also enjoys part ic ipat ory sports such as racquetba ll . basketball and bicycling. as well as following univers ity and professional sports.

fter a three-year stint on the faculty at the Univers ity o f Missouri-St. Lo ui s, where he taught gerontology an d publi c po licy , Dr. S leven P. Wallace joins th e Department o f Community Health Sc iences. His current researc h foc us is on Jong-tenn care o f the mi nority elderly ... Most studies have looked at the needs a nd pa tt e rn s of the w hit e Ang lo -Saxo n e ld e rl y ... W a ll ace ex pl a ins. "a nd th e re is e n o ug h d a t a to suggest that s ubsta nt ial diffe re nces ex is t in m inorit y comm unit ies.'' Wallace is currently interpreting data from a study in which he's attempting to determine why older AfricanAmericans use nurs ing homes 2-3 times less than e lderly w hi tes. H e's a lso wo rking w ith Dr. M e red ith M inkle r. a pro fesso r a t the UC Berke ley Sc hool of Public Hea lth . o n research involv ing elderly indiv idua ls who provide care to their g randch ildren. In partic ular,

Wallace notes, anecdotal infor mation ind icates that an increasing number o f grandparents arc becoming careg ivers to c hil d re n whose pa rent s are d rug-ad dic ted , espec ia lly in certain African-American commun ities. A fter receiving a B. A. in socio logy from UC Santa C ruz, where he was a pre-med student, Wa llace decided he was more interested in the commu nity and social aspects o f med ic ine than in c linica l practice. He went on to earn a Ph.D. in sociology from UC San Francisco before joining the Uni vers ity of M issouri-St. Louis faculty. He and hi s w ife Trudy enjoy the o utdoors, W all ace says-a nd n o t j us t o n wee k e n ds. Eac h m orn in g, Wa llace bicycles two-year-old Brian Son ia-Wallace to a day-care fac ility a m ile from the ir home. then pedals the remaining two miles to campus. idwestcrner Dr. Robert E . W eiss ( Depa rtme nt o f Biostatistics) got a taste of Southern Californ ia wh ile in g raduate school at the Un ivers ity o f Mi nnesota. He s pent the summers of 1985 and '86 worki ng at Santa Mo ni ca's R AN D Co rpo ra t ion . ·· 1 got used to the Westside," he explains ... It was easy to come back." Weiss returned in 1989. having just earned a Ph.D. from the Univers ity o f Minnesota's School of Statistics. He did a year o f postd octoral work in bio mathematics at 1he UC LA Schoo l o f Medicine, then moved fi ve floors up to the School o f Public Hea lth 's biostat istics department, w here he assumed his first fac ulty pos iti on. His three ma in areas of professio nal interest are Bayes ian data analys is, graphics. and diagnostics. Furtheri ng his s tud ies required at least one sacrifice: W eiss. w ho was o nce M in nesota's state high school co-champio n in chess, says he ·s had little time for his fonner ho bby since he started g raduate school.

Dr. Irwin"Mel" Suite!

hi s is the first fac ult y posi tio n for Dr. Weng Kee Wong ( Dcpartmenl o f Biostat ist ics), whose j ou rney from his nati ve Singapore to UCLA incl uded sto ps in Canad a and the Midwest. Wo ng com pl e ted h is undergraduate stud ies at the ational Uni versity of S ingapo re, then vent ured West. Follow ing a b rief stay in Mani1oba (" I was surpri sed by how s lo w th e pace o f life was after growi ng u p in Singapore, wh ic h is quite W este rni zed ,'' he recal ls) . Wong moved to Wi sconsin, where he earned a maste r's degree in mathematics. He com pleted hi s Ph.D. work in statistics at the Uni vers ity o f Minnesota last June. A mo nth later he landed in Westwood. where he is des ig ning s ta tis t ical exp eri ments and work ing on a researc h projec t at UCLA ·s Jonsson Comprehen sive Cancer Center. among other collaborati ons. Wong lives in faculty housing and likes to swim in hi s s pare time ...Thi s is an excellent school," he says of his ne w employer. ·' You have a good working env ironment in terms o f researc h. and you 're around lo ts of very good people . It's a great place to start a career: · •

Dr.Steven P. Wallace

Dr. Robert E.Weiss

Dr. Weng Kee Wong

UCLA PUBLIC HEALTH

PRO F I LES

Sam Elrod am Elrod, M.P.H. "79, isn' t a fil m critic. a member of the Motion Picture Academy, or even a movie buff. But Elrod"s real-li fe role as a lead ing advocate for the pl ight of Native Am ericans makes hi s opinion on Dances with Wolves. Kev in Costner's highly praised indictment of early Ameri ca's treatment of the Indi ans, worth noting. Not surprisingly, Elrod votes thumbs-up. "'It 's an excellent fil m," he says. "The Indian population is so small now that the publ ic has a distorted perception of who they are. This fi lm raises the consciousness of people who see it." Elrod hopes public ity surrounding Wolves will lead to a greater awareness of Indians' health needs. which are considerable. It's a concern Elrod-an Osage Indian from Oklahoma-has been addressing for nearly a quarter-century. For the better part of the past two decades, he has worked at the Ind ian Healt h Service, a branch of the U.S. Public Heal th Service. In Elrod' s current capacity as director of the Div ision of Adm inistrati ve Services, his purv iew includes providing hospi tal equ ipment and drug services for the 49 hospitals and 127 centers and stations currently serv ing the American Indian population in 33 reservations across the country. Elrod also chairs the American Public Health Association 's American Ind ian and Alaskan Nat ive Caucus, a role that affords him a s ignificant forum for mak ing presentat ions on Nat ive Americans' spec ial healt h needs. The biggest problem facing the American Indian popu lati on. he says. is the same one affecting the at-large popu lation: the scarcity of health-care dollars. The difference. he contends, is that ··American Indians and Alaskan atives fee l they have a trust relationship with the U.S. government to provide services based on

Barbara Berney, M.P.H. ·n. is in the Ph. D. program in health po licy at Boston University. Brian Lasky, M.P.H. ·n, teaches biology and health at Palms Junior Hig h Mag net Sc hoo l in Lo s Ange les. Constance D. Blair, M.P.H. ·n. is a cert ified famil y nurse practitioner at Arroyo Vista Health Center in Los Angeles. and is enro lled in th e Ph .D. nursi ng s umm er progra m at th e Unive rsi ty of Colorado. She recently completed an eight -year stint as an associate professor of nursing for the Universi ty of Alaska.

UCL A PUBLI C ll EAl.,Tl l

Kayla M. Starr (former ly C hag i) . M.P.H. ' 74. operates a therapeutic massage business and teaches in the m assage pro g ram at Rogue Co mm unity Co ll ege in Cave Junction, OR . She chaired the San Diego County Me nta l Hea lth Ad viso ry Boa rd fro m 1977 to 1979 and started a shelter for battered women in Santa Cruz. Calif. , in 1978. Jean Lacour, M.S .. M.P.H.. Dr. P.H. ·74, is an assoc iate professor of psyc ho logy at Cal ifornia State Uni versity. Los Ange le ·, where she is fac ulty coordinator for the campuswide peer mentoring program . which is directed toward the rete nti o n of minorit y stu dents. She is also pres ide nt of

treaties signed many years ago. And they fe e l thi s bas ic responsibility is not being met." A lc o holis m , s u bs ta nce a buse a nd acc ide nts a re as wid es p re ad as eve r in the India n comm unities, he says, and "diseases o f the heart" are the lead ing ca use o f death in American Ind ians and Alaskan Nati ves. In the late ' 70s, El rod temporarily left the Indian Hea lth Service to attend the UC LA School of Public Health, where he earned a master's in health SamElrod education. That experience. he recalls, was "more than I thought it could ever be. I was able to share things wi th people from a whole variety of walks of life. and vice versa. It was wonderfu l. ''

Elena Hurtado mong the fond est memories Elena Hurtado, M.P. H. ' 78, holds from her years at the UCLA School of Pu blic Hea lth are the people. " It was a very good experience. You had people from all parts of the world. many of whom had worked in developing countries,"' she recalls. Hurtado grew up in Guatemala and attended Tulane University

Cal ifornia Advocates for Reentry Education (CA RE). Michael J. Perlin, Ed. D.. M. S., M.P.H. '75. is professor of public health at Southern Connecticut State Uni vers ity and coord inator of the sc hool's grad ua te publi c heal th prog ram s. He is also in pri vate practice as a psychotherapist and is board-certified in sexology. He would love to hear from former classmates. Bonnie Faherty, M.P.H. '76. received a Ph.D. in public administration from USC las t Augus t and is now a lect ure r at the UC LA School of ursing and coordinator of the Chron ic Care Program for Clinical Nurse Spec iali sts.

Stephen lnkeles, M.D .. B.S.P.H. '75. M.P. H. '78. is an assistant clinical pro fesso r of med icine a t UC LA, teac hing med ica l students and internal medici ne residents about d ieta ry a nd drug the rapy of hyperli pidemia and coro nary hea rt di sease . He is also director of clin ical nutrition al the Priti kin Longevity Center in Santa Mon ica. and is a fu ll t ime staff phys ic ian with the Ocea n View Medical Group. whic h is a ffil iated wit h the Pritikin Longevity Center. Doug Hirano, M.P. H. ' 82. is the chief of the Office of HIV/AIDS Services for the Arizona Departm en l of Heal t h S e rv ices in Phoenix.

Happenings for he r unde rgraduate education , then came to the UCLA School of Public Health, whe re she was in the fami ly/internationa l health divis ion. She listened to the experie nces of her classmates and teache rs, the n returned to her native country and put the lessons to practical use. She worked for Guatemala 's Ministry o f Public Hea lth , for Ag ro Salud , a nongovernmental agency that provides health services to Guate malan farm workers, and then for Aprofam, a fam ily planning organization. Since 1984, she has bee n an invest igator for the Institute of Nutrition of Ce ntral America and Panama (INCAP), an inte rnational organi zation devoted to feeding the people of the region. INCA P provides researc h a nd tec hnical ass istance, prepares human resources, and d isseminates in fornrntion to member countries. Hurtado coordinates INCAP's m edical and nutritional anthropological activities. She's a fie ld worker. trave ling to areas outs ide of the organization's G uatemala City headquarters. '" I like to have direct contact with the people," she says. " My pos ition allows me to be the br idge be tween the people and researchers. It 's very re wardi ng." It can also be fru strating , s he concedes. As a nongovernmental organization , INCA P can on ly recommend po licies; it has no power to implement them. Moreover. the rampant poverty in the reg io n prevents many from being able to afford a good diet even after the y ' re educated as to what one is. ..The rig ht combination of com and beans would be a healthy die t, but com and beans are expens ive, and that 's bei ng re nected in the nutri tional status of the people," Hurtado explains . " Beca use o f the economic c ris is . the main d iet of the people is c hanging."

Michael M. Kiley, Ph.D ., M.P.H . '84, is projec t d irector of the Medical Technologies Assessment Division o f the In te rac tive Re imburse me nt Information Service fo r the c he mothe rapy drug Interferon A. Mary Klein, R .N., M.S.P.H. ' 84 , is assistant to the associate direc tor of health services at the William F. R y an Com munit y Hea lth Cente r in New York City . David Gittelman, M.P. H. '86 , works for t he Ce nt ers for Di se ase Control 's Inte rnational Hea lth Program Office, serving as technical officer fo r the Combating C hildhood Communicable Diseases Project in Lesotho, a country in so uthern Afric a. Th e proj ec t

h e l ps L esot h o 's Mini s t ry of Health to s treng then its c hild hood immuni zation, d iarrhea di sease control , and ac ute resp iratory in fec tions control effort s. Pamela D. Anderson, M.P. H. ' 89, is a h ea lt h educator wit h th e L os Ange les County Department of Hea lth Ser vices. S he was married last November. Kathryn Cavanaugh, M.P.H . ' 89, is wi th Stanfo r d Uni v er s it y ' s R ese a rc h and Policy D e partmen t, where she is the projec t d irector of a five-year clinical trial tha t look s at ec onomic s a nd q ua lit y-of- life issues for coronary-bypass and ang ioplasty patients.

pre-addressed e nvelope is in c lud ed in thi s iss ue of UCLA P11/Jlic H ealrh fo r those w is hing to contribute to th e Dea n 's Cou n c i l Annual Fund. The Dean 's Counc i lwhi c h s t a rt ed in 1977 wi th a co mmitt ee of 28 and now inc ludes m ore than 380 individu als, foundations and corporations (see bac k page)-provides n exibl e fund s for major academic support. sc holars hips. facu lt y and student resea rc h, re novation an d acquis ition of equipment , a nd othe r a reas o f need wi th in the sc hool. For more information , contac t Larry Pi lche r at (2 13) 825-5 119. he UCLA School of Public Health Alumni Association, now unde r the leaders hip of Pres ident Joa n Sek ler (M.P. H. '87), has set the follow ing goals de s ig ne d to d eve lo p s trong e r link s b e twee n the sc hool and a lumni in the public hea lth community: • Ho lding evening seminars a nd symposia o n c urre nt issues in public hea lth ; • Placing alumni representat ives o n the sc hoo l' s stand ing comm ittees; and • Creati n g a job re so urce ne twork for stude nts and alumni. The assoc iatio n hopes the la tte r wi l l enable s t u d e n ts and alumni seeking jobs, inte rnships and field placem ents to network w ith alumn i in the public health comm unit y. UCLA Schoo l of Public Health alumni a rc be ing asked to compl e te a nd re turn a questionnai re (see page 2 0) so that data on alumni wi ll be readily available to anyone searching for contacts. " We a re the c urre nt a nd futu re leaders of publi c hea lth ,"' Sekle r says. "By ge tt ing more involved, we can e nrich the education o f o ur students, expand the role of the school in the commu-

nit y at la r ge, e nh a n ce th e school 's image, inc rease its visibilty a nd augme nt it s finan ci al resources." tudents , fac ulty and alumni who have made outstanding co n tr ibution s in publi c heal th w i II b e h o n o re d a t the UCLA School of Public Health Alumni A ssoc iation 19 91 M ee t ing and Annual Award s Dinn e r , to be h e ld in J un e. In format ion: Ca r o l Burro ws, (213) 825-51 19. ,,

he H e alth In s urance Cris i s" will be th e the me of this year 's annua l Hea lth Ac cess Forum , sched uled for late r this s pring. A panel w ill d iscuss suc h topics as health insu rance abuses, discrim inatory prac t ices . and c ur re nt legis lative proposal s for reform. Information : Ca rol Burro ws. (2 13) 825-5119. he Interna t io n a l Affairs Commi ttee is being org a nized to e nable alum ni and s tudents to ac ti vely participate in proj ects involving border health issues, the d iverse e thn ic com munities in Southern Cal ifornia. and othe rs . T he committee also pla ns to hold educational forums and network ing opport unities for tho se inte rested in inte rna tional healt h. Al umn i living abroad are e ncoura ged t o send pe rso n al n ews it e m s to the committee. Write : J u l ie M at s um o to c/o UCLA School of Publ ic Health Al umni A ssoc iati o n. Lo s Angeles, CA 90024-1 772 . ichael Pe rtschuk, a leadi ng tobacco-contro l ad vocate, was the featured s peaker a t the 17th Annual Les te r Breslow L ec t ure . As c h a i rm a n of t he Fede r a l T rade C ommi ss ion. Pe rtschuk h elped deve lo p the ban on c igare tte adverti sing o n tele vis ion. A dinner and reception were he ld in his honor. •

UCLA PUBLIC HEAL Tl-I

Alumni Job Resource Network Questionnaire Please take a moment to complete and mai l this form. Your answers wi ll be e ntered into a data bank and given to the appropriate department office to be used by students and alumni seek ing j ob and internships.

Nam e_ _ _ _ __ __ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Home Address_ __ _ _ _ __ _ _ _ _ _ _ _ _ _ _ __

Are you available to speak with student s and alumni about (check as many as apply) : D potenti al jobs? _J career adv ice? 0 internships? O field placements?

Te lephone( _ _ )_ _ _ _ __

Company _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ __ _ __ Title_ _ _ _ _ _ __ _ __ _ _ _ _ _ _ _ _ _ _ _ __ Bus iness Address _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ __ Te lephone( _ _ )_ _ _ _ __

Year of Graduation _ __ _ _

Degree(s) _ _ _ _ __ _ __

Dept./Div. (c ircle one):

00 1 Biostat 003 Nutr 005 Env Hea lth Sc i 007 Health Serv

002 Behav Sc i/ Health Ed 004 Pop/Fam Hea lth 006 Epi

The following is fo r use in the '"A lum ni UCLA Puh/ic Health magazine:

Otes" section of

What 's new? (Please g ive dates whe re appropriate. )

Are you available (check as many as apply): U by work telephone? D by home telephone? U by letter at you r work address? D by letter at your home address? Are you avai lable to (check as many as apply): U m eet with students and a lumni at your workplace? D talk to students and alumni on campus? Can you s ubmit the address of the A lumni Association to the human resources/personnel department at your place of work so that the school can receive job announcements, in format io n about internsh ips, traineeshi ps, etc .?

..J yes U no Would you be interested in g iv ing a lecture in your area of expertise to students, alumni. and fac ulty of the school? D yes D no If yes, please elaborate

Send to: Job Resource Network. UCLA School of Public Health Alumni Assoc iation. Center fo r Health Sciences, Los Ange les. CA 90024-1772 â&#x20AC;˘ 20

UCLA PUBLIC HEALTH

Contributions to the Dean 's Council have provided important unrestricted support for development of research projects, guest lecturers, professional meetings and conferences, and for other special programs for which no other funding is available. Dean 's Counci l members make an annual unrestricted gift within the following categories of membership: I DIVIDUAL: $2,500 Benefactor • $ 1,000 Patron • $600 Sponsor • $300 Sustaining • $100 Individual. CORPORATE: $ 10,000 Corporate Sponsor • $5,000 Corporate Associate • $2,500 Corporate Sustaining. While membership recognition in the Public Health Magazine is extended to those who provide contributions of $100 or more, unrestricted gifts below that amount are gratefull y received and used for the same purposes as Counc il fund s. All contributions are tax 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, Cali forn ia 90054. For furth er information, telephone (2 13) 825-5119. The fo llowing list of Dean's Council members represents those who contributed during the fi scal year July 1, 1989 through June 30, 1990. BEIEFACTOflS Mr. and Mrs. Samuel J. Tibbill) PATRONS Dr. nnd Mr"'. Abdchnoncm A. Afili Mr. and Mrs. Que S. Hun~n John"ion & John~ Company

Mrs. Lester B. Korn M). Muriel Li p,cy

Mr. Lester C. Ream"' SPOHSORS Dr. Dulcie M. Anderson Dr. and Mrs. Lcs1er Brc!i.low

Dr. Jonathun E. Fielding Dr. Arlene M. Jo)ncr

Dr. and Mrs. Frank P. Matricardi M~.

Wilma Poner NicholM>Cl

SIJSTAM«l IEIBERS Mr. and M". lrj R. Alpcn Mr. Carlos A. Alvarado Dr. and Mrs. Allan R. Barr Dr. Judilh Blal.c Mr. Denni~ M. B rook~ Ms. Jxqucl)'OR.

Bro~n

Cigna Founda11on Dr. and Mn.. Oou~las B. Cl.arkM>n

~~:: :f~~-iR'ch:'d\i. Corgcl

Or. and MN. John E. Coul~ Dr. Shan Cretin

Dr. and Mn.. Joel M. Ellen:t.'111-cig Li~ A. Ellion Mr. John H. Froehlich Dr. and Mrs. Raymond D. GoocJrnan Dr. and Mr~. Donald R. Hoo.,,cr Hughe' Aircmfl Company M~. Su,an Hull John,.on & Mil?gim Mr'\. Carolyn F. Km1.in Dr. and Mo.. S1crling King Dr. :md Mn.. Calman Kurtzman Dr. and Mrs. P. Anthony Lachcnbruch Mr. and Mrs. Leir.1cr J. Mantell ~fo.~ Jacqueline L. Ma "'°n Dr. Marie E. M1chnich Dr. and M". Charle' N. Mo'' Dr. Alfred K. Neumann Ms.

Dr. Elizabeth M. O<tcrl-amp Dr. GrJnl G. Sltucr Tandy Corpor:uion Mi;;. Ka1hlccn A. Torre, TRW founcfatlOO Mr. and Mr... Da.,,1d S. Verity Dr. G. DarT}t Woctand Mr. Sc\'an M. YarJan

HllVllUAl llEMMRS M1o;i;; Elltn AbaJO \h. l.Aurte A. Ad.ennan \1r. Jame' P. Agron1d.: ~h. Su..an Aha Mr. und MN. Al\ol1n Alexandre Dr. Lc"he M. Alexandre Dr. and M". Omar S. Alfi Mn.. Shcrin LaVerne AndeN>n Dr. and MN. Valdemar A'cencio Mr. Daniel J . A'kenai1.er Mr. and Mrl'. Donald W. Avant. Jr. Mr. and Mrs. Harry ti. Bale. Jr. Mr. D:wid S. Buylyff Mr. Anhur W. Deeken Mr. and Mn.. Roben L. Bcl,1ock Dr. Coo;luntino Benedet1i Dr. und M". Andrew G. Ocml:tn Dr. Richard J. Ben.iui,1 Mr. Michael K. Berry Mr. Roy P. Beiancoun M... Muna C. Bill' Mr. Bruce S. Binder Mr. and M". Cornelio Bino)a. Jr. ~h. Terri L. Blad."'ell Dr. S1e"'.an N. Blumenfeld Mr. Michael L. Bochnl.e M'. Kimberly J. Br.wlley Dr. Millon G. Brandolino Mr. and \ 1" Lc'ltc W. Bred.enrid!!c

Dr. L.aun:t C. Brochlc)-Clcgs

Dr. Kcnnc1h E. Broolman Dr. and ~1r... E. Richard Bro"'n ~h Grc1chcn A. Bro"' n ~i... 'ancy Burro""' B')an1 ~·h Mary E. Bu m' Mr. and M1'. Warren J. Bunerfield Dr. Laun 0. B)erley ~k and Mf'. Thom:i' Cahhan, Jr. Mr. Rohen L. Cane Dr. Donald Carli'lc Dr. C . Eli1:.ibc1h Cu,tro ~·1'. Jeni Cu1ch

Mrs. Caroline E. Caufield Dr. Suzanne M. Cecconi Dr. and Mrs. Alben Chang Ms. Huey-Ming Melody Chen Dr. and Mrs. Richard Yin Chew Ms. Pearl Gee Chin Dr. Sung Chil Choi Dr. Joon Moi Chow Mr. und Mrs. Frank J. Chu Or. and Mrs. Hung-Ben Chu Dr. Thomas A. Clop1on Dr. Jo Ann Cohn Ms. Jeanine M. Colbcn Mr. and Mrs. Lonnie T. Cole Ms. Marsha 0. Compagnoni Mr. and Mrs. Anihony M. Con1ro110 Ms. Vic1oria F. Corbel Mrs. Linda Couingham-Safir Mr. Joseph G. Coonney Mr. and Mrs. Charles L. Culp Or. and Mrs. Willi:un G. Cumberland Dr. Mary Alice Cummings Mr. and Mrs. Thomas G. Cunningham Ms. Peggy M. DaSihra Miss Jing Ling Dai M.s. LeAndre3 E.·Damcs Mi;;. Teresa K. D:ivid Dr. Bruce N. Davidson Ms. Marilyn Lee Day Dr. John Vance DcLccuw Mr. Jeffrey J. Dec1cr Ms. Laurie Scott Dodson ~·tr. and Mrs. Brian P. Dolan Dr. and Mrs. Thomas M. Dunaye Dr. Olive Jean Dunn M~. Penelope L. Edwardo; Ms. Ponia J. Edwards Dr. Seymour Ei!<ttman Dr. Nubil M. Elsayed Ms. Eileen M. Erik sen Mrs. Agnes K. Eubanh Mr. and Mrs. James R. Evans Dr. and Mrs. Garold L. Faber Dr. J:me1 Lebow Fahey Dr. Marilyn D. Farber Shier Julia Mary Farley Mr. and M ~. Donald Fas1 Dr. Jean Spencer Fellon Mo; . Judi1h L. Fisher Mr. H. Naylor Fi1z.hugh. Jr. Dr. and Mrs. Paul M. Fleil-11

Mr. and Mr.1. Jcffn:y E. Flodcn Dr. Douglas H. Freer Dr. and Mrs. Ralph R. Frerichs ~h. Carolyn Ann fuller Mr. Rohen W. Gillespie M ~. Op:ilinc Y. Gilliam Mr. Da\'td M. Ginelma.n Mn.. Jo Ann Giuler Dr. Mieh3CI S. Goldstein Dr. Jeffrey A. Gombcin Mr. and Mf'i. Kenneth 0 . Graham Dr. and M~. Daniel E. Green Mr. and M~. Richard Ame Gm:nc Mr. Daniel P. Groszkrugcr Ms. Phyllis L. Guinn Dr. :ind Mr-. Rohen A. Gunn Mr. and Mr'\. Ruben J. Guzman Mr. Joseph M. Hafoy M~. Cyn1hia Harding Mr. and Mrs. John R. Heinz. Mr. Robeno Hernandez. Mr'i. Rosalyn Dcigh Hewcno;on Mrs. Helen Todd Hcwiu Dr. and Mrs. Michael J. Hibbard Dr. und Mrs. Will iam C. Minds Mr. and Mn.. Hornce W.M. Hinhton M... Barbara K. Hollen Mr... L:.turcn Holoff Dr. and Mrs. Carl E. Hopkin'\ M.... Debor.th A. Howard Dr. und Mr-.. Chi Ku Hwang Mr'\. Muriel lfekwunigwe MN. Gayle M. ln11;cl Dr. Robcn A. Jacob' Mr. La"' rencc M. facol>!ton M~. Judy Lynne Jawcr Dr. and Mf'i. Derrick B. Jelliffe ~h. Ka1herine Jew Dr. and M1'. Ra)mond Jing Dr. Dan~I E. John'°° ~h. Li~a D. John\00 M,, Su..an R. John'iOO Mr. and M,.... Thoma.. M. John'°° Mi" Arlene Peng Jung Or. and Mn-. Stephen W. Kahanc Mr. and M,.... Jo:-.cf Kamienny M... Sandr.t G. Kane M... R~mary Kay Ka~ltler Mr. and MN . Jona1han Ka11 Mr. Da,•id W. Kay Mr. and Mr... Harvey D. Kem Dr. and Mrs. Eugene Kc,tcr ~h. Diana L. Kiel

Mr. Richard K. Kiel. Jr. Mr. Kenneth Kwangyu l Kim Mrs. Kwang Sook Kim Miss Nancy Jean Kingston Dr. Pamel11 L. Kotler Dr. :ind Mrs. Joel W. Kovner Dr. Richard L . Kozlcnko M.io. M11rie M. LnFarguc Dr. Jame.;: W. Leduc Dr. :md M rs. h aiah Chong-Pie Lee Dr. Jacqueline Davison Lee Dr. J iun-Kue Lee Mr. und Mrs. Jeffrey C. Lewis Mrs. Dixie Lee Leyhc Mr. Chit- Kam Li Dr. Vir~inia Cheng Li Mrs. Vinnie Chang-Jen Liu Mr. and M"-. Wayne F. Lohr Dr. and Mri. Irvin M. Lourie Ms. Laura R. Lo""ther M,. Cri-;1e1a La7..aga Lozon Dr. Jomes D. Lubnz M !i.. Terry A . Maglieuo Dr. and MN. Steven A. Maier Mr. and M". Pc1er E. Makowski M1'. Ruth A. Malkin Mr. and Mr.... Sidney G. Mar.tnlz Dr. Su\Un G. Ma"hall Dr. and M,..., frank J. Massey. Jr. Or. Thurma G. McCann M" . Judi1h A)·er McGinley M..,. Wendy Bia.vat McGrail M,... . Vera J. McGrudcr Mr. and Mn.. Lc'ilCr A. Mei~ Mr.. . Joyce K. Mei ..... ingcr~Amon Mr. Gary M. Meunier M,, Mary.. ia Mcylan Dr. Frank Meui Dr. Ru1h Mary Mickey Mf' . P:uriciu M. Mim' Mr. and Mrs. Jame.!. A. Modccki M11. Linda L. Moruga Dr. Hui Morgeni.tcrn M r. and Mr~. Mnrc D. Mo*'Cr Mr. David E. Mo'!> Dr. Eme..,1 Nanka' Dr. Li'a J. Na~h Mr. Harvey L. Negoro ~h. Jc:tn Ann Novoiny ~1'. Chmtina M . Nune1 Mr. S1ephen H . Nute

Dr. ond Mrs. EdwW'd J. O'l"cill Dr. Nduk"'e Nv.Or:I Odcluga ~h. Marvi" Jo)cc Oehm Mr. und M1'. Fr.mk J. Oelke Mr. 3nd M,.... N:ihanicl L Oubre. Jr. Mr. Charle' E. Padilla Mr. Norman A. P.tlky Mr. Harry R. Paug,i:u ~h. Dorochy Mac Payne~ ~h. Chm•me Ch1un~-Yu Peng Mr. and M,.... John w. Percy Mr. M.chacl J. Perhn Dr. Helen J. Pemn Mr. Richard H. Pe'iin Dr. and Mf\. Paul R. Phinney Dr. Larry L. Pilcher M,, Judl·Ann Pike Mr. Jame~ D. Pinckney Dr. Robcn S. Plourde Dr. Edwurd M. POl-1lcchwai1 M ~. Marilyn Anne Ray ~h. Su""n C. Rcctt. Mr. Jo-.hua A. Reilly Dr. and Mr.o . Sigmund T. Rich ~h. Dcni..c A. Richard' M'\. Burm1r.i Ann Richardson Dr. Jean LcCcrf Richard,on Mr. und Mo.. John J. Riemer Mi'" Sharon R. Robert' MN . Irene Rokuw·Rt'c'e Mr. Chri ..1ophcr John Ro..alc" Mr. and Mr-. William P. RO\C Mr. Jo~ph R. Ro~nbcrg M~. Dori'i Dunn Ro,c111hal Mr. Michael Ro.,..ini. Jr. Dr. Jame' D. Ro..wumt Dr. Laurt'ncc Z. Rubcn,1e111 Mr. and Mf\, Robcn A. Sanch" Mr M11rl. D. S:1pcNem M... Sharon Kaye Sa,al.1 ~h. Su,an Maria Recd Sa1er M,.... Gayk: A. Schachnc Mr. and Mr... Jame11 S. Schaefer Mr. Augu'I W. Schar.t 1\1'. Guil J. Schlc~el Mr. and M 1'. John R. SchlO'i-.cr. Jr. Dr. und M1'. Hugo Vic1or Schmid1 Dr. Jri, M. Schu11 Mr,. Carole Stolmr Sch"'an1. Dr. :tnd Mr,. S1u:tr1 0 . Sch"'e1ller Dr. Jean Ea~1"'ood Scou Mr. Ri chard A. Senko Mr. Kyung Man Seo

Mr. Keilh E. Scrxner Mr. John M. Shahan

research, equipmcm and space im· provement.

M s. Ju lie Shapcnnan

M s. Anne 0. Sharp

Ms. Genrude Shcnntm Dr. William Shonick Mr. and Mrs. Jerry E. Shuhi Ms. Yih-Jen Shy Mrs. Barbara Kadaner Siege l Dr. Malcolm Mncl;1rcn Simmons Dr. Daniel F. Smith Dr. Willi:im E. Smilh. Jr. Dr. und Mrs. Pau l E. Smokier Dr. Sam S. Snyder Ms. Nandini Sodhi Dr. Shoshanna Sofaer Miss Lili Sohrab Dr. Anhur M. Sou1ham Dr. Carl L. Spcizer Mr. and Mrs. Chris1opcr Spencer Dr. and Mrs. Howard Mcd3 S1aniloff Dr. Anna Jane Slone Mr. and Mrs. Elli~ J. S1u1z Ms. Susan M. Sullivan Dr. Carol E. Su1herland Dr. and Mrs. Robcn L. S\Nezey Mr. and M~. J~ph A. Syick Dr. Peter Akos Szckrcnyi Dr. and Mrs. Forci;;-t S. Tennnn1. Jr. Ms. Sharon Lynn Thomai;; Dr. Norma S. Tigerman Mr. and Mrs . Bruce E. Tort>Cu Dr. and MOI. Paul R. Torrcn' Mr. and Mrs . Citron Toy Mr. and Mn. . David R. Tumihy Mr. Thomao; A. Turner The Upjohn Company Mi'\s Susan A. Urc1zky Dr. and M n.. Robcn 0. Valdez Mrs. Rosalina Lopez Veloz Mrs. Lucy Vivero~ Or. Imm Bachmann Vyhmei~1cr Mr. and Mrs. Fr.tnk Hilton Wuhpcpah. Jr. Mrs. Jeanne Corne li a Eileen Wa i1e Dr. Ann Hamihon Walker Mrs. Laurie G. W:tll:tch Dr. J udi1h Ma ry Eileen Wal<i.h Mr. Clifford Ch ih-Han Wang Mr. and Mrs . Gary L. Wnmer Mrs. Irene Spear.. Wtilkini;; Mr. and M rs . Michael R. \Vati;;on Miss Diane Judilh Wei'i' Mr. and Mf'i. Leonard E. Whmcn Mrs. Joan M. Winier Dr. Ginna Woldc-T..adik Or. and MN. Jeffrey A. Wolf Dr. and Mr... Barry J. Wol,tan Mr. and MN. Pe1er J. Wood Miiri. Suzanne Wood Mr. and Mf'i. "Thoma' Wrighl Mr. Manuel Saile Ybanez Dr. Roy T. Yoong Mr. Mm Zheng ~h . Lc,Jie: P. Zion11 Mr. Lee Zu-;man CORPOllATE GIFTS Cigna Found:uion Hug.he" Aircraft Company Johnson & Higgin' Johnwn & John..on Company Amb. and Mrs. t.c..1cr B. Kom Korn/Ferry lntcmmionul Mr. and Mn.. lc.ioler A. Mei" Mr. Jo~cph R. Rosenberg Dr. Carl L. Spcizer Tundy Corporat ion Dr. and Mr... Fore"! S. Tenn;int. Jr. TRW Foundation The Upjohn Company Wilshire founda1ion. Inc. Mr. and M1'. Thonl:t'i. Wr1 gh1

MATCHING GfTCOMPANIES ~ana co m~a!1ie> match gifts pro-

v~f.t

:l anii~i6~~~ ~~es~~~P~f 1

~ubtic

Wealth ex tends i1s apprecia1ion to the following for thei r matching contributions. Hughe' Airerafl Company Anhur Ander.en and Company American Medical ln1cma1 ional. Inc. Quoiron S)"ilC~m,, Inc.

SPECIALGfTS

The School of Public Health gratefully acknowledges 1he following individuals. corporations and foundations for 1heir gifls to fund pro· grams. scholarshi ps. fellowship>.

Dr. and M~. Eugene P. Ada.W:k Mr. Gary L. Albrecht American Foundation for AIDS Research Dr. Carol S. Aneshenscl An1ibody Associates, LTD Bl ue Cross or California Mr. Ph ilip M. Brown Mr. and Mno. Roger L. Brown Calrcco Incorporated Dr. Alexander Chai Dr. and MN. Victor Kwok Kwong Chan Dr. and Mrs. Wen Pin Chang Ms. Kathleen C. Chmnaz. Mi;;. Pa1rieia J. Collene Mr. and MN. Peter Conrad Mr. Phil Cramer Dr. and Mt:\. William H. Crc,\Nel l. Jr. Dr. and Mrx.. Ro~er Dctel" Mr. and Mr<. Anthony G. Owortin Dr. Cuni .. 0 . Eckhcn Mr. and Mn. Ray H. Elfin@ Dr. Lcs1er Eng M'i. Tumara Fergu"°" FO\ler Parcnl'i Plan Mi;;, Renee C. Fox Friend" or Soochow M1'i!tl Irene M. Fundoiun Mr. Eugene 8. Gallagher Mr. Elmer G. Gilben Or. Allen C. Goodman Mr. and M1'. Albert E. Go-.' M\. D:my E. Ham .. Mr. and Mrs. Fred Haug Heul1hMarc. Inc. Dr. Virginia A. Hiday Mr. and Mf'i. Dennis P. Hogan M.... Murgarc1 S. Hoppe Dr. und Mr.1. James S. House MN. Jan McDonald Howard ln,urance 1n..1!1ute for Highway Sufe1y Mr. and Mr'\ , Dean P. Jone.!. Mr. Kung Jong Kai~r Permanente Mr. and Ml"'\. Michael R. Kroncnreld Mr. and Mr'\. Phi lip J . Leaf Mr. :ind MN. Phili p R. Lee ~h. Lora Bex Lcmpcn MN_Mati lda Lerner Or. and M ~. 'lkodor J. Lilmilll Dr. and ~·1,.... Yin-Sang Liu L&. Alam°' Nat101tul Laboratory

~~~~~,~~~ ~.~~~fccu.

Foonda1ion Mr. and M,..., Han!> 0. Mauk-.ch Tll'l\al".aAnnMcAllisaer-Memorial Ftllo""'hip M1'. Florence Croco McGucken Mr. and M1'. 0-.ivtd Mechanic Dr. and M". Mohammad G. Mu ..1ara M)rogen Corpor.11100 ~h . V1rgmia Ole'iCn

Dr. Larry K. Ot"'n

Mr. and Mn . Leonard I. Pearl in ~h. Bernice A. Pc.;cosolido Dr. and Mr... Mark F. Peyrot Dr. Shane S. Que Hee Or. and MN. Edward L. Ruda Mr. Michael L. Radelct RA 0 Corporalion Dr. George G. Reader M~. Catherine K. Rie'\sman Dr. and Mr". Millon I. Roeme r Dr. Franci,.co D.K. Run Mr. Jeffrey C. Sulloway San Diego Slate Univen.ity Foundation Or. Jean San\lille Mr. and Ml'. Mich.iel L. Shcm1an Or. and Mr,. Ste phen M. Shonell Dr. and Mr... Richard L. Simmon'\ Mi ..!. Elena M. Slicpccvich M... E1he lene G. Smith Specially Labor.iiorie... Inc. ~h. Peggy A. Tho11\ Unocal Founda1ion Dr. Jane L. Valemine Dr. Donna F. VcrSlccg Dr. Barbcr.1 R. V1,~hcr Mr. and M,.... S1dne) Volinn Vol\'O Nonh America. Corporation Wallace Gcnc1ic Founda1 ion M... Diana Chapman Wal-.h Dr. and M~. O;imel M. Wilner Dr. Anhur M. Winer

Dr. M. J. Wolff Or. and M~. Frederic 0 . Wolin,ky Women·, A\\0Cia1ion The World Bank Dr. and M1'. John Worobcy M,, Juni' F.F. Yao M,, Jennife r Yuan

UCLA School of Pu blic Health 405 Hi lgard Avenue Los Angeles. Cali forn ia 90024- 1672 Address Co1Tectio n Req uested RZ 32

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The UCLA School of Public Health Thanks You for Your Support

PRIVACY NOTICE

DONOR'S CONSENT

THE UCLA FOUNDATION

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The University is grateful for the support it receives

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requires UCLA to inform individuals asked to supply information about themselves of the following: UCLA is requesting this information to update the general resource files of its Public Affairs and

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UCLA SCHOOL OF PUBLIC HEALTH

DEAN'S COUNCIL TO THE SCHOOL OF PUBLIC HEALTH: 0 YES, I want to join the Dean's Council to help the UCLA School of Public Health by supporting the new and ongoing educational projects, research and teaching programs.

... dedicated to the advancement of education and research at the University of California, Los Angeles, School of Public Health.

Enclosed is my/our annual gift to the UCLA School of Public Health Dean's Council. Membership Category (5029) S07 Individual: 0 $ 2,500 0$ 1,000 0$ 600 300 0$ 100 0$

0 $ 10,000 0 $ 5,000 0 $ 2,500

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