Obesity

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Professor, Health Policy
jeremy-fisch_profile_compressed.jpg PhD

Jeremy Goldhaber-Fiebert, PhD, is a Professor of Health Policy, a Core Faculty Member at the Center for Health Policy and the Department of Health Policy, and a Faculty Affiliate of the Stanford Center on Longevity and Stanford Center for International Development. His research focuses on complex policy decisions surrounding the prevention and management of increasingly common, chronic diseases and the life course impact of exposure to their risk factors. In the context of both developing and developed countries including the US, India, China, and South Africa, he has examined chronic conditions including type 2 diabetes and cardiovascular diseases, human papillomavirus and cervical cancer, tuberculosis, and hepatitis C and on risk factors including smoking, physical activity, obesity, malnutrition, and other diseases themselves. He combines simulation modeling methods and cost-effectiveness analyses with econometric approaches and behavioral economic studies to address these issues. Dr. Goldhaber-Fiebert graduated magna cum laude from Harvard College in 1997, with an A.B. in the History and Literature of America. After working as a software engineer and consultant, he conducted a year-long public health research program in Costa Rica with his wife in 2001. Winner of the Lee B. Lusted Prize for Outstanding Student Research from the Society for Medical Decision Making in 2006 and in 2008, he completed his PhD in Health Policy concentrating in Decision Science at Harvard University in 2008. He was elected as a Trustee of the Society for Medical Decision Making in 2011.

Past and current research topics:

  1. Type 2 diabetes and cardiovascular risk factors: Randomized and observational studies in Costa Rica examining the impact of community-based lifestyle interventions and the relationship of gender, risk factors, and care utilization.
  2. Cervical cancer: Model-based cost-effectiveness analyses and costing methods studies that examine policy issues relating to cervical cancer screening and human papillomavirus vaccination in countries including the United States, Brazil, India, Kenya, Peru, South Africa, Tanzania, and Thailand.
  3. Measles, haemophilus influenzae type b, and other childhood infectious diseases: Longitudinal regression analyses of country-level data from middle and upper income countries that examine the link between vaccination, sustained reductions in mortality, and evidence of herd immunity.
  4. Patient adherence: Studies in both developing and developed countries of the costs and effectiveness of measures to increase successful adherence. Adherence to cervical cancer screening as well as to disease management programs targeting depression and obesity is examined from both a decision-analytic and a behavioral economics perspective.
  5. Simulation modeling methods: Research examining model calibration and validation, the appropriate representation of uncertainty in projected outcomes, the use of models to examine plausible counterfactuals at the biological and epidemiological level, and the reflection of population and spatial heterogeneity.
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Drs. Bundorf and Bhattacharya received an RO1 grant (RO1-AG028236) from the National Institute on Health (NIH) to extend their work to look at the external costs of obesity through large public health insurance programs, including Medicare and Medicaid.  Results from the seed have been presented at four national meetings.  A paper entitled, “The Incidence of the Health Care Costs of Obesity,” was published in Journal of Health Economics.

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The film "Silent Killer: The Unfinished Campaign Against Hunger," hosted by NPR's Scott Simon, offers a compelling examination of both the problem and solutions surrounding world hunger. The program aired on PBS station KQED/San Francisco on Wednesday, November 2nd at 11:00 p.m.

SEATTLE - There are a billion hungry people in the world. Fifteen thousand children-the equivalent of five times the victims of the World Trade Center bombings-die each day of hunger. Yet it doesn't have to be this way. We can end hunger-if we make a commitment to doing so. The new one-hour documentary Silent Killer: The Unfinished Campaign Against Hunger shows how it can be done. Shot on location in the United States, South Africa, Kenya, Rome, Mexico and Brazil, Silent Killer examines both the problem of hunger and solutions. The documentary and its companion Web site (www.SilentKillerFilm.org) will provide viewers with inspiration and information to become part of the effort to end hunger.

Produced by Hana Jindrova and John de Graaf (Affluenza, Escape from Affluenza), in association with KCTS/Seattle Public Television, Silent Killer will air on several California public television stations as follows:

KTEH/ San Jose: Sunday, October 16 at 5:00 p.m. (please confirm).

KOCE/ Huntington Beach: Sunday, October 23 at 4:00 p.m.

KQED/ San Francisco: Wednesday, November 2 at 11:00 p.m., repeating on

KQED Encore (Digital Channel 189), Thursday, November 3 at 10:00 p.m.

KVCR/ San Bernardino: Thanksgiving evening, Thursday, November 24 at 8 p.m.

KVIE/ Sacramento: Airdate and time to be announced.

KCSM/ San Mateo: Airdate and time to be announced.

(For all other stations, please check local listings).

Narrated by National Public Radio's Scott Simon, the film begins in South Africa's Kalahari Desert, where razor-thin Bushmen use the Hoodia cactus to fend off hunger. But now, a drug firm has patented the Hoodia's appetite-suppressant properties and is using it to make a diet product for obese Americans and Europeans. Hoodia is a metaphor for a world where some people die from too much food, but millions more die from too little.

We discover how serious the problem is in Kenya as we meet Jane Ininda, a scientist who is trying to make agriculture more productive in her country, while her own brother, Salesio, barely survives the drought, poor soils and pests that constantly threaten his crops. Through powerful stories, we come to understand the dimensions of the hunger crisis.

At the World Food Summit in Rome, we learn how activists have been working to end hunger since President John Kennedy declared war on it in 1963. But today, America's commitment to food security is less clear. In fact, world financial commitments to hunger research are now in decline.

But Silent Killer does not leave viewers feeling helpless. A visit to Brazil finds a nation energized by a new campaign called FOME ZERO-Zero Hunger. In the huge city of Belo Horizonte, we meet a remarkable leader and see how, under the programs she supervises, the right to food is guaranteed to all. In the countryside, we are introduced to the Landless Peasants' Movement, which is giving hope to millions of hungry Brazilians.

Can we end hunger, or will it always be with us? Why should we try? What will it take? What are we doing now? Can biotechnology play a role, and if so, how? Is hunger just a problem of distribution, or do we still need to produce more and better crops? These are the questions considered in this exquisitely photographed documentary.

EXPERTS featured in Silent Killer: The Unfinished Campaign Against Hunger and available for press interviews include:

David Beckmann - President, Bread for the World. Since 1991, Reverend David Beckmann has served as president of Bread for the World, a Christian group that lobbies the U.S. government for policy changes to end hunger in the United States and around the world.

Per Pinstrup-Andersen - World Food Prize Laureate 2001. A native of Denmark, Per Pinstrup-Andersen is the H.E. Babcock Professor of Food, Nutrition and Public Policy at Cornell University. He also serves as the chairman of the Science Council of the Consultative Group on International Agricultural Research.

Chris Barrett - Development Economist, Cornell University. Dr. Barrett is a professor of applied economics and management at Cornell University. His focus is on rural communities, primarily in Africa, concentrating on the dynamics of poverty, food security and hunger.

Walter Falcon - Development Economist, Stanford University. Dr. Falcon is the Farnsworth Professor of International Agricultural Policy at Stanford University (emeritus), co-director of the Center for Environmental Science and Policy, and former director of the Stanford Institute for International Studies.

PROGRAM TIE-INS: October 16 is the 25th observance of World Food Day-a worldwide event designed to create awareness, understanding and year-round action to alleviate hunger. (See www.worldfooddayusa.org.) In addition, October 24 is the 60th anniversary of the founding of the United Nations and its first agency, the Food and Agriculture Organization (FAO).

CREDITS: Silent Killer was produced by Hana Jindrova and John de Graaf in association with KCTS/Seattle Public Television and is narrated by NPR's Scott Simon. Writer: John de Graaf. Photographers/Editors: Diana Wilmar and David Fox. Composer: Michael Bade. Executive Producer: Enrique Cerna, KCTS. Funding was provided by The Rockefeller Foundation.

DISTRIBUTOR: Silent Killer is presented nationally by KCTS/Seattle Public Television and is distributed by the National Educational Telecommunications Association (NETA).

WEB SITE: See www.SilentKillerFilm.org for more information about the film, including a full transcript, in-depth interviews with film characters and experts on hunger, a guide for teachers, a list of hunger facts and myths, a detailed "Take Action" section and additional resources. Color images from the film are posted on the site for press use, along with an online press kit.

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