This study quantifies worldwide health effects of the Fukushima Daiichi nuclear accident on 11 March 2011. Effects are quantified with a 3-D global atmospheric model driven by emission estimates and evaluated against daily worldwide Comprehensive Nuclear-Test-Ban Treaty Organization (CTBTO) measurements and observed deposition rates. Inhalation exposure, ground-level external exposure, and atmospheric external exposure pathways of radioactive iodine-131, cesium-137, and cesium-134 released from Fukushima are accounted for using a linear no-threshold (LNT) model of human exposure. Exposure due to ingestion of contaminated food and water is estimated by extrapolation. We estimate an additional 130 (15–1100) cancer-related mortalities and 180 (24–1800) cancer-related morbidities incorporating uncertainties associated with the exposure–dose and dose–response models used in the study. Sensitivities to emission rates, gas to particulate I-131 partitioning, and the mandatory evacuation radius around the plant may increase upper bound mortalities and morbidities to 1300 and 2500, respectively. Radiation exposure to workers at the plant is projected to result in 2 to 12 morbidities. An additional 600 mortalities have been reported due to mandatory evacuations. A hypothetical accident at the Diablo Canyon Power Plant in California, USA with identical emissions to Fukushima may cause 25% more mortalities than Fukushima despite California having one fourth the local population density, due to differing meteorological conditions.

Mark Z. Jacobson is Director of the Atmosphere/Energy Program and Professor of Civil and Environmental Engineering at Stanford University. He is also a Senior Fellow of the Woods Institute for the Environment and Senior Fellow of the Precourt Institute for Energy. He received a B.S. in Civil Engineering with distinction, an A.B. in Economics with distinction, and an M.S. in Environmental Engineering from Stanford University, in 1988. He received an M.S. in Atmospheric Sciences in 1991 and a PhD in Atmospheric Sciences in 1994 from UCLA. He has been on the faculty at Stanford since 1994. His work relates to the development and application of numerical models to understand better the effects of energy systems and vehicles on climate and air pollution and the analysis of renewable energy resources. He has published two textbooks of two editions each and ~130 peer-reviewed scientific journal articles. He received the 2005 American Meteorological Society Henry G. Houghton Award for “significant contributions to modeling aerosol chemistry and to understanding the role of soot and other carbon particles on climate.” He has served on the Energy Efficiency and Renewables Advisory Committee to the U.S. Secretary of Energy.

More than two decades have passed since the first case of HIV infection was detected in Cambodia in 1991. Cambodia is among the countries with the highest HIV prevalence in Asia and has been experiencing the most serious HIV/AIDS epidemic in the region. The epidemic is spread primarily through heterosexual transmission and revolves largely around the sex trade.

Since the beginning of the epidemic, the Royal Government of Cambodia has made a strong political commitment to the need for prevention of HIV transmission and care for people living with HIV/AIDS. It has received some technical and financial support from national and international agencies. Several prevention and intervention programs have been successfully implemented, and the WHO/UNAIDS recognized that the Cambodia’s HIV/AIDS epidemic appeared to have stabilized in 2002.

The estimated HIV prevalence in the general adult population declined to 0.5% in 2009, down from 1.2% in 2001. Among women visiting antenatal care clinics, the prevalence also declined from 2.1% in 1999 to 1.1% in 2006. There was also a gradual increase in the percentage of HIV-infected pregnant women who received antiretroviral therapy to reduce the risk of mother-to-child transmission, from 1.2% in 2003 to 11.2% in 2007, and finally to 32.3% in 2009.

Despite the decline of HIV prevalence in the general population, the prevalence remains high among high-risk groups such as commercial sex workers, men who have sex with men, and injection drug users. Furthermore, the so-called prevention-successful-country is also seeing the growing need for HIV/AIDS treatment and care.

This seminar will highlight the past and current features of Cambodia’s HIV/AIDS epidemic, lessons learned from prevention and care policies, and future challenges that Cambodia may face in the battles against HIV/AIDS.  

Dr. Siyan Yi joins the Walter H. Shorenstein Asia-Pacific Research Center during the 2011–12 academic year from the National Center of Global Health and Medicine and the University of Tokyo, Japan, where he jointly served as a research fellow and lecturer. He has also served as an adjunct faculty member at Cambodia’s School of Public Health, the National Institute of Public Health, and the School of International Studies at the Royal University of Phnom Penh.

On February 6, FSI is hosting an orientation for Stanford sophomores and juniors* (in 2011-12) interested in applying for the 2012 FSI undergraduate field research internships.

Three internships are available for Beijing, China, and up to five for the southwestern highlands of Guatemala. The internship program will support two separate multidisciplinary teams of Stanford undergraduates to carry out field research projects that address chronic global underdevelopment. Working with an established research program in each country and supervised by one or more Stanford principal investigators, the undergraduate research teams will spend approximately two weeks on location and four to six weeks planning and completing projects in the U.S. Travel, accommodations, insurance and incidentals will be fully funded.

The program is intended to engage undergraduates in collaborative research designed to:

• introduce undergraduates to issues of global chronic underdevelopment;
• promote mentoring relationships between FSI faculty and students;
• enable undergraduates to contribute to FSI's policy-relevant research; and
• foster collaboration across disciplines at the undergraduate level

Eligibility and Application

The program is open to Stanford juniors and seniors (in AY 2011-12) with a minimum GPA of 3.3. Students may apply directly via email.

Student applicants will be required to submit:

• a statement of interest;
• curriculum vitae, resume, or summary of related experience; and
• copy of transcript (unofficial copy acceptable)
• reference letter from faculty member

All materials can be sent to vmarian@stanford.edu

Preference will be given to students previously involved in service learning, poverty alleviation, or similar pursuit. The selection committee will strive to assemble a team of students reflecting divergent academic interests, ideally one from each of the social, natural, and applied sciences.

Final candidates should be prepared to obtain the appropriate visas and vaccinations and to travel abroad on the approximate dates:

• Guatemala: August 1 - 15, 2012
• China: June 19 - July 3, 2012

Project Requirements

Members of the student research team will be expected to work collaboratively to:

• develop, and obtain faculty approval for, a research proposal that will add to or enhance the ongoing research of either Rural Education Action Project (REAP) in China, or the Children's Global Health Program in Guatemala, both programs within FSI;
• carry out the research over a two-week period abroad under the supervision of both a Stanford faculty member and a graduate student or medical resident;
• write a project report analyzing and interpreting the team's research findings; and
• prepare a poster or slide presentation describing the research project that will be presented at FSI's fall 2012 open house.

Financial Support and Resources

The program will provide a stipend of $1,000 per student, plus a budget for the team's research materials and supplies, and reimbursement for air travel, lodging, meals, insurance, visas, and incidentals for work abroad. At Stanford, the team will be furnished with office space in Encina Hall and access to a desktop computer to meet, prepare, and complete the project.

* Highly qualified freshmen with the requisite background and superb language skills may be considered.

At present, the tobacco industry produces some six trillion cigarettes worldwide every year. Six trillion cigarettes per annum, each ready to release smoke filled with highly addictive nicotine and powerful carcinogens. A third of all these sticks were produced in China last year. In 2011, the world’s largest cigarette maker by volume, the China National Tobacco Corporation, contributed an all-time high of U.S. $214 billion in profits and taxes to the Chinese government, up 22 percent year-on-year. Currently the greatest cause of preventable death in the world, the cigarette is likely to kill ten times as many people in the 21st century as it did in the 20th century, epidemiologists tell us, with China bearing the largest burden. Until now, much global health research and intervention has focused with limited success on the cigarette consumer—addressing how one or another variable prompts people to take up or quit smoking, whether the cue for the consumer is biological, psychological, spatial, financial or symbolic. What though of the industrial sources of tobacco-related diseases? Where are the six trillion cigarettes that are released into circulation each year manufactured? Where are they rolled, wrapped, and boxed for shipment? This presentation will introduce the Cigarette Citadels Project, an innovative application of participatory GIS. With special attention given to China’s network of cigarette factories, Matthew Kohrman will explain how the Cigarette Citadels Project not only reveals conceptual roadblocks in public health policy but also lacuna in social theory pertaining to the state and the politics of life.

Matthew Kohrman joined Stanford’s faculty in 1999. His research and writing bring multiple methods to bear on the ways health, culture, and politics are interrelated. Focusing on the People's Republic of China, he engages various intellectual terrains such as governmentality, gender theory, political economy, critical science studies, and embodiment. His first monograph, Bodies of Difference: Experiences of Disability and Institutional Advocacy in the Making of Modern China, examines links between the emergence of a state-sponsored disability-advocacy organization and the lives of Chinese men who have trouble walking. In recent years, Kohrman has been conducting research projects aimed at analyzing and intervening in the biopolitics of cigarette smoking and production. These projects expand upon analytical themes of Kohrman’s disability research and engage in novel ways techniques of public health.

This event is part of the China's Looming Challenges series.