Across the world, many democracies are sliding further and further toward authoritarianism. NPR's Ari Shapiro talks with Larry Diamond of Stanford University about this "global democratic recession." Listen here.

In this podcast with the Carnegie Council, CISAC's Scott Sagan says that major changes must be made if U.S. nuclear war plans are to conform to the principles of just war doctrine and the law of armed conflict. He proposes a new doctrine: "the nuclear necessity principle." In sum, the U.S. will not use nuclear weapons against any target that could be reliably destroyed by conventional means.

In 2016, Sagan co-authored an op-ed in The Washington Post on this topic: "It is time to turn nuclear common sense into national policy. A declaration that the United States would never use nuclear weapons when conventional weapons could destroy the target could reduce the number of nuclear weapons we need for legitimate deterrence purposes. Placing conventional weapons at the center of debates about the future of deterrence would also help focus the policy discussion on plausible scenarios with realistic plans for the use of U.S. military power. And it would more faithfully honor the just-war principles of distinction, necessity and proportionality, by placing them at the heart of our deterrence and security policies, where our highest ideals belong."

Stanford Health Policy’s newest faculty member, Joshua Salomon, believes that one urgent need in global health research is to improve forecasts of the patterns and trends that are the major causes of death and disease.

Salomon, who is leaving leaving his position as professor of global health at the Harvard T.H. Chan School of Public Health to join Stanford on Aug. 1, works on modeling of infectious and chronic diseases and their associated intervention strategies, as well as methods for economic evaluation of public health programs and ways to measure the global burden of disease.

And he looks at the potential impact and cost effectiveness of new health technologies.

“Projections of future trends in health are crucial to formulating policy,” said Salomon, who has a PhD from Harvard. “To think strategically about the technologies and policies that would make the biggest impact on health over the next 20 to 50 years, we really need to start by understanding the range of likely trends in major health challenges over the coming decades.”

Stanford, he said, offers him a “rich collaborative environment” to better learn from advances in forecasting across a range of other disciplines, such as economics, political science, and environmental science.

“With a better picture of what the world is likely to look like over the next 50 years — and what are going to be the most pressing health problems — we can invest wisely and put ourselves in a position to respond more effectively.”

Salomon is also the director of the Prevention Policy Modeling Lab, which is funded by a five-year award from the Centers for Disease Control and Prevention. The consortium represents the collaborative research of experts from Massachusetts General Hospital, Boston Medical Center, Dana Farber Cancer Institute, Yale School of Public Health, Brown University School of Public Health, and the Massachusetts Department of Public Health and.

He will continue directing the lab from Stanford and intends to bring in new research threads from his colleagues here on the Farm. The lab works on a wide range of projects dealing with policy analysis for hepatitis, sexually transmitted infections and diseases such as HIV, and tuberculosis.

“It’s a rewarding grant for me to work on because, unlike a lot of modeling projects, the work that we do really starts from urgent public health questions that policymakers have,” he said. “All of the questions that we are working on are questions that originated directly from discussions with CDC and other public health partners.”

With Salomon’s move to Stanford, the university gains a dynamic duo.

Grace Lee joins Stanford as the Associate Chief Medical Officer at Lucile Packard Children's Hospital in the fall, 2017.

His wife, Grace Lee, MD, MPH, joins in the fall as the Associate Chief Medical Officer at Lucile Packard Children’s Hospital. As a professor of population medicine at Harvard Pilgrim Health Care Institute & Harvard Medical School, Lee has led research in vaccine safety in the FDA-funded Post-licensure Rapid Immunization Safety Monitoring (PRISM) program and the CDC-funded Vaccine Safety Datalink, which monitors the safety of vaccines and studies rare and adverse reactions from immunizations.

She has also examined the impact of financial penalties on rates of healthcare-associated infections, as the principal investigator of an AHRQ-funded study, as well as developed novel surveillance definitions for ventilator-related events in neonates and children.

While at Stanford, Lee said, she intends “to find opportunities to enhance the learning health system approach to improve patient outcomes and population health.”

Salomon has spent his entire career as a collaborator on the Global Burden of Disease project, the world’s most comprehensive epidemiological study commissioned by the World Bank in 1990, which tracks mortality and morbidity from major diseases, injuries and risks factors.

“The study has made a major contribution to global public health because before this study we just didn’t have a comprehensive, systematic understanding of the things that cause death and disability in low- and middle-income countries. But now we do,” he said. “It’s hugely ambitious and very sweeping in scope — and a lot of my work is around providing the evidence we need to inform policy.”

Much of Salomon’s work is global in nature. He’s most recently focused on older adults in one rural South African community, which has a high prevalence of HIV and one of the world’s highest levels of hypertension. His research there aims to inform urgent prevention initiatives tailored to older adults where HIV and cardiovascular risks are moderate or high, as in similar communities in sub-Saharan Africa.

“People don’t expect a high level of ongoing HIV transmission in older adults,” he said. “The double burden that we find, with a very high level of HIV, as well as the high prevalence of diabetes and heart disease, creates enormous strains on the health-care system.”

The Asia Health Policy Program at the Shorenstein Asia-Pacific Research Center, in conjunction with The Next World Program, is soliciting papers for a workshop, “Inequality & Aging,” held at the University of Hohenheim from May 4-5, 2018. The workshop will result in a special issue of the Journal of the Economics of Ageing, and aims to address topics such as:

• Population dynamics and income distribution
• The evolution of inequality over time and with respect to age
• Health inequality in old age
• The effects of social security systems and pension schemes on inequality
• Policies to cope with demographic challenges and the challenges posed by inequality
• Family backgrounds and equality of opportunities
• Demographically induced poverty traps
• Effects of automation and the digital economy in ageing societies
• Flexible working time and careers, and their long-term implications
• The dynamics of inheritances, etc.

Researchers who seek to attend the workshop are invited to submit a full paper or at least a 1-page extended abstract directly to Klaus Prettner and Alfonso Sousa-Poza by Sept. 30, 2017.

Authors of accepted papers will be notified by the end of October and completed draft papers will be expected by Jan. 31, 2018. Economy airfare and accommodation will be provided to one author associated with each accepted paper. A selection of the presented papers will be published in the special issue; the best paper by an author below the age of 35 will receive an award and be made available online as a working paper.

Researchers who do not seek to attend the workshop are also invited to submit papers for the special issue. Those papers can be submitted directly online under “SI Inequality & Ageing” by May 31, 2018.

For complete details, please click on the link below to view the PDF.

"The robots aren't going to take over, or even destroy jobs," says CDDRL's Jerry Kaplan. Read the article here.

CISAC co-director Amy Zegart wrote this July 11 essay in The Atlantic on what the Donald Trump Jr. emails mean:

Line by ugly line, Donald J. Trump Jr.’s emails with British-born former tabloid reporter and Russian intermediary Rob Goldstone are now plastered on The New York Times website. They reveal an astounding set of communications. Goldstone promises incriminating information about Hillary Clinton that could be used in the campaign—with the Kremlin’s backing. Junior’s response should have been to speed dial the FBI. Instead, he writes three little words with big, big consequences: “I love it.”

It’s quite a turn for the First Son. Just a few months ago, The New York Times gave him a fawning spread replete with woodsy photos. Now his association with dirt doesn’t look quite so good.

My three big takeaways from this breaking story:

1) The key word in The New York Times piece is “flurry.” There isn’t one email exchange. There are many. Trump Jr.’s email “dump” will not be the end of the story. Instead, as Churchill once said, it’s just the end of the beginning. Investigators and journalists will be following the email trail.

2) Even the emails released so far paint a damning portrait. The “we didn’t know better, we’re just amateurs” defense with respect to foreign policy—which the White House has been using to this point—will not hold up. Campaign chairman Paul Manafort attended the now-infamous June 9, 2016 meeting with Kremlin-connected lawyer Natalia Veselnitskaya. Manafort is no neophyte in this world. He has worked on multiple Republican presidential campaigns over decades. What’s more, the red line, whether it’s a legal or political one, is: “Thou shalt not work with foreign powers to gain advantage in a U.S. election.” As former FBI director Jim Comey would put it, there is no fuzz on this whatsoever. Even if the foreign power involved were the Brits and not the Russians, meeting with a foreign government to get opposition dirt for a U.S. presidential election is wrong and probably illegal.

3) It is telling that every new piece of hard information major newspapers have reported recently about the Russian meddling in the 2016 election—every single one—supports the Intelligence Community’s conclusions about it. In January, the Office of the Director of National Intelligence released the community's assessment that “Russian president Vladimir Putin ordered an influence campaign in 2016 aimed at the U.S. presidential election,” and that he and his government “aspired to help president-elect Trump's election chances when possible by discrediting Secretary Clinton.” The reporting has yet to implicate Putin himself, but Goldstone’s email citing a Russian official’s offer to “provide the Trump campaign with some official documents and information that would incriminate Hillary and her dealings with Russia,” as part of “Russia and its government’s support for Mr. Trump” is the clearest public evidence yet of the IC’s conclusion. And the emails were released by Trump Jr. himself—right before The New York Times posted them.

We need to stop saying of the intelligence community—as Donald Trump Sr. has encouraged—“These are the people who brought us Iraq WMD” and start saying, “These are the same people who found bin Laden.” In fact, Donald Trump Jr. proudly displays an American flag signed by members of SEAL Team Six—the unit that took out bin Laden—in his office. Junior should have thought harder about the kind of intel that helped the SEALs succeed—and what it might mean for his father.

Amy Zegart is co-director of the Center for International Security and Cooperation and Professor of Political Science, by courtesy. She is also the Davies Family Senior Fellow at the Hoover Institution and directs the Cyber Policy Program. She is a contributing editor to The Atlantic.

On July 7, the William J. Perry Project issued the following statement from CISAC's William J. Perry regarding the adoption of the UN Treaty to Prohibit Nuclear Weapons, which was approved by the UN on the same day: 

"The new UN Treaty on the Prohibition of Nuclear Weapons is an important step towards delegitimizing nuclear war as an acceptable risk of modern civilization. Though the treaty will not have the power to eliminate existing nuclear weapons, it provides a vision of a safer world, one that will require great purpose, persistence, and patience to make a reality. Nuclear catastrophe is one of the greatest existential threats facing society today, and we must dream in equal measure in order to imagine a world without these terrible weapons."

The UN treaty places a strong moral imperative against possessing nuclear weapons and gives a voice to some 130 non-nuclear weapons states who are equally affected by the existential risk of nuclear weapons. There is no one solution to this global threat, and there is much more work to be done beyond this treaty to reduce this risk. I call on nuclear-armed states to step up their participation in the fight against the nuclear threat by securing the eight remaining ratifications to enact the Comprehensive Test Ban Treaty, extending the New START agreement, continuing the critical work of the Nuclear Security Summits, and avoiding the unnecessary risk posed by introducing destabilizing new nuclear weapons. My hope is that this treaty will mark a sea change towards global support for the abolition of nuclear weapons. This global threat requires unified global action."

Read more about the treaty here.

William J. Perry, a former U.S. Secretary of Defense, recently joined other nuclear and diplomatic experts in writing a letter to President Trump urging diplomatic talks with North Korea; wrote a Politico op-ed on how to make a deal with North Korea; and delivered the 2017 Barnett-Oksenberg Lecture on issues between China and the United States. Perry is the director of the Preventive Defense Project at CISAC.

The CISAC Fellowship Program is training and educating the next generation of thought leaders and policy makers in international security.

Our fellows spend the academic year engaged in research and writing, and participate in seminars and collaborate with faculty and researchers. Every summer, many complete their fellowships and move on to new career endeavors. For the 2016-17 academic year, CISAC hosted 21 fellows (the center has 399 former fellows).

Some of our fellows, in their own words, explain what they will be doing next:

Andreas Lutsch

Having spent two years as a nuclear security postdoctoral fellow at CISAC, I return to my home institution, the Julius-Maximilians-University of Würzburg, Germany. As a historian of late modern history, I do so in great gratitude for an excellent and abundantly rich scholarly experience at Stanford. Once I am back in Germany, I will publish my first book early next year, the manuscript of which I finalized at CISAC. I will also proceed to publish the manuscript of my second book, which I wrote entirely at Stanford. And I will move towards the pursuit of the so-called “habilitation,” which is required (in Germany) to qualify for a position as a full professor in my home country. 

It is not easy to put into a few words how much my CISAC experience has helped me with making progress at a crucial juncture of my career. CISAC fellowships offered me a transformative opportunity to make my research more rigorous, to think more creatively and more carefully, to appreciate interdisciplinary approaches in addressing complex problems, to improve my teaching abilities, and to establish relationships with leading scholars and specialists, which I hope will be long-lasting ties to communities at CISAC, Stanford, and the U.S.

Anna Péczeli

I have a tenured position at my institute in Hungary so I will move home in August and get back to teaching and research.

My CISAC experience was amazing, from the beginning I felt that I was part of a community here. I got much useful feedback on my research, and I really feel that my work improved in quality and I became a better researcher. I learned a lot about how to present my ideas so that it would be relevant for policy makers, and my fellowship opened new doors for me. I am grateful for this opportunity, and I am certain that I will continue to be an active member of the CISAC community wherever I go.

Eric Min

During the 2017-2018 academic year, I will remain at CISAC. As a social sciences postdoctoral fellow, I will study how international actors and third parties utilize diplomacy to manage and resolve interstate conflicts. This builds upon my broader research agenda, which uses new quantitative data and statistical methods to analyze the strategic logic of negotiations during war. 

Given that I came from a predominantly social science background, my year at CISAC was invaluable in helping me to understand the policymaking world and how my research could more effectively communicate the technicalities of my research to a broader informed yet general audience. I also learned about what kinds of pressing questions concern policymakers, which I will use to shape my future work. I look forward to meeting another group of diverse and knowledgeable individuals next year. 

Jennifer L. Erickson

This fall, I will return to my regular life at Boston College, where I am an associate professor of political science and international studies. In the upcoming academic year, I will continue to work on the research I worked on at CISAC on new weapons and the laws and norms of war and the nuclear weapons portion of my project in particular. I will also teach two sections of the Introduction to International Studies for BC undergraduates and the Field Seminar in International Politics for BC graduate students. In the fall, I also look forward to being affiliated with the Security Studies Program at MIT. 

CISAC has been a tremendous source of academic support for my research. Not only has it given me time and resources to do research and write, but it has also introduced me to new colleagues, who have generously provided insights and expertise that have improved that research. It also made it possible for me to attend events like a conference on New Dilemmas in Ethics, Technology, and War at the Air Force Academy in April 2017, the Military Immersion Map Exercise at RAND in May 2017, and the UN Conference to Negotiate a Legally Binding Instrument to Prohibit Nuclear Weapons in June 2017.

These experiences, as well as all of the opportunities to attend events and meet people at CISAC itself, will continue to shape how I think about my research and teaching and have helped me build new professional networks for the long term.

Cameron Tracy

In the next academic year, I will be a postdoc in Stanford’s Department of Geological Sciences. There, I will continue my work on the role of geologic disposal (burial) of weapons plutonium in the global arms control and disarmament regimes. I will also conduct scientific research on the manner in which nuclear materials change in response to their environments. For example, I am currently starting a project in which I attempt to determine the conditions in which uranium-bearing materials have been stored by studying the oxidation and hydration of their surfaces. This could help to determine the provenance of smuggled uranium that has been interdicted by law enforcement or security authorities. 

My fellowship at CISAC has allowed me to translate my scientific skills to the policy realm, and to greatly expand the impact of my work. I have long been interested in science policy, but lacked the resources, connections, and experience necessary to effectively analyze critical issues and to communicate the results to both scholarly and governmental audiences. Through interactions with CISAC’s resident policy experts, I learned about the role that technical analysis can play in the policymaking process.

While my transition to policy-relevant work is ongoing, my efforts have already yielded some impact on international policy, with an Australian Royal Commission report citing my work on quantifying the long-term risks associated with the burial of nuclear materials. I expect that the valuable experience and mentorship I received over the course of my CISAC fellowship will continue to inform and enhance my work at the interface of nuclear science and policy.

Jooeun Kim

I will become the Jill Hopper Memorial Fellow at Georgetown University and will be teaching a course, the History and Politics of Nuclear Proliferation, in spring 2018. From August this year, I will be a visiting scholar at the Institute for Security and Conflict Studies at George Washington University. CISAC provided me with amazing resources. I loved my intellectually stimulating meetings with my mentor Scott Sagan and other amazing scholars who opened their office doors to me. CISAC is an ‘intellectual candy store.’ I am grateful to everyone there for creating such a special environment.

Andrea Gilli

Starting July 1, I will be a postdoctoral fellow at Harvard University's Belfer Center for Science and International Affairs where I will keep working on my research about technology and international security.

The CISAC experience helped my career in three main ways. First, CISAC is a fantastic academic environment where young researchers can deal with leading scholars in a plurality of fields: the constant interactions between different views and expertise represent a unique source of intellectual growth that has helped me develop new ideas and identify new questions in my field.

Second, CISAC's activities and professional growth initiatives help fellows gain the skills and acquire the knowledge to succeed not only as an academic but also, more broadly, as public intellectual. CISAC has helped me improve my understanding of policy dynamics as well as my capacity to present to non-experts the findings of my research. Third, CISAC's "be-good" motto combined with its strong mentorship provides fellows with a perfect working environment.

Eva C. Uribe

This fall, I will be starting my position as a systems research analyst at Sandia National Lab. For my research here at CISAC, I have taken a broad, holistic look at the proliferation impact of the thorium fuel cycle. Therefore, CISAC has given me valuable experience in thinking through difficult problems using a systematic, top-down approach, which is a skill that I will take with me to my next position.

Accepting a postdoctoral fellowship with CISAC was an unconventional career move for me, personally. I got my doctorate in chemistry from UC Berkeley in 2016. Most of my peers in the chemistry department went on to conduct postdoctoral research at another university, a national lab, or in industry. A few made the leap into science policy fellowships in Washington, D.C. For me, CISAC provided a happy compromise between these two options. It allowed me the freedom to continue conducting technical research (albeit outside the chemistry lab), while still exploring the policy implications of my research.

My experience at CISAC helped my career progression in two ways. First, through targeted workshops, reading groups, and less formal daily interactions, CISAC provided me with the opportunity to view my research and interests from a different lens, that of the policymaker.  It was interesting to see my fellow fellows, of all academic backgrounds, struggling with how to translate the finer points of their academic research into policy-relevant media. I learned a lot from their experiences and challenges. The second way that CISAC has helped my career progression was through exposure to others who have done this transition successfully. This was achieved through fantastic seminar series, as well as through daily interaction with faculty and fellows here at CISAC. Speaking with people who have worked at high levels in Washington, D.C. made me realize that I would prefer to continue doing policy-relevant academic and technical research in nuclear science, rather than to transition to policy completely.

Fellowship information

Current fellowship opportunities at CISAC include: 

•  Social Sciences or Humanities International Security Fellowship

•  Natural Sciences or Engineering International Security Fellowship

•  Cybersecurity and International Security Fellowship

•  Law and International Security Fellowship

•  Nuclear Security Fellowship

•  William J. Perry Fellowship in International Security

For more information about CISAC fellowships, email cisacfellowship@stanford.edu.

Fewer girls in low-and-middle-income countries finish secondary school, resulting in poorer health and economic outcomes for their own children — and perpetuating the vicious cycle of gender inequality worldwide.

According to The World Bank, in Sub-Saharan and South Asia, boys are 1.5 times more likely to complete secondary education than girls. Many are forced to stay at home and help their mothers with housework and childcare, particularly if a younger sibling is sick.

Yet the potential gains from increased participation of women in the global workforce over the next decade are estimated at $12 trillion. Studies show that women’s equal participation in the workforce could boost some countries’ GDP by up to 20 percent.

Stanford Health Policy’s Marcella Alsan, a physician and economist, argues in a new study in the journal Pediatrics, that identifying contributors to education disparities and making investments in early childhood health could significantly advance global health and development.

“There are so many advantages to girls staying in school,” Alsan, an assistant professor of medicine at Stanford Medicine, said in an interview. “For one thing, the longer they’re in school, the less likely they are to become young mothers or contract HIV. And the more educated the mother, their own children have better chances of survival.”

So what are some of the biggest barriers to girls completing secondary school in less developed countries?

Alsan and her co-authors found the gender gap is compounded by illness among young children in the household since adolescent girls are often tasked with childcare and domestic chores. The problem is exacerbated if the mother works outside the household.

Follow the Numbers

Along with SHP research data analyst Anlu Xing, Alsan and her team used Demographic and Health Surveys on 41,821 households in 38 low-and-middle-income countries. The surveys asked about illnesses in children under 5 in the last two weeks, and then asked the adolescent boys and girls if they had been in school in the same period.

As expected, more girls remained at home than boys. When no young children in the household are ill, adolescent girls are on average 6 percent less likely to attend school than adolescent boys within the same household.

But the gap increases to 7.8 percent if the household reports one illness episode among an under-5 child, and up to 8.5 percent if there are two or more episodes of illness.

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In other words, the authors write, “The gender gap in adolescent school attendance increased by around 50 percent when young children in the household became ill.”

The education gap between adolescent boys and girls jumps to 10.06 percent if the younger child has two or more episodes of illness — and the mother is working outside the home or in the fields.

“Policies that strengthen family and community supports for challenges such as sick child care will prove essential,” the authors write, “particularly as women move increasingly into the workforce outside the home.”

Alsan’s co-authors are Eran Bendavid, assistant professor of medicine and core faculty member at Stanford Health Policy; Gary Darmstadt, a professor of pediatrics and associate dean for maternal and child health at Stanford Medicine; and Paul Wise, another core faculty member at SHP and professor of pediatrics.

Vaccines Also Key

Alsan and her team also examined data on the gender gap in adolescent education in association with national vaccine rates, using the same country-year surveys.

They found that in countries where about 70 percent of all the boys and girls had the same series of eight vaccines — including polio, diphtheria, tetanus and measles — the gender gap in education approaches zero.

“We hypothesize that countries with high rates of childhood vaccination will experience lower rates of young child illness, thereby decreasing the need for adolescent girls’ to devote time to caring for sick children,” the authors write.

Given the long-term benefits of secondary school for women’s health and economic outcomes, the authors believe their study underscores the societal benefits of keeping girls in school. A combination of vaccines and early childhood interventions to keep toddlers healthy and their older sisters in school are paramount.

“The international community agrees that educating girls through secondary school has plenty of societal benefits — we show that health interventions targeting young kids are an important way to do just that,” says Alsan. “Not only the targeted little kids benefit but also their older sisters — a double dividend.”