Health and Medicine

FSI’s researchers assess health and medicine through the lenses of economics, nutrition and politics. They’re studying and influencing public health policies of local and national governments and the roles that corporations and nongovernmental organizations play in providing health care around the world. Scholars look at how governance affects citizens’ health, how children’s health care access affects the aging process and how to improve children’s health in Guatemala and rural China. They want to know what it will take for people to cook more safely and breathe more easily in developing countries.

FSI professors investigate how lifestyles affect health. What good does gardening do for older Americans? What are the benefits of eating organic food or growing genetically modified rice in China? They study cost-effectiveness by examining programs like those aimed at preventing the spread of tuberculosis in Russian prisons. Policies that impact obesity and undernutrition are examined; as are the public health implications of limiting salt in processed foods and the role of smoking among men who work in Chinese factories. FSI health research looks at sweeping domestic policies like the Affordable Care Act and the role of foreign aid in affecting the price of HIV drugs in Africa.

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As we find ourselves at the start of the "biological century" with a wealth of potential benefits to public health, agriculture, and global economies, it is almost deliberately naive to think that the extraordinary growth in the life sciences might not be exploited for nefarious purposes. A report published in 2006 by an ad hoc committee of the National Academies of Science recognized that the breadth of biological threats is much broader than commonly appreciated and will continue to expand for the foreseeable future. The nature of these threats, and a set of potential approaches with which to mitigate these threats, will be reviewed.

David Relman, MD, is professor of medicine, and of microbiology and immunology at Stanford University. He is also chief, infectious diseases section, at the VA Palo Alto Health Care System in Palo Alto, California. His research is directed towards the characterization of the human indigenous microbial communities, with emphasis on understanding variation in diversity, succession, the effects of disturbance, and the role of these communities in health and disease.  This work brings together approaches from ecology, population biology, environmental microbiology, genomics and clinical medicine.  In addition, his research explores the classification structure of humans and non-human primates with systemic infectious diseases, based on patterns of genome-wide gene transcript abundance in blood and other tissues. The goals of this work are to recognize classes of pathogen and predict clinical outcome at early time points in the disease process, as well as to gain further insights into virulence. Past scientific achievements include the description of a novel approach for identifying previously-unknown pathogens, the identification of a number of new human microbial pathogens, including the agent of Whipple's disease, and some of the most extensive analyses to date of the human indigenous microbial ecosystem. See http://relman.stanford.edu

Among his other activities, Dr. Relman currently serves as Chair of the Board of Scientific Counselors of the National Institute of Dental and Craniofacial Research (NIH), Chair of the Institute of Medicine's Forum on Microbial Threats (U.S. National Academies of Science), member of the National Science Advisory Board for Biosecurity, and advises several U.S. Government departments and agencies on matters related to pathogen diversity, the future life sciences landscape, and the nature of present and future biological threats.  He co-chaired a three-year study at the National Academy of Sciences that produced a report entitled, "Globalization, Biosecurity, and the Future of the Life Sciences" (2006). He is a member of the American Academy of Microbiology. Dr. Relman received the Squibb Award of the IDSA in 2001, and was the recipient of both the NIH Director's Pioneer Award, and the Distinguished Clinical Scientist Award from the Doris Duke Charitable Foundation, in 2006.

Reuben W. Hills Conference Room

David Relman Professor of Medicine and of Microbiology and Immunology Speaker Stanford University
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Teh-wei Hu is a Professor Emeritus of health economics at the University of California, Berkeley.  At Berkeley, he served as associate dean (1999-2002) and department chair (1990-1993) in the School of Public Health.  He received his PhD in Economics from the University of Wisconsin.  

During the past 40 years, Professor Hu has been teaching and conducting research in health economics, particularly in healthcare financing and the economics of tobacco control.  Hu was a Fulbright scholar in China. He has served as consultant or advisor to the World Bank, the World Health Organization, the National Institutes of Health, the Institute of Medicine, the Rand Corporation, the Ministry of Health in the People's Republic of China, Department of Health and Welfare in Hong Kong, Department of Health in the Republic of China (Taiwan), and many private research institutions and foundations. 

Professor Hu will speak to us immediately after an April trip to China, sharing his research and perspectives on the economics of tobacco control and the debate about healthcare system reforms in China (including a possible link between the two through financing expansions in coverage through increased tobacco taxation).

Philippines Conference Room

Teh-wei Hu Professor Emeritus Speaker University of California, Berkeley, School of Public Health
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Projects to enhance health security and child survival in Africa with improvements in water and sanitation, examine why poor business-management practices persist in India, study the relationship of legal courts to politics and human rights, and understand why the Middle East has lagged in economic progress were recent recipients of grants totaling just under $1 million from Stanford's Presidential Fund for Innovation in International Studies.

"These projects have great potential to advance academic knowledge, social capital and human development around the world, and to create a healthier, more promising future for hundreds of millions of people," President John Hennessy said. "When we launched The Stanford Challenge, we committed to marshal university resources to address the great challenges of the 21st century in human health, the environment and international affairs, and it is gratifying to see the response from our remarkable faculty."

The 2008 projects and their principal investigators follow:

Enhancing Health Security Through Infrastructure and Behavioral Intervention: Water, Sanitation and Child Survival in Africa. Alexandria Boehm and Jenna Davis, Civil and Environmental Engineering; Abby King, Health Research and Policy and Medicine; Gary Schoolnik, Medicine and Microbiology and Immunology. The project seeks to improve the health and well-being of the 1.2 billion people in low-income countries who lack access to clean water and the 2.6 billion who lack access to sanitation services, with a focus on mortality reduction in children. It will be carried out in sub-Saharan Africa, where the toll of water- and sanitation-related illness on health is severe, and will investigate the extent to which information and education about water and sanitation at the household level motivates behavior changes that result in reduced morbidity. Results will inform international efforts to design and implement effective water supply and sanitation interventions for more than 400 million Africans currently lacking access.

Why Are Indian Firms Poorly Managed? A Survey and Randomized Field Intervention. Nicholas Bloom and Aprajit Mahajan, Economics; Thomas C. Heller and Erik Jensen, Law School; John Roberts, Graduate School of Business. The biggest single reduction in poverty in the history of mankind was achieved by the industrialization of China since 1978, which lifted almost 500 million people out of poverty. India has not experienced this level of poverty reduction because its manufacturing firms have not achieved the productivity gains seen in China. Recent evidence suggests one key factor is the poor management practices adopted by Indian firms. This project examines why poor management practices persist in India and are much more common there. It focuses in particular on evaluating the relative importance of informational, legal and development barriers. The project will undertake a field survey of Indian firms to evaluate their knowledge of modern management techniques and a field intervention aimed at upgrading management practices in a randomized sample of Indian firms, comparing their progress to a control group of untouched firms.

Courts, Politics and Human Rights. Joshua Cohen, Philosophy, Political Science, and Law School; Terry L. Karl, Political Science; Jenny S. Martinez, Law School; Helen Stacy, Law School. This project examines the role of courts as the centerpiece of strategies for promoting human rights by asking if courts should be a preferred human rights venue or if there are other more accessible and effective ways to secure human rights. It addresses three broad themes: the interplay between national, regional and international courts in the protection of human rights; the role of governments and nongovernmental organizations in influencing legal proceedings; and how courts construct historical truth and shape public opinion, memory, attitudes and discourse about human-rights abuses. The multidisciplinary project will span countries, regions, issue areas and historical timeframes to ask what reasonably can be expected from international, regional and domestic courts in safeguarding human rights.

The Middle East and the World Economy. Matthew Harding, Economics; Lisa Blaydes, Political Science. This project examines why the Middle East has lagged in economic progress compared to much of the developing world and the implications of this underdevelopment for two overarching trends in Middle Eastern politics today: authoritarian government and Islamic fundamentalism. The researchers also will examine how political instability originating in the Middle East has affected world oil prices and world markets by constructing economic models of the world economy. The project seeks broadly to understand the macro- and microeconomic determinants of Islamic fundamentalism and authoritarian rule, and the extent to which these two outcomes have affected the stability and prosperity of the world economy. It measures global factors resulting from increased globalization and quantifies their impact on the development of economies in the Middle East.

The $3 million Presidential Fund for Innovation in International Studies was first established in 2005 by the Office of the President and the Stanford International Initiative to support new cross-campus, interdisciplinary research and teaching among Stanford's seven schools on three overarching global challenges: pursuing peace and security, reforming and improving governance at all levels of society, and advancing human well-being.

The first $1 million in interdisciplinary grants was awarded in February 2006; the second round of grants was awarded in February 2007.

"In all three rounds of funding, it has been heartening to see the imaginative and innovative ways that Stanford faculty are combining intellectual forces across disciplines to tackle some of the most pressing and persistent problems of our day," said Coit D. Blacker, chair of the International Initiative Executive Committee and director of Stanford's Freeman Spogli Institute for International Studies. "It is especially gratifying to see the younger faculty competing for these grants, eager to generate new knowledge and new solutions and help train a new generation of leaders."

Priority in funding has been given to teams of faculty who do not typically work together, who represent multiple disciplines and who address issues falling broadly within the three central research areas of the Stanford International Initiative. Projects are to be based on collaborative research and teaching involving faculty from two or more disciplines and, where possible, from two or more of the university's seven schools.

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Karen Eggleston
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The Asia Health Policy Program of the Shorenstein Asia-Pacific Research Center invites scholars from multiple disciplines to join the Asia-Pacific Health Policy Forum (APHPF) by creating your own account on our website.  Your information will be saved in our online database, searchable by name, country or region of focus, discipline, and topic.  

The mission of the Asia-Pacific Health Policy Forum (APHPF) is to serve as a resource for social science research, teaching, and evidence-based policymaking about health and healthcare in the Asia-Pacific region. 

Specifically, APHPF aims to

  • encourage collaboration among social scientists doing research on health policy in the Asia-Pacific region;
  • serve as a resource for teaching about health and healthcare in specific countries and regions within the Asia-Pacific;
  • provide analysis to inform policy, by offering a forum for rapid dissemination of policy-relevant research results, as well as by linking organizations, programs, conferences and white papers about specific health policy issues; and
  • raise awareness and foster dialogue among researchers, policymakers, and business about cross-cutting themes and global challenges of health and healthcare access, quality, and cost, within the specific historical and cultural contexts of the diverse nations of the Asia-Pacific. 

We encourage all researchers with an interest in health and healthcare in the Asia-Pacific to create an account and to submit information about upcoming conferences and sessions within larger disciplinary conferences that focus on any aspect of health policy in the Asia-Pacific to the Forum coordinator, Karen Eggleston

There are no membership dues, as the Forum is currently supported by the Asian Health Policy Program of the Shorenstein Asia-Pacific Research Center at Stanford University.

The Asia-Pacific Health Policy Forum represents a multidisciplinary effort to build organizational linkages and work toward developing an Asia-Pacific parallel to the European Observatory on Health Systems and Policy.

With your help, the APHPF can develop into a vibrant resource and networking support for all of us seeking to understand and improve health and healthcare systems in the region.

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This unit explores the long-term effects of radiation through the examination of issues surrounding the atomic bombs dropped on Japan in 1945; and the 1986 explosion at the Chernobyl power plant. We hope the unit provides teachers with the tools and background information necessary to more confidently discuss recent events in Japan with their students.
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Ms. Rees explores the business of sex trafficking in Eastern Europe particularly from the standpoint of her own personal experience. She explains, from her many years in Bosnia, the tragedies of the business, as well as the failures in attempts to stop it. In addition, Ms. Rees looks forward and argues how she feels the problem should be tackled in the future.

Synopsis

Ms. Rees sets the tone for her talk from the start by stating that while our interventions are a response to the phenomenon of sex trafficking, the phenomenon develops as a result of our interventions. Offering a simplified definition, she explains that the sex trafficking business consists of three main stages: recruitment, transfer, and exploitation. Mr. Rees continues by arguing that although there are many different perceptions of trafficking, focusing on only one of them, such as purely the prostitution aspect or solely the migration factor, will lead to eventual failure.

Placing strong emphasis on the fact that sex trafficking is a free market affair and therefore must be treated as such, Mr. Rees begins her focus on the business in Eastern Europe from the perspective of the dire economic situation in post-Soviet states. Discussing primarily her personal experience in Bosnia in the midst of the Balkans conflict, she explains the situation was one where organized criminal activity was for survival. In addition, Ms. Rees reveals that the status of the region both during and after the conflict was perfect for sex trafficking. There were almost no border checks, the 60, 000 peacekeepers provided a large and convenient market, and the police were easily corruptible. Ms. Rees explains that this messy situation lasted until 1999-2000 when the international community finally realized the seriousness of the problem at hand.

Resulting from the stabilization of the region and increased international attention, the crime of sex trafficking and its response was becoming increasingly sophisticated. However, Ms. Rees explains the role of the UN consisted of, in large part, offering clients and doing little to punish their conduct. She also expresses discontent at the UN program of bar raids which shifted the business underground, making it much harder to track. Similarly, Ms. Rees examines the efforts the International Organization for Migration and her concern with the tactics of coercive testimony. Ms. Rees also focuses on the period after 2003, once the UN peacekeepers had left, where the market had shrunk and the business was legitimizing. As women were starting to make money, the law enforcement approach was becoming increasingly messy, and Ms. Rees examines the certain merits of shelters and legal advice for the female victims.

Ms Rees concludes on a more somber note, exposing her belief that Bosnia was a failure in attempts to stop sex trafficking. She emphasizes that it was a failure with considerable economic ramifications. Finally, Mr. Rees finishes by arguing that current approaches do not listen enough to the subjects of the crime, the women. These are who we must base our efforts around.

Ms. Rees also kindly takes the time answer the audience’s various questions, raising a multitude of issues. She explains the inaccuracy and impossibility of estimating the numbers of the sex trafficking industry. Ms. Rees also explores the issues of HIV and pregnancies, as well as immunity for foreign workers such as the UN peacekeepers. Another key point raised was the potential effectiveness of prosecuting clients of the sex trafficking business.

Sponsored jointly by the Forum on Contemporary Europe, Center for Russian, East European and Eurasian Studies, Stanford Law School, and Michelle R. Clayman Institute for Gender Research.

This keynote speech kicks off the Trafficking of Women in Post-Communist Europe conference April 18.

Bechtel Conference Center

Madeleine Rees Head of the Women's Rights and Gender Unit, Office of the United Nations High Commissioner for Human Rights Speaker
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For 2009, SPICE has developed four new curriculum units: Examining Long-term Radiation Effects, Interactive Teaching AIDS: A Comprehensive HIV/AIDS Prevention Curriculum, China's Republican Era, 1911 to 1949, and Teacher's Guide to Wings of Defeat.

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For women, the dangers of war go far beyond the violence of combat. A gutted health system can be a death sentence for both mother and child, in countries where even the peace-time risk of dying from pregnancy is staggeringly high. Where rape is used as a weapon and lawlessness prevails, women become targets for all sides in a conflict. And threats linger long after fighting ends, in war-torn regions where the conditions of destruction leave women without the most basic medical care, and the circumstances of displacement make them vulnerable to many more forms of abuse and exploitation.

The International Rescue Committee (IRC) works to protect women and help them to heal. We partner with local women's groups and grassroots organizations to deliver health care and counseling. We also create greater access to empower women with education and economic opportunity. Recognized as the world's leading humanitarian service organization for its comprehensive approach to emergency relief and long-term recovery, IRC helps bring millions of refugees from harm to home each year with programs in 25 countries and as many U.S. cities. In honor of International Women's Day, IRC is partnering with the Freeman Spogli Institute for International Studies at Stanford University to present this informative panel discussion on two issues critical to refugee women's health: emergency obstetric care and gender based violence.

Bechtel Conference Center

Susan Purdin IRC Technical Advisor, Reproductive Health Speaker International Rescue Committee
Heidi Lehmann IRC Technical Advisor, Gender Based Violence Speaker International Rescue Committee
Susan Dentzer Health Correspondent, The NewsHour with Jim Lehrer on PBS, Member, IRC Board of Directors Moderator International Rescue Committee
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gudmund_hernes_headshot-2023.jpg PhD

Gudmund Hernes is an adjunct professor at the Norwegian Business School, Oslo, Senior Researcher at the Fafo Research Foundation, and from 2017 Chair of the University Board (Konsistorium) at Uppsala University, and an adjunct affiliate at Stanford Health Policy. A columnist for the Norwegian weekly Morgenbladet, his research focuses on political economy and sociology. Hernes, who has a PhD in sociology from Johns Hopkins University, has also served as UNESCO's global coordinator for HIV/AIDS and is a member of the Norwegian Academy of Sciences and Letters.

Adjunct Affiliate at the Center for Health Policy and the Department of Health Policy
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Division of Neonatal and Developmental Medicine, Developmental-Behavioral Pediatrics Section
MSOB Building, 1265 Welch Road X109
Stanford, CA 94305

(650) 736-4744 (650) 688-0206
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Associate Professor of Pediatrics
lynne-huffman_profilephoto.jpeg MD

Lynne C. Huffman, MD, is a developmental-behavioral pediatrician (board certified, 2002) and Associate Professor of Pediatrics at Stanford School of Medicine. She received her MD from George Washington University (1981) and completed her pediatric residency training at the Children’s National Medical Center (Washington, D.C., 1984). Her subspecialty training in developmental-behavioral pediatrics was completed at UCSF (1986), with an NIH research post-doctoral fellowship in child development (1991).

In her faculty role at Stanford, she serves as Associate Program Director for the Developmental-Behavioral Pediatrics (DBP) Fellowship Program and directs the Pediatrics Residency DBP rotation. Her clinical responsibilities include High-risk Infant Follow-up and Young Child Program.  Current research activities concentrate on (1) medical education research – training subspecialists in shared decision-making; (2) the early identification and treatment of developmental and behavioral concerns, particularly in children with special health care needs; and, (3) community-based behavioral health/educational program evaluation and outcomes measurement.

Stanford Health Policy Associate
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