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.
Secret Practices of the War on Terror
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Barbara Olshansky is Director Counsel of the Global Justice Initiative and Deputy Legal Director of the Center for Constitutional Rights. Barbara's current docket at the Center for Constitutional Rights includes class action lawsuits concerning international human rights; immigrants' rights; race discrimination in employment, education, the environment, and public health; and prisoners' rights. Barbara recently co-authored two books: the most recent, entitled America's Disappeared, discusses the plight of America's "war on terror" detainees; and the second, entitled Against War With Iraq, analyzes the international law ramifications of the U.S. decision to pursue a military campaign in Iraq.
Barbara has also written two other books: Democracy Detained, discussing America's secret practices used in the "war on terror," and Secret Trials and Executions, assessing the military commissions scheduled for Guantánamo detainees. Stanford Law School recently named her 2005 Public Interest Lawyer of the Year.
Stanford Law School, Room 190
Barbara Olshansky
Director Counsel of the Global Justice Initiative and Deputy Legal Director of the Center for Constitutional Rights.
Speaker
Lectures
Panel Discussion: Hurricane Katrina and Homeland Security: What are the Connections and Research Implications?
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Lynn Eden is associate director for research/senior research scholar at CISAC. Eden received her Ph.D. in sociology from the University of Michigan, held several pre- and post-doctoral fellowships, and taught in the history department at Carnegie Mellon before coming to Stanford. Her book Whole World on Fire: Organizations, Knowledge, and Nuclear Weapons Devastation won the American Sociological Association's 2004 Robert K. Merton Award for best book in science, knowledge, and technology.
Michael May is professor emeritus (research) in the Stanford University School of Engineering and a senior fellow with the Freeman Spogli Institute for Intenrational Studies. He is the former co-director of Stanford University's Center for International Security and Cooperation, and a director emeritus of the Lawrence Livermore National Laboratory, where he worked from 1952 to 1988.
Charles Perrow is professor emeritus of sociology at Yale University. His current interests are in managing highly interactive, tightly-coupled-systems (including hospitals, nuclear plants, chemical plants, power grids, aviation, the space program, and intelligent transportation systems). These interests grew out of his work on "normal accidents," with its emphasis upon organizational design and systems theory. An organizational theorist, he is the author of a number of award winning books in the field of sociology.
Reuben W. Hills Conference Room
Lynn Eden
Not in residence
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lynneden@stanford.edu
Affiliate
Lynn Eden is a Senior Research Scholar Emeritus. She was a Senior Research Scholar at Stanford University's Center for International Security and Cooperation until January 2016, as well as was Associate Director for Research. Eden received her Ph.D. in sociology from the University of Michigan, held several pre- and post-doctoral fellowships, and taught in the history department at Carnegie Mellon before coming to Stanford.
In the area of international security, Eden has focused on U.S. foreign and military policy, arms control, the social construction of science and technology, and organizational issues regarding nuclear policy and homeland security. She co-edited, with Steven E. Miller, Nuclear Arguments: Understanding the Strategic Nuclear Arms and Arms Control Debates (Ithaca, N.Y.: Cornell University Press, 1989). She was an editor of The Oxford Companion to American Military History (New York: Oxford University Press, 2000), which takes a social and cultural perspective on war and peace in U.S. history. That volume was chosen as a Main Selection of the History Book Club.
Eden's book Whole World on Fire: Organizations, Knowledge, and Nuclear Weapons Devastation (Ithaca: Cornell University Press, 2004; New Delhi: Manas Publications, 2004) explores how and why the U.S. government--from World War II to the present--has greatly underestimated the damage caused by nuclear weapons by failing to predict damage from firestorms. It shows how well-funded and highly professional organizations, by focusing on what they do well and systematically excluding what they don't, may build a poor representation of the world--a self-reinforcing fallacy that can have serious consequences, from the sinking of the Titanic to not predicting the vulnerability of the World Trade Center to burning jet fuel. Whole World on Fire won the American Sociological Association's 2004 Robert K. Merton Award for best book in science, knowledge, and technology.
Eden has also written on life in small-town America. Her first book, Crisis in Watertown (Ann Arbor: University of Michigan Press, 1972), was her college senior thesis; it was a finalist for a National Book Award in 1973. Her second book, Witness in Philadelphia, with Florence Mars (Baton Rouge: Louisiana State University Press, 1977), about the murders of civil rights workers Schwerner, Chaney, and Goodman in the summer of 1964, was a Book of the Month Club Alternate Selection.
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Michael May
Professor Emeritus
Speaker
Stanford
Charles Perrow
Research Fellow
Speaker
CISAC; Professor of Sciology (emeritus) Yale University
Seminars
The Antiplague System of the Former Soviet Union
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The USSR's anti-plague system had four main responsibilities: monitor natural foci of endemic dread diseases such as plague, tularemia, anthrax, and Crimean-Congo hemorrhagic fever; protect the nation from imported exotic diseases (e.g., cholera and smallpox); protect the nation from biological warfare; and perform tasks for the Soviet offensive biological weapons program. Although the anti-plague system appears to have had successes in public health, its work undoubtedly was compromised by excessive secrecy, which led to anti-plague scientists having to overcome substantial barriers before being able to communicate with colleagues in other Soviet public health agencies, publish the results of their work, and undertake travel to non-socialist countries. This system disintegrated after December 1991, but was resurrected as elements of the newly independent states' health systems.
Reporting on the findings of a recently concluded project carried out by the Center for Nonproliferation Studies (CNS), I will discuss: (1) the threats that the anti-plague systems' human resources, pathogen culture collections, and equipment pose to international security; (2) the promises these systems hold, should they regain their former level of scientific/technical capability, for enhancing international public health; and (3) current activities by U.S. government agencies to lessen the security and safety threats of these systems and, simultaneously, increase their public health capabilities. As appropriate, I will illustrate the presentation with photos taken by CNS personnel in the course of having visited more than 40 anti-plague institutes and stations.
Dr. Raymond Zilinskas worked as a clinical microbiologist for 16 years, after graduating from California State University at Northridge with a BA in Biology, and from University of Stockholm with a Filosofie Kandidat in Organic Chemistry. He then commenced graduate studies at the University of Southern California. His dissertation addressed policy issues generated by recombinant DNA research, including the applicability of genetic engineering techniques for military and terrorist purposes. After earning a PhD, Dr. Zilinskas worked at the U.S. Office of Technology Assessment (1981-1982), United Nations Industrial Development Organization (1982-1986), and University of Maryland Biotechnology Institute (UMBI) (1987-1998). In addition, he was an Adjunct Associate Professor at the Department of International Health, School of Hygiene and Public Health, Johns Hopkins University, until 1999.
In 1993, Dr. Zilinskas was appointed William Foster Fellow at the U.S. Arms Control and Disarmament Agency (ACDA), where he worked on biological and toxin warfare issues. In 1994, ACDA seconded Dr. Zilinskas to the United Nations Special Commission (UNSCOM), where he worked as a biological analyst for seven months. He participated in two biological warfare-related inspections in Iraq (June and October 1994) encompassing 61 biological research and production facilities. He set up a database containing data about key dual-use biological equipment in Iraq and developed a protocol for UNSCOM's on-going monitoring and verification program in the biological field.
After the fellowship, Dr. Zilinskas returned to the UMBI and Johns Hopkins University. In addition, he continued to serve as a long-term consultant to ACDA (now part of the U.S. Department of State), for which he carried out studies on Cuban allegations of U.S. biological attacks against its people, animals, and plants and investigations carried out by the United Nations of chemical warfare in Southeast Asia and the Arabian Gulf region. Dr. Zilinskas also is a consultant to the U.S. Department of Defense.
In September 1998, Dr. Zilinskas was appointed Senior Scientist at the Center for Nonproliferation Studies (CNS), Monterey Institute of International Studies. On September 1, 2002, he was promoted to the Director of the Chemical and Biological Weapons Nonproliferation Program at the CNS. His research focuses on achieving effective biological arms control, assessing the proliferation potential of the former Soviet Union's biological warfare program, and meeting the threat of bioterrorism. Dr. Zilinskas' book Biological Warfare: Modern Offense and Defense, a definitive account on how modern biotechnology has qualitatively changed developments related to biological weapons and defense, was published in 1999. In 2005, the important reference work Encyclopedia of Bioterrorism Defense, which is co-edited by Richard Pilch and Dr. Zilinskas, was published by Wiley. He currently is writing a book on the former Soviet Union's biological warfare program, including its history, organization, accomplishments, and proliferation potential, which will be published in 2006.
Reuben W. Hills Conference Room, East 207, Encina Hall
Ray Zilinskas
Director, Chemical and Biological Weapons Nonproliferation Program
Speaker
Center for Nonproliferation Studies, Monterey Institute
Seminars
HIV/AIDS in China
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There are currently an estimated 840,000 people in China who are infected with HIV. The largest two groups that have been affected are injection drug users and former plasma donors. Recent demographic and economic changes in China could and may be fueling an increase in sexual transmission in China. Dr. Nancy Shulman will give a brief overview of HIV in China and the governmental response. Future collaborative efforts with Stanford will also be discussed.
Co-sponsored with the Center for East Asian Studies
Philippines Conference Room
Nancy Shulman
Instructor of Medicine, Division of Infectious Diseases, School of Medicine, Stanford University
Speaker
Seminars
Walter Falcon featured in the world hunger documentary ''Silent Killer: The Unfinished Campaign Against Hunger''
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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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Stella Quah
Shorenstein APARC
Stanford University
Encina Hall, Room E301
Stanford, CA 94305-6055
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quahs@stanford.edu
Visiting Scholar
Stella Quah, (PhD, University of Singapore; M.Sc [sociology], Florida State University) is professor of sociology at the National University of Singapore. She was a Fulbright Hays scholar from 1969 to 1971. Since 1986 she has spent academic sabbaticals as research associate and visiting scholar at the Institute of Governmental Studies, University of California Berkeley; the Center for International Studies at the Massachusetts Institute of Technology; the Department of Sociology at Harvard University; the Harvard-Yenching Institute, Harvard University; the Stanford Program in International Legal Studies, Stanford University; and the National Centre for Development Studies, Australian National University.
Professor Quah was elected vice president for research of the International Sociological Association (ISA); chairperson of the ISA Research Council for the session 1994-98; and served as associate editor of International Sociology (1998-2004).
Among her professional activities, Professor Quah serves on two institutional review boards; is member of the Society for Comparative Research; member of the International Advisory Board of the British Journal of Sociology; member of the Editorial Advisory Board of Health Sociology Review, the journal of the health section of the Australian Sociological Association; member of the editorial board of Marriage & Family Review; member of the International Advisory Board of Asian Population Studies; editor of the Sociology in Asia Series; and editor of the Health Systems Section, Encyclopedia of Public Health (Elsevier Inc).
Professor Quah's main areas of research are medical sociology, social policy, and family sociology. The complete list of her publications is at http://profile.nus.edu.sg/fass/socquahs.
Grant Miller
Encina Commons Room 101,
615 Crothers Way,
Stanford, CA 94305-6006
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ngmiller@stanford.edu
Henry J. Kaiser, Jr. Professor
Professor, Health Policy
Senior Fellow at the Freeman Spogli Institute for International Studies
Senior Fellow at the Stanford Institute for Economic Policy Research
Professor, Economics (by courtesy)
As a health and development economist based at the Stanford School of Medicine, Dr. Miller's overarching focus is research and teaching aimed at developing more effective health improvement strategies for developing countries.
His agenda addresses three major interrelated themes: First, what are the major causes of population health improvement around the world and over time? His projects addressing this question are retrospective observational studies that focus both on historical health improvement and the determinants of population health in developing countries today. Second, what are the behavioral underpinnings of the major determinants of population health improvement? Policy relevance and generalizability require knowing not only which factors have contributed most to population health gains, but also why. Third, how can programs and policies use these behavioral insights to improve population health more effectively? The ultimate test of policy relevance is the ability to help formulate new strategies using these insights that are effective.
Faculty Fellow, Stanford Center on Global Poverty and Development
Faculty Affiliate, Stanford Center for Latin American Studies
Faculty Affiliate, Woods Institute for the Environment
Faculty Affiliate, Interdisciplinary Program in Environment & Resources
Faculty Affiliate, Stanford Center on China's Economy and Institutions
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China-U.S. Health and Aging Fellowship Trainee Returns to China
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China has a large and growing elderly population, but to be old in China-particularly in the countryside-is to be vulnerable. In the country's rural areas there are few clinics and hospitals, and health insurance is virtually nonexistent. Compared with elderly Chinese living in urban areas, those in rural areas have a shorter life expectancy and a poorer quality of life.
Further, little academic research has focused on the health needs and health status of China's elderly. It is with the goal of addressing this deficit that Pengqian Fang, a trainee with CHP/PCOR's China-U.S. Health and Aging Research Fellowship, recently returned to China from Stanford. Fang is seeking to document the health disparities between China's rural and urban elderly population, and to use his findings to propose healthcare assistance programs for the elderly in rural areas of China.
Fang spent a year at Stanford studying health-services research concepts and methods and developing his research project.
In the project, which Fang refined with guidance from CHP/PCOR faculty, Fang will conduct a detailed survey of the health status, health needs, and healthcare utilization of elderly people in rural and urban areas of China, through in-home interviews in three Chinese provinces with different geographic and socioeconomic characteristics: Guizhou (in southwest China), Hubei (in central China), and Guangdong (in the southeast).
He will conduct the project in collaboration with the health departments of the
three provinces, and with support from Tongji Medical College in Wuhan, where he
is director and associate professor of healthcare management.
Fang's study will be among the first of its kind in China. Such research is needed, Fang explained, because China's elderly population (of whom 70 percent reside in rural areas) is growing steadily, and in the coming years its members will require medical services at increasing rates. According to the country's 2000 census, China has 132 million people over age 65, making up more than 10 percent of the population; the over-80 population, which numbers 10 million people, is increasing by 5.4 percent a year; and about 20 percent of all elderly people in the world live in China.
The elderly in China's rural areas face particular challenges in getting high-quality, affordable healthcare services, Fang explained. There are few clinics and hospitals in rural areas, and there is no government-sponsored health coverage for the elderly (like the United States' Medicare program) anywhere in China. All of these factors put China's rural elderly in a vulnerable position, especially those with disabilities or serious illnesses.
"This research will show the disparities that exist, and it will encourage a dialogue about policies to help rural elderly people in China," Fang said.
Fang plans to conduct his survey in the first half of 2005, analyze the data in the summer and fall, and return to Stanford in November 2005 to present the results. In each of the three provinces studied, the research team will recruit 500 households and will conduct interviews with all individuals age 65 and over who reside there, for an estimated final sample of 2,500 people.
The respondents will be asked for a variety of information, including their income and education, insurance status, health status, daily activities, social activity, mental health, utilization of healthcare services, and accessibility and affordability of medical care. The researchers will also interview community healthcare workers-including physicians, nurses, and administrative staff-to seek information on the health needs of the elderly and the barriers they and their healthcare providers face.
The China-U.S. Health and Aging Research Fellowship, administered jointly by
CHP/PCOR and the China Health Economics Institute (Beijing), aims to improve
healthcare quality and efficiency in China through an exchange program in which
selected Chinese health services researchers come to Stanford to study for six months to a year, and then return to China to conduct an original research project. The fellowship is funded by the National Institutes of Health's Fogarty International Center.
"I have learned very much from Stanford and this program," Fang said. "The classes I attended have given me very useful ideas." He noted that since health services research is still a young field in China-about ten years old-"we learn a lot from the United States, like how to ask the research question, how to get a grant, how to design a study."
One aspect of Stanford that particularly impressed Fang was its emphasis on interdisciplinary collaboration.
"This is a very good feature-the close relationship between different fields," he said. "In my country we are more focused on one narrow field."
Fang said he is interested in establishing research collaborations between Stanford and Tongji Medical College-an idea that he and CHP/PCOR's leadership will be exploring in the coming months.
There is much to admire about the U.S. healthcare system's emphasis on innovation and technology, Fang said. Still, he said, "I don't hope for China to follow the U.S. health system," with its heavy reliance on free-market principles. For one thing, "medicine here is very costly." He cited a personal example of how he fractured his arm in a minor bicycle accident, and how his emergency room visit for the injury, along with a follow-up physician appointment, cost more than $1,000. "I was surprised it cost so much," he said.
A review of the fellowship program conducted by officials at the China Health Economics Institute last fall concluded that it has been successful and valuable. Leaders at the institute said the trainees' Stanford experience has enhanced their intellectual abilities, their knowledge of research methodology, their leadership capacity, and their ability to collaborate internationally.
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