Category Archives: Public health schools

Oct 24 2014
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Faces of Public Health: Daniel Barnett, MD

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News today that a fourth case of Ebola has been diagnosed in the United States underscores the urgent need to have health workers not just ready, but also willing to treat patients with the illness. Next Wednesday, the National Coordinating Center on Public Health Systems and Services Research (PHSSR) will be hosting a webinar on legal protections to help facilitate health worker willingness. Daniel Barnett, MD, an Associate Professor in the Department of Environmental Health Sciences at the Johns Hopkins Bloomberg School of Public Health, will be the main presenter. Barnett and three Bloomberg colleagues, Leonie Ratko, JD, PhD, MPH, Jon S. Enrick, JD, MPH Carol B. Thompson, MS, MBA received funding from the Robert Wood Johnson Foundation and PHSSR to study the issue. PHSSR's Center is funded by RWJF and based at the University of Kentucky.

NewPublicHealth recently spoke with Barnett.

NewPublicHealth: What are the concerns with respect to health workers being prepared to take some risks in order to protect the public?

Daniel Barnett: There’s been a longstanding tacit dysfunction about preparedness trainings: That if you train someone in knowledge and skills in terms of how to respond, that will necessarily translate into a willingness to do so. But our work has shown that “training to knowledge equals training to willingness” is a false assumption. In other words, I can teach someone how to recognize anthrax or some other infectious disease agent under a microscope, but that in no way ensures that that individual will be willing to come to work to look at anthrax or another infectious disease agent under a microscope, and by analogy, any other type of frontline public health or health care response.

That’s been, frankly, a missing piece in public health preparedness training nationally and internationally, and I think that we need to really rethink paradigms of preparedness training and education to take a more holistic approach. In other words, an approach that recognizes that frontline healthcare workers and public health workers have fears and concerns attached to a whole variety of aspects of the events at hand.

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Oct 24 2014
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Two Important Ebola Conferences Coming Up

Just about every think tank, school of public health and infectious disease association has held a conference on Ebola in the last few weeks, but two coming up are still absolutely worth tracking.

Now that New York City has seen is first diagnosis of Ebola, an already scheduled conference next week at Columbia University’s Mailman School of Public Health has taken on added importance. Presenters include ABC News Chief Health and Medical editor and former acting U.S. Centers for Disease Control and Prevention director Richard Besser, MD, as well as Irwin Redlener, MD, director of the National Center for Disaster Preparedness at Columbia University's Earth Institute. While the conversation surrounding the Ebola cases in Dallas focused on the need for health care workers to receive better guidance and training, hours into the first case in New York City the focus is on the challenge of containing the disease in a huge urban setting—a topic the presenters will discuss at length.

And on November 7, the White House Office of Science and Technology Policy will host a simulcast workshop together with Texas A&M, the Worcester Polytechnic Institute and the University of California, Berkeley to discuss proposals to dispatch robots to aid in the care of Ebola patients and people who have succumbed to the disease. The idea is to augment — and not replace — health workers. Robots could spray disinfectant, respond to commands given by health workers in a remote location and even help bury the dead.

The conference will include not just engineers, but also public health officials and health care personnel who can speak to the human needs that need to be considered when design the robots. For example, Texas A&M engineering students are working on a robotic attachment that would pick up a dead body in movements that mimic compassion, rather than in another way that may be efficient but does not show sensitivity for the dead and their families.

>>Bonus Link: Read an interview with the conference conveners.

Oct 22 2014
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Recommended Reading: Cities Take the Lead in Public Health Advances

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Bruce Katz, vice president and director of the Metropolitan Policy Program at the Brookings Institution, recently spoke at the Mailman School of Public Health at Columbia University about his thesis that in the absence of federal leadership, cities are taking the lead on public health innovation in many ways including passing new laws that address public health concerns and partnering with university research centers.

Mailman recently published an interview with Katz about belief that cities are driving public health changes and improvements. One topic Katz addressed was cities working together to improve population health:

Cities watch each other closely. When one innovates, others replicate the innovation or adapt and tailor it to their own circumstances. We used to think if you were going to have dramatic change in a country on any number of issues, you needed the scale of the national government. Today it's more likely that a city will innovate in such a way that other cities can say, “We can do that, and maybe we can do it better.”

For example, when Portland, Oregon, finds a way to promote itself as the place that builds green cities and exports sustainable products and services to growing cities in Latin America or Asia, other cities begin to think, "Wait a second, we have our own clusters of clean energy or clean economy. Perhaps we can do the same branding and marketing and export promotion.”

The success of individual cities, or what Michael Bloomberg has done with C40 [a city-centric climate leadership group] rests on this notion that cities can learn from each other, share with each other, and then replicate the best innovations to have impact in their locales. That's a very different, 21st century model of how society goes about solving its major problems.

Read the full interview

Oct 17 2014
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Recommended Reading: Culture of Health Prize Winner Brownsville on Health Affairs

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Earlier this year, Brownsville, Tex., was chosen by the Robert Wood Johnson Foundation as a Culture of Health Prize winner for its efforts to improve community health. As part of a new ongoing series, Health Affairs blog has featured a piece by local Brownsville leader Belinda Reininger on the community’s health successes.

Brownsville is a mostly Spanish-speaking town on the Texas border. The community, which is home to approximately 180,000 people, is also among the poorest metropolitan areas in the country. Approximately 48 percent of its children live in poverty, 80 percent of its population is obese or overweight, 30 percent have diabetes and about 67 percent have no health insurance.

However, over the last decade it has also become a “robust, bike-friendly city” that also promotes health through community gardens and the world’s largest Zumba class, according to Reininger. This is thanks in large part to the University of Texas’ decision to open its School of Public Health in Brownsville and the formation of Community Advisory Board that brings together 200 people and organizations, from private citizens and elected officials to business executives and nonprofits.

The board’s members “carry the message of wellness into their homes and businesses, and they’re able to affect policy and environmental changes by voting and leadership—and that’s how we have been able to include the community, by engaging them every single step of the way,” said Reininger, DrPh, to NewPublicHealth earlier this year.

Brownsville’s efforts include:

  • Using data to assess the community’s health issues and then to engage with community members in a way that is both informative and beneficial to their health.
  • Creating diverse programs — from Brownsville in Motion to promote physical activity through safe access to trails and bike lanes, to the Brownsville Farmers’ Market and Community Garden—to address the relationships between health, poverty, education and the economy.

To learn more about Brownsville’s prize-winning efforts to improve public health, read the Health Affairs blog post.

>>Bonus Links: Learn more about the 2014 RWJF Culture of Health Prize winners and read NewPublicHealth coverage of the prize announcement.

>>Bonus Content: Watch a NewPublicHealth video on Brownsville's efforts to build a Culture of Health.

Sep 19 2014
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Faces of Public Health: Q&A with Joshua Sharfstein, MD

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In the last few months, several prominent national and state public health leaders have announced plans to move on to new things, including David Fleming, MD, MPH, the former Public Health Director in Seattle & King County Washington, who NewPublicHealth spoke with last month. We also recently spoke with Joshua Sharfstein, MD, secretary of Maryland’s Department of Health and Mental Hygiene, who will leave his post at the end of the year to teach at the Bloomberg School of Public Health at Johns Hopkins University as part of the faculty of the School of Health Policy and Management.

Earlier this year, Sharfstein gave the commencement address at the graduation ceremony of the University of Maryland School of Public Health, and had this to say about the importance of ensuring the public’s health:

“The premise of public health is that the well­being of individuals, families and communities has fundamental moral value. When people are healthy, they are productive, creative and caring. They enjoy life and have fun with their friends and families. They strengthen their neighborhoods and they help others in need. In short, they get to live their lives.”

NewPublicHealth: What prompted you to move to academia at this point in your career?

Joshua Sharfstein: It's a chance to help train hundreds of new public health leaders as well as work in depth on issues that are important to me. I am especially looking forward to getting to work closely with so many talented faculty at the Johns Hopkins Bloomberg School.

NPH: How have your research and teaching skills benefitted from your time as deputy director of the U.S. Food and Drug Administration (FDA) and your position with the state of Maryland?

Sharfstein: I've seen a lot of public health in action at the local, state and federal level. My goal will be to show students how important, interesting, engaging and—at times—strange public health can be. I have a research interest in why certain policies are pursued and others are not—and how public health can be successful in a difficult political and economic climate.

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Aug 7 2014
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Columbia’s Public Health ‘Summer School’

Close to fifty college undergraduates got a bird’s-eye view of public health careers this summer during the Summer Public Health Scholars Program (SPHSP), a partnership with Columbia University’s College of Physicians and Surgeons, College of Dental Medicine, School of Nursing and Mailman School of Public Health.

“I’ve learned that public health isn’t just about medicine,” said 2014 participant Richmond Laryea, a junior at the University of Central Florida. “It’s about things like the security and safety of public parks, places for farming, transportation, and education—it really takes place in every sector."

>>Bonus Content: Watch participants in last year’s program talk about their public health internships. 

The program, which is funded by the U.S. Centers for Disease Control and Prevention’s Office of Minority Health and Health Equity, is designed to show students the range of public health practice. Students typically spend three days at an internship, one day in the classroom and one day on a field trip to places such as the Harlem Children’s Zone. Each student is also mentored by the Mailman School’s associate dean of Community and Minority Affairs.

Laryea said his career plan is to become a cardiothoracic surgeon, but with some time spent gaining a public health degree, as well.

“With my experience in public health, I’ve learned that I want to look into a community approach to help others as a whole, instead of just helping an individual person,” he said.

Public health agencies where students are performing fieldwork this summer include the Northern Manhattan Perinatal Partnership, BOOM!Health, the South Bronx Overall Economic Development Corporation and New York City’s Correctional Health Services

Jul 3 2014
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Future of Public Health: Allison Larr, MPH, Mailman School of Public Health

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Allison Larr, 25, graduated from Columbia University’s Mailman School of Public Health a few weeks ago as a member of the 2014 Master’s in Public Health class and will soon start working at Citigroup in New York City as an analyst in the bank’s public finance division, which finances infrastructure projects.

“Infrastructure is central to maintaining a healthy population,” according to Larr. “If you don’t have a sewer system, public transportation and roads, you won’t have a healthy population.”

NewPublicHealth recently spoke with Larr about the path she took to her new career.

NewPublicHealth: How did you end up at Citigroup?

Allison Larr: As an undergraduate I studied neuroscience, and I was considering pursuing a career in academia or medicine. After my college graduation, I worked for a psychiatric research organization where I realized that I didn’t want to perform the traditional academic roles of creating and distributing knowledge or devote my life to being a physician, but I still wanted to work in a field related to health. By that time, I had developed quite an interest in the environment and in climate change, and so I thought why not connect these two by studying environmental health sciences and figuring out some sort of way that I could work in that field on large-scale problems related to health from upstream processes.

When I started my Master’s in Public Health at Mailman, I didn’t really have a clear vision of exactly what I wanted to do after graduation. I did know that I wanted to work on some bigger-picture environmental issues related to health, so I chose environmental health policy. I worked on a funding opportunity for electric vehicle infrastructure, and that was really the first time that I considered anything related to finance as related to health, because electric vehicle infrastructure would certainly increase electric vehicle uptake, which would have a positive impact on public health through reduced emissions. And in order to make that happen, you need to be able to pay for it.

That’s when the seed was planted that finance could be health related. Following that I worked at the New York City Department of Environmental Protection in the energy office, and when we were evaluating potential projects, part of my role was to evaluate how much greenhouse gas savings the projects would produce, as well as the payback period—investigating really whether it was a worthwhile investment from a financial point of view. 

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Jun 12 2014
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Future of Public Health: Q&A with Stephanie Lucas, MPH Candidate at Columbia University Mailman School of Public Health

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Future of Public Health is an ongoing series focused on the emerging faces in the world of public health. We spoke with Stephanie Lucas, a Masters of Public Health candidate in epidemiology and global health at Columbia University Mailman School of Public Health. Lucas spoke about what helped lead her to the field of public health; her work in migrant health and reproductive health in the Philippines; and where she hopes to go from here.

NewPublicHealth: What encouraged you to pursue a degree and a career in public health?

Stephanie Lucas: I came from a wide variety of backgrounds. I taught English for a while and I did lab work because I was a biology major in my undergraduate studies. I also came from a small college that was really oriented in social justice and there were a number of study and volunteer abroad programs. One year, I decided to go to Belize for spring break and help teach a class. I also went abroad to South Africa and worked with an NGO there that helped street children. I think that’s where my interest in public health began because it was so blatant to see what needed to be done. When I was teaching English and doing lab work, I didn’t feel like I was connected to that enough. I felt like public health allowed me to take all of my background information—like biology and education—and intertwine them in a way that I can put them to good use to improve population health.

NPH: Is there a field within public health that’s of primary interest to you?

Lucas: I actually want to take on a broad range of public health topics. When I went to the Philippines, I did two practica there; one in the field of reproductive health and another in the field of migrant health. I didn’t know anything about migrant health, but that was OK because I just wanted to learn about the spectrum of the different issues in an effort to understand that all of those issues are interrelated.

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May 22 2014
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Future of Public Health: Q&A with Chinedum Ojinnaka, Doctoral Candidate at the Texas A&M Health Science Center School of Public Health

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Future of Public Health is an ongoing series focused on the emerging faces in the world of public health. We spoke with Chinedum Ojinnaka, a Doctoral Candidate at the Texas A&M Health Science Center School of Public Health and graduate research assistant at the Southwest Rural Health Research Center. Ojinnaka spoke about what helped lead her to the field of public health; her work with the Texas Colon Cancer Screening, Training and Education Program; and where she hopes to go from here.

NewPublicHealth: What encouraged you to pursue a degree and a career in public health?

Chinedum Ojinnaka: I actually trained as a physician in Nigeria and had the opportunity to practice in a rural health center. During my year at the rural health center, I was astounded by some of the problems that could be solved if health professionals knew how to get across to people culturally and to better organize the health system to improve patient navigation.

As a medical student, I had been intrigued by public health and the fact that it was prevention-based. During medical school, it was sad to see patients having to wait for a long time before they could see a doctor. By the time they were examined, the diseases were at a late stage. The frustration was that had the patients been seen earlier, associated complications might have been prevented. This led me to start considering a career path in preventive medicine. After my experience working at the rural health center, I became even more convinced that public health was the path for me.

NPH: Within the field of public health what are your primary interests? It seems like you’re doing a lot of work in rural health and preventative measures, but is there something specifically within those fields that really interests you in your field of study?

Ojinnaka: My particular interest is health disparities, especially with regards to cancer care and women’s health. That’s currently what I’m working on. I’ve been privileged to work as a research assistant on a colorectal cancer prevention program, and we recently received a women’s health grant for a breast and cervical cancer prevention program. My interest is in ensuring that underserved women or women who don’t have adequate access to health care are not left behind in the fight against cancer.

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May 15 2014
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Future of Public Health: Q&A with Margo Klar, PhD Candidate at the University of Florida

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Future of Public Health is an ongoing series focused on the emerging faces in the world of public health. We spoke with Margo Klar, MPH, a PhD candidate in the Department of Epidemiology at the University of Florida’s College of Public Health & Health Professions, about what helped lead her to the field, her Bill and Melinda Gates Foundation-funded work in maternal health, and where she hopes to go from here.

NewPublicHealth: What encouraged you to pursue a degree and career in public health?

Margo Klar: As an undergraduate at the University of California, Irvine (UCI) I majored in Chemical Engineering and worked in an environmental engineering lab. My undergraduate research focused on the effects of urban runoff on water quality, which we tracked from inland California to the ocean. During my last quarter at UCI, I took a biomedical engineering course. As a part of the class, we were asked to invent a new sleep apnea device. I really enjoyed that creative process and it opened my eyes to the fields of biomedical engineering and medicine.

After graduating, I began looking at applying to medical schools. I went back to school and took anatomy and biology prerequisites. My anatomy teacher once said, “In the United States we worry about problems with our feet, in other countries people don't have feet.” This really resonated with me. While researching medical school programs, I learned about Master of Public Health programs. I decided the MPH would be a great stepping-stone and improve my application to medical school. I was accepted into the Yale School of Public Health in the department of Environmental Health Science. Not only did I receive the training necessary to evaluate health and look for ways to improve global health, I was also able to direct my own thesis research project. I wrote my master’s thesis on an indoor cookstove improvement project for Proyecto Mirador, LLC in rural Honduras. I collected health data and examined indoor air quality improvement and reduction of firewood use as a result of cookstove replacement. This was a terrific learning experience.

NPH: You’ve received a Grand Challenges Explorations grant from the Bill and Melinda Gates Foundation to develop ceramic umbilical cord scissors. What drove you to pursue maternal and child health coming from an environmental background?

Klar: My mentor at Yale, Catherine Weikart Yeckel, PhD thought I should take a look at the Grand Challenges Explorations grant through the Gates Foundation. Essentially this funding mechanism releases a set of topics every six months to which they fund somewhere between 80 to 100 grants to the amount of $100,000 for two years of work. After the first proof of concept phase is complete, a second phase application can be submitted for up to $1 million.

Dr. Yeckel encouraged me to take a look at the maternal and child health topic. Essentially, I Googled top reasons for neonatal mortality in developing countries- neonatal tetanus and infection as a result of poor birthing hygiene and the way the umbilical cord is cut, was among the top causes. I really did not, at the time, have a strong interest in maternal and child health. I had an interest in problem solving, mainly because it’s been something, which has been a personal strength throughout my education. Thanks to my engineering background, I can look at a problem and come up with a solution to try to mitigate it. So, essentially I just applied my problem solving skills to the maternal and child health topic.

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