Spring 2003 - The Air That They Breathe - Public Health

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p. 2 60 Years of Public Healthat Berkeley

p.10 What’s Next in Health Care?

How Poor-Quality Cooking Fuels Are Quietly Killing Millions

Public HealthUniversity of California, Berkeley

The Air That They Breathe

I hope we have your attention with the new look to our magazine. It is designed to better highlight the remarkableachievements of the UC Berkeley Public Health community: our faculty, staff, students, alumni, and many friends andsupporters. We intend to use the magazine as a forum for communicating the multiple dimensions of “The BerkeleyDifference” and how that difference is improving human health.

“The Berkeley Difference” comprises four elements: (1) a broad-based ecological approach to health that emphasizesthe interactions between and among the biological, behavioral and social, and environmental determinants of health;(2) close interdisciplinary education and research linkages that capitalize on the strength of the world’s leading publicuniversity; (3) the commitment to influence policy and practice in communities throughout the state, country, andworld, expressed by the phrase “moving from publication to public action”; and (4) our longstanding commitmentto diversity, human rights, and social justice. Kirk Smith’s research featured in this issue (see “The Air That TheyBreathe,”pp. 5–7) challenges the conventional wisdom that poor people in developing countries should usereusable energy instead of gas for indoor cooking. It touches on several cornerstones of “The Berkeley Difference.”In particular, it reflects the interaction between environment and political factors; it has been drawn on by theWorld Health Organization and other groups to influence policy and practice in developing countries; and itdirectly addresses the health disparities in developing countries that result, in part, from differential exposureto environmental pollutants. An elected member of the National Academy of Sciences, Kirk is extending hisimportant work to Guatemala, where he is currently conducting a randomized trial that replaces open-fire cookingsources in households with wood-burning stoves constructed from local materials.

Our “Past, Present, Future” section underscores the interdisciplinary cornerstone of “The Berkeley Difference.” Theseminal thinking of the “father of health planning,” Henrik Blum, is captured in an article about our distinguishedemeritus faculty member. The contributions of our current cohort of Robert Wood Johnson Foundation Health PolicyResearch Scholars (in economics, political science, and sociology) are also highlighted. Further, a number of ourHealth Policy & Management faculty take a peek into the crystal ball to address the challenges and possible evolu-tion of our nation’s health care system. You will discover other examples of “The Berkeley Difference” at work inother sections of the magazine.

As this issue goes to print, the world faces pressing global concerns, including SARS and political unrest; the nationaland state economies are in significant decline; and the University is in the midst of implementing budgetarycutbacks. Some would suggest that this is a time to “hunker down.” But we at the School of Public Health aredeliberately choosing a different response by positioning the school for future growth and enhancing our ability toaddress the newly emerging public health challenges that we face. You will hear about these in future issues of thismagazine, newsletters, and other forums.

As I complete my first year as dean, I want to thank all of you—faculty, staff, students, alumni, and our friends andsupporters—for your encouragement and support. We have a mission of enormous importance and I am confidentthat by continuing to work together we will maximize the impact of our efforts.

Stephen M. Shortell, Ph.D., M.P.H.Dean, School of Public Health

Blue Cross of California Distinguished Professor of Health Policy & Management

Professor of Organization Behavior

From the Dean

Dean Stephen M. Shortell

Making “The Berkeley Difference”

Elements of ”The Berkeley Difference”

EcologicalPerspective

InterdisciplinaryApproach

Diversity,Human Rights,and Social Justice

Movement fromPublication toPublic Action

Goal:ImproveHumanHealth

Biology

EnvironmentBehavior

1Public Health

DeanStephen M. Shortell, Ph.D., M.P.H.

Assistant Dean for External RelationsPatricia W. Hosel, M.P.A.

EditorMichael S. Broder

Features60 Years of Public Health at Berkeley 2From training of public health sanitarians in the 1940s to infectious disease preparedness in the 21st century, a historical timeline chronicles the school’s evolution over 60 years.

The Air That They Breathe 5by Johanna Van Hise HeartIndoor smoke created by burning of biomass fuel is causing illness in many developing nations and is responsible for an estimated 1.6 million deaths worldwide each year.

DepartmentsPast, Present FutureYoung Scholars Address Complex Health Policy Issues 8Four future leaders from the Robert Wood Johnson Scholars in Health Policy Research Program describe their current research and how they were drawn to the field of health policy.

Henrik Blum, Health Planning Pioneer 9The innovative ideas of Professor Emeritus Henrik Blum paved the way for today’s public health students, professionals, and policymakers.

What’s Next in Health Care? 10by Helen Ann Halpin, James C. Robinson, Thomas G. Rundall, Richard M. Scheffler, and Stephen M. Shortell Five faculty members share their thoughts about where health care in the United States is headed.

Faculty News and Notes 13Stover Investigates Human Rights Conditions in Iraq 15UC Berkeley Human Rights Center director Eric Stover traveled to Iraq during the recent conflict, finding numerous violations of human rights and the threat of imminent violence among ethnic groups.

Research HighlightsBreast Cancer Summit Calls for Expanded Studies 16

Physicians Often Fail to Use Recommended Care Management Processes 17

Partners in Public Health 18The school acknowledges those who have generously contributed their time and support.

Alumni News 24Alumnus Spotlight: Michael E. Bird 25Addressing disparities in health care is a top priority for Michael E. Bird, past president of the American Public Health Association and the first Native American to hold the office.

Alumni Notes 26

In Memoriam 28

Public HealthUniversity of California, Berkeley

Associate EditorJohanna Van Hise Heart

DesignArcher Design, Inc.

ContributorsTrinidad Bidar, Michael S. Broder,Karl Leonard, Robert Sanders, JohannaVan Hise Heart, and Sarah Yang

PhotographyNigel Bruce, cover, pp. 1 (center), 5(upper), & 7 (lower); Peg Skorpinski,inside front cover, pp. 5 (lower), 8, 9(left), 10–12, 13 (left & center), 20–21,& back cover; Jonathan Eubanks, p.3(upper right); Jane Scherr, p. 4 (lower);Patricia W. Hosel, pp. 7 (upper right)& 13 (lower right); Eric Stover, p. 15;

Michael S. Broder pp. 18 (upper) &19; Sarber’s Portrait, p. 18 (lower);Johanna Van Hise Heart, p. 27 (upper);and Trend Photography, p. 28 (right).

UC Berkeley Public Health is publishedsemiannually in the spring and fall bythe University of California, Berkeley,School of Public Health for alumniand friends of the school.

UC Berkeley School of Public HealthOffice of External Relations and Development140 Earl Warren Hall #7360Berkeley, CA 94720-7360(510) 642-9572

© 2003, Regents of the University of California. Reproduction in whole or part requires written permission.

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2 University of California Berkeley

1960 The school grants itsfirst Ph.D.

1961 The school is accredited tooffer M.D.s a residency program in

preventive medicine—the first school of publichealth to receive such accreditation.

1967 William C. Reeves becomes the school’sfifth dean.

1968 The school ends its undergraduatedegree program.

1971 Warren Winkelstein Jr. becomes theschool’s sixth dean.

1971 The American Indian Graduate Programis founded to respond to a need for moreNative American health professionals.

1979 The Minority Enrollment Program isestablished in response to California’sgrowing multicultural population.

1982 Joyce C. Lashof becomes the school’sseventh dean.

1942 The Northern California Public HealthAssociation appoints a committee on the establishment of a school of public healthin California, chaired by William P. Shepard,second vice president of Metropolitan LifeInsurance Company, with strong endorsementby the California Medical Association.

1943 Shepard, Larry Arnstein, Karl F. Meyer,and other interested constituents successfullypresent the necessity of a school of publichealth to the California State Legislature. Thelegislature enacts a law, signed by Governor EarlWarren, establishing the school at the Universityof California.

1944 Walter Brown becomes the school’s firstdean. Margaret Beattie, Fern French, WalterMangold, Harold Gray, Escholzia Lucia, and FrankKelley constitute the school’s principal faculty.

1944 The school holds its first commencement.

1945 The school launches a training programfor public health sanitarians.

1946 The American Public Health Associationaccredits the School of Public Health at UCBerkeley, making it the only accredited schoolof public health west of the Mississippi.

1946 William McDowell Hammon becomes the school’s second dean.

1946 Edward S. Rogers becomes the school’s third dean.

1947 The school grants its first Dr.P.H.

1951 Charles E. Smith becomes the school’sfourth dean.

1955 UC Berkeley Chancellor Clark Kerr ded-icates Earl Warren Hall, named for the formerCalifornia governor and U.S. Supreme CourtChief Justice, who was instrumental in obtainingpublic funding for its construction.

60 yearsof Public Health at

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1982 The UCB-UCSF Joint MedicalProgram is placedunder the school’sadministrativedirection.

1983 The SanFrancisco Men’s HealthStudy is launched byWarren Winkelstein Jr. The studywill provide key epidemiological sup-port for the link between HIV and AIDS.

1984 The Berkeley Wellness Letter, under the lead-ership of Sheldon Margen, publishes its first issue.Today it is the most widely read health newsletterin North America.

1986 Leonard Syme develops the Wellness Guideto provide Californians with direct information onhow to stay well and how to find help on a widerange of health-related topics.

1987 Martyn Smith is appointed director of the school’s Superfund Basic Research Program,which is supported by the National Institute ofEnvironmental Health Sciences.

1988 Alice Martin establishes the school’s first twoendowed chairs: the Martin Sisters Chair and theKing Sweesy and Robert Womack Chair.

1991 Berkeley students establish the SuitcaseClinic to address some of the health and socialproblems related to homelessness.

1992 Patricia A. Buffler becomes the school’seighth dean. The school’s international health program is formally developed with the successfulrecruitment of Malcolm Potts to the Fred H. BixbyEndowed Chair in Population and Family Planningand multiple awards from the NIH Fogarty Centeron International Health.

1992 The school becomes a trainingcenter for Scholars in Health PolicyResearch, a national program supportedby the Robert Wood Johnson Foundationand headed by Richard M. Scheffler.

1993 Leonard J. Duhl chairs the firstInternational Healthy Cities and Commu-nities Conference, held in San Francisco.

1993 The school commemoratesits 50th anniversary with an all-day

symposium featuring faculty researchpresentations and a gala dinner at theClaremont Hotel. Pictured: formerdeans Buffler and Winkelstein.

1993 The CDC chooses the School ofPublic Health as one of nine health promotion and disease preventionresearch centers around the nation.The Center for Family and CommunityHealth is led by Ira Tager.

1994 The school’s first Policy AdvisoryCommittee is established to advise the

Dean and faculty on strategic developmentissues facing the school.

1994 UC Berkeley launches its MillenniumCampaign,“The Promise of Berkeley—Campaign for the New Century.” By the end of the cam-paign, the School of Public Health surpasses its $20 million goal, raising more than $26 million.

1994 Arthur L. Reingold establishes the CDCCalifornia Emerging Infections Program.

1995 The school teams with the Peace Corps toestablish the Master’s Internationalist Program.

1996 The school establishes the Public HealthHeroes Award program to honor individuals andorganizations for their unique contributions andexceptional commitment to improving public health.

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2001 Thomas G. Rundall becomes the first tohold the Henry J. Kaiser Endowed Chair inOrganized Health Care Systems, established in1996 by Kaiser Permanente.

2002 Stephen M. Shortell becomes the school’stenth dean.

2002 The school receives a federal grant toestablish the Center for Infectious DiseasePreparedness following the 2001 anthraxattacks. Arthur L. Reingold serves as principal inves-tigator.

2002 The Center of Excellence for EnvironmentalPublic Health Tracking, funded by the CDC andheaded by John Balmes, is established to investi-gate links between diseases and environmentalpollutants.

2002 Brian and Jennifer Maxwell, founders ofPowerBar, establish an endowed chair to supportresearch impacting maternal and child health. KirkR. Smith is appointed to the chair.

2003 Sponsored research activities expand to over$40 million annually.

2003 The school reestablishes an upper-divisionundergraduate major in public health.

2003 The School of Public Health marks its 60thanniversary.


60 yearsof Public Health at

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1996 The school holds its first annual research symposium.

1998 Stephen M. Shortell becomes the first BlueCross of California Distinguished Professor ofHealth and Policy Management, established with a $2.5 million gift from Blue Cross of California.

1998 Sponsored research activities grow to $25 million annually.

1998 Edward E. Penhoet becomes the school’sninth dean. Under his leadership, the schoolfocuses on the ecological approach to addressinghealth issues by underscoring the intersectionsof biology, behavior, and environment withhealth status.

1999 The University launches the Berkeley HealthSciences Initiative, with leadership from DeanPenhoet, to encourage multidisciplinary research in the health sciences across the campus.

1999 The Nicholas C. Petris Center on Health CareMarkets and Consumer Welfare is established.Richard M. Scheffler is appointed to its DistinguishedChair in Health Economics and Public Policy.

2000 Responding to the growth of the Internet andits potential to impact health, the school holds itsfirst eHealth Summit and Forum.

2001 The Center for Health Research is establishedas a Universitywide effort administered by theSchool of Public Health. The center brings togetherUC Berkeley social scientists and other investigatorsto address challenging issues facing the healthsector of society.

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According to Kirk R. Smith, key con-tributor to the recently publishedWorldHealth Report 2002: Reducing Risks,Promoting Healthy Life, airborne particu-lates in the family’s home may pose agrave danger. Despite their rural location,the family experiences daily a kind of airpollution far more insidious in its relativeanonymity than the traffic jam andsmokestack exhaust experienced by fami-lies living in smog-ridden metropolises.

Biomass Fuel and Poor Ventilation:A Risky CombinationSmith, professor and chair of Environ-mental Health Sciences at UC Berkeley’sSchool of Public Health and newlyappointed Maxwell Chair in Maternaland Child Health, has spent more thantwo decades working to establish therelationship between the use of biomassfuel—wood, crop residue, and dung—and ill health, especially among women

5Public Health

In her village home in the San Marcos highlands of Guatemala, five hours’ drive from the nearest big city, a woman

prepares her family’s midday meal. As she directs her young son to bring wood for the open fire that serves as the

family’s cooking center, her infant daughter, strapped to her back in a traditional carrier, observes the family

tableau through a haze of smoke.

Kirk R. Smith holds a prototype he has developedfor a relatively inexpensive airborne particulatemonitor, which uses modified smoke detectortechnology to collect data.

Feature

How Poor-Quality Cooking Fuels Are Quietly Killing Millions

The Air That They BreatheBy Johanna Van Hise Heart

and children who spend most of theirdays within the confines of poorlyventilated houses. Although not widelyrecognized, the problem is extensive: theWorld Health Organization estimatesthat two-thirds of the developing worldrely upon these biomass fuels. In homeswithout ventilation, exposures to particu-late matter, along with carbon monoxide,formaldehyde, benzene, nitrogen dioxide,and other gases, can reach 1000 µg/m3

over a 24-hour period—more than 20times higher than the standards set by theU.S. Environmental Protection Agency.Smith and former graduate students SumiMehta and Miriam Feuz established thatthe risk of ill health caused by exposure toindoor air pollution is far higher thanpreviously anticipated. In fact, afterscrupulous comparison of internationallyculled data for a wide variety of illnessand death risk factors, Smith and expertsin other risk factor areas from around theworld determined that indoor smokeranked tenth among global risk factorsfor premature death. In the world’s less-developed nations, figures are even higher,placing indoor air pollution as the fourth-leading cause of premature death.Speaking in gross terms, an estimated 1.6million deaths annually are attributable topoor indoor air quality—twice as many asoutdoor air pollution globally.

“Most people, when they think of air pol-lution, think about outdoor air pollution:smog in the cities,” Smith points out.“But poor people in rural areas of theworld are using poor-quality fuel, whichproduces a rather large amount of pol-lution. If they have a stove without achimney, particulate matter is releasedright where people are every day…. It isamong the most important causes of illhealth for approximately 40 percent ofthe world’s population.”

The consequences of burning biomassfuel are especially tragic for children.Consistent exposure to airborne particu-lates increases the incidence of acute

lower respiratory infections (ALRI), suchas pneumonia and bronchitis, in childrenunder five years of age. In less-developedcountries, where access to medical atten-tion is limited, ALRI is the primary causeof death among children.

Taking Illness, Disability Into AccountMortality rates are only part of the pic-ture, however. The World Health Reportsets out to measure the total impact ofdisease, injury and death in 14 globalregions, but then goes on to calculatehow much of this present burden couldbe avoided in the next 20 years. Toaccomplish this, Smith explained, his

fellow contributors (more than 100experts from 30 institutions around theworld) established a common set of crite-ria for comparing 26 risk factors relevantto policymakers. Not only were incorpo-rated data required to come from heavilypeer-reviewed sources, but great effort wasmade to improve upon past data sum-maries. The resulting report includespreviously underrepresented regions, usesconsistent definitions for disease states,has statistical integrity, and conceptualizestotal impact of disease and injury bycombining years of lost life (YLL) withyears lost to disability (YLD) to measureDALYs (Disability Adjusted Life Years).


Feature

2000 World Disability Adjusted Life Years (DALYs)

Acute Lower Respiratory Infection

Perinatal

HIV

Depression

Cancer

Diarrhea

Heart (Ischaemic)

Child Cluster

Malnutrition

Stroke

Road Traffic

Malaria

Tuberculosis

Maternal

Chronic Obstructive Pulmonary Disease

Congenital

0.0 1.0 2.0 3.0 4.0 5.0 6.0 7.0Percent of Total Wold DALYS

Source: Calculated by K.R. Smith from data in WHO World Health Reports 2001 and 2002.

Illustration at top: The redesigned plancha offers better ventilation, resulting in improved respiratory health.

7Public Health

Kirk R. Smith, Ph.D., M.P.H., is the firstrecipient of the Brian and Jennifer MaxwellEndowed Chair in Maternal and Child Health.Part of a $5 million gift to the UC Berkeley cam-pus from Brian and Jennifer Maxwell, theMaxwell Chair has been established to advancethe study of public health with a focus onmothers and children. Investment income fromthe $500,000 endowment will help to supportSmith’s teaching and research.

“The Maxwells’ generosity provides a greatboost to several projects that seek to understandand ameliorate the detrimental effects of indoorair pollution—especially on women andchildren, whose vulnerability to pollution iscompounded by poor nutrition and otherpoverty-related factors,” says Smith. Widelyrecognized as an expert on indoor air pollution,Smith has already begun organizing supplemen-tal studies to a two-year intervention trial inrural, highland Guatemala, which is quantifyingreduction in acute respiratory infectionsamong infants living in homes equippedwith improved stoves and ventilation.

The Maxwells are founders of PowerBar,Inc., manufacturer of high-energy nutritionalbars for athletes. Both Maxwells are alumniof the University and generous supporters of their alma mater. The couple met whenBrian, a world-ranked marathoner, coachedCal’s men’s cross-country team and Jenniferwas a star runner for the women’s cross-country team.

Smith Named to Maxwell Chairin Maternal & Child Health

Kirk R. Smith (center) with Brian and Jennifer Maxwell

“By measuring time and assuming thateveryone in the world has the right to thebest life expectancy in the world,” saysSmith, the use of DALYs levels the playingfield. “The only differences in the ratingof a death or disability are tied to ageand sex, not income, culture, location,or social class.”

Also, by quantifying living with as well as dying from disease or injury, thereport gives more perspective. WhereasHIV was the fifth-leading global causeof death in 2000, once years of disabilityare added in, HIV is considered thethird-weightiest global burden of 2000.Similarly, ALRI was the fourth-leadingcause of death, yet it accounted formore than 6 percent of the entire globalburden of disease—making this indoorair quality-associated risk factor thesingle largest category of ill health.

“It was a very interesting exercise,” Smithsays of the process of working as a com-mittee to rank the world health risks.“We would bring calculations related toour risk factor—indoor air pollution—to a meeting with all the other risk factorgroups. We would then present and argueabout them.” In a sense, the process keptthem honest, he explains. “In past suchefforts, there had been little or no cross-checking…. There was basically no limitto what people could say, because no oneelse was looking over shoulders. With thiseffort, however, we were in a situationwhere, in all, there were 25 other risk fac-tors looking over each of our shoulders.”

The next iteration of the data, which willbecome the World Health Report for 2003,will be an exhaustive economic analysis ofthe DALY-weighted results from this year.Mehta, now working directly with theWorld Health Organization in Geneva, istackling this task, establishing cost effectiveness while trying to deter-mine, and to some degree predict, economic con-ditions in different parts of the world.

Possible InterventionsWhat then should be done to respondto the problem of poor indoor air qualityin resource-poor villages? Smith has afew ideas in the works. In a recent edi-torial in Science, he boldly contradictswidely held beliefs by suggesting thatuse of fossil fuels in developing nationsis an appropriate interim step. He positsthat greater fuel efficiency in the world’sauto fleet (as little as a 0.5 percentimprovement) would free up enoughpetroleum to fuel clean-burning stovesin the developing world without changingthe worldwide rate of fossil fuel use.

Another intervention, already in trials inthe Guatemalan highlands, exemplifiesSmith’s concept of “co-benefits.” By re-placing open cooking fires and inefficient,polluting stoves with well-constructed andwell-ventilated wood-burning planchas,families have been able to improve theirhealth while also reducing fuel use,household pollution, and greenhouse gasemissions. So far, the planchas are abig hit: people have even chosen toinstall them as centerpieces in livingrooms, rather than tuck them away incooking structures.

While the statistics for indoor air pollutionare staggering in the amount of mortalityand morbidity they describe, Smithholds out hope that his careful gatheringand interpretation of data will offer a clearer picture of worldwide publichealth risks and prompt interventionsthat save lives.

Infants in Smith’s Guatemalan Stove InterventionTrial are examined regularly.

“I’m interested inwhy American publicpolicy is so court-cen-tered,” says ThomasBurke, assistant profes-sor of political scienceat Wellesley College.Burke, who received his Ph.D. in political science fromBerkeley in 1996, is the author of Lawyers, Lawsuits andLegal Rights: The Struggle Over Litigation in American Society(UC Press, 2002). The book examines how litigious policieshave come to shape public life and everyday practices in theUnited States.

As a Robert Wood Johnson scholar, he is examining theimplementation of the Americans with Disabilities Act inthe United States and comparing it with disability rightspolicies adopted across nations. “The best way to study iscomparatively, to see if other approaches succeed or fail,”he says. “In what ways do Europeans take on, reject, or

alter the American approach?”

Burke’s participation in the Robert Wood Johnson programgives him the opportunity to explore this research. “Youngprofessors are so time-stressed, they tend to stagnate. Thisprogram gives them a chance to expand their horizons—some-thing a lot of people don’t get to do until they get tenure.”Upon completion of the program, Burke will be returning to Wellesley, where he will teach a course on health politics.

“I grew up in LosAlamos, New Mexico,where my fatherworked as a weaponsscientist,” says AnnKeller, assistant pro-fessor in politicalscience and environmental studies at the University of Colorado,Boulder. “It was in the late stages of the Cold War, whichwas a topic of concern in Los Alamos households.” Growingup in that environment encouraged Keller’s lifelong passionfor science and politics.

In 2001 she earned her Ph.D. in political sci-ence from Berkeley, writing her dissertationon the role of scientists in crafting domesticpolicy regarding acid rain and climate change.“The more I studied environmental policy, themore interested I became in taking my back-ground in science and technology and apply-ing it explicitly to public health questions.”

In particular, Keller is interested in the tension between expert-driven policy and community-level health concerns. For herresearch with the Robert Wood Johnson program, she is studyingthe way organizations function—where bureaucracies succeedand fail. “Large bureaucratic organizations are good at generalizing,but they don’t do well at the local level.” She is looking closely atthe Centers for Disease Control and Prevention because it is oneof the few large organizations that have enjoyed success atthe local level, most notably in its work in disease outbreak sites.

When JonathanKetcham was workingtoward his bachelor’sdegree in economics atBaylor University,President Clinton’shealth care proposalwas making news headlines on a daily basis. “It made me realizethat there were interesting questions to answer,” he says, and it inspired him to pursue a course of study that combined hisinterests in medicine and economics. In 2002, he earnedhis Ph.D. in economics from the Health Care SystemsDepartment of University of Pennsylvania’s Wharton School.

Ketcham is using the opportunity afforded him by the RobertWood Johnson program to study the role of competition andregulation in health care markets. One focus of his researchis pharmaceutical pricing. “I am looking at specific systemsadopted by three other countries,” he says, noting that if Medicareprovides prescription drug benefits in the future, this topicwill be especially relevant. Another area he is examining ishospital quality—specifically, how the introduction of pricecompetition affects inpatient mortality. Ketcham is also analyz-ing the influence of HMOs on competition among physicianpractices, looking at factors such as group size.

Upon completing his research with the Robert Wood Johnsonprogram, he will seek a faculty position that allows him tocontinue exploring health policy issues. “It’s fun for me tothink about big-picture questions,” says Ketcham. “A doctor’srewards come from helping individual patients; I like healthpolicy because I can help shape an entire system.”


Young Scholars Address Complex Health Policy Issues

Past, Present, Future

The Robert Wood Johnson Foundation Scholars in Health Policy

Research Program, directed by Richard M. Scheffler, was established

in 1992 to foster the development of a new generation of creative

thinkers in health policy research. Below, four current scholars

describe how the program is helping to shape their understanding

of health policy.

As a medical student at UCSF, Blum interned at SanFrancisco General Hospital, where he came into contactwith a large number of impoverished patients. “Muchof what we saw was unnecessary illness and could havebeen prevented,” says Blum in an oral history published bythe Bancroft Library in 1999. Appalled by the lack of regardfor poor patients, Blum felt an affinity for the public healthapproach to care. “It fit in with my notions of how thingsought to be done—that we ought to get there sooner, andit shouldn’t be dependent upon whether people have themoney to pay for it.” After serving in the U.S. PublicHealth Service during World War II, Blum completed hismedical residency at Stanford University. Ultimately, he says, he “succumbed to thelure” of public health and enrolled at the Harvard School of Public Health, where heearned his M.P.H.

In 1955, Blum began a 17-year tenure as the health officer of Contra Costa County,California, during which time he introduced many groundbreaking health measuresto the county. His achievements included a highly visible tuberculosis testing cam-paign, hard-line enforcement of food industry health codes, co-authoring the BayArea Pollution Control Act, and ensuring the availability of safe birth control methods.

Today’s public health students, professionals, and policymakers take for grantedthat responsible and effective health planning requires a thorough knowledge ofthe many environmental, social, cultural, economic, and educational forces thatshape communities. Blum’s innovative ideas have produced generations of publichealth planners that are better able to negotiate the ever-changing, complexpublic health landscape.

A member of the school’s faculty from1966 to 1984, Blum is the author ofthree seminal texts focusing on thehealth needs of communities: PublicAdministration: A Public HealthViewpoint, Health Planning, andPlanning for Health. His leadership wascrucial in developing UC Berkeley’shealth planning program, the mostcomprehensive in the United States,with a stated emphasis on the necessityof minority recruitment. He was alsoinstrumental in establishing theUniversity’s American Indian GraduateProgram, which has enabled morethan 200 American Indians andAlaskan Natives to earn graduatedegrees in public health.

9Public Health

Henrik Blum,

Health Planning Pioneer

Public health professionals across the nation acknowledge the tremendous

contributions of Professor Emeritus Henrik Blum—a tireless consensus builder

and community organizer—to the field of health planning.

Professor Emeritus Henrik Blum

Karen Lutfey was excited to discoverthe field of medical sociology as anundergraduate majoring in sociology/anthropology. “I found a dynamic andcomplex set of issues that were intellectu-ally challenging and dealt with sociallyimportant problems,” she says. Lutfey,an assistant professor in sociology at theUniversity of Minnesota, received bothher M.A. and Ph.D. from IndianaUniversity. In addition to medical sociol-ogy, her primary areas of research includesocial psychology and socio-linguistics.

Lutfey says she appreciates the fact thatthe Robert Wood Johnson program isinterdisciplinary, “yet there is the expecta-tion that you don’t abandon your owndisciplinary training.” Currently she isconsidering the implications of changes inhealth care systems for providers, patients,and their collaborative management oflong-term medical treatment. She is espe-cially interested in the social implicationsfor people living with chronic illness.

“I’m also concerned with patient adher-ence,” she says. “It is a lynchpin in healthservices research. A $64,000 question is:Why don’t patients do what their doctorstell them to do?” Lutfey is looking at theways in which doctors assess adherence,including how they communicate withtheir patients, and how organizationalfeatures, such as continuity of care, play arole. “There are important factors withinthe medical system that influence assess-ments of patients and influence treatmentdecisions,” she says. “Looking strictlyto patient behavior may be overlookingor under-appreciating things going onin the system.”

–Michael S. Broder


Helen Ann Halpin,Ph.D., Professor ofHealth Policy; Director,Center for Health andPublic Policy

The prospects forsolving the problems

of access, quality, and cost in the U.S.health care system seem dim in the nearterm. The country’s economy is sluggish,state and federal tax revenues are down,and spending on social programs,including health care, is being cut, notexpanded. While the federal governmentis projecting the biggest budget deficit inhistory, the Republican-controlledCongress is unlikely to look to govern-ment to solve the country’s social ills.In addition, health care costs are rising

at double-digit rates, making healthinsurance even less affordable to low-income working Americans, who makeup 80 percent of the uninsured.

In the short term, we can expect thatstate governments will cut Medicaid rollsand put off expansions of the Child’sHealth Insurance Program; city andcounty governments will be unable tomeet the demands for medical care froma growing uninsured population; employ-ers that offer health benefits will passon some of the cost increases to theiremployees in the form of higher out-of-pocket premiums and cost-sharing; andCongress will continue to talk about aprescription drug benefit for Medicare,yet the resulting legislation will likelyprovide far less than what is needed.

Has Medicare ceased to serve the

nation, or does it simply need

reform? Are we destined to pay

out-of-pocket for declining care,

or are our medical options more

accessible and plentiful than

ever? School of Public Health

faculty members Helen Ann

Halpin, James C. Robinson,

Thomas G. Rundall, Richard

M. Scheffler, and Stephen M.

Shortell offer their perspectives

on the future of health care in

the United States.

“We must be ready with a viable solution…when the nextpolicy window opens.”—Helen Ann Halpin

What’s Next inHealthCare?

11Public Health

Without a reliable crystal ball, it is riskyto predict the future. What is clear, how-ever, is that health care reform will be anissue in the 2004 presidential election.The current political reality does notmean that we should stop working onnew proposals to reform the system intoone that is more efficient, equitable andgives Americans the choices they desire.We must be ready with a viable solutionthat has a broad base of support whenthe next policy window opens.

James C. Robinson,Ph.D., M.P.H.,Professor of HealthEconomics

The press, the pundits,and the politiciansare having a field day

trashing the American health care system.Health care costs and health insurancepremiums are rising, as is the number of

people without insurance. Quality ofcare seems to be falling, at least if wefocus on malpractice lawsuits and esti-mated numbers of medical errors. Canthings get any worse? Wouldn’t we allrather be sick in Canada or Britain?

The reality beneath the rhetoric is thatthe quality of health care is the highest ithas ever been. The pharmaceutical,biotechnology, and medical device indus-tries are putting out one diagnostic andtherapeutic technology after the other,most of which raise quality and costs.This stuff works. If we want it, we haveto pay for it. The resulting higher premi-ums make health care finance painful formiddle class Americans—both directlyfor their own care and indirectly to sub-sidize the care of less-fortunate citizens.

New technological opportunities, ofcourse, are only half the story. As theeconomists note, there is also a demandside to this market that will ensure a per-manent revolution of rising expectations:everyone must have access to everythingthat has been proven to work. Woe to thebean counter, bureaucrat, or cost-benefitanalyst who gets between the Americanconsumer and that which the consumerwants to consume. Clearly there is a lotof administrative waste and inappropriatecare in the U.S. health care system, but,when given a choice between acceptingthe waste and further empowering corpo-rate or bureaucratic reformers, theAmerican people have chosen and willchoose the lesser of evils.

Thomas G. Rundall,Ph.D., Henry J. KaiserProfessor of OrganizedHealth Systems

Resentment of publicand private healthplans continues to

grow among many physicians, whoperceive payments to be inadequateand constraints on decision making aseroding their professional authority. Inresponse, some doctors are developingtheir own version of consumer-directedhealth care by withdrawing from par-ticipation in health plan contracts anddealing directly with their patients.

This strategy is likely to grow and becomemore elaborate over the next few years.More physicians will refuse to sign con-tracts with health plans, requiring theirpatients to pay for care in cash and seekinsurance reimbursement on their own. Inwealthy areas, we will see more doctorsrequiring patients to pay a retainer fee.Other physicians will target HMOs andgovernment health plans that they view asunderpaying and overregulating.

Indeed, recent data indicate that thistrend is already well under way. A recentsurvey conducted by researchers at UCSFfound that only 58 percent of California’sdoctors are accepting new HMO patientswhile the percentage of specialists withHMO patients fell from 77 to 62 percentbetween 1998 and 2001.

Other data suggest that this “backingaway” by doctors from some forms ofmanaged care is part of a broader patternof change. Research from the Center forHealth System Change shows thatbetween 1997 and 2001 the proportion

“As the economists note, there is also a demand side tothis market that will ensure a permanent revolution of rising expectations....”—James C. Robinson

“More physicians will refuseto sign contracts with healthplans, requiring their patientsto pay for care in cash andseek insurance reimburse-ment on their own.”—Thomas G. Rundall



of physicians in the United States servingMedicaid patients decreased from 87 to85 percent. The percentage of Medicareseniors reporting delay or denial ofneeded care rose from 9 to 11 percent.Similarly, the percentage of privatelyinsured people between the ages of 50and 64 who reported access problemsincreased from 15 to 18 percent.

Policymakers will need to monitor closelyphysicians’ participation in public andprivate health plans. Access to care for allAmericans is at stake.

Richard M. Scheffler,Ph.D., DistinguishedProfessor of HealthEconomics & PublicPolicy; Director,Nicholas C. PetrisCenter on Health CareMarkets & Consumer

Welfare and Robert Wood JohnsonFoundation Scholars Program

My view, supported by the recent dou-bling of the National Institute of Healthbudget, is that the most powerful anddominant force that will affect the futureof the health care system in the UnitedStates is biomedical research.

This increase of funding will undoubtedlylead to important new medical technolo-gies, the use of which health economistsinternationally believe is responsible formore than half the increase in health carespending. This means the current growthrate for health care expenditures will con-tinue and perhaps accelerate in the decadeahead. From the current level of 14percent of the Gross Domestic Product,it is reasonable to anticipate that with-in 10 years, this figure could approach18–20 percent.

How will we pay for this increase inspending? I think the answer for the cur-rent system in the United States involvesboth public and private financing. One

lesson I have learned in teaching interna-tional health policy is that each country’shealth care system clearly needs to fit itsculture and economic system. Given thatthe United States will, for the foreseeablefuture, be a market-driven system withappropriate regulations and a role for gov-ernment, it would seem that our healthcare system will follow a similar pattern.

While on the public side I anticipate suc-cess in increasing Medicare coverage(especially in the area of prescriptiondrugs), in the private sector I predict thathealth coverage financing will continue tomove from defined benefit plans todefined contribution plans, where theemployer will not necessarily guaranteea certain health care plan or health carecoverage, but will more likely guarantee acertain defined contribution, leavingthe additional cost of coverage to theemployee.

It is most likely the case that we will havea fragmented, public-private health sys-tem with an increasing role for consumersas they pay for a larger share of the costs.

Stephen M. Shortell,Ph.D., M.P.H., Blue Cross of CaliforniaDistinguished Professor of Health Policy & Management;Dean, School of PublicHealth

Americans want simple, quick band-aidsolutions to complex problems, and thecountry’s dysfunctional health system isa primary example. We spend more onhealth care per capita than any othercountry while still leaving approximately40 million citizens uninsured. Historically we have prided ourselves on our quality

of care, but recent evidence suggests widevariation in quality that also adds signifi-cant cost to the system. In particular, wedo a poor job of managing the growingnumber of patients with chronic illness.So on all dimensions—cost, access, andquality—we are once again in a healthcare “crisis.”

The latest band-aid solution is “con-sumer-driven” health care. Faced withsignificantly increased premiums,employers are pushing costs onto theiremployees with the expectation thatemployees will then choose cost-effec-tive health plans and physicians. Butwithout more effective risk adjustmentfor differences in health status and betterinformation upon which to base choices,this “driver” alone is not likely to havemuch sustainable impact.

The challenge in our pluralistic healthsystem is to develop aligned financialincentives for all of the major parties—purchasers, plans, providers, consumers,and suppliers—that will encourage andreward desired behavior. We need toinvolve all of these groups in fundamen-tally changing the way in which healthcare is organized, delivered, and consumed.

Finding a durable solution will taketime. I expect that 10 years from nowwe will have a better-functioning healthsystem in the United States than we havenow. While we may have to go througha painful decade of change in the process,there are some encouraging signs—including promising “pay for perform-ance” experiments demonstrating that itis possible to derive greater value forthe money we are investing in ourhealth system without sacrificing ourdesire for choice.

“Finding a durable solution will take time. I expect that ten yearsfrom now we will have a better-functioning health system inthe United States than we have now.”—Stephen M. Shortell

“My view...is that the most powerful and dominant force that will affect the future of the health care system in the United States is biomedical research.”—Richard M. Scheffler


13Public Health

Joan Bloom, Ph.D., professor of healthpolicy and management, was selectedby the NIH to serve in the SocialSciences, Nursing, Epidemiology, andMethods (1) Study Section of theCenter for Scientific Review throughJune 2006. The study section reviewsgrant applications submitted to theNIH, makes recommendations to NIHnational advisory councils and boards,and surveys the status of researchwithin the section’s field of science.

Gertrude Case Buehring, Ph.D.,received an award through the FulbrightU.S. Scholar Program to teach andconduct research at National Universityin Heredia, Costa Rica. The topic ofher research is “Worldwide prevalenceof bovine leukemia virus infection:Research to track the spread of infec-tion and education to prevent furtherdissemination.”

Patricia A.Buffler, Ph.D.,dean emeritaand professor ofepidemiology,was a memberof a panel ofscientists con-

vened by the WHO InternationalAgency for Research on Cancer toanalyze the combined results of morethan 3,000 studies. Buffler and the oth-ers concluded that for types of canceralready known to be caused by smok-ing, the risk of tumors is even higherthan previously noted. They furtherconcluded that secondhand tobaccosmoke increases the risk of lung cancerby 20 percent.

Jeffrey Burack, M.D., M.P.P., is prin-cipal investigator for a three-year awardof $757,000 from the University ofCalifornia’s systemwide AIDS researchprogram to establish the East BayAIDS Research Institute at the East

Bay AIDS Center at Alta Bates SummitMedical Center. This new collaborationof researchers and clinicians in AlamedaCounty will be dedicated to exploringand addressing the critical issues facingunderserved people living with HIV.Working with him will be ProfessorsJohn M. Colford Jr., M.D., Ph.D.,M.P.H., and Nicholas Jewell, Ph.D.

SylviaGuendelman,Ph.D., M.S.W.,was promotedto full professorof maternal andchild health. Hercontributions in

the areas of access to health care servicesand the health status of Hispanic andLatino populations are recognized bothnationally and internationally.

Denise Herd, Ph.D., associate professorof behavioral sciences and associatedean for public health practice andcommunity health, received an award of $300,000 from the Robert Wood

Johnson Foundation through itsInnovators Combating SubstanceAbuse program. The three-year grant,which ends in May 2004, supportsinteractive workshops and forums on alcohol and drug policy educationand prevention activities related to sub-stance abuse portrayal in rap music.

Arthur C. Hollister, M.D., M.P.H.,former faculty member, was includedin the 2002 edition of Who’s Who inAmerica.

Susan Ivey, M.D., M.H.S.A., assistantclinical professor, recently publishedtwo chapters in A Brown Paper: TheHealth of South Asians in the UnitedStates. Published by the South AsianPublic Health Association, the book isthe first-ever comprehensive documenton South Asian health in the UnitedStates and the first national initiativeto evaluate and summarize existingknowledge about several key healthindicators for South Asian Americans.Ivey’s chapters focus on cardiovasculardisease and women’s health.

Faculty News and Notes


Sheldon Margen, M.D. (right), professor emeritus of public health nutrition, received the LifetimeAchievement Award from the California Public Health Association–North. Margen was presentedwith the honor at the association’s annual meeting. Pictured with him is John Swartzberg, M.D.

Nicholas Jewell, Ph.D., professor of biostatistics and statistics, hasauthored Statistics for Epidemiology,which will be published by ChapmanHall later this year.

Joyce C. Lashof, M.D., professoremerita of public health and formerdean, was appointed to the CaliforniaDepartment of Health ServicesEnvironmental Health SurveillanceSystem technical working group. Thisgroup was formed as a result of SenateBill 702, which made California thefirst state in the nation to mandate aprocess for recommending possibleoptions for establishing an environ-mental health surveillance system.

Thomas E. McKone, Ph.D., adjunctprofessor of environmental healthsciences at the school and seniorstaff scientist at the LawrenceBerkeley National Laboratory, hasbeen elected a fellow of the Societyfor Risk Analysis.

Meredith Minkler, Dr.P.H., professorof community health education, andNina Wallerstein, Dr.P.H. ’80, aSchool of Public Health alumna andprofessor in the Department of Familyand Community Medicine at theUniversity of New Mexico, recentlyedited a new book, Community-Based

Participatory Research for Health(Jossey-Bass 2003). The book, whichcovers both methodological and ethi-cal issues and includes theory-drivencase studies and application tools, hasbeen widely cited in response to theInstitute of Medicine’s recent namingof community-based participatoryresearch as one of eight new areas inwhich schools of public health shouldoffer professional training.

Joel M. Moskowitz, Ph.D., director of the Center for Family and Com-munity Health, presented surveydata at the American Public HealthAssociation’s 2002 annual meeting.The center conducted the California2000 AIDS Knowledge, Attitudes,Beliefs and Behaviors Survey for theState of California’s Office of AIDS to examine the prevalence of riskbehaviors, identify socioeconomicdifferences in knowledge and beliefs,and measure public support for keypolicy issues. Among the survey’sfindings were that a majority ofCalifornians support access to cleanneedles for injection drug users andgiving condoms to prisoners to pre-vent the spread of HIV.

Lee W. Riley, M.D., professor of epidemiology and infectious diseases,was selected as an Ellison MedicalFoundation Senior Scholar in GlobalInfectious Diseases. The award sup-ports his research on mycobacteriumtuberculosis latency and reactivationtuberculosis.

George W. Rutherford, M.D.,adjunct professor of epidemiologyand health administration and interimdirector of the Institute for GlobalHealth, received the 2002 F. MarianBishop Educator of the Year Awardfrom the Association of Teachers ofPreventive Medicine.

Richard M. Scheffler, Ph.D.,Distinguished Professor of HealthEconomics and Public Policy, receivedfunding from the California HealthCareFoundation for “Hospital ServiceChanges in California: Trends,Community Impact, and Implicationsfor Policy,” a study looking at howchanges in hospital service influencedthe financial viability of California’sgeneral acute care hospitals between1995 and 2000.

Steve Selvin, Ph.D., professor ofbiostatistics and epidemiology, willhave two books published in the nearfuture. Biostatistics, to be publishedby Prentice Hall, will be available intime for fall classes, and the thirdedition of his book, StatisticalAnalysis of Epidemiologic Data, willbe published by Oxford UniversityPress in early 2004.

Stephen M. Shortell, Ph.D., M.P.H.,Blue Cross of California Distin-guished Professor of Health Policyand Management, organized andcochaired the second-day plenary session, “Organizational Change andLeadership,” at the Institute ofMedicine’s 2002 annual meeting.Shortell was also selected as the 2003Distinguished Visitor by the NationalHealth Care Group, Singapore, wherehe delivered several lectures and semi-nars. In addition, he was inductedinto the UCLA School of PublicHealth’s Alumni Hall of Fame for his contributions in health servicesresearch, health care quality, andhealth systems management.

Mark J. van der Laan, Ph.D.,professor of biostatistics, authoredUnified Methods for CensoredLongitudinal Data and Causalitywith James M. Robins, published by Springer Verlag in 2002.


Faculty News and Notes continued


15Public Health

Eric Stover, director of theHuman Rights Center andadjunct professor of publichealth, left the tranquillity of the Berkeley campus to travel to war-ravaged Iraq earlier this year.

Working with Human Rights Watch, thelargest U.S.-based human rights organiza-tion, Stover remained in Iraq for fiveweeks in March and April to monitorpossible violations of the GenevaConventions on all sides of the conflictand to identify human rights disastersin the making.

Stover and Hania Mufti, the Londondirector for the Middle East andNorthern Africa division of HumanRights Watch, spent much of their timeinterviewing displaced people and docu-menting human rights abuses. Amongthose interviewed were 35 Iraqi soldierswho had deserted their units and fled intoKurdish-controlled areas. The soldiersreported extremely low pay (approxi-mately U.S. $2 a month) and meagerfood rations in their units. “Some dayswe were so hungry we would eat grasswhich we mixed with a little water,” saida 21-year-old soldier from Baghdad.Some of the soldiers described inhumanepunishments, including beatings, and saidthat officers frequently threatened themwith execution if they tried to escape. Theofficers carried out their threats: onesoldier gave an eyewitness account of theexecution of 10 suspected deserters.

Early in their investigation, Stover andMufti warned of a situation ready toexplode into violence in Kirkuk, Iraq’sthird largest city with about 500,000people. The city is at the center oflong-simmering ethnic tensions. From1991 through 2002, an estimated120,000 Kurds, Turkomans, andAssyrians were driven out of Kirkuk by

Hussein’s forces in order to gain con-trol of the oil-rich region, which wasresettled with Arab families. “Imaginewhat Kurds and other displaced ethnicgroups would do if they returned tofind a resettled family in the homesthey were forced to leave,” said Stover.

Following the withdrawal of Iraqiforces from Kirkuk on April 10, Stoverand Mufti’s predictions became reality.Many Arabs were forcibly expelledfrom their homes, and widespread loot-ing and destruction of property affectedall the city’s ethnic groups. HumanRights Watch reported that at least 40civilians were killed in Kirkuk withinfive days’ time. The organization issued a press release stating, “U.S. and coali-tion forces have failed to bring law andorder to Kirkuk and ensure the securityof civilians, and therefore [they] contra-vene the Geneva Convention provisionsspecifying the obligations of an occu-pying power.” Human Rights Watchcalled upon the U.S. and interim Iraqiauthorities to take immediate steps to

establish mechanisms to settle claimsover disputed property and other assets.

This was not Stover’s first visit to Iraq. In 1991, he led a delegation of forensicscientists to Iraq to assist the Kurdish gov-ernment in the investigation of Kurdswho had disappeared under SaddamHussein’s brutal Anfal campaign offorced relocation in the late 1980s. Sometens of thousands of Kurds were report-edly killed by the Iraqi governmentafter they were driven out of theirland. In 1992, Stover testified beforeCongress about the mass killings inIraq. Stover’s work in the field of humanrights over the past two decades hastaken him to other areas of conflict. Asformer executive director of Physiciansfor Human Rights, he investigated massgraves in Bosnia in the 1990s whileserving as an “Expert on Mission” forthe International Crime Tribunal for theformer Yugoslavia in The Hague. He hasalso investigated violations of humanrights in Rwanda, Argentina, thePhilippines, Chile, Mexico, South Africa,Cambodia, and Guatemala.

Stover Investigates Human Rights Conditions in Iraq

Kurds deface a portrait of Saddam Hussein soon after joint Kurdish and U.S. forces take control ofthe town of Kirkuk in Northern Iraq.



A report from the International Summit on BreastCancer and the Environment released in March2003 concludes that the search for environmentallinks to breast cancer must be expanded.

The summit—a gathering of researchers, public health officials,and activists, held in Santa Cruz in May 2002—was chargedwith developing a broadly supported agenda for research intothe relationship between breast cancer and the environment.More than 100 participants generated thousands of recommen-dations, which were eventually narrowed down to 28 highpriorities organized into three areas: research, policy, andeducation and communication.

The document emphasizes the principles of community-basedparticipatory research, an approach based on the idea that thecommunity lies at the heart of public health. These sameprinciples were employed in the planning of the summit itself.

“This report is the closest anybody’s come to developing a singlevoice on the issue of environmental links to breast cancer,” saidPatricia Buffler, dean emerita and professor of epidemiology,who served as the summit’s principal investigator. “It was bornout of a process that brought together groups with differentperspectives, backgrounds, and agendas for a productive dialogueon a difficult topic.”

The report names specific improvements needed in research toolsand techniques, such as improved exposure assessment; better bio-markers for exposure, disease, and susceptibility; and increasedcollaborative follow-up studies. In addition, it asserts thatresearch should consider risk factors over a woman’s entire lifetime.

In the area of policy, the report’s recommendations include theestablishment of a national biomonitoring program to track expo-sures using body fluids; integrating the precautionary principleinto policy decisions; and promoting prevention messages in thebreast cancer movement. The effects of smoking also emerged as a

major concern at the summit, leading to the policyrecommendation that passive smoking exposuresbe eliminated nationwide.

Moreover, the report encourages a nationaldialogue regarding breast cancer as a human rightsissue and recommends that each national andstate legislator be briefed, “not only on the breastcancer incidence in her/his district, but alsowithin a larger context of national statistics, theresearch process, and the limitations of science.”

The process that led to the summit and the finalreport was facilitated by a secretariat composedof public health and environmental healthexperts working closely with Buffler, includingElize Brown, Caitlin Brune, Ben Fraticelli,Belma González, Elaina Jannell, Amy Kyle,Marj Plumb, and Wendy Strickland.

Berkeley researchers have submitted the reportto the Centers for Disease Control and Prevention,which funded the summit through a grant to theUC Berkeley Center for Family and CommunityHealth. Other sponsors of the summit includedthe UC Berkeley Environmental Health SciencesCenter, funded by the National Institute for Envir-onmental Health Sciences and the EnvironmentalCancer Epidemiology Unit of the WHO Interna-tional Agency for Research on Cancer.

Breast Cancer Summit Calls for Expanded Studies

Research Highlights

Tens of millions of patients withchronic diseases in this country arenot receiving the type of caremanagement proven to be effective,according to “External Incentives,Information Technology, andOrganized Processes to ImproveHealth Care Quality for Patientswith Chronic Diseases,” astudy by Stephen M. Shortell and colleagues, published inthe January 22 issue of theJournal of the AmericanMedical Association.

The study’s objective was “to determinethe extent to which physician organiza-tions with 20 or more physicians usecare management processes (CMPs) andto identify key factors associated withCMP use for four chronic diseases: asth-ma, congestive heart failure, depression,and diabetes.”

Researchers found that physician groupson average use only 32 percent of 16recommended care management pro-cesses, which include the use of nurse casemanagers, programs to help patients carefor their illnesses, disease registries,reminder systems, and feedback tophysicians on their quality of care. Thestudy also found that one physiciangroup in six uses none of these processes.

“The results suggest that Americans arenot receiving care that is as good as itcould and should be,” says Shortell. “Inmany ways, physicians are still organizedto practice medicine the way they did100 years ago.”

The four chronic diseases addressed bythe study together account for 140,000deaths and $173 billion in costs eachyear in the United States. Researcherssurveyed 1,040 medical groups and

independent practice associations with at least 20 physician members, surveyingthe presidents, chief executive officers ormedical directors of the groups.

“The processes we studied are known toimprove the quality of patient care,” saysLawrence Casalino, assistant professor of health studies at the University ofChicago and lead author of the paper.

“Our research indicates that physician organizations are beginning to createeffective processes to increase quality, but most still have a long way to go.”

The researchers found that physiciangroups are more likely to use organizedprocesses to improve care when they haveclinical information technology in placeand are given external incentives such asfinancial rewards, public recognition, orbetter contracts with health plans forhigh-quality care. However, half of thegroups reported having no clinical

information techonology, and one inthree physcian groups reported having no external incentives to improve quality.

“We know incentives work, but for themost part, they are not being used,”says Casalino. “The federal governmentand large employers have the mostleverage to establish incentives. Theyhave the opportunity and the responsi-bility to do so. Most Americans probablydon’t realize that those who purchasehealth insurance on their behalf are notpaying for quality care.”

Other co-authors of the study areRobin R. Gillies, Julie A. Schmittdiel,James C. Robinson, Thomas Rundall,Helen Ann Halpin, and Margaret C.Wang from UC Berkeley’s School ofPublic Health; Thomas Bodenheimerfrom UC San Francisco’s Departmentof Family and Community Medicine;and Nancy Oswald from HealthcareConsulting in Berkeley.

17Public Health

Physicians Often Fail to Use Recommended

Care Management Processes

Researchers surveyed 1,040 medical groups and independentpractice associations.

Research Highlights

$100,000 and AboveBetty Grant AustinMarjorie & Kenneth Kaiser

$10,000–$99,000Elizabeth CalfeeMarcia & Sergio GerinRobert Hosang & Joyce YapRichard LiuEdward & Camille Penhoet

$5,000–$9,999Patricia & Richard BufflerFarah ChampsiAlfred & Eunice ChildsSylvie GriffithsEva HarrisPatricia & Frederick HellmanAllan & Meera Smith

$1,000–$4,999Gerson & Barbara BakarRobert & Meg BeckMardelle BussPansy L. ChanIrene & Hung ChowMargaret Liu Collins & Edward Collins

Robert & Susan CraneLois De DomenicoMargaret DeaneSusan & James FoersterElizabeth FrayWallace GeeShand & William GreenNancy Hult Ganis & Sidney Ganis

Joan LamPhillip & Lynda LevinVirginia C. & Franklin LewEdward & Anita MarshallAnjali MorrisArtist ParkerJanet Perlman & Carl BlumsteinDarwin & Donna PoulosJ. Leighton & Carol ReadWilliam & Mary Jane ReevesShirley RobertsIrving & Irma TabershawKenneth Taymor & Elizabeth ParkerMary Woolley & Michael Campbell

$500–$999Seiko Baba BrodbeckLinda & James CleverAbla & Frank CreaseyJames CrouchMichael & Sandra FischmanJulie FishmanGeorge Ann GarmsAnnette GoggioMary Beahrs GrahRoderick & Frances Ann HamblinDavid & Katharine HopkinsJulia KleesDaniel & Yvonne KoshlandCatherine & James KoshlandFrancina Lozada-NurNancy LuskMarlene & Gadi MaierRuth & Harry MetzgerArnold Milstein

Mary & Craig NokeCarol PattersonShirley RoachZak Sabry & Ruth FremesMichelle SchwartzRobert & Patricia SpearJames Stokes & Willa Jefferson-Stokes

John & Gail SwartzbergBarbara & Alfredo Terrazas

$250–$499Lillian & Dudley AldousRamona AndersonGail Bateson & David RempelMaria BautistaSally Bellows & Hellmut MeisterLawrence Bergner

Edward BishopJoan & Howard BloomMargaret Cary & Adam DarkinsCarol & Ronald ClazieNancy Chapman Colb & Andrew Colb Robert & Barbara De RiemerPatricia & Ronald GatesJohn & Marlene EastmanSusan EckhardtPatricia EvansRobert Frangenberg & Ingrid Lamivault

Dava & Donald FreedFrederick GrosePatricia & James HarrisonThomas Hazlet


Partners in Public Health Donor Honor Roll 2001–2002

The School of Public Health gratefully acknowledges thefollowing individuals and organizations for their generouscontributions from July 1, 2001, to June 30, 2002.

Abla Creasey Named to Advisory Council

School of Public Health Policy Advisory Council. Front row (left to right):Nancy Lusk, Stephen M. Shortell, Lauren LeRoy, Alfred Childs. Back row:Kenneth Taymor, Margaret Cary, Robert Crane, Linda Hawes Clever,J. Leighton Read (Chair). Not pictured: Anne Bakar, Robert Beck, PeterCarpenter, Abla Creasey, Barbara Terrazas.

Partners in Public Health

Dean Shortell has appointedAbla Creasey, Ph.D., M.P.H. ’78,the newest member of the School of Public Health Policy AdvisoryCouncil. Creasey is vice president forproduct discovery and developmentat pioneering biotechnology compa-ny Chiron Corporation in Emeryville,California. Since 1991, she has ledresearch teams seeking to identifynew product opportunities relatedto cancer, cardiovascular disease,and infectious diseases.

Creasey is a School of Public Health alumna and earned her doctoratein microbiology at Berkeley. She has been granted several patents forher work and publishes widely in professional journals. She is anexecutive member of the Coalition for Critical Care Excellence, anational committee providing global strategic and policy leadership incritical care, and served on the board of trustees for Mills College inOakland, California, from 1992–1998.

Established in 1993 by former dean Patricia Buffler, the Policy AdvisoryCouncil strives to support the school in its efforts to offer the highest-quality professional education, research, and service in all aspects ofpublic health. In addition, council members assist the school in itsefforts to link basic research conducted by the University with thehealth of our communities locally, nationally, and internationally.

Genevieve HoRobert & Barbara JacksonNicole & David JanisonElizabeth MartiniRobert & Faith MillerMary & Raymond MurakamiMarion NestleJeffrey NewmanMartin & Muriel PaleyLynette Sawyer & Kent DupuisStephen & Susan ShortellNancy & Robert ShurtleffKathy & Barton SimmonsRosalind Singer & Jack TessmanNicole SmithJacqueline & William SmithJoanna SmithKirk Smith & Joan DiamondAshley Stiles TurekApril & Timothy WatsonSusan Yeazel & Richard Seegers

$100–$249George & Susan AbbottBarbara Abrams & Gary RootT. Elaine Adamson &

Edward GouldFrancesco Adinolfi &

Nancy CollinsDorothy & Arthur AlcocerLaura AllenErnest & Joan AltekruseVictor & Karen AlterescuCarlene & Richard AndersonEleanor & John AndersonKiyoto & Jeanette ArakawaRoland & Joyce ArangoAnn-Marie AskewHoward BackerAnna BagniewskaRichard BaileyDean BakerMarina BaroffGodfrey Becks & Patricia

Malicoat-BecksJoyce BergerDoris BlochRobert & Judith BlombergSandra & John BoeschenMaria & Shawn BovillR. Bower & Sally GlaserFrances BowmanJudith BramsonJoseph BrazieRosalyn & Michael BrittClaude BrownJeffrey & Cathleen BrownAndrew BrownKatherine Bryon & Todd Kotler Linda BurdenAlexandre BureauRobert & Elaine BurgenerRobert & Lili CadlPhillip Calhoun & Karen Chin

Louie & Glennda CamposDebra CannanGerri Cannon-SmithGretchen & Charles CarlsonJames CarpenterWilton Castro & Laura SantosPeggy ChanRaymond & Grace ChanHwa-Gan & Keh-Minn ChangLawrence Chapter &

Marta McKenzieDonna ChenSusan Chen & Gail HussonDavid & Stacie ChernerChin Long & Fu Chen ChiangNilda ChongAndrew ChowDolores & Samuel ClementAshley & Kenneth CoatesJonathan Cohn & Jeanne RaislerStig & Kelin ColbergRalph & Dorothy ConwayEstelle CookBernard CordesMartin & Diane CovitzHelena & James DalyRichard & Arlene DanielsGary & Martha DavidsonLaurel & Stuart DavisRobert DavisMark & Amy DaySigrid DeedsColleen Denny-Garamendi &

John GaramendiLouise DetwilerDoris & Carl DisbrowJudith DobbinsJeane DoncasterAndrew Doniger & Patricia Coury-Doniger

Barry Dorfman & Helen Leabah Winter

Joan & Andrew DorfmanReade & David DornanJacquolyn Duerr & Alberto BalingitKent & Irene DunlapLeland & Marta EhlingKathleen & Gerald EismanSanford ElbergTeri EllisonCarol & Alan EshlemanMaria Espiritu-Fuller & Dave Fuller

Donald & Charlene FaberHeidi FancherEllen & David FeigalLynn & Kurt FielderCarol & James FloydJean Follette & Adam OlivieriMary ForanKaren FranchinoKatharine & Daniel Frohardt-LaneLaura GardnerNicole & H. Jack Geiger

Carol GiblinDebra GillissMarilyn & Amos GoldhaberLynn Goldman &

Douglas HaywardJanice GoodeMildred GoodmanLilyan GoossensHoward Graves & Julie BallerBarry & Sharon GrayNina & Richard GreenLinda Greenberg &

Hiroshi MotomuraGail & Thomas GroganWilliam & Lynda GrossChristopher Grover & Ann Banchoff

Gail GullicksonRichard GustiloCorazon HalasanBeverly HalfordS. Katharine HammondJean HankinHoward HansellFrances HansonDavid Harrington &

Denise Abrams Joan & Gene HarterDarla HendersonJanet & Leon HeonDaniel HernandezSuzanne & Paul HerronIrva Hertz-Picciotto &

Henri PicciottoJudith Heumann &

Jorge PinedaAlfred & Stella HexterGeorge & Doris HighlandGlenn & Jan HildebrandIrene HiltonFrank & Helen HoNina HollandPatricia & Harold HoselDavid HoskinsonJohn HoughCharles & Kathleen HowardTeh-Wei & Tien-Hwa HuMark & Estie Sid Hudes Marjorie HughesJeffrey HunterPriscilla IlemDeborah & Martin InouyeRobert & Beverly IsmanOlive JackJames JacksonPaula JenningsPatricia & John JensenJerry & Darlene JonesAlma & Ian KagimotoKathleen Kahler &

Brian StackSoo-Hyang KangA. Arlene KasaRichard & Leanne Kaslow

19Public Health

Policy Advisory Council Spotlight

Linda Hawes Clever

Linda Hawes Clever, M.D., M.A.C.P.,a member of the School of PublicHealth Policy Advisory Council since1994, founded RENEW in 1999 as aresponse to the strains affecting herfellow physicians. RENEW helps doctors,nurses, and other health professionalsmaintain their creativity and effective-ness while managing competingdemands on their time. “When doctorsand nurses are drained and distract-ed, it becomes an urgent matter fortheir patients, their families, and thelarger community,” she says. RENEW’smethods are based on Clever’s 25years’ experience as an occupationalhealth specialist, including her serviceas chief of occupational health atCalifornia Pacific Medical Center(CPMC) in San Francisco. A specialproject of CPMC’s Institute for Healthand Healing, RENEW convenes con-versation groups and workshopswhere health professionals and otherswith “callings” can identify thesources of meaning in their lives andmake better personal decisions tofunction more effectively. “It’s notabout snatching time away from yourwork to watch your child play soccer,”says Clever. “It’s about making choicesabout fulfilling practice and personalresponsibilities based on your val-ues.” For more information aboutRENEW, call (415) 459-7398 or visitrenewnow.org.



$100–$249 continuedGerald KataokaKiyoshi & Irene KatsumotoSusan & Harvey KaymanOlivia & Richard KendrickLaura Keranen &

Desmond Gallagher Marchelle & Kenneth KeslerJames & Sarah KimmeyDavid & Arlene KlonoffKenneth & Nancy KlostermeyerLaura & Arthur KodamaJean KohnLaurence KolonelJill KorteTodd Kotler & Katherine BryonThomas & Shirley KsiazekLeighton KuRuby KuritsuboClement & Donna KwongCarol La FromboiseDarwin LabartheAndrew LanC. Suzanne Lea & Thomas NovotnyKelvin LeeDaniel & Beth LewisNellie LompreyCandace & Andrew LongmireLeslie Louie & David BowenJames & Maureen LubbenJane LuckhamDonald & Elaine LudwigRobert S. LundTerry MacHen & Marcia

Brown-MacHenKathleen & Jun MakishimaGrayson & Sally MarshallKaren MartzDavid MatherlyGary McCauleyJanet McDonaldKevin McGirrMara McGrath & George PughAlan & Margaret McKay

George & Joanne McKraySara McMenamin & Joel KosakoffValeria MechamRosa MedinaRobert MeenanEdward Melia & Elaine

Melia-SilverMark MendellEdward MendozaMargaret MeyerHelimon Meyer-SchroederLeslie MikkelsenJoan & Graham MilburnMargaret & John MillerRobert Miller & Paula ShadleDonald & Elizabeth MinklerMeredith Minkler & Jerry PetersHilbert MoralesRachel Morello-FroschLela & Walter MorrisRobert Mueller & Marie CostaMasako & Richard MurakamiFrank Mycroft & Sue TsangJane & Ralph MyhrePatricia & George NakanoSuzanne Nash &

Christopher HorsleyDavid NelsonLinda Neuhauser & Craig BuxtonHarold & Marilyn NewmanPeggy & Gary NobleMary O’Connor & Emil BrownHarry & Thelma OffuttCatherine & Roderic ParkTyan Parker-Dominguez &

Manuel DominguezCarol ParletteRonald & Marie PasquinelliMildred PattersonEllen Peach & David ReeseEileen PeckKaren PeiferKristine & Leland PetersonMary Philp

Lawrence PlaskettWilliam Plautz & Kathleen WelshMary PolanDean Preston & Jenckyn GoosbyKaren & Robert PridemoreDenise & Michael PrinceFlorence & Paul RaskinJudith & John RatcliffeGeorge & Lucy RathjensReimert & Betty RavenholtKathleen RegilioKenneth Renwick & Trish RoweJoseph & Nancy RestucciaBarbara Rever & Jerry GinsburgRene RicksKathleen Ries & Stephen McCurdyDavid & Mary RieseLee Riley & Jesse FurmanWhit & Gordon RobbinsOlivier Robert & Lee

Moore-RobertWilliam RobertsonRicki & Joel RobinsonMary & Carl RodrickBarbara & Anthony RooklinMartin RosenblumRachel Royce & Matthew FarrellySidney SaltzsteinSarah Samuels & Joel SimonJanet SchillingGregg SchneppleStephen Schultz & Mary PaceyPeter SchultzShirley SchwalmBetty SeaboltDonna SeidDuane & Arnita SewellGeorge ShaberLeona ShapiroNan & Gary ShawDonna ShelleyTina Sherwin Eugene ShurtleffNorman & Frances SiebeJoel & Jennifer SilbermanAlan & Claudia SilvermanRobert SimonGary & Joanne SimsPhoenix SinclairLester & Pauline SmithLorraine & Lawrence SmooklerShoshanna SofaerHelen & Malcolm SowersSusan Standfast & Theodore WrightBruce Steir & Yen AeschlimanHoward & Virginia StiverCorwin & Adrian StrongRoberta SungTricia Swartling & Chris WilliamsAnn & Laurence SykesWilliam & Judith Tanner Ellen & Donald TavesVirginia & William TaylorJanet Taylor

Samuel Tekyi-MensahConstantine & Nancy TempelisPamela ThompsonRichard & Mary Haven ThompsonShirley & Richard TimmJean Ann ToddClaudine TorfsHoa TranJohn TroidlKenneth TroutmanLaura TrupinMary & Kenneth TuckwellSandra & R. Dennis TyeClarence & Judith UedaJohn & Toni VarinShekhar Venkataraman &

Uma ChandranJack VermillionRobin Vernay-Light & William LightAnders Wagstaff & Laura SisulakSusan & Barry WainscottLingtao & May-Choo WangWilliam WarnerSusan WatersRussell WatsonWalter Weick & Linda RobrechtHarvey & Rhona WeinsteinMichael Weiss & Sarah CoxDavid & Kathryn WerdegarKatherine & Robert WestphelingEddie & Lynn WhiteheadDeborah Wilkinson & Allan Schild Wilkinson

John & Elizabeth WilliamsMichael & Danelle WilliamsJohn WilliamsJulie WilliamsonSusan Wilson-Brown &

Robert BrownWarren & Veva WinkelsteinCarol & George WoltringBrian Wong & Cindy GokChanning WongLiane & Mitchell WongAi-Chu Wu & Winston LeeCheryl Wyborny & John CoulterLinda YoungJohn & Suzanne YoungRuth & Percy YoungZachary Zimmerman

$1–$99Beatrice & Larry AbramsKathleen AdelgaisMary AderElizabeth & Nathan AdlerDorothy AeschlimanBenjamin & Dativa AgustinJennifer AhernAbbey Alkon & Jonathan LeonardNancy AllenNancy AltemusCatalina & Stevan AlvaradoEdgar Alvarez

2002–2003 School of Public Health scholarship recipients gather at the Women’s Faculty Club to meet their sponsors at the annualScholarship Tea.


21Public Health

Frank & Yolanda AlvarezAdele AmodeoHenry & Virginia AndersonRussell AndersonJoyce AppelbaumBalan & Gurdeep ArakoniAnne Ashe & Larry OrmanBerna AtikKatherine BaerLona & Darel BarhamJohn BarkerRobert BarrRobert & Linda BatesHerbert & Hanna BauerLori & Kevin BeaganP. Robert BeattyLisa & James BehrmannElena BerlinerMuriel & Paul BerozaErnest BertellottiGlenn & Jeri BissellKirsten BlackKaren BlochBabette & Sydney BlochGladys BlockMarilynn Bonin & Gregory FindleyGeorge & Linton BowieW. Thomas & Jill BoyceLynda BradfordEllen & Nelson BrancoRussell BraunLetitia Brewster & David WaltonCatherine Briggs &

Hamouda HanafiClaire & Ralph BrindisBarry BrinkleyMelissa Lim Brodowski &

Jason BrodowskiGarrett Brown & Myrna SantiagoHayley Bryant & Timothy HobgoodLinda BryantRoy & Donna BryggmanGertrude & William BuehringJeffrey Burack

Martha & Gilles BureauColombe BurnettKimberly BussTania ButkovicLisa Butler & Jim SlottaBette CaanRaul Caetano & Patrice

Caetano VaethAntonino & Alice CalarcoRebekah CalhounMyfanwy CallahanMark & Allyn CallahanBarbara CampbellPatricia & Fritz CarlsonBetty & Ralph CarpenterDiana CassadyArthur CastilloMarcia Ceesay & Jeff SlaterShawn ChandlerHolly ChaneyAlbert & Yvonne ChangPo-Shen Chang & Julie Craig-Chang

Sophia W. Chang & Anson W. Lowe

Nancy & Roger ChapmanPatricia & Scott CharlesMelody & Richard ChasenMei & Matthew CheungAnn ChouHerbert Christensen & Paula MilesJoanna CiagliaLouis & Margaret CoccodrilliPamela CocksDeborah CohanPaul Cohen & Nancy MastersWilliam & Margaret CoitS. Bruce & Carol CopelandKitty Corbett & Craig JanesLaurence CorpMaria & Jeffrey Corral-RibordyRaymond & Kleona CorsiniCharles Crane & Wendy BreuerCarol & James Cunradi

Peter & Gwen DaileyAnn & Loring DalesThomas Daniel & Susan EricksonDale DanleyDavid Dassey & Mark ZellersNadyne DavisStephen DavisAlma Deleon-NwahaElizabeth DellWalter & Patricia DennTri DoJoyce & Roscius DoanDeborah Dobin & Scott RobinsonLinda DongJohn & Betty DonnellyAlbert & Harriet DraperSandra & Jerry DratlerSteven Drown & Constance SteeleJonathan & Susan DucoreErin Dugan & Brian PurcellSally DuronKathleen DylanKathleen EarnhartKristie EbiMolly EfrusyJose EguiaDon & Karen EisenbergMarsha Epstein & Paula SmithRochelle EremanEvelyn EricsonShannon & Andrew ErstadBrenda Eskenazi & Eric LipsittYvonne EslerMichael & Jennifer FaraciHarold & Diana FeigerSue FeltRobin & Mark FineLinda & Gerald FinerStacey FitzSimmons & Jack GuralnikElizabeth FlickSylvia FloresJanet Fogel & Robert SchlegelMarion FowlerNorma FranciscoConstance FraserElaine FrederickLaurence FreitasDale Friedman & Joan BradusJonah Frohlich & Elizabeth PayneCharles FroomElena Fuentes-AfflickMarianne GalloEileen GallowayCeleste GaramendiHector & Catalina GarciaCarl & Carole GarnerLiliane Geisseler & Svein RasmussenKaren & Jack GeissertJack GersonDana GersteinMichael Gibson &

Jeanne DarricadesPhilip & Geneva GilletteRenee Gindi

Sharonn & Alan GittelsohnVirginia GladneyLarry & Betty GoldblattPhilippa Gordon & Stephen TalbotJune Goshi & Samuel SweitzerMichael & Laurel GothelfDeanne GottfriedHeather GouldJeffrey & Benina GouldAlfonso & Gloria GraceRoger & Marian GraySusan & Lowell GreathouseNathaniel GreenhouseL. Martin & Joyce GriffinJennifer GrinsdaleNina Grove & Kenneth JohnsonValerie GruberSylvia & Simon GuendelmanCasey & Erica GundersonRichard & Karen GundersonNora HallJovine HankinsLynne HarounRobert & Martha HarrellJoan HarrisRobert HarrisonStephen & Susan HaskellJeanne Hathaway & Thomas Scammell

Richard & Mary HedrickAllan HeinsKathleen Hellum & W. R. Alexander

Susan Helmrich & Richard LevineNancy HerizaRosana HernandezDorith HertzKate Heumann & James MeyersElizabeth & David HibbardMichael & Judith HibbardElaine & Joseph HielMarisa HildebrandWarren & Miriam HillHugh & Beverly HillearyTimothy Hobgood & Hayley BryantDonald & Marie HochstrasserGuenter & Karen HofstadlerCarolyn Hoke-Van Orden &

Frank Van OrdenArthur & Olivia HollisterAudrey HolmDavid & Margaret HoosonRalph HornbergerHingloi Hung & Stella YuGeorge Hyde & June BradyJeanette HylandMark Ibele & Robin DeweyLaurel ImhoffEllen & Donald IrieTimothy & Heather IsaacsonKiersten Israel-BallardBarbara JacksonKurt & Nancy JacksonSusan Jamerson

Betty Grant Austin (right), who established the C. C. Chen Fellowship,chats with 2002–2003 recipient Xiaohui (Dorothy) Hou.



$1–$99 continuedPatricia JamesBrian & Ingrid JamesRoland & Reona JamesPriscilla & Kenneth JamiesonMarie JenkinsSarah JewelSteven JoffeJon JohnsenBlair & Jeffrey JohnsonRichard & Eloise JohnstonAndrea JonesRonald & Ann KanekoJane Kaplan & Andrew CondeySnehendu & Barbara KarRichard & Kathleen KarpHelen KearnsDavid KeepnewsSteffi & Josh KellamGraham & Wanda KempJane KenyonEric KessellMi Khin Khin & Douglas KaufmanRuthann KiblerElizabeth & Jeremy KleinDori KojimaHelen & Chong KooClarence & Carolyn KooiGloria KrahnMarlene Kramer & Walter MorganBarbara & Don KruseEileen Kunz & Douglas HumphreySusan KunzEllen & Frank KushinMark KutninkAmy KyleSusan LambertRebecca LandauPhyllis & Bruce LaneSuzanne Larson & Jeffrey BartfeldAbiose LasakiDiane LattanzioAlan & Linda LauAudrey LawrenceRonald & Frances LedfordAndrea LeeSimon LeeHelga & Henry LeightonPatricia LenoxJonathan Leonard & Abbey AlkonCarl LesterMargaret LeungJane LevLynn Levin & Stan OshinskyShelley LevineVirginia F. LewArline LewisKris LindstromHenry & Eva LinkerEdwin LinsleySheri LippmanFenyong Liu

Suzanne LlewellynSibylle Lob & Robert BadalMarjorie LollichPeggy Loper & Michael McShaneBill & Diane LouieClyde & Cheryl LoveladyBetty Lucas & Gordon JackinsRoger LuckmannJames & Marion LyonCharles & Elissa MaasLincoln & Flora MacliseShirley MainBruce & Lynne ManDavid & Anne ManchesterJoseph & Deborah MarinoDavid MarkThelma & James MartinClaudia Martinez-Schwarz &

Henry SchwarzRani Marx & James Kahn Marlon MausMack & Julia McCoyRuth McHenry-CoeThomas & Virginia McKoneJulie McManusBessanderson McNeilMary & D. Michael McRaeKristin McTagueRaymond Meister & Mary MillerMolly Mettler & Donald KemperSusan & Douglas MilikienMarlene & Thomas MillerRoy & Frances MinklerPatrick MitchellJohn & Lisa MonteleoneMatthew MooreFlorence Morrison & William Clark

Altrena MukuriaMarian Mulkey & John PowersRyo & Mark MunekataLarry & Rita MurilloRuth NaganoPaul & Jane NakazatoKavita Nayak & Rajesh KamathRichard NeumaierBeata & Harlen NgMark Nicas & Jennifer McNaryPhyllis & Joel NitzkinElizabeth & Robert NobmannJaniece & Robert NolanJames & Audrey NoraNora NorbackBarbara NorrishAnn & John NuttMay & Somao OchiElizabeth & Lambert O’DonnellJohn & Marcellina OgbuHelen OglesbyAfolabi & Mojirola OguntoyinboChristina O’HalloranRuby & Donald Okazaki

Kent OlsonAlan Oppenheim & Alice Salvatore

David & Laurie OrdinSusie Osaki HolmLynn & Stan LevinCharles & Barbara OsickaJune & Neil OstranderRuth OsuchMichael O’Sullivan &

Edna White-O’SullivanLisa OtaJanice OwenPadmini ParthasarathyLisa PayneDebra Pelkey-Creem &

Mitchell CreemEdward Perry & Maureen

Dion-PerryMary & Abiathar PhillipsTomm PicklesCheri Pies & Melina LinderTommie & Thomas PippinsDonald & Ann PorcellaMartha & Cas PouderoyenRandolfo PozosSavitri PurshottamNancy PuttkammerGlenn RandallEthel & Kenneth ReadIrene ReedArthur Reingold & Gail BolanDorothy & John RiceTimothy Rich & Robina

Ingram-RichHenry RichanbachLois RifkinFrancis & Jean RileyAmanda Rittenhouse &

Jonathan BotkinMichael & Sharon RogersPaul & Judith RogersJames RoggeGuido & Ruth RosatiJohn RosenbergE. Scott & Shirley RosenbloomElizabeth Rosenthal &

Jorge IbarraElizabeth Rottger-HoganAlice RoyalSarah Royce & David TheisThomas Rundall & Jane TiemannSusan RunyanElva RustWilliam RyanLisa Sadleir-Hart & Thomas HartAllyson Sage & Patrick RomanoLinnea SallackLeigh Sawyer & Gerald QuinnanGene & Reiko ScalaroneLinda Smith Schermer &

Harry Schermer

Carolyn Schuman & Stephen Sidney

Steven SchwartzbergMonika & Harry ScottWilliam SeaveyRuth SelanGeorge & Linda SensabaughMaye & Takeo ShirasawaJo & James ShoemakeMarilyn SilvaMitchell & Bonita SingalGregory SlocumAaron SmithEsmond SmithTerrill SmithRosemary & John SniderCynthia & Arden SnyderSusan & David SnyderKaren Sokal-Gutierrez &

John GutierrezPeter & Lucia SommersUsha & Bharat SrinivasanDorothy StaceyKenneth Stanton &

Rivka GreenbergJacklyn SteinEdith & Guy SternbergMary StevensMarilyn & William StockerSusan & William StokesLinda Strean & Howard PollickSharon & Martin StrosbergFrances & Mark SturgessSeiko & Lloyd SuehiroJohn SunkiskisChristine SwansonLouise SwigRuth SybersS. Leonard & Marilyn SymeIra & Jilda TagerJosephine & Eric TaoKenneth & Patricia TaylorPeter & Coralyn TaylorIrene & Marsh TekawaCorinna & William TempelisMarilyn TeplowRonald ThieleGregory & Bonita ThomasTerry TobinScott & Patricia TschirgiDaniel & Janis TuerkJenifer & Stephen TurnbullVerna & V. E. UngerKatherine Van Leuwen &

Robert YoungRosalie VlahutinDonald WaiteHazelle Junker WalkerElana Wallenstein &

Charles SilverMary Ann Wampler &

Philip Bierman


23Public Health

Anne WayburPatricia WeberBernadine & Andrew WeirGordon WernerRobert & Gwendolyn WernerPhillip & Patricia WestLeland & Lene WhiteEdna White-O’Sullivan & Michael O’Sullivan

Diane WilliamsJohn & Irene WilsonAlvin Winder & Doris RaphaelTerry WinterBarbara WismerSallie & Steven WisnerSharon WitemeyerEllen WolfeGeorge & Helen WoodsJoyce YcasasKatherine Yu & David SuSusan Zahner & Leon OlsonWalter ZaksJeremy Zhou

2002 Class Gift Kathleen AdelgaisLisa Butler Holly ChaneyAnn ChouDeborah CohanElizabeth DellTri DoJonathan Ducore Molly EfrusyJose EguiaDana GersteinHeather GouldJennifer GrinsdaleKaren GundersonRosana HernandezLaurel ImhoffEric KessellElizabeth KleinDori KojimaMargaret LeungMarlon MausJanice OwenTina SherwinNicole SmithJohn Troidl

Gifts Made in Honor of

Professor EmeritusHenrik Blum

by Richard DaileySusan JamersonJames LubbenMeredith Minkler

Professor Patricia Buffler by Linda & James Clever

Nancy LuskShirley Roach

Professor Emeritus Chin Long Chiang

by Margaret DeaneSamuel Tekyi-Mensah

Professor Leonard Duhl by John Hough

Professor Meredith Minkler by Jim Meyers

Professor Edward Penhoetby Bruce Steir

V. Ramakrishma by Mildred Patterson

Professor EmeritusWilliam Reeves

by George Woods

David Seeley by John Aird

Professor John Swartzberg by Adele Amodeo

Professor Emerita Helen Wallace

by Claude Brown

Gifts Made in Memory of

Professor William Bruvold by John Hough

David & Yoshi Carpenter by James Carpenter

Asfa Desta by Robert Barr

William Fray by Elizabeth Fray

Don Galloway by Eileen Galloway

Avraham & Leah Glueck by Mark & Estie Sid Hudes

Joanna F. Gorzman by Aaron Smith

Professor EmeritusWilliam Griffiths

by Martin Covitz Robert Miller Sidney Saltzstein

Nell Hollinger by Sanford Elberg

Ruth Huenemann by Elaine Hiel

Eileen PeckLeona Shapiro

Roger Kent by Heather Gould

Nelly Li Kwong by Clement Kwong

Marguerite de la Vega Linsley

by Edwin Linsley

Connie Long by Linda Burden

Carol Cunradi Shirley RoachBetty SeaboltJohn Troidl

Lawrence Macupa by Linnea Sallack

C. Jean Morton by Deborah Wilkinson

Dorothy Nyswander by Charles Froom

Nora HallRobert MillerElizabeth O’Donnell

Mr. & Mrs. J.G. Okamoto by Ruth Nagano

G. Nicholas Parlette by Ernest Bertellotti

Carol ParletteLynette Sawyer

Dr. Catherine Cline Pike by Anne Waybur

Mr. & Mrs. I.H. Schulman by Lois Rifkin

Joseph & Esther Sholeye by Abiose Lasaki

“Chuck” Smith by Lorraine Smookler

Sanra Lurie Stein (Starr) by Shoshanna Sofaer

Gary Stewart by Colleen Denny-Garamendi

Professor Paul Taylor by Henry Anderson

Elaine Walbroek by Susan Jamerson

Dr. Mookie Wilson by Nora Norback

Organizational DonorsDorothy D. Aeschliman Rev TrustAgape FoundationAlloy VenturesAlta PartnersAmerican Home Products

CorporationBank of America FoundationBASF CorporationBerlex Laboratories Inc.Fred H. Bixby Foundation Blue Cross of CaliforniaBoeing CompanyBristol-Myers Squibb FoundationThe California EndowmentCalifornia Healthcare FoundationThe California Wellness FoundationChiron Corporation

Dextra Baldwin McGonagle Foundation

East Bay Community FoundationEisenberg Olivieri & AssociatesEOA Inc.French Foundation for Medical

Research & EducationGE Fund General Motors CorporationHealth Workforce SolutionsHewlett-Packard CompanyJewish Community

Endowment FundJohnson & Johnson Family of

Companies FoundationRobert Wood Johnson FoundationKaiser PermanenteKaiser Permanente Medical Care Program

Kellogg USA Inc.Leukemia Society of America Inc.Margaret Liu FoundationRichard Liu FoundationMalicoat Becks & Associates Inc.March of Dimes Birth DefectsFoundation

Marin Community FoundationMid-Peninsula OphthalmologyMedical Group Inc.Gordon & Betty Moore FoundationNeurobiological Technologies Inc.Novartis US FoundationPalo Alto Medical FoundationThe Pew Charitable TrustsPlanned ParenthoodPopulation & DevelopmentInternational-Venture StrategiesPrytanean AlumnaeRetirement Research FoundationWilliam M. Ryan Co. Inc.The Sandler Family Supporting

Foundation San Francisco Jewish

Community Federation Scheffler & AssociatesStandard Process Inc.Sutter HealthSweetwater Springs RanchTelecare CorporationUC Chinese Alumni FoundationV. I. Technologies Inc.The Weir Trust Wells Fargo FoundationWhitehead Family Trust

Gifts in KindHop Kiln WineryLouis M. Martini WinerySee’s Candies



Dear Friends,

Warm greetings on behalf of the Public Health Alumni Association board of directors. Weare excited about some of the new ways in which we are reaching out to our alumni in theSan Francisco Bay Area and beyond.

Last October, we held the first Professional Development Workshop, a new event sponsoredby the Public Health Alumni Association offering professional development opportunities forparticipants from all sectors of the public health world. The event featured two outstandingpresenters, John Troidl, Ph.D., whose workshop taught skills to analyze financial statements,and Sandra Dratler, Ph.D., who helped participants discover their management styles. Thereception after the workshops offered attendees the chance to socialize, network, and—insome cases—reconnect. The event’s success has us busily planning next fall’s workshops. Wewelcome any and all suggestions that will help us in the planning process.

Also this past fall, alumni who attended the APHA Conference in Philadelphia enjoyed theschool-sponsored social hour at the Marriott Hotel. Please be sure to mark your calendarsfor next year’s APHA conference as we will be the unofficial “host.” Tens of thousands willconverge on San Francisco November 15–19, 2003, and we’d love for you to help us repre-sent the school.

The Public Health Alumni Association held a scholarship tea in December; students whoreceived scholarships had the unique opportunity to meet the donors who helped make theireducation possible. In a delightful setting on campus—the Women’s Faculty Club—morethan 40 students and donors enjoyed an afternoon tea together and received a specialwelcome from Dean Shortell. Mrs. Betty Grant Austin presented the background ofthe C. C. Chen Fellowship, named in honor of a public health professional whoworked with her father in rural China.

Current students and local alumni met over coffee and dessert to discuss career andinternship opportunities at the third annual Career Café in February. This popular eventhighlights the diverse career paths and experiences of our alumni/practitioners and weencourage your participation in next year’s Career Café.

This past May, we hosted a picnic for graduating students as our way of saying “Congratu-lations!” and “Welcome to your alumni association!” This was the first event of itskind sponsored by the alumni association, and we enjoyed the opportunity to interact withstudents in a fun and celebratory atmosphere.

Before signing off, I’d like to remind each of you that one of the perks of being agraduate of the UC Berkeley School of Public Health is access to “Public Health @cal,”our special online community developed exclusively for SPH alumni. Register athttps://sphalum.berkeley.edu and start taking advantage of the searchable alumnidirectory, career networking opportunities, and the Berkeley email forwarding service—all for free. The Public Health Alumni Association board of directors looks forward toseeing you at a public health event in the near future!

Warm regards,

April Watson, M.P.H.’98PresidentPublic Health Alumni Association

President’s Message

April Watson

One of the perks of being agraduate of the UC BerkeleySchool of Public Health isaccess to “Public Health @cal,” our special onlinecommunity developed exclusively for School ofPublic Health alumni.

Alumni News

figures who encouraged him to go to school.“Idealistic and naïve as it may seem, I wantedto benefit Indian people and Indian com-munities,” he says.

During his term as president of APHA, Birdhighlighted the huge and growing disparitiesbetween rich and poor for all basic necessities,including health care. He continued the call foruniversal health care and made it a top priorityto explore efforts to support indigenous peoplesin countries around the world. In addition, hebuilt positive relationships between APHA andother organizations.

“The data has demonstrated that there’s notequality in this nation when it comes to healthcare,” says Bird. “The ‘Pledge of Allegiance’articulates values of fairness, equality. Whenyou have a nation that holds itself up as a leaderin the world, you have to do more than talkabout justice for all, you need to practice it.”

He notes that the field of public health,which looks at systems, populations, and theenvironment, is consistent with indigenousperspectives, which focus on the intercon-nectedness of all things. “We all share thisspace, this country, this world. If you look atthings like the economy and the spread ofdiseases, it is clear—especially nowadays—that everything is interconnected.”

–Michael S. Broder

25Public Health

When Michael E. Bird, M.S.W., M.P.H. ’83 was inauguratedpresident of the American Public Health Association (APHA)—theoldest and largest organization of public health professionals in theworld—it represented a milestone.

Bird, who is a Santo Domingo-San Juan Pueblo Indian from New Mexico, was thefirst American Indian ever to lead the high-profile association. A member of APHAfor more than 15 years, he chaired the organization’s executive board from 1998 to1999, served as president-elect in 2000 and president in 2001.

“To be the first American Indian elected president of this association was such a won-derful opportunity. It’s a real statement on where APHA is in terms of being consistentwith its values and its commitment to diversity and social justice,” says Bird.

This year he received the Healthcare Hero Award from the Congressional BlackCaucus, the Congressional Hispanic Caucus, the Congressional Native AmericanCaucus, and the Congressional Asian and Pacific American Caucus. Before assum-ing his current position as executive director of the National Native American AIDSPrevention Center in Oakland, Bird worked with the Indian Health Services,an agency of the Department of Health and Human Services, for 21 years. Heis past president of the New Mexico Public Health Association and was a fellowin the U.S. Public Health Service Primary Care Fellowship Program and boardmember of HealthNet New Mexico. In addition to his M.P.H. from Berkeley, Birdearned a master’s degree in social work from the University of Utah.

The experience of growing up with an alcoholic father sharpened Bird’s awareness ofsocial issues and helped point him toward studies in social work and public health.His mother, who supported two children on her own without having completed highschool, was a source of inspiration to him. His grandparents were also supportive

Michael E. Bird

Alumni News

Alumnus Spotlight

Michael E. Bird

Make your gift to the School of Public Health Annual Fund online.

https://colt.berkeley.edu/urelgift/public_health.html

What could be easier?Your tax deductible gift will support a broad range of valuable School of Public Healthprograms, such as scholarships, student recruitment efforts, capital improvements, and importantenrichment activities for the school.

Or mail your gift (payable to the "School of Public Health Fund") to:University of California, BerkeleySchool of Public HealthExternal Relations & Development140 Earl Warren Hall #7360Berkeley, CA 94720-7360

For additional information about making a gift to the school, call Patricia Hosel,assistant dean for development and external relations, at (510) 642-9654.


1940s

Dorothy Crouch, Ph.D., B.A. ’42 “I was abacteriology major. I worked in a clinical laband had a bioanalyst license. I have a Ph.D.in microbiology and taught.”

Lois A. (Schulman) Rifkin, B.S. ’48 “I was amedical technologist for 50 years. Duringthat time I worked in hospitals and inspectedclinical laboratories for the State of California.I spent some retirement time as a laboratoryconsultant and became a private pilot. I ammoving from the L.A. area before the year isout to Portland, Oregon, where my growndaughter, two granddaughters, and familyreside.”

James Basil Hall, M.D., M.P.H. ’49 was invitedto join the family of Charles Lindbergh ina special celebration at the SmithsonianNational Air and Space Museum in Washington,D.C., marking the 75th anniversary of Lind-bergh’s flight across the Atlantic. Hall was aflight surgeon with the Army Air Forces whenhe first made Lindbergh’s acquaintance.

1950s

Marjorie F. (Helgans) Hughes, M.D., M.P.H. ’54retired in 1992 from the Arlington County,Virginia, Department of Public Health,where she was the director of school healthfor 35 years.

Henry Anderson, M.P.H. ’56 received theLifetime Achievement Award from theSouthwest Labor Studies Association.

Glenn I. Hildebrand, M.P.H. ’57 “I have beenelected to the board of directors of theCalifornia Center for Public Health Advocacyand serve as the membership chair for theCalifornia Public Health Association–North.”

Harry A. Scott, M.P.H. ’57 has been retiredfrom the position of chief of the Alameda CountyVector Control Services District for 5 years. Heserved as chief for 13 years beginning in 1984.

Chhaganbhai B. Bhakta, B.S. ’58 is theproud grandfather of two granddaughters. Thefirst, Kushmita, was born June 7, 1998, “a 44thwedding anniversary gift.” The second, Sajni,was born on Feb. 18, 2001. Bhakta and hiswife visited India and Panama last year.

John H. Donnelly, M.D., M.P.H. ’58 “Afterretirement from Boulder County, Colorado’sHealth Department in 1985 and abundant

traveling around the country by travel trailerand some European and Central/ SouthAmerican countries by air, bus, and cruiseliner, Ireally retired to my writing (a biography), stampcollecting, working newspaper puzzles andcomputer solitaire. TV with my wife is a must.”

Lee Holder, M.P.H. ’58 has been retiredsince 1996. He is involved in volunteer activi-ties and enjoys visiting his five children and 12grandchildren. He also continues to enjoyinternational travel.

1960s

Lynn Deniston, M.P.H. ’62 “Retired andkeeping fit via square dancing, fishing, golf,and gardening.”

Corwin Strong, M.P.H. ’64 “Retirement life isfantastic! Volunteering for community services,travel, golf all make the past worthwhile.”

Patricia E. (Lee) Taylor, Ph.D. ’64 “Continuedworking professionally in infectious diseasein all of our postings while my husband wasin the Canadian Diplomatic Service. AfterKen’s tenure as Canadian Ambassador toIran during the American hostage crisis,UC Berkeley, where he obtained his M.B.A.,honored us in the Greek Theatre at the com-mencement exercises in 1980. Since that timewe have lived in New York and I have been onstaff as an epidemiologist in the Laboratory ofEpidemiology at the New York Blood Center.”

Bettie Basye Hutchinson Ott, M.P.H. ’65is enjoying good health. She gardens, writesshort autobiographical stories, and swimsdaily. She writes, “I miss the good work I wasinvolved in for 22 years, health education,and my colleagues in the Class of ’65.”

Mildred F. Patterson, M.P.H. ’65 turned 90in October 2002. “Enjoying life,” she writes.

Roger W. Haskell, M.P.H. ’66 “Enjoying myretirement in the the Bay Area. I have wonder-ful recollections of my times at Warren Hall. Iremain in close contact with Dr. AminullahSaboor, M.P.H. ’66, who has recently returnedto Kabul, Afghanistan.”

Hazelle (Junker) Walker, M.P.H. ’66 has been enjoying retirement since 1981.

Walter Morgan, M.D., M.P.H. ’68 is currentlyworking with medical students in communityoutreach projects. He also supports sevenstudent-run community clinics.

1970s

Adele R. Amodeo, M.P.H. ’70 is president ofthe California Public Health Association–North, and treasurer of the California Centerfor Public Health Advocacy.

Alice Royal, M.P.H. ’72 continues her year-round volunteer work at Colonel AllensworthState Historic Park. She received an OutstandingService Certificate for her work to developand advance the park.

Barbara Nowell Jackson, M.P.H.’73 hasretired from home care after 50 years ofcommunity-based occupational therapy andprofessional writing. She now works part-time as a consultant to the State of NorthCarolina’s independent living program.

Michael E. Williams, M.S. ’75, M.P.H. ’74is in his fifth year managing an environmentalhealth and safety consulting firm, Health Safetyand Risk Management Services.

(Jennifer) Suzanne (Dod) Thomas, M.P.H. ’76“I am currently teaching part-time in theSociology Department of the University of SanFrancisco.”

Sandra Storch-Broad, M.P.H. ’77 is thebreast-feeding coordinator for the AlamedaCounty Women, Infants & Children programin addition to other roles there. Her sons,Max and Jeremy, are 15 and 12 years old.She cosponsored the Guinness WorldRecord for Simultaneous Breastfeeding heldin Berkeley last year.

John C. Monteleone, M.D., M.P.H. ’78 “2003marks 25 years since I completed my M.S./M.P.H. degree in nutrition. I have many fondmemories and I continually use clinicalnutrition in my medical practice of sports andfamily medicine.”

Mary Ann Thode, J.D, M.P.H. ’78 wasappointed Northern California president ofKaiser Permanente, a system with 3.2 millionmembers. She formerly served as Kaiser’schief operating officer.

Laura Peck, M.P.H. ’79 consults to collabo-ratives and boards and coaches executiveleaders as part of the Claros Group. Herdaughter is a freshman at UCSD. Laura’shusband, Alan Stein, M.P.H. ’78, is executivedirector of the West Coast Children’s Center.

Alumni Notes

1980s

Gordon Belcourt, M.P.H. ’80 received theNational Hero award from the School of PublicHealth (see back cover).

Hellan Roth Dowden, M.P.H. ’80 is a consult-ant and lobbyist. Her firm, HR Dowden andAssociates, will be managing a grant from theCalifornia Endowment to work with theCalifornia Teachers Association and theCalifornia Association of Health Plans. Thegrant is designed to help educate teachers onthe availability of low- or no-cost health insurance for students and to assist inenrollment into these programs.

Mary Henderson, M.B.A., M.P.H. ’81 wasappointed to be Kaiser Permanente’s vicepresident of national HIPPA compliance andinformation technology compliance. Hendersonhas been with Kaiser Permanente for 15 years.She led Kaiser’s national Y2K project and wasthe project manager who formed its nationalIT organization.

Marc Rivo, M.D., M.P.H. ’81 is the Floridaregional medical director and adviser forChronicare Programs for AuMed HealthPlan, a nonprofit Kaiser affiliate in Florida.His wife Karen is a nurse and public healthgraduate. They have two daughters, Jessica,14, and Julie, 11.

Olivia Walden Kendrick, Dr.P.H. ’84recently received the Joseph S. RowlandAward for Outstanding Teaching, the highestfaculty honor at the University of Alabama’sCollege of Human Environmental Sciences.

Christopher Jones, M.S.W., M.P.H. ’85“After working for government public healthfor more than 15 years, I’ve quit to take a yearsabbatical with my life partner, Bill Prince,M.D., to travel through Europe and NorthAfrica. Most recently I was employed by PublicHealth Seattle and King Co. and served asregional vice president of the WashingtonState Public Health Association.”

Rena Pasick, Dr.P.H. ’85, M.P.H. ’80 wasappointed associate director for educationand outreach at the UCSF ComprehensiveCancer Center.

Maria Frizelle Roberts, M.P.H. ’85 “I wisheveryone at UCB Public Health the very best. Iwould love to hear from my classmates.”

June P. Brady, M.P.H. ’86 “Although‘retired,’ my international interest continues.I am on the American Academy of PediatricsInternational Child Health Committee and on the Health Volunteers Overseas Committee,plus consultation in Equatorial Guinea inpediatric care.”

Bruce S. Steir, M.D., M.P.H. ’86 has volun-teered for the past two years at the Women’sHealth Option Clinic at San FranciscoGeneral Hospital.

Karen Sokal-Gutierrez, M.D., M.P.H. ’88“I’m thrilled to have returned to work atthe School of Public Health. I’m working atthe Center for Community Wellness on thestate-wide evaluation of the ‘Kit for NewParents’ and teaching at the UCB-UCSFJoint Medical Program.”

David Nelson, M.P.H. ’88 “I am enjoyingsharing mindful songs, stories, and lessons onmy children’s radio show, ‘Shooting Stars,’weekday afternoons on the Hopi publicradio station.”

John Wikle, M.D., M.P.H. ’88 “I am workingwith several managed care health plans todevelop medical group-based disease manage-ment programs. I continue also practicinginternal medicine half-time.”

Martha A. Ryan, R.N.P., M.P.H. ’89 acceptedthe Organizational Hero award from theSchool of Public Health on behalf of TheHomeless Prenatal Program, a nonprofit organ-ization providing prenatal care and parentingsupport to homeless women (see back cover).

1990s

Logan Marshall Blank, M.P.H. ’90 earned alaw degree from the University of Montana in2001 and was commissioned as an environ-mental sciences officer in the United StatesArmy Reserve. Blank currently practices law inMissoula, Montana.

Karla Pearcy, M.S.W., M.P.H.’90 and her hus-band Stanley live in Portland, Oregon, and areexpecting their first child in March 2003. Karlaworks for the State of Oregon’s Women,Infants, & Children’s Program as a health edu-cator/outreach coordinator.

Jill Granger, M.P.H. ’93 is an epidemiologistand has been working for the MichiganDepartment of Community Health since 1998.

27Public Health

Julie Gerberding, M.D., M.P.H. ’90, director ofthe national Centers for Disease Control andPrevention (CDC), visited Berkeley on April 8to discuss health preparedness and to acceptthe school’s Alumna of the Year Award. DeanStephen M. Shortell presented her with a crystalbear and a Cal T-shirt, which she promised tohang above her desk at the CDC in Atlanta.

Addressing the audience, Gerberding laid out herplans to improve the CDC’s emergency responseand said that the first health care worker in theUnited States had come down with probableSARS. While acknowledging the significance ofSARS and bioterrorism, Gerberding emphasizedthat these are just two of many health issues onwhich the CDC focuses. She said that chronichealth problems, such as obesity, are the country’smajor threats and noted that obesity is approach-ing tobacco as the top risk factor for disease inthis country.

Julie Gerberding and Dean Shortell

O’Neill Directs National AIDSPolicy Office

Joseph O’Neill, M.D., M.S.,M.P.H.’83 was appointeddirector of the White HouseOffice of National AIDSPolicy by President Bush inJuly 2002. A member ofthe White House Domestic

Policy Council, O’Neill leads the office respon-sible for domestic and international HIV andAIDS issues. Prior to his appointment, O’Neillwas acting director of the Office of HIV/AIDSPolicy in the Department of Health and HumanServices. From 1997 to the end of 2001, hewas associate administrator for HIV and AIDSin the Health Resources and Services Adminis-tration’s HIV/AIDS Bureau, where he directedthe national Ryan White Comprehensive AIDSResources Emergency (CARE) Act program.

Alumni Notes continued on page 28

Gerberding DiscussesPreparedness, Receives Honor


She has developed an occupational pesticideillness and injury surveillance program for thestate to track occupational pesticide exposure.She is renovating a 120-year-old farmhousewith her husband Larry and their daughterIsabelle, who is five years old.

Judith Feinson, M.C.P., M.P.H. ’94 is a pro-gram evaluator for the State of Delaware’sDepartment of Health and Social Services. Shealso conducts research on tobacco preventionand children for a pediatric pulmonologist.

Audrey O. T. Lau, M.D., M.P.H. ’94 “I gavebirth to my first child on April 14, 2002. Hisname is Buel Frederick Yat-Hay Rodgers or‘Freddie’ for short.”

David Zalk, M.P.H. ’94 has become presi-dent of the International Occupational HygieneAssociation. The association includes 25member organizations in 23 countries.

Kay Wallis, M.P.H. ’96 is special projectsmanager in the Department of Medicine atUCSF and lives in Richmond, California. Shewrites, “I am active in local organizing to fightcorporate polluters and support homeless rights.I have successfully utilized ‘media advocacy’skills learned at SPH in several local campaigns.”

Steffi Becht Kellam, M.P.H. ’98 “After livingin Argentina for a year, we’ve moved back toTexas and now have a beautiful baby girl,Katherine Ann (Katie).”

Michael P. Wilson, M.P.H. ’98 won a SwitzerEnvironmental Fellowship, awarded by theRobert & Patricia Switzer Foundation to out-standing early-career environmental leaders.Wilson is at Berkeley working on his Ph.D. inenvironmental health sciences.

Anna C. Ziedins, M.P.H. ’98 received herD.V.M. from UC Davis in June 2002. Shehas begun an internship at the LoomisBasin Veterinary Clinic. Anna is the daugh-ter of Inta Ziedins, B.S. ’58.

Kamyar Kalantar-Zadeh, M.D., M.P.H. ’99has been promoted to step III assistant clin-ical professor of medicine and pediatrics atthe UCLA School of Medicine and Harbor-UCLA Medical Center. He received a careeraward from the NIH to conduct a cohortstudy concerning nutrition and outcome indialysis patients.

Danielle A. Lloyd, M.P.H. ’99 married StuartEvans on July 7, 2002, in Washington, D.C.Alaine Perry, M.P.H. ’99, was in attendance.After completing the presidential management

internship program at the Health Care FinancingAdministration and the House of Represent-atives Ways and Means Subcommittee onHealth, Lloyd became vice president for federalreimbursement programs for the CaliforniaHealthcare Association.

2000s

Nilda Chong, M.D.,Dr.P.H. ’00 is the authorof The Latino Patient:A Cultural Guide forHealth Care Providers,released last year by theIntercultural Press. Thebook provides an in-depth exploration of

Latino diversity, health status, relevant culturalvalues, health beliefs, and effective communi-cation strategies. Chong is director of KaiserPermanente’s Institute for CulturallyCompetent Care.

Eric J. Chow, M.P.H. ’00 is in the midst ofhis pediatric residency at the University ofWashington.

Sara McMenamin, Ph.D. ’02, M.P.H. ’98 received her Ph.D. in health services and policyanalysis in May 2002. On February 14, 2002,she gave birth to a son.

Alumni Notes continued from page 27

Victor Eisner Jr., M.D., M.P.H. ’63 died July 10,2002, at Marin General Hospital in Greenbrae,California. A World War II veteran who earneda Purple Heart and four Bronze Stars, Eisnerreceived his bachelor’s degree from StanfordUniversity and his medical degree fromHarvard University. After earning his M.P.H. atBerkeley in 1963, he served on the school’sfaculty until 1980. He was predeceased by hiswife, Rosemarie, and is survived by his daugh-ter Julie, son Lorenz, son-in-law Chris, threegrandchildren, brother Sigmund, sister-in-lawNancy, and numerous nephews, nieces, grand-nephews, and grandnieces.

June (McCartin) Foote, B.S. ’39 (Nursing),Cred. ’42 (Public Health) died June 26, 2002,in Medford, Oregon. Foote was a public healthnurse until her retirement. A dedicated pro-tector of nature, she was a founding boardmember of The Land Trust of Napa County andthe Natural Science Docents. She is survived byher husband of 61 years, Si; two children,Nancy and Curt; and a grandchild.

Eli Glogow, Dr. P.H., M.P.H. ’51 diedSeptember 12, 2002, at his home in CulverCity, California. Glogow was an emeritusprofessor of public administration and a long-time administrator at the University ofSouthern California. He received numerousawards for teaching excellence and outstand-ing service and was published in more than 25professional and academic publications.Glogow is survived by his wife of 24 years,Christine, as well as a son and a daughter, asister, and grandchildren, nieces, and nephews.

Walter H. Graze, M.P.H. ‘85 died March 2,2003. Graze was a senior industrial hygienistand manager of the Asbestos ContractorsRegistration Unit for the California OccupationalSafety and Health Program in the CaliforniaDepartment of Industrial Relations. Beforethat, Graze worked for the San FranciscoPublic Utility Commission, where he had healthand safety management responsibility for thecity’s Municipal Railroad and Hetch HetchyWater System employees. He also workedwith WORKSAFE and the Labor OccupationalHealth Program at UC Berkeley on a variety ofprojects. He is survived by his wife, Margene,daughters Maxine and Rita, and sister Natalie.

Nell Hollinger, Ph.D.died April 23, 2002,at Carson-TahoeHospital in CarsonCity, Nevada.Hollinger, a profes-sor emerita of publichealth, was on the

In Memoriam

school’s faculty from 1944 to 1970. BornApril 18, 1905, in Lordsburg, New MexicoTerritory, she received her bachelor’s degreefrom Berkeley and her doctorate from StanfordUniversity. She was a key member of the teamthat developed and produced the first beta-hemolytic streptolysin, the first successfulattempt at a nationally available test forrheumatic fever. Hollinger was active in theAmerican Society of Microbiology, theAmerican Association of Clinical Chemists, andthe American Association of University Women.

Dorothy Rea MacGregor, B.A. ’43 (PublicHealth) died June 10, 2002, at her home inVictoria, British Columbia. MacGregor workedas a lab technician before retiring to raise herfamily. She is survived by her husband, WallaceMacGregor; her three children, MalcolmMacGregor, Janet MacGregor-Williams, andKenneth MacGregor; and four grandchildren.

Stewart HarveyMadin, D.V.M.,Ph.D., B.A.’40(Public Health) died September 18,2002, in his Orinda,California home atthe age of 84. Bornin England, he

received both his B.A. and Ph.D. from Berkeleyand his D.V.M. from Texas A&M University.Madin joined the faculty of the School ofPublic Health in 1961, transferring from theDepartment of Bacteriology, where he hadheld an appointment since 1950. His specialtyarea was animal viruses. Madin was known forhis expertise in foot-and-mouth disease andcontributed to early work on defenses againstbiological warfare. He served as an emeritusprofessor from 1986 until the time of his deathand was an active mentor for students at theSchool of Public Health. Madin’s wife, Katherine,predeceased him by two months. He is survivedby three sons.

David Nishimura, M.P.H. ’84 died August 20,2002, in Sacramento, California. Nishimuraworked for the California State Department ofMental Health, and before that, the StateDepartment of Corrections. Nishimura wasan organizer and supporter of many chari-ties including the March of Dimes. He issurvived by his parents, Stan and ElaineNishimura; sister Susan Carnes, brother JimNishimura, two nieces, and a nephew.

Dianna Thomsen, J.D., M.P.H. ’86 diedAugust 22, 2002, of a rare brain cancer atage 38. She was raised in Albany, California,and received her bachelor’s degree in biologycum laude in 1985 from Vassar College. Sheearned a law degree from Santa ClaraUniversity in 1987. In 1997 she joined theWashington, D.C., law firm of King &Spalding, where she specialized in repre-senting companies before the Food andDrug Administration.

29Public Health

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2003 Public Health Heroes

University of California, BerkeleySchool of Public Health140 Warren Hall #7360Berkeley, CA 94720-7360

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PAIDUniversity of California

On March 14 the School of Public Health honored four leaders at its7th Annual Public Health Heroes Celebration, held at the Rotunda in Oakland.

Awards were presented to (left to right) the Homeless Prenatal Programrepresented by Martha A. Ryan; Ela Bhatt, founder of India’s Self-Employed

Women’s Association; Gordon Belcourt, executive director of Montana/Wyoming Tribal Leaders Council and Area Indian Health Board; and LesterBreslow, professor emeritus at UCLA School of Public Health. UCSF ProfessorEmeritus Philip R. Lee (left) presented Breslow with his award.

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Spring 2003 - The Air That They Breathe - Public Health

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