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European and American experts systematically compare U.S. and EU strategies to promote democracy around the world -- from the Middle East and the Mediterranean, to Latin America, the former Soviet bloc, and Southeast Asia. In doing so, the authors debunk the pernicious myth that there exists a transatlantic divide over democracy promotion.

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Palgrave McMillan Press
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Amichai Magen
Michael A. McFaul
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BACKGROUND: Previous research has provided evidence that socioeconomic status has an impact on invasive treatments use after acute myocardial infarction. In this paper, we compare the socioeconomic inequality in the use of high-technology diagnosis and treatment after acute myocardial infarction between the US, Quebec and Belgium paying special attention to financial incentives and regulations as explanatory factors.

METHODS: We examined hospital-discharge abstracts for all patients older than 65 who were admitted to hospitals during the 1993-1998 period in the US, Quebec and Belgium with a primary diagnosis of acute myocardial infarction. Patients' income data were imputed from the median incomes of their residential area. For each country, we compared the risk-adjusted probability of undergoing each procedure between socioeconomic categories measured by the patient's area median income.

RESULTS: Our findings indicate that income-related inequality exists in the use of high-technology treatment and diagnosis techniques that is not justified by differences in patients' health characteristics. Those inequalities are largely explained, in the US and Quebec, by inequalities in distances to hospitals with on-site cardiac facilities. However, in both Belgium and the US, inequalities persist among patients admitted to hospitals with on-site cardiac facilities, rejecting the hospital location effect as the single explanation for inequalities. Meanwhile, inequality levels diverge across countries (higher in the US and in Belgium, extremely low in Quebec).

CONCLUSIONS: The findings support the hypothesis that income-related inequality in treatment for AMI exists and is likely to be affected by a country's system of health care.

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BMC Health Services Research
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Olga Saynina
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On April 4, 2009, SPICE co-sponsored a high school teachers' workshop with Stanford's Center for Russian, East European, and Eurasian Studies (CREEES) and the National Consortium for Teaching about Asia (NCTA) called "Examining Long-Term Radiation Effects: Case Studies of the Atomic Bombings of Japan and the Chernobyl Power Plant Thermal Explosion." The workshop featured two scholars and reflections by an atomic bomb survivor. SPICE staff also introduced its curriculum unit of the same title. The workshop was funded by the U.S. Department of Education (Title VI) and the NCTA.

Encina Ground Floor Conference Room

Herbert L. Abrams Professor of Radiology, Emeritus Speaker Stanford University
David Marples Director Speaker Stasiuk Program for the Study of Contemporary Ukraine, Canadian Institute of Ukrainian Studies and University Professor, Dept. of History & Classics at the University of Alberta Canada
Gabriella Safran Associate Professor Speaker Department of Slavic Languages and Literatures at Stanford University; Director of the Center for Russian, East European, and Eurasian Studies
Takashi Tanemori Atomic bomb survivor Speaker Atomic bomb survivor

616 Jane Stanford Way
Encina Hall, C331
Stanford, CA 94305-6060

(650) 723-1116 (650) 723-6784
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gary_mukai.jpeg EdD

Dr. Gary Mukai is Director of the Stanford Program on International and Cross-Cultural Education (SPICE). Prior to joining SPICE in 1988, he was a teacher in Gunma Prefecture, Japan, and in California public schools for ten years.

Gary’s academic interests include curriculum and instruction, educational equity, and teacher professional development. He received a bachelor of arts degree in psychology from U.C. Berkeley; a multiple subjects teaching credential from the Black, Asian, Chicano Urban Program, U.C. Berkeley’s Graduate School of Education; a master of arts in international comparative education from Stanford University’s Graduate School of Education; and a doctorate of education from the Leadership in Educational Equity Program, U.C. Berkeley’s Graduate School of Education. 

In addition to curricular publications for SPICE, Gary has also written for other publishers, including Newsweek, Calliope Magazine, Media & Methods: Education Products, Technologies & Programs for Schools and Universities, Social Studies Review, Asia Alive, Education About Asia, ACCESS Journal: Information on Global, International, and Foreign Language Education, San Jose Mercury News, and ERIC Clearinghouse for Social Studies; and organizations, including NBC New York, the Silk Road Project at Harvard University, the Japanese American National Memorial to Patriotism in Washington, DC, the Center for Asian American Media in San Francisco, the Laurasian Institution in Seattle, the Japanese American National Museum in Los Angeles, and the Asia Society in New York.

He has developed teacher guides for films such as The Road to Beijing (a film on the Beijing Olympics narrated by Yo-Yo Ma and co-produced by SPICE and the Silk Road Project), Nuclear Tipping Point (a film developed by the Nuclear Security Project featuring former Secretary of State George P. Shultz, former Secretary of Defense William J. Perry, former Secretary of State Henry A. Kissinger, former Senator Sam Nunn, and former Secretary of State Colin L. Powell), Days of Waiting: The Life & Art of Estelle Ishigo (an Academy Award-winning film about Japanese-American internment by Steven Okazaki), Doubles: Japan and America’s Intercultural Children (a film by Regge Life), A State of Mind (a film on North Korea by Daniel Gordon), Wings of Defeat (a film about kamikaze pilots by Risa Morimoto), Makiko’s New World (a film on life in Meiji Japan by David W. Plath), Diamonds in the Rough: Baseball and Japanese-American Internment (a film by Kerry Y. Nakagawa), Uncommon Courage: Patriotism and Civil Liberties (a film about Japanese Americans in the Military Intelligence Service during World War II by Gayle Yamada), Citizen Tanouye (a film about a Medal of Honor recipient during World War II by Robert Horsting), Mrs. Judo (a film about 10th degree black belt Keiko Fukuda by Yuriko Gamo Romer), and Live Your Dream: The Taylor Anderson Story (a film by Regge Life about a woman who lost her life in the 2011 Great East Japan Earthquake and Tsunami). 

He has conducted numerous professional development seminars nationally (including extensive work with the Chicago Public Schools, Hawaii Department of Education, New York City Department of Education, and school districts in the San Francisco Bay Area and Los Angeles County) and internationally (including in China, France, Indonesia, Japan, Korea, Laos, Malaysia, Myanmar, the Philippines, Singapore, Spain, Thailand, and Turkey).

In 1997, Gary was the first regular recipient of the Franklin Buchanan Prize from the Association for Asian Studies, awarded annually to honor an outstanding curriculum publication on Asia at any educational level, elementary through university. In 2004, SPICE received the Foreign Minister’s Commendation from the Japanese government for its promotion of Japanese studies in schools; and Gary received recognition from the Fresno County Office of Education, California, for his work with students of Fresno County. In 2007, he was the recipient of the Foreign Minister’s Commendation from the Japanese government for the promotion of mutual understanding between Japan and the United States, especially in the field of education. At the invitation of the Consulate General of the Republic of Korea, San Francisco, Gary participated in the Republic of Korea-sponsored 2010 Revisit Korea Program, which commemorated the 60th anniversary of the beginning of the Korean War. At the invitation of the Nanjing Foreign Languages School, China, he participated in an international educational forum in 2013 that commemorated the 50th anniversary of NFLS’s founding. In 2015 he received the Stanford Alumni Award from the Asian American Activities Center Advisory Board, and in 2017 he was awarded the Alumni Excellence in Education Award by the Stanford Graduate School of Education. Most recently, the government of Japan named him a recipient of the Order of the Rising Sun, Gold and Silver Rays.

He is an editorial board member of the journal, Education About Asia; advisory board member for Asian Educational Media Services, University of Illinois at Urbana-Champaign; board member of the Japan Exchange and Teaching Alumni Association of Northern California; and selection committee member of the Elgin Heinz Outstanding Teacher Award, U.S.–Japan Foundation. 

Director
Gary Mukai Director, SPICE Speaker Stanford University

616 Jane Stanford Way
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Stanford, CA 94305-6060

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Rylan Sekiguchi is Manager of Curriculum and Instructional Design at the Stanford Program on International and Cross-Cultural Education (SPICE). Prior to joining SPICE in 2005, he worked as a teacher at Revolution Prep in San Francisco.

Rylan’s professional interests lie in curriculum design, global education, education technology, student motivation and learning, and mindset science. He received his Bachelor of Science degree in Symbolic Systems at Stanford University.

He has authored or co-authored more than a dozen curriculum units for SPICE, including Along the Silk Road, China in Transition, Divided Memories: Comparing History Textbooks, and U.S.–South Korean Relations. His writings have appeared in publications of the National Council for History Education and the Association for Asian Studies.

Rylan has also been actively engaged in media-related work for SPICE. In addition to serving as producer for two films—My Cambodia and My Cambodian America—he has developed several web-based lessons and materials, including What Does It Mean to Be an American?

In 2010, 2015, and 2021, Rylan received the Franklin Buchanan Prize, which is awarded annually by the Association for Asian Studies to honor an outstanding curriculum publication on Asia at any educational level, elementary through university.
 
Rylan has presented teacher seminars across the country at venues such as the World Affairs Council, the American Museum of Natural History, and the Art Institute of Chicago, and for organizations such as the National Council for the Social Studies, the International Baccalaureate Organization, the African Studies Association, and the National Consortium for Teaching about Asia. He has also conducted presentations internationally for the East Asia Regional Council of Overseas Schools in Thailand, Malaysia, and the Philippines; for the European Council of International Schools in Spain, France, and Portugal; and at Yonsei University in South Korea.
 
Manager of Curriculum and Instructional Design
Instructor, Stanford e-Hiroshima
Manager, Stanford SEAS Hawaii
Rylan Sekiguchi Curriculum Writer, SPICE Speaker Stanford University
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CISAC is pleased to announce that 14 seniors have been selected to participate in its Undergraduate Honors Program in International Security Studies

The program provides an opportunity for eligible students focusing on international security subjects in any field to earn an honors certificate.

Students selected intern with a security-related organization, attend the program's honors college in Washington, D.C. in September, participate in a year-long core seminar on international security research, and produce an honors thesis with policy implications.

  • Bertram Ang
    Departments of Economics & Political Science
    Restructuring of the Military Mindset
  • Amir Badat
    Program in International Relations
    Nuclear Disarmament and the Nuclear Non-Proliferation Treaty
  • Daniel Cassman
    Departments of Political Science & Computer Science
    The Restart of Ended Civil Wars
  • Philippe de Koning
    Program in International Relations
    Minor in Economics
    The Influence of North Korea and China on Japanese Militarization
  • Daniel Leifer
    Department of Biology
    Rapid Mobilization of Health Care Workers in Times of Crisis
  • Ashley Lohmann
    Program in International Relations
    Tactical Change by Middle Eastern Terrorist Organizations, 1970-2004
  • Raffi Mardirosian
    Department of Economics & Public Policy Program
    The Adaptability of Terrorists and Rogue Nations to Financial Methods of Preventing WMD Proliferation and other Breaches of National Security
  • Ben Picozzi
    Department of Philosophy
    Minor in Classical Languages
    Norms and International Security with Respect to the Responsibility to Protect
  • Amir Ravandoust
    Department of Management Science & Engineering
    Minor in International Relations
    Nuclear Arab States: Is Proliferation Inevitable?
  • Sam Stone
    Department of Mathematics & Program in International Relations
    The Use of Energy Exports as a Foreign Policy Tool in the CIS and Eastern Europe
  • Gautam Thapar
    Department of Political Science
    Minor in Economics
    U.S. Aid to Pakistan
  • Son Ca Vu
    Department of Management Science & Engineering
    Minor in Political Science
    The A.Q. Khan Network: A Rogue Business Model
  • Georgia Wells
    Program in Human Biology
    Explaining the Radicalization of the Muslim Brotherhood in Egypt
  • Hao Yan
    Departments of Political Science & Economics
    China's Global Strategy

 

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Larry Diamond
Abbas Milani
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As the presidential electoral turmoil in Iran continues, pitting supporters of challenger Mir Hussein Moussavi against President Mahmoud Ahmadinejad, President Obama has gotten it right, Larry Diamond and Milani say, "by signaling America's support for peaceful protest, human rights, and the rule of law." More explicit language, or action, would only play into the hands of Iran's conservative elements. But the world has more than 100 other democracies, Diamond and Milani note, arguing "It is time that their voices were heard and their actions felt in Tehran."

Notices of the demise of Iran’s Green Revolution are premature. Without question, the tyrannical triumvirate — Ayotallah Ali Khamenei, President Mahmoud Ahmadinejad and the Revolutionary Guard — have dealt a crippling blow to the popular movement protesting their electoral coup of June 12.

Thousands of Iranians have been arrested and savagely tortured — from street protesters to election campaign organizers for Mir Hussein Moussavi, the likely victor in that contest. Many are now being forced to “confess” to having been agents of the United States or Britain.

We have seen this play before, not simply in Iran but in other tyrannies that suppressed mass movements for democratic change with massive violence and terror.

But Iran in 2009 is not China in 1989, Burma in 1990 or Belarus in 2006. The crisis in the Islamic Republic has exposed and widened massive cracks within the ruling elite. Such divisions are always a sign of an impending crackup of dictatorship.

Despite the rush to bury Iran’s reformist movement as another lost cause, Iran remains at a possible political tipping point. Democracies around the world have a duty — not simply to themselves, but to their strategic interests — to weigh in. They must not be deterred by threats to shun talks over Iran’s nuclear program.

President Obama has gotten it right by signaling America’s support for peaceful protest, human rights and the rule of law. More explicit language, not to mention action, would only play into the hands of the most cynical and vicious conservative elements in Iran. Moreover, with no diplomatic ties and all but no trade with Iran, there is little more the U.S. could do right now to pressure the regime.

But there are over 100 other democracies in the world. It is time that their voices were heard and their actions felt in Tehran.

Britain shares with the U.S. the handicap of a past history of negative interference in Iran. But Britain has diplomatic and economic ties to the regime, and breaking or suspending those will weaken Ayatollah Khamenei and his reactionary allies.

Moreover, Britain can have a unique kind of impact in Iran: For more than a century, Iranians have believed in the omnipotence of the “British hand” in the affairs of their country. Any indication that Britain is no longer willing to do business with the Islamic regime will hearten the Iranian people and undermine the regime’s aura of invincibility.

Germany, France and Italy are major trading partners with Iran. They have little history of colonial interference in Iranian affairs. Their decision to refuse to recognize the Ahmadinejad regime would have an immense effect. More compelling still would be a similar declaration from the entire Group of 8 at its impending summit.

The smaller and less powerful democracies can also have an impact. It would be preposterous for Iranian hardliners to attribute ulterior strategic motives to actions by the Scandinavian countries or the Netherlands, Ireland, Canada or Slovenia. If a coalition of such countries were to condemn the crackdown, call for a release of political prisoners and demand full respect for human rights — and back up these positions with a downgrading of diplomatic and trade ties — this would send a powerful message to both sides in Iran.

Many democracies around the world, including the above, have diplomatic ties with Iran. It is important that they maintain their embassies in Tehran. But they should now refuse to recognize the legitimacy of Ahmadinejad’s government.

The most powerful coalition of democracies in the world, the 27-member European Union, is now debating whether to withdraw their ambassadors from Tehran in protest over the detention of the British Embassy’s Iranian personnel.

The withdrawal of E.U. ambassadors would send a stunning message to the Iranian hardliners that coups and bloody suppression of peaceful protests carry a heavy price in international standing.

With the simple diplomatic act of denying legitimacy — something nearly all democratic forces in Iran are now asking of the world — the democracies of the world can give a needed boost to the forces of democratic change in Iran and earn the lasting gratitude of a movement that will eventually triumph.

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Philip Taubman
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Now that President Obama has set a promising arms reduction agenda with President Dmitri Medvedev of Russia, he faces the greater challenge of getting his own government and the American nuclear weapons establishment to support his audacious plan to make deep weapons cuts, Philip Taubman writes in the New York Times.

As President Obama will soon discover, erasing the nuclear weapons legacy of the cold war is like running the Snake River rapids in Wyoming — the first moments in the tranquil upstream waters offer little hint of the vortex ahead. Now that Mr. Obama has set a promising arms reduction agenda with President Dmitri A. Medvedev of Russia, he faces the greater challenge of getting his own government and the American nuclear weapons establishment to support his audacious plan to make deep weapons cuts and ultimately eliminate nuclear weapons.

So far, Mr. Obama has effectively coupled an overarching vision of getting to a world without nuclear weapons, outlined in a speech in Prague earlier this year, with concrete first steps like the one-quarter reduction in operational strategic nuclear weapons promised in Moscow this week. Given his short time in office, and the looming December expiration of the treaty with Russia covering strategic nuclear arms reductions, the new limits are a good, realistic start. It is especially important to extend the monitoring and verification provisions of the expiring arms accord.

But the overall Obama approach involves a balancing act that requires him to move boldly while reassuring opponents that he is not endangering our security. Put simply, he has to maintain a potent nuclear arsenal while slashing it.

Mr. Obama might consider Ronald Reagan’s experience when he tried to set a similar course. The nuclear weapons crowd practically disowned Reagan when he proposed abolishing nuclear weapons during his 1986 summit meeting with Mikhail Gorbachev in Reykjavik, Iceland. After the meeting, when Reagan asked his generals to explore the ramifications of possibly sharply cutting warheads and eliminating nuclear-tipped ballistic missiles, they politely but firmly told their commander in chief it was a terrible idea.

Mr. Obama’s moment of truth with his generals is coming later this year when the Pentagon completes its periodic Nuclear Posture Review. This, in the Pentagon’s words, “will establish U.S. nuclear deterrence policy, strategy and force posture for the next 5 to 10 years.” So it will be the American nuclear weapons bible for the remainder of Mr. Obama’s presidency, one term or two.

President Obama must make sure it reflects his thinking. That will not be automatic, because the nuclear weapons complex — the array of Pentagon and Energy Department agencies involved in nuclear operations, including the armed services and the weapons labs — harbors considerable doubt about his plans. The same goes for the wider world of defense strategists. There is resistance in Congress, too.

The view in these quarters is that the weapons cuts Mr. Obama envisions — deeper than the modest goals set in Moscow this week — would dangerously undermine the power of America’s arsenal to deter attacks against the United States and its allies. Sentiment also favors building a new generation of warheads, a step Mr. Obama has rejected.

If the White House does not assert itself, the Nuclear Posture Review could easily spin off in unhelpful directions. The review that was produced when Bill Clinton was president in 1994 offered a rehash of cold war policies. The one that was done when George W. Bush took office in 2001 was more unconventional, but was quickly overshadowed by the terror attacks of Sept. 11, 2001, and the war in Iraq.

To serve Mr. Obama’s interests, the new review should lay the groundwork for pronounced cuts in weapons and shape America’s nuclear stockpile to fit a world in which threats are more likely to come from states like North Korea and Iran than from a heavily armed power like Russia.

After the review, the next big test for Mr. Obama will likely be Senate consideration of the Comprehensive Test Ban Treaty. He has pledged to resubmit this 1996 United Nations treaty, which was flatly rejected by the Senate in 1999.

To get the two-thirds majority needed for its approval, Mr. Obama will need to hold his fellow Democrats in line — far from a sure thing — and also pick up some Republican support. Two influential Republican senators — John McCain and Richard Lugar — are pivotal. Both voted against the treaty in 1999.

Opponents wrongly argue that the treaty is unverifiable. That might have been the case a decade ago, but technological advances make monitoring of even small underground nuclear tests possible today. Critics also say a permanent ban on testing — the United States has honored a moratorium since 1992 — would eventually cripple the nation’s ability to maintain reliable warheads. So far, most weapons experts would say, that has not proven to be true and should not be for many years.

Few presidential moments are more glittering than the announcement of arms reduction accords in the Kremlin’s gilded halls. For Mr. Obama, that was the easy part.

 

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This article seeks to explain why two states faced with a similar terrorist threat, perceiving it in a similar way, and drawing the same broad implications for their counterterrorist investigations, have nevertheless put in place significantly different types of organizational
reforms in response to that threat. The study shows that although France and Britain have embraced a common preventive logic in the face of Islamist terrorism, the changes that they have made to the coordination of intelligence, law enforcement, and prosecution in that context have differed because of contrasting organizational routines and interinstitutional conventions in the two states. An analysis of the British and French cases shows that law enforcement can be preventive but that western states are likely to pursue different ways of bringing security agencies and the law together to prevent and prosecute terrorism. The organizational and institutional factors that give rise to such divergent practices have important consequences for the ability of a state to develop a coordinated operational response to terrorism and convict terrorist suspects of crimes in a court of law.

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OBJECTIVE: Evidence-based surgery is predicated on the quality of published literature. We measured the quality of surgery manuscripts selected by peer review and identified predictors of excellence.

METHODS: One hundred twenty clinical surgery manuscripts were randomly selected from 1998 in 5 eminent peer-reviewed surgery and medical journals. Manuscripts were blinded for author, institution, and journal of origin. Four surgeons and 4 methodologists evaluated the quality using novel instruments based on subject selection, study protocol, statistical analysis/inference, intervention description, outcome assessments, and results presentation. Predictors of quality and impact factor were identified using bivariate and multivariate regression.

RESULTS: Oncology was the most common subject (26%), followed by general surgery/gastrointestinal (24%). The average number of study subjects was 417; the majority of manuscripts were American (53%), from a single institution (59%). Eighteen percent had a statistician author. Mean number of citations was 128. Surgery manuscripts from medical, compared with surgery journals, had better total quality scores (3.8 vs. 5.2, P < 0.001). They had more subjects and were more likely to have a statistician as coauthor (43% vs. 10%, P < 0.001), multi-institutional, international collaboration (30% vs. 8%, P < 0.001), and higher citation index (mean: 350 vs. 54, P < 0.001). They were more often foreign (70% vs. 40%, P < 0.001). Independent predictors of quality were having a statistician coauthor, study funding, European origin, and more study subjects. Quality assessment using our instruments predicted the number of citations after 10 years (P < 0.01), along with having a statistician coauthor, international multi-institutional collaboration, and more subjects.

CONCLUSION: The quality of surgery manuscripts can be improved by including a statistician as coauthor, with efforts directed toward implementing multi-institutional/interdisciplinary trials. Peer-review across journals can be standardized through the use of instruments measuring methodologic and clinical quality.

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A book by John W. Meyer and about John W. Meyer, reviewing four decades of scholarship and current work. Georg Krucken and Gili S. Drori also adds an essay on the theoretical and empirical contribution of Meyer's institutional theory, placing it within the broader context of contemporary social theory, globalization research, and organizational studies in both in the United States and Europe.

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Synthetic fertilizers have dramatically increased food production worldwide. But the unintended costs to the environment and human health have been substantial. Nitrogen runoff from farms has contaminated surface and groundwater and helped create massive "dead zones" in coastal areas, such as the Gulf of Mexico. And ammonia from fertilized cropland has become a major source of air pollution, while emissions of nitrous oxide form a potent greenhouse gas.

These and other negative environmental impacts have led some researchers and policymakers to call for reductions in the use of synthetic fertilizers. But in a report published in the June 19 issue of the journal Science, an international team of ecologists and agricultural experts warns against a "one-size-fits-all" approach to managing global food production.

"Most agricultural systems follow a trajectory from too little in the way of added nutrients to too much, and both extremes have substantial human and environmental costs," said lead author Peter Vitousek, a professor of biology at Stanford University and senior fellow at Stanford's Woods Institute for the Environment.

"Some parts of the world, including much of China, use far too much fertilizer," Vitousek said. "But in sub-Saharan Africa, where 250 million people remain chronically malnourished, nitrogen, phosphorus and other nutrient inputs are inadequate to maintain soil fertility."

Other co-authors of the Science report include Woods Institute Senior Fellows Pamela Matson, dean of Stanford's School of Earth Sciences, and Rosamond L. Naylor, director of the Program on Food Security and the Environment.

China and Kenya

In the report, Vitousek and colleagues compared fertilizer use in three corn-growing regions of the world--north China, western Kenya and the upper Midwestern United States.

In China, where fertilizer manufacturing is government subsidized, the average grain yield per acre grew 98 percent between 1977 and 2005, while nitrogen fertilizer use increased a dramatic 271 percent, according to government statistics. "Nutrient additions to many fields [in China] far exceed those in the United States and northern Europe--and much of the excess fertilizer is lost to the environment, degrading both air and water quality," the authors wrote.

Co-author F.S. Zhang of China Agriculture University and colleagues recently conducted a study in two intensive agricultural regions of north China in which fertilizer use is excessive. Their results showed that farmers in north China use about 525 pounds of nitrogen fertilizer per acre (588 kilograms per hectare) annually--releasing about 200 pounds of excess nitrogen per acre (227 kilograms per hectare) into the environment. Zhang and his co-workers also demonstrated that nitrogen fertilizer use could be cut in half without loss of yield or grain quality, in the process reducing nitrogen losses by more than 50 percent.

At the other extreme are the poorer countries of sub-Saharan Africa, such as Kenya and Malawi. In a 2004 study in west Kenya, co-author Pedro Sanchez and colleagues found that farmers used only about 6 pounds of nitrogen fertilizer per acre (7 kilograms per hectare)--little more than 1 percent of the total used by Chinese farmers. And unlike China, cultivated soil in Kenya suffered an annual net loss of 46 pounds of nitrogen per acre (52 kilograms per hectare) removed from the field by harvests.

"Africa is a totally different situation than China," said Sanchez, director of tropical agriculture at the Earth Institute at Columbia University. "Unlike most regions of the world, crop yields have not increased substantially in sub-Saharan Africa. Nitrogen inputs are inadequate to maintain soil fertility and to feed people. So it's not a matter of nutrient pollution but nutrient depletion."

U.S. and Europe

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fertilizer
A comparison of 3 agricultural areas of the world found massive imbalances in fertilizer use, resulting in malnourishment in some regions and pollution in others.

Photo: David Nance, USDA

The contrast between Kenya and China is dramatic and will require vastly different solutions, the authors said. However, large-scale change is possible, they said, noting that since the 1980s, increasingly stringent national and European Union regulations and policies have reduced nitrogen surpluses substantially in northern Europe.

In the Midwestern United States, over-fertilization was the norm from the 1970s until the mid-1990s. During that period, tons of excess nitrogen and phosphorus entered the Mississippi River Basin and drained into the Gulf of Mexico, where the large influx of nutrients has triggered huge algal blooms. The decaying algae use up vast quantities of dissolved oxygen, producing a seasonal low-oxygen dead zone in the Gulf that in some years is bigger than the state of Connecticut.

Since 1995, the imbalance of nutrients--particularly phosphorus--has decreased in the Midwestern United States, in part because better farming techniques have increased yields. Statistics show that from 2003 to 2005, annual corn yields in parts of the Midwestern United States and north China were almost the same, even though Chinese farmers used six times more nitrogen fertilizer than their American counterparts and generated nearly 23 times the amount of excess nitrogen.

"U.S. farmers are managing fertilizer more efficiently now," said co-author Rosamond Naylor, who is also a professor of environmental Earth system science and senior fellow at Stanford's Freeman Spogli Institute for International Studies. "The dead zone in the Gulf of Mexico persists due to continued fertilizer runoff and animal waste from increased livestock production."

Low nitrogen in Africa

In sub-Saharan Africa, the initial challenge is to increase productivity and improve soil fertility, the authors said. To meet that challenge, co-author Sanchez recommends that impoverished farmers be given subsidies to purchase fertilizer and good-quality seeds. "In 2005, Malawi was facing a serious food shortage," he recalled. "Then the government began subsidizing fertilizer and corn seeds. In just four years production tripled, and Malawi actually became an exporter of corn."

Food production is paramount, added co-author G. Philip Robertson, a professor of crop and soil sciences at Michigan State University. "Avoiding the misery of hunger is and should be a global human priority," Robertson said. "But we should also find ways to do this without sacrificing other key aspects of human welfare, among them a clean environment. It doesn't have to be an either/or choice."

For countries where over-fertilization is a problem, the authors cited a number of techniques to reduce environmental damage. "Some of these--such as better-targeted timing and placement of nutrient inputs, modifications to livestock diets and the preservation or restoration of riparian vegetation strips--can be implemented now," they wrote.

Designing sustainable solutions also will require a lot more scientific data, they added. "Our lack of effective policies can be attributed, in part, to a lack of good on-farm data about what's happening with nutrient input and loss over time," said co-author Alan Townsend, an associate professor of ecology and evolutionary biology at the University of Colorado-Boulder. "Both China and the European Union have supported agricultural research that yields policy-relevant information on nutrient balances. But the U.S. is particularly lacking in long-term data for a country with such a well-developed scientific enterprise."

Even in Europe, with its strong research programs on nutrient balances and stringent policies for reducing fertilizer runoff, nitrogen pollution remains substantial. "The problem of mitigation of excess nitrogen loss to waters is not easily resolved," said co-author Penny Johnes, director of the Aquatic Environments Research Centre at the University of Reading, U.K. "Society may have to face some difficult decisions about modifying food production practices if real and ecologically significant reductions in nitrogen loss to waters are to be achieved."

According to Vitousek, it is important in the long run to avoid following the same path to excess in sub-Saharan Africa that occurred in the United States, Europe and China. "The past can't be altered, but the future can be and should be," he said. "Agricultural systems are not fated to move from deficit to excess. More effort will be required to develop intensive systems that maintain their yields, while minimizing their environmental footprints."

Other co-authors of the Science report are Tim Crews, Prescott College; Mark David, University of Illinois at Urbana-Champaign; Laurie Drinkwater, Cornell University; Elisabeth Holland, National Center for Atmospheric Research; John Katzenberger, Aspen Global Change Institute; Luiz Martinelli, University of São Paulo, Brazil; Generose Nziguheba, Columbia University; Dennis Ojima, The H. John Heinz III Center for Science, Economics and the Environment; and Cheryl Palm, Columbia University.

This work is based on discussions at the Aspen Global Change Institute supported by NASA, the William and Flora Hewlett Foundation, and the David and Lucile Packard Foundation; and at a meeting of the International Nitrogen Initiative sponsored by the Scientific Committee on Problems of the Environment.

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