Health and Medicine

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

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

-

About the seminar

Dr. Kneller's talk examines how national systems of industry-university cooperation impact innovation by comparing the Japanese system with that of the United States. Dr. Kneller has spent 13 years with a major science and engineering research center at the University of Tokyo. His talk shows how the Japanese system favors exclusive transfer of academic discoveries to established companies. It also examines other factors affecting science and engineering entrepreneurship in Japan. The talk references recent research showing that, at least in pharmaceuticals, new companies are more likely than old to pioneer the early development of novel technologies, especially those arising in universities. Japan's experience is relevant to current debates in America related to university management of intellectual property, entrepreneurship by faculty and students, appropriate ways to encourage industry-university collaboration, and the importance of peer review in allocating government university research funding.

About the speaker

Robert Kneller is a visiting professor at the Stanford Medical School and a professor at the Research Center for Advanced Science and Technology (RCAST) at the University of Tokyo.

He worked at Tianjin Children's Hospital and the Chinese Academy of Preventive Medicine from 1986 to 1987 before joining the U.S. National Institutes of Health (NIH) in 1988. At NIH, he was a cancer epidemiologist and was also responsible for negotiating collaborative agreements with industry to develop NIH anti-cancer therapies. In 1997, an Abe Fellowship enabled him to study the Japanese system of university-industry cooperation at the University of Tokyo. Since 1998, he has been a professor with that university's Research Center for Advanced Science and Technology. His research focuses on university-industry cooperation, the role of start-ups in innovation, the discovery and commercialization of biomedical technologies, and conflicts of interests associated with academic entrepreneurship. More information about Dr. Kneller is available at his website. 

CISAC Conference Room

Dr. Robert Kneller Professor Speaker Research Center for Advanced Science and Technology (RCAST), University of Tokyo
Seminars
Paragraphs

This paper was prepared for Stanford University’s Global Food Policy and Food Security Symposium Series, hosted by the Center on Food Security and the Environment, and supported by the Bill and Melinda Gates Foundation.


Sub-Saharan Africa (SSA) is home to two-thirds of the world’s ultra-poor today. This paper offers current thinking on the structural causes of the spatially concentrated, persistent ultra-poverty that has plagued Africa for a generation and some key entry points for facilitating Africans’ escape from persistent ultra-poverty.

The increased recognition of persistent ultra-poverty has rekindled long-dormant interest in poverty traps. The essence of a poverty trap is that there exists one or more low equilibrium level(s) of well-being in which people appear caught unnecessarily. Small adjustments fail to move people out of those equilibria sustainably. Rather, systems must change, major positive shocks must occur, or both. And in the absence of systemic change, recurring adverse shocks only drive more people into the trap.

The ultra-poverty trap that characterizes much of rural SSA today is intimately caught up with (i) the bidirectional interrelationship among hunger, ill-health, low productivity, weak institutions and natural resources degradation, all of which become manifest in low incomes, (ii) poor initial conditions associated with health and nutrition, especially early in childhood, but also with the state of infrastructure and the natural resource base on which rural livelihood disproportionately depend, and (iii) uninsured risk exposure, which is especially severe in rural areas and in agriculture. The closely coupled nature of these problems adds substantially to the challenge of addressing any one of them on its own and thereby makes integrated strategies essential. 

The available theory and evidence suggests that the policy focus must fall squarely on stimulating a smallholder food productivity revolution. Toward that end, the paper concludes by identifying and explaining key entry points for assisting the escape from persistent ultra-poverty in sub-Saharan Africa.

  1. Build and protect the productive asset endowments of the ultra-poor
  2. Improve the productivity of the ultra-poor’s current asset holdings
  3. Improve risk management options for the ultra-poor
  4. Facilitate favorable transitions out of agriculture

Although the topic of persistent ultra-poverty would seem to lend itself to a pessimistic ending, the future for Africa is actually rather hopeful. The East Asian experience demonstrates that mass, rapid escape from persistent ultra-poverty is feasible. Real agricultural output growth rates are accelerating in SSA, nearly doubling from the 1980s rate so that per capita food output is growing again, helping reduce rural poverty rates in countries enjoying increased agricultural productivity. Finally, the  policymaking and donor communities are now appropriately focusing on how best to stimulate investment incentives, productivity growth, risk management and productive transitions out of agriculture. These broad foci are appropriate and reasonably well-grounded in both theory and empirical evidence.  

All Publications button
1
Publication Type
Books
Publication Date
Journal Publisher
Center on Food Security and the Environment
Authors
Paragraphs

The challenges of reducing global hunger and poverty are different today than they were 30 years ago. Current challenges include price volatility associated with increased integration of food, energy, and finance markets; the steady progression of climate change; poorly defined land institutions; and a failure to break vicious cycles of malnutrition and infectious disease. Farmland speculation is occurring globally—often at odds with rural poverty alleviation—and food insecurity remains a pressing issue with the estimated number of chronically malnourished people hovering around one billion. Given these patterns, food and agriculture are becoming increasingly ingrained in international security and policy discussions. This paper explores several ways in which the traditional field of agricultural development needs to expand to address the broader issues of international security and human welfare. It focuses on five key interrelated issues: the macroeconomic and energy contexts of agricultural development; climate change; deforestation, land access, and land markets; farming systems and technology for the ultra-poor; and food-health linkages with a specific focus on infectious disease. Recommendations for investments in capacity building, revised curricula, and development projects are made on the basis of evidence presented for each issue. It is clear that academic programs, government agencies, development and aid organizations, and foundations need to dismantle the walls between disciplinary and programmatic fields, and to find new, innovative ways to reach real-world solutions.

All Publications button
1
Publication Type
Journal Articles
Publication Date
Journal Publisher
Food Security
Authors
Rosamond L. Naylor
-

Minoru Aosaki, "International Banking Regulation after the Financial Crisis: Economic Impacts and Policy Challenges in the US, Japan, and the EU"

To address lessons of the financial crisis, the Basel Committee introduced a new international framework on banking regulations, known as Basel III. The world leaders subsequently committed to implement it at the last G20 summit meeting. A current key issue is how regulators in each country should/can transform their current regulatory regime to the new regime under their own economic and regulatory environments. To consider the issue, Aosaki examines how economic costs and benefits of the regulatory reform would vary among countries and discusses policy challenges of the regulators to ensure the benefits and mitigate the costs.


Pradnya Palande, "Population Dynamics: A New Approach in Understanding Cancer Development"

Cancer, the most vicious and hard to cure disease, results from an accumulation of genetic alterations best known as mutations, in our body. These mutations constantly keep evolving by natural selection. A consequence of this evolution is that a cancer treatment will tend to kill the susceptible cells but will leave the resistant ones to flourish. A few months later, the cancer will reappear and will be resistant to previous treatment. Hence studying the population dynamics of cancer will provide insight into development of cancer and will help in developing better methods for cancer prevention and therapy.

Palande has concentrated her research on population dynamics of cancer cells in chronic myeloid leukemia, a type of blood cancer. She is trying to study the role of the antibody diversification enzyme, namely Activation Induced cytidine Deaminase (AID), in the generation of mutations associated with cancer progression and drug resistance in chronic myeloid leukemia.

Naoki Takeuchi, "Energy Policies, Clean Technologies, and Business Innovations in the United States"

In January 2011, at his State of the Union speech, President Obama suggested setting a goal that 80% of electricity will come from clean energy sources in the United States by 2035. He also suggested that the United States will become the first country to have a million electric vehicles on the road by 2015. 

In Takeuchi's research, he tries to understand the dynamic interactions among government energy policies, clean technologies, and business innovations in the United States. His research includes an overview of federal energy policies (both regulations and incentives), an overview of California State government policies, recent trends of clean technologies, venture capital investments in cleantech companies, and major areas of clean technologies and business innovations. In this presentation, Takeuchi will present case studies focusing on cleantech companies in the Silicon Valley.

Philippines Conference Room

Minoru Aosaki Speaker Ministry of Finance, Japan
Pradnya Palande Speaker Reliance Industries
Naoki Takeuchi Speaker Development Bank of Japan
Seminars
News Type
News
Date
Paragraphs

On Friday, April 1, Stanford University hosted twelve North Korean officials making an unprecedented economic tour of the United States. Organized by Professor Susan Shirk of the University of California Institute on Global Conflict and Cooperation, the two-week tour of American businesses and academic institutions was an opportunity for the visitors to see firsthand what improved relations with the United States might mean in terms of economic cooperation.

The North Koreans included senior and mid-level officials responsible for economic, trade, financial and foreign affairs. Their visit took place despite the lack of diplomatic relations between the United States and the Democratic People's Republic of Korea (DPRK) and the continuing U.S. and UN sanctions against the country for its development of nuclear weapons and long-range missiles.

Welcoming the visitors to a luncheon in Encina Hall, David Straub, associate director of the Korea Program at the Walter H. Shorenstein Asia-Pacific Research Center (Shorenstein APARC), briefed them on the Freeman Spogli Institute for International Studies at Stanford University (FSI) and its research centers, including Shorenstein APARC and the Center for International Security and Cooperation (CISAC). Straub also introduced representatives from FSI and the School of Medicine who have been involved in policy, academic, and humanitarian engagement projects with the DPRK.

Mr. Henry S. Rowen, co-director of the Stanford Program on Regions of Innovation and Entrepreneurship (SPRIE), then outlined the history and organization of Stanford University and its leading role in the development of Silicon Valley. Mr. John Sandelin, senior associate emeritus of the Stanford Office of Technology Licensing, described the university's policies on sharing university-generated intellectual property with the private sector. Following the presentations, American guests at the luncheon, including CISAC's Dr. William J. Perry and Dr. Siegfried S. Hecker, had informal discussions with their North Korean tablemates about the possibilities of, and obstacles to, economic collaboration between the two countries.

The North Koreans' visit to Stanford concluded with a stop at the Hoover Tower observation deck for a panoramic view of the Stanford campus, where they were able to see how Stanford graduates had developed Silicon Valley literally around the campus. DPRK delegation members expressed appreciation for the hospitality they were shown at Stanford and underlined their hopes for economic exchanges with the United States.

The most recent previous visit to Stanford by a DPRK delegation took place in January 2008, when CISAC Professor John W. Lewis, Shorenstein APARC director Gi-Wook Shin, and the School of Medicine's Dr. Sharon Perry hosted five public health officials for discussions about collaboration on tuberculosis control. Out of that visit evolved Stanford's DPRK Tuberculosis Project, which, in association with the DPRK Ministry of Public Health and NGO partners, is developing the country's first laboratory with the capacity to diagnose drug-resistant tuberculosis.

Hero Image
NEWSFEED
North Korean economic delegation and Stanford hosts. | George Krompacky
All News button
1
Subscribe to Health and Medicine