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.

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On May 24, Shorenstein APARC hosted the final three research presentations by this year’s Corporate Affiliate Visiting Fellows. What had been months in preparation was at last over; any indications of nervousness or anxiety now gave way to jubilant smiles and celebratory thumbs-ups for cameras. The journey that began for many nearly a year ago had come to a successful end.

Established in 1982, the Corporate Affiliates Program introduces personnel of Asian organizations that have become APARC corporate affiliates to American life and institutions. Over the span of a year, Corporate Affiliate Visiting Fellows have the opportunity to immerse in daily interaction with specialists, students, and scholars from Stanford and abroad. In turn, the practical experience and international perspectives that Visiting Fellows bring with them enrich and inform intellectual exchange at both Shorenstein APARC and Stanford at large. 

The 2017-2018 Visiting Fellows came to APARC from 14 different organizations including government agencies, state-owned enterprises, and private sector industry corporations from four countries: China, India, Japan, and Korea.

 

Academic Engagement

Group Photo 2The Corporate Affiliates Program is ideal for mid-career professionals looking to expand their knowledge and international experience. Visiting Fellows participate in a structured, yet individualized year of academic exploration. Elements of the program include creating individual research projects, auditing classes, attending exclusive seminars, and visiting local companies and institutions.

Following summer intensives and orientation, Visiting Fellows embark on their nine-month research projects under the guidance of an APARC faculty advisor. Fellows are matched with an advisor based on the research project subject and/or their professional background and region of employment.

“The best thing about this program is that I have one entire year to focus and to manage my own time,” observed a previous Visiting Fellow.

The months of thorough research culminate in a paper and its public presentation. Fellows present their research findings before an audience of APARC faculty and researchers, Stanford community members, and their “fellow Fellows.” Over the course of five days in May, audiences heard presentations on a wide variety of subjects ranging from the impact of U.S. Supreme Court decisions on the AI Industry to regulatory requirements for bio-similar products, and from the role of large industries in Urban Air Transport to the benefits of shifting a government’s focus from economic growth to people’s happiness.

Presentations were well received by APARC faculty, though not before standing up to the rigorous follow-up questions from a highly engaged audience.

 

University Enrichment

For Corporate Affiliates, the year was not exclusively about their research. Fellows found ample opportunities to take advantage of non-academic pursuits, both on-campus and in the greater Bay Area.

Group Photo 3One way to further encourage exploration was a team-based activity designed by the program. Fellows were broken up into groups of five, each tasked with coordinating an excursion to take the rest on. Facilitated trips included a hike to Stanford’s famous radio telescope (“the Dish”), an exploration of the Berkeley neighborhood and its local industries, and a visit to NASA’s Ames Research Center at Moffett Field.

Stanford Jazz OrchestraIn addition to their professional experiences, Fellows also enriched the Center and university community through their personal pursuits. Takahito Inoshita, for example, brought his musical talent to Stanford along with an extensive experience in engineering. While researching how cities could identify policy needs via natural language data, he also performed with the Stanford Jazz Orchestra as lead trombonist at a November performance at Stanford’s Bing Concert Hall.

Next year’s Visiting Fellows are scheduled to begin arriving in mid-June, and include personnel from government, SOEs and private industries, but also the military and non-profit sector as well. For now, however, the Center is still saying goodbye to the 2017-2018 Fellows as they leave to join a distinguished, ever-growing alumni network of government and private sector professionals throughout Asia.

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A favorite icon for cigarette manufacturers across China since the mid-twentieth century has been the panda, with factories from Shanghai to Sichuan using cuddly cliché to market tobacco products. The proliferation of panda-branded cigarettes coincides with profound, yet poorly appreciated, shifts in the worldwide tobacco trade. Over the last fifty years, transnational tobacco companies and their allies have fueled a tripling of the world's annual consumption of cigarettes. At the forefront is the China National Tobacco Corporation, now producing forty percent of cigarettes sold globally. What's enabled the manufacturing of cigarettes in China to flourish since the time of Mao and to prosper even amidst public health condemnation of smoking? 

 

In Poisonous Pandas, an interdisciplinary group of scholars comes together to tell that story. They offer novel portraits of people within the Chinese polity—government leaders, scientists, tax officials, artists, museum curators, and soldiers—who have experimentally revamped the country's pre-Communist cigarette supply chain and fitfully expanded its political, economic, and cultural influence. These portraits cut against the grain of what contemporary tobacco-control experts typically study, opening a vital new window on tobacco—the single largest cause of preventable death worldwide today.

You can read the Introduction and Chapter 1 online.

About the editors

 
Matthew Kohrman is Associate Professor of Anthropology at Stanford University.
 
Gan Quan is the Director of Tobacco Control of the International Union Against Tuberculosis and Lung Disease.
 
Liu Wennan is Editor for the Institute of Modern History at the Chinese Academy of Social Sciences.

 

Robert N. Proctor is Professor of the History of Science at Stanford University.
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Over the last decade, significant strides have been made in medical research, which leads to great improvement in human health. During this period, Chinese government has made important progress in promoting and managing medical innovations. Chinese State Drug Administration (SDA, former FDA) is now a formal agency member of the international council for harmonisation of technical requirements for pharmaceuticals for human use (ICH). With further integration of China into the global pharmaceutical research and development, how government regulatory agencies, the related law and regulations can promote industry innovation, while enhance their accountability and responsibility remains an important question. This forum is organized to address this need.

Program: This forum provides a platform for high-level discussions on this topic by Chinese and US scholars from academia, experts from the Chinese Food and Drug Administrations, and R&D experts from biomedical industries. On June 8-9, 2018, the forum will host keynote speech sessions, invited talks, and panel discussion sessions. With collaborations from Chinese evidence based medicine association, we will discuss methods and policy related to monitoring drug safety, novel clinical trial design, and applications of modern statistical, AI and machine learning methods in drug development. On June 10, 2018, a half-day short course will be offered on “Statistical Methods for Medical Product Safety Evaluation.”

Goals:  Through this brainstorming and exchange, we want to identify research priorities and collaborative mechanisms for international scholars from academia, regulatory agencies and industry working together to promote biomedical innovations in an efficient and orderly manner.

Format: Informal discussion on biomedical innovations and role of regulatory science.

Fees: The Workshop on June 8-9, 2018 is free and the half-day short course on June 10 is RMB800.

Details and registration['.,: https://www.eventbank.cn/event/15419/

Contact Info: lutian@stanford.edu

Stanford Center at Peking University

5 Yiheyuan Road, Beijing, China

 

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Stanford scientists found that the global economy is likely to benefit from ambitious global warming limits agreed to in the United Nations Paris Agreement.

Failing to meet climate mitigation goals laid out in the U.N. Paris Agreement could cost the global economy tens of trillions of dollars over the next century, according to new Stanford research. The study, published in Nature, is one of the first to quantify the economic benefits of limiting global warming to levels set in the accord.

The agreement commits 195 countries to the goal of holding this century’s average temperature to 2 degrees Celsius above levels in the pre-industrial era. It also includes an aspirational goal of pursuing an even more stringent target of limiting temperature rise to 1.5 degrees. To date, the economic benefits of achieving these temperature targets have not been well understood.

 “Over the past century we have already experienced a 1-degree increase in global temperature, so achieving the ambitious targets laid out in the Paris Agreement will not be easy or cheap. We need a clear understanding of how much economic benefit we’re going to get from meeting these different targets,” said Marshall Burke, assistant professor of Earth system science in the School of Earth, Energy & Environmental Sciencesand lead author of the study.

To develop this understanding, a team of Stanford researchers studied how economic performance over the past half-century correlated with changes in temperature around the world. Then, using climate model projections of how temperatures could change in the future, they calculated how overall economic output is likely to change as temperatures warm to different levels.

The researchers found a large majority of countries – containing close to 90 percent of the world’s population – benefit economically from limiting global warming to 1.5 degrees instead of 2 degrees. This includes the United States, China and Japan – the three largest economies in the world. It is also true in some of the world’s poorest regions, where even small reductions in future warming generate a notable increase in per capita gross domestic product.

“The countries likely to benefit the most are already relatively hot today,” said Burke. “The historical record tells us that additional warming will be very harmful to these countries’ economies, and so even small reductions in future warming could have large benefits for most countries.”

The projected costs from higher temperatures come from factors such as increases in spending to deal with extreme events, lower agricultural productivity and worse health, the scientists said.

Previous research has shown that the actual climate commitments each country has made as part of the Paris Agreement add up to close to 3 degrees of global warming, instead of the 1.5–2 degrees warming goals.

Given this discrepancy, the researchers also calculated the economic consequences of countries meeting their individual Paris commitments, but failing to meet the overall global warming goals of 1.5–2 degrees. They found that failing to achieve the 1.5–2 degrees goals is likely to substantially reduce global economic growth.

climate economics Percentage gain in GDP per capita in 2100 from achieving 1.5 degrees Celsius global warming instead of 2 degrees.

Percentage gain in GDP per capita in 2100 from achieving 1.5 degrees Celsius global warming instead of 2 degrees. (Image credit: Marshall Burke)

“It is clear from our analysis that achieving the more ambitious Paris goals is highly likely to benefit most countries – and the global economy overall – by avoiding more severe economic damages,” said Noah Diffenbaugh, professor of Earth system science and paper co-author.

The authors note the study may underestimate the total costs of higher levels of global warming. That’s especially true if catastrophic changes such as rapid melting of the ice on Greenland or Antarctica come to pass, or if extreme weather events such as heatwaves and floods intensify well beyond the range seen in historical observations. A recent studyby Diffenbaugh and his colleagues showed that even with reduced levels of global warming, unprecedented extreme events are likely to become more prevalent.

The new research helps shed light on the overall economic value of the Paris Agreement, as well as on the Trump administration’s decision to withdraw the U.S. from the accord because of concerns that it is too costly to the U.S. economy. The researchers calculated that the overall global benefits of keeping future temperature increases to 1.5 degrees are likely in the tens of trillions of dollars, with substantial likely benefits in the U.S. as well. They note that these benefits are more than 30 times greater than the most recent estimates of what it will cost to achieve the more ambitious 1.5 degrees goal.

“For most countries in the world, including the U.S., we find strong evidence that the benefits of achieving the ambitious Paris targets are likely to vastly outweigh the costs,” said Burke.

Burke is also a fellow at the Center on Food Security and the Environment, the Stanford Woods Institute for the Environmentand the Freeman Spogli Institute for International Studies. Diffenbaugh is also the Kara J Foundation Professor, the Kimmelman Family Senior Fellow in the Stanford Woods Institute for the Environment and an affiliate of the Precourt Institute for Energy. Additional co-authors include W. Matt Davis, a former researcher at the Center on Food Security and the Environment. The research was supported by the Erol Foundation.

Media Contacts

Marshall Burke, School of Earth, Energy & Environmental Sciences: mburke@stanford.edu, (650) 721-2203
Noah Diffenbaugh, School of Earth, Energy & Environmental Sciences: diffenbaugh@stanford.edu, (650) 223-9425
Michelle Horton, Center on Food Security and the Environment: mjhorton@stanford.edu, (650) 498-4129

 

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The three largest economies in the world and almost 90 percent of the global population benefit economically from limiting global warming to 1.5 degrees instead of 2 degrees.
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Interested in learning more about the Ford Dorsey Master's Program in International Policy at Stanford University? Then please join us for an informational webinar on May 23, 2018 at 9:30am PST. We will be going over program specifics and answering any questions.

RSVP on Eventbrite - https://www.eventbrite.com/e/ford-dorsey-masters-program-in-internation…

Contact Email: 

 

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This is an excerpt of the the article, which was first published in Stanford News. You can read the whole article here.

A Stanford-led study in China has revealed for the first time high levels of a potentially fatal tapeworm infection among school-age children. The researchers suggest solutions that could reduce infections in this sensitive age range and possibly improve education outcomes and reduce poverty.

The study, published in PLOS Neglected Tropical Diseases, focuses on Taenia solium, a tapeworm that infects millions of impoverished people worldwide and can cause a disorder of the central nervous system called neurocysticercosis. The World Health Organization estimates that the infection is one of the leading causes of epilepsy in the developing world and results in 29 percent of epilepsy cases in endemic areas. It is thought to affect about 7 million people in China alone.

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Cuts to Medicaid hurt all children — rich and poor. Because hospitals that deal with serious childhood injuries and illnesses depend on the public funding as much as those poor families who get medical care under the government insurance program.

That’s the message that Stanford Health Policy’s Lisa Chamberlain, Olga Saynina and Paul Wise and will be presenting at the Pediatric Academic Societies meeting in Toronto later this week. The PAS conference is the leading event for academic pediatrics and child health research. Chamberlain and Wise are Stanford Medicine pediatricians and Saynina is a data research analyst with Stanford Health Policy.

New research by the Stanford team shows that proposals to dramatically reduce federal expenditures on Medicaid and CHIP — the Children’s Health Insurance Program — could destabilize current specialty care referral networks for all children. This includes a large subset of privately-insured children in greatest need of high quality, specialized pediatric care.

“Most people think of Medicaid as a safety-net program, and to a certain extent it is,” said Wise, a core faculty member at SHP and the Center on Democracy, Development, and the Rule of Law, as well as a senior fellow at the Freeman Spogli Institute for International Health.

“But it has become so important to child-health systems that rich kids — kids with good commercial insurance — are heavily dependent on specialized care if they really get sick, on facilities that are heavily dependent on Medicaid,” he said.

 

 

Nearly one out of every five children live below the poverty line, according to the U.S. Census Bureau, yet few children need extensive health care. But of those who do, about 44 percent rely on Medicaid or other public insurance programs, regardless of their family’s income.

“Caring for seriously ill children requires a wide range of services and specialists, from pediatric surgeons to speech therapists to hospital teachers who make sure kids don’t fall behind,” Chamberlain told SHP for this story last year. “In pediatrics, we work as a team — and cutting Medicaid will reduce our ability to do that.”

The Stanford group analyzed two large datasets: the 2012 national Kids’ Inpatient Databaseand the 2012 California Patient Discharge Database. They found that hospitals caring for children with serious, chronic illnesses — such as congenital heart disease, cancer and severe asthma — are highly dependent on public payers such as Medicaid.

Nationally, major pediatric hospitals reported 55 percent of bed-days were covered by public payers, with the 10-highest volume hospitals ranging from 36 to 100 percent.   Overall, in California for all hospitals, 30 percent of net revenue is derived from Medicaid and for children’s hospitals, Medicaid provides 56 percent of net revenue.

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A new SIEPR policy brief examines the growing life expectancy gap between low-income and high-income Americans. Coauthored by Victor R. Fuchs and APARC Deputy Director Karen Eggleston, the brief shows that life expectancy in the U.S. can be increased if health policy shifts towards preventing the leading causes of death for young people. READ MORE>>

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Paul H. Wise, the Richard E. Behrman Professor of Child Health and Society, professor of pediatrics, and a Senior Fellow in the Freeman Spogli Institute for International Studies, is elected to the 2018 membership class of the American Academy of Arts and Sciences. His work focuses on health inequalities, maternal and child health policy, and children's health in areas of violent conflict, political instability and weak governance.

In this video, we ask him about the honor and what he hopes to achieve through membership in the prestigious organization founded in 1780 and devoted to the advancement and study of key societal, scientific and intellectual issues of the day.

"The recognition is important, but I see it as being more important as a platform for continuing to act in the real world; that it provides some semblance of enhanced legitimacy to speak to issues of global importance," says Wise, who is a core faculty member at Stanford Health Policy.

 

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Interested in pursuing a Master’s degree in International Policy? Come check out our newly redesigned Ford Dorsey Master’s in International Policy (MIP) at FSI!

 

MIP is a two-year Master of Arts program that emphasizes the application of advanced analytical and quantitative methods to decision-making in international affairs. It is also offered as a coterminal degree here at Stanford. If you are interested in hearing more, please join us for our upcoming MIP Coterm Info Session:

 

What: MIP Coterm Info Session

Date: May 22, 2018

Time: 12:30 -1:15pm

Location: International Policy Studies Kitchen, Ground Floor, Encina Hall Central (616 Serra St.)

 

Please see more details about the program, as well as application information, on our website: http://ips.stanford.edu/.

 

International Policy Studies Kitchen, Ground Floor, Encina Hall Central (616 Serra St.)

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