UCLA Public Health Magazine - Spring 1990

DEAN'S MESSAGE

The synergism between the school he onset of the '90s and the start of a new cenrury present a strong and the Los Angeles County Department of Health Services is an example of the temptation for reflection and conties to the field, which are described by templation. We asked leading faculty and alumni to cell us what they see Dr: Ellen Alkon. Several other links to for the future of public practice are highlighted in the news section - develhealth. In this issue, we preoping the RAP program for sent their thoughts on such topics as public health edu- In our school, we are quick surveys in various cation, AIDS, family health, countries, establishing a not only talking health care financing, the health promotion partnere nviro nme nt, the work- aboutthe future of ship with ethnic commuplace, as well as the public's nities in Los Angeles, hostpublic health ing an international epidehealth in the state, the namiological conference, and tion and the world. Dark education; we are defining the direction for and bright spots are identified with examples of both doing many things to tobacco-related research in backsliding and p ushing California. be at the cutting forward. In all, they paint a Within the school, the repicrure of formidab le chalo rganization into departedge of lenges that s hould make ments, which was formally instiruted on July 1, 1989, ofpublic health a very exciting developments in fe rs new academic opportufield for several decades to the field. nities that we are now excome.

In our school, we are not ploring. Departmentalizao nly talking about the futu re o f public tion also gave us the impetus to revitalhealth education; we are do ing many ize o ur vision of ourselves as a school things to be at the cutting edge of deand in the field as a whole. What is our velo pments in the field. In February, mission? What are our plans for impleDr. DerrickJelliffe agreed to head the menting this mission? And how will we school's new International Health Proachieve our goal of being the best program. Je lliffe brings an unparalle led fessional school of public health? Anwealth of experience as an educator, swers to these questions are now compractitioner and researcher in many ing together in the form of the school's countries. The program brings togethself-study being prepared for the uper current research and training and coming reaccreditation by the Council initiates new activities, especially in o n Education for Public Health. the area of short-term training.

On ano ther front, a new committee chaired by Dr Emil Be rkanovic will e ncourage instruction in gerontologiDr Abdelmonem A Afifi cal health throughout the school. The committee will develop new courses at the master's and doctoral levels and will for mulate concentrations in gero nto logy for docto ral students. In these effo rts, we will draw upon the s trong expe rtise in internatio nal health and gerontology in the school and the campus.

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Volume 9, Number I Sp ring 1990

Charles E. Young CHANCEil.OR

Abdel mo ncm A. Afili, Ph.D. DEAN

Michael T. McManus ASSISTANT VICE CHANCEll.OR UNIVERSl'n' COMMUNICATIO NS

Richard Elbaum DIRECTOR,

llEALTH SCIENCES COMMUNICATIONS

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WHAT DOES THE FUTIJRE HOLD? EDITORIAL BOARD

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Abdelmonem A Afili, Ph.D. DEAN

Peggy K. Convey, M.L.A ASSOCIATE DEAN, FOR ADM INISTRATION

Susan C. Scrimshaw, Ph.D. ASSOCIATE DEAN, FOR ACADEMIC PROGRAMS

Michael S. Goldstein, Ph.D. PROFF.SSOR, COMMUNl'n' HEALTH SCIENCES

Robert W. Haile, Dr.P.11.

AS.SOCIATE PROFESSOR, EPIDF.MlOLOGY

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Birgitta Granberg DIRECTOR OF OEVEJ.OPMENT

Joseph Pomenco EDITOR

CLA.5SROOMS TO CLINICS: ALKON SJRIVES TO IMPROVE PUBLIC HEALTH

Deborrah M. Wilki nson ASSOCIATE EDITOR

Juliet Beynon

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ART DIRECTOR

Jackie Mo rrow DESIGNER

Kmhy Perdue, Ramon Aninag ADM INISTRATIVE ASSISTANTS

EMERGING NATION NO PLACE FOR THE MEEK

UCLA Public Health is published by I lealth Sciences Cmmunications, UQ.A Public Affai rs, for the alumni, faculry, students, staff and fri ends o f the UCLA School o f PubI ic Health.

Copyr ight I 990 by The Regents of the UniversiryofCalifornia. Permission 10 reprint any portion of UCLA Public Healtb must be obtained from the editor. Con· taa UQ.A Health Sciences Communications, 1100 Glendon Avenue, Suite 1501, Wes1wood Cemer, Los Angeles, California 90024-1708. (213) 206-1960.

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NEWS 18 RESEARCH NOTES 19 FACULTY NOTES 20 AWMNI NOTES 21 DEAN'S COUNCIL

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What Does the Hold? he beginning of the 20th century's fina l decade is a natural time to contemplate the future o f public health. Far removed from a world of tarot cards and tea leaves, a panel of faculty and alumni has offered suggestions of what the coming years may bring in the ir areas of expertise.

Hopefu lly, these pred ictions will advance and promote public health efforts in the future.

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Access to Health Care Dr. E. Richard Brown, associate professor of community health sciences and health services, has taught at the UCLA School of Public Health for 10 years. Brown startled state officials with his 1988 study that found 5.2 million Californians without health insurance even though half worked for a living.

The wo rk that I do focuses on access to health care for the low-income population and on health care po licy issues, especially those related to the financing of health care services for society.

In the absence of doing anything conclusive, the nation will follow the patte rn of California, where the problems are more severe. Conditio ns will get worse and may lead to a virtual collapse of the health care system.

A large po rtion of the people have

no health care coverage. Their health suffers because they can't get medical care and preventive heal th services when they need them. When they delay gett ing care, they often end up going to the hospital emerge ncy room where the ir extraord inary medical expenses fall o n the backs of taxpayers or the payers of private health insurance premiums. In the case of a public hospital, this leads to severe underfunding, overcrowding and poor care.

At a private hospital, it leads to either clos ing the emergency roo m doors to keep out the uninsured, lowincome patient o r going o ut of business. The fin ancial problems of private hospitals are due not only to indigent, uninsured patients, but also to vast overbui lding and excess investment in the hospital facility This has created an enormous debt and unused capacity, resu lting in a severe fi nancial burden for e mployers and employees, who pay most of the bill.

I see the syste m going bro ke as more and more hospitals face bankruptcy. We are nearing a complete inability to deal with basic health problems fo r much of the population - for example, inadequate prenatal care and

UCLJI. PUBLIC HEALTH

children not getting essential immunizations. The consequences of this cri sis are poor health for many people in our sociery and an ever increas ing financial burden as people struggle to maintain some kind of health care coverage.

We are faced w ith a var iety of cho ices. The most effective approach wou ld be a universa l tax-funded health care system - a national health program. The political system tends to d iscourage us from anempting to enact o r implement this kind of system even though two-thirds of the public say they prefer government-run, taxfinancing for health services. We will ul timately need a universal solution to provide coverage and contro l costs.

We can do it at the state level and, ul timately, must do it at the natio nal level as well.

Health Care Costs Dr. Shan Cretin, professor and chair of the department of health services, joined the faculty In 1976 and is co-director of the RAND/UCLA Center for Health Policy Study. She has an ongoing study of the organization and financing of health care in 26 rural villages for the Ministry of Public Health, the People's Republic of China.

During the 20th century we have witnessed a remarkable expansio n o f what is possible in medicine, includ-

ing o rgan transplantation, geneticallyengineered drugs and advanced I ife support systems. Unfortunately, our systems for organizing and financing heal th care have not kept pace with these advances.

Now we find o urselves facing a tremendous challenge: for many people aro und the wo rld, what is medically possible is financially impossible.

In many developing countries, simp le p reventive and primary care services could reduce infant mortal iry and the rates of infectious disease, but the cost is pro hibitive. I n the United States, millio ns of Americans w itho ut adequate health insurance forego needed care for easily treatable conditions, while those who have health insurance consume many costly services w ith I ittle or no demonstrable benefit.

During the 21st century, we need to develop health care systems that can deliver appropriate, beneficial services at affo rdable prices. We need to focus on methods that control the cost o f medical ser vices while maintaining or improving the health and well-being of the population. This can be accomplished by working in partnership w ith practicing physicians to develop methods for reducing inappropriate and wasteful treatment.

There will be dramatic changes in the way we organize, manage and finance heal th care in both the developing and developed countries of the world. We in public health can move our health care system away fro m an emphasis on disease and the qualiryof medica l services delivered and toward a focus o n improving the heal th o f the po pulat io ns we ser ve thro ugh health promotion, d isease prevention and the efficient delivery of appropriate med ical services.

Health Promotion Dr. Michael S. Goldstein, professor and chair of the department of community health sciences, came to UCLA in 19n. He is an incisive critic of the autonomy of the health profession and its impact on the client. Goldstein is a member of the advisory committee for Healthy Kids-Healthy California and the steering committee for the California Healthy Cities Project.

During the 1990s, public health will have to face che chal lenge o f dealing with underser ved popu lations at a time when the United States economy is in decline o r stagnant. There are gross inequities in the health care system that are getting worse, not better.

These inequities are concentrated among minorities, single-parent families and certain groups of the elderly and ch ildren. The r elationship of these groups to the health care system is a direct reflection of their marginal economic position and stigmatization in sociery. Despite all the rhetoric, the underser ved's situation will become more tenuous as the econo my gets tighter. Pub lic health must increase its awareness o f this problem while its own resources are mo re and more lim ited.

Health educatio n and health promot ion w ill present interesting problems for the '90s. A big issue will be evaluating what cechniques actually work. Lot5 of ideas and technology have been band ied about. They sound good, but haven't been tested in any syscemat ic way. Much of the emphasis

Dr. Shan Cretin

Dr. Mlchael S. Goldstein

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on health promotion comes from the corporate sector because it wants to reduce its o utlay fo r medical care and increase productivity. But what if it doesn't work out that way? What if people live longer and companies have to pay pensions over a longer period of time? Health promotio n is a ver y vague concept and specifying it w ill involve lots of potential for conflict.

A third challenge concerns the interr elationship of mind, body and illness. For example, we are starting to see evidence that stress has an impact o n disease. This has lo ng been suspected, but we are now beginning to see more solid evidence. Sim ilarly, the idea that psychosocial variables can affect d isease outcomes has a long history in medicine, but it has not been a significant part of the research agenda, or the interventio n agenda. I believe this w ill change in the '90s and emerge as an important public health issue.

The Workplace Dr. John Froines, associate professor of environmental health sciences, has taught at UCLA since 1981. Froines' specialty is toxicology and in particular lead exposure. He has served as deputy director of the National Institute for Occupational Safety and Health and is director of the UCLA Occupational Health Center in the school of Public Health.

I think there are some old health problems that need to be addressed. Probably the most significant example is lead exposure in the workplace and in the enviro nment. Lead's toxicity has been well known, but the severity of

exposure in the United States today suggests there is a continuing problem. We recognize that lead is w idely used and as studies fro m Cal ifornia, New York, New Jersey and Texas indicate there is a potential epidemic of lead- related toxicity in wor kers. In California, Hispanic workers are the most affected by lead exposure, w hich may be b rought home on the clothing, affecting the entire fam ily.

A very real problem is the level of illnesses in the workplace associated w ith repetitive trauma that is increasing very markedly. In 1980, the federal government reported approximately 23,000 occupational repetit ive mot ion disorders - injuries caused by routinely repeated movements. This year the government reported 150,000.

These disorders include carpal tunnel syndro me, tendonitis, arthritis and sprains. With in that context, there is a substantially larger issue - the need to do a better job of looki ng at the workplace in terms o f the entire enviro nment.

Histori ca ll y, p eopl e organ i zed workplaces and fit people into them.

In future designs, it wi ll be the workplace that fits around people. Ergonomic design w ill be more of a reality and a great opportunity to link the idea of heal th promot ion with occupational health programs designed to contro l the hazards in the workplace.

We also w ill see a need for attentio n b eing devoted to environme ntally caused neurologic d iseases. We are becoming aware of chemicals in the environment and the workplace that facilitate aging and may predispose people to chronic degenerative nervous system disorders - Alzheimer 's

disease, Parkinson's disease, ALS or chron ic motor neuron disease. The whole notion of early aging because of chemical exposure and its impact on degenerative diseases is going to be very impo rtant.

AIDS Dr. Roger Deters, professor of epidemiology, has taught at UCLA since 1970, and was dean of the school from 1980 to 1985. He has studied AIDS since 1980, and recently received a $3 million grant from the Fogarty International Center of the National Institutes of Health to train health officials in Southeast Asia and Latin America to meet the AIDS crisis.

AIDS w il I be we! I established as one of the most serious diseases affecting people in the 21st century, but infect ion w ith the Al OS virus w ill no lo nger be considered the death sentence that some now believe it is.

In the United States, Europe, Canada, Australia and New Zealand, the incidence of both new clinical AIDS and new infect ion with the AIDS virus w ill be much lower. The decline will be the result of the change in behavior in the gay popu l at i o n , which has played a. lead ing ro le in health educatio n activities in the 1980s and will continue to do so. As a result, relatively few of the new infections and cases w ill be occurring in ho mosexual men.

Unfortunately, a commensu rate de-

UCLA PUBLIC HEALTH

dine amo ng intravenous drug users will not have occurred. Since the majority o f infections among heterosexuals in these countries have been secondary to intravenous drug use, the rate of infection and d isea5e amo ng them and among children w ill not decline as rapid ly.

In Asia and the Middle East, there will be many cases of AJDS by the turn of the century, the result of infect ions acquired in the late 1980s and in the 1990s. In Asia, a combination o f the different patterns seen in North America and Africa will be observed; cases will be occurring concurrently among homosexual men, inrravenous drug users and heterosexuals. The prognosis for infected ind ividuals in most of A5ia and Latin America wi ll not be as good as those in the mo re developed counrries. Altho ugh better treatments w ill be developed over the next 10 to 20 years, the cost will make them unavailable to mo t infected individuals in these countries.

Although the rate o f infection will probably decl ine in bo th the developed and developing countries, new i nfections will continue to occur.

Some ind ividuals in all countries w ill be resistant to the vigorous health education programs which will be operating in virtually every country in the world. Although vaccine may be developed by the beginning of the 21st cemury, there wi ll be prob lems in identifying those who sho uld be receiving the vaccine and administer ing it to them.

The prognosis for the individual infected with the AJDS virus will not be substantially different than fo r the person with high blood pressure in the 1980s. It is unlikely that a cure to el iminate the virus will be found before the beginning of the 21st cenrury, but treatments w hich effectively control its growth w ill be available. Thus, infected individuals may have near normal I ife spans. The cost0f the treatment, however, w ill be high and w ill have a majo r impact o n health care costs.

family Health Dr. Susan C. M. Scrimshaw, professor of population and family health, has worked to promote medical anthropology as an Important adjunct to the health sciences. She has specialized in health care studies in Latin America. She started teaching at the UCLA School of Public Health in 1975 and served as associate dean for academic programs since 1988.

In the areas o f maternal-child heal th , I believe things are going to get worse before they get better.

This area is highly dependent on federal and state administratio ns. If we continue w ith adm inistrat io ns, such as the ones we have now, that put a low emphasis o n this area we wil I continue to slide. There w ill be an increase in the prematu re birth rate; an increase in the proport ion of low-birth-weight babies; and an increase in infant mo rtal ity rates. We w ill begin to look more like many developing countries and we w ill continue to lose ground until we get administrat ions that think d ifferently about maternal-ch ild health.

Inte resting ly, the g lo ba l picture looks mo re optimistic because of programs started by the World Bank and UNICEF. They are putting mo re importance on women's health care and we are beginning to see positive repercussions. The greater the degree to which we empower women in selfcare and recognize that high- risk problems can be identified, the greater will be the success.

There wi ll be tremendous backsliding in this country in fam ily p lann ing and reproductive health in terms of access to informat io n by teens, mino r-

ity men and women and low-income men and women. By blocking access to fam ily planning, the anti-abortion people are actually increasing the number o f unwanted pregnancies. It means women who get pregnant will pay less attention to the pregnancy, and the health of the baby will not be as good. It also can result in more babies w ith drug add ict ions.

Another area is AJ DS. Domestically, the next vulnerable populat ion w ill be the teens. We are not teaching them about sex, no r about pregnancy prevention and AJDS prevent ion. They are likely to be sexually active regard less of what thei r parents want. As AJ DS enters the heterosexual population, teens w ill be very vulnerable. Our nat io nal and state health systems and educational systems are virtually igno ring AIDS prevent ion in this population .

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Dr. Susan C.M. Scrimshaw

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Dr. DlrTlc:k 8. Jelllffe

International family Health

The State

Dr. Derrick B. Jelliffe, professor and head of the division of population and family health, has taught at UCLA since 1972. He has lived for 27 years in developing countries and has been director of the Caribbean Food and Nutrition Institute in Jamacia.

His expertise is child nutrition and breast¡ feeding.

Dr. Kenneth W. Kizer is director of the California Department of Health Services, managing a budget of $9.5 billion and 6,000 employees.

Kizer, M.D. and M.P.H. '76 was named director In March 1985, the youngest and one of the few physicians ever to hold that office.

The prob lems of health in less technically developed countries are principally in what are considered the vulnerable groups: pregnant women and children, w ho show the highest mo rbidity and mo rtality rates. Most of the conditions from which they die are r elated to combinations of malnutritio n, infections and uncontrolled fert ility.

In the Sudan and Ethiopia, things are worse due to the impact of natural disasters, especially drought, and man-made calamities brought about by civil war. At the same time, with the use of new low-cost appropriate techno logies - such as oral rehydration and immunization - deaths from d iarrheal dehydration and majo r childhood infections are declining in many countries of the world.

With more young children surviving, the focus o f maternal-child health needs to include o lder children, while remaining o n the vulnerable young children and pregnant women. Providing services for these children has to receive more a11ent ion. Family planning also has to become an increasing pan of all public health programs.

I see the major heal th-related issue in the next decade as the achievement of equity in access to health care services - resolving the access-quality-cost contro l d ilemma.

I believe the 1990s w ill be a ve1y decisive decade in terms of restr ucturing health care delivery. Despite an increasing number of calls for a publicly funded national health insurance that goes beyond Medicaid, I don't see the federal government tackling this. The

reasons are the need to reduce the budget deficit, the federal government's preoccupation with other issues, and the lack of consensus on what sort of major heal th care reforms ought to occur. Health care cost increases to the consumer and the business community are soaring at 20 percent or more per year. I just can't see that being allowed to continue indefinitely.

Anothe r m ajo r focus of p ublic health activity will be heal th concerns related to the environ ment. It is hard to pred ict exactly where this is going, but I see the 1990s as the decade for envi ronmental health. I see us dealing mo re than ever with environmental heal th issues such as water and air pollution and food safety.

There is also a slowly awakening concern about the health effects of global environmental deterioration; these effects are just now being recognized. The primary focus today is o n defining the extent of global envi ronmental changes. And it may not be unt il the mid- or late 1990s that we see

UCL\ PUBLIC HEALTii

tyhat these changes mean for public heald1.

In the same vein, I believe there will be an even greater focus to reduce the enviro nmental burden of toxic waste.

There have b ee n som e d r amatic changes in the past three or four years in California, but there's much to be done. Unfortunately, we can 't turn around in a few years the problems that have developed over many decades.

The Nation Dr. Stephen Keith is the health policy advisor to Sen. Edward Kennedy (D-Mass.). Keith, M.S.P.H. '82, is responsible for Food and Drug Administration issues, biotechnology and basic medical research.

He has been involved in national health insurance, one of Kennedy's major issues.

We have a rapid ly growing popu lat io n of persons 65 years o ld and over, who have increasing needs for acute, long term care. The private sector w ill not be able to respo nd to these needs. I bel ieve the responsibility of the federal government will have to increase.

Over the past decade, the federal government has cut fund ing in social and health care programs for the elderly.

However, in the past 50 years, we have witnessed significant advances w ith the establishment of social security and Medicare. The elderly have grown in cer ms of political strength and visibility and will continue to do so. The federal government w ill have tO respond to this constituency.

The concept of national heal th plans has been kicked around for a long time. It's very hard to predict what could happen. You would need a cry-

stal ball o n that topic. Given the federal budget deficit and the present state of the econo my, I would have to say that a national health plan w ill not be implemented in the near future.

There are 37 millio n uninsured Americans who lack access to basic health care. We must determine ways to provide ser vices. The questio n is whether the problem w il I be solved in the private sector or does it require government intervention? The solution will require additional funding, d1at is clear. We as a society must decide where the needed money will come fro m.

Education Dean Abdelmonem A. Afifi came to UCLA in 1965, having earned his Ph.D. in statistics at UC Berkeley. He became acting dean of the school in 1985 and in 1987 was appointed dean. His research included the areas of risk factor analysis, multivariate analysis and survival analysis. Currently, his major concern is public health education.

Schools of public heal th continually try to identi fy and anticipate problems standing in the way of a healthy public.

O ur future, as professional schools, depends o n how good we are at identifying such pro blems and how well we incorporate ways co solve them into o ur training and research programs. This, in turn, requires that we reconcile two competing and often conflicting needs: maintaining o ur professional ties to practice and thriving in the academic atmosphere of a research university.

This tension between academic and professio nal needs was apparent w hen the first schools of public health were founded in the 1920s. The faculty of the pio neer ing schools included many who began their careers as officers in local, state and federal public health organizations before embarking o n an academic career: This continued thro ugh the 1950s w ith schools o f pub I ic heal th seeing a majo r part of their missio n co train public health officers.

With the increasing emphas is in American universities o n the research activities o f their faculty, schools of public heal th found chat the reward system encouraged che research pursuit5 at the expense of other pro fessional activities. The result i s that schools of public health are much further removed from their practice base today compared to their pioneering ancestors.

The 1988 Institute of Medicine report, "The Future of Public Health," warned against this trend, thus creati ng a vigor o us d i scuss io n in the schools and in the field of how co remedy the situatio n. I believe there is a consensus chat we museemphasize the professio nal aspects of public health training mo re than we have done in the past 20 to 30 years. Will we find a better balance between the professional and academic activities in schools o f public health? The emphasis on academics wil l continue for ano ther few years; however, the health care financing crisis and other public health concerns will force academicians to be more involved in finding solutions and to participate more d irectly in the practice of public health.

The universities will have to recognize this role o f its facul ty and incorporate it into their reward system. â&#x20AC;˘ Edited by Joseph Pomento and Deborrah M. Wilkinson.

Dr. Sllphen Keith

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Departments Reflect n July, the UCLA School of Public Health streamlined its organizatio n fro m seven divisio ns to five departments - a structure that reflects current directions in the public health field.

Reorganization had been d iscussed for years, but it wa5 o nly recently that agreement was reached on the structure o f the departments. The new departments are biostatistics; community health sciences, which incorporates the divisions of behavioral sciences and heal th education, nutritio nal sciences and populatio n and fam il y health; environmental health sciences; epidemiology; and health services.

Under the new system, students can earn academic degrees awarded by the various disciplines. "l11e school wil I cominue to offer professional degrees ( M.P.H. and Dr.P.H.) on a schoolwide basis. But departmentalizatio n makes our academic degrees more comparable to those offered by other major schools of public health," said Dean Abdelmonem A Aftfi. "This is critical in our field today.

For example, a Ph.D. labeled as a degree in envi ronmental heal th sciences is w hat that field is seeking. 111e same is true for other departments."

Having smaller departments also makes management of the school much easier. Dr. Michael S. Goldstein, chair of the department of community health sciences, said a one-department school

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Trends in Public Heal~ wa5 too unwieldy. "The faculty has long recognized the potential value departmentalizatio n would have. This w il l come from being in more reasonably sized unit5."

In a single-department school, the role of the chair and that of the dean often overlapped, explained Afifi. " It didn't feel efficient and it was a potent ial source of d i fficul ty. The new system clarifies the dean's role as distinct from that of the chairs," he said.

Dr. Ralph R. Frerichs, chair of the epidemiology department, said facu lty have mo re independence under the decentralized system and there is more departmental aut0nomy and responsibility.

Under the one-department system, facul ty fro m one discipline were asked to judge those in other d isciplines, re-

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suiting in evaluations that were not always as appropr iate as they could have been when completed by those who know the work best.

In the new system , academic appointments are considered by the departments rather than on a schoolwide basis, thus the d isciplines are more in control over who comes in and who stays, Afifi said.

Dr. William C. Hinds, chair of the department of environmental health sciences, be! ieves the new structure wil I facilitate the development of new programs. Facul ty need only t0 get department OKs for most new programs - rather than approval from the enli re school.

Dr. Shan Cr etin, department of health ser vices chair, said reorganization provides an opportunity for each department tO examine procedures from admissions through curriculum and facul ty appointments.

"The big advantage is that all faculty are taking mo re responsibility for decisio ns. This is where the buck stops. II is a more responsive and sensible way of doing things," she said. "The staff and facul ry have a better sense of where they belo ng in the University and the school , resulting in higher morale and, ironically, more willingness LO collaborate effectively in solving schoo lwide and departmental â&#x20AC;˘ problems."

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Classrooms to Clinics:

Alkon Strives to Improve

Public Heal~

Dr. Ellen Alkon

BY DfBORRAH M. WllKINSON hen Ellen Alkon worked in hospital and cl inic settings as a ped iatrician, she saw 25 to 30 patients on an average day. But four years ago, she decided to combine clinical ped iatrics and public health ser vice. " Jn patient care, you're stalking a d isease and patching up whatever damage has been done. But through public health you're preventing disease from occurring to a larger population," said Alkon, med ical d irector/ deputy director of public health programs for the Los Angeles County De-

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partment of Heal th Ser vices.

Alkon , 54, cal ls public health a " more logical, effective and humane approach" to prevent unnecessary suffer ing and illness. The nat ive Angeleno believes she can help more peop Ie in her p r esent position than thro ugh individual patient contact.

Accord ing to Alkon, the Los Angeles County Department o f Health Services is considered the largest heal th department in the country The department has about 23,000 employees and o perates annually o n a Sl .8 billion budget. Approximately $256 mill ion has been appropr iated to provide an array of public heal th services such as comp rehensive heal th centers, health education, med ical services for handicapped children services and enviro nmental health and d isease control to the county's 8 millio n residents.

In 1981, Alkon - who received her M.P.H. from UC Berkeley - was hired by the county as chief o f preventive and public health ser vices for the Coast Region and by the UCLA School of Public Health as an adjunct professor. The latter position made her respo nsible for coord inating collaborative activities between the agency and the school.

111e former Minneapolis health department commissioner said this longstand ing re lat io nship has allowed health department emp loyees and UCLA faculty to benefit fro m shared resources - equipment, mater ials, people and money.

"UCLA's focus is research, educatio n and community service, and the department's focus is service to the community," said Alkon. "So our commo n bond and goal is improving the quality of health and all related ser vices to the community."

Collaborative projects include participation in the department's internal planning sessions by school faculty members, county invo lvement in the school's Southern California Injury Preventio n Research Center funded by the Centers for Disease Control and

county provision of field experience for students. " Many public heal th students have never set foot inside a health department or agency. It's important that they have a first-hand awareness of what a health department does because they are the future leaders in the field," said Alkon.

Alkon calls field experience invaluable for staff recruitment by enabling the department to hire well-trained people familiar with the system. At the same time, the public health veteran w ith more than 20 years experience said field experience, in-house training seminars and access to county facilities where facul ty members can pursue clinical experience provides the agency and UCLA with benefits of expanded knowledge and widening reputations.

Ba5ed on the 1988 report, "TI1e Future of Publ ic Health," conducted by the Institute of Medicine, which called for closer collaboration between health department workers and faculty, Alkon said present activities are right on track.

Dr. Caswell Evans, assistant director of health ser vices, said the relationship has improved the de! ivery of public health ser vices. "Dr. Alkon ha~ capably represented both the academic and practical environments. She is a model for staff as a vital link between the department and UCLA's School of Public Heal th," he said.

Alkon is looking forward to the facul ty cond ucting more workshops and seminars for county employees. In April , she and Dean Abdelmonem A. Afifi co-chaired the pro fessional educat io n committee and reported o n their findings and recommendations during the " Future of Public Health: 1990 Conference," organized by the California Coalitio n for the Future of Public Health. â&#x20AC;˘

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UQ.A PUBLIC HEAi.TI-i

fmerging Nation No Place for

the Meek n recent times, Dr. Jane C. Baltazar has see n her native Philippines wracked by earthquakes and corn by political turmo il. She wonde rs what effect cyanide use by comme rcial fish collectors wil l have o n the environme nt and the reefs surrounding the island nation. And as Baltazar and other public health o fficials thought control of communicable diseases was in sight, along came AIDS to complicate matcers.

She watched a primarily agrarian soc iety industrialize and inhe rit the stress and card iovascular problems of Western nations as a byproduct. As dean of the College of Public Health at the University of the Philippines, she has been instrumental in charting the education fo r that nation's next wave o f pub lic health officials.

Baltazar, Dr.P.H. '84, also has seen a public h ealth department chal lenged by new diseases, such as AIDS, while grappling with maladies that have plagued the island natio n for decades.

"We are still dealing with the proble m o f communicable diseases," said Baltazar, who lives in Manila with he r husband and four children. "The re have been vario us reductions, but we can't say they are contro lled. We have reduced the magnitude of the '50s and '60s, but now there is an emerg ing pro blem of chronic disease, such as cardiovascular d i sea~e. coro nary heart d isease, stroke and hypertension."

Baltazar, 54, faces many of the same frustrations as her colleagues in other areas of the world - research often moves too slowly. As coronary d iseases take hold in the Philippines, Baltazar, a physician and epidemiologist, knows that much more research is needed to

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She watched a primarilr agrarian societr industrialize and inherit the stress and cardiovascular problems of Western nations as a brproduct.

Dr. Jane C. Baltazar

pinpo int the causes. Prelim inary research shows that more people are smoking and stress-related illnesses are prevalent as the nation becomes more industrialized .

Born in southern Luzon, Philippines, Baltazar started in clinical med icine, but soon switched to public health partly because she d idn't want the 24-hour duty shifts after she got married.

She earned her M.D. at the College of Medicine, University of Santo Tomas, in Manila, and in 1964 earned an M.P.H. from the College of Public Hea'lth, University of the Philippines. She received a master's degree in hygiene from the Harvard University School of Publ ic Healtl1 in 1967, and three years later, lured by the opporrunity to do research, she started teaching epidemiology at the College of Public Health. She was selected by the World Health Organization to attend UCLA in 1980, where she received her Dr.P.H. with an emphasis in epidemio logy and in 1988 was appointed dean of tl1e College of Pub! ic Health at the University of the Philippines.

Boasting an enrollment of 350 students - about evenly divided in undergraduate and graduate classes - and 55 full-time facu lty members, the college offers the normal range of classes, as well as docto rate training in health education.

Her goal is to combine academic excellence and relevance to the situation witl1in the country and tl1e region. In early November, she worked to make public health curriculums more re levant by traveling co Bangkok, Thailand, where she assisted in the development of a master of science curriculum in epidemio logy. â&#x20AC;˘

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New Faculty Join School uring the 1989-90 academic year, four new faculty members joined the UCLA School of Public Health.

Dr. Shane Que Hee, associate professor of environmental health sciences, believes people should be challenged imellectually by new things. "Uprooting from an established routine allows for selfexarnination and reassessmem of your priorities. This mimics what happens in research, but mosc importantly, it gives a person the opportunity to measure personal growth," he said.

TI1e former University of Cincinnati Med ical Cemer associate professor considers Los Angeles to be more relaxed in terms of civil rights.

"I am very impressed w ith the studem body mLx, especially with white students being in the minority," said Que Hee, 43. " It's good to see African-Americans in real positions of po'ver and not as tokens. I would like to see more Latin Americans in similar roles. " His other reason for coming to UCLA was to further his research objectives. According to Que Hee, state-of-the-an analytical equipmem, costing more than $400,000, will allow researchers to separate and idemify organic d1emicals in environmental, biological and occupational samples. TI1e facility, which opened in November, represents a research venture by the school's depanmem of environmental health sciences and the UCLA Occupational Health Center.

Que Hee received his Ph.D. in chemistry and chemical engineering from the University of Sa5katoon in Canada and his M.S. degree in chemistry fro m Australia's University of Queensland. TI1e Australian native is also an accomplished pianist who composes and performs sonatas in his spare time.

Other hobbies include squash, cricket, tennis, racketball, softball,

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Dr. Shane Que Hee table tennis, writing, bridge and chess.

Dr. Gerald Ko minski, a former health policy analyst for the Prospective Payment Assessm ent Commission, cal ls teaching at UCLA a welcome change fro m working for the federal government "The combination of a teaching position at UCLA and research at the RAND Corp. provides the perfea career opportunity," said Kominski, 34, an assistant professor of health services. "TI1is is a welcome change of pace that will allow me to further develop and apply my research skills."

Kominski, who ceaches financial management and heahh services o rganization, is involved with several researd1 project5 ac the RAND Corp. to study differem aspeas of the Medicare progrJm. California's lifesty le agrees with the Baltimore native who resides in Culver City with his wife, Laurie and their 2-year-old daughter.Julie.

"We're taking fu ll advantage o f what Los Angeles has to offer in terms of an urban environment. As a family, we have more opponunities on weekends to plan outdoor aaivities and spend more qual ity time together," he said.

In his spare time, he plays statistical baseball in a boxscore baseball league. His imaginary team finished third out of 10 last year. Othe r h o bbies include cenn i s, photography and colleaing compaa d iscs.

Kominski earned his Ph.D. in public policy analysis fro m the University of Pennsylvania Wharton School of Business and his AB. de-

gree in chemistry from the University of Chicago.

Dr. Matthew P. Longnecker, assistant professor of epidemio logy, decided to become an epidemiologist after attend ing a health career seminar w hen he was 18. " I knew I had an aptitude for science and I felt that medicine wo uld strengthen my resear ch background," said Longnecker, 33, who teaches nutritional epidemiology and cardiovascular epidemiology "TI1e research projeas I hope

Dr. Gerald Kominski to get off the gro und at UCLA will involve d iet in relation to health.

Specifically, the relationship of alcoho l intake to breast and colon cancer and the d ietary carotenoid5 in reducing risk of smoking-induced cancers."

He and his wife, Stephanie, an epidemio logist at USC, live in Rancho Park and enjoy the good weather, beaches and mountain hiking.

The Ohio native earned his Sc.D. in epidemiology from the Harvdrd School of Public Heal th, his M.D. at Dartmouth Medical School and a B.S. degree in biochemistry from Antioch College.

Longnecker completed a residency in internal medicine at Temple University and is a board-certified internist.

Dr. Arthur Winer, professor of environmental health sciences, was st rongly attracted by the school's unique and innovative environmental science and engineering program, of which he became d1e new direaor. ''The growing complexity of today's environmental problems requires graduates

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who are trained in a truly imerdisciplinary fashion," said Winer, 47, who is an atmospheric chemist " I am impressed by the out: standing caliber of the students in d1e progrdlll and the important contributions which graduates of the program are making in enviro nmental research and pol icy within the United States and the Pacific Rim natio ns," he said.

Winer comes to UCLA after nearly cwo decades at UC Riverside's Statewide Air Pollution Research Center, where he served eight years as a5Sistam d ireaor and four years a5 co-direaor of UCR's Toxic Substances Research and Teaching program. "I'm looking forward to continuing my research on the measurement of indoor and ambient air pollutants and on the appl icatio n of regio nal human exposure," Winer noted. "UCLA has critical mass in the environmental sciences and offers great opportunities for collaborative research."

He and his wife, Judy, a systems engineering manager with IBM,

Dr. Matthew P. Longnecker

Dr. Arthur Winer

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UCL.A PUBLIC HEAl..TI I

share a pa<;Sion for sailing their 32foor sloop, Rendezvous, which they berth at Dana Point. Winer ·s son, Andrew, graduated from UCLA last June w ith d1e Dean's Go ld Medal in Fine Art5 and his daughter, Elizabeth, is a junior at UCR majoring in biology.

After receiving a B.S. in Chemistry at UCLA in 1964, Winer earned a Ph.D. in physical chemisny from Oh io State University and then conducted two years of pos1doc1oral research with George Pimentel in the chemistry department at UC Berkeley.

Inner City Health Promotion Project Started

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program that enlists the a'isistance of those it benefits has started in the inner city areas of Los Angeles to identify and solve major health problems plaguing Latinos, African-An1cricans and Koreans. Dr. Lester Breslow and a team from the UCLA School of Public Health and other faculty have devised the program, wh ich use!' the participat ion of community l eaders, organ i zers , schoo ls, churches and resident.s 10 identify community health problems and to determine the priorit ies for dealing with them.

Funded by d1e Centers for Disease Control in Adanta, the health

promotio n/ d isease preventio n projea will help the community develop a prevention strategy, set the prio rities and initiate d1e projem. UCLA received $250,000 in funding for d1e first year of the pro· jea and S300,000 for the second. " During the first year, we helped establish a heald1 council and activities in South El Monte," Breslow said. "We are now intensively exploring where in d1e AfricanAmerican community the second site will be located."

Breslow said the first obstacle to be faced in the communities is d istrust. Residents have had considerable experience with academics coming into their areas, conducting studies and d1en leaving without o ffering any solutions. A cornerstone of this project is d1e community health council, composed of agencies and residents of l11e community, that will assess the community's health problems and needs.

I n thi s e nd eavo r, Bres l ow stressed that l11e community is a partner with the University, which supplies the technical a5sistance and campus expertise.

"We do n't lay out what should be done," he said. "We offer suggestions in the context of health council discussions, but l11e community decides what to do and when."

Health pro motion has become trendy in middle- and upper-clao;s America. Improved nutrition,

smoking cessation and physical fitness attract substantial attention from sophisticated, affiuent, welleducated An1ericans. However, Breslow added that it lags in l11e inner city \Vith its low-income, poorly educated, minority and often immigrant groups of people.

Inner city residencs rend 10 have lower levels of immunizarion, higher rates of tuberculosis, hyperrension, infant mortality and greater incidence of cardiovascular disea~e and cancer.

Along with Breslo>v, co-principal investigarors include Dr. E. Richard Brown fro m the School of Public Health and Dr. Jack Rod1man from the School of Social Welfare. Dr. Rul11 Zambrana of the School of Social Welfare coordinates l11e La· rino community project, and Dr. Hector Myers of the Department of Psychology oversees the AfricanAmeric-an community project. Ors. Eugene S. Han and Alfred Neumann o f the School of Public H ealth coordinare the Korean community project.

Torrens Named to Tobacco Research Program r. Paul Torrens, professor of health services and an expert in health care pol icy and management, was appointed interim director of the University of Cali-

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fornia's new Tobacco-Related Disease Research Program.

Funded by 1.he tax on cigarene sales authorized by state voters in November 1988, the revenue is expeaed to exceed $600 million annually. Underthe terms of the measure, the University selects and funds projcas that deal w ith tobacco-related cancer, as well as heart and lung d iseases. Research will cover ba5ic science and the clinical and behavioral sciences, including legal and cost a5pects of tobaccorelated illnesses in the state. Peerreview panels will selea the projects.

In addit ion to individual research projects, the p rogram, which is ba5ed in Berkeley under the Office of d1e President, establishes support for young investigators to develop d1eir research in tobacco-related diseases. Funds also will be used to encourage publ ic and private research investigators to work together: Torrens received his M.D. from d1e Georgetown University School of Medicine in 1958 and a Master of Public H ealth from Harvard University four years later. Since 1972, he has served as a professor of health services administration at UCIA He ha5 management experience in hospitals and heal th maintenance organi zations, and has served as a publ ic health consultant for 15 years. His textbook wid1 Stephen Williams, Introduction to Health Services, published in 1979, is a standard graduate tein in health services management and policy

Survey Offers Rapid Info r. Susan C.M. Scrimshaw loves to RAP. In this case, RAP ( Rapid A<;Sessment Procedures) '>Vas developed as pan of a 16-country muhinational goal to improve primary heall11 C'Jre. " Jn 15 of l11e 16 countries, people fell thar l11e heall11 care service put down l11eir cusroms and beliefs," said Scrimshaw, an anthropologist at the UCLA School of Public Health. "We wanted a relatively quick sur vey method that would

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UCLA PUBLIC HEALTH

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allow us co sample chose receiving the care and those delivering ic to improve the fit. " Trad i tional anth ropo logi ca l srucl ies can rake a year or more and then another year to write. RAP surveys can be accomplished in four to six weeks wich another four to sLx weeks for the writing.

"TI1e survey depends on prior exper i e n ce," Sc r imshaw explained. " le must be used by someone already famil iar with the cul[Llre and d1e language or ideally, by someone from chat culture. One purpose of d1e networ k is to train developing country social scientists."

TI1e studies were conducted in Kenya, Nigeria, Zaire, Haiti, Nicaragua, Guatemala, Costa Rica, Peru , Colombia, Chile, Nepal, Bangladesh, Korea, Pakistan, che Phil ippines and Thailand.

Started in 1983, the project was sponsored by che United Nations University, the World Heald1 Organization (WHO) and the UCLA Latin American Centei: Scrimshaw's father, Nevin, initiated the project to determine if rural health services worked as well as the governments said d1ey were.

"My clad is a nutritio nist and my mother is an anthropologist," Scrimshaw said. "My clad noticed d1at we would come back with information he couldn't get. \X'hen d1e project was approved, WHO asked me to do the methodology."

The beauty of the system, Scrimshaw said, is its versat ility. The manual - which was co-ed ited by Elena Hurtado, M.P.H. 78 - has been published in English, Spanish, French and Portugese. It has focused on nutrition and primary heald1 care, and in November, one was tailored for AIDS. The Epilepsy Foundatio n of America asked Anna Long, M.P.H. '82, and Scrimshaw to adapt one for epilepsy The Spanish, English and French versions of RAP are available from the UCLA Latin American Center, while the epilepsy version is available from the Epilepsy Foundation of Ani erica.

" What we have done is demystify anthropology," Scr i mshaw explained. "We came up widi a series of dos and don 'ts by fol lowing field workers and seeing their misrakes.

All we d id was wr ite clown what appl iecl anthropologists do. I never set out to do this as my research; it just happened. I just thought we were doing a field manual for people who wamecl a common mediocl. There is a need for being able to go in and rake the pulse of the people in a few weeks."

Tiie manual and what the field workers have found, Scrimshaw said, will help to narrow the gap between biomedical technology and cultural customs and beliefs.

Alpert Chairs Dean's Council

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ra Alpert, M.S.P.H. '66, was appointed by Dean Abclelmonem A. Afifi as chair of the UCLA School of Public Health Dean 's Council, a group diat provides unrestricted funds for school programs.

Alpert succeeds Dr. Raymond D. Goodman , w ho fou nd ed the Dean's Council in 1976, and Frank P. Matr icardi, who served as cochair since 1986. Alpert also has been active in numerous other volunteer activities at UCLA, including the boa rd o f d i rectors of the Heal th Ser vices Administration Alumni Association and his current service as a member of the UCLA f'Oundation Board of Trustees.

As president of the Wilshire Foundation, which operates longterm care facilities in California and provides grants for heal di and human ser vices, he is involved in community healdi affairs.

Alpert's goal is to increase support to the school by encouraging greater alumni participation and further devel opi ng corpor ate memberships. "Tiie Dean's Council is one way in which everyone can become involved in suppo rting public heal th," he said. " It doesn't take a big dollar commitment to be a member. Taken together, these membership contr ibutions do important diings for the school."

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Students Awarded $1,000 Scholarships

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ive UCLA School of Publ ic Health students were awarded $1,000 Richard Chavez Scholarships - a fund established to assist Hispanic public heal th students committed to improving the heal th status of the community The students are Elizabeth Barragan, behavioral sciences and heal th education; Aleida Gonzalez, nutr itional sciences; Camille Martinez, behavioral sciences and health education ; Oscar Rosas, population and family health; and Marta Segura, environmen tal heal th sciences.

The fund was established in 1987 in recognition of Richard Chavez, a 43-year -olcl businessman, who is a recognized advocate and spokesman for the advancement and rights of the clisablecl, econo mically disadvantaged, unemployed and underemployed.

Chavez has been physically disabled since childhood.

Tiie students were selected by a committee o f minority hea lth professionals and school faculty and alumni based on outstanding personal characterist ics, goals, demonstr ated commitmen t co serving the community and financial need.

For more information on the fund, contact the Health Careers Opportunity Program at (213) 8257449.

Association Reinstates Award

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he UCLA School of Public Health Alumni Association has reinstated its Alumnus/Alumna of the Year Award, which will be presented at an annual d inner Tuesday, June 6, at die Pacifica Hotel in Culver City The awards will be given to those who best personify excel lence and commitment to publ ic healdi. ln recognition of the outstanding contributions of alumni throughout the world, die Alumni Association is also soliciting nominations to name this annual award for an alumnus/alumna who exemplifies the breadth and diversity of the alumni body. For add itional information regarding die annual d inner, please contact Carol Burrows at (213) 825-5119.

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UCLA PUBLIC HEALTH

African-American Student Scholarship Started he Health Careers Opportunity Program has established the Betty Smith Williams Scho larship Fund tO help African-American studems meet the financial neecls of l11eir education at the UCLA School of Public He-alth.

"TI1e recent decline in federal aid for graduate students makes l11is scholarship crucial tO l11e retemion of African-American Stu·

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Dr. Betty Smith Wllllams dents," said Kathleen A To rres, direaor of me Heall11 Careers Opponun i ty Program. " Through funcls provided by this scholarship, African-American students will have access to me knowleclge and skills needed to make a positive contribution to improving the heal th status in the African-American community. Donations to this fund will ensure l11at our students have the opportunity to make a d ifference in the community."

This is the first scholarship established for African-American students at the school and is named fo r UCLA alumna Betry Smil11 Williams, a nationally recognized leader and advocate committed to improving me heall11 status of African-Americans. Seventy-five percent of the funcls raised w ill go toward scho larships and 25 percent w ill be used for short-term emergency studem loans.

Will iams earned a Master of Science in Public Heal th and Mental Health Nursing from UCLA in 1%7.

She received her Doaorate in Public Health in 1978 from UCLA in behavioral sciences and health administration.

She is currently a professor in the department of nursing at California State University, Long Beach.

She is a Fellow of the American Public Heal m Association; a Fellow of the American Academy of Nursing; and recipient of the " Woman of Vision" Award for Healm from Delta Sigma Theta. She is a founding member of the National Black Nurses Association and is a cofounder of the Council of Black Nurses, Los Angeles. Williams also serves as associate ed itor for the journal of the Natio nal Black Nurses Association.

The Health Careers Opportunity Program has become one of the most successful in the nation by attraaing and retaining underrepresented minorities into the public heal l11 field. TI1e program prepares students to become competi· tive applicants for graduate school.

Contributions to the Betry Smil11 Williams Scholarship Fund should be made payable to the UC Regents and mailed to the Heal th Careers Opportunity Prog r am, UCLA School of Public Health, 41-240 CHS, Los Angeles, Cali forni a, 90024-lm, or phone (213) 8257449.

Delta Omega Dinner ecently eleaed members of the Iota chapter of Delta O mega, the honorary public healm society, will be recognized at a dinner o n Tuesday, May 22, at the UCLA Faculty Center. As has been the tradition for the past two years, the dinner w ill be followed by l11e Sanville/Delta Omega Lecture.

Richard Sanville, in whose memory this lecture series was fo unded, held an M.P.H. degree and wa~ a frequent lecturer at l11e school in his field of family planning. This year's speaker will be Lester Breslow, M.D., M.P.H., professor and fo rmer dean of l11e school. For additional info rmation, contact the development office at (213) 8255119.

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Raymond D. Goodman Honored fter chairing the Dean's Council for 13 years, Dr. Raymond D. Goodman, a long-t ime supporter of the UCLA School of Publ ic Health, has retired from l11at position. Ira Alpert, M.S.P.H. '66, is me new chair of l11e Dean's Council.

Dean's Council members, faculty, colleagues and friencls gathered at a dinner in October at the UCLA Facul ty Center to ho nor Goodman fo r his service. Speakers included Dean Abdelmonem A Afifi ; former deans Lester Breslow and Roger Detels; William Shonick, professor of healm services; Marti Slawson, d ireaor of health sciences development; and Bruce David~n . former president of me Alumni Associat ion.

Goodman received hi s M.P.1 1. in 1972, after having earned his M.D. degree from l11e University of Chic-ago, and practicing med icine for 25 years. In 1973, Goodman bernme the founding president of me school's Alumni Association.

During the following years, he funded one of the first fellowship endowments and later establ ished an endowment to create and perpetuate the Lester Breslow Lecrureship. Understanding the school's need for a source of annual unrestricted funds, Goodman founded me Dean's Council in 1976 w il11 26 ·members. In 1986, Frank P. Matrirnrdi bernme co-chair of the council, which now boasts a membership of 235.

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Advisory Board Adds Two Members he UCLA School of Public Healm Dean's Advisory Board was strengtllened wim the addition o f two members.

M ichae l L. Bo brow, of Bobrowffhomas Associates, joined the board in August. Bobrow, whose firm specializes in health fa. cilities planning and architeaure, is also a lecrurer in the school's department of health services.

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Robert Gillespie is the most recent member of the board. His company, Population Communications Inc., develops and helps implement family planning programs thro ughout the \vorld. Gillespie is a graduate of the University of Michigan School of Public Heal l11.

TI1e Dean's Advisory Board has 13 members who assist the school w ith external relations, including fund- rai sing and communi ty awareness.

IEA Conference to be Held at UCLA he epidemiology department at l11e UCLA School of Public Health w ill host the 12ll1 Scientific Meeting of the international Epidemio logical Association (IEA) on rnmpus Sunday, Aug. 5, through Thu rsday, Aug. 9. TI1e IEA has more tl1an 1,800 members in 110 countries.

"This is l11e first time the JEA has convened on l11e West Coast and l11e first time that the school has undertaken Lo organize an international meeting of l11is magnitude," said Dr. Roger Detels, conference organizer and lEA's treasurer. " I think it's a mark of respect toward the School of Public Heal m and tl1e department of epidemiology that the membership voted to have the meeting here. If we didn't have me organizational and epidem iologic competency, UCLA would nor have been selected."

Registration fees and housing expenses have been reduced by using campus facil ities. However, at least 400 members from developing and Eastern Bloc countries are in need of financial assistance.

Drs. Lester Breslow, chair of l11e honorary organization committee, and Walter Holland, IEA president, are working with Detels on a major fund-raising appeal t0 foundations and corporations.

"We didn't pick a theme because we don't want to constrict the topics presented," said Detels, who anticipates that 1,000 members w ill attend the international session, which is held every three

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UCLA PUBLIC HEALTH

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years. "An e pidemio logic approach can be applied to the control of infeaio us and chronic d iseases, ide ntification and reduaion of environme ntal and occupational health hazards, the development and evaluatio n of health care services, and to decisio n-making and policy fo rmulatio n in both developed and developing countries."

Two sate II ite conferences will be held preceding the !EA meeting: tl1e American College of Epidemio lo g y Aug. 2-3; and Eth ics, Health Po licy and Epide mio logy Aug. 3-5.

UCLA's Future Lies in the Balance

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ropositio n 111, a state constitutio nal ame ndment which will appear o n tl1e Califo rnia ball0t mis June, is vital to the continuing financial well-being of tl1e University of Califo rnia. Its passage has temporarily become tl1e primary concern of university President David Gardne r Entitled tl1e "Traffic Co ngestio n Re lief and Spend ing Limitatio n Aa of 1990," Propositio n 111 is the product of a rare co mpro m ise forged by the governor and leaders of born parties in me Leg islature. IL would change the Gann Spend ing Limit to al low the state budget to grow annual ly based o n a combinatio n of populatio n increase, and g rowth in California residents' personal income.

This would replace the present fo rmula, which uses populatio n growth and tl1e national inflatio n rate. That fo rmula was sufficient whe n inflatio n was in do uble d igits. But no w that inflatio n has slowed dramatically, the state budget cann0t keep pace wim Califo rnia's econo mic expansio n and me needs of me growing populatio n, o fficials say.

The bill would also clear me way fo r an initial five cent pe r gallo n increase in me State gaso line tax, and additio nal o ne cent per gallo n

Prop. 111: A Balancing Act

increases in me foll owing fou r years. l11is money wo uld be used to fund highway and mass transit projects.

Unl ess Propos iti o n 111 is passed, Gardner told tl1e University Rege nts, "long-te rm financ ial d istress" will face me institutio n.

Possible effeas of me bill's failure would be me enrollment of fewer students man presently projected, a reduaio n in me number and range of me university's acade mic programs, redua ion of its administrative and public service capacity, increases in student fees, and a possible change in me university's histo ric tuitio n-free po licy fo r Califo rnia reside nts.

For the last decade, tl1e university has enjoyed an ave rage annual budge t increase of 10 pe rcent. To keep pace wim rising e nro llments and costs, the university anticipates mar its budget must g row by 8.5 to 9 percent per year fo r me next 16 years, according to Gardner. Under curre nt law, me unive rsity can expea budge t growth of no mo re than 7 percent annually in me best eco no mic times, and significantly

less in o ther years. l11e Governo r's 1990-91 budget proposal cal ls fo r a 5.5 percent increase in general fund money and an o perat ing budget of $2.26 billio n fo r me universit)( This budget Gard ner calls "clearly inadequaie fo r me missio n assig ned to tl1e University of Califo rnia by the State." II fa lls sho rt o f the Regents' request by o ver $88 million.

UC e nro llme nt is projected to increase by 67,000 students by me year 2005, if the university continues to accept all e ligible California high school graduates seeking adm ission. Existing campuses can absorb about 43,000 additio nal siudents, but new campuses will be needed to accommodate the remainder, UC officials say. Wimo ut Propositio n 111 and bond meas ures to fin a nce construct io n, mose expansio n plans and the unive rsity's promise of access to all e lig ible students are jeopard ized.

Governo r George Deukme jian, who is leading the campaign fo r Pro position 111 , calls it "abso lutely essential" to Califo rnia's economic futu re and quality of life.

Proposition 111 is autl10red b)' State Senator Jo hn Garamendi, and Ls supported by the governor and legislative leaders of both part ies.

It also has the backing of such groups as tl1e Califo rnia Taxpayers Association, the California Associatio n of Highw.iy Patrolmen, me State Chamber of Commerce, and State School Superintendent Bill Ho nig. â&#x20AC;˘

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UCLA PUBLIC H EALTH

RESEARCH NOTES WildIife Cootlninatioo Hazll1ls Dr. David Bradford , adjuna assistant professor o f environme ntal science and engineering, will develo p testing and priorities to determine med1ods to e liminate contaminatio n hazards to wildlife d1at use agricultural ev,iporatio n pond5 in me Central val le)( TI1e study is funded by me Cal ifornia Departme nt of Wate r Resources. Contaa: (21 3) 825-0998.

Nllic Priorities A project assessing the pub Iic priorities and prefere nces toward achieving mandated federal and state air quality standards has been started by Dr. Climis A Davos, associate professor of enviro nmental healm scie nce. Contaa: (213) 2066122.

Health in 111! Wlrkplace An evaluation o f d1e feasibility o f

studying me heald1 effects o f fibrous glass in d1e aircraft manufacturing and d1e filter paper manufaa uring industries w ill be clone

by Dr. joh n R. Froines, associate professor of environme ntal healm sciences. Contact: (213) 825-7104.

Diet nl Cmr Dr. Ro bert Haile, associate professor of epidemio logy, received a $300,140 grant fro m d1e Natio nal Cancer Institute (NCI) to study the nutritional preventio n o f polyps in me large bowel. He also received a $277,131 grant from NCI for an epid emio logic study o f bilateral breast cancer. Contaa: (213) 825-8193.

Cmr Preventioo Training Dr. Isabelle F. H unt, p rofessor of nutritio nal sciences, is a co-investigato r o n a $306,952 projecc with Dr. Virginia Li, professor o f behavio ral scie nces and healm educatio n, to train doctoral students in cancer p revention. Contaa: (213) 825-5703.

The distribution, lo ngevity, feed ing habits, breeding plac~ and behavior of malaria-car rying m osquitoes are being stud ied by Dr. A Ralph Barr, professor of e pid emio logy.

Contact: ( 213) 825-5508.

Vitlnin KStudied A sunrey o f Inte rnatio nal Pediatric Association members by Di: Derrick B.Jell iffe, professor o f po pulatio n and fam ily heald1, will de termine maternal and neo natal intakes o f vitamin K. He also is studying retinitis pigmentosa in d ifferent pans o f d1e world and the United States in re latio n to neonatal taurine intake. Contaa: (213) 825-4053.

Health Call Access Recent immigrants from Central Ame rica and their use of heald1 services is d1e focus o f a study by Dr. Alfred H. Katz, professor emeritus in community healm services.

Farm and city workers wil l be inte rvie wed to d e te r mine the ir knowledge o f and expe rience with heald1 care fac ilities. The study was funded by the Califo rnia De partme nt o f Healm Services. Co ntaa : (213) 825-5333.

Medil31l illd Physiciill Services Di: Ge rald F. Ko minski, a5sistant professo r of health services, is examining me contribution o f techno logy in me intensity o f services and windfall p ro fits and the frequency and type o f physician services provid ed to Med icare patients b y physicians od1er than me attend ing surgeon. The stud ies are funded by d1e Health Care Financing Administratio n. Contact: (213) 206-1632.

MobJcycle lnjllies Di: Jess F Kraus, pro fessor of epidemio logy, is studying motorcycle crashes and driver injuries wim a g rant fro m d1e Insurance Institute for Highway Safety Contact: (213) 825-7066.

Brain Injuries

Cmr Risk AsseSSllBlt

Mild brain injuries in children are being studied by Dr. Hal Morge nstern, associate professor o f epidemiology, a co-principal investigator o n me p rojea fu nded by me Natio nal Institutes of Heald1. He also is studying sexually transmitted d iseases and legalized p rostitution in Nevada in a project funded by the Nevada Brothel Association.

Contact: ( 213) 206-2641.

Reducing uncertainity in cancer risk assessment is d1e subjea of a study by Dr. Pao lo F. Ricci, visiting associate professor of en vironmental heald1 sciences. Contaa: (213) 206-5504.

Census Noo-respoose Dr. Nathaniel Schenker, assistant professor o f biostatistics, is starcing research o n adjusting for non-response in estimating d1e underco unt fo r me 1990 census. The project is funded by me Bureau of the Ce ns us. Co ntact: (213) 8255250.

titlllrs nl Chilo with AIDS An analysis of Medicaid services

provided to and used by momers and children wid1 AJDS and d1e effect that p roviding AJDS services has had o n the Medicaid p rogram wil I be done by Dr. Phoebe A Lindsey, vis iting assistant professor o f heald1 services. Contact: ( 213) 2066322.

flJ11lllilY Restrictions Dr. Stuart 0 . Schweitze1; professor of healm services, is working o n a study of California's restrictive formularies to determine if it limits access to new drugs. Contact: (2 13) 206-1824.

Pul!OOllal Effects of Smog Di: Mo hammad G. Mustafa, p rofessor of environmental heald1 scie nces, is comple ting a study o f syne rgist ic pulmo nary effects o f two majo r oxidan ts of smog - ozone and nitrogen dioxide - that may help set exposure standards for mese air poll utants. Dean Abde lmo nem A Aftfi also is working o n the project. Contact: (213) 8251153.

Selecting Alternatives TI1e knowledge, attitudes and behavio r o f Med icare be neficiaries attempting to choose among alce rnative healm ins urance options is being stud ie d b y Dr. Shoshanna Sofaer, assistant professor o f healm services. Contaa: ( 213) 206-1641.

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V..twH

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&..99 A••t•H

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UOA PUBLIC HEALTH

FACULTY NOTES Dean Alllelmooem A. Altti, presented "'l11e Ro le of PubI ic I leaIth Education in the Health ofUnderserved Populations" at the Ben-Gurion University/UCLA second Internat io nal Conference, Beer-Sheva, Israel.

Dr. Roslyn B.Allin-Slater, professor emeritus of nutritio nal sciences, coed ited Human Nutrition: A Comprebensive Tl-eatise, \.b l. 6 for Plenum Press.

Dr. C.01 S. Aneshensel, professor of population and fam ily health, published " Fertility and Fertility Rela1ed Behav io r Am o ng Mex ican American and on-Hispanic White Female Ado lescents'" in Healtb & Social Bebavior; ··Part icipat ion of Mexican-American Female AdolescentS in a Longi1udinal Panel Survey·· in Public Opinion Quarter~)'; and "Onset of Fert ility-Related EventS During Ado lescence: A Prospective Comparison of Mexican Am erican s and Non -Hisp anic Whites" in the American journal of Public Healtb.

Dr. l.awrse R. Asll, pro fessor of infectious and tropical diseases in the deparunent of epidemioloi:,>y, published "'Larva Migrans Then·· in the

American journal of Tropical Medicine and l-(11giene; and Atlas qf Human Parasitolog)I third ed ition.

Dr. A. Ralim lla"r, professor of epidemio logy, published "'The Inheritance o f Reel Eye in Rhodnius Pro lix us·· in Medical and Veterinc11y Ento-

mologyof tbe Royal Entomological Society of London ; was symposium moderator and organizer of "Development of Etiological Agent~ in Veaors" at the American Society of Tropical Med icine and Hygiene; was appo inted a Fellow of the Royal Entomological Society of London; and a chair on d1e executive board of d1e American Committee of Medical EntomologisLs.

Dr. Emil lle!UloYic, professor of behavioral sciences and health education, published " Psychological Distress and the Decision to Seek Med ical Care Among a Med icare Populatio n" in Medical Care.

Dr. Linda ec.i,..e, professor of population and family heal th, autho red the book, Defining Rape.

Dr. C.Eli2*111 Castro, assistant professor of nutritional sciences, published "'MicronutrientS, Chromatin Alterations and Cancer" in Nutrition

and tbe Origins of Disease.

Dr. Albert Chilg, associate professor of population and family health, published "Health Training and Informatio n Needs of Child Day Care Providers" in Cbildren 's Healtb Care; " Promoting Child Pa'i.senger

Dr. Michael S. Goldstein, professor and chair of behavioral sciences and health education, authored ·'Psychosocial Distress and Perceived H eal th Status Among Elderly Users of an HMO" for the j ournal of Gerontology; and "Mental Health and Public Heald1: Issues co be Co nsidered in Strengthening a Relationship" in Tbe journal of Pri-

19

Materials Data base; and a Fellow of the American I nscicuce of ChemistS.

Dr. William C. Hinds, professor and chair

mary Prevention.

of environmental health sciences, published "'Modeling Respirator Perfo rmance fo r Aerosols" by the Internacional Society for Respiratory Procea ion; and "Respirator Dead Space: Effect on Estimates of Dose" in the American fndusn·ia l

Dr. Snler Greenlal, professor of epide-

Hygiene Association j ournal.

mio logy, published "Matching and Efficiency in Cohort Studies," in

Dr. lleflick B. Jellifle, professor of population and family health, authored the books, Mo tber and Cbild Health: Delivering tbe Services and

Growtb Monitoring in >t>ung Cbildren: Selection of Metbods and 7ecbniques of Training He also coarnho recl a chapeer on diet for the 1990 edition of the Encyclopedia

of Human Biolog)1 E.F. Palrice Jellille, researcher in population and family healch, wrote the book, Community Nunition Assessment; and co-aud1ored a chapter on d iet for d1e 1990 ed ition of the Encyclopedia of Human BiolSafety in Children Ser ved by a Health Maintenance Organization" in Patient Education and Cow1seling; and wJS elected president of the Associat ion of Teachers of Maternal and Ch ild I lealth.

Dr. Roger Del!ls, professor of epidemio logy, published "'HIV-1, HIV-2 and HTLV-1 Infect io n in H igh-risk Groups in Brazil" in the New England j ournal a/Medicine; "Serum Neopterin Changes in HIV-infected Subjects: Ind icator of Significant Pathology, CD4 T Cel I Changes and the Development of AIDS" in the journa l of NDS; and co-authored "The Development of d1e Discip line o f Publ ic Heahh: Current Sco pe and Concerns in Public Heal th" for d1e O:iford 71?.\t book of

Public I lealtb.

Dr. IOOn R. Froines, a'i.sociace professor of environmental health sciences, published "Stud ies of Lead Size Distributio n, Metabolism and Policy Implications" in Environmental Researcb; and was named directo r of the UCLA Occupational I leald1 Center in the School o f Public Health.

d1e Amenean j ourna l of EpidemiolOg)!

Dr. Robert Haile, associate professor of epidemiology, co-aud1ored "Selectio n BiiLS in Case-Control Studies Using Relat ives as Controls" in the

Og)!

Dr. Alhl H. Katz, professor emeritus in community health services, pub1ished Helping One Anotber: Self

Help Groups in a Cbanging World fo r Third Party Associates and '"fl:Je

International journal of £pidemiolom1; "Genetic Epidemiology

Seif-Help Movement for Twayne

o f Bilateral Breast Cancer: A Linkage Analysis Using the AffecreclPed igree-Member Method" was accepted by Genetic Epidemiology; was appointed co the state Scientific Advisory Panel; and is a consultant for the Generic Epidemiology Society of the People's Republ ic of China.

Dr. Gerald F. Kllninslti, assistant professor

Dr. SUie ~ Hee, associate professor of environmental health sciences, published " Respirable!focal Dust and Silica Content in Personal Air Samples in a No n-Ferrous Foundry" in Applied Industrial 1-(ygiene; "Per meation of a 2, 4-D Isooayl Ester f'Ormulation 111rough Some Protective Materials'" in the Ameri-

can Industrial I (ygiene Association j ourna l; is a member of TOXNET Data ba5e and the National Library of Medicine's H;v~rdous

Publishers. of health services, published "'Measuring Relative Wage Rates for Medicar e Hospital Payment" for the A5.5ociation for Public Policy Analysis and Management.

Dr. Jess F. Krals, professor of epidemiology, co-aud1ored "Unintentional Firearms Deaths in California" in the journa l of Trauma; and aud1ored "'Risk Faaors for Sudden Infant Death Syndrome in the U.S." in the International journal of l:.pidemiolom1 "The Epidemiology o f Mild Head Injury" in Mild Head InJu0 i and "Epidemiologic acures of Mild and Moderate Brain Injury" in \t>I. I, Contemporaty Is-

sues in Neurologica l Surgery.

Kraus also was named to serve on the Advisory Comm iuee for lnju!)'

Prevent ion and Control of the Centers for Disease Control.

•

20

UCLA PUBLIC I IEALTI-1

lk'. PD" Ladllllncll, professor of biostatistics, wrote "A Note on Goodness-of-Link Tests" and "'The Performance of Tests When Observations Have Different Variances" for the journal of Statistical Computation and Data Analysis; "Discri mi nam D iagnostics" for the

journal of tbe RoJr:il Statistical Sociel)J Series C; and "On Using Microcomputers in Statistical Analysis" for Hospital and Injection

Control.

Dr. Yirgi1ia C.Li, professor in behavior-

National Healtb Sy stems: Comparative Strategies_

lk'.

111111 " - ' · adjuna professor and researcher in heal th services, presented " International Health Human Rights and d1e Role of Government" during the American Public Health Association meeting in Chicago; wrote "Public Health and d1e Law" for the Oxford 7~­ book of Public Health ; and was a recipient of a World Health O rganization Tobacco or Health Medal for 1989.

al sciences and health education, published "Knowledge from West: Nutrition and Foods" in Popular Science Publications, PRC; "Behavioral Aspects of Cigarette Smoking Among Men in Shanghai's Industrial Colleges"' in the American journal of Public Healtb; and "WHOShanghai Collaborating Center in H ealth Edu cati o n : St r ategi c Scheme fo r Development" in Hy-

lk'. llallllliel Sclllller, assistant professor

giene.

tistics_

Dr. Plabe A. Lindsey, visiting assistant professor of health services, wrote '"AIDS - Specific Home and Community Based Waivers for the Medicaid Population" for the RAND Report; "Medicaid Utilization Control Programs: Results of a 1987 Survey" fo r Healtb Care Financing Review \t>l. 10, No. 4; and "Second Surgical Opinion Programs: A Review of the Literature" for the RAND Report. lk'. Matthew P. l.olgledler, assistant professor of epidemiology, wrote "Metaanalysis of Alcohol Consumption in Relation to Risk ofBreast Cancer II" for the 15th International Cancer Congress.

Dr. Hal Morgenstn, associate professor of ep idemi o l ogy, co-authored "Ecologic Bias, Confounding and Effect Modification" in the Interna-

of biostatistics, initiated d iscussion on "Missing Data in Health Care Research" for the third biennial Regenstrief Conference and spoke on "The Use of Imputed Probabilities for Missing Binary Data'" during the Census Bureau fifth annual research conference. He aud1ored "Asymptotic ResulL5 fo r Multiple Imputation" for The Annals ofSta-

lk'. Slloslmla Sofaer, assistant professor of health services, authored "Comparing d1e Costs and Benefits of Medigap Insurance Policies: An Application o f the lllness Episode Approach" and " Restrict ive Reimbursement Policies and Uncompensated Ca re in Ca l i fo rni a H ospitals, 1981-1986;" "The Effea of Changes in the Financing and Organizatio n of Health Services on Health Prom0tion and Dise-.ise Prevention" in Medical Care Review; and " Fin an ci al Co nsequences o f Joining a Medicare HMO: An Application of the Illness Episode Approach to Estimating Out-of-Pocket Cost5'" in d1e jour-

nal of Health Politics, Policy and Law

He was named Faculty of the Year by the Health Careers Opportunity Program.

Dr. MiltDI R_., professor emeritus of

Traumatic Stress.

"Blood Alcohol Tests, Prevalence of Involvement and Outcomes Following Brain Injury" in American journal of Public Health; and " What is Directio nality?" in the

journal of Clinical Epidemiology

health services, wrote d1e book,

he Pacifica Hotel was the site of the School of Public Health Alumni Associatio n annual awards dinner w i th State Sen. Diane Watson die featured spe-dker, addressing the topic "The Future of Family Planning in California. " Recipients of the Ruth F. Richards Outstanding Students Awards were:

T

Marc Bulterys

Epidemiology Bruce Davidson

Health Services Eve P_ Fielder

Population and Family Healtb Jennifer L Fisher

NuJritional Sciences Stein \bllset

Biostatistics Nancy Williams

Behavioral Science and Health Education 1989-90 Alumni Association officers and direaors include: Lester C. Reams, M.P.1-1. '86

president Joan Sekler, M.PH '87

president elect Marie LaFargue, M.P.H. '86

vice president, programs Sandra Davis-Turner

secretary Robin Evans, M_P_H. '79

treasurer Nancy Damiani, M_P.1-1. '89 chair; career & job

development Tracy Tobias, M.P.H. '85

chair; communications Julie Matsumoto, M.S.P.H. '89

chair; international affairs

lk'. SUS3ll B. Sorensoo, a5.5istant research epidemiologist and lecturer o f population and fam ily health, wrote " Homic id e Preventio n : Community and Produc t Ap proaches" for the Society of Traumatic Stress Studies; "Interpersonal Violence on d1e College Can1pus" for Crisis Intervention on the College Campus; and "Depressive Sequelae of Recent Criminal Vict imization " for the journal of

tional journal of Epidemiology;

ALUMNI NOTES

•

Teresa Palos, M.P.H. '89

chair; minority affairs Belinda Jenks, Ph.D. '86

co-chair; programs Maureen Magers, M.PH '81

member at large Ruth F. Richards, M.P.H. '50

member at large Todd Smayda, M.P.H. '80

member at large Susan Uretzky, M.P.H. '80

member at large Deborah A H oward, M.P.H. '86

immediate past president

Burton Sokoloff, M.D., B.S. '52, was appointed to the advisory panel of the Jo int Committee on Surrogate Parenting by the California Legislature. He also recently autho red "'Adoption and Foster Care" for the text Developmental-Behavioral Pediatrics. He is in private praaice in pediatrics in West Hills, Cal if.

SUZ31111e Oaloy, M.D., M.P.H. '63, was elected president of the Association of State Health Officials and is president-elea of me American College of Preventive Medicine.

Dandoy, executive d ireaor of the Utah Department of Heal th and adjuna professor at the University of Utah , is serving as first chair of die National Y,tccine Advisory Commi ttee established by Congress_

Capt. David E. AlderSOI, M_P_H. '67, is the professional development officer for the U.S. Navy Medical Service Corps headquartered at the Bureau of Medicine and Surgery in Washingt0n ,D.C.

Kellet W. Kizer, M.D., M.P.H. '76, direaor of the California Department of Health Services, recently received the Jean Spencer Felt0n Award for Excellence in Scientific Writing by the Western Occupational Medical Association and a

UCLA PUBLIC HEALTH

special achievement award in " recognition of outstanding accomplishments in emergency medicine education and publication" by the California Emergency Physicians Medical Group. Kizer also received a certificate of recognition by the Cali forn ia Asian Pacific Health Coal ition for "outstanding service to the health and welfare of the A5ian Pacific communities," and a special recognition Award by the California Health Federation for "support to the implementation o f a program for primary health care clin ics in Califo rnia."

Nelu low, M.D., Sc.M, B.S.P.H. 7 6, is in private praaice, 010laryngology - head and neck surgery - in Torrance. He is also a member of the clinical faculty at the UC Irvine School of Medicine, department of surgery.

Susai li1da Miller, M.P.H. '76, is an environmental consultant specializing in individual and community water and sewage systems and environmental planning. For the past 10 years, she has worked co procect the CCYdSt from offshore o il development and has helped creme the Nacio nal Ocean Sanctua1y movement.

ities include the operations of services housed in the hosp ical council and aaing as chief deputy to the president in managing the affairs of the center. He lives in La Canada w ith his w ife, Andrea, and their two children, Scott and Katie.

Christin Oakley, M.P.H. '79, coordinates women's heal th services for the UC San Diego Student Heal th Service and supervises all nonmed ical staff. She also chairs d1e campus AIDS education and prevention task force.

J*1 C. Preston, M.D., M.P.H. '79, is in his third year of residency in psyd1iatryat d1e UCSF-Sanjoaquin 'valley Medical Educatio n program in Fresno, Calif. His interests include mental heal th problems, needs and service delivery to the Spanish-speaking populatio n. His research interests are in the crosscultural aspects of psychiatric illness.

Mark Gigas, M.P.H. '80, is a registered environmental assessor working in the env iro nm ental consu l t i ng field. He conducts environmental assessments, asbestos inspeaio ns and remediation, and field and lab chemistry industrial hygiene.

cently was named program manager for CuraTech Inc. 's wound care cencer acSc.Joseph Hospital in Orange, Cal if. CuraTech is a biomedical firm that has developed a treatment for chronic non-healing cutaneo us wounds using platelet derived growth factors.

E. Rosi1slci, M.P.H. ¡so, is currently living and working in a remote corner of Arizona a5 a public health nurse on the Navajo Indian Reser vat ion, delivering primary health care and heald1 education to d1e Navajo people. Her principal projects are TB control, immunization campaigns and Hepatitis A research.

Jolin Ba1111balgll, B.S. '78, has accepted

David M. Ferriss, M.D., M.P.H. '81, is

a position as a registered environmental heal th specialist with Monterey County Envi r o nme ntal Health Services. This assignment includes consumer proceaion and land use in the Carmel-Big Sur coastal area.

currently a poscdoaoral fellow in health services research related co primary care at the j ohns Hopkins School of Hygiene and Public Health. He was formerly med ical d ireaor of CIGNA Heald1plan of Colo rado.

!ms Baner, M.P.H. '79, was named

Marc A. Stram.rg, Dr.PH. '81, recently

executive vice president and chief operating o fficer by the Hospital Council of Southern California.

Barber will ser ve as second in command at the Center of Heal th Resources, which encompasses the Hospital Council of Southern California and its two operating subsidiaries. His direa responsibil-

returned from China where he was a World Health Organization consul tant conducting seminars on polio eradicatio n. Strassburg, an assistant division chief of epidemiology in the data colleaion and analysis d ivision with the Los Angeles County Department of Heal th Services, has led seminars on polio

Lynda Shalno1 Bluestei1, M.P.H. '77, re-

Mari ~ka

eradication for the past four years in 12 Central and South American countries.

Ja.e E. Maltell, M.S.P.H. and Ph.D. '82, is currently d1e senior research scientist o n the AIDS Research Unit w ith the New York City Department of Health. She is also principal investigato r of a $5.5 million prevention of perinatal HIV infection demonstration project. Mancell is principal investigator of a $1.8 million, 3 1/2-year HIV counseling and testing program funded by the National Institute on Drug Abuse.

Rllolda Griffin Henton, M.P.H. '84, director of Health and Safety Services for the San Diego/Imperial counties chapter of the American Red Cross, is currently serving her seco nd appointment by the San Diego Board of Supervisors to the San Diego Regional Task Force o n AIDS.

Dia.a Sayler, M.P.H. '84, is d irector of patient education, Women 's Hospital at Los Angeles County-USC Medical Center.

DEAN'S COUNCIL Contributions to the Dean's Council have provided support for development of research projects, for guest leaurers, for professional meetings and conferences, and for od1er special programs for which no other funding is available.

Membership may be obtained fo r a minimum donation of $100.

Categor ies of membership are: $2,500 $1,000

$600 $300 $100

Corpo rate or Sing le Benefactor Patron Sponsor Sustaining Individual

While membership recognition is extended only to those who provide contributions o f SlOO o r more, all gifts are gratefully received and used for the same purposes as Council funds. Contributions should be made payable to 111e UCLA Fo undation and mailed to the UCLA School of Public Health, Post Office Box 54468, Los Angeles, California, 90054.

Robert Braun, D.D.S., M.S., M.P.H. '85, recently was appointed associate dean of Southern Illino is University's School of Dental Medicine. He also is professor of diagnostic specialties.

Teresa A. llala1, D.D.S., M.P.H. '87, wa5 recently appointed an assistant professor in the department of community dentistry, University of Florida Col lege of Dentistry.

Ella Pen1ington, M.P.H. '87, is currently in the UCLA MBA program.

Meylan Marysia, M.P.H. '88, is employed as an epidemiologist w ith Century City and Westside hospitals.

Etsaji Okamoto, M.P.H. '88, has published a book Kokumin-kenko-boken (National Heal th Insurance) - one of the first to describe and analyze the structure ofJapan's natio nal health insurance system, including the complicated premium setting policy.

Haas Skari, M.D., M.P.H. '88, graduated from d1e School of Medicine at the University of Bergen, Norway.

â&#x20AC;˘

21

Ira Alel'.rt, new chair of the Dean s Council

22

UUA PUBLIC HEALTI-1

School of Public Health Dean's Council donors from July 1988june 1989: ClllPIUI ..as Calreco, Inc. Fluid Components, Inc. Pacificare Health Sy;1ems

PRRlllS carolbeth Goldman Korn, B.S. Wilshire Foundation, Inc.

WISllS Abdelmone m A Afifi, Ph.D., and Marianne Afifi, M.BA Or. and Mrs. Lester Breslow Mr. Richard Corgel and Dr. Joan Otomo-Corgel

suswâ&#x20AC;¢ ..as Jr.a R Alpert, M.S.P.H. Diana M. Bonta, M.P.H. Or. and Mrs. John Coulson Or. and Mrs. Climis A Davos Joel M. Ellenzweig, M.O., M.P.H. Or. and Mrs. James E. Enstrom Or. and Mrs. Raymond 0. Goodman Or. and Mrs. Peter A J.achenbruch Frank P. Matricardi, Or.P.H. Marie E. Michnich, Or. P.H. Mr. David Morycl Charles N. Moss, M.0., Or.l~ H. Or. Eliial:x.'lh M. Osterkamp Mr. and Mrs. TI1omas Plott Or. and Mrs. Harold H. RO)'dltey Forest S. Tennant J r., M.0., Or.PH. Mr. and Mrs. Samuel J. Tibbitts June Walker v.ivasseur, M.P.H. Sue Verity, Or.P.Ji., M.P.H. Dr. Fredrick H. Kahn and Or. Barbar.a R Visscher

lllHY11l1Al ..as Mr. and Mrs. Khursheed Alam Leslie Marie Alex.mdre, Or.P.H. Dr. Roslyn Alfin-Slater and Or. Grant Slater Mary E. Ashley, M.P.H. Donald W. Avant, M.S.P.H. Or. and Mrs. Allan R Barr Sylvia P. Becerra, M.P.H. Beatriz H Beliz, M.P.H. Janice Sue Bigle r, M.P.H. Or. and Mrs. Wladyslaw Binek Judith Blake, Ph.D. Stew-.m Blumenfeld, Ph.D. James R Bock, Ph.D. Ms. Kimberly Jeanne Brad ley Clyde Perry Brown Jr., Or.P.H. Or. and Mrs. E. Richard Brown Wayne 0. Buck, M.0 ., M.P.H Mrs. Carol S. Buitrago Manin B. Buser, M.P.H. Dennice Calihan, B.S. Ms. Maria Canfield Edith M. carlisle, Ph.D. Teresa J. Carlson, M.S. Albert Chang, M.0., M.P.H. Ms. Pearl Gee Chin Mr. and Mrs. Frdnk J. Chu Mr. Welden E. and Or. Virginia A Clark Or. and Mrs. Douglas B. Clark50n Dr. and Mrs. Roger A Cleme ns Or. and Mrs. Richard Cohen Steven S. Cohn, M.P.H.

Ms. Arlene Consolino Peggy K Convey, M.LA Mr. 0-Jniel and Or. Anahid Crecelius Mr. Emmet Keeler and Or. Shan Cretin Or. and Mrs. William G. Cumberland Jing Ling Dai, M.P.H. Bruce N. 0-Jviclson, M.P.H Rosalyn A Oeigh Hewertson, M.P.H Or. and Mrs. Brian P. Dolan OliveJem Dunn, Ph.D. Mr. and Mrs. Sam Elrod Agnes K Eubanks, M.P.H. jean S. Felton, M.0.

Eve Picardy Fielder, M.P.H Mr. Martin 0 . Finn Paul M. Fleiss, M.0., M.P.H. Mr. and Mrs. Jeffery E. Flocken Or. and Mrs. Ralph R Frerichs Mr. Jeffrey S. Friedman Ms. Anna Marguerite Gebhardt Mr. and Mrs. Roben Goldman Mr. and Mrs. Daniel Green Nancy E. Greene, M.P.H. Daniel P. Groszkruger, M.P.11.

Mr. Joseph M. Hafey Ms. Cynthia Harding Lucian J. HarrL,, M.0.

William C. Hinds, Sc.0.

Horace W.M. Hinkston, M,P.H Inga E. I loffman, M.P.H. Or. and Mrs. earl E. Hopkins Nancy Lee Hsieh, M.P.11.

Or. and Mrs. l~trry 1-1. Iida Or. and Mrs. Derrick B. Jelliffe Stephen W. Kahane, 0.Env. Mrs. Marlene P. Kamienny Ms. M.1delyne L. Kassebaum Alfred 0 . Katz, M.0.

Mr. Han'C)' 0. Kern Or. and Mrs. Sterling King Alma L Koch, Ph.D. Pamela L Kotler, Ph.D. Or. and Mrs. Joel W. Kovner Anna J. KrJUS, M.P.1 1.

King-K.1i Kuo, M.O., M.P.H. Or. and Mrs. C.-Uman Kuraman Barbara M. Langland-Orban, Ph.D. Frdnk H. Leone, M.P.J I. Mrs. Dixie I. J.eyhe Virginia Cheng Li, Ph.D., M.P.1-1.

Mr. Richard Dean Lipeles Dr. and Mrs. Irvin M. Lourie Ms. Marhm J, Manocchio Mr. and Mrs. Sidney Marantz Dr. and Mrs. Frank Massey Jr. l n urma G. McCann, M.D. Richard Alan McCartney, M.P.1-1.

Mr. Luke Mcintosh J r.

Dr. Robert and Dr. Jean McMichael Leste r A Meis, M.P.H Mrs. Anna Marie Messerly Ruth M. Mickey, Ph.D. James L Monahan, D.D.S., M.P.I I. Hal Morgenste rn, Ph.D. Dr. and Mrs. Donald E. MorL'ky Marc D. Moser, M.P.H. Mr. Yoshiyuki Nakanlllr.a Dr. Alfred and Or. Charlotte Neumann laur.a K Nystrom, M.P.11.

Marvis]. Oehm, M.S. Etsuji OkamOlo, M.P.H. Dr. and Mrs. Edward]. O'Neill Jan1es J. Palmersheim, Ph.D., M.S. Catherine G. Percy, BA James D. Pinckney, B.S. Robert S. Plourde, Ph.D. Ms. cathleen S. Reems Shirley W. Rich, M.P.H. Rosalyn Riguis-Tr.app, M.P.H. Mr. Stanley H. Rosenthal H Jeffrey Rostami, Ph.D.

Alan Samuels, M.P.H. Don Paul Sanders, M.0.

Ke1meth Paul Satin, Or.P.H August W. Schara, M.S.P.H. Mr. Anthony Hunter Schiff Mr. Jack R Schlosser Or. and Mrs. Stuarl O. Schweitzer Gregory T. Sch"emer, Ph.D., M.S. Marian G. Selvin, M.P.H Jill L Shoemaker, M.S.P.H. Willian1 Shonick, Ph.D. Ms. Marlyn S. Slawson Daniel E Smitl1, Or.P.H. William E. Smith J r., M.P.J-1.

Dr. and Mrs. Paul E. Smokler Soshruma Sofaer, Or.P.1-1. earl Louis Speizer, M.D., M.P.H. Or. and Mrs. Howard M. Staniloff Mr. and Mrs. T.H. Sweetser Ill Peter A Szekreni, Dr.P.1-1.

Ms. Tr.acy Strong Tobias Kathleen A Torres, M.P.H. Martina A Tr.avis-Blount, M.P.H. Mr. William B. Treadwell Ann H. Walker, Ph.D. Bruce G. Weniger, M.O., M.P.H. Jan1es L Wl1inenberger, M.0.

Dr. G. 0-Jnyl Wieland Judith Shaw Wol,tan, M.P.H. Darmy Ying Wong, Dr. P.H.

lWtlllll6 GIFT CIM'AllES M;my companies match gifts provided by their e mployees to nonprofit organizations.

The School of Public Health extends its appreciation to the following for their matching contributions.

Chevron USA, Inc. Cigna Fo uncl1tion Johnson & Higgins National Medical Enterprises Times Mirror Company V.1rian AliSOCiation

SPECW. GIFTS TI1e School of Public Health gratefully acknowledges the following individuals, corporations and foundations for their gifts to fund programs, scholarshi ps, fellowships, rese-Jrch , equipment, and space improvement.

American Cancer Societv, Inc. An1erican Medical lnter~ational, Inc. C.'trol S. Aneshen.sel, Ph.D. Ant ilxxly Associates, Ltd. Baxte r Healthcare Corporatio n Linda Bourque, Ph.D. California Community Foundation C. Eli7.abeth Castro, 1~1.0.

Community Health Projects, Inc. Peter A Cortese, Dr.PH Cunis 0. Eckl1e n , Ph.D. Mr. and Mrs. Je rome Eglin Equitable Real Estate F I A Associates Friends of Soochow Dr. and Mrs. William 1-1. Glaze Mr. and Mrs. Daniel L Goldy Raymond & Betty Gcxxlman Foundation Heallhmarc, Inc. The William & Flora Hewlett Foundation Henry J. Kaiser family Foundation Mr. Steven & Dr. Kathleen Koser Mr. Ke n Krick and Or. June D. Gorski Krick Miss Linda Louise Lichtenfels LcX'i Angeles Childbirth Cente r

Mr. and Mrs. Malcolm M. McQueen I.any K Olsen, Or.PH.

Palm Oil Research Institute of Malaysia J D & E Pinckney Trust RAND Corporation The Rockefeller Foundation Jean Sanville, Ph.D. James H. Shinaberger, M.0.

Skin Research Foundation Ms. Mary M. Smith Ja;eph H. Sugerman, M.0.

Or. and Mrs. Wilfred C. Sutton Tr.ans Century Corporation ]'me L V.Uemine, M.0.

Wal lace Genetic Foundation Mr. and Mrs. Daniel M. Wilner Wilshire Foundation, Inc. Ms. Oy-yee Wong The World Bank Mr. Lee Zusman

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