22 Feb 2013Health Affairs recently published a report on The Family Van’s contribution to cost savings associated with mobile clinic care. The article, “Mobile Clinic in Massachusetts Associated with Cost Savings from Lowering Blood Pressure and Emergency Department Use,” follows 5900 patients over two years and estimates cost savings related to lowered blood pressure and decreased use of emergency services. Co-authors include HMS student Zirui Song, GHSM Associate Caterina Hill, Family Van Executive Director Jennifer Bennet, Callen-Lorde Community Health Center Director of Medicine Anthony Vavasis (New York), and HMS Associate Professor Nancy Oriol. The article may be accessed online .
29 Jan 2013
Felicia Knaul, Associate Professor of Global Health and Social Medicine, has had two books published in 2013: Beauty without the Breast and the volume she edited with Rebeca Wong and Héctor Arreola-Ornelas, Financing Health in Latin America, Volume 1: Household Spending and Impoverishment.
The Harvard School of Public Health hosted a launching of Beauty without the Breast, which is reported in the HSPH News.
31 Oct 2012Salmaan Keshavjee wrote "Leading by example: Bold steps are needed to stop tuberculosis deaths among patients living with HIV" for Science Speaks’ Blueprint series, in which clinicians, researchers and advocates address the key elements they would like to see in the global AIDS response blueprint that Secretary of State Hillary Clinton called for at the 2012 International AIDS Conference in Washington.
25 Oct 2012The New England Journal of Medicine is celebrating its 200th anniversary with the publication of special articles this year. Global Health and Social Medicine faculty members have contributed six of the 20 special articles published to date. Authors include: Allan Brandt, Paul Farmer, Jeremy Greene, David Jones, Salmaan Keshavjee, Scott Podolsky, and Bob Truog. Following are links to the special anniversary page article and to the individual articles:
New England Journal of Medicine Special Anniversary Articles
06 Sep 2012Each year, nearly 2 million people die from tuberculosis – a treatable disease that has been brought under control in the United States, but continues to ravage other parts of the world. This health inequity should prompt a complete rethinking of the way tuberculosis is fought on a global level argue Salmaan Keshavjee, MD, PhD, and Paul Farmer, MD, PhD . Their argument appears in an essay published September 6 in the New England Journal of Medicine
24 Jul 2012In partnership with NATO’s Joint Analysis and Lessons Learned Centre, the Department’s Program on Global Public Policy and Social Change recently released a case study from Haiti: a working paper “toward creating a comprehensive response to health system strengthening in crisis-affected fragile states.” This report is the first in a series of case studies under way to inform optimal coordinated international responses to countries in crisis. The overarching project is to examine contributions of the security community to humanitarian and development projects.
24 Jul 2012Felton Earls, Professor of Social Medicine, recently reported the publication of a definitive article on his team’s years of work with youth living in communities impacted by the HIV/AIDS pandemic in Tanzania. The paper, “Enhancing adolescent self-efficacy and collective efficacy through public engagement around HIV/AIDS competence: A multilevel, cluster, randomized trial,” appears in Social Science and Medicine 75 (2012) 1078-1087 and online on 24 May 2012. Mary Carlson and Robert T. Brennan are co-authors.
14 May 2012The report, Who Needs Psychiatrists?, appearing in the March 15, 2012, issue of Science features the work of Byron and Mary-Jo Good and others to develop strategies for improving mental health care in developing countries where psychiatrists are scarce. A slide show accompanies the report.
07 May 2012The Global Health Delivery Partnership Rwanda team published an important report documenting the strength of accompaniment and its effect on clinical outcomes. The report, "Excellent Clinical Outcomes and High Retention in Care Among Adults in a Community-Based HIV Treatment Program in Rural Rwanda," appears in the March 1 issue of the Journal of Acquired Immune Deficiency Syndromes (Vol 59, No 3).
17 Oct 2011GHSM faculty members Giuseppe Raviola, Anne Becker, and Paul Farmer contributed to recent commentaries published in: The Lancet Series on Global Mental Health 2011. Vikram Patel, Pamela Collins, Theresa Betancourt, and Myron Belfer are among the many authors contributing to the series.
15 Jul 2011The American Journal of Public Health [June 2011:101(6)] published the editorial by Louise Ivers*: “Strengthening the Health System While Investing in Haiti.” In this editorial, Dr. Ivers describes “how health programs that were successful before the [January 2010 earthquake] disaster provided both a platform from which to respond and a lesson on how to strengthen the country’s health system.”
15 Jul 2011Haiti after the Earthquake is Paul Farmer's report on the "unnatural" disaster of the January 12, 2010 earthquake in Port-au-Prince. Complementing his account are stories from other doctors, volunteers, and earthquake survivors. See the Boston Globe story, "Farmer outlines the before and after of Haiti's 'acute-on-chronic' earthquake."
06 Apr 2011“A Push to Fight Cancer in the Developing World,” published in Science magazine (March 25, 2011), describes the mission and work of the Global Task Force on Expanded Access to Cancer Care and Control in Developing Countries (GTF.CCC). It also highlights the personal experience of the GTF.CCC secretariat director and health economist Felicia Knaul with cancer.
16 Mar 2011
Felton Earls edited the recent issue of The Annals of the American Academy of Political and Social Science (AAPSS), focusing on “The Child as Citizen.” In an interview with Stephanie Marudas of the AAPSS, Dr. Earls reports some of his experience with children’s knowledge and abilities and highlights subjects and examples explored in “The Child as Citizen.” Click here to read the interview.
14 Sep 2010Arthur Kleinman, Professor of Medical Anthropology and Professor of Psychiatry at Harvard Medical School, and Rabb Professor of Anthropology at Harvard University, writes from his experiences as a physician, teacher, caregiver to his wife, and student of the medical humanities on the need to strengthen medical students’ and doctors’ abilities in the art, not just the science and technology, of medicine. See the article,
13 Sep 2010Marcia Angell proposes nine reforms to strengthen the Center for Drug Evaluation and Research at the Food and Drug Administration in its role of protecting the public from unsafe and useless drugs. She makes the recommendations in her New York Review of Books (Sept. 30, 2010, pp. 66-68) essay, "FDA: This Agency Can Be Dangerous." Initial access to the essay is available here.
12 Sep 2010Ed Nardell and Ashwin Dharmadhikari’s article on stopping transmission of TB with a triage and separation strategy was recently published in the International Journal of Tuberculosis and Lung Disease. Salmaan Keshavjee and Paul Farmer's editorial on universal access to treatment for multidrug-resistant TB was printed in the same issue. See:
11 Sep 2010The American College of Surgeons Surgery News reported on the global surgery fellowship in its September issue. The article describes Dr. John Meara’s efforts to develop a program in global surgery with Children’s Hospital Boston and the Department of Global Health and Social Medicine. It also features the first surgery fellow, Dr. Stephen Sullivan, and his work in Haiti last year. See the story on the bottom half of page 4 in Surgery News. Also see the Children's Hospital Boston web site for information about the Paul Farmer Global Surgery Fellowship. The Program in Global Surgery and Social Change is among the Department's new programs in global health and social change.
10 Sep 2010The open access journal AIDS Research and Therapy recently published the article, “Food assistance is associated with improved body mass index, food security and attendance at clinic in an HIV program in central Haiti: a prospective observational cohort study.” Louise Ivers, Assistant Professor of Medicine, Division of Global Health Equity, and colleagues wrote this paper, which may be the only one that shows a quantitative, statistically significant benefit from food assistance on these outcomes in people living with HIV. See the abstract, below, or the entire article at AIDS Research and Therapy.
09 Sep 2010Vanessa Bradford Kerry, Sara Auld, and Paul Farmer wrote a perspective piece describing their vision of an international health service corps, which could be like “a Marshall Plan for health—a program that would train and fund both local providers and U.S. health care professionals to work, teach, learn, and enhance the health care workforce and infrastructure in low-income countries.” The essay appears in the September 23 issue of the New England Journal of Medicine.
08 Sep 2010Kris Heggenhougen, Lecturer on Social Medicine and former Associate Professor who co-led the Carnegie Foundation-sponsored fellowship program for east African physicians and social scientists to obtain advanced training in medical anthropology, reports several recent publications. With former Carnegie Fellow, Japhet Killewo as the editor in chief, Kris and S. Quah co-edited the volume, Epidemiology and Demography in Public Health (Academic Press/Elsevier, pp 492, ISBN:978-0-12-382200-0) which just came out a few weeks ago. Vikram Patel was editor in chief, of another volume that Kris co-edited: Mental and Neurological Public Health, A Global Perspective (Academic Press/Elsevier, Oxford, UK, 2010, pp 560, ISBN 13: 978-0-12-381526-2). Vikram is a colleague of Arthur Kleinman and Byron and Mary-Jo Good and former faculty member Alex Cohen is now working with him in London.
29 Jun 2010Arthur Kleinman, Professor of Medical Anthropology, had two commentaries published in the Lancet this spring on “the art of medicine. In one, “Four social theories for global health,” Kleinman discusses four ideas that are useful to thinking about improving health and health care. In the other, “Remaking the Moral Person in China: Implications for Health,” Dr. Kleinman describes changes occurring in China as a large proportion of its population becomes middle class. He highlights both negative and positive changes and then suggests implications for ethics, the development of professionalism, and the quest for meaning in everyday life.
28 Jun 2010
“Public Financing of Health in Developing Countries: A Cross-national Systematic Analysis,” co-authored by Chunling Lu, Instructor in Social Medicine, was published in the Lancet on April 17. According to the press release:
“New research shows that overall domestic government spending on health doubled in low-income countries over 12 years to reach $18 billion in 2006—three times as much as the amount of development assistance for health the governments received from international sources. Yet in some settings, mainly countries of sub-Saharan Africa, this international aid appears to be partly replacing, not fully supplementing, domestic health budgets.”
For more information, see the Lancet and a report of these findings in HMS Focus.
27 Jun 2010Robert Martensen, Lecturer on Social Medicine, comments on professionalism, IRBs, and the Internet in an article published by Science Translational Medicine on May 5. Martensen recommends ways to use the internet to improve clinical protocol design and approval procedures and maintain the integrity of the study participant recruitment process in clinical trials. See the article, Institutional Review Boards, Professionalism, and the Internet.
20 Jun 2010The book, Sustaining Life: How Human Health Depends on Biodiversity, by Eric Chivian and Aaron Bernstein, was named along with Edward O. Wilson's and Bert Holldobler's The Superorganism, "Best Biology Book of 2008" by the Library Journal. Dr. Chivian is Director of the Center for Health and the Global Environment and Assistant Professor of Social Medicine. For more information about this book, see the Center for Health and the Global Environment web site.
21 Apr 2010Partner to the Poor: A Paul Farmer Reader (University of California Press) was published on April 21. Edited by Haun Saussy, Partner to the Poor collects Paul Farmer's writings from 1988 to 2009 on anthropology, epidemiology, health care for the global poor, and international public health policy, providing a broad overview of his work. It illuminates the depth and impact of Farmer's contributions and demonstrates how, over time, this unassuming and dedicated doctor has fundamentally changed the way we think about health, international aid, and social justice. For additional information, visit the Stand with Haiti web site. Click here for ordering information.
20 Apr 2010Rashi Fein’s new book, Learning Lessons: Medicine, Economics, and Public Policy (New Brunswick: Transaction Publishers; 2009) was featured at the Countway Library Notable Book Series on April 20. Rashi writes about the policy process. His book “discusses the considerations advisers have in mind as they develop and select policy alternatives, the ways each of us might want to think about making decisions, and the lessons we should remember in order to minimize avoidable errors. In writing about his experiences in government, the classroom, and private life, Fein offers insights that apply to people responsible for decisions in many kinds of institutions, at all levels of responsibility.”
02 Apr 2010Joan Kaufman, a lecturer in social medicine, reports three recent publications related to AIDS in China: “Turning Points in China’s AIDS Response,” China: An International Journal, Volume 8, Number 1, March 2010, pp.63-84; “Public Health Policy in China” in Politics in China: An Introduction, William A. Joseph, editor (Oxford University Press, 2010); and “The Role of NGOs in China’s AIDS Response – Update, Challenges and Possibilities” in Jonathan Schwartz and Shawn Shieh, editors, Serving the People: State-Society Negotiations and Welfare Provision in China (Routledge, 2009).
01 Apr 2010Blackwell published A Medical Anthropology Reader: Theoretical Trajectories and Emergent Realities edited by Byron Good, Michael M. J. Fischer, Sarah Willen, & Mary-Jo DelVecchio Good in March. This ground-breaking reader is distinguished by its emphasis not only on key theoretical trajectories within medical anthropology, but also by its attention to the field’s pivotal role within the broader field of anthropology writ large. Section introductions, which include bibliographies that situate selections within the broader medical anthropological literature, enhance the value of the collection for faculty and students alike.The book is organized into seven sections as follows:
31 Mar 2010Amelie Rorty, a lecturer in the Department, has had several items on philosophical topics published in recent months. "A Plea for Ambivalence" attempts to characterize appropriate ambivalence and to defend it against the pressure for "bottom line, wholehearted" thinking, in Oxford Handbook in the Philosophy of Emotions, ed. Peter Goldie (Oxford, 2009 ). "Educating the Practical Imagination" attempts to characterize the role and strategies of imaginative thinking within practical reasoning in Oxford Handbook of the Philosophy of Education, ed. Harvey Siegel (Oxford, 2009). "On Being Rational" argues that creating the conditions of mutual trust is an essential part of being rational, in Ratio (2009). "Questioning Moral Theories" argues that distinctive moral theories are compatible, and that they provide heuristic questions in decision making contexts, in Philosophy (2010). And "User-Friendly Self-Deception" defends the merits of self-deception, in Oxford Handbook on Deception, ed. Clancy Martin (Oxford, 2009).
19 Feb 2010Arachu Castro, Assistant Professor of Global Health and Social Medicine has had three publications published recently on the topics of prevention of mother to child transmission of HIV, perinatal/neonatal health, and community health promoters.
07 Dec 2009In the November 25 issue of the New England Journal of Medicine, Robert Truog, M.D., Professor of Anethesiology and of Global Health and Social Medicine (Division of Medical Ethics) commented on recently proposed changes in breast cancer screening practices as a window on the issue of not whether but how rationing of health care should be done.
Report published on integration of prenatal care with HIV and syphilis testing and treatment in Peru
02 Dec 2009Arachu Castro and Utpal Sandesara had the attached ítem published in Spanish and English: Integración de la atención prenatal con los procesos de detección y manejo clínico del VIH y de la sífilis en el Perú / Integration of Prenatal Care with the Testing and Treatment of HIV and Syphilis in Peru. Lima: Socios En Salud, Ministry of Health of Peru (MINSA), UNAIDS, UNICEF, 2009, 154 pp. ISBN 978-612-45430-1-2.
01 Dec 2009In a recent Huffington Post article, Carole MitnickCarole Mitnick remarked on the passing of Sir John Crofton, an early innovator in the treatment of tuberculosis. Her comments also highlight the need for continued research and activism on behalf of tuberculosis patients. See: http://www.huffingtonpost.com/carole-mitnick/the-passing-of-a-hero-for_b_362076.html
30 Nov 2009Chunling Lu reported that her paper, co-written with Y. Liu and J. Shen, “Does China’s rural cooperative medical system achieve its goals? – Evidence from the China Health Surveillance Baseline 2001 Survey” has been accepted for publication in Contemporary Economic Policy.
03 Nov 2009Salmaan Keshavjee, Assistant Professor of Global Health and Social Medicine, and KJ Seung, MDR-TB Program Officer for the Partners In Health Lesotho Project, were the chief authors of the white paper, Appendix C Partners In Health White Paper - Stemming the Tide of Multidrug-Resistant Tuberculosis: Major Barriers to Addressing the Growing Epidemic (110-205) to be published by the Institute of Medicine.
02 Nov 2009Over the past two years, Roderick King, Instructor in Global Health and Social Medicine, was an Inaugural Fellow for the Institute of Medicine (co sponsored by Jim Kim, Marie McCormick (HSPH) and Dean Joseph Martin) and was a committee member for the Study: The US Commitment to Global Health. The study was officially finished and released in May and the official publication is now available.
01 Oct 2009Gustav Tinghög, Visiting Research Fellow in the Harvard University Program in Ethics and Health and PhD Candidate in the Center for Medical Technology Assessment, Department of Medicine and Health Sciences, Linköping University, Sweden, recently published an article in Health Economics Policy and Law titled “Individual responsibility for what? – A conceptual framework for exploring the suitability of private financing in a publicly funded health-care system.”
18 Aug 2009
Chunling Lu reported the following paper is forthcoming: Lu C, Frank RG, Liu Y, Shen J. The Impact of mental health on labor market outcomes in China. The Journal of Mental Health Policy and Economics.
01 Aug 2009
Alec Irwin provided the 2009 final report of the Joint Learning Initiative on Children and HIV/AIDS, of which he was principal author. The JLICA is an independent, time-limited alliance of researchers, implementers, activists, policy-makers, and people living with HIV. Its goal is to improve the wellbeing of children, families, and communities affected by HIV and AIDS by producing actionable, evidence-based recommendations for policy and practice. The report, Home Truths: Facing the Facts on Children, AIDS, and Poverty, contains information on:
02 Jun 2009
Transaction Publishers listed Rashi Fein’s forthcoming book, Learning Lessons: Medicine, Economics, and Public Policy, in its recent catalogue. The listing states:
“This is a book about the policy process. It discusses the considerations advisers have in mind as they develop and select policy alternatives, the ways each of us might want to think about making decisions, and the lessons we should remember in order to minimize avoidable errors. In writing about his experiences in government, the classroom, and private life, Fein offers insights that apply to people responsible for decisions in many kinds of institutions, at all levels of responsibility. . . ."
29 May 2009
Lisa Hirschhorn reported the following publication:
Hirschhorn LR, Landers S, McInnes DK, Malitz F, Ding L, Joyce R, Cleary PD. Reported care quality in federal Ryan White HIV/AIDS Program supported networks of HIV/AIDS care. AIDS Care. 2009 May 29:1-9.
15 Apr 2009Rashi Fein, a member of the National Academy of Social Insurance, provides a useful commentary on the reference to taxes as a “burden” in the blog at the following site: National Academy of Social Insurance.
30 Mar 2009Rashi Fein and John Rugge, Founder and CEO of Hudson Headwaters Health Network, sent an article on health care reform in the Adirondacks to the Albany, NY Times Union. The Adirondack proposal involves increasing payment to primary care doctors in exchange for their meeting enhanced standards of care with the goals of providing preventive services; detecting illness early and treating it promptly; and coordinating care for those living with chronic conditions. Fein, Professor of Health Economics, Emeritus, who lives part-time in the Adirondack region, and Rugge discuss and endorse the proposal.
03 Mar 2009Chunling Lu, Instructor in Global Health and Social Medicine, is lead author of "Limitations of methods for measuring out-of-pocket and catastrophic private health expenditures," published in the March 2009 edition of the Bulletin of the World Health Organization.
13 Feb 2009New work by Norma Ware and colleagues explains that African patients assign top priority to HIV treatment. They do so out of commitment to the friends and family who help them, not just to stay healthy themselves. This explanation may point to new ways of sustaining the success seen in many HIV treatment programs in sub-Saharan Africa.
29 Jan 2009The International Journal of Epidemiology published the article, "Socioeconomic Status and HIV Seroprevalence in Tanzania: A Counterintuitive Relationship," by Wezi Msisha, Saidi Kapiga, Felton Earls and SV Subramanian in December 2008. The study examined the relationship between multiple dimensions of socioeconomic status (SES) and HIV seroprevalence in Tanzania. The study finds: Contrary to the prevailing perception that low SES individuals tend to be more vulnerable to HIV infection, there is a positive association between standard of living and HIV-infection.
09 Jan 2009
Marcia Angell published an article on "Drug Companies and Doctors: A Story of Corruption” in the Jan. 15 issue of the New York Review of Books.
The article is summarized on the New York Review of Books web site:
No one knows the total amount provided by drug companies to physicians, but I estimate from the annual reports of the top nine US drug companies that it comes to tens of billions of dollars a year. By such means, the pharmaceutical industry has gained enormous control over how doctors evaluate and use its own products. Its extensive ties to physicians, particularly senior faculty at prestigious medical schools, affect the results of research, the way medicine is practiced, and even the definition of what constitutes a disease. The full story appears at: NYBooks.
06 Dec 2008
Kris Heggenhougen, Lecturer in Global Health and Social Medicine, is editor-in-chief of the six-volume International Encyclopedia of Public Health, Elsevier Press, which was published in October, 2008. Two forewords to the Encyclopedia were written--one by Paul Farmer and one by Margaret Chan, head of the World Health Organization.
Information about the Encyclopedia is at the following web site: Elsevier Direct.
14 Nov 2008An article by Robert Martensen appears in a recently published book. The article, “American ‘Medical Professionalism’: at home & in the world,” appears in Ronald M. Green, Aine Donovan, and Steven A. Jauss (eds.), Global Bioethics: Issues of Conscience for the Twenty-first Century (London: Oxford U. Press, 2008).
14 Nov 2008Robert Martensen’s new book, A Life Worth Living: A Doctor’s Reflections on Illness in a High-Tech Era (Farrar, Straus & Giroux, 2008), appeared in September. It is intended for general readers dealing with serious chronic illnesses and conditions. Content description and early reviews are posted at: http://us.macmillan.com/alifeworthliving.
21 Oct 2008Marcia Angell published an analysis in the Canadian Medical Association Journal on Oct. 21, titled "Privatizing Health Care Is Not the Answer: Lessons from the United States." (CMAJ 2008;179:916-919)
07 Aug 2008Carole Mitnick, et al.'s article, "Comprehensive Treatment of Extensively Drug-Resistant Tuberculosis," was published in the August 7 issue of NEJM. It describes the management of extensively drug-resistant TB and treatment outcomes among patients who were referred for individualized outpatient therapy.
30 Jun 2008Dr. Myron Belfer was guest editor for the June, 2008 special issue of the International Review of Psychiatry devoted to A Global Perspective on Child and Adolescent Mental Health. The issue was notable for including referreed papers from African, Asian and Middle Eastern colleagues. Dr. Belfer co-authored a paper with former HMS student Dr. Renee Hsia (now faculty at UCSF) titled, "A framework for the economic analysis of child and adolescent mental disorders."