regents of the university of...
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Regents of the University of CaliforniaCommittee on Educational Policy
Discussion Item
PLANNING FOR A University of California School of Global Health
September 17, 2008
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Planning for a UC School of Global Health
• Context“Global Health and California in the 21st Century”
~Professor Sir Richard Feachem
• Planning Process“University of California School of Global Health”
~Haile T. Debas, M.D.
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Professor Sir Richard FeachemDirector, Global Health Group
Global Health and Californiain the 21st Century
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Global Health
The health of all of humankindand
the global and local factors and trends which improve or worsen it
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Global HealthChallenges and Opportunities Never Greater
1. Challenges• Disparities • Pandemics• Health Systems
2. Opportunities• Political commitment• Money on the table• Accelerating science• The vision and commitment of young people
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Global Health = Local Health The World and California
1. Once bitten …
2. Sex, Drugs, Sneezes, and Chickens• HIV/AIDS• MDR/XDR TB• H5N1
3. California can seriously damage your health
4. A big sucking sound
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The Boundaries of Malaria Transmission By Country
1945No malaria transmission
Malaria transmission
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The Boundaries of Malaria Transmission By Country
No malaria transmission
Malaria transmission
2008
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The Boundaries of Malaria Transmission By Country
No malaria transmission
Malaria transmission
2025
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Female Anopheles freeborni mosquito having a blood meal
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Malaria in the USA and California
• Every year about 1,500 cases in the USA, of which 15% in California
• Between 1957 and 2003: 63 outbreaks of malaria in the USA, of which 27% in California
• Largest outbreak recorded, Carlsbad, San Diego County, June-September, 1986, 28 cases
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PANDEMICSThe Spread of Human Cases of H5N1
First Cases by Country and Date• 1997: Hong Kong• 2003: China• 2004: Vietnam and Thailand• 2005: Cambodia and Indonesia• 2006: Turkey, Iraq, Azerbaijan, Egypt, and Djibouti• 2007: Nigeria, Laos, Myanmar, and Pakistan• 2008: Bangladesh• 20XX: California?
By June 19, 2008385 known human cases of whom 243 (63%) died in 16 countriesTwo thirds of reported cases and deaths are in Indonesia and Vietnam
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The Risks of Moving to California
For Mexicans, moving to California
• Risks of maternal morbidity increase
• Likelihood and duration of breastfeeding decrease
• Risks of gastric cancer if working in the citrus fruit industry increase
• Risks of HIV infection increase
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The Global Health Workforce
• Foreign born and trained (FBT) nurses comprise roughly 15% of nurse workforce in California today
• Almost twice the next highest state – Florida
• One-third of newly licensed nurses in California today are FBT
• For the US, most FBT nurses come from the Philippines, Canada, United Kingdom, and Nigeria (82% of total)
• FBT physicians comprise 22% of Californian workforce
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Planning for a UC School of Global Health
• 2005: UC Long-term Guidance Committee
• 2006: All-Campuses Exploratory Meeting
• 2007: 18-month UCOP Planning Grant
• 2007-2008: Phase I Planning
• 2008-2010: Phase II Planning
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Planning Committees
• All-Campuses Planning Committee (ACPC)
• Senior Advisory Committee (SAC)
• External Scientific Advisory Board (ESAB)
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All-Campuses Planning Committee
• Faculty from all 10 Campuses
• Academic Senate
• Students
• 27 Areas of Expertise represented
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Senior Advisory Committee
• Campuses Represented 10• Chancellors/Vice Chancellors 6• Deans 15• Associate Deans/Directors 4• Academic Senate 1• UCOP 1• Disciplines Represented 16
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External Scientific Advisory Board
• Jo-Ivey Boufford, President, New York Academy of Medicine
• Harvey Fineberg, President, Institute of Medicine, National Academy of Sciences (Chair)
• David Gollaher, President & CEO, California Healthcare Institute
• Wyatt R. Hume, Former Provost and Executive Vice-President, University of California
• Jeffrey Koplan, Vice President, Woodruff Health Science Center, Emory University
• John Martin, President & CEO, Gilead Sciences
• Joy Phumaphi, Vice President for Human Development, World Bank
• Jaime Sepulveda, Director of Integrated Health Solutions Development, The Bill and Melinda Gates Foundation
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Vision for UC School of Global Health
• Problem-based: not discipline-based
• Interdisciplinary: both health and non-health sciences
• Multi-campus
• Action-oriented: implementing projects and policies
• Value-adding: not replicating existing schools
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Structure
Core Education
& Administration
Center 2Center 1
Center 5 Center 3
Center 4
InternationalPartners
Multi-lateralOrganizations
(WHO, World Bank)
Private SectorNGOs
Foundations
Graphic Representation of School
State & Federal Governmental
Agencies
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Education and Training
• Initially only graduate programs
• Education will occur at both Administrative Core and the Centers
• Degrees: Masters and PhDs
• Degrees to be awarded jointly between School and Campus
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Research Agenda Workshop Themes (1)
UCB: Global Health Delivery Systems
UCD: Agro-Eco Systems and Human Health
UCI: Pandemics and Emerging Infectious Diseases
UCLA: Climate Change and Health
UCM: Pandemics, Security, and Private Rights
UCR: Water- and Vector-Borne Diseases around the World: The Role of Technology, Economics, Culture and Communications in Prevention and Treatment
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Research Agenda Workshop Themes (2)
UCSB: Ecology and HealthUCSC: Information Technology and Infectious
DiseasesNatural Products for Treatment of Neglected Diseases (with UCSF)
UCSD: Pandemic Infectious Diseases Migration, Mobility, and Health
UCSF: Global Women’s Health and Disparities Responding to Global Challenges of HIV, TB, and Malaria
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Phase II Planning (2008 – 2010)
• Finalize details of governance• Fully develop educational program• Competitive selection of Centers through a 3-
step process (workshops, LOI, full proposals)• Develop detailed resource plan• Implement a fund-raising strategy: Private-
Public Partnership • Prepare final School proposal to be reviewed by
Academic Senate• Seek Regental approval in 2010