International Health
Section Newsletter
Fall 2004

GREETINGS FROM THE CHAIR

APHA’s Annual Meeting is approaching, and for many of you, that is the most valuable feature of APHA membership. Betsy Bassan and team, building on Marty Makinen’s four years of leadership in strengthening our IH Section scientific program, have put together a menu of about 50 compelling sessions that will make you wish you could be at two or three places at the same time (go to <www.apha.org/meetings/sessions.htm>). They have also added the fun options in the International Film Festival.

Our annual section party, formally known as the Awards Ceremony and Social Hour, is being planned by Kate Tulenko. We are again abandoning the conference environment to hold it in a restaurant/bar known for its 200 varieties of beer. It will be near the conference site on Nov. 8 from 6:30 to 9:00 p.m.

Everyone interested in being active in and knowledgeable about section activities should attend the reporting and business meetings listed in this newsletter. One addition to the agenda this year will be the discussion of important international health issues or controversies relating to the section’s policy and advocacy interests as well as overall APHA hot button issues.

We are excited by our topic for the IH luncheon on Nov. 10, examining the largely overlooked contribution of injury to infant and child mortality and morbidity. We are flattered that the researchers (see note in newsletter) have chosen APHA for the first major U.S. public presentation of their astonishing findings.

The IH Section booth in the exhibit hall will be No. 1452. Hang out there; use it as a meeting place.

This is my last newsletter message as chair. Leading the sixth largest APHA section with a scattered and diverse membership of nearly 1,500 is not all fun and games, but there are plenty of rewards. I thank you all for this privilege and urge you to consider enriching your international health careers by playing active roles in the section. As my title changes to Immediate Past Chair after the November Annual Meeting, I look forward to supporting Joe Valadez’s plans to continue the revitalization of the section.

I want to remind you of three tools that were developed over the last two years that strengthen our section’s capacity and outreach:

1. The blue booklet entitled A Primer on APHA’s International Health Section and How to Get Involved. It is accessible online at <www.apha-ih.org>. You should have a hardcopy as well. Contact us if you want copies to share.

2. The yellow Section brochure. Ask us for multiple copies to hand out to your students or work colleagues.

3. The attractive, 22-page narrative history of our section and APHA engagement in international health, entitled Growth of International Health – An Analysis and History. We are quite proud of this volume. Contact us if you want more copies.

Soon, we will also have an IH Section manual, thanks to the section’s strategic planning process and the energetic leadership and time commitment of Della Dash and Amy Hagopian.

One of my disappointments is that despite these new document resources and the volunteer engagement of many of you, our section membership has not grown. I applaud Joe Valadez’s desire to attract new MPH’s and young professionals and to invest new energy into reaching out to schools of public health.

Thanks to all of you who helped make my tenure as chair a satisfying experience, most notably everyone in both elected and appointed leadership positions listed at the end of this newsletter. In this newsletter, I should especially cite our editor, Josefa Ippolito-Shepherd, who knows better than any of us that assembling the newsletter is not just a pleasant, Sunday afternoon picnic.

GREETINGS FROM THE CHAIR-ELECT

I very much look forward to taking on the responsibility of IH Section Chair. However, I must admit that Ray Martin is going to be an extremely hard act to follow. So I request your support and guidance as we embark on this new venture.

As the section belongs to the membership, it is exceptionally important that you speak your mind and offer ideas about the direction in which the section should head, and about the objectives we should intend to reach. The IH Section must reflect your interests and your vision if it is to be vital. We need to focus on addressing the needs of our section, while increasing our relevance to and support for international health work throughout the world. There is no reason that these next two years should not be our best years yet. But it will take a collective effort.

During the recent meeting for chair elects, I tried my best to express the section’s collective voice. While I find that we have very supportive colleagues, I must say that we will have to be very creative if we are to successfully engage APHA in supporting our interests. The best way to ensure adequate representation of our section's views within the APHA structure is to have section members named, or nominated and elected, to the many committees that do the association's work. Getting our members in APHA leadership positions should be a major objective for this year. It would also be quite useful for members to volunteer their time and energy by serving on our Section Nominations Committee, which has for many years been ably run by Lani Marquez, and signaling your willingness to serve in elected leadership positions.

I would like to express our deepest collective gratitude to Betsy Bassan and her remarkably committed team at Chemonics. Betsy has served as the program chair during the past year. Her dedication and efficiency has resulted in one of the best and most active programs for the 2004 Annual Meeting. She and her team could be role models for myself and others in the section. During 2005 I hope that we can build on the standard of excellence that she has established.

As a way to encourage diverse participation in the section, I would like to try something new. I will be discussing with the leadership my desire to create a Chair Advisor Position(s). To these I would appoint individuals that can not only provide input in section affairs but who can also bring a new voice or perspective to the section.

During the spring and summer the section leadership met to brainstorm about our future. These sessions have been stimulating and productive. There are several themes that have arisen from them that I would like to share with you, as they will offer direction during the coming year.

The leadership easily reached consensus that the IH Section needs to increase its membership. We note that many professionals who are actively engaged in international community health work have yet to join the IH family. The section will identify various ways that we can enhance the attractiveness of IH to practitioners and provide them with services they are not currently receiving. The section will develop a Needs Assessment Team for this purpose. I would like to see IH develop training packages for section members. Henry Perry and Kate Tulenko have been excellent in advancing this type of work in the section, and I would like to encourage more of this type of work.

In this line, we need to attract new MPH’s and other health professionals. We need to imaginatively think how to reach out to the schools of public health and excite young people to shape the section as well as to join the IH Section team. I am committed to this and invite schools of public health to be proactive in engaging their students to participate. I would like IH to reserve a small amount of funding dedicated to support young professionals who wish to be engaged in the section's affairs.

There are other new initiatives that I hope the section will undertake next year. During the November meetings, Ray Martin has invited the membership to attend several meetings. At that time we will learn about the Annual Meeting theme for 2005. It is not too early to begin to think about your participation in 2005. I would like to invite everyone to begin thinking one year ahead. I would like us to have the most comprehensive set of panels that have ever been presented at APHA for the 2005 Annual Meeting, that reflect our IH professional culture, being diverse and cutting edge. There is no time like the present to begin brainstorming at your own institutions. I encourage you all to submit individual abstracts and to work with the program chair to develop a stimulating set of sessions.

I would like to conclude by wishing you all a most successful and stimulating conference. Please make the IH Section stimulating by joining in section affairs. Be a catalyst for change!

FROM THE EDITOR

For the first time since I assumed the role of Editor of the IH Section Newsletter in 1998, due to work commitments I could not meet the deadline for the Spring Issue. It was a very difficult decision to make. For this, to all of you who missed the regular newsletter, I wish to extend my apologies. I hope this was a single event that will not be repeated, and that with the help of all you, by submitting articles, we will continue to produce an interesting newsletter for the IH Section.

The IH Section Newsletter is a place for all section members to share our thoughts, creative ideas, and any other information that could be of interest and value to section members, including significant international work experiences. You are invited and encouraged to submit material for inclusion in the next issues.

I take this opportunity to thank all members who provided material for this issue of the newsletter. Special thanks to Ray Martin, for facilitating the submission of significant material contained in this newsletter.

The IH Section Newsletter is published twice a year. The deadline for the Spring Issue is March 1 and for the Fall Issue July 1. Submissions are to be about 400 words, Font Times Roman 12.
--Josefa Ippolito-Shepherd, PhD
Phone: (202) 363-2369 (h) or (202) 974-3639 (o)
E-mail: ippolitj@paho.org.

DOES APHA HAVE YOUR EMAIL ADDRESS?
If you are not sure that APHA has your e-mail address on record, send an e-mail to <membership.mail@APHA.org> identifying yourself and asking to be on the list so we can send you information through APHA’s "broadcast e-mail" facility. You will also receive information about the IH Section Newsletter via e-mail.

IH SECTION PROGRAM AT THE 2005 APHA ANNUAL MEETING

The IH Section boasts an exceptional program for this year’s APHA Annual Meeting. We received more than 325 abstracts, in addition to those solicited for the invited panel sessions. The IH Section will host 40 panel sessions, seven poster sessions, and a student panel. Eight of the panel sessions address this year’s theme: the effects of the environment on our health and well being. Some of the topics of these panels include Population, Health and Environment: What’s the Connection?; Urban Health: A Growing International Crisis; and The Environmental and Health Effects of War in the New Millennium.

The IH Section is also working with many other sections. We are co-sponsoring panels with the Population, Family Planning and Reproductive Health, Maternal and Child Health, HIV/AIDS, Public Health Education and Health Promotion, and Environment sections, among others.

As a welcome addition to this year’s program, we introduce the International Film Festival, offered as an innovative approach to engage our members and those of other sections. Aptly coordinated by Amy Hill, Laura Larsson, and Gary Black, the festival will host four themed sessions on Monday, Tuesday, and Wednesday in the Technology Theatre.

The IH Annual Luncheon will be a special treat for our members. Curtiss Swezy of The Alliance for Safe Children (TASC) has organized a distinguished panel to discuss injury as the leading cause of child death in developing countries, replacing vaccine preventable diseases, diarrhea, and acute respiratory infection. Be sure to join us on Wednesday, Nov. 10 at 12:30 p.m. We encourage you to invite your colleagues to this session.

Many thanks to all who helped with this year’s program planning; it was truly a team effort. Our thanks to Ray Martin and Marty Makinen for their generous support and time throughout the planning process. The participation of the program committee, with significant contributions by Eckhard Kleinau, Mary Anne Mercer, and Diana Silimperi; the abstract reviewers; those who agreed to be moderators; co-sponsors; and everyone who played a role in program planning all deserve credit for the success of this year’s program. A special thanks also to the APHA staff, especially Donna Wright, for her patience and help in innumerable ways.

HEALTH ENVIRONMENTS FOR CHILDREN: LATIN AMERICAN PERSPECTIVES TO BE PRESENTED AT THE 2005 APHA ANNUAL MEETING

The Pan American Health Organization, Regional Office of the World Health Organization, will have a special scientific session at the Annual Meeting on key topics relevant to healthy environments for children, including reducing risks to environmental pollutants, violence and injuries, smoke-free spaces, and health-promoting schools. This session will be held on Monday, Nov. 8, at 8:30 a.m. at the Washington Convention Center. Information about this panel and about the entire program, including the IH scientific sessions and other meetings, can be accessed online at <www.apha.org/meetings/sessions.htm> (click on “online program”).

SPECIAL IH SECTION MEETINGS AT THE 2005 APHA ANNUAL MEETING

In addition to attending scientific panels and poster sessions organized or co-sponsored by the IH Section at the Annual Meeting, an important way to learn what is going on in the section and to find out how you can get involved is to participate in the various special meetings of the IH Section.

Please click on the link at the end of this article to view the various opportunities.

If you have an idea or issue that you would like to work on, let us know and we can try to connect you with others who may share your passion. Listed below are a number of opportunities to work with the IH Section, some new, some well-established. Contact us if you want to explore any of these (or other) possibilities.


  • Program Committee - This is possibly the most influential and most exciting, but also time-consuming task in the section.
  • Membership Chair is vacant. This would be to help promote the section.

  • Nominations Committee - to identify potential leaders who would run for various section offices. Become a king (or queen) maker.

  • Advocacy Committee – Our section has not come close to reaching our potential in advocacy. We need leaders and activists, both on issues as well as in various states and communities.

  • Liaison with other Sections - All the 24 APHA sections include people interested in the international dimensions of their section's discipline. We want to build bridges between our section and those individuals. We need IH individuals interested in the discipline of another section and who might be a liaison between IH and that section

  • Web site content development - Our Web site, w, can use a lot of improvement. We need people to identify good material for the Web site. We have a webmaster who knows the technical procedures for uploading material.


In addition to section roles, there are various APHA-wide committees and boards where we would like to see more section representation. They include:

  • Action Board draws up Action Plans for resolutions approved by the Governing Council.

  • Science Board deals with the scientific basis for APHA's professional and public policy.

  • Education Board coordinates APHA's educational activities, both with professionals and the public. APHA is a major provider of Continuing Education Units for public health and medical professionals.

  • Publications Board deals with developing and marketing scientific and policy publications.

  • American Journal of Public Health Editorial Board provides broad oversight and recommendations to the Journal editors.

  • Joint Policy Committee reviews proposed policy resolutions and position papers and makes recommendations to the Governing Council.

  • Other key APHA-wide committees deal with Equal Health Opportunity, Membership, Women's Rights, Program Planning, Awards, and The Nation's Health newspaper. Of special interest to many IH members is the International Human Rights Committee. Contact me if any of these roles, either in the IH Section or APHA-wide, appeal to you.



EXPANDED ACCESS TO ANNUAL MEETING SESSIONS:
APHA is expanding the educational experience of both presenters and attendees at the APHA Annual Meeting by investing in LCD projectors, computers and new Web-based technology for all scientific sessions. This new technology will enable voice and PowerPoint presentations to be recorded and uploaded to the APHA Web site following the meeting, thus extending the life of the meeting and providing access to hundreds of actual scientific session presentations that Annual Meeting registrants may have missed while attending other sessions.

Annual Meeting attendees can receive full access to these expanded sessions by registering for E-ssentialLearning on the Annual Meeting registration form through special introductory discounted fees of $25 for Annual Meeting session presenters, $50 for APHA members (who are not session presenters), and $100 for non-members and are in effect for anyone registering for the full APHA Annual Meeting by the Oct. 1 pre-registration deadline. These fees will increase substantially for anyone registering on-site at the Annual Meeting in Washington.

Log-in information and password access to these E-ssentialLearning sessions will be provided to registrants immediately following the Annual Meeting.

Presenters Able to Upload PowerPoint Presentations in Advance
LCD projectors and computers are now included as part of the standard audiovisual package in each session room. This new technology will enable presenters to upload their PowerPoint presentations in advance of the meeting and have them pre-loaded on the APHA session computers. Individual presentations then begin with a click of the mouse. The cost and inconvenience of bringing a computer to the Annual Meeting has been eliminated for presenters, allowing them to take advantage of new technologies and be a part of the E-ssentialLearning experience.
--Frances Atkinson, Manager of Section Affairs/APHA
Phone: (202) 777-2483, Fax: (202) 777-2530
E-mail: frances.atkinson@apha.org

RICH RESOURCES ON APHA'S ONLINE MEMBERS ONLY SECTION
Did you know that you can now update your contact information online and search for other APHA Members? The new online Member Directory allows you to update your e-mail address, place of work and more. With only a first or last name, you can search for summary information on any APHA member. Or you can quickly search for all APHA members in your home city. It is a powerful tool.

In order to log on to the Members Only Area you will need your APHA Membership ID number. To log on, please go to <www.apha.org>, click on "members only" in the upper right corner of the home page and follow the new directions to access these useful features. You will also find in this "Members Only" section a "Report to APHA Membership" with the latest APHA news and committee minutes, information about all APHA sections including their newsletters, the electronic version of The Nations's Health, APHA-approved policy statements and resolutions, APHA's strategic plan and annual report, a staff directory, and many other features.

Related Files:
ihspecial.doc

IH SECTION MID-YEAR MEETING MINUTES

Washington, D.C., June 1, 2004. About 35 members attended. (See http://www.apha-ih.org/SectionMinutes.htm#June 1, 2004)

I. RECENT IH SECTION UPDATES

  • Introduction – Ray Martin, <martinrs@aol.com>.

  • Presented meeting agenda.

  • Plans to appoint student as Section Councilor, to engage more students.

  • Encouraged people to get involved – special interest groups, regional interest groups.

  • IH section has tried to increase, engage and revitalize members by disseminating a section brochure and blue booklet – we still have work to do to get more people involved and more members.

THE IV MEETING OF THE LATIN AMERICAN NETWORK OF HEALTH-PROMOTING SCHOOLS

The IV Meeting of the Latin American Network of Health-Promoting Schools (LANHPS) was successfully conducted in San Juan, Puerto Rico, July 11-16, 2004. The purpose of this meeting was to contribute to the improvement of quality of life and opportunities for quality education and integral development of the school-age population and other members of the educational community, through the strengthening of the technical capability of Latin American and Caribbean countries for the implementation, follow-up and evaluation of the Health-Promoting Schools Initiative.

Participants at this meeting included official delegates of member countries of the LANHPS and members of the National Joint Commissions responsible for the coordination of the Health-Promoting Schools Initiative in every country (a delegate from the ministry of health and a delegate from the ministry of education in each country); representatives of NGOs, community-based and academic institutions, and strategic partners committed with Health Promotion and Health Education in the school setting; representatives of United Nations agencies (UNICEF, UNESCO, WFP, FAO, ILO and others); PAHO/WHO focal points; and other special guests.

Over 100 school health experts attended the meeting, including dfficial delegates from the ministries of health and education of 17 countries (Argentina, Brazil, Chile, Costa Rica, Cuba, El Salvador, Guatemala, Haiti, Honduras, Mexico, Nicaragua, Panama, Paraguay, Peru, Puerto Rico, the Dominican Republic, and Venezuela) and participants from Aruba, Australia, Canada, Colombia, Ecuador, Spain, the United States, Italy and Trinidad and Tobago.

Multi-country consultations for the development of the LANHPS started in 1993, resulting in the creation of the network in 1996, with an initial membership of 11 countries. At the second Meeting of the LANHPS (Mexico City, 1998), the membership expanded to include all the countries of the Americas. The third meeting was conducted in Quito, Ecuador, Sept. 10-13, 2002, with the participation of almost all Latin American countries. These meetings provide the opportunity for sharing information about the relevant processes of developing Health-Promoting Schools and relevant experiences, including the processes of strengthening of national commissions, the design and implementation of tools of rapid diagnosis, teachers’ training, publications and classroom manuals, and the development of a myriad of important health education and health promotion resources.

THE NEW REALITY OF CHILD SURVIVAL: THEY MAY BE IMMUNIZED, BUT THEY ARE STILL DROWNING

The IH Section will have an exciting, cutting-edge presentation at its Annual Meeting luncheon on Wednesday, Nov. 12, at 12:30 p.m. It will focus on new directions in child survival based upon just-completed research in six South and East Asian countries.

The Alliance for Safe Children (TASC), an NGO incorporated in Washington, D.C., in 2002, has recently completed national household surveys in six East and Southeast Asian countries (Philippines, Indonesia, Vietnam, Thailand, municipal Beijing, and Bangladesh). These surveys consistently document that the leading cause of child death in these countries is injury. As an example, there are more child deaths in these countries from drowning than all vaccine-preventable diseases combined. On one hand, this is a tremendous tribute to all of us who have worked over the past 40 years in EPI, ORT, ARI, family planning, and nutritional supplements and have witnessed dramatic reductions in child deaths resulting from these interventions.

By the same token, as these enormous reductions in traditional causes of child mortality have progressed, host governments and international health organizations have not focused on the “lesser” causes of child death, such as injuries. As an example, from the Matlab data, TASC researchers noted that there were approximately 26,000 drowning deaths in Bangladesh in 1968. The new household survey documents that there were approximately 26,000 drowning deaths in Bangladesh in 2002 -– virtually no progress in 35 years. Other causes of child death include burns, poisonings, falls, punctures and even intentional injuries. The mortality is matched with a full array of morbidity, much of it resulting in long-term disability, often with a devastating impact on household finances, plunging whole families into poverty.

Mike Linnan, a just-retired epidemiologist from CDC, has been working on this research since 1998 in collaboration with teams of host-country investigators from these six countries. Over this time they have uncovered some interesting mortality patterns. Drowning deaths begin to skyrocket at the age of 14 months –- the age toddlers begin to toddle. The rates then begin to decline, as children become taller -– and can stand up in a drainage ditch -- or learn to swim. By age 10 or 11 drowning phases out as a major cause of child death.

By age three road traffic accidents (RTAs) become a visible cause of child death, initially as pedestrians, then as passengers, such as on a bike. By age eight, RTAs increase significantly as children become bicyclists themselves and more exposed to vehicle traffic. This is offset in some cultural settings, as in Bangladesh. RTAs for boys eight to 10 are much higher than girls because Bangladeshi girls do not ride bicycles. From the age of 12 and up, RTAs become the leading cause of death as children move to motorized vehicles, particularly motorcycles, first as passengers and then as operators.

Linnan will also discuss the realities of gathering and reporting mortality data in developing countries and how this has helped to create a “blind spot” in terms of identifying the full scope of injury deaths. All IH Section members are encouraged to attend this luncheon and learn about this pioneering research which will steer child survival programs in a new direction.

ROAD SAFETY - KEY INTERNATIONAL HEALTH ISSUE

World Health Day 2004 (April 7) focused on a cause of more than a million deaths around the world each year -- road traffic injuries (<www.who.int>). Road safety was the theme of this global event to try and focus international attention on this neglected public health burden.

The majority of the deaths from road traffic injuries occur in low- and middle-income countries, and the poor are disproportionately affected by mortality, morbidity and often long-term disability. It is predicted that if nothing is done to curb this burden, it will become the third leading cause of death and disability by the year 2020.

A number of efforts are being made around the world in this regard, and we hope that the IH Section will also join the global community to focus attention on this issue. The section is also hoping to partner with the Injury Control Section to have some joint activities in this regard. Please contact Adnan Hyder if you are interested in contributing in this area of work.

IH SECTION STRATEGIC PLANNING RETREAT GENERATES ENTHUSIASM FOR ADVOCACY

The leadership team and a variety of section members (20 in all) attended a full-day planning meeting for the IH Section on Tuesday, June 1, at APHA headquarters in Washington, D.C.
After a warm welcome by APHA Executive Director Georges Benjamin and Section Chair Ray Martin, the meeting was facilitated by Della Dash and Amy Hagopian.

The section's strengths and weaknesses were frankly assessed. While we are the sixth largest section in APHA, our membership has been stalled at about 1,460 members for a dozen years. We have seven members on the APHA Governing Council. Only about 25 percent of the membership votes in leadership elections.

The retreat generated a commitment to leverage our influence within the section to move APHA forward on a number of important IH issues. An important way to guide APHA policy is through the promotion and adoption of resolutions. Diana Silimperi warned us that it has been difficult so far to organize people to craft resolutions. Perhaps with electronic (e-mail) communication and the creation of our Yahoo listserv this will be easier in the future.

Tony (Juan Antonio) Casas was drafted to head a "Policy and Resolutions" Committee, with Diana Silimperi as co-chair. Their job will be to identify policy areas of interest, prioritize them, then draft and circulate resolutions for section Governing Council endorsement. Then our Governing Council representatives can carry them forward for approval by the APHA board. Diana is working on archiving our outdated resolutions.

This committee has a Yahoo group listsere where messages can be posted at: <APHAIHSCPolicyResearchAndMonitoring@yahoogroups.com>. To subscribe, send a blank e-mail to <APHAIHSCPolicyResearchAndMonitoring-subscribe@yahoogroups.com>.

Chuck Woolery was drafted to chair an "Advocacy" Committee, which will use adopted resolutions as the foundation of an active advocacy campaign for the section. To post messages for the advocacy group, go to A<PHAIHSCAdvocacy@yahoogroups.com>, and to subscribe, send a blank e-mail to <APHAIHSCAdvocacy-subscribe@yahoogroups.com>.

The calendar calls for drafting of resolutions in January and February, with printing in September for distribution at the November meeting. Open hearings are held on resolutions at the Annual Meeting, and then the Governing Council votes to adopt or reject resolutions.

In other business, the section leaders recommended a new schedule for Annual Business Meetings at the APHA Annual Meeting. We agreed there should be a Saturday evening meeting (4-8 p.m.) for orientation and planning the week. (See article in this newsletter regarding three regular business meetings.) Traditionally, the section holds a Wednesday lunch meeting. A midyear meeting is held in Washington, D.C., in early June.

Marty Makinen offered to help with the orientation for new council members. We agreed to strengthen the function of better collaborating with other sections. We would like to better collaborate with the Global Health Council.

Amy Hagopian and Della Dash agreed to produce a "User's Manual" for section members (which has now been drafted and sent to the chair for approval and publishing). Evaluations of the meeting were positive.

COMMUNITY- BASED PRIMARY HEALTH CARE WORKING GROUP (CBPHC)

After a successful pre-APHA workshop this past November in San Francisco (our fifth one!), the Community-Based Primary Health Care Working Group is looking forward to 2004, which we believe will lead to a stronger involvement of our members in the promotion of community-based primary health care.

We are in the process of forming a Task Committee to review the available evidence regarding the effectiveness of CBPHC, and we hope to use the Summary Report that will be produced as an important platform from which to engage in advocacy activities. Henry Perry, Paul Freeman and Adnan Hyder will be collaborating on this, and others who are interested are welcomed to join the Task Committee. We are looking for a graduate student in public health who would be interested in working with us. If you know of anyone, contact Henry Perry at <henry@future.org>.

We anticipate a growing collaboration with IH Advocacy Chair Chuck Woolery to begin to push the CBPHC agenda in policy circles and among donors.

We have updated our statement of purpose, activities, and history, and this can be located on our working group’s section of the International Health Section Web site at <http://www.apha-ih.org/cbphc/commbasedprihealthcare.htm>. Training resources on CBPHC are also on the Web site. Please let Connie Gates know of resources to add to the list, <conniegates@juno.com>.

We are beginning to work on expanding the listserv to include those around the world with an interest in CBPHC. We will distribute from time to time information that we think might be of interest to those on the listserv. If you are interested in being on the listserv, contact Kate Tulenko at <ktulenko@worldbank.org>.

Finally, we welcome new energy, new members, and ideas or suggestions regarding how to move forward. Contact any of us listed in this article and we will be happy to communicate with you.

PHARMACEUTICALS AS A GLOBAL ISSUE - INTEREST/WORKING GROUP

APHA members in the IH Section are forming a “Interest/Working Group on Pharmaceuticals as a Global Issue.” All IH members are welcome, and a few have already signed up. New HIV/AIDS drugs have thrown a spotlight on the conflict between health as a human right and industry as an economic engine. While this debate is headline news, less dramatic issues are symptomatic of the chronic problems that plague pharmaceutical supply globally. Profit incentives trump public health priorities too often, from investment in research and development to promotion of the latest patented drug over affordably priced generics.

Our Interest/Working Group on Pharmaceuticals as a Global Issue will consider the growing gap in access to essential drugs, the impact of inadequate supply on the whole health delivery system, the temptation for graft and corruption in pharmaceutical supply, the need for regulation, financing issues, irrational prescribing, and the need for improving patient compliance with treatment regimes.

If you are interested, send your contact information and ideas about the kinds of activities and exchanges you would like to see us undertake to Maggie Huff-Rousselle.

D.C. METRO AREA GLOBAL HEALTH INTEREST GROUP

Building on the successful IH regional groups in Seattle, San Francisco and other cities around the country, a new regional group has been formed for the Washington, D.C. metro area - the D.C. Global Health Interest Group (DC-GHIG). Seminars held addressed the WHO tobacco control treaty, the U.S. politics and funding of international AIDS programs, immigrant health in the US –- lessons from IH, child injury, the neglected component of child survival, and IH as U.S. foreign policy.

The format of these meetings is a café style exchange on a selected topic. One expert in the field provides 10 to 20 minutes of background information on the topic, and then the floor is opened to roundtable discussion. The ambiance has been very collegial, and attendees have expressed great satisfaction with their opportunities to discuss across the table cutting-edge issues with experts in the field. Anyone in the D.C. Metro area who is interested in proactively participating in the DC-GHIG, including proposing topics for discussion and organizing one of the monthly meetings, is encouraged to contact either of the two co-conveners of the regional group: Julie Hantman, MPH, at or Curtiss Swezy at <cswezy@cox.net>.

IH SECTION AWARDS

The IH Section presented two awards at the San Francisco Annual Meeting. The Lifetime Achievement Award went to Clarence Pearson for his work in scientific management of IH projects and innovations in public-private partnerships. The Mid-Career Award went to Sarah Shannon, executive director of the Hesperian Foundation, for her leadership in expanding Hesperian's line of public health books for poor communities and her innovations in participatory publishing. For the first time, the Awards Ceremony and Social Hour were held in a restaurant outside the convention center to provide a more pleasant atmosphere and improve the quality of the food. The event was co-sponsored by UC San Francisco's Institute for Global Health, the UC San Francisco's Office of International Programs, and the Stanford University Medical School. It was attended by about 175 people.

Honor someone whose work you admire by nominating them for one of the four International Health Section Awards: Lifetime Achievement, Mid-Career, Outstanding Service, and Special Recognition. For a list of past awardees and instructions on how to submit a nomination, please visit the Award Committee's Web site: <http://www.apha-ih.org/Awards.htm>.

HIGHLIGHTS OF THE IH SECTION MEETINGS AT 2003 APHA ANNUAL MEETING

I. IH SECTION LUNCHEON ADDRESS by Thomas E. Novotny, MD MPH, University of California, San Francisco, USA - Globalization and Tobacco Control: Why Borders Don’t Matter
Novotny was Chief Negotiator for the Framework Convention on Tobacco Control (FCTC) in the Clinton administration. He stepped down from his position as Deputy Assistant Secretary in part because of conflicts with the Bush administration on their tobacco control positions. These were no longer representative of either scientific or sensible advocacy positions. He addressed tobacco use as a global public health problem, including the determinants of tobacco use, business ethics and tobacco production, tobacco control compared with other multinational regulatory efforts, tobacco control in terms of social justice, and the challenge of reframing global tobacco control as a bioethical issue. Since much of U.S. foreign policy is cloaked in moralistic terms, he challenged the White House to sign and support ratification of the FCTC on ethical grounds.

Given open borders and the movements of goods, people, and ideas across them, globalization permits the transmission of health risks, infectious or noninfectious. This porosity challenges governments to protect the health of citizens, both in developing and developed countries; compounding this situation, public health systems suffer from lack basic infrastructure. Cognitive globalization, or social learning, of tobacco use through advertising, promotion, movies, and other normalization creates a borderless market for manufactured cigarettes and a major global health disaster. National regulatory approaches are difficult to implement in the face of this global onslaught. Thus, treaties are vehicles to address tobacco and other transborder health issues. The multinational approach, rather than overriding national sovereignty, actually supports the rights of nations to protect the health of their citizens through collective action; in the case of tobacco as a legal product, multinational action must be engaged to overcome the economic and political pressures created by tobacco companies in opening up markets. This global approach will assure individual autonomy, beneficence, and non-malfeasance as bioethical mandates for global tobacco control. The FCTC was approved by consensus at the May 2003 World Health Assembly. It has yet to be signed by President Bush, and even if he does sign the treaty, it is unlikely to be ratified by the Senate. Public health professionals should advocate for support this treaty as a moral, bioethically important issue. It is necessary for us as a leading nation in health research and public health practice to assure that all the global population has a right to a healthy life without tobacco.

II. IH SECTION MEETING AND EVENTS MINUTES

  • IH Section Leadership Meeting I, Sunday, Nov. 16, 4 p.m.-5:30 p.m.

  • IH Business Meeting II, Monday, Nov. 17, 7 a.m.-8:30 a.m.

  • IH Section Awards Ceremony, Thirsty Bear Brewing Company, Monday, Nov. 17 6:30 p.m.-9 p.m.

  • IH Business Meeting III, Tuesday, Nov. 18 6:30 p.m.-8 p.m.

  • IH Section Luncheon, Speaker: Tom Novotny, University of California, San Francisco, Globalization and Tobacco Control: Why Borders don’t Matter (Presentation is posted on IH Section Web site: <www.apha-ih.org>), Wednesday, Nov. 19, 12:30-2 p.m.

SUMMARY OF BUSINESS MEETINGS

SUMMARY OF BUSINESS MEETINGS
About a total of 80 members attended the three business meetings. The main points discussed in these meetings include the need for IH Section members to become more involved. Section members have multiple opportunities such as:

  • Section leadership, including Chair-elect, Secretary-elect, and Governing Councilors (4) (nominations due to Lani Marquez <lmarquez@URC-CHS.COM> by Feb. 15).

  • Membership – especially need volunteers to help with recruitment at schools of public health.

  • Awards – the section needs assistance with nominations for Lifetime Achievement, Mid-Career, Distinguished Service and Special Recognition awards. (contact Kate Tulenko, <ktulenko@worldbank.org>).

  • Program – Betsy Bassan is the new Program Coordinator and she seeks section input for help (contact <bbassan@chemonics.net>).

  • Advocacy and Legislation Action Committee – Be active in advocacy for international health (contact Chuck Woolery, <chuck@igc.org>)

  • Public Education Committee – if you are interested in educating Americans about the importance of international health, contact Ed Elmendorf and Ray Martin (contact <aelmendorf@worldbank.org> and <martinrs@aol.com>).

  • Newsletter – Need contributions to newsletter (contact Josefa Ippolito-Shepherd, <ippolitj@paho.org>).

  • Web site – Need Web site coordinator, send content to webmaster Russell Kingston, <russell@russell2112.com>.

  • Student and Young Professionals Committee – need members to participate on committee and help increase student involvement in the Section (contact Melissa Carbine, <mcarbine@u.washington.edu> or Ray Martin, <martinrs@aol.com>).

  • Policy Archiving Project (Review of gaps in APHA policy resolutions) – Julia Walsh & Diana Silimperi need help to review weaknesses and gaps in IH-related resolutions to determine possible new resolutions (contact <jwalsh@psg.ucsf.edu> and <dsilimperie@urc-chs.com>).

  • Section/Affiliate Coordinator(s) – many members should volunteer to be liaisons with other sections and affiliates; perhaps someone could volunteer to help coordinate this effort.

  • Participation in regional international health groups and IH subcommittees:

  • o Seattle – Mary Anne Mercer (<mamercer@u.washington.edu>)
    o San Francisco – Tom Hall (thall@epi.ucsf.edu)
    o Washington, D.C. – Julie Hantman and Curt Swezy (<juliehantman@yahoo.com> and <cswezy@cox.net>)
    o Pharmaceuticals – Maggie Huff-Rousselle (mhuffrousselle@ssds.net)
    o Law and International Health Policy – Michele Forzley (<mforzley@comcast.net>)
    o Health Promotion and Health Educacion – Josefa Ippolito-Shepherd (<ippolitj@paho.org>)

  • On Communications – Most participants were in agreement that the IH Section listserv should be reestablished to ensure better communication throughout the year. It was also agreed that the section would invest section resources, if necessary, to review the broadcast e-mail system to ensure that all IH Section members are receiving these messages



  • If you are interested in participating in any of these activities, please contact Ray Martin or the people mentioned above

NEXT STEPS FOR THE IH SECTION


  • Engage in a strategic planning process for IH Section, including an orientation/strategizing session for section leadership;

  • Improve communications for IH Section through: reestablishing section listserv, ensuring broadcast e-mail system works, consider holding regular conference calls;

  • Provide assistance to help Betsy Bassan plans for the Annual Meetings program;

  • Recruit more volunteers to participate on Section Committees; and

  • Provide feedback to Ray about agendas for each business meeting (it was proposed that one meeting be reserved for section leadership and that all business meetings be scheduled during times that don’t conflict with other activities).


  • For detailed business meeting minutes, prepared by Bryn Sakagawa, IH Section Secretary (<bsakagawa@usaid.gov>) see the IH Section Web site: <www.apha-ih.org/sectionminutes.htm>.
    --Ray Martin, MPH, E-mail: martinrs@aol.com

    THE IH SECTION WEB SITE

    The IH Section maintains a Web site, <www.apha-ih.org>. You will find previous section newsletters and other material on various subjects. The section is seeking more volunteers to work on improving the Web site and enhancing its utility for members and the public by adding new material. If interested, contact Section Chair Ray Martin at <martinrs@aol.com>. The webmaster is Russ Kingston, phone (pager): (940) 381-7740, E-mail: <Russell@russell2112.com>. The section is grateful for his support.

THREE IH SECTION MEMBERS ARE PART OF THE NEW 40-YEAR MEMBERSHIP ELITE GROUP

As of May of this year, a total of 70 APHA members were noted to be members of APHA for the last 40 years. Three from our own Section are:

Theodor Abelin, MD, MPH
H. Lee Binkley, PhD
John M. Karefa-Smart, MPH

IH SECTION ELECTION RESULTS

The IH Section welcomes the following new officers to the section leadership, to assume office at the end of the APHA Annual Meeting in November 2004 in Washington, D.C.:

Samir Banoob, MD, DM, DrPH, PhD, an IH consultant based in South Florida, was elected as Chairperson-elect, to assume the role of Chairperson of the IH Section beginning in 2006, following the term of office of Joseph Valadez. The former Director of IH Programs for the University of South Florida, Banoob has served in some 74 countries as a consultant/advisor to WHO, World Bank, UNICEF, IDB, and USAID. He served previously as IH Secretary and Section Chair from 1988-94 and has served as a member of the APHA Governing Council, Action Board, Intersectional Council, and International Human Rights Committee.

Elvira Beracochea, MD, MPH, Deputy Director of the Advance Africa Project at Management Sciences for Health in Fairfax, Va., was elected to the office of Secretary-elect. Beracochea will assume the job of Section Secretary beginning in 2006, following the term of office of Irshad Shaikh.

Bryn Sakagawa, MPH, and Sharon McDonnell, BSN, MD MPH, were elected to three-year terms as IH Section Councilors. Sakagawa is completing her term as IH Section Secretary and works as a Health Systems Technical Advisor with the U.S. Agency for International Development in Washington, D.C. McDonnell is a medical epidemiologist with the Vermont Department of Health and serves on the faculty of the Dartmouth University School of Medicine Family and Community Medicine Department.

Elected to two-year terms as IH Governing Councilors were: Della Dash, MPH, BSN; Adnan Hyder, MD, MPH, PhD; Beth Rivin, MD, MPH; and Dory Storms, ScD, MPH. They will begin voting on behalf of the IH Section at the APHA Governing Council meetings in 2005. Dash is an independent international public health consultant based in El Cerrito, Calif. She proposed and led the IH Section’s strategic planning process. An incumbent IH Governing Councilor, Hyder is Assistant Professor with the Health Systems Program and Director of the DrPH Program in IH at the Johns Hopkins University Bloomberg School of Public Health in Baltimore, Md. Dr. Rivin is a Professor of Law at the University of Washington and Research Professor of Public Health. She also serves as the Director of Health Programs for the U.S.-based NGO, Uplift International. Storms spends half her time directing evaluation and monitoring activities for the Albert Schweitzer Hospital in Haiti and the rest based in Baltimore, Md.

The IH Section thanks all who ran for positions in this year's elections and for their interest in and commitment to the section. We are dependent on everyone's continuing input and enthusiasm to ensure the progress and growth of the section. A special thanks to Lani Marquez (<lmarquez@urc-chs.com>), chair of the Nominating Committee, for all her effort to identify candidates and coordinate the process.

It's not too early to be thinking of or suggesting yourselves or others for Section Council or Governing Council positions in the 2005 elections.

IH SECTION LEADERSHIP - SECTION OFFICERS, COUNCILORS AND COMMITTEES AS OF SEPTEMBER 2004

Section Officers:
Chair: Ray Martin, MPH, (2004), martinrs@aol.com
Chair-Elect: Joe Valadez, PhD, MPH, ScD, (2004), jvaladez@worldbank.org
Secretary: Bryn Sakagawa, MPH, (2004) bsakagawa@usaid.gov
Secretary-Elect: Irshad Shaikh, MD, MPH, PhD, (2006), shaikhirshad@yahoo.com
Immediate Past Chair: Ronald Waldman, MD, MPH, (2004), rw178@columbia.edu

New Chair-Elect
Samir N. Banoob, MD, DM, DrPH, PhD (Chair 2006-2008), sbanoob@aol.com

New Secretary-Elect
Elvira Beracochea, MD, MPH (Secretary 2006-2008), elvirabala@cox.net

Section Councilors:
Maggie Huff-Rousselle, MA, MBA, PhD (2005), mhuffrousselle@ssds.net
David Oot, MPH (2005), doot@dc.savechildren.org
Katherine Tulenko, MD, MPH (2005), ktulenko@yahoo.com
Donna Barry, MPH, MIA, (2006), dbarry@pih.org
Juan Antonio Casas, MD, MSM, (2006), casasja@who-eu.be
vacancy

New Section Councilors
Sharon M McDonnell, BSN MD MPH (2004-2007), smcdonnell@cdc.gov (Sharon McDonnell)
Bryn Sakagawa, MPH (2004-2007), bsakagawa@usaid.gov

Governing Councilors:
Miriam H. Labbok, MD, MPH (2004), mlabbok@unicef.org
Julia A. Walsh, MD, DTPH (2004), jwalsh@socrates.berkeley.edu
Adnan Hyder, MD, MPH, PhD (2004), ahyder@jhsph.edu
Diana Silimperi, MD (2004), dsilimperi@urc-chs.com
Eckhard Kleinau, DrPH, MD (2005), KleinauEF@EHProject.org
Mary Anne Mercer, DrPH (2005), mamercer@u.washington.edu
Carol Dabbs, MPH, (2005), cdabbs@usaid.gov

New & re-elected Governing Councilors
Adnan Hyder, MD, MPH, PhD (2004-2006), ahyder@jhsph.edu
Beth Rivin, MD, MPH (2004-2006), brivin@u.washington.edu
Della J. Dash, MPH, BSN (2004-2006), delladash@worldnet.att.net
Dory Storms, ScD, MPH (2004-2006), dstorms@jhsph.edu

APHA Staff Liaison to the IH Section - Allen K. Jones, PhD, allen.jones@apha.org
Action Board Rep. - Marty Makinen, PhD, Marty_Makinen@abtassoc.com
Science Board – Adnan Hyder, MD, MPH, PhD, ahyder@jhsph.edu
Membership Committee Chair* - Vacant
Program Com. Chair (2004-2005)* - Betsy Bassan, MA, bbassan@chemonics.net
Awards Committee Chair* - Kate Tulenko, MD, MPH, ktulenko@yahoo.com
International Human Rights Com. - Thomas Novotny, MD MPH (2004), tnovot@bellatlantic.net and Samir Banoob, MD PhD, sbanoob@aol.com
Publications Board - Omar Khan, MD, okhan@jhsph.edu
Nominations Com. Chair* - Lani Marquez, MHS, lmarquez@urc-chs.com
Continuing Education Coordinator* - Olive Roen, DrPH, roenuk@yahoo.com
Advocacy Committee Chair* - Chuck Woolery, chuck@igc.org
Student & Young Prof. chair* - Melissa Carbine, mcarbine@u.washington.edu
Newsletter Editor* - Josefa Ippolito-Shepherd, PhD, ippolitj@paho.org
Section Strategic Planning Coordinators* – Della Dash, MPH, BSN, delladash@worldnet.att.net and Amy Hagopian, MHA, PhD, hagopian@u.washington.edu
Web Site Manager* - Vacant
Web Site Designer* - Russell Kingston, MPH, Russell@russell2112.com
_______________________________________
* Appointed by the Chair