American Public Health Association
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International Health
Section Newsletter
Spring 2005


These last several months since the APHA Annual Meeting have been very active. Much of the work has been led by the Section membership. It is gratifying to see the deep commitment of the leadership and other members who are engaged in Section activities or have asked to become engaged. I would like to share with you three categories of activities: APHA-wide work; advancing resolutions; and leadership.

This past November, APHA Executive Director Georges Benjamin asked the IH Section to coordinate Association-wide on the topic of health and global trade. In January the Section recommended that APHA launch a project to: (a) begin to educate the association membership about issues concerning trade and health; and (b) engage in dialogue the U.S. government and other stakeholders to increase the priority given to public health in trade policy and agreements.

The IH Section recommended that this agenda be pursued by: (1) devoting one of the 2005 Annual Meeting Special Sessions to the topic; (2) encouraging Sections to organize scientific sessions on trade and health within their programs; (3) asking the American Journal of Public Health to devote at least part of an issue to evidence about trade and health; (4) initiating an ongoing dialogue with the office of the U.S. Trade Representative (USTR); (5) considering the establishment of a task force or some mechanism within the Association to support ongoing education of the APHA membership on trade and health issues; and (6) seeking support to engage an expert for a year or two to help APHA become a significant player in public health and trade issues. The Section, under the coordination of Marty Makinen, will continue to support APHA in this area.

The Section has also begun to develop several resolutions, which is a key APHA function. The Section has also followed up on its strategic plan commitment to develop resolutions that advance our international health agenda. The "health systems task force," formed at the November meeting, drafted two resolutions, reaching out to experts in the field as they did so. The first resolution proposes a simple code of ethics for U.S. health care employers with regard to employing physicians, nurses and other health professionals trained abroad. A second resolution on structural adjustment policies calls for international lenders to recognize the importance of increased expenditures for health in poor countries. Discussion has also begun about a resolution on immigrant occupational health issues that might be developed jointly with the Occupational Health and Safety Section. Section member Amy Hagopian partnered with Eric Friedman of Physicians for Human Rights and had further assistance from Rick Rowden at Action Aid USA. Section members Karen Solheim and Mary Anne Mercer also provided assistance with the resolutions, along with several others who provided very helpful comments and critiques.

With respect to the Section leadership, we once again acknowledge the fine efforts of Betsy Bassan (Chemonics), who chairs the Program Committee. While it is too early to report on content, it appears there are exciting topics that will be included in this year’s IH Section organized events for the APHA Annual Meeting. On another note, the Section leadership has begun to have monthly telephone conference calls. They are normally on the last Wednesday of each month. If you are interested in participating in these telephone calls please contact Donna Barry <>, who is managing the conference calls for the Section. By participating in the phone calls you can also be called upon to serve in a Section subcommittee. Please do participate. This is a good way to become engaged.

The Section is in the process of redesigning its Web site. It is doing so not as a stand-alone effort but to better convey the global health orientation that APHA takes. The Section’s Web site is being developed to better serve the needs of students and young professionals. We expect that it will more easily direct them to public health tools, international and nongovernmental organizations, and job opportunities. Finally, the Section is working closely with the Association advocating for a policy of one year free APHA membership for new students. Each of these efforts we hope will make the IH Section a natural home for young professionals.

Our Section members travel a great deal. Yet despite the travel schedules, the membership is active in IH affairs. This is the way it should be. I invite all Section members to become engaged in Section matters and to play an active role in shaping the Section. I look forward to working with you all in the coming year. Should you wish to become more involved in the Section, please contact me. We have a number of committees that need to be filled as yet. For example, the chair of the Resolutions Committee should be appointed within a month. Please let me know if you are interested in becoming active in the Section or in representing the IH Section on APHA committees.

In conclusion, let me remind everyone that we will be holding our mid-year meeting – as usual – to coincide with the Global Health Council meeting. The time (in the evening) and the meeting location will be communicated to you closer to the date. I look forward to seeing you all.


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 of the Newsletter.

I take this opportunity to thank all members who provided material for this issue of the Newsletter and to Ray Martin and Joe Valadez who kindly provided comments to the first versions of this Newsletter, as well as for their help to secure submissions for this issue of the Newsletter.

The IH Section Newsletter is published twice a year. The deadline for the fall issue is July 15 and for the spring issue is April 15. Submissions should not exceed 400 words, and should be presented as Font Times Roman 12.


I sometimes wonder why over 1,500 people pay good money to become members of APHA and join the International Health Section. What are the motivations? Is $160 annually ($50 for students and $65 for retired workers) a good financial investment? Does APHA-IH membership provide new information and networking relationships that lead to more rapid professional career advancement? Is it satisfying socially to belong to a club of one’s professional peers? Can volunteer participation in a professional association, APHA in our case, be an avenue of service to improve the public’s health?

My personal answer to all the above questions is a resounding “Yes.”

My next question, then, is how does one obtain the most benefit out of membership in APHA-IH? This question relates to the challenge of enticing IH members to participate actively in IH Section activities. With a section budget of under $5,000, it is obvious that money, the usual motivating factor according to economists, is not feasible. Maybe the volunteer aspect of participation in Section activities is the primary explanation of why so few IH members benefit from more than the APHA publications and its Annual Meeting.

Of course, most IH members, except those who are job hunting, are so busy in their regular jobs. If or when they get caught up, they will give some time to volunteering for some IH task that interests them. But they never get caught up. International health jobs can be all-consuming. This dilemma is understandable, and I’ll admit to having been a victim of it myself at times.

But I think slavery to one’s in-box represents an unfortunately narrow and short-sighted understanding of how one can best serve the public’s health, and for that matter, further one’s professional career.

Except perhaps for some laboratory bench jobs, being good in public health requires a broad understanding and experience in a lot of areas. Furthermore, knowing how to access the knowledge and experience and insights of many other professionals is key to being effective and doing your own job well. Enlarging your connections beyond the confines of just those working around you can make the difference between a run-of-the-mill international health professional and an outstanding one. Networking is crucial.

Of course, if you get involved actively in one of the IH Section Working Groups, one of the scores of “to do” items in your in-box may have to take a hit. You have to make judgments. I know, however, looking back over my 40 years in international development, that too often, I was so preoccupied by the pressure of the immediate and the short-term imperatives that I missed out on the larger picture and the greater contribution I could have made by enlarging my horizons.

So if you think that I am calling you to break away from the bondage of your in-box and become more involved in IH Section activities, you guessed right.


You are warmly invited to attend the mid-year meeting of the International Health Section of APHA, traditionally held at the time of the Global Health Council conference. Feel free to invite non-members interested in IH issues.

Time: Tuesday, May 31, 2005 - dinner at 7:00 p.m., program at 8:00 p.m. If you cannot come to the dinner, come for the program.

Venue: Trattoria Italiana restaurant, 2651 Connecticut Ave., NW, in Washington, a five-minute walk from the Omni Shoreham Hotel, the Global Health Council conference site. Tel. (202) 332-2207. It is across Connecticut Avenue from the Woodley Park-Zoo Metro station on the red line.

We will also be discussing the future of the Section, the Global Trade and Public Health initiative, other working groups, resolutions, student participation, and other topics.

For more information, or to send suggestions for the mid-year meeting, contact Section Chair Joe Valadez at (202) 473-7847 or e-mail <>.


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


Since January 2005 the IH Section leadership, which includes all elected positions and active volunteers, have been having monthly conference calls to discuss time-sensitive issues in the Section. A few key points from each call are listed below. To be added to the conference call list, please contact Donna Barry at <>.

Update on meeting with Georges C. Benjamin
Joe Valedez, Marty Makinen and Allen Jones recently met with APHA Executive Director Georges C. Benjamin. Among the issues raised were the following:
--IH Section Position paper: Benjamin commented on a position memo prepared by Marty, Allen, Joe and Ray on global trade and public health, objectively outlining the issues involved from the perspective of various stakeholders and the strengths of the International Health section on taking the leadership role the issue within APHA.
--APHA 2005 Special Session on Health and Global Trade: Benjamin expressed the APHA Executive Board’s interest in dedicating a special session to the topic.
--IH Image in APHA: It was agreed that the IH Section would have another meeting with the Executive to discuss the IH image in APHA, particularly as to how to organize other events or activities in which international health issues could have more exposure.
--Section membership and volunteer management: Bryn briefly mentioned the need to get more members involved in the management of volunteers, suggesting that a training activity for Section leaders in volunteer recruitment and management would be useful. No specific action was decided.
--Student coordinator : There is a need to increase information and communication with students on whom to contact and what projects they can get involved in. New means of communication other than broadcast e-mails are needed. The job of student coordinator is potentially very demanding and may require more than one person. Involving more students in the IH Section and the mentoring project are the two priorities for this year in the IH section. Allen informed on student recruitment effort with other organizations (Global Health Council). APHA is looking at ways of getting more student members through a pilot approach joint membership structure (free in APHA for one year for graduate level). The IH Section would like to use this resource to challenge GHC to do the same, in order to bring together the two organizations in this area.

--Josefa solicited articles for the Newsletter.
--Joe raised the issue of working more closely with members from other North, Central and South American public health colleagues.
--Mary Anne Mercer is planning to contact the HIV/AIDS Section regarding a joint presentation/meeting during the meeting this year.
--Amy Hagopian, with some help from other section membership, took the lead in submitting two resolutions to APHA.

--Samir is participating in Inter-sectional Conference Calls. Please submit issues to him for discussion (<>).
--We need to plan for our mid-year meeting in June very soon, and it will be a major topic during the next call.
--We need to solicit members to staff the IH Section booths at the GHC and APHA meetings in advance.
--We are still recruiting IH Section members to liase with other sections, caucuses and SPIGS.
--Donna Barry, E-mail <>.


The Pan American Health Organization has set up a special Web site to highlight and disseminate materials for World Health Day 2005, including posters, brochures, and logos. Please visit the Web Site and share the links with colleagues and any one interested in World Health Day activities.

The Web sites are: <> and


The Fulbright Scholar Program for Faculty and Professionals is offering research, lecturing, and lecturing-research awards in public health for academic year 2006-2007. Awards are available in Canada, China, Hungary, India, and Ukraine. Public health is also among the requested specializations for awards in the social sciences or sciences, public administration, and mountain studies in other countries, and in the multi-country regional research programs in Africa and the Middle East/South Asia. These awards offer unique opportunities to assist in the development of curricula and new undergraduate and graduate programs, to provide faculty and in-service training, and to engage in collaborative research. Opportunities exist in a broad range of specializations, including health policy, AIDS, addiction, environmental health, health-care systems, and medical sociology. There are also a number of awards in many countries that allow applicants to propose their own projects. The application deadline is Aug. 1, 2005. For general information about application requirements and staff contacts, visit the CIES Web site at <>. Application materials can be downloaded from the Web site or requested via e-mail to <>.


Each day, 30,000 children under-five die. Nearly 99 percent of these deaths occur in the developing world, and most are preventable. Diseases such as diarrhea, measles, pneumonia, malaria and neonatal illnesses – while virtually unknown as causes of death in developed countries – are still the biggest killers, with malnutrition contributing to over half of these deaths. In the 2003 series on child health in The Lancet, child health experts estimated that more than 6 million of the 10 million children under-five who die each year could be saved with basic, cost-effective measures that are already available.

Regrettably, many in the developing world, and especially the poor, still lack access to these basic services, which result in this tragic and needless loss of life. Understanding the need for more resources in child health, the U.S. Coalition and its partners aim to ignite a second "Child Survival Revolution" in 2005. The time has come for the international health community to refocus on the basics and recommit ourselves to the children of the world.

The preventable deaths of millions of children, though largely invisible, is not "new" news. Twenty years ago, the United States and its global partners launched the first "Child Survival Revolution" – a worldwide campaign dedicated to saving the lives of children through simple, cost-effective tools such as vaccines, oral rehydration therapy, antibiotics, and improved breastfeeding practices. This revolution led to more than a 50 percent reduction in under-five mortality since 1960.

Despite this impressive achievement, the momentum generated by the first "child survival revolution" slowed considerably during the 1990s. Competing demands for human and financial resources in the developing world, shifting donor priorities, flagging leadership and commitment to child health, and the impact of HIV/AIDS, have all limited our ability to expand coverage of these proven interventions.

While documenting progress is some regions and countries, the End-Decade Report prepared by UNICEF for the UN Special Session on Children in May 2002 produced some startling findings that resulted in a call for renewed focus and attention on this critical "unfinished agenda." For example, the report found that:

  • Only five out of 55 countries with highest under-five mortality (100 or more) achieved the goal of one-third reduction in child deaths.

  • While some improvements in facility-based treatment of pneumonia and malaria were noted, lack of access to low-cost, effective drugs still contribute to 3 million deaths each year.

  • While exclusive breastfeeding rates (through four months) improved, only 50 percent of mothers practice exclusive breastfeeding.

  • Immunization coverage remained stagnant at 75 percent, and 30 million infants are not reached with routine immunization each year.

  • Deaths occur during the first 28 days of life represent 40 percent of all under-five deaths, yet few programs focus on this group.

These findings, as well as the growing concern about this "unfinished" and neglected agenda for children, resulted in the creation of the U.S. Coalition for Child Survival. The Coalition consists of nearly 180 members and includes corporations, universities, private voluntary organizations, non governmental development assistance organizations, faith-based organizations, foundations and individuals, which are all working together to:

  • Improve understanding and awareness of unmet health needs, effective interventions and resources needed to improve child health and survival.

  • Increase level of U.S. public, private, multi-lateral funding and partnerships for child and maternal health and survival.

  • Advocate and mobilize commitment and action to achieve child survival targets set forth set forth in international agreements including the Millennium Development Goals and the United Nations Special Session on Children.

  • Broaden the membership of the Coalition and establish partnerships with other organizations to strengthen our overall impact and ability to achieve our objectives.

  • The Coalition believes that increased U.S. leadership and funding is absolutely essential to increasing the quality, scale, and impact of child and maternal health programs. Despite the growing needs – and potential impact – of highly cost-effective interventions, U.S. government funding for child survival and maternal health remained virtually stagnant between 1997 and 2003, while the number of women between the ages of 15-24 and the number of children under five increased by 46 million.

    During the coming year, the U.S. Coalition for Child Survival will continue efforts to educate and advocate for increased attention and resources for child and maternal health in developing countries. The International Health Section of APHA is now officially a member of the U.S. Coalition. As a member of the Coalition, you will have access to up-to-date information about child and maternal health, and through our Web site will be linked to other organizations and individuals who share your interest in this issue. We urge you to join us in making this second "Child Survival Revolution" a reality in 2005 by:

    • Sharing your experiences in international public health through the US Coalition for Child Survival’s Speakers Bureau:
    • The U.S. Coalition is recruiting experienced international child health experts to offer expert testimony to congressional committees and policy groups, or introduce new audiences, such as student or community groups, to the importance of child survival programs. To join, please visit <> and fill out the forms under “How do I join the Speakers Bureau.”

    • Writing an op-ed for your local newspaper:
    • Use such events as World Health Day “Healthy Mothers, Healthy Children” (April 7), or World Breastfeeding Week (August 1-7, 2005) as opportunities to share your child health stories from the field in your local newspaper.

    • Using the Coalition’s advocacy packet to educate key policy makers and Members of Congress on the need to make child survival and maternal health an urgent global health priority:
    • Schedule a meeting with key U.S. policymakers and Members of Congress inform them of how child and maternal health programs are extremely under-funded. For reference materials, e-mail <>.

    • Registering your name on our Web site and receive additional information about how to participate in the “Revolution”:
    • The Coalition is currently trying to build our presence “beyond the Beltway,” so that we can organize events in different regions across the country. By registering your name on our Web site, you will be alerted to other opportunities in your region in which you can participate. Please visit <>.

      The good news is that we know what to do. The tragedy is that we have not done more to save these young lives. However, with your help, we can reverse this trend. Become active in the U.S. Coalition for Child Survival today!

      For more information on the U.S. Coalition for Child Survival, visit <>.

      --David Oot, Chairman, US Coalition for Child Survival and Director of Health, Save the Children, and APHA IH Section Councilor


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 <>, click on "members only" in upper right corner of homepage 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.


The Community Group has made modest progress in moving its workplan forward. The U.S. Coalition for Child Survival has accepted the International Health Section of APHA as a member of its steering committee, and Henry Perry has been nominated by Joe Valadez to represent the Section. A review of APHA policies is progressing. A final report is being prepared


The Working Group on CBPHC will hold its seventh annual pre-APHA workshop in New Orleans on Saturday, Nov. 5. Stan Foster of Emory University and Warren and Gretchen Berggren, international public health consultants, will lead the morning and afternoon sessions, respectively. We are in discussions now with the World Health Organization regarding its collaboration with our Working Group on a review of the effectiveness of CBPHC. Notes of our workshops, CBPHC training materials and other resources are now available on the IH Section Web site, <>.


The results of the first regional survey of Health-Promoting Schools in Latin American countries is now available and accessible electronically at:


Join U.S. Surgeon General Richard Carmona and an array of distinguished international public health leaders for the 2005 Global Health Summit, which will be held Sunday, June 5 at the Wyndham Franklin Plaza Hotel in Philadelphia. The Summit will include presentations by a number of prominent global health leaders, including APHA International Health Director Allen Jones.

The Summit will feature the unveiling of the surgeon general's Call to Action--a preface to his upcoming Report on Global Health. The primary purpose of the Summit is to seek individual and organizational input that will assist in the development of the Report on Global Health and also to seek advice on needed collaborative action by national and international stakeholders in advancing the health of the citizens of the world community.

For more information about the Summit or to register, visit <> or call toll-free (866) 544-9677.

The conference is sponsored by the Public Health Service Commissioned Officers Foundation for the Advancement of Public Health in association with the U.S. Department of Health and Human Services and other collaborating national and international health organizations.


Here’s your opportunity to get involved! The IH Section Program Planning Committee is pleased to report that the APHA 133rd Annual Meeting and Exposition, to be held Nov. 5-9, 2005 in New Orleans promises to be an evident success! Boasting quality abstracts for presentation and active participation by many of you, the IH Section Program is shaping up to be a terrific knowledge-sharing opportunity for meeting attendees. However, organizing an engaging, state-of-the-art program is not the work of a few. We could use your help, and offer the following opportunities for you to get involved.

First, the IH Section received an amazing response to the call for abstracts. With the conference theme "Evidence-based Policy and Practice," abstract submitters were given a broad canvas from which to draw relevant technical expertise and experiences. Indeed, we received more than 360 abstracts with topics spanning the full depth and breadth of international health topics of interest. And each abstract receives three peer reviews. If you would like a sneak peak at what the program will feature, here’s your opportunity to serve next year as a peer reviewer.

Second, like last year, the IH Section will host 40 oral panel sessions, seven poster sessions, and a student oral panel session. In sum, the IH Section will showcase approximately 250 presentations by health care practitioners, academics and students from around the world. The IH Program Planning Committee works to ensure that the program highlights presentations relevant to the meeting theme as well as captures a range of hot topics of interest to IH Section membership. If you would like to help organize a stellar program, here’s your opportunity to serve on the Program Planning Committee.

Third, given that we will host 40 oral panel sessions, we are recruiting for session moderators. Our presentation speakers welcome moderators in each session to provide speaker introductions and guide the speakers and attendees through the process. If you would like to host a session on a topic and share the spotlight with your peers, here’s your opportunity to serve as a moderator.

Look for more details separately about the well-received International Health Film Festival as well as the featured speaker for the IH Section Annual Luncheon.

To find out how to get involved or for more information, please contact IH Section Program Planner Betsy Bassan at <>. Your help is much appreciated.

See you in New Orleans!


Each year, IH Section members have the opportunity to choose fellow Section members to serve in IH leadership positions, helping to represent IH Section interests on the APHA-wide Governing Council, develop policy resolutions, and coordinate efforts with other APHA sections and interest groups. This year, two positions are open on the IH Section Council, and three positions are open for the IH Section Governing Councilors.

Section Councilors serve a three-year term, supporting the internal operations of the IH Section and providing direction and leadership for its initiatives. They help set goals and priorities for the section and assist with the development of the Annual Meeting program.

Governing Councilors serve a two-year term and are elected by the IH Section to represent our interests at the level of APHA governance.

Governing Councilors vote on behalf of the Section on policy resolutions and other issues that come before the Governing Council during the APHA Annual Meeting.

We are pleased to announce this year's candidates for office in the IH Section:

Candidates for IH Section Councilor: Carol J. Dabbs, Robin T. Kelley, Theo Lippeveld, and Sarah Stone-Francisco.

Candidates for IH Section Governing Councilor: Malcolm Bryant, Amy Hagopian, Maggie Huff-Rousselle, and Ramesh S. Krishnamurthy.

Instructions for Internet voting will be mailed to section members in June; ballots must be cast by mid July to be counted. Election results will be announced in August. Newly elected officers assume their duties at the end of the Annual Meeting in the year in which they were elected. Any section members who would be interested in running for office in 2006 should contact me at <>.

Lani Marquez, Chair, IH Section Nominations Committee


Call for Awards Nominations

Each year, the IH Section recognizes outstanding contributions of APHA members through its Lifetime Achievement Award for Excellence in International Health and Mid-Career Award. The Section also occasionally recognizes significant contributions through the Award for Outstanding Service to the International Health Section and the Special Award of Recognition. The Section is now seeking nominations for deserving candidates for these awards, to be presented at the IH Section Award Dinner at the 2005 APHA Annual Meeting in New Orleans. We already have a number of excellent nominations for the Lifetime Achievement Award, so we are particularly interested in receiving nominations for the Mid-Career Award. If you have any suggestions or know someone who you would like to nominate, please let us know. We would also greatly appreciate any advice on restaurants near the New Orleans Convention Center where we can hold the Awards Ceremony and Social Hour.

The Mid-Career Award is intended to recognize outstanding mid-career professionals in the Section and was awarded to Kate Macintyre in 2004. The evaluation criteria for the Mid-Career Award include:
  • The individual must have committed herself/himself to the promotion and development of primary health care in a cross-cultural setting over a period of 5-15 years (Primary health care is meant here to encompass a broad array of public health issues, including HIV/AIDS prevention and environmental health);

  • The individual must have demonstrated creativity in expanding the concepts pertinent to the practice of public health with an international focus; and

  • Membership in APHA (preferably primary affiliation with the International Health Section), a State affiliate, or a national public health association that is a member of the World Federation of Public Health Associations;

  • No self-nominations allowed.

Prior winners of the Mid-Career Award include Sarah Shannon, Adnan Hyder, Stephen Gloyd, Luis Tam, Marty Makinen, Colleen Conroy, Mary Ann Mercer, Irwin Shorr, Walter K. Patrick, and Dory Storms.

The Lifetime Achievement Award, which was presented in 2004 to William Foege, was created by the IH Section to honor the visionaries and leaders in APHA who have shaped the direction of international health. The evaluation criteria for the Lifetime Achievement Award include:

  • Quality/creativity/innovativeness of the individual’s contributions to the field of International Health;

  • The individual’s contributions to the development of APHA or the International Health Section;

  • Application of the individual’s work to service delivery (as opposed to primarily theoretical value);

  • The individual’s contributions as a leader/visionary/role model;

  • The volunteerism/sacrifice associated with the individual’s contributions; and

  • Membership in APHA (preferably with primary affiliation with the International Health Section), a State affiliate, or a national public health association that is a member of the World Federation of Public Health Associations;

  • No self-nominations are allowed.

Prior winners of the IH Lifetime Achievement Award include Clarence Pearson, Stanley Foster, Joe Wray, Carl Taylor, Milton Roemer, Warren and Gretchen Berggren, John Wyon, Derrick Jelliffe, Tim Baker, Cicely Williams, Bud Prince, Veronica Elliott, Moye Freymann, Jeanne Newman, and Jack Bryant.

The Outstanding Service Award was created to recognize the efforts of those whose service to the IH Section has gone above and beyond the call of duty, such as Marty Makinen for his dedicated service as the IH Program Committee Chair.
In addition to these three awards for Section members, the IH Section has also bestowed a Special Award of Recognition to notable figures and organizations whose contributions to international health merit attention. In November 2002, the IH Section presented such an award to Dikembe Mutombo of the New Jersey Nets for his support of health issues in the Democratic Republic of the Congo. In 2001, the Section presented the Special Award of Recognition to the Pan American Health Organization, in honor of the Centennial Anniversary of its founding. The Outstanding Service Award and the Special Award of Recognition are occasional awards that are not usually given every year and have no set criteria.
Award nominations should include a letter explaining why the individual nominated should receive the award and the curriculum vitae of the nominee. Nominations should be submitted to the Awards Committee Chair Kate Tulenko, at, by May 2, 2005.

-Kate Tulenko, MD, MPH, Chair, Awards Committee, E-Mail: <>


Abt Associates Inc. International Health Area (IHA) announced the promotions of Vice President Nancy Pielemeier and VP Marty Makinen. In her new role as VP and IHA Practice Manager, Pielemeier will focus on strategic planning, oversee several projects, and coordinate programs within Abt such as HIV/AIDS. Formerly Project Director of the USAID-funded Partners for Health Reformplus (PHRplus) Project, she is succeeded by VP Marty Makinen, who served as Financing and Health Systems Reform adviser to the project. Makinen has been with Abt for 20 years and helped start Abt’s international health practice. Announcing the promotions, IHA Managing VP George Laudato said that the appointments allow Abt to capitalize on both officers’ broad experience to manage not just projects but broad partnership programs that include multiple donors and health research and services organizations.


At our strategic planning retreat last June in Washington, D.C., IH Section leaders resolved to submit two resolutions this year on our important IH Section issues for APHA consideration and adoption. Subsequently, when Section members met in November at the Annual Meeting, we identified a list of issues that might be advanced with some APHA attention and advocacy. In January, we narrowed the list to two items: health worker migration from low-income to rich countries, and spending limits imposed by lenders on the health sectors of highly indebted poor countries.

IH Section member Amy Hagopian partnered with Eric Friedman of Physicians for Human Rights on both these issues, and had further assistance from Rick Rowden at Action Aid USA. Section members Karen Solheim and Mary Anne Mercer also provided assistance with the resolutions, along with several others who provided very helpful comments and critiques.

The migration resolution acknowledges that 180,000 (nearly 25 percent) of American’s physicians are trained abroad, 64.4 percent of them in low and lower-middle income nations, and that 90,000 nurses (4 percent of our overall nurse workforce, but 14 percent of recently licensed nurses) are trained abroad. Further, the World Health Assembly (May, 2004; 57.19) has urged member states to “develop strategies to mitigate the adverse effects of migration of health personnel and minimize its negative impact on health systems."

The APHA resolution proposes a very simple code of ethics for U.S. health care employers, based on the U.K. Department of Health’s code. It identifies a list of low-income countries from which it is unethical to actively recruit workers, again based on the U.K. list.

Lincoln Chen, co-author of the recent Joint Learning Initiative (JLI) Human Resources for Health: Overcoming the Crisis report, arguably the most important recent piece of research on the topic of global health work force issues, was impressed with our Section’s effort on the migration resolution. He wrote to us, noting: “This is an interesting and important APHA initiative on medical migration in the US; this belongs as part of the activity report back to WHA2005 (World Health Assembly), and this belongs as illustrative of global initiative/platform solving interdependence issues in human resources for health.” See the full JLI report Lincoln Chen, et al at: <> and in The Lancet 2004, 364:9449.

The second resolution, Expenditure Ceilings and the Millennium Development Goals, acknowledges that the levels of increased public spending required for the additional teachers, doctors, nurses and health workers needed to meet the Millennium Development Goals (MDG) by 2015 will not be possible under the current International Monetary Fund (IMF) policies for highly indebted poor countries, and urges the World Bank, IMF and U.S. government to support only those macroeconomic policies and lending conditions that permit and facilitate the significantly increased spending required in poor country health and development sectors to achieve the MDGs. The full text of both resolutions are posted in the APHA Web site:
Ethical Recruitment: <>.
Millennium Development Goals: <>.


The IH Section Working Group on Pharmaceuticals as a Global Issue met for the first time in an evening session during the 2004 APHA Annual Meeting. In addition to those interested in pharmaceuticals, others interested in trade and health attended the meeting and 30 people, some from other sections, signed up as members of the working group. The cross-fertilization of interests will hopefully bring more breadth and vigor to future exchanges. The mission statement for the group, discussed and modified after the first meeting is: "Ensuring Equitable Access to Appropriate and Assured Quality Pharmaceuticals."

At the initial meeting members agreed that having more presentations and panels at the next APHA meeting was its first priority, in order to put a spotlight on an important topic that has received little attention at APHA annual meetings. Since that meeting, there has been ongoing exchange about specific issues, and six abstracts on pharmaceuticals were prepared by group members, with four of them proposed as a panel presentation.

An e-mail list of 30 members, with a group monitor, has been established. The group is eager to find additional members who would like to receive and send out information about pharmaceuticals as a global issue. (A Yahoo Group was established, but e-mail is considered more effective, so the Yahoo Group has been abandoned.) Please contact <> if you would like to join the group. Passive members are quite welcome, and active members will be cheered on.


Injury is a major cause of child and adolescent death and disability throughout the world. International experience has shown that injuries are not accidents: injuries and deaths can be prevented, often by simple, available measures. Globally, injuries (intentional and unintentional) are among the 10 leading causes of death and disease burden in the 0-4, 5-14, and 15-29 year age groups. Despite the magnitude of this burden, it is surprising to note the relative lack of global attention to childhood injuries in terms of both public policies and resource investments.

Despite progress in other areas of child health, injuries are a persisting condition in children all over the world. Experts in the field of pediatrics, child health, and adolescent care need to become strong advocates for addressing injuries globally. The International Society for Child and Adolescent Injury Prevention (ISCAIP) is one association created a decade ago by motivated professionals to address this important issue. ISCAIP has a dedicated membership interested in addressing childhood injuries through research, policy development, and implementation of programs. With over 10 years of experience, ISCAIP intends to promote evidence based actions for the reduction of childhood injuries around the world.

With this background, ISCAIP’s goal is to promote a reduction in the global burden of injuries to children and adolescents through international collaboration. The specific objectives of ISCAIP are to:

  • Provide a multidisciplinary forum for global dialogue.

  • Assist in providing advocacy at national and international levels.

  • Foster national and international injury prevention initiatives.

  • Stimulate the translation of research findings into programs and policies.

  • Facilitate collaborative and interdisciplinary international research.

On an international level, the Society promotes the exchange of ideas, science and experience among members to facilitate international collaborations, activities, and seminars on research, programming and policy.

Membership in ISCAIP provides access to:

  • An informative Web site, <>.

  • A database of international child and adolescent injury prevention experts.

  • Access to international child and adolescent safety community.

  • An Internet discussion group that promotes dialogue around pressing issues regarding injury (ISCAIP/yahoo groups).

  • A buddy system: Experienced injury prevention professionals linked with those new to the field.

  • Regional and international meetings with reduced registration for ISCAIP-organized events.

  • Notifications of grants and funding opportunities.

  • Discount for online or print subscription to Injury Prevention.

A bi-monthly, peer-reviewed publication, Injury Prevention, began as the official journal of the Society. In 2001, the Journal expanded its scope to address injuries in all age groups with a focus on pediatric issues. Published by the British Medical Journal Publishing Group, the journal features original papers on the prevention of intentional and unintentional injury, reports describing local or national control programs, review articles, commentaries, and news items.

A Board, comprising the president, secretary, and members from the following regions – Africa, Americas, Asia, Australasia, and Europe, governs ISCAIP. The editor of the journal Injury Prevention is an ex-officio member of the Executive Board. In addition, multiple committees allow for the active involvement of all interested members.

Membership in the Society is open to any person with an interest or involvement in the prevention or treatment of injuries to children and adolescents. Injury prevention is a multidisciplinary endeavor and the ISCAIP membership reflects a broad range of interests and expertise. Members include health practitioners, pediatricians, researchers, educators, engineers, architects, legislators, public safety professionals, media, students and representatives from the private sector or government institutions. The Society is equally interested in having participation from both the developed and the developing world.

For membership information please visit the Web site at <> or contact Parvathy Menon, <>.


Michael Linnan, a former Centers for Disease Control and Prevention epidemiologist and current medical director of TASC, gave a very forward-looking presentation at the International Health luncheon at APHA last November on the importance of the epidemic of child injury in economically challenged countries of the world. Presenting data from six Southeast Asian countries from the Philippines all the way to Bangladesh, Linnan documented that drowning is the leading cause of death for children under the age of five in every one of these countries. By the teenage years road traffic accidents are the leading cause of death in developing countries. And yet, child injury remains largely unaddressed in most low- and middle-income countries. The feedback on the luncheon presentation from IH members has been very positive on this alarm-bell presentation.

At this writing, results from a TASC-sponsored national survey in Bangladesh are in press. This data firmly documents that injuries are the leading cause of death in Bangladesh and that drowning is the leading cause of death of children under five. The researchers examined the data from Matlab over the past 30 years, which records that there have been no reductions in drowning deaths during these three decades. IH Section members will be informed when this publication is available.

On March 10 the president of TASC, Ambassador Pete Peterson, presented the 3rd Jeffrey P. Koplan Global Leadership in Public health Lecture at CDC in Atlanta. His topic was: “Child Survival: Why it Must Include Injury Prevention.” CDC Director Julie Gerberding, two former CDC directors, and a large number of Global Health and Injury Prevention staff attended. Gerberding told Ambassador Peterson during extensive private discussions that CDC clearly recognizes this gap in preventive child health and assured him that CDC intends to move forward with proactive interventions.


The IH Section maintains a Web site, <>. 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 the IH Section Chair Joe Valadez at <>. The Webmaster is Russell Kingston, phone (pager): (940) 381-7740, E-mail: <>. The Section is grateful for his support.


Section Officers:
Chair: Joe Valadez, PhD, MPH, ScD, (2004-2006),
Chair-Elect: Samir N. Banoob, MD, DM, DrPH, PhD (Chair 2006-2008),
Immediate Past Chair: Ray Martin, MPH (2006),
Secretary: Irshad Shaikh, MD, MPH, PhD, (2004-2006),
Secretary-Elect: Elvira Beracochea, MD, MPH (Secretary 2006-2008),

Section Councilors:
Maggie Huff-Rousselle, MA, MBA, PhD (2005),
David Oot, MPH (2005),
Katherine Tulenko, MD, MPH (2005),
Donna Barry, MPH, MIA, (2006),
Juan Antonio Casas, MD, MSM, (2006),
Sharon M McDonnell, BSN MD MPH (2007),
Bryn Sakagawa, MPH (2007),

Governing Councilors:
Eckhard Kleinau, DrPH, MD (2005),
Mary Anne Mercer, DrPH (2005),
Carol Dabbs, MPH, (2005),
Adnan Hyder, MD, MPH, PhD (2006),
Beth Rivin, MD, MPH (2006),
Della J. Dash, MPH, BSN (2006),
Dory Storms, ScD, MPH (2006),

Committees and Working Groups:
APHA Staff Liaison to the IH Section- Allen K. Jones, PhD,
Action Board Rep. – Diana Silimperi, MD,
Science Board – Adnan Hyder, MD, MPH, PhD,
Membership Committee Chair* - Vacant
Program Com. Chair (2004-2005)* - Betsy Bassan, MA,
Awards Committee Chair* - Kate Tulenko, MD, MPH,
Community-Based Primary Health Care Working Group Chair – Henry Perry, MD, PHD, MPH,
Global Trade and Health Working Group Chair* - Marty Makinen, PhD,
Pharmaceuticals Working Group Chair - Maggie Huff-Rousselle, MA, MBA, PhD (2005),
International Human Rights Committee – Leonard Rubenstein,
Publications Board - Omar Khan, MD,
Nominations Com. Chair* - Lani Marquez, MHS,
Student & Young Prof. Chair* - Vacant
Newsletter Editor* - Josefa Ippolito-Shepherd, PhD,
Section Strategic Planning Coordinators* – Della Dash, MPH, BSN, and Amy Hagopian, MHA, PhD,
Web Site Manager* - Vacant
Web Site Designer* - Russell Kingston, MPH,
* Appointed by the Chair