SAN DIEGO STATE UNIVERSITY
GRADUATE SCHOOL OF PUBLIC HEALTH
Fall 2010
COURSE:
PH 780 Global Health I
Global Health Basics. This course is an introductory course in global health. It is required for
those in the UCSD/SDSU Joint PhD Degree Program in Global Health and is open to those in
the Preventive Medicine Residency Program, other JDP students with interests in global health,
participants in the Global Emergency Preparedness and Response Program, and to others with
permission of the instructor. The style of the course will be very interactive with heavy
emphasis on required reading and discussion. Student enrollment is limited to 20. The course
will also involve a number of guest lecturers so that students may gain perspectives on the
research and project activities being conducted by SDSU/UCSD faculty members, NGOs, and
the private sector across multiple disciplines.
Content includes review of the global burden of disease; analysis of major infectious and noninfectious disease problems; bioethical issues in global health; policy, cultural, demographic, and
anthropological determinants of global health; and selected student issues. Students are also
expected to attend the new Global Health Seminar Series, held roughly monthly at SDSU.
INSTRUCTOR:
Thomas E. Novotny, MD MPH
Professor and Co-director, Global Health Joint Degree Program
Phone: (619) 594-3109
Office Hours: Tuesdays 1:30-3:30 and Thursdays 2-4 PM
Office address: HH 136B
tnovotny@mail.sdsu.edu
CREDIT:
Three (3) semester units
TIME:
Tuesdays 10:00 to 12:40 PM, August 31, 2010-December 14, 2009
PLACE:
Arts and Humanities 2134 (AH 2134)
RECOMMENDED TEXTS:
1.
2.
Merson MH, Black RE, Mills AJ. International Public Health: Diseases, Programs,
Systems and Policies (2nd ed.). Sudbury, MA: Jones and Bartlett Publishers, 2006.
Nichter M. Global Health: Why Cultural Perceptions, Social representations, and
Biopolitics Matter. The University of Arizona Press: Tucson, 2008.
WEBSITE: All assignments, course documents, news, and changes will be posted to the PH
780 Blackboard site. Registered students will have immediate access to this site.
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WEB RESOURCES:
 SDSU JDP in Global Health: http://publichealth.sdsu.edu/phd-global-main.php.
This will have announcements, opportunities, and links of interest.
 UCSD Global Health Website: http://gph.ucsd.edu/index.shtml, which also will have
descriptions of programs, research, and opportunities on the UCSD campus.
 References: http://mededlit.blogspot.com/2008/10/cdc-statistics-and-slide-sets.html
 World Health Organization: www.who.int
 Social Determinants of Health: http://www.who.int/social_determinants/en/
 Office of Global Health Affairs, Department of Health and Human Services:
www.globalhealth.gov
 Global Health Council: www.globalhealth.org
 Global Health Education Consortium: http://globalhealthedu.org/pages/default.aspx
 Coordinating Office Global Health, Centers for Disease Control and Prevention:
http://www.cdc.gov/cogh/
 Fogarty International Center, National Institutes of Health: http://www.fic.nih.gov/
COURSE OBJECTIVES. At the completion of this course, students will be able to:
 Explain the concept of ‘global health’ and what makes it different from traditional
international health.
 Compare and contrast metrics for global health problems and how these can be used to
set goals and gauge success of interventions.
 Describe the WHO approach to the Social Determinants of Health
 Evaluate cultural, ethical, social, systemic, and anthropological determinants of global
health.
 Articulate the strategies to prevent and reduce the burden of non-communicable diseases.
 Analyze the complexities of pandemic response in a globalized world.
 Evaluate the potential of public-private partnerships in global health problems,
particularly nutrition (under and over nutrition).
 Compare and contrast the most effective approaches to global tobacco control.
 Evaluate current global approaches to specific infectious diseases: neglected tropical
diseases, malaria, tuberculosis.
ASSIGNMENTS
1. Read all assigned materials
2. Develop arguments and positions to discuss during class discussion
3. Develop an outline for a term paper; this should be placed in the Blackboard digital
drop box by 5 PM, Tuesday, October 12. Comments will be provided and returned by
email to students within 2 weeks.
4. Prepare a double-spaced, 10-page term paper (margins 1 inch, 11pt Ariel Font, not
including references, charts, or graphs) on a major global health issue discussed in the
course. Guidelines for the paper will be posted on Blackboard. Term Papers should be
placed in the class’s Blackboard digital dropbox by 5:00pm, Friday, December 10,
2010.
5. Prepare and deliver a 10 minute presentation, using Power Point, describing findings
from term paper
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6. Final examination (take home, open book) will be distributed by email on December 13,
and you will have 48 hours to place completed exam in digital dropbox. This will consist
primarily of essay-type questions, covering material presented in class and in readings.
GRADING
Grading will be based on the following:
Attendance and participation
Term paper outline by October 12
Presentation based on term paper
Final exam
Term paper by December 10
10%
10%
10%
30%
40%
Letter grades will be based on cumulative scores:
100-95= A+
79-75= C+
94-90= A
74-70= C
89-85= B+
69-60= D
84-80= B
<60 = F [non-passing grade]
*Papers received after due date will be decreased by 10 points
.
Attendance will be taken during each class period. One excused absence is allowed, after which
the attendance and participation grade will be reduced. A make up paper may be assigned,
involving a 2-page policy brief on the subject matter of the missed lecture.
Course Syllabus Subject to Change
Every effort will be made to follow the syllabus content and schedule; however, if circumstances
dictate, there may be modifications necessary during the semester. The professor or Graduate
Assistant will notify students in a timely manner.
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CLASS SCHEDULE
Date
August 31
Topics
Introductions, course
overview.
Discussion: What is
Global Health?
1.
2.
3.
4.
5.
September The Global Burden of
7
Disease
Discussion: How do you
measure global health?
Readings
Koplan JP, Bond TC, Merson MH, et al. Towards a common
definition of global health. Lancet 2009;373(9679):1993 – 1995
Merson MH, Page KC. The Dramatic Expansion of University
Engagement in Global Health. A report of the CSIS Global Hea
Policy Center. April 2009.
Fried LP, Bentley ME, Buekens P, Burke DS, Frenk JJ, Klag M
Spencer HC. (2010) Global health is public health. Lancet 375
535-537.
Merson Chapter 15, Pages 681-708.
Nichter. Introduction, Pages 1-21
1. Merson Chapter 1, Pages 1-41
2. Sayer BM, Fliedner TM. The critique of DALYs: a counter-rep
(1997) Bull WHO;75(4): 383-384.
3. Mathers CD, Loncar D(2006) Projections of global mortality
and burden of disease from 2002 to 2030. PLoS Med 3(11): e4
doi:10.1371/journal.pmed.0030442
Discussion: The term
paper requirement
September Guest Lecture:
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Kimberly C. Brouwer,
PhD
Associate Professor
Division of Global Public
Health
Neglected Tropical
Diseases
1. Merson, Chapter 4, pages 127-186
2. WHO. Social Determinants of Health, Chapter 8, page 135-158
Neglected tropical diseases: equity and social determinants
3. Hotez PJ. Et al. (2007) Control of Neglected Tropical Diseases
Engl J Med. 357:1018-27.
4. Nichter 41-68
5. Levine Case 12
Case Study: Malaria
Led by Asher Santos
September Global Health
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Governance
1. Novotny TE. Global governance and public health security in t
21st Century. California W Internat Law Jour 2007;38(1):19-40
2. Nichter Pages 105-118
3. Sridar D. Dire Disease. THEWORLD TODAY.ORG, Februar
2009, pages 25-26.
4. Kickbusch I, Hein W, Silberschmidt G. Addressing global
health governance challenges through a new mechanism: th
proposal for a Committee C of the World Health Assembly.
Forthcoming in: Special issue of the /Journal of Law, Medicin
and Ethics/ on global health governance. 2010
5. Gostin LO, Mok EA. Grand challenges in global health governa
Brit Med Bull 2009; 90: 7–18
Discussion:
What is the WHO
What is the World Bank
What is the Global Fund
for AIDS TB AND
MALARIA
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September Guest Lecture:
28
Steven Waterman, MD
Senior Medical
Epidemiologist/Quarantine
Medical Officer , Division
of Global Migration and
Quarantine (DGMQ)
National Center for
Infectious Diseases (CDC)
Pandemic Response to
H1N1 influenza
1. Merson Chapter 10
2. Rodier G, Greenspan AL, Hughes JM, Heymann DL. Global pu
health security. Emerg Infect Dis [serial on the Internet]. 2007 O
Available from http://www.cdc.gov/EID/content/13/10/1447.ht
3. Gallaher WH. Towards a sane and rational approach to manage
of Influenza H1N1 2009. Virol J. 2009; 6:51.
4. Stern, AM, Markel H. What Mexico taught the world about
pandemic influenza preparedness. JAMA 2009;306(11):1221-1
5. Steve Waterman’s recommended readings (in addition to the pdf also posted
http://content.nejm.org/cgi/content/full/NEJMc0904559
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5821a2.htm
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm58d0430a2.htm
http://content.nejm.org/cgi/content/short/361/7/674
Discussion: the Case of
H1N1
October 5
Social and cultural
determinants of global
health: the challenge of
reproductive health
1.
2.
3.
4.
Merson Chapter 2
Merson Chapter 3
Nichter, page 23-39
Levine Case 13
Case study: Reducing
fertility in Bangladesh
October
12
October
19
Environmental change
and Global Health
1. Merson Chapter 9
2. Articles TBD
Discussion: water quality
Term Paper Outline Due in Digital Drop Box
The Changing Burden of
Disease: Noncommunicable (chronic)
diseases and risk factors
Merson Chapter 6
1. Yach D, Hawkes C, Gould CL, Hofman KJ. The global burden
chronic diseases: overcoming impediments to prevention and
control. JAMA 2004:291:2626-22.
2. Yach D, Kellogg M, Voute J. Chronic diseases: an increasing
challenge in developing countries. Trans R Soc Trop Med Hyg
2005;99(5):321-4.
3. Novotny TE. Preventing chronic disease: Everybody’s busines
Nolte E and McKee M (eds) Caring for People with Chronic
Conditions: A Health System Perspective. European Observato
on Health Systems and Policies Series, McGraw-Hill 2008.
4. Shibuya, Kenji, Ciecierski, Christina, Guindon, Emmanuel,
Bettcher, Douglas W., Evans, David B., and Christopher J.L.
Murray. 2003. WHO Framework Convention on Tobacco Cont
development of an evidence based global public health treaty. B
327:154-157
5. Levine Case 14
Discussion: Global
tobacco control
5
October
26
1. Merson Chapter 5
2. Articles TBD
3. Nichter 119-131
Guest Lecture:
Gregory Talavera, MD
MPH
Professor and Division
Director, Division of
Health Promotion and
Behavioral Sciences
Matthew Wintle MB B
Chir, MRCP(UK)
Director R&D Strategic
Relations, Amylin
Pharmaceuticals, Inc.
The Global Diabetes
Epidemic
Discussion: Private-public
partnerships for health
November Global Health Diplomacy:
2
NGOs, Governments,
Multinationals, and
Foreign Policy
1. Nichter pages 133-149
2. Adams V, Novotny TE, Leslie H. Global Health Diplomacy. Me
Anthro 2008;27:315-323.
Discussion: Video: Salud!
3. Feldbaum H, Michaud J (2010) Health Diplomacy and the Endu
Relevance of Foreign Policy Interests. PLoS Med 7(4): e100022
doi:10.1371/journal.pmed.1000226
4. Jones K-A (2010) New Complexities and Approaches to Globa
Health Diplomacy: View from the U.S. Department of State. PL
Med 7(5): e1000276. doi:10.1371/journal.pmed.1000276
November Guest Lecture:
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Kenneth Katz, MD, MSc,
MSCE
STD Control Officer, Sr.
Physician
HIV, STD and Hepatitis
Branch, Health and
Human Services Agency
County of San Diego
1. Sahasrabuddhe VV, Vermund SG The Future of HIV Preventi
STI control and Circumcision Interventions. Infect Dis Clin N
Am. 2007 March; 21(1): 241–xi.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2700301/?tool=
med
2. Cheluget B, Joesoef MR, Marum LH, Wandera C, Ryan CA,
Decock KM, Chebet KL. Changing patterns in sexually transm
disease syndromes in Kenya after the introduction of a syndrom
management program. Sex Transm Dis. 2004 Sep;31(9):522-5.
November Student Choice
16
November Student Presentations
23
November Student Presentations
6
30
December
7
December
13
Student Presentations
Course wrap-up and
evaluation
Term Papers Due: Place in Blackboard Digital Dropbox by 5 PM on
December 10
Final exam
Take home, open book exam
Due within 48 hours
Place in Blackboard Digital Dropbox
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Rights Act of 1964, as well as other applicable federal and state laws prohibiting discrimination.
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University Policies.
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SDSU is committed to maintaining a safe and healthy living and learning environment for
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If a student believes that a professor’s treatment is grossly unfair or that a professor’s behavior is
clearly unprofessional, the student may bring the complaint to the proper university authorities
and official reviewing bodies. See University policies on Student Grievances.
Statement on Plagiarism and Academic Dishonesty
Academic dishonesty includes cheating, plagiarism or other forms of academic dishonesty that
are intended to gain unfair academic advantage. See section 41301 of the University policies.
Plagiarism is an important element of this policy. Plagiarism is defined as ‘formal work publicly
misrepresented as original; it is any activity wherein one person knowingly, directly and for
lucre, status, recognition, or any public gain resorts to the published or unpublished work of
another in order to represent it as one’s own’. Any work, in whole or in part, taken from the
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