Health and Medicine

FSI’s researchers assess health and medicine through the lenses of economics, nutrition and politics. They’re studying and influencing public health policies of local and national governments and the roles that corporations and nongovernmental organizations play in providing health care around the world. Scholars look at how governance affects citizens’ health, how children’s health care access affects the aging process and how to improve children’s health in Guatemala and rural China. They want to know what it will take for people to cook more safely and breathe more easily in developing countries.

FSI professors investigate how lifestyles affect health. What good does gardening do for older Americans? What are the benefits of eating organic food or growing genetically modified rice in China? They study cost-effectiveness by examining programs like those aimed at preventing the spread of tuberculosis in Russian prisons. Policies that impact obesity and undernutrition are examined; as are the public health implications of limiting salt in processed foods and the role of smoking among men who work in Chinese factories. FSI health research looks at sweeping domestic policies like the Affordable Care Act and the role of foreign aid in affecting the price of HIV drugs in Africa.

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Arms races among invertebrates, intelligence gathering by the immune system and alarm calls by marmots are but a few of nature’s security strategies that have been tested and modified over billions of years. This provocative book applies lessons from nature to our own toughest security problems—from global terrorism to the rise of infectious disease to natural disasters. Written by a truly multidis­ciplinary group including paleobiologists, anthropologists, psychologists, ecologists, and national security experts, it considers how models and ideas from evolutionary biology can improve national security strategies ranging from risk assessment, security analysis, and public policy to long-term strategic goals.

Terence Taylor is the President and Director of the International Council for the Life Sciences and a former CISAC Science Fellow. He previously served with the United Nations as a Commissioner and Chief Inspector for Iraq on weapons of mass destruction and was a career officer in the British army. He also serves on the U.S. National Academy of Sciences Forum on Microbial Threats and is an adviser to the International Committee of the Red Cross. Mr. Taylor was also a member of the National Research Council Steering Committee on Genomic Databases for Bioterrorism Threat Agents and served as Chairman of the Permanent Monitoring Panel on Risk Analysis of the World Federation of Scientists.

Raphael Sagarin received his Ph.D. in marine ecology in 2001 from the University of California, Santa Barbara. Dr. Sagarin has served as a Geological Society of America congressional science advisor in the office of U.S. Representative Hilda L. Solis. Dr. Sagarin has used his insights as a biologist and policy advisor in his recent work on using biological insights to guide security planning and policy. Based on a short treatment of this topic in Foreign Policy, he organized a working group at the National Center for Ecological Analysis and Synthesis to explore a wide range of evolutionary insights into security analysis. Comprised of paleobiologists, psychologists, ecologists, anthropologists and security experts, the working group produced the forthcoming University of California Press volume: Natural Security: A Darwinian Approach to a Dangerous World, edited by Dr. Sagarin and Terence Taylor.

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Terence Taylor Director Speaker International Council for the Life Sciences
Raphael Sagarin Associate Director for Ocean and Coastal Policy, Nicholas Institute for Environmental Policy Solutions, Duke University Speaker
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Nuclear energy production today and in the near future will still be dominated by light-water reactors and therefore there will be a continued need for uranium enrichment. There is currently a focused attention on gas centrifuge enrichment. Gas centrifuge technology is much cheaper and efficient, but also poses a greater security concern, than the former gas diffusion technology.

In order to address the increased security concerns, the International Atomic Energy Agency (IAEA) is planning and implementing strengthened safeguards procedures involving an increased reliance on continuous and remote monitoring technologies, and environmental sampling. The IAEA is also promoting multilateral enrichment centers as an additional avenue to enhance international security. Much of the current enrichment industry today already involves international partnerships such as between the US and European companies, or the tripartite agreement between Russia, China and the IAEA.

In order for safeguards and multilateral approaches to be viable and effective, they need to be accepted by industry, operators, states and the regulatory agencies. This talk will address how strengthened safeguards could be implemented while accommodating potentially conflicting interests such as: the protection of proprietary information, transparency in monitoring, applicability in multilateral arrangements, cost-effectiveness, and the ultimate goal of ensuring that enrichment activities remain peaceful.

Elena Rodriguez-Vieitez is a postdoctoral science fellow at CISAC, Stanford. Her research concerns proliferation risks associated with the global expansion of nuclear power. She received her PhD in nuclear engineering at the University of California, Berkeley. Her dissertation focused on nuclear physics experimental work conducted at cyclotron facilities at the Lawrence Berkeley National Lab and Michigan State University, where she analyzed nuclear structure and fragmentation reaction data of neutron-rich unstable nuclei. As a nuclear engineering graduate student, she collaborated on a Department of Energy research project on radioactive waste transmutation in molten-salt reactors, where she modeled actinide transmutation efficiency and evaluated proliferation and environmental risks. As a graduate student, Rodriguez-Vieitez was also a research associate on public policy and nuclear threats at the University of California Institute on Global Conflict and Cooperation. Prior to her PhD studies, she was an intern at the National Academy of Sciences' Board on Radioactive Waste Management in Washington, DC.

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Elena Rodriguez-Vieitez Speaker
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The National Plant Diagnostic Network (NPDN) was created to enhance the capabilities of existing diagnostic laboratories in the nation to detect and report introduced pathogens, pests and weeds of high consequence to plant agriculture and natural ecosystems.  An important goal of the network is to coordinate diagnostic and scientific expertise at land-grant universities, state departments of agriculture, agencies within the USDA (CSREES and APHIS), and other organizations involved in agricultural production and security.  The program, which is administered through the USDA, was established in 2002 through funding created by the Homeland Security Act in response to concerns that agricultural pests and pathogens could be used as agents of bio-terrorism.  Responsibilities of the NPDN include the compilation and establishment of diagnostic protocols for priority agents, the development of a web-based distributed plant pest diagnostic and reporting system for the nation, the provision of up-to-date information on plant pests for the nation, the development of analytical tools to exploit these data, and the recruitment and training of first detectors.  The national network is organized into 5 regions, with regional centers located at the University of California, Davis (Western Region), Kansas State University (Great Plains Region), Michigan State University (North Central Region), the University of Florida (Southern Region), and Cornell University (Northeastern Region).  A parallel network for veterinary medicine, the National Animal Health Laboratory Network, also has been established with regional centers located at the same institutions as the NPDN regional centers.  The mission and design of the NPDN, its programs, and progress towards meeting network objectives, will be presented and discussed.

Richard Bostock is a professor and former chair (1999-2005) of the Department of Plant Pathology at the University of California, Davis.  In 2002, he was appointed as the founding Director of the Western Region of the National Plant Diagnostic Network (NPDN).  The NPDN is a distributed system comprised of public institutions for the purpose of quickly detecting and identifying high consequence pests and pathogens.  The network links plant health professionals, researchers and diagnostic labs throughout the region, providing a way for them to share information about occurrences of plant diseases and pests that could have an impact on the region's most economically important crops.   This information also is reported to first responders and decision makers. Funding for the network is provided through the United States Department of Agriculture. Dr. Bostock received his Ph.D. in Plant Pathology at the University of Kentucky in 1981, and was appointed to the faculty at UC Davis that year.  His research and teaching interests are the biochemistry and molecular biology of plant-microbe interactions and general plant pathology.  He teaches several courses in the department and in the Science and Society program on various aspects of plant pathology, plant-microbe interactions, and issues related to food production. 

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Richard Bostock Professor of Plant Pathology and Director, Western Plant Diagnostic Network Speaker University of California, Davis
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As we find ourselves at the start of the "biological century" with a wealth of potential benefits to public health, agriculture, and global economies, it is almost deliberately naive to think that the extraordinary growth in the life sciences might not be exploited for nefarious purposes. A report published in 2006 by an ad hoc committee of the National Academies of Science recognized that the breadth of biological threats is much broader than commonly appreciated and will continue to expand for the foreseeable future. The nature of these threats, and a set of potential approaches with which to mitigate these threats, will be reviewed.

David Relman, MD, is professor of medicine, and of microbiology and immunology at Stanford University. He is also chief, infectious diseases section, at the VA Palo Alto Health Care System in Palo Alto, California. His research is directed towards the characterization of the human indigenous microbial communities, with emphasis on understanding variation in diversity, succession, the effects of disturbance, and the role of these communities in health and disease.  This work brings together approaches from ecology, population biology, environmental microbiology, genomics and clinical medicine.  In addition, his research explores the classification structure of humans and non-human primates with systemic infectious diseases, based on patterns of genome-wide gene transcript abundance in blood and other tissues. The goals of this work are to recognize classes of pathogen and predict clinical outcome at early time points in the disease process, as well as to gain further insights into virulence. Past scientific achievements include the description of a novel approach for identifying previously-unknown pathogens, the identification of a number of new human microbial pathogens, including the agent of Whipple's disease, and some of the most extensive analyses to date of the human indigenous microbial ecosystem. See http://relman.stanford.edu

Among his other activities, Dr. Relman currently serves as Chair of the Board of Scientific Counselors of the National Institute of Dental and Craniofacial Research (NIH), Chair of the Institute of Medicine's Forum on Microbial Threats (U.S. National Academies of Science), member of the National Science Advisory Board for Biosecurity, and advises several U.S. Government departments and agencies on matters related to pathogen diversity, the future life sciences landscape, and the nature of present and future biological threats.  He co-chaired a three-year study at the National Academy of Sciences that produced a report entitled, "Globalization, Biosecurity, and the Future of the Life Sciences" (2006). He is a member of the American Academy of Microbiology. Dr. Relman received the Squibb Award of the IDSA in 2001, and was the recipient of both the NIH Director's Pioneer Award, and the Distinguished Clinical Scientist Award from the Doris Duke Charitable Foundation, in 2006.

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David Relman Professor of Medicine and of Microbiology and Immunology Speaker Stanford University
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In early 2007, CSIS launched an expert task force to examine the growing involvement of the Department of Defense as a direct provider of “non-traditional” security assistance, concentrated in counterterrorism, capacity building, stabilization and reconstruction, and humanitarian relief. The task force set out to shed light on what drives this trend, including the new global threat environment; assess what was happening at the same time in the diplomatic and developmental realms; evaluate DOD performance in conducting its expanded missions; and consider the impact of the Pentagon’s enlarged role on broader U.S. national security, foreign policy and development interests. From the outset, the task force sought to generate concrete, practical recommendations to Congress and the White House on reforms and legislation that will create a better and more sustainable balance between military and civilian tools.

J. Stephen Morrison joined CSIS in early 2000. He directs the CSIS Africa Program, the CSIS Task Force on HIV/AIDS (begun in 2001) and most recently co-directed a CSIS Task Force on non-traditional U.S. security assistance. In his role as director of the Africa Program, he has conducted studies on the United States’ rising energy stakes in Africa, counter-terrorism, the stand-up of the U.S. Africa Command, and implications for U.S. foreign policy. In 2005–2006, he was co-director of the Council on Foreign Relations Independent Task Force on Africa, ‘Beyond Humanitarianism: A Strategic U.S. Approach Toward Africa.’ Immediately prior to that, he was executive secretary of the Africa Policy Advisory Panel, commissioned by the U.S. Congress and overseen by then–Secretary of State Colin Powell. From 2005 up to the present, he has directed multi-phase work on China’s expansive engagement in Africa. His work on HIV/AIDS and related global health issues has involved multiple missions to China, Russia, India, Vietnam and Africa, and most recently, a series of focused studies on the President’s Emergency Plan for AIDS Relief. He publishes widely, testifies often before Congress, and is a frequent commentator in major media on U.S. foreign policy, Africa, foreign assistance, and global public health. From 1996 through early 2000, Morrison served on the secretary of state’s policy planning staff, where he was responsible for African affairs and global foreign assistance issues. From 1993 to 1995, he conceptualized and launched USAID’s Office of Transition Initiatives, which operates in countries emerging from protracted internal conflict and misrule. From 1992 until mid-1993, he was the U.S. democracy and governance adviser in Ethiopia and Eritrea. In the period 1987 to 1991, he was senior staff member of the House Foreign Affairs Subcommittee on Africa. Morrison holds a Ph.D. in political science from the University of Wisconsin, has been an adjunct professor at the Johns Hopkins School of Advanced International Studies since 1994, and is a graduate magna cum laude of Yale College. He is a member of the Council on Foreign Relations and the International Institute for Strategic Studies.

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J. Stephen Morrison Executive Director Speaker HIV/AIDS Task Force and Director, Africa Program, Center for Strategic & International Studies
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David L. Heymann, assistant director-general for communicable diseases and the director general's representative for polio eradication at the World Health Organization (WHO), has joined CISAC as a consulting professor.

Heymann has dedicated much of his career as a medical doctor to investigating and fighting the spread of infectious diseases and mobilizing global efforts to prevent pandemics.

"Dr. Heymann's expertise on threats to health security is a welcome addition to CISAC," Siegfried Hecker, CISAC co-director, said. "He is deeply knowledgeable about the most severe disease-related threats as well as how best to build cooperative international efforts to reduce these threats."

Prior to assuming his current position at WHO, Heymann served as executive director of WHO's Communicable Diseases Cluster, which includes programs on infectious and tropical diseases. In that position, he oversaw the response to Severe Accute Respiratory Syndrome (SARS) in 2003.

Before joining WHO, Heymann worked for 13 years as a medical epidemiologist in sub-Saharan Africa, on assignment with the U.S. Centers for Disease Control. While there, he participated in investigating both the first outbreak of Ebola, in Yambuku (then Zaire) in 1976, and the second outbreak, in Tandala, in 1977. He directed the international response to the Ebola outbreak in Kikwit in 1995. Heymann also spent two years as a medical officer in the WHO smallpox eradication program in India prior to 1976.

Heymann spent two weeks in residence at Stanford last spring, co-hosted by CISAC and FSI, during which he delivered a a talk in FSI's Payne Lecture series. In the lecture, titled "Infectious Diseases across Borders: Public Health Security in the 21st Century," he discussed the collective responsibility to defend public health. He surveyed WHO's efforts to fight emerging and re-emerging infectious disease on every continent.

Among those efforts is a global network of scientists who monitor and collect viruses, sending samples to four WHO collaborating centers for analysis and tracking. This network detected the novel virus H5N1, known as avian flu, in 1997, a disease WHO continues to track closely.

Currently, Heymann said, the H5N1 virus is in the third of six phases in WHO's pandemic alert system, meaning that there have been cases of human infection but "no, or very infrequent, human-to-human spread."

Heymann emphasized, "It is important to prevent the disease at the source." At the same time, WHO is working to "provide universal access to vaccines," which, while not eliminating the disease, "will prevent sickness," he said.

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Jeanne Mager Stellman (speaker) has just recently joined the Department of Preventive Medicine and Community Health at SUNY-Downstate Medical Center in Brooklyn N.Y as Professor and Director of the Division of Environmental Health Sciences. She had been a member of the faculty of the School of Public Health at Columbia University since 1981 and directed the General Public Health track. Stellman is actively engaged in research on herbicides in Vietnam and was director of a multimillion dollar study for the National Academy of Science to develop exposure methodologies for epidemiological studies of military herbicides. She and her husband, Steven D. Stellman, are collaborating on several follow-up studies and, with National Library of Medicine support, she is now creating a website on Vietnam that uses the geographic information system they developed to make it accessible to researchers around the world. The Stellmans are the recipient of The American Legion's Distinguished Service Medal because of their ongoing research and assistance to veterans. In addition, Stellman is now heavily engaged in research and policy in the aftermath of the World Trade Center terrorist attacks. She served on the EPA's Technical Advisory Panel for WTC Cleanup and is a consultant to the Mt. Sinai WTC Medical Monitoring program, where she is co-directing research on the mental health and well-being of the first responders. Stellman served as Editor-in-Chief of the Encyclopedia of Occupational Health and Safety, 4th edition (1998). She is the recipient of a Guggenheim fellowship and was named one of Ms. Magazine's "80 women to watch in the 80's." She has written several books, many monographs and chapters and peer-reviewed publications.

Lynn Eden (discussant) is associate director for research/senior research scholar at the Center for International Security and Cooperation, Freeman Spogli Institute for International Studies, Stanford University. Eden received her Ph.D. in sociology from the University of Michigan, held several pre- and post-doctoral fellowships, and taught in the history department at Carnegie Mellon before coming to Stanford. In the area of international security, Eden has focused on U.S. foreign and military policy, arms control, the social construction of science and technology, and organizational issues regarding nuclear policy and homeland security.

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Lynn Eden is a Senior Research Scholar Emeritus. She was a Senior Research Scholar at Stanford University's Center for International Security and Cooperation until January 2016, as well as was Associate Director for Research. Eden received her Ph.D. in sociology from the University of Michigan, held several pre- and post-doctoral fellowships, and taught in the history department at Carnegie Mellon before coming to Stanford.

In the area of international security, Eden has focused on U.S. foreign and military policy, arms control, the social construction of science and technology, and organizational issues regarding nuclear policy and homeland security. She co-edited, with Steven E. Miller, Nuclear Arguments: Understanding the Strategic Nuclear Arms and Arms Control Debates (Ithaca, N.Y.: Cornell University Press, 1989). She was an editor of The Oxford Companion to American Military History (New York: Oxford University Press, 2000), which takes a social and cultural perspective on war and peace in U.S. history. That volume was chosen as a Main Selection of the History Book Club.

Eden's book Whole World on Fire: Organizations, Knowledge, and Nuclear Weapons Devastation (Ithaca: Cornell University Press, 2004; New Delhi: Manas Publications, 2004) explores how and why the U.S. government--from World War II to the present--has greatly underestimated the damage caused by nuclear weapons by failing to predict damage from firestorms. It shows how well-funded and highly professional organizations, by focusing on what they do well and systematically excluding what they don't, may build a poor representation of the world--a self-reinforcing fallacy that can have serious consequences, from the sinking of the Titanic to not predicting the vulnerability of the World Trade Center to burning jet fuel. Whole World on Fire won the American Sociological Association's 2004 Robert K. Merton Award for best book in science, knowledge, and technology.

Eden has also written on life in small-town America. Her first book, Crisis in Watertown (Ann Arbor: University of Michigan Press, 1972), was her college senior thesis; it was a finalist for a National Book Award in 1973. Her second book, Witness in Philadelphia, with Florence Mars (Baton Rouge: Louisiana State University Press, 1977), about the murders of civil rights workers Schwerner, Chaney, and Goodman in the summer of 1964, was a Book of the Month Club Alternate Selection.

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Lynn Eden Speaker
Jeanne Stellman Professor of Clinical Health Policy and Management, Mailman School of Public Health Speaker Columbia University
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This presentation provides an overview of the history of US satellite-based reconnaissance as has been publicly revealed by the US Government to date. Extrapolating from there, it will transition to the evolutionary and revolutionary role that commercial satellite imagery is now playing on the international stage in proving a heretofore-unimaginable basis for greater global transparency and the way it has helped, and will continue to help, to detect and monitor undeclared unconventional weapons related facilities and activities. In addition, new geospatial tools, which draw heavily upon commercial satellite imagery as well as augmenting it, have also become available over the internet. Among those Geospatial tools, "Digital Virtual Globes" (i.e., Google Earth, Virtual Earth, etc.) not only provide a much improved mapping capability over previously used simple plan-view line drawings used by various international inspection organizations such as the IAEA, but the offer much improved visualization of known and inspected sites. Such digital globes also provide a new, essentially free means to conduct broad area baseline search for possible "clandestine" sites...either allege through open source leads; identified on internet blogs and wiki layers with input from a "free" cadre of global browsers and/or by knowledgeable local citizens that can include ground photos and maps; or by other initiatives based on existing country program knowledge. The digital globes also provide highly accurate terrain mapping for better overall geospatial context and allow detailed 3-D perspectives of all sites or areas of interest. 3-D modeling software, when used in conjunction with these digital globes can significantly enhance individual building characterization and visualization (including interiors), allowing for better international inspector training through pre-inspection walk-arounds or fly-around, and perhaps better IAEA safeguard decision making. In sum, these new geospatial visualization aids are ideal for international inspector training and orientation, as well as site characterization, monitoring and verification. But perhaps just as significantly, these new geospatial tools also now make it possible for anyone to conduct his or her own satellite-based reconnaissance for any application from the comfort of home, at a wi-fi enabled coffee shop, or even on the beach at a tropical island resort.

Frank Pabian is a Senior Nonproliferation Infrastructure Analyst at Los Alamos National Laboratory who has over 35 years experience in the nuclear nonproliferation field including six years with the Office of Imagery Analysis and 18 years with Lawrence Livermore National Laboratory's "Z" Division. Frank also served as a Chief Inspector for the IAEA during UN inspections in Iraq from 1996-1998 focusing on "Capable Sites." In December 2002, Frank served as one of the first US nuclear inspectors back in Iraq with UN/IAEA. While at Los Alamos, Frank has developed and presented commercial satellite imagery based briefings on foreign clandestine nuclear facilities to the International Nuclear Suppliers Group, the IAEA, NATO, and the Foreign Ministries of China and India on behalf of the NNSA and STATE.

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Frank Pabian Speaker Los Alamos National Laboratory
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CISAC awarded honors certificates in international security studies to 14 undergraduates who completed theses on policy issues ranging from speeding up the detection of a bioterror attack to improving the World Bank's effectiveness at post-conflict resolution.

Among the 2006-2007 participants in CISAC's Interschool Honors Program in International Security Studies were award winners Brian Burton, who received a Firestone Medal for his thesis, "Counterinsurgency Principles and U.S. Military Effectiveness in Iraq," and Sherri Hansen, who received the William J. Perry Award for her thesis, "Explaining the Use of Child Soldiers." The Firestone Medal recognizes the top 10 percent of undergraduate theses at Stanford each year, and the Perry recognizes excellence in policy-relevant research in international security studies.

CISAC honors students "can make the world a more peaceful place in several ways," FSI senior fellow Stephen Stedman told students and guests at the honors ceremony. "They can graduate and find jobs of power and influence [and] they can identify real world problems and solve them."

This year's class, which included several double-majors, represented nine major fields of study: biology, history, human biology, international relations, mathematics, management science and engineering, physics, political science, Russia-Eurasian studies. Some students headed to business or policy positions, while others looked forward to advanced studies in law, medicine, biophysics, security studies, or other fields.

"I hope that this is the beginning, not the end, of your contributions to policy-relevant research," CISAC senior research scholar Paul Stockton, who co-directed the program with Stedman, told the students. He added, "In every potential career you have expressed a desire to pursue, from medicine to the financial sector and beyond, we need your perspectives and research contributions, to deal with emerging threats to global security."

Many students expressed interest in realizing that hope. Burton said his aspiration is to attain "a high-level cabinet or National Security Council position to cap a long career of public service in foreign policy."

Katherine Schlosser, a biology major who is headed to Case Western Reserve University for joint MD-master's in public health program, said she hopes to "keep conducting innovative research and to eventually rejoin the international security studies community in some capacity."

The 2007 honors recipients, their majors, thesis titles, advisers, and destinations, if known, are as follows:

Brian Burton, political science
"Counterinsurgency Principles and U.S. Military Effectiveness in Iraq"
Firestone Medal Winner

Adviser: David Holloway
Destination: Georgetown University, to pursue a master's degree in security studies

Martine Cicconi, political science
"Weighing the Costs of Aggression and Restraint: Explaining Variations in India's Response to Terrorism"
Adviser: Scott Sagan
Destination: Stanford University Law School

Will Frankenstein, mathematics
"Chinese Energy Security and International Security: A Case Study Analysis"
Adviser: Michael May
Destination: The Institute for Defense Analyses in Alexandria, Va., for a summer internship

Kunal Gullapalli, management science & engineering
"Understanding Water Rationality: A Game-Theoretic Analysis of Cooperation and Conflict Over Scarce Water"
Adviser: Peter Kitanidis
Destination: Investment Banking Division at Morgan Stanley in Los Angeles

Sherri Hansen, political science
"Explaining the Use of Child Soldiers"
William J. Perry Award Winner

Adviser: Jeremy Weinstein
Destination: Oxford University in England, to pursue master's degree in development studies

Andy Leifer, physics and political science
"International Scientific Engagement for Mitigating Emerging Nuclear Security Threats"
Adviser: Michael May
Destination: Harvard University, to pursue a PhD in biophysics

James Madsen, political science
"Filling the Gap: The Rise of Military Contractors in the Modern Military"
Adviser: Coit Blacker
Destination: World travel; then San Francisco to open a bar

Nico Martinez, political science
"Protracted Civil War and Failed Peace Negotiations in Colombia"
Adviser: Stephen Stedman
Destination: Washington, DC, to serve as a staff member for Senator Harry Reid

Seepan V. Parseghian, political science and Russian/Eurasian studies
"The Survival of Unrecognized States in the Hobbesian Jungle"
Advisor: James Fearon

Dave Ryan, international relations
"Security Guarantees in Non-Proliferation Negotiations"
Adviser: Scott Sagan
Destination: Stanford University, to serve as executive director of FACE AIDS

Katherine Schlosser, biology
"Gene Expression Profiling: A New Warning System for Bioterrorism"
Adviser: Dean Wilkening
Destination: Case Western Reserve University in Cleveland, to pursue a joint medical degree and master's in public health

Nigar Shaikh, human biology and political science
"No Longer Just the 'Spoils of War': Rape as an Instrument of Military Policy"
Adviser: Mariano-Florentino Cuellar

Christine Su, history and political science
"British Counterterrorism Legislation Since 2000: Parlimentary and Government Evaluations of Enhanced Security"
Adviser: Allen Weiner
Destination: Stanford University, to finish her undergraduate degree; Su completed the honors program as a junior.

Lauren Young, international relations
"Peacebuilding without Politics: The World Bank and Post Conflict Reconstruction"
Adviser: Stephen Stedman
Destination: Stanford University, to finish her undergraduate degree; Young completed the honors program as a junior.

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The three dimensions of biomedicine that we are familiar with need no amplification: patient care, research and teaching will preoccupy all of our professional lives in one form or another. The critical fourth dimension, which is "Activism," represents a series of links to the greater world outside. In this short lecture, I intend to view this arena through the prism of my personal involvement in two Twentieth Century physician movements, designed to alter national and international policy so as to cut the risk of massive destruction of life and health. As I recount the impact of such movements, the meaning of the "Fourth Dimension" will become clear.

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