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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This book, edited and written by leading scholars in the field(s) of neuroscience, ethics, law and healthcare policy, provides a unifying perspective of how a philosophical understanding of pain and medicine gives rise to the ethics and policies of pain care. Toward these ends, the chapters shed light on how pain and the experience of the patient and clinician establish the moral obligations of pain medicine, and the conditions necessary to enact pain care on a global scale. In this context, the authors consider possible ethical systems and approaches that are important to, and viable for pain medicine, and provide perspectives into the ways that moral obligations and practical realties are wedded to (and should underscore) any and all practice guidelines, health policy, and laws. In these ways, this volume provides erudite discussions of how contemporary knowledge of pain could and should influence the moral values, and conduct, tenor and value(s) of medical practice, and how this knowledge might serve as a foundation upon which to construct policies toward a more meaningful, patient-centered pain medicine in the future.

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Books
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Journal Publisher
Pain Medicine: Philosophy, Ethics and Policy (M. Boswell and J. Giordano, eds.), Linton Atlantic Press
Authors
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It is commonly believed that America and Europe are very different societies, and growing apart. A look at the data shows that the anecdotes are misleading and that the differences across the Atlantic have been overstated.

Peter Baldwin, Professor of History at UCLA, is author of several books on the comparative history of European and American state building, most recently, Disease and Democracy: The Industrialized World Faces AIDS.

Introduction by FSI Senior Fellow Josef Joffe.

Encina Ground Floor Conference Room

Peter Baldwin Professor of History, UCLA Speaker
Seminars
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Kara Sex
Please join us for a lecture and book signing with Siddharth Kara, author of Sex Trafficking: Inside the Business of Modern Slavery. In 1995, Mr. Kara first encountered sexual slavery in a Bosnian refugee camp. He has since dedicated his life to traveling and learning the mechanisms behind the business of sex trafficking. Mr. Kara has taken a rare look at analyzing the local drivers and global macroeconomic trends that give rise to this burgeoning industry, in addition to quantifying the size, growth, and profitability of sex trafficking and other forms of modern slavery.

Synopsis

Employing his comprehensive research throughout his talk, Siddarth Kara begins by explaining that sex trafficking is the most profitable form of slavery. Therefore, to Mr. Kara, it is crucial to take a business approach to the issue. Using powerful stories as key examples to ensure focus also remains on the human cost of sex slavery, Mr. Kara divides the operation of sex slavery into three steps. The first is acquisition which most commonly occurs by deceit, seduction, or sometimes even sale by family. The second step is movement which involves all forms of transportation, the use of false documentation, and bribery. The third step is exploitation of the victims which takes place in many forms such as rape, torture, and violent coercion. The sale of women and girls often takes place in brothels, hotels, and streets. Mr. Kara reveals that their fate often involves HIV infection, drug addictions, exclusion from families, and most terrifyingly, retrafficking.

Mr. Kara goes on to argue that current abolition attempts are deficient in four key areas. These include a poor understanding of the trade, lack of funding for and lack of coordination between international organizations, inappropriate laws and insufficient enforce of them, and an improper business analysis of the situation.

However, Mr. Kara stresses repeatedly that this “war on slavery” as he puts it is a war we can win. He boils the industry down to slave trading which is the supply aspect and slavery itself which is the demand aspect. Mr. Kara argues that, like all industries, the slave trade is governed by these two forces as well. Therefore, Mr. Kara’s main argument is that sex slavery must be destroyed by reducing the aggregate demand for sex slaves by attacking the industry’s profitability. In terms of profit making, his research shows it is the demand side which must be focused on the most. Mr. Kara argues the demand for sex slaves is very vulnerable. He personally saw this in a particular brothel when prices rose. In addition, he emphasizes that the fact that business must be conducted between consumer and trader in relative daylight means these criminals can be caught.

Consequently, Mr. Kara proposes a multi-faceted approach of seven tactical interventions to hurt profitability and crucially increase risk for traders. Firstly, Mr. Kara believes in the need to create an international inspection force which works closely with paid locals of the community who are trained to spot such activities in everyday life. Mr. Kara stresses the importance of targeted, proactive raids on centers of such criminal activity. In addition, to avoid bribery and other forms of undermining law enforcement, he feels it is vital to improve the pay of trafficking authorities including judges and prosecutors. This is linked to Mr. Kara’s idea of specialized, fast-track courts for trafficking to quickly close cases. Cases often fall apart because victims or their families are intimidated, Mr. Kara therefore argues for at least 12 months of paid witness protection for victims and their families to avoid intimidation or outright murder. Finally, Mr. Kara stresses the need to increase financial penalties for those found guilty of trafficking to increase the risk in the business.

What Mr. Kara really emphasizes is that more resources are needed in tackling this criminal activity by attacking profitability, increasing risk, and reducing aggregate demand. Mr. Kara concludes by stating that sex trafficking is a “stain on humankind that must be buried.”

In engaging with the audience, Mr. Kara discusses several key issues of his presentation. One central area that is emphasized is his methods in gathering research and formulating statistics. Mr. Kara also explains where the money would come from to fund the global abolitionist movement he presents. In addition, Mr. Kara reveals what ordinary citizens can do in their everyday lives to help the cause.

About the speaker

Siddharth Kara is a former investment banker and business executive with an MBA from Columbia University. He set aside his corporate career to pursue anti-slavery research, advocacy, and writing, and, more recently, a law degree. He currently serves on the board of directors of Free the Slaves, an organization dedicated to abolishing slavery worldwide. In 2005, he testified on contemporary slavery to the United States Congressional Human Rights Committee.

Jointly sponsored by the Forum on Contemporary Europe and the Public Management Program of the Stanford Graduate School of Business.

CISAC Conference Room

Siddharth Kara Author Speaker
Seminars
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Ms. Rees explores the business of sex trafficking in Eastern Europe particularly from the standpoint of her own personal experience. She explains, from her many years in Bosnia, the tragedies of the business, as well as the failures in attempts to stop it. In addition, Ms. Rees looks forward and argues how she feels the problem should be tackled in the future.

Synopsis

Ms. Rees sets the tone for her talk from the start by stating that while our interventions are a response to the phenomenon of sex trafficking, the phenomenon develops as a result of our interventions. Offering a simplified definition, she explains that the sex trafficking business consists of three main stages: recruitment, transfer, and exploitation. Mr. Rees continues by arguing that although there are many different perceptions of trafficking, focusing on only one of them, such as purely the prostitution aspect or solely the migration factor, will lead to eventual failure.

Placing strong emphasis on the fact that sex trafficking is a free market affair and therefore must be treated as such, Mr. Rees begins her focus on the business in Eastern Europe from the perspective of the dire economic situation in post-Soviet states. Discussing primarily her personal experience in Bosnia in the midst of the Balkans conflict, she explains the situation was one where organized criminal activity was for survival. In addition, Ms. Rees reveals that the status of the region both during and after the conflict was perfect for sex trafficking. There were almost no border checks, the 60, 000 peacekeepers provided a large and convenient market, and the police were easily corruptible. Ms. Rees explains that this messy situation lasted until 1999-2000 when the international community finally realized the seriousness of the problem at hand.

Resulting from the stabilization of the region and increased international attention, the crime of sex trafficking and its response was becoming increasingly sophisticated. However, Ms. Rees explains the role of the UN consisted of, in large part, offering clients and doing little to punish their conduct. She also expresses discontent at the UN program of bar raids which shifted the business underground, making it much harder to track. Similarly, Ms. Rees examines the efforts the International Organization for Migration and her concern with the tactics of coercive testimony. Ms. Rees also focuses on the period after 2003, once the UN peacekeepers had left, where the market had shrunk and the business was legitimizing. As women were starting to make money, the law enforcement approach was becoming increasingly messy, and Ms. Rees examines the certain merits of shelters and legal advice for the female victims.

Ms Rees concludes on a more somber note, exposing her belief that Bosnia was a failure in attempts to stop sex trafficking. She emphasizes that it was a failure with considerable economic ramifications. Finally, Mr. Rees finishes by arguing that current approaches do not listen enough to the subjects of the crime, the women. These are who we must base our efforts around.

Ms. Rees also kindly takes the time answer the audience’s various questions, raising a multitude of issues. She explains the inaccuracy and impossibility of estimating the numbers of the sex trafficking industry. Ms. Rees also explores the issues of HIV and pregnancies, as well as immunity for foreign workers such as the UN peacekeepers. Another key point raised was the potential effectiveness of prosecuting clients of the sex trafficking business.

Sponsored jointly by the Forum on Contemporary Europe, Center for Russian, East European and Eurasian Studies, Stanford Law School, and Michelle R. Clayman Institute for Gender Research.

This keynote speech kicks off the Trafficking of Women in Post-Communist Europe conference April 18.

Bechtel Conference Center

Madeleine Rees Head of the Women's Rights and Gender Unit, Office of the United Nations High Commissioner for Human Rights Speaker
Lectures
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Abstract:

Aims/hypothesis

Glucose-stimulated insulin secretion is dependent on the electrical activity of beta cells; hence, genes encoding beta cell ion channels are potential candidate genes for type 2 diabetes. The gene encoding the voltage-dependent Ca2+ channel CaV2.3 (CACNA1E), telomeric to a region that has shown suggestive linkage to type 2 diabetes (1q21-q25), has been ascribed a role for second-phase insulin secretion.

Methods

Based upon the genotyping of 52 haplotype tagging single nucleotide polymorphisms (SNPs) in a type 2 diabetes case–control sample (n  = 1,467), we selected five SNPs that were nominally associated with type 2 diabetes and genotyped them in the following groups (1) a new case–control sample of 6,570 individuals from Sweden; (2) 2,293 individuals from the Botnia prospective cohort; and (3) 935 individuals with insulin secretion data from an IVGTT.

Results

The rs679931 TT genotype was associated with (1) an increased risk of type 2 diabetes in the Botnia case–control sample [odds ratio (OR) 1.4, 95% CI 1.0–2.0, p = 0.06] and in the replication sample (OR 1.2, 95% CI 1.0–1.5, p = 0.01 one-tailed), with a combined OR of 1.3 (95% CI 1.1–1.5, p = 0.004 two-tailed); (2) reduced insulin secretion [insulinogenic index at 30 min p = 0.02, disposition index (D I) p = 0.03] in control participants during an OGTT; (3) reduced second-phase insulin secretion at 30 min (p = 0.04) and 60 min (p = 0.02) during an IVGTT; and (4) reduced D I over time in the Botnia prospective cohort (p = 0.05).

Conclusions/interpretation

We conclude that genetic variation in the CACNA1E gene contributes to an increased risk of the development of type 2 diabetes by reducing insulin secretion.

 
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Diabetologia
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UNAFF, which is now completing its first decade, was originally conceived to celebrate the 50th anniversary of the signing of the Universal Declaration of Human Rights. It was created with the help of members of the Stanford Film Society and United Nations Association Midpeninsula Chapter, a grassroots, community-based, nonprofit organization. The 10th UNAFF will be held from October 24-28, 2007 at Stanford University with screenings in San Francisco on October 17 and 18, East Palo Alto on October 19 and San Jose on October 21. The theme for this year is "CAMERA AS WITNESS."

UNAFF celebrates the power of films dealing with human rights, environmental survival, women's issues, protection of refugees, homelessness, racism, disease control, universal education, war and peace. Documentaries often elicit a very personal, emotional response that encourages dialogue and action by humanizing global and local problems. To further this goal, UNAFF hosts academics and filmmakers from around the world to discuss the topics in the films with the audience, groups and individuals who are often separated by geography, ethnicity and economic constraints.

Over three hundred sixty submissions from all over the world have been carefully reviewed for the tenth annual UNAFF. The jury has selected 32 films to be presented at this year's festival. The documentaries selected showcase topics from Afghanistan, Bolivia, Canada, Chile, China, Croatia, Cuba, France, Haiti, Kenya, Kosovo, Iceland, India, Iran, Iraq, Ireland, Iran, Israel, Italy, Lesotho, Macedonia, Mongolia, Nigeria, Norway, Palestine, Peru, Romania, Russia, Saudi Arabia, Serbia, Spain, Sudan, Uganda, the UK, Ukraine, the US, Vietnam and Zambia.

Cubberley Auditorium (October 24)
Annenberg Auditorium (October 25-28)

Conferences
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Co-Sponsored with the Department of History and the Taube Center for Jewish Studies

Richard Evans is a Professor of Modern History at the University of Cambridge, with a particular research interest in the social and cultural history of Germany since the mid-nineteenth century. He has worked on movements of emancipation and liberation, on social inequality in the urban environment, and on the social history of death and disease. Most recently, Professor Evans has worked on crime and punishment, especially the death penalty in German history since the seventeenth century, where he has used archival evidence to bring a social and anthropological approach to bear on major theories of punishment and society. Additionally, Professor Evans holds an interest in historiography and the history of the discipline of history. He has been Editor of the Journal of Contemporary History since 1998 and is a Fellow of the British Academy, the Royal Society of Literature and the Royal Historical Society, and an Honorary Fellow of Jesus College, Oxford, and Birkbeck College, London. His most recent publications include Telling Lies About Hitler: History, the Holocaust and the David Irving Trial (London, 2002), and The Coming of the Third Reich (London, 2003).

Lane History Corner, Room 205
Stanford University
Stanford, CA 94305

Richard Evans Professor of Modern History Speaker University of Cambridge
Seminars
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