A Scientific Symposium Honoring Robert S. Lawrence, MD Beyond Tilting at Windmills: One physician’s remarkable journey in public health October 6, 2014 1:30 – 5:00 PM Sheldon Hall, Wolfe Street Building Hosted by Johns Hopkins Bloomberg School of Public Health, Department of Environmental Health Sciences Robert S. Lawrence, MD Director, Johns Hopkins Center for a Livable Future Professor of Environmental Health Sciences, Health Policy, and International Health Bob is a graduate of Harvard College and Harvard Medical School, and trained in internal medicine at the Massachusetts General Hospital in Boston. He served for three years as an officer with the Epidemic Intelligence Service officer at the Centers for Disease Control, U.S. Public Health Service. From 1970 to 1974, Bob was a member of the faculty of medicine at the University of North Carolina at Chapel Hill, where he helped develop a primary health care system funded by the Office of Economic Opportunity. In 1974, he was appointed as the first director of the Division of Primary Care at Harvard Medical School where he subsequently served as the Charles S. Davidson Associate Professor of Medicine and Chief of Medicine at the Cambridge Hospital until 1991. From 1991 to 1995, he was the director of health sciences at the Rockefeller Foundation. From 1984 to 1989, Bob chaired the U.S. Preventive Services Task Force of the Department of Health and Human Services and served on the successor Preventive Services Task Force from 1990 to 1995. Bob’s accomplishments include co-founding Physicians for Human Rights (PHR) in 1986 and taking part in many international investigations of human rights abuses. PHR shared the 1997 Nobel Peace Prize for its work to eliminate the use of anti-personnel landmines. Bob is a former chair and emeritus member of PHR’s board of directors. On behalf of PHR and other human rights groups, he has participated in human rights investigations in Chile, Czechoslovakia, Egypt, El Salvador, Guatemala, Kosovo, the Philippines and South Africa. In 1996, Bob became the founding director of the Johns Hopkins Center for a Livable Future (CLF). From its modest beginnings to its burgeoning staff today, the CLF has focused on using the best science available to illuminate the interrelatedness of agriculture, diet, environment and public health. The Center combines education and research with advocacy and outreach. It’s not just a think tank, but a “do tank.” From 1995 to 2006, Bob served as Associate Dean for Professional Education and Programs at the School of Public Heath. Since 2006 he has been a full-time faculty member in the School’s Department of Environmental Health Sciences with joint appointments in Health Policy and Management and International Health. Bob and his wife Cynthia have two daughters, three sons and seven grandchildren. Symposium Schedule 1:30 p.m. Welcome & Opening Remarks Michael J. Klag, MD, MPH, Dean Marsha Wills-Karp, PhD, Chair, Environmental Health Sciences 1:40 – 2:40 p.m. Session One: The Emergence of Human Rights as a Framework for Public Health Hosted by: Leonard Rubenstein, JD, LLM Presenters: Jack Geiger, MD, M Sci Hyg Race and health, from apartheid medicine to racial disparities in health in the U.S. Jennifer Leaning, MD, SMH A new constituency: health professionals as investigators and advocates for human rights Leonard Rubenstein, JD, LLM The protection of health in conflict as a human rights imperative 2:40 – 3:40 p.m. Session Two: The Benefits of a Public Health Perspective in Changing Our Food System Hosted by: Kellogg Schwab, PhD Presenters: Kellogg Schwab, PhD Public health impacts from environmental exposure to industrial food animal production Lance Price, PhD Molecular approaches for understanding the origins of antibiotic resistance Frederick Kirschenmann, PhD Growing recognition of public health’s role in improving our food system Schedule continued on next page... Symposium Schedule (continued) 3:40 – 4:00 p.m. [ Break ] 4:00 –5:00 p.m. Reflection & Vision Hosted by: Alfred Sommer, MD, MHS Presenters: Grace Chan, MD, MPH, PhD James Yager, PhD Polly Walker, MD, MPH The Lawrence family Robert Lawrence, MD Alfred Sommer, MD, MHS 5:00 – 6:00 p.m. Reception in Anna Baetjer Room — W1030 About the Speakers (in order of appearance) Leonard S. Rubenstein, JD, LLM Director, Program on Human Rights, Health and Conflict Center for Public Health and Human Rights, Johns Hopkins Bloomberg School of Public Health Before coming to Johns Hopkins in 2009, Mr. Rubenstein was a Senior Fellow at the United States Institute of Peace, and for more than a decade before that was Executive Director and then President of Physicians for Human Rights. He also spent almost 15 years engaged in mental health advocacy at the Judge David Bazelon Center for Mental Health Law, including serving as its executive director. His career in human rights has included investigating the role of health professionals in detention and interrogation, and the issues of gender-based violence and health in armed conflict. Jack Geiger, MD, M Sci Hyg Arthur C. Logan Professor of Community Medicine Emeritus City University of New York Medical School Dr. Geiger is a founding member and past president of both Physicians for Human Rights (PHR) and Physicians for Social Responsibility. He has led or participated in human rights missions for PHR, the United Nations, and the American Association for the Advancement of Science to the former Yugoslavia, Iraq and Kurdistan, the West Bank and Gaza Strip, and South Africa. Most of his professional career has been focused on the related issues of health, poverty, and civil rights. Dr. Geiger initiated the community health center model in the United States. Jennifer Leaning, MD, SMH Director, François-Xavier Bagnoud Center for Health and Human Rights, Harvard University Dr. Leaning’s research focuses on issues of public health, medical ethics, and early warning in response to war and disaster, human rights and international humanitarian law in crisis settings, and problems of human security in the context of forced migration and conflict. She has field experience in problems of public health assessment and human rights in a range of crisis situations, including Afghanistan, Albania, Angola, Kosovo, the Middle East, Pakistan, the former Soviet Union, Somalia, the Chad-Darfur border, and the African Great Lakes area. Kellogg Schwab, PhD Professor, Dept. of Environmental Health Sciences, Johns Hopkins Bloomberg School of Public Health Director, Johns Hopkins Water Institute Dr. Schwab’s research focuses on environmental microbiology and engineering with an emphasis on the fate and transport of pathogenic microorganisms in water, food and the environment. The institute he directs integrates Hopkins researchers from across the university including public health, engineering, arts and sciences, business, behavior, policy and economic disciplines to address the critical nexus of water, food and energy. The goal of this program is to achieve sustainable, scalable solutions for disparate water needs both internationally and domestically. Lance Price, PhD Professor, Dept. of Environmental and Occupational Health, George Washington University A former Johns Hopkins Center for a Livable FutureLerner Fellow, Dr. Price is pioneering the use of genomic epidemiology to understand how the misuse of antibiotics in food animals affects public health. By analyzing the genomes of bacteria found in humans, food, livestock, and environments near food animal production sites, Dr. Price and his colleagues have traced new strains of antibiotic-resistant pathogens to industrial livestock operations. Dr. Price previously served on the faculty of the Arizona-based non-profit Translational Genomics Research Institute (TGen) and he maintains an appointment there. Frederick L. Kirschenmann, PhD President, Stone Barns Center for Food and Agriculture (N.Y.) Distinguished Fellow, Leopold Center for Sustainable Agriculture at Iowa State University Frederick L. Kirschenmann is a longtime national and international leader in sustainable agriculture. He manages his family’s 1,800-acre certified organic farm in North Dakota, where he developed a diverse crop rotation that has enabled him to farm productively without synthetic inputs while simultaneously improving the health of the soil. In 2010, the University Press of Kentucky published a book of his essays, Cultivating an Ecological Conscience: Essays from a Farmer Philosopher. He is exploring ways that rural and urban communities can work together to develop a more resilient, sustainable agriculture and food system. Fred was recently awarded the One World Award for Lifetime Achievement. Alfred Sommer, MD, MHS Dean Emeritus, Johns Hopkins Bloomberg School of Public Health University Distinguished Service Professor of Epidemiology, Ophthalmology, and International Health Dr. Sommer was dean of the Johns Hopkins Bloomberg School of Public Health from 1990-2005. His long-term research investigates the cause, magnitude, consequences, and control of vitamin A deficiency and, most recently, those of related micronutrients. In a series of complex intervention trials he conducted in Indonesia (1976-1980), his research team discovered that vitamin A deficiency was far more common than previously recognized, and that even mild vitamin A deficiency dramatically increases childhood mortality rates, primarily because this deficiency reduces resistance to infectious diseases such as measles and diarrhea. Grace Chan, MD, MPH, PhD Instructor of Pediatrics, Harvard Medical School, Harvard School of Public Health Dr. Chan is a graduate of Harvard College, Harvard Medical School, and the Johns Hopkins Bloomberg School of Public Health. She trained in pediatrics in the Boston Combined Residency Program, then returned to JHSPH to do a PhD with Bob Lawrence in the Graduate Training Program in Clinical Investigation. During this time, she was an NIH Clinical Research Scholar and completed a dissertation on the maternal origins of neonatal infection in Bangladesh. Dr. Chan’s research activities focus on using epidemiologic methods to advance child health. James Yager, PhD Professor, Department of Environmental Health Sciences, Johns Hopkins Bloomberg School of Public Health Dr. Yager is an expert on the mechanisms of estrogen carcinogenesis. His ongoing research is focused on investigating mechanisms by which endogenous estrogens and their metabolites and environmental chemicals with estrogenic activity (xenoestrogens) contribute to the development of “spontaneous” breast cancer, with the goal of developing strategies for assessing genetic and environmental risk factors and for prevention. As the Senior Associate Dean for Academic Affairs from 2000 to 2013, he oversaw existing programs and developed new academic, training, and continuing education programs in the Bloomberg School of Public Health. Polly Walker, MD, MPH Former Associate Director, Center for a Livable Future, Johns Hopkins Bloomberg School of Public Health In 1996, Dr. Walker joined Director Bob Lawrence in launching the Center for a Livable Future’s involvement in interdisciplinary collaboration, research, education, and community outreach – all of which continue to be hallmarks of the Center today. Dr. Walker has devoted her life to two major interests: health and the environment. A physician trained in pediatrics, Dr. Walker realized that her primary interest was in public health. She led several successful land preservation campaigns in Baltimore County, among other environmental advocacy efforts.
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