External Degree Program
SOC-4030-JY01 ONLINE
Global Health, Diversity and Policy
Spring 2017
Instructor: Susan Green
Phone: 802-635-1308
Email: [email protected]
Dates: Jan. 16 to April 30 (no class April 3 to 7)
Location: Online using Moodle (http://myjsc.jsc.edu)
ADA Statement: Students with disabilities who believe that they may need
accommodations in this class are encouraged to contact JSC’s Learning Specialist in
Academic Services, as soon as possible to ensure that accommodations, if needed, are
implemented in a timely fashion. Please call 802-635-1264.
Academic Honesty: (from JSC Catalog) Students are expected to conform to the highest
standards of academic honesty in all of their academic work at Johnson State College.
Academic dishonesty in any form is prohibited and unacceptable. Acts of dishonesty for
which a student may be disciplined include, but are not limited to, receiving or providing
unauthorized assistance on an examination and plagiarizing the work of others in writing
assignments. The American Heritage Dictionary defines plagiarism in the following way:
“To steal or use (the ideas or writings of another) as one’s own.” Students are responsible
for knowing what specific acts constitute plagiarism; if students are uncertain as to
whether a particular act constitutes plagiarism, they should consult with their instructors
before turning in assigned work.
Texts: Texts are available through the JSC bookstore. Call 802-635-2503 or go to
www.jsc.bkstr.com.
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Required Texts:
Carol Holtz. Global Health Care: Issues and Policies. 3rd Ed. Jones & Barlett
2016
Millions Saved: New Cases of Proven Success in Global Health. Amanda
Glassman& Miriam Temin. Center for Global Development. 2016
Micheal Christopher Carroll. Lab 257: The Disturbing Story of the
Governments Secret Plum Island Laboratory. Harper Collins Pub. 2004.
Elinor Levy and Mark Fischetti. The New Killer Diseases. Three Rivers. 2004.
Optional Reading for Extra Credit: (The texts below are not required. You may submit
a 4-5-page summary/critique any one or two books below at the close of the semester.
The Germ Files: Surprising Ways Microbes Can Improve Your Health (and
How to Protect Yourself from the Bad Ones. Jason Tetro. 2016.
Germ Theory: Medical Pioneers of Infectious Disease. Robert Gaynes, MD.
2011
Microbes & Evolution: That World that Darwin Never Saw. Robert Kolter &
Stanley Maloy. 2016.
Virus: An Illustrated Guide to 101 Incredible Microbes. 3rd edition. Dr.
Marilyn Roossinck.
Evidence of Harm: Mercury in Vaccines & The Autism Epidemic-A Medical
Controversy. David Kirby. St. Martin’s Press. 2005
Other Information on Required Course Materials:
(1) The 4 Required Texts can be purchased through the JSC Bookstore or
through Amazon.com.
(2)
Required Article readings are available from VICKY SANBORN: AA IN
BEHAVIORAL SCIENCES OR PICK UP HIS ARTICLE TO YOU. HER EMAIL ADDRESS IS
[email protected] OR PA PAPER COPY IN MCLELLAND HALL @ JSC.
VICKY CAN ALSO SCAN THE ARTICLES TO YOU: HER PHONE IS 802-635-1320.
(3) Most Required Course Films are free on YOUTUBE or on TED TALKS.
“Sicko”, “Food, Inc”, “Under Our Skin” and “RX For Survival” can be
purchased or rented for viewing on Netflex.com or Amazon.com.
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Introduction:
This course will (1) explore and compare self-care, public healthcare, and global
healthcare issues in the U.S. around the globe, (2) examine germs and related diseases
from a personal economic-political, and socio-medical perspective, and (3) consider
U.S. and international creation of BioLevel Laboratories to examine the most
dangerous germs on the planet.
In the text, Global Health Care, you will be introduced to diverse healthcare issues and
systems from multiple perspectives. Using a sociocultural framework, we will
investigate how global and national economics, politics, media, medicine, the military,
and healthcare agencies influence our environmental choices, our treatment of animals,
and personal lifestyle choices for health and wellness. In the text, New Killer Diseases,
you will explore the history and nature of germs biologically, how the disease has been
treated medically, and how a disease is experienced personally. (More recent resources
are noted for your additional review, below). In the text, LAB 257, you will be
introduced to one of the very first BioLevel Laboratories in the United States designed to
study our most virulent germs for two purposes: for better health and for biological
warfare. In the text, Millions Saved, you will review the many success stories in global
health.
Note: These texts will be referenced in Discussions and Assignments below as GHC,
NKD, LAB, and MS.
In addition to the study of global healthcare systems, disease epidemiology and germ
research laboratories, we will explore healthcare controversies in nutrition, vaccination,
drugs, alternative medicine, environmental toxicity and climate change.
Fact: The World Health Organization predicts that heart disease and depression will be
the leading causes of death worldwide.
Fact: The World Health Organization predicts tobacco will kill more people than HIV.
Fact: The U.S. spends more money on healthcare than any other nation in the world.
Fact: The U.S. ranks 37th in global healthcare.
Fact: Young people will live shorter lives than their parents.
Course Grading:
75% Discussion Board Forums: 3 posts per forum required. Original post & 2 responses to other students.
25% Final Exam: 5-8 pages, with citations.
**Extra Credit Work Grading: If you complete one or two of the Extra Credit Text reviews, they will be
factored into your Final Grade.
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1/16
Introductions: Personal, Public, & Global Health
Discussion Board Forum:
Review: GHC: Ch.1: Global Health: An Introduction.
Review: Lab: Preface
(1) What are your most important personal health concerns?
(2) What health concerns should be “high national priority”
for physicians and hospitals in the United States?
(3) What global health issues most worry you?
1/23
The Public Health Nightmare: The Challenges of Killing the
Killing Germ.
Watch: (v) “OUTBREAK”
Watch: Larry Brilliant: TED Talk: A Positive Approach to EBOLA
Read: Crisis in the HotZone Chapter 1. on the Ebola Outbreak in Reston,
VA in 1983. (Article is available from Vicky Sanborn, AA in
Behavioral Sciences. [email protected]. She can scan it to you.
You can also pick it up in McClelland Hall @ JSC).
Read: Lab 257: Chapters 1, 2, 3
Review: Info on Biolevel Labs in the U.S. and Globally
https://en.wikipedia.org/wiki/Biosafety_level
Review: Info on Flight 93 on “911”
https://en.wikipedia.org/wiki/United_Airlines_Flight_93
Discussion Board Forum:
(1) Describe your reactions to the film “OUTBREAK” and to
Richard Preston’s article, “Crisis in the Hotzone”
(2) Lab 257 is located on Plum Island off the coast of Long
Island and Connecticut. It was dedicated in 1956. Compare
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your reading of Lab 257 with information offered in
Wikipedia about Biolevel Laboratories.
(3) What if a deadly viral “Outbreak” happened in your town?
If you were the top public Health Agency official in charge,
how would you manage this OUTBREAK?
(4) Offer your thoughts on the ethical challenges of
“sacrificing some people” to protect “The Greater Good”?
Consider the Wikipedia brief review of Flight 93, one of
the hijacked planes during “911” …that crashed in
Pennsylvania as passengers tried to overcome the hijackers.
Their actions…were heroic. The result, was tragic.
However, what options would the U.S. government have
had to consider, if the plane had not crashed…and continued
on to Washington, D.C—toward the White House or the
Pentagon?
1/30
The Hospital Emergency: SUPERBUGS: The Demise of
Antibiotics for Bacterial Infections
**Watch: (v) “RX FOR SURVIVAL:” RISE OF THE SUPERBUGS”
Read:
NKD: Ch 1: The Case of Jennie Brown
NKD: Ch. 6: Bacterial Resistance: The Dangers of Antibiotics
and Hospitals
GHC: Ch. 9 Infectious Diseases from a Global Perspective
Discussion Board Forum:
(1) Describe your thoughts and feelings reading about Jennie Brown.
In what ways might this reading help you in the future, should you
possibly get this disease?
(2) Summarize the key ideas and offer your thoughts re: NKD Ch.6
and the film “Rise of the Superbugs”. If you entered the hospital,
what precautions would you take, as a result of this reading?
(3) Offer your thoughts on watching “RX for Survival: Rise of the
Superbugs” and GHC: Ch. 9. Offer thoughts on global infectious
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diseases…and how infectious diseases relate to you, in the United
States.
2/6
#1 U.S. Public Health Tool: Vaccines: The Greater Good
Vaccines have been both a great success globally and
challenged for “vaccine injuries” in other parts of the world.
Dr. Edward Jenner is considered the “Father of Vaccination” in
the late 1790’s. However, many years before, both China and
India had come up with the concept of “Variolization” where
people were infected people with a less virulent version of the
viral disease. They hypothesized this would make them
“immune” to the more deadly virulent version of the disease.
Understanding “virulence”, however, was still in its infancy.
Dr. Jenner, an English physician, kept 10 years of meticulous
medical Case Study notes on infected Smallpox patients as he
made his rounds in the community as a physician…as per their
recovery, or not. He also kept related notes on how local
English Milkmaids, infected with Cowpox from milking
cows…seemed “immune” to getting Smallpox. Dr. Jenner
decided to launch an experiment. Dr. Jenner asked the
permission of a family who worked for him on his farm to use
their 8-year-old son as a “test case” to see if he had
successfully found a “cure” for Smallpox. The family agreed.
Their 8yr old son was given “Cowpox”. and after a period of
time…given “Smallpox”. The young boy, survived Small pox.
Dr. Jenner then inoculated his own son. Both boys died at the
age of 19 from Tuberculosis.
In 1954, young children received 4 vaccines. Today, in 2017
children receive 65 vaccine shots by the time they are 18. There
has been an increase in “vaccine injuries”….an unofficial
term…used to describe subsequent correlative ill effects after
receiving a vaccine—sometimes within hours, others within a
few months. The debate revolves around the Public Health
initiative and legal requirement of getting vaccinated to provide
“herd immunity” to the Greater Good. Other concerns issue
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relate to the lack of research on the safety of Thimerasol (a
form of mercury) as a vaccine preservative and Aluminum to
keep the vaccine from being eliminated from the body (toxic in
animal studies).
Watch: (v)RX FOR SURVIVAL: “DISEASE WARRIORS”
Watch: David Kirby: EVIDENCE OF HARM
https://www.youtube.com/watch?v=ZaDmwt0HuYs
Watch: THE GREATER GOOD
Read: MS: Ch 1: Beginning of the End: Eliminating Meningitis A
Across Africa’s Meningitis Belt
Read: MS: Ch 3: Cancer Risk in China: Equalizing Hepatitis B
Vaccine Coverage
Read: NKD: Ch 2: Bioterrorism
Read: LAB: 4-9
DISCUSSION BOARD FORUM:
Vaccines are the #1 tool for U.S. public healthcare. Along with great
success stories, there are also correlated with “Vaccine Injuries”.
There is a growing concern about how vaccines are administered (the
1st Hep B vaccines within 12 hours of birth—and 65 vaccines shots by
the age of 18), vaccines given in “bundles” of up to 6 vaccines per
shot—a possible stressful burden on immune antibody production,
and also the lack of research on vaccine preservatives and on
aluminum, in vaccines.
1.. Offer your summary and critique of these 3 films in “RX for
Survival: “Disease Warriors”….with “The Greater Good” and the
readings in Millions Saved.
Note: The film “Disease Warriors” & the text Millions Saved
received funding and support by the drug company Merck and the
Bill & Melinda Gates foundation.
Note: “The Greater Good” is supported by scientists who participated
in studies of vaccines, by medical physicians treating patients with
“vaccine injuries” and by concerned parents whose children became
ill after receiving the vaccines.
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2.Offer comments on the early development of LAB 257…one of the
earliest Biolevel Labs in the U.S. and related comments on NKD’s
introduction to germs and Bioterrorism.
2/13
HEALTHCARE SYSTEMS ACROSS THE GLOBE
**Watch: (v) “SICKO”
Read: GCH: Ch 2: Developed Countries: United States, Sweden,
Japan and the United Kingdom
United States:____________Sweden: ________________
United Kingdom:_________ Israel:
Read: GCH: Ch 3: Developing Countries: Egypt, India, China,
South Africa
DISCUSSION BOARD FORUM:
1.Offer your thoughts on the film “SICKO”.
2. Imagine you are President of the “World”. Describe what makes
“developed countries”….developed. Describe what make “developing
countries”….developing. What separates their “categories” as per
how their people are treated? As President of the “World” what
advice or suggestions would you offer to both developed and
developing countries to insure best health of people in all nations.
2/20
GHC: Ch. 5 Human Trafficking: The Pandemic of Modern
Slavery. Ch. 13. Global Perspectives on Violence, Injury
and Occupational Health.
Noy Thrupkaew: Human Trafficking is All Around You.
https://www.ted.com/talks/noy_thrupkaew_human_trafficking_
is_all_around_you_this_is_how_it_works
DISCUSSION BOARD FORUM:
1.Offer comments on Human Trafficking as per the reading
and the TED talk.
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What are the social and cultural issues or causes that allow
this to happen? If you were in charge of stopping human
trafficking, what policies would you implement?
2.Offer thoughts on the reasons for the prevalence of
violence, injury and occupational health problems?
DEADLY MESSENGERS-- DEALING WITH BAD BUGS
2/27
**Watch: (v) “RX FOR SURVIVAL: DEADLY MESSENGERS”
**Watch (v) “Under Our Skin”—Lyme’s Disease
Read: NKD: Ch 3: Our Ailing Pathogen Alert System
Read: NKD: Ch. 9: Ticking Time Bombs
Read: LAB: Ch10-13. The Decline
Read: MS: Part I: Ch. 2 Making the Impossible, Possible. Ch. 4 One
Mosquito at a Time, Ch. 6 A Fresh Start for a Bright Future. Ch 8
Learning from Disappointment
DISCUSSION BOARD FORUM:
1. Offer comments on “Deadly Messengers” and “Under Our Skin”.
Note the differences in the reasons why we have Lyme and West
Nile virus as per each film.
2. Offer comments on NKD Ch. 3 & 9. What challenges do we face
from diseases abroad and chronic diseases here in the US and
around the world?
3. Offer comments on LAB 10-13. The Seagulls who landed on Plum
Island and the Lobsters living near Plum Island…were dying.
4. Offer comments on MS Ch. 2,4, 6. What makes these “success”
stories when dealing with the deadly diseases?
3/6
`
ANIMAL HEALTH: WHO CARES?
“I ask people why they have deer heads on their walls. They
always say because it is such a beautiful animal. Well, I think my
mother is attractive, but I just keep photographs of her.” Ellen
DeGeneres
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“The Greatness of a Nation and its Moral Progress Can be
Judged by the Way it’s Animals are treated.” Gandhi
“ care not much for a man’s religion whose dog and cat are not
the better for it.” Abraham Lincoln
Read: NKD: Ch 4: Mad Cow and Chronic Wasting Disease
Watch: Blackfish
http://www.youtube.com/watch?v=fLOeH-Oq_1Y&feature=c4overview-vl&list=PL3ziD4_nX-3jm3BTSIdDiQW7yWwbunbWX
Watch: Canadian Lawyer About Animal Rights
https://www.youtube.com/watch?v=Fr26scqsIwk
Watch: Tyson Pig Factory Abuse in America
2013”
http://www.youtube.com/watch?v=Ibhf5zfLAoc
Watch: Do animals have feelings? For centuries, research labs have
said “no”.
http://www.youtube.com/watch?v=4O7zkXjSQWk
Watch: Dr. Temple Grandin, noted author and professor, is an
Autistic woman who works to insure animal industries treat animals
with care and kill animals humanely.
http://www.youtube.com/watch?v=LsEbvwMipJI
DISCUSSION BOARD FORUM:
1.Offer your thoughts on “Blackfish”. Animals are captured for zoos
for “education”. Animals are captured for “shows” for “educational
entertainment”. Comment.
2. Offer your thoughts on Mad Cow and Chronic Wasting Disease. Is
killing all infected animals the only resource to manage the spread of
the disease?
3.Offer your thoughts on Youtube videos on animals. Should animals
have legal rights? Why might some workers treat animals on route to
slaughter, badly? Do animals have feelings? Is there a way to treat
animals on route to slaughter…in a kind, caring and humane
manner?
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3/13
HEART DISEASE & CANCER: Drugs or Diet and Lifestyle?
https://www.youtube.com/watch?v=b3TLVebzyio
An alternative Medical Approach to Heart Disease:
(v) http://www.examiner.com/article/dr-oz-and-andrew-weil-discusshealth-scares-saturated-fat-cell-phones-wiWatch: (v) THE BEAUTIFUL TRUTH
Watch: William Li: Can We Eat to Starve Cancer?
https://www.ted.com/talks/william_li
Read: GHC: Ch 8: Global Perspectives on Selected Chronic
Cardiovascular Diseases
Read GHC: Ch 12: Cancer as a Public Health Problem
DISCUSSION BOARD FORUM:
1.Offer your comments on readings and videos on Heart Disease
approaches to better health.
2.Offer your comments on readings on Cancer and film and Ted Talk
on cancer.
3/20
NUTRITION: WHY DOES IT MATTER WHAT WE EAT?
(v) “EPIGENETICS & OBESITY
https://www.youtube.com/watch?v=qklq33KsQVI
(v) Obesity in America:
https://www.youtube.com/watch?v=4Ow1uiWcn4c
(v) Genetic Roulette
Read: GHC: Ch. 14: Global Perspectives on Nutrition
DISCUSSION BOARD FORUM:
1.Why are so many Americans obese yet, so any French are so thin?
The U.S. is 37th in the world for health. The French are #1.
2.Offer comments on “Genetic Roulette”. Genetically modified foods
were called “Substantially Equivalent” to non-modified foods by the
FDA as per the approval for use in the food supply. As per this
designation, labelling has not been required…but some states are
requiring it—like Vermont. Why are states requesting labeling and
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why are companies producing genetically modified foods, legally
resisting labeling…if, in fact, the foods are “substantially equivalent”?
3/27
DEPRESSION & ANXIETY
https://www.youtube.com/watch?v=NDjiKWV3Mq4
Read: GHC: Ch 7. Global Perspectives on Mental Health
View: Getting Unstuck: Alison Ledgerwood: Social Psychologist
https://www.youtube.com/watch?v=7XFLTDQ4JMk
View: Meditation for Depression: Zindel Segal
https://www.youtube.com/watch?v=1A4w3W94ygA
View: Using Biofeedback:
https://www.youtube.com/watch?v=NXbGjkV0UYU
DISCUSSION BOARD FORUM:
Depression and Anxiety are among the top priorities of The World
Health Organization (WHO) to address in Global Health.
1.Why are so many, in our world today, depressed and anxious?
2. Offer your thoughts on the reading.
3.Offer your thoughts on the 3 videos: psychological talks, meditation
and biofeedback for healing depression and anxiety.
4/3
NO CLASS: SPRING BREAK WEEK
4/10
ENVIRONMENTAL STRESS, SICK BUILDINGS &
HEALING PLACES
(v)Healing Places: Dr. Esther Sternberg.
https://www.youtube.com/watch?v=7zBOPRs1yRE
(v)Geobiology: Relationship of People & Animals to the Spirit of Place
https://www.youtube.com/watch?v=ReoF58uyvuY
Read: GHC: Ch. 11: Global Use of Complementary & Alternative
Medicine
Read: GHC: Ch.15 Global Perspectives on Environmental Health
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Read: Lab Ch 10, 11, 12
DISCUSSION BOARD FORUM:
1. Consider the notion of creating “healing spaces”. Comment on the
films..and offer your thoughts.
2. How might including complementary and alternative medicine
improve healthcare?
3. How might Environmental health initiatives improve our lives?
4. What lessons should we learn…and remember about LAB 257?
5.
4/17
GLOBAL HEALTH: Getting Old.
GHC: Ch.19 Global Health of the Older Adult
Since the death of 116-year-old Susannah Mushatt Jones of the
United States on 13 May 2016, [a] 117-year-old Emma Morano of
Italy, born 29 November 1899, is the oldest living person in the
world whose age has been documented. Oldest people - Wikipedia
https://en.wikipedia.org/wiki/Oldest_people
Emma Morano: Prescription for a Long Life
http://www.today.com/health/world-s-oldest-living-person-emma-moranoeats-eggs-every-t104523
Being Old in Japan:
https://www.youtube.com/watch?v=GDyPwiVObzg
Growing old in the World:
http://247wallst.com/special-report/2015/10/12/the-best-and-worstcountries-to-grow-old/
Waking the Spirit: Andrew Schulman, Medical Musician, Five songs that
have helped patients in the Intensive Care Unit.
https://www.youtube.com/watch?v=-VYX0cWhhGI
Andrew Schulman is an Oliver Sachs Foundation Best Book of the Year
selection and Finalist for the Books for a Better Life "Best First Book"
For millennia, music has been known to have a powerful role in the
healing process. This moving and inspiring book tells the tale of a man
pulled from the brink of death by music who, in turn, uses music as
medicine to help heal others.
Andrew Schulman, a fifty-seven-year-old professional guitarist, had a close
brush with death on the night of July 16, 2009. Against the odds―with the
help of music―he survived: A medical miracle.
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Once fully recovered, Andrew resolved to dedicate his life to bringing music
to critically ill patients at Mount Sinai Beth Israel’s ICU. In Waking the Spirit,
you'll learn the astonishing stories of the people he’s met along the
way―both patients and doctors―and see the incredible role music can play
in a modern hospital setting. In his new work as a medical musician, Andrew
has met with experts in music, neuroscience, and medicine. In this book, he
shares with readers an overview of the cutting-edge science and medical
theories that illuminate this exciting field. This book explores the power of
music to heal the body and awaken the spirit.
DISCUSSION BOARD FORUM:
1.Offer your thoughts of how our current oldest living global resident
Emma Morano offers her thoughts on what may contribute to a
longer life. How is this similar or different to aging in Japan or in
other nations of the world?
2.Consider what Americans do to diminish the notion that they are
“growing old”. And, at what cost?
3.Consider how “growing old” in other nations may not be not
so…sad, but, instead, embracing of life as it presents. Consider how
music….can assist in the processing of aging..and dying.
4.Music Thanatology is a field to train musicians to create therapeutic
musical medical prescriptions uniquely focused to support people who
are ill or injured, or to assist those who are dying…to die, in peace.
Offer your thoughts.
4/24
PAYING IT FORWARD: WHAT CAN YOU DO TO
MAKE A DIFFERENCE??
Watch: (v) Go Further. Woody Harrelson. 2003.
https://www.youtube.com/watch?v=a3sqCOIDf0w
Watch: (v) ETHOS https://www.youtube.com/watch?v=U8EoiZaAZ7E
Jane Goodall: Humans and Chimps…Not So different.
Watch: (v) https://www.youtube.com/watch?v=rTgU-cBr7xg
Dr. James Gordon: Global Trauma Relief with Mindfulness
https://www.youtube.com/watch?v=_t8euKbwEyo
Read: NKD: Ch. 10: What We Must Do
Read: NKD: Epilogue: The New Normal
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Read: LAB: Ch 13, 14 15: The Homeland and a Plum Island
Prescription
Read: MS: Readings TBA.
FINAL ASSIGNMENT: Minimum 6 pages. No maximum
You have just been awarded the Directorship of the World Health
Organization. You begin your job in 2017.
1.What will be your key recommendations globally to improve
healthcare for both specific nations and general global health? Offer
citations from films & readings to support your recommendations.
2.What will be your key recommendations to the United States? Offer
citations from films & readings to support your recommendations.
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