GHSM Spring 2017 Newsletter | www.kcl.ac.uk/ghsm GLOBAL HEALTH & SOCIAL MEDICINE PHD STUDENT LEADS BMJ EDITORIAL PhD student Vicky Charlton is first author of a British Medical Journal PRIZES & NOMINATIONS 2 GRANTS & SCHOLARSHIPS 5 RESEARCH NEWS 6 NEW PUBLICATIONS 8 OUTREACH 11 EVENTS 14 EXCURSIONS 16 UNDERGRADUATES 18 POSTGRADUATES 20 CAREER DESTINATIONS 22 IN THE MEDIA 24 NEWS PRAINSACK LAUNCHES NEW BOOK Prof Barbara Prainsack and coauthor Prof Alena Buyx launched their much awaited editorial published on 22 March 2017. The article, titled ‘Cost-effective but unaffordable: An emerging challenge for health systems’ argues that a new “budget impact test,” to be applied by the National Institute for Health and Care Excellence (NICE), is an unpopular and flawed attempt to solve a fundamentally political problem. The editorial was written together with Dr Annette Rid and others from the KCL/ UCL Social Values and Health Priority Setting group. Rid comments: “The test means that NICE-recommended technologies costing the NHS more than an additional £20 million a year will be ‘slow-tracked’, regardless of their cost-effectiveness or other social or ethical values.” book Solidarity in Biomedicine a n d B e y o n d ( C a m b r i d g e University Press, 2017) on 1 M a rc h 2 0 1 7 . T h e b o o k focuses on the notion of solidarity, gaining new currency in times of global economic and political crises. Outreach Page 12 Publications Page10 New Publications Page 9 HUMANITARIAN AID CONFERENCE IN BERLIN In October 2016, six GHSM undergraduates travelled to Berlin to attend the annual Humanitarian Congress, a humanitarian aid conference organised by MSF, Doctors of the World and the German Red Cross. This year’s t h e m e w a s ‘ T h e Po l i t i c s o f Compassion,’ and the conference focused heavily on how changes in warfare tactics have now put healthcare under fire – with hospitals, UN convoys and aid workers increasingly being targeted. Undergraduates Page 19 Department of Global Health & Social Medicine !1 GHSM Spring 2017 Newsletter | www.kcl.ac.uk/ghsm PRIZES AND NOMINATIONS PRAINSACK APPOINTED TO EUROPEAN GROUP ON ETHICS Prof Barbara Prainsack has been appointed member of the prestigious European Group on Ethics and New Technologies (EGE) in March 2017 by the President of the European Commission. EGE provides a unique forum for deliberation and reflection, where members carefully and thoughtfully weigh the consequences and ethical dimensions of policy choices. As an EGE member, Prainsack will examine the ever closer intermeshing between technological advancement and broad societal and political developments, deliver advice that transcends disciplinary boundaries, focus on emergent urgencies as well as long term trajectories, and consider not only the national and European contexts of the ethical questions placed before her, but also the global nature of contemporary ethical dilemmas, in order to provide the European Commission with the best possible ethical advice to formulate its policies and legislation. RID APPOINTED TO ROYAL COLLEGE OF PHYSICIANS COMMITTEE Dr Annette Rid has been appointed to the Royal College of Physicians Committee on Ethical Issues in Medicine. The committee advises the College on ethical questions related to its work, as well as providing input on the College’s responses to consultations from relevant bodies like the General Medical Council or NHS England. “Your professional expertise and considerable experience will enable the European Commission to benefit from the highest quality independent advice” On Prainsack’s appointment, Commissioner for Research, Science and Innovation, Carlos Moedas, said: “President Jean-Claude Juncker and I are convinced that your professional expertise and considerable experience will enable the European Commission to benefit from the highest quality independent advice on all aspects of its policies and legislation where ethical, societal and fundamental rights dimensions intersect with the development of science and new technologies.” Prainsack’s appointment is for a term of two and a half years. Warm congratulations to Barbara, Annette, Alysia, Anthea, Ashley, Sarah, Emma and John for their outstanding achievements and well-deserved recognition. ! 2 Department of Global Health & Social Medicine GHSM Spring 2017 Newsletter | www.kcl.ac.uk/ghsm RID APPOINTED TO GLOBAL BIOETHICS EDITORIAL BOARD MONTROSE AND TINKER WIN KING’S AWARDS Dr Annette Rid has been appointed to join the Global Bioethics editorial board. The journal brings together scholarship from around the world and provides a broad open access international forum for research on the ethical aspects of global health research, practice and policy. GHSM is proud to have two of its staff members recognised in this year’s King’s Awards. Now in their tenth year, the Awards are one of the most high-profile ways in which the university recognises the achievements of members of its community. SUCCESS IN THE KING’S EXPERIENCE AWARDS Undergraduate student Ashley Oyo Williams has been awarded a King’s Experience Research Award in December 2016 for her successful KURF project. King's Undergraduate Research Fellowships (KURF) give undergraduate students the unique opportunity to learn alongside King’s leading academics. Williams’ KURF project aimed to investigate the influence of geo-cultural differences on learning, and was undertaken under the supervision of Dr Thushari Welikala, Director of Teaching Recognition at King’s. Williams commented: “My main role entailed study design, participant recruitment, interviews, transcription and data analysis. I found the whole experience incredibly enriching particularly as I worked very closely with Dr. Welikala and learned a lot about qualitative research. I also learned from the experience of other students whom I would not necessarily have c o m e i n t o c o n t a c t w i t h o t h e r w i s e. I wo u l d highly recommend KURF to those who would like to combine a paid internship with academic learning during their summer holidays.” “I would highly recommend King’s Undergraduate Research Fellowships to those who would like to combine a paid internship with academic learning during their summer holidays” King’s Experience Awards are given for learning undertaken outside the formal curriculum. The KURF scheme is now open for summer 2017 applications. Alysia Montrose was awarded the ‘Most Outstanding Contribution to the Student Experience’ award, confirming what all of us in GHSM know: she is a wonderful colleague and her support for each and every one of our students is fantastic. She has done so much to make our Department a success, and is a very worthy winner. Prof Anthea Tinker was awarded the ‘Lifetime Achievement’ award, a just recognition for a lifetime of service, both before she came to King’s and since she has been here, at the Institute of Gerontology and then in GHSM. She is a role model for our colleagues and our students, a brilliant teacher, supervisor and researcher. She has been central to the development of our Department. RID APPOINTED TO NATIONAL RESEARCH ETHICS ADVISORS PANEL Dr Annette Rid has been appointed to the National Research Ethics Advisors Panel that provides advice to the UK Health Research Authority (HRA) on matters related to the HRA’s strategic objectives, policy and policy development, and emerging issues regarding research ethics and regulation. Department of Global Health & Social Medicine !3 GHSM Spring 2017 Newsletter | www.kcl.ac.uk/ghsm POLICY IDOL FINALISTS Global Health & Social Justice MSc students Sarah Williams and Emma Wynne-Bannister have been selected as finalists of Policy Idol 2017. The annual competition run by the Policy Institute at King’s gives King’s students an opportunity to pitch policy ideas to an elite panel of leading figures from the worlds of politics, academia and industry. Participants have three minutes to present their ideas to the judges, who assess the pitch on the quality of delivery and the evidence and analysis underpinning it. comprise only 5% of the prison population, are disproportionately affected by this catch 22 as they are more likely to commit non-violent crimes and receive shorter sentences. Moreover, women are more likely to enter prison on a background of mental health issues, domestic violence, single parenthood, sexual and psychological abuse. Evidence abounds that women fare much better with community based sentences. Therefore we propose that women committing their first nonviolent offence are immediately diverted to a community service and care pathway, jointly commissioned and delivered by the Criminal Justice System, the Association of Directors of Adult Social Services and the National Health Service England.” The Policy Idol final takes place in front of a live audience on 28 March 2017, with both judges and the audience voting for their favourite idea. Congratulations to Williams and Wynne-Bannister for getting this far. Come along and support them on the 28th! JOHN HARRIS APPOINTED GHSM VISITING PROFESSOR IN BIOETHICS Prof John Harris was appointed Visiting Professor in Bioethics in GHSM on 1 January 2017. Harris is one of the most prominent living bioethicists. Educated at the University of Kent and at Balliol College, Oxford, he is the author or editor of twenty-one books and over three hundred peer-reviewed articles. Harris has, throughout his career, defended broadly libertarian - consequentialist approaches to issues in bioethics. This has made him a leading defender of the rights of the individual to access medical technology and to benefit from medical services. Williams and Wynne-Bannister’s pitch – ‘A Reformation of Reformation’ – focuses on sentencing women who commit non-violent crimes in the UK. They explain: “Short custodial sentences are long enough for a prisoner to lose their home, benefits and family, but not long enough to re-establish these for release. Women, who ! 4 Department of Global Health & Social Medicine Harris has already been significantly involved in GHSM, having given a number of seminars since the introduction of our Bioethics & Society programme in 2014-15. Over the next three years as a Visiting Professor, Harris will give lectures and seminars in his specialist areas, advise students on dissertations, engage in collaborative research, and more generally contribute to the life of the Department and the Bioethics & Society programme. He intends to mentor students during their matriculation in the programme, and offer seminars on research methodologies in ethics as well as in ‘how to publish successfully’ for PhD and Post-Doctoral students. This, Harris believes to be a much-neglected area in academia and he says: “getting published is a learnable skill like any other.” We are thrilled to have John Harris join us – with him on board, the Department will continue to make its mark on the history of bioethics in the UK as a leading centre of excellence for teaching, research and public engagement. GHSM Spring 2017 Newsletter | www.kcl.ac.uk/ghsm GRANTS & SCHOLARSHIPS STUDENT OPPORTUNITY FUND AWARD FACULTY RESEARCH GRANT SUCCESS Undergraduate students Robert Smith, Hannah Akki and Gurkirpal Khosa have been awarded funding from the King’s Student Opportunity Fund to host a hackathon for their initiative NGOs United. The initiative aims to actively promote NGO communication in aid delivery, provide donors with transparency and give beneficiaries a voice. T hey’re initially focused on improving the effectiveness of NGOs working in Haiti, by producing online collaboration mechanisms and data on who is doing what, where and how. Prof John Abraham was awarded a Faculty Research Grant of £12,000 to promote research on pharmaceutical regulatory reform. The award funds a part-time Research Associate to work with Abraham for 6 months from 1 February 2017. Robert Smith commented: “What started off as a data collection project on who is doing what and where in Haiti has led to the production of a podcast titled ‘Development United’ and to the production of a social enterprise titled NGOs United which is currently prototyping a minimum viable product that will stimulate project collaboration among NGOs. On 1 April 2017, we will be hosting the ‘NGO Coordination Innovation Day’ at King’s with the support of the Student Opportunity Fund. This hackathon will bring together the best of London’s tech sector, development sector, and global health academics and students to work collaboratively to produce tech based mechanisms to stimulate NGO coordination.” Read more about this brilliant endeavour at www.ngosunited.com MENTAL HEALTH, MIGRATION & THE MEGACITY SÃO PAULO Prof Nikolas Rose, Prof Nick Manning and Dr Dominique Behague, together with Laura Andrade and colleagues from the Institute of Psychiatry at the University of São Paulo, Brazil, have been awarded £60,000 from FAPESP/King’s to take the first steps to developing their ‘M3’ project from Shanghai into Brazil. The money will pay for initial pilot work, with the aim of submitting in the near future for further funding for a major project for São Paulo. Latin America, strikingly little is known about the relationship between mental health and the rapidly-expanding mega-cities of our century, in countries such as China, Brazil and India. This programme of work aims to develop the sociology of major and expanding cities such as Shanghai, São Paulo and Mumbai, particularly the consequences for the mental health of their citizens, and to identify new ways to untangle and counter the relations between migration, poverty and poor mental health. AUSTRALIAN RESEARCH COUNCIL GRANT Prof Nikolas Rose and colleagues a t t h e I n s t i t u t e f o r C u l t u re and Society at Western Sydney University, have been awarded an Australian Research Council grant on ‘Assembling and Governing Habits.’ The grant will run from July 2017 to June 2020, and is worth around AU$400,000. Both projects are part of a programme of work initiated by Prof Nikolas Rose, with a development grant from the ESRC in 2013-15, to examine the relationship between urban living and mental health. Despite the wide recognition that we are in the midst of another period of significant urbanisation whose prime exemplars are in Asia and in Department of Global Health & Social Medicine !5 GHSM Spring 2017 Newsletter | www.kcl.ac.uk/ghsm RESEARCH NEWS SO LONG PROF ROSE! An era has come to an end with Prof Nikolas Rose stepping down from Head of Department at the end of 2016 after 5 fantastic years in which he created from scratch a unique, innovative and interdisciplinary social sciences department at King’s. We are all so grateful for what he has done for each one of us at GHSM and for what he has done to advance knowledge and practice on social determinants of health in the world. We wish him all the best for a well-deserved study leave in 2017. Congratulations to our new Head of Department Prof Karen Glaser who, as put by our Prof Bronwyn Parry, now Head of School of Global Affairs, is “a tough chick for taking on the challenge!” We all look forward to working with her to take GHSM to new horizons in 2017 and onwards. TO SEA WE WENT WITH PENS IN HAND Thinking requires the company of others. And whoever is engaged in the process of writing, writes with others in mind. This idea of thinking and writing in the company of others was at the heart of the CMP Writing Retreat organized by Dr Hanna Kienzler and Dr Carlo Caduff. The group of 12 participants spent a long weekend at a cottage by the sea in January 2017, working intensively on their writing skills. Caduff comments: “A series of exercises removed the weight of conventions and the burden of expectations, and made our words fly in unexpected directions. We returned to our research materials and explored new ways of combining the empirical with the literary.” NSN WRITING RETREAT Doctoral students Sam Mclean and Tara Mahfoud convened a five-day ‘Humanities School’ writing retreat in Brighton on 10-14 September 2016 under the ! 6 Department of Global Health & Social Medicine auspices of the Neuroscience and Society Network (NSN). The retreat brought together PhD students and NEW PODCAST SERIES ON HEALTH & SOCIETY GHSM early career researchers launched ‘Health & Society,’ a new podcast series, on 8 November 2016. The series features researchers discussing a broad range of health-related issues with well-known ‘Philosophy Bites’ interviewer Nigel Warburton. Exploring subjects like addiction and memory, health apps, reproductive technologies and genetics, population ageing, and epigenetic research, the podcasts aim to support an improved understanding of pertinent health issues facing the world today. The podcasts are informative, accessible and entertaining. It is hoped they encourage early career researchers to engage with new media and share their invaluable work. The series is produced by Dr Silvia Camporesi, Giulia Cavaliere and James Fletcher, alongside King’s alumni Aidan Judd and Ellie Clifford. You can listen to Health & Society via iTunes and SoundCloud, as well as on the dedicated website www.healthandsociety.co.uk, where you will also find transcripts, researcher biographies and further information. early career scholars in the neurosciences, humanities and social sciences to think and write together about the challenges of interdisciplinarity and collaboration. The retreat also provided an opportunity to bring together future NSN leaders to shape the direction and focus of GHSM Spring 2017 Newsletter | www.kcl.ac.uk/ghsm the network going forwards, and participants are currently working on funding applications to further develop themes explored at the retreat. DISCUSSION SERIES ON BIOLOGICAL THREATS Dr Filippa Lentzos launched her edited volume Biological Threats in the 21st Century with a series of author panel discussions held at George Mason University on 14 October 2016, the United Nations on 9 November 2016, and King’s on 17 November 2016. The series was kicked off with a keynote address by Andrew C. Weber, former Deputy Coordinator for Ebola Response at the US Department of State and former Assistant Secretary of Defense for Nuclear, Chemical and Biological Defense Programs. PLENARY LECTURE ON PRIMODOS On 27 January 2017, Prof John Abraham gave the plenary lecture at a Cambridge conference on the ‘History of UK drug safety regulation’ as part of the investigation into whether Primodos is the forgotten thalidomide. INTERNATIONAL SOCIETY OF GERONTECHNOLOGY PLENARY Prof Anthea Tinker gave a plenary lecture on ‘Age friendly cities: Lessons from London’ at the September 2016 conference of the International Society of Gerontechnology in Nice, France. HUMAN BRAIN PROJECT CONFERENCE effective? And what about the social, political, economic and institutional contexts we all work in – how do these affect how collaborations take shape and how knowledge is created? LECTURE TOUR IN AUSTRALIA Prof Nikolas Rose completed a two-week lecture tour of Australia in early March 2017. He gave public lectures on ‘The urban brain: Living in the neurosocial city’ at the University of New South Wales in Sydney and at Western Sydney University. He gave masterclasses on biopsychiatry and resilience at the University of New South Wales and on rethinking the relations between the neurosciences and the social sciences at the Australian National University in Canberra. He gave additional invited lectures at the University of New South Wales and Western Sydney University, as well as at Macquarie University. GHSM JOINS INTERNATIONAL BIOETHICS CONSORTIUM GHSM joined an international consortium of institutions working in bioethics, which comprises - in addition to the King’s Centres for Medical Law & Ethics and Politics, Philosophy & Law - the Mount Sinai School of Medicine, Oxford University, the Vrije University of Amsterdam, and Bar Ilan University. The consortium meets once a year to discuss and critique completed projects and work in progress on a wide range of interdisciplinary issues involving medicine and science, philosophy, history, sociology, literature, law, and public affairs. The next meeting will be held at the University of Oxford from 3-5 April 2017. For further information, please contact Dr Annette Rid: [email protected]. Foresight Lab researchers Tara Mahfoud and Dr Christine Aicardi convened a discussion session at the first Human Brain Project (HBP) student conference held in Vienna 8-10 February 2017. The aim of the session, on the complex and conflicted ethics of collaboration, was to push the audience of PhD students and early career researchers in neuroscience and computing to think of collaboration as not just technical and to think of ethics as not just protocol. Some of the key questions addressed were: What are the challenges scientists face in collaborations? Is interdisciplinarity always the way to move knowledge forward? Are large-scale collaborations always more Department of Global Health & Social Medicine !7 GHSM Spring 2017 Newsletter | www.kcl.ac.uk/ghsm NEW PUBLICATIONS GHSM staff publishes its research in leading social science journals. Much of our research is done collaboratively with natural scientists, medical practitioners and health professionals, and we also publish collaboratively with them. For a listing of our staff’s publications see their individual profiles on King’s Research Portal Pure. Here, we feature books, project reports, student publications and other notable publications in the Department. BEHROUZAN LAUNCHES PROZAK DIARIES Dr Orkideh Behrouzan launched her acclaimed book Prozak Diaries (Stanford University Press, 2016) at King’s on 5 December 2016, following a series of book talks at the University of California Berkeley, New York University, John Hopkins University and MIT. The book is an analysis of emerging psychiatric discourses in post-1980s Iran. It examines a cultural shift in how people ! 8 interpret and express their feeling states, by adopting the language of p s yc h i a t r y, a n d s h o w s h o w experiences that were once articulated in the richly layered poetics of the Persian language became, by the 1990s, part of a clinical discourse on mood and affect. In asking how psychiatric dialect becomes a language of everyday, the book analyzes cultural forms created by this clinical discourse, exploring individual, professional, and generational cultures of medicalization in various sites from clinical encounters and psychiatric training, to intimate interviews, works of art and media, and Persian blogs. Through the lens of psychiatry, the book reveals how historical experiences are negotiated and how generations are formed. Prof Veena Das, of John Hopkins U n i ve r s i t y, s a i d : “ Wi t h t h e exquisite literary sensibility of a writer and the analytical astuteness of a scientist, Orkideh Behrouzan has written an exceptional book that brings the experiences of psychiatry and individuals' need for improvisation in an uncertain w o r l d a l i v e t o t h e r e a d e r. Navigating between the experiences of different generations of Iranians, this book provides one of the most compelling accounts I have read of h o w historical a n d Department of Global Health & Social Medicine “With the exquisite literary sensibility of a writer and the analytical astuteness of a scientist, Orkideh Behrouzan has written an exceptional book.” psychological experiences fold and refold into everyday life. In its execution of this difficult project, the book breaks all boundaries between disciplines, and between expert knowledge and lay knowledge. A splendid achievement.” Behrouzan’s most recent book talk was at SOAS on 7 March 2016. BIOETHICS SPECIAL ISSUE Dr Annette Rid has guest-edited a special issue of the journal Bioethics with Dr Seema Shah (University of Washington, Seattle) focused on the social value of research. Rid comments: “Social value is widely acce pted, but rarely questioned as a benchmark of ethical research. International and national research ethics guidelines and regulations presume that the value of research to society is critically important for selecting study populations, justifying risk imposition, and determining the acceptable level of net risk. Yet, there is a limited amount of scholarship exploring what the ‘social value requirement’ entails or what its normative status should be in research ethics. This special issue of one of the leading bioethics journals compiles nine original papers addressing these questions.” GHSM Spring 2017 Newsletter | www.kcl.ac.uk/ghsm PRAINSACK LAUNCHES NEW BOOK Continued from Page 1: In their new book Solidarity in Biomedicine and Beyond, Prof Barbara Prainsack and Prof Alena Buyx argue that a solidarity-based perspective can help us to find new ways to address pressing problems. Exemplified by three case studies from the field of biomedicine – databases for health and disease research, personalised healthcare, and organ donation – the book explores how solidarity can make a difference in how we frame problems, and in the policy solutions that we can offer. Praising the book, Daniel Callahan, President Emeritus of the Hastings Center, New York, said: “Solidarity in Biomedicine and Beyond effectively takes on and combines two complex issues of our times. How ought we best understand the idea of human solidarity in the face of cultural trends that separate and often badly divide us? And how best to bring that understanding to bear on the great challenges, for good or ill, of the rapid and consequential changes for health care of progress “Prainsack and Buyx’ insights and careful analysis take us a long way down a winding modern road into the future.” in genetics and other rapidly changing technologies? Prainsack and Buyx’ insights and careful analysis take us a long way down a winding modern road into the future.” CURRENT ANTHROPOLOGY SPECIAL ISSUE Dr Carlo Caduff has guest-edited a special issue of Current Anthropology on ‘New Media, New Publics?’ with Dr Charles Hirschkind and Dr Maria José de Abreu. The open-access issue, published in February 2017, examines how publics are brought into being through historically specific media practices. Caduff says: “It treats the question of new media as an invitation to explore changing conditions of communication across a number of ethnographic locations, and it argues that these changing conditions have ch a l l e n g e d o u r c a p a c i t y t o understand the nature of publics. None of the contributors perceives new media as a coherent object of attention that can easily be isolated as an entity; nor do the contributors locate its novelty in its digital for mat. Instead, they examine modes of mediation that entail the technological but are not reducible to it. This approach allows scholars to keep the referent of new media open and remain attentive to emerging forms of public life that are working outside of or adjacent to the logics of both the digital and the technological.” The issue draws on a symposium organised by Caduff, Hirschkind and José de Abreu in Sintra, Portugal in March 2015. The special issue treats the question of new media as an invitation to explore changing conditions of communication across a number of ethnographic locations. Department of Global Health & Social Medicine !9 GHSM Spring 2017 Newsletter | www.kcl.ac.uk/ghsm JOURNAL OF BIOETHICAL INQUIRY SPECIAL ISSUE Dr Silvia Camporesi has guestedited a special issue of the Journal of Bioethical Inquiry with Professor Mark Davis (Monash University) and Dr Maria Vaccarella (Bristol University). The issue, titled ‘Public Trust in Expert Knowledge: Narrative, Ethics and Engagement,’ was launched at King’s on 8 February 2017, and is the first of its kind to examine the ethics of public trust in expert knowledge systems in emergent and complex global societies. Through an interdisciplinary approach, it draws from contributions in bioethics, the social sciences and the medical humanities. The launch was sponsored by the KISS-DTC Doctoral Training Centre. ESRC-DFID REPORT ON HEALTH AND DEVELOPMENT Dr Sridhar Venkatapuram led on the formal review of social science research in Sub Saharan Africa and South Asia funded by the ESRC-DFID Joint Fund for Poverty Alleviation Research over a ten-year period. The final report – Health and Development Evidence Synthesis Research Award – describes how nearly 70 out of 122 research projects funded have direct and indirect implications for health and how they have helped to understand the links and pathways between poverty and health. The report concludes that ESRCDFID funded research has made a significant contribution to global health discussions, the evidence base on poverty alleviation, health a n d d e v e l o p m e n t b r o a d l y. Evidence has been generated ! 10 across a range of areas such as health services, poverty and health, and on the links between nonhealthcare policies and health. Given that health is fundamental to poverty alleviation, a key takeaway from the report is that health related information should be captured in future research projects irrespective of their primary focus. WIRED ARTICLE BY B&S ALUMNUS MA Bioethics and Society alumnus Rich Wordsworth published an article in Wired magazine in September 2016, asking whether 3D-printed organs could be medicine’s next grisly black market. The report is available on the ESRC website. See also the accompanying blog post: ‘What does a decade of social science research tell us about health?’ BMJ EDITORIAL LED BY DOCTORAL STUDENT CHARLTON Doctoral student Victoria Charlton is the first author of a 22 March 2017 editorial in the British Medical Journal. The piece – entitled ‘Cost effective but unaffordable: An emerging challenge for health systems’ – takes issue with NICE's and NHS England’s new budget impact test for new health technologies, as it implies that some patients will have delayed access to technologies simply because they suffer from common diseases. The piece was written with the KCL/ UCL Social Values and Health Priority Setting group. MOTHERBOARD ARTICLE BY B&S STUDENT MSc Bioethics and Society student A l ex Pe a rl m a n p u bl i s h e d a commentary piece on the Motherboard blog entitled ‘A groundbreaking report on gene editing says we shouldn’t create enhanced humans’ on 14 February 2017 following the release of the National Academies of Science report on gene editing. Department of Global Health & Social Medicine PLOS MEDICINE 2016 END-OFYEAR EDITORIAL At the end of each year, the editors of PLOS Medicine – one of the leading general medical journals – invite a small number of experts to reflect on key developments from the year. Dr Annette Rid was invited to contribute to the 2016 end-of-year editorial on equity in health, addressing ethical challenges in research on the recent Ebola and Zika epidemics. GHSM Spring 2017 Newsletter | www.kcl.ac.uk/ghsm RID PUBLISHES NEW BOOK What is a just way of spending public resources for health and health care? Several significant answers to this question are under debate. Public spending could aim to promote greater equality in health, for example, or maximize the health of the population, or provide the worst off with the best possible health. Another approach is to aim for each person to have ‘enough’ so that her health or access to health care does not fall under a critical level. This latter approach is called sufficientarian. The new volume, What is enough? Sufficiency, justice, and health, co-edited by Drs Annette Rid and Carina Fourie (University of Washington, Seattle) and published by Oxford University Press, provides the first in-depth discussion of the sufficientarian approach and its implications for the just allocation of public resources for health or healthcare. In fifteen original contributions, the book establishes the sufficientarian approach as ethically sound and practically promising, and thereby opens up a new subfield of scholarship in bioethics. Advance praise includes: “first of its kind … likely to generate a lot of interest among political philosophers and bioethicists … [and] become a key reference point” (Shlomi Segall, … will bring much needed clarity to the general debate about health justice and show the importance of approaching the topic with health sufficiency at the forefront of discussion” (Jonathan Wolff, University of Oxford). A ‘sneak preview’ plenary session at the 2016 World Congress of Bioethics attracted an audience of around 80-100 congress participants. B&S ALUMNA QUOTED IN BRITISH PSYCHOLOGICAL SOCIETY ARTICLE Hebrew University); “major step forward in our understanding of the ethics of allocating scarce health care resources” (Roger Crisp, University of Oxford); “bold and highly original contributions MA Bioethics and Society alumna Rose Mortimer’s dissertation was quoted extensively in a recent British Psychological Society article. The article, on bulimia nervosa entitled ‘The ugly stepsister of the eating disorder family,’ featured Mortimer’s dissertation research where she interviewed young adults with ‘normal BMI’ who had been diagnosed with an eating disorder in the past 5 years on the concept of ‘recovery.’ OUTREACH CAPACITY BUILDING WORKSHOPS IN PALESTINE In December 2016 and February 2017, Dr Hanna Kienzler taught two workshops as part of the Lancet Palestinian Health Alliance (LPHA) capacity strengthening activities at the Institute of Community and Public Health (ICPH) at Birzeit University in occupied Palestinian territory. The workshops focused on publishing articles based on qualitative data and on communicating research findings at academic conferences. Each workshop was attended by around fifteen motivated students and researchers from Birzeit’s various departments (including the Media Development Center, the Center for Continuing Education, the Urban Planning Department, the Chemistry Department and ICPH), all of whom work in one way or another on health-related topics. The workshops explored issues related to ‘knowledge production’ and experimented with writing and presentation styles and skills during more practical sessions focusing on academic writing as well as poster and oral presentations. Department of Global Health & Social Medicine !11 GHSM Spring 2017 Newsletter | www.kcl.ac.uk/ghsm The GHSM community gives a large number of lectures, talks and presentations at conferences, workshops, seminars and summer schools around the globe. In this section, we highlight some of the activities our colleagues are up to outside of the academy. DAVIS POLICY BRIEFINGS LENTZOS POLICY BRIEFINGS Dr Courtney Davis was invited to speak at a conference jointly organised by the European Public Health Association (EPHA) and the Polish Per manent Representation to the EU on ‘Healthy Innovation for All’ in Brussels on 29 November 2016. On 6 October 2016, Dr Filippa Lentzos briefed delegations to the 71st Session of the United Nations General Assembly First Committee in New York on synthetic biology. Lentzos also briefed the United Nations Secretar y-General’s Advisory Board on Disarmament Matters on cyber threats to biosecurity on 25 January 2017 at its 67th Session in Geneva. On 8 December 2016, Davis was invited to participate in a workshop o n ‘A d a p t i v e P a t h w a y s t o Medicines Authorization,’ jointly org anized by the European Medicines Agency and the European Commission, following her article on this topic published in the BMJ in August last year. STATEMENT TO THE UNITED NATIONS Dr Filippa Lentzos delivered a s t at e m e n t t o t h e Rev i e w Conference of the Biological Weapons Convention at the United Nations in Geneva on 8 November 2016. The statement was co-written with colleagues from the London School of Economics and Political Science and University College London and was given on behalf of the University of London. ! 12 NICE CONSULTATION RESPONSE PhD student Victoria Charlton and Dr Annette Rid have led the preparation of a detailed response to a joint consultation by the National Institute of Health and Care Excellence (NICE) and NHS England on changes to NICE’s technology appraisal process. The submission was based on two meetings of the KCL/UCL Social Values and Health Priority Setting group, which meets regularly to discuss current issues in decisionmaking about health resource allocation. The group’s submission highlighted several ethical issues associated with the proposed changes, arguing that the introduction of a new ‘budget impact threshold’ for technologies approved by NICE could lead to patients who suffer from common conditions being unfairly discriminated against. An editorial article further exploring these issues was published in the 20 March 2017 issue of the British Medical Journal. For more, see the Department of Global Health & Social Medicine 3 March 2017 GHSM blog post by Victoria Charlton. INSTITUTE OF PUBLIC HEALTH LECTURE Dr Jennifer Dowd gave an invited lecture at the Cambridge Institute of Public Health on 23 November 2016. The lecture was titled ‘Infectious links between social factors and chronic diseases.’ EXPERT BRIEFING ON GLOBAL HEALTH SECURITY D r F i l i p p a L e n t zo s b r i e f e d representatives from ministries of health, medical associations and the World Health Organisation on biorisks management at the Geneva Centre for Security Policy on 8 February 2017. Lentzos also briefed representatives from ministries of defence and foreign affairs on biorisks management at the Geneva Centre for Security Policy on 21 February 2017. NUFFIELD COUNCIL ON BIOETHICS BRIEFING Drs Ann Kelly and Annette Rid advised the Nuffield Council on Bioethics on the ethics of conducting research during global health emergencies during a December 2016 workshop on “Conducting research and innovation in the context of global health emergencies: What are the ethical challenges?” Kelly provided input on the tensions between responding to emergencies and conducting research. Rid commented on the ethical challenges of conducting and governing research in global health emergencies. GHSM Spring 2017 Newsletter | www.kcl.ac.uk/ghsm FUND FOR POVERTY ALLEVIATION INTERVIEW In an interview posted on youtube on 21 September 2016, Dr Sridhar Venkatapuram talks about the joint fund research project he was i nvo lved i n th at wo rk ed o n developing a global health capabilities approach – a conceptual approach to understanding and addressing global health inequalities and j u s t i c e . H e r e fl e c t s o n t h e background of the project, the ‘pathways to impact’ plan used, significant impacts that have occurred and where the research is heading now. The project ran from 2008-2010. The interview was conducted at the ESRC-DfID Joint Fund for Poverty Alleviation Research conference ‘Lessons from a Decade’s Research on Poverty: Innovations, Engagement and Impact,’ 16-18 March 2016 in Pretoria, South Africa. digital magazine, on gender and sports. The essay, titled ‘Who is a sportswoman?’ focuses on sports culture and gender binaries, and highlights how elite female athletes are subjected to invasive gender tests, and hormone treatments if they fail. The essay was published on 28 February 2017 and is freely available online. INPUT TO INTERNATIONAL ETHICAL GUIDELINES After four years of work and international consultation, the Council for International Organizations of Medical Sciences (CIOMS), in collaboration with the World H ealth Org an ization , published its revised international ethical guidelines for health-related research involving humans. NEAR-FUTURE FICTIONS Dr Christine Aicardi contributed to the first ‘Near-Future Fictions’ event at Virtual Futures Salon (@VirtualFutures) on 7 March 2017. She read ‘The Tablet Stroker,’ a short story about a bipolar cognitive computer strongly inspired by her work in the Human Brain Project. Aicardi comments: “It was an exhilarating and rewarding experiment in literary engagement, which also generated precious contacts for future research.” PROVOCATIVE AEON ESSAY Dr Silvia Camporesi published an essay in Aeon, a not-for-profit POLICY BRIEFS ON BIODEFENCE There has been a dramatic increase in biodefence activities and in the number of facilities and researchers working with dangerous pathogens around the world. T his has generated trade-off risks related to safety, security, responsible science and transparency. Dr Filippa Lentzos outlines these risks and what states can do to mitigate against them in the policy brief 21st Century Biodefence: Risks, Trade-offs & Responsible Science, the third in a series produced by the Oslo-based International Law & Policy Institute (ILPI) for the Biological Weapons Convention Review Conference, published in November 2016. On-site peer review and transparency visits play a significant role in managing biodefence tradeoff risks. Dr Lentzos described and analyses her observations of a twoday transparency exercise to a biodefence facility involving experts from 20 state parties in EU NonProliferation Consortium Policy Brief No.52, Increasing Transparency in Biodefence: A 2016 Visit to a German Military Medical Biodefence Facility, published in November 2016. FILM SCREENING AND PANEL DISCUSSION The guidelines are highly regarded for providing internationally vetted ethical principles and detailed commentary on how these principles should be applied, with particular attention to conducting research in low- and middle-income countries. Dr Annette Rid was a member of the working group revising the guidelines. Dr Filippa Lentzos organized and moderated a film screening and panel discussion at the United Nations in Geneva with the producer of the BBC4 documentary ‘Inside Porton Down: Britain’s Secret Weapons Research Facility’ and a senior representative from Dstl, Porton Down on 8 November 2016. Opening remarks were provided by the UK Ambassador to the Conference on Disarmament. Department of Global Health & Social Medicine !13 GHSM Spring 2017 Newsletter | www.kcl.ac.uk/ghsm EVENTS ANNUAL PUBLIC LECTURE BY PROF EMILY MARTIN Professor of Anthropology Emily Martin from New York University gave this year’s GHSM’s Annual Public Lecture on 17 October 2016. The lecture, titled ‘Objectivity and trained judgement: toward an ethnography of experimental psychology,’ drew on Prof Martin’s current research on the history of the human subject in experimental psychology. How and why did early anthropologists and psychologists imagine that the complex social lives of human beings could be captured in experiments organised around dependent and independent variables? Were the social lives of subjects actually extinguished in these experimental models or do traces always remain even today? What are the implications of such traces for a science whose findings exercise immense influence in contemporary daily life, positing knowledge about cognition, emotion, perception, and so on? Dr Martin initially learned about the field by serving as a volunteer subject in a variety of kinds of psychological experiments. Over the last couple of years she has taken courses in advanced cognitive neuroscience and set up observational research in laboratories. She has conducted ethnographic participant observation with several experimental psychologists, working on attention, memory, and a variety of cognitive processes. She is currently working on a book manuscript based on this research, under the working title Experiments of the mind. Previous publications include: The Woman in the Body: A cultural Analysis of Reproduction (1987), awarded the Society for Medical Anthropology’s Eileen Basker Prize for outstanding research in gender and health; Flexible Bodies: Tracking Immunity in America from the Days of Polio to the Age of AIDS (1995); Bipolar Expeditions: Mania and Depression in American Culture (2007), winner of the 2009 Diana Forsythe Prize for the best book of feminist anthropological research on work, science, and technology. WORKSHOP: MEASURING GLOBAL HEALTH On 26-27 January 2017, Dr David Reubi organised an international workshop on the political, social and ethical aspects of metrics and quantification practices in global health, with colleagues from McGill and Queen Mary. ! 14 Department of Global Health & Social Medicine T h e We l l c o m e Tr u s t f u n d e d eve n t b ro u g h t epidemiologists and public health experts together with social scientists and historians to explore how global health metrics are produced: What are the political discourses, institutional infrastructure and statistical techniques that make quantification in global health possible? What do these metrics count and what is excluded? What types of numerical evidence have more political traction? And, how do metrics transform the way global health advocacy, politics and management is done? WORKSHOP: INTERROGATING GLOBAL HEALTH On 2-3 February 2017, Drs David Reubi, Hanna Kienzler and Ann Kelly organised GHSM’s first joint workshop with CERMES3, Centre National de la Recherche Scientifique, in Paris. The workshop focused on ‘global health’ as an obscure object that has become all-pervasive over the last 20 years, progressively displacing previously dominant concepts like international health and tropical medicine. From philanthropic efforts to improve lives in the global South to overseas assistance programmes to build hospitals and international research partnerships to develop cures for neglected diseases – everything is now subsumed under the notion of global health. The purpose of the workshop was to explore what ‘global health’ is and how we should go about interrogating and/or contributing to it. Reflecting and making the most out of CERMES3 and GHSM’s key capacities and strengths, the workshop focused on three core areas: 1) biomedical innovations and regulatory environments; 2) cultures of global mental health; and 3) expertise and the government of population health. GHSM Spring 2017 Newsletter | www.kcl.ac.uk/ghsm UPCOMING CONFERENCE: GLOBAL AGEING King’s Centre for Global Ageing, in collaboration with t h e Ro y a l S o c i e t y o f M e d i c i n e , w i l l h o s t a flagship conference, Global Ageing: Challenges and opportunities, on 24-25 April 2017. As the world stands on the threshold of a great demographic transformation, the number of people aged 65 or older is projected to grow from an estimated 524 million in 2010 to nearly 1.5 billion in 2050. From China to South Africa, across urban, rural and conflict affected settings, ever-growing ageing communities face challenges and foster new opportunities for effective care. The Global Ageing conference will bring together international experts to debate issues surrounding access to medicines and innovations for chronic conditions, work and retirement around the world, HIV and ageing, older peoples’ vulnerabilities in armed conflicts and future policies for dementia care. UPCOMING EVENTS: The Depar tment hosts a number of Research Seminars on cutting edge research throughout the year. They provide a regular focus for our Department and students to come together with others from the wider research community for stimulating discussion and debate. Our most recent seminar was given by Dr Nancy Campbell of the Department of Science a n d Te c h n o l o g y St u d i e s at Rensselaer Polytechnic Institute on 8 March 2017, who presented her work on ‘Approaching the Ineffable: Instruments and tools used in psychopharmacological research, 1950-1970.’ Audio recordings of past talks are available on our website. The CMP conversations are a more intimate series of meetings with distinguished scholars focusing on the themes of culture, medicine and power. Draft papers are usually circulated in advance. Visit the GHSM website or contact [email protected] for more information. The London Bioethics Colloquium is a series of talks jointly organised by King’s and University College London staff that link individuals and groups working on bioethics, public health ethics and global ethics. These past two terms have seen presentations from Dr Octavio Ferraz, Dr Jochen Vollmann, Dr Arnon Keren, Dr Garrett Brown and Dr Emily McTernan. Sessions take place on the first Thursday of the month during term time. Visit the GHSM website or contact [email protected] for more information. Dialogues on Critical Global Health is a new seminar series jointly organised by King’s and London School of Hygiene & Tropical Medicine staff that brings together criticallyminded social scientists, public health experts and practitioners to debate key areas of concern for global health today and reflect on how these should be approached and explored. The series was launched on 6 December 2016 with a presentation and dialogue from Dr Frank Kelly and Dr Emma Garnett about their work on air pollution, climate change and global health. Topics to be covered over the coming months include pandemic emergencies; war, refugees and health; noncommunicable diseases b e t w e e n a ffl u e n c e a n d neglect, anti-microbial resistance; mental health. Contact [email protected] or [email protected] for more information. Global Ageing and Health is a seminar series jointly organised by King’s and London School of Economics ALPHA research group staff. Speakers over the last two terms have included Dr Ginevra Floridi, Dr Giorgio Di Gessa, Dr Vahé Nafilyan, Dr Tim Bruckner, Dr George Ploubidis and Dr Bernard Casey. Please check the ALPHA website for updates on these events. They are free and open to all; registration is not required. We also organise: work-inprogress seminars where members of the Department discuss drafts of their work; research initiatives for faculty and students to discuss topical social, ethical and political issues in health and medicine; a Grant Writing Academy where peers provide support for other members of the Department in the development of grant proposals at the mid to late stage of the process; and various specialised workshops, a sample of which you can read about in the events section. Department of Global Health & Social Medicine !15 GHSM Spring 2017 Newsletter | www.kcl.ac.uk/ghsm EXCURSIONS GHSM regularly organises historical walks or trips to London’s many museums, collections and exhibitions that place medicine and healthcare in a broader historical and social context. MEDICAL LONDON EXCURSIONS The most recent Medical London Excursion, in February 2017, visited the Royal College of Physicians for a tour of the museum and the medicinal garden with over 1,300 plants, many still used as medicines today. The museum contains rich collections of medical history and practice, gathered over five centuries since being founded by Henry VIII. The Royal College of Physicians’ building has a fascinating architectural history too, often voted as one of the top modernist buildings in London. The tour included the temporary exhibition A cabinet of rarities: The curious collections of Sir Thomas Browne. This exhibition ‘… explores RCP physician, philosopher, collector, and polymath Thomas Browne’s curious approach to the world through his writing and his collection. His collection reveals a fascinating perspective on 17thcentury scientific and medical research.’ For more, see the 14 February 2017 GHSM blog post by Priya Umachandran. In October 2016, GHSM staff and students visited King’s College London’s Museum of Life Sciences. The museum explores animal, human and plant diversity, ! 16 Department of Global Health & Social Medicine with collections originating from research carried out at King’s. These collections include botany, zoology, pharmacology, microscope slides and craniofacial specimens. A tour from the curatorial staff described how these animal specimens were used for research into human health. The visit was followed by a stop at the King’s Science Gallery to see the intriguing art installations and events of its Mouthy exhibit, examining the mouth from science and art perspectives, before the group moved on to a more informal pub setting. For more, see the 10 November 2016 GHSM blog post by Priya Umachandran. Another recent Medical London Excursion explored the role London played in the anatomical discoveries of the eighteenth century. With the expert guidance of Dr Richard Barnett – author of several books on the history of health and medicine, and a professional guide as well as a lecturer at the University of Cambridge – GHSM discovered that these gory anatomical advances were not just the private pursuit of physicians and surgeons. Lectures, operations and even dissections were performed openly in the public gaze, and artists, aristocrats and the thrill-seeking demi-monde flocked to witness dissections, operations and lectures by the stars of the day. GHSM Spring 2017 Newsletter | www.kcl.ac.uk/ghsm NUFFIELD COUNCIL ON BIOETHICS VISIT On 14 February 2017, the Nuffield Council on Bioethics opened its doors to students on the MSc in Bioethics & Society and MSc in Global Health & Social Justice. Communication Officer Ranveig Svenn Berg and Research Officers Anna Wilkinson and Bettina Schmietow welcomed the GHSM students. Anna Wilkinson presented the work of the Nuffield Council on non-invasive prenatal testing and Bettina Schmietow presented the work of the Nuffield Council on genome editing technologies. The visit was organized by Dr Silvia Camporesi and Dr Federica Lucivero. EXHIBITION VISIT TO BEDLAM: THE ASYLUM AND BEYOND On 25 October 2016, our second year undergraduates visited the Wellcome Trust exhibition Bedlam: The asylum and beyond. The exhibition followed the rise and fall of the mental asylum and explored how it has shaped the complex landscape of contemporary mental health. Today, asylums have largely been consigned to history but mental illness is more prevalent than ever, as our “I really enjoyed the excursion as I was able to situate some of the ideas and notions of mental health discussed in class.” culture teems with therapeutic possibilities: from prescription medications and clinical treatment to complementary medicines, online support, and spiritual and creative practices. Against this background, the exhibition interrogated the original ideal that the asylum represented – a place of refuge, sanctuary and care – and asked whether and how it could be reclaimed. Through guided tours our students learned more about an important period in the history of mental healthcare i n t h e U K a n d h ow i t c o n t i nu e s t o s h a p e today’s landscape; and they were encouraged to imagine possible alternatives. The excursion also offered our students the opportunity to think more about and make connections with several key topics in their current curriculum, and it spurred many interesting discussions afterwards and in class. One student commented: “I really enjoyed the excursion as I was able to situate some of the ideas and notions of mental health discussed in class. Quite often mental health can be reduced to a condition, and therefore masks the individual. But some of the works involved a description of experiences that the mental health sufferer themselves wished to engage in – this was very informative.” MUSEUM VISIT: THE HUNTERIAN MUSEUM OF SURGERY Excursions also form an integral part of the Global Health Summer School, which last summer saw thirty students from across the world come together to learn about the sociology of health. The students were taken on a guided tour of the vast collection of medical specimens at the Hunterian Museum of Surgery on Lincoln’s Inn Field, where they were, amongst other things, introduced to the 7 feet 7 inches skeleton of Charles Byrne and the tale of the ‘Irish Giant.’ For more, see the 23 August 2016 GHSM blog post by Pennie Quinton. Department of Global Health & Social Medicine !17 GHSM Spring 2017 Newsletter | www.kcl.ac.uk/ghsm UNDERGRADUATES GLOBAL HEALTH SOCIETY: THE YEAR IN REVIEW By Rachael Healy King’s Global Health Society is a student society that celebrates the interdisciplinary nature of health from social science perspectives, and runs alongside the Department’s undergraduate programme. GHS provides a platform to students with a keen interest in the socioeconomic, political and cultural determinants of global health to come together at regular events to raise awareness, and to share ideas and experiences. GHS has had a busy year so far. We kicked off the academic year by inviting all our members and new students to a Pizza Party welcome event, followed by a get-together at our local watering hole, The Understudy, at the National Theatre. It was great to get to know new students, both from within the GHSM Department and elsewhere, who are all passionate about global health. We hosted a very successful event in October, called Black Mental Health Matters, where we were joined by three wonderful panellists who each spoke about how mental health issues disproportionately affect people of colour. The discussions were informative and the turnout was great, with a local councillor stopping by to hear from our students and to suggest ways in which young people can get involved in advocacy and the politics around mental health stigma. Some of our members were lucky enough to represent GHS at the Humanitarian Congress in Berlin, a two-day conference organised by the German Red Cross, MSF and Doctors of the World. I think all of those who went can agree that the experience was invaluable and provided a real insight into how humanitarian aid works. It was inspirational in thinking about where our futures may lie after graduation. “It truly had the feel of having the best and the brightest in the room, troubleshooting the challenges and limitations of aid work.” Our blog has not only a wide readership (reaching students and the public alike), but also features weekly pieces contributed by a diverse body of students and spanning a range of health-related topics. We enjoyed a weekly Film Club through the first term, where we watched and discussed global health-themed movies - the movies covered a huge range of topics, from the AIDS activism movement in the ‘80s and ‘90s, female genital mutilation, drug resistance, and the criminalisation of abortion. We also had a great social with our fellow global health students from Queen Mary’s, which was not only a fun night out, but also gave us the chance to compare courses and talk global health. Events this past term have included: an evening with Ione Wells, founder of the Not Guilty campaign which seeks to end sexual violence; ‘Health Care Under Occupation,’ which looked at the difficulties faced when providing healthcare in Palestine; and a ‘Decolonising our curriculum’ event which looked at ways in which academia and universities can become more inclusive for all students. NSS: HAVE YOUR SAY The National Student Survey (NSS) is now open, offering our final years an opportunity to provide information about their experiences as students. This information is used nationally to help prospective students make informed decisions about their university studies. The information is also a very important opportunity for GHSM to receive input from our very first cohort of undergraduate students about the things they’ve liked about their time with us, and about areas where we could focus to enhance our students’ experiences. All 3rd year undergraduates are eligible to take part. It takes about 5 minutes to complete and can be accessed by visiting www.thestudentsurvey.com. The survey closes on Sunday 30 April 2017. ! 18 Department of Global Health & Social Medicine GHSM Spring 2017 Newsletter | www.kcl.ac.uk/ghsm HUMANITARIAN AID CONFERENCE IN BERLIN and we would highly recommend it as an invaluable learning experience and a great opportunity to network with others in the field of humanitarian aid.” Continued from Page 1: Rachel Healy, one of the six GHSM undergraduates attending the Berlin conference, commented: “We had the opportunity to sit in on a number of sessions throughout the day, including focus workshops on gender-based violence, access to medicines, climate change and the changing roles of local and international aid organisations. Discussions were passionate, informative and felt productive – it truly had the feel of having the best and the brightest in the room, troubleshooting the challenges and limitations of aid work. Overall, it was an excellent experience to learn more about international aid from experts in the field, travel to a new city in Europe and have the chance to meet fellow global health enthusiasts.” Healy continues, “The six of us decided to make a trip out of it, staying in Berlin for a full four-day-weekend and even having the chance to sample some of Germany’s wonderful food, fun and beer after hours. The conference runs each year SHOWCASING FORMER IBSC STUDENTS Our iBSc students are making an impact with their research. Former iBSc student Labib Hussain and Professor Anthea Tinker gave a keynote lecture at t h e 4 t h I n te r n at i o n a l Conference on Geriatrics and Gerontological Nursing in October 2016. They spoke about why medical students should study social gerontology, based on an article they had published earlier in the year in Age and Ageing. Hussain went on to present alongside Prof Finbarr Martin at the 12th Congress of the European Union Geriatric Medicine Society (EUGMS), in Lisbon, Portugal. They worked together as part of a Royal College of Physician’s group on the Falls and Fragility Audit Programme (FFFAP). An article is forthcoming in the Journal of Clinical Medicine. Former iBSc students Dr Hannah Moorey and Sebastian Zaidman have published a cohort study with Consultant Dr Thomas Jackson in BMC Geriatrics. They studied the relationship between anticholinergic burden, polypharmacy and delirium in older patients. Dr Moorey and Zaidman met through the iBSc course at King’s despite studying two years apart at Birmingham Medical School. Dr Moorey is currently working as a doctor i n t h e We s t M i d l a n d s , completing the Academic Foundation Programme. Sebastian Zaidman and Anthea Tinker recently published an article on ‘Computer classes for older p e o p l e : M ot i vat i o n s a n d outcomes’ in Working with Older People. William Tai – from the 2014-15 iBSc cohort – graduated from medical school in July 2016 and is currently working as a doctor in East London. His qualitative research project completed during the iBSc on the care providing motivations of informal spousal dementia carers across the dementiadisease course is forthcoming in The Journal of Dementia Care. Tai carries his enthusiasm for Gerontology – and Geriatrics – forward in his new roles as a peer reviewer for The Student Doctor Journal and in leading a clinical audit at his hospital assessing doctor’s compliance w i t h o b j e c t i ve c o g n i t i o n screening. Department of Global Health & Social Medicine !19 GHSM Spring 2017 Newsletter | www.kcl.ac.uk/ghsm POSTGRADUATES LETTER FROM THE FIELD By Cameron Spence VIVA AND UPGRADE SUCCESSES Nicole Batsch successfully defended her thesis and was awarded her PhD in Gerontology on 1 February 2017. Her supervisors were Prof Jill Manthorpe (SCWRU) and Prof Anthea Tinker. Valerie D’Astous passed her viva with only minor corrections on 11 January 2017. Her supervisors were Prof Karen Glaser and Prof Karen Lowton. Giulia Cavaliere and James Fletcher successfully upgraded on 30 November 2016 and 14 December 2016 respectively. Huge congratulations to them all! GHSM DOCTORAL SCHOOL The GHSM Doctoral School organised a series of workshops on academic skills over the past two terms for our doctoral students and postdoctoral researchers. In October 2016, Dr Orkideh Behrouzan and Dr Carlo Caduff held a ‘Teaching Strategies’ workshop considering what constitutes good teaching. In November 2016, Dr David Reubi and Dr Carlo Caduff led on a ‘Publication Strategies’ workshop exploring how to survive peer review. In March 2017, Prof Barbara Prainsack and Dr Carlo Caduff held a ‘Grant Writing Strategies’ workshop exploring how to successfully obtain funding. CLINTON HEALTH ACCESS INITIATIVE VISIT On 26 October 2016, the Clinton Health Access Initiative (CHAI) visited us. Caroline Middlecote, from ! 20 Department of Global Health & Social Medicine I completed a year of ethnographic fieldwork with a Psychiatric Home Treatment Team in South London for my doctoral research. My role with the team saw me go out on daily home visits with team members, sit in on clinical handovers, trust meetings, Mental Health Act Assessments, as well as other activities. It was often challenging work that required that I not only be an observer but a participant in the actual clinical work of the team. During my time with the team, I developed skills that are crucial to engaging in research with service users and mental health professionals. The ability to quickly develop rapport and stay calm in strange situations was key among these skills. I completed over 50 interviews with service users and team members during my 130 days with the team. the HIV Programs and two of CHAI’s Talent Acquisition Managers, Sydney Leroy and Ndunge Mwangi, were on campus to speak about the organization, spotlight the HIV program and talk about job opportunities. The Clinton Health Access Initiative (CHAI) was founded in 2002 with a transformational goal: help save the lives of millions of people living with HIV/AIDS in the developing world by dramatically scaling up antiretroviral treatment. Since its foundation, CHAI has GHSM Spring 2017 Newsletter | www.kcl.ac.uk/ghsm pursued several similarly ambitious goals, from scaling up paediatric AIDS treatment in order to achieve equity with adults in a time frame few thought possible, to rapidly accelerating the rollout of new vaccines. Today, CHAI operates in 33 countries across the developing world and more than 70 countries are able to access CHAI-negotiated price reductions, vaccines, medical devices and diagnostics. CAREER EVENTS Term 2 saw a packed programme of career events for GHSM postgrads: ‘Careers in think tanks’ (January), ‘Careers in European and international policy’ (January), ‘Careers in science and health policy’ (February), ‘Careers in global health’ (March), and ‘Careers in bioethics’ (March). This was complemented by a series of career skills events on ‘CVs and applications’ (February), ‘Interviews’ (February), ‘Networking’ (February), and ‘Professional online networking for your career’ (March). INTERNSHIP AT THE TROPICAL HEALTH EDUCATION TRUST In summer 2016, part-time Bioethics & Society alumna Maru Mormina worked as an intern with the Tropical Health Education Trust. “The internship was the most enjoyable and productive experience of my whole time at King’s!” While she was there she conducted a short evaluation of the Trusts’ ‘training of trainers’ activities, and she wrote this up as part of her final assignment for the Internship Module. Following the internship, the Trust contacted Mormina requesting her permission to translate her report into specific guidelines for global health partnerships. The Trust also suggested publishing the report, enriched with some case studies, in the journal Globalisation & Health, which it is guest editing. Mormina has also been asked to do a webinar for the Trust. Mormina comments: “I am very flattered that my work is being used by practitioners and that it may be published in a reputable academic journal. All in all, the internship was the most enjoyable and productive experience of my whole time at King’s! I could not recommend the module highly enough.” LETTER FROM THE FIELD By Sebastián Rojas Navarro I spent eight months conducting fieldwork in a school in Santiago, Chile. During that time, I participated in the everyday classroom activities of six different classes, all composed of children aged between 9 and 10. The purpose of my ethnographic fieldwork was to understand how stimulant medication was deployed in this setting, and how it was used and understood by medicated children, their peers, and the adults present in the classroom. My research aims at understanding how the use of psychostimulants by medicated children allow us to witness how the use of medication may enable new forms of agency. According to what I got to observe during my fieldwork, this renewed sense of agency is deeply rooted in contextual factors, such as the classroom setting, and cannot be reduced to mere chemical processes triggered by the medication inside the body. Department of Global Health & Social Medicine !21 GHSM Spring 2017 Newsletter | www.kcl.ac.uk/ghsm LETTER FROM THE FIELD By James Rupert Fletcher A big ‘ay up duck’ from Derby, an old industrial city in the Midlands. I’ve been living here since September, interviewing people with dementia and their carers. Research often begins from assumptions about care, so I’m asking people with dementia to conceptualise their care for me. I ask them who is important and I speak to those people. The intention is twofold, accessing people with dementia’s perspectives of care and showing that those perspectives are valuable. Derby has changed the nature of this work. For various reasons (e.g. my estate’s apparent reverence for generously hand-railed bungalows), I’ve ended up waist-deep in the ‘field”’ when I’d only intended to take a snapshot; an accidental ethnographer of ageing minds. I’ve heard many stories of relationships touched by dementia, from the hilarious to the heart-breaking. Come May, I should be back in London, sifting through an intimidating pile of data and sharing those stories. CAREER DESTINATIONS MELISSA GAULE Melissa Wood Gaule, a recent Bioethics & Society alumna with a background in clinical ethics and patient advocacy, secured a job as a consultant for Science Policy Compass, a start-up bioethics consultancy firm offering science policy and bioethics support to the bioscience sector. Gaule comments: “After the programme, I felt so excited to start working i n m y fi e l d a n d immediately s tarted applying for jobs…but I got nothing but rejections! To this day, I have not been called for a single interview. It is so discouraging! Knowing where to start and how to make yourself stand out is such a challenge, especially if you are new to a big city where the job market is so competitive. My answer to this problem was to start building a network of contacts that might be able to help me along the way. Finding the time ! 22 Department of Global Health & Social Medicine and the confidence to network with the many special people we meet as KCL students can be challenging and uncomfortable, but it is worth it! “Our ability to network is one of our most powerful tools as postgraduates.” Our ability to network is one of our most powerful tools as postgraduates.” ELSA KRISTÍN SIGURÐARDÓTTIR Elsa Kristín Sigurðardóttir, a recent Global Health & Social Justice alumna, continues her interest and participation in politics and more specifically in the Icelandic Pirate Party, whose platform is GHSM Spring 2017 Newsletter | www.kcl.ac.uk/ghsm based on pirate politics and direct democracy. Sigurðardóttir says: “ W h i l e I w a s fi n i s h i n g m y dissertation at King’s the national elections in Iceland were taking place. Prompted by the Panama Papers scandal, the elections were happening a year earlier than planned. I have been a listed member of various political parties since my teenage years, but within the Pirate Party the opportunity to be an active member is greater. I got twenty-second on the list in my jurisdiction after online voting. It wasn’t enough to get me elected but “Being an active member of a very active political party makes you more able to grasp current events and to understand your society.” it got me a step closer to the swirl. Being an active member of a very active political party makes you more able to grasp current events and to understand your society. N o w, p o s t election, the debate among the members and the MPs of the party is very much alive on the online forums and at its social events. An open and socially active party is an important link between citizens and Parliament.” ANDREA BERKEMEIER Andrea Berkemeier, a recent Bioethics & Society alumna, secured a job as a consultant for the von Hippel-Lindau (VHL) Alliance, the US nonprofit organisation with whom she partnered for her master’s research in reproductive counselling for young people diagnosed with VHL. VHL is a genetic condition which predisposes affected individuals to develop tumour s—sometimes cancer—in many organs of the body. In her job, Berkemeier liaises with the National Organization for Rare Disorders which maintains the VHLA patient databank platform, e n s u r e s t h e r e s e a rc h project aligns with IRB approved research ethics, and is currently overseeing a new survey launch which will provide patients with opportunities to submit more detailed medical and lifestyle histories. Since VHL is a complex condition, VHLA has developed the inter national Clinical Care Center (CCC) endorsement, which helps patients connect with institutions that are experienced in offering outstanding coordinated patient care. Berkemeier leads the renewal process for established CCCs and works to establish new centres based on geographic needs. As part of this process, she has helped outline the prudent ethical, medical and financial reasons why VHL patients should receive their screening and treatment at CCCs as early as they are diagnosed instead of waiting to be transferred after a health crisis has developed. This helps VHL patients receive appropriate health management independent of their postal address. Berkemeier also works directly with patients, serving as the first line of support when they contact the VHLA.While a patient may require a referral to a more specialised professional, Berkemeier views every interaction with a patient, no matter how brief, as an opportunity to internalise the philosophy of personalised medicine that she desire to practice as a physician. In July 2017, Berkemeier is returning to her alma mater, the University of Michigan. She has been admitted to its prestigious Medical School, one of the highest ranked programmes in the US. Warm congratulations and good luck! Berkemeier talks about her experience of studying Bioethics & Society at King’s in a short film available on the GHSM website. Department of Global Health & Social Medicine !23 GHSM Spring 2017 Newsletter | www.kcl.ac.uk/ghsm IN THE MEDIA Dr Annette Rid was quoted in The Sun newspaper in a 23 March 2017 article titled ‘NHS Gamble: Patients being used as “bargaining chips” to drive down the cost of drugs in “flawed plan,” experts warn.’ Prof John Abraham was interviewed in the Sky Atlantic documentary ‘Primodos: The Secret Drug Scandal’ on 21 March 2017. where Venkatapuram chaired the opening panel. Dr Wei Yang was quoted in an article by the Economist Intelligence Unit commissioned by Medtronic for its report on ‘Valuebased Healthcare: A Global Assessment’. The article is titled ‘China’s healthcare challenges: The People’s Hospital of Yiyang County in Henan Province.’ illness, and was on the expert panel for the 5th and final episode, discussing the influence that culture has on mental illness and mental health treatment. Dr Filippa Lentzos was interviewed in the German journal Management & Krankenhaus in a 9 September 2016 article titled ‘Biologische Bedrohung: Dual-UsePotential von Infektionserregern.’ Prof Nikolas Rose was interviewed on Australian ABC Radio on neuroscience, risk and screening on 14 March 2017. Prof Nikolas Rose was interviewed for a podcast on mental health and urban policy on 16 March 2017 at the ANU Crawford School of Public Policy. Dr Filippa Lentzos was featured in the Norwegian newspaper Lister in a 25 February 2017 article titled ‘Forsker på bruk av biologi som våpen.’ Dr Filippa Lentzos was interviewed in the German monthly Wehrmedizinische Monatsschrift in a 20 February 2017 article titled ‘Biologische Bedrohung: Dual-UsePotential von Infektionserregern.’ Dr Sridhar Venkatapuram was quoted in The Times of India in an 11 February 2017 article covering the Difficult Dialogues conference Dr Dominique Behague participated in the BBC World Service series on mental health called ‘The Borders of Sanity’ which aired on 11 September 2016. She was interviewed for the fourth episode, questioning what options people in Ghana have when a person suffers mental WEBSITE: www.kcl.ac.uk/ghsm BLOG: https://globalhealthandsocialmedicine.com FACEBOOK: GloHealthSocMedKings TWITTER: @GHSMatKCL EDITORIAL TEAM: Charlotte Beames & Filippa Lentzos (Editor in Chief) Undergraduate student Giulia Impelluso was interviewed about her summer internship and student life in the department on King’s Somaliland Partnership blog on 1 July 2016.
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