Appendix
Yale Climate Change and Health
Initiative Annual Report,
August 1, 2015 to July 31, 2016
Appendix II.A.2
Climate Change
Leader in Residence
James Hansen itinerary, CCHI Climate Change Leader in Residence, April 6-8, 2016
Time
Location
Event and participants
Point
Wednesday, April 6th
10:13 am
New Haven train
station
Arrival and pick-up
Mike/Rob
11:00 am
YSPH
Arrival
Rob
11:00 am 11:50 am
LEPH 429
Orientation
Robert Dubrow, Professor of Epidemiology
Michael Oristaglio, Research Scientist, Geology & Geophysics
Rob/Mike
12:00 pm 1:30 pm
LEPH 105
Lunch with CCHI Affiliated Faculty and others
Rob
Robert Dubrow, Professor of Epidemiology
Michael Oristaglio, Research Scientist, Geology & Geophysics
Nicole Deziel, Assistant Professor of Epidemiology
Kaveh Khoshnood, Assistant Professor of Epidemiology
Nadine Unger, Assistant Professor, Forestry & Environmental Studies
Tony Leiserowitz, Research Scientist, Forestry & Environmental Studies
Jodi Sherman, Assistant Professor of Anesthesiology
Coco Liu, Doctoral Student, Forestry & Environmental Studies
Alyssa Parpia, Doctoral Student, Epidemiology of Microbial Diseases
William Boos, Associate Professor of Geology and Geophysics
Alison Galvani, Professor of Epidemiology and Ecology & Evolutionary Biology
Peter Krause, Senior Research Scientist, Epidemiology (Microbial Diseases)
2:00 pm - 3:00
pm
LEPH 216
Informal Coffee Chat
Informal lead-in talk (15 minutes): Energy and Climate Change: How Can
Justice Be Achieved for Young People?
-Health and Environment at Yale
-Public health, medical, and nursing students
-Possibly other students
Anna, Katie
Break and walk to Branford College
Rob
3:00 pm –
1
James Hansen itinerary, CCHI Climate Change Leader in Residence, April 6-8, 2016
3:45 pm
4:00 pm –
5:00 pm
6:00 pm - 8:30
pm
Branford College
Common Room
Master’s Tea
Informal conversation and Q&A with mostly undergraduate students
Rob
Mory’s
Dinner with interdisciplinary group of faculty
Robert Dubrow
Michael Oristaglio
Albert Ko, Professor of Epidemiology
Lori Post, Associate Professor of Emergency Medicine
Paul Lussier, Lecturer, School of Forestry & Environmental Studies
John Roemer, Professor of Political Science and Economics
Humberto Llavador, Visiting Professor from Universitat Pompeu Fabra,
Barcelona
James Silk, Clinical Professor of Law (tentative)
Mark Pagani, Professor of Geology & Geophysics (tentative)
Giovanni Zinn, City Engineer, New Haven (tentative)
Mike
Thursday, April 7th
8:30 am –
9:00 am
Omni Hotel
Pick-up and travel to KGL
Mike
9:00 am –
9:40 am
KGL
William Boos, Associate Professor of Geology & Geophysics
Mike
9:45 am –
10:30 am
KGL
Meeting with graduate students focused on science
Courtney
Warren
10:30 am –
11:00 am
KGL
Break
Mike
11:00 am 2:00 pm
KGL 101
Informal lead-in talk (30 minutes): Energy and Climate Change: How Can
Justice Be Achieved for Young People?
Lunch
Mike
2
James Hansen itinerary, CCHI Climate Change Leader in Residence, April 6-8, 2016
Informal discussion
- Energy Studies Undergraduate Scholars
- Yale Climate and Energy Institute Postdocs
-Yale Climate Action Network
-Yale Student Environmental Coalition
- Other student groups
- Students and teachers from New Haven city schools (tentative)
Break
2:00 pm - 2:30
pm
2:30 pm –
3:00 pm
KGL
John Wettlauer, Professor of Geophysics, Mathematics & Physics
3:00 pm –
4:00 pm
KGL
Break
4:00 pm - 5:30
pm
KGL 123
Public scientific talk: Ice Melt, Sea Level Rise and Superstorms:
Evidence that 2o C Warming Could be Dangerous
Mike
6:00 pm - 8:30
pm
Saybrook College
Dinner with students from Yale Student Environmental Coalition
Mike,
Alex Vernoit
Mike
Friday, April 8th
9:30 am
Omni Hotel
Pick-up and travel to YSPH
Mike
10:00 am - 1:00
pm
Winslow Auditorium
Symposium on Climate Change and Health; conversation and Q&A with
James Hansen
Rob
1:00 pm - 1:45
pm
LEPH Gathering
Space
Lunch
Post-symposium lunch
Rob
1:45 –pm – 2:15
pm
LEPH 434
Interview with Roger Cohn (Yale Environment 360)
Rob/Bethany
3
James Hansen itinerary, CCHI Climate Change Leader in Residence, April 6-8, 2016
2:15 pm - 2:30
pm
LEPH 429
Summary
Robert Dubrow
Michael Oristaglio
Rob/Mike
2:30 pm
YSPH
Leave for drop-off at New Haven train station
Rob/Mike
3:13 pm
New Haven train
station
Train departs
4
Symposium on Climate Change and Health
Friday, April 8, 2016 - 10 am to 1 pm (lunch to follow)
60 College Street – Yale School of Public Health
Winslow Auditorium, First Floor
10 am - 12 pm (15 minute talks)
High resolution climate models: predicting Lyme disease in New England
Srinath Krishnan, Postdoctoral Associate, Department of Geology and Geophysics
Effects of prenatal exposure to temperature extremes on birth outcomes in China
Xi Chen, Assistant Professor of Public Health (Health Policy) and Economics
Health impacts of climate change: the role of climate action plans in reducing urban heat island effects
Kevin Lane, Postdoctoral Associate, School of Forestry and Environmental Studies
Health impacts of unconventional natural gas extraction
Nicole Deziel, Assistant Professor of Epidemiology (Environmental Health)
Drought events and the risk of emergency room hospitalizations and mortality in the western U.S.
Jesse Berman, Postdoctoral Fellow, School of Forestry and Environmental Studies
Mobilizing public and political will to address interactions between climate change & food security
Lori Post, Associate Professor of Emergency Medicine
12 pm - 1 pm
Conversation and Q&A with Dr. James Hansen
Dr. James Hansen, formerly Director of the NASA Goddard Institute for Space Studies,
is a Professor at the Earth Institute of Columbia University, where he directs the
Program on Climate Science, Awareness and Solutions. His Congressional testimony in
the late 1980s helped raise broad awareness of climate change as a crucial issue for
humanity. He is a member of the National Academy of Sciences and has been named
one of the 100 most influential people in the world by Time Magazine and one of the
Top 100 Global Thinkers by Foreign Policy. Dr. Hansen is a model of a leading
scientist who courageously communicates the policy implications of his research.
YALE Climate Change and Health Initiative
YALE Climate & Energy Institute
Thursday April 7
4 p.m. KGL 123
Ice Melt, Sea Level
Rise and Superstorms:
∘
2C
Evidence that
Warming Could Be
Dangerous
James Hansen
Program on Climate Science and Awareness
The Earth Institute, Columbia University
James Hansen, former Director of NASA Goddard Institute for
Space Studies, is a professor at The Earth Institute of Columbia
University, where he directs the Program on Climate Science,
Awareness and Solutions. Dr. Hansen is a model of a leading
scientist who courageously communicates the social and policy
implications of his research, which focuses on the causes and
consequences of global warming. His testimony before Congress
in the 1980s helped raise awareness of climate change as a
global issue for humanity. Dr. Hansen is a member of the U.S.
National Academy of Sciences and has been named one of the
100 most influential people in the world by Time Magazine.
Yale Climate & Energy Institute
Yale Climate Change & Health Initiative
BRANFORD COLLEGE
MASTER’S TEA
James Hansen
Dr. James Hansen is a Professor at Columbia’s Earth Institute,
where he directs the Program on Climate Science, Awareness, and
Solutions. Dr. Hansen was formerly director of the NASA
Goddard Institute for Space Studies, and his research focuses on
the causes and consequences of global climate change. His
Congressional testimony in the late 1980s helped raise awareness
of the issue of climate change. He was named one of the 100 most
influential people in the world by Time Magazine and one of the
Top 100 Global Thinkers by Foreign Policy.
Wednesday, April 6 at 4:00 pm
Branford College Common Room
74 High Street
Appendix II.A.3
Climate Change and Health
Leadership Training Workshop
May 31, 2016: version7
SYLLABUS: EPH 555b, PRACTICUM IN CLIMATE CHANGE, SUSTAINABILITY,
AND PUBLIC HEALTH
INSTRUCTOR: DR. ROBERT DUBROW
Spring 2017
1. Prerequisite: participation in the Fall 2016 Climate Change, Sustainability, and Public Health
Leadership Training Workshop
.
2. Course Description: This course is one of the options available to students to fulfill the
practice requirement for the M.P.H. degree. In this course, interdisciplinary student teams carry
out applied research or practice projects in the area of climate change, sustainability, and public
health. Each team works with a sponsoring organization (e.g., unit within Yale, local health
department, state agency, community organization, other non-governmental organization). As a
prerequisite for enrollment, this unique Spring Term course requires participation in the Fall
Term Climate Change, Sustainability, and Public Health Leadership Training Workshop, a
partnership between the Climate Change and Health Initiative, the Global Health Leadership
Institute, and the Office of Sustainability. In October, students apply to join a team, and in
November the selected students participate in this weekend workshop that provides training on
leadership, strategic problem solving, and policy/applied research implementation. Teams use
these skills to further conceptualize and plan their projects. These established student teams
then implement their projects in this Spring Term course, which affords the opportunity to apply
concepts and competencies learned in the workshop and in the classroom to this important area
of climate change, sustainability, and public health. This course should be of interest to students
across Yale School of Public Health and the University.
3. Course Learning Objectives: Successful completion of this course will enable students to:
• Apply knowledge and skills learned in their M.P.H. course work to an important public
health problem.
• Within a defined timeframe, work as part of an interdisciplinary collaborative team to
design, implement, and evaluate a concrete public health project that complies with
established YSPH criteria for the M.P.H. practicum experience.
• Present an in-depth review of a specific practical problem in climate change,
sustainability, and public health.
• Utilize team building, negotiation, and conflict management skills.
• Demonstrate effective oral and written communication skills.
• Demonstrate specific competencies selected from the YSPH core curriculum and
student area of concentration that are pertinent to the practicum project.
• Demonstrate attainment of general cross cutting competencies in the areas of
communication, diversity and culture, leadership, and professionalism.
4. Meeting Place and Time: ?????
5. Course Website: The Classes*v2 course website can be accessed through
http://classesv2.yale.edu. Course announcements and other information are posted on the
website.
6. Office Hours: The instructor’ office hours are …. in LEPH 429. Please sign up for his office
hours using the Classes*v2 Sign-up tool.
7. Contacting the instructor: The best way to contact him is by e-mail ([email protected]).
8. Course Requirements:
a. Project implementation: The major time commitment for this course is implementation
of the team project, with an expectation of about 8 hours per week. Projects are
identified by the instructor in consultation with potential sponsoring organizations during
the previous summer. Types of projects include, but are not limited to, developing policy
recommendations and writing a “white paper” or policy brief; researching and writing a
technical report; analyzing and interpreting data (either pre-existing data or limited data
collected during the project, such as focus group data); conducting strategic planning;
developing and conducting a workshop; or developing educational, communications
and/or outreach strategies and/or materials. The course aims for four teams, each
consisting of three or four students.
Students apply for admission to the course, including ranking of their project
preferences, in October of the Fall Term. In November, the selected students are
assigned to a project and, after making a commitment to enroll in the course in the
Spring Term, participate in the Climate Change, Sustainability, and Public Health
Leadership Training Workshop, a weekend event that helps teams further conceptualize
and plan their projects and therefore “hit the ground running” when the course begins in
the Spring Term. Each team is advised by a preceptor from the sponsoring organization,
as well as by the course instructor.
b. Class attendance and participation: Weekly class sessions will consist of team
meetings as well as meetings of the entire class to assess progress, discuss and
propose solutions to problems that arise in project implementation, share experiences
and best practices among teams, and provide opportunity for instructor and cross-team
feedback.
c. Team interim and final oral presentations: The interim presentation will cover
progress to date and will take place the week before Spring break. The final presentation
will present the background and significance, methods, results, discussion and
conclusions of the project and will take place during the reading period.
d. Team interim and final written reports: The interim report will document progress to
date and will be due the day before Spring break (Friday, March 10). The final report will
be due during the final examination period. The final report should include an abstract,
executive summary, and sections on background and significance, methods, results,
discussion, conclusions, and an appendix with supporting documents (e.g.,
questionnaire, intervention guide).
e. Project-specific interim products: These are essential products (e.g., questionnaire,
intervention guide) needed to enable timely completion of each project and will be
determined early in the semester by each team in consultation with the instructor.
f. Individual self-reflection: Each student will write a short paper (2-4 pages, doublespaced) about the strengths and weaknesses of his or her contributions to the project
and how working on the project has addressed project-specific competencies (including
YSPH core curriculum competencies) identified at the beginning of the semester.
g. Peer evaluations: At the end of the semester each student will anonymously evaluate
the performance of his or her team members.
9. Grades: The grade for the course will be calculated as follows:
Class attendance and participation
10%
Team interim oral presentation
5%
2
Individual contribution to interim oral presentation
Team interim written report
Team final oral presentation
Individual contribution to final oral presentation
Team final written report
Individual self-reflection
Peer evaluation
Preceptor evaluation of team performance
5%
10%
15%
5%
30%
10%
5%
5%
Your numerical course grade will translate into your transcript grade as follows:
>90
Honors
80 – 89.99
High Pass
65 – 79.99
Pass
<65
Fail
Policy on late submission of assignments: The assignment will be graded down by 10 points
for each day late.
10. Classroom etiquette: During class, please turn off cell phones and pagers and please do not
surf the internet, text, or read your email.
11. Academic integrity: Academic integrity is a core institutional value at Yale. It means truth in
presentation, diligence and precision in citing works and ideas you have used, and
acknowledging collaborations with others. Violations of academic integrity include cheating on
exams, problem sets and all other forms of assessment; falsification or fabrication of data;
plagiarism, that is, the failure in a dissertation, essay or other written exercise to acknowledge
ideas, research, or language taken from others; and multiple submission of the same work
without obtaining explicit written permission from both instructors before the material is
submitted. Students found guilty of violations of academic integrity are subject to written
reprimand, probation (noted on a student’s transcript), suspension (noted on a student’s
transcript) or dismissal (noted on a student’s transcript).
Students will sign the following statement at the end of each written assignment: I certify
that this is my own original work and that I have not committed plagiarism.
12. Class schedule and readings:
• Classes 1-7: Team meetings as well as meetings of the entire class to assess progress,
discuss and propose solutions to problems that arise in project implementation, share
experiences and best practices among teams, and provide opportunity for instructor and
cross-team feedback.
•
Class 8: Interim presentations.
•
Classes 9-13: Team meetings as well as meetings of the entire class to assess
progress, discuss and propose solutions to problems that arise in project
implementation, share experiences and best practices among teams, and provide
opportunity for instructor and cross-team feedback.
•
Class 14 (reading week): Final presentations.
3
Appendix II.B.1
Climate Change and Health
Pre-Doctoral Fellowships
Alyssa S. Parpia, MPH
address: 135 College Street, Suite 200; New Haven, CT, 06510
phone: (203) 430-0964
email: [email protected]
Education
2016-present
Doctor of Philosophy (PhD) Student in Epidemiology of Microbial Diseases.
Yale School of Public Health (YSPH), Yale University, United States.
First Year PhD Student, Climate Change and Health Fellow.
2015
Master of Public Health (MPH) in Epidemiology.
Dalla Lana School of Public Health, University of Toronto, Canada.
Supervisors: Dr. Alison Galvani (YSPH), Dr. Natasha Crowcroft (Public Health
Ontario: PHO). GPA: 3.9.
2013
Bachelor of Arts, Honours (BAH). Queen’s University, Canada.
Global Development Studies (Major), Biochemistry (Minor).
2009
Middle and High School, University of Toronto Schools, Canada.
Awards and Honors
2016-present
2016
2015
2015
2014
2014
2009-2013
2009-2010
2009
Climate Change and Health Fellow at Yale School of Public Health
Summer Institute in Statistics and Modeling in Infectious Diseases (SISMID)
Scholarship and Travel Award
American College of Epidemiology Associate Member Travel Award
Global Health Student Research Travel Award at University of Toronto
Ontario Trust for Student Support Award at University of Toronto
Professional Masters Student Award at University of Toronto
Dean’s Honor List at Queen’s University
Principal’s Scholarship at Queen’s University
Millennium Excellence Entrance Award
Skills
-
-
Superb quantitative data analysis and data management skills
Excellent understanding of epidemiological research methods
Proficient in statistical software: R, SAS, MatLab, STATA, EpiData, SPSS, Excel
Decision Analysis Modeling/Math Modeling experience in: TreeAge, MatLab
Mapping and spatial analysis experience using ArcGIS and SaTScan
Superior oral and written communication skills with experience writing,
contributing to, and conducting: reports, manuscripts for publication, systematic
reviews, literature reviews, donor and research presentations, proposals, funding
grants, policy briefs, posters
Exceptional grant writing skills, with contributions to grants for: NIH, NSF, USAID
Experience running cost-effectiveness analyses and model simulations
Outstanding leadership, coordinating, and interpersonal skills
Highly detail-oriented
-
-
Driven to take initiative and exceptionally self-motivated
Work effectively independently and collaboratively
Research and analytic skills in: Epidemiologic Methods, Decision Analysis, CostEffectiveness, Public Health Policy, Categorical Data Analysis, Biostatistics,
Communicable Disease Epidemiology, Surveillance Systems, Survey Design, Critical
Appraisal
Excellent computer, word processing, and citation skills using: Word, Excel, LaTeX,
Publisher, PowerPoint, Mendeley, Google Documents/Sheets, BibTeX, RefWorks,
EndNote, Paperpile, RevMan, Adobe Photoshop
Research
Jun 2015 Aug 2016
Research Associate and Coordinator, Center for Infectious Disease Modeling
and Analysis, Epidemiology of Microbial Diseases, Yale School of Public Health
Supervisor: Dr. Alison Galvani, PhD; Dr. Martial Ndeffo-Mbah, PhD
Infectious Disease Mathematical Modeling and Epidemiology Research
-
-
-
-
-
-
Effectiveness of reaching 90-90-90 by 2020 HIV/AIDS target with vaccine
Contribute to creation of a computer simulation model to emulate the disease
transmission of HIV in the United States and Rwanda with respect to the
proportion of the population who has HIV that is diagnosed, under treatment, and
virally suppressed. Work in Progress.
Cost-effectiveness tool for Zika Outbreak Control
Calculate probability of microcephaly probability given first-trimester pregnancy
Zika-infection, calculate probability of Guillain-Barré Syndrome given Zika
infection. Manuscript in Revisions.
Develop tool to estimate cost-effectiveness of Zika control interventions
Perinatal Zika Infection and Pregnancy Delay
Contribute to modeling study on the impact of pregnancy delay recommendations
on averting microcephaly cases across Latin America. Published paper in Annals of
Internal Medicine.
Human African Trypanosomiasis (HAT) Elimination Likelihood
Modeling likelihood of HAT elimination in Guinea as part of Neglected Tropical
Diseases Modeling Consortium (www.ntdmodelling.org). Work in Progress.
Measles Incidence and Delay in Vaccination in Cameroon
Independently develop, parameterize, and code model equations related to
measles outbreaks in Sub-Saharan Africa and Cameroon specifically
Use ArcGIS software to display spatial data and create maps
Investigate, analyze and reach preliminary scientific conclusions related to results
Recommend design and implementation of procedures, protocols, and policy
under direction of supervisor, with respect to scientific conclusions related to
model results. Work in Progress.
Impact of Smoking Cessation strategies on Smoking-related comorbidities
Parameterize model, conduct literature review focused on the United States
Develop mathematical model. Work in Progress.
2015:
Jan-Jun
Post-Graduate Research Associate and Practicum Student, Yale Center for
Infectious Disease Modeling and Analysis, Epidemiology of Microbial Diseases
Supervisor: Dr. Alison Galvani, PhD; Dr. Martial Ndeffo-Mbah, PhD
Infectious Disease Math Modeling and Epidemiology Research
-
2014:
Sept-Dec
Indirect Health Impacts of Ebola in West Africa: HIV/AIDS, TB and Malaria
Run disease simulations related to indirect health effects of the most recent Ebola
epidemic in West Africa, with respect to HIV/AIDS, tuberculosis, and malaria
Create decision analysis and Markov models to emulate impact of reduction in
treatment coverage in Guinea, Liberia, and Sierra Leone for each disease
Analyze and interpret results
Communicate findings in co-first-author paper published in Emerging Infectious
Diseases
Research Student, Dalla Lana School of Public Health, University of Toronto
Supervisor: Dr. Beate Sander, PhD
Decision Analysis, Cost-Effectiveness Analysis, and Epidemiology Research
-
2014:
Apr-Sept
Cost-Effectiveness of Bicycle Lane Implementation in Toronto
Run cost-effectiveness analysis and decision analysis on a population level to
identify cost-effectiveness of implementing a bicycle lane in Toronto in terms of
reduction in incidence of severe biking injuries and obesity prevalence
Conduct 1-, 2-way, and probabilistic sensitivity analyses on model
Write co-first-author manuscript (Work in Progress) and abstract (poster
presented at SMDM Annual Meeting)
Practicum Student, Department of Communicable and Infectious Diseases, PHO
Supervisor: Dr. Natasha Crowcroft, MD PhD
Infectious Disease Epidemiology Research
2012-2013
Encephalitis in Ontario, Canada from 2002-2013
Extract health administrative data; clean, and manage data
Conduct literature review of encephalitis studies
Run multiple negative binomial regression models in order to determine age, sex,
and year-specific incidence rates of encephalitis in Ontario
Bootstrap resample incidence rates in order to compare results to those in England
Run multiple linear regression to assess association between encephalitis etiology
category and length of hospitalization for encephalitis
Communicate findings in first-author paper published in Emerging Infectious
Diseases (March 2016) and abstract (oral presentation at ACE Annual Meeting)
Research Assistant and Student, Department of Community Health and
Epidemiology, Queen’s University
Supervisors: Dr. Colleen Davison, PhD; Dr. William Pickett, PhD
Chronic Disease Epidemiology Research: Injury, Child Health
-
-
Emotional Well-being of Immigrant Students in Canada
Run log-binomial regression to assess association between different measures of
emotional well-being and immigrant status, in addition to stratifying immigrant
status by country of origin. Work in Progress.
Conducted literature review on emotional well-being among immigrant children
Data from Canadian Health Behaviour of School-Aged Children WHO study
-
2011 & 2012:
May-Sept
2011-2012
Prescription Opioid Misuse and Injury among Youth in Canada
Conducted literature review on nonmedical use of prescription opioids and injury
among youth in Canada, analyzed SAS output of results to interpret findings,
created tables to display results
Paper published in Journal of Child & Adolescent Substance Abuse
Impact of Later School Start time on Education and Health of high-school students
Updated literature search for systematic review
Critically appraised literature and conducted data extraction
Used RevMan to organize and contribute to communication of findings in a
systematic review. Manuscript submitted.
Summer Research Student, Sunnybrook Health Sciences Centre, Toronto
Supervisor: Dr. Jean-Philippe Pignol, MD, PhD
Medical Biophysics Research
Gold Nanoparticles and Intensifying Breast Cancer Radiation Therapy
Grew and irradiated cell plates, performed analyses to determine effect of highly
concentrated gold nanoparticles on breast cancer cell survival
Analyzed pain data from a randomized control trial of Breast Intensity-Modulated
Radiation Therapy using Matlab and Excel
Research Student, Cancer Research Institute at Queen’s University, Toronto
Supervisor: Dr. Christopher Mueller, PhD
Biochemistry and Pathology Research
2010:
May-Sept
Breast Cancer Genetics
Assisted in the study of the role of BRAC1 in breast cancer, performed western
blots and extracted DNA from tumour tissue, prepared buffers and solutions
Summer Research Student, Department of Cardiovascular Surgery, Hospital for
Sick Children (SickKids), Toronto
Supervisor: Dr. Sandra Merklinger, PhD; Dr. Glen Van Arsdell, MD
Clinical Research, Cardiovascular Surgery
-
2008-2009
Cardiovascular Surgery
Researched improvements to Tetraology of Fallot surgery procedure, single
ventricle operations on neonates and infants, and accelerating lung maturation in
small animal models
Performed morphometry analyses and calculations to consolidate data
Neonatal Congenital Heart Disease Surgery Timing
Data extraction from neonatal patient files on congenital heart disease status
Manuscript writing and data analysis to identify ideal surgery timing (before or
after a given age)
Mentorship Student, Surrey Place, University of Toronto
Supervisor: Dr. Maire Percy, PhD
Neurogenetics Research
-
Risk factors for Dementia and Alzheimer’s Disease
Researched relationship between genetics, aluminum, and other potential causes
of Alzheimer’s; extracted DNA from blood samples, performed PCR analyses
-
Assisted in writing a supplement to Dr. Percy’s textbook “Intellectual and
Developmental Disabilities” and contributed to manuscript published in Journal of
Alzheimer’s Disease.
Publications
1.
Ndeffo-Mbah ML, Parpia AS, Galvani AP. 2016. Mitigating prenatal Zika virus
infection in the Americas. Annals of Internal Medicine. [Epub ahead of print 26 July
2016] doi:10.7326/M16-0919.
2. Alfaro-Murillo JA*, Parpia AS*, Fitzpatrick MC*, Tamagnan J, Medlock J, NdeffoMbah ML, Fish D, Ávila-Agüero ML, Marín R, Ko AI, Galvani AP. 2016. A CostEffectiveness Tool for Informing Policies on Zika Virus Control. PLoS Neglected
Tropical Diseases. 10(5):e0004743. DOI: 10.1371/journal.pntd.0004743.
a.
Press Release: PLOS Neglected Tropical Diseases. American Association for the
Advancement of Science; EurekAlert. May 20, 2016. A tool to support public health
decisions on Zika virus predicts most planned interventions to be cost-effective.
http://www.eurekalert.org/pub_releases/2016-05/p-att051716.php
3. Pulver A, Davison CM, Parpia AS, Purkey E, Pickett WL. 2016. Nonmedical use of
prescription opioids and injury risks among youth. Journal of Child & Adolescent
Substance Abuse. 1-8. DOI: 10.1080/1067828X.2015.1115795.
4. Parpia AS, Li Y, Chen C, Dhar B, Crowcroft NS. 2016. Encephalitis, Ontario,
Canada, 2002-2013. Emerging Infectious Diseases. 22(3):426-432. DOI:
10.3201/eid2203.151545.
5. Parpia AS*, Ndeffo-Mbah ML*, Wenzel NS, Galvani AP. 2016. Impact of response
to the 2014-2015 Ebola outbreak on outcomes of malaria, HIV, and tuberculosis,
West Africa. Emerging Infectious Diseases. 22(3):433-441. DOI:
10.3201/eid2203.150977.
a.
Press: Coghlan A. February 24, 2016. Ebola outbreak caused twice as many deaths
as we thought. New Scientist. https://www.newscientist.com/article/2078587ebola-outbreak-caused-twice-as-many-deaths-as-we-thought/
b. Press: Thomas KLG. March 16, 2016. As Ebola wanes, a spike in infectious diseases
sweeps through Liberia. STAT News.
https://www.statnews.com/2016/03/16/liberia-tuberculosis-after-ebola/
6. Percy M, Somerville MJ, Hicks M, Colelli T, Wright E, Kitaygorodsky J, Jiang A, Ho
V, Parpia A, Wong MK, Garcia A. 2014. Risk Factors for Development of Dementia
in a Unique Six-Year Cohort Study. I. An Exploratory, Pilot Study of Involvement
of the E4 Allele of Apolipoprotein E, Mutations of the Hemochromatosis-HFE
Gene, Type 2 Diabetes, and Stroke. Journal of Alzheimer’s Disease. 38(4):907-922.
DOI: 10.3233/JAD-131409.
Submitted Manuscript:
1.
Lee BY, Alfaro-Murillo JA, Parpia AS, Wedlock PT, Asti L, Hotez PJ, Galvani AP.
The Potential Economic Burden of Zika in the Continental United States. (Under
Review).
a.
Press: Lee BY. May 17, 2016. Senate To Vote On Zika Funding: Ten Things You
Should Know. Forbes. http://www.forbes.com/sites/brucelee/2016/05/17/senate-tovote-on-zika-funding-ten-things-you-should-know/3/#72a743cf699f
2. Marx R, Tanner-Smith EE, Davison CM, Ufholz L-A, Freeman J, Shankar R,
Newton L, Brown RS, Parpia AS, Cozma I, Newton L, Hendrikx S. 2016. Later
school start times for supporting the education, health, and well-being of high
school students. Cochrane Database of Systematic Reviews. (Protocol: 2011, Issue 11,
Art. No. CD009467, DOI: 10.1002/14651858.CD009467). 2016. (Under Review).
Working Manuscripts:
1.
Parpia AS*, Qiao Y*, Sander B. 2016. The effectiveness and cost-effectiveness of
implementing bicycle lanes in the prevention of obesity and permanent severe
injury. (Working).
2. Parpia AS, Davison CM, Freeman J. 2016. A comparative study of emotional wellbeing of school-aged children born in and outside of Canada. (Working).
3. Medlock J, Pandey A, Parpia AS, Fauci A, Galvani AP. 2016. Effectiveness of the
UNAIDS 2020 targets across 73 countries. (Working)
4. Medlock J, Parpia AS, Pandey A, Fauci A, Galvani AP. 2016. Effectiveness of a
partial efficacy HIV vaccine in 73 countries. (Working)
5. Pandey A, Medlock J, Parpia AS, Fitzpatrick MC, Galvani AP. 2016. Costeffectiveness of achieving HIV/AIDS target of 90-90-90 by 2020 worldwide.
(Working)
Presentations
Oral Presentations
1.
Parpia AS, Ndeffo-Mbah ML, Wenzel NS, Galvani AP. Oct 9, 2015. Impact of the
2014-2015 Ebola outbreak on malaria, HIV, and tuberculosis in West Africa.
Invited. Global Health Research Travel Award Presentations. Toronto, Canada.
2. Parpia AS, Li Y, Chen C, Dhar B, Crowcroft NS. September 27-29, 2015. Impact of
Encephalitis in Ontario. American College of Epidemiology Annual Meeting.
Category: Outstanding Scientific Contributions Oral Presentation. Atlanta,
Georgia, United States.
Poster Presentations
1.
Parpia AS*, Qiao Y*, Sander B. October 18-21, 2015. The effectiveness and costeffectiveness of implementing bicycle lanes in the prevention of obesity and
permanent severe injury. Society for Medical Decision Making Annual Meeting. St.
Louis, Missouri, United States.
2. Parpia AS, Crowcroft NS. November 21, 2014. Encephalitis in Ontario: Incidence
and Length of Hospitalization. Dalla Lana School of Public Health Research Day.
Toronto, Ontario, Canada.
3. Parpia AS, Davison CM, Freeman J. October 27-29 2013. A comparative study of
emotional well-being of school-aged children born in and outside of Canada.
Canadian Conference on Global Health. Ottawa, Ontario, Canada.
4. Hickey EJ, Nosikova Y, Zhang H, Parpia A, Lue J, Caldarone CA, Benson L,
Redington AN, Van Arsdell G. May 7-11, 2011. Very low birth weight infants with
congenital cardiac lesions: is there merit in delaying intervention to permit growth
and maturation? American Association for Thoracic Surgery Conference.
Philadelphia, Pennsylvania, United States.
Other Relevant Work Experience
2014: Sept-Dec
Teaching Assistant, Department of Health Studies, Introduction to Public Health
(HLTB16), University of Toronto
-
Planned and lead tutorials for undergraduate (sophomore to senior) students
related to course material on public health, epidemiology, and health promotion
Held office hours to answer questions and provide one-on-one assistance
Prepared engaging activities to encourage learning, facilitate effective group work,
and instigate critical discussions
Marked exams (essay, short answer, matching) and poster projects
-
Campus and Community Director, Queen’s Project on International
Development (QPID), Non-Governmental Organization
2012-2013
-
-
-
Directed portfolio as 1 of 5 directors of organization with a $100,000 budget
Oversaw high school outreach programs where global development concepts and
theories were taught and discussed during weekly meetings, a conference, and
classroom presentations
Led and organized weekly Forums for university students
Directly managed 12 staff and worked to facilitate internships for 13 interns at
international community-based NGOs in Ghana, Botswana, and Nunavut, Canada
related to health promotion, sustainable technology, and human rights
Developed and nurtured relationships between QPID and local NGOs
Organized university chapter of 5 Days for the Homeless Campaign; an interactive
campaign aimed at spreading awareness about youth homelessness in Kingston
Raised $12,000 for the 5 Days campaign through grant applications, corporate
fundraising, and individual donors
Held leadership role in organization throughout undergraduate education: Alumni
Relations Executive and Committee Member
Conferences and Institutes Attended
-
SISMID, Seattle, WA, USA
American College of Epidemiology Annual Meeting, Atlanta, GA, USA
Big Data in Health Policy at the Fields Institute, Toronto, ON, Canada
Global Health Students Association Conference: Ebola, Toronto, ON, Canada
Canadian Conference on Global Health, Ottawa, ON, Canada
Dalla Lana School of Public Health Research Day, Toronto, ON, Canada
Knowledge Translation for Global Health Summer Institute, Kingston, ON, Canada
Canadian Undergraduate Conference on Healthcare, Kingston, ON, Canada
Queen’s International Development Conference, Kingston, ON, Canada
Queen’s Model United Nations, Kingston, ON, Canada
McGill Model United Nations, Montreal, QC, Canada
Professional Memberships and Affiliations
-
NTD (Neglected Tropical Diseases) Modelling Consortium, Modeller and
Epidemiologist
Canadian Coalition on Global Health Research, Member
Community Service
Languages
Best Buddies Peer Buddy (11 years)
5 Days for the Homeless Campaign Chapter Organizer and Participant (1 year)
Volunteer at Kingston General Hospital (3 years) & Crescent Town Health Clinic (3
years)
Assistant Lifeguard with Toronto Parks and Recreation (1 year, Paid Lifeguard and
Instructor for 3 years)
English (fluent), French (speak, read, and write with basic competence)
Climate Change and Health
Pre-doctoral Fellowships
Yale School of Public Health is accepting applications for pre-doctoral fellowships from applicants
who seek a PhD degree in Public Health with an interdisciplinary focus on climate change and health.
Successful applicants will receive a stipend, health
insurance and full tuition. Matriculation will be in
September 2016.
Fellowships will be awarded to qualified students
admitted to the PhD Program of the Yale University Graduate School of Arts and Sciences (http://
www.yale.edu/graduateschool/admissions). Please
choose the Public Health Department. The deadline for applications is December 15, 2015. Applications from minority students are particularly
Program Director:
Robert Dubrow, MD, PhD
Professor of Epidemiology
Phone: (203) 785-2853
Email: [email protected]
encouraged, and applications from international
students are welcomed.
These fellowships provide the opportunity to
address what many consider to be the greatest public health challenge in this century. The 2015 Lancet Commission on Health and Climate Change
concluded that: 1) the effects of climate change are
being felt today, and future projections represent
an unacceptably high and potentially catastrophic
risk to human health; 2) tackling climate change
could be the greatest global health opportunity of
the 21st century; and 3) the health community has
a vital part to play in accelerating progress to address climate change.
Information:
Melanie Elliot
Adm. Dir., Graduate Student Affairs
Phone: (203) 785-6383
Email: [email protected]
PUBLICHEALTH.YALE.EDU
Yale School of Public Health
60 College Street
P.O. Box 208034
New Haven, CT 06520.8034
Appendix II.B.2
Graduate Course on Climate
Change and Health
August 3, 2016 version 7
SYLLABUS: CDE 547a, CLIMATE CHANGE AND PUBLIC HEALTH
INSTRUCTOR: DR. ROBERT DUBROW
Fall 2016
1. Prerequisites:
• CDE 508a, Principles of Epidemiology I or HLTH 240, Epidemiology & Public Health or
equivalent
AND
• BIS 505a, Introduction to Statistical Thinking I or equivalent
.
2. Course description: This course takes an interdisciplinary approach to examining
relationships between climate change and public health. After placing climate change in the
context of the Anthropocene and planetary health and exploring the fundamentals of climate
change science, the course covers impacts of climate change on public health, including heat
waves, occupational heat stress, tropospheric ozone, wildfires, aeroallergens, vector-borne,
foodborne, and waterborne diseases, water scarcity, food insecurity, migration, violent conflict,
natural disasters, and health co-benefits of climate change mitigation. The course integrates
climate justice issues and adaptation strategies into the discussion of specific topics. The
course is reading-intensive, and makes ample use of case studies. There is a focus on critical
reading of the literature and identifying research gaps and needs. This course should be of
interest to students across Yale School of Public Health and the University.
3. Course learning objectives: Successful completion of this course will enable students to:
a. Situate climate change in the context of the Anthropocene and planetary health.
b. Describe how the climate has changed.
c. Explain the physics of climate change and the role of greenhouse gases in climate
change.
d. Explain climate models and describe how the climate is predicted to change in the
future.
e. Describe human and ecosystem impacts of climate change.
f. Describe health impacts of climate change.
g. Explain how adaptation strategies can reduce adverse health impacts of climate change.
h. Describe health co-benefits of climate change mitigation.
i. Explain which population groups are most vulnerable to health impacts of climate
change.
j. Describe the main research approaches to studying relationships between climate
change and health.
k. Evaluate and interpret research articles about relationships between climate change and
health.
4. Meeting time and place: Wednesday, 8:00 am to 9:50 am, LEPH 103
5. Course website: The Canvas course website can be accessed through
http://canvas.yale.edu. Course readings, announcements, assignments, and other information
are posted on the website.
6. Office hours: The instructor’s office hours are …. in LEPH 429.
7. Contacting the instructor: The best way to contact him is by e-mail ([email protected]).
8. Course requirements:
a. Class attendance and participation: Attendance and participation are expected. Class
sessions will be interactive, with student input expected. To enhance high-quality
participation and to motivate students to do the readings (see below), students will often
be asked to come to the next class prepared to debate either side of a particular issue or
to give a 5-minute presentation on a particular topic covered by the readings assigned
for that class (not knowing in advance which students will be selected).
b. Readings: The course is reading intensive. Furthermore, due to the inherent
interdisciplinary nature of climate change and health, students should be prepared to
find readings that assume expertise in a discipline(s) outside of their comfort zone to be
challenging. The readings for each class are posted on the course website. For class
sessions to be productive, it is necessary that students do the readings in advance of
each session.
Required textbook: Dessler, Andrew. Introduction to Modern Climate Change,
second edition. Cambridge University Press, Cambridge, 2015. This textbook is
available from Amazon ($86.60) or from Cambridge University Press ($54.99). In
addition, there are three copies on reserve in the Medical Library.
c. Short writing assignments: There will be four short (2-4 pages, double-spaced) writing
assignments, such as an op-ed, article critique, policy brief, or answer(s) to a question or
a set of questions.
d. Case study: Case studies will involve both a short class presentation (10 minutes) and a
paper (12-15 pages, double-spaced). At the beginning of the semester, the instructor will
decide whether the case studies will be individual or group projects, based on the class
size. Case studies could focus on climate change and health issues faced by a specific
geographic area (e.g., a small island nation, Dhaka, Miami), on specific extreme events
(e.g., 2011-2015 California drought, 2015 South Carolina floods, Hurricane Katrina), on
specific diseases or exposures (e.g., harmful algal blooms, asthma, Lyme disease), on
specific health-related issues in climate change mitigation (e.g., the role of nuclear
power, reproductive health as a mitigation strategy and its health co-benefits, health cobenefits of ending hydraulic fracturing), or on specific health-related adaptation issues
(e.g., migration as an adaptation strategy, reducing urban heat island effects, enhancing
food security in the context of climate change). Topics not fitting into one of these
categories are also possible.
Students will propose a case study early in the semester and will receive feedback from
the instructor. Presentations will be scheduled throughout the semester starting with
Class 7, to the extent possible matching the case study topic with the topic slated for a
particular class. Presentations will be modeled after presentations at national meetings,
with brevity paramount. After each presentation, the class and the instructor will give
feedback to help write the paper, which will be due at the end of the semester.
e. Final exam: The purpose of this exam is to assess the basic knowledge about climate
change and public health that you have accrued over the course of the semester. If you
conscientiously read the readings and attended class you should do fine on this exam.
2
9. Grades: The grade for the course will be calculated as follows:
Class attendance and participation
20%
Short writing assignments
20%
Case study presentation
10%
Case study paper
30%
Final exam
20%
Your numerical course grade will translate into your transcript grade as follows:
≥90
Honors
80 – 89.99
High Pass
65 – 79.99
Pass
<65
Fail
Policy on late submission of assignments: The assignment will be graded down by 10 points
for each day late.
10. Classroom etiquette: Please turn off cell phones and pagers and do not surf the internet,
text, or read email during class.
11. Academic integrity: Academic integrity is a core institutional value at Yale. It means truth in
presentation, diligence and precision in citing works and ideas you have used, and
acknowledging collaborations with others. Violations of academic integrity include cheating on
exams, problem sets and all other forms of assessment; falsification or fabrication of data;
plagiarism, that is, the failure in a paper or other written exercise to acknowledge ideas,
research, or language taken from others; and multiple submission of the same work without
obtaining explicit written permission from both instructors before the material is submitted.
Students found guilty of violations of academic integrity are subject to written reprimand,
probation (noted on a student’s transcript), suspension (noted on a student’s transcript) or
dismissal (noted on a student’s transcript).
Students will sign the following statement at the end of each paper: I certify that this is
my own original work and that I have not committed plagiarism. Students will sign
the following statement at the end of the final exam: I have not given, received, or
witnessed inappropriate exchange of information on this exam.
12. Class schedule and readings:
Class 1 (August 31): The Anthropocene and planetary boundaries
• Steffen W, Crutzen PJ, McNeill JR. The Anthropocene: are humans now overwhelming
the great forces of nature. AMBIO 2007;36:614-621.
• Steffen W, Broadgate W, Deutsch L. The trajectory of the Anthropocene: the Great
Acceleration. The Anthropocene Review 2015;2:81-98.
• Rockstrom J, Steffen W, Noone K, Persson A, Chapin FS, Lambin E, Lenton TM,
Scheffer M, Folke C, Schellnhuber HJ, Nykvist B, de Wit CA, Hughes T, van der Leeuw
S, Rodhe H, Sorlin S, Snyder PK, Costanza R, Svedin U, Falkenmark M, Karlberg L,
Corell RW, Fabry VJ, Hansen J, Walker B, Liverman D, Richardson K, Crutzen P, Foley
J. Planetary boundaries: exploring the safe operating space for humanity. Ecol Soc
2009;14:32.
• Steffen W, Richardson K, Rockstrom J, Cornell SE, Fetzer I, Bennett EM, Biggs R,
Carpenter SR, de Vries W, de Wit CA, Folke C, Gerten D, Heinke J, Mace GM, Persson
LM, Ramanathan V, Reyers B, Sorlin S. Planetary boundaries: guiding human
development on a changing planet. Science 2015;347:1259855.
3
Class 2 (September 7): Planetary health
• Whitmee S, Haines A, Beyrer C, Boltz F, Capon AG, de Souza Dias BF, Ezeh A,
Frumkin H, Gong P, Head P, Horton R, Mace GM, Marten R, Myers SS, Nishtar S,
Osofsky SA, Pattanayak SK, Pongsiri MJ, Romanelli C, Soucat A, Vega J, Yach D.
Safeguarding human health in the Anthropocene epoch: report of The Rockefeller
Foundation-Lancet Commission on planetary health. Lancet 2015;386:1973-2028.
Class 3 (September 14): Fundamentals of climate change (1)
• Dessler A. Introduction to Modern Climate Change, second edition. Cambridge
University Press, Cambridge, 2016, Chapters 1-5:1-89.
Class 4 (September 21): Fundamentals of climate change (2)
• Dessler A. Introduction to Modern Climate Change, second edition. Cambridge
University Press, Cambridge, 2016, Chapters 6-9:90-161.
Class 5 (September 28): Overview of climate change and public health
• Smith, KR, Woodward A, Campbell-Lendrum D, Chadee DD, Honda Y, Liu Q, Olwoch
JM, Revich B, Sauerborn R. Chapter 11. Human health: impacts, adaptation, and cobenefits. In: Climate Change 2014: Impacts, Adaptation, and Vulnerability. Part A: Global
and Sectoral Aspects. Contribution of Working Group II to the Fifth Assessment Report
of the Intergovernmental Panel on Climate Change [Field CB, Barros VR, Dokken DJ,
Mach KJ, Mastrandrea MD, Bilir TE, Chatterjee M, Ebi KL, Estrada YO, Genova RC,
Girma B, Kissel ES, Levy AN, MacCracken S, Mastrandrea PR, and White LL, eds].
Cambridge University Press, Cambridge, United Kingdom and New York, 2014:709-754.
`
Class 6 (October 5): Heat waves; occupational heat stress
• Morrison SF. Regulation of body temperature. In: Bron WF, Boulpaep EL, eds. Medical
Physiology. Elsevier, Philadelphia, 2017:1193-1203.
• Kovats RS, Hajat S. Heat stress and public health: a critical review. Annu Rev Public
Health 2008;29:41-55.
• Hajat S, Kosatky T. Heat-related mortality: a review and exploration of heterogeneity. J
Epidemiol Community Health 2010;64:753-760.
• Roelofs C, Wegman D. Workers: the climate canaries. Am J Public Health
2014;104:1799-1801.
• Correa-Rotter R, Wesseling C, Johnson RJ. CKD of unknown origin in Central America:
the case for a Mesoamerican nephropathy. Am J Kidney Dis 2014;63:506-520.
• Jones B, O'Neill BC, McDaniel L, McGinnis S, Mearns LO, Tebaldi C. Future population
exposure to US heat extremes. Nat Clim Change 2015;5:652-655.
October 12: NO CLASS
Class 7 (October 26): Tropospheric ozone; wildfires; aeroallergens
• Kinney PL, Ito K, Weinberger KR, Sheffield PE. Chapter 5. Respiratory and allergic
disorders. In: Levy BS, Patz JA, eds. Climate Change and Public Health. Oxford
University Press, New York, 2015:105-127.
• Sheffield PE, Knowlton K, Carr JL, Kinney PL. Modeling of regional climate change
effects on ground-level ozone and childhood asthma. Am J Prev Med. 2011;41(3):251257.
• Ziska L, Knowlton K, Rogers C, Dalan D, Tierney N, Elder MA, Filley W, Shropshire J,
Ford LB, Hedberg C, Fleetwood P, Hovanky KT, Kavanaugh T, Fulford G, Vrtis RF, Patz
4
•
•
•
JA, Portnoy J, Coates F, Bielory L, Frenz D. Recent warming by latitude associated with
increased length of ragweed pollen season in central North America. Proc Natl Acad Sci
USA 2011;108:4248-4251.
Beggs PJ. Adaptation to., impacts of climate change on aeroallergens and allergic
respiratory diseases. Int J Environ Res Public Health 2010;7:3006-3021.
Liu JC, Pereira G, Uhl SA, Bravo MA, Bell ML. A systematic review of the physical health
impacts from non-occupational exposure to wildfire smoke. Environ Res 2015;136:120132.
Johnston FH, Purdie S, Jalaludin B, Martin KL, Henderson SB, Morgan GG. Air pollution
events from forest fires and emergency department attendances in Sydney, Australia
1996-2007: a case-crossover analysis. Environ Health 2014;13:105.
Class 8 (November 2): Vector-borne diseases
• Beard CB, Garofalo JF, Gage KL. Chapter 8. Climate and its impacts on vector-borne
and zoonotic diseases. In: Luber G, Lemery J, eds. Global Climate Change and Human
Health. Jossey-Bass, San Francisco, 2015:221-266.
• Campbell-Lendrum D, Manga L, Bagayoko M, Sommerfeld J. Climate change and
vector-borne diseases: what are the implications for public health research and policy?
Philos Trans R Soc Lond B Biol Sci 2015;370:20130552.
• Ostfeld RS, Brunner JL. Climate change and Ixodes tick-borne diseases of humans.
Philos Trans R Soc Lond B Biol Sci 2015;370:20140051.
Class 9 (November 9): Waterborne and foodborne diseases
• Rose JB, Wu F. Chapter 7. Waterborne and foodborne diseases. In: Levy BS, Patz JA,
eds. Climate Change and Public Health. Oxford University Press, New York, 2015:157172.
• Backer LC. Chapter 6. Effects of climate change on noninfectious waterborne threats. In:
Luber G, Lemery J, eds. Global Climate Change and Human Health. Jossey-Bass, San
Francisco,2015:171-193.
Class 10 (November 16): Water scarcity and food insecurity
• Schewe J, Heinke J, Gerten D, Haddeland I, Arnell NW, Clark DB, Dankers R, Eisner S,
Fekete BM, Colon-Gonzalez FJ, Gosling SN, Kim H, Liu X, Masaki Y, Portmann FT,
Satoh Y, Stacke T, Tang Q, Wada Y, Wisser D, Albrecht T, Frieler K, Piontek F,
Warszawski L, Kabat P. Multimodel assessment of water scarcity under climate change.
Proc Natl Acad Sci USA 2014;111:3245-3250.
• Dangour AD, Green R, Sutherland J, Watson L, Wheeler TR. Chapter 8. Health impacts
related to food and nutrition insecurity. In: Levy BS, Patz JA, eds. Climate Change and
Public Health. Oxford University Press, New York, 2015:173-193.
• Springmann M, Mason-D’Croz D, Robinson S, Garnett T, Godfray HCJ, Gollin D, Raynor
M, Ballon P, Scarborough P. Global and regional health effects of future food production
under climate change: a modelling study. Lancet 2016;387:1937-1946.
• Lake IR, Hooper L, Abdelhamid A, Bentham G, Boxall AB, Draper A, Fairweather-Tait S,
Hulme M, Hunter PR, Nichols G, Waldron KW. Climate change and food security: health
impacts in developed countries. Environ Health Perspect 2012;120:1520-1526.
Class 11 (November 30): Migration; violent conflict; natural disasters
• Scheffran J, Brzoska M, Kominek J, Link PM, Schilling J. Climate change and violent
conflict. Science 2012;336:869-871.
5
•
•
•
•
Leaning J, Guha-Sapir D. Natural disasters, armed conflict, and public health. N Engl J
Med 2013;369:1836-1842.
Hsiang SM, Burke M, Miguel E. Quantifying the influence of climate on human conflict.
Science 2013;341:1235367.
McMichael C, Barnett J, McMichael AJ. An ill wind? Climate change, migration, and
health. Environ Health Perspect 2012;120:646-654.
Kelley CP, Mohtadi S, Cane MA, Seager R, Kushnir Y. Climate change in the Fertile
Crescent and implications of the recent Syrian drought. Proc Natl Acad Sci USA
2015;112:3241-3246.
Class 12 (December 7): Health co-benefits of climate change mitigation: energy
• Smith K R, Balakrishnan K, Butler C, Chafe Z, Fairlie I, Kinney P, Kjellstrom T, Mauzerall
DL, McKone T, McMichael A, Schneider M. Chapter 4. Energy and Health. In: Global
Energy Assessment – Toward a Sustainable Future, Cambridge University Press,
Cambridge and the International Institute for Applied Systems Analysis, Laxenburg,
Austria, 2012:255-324 (can skip section 4.6).
• Wilkinson P, Smith KR, Davies M, Adair H, Armstrong BG, Barrett M, Bruce N, Haines A,
Hamilton I, Oreszczyn T, Ridley I, Tonne C, Chalabi Z. Public health benefits of
strategies to reduce greenhouse-gas emissions: household energy. Lancet
2009;374:1917-1929.
• Markandya A, Armstrong BG, Hales S, Chiabai A, Criqui P, Mima S, Tonne C, Wilkinson
P. Public health benefits of strategies to reduce greenhouse-gas emissions: low-carbon
electricity generation. Lancet 2009;374:2006-2015.
Class 13 (December 14 [reading week]): Health co-benefits of climate change mitigation:
transport, agriculture, methodological issues
• Woodcock J, Edwards P, Tonne C, Armstrong BG, Ashiru O, Banister D, Beevers S,
Chalabi Z, Chowdhury Z, Cohen A, Franco OH, Haines A, Hickman R, Lindsay G, Mittal
I, Mohan D, Tiwari G, Woodward A, Roberts I. Public health benefits of strategies to
reduce greenhouse-gas emissions: urban land transport. Lancet 2009;374:1930-1943.
• Friel S, Dangour AD, Garnett T, Lock K, Chalabi Z, Roberts I, Butler A, Butler CD,
Waage J, McMichael AJ, Haines A. Public health benefits of strategies to reduce
greenhouse-gas emissions: food and agriculture. Lancet 2009;374:2016-2025.
• Remais JV, Hess JJ, Ebi KL, Markandya A, Balbus JM, Wilkinson P, Haines A, Chalabi
Z. Estimating the health effects of greenhouse gas mitigation strategies: addressing
parametric, model, and valuation challenges. Environ Health Perspect 2014;122:447455.
Final Exam (December 21)
6
Appendix II.B.4
Summer Internships on Climate
Change and Health
Yale School of Public Health Summer Internship Awards - Clare, Rachel
Rachel Clare – Project Proposal
I will be interning with New Haven Farms in New Haven, Connecticut between May and August
of 2016. My project preceptor is Dr. Debbie Humphries; she has vetted my proposal. My project is
entitled “Urban Agriculture as a Powerful Solution for Climate Change and Health Disparities in New
Haven.” The internship will be both practice and research based with a focus on climate change, chronic
disease, and nutrition. Previous literature shows that food production and agriculture are the sources of
approximately one-third of global greenhouse gas emissions1. In particular, post-production processing
and transportation of food products are key contributors of these emissions in high resource countries 1.
New Haven Farms works to reduce greenhouse gas emissions by providing access to locally grown
products and education surrounding community gardening. Each summer, New Haven Farms runs a free
Farm-Based Wellness program for individuals in the Fair Haven community who live within 200% below
the federal poverty line and who suffer from risk factors for diet-related chronic disease. I will be
collaborating with the wellness program to increase participant awareness of climate change and its
effects on the global food system. I will also be researching how urban agriculture can be used to mitigate
the effects of climate change and how it can be used to improve poor health outcomes related to poverty,
knowledge, and food access.
To successfully carry out my internship, I will work directly with Dr. Humphries in collaboration
with her colleagues at New Haven Farms, specifically assisting with health and agricultural education,
program evaluation, and research. Dr. Humphries serves as the farm’s Evaluation and Research Director
and will be able to support my summer internship work. This summer, I will assist the program’s health
educators and community gardeners to develop curriculum and teach program participants about the
benefits of urban agriculture for the human body and the environment. A key component of my internship
will be the development of an interactive module for program participants that focuses on the global food
system’s role in climate change. With this module, I will work to increase community members’
awareness and appreciation for urban agriculture by demonstrating how community gardens can mitigate
1 Gilbert, Natasha. "One-third of our greenhouse gas emissions come from agriculture." Nature News 31 (2012).
Page : 3
Yale School of Public Health Summer Internship Awards - Clare, Rachel
Rachel Clare – Project Proposal
the effects of climate change in many different ways such as by keeping water sources clean, increasing
the amount of oxygen in the air, and creating compost and other organic waste for the soil.
Additionally, I will be doing program evaluation work with Dr. Humphries to ensure the
effectiveness of the wellness program. The program itself provides participants with a safe, green place –
something that is not commonly found in lower-income areas such as Fair Haven. Furthermore,
participant access to the community gardens serves to promote healthy eating and increased opportunities
for education, physical activity, and community engagement. Adequately measuring participant
experiences and lifestyle changes as a result of program participation is essential. I will be working to
improve the current survey and measurement tools by looking at past data collection strategies. I will also
be collecting and analyzing both quantitative and qualitative data to better understand participant
knowledge surrounding climate change and the global food system, participant health and anthropometric
measurement changes, and fruit and vegetable consumption both before and after program participation.
I am passionate about identifying and finding solutions for the health concerns of underserved
individuals in my local community because the effects of climate change most negatively impact lowincome populations. I have decided to direct my graduate education and research towards addressing
these disparities in New Haven. I have a strong interest in improving community health by increasing
knowledge about climate change, global food systems, nutrition as well as access to primary and health
services. Working with Dr. Humphries and her colleagues at New Haven Farms will allow me to fully
integrate my research into the community to support individuals who struggle with health problems due to
poverty and food security issues. This research will also help inform my Master’s thesis work. For my
thesis, I plan to investigate how urban agriculture can be used to mitigate the effects of climate change
and improve population health outcomes in underserved areas. I have extensive experience working in
low-income communities and look forward to finding solutions for the health and nutritional needs of this
population in New Haven.
Page : 4
Yale School of Public Health Summer Internship Awards - Clare, Rachel
March 30, 2016
Rob Dubrow, Faculty Director
Climate Change and Health Initiative
Yale School of Public Health
Re: Rachel Clare; Climate Change and Health Initiative Summer Internship Funding
Dear colleagues,
I am writing to recommend Rachel Clare for the Climate Change and Health Initiative
summer internship funding.
I first met Rachel last fall when she contacted me about her interest in New Haven Farms
and the role of urban agriculture in community food security and health. Over the last six
months Rachel and I have met regularly while she has worked as a volunteer research
assistant for New Haven Farms. In that context she has demonstrated initiative, a
commitment to addressing health inequities particularly in the food system, and an
interest in exploring deeper root causes of health inequities.
Rachel has identified New Haven Farms as the location for her summer internship. She
will be working with the Farm-based Wellness Program (FBW), a 12 week program that
combines agriculture, nutrition and wellness education, with weekly receipt of a food
basket of New Haven Farms produce. New Haven Farms is a local nonprofit organization
that serves to promote health and community development through urban agriculture. I
will serve as Rachel’s mentor as she completes her summer internship project entitled
“Urban Agriculture as a Powerful Solution for Climate Change and Health Disparities in
New Haven.” We expect that as part of her internship, Rachel will develop a short,
interactive educational module for FBW participants that highlights the role of the food
system as both a contributor and partial solution to climate change.
Prior to beginning her Master’s program at Yale, Rachel completed a year of service with
AmeriCorps at a federally qualified health center. In this role, she worked as a health
educator teaching diabetes, nutrition, and pediatric obesity prevention classes as well as
helped start a community garden at a local high school, supporting local community
members as they learned about healthy behavior changes and reducing local food waste.
These experiences provided Rachel with extensive experience working in low-income
communities and have fostered her interest in pursuing a future research agenda in
climate change and food systems.
Since moving to New Haven, Rachel has continued to work to address the health and
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Yale School of Public Health Summer Internship Awards - Clare, Rachel
nutrition needs of low income populations through her work as a research assistant with
New Haven Farms and as a member of the HAVEN Free Clinic student leadership board.
In these roles, she is working to improve access to knowledge and resources surrounding
health. She also seeks to use community gardens as a way of educating underserved
individuals about the benefits of local action, and the potential effects of climate change
on nutrition and chronic disease.
I believe that Rachel is an excellent candidate for the Climate Change and Health
Initiative summer internship funding. She has my highest recommendation for the
award. I look forward to supporting her internship project this summer.
Please let me know if you have any additional questions.
Sincerely,
Debbie Humphries, PhD, MPH
Yale School of Public Health
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Yale School of Public Health Summer Internship Awards - Clare, Rachel
RACHEL CLARE
65 Dwight Street, Apartment #71 | New Haven, Connecticut 06511
Tel: (602) 826-0810 | Email: [email protected]
EDUCATION
YALE SCHOOL OF PUBLIC HEALTH
Master of Public Health (MPH)
Concentration: Social and Behavioral Sciences
New Haven, CT
2017
PITZER COLLEGE
Claremont, CA
Bachelor of Arts (BA), Neuroscience and Spanish
2014
 Universidad Católica de Córdoba, Argentina – semester study abroad in Spanish language, medicine, and history
EXPERIENCE
NEW HAVEN FARMS
Research Assistant
 Analyze data, conduct literature reviews and prepare manuscripts for publication
 Evaluate and design farm-based wellness program surveys and measurement tools
 Organize community advisory board meetings
New Haven, CT
2015 – Present
HAVEN FREE CLINIC
New Haven, CT
Patient Services Director
2015-Present
 Greet patients, schedule appointments, perform triage and new patient intakes, create patient charts, and call patients with
weekly appointment reminders
 Recruit, train, and oversee department volunteers
 Serve on 2016-2017 student leadership board
YALE CANCER CENTER
New Haven, CT
Research Assistant
2015 – Present
 Collect data, format surveys, and analyze data for studies focused on indoor tanning compliance and practices
 Conduct literature reviews and prepare manuscripts for publication
COMMUNITY CLINIC ASSOCIATION OF LOS ANGELES COUNTY
Los Angeles, CA
AmeriCorps Member
2014-2015
 Served as a Community HealthCorps member in the largest health focused Americorps national service program
 Founded a clinic-wide condom access project
 Developed a teen health education program to provide adolescents with age-appropriate care and services
 Created curriculum and taught classes on topics ranging from diabetes management to pediatric obesity prevention
 Planned community outreach events including a health fair
 Helped with patient enrollment and recruitment in an integrative medicine research study on chronic pain
 Translated health education materials from English to Spanish and provided patient translation services
 Served in team leadership roles as MLK service day project leader and social chair
CENTER FOR NEUROECONOMIC STUDIES
Research Assistant
 Researched satisfaction with life in elderly individuals
 Recruited participants for research studies and assisted with BioPac data collection and analysis
Claremont, CA
2013-2014
ADDITIONAL INFORMATION




Foreign Language: Fluent in Spanish
Computer: SAS, Microsoft Office Suite
Certifications: Family Planning Health Worker, CPR for Health Professionals
Associations: Society of Behavioral Medicine, Yale HealthCORE
Page : 8
Kira DiClemente
Violations of Reproductive Rights as a Result of Climate Change in Uganda
Applying for: YSPH Funding & CCHI Summer Award
I will be working as the research assistant to Dr. Lori Post from the Emergency
Department at Yale School of Medicine for my Summer 2016 Internship. The research I
will be assisting with is for a USAID project on climate change. Our research will focus
on the cascading effects of climate change, specifically in how it affects food security,
limited resources, and consequently threatens the reproductive rights of women in
patriarchal societies in Uganda. Our research will focus on the specific outcome of
female genital mutilation. We will take the approach as outlined by two of Dr. Post’s
papers, Defining Public Will and Defining Political Will, to address the violence that is
deeply culturally entrenched in these areas, and how food security threatens the efforts to
eradicate the practice. My work with Dr. Post will involve working in New Haven for the
entire summer and accompanying her on two trips pertinent to the research: one trip to
Uganda, pertinent for data collection and meetings with relevant local figures and one trip
to Geneva, Switzerland, to present at a UN Conference on Human Rights in June.
I will be learning GIS software to solidify my foundation in climate change research and
to assist me throughout the summer’s work. Dr. Post will then become my thesis advisor,
and my work on obstacles in gaining women’s autonomy and reproductive rights in East
Africa within an ever changing environmental climate will directly lead to my master’s
thesis. Dr. Post will continue to advise me throughout the fall; for this reason, the ability
to do the work with her this summer is critical to my academic goals here at the Yale
School of Public Health. The Climate Change and Health Initiatives Summer Award
would allow me to take advantage of the unrivaled opportunities Dr. Post has offered me.
Thank you for your consideration.
For CCHI: My CV, transcript, and letter of support from Dr. Post can be found in my
original application. Her support for my prior project has been transferred to this new
proposal, as it is even more personal to her.
Budget:
$4,500 round-trip flights to Uganda for several weeks of research
$400 estimated
$700 estimated for 12 weeks of work in New Haven, excluding
the time I will be in Uganda and Geneva.
Immunization:
$50 only required for Yellow Fever vaccine (price is with
insurance and includes medical consultation)
Visa:
$179 for Uganda tourist visa for citizens of the United States
In Country Transport: $0 None
Living in New Haven: $2,000: three months rent, subtracting the time I will be in
Uganda and Geneva.
Transportation:
Lodging:
Food:
Total Proposed Budget: $7,829
Yale School of Public Health Summer Internship Awards - Diclemente, Kira
Dear Climate Change and Health Initiative Summer Internship Award Committee,
I write to you on behalf of Kira DiClemente, a first year MPH candidate at the Yale School of
Public Health whom I will be mentoring this summer during her internship with New Haven /
León Sister City Project. I greatly support her application for the funding of her project, focused
on curriculum development for group discussion amongst men and women of Fair Haven and
Goyena, Nicaragua on the dangers of climate change and its disproportionate effects on women. I
will be advising her throughout the curriculum development process and offering insight into her
work leading up to and following the Women’s Right’s Delegation she hopes to attend in
Nicaragua in July as the culmination of her project.
I believe Kira’s extensive background in global health, community work, and women’s health has
prepared her to take full advantage of this opportunity. I look forward to being her CCHI
Affiliated Faculty Mentor and collaborating with her over the coming months.
Sincerely,
Lori Ann Post, PhD
Note: the student's project changed after this letter was submitted.
Page : 7
Yale School of Public Health Summer Internship Awards - Diclemente, Kira
Kira DiClemente
65 Dwight Street Unit 71
New Haven, CT 06511
(862) 252-4668
[email protected]
EDUCATION
Yale School of Public Health, New Haven, CT
Master of Public Health (MPH), expected 2017
Concentration: Social and Behavioral Sciences | Global Health
University of Pennsylvania, Philadelphia, PA
Bachelor of Arts (BA) in Visual Studies; Philosophy and Science of Seeing, 2013, cum laude
Publications: Radonjić, A., DiClemente, K. & Brainard, D. (2013). Do asymmetric color matches predict crossillumination color selection? Journal of Vision, 9(13), 462. 13th Annual Meeting of Vision Sciences Society,
Naples, Florida. http://jov.arvojournals.org/article.aspx?articleid=2142569
EXPERIENCE
HAVEN Free Clinic Reproductive Health Department Director Dec. 2015- Present
• Council uninsured immigrant patient population on contraceptives, menopause, and infertility
• Locate and connect patients to outside resources for complex reproductive health issues
• Confer with attending physicians on patient action plans and document patient visits
• Create new and organize existing patient protocols and volunteer resources
Clinic Quality Assurance Committee Co-Chair Jan. 2016- Present
• Oversee the creation and implementation of efforts to improve quality of care and clinic flow at HAVEN
Partners in Life, Dr. Trace Kershaw, Yale School of Public Health Research Assistant
• Design research questions based on study data regarding parenting, contraceptive use, and intimacy patterns
• Generate SAS codes for analyzing research questions
Global Brigades, world's largest student-led global health and sustainable development organization
Global Health Summer Intern, Central Region, Ghana July– Aug. 2013
• Assessed the current Medical and Public Health programs and brigade structures
• Evaluated the Patient Referral System
• Met with community leaders, district officials, traditional health care workers, and modern health care providers
• Created project proposal to address the gap in the Medical Program re women's health and family planning
• Interviewed community members about reproductive health and attitudes
• Researched past and present cultural mindsets and fertility trends in Ghana
Volunteer, Philadelphia, PA & Honduras
• Sustainable Development Medical Outreach Intern, Philadelphia, PA May 2011-May 2012
• Global Public Health Brigades University of Pennsylvania Chapter President, May 2011 – Jan. 2013
• Brigade Leader, Global Public Health Brigade, Zurzular, Honduras, May 2011
• Volunteer, Global Medical & Dental Brigade, Marcala, Honduras Mar. 2011
University of Pennsylvania, Brainard Labs, Research Assistant, Philadelphia, PA Jan. 2012 - May 2013
• Recruited and screened subjects
• Operated eye tracker and software to run experiment, then analyzed results using MATLAB software
• Published paper as second author
TransCare, Emergency Medical Technician, Philadelphia, PA Mar. 2014 – Jan. 2015
• Provide basic life support during patient transport, record past medical history, and monitor patient’s status
Gynecology Specialists of Philadelphia, Penn Presbyterian, Assistant, Philadelphia, PA Sept. 2014 – Feb. 2015
• Research most current methods of family planning and assist with colposcopies and Implanon© insertions
SKILLS
Computer: SAS, MATLAB, EyeLink 1000, Microsoft Office Suite, InDesign, Illustrator, Photoshop
Technical: Emergency Medical Technician, CPR for Health Professionals
Page : 9
Yale School of Public Health Summer Internship Awards - Lynch, Victoria
Investigating associations between climate variables and Salmonella typhi: a
systematic review and meta-regression analysis
An increase in the severity and frequency of hydrological events is predicted to be
a consequence of climate change, and could have a substantial effect on human health.
Major storms, floods, and prolonged periods of drought can lead to the contamination of
drinking water and may affect the transmission of water-borne infectious diseases. The
primary goal of this project is to elucidate the relationship between hydrological events
and the incidence of typhoid, a water-borne enteric disease caused by Salmonella typhi,
through a systematic review and meta-regression analysis. I will conduct a systematic
review all of the previous research examining the association between typhoid incidence
and several climate variables, including precipitation, severe storms, seasonal climate
events, and flooding. The systematic review will enable me to ascertain the extent to
which typhoid incidence is associated with these climate-related variables across different
study sites, examine the various methods employed, and identify datasets that can be used
in future analyses. The research will be conducted between May 16, 2016 and August 12,
2016 in Dr. Virginia Pitzer’s lab at the Yale School of Public Health in New Haven. I
have started the preliminary research for this project under Dr. Pitzer’s guidance and aim
to complete the systematic review during the first half of the summer internship.
The next component of the project is to conduct a meta-regression analysis of the
association between typhoid incidence and climate variables using a range of datasets.
My analysis will include climate variables related to temperature, precipitation, extreme
weather events, and seasonal or episodic climate events, such as the El Nino Southern
Oscillation. I will analyze datasets identified during the systematic review and available
through public databases, in addition to unpublished data from our collaborators’ study
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Yale School of Public Health Summer Internship Awards - Lynch, Victoria
sites in Vellore, India, Blantyre, Malawi, and Kathmandu, Nepal. After I determine which
datasets to include in the analysis, I will extract the disease and climate data from each
and identify any potential sources of confounding or effect modification. I will conduct
the meta-regression analyses while using a variety of statistical and mathematical
modeling methods to control for inherent autocorrelation in the typhoid datasets. The
objective of this aspect of the project is to quantify the association between S. typhi
infections and hydrological climate variables across a range of geographic locations.
The scope of this project is well suited to a 13-week summer internship and the
necessary resources are available at the Yale School of Public Health. Dr. Pitzer and I
have met several times to refine the project and we are confident that the systematic
review and meta-regression analysis can be completed this summer. The required
resources are basic, as my research and modeling will be conducted on a computer; no
other physical resources are needed.
This project is related to both my degree in Epidemiology of Microbial Diseases
and my post-graduate plans. I am interested in the epidemiological implications of
climate change on human health, and I hope to continue my studies in this field as a
doctoral student. This project also dovetails with my work at the Emerging Infections
Program, where I collect and analyze surveillance data on enteric disease in Connecticut
as part of the Yale FoodCore team. This experience has provided me with a thorough
grounding in the biology of several enteric pathogens, including S. typhi and Salmonella
paratyhpi, and will inform my systematic review and analysis. My goal is that through
this project, I will gain a profound understanding for the nuanced association between
hydrological events and enteric disease incidence.
Page : 4
Yale School of Public Health Summer Internship Awards - Lynch, Victoria
March29,2016
LetterofsupportforVictoriaLynch
DearSelectionCommittee,
IamwritinginsupportofVictoriaLynch’sapplicationforaClimateChangeandHealthInitiative
SummerInternshipAward.Toryhasbeenworkingwithmeforthepastcouplemonthsto
identifyaprojectandtobeginworkingonit.Sheisplanningtoconductasystematicliterature
reviewofassociationsbetweenclimaticvariablesandtheincidenceoftyphoidfever.While
suchreviewshavebeenconductedforotherwater-bornediseases,suchascholeraand
diarrhealdiseasesmoregenerally,nosuchreviewexistsfortyphoid.Therefore,Ibelievethis
willbeaveryworthwhileprojectthatwillbehighlylikelytoresultinpublication.Theproject
alsocomplementsotherCCHI-relatedresearchthatisoccurringinmygroup.
IhavefoundTorytobeaveryenthusiasticandcompetentresearcherinmytimeworkingwith
herthusfar.Shehastakentheinitiativetoexploretheexistingliteratureontyphoidfever(and
otherwater-bornediseases)andclimate,andhasbeenworkingwithmypostdoctoralfellow
andthemedicallibrariantolearnthepropertechniquesforconductingasystematicreview.
Shehasalsoexpressedastronginterestinlearningmoreadvancedstatisticaland
mathematicalmodelingtechniquestoanalyzeinfectiousdiseasedata.Shewillhavethe
opportunitytoapplyandhonetheseintereststhissummerwhensheusesthedataidentified
inhersystematicreviewtoconductameta-regressionanalysisofclimaticdriversoftyphoid
fever.
IlookforwardtohavingToryjoinmylabandworkwithmetoexploreandquantify
relationshipsbetweenclimateandtyphoidfeverthissummer,whichwillbeessentialto
informingfutureanalysesoftheimpactofclimatechangeonthisimportantwater-borne
pathogen.
Sincerely,
!
VirginiaE.Pitzer
Page : 5
Yale School of Public Health Summer Internship Awards - Lynch, Victoria
Victoria Lynch
123 York Street 20A
New Haven, CT 06511
(917) 922-5377
[email protected]
Education
Yale University School of Public Health, New Haven, CT
Masters of Public Health, Epidemiology of Microbial Disease (expected May 2017)
Georgetown University Georgetown College, Washington, DC
Bachelor of Science cum laude, May 2013
Major: Environmental Biology, GPA: 3.6/4.0, Dean’s List, Honors (5 semesters), Sigma Xi Honor Society
Experience
Emerging Infections Program New Haven, CT
FoodCORE Surveillance Team Member September 2015 – present


Interview cases of Salmonella, E. Coli, and Listeria in Connecticut to collect clinical and risk factor surveillance data
Investigate local and multi-state outbreaks of food-borne enteric disease in conjunction with the Centers for Disease
Control, the Connecticut Department of Public Health, and local health departments
The Afya Foundation Yonkers, NY
Grants and Special Projects Manager October 2013 – June 2015


Wrote grant and project proposals that increased the foundation’s annual budget by 35%, enabling the organization to
expand operations in New York, Port au Prince, Haiti and Freetown, Sierra Leone
Conducted patient surveys and needs assessments in 5 rehabilitative healthcare clinics in Port au Prince, Haiti and built a
database to track patient outcomes for 6,800 individuals
Environmental Protection Agency Office of Resource Conservation and Recovery, Washington, DC
Ecological Risk Analysis Intern January 2013 – May 2013


Identified and analyzed errors in EPA’s groundwater contamination hydrological model in preparation for peer review
Researched methods for incorporating species and ecosystem data in ecological risk analysis
Pequot Yacht Club Southport, Connecticut
Head Sailing Director June 2009 – August 2012



Managed assets of over $500,000 and daily operations of a sailing program with 124 children and 9 staff
Created and implemented new coaching and safety policies and, as a result, was asked by the Long Island Sound Sailing
governing body to lead elite teams to regional competitions
Awarded 2012 Susie Trotman Trophy for Outstanding Instruction by Jr. Sailing Association of Long Island Sound
The Wimp Ecology Lab Georgetown University
Research Assistant September 2011 – May 2013


Conducted stable isotope analysis on food webs in intertidal marsh ecosystems
Wrote honors thesis, “Effects of detrital inputs on a salt marsh food web” in conjunction with researchers at the University
of Denver Department of Biological Sciences
The Patten Theoretical Genetics Lab Georgetown University
Research Assistant December 2011 – May 2013

Modeled genetic conflicts and their effect on genetic diversity with MatLab
Extra-Curricular Activities
Global Health Justice Partnership Yale University
Public Health Fellow October 2015 – present

Studying violence and access to healthcare among incarcerated youth in Connecticut
Varsity Sailing Georgetown University
Co-ed and Women’s Team Crew September 2009 – May 2013


Crew All-American 2013
Co-ed National Champions 2012, 2nd Place 2013
Page : 10
Yale School of Public Health Summer Internship Awards - Mahin, Maya
Climate Change and Health Grant Application
Maya Mahin
This summer I will be working with Yale School of Public Health Professor Dr. Xi Chen.
I will work for Dr. Chen for 40 hours/week for 10 weeks between May and August 2016. I will
assist Dr. Chen with two ongoing projects. The first project looks at the relationship between
prenatal exposure to extreme temperatures and birth outcomes in China. The second project
focuses on the link between climate change and air pollution. In this position, I will assist with
literature reviews, data management, and manuscript preparation. As part of my data
management responsibilities, I will use programs such as STATA and ArcGIS to prepare the raw
data for analysis.
While assisting Dr. Chen with his research, I will have the opportunity to continue
research into two fields that I am passionate about - climate change and economics. I developed
a strong interest in climate change research while working at the Harvard Kennedy School
(HKS). One of the first projects I was involved with at HKS was a project on the relationship
between climate change and access to water and sanitation in Mumbai, India. Shortly after this
project finished, I began working with published author John Kerr. I spent several hundred
hours assisting Mr. Kerr with a book that he’s writing on climate change for the lay person.
Since coming to Yale, my interest in climate change has continued to grow. Last semester, I had
the opportunity to take Dr. Deziel’s class on Environmental Health. Dr. Deziel’s enthusiasm for
this field is infectious and I particularly enjoyed the chance to link what I had learned thus far
about climate change with broader themes in environmental health.
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Yale School of Public Health Summer Internship Awards - Mahin, Maya
This internship also offers me the opportunity to conduct research in another field I am
passionate about - economics. In the fall, my plan is to apply to PhD programs in Health Policy
with a focus in economics. There are two reasons that I am very interested in economics and
health economics in particular. First, I love the reasoned, analytical approach to problems that
economics is based on. Second, I have found in my own research that some of the most pressing
health issues facing society have economic roots. I recently published a paper in the Duke
Journal of Comparative and International Law which ties poor access to basic services in India
to this country’s political economy. At Yale, I have had the opportunity to take Dr. Cooper’s
class “Health Economics and US Health Care Policy” and Dr. Chen’s class “Methods in Health
Services Research.” I have greatly enjoyed these classes and they have confirmed my interest in
this field.
In conclusion, I look forward to spending the summer assisting Dr. Chen with his
research on the effects of prenatal exposure to extreme temperatures in China. In addition to
helping with literature reviews and manuscript preparation, I will also use programs such as
ArcGIS and STATA to work with the raw data and prepare it for analysis. I used ArcGIS while
working as a research assistant at UNC- Chapel Hill. I also spent many hours working with
STATA while working as a research assistant at Harvard School of Public Health. I look
forward to the opportunity to sharpen these skills. I believe this experience will help prepare me
for a PhD program and a research career, further down the line. Thank you for your
consideration of this application.
Page : 4
Yale School of Public Health Summer Internship Awards - Mahin, Maya
Yale University
XI CHEN, PHD
Assistant Professor of Public Health and Economics,
School of Public Health and
Department of Economics;
Faculty Fellow
Institution for Social and Policy Studies
P.O. Box 208034
New Haven, CT 06520-8034
[email protected]
courier
60 College Street, Suite 301
New Haven CT 06510
March 19, 2016
Student Grants & Fellowships
Yale University
Letter of Support
I’m writing to support Maya Mahin’s application for student grants and fellowships to work with
me on my proposed project on climate change and health over summer 2016. Maya Mahin has
shown a strong interest in environmental health and economics that are important to this
project. She has experience conducting research on climate change and has a basic familiarity of
using ArcGIS. She has acquired necessary training for this project, involving environmental
science, biostatistics and epidemiology. She is currently taking my graduate level class on
methods for health services research, which will be very useful for this project.
I am happy to play an active mentorship role in this internship position. It is expected that Maya
will work closely with me and report to me on a weekly basis about the progress of the project.
Thank you very much for your consideration.
Xi Chen, Ph.D.
CCHI affiliated faculty
Yale University
http://publichealth.yale.edu/people/xi_chen.profile
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Yale School of Public Health Summer Internship Awards - Mahin, Maya
YALE SCHOOL OF PUBLIC HEALTH: THE EFFECTS OF PRENATAL
EXPOSURE TO EXTREME TEMPERATURES ON BIRTH OUTCOMES
Location: New Haven, CT, USA
Description: Exposure to extreme events in the early stage of the lifecycle has been
shown to have implications for health, human capital accumulation, labor productivity,
and economic growth. However, no consensus has been reached on very basic and
fundamental issues of climate change and health. Dr. Xi Chen in the Department of
Health Policy and Management at the Yale School of Public Health is looking for a
student intern to help with a study examining the non-linear effect
of prenatal exposures to both extremely hot and cold temperatures on birth outcomes in
the context of a developing country, China. We focus both on outcomes that have been
much explored by the existing literature (e.g. birth weight and size at gestational age), as
well as those underexplored (e.g. birth defects). The study also accounts for the varying
abilities of different subpopulations to adapt to climate change. National census of birth
and birth defects is employed and matched to extremely rich weather data in the past
few decades to understand the impact, behavior responses, and the potential
mechanisms. This project will involve guided multidisciplinary literature review
and manipulating large census datasets. Specific tasks will be adjusted according to the
student’s research interests and skills. This summer internship position is open to a
student with a background in environmental health, economics, epidemiology, and/or
biostatistics. Strong personal communication skills, basic background of economics, and
proficiency in STATA and/or ArcGIS are all desirable.
Contact: Dr. Xi Chen at [email protected]
Page : 10
Yale School of Public Health Summer Internship Awards - Mahin, Maya
1
MAYA MAHIN
[email protected]
55 Cleveland St.
Arlington, MA 02474
781-724-9724
Education
Yale School of Public Health
MPH Candidate in Health Policy- Anticipated Graduation: Spring 2017
University of North Carolina - Chapel Hill
B.A. Global Studies with Honors - May 2012 GPA - 3.5
Carolina Research Scholar; Buckley Public Service Scholar
Summary
 Graduate student with strong interest in public health and economics
 2+ years of experience as research assistant at institutions such as the Harvard Kennedy School
and Harvard School of Public Health
Relevant Coursework
Health Economics*
Health Services Research Methods*
Biostatistics II*
Environmental Health
Introduction to Environmental Science *=in progress
Relevant Experience
Yale University, New Haven, CT July 2015 - October 2015
Research Assistant for Professor Vesla Weaver
 Collected and reviewed research materials for forthcoming book on criminal justice reform in the
1970s and 1980s
 Used databases such as LexisNexis State Net to track state legislative history
Co-Author of Law Journal Article, August 2014 - February 2015
Research Assistant for Professor Sharmila Murthy at Harvard Kennedy School/Suffolk Law School
 Co-wrote paper titled “Constitutional Impediments to Decentralization in the World's Largest
Federal Country” accepted by the Duke Journal of Comparative and International Law Link to
Murthy and Mahin Article
Research for Potential Book on Global Warming, January 2013- January 2014
Research Assistant for published author John Kerr
 Conducted research on the relationship between global warming and food production, ocean
acidification, sea level rise, and storm frequency for potential book
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Yale School of Public Health Summer Internship Awards - Mahin, Maya
2
Harvard Kennedy School, Cambridge, MA May 2012 - August 2014
Research Intern for Sharmila Murthy, Co-founder of the Human Rights to Water and Sanitation Program
at the Harvard Kennedy School’s Carr Center
 Worked closely with Sharmila Murthy to prepare an article on the legal basis of the right to water
Murthy Article
 Principle research assistant for article on climate change, urbanization, and water and sanitation
in Mumbai, India Murthy Article 2
Harvard School of Public Health, Cambridge, MA August 2012 - February 2014
Research Assistant for Professor William Hsiao, Harvard Department of Health Policy and Management
 Conducted research on South African health care financing and the proposed National Health
Insurance plan to inform decision makers
 Used STATA to run regressions to compare health system outcomes and socioeconomic variables
Spatial Health Research Group, UNC- Chapel Hill January 2012 - May 2012
Research Intern for Professor Michael Emch, Professor and Chair, Department of Geography, UNCChapel Hill
 Conducted literature review on migration, sexually transmitted infections and health in Southern
China
 Identified resources for chapter on “Medical Geography” published in "Oxford Bibliographies
Online: Geography" Medical Geography Chapter
Health and Human Rights Research Intern, UNC- Chapel Hill, January - May 2012
Assistant for University of North Carolina- Chapel Public Policy Professor Benjamin Meier
 Reviewed and made additions to article titled The Political Evolution of Health as a Human
Right: Conceptualizing Public Health Under International Law, 1940-1990s
Meier Article
Desmond Tutu HIV Foundation, Cape Town, South Africa, September- December 2010
Research Intern
 Worked on a mobile tester that traveled out to the townships to test people for HIV/AIDS.
Additional Experience
Tufts School of Medicine, Boston, MA, October 2013 - August 2015
Program Coordinator
 Assist students through all stages of graduate studies and coordinate department seminars
References Available Upon Request
Page : 14
Yale School of Public Health Summer Internship Awards - Wu, Jie
2016 Summer Internship Proposal
Jie Wu
The summer internship will be at East Shore District Health Department (ESDHD) in Branford,
Connecticut between June, 2016 and August, 2016. The major event of the internship is Sanitary
Survey Study.
About East Shore District Health Department (ESDHD)
The East Shore District Health Department (ESDHD) is the local health department of residence
live in Branford, East Haven, or North Branford. ESDHD provides essential local public health
services to a population of over 72,000 residents. ESDHD is committed to improving the health
and well-being of the residents through public health programs that promote wellness, prevent
and control disease, and provide education about healthy lifestyles.
About Sanitary Survey Study (SSS)
The Department of Agriculture (DA) Bureau of Aquaculture (BA) is mandated by the FDA to
conduct a comprehensive sanitary survey of the shoreline every 12 years. Staff and Student
Interns from the ESDHD will be assisting the BA in this endeavor.
The Thimble Islands and the shoreline properties of the Long Island Sound in Branford and East
Haven and those abutting freshwater tributaries will be surveyed by Bureau of Aquaculture
Environmental Analysts.
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Yale School of Public Health Summer Internship Awards - Wu, Jie
While the project does involve a sanitary survey with the intent to protect and preserve
Connecticut's East Shore multi-million dollar shellfish industry, there is a significant climate
change component to this project.
Career Goal
My goal upon graduation is to work or to do researches in the field of environmental health and
environmental protection, and an internship at ESDHD would allow me to build new skills and
network with experts in the field. I am interested in issues evolving climate change and the
practices people make to adapt such changes, and the SSS will provide me such experience.
Through the internship, I believe the following MPH Core Competencies will be improved:
•Explain the interrelationships between a multitude of factors that can impact on a public health
problem, including scientific, medical, environmental, cultural, social, behavioral, economic,
political, and ethical factors.
•Apply basic research skills to specific public health problems in both group and individual
settings, including the ability to define problems; construct, articulate and test hypotheses; draw
conclusions; and communicate findings to a variety of audiences.
Supervisor
Alex Cinotti, Assistant Director of Health
[email protected]
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Yale School of Public Health Summer Internship Awards - Wu, Jie
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Yale School of Public Health Summer Internship Awards - Wu, Jie
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Yale School of Public Health Summer Internship Awards - Wu, Jie
Page : 7
Yale School of Public Health Summer Internship Awards - Wu, Jie
Page : 8
Yale School of Public Health Summer Internship Awards - Wu, Jie
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Yale School of Public Health Summer Internship Awards - Wu, Jie
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Yale School of Public Health Summer Internship Awards - Wu, Jie
Jie Wu
ES Harkness Hall, 367 Cedar St, New Haven, CT, 06510 | +1 203-823-6386 | [email protected]
Education
09/2015-Present
Yale School of Public Health, Yale University, USA
Master of Public Health, Environmental Health Science
09/2011 -07/2015
Zhejiang University (ZJU), Chu Kochen Honors College , Hangzhou, China
Bachelor of Science, GPA 3.72/4.0, Ranking: 10% among 55
Publication
Guo R, Mao YR, Cai JR, Wang JY, Wu J, Qiu YX. 2014. Characterization and cross-species transferability of EST–SSR
markers developed from the transcriptome of Dysosma versipellis (Berberidaceae) and their application to
population genetic studies. Mol Breeding. DOI: 10.1007/s11032-014-0134-z
Research
Laboratory of Plant Ecology and Biodiversity,
Undergraduate Researcher, Advisor: Professor Mingjian Yu
 Investigations of plant community composition in Thousand Islands Lake and Gutian Mountain
Nature Reserve of Zhejiang Province:

Conducted sampling survey toward plant species near Gutianshan Nature Reserve of
Zhejiang;

Participated in investigations of plant resources and reexamination data of sample sites in
Thousand Islands Lake.
 Investigating the effect of island area and edge effect on plant community fine root biomass
and morphological traits in landbridge islands.
Hangzhou,China
08/2014-06/2015
Laboratory of Systematic and Evolutionary Botany
Hangzhou,China
Undergraduate Researcher, Advisor: Professor Yingxiong Qiu
06/2013-07/2013
 Characterization of EST–SSR markers in Dysosma versipellis and their polymorphism and transferability across
Dysosma species：

Performed the initial screening of EST–SSRs from cDNA library of 12 D. versipellis individuals from three
populations, and identified EST–SSR markers with high average genetic diversity;

Tested across 106 individuals of D. versipellis from 2 populations through PCR amplifications of the verified
primer pairs;

Evaluated the transferability of EST–SSR markers among six other Dysosma species.
Activities
Student Group Leader
Raleigh, NC
Summer Internship, ZJU-NCSU- Harvard University Herbaria Joint Program
06/2014-08/2014
 Organized the 22-days joint program: Field Practices for disjunct distribution of plants and ecological environment
between East Asia and North America
Skills
 Languages: Mandarin (Native); English (Fluent)
 Familiar with SAS, SPSS, C
Page : 12
Appendix II.C.1
Speaker Series on
Climate Change and Health
Patrick Kinney, ScD
Yale School of Public Health visit
Friday, February 12, 2016
Time
10:00 am to 11:30 am
12:00 pm to 1:00 pm
Location
LEPH 424
Activity
Yale Climate Change and Health Executive Committee:
Robert Dubrow, Professor, Department of Chronic Disease Epidemiology
Martin Klein, Associate Dean for Development and External Affairs
Albert Ko, Professor, Department of Epidemiology of Microbial Diseases
Vasilis Vasiliou, Professor, Department of Environmental Health Sciences
Durland Fish, Professor Emeritus of Epidemiology of Microbial Diseases
Winslow
Lecture: The Role of Public Health Science in Planning for a Changing
Auditorium Climate: Examples from New York City
1:00 pm to 1:45 pm
1:45 pm to 2:15 pm
LEPH 105
LEPH 126
2:15 pm to 3:00 pm
LEPH 126
3:00 pm to 3:30 pm
3:30 pm to 4:00 pm
LEPH 310
LEPH 429
Lunch
Nadine Unger, Assistant Professor, School of Forestry & Environmental
Studies
Health and Environment at Yale student group (Schools of Public Health
and Forestry & Environmental Studies)
Xi Chen, Assistant Professor, Department of Health Policy & Management
Robert Dubrow, Professor, Department of Chronic Disease Epidemiology
The Role of Public Health Science in Planning for a Changing
Climate: Examples from New York City
Patrick Kinney, ScD
Professor of Environmental Health Sciences
Director, Columbia Climate and Health Program
Columbia University Mailman School of Public Health
Friday, February 12, 2016
60 College Street - Yale School of Public Health
Winslow Auditorium, First Floor
12:00 pm to 1:00 pm
(lunch to follow)
Dr. Kinney's research addresses issues at the intersection of global environmental
change, human health, and policy, with an emphasis on the public health impacts
of climate change and air pollution. He has carried out numerous studies
examining the health effects of air pollution, including studies of the effects of
ozone and/or particulate matter on lung health and on daily mortality in large
cities. Dr. Kinney’s work on air quality and environmental justice in Northern
Manhattan and the South Bronx led to important new insights into the impacts of
diesel vehicle emissions on local air quality. He was the first to show that climate
change could worsen urban smog in the U.S., with attendant adverse health
impacts. He also has projected future health impacts related to heat waves in the
New York City metropolitan area. In a new initiative, Dr. Kinney is working to
understand how climate may affect pollen-related allergic airway diseases.
Co-sponsored by the Yale Climate and Energy Institute
Appendix II.C.2
Climate Change and Health
Pilot Research Grants
Yale School of Public Health
Request for Proposals 2016
$25,000 Pilot Project in Climate Change and Health Research
The Yale Climate Change and Health Initiative seeks proposals for innovative pilot research
projects focused on climate change and health. Potential research areas include, but are not
limited to, health effects of heat waves; occupational heat stress; cardiovascular and
respiratory health effects of climate change; interactions between climate change and air
pollution; relationships between climate change and infectious or other environmentallytransmitted diseases; climate change and food insecurity; mental health effects of natural
disasters; climate refugee health; social justice in relation to climate change and health;
interplay between climate change and human exposure to chemical contaminants; health cobenefits of climate change mitigation; and adaptation strategies to minimize adverse health
effects of climate change.
We encourage applications from co-Principal Investigators (similar to the NIH multiple Principle
Investigator mechanism) across disciplines, especially collaborations between Yale School
of Public Health faculty and faculty from other parts of the University.
We will consider applications to support preliminary, formative, or feasibility studies that will
inform the development of a larger project that can compete successfully for external
government or foundation funding. Applicants may propose to collect new data or to analyze
data from completed externally-funded projects. Applicants may propose to supplement a
project that is currently funded by another source only if the proposed project is clearly distinct
from the funded project. Priority for pilot project funding will be based on the scientific merit of
the research plan; the likelihood that the project will lead to an externally-funded study; the
likelihood that the project will be completed within one year; and the extent to which the
project is interdisciplinary. Applicants may request up to $25,000. The award will not
support faculty salaries.
Application process: Applicants should submit a Letter of Intent (LOI) with 1) project title; 2)
Principal Investigator name(s), e-mail address(es), department(s), and position(s); 3) names
and affiliations of any collaborators; 4) a summary of the project (maximum of one page),
including its significance and innovation, the feasibility of completing the project in one year, and
how the project will lead to an external grant application. LOIs are due by Monday, February 1,
2016. Applicants will be notified by Monday, February 8 if they have been selected to submit a
full, four-page application, which will be due by Monday, March 21. Detailed application
instructions will be provided to applicants who submit a successful LOI.
Eligibility: All full-time Yale faculty are eligible to apply.
For further information, please contact Dr. Robert Dubrow ([email protected]).
Generic Letter Inviting Full Pilot Project Application
Dear ,
Thank you for submitting a Letter of Intent for your proposal, “,” for the Pilot Projects in
Climate Change and Health Research Program. I am writing on behalf of the review
committee to invite you to submit a full application.
By way of feedback, the review committee….
Your application should include page numbers and be structured in the following way:
1. Please use Arial font size 11, with one-inch margins on all sides. Applications not
following these specifications will not be reviewed.
2. Cover sheet, including 1) project title; 2) Principal Investigator name(s), e-mail
address(es), department(s), and position(s); and 3) names and affiliations of all other
key personnel on the project.
3. Abstract (maximum 250 words).
4. Budget (not to exceed $25,000 and one year) and budget justification. Funds
can be used to support research personnel (including Associate Research Scientists,
but not other faculty), routine research expenses, research-related travel, and
essential supplies. Funds may NOT be used to support travel to conferences, routine
office equipment such as computers, or indirect costs.
5. Research plan (maximum 4 pages, not including reference list) including the
following sections: Specific Aims, Significance, Innovation, and Approach. The
approach section should specify a timeline for completing the project within one year
of award and a plan for submitting an external grant application after the project is
completed.
6. References cited.
7. Please do not submit an Appendix.
Note that funded projects involving human subjects research must be approved by either
the Human Investigation Committee or the Human Subjects Committee before funds can
be released.
Priority for funding will be based on the scientific merit of the research plan; the
likelihood that the project will lead to an externally-funded study; the likelihood that the
project will be completed within one year; and the extent to which the project is
interdisciplinary.
Please submit your application to me ([email protected]) as a single PDF by
Monday, March 21, 2016. Feel free to contact me if you have questions about the
application process.
Sincerely,
Project Title:
Consequences of climate change for risk of enteric infections: investigating links
between hydrology and water-borne disease
Principle Investigators:
Virginia Pitzer
Assistant Professor
Department of Epidemiology of Microbial Diseases
Yale School of Public Health
[email protected]
Daniel Weinberger
Assistant Professor
Department of Epidemiology of Microbial Diseases
Yale School of Public Health
[email protected]
William Boos
Associate Professor
Department of Geology and Geophysics
Yale University
[email protected]
Other Key Personnel:
Neil Saad
Postdoctoral Research Fellow
Department of Epidemiology of Microbial Diseases
Yale School of Public Health
[email protected]
Stephen Baker (Collaborator)
Associate Professor
Nuffield Department of Medicine
University of Oxford
Group Head, Oxford University Clinical Research Unit, Viet Nam
[email protected]
ABSTRACT
To predict the impact of climate change on future infectious disease incidence, it is essential to
robustly quantify the climate-disease relationship. Appropriately attributing changes in disease
incidence to climate change often requires building a mechanistic understanding from relatively
short time-series of climatic variables and disease incidence—a process that relies on
harnessing spatial variation and/or biological knowledge. We will focus on quantifying
associations between water-borne enteric diseases and hydrologically-relevant climatic
variables. Using a meta-regression approach, we will reevaluate studies that have examined the
effect of climate on enteric diseases across a wide range of geographic locations. We will seek
to identify the sources of heterogeneity and relevant climatic variables that lead to more
consistent findings than have been previously reported. We will then focus on one particular
climate-disease system—precipitation and typhoid fever in Kathmandu, Nepal—and employ
both statistical and mathematical models to quantify the relationship between various
hydrological metrics, bacterial contamination of water supplies, and the incidence of typhoid
fever cases while controlling for epidemiological and immune-driven feedbacks over a 14-year
time period. These analyses will provide the foundation and methodological developments
necessary to inform future studies that link predictive models of enteric disease incidence to
climate change projections.
BUDGET JUSTIFICATION
Personnel
Postdoctoral fellow: Neil Saad (4.8 calendar months). This individual will perform the statistical
analyses and mathematical modeling outlined in Aims 1 and 2. He has expertise in performing
meta-analyses and statistical and mathematical modeling. The remainder of his salary will be
covered by a fellowship from the Belgian-American Education Foundation (through November
2016) and funding from a Wellcome Trust Strategic Award for typhoid research (subaward PI:
Virginia Pitzer).
SPECIFIC AIMS
Our goal is to develop a methodological framework for quantifying the impacts of climate
change on enteric disease risk. The frequency of hydrological extremes, including both floods
and droughts, is predicted to increase as a consequence of climate change. There are well
known mechanisms through which both flooding and drought can increase the risk of waterborne enteric infections, such as typhoid, cholera, and other diarrheal pathogens. Flooding
increases the risk of sewer overflow and the contamination of drinking water sources, while
drought can lead to increased concentration of pathogens in water supplies, as well as service
interruptions that depressurize pipes potentially allowing sewage to seep in. Yet studies
examining the association between rainfall and the risk of water-borne enteric diseases
show conflicting results. While some studies have documented associations between both
increased and decreased rainfall and the risk of water-borne diseases, other studies have found
no association between rainfall and enteric disease risk. More in-depth study, using cutting
edge statistical and mathematical methods and better hydrological metrics, is needed to
assess when, where, and why the changes predicted by climate models will impact
water-borne enteric disease risk. We propose to form a multi-disciplinary team of epidemiologists, microbiologists, disease modelers, and climate scientists to address these critical gaps.
AIM 1: Conduct a meta-regression analysis to identify conditions under which the
incidence of water-borne enteric diseases is associated with climatic variables.
• We will examine whether controlling for factors such as geographic location, type of water
supply, and/or dominant mode of transmission allows for the identification of more consistent
associations between climatic variables and disease incidence in a meta-analysis framework.
• We will also examine the association between disease incidence and alternative climate
variables or combinations of variables that better encompass the causal pathway to capture
the joint effects of rainfall, temperature, and humidity on pathogen survival and exposure.
AIM 2: Quantify the proportion of typhoid fever cases in Kathmandu, Nepal attributable to
climatic variation using time series and mechanistic modeling approaches.
• We will employ both time series regression approaches and mechanistic models that account
for multiple modes of transmission (e.g. water- versus food-borne transmission) and intrinsic
feedbacks between the number of susceptible and infectious individuals in the population to
model the relationship between climate and water-borne disease incidence.
The successful completion of these aims will provide the foundation for a full grant proposal to
extend our analysis to other locations and enteric pathogens, and to link these quantitative
models of the climate-disease relationship to global projections of future climate change.
SIGNIFICANCE
Enteric and diarrheal diseases are estimated to cause over 1.5 million deaths per year, and are
one of the leading causes of death among children <5 years of age (1). Much of this burden is
concentrated in the regions of the world most vulnerable to climate change. Water-borne
transmission of enteric pathogens will likely be altered with impending climate changes, as more
frequent extreme precipitation events leading to both floods and droughts are predicted to occur
(2). To predict the magnitude of future changes in the incidence of water-borne enteric diseases
and to identify those regions most vulnerable to the effects of climate change, it is essential to
develop novel quantitative methods for attributing disease incidence to climatic variables.
‘Detection and attribution’ is a key component of contemporary climate change research.
‘Detection’ is the process of demonstrating that the climate has changed in some defined
statistical sense, without providing a reason for that change. ‘Attribution’ is the process of
establishing the most likely causes for the detected change. As we move beyond the direct
impacts of climate change to consider the important downstream health impacts, the problem of
attribution becomes increasingly challenging. Appropriately attributing changes in the
burden of infectious diseases to climatic variables is a necessary step in predicting the
potential impact of climate change. Recent analyses indicate that the lack of empirical data
quantifying climate-disease relationships currently swamps the uncertainties associated with
future climate projections in predicting the impact of climate change on diarrhea (3).
INNOVATION
We propose to develop novel quantitative approaches that will allow us to identify conditions
under which changes in the incidence of enteric diseases can be directly attributed to climate.
This will help to solve the conundrum of why positive associations between climatic variables
(such as precipitation and temperature) and enteric disease incidence have been reported in
some studies, while negative associations have been reported in others (4,5). We will draw
upon unusually detailed datasets that allow us to follow the pathway from regional climatic
conditions to localized contamination of different sources of drinking water to population-level
incidence of typhoid fever in Kathmandu. Our approach will allow us to tease apart the impact of
climate from epidemiological and immune-driven feedbacks of typhoid transmission. We will
look beyond the typically examined climatic variables to explore potential associations with
variables that are more directly relevant to disease risk. For instance, although studies typically
examine associations between incidence and precipitation, the difference between precipitation
and surface evapotranspiration (P – E) is a more direct control on surface water availability.
APPROACH
Overview. In order to lay the groundwork for a more comprehensive analysis to quantify the
impacts of climate change on enteric disease incidence, we will (1) identify the diseases,
contexts, and conditions under which we expect to find observable causal associations between
climatic variables and disease incidence; and (2) for one system, develop the methodological
approaches needed to robustly quantify the observed associations between climate and disease
incidence while accounting for the underlying disease dynamics. In future work, we will integrate
our findings with existing climate models to predict the impact of climate change.
AIM 1: Conduct a meta-regression analysis to identify conditions under which the
incidence of water-borne enteric diseases is associated with climatic variables.
• We hypothesize that examining alternative hydrologic measures while controlling for
geographic region, country development, and type of water supply will allow for more
consistent and identifiable associations between climate and enteric disease incidence.
Rationale. Recent attempts to identify and quantify consistent associations between
temperature, precipitation, and the incidence of enteric diseases have resulted in inconclusive
and complex relationships (4,5). As a result, uncertainty in the association between temperature
and diarrhea far outweighed uncertainty associated with ensemble climate model projections in
trying to predict the impact of climate change (3). Better analyses are needed to quantify the
relationship between climatic variables and enteric disease incidence, and to identify the
predominant drivers and important sources of heterogeneity.
Data sources. Two recent systematic reviews have been undertaken to assess associations
between temperature and diarrheal diseases (5) and precipitation, temperature, and waterborne infections (4). In total, the two previous reviews identified 26 (5) and 20 (4) such
publications. We will limit our analysis to studies for which the outcome was cases of disease,
and extract all available time series data. Additional data on alternative climatic variables not
assessed in the original studies will be downloaded from publicly available databases (e.g.
atmospheric reanalyses from the European Centre for Medium-Range Weather Forecasts).
Approach and analysis. Different studies have used different methods to quantify the
association between climatic variables and enteric disease incidence. We will perform a
Bayesian meta-regression, which is a commonly used statistical modeling approach that can
robustly incorporate different sources of uncertainty in the data.
We will conduct the meta-analysis for individual disease outcome groups (typhoid and
paratyphoid fever, cholera and other Vibrio species, bacterial diarrhea, viral diarrhea) based on
a priori understanding of differences in the predominant mode of transmission and the
mechanisms through which we believe climate may impact disease incidence. For instance,
bacterial causes of diarrhea are capable of extensive growth outside the host (e.g. in
contaminated food), which tends to be greater at warmer temperatures (6), whereas viral
causes of diarrhea (e.g. norovirus and rotavirus) tend to exhibit winter outbreaks in temperate
regions, possibly due to increased virus survival in colder temperatures (7).
Previous studies have taken an overly simplistic view of the climatic variables relevant to
disease incidence, for instance by assuming that precipitation is linearly related to disease. We
will consider variables expected to be more directly and causally related to disease. These fall
into several categories, providing measures of:
i) the net input of liquid water to the land surface, such as precipitation minus
evapotranspiration (P-E), river runoff (=P-E when integrated over a watershed)
ii) surface water accumulation, such as soil moisture, time-integrals of P-E, the Palmer
Drought Severity Index
iii) surface air humidity, such as relative humidity, specific humidity, saturation deficit
iv) the energy content of surface air, such as temperature, moist enthalpy (which is closely
related to “wet bulb temperature” and a better measure of heat stress).
A mechanistic approach will be taken to connect climatic variables to disease, rather than
simply searching a large number of variables to find one with the highest correlation.
AIM 2: Quantify the proportion of typhoid fever cases in Kathmandu, Nepal attributable to
climatic variation using time series and mechanistic modeling approaches.
• We hypothesize that we can more accurately quantify the association between typhoid
incidence and hydrological variables by accounting for the dynamics of transmission.
Rationale. There is strong evidence to support a link between climate and enteric disease
incidence in Kathmandu, Nepal. Cases of typhoid fever diagnosed at Patan Hospital peak each
year in June-August during the rainy season (Fig. 1). There is evidence to suggest transmission
of typhoid fever in Kathmandu is primarily water-borne (8). Fecal contamination and detection of
Salmonella enterica serovars Typhi and Paratyphi A DNA in drinking water were found to be
correlated with weekly rainfall over a one-year study (9). However, to understand the long-term
patterns and quantify the relationship between climate and typhoid incidence, we must take into
account changes in the epidemiology of typhoid and fluctuations in population-level immunity.
Data sources. We have data on the weekly number of culture-confirmed cases of typhoid (S.
Typhi) and paratyphoid (S. Paratyphi A) fever cases presenting to Patan Hospital from April
1997 to June 2011 (Fig. 1, unpublished). Patan Hospital is 318-bed government hospital located
in Lalitpur Sub-Metropolitan City in Kathmandu, providing primary care for a catchment
population of roughly 163,000 individuals (10,11). Collaborators from the Oxford University
Clinical Research Unit (Baker) have undertaken numerous studies of enteric fever in this
population. Recently, they collected water samples from 10 drinking water sources in Lalitpur on
a weekly basis between May 2009-April 2010. Measures of water quality and quantity of S.
500
Typhoid cases
Rainfall
80
400
60
300
40
200
20
100
0
Jan−98
Jan−00
Jan−02
Jan−04
Jan−06
Jan−08
Jan−10
Rainfall (mm/wk)
Typhoid cases (per week)
100
0
Fig. 1. Culture-confirmed typhoid cases at Patan Hospital in Kathmandu,
Nepal (red) and weekly rainfall (blue) from April 1997-June 2011.
Typhi and S. Paratyphi A
detected from each source over
the 52-week study period are
available (9). Climate data is
available from public sites and
colleagues at the International
Centre for Integrated Mountain
Development (ICIMOD), an
intergovernmental research
center based in Kathmandu.
Approach and analysis. We will utilize both time series regression and mathematical modeling
approaches to quantify the association between rainfall and other hydrological variables and the
number of typhoid fever cases at Patan Hospital.
Statistical models will be used to identify the climatic variables most directly related to variation
in disease incidence. The models will control for consistent and unexplained variability using
harmonic terms. Because many of the climate variables (and their lags) will be collinear, we will
use a Bayesian variable selection approach (spike and slab priors) that is well-suited for this
problem. The two outputs of these analyses will be 1) the probability that different categories of
climate variables contribute to typhoid fever incidence and 2) the fraction of typhoid fever cases
attributable to climate variables.
Mathematical models describing the transmission dynamics of typhoid fever have already been
developed and fit to data from Vellore, India (12) and Blantyre, Malawi (13). We are in the
process of fitting these models to the data from Kathmandu. Preliminary analyses suggest that
the increase in typhoid fever cases that occurred between 2002 and 2006 can be at least partly
explained by the recent emergence of the H58 haplotype and associated increase in multi-drug
resistance (14,15). Our models can account for these epidemiological changes, as well as the
resulting changes in population-level immunity (13). To examine the relationship between
climatic variables and typhoid cases, we will model the rate of water-borne typhoid transmission
to a susceptible individual (βw) as a function of climate, e.g. rainfall: β w (t) = q * rainfall(t) . We
will begin by identifying the average relationship between climatic variables and the amount of
S. Typhi contamination in drinking water sources (9). We will then incorporate this relationship
into the model of population-level transmission, and estimate the remaining model parameters,
including the basic reproductive numbers for water-borne and person-to-person transmission
(R0,w and R0,p, respectively). The impact of a 1 mm per week increase in rainfall (for example)
(
)
can be estimated as: IRR = qR0,w / R0,w + R0, p . Table 1. Timeline for expected completion of Specific Aims.
FUTURE DIRECTIONS
2016q3
2016q4
2017q1
2017q2
At the end of the project period, we Aim 1
Extract
data
plan to submit a full grant proposal
Perform meta-regression
to the NSF/NIH Ecology and
Aim 2
Evolution of Infectious Diseases
Data cleaning
program. Building off of these
Statistical modeling
Mathematical modeling
analyses, we will seek to integrate
disease model output with climate model projections, while accounting for non-climate-related
trends in incidence and uncertainty in both models, and to expand our analysis to a wider range
of geographic locations and water-borne enteric diseases.
References
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
Lozano R, Naghavi M, Foreman K, Lim S, Shibuya K, Aboyans V, et al. Global and
regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: a
systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012 Dec
15;380(9859):2095–128.
O’Gorman PA. Precipitation Extremes Under Climate Change. Curr Clim Chang Reports.
2015;1(2):49–59.
Kolstad EW, Johansson KA. Uncertainties associated with quantifying climate change
impacts on human health: A case study for diarrhea. Environ Health Perspect.
2011;119(3):299–305.
Guzman Herrador BR, de Blasio BF, MacDonald E, Nichols G, Sudre B, Vold L, et al.
Analytical studies assessing the association between extreme precipitation or
temperature and drinking water-related waterborne infections: a review. Environ Heal.
2015;14(29):1–12.
Carlton EJ, Woster AP, DeWitt P, Goldstein RS, Levy K. A systematic review and metaanalysis of ambient temperature and diarrhoeal diseases. Int J Epidemiol. 2015;1–14.
Islam MS, Hasan MK, Khan SI. Growth and survival of Shigella flexneri in common
Bangladeshi foods under various conditions of time and temperature. Appl Environ
Microbiol. 1993;59(2):652–4.
Ansari SA, Springthorpe VS, Sattar SA. Survival and vehicular spread of human
rotaviruses: possible relation to seasonality of outbreaks. Rev Infect Dis. 1991;13(3):448–
61.
Baker S, Holt KE, Clements ACA, Karkey A, Arjyal A, Boni MF, et al. Combined highresolution genotyping and geospatial analysis reveals modes of endemic urban typhoid
fever transmission. Open Biol. 2011 Oct;1(2):110008.
Karkey A, Jombart T, Walker AW, Thompson CN, Torres A, Dongol S, et al. The
Ecological Dynamics of Fecal Contamination and Salmonella Typhi and Salmonella
Paratyphi A in Municipal Kathmandu Drinking Water. PLoS Negl Trop Dis.
2016;10(1):e0004346.
Karkey A, Aryjal A, Basnyat B, Baker S. Kathmandu, Nepal: Still an enteric fever capital
of the world. J Infect Dev Ctries. 2008;2(6):461–5.
Karkey A, Arjyal A, Anders KL, Boni MF, Dongol S, Koirala S, et al. The burden and
characteristics of enteric fever at a healthcare facility in a densely populated area of
kathmandu. PLoS One. 2010;5(11).
Pitzer VE, Bowles CC, Baker S, Kang G, Balaji V, Farrar JJ, et al. Predicting the impact
of vaccination on the transmission dynamics of typhoid in South Asia: a mathematical
modeling study. PLoS Negl Trop Dis. 2014 Jan;8(1):e2642.
Pitzer VE, Feasey NA, Msefula C, Mallewa J, Kennedy N, Dube Q, et al. Mathematical
modeling to assess the drivers of the recent emergence of typhoid fever in Blantyre,
Malawi. Clin Infect Dis. 2015;61(Suppl 4):S251–8.
Holt KE, Baker S, Dongol S, Basnyat B, Adhikari N, Thorson S, et al. High-throughput
bacterial SNP typing identifies distinct clusters of Salmonella Typhi causing typhoid in
Nepalese children. BMC Infect Dis. 2010 Jan;10:144.
Wong VK, Baker S, Pickard DJ, Parkhill J, Page AJ, Feasey N a, et al. Phylogeographical
analysis of the dominant multidrug-resistant H58 clade of Salmonella Typhi identifies
inter- and intracontinental transmission events. Nat Genet. 2015;47(6):632–9.
Appendix III.B
Sustainability Committee
YSPH Sustainability Committee Minutes, 11/10/2015
Attendance: Heidi Richard, Robert Dubrow, Peter Krause, Brian Weiss, Frank Grosso, Liz Eocaci-Tucker,
Jennifer Park, Heather Ferguson, Katie Owers
1. Introductions
2. Orientation about history of sustainability at YSPH
3. Orientation about the new Climate Change and Health Initiative as well as commitments to YSPH
sustainability made by the Climate Change and Health Initiative grant
4. Orientation about Cool Effect. Funded by the funders of the Climate Change and Health Initiative, the
Cool Effect mission is “to save the planet from the effects of climate change by inspiring and enabling everyone
to contribute to the highest quality, most affordable, carbon reducing programs.”
5. The Committee brainstormed about how to operationalize the commitments to YSPH sustainability
made by the Climate Change and Health Initiative grant as well as steps in general that YSPH could take
toward Sustainability. We will explore these ideas in more depth in future meetings:
a. Involve whole community (faculty, staff, students), not just students
b. Beginning Fall 2016, YSPH will incorporate a session on sustainability, including greenhouse gas
reduction, into its orientation program for matriculating MPH students. A sub-committee including Frank
Grosso, Robert Dubrow and others will work out the details of this session. We can also consider
sustainability orientation for PhD students and new faculty and staff.
c. We discussed the idea of students encouraging friends and family to contribute to Cool Effect.
Students would be rewarded by receiving a “tuition credit” for these donations. We debated whether the
amount of the credit (unlikely to exceed $50 to $100) would be enough of an incentive. As an
alternative to a tuition credit, the idea of YSPH (or alumni) matching donations was raised.
d. We debated whether students (and others) performing a carbon footprint calculation would be
worthwhile.
e. Reduce paper use by reducing or eliminating the student subsidy, encouraging courses to go
paperless, and/or having a departmental competition.
f. Figure out how to address heating and cooling extremes
g. Figure out how to address excess lighting
h. Make seminars more green by having attendees bring their own utensils and by using a Healthy
Eating Tool Kit (now being developed)
i. Make laboratories more green; reduce energy usage- project in development
j. Measure outcomes (e.g., paper use) and publish results to the community
6. Some ideas for future meetings
a. Devote a meeting to the Yale Carbon Charge Project, the role of YSPH in the pilot project, and how
the Committee could help
b. Devote a meeting to Cool Effect, with a visit by Marissa de Belloy, the Executive Director
c. Invite Jack Tiboni from the Office of Facilities to explain the buildings’ systems
7. Additional ideas contributed later by Committee-member Jennifer Park
a. Low flow toilets at YSPH and at 47 College
b. Compost bins at 47 College like those in YSPH kitchens
c. Air dryers instead of paper towels in restrooms
d. Composting of paper towels (?)
e. Signs in restrooms to only use one towel
YSPH Sustainability Committee Minutes, 1/20/2016
Attendance: Heidi Richard, Robert Dubrow, Peter Krause, Brian Weiss, Frank Grosso, Liz Eocaci-Tucker,
Jennifer Park, Heather Ferguson, Katie Owers. Invited: Allie Squeglia (OFA/CCP), Emma Claye (energy/labs)
1. Yale Carbon Charge Pilot Project. The entire meeting was devoted to developing an action plan for
lowering YSPH energy usage in the context of our participation in this pilot project. The committee prioritized
next steps (highlighted in yellow) based on the draft action plan below:
Resources:
• slides (Ryan Laemel & Jennifer Milikowsky)
• utility bill – quantify goal?; not just about the numbers and dollars
• Energy Survey results?
• Office of Sustainability posters and links
• past YSPH campaign materials
• YSPH website
• YSPH Sustainability Committee (Energy Coaches; site visits, consultations, follow-up visits)
• Student employee hire; could monitor usage of electricity/heat, among other duties (Heidi)
• IT and A/V
Action/Implementation: (Not So Extreme Makeover)
•
Individual behavior change – leverage health co-benefits; lights, peripherals, stairs, shared printers…
see Communications Strategy below
• YSPH equipment; lab freezers (service/maintenance – vacuum/Allie), computers (classroom and
individual) & shared printers – instructions? personal printer policy? (Allie with Tony)
• Infrastructure upgrades, short- and long-term; light sensors, heating & cooling evaluation and upgrade,
storm windows (4-9), window upgrades (2-3) (Allie with Jack Tiboni)
• Impact/Exclusion of 9th floor?-> Work with YARC (Allie)
Communications Strategy:
•
•
•
•
•
December Insider
Mid-Dec - School-wide email announcement; mirroring Insider plus resource links, recess shutdown
tips, from Paul, Rob, Heidi, Committee, Allie – some/all?
December - YSPH website (Heidi/student)
o Home page news item for launch
o Social media
o Sustainability page:
 intro/article
 links to CCP page
 Yale news articles
 Pres Salovey official announcement
 Slides
 Monthly progress updates
December - Signage – rotate regularly
o stickers for light switches and electrical outlets (Emma, Heidi/student?)
o flyers/posters; stairs, lights, unplug (Heidi/student) See Health Challenge below
January – Dept and Unit presentations:
o Faculty Meeting 1/26, 11:30-1:00, with Ryan and Jen (Rob, Allie, Heidi)
o Academic depts? (Rob, Allie, Heidi)
o Lab managers + toolkit/checklist (Allie + Emma Claye, Brian Weiss)
o Admin Support Team (Heidi and Emma via Michele Motta piggy-back Healthy Meeting Toolkit)
o (classrooms) SAYPH/Student Affairs + Kevin, Harold, Tony & Mike (IT) (Heidi, Allie?)
o Energy coaches to make site visits? (committee volunteers?)
o YARC (Allie)
•
•
February o Health Challenge – student-led raffle contest, focus on health, wellness + energy reduction (cobenefits) Emails, Insider, signage (Heather, Jennifer, Katie, Heidi, Emma)
Monthly reporting on target/reminders
o Utility bills, progress on goal
o Success stories/sharing best practices – one small thing
o Insider?/Email?/SAYPH newsletter?
o YSPH Sustainability website
o Social media
o signage
2. Committee Membership. The Committee was asked to identify a first-year MPH student interested in
joining the committee.
YSPH Sustainability Committee Minutes for Tuesday, February 9 and Agenda for Tuesday,
March 8, 2016, 10:00 am to 11:00 am, LEPH 424
Committee membership: Heidi Richard (co-Chair), Robert Dubrow (co-Chair), Peter Krause, Brian
Weiss, Frank Grosso, Liz Eocaci-Tucker, Jennifer Park, Heather Ferguson, Katie Owers, Lindsay
Gavin, Rick Yang (student employee)
1. Amendment/approval of 2/9/2016 meeting minutes, below (5 minutes)
2. Cool Effect Update. (20 minutes)
Continue to explore options for collaboration with Cool Effect following the February conference
call with Marisa de Belloy, Chief Operating Officer of Cool Effect and a discussion with Dean
Cleary.
In the February meeting we agreed on a model in which Cool Effect would set up a dedicated
YSPH URL or special YSPH code. YSPH would encourage students, faculty, staff, and alumni
to contribute. Families and friends would be encouraged to contribute as well. YSPH would
match contributions up to a specified amount ($15,000?). We would incorporate an educational
component about climate change and health in relation to the Cool Effect projects. To get
people involved, we might use a school-wide process to endorse one of the Cool Effect
projects, but would allow contributors to choose the project they would like to fund.
Robert Dubrow will provide a summary of a creative collaboration idea discussed with Dean
Cleary.
3. Health Challenge Update (5 minutes)
Summarize the participation, personal challenge ideas, winners, and communications.
4. Yale Carbon Charge Pilot Project Update (10 minutes)
Review of the January Building Energy Report.
It was decided at the February meeting to prioritize two areas for infrastructure improvement:
evening and weekend thermostat control and analysis and installation of light sensors. A walk
through was subsequently scheduled with Jack Tiboni, YSM Facilities, Allie Squeglia, Robert
Dubrow and Heidi Richard. It was also suggested that, to inspire faculty behavior change,
feedback be sought from faculty on changes they’ve made thus far.
5. Next Steps; for consideration (15 minutes)
a. Stairwell makeover
b. Healthy Meeting Toolkit (general sustainability)
c. Earth Day recognition
YSPH Sustainability Committee Minutes, March 8, 2016
Attended: Heidi Richard (co-Chair), Robert Dubrow (co-Chair), Peter Krause, Brian Weiss, Liz
Eocaci-Tucker, Jennifer Park, Katie Owers, Rick Yang (student employee)
Invited: Marisa de Belloy, Cool Effect (by phone), Kayla Ringelheim (1st year MPH)
Unavailable: Frank Grosso, Heather Ferguson, Lindsay Gavin
1. 2/9/2016 meeting minutes were approved.
2. Cool Effect
Robert Dubrow provided a summary of a collaborative student internship project idea
discussed with Dean Cleary. By phone, Marisa de Belloy, Chief Operating Officer of Cool
Effect, explained that it is not currently feasible to implement due to Cool Effect’s project
selection process and criteria, as well as lack of on-site internship infrastructure.
It was agreed that YSPH would still publicize Cool Effect among students, faculty, staff, and
alumni. Publicity efforts would include an educational component about climate change and
health in relation to the Cool Effect projects (e.g., education about cook stoves in the
developing world).
Separately, YSPH will pursue development of a Yale Climate Change and Health Initiative
Summer Internship Team to meet the CCHI grant requirements. Beginning, in the summer of
2017, YSPH will fund a team of three students to conduct their summer internships on a joint
climate change and health project focused on health co-benefits of reduction in greenhouse
gas emissions. Projects may be located anywhere in the world, and may focus on applied
public health research, public health practice, social entrepreneurship, advocacy, policy, and/or
management. The committee felt the team should be chosen through a competitive campuswide application process and should include at least one YSPH student.
Robert Dubrow will report back to Dean Cleary.
3. Health Challenge Update
Katie Owers summarized the New Year, New You! contest participation rates, winners, and
personal challenge ideas and other suggestions that were shared. The results will be
announced in the Insider and via email, and Katie and Heidi will purchase the prizes.
The committee further discussed one of the resulting ideas; composting, and the possibility of
expanding it at YSPH to 47 CLP and 60 College 1st Floor. Heidi Richard provided the program
history and details and will circulate additional material as reference.
4. Yale Carbon Charge Pilot Project Update
The committee briefly reviewed the January Building Energy Report and is eager to see the
February results as many individual and infrastructure changes were implemented in February.
A month-to-month progressive comparison has also been requested. Rick Yang is drafting new
signage. Faculty successes and feedback will be highlighted in the Insider.
5. Next Steps; for consideration
a. Stairwell makeover – The Committee agreed that the YSPH community would likely
not have time for a stairwell decorating competition. Instead, they agreed that the
framed centennial photo exhibit would be a nice addition. Heidi will coordinate.
It was also suggested that additional signage be posted near the elevators clearly
indicating the location of the stairs and promoting the health benefits of taking the stairs;
calorie loss, time saved, etc. Heidi will ask Rick Yang to research and draft signage.
b. Healthy Meeting Toolkit (general sustainability) – Kayla Ringelheim joined this
discussion due to her first impressions of YSPH food practices and with experience
seeing the State of Rhode Island set policy and convert to healthy meetings. Kayla will
obtain more information during spring recess and consult with faculty, Abby Friedman,
regarding behavioral economics. Kayla would like to support the launch of the toolkit.
General discussion of the proposed Healthy Meeting Toolkit also included soda, bottled
water, and cup/container giveaways. The committee unanimously agreed to request that
Dean Cleary implement a soda ban at all school-wide and departmental seminars and
meetings. Heidi Richard will relay to Dean Cleary.
c. Earth Day recognition – unable to discuss
YSPH Sustainability Committee Minutes, April 12, 2016
Attended: Heidi Richard (co-Chair), Robert Dubrow (co-Chair), Heather Ferguson, Peter Krause, Katie
Owers, Kayla Ringelheim, Liz Eocaci-Tucker, Brian Weiss
Unavailable: Lindsay Gavin, Frank Grosso, Jennifer Park, Rick Yang (student employee)
1. 3/8/2016 meeting minutes were approved, with the following update:
a. Cool Effect - Robert Dubrow will check with Marisa de Belloy, Chief Operating Officer of Cool
Effect, about their proposed Earth Day launch as an opportunity to publicize Cool Effect among
students, faculty, staff, and alumni. Publicity efforts would include an educational component
about climate change and health in relation to the Cool Effect projects (e.g., education about
cook stoves in the developing world).
2. Yale Carbon Charge Pilot Project Update
The committee reviewed the February Building Energy Report and explored options for
communications updates and next steps re behavior changes. With the pilot ending in May, it was
decided that communications focus on reminders to turn off power strips, take stairs, etc. Rick Yang is
developing signage to redirect traffic from the elevators to the staircases. Additional infrastructure
changes were suggested that Heidi and Rob will convey to Allie Squeglia & Jack Tiboni:
a. request installation of light sensors in LEPH 2nd and 3rd floor individual offices;
b. request vertical blinds be checked/repaired on same floors to allow natural light alternative;
c. check on status of 3rd floor lighting adjustments and explore options to encourage 3rd floor
occupants to turn off hall lights at night.
3. Earth Day, Friday, April 22
The committee explored possible recognition activities:
a. publicize Cool Effect launch – see #1a above
b. highlight Yale events
c. advertise Rock To Rock Earth Day ride – Heather Ferguson checking with student Cara
Donovan regarding details or team formation
d. distribute seed packets with YSPH logo/message on it (would need more time to order)
e. send e-card to YSPH from Committee; thank you, go outside, turn lights off first – Kayla and
Heidi will explore free options on Paperless Post
4. Healthy Meeting Toolkit
Kayla Ringelheim reported on her discussions with a colleague at the State of Rhode Island about
findings from their healthy meeting implementation and with Abby Friedman using behavioral
economics to revamp the toolkit. The committee reviewed and approved the newly designed poster
with minor modifications and agreed that recommending broad nutrition guidelines governing sugar, fat
and sodium intake, as well as the cost effectiveness of healthy options were the best approach. The
following steps were agreed upon:
a. Kayla will include the modifications and re-send to Abby for additional feedback.
b. Heidi will share the toolkit with Paul Cleary in light of recent discussion on the proposed soda
ban, and will request presentation to the Leadership Team (chairs and deans) for budgetary
implications/support and approval to launch
c. Kayla and Heidi will present it to the Admin Team (scheduled 4/20 at 1:30) for feedback and
support
d. Heidi and Kayla requested sample pizza receipts from Kim Rogers (EMD) to do a cost
comparison to healthy options
e. Kayla will consult with Sarah Maver, 2nd year MPH dietician for a nutritional comparison of pizza
vs. sandwiches
f.
When final, the toolkit will also be shared with SAYPH (Heather and Steve) for implementation
at student events
5. Climate Change and Health Initiative – unable to discuss; will be first item at next meeting
The next meeting is scheduled Tuesday, May 10, 2016,
10:00 am to 11:00 am, LEPH 424
YSPH Sustainability Committee Minutes, May 10, 2016
Attended: Robert Dubrow (co-Chair), Heidi Richard (co-Chair), Heather Ferguson, Frank Grosso, Peter
Krause, Jennifer Park, Kayla Ringelheim, Liz Eocaci-Tucker, Brian Weiss
Unavailable: Lindsay Gavin, Katie Owers, Rick Yang (student employee)
1. 4/12/2016 meeting minutes were approved.
2. Climate Change and Health Initiative, Departmental Competition – Paper?
The committee explored possible options to host a departmental greenhouse gas reduction
competition for the Climate Change and Health Initiative and agreed that paper reduction (4th leading
cause of greenhouse gases) would be best to measure and implement. Students suggested they
participate as a “department.” PaperCut software can track printing by machine and by user. Also,
students are accustomed to annotating pdf’s and PowerPoints rather than printing class materials.
Training for print heavy teaching faculty would be helpful. The Committee approved. Heidi will propose
to Paul, then the proposal will be brought to the Leadership Team.
3. Yale Carbon Charge Pilot Project Update
The committee reviewed the March Building Energy Report and discussed possible factors leading to
negative outcomes. Brian will confirm whether the mass spectrometers are operational yet. Other
possible sources are freezer banks and the 9th floor. Heidi will ask Jack Tiboni for an explanation for
extreme heating and cooling increases.
4. Cool Effect Update
Marisa de Belloy, Robert Dubrow, Martin Klein, and Paul Cleary agreed on the following plan: For total
contributions to Cool Effect from family and friends of between $100 and $1,000, students could choose
between:
• Financial aid for their tuition on a dollar for dollar basis (the 70% of students who are eligible for
financial aid would be eligible for this option)
• Funds to attend a public health conference (such as the American Public Health Association) on a
dollar for dollar basis
• For students who raise at least $250, a share in a New Haven-based Community Supported
Agriculture program (value of $250)
5. Healthy Meeting Toolkit Update
Kayla and Heidi reported feedback from the Admin Team that a list of healthy vendors would be very
helpful. Heidi is compiling and checking with the Office of Sustainability. Paul is supportive of the
refurbished toolkit and its recommendations and approved running it by the Leadership Team. When
final, the toolkit will also be shared with SAYPH for implementation at student events.
6. Committee Membership 2016-2017
Gratitude to all for your support this past year. Congratulations to two graduating MPH students. Call
for continued membership in 2016-2017.
This was the last scheduled meeting of 2015-2016
New Year, New You!
2016 has just begun and with that comes opportunities for new
growth. YSPH has been lucky enough to be selected as a part of the
Carbon Charge Pilot- an initiative aimed at reducing our energy use.
Start this year off on an exciting foot and participate in our YSPH
challenge. This challenge will explore the health co-benefits of
sustainability actions and provide you an opportunity to get engaged.
Complete tasks before February 29th and submit your information to:
http://goo.gl/forms/l3jOSSNtdG
and be entered in a raffle to win one of ten reusable clam shells (for
food trucks) or a $50 gift certificate to Harvest. It’s that easy!
5 tasks = 1 raffle ticket for a chance to win a clamshell
7 tasks = 2 raffle tickets for a chance to win a clamshell
9 tasks = 3 raffle tickets to be entered into drawing for clamshell or
Harvest gift certificate!
Walk 10,000 Steps Skip the Elevator
a day for 5 days in a
row
take the stairs every
trip you can for one
week
Turn it Off
Personal
Challenge
If you are the last one
in a room turn off the
light (do for one full
week)
Complete a personal
goal or challenge of
your choosing
Bring your own
Shared Printer
Mug for your morning
and afternoon
coffee/tea
throughout the week
Use the shared
printer instead of
your own personal
printer every day for
1 week.
Leave the Sugar
Substitute water
instead of soda or
fruit juice for one
week
Go Outside
for 10 minutes of
your lunch every day
for a week.
Go Veg!
Skip lunchtime meat
every day for a week
NEW YEAR, NEW YOU!
Take the Stairs!
You burn 7x more calories than taking the elevator
YSPH has been selected as a part of the Yale Carbon Charge Pilot—an
initiative aimed at reducing our energy use. Start this year off on an exciting
foot and participate in our YSPH challenge! This challenge will explore the
health co-benefits of sustainability actions and provide you an opportunity to
get engaged. Complete the tasks before Feb. 29th to enter a raffle!
See Feb. 1st email announcement – great prizes!
(a YSPH student-led effort supported by the Climate Change & Health Initiative and the YSPH Sustainability Committee)
NEW YEAR, NEW YOU!
Want a Challenge?
Try walking up the stairs two at a time!
YSPH has been selected as a part of the Yale Carbon Charge Pilot—an
initiative aimed at reducing our energy use. Start this year off on an exciting
foot and participate in our YSPH challenge! This challenge will explore the
health co-benefits of sustainability actions and provide you an opportunity to
get engaged. Complete the tasks before Feb. 29th to enter a raffle!
See Feb. 1st email announcement – great prizes!
(a YSPH student-led effort supported by the Climate Change & Health Initiative and the YSPH Sustainability Committee)
NEW YEAR, NEW YOU!
Watch Out!
Drinking a soda a day can lead to a 15lb weight gain by
the end of the year
YSPH has been selected as a part of the Yale Carbon Charge Pilot—an
initiative aimed at reducing our energy use. Start this year off on an exciting
foot and participate in our YSPH challenge! This challenge will explore the
health co-benefits of sustainability actions and provide you an opportunity to
get engaged. Complete the tasks before Feb. 29th to enter a raffle!
See Feb. 1st email announcement – great prizes!
(a YSPH student-led effort supported by the Climate Change & Health Initiative and the YSPH Sustainability Committee)
NEW YEAR, NEW YOU!
Got 5 minutes?
Go up and down the stairs!
It requires 8-9 times more energy than sitting.
YSPH has been selected as a part of the Yale Carbon Charge Pilot—an
initiative aimed at reducing our energy use. Start this year off on an exciting
foot and participate in our YSPH challenge! This challenge will explore the
health co-benefits of sustainability actions and provide you an opportunity to
get engaged. Complete the tasks before Feb. 29th to enter a raffle!
See Feb. 1st email announcement – great prizes!
(a YSPH student-led effort supported by the Climate Change & Health Initiative and the YSPH Sustainability Committee)
NEW YEAR, NEW YOU!
Sugar is as addictive as cocaine.
Choose Wisely
YSPH has been selected as a part of the Yale Carbon Charge Pilot—an
initiative aimed at reducing our energy use. Start this year off on an exciting
foot and participate in our YSPH challenge! This challenge will explore the
health co-benefits of sustainability actions and provide you an opportunity to
get engaged. Complete the tasks before Feb. 29th to enter a raffle!
See Feb. 1st email announcement – great prizes!
(a YSPH student-led effort supported by the Climate Change & Health Initiative and the YSPH Sustainability Committee)
NEW YEAR, NEW YOU!
Burn Calories, Not Electricity
Take the Stairs!
YSPH has been selected as a part of the Yale Carbon Charge Pilot—an
initiative aimed at reducing our energy use. Start this year off on an exciting
foot and participate in our YSPH challenge! This challenge will explore the
health co-benefits of sustainability actions and provide you an opportunity to
get engaged. Complete the tasks before Feb. 29th to enter a raffle!
See Feb. 1st email announcement – great prizes!
(a YSPH student-led effort supported by the Climate Change & Health Initiative and the YSPH Sustainability Committee)
Help YSPH reduce emissions 1%
(1% is valued at more than $16,000/year)
Turn off lights
Turn off electronics
Unplug unused items
Sustainability
How Can YOU Save Energy At
YSPH??
The energy used to supply electricity at Yale University results from the burning of
fossil fuels, which directly contributes to climate change and negative impacts on our
environment. Use these simple steps to conserve energy at YSPH:
1. Turn off the lights
At YSPH, a number of lights do not shut off
automatically and are on continuously. Simply turn off
the lights at the end of the workday or when they are
not needed to reduce energy consumption.
2. Turn off electronics
Shut off electronics such as computers and lab equipment
at the end of the day and if they are not being used.
3. Unplug items not in use
Even though electronics may not be in use, they are
still using energy if they are plugged in. Unplug these
“energy vampires” in an effort to conserve!
Join our community in saving energy at YSPH and creating a sustainable
environment by using these simple and effective tips!
Conserve energy!
Turn off the lights
when not needed.
Conserve energy!
Turn off the lights
when not needed.
Conserve energy!
Turn off the lights
when not needed.
Conserve energy!
Turn off the lights
when not needed.
Conserve energy!
Turn off the lights
when not needed.
Turning off and unplugging
are simple ways to save
energy and money!
Turning off and unplugging
are simple ways to save
energy and money!
Turning off and unplugging
are simple ways to save
energy and money!
Turning off and unplugging
are simple ways to save
energy and money!
Turning off and unplugging
are simple ways to save
energy and money!
Appendix III.D
Greenhouse Gas Reduction
Program for Students and
Partnership with Cool Effect