Good to Great

Building a Great Global Health Center

Yamey, 2004

The Birth of a new discipline:

Telepreventive Medicine

Telepreventive Medicine:The application of low bandwidth, inexpensive, systems to large numbers of healthy individuals to prevent disease.

International Health

International health refers to the International health refers to the interlocking and interrelated interlocking and interrelated health status of people health status of people throughout the world and to throughout the world and to efforts to improve the health of efforts to improve the health of all people of every country.all people of every country.

Last, Foege

“To go from good to great requirestranscending the core of competence”

Good to Great

PhilosophyPhilosophy

HistoryHistory

Current EffortsCurrent Efforts

Global PittsburghGlobal Pittsburgh

“You can accomplish anything in life provided you do not mind who gets the credit”

Harry S. Truman

What can we best improve Global Health?

Prevent Multiple diseasesPrevent Multiple diseases

Apply in many places world Apply in many places world widewide

Proven EffectivenessProven Effectiveness

Cheap, Cheap, CheapCheap, Cheap, Cheap

SustainableSustainable

Education is the most powerful weapon which you can use to change the world.

Nelson Mandela

A global interdisciplinary research crossroads

An International Research Incubator

A place where scientists help scientists

A system of scientific knowledge translation from research to the classroom

Janice Dorman, Ph.D.Janice Dorman, Ph.D.DirectorDirector

Molecular EpidemiologyMolecular Epidemiology

Ronald LaPorte, Ph.D.Ronald LaPorte, Ph.D.DirectorDirector

Disease Monitoring and Disease Monitoring and TelecommunicationsTelecommunications

WHO CollaboratingCenter

GSPH

PittsburghGHNet

On-going Projects

SupercourseSupercourse

Just-in-time lecturesJust-in-time lectures

Olympic LecturesOlympic Lectures

PakistanPakistan

Former Soviet UnionFormer Soviet Union

Ron

FainaMita

EugeneAkira

Rania

Eunryoung

EzzeldeenAbed

Soni

Monica

How can we improve Prevention education

worldwide?

Question:

Answer:

Get better lectures

Why don’t we share our exciting PowerPoint

lectures for free?

15,500 Faculty

151 Countries

Supercourse Mirror Sites

42 Mirrored Sites,MOH India, Egypt, Mongolia, Nepal,

Sudan, China, Russia

Access to 100,000-1,000,000

1000 Lectures

Sent to 10,000 prevention experts

in 139 Countries

1874 Lectures

Lecture Status

20,000 students x 5 yrs.100,000 students trained

$1000/100,000

Eric R. Kandel

(2000)Paul C Lauterbur

(2003)

Gunter Blobel(1999)

Paul Greengard (2000)

Baruch S. Blumberg(1976)

Joshua Lederberg(1958)

Nobel Prize Laureates in the Supercourse (Medicine)

Gil Omenn, MDPresident AAAS6 lectures

Richard Carmona, M.D.Surgeon General

Jeff Koplan, MDFormer Head, CDC+ All CDC lectures

60 IOM Members

School of Public Health International Programs

AIDSAIDS 44Building CapacityBuilding Capacity 11Child HealthChild Health 55Community healthCommunity health 22DemographyDemography 11Environmental healthEnvironmental health 1 1 EpidemiologyEpidemiology 11Health PromotionHealth Promotion 11Health and SecurityHealth and Security 11Health Sector ReformHealth Sector Reform 1 1 Infectious diseaseInfectious disease 44NutritionNutrition 33Occupational healthOccupational health 11Reproductive healthReproductive health 11ViolenceViolence 11Women’s healthWomen’s health 33

19 Existing SPHInternational Centers

Good

One diseaseUni-disciplinarySmall numbers of countriesLittle R01 supportNot sustainableAmerican PerspectivePolicy Oriented

Multiple disease researchMultidisciplinaryMany countries R01 support FocusSustainableGlobal PerspectivePolicy Oriented

Eric Noji, M.D.CDC

Bam Earthquake in Iran

Ali Aldadan, M.D.Tehran, Iran

Physical Activity & Health

This lecture has been dedicated to Olympics games in Athens, Greece

Aug 13-29, 204Aug 13-29, 204By Supercourse TeamBy Supercourse Team

Supercourse: Supercourse: www.pitt.edu/~super1/Prepared by Dr. Soni DodaniPrepared by Dr. Soni Dodani

Reach 90% of the world’s countries (172) with a single lecture

Teach a million about Physical Activity and Health

Pedro Urra

National Supercourse

The SC has also become a model for production and dissemination of health information in Cuba as you can see in the Cuban site in http://bvs.sld.cu/sc/. The SC is much more that a web site, it is a philosophy and a model of health promotion using ICT with very rational use of resources.

75 million hits/year150 publications

(including 32 in BMJ, Lancet, Nature, Nature Med)

Top 11 MedicalPages Lancet

Top 100PC Magazine

Looking into the Future

Global Pittsburgh

Pittsburgh

World

“…focusing on what you potentially do better than any organization is the only path to greatness”

Helping at theGlobal researchCrossroads

Issues at the crossroads How do we find partners?

How do we find interdisciplinary scientists with common interest?

How can we work with governments? How can we create a win-win environment? How can we avoid scientific imperialism? How can we avoid the “All things are possible

with American Money syndrome”?

How can we be fair to all? How can be build a sustainable program What are the ethics of collaboration? How can we establish a research design/statistical

global help desk How can we build globalization of training? How can we find funding? How do we determine authorship/credit? How can we translate our information to the

world?

Stepping Stones to Global Pittsburgh

~10 NIH R01 grants with foreign components~10 NIH R01 grants with foreign components>15,500 global collaborators>15,500 global collaborators321 Pitt Faculty already in the Supercourse321 Pitt Faculty already in the SupercoursePittsburgh wants to be “World Class”Pittsburgh wants to be “World Class”Collaborators, Nursing School, UCIS, SHRS, Collaborators, Nursing School, UCIS, SHRS, SISSISPotential, UPMC, Bayer, CMU, Chatham, Potential, UPMC, Bayer, CMU, Chatham, HeinzHeinzExisting Global certificate program Existing Global certificate program (developer = (developer = Dr. Karol)Dr. Karol)

Building a Global Pittsburgh

Scientific CrossroadNetwork International Researchers Network International Researchers first Pittsburgh, then globallyfirst Pittsburgh, then globallyConnect those in Pittsburgh with Connect those in Pittsburgh with those world widethose world wideBuild a global research help desk to Build a global research help desk to facilitate research, Design facilitate research, Design development, data collection, data development, data collection, data analysis and interpretationanalysis and interpretationEstablish a MPH and Ph.D. program in Establish a MPH and Ph.D. program in International Health ResearchInternational Health Research

Potential Funding SourcesPotential Funding Sources

TuitionTuitionSummer programSummer program NIH (Environmental Health, NIH (Environmental Health, NLM, R25, AIDs)NLM, R25, AIDs) CDCCDC US AIDUS AID Joint TrainingJoint TrainingIREXIREX