Global Health and Health Policy

This seminar uses the prevailing analytical tools and critical perspectives of African American Studies to consider comparative approaches to groups, broadly defined. Students will examine the intellectual traditions, socio-political contexts, expressive forms, and modes of belonging of people who are understood to share common boundaries/experiences as either (1) Africans and the African Diaspora outside of the United States; and/or (2) non-African-descended people of color within the United States.

Why is there immunological polymorphism in animal populations? Why do immune systems work as they do? This course examines the theories of host-parasite coevolution, including optimal host resource allocation to immune defense in light of parasite counter-strategies, and assesses the empirical evidence by which these theories are tested. Students look at the evolutionary ecology of mechanisms used by immune systems to recognize and kill parasites, finding similarities across animal taxa. Finally, students will map immune mechanisms onto host phylogenies to understand the order in which different mechanisms arose over evolutionary time.

An introduction to the biology of viruses, bacteria, fungi, protozoa, worms, arthropods, and plants that are parasitic upon other animal and plant species. The major emphasis will be on the parasites of animals and plants, with further study of the epidemiology of infectious diseases in human populations. Studies of AIDS, anthrax, and worms, and their role in human history, will be complemented by ecological and evolutionary studies of mistletoe, measles, myxomatosis, and communities of parasitic helminths. Limited to students in the Tropical Ecology Program in Panama.

Where does medicine begin in the West? In this course, we will go back to the earliest medical texts written in ancient Greece that try to give an account of disease as a natural phenomenon that happens inside the biological body. Our aim is not simply to reconstruct the theories of health and disease that these authors put forth. It is also to see the kinds of questions and problems that arise when healers take responsibility for the care and treatment of bodies.

This course will provide an opportunity to apply the concepts and methods studied in economics core courses to analyze selected topics in health economics. Topics will change from year to year. Prerequisites depend on topic. Two 90-minute lectures and one precept.

Introduces disease and healthcare problems worldwide and examines efforts to address them. Via an interdisciplinary approach, identifies the main actors, institutions, knowledge, and values at play in the "global health system", and explores the environmental, social, political, and economic factors that shape patterns and variations in disease and health across societies. Topics include: development and governance of disease; technological change and public health; human rights and social justice; measuring health outcomes; and the shifting role of states, civil society, and public-private partnerships in healthcare delivery. Two lectures.

Focuses on the distribution and determinants of disease. Diverse methodological approaches for measuring health status, disease occurrence, and the association between risk factors and health outcomes will be presented via classic and contemporary studies of chronic and infectious illness and disease outbreaks. Emphasis on: causal inference, study design and sampling, bias and confounding, the generalizability of research, health policy and research ethics. Prerequisite: an approved basic statistics course. Two 90-minute lectures, one preceptorial.

This course examines culture's role in reproducing health inequalities in the United States. Different populations have very different levels of access to care, environmental exposures, and cultural beliefs about health and well-being. Institutional cultures also influence how different patients are treated, how evidence is used to determine treatments, and how healthcare priorities are articulated and funded. Additionally, this course explores how medical care is influenced at a national level by health policies. These factors ultimately impact population health and patients' experiences with life, death and chronic disease.

We will explore the molecular events leading to the onset and progression of human cancer. We will review the central genetic and biochemical elements that make up the cell cycle, followed by a survey of the signal transduction pathways and checkpoints that regulate it. We will discuss oncogenes, tumor suppressor and mutator genes that act in these pathways and review the role of viral oncogenes and their action on cells. We will investigate the role of cancer stem cells and the interaction between tumor and the host environment. We will explore specific clinical case studies in light of the molecular events underlying different cancers.

This course will examine fundamental determinants of human microbe interaction at the biological and ecological levels. The focus will be on major global infectious diseases, their burden of illness and policy challenges for adequate prevention and control. Each infectious agent will be discussed in terms of its biology, mechanisms of pathogenesis, and epidemiology, as well as strategies for its control. Specific emphasis will be placed on the public health aspects of each disease. Prerequisite: MOL 101, MOL 214, or permission of instructor. One three-hour lecture.

This course will consider the principles, development, outcomes and future directions of therapeutic applications of biotechnology, with particular emphasis on the interplay between basic research and clinical experience. Topics to be discussed include production of hormones and other therapeutic proteins, gene therapy, oncolytic viruses, and stem cells. Reading will be from the primary literature. Prerequisite: MOL 214.

In this course, we will explore the diverse and complex interactions between the brain and the immune system from the perspective of current, cutting-edge research papers. In particular, we will focus on the molecular mechanisms of these interactions and their role in brain development and function as well as their potential contributions to specific neurological disorders, including autism. In the process, students will learn to read, critically evaluate, and explain in presentations the content of articles from the primary literature. Prerequisites: MOL 214/215.

This course covers major diseases (cancer, diabetes, heart disease, infectious diseases), the physical changes that inflict morbidity and mortality, the design constraints for treatment, and emerging technologies that take into account these physical hurdles. Taking the perspective of the design constraints on the system (that is, the mass transport and biophysical limitations of the human body), the course will survey recent results from the fields of drug delivery, gene therapy, tissue engineering, and nanotechnology. Two lectures.

Introduction to engineering metabolism. The objective of this course is to introduce students to current techniques and challenges within the field of metabolic engineering. Specific topics include introduction to metabolism, transcriptional regulation, signal transduction, flux balance analysis, and metabolic flux analysis. Designed for upper division students in engineering, chemistry, and molecular biology. Two lectures. Prerequisites: MOL 214 or equivalent.

Viruses are unique parasites of living cells and may be the most abundant, highest evolved life forms on the planet. The general strategies encoded by all known viral genomes are discussed using selected viruses as examples. A part of the course is dedicated to the molecular biology (the tactics) inherent in these strategies. Another part introduces the biology of engagement of viruses with host defenses, what happens when viral infection leads to disease, vaccines and antiviral drugs, and the evolution of infectious agents and emergence of new viruses. Prerequisite: MOL 214 or permission of instructor.

Within a broader context of historical, social, and ethical concerns, a survey of normal childhood development and selected disorders from the perspectives of the physician and the scientist. Emphasis on the complex relationship between genetic and acquired causes of disease, medical practice, social conditions, and cultural values. The course features visits from children with some of the conditions discussed, site visits, and readings from the original medical and scientific literature. Prerequisite: MOL 214. Two 90-minute classes and an evening 90-minute precept.