Global Health Academic Programs in the US and Europe

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Global Health Academic Programs in the US and
Europe
Michael H. Merson, M.D. Director, Duke Global
Health Institute September 24, 2007
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Duke Global Health From Initiative to Institute

• The Strategic Plan for Duke University is called
  Making a Difference.
• To advance the frontiers of knowledge
• To contribute to the international community of
  scholarship
• To promote citizenship
• To contribute to the larger social good
• To help those who suffer, cure disease, and
  promote health
• Interdisciplinary Steering Committee formalized
  Dukes involvement in global health issues and
  defined the mission of the Global Health
  Initiative.
• reduce health disparities
• in our local community and worldwide
• interdisciplinary teams
• solve highly complex problems and train the next
  generation

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DGHI Research and Education Content

• Education
• Undergraduate
• Graduate
• Postgraduate
• Professional
• Research
• Cardiovascular Disease and Obesity
• Global Aging
• Global Environmental Health
• Gender, Poverty, and Health
• Emerging Infectious Diseases
• Policy
• Service

The Steering Committee recommended the
establishment of an Institute that truly spans
the humanities, social sciences, engineering,
environment, law and divinity, as well as the
life sciences.
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What Makes Global Health Different from
Traditional Public Health

• Stronger focus on health in low- and
  middle-income countries and regions
• Greater complexity of socio-cultural, economic,
  and political issues
• More concern about poverty, human rights,
  globalization, and migration
• Wider range of disciplines
• Stronger role for international diplomacy and
  global health governance
• Less academic need to be housed within a school
  or department

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Recent Surge of New Centers

• Student passion for social justice and wanting to
  make a difference
• Faculty interest in global health greater number
  and wider range of disciplines
• Increased resources for global health
• Changing mission and role of universities

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How DGHI Relates to the University
Chancellor
Provost
DGHI
School of Medicine
Trinity College of Arts Sciences
School of Nursing
The Graduate School
Fuqua School of Business
School of Law
Pratt School of Engineering
Divinity School
Nicholas School of the Environment and Earth
Sciences
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Seamless Integration
Discovery
Clinical Research
Global Health
Translation and Adoption
Translation
Proof of Concept in Man
Basic Discovery
Clinical Development Phase II, III
FDA Approval Evidence Based Medicine
Preclinical Research In Vivo Analysis
Practice Adoption, Practice Guidelines, Cost
Effective

• Community
• Assessment
• Care delivery
• Outcomes
• Economics

Improve Community Health Status
Global Health Service/ Research, Population/ Pu
blication
PK,PD, Toxicology
Current State Entities
Industry/Biotech
Clinical Research Organizations/AHS
HCS/Hospitals/ Practices/FQHC/AHS
Government NGOs
AHS/Industry/ Biotech
AMC/AHS
AMC/AHS
AMC/AHS
AMC/AHS
AMC/AHS
AMC/AHS
Basic Discovery
Preclinical Research
PD/PK/ Toxicology
Proof of Concept In Man
Phase II, III and IV
Health Service and Outcomes Research
Guidelines And Adoption
Community Health Trends
Global Health Research and Service
DCRI
DGHI
DTRI
DCCR
New Timeline 10 -12 years