The Blue Book A Course Guide for the Secondary Field in Global Health and Health Policy
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The Blue Book A Course Guide for the Secondary Field in Global Health and Health Policy 2021–2022 Website: http://ghhp.fas.harvard.edu/ Office: GHHP Advising and Administrative Office 14 Story Street, 4th floor Cambridge, MA 02138 Contacts: Christy Colburn: christy_colburn@harvard.edu Debbie Whitney: deborah_whitney@harvard.edu
Contents What Can You Expect from Global Health and Health Policy? 3 This Booklet 4 Secondary Field Requirements 5 Course Listings by GHHP Category Foundational Courses 6 Research Courses 7 Economics of Health 8 Engineering Sciences and Statistics 9 Ethics of Health 12 Health and Demography 16 Health, Culture, and Society 17 History and Practice of Medicine 22 Politics of Health 25 Science of Health and Disease 27 Index of Courses 34 Rev 08/16/21 Course Guide for the Secondary Field in Global Health and Health Policy 1
Rev 08/16/21 Course Guide for the Secondary Field in Global Health and Health Policy 2
What Can You Expect from Global Health and Health Policy? Interdisciplinary Approach Experiential Learning Explore interdisciplinary world health challenges from Studying global health and health policy requires integrative many perspectives; use different disciplinary approaches to experiential learning to connect the knowledge and skills learn about health care delivery, health systems, public learned in the classroom to real-world complexities. You health and health policy. Courses in the GHHP Secondary can take advantage of more than 50 summer internships, Field sit within three schools and 27 FAS departments. both domestic and abroad, and continue your work as part of These courses represent an array of perspectives on global your research requirement. More information about summer health topics and can inform your course of study both in opportunities and funding can be found at and out of the classroom. https://ghhp.fas.harvard.edu/ExperientialLearning. Local and Global Perspective Faculty Mentorship Learn how health is influenced by social, economic, Learn from faculty members teaching global health courses political, cultural, and environmental factors, both locally from across the university and receive one-on-one and globally. Your GHHP Secondary Field could include mentorship on independent research. Participate in Harvard any of the above topics or move into themes such as: global Global Health Institute workshops and student roundtables. governance for health; the relevance and morality of Work with faculty on research in their field or get valuable socioeconomic inequality in health; consequences of politics advice on projects of your own creation. and the role of health in foreign policy, national security, and economic development. Explore the Connections Learn about the rising global burden of chronic diseases in high-, low-, and middle-resource countries; the emergence of pandemic diseases and their economic and psychological impact; health consequences of travel, urbanization and migration, wars and ethnic conflict; changes in climate and other environmental factors, including water and food security. Rev 08/16/21 Course Guide for the Secondary Field in Global Health and Health Policy 3
This Booklet GPA except when the courses are counted toward concentration requirements. Students wishing to cross- register should consult the discussion of cross-registration in the FAS Handbook for Students at this webpage: https://handbook.fas.harvard.edu/book/cross-registration. Prerequisites and Instructor Permission The courses listed in this booklet fulfill requirements of the Secondary Field in Global Health and Health Policy The courses listed in this booklet are suggestions for (GHHP). The booklet includes courses that are listed in the undergraduates who are interested in learning more about my.harvard.edu as of August 16, 2021. Since the terms and global health and health policy or the application of other times in which courses are offered can change from time to disciplines to global health/health policy issues. It is the time, students should consult my.harvard.edu for the most responsibility of students to ensure that they have the accurate, up-to-date information. correct prerequisites and the permission of the instructor, when required, before they enroll in a course. Spreadsheet of Courses Questions or Comments? A list of courses that fulfill the various requirements of the Secondary Field in Global Health and Health Policy is Do you have any comments about this booklet? Do you available as a sortable spreadsheet on the GHHP website: know of a course that is not listed here and should be? https://ghhp.fas.harvard.edu/courses-0. Note that the Would you like to receive a copy of this booklet in future spreadsheet has two tabs at the bottom: the left tab lists years and/or an extra copy of this year’s booklet? Please courses that appear in the 2021-22 course catalogs, while contact us at ghhp@fas.harvard.edu. the right tab lists courses that were offered in the past and still count for GHHP credit. Petitioning Courses for GHHP Credit Students may petition to have courses not listed in the Blue Book count for GHHP Secondary Field credit. A course will not be approved unless it has substantial global health or health policy content. To petition a course, email your request to ghhp@fas.harvard.edu, attach a syllabus, and explain which category within the GHHP Secondary Field you believe the course satisfies. Note that the only HSPH courses listed in the Blue Book are those that have been petitioned previously. It is likely that the majority of courses offered at HSPH, once petitioned and reviewed, would count for GHHP; however, be aware that many courses offered at HSPH are half-semester courses and provide only half the credit of a semester-long course in FAS. Cross-Registration Students must cross-register in order to take classes in Harvard schools outside of FAS. Policies and deadlines for cross-registration generally vary from school to school. Note that passing grades received for cross-registered courses will not be used in computing a student’s Rev 08/16/21 Course Guide for the Secondary Field in Global Health and Health Policy 4
Harvard Secondary Field in Global Health and Health Policy Requirements In total, five courses (20 credits) are required: One Foundational Course: Three Additional Courses, one course in three of the following eight categories: • GENED 1063: World Health: Challenges and Opportunities [Formerly "Societies of the World 24: Is Humanities and Social Sciences Globalization Good or Bad for World Health?"] • Economics of Health • GENED 1079: Why is There No Cure for Health? • Ethics of Health [Formerly "Empirical and Mathematical Reasoning • Health and Demography 20”] • Health, Culture, and Society • GENED 1093: Who Lives, Who Dies, Who Cares? • History and Practice of Medicine Reimagining Global Health [Formerly "Societies of the • Politics of Health World 25: Case Studies in Global Health: Biosocial Sciences Perspectives"] • Engineering Sciences and Statistics • Science of Health and Disease • Not Offered in 2021-2022: GENED: USW 11 American Health Care Policy Course options for the eight categories are listed in this Blue Book. Note that the eight categories are divided into two areas, Humanities & Social Sciences, and Sciences. One Research Course: Students are strongly encouraged to take at least one course from both areas. • One term of the senior thesis tutorial, when the thesis pertains to global health or health policy • One term of the senior thesis tutorial, when students Other Information: write an additional thesis chapter on the global health or health policy implications of their hard science, • Only one of the five courses may be non-letter-graded. engineering, or computer science thesis (Exception: Two courses may be taken non-letter- • Global Health and Health Policy 99: Research in Global graded if one is the senior thesis tutorial used to satisfy Health and Health Policy the research requirement.) • Supervised Reading and Research course (GHHP 91 or • Only one course may double count for a secondary field equivalent course in another department), culminating and concentration. in a research paper pertaining to global health or health • A maximum of two non-FAS courses may count for the policy GHHP Secondary Field. This includes courses taken at other Harvard schools, including Harvard Summer Additional guidelines regarding the research requirement School, and courses taken in study abroad programs. are available at http://ghhp.fas.harvard.edu Rev 08/16/21 Course Guide for the Secondary Field in Global Health and Health Policy 5
Course Listings by GHHP reform its health care system? And how should prescription drugs be produced and sold? Category We will explore how social scientists address empirical questions, the types of data that are available, how those data are analyzed, and the confidence with which causal statements are made. By the end of the course, you will be able to dissect a large question—such as how to reform American healthcare—into its technological, social, economic, and moral components, and weigh potential solutions according to these guiding vectors. FOUNDATIONAL COURSES GENED 1093: Who Lives, Who Dies, Who Cares? Reimagining Global Health GENED 1063: World Health: Challenges and Arthur Kleinman, Salmaan Keshavjee, Anne Becker, Paul Opportunities Farmer, Sue J. Goldie Fall; TTh 10:30-11:45 Spring; MW 10:30-11:45 If you are sick or hurt, whether you live or die depends not Class Capacity: 200 only on biological factors, but social ones: who you are and Consent Required: Instructor where you are, what sort of healthcare system is available to Extraordinary changes in the world present both risks and help you survive, and what kind of care is available to help opportunities to health—unprecedented interconnections you recover, if society believes you deserve it. The global across borders, rapidly shifting global demographics, and coronavirus pandemic illustrates with dramatic urgency the changing patterns of diseases and injuries. This course will role social forces play in patterning health inequities and challenge your assumptions about the world’s populations, determining individual fates. The vulnerabilities of those as you discover surprising similarities and unexpected most likely to get sick and to die from Covid-19 stem from differences between and within countries. Approaching the the ongoing effects of systemic racism on racialized concept of health as a fundamental prerequisite for building subjects, the devaluation of eldercare and precarity of low- strong societies, we will explore its connection to human paid work under neoliberal forms of governance, and rights, international relations, and sustainable development. enduring material effects of colonial-era power structures Using case examples of contemporary health challenges, we that render health care systems dangerously weak or explore the influence of social, political, and environmental inaccessible for many communities. Now, as ever, it is determinants on health, particularly transnational risks imperative to develop frameworks and methodologies to associated with globalization. We consider solutions from identify and to intervene effectively in harmful social an array of perspectives, contributions from within and configurations that cause illness and suffering. outside the health sector, and interventions at the local, Most medical research narrowly focuses on the biological national and global levels. By the end of the course, you will basis of disease, but this course takes a novel biosocial be equipped to thoughtfully analyze important health approach to reveal how governments, institutions, and challenges and appreciate how evidence is contextualized histories shape health and well-being, how poverty and and translated to policy and action. racism get into someone’s lymph nodes, how cost- saving measures manifest as tuberculosis in someone’s lungs. In GENED 1079: Why is There No Cure for Health? doing so, the course challenges conventional assumptions David Cutler within the field of global health—examining how Fall; TTh 12-1:15 interventions influence what happens after a catastrophe in Around the world, billions of dollars are spent on health unexpected ways, how the persistence of health inequalities care treatments, public health initiatives, and pharmaceutical over centuries can be explained, how the structures of research and development. So why are we still not able to powerful institutions influence the policies they develop, prevent preventable diseases, provide affordable healthcare how the poor deserve not only health care but high quality for millions of people, and deliver cures for curable health care, and how caregiving and global health are urgent diseases? And what are the best ways to address these moral practices. issues? Because these questions are so large, we will focus our discussion around questions like: What steps should be taken to address epidemics? How should the United States Rev 08/16/21 Course Guide for the Secondary Field in Global Health and Health Policy 6
RESEARCH COURSES Global Health and Health Policy 91: Supervised Reading and Research David Cutler Fall and Spring Consent Required: Instructor Supervised reading leading to a long term paper on a topic or topics not covered by regular courses of instruction. Course Notes: May not be taken Pass/Fail. To enroll in the course, a written proposal and signature of advisor and chair of GHHP Committee is required. Refer to GHHP website for enrollment requirements and instructions: https://ghhp.fas.harvard.edu/ghhp-91 Global Health and Health Policy 99: Research in Global Health and Health Policy David Cutler Spring; W 3-5 Consent Required: Instructor Global health and health policy are interdisciplinary fields that apply the theories and methods of statistics, sociology, political science, economics, management, decision science, and philosophy to the study of population health and health care. Research from these fields influences policymaking in a variety of settings. For example, the Patient Protection and Affordable Care Act (ACA) drew upon health policy research to develop programs for improving access and quality of care in the United States. Similarly, global health research guides international institutions, such as the World Health Organization, in determining health guidelines for all countries. Global health and health policy research can also inform practices inside hospitals, initiate programs for diseases like HIV, and regulate the food and drug industries. This course introduces the fundamentals of research design and methods in global health and health policy and assists students in developing research projects and crafting policy recommendations that can impact health care systems and public health. Course Notes: This course fulfills the research requirement of the Secondary Field in Global Health and Health Policy, and enrollment is ordinarily limited to seniors in the GHHP Secondary Field. Underclass GHHP students may petition to take the course if all other Secondary Field requirements have been met. GHHP 99 is primarily taught by graduate students in the PhD in Health Policy program. It may not be taken pass/fail. Rev 08/16/21 Course Guide for the Secondary Field in Global Health and Health Policy 7
ECONOMICS OF HEALTH We will explore how social scientists address empirical questions, the types of data that are available, how those data are analyzed, and the confidence with which causal Freshman Seminar 40k: America's $4 Trillion Challenge: statements are made. By the end of the course, you will be Boosting Health Care Productivity and Broadening able to dissect a large question—such as how to reform Access American healthcare—into its technological, social, Alan Garber economic, and moral components, and weigh potential Spring; TBA solutions according to these guiding vectors. Class Capacity: 12 Consent Required: Instructor Biological Chemistry and Molecular Pharmacology 230: "Why does health care cost so much?" Policymakers, Principles and Practice of Drug Development employers, and the public share deep frustration at high Stan Finkelstein; Peter Sorger health expenditures, which are blamed for rising federal Fall; W 3-6 deficits, the declining competitiveness of US businesses, Critical assessment of the major issues and stages of and the risk of financial ruin for individuals unfortunate developing a pharmaceutical or biopharmaceutical. Drug enough to suffer a costly illness or injury. Unless health discovery, preclinical development, clinical investigation, expenditures can be controlled, universal access to care is manufacturing and regulatory issues considered for small likely to remain an unattainable goal in the United States. In and large molecules. Economic considerations of the drug this seminar, we will explore the causes and consequences development process. of the high costs of care and the range of approaches to Class Notes: Wed., 3:00pm - 6:00pm increasing the productivity of health care. The Affordable Meeting Dates: Sept. 8 – Dec. 8, 2021 Care Act and alternative health reform options will be Meeting Location: MIT 4-237 critically examined for their effects on health care productivity. Students will be exposed to techniques for XREG: SUP 518: The Economics of Infectious Disease measuring the effectiveness and value of health care, and Marcella Alsan will become familiar with economic and clinical studies. Fall; MW 3-4:15 Students will be asked to produce a mid-term outline and Class Capacity: 75 final paper on solutions for improving health care The course introduces and applies economic models and productivity in the US. . econometric tools to the analysis infectious diseases. Recommended Prep: Background in microeconomics at the Specific diseases will be discussed and recent research level of first-semester Economics 10 is required. Knowledge reviewed. of AP-level statistics is desirable. The course is relevant to Recommended Prep: Prior experience with statistics and/or anyone with an interest in applied economics, public policy, econometrics and/or microeconomics and/or infectious health care, or public health. disease is helpful but not mandatory. Undergraduates may Course Requirements: Course open to Freshman Students take SUP 518 as part of their economics concentration. Only. GENED 1079: Why is There No Cure for Health? David Cutler Fall; TTh 12-1:!5 Around the world, billions of dollars are spent on health care treatments, public health initiatives, and pharmaceutical research and development. So why are we still not able to prevent preventable diseases, provide affordable healthcare for millions of people, and deliver cures for curable diseases? And what are the best ways to address these issues? Because these questions are so large, we will focus our discussion around questions like: What steps should be taken to address epidemics? How should the United States reform its health care system? And how should prescription drugs be produced and sold? Rev 08/16/21 Course Guide for the Secondary Field in Global Health and Health Policy 8
ENGINEERING SCIENCES AND STATISTICS Economics 1123: Introduction to Econometrics Davide Pettenuzzo (Fall), Gregory Bruich (Spring) Fall; MW 1:30-2:45 Applied Mathematics 101: Statistical Inference for Spring; TTh 3-4:15 Scientists and Engineers An introduction to multiple regression techniques with Jeffrey Paten focus on economic applications. Discusses extensions to Fall; MW 12:45-2 discrete response, panel data, and time series models, as Class Capacity: 55 well as issues such as omitted variables, missing data, Consent Required: Instructor sample selection, randomized and quasi-experiments, and Introductory statistical methods for students in the applied instrumental variables. Also develops the ability to apply sciences and engineering. Random variables and probability econometric and statistical methods using computer distributions; the concept of random sampling, including packages. random samples, statistics, and sampling distributions; the Course Notes: Students may take both Economics 1123 and Central Limit Theorem; parameter estimation; confidence Statistics 139 for credit. However, Statistics 139 will not intervals; hypothesis testing; simple linear regression; and count as the econometrics requirement for the economics multiple linear regression. Introduction to more advanced concentration. Only one course can count towards EC techniques as time permits. credit; either Economics 1123 or Economics 1126. Both Recommended Prep: Math 21a or Applied Math 21a or courses can count towards college credit regardless of the equivalent. order they are taken. Recommended Prep: Statistics 100 and 104. Biomedical Engineering 110: Physiological Systems Analysis Economics 1126: Quantitative Methods in Economics Maurice Smith Ellie Tamer Fall; MW 3:45-5 Fall; TTh 10:30-11:45 A survey of systems theory with applications from Topics include conditional expectations and its linear bioengineering and physiology. Analysis: differential approximation; best linear predictors; omitted variable bias; equations, linear and nonlinear systems, stability, the panel data methods and the role of unobserved complementary nature of time and frequency domain heterogeneity; instrumental variables and the role of methods, feedback, and biological oscillations. randomization; various approaches to inference on causal Applications: nerve function, muscle dynamics, relations. cardiovascular regulation. Laboratory: neural models, Course Notes: Only one course can count towards EC feedback control systems, properties of muscle, credit; either Economics 1123 or Economics 1126. Both cardiovascular function. courses can count towards college credit regardless of the Recommended Prep: Engineering Sciences 53 (or order they are taken. Students who fulfill the econometrics equivalent); Physical Sciences 12b (or equivalent); and requirement with Economics 1126 and who intend to pursue Math 21a and Math21b (or equivalents) Honors should note that the Honors exam assumes knowledge of the material covered in Economics 1123. Biomedical Engineering 125: Tissue Engineering Recommended Prep: Math 18, 21a, Applied Math 21a. David Mooney Spring; TBA Engineering Sciences 6: Introduction to Environmental Fundamental engineering and biological principles Science and Engineering underlying field of tissue engineering, along with examples Steven Wofsy, Bryan Yoon and strategies to engineer specific tissues for clinical use. Spring; TBA Students will prepare a paper in the field of tissue This course will provide students with an introduction to engineering, and participate in a weekly laboratory in which current topics in environmental science and engineering by they will learn and use methods to fabricate materials and providing: an overview of current environmental issues, perform 3-D cell culture. critically evaluating their underlying science and knowledge Recommended Prep: LS1a, Chem17 or 20, or biochemistry limitations, and exploring the best-available engineering and cell biology background. solutions to some of our most pressing environmental Jointy Offered with: Faculty of Arts & Sciences as ENG- problems. The course will emphasize the interconnected SCI 230 biological, geological, and chemical cycles of the earth system (biogeochemical cycles) and how human activity affects these natural cycles within each of the major Rev 08/16/21 Course Guide for the Secondary Field in Global Health and Health Policy 9
environmental compartments (atmospheric, aquatic, and statistical techniques including linear, multiple linear, and terrestrial). panel regression models; and Bayesian methods including Course Notes: ESE 6 is also offered as EPS 6. Students may empirical, full, and hierarchical approaches. You will be not take both for credit. provided with sufficient data, example code, and context to Recommended Prep: The course presumes basic knowledge come to your own informed conclusions regarding each of in chemistry, physics, and mathematics at the high school these questions. Furthermore, topics covered in class will level. pro-vide a template for undertaking independent research Jointly Offered with: Faculty of Arts & Sciences as E-PSCI projects in small teams. Research will either extend on 6 topics presented in class or address other human- environmental questions. Historically, such student projects Engineering Sciences 53: Quantitative Physiology as a have sometimes led to senior theses or publication in Basis for Bioengineering professional journals. Lindsey Moyer Course Notes: The course is designed for upper-level Fall; MWF 11:15-12:30 undergraduates. Enrollment is by instructor permission. This This course is designed as an introduction to thinking as a course fulfills the EPS sub-discipline requirement of bio/biomedical engineer and is recommended for first years Atmosphere(s) and Oceans. and sophomores but open to all students. Simple Recommended Prep: There are no specific prerequisites but mathematical models are used to represent key aspects of a background in environmental, physical or life sciences; organ systems function. Core engineering concepts are experience in coding or statistical analysis; and/or facility explored through mechanical and electrical examples within with differential equations is useful. the human body. The primary focus is on quantitative Jointly Offered with: Faculty of Arts & Sciences as ESE 168 descriptions of organ systems function and control in terms of physical principles and physiologic mechanisms. It Government 50: Data includes a foundation in human organ systems physiology, TBA including cardiovascular, pulmonary, and renal systems. Spring; TBA Emphasis will be given to understanding the ways in which This course, an introduction to quantitative political science, dysfunction in these systems gives rise to common human will teach you how to answer questions with data, how to disease processes. develop questions suited to empirical research, construct Course Notes: Open to first-year students. hypotheses, conduct descriptive analysis using statistical Recommended Prep: Calculus at the high school level summaries and data visualizations, how to model Course Requirements: Co-req or pre-req: Applied Physics relationships, how to assess uncertainty, and how to 50a OR Applied Physics 50b OR Physical Sciences 12a OR communicate your findings. Exercises both in and out of Physical Sciences 12b OR Physics 15a OR Physics 15b OR class will require students to engage with and apply various PHYSCI 2 OR PHYSCI 3 social science concepts, and to undertake quantitative analyses of political and policy-relevant data. Each student Earth & Planetary Sciences 168: Human Environmental will complete a final project. Data Science: Agriculture, Conflict, and Health Peter Huybers Molecular and Cellular Biology 111: Mathematics in Fall; T 3:45-5:45 Biology Consent Required: Instructor Elena Rivas The purpose of this course is to develop understanding and Fall; MWF 10:30-11:45 guide student research of human and environmental MCB111 is meant for biologists who want to learn systems. In class we will explore agriculture, conflict, and mathematical principles relevant to current biological transmissible disease. Study of each topic will involve research, as well as for mathematically oriented students introduction data, mathematical models, and analysis who want to explore applications in biology. The course techniques that build toward addressing a major question at theme is mathematical modeling of biological processes, each interface: Have agricultural systems been adapted to with a special emphasis on probabilistic models and climate change? Has drought caused conflict? And does the inference. More than half of the course covers topics on environment influence the spread of COVID-19? These information theory, Bayesian inference, statistics, questions are diverse, but are addressed using common probabilistic modeling, and neural networks. The last analytical frameworks. Analytical approaches include section of the course covers dynamical systems in biology, simple mathematical models of feedback systems, crop including random walks, feedback control, and molecular development, and population disease dynamics; frequentist population dynamics. Each week-long unit is devoted to one Rev 08/16/21 Course Guide for the Secondary Field in Global Health and Health Policy 10
specific topic, and is based in one or more scientific papers between knowledge and information. This course will selected from the recent literature. The best way to learn in motivate statistical methods through data analysis and this course is through the homework. They are very hands- visualization, in addition to discussing the underlying on, and usually require coding to implement some theory. We will discuss topics such as study design, mathematical concept through a particular biological descriptive statistics, probability, sampling distributions, example. For instance, one unit is devoted to maximum hypothesis testing, linear regression, and Bayesian likelihood methods in the context of Quantitative Trait Loci inference. A wide variety of applications from the economic analysis; another unit explores probabilistic models in the and social sciences will be highlighted along with examples context of inferring ancestry and recombination breakpoints from biology, sports, politics, and more. Students with prior from genomic reads in fly populations. More information exposure to introductory statistics will find some overlap of about the course can be found at mcb111.org. material but be exposed to new applications and learn more Recommended Prep: Mathematics 19 or higher. advanced modeling techniques. This course makes use of the statistical programming language R, but no prior Psychology 1900: Introduction to Statistics for the knowledge of computer science is required. Behavioral Sciences Course Notes: Only one of the following courses may be Patrick Mair (Fall); TBA (Spring) taken for credit: Statistics 100, 101, 102, 104. Fall; MW 9-10:15 Course Requirements: Anti-Req: may not be taken for credit Spring; TBA if STAT 109 or STAT 139 already complete. Provides a conceptual and practical introduction to statistics used in psychology and other behavioral sciences. Covers Statistics 110: Introduction to Probability basic topics in statistics including: measures of central Joseph Blitzstein tendency and variability; probability and distributions, Fall; TTh 1:30-2:45 correlations and regression, hypothesis testing, t-tests, A comprehensive introduction to probability. Basics: analysis of variance, and chi-square tests. Includes a lab sample spaces and events, conditional probability, and section with instruction in statistical analysis using a Bayes' Theorem. Univariate distributions: density functions, computer program. expectation and variance, Normal, t, Binomial, Negative Recommended Prep: The Psychology Department requires Binomial, Poisson, Beta, and Gamma distributions. completion of Science of Living Systems 20 or Psychology Multivariate distributions: joint and conditional 1 or the equivalent of introductory psychology (e.g. Psych distributions, independence, transformations, and AP=5 or IB=7) before enrolling in this course. Multivariate Normal. Limit laws: law of large numbers, Course Requirements: Pre-requisite: SLS20 or PSY1 or central limit theorem. Markov chains: transition Psychology AP=5 or Psychology IB=7 or Psyc S-1 probabilities, stationary distributions, convergence. Recommended Prep: Math 1b or equivalent or above. Statistics 102: Introduction to Statistics for Life Sciences Kevin A. Rader Spring; MW 12-1:15 Introduces the basic concepts of probability, statistics and statistical computing used in medical and biological research. The emphasis is on data analysis and visualization instead of theory. Designed for students who intend to concentrate in a discipline from the life sciences. Course Notes: Only one of the following courses may be taken for credit: Statistics 100, 101, 102, 104. Statistics 104: Introduction to Quantitative Methods for Economics Kevin A. Rader Fall; TTh 10:30-11:45 In a world where data is growing larger and more complex, it can be a challenge to turn an abundance of information into the knowledge from which sound decisions can be made. As a discipline, statistics aims to bridge the gap Rev 08/16/21 Course Guide for the Secondary Field in Global Health and Health Policy 11
ETHICS OF HEALTH GENED 1116: Medical Ethics and History David Shumway Jones Fall; TTh 10:30-11:45 GENED 1064: Brains, Identity, and Moral Agency Students will encounter the ethical dilemmas of medical Steven Hyman practice throughout their lives, whether with their own Spring; TTh 10:30-11:45 health, or with the health their families and friends. This Advances in brain science have the potential to diminish course will equip them with the tools of moral philosophy many forms of human suffering and disability that are so that they can recognize, critique, and craft arguments rooted in disordered brain function. But what are the ethical grounded in appeals to utilitarianism, deontology, or rights. implications involved in altering the structure and function But the course will focus on historical analysis of the of human brains? What’s at stake when we have the ability debates so that students understand how social, economic, to alter a person’s narrative identity, create brain-computer and political contexts have influenced moral reasoning. By interfaces, and manipulate social and moral emotion? In this clarifying their own thinking in the classroom, students will course, you will ask and attempt to answer these questions, be better equipped to engage in the debates and contribute to and discuss the implications of mechanistic explanations of the ongoing efforts by medicine to relieve human suffering. decision-making and action for widely-held concepts of moral agency and legal culpability. This course will prepare Ethnicity, Migration, Rights 147: COVID-19, inequality you to be a thoughtful citizen of a world characterized by and the Latinx community rapidly emerging understandings of human brain function, Americo Mendoza-Mori and by new technologies intended to repair or influence Fall; T 3-5:45 human brains. Class Capacity: 15 Course Notes: For students who have taken MCB 80, it is Consent Required: Instructor contemplated that there will be a section that incorporates When the coronavirus pandemic started to hit the world in more advanced concepts from neurobiology. 2020, it gave the wrong impression that it would affect Recommended Prep: LPS A or LS 1a, a 4 or 5 on the AP everyone the same way, acting as a ‘great equalizer’. Biology exam, or equivalent experience in biology However, the effects of COVID-19 exacerbated structural injustices and the impact varied dramatically different GENED 1115: Human Trafficking, Slavery, and Abolition depending on race, gender, class. According to data from in the Modern World the Centers for Disease Control and Prevention (CDC) in Orlando Patterson May 2021, Hispanics/Latinos were twice as likely to get the Spring; TTh 1:30-2:45 virus in comparison to white adults, and 2.3 times more We often think of slavery as being a dark chapter in our likely to die from it. Even as vaccines have become past, but this is a tragic oversimplification. What defines available, their distribution has also been affected by slavery in the modern world, and what are the moral, disparities of access. political and social implications of its continued existence? For this class we will analyze discursivities that have been As we explore its underpinnings, we discover that all of us exposed by the pandemic and have since become topics of may be in some way complicit in its survival. This course ethical and social reevaluation: health disparities, the surveys the nature, types and extent of modern servitude distribution of labor, housing and transportation, language such as transnational and domestic prostitution, forced access, environmental racism (including activism against marriage, labor trafficking and forced domestic labor, child anti-Asian and anti-Black violence). At the same time, we soldiering and other forms of enslavement of children, organ will explore public policy and solidarity grassroot initiatives trafficking and other health aspects of trafficking, debt- that have provided community support and programmatic bondage, and the forced exploitation of other vulnerable responses on healthcare, social and racial justice, and groups such as refugees and stateless persons. Throughout climate issues to the future of US society. the course, but especially in the final part, we examine anti- Community testimonies and guest speakers, multimedia trafficking and anti-slavery measures and movements and content, interdisciplinary readings, and class debates are ways in which you can increase awareness or become intended to encourage reflection and to learn from involved. You will, by the end of our exploration, be able to underrepresented voices of the pandemic. This is a speaking trace the moral and ethical arguments surrounding human seminar, open to all students, that will promote oral slavery in its various forms, understand the ways in which communication and critical thinking skills through this problem still affects so many people, and what can and discussions, projects, and prepared presentations. should be done about it. Rev 08/16/21 Course Guide for the Secondary Field in Global Health and Health Policy 12
Global Health and Health Policy 70: Global Response to History of Science 2953: Bioethics, Law, and the Life Disasters and Refugee Crises Sciences Stephanie Kayden, Michael VanRooyen Sheila Jasanoff Spring; Th 12:45-2:45 Spring; TBA Class Capacity: 30 Class Capacity: 30 Consent Required: Instructor Consent Required: Instructor Climate change, urbanization, and conflict mean that global Seeks to identify and explore salient ethical, legal, and disasters are on the rise. How should the world respond policy issues - and possible solutions - associated with when disasters force people from their homes? How can we developments in biotechnology and the life sciences. better help the world’s refugees? This course examines the Course Notes: Offered jointly with the Kennedy School as past, present, and future of the international humanitarian IGA-515. Cannot be taken for credit by students who have response system. We will explore how Doctors Without already taken IGA-515. Borders, the United Nations, the Red Cross, and other aid agencies came to be and how global response standards, Sociology 1106: Humanitarian Activism and Civil international humanitarian law, and new technologies are Society shaping worldwide disaster relief. Shai Dromi Through interactive discussions and case studies, students Spring; TTh 9-10:15 will learn how aid workers interact with governments, When global crises strike, humanitarian nongovernmental militaries, and civil society to provide refugee aid. At the organizations – NGOs – spring to action, offering end of the course, students can choose to live the refugee emergency medical services, basic necessities, expertise, experience during a large-scale, weekend outdoor simulated and innovation to affected communities around the world. humanitarian response training program together with other Yet COVID-19 brings unprecedented challenges—and students and professional aid workers from around the unprecedented opportunities—to humanitarian endeavors. world. Humanitarian workers are now working globally to Course Notes: Lotteried course, enrollment limited to 30. distribute personal protection equipment in disadvantaged communities, trace the spread of coronavirus in countries Government 94gk: The Politics and Ethics of Medical with sparse public health resources, support countries with Care weakened hospital systems, and advocate for an equitable Gabriel Katsh distribution of a future vaccine. Fall; Th 3-5:45 This course provides a comprehensive view of humanitarian Class Capacity: 16 organizations and activism from a sociological perspective. Consent Required: Instructor We will examine the origins of organized humanitarian This course is an introduction to medical ethics and the activism and the dilemmas and challenges that NGOs face. ways in which political theory can inform our understanding We will investigate the consequences, justifications, and of the moral and political dimensions of medical care. Using limitations of humanitarian work. COVID-19 will be a case studies as a launching point, we will explore ideas central study case for us, and we will also look at case about autonomy, paternalism, beneficence, and distributive studies from the Kosovo War, the Nigerian Civil War, and justice, and their application to issues such as informed the 2004 Indian Ocean Tsunami. Students will be assigned consent, medical privacy, and the right to refuse care. The specific regions to research over the course, and will create Fall 2021 iteration of the course will focus in particular on visual representations of the conditions and humanitarian ethical and policy dilemmas that have arisen in the context activities in their assigned region. The course will include a of the coronavirus pandemic, including questions about the virtual “hackathon” with the Bok Center's Learning Lab distribution of scarce resources, the health effects of Studio where students will learn visual media skills for this inequality, and balancing the needs of public health with purpose. concerns about individual liberty. Readings include classics of moral and political philosophy, writings by contemporary Sociology 1131: Philanthropy and Nonprofit medical ethicists, Supreme Court decisions, and some Organizations empirical and historical studies. Shai Dromi Fall; MW 3-4:15 Class Capacity: 50 Consent Required: Instructor When crises strike, nonprofit organizations spring to action, offering their resources, expertise, and innovation to Rev 08/16/21 Course Guide for the Secondary Field in Global Health and Health Policy 13
affected communities. Yet COVID-19 brings unprecedented policies, programs and interventions. The course clarifies challenges—and unprecedented opportunities—to how human rights approaches complement and differ from philanthropic endeavors. Indeed, aside from supporting those of bioethics and public health ethics. medical research on COVID-19, nonprofit organizations Among the issues to be considered from a human rights have been providing medical care, distributing personal perspective are the bioethics, torture prevention and protective equipment (PPE), helping address loss of treatment, infectious diseases, violence prevention and employment and food insecurity, and advocating for global responses, genetic manipulation, access to affordable drugs, equity in vaccine distribution, among other tasks. community-based health management and financing, child This course partners with the Lemann Program on labor, aging, and tobacco control. Creativity and Entrepreneurship (LPCE) in order to provide Course requirements are active participation in class students with a unique opportunity to experience first-hand discussion (25%), presentation of a paper (10%) and quality how philanthropists and nonprofit organizations are helping of the term paper (65%). address the global effects of this global pandemic. On the Course Requirements: Students outside of HSPH must theoretical side, the course will examine the workings of request instructor permission to enroll in this course. philanthropy and of nonprofit organizations, using different Note: This course provides 2.5 credits. In order to receive sociological perspectives and a series of case studies. credit equivalent to a course in FAS, a student must take Alongside the theoretical content, students will form groups two 2.5-credit HSPH courses. and will develop their own nonprofit ventures to address the social impact of COVID-19. Student ventures will receive XREG: HSPH ID 250: Ethical Basis of the Practice of startup seed funding and, at the end of the course, will Public Health compete over additional seed money. The course will Daniel Wikler Ole Norheim include a series of guest lectures and workshops on Fall 1; MW 8-9:30am entrepreneurship to support student venture development. Class Capacity: 37 This course serves as an introduction to ethical issues in the XREG: HSPH GHP 265: Ethics of Global Health Research practice of public health. Students will identify a number of Richard Cash key ethical issues and dilemmas arising in efforts to improve Spring 2; MW 3:45-5:15 and protect population health and will become familiar with Class Capacity: 50 the principal arguments and evidence supporting contesting This course is designed to expose students to the key ethical views. The class aims to enhance the students' capacity for issues that may be encountered in the course of conducting using ethical reasoning in resolving the ethical issues that global health research. Using case presentations and will arise throughout their careers. discussion-based class sessions, students will have the Unlike courses in medical ethics, which mainly examine opportunity to begin developing their own tools for dealing ethical dilemmas facing individual clinicians, the with these important issues in an applied context. population-level focus of this course directs our attention to Course Note: Required for GHP SM2 research students. questions of ethics and justice that must be addressed at the Course is Restricted: GHP SM2 research students. Seats societal level. These include: What social response is will be made available to other students if room is available. required of a just society to the needs of its members for Students outside of HSPH must request instructor protecting and restoring health? Is population health permission to enroll in this course. something other than the aggregate of the health concerns of Note: This course provides 2.5 credits. In order to receive the individuals who make up a society at a given time? And credit equivalent to a course in FAS, a student must take what are the ethical implications of the answers? When are two 2.5-credit HSPH courses. inequalities in health inequitable, and what priority should be assigned to reducing disparities in health when pursuing XREG: HSPH GHP 288: Introduction to Health and this goal might compromise the effort to maximize Human Rights population health? Which ethical choices, if any, are Stephen P. Marks unavoidable in developing the methodologies for Fall 2: MW 2-3:30 measurement of health and of the global burden of disease? Class Capacity: 32 Which ethical choices if any are unavoidable in developing The aim of this course is to introduce students to the and using methods for priority-setting such as cost- application of the human rights framework to a wide range effectiveness analysis and cost-benefit analysis? Are the of critical areas of public health. Through lectures, cases and ethical commitments of the profession of public health guest speakers, students will become familiar with the consistent with some methods and not others? Should the human rights perspective as applied to selected public health institution of universal health coverage be guided by ethical Rev 08/16/21 Course Guide for the Secondary Field in Global Health and Health Policy 14
precepts and if so, what are these values and how should they guide policy? Can and should public health's dedication to improving population health conflict with the priorities of some individuals whose choices to not reflect such high priority for health? Should these individual preferences always be respected? Are there effective strategies that pursue population health in the face of such conflicts while preserving the individual's freedom to make unhealthy choices? How should responsibility for poor health be assigned, and what are the ethical implications of this assignment for poor health due to health problems due to smoking, obesity, and other unhealthy behavior? To the extent that the socio-economic health gradient reflects differences in how well people take care of themselves are these disparities in health individual failings rather than social injustices? Class Notes: A course materials fee may apply for this course. An upper estimate is listed below, and the final materials fee will be communicated to enrolled students at the beginning of the term. For more information and a list of past years' materials fees for the current semester's courses, please visit the Curriculum Center website. [Estimated Non- Textbook Course Material Fee:< $25] Course Requirements: Students outside of HSPH must request instructor permission to enroll in this course. Note: This course provides 2.5 credits. In order to receive credit equivalent to a course in FAS, a student must take two 2.5-credit HSPH courses. Rev 08/16/21 Course Guide for the Secondary Field in Global Health and Health Policy 15
HEALTH AND DEMOGRAPHY Course Notes: Students who complete GHHP 30 may apply to participate in an experiential learning opportunity in San Vito, Costa Rica over spring break. Since slots are limited, GENED 1063: World Health: Challenges and there will be a lottery. Opportunities Sue J. Goldie Sociology 1046: Life and Death by Design Spring; MW 10:30-11:45 Jason Beckfield Class Capacity: 200 Fall; MW 10:30-11:45 Consent Required: Instructor In this course, we will study health differences between Extraordinary changes in the world present both risks and social groups. We will begin by examining the extent to opportunities to health—unprecedented interconnections which health is unevenly distributed across groups defined across borders, rapidly shifting global demographics, and by nationality, neighborhood, race, gender, and class - changing patterns of diseases and injuries. This course will differences highlighted in stark terms by the COVID-19 challenge your assumptions about the world’s populations, pandemic. We will then seek to pinpoint the reasons for as you discover surprising similarities and unexpected these disparities with a detailed analysis of the pathways differences between and within countries. Approaching the through which these factors are linked to health status. concept of health as a fundamental prerequisite for building Finally, we will discuss new research on the sociology of strong societies, we will explore its connection to human population health that shows how health disparities depend rights, international relations, and sustainable development. on meso- and macro-scale causes like neighborhoods, social Using case examples of contemporary health challenges, we policy arrangements, global organizations, and climate explore the influence of social, political, and environmental change. determinants on health, particularly transnational risks Course Notes: May be used as an introductory course when associated with globalization. We consider solutions from taken for letter grade, or elective. an array of perspectives, contributions from within and outside the health sector, and interventions at the local, national and global levels. By the end of the course, you will be equipped to thoughtfully analyze important health challenges and appreciate how evidence is contextualized and translated to policy and action. Global Health and Health Policy 30: Global Oral Health: Healthy Teeth, Healthy Societies Brittany Seymour Fall; MF 10:30-11:45 Class Capacity: 34 Consent Required: Instructor Did you know that one of the strongest indicators of a healthy society is the health of its teeth? Everyone has teeth, but most people in the world don’t have access to affordable dental care. This discussion-based course assesses current global health policies and approaches for addressing pressing health challenges despite resource constraints and severe political neglect. It aims for students to be competent in incorporating the global burden of oral diseases into foundational concepts of global health and world development. These include how oral diseases are associated with globalization, poverty, infectious and non- communicable diseases, maternal and child health, mental health, nutrition, tobacco, alcohol, urban and rural infrastructures, climate change, and the environment. This course demonstrates how complete health and an end to global poverty are not possible without including oral health in the global health and development agenda. Rev 08/16/21 Course Guide for the Secondary Field in Global Health and Health Policy 16
HEALTH, CULTURE, AND SOCIETY Freshman Seminar 25n: Finding Connections: Perspectives on Psychological Development and Mental Illness Freshman Seminar 23k: Insights from Narratives of Nancy Rappaport Illness Fall; W 3-5 Jerome Groopman Class Capacity: 12 Spring; M 12:45-2:45 Consent Required: Instructor Class Capacity: 12 The seminar's challenge will be to deepen our understanding Consent Required: Instructor of human development and how individuals cope with A physician occupies a unique perch, regularly witnessing serious emotional or social difficulties (neglect, bipolar life’s great mysteries: the miracle of birth, the perplexing disorder, autism, depression, schizophrenia). We will use moment of death, and the struggle to find meaning in multiple perspectives: medical observations and texts that suffering. It is no wonder that narratives of illness have provide practical knowledge (e.g. The New England Journal been of interest to both physician and non-physician writers. of Medicine review articles), narrative readings to This seminar will examine and interrogate both literary and understand how patients experience the meaning of illness journalistic dimensions of medical writing. The from the inside out (e.g. The Center Cannot Hold), visitors investigation will be chronological, beginning with “classic” who will discuss their experience with mental illness, and narratives by Tolstoy, Chekhov, and Kafka, and then how development-related mental illness is portrayed in the moving on to more contemporary authors such as William press (e.g. The New Yorker articles). We will start with the Carlos Williams, Richard Selzer, Oliver Sacks, Susan mental life of babies and how scientists interpret infants’ Sontag, and Philip Roth. Controversial and contentious nonverbal ways of finding safety and security. This begins subjects are sought in these writings: the imbalance of the journey of our understanding fundamental needs for power between physician and patient; how different tenderness, holding, and making meaning. Understanding religions frame the genesis and outcome of disease; the role how conditions such as autism, depression, and of quackery, avarice, and ego in molding doctors’ behavior; schizophrenia are described in clinical research and whether character changes for better or worse when people literature will help us to appreciate the biological face their mortality; what is normal and what is abnormal vulnerabilities and relational patterns that may disrupt the behavior based on culture, neuroscience, and individual human connection. We will examine the resourcefulness versus group norms. The presentation of illness in required for both fragility and resiliency. Throughout the journalism will be studied in selected readings from the New seminar, the instructor, as a practicing child and adolescent York Times’ and Boston Globe’s Science sections, as well as psychiatrist, will bridge the gap between research findings, periodicals like the New Yorker, The New York Review of clinical applications, and everyday insight. Books, Harper’s, and the Atlantic Monthly. The members of Course Requirements: Course open to Freshman Students the seminar will analyze how the media accurately present Only. the science of medicine or play to “pop culture.” The seminar will study not only mainstream medical journalists, Freshman Seminar 71O: The Heart of Medicine: Patients but so called alternative medical writers such as Andrew & Physicians & Experience of Serious Illness in the Age Weil and celebrity health voices like Gwyneth Paltrow. of COVID-19 Patients with different diseases will be invited to speak to Susan Block the members of the seminar about their experiences. Fall; W 3-5 Students will try their hands at different forms of medical Class Capacity: 12 writing, such as an editorial on physician-assisted suicide Consent Required: Instructor that would appear in a newspaper and a short story that Sickness and death are universal human describes a personal or family experience with illness and experiences. Although the COVID-19 pandemic has the medical system. brought this reality home, in many difficult ways, to all of Course Requirements: Course open to Freshman Students us over the past 2 years, thinking about our own losses and Only. vulnerability and that of people we love is often uncomfortable. This terrible year has also created many opportunities for us to grow, as individuals and as a society. Building on our collective experiences of the past year, we will explore our own perspectives and experiences with serious illness and death; examine the vulnerabilities in our health system and our society that also contribute to the Rev 08/16/21 Course Guide for the Secondary Field in Global Health and Health Policy 17
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