<<May 10, 2009>>
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Dr. Robb Burlage <Robb.burlage@nychhc.org>

Muriel Glasgow, MPH <muriella@gmail.com>


Dear Robb:

(1) Many thanks for your msg (ATTACHMENT I
) with valuable information.

I read it with great interest.

(2) Pls feel free to inform me if we can be of any help to your colleagues in Romania who may wish to rekindle the project of creating GUS/Rumania.

Dear Muriel:

(3) Many thanks for your msg (ATTACHMENT II
) with very interesting article about Dr. Hinohara.

I read it with great interest.

He is certainly a very famous and legendary person in Japan.

My wifeÕs best friend was his chief assistant for many years — alas, she passed away several years ago, but Hisae, my wife, could have an honor to meet with him and her friend when they came to NYC some years ago.

Dear E-Colleagues:

(4) Muriel kindly uploaded 4 pieces of my audio interviews at <http://unitednationsyak.com/?cat=24>.

Pls visit it at your leisure time and enjoy listening to them.

Best, Tak


ATTACHMENT I


From:
<RBurlage@aol.com>
Date:
Thu, 7 May 2009 11:18:37 EDT
To:
Tak Utsumi <utsumi@columbia.edu>
Subject:
TAK:Fyi-New Survey Finds Public Wants U.S. to Preserve Funding for Global Health


From: Kaiser Family Foundation <KaiserFamilyFoundation@cme.kff.org>
Date: Thu, 07 May 2009 07:06:03 -0700 (PDT)
To: <RBurlage@aol.com>
Subject: New Survey Finds Public Wants U.S. to Preserve Funding for Global Health

CONTACT:
Rakesh Singh, (650) 854-9400, RSingh@kff.org
Craig Palosky, (202) 347-5270, CPalosky@kff.org

Americans Say Maintain or Increase Funding for Global Health and Development, But Take Care of Problems at Home First in the Recession

Declining Visibility, Sense of Urgency About HIV/AIDS Epidemic Abroad

MENLO PARK, CA -- Two-thirds of the public supports maintaining (39%) or increasing (26%) U.S. government funding to improve health in developing countries, while fewer than a quarter (23%) say the government is spending too much on global health, according to a Kaiser Family Foundation survey of the American peopleÕs attitudes towards U.S. global health and development assistance.  Levels of support are similar for spending to fight HIV/AIDS in developing countries, although the publicÕs sense of urgency about the HIV/AIDS epidemic around the world has declined.  However, perhaps not surprisingly given the current recession, the vast majority (71%) of Americans say that given todayÕs serious economic problems the U.S. canÕt afford to spend more on global health right now.

"The recession has not caused Americans to turn away from the rest of the world, but it has caused them to think about problems at home first. It is a critical time to make the case for development assistance and global health or momentum established in recent years could be lost," said Kaiser President and CEO Drew Altman.

Global Health As Part Of Development Agenda

The Survey of Americans on the U.S. Role in Global Health found that the public sees health as one of many priorities within a broad development agenda for U.S. aid to poorer nations. Americans place priority on basic investments with long-term payoffs that address a variety of tough challenges.

For instance, 59 percent of Americans say fighting terrorism and promoting peace should be a "top priority" for the president and Congress when it comes to helping developing nations, followed by improving education (55%).  Next in line and clumped together are reducing poverty (41%), improving health (38%), protecting the environment and fighting climate change (37%), and promoting the rights of women (34%). Fewer Americans (25%) see promoting democracy as a top priority.

When it comes to determining how to spend U.S. dollars on improving health in developing countries, Americans say objective criteria of need should carry the most influence. Most people say that whether a problem affects children (69%) and how many people die each year because of it (60%) should be "very important" factors in setting aid priorities. Fewer cite reasons such as whether a country is friendly toward the U.S. (36%) or whether the aid would advance U.S. foreign policy interests (25%), although a strong majority (62%) say that assistance helps improve the U.S.Õs image in the countries that receive it.

Along those lines, when asked what should be a "top priority" for U.S. spending on health in developing countries, Americans are most likely to say improving access to clean water (61%), increasing childhood immunizations against diseases like polio (61%), and reducing hunger and malnutrition (60%).

Many See Assistance As "Right Thing To Do," But Are Wary Of Corruption Abroad

When asked what the "most important" reason is for the U.S. to spend money on health in developing countries, nearly half (47%) say because it is "the right thing to do." Far fewer identify national security (11%) or diplomatic interests (8%) as the most important reason.

The poll also suggests that Americans have mixed views about how far money can go in creating better conditions abroad.  About half the public (51%) says more spending from the U.S. and other countries "wonÕt make much difference" in improving health for people in developing nations, while 40 percent say it "will lead to meaningful progress."  The public is most likely to cite corruption (80%), widespread poverty (71%) and a lack of political leadership (66%) as barriers to making additional progress abroad.

"There is a glaring need highlighted in these findings to connect aid with results in the publicÕs mind," said Altman.

Half of Americans say they have personally donated money to an organization that works to improve health for people in developing nations.  And despite their renewed focus on the home front, most Americans (57%) say the U.S. and other industrialized nations are not doing enough to improve health for people in the developing world.

Large majorities say that, over the last five years, U.S. health spending has made at least a small difference in improving the lives of people abroad (83%) and in changing the overall course of disease in developing countries (79%), including some who say it has made a big difference in these areas (38% and 30%, respectively).

Who Is Most/Least Supportive of U.S. Action on Global Health?

Support for increased U.S. action on global health resonates most strongly among young people, members of racial and ethnic minority groups, liberals and Democrats, and those who say they pay "a lot" of attention to global health issues. By contrast, groups less likely to back increased U.S. action include Americans 65 and older, whites, conservatives and Republicans, and those who pay less attention to global health issues.

For example, 44 percent of Americans ages 18-29 say the U.S. spends too little on efforts to improve health in developing countries, compared with just 12 percent of seniors.  Similarly, 40 percent of those who pay a lot of attention to global health issues say that, given the current economic crisis, it is more important than ever for the U.S. to spend on improving health in developing countries. That is twice as many as among those who pay little or no attention to global health issues (18%).

African Americans are particularly supportive of increasing U.S. spending on global HIV/AIDS; 62 percent of them say that the U.S. currently spends too little on HIV/AIDS in developing countries, compared with a third (33%) of whites.

Declines in Visibility Of, Urgency About Global HIV/AIDS

U.S. government funding for global health more than doubled between fiscal year 2004 and fiscal year 2008, in part because of a 5-year, $15 billion effort by the U.S. to fight global HIV/AIDS through the PresidentÕs Emergency Plan for AIDS Relief (PEPFAR).

In spite of that effort, or perhaps because of it, the poll also reveals a notable decline in the publicÕs sense of urgency about and reported visibility of the HIV/AIDS epidemic as a global concern.

About one in five adults in the U.S. (21%) name HIV/AIDS as the most urgent health problem facing the world, ranking it second behind cancer (31%). That was a marked drop from surveys conducted from 2000 to 2006, in which about a third labeled HIV/AIDS the most urgent problem.

The decline may be partly related to changes in how much people report hearing about the problem of the global HIV/AIDS epidemic. Twenty-six percent of Americans say that they have heard "a lot" about AIDS in Africa in the past year, about half the share who said so in 2004.

Understanding "Foreign Aid"

A majority of Americans believe that the U.S. spends too much on "foreign aid." But perceptions of spending on global health may be shaped in part by what the public believes aid is used for and misperceptions of the size of foreign aid in the context of the overall budget.

For instance, public support for more spending increases when foreign aid is described more specifically in terms of health-related goals. Although 52 percent say the U.S. is spending too much on foreign aid in general, this decreases to 23 percent when it comes to spending on "efforts to improve health for people in developing countries."  Support for current levels of aid is even stronger when it comes to spending to fight HIV/AIDS in these countries; just 16 percent say the U.S. is spending too much in this area.

And much of the public has an inaccurate view of the size of foreign aid in the federal budget. Nearly half of Americans (45%) incorrectly name foreign aid as one of the two largest areas of spending by the government, more than choose Medicare or Social Security (33% each), which together account for about a third of the federal budget.  Foreign aid represents about 1 percent of the federal budget.

Perception matters. Those who believe that the U.S. spends 5 percent of its budget or less on foreign aid -- the more accurate view -- are more likely to say the U.S. is spending "too little" on efforts to improve health for people in developing countries (46%). Far fewer (27%) of those who believe the U.S. spends more than 5 percent of its budget on foreign aid, or who say they donÕt know how much the U.S. spends on foreign aid, say the country is spending "too little."

The Foundation conducted the survey to examine the American publicÕs knowledge, beliefs and opinions about the role of the U.S. in efforts to improve health for people in developing nations. The survey combined new questions about whether, why and how the U.S. should contribute to international health efforts along with trend questions about the U.S. role in global HIV/AIDS that the Foundation has tracked since 2000.

Methodology

The survey was designed and analyzed by public opinion researchers at the Kaiser Family Foundation led by Mollyann Brodie, Ph.D., and including Elizabeth Hamel, Jennifer Kates, Alicia Carbaugh and Sasha Buscho.  It was conducted January 26 through March 8, 2009 (before the international outbreak of the H1N1 influenza A virus), among a nationally representative random sample of 2,554 adults ages 18 and older.  Telephone interviews conducted by landline (N=1,951) and cell phone (N=603, including 214 who had no landline telephone) were carried out in English and Spanish.  The survey includes oversamples of African American and Latino respondents as well as respondents ages 18-29.  Results for all groups have been weighted to reflect their actual distribution in the nation.  The margin of sampling error for the overall survey is plus or minus 3 percentage points.  Most questions reported here were asked of a random half-sample of respondents and have a margin of sampling error of plus or minus 4 percentage points.  For results based on subgroups, the margin of sampling error may be higher. Portions of this survey (questions about the domestic HIV epidemic) have been previously released and can be found at <A HREF="http://www.kff.org/kaiserpolls/7890.cfm.">http://www.kff.org/kaiserpolls/7890.cfm.</A>

The full question wording, results, charts and a brief on the poll can be viewed online at <A HREF="http://www.kff.org/kaiserpolls/posr05609pkg.cfm.">http://www.kff.org/kaiserpolls/posr05609pkg.cfm.</A>

The Kaiser Family Foundation is a non-profit private operating foundation, based in Menlo Park, California, dedicated to producing and communicating the best possible information, research and analysis on health issues.

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ATTACHMENT II


From:
Muriel Glasgow <muriella@gmail.com>
Date:
Tue, 5 May 2009 16:36:23 -0400
To:
Muriel Glasgow <muriella@gmail.com>
Subject:
Fwd: 97 years old doctor & this is what he has to say....


 One of the proud members of the Japanese Society...muriel

At the age of 97 years and 4 months, Shigeaki Hinohara is one of the world's longest-serving physicians and educators. Hinohara's magic touch is legendary: Since 1941 he has been healing patients at St. Luke's International Hospital in Tokyo and teaching at St. Luke's College of Nursing. After World War II, he envisioned a world-class hospital and college springing from the ruins of Tokyo; thanks to his pioneering spirit and business savvy, the doctor turned these institutions into the nation's top medical facility and nursing school. Today he serves as chairman of the board of trustees at both organizations. Always willing to try new things, he has published around 150 books since his 75th birthday, including one "Living Long, Living Good" that has sold more than 1.2 million copies. As the founder of the New Elderly Movement, Hinohara encourages others to live a long and happy life, a quest in which no role model is better than the doctor himself.

Doctor Shigeaki Hinohara JUDIT KAWAGUCHIPHOTO
 
Energy comes from feeling good, not from eating well or sleeping a lot. We all remember how as children, when we were having fun, we often forgot to eat or sleep. I believe that we can keep that attitude as adults, too. It's best not to tire the body with too many rules such as lunchtime and bedtime.

All people who live long   regardless of nationality, race or gender  share one thing in common:None are overweight... For breakfast I drink coffee, a glass of milk and some orange juice with a tablespoon of olive oil in it. Olive oil is great for the arteries and keeps my skin healthy. Lunch is milk and a few cookies, or nothing when I am too busy to eat. I never get hungry because I focus on my work.. Dinner is veggies, a bit of fish and rice, and, twice a week, 100 grams of lean meat..

Always plan ahead
. My schedule book is already full until 2014, with lectures and my usual hospital work. In 2016 I'll have some fun, though: I plan to attend the Tokyo Olympics!

There is no need to ever retire, but if one must, it should be a lot later than 65. The current retirement age was set at 65 half a century ago, when the average life-expectancy in Japan was 68 years and only 125 Japanese were over 100 years old. Today, Japanese women live to be around 86 and men 80, and we have 36,000 centenarians in our country. In 20 years we will have about 50,000 people over the age of 100...

Share what you know. I give 150 lectures a year, some for 100 elementary-school children, others for 4,500 business people. I usually speak for 60 to 90 minutes, standing, to stay strong.

When a doctor recommends you take a test or have some surgery, ask whether the doctor would suggest that his or her spouse or children go through such a procedure. Contrary to popular belief, doctors can't cure everyone. So why cause unnecessary pain with surgery  I think music and animal therapy can help more than most doctors imagine.

To stay healthy, always take the stairs and carry your own stuff
. I take two stairs at a time, to get my muscles moving.

My inspiration is Robert Browning's poem "Abt Vogler." My father used to read it to me. It encourages us to make big art, not small scribbles. It says to try to draw a circle so huge that there is no way we can finish it while we are alive. All we see is an arch; the rest is beyond our vision but it is there in the distance.

Pain is mysterious, and having fun is the best way to forget it. If a child has a toothache, and you start playing a game together, he or she immediately forgets the pain. Hospitals must cater to the basic need of patients: We all want to have fun. At St. Luke's we have music and animal therapies, and art classes.

Don't be crazy about amassing material things. Remember: You don't know when your number is up, and you can't take it with you to the next place.

Hospitals must be designed and prepared for major disasters, and they must accept every patient who appears at their doors
. We designed St.... Luke's so we can operate anywhere: in the basement, in the corridors, in the chapel. Most people thought I was crazy to prepare for a catastrophe, but on March 20, 1995, I was unfortunately proven right when members of the Aum Shinrikyu religious cult launched a terrorist attack in the Tokyo subway. We accepted 740 victims and in two hours figured out that it was sarin gas that had hit them. Sadly we lost one person, but we saved 739 lives.

Science alone can't cure or help people. Science lumps us all together, but illness is individual. Each person is unique, and diseases are connected to their hearts. To know the illness and help people, we need liberal and visual arts, not just medical ones.

Life is filled with incidents. On March 31, 1970, when I was 59 years old, I boarded the Yodogo, a flight from Tokyo to Fukuoka. It was a beautiful sunny morning, and as Mount Fuji came into sight, the plane was hijacked by the Japanese Communist League-Red Army Faction. I spent the next four days handcuffed to my seat in 40-degree heat. As a doctor, I looked at it all as an experiment and was amazed at how the body slowed down in a crisis.

Find a role model and aim to achieve even more than they could ever do. My father went to the United States in 1900 to study at DukeUniversity in North Carolina. He was a pioneer and one of my heroes. Later I found a few more life guides, and when I am stuck, I ask myself how they would deal with the problem.

It's wonderful to live long. Until one is 60 years old, it is easy to work for one's family and to achieve one's goals. But in our later years, we should strive to contribute to society. Since the age of 65, I have worked as a volunteer. I still put in 18 hours seven days a week and love every minute of it.


--
Muriel Glasgow, MPH


List of Distribution


Dr. Robb Burlage
Professor, Five Borough Institute
Founding Director, Joint Graduate Degree Program in Public Health & Urban Planning
Columbia University
200 West 90th Street, Suite #6-E
New York, N.Y. 10024
RBurlage@aol.com
Or
Robb Burlage, Ph.D.
Senior Management Consultant
International Relations
New York City Health and Hospital Corporation (HHC)
125 Worth Street, Room 504
New York, Ny 10013-4006
212-788-3654
Cel: 917-318-7908
Fax: 212-788-3358
Robb.burlage@nychhc.org
nyc.gov/hhc

Muriel Glasgow, MPH
Director, Sustainable Relationships
Genie Investments Global, Inc.
Your Business Wish is Our Command
New York, New York, 10022
212 826 9697
muriella@gmail.com
muriella@gigincglobal.com
Hubbie - Humanity Unites Brilliance <http://muriella.hubhub.org> -- Joyously give, joyously receive
http://genieinvestmentsglobal.com
www.superteaching.org
http://snipurl.com/superteach
http://unitednationsyak.com
Editor, Muriella's Corner, <http://muriellascorner.com/Subscribe >  online newsletter on health and nutrition


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* Takeshi Utsumi, Ph.D., P.E., Chairman, GLOSAS/USA                           *
* (GLObal Systems Analysis and Simulation Association in the U.S.A.)          *
* Laureate of Lord Perry Award for Excellence in Distance Education           *
* Founder and V.P. for Technology and Coordination of                         *
*   Global University System (GUS)                                            *
* 43-23 Colden Street, Flushing, NY 11355-5913, U.S.A.                        *
* Tel: 718-939-0928; Email: utsumi@columbia.edu                               *
* http://www.friends-partners.org/GLOSAS/                                     *
* U.S. Federal Tax Exempt ID: 11-2999676 <http://tinyurl.com/534gxc>          *
* New York State Tax Exempt ID: 217837 <http://tinyurl.com/47wqbo>            *
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