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Before & After: A Gentleman's Working Kitchen
A serious treat for you today! Here is a kitchen before and after designed by Patrick James Hamilton, one of our own long-time readers and commenters (you may known him as patrick (the other one)), and a talented designer in his own right. His client is a gentleman and a deft chef, and he wanted to find the genteel grace within a purely utilitarian late 60's-era kitchen, an oddity in this otherwise Old-World and handsomely appointed home.
Style-wise, the client liked classic "Butler's Pantry" kitchens. While that suited the vintage style of the apartment, Hamilton feared a bright white would have been too stark a contrast to the settled appearance of the rest of the home. Taking cues from wallpaper in the adjoining living room, and a handmade American ceramic subway tile chosen for the backsplash, client and designer arrived at a mostly monochromatic "golden vanilla" scheme that gives the space warmth, minimizes visual clutter in the highly visible space, and maximizes light when the kitchen is (frequently!) pressed into active duty.
A cabinetry-front, counter depth refrigerator/freezer prevents stainless steel from overwhelming the space. Underfoot, a 13 x 13 porcelain tile mimics slate, laid on the diagonal to camouflage the apartment's quirky lines. The bar-height side of the island is finished in a darker "peacock green" granite, easing the transition into the apartment's darker woods and more clubby feel. It's repeated elsewhere as window sills and on the living room's built-ins for continuity.
A silk-look vinyl wallcovering, with a subtle sheen, bounces light, provides an interesting but understaetd backdrop to the owner's artwork, and relates to the kitchen's visible stainless aplliances. Fluting on the island's new pre-fab corbels was also repeated on custom pilasters separating the entry/dining room from the living room.
To minimize cost and disruption (and increase the odds of smoother Board approval), the client and Hamilton worked within the original footprint, and with existing plumbing, gas lines, bulkhead and island.
The kitchen was part of a larger renovation project, and it was completed during an approximately three-and-a-half month time period. The largest chunk of the budget was allocated for the custom wood cabinetry, although the entire kitchen (including all labor and appliances) fell within the mid- to upper range of typical Manhattan kitchen renovation averages.
The biggest compliment? When guests don't realize the kitchen isn't just a well-kept original feature of the apartment. And when they say to the owner, "This kitchen feels like you."
Kitchen Sources
• Designer: Patrick James Hamilton Designs, Manhattan
• General Contractor: Wager Contracting, New Rochelle
• Photography (Afters): Jody Kivort, Brooklyn
• Cabinetry: Custom Color and Construction, Wager Contracting, New Rochelle
• Stonework (countertops): Castle Rock Marble and Granite, Bronx
• Panel-front Refrigerator: Sub-Zero, P.C. Richard
• Stove: GE Café Series, 30" Freestanding Gas Range, P.C. Richard
• Microwave: GE Café Series, 2.0 Cu. Ft. Over-the-Range Microwave Oven, P.C. Richard
• Dishwasher: Client's own (Miele)
• Sink: Kohler Undertone Undercounter Sink, Blackman
• Faucet: Delta Faucet, Blackman
• Backsplash: 2 x 6" Crackle Subway Tile, Artistic Tile
• Dimmable Xenon Undercabinet Lighting: Pegasus
• Floor (Porcelain tile): Kenya "Rame", Emser Tile
• Dimmers: Lutron, Diva Series
• Cabinet Hardware: Lugarno Knobs, Restoration Hardware
• Cabinet Hardware: Hansen Handles, Restoration Hardware
• Island Overhead Light Fixture: Classic Billiard Light, Circa Lighting
• Barstools: Pierre Deux
• Paint Color, Kitchen Wall: Benjamin Moore "Niveous"
• Paint Color, Main Trim: Benjamin Moore "Milkshake"
• Wallcovering: Newcastle Silk (vinyl), "Stonewash," Designtex, New York D&D Building
• Decorative Wood Brackets (Island): Legacy Arts & Crafts Corbel, Van Dyke's Restorers
• Fluted Wood Pilasters: Custom, Wager Contracting, New Rochelle
• Area Carpet: Bloomingdale's
• Gateleg Table and Rush Sidechairs: Antique (Client's Own)
Thanks so much for sharing this project with us, Patrick!
Related: Before & After: A Cellist's Beautiful Kitchen
(Images: After photos by Jody Kivort)
23 Comments
so well done!!! I love the transformation, very elegant.
HUGE improvement- love it!
I know they didn't fit in with the gorgeous new kitchen, but I really loved the old barstools...
Timeless, elegant but not stuffy, I really love the colors.
Are the cabinet doors on the main wall nearly flush with the wall? Hard to tell from the photo.
Wow, this is GREAT!
Patrick - I absolutely LOVE this!
Please show us more if your work!
I am blown away. Patrick, what talent!
Very nice! Well done, Patrick.
beautiful transformation. that is such an elegant palette. i am loving the vinyl wallcovering.
I love this! I know it was for a gentleman but it's certainly classy enough for man or woman alike. I'm bookmarking the color scheme.
This is one of the best I've ever seen. It melds so beautifully with the rest of the space. Is it possible to post some pictures showing the interior organization of the cabinets?
That's such a gorgeous change -- without completely altering the space. Patrick, you do beautiful work!
Beautifully restrained. Elegant and functional. More difficult to achieve that one would think. You rock OP! (other patrick)
I love the cabinetry. It makes me think of how cars were bought a century ago: you buy the machine; then, you custom-order a chassis from a coach company. In these types of kitchens, you buy the machine (fridge, freezer, microwave, stove), then get a custom chassis for it by choosing your cabinetry to wrap around it. I hope the built-in trend continues long enough for me to afford it!
Love. It.
good thing you intervened....that would have caused depression even in the perkiest of people.
now it would make pop tarts look sexy.
nice work :)
This kitchen is breathtaking!
Ah, ladymantle, ever the delight.
I'd definitely check out some LED lighting options since it saves so much energy. Check out some more LED lighting solutions to really save even more.
This is such a long time after the original post...but I've saved the pix of your kitchen to remind me of the concepts of "available space" and "functionality". I am in awe of your insight!
Thanks for the incredible inspiration!...

subset: commoncrawl


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We're officially on the road with the Gonzaga men's basketball team at the NCAA Tournament. We landed in Denver around 3:30pm (PT). When I say "we" I'm referring to my photographer Brett Allbery (the best in the business as far as I'm concerned) and me. We'll be with the Bulldogs every step of the way as they prepare for Thursday's showdown against St. John's (6:45pm/KREM 2) in the Big Dance.
UPDATE: There wasn't much to report on our flight. It's such an easy trip from Spokane to Denver (it took us less than two hours). The Idaho women's basketball team was on our plane. They play against South Dakota in the Women's Invitational Tournament on Thursday. It sounded like their connecting flight in Denver was delayed. That's one of the bonuses of GU playing in a location with a direct flight...no layovers. Other than the Vandals being on our plane, the travel was very uneventful and easy (thankfully).
Without getting too much into Gonzaga's matchup, I think the Bulldogs received a favorable draw by the committee. The Zags weren't exactly blessed with an 11-seed, but St. John's is a very up-and-down team this year (losses to St. Mary's, St. Bonaventure, and Fordham; wins against Duke, Pittsburgh, Notre Dame, and Connecticut). To make matters worse, the Johnnies will be playing without third leading scorer D.J. Kennedy after he tore his ACL in the Big East Tournament. It's an unfortunate injury (he's a senior), but it could help Gonzaga's cause. If the Bulldogs get past the Red Storm, they'll face either BYU or Wofford in the following round. I don't want to look too far ahead, but let's be real...both of those teams are beatable (especially BYU without Brandon Davies). One game at a time though, right?
I was a little disappointed when Denver popped up on the screen Sunday, but only for selfish reasons. I've been there several times before, including a trip to the NCAA Tournament with Washington State in 2008. I really enjoy seeing new places when we travel for the tournament. I like eating the foods that are unique to the city (BBQ in Memphis, Charlotte, and Frisco, original hot wings in Buffalo, etc.) and seeing the cool local landmarks (Niagara Falls, Graceland, etc.). Denver is a beautiful city and there's plenty to do there, but there's nothing that makes it extremely unique (especially when you come from Washington...we've all seen mountains before). With that said, I'll take any location for the tournament over Buffalo. That city was TERRIBLE!
You couldn't ask for a better spot if you're Gonzaga. As Robert Sacre pointed out on Sunday, "There isn't a flight that leaves Spokane that doesn't go through Denver." The players are amped that they received a close location (the closest spot in the tournament this year). Washington State fans showed up in droves a few years ago, so I expect a great showing from the Gonzaga faithful as well. As for St. John's (located in Queens, New York), they have to travel half way across the country (1,784 miles) and then play a game that starts at 9:45pm (ET). That just doesn't seem fair.
The altitude might be a factor for both teams, but it could especially bother the Johnnies. New York City sits no more than 300 feet above sea level (I couldn't find an exact number...just a colored graph that was hard to understand), while Spokane is around 2,000 feet. Denver is obviously called "The Mile-High City" for a reason...it's exactly 5,280 feet above sea level. It doesn't seem like it would be a big deal, but it might affect the players and coaches. I don't think they can get used to the atmosphere within a day or two (but I'm also not a scientist).
Gonzaga and St. John's get right to work on Wednesday. Both practice at off-site locations and then head to the Pepsi Center for media availability and an open-to-the-public shootaround. St. John's holds its press conference from 3:30pm-3:45pm (PT), while the Bulldogs are available from 5:00pm-5:15pm (PT). We'll stream both press conferences live on KREM.com for all to see.
It's going to be a busy day for us as well. We'll have full coverage of the Bulldogs and Red Storm in Denver on KREM 2 News at 5pm, 6pm, 10pm, and 11pm. We also have our "Bulldog Madness Special" scheduled for 6:30pm on KREM 2. That includes live reports with yours truly from the Pepsi Center.
To keep you company until then, we have plenty of uncut interviews with the Zags from Selection Sunday right now on KREM.com. You can hear from Steven Gray, David Stockton, Robert Sacre, and Mark Few. You can also watch a live interview I did with Marquise Carter on Sunday by clicking here (it's the video linked to the story).
UPDATE: We also caught up with the Bulldogs as they were leaving McCarthey Athletic Center on Tuesday. They flew into Denver this afternoon as well. Click here for more on that story.
I usually only have time to blog once a day on these trips, but I'll constantly be tweeting from Denver. I'll try my best to bring the entire tournament experience to those of you who can't be there. I'll post behind-the-scenes photos, give you a feel for what the atmosphere is like, and much more. Be sure to follow me @TLKREM2 for all the latest!
That's all I have for now. I probably won't be able to post a blog until later on Wednesday (even though I'll try to get something up sooner rather than later), because of the media availability and practice times. Until then...have a great day!
One last thing...don't forget to put your bracket against mine in the KREM.com March Mayhem Bracket Challenge (I'm pretty sure that's the official name, but I'm not positive). It's free to play and you can win great prizes (including Spokane Shock season tickets). Click here to join the fun!
OK...now I'm really done. Go Zags!


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Cattle and calves on feed for slaughter market in the United States for feedlots with capacity of 1,000 or more head totaled 11.1 million head on February 1, 2013. The inventory was 6 percent below February 1, 2012.
Placements in feedlots during January totaled 1.88 million, 2 percent above 2012. Net placements were 1.80 million head. During January, placements of cattle and calves weighing less than 600 pounds were 445,000, 600-699 pounds were 395,000, 700-799 pounds were 535,000, and 800 pounds and greater were 501,000.
Marketings of fed cattle during January totaled 1.92 million, 6 percent above 2012. Other disappearance totaled 79,000 during January, 2 percent below 2012.
And the answer is the same reason there are so few small abattoirs everywhere else. Government regulation and labor costs. And both are quite popular causes among the locavore types.
Full report here.
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It keeps going and going and going!!! by Chihuahua-Mama from Seattle WA on 02/26/2012. Trim: 1997 Volkswagen Golf GL, Owned more than 10 years.
Pros: * The driver's seat is extremely comfortable. * The cars produced in the second half of the 1997 model year have recommended major service at 40k miles rather than 30k miles. * At the time that I bought this car (1997) VW offered a 10 year/100k mile powertrain warranty. (Sad to see they don't still do that.) * Another thing, the car has a pretty decent clearance and so we drive this one when we want to take a scenic ride on the forest service roads east of Seattle. * This car has an incredible turning radius. It's clear whoever coined the phrase "turns on a dime" had the VW Golf in mind. *The interior has held up really well after almost 15 years of use.
Cons: The interior of the hatchback had a flimsy covering over spare tire that tended to sag with age (and the weight of my golf clubs). I fixed this by custom cutting a sheet of thin plywood. Also, the carpeting in the hatchback is pretty low-end, and so lots of debris sticks to it, and is then hard to vacuum off. And eventually I had to get with the times by replacing the factory cassette player with an after-market cd player. (not really a big deal)
Overall review: I bought this car as a young grad student in Boston in April 1997 for about $15,000, transported it west to Seattle after graduation, and here I am 15 years later still driving it. With relatively low mileage for its age (127k) I've more than gotten my money's worth from this purchase! I'm still on the original clutch and any repairs I've made were normal wear and tear items (e.g., water pump at 115K miles). I'll eventually buy a new car, but it's hard to say goodbye to this one while it still drives like a 5-year-old and has absolutely nothing wrong with it. Final assembly was in Mexico for this car and there's no doubt they had a good day in the factory that week. ;+)
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When more than 300 bikers start their engines in June, it won't just be a bunch of noise to Joe McEachern.
The president of Superior Riders Motorcyle Club said the roar for the cure, which will start the 12th annual Bell Motorcycle Ride for Dad June 16, will sound like a symphony.
"To me as a biker I don't even hear any noise it's just a beautiful sound it's kind of like standing there with the orchestra warming up," he said.
The ride, which has raised almost $700,000 over the past 11 years, is a great way to get bikers together for a single cause McEachern said.
"It's a chance for a person involved in the motorcycle community to do something positive for the community we live in and maybe get by that stigma of bikers are rough around the edges and don't care," he said. "Our visibility makes it easier for us to raise money for prostate cancer."
It's also a chance to raise awareness for a disease that affects more Ontario men than any other cancer.
"More men are affected by prostate cancer than women are actually by breast cancer," ride steering committee Terry Young said Wednesday morning at the ride kickoff at The Keg.
Bikers looking to sign up can head to Halfway Motors on May 5.
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What other readers are saying about this title:
jessi_face said:
A fabulous murder mystery. Ferguson's cold approach to the science of death makes for easily tolerable gore. I also really enjoyed the romantic tension between the main character and the new young deputy. Hot! I look forward to her next two titles, The Angel of Death and The Circle of Blood.
posted May 19, 2008 at 3:23PM
kb4444 said:
This is a very good murder mystery where the main character (a teenage girl) is actually on her dad's forensics team, which is pretty cool.
posted Mar 27, 2009 at 3:41PM
LOLO333 said:
This book has some gory but not too much. It is really great
posted Nov 13, 2009 at 6:50PM
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Posts: 4
Oct 2009
You both agreed to open Pandora's box, and now you want to run away? You should. He obviously deserves better than you can give him.
What major change happened as he told you that? Did his head grow another eyeball? Was he struck deaf, dumb, and blind? Probably nothing at all changed except your knowledge of a single piece of information that makes up the full person that you claim as yours.


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Interior designer in SLC, Utah specializing in custom homes. Follow for snapshots of my work & inspiration. Friends follow my private feed @caitcreer
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Since 2007, USAID, in partnership with the government of Ukraine, national universities, Ukrainian civil society, and others have worked to improve the admissions process for Higher Education Institutions. Our efforts have one goal in mind - an equal and fair chance for every young Ukrainian to attend university and leave with the qualifications necessary to help unlock Ukraine's potential for economic, political and social growth.
The goal of the Participant Training Program (PtP) funded by the United States Agency for International Development (USAID) is to advance USAID/Ukraine's strategic vision of a stable, democratic, and prosperous Ukraine integrated into Europe.
The 2013 UNDP Human Development Report shows Ukraine has a Gender Inequality Index that in 2012 ranked the country in the upper third at 57th out of 186 countries included.
USAID/Kenya supports an integrated service delivery model to improve the health of Kenyans across the country. The AIDS, Population and Health Integrated Assistance Program, also known as APHIAplus, combines family planning, maternal and child health, malaria, nutrition, tuberculosis and HIV/AIDS prevention, care, and treatment services to provide an integrated, high-quality, equitable approach to sustainableservices at the national, county, and community levels.
Ukraine's libraries are underutilized and often do not adequately provide library users access to the information they seek through the most current technologies and services
Almost 30 percent of Ukraine's population still lives below the poverty line. Social and economic realities and an overburdened health care system challenge Ukraine's ability to address rising rates of infectious diseases, especially TB. Abortion rates are high in comparison to other countries in the region.
Ukraine is experiencing one of the most severe HIV/AIDS epidemics in Europe and the former Soviet Union, with an estimated 230,000 people aged 15 and over living with HIV at the beginning of 2012. Data suggest that half of all individuals infected with HIV are unaware of their status and unable to take adequate measures to preserve their health or prevent further transmission. Evidence suggests that the number of newly-registered HIV cases in the country is stabilizing and HIV incidence among people who inject drugs is also stabilizing. However, HIV transmission to the sexual partners of IDUs and into the general population remain areas of great concern.
Ukraine's economic crisis exposed the legal, regulatory and institutional weaknesses in the financial sector. Implementation of international standards in the banking, capital market and pension sectors is necessary to encourage domestic and international investment, achieve stable economic growth and build confidence in financial markets.
Economic governance - the institutions and systems that support economic activity - is necessary for broad-based economic growth. Without secure property rights and accessible and fair legal systems there is no incentive to save and invest. Economic governance in Ukraine must advance the interests of small and medium enterprises or average citizens to achieve stability and prosperity.
Ukraine's capacity for sustainable, broad-based growth is stalled by:
- unpredictable and incomplete agricultural policies,
- limited financial services for agriculture, and
- a weak market infrastructure that leads to low yields and reduces the competitiveness of small and medium producers.
Last updated: September 22, 2014


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» Newsletter Archives
Welcome to the New Year! As an introduction, let me tell you that it is an honor to serve as chair for the Epidemiology Section. It will be a challenge to match the passion and fortitude put forth by our Immediate Past Chair, James Gaudino; however, with your assistance the Section will continue to promote the ideas, programs and policies that were developed the past two years under Jim's leadership.
Over the next two years, the Section will be focusing on, 'The Future of the Epidemiology Section APHA.' With the economic and career challenges we have been facing, we need to secure our future. This year's goal is to pull together the resources and materials needed for strategic planning. We will focus on this goal during our business meetings at the 2010 and 2011 APHA Annual Meetings. The business meeting venue is our only in-person time with Section membership; we need to use it effectively. I encourage you to help plan your future with and the future of the Section by contacting me with your suggestions and proposals and to attend the business meetings. In advance of the Annual Meeting I will distribute the business meetings schedules and agendas by e-mail to our membership and also post them on our Internet site.
As you page through this issue of our newsletter you will find highlights of the 2009 Annual Meeting. We sponsored a fascinating awards session as evidenced by Laurie Elam-Evans' inspiring introduction of Dr. Bill Jenkins, the 2009 Abraham Lilienfeld Award recipient, and Jim Gaudino's introduction of Dr. Euguene Gangarosa, the Wade Hampton Frost Lectureship Award recipient. Dr. Richard Kaslow was the John Snow Award recipient. Kristopher Fennie's article informs us about the Section's most recent awards, the Public Health Practice Awards. As for the Section's policy activities, Howell Sasser provides an update on Governing Council. The culminating presentation celebrated the Section's 80th Anniversary, 1929-2009; included in this issue are Jim Gaudino's remarks and a photo of our congratulatory award.
The Section is continually seeking out members who wish an active role with the Section; please take note of the article seeking volunteers to place their name on the ballot for Section Councilor or Governing Councilor. We also have several committees including: Program Planning Committee; Membership & Communications Committee; Policy Committee; Awards Committee; Nominations Committee; 2011 Epi Congress Committee; and Student Committee. We welcome your active role in any of these committees.
Claudia A. Kozinetz, PhD, MPHChair, APHA Epidemiology Section
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Get Involved:Have you ever wondered why APHA is not involved in issues you consider important to your career or your work?
Have you ever wanted a say in the scientific and policy-advocacy directions of APHA and the APHA Epidemiology Section?
If you have answered "YES" to either or both of these questions . . . we need YOU to get involved. We need YOUR help NOW!
Dear colleagues, the amazing thing is that you really CAN make a difference! Yes, you can. And right now is your chance! We members appreciate the benefits of membership: a great journal and a terrific Annual Meeting with scientific-, policy- and advocacy-oriented sessions that cover many public health-related topics and that offer some of us the opportunity to present our own scientific work. And there's more: the many networking opportunities with colleagues from all parts of public health, including the Section social, and the Epidemiology Section awards sessions that give us a chance to hear about major achievements in public health. Just like APHA itself, our section Annual Meeting programming tries to take the "pulse of public health."
But how are these great benefits and opportunities made possible? A few years ago I learned what goes into making APHA the largest non-governmental voice in the United States for public health professionals. I also learned how APHA is governed and how APHA sets its policy and advocacy directions and develops positions on public health scientific and policy issues.
More than this, I learned that the benefits and opportunities I appreciated are possible because of both paid staff, led by APHA's executive director, and a vast network of volunteer leaders. In fact, APHA is governed by an all-volunteer Governing Council, the congress-like governing body of APHA, that sets APHA policy and strategic direction and elects APHA's senior leaders, including the Executive Board, APHA's "board of directors" that oversees APHA staff and fiduciary matters.
Among other responsibilities, Section leaders, all volunteers, have primary responsibility for Annual Meeting programming and representing our membership on the Governing Council.
Just as I did, you too can get involved and make a difference by serving as an officer with the Epidemiology Section!
Besides volunteering time, which we always welcome, Section members may choose to be candidates for office as either Section Councilors or Section Governing Councilors.
Section Councilors serve the Section in multiple ways, overseeing or participating in any number of essential activities. Governing Councilors, who serve on the APHA Governing Council, open, please contact me for information and the required nomination forms. All nominations materials are due to me, Jim Gaudino, NO LATER than Monday March 1, 2010. Please contact, me by e-mail at firstname.lastname@example.com and firstname.lastname@example.com or by phone at (971) 673-0288 (work) or (503) 522-4122 (cell).
If February slips by but you are still interested in participating, please contact Claudia Kozinetz, Section Chair, or me about volunteering to serve with us. We especially welcome students who have the time and interest to serve. Check our Web site for descriptions of each of these positions at: http://www.apha.org/membergroups/sections/aphasections/epidemiology/roster/memberleadership.htm and http://www.apha.org/membergroups/sections/elections/
The Epidemiology Section had the pleasure of awarding both an individual and an organizational award for the Public Health Practice Awards at the 2009 APHA Annual Meeting in Philadelphia. The Public Health Practice Award has been designed by the Epidemiology Section to recognize the use of epidemiologic methods in an innovative and creative public health program or project. This is an important award that gives the Epidemiology Section a chance to recognize significant accomplishments of a person or program with respect to the practice of public health grounded in epidemiologic tradition and soundness.
Public Health Practice Award for an Individual – Elise Riley, PhD, MPH, was awarded the Public Health Practice Award. Dr. Riley uses epidemiologic principles in her practice of public health. She is committed to determining and ameliorating health risks that are specific to poor and marginally housed persons. The development and evaluation of a community syringe drop box program (Operation Drop Box) in Baltimore exemplifies her approach to public health practice. It was an inexpensive, simple, yet elegant intervention, acceptable to drug users, the community and police. It was effective in reducing risk of HIV infection through shared syringes.Public Health Practice Award for an Organization – The Assessment, Policy Development and Evaluation unit of Public Health – Seattle & King county (PHSKC) was awarded the Public Health Practice Award at the 2009 APHA Annual Meeting. Through the practice of community health assessments, PHSKC has been able to identify important health issues and effect a change through community involvement and appropriate interventions. A highlight of their work is the analysis and identification of trends in asthma hospitalization in King County. This led to the development of a community-based participatory research project aimed at reducing asthma health disparities. Dissemination of these studies led to the formation of an asthma coalition which has targeted low income children, and has helped to develop housing-related interventions.The Public Health Practice Awards Committee did an outstanding job this year in selecting winners from a pool of impressive candidates. Please thank them for their efforts: Oscar Alleyne, Kristopher Fennie, Jim Gaudino, Claudia Kozinetz, Perianne Lurie, Polly Marchbanks, and Lauren Zapata.We are seeking nominations for the 2010 Public Health Practice Awards. If you know of someone or an organization that exemplifies the use of epidemiologic methods in an innovative public health context, please consider nominating them. For further information on how to nominate an individual or organization contact Kristopher Fennie, Chair, PHP Awards Committee, at
Introduction of Dr. Bill Jenkins as the APHA Epidemiology Section's2009 Abraham Lilienfeld Award recipient by Dr. Laurie Elam-Evans
Epidemiology is the study of the distribution and determinants of disease or other health conditions in human populations. This definition or one of numerous variations is near and dear to many of us in this room. It is a definition I learned on the first day of epidemiology class during my junior year in college, from my first epidemiology professor Dr. Bill Jenkins. It was a day that changed my life forever. For you see, some professors teach lessons for a lecture or course. However, when Dr. Jenkins teaches epidemiology, you learn lessons for a lifetime. That January afternoon in 1984, I learned that in epidemiology, it is not important to always know all the right answers. (And I thought I was pretty smart). What IS important is asking the right questions. A lesson for a lifetime.
The Abraham Lilienfeld Award recognizes excellence in the teaching of epidemiology during the course of a career. Preference is given to nominees who teach in the classroom, are engaging lecturers, write clearly in the English language, and whose students have made worthwhile contributions to the improvement of public health.
The recipient of the Epidemiology Section's 2009 Abraham Lilienfeld Award is Dr. Bill Jenkins. Dr. Jenkins received his Bachelor of Arts degree in mathematics from Morehouse College, his Master of Science degree in biostatistics from Georgetown University, his Master of Public Health degree in epidemiology and his doctoral degree in epidemiology from the University of North Carolina at Chapel Hill. He completed post-doctoral work in biostatistics at Harvard University. He worked as a statistician and epidemiologist for over 20 years at the Centers for Disease Control and Prevention in the area of sexually transmitted diseases and HIV.
But more important than the education he has received is the education and training in epidemiology and biostatistics that he has provided to numerous students, especially for African American and other minority students.
In 1983, Bill Jenkins started PROJECT: IMHOTEP, an 11-week summer program in biostatistics and epidemiology at CDC that provides classroom training in epidemiology and an applied epidemiology experience where students learn SAS, conduct an epidemiologic analysis with an existing data set, write a publishable epidemiologic manuscript, and give an oral presentation to a CDC audience. All of this is completed within 11 weeks. I still shudder when I think about the intense 11 weeks I spent as an IMHOTEP intern. By the way, my participation in PROJECT: IMHOTEP started at 8:00 in the morning on the DAY AFTER I graduated from college. In Dr. Jenkins' words, graduation was not the time for a break…it was the beginning of important epidemiologic work to be done…and that we did. To date, 428 African American and other minority students have participated in IMHOTEP. Many of them return after the program to serve as preceptors for students, critique student papers, provide feedback on presentations or give encouragement to the students that though it is challenging, they will survive the summer. With the IMHOTEP program, Dr. Jenkins taught epidemiology, but he also taught the importance of giving back and helping to train the next generation of public health professionals. Each one, teach one. Another lesson of a lifetime.
In 1988, Bill Jenkins led efforts for the development of a cooperative agreement between the Centers for Disease Control and Prevention and Morehouse College to establish the Public Health Sciences Institute. he purpose of this agreement was to increase the quality and quantity of well-trained minority public health scientists. The Public Health Sciences Institute includes public health courses, including epidemiology, year-long public health internships, and activities such as the Atlanta University Center Public Health Association, and the IMHOTEP summer program. Dr. Jenkins taught the epidemiology course for undergraduate students in the Atlanta University Center, including Morehouse College, Spelman College, and Clark Atlanta University. This agreement and the monumental effort it took for implementation taught another life lesson… to find a way or MAKE a way.
Finally, in 1995, Dr. Bill Jenkins started the Master of Public Health program at Morehouse School of Medicine. This program emphasizes addressing the problems and finding solutions to the public health needs of underserved and minority communities, of people of color. Dr. Jenkins teaches epidemiology to graduate students and preventive medicine residents. But he also teaches the life lesson of the importance of including the community and cultural sensitivity when conducting epidemiologic studies and searching for solutions to eliminate health disparities. Having the relevant stakeholders at the table to provide input is VITAL to moving forward in efforts to address health disparities. To date, 154 graduates have matriculated through the MPH program.
Asking the right questionsGiving backFinding a way or MAKING a wayIncluding the community
Lessons of a lifetime from an Epidemiology professor for ALL TIMES.
It is with great pleasure that I present the Epidemiology Section's 2009 Abraham Lilienfeld Award to Dr. Bill Jenkins.
Honoring the Career of Dr. Eugene John Gangarosa, MD, MS, FACP — Introducing the APHA Epidemiology Section's Wade Hampton Frost Lectureship Award Recipient, Career Awards Session, Nov. 9, 2009
by Dr. Jim Gaudino, MD, MS, MPH, FACPM, Immediate Past Chair, APHA Epidemiology Section
On behalf of the Awards Committee this year, it is my pleasure to introduce Dr. Eugene John Gangarosa, MD, MS, FACP, as this year's Wade Hampton Frost Lectureship Award winner.
The Wade Hampton Frost Lectureship Award recognizes an outstanding epidemiologist for excellence in epidemiologic practice or research. To be a winner, one need not be an epidemiologist. Rather, one must have:-- made intellectual innovations in epidemiology OR in the application of epidemiology to public health problems; -- substantially used epidemiology to address the impact of important public health problems through scientific publications or other means; -- recognized influence in his or her own field; -- demonstrated leadership in public health as indicated by leadership roles in professional organizations, government agencies, academic institutions or in the private sector; and-- be an engaging and substantive speaker WITH the ability to speak on topics of interest to epidemiologists and other public health scientists.
Dr. Gangarosa is well known for being incredibly modest about all of his scientific and practice-based contributions as well as his generous support for the training of new practice-based epidemiologists. However, don't let that throw you off. This "true scientist and gentleman," as one close colleague called him, has made some impressive contributions, as did his predecessor Dr. Wade Hampton Frost.
These contributions include:-- the use of science to support population-based epidemiology; -- the application of epidemiology to identify and address real public health issues, both in the United States and abroad; and-- the development and implementation of practical disease control and prevention strategies to address the problems identified.
We especially recognize Dr. Gangarosa for his continuous and lasting contributions to understanding better the persistent risk factors that contribute to waterborne and food-borne illnesses worldwide, especially cholera and diarrheal diseases, and to knowing how to respond to these factors on the individual, community and system levels.
Born in Rochester, N.Y., he stayed in "home" territory for the first part of his life and training back in the 1950s. He attended the University of Rochester, receiving his BA in 1950, his MD in 1954, and an M.S. in microbiology in 1955.
Now ready to complete his training and begin his career, he left home base. He first went for his medical training as a rotating intern at the Tripler General Hospital, in Oahu, Hawaii, 1955-56. That must have been was quite a change in weather for him! Soon he completed his medical residency at the Walter Reed General Hospital in Washington, D.C., from 1957 to 1959. He remains a licensed physician in three states and is a board-certified internist, recognized as a Fellow of the American College of Physicians.
His epidemiological training includes work at some prestigious institutions, first, at the Walter Reed Army Research Institute (1957-59) and then at the Centers for Disease Control and Prevention's Epidemic Intelligence Service (EIS; 1964 to 1966). Remember, at that time the now internationally, acclaimed CDC EIS program, started by Dr. Alex Langmuir, had only been around about 13 years.
Prior to joining CDC, Dr. Gangarosa had already been involved with international work, including an assignment in Lahore, West Pakistan as the director of the Pakistan Medical Research Center, affiliated with the University of Maryland International Center for Medical Research and Training program (1962 to 1964).
Although his latest CV now downplays his more that 20-25 years at CDC, when he arrived at CDC, he "hit the ground running" to begin his impressive career there. CDC offered the core training he needed in his career. Clearly, he was a young, talented investigator with a driving interest in infectious diseases and their continuing health impacts, both nationally and internationally. Just as Dr. Wade Hampton Frost was once described, Gene became one of the "young Turks" at CDC – passionate about and committed to his work at CDC and to the difference he could make.
While he was moving up the ranks at CDC, soon becoming the chief of CDC's Enteric Disease branch, he was constantly involved with field epidemiologic work as a primary and co-investigator as well as a hands-on supervisor of those conducting these investigations. He coordinated laboratory and other support within CDC as well as managed CDC's collaboration with its partner agencies (at the local, state or international level). At "headquarters" he also was in charge of "pulling together the bigger picture" of the epidemiology of these diseases, including the impacts and lessons learned from disease control activities and the gaps in the science and technology that needed to be better studied and addressed.
Getting back to the international "field," from 1978-1981, while on assignment from CDC, he became the dean of the American University in Beirut, Lebanon, where he met and trained international students. I will get back to describing some lasting impacts his work there made to public health here in a minute.
Reflecting on his work as one reads his CV, one can easily can see "the threads" of (1) the various positions he has held, (2) the work he and his colleagues produced, evidenced by the many publications (~160 peer-reviewed journal articles and textbook chapters) listed on his CV, and (3) the diversity of topics he addressed in dealing with infectious diseases. These investigations took him, his colleagues, and various EIS officers to many places in the United States and throughout the world! Let me name a few: Guam, Pakistan, Mexico, Trinidad, countries in Central America, Lebanon, the then country of Yugoslavia, and so forth. These three "threads" in Gene's career remind me of the diversity and practice-based work of Wade Hampton Frost. Notably, his accomplishments also include his role in the development of international oral rehydration solutions to address cholera and other diarrheal diseases and his scientific and financial involvement in the development of point-of-use household water treatment. Both of these major public health interventions are now practiced by millions of people worldwide and have saved of hundreds, if not thousands, of lives each year.
His other academic and professional record is simply too long to read off, but shows his incredible involvement as a professor and expert advisor within academic institutions and national and international advisory groups and organizations.
He has been also honored with awards such as CDC's Medal of Excellence, CDC's highest award for distinguished scientific contributions (June 1978) and the Thomas Jefferson Award, Emory University's highest award, recognizing the faculty person who has contributed the most to institutional development (May 1991).
Like Dr. Frost, who "reinvented himself several times, Gene's career began anew when he joined Emory University in 1983 serving for 18 years. At Emory, he has also made lasting contributions, beginning first as a professor and director of the Master of Public Health Program at the School of Medicine, serving from 1983-89. Then, he became the interim director for the Division of Public Health at Emory University (1989-90). In 1992-1993, he served as the Director of Emory's Office of International Affairs in Emory University's Office of the Provost. From 1990 to the present at Emory University's new School of Public Health, Gene remains involved as Professor Emeritus in the Department of International Health. Reminiscent of Dr. Frost 's experience at Johns Hopkins University, Gene was involved in founding Emory's Rollins School of Public Health!
If that were not enough, through the endowments that Gene and Rosa, Gene's lovely wife of many years from Rochester, N.Y. days, both quietly have set up, they continue to generously support students with international internships and incredibly two endowed faculty chairships at Emory.
"Reinventing" himself one more time, in 1994, Dr. Gangarosa struck out on his most recent career journey — the private practice of public health. Since then, with his new venture, named "EJG Associates," he has offered consultative services for food, water, and airborne diseases and disease prevention. Untiringly, he and Rosa founded the Gangarosa International Health Foundation where since 1993 he has served as the Chief Executive Officer.
Finally, let me take the last minutes to tell some personal stories offered by Gene's colleagues that tell you a lot about the man and his passion for improving public health worldwide.
Dr. Godfrey Oakley, our Section's 1998 John Snow Award winner and one of Gene's colleagues at CDC, shared this story: "….While he was at American University in Beruit, I got a call from Phil [a mutual colleague] that he wanted us to look at a young geneticist — Dr. Muin Khoury — as a possible candidate for EIS in our birth defects group. So we thought about it, and when it came time to rank our choices for officers, [we] ranked this person we did not know fairly low. [However], when the match was completed, Muin had been assigned to our unit! It became clear later on that Phil and Gene had cut a deal many months before that Muin [now the founder and Director of CDC′s National Office of Public Health Genomics]… would be coming to work with the birth defects group. Of course Muin was the world class geneticist, pediatrician, epidemiologist that Gene knew he was….having Muin shoved down our throats was the nicest thing I ever got told to do from above.
"Gene is a man of many talents. He is a great example of the remarkable, talented people who come to CDC to work, who have world class ability even if they did not become directors of CDC. You will have reviewed Gene's career both at CDC and afterwards and see what a world class contribution he has made to public health. He is certainly deserving of the award." [Typical of his humility]…in November, when I met him and learned he was working on his "talk for APHA," he did not tell us he was getting the Frost Award!"
Besides recruiting Dr. Khoury, in Lebanon, Gene also identified up and coming talented people in-training, then mentored and recruited them as the new, talented CDC leaders they remain -- Drs. Rimi Khabbaz and Hani Atrash.
From Dr. Roger Rochat, formerly of CDC's Division of Reproductive Health and Director of Emory's Graduate Program of the Department of International Health shared the following:
"Dr. Gangarosa has been one of my personal professional role models at several pivotal times in my life. First, in 1968 he sent me to Pakistan with Barth Reller to study oral therapy for cholera in the rural Matlab hospital. Second, in 1985, he asked me to develop the International Health Track of Emory's MPH program. Third, he has been a role model in philanthropic support for public health education. Gene and his wife Rosa are also a role model in family life. Gene's absolute commitment to one of the world's greatest public health issues -- safe water -- is inspirational. I hope others find as good role models in their lives."
Here's my own story. During my CDC EIS training in 1991, we discussed the classic Crater Lake, Oregon, waterborne illness outbreak in the late 1970s, still used as an EIS case study. One point of the case study was that sometimes public health has to respond before all the data are in. I still clearly remember Gene getting up, unprompted, in an open EIS forum to drive the point home. He was clearly still feeling the "sting" for decisions made by the team. Rather humbly and calmly, he told us that he was the Atlanta CDC back-up person for that investigating team. Impressively, he was still taking responsibility for CDC's delay in "going public." Besides giving us a real life lesson in practical public health response, Gene modeled and taught us all about his integrity that day! That certainly IS the kind of person he is!
Please join me in welcoming, honoring, and listening to Dr. Eugene John Gangarosa, the 2009 APHA Epidemiology Section Wade Hampton Frost Lectureship Award winner. In a few minutes, he will be honored by sharing his career experiences and perspectives in his lecture entitled "The Evolution of My Passion and Decision to Invest in Global Safe Water: Wade Hampton Frost's Input."
While the scientific sessions and continuing education events at APHA's Annual Meeting in Philadelphia were under way, representatives of the Epidemiology Section were at work in the Governing Council. This body approves APHA's budget, elects its senior officers, and debates the policy priorities that will guide the Association's staff and leaders in the coming years. Representatives of sections, SPIGs, and caucuses in the Governing Council are in proportion to their membership – currently, the Epi Section has 14 Governing Councilors. This report will give you an idea of some of the things we did on behalf of the Section and APHA.
As the largest and most visible public health organization in the United States, APHA is often consulted by politicians, the media and others on matters of public health interest. APHA staff also work to inform legislators and influence the legislative process. Each year, the Governing Council receives and debates proposed APHA policy statements submitted by members. These activities require planning in advance to insure sound policy is available when needed. The policies approved by the Governing Council become part of the Association's public message. This year, policies on subjects as diverse as health care reform, youth violence prevention, the Millennium Development Goals, and the non-medical use of broad-spectrum antibiotics were on the agenda. In all, 16 new policies were approved. Members of the Epi Section invested considerable time in reviewing and improving policy statements on nutrition and cancer and on the health implications of changes in building codes. We see it as our role to help to insure that the advocacy in APHA policy is backed up by sound science.
In addition to developing policy, the Governing Council elects the president of APHA, members of the Executive Board and other senior officers as needed. This year, we elected three new members for the Executive Board – M. Beth Benedict, Drew Harris and Adewale Troutman – and chose Linda-Rae Murray to be APHA's president for a one-year term beginning in November 2010. We also approved the honorary appointments of vice presidents to represent the United States (Ed Marshall), Canada (Cory Neudorf), and Latin America (Paulo Buss). Of local interest, the Epi Section's Resa Jones was among those chosen to join the committee that puts together the election slate each year. Congratulations to Resa and to all those elected to help in leading APHA.
In other business, the Governing Council heard or received reports from the Executive Director, APHA leaders, and Association boards and committees. We approved APHA's 2010-2011 budget, and also received an action plan to put into operation many of the recommendations of the Task Force on Association Improvement and Reorganization (TFAIR). These are designed to make APHA management and governance processes and structures more efficient and transparent. Association staff reported on membership trends, which have shown predictable declines in the past year. The Epidemiology Section has seen a proportional drop in its membership numbers, though our losses have been less dramatic than those of some other APHA units. The Sunday morning Governing Council roundtable session dealt with strategies for expanding membership – a timely topic. We approved the creation of a taskforce to review APHA's policy development process. The Epi Section's Chair-Elect, Robin Taylor Wilson, will be part of that group.
The Governing Councilors' annual work cycle will soon begin again, with the beginning of the 2010 policy and nominations processes. The Council will meet by conference call in June to discuss pressing issues and plan for the 2010 Annual Meeting in Denver. It is our honor to represent the members of APHA and to work for the Association's continued prominence in the national conversation about health.
Howell Sasser, PhDGoverning Council WhipAPHA Epidemiology Section
The Nominating Committee for APHA's Governing Council is looking for the following candidates for leadership roles in the organization:
The APHA Governing Council will vote to select these officers at the November (2010) meeting, and they would begin serving immediately after the APHA conference (so terms would start Nov. 10, 2010).
As I'm sure you know, the next APHA Annual Meeting is Nov. 6-10, 2010, in Denver.
Applications are due March 31, 2010 and should include the relevant (attached) one-page form along with resume/CV of the nominee, and any letters of support. The nominating committee will meet May 6 to select the list of nominees for consideration by the Governing Council at the 2010 Annual Meeting.
We hope you will be able to think of individuals who would be excellent candidates for the above positions.
Should you or a potential candidate wish further information on these positions, please refer to the job descriptions and nomination form available on the APHA Web site at: http://www.apha.org/about/gov/nominations/default.htm
If you are interested in running, we suggest you contact your APHA Section, SPIG, Caucus and/or Forum leadership to solicit their support and assistance with your nomination.
All nominees for the Executive Board are selected from among the membership of the Association, except that the nominees for Honorary Vice-President may include persons who are not members of the Association.
For more information on the Nominating Committee, contact Ida Plummer via e-mail at email@example.com.
Reflections on the APHA Epidemiology Section's 80th Anniversary, 1929-2009,from Dr. Gaudino's Career Awards Session Introduction, Nov. 9, 2009
Every year, the Career Awards Session of the APHA Epidemiology Section affords Section members and guests a great time hearing about and celebrating the work of outstanding senior and up-and-coming epidemiologists. Those sessions also invite us to reflect on who we are, where we have been, and where we are going. This November's session in Philadelphia was particularly special because we as a Section celebrated our 80th anniversary! It was a privilege for me to look a little further into our section's history, prepare a few slides, and take a few minutes to tell some of our story. Here is some of that story. (click to see story with pictures)
So what was happening in 1929 when the Epi Section was about to be formed?
After a devastating world war, the country had been through an economic boom but was rapidly sinking. Just about 80 years ago today, on Oct. 29, 1929, with the Wall Street Crash, the country sank into the Great Depression. At the same time, the country was recovering from a devastating pandemic, the 1918 flu epidemic. Now, 80 years later, we are facing our own major economic "downturn" and pandemic.
In 1929, modern public health in the United States was emerging from the sanitation movement of the late 1800s and early 1900s. Local and state governments were organizing health authorities. The U.S. Public Health Service was also active. Some of the "best and brightest," such as Dr. Wade Hampton Frost, then with the USPHS, were assisting state and local governments with responses to outbreaks and public health concerns. Water quality and infectious diseases topped the list of sanitation concerns, as population movement to cities from rural areas and waves of mainly European migration to the United States compounded the challenges. Based on scientific work and societal concerns, progressive movements emphasized poverty's link with poor health, especially in cities.
Still looking back to Europe, U.S. epidemiologists had nothing like the London Epidemiological Society as their professional society. Sessions at the American Public Health Association did include presentation of epidemiologic studies. In fact, 100 years ago this fall in 1909, Dr. Frost presented a paper at APHA demonstrating that a recent waterborne outbreak in Washington, D.C., in a time of prevalent typhoid fever, was due to a typhoid-like infectious agent, but not Salmonella typhi!
Epidemiologists were seen as "academics" by leaders of health departments. New York City's health commissioner accused epidemiologists of being "too esoteric." Gee, for those of us in "practical public health" positions, this sure sounds familiar. I was just talking to a colleague today who reported a similar, recent comment by a leader in that person's health agency. Certainly, I have heard that during my career working in public health agencies.
In the 1920s, health departments nonetheless began to organize communicable disease units and hire epidemiologists. Within APHA during this decade, a number of health officers left the Administration Section in which they were members. While we don't have a clear history of why this happened, health officers who were often now serving as lead epidemiologists in disease control matters may simply have wanted a section that better addressed the issues they were facing. Meanwhile, earlier attempts to present epidemiologic work in special sessions at APHA fizzled. However, in 1928, to highlight the practice-based work going on at health departments, our section founders organized two successful, well-attended sessions at the APHA Annual Meeting in Chicago. With the spark of this success, our founders moved forward. In 1929, the APHA Executive Board approved a proposal to charter the Epidemiology Section. The "instigators" were then "tapped" to take on the role of organizing and leading the Section. Thus, the Epidemiology Section was born!
Let's recognize and thank those first Section leaders now. Serving as the founding Section Chair was Dr. Don Griswold, Iowa's State Communicable Disease Epidemiologist. The role of Vice Chair, the position which is now known as the "Chair-Elect," fell to Dr. E.S. Godfrey, Jr. The Section's first secretary was Dr. Haven Emerson, who was at the Veteran's Administration at that time.
By the next year, there were 32 members. That is a pretty humble beginning for the first and still largest epidemiologic society in North America.
Looking back at our history, we can see a clear theme: the Section's call to use epidemiology to address practical, rather than "esoteric," public health issues. The Section has made many contributions to those ends. With the dedication of its leaders and members, the Section has hosted hundreds of scientific and practical public health sessions amounting to hundreds, if not thousands, of individual presentations and discussions during these last 80 years. Amazing! Also, after members created the first practical guide on communicable diseases, over the course of many years, the Section routinely prepared and revised the early issues of the now authoritative Control of Communicable Diseases Manual. This book is "THE bible" that public health practitioners in local, state, tribal and federal settings in the United States use to guide their decisions on communicable disease control and prevention. These and others are wonderful contributions by terrific colleagues and professionals, and we celebrate them!
Before we continue with award introductions, let me take a few extra moments to reflect on both the progress made these last 80 years and the continuing and new challenges facing public health and epidemiology with a few examples from my experiences as a maternal and child health epidemiologist. I'll just highlight them as you review the slides.
We've made some amazing strides, both with population growth in the United States and life expectancy, but we still struggle with significant disparities in life expectancy. With the looming problem of obesity, for example, life expectancy increases have leveled off and may begin to decline again. Dramatic reductions in infant mortality occurred this last century, but yet in the United States, racial, ethnic and other group disparities persist, keeping us ranked below 29 other countries in the world in infant survival.
With dramatic reductions in communicable diseases, particularly vaccine-preventable diseases, we face new challenges as a growing number of parents and others who have not experienced the risks of these diseases are now concerned about the safety of vaccinations and questioning whether their children or they themselves should be vaccinated.
During the next 80 years, epidemiologists will continue to face these and many other public health issues for which the applied use of epidemiology within multidisciplinary partnerships can offer scientific evidence to assure that policy and program decisions are made with evidence and not conjecture.
In the past and looking forward, the Epidemiology Section has been and remains ready to play an important role to support our members and "serve as a conduit between the epidemiologic research community and users of scientific information for the development, implementation, and evaluation of policies affecting the public's health," as our mission states.
We are currently 3,000 members strong with a dedicated and, to me, impressive leadership of 35 plus currently elected and volunteer Section leaders, among them students, with whom I have been grateful to work. The Section is engaged in many activities. These include, every fall, organizing a broad range of high quality scientific sessions that cover the breadth of epidemiologic work related to public health to promote scientific communication and further enrich career and professional development for participants. Through awards such as our distinguished John Snow Award, the only U.S. award sanctioned by the Royal Institute of Public Health, and the Wade Hampton Frost Lectureship Award, the Section recognizes contributions to public health made by students through senior career professionals.
Working with other sections and organizational units, the Section is one of the primary sections that APHA relies on to assure that APHA policy statements and Governing Council resolutions are scientifically supported, evidenced-based and sufficiently pertinent to public health issues to justify APHA's organizational support.
So, happy 80th anniversary, APHA Epidemiology Section! With global public health challenges abounding, the leaders and members of our section remain committed to collaborating with other public health professionals in public health practice, education, policy-making, and service to address public health challenges and lessen the burdens of illness and related conditions now and in the coming 80 plus years!
Many thanks to the dedicated leaders of the Epidemiology Section over the last 80 years, especially those I have been privileged to serve with! Special thank you's and congratulations this years to the Section's Membership and Communication Committee, especially Drs. Marian R. Passannante, PhD, Committee Chair, Victor A. Ilegbodu, MPH, PhD, MD, and Laurie D. Elam-Evans, PhD, MPH, with the debut of our section's new commemorative banner!
Yours truly,
Dr. Jim Gaudino, MD, MS, MPH, FACPM, Immediate Past Chair, APHA Epidemiology Section
Citations include: E. S. Godfrey, Jr., MD. "As I Recall It. The background and beginnings of the American Epidemiological Society," The Yale Journal of Biology and Medicine. Volume 46, Number 1, February 1973. (For more information, please read see http://www.apha.org/membergroups/sections/aphasections/epidemiology/about/ for a summary of Dr. Godfrey's article posted on our Section's Web page.)
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7 Things You Didn't Know About Lightning
1. Lightning can form without rain storms.
Yes, it's true. Lightning can also occur during volcanic eruptions or dust storms, and doesn't really require massive cloud formations. Lightning has been observed striking the Apollo 12 soon after takeoff, and was even recorded striking soon after thermonuclear explosions. Some of the largest volcanic eruptions can trigger lightning, due to the gases and solid material they eject high into the atmosphere.
2. Lightning can form on other planets
While it's true that it cannot form in the vacuum of space, requiring the electrical breakdown of gas, lightning has been spotted in the atmospheres of planets like Venus and Jupiter. On the gas giant, it can be 100 times more powerful, though 15 times less frequent, than on Earth.
3.Lightning can and does strike the same place twice
In fact, lightning favors certain spots, particularly high locations, like trees and buildings. The Empire State Building is struck by lightning on average 23 times each year, and was once struck 8 times in 24 minutes. Actually, most lightning strikes are made up of multiple individual strokes, meaning that what we see as a pulsating lightning actually consists of three or four different strokes following the same pathway.
4. Lightning can strike from ground to the clouds
Also true. Called positive lightning, this type makes up less than 5% of all lightning. It forms when cloud tops become positively charged and the ground is negatively charged. When the tension is high enough, electrons from the ground will "climb" to the top of the cloud, forming an inverted lightning. They usually carry about ten times as much current as a bolt of negative lightning, the "normal" one.
5. Lightning can appear as a sphere
There are many historical accounts of spherical lightnings, or "ball lightnings". A ball lightning has the strange tendency to float (or hover) in the air and take on a ball-like appearance. Many witnesses reported them as being red to yellow in color, sometimes transparent, and some containing radial filaments or sparks. Other colors, such as blue or white occur as well. Recent laboratory experiments are just beginning to shed light on the nature of ball lightning, a phenomenon that has baffled scientists for centuries.
6. What is the thunder?
The thunder is the noise heard after the lightning occurred. It's actually an explosion of the air molecules in the discharge channel, a rapid expansion caused by the electrical discharge. The rolling and gradually dissipating rumble of thunder is caused by the time delay of sound coming from different portions of a long stroke.
7. Can a lightning strike out of the blue?
Yes, a lightning can really strike without a thunderstorm being present in the area. This is not the type of lightning previously mentioned, it's actually a weather phenomenon that scientists dubbed as "bolt from the blue" or "dry lightning" because it falls from clear, blue skies.
David Canales, 41, of West Miami-Dade, US, was killed last week after a lightning came apparently out of nowhere, struck a tree nearby and then the unfortunate man. This unusual lightning packs a bigger, deadlier punch and forms differently, being able to carry as much as 10 times the current, is hotter and lasts longer.
So, with lightning striking the Earth around 100 times every second, on average, this is one of nature's deadliest forces, that may unintentionally affect our life in dramatic ways, and can even bring it to an abrupt end.
(via shychemist)


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Energy is a popular topic right now. As the stock market remains volatile and political candidates race toward Election Day, energy costs and issues top America's agenda.
Wyoming, one of the nation's major energy-producing states, needs to re-evaluate its energy policies.
This week, the Associated Press reported that Wyoming ranked the lowest in the United States for energy-efficient policies. The Cowboy State was the only one to earn a "0" in every single category in the scorecard issued by the American Council for an Energy-Efficient Economy.
The report graded states on energy-efficiency policy initiatives including: building energy codes, energy efficiency in public buildings and financial incentives for efficient technologies, such as tax credits for residents who buy hybrid vehicles.
However, the governor's office said Wyoming's low score isn't an accurate reflection of the state's energy policies.
According to the Associated Press, 10 percent of electricity generated in the state comes from renewable sources. The state also has updated its motor pool with several hybrid vehicles.
Also, buildings in the state have garnered high ratings in the Leadership in Energy and Environmental Design (LEED) standards. Powell's own Plaza Diane — Community Center for the Arts may receive LEED platinum certification, the highest possible.
Even with these efforts, the failing score on the report indicates Wyoming certainly could improve its energy policies.
As drilling projects occur in our backyards, it's vital that Wyoming strives to set better energy-efficiency standards.


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Philadelphia City Council considers advertising on all city-owned property
Cheering on the Philadelphia Flyers toward a Stanley Cup championship back in 1997, the city ornamented the William Penn statue above City Hall with a personalized orange and black jersey.
If a bill championed by City Council President Darrel Clarke is approved, corporations could have a shot at dressing up Billy's likeness with their own logos and gear in an attempt by officials to raise money for the cash-strapped city.
The bill, while it did not directly state what civic buildings would and wouldn't be prohibited from advertisements, did state advertising could be added on any city-owned properties.
Clarke said all signs would require approval from city council.
"I think having the city of Philadelphia engaged in that process would actually enhance the ability to have it done tastefully," he said.
Clarke says the city has "hundreds of municipally owned properties that are attractive to advertisers." He claims "tasteful" advertising on city buildings can generate millions in revenue. He wouldn't say whether major city buildings, like City Hall, is off limits.
Clarke is targeting bus shelters, information kiosks, trash receptacles and trucks and public restrooms for advertising.
"I don't want this to seem like we're targeting buildings," he said.
Clarke says the historical significance of a venue will be taken into consideration when approving signage.
One woman isn't so sure.
"Considering and prohibiting are two different words," said Mary Tracy of Scenic Philadelphia. "Our city spaces belong to the public it doesn't belong to city council. … and it doesn't belong to the billboard industry."
Clarke proposed a similar bill last year, but it didn't go far. The Flyers fell to the New Jersey Devils in 1997.
Is Billy trying to tell the city something?
"You'll lose," Tracy said.
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LeapFrog: Significant Growth Potential With Minimal Downside Risk
Bold Investor • Sun, Aug. 17 • 3 Comments
- LeapFrog Enterprises, Inc. designs and manufactures electronic educational/entertainment devices and software for children.
- Markets have overreacted to LeapFrog's troubles and at current prices LeapFrog offers incredible value and minimal downside risk.
- LeapFrog retains significant long-term upside, especially via potential growth in new children's product categories like the LeapBand activity monitor and LeapTV video game console.


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As of Oct. 27, USDA estimates 98% of the corn crop is mature and 59% of the crop has been harvested. As of Oct. 20, only 39% of the crop had been harvested.
In 2012, 91% of the crop had been harvested by Oct. 27, and the five-year average for this time of the year is 62% complete.
Farmers in Illinois, Kansas, Kentucky, Missouri, North Carolina, Texas and Tennessee all have more than 70% of their crops out of the field. Michigan and North Dakota are the furthest behind, with only about 1/3 of their crops harvested.
According to more than 400 yield reports to AgWeb's Corn Harvest Map, favorable yields are still coming in across the country. The current national average from the map is 172 bu. per acre (for the second week in a row), and these reports encompass nearly 230,000 acres.
Here are some corn reports via AgWeb's Crop Comments:
Submit your yield reports to AgWeb's Corn Harvest Map or to AgWeb's Soybean Harvest Map.
Share your crop report with AgWeb's Crop Comments.
See Comments


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Grilled Honey Glazed Chicken with Green Pea and Mint Sauce
Recipe courtesy of Bobby Flay
Recipe courtesy Bobby Flay
- Boy Meets Grill
- Grilled Honey Glazed Chicken:
- 1/4 cup honey
- 3 tablespoons balsamic vinegar
- 4 whole bone-in chicken breasts
- Olive oil, for grilling, optional
- Salt and freshly ground black pepper
- Green Pea and Mint Sauce, recipe follows
- Green Pea and Mint Sauce:
- 2 cups frozen peas, blanched and drained well
- 1/2 cup white wine vinegar
- 3 tablespoons chopped fresh mint leaves
- 2 tablespoons chopped fresh cilantro leaves
- 1 jalapeno, grilled or roasted, chopped
- Salt and freshly ground black pepper
- 1/4 cup olive oil or canola oil
- 1 tablespoon honey
DirectionsGrilled Honey Glazed Chicken:
Heat grill to medium. Whisk together the honey and balsamic vinegar in a small bowl. Brush the breasts on both sides with oil, if desired, and season with salt and pepper. Grill the breasts for 7 to 10 minutes per side or until golden brown and cooked through. Brush with the honey glaze during the last few minutes of cooking. Serve on a bed of sauce or with sauce drizzled over.Green Pea and Mint Sauce:
Place peas, vinegar, mint, cilantro, jalapeno, and salt and pepper in a blender and blend until smooth. With the motor running, slowly add the oil and taste for seasoning.
Add the honey and blend again. If the mixture if too thick, blend in a few tablespoons of cold water.
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Recipe courtesy of Sunny Anderson


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Written by csiga on 28.01.2014 at 14:07
Ok, and now the new rule, is the upcoming album must be the release date too, not enough the album title? i just saw some albums on my wishlist was deleted. for example Wintersun - Time II, Nachtmystium - The World We Left Behind, Down - Down IV Part II - [EP] and more. so anyone can give me information about it?


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If you're interested in the details of the incident, HERE is link to the original story.
Oh, there's the eel
Forget "don't try this at home." Just don't try this, period...not at home, not at work, not in Vegas. Do not try this at all, anywhere. Here's the X-ray of the fella we discussed this morning who decided to, ahem, well...there's an eel involved: Photo: Europics via The Sun-UK (www.thesun.co.uk)


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Psoriasis can be worrying, especially when you see your child struggle with itching or discomfort.
For most kids, psoriasis is limited to just a few patches that usually respond well to treatment. Cases that are more serious might require more aggressive treatment.
But the good news is that there are many options. If one treatment doesn't work, another probably will.
Psoriasis (suh-RYE-uh-sus) is a non-contagious disease that causes skin cells to build up on the surface of the skin, forming itchy red patches (plaques) and thick scales. It can appear anywhere on the body but is most commonly found on the scalp, knees, elbows, and torso.
Psoriasis is a long-lasting (chronic) condition that can get better or worse seemingly at random. It may go away completely before suddenly reappearing.
For many kids, psoriasis is just a minor inconvenience; for others, though, it can be quite serious. Psoriasis can lead kids to feel self-conscious about their appearance. Sometimes that affects their emotions, and some kids may develop low self-esteem and even depression as a result.
Right now, there's no cure for psoriasis, but a number of good options are available to treat the symptoms. Lifestyle changes, such as maintaining a healthy diet and weight, also can help ease the symptoms.
Doctors aren't sure why people get psoriasis, but they do know how the disease works. White blood cells known as T lymphocytes or T cells are part of the immune system. They travel through the bloodstream fighting off bacteria, viruses, and other things that cause illnesses. When someone has psoriasis, however, T cells attack healthy skin as if they were trying to fight an infection or heal a wound.
Skin cells, which are made deep in the skin, normally take about a month to rise to the surface, where they die and are sloughed off. When psoriasis triggers T cells to attack healthy skin, the immune system responds by sending more blood to the area and making more skin cells and more white blood cells. This forces skin cells to rise to the surface in a few days instead of a month. The dead skin and white blood cells can't be shed quickly enough, and they build up on the surface of the skin as thick, red patches. As the skin cells die, they form silvery scales that eventually flake off.
Psoriasis isn't contagious. Some people inherit the genes that make them susceptible to having it. About 40% of people with psoriasis have a family member who also has the disease.
Risk factors that can increase the chances of psoriasis outbreaks include:
People with psoriasis will most likely experience one or more of the following symptoms:
There are many different types of psoriasis that each have their own symptoms. Some of the more common types of psoriasis include:
Usually, diagnosis of psoriasis is fairly straightforward. The doctor will physically examine your child's skin, scalp, and nails and ask you and your child some questions. The doctor may ask if anyone in your family has psoriasis and if your child recently had an illness or started a new medication.
On rare occasions, the doctor may remove a skin sample (a biopsy) to examine it more closely. A biopsy can tell the doctor whether it's psoriasis or another condition with similar symptoms.
There are lots of ways to treat psoriasis, and different things work for different people. Be sure to talk with a doctor to figure out what treatments work best for your child.
Psoriasis treatments fall into three categories:
A doctor might try one therapy and then switch to another, or recommend a combination of therapies. It's not always easy to find a therapy that works, and sometimes what works for a time will stop working. It's important to work closely with the doctor to stay on top of your child's treatment.
In addition to following your doctor's advice, you can help your child make healthy lifestyle choices:
Most psoriasis will respond well to treatment, but it's important to stay on top of it. If your child should apply an ointment twice a day, remind him or her to do so; if a little more sun is recommended, join your child for a daily walk. Your efforts, and your child's, will help control psoriasis symptoms.
Reviewed by: Patrice Hyde, MD
Date reviewed: December 2011
Note: All information is for educational purposes only. For specific medical advice, diagnoses and treatment, consult your doctor.
© 1995–2014 The Nemours Foundation/KidsHealth. All rights reserved.
Find out by selecting your child's symptom or health condition in the list below:
Download Summer 2014 (PDF)
The 30th annual Miracle Makers fundraising special aired on KOMO 4 TV on June 6, 2014. The special takes us on a journey through the hopes, fears, victories and challenges facing patients at Seattle Children's. Cosponsored by Costco Wholesale and KOMO 4.
In the spirit of the holidays, patients, parents and doctors share inspirational stories of healing and hope. From surviving heart failure and a near-death drowning to battling a flesh-eating disease, witness how the impossible became possible thanks to the care patients received at Seattle Children's Hospital.
Miracle Season, hosted by Steve Pool and Molly Shen, aired Dec. 8, 2013, on KOMO 4 TV. The annual holiday special celebrates the remarkable lives of Seattle Children's patients.
Seattle Children's provides healthcare without regard to race, color, religion (creed), sex, gender identity or expression, sexual orientation, national origin (ancestry) or disability. Financial assistance for medically necessary services is based on family income and hospital resources and is provided to children under age 21 whose primary residence is in Washington, Alaska, Montana or Idaho.
© 1995-2014 Seattle Children's Hospital


text: Quick View Peter Rabbit by Peter Rabbit In Stock $24.95 This adorable plush Peter Rabbit toy is based on the main character in Beatrix Potter's classic The Tale of Peter Rabbit. He stands 13" tall and really makes story time come alive. Perfect for children and collectors alike! See Details $24.95 was


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Please note all prices listed are based on cash prices and are exclusive of VAT. Final price will be confirmed during the checkout process. Bullion prices are based on 10gm.Back to top
Your one-stop shop for finished jewellery styles, from classic ready-to-wear to contemporary ready-to-sell. The finished jewellery range at Cooksongold is packed with hundreds of finished jewellery pieces such as bracelets, earrings, necklets and rings.
Browse through our popular array earrings, which include birthstone, CZ and ballstuds. Our finished necklets already dressed up with pendants are ready for you to sell. Also we have a beautiful selection of pearl combinations and a classic range of crosses and St. Christopher's supplied in Silver and 9ct yellow. Our range of Silver Mexican rings allows you to offer an unique ring to your customers.
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15 December 2009
Tombstone Tuesday
I went to clean my great great grandmother and great great grandfather's tombstone today and I went walking a little bit in Northwood cemetery in Emmaus, PA. I remember looking on FindAGrave.com that there were some famous people buried on there. One of them was the Rodales.
If the name seems familiar. Jerome Irving Rodale (1898-1971) was the founder of "Rodale Press" which makes magazines like Men's Health, Women's Health, and Organic Gardening. The current website, Rodale News, has information on organic living. He became a leader and an advocate for organic farming and natural foods.
He actually became the first to die onstage from natural causes. He was being interviewed by Dick Cavett and was his primary guest. However, while Dick Cavett was interviewing the second guest, Jerome just closed his eyes, put down his head, and passed from a heart attack.
Now his son, Robert D. Rodale (1930-1990) was the head of Rodale Publishing until his dead from an automobile accident while he was in Russia. He was an athlete and competed in the 1968 Summer Olympics. He was part of the US Skeet Shooting team. In 1987, he was inducted into the United States Skeet Shooting Hall of Fame. He created the Rodale Research Center to further develop organic farming techniques. He recieve the Presidential "World Without Hunger" award in 1984.
Slightly underneath this big stone was David Evan Rodale (1955-1985). He died of AIDS. His mom, Ardath Rodale, is currently the Chief Inspiration Officer. He is an AIDS activist since the death of her son.
Posted by BeckyR at Tuesday, December 15, 2009
Labels: Pennsylvania, Tombstone Tuesday
1 comment:
its really very nice article thanks for sharing this with us.ReplyDelete
grave markers
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Get Jacqueline's reaction to the confrontation with Penny.
Jacqueline was thrilled to see so much emotion from Nick when she came back from her trip.
Jacqueline explains why she wanted to get the tummy tuck.
Jacqueline shares her thoughts on Joe's comment about Autism.
Jacqueline gives her side of the blowout at the boutique.
Jacqueline was surprised to hear some of the things Teresa's friend had to say about her.


text: WSOS enrolling now for early childhood programs Tue, Aug 21, 2012 11:30am DISQUS_COMMENTS With a new school year approaching, applications for children from birth to four years old are now being accepted at the Port Clinton WSOS preschool center. Options available to parents who enroll their children at WSOS include full and half-day classes and/or home visitation services. WSOS has earned the highest Step Up to Quality designation awarded by the Ohio Department of Job and Family Services (DJFS), Children Services Division – Three Stars. Children enrolled at the center play, learn and develop social skills at one of the best quality preschool centers in the state because they have met all the requirements ODJFS has put in place for centers to achieve. The WSOS Head Start/Early Childhood Development program is a comprehensive early childhood and family program. The program provides early childhood education that is complemented by nutrition/health services for the child and social services for the entire family. Families who enroll in the program benefit by having access to a variety of community resources, diverse parent education programs and other social services that can assist the family to become self-sufficient. Eligible families are those whose total annual income does not exceed 100 percent of the federal poverty guidelines for Early Head Start/Head Start and 200 percent for the Early Childhood Education Program. Children with special needs are also eligible for these services. Please call to verify the income levels. If your family could benefit from the WSOS Head Start/Early Childhood Development Program or you know a family that would, call WSOS at 1-800-775-9767 or visit www.wsos.org. Tweet Related items BCS seventh grade Students of the Month Are the Mayor's statements meant to confuse? Lady Redskins defeat Edison PC jumps on top of Margaretta, wins 44-20 Oak Harbor falls to Edison late, 14-7 back to top


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The Merlin conspiracy
Diana Wynne Jones
Teen Fiction JONES
Diana Wynne Jones
Teen Fiction JONES
Summary: Roddy and Nick, two teenagers with magical powers they are just learning to use, find that they must work together to save Roddy's home world of Blest from destruction by power-hungry wizards.
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Arianrhod "Roddy" Hyde
Daughter of two court wizards; travels with her family in a constant journey around the kingdom; uncovers a plot involving her best friend's mother and the magical governor to take over the throne; casts a spell for help from someone from another world.
Nick Mallory
Age: 14
Developing his magical powers; dreams of becoming a powerful Magid, a magician who travels to other worlds helping people; answers Roddy's spell for help.