UCSF School of Medicine
The State of the Pandemic and Strategies to Encourage Vaccination
updated
How do we, as a society and as clinician advocates better meet the needs of an aging prison population?
Decades of harsh sentencing laws have resulted in over 200,000 people in the Unites States currently serving life sentences with a disproportionate impact on people of color. In California, despite an overall decline in the numbers behind bars in the last decade, the number of people age 55 and older has nearly doubled. Studies have shown that the chronic disease burden and degree of functional impairment of incarcerated people is similar to those 10-15 years older in the community as more and more older adults are facing the prospect of aging, coping with serious illness and dying in prison. How do we, as a society and as clinician advocates better meet the needs of this aging population pre-sentencing, during incarceration and upon reentry?
Michele DiTomas, MD, MS is currently the Chief Medical Executive over the Palliative Care Initiative with the California Correctional Healthcare Services, which strives to improve whole person care for those struggling with the challenges of serious illness and aging behind bars. Since 2007, she has served as Chief Physician and Hospice Medical Director at the California Medical Facility, which provides end of life care to men incarcerated in the California Department of Corrections. She earned her MD from the UCSF/UC Berkeley Joint Medical Program and completed her residency at the UCSF Department of Family and Community Medicine.
As Hospice Medical Director she works with the hospice team to create an environment where patients can live their final days with dignity, respect and comfort despite their incarceration. The hospice team supports the patients and their families in achieving compassionate release and, when this is not possible, provides a setting where they are able to have meaningful visits and often find reconciliation and closure at the end of life.
Music by Podington Bear, licensed under CC BY-NC 3.0.
Music by Podington Bear, licensed under CC BY-NC 3.0.
Music by Podington Bear, licensed under CC BY-NC 3.0.
Music by Podington Bear, licensed under CC BY-NC 3.0.
Music: Sneaker Chase by Podington Bear. CC BY-NC 3.0.
Maddie Deutsch, MD, MPH is a Professor of Clinical Family & Community Medicine at UCSF, and the founding Medical Director for the UCSF Gender Affirming Health Program, a multidisciplinary group of medicine, surgical, and behavioral health providers for trans and gender expansive adults at UCSF Health. She is a Co-Director for the UCSF School of Medicine Differences Matter Initiative, and a DEIB Co-Lead for UCSF Health. Dr. Deutsch has authored or co-authored more than 50 peer reviewed journal articles in the field of sexual and gender minority health, and was a co-author, and Primary Care Chapter Lead, for the recently released WPATH Standards of Care, 8th Version. She is the current President of the US Professional Association for Transgender Health.
Kevin Fiscella, MD, MPH, is a tenured professor in the Department of Family Medicine at the University of Rochester School of Medicine. He is co-director of the department research division and co-director of the equity-focused dissemination and implementation core within the University of Rochester Clinical and Transnational Science Institute. He has worked as a family physician in FQHCs caring for multigenerational families, including people living with HIV and substance use disorder, for 40 years. He is a health services researcher whose research career has addressed health and healthcare equity. His current research and mentoring involve the application of implementation science to promote health equity within health care and the community. Kevin is currently leading a scoping review for AcademyHealth on equity and value in US healthcare and a NASEM-commissioned review of trends in racial and ethnic inequities in healthcare access and quality in the US.
Drawing on the analyses in his recent book, The Present Illness: American Health Care and Its Afflictions, Dr. Shapiro will explore the reasons why it has been so difficult to solve the many problems in American health care. He identifies three underlying phenomena that shape the behavior of physicians and their organizations, medical schools and their faculty, hospitals and health systems, other corporations in the health sector, scientists and their sponsors, and also patients and the public. These are the commodification of health care and health by all the groups of participants; the consciousness of the actors—their attitudes, values, expectations, interests, and perceived needs; and the communication and the structure of the relationships across these groups, which tend to reinforce the worst tendencies in all groups. He will discuss a range of steps that can be taken to address these many problems, but that meaningful reform will need to be broad and deep.
Dr. Martin Shapiro obtained his medical degree from McGill University and a PhD in history and Master’s in Public Health from UCLA. He is Professor of Medicine at Weill Cornell and Distinguished Professor Emeritus of Medicine and Public Health at UCLA. Prior to coming to Cornell, he spent many years at UCLA, where he was chief of the Division of General Internal Medicine and Health Services Research for 25 years. He is a general internist who has practiced both inpatient and outpatient GIM. He also is a health services researcher who has studied accessibility of care and health disparities, scientific misconduct, pharmaceutical advertising, and scientific authorship, among other topics. He led a major national study of care for HIV disease. He is also interested in such conditions as hypertension and hepatitis C, in empowering communities in relation to the research enterprise, and in trying to improve health and health care for those most in need. He is an elected member of the American Society of Clinical Investigation and of the Association of American Physicians and is a past president of the Society of General Internal Medicine. He enjoys mentoring students, residents, fellows and junior faculty members. His new book, The Present Illness: American Health Care and Its Afflictions, has just been published by Johns Hopkins University Press.
Changes in the health care system have altered the nature of primary care clinician’s interactions with patients and our sense of empowerment to improve the practice environment. Profound health disparities have caused disillusionment and dwindling faith in the systems for which we work. Strategies and solutions lie in the fact that we are internally motivated when we believe in what we are doing and feel part of a community. The objective of this presentation is to review the evolution of demoralization in medicine and discuss evidence for coalition-building to drive change and restore wellbeing.
Dr. Megan Mahoney is the Hellman Endowed Professor and Chair in the UCSF Department of Family and Community Medicine. Throughout her career, Dr. Mahoney has built and led sustainable initiatives in provider engagement, quality improvement, and DEI for health care organizations. Her research has focused on the impact of primary care team cohesion on burnout, and the influence of diversity and inclusion on individual and team wellbeing. She has presented on team wellness as a keynote speaker at national and international meetings, and served as long-term faculty for the national Chief Wellness Officer Course – an executive program for physician well-being leaders. Dr. Mahoney earned her B.A in Molecular and Cellular Biology at the University of California Berkeley and her M.D. at the University of California San Francisco. She completed the UCSF Family Medicine Residency Program at San Francisco General Hospital.
You can find all episodes of The Spark on Spotify, Apple Podcasts, or wherever you listen to podcasts: https://pod.link/ucsfmedicine.
Transcript available at https://meded.ucsf.edu/about-us/our-impact/spark-medical-education-podcast.
Music: Sneaker Chase by Podington Bear. CC BY-NC 3.0.
You can find all episodes of The Spark on Spotify, Apple Podcasts, or wherever you listen to podcasts: https://pod.link/ucsfmedicine.
Transcript available at https://meded.ucsf.edu/about-us/our-impact/spark-medical-education-podcast.
Music: Sneaker Chase by Podington Bear. CC BY-NC 3.0.
You can find all episodes of The Spark on Spotify, Apple Podcasts, or wherever you listen to podcasts: https://pod.link/ucsfmedicine.
Transcript available at https://meded.ucsf.edu/about-us/our-impact/spark-medical-education-podcast.
Music: Sneaker Chase by Podington Bear. CC BY-NC 3.0.
Michael Fine, MD is an award-winning author, community organizer, public health expert/leader, and family physician. Dr. Fine is the author of On Medicine As Colonialism (PM Press, 2023), which explores the way medicine and health care have been used by health care profiteers to co-opt the state’s regulatory power, Medicare, and Medicaid and extract resources from communities and upend democracy in the U.S.; Health Care Revolt, an expose, manifesto and playbook that exposes the failures of the healthcare market to deliver health and plans a movement to build the healthcare system the US needs (PM Press, 2018); Abundance, a novel about two young Americans caught up in the Liberian civil wars of 1998-2003 (PM Press, April 2019); The Bull and Other Stories (Stillwater River Press, 2020) ; and Rhode Island Stories (Stillwater River Press, 2021). He is the coauthor, with James W. Peters, of The Nature of Health (Radcliffe, 2007), a study of healthcare services, human rights, society, technology, and industry; and The Zero Calorie Diet (Red House Press, 2010), a look at the culture of excess through the lens of fasting. The Bull and Other Stories was the 2021 IPNE Literary Fiction Book of the Year.
Dr. Fine serves as Chief Health Strategist for the City of Central Falls Rhode Island. Dr. Fine served in the Cabinet of Governor Lincoln Chafee as Director of the Rhode Island Department of Health 2011-2015, overseeing a broad range of public health programs and services, 450 public health professionals and managing a budget of $110 million a year.
As we navigate multiple, intersecting public health crises, including the COVID-19 pandemic, systemic racism, homelessness, and the opioid/fentanyl overdose epidemic, there is unprecedented need for mental health and substance use care in the City. Dr. Kunins will share how the San Francisco Department of Public Health is growing and transforming behavioral health services to expand access to timely, equitable, and well-coordinated care.
Dr. Hillary Kunins is the Director of Behavioral Health Services and Mental Health San Francisco at the San Francisco Department of Public Health (SFDPH). In 2021, she joined SFDPH from the New York City Department of Health and Mental Hygiene (DOHMH) where she served as the Executive Deputy Commissioner of Mental Hygiene from 2019 to 2021 and as the Assistant Commissioner for the Bureau of Alcohol and Drug Use from 2012 to 2019.
At DOHMH, Dr. Kunins led the reimagining of New York City's public health approach to substance use and served as the DOHMH lead for Mayor Bill de Blasio’s $60 million HealingNYC initiative to address the overdose epidemic. She has dedicated her career to creating health equity through science-based public health and healthcare programs and policy for people with behavioral health concerns, including substance use disorders and serious mental illness.
Dr. Kunins received her MD and MPH from Columbia University and her MS in Clinical Research from Einstein College of Medicine. She completed her primary care-internal medicine residency and chief residency at Montefiore/Einstein. Dr. Kunins is a Fellow of the American College of Physicians and of the American Society of Addiction Medicine.
We also offer a one-year certificate program (CiHDaS), with condensed coursework and absent teaching and hands-on capstone project experience, best suited for those already working in the biomedical or pharmaceutical industries.
Please visit our website for more information and how to apply: https://epibiostat.ucsf.edu/masters-degree-health-data-science
Reach out to Health Data Science Program Coordinator at HealthDataSci@ucsf.edu with your questions.
1:59 Coffee Chats with the Dean (Stephanie Belger)
2:26 School of Medicine Leadership Retreat (Stephanie Belger)
3:16 Staff Engagement (Dr. Starr Knight)
4:38 Improving Physician Work Experience (Dr. Diane Sliwka)
- We Improved -
5:30 Launch of Ginger (Dr. John Davis)
6:38 Book Clubs (Stephanie Belger)
7:14 The Takeaway Podcast (Dr. Erick Hung)
8:22 First Year of the Anti-Oppression Curriculum Initiative (Dr. Denise Connor)
- We Are Looking Ahead -
9:22 Differences Matter 2.0 (Dr. Matthew Bucknor)
10:47 Second Year of the Anti-Oppression Curriculum Initiative (Dr. Denise Connor)
The AOC Initiative is a three-year process of evaluation, reflection, and redesign intended to move the
entire four-year Bridges Curriculum towards a more anti-oppressive approach. While the initial phase of the AOC Initiative is three years, this work and culture change is not something to be “finished” in this brief timeframe. Like all social justice work, developing and sustaining movement towards an anti-oppressive curriculum with inclusive processes and policies will require a commitment to ongoing, iterative, continuous effort across medical education and the School of Medicine.
The following video shares a snapshot of the goals and aspirations of the AOC Initiative, and updates
about the first year of the Initiative.
For more information please visit:
https://medschool.ucsf.edu/differences-matter
https://meded.ucsf.edu/md-program/anti-oppression-curriculum-initiative
https://meded.ucsf.edu/bridges-curriculum
Pilar Collins is a Senior Organizational Consultant in the Health Equity Division, Department of Quality and Patient Safety, at UCSF Health, and co-chair of the COVID Equity Work Group. The Health Equity division serves as the health system’s strategic and operational engine to advance health care equity. Pilar has a keen focus on leading UCSF Health to define and operationalize an Equity First strategic vision and framework. Prior to her current position, Pilar worked in Information Technology at UCSF Health, where she was the Manager leading UCSF Clinical Systems Customer Engagement applications team supporting the new technologies at Mission Bay Hospital and prior to that was the Information Technology Program Manager on the Mission Bay Hospitals project construction team, leading multiple infrastructure and applications teams. She has both a Master’s Degree in Public Health and Master’s Degree in Social Work from UC Berkeley and is a certified Project Management Professional.
Tasha Toliver is the manager for UCSF Health’s Population Health Outreach team which focuses on closing care gaps. Prior to this position she was the operations manager for UCSF’s COVID hotline which was created at the beginning of 2020 in response to the pandemic, and won a UCSF Health Team PRIDE award in 2021. She originally joined the Office of Population Health in 2014 as a Health Care Navigator with the Care Support Program. This team was awarded a Team PRIDE award in 2018. She holds a Master’s Degree in Health Education from Kaplan University. Tasha has a passion for Diversity, Equity, and Inclusion work and has presented at UCSF’s Town Hall on Health Equity interventions.
Kevin Grumbach is Professor of Family and Community Medicine at UCSF. He served as Chair of the UCSF Department of Family and Community Medicine from 2003-2022, and as Vice President for Population Health for UCSF Health from 2015-2018. He is co-chair of the Health Equity Work Group at UCSF Health. He is a Founding Director of the UCSF Center for Excellence in Primary Care and Director of the Community Engagement Program for the UCSF Clinical and Translational Science Institute. He cares for patients at the Family Health Center at San Francisco General Hospital and the Lakeshore Family Medicine Center at UCSF Health.
Over the last two years DPH Must Divest has organized at SFDPH to abolish contacts with the San Francisco Sheriff’s Department, build-up non-policing crisis responses, and transform the culture of our hospitals and clinics. SFDPH is in the violent minority as one of the fewer than 1% of systems nationwide dependent on law enforcement alone to provide security. We know that policing in the hospital is a racial justice issue, with 70% of use of force incidents being against Black patients and visitors in the ED in 2019, despite representing only 24% of the patient population. In this Grand Rounds presentation, we will give a framework for thinking about abolition and the history of our campaign to get the Sheriffs out of our hospitals and clinics. We will then introduce Know Your Rights materials regarding policing in the hospital, presented by a law professor and law school graduate, and ground these protections in a conversation between two FCM Residents. Finally, we will offer further resources to interrupt criminalization and get involved with our campaign.
The DEB Digital Health Initiative presents a seminar on sampling in digital health research. Panelists Madelaine Faulkner Modrow, Dr. Adrian Aguilera, and Dr. Meghan Morris share their experiences with different forms of internet-based sampling modalities and discuss strategies for broadening inclusion to reach marginalized communities. The panelists also participate an interactive Q&A session moderated by Dr. Alexis Beatty on challenges and best practices.
In our post-George Floyd world, many organizations and individuals have committed to eliminate health inequity. However, many seem to focus on generating understanding and goodwill rather than concrete change. Dr. Bennett will discuss a framework for health equity implementation that the Office of Health Equity is developing at San Francisco Department of Public Health. This is an evolving framework, but the best practices around health equity are all evolving and this framework is offered as one potential approach.
Dr. Ayanna Bennett is the Chief Health Equity Officer and Director of the Office of Health Equity at the San Francisco Department of Public Health. Dr. Bennett is a pediatrician, trained for her MD at UCSF and in the UCB-UCSF Joint Medical Program for a Master’s degree. In 2004, Dr. Bennett co-founded a non-profit in the San Francisco Bayview Hunters Point neighborhood called the 3rd Street Youth Center and Clinic, which is thriving today. Dr. Bennett led 3rd St as its Medical Director and then Executive Director for 12 years, while also working as a practicing pediatrician in the East Bay. Dr. Bennett transitioned fully to the Health Department in 2015, taking several leadership positions before establishing the Office of Health Equity in 2019. OHE focuses 4 areas, creating a diverse staff with health equity competency, reducing health disparities, supporting a culture of accountability and authentic community engagement.
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In an era of extraordinary advances in scientific knowledge and methods, epidemiology and biostatistics provide essential tools for understanding the causes of disease and for identifying effective and efficient approaches to prevention and treatment at the population level. The Department of Epidemiology & Biostatistics is committed to advancing health for all through rigorous, innovative, multidisciplinary research.
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UC San Francisco advances health through education, research, patient care and public service. With seven major sites in the San Francisco Bay Area and Fresno, the UCSF School of Medicine is dedicated to improving human health by accelerating scientific discovery and transforming medical education. The school’s new Bridges curriculum is pioneering a new approach to medical education to prepare physicians for practice in the 21st century. Through mentorship and collaborative learning, students are trained to care for patients, conduct research and contribute vital knowledge to improve our health system.
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In an era of extraordinary advances in scientific knowledge and methods, epidemiology and biostatistics provide essential tools for understanding the causes of disease and for identifying effective and efficient approaches to prevention and treatment at the population level. The Department of Epidemiology & Biostatistics is committed to advancing health for all through rigorous, innovative, multidisciplinary research.
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UC San Francisco advances health through education, research, patient care and public service. With seven major sites in the San Francisco Bay Area and Fresno, the UCSF School of Medicine is dedicated to improving human health by accelerating scientific discovery and transforming medical education. The school’s new Bridges curriculum is pioneering a new approach to medical education to prepare physicians for practice in the 21st century. Through mentorship and collaborative learning, students are trained to care for patients, conduct research and contribute vital knowledge to improve our health system.
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In an era of extraordinary advances in scientific knowledge and methods, epidemiology and biostatistics provide essential tools for understanding the causes of disease and for identifying effective and efficient approaches to prevention and treatment at the population level. The Department of Epidemiology & Biostatistics is committed to advancing health for all through rigorous, innovative, multidisciplinary research.
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UC San Francisco advances health through education, research, patient care and public service. With seven major sites in the San Francisco Bay Area and Fresno, the UCSF School of Medicine is dedicated to improving human health by accelerating scientific discovery and transforming medical education. The school’s new Bridges curriculum is pioneering a new approach to medical education to prepare physicians for practice in the 21st century. Through mentorship and collaborative learning, students are trained to care for patients, conduct research and contribute vital knowledge to improve our health system.
April 1, 2022
The National Clinician Consultation Center (NCCC) is a unique, federally-supported educational resource of the Ryan White HIV/AIDS Program which has continually adapted since the early 1990s to address evolving health care needs of HIV-affected communities. Its team has provided over 313,000 consultations to clinicians across the U.S., and it has contributed to the growth and development of several notable initiatives including an international community dedicated to the intersection of reproductive health and infectious diseases as well as multi-disciplinary educational collaborations across medicine, nursing, and pharmacy. This presentation will include a brief history of the NCCC, recent and future expansion highlights, and perspectives from several team members.
Dr. Ron Goldschmidt, DFCM Professor and Vice Chair, is a seasoned family physician who founded the National Clinician Consultation Center (NCCC). Dr. Goldschmidt has served as member of multiple national advisory and review committees for HRSA, AMA, and AAFP in addition to publishing several manuscripts on HIV care. In 2005, Dr. Goldschmidt received the 2005 Kaiser Award for Excellence in teaching from UCSF.
Brenda Goldhammer, Program Director, has worked in the HIV, viral hepatitis, and substance use fields for over 30 years. As NCCC Program Director, she provides operational and strategic leadership and also serves as a principal liaison in the development of collaborative partnerships and public relations at the local, regional, and national levels. Ms. Goldhammer received her MPH from the University of California at Los Angeles, where she received the Improving Public Health in Southern California Fellowship and University Fellowship for academic excellence.
Dr. Betty Dong, Professor of Clinical Pharmacy and Family and Community Medicine, is a senior HIV and viral hepatitis consultant with the NCCC. She is a prolific clinical educator, and has also published numerous manuscripts and book chapters on HIV and hepatitis C pharmacotherapy. She is the distinguished recipient of the 2019 Daniel B. Smith Practice Excellence Award from the American Pharmacists Association.
Dr. Christine Pecci, Professor of Family and Community Medicine and NCCC Women and Children’s Health Consultant, is a family physician and clinician educator with maternal health expertise who provides consultation on perinatal HIV for the NCCC.
Dr. Carolyn Chu is a family physician and HIV specialist. Prior to joining the NCCC, she served as medical director for a network of federally-qualified health centers in New York City. She is an experienced clinician educator and has investigated the integration and effectiveness of HIV medical services in community-based and primary care settings.
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The Department of Epidemiology & Biostatistics is committed to advancing health for all through rigorous, innovative, multidisciplinary research. We serve as key collaborators in basic, clinical and population sciences across UCSF. We are the largest department of epidemiology in the University of California system in terms of full-time primary faculty and affiliated faculty, and our dedicated researchers, many of whom are leaders in their fields and provide a wide range of expertise to research teams while also leading their own studies.
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UC San Francisco advances health through education, research, patient care and public service. With seven major sites in the San Francisco Bay Area and Fresno, the UCSF School of Medicine is dedicated to improving human health by accelerating scientific discovery and transforming medical education. The school’s new Bridges curriculum is pioneering a new approach to medical education to prepare physicians for practice in the 21st century. Through mentorship and collaborative learning, students are trained to care for patients, conduct research and contribute vital knowledge to improve our health system.
----------------------------------------------------------
In an era of extraordinary advances in scientific knowledge and methods, epidemiology and biostatistics provide essential tools for understanding the causes of disease and for identifying effective and efficient approaches to prevention and treatment at the population level. The Department of Epidemiology & Biostatistics is committed to advancing health for all through rigorous, innovative, multidisciplinary research.
--------------------------------------------------------
UC San Francisco advances health through education, research, patient care and public service. With seven major sites in the San Francisco Bay Area and Fresno, the UCSF School of Medicine is dedicated to improving human health by accelerating scientific discovery and transforming medical education. The school’s new Bridges curriculum is pioneering a new approach to medical education to prepare physicians for practice in the 21st century. Through mentorship and collaborative learning, students are trained to care for patients, conduct research and contribute vital knowledge to improve our health system.
We also offer a one-year certificate program (CiHDaS), with condensed coursework and absent teaching and hands-on capstone project experience, best suited for those already working in the biomedical or pharmaceutical industries.
Please contact Health Data Science Program Coordinator at
HealthDataSci@ucsf.edu for more information and to apply.
https://epibiostat.ucsf.edu/masters-degree-health-data-science#About-Data-Science
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UC San Francisco advances health through education, research, patient care and public service. With seven major sites in the San Francisco Bay Area and Fresno, the UCSF School of Medicine is dedicated to improving human health by accelerating scientific discovery and transforming medical education. The school’s new Bridges curriculum is pioneering a new approach to medical education to prepare physicians for practice in the 21st century. Through mentorship and collaborative learning, students are trained to care for patients, conduct research and contribute vital knowledge to improve our health system.
Take our education assessment to connect with us for further guidance:
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UC San Francisco advances health through education, research, patient care and public service. With seven major sites in the San Francisco Bay Area and Fresno, the UCSF School of Medicine is dedicated to improving human health by accelerating scientific discovery and transforming medical education. The school’s new Bridges curriculum is pioneering a new approach to medical education to prepare physicians for practice in the 21st century. Through mentorship and collaborative learning, students are trained to care for patients, conduct research and contribute vital knowledge to improve our health system.
The last four decades of turmoil in Afghanistan are responsible for one of the worst episodes of forced displacement in world history. Nearly six million Afghans have been forcibly displaced from their homes, leaving them at risk of poor health. Afghan Clinic is a public health initiative by and for Afghan refugees. In this talk, we discuss findings from interviews with Afghan refugee women and community organizers who serve them. We conclude with recommendations on serving Afghan refugee patients and mitigating their barriers to health and healthcare.
Nazineen Kandahari, MS is a student in the UCSF Program in Medical Education for the Urban Underserved. As an Afghan refugee, Nazineen intimately experienced how the healthcare institution in the United States was not built to serve certain people. Thus from a young age, she committed herself to promoting people’s agency. Through community service, research, and public health intervention work, Nazineen has established herself as a trusted leader within the refugee community. She is passionate about health equity and community engagement. Nazineen is currently the Principal Investigator of a community-based health intervention for forcibly displaced Afghan immigrant women. She completed her Master of Science at the UC Berkeley School of Public Health on a study exploring the sexual health needs of Arab immigrant youth. Nazineen was named a “Student Who Rocked Public Health in 2021” by the Journal of Public Health Management & Practice and is a UC Berkeley School of Law Human Rights Center Fellow and Albert Schweitzer Fellow.
Nilufar Kayhani is an undergraduate student studying Public Health at the University of California, Berkeley. Nilufar is the child of Afghan refugees and is committed to resolving health inequities, particularly those experienced by refugees. She has initiated multiple community-based participatory research projects with historically marginalized populations while at UC Berkeley. She is currently a research intern at the Srivastava Lab at the Gladstone Institutes at the University of California, San Francisco. Nilufar is a pre-medicine student passionate about public health.


