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UPFRONT
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A “Magnificent Occasion”
Jaharis Family Center for Biomedical
and Nutrition Sciences dedicated
by Bruce Morgan
Dr. Nicolaos Madias, executive academic
dean of Tufts School of Medicine, and a colleague were
walking along Harrison Avenue recently when the colleague
suddenly drew to a halt and glanced up at the new nine-story
building that rose majestically beside them. “Why
are you stopping?” asked Madias. “I’ve
been waiting for this so long, I just want to take it
all in,” his friend replied. “I don’t
want to miss anything.”
That same spirit of gratification long delayed—a
feeling compounded by surprise, appreciation and relief—ran
all through the dedication ceremony for the Jaharis
Family Center for Biomedical and Nutrition Sciences
held in the Sackler Center on November 1. The center
houses the Gerald J. and Dorothy R. Friedman School
of Nutrition Science and Policy as well as biomedical
researchers from the School of Medicine and the Sackler
School of Graduate Biomedical Sciences.
Three generations of the Jaharis family, whose generous
support made the building possible, were in attendance,
including Michael Jaharis, a Tufts trustee and chair
of the Board of Overseers to the Medical and Sackler
schools, and his wife, Mary; son Dr. Steven Jaharis,
M87, a medical overseer, and his wife, Elaine; daughter
Kathryn Jaharis Ledes; and the Jaharis grandchildren.
Also present were Tufts President Lawrence S. Bacow;
Nathan Gantcher, A62, chairman of the Board of Trustees;
U.S. Sen. Edward M. Kennedy; Dr. Robert Guen, D77, K78,
board member of the Wang Chinatown YMCA; Adrienne Boire,
president of the Graduate Student Council at the Sackler
School; and His Eminence Archbishop Demetrios, primate
of the Greek Orthodox Church in America.
Bacow set the tone by referring to the building’s
dedication as a “magnificent occasion” and
“a day we’ve all been anticipating for many,
many years.” He thanked the Jaharis family for
so generously supporting the idea that “research
is important to this university and this world,”
citing in particular the highly collaborative sort of
research to be conducted in the new building. Bacow
then struck a light note when he remarked that he had
been across the street in Jaharis two hours earlier
and found the workers hard at it. “I sometimes
say if it weren’t for the last minute, nothing
would ever get done,” he joked to laughter from
the capacity audience.
For his part, Gantcher took the long view. “This
new center is one of the highlights in our 150-year
history,” he said, before conjecturing that the
facility would likely exert a transformative effect
on the Boston campus comparable to what the opening
of the Tisch Library did for the Medford/Somerville
campus. “The Jaharis Center was a dream nine years
ago. Now it’s an actuality,” Gantcher observed.
“Scientists here will be working on diseases that
probably affect, in one way or another, every person
in this room.”
Kennedy extended the theme of Tufts as a healing force,
commenting that the University had “touched”
him many years ago, in the mid-1960s, when Drs. Count
Gibson and Jack Geiger, both then medical school faculty
members, took him to see the nation’s first community
health center at Boston’s Columbia Point. “Eleven
million people are now being served by neighborhood
health centers,” he said, “and these were
ideas that came out of this magnificent university and
medical school.” Kennedy predicted that the scientists
gathered in the Jaharis Center would make a similar
contribution and become what he called “a cutting
edge for change around the world.”
Next the program took a more personal turn. Guen, speaking
as one who had been born in Chinatown and gone on to
earn degrees from Tufts’ dental school, cited
the steadily improving relationship that he had witnessed
between Tufts and his native community. “The Jaharis
Center brings much promise to two communities that are
special to me,” he said. Graduate student Boire
praised the center’s emphasis on peer mingling
and interaction. “Science is a social endeavor,”
she insisted. “We need to be able to communicate
our ideas to each other, and Jaharis provides for that.”
She ended by thanking members of the Jaharis family
personally. “They have given us space to work,
reflect and grow,” she said.
Archbishop Demetrios’s talk was inspiring. But
first he related how his connection with Tufts extended
back to 1965, when he came to Boston for graduate school
and suffered from neck pain. A doctor at New England
Medical Center examined him. “Then he said to
me, ‘You know, it’s a simple thing. Change
your pillow,’ ” reported the archbishop,
pausing to let laughter fill the hall, and glancing
up bemusedly. “For the past 37 years, I have had
no pain.”
Without missing a beat, Demetrios turned serious, calling
the Jaharis Center’s goal of improving world health
“a very noble and a very sacred mission.”
He proceeded to track the meaning of what he termed
“this beautiful species, the benefactor”
down through the ages, citing its classical, Hellenistic
roots, its central role in the Judeo-Christian tradition
and its place in American life. The Jaharis family,
he suggested, had benefaction in its genes.
Dr. Steven Jaharis’ remarks on behalf of his family
proved brief and affecting. As at the groundbreaking
three years ago, Jaharis fondly invoked the memory of
his grandfather, “Papou,” a Greek immigrant
who landed penniless in Boston in 1908. “He knew
a Greece of poverty, but he rolled up his sleeves and
worked,” providing for his children and pointing
the way to a better life, Jaharis said. “I can’t
help but think of Papou, who might have walked past
this very spot in 1908. And it is my hope that someday,
perhaps many years from now, my children’s children
and your children’s children will walk past this
site and recognize that extraordinary medical breakthroughs
occurred here.”
Then the program concluded and the assemblage poured
into the dark street outside, where, floodlit and still
bearing the scent of new construction, the magnificent
building and all its promise awaited.
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Redefining
a Sacred Space
by Bruce Morgan
On the Tufts’ Medford/Somerville campus, an appreciation
for preserving the past was recently brought to bear
on one of Tufts’ most treasured historic buildings.
Goddard Chapel, built in 1882, reopened in January following
its first extensive restoration. There’s a new
dash of color and definition in the chapel’s massive
grey-blue stones, repointed and cleaned for the first
time in more than a century. In tribute to Charles Tufts’
legendary vision for the fledgling college, a beacon
light also was installed at the top of the bell tower.
“From a distance there will always be a ‘Light
on a Hill,’ ” said University Chaplain Reverend
David O’Leary.
Perhaps the most dramatic improvements can be seen inside,
where architects, working from a late nineteenth-century
photograph, have brought back the building’s natural
beauty. The stained glass memorial windows have been
cleaned and two amber Tiffany windows, discovered in
the basement, were returned to their original place
in the front of the chapel. Screening was removed from
the front of the organ to expose handsome copper pipes
and the ceiling of the worship space was stripped of
blue paint to show off the radiant warmth of oak.
Built in a modified Romanesque style, Goddard Chapel
was widely admired in its early days for its unusual
design paired with its commanding setting on the Hill.
Today, the chapel, which once could contain a gathering
of the entire Tufts College faculty, remains popular
among students for religious services and concerts.
It’s also a long-standing favorite among alumni
for weddings. In recognition of the chapel’s historic
importance and to ensure its future, a Friends of Goddard
Chapel Society has been established. And starting in
July, every first Saturday of the month will be reserved
for Tufts alumni to renew their wedding vows.
“Everyone who worked on the restoration of the
chapel fell in love with Goddard,” said O’Leary.
“I hope many people will stop in to see its beauty
once again. We are so pleased that this beautiful building
has been restored with such care to its remarkable details.” |
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A Marathon Challenge
When President Lawrence S. Bacow
laces up his running shoes for the Boston Marathon on
April 21, he’ll be racing not only for his own health,
but to support an innovative new fitness program at Tufts.
Bacow, leader of the 25-person Tufts contingent at the
107th Boston Marathon, will be raising money for the new
Personalized Performance Program, a health and fitness
program for Tufts students, faculty and staff. The program,
believed to be the first of its kind, draws on Tufts’
expertise and resources in nutrition, physical education
and health services.
“It’s so important that our students maintain
an active and healthy lifestyle,” said Bacow, well-known
for his 6 a.m. running regime. “The Personalized
Performance Program is an interdisciplinary approach to
guiding Tufts students and supporting their individual
fitness needs. With the support of Tufts alumni and friends,
this program could help every Tufts student meet his or
her own fitness goals.”
The program grew out of a desire to improve fitness services,
as well as to work collaboratively with Tufts’ health
experts. Athletics Director Bill Gehling, Assistant Athletics
Director Branwen Smith-King, and Mike Pimentel, director
of the Lunder Fitness Center, had long noted strong student
interest in staying fit; some 600 students work out in
the fitness center each day.
At the same time, Tufts researchers were contributing
groundbreaking information about student health. The Longitudinal
Health Study, directed by Christina Economos of the Gerald
J. and Dorothy R. Friedman School of Nutrition Science
and Policy, for instance, is finding that students have
“not-so-healthy” lifestyles. The study measures
a range of student health indicators, from dietary intake
and physical activity to bone mass and heart disease.
Its preliminary findings argue for comprehensive intervention
strategies.
“We began by thinking about improving our delivery
of service, and then, it seemed there was a greater opportunity
to take advantage of research at Tufts in terms of total
wellness,” said Pimentel, particularly given advancements
from the Medical School, and the Friedman School of Nutrition
Science and Policy, and the Jean Mayer USDA Human Nutrition
Research Center on Aging. “A lot of schools have
a fitness component, but Tufts has a potential to do something
more remarkable if we integrate it with research being
done here at Tufts.”
Building support has not been difficult. This fall, the
program got under way with the endorsement of the Board
of Athletic Overseers and President Bacow. Across Tufts,
other departments threw in their sponsorship as well.
The customized fitness program also found ready supporters
among the community; with just word-of-mouth advertising,
more than 60 participants signed up this fall. The program
begins with a consultation with a personal trainer and
setting goals; participants are also introduced to Tufts
fitness programs, including weight-lifting, spinning and
yoga.
Judging from the initial response, the Tufts Personalized
Performance Program could easily grow, but it will need
an infusion of funds. Right now it is able to accommodate
at most 100 clients and charges a $25 fee per session
(the first five sessions are free to students).
The Boston Marathon provided an opportunity to heighten
awareness about the program, according to Bacow, who is
running in his second marathon. John Hancock Financial
Services has contributed to the cause by donating marathon
running numbers for 25 Tufts runners who are hoping to
raise money to support the program’s growth.
Bacow and his wife, Adele Fleet Bacow, will host a dinner
at Gifford House the night before the marathon for students,
alumni and other members of the Tufts community who will
be running in the race. Anyone interested in sponsoring
Bacow or the other runners who are raising money for the
program should e-mail Athletics Director Bill Gehling
at bill.gehling@tufts.edu
or call the Athletics Department at 617-627-3232. Anyone
interested in joining Bacow and his team to run the marathon
should contact Gehling for more information. |
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(photo
by Richard Sobol) |
An Exhibition of Song, Images
and Surprise
The Tisch Gallery this winter will
showcase photographs of a remote African community and
its musical traditions. Abayudaya: The Jews of Uganda,
features more than 80 color photographs by Richard Sobol,
combined with recordings of traditional music made by
Rabbi Jeffrey Summit, director of the Hillel Foundation.
Longtime friends, Summit and Sobol, a 1976 graduate of
the joint Tufts/
School of the Museum of Fine Arts program, traveled to
Uganda to document the community and develop not only
an exhibition but a book as well. Abayudaya: The Jews
of Uganda, includes a CD of field recordings and
liner notes by Summit that capture the rich cross-cultural
mix of African and Jewish sound. The book was published
in the fall of 2002 by Abbeville Press.
“I love the way that the Abayudaya Jewish community
challenges so many stereotypes about what it means to
be Jewish,” said Summit, an ethnomusicologist. “Here
we have a deeply committed group of Bantu people leading
deeply committed Jewish lives, observing Shabbat, keeping
kosher, observing all the holidays. They are drawn to
Jewish practice through their love of Torah and their
commitment to the unity of the Jewish people. While the
Abayudaya survived persecution and repression during the
brutal rule of Idi Amin, they now have strong, productive
relationships with their Muslim and Christian neighbors.
This is a story of hope, of faith and commitment.”
For photojournalist Richard Sobol, whose assignments have
included photographing the mountain gorillas of Uganda
and the great gray whales off the east coast of Mexico,
the exhibition grew out of a singular experience three
years ago. A friend happened to play a recording of the
Hebrew prayer “Lecha Dodi” (“Welcoming
the Sabbath”) sung by the East African singers.
“I couldn’t believe it was for real,”
he recalled. “There was no African context to imagine
a group of orthodox practicing Jews that were virtually
unknown. From there, my interest grew deeper and deeper.”
To recapture that experience in the gallery, Abayudaya
music of worship and celebration will be integrated into
the exhibit. Listening stations at strategic locations
will provide visitors an unusual opportunity to simultaneously
experience cultural context for the music and the photographs.
“The instrumental music and the community’s
singing in Hebrew and Luganda join with the photographs
to add depth and vibrancy to the portrayal of this unique
community,” said Summit.
The project, funded by philanthropist Dr. Bob Shillman
and Tufts, is expected to travel to other institutions,
including Plymouth State College and Choate Rosemary Hall.
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It Takes a Village
By using a model that focuses on
what’s going right, not wrong, health programs around
the world are gaining new ground
by Janet Waltzer
"Positive” and “deviance”
are two words that seemingly don’t belong together.
But when melded, positive deviance transforms into a development
concept that is being applied to nutrition problems across
the globe—and changing people’s lives.
Positive deviance (PD) became a recognized concept in
the nutrition community as a result of the work of Tufts
nutrition professor Marian Zeitlin in the late 1980s.
For those in the field who now use PD, Zeitlin is considered
the “pioneer,” says F. James Levinson, director
of the International Food and Nutrition Center at the
Gerald J. and Dorothy R. Friedman School of Nutrition
Science and Policy. Levinson also notes a resurgence of
interest in PD at Tufts in the last couple of years, which
reflects the soundness and integrity of the concept and
the growing number of students and faculty who relate
to its intuitive approach.
Zeitlin believes a quote from nutrition colleague Mark
Hegsted in 1967 is the earliest reference to the idea
that ultimately would be called positive deviance: “We
should pay more attention to the reasons for nutritional
success than for nutritional failure.” Zeitlin was
doing just that in her research—examining why some
children in poor communities were better nourished than
others.
This focus on success versus failure is the driving force
behind positive deviance, an approach to solving social
or behavioral problems by identifying who in a community
is able to manage problems by using existing resources.
These individuals are termed “positive deviants”
because they have found solutions through specific behaviors
or practices, even though the majority of their neighbors
have not. After these individuals and practices are ascertained,
an intervention is designed so that the rest of the community
can begin to learn this new model.
“Once folks are told about the concept and the vocabulary,
it’s, ‘I’ve done that in my work—I
never had a name for it,’ ” says Jerry Sternin,
a visiting scholar who has devoted the last 12 years to
PD and recently created the Positive Deviance Initiative
at the nutrition school with support from the Ford Foundation.
While Zeitlin has done numerous research studies focused
on PD, Sternin, and his wife, Monique, in association
with the children’s advocacy organization Save the
Children, have been using the community as their central
point.
Vietnam was where the watershed moment occurred. It was
there in 1991 that PD was used on a large scale and proved
to be extremely successful. More than 65 percent of all
children living in the poorer villages were malnourished
at the time. The Vietnamese government realized that the
results achieved by traditional supplemental feeding programs
were rarely maintained after the programs ended. This
acknowledgment prompted officials to contact Save the
Children for a more permanent solution. Jerry Sternin,
then director of Save the Children, recalls, “We
needed to come up with a model to have the community take
control of their nutritional status.”
Enter positive deviance. It was known that some of the
poorest families in this area of Vietnam actually had
children who were adequately nourished. By using what
is called a “positive deviance inquiry,” villagers
were able to observe how these poor families were making
this happen. It turned out that mothers and caretakers
of the well-nourished children were finding tiny shrimp
and crabs in the rice paddies and adding these, plus greens
from sweet potato tops, to the children’s meals.
Despite these foods being accessible to everyone, most
of the community viewed them as inappropriate and harmful
for young children.
From this discovery came the intervention. The mothers
and caretakers went to a neighbor’s house daily
for two weeks every month, where they learned to cook
new recipes that their own children then ate right there.
The mothers/caretakers were also given information about
health and child care practices. When the two weeks were
over, the mothers/caretakers continued on their own using
the new practices and knowledge. Those children who did
not reach normal nutritional status after two weeks were
placed in the following month’s session. After the
pilot study, which lasted two years, malnutrition had
decreased by an amazing 85 percent.
Ten years after this first application, the intervention
has become a national model that has extended to 250 Vietnamese
communities and helped rehabilitate an estimated 50,000
malnourished children under age 5.
PD works because “through this process, the community
owns it and sees how it happens,” notes Stephanie
Ortolano, a doctoral student in the Food, Policy and Applied
Nutrition (FPAN) program and one of the Sternins’
research and teaching assistants. In other words, it is
not a development approach whereby so-called experts come
into a community and decide what the best solution is
to the problem. The solution resides within that particular
community and is based on appropriate practices and behaviors.
The success of PD is due to its being “an assets-based
approach…on what’s going right versus going
wrong,” says Karin Lapping, a doctoral student in
the FPAN program and the worldwide PD coordinator for
Save the Children. Lapping adds that PD “fails if
programmatically, there are problems, or if the issue
wasn’t appropriate for PD.”
Sternin echoes Lapping’s assessment by detailing
specific parameters for using PD, such as identifying
people in a community who are solving the problem without
any special resources. Additionally, the magnitude of
the problem must warrant a PD application because it is
time-consuming and requires extensive human resources.
“If we’re trying to rehabilitate 20 malnourished
kids, we wouldn’t use it,” explains Sternin.
Instead, “we would provide supplemental feeding
or whatever is necessary. But if the objective was to
enable their parents to sustain their kids’ enhanced
nutritional status and prevent malnutrition in a community,
then yes.”
Positive deviance has been so effective that it is now
being used to address diverse issues such as childhood
anemia, female genital mutilation eradication and condom
use among commercial sex workers. In association with
Save the Children in Egypt, Levinson and nutrition graduate
student Mahshid Ahrari are testing the use of PD for improving
pregnancy outcomes in Egypt—an idea developed by
Deepa Bhat, N01, and the subject of her lecture before
the UN Subcommittee on Nutrition in 1999.
Through a PD inquiry, Levinson and team found three characteristics
that distinguish women who have successful pregnancies:
They tend to get more rest, receive more prenatal care
and manage to keep free of intrauterine infection. Once
these characteristics were identified, it was time to
find out in detail just how these mothers (i.e., the positive
deviants) did it. They found, for example, that women
who were able to pay for prenatal care appointments often
did so by selling some of their wheat or even their own
jewelry. Levinson and team are now doing a pilot study
to test the effectiveness of an intervention designed
from the PD inquiry.
One goal of the Positive Deviance Initiative is to train
a cadre of PD practitioners and trainers. The ball is
already rolling with the “Positive Deviance for
Practitioners” course taught at the Friedman School
of Nutrition Science and Policy, which requires students
to do local projects using the PD model. Teaching assistant
Ortolano notes that “half the course members are
now out in the world doing PD”—a signal that
more solutions to the world’s problems are on the
way.
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