South-to-North, Cross-Disciplinary Training in Global Health Practice: Ten Years of Lessons Learned from an Infectious Disease Field Course in Jamaica

Henroy P. Scarlett Department of Community Health and Psychiatry, and Office of the Vice Chancellor, University of the West Indies, Mona, Kingston, Jamaica; Department of Global Health, College of Public Health, University of South Florida, Tampa, Florida; Department of Geography, and Graduate School of Public Health, San Diego State University, San Diego, California; School of Public Health, Department of Biostatistics, Environmental Health Science and Epidemiology, Kent State University, Kent, Ohio; U.S. Military HIV Research Program Naval Health Research Center, San Diego, California; Institute for Global Health, and Department of Pediatrics, Vanderbilt University School of Medicine, Nashville, Tennessee

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Richard A. Nisbett Department of Community Health and Psychiatry, and Office of the Vice Chancellor, University of the West Indies, Mona, Kingston, Jamaica; Department of Global Health, College of Public Health, University of South Florida, Tampa, Florida; Department of Geography, and Graduate School of Public Health, San Diego State University, San Diego, California; School of Public Health, Department of Biostatistics, Environmental Health Science and Epidemiology, Kent State University, Kent, Ohio; U.S. Military HIV Research Program Naval Health Research Center, San Diego, California; Institute for Global Health, and Department of Pediatrics, Vanderbilt University School of Medicine, Nashville, Tennessee

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Justin Stoler Department of Community Health and Psychiatry, and Office of the Vice Chancellor, University of the West Indies, Mona, Kingston, Jamaica; Department of Global Health, College of Public Health, University of South Florida, Tampa, Florida; Department of Geography, and Graduate School of Public Health, San Diego State University, San Diego, California; School of Public Health, Department of Biostatistics, Environmental Health Science and Epidemiology, Kent State University, Kent, Ohio; U.S. Military HIV Research Program Naval Health Research Center, San Diego, California; Institute for Global Health, and Department of Pediatrics, Vanderbilt University School of Medicine, Nashville, Tennessee

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Brendan C. Bain Department of Community Health and Psychiatry, and Office of the Vice Chancellor, University of the West Indies, Mona, Kingston, Jamaica; Department of Global Health, College of Public Health, University of South Florida, Tampa, Florida; Department of Geography, and Graduate School of Public Health, San Diego State University, San Diego, California; School of Public Health, Department of Biostatistics, Environmental Health Science and Epidemiology, Kent State University, Kent, Ohio; U.S. Military HIV Research Program Naval Health Research Center, San Diego, California; Institute for Global Health, and Department of Pediatrics, Vanderbilt University School of Medicine, Nashville, Tennessee

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Madhav P. Bhatta Department of Community Health and Psychiatry, and Office of the Vice Chancellor, University of the West Indies, Mona, Kingston, Jamaica; Department of Global Health, College of Public Health, University of South Florida, Tampa, Florida; Department of Geography, and Graduate School of Public Health, San Diego State University, San Diego, California; School of Public Health, Department of Biostatistics, Environmental Health Science and Epidemiology, Kent State University, Kent, Ohio; U.S. Military HIV Research Program Naval Health Research Center, San Diego, California; Institute for Global Health, and Department of Pediatrics, Vanderbilt University School of Medicine, Nashville, Tennessee

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Trevor Castle Department of Community Health and Psychiatry, and Office of the Vice Chancellor, University of the West Indies, Mona, Kingston, Jamaica; Department of Global Health, College of Public Health, University of South Florida, Tampa, Florida; Department of Geography, and Graduate School of Public Health, San Diego State University, San Diego, California; School of Public Health, Department of Biostatistics, Environmental Health Science and Epidemiology, Kent State University, Kent, Ohio; U.S. Military HIV Research Program Naval Health Research Center, San Diego, California; Institute for Global Health, and Department of Pediatrics, Vanderbilt University School of Medicine, Nashville, Tennessee

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Judith Harbertson Department of Community Health and Psychiatry, and Office of the Vice Chancellor, University of the West Indies, Mona, Kingston, Jamaica; Department of Global Health, College of Public Health, University of South Florida, Tampa, Florida; Department of Geography, and Graduate School of Public Health, San Diego State University, San Diego, California; School of Public Health, Department of Biostatistics, Environmental Health Science and Epidemiology, Kent State University, Kent, Ohio; U.S. Military HIV Research Program Naval Health Research Center, San Diego, California; Institute for Global Health, and Department of Pediatrics, Vanderbilt University School of Medicine, Nashville, Tennessee

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Stephanie K. Brodine Department of Community Health and Psychiatry, and Office of the Vice Chancellor, University of the West Indies, Mona, Kingston, Jamaica; Department of Global Health, College of Public Health, University of South Florida, Tampa, Florida; Department of Geography, and Graduate School of Public Health, San Diego State University, San Diego, California; School of Public Health, Department of Biostatistics, Environmental Health Science and Epidemiology, Kent State University, Kent, Ohio; U.S. Military HIV Research Program Naval Health Research Center, San Diego, California; Institute for Global Health, and Department of Pediatrics, Vanderbilt University School of Medicine, Nashville, Tennessee

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Sten H. Vermund Department of Community Health and Psychiatry, and Office of the Vice Chancellor, University of the West Indies, Mona, Kingston, Jamaica; Department of Global Health, College of Public Health, University of South Florida, Tampa, Florida; Department of Geography, and Graduate School of Public Health, San Diego State University, San Diego, California; School of Public Health, Department of Biostatistics, Environmental Health Science and Epidemiology, Kent State University, Kent, Ohio; U.S. Military HIV Research Program Naval Health Research Center, San Diego, California; Institute for Global Health, and Department of Pediatrics, Vanderbilt University School of Medicine, Nashville, Tennessee

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Global commerce, travel, and emerging and resurging infectious diseases have increased awareness of global health threats and opportunities for collaborative and service learning. We review course materials, knowledge archives, data management archives, and student evaluations for the first 10 years of an intensive summer field course in infectious disease epidemiology and surveillance offered in Jamaica. We have trained 300 students from 28 countries through collaboration between the University of the West Indies and U.S. partner universities. Participants were primarily graduate students in public health, but also included health professionals with terminal degrees, and public health nurses and inspectors. Strong institutional synergies, committed faculty, an emphasis on scientific and cultural competencies, and use of team-based field research projects culminate in a unique training environment that provides participants with career-developing experiences. We share lessons learned over the past decade, and conclude that South-to-North leadership is critical in shaping transdisciplinary, cross-cultural, global health practice.

Author Notes

*Address correspondence to Henroy P. Scarlett, Department of Community Health and Psychiatry, University of the West Indies, Mona Kingston 7, Jamaica. E-mails: henpscar@gmail.com or henroy.scarlett@uwimona.edu.jm

Authors' addresses: Henroy P. Scarlett, Department of Community Health and Psychiatry, University of the West Indies, Mona Kingston 7, Jamaica, E-mails: henpscar@gmail.com or henroy.scarlett@uwimona.edu.jm. Richard A. Nisbett, Department of Global Health, College of Public Health, University of South Florida, Tampa, FL, E-mail: rnisbett@health.usf.edu. Justin Stoler, Department of Geography, San Diego State University, San Diego, CA, E-mail: stoler@rohan.sdsu.edu. Brendan C. Bain, University of the West Indies HIV/AIDS Response Programme (UWI HARP), Regional Coordinating Unit of the Caribbean HIV/AIDS Regional Training Network, Postgraduate Medical Education Building, University of the West Indies Office of the Vice Chancellor, University of the West Indies Mona, Kingston 7 Jamaica, E-mail: brendan.bain@uwimona.edu.jm. Madhav P. Bhatta, Department of Biostatistics, Environmental Health Science and Epidemiology, Kent State University, Kent, OH, E-mail: mbhatta@kent.edu. Trevor Castle, Ministry of Health, Kingston 6, Jamaica, E-mail: trevicastle@yahoo.com. Judith Harbertson, Military HIV Research Program, Naval Health Research Center, San Diego, CA, E-mail: judith.harbertson@med.navy.mil. Stephanie K. Brodine, Division of Epidemiology and Biostatistics, Graduate School of Public Health, San Diego State University, San Diego, CA, E-mail: sbrodine@mail.sdsu.edu. Sten H. Vermund, Institute for Global Health, Vanderbilt University School of Medicine, Nashville, TN, E-mail: sten.vermund@vanderbilt.edu.

  • 1.

    Aujla S, 2009. Enrollment in Global-Health Courses Doubled over the Past 3 Years, Survey Finds. Chronicle of Higher Education. Available at: http://chronicle.com/article/Enrollment-in-Global-Health/48394/. Accessed October 15, 2009.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 2.

    People's Health Movement, 2008. Global Health Watch 2. London: Zed Books Limited.

  • 3.

    Institute of Medicine, 2009. The U.S. Commitment to Global Health. Washington, DC: The National Academies Press.

  • 4.

    Beaty B, Marquardt M, 1996. The Biology of Disease Vectors. Niwot, CO: University of Colorado Press.

  • 5.

    Garrett L, 2000. Betrayal of Trust: The Collapse of Global Health. New York: Hyperion.

  • 6.

    Smolinski M, Hamburg M, Lederberg J, 2003. Microbial Threats to Health: Emergence, Detection, and Response. Washington, DC: National Academies Press.

  • 7.

    Brewer CA, Berkowitx AR, Conrad PA, Porter J, Waterman M, 2008. Educating about infectious disease ecology. Ostfeld RS, Keesing F, Eviner VT, eds. Infectious Disease Ecology. Princeton, NJ: Princeton University Press, 448–466.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 8.

    Gebbie K, Rosenstock L, Hernandez LM, eds, 2003. Who Will Keep The Public Healthy? Educating Public Health Professionals for the 21st Century. Washington, DC: National Academies Press.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 9.

    UN Millennium Development Project, 2005. United Nations. Available at: www.unmillenniumproject.org/reports/goals_targets.htm. Accessed October 21, 2005.

  • 10.

    Drain PK, Primack A, Hunt DD, Fawzi WW, Holmes KK, Gardner P, 2007. Global health in medical education: a call for more training and more opportunities. Acad Med 82: 226–230.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 11.

    Freedman DO, Gotuzzo E, Seas C, Legua P, Plier DA, Vermund SH, Casebeer LL, 2002. Educational programs to enhance medical expertise in tropical diseases: the Gorgas Course experience 1996–2001. Am J Trop Med Hyg 66: 526–532.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 12.

    Casebeer LL, Grimes J, Kristofco RE, Freeman B, Gotuzzo E, Freedman DO, 2001. Evaluation of the effectiveness of an international diploma course in tropical medicine. J Contin Educ Health Prof 21: 97–102.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 13.

    Crump JA, Sugarman J, 2010. The Working Group on Ethics Guidelines for Global Health Training (WEIGHT). Ethics and best practice guidelines for training experiences in global health. Am J Trop Med Hyg 83: 1178–1182.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 14.

    Kazura JW, Ripp J, Milhous WK, 2011. Back to the future: The American Society of Tropical Medicine and Hygiene, its journal and the continuing commitment to global health. Am J Trop Med Hyg 84: 3–4.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 15.

    Webster-Kerr K, Peter Figueroa J, Weir PL, Lewis-Bell K, Baker E, Horner-Bryce J, Lewis-Fuller E, Bullock Ducasse M, Carter KH, Campbell-Forrester S, 2011. Success in controlling a major outbreak of malaria because of Plasmodium falciparum in Jamaica. Trop Med Int Health 16: 298–306.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 16.

    Davis P, Mello N, 2003. Beyond study abroad: the value of international experiential education. The International Educator 12: 40–48.

  • 17.

    Vermund SH, Audet CM, Martin MH, Heimburger DH, 2010. Training programmes in global health. BMJ 341: c6860.

  • 18.

    Stoler J, Brodine SK, Bromfield S, Weeks JR, Scarlett HP, 2011. Exploring the relationships between dengue fever knowledge and Aedes aegypti breeding in St. Catherine Parish, Jamaica: a pilot of enhanced low-cost surveillance. Res Rep Trop Med 2: 93–103.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 19.

    Minkler M, 2005. Community-based research partnerships: challenges and opportunities. J Urban Health 82 (Suppl 2): ii3–ii12.

  • 20.

    Crump JA, Sugarman J, 2008. Ethical considerations for short-term experiences by trainees in global health. JAMA 300: 1456–1458.

  • 21.

    Vermund SH, Sahasrabuddhe VV, Khedkr S, Jia Y, Etherington C, Vergara A, 2008. Building global health through a center-without-walls: the Vanderbilt Institute for Global Health. Acad Med 83: 154–164.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 22.

    Madon T, Hofman KJ, Kupfer L, Glass RI, 2007. Implementation science. Science 318: 1728–1729.

  • 23.

    Walker B, Barrett S, Polansky S, Galaz V, Folke C, Engstrom G, Ackerman F, Arrow K, Carpenter S, Chopra K, Daily G, Ehrlick P, Hughes T, Kautsky N, Levin S, Maler K-G, Shogren J, Vincent J, Xepapadeas T, de Zeeuw A, 2009. Looming global-scale failures and missing institutions. Science 325: 1345–1346.

    • PubMed
    • Search Google Scholar
    • Export Citation
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