January This Year

Posted on by kiyoshi kurokawa

→Japanese

It has been quite a while since I have last written, not since the New Year.

On January 10th, I travelled to Boston to attend a conference on the future of the Okinawa Institute of Science and Technology Graduate University (OIST). As there are many people on the board who are in Boston and New York, it was the most appropriate location. Mr. Hunt from the UK was also in attendance. The US east coast was covered with heavy snowfalls until the previous day but it calmed down from the 10th.

I stayed in Boston for two nights and then departed for Okinawa. I attended “The 1st International Symposium on Open Energy Systems,” held by OIST, where experiments and demonstrations were shown.

The future of energy policy will move forward to become more diverse, it will use local renewable energy sources and smart grids and increase ‘visualization’ with new App (applications) of energy use. Through this diversification, the awareness of the users of electricity will change, as happened with the rapid change of the internet (http- www- iPhone- iPad) in the 21st century, with an increase in accessibility due to the regulatory reforms, technological innovations and development of new software. Whether it is in the energy sector, politics, or companies, it is imperative that the leader provides a clear direction for the future of the global world affairs.

On the 18th, the Health and Global Policy Institute held its annual Health Summit. Many people participated along with the panelists and the organizers and had a very lively and enjoyable time.

Lots of things happened in the week of the 20th and I went to Sendai. I had the honor of reading the eulogy at the funeral of a friend who was long at Tohoku University. I met with his family, whom I had not seen for some time. The previous evening, I contacted Tohoku University and had a nice dinner with four female scientists representing the university.

On the 27th, I had afternoon tea with three British officials, Anthony Cheetham, the Vice-Chair of the Royal Society, Ambassador Hitchins, and Ms. Elizabeth Hogben, the Head of Science and Innovation at the British Embassy in Tokyo. I enjoyed the elegant afternoon.

On the 30th, the Health and Global Policy Institute had its first breakfast meeting of the year and I gave my annual seminar along with my greetings for the New Year.

This past month has flown by quickly.

December: Many Meetings and Busy Days

Posted on by kiyoshi kurokawa

→Japanese

Following the seminar by Dr. Garrett on December 2nd, the Global Conference on Universal Health Coverage, organized by the World Bank and the Japanese government (1), was held on the 5th and 6th.

President Jim Yong Kim gave an excellent key note speech, and I had the opportunity to speak with him. At the time when President Kim worked at the World Health Organization (WHO), I was the WHO Commissioner, so we knew each other indirectly.

On the afternoon of the 6th, I went to Tokai University where I was Dean of Medical School (1996-2002) for the first time in in last few years and gave a special seminar. On the 7th, there was a conference at the University of Tokyo, hosted by the Graduate School of Public Policy, with the Global Public Policy Network (GPPN) Fukushima Nuclear Power Plant Accident. The moderator was Mr. Nobuo Tanaka, a leading figure in international energy policy.

On the 9th, I had lunch at the French Embassy with Ambassador Philippe Meunier, who is the ambassador in charge of measures against AIDS and Communicable Diseases.

On the 11th, there was a meeting hosted by the Health and Global Policy Institute and held at the international conference center in the Parliament, which welcomed Governor Patrick of Massachusetts of the United States. Professor John Hamalka of Harvard University also participated via Skype. This turned out to be an outstanding conference and the governor seemed very satisfied. In the evening, there was a reception at the US Embassy, hosted by Ambassador Kennedy, there were many people there and it was a bit hectic.

On the 12th and 13th, I attended the Asian Innovation Forum with Mr. Idei, which I have already written about.

On the 14th, I headed to Abu Dhabi. There was a board members meeting of Khalifa University of Science and Technology (KUSTAR) in Abu Dhabi, there I had spent a few days just three weeks ago.

In the afternoon of  the 15th after a break upon arrival, the President of KUSTAR gave a presentation to the three international board members, and the next day, 16th, the board members meeting had a good discussion and future planning.

After lunch, I enjoyed playing some golf at the wonderful Yas Links course, and then headed to the airport.

I returned Tokyo on 17th. After arriving home, I rested a bit and then in the evening had dinner with Erik Solheim at the Embassy of Norway. Mr. Solheim aimed to be a politician since his youth, has been a minister, and has contributed significant work as a Cabinet member of the Government and the world in peace keeping mission of Sri Lanka.

It has been very busy month, but I have been able to enjoy meeting many incredible people.

Abroad in November -4: Taipei, Discussing the Education of Doctors

Posted on by kiyoshi kurokawa

→Japanese

This past spring, I received an invitation from the Society of Internal Medicine in Taiwan to give a lecture. Following this, people involved in nuclear power also invited me to Taiwan. The dates were spaced out by about three or four days, so I was able to make some adjustments and attend both this time.

On the 22nd, I returned from Abu Dhabi and spent one night at home. The next day, I flew to Taipei. Two years ago, I attended the Society of Internal Medicine in Taiwan, and this time I was joined by Dr. Thomas Cooney, the Oregon Chapter Governor of the American College of Physicians. He is very passionate about education.

As the topic was the medical education and training, I commented on the movie, ‘The Doctor’, which is modeled on Dr. Edward Rosenbaum. His family carried on the trait of talented medical doctors, with his son, a distinguished scholar working at the School of Medicine at the Oregon Health and Science University, where Dr Cooney works, and his granddaughter, Dr. Liza Rosenbaum at the University of Pennsylvania as well as a renowned columnist for the New Yorker. What a coincidence! It is worth bringing up many topics as it leads to discussing and listening to interesting stories and things.

We all gave lectures and everyone had great insights into education and research that they have put it into practice.

The next day, I gave a talk to people in the nuclear power sector in Taiwan and some colleagues who had worked on the National Diet of Japan Fukushima Nuclear Accident Independent Investigation Commission also accompanied me.

The series of six installments of The Simplest Explanation of the National Diet of Japan Fukushima Nuclear Accident Independent Investigation Commission received great acclaim. One person commented, “Some words appeared in Kanji (Chinese) characters so it was easy to read and follow the English narratios.”

It is imperative to share the lessons of a major accident like Fukushima Nuclear.

Abroad in November

Posted on by kiyoshi kurokawa

→Japanese

I was very busy during November and I’m afraid I had not updated my blog for a while.

On the 10th of November, I flew to New York City (NYC). After arriving

in the afternoon, I met with doctors who are in clinical training  there. This time, there are about ten doctors joined this time, of which three are women and some with their children along. They are very brilliant young people. Dr. Kuwama, who is an alumnus of the program, was also present. In the evening, I went to see the Broadway musical, Wicked. This is the tenth year it has been on Broadway, and the singing of the two lead women were amazing. Considering the high quality of the performers, I can understand the level of competitiveness and cannot help but be in awe.

The next day, with three friends, I visited the Kinokuniya Bookstore, had lunch with a view of the beautiful garden of MoMA, went to see the special exhibitions of the director of MoMA, Glenn Lowry, whom with I was at the Roppongi Innovation City Forum, and saw the special exhibition of Magritte, and had dinner with the board members of the GHITFUND in preparation for the board members’ meeting the next day. The dinner took place at The River Club, the most  elite and sought after clubhouses in NYC. There are five condos that are $130 million, and Henry Kissinger is one of the current  residents. There is also a tennis court in the basement.

The next day was the first day of the Global Health Innovative Technology Fund (GHITFUND) board members’ meeting. It was established  this past May but it is an innovative mechanism for contributions towards global health, and can be called the first Public-Private-Partnership from Japan, composed of the Japanese government, six companies, and the Bill and Melinda Gates Foundation. It was launched in May and I am currently serving as the Chair of the  Board.

In the afternoon, at the Japan Society,  I sat on a joint panel with the New York Academy of Sciences to introduce the GHITFUND.

After the reception, I attended a late dinner with the board members  of the GHITFUND at the Shun Lee Palace.

New York City was cold and there was even some snow.

The next day, I flew to Narita and made a transfer from there to Kuala Lumpur.

San Diego

Posted on by kiyoshi kurokawa

→Japanese

I came to Coronado, the city next to San Diego. The first reason was to attend the Cell Society meeting. This is the third of the meeting in the past but was unable to join last year because I was in the middle of my duties with the National Diet of Japan Fukushima Nuclear Accident Independent Investigation Commission (NAIIC). It is not my area of specialization but I have come to participate in its first meeting. There have been many results in the clinical cases of adipose stem cell that are interesting from a medical point of view.

In the field of stem cell research, the breakthrough finding of “iPS” by Nobel Laureate Dr. Yamanaka is also a promising area. Although the approach differs from that of modern medicine and some of the findings of the molecular and genetic analysis cannot be accounted for by logical explanations, it is very safe and there are no other effective methods of treatment but we can get results through this approach.

In the West, where modern science was established, until roughly one hundred years ago, there were forms of treatment, such as blood transfusions and phlebotomy that would be unthinkable today. It was also around one hundred years ago that the blood types of ABO were discovered. In research, it is often times the case that new discoveries are made through such experiences.

I made some time to meet with approximately twenty young Japanaese people from Japan who were in San Diego for study abroad programs, research and business. There were many students in undergraduate and graduate programs at the University of California San Diego this gathering was organized around Dr. Maki (PhD) (in Japanese). They are all very bright and seem to be feeling the changes in their awareness that come with living abroad and are in the process of contemplating their future careers. Japan is not the only place where they can become successful and the fact that they are Japanese will not change. I look forward to their next career choices and achievements.

The following day, I gave a seminar at UCSD. It was organized by the UCSD School of International Relations and Pacific Studies (IPRS) and the Rady School of Management. IPRS Professor of Japanese Business, Professor Ulrike Schaede (until last year, Professor Hoshi had been in charge) moderated the seminar. As the topic of the seminar was the Fukushima nuclear power plant accident, it was not only students who were in attendance, but also professors and some Japanese who have been living in this area for a long time. Since two and a half years have passed since the accident and the recent situation has been reported widely throughout the world and there was a lively question and answer session.

In addition to students, there were many people from Japan as well as people from CONNECT (1). After the seminar, there was a reception on the terrace, where we could see a lovely sunset, typical of southern Californian. Afterwards, we had dinner at the local favorite, Sushi Ota, and I had some delicacies such as the sea urchin.

It is very important for young people to gain more experiences abroad and to expand their career choices.

Philadelphia-2: Fireside Chat With Dr. Kiyoshi Kurokawa

Posted on by kiyoshi kurokawa

→Japanese

The main objective of this trip was to attend the two day conference of the Japan America Society of Philadelphia “Health Sciences Dialogue,” which I had been invited to for several times in the past but had not been able to attend. As an organization that connects Japanese　pharmaceutical companies and various bio-venture companies, it has received high acclaim.

A breakfast meeting in Japanese was arranged from seven a.m. primarily for around ten people for Japan and we had a lively and interesting discussion.

The session began at nine a.m. Mr. Ai, the Director of the Public Information Center of the Consulate General of Japan in New York, gave his greetings.

The session and panelists covered the topics of biotech venture and venture capital, focusing on the pharmaceutical sector in the United States and Japan. After lunch was my turn to speak at the eighty minute session entitled, “Fireside Chat with Dr. Kiyoshi Kurokawa: How Can Japan Better Foster Innovation?” I took questions from David Flores (Co-Founder of BioCentury Publications) and Howard Brooks (Partner, Americas Life Sciences Sector Leader, Ernst and Young: I was also able to talk with Glen Giovannetti, who specializes in the same area), and the rest was a question and answer dialogue session with the audience.

Philadelphia is a place to which I have many strong ties. The University of Philadelphia was the first place I lived abroad, and it was in the two years that I spent there that I changed my career from being based in Japan to the world. It was also here that Umeko Tsuda, for whom I have the utmost respect, studied abroad (please search on this site, “Umeko Tsuda”), as well as where Hideyo Noguchi, whom I have touched upon through my work with the Noguchi Hideyo Africa Prize (1) began his global career. It is a place of many fond memories for me.

I was able to spend a fulfilling day here at the session.

The next day, I departed at seven a.m. and after a three-hour drive by car, reached JFK and boarded my flight.

My stay in Philadelphia was a quick but nostalgic, meaningful trip.

From Okinawa -2

Posted on by kiyoshi kurokawa

→Japanese

On Saturday, August 10th, I visited Okinawa again. I attended the ten-year anniversary of the Muribushi Clinical Training Program (in Japanese), which was started by Dr. Seishiro Miyagi and is a pioneering program for dealing with the future of medicine clerkship. I had the honor of giving a speech at the celebration, as I did ten years ago when this program was first established.

After training in this program, many OB/OG alumni from the time of the Okinawa Prefectural Chubu Hospital have gone on to receive further training in the United States, showing that this program is suited for a global Japan and world.

In these past ten years, the required skills of doctors have changed in response to what is happening in the field. There are many outstanding clinicians who are active and appreciated on the global scale, as can be seen in the establishment of the ACP (American College of Physicians) Japan Chapter (1, 2) and the OB/OG of the New York Beth Israel hospital clinical training program.

In my speech, I mentioned the virtuous cycle that is created when people who have received clinical training in such programs pass on their expertise and wisdom to their juniors. It just happened that Dr. Harry Ward, who was a fellow at my time at UCLA, was visiting Okinawa, and I introduced him to everyone, thus creating another virtuous cycle.

On the afternoon of the 11th, Mr. Ichida of BirdLife International showed me around northern Okinawa. He took me to a secret place where butterflies can be observed and to see the Okinawa rail or ‘Yanbaru Kuina’ On this day, twenty-eight Okinawa rails were killed due crashes with cars on roads this year. I was told the number used to be only around ten per year….

On the 12th, I took part in a gathering at the Okinawa Institute of Science and Technology Graduate University (OIST) in order to discuss plans for the future of this new research-based graduate university. We spent the entire day discussing many different issues.

I hope that this will aid the reform of research in Japan.

Some Recent Happenings

Posted on by kiyoshi kurokawa

→Japanese

I have not posted recently though in fact I have been part of several interesting things ever my early breakfast at the British Embassy after an early morning flight from Bangkok on the 31st of May, I have not updated this column.

Anyway, I would like to report that the HGPI and the JCIE jointly hosted the fifth and final installation of the symposium on development in Africa (website in Japanese, Facebook page) in the run-up to the TICAD5. For dinner, I headed to Yokohama with the board of directors for GHIT (Global Health and Innovation Technology), with whom I would be having a meeting the next day. I spent the night at Yokohama.

The GHIT is a rare initiative, combining private and public interests with the Gates Foundation, and has a 5 year program. I get the feeling that it is going to be hard to stand at the helm of this organization.

The next morning started with the meeting of the board of directors, followed by a council meeting and then a press conference, and then I was in Tokyo. I had been invited to talk at the beginning of the ‘Global Agenda Seminar’(blog in Japanese) by Yoko Ishikura, and pretty soon, I had to head back to Yokohama in order to attend the award ceremony for the Hideyo Noguchi Africa Prize.

I welcomed the two recipients, Dr Peter Piot and Alex Cortinho and introduced them to the Emperor and the Empress. I was kept busy by the presentation ceremony and the reception dinner, and was able to go back home only late at night.

So this is what I was doing after returning from Bangkok on the 31st of May and the 1st of June. Considering the fact that it was only two days, I think I managed to accomplish a lot.

On the 2nd of June, I attended the farewell party held in memory of Mineo Nakajima (newspaper article in Japanese and English, Wikipedia page in Japanese), the late founder of the now famous Akita International University. In the short span of 10 years, AIU has earned praise for its mission of educating world-class university students. He was a wonderful scholar, a true educator; we will truly, truly miss him. I join my hands in prayer for this teacher who left us so suddenly.

University of Tokyo President Council in Bangkok

Posted on by kiyoshi kurokawa

→Japanese

After the Kavli Conference at University of Tokyo, I departed Narita Airport on the evening of the 28th for Bangkok to for the President Council. Our host was a member of the President Council, the Royal Highness Chulabhorn of Thailand. I was invited to speak at the entrance ceremony of the University of Tokyo this year, so I participated with feelings of gratitude though my schedule was very tight. From Japan, there was President Hamada, and others of administration of the University of Tokyo, and of the Council members, Professor Emeritus Yoshino of Harvard (he had also faculty position at UCLA in the late 1960s), Mr. Yokoyama, and Mr. Munjal from India, Dr. Raivio from Finland, Hassan Jamil and Rita Colwell. It was my third meeting with Ms. Colwell this year.

We visited the Chulabhorn Research Institute and the Chulabhorn Cancer Hospital next door. The facilities are extensive and research is conducted actively. There is also research on local organisms and aquatic plants from the sea that are effective for treating cancer. In one of the research labs there was a talented young researcher who studied at John Hopkins as an undergraduate and received a PhD from there as well. I wish all the best for future achievements.

The cancer hospital is also relatively new, with one hundred beds, and it is a hospital that specializes in cancer. There were some cherry blossoms decorating the lobby. As this is a new hospital, other than there are plans for expanding it into a center for extracting cancer samples analysing cancer. According to her Royal Highness, the budget has become tight recently and there is difficulty in moving things along.

In the evening, I attended a dinner with her Royal Highness.

The next day, Dean Kiyono gave a presentation on the President Council, several challenges for the University of Tokyo, around the world and research by the Institute of Medical Science on the“rice vaccine,” in which mucosal immunity is induced by inserting antigenic agent into rice. The vaccine does not need to be refrigerated and is a very interesting research concept. The presentation was superb, reflecting his career of twenty years in the United States.

In India, I had met the father of Mr. Munjal, Chairman of the Hero Group (he is currently ninety and very well). He has long been an avid supporter of education and has major plans of establishing Munjal University. It is promising and is likely to actively incorporate many new innovations from the world.

I took a red eye flight back to Haneda, where I landed at 5:45 AM. I returned home to take a shower and then went to the British Embassy for breakfast at 7:20 with the State Minister for Energy and Climate Change, the Rt Hon Edward Davey MP. It is admirable that there is a periodic changing of ministers accompanied with civil servants under the Minister in the UK.

As I felt the other day in West Sussex, British politicians are highly talented and well trained.

The Annual Meeting of the Japan Chapter of the American College of Physicians; Nurturing World-Class Citizens

Posted on by kiyoshi kurokawa

→Japanese

The Annual Meeting of the Japan Chapter of the American College of Physicians (1, 2) was held this year in Kyoto University Clock Tower Centennial Hall and was organized by Professor Shunichi Fukuhara (link available only in Japanese).

The topics this year included clinical education, clinical conference and clinical research, and thanks to the dedicated planning of Professor Fukuhara backed up by the strong support of the current Chapter governor Dr. Kobayashi, was a two-day event, the first of its kind. The participants were mostly aspiring medical students and young doctors.  I feel that this was because many of the speakers are dedicated to their field of clinical education and also because some of the speakers had had clinical training in the USA. All in all, there were around 600 participants, a number I am happy about.

On the first day, every venue was packed with eager participants and their passion came across. In particular, the young people in the crowd seemed to be hungering for this wonderful opportunity to learn more about clinical education and training. Indeed, during the reception, the talk centered around the issues raised in each session. Although I was personally unable to attend all the sessions, I am sure that Drs. Tokuda, Sudo, Takasugi, Kishimoto, Shibagaki, Nagahama and their colleagues livened up the event.

This time round, we were lucky to have Virginia Hood (currently at University of Vermont, she is a specialist in nephrology like me, and I was able to meet her in the autumn of 2011 in Taipei) who was unable to attend the same event in 2011 when she was the President of the ACP because it was held just after the Tohoku disasters. We also had Mitchell Feldman (Chief Editor, Journal of General Internal Medicine, Univ. Calif San Francisco), and they both had sessions with Japanese and English, although I am afraid that we did not have simultaneous interpreting due to financial constraints.

The first day’s last talk sessions were by Dr. Feldman (UCSF) and Dr. Ishiyama (St. Louis), as well as Professor Fukuhara. This was followed by a memorial service held in the memory of Dr. Kazuo Endo (1, both links available only in Japanese) of Okinawa Chubu Hospital, whose contributions to the study of infectious diseases as well as in other fields have been remarkable.The final special session was one commemorating my selection as one of the ‘100 Top Global Leaders 2012’ (Foreign Policy) and my award from the AAAS, bringing a close to the exciting first day.

The Japan chapter of the ACP was finally set up ten years ago in order to meet the need for internists and physicians who would be at home in a rapidly globalizing world. This was also the first Chapter of the ACP outside of the North and South Americas.

As we head steadily for a globalized society, we are finding it increasingly difficult to change the pre-existing Japanese form of organization because of its history and the individuals associated with it. Yet such initiatives which can dovetail harmoniously with the existing frameworks while being different are, I feel, one way of nurturing future global citizens.

The passion that I felt emanating from the young people at the Japan Chapter of the ACP have left me thinking that the best is yet to come, and I found myself praying for the future success of this initiative. After all, developing human resources is a long process.

It was with feelings of regret that I was unable to attend the second day because of prior engagements.