Kiyoshi Kurokawa's blog （en）

Japan-Korea Exchange, Happy Gatherings

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Speech by President Lee on August 15th was for about 20 minutes.  Regarding the relations with North Korea the President expressed 3 strategic steps of partnerships based on ‘Peace’, ‘Economy’, and ‘Korean Reunion’.  I would like to read it if English and/or Japanese translations of the full text were available.

During my stay at Seoul, I was given lots of opportunities to meet people.  To my lecture at the Seoul National University, my old and new colleagues in nephrology, the science of kidney, gathered on the occasion and Dr. Narry Kim (Ref.1,2) a L’Oreal Prize Laureate of the year 2008 kindly came to the confenerce.

In the evening of 13th, the day I arrived at Seoul, I had dinner with Dr. Ju (Ref.1) whom I have introduced to you before.  Dr. Sumio Ishida, the specialist of the history of medicine in Korea (Dr. Ishida has many writings on the history of medical educations in The Netherlands and Korea) and Professor Lee, Heung-Ki (who studies history of hospitals in Korea at the Seoul University) (Dr. Lee’s photo is uploaded at the top of the previous column posting) also gathered and we all celebrated the happy reunion.  Dr. Ju is now 89 years old, but he is still very clear-headed; a truly wonderful person.
 
In the evening of August 15th, we invited a Korean female sophomore student of Waseda University who is currently spending her summer vacation with her family in Seoul.  She used to live in Japan until 5 years old because of her parents’ work and her Japanese is impressive.  Her older brother is studying in Canada.  She is very focused about her career goal and told me that she chose Waseda because of that goal.  She was selected to be a recipient of the scholarship (in Japanese) offered this July by the alumna of Waseda University  (in Japanese). I was very delighted to learn this good news.  I would like to see more and more of such mutual exchanges of young students to take place.

In the morning of 16th, the last day, I came across by chance with Dr. Tsutomu Nakada (in Japanese)(Ref.1) at the Executive Lounge of the Hotel.  I talk to him once in a while over a telephone but he happened to arrive at Seoul the day before yesterday and was leaving for Japan today.  What a coincidence!  This kind of unexpected encounter is apparently one of the hidden pleasures of traveling.  We enjoyed a brief catch ups.

Lunch was with Dr. Han Seung-Soo.  Dr. Han had been appointed to a series of ministers of the Government of Korea, is well known in international arena, was President of the 56th session of the General Assembly of the United Nations (on the very morning of his inauguration ceremony the September 11 happened in NYC….), was a Professor of the Seoul National University.

Dr. Han Seung-Soo published a book ‘Beyond the Shadow of 9/11’  which records one year of his experience as the President of the General Assembly of the United Nations.  This book is a very impressive work which I highly recommend especially to those who seek careers in diplomacy or United Nation and other international istitutions.

Japan and Korea are neighbors.  We share and have long history of deep relations in various fields such as economy, politics, and culture….for over 1,500 years.  We are the most important partner to each other in this globalizing world.  To perceive whatever issue as ‘two neighbor nations in a big framework of the world that is changing dramatically’ and to think accordingly is crucially necessary and important.

This was also one of main messages of my lecture at the Seoul National University which I have reported to you in my previous posting.

NHK TV Broadcast: Global Health- Chatham House

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Recently I have posted a report on ‘From G8 to G20’ meeting on Global Health- Chatham House、London.

I also reported that NHK television crew joined us to cover this meeting.

The NHK made two sets of 30 minutes English programs ‘Asian Voices: Global Health’ based on interviews with the main participants of this meeting.

Dr. Shigeru Omi, former WHO member appears as a guest commentator in ‘Part 1’ and I appear in ‘Part 2’, both hosted by Ms Aiko Doden, who speaks very nice English.

This program will be broadcasted on Cable TV at overseas, but in Japan and elsewhere will appear On-line for several times.

Please check the Cable TV and On-line broadcast schedule （in Japanese） of ‘Part 1 and Part 2’.

‘Part 1’ comes in 6 series starting from 11:10 am, August 7th (Sat) through 7:10 am, August 8th (Sun).

‘Part 2’ consists of 5 series starting from 11:10 am, August 14th (Sat) through early morning; 5:10 am, August 15th (Sun).

I was actually a little nervous when the interview was done without any rehearsals so I imagine that there must be several places here and there that make me blush if I see the video clips (though I haven’t seen it, yet).  But after all, in the Global age, what matters in “English is ‘the content’, ‘to speak’ and not in the least ‘pronunciation’”.

I invite you all to see this program.

Take Leave of Absence from School: Human Resource Development of Web2.0 Era

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On July 31st, I was invited to give a special lecture at Annual Meeting of Japan Society for Medical Education (in Japanese) at Annual Meeting of Japan Society for Medical Education.  The title of my lecture was ‘Take Leave of Absence from School: Human Resource Development of Web2.0 Era’

Before my lecture Dr. Maxine Papadakis, Associate Dean of Student Affairs at UCSF delivered a special lecture.  I happen to have worked with her to write a chapter of ‘Fluids and Electrolytes Disorder’ in the book by Professor Lawrence Tierney ‘Current Medical Diagnosis and Treatment’ (revised every year), the most selling book on medicine in practice for these 10 years.  She is also one of the Editors of the book.  We managed to have a small chat between our lectures.

Dr. Sakae Iwasaki, chair of my lecture, introduced me and said ‘What does this title mean?  I can’t wait to find it out’.

I am sure that many of the frequent visitors of my website will sense some idea from this title.

Here is the summary of my lecture (PDF file, in Japanese).  Do you see what I mean?   I know that some people seem to have really understood my points.

University of Tokyo and Health Policy Institute Co-Organize ‘Global Health Policy Summer Program’

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Global Health is now a hot topic at the University of Tokyo.   In this context, our Health Policy Institute and the University of Tokyo co-organized‘Global Health Policy Summer Program 2010’ (in Japanese.  English version will be posted soon) with participation of about 30 very eager and movited students (including graduate students and those who are currently studying abroad).  I joined this event on the opening day, July 26th, and enjoyed mainly interactive dialogues for 90 min. The session was carried out half in English and half in Japanese.

Everyone spoke up actively which I think resulted in good exchange of views.  After my speech, Professor Kenji Shibuya, the host from the University of Tokyo, gave another session in English.

As always, I asked the participants to send me e-mails, which they responded, so I continue to hear and exchange views even after the event.  Through these correspondences I realized how each student are thinking hard in spite of all sorts of difficulties and uncertainties that they feel because of their strong interest to this topic.  I sincerely wish that their experience in this program will help each of them think about next steps, in whatever way possible, in the future.  I look forward to seeing what sort of policy recommendations they will come up with.

Fly and soar, you future leaders of the Global Health! 

Kidney Center in Hanoi, 10th Anniversary

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In the morning of 9th, after the dialogue session with Mr. Toyama, I left for Hanoi.  This travel is to join the 10th anniversary of the Kidney Center which I helped its foundation with Dr Tang and Dr Ann  whom I have introduced to you last year. This plan is also an outcome of the effort by the International Society of Nephrology (ISN) for these 20 years of focusing its activities to the programs for developing countries

In 1990 the ISN meeting was held in Tokyo.  I have been leading the ISN activities as a committee and executive member and later as the President (1997-99) of the ISN, so I was naturally involved in COMGAN  program in reaching developing countries since its very beginning, and have traveled to Asia and many other parts of the world.  Through various activities such as COMGAN, ISN has succeeded in constructing the networks of people throughout the world for 15 years including kidney specialists in many developing countries of the world.  We celebrated the 50th anniversary of ISN last month although I had to be excused because of other responsibilities elsewhere.

Through more than 20 years of work at Asian Pacific Congress of Nephrology (Ref.1) and other activities, I have expanded my networks with many kidney specialists, medical leaders and scientists in Asia Pacific including Dr Tang and his colleagues,  visited Hanoi and Ho Chi Ming City (former Saigon) a few times, and about 15 years ago we started to make plans for Kidney Center.  The hospitals and clinics then were in terrible conditions that one may hardly imagine.

The Kidney Center is located within the hospital of Ministry of Transportation.  It is an outcome of what we would call today the ‘Public Private Partnership’ between the government of Vietnam and a few corporations of Japan.  Japanese companies did not necessarily pursue　profits, but brought about a big success in creating jobs and enhancing the growth of local businesses.   I attended their 5th anniversary, and now we are celebrating the 10th.  We had a great exciting ceremony with large number of participants.

The accommodation at Hanoi was Intercontinental Hotel. I highly recommend to try this nice elegant hotel which stands by the lake if you have a chance to visit here.

On 11th, I moved to Ho Chi Ming City. Here, everything is much more ‘developed’ compared to Hanoi and was filled with completely different energy.  I enjoyed dinner with my friends here at Cham Charm.  I do not hesitate to recommend this restaurant to you also.

At any rate, every city is filled with motorbikes.  I even saw a whole family riding on one bike. So energetic!

The return flight from Ho Chi Ming City was in the midnight of 11th, so I was able to hear the news of the overall result of the election of the Upper of Japan.  I regret having had to miss watching the World Cup final game.... I congratulate Spain for the victory.

New York City – Wonderful Season, Great Discussions, Reunions With Young Physicians

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After 14 hours’ flight from Seoul, I arrived at JFK Airport.  The weather looked great from above few clouds but it was also a delight to feel the refreshing dry air as I stepped down the steps from the aircraft.  This is clearly the best season of the year in New York.

I headed to Le Meridian located in the Mid-Town Manhattan , the venue of the President’s Council (Ref.1 ) of the University of Tokyo.  You may remember some of my previous postings on this Council.  It was originally founded by former President Dr. Komiyama, is now succeeded by President Hamada.  Last meeting  was held at the Komaba Campus of Todai, which included an initiatives, two separate seminars by two Council members, Bill Emmott-san and by Victor KK Fung-san.

After checking in to the hotel and taking a short rest, I spent a wonderful afternoon in the fresh leaves and soft breeze walking for about an hour in the Central Park 　(Ref.1,2) to MOMA  (it was a pity that the museum was closed because it was Monday), and through the Madison Avenue.

In the evening, a reception was held with the local Todai alumni association joining in (article on this is uploaded in the University archive of June 8th ), and the number of people turned out to be quite large.  I was happy to see several old friends whom I had not seen for a long time and of course was glad to be introduced to many new friends.

On the next day, the President’s Council meeting opened welcoming the members including professors Princess Chulabhorn Mahidol of Thailand, Vartan Gregorian, Rita Colwell, Kari O Raivio, Michael Y Yoshino of Harvard, P Laudichina-san of AT Kearney, Yoshi Yokoyama-san, the former director of McKinsay & Company Inc of Tokyo.

Special guest of this meeting was Dr Rebecca Chopp (Ref.1,2) the President of Swarthmore College.  Main theme was ‘Liberal Arts’ education.  I will write on this further in a separate posting.

In the evening I enjoyed having dinner with young Japanese physicians, some in  medical residency at a medical center in NYC, and their OBs/OGs.  We had nice heated discussions on a variety of topics.  It is my firm belief that to nurture as much as possible those kinds of talents, to encourage more young people to work in broader fields outside of Japan, is so crucially important not only for Japan’s tomorrow but also for Japan to be trusted by other nations of the more and more interconnected world.  To let young people in Japan know about those young (Japanese) people studying and working at overseas, to show them good role models that they can look up to as their short-term future choices, is a very important element in the education of and nurturing young Japanese potentials that are well capable of working in dynamic global world.

Asian Pacific Congress of Nephrology in Seoul

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Just recently I have reported to you about having participated briefly in the meeting of the International Society of Nephrology (ISN) after a long interval.

I returned from Doha to Japan in the evening of June 1st.  Next day, I headed to the Yagami Campus of Keio University to give a lecture as part of the SONY lecture series on Innovation  organized by Professor Mario Tokoro, President of SONY CSL.  The day after, June 3rd, after taking care of several things I flew to Seoul to join the Asian Pacific Congress of Nephrology (Ref.1) held at COEX.  My first program was to appear in the Opening Plenary as co-chair with Professor Ho Yung LEE, the President of APCN.

I truly enjoyed reunions with lots of colleagues who came to participate from Asia-Pacific and countries like US and EU.  During my appointment as Counselor and later as the President of ISN I used to catch every opportunity to travel abroad, so to see many of the young people; many of them whom I met in those days have been turning into leaders in their country and the world, was a tremendous joy for me.  Speaking of myself, I had the honor of receiving the first ‘Priscila Kincaid-Smith Award’  founded at the last meeting two years ago.  Dr. Kincaid-Smith is a renowned Australia based physician and researcher, especially known for her world class contribution in the advancement of nephrology and was elected the first President of ISN from Asian Pacific (she was also the first female ISN President).  I have had the honor of being in touch with her in many occasions.

The reception hosted by President Lee was held at the annex of Walkerhill Hilton  (the garden of Aston House  (the photos are seen in this web site) which is known to many through a popular Korean TV series ‘Hotelier’ .  I hear that this place was built for the meeting of Heads of North and South Koreas.  At the reception I had a great time talking with many old and new friends.

On 7th, left Seoul from Incheon International Airport  to New York JFK, a 14 hours’ flight.

Japan, UK, US, Korea Cancer Clinical Trials International Symposium – A Report

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In my May 29th posting I have reported that we hosted Japan, UK, US, Korea cancer clinical trials international symposium.

A report on this meeting is now uploaded on the web site of Health Policy Institute (in Japanese)

Every session was excellent, but from Japan’s standpoint, the rapid internationalization and growth of Korean clinical trials in the last few years was impressive and very much worth focusing.  Details are illustrated in the slides (especially the latter half, #7 and after) of Professor Yung-Jue Bang of Seoul University, the 3rd presentation in the plenary session (first presentation was by Dr. Miyata of Ministry of Health, second was Dr. Kondo, Chief Executive of PMDA).  Please note that cancer or oncology is now the largest stream of clinical trials in Korea.　

I think that these rapid changes were possible through the excellent co-operations and leadership among government agencies, universities, health care stakeholders, indurstry etc., strong initiatives in prioritization, good decisions and quick actions for internationalization (introduction of international standard systems).

For Japan, the fastest way would be to participate aggressively in multiple international clinical trials right from the early phases, simultaneously.  Understanding, co-operations, and pressure of patients advocacy and their family would be crucially necessary to make it possible.

The so-called ‘Drug Lag’ is not just a problem of regulatory agency, but equally important factors are the speed of decisions of companies and clinical trials process

Japan, UK, US, Korea – Cancer Clinical Trials International Symposium

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On May 25th, in a very pleasant weather, Japan, UK, US and Korea held an international symposium on cancer clinical trials at the British Embassy. At the opening, British Ambassador H.E. Warren, American Ambassador H.E. Roos (see May 27th article of ‘News from the Embassy’, the web site of the American Embassy in Japan), and Minister Hwang, Soon-Taik of Korean Embassy gave speech.  I made remarks as the Chairman of Health Policy Institute of Japan followed by Dr. Agnes Chan  who closed the ceremony as the Goodwill Ambassador of Japan Cancer Society.

Regarding clinical trials, trilateral conference (ICH: International Conference on Harnomization） continued for 20 years. In these years Japan tried to respond to the constant requests by US and Europe to speed up its work, and until just recently the problem of ‘Drug Lag’ was also being called to attention within Japan.
 
Nowadays, world affairs are changing rapidly with increasing participation of Asia and fast growing markets as the background.  FDA of the United States has been sending their staff to China and India for many years to provide training and education so as to make common bases for clinical trials or the common system of approval of new drugs in these emerging markets. This is precisely what I call a strategic action and thinking based on good visions.  Europe is also speeding its participation, and all are working restlessly to become the ‘core of Asia’.

Korea’s rapid change was again clear from their presentation at this conference.   UK, US, and Korea sent their specialists and Japanese participants included President of PMDA and Ministry of Health.  I understand that Japanese government has launched a growth strategy, ‘Life Innovation’, and I am curious to know what sort of strategic policies they would craft.

The programs, participants, references, and reports of the symposium and action plans recommendation to our government and other stakeholders will be uploaded on the web site of ‘Health Policy Institute, Japan’, so I will report to you once they are available.

Four Days in Toronto; ACP, University of Toronto, and So On

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I arrived at Toronto on April 21st.  It is my 3rd visit since last May and October.  This time it is for the annual meeting of American College of Physicians (ACP).  Although I am the Governer of ACP Japan Chapter (Ref.1) , I had to be excused these several years because of my tight schedule and I am very thankful that Dr. Ueno, the Vice Governor who attended there in my place.  I came back to this meeting after some time, but it turned out to be a wonderful opportunity to see lots of old friends and new leaders.  Such encounters are truly nice and heartwarming.

Although Japan Chapter is the only Chapter of ACP outside the Americas our activities are being observed and known by the organization including the head office.   In fact, we were awarded honors for two consecutive years this year.  I think this is very much the result of the hard works of committees on activities of women physicians, professionalism  (in Japanese), and young physicians who lead the clinical educational projects in an effort to increase the number of memberships of residents and students.

This year, 7 new fellows (FACP) were welcomed, Dr. Kobayashi, the new governor elect of Japan Chapter, was appointed to Master (MACP), and Dr. Teramoto, Chair of the Board of Regents of Japanese Society of Internal Medicine, was awarded Honorary Fellow.  I had a great time participating in the ceremony and sharing time with these people.  By a sheer coincidence, I was able to meet also with a few young Japanese physicians who ‘jumped out’ from Japanese ‘Ikyoku system (hierarchical system of physicians organized by the head professor)’ and currently working actively in the United States.  A poster by a resident at Kameda Medical Center was chosen for the poster session.  These activities were awarded also.  Dr. Ohara who supervised this resident doctor also participated.  I was delighted to see all these things happening.

Programs included many topics related to practice, education, residency training in relation with the challenges that clinical practice face today, and each participant was very hotly involved in every session.  In the opening, Dr. James Orbinski working for Doctors Without Borders (Medecins Sans Frontiers)   delivered a wonderful special lecture ‘Equity and Global Health’ which moved the hearts of everyone who listened.

Finding a short free time between various committees, receptions, programs, I managed to visit University of Toronto to have a brief conversation with the President, Dr. David Naylor.  It’s been a year since I talked with him last time.  (Since my appointment was at 5pm on Friday, the last of the week, we enjoyed a lively conversation over a small drink.)  Also, I  met senior faculty of the Munk School of Global Affairs to discuss collaborative projects with GRIPS, been to MARS to talk about the progress of our new Global Health Project with Dr. Peter Singer (I am involved in this, too. We expect to have official press interview on May 23rd), to Gairdner Foundation to seeDr. John Dirks (Ref.1).

As I talked with these people, I touched on the topic of Asahi Newspaper’s (Shinbun)  ‘Globe’ special feature on ‘Canada’ which I have written about in my last posting.  It is such a waste, ‘Mottainai’, not to have this wonderful special feature of Asahi Shinbun translated into English.

All through my four days’ stay at this charming city of Toronto, the weather was wonderful.  I went to the CN Tower, too.  Please enjoy the views from the top of the tower.