11/2010 from Nancy Towle's journal of the African trip
After graduation from Kodai, Jim returned with his family to New Delhi and spent the summer working as an unofficial intern with the agricultural research projects of the Rockefeller Foundation. In the fall he flew to the United States and college in the premedical program at the University of Redlands in southern California. His major distraction from the dominance of science courses and labs was working on the award-winning college newspaper, including being faculty adviser his senior year. Learning to write and edit quickly and succinctly, he says, has been as important throughout his career as any other skill he possesses.
After college, Jim slogged through 8 years of medical, public health, and pediatric training at the Johns Hopkins University and hospital in Baltimore, sustained primarily by his marriage to Karen-Marie Nordberg in 1968. It was a long, focused tunnel, he says, and he missed involvement in all the major social changes taking place in the United States during the late 1960s and early 1970s.
Jim's approach to work and life tends to be broad-based and inter-disciplinary rather than super-specialized. He expected to work internationally much of his career, but the opportunities and choices opening before him dictated otherwise. The one major exception was a 3-month assignment as part of a United Nations sponsored nutritional assessment in rural Bangladesh in 1972 just six months after the country won its independence.
Jim's public health work at the Centers for Disease Control in Atlanta placed him in the middle of the early work on the AIDS epidemic starting in 1982, and he wound up in Washington, DC, as an Assistant Surgeon General and Director of the National AIDS Program Office from 1989 through 1992.
Since leaving the Public Health Service Jim has worked as a vice president for science and public health at the American Medical Association in Chicago, director of the Arizona state health department, and president of the American Social Health Association, a not-for-profit health education organization, in Raleigh, NC. Although Jim officially retired several years ago, he has remained busy as a part-time consultant, volunteer (he is currently on the boards of 3 not-for-profit health organizations), grandfather, and with his photography hobby. He also enjoys camping, hiking, and bicycling.
Karen has been active and busy over the years as wife, mother, and librarian/media specialist. Her employment focus has migrated from school-based media work to special library projects, children's library supervisor, and now branch manager for a local history and genealogy library in Raleigh. Jim and Karen have parented four children (three adopted, each with a unique set of circumstances), and now enjoy special activities and trips with their adult children and 7 grandchildren (ages 1 to 12). They credit their canine companions for any success they have had in raising children; they are particular advocates of West Highland White Terriers.
Both Jim and Karen have been active in their church communities over the years, but they note they have not been doctrinaire, having migrated with their moves around the country from the American Baptist to the Friends, Presbyterian, Southern Baptist (their church was thrown out of the convention for hiring a woman as associate minister), United Church of Christ, and currently Episcopalian denominations.
Earlier Date
Dear Kodai Classmates –
Words cannot describe my frustration at the conflict I faced last year
when I had meetings I needed to attend during the days of our class reunion.
I had really looked forward to seeing all of you, catching up on what
you were doing, and reliving past adventures and misadventures. Just a
few years ago I would have provided an update of my life in terms that
would approximate a job resume or the academic “curriculum vitae.”
Much of that seems less important to me now. I have a greater appreciation
for friendships and the value of relationships – especially for
the importance and value of marriage and a life partner. Karen and our
family have been absolutely the best gifts to me. We enjoy and are close
with all four of our young people (and their spouses) as they approach
and pass 30. Being a Grandpa is wonderful!
I have changed in many ways from our Kodai days. I am still serious and
relatively intense, but considerably more relaxed and fun-loving, and
definitely more at-ease with who I am than I ever was as a younger person.
While I continue to love the structure and challenge of science, I have
a much greater appreciation for the intrinsic value of music and the arts
and the importance of them to humanity. Faith is an important part of
my life but I continue to struggle with organized religion.
The last two decades (my forties and fifties) have been among my best,
but they also have been extremely busy and stressful, especially professionally.
After 14 years living in Atlanta, Georgia, we have enjoyed four years
in Washington, DC (OK – Karen hated living there), five years in
Chicago (kids grown, lots of great restaurants and bakeries within walking
distance of home and office), and are now well into our fifth year in
Arizona. Mark Twain noted that people who had spent a winter in Phoenix
had no need for heaven, and those who had spent a summer here had no fear
of hell. I revel in the beauty of the Sonoran desert and the high country
and the wide-open vistas. This (probably) will be our final move although
public health is an anachronism in this state.
I currently am employed by the Maricopa County Department of Public Health
in charge of the tobacco control and chronic disease programs. Back into
the bureaucracy but involved in challenging and important programs –
and ones where I can see progress being made. But these issues are far
removed from my earlier career that was focused much more on infectious
disease issues and policy. One of the biggest challenges facing the terrorism
events of 2001 and the anthrax scares is how to get politicians to understand
the importance funding public health capacity (I loathe the terms “infrastructure”
and “capacity-building”) for the truly important issues when
the single-minded focus is all on bioterrorism preparedness and response.
Yes, that is important, but not exclusively so when we look at all the
other problems and needs that exist in our society (not to mention the
remainder of the globe). Our leaders are obsessed with the potential for
someone to disseminate a chemical or biological agent in our country but
they support with impunity the right of our large tobacco companies to
market their products of disease and premature death to the people of
all other countries. (Sorry for the diatribe . . . . I get carried away
on this issue.)
I have regrets. I should have spent more time with my family, especially
when the kids were younger. I should have spent more time hiking and camping
and enjoying the beauties of God’s creation. I should have spent
more time building friendships and personal relationships. I should have
eaten less junk food. I should have lived in a country where mangos and
papayas ripen on the trees – but then I would miss the peaches and
blueberries you get here. I should spend more time walking the dogs. I
should spend less time on useless activities such as shaving.
The theme for our Kodai graduation in 1961 – if I remember correctly
– was Kodai Friendships Worldwide. That has been a strong but largely
subconscious part of my life. After a 9-week assignment from the Centers
for Disease Control to the fledgling country of Bangladesh in 1972 (part
of a national nutrition survey to determine if the UN relief operations
could be terminated) I concluded that I would have difficulty adapting
back to work full-time in Asia – and I definitely had qualms about
sending our children to boarding school at an early age. I have found
plenty of opportunity for public health challenges in the United States
– but I also am acutely aware of the global health and economic
and political and social issues and how they are intertwined. Kodai influenced
all of us – and continues to do so with the students and faculty
who have been there over the years. We are blessed to have had that experience!
We have room. Come visit.
– Jim
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