51ÁÔĆć

Public health PhD applications now open with Dec 1 fellowship deadline

Graduate students in Zilber College computer lab. Several women working on desktop computers.

The Zilber College of Public Health is now accepting applications for doctoral training in public health, including epidemiology, environmental health sciences, community and behavioral health promotion, and related areas.

Competitive multi-year fellowships are available. Please apply by December 1, 2023

The Zilber College specializes in advanced, research-oriented training in close collaboration with a faculty mentor, grounded in social and environmental justice. Our research environments include, but are not limited to:

The Zilber College specializes in advanced, research-oriented training in close collaboration with a faculty mentor, grounded in social and environmental justice. Our research environments include, but are not limited to:

Learn more about research at the Zilber College of Public Health.

Questions? Please email us at zcph-info@uwm.edu.


Are Wisconsin businesses size inclusive?

Justin Fermenich in Stone Creek Coffee on July 26, 2023 in Milwaukee.

Customers ask for more room to maneuver, but hurdles are complex

By Alexandria Bursiek Kloehn and Daphne Lemke
Appleton Post-Crescent
August 28, 2023

As part of Justin Fermenich’s bachelor party, his friends took him to a Go-Kart track — only he didn’t fit in the karts.

Instead, Fermenich, a Waukesha resident who is 360 pounds, spent his bachelor party watching his friends drive around the track for 45 minutes, while he sat alone at a table.

“That’s embarrassing, there’s no way around it,” Fermenich said.

His experience is not unique. An estimated 34 million Americans faced weight discrimination in 2019 alone, according to 

This discrimination can look like verbal stigma, denied access to medical treatment, financial inequality and struggles to use local resources like public buses or clothing stores.

When consumers of varied body types walk into shops, restaurants and entertainment venues across Wisconsin, many will face barriers fitting into the space, the seats or the products themselves.

Whether or not business owners mean to exclude people, this contributes to a larger problem of size stigma that affects how Wisconsin’s people navigate their communities.

USA TODAY NETWORK-Wisconsin surveyed readers and talked to consumers and business owners about their experiences and struggles in addressing size inclusivity. Local and national experts also shared insights about the issue and what can be done to address it.

‘Missfitting’ in Wisconsin businesses compromises comfort, accessibility

The Go-Kart track was not the first nor last time Fermenich was unable to fit into a seat. He has had trouble finding seats at restaurants, especially if the space is mostly booth seating, at event spaces and even when he goes to his job.

Fermenich mostly works from home in the IT field, but when he goes into the office, the chairs are not designed to hold his weight.

“I’m raising the chair back up every 20 minutes or so because it just sinks down the hydraulics on it and the arms are not very wide,” he said. “It definitely makes a difference in my day-to-day comfort in the office.”

A 2017  surveyed 296 people prior to and up to 24 months following bariatric surgery. The study explored the ways people in larger bodies experience “stigmatizing cues” or “missfitting,” which is defined as “the need to plan and scan constantly while navigating too-small public spaces.”

The study called the “failure to fit into a physical space” because of body size a “theme” because of how many participants described narrow seating, crowded spaces and tightly spaced restaurants. Participants with a BMI above 30 (when a person is considered medically “obese”) who had not yet received bariatric surgery reported “not being able to fit comfortably into seats on airplanes or in public spaces” at a frequency of 77% and “not being able to find clothes that fit” at a frequency of 84%.

In the USA TODAY NETWORK-Wisconsin survey, which received about 50 responses from consumers and one business owner, respondents also referenced small spaces, including seating, and an inability to find clothing that fits.

A little more than 56% self-identified as larger than what society deems as an average body size.

However, 58% of respondents felt local businesses — including shops, restaurants and offices — were not designed to fit them, citing booths that don’t move, high-top tables and chairs being too high, small restroom stalls and too-narrow aisles.

Additionally, respondents noted a lack of high-quality plus-size clothing and age-appropriate petite clothing, especially in Wisconsin’s smaller communities. Almost 84% said shopping was easier or more accessible at major retailers rather than small businesses.

Some survey respondents suggested a wider variety of seating and clothing options. Others would like to see consideration given to height.

“Everything seems to be geared more for the petite-sized person,” one person, who did not disclose where in Wisconsin they’re from, wrote. “Most clothing stores do not carry clothing long enough for a tall person. If you are a tall person with extra weight, you might as well forget about shopping locally.”

Fermenich said availability of clothing sizes can have a lasting impact. He recalled a time when everybody in the office received matching light-blue T-shirts to celebrate completing a project. However, the matching shirt didn’t come in his size, a 4X, and he instead received a significantly darker blue shirt.

“Everybody was in these light blue colors except for the fat guy in the photo we took,” he said. “They just didn’t consider how that would affect the person wearing the shirt that was a different color than everybody else.”

Weight stigmatization adds to the problem and has impacts regardless of body size

One person answered the USA TODAY NETWORK-Wisconsin survey as a business owner, identifying their business as a restaurant in the Fox Valley, and said they didn’t consider consumer sizes when opening the business.

“If a person is so big they can’t use normal accommodations, then they’re on their own, they can lose some weight,” the business owner wrote.

While this was the only business that responded to the survey, they were not the only person to respond with judgment.

“Everyone I see is wearing clothes and if you’re larger, obviously have no problem finding something to eat,” one person, who defined themselves as “taller than average,” wrote.

Size-based stigma affects more than just people in larger bodies.

According to the American Psychological Association, roughly 40% of U.S. adults reported weight stigma, which increases risk for mental health problems, suicide, disordered eating, health care avoidance and weight gain.

Losing weight isn’t as easy as it sounds. Christy Greenleaf is a kinesiology professor at the University of Wisconsin-Milwaukee and has done extensive research on disordered eating and the psychological and social aspects of weight. Greenleaf said bodies are “not closed systems” and eating less and exercising more to lose weight doesn’t always work.

“This kind of energy balance really doesn’t hold up scientifically, because our bodies are adaptive and so our physiology adapts to energy expenditure and caloric intake,” she said.

Greenleaf said when people try to lose weight, often their bodies will actively work to make it harder by increasing hunger and burning fewer calories with exercise.

“It is unrealistic to expect most people to lose significant amounts of weight and keep it off,” she said. “It has nothing to do with willpower or self-control or discipline or work ethic.”

Instead, she said, weight often has more to do with a person’s physiology, genetics and environment. She added shaming people in larger bodies often works counter productively. A common response to facing tough love at a doctor’s office is to stop going to the doctor. They are also less likely to go to the gym.

“Wouldn’t it be better if we had a world in which people could live happy lives in the bodies that they have and move through the world in a way where they are respected, treated humanely, and where they have opportunity for employment and education?” she asked. “And if they want to engage in physical activity, that there are spaces where they’re welcomed?”

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Study provides clearer view of newborns with opioid withdrawal

Keith Dookeran

By Laura Otto
51ÁÔĆć Report
July 28, 2023

A new study into the race and socio-demographics of newborns with symptoms of opioid withdrawal shows that it is disproportionately higher among white newborns whose mothers are Medicaid enrollees and have the lowest income, compared with Black and Hispanic infants.

The withdrawal condition is called neonatal abstinence syndrome, or NAS.

The study team, led by Keith A. Dookeran in 51ÁÔĆć’s Zilber College of Public Health, confirms similar racial variance found in previous studies of NAS data in the U.S. But Dookeran’s research team dug deeper into more recent data, examining trends across factors that may influence racial differences, such as insurance payer type (private vs. Medicaid), income level, sex of the infant, and hospital size, type and region.

NAS is most often caused when a woman takes opioids during pregnancy, according to the . Symptoms include tremors and seizures, excessive crying, slow weight gain, breathing problems, fever and sweating, diarrhea, yawning, sneezing and trouble sleeping. The  that the average stay in the hospital for infants with NAS was nine days in 2020.

Rising as opioid addiction increases

NAS has increased throughout the U.S. in the past two decades, coinciding with a rise in opioid addiction, and it is thought to be responsible for a substantial and growing portion of resources dedicated to neonatal intensive care units nationwide.

This warranted a closer look at characteristics that may explain the racial disparity, Dookeran said.

The researchers used data from the 2016 and 2019 Kids’ Inpatient Database (KID), distributed by the Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project. It is the largest population-based database of pediatric hospital discharges in the U.S., and results were recently published in the journal .

“Although Blacks and Hispanics in our study were overall more likely than whites to be in the lowest income quartile and on Medicaid,” Dookeran said, “within those specific factors, the data shows that NAS prevalence was highest among whites.”

Disparity by location

In addition, NAS among whites on Medicaid was higher than Blacks or Hispanics regardless of payer-type.

The study further revealed that while higher NAS prevalence overall was observed for rural locations, when further examined by race and hospital location and designation, the highest NAS prevalence was seen in white infants born in hospitals in the Northeastern U.S. with an urban-teaching rather than a rural designation.

In fact, NAS was greater for whites across all factors except for the rural hospital type, where there was no difference between whites and Hispanics, he said.

“It should be noted that racial disparity in pain management is a well-recognized phenomenon in U.S. health care and previous research has reported that Black Americans are systematically undertreated for pain relative to white Americans,” he said. “It’s possible that this phenomenon might contribute to the observed white disparity in our study.”

Collaborators on the study included Dr. Janine Y. Khan and Dr. Chariya A. Christmon from the Ann & Robert H. Lurie Children’s Hospital of Chicago, part of Northwestern University.

Their findings more precisely identify the groups most vulnerable to NAS, Dookeran said. Those groups should be targeted for additional interventions beyond current measures by the U.S. Department of Health and Human Services for prevention and treatment of babies with NAS.

51ÁÔĆć celebrates $20 million gift to the Zilber College of Public Health

Zilber Family Foundation gift announcement. Chancellor Mark Mone speaks a podium in front of a crowd of reporters.

The Zilber Family Foundation presented UW-Milwaukee with the largest single gift in the history of the university.

The record-breaking $20 million gift will advance health equity across the state and help support faculty excellence and student achievement. 51ÁÔĆć’s Zilber College of Public Health is Wisconsin’s only accredited school of public health and one of only 56 such dedicated schools in the country. The college is a leading institution in advancing population health, health equity, and social and environmental justice throughout Milwaukee, across Wisconsin and beyond.

Record-breaking $20 million donation will transform UW-Milwaukee’s College of Public Health

Zilber College of Public Health

By Devi Shastri

July 12, 2023

A record-breaking $20 million gift to the Joseph J. Zilber College of Public Health, announced Wednesday by the University of Wisconsin-Milwaukee, will support faculty and research, create new student scholarships and further the college’s work to combat health disparities in Milwaukee and around the state.

The Zilber Family Foundation’s investment in  will allow the college to invest in public health research and education like never before, leaders of the college and the foundation said. 51ÁÔĆć’s College of Public Health is one of only 56 dedicated schools of public health in the country.

“I think this positions us to be a leading college of public health in the country, hands down,” 51ÁÔĆć Chancellor Mark Mone said.

The gift is a continuation of the foundation’s support for 51ÁÔĆć’s College of Public Health, which launched in 2007 with a $10 million gift from Joseph Zilber.

It also comes at a time when the work of public health experts ― and the challenges they face in doing that work ― are on the state and national stage like never before, from responding to the COVID-19 pandemic to moving the needle on deeply rooted societal and racial health inequities.

Stilp said the foundation chose to invest in the college again because of the great need for public health efforts to reduce health disparities in Milwaukee. The money will allow the college to recruit and retain the “best and brightest” faculty and students to find solutions for problems like childhood lead poisoning tied to the city’s old housing stock, she said.

“It’s an investment in an institution, but it’s really an investment in the community,” Stilp said.

Addressing health through access to safe housing is part of the original goals of the foundation, Stilp said. But it is just one of many public health issues that face the city and state.

Amy Harley, the college’s interim dean, said the college’s faculty brings expertise across a wide range of challenges, from  to  to premature births, all of which will benefit from the donation.

For example, the college has ongoing research on questions of  on social media; what happens when municipalities declare ; the health effects of algal toxins in the Great Lakes; and the importance of fatherhood in the health of families. During the COVID-19 pandemic, associate professor Lorraine Halinka Malcoe developed a partnership between the college and Milwaukee’s Black leaders to create a community-driven response to the disease.

Many of Milwaukee’s well-known inequities are driven by societal forces like income, access to fresh groceries and education, racism and more. Mone pointed to a study that found a  when comparing the relatively affluent 53217 ZIP code to the 53206 ZIP code, which is 8 miles away and where the median household income is $22,468.

“That’s a moral imperative,” Mone said of the findings in relation to the college’s public health work.

The $20 million will be split into two endowed funds: one to support faculty and another to support students.

On the student side, the gift will drive a “substantial stream” of scholarships which Mone said will grow enrollment and make 51ÁÔĆć more attractive to top students.

As a condition of getting the gift, 51ÁÔĆć and the UW System agreed to pay off the lease on the building in the Brewery District where the college is housed, ensuring the college has stable facilities for the future. The payoff would not use funds from the gift.

Stable funding should build on college’s growing success

It’s not common to see a donation of this size going to public health schools, Harley said, especially outside of the world of private universities.

But 51ÁÔĆć’s College of Public Health has seen growing success and prestige in its 16 years. College leaders secured accreditation in a decade, added an undergraduate program to go with the initial graduate programming, and, as of July 1, reorganized to grow from a “school” to a “college” within 51ÁÔĆć.

Now, the endowed gift will give the university stable funding that its leaders say will grow and support students and faculty for years and years to come. That long-term investment will be key, Harley and Stilp said, especially when considering the college’s work to admit and train public health professionals of the future.

Since 2009, the college has graduated 320 students who have logged nearly 65,000 placement hours working in the community. The Master of Public Health program boasts a 96% job placement rate and the doctoral program has a 100% placement rate. In fall 2022, the college enrolled 201 students in total.

51ÁÔĆć’s mission to educate Milwaukeeans and make pathways to college for first-generation students and non-traditional students was another reason why the foundation made the gift, Stilp said.

As is the case with , many of the public health students, especially in the undergraduate program, come from the very populations that face the health inequities the college is working to address, Harley noted. Many are the first in their family to go to college, or are non-traditional students. The scholarships from the Zilber donation will help those who might run into financial barriers, Harley said.

“It does take sometimes different resources to provide access, and also success, to the students who we’re really looking to educate as the future public health workforce,” Harley said. “The ideal people to help with the solutions to some of these really complex problems are people that have seen those problems firsthand.”

Contact Devi Shastri at 414-224-2193 orDAShastri@jrn.com. Follow her on Twitter at.

Zilber Family Foundation gives $20 million to 51ÁÔĆć’s Zilber College of Public Health

UW-Milwaukee Zilber College of Public Health building in downtown Milwaukee.

Today, Zilber Family Foundation presented the University of Wisconsin-Milwaukee’s Joseph J. Zilber College of Public Health with a record-breaking $20 million gift to support faculty excellence and student achievement.

The funding will continue to advance health equity on behalf of the people of Milwaukee by supporting two endowments: the Zilber Faculty Excellence Fund and the Vera Zilber Student Program Fund. It’s an investment in the people who make the program a transformative force in Milwaukee.

Gina Stilp, executive director of Zilber Family Foundation, speaks at UW-Milwaukee’s Zilber College of Public Health on Wednesday. (51ÁÔĆć Photo/Kyle Bursaw)

“Zilber Family Foundation is honored to continue Joe and Vera Zilber’s legacy with a donation of the largest single gift in the history of the University of Wisconsin-Milwaukee – and one of the largest gifts given to a school of public health across the country,” said Gina Stilp, executive director of Zilber Family Foundation. “The $20 million commitment will continue to promote public health, prevent disease and advance health equity in Milwaukee for years to come.”

51ÁÔĆć’s Zilber College of Public Health is Wisconsin’s only accredited school of public health and one of only 56 such dedicated schools in the country. The college is a leading institution in advancing population health, health equity and social and environmental justice throughout Milwaukee, the state of Wisconsin and beyond.

“The Zilber Family Foundation’s landmark gift is a vote of confidence in 51ÁÔĆć and the college’s future. It reinforces our pillars of faculty excellence, top-tier research, student access and achievement,” said 51ÁÔĆć Chancellor Mark Mone. “This extraordinary gift significantly enhances our ability to recruit and retain top faculty members while accelerating and supporting the students who will become our nation’s public health leaders.”

A legacy of support

Zilber Family Foundation was founded in 1961 by real estate mogul Joseph J. Zilber and his wife, Vera, to champion efforts that address basic needs and ensure personal safety, increase access to social and economic opportunity and improve the quality of life in the city of Milwaukee.

In 2007, Joe Zilber donated $10 million to support the development of the UW-Milwaukee Graduate College of Public Health and the opportunity to educate a new generation of public health workers and changemakers. The college was established in Milwaukee’s Brewery District as an intentional force for revitalization and investment – a key priority for Zilber and the Foundation.

“The $20 million investment in the College of Public Health is a new phase in a longstanding partnership built on a shared belief in access to opportunity through education and the importance of health equity,” said Joan Nesbitt, 51ÁÔĆć vice chancellor for university advancement. “With this investment, the Zilber Family Foundation is making a bold statement about the power of public-private partnerships to transform communities. The gift’s impact will reach far beyond Milwaukee, and it positions 51ÁÔĆć as a leader in philanthropic initiatives that transform lives.”

The Zilber College of Public Health is now a thriving asset for the UW System, the Brewery complex and the Milwaukee community. It received accreditation in just 10 years, meeting rigorous standards in curriculum, research, community engagement, and faculty and student recruitment and retention. There has also been a notable economic impact, and since the establishment of the College of Public Health, the neighborhood has become a historic, sustainable pocket of the city, with the college functioning as an engine for engagement and connection.

“This gift is transformative,” said Amy Harley, interim dean of the Zilber College of Public Health. “A gift of this magnitude will launch us to the next level, especially with increased research output and a broader student and alumni base enhancing the public health workforce. The Zilber College of Public Health’s teaching, scholarship and service will have positive impacts in Milwaukee, Wisconsin and beyond.”

Such impacts get to the heart of the gift’s ultimate goal.

“This is an investment in the health and well-being of Milwaukee and the state of Wisconsin, and we look forward to a bright, healthy future together,” Stilp said.