It began with plutonium, the first element ever manufactured in quantity by humans. Fearing that the Germans would be the first to weaponise the atom, the United States marshalled brilliant minds and seemingly inexhaustible bodies to find a way to create a nuclear chain reaction of inconceivable explosive power. In a matter of months, the Hanford nuclear facility was built to produce the enigmatic and deadly new material that would fuel atomic bombs. In the desert of eastern Washington State, far from prying eyes, scientists Glenn Seaborg, Enrico Fermi and thousands of others-the physicists, engineers, labourers and support staff at the facility-manufactured plutonium for the bomb dropped on Nagasaki, and for the bombs in the current American nuclear arsenal, enabling the construction of weapons with the potential to end human civilisation. With his characteristic blend of scientific clarity and storytelling, Steve Olson asks why Hanford has been largely overlooked in histories of the Manhattan Project and the Cold War. Olson, who grew up just twenty miles from Hanford's B Reactor, recounts how a small Washington town played host to some of the most influential scientists and engineers in American history as they sought to create the substance at the core of the most destructive weapons ever created. The Apocalypse Factory offers a new generation this dramatic story of human achievement and ultimately, of lethal hubris. *2020 marks the 75th anniversary of the United States' detonation of nuclear weapons over the Japanese cities of Hiroshima and Nagasaki on 6 and 9 August 1945.

It began with plutonium, the first element ever manufactured in quantity by humans. Fearing that the Germans would be the first to weaponise the atom, the United States marshalled brilliant minds and seemingly inexhaustible bodies to find a way to create a nuclear chain reaction of inconceivable explosive power. In a matter of months, the Hanford nuclear facility was built to produce the enigmatic and deadly new material that would fuel atomic bombs. In the desert of eastern Washington State, far from prying eyes, scientists Glenn Seaborg, Enrico Fermi and thousands of others-the physicists, engineers, labourers and support staff at the facility-manufactured plutonium for the bomb dropped on Nagasaki, and for the bombs in the current American nuclear arsenal, enabling the construction of weapons with the potential to end human civilisation. With his characteristic blend of scientific clarity and storytelling, Steve Olson asks why Hanford has been largely overlooked in histories of the Manhattan Project and the Cold War. Olson, who grew up just twenty miles from Hanford's B Reactor, recounts how a small Washington town played host to some of the most influential scientists and engineers in American history as they sought to create the substance at the core of the most destructive weapons ever created. The Apocalypse Factory offers a new generation this dramatic story of human achievement and ultimately, of lethal hubris.

Most people know Greg Graffin as the lead singer of the punk band Bad Religion, but few know that he also received a PhD from Cornell University and teaches evolution at the University of California at Los Angeles. In "Anarchy Evolution," Graffin argues that art and science have a deep connection. As an adolescent growing up when "drugs, sex, and trouble could be had on any given night," Graffin discovered that the study of evolution provided a framework through which he could make sense of the world.

In this provocative and personal book, he describes his own coming of age as an artist and the formation of his naturalist worldview on questions involving God, science, and human existence. While the battle between religion and science is often displayed in the starkest of terms, "Anarchy Evolution" provides fresh and nuanced insights into the long-standing debate about atheism and the human condition. It is a book for anyone who has ever wondered if God really exists.

For months in early 1980, scientists, journalists and ordinary people listened anxiously to rumblings in the long quiescent volcano Mount St. Helens. Still, when a massive explosion took the top off the mountain, no one was prepared. Fifty-seven people died and the lives of many others were changed forever. Steve Olson interweaves history, science and vivid personal stories to portray the disaster as a multi-faceted turning point. Powerful economic, political and historical forces influenced who died when the volcano erupted. The eruption of Mount St. Helens transformed volcanic science, the study of environmental resilience and our perceptions of how to survive on an increasingly dangerous planet.

For months in early 1980, scientists, journalists and ordinary people listened anxiously to rumblings in the long quiescent volcano Mount St. Helens. Still, when a massive explosion took the top off the mountain, no one was prepared. Fifty-seven people died and the lives of many others were changed forever. Steve Olson interweaves history, science and vivid personal stories to portray the disaster as a multi-faceted turning point. Powerful economic, political and historical forces influenced who died when the volcano erupted. The eruption of Mount St. Helens transformed volcanic science, the study of environmental resilience and our perceptions of how to survive on an increasingly dangerous planet.

In a journey across four continents, acclaimed science writer Steve Olson traces the origins of modern humans and the migrations of our ancestors throughout the world over the past 150,000 years. Like Jared Diamond's Guns, Germs and Steel, Mapping Human History is a groundbreaking synthesis of science and history. Drawing on a wide range of sources, including the latest genetic research, linguistic evidence, and archaeological findings, Olson reveals the surprising unity among modern humans and "demonstrates just how naive some of our ideas about our human ancestry have been" (Discover).Olson offers a genealogy of all humanity, explaining, for instance, why everyone can claim Julius Caesar and Confucius as forebears. Olson also provides startling new perspectives on the invention of agriculture, the peopling of the Americas, the origins of language, the history of the Jews, and more. An engaging and lucid account, Mapping Human History will forever change how we think about ourselves and our relations with others.

Oral health care and medical health care both seek to maintain and enhance human health and well-being. Yet, dentistry and primary care in the United States are largely separated and isolated from each other. Each has its own siloed systems for education, service delivery, financing, and policy oversight. The result has been duplication of effort, a cultural gap between the two professions, and lost opportunities for productive collaboration and better health. On December 6, 2018, in Washington, DC, the National Academies of Sciences, Engineering, and Medicine held a workshop titled Integrating Oral and General Health Through Health Literacy Practices. This publication summarizes the presentations and discussions from the workshop. Table of Contents Front Matter 1 Introduction and Overview 2 Integrating Oral Health, Primary Care, and Health Literacy 3 Systems Thinking, Integration, and Health Literacy as a Catalyst 4 Health Literacy and Care Integration 5 Exploring Pathways to Integration 6 Developing a Research Agenda for Integration 7 Reflections on the Workshop References Appendix A Workshop Agenda Appendix B Biographical Sketches

More than 2 million Americans below age 24 self-identify as being of American Indian or Alaska Native descent. Many of the serious behavioral, emotional, and physical health concerns facing young people today are especially prevalent with Native youth (e.g., depression, violence, and substance abuse). Adolescent Native Americans have death rates two to five times the rate of whites in the same age group because of higher levels of suicide and a variety of risky behaviors (e.g., drug and alcohol use, inconsistent school attendance). Violence, including intentional injuries, homicide, and suicide, accounts for three-quarters of deaths for Native American youth ages 12 to 20. Suicide is the second leading cause of death?and 2.5 times the national rate?for Native youth ages 15 to 24. Arrayed against these health problems are vital cultural strengths on which Native Americans can draw. At a workshop held in 2012, by the National Academies of Sciences, Engineering, and Medicine, presenters described many of these strengths, including community traditions and beliefs, social support networks, close-knit families, and individual resilience. In May 2014, the Academies held a follow-up workshop titled Advancing Health Equity for Native American Youth. Participants discussed issues related to (1) the visibility of racial and ethnic disparities in health and health care as a national problem, (2) the development of programs and strategies by and for Native and Indigenous communities to reduce disparities and build resilience, and (3) the emergence of supporting Native expertise and leadership. This report summarizes the presentations and discussions from the workshop. Table of Contents Front Matter 1 Introduction and Themes of the Workshop 2 Voices of Native Youth 3 Contributors to Resilience 4 Health and Well-Being 5 Addressing Health Disparities Through Education 6 Concluding Comments References Appendix A: Workshop Agenda Appendix B: Speaker Biographies Appendix C: Resources

Since 1965 the foreign-born population of the United States has swelled from 9.6 million or 5 percent of the population to 45 million or 14 percent in 2015. Today, about one-quarter of the U.S. population consists of immigrants or the children of immigrants. Given the sizable representation of immigrants in the U.S. population, their health is a major influence on the health of the population as a whole. On average, immigrants are healthier than native-born Americans. Yet, immigrants also are subject to the systematic marginalization and discrimination that often lead to the creation of health disparities. To explore the link between immigration and health disparities, the Roundtable on the Promotion of Health Equity held a workshop in Oakland, California, on November 28, 2017. This summary of that workshop highlights the presentations and discussions of the workshop. Table of Contents Front Matter 1 Introduction 2 The Past and Present of U.S. Immigration Policy 3 Immigration and the Social Determinants of Health 4 The Voices of Immigrants 5 Reflections on the Workshop References Appendix A: Workshop Agenda Appendix B: Speaker Biographical Sketches Appendix C: World Caf Organizations Appendix D: Statement of Task

Involvement with the juvenile justice system can impact young people's physical and mental health and well-being throughout their lives, as well as the health and well-being of their families and communities. Youth of color are more likely to become involved with the juvenile justice system, and suffer worse outcomes in sentencing, during incarceration, and after release. The National Academies of Sciences, Engineering, and Medicine's Roundtable on the Promotion of Health Equity convened a workshop to discuss the impact that juvenile justice system involvement has on the health and well-being of adolescents, families, and communities of color; examine policies that are successful in improving outcomes; and explore what needs to be done to improve all aspects of encounters with the juvenile justice system. The workshop suggested pursuing alternatives to traditional juvenile justice systems that would allow adolescents to stay in their communities rather than in detention, responding to behavioral problems in youth with interventions that promote health and positive development rather than punishment, and tailoring interventions and programming to participants' cultural background and gender identity. This report summarizes the proceedings of the workshop. Table of Contents Front Matter 1 Introduction and Overview 2 Juvenile Justice and Equitable Outcomes 3 The Effects of Involvement with the Juvenile Justice System 4 Luncheon Panel 5 Alternatives to Juvenile Detention 6 Possible Future Directions 7 Reflections on the Workshop References Appendix A: Statement of Task Appendix B: Workshop Agenda Appendix C: Speaker Biographies

The Roundtable on Obesity Solutions of the National Academies of Sciences, Engineering, and Medicine held a workshop in Washington, DC, on April 6, 2017, titled The Challenge of Treating Obesity and Overweight: A Workshop. The discussions covered treatments for obesity, overweight, and severe obesity in adults and children; emerging treatment opportunities; the development of a workforce for obesity treatments; payment and policy considerations; and promising paths to move forward. This publication summarizes the presentations and discussions from the workshop. Table of Contents Front Matter 1 Introduction 2 Treatment of Obesity and Overweight in Adults 3 Treatment of Obesity and Overweight in Children and Adolescents 4 Treating Severe Obesity in Adults 5 Treating Severe Obesity in Adolescents and Children 6 Emerging Opportunities 7 Workforce and Training 8 Payment Considerations 9 Policy Considerations 10 Involving Communities and Individuals References Appendix A: Workshop Agenda Appendix B: Acronyms and Abbreviations Appendix C: Speaker and Facilitator Biographies

After decades of increases in the obesity rate among U.S. adults and children, the rate recently has dropped among some populations, particularly young children. What are the factors responsible for these changes? How can promising trends be accelerated? What else needs to be known to end the epidemic of obesity in the United States? To examine these and other pressing questions, the Roundtable on Obesity Solutions, of the National Academies of Sciences, Engineering, and Medicine, held a workshop in September 2016. The workshop brought together leaders from business, early care and education, government, health care, and philanthropy to discuss the most promising approaches for the future of obesity prevention and treatment. This publication summarizes the presentations and discussions from the workshop. Table of Contents Front Matter 1 Obesity Trends and Workshop Overview 2 Two Decades of Obesity Prevention and Treatment 3 Early Care and Education 4 Business 5 Physical Activity 6 Treatment Challenges 7 Roles of the U.S. Department of Agriculture 8 The Roles of Foundations References Appendix A: Workshop Agenda Appendix B: Acronyms and Abbreviations Appendix C: Speaker and Facilitator Biographies

Even as the U.S. population becomes steadily more diverse, minorities and women remain underrepresented in clinical trials to develop new drugs and medical devices. Although progress in increasing minority participation in clinical trials has occurred, participation rates do not fully represent the overall population of minorities in the United States. This underrepresentation threatens the health of both these populations and the general population, since greater minority representation could reveal factors that affect health in all populations. Federal legislation has sought to increase the representation of minorities and women in clinical trials, but legislation by itself has not been sufficient to overcome the many barriers to greater participation. Only much broader changes will bring about the meaningful participation of all population groups in the clinical research needed to improve health. To examine the barriers to participation in clinical trials and ways of overcoming those barriers, the National Academies of Sciences, Engineering, and Medicine held a workshop in April 2015. This publication summarizes the presentations and discussions from the workshop. Table of Contents Front Matter 1 Introduction and Highlights of the Workshop 2 Historical Perspectives and Context 3 Scientific Issues: Clinically Meaningful Inclusion 4 Recruitment and Retention Issues: Patient, Provider, Institutional, and System Barriers 5 Potential Best Practices and Policy Options References Appendix A: Workshop Agenda Appendix B: Speaker Biographical Sketches Appendix C: Statement of Task

California and other wildfire-prone western states have experienced a substantial increase in the number and intensity of wildfires in recent years. Wildlands and climate experts expect these trends to continue and quite likely to worsen in coming years. Wildfires and other disasters can be particularly devastating for vulnerable communities. Members of these communities tend to experience worse health outcomes from disasters, have fewer resources for responding and rebuilding, and receive less assistance from state, local, and federal agencies. Because burning wood releases particulate matter and other toxicants, the health effects of wildfires extend well beyond burns. In addition, deposition of toxicants in soil and water can result in chronic as well as acute exposures. On June 4-5, 2019, four different entities within the National Academies of Sciences, Engineering, and Medicine held a workshop titled Implications of the California Wildfires for Health, Communities, and Preparedness at the Betty Irene Moore School of Nursing at the University of California, Davis. The workshop explored the population health, environmental health, emergency preparedness, and health equity consequences of increasingly strong and numerous wildfires, particularly in California. This publication is a summary of the presentations and discussion of the workshop. Table of Contents Front Matter 1 Introduction and Overview 2 California Wildfires: Past and Future 3 Populations Impacted by Wildfires 4 Effects of Wildfires on Human Health 5 The Trials of Recovery 6 Enhancing Operational Response 7 The Impact of Mitigation and Preparedness 8 Reflections on the Workshop References Appendix A: Workshop Statement of Task Appendix B: Workshop Agenda Appendix C: Speaker and Planning Committee Biosketches

There are many connections between human communities and their surrounding environments that influence community resilience and health in the Gulf of Mexico. The impacts of the Deepwater Horizon oil spill on Gulf communities and ecosystems - coupled with the region's preexisting health challenges and environmental stressors - illustrate the need to better understand these connections. In the future, natural and man-made disasters, climate change impacts, and other environmental stressors will present complex challenges to the physical, mental, and social well-being of communities in the Gulf. Understanding the interrelationships among health, ecological, and economic impacts of disasters and other environmental stressors will be crucial to addressing these challenges. Opportunities for the Gulf Research Program: Community Resilience and Health summarizes a Gulf Research Program workshop held on September 22-23, 2014, in New Orleans, Louisiana. The workshop examined opportunities to improve the health, well-being, and resilience of communities in the Gulf region through discussions with about 50 participants with diverse expertise and experience. These discussions identified perceived needs, challenges, and opportunities that align with the Gulf Research Program's mission and goals - particularly its goal to improve understanding of the connections between human health and the environment to support the development of health and resilient Gulf communities. This workshop is expected to lead to the development of additional Program activities and opportunities for the research community. Table of Contents Front Matter 1 Introduction 2 Human Health, Public Health Practice, and Community Resilience 3 Perspectives on Resilient Communities 4 Reducing Risk and Improving Disaster Recovery 5 Building Resilience in the Gulf Region 6 Capacity to Address Environmental Health Risks 7 Long-term Opportunities 8 Lasting Benefit References A--Workshop Agenda B--Statement of Task C--Speaker Biographies D--Workshop Attendees E--Related Funding Programs

Science, technology, engineering, and mathematics (STEM) permeate the modern world. The jobs people do, the foods they eat, the vehicles in which they travel, the information they receive, the medicines they take, and many other facets of modern life are constantly changing as STEM knowledge steadily accumulates. Yet STEM education in the United States, despite the importance of these subjects, is consistently falling short. Many students are not graduating from high school with the knowledge and capacities they will need to pursue STEM careers or understand STEM-related issues in the workforce or in their roles as citizens. For decades, efforts to improve STEM education have focused largely on the formal education system. Learning standards for STEM subjects have been developed, teachers have participated in STEM-related professional development, and assessments of various kinds have sought to measure STEM learning. But students do not learn about STEM subjects just in school. Much STEM learning occurs out of school-in organized activities such as afterschool and summer programs, in institutions such as museums and zoos, from the things students watch or read on television and online, and during interactions with peers, parents, mentors, and role models. To explore how connections among the formal education system, afterschool programs, and the informal education sector could improve STEM learning, a committee of experts from these communities and under the auspices of the Teacher Advisory Council of the National Research Council, in association with the California Teacher Advisory Council organized a convocation that was held in February 2014. Entitled "STEM Learning Is Everywhere: Engaging Schools and Empowering Teachers to Integrate Formal, Informal, and Afterschool Education to Enhance Teaching and Learning in Grades K-8," the convocation brought together more than 100 representatives of all three sectors, along with researchers, policy makers, advocates, and others, to explore a topic that could have far-reaching implications for how students learn about STEM subjects and how educational activities are organized and interact. This report is the summary of that meeting. STEM Learning is Everywhere explores how engaging representatives from the formal, afterschool, and informal education sectors in California and from across the United States could foster more seamless learning of STEM subjects for students in the elementary and middle grades. The report also discusses opportunities for STEM that may result from the new expectations of the Next Generation Science Standards and the Common Core Standards for Mathematics and Language Arts. Table of Contents Front Matter 1 Introduction to the Convocation 2 Envisioning the Possible 3 Achieving the Vision 4 Implications for Research and Policy 5 Breakout Sessions by Topic 6 Breakout Sessions by Sector 7 Comments from Convocation Participants References Appendix A: Convocation Agenda Appendix B: Convocation Attendees Appendix C: Brief Biographies of Committee Members and Presenters

In 2018, the United Nations High Commissioner for Refugees estimated 70.8 million people could be considered forced migrants, which is nearly double their estimation just one decade ago. This includes internally displaced persons, refugees, asylum seekers, and stateless people. This drastic increase in forced migrants exacerbates the already urgent need for a systematic policy-related review of the available data and analyses on forced migration and refugee movements. To explore the causes and impacts of forced migration and population displacement, the National Academies convened a two-day workshop on May 21-22, 2019. The workshop discussed new approaches in social demographic theory, methodology, data collection and analysis, and practice as well as applications to the community of researchers and practitioners who are concerned with better understanding and assisting forced migrant populations. This workshop brought together stakeholders and experts in demography, public health, and policy analysis to review and address some of the domestic implications of international migration and refugee flows for the United States. This publication summarizes the presentations and discussions from the workshop. Table of Contents Front Matter 1 Introduction and Overview 2 Global, National, and Ethical Issues 3 Analytical and Conceptual Issues 4 Issues and Innovations in Population Data Collection and Measurement: Registration and Administrative Data 5 Issues and Innovations in Population Data Collection and Measurement: Survey Research 6 Issues in Research Design and Analysis of Migrant Integration 7 Incorporating Demographic Research in Program Design, Monitoring, and Evaluation 8 Issues and Innovations in Population Modeling and Projections 9 Wrap-Up References Appendix A: Workshop Agenda Appendix B: Workshop Participants Appendix C: Biographical Sketches of Workshop Speakers and Planning Committee Members

Suicide prevention initiatives are part of much broader systems connected to activities such as the diagnosis of mental illness, the recognition of clinical risk, improving access to care, and coordinating with a broad range of outside agencies and entities around both prevention and public health efforts. Yet suicide is also an intensely personal issue that continues to be surrounded by stigma. On September 11-12, 2018, the National Academies of Sciences, Engineering, and Medicine held a workshop in Washington, DC, to discuss preventing suicide among people with serious mental illness. The workshop was designed to illustrate and discuss what is known, what is currently being done, and what needs to be done to identify and reduce suicide risk. Improving Care to Prevent Suicide Among People with Serious Mental Illness summarizes presentations and discussions of the workshop. Table of Contents Front Matter 1 Introduction and Overview 2 Patterns of Risk and the Prevention Landscape 3 Suicide Prevention in Health Care Systems 4 Military Service Members and Veterans 5 Native Americans and Alaska Natives 6 Connecting Prevention Along the Continuum of Care 7 Perspectives on the Future Along the Continuum 8 Ideas from the Breakout Sessions 9 Reflections on the Workshop Appendix A: Workshop Agenda Appendix B: Biographical Sketches

Children with disabilities and complex medical and educational needs present a special challenge for policy makers and practitioners. These children exhibit tremendous heterogeneity in their conditions and needs, requiring a varied array of services to meet those needs. Uneven public and professional awareness of their conditions and a research base marked by significant gaps have led to programs, practices, and policies that are inconsistent in quality and coverage. Parents often have to navigate and coordinate, largely on their own, a variety of social, medical, and educational support services, adding to the already daunting financial, logistical, and emotional challenges of raising children with special needs. The unmet needs of children with disabilities and complex medical and educational needs can cause great suffering for these children and for those who love and care for them. To examine how systems can be configured to meet the needs of children and families as they struggle with disabilities and complex health and educational needs, the National Academies of Sciences, Engineering, and Medicine held a workshop in December 2015. The goal of the workshop was to highlight the main barriers and promising solutions for improving care and outcome of children with complex medical and educational needs. Workshop participants examined prevention, care, service coordination, and other topics relevant to children with disabilities and complex health and educational needs, along with their families and caregivers. More broadly, the workshop seeks actionable understanding on key research questions for enhancing the evidence base; promoting and sustaining the quality, accessibility, and use of relevant programs and services; and informing relevant policy development and implementation. By engaging in dialogue to connect the prevention, treatment, and implementation sciences with settings where children are seen and cared for, the forum seeks to improve the lives of children by improving the systems that affect those children and their families. This publications summarizes the presentations and discussions from the workshop. Table of Contents Front Matter 1 Introduction and Overview of the Workshop 2 Perspectives from Individuals and Family Members 3 Disability Names and Numbers 4 Children with Serious Medical Conditions and the Behavioral Health Implications 5 Early Identification and Interventions for Developmental Disabilities Emerging in Childhood 6 Early Identification and Interventions for Youth and Adolescents with Serious Behavioral Health Conditions 7 Media and Public Perceptions and Misperceptions of Children with Disabilities 8 Breakout Groups and the Reflections of Moderators References Appendix A: Workshop Statement of Task Appendix B: Workshop Agenda Appendix C: Biosketches of Workshop Speakers and Moderators

A critical component of the nation's economic vitality is ensuring that all Americans can contribute and prosper. Such contributions presuppose an intentional focus on achieving the highest levels of health possible, which requires that conditions in communities, schools workplaces, and other settings promote health and address the social determinants of health for all community members. Many organizations, in both the private and public sectors, have been establishing partnerships to further healthy workplaces and health equity in general. Many are taking the lead in producing economic growth that is inclusive and responsive to the nation's diverse needs and populations. Increasingly, private?public partnerships are emerging as ways of doing business. Additionally, a variety of new developments in health, health care, and community benefits obligations that are part of the Affordable Care Act have contributed to this interest in economic growth and health and in the creation of new partnerships. To examine past successes and future opportunities, the National Academies of Sciences, Engineering, and Medicine held a workshop in November 2015. The workshop focused on the potential of the private sector to produce a triple bottom line: economic opportunity (including workforce development) and growth, healthy work and community environments, and improved employee health. At the same time, participants looked beyond the private sector to public?private partnerships and to public-sector actions that combine opportunities for economic growth and good health for all. This publication summarizes the presentations and discussions from the workshop. Table of Contents Front Matter 1 Introduction and Organization of the Workshop 2 Paying Attention to Disparities 3 Workforce Development Initiatives in the Chicago Area 4 Health Care Opportunities 5 Community-Based Initiatives 6 Major Topics of the Workshop Appendix A: World Caf Models Appendix B: Workshop Agenda Appendix C: Speaker Biographical Sketches Appendix D: Statement of Task

Health care is in the midst of a dramatic transformation in the United States. Spurred by technological advances, economic imperatives, and governmental policies, information technologies are rapidly being applied to health care in an effort to improve access, enhance quality, and decrease costs. At the same time, the use of technologies by the consumers of health care is changing how people interact with the health care system and with health information. These changes in health care have the potential both to exacerbate and to diminish the stark disparities in health and well-being that exist among population groups in the United States. If the benefits of technology flow disproportionately to those who already enjoy better coverage, use, and outcomes than disadvantaged groups, heath disparities could increase. But if technologies can be developed and implemented in such a way to improve access and enhance quality for the members of all groups, the ongoing transformation of health care could reduce the gaps among groups while improving health care for all. To explore the potential for further insights into, and opportunities to address, disparities in underserved populations the National Academies of Sciences, Engineering, and Medicine held a workshop in October 2014. The workshop focused on (1) how communities are using digital health technologies to improve health outcomes for racial and ethnic minority populations, (2) how community engagement can improve access to high-quality health information for members of these groups, and (3) on models of successful technology-based strategies to reduce health disparities. This report summarizes the presentations and discussions at the workshop. Table of Contents Front Matter 1 Introduction of the Workshop 2 Technology and Health Disparities 3 Engaging Providers and Racial/Ethnic Minority Patients in Digital Strategies 4 Examples of Engaging Racial/Ethnic Minority Communities in Digital Health Strategies 5 Policy and Technology Perspectives 6 Synthesis of Workshop Messages References Appendix A: Examples of eHealth Solutions Featured at the Workshop Appendix B: Workshop Agenda Appendix C: Speaker Biographical Sketches

Engineering is poised to make an even greater contribution to society in the next half century than it has made in the past half century. At its annual meeting on September 28-29, 2014, the National Academy of Engineering celebrated the 50th anniversary of its founding. A highlight of the meeting was a forum of distinguished speakers who considered the achievements of the last 50 years and looked toward the potential achievements of the next 50. The Past Half Century of Engineering - and a Look Forward summarizes their presentations. Table of Contents Front Matter 1 Learning from Adversity: Innovation on the Final Frontier 2 Earth as a Resource 3 The Seeds of the Internet - and Its Future 4 The Great Engineering Advances of the 21st Century 5 Energy in the 21st Century 6 Engineering and Medicine 7 Fifty Years of Materials Science 8 Expanding the Community of Innovators Appendix A: Forum Agenda Appendix B: Biographical Information

Many health care providers do not have either the knowledge or the tools they need in order to apply genetic information in their day-to-day practices. This lack of support is contributing to a substantial delay in the translation of genetic research findings, when appropriate, into improvement in patient outcomes within the health care system. Although the need to improve genetics knowledge among health care providers is clear, the best approaches to educating health care providers in a way that produces meaningful changes in clinical practice are not, especially given the competing coursework and training needs that exist in today's increasingly complex health care settings. To examine the potential and the challenges of providing genetics education, the Roundtable on Translating Genomic-Based Research for Health of the Institute of Medicine hosted a workshop on August 18, 2014. The workshop examined a variety of approaches that could improve the teaching of genetics in the graduate and continuing education of health professionals; these approaches included online and interactive instruction, just-in-time approaches, the development of clinical decision-support tools, and the incorporation of genetics requirements into licensing and accreditation. This report summarizes the presentations and discussion of the event. Table of Contents Front Matter 1 Introduction and Themes of the Workshop 2 Myths and Mistakes in Graduate and Continuing Medical Education 3 Educational Approaches 4 Graduate Health Professional Education and Post-Graduate Training 5 Continuing Medical Education 6 Next Steps to Achieve Effective Genetics Education for Health Professionals References Appendix A: Workshop Agenda Appendix B: Speaker Biographical Sketches Appendix C: Statement of Task Appendix D: Registered Attendees