
The Business of Giving
Exploring philanthropy, non-profits and socially motivated business, from the Gates Foundation to your donation. A fresh look at the economy of good intentions.
August 13, 2010 3:32 PM
Seattle forum defines technology's role in development
Posted by Kristi Heim
Ambitions to solve problems of poverty are at an all-time high, especially among organizations dedicated to global development in Washington state. But the public appetite to finance them is not.
The U.S. will have to get more results out of the money it's spending and find innovations that come from technology to help bridge the gap, USAID Administrator Rajiv Shah told a Seattle audience this morning. He spoke to a packed crowd inside St. Mark's Cathedral at an event sponsored by Global Washington.
Shah, the former Gates Foundation executive tapped by President Obama to head international development, has brought the foundation's well known focus on measuring results to the government arm responsible for more than $20 billion in foreign aid.
The administration is living up to its commitment to double the foreign aid budget, he said. But to do that it must prove to taxpayers that the resources are used effectively and that seemingly intractable problems can actually be solved.
"If we can continue to show things are really effective, generate results with the dollars and take efficiency very, very seriously, I believe Americans want to do more," he said.
Shah issued a call to action to Washington state, known for its role in technology, to contribute innovative ideas.
He described a vision of the future in which science and technology, in the form of a tablet computer with an Internet connection, could help a farmer in a remote village get access to information such as market prices, and send photos of pests or diseases outside in asking for assistance.
Chris Elias, chief executive of the Seattle health non-profit PATH, cautioned that it's a mistake to equate innovation with technology. "Too often we think of it in terms of the gadgetry," he said. "You can't do a C-section through a cellphone."
The U.S. is contributing to health problems in places like Africa and India by encouraging the best trained doctors and nurses to leave and work here, said Rep. Jim McDermott, D-Seattle .
"We are sucking that brain power and leaving a huge vacuum in the third world," he said.
Shah said one of the ways the new evidence-based approach has improved programs came from recent efforts to assist Haiti. To boost access to safe water, USAID made it mandatory for trucks providing fresh water supplies to also distribute chlorine tablets to Haitians. Diarrheal disease is now 12 percent lower than it was the day before the earthquake, he said.
Marla Smith-Nilson, executive director of Seattle-based Water 1st International, said she was pleasantly surprised at the forum's message, but she still wanted to hear more about developing human capacity and stronger communities.
"I don't think there's any technology that is going to replace neighbors talking to neighbors about the importance of washing hands and the importance of actually using toilets," she said. "There's nothing that fits in a box on a shelf that is sold in a marketplace that is ever going to replace that kind of learning about public health and behavior change."
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August 2, 2010 11:12 AM
Two Washingtons tie global health to security and jobs
Posted by Kristi Heim
Global health is a national security issue at the leading edge of efforts to reform U.S. foreign policy, a visiting State Department director told a Seattle audience.
Washington state is a center of those efforts to solve global health problems, part of a small but growing industry with good paying jobs and world-class research, Gov. Chris Gregoire and others said.

ARI SHAPIRO/ART DAUBER PHOTOGRAPHY
Anne-Marie Slaughter, director of policy planning at the U.S. State Department, speaking in Seattle.
The Washington to Washington dialogue, which took place at PATH Thursday, highlighted the connections between such national and local efforts. At a time when resources are falling short and many issues are competing for funds and attention, speakers made the case that continuing to invest in improving health of the poor is more than a moral issue. It also helps advance longer term security and development goals.
U.S. "smart power" diplomatic policy now means "focusing not just on what governments do, but on conditions of people within those countries" as equally important, said Anne-Marie Slaughter, director of policy planning at the U.S. State Department.
The president's six-year $63 billion Global Health Initiative is concentrating on the systems needed to improve overall health, rather than individual diseases, she said. Activists recently have criticized the Obama administration's lack of commitment to AIDS funding.
The principles are to do more of what has already proven to be effective, make the health of women and girls a priority, support entrepreneurial approaches to public health, focus on local country ownership and partner with other groups working on the same issues, Slaughter said. A report on Smart Global Health Policy recommended many of those points as part of a long term U.S. strategy.
A review process every four years will integrate the missions of the State Department and the US Agency for International Development and track progress.
Asked how to convince Congress to support the initiative over six years, Slaughter replied "by mobilizing the kind of communities we have here," including "interest among students to do something concrete in global health."
Gregoire said jobs in the life sciences pay on average twice as much as other jobs in Washington state and are "the kind of jobs we need in fields to reinvent ourselves." But the work is also driven by a basic humanitarian impulse, she said, adding "our cherished values of innovation are matched up with our value of compassion."
The next five years in global health is the most critical period. The world has five years left to achieve the Millennium Development Goals agreed to in 2001, but some hard won gains are slipping. "We have the fattest pipeline of new technology we've ever seen," said Chris Elias, CEO of Seattle health nonprofit PATH. But stronger health systems are required to deliver those solutions to people who need them, he added.
Some audience members attending the discussion said clean water must be a key part of any viable health program, since so many preventable diseases are caused by poor sanitation. It's easy to see how water is related to security. Yemen, fertile ground for Al Qaeda, is on the brink of running out of water.
The case of tuberculosis also shows how a disease all but eliminated here can come back and impact local communities. Multidrug-resistant tuberculosis, which has been diagnosed in the state, requires long-term, costly treatment. However, even with such emerging health threats, reports have found the state's public health system inadequate to perform essential functions without dedicated, stable funding.
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July 26, 2010 4:19 PM
The mother forging path ahead for Ultra Rice
Posted by Kristi Heim
Ultra Rice has been in the cooker, so to speak, for a couple of decades, but the product invented in Bellingham and developed by PATH is starting to gain some traction around the world.
Ultra Rice is a fortified pasta that looks, smells and tastes like rice, but packs a variety of micronutrients and was designed to address malnutrition among the more than two billion people for whom rice is a daily staple. It's blended at a ratio of one grain of Ultra Rice to 100 grains of ordinary rice.

JOHN LOK/SEATTLE TIMES
Dipika Matthias, project director for Ultra Rice at PATH.
At this point its future seems more a question of economics than science -- seeding the market for local manufacturers to produce it and governments or other institutions to buy it. The price is 2 to 5 percent higher than regular rice. If the product becomes part of national food programs, research shows, it can start to make a dent in problems such as iron deficiency.
The person leading that effort is Dipika Matthias, project director for Ultra Rice at Seattle global health non-profit PATH, who has a background in health and management. She was previously director of business analysis of Medco Health Systems and Merck Medco.
But what motivates her is thinking about the efforts of mothers to give their kids the food to grow up healthy, she said. She has three kids of her own -- the oldest daughter dreams of becoming a lawyer, her son of playing in the NFL and her youngest daughter of working with animals.

JOHN LOK/SEATTLE TIMES
Dipika Matthias holds grains of Ultra Rice, a pasta made with rice flour, vitamins and minerals, and squeezed through a rice-shaped mold.
"As a mother, my goal is to nurture my children's minds, bodies, and spirits to help them attain their dreams," she writes. "It's my passion to give other moms the power to do the same."
Last month the Health Ministry in Nicaragua passed a resolution to mandate rice fortification, and it's currently assessing how Ultra Rice compares to other fortified products, with results expected soon. Malnutrition early in life has been linked to weaker brain function later on.
With hunger and malnutrition making a comeback here in the U.S., I wonder if some elements of the science that went into Ultra Rice or other such global health solutions can be applied to boost the health of kids in poverty.
On that theme, CityClub will tackle the question of whether global health efforts of Seattle organizations can be used to improve public health in our region in September. Dan Dixon of Swedish Health Services, Seattle Children's Hospital CEO Thomas Hansen, and David Fleming, director of Public Health - Seattle & King County, are among the panelists. More information is here.
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July 8, 2010 10:22 AM
Gates grant funds production of genetically engineered malaria drug
Posted by Kristi Heim
The Institute for OneWorld Health, a San Francisco-based nonprofit, said it has received $10.7 million from the Gates Foundation to begin commercial production of a key ingredient for malaria treatment.
In a partnership with drug company Sanofi-Aventis, the institute will use the Gates grant to prepare for large-scale production and commercialization of semi synthetic artemisinin by 2012.
Semi synthetic artemisinin is produced by a combination of genetic engineering and synthetic chemistry.
Artemisinin, the standard treatment recommended for malaria, is derived from artemisia, an herb found in Chinese medicine from the leaves of the wormwood tree.

TANG CHHIN SOTHY/AFP/GETTY IMAGES
A Cambodian soldier offers blood for a malaria test near the Cambodian and Thai border, where efforts are underway to eliminate a drug-resistant strain of falciparum malaria.
While the parasite that causes the mosquito-borne disease has developed resistance to traditional drugs such as chloroquine, artemisinin in combination with other drugs is considered to be the most effective medication and credited with raising recovery rates globally.
The problem is its cost. Labor intensive extraction drives the price up and out of reach of most people in malaria prone areas such as sub-Saharan Africa.
This scientific paper describes the process, and this article offers a plain English translation of the project to use genetic engineering techniques to create microbes that can mass-produce artemisinin. (The University of Washington is also studying artemisinin's potential in cancer prevention.)
But even a more stable supply may not fully solve the problem of drug resistance when it comes to malaria. U.S. health officials say resistance to artemisinin is spreading.
The World Health Organization (WHO) warned last year that parasites resistant to artemisinin had emerged along the border between Cambodia and Thailand.
The Gates Foundation gave the Institute for OneWorld Health a five-year $42.5 million grant in 2004 to establish and validate a manufacturing process to make artemisinin-type drugs more affordable.
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June 23, 2010 4:20 PM
Allen backs pioneering science to solve conservation issues
Posted by Kristi Heim
What do a prince, a painted dog and Paul Allen have in common?
They are all part of a lab in Botswana that is pushing the science of conservation to new frontiers.
The Botswana Predator Conservation Trust (BPCT) aims to protect free ranging large carnivores such as the African wild dog, cheetah and lion, by understanding their behaviors and communication systems. One of them is the complex code of canine territorial marking (or what domestic dog owners like to call "p-mail").

CHRIS JACKSON/GETTY IMAGES
African wild dogs are the focus of the Botswana Predator Conservation Trust, led by husband and wife team Tico McNutt and Lesley Boggs, one of the longest running large predator research projects in Africa.
Scientists are studying urine deposited by dogs to understand their chemical components and differences in various settings. They combine field work in northern and southeastern Botswana and chemical analysis at a lab in the town of Maun funded by the Paul G. Allen Family Foundation. They want to find out how the chemical compounds relate to the dogs' territoriality.
African wild dogs, also known as "painted dogs" for their distinctive fur, carry scent marks that contain hundreds of organic chemicals, some at minute concentrations. The Allen lab has developed specialized methods to collect and process such samples.

PAUL G. ALLEN FAMILY FOUNDATION
Prince William visits with two scientists, Peter Apps (right) and Lesego Mmualefe (left) at the Paul G. Allen Family Foundation Wildlife Chemistry Laboratory in Maun, Botswana.
The idea behind the BioBoundary project is to use scent markers as artificial territorial boundaries to keep African wild dogs from straying outside of conservation areas, where they risk being hunted, hit by traffic or killed by owners of livestock.
Allen has been funding the Wildlife Chemistry Laboratory in Maun since 2008 with a $3 million, five-year grant.
The wild dogs are among Africa's most endangered species, dwindling from a population of about 500,000 to less than 5,000 today. They are mostly found in Botswana and a few other countries in southern Africa.
The work is also getting support from Prince William of Wales, who paid a visit to the Allen lab last week. The prince is a patron of the Tusk Trust, a philanthropy that funds the Botswana project.
"He and I clearly share a love for Africa and recognize the important work local groups do to protect some of the continent's endangered species," Paul Allen said in a statement.
Initial results of the unique research are promising, said Jody Allen, the foundation president and Paul Allen's sister. Allen's foundation and the Tusk Trust are talking about ways to further the collaboration.
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May 26, 2010 1:49 PM
PATH raises $550,000 aimed at catalyzing health projects
Posted by Kristi Heim
It wasn't the parking garage, but there were plenty of catalytic converters.
For PATH, a Seattle non-profit focused on global health threats such as HIV/AIDS, malaria and TB, Tuesday's annual breakfast to raise money and showcase its work marked a turning point for an organization that had outgrown its Ballard digs and parking garage fundraisers.
Now one of the best funded global health non-profits in the world, PATH brought in more than $550,000 as 776 people attended the event at the Bell Harbor Conference Center turned Africa-themed pavilion. That exceeded last year's total when supporters gathered inside PATH's parking garage and donated more than $525,000.
The event also produced 24 new "Catalyst Circle" members, who pledged at least $1,000 a year for five years, and one new $25,000 donor. The money is used to jump start experimental projects that don't have funding from larger grants.
PATH was the number one recipient of foundation grants in the state in 2008 and the third largest recipient in the country, according to the Foundation Center.
Its growing ambition is evident at the organization's new headquarters inside a gleaming South Lake Union office tower.
"The world is entering a pivotal time," PATH CEO Chris Elias and Chair Molly Joel Coye write in a letter preceding the 2009 annual report. "Never before have we seen such tremendous political and financial support." And along with that support come expectations that are higher than ever, too.
PATH has made big bets on what could be the first malaria vaccine, a redesigned female condom, a fortified pasta called Ultra Rice to boost nutrition and a "one size fits most" diaphragm, among other projects.
About 10,000 children are now enrolled in malaria vaccine trials under PATH's Malaria Vaccine Initiative. The PATH Woman's Condom is also in final regulatory studies to pave the way for FDA approval. Ultra Rice is being introduced into school lunch programs in India and other countries.
And yet some health problems are so challenging they defy any single solution. PATH Kenya program officer June Omollo told the story of her adopted daughter Poline, who died last year at the age of 18.
Poline's mother killed herself when she found out she had HIV. Her father died of AIDS several months later, but not before he raped 12-year-old Poline, infecting her with the virus.
She became an outcast and the virus went undetected until it made her so thin and weak she couldn't lift her shoes. Her teacher contacted Omollo, who took Poline under her wing. With the right medicine she became healthier, attended school and taught a youth group at her church. Despite her incredible progress, she contracted tuberculosis, and her compromised immune system couldn't survive it. She died in the hospital with her school exams on the table, Omollo said.
"I lost a person that inspired me a lot in life," she said. "She made me realize there's so much in life that you can give to someone."
HIV/AIDS and TB are preventable and manageable, so no child should die of them, she said.
For other girls, teenage pregnancy is practically a death sentence. A 15-year-old girl named Eunice who became pregnant was asked to leave school and then forced to leave home. Without job skills or family support, such vulnerable girls often turn to selling their bodies to buy food and eventually contract HIV, Omollo said.
Eunice's parents got in touch with one of PATH's peer support programs, which help families overcome their aversion to talking openly about issues like sex, pregnancy and HIV, and teach problem-solving. Over time, they changed their attitude and asked their daughter to come home, she said.
"We cry with communities, we sing with them, we eat with them and have them reflect on their own situation so they can overcome their own problems," Omollo said.
Many young girls in places like Kenya face an almost impossible burden, one that's very hard to solve if they're abused by their own families and shunned by their schools and communities.
In that broader sense, effective solutions often mean new ideas and approaches that address the cultural, political and economic problems threatening health.
Perhaps this complexity is one reason why speakers at PATH's annual event didn't talk a lot about technology. In fact, I hardly heard the word mentioned. Elias called the group's vision "health within reach through innovation."
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May 24, 2010 4:00 PM
Young generation redefines culture of Microsoft philanthropy
Posted by Kristi Heim
Is Microsoft an incubator for social entrepreneurship?
Over the years, plenty of people have retired from the company to start a second career in philanthropy or to create new enterprises that address social issues.
Microsoft alumni have founded and supported more than 150 non-profit organizations and social ventures working around the world, according to its alumni foundation.
Employee giving and company matching funds totaled almost $90 million last year (employee charitable donations and volunteer time are matched up to $12,000 a year).
Such support has moved well beyond a fringe benefit. To attract the next generation of employees, making a social mission part of the company's DNA has become a vital recruiting tool, said Lisa Brummel, senior vice president for human resources. (She's seated at far left with four employees active in philanthropy)
It's also something she sees as an advantage over competitors.
"There are certain companies that give their employees 20 percent time to spend internally to make the company better," she said, referring to Google. "And there are some companies that give their employees 20 percent time externally to make the world better."
Brummel spoke last week at a first ever Microsoft Accelerator Summit, a round table discussion with media and non-profits focused entirely on corporate citizenship. The participants ranged from an employee of less than two years to CEO Steve Ballmer.
"If you go to employees and say why do you work here.. at the end of the day people buy in and participate in their own mind in our vision and they want to make a difference in society," Ballmer said.
Employees are running non-profits of their own, including the Jolkona Foundation, Givology and CRY America. Xiang Li, a Microsoft product manager and co-founder of education non-profit Givology, said the prospect of making a difference is more important to her than a higher salary.
"The amount of effort I see our employees doing is quite remarkable," Ballmer said. "We want to make sure we enable and support and encourage that."
In fact, the new organizational model that a younger, globally connected workforce demands is one that blends social and commercial goals, and attracts talent with visionary leadership and social mission, Seattle author Rob Salkowitz writes in his book "Young World Rising."
One of the key questions for any company, though, is how to align doing well for society with its business goals.
For Microsoft, areas where the two converge include health, science, education, workforce training and bridging the digital divide, Ballmer said.
In a project called PhotoDNA, for example, Microsoft researchers teamed up with Dartmouth College computer science professor Hany Farid to create a way to identify and filter out known images of child pornography from search engines, based on matching their digital fingerprints provided by law enforcement agencies.
Another project involved deploying 200 sensors throughout the Brazilian rainforest to measure temperature, water vapor and solar radiation, collecting data and designing systems to visualize the effects of climate change.
The Web site Microsoft Hohm helps people calculate their energy use and find ways to conserve, and it's planned in the future as a tool to help manage information about when and where to recharge electric vehicles.
The company's legacy of philanthropy took inspiration from Mary Gates, the mother of Microsoft co-founder Bill Gates and a leader of United Way. "It spread starting from Bill and his family to the company and it sort of became part of our culture," said Pamela Passman, corporate vice president and deputy general counsel (pictured above).
This year, the company ranked 14 on a list of the 100 best corporate citizens by Corporate Responsibility magazine, which evaluated performance on a range of issues such as environment, climate change, employee relations, human rights and philanthropy. Despite the generally favorable review, CR gave Microsoft a cautionary "yellow card" for its involvement in antitrust cases brought by the European Union and U.S. state governments.
Tim Cranton, associate general counsel who worked on the PhotoDNA project, described what he finds unique about the company's culture.
"Microsoft employees truly believe they can change the world with software, even sometimes in an arrogant way, but there is an abiding belief that we can change the world."
I wanted to understand what Ballmer thinks about the legacy of philanthropy in the company and what he plans to do with his own wealth.
"I don't start with what are we giving away but what are we trying to accomplish and what can we get done," he said.
Partnerships with NGOs around the world are key to that strategy, and they include groups such as NetHope, CARE, TechSoup and Goodwill Industries.
On the question of his own philanthropy, Ballmer said he wants to be anonymous and private. "My own world's my own world, so I continue to treat it that way," he said.
While he supports the kind of giving Microsoft is doing, he sounded more pragmatic than visionary. "If you stack it up next to the world's problems, it's got to be money that ignites action."
So what impact are these efforts having on business and society?
For one thing, by investing in IT training programs for unskilled workers, the company gets a lot more feedback about how its products can be improved, said Akhtar Badshah, senior director of global community affairs.
Microsoft is investing significant resources in a program called Unlimited Potential, which combines technology, education and economic development to improve conditions for the billions of people at the middle and bottom of the global economy.
Like many high-tech heavyweights, the company is providing resources to seed its next markets.
"There is no guarantee that that any one high-tech company will benefit in a direct way," Salkowitz writes. Their investments could end up developing fertile markets for their competitors, but it's not worth the risk of standing by while others gain a foothold, he contends. Either way, the beneficiaries are local consumers, businesses and entrepreneurs.
Nalini Gangadharan, chair of the CAP Foundation, said IT training programs funded by corporate partners have helped raise the marriage age in parts of India where more than half of girls traditionally get married before the age of 15.
"Before, girls were sitting idle and married off," she said. "Today the girls are saying as long as it's safe and secure, they are able to hold jobs and have decision-making status in the family. That is one of best outcomes."
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April 5, 2010 1:55 PM
Microfinance programs gain interest, local forum planned tomorrow
Posted by Kristi Heim
If you're curious about microcredit, tomorrow evening looks like a good opportunity to learn more about it from an interesting mix of speakers, in one of the first such forums to be held in Snohomish County.
While government aid and grants from large foundations goes into programs to relieve poverty, a growing channel of unofficial support comes from individuals in Puget Sound, who are contributing small donations and even investments from retirement funds into pools of money that reach individuals all over the world in the form of small loans.
A free public Microcredit Forum -- with Global Partnerships CEO Rick Beckett, Fabric of Life Foundation Founder Carol Schillios and U.S. Representative Rick Larsen is planned to discuss how microcredit works as a solution to poverty.

DEAN RUTZ/SEATTLE TIMES
Carol Schillios, owner of the Fabric of Life store in downtown Edmonds.
Several local non-profits engaged in microfinance, which includes credit, savings, insurance and other financial tools, have announced partnerships recently with commercial banks and technology companies. Locally Washington CASH has seen a surge of interest in its training programs and small loans for entrepreneurs since the recession.
Seattle nonprofit Unitus signed a deal with the Overseas Private Investment Corporation (OPIC), and Citi to set up a $15 million credit facility for microfinance institutions (MFIs) -- the local partners that actually loan funds to borrowers.
The money will go toward helping institutions that aren't big or established enough to attract commercial capital to grow and provide more loans.
The Grameen Foundation, which has a Technology Center in Seattle, received $1.23 million from the MasterCard Foundation and $500,000 from the Cisco Foundation to expand an open source software platform designed specifically for microfinance institutions. That software, called Mifos, was developed in Seattle to help providers of microcredit automate their loan operations.
The grants will help institutions using Mifos connect to mobile payment systems and track progress.
Vittana, a Seattle non-profit that applies the concept of micro lending to student loans, reached important milestones this month -- people lending $25 or $50 at a time through Vittana made more than $150,000 in loans to nearly 200 students around the world. A group from online real estate company Redfin, for example, has loaned $893 to six students in Paraguay.
Created by two former Amazon.com employees, Vittana helps fill a niche that for all its success, microcredit had not addressed. Micro loans typically go to people operating small businesses, but loans for college had no such source of funding. Some students have already landed jobs and started to repay the loans, said CEO Kushal Chakrabarti.
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March 28, 2010 9:31 AM
Guru of data takes aim at myths, takes home an HIV tie
Posted by Kristi Heim
It must be Seattle if a crowd of 500 finds a talk on development statistics enthralling.
But Hans Rosling isn't just any speaker, and he narrates history like he's announcing a horse race. His colorful bubble charts show the progress of countries over time, measuring factors such as life expectancy and income.
A doctor and international health professor at the Karolinska Institutet in Sweden, Rosling created the Trendalyzer software that was acquired by Google three years ago and launched this month as Data Explorer.
Rosling said he was glad to be in a place so focused on global health research and funding. "It's the best invitation you can get," he said, speaking at a dinner for the Seattle Biomedical Research Institute last week, which raised more than $300,000. "When Seattle calls, you come."
Rosling was given an award and a distinctive gift from his Seattle's hosts -- a tie designed with the image of the HIV virus.
He throws a lot of information out quickly, scattering statistics literally all over the map, and delights in busting myths. His students for example, might think of the world as divided between the West -- "we," and poor countries, or "them," he said.
But data shows that description no longer applies.
The largest chunk of the world economy -- 60 percent -- is made up of middle income countries, including China, India, Brazil, Russia, Mexico, Turkey, Thailand. And countries typically labeled as poor are progressing faster than many people realize.
Sweden looks pretty advanced when compared to Egypt or Bangladesh, but in 1900 Sweden had a higher child mortality than Bangladesh. Over time, child mortality rates have fallen faster in Egypt, Bangladesh and Brazil than they did in Sweden. And the country with the lowest child mortality in the world today is actually not Sweden but Singapore.
But not all health problems are getting adequate attention, Rosling said. Trypanosomiasis, or sleeping sickness, is a disease that affects only the poor. In DR Congo, which rivals Zimbabwe for the world's lowest life expectancy and health rates, sleeping sickness has had such a profound impact that people named a city for it.
Of course, the success of his or any data depends on whether people act on it rationally, which is too often not the case.
HIV/AIDS, tuberculosis and malaria were known as the "ATMs" in Africa because those diseases captured donor dollars, he said. But diarrhea and pneumonia, which also kill millions, didn't make the list of diseases addressed by the Global Fund.
"Blair and Bush didn't understand it, and Bono didn't have time to explain," he quipped. "The BBB" is his name for Tony Blair, George W. Bush and Bono.
Rosling, the son of a coffee roaster and the first in his family to go to school, emphasized that improvements in health must go hand in hand with economic growth and education. The way out of poverty requires education, infrastructure, information, freedom, and a job.
He noted that the most common cause of death among rural Chinese women is suicide, and the most common method is to drink agricultural chemicals.
"It's not a paradise where you get rid of malaria and everything is good," he said.
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March 26, 2010 12:50 PM
Seattle BioMed moves from tiny lab to research powerhouse
Posted by Kristi Heim
From its beginnings as a tiny lab in Issaquah with a staff of five, the Seattle Biomedical Research Institute has grown to more than 300 people and is about to test one of the world's first vaccines for malaria on a group of volunteers.
"It's stunning to me we have been able to come so far so quickly," said Ken Stuart, who founded the private lab in 1976 as Seattle's first global health organization and now heads the largest independent non-profit dedicated to infectious disease research. (The non-profit known as SBRI is now officially acronym-free after re-branding itself Seattle BioMed.)

KEN LAMBERT/SEATTLE TIMES
Malaria researcher Stefan Kappe stands in the "warm room" where mosquitoes are raised in the lab at the Seattle Biomedical Research Institute.
Advances have come in "small, imperceptible steps," he said, addressing a crowd of more than 500 at the annual Passport to Global Health event last night.
Now the institute is about to embark on a big one. In a few months, volunteers will be bitten by mosquitoes carrying a cloned strain of malaria to test a malaria vaccine candidate developed by Seattle BioMed researcher Stefan Kappe.
The malaria project started in 2000 and now is the sole focus of 100 scientists, Kappe said. The German native who studied at Notre Dame and taught at New York University said he came to Seattle in 2003 with a dream to succeed where others had failed.
A $50,000 grant from private donations helped him sort infected liver cells, and $32.5 million in funding from the Gates Foundation helped him take the concept from mice to humans.
His approach to the vaccine is using genetic engineering to remove two key genes and make the malaria parasites harmless. The first part of the human trials is a safety phase to make sure the vaccine doesn't make anyone sick. The next part involves infecting the vaccinated group with malaria later this year. The trial, to be held at the Walter Reed Army Institute of Research, involves 26 people. Results will be announced in early 2011.
Later the team will need to test the vaccine in Africa and identify strains that protect for the longest time at the lowest dose, Kappe said.
In the future, inside its South Lake Union building, Seattle BioMed will be able to use its own newly built Malaria Clinical Trials Center (MCTC), one of four facilities in the world that can test new malaria treatments and vaccines in humans. More than 300 people in the Seattle area have already signed up as volunteers for trials of malaria drugs and vaccines, which could begin later this spring or summer.
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March 24, 2010 9:52 AM
TB cases rise in Washington, including drug resistant strains
Posted by Kristi Heim
It's a sign of the air we share -- drug-resistant tuberculosis has reached a record high in the world, and cases are showing up in Washington state.
In fact, the number of overall TB cases in 2009 rose 12 percent in Washington state, one of the few states that saw an increase. Nationally the number of TB cases has been dropping for 17 years.
There were 256 cases of tuberculosis reported in Washington last year, including two cases of multidrug-resistant TB (MDR-TB) and three deaths. More than half of the cases were in King County.
To find out what's behind those numbers, I asked Kim Field, a registered nurse who manages TB services at the state Department of Health and has 17 years of experience in TB control.
It's hard to pinpoint exactly what's behind the increase, but Washington does have more immigrants and refugees from places where the burden of TB is high, mainly Southeast Asia and Africa, she said. More than 75 percent of the state's cases last year were in foreign born populations. Thirty-four patients were from the Philippines and 25 from Mexico.
But that doesn't fully explain it. Minnesota has as similar refugee and immigrant population and yet saw a drop in TB cases. Delayed diagnosis may also play a role, she said, since people with TB may unknowingly spread the infection to others.
And what may be contributing to that delay is a lack of funding for public health. As this report notes, because of budget cuts, Snohomish Health District "significantly decreased public health nursing case management for the tuberculosis control program as of January 2009," according to Barbara Bly, a public health nurse in the district. Local health authorities no longer provide TB prevention and can only respond to active cases, she said, even though "careful prevention as well as management of individuals with tuberculosis is vital to preventing the spread of tuberculosis in our community."
In a case late last year, a man with symptoms of TB arrived in a hospital in eastern Washington. The emergency room doctor suspected TB, and called the county public health department, which is responsible for handling TB cases. He couldn't reach anyone because they were on furlough, Field said.
"You're left with this ER doctor and myself on the phone trying to fight TB," she said.
The doctor ran tests and collected information but the man left before he could be diagnosed, saying he was headed to California. The Washington authorities sent a report on the possible TB case to California, and a month later the man turned up there, tested positive for TB and finally got on treatment.
The two cases of multidrug-resistant TB in Washington are currently being treated and are doing well, Field said. But treatment is expensive -- the total cost per patient nearly $100,000, she said. The drugs alone cost more than $27,000.
The disease disproportionally affects the poor and homeless, and many patients don't have insurance, Field said. Even if they do, insurance generally doesn't cover second-line TB treatment, which often involves intravenous drugs and longer hospital stays or visits by a case manager.
Prompt diagnosis and treatment with proper antibiotics is key. If a TB patient starts treatment but doesn't finish it, that can increase drug resistance.
The local cases are part of a larger global TB epidemic that kills almost two million people a year.
Seattle-based research institutes are major players in developing new tools to diagnose and fight TB. The Gates Foundation has donated close to $900 million to fund those and other TB efforts in the last decade.
One of the programs, a TB control project in China, includes new ways to monitor treatment using cell phones.
Besides improving the screening of people who apply to come in to the Unites States as immigrants or refugees, said Dr. Ken Castro, director of TB elimination at the CDC, the U.S. needs to invest in improving programs in countries where TB is hitting hardest. Such an investment would reduce the U.S. future spending on TB by millions, he said.
Tonight a free public forum on TB is being held at the Olympic Sculpture Park in downtown Seattle. Details are here.
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March 17, 2010 8:44 AM
USAID Administrator Rajiv Shah outlines priorities, role for business
Posted by Kristi Heim
Moving from the Bill & Melinda Gates Foundation to the head of a government agency with 8,000 employees in 82 countries is no small shift.
But Rajiv Shah is using his experience at the Gates Foundation to reshape the way America's development arm works, from narrowing the focus of its programs and emphasizing science and technology, to creating a new Global Health Initiative with specific goals to reduce deaths from preventable diseases.

DEAN RUTZ/SEATTLE TIMES
After working for the Gates Foundation in various roles for eight years, Rajiv Shah was sworn in as USAID administrator just five days before the earthquake struck Haiti.
Shah returned to Seattle from Washington D.C., where he is administrator of the U.S. Agency for International Development, to speak at the Life Science Innovation Northwest annual conference. He later stopped by the Times for an interview.
In January he arrived at an agency that had lost half of its staff and much of its clout over the past 15 years.
Development work had been shifted to private contractors or to the Department of Defense, and many of the best people left USAID, diminishing its "intellectual leadership," he said.
As the new USAID administrator, his job is to help turn that around. The Obama Administration has pledged to double foreign aid, and the agency is now hiring 400 foreign service officers a year, Shah said.
Shah said he will call on companies working in life sciences to focus some of their energy on global health. USAID is spending $63 billion over six years on a Global Health Initiative and is looking for solutions including:
--Vaccines for HIV, TB and malaria
--Longer lasting contraception and microbicides
--Simple diagnostic tools for TB and malaria
--Solutions for transferring health data from remote sites
--Technologies to eliminate the need for temperature control of vaccines
The Global Health Initiative's goals include:
--Reducing pregnancy-related deaths by 30 percent, saving the lives of 360,000 women
--Preventing three million child deaths a year
--Preventing one million deaths from tuberculosis
--Cutting malaria cases by half in sub-Saharan Africa
Five days after he was sworn in, a catastrophic earthquake struck Haiti, killing an estimated 230,000 people, and Shah was charged with coordinating the massive U.S. relief effort.
Haiti has become a testing ground for whether USAID can overcome challenges of a dysfunctional bureaucracy, and for the larger project of "rebranding America across the world."
Problems over food aid, procurement and trade policy have been some of the agency's biggest challenges.
Last week Haitian President Rene Preval said Haiti needs help with job creation and less donated food, which can undermine local producers.
Shah said USAID was able to source the first 6,500 metric tons of rice for emergency aid to Haiti from local producers.
"It just created a mindset that these are capable resilient communities and we need to respect and work with them," he said.
Building local capacity means giving more contracts to local NGOs, rather than requiring U.S. contractors to do the development work. Shah said contracts above $75 million are now subject to review to try to break them into smaller pieces, and distribute work locally.
In some poor countries, trade and aid work at cross purposes. In 2006 the U.S. gave $120 million in aid to Bangladesh and Cambodia and collected $853 million from them in import duties, according to a report by the Initiative for Global Development.
The model of wealthy countries sending money to poor ones is outdated, Shah said.
New global realities require partnerships with emerging countries such as China, India, Brazil and Russia. They are starting to play a role as donors and taking on development work in places like Africa. If Chinese can build roads and other infrastructure more cheaply, it's smarter for the U.S. to contribute something else, he said.
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March 15, 2010 11:34 AM
Elevar raises $70 million to invest in microfinance
Posted by Kristi Heim
An equity fund focused on poverty? Sounds odd, I know. But Chris Brookfield, who managed funds for Unitus, and his partners at Elevar said today they have raised $70 million to invest in companies providing services to people at the bottom of the economic ladder. Elevar told me a bit about the fund last June.
Seattle-based Elevar will invest in companies involved in microfinance and other services targeted at the working poor in countries such as India, Mexico, the Philippines and Peru.

KEN LAMBERT/SEATTLE TIMES
Chris Brookfield, left, then Unitus Equity Fund's investment director, with Veena Mankar, director of Swadhaar FinAccess, at a 2007 reception in Seattle.
Elevar is the second fund of Unitus Equity Fund, initially run as a for-profit arm of Unitus, a Seattle-based non-profit organization. Elevar is now independent of Unitus, though it remains a strategic partner, Brookfield said.
Besides microfinance, Brookfield said Elevar will also seek to invest in financing low income housing, agriculture and information services. The idea is to bring more commercial capital into development.
Improving incomes of billions of poor people -- the so-called "Next 4 Billion" -- has benefits for companies here, too. Economic growth in developing countries "is the strongest opportunity for long-term business growth," according to this report by the IGD, since the poorest two-thirds of the world's population represent $5 trillion in purchasing power. The more development can be supported through investment, the less dependent countries will be on foreign aid. The majority of poor countries don't attract much private investment, so it will be interesting to see whether a socially motivated fund can create a path for it.
"Our strategy is to challenge discrimination and democratize the distribution of opportunity by investing in companies providing high volume, low cost services to the poor and their communities," Sandeep Farias, managing director at Elevar, said in a statement.
The anchors of the new fund are Legatum and Omidyar Network.
Elevar's portfolio includes microfinance institutions SKS Microfinance, Ujjivan, Grama Vidiyal, Madura Microfinance and Swadhaar in India; Grupo Crediexpress in Mexico and FINSOL in Brazil.
Elevar has also invested two non-financial services companies in India: Moksha Yug Access, which builds trading infrastructure and market links between rural communities and larger commercial markets, and Comat Technologies, which provides Internet connectivity in rural areas for government services and education.
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March 12, 2010 11:01 AM
Social business projects win funding, get tested by pros
Posted by Kristi Heim
This year's Global Social Entrepreneurship Competition at the University of Washington had so many promising business plans that picking just two winners proved difficult. So judges did something unusual: they ponied up their own money on the spot to award another $3,000 prize.
The contest, which had 161 entries from 36 countries this year, combines business, non-profit and academic work to encourage creative solutions to global poverty.
The top winning team taking home $10,000 was Nuru Light -- Charles Ishimwe from Adventist University of Central Africa and Max Fraden of the University of Massachusetts Medical School -- who also won the GSEC People's Choice Award and Investor's Choice Award. The team created a clean and affordable alternative to kerosene as a light source in Rwanda. The portable, rechargeable lights are the size and shape of a tape measure and the charger is a portable box with a bicycle-style pedal.
The UW Global Health prize of $5,000 went to ToucHb, a non-invasive finger scanner that measures hemoglobin levels to diagnose anemia. It can be used by low-skilled village health workers in rural India and eliminates the fear and infection risks associated with a needle prick. The team is made up of two doctors from the Maharashtra University of Health Sciences -- Yogesh Patil and Abhishek Sen.
The spontaneous Judges' Choice award of $3,000 went to Malo Traders for their plan to help small-scale rice farmers in Mali earn a better living by providing storage, marketing and other post-harvest services. Team Malo is two brothers who grew up in Africa and are now studying in the U.S. -- Mohamed Ali Niang, a business student at Temple University, and Salif Romano Niang, PhD student in political science at Purdue.
On Friday, the projects were on display at a breakfast hosted by the Seattle International Foundation, where students with ideas talked to executives with funds and experience.
ToucHb got tested by PATH CEO Chris Elias, while Microsoft veterans Rob Short and Will Poole wanted details about Nuru Light's business plan. Check out the video above with winners introducing their projects.
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February 19, 2010 11:45 AM
Not your typical games: an Olympics for condoms
Posted by Kristi Heim
Several events are using the world's spotlight on the Vancouver Olympics to call attention to poverty and health issues.
I've written about the Poverty Olympics in the context of Vancouver's homelessness problem. Now there's the Condolympics, a contest to test knowledge about condoms in Kenya.

PATH/DANIEL OLUOCH MADIANG.
A Kenya Wildlife ranger competes with civilian colleague in condom blowing during the Condolympics, an event that aims to increase knowledge of condoms and reduce the spread of HIV/AIDS.
Led by Seattle-based global health non-profit PATH, the unorthodox project targets various civil servants, youth and police in Kenya.
According to PATH, the condom games are designed to encourage uniformed officers to "interact with the condom in an uninhibited forum while sharing condom knowledge and gaining usage skills."
The Elizabeth Glaser Pediatric AIDS Foundation is working with PATH on the project and participants include the Kenya Police, Administration Police, National Youth Service and the Kenya Wildlife Services.

PATH/DANIEL OLUOCH MADIANG
Police sergeants take a look at female condoms during the Condolympics, an event supported by Seattle-based PATH to reduce the spread of HIV.
Why focus on uniformed officers? They have a dangerous combination of risk factors: They're not using condoms consistently or properly, attitudes instilled in training make them feel invincible and immune to HIV infection, and work-related stress, peer pressure and loneliness lead to indulgence in casual sex, alcohol and drug abuse, according to PATH.
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January 25, 2010 10:35 AM
A conversation with Bill Gates
Posted by Kristi Heim
Bill Gates is embracing a much more public persona these days with his annual letter coming out today, appearances on TV shows, a voice on Twitter and his new personal Web site, Gates Notes. He told me he hopes that using the latest social media will encourage interest in global health and give him some real-time feedback, both good and bad. Below is an edited Q&A from a conversation this morning.
Q: Besides your letter, I see you're at Sundance, on Twitter and now blogging. What is the impact you hope to have by taking your message to a much wider public audience?
A: Well, I think it's important to take young peoples' interest in what's going on in these poor countries and help them learn about it, help them get involved. I think I'll learn a lot about the reaction I get. Here we've got a format where people can say what they agree with and what they disagree with.
Q: Regarding energy and the environment, what kinds of ventures are you investing in that address climate change?
A: The foundation is always going to be looking out for the needs of the poorest, so we'll look at where we can play a role. Clearly looking at better seeds, you can deal with adaptation as climate change is likely to get worse, and the importance of those productive seeds is even greater. When you think of global health and development, over half of what foundation does comes into that area. Global development and global health as the top priority are pretty squarely focused on sustainability and decent lifestyles.

CHUCK BURTON/ASSOCIATED PRESS
Bill Gates said he's using social media tools to share his enthusiasm for global health with young people and to get feedback from the public on his work.
A: Vinod Khosla has a good size fund I've invested in. I put over $20 million into that particular fund. I get to talk with the entrepreneurs he's funding and learn from them. TerraPower, a spin out of Nathan Myhrvold's Intellectual Ventures, is pursuing nuclear power design. If everything worked it would provide cheap energy with no CO2 emission. We need hundreds and hundreds of entrepreneurs to try new approaches... all we need is an approach that works.
Q: Looking at health efforts in Africa, such as HIV prevention and treatment, are you concerned about the Ugandan anti-homosexuality bill, and have you spoken to anyone there about it?
A: The spread of AIDS is a huge problem and obviously we're very involved. I talk in my letter about the great success with this male circumcision effort, and preventative drug trials. There's a tendency to think in the U.S. just because a law says something that it's a big deal. In Africa if you want to talk about how to save lives, it's not just laws that count. There's a stigma no matter what that law says, for sex workers, men having sex with men, that's always been a problem for AIDS. It relates to groups that aren't that visible. AIDS itself is subject to incredible stigma. Open involvement is a helpful thing. I wouldn't overly focus on that. In terms of how many people are dying in Africa, it's not about the law on the books; it's about getting the message out and the new tools.
Q: We've seen a huge outpouring of support for Haiti -- do you think the foundation will play a bigger role in relief aid, or what role do you think the foundation can play there?
A: If you go back and look when there's been an emergency we're always giving gifts very rapidly to some key partners... A lot of giving we do is way before the crisis takes place. A lot of the big impact comes from the gifts that are given before. Haiti was the poorest country in the region before this. I've been down several times. There's a lot to be done there. I hope this is not just a one time thing. The generosity is great to see - it's almost half of American families. It's great to see the response that's taking place. Haiti was a place that is going to need long-term investment, and so the foundation's been involved.
Q: The foundation has grown to almost 1,000 people and is moving into a $500 million new campus. How can you ensure that it doesn't become too bureaucratic and top-down in its decision-making so you are encouraging innovation inside the organization?
A: The real innovators are the people we fund and the key to the foundation is to be very open-minded to unusual ideas and approaches. Grand Challenges is an example of that. We open it up to just anybody. When people review those grants they don't even know what fancy title applicants may have. We'll need to use novel approaches to make sure we're not just getting the best work of the top universities, though we expect to see a lot of innovation coming from the universities themselves. For these Grand Challenges research grants we track the grant applications, and what percentage is being granted to developing countries. We actually give them a boost...
We need to keep reinventing ourselves and being smart. My annual letter lets me talk about mistakes. My being out on the Internet will let us know what people think and what they agree or don't agree with.
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January 19, 2010 11:59 AM
United We Can's social business gets set for Winter Olympics
Posted by Kristi Heim
In the heart of Vancouver's poorest neighborhood, a thriving business is helping homeless and low-income people earn money by cleaning up the environment.
United We Can pays about 700 people a day deposits on recyclable containers they've collected, distributing more than $2 million a year to "binners" who eke out a living rummaging through garbage. I profiled the non-profit and its founder Ken Lyotier in this story today.

KRISTI HEIM
United We Can safety trainer James Hance, who grew up in Vancouver's tough Downtown Eastside, says he'd rather stay and help the community than work elsewhere. He stands in front of a T-shirt with a corner chewed off by rats in the organization's aging warehouse.
In addition, the non-profit employs 150 part-time and full-time workers to pick up from local businesses, sort bottles and cans in its warehouse, and haul them to a recycling center. United We Can earns a handling fee from beverage producers, who are required by law to ensure that their containers are refilled or recycled. The handling fee supports United We Can's operations, making it a sustainable business.
United We Can will be able to expand its work during the Olympics, hiring 60 additional people to help collect containers around downtown and at local hotels and restaurants.

KRISTI HEIM/SEATTLE TIMES
People line up with carts full of recyclables outside United We Can's bottle depot along East Hastings Street. The average "binner" earns about $10 a day.
Lyotier, who battled homelessness, alcoholism and drug addiction himself, said he has never turned away anyone who wanted to work.
"Many of the people working at United We Can came from the streets," he said.
"I personally believe that when people who have had obstacles discover they do have value," Lyotier said, "they sometimes make the choice to move on to a more normal model of what success means."
Vancouver's Downtown Eastside is notorious for a concentration of social problems such as open drug dealing, homelessness, mental illness and prostitution. Blocks away from Olympics venues, the neighborhood will face a global spotlight next month as the focus of protests by activists who are frustrated by a lack of progress on social issues. And yet people at the busy bottle depot see a resilient community underneath.
"You hear a lot of bad stuff but I see so many good things," said United We Can safety trainer James Hance. "Everyone says all you find is misery here, but I find more kindness here than lots of other areas."
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January 13, 2010 11:41 AM
Haiti humanitarian efforts linked by mobile connections
Posted by Kristi Heim
It was clear the earthquake wrought devastation on a massive scale. Time saved meant lives saved. Two wireless companies in Bellevue went straight to work, one to repair its mobile network in Haiti and the other to channel funds to relief workers using text messaging.
In a country where traditional landline service is almost non-existent, more than a million Haitians rely on the mobile service Voilà for communications. That service is provided by Bellevue-based Trilogy International Partners, which received an award this year from the U.S. State Department for its decade of work in the impoverished country.

THONY BELIZAIRE/APF/GETTY IMAGES
Haitians carry injured in Port-au-Prince, as planeloads of rescuers and relief supplies headed there in a massive relief operation.
Trilogy said members of its crisis task force were one of the first aircraft to land this morning at the Port-au-Prince airport to assist on-the-ground efforts.The earthquake wiped out much of the infrastructure in the most densely populated part of the country. Its local team could travel only by foot because roads were so heavily damaged.
Senior management of Trilogy, its Haitian wireless operation (Voilà) and its Dominican Republic operation (Trilogy Dominicana/Viva) began a disaster recovery plan and formed a special task force to secure the safety of its 500 local employees and assess damages, the company said in a post today on its Web site. Within hours the team determined its buildings were intact and its staff located.
"Voilà's network continued to operate for several hours through the aftershocks before we were forced to shut down the switch to maintain its integrity until our generators and cooling systems were back online," the company said in its post. "We have restarted our generators at the main switch and are in the process of bringing our network back up. Once this has occurred, we will be focused on managing traffic and adding capacity as rapidly as possible to aid the humanitarian efforts in Haiti."

TRACIE MORRIS/BLOOMBERG NEWS
Trilogy Chairman John Stanton was given a global citizenship award from Secretary of State Hillary Clinton for his company's work in Haiti, including a micro-enterprise that helps local entrepreneurs earn money and a partnership with musician Wyclef Jean's Yele Haiti foundation to support education.
In Bellevue, Jim Manis at the Mobile Giving Foundation quickly worked to roll out text message- based fundraising efforts. Manis founded the non-profit to help other non-profit organizations receive donations through text messaging campaigns. I profiled the foundation here.
People can text a keyword to a designated short code and make a donation of $5 or $10 to any of several organizations working to help Haiti. Every penny of the donation goes to the charity, and the amount appears later as a charge on the donor's mobile phone bill.
The Mobile Giving Foundation said it has already raised about $375,000 today, through the following campaigns:
- Text the word "Yele" to 501501 to donate $5 to the Yele Foundation, the leading contributor to rebuilding Haiti founded by Wyclef Jean.
- Text the word "Haiti" to 25383 to donate $5 to the International Rescue Committee
- Text the word "Haiti" to 90999 to donate $10 to the American Red Cross.
- Text the word "Haiti" to 45678 (In Canada Only) to assist the Salvation Army in Canada.
Amazon.com established a box on its homepage today where customers can contribute to Mercy Corps' relief efforts.
Other groups engaged in ongoing relief efforts in Haiti include:
Partners In Health, Boston, www.pih.org
Mercy Corps, Portland, 800-852-2100 or www.mercycorps.org
Medical Teams International, Portland, 800-959-4325 or www.nwmedicalteams.org
American Red Cross, 800-733-2767 or www.redcross.org
World Concern, Seattle, 800-755-5022 or www.worldconcern.org
World Vision, Federal Way, 888-511-6548 or www.worldvision.org
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January 7, 2010 2:03 PM
"This Emotional Life" continues with outreach programs
Posted by Kristi Heim
Earlier this week I wrote about Paul Allen's involvement in a new PBS series "This Emotional Life," which wrapped up last night (but can still be watched on the Web site).
It takes a fascinating look at the latest research into human emotion, combined with real-life stories of people coping with emotional issues. Based on comments I've received and a look at some of the conversations on Facebook, the topic resonated deeply with a public searching for more meaning in life.
Some suggested it should be a weekly show. At this point there are no plans to re-broadcast the series, but it is available on iTunes and here on the PBS Web site.
Allen said he intended the TV series to be just the starting point of the project. Now a two-year outreach program begins, both online and in communities around the country.
The PBS Web site can be searched by topic or location to find resources such as Meetup groups and other organizations, and anyone can register and contribute new resources to the database.

COURTESY OF THIS EMOTIONAL LIFE
Dr. Michael Maddaus talked about his path from a troubled youth with alcoholic parents, time in jail and little education, to a successful surgeon with a happy family, thanks to a single mentor.
In an unusual effort for a film company, Vulcan Productions is spearheading the project, developing kits to address early attachment for parents, and emotional challenges for members of the military and their families. Both will combine online resources with booklets to be distributed through partner organizations such as Blue Star Families and the Substance Abuse and Mental Health Services Administration.
"Early Moments Matter" is aimed at high birthrate hospitals, offices and clinics, targeting expecting and new parents, while "The Family Guide to Military Deployment" will go to government organizations and branches of the armed forces.
Two local researchers were involved in the series, Dr. John Gottman, a psychologist who specializes in conflict resolution and is founder of the Gottman Institute in Seattle, and Dr. Andrew Meltzoff, a psychology professor at the University of Washington who specializes in infant development and connection to parents.
Meltzoff and his team at the Institute for Learning and Brain Sciences won a $4 million grant from the Life Sciences Discovery Fund. Later this year they plan to set up the first machine that can measure emotional development in babies using a new technology called magnetoecephalography (MEG).
Washington state Rep. Ruth Kagi, who chairs the House Early Learning & Children's Services Committee, said she is studying implications of the science on policy.
If, as Meltzoff's research shows, humans develop the emotional circuitry for their entire lifetimes in the first three years, making the most of that time would seem a critical task not only for parents but for all of society.
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December 11, 2009 3:33 PM
Q&A with TisBest founder on charity gift cards
Posted by Kristi Heim
More for charity and less for the landfill, says TisBest founder Erik Marks. I talked with him about the trend of charity gift cards, which his non-profit issues, and recent criticisms from consumer advocates. Marks, a member of Social Venture Partners, started TisBest Philanthropy in 2007.
Even as TisBest has grown, Marks has kept his day job as general counsel at EDG Commercial Real Estate in Seattle and operates TisBest with three employees. Previously he worked at law firms Cairncross & Hempelmann and at Perkins Coie. He studied philosophy as an undergrad and has a law degree from Harvard.
Q: How are you different from other charity card issuers?
A: The array of charity gift card issuers has become broader with eight or nine now, but the largest are TisBest, Charity Gift Certificates, JustGive, and the Good Card.
Only TisBest and Charity Gift Certificates are single-purpose portals -- the only thing you see are gift cards. I like to believe the single-purpose approach is better. When the recipient gets a card, the Web site speaks only to the gift in hand, not six other things.
We've got the best Web site for a lot of reasons, and the uploadable image feature is probably the feature people get most excited about. That customization makes our cards particularly valuable for businesses.
Q: You have less than 300 charities to choose from, not thousands or a million -- why?
A: One advantage is browsing. When someone gets a gift card, most people have a few charities in mind but not one they're dead set on. When you get to the charities tab, it's broken down in categories.
We've consciously chosen 125 organizations that are major recognized brand names. Under homelessness for example, you will find recognizable names like Habitat for Humanity. But people also see smaller organizations they don't recognize, then they browse around and they learn. People talk about choosing a charity as a challenge and a challenge they like.
Another advantage is accessibility. If you put YMCA into the Network for Good search box, it will turn up about 200 organizations. At TisBest you turn up just one.
Q: How do you find organizations to list?
A: We spent some time when we started out in 2007 building that list, doing research, basically hard work. Now we source organizations through user recommendations. We receive emails four or five times a day nominating new organizations. We go over those and pick 20 new organizations a year. We will remove 20 that aren't receiving donations.

TISBEST PHILANTHROPY
TisBest is appealing to businesses by making customized gift cards.
Q: What is the $1.95 transaction fee for?
A: It covers our overhead for operating the organization and Web site.
We are a social enterprise model. We offer a valuable and self-sustaining social service on a nonprofit basis.
The idea is we offer charity gift cards in a format that isn't profitable but that does produce enough revenue that our organization can operate and grow. We ask people on receipts to request matching donations from their companies, and that too helps cover our overhead.
Q: Why are gift cards any better than direct donations?
A: It's the difference between charitable giving and charitable gifting. In giving, I take my own money and give it to a cause I support. I love the beach, I love to surf, so Surfrider Foundation might be something I support with my money. But let's say I'm buying you a holiday gift. That might not be your first choice for a charity. There are a lot of different ideas about what the right thing is to do to create change in the world.
We give each other gifts to build relationships. It's a great way to connect human to human. It's the connection that matters, not the thing... When a person who receives the card spends it, the person who gave it learns the charity that was chosen. That's a great opportunity to build a relationship.
Q: How much have you raised for charity?
A: Over $1 million. This is our third holiday season.
Q: How can charity gift card issuers avoid the problems of retail gift cards?
A: One thing to keep in mind is that I really don't think there are many problems with gift cards in the marketplace... it's just a fringe. Gift cards came out around the year 2000. Everyone was figuring out how they worked. Now almost all states regulate gift cards, including Washington.
(Marks also cited the book Scroogenomics, which argues that holiday presents are inefficient and unsatisfying, but gift cards, especially to charity, are not).
Q: Why transfer funds quarterly -- are you holding money to earn interest?
A: That's a red herring. We had to make a decision. Every transfer has a cost. If we made transfers on weekly or monthly basis it would be unreasonably expensive. At the current interest rates of maybe about 1 percent a year. if you hold for a calendar quarter instead of a week, you're not getting a lot of extra interest, and that tiny amount is earned by a philanthropy trying to do good in the world.
Q: Why did you start TisBest?
A: I'm an attorney and I still practice part time -- that's how I pay the bills. I made a conscious decision to change. I wanted to work in something that made the world better, and to some degree I was bored. Partly it was a response to personal frustration. I was scratching my head around the holidays. I needed to give gifts and I didn't know what to get. I don't want to buy people stuff they don't want. I think the world would be better if people focused on how to make it better rather than how to get more stuff.
Today in running TisBest I get to see what people write about giving and receiving charity gift cards, and see the true joy that comes there; and then when I leave work and walk around and see stores with heaping baskets of stuff they're trying to sell, it is a disconnect. The stuff just doesn't create joy in the same way as sharing with others.
Q: How are commercial products like gift cards changing philanthropy?
A: It's the democratization of philanthropy. It's making philanthropy more fun and more accessible for more people. It captures additional dollars from consumers. If you look at how a normal consumer lives, they have a certain income and they allocate it out. One of those wallets is gifts. We're taking dollars out of the gifts wallet and turning them into charity dollars. We're not diverting any funds from charity. Charities have always focused on the big donors, but no one becomes a big donor without becoming a little one first. We are an entry point for accessing those little ones.
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December 10, 2009 12:58 PM
Consumer report clashes with charity gift card vendors
Posted by Kristi Heim
Charity gift cards are springing up as a new way to give a gift and let the recipient pass it on to the non-profit of his or her choice.
The cards have been growing in popularity as people combine holiday shopping and philanthropy on tight budgets. But the non-profit Consumer Reports warned last month that charity cards are saddled with some of the same issues as gift cards in general -- including added fees and expiration dates.

TONY AVELAR/ASSOCIATED PRESS
Spending on regular gift cards is expected to drop this year, according to the National Retail Federation. But charity gift cards are becoming a popular tool for some non-profits.
The card issuer generally charges about $5 to purchase the card and may charge another 3 percent when the recipient redeems the card to make a donation, according to the report. The tax deduction goes to the purchaser, not the recipient. And card issuers sometimes take up to four months to forward the donation.
Three of the top charity gift card producers took issue with the report and complained that "Consumer Reports is driving money away from charities at a time they need it most." The cards serve a useful purpose by redirecting "money that was being spent on unneeded and unwanted stuff" to charity.
Seattle's Paul Shoemaker, founder of Social Venture Partners, also weighed in with support for the charity cards.
"In our experience, charity gift cards introduce many potential donors to charitable organizations that they otherwise would not connect with," he said. "That is a good thing at a time when so many non-profit organizations are struggling to survive."
CharityChoice, JustGive and TisBest, which are all non-profits themselves, say they have repeat users who have been happy with the experience and terms. They point out that donors would pay the same 3 percent processing fee for any online donation.
Seattle-based TisBest was created to provide "non-material options available in a world of many, many material choices," said Executive Director Jon Siegel.
The American Institute of Philanthropy, a charity watchdog, recommended people give to charities directly. "Why hand over a chunk of your contribution to a third party web site when you can give directly through a charity's own site?" it asks.
The institute also frowns on the practice of earning interest on donations by delaying their transmission to the charity. "If the site allows you to give to hundreds of thousands of charities, your $25 donation may sit in its bank account for awhile," it said.
Consumer Reports advised people to consider giving directly to the charitable group in someone's name and cut out the middleman.
But obviously that takes away the option of letting the recipient choose where to give, which may be worth a few extra dollars. Either way, the blending of commercial tools and charitable goals seems like an unstoppable trend, and one that will benefit from good watchdogs. If done right, it has the potential to get many more people involved in giving than traditional philanthropy.
Before giving any card, it's a good idea to check out its terms and conditions, which are usually listed on its Web site under FAQs.
Retail gift card sales are expected to decline this year as people hunt for bargains and try to steer clear of expiration dates, added fees, lost cards or stores that may go out of business, according to a recent survey. Still gift cards will account for almost $25 billion this year, according to the National Retail Federation. That's a significant market for charities to try to tap.
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December 2, 2009 11:22 AM
Help a non-profit every time you search the Internet
Posted by Kristi Heim
New ways of blending charity causes with online behavior continue to grow -- hastened by the need to find creative ways to raise funds in a down economy.
The latest is GlobalMojo, a Web browser that channels money to nonprofits when its users search, shop or book travel.
It has agreements with Yahoo, with online retailers and with travel companies, which give ad revenue to GlobalMojo for directing users to their sites. Users generate money even if they just browse. The company also customizes its browsers for individual nonprofits.
GoodSearch is another Yahoo-powered search engine that donates half of its revenue to charities and schools designated by its users.
This month GlobalMojo will be donating 100 percent of its revenue to non-profits and schools chosen by its users. After that it will give half of the revenues to charity and use the other half for its operating costs.
The company is based in San Francisco but with an equal number of staff in its Seattle office, where one of its investors and advisers is McCaw Cellular veteran Dan Kranzler.
GlobalMojo Creative Director Chris Wilson says the browser helps nonprofits address two of their most pressing needs: a new, ongoing revenue stream to help with fund raising and a way to stay in front of their constituents on a daily basis. The site has 1.5 million nonprofits and schools in its database, and 100 non-profits and schools are actively using the tool.
Right now users are generating between $10 and $15 a year for the non-profits they support, Wilson said.
Local groups participating include At Work, Northwest Harvest, People for Puget Sound, Seeds of Compassion, Seattle Humane Society and Whatcom Middle School.
The historic Whatcom Middle School was gutted last month by a three-alarm fire. Two of its students happened to be the nieces of GlobalMojo's Vice President Emily Hine. She created a special school-themed Internet browser to help raise funds.
I've written about other tech tools such as mobile applications that facilitate donations by SMS, granting money to nonprofits chosen by online voting and other hybrids. I've also heard about companies that have people fill out marketing surveys and donate a portion to charity.
Maybe this is all just part of our multitasking-obsessed world.
"Many people find it difficult to help others in need while dealing with constraints in their own lives," says GlobalMojo's material.
But an interesting debate is also going on here -- whether such services make it too easy, giving us the illusion we're doing community service when in fact we have no real connection to the cause and we're simply buying more stuff or getting lost in our gadgets.
That was the charge leveled against "micro-volunteering" company The Extraordinaries, which has an iPhone app to let people volunteer a few minutes during the day to tag photos or something similar.
"We consider ourselves to be philanthropic," says Wilson. "We are not in this to make a pile of money."
With the Internet, something that has become such a fundamental part of daily life, trying to put it to better use makes sense, he said.
"Everything you do is online."
If anyone has been trying these tools and has thoughts about their usefulness, I'd be interested to hear your opinions.
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November 30, 2009 4:07 PM
Grameen gets new tech center director, partners with Microsoft
Posted by Kristi Heim
The Grameen Foundation today named David Edelstein as the new director of its Seattle-based Grameen Technology Center.
Edelstein had been the director of information and communication technology innovation at the center, and like his predecessor, also has experience at Microsoft.
The Grameen Foundation and Microsoft are getting ready to announce a new initiative this week to use technology in support of financial services for the poor.

GRAMEEN FOUNDATION
The man above is a Village Phone operator in rural Uganda. At 15 to 20 cents per minute, mobile phone calls are expensive, but they save villagers from walking miles or taking a long bus ride to the nearest public phone.
The two are planning a series of education and mentoring forums and other activities to help microfinance institutions strengthen their technology management capabilities. It's part of an effort by Grameen to help microfinance institutions understand how technology can enhance their work.
One of the signature products of Grameen is the Village Phone, which local entrepreneurs rent to villagers for pennies a call.
Grameen also has a partnership with Google in Africa for its AppLab, using mobile phones to help people in poor communities without Internet access get information about farming, health and trading by SMS.
Mobile phones, which are becoming commonplace in many developing countries, have proven to have a number of promising applications, including mobile banking and medical diagnostics. The M-PESA system in Kenya, developed to help borrowers receive and repay money for micro loans, now has more than 6 million subscribers.
Edelstein's experience includes helping build AppLab and focusing on affordable technology products and business strategies for people in developing countries at Microsoft and at McKinsey & Co.
He replaces Peter Bladin, founding director of the Technology Center who is now the foundation's executive vice president for programs and regions.
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November 18, 2009 8:00 AM
Visualize Seattle's global health connections
Posted by Kristi Heim
Seattle's global health experts are busy in laboratories and in the field, working on problems such as HIV/AIDS and malaria. So busy, in fact, that they don't always know about work being done down the street.

Washington's health expertise is spreading around the globe.
A new study being unveiled today attempts to bridge the information gap. It shows the breadth and depth of the state's role in global health, mapping out nearly 500 projects of global health organizations in Washington in 92 countries with 587 unique partners.
The two maps are based on data from nine local organizations and will be expanded in the future to include others.
This map shows where local organizations currently have projects.
This map shows where Seattle organizations have offices and labs.
Produced by the Washington Global Health Alliance, the maps are designed to help local organizations discover potential collaborations and shared facilities, and showcase global health as a powerful and emerging sector in the region.
"Everybody recognizes that to address these issues, the more information the better and the fewer barriers the better," said Lisa Cohen, founding director of the alliance.
Alliance members include Fred Hutchinson Cancer Research Center, Institute for Systems Biology, PATH, Public Health - Seattle & King County, Seattle Biomedical Research Institute, Seattle Children's Hospital Global Alliance for the Prevention of Prematurity and Stillbirth, the University of Washington, Washington State University and the Bill & Melinda Gates Foundation.
The Gates Foundation is not included in the tally because the study focuses on organizations doing work in the field, not those funding them.
Many of the founding members of the alliance have doubled in size over the past five to seven years. Global health organizations expanding in South Lake Union are redefining the area beyond the original life-sciences cluster.
The alliance can help state businesses and non-profits get connected to opportunities in places where global health projects have paved the way, such as China and India, Cohen said.
Through the alliance, local health authorities hope to apply methods used in global health projects to improve health of people here in the Seattle area.
"A lot of people think global health is over there and doesn't have relevance here," Cohen said, but the H1N1 pandemic has made the links clear.
Community health workers, for example, have been vital to programs internationally, bringing medicine and information about prenatal care and disease prevention to people in rural areas. Such a model could work here, especially in South King County, where workers with language and cultural skills could help train diverse populations living below the poverty line who are unfamiliar with the health system, Cohen said.
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November 17, 2009 12:52 PM
Pioneering social entrepreneur pays a visit to Seattle
Posted by Kristi Heim
Social entrepreneurship has caught on in Seattle in a big way. It takes two of the region's strengths -- its entrepreneurial streak and its humanitarian drive -- and forges interesting new hybrids. Think FareStart, VillageReach and many other examples.

KRIS HERBST
Bill Drayton, founder of Ashoka and pioneer of social entrepreneurship.
Now the man who helped pioneer that concept and expand its practice is visiting Seattle this week, judging the Microsoft non-profit awards and speaking at an event tonight.
Bill Drayton founded Ashoka, a global network that encourages and funds people to change society for the better. Started almost 30 years ago, Ashoka now has a network of 2,000 fellows in more than 60 countries. Some notable fellows include Grameen Bank founder Muhammad Yunus and Wikipedia co-founder Jimmy Whales.
Similar to the way a business entrepreneur might create new products or services, social entrepreneurs create new solutions to social problems.
Ashoka has expanded its Youth Venture program to Seattle, and 40 new ventures have been started by students from around Seattle, including Jessica Markowitz.
One new local partnership between Youth Venture and the Jolkona Foundation is aimed at getting young philanthropists interested in supporting the work of other young people.
Jolkona will feature some of Youth Venture's projects in Seattle on its Web site, including a teen publication in Issaquah to encourage journalism skills and newspaper reading habits among youth, and American Youth for Equal Educational Opportunities, a project to provide education supplies to students in the Bellevue School District who are in need of financial aid.
Social entrepreneurs help bridge the gap between philanthropy and business. On that topic, an interesting debate is going on with Intrepid Philanthropist blogger Phil Buchanan.
After the pounding that non-profits have received from some critics in the business world, it's good to see someone pushing back.
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November 16, 2009 3:22 PM
Microsoft alumni find productive niche in non-profits
Posted by Kristi Heim
Update: And the winners are: Patrick Awuah of Ashesi University; Trish Millines-Dziko of Technology Access Foundation and John Wood of Room to Read.
Microsoft alumni have been a generous bunch. They've started at least 150 non-profits and given millions, if not billions, to causes from global health to education to equal rights.
Now the Microsoft Alumni Foundation is kicking off a new awards program to honor former employees working to improve the world through their philanthropy and socially motivated business.
On Wednesday evening, Bill and Melinda Gates will present the top three award winners as Integral Fellows, who will receive $25,000 each for the nonprofit of their choice. The finalists were chosen by a panel of judges -- former President Jimmy Carter, Bill Gates Sr., Bill Drayton, Pierre Omidyar, and Tom Tierney.
Of the 66 nominees, here are the six finalists:
Patrick Awuah of Ashesi University, an educational institution in Ghana whose mission is to educate African leaders of exceptional integrity and professional ability.
Peter Bladin of Grameen Foundation, which helps the world's poorest, especially women, improve their lives and escape poverty through access to microfinance and technology.
Linda English of Learning for International NGOs (LINGOs), a consortium of over 40 international humanitarian relief, development, conservation and health organizations providing the latest learning technologies and courses from partners to increase the skill levels of the international nonprofit employees and the impact of their programs.
Tom Ikeda of Densho, The Japanese American Legacy Project, which helps students explore issues of democracy, intolerance, wartime hysteria, and the responsibilities of citizenship through the examination of the unjust World War II incarceration of Japanese Americans.
Trish Millines Dziko of Technology Access Foundation, a nonprofit organization in Seattle that is dedicated to preparing students of color for academic and professional success in today's technology-driven world.
John Wood of Room to Read, which partners with local communities in the developing world to provide quality educational opportunities by establishing libraries, creating local language children's literature, constructing schools, and providing education to girls.
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November 6, 2009 3:28 PM
When small business pays the price for big bank mistakes
Posted by Kristi Heim
In the current jobless recovery, people are running out of unemployment benefits before they find job openings. Some may look to starting a small business of their own, but who would loan them money without a track record? Certainly not banks.
For such local entrepreneurs, the answer has been non-profits like Community Capital Development. CCD has provided $26 million to more than 1,000 previously "unbankable" local businesses, including Plum Bistro, Bedrock Industries and Utilikilts.
CCD-backed businesses create and sustain hundreds of local jobs, most of which go to people with low-to-moderate incomes. For entrepreneurs with a solid business plan and 10 percent of the capital, CCD provides a fixed-rate loan over five years plus free business counseling and subsidized accounting and marketing services. It charges 9 percent interest on loans.

CHRIS MUNFORD
Bedrock Industries, which turns recycled glass into art, is one of CCD's success stories.
But CCD ultimately relies on banks for capital to lend. In the current economy, that has dried up, and Chief Executive Jim Thomas worries about the fallout on struggling enterprises.
"They can't go to a bank," he told me over lunch recently. "They'll struggle along but they won't be able to grow. They'll go to the credit cards, which are at least 18 percent. they'll end up paying interest only. At interest only, you can never reduce that debt."
Another blow was losing Washington Mutual, which was one of CCD's top lenders. The new owner, JPMorgan Chase, does not lend to CCD. Washington Mutual was closed by the government a year ago in the largest bank failure in U.S. history. Its assets were sold to JPMorgan for $1.9 billion.
Meanwhile, CCD is down to microloans, funded by the Small Business Administration. The trouble is borrowers can get only one, and it's usually not enough to get a business off the ground in the U.S.
The problem is much bigger than CCD. The entire industry of Community Development Financial Institutions, a category of firms known as CDFIs that provide credit, financial services and training to under served markets, has been hit hard by the credit crunch. The segment that serves the least advantaged is suffering from a problem brought on largely by the mistakes and greed of bigger banks and Wall Street, now the beneficiaries of billions in bailout money.
Janet Ozarchuk, vice president and treasurer of the Local Initiatives Support Corporation (LISC), said her institution received some help recently from Bank of America. But banks in the first two quarters of 2009 didn't lend a single dollar to CDFIs, she said.
"The grant dollars have hung in there, but a good part of funding comes from banks," she said. "That has just been devastated."
"We have one of the strongest balance sheets of any non-profit," Thomas said. "We are not leveraged. But we cannot borrow money because it's not available."
Some efforts have begun to address the problem.
Community development non-profits may be able to raise capital from foundations' Program Related Investing (PRIs). In the current economy, foundations are exploring ways to make more social impact with their assets. PRIs can be used to guarantee loans and bring other investors and banks into the deal, said Ozarchuk.
Last month Senators Jeff Merkley (D-OR) and Barbara Boxer (D-CA) introduced legislation to extend credit to small businesses by allocating existing TARP funds to community banks.
Banks that get such federal help would be required to generate new credit equal or greater to the amount of capitalization received from the federal government. By the end of 2010 the bank would be required to increase overall business loans outstanding by at least 5 percent over the lowest level reached in 2009.
Untested borrowers are a higher risk. Many banks, whether commercial or community or even credit unions, are interested in making low interest loans for community development non-profits "only because they have some legal obligations to fulfill," says CCD's Chief Operating Officer Hongqing Chen.
The bill has the potential to be effective "if and only if it requires a certain percent of new business loans be made to distressed communities and low to medium income borrowers," she said.
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November 4, 2009 2:53 PM
More on crowdsourcing: ideas for philanthropy and development
Posted by Kristi Heim
The interesting marriage between online communities and the social sector has produced two more offspring:
One is a project by Global Washington called Blueprint for Action, which asks the public to help set priorities for development by posting their ideas and solutions. Readers can vote on the ideas, and the author with the most votes gets to host a session on that topic at a conference next month in Seattle.
Here's an idea someone submitted to Global Washington called checks and balances:
"We need to have an improved system of communication between people in the rural developing countries and 'bright' planners and analysts working for organizations such as Gates Foundation. Otherwise, we will find again and again that interests are not aligned with increasing the sustainable livelihoods and economic independence of the poor."

JON OSBORNE
Kushal Chakrabarti, co-founder of Vittana, talks with members of the World Affairs Council's Young Professionals International Network in Seattle.
Another example of online media-philanthropy hybrids is a project to solicit audience help in choosing and awarding the best innovators, visionaries and leaders, who are profiled on Huffington Post.
Kushal Chakrabarti, co-founder of Seattle education non-profit Vittana made the Top 10 "Ultimate Game Changers in Philanthropy."
I wrote about Vittana here a few months ago, and the start-up has made some huge strides since then, including bringing student loans to Peru, Paraguay, Nicaragua and Mongolia, and getting its first repayment from students who now have jobs.
In addition, Vittana has received funding from some tech heavyweights, including Mitch Kapor and Mike Murray.
If you like what he's doing, you can vote for him over the next week or so.
The Game Changers awards honor 100 people for using new media to reshape their fields and change the world in politics, entertainment, technology, media, sports, business, style, health, environment and philanthropy.
Another person who made the top 10, the "godfather of social entrepreneurship," Bill Drayton, founder of Ashoka, will be in Seattle on Nov. 17.
Leadership Tomorrow and CityClub will host a conversation with Drayton, chairman and CEO of Ashoka, moderated by Paul Shoemaker, executive director of Social Venture Partners. I won't have to travel far -- the event is being held in the Seattle Times Auditorium, 1120 John St., starting at 5 p.m.
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October 24, 2009 12:22 PM
Brain cancer mapping project launches with Swedish Neuroscience and Allen Institute
Posted by Kristi Heim
Catherine Ivy lost her husband, Ben, to brain cancer just four months after he was diagnosed.
Now a unique project funded by the couple's foundation is bringing Seattle's technology expertise to bear on the problem to help scientists better understand how to fight it.
The Center for Advanced Brain Tumor Treatment at Swedish Medical Center and the Allen Institute for Brain Science are teaming up to work on the new $4.4 million Ivy Glioblastoma Atlas Project. Initial funding comes from the Ben and Catherine Ivy Foundation, based in Palo Alto, Ca.
Glioblastoma multiforme is the most common type of brain tumor, and also one of the most malignant forms of cancer, fast spreading, difficult to remove or treat and almost always fatal. Ben Ivy, a native of Everett, passed away from glioblastoma in 2005, and the cancer claimed the life of U.S. Sen. Edward Kennedy in August.

JOHN LOK/SEATTLE TIMES
Dr. Greg Foltz peers into a magnifier during surgery recently to remove a patient's brain tumor at Swedish Medical Center Cherry Hill.
Dr. Greg Foltz, a scientist and surgeon with the Swedish Neuroscience Institute, heads the Ivy Foundation project. Foltz is working with a coalition of local research centers and biotech firms to apply cutting-edge tools to treat patients and fight the disease.
Foltz and his colleagues genetically map each patient's tumor and examine its genes to determine their pattern, as this profile describes. The Allen Institute, funded by Microsoft co-founder Paul Allen, provides genetic maps of healthy brain tissue for comparison. The genetic information can help Foltz predict how the cancer will behave and respond to various treatments and extend the lives of his patients.
Previously published brain cancer gene data has contained anatomic information from whole tumor samples, but little or no information about the gene activity.
For the atlas project, tumor tissue samples will be collected at Swedish and then sent to the Allen Institute for studying the target genes. Very thin strips will be digitally photographed and the cells and genes plotted on a 3-D map.
Research on the atlas project is scheduled to be completed in 2013. The information it produces will be made available online for free use by medical and scientific communities around the world.
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October 20, 2009 4:00 PM
A taste for bold ideas -- chewing gum to detect malaria?
Posted by Kristi Heim
Add two new weapons to the potential arsenal against malaria -- chewing gum and chocolate.
They are among dozens of unconventional approaches to global health problems that won backing today from the Bill & Melinda Gates Foundation. The foundation is giving out 76 grants of $100,000 each to researchers in 16 countries.
The awards known as Grand Challenges Explorations, smaller and riskier bets the foundation is making to encourage creativity among scientists around the world, include people in areas such as chemistry, engineering, statistics and business who have never focused on health before.
The third round of projects explore new low-cost ways to diagnose diseases, fight malaria and HIV, and find more effective vaccines. Among the winners:
- Andrew Fung of the University of California, Los Angeles, aims to develop chewing gum that can detect the presence of malaria in a person's saliva. Fung calls his diagnostic tool "MALiVA." During chewing, particles in the gum will react with malaria proteins, which can be detected and characterized when the gum is scanned with a magnet.
- Kate Edwards at the University of San Diego will study whether a brief bout of exercise can make a pneumonia vaccine work better.
- Steven Maranz of Weill Cornell Medical College in New York will test a compound contained in chocolate to find out whether providing children high levels of flavanols, found in chocolate, green tea and nuts, deprives malaria parasites of lipids needed to survive, keeping the infection at levels low enough to elicit a strong immune response and build lifelong immunity.
- Ranjan Nanda of the International Centre for Genetic Engineering & Biotechnology in India will attempt to create a handheld "electronic nose" that gathers and analyzes breath samples to diagnose tuberculosis.
- Margaret Njoroge of Med Biotech Laboratories in Uganda will develop a nasal vaccine for mothers, designed to induce antibodies against malaria in breast milk and pass that immunity on to their babies.
- Researchers at the University of California, Berkeley are attempting to marry a microscope with a cell phone to capture high-contrast fluorescent images of malaria parasites, with software on the phone that can count the parasites and wirelessly transmit the results to clinics.
The foundation is currently considering applications for the fourth round of funding, which closes on Nov. 2, and it's adding a new topic this time around -- new technologies for birth control.
Seeking novel solutions to an old problem, the foundation notes that family planning is one of the most cost effective ways to reduce deaths among mothers and children, but 200 million women in developing countries lack effective contraception.
So far, 262 researchers from 30 countries have been awarded grants through the Grand Challenges program, a five-year, $100 million initiative to promote innovation in global health.
Since the projects are so experimental, I'll be interested to see how the first ones have fared a year after their initial funding, and whether any of them are going on to the next stage in November. Successful projects can compete for a follow-on grant of $1 million or more, but no such grants have been awarded yet.
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October 17, 2009 11:07 AM
Gates Foundation pours $115 million into new malaria drugs
Posted by Kristi Heim
By Sandi Doughton
Health experts around the globe were chilled earlier this year by the discovery that malaria in Cambodia has evolved resistance to the most promising drug in medicine's arsenal.
With the effectiveness of artemisinin under threat, the Bill & Melinda Gates Foundation is stepping up its investment in new malaria drugs with a $115 million grant to the Geneva-based Medicines for Malaria Venture. The grant brings the foundation's total funding for the group to $317 million.
Malaria has long been a top priority for the Gateses, who in 2007 took the controversial step of calling for eradication of the disease. Many experts question whether that will ever be possible, but foundation CEO Jeff Raikes recently said the world's biggest philanthropy is refocusing its malaria programs with the goal of eradication in mind.
The "E-word," which some malaria scientists utter with trepidation based on past failures, is repeated three times in MMV's four-paragraph press release on the new grant.
In February, MMV and drugmaker Novartis introduced a sweet-tasting version of the combination malaria drug Coartem for African children. The group is funding work on more than 50 drug candidates, ten of which are in clinical development.
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October 16, 2009 2:00 PM
A real sister city
Posted by Kristi Heim
Last night Nicholas Kristof told the story of a boy on a beach who collected starfish washed onto the sand and threw them back into the ocean one by one. A man came along and told him he'd never make a difference, but the boy replied "It sure made a difference to that one."
What if there were thousands, or even millions of boys and girls on the beach, an entire clean up crew, and each one saved at least one starfish?
That is the possibility in cities like Seattle.
A city where each citizen is linked to another citizen of a city somewhere in the world that needs our help.
We have sister city programs where delegations of bureaucrats go visit each other and talk about expanding ties. That's the old paradigm. So here's my idea: take Seattle's enormous talents, compassion and global perspective, and scale it up.
Time for the younger generation to redefine this civic pillar and make it really meaningful.
Because something is happening here but you don't know what it is, in the words of Dylan. A whole generation is looking at the world in a new way and is hungry to change it. These are the students who pack auditoriums and line up for hours to meet their rock stars - the Paul Farmers and Kavita Ramdases and Nicholas Kristofs of the world.
Three years ago an 11-year-old girl, Jessica Markowitz, decided to help educate girls in Rwanda. She traveled back and forth, raised more than $30,000, and now she's expanding her partnership to high schools in Seattle and Kigali. At Bellevue High School Brett Mennella helped start a microfinance club, which raised more than $130,000 for a local non-profit helping poor entrepreneurs, and now five other high schools have followed his lead. There are countless other examples here and in cities across the U.S.
Everyone knows the wealth system today is unequal. As Kristof said, we who won the birth lottery buy lattes and iPods while kids overseas starve. But we as individuals have the power to change it ourselves right now, and even the technology.
The Kiva model has shown the possibilities for transformation when one person uses the Internet to send one tiny bit of her resources to one other person.
Joe Mallahan would like it, from what I hear about his ideas to use mobile phones for social business. Mike McGinn would like it, from what I hear about his enthusiasm for grassroots environmental movements.
Someone in Edmonds liked the idea, because he made sure every one of its 43,000 residents could give $1 to help Carol Schillios save girls in Mali.
Kristof also told us about a $10,000 bank mistake that saved a school in China that was able to waive $13 in school fees for each of the girls, who became accountants and sent money back to their town, which got a road built and attracted more investment, which made life better for everyone. A virtuous cycle.
What if we could change a whole town in a place like Cambodia or Cameroon, and create a new sister cities model for others? Take soft power right down to the local level.
We have 602,000 residents in Seattle, and most of them can afford a latte. Some school in some town with a poor girl who can't afford an education is just waiting for us to notice.
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October 15, 2009 11:02 AM
Norman Borlaug to Gates Foundation CEO: Don't give up the fight
Posted by Kristi Heim
Gates Foundation Chief Executive Jeff Raikes has deeply personal ties to agriculture. He grew up on a farm outside of Omaha, Nebraska, that has belonged to his family for generations. Raikes counted Norman Borlaug, the father of the Green Revolution, among his heroes.
Earlier this year Raikes paid a visit to Borlaug at his home in Texas. Raikes had wanted to meet Borlaug at the World Food Prize gathering in Iowa, but he knew Borlaug's illness would make it impossible for him to attend. Borlaug passed away Sept. 12.
Borlaug was having some trouble with his hearing, but overall "he was doing amazingly well for somebody who is 94 years old battling cancer."

JAMES A. FINLEY/ASSOCIATED PRESS
Nobel Peace Prize winning agricultural scientist Norman Borlaug, pictured in 2005.
Raikes' burning question - what went wrong in Africa?
"When I asked him about Africa he immediately launched into a discussion about the importance of maintaining the investments and the commitment to wheat rust," Raikes said.
Last year, the Gates Foundation gave Cornell University $27 million to create a global partnership to combat the disease, called the Durable Rust Resistance in Wheat project.
A particularly virulent strain, called Ug99 because it was first seen in Uganda in 1999, has spread from Africa and can infect crops in hours. Clouds of invisible spores can be carried by the wind for hundreds of miles.
Borlaug's concern about the wheat rust problem reflected something larger, Raikes said. "What he was saying is that governments had not maintained their commitment to international agricultural development at the level they should have."
"What I took away from that conversation was how important it was to maintain the commitment to invest in agriculture when things like the opportunity for higher yield crops that better withstand wheat rust or drought are very important to food security."
Raikes sat with him for over an hour. While Borlaug had recently undergone chemotherapy and didn't get up from his chair, "his level of energy was quite impressive," Raikes said.
Borlaug is one of only a handful of people to have won the Nobel Peace Prize, the Presidential Medal of Freedom and the Congressional Gold Medal.
When Raikes visited, Borlaug's family was in the process of moving the awards from their safety deposit box to Texas A&M University, and showed Raikes the Congressional medal.
On the back of the medal is Borlaug's famous creed: "The first essential component for social justice is adequate food for all mankind."
Raikes accidentally dropped the medal, which landed on Borlaug's knee.
"I tested his reflexes and his reflexes were great," Raikes laughed.
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October 8, 2009 9:43 AM
Seattle non-profits partner on global health microfinance initiative
Posted by Kristi Heim
Update: I wrote a little more about this partnership in my story today. What's at the heart of this effort seems to be identifying the most urgent health needs of Pro Mujer's clients in Nicaragua and then using microcredit to create a model to finance solutions that are both affordable for the clients and sustainable for the non-profit. Currently the health programs are subsidized by the financial arm.
The partners say they hope the model can be applied anywhere.
"Microfinance alone, healthcare alone or education alone cannot solve all of the issues of poverty," remarked David Valle, CEO of Esperanza International, a Bellevue-based non-profit that is integrating microfinance, healthcare and education in the Dominican Republic and Haiti. "But when these solutions are combined...now you have something powerful!"
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Local non-profits Global Partnerships and PATH will work together on a global health initiative using microfinance to reach women in Latin America.
The two will work with Pro Mujer, an organization that funds microcredit cooperatives in Latin America and combines small loans with other services, such as business training and regular health checkups. More details on the partnership are expected next week.
Microcredit, with networks reaching millions of people in developing countries, is thought to be a promising way to distribute health solutions and other services to the rural poor.
One innovative program by Pro Mujer provides health screenings using a van retrofitted with consultation rooms and staffed by medical personnel. Global Partnerships CEO Rick Beckett described the mobile health clinics in a recent presentation about Pro Mujer's work to provide cervical cancer testing to its borrowers in Peru.
The health screenings increased the number of women tested from one third to about 95 percent over four years, and revealed treatable tumors that could prove fatal if undetected.
Global Partnerships has committed about $52 million toward microfinance in Latin America and is working to help Pro Mujer find a financially sustainable way to fund such health programs.
It's a natural fit for PATH, which could contribute its health systems expertise for the developing world, along with potential technology and commercial partners.
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October 1, 2009 7:00 PM
Federal money boosts local health and social services non-profits
Posted by Kristi Heim
Update Friday: The University of Washington said this morning that it will use $25 million in Recovery Act funding from NIH to create a new Northwest Genomics Center and explore the origins of common heart, lung and blood disorders.
The UW will receive two of the six "Grand Opportunity" large-scale DNA sequencing project awards to examine the genetic connections to the diseases, which account for three of the leading causes of death in the United States.
UW Professor Debbie Nickerson is one of the principal investigators for the two-year national project. She said the new center "will apply cutting edge, next generation sequencing technology to uncover the differences in our genetic code and explore how these may influence traits, such as cholesterol and blood pressure, that impact our risk for developing cardiovascular disease."
The UW center is one of two sequencing centers for the project, with the second located at the Broad Institute of MIT and Harvard in Cambridge, Mass.
"This is one of those times in science when it is just the right moment to scale newly emerging technologies to obtain important medical insights," Nickerson said.
Washington State University said it has received more than $30 million in 42 federal stimulus funding awards, including $9 million from the National Science Foundation, $5 million from NIH and Health and Human Services, and $16 million in Commerce, Energy and other funding related to the Recovery Act.
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Hundreds of health research projects in Washington state have received federal stimulus funding of about $170 million, led by the University of Washington, according to the National Institutes of Health.
The updated NIH database lists millions of dollars in federal stimulus funding to Seattle researchers studying the effectiveness of various cancer diagnostic tools, screening tests and treatments.
On Monday researchers from the Fred Hutchinson Cancer Research Center, UW and Group Health Cooperative will describe their projects, supported by the National Cancer Institute, that are helping to build a hub for cutting-edge cancer research in Seattle. Of the 385 projects funded in Washington state, 359 of them were in the Seattle area.
My colleague Sandi Doughton wrote about the potential windfall from the $787 billion stimulus package to locally-based scientific research efforts earlier this year.
President Obama announced the funding Wednesday as part of a plan to spend $5 billion on medical and scientific research, medical supplies and upgrading laboratory capacity. The funds come from the $787 billion economic stimulus package.
Washington State University has received close to $3 million, including $1.5 million to professor Norman G. Lewis for a project to classify medicinal plants into a comprehensive database to aid the discovery of new medicines. (NIH only lists funding of $1.46 million for the first year, but the total award is $2.75 million, Lewis said.)
One standout nationwide was the UW, which has had more than 240 projects funded so far for a total of $99 million. At UW, professor Debbie Nickerson leads a project to study human genome variation that received $11 million this year.
Besides scientific research, Recovery Act dollars also went toward social services. Building Changes, a Seattle-based non-profit focused on ending homelessness, received a $1 million grant to provide technical assistance and grants to smaller non-profits serving the homeless and at-risk or very low-income families.
Building Changes is one of 35 organizations in the U.S. awarded money through the Strengthening Communities Fund, which aims to improve the ability of non-profits to help low-income people recover from the recession. Other recipients in Washington state include Seattle's Human Services Department and the Confederate Tribes of Colville Reservation, which received about $250,000 each, and the Northwest Leadership Foundation, which received $1 million.
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September 30, 2009 2:35 PM
Seattle's ISB nets federal money for cancer research
Posted by Kristi Heim
The Institute for Systems Biology was chosen to receive nearly $8 million in federal funds for research into the genetic causes of cancer and potential targeted treatments.
A member of the Cancer Genome Atlas Research Network, ISB will analyze data gathered by research centers around the country with the goal of learning how environmental factors affect genes and cause cells to malfunction, leading to cancer. ISB will then use the knowledge to identify drug targets and therapeutic treatments. The principal investigator at ISB is Ilya Shmulevich.
The Research Network has initially focused on cancers of the brain, breast, kidney, lungs and ovaries. Part of ISB's role is to develop state-of-the-art software and other tools that assist researchers with processing and integrating data analysis.
The award is $7.88 million over five years, with $3.1 million of the funding approved so far, according to the National Institutes of Health. The project is jointly run by the National Cancer Institute (NCI) and the National Human Genome Research Institute (NHGRI), both under the NIH.
Note: The ISB funding was not, as I reported yesterday based on information from ISB, part of the federal stimulus package announced by President Obama in a plan to spend $5 billion on medical and scientific research, medical supplies and upgrading laboratory capacity.
Funding for the Cancer Genome Atlas came from two different sources -- $175 million from the Recovery Act and $100 million pledged jointly by the National Cancer Institute and the National Human Genome Research Institute.
The cancer research funds came to ISB from that second pool of $100 million, ISB spokesman Todd Langton said Thursday. ISB did receive Recovery Act funds -- a $2.3 million grant to complete an atlas of human peptides and a $200,000 grant to study how external factors combine with genetic factors to drive asthma attacks.
A full list of NIH grants as part of the Recovery Act is available here. Other large grants awarded in Washington state include $8.5 million to the Northwest Institute of Genetic Medicine at UW and $8.3 million to the Allen Institute for Brain Science. In fact, various UW researchers have racked up a total of more than $80 million in NIH grants this year alone.
ISB, a non-profit research institute on the north end of Lake Union, is hiring an additional eight people and dedicating some of its existing full time positions to the project, ISB spokesman Todd Langton said.
The institute is pioneering an approach to medicine it calls P4 -- predictive, preventive, personalized and participatory. The idea is that future medicine will consider the unique biology of an individual and his or her probability of developing various diseases, and then design appropriate treatments before a disease manifests.
More than 1,500 Americans die from cancer every day, according to the NIH, and the rate is expected to rise as the U.S. population ages.
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September 23, 2009 1:57 PM
What's next for microfinance? More than money
Posted by Kristi Heim
Pro Mujer, an organization that funds microcredit cooperatives in Latin America, also provides women's health screenings, using a special van retrofitted with medical consultation rooms and staffed by a nurse and doctor.
The vans travel into remote parts of southern Peru, combining financial help with preventative health care and education.

COURTESY OF PRO MUJER
Women in Peru get health care during meetings of their microcredit group in a program of Pro Mujer, a non-profit supported by Seattle-based Global Partnerships. The van combines mobile banking with health services to rural areas..
It's based on a simple fact that people who are poor tend to get sick, and people who are sick easily become poor, or deeper in debt. Rick Beckett, CEO of Global Partnerships, gave the example of Pro Mujer's work at a talk last night about the future of microfinance.
About 150 million people around the world have borrowed money through the system of microcredit pioneered by the Grameen Bank. Once the model showed promise, investors started flocking to it.
The last decade has seen an explosion of commercialization, exemplified by Compartamos, a lucrative Mexican bank that started as a non-profit but ended up going public in 2007 and now charges more than 80 percent interest on microloans.
Commercialization is necessary for raising the amount of money needed to get microcredit to the millions who could benefit, Beckett said. But the profit-motive also leads lenders to bypass the poorest people.
Commercial capital goes to the most profitable microfinance institutions. It turns out that poor people at the bottom are not as profitable as others farther up, and it's easier to make money in dense urban areas than in rural ones, he said.
The situation has parallels with healthcare in the U.S. "Economic incentives are very powerful," he said. "You can make a lot more money in health care if you serve healthy 65-year-olds than sick 89-year-olds."
Beckett, who had an earlier career as an investor and led the healthcare practice for McKinsey & Co, said the U.S. needs "vibrant, well capitalized insurance providers that have a different economic motivation" and "socially motivated, probably non-profit insurance coverage."
Likewise the microfinance industry needs organizations like Pro Mujer that make a profit but reinvest it in the effort to improve lives.
Pro Mujer's mobile medical clinics provide cervical cancer testing. Before joining the organization, only about one-third of the women had ever had a gynecological exam. Eventually 95 percent of them had been tested. In Nicaragua, Pro Mujer helped give 9,000 tests over four years, which detected tumors in 700 women who otherwise would not have known they needed treatment.
Global Partnerships is now working on a business enterprise for Pro Mujer so it has a long-term source of funding for the healthcare services. The Seattle non-profit has committed about $52 million toward microfinance in Latin America.
Testing for cervical cancer in developing countries is getting some help from Merck and QIAGEN. The companies said today they would collaborate on a new program to increase access to HPV vaccination and HPV DNA testing in some of the poorest areas of the world, calling the partnership the first time a vaccine manufacturer and a molecular diagnostics company are addressing the burden of cervical cancer together with a comprehensive approach.
Their commitments were announced at the annual meeting of the Clinton Global Initiative.
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September 22, 2009 5:27 PM
Gates Foundation to make $400 million in investments
Posted by Kristi Heim
The Bill & Melinda Gates Foundation is planning to use its massive endowment to offer $400 million in new low-interest loans, loan guarantees and equity investments.
It's a significant step by the world's largest private charity to use more of its $30 billion in assets to finance program-related investing. I first wrote about the idea here.
The $400 million will be used for a range of new opportunities, including charter school expansion, agricultural financing for small farmers in Africa, and investment in global health technologies, according to people familiar with the plan.
The program-related investments or PRIs will be managed by Gates Foundation Chief Financial Officer Alexander Friedman and his staff. The Gates Foundation will seek partners for joint investments, aligned with its strategies in areas such as global health, U.S. education, agricultural development and financial services for the poor, to more than double the total funding.
U.S. foundations have hundreds of billions of dollars in their endowments, but pay out just 5 percent of the total each year. Meanwhile the economic downturn has forced them to think about new ways to achieve their charitable goals. Foundation endowments plunged an average of 26 percent last year.
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September 1, 2009 9:36 AM
VillageReach fuels change in global health delivery
Posted by Kristi Heim
How did a tiny non-profit in Fremont attract the attention of a global pharmaceutical giant, a multinational beverage company, governments from India to Senegal and a $1.4 million investment announced this morning by a European venture fund?

COURTESY OF VILLAGEREACH
Women in Mozambique walk for miles and wait for a rural health center to open. The health center is among those supported by Seattle-based VillageReach. .
VillageReach has figured how to get health care into the heart of remote communities that others haven't managed to reach -- the so-called "last mile" -- and pay for it with a for-profit energy business.
With billions of dollars being spent to develop new vaccines, bridging the last mile can mean the difference between lifesaving drugs getting stuck in a bottleneck or reaching the people who need them most.
VillageReach applied a logistics model for delivering and tracking vaccines in remote settings similar to the way UPS might deliver its packages. In fact, VillageReach hired a veteran UPS employee to help improve its operations and industry partnerships.

COURTESY OF VILLAGEREACH
A health center in rural Mozambique is powered by propane supplied by Vida Gas, a company half owned by Seattle-based VillageReach.
The problem typical in developing countries is that medical supplies from big donors like Unicef reach the capital or nearest port city, and national authorities distribute them as far as the provinces, but that's where they sit waiting to be picked up by local health workers -- when they have the time and transportation.
"It's as if your mail is only delivered up to Olympia," said VillageReach President Allen Wilcox.
VillageReach moved that work from a collection-based system to one with dedicated distributors, freeing up health workers to focus on treating patients.
VillageReach worked with the government in Mozambique to set up a fleet of seven trucks and seven field coordinators whose sole job is to get vaccines, equipment and medicines to 261 rural health centers. VillageReach helped acquire some of the vehicles initially, but the trucks are owned and operated by the government health authority.
The field coordinators return to two central offices that have laptops and Internet access, and upload information into an online database. They report what supplies were distributed, how many vaccines were given out and how much inventory was left.
VillageReach has been able to assemble a detailed picture of what is happening at each health center with updates every two weeks, said John Beale, strategic development director, "so we can see the trends for better or worse."
VillageReach can then share the online data with partners in Seattle and with policy makers in Geneva. The management information system VillageReach has developed is receiving a 2009 Tech Award from the Technology Museum of Innovation in Silicon Valley. In Mozambique its program has helped boost vaccination rates from 68 percent to 95 percent, according to an independent study cited by the non-profit.
In a country like Mozambique, where cars and even bicycles are rare, people walk for miles to reach medical care. It's important they find something at the end of the road, said Beale. "The greatest benefit we provide is community confidence in the health care system."
The non-profit supports its work with a propane gas business that also powers much needed refrigeration for the medicine.
The population of northern Mozambique lives largely off the electrical grid. Less than 10 percent of the country has electricity, so most people cook and heat with charcoal or wood.
VillageReach needed energy for critical health services such as sterilizing equipment, helping mothers through childbirth at night and keeping vaccines cold. Propane was their only viable fuel option.
Being entrepreneurs, they launched a company called VidaGas to supply it themselves. The alternative would have been to use donations to buy propane, Beale said, but once those dollars ran out, so would the cold chain upon which the health system depended. "The whole program would not be sustainable," he said.
In 2002 VillageReach partnered with a local non-profit, the Foundation for Community Development, to start VidaGas. (The foundation is headed by Graca Machel, Nelson Mandela's wife. The two paid a visit to Seattle in 1999 and received $30 million for their charities from local donors.)
VidaGas sells gas to the region, offering a cleaner alternative to charcoal, and it's now the largest propane distributor in northern Mozambique. Besides supplying energy for the health system, it's fueling the hotel and tourist industries, small retailers and family homes.
VillageReach is holding up VidaGas as an example of a successful social business that supports a humanitarian mission. Harvard Business School recently published a study of its model for integrating global health programs with social businesses to benefit remote communities.
Luxembourg-based Oasis Capital today announced it will make a $1.4 million investment in VidaGas, which will allow the company to expand its services to more customers and to build additional filling stations.
VillageReach has been hired by the World Health Organization and Seattle-based PATH for a pilot project in Senegal, and by a large pharmaceutical company to conduct a health strengthening program in a remote part of India. The non-profit is also working with a multinational beverage maker to use its vast transport networks to help distribute medical supplies.
Its goal is nothing short of a sea change in global health practices.
"What is unique about VillageReach is we are trying to enhance systems that exist and leave behind a legacy of infrastructure improvements to allow the system to sustain itself," Wilcox said.
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August 31, 2009 10:30 AM
PATH's Ultra Rice to get award from Tech Museum of Innovation
Posted by Kristi Heim
Billions of people around the world eat rice as a daily staple. To make it more nutritious,
Seattle-based PATH is taking ordinary rice, blending it with micro nutrients and molding it into fortified rice-like grains.
PATH's new Ultra Rice is being introduced around the world to solve vitamin and mineral deficiencies that cause a host of health problems, from birth defects to blindness.

PHOTO COURTESY OF PATH
Ultra Rice in bins ready for serving to a school in the state of Andhra Pradesh, India.
Tomorrow the Technology Museum of Innovation in San Jose is recognizing the global health non-profit's work on Ultra Rice with a 2009 Tech Award, given to innovators from around the world who are applying technology to benefit humanity.
It will be the third Tech Award PATH has received from the museum. PATH was a Health Award Laureate for its heat-sensitive vaccine vial monitor in 2007 and for its pre-filled Uniject syringes for vaccine delivery in 2003.
Ultra Rice was pioneered by a local father-and-son team, Dr. James P. Cox and his son, R. W. Duffy Cox. at Lynden-based Bon Dente International, the creators of technologies from oyster shucking equipment to methods of eliminating salmonella in eggs. In 1997, the Cox family donated the Ultra Rice patent to PATH.

PHOTO COURTESY OF PATH
School girls in a meal program in India eat fortified Ultra Rice developed by Seattle-based PATH.
Ultra Rice is now being developed by PATH under Project Director Dipika Matthias, with funding from the Bill & Melinda Gates Foundation. PATH has already introduced Ultra Rice into large-scale meal programs funded by governments to test its benefits.
PATH launched a pilot program in December with the Global Alliance for Improved Nutrition (GAIN) and the Naandi Foundation in the Indian state of Andhra Pradesh.
Success depends on how effectively Ultra Rice can be commercialized. PATH is now trying to demonstrate successful models of supply and demand.
The non-profit partners with local pasta manufacturers to produce the Ultra Rice grains and works with rice millers and government food programs to blend and distribute the fortified rice.
It has licensed the technology to commercial partners in Brazil, India and Colombia, who are required to make their Ultra Rice grains available to public-sector buyers and consumers at preferential prices. PATH expects the price of fortified rice to be between 2 and 5 percent higher than the cost of traditional rice.
Longevity Vita Bio-Tech, PATH's first commercial partner in China, plans to integrate pasta-extrusion machinery into its Beijing factory to produce Ultra Rice grains. The Chinese Center for Disease Control and Prevention owns part of Longevity Vita and will help introduce the product in China, according to PATH.
Besides PATH, previous Tech Award winners in health include DataDyne, which developed an open-source program for healthcare workers to collect and share data using mobile devices, and MedMira, which invented technology for a single test to detect HIV and hepatitis in three minutes.
The Tech Award winners are honored at an annual gala in San Jose, and one laureate in each award category receives a $50,000 cash prize. This year's awards gala will be held on Nov. 19.
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August 25, 2009 8:37 AM
Jolkona Foundation extends micro-giving to Seattle
Posted by Kristi Heim
The Jolkona Foundation has added Seattle education and microfinance projects to its Web site, allowing people to reach local programs with targeted small donations.
The non-profit created by husband and wife team Adnan Mahmud and Nadia Eleza Khawaja launched its Web site in June, aiming at younger donors. I profiled their venture here.
Now Jolkona is partnering with the Technology Access Foundation (TAF) and the Washington Community Alliance for Self Help (CASH).
The two TAF projects aim to reduce educational disparities between students of different racial backgrounds in the Pacific Northwest. Donors can fund after-school programs for students of color in underprivileged neighborhoods in Seattle and Federal Way. For $50, donors can sponsor snacks and field trips for TAF's TechStart program, or sponsor student council activity and books at TAF Academy. Donors receive photos from students and lists of the books purchased.
The project with Washington CASH provides money for business training to micro-loan borrowers in Washington, where 26 percent of the population is considered "working poor." Donors can fund business training for borrowers for $30, or sponsor a client to attend the non-profit's eight-week Business Development Training course for $375.
"We love Seattle and we are glad that we can utilize our platform to assist TAF and Washington CASH in addressing some of the biggest needs in our hometown," said Mahmud. "We believe poverty and lack of education are not only problems in remote villages of Africa and Asia but also close to home."
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August 24, 2009 9:27 AM
Gates Foundation steps up water efforts with grant to improve sanitation
Posted by Kristi Heim
The Bill & Melinda Gates Foundation is giving $4.8 million to a project to identify new methods of on-site sanitation in developing countries.
The grant to the London School of Hygiene and Tropical Medicine supports a three-year project to research and develop new concepts for sanitation such as improving pit latrines, which are the only option for about 1.7 billion people without access to sewage systems. The London School will research how advances in biotechnology, using enzymes and micro-organisms to convert plant waste to biofuel, for example, might be applied to sanitation.
The London School also received the $1 million Gates Award for Global Health this year.
The Gates Foundation's program on water, sanitation and hygiene is only about three years old but has grown to 19 grants so far totaling about $160 million.
Unsafe water and poor sanitation and hygiene are leading causes of illness and death in the developing world. Improving them could prevent one tenth of global diseases, according to the World Health Organization. About 2.4 million people die from diarrhea and other water-related illnesses every year.
With its water-related grants, the Gates Foundation has funded low-cost, practical solutions that can be commercialized.
Among the recipients is Seattle-based PATH, which is exploring water quality through a $17 million, five-year grant to help develop low-cost filters, gadgets and other water-treatment products.
In 2008 the foundation gave $13 million to an international consortium led by the University of Bristol to develop Aquatest, a simple diagnostic tool that can give a reliable indication of whether water sampled is safe or not.
Since little research has focused on the development and use of pit latrines, the London School said it aims to build knowledge about decomposition processes and evaluate the potential of biotechnology and improved design to accelerate decomposition.
Its goal is to find solutions that can be turned into affordable, sustainable products available on the market. Researchers say such innovations can improve health and reduce costs for sanitation in an environmentally safe manner. The project will combine academic and industrial expertise and provide an innovation fund to turn promising ideas into prototypes.
Locally another non-profit, Seattle-based Water 1st, has been working on projects that integrate water supply, sanitation and health education in four countries, taking safe water as the basis for ending poverty.
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August 18, 2009 12:00 PM
PATH to use Hilton Humanitarian Prize for $25 million innovation fund
Posted by Kristi Heim
Seattle-based PATH announced today it has won the world's largest humanitarian award, the $1.5 million Conrad N. Hilton Humanitarian Prize, for its work creating effective health technologies for the developing world.
Hilton Foundation Chief Executive Steven M. Hilton, who introduced the award during a press conference this morning, said PATH's work helping to develop 85 technologies, along with its commitment to sharing ideas and making sure products are sold at affordable prices, have had a profound impact on alleviating human suffering. More coverage of the award is here.

COURTESY OF PATH/PATRICK MCKERN
PATH CEO Christopher Elias (left) and Conrad N. Hilton Foundation CEO Steven M. Hilton (right) tour PATH's Seattle headquarters following the announcement that PATH has won the 2009 Hilton Humanitarian Prize.
The prestigious award is well deserved recognition for the long-term efforts of its staff, who often work years before seeing the results, PATH Chief Executive Chris Elias said. PATH now has 850 employees working in 20 countries.
Its Seattle headquarters near the base of the Ballard Bridge buzzed with excitement as the news was announced this morning.
The award "will open many doors" for future goals, Elias said, and PATH plans to capitalize on the recognition to expand its partnerships around the world.
PATH will use the $1.5 million in prize money to seed an innovation fund aimed at investing in new technology and health interventions, he said. PATH will begin a five-year drive aimed at raising a total of $25 million for the innovation fund.
The non-profit has an annual budget of $250 million, 65 percent from foundations, 30 percent from governments, and 5 percent from global organizations. Only a small percent of the contributions are unrestricted, a portion Elias calls "innovation capital."
Through the innovation fund, Elias aims to raise the amount of flexible capital from about 3 percent to about 10 percent of PATH's budget.
PATH has used such capital in the past to set up an office in South Africa, which could then begin applying for grants and offering programs that had been successful in East Africa to address similar health problems. Five years later the South Africa office, focused on improving maternal and newborn health, has grown to one of PATH's largest, with a staff of more than 30 people.
"Innovation capital can respond to emerging needs and opportunities," he said.
One goal of the fund is to invest in taking technology innovations that come from 21st century scientific discoveries, such as new diagnostic tools, and applying them to affordable products for the developing world, he said.
The fund will also be used to increase the usage of essential health products PATH has developed and to expand its field presence, particularly in sub-Saharan Africa, Elias said.
The Hilton Foundation will present the award to PATH formally at a Sept. 21 ceremony in Washington D.C with keynote speaker Muhammad Yunus, a Nobel laureate, founder of the Grameen Bank, and former Hilton Prize juror. PATH, which had been nominated for the Hilton award in the past, was the winner this year among about 200 nominees.
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August 17, 2009 2:13 PM
Everett builders holding farewell celebration for first Africa ferry
Posted by Kristi Heim
EarthWise spent 10 months building its first ferry aimed at restoring transportation and trade to Africa's largest lake. Now it's time to cut it all apart.
I wrote a story describing the unusual venture and its founders, Rob Smith and Calvin Echodu, in today's paper.
EarthWise will unveil the ferry in a celebration tomorrow before dismantling it and packing it inside four 40-foot containers bound for Kampala, Uganda, where local workers will begin the process of reassembling it.

JOHN LOK/SEATTLE TIMES
Rob Smith is heading an effort to build ferries for a new passenger service in Africa from his small boat building company in Everett.
At one time 30 percent of the Ugandan economy depended on the ferry system and the trade and travel it made possible. If some of that can be restored, Smith and his partners believe it will create jobs, increased tourism and other benefits to the region.
EarthWise will be collaborating with Columbia University and with Jeffrey Sachs' Millennium Villages project to process Jatropha, a plant used to make biofuel, as an alternative to diesel for the ferries.
EarthWise, Thain Boatworks and the Pacific Northwest African Chamber of Commerce are hosting the farewell event August 18 from 4 p.m. at Thain Boatworks, 1420 West Marine View Drive in Everett. The event is open to the public. To attend send RSVP to darcy@earthwiseventures.com.
As for the name, EarthWise plans to hold a contest among elementary schools in Uganda to name the boat after a prominent person in the country's history.
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August 12, 2009 1:33 PM
Early learning efforts get $8 million boost
Posted by Kristi Heim
This post was written by Linda Shaw
Two early-learning efforts -- one in the Seattle area and one in Yakima -- received another $8 million in funding from Thrive by Five Washington and the Bill & Melinda Gates Foundation.
The White Center Early Learning Initiative and East Yakima's Ready by Five each will receive $4 million over the next year. Those donations follow first-round grants last year of $11.7 million to the White Center initiative, and $5 million to East Yakima.
Both initiatives are working to substantially increase high-quality learning opportunities for children from birth to age 5.
In the past year, the White Center Early Learning Initiative broke ground on an early learning center that will open this winter. It also started the Outreach Doula program, a home-visiting program that supports Somali and Latino families with health, child development, and early learning information.
The Yakima program worked with the Yakima School District to bring kindergartners to school two weeks early to help them get acquainted with their teachers, classmates, routines and expectations. It also started a monthly program to help parents learn more about how to help their children learn.
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August 11, 2009 8:40 AM
WSU's Ripple Effect pushes frontier of education philanthropy
Posted by Kristi Heim
Washington State University is known for its agricultural expertise, knowledge that it spreads around the world through a dozen international development projects. Now it's linking those programs with online giving in a new initiative called Ripple Effect.
The idea is to give donors a direct way to support WSU's mission and improve the livelihoods of people in the countries where it operates. The Ripple Effect Web site features concrete items such as trees, treadle pumps, stoves, seeds for crops, goats or honey bees, which donors can purchase for rural communities where WSU works. The cost ranges from as little as $16 for a seeds kit to $1,024 for a full share of a honey bee kit.
The program, owned and operated by the WSU Foundation, gives students, alumni and others a chance to engage in philanthropy at a level they can afford and way they can understand, said Scott Garrepy WSU development director for international programs. He thinks WSU may be the first major university in the U.S. to try online '"retail philanthropy."
Each gift fits into a system connected with various aspects of village life and with WSU's larger goals of sustainable development, he said.
WSU's goals include improving the sustainable management of natural resources through tree planting and reduced wood consumption, increasing farm productivity to strengthen food security and nutrition, and improving health standards through safe water and sanitation.
WSU has worked in Malawi, since 1986, planting trees, creating conservation agriculture programs and building primary schools, fuel efficient stoves and small scale irrigation, through Total Land Care, a Malawian non-governmental organization it helped set up.
"WSU's efforts to help people help themselves in developing nations rank among our most important, and least recognized, initiatives," said WSU President Elson Floyd. "Ripple Effect allows every contributor to see who they are helping and how they are making a very real difference in the lives of struggling people half a world away."
Ripple Effect has a lot in common with other online philanthropy start-ups I've written about such as Jolkona Foundation and See Your Impact. The program takes the popular concept of online micro-giving and applies it to education.
Garrepy said the university is also using Twitter to spread the word, and its RippleEffectWSU profile page now has more than 1,500 followers.
"With budget crunch issues, we've had to be creative about how to raise awareness of the site," he said. "Social media is a very important and effective tool for us."
Gifts are received by WSU Foundation and transferred to the university's International Research and Development Department. WSU staff on the ground secure the items and services and deliver them to families and villages in Malawi.
"If one goat kit and two tree seedling kits are purchased through the Ripple Effect Web site, then one goat kit and two tree seedling kits will go exactly where they are most needed in Malawi," said Garrepy.
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August 3, 2009 7:25 AM
Hopelink opens new food bank designed like a grocery store
Posted by Kristi Heim
Hopelink will open the doors to a new food bank today that uses the model of a grocery store to let people make their own choices and shop at their convenience.
Where traditional food banks hand out food items in a line at a set time and date, Hopelink's new Kirkland center mirrors a grocery store where people can choose their own canned goods, baked goods, produce, meat and dairy items from cases and shelves. The store has both daytime and evening hours.
To use the food bank, people have to first qualify and register at Hopelink, where they are matched with services aimed to help them move toward self-sufficiency. The grocery store uses a point system to provide people with a food budget based on family size.
Since many of Hopelink's clients have jobs and children in school, a food bank offering flexible hours is an advantage. Food banks all over the region have seen a surge in demand during the economic downturn.
The supermarket-style model was first developed by the University District Food Bank (a separate non-profit from Food Lifeline) in 2007. Food Lifeline then recognized University District Food Bank with an award a year later for exemplary approaches to ending hunger.
In addition to food, the new Hopelink center will offer a one-stop-shop for other services, including adult education, emergency financial assistance, a jobs program and help for families with children.
Hopelink's new center replaces two of its other centers in Kirkland and Bothell and is located at 11011 120th Avenue N.E. in the Totem Lake area. For more information call 425-889-7880.
Update: Just learned about AmpleHarvest, a nationwide effort to link local food pantries with surplus produce from neighborhood gardens. It invites local pantries to list themselves and gardeners to visit the site, and "reach into their backyard instead of their back pocket."
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July 27, 2009 8:33 AM
Donate by text message: Bellevue non-profit makes it easy
Posted by Kristi Heim
Add philanthropy to the growing list of applications for mobile phones. One of the newest and most interesting innovations to combine philanthropy and technology is mobile giving.
Donating by text message is a new phenomenon, one that a Bellevue non-profit is pioneering by providing the platform to link donors to charities, as a story I wrote describes in detail today.
Mobile phone users can text a word such as HOPE (American Cancer Society), RIGHTS (Amnesty International), NET (Malaria No More), MEALS (Food Lifeline) or many others to a designated short code and contribute $5 or $10 to a cause. The Bellevue-based Mobile Giving Foundation acts as a clearinghouse for donations, helping non-profits set up codes and settling the billing between carriers and charities. The charges appear on donors' cell phone bills.
Mobile Giving Foundation CEO Jim Manis, a wireless industry veteran, got started helping set up a system for people to send donations for emergency relief efforts following Hurricane Katrina and the Asian tsunami.

GREG GILBERT/SEATTLE TIMES
Jim Manis is working to expand mobile giving.
The system gave people a way to take action immediately in response to a need. Manis also saw it as a way to reach younger donors.
He persuaded U.S. mobile carriers to agree to process the donations free of charge (though they do earn something from text messaging charges). The foundation also works with a dozen service providers that create mobile fund raising campaigns for non-profits.
Text donation campaigns have been gaining momentum since the Super Bowl in 2008, which featured a commercial to text $5 to help a United Way youth fitness program.
Political campaigns have made extensive use of mobile phones and the Internet, and earlier this year the U.S. government started a drive to adopt new media in support of foreign policy by calling on Americans to text pledges to people in Pakistan through the U.N. High Commissioner for Refugees.
In the future, there may be a way to text $5 directly to the phone of someone you want to help.
Mobile giving is just starting to catch on, but considering there are more than 270 million mobile subscribers in the U.S alone (and more than 4 billion worldwide), it has the potential for power in numbers.
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June 29, 2009 7:00 AM
Grameen Foundation and Google create mobile apps for Africa
Posted by Kristi Heim
Real time information about farming, health and trading will be available to mobile phone users in Uganda with new technology services developed by the Grameen Foundation, Google and telecom operator MTN Uganda.

HEATHER THORNE/GRAMEEN FOUNDATION
Saurin Nanavati (left), a consultant for the AppLab project, explains how to use the new mobile applications to users in Uganda. AppLab aims to help Ugandans get health, agriculture and trading data on their mobile phones.
The Grameen Foundation saw the proliferation of mobile phones in Africa as a way to get information and services to poor communities in Uganda without Internet access. About 18 months ago it started a project called the Application Laboratory (AppLab), with much of the early work being done in Seattle through the Grameen Foundation's Technology Center. The first suite of those applications is being launched today.
Peter Bladin, Grameen Foundation executive vice president, said AppLab builds on the success of an earlier project, Village Phone, in which local entrepreneurs rent cell phone use to villagers for pennies a call. Uganda now has 50,000 Village Phone and pay phone operators and nine million cell phone subscribers.
Bladin said he sought out Google and MTN Uganda to help scale up the applications and roll them out to other parts of Africa, where Google has seven offices.
The new services can be accessed by existing Village phone operators, as well as by people with their own phones. They are SMS services that work on any phone capable of sending or receiving SMS messages, said Joseph Mucheru, Google's director of sub-Saharan Africa business. In Uganda almost all phones will be able to use the services, he said.
The five applications use Google SMS Search technology and MTN's telecom network. They include Farmer's Friend, a searchable database with agricultural advice and weather forecasts; Health Tips with sexual and reproductive health information, paired with Clinic Finder, to locate nearby health clinics; and Google Trader, which matches buyers and sellers of agricultural produce, commodities and other products.
Local partners helped provide the content. The Busoga Rural Open Source Development Initiative (BRODSI) provides agricultural information created and tested by small-holder farmers, and Marie Stopes Uganda and the Straight Talk Foundation provide health information.
For the Google Trader application, AppLab worked with the International Institute for Tropical Agriculture, TechnoServe and SNV Netherlands Development Organisation to hone the concept with banana farmers and traders in Uganda.
Mobile phone users send an SMS query and receive an automatic answer back from the database. A farmer could ask a question about why the leaves on a tree are starting to wilt, or a mother could ask when her child needs a vaccine. Uganda has about 30 million people with an adult literacy rate of about 74 percent, according to the UN.
Prices for the services are 110 Uganda shillings per request (about 5 cents), on par with sending a text message to a friend in the country. Prices for requests to the trading marketplace are double, at 220 shillings per request.
Grameen Foundation President Alex Counts called the applications "a great example of innovation from and for the base of the pyramid," the billions of people who are at the bottom of the world's socio-economic hierarchy.
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June 22, 2009 5:30 PM
From Burning Man to national award for arts leadership
Posted by Kristi Heim
Randy Engstrom, founding director of the Youngstown Cultural Arts Center in Seattle and an important voice in the arts community, received the 2009 Emerging Leader Award from Americans for the Arts, the country's leading non-profit for advancing the arts.
The award honors new and young leaders for extraordinary work in the field of arts administration, demonstrating innovative thinking, a commitment to the advancement of the arts, exemplary leadership qualities and impact on their communities. Engstrom is also a member of the Seattle Arts Commission.
Americans for the Arts honored another Seattle artist, Buster Simpson, with the 2009 Public Art Network Award for helping define contemporary and environmental art.
The awards come at a time when arts funding has come under increasing pressure from shrinking budgets of local governments, foundations and corporations hit by the economic downturn.
Youngstown is an example of how arts can benefit the community in a variety of ways. It's a multi-purpose arts education, meeting and performance space that includes 36 affordable live/work studios for rent to artists of all disciplines. The Delridge Neighborhoods Development Association (DNDA), a private nonprofit based in West Seattle, rescued the historic school house turned boarded-up high school, raised $12 million and redeveloped it into what is now a vibrant cultural center, with Engstrom at the helm.
This story followed Engstrom just before he took that post, back in 2005 when he and Chris Airola helped build The Machine, a five-story wood-and-steel structure incorporating motion, sound, lights, smells and performance into what was to be the most elaborate art piece in the 20-year history of the desert festival known as Burning Man.
Engstrom's work at the festival caught the attention of Burning Man founder Larry Harvey, who brought him to San Francisco to talk to the organization about Seattle and how they could use their experience to spawn businesses and community organizations.
"Truth is," Harvey said of Engstrom and his Seattle group Static Factory Media, "they're doing something radical. They're doing something innovative."
Indeed.
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June 10, 2009 12:15 AM
Africans loaning to Americans? Kiva expands to U.S. borrowers
Posted by Kristi Heim
A Kenyan Internet entrepreneur is planning to make her first loan -- to an American she's never met. She's doing it through the online micro lending Web site Kiva.org, which grew famous serving the developing world and is now expanding to include the working poor in the U.S.
Recognizing that poverty is everywhere, Kiva is starting to offer loans to U.S. borrowers today, a plan that has been in the works for some time. It's testing the waters to see how the service is used and whether it will help Americans in the midst of a credit crunch find ways to fund small businesses such as beauty salons, nurseries and bakeries.
CEO Matt Flannery mentioned the idea when he talked with me about the evolution of Kiva in a recent interview here. More than 500,000 people have used Kiva to make a total of $76 million in small loans to entrepreneurs featured on the site.

THOMAS AUCIELLO/SPECIAL TO THE SEATTLE TIMES
Silvia and Todor Believe received a Kiva loan to expand their firewood delivery business in Bulgaria.
In the U.S. market, the non-profit is working through two partners: ACCION USA and the Opportunity Fund in the Bay Area.
Locally Washington CASH also offers small business loans to local borrowers. While a small amount of capital is often what entrepreneurs in the developing world need,
getting a business off the ground in the U.S. has its own challenges. Keeping it running successfully can be even harder, so Washington CASH combines loans with training, such as creating a business plan, budgeting and marketing.
Kiva's U.S. micro loans come at an interesting time, with the global economy shifting precariously and unpredictably, and government rescue plans aimed at huge banks and corporations. Through its person-to-person economic stimulus plan. Kiva is giving individuals a new way to decide where and how to put their money to work helping others.
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June 1, 2009 7:01 PM
Cranium co-founder starts new venture as creative capitalist
Posted by Kristi Heim
Whit Alexander hopes rechargeable batteries can give a boost to incomes of people in Ghana.
It's the first product in a new Seattle venture that Alexander has started called Burro, a for-profit company with a social mission: to help people in developing countries improve their productivity.
"Our mission is to profitably deliver affordable goods and services to empower the poor to do more with their lives," Alexander said.

AL SADANAGA
Hayford Atteh (left), field agent with new Seattle startup Burro, Philip Sarpong (center), the first Burro employee, and Burro founder Whit Alexander, a Microsoft veteran and co-founder of Cranium.
He started Burro last October, after waiting two decades to get back to the part of the world that held a special appeal for him since high school. He and his wife majored in African studies at Georgetown University's School of Foreign Service, and Alexander later did consulting work in the region for World Bank projects.
After that came a five-year stint at Microsoft, where he created the Encarta world atlas, and then more than 10 years at Cranium, which he co-founded with Richard Tait. Now owned by Hasbro, Cranium closed its Seattle offices just last week.
"I'm coming up on 48 and I thought if I don't do this now when am I ever going to do it?" Alexander said of his new project.
The startup will focus on products that help people earn more income or provide a more affordable replacement for a product they're already buying.
He came up with the name Burro, using a symbol that is "a good animal in most cultures, hardworking and trustworthy, with extraordinary productivity," he said.
It also serves as a kind of "call to action" to do more, he said. "This isn't a handout."
Giving away the batteries wouldn't be sustainable, so Alexander had to figure out how to charge for them.
"The for-profit model is fundamental for me personally," he said. "We really do have to demonstrate that private enterprise can create opportunities that are sustainable, responsible and driving important social change."
He began by looking at where people were spending their money. People earning about $1 a day spend $2 to $6 a month on disposable batteries. Rechargeable batteries would save people money in the long run, but they couldn't afford the higher cost up-front, and most of them didn't have electricity to charge them.
So Alexander is introducing rechargeable batteries that people can rent rather than buy, and pick up through Burro agents who then take them to a central office to be recharged.
The customer pays a flat fee of 60 cents a month per battery, with unlimited exchanges for a fresh battery. Alexander figures his customers will get four times the energy of their standard batteries for about the same price.
He's starting in Ghana but believes the products could work well in many developing countries. For now, until he can prove the business model, Alexander says he's funding the venture himself with a lot of "donated sweat equity" from friends, including Jan Watson, Cranium's former operations manager.
Alexander is already experimenting with two additional products -- battery-powered lighting to replace kerosene and battery-powered cellphone charging. Both are significant expenses for people in Ghana.

BURRO
Burro produces rechargeable batteries for the West African market.
When Cranium closed its doors in Seattle last week, Alexander was there for the send-off with employees. "It was bittersweet," he said. "It's not the storybook ending we hoped for."
Now he's turning to a different market, one that relies on consumers in Africa and the uncertainties of their disposable incomes, which often fluctuate around harvest time.
"We are literally waiting for the corn to come in," he said.
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May 28, 2009 4:02 PM
Express tests new banking model
Posted by Kristi Heim
As Seattle's new Express Credit Union makes its official debut this week, it turns the tables and tailors banking specifically to the needs of low-income people.
Its new model combines a credit union with policies and products designed to encourage savings, and a non-profit arm that can fund financial education. Accounts can be opened through local community service organizations, where people are already going for help.
Will that solve the problem for the estimated 20 percent of King County adults who lack a bank account? Recent legislation tackles some of the excess, but there is also debate about the merits of payday lenders. Meanwhile, Express predicts it will take about four years to become financially sustainable and not need to rely on grants.

COURTNEY BLETHEN/SEATTLE TIMES
Nathan Hawkins, a representative for Express Credit Union, helps members at the YWCA Opportunity Place downtown.
With Express rolling out its services to the public and hosting a "grand reopening" on Saturday, there are many questions about how it works, who qualifies and why it's taking on the payday lending industry.
While it aims to help people who have been rejected by banks in the past, not everyone will be accepted for all services. Clinton Jacob called me to say he was annoyed at having been turned down for a checking account at Express after the credit union looked up his history using the Chex system. Jacob owed $500 to a previous bank from a series of overdraft fees, charges which he considered unfair and did not intend to pay back.
Chief Executive Brenda Kurz said Express can't help every case.
"Every situation is very unique," she said. "We're willing to take that extra step and evaluate rather than turn people way."
In some cases, people can open a savings account and establish a six-month track record before being considered for other services like checking accounts and loans.
Express loans are not designed as payday loans, but as an alternative short-term loans with monthly payments, she said. Express offers repayment terms, and the loan is reported to credit reporting agencies so it can improve a credit score if paid back on time. Borrowers get a rebate of one-third of the loan fee once it's paid off, and no checking account is needed to qualify.
To illustrate how Express loans stack up to payday loans in cost, I asked for a detailed breakdown, which can be found here in a comparison chart.doc
Checking and savings accounts are free and can be opened with $5 or $10, along with free ATM use at a network of 300 locations.
Another program, Bank on Seattle, started last year as an effort to extend the services of commercial banks and credit unions to more "unbanked" low-income residents. Express is a member of that initiative.
The non-profit agencies offering Express services are YWCA, Catholic Community Services, the Refugee Women's Alliance, Solid Ground, Hopelink, Multi-Service Center of South King County, New Futures and Neighborhood House.
The agencies are getting grants from the new organization's non-profit arm to handle services like the financial education (which Hopelink is designing) and efforts to reach diverse immigrant communities through the Refugee Women's Alliance, whose staff members speak more than two dozen languages.
I've written a lot about microfinance, which proved to be one of the initial inspirations for Tricia McKay, executive director of the Medina Foundation, who came up with the idea and did years of research to develop a plan. The system of small loans to poor entrepreneurs also turned conventional thinking about banking on its head.
"I became convinced microfinance can and will change the world," she said. "Why is it we have payday lenders on every corner of low income neighborhoods and nothing like this for people in our own backyard?"
For now, Express is focused on King County, but anyone who lives or works in Washington can apply for membership. If the concept proves successful, McKay hopes it can spread and become a model for other communities.
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May 19, 2009 1:14 PM
A parking garage reveals the simple PATH to health solutions
Posted by Kristi Heim
It seems appropriate that PATH held its biggest event of the year not in a downtown hotel or restaurant but in a Ballard parking garage.
About 750 people packed into PATH's spiffed-up garage this morning for an annual fund raising breakfast, consisting of simple quinoa pudding, empanadas and flat breads.
The global health non-profit displayed some of the ways it channels its money into low tech but effective methods of improving health around the world, from a delivery kit for hygienic home births to a new female condom.

COURTESY OF PATH
A stream in the Korogocho slum of Nairobi is the only water source for thousands of people.
One of its most interesting new creations is called an "electro-chlorinator," which PATH developed with the help of Seattle-based outdoor gear maker Cascade Designs.
Disease persists in many parts of the world where garbage and sewage pollute water that people use for drinking, cooking and cleaning.
PATH CEO Chris Elias described such conditions in the Korogocho slum near Nairobi, where more than 100,000 people live in less than one square mile.

COURTESY OF PATH
A kiosk where local women in a Nairobi slum are selling purified water.
A year and a half ago, PATH used $20,000 from donors marked for "innovation funding," to create a new solution in Korogocho. Those funds are set aside to try riskier but potentially successful new ventures.
The goal was to find a way to provide safe, clean water to a community within the slum, Elias said. The two partners came up with a device that runs on little more than salt, water and electricity from a car battery.
It works by producing a chlorine solution that kills dangerous microbes, making the water safe to drink, he said.
PATH hired a local contractor to build a building with electrical power and a water tank, and a kiosk where the water and chlorine solution could be sold. Three local health workers were trained to operate the electro-chlorinator and six local women to dispense the chlorine solution and instructions.
In December, "the first customer bought ten jerry cans of the treated water, at a price of one Kenyan shilling per liter," he said. "That's a little more than a penny apiece--affordable even in Korogocho."
Elias said he hopes to test the prototype in other locations and expand the model to many parts of the world lacking water treatment systems.

COURTESY OF PATH
An electrochlorinator device made by Seattle-based Cascade Designs with the global health non-profit PATH as a cheap water purifier.
Another of the non-profit's milestones was helping distribute mosquito bednets to two-thirds of homes in Zambia. PATH expects to reach the whole population within the next two years, he said, making Zambia the first country in Africa to meet the global targets for malaria control.
As a result, malaria prevalence in children has gone down by more than half, and the number of children dying of malaria in Zambia has been cut by a third, Elias said.
Looking at health care from another angle, PATH Nicaragua country manager Margarita Quintanilla talked about programs for adolescent girls and boys aimed at reducing violence against women in a country where one out of three women is abused.
PATH also focuses on heavily on vaccines, such as a new meningitis vaccine for sub-Saharan Africa, where about 450 million people -- more than the populations of the U.S. and Canada -- are at risk from the disease each year.
The first wave of young people will get the vaccine by the end of this year, Elias said, adding "It's the beginning of the end for a disease that has devastated Africa's poorest communities for more than a century."
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May 5, 2009 12:56 PM
Animals, industrial agriculture and swine flu risk
Posted by Kristi Heim
Where do swine flu, avian flu and potential influenza viruses of the future find a rich breeding ground? In the production sites of industrial agriculture, some disease experts say.
Industrial poultry and swine production can foster the mixing of flu viruses such as the new influenza A (H1N1) strain, commonly called swine flu, which has components of human, bird and pig viruses.
Disease experts are starting to see links between conditions in industrial food animal production and public health, but the risks are not well measured, said Dr. Ann Marie Kimball, professor of epidemiology at the University of Washington's School of Public Health and a specialist in emerging diseases.

ALEXANDRE MENEGHINI / ASSOCIATED PRESS>
Pigs on a farm in Mexico's Veracruz state.
Kimball was among a panel of Seattle experts speaking at the University of Washington on swine flu Monday evening as part of the Washington Global Health Alliance Discovery series. TVW will televise the panel at 8 p.m. tomorrow.
Kimball said the globalization of travel, trade and extended chains of food production all represent risks for influenza as animals and people are transported across borders more than ever before.
She pointed out that people won't catch swine flu by eating pork or traveling on planes. With modern filtration systems in airplane cabins, people are unlikely to contract a virus through the air unless they're sitting next to a person coughing or sneezing.
Yet air transportation has played a central role in global transmission, since travelers exposed to viruses can carry them within hours to other countries.
Kimball said influenza surveillance may be missing the "sentinel populations" working close to animals, such as farmers, veterinarians and meat packers, particularly in places like Iowa where much of the country's pork is produced.
A report by the Pew Commission on Industrial Farm Animal Production found chronic overuse of antibiotics in animals and other problems with industrial farming has led to antibiotic resistance and become a threat to public health. More interesting commentary on that is here.
Commercial agriculture has experienced a boom in China, and most of it of takes place in urban areas, said Kimball, who directs the APEC Emerging Infections Network.
Just as avian influenza (H5N1) and SARS had connections to human contact with animals, reports in the Mexican press and elsewhere point to an influenza epicenter around a huge hog farm in Veracruz.
Around the world, global defenses are uneven, with poor and middle-income countries lacking enough resources to monitor and respond to a pandemic.
"You don't worry about countries reporting cases," she said. "You worry about countries that are very silent."
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May 1, 2009 1:26 PM
Seattle immunology expert tapped by NIH for swine flu research
Posted by Kristi Heim
Seattle's global health expertise is being called upon to study the body's immune response to the swine flu virus.
Alan Aderem, co-founder and director of the Institute for Systems Biology, was tapped by the National Institutes of Health (NIH) this week to apply his current research to unlocking the mysteries of the H1N1 "swine flu" virus. Aderem had already received a $20 million NIH grant to study immune response to avian flu.
Aderem and a team of 25 ISB researchers are comparing the swine flu virus with the avian flu virus and the seasonal flu virus. They hope to determine not only how dangerous the current virus could be, but how to treat and prevent it.
The 1918 flu killed millions of people because it produced an overly active immune response. He'll examine proteins in the lung to determine whether the swine flu virus elicits a similar response. I had a conversation with Aderem about his project late Thursday.

JOHN LOK/SEATTLE TIMES
Alan Aderem, at work in his Seattle office, specializes in immunology and cell biology.
How did this come about?
Two days ago we had started moving in the direction of applying what we were doing in our big NIH grant to this problem. NIH called this morning and asked specifically to apply what we were doing to this flu, so it was both on our own initiative and NIH.. I won't say commanded but strongly supported us to do this.
How exactly do you study it?
Infect many mice with the virus and then take fluid from the lung. We measure proteins with a very sensitive mass spectrometer and essentially are able to quantify every one of the proteins in the lung. It's important because for a few immune proteins, the way they are secreted is the way the 1918 flu killed the host.
What makes this more serious than seasonal flu?
Usually diseases that are viral or any infectious diseases co-evolved with the host generally are relatively mild. Human flu co-evolved with humans is mild because it's not in the interest of the virus to kill the host. When viruses become very dangerous is when they jump from one species to another. That's why bird flu is so dangerous. Humans have not developed immunity.
Generally speaking bird flu cannot infect humans. There's protein on the surface of bird flu which allows flu to infect a cell that has a very specific protein in the receptor. Human flu has protein that recognizes the human receptor and allows human virus to enter the human cell. The bird virus has a different protein that can't enter humans. But if you have an intermediary like a pig, where human virus can infect it, and bird virus can infect it, when the virus reassembles in the cell, you have more than one type of flu in the cell. It can reassemble and the human gene can go to the bird and vice versa. Now the virus coming out has components of humans, allowing it to infect humans with the bird virus. This virus has some components from bird, some components from pig. Because of that it's a very dangerous. It can get into human cells, has dangerous components from other species and can spread to other humans.
Bird flu is clearly very dangerous. It produces a cytokine storm -- hormone molecules produced by immune cells used to signal other immune cells. If you produce too many, essentially an over exuberance in immune response, that causes severe damage.
What expertise can ISB bring to bear on this problem?
Our main focus is systems biology -- what that does is take global measurements. We measure all of the proteins. We measure all the genes, all the RNA and all the proteins then use very powerful computational tools to understand how the system works holistically.
There are complicated webs of information produced in immune cells when they interact with viruses. One thing we do very well is measure large numbers of proteins very accurately. Those two capacities allow us in this case to examine these immune cells in context of how they respond to flu. how they can compare to other flus and proteins in the lungs and their capacity to do damage.
The idea is they give us the opportunity to find better drug targets and generate more effective vaccines. Drug targets are particularly important because right now Tamiflul is the only drug that's working. One needs to find more targets.
Are people overreacting to this?
I think better safe than sorry. Maybe one day in hindsight people will say they might have been overreacting For right now, it's potentially dangerous, and it's worthwhile to respond with these kinds of measures. I don't think we are panicked from where I'm sitting. I live in Madrona and they closed Madrona Elementary. I think that is the right thing to do.
Why is the virus causing more deaths in Mexico than in the U.S.?
It isn't that it's a different virus, rather the health conditions are different. Other social factors are influencing the outcome of infection, such as if people live more closely or people are malnourished.
How quickly can you develop a vaccine?
I think we'll get results pretty quickly and deeper understanding quite quickly, but what one can do about it is another matter. It takes time to interpret and collate information. It's hard to say how long it will take. Vaccines are made in eggs. For 300 million dosage, right now that's 300 million eggs. That's a huge ship you've got to turn around to do that. This virus appears to grow very slowly in eggs. That of course also impedes vaccine development.
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April 29, 2009 3:29 PM
FareStart steps up efforts during tough times
Posted by Kristi Heim
The heat is on, but FareStart is staying right in the kitchen.
The economic downturn has put pressure on the non-profit as more people are seeking its services, and even successful graduates are returning for help after being laid off, Executive Director Megan Karch said.

THOMAS JAMES HURST/SEATTLE TIMES
But she's not deterred.
"If ever there's a time we should be stepping up, it's now," Karch told supporters at a recent lunch.
For homeless and disadvantaged people, FareStart provides a wide range of services to help them turn their lives around: housing and food, case management, counseling, support, culinary and barista training and job placement. As a social business, it helps to fund its programs by operating a retail restaurant, cafe, catering services and meals for local childcare centers and shelters. It's also opening a second employee cafe at the Gates Foundation's current offices. Business revenue was about $2.5 million last year, a little less than half of its overall funding, Karch said.
At mid-day on a Wednesday, FareStart's downtown restaurant was bustling with customers. The trouble is, other restaurants are so not bustling any more, especially those at the high end. Many of them provide jobs and services for FareStart students.
In a good economy, FareStart found jobs for 95 percent of its graduates within 90 days. That's a lot harder to do in a recession. It's taking longer, and the job placement rate has dropped to 80 percent, Karch said.
Last year 600 people came in for FareStart services. About half of them entered the 16-week training program and about 200 finished.
This year, enrollment is at record highs. Adding to that, more graduates are coming back and asking for help, "worried they will spiral back down" into homelessness, substance abuse and other problems, Karch said. With more people on the street, FareStart is also seeing an influx of all kinds of people looking for services, not necessarily fitting the group's core mission of culinary training.
Sometimes they're just looking for a place to stay.
FareStart depends on other non-profit partners to provide services to students. Many of them, especially mental health and substance abuse programs, have taken the hardest financial hit. "It's a biggie for us," Karch said, "how to serve students with less ability of partners to help."
FareStart set up a job club and put more resources into job placement efforts. It's still finding openings for graduates in assisted living, hotels and cruise lines. Its largest expense is paying housing costs of $400 to $700 a month for each student while in training.
When Karch presented the FareStart board her budget for 2009, it was the first time in her nine years with the organization that she proposed running a deficit. The non-profit has been in a good financial position, and now's the time to stay true to its promises, she said.
FareStart's five-year vision is to expand current services to help move students into living wage jobs with health insurance, permanent housing and self sufficiency. Nationally, FareStart hopes to create a network for similar programs (such as Inspiration Cafe in Chicago) to share ideas and best practices.
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April 23, 2009 12:24 PM
Volunteers? PATH-supported malaria vaccine begins human testing
Posted by Kristi Heim
The malaria eradication efforts of Seattle-based PATH are moving ahead today with the first human trials of one of its vaccine candidates -- a "whole parasite" vaccine made by Sanaria.

MIKE SIEGEL/SEATTLE TIMES
PATH's Malaria Vaccine Initiative, a global nonprofit consortium supported by about $450 million in grants from the Gates Foundation, is working with drug companies such as Sanaria to advance studies on various vaccine candidates.
"Initiation of this trial expands the spectrum of malaria vaccines in clinical development today," said MVI Director Christian Loucq. Conducting early trials with volunteers allows scientists to weed out vaccines that don't work and accelerate those that do, he said.
The PfSPZ vaccine is made in Sanaria's Maryland lab from P. falciparum parasites harvested by hand from the salivary glands of infected mosquitoes.
This trial will assess the vaccine's safety and efficacy by vaccinating more than 100 volunteers and then allowing malaria-infected mosquitoes to bite them, testing whether the vaccine offers protection. Malaria kills nearly a million people a year, mostly small children in Africa.
Another malaria vaccine supported by PATH, RTS,S developed by GlaxoSmithKline (GSK), is the most advanced, beginning its final phase of clinical trials this year in Africa.
Sanaria founder and CEO Stephen L. Hoffman was part of a team of military doctors trying to develop a malaria vaccine in the 1980s at the Walter Reed Army Institute of Research. There he worked with W. Ripley Ballou, who now heads malaria vaccine research for GSK.
Ballou's RTS,S malaria vaccine has proved effective in adults and children, reducing the risk of infection by about 35 percent. But Hoffman said that level of protection is too low.
"That's not a vaccine that could ever be considered for use in the developed world," he told Scientific American in an interview last year.
In the 1990s, Hoffman exposed himself to bites of 3,000 mosquitoes -- irradiated to weaken the malaria parasites they were carrying -- to infect himself with malaria, eventually becoming immune from the disease.
That early experiment formed the basis of Sanaria's approach, which is unique in deploying a weakened form of the whole malaria parasite harvested from the saliva of irradiated mosquitoes instead of using small portions of the parasite.
While the challenges associated with a vaccine based on live parasites had been widely viewed as insurmountable, Sanaria says it has developed new technologies and manufacturing capability.
The trials will be conducted by researchers at two sites in Maryland: the US Naval Medical Research Center in Bethesda and the University of Maryland School of Medicine in Baltimore.
Scientists from Seattle Biomedical Research Institute (SBRI), meanwhile, are working on a vaccine that uses genetic engineering to render malaria parasites harmless. SBRI is preparing its first vaccine candidate to enter clinical trials at Walter Reed this year. SBRI, which as about 100 researchers dedicated exclusively to malaria, will also open its own Malaria Clinical Trials Research Center later this year at its South Lake Union lab, where volunteers are paid to get bitten.
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March 2, 2009 4:21 PM
Questions for Kiva.org co-founder and CEO Matt Flannery
Posted by Kristi Heim
On Wednesday, I'm planning to interview Kiva.org CEO and co-founder Matt Flannery.
If anyone has a question for him, please send it to me or post in the comments and I'll try to include it.
When I first wrote about Kiva in 2006, it had just completed 116 loans. Today it has helped fund 88,869 loans for a total of $62 million. No wonder Flannery thinks about the potential for individual lending to challenge the traditional banking model.

GARY REYES/SAN JOSE MERCURY NEWS
Matt Flannery (right) co-founder of Kiva.org, with company President Premal Shah (left) in San Francisco.
In fact, one microlending site backed by eBay offers better rates than banks. Even though Kiva does not offer interest to lenders, last year it had a rare problem in the non-profit world: too many people willing to help. Kiva had many more lenders than borrowers.
Flannery writes about his experience as a social entrepreneur here, including trying to understand the implications of a rapidly morphing global financial crisis on his business. I'm curious about the potential for expansion of Kiva to U.S. borrowers and to small or medium-sized enterprises.
Flannery is coming to Town Hall on Thursday to discuss microcredit as a means of poverty eradication, how technology helps that process, and Kiva's plans for the future.
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February 26, 2009 1:15 PM
Budding entrepreneurs pitch health and poverty solutions (updated with winners)
Posted by Kristi Heim
Arriving like a well-timed tonic on the heels of "Slumdog Millionaire" and "Creative Capitalism," entrepreneurs came to Seattle with ideas for how to improve life in those same Mumbai slums and prove that socially motivated business can work.
Sreejith N G and his team from NMIMS are creating 10 cent meals for poor slum dwellers using vegetable peels from nearby hotels, along with rice, beans and sugarcane, in disposable foil packets.
Bright Simons and Kofi Boateng aim to solve the growing problem of counterfeit medicine by developing a consumer protection grid that links an authentication system with SMS text messaging, called West Africa Consumer Protection Grid or WAPGrid.
Kat Wickersham and her team aims to build a girls school in Rwanda, with a for-profit project attached to fund the school and train girls in native arts, selling traditional paintings made of cow dung.

PAUL GIBSON/FOSTER SCHOOL OF BUSINESS
MBA student Kat Wickersham (left) talks with Claudine Zongo, Hubert Humphrey Fellow in the UW School of Public Affairs.
They're among 14 teams of business students pitching creative and commercially sustainable ways to address problems of poverty in developing countries. They're competing for $20,000 in prize money in the Global Social Entrepreneurship Competition, now in its fifth year at the University of Washington's Foster School of Business. The full list of projects is here.
The grand prize is $10,000, the global health first prize is $5,000, global health second prize is $2,500, and the Investor's Choice Award is $2,500. Winners will be announced at tonight's awards banquet.
UPDATE: And the winners are...
Grand Prize ($10,000): Aahar: Meals for Poor at 10 Cents
Global Health Grand Prize ($5,000): Solar Cycle (simple solar ovens made from local waste materials, a project of Brown University)
Global Health Second Prize ($2,500): WAPGrid
Investor's Choice Award ($2,500): WAPGrid
Since most of these teams don't have a Web site of their own, here's my suggestion for next year -- they each get a GSEC page to describe themselves and their project.
Chris Meyer, a GSEC finalist I had a chance to meet in 2007, created Planting Empowerment, which is still going strong and maintains 50 acres of timber plantations in Panama, where it operates sustainable forestry.
"People are very committed to doing good and helping people and thinking about problems in creative ways," said Josh Herst, a Seattle entrepreneur who is one of this year's judges.
His approach to evaluating social businesses is "exactly the same as a startup," said Herst, who founded TripHub and worked at Expedia and Madrona Venture Group. "The people involved, their passion and commitment, familiarity with their business, and opportunities that can be leveraged and scaled in broad and interesting ways."
As he thinks about new ventures to pursue, Herst has taken an interest in social business: "I'm attracted to the commitment, energy and passion of finding ways to make a positive impact on the world," he said.
Can it work? "I believe so," he said, "but that's what I'm learning about."
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February 25, 2009 8:00 AM
Creative capitalism not so convincing to author
Posted by Kristi Heim
Michael Kinsley has produced a thoughtful 310-page book about "Creative Capitalism," but he's not entirely convinced it's the answer. In fact he comes down about 51 percent against it.
As the former Slate editor and political columnist discussed the book Tuesday over lunch with the Greater Seattle Chamber of Commerce, he was hard pressed to say exactly how the concept could apply to small business or global health non-profits working with the private sector. The book has 43 contributors, each with a different viewpoint, making for a rich debate. But only two names in bold letters appear on the cover, a point of dispute between Kinsley and the publisher.
Kinsley sat down to answer some questions about the book between bites of chocolate cheesecake.
Q: Can you give a quick definition of creative capitalism?
A: It's not my term, it's Bill Gates' term, but I would say it is the use of capitalism and capitalist techniques in areas that traditionally are left to government and philanthropy.

MIKE SIEGEL/SEATTLE TIMES
Is it just me or does Michael Kinsley look like Stephen Colbert with facial hair?
Q: What has Bill Gates' reaction been to the book?
A: We had this embarrassing cover and because of that I really have not heard from him to see what his reaction is. We had an agreement with Simon & Schuster that they wouldn't exaggerate the role of Bill and Warren [Buffett]. They are two contributors among many. This is actually a compromise. Basically I don't like the cover and I don't even know what Bill and Warren think. If they're annoyed, I don't blame them.
Q: What effect has the economic downturn had on the potential for creative capitalism?
A: It's clearly reduced because corporations are more attentive to their own bottom lines.
Q: In another way you could argue it's made it more urgent.
A: Yes, and that's what I do. The problems it's supposed to address are more urgent. But also the incentive to address them has been reduced, so who knows how those two factors balance out?
Q: Sum up the best arguments for and against...
A: The best argument against is the basic one that companies should take care of their stockholders and if there are social problems that's the job of government.
The best argument for is: for goodness' sake, capitalism has been such a force. If there are problems in the world and there are ways capitalism can address them, why would you be against that?
Q: Where do you come down in your own assessment?
A: About 51 percent con. It's basically because I'm a terrific admirer of what Bill Gates actually did, and I would be slightly afraid we might not have had that if he had been concentrating on the social thing.
Q: If governments were working well and markets were fair and efficient, would creative capitalism even be necessary?
A: It depends on how far you think we are from that ideal and whether you would agree with anybody else about what is fair. It's mainly conservatives who said 'I thought capitalism by its nature was creative.' So they say 'why do we need to reinvent it?'
A lot of people were so complacent back in the '80s and '90s (the tax system among others) and, if they're having second thoughts right now, that's good. Now it's almost too easy because we need the stimulus. We've got to shovel this money out the door, and I'm sure there's a lot of wasteful stuff going on that we'll discover in a few years.
Q: Are there any real results or examples where this idea has worked (besides maybe the Grameen Bank)?
A: The ONE campaign. Bill says what he has in mind is not so much corporate charity, but corporations doing what they do, only in ways that help people who need it. For example, Microsoft giving away software and training people how to use it would be creative capitalism to him. Target gives away some percent of its profits -- in Minneapolis I guess it's really part of the culture. God, if you were watching the Oscars on Sunday I was struck by the ads... every corporation in America is doing wonderful things and nothing to do with their core business.
Q: Has this book changed anything you're doing or are you just a neutral observer?
A: I'm pretty neutral. I'm very sympathetic to the idea that Bill Gates is an excellent role model, and following his example might be a better idea than following his suggestion.
Q: Tell me about your next project...
A: I have this idea of trying to update Studs Terkel. We would gather stuff on the Internet, open it up for anyone to go and write their stories. It's about what's happening now -- getting laid off -- all the awful ways people get laid off and the good (or more humane) ways they get laid off.
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February 18, 2009 8:14 AM
Tackling climate change from the ground up
Posted by Kristi Heim
During a long day of discussions on the energy and the environment involving the world's top two consumers and polluters, one of the most startling facts was a look at where greenhouse gases are increasing fastest.
Over the past decade, carbon dioxide output increased about 1 percent in the United States and 4.7 percent in China but 12.7 percent in Indonesia, according to McKinsey & Co., which is researching the potential of various technologies to reduce carbon, and weighing them against cost. Measured in gigatons of CO2 per year, the U.S. now produces about 7.2, while China produces 6.8 and Indonesia 3.1.

MERCY CORPS
Women operating small food stalls use new clean burning stoves in a program being tested in a Jakarta slum.
Two local efforts address climate change in emerging markets by linking them with carbon credits, trying to reach the millions for whom survival means burning coal, slashing forests and breathing toxic indoor air.
In Indonesia Mercy Corps is using private seed capital (much of it from Seattle) to fund a program to manufacture new cooking stoves and replace kerosene with compressed bricks made from plant matter. The program aims to offer the stove buyers an immediate financial reward for reducing their carbon emissions. That's a whole story in itself, related to the purchase of a commercial bank, which I'll write about later.

MERCY CORPS
New stoves are made to burn vegetable pellets, cheaper and less polluting than kerosene.
MicroEnergy Credits is a Seattle-based effort to use microfinance as a way to pay the upfront costs of purchasing simple clean-energy systems, such as stoves, solar panels and biogas digesters. Through carbon credits, microfinance institutions earn revenue when they lend money for such systems that create verified carbon emissions reductions.
MicroEnergy Credits Director James Dailey, a Peace Corps veteran, previously worked for the Grameen Technology Center, where he led development of the Mifos open source software project. Co-founder April Allderdice is a veteran of Grameen Shakti and McKinsey.
The World Bank's Carbon Finance Unit is testing the waters with agreements to buy the carbon credits associated with greenhouse gas reductions in Bangladesh.
With carbon cap and trade programs, measurement and verification remain key questions. Nevertheless, the work of small start-ups and non-profits is important to addressing the energy problem, and a resource that big government and business pow-wows haven't given adequate attention. By making clean energy part of building small enterprises from the ground up, the hope is that poor countries can grow economies without the heavy toll on the environment that richer ones have already taken.
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February 12, 2009 1:07 PM
Thirsty birds meet for charity
Posted by Kristi Heim
Twestival is a hybrid online / in-person event taking place in 175 cities around the world today, including one in Seattle tonight at Spitfire.
It's an experiment in using social media to advance charitable giving. The beneficiary is New York based charity:water, which builds wells to provide clean drinking water in developing countries.
Supporters are using microblogging tool Twitter to spread the word. This site makes it possible to watch live feeds from any of the locations.
Organizers are using Twitter to nudge companies and Seattle's tech elite to contribute to the cause, sending messages to their Twitter accounts which are posted publicly.
But the Seattle tweets recently show that even a cutting-edge fundraising method is encountering a challenging local economy.
"I wish @waggeneredstrom had decided to sponsor Twestival Seattle. I guess times are tough. Hope they help out the PDX event," organizers wrote Tuesday.
"I'm Close to giving up on local corp. sponsors for Twestival Seattle. Everyone business appears to be in budget / risk lockdown. So sad."
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February 11, 2009 2:34 PM
Literacy Bridge gets first Talking Books pilot program off the ground
Posted by Kristi Heim
Think Kindle is exciting? Take a look at this book that talks, was developed entirely by volunteers and costs less than $10.
Seattle-based non-profit Literacy Bridge launched its pilot program today to test dozens of its Talking Books in Ghana. The digital audio player and recorder is designed as a tool to teach literacy when used with textbooks, and help rural people who can't read get access to information.
In the current usability test, Literacy Bridge volunteers want to find out how people use the device and what content is most popular. They are working with local health and agricultural officials to help disseminate information, such as disease prevention and best farming practices, and with local schools to build lesson plans using the device.
The man behind the project is Cliff Schmidt, a former Microsoft program manager who studied artificial intelligence and thought a lot about how literacy can play a role in moving people out of poverty. He left Microsoft to form Literacy Bridge.
In a place like Ghana, Schmidt thinks having spoken information at hand will help people avoid lengthy trips to visit clinics or other offices. He also designed a function for users to record their own messages, and a way for such content to be distributed within local networks through the device-to-device copying capability.
Next he hopes to use the Talking Books to reach women in Afghanistan (90% of whom are illiterate), but ideally the device could be used anywhere in the world.
Here's a detailed Q&A with Schmidt, and a profile of Literacy Bridge.
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February 3, 2009 11:47 AM
Former NIH director now works for Gates
Posted by Kristi Heim
The great Gates vacuum keeps pulling them in from points far and wide, with news today that the former director of the U.S. National Institutes of Health (NIH), Dr. Elias Zerhouni, is now a senior fellow at the Gates Foundation. NIH is the country's largest funder of biomedical research.
Zerhouni served under the Bush Administration from his appointment in 2002 until he left in October. There he helped "enhance synergy between all 27 NIH institutes and centers and fund compelling research initiatives of potential high impact," says the Gates Foundation. In 2006 Congress institutionalized many of his reforms.
Zerhouni also became controversial for banning NIH scientists from consulting with drug and medical device makers, and during his tenure, the NIH budgets stagnated. The New England Journal of Medicine noted that funding doubled between 1998 and 2003, but flattened afterward. In 2007 the budget was the first real reduction in NIH support since 1970.
Born in Algeria, Zerhouni came to the United States at age 24 with a medical degree from the University of Algiers School of Medicine and finished his training at the Johns Hopkins School of Medicine, where he worked as chair of Radiology Department, vice dean for research and executive vice dean.
Besides being a member of the Institute of Medicine of the National Academy of Sciences, he will serve on the board of King Abdullah University of Science and Technology in Saudi Arabia.
His task now is to "spur innovative solutions" as he advises the foundation on its global health programs, particularly the Grand Challenges in Global Health initiative.
For more innovative solutions, maybe they should just hire this company.
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January 23, 2009 10:58 AM
Banking on vaccines: innovative financing for global health expands
Posted by Kristi Heim
Grim financial news has made raising capital almost anywhere a challenge. But a relatively new kind of investment with a social payoff is expanding this year -- vaccine bonds.
The bonds offer retail investors a fixed rate of return along with the opportunity to use their money to help immunize children in poor countries.
The bonds are offered by the International Finance Facility for Immunisation Co., (IFFIm) a UK-based charity and subsidiary of the GAVI Alliance, a global partnership to expand vaccines that was one of the Bill & Melinda Gates Foundation's first major health initiatives.
Since introducing the bonds first to institutional investors in 2006, GAVI has raised about $1 billion. The organization seeks to raise an additional $500 million this year, beginning next month when the bonds go on sale to retail investors in Japan. Based on their success so far, they may be offered in other markets in the future, says Gargee Ghosh, senior program officer for development finance at the Gates Foundation.

JACQUELINE M. KOCH
Researchers are closing in on a successful vaccine against malaria in Mozambique, .
They're backed by long-term government aid commitments over one or two decades from donors such as the United Kingdom, France, Norway, Spain and other countries. Based on those pledges, the IFFIm board issues bonds as needed. The donor countries make annual payments toward their commitments, covering the interest on the bonds.
"What this essentially does is create predictable on-call funding for vaccines," says Ghosh.
The previous bond, issued in March 2008 to Japanese institutional investors, pays 9.9 percent a year with a two-year maturity. This year's bond, arranged by Daiwa Securities SMBC, pays 6.6 percent interest over three years.
Their triple-A rating makes the bonds solid enough to appeal to the gun-shy, Ghosh says.
"IFFIm has really tapped a market we thought but weren't sure existed," she said. "People talk so much about social investing. This is such a great example. It's a completely viable financial structure. People don't need to care about kids in Africa at all for this to make sense in a portfolio. But if they do, they can track the impact of their funds."
(The University of Washington's Institute for Health Metrics and Evaluation recently questioned some countries' reporting methods, which may influence the way GAVI measures progress.)
GAVI uses the funds for big upfront investments such as buying trucks and stockpiling polio vaccines. In the future it may call upon bonds to help finance a malaria vaccine.
The innovative financing is creating a new kind of asset class, one that could work for other kinds of investments supporting humanitarian projects. It could also attract socially motivated investors in the U.S.
"We've just scratched the surface of understanding the social investment market," she said. "The U.S. is a deep market we just haven't really tapped."
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84 - The Seattle area's scandalous lack of adequate transit capacity
69 - May questions, volume seven
50 - Brandon League looks out of his own for Mariners
47
- Madrona dad killed by a bullet as he drove through Central Area
- Driver fatally shot in Central Area
- Facebook messages trigger melee at Whitman Middle School
- Downtown building fetches $55M, thanks to Amazon effect
- Opponents of gay-marriage law get unexpected aid: from Muslims
- Get a sitter — please — for these 10 great date-night restaurants | All You Can Eat
- Komen controversy hurting Race for the Cure
- Rescued teen tells author how story helped him survive
- Sounders FC salaries released for 2012 season | Sounders FC Blog
- 520 bridge builders pledge to look into beer drinking

August
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| 8 | 9 | 10 | 11 | 12 | 13 | 14 |
| 15 | 16 | 17 | 18 | 19 | 20 | 21 |
| 22 | 23 | 24 | 25 | 26 | 27 | 28 |
| 29 | 30 | 31 |
