Arnhold Institute for Global Health

In the News

  • The core competency of microfinance institutions isn't finance - it's distribution.
    Devex | November 10, 2017
    Their central infrastructure isn't bank branches, but rather networked group meetings. And the return on investment from their loans isn't the interest; it's the added value of organizing vulnerable populations in rural areas of low-income countries into a platform. MFIs aren't banks that happen to lend to groups; they are a delivery platform reaching 200 million households globally that happens to distribute loans.
  • Microfinance Institutions Are Found Effective In Giving Health Products To Underserved Communities
    Medical Xpress | November 6, 2017
    Microfinance institutions are popularly known for providing small loans to low-income entrepreneurs lacking access to traditional banking services. However, new research from The Arnhold Institute for Global Health at the Icahn School of Medicine at Mount Sinai, suggests that the capabilities of microfinance networks expand well beyond banking, and that tapping into these networks can bring measurable health improvements to rural and underserved communities on a national scale with reduced cost. Arnhold Institute researchers partnered with Fonkoze (the largest microfinance organization in Haiti) and tested whether training microfinance center chiefs to deliver micronutrient supplements during credit center meetings could improve the health of children under five. "Given the strength of informal institutions and markets in low-income countries like Haiti, we wanted to see if leveraging them could be effective in distributing essential health products," said Aaron Baum, PhD, assistant professor of global health and lead economist at the Arnhold Institute for Global Health at the Icahn School of Medicine at Mount Sinai, and lead author of the study.
  • Listening is a Lost Art in Medicine. Here's How to Rediscover It.
    Prabhjot Singh, MD, PhD and Niyum Gandhi | Harvard Business Review | November 6, 2017
    Clinicians and health system leaders started tuning out the patient's voice, turning instead to electronic health records and the latest protocols to manage their most complicated and high-need patients. Prabhjot Singh, MD, PhD, director of The Arnhold Institute for Global Health and chair in the health system design and global health at the Icahn School of Medicine at Mount Sinai and Niyum Gandhi, executive vice president and chief population health officer at the Mount Sinai Health System, believe it's time for an urgent and strategic reset. The factors that lead people to become our nation's costliest are complex. But they call for, at the start, the simplest intervention: listening. According to the National Academy of Medicine, high-need individuals are disproportionately older, female, white, and less educated. They are also more likely to be publicly insured, have fair-to-poor self-reported health, and be susceptible to lack of coordination within the health care system. Over the past several years at the Mount Sinai Health System, we have focused on developing a new generation of clinical services for high-need patients by drawing heavily on strategies pioneered by others across the nation, guided by recommendations in the newly release NAM report, developed by Dr. Singh. In a fast-paced health care system, it is clear that patients will benefit from the work of researchers and technologists focused on data-driven technologies to improve care. However, the clinical insights and strategies these technologies can give rise to are most useful when they're incorporated into clinical care by providers who listen carefully to their patients, their colleagues, and the exemplary organizations around them.
  • New York Borrows a Health Care Idea From Africa
    Joanne Kenen | Politico | October 25, 2017
    In Africa and India, the idea of using lay health care workers was born of necessity. Manmeet Kaur, founder of City Health Works in Harlem realized that using community health care workers would also fill a real gap in American health care, where all too often patients with chronic conditions like heart failure and diabetes are released from the hospital with little follow-up and few options when problems arise except go right back to the ER. Unlike sub-Saharan Africa, Upper Manhattan is rich in hospitals, medical schools and pricey specialists. But it's poor in effective community-based primary care, particularly the kind of care that can reach into kitchens and living rooms of patients. With encouraging early data on patient outcomes and financial stability, City Health Works has emerged as a promising approach that differs from a lot of other health coaching or community groups. It was co-designed with clinicians in its community, from places like The Mount Sinai Hospital, who are open to a team-based approach and understand that peer workers can sometimes reach where a physician cannot.
  • New York Borrows A Health Care Idea From Africa
    Joanne Kenen | Politico | October 25, 2017
    In Africa and India, the idea of using lay health care workers was born of necessity. Manmeet Kaur, founder of City Health Works in Harlem realized that using community health care workers would also fill a real gap in American health care, where all too often patients with chronic conditions like heart failure and diabetes are released from the hospital with little follow-up and few options when problems arise except go right back to the ER. Unlike sub-Saharan Africa, Upper Manhattan is rich in hospitals, medical schools and pricey specialists. But it’s poor in effective community-based primary care, particularly the kind of care that can reach into kitchens and living rooms of patients. With encouraging early data on patient outcomes and financial stability, City Health Works has emerged as a promising approach that differs from a lot of other health coaching or community groups. It was co-designed with clinicians in its community, from places like The Mount Sinai Hospital, who are open to a team-based approach and understand that peer workers can sometimes reach where a physician cannot. “It unburdens us,” said Gary Burke, MD, assistant professor of medicine at the Icahn School of Medicine at Mount Sinai and chief of general medicine at Mount Sinai St. Luke’s, who works closely with Kaur’s team. “They come from the community; with a different perspective … They speak the language. And they can look in the refrigerator.”
  • Pollution Linked to One in Six Deaths
    Katie Silver | BBC News | October 20, 2017
    Pollution has been linked to nine million deaths worldwide in 2015, a report in The Lancet has found. Almost all of these deaths occurred in low- and middle-income countries, where pollution could account for up to a quarter of deaths. Bangladesh and Somalia were the worst affected. Air pollution had the biggest impact, accounting for two-thirds of deaths from pollution.
  • New York City: Data Science’s Best Bet for Growth and Opportunity
    Drew Conway | Insight Data Science | September 29, 2017
    One of the reasons New York’s data community stands out from the rest is that it is the best at recognizing the need for both natural sciences and social sciences to come together to do truly great and innovative data work. New York’s data scientists have not only helped to build many innovative and successful businesses, but the Data for Good movement started here too. There are numerous New York-based organizations that have put using data for social good at the core of what they do, such as DataKind, Crisis Text Line, Murmuration, Mount Sinai’s Arnhold Institute for Global Health, and Teachers Pay Teachers, as well as the NYC Mayor’s Office for Data & Analytics, founded in 2013 under Mayor Bloomberg.
  • Multiple Conditions
    Crain’s Health Pulse September 19, 2017 (Subscription Required)
    The Mount Sinai Health System and Teva Pharmaceuticals are teaming up to improve patient and health system care for people with multiple chronic conditions, the partners announced Monday at the World Economic Forum's Sustainable Development Impact Summit. A regional pilot program at Mount Sinai's Arnhold Institute for Global Health will design and evaluate a patient-centered, integrated approach and eventually adapt it for delivery to larger patient populations.
  • Collaborating with Mount Sinai
    Shoshanna Solomon | The Times of Israel | September 18, 2017
    Teva announced a partnership with Mount Sinai Health System hospital to create solutions to improve patient and health system care for Multiple Chronic Conditions (MCC), defined as “an emerging and unaddressed global health threat.” The announcement was made to an audience of public health leaders at the World Economic Forum’s (WEF) Sustainable Development Impact Summit. MCC are defined by the presence of two or more chronic conditions in a patient. Currently, one in three adults globally, and two in three adults over the age of 65, suffer from two or more chronic conditions, Teva said. The top conditions contributing to mortality and morbidity in high-income countries include ischemic heart disease, stroke, lung cancer, depression, diabetes and back and neck pain. The collaboration will envisage a regional pilot program at Mount Sinai’s Arnhold Institute for Global Health in New York, which will design and evaluate a patient-centered, integrated approach and ultimately adapt it for delivery to larger patient populations, the statement said.
  • Look Again at Look AHEAD: Weight-Loss Benefit Only in T2D Subgroups
    Liam Davenport | Medscape | July 31, 2017
    There may be subgroups of patients with type 2 diabetes who experience marked health improvements in response to intensive weight-loss interventions, while others may experience substantially worse outcomes, the results of a reanalysis of data from a randomized controlled trial indicate. Study coauthor Aaron Baum, PhD, from Arnhold Institute for Global Health, Icahn School of Medicine at Mount Sinai, New York, added: "As researchers and data scientists, we are always concerned that an overall study result could mask important disparities in benefit or harm among different types of patients, which is exactly what this study revealed. "Being able to identify individuals who could benefit from an intervention is fundamental to patient care."
  • Overall Neutral Treatment Benefit Masks Better, Worse Outcomes In Subgroups
    Regina Schaffer Healio | July 18, 2017
    Among patients with well-controlled or poorly controlled type 2 diabetes and a good self-perception of their health, an intensive lifestyle intervention was associated with reduced risk for a cardiovascular event. Patients with well-controlled diabetes and a negative self-perception of health, however, saw an increase in cardiovascular risk with intensive weight loss. In a new analysis of data from the study, conducted by data science researchers at the Arnhold Institute for Global Health at the Icahn School of Medicine at Mount Sinai, researchers found that the cohort’s overall neutral treatment findings masked treatment benefits among several subgroups.

  • Behavioral Changes Effective for Most Type 2 Diabetes Patients
    Kristen Monaco | Medpage Today | July 17, 2017

    Among a majority of patients with Type 2 diabetes, intensive weight loss intervention reduced the risk of adverse cardiovascular outcomes, a post hoc analysis of the look AHEAD (Action for Health in Diabetes) trial found. In the study, led by Aaron Baum, PhD, assistant professor of global health at the Icahn School of Medicine at Mount Sinai, 86 percent of the overall population reduced the risk of composite cardiovascular outcomes with intensive lifestyle modification.

  • Weight Loss
    Dan Goldberg | Politico New York Health Care | July 13, 2017
    Most patients with type 2 diabetes should lose weight, but for some that could be a really bad idea, according to researchers at The Arnhold Institute for Global Health of the Icahn School of Medicine at Mount Sinai, writing in The Lancet Diabetes & Endocrinology.
  • Gates Foundation Awards Grants to Pace and Mount Sinai (Subscription required)
    Robin Schatz | Crain's Health Pulse | June 16, 2017
    Arnhold Institute for Global Health, Icahn School of Medicine at Mount Sinai and a researcher at Dimagi, Cambridge, Mass. won a Bill & Melinda Gates Foundation Grand Challenges Explorations grant to create a platform to detect high-malaria-risk regions to allocate malaria-control resources.
  • 'Where do you Live?'
    Prabhjot Singh | Politico The Agenda | May 23, 2017
    I'm a doctor in East Harlem, where residents die, on average, 10 years earlier than their neighbors just a few blocks south on Manhattan's Upper East Side. Many of my patients worry more about paying the rent than buying the medication they need to manage their diabetes or high blood pressure. That's why I've learned that one of the most important questions I can ask my patients during an exam is, "Where do you live?"
  • Global Health a Requisite for Academic Pediatric Programs
    The study and practice of global health should be a core part of pediatric education and research at all academic health centers, according to a report from the American Board of Pediatrics Global Health Task Force. Dr. Prabhjot Singh, director of the Arnhold Institute for Global Health at the Icahn School of Medicine at Mount Sinai in New York City, told Reuters Health by email, "The American Board of Pediatrics has released a timely, practical and important affirmation of the central role of global health in training the people who will take care of our nation's children."
  • Presidential Scholar (Subscription required)
    Crain’s New York Health Pulse | February 3, 2017
    Prabhjot Singh, MD, PhD, director of the Arnhold Institute for Global Health at the Icahn School of Medicine at Mount Sinai, is one of 60 scholars chosen to participate in the 2017 Presidential Leadership Scholars program. The leadership-development initiative uses the resources of the presidential centers of George W. Bush, William J. Clinton, George H.W. Bush and Lyndon B. Johnson.
  • Marking Rounds (Subscription required)
    Dan Goldberg | Politico Pro | February 2, 2017
    Prabhjot Singh, MD, PhD, director of the Arnhold Institute for Global Health at the Icahn School of Medicine at Mount Sinai, was one of 60 selected to participate in the Presidential Leadership Scholars program.
  • Trump's travel ban rattles medical residency programs (Subscription required)
    Dan Diamond | Politico Pro | January 31, 2017
    Teaching hospitals may have to drop residency offers to medical students from countries affected by President Donald Trump’s immigration ban — a move that could exacerbate a shortage of doctors and limit patient care in underserved areas.

  • Mount Sinai and GLG Announce 2017 Global Health Scholars
    Yahoo Finance | January 24, 2017
    The Arnhold Institute for Global Health at the Icahn School of Medicine at Mount Sinai and GLG (Gerson Lehrman Group, Inc.) today announced the 2017 class of Mount Sinai-GLG Global Health Scholars. Three additional scholars will join the program, now in its second year. The program leverages GLG's learning platform and the Icahn School of Medicine at Mount Sinai's progressive environment for medical education. It creates a groundbreaking educational program for the next generation of global health leaders that connects curious and dedicated Mount Sinai students with the power of one-to-one learning through GLG.
  • Community health worker programs need institutional support and sustainable revenue, report says (Requires login)
    Caroline Lewis | Crain’s New York Health Pulse | December 6, 2016
    Community health workers, who are integral to health care in parts of the developing world, can also play a vital role in U.S. health care reform—if the programs receive institutional support and sustainable financing, says a new report released today by the Arnhold Institute for Global Health at the Icahn School of Medicine at Mount Sinai and the Office of the U.N. Special Envoy for Health in Agenda 2030 and for Malaria.
  • A Street-Level View Of America’s Healthcare Promise
    Joe Donahue | Northeast Public Radio| December 5, 2016
    In Dying and Living in the Neighborhood, Dr. Prabhjot Singh argues that we must look beyond the walls of the hospital and into the neighborhoods where patients live and die to address the troubling rise in chronic disease. (audio)
  • Health In All Parts Of Town
    Ellen Lawton | Health Affairs| November 11, 2016
    “How can a neighborhood take a lead role in designing a total population health system?” This is the central question framing Prabhjot Singh’s unique and timely book, Dying and Living in the Neighborhood. Singh, a cross-cutting and highly accomplished academic and clinician who leads the Arnhold Institute for Global Health and chairs the Department of Health System Design and Global Health at Mount Sinai Health System, uses a US neighborhood as a focal point for how to think about, and bridge, the social needs and challenges affecting the health of vulnerable populations.
  • Reluctance To Seek Maternity Care Tied To Mortality During Ebola (Subscription required)
    Marilynn Larkin | Reuters |November 4, 2016
    During the Ebola virus epidemic in Sierra Leone, the decrease in women seeking pre- and postnatal care was associated with a marked increase in maternal mortality and stillbirths, UK researchers report. "We already knew that basic health services were disrupted in the context of the epidemic, but we did not know why, and at what cost," said Prabhjot Singh, MD, PhD, chair of the department of health system design and global health at the Icahn School of Medicine at Mount Sinai, who was not involved in the research. "The authors show that life-saving maternal services were available, but not used, leading to an uptick in preventable deaths in mothers and children that were unrelated to Ebola."
  • U.S. Election
    Staff | The Lancet | November 4, 2016
    Discussion of the US election, and of the importance of underlying social determinants of health for the US health policy environment. [Features Dr. Prabhjot Singh]
  • An Idea Borrowed from South Africa: Ordinary Citizens Fill Gaps in Health Care
    Sarah Varney | Kaiser Health News | October 20, 2016
    Belton is one of a small team of community health workers trained by Manmeet Kaur to help patients in New York City. Kaur trained with the Mamelani Projects in the townships of Cape Town. The organization she founded, City Health Works, contracts directly with primary care providers, like Mount Sinai Health System, to better manage their most difficult patients.
  • USAID funds partnership effort to locate and assess Zika cold spots in Guatemala
    Staff | News Medical Life Sciences | October 20, 2016
    The Arnhold Institute for Global Health at the Icahn School of Medicine at Mount Sinai, software company Dimagi, and Guatemalan NGO TulaSalud announced today that their partnership to locate and assess vulnerable areas in Guatemala to determine their level of risk for a Zika epidemic is being funded by the U.S. Agency for International Development (USAID). The funding is part of the Combating Zika and Future Threats Grand Challenge, a $30 million challenge that called upon the global innovator community to generate cutting-edge approaches to fight the current Zika outbreak and to help strengthen the world's ability to prevent, detect, and respond to future infectious disease outbreaks.
  • Can ordinary citizens help fill gaps in U.S. health care?
    Staff | PBS News Hour | October 17, 2016
    In the midst of radical changes in health care policy, some U.S. providers are looking to an unlikely model: Sub-Saharan Africa, where ordinary citizens are trained as medical support for their communities. In the U.S., City Health Works is following suit, using community members to form long-term relationships with patients to fill gaps in care. Special correspondent Sarah Varney reports.
  • Grant Land—Dan Goldberg
    Dan Goldberg | Politico Pro New York Healthcare | October 17, 2016
    The Arnhold Institute for Global Health at the Icahn School of Medicine at Mount Sinai, a software company named Dimagi, and a Guatemalan NGO called TulaSalud will announce Monday that they received roughly $1 million from the U.S. Agency for International Development to determine the level of risk for a Zika epidemic in Guatemala. The funding comes from the Combating Zika and Future Threats Grand Challenge, a $30 million program.
  • New York City Health Disparities
    Erin Billups | New York 1 News | October 15, 2016
    Access to healthcare varies depending on where you live, and it obviously has a big impact on health outcomes with some city neighborhoods seeing higher rates of disease such as diabetes and asthma. Prabhjot Singh, MD, PhD, chair of the department of health system design and global health at the Icahn School of Medicine at Mount Sinai, who has studied these disparities, joins Erin Billups to discuss population health. “We know that a kid born, for example, in East Harlem, lives about 10 years less than a kid born downtown,” Dr. Singh said.
  • Medicine Can’t Cure Poverty
    Brian Lehrer | WNYC: The Brian Lehrer Show | October 11, 2016
    US healthcare spending has been steadily increasing yet chronic illness and premature death are also on the rise. Prabhjot Singh, MD, PhD, chair of the department of health system design and global health at the Icahn School of Medicine at Mount Sinai, set out to understand the healthcare crisis after he attended the funeral of one of his patients. “You almost get this sense from the last five years that healthcare takes place on paper and in legislature, but the bottom line is that for the patients that I’ve met and the pioneers that I saw across the country, the real work is in the streets. It’s in our neighborhoods,” Dr. Singh said.
  • U.S. Life Expectancy Lags Behind Other Wealthy Nations
    Dennis Thompson | HealthDay News | October 6, 2016
    US healthcare spending has been steadily increasing yet chronic illness and premature death are also on the rise. Prabhjot Singh, MD, PhD, chair of the department of health system design and global health at the Icahn School of Medicine at Mount Sinai, set out to understand the healthcare crisis after he attended the funeral of one of his patients. “You almost get this sense from the last five years that healthcare takes place on paper and in legislature, but the bottom line is that for the patients that I’ve met and the pioneers that I saw across the country, the real work is in the streets. It’s in our neighborhoods,” Dr. Singh said.
  • Quora Question: What Will Be The Greatest Health Care Challenge In The Future?
    Newsweek | October 2, 2016
    Healthcare in the U.S. is at its most dynamic and formative moment in more than 50 years, since Medicaid and Medicare were passed. That’s the glass half-full answer, because we have a choice ahead of us: do we pay attention to how and where people live and how that shapes their health? Or do we neglect that in favor of health care as usual? I am confident that a growing network of Americans are paying attention because I’ve spent time with them across our country, and so I do see promise amidst crisis, writes Prabhjot Singh, MD, PhD, chair of the department of health system design and global health at the Icahn School of Medicine at Mount Sinai.
  • Mount Sinai's Harlem Clinic Transforms Primary Care (subscription required)
    Jonathan LaMantia | Crain’s New York | September 23, 2016
    The Peterson Center on Healthcare, a Manhattan-based foundation, has implemented primary-care strategies to boost performance at three U.S. clinics, including Mount Sinai Doctors Faculty Practice at West 147th Street. The nonprofit organization, which is devoted to improving quality and lowering costs in U.S. health care, said Thursday it is replicating approaches in place at certain "high-value" practices around the country, which Peterson said deliver high-quality care at an affordable price. Recent changes freed up 10 hours a week in staff time, said Prabhjot Singh, MD, PhD, chair of the department of health system design and global health at the Icahn School of Medicine at Mount Sinai. "It's these small changes that have cascading effects," he said. Mount Sinai plans to emulate the Peterson Center model at other primary care practices.
  • Jeffrey D. Sachs, PhD, Joins Mount Sinai for Two-Year Visiting Fellowship
    Newswise September 20, 2016
    During his two-year fellowship, professor of economics, senior United Nations advisor, bestselling author and sustainable development leader, Jeffrey D. Sachs, PhD, will examine how the Mount Sinai Health System can contribute to the U.N.’s new Sustainable Development Goals.
  • Economist Jeffrey Sachs Begins Fellowship At Mount Sinai (Subscription required)
    Robin Schatz | Crain’s New York | September 21, 2016
    Economist Jeffrey Sachs has just begun a two-year visiting fellowship at the Arnhold Institute for Global Health at the Icahn School of Medicine at Mount Sinai, the health system announced Tuesday. In his new role, he'll help guide New York City's largest health care system to contribute to the United Nations' new Sustainable Development Goals. "Jeff Sachs has been at the forefront for supporting universal health coverage across the world and is a leader in establishing sustainable development goals,” Prabhjot Singh, MD, PhD, director of the Arnhold Institute for Global Health at the Icahn School of Medicine at Mount Sinai, told Crain's.  Dr. Sachs recently led a team of Mount Sinai executives, including Dr. Singh, to Ghana to observe how the west African nation is implementing an electronic health system. Dr. Singh said Dr. Sachs will interact with medical students, give lectures and work with the health system's business units to better understand the policy challenges they face.
  • To Fix Health Care, Try A Walk Around The Neighborhood
    Kai Ryssdal | Marketplace | September 15, 2016
    Prabhjot Singh, MD, PhD, director of the Arnhold Institute for Global Health at the Icahn School of Medicine at Mount Sinai, spoke to Marketplace’s Kai Ryssdal about his book Dying and Living in the Neighborhood: A Street-Level View of America's Healthcare Promise. “At the heart of it, it’s not so much a question of getting physicians to walk around the neighborhood, but I think it’s also about letting people that are already in the community be representatives and also formally part of how we look at our health care system,” Dr. Singh said. “The only way to really move forward is to learn by doing and make sure that we actually can see the progress that we are making.
  • Mount Sinai Doc Draws Inspiration From Patient's Funeral In New Book: Interview (subscription required)
    Robin Schatz | Crain’s New York | September 15, 2016
    In the summer of 2011, Prabhjot Singh, MD, PhD, then a clinical resident at Mount Sinai Health System, first met the patient he calls Ray in the emergency room. Ray was suffering from uncontrolled diabetes, high blood pressure, an irregular heartbeat and a dangerous blood clot in his right thigh that was migrating toward his heart.  Ray is actually a composite character, drawing details from the lives of four patients with similar conditions and circumstances to protect his privacy. Dr. Singh, who is now director of the Arnhold Institute for Global Health at the Icahn School of Medicine, spoke to Crain's about his book, which blends personal reflection with extensive research into how health care innovators are focusing on neighborhood health.
  • Zika: Why Brazil, Why Now
    Dennis Thompson | U.S. News & World Report | August 4, 2016
    Brazil, by a wide margin, has been the country hit hardest by the ongoing Zika virus epidemic and its potential for birth defects. But, public health officials are at a loss to say exactly why Brazil became the epicenter of the epidemic, which began there in early 2015. "We don't fully understand why the epidemic broke out where it did. But we do know that a lot of the factors that have made Brazil the major zone are not shared by a lot of the world," said Prabhjot Singh, MD, PhD, director of the Arnhold Institute for Global Health at the Icahn School of Medicine at Mount Sinai. "You are looking for a perfect storm for a place to become a hot spot," he continued. "People want to hear that it's just one thing that made Brazil the center point, but there are a bunch of things that could have contributed."
  • Mount Sinai's New Department Has Its Eye on Changing Global Health
    Meg Bryant /Healthcare Dive | June 10, 2016
    The Icahn School of Medicine at Mount Sinai launched its new Department of Health System Design and Global Health. The goals of the department include designing next-generation care models, cost-effective business models and user-centric technologies. There will be an emphasis on practitioner training and recruiting faculty with diverse interests and expertise, the school noted. “For too long, there have been barriers between U.S. healthcare workers and the world around us,” said Prabhjot Singh, MD, PhD, director of the Arnhold Institute for Global Health at the Icahn School of Medicine at Mount Sinai and inaugural chair of the department.
  • New Center For Global Health System Design (subscription required)
    Crain’s New York | June 9, 2016
    The notion of tapping the best global ideas in health care is what motivated Prabhjot Singh, MD, PhD, director of the Arnhold Institute for Global Health at the Icahn School of Medicine at Mount Sinai, to launch the new Department of Health System Design and Global Health at the Icahn School of Medicine at Mount Sinai. “We have something valuable to contribute around how a payment environment drives practice transformation, and at the same time we have a lot to learn about how you deliver care outside of facilities,” said Dr. Singh. The new department will focus on domestic projects in urban areas such as Harlem as well as projects abroad.