Nadine Burke Harris
Nadine Burke Harris
|1st Surgeon General of California|
|Assumed office |
February 11, 2019
|Preceded by||Position established|
|Born||1975 (age 44–45)|
Vancouver, British Columbia, Canada
|Citizenship||United States of America |
|Spouse(s)||Arno Lockheart Harris (m. 2011)|
|Education||University of California, Berkeley (BA)|
University of California, Davis (MD)
Harvard University (MPH)
Stanford University (Pediatrics)
|Occupation||Pediatrician, mental health researcher|
Nadine Burke Harris (born 1975) is a Canadian-American pediatrician who has been the Surgeon General of California since 2019; she is the first person appointed to that position. She is known for linking adverse childhood experiences and toxic stress with harmful effects to health later in life. Hailed as a pioneer in the treatment of toxic stress, she is an advisory council member for Hillary Rodham Clinton's Clinton Foundation's Too Small to Fail campaign, and the founder and former chief executive officer of the Center for Youth Wellness. Her work was also featured in Paul Tough's book How Children Succeed.
Early life and education
Burke Harris was born in 1975 in Vancouver, British Columbia. She received her bachelor's degree in integrative biology from the University of California, Berkeley in 1996 and her medical degree from the University of California, Davis. She completed her residency in pediatrics at the Lucile Packard Children's Hospital, within Stanford University School of Medicine. After earning her master's degree in public health from the Harvard T.H. Chan School of Public Health, she went on to serve a residency at Stanford in pediatrics.
Her graduate studies were supported by The Paul & Daisy Soros Fellowships for New Americans.
In 2005, Burke Harris joined the California Pacific Medical Center (CPMC) staff, where she was tasked with the goal of developing programs to end health disparities in San Francisco. While at Harvard, Burke Harris identified access to health care as a key component of health disparities in San Francisco. In 2007, with support from CPMC, she became the founding physician of the Bayview Child Health Center and medical director of the new clinic.
In 2008, after reading "The Relationship of Adverse Childhood Experiences to Adult Health: Turning Gold Into Lead," by Vincent J. Felitti, Burke Harris realized that her patients' traumatic experiences were having a negative impact on their present and future health.
From 2010 to 2012, Burke Harris co-founded the Adverse Childhood Experiences project in the Bayview Hunters Point neighborhood in San Francisco, with colleagues Daniel Lurie from Tipping Point Foundation, Kamala Harris, Victor G. Carrion, Lenore Anderson, Lisa Pritzker, and Katie Albright. From this effort, the Center for Youth Wellness was created in 2012 to create a clinical model that recognizes the impact of adverse experiences on health and effectively treats toxic stress in children. The multidisciplinary approach focuses on preventing and undoing the chemical, physiological and neurodevelopmental results of adverse childhood experiences (ACEs). The Center integrates primary health care, mental health and wellness, research, policy, education, and community and family support services to children and families.
In 2014, she spoke at a TED event titled TEDMED in San Francisco. Her talk, "How Childhood Trauma Affects Health Across a Lifetime," had reached over 7.2 million viewers on TED.com as of June 2020.
In 2018, Burke Harris released her first book The Deepest Well: Healing the Long-Term Effects of Childhood Adversity, published by Houghton Mifflin Harcourt.
The Center for Youth Wellness
Adverse Childhood Experiences (ACEs) are defined as preventable and traumatic early experiences; they can range from exposure to violence, poverty and neglect, to physical, emotional and sexual abuse. As a result, it may increase the likelihood for "risky health behaviors, chronic health conditions, low life potential, and early death" in adulthood. Exposure to ACEs may lead to toxic stress, which varies from typical stress in that it is chronic and excessive, and results in antagonistic physiological responses that can lead to poor health outcomes in life.
The Center for Youth Wellness (CYW) aims to improve child and adolescent health by targeting the effects of Adverse Childhood Experiences. A main goal of the CYW is that "every pediatrician in the United States will screen for Adverse Childhood Experiences by 2028." More specifically, they target ACEs in San Francisco's Bayview/Hunter's Point neighborhood, a generally underserved area that had a poverty rate of 39% in 2010. The CYW identified that exposure to ACEs, along with high violence, increases the likelihood for detrimental health outcomes in this neighborhood. They use a combination of ACEs risk screening (via questionnaire), care coordination, and multidisciplinary treatment (primary care, psychotherapy, psychiatry and biofeedback).
- 2002–2003, Graduate Medical Education Committee, Stanford University Medical Center
- 2003–2004, Post-Doctoral Education Committee, Stanford University Medical Center
- 2004–2005, Liaison Committee on Medical Education Task Force, Stanford University School of Medicine
- 2004–2007, board of directors, San Francisco Urban Service Project
- 2005–2009, Citizen's Committee for Community Development (Appt by: Mayor Gavin Newsom)
- 2008–2013, Asthma Resource Council, board of directors
- 2011–present, American Academy of Pediatrics' The Resilience Project
- 2012–present, California Health and Human Services Agency' Jerry Brown' Let's Get Healthy California Task Force, Expert Advisor
- 1999, The Paul & Daisy Soros Fellowships for New Americans
- 2013, Humanism in Medicine award, Gold Humanism Honor Society
- 2014, Leadership award, James Irvine Foundation
- 2016, 21st Annual Heinz Award in Human Condition
- 2002 Shaping America's Health Care Professions: The Dramatic Rise of Multiculturalism. Western Journal of Medicine, 2002 176: 62–64.
- 2011 The Impact of Adverse Childhood Experiences on an Urban Pediatric Population Child Abuse and Neglect 35(2011) 408–413
- 2013 The Chronic Stress of Poverty: Toxic to Children. The Shriver Report, 2013 210–213
- 2013 Scott, B, Burke, N, Hellman, J, Carrión, V, Weems, C. The Interrelation of Adverse Childhood Experiences within an At-Risk Pediatric Sample. Routledge, 2013 217–229
- 2013 Renschler, T, Lieberman, A, Dimmler, M, Burke Harris, N. Trauma-Focused Child-Parent Psychotherapy in a Community Pediatric Clinic: A Cross-Disciplinary Collaboration. Springer Science + Business Media New York.
- 2018 Burke Harris, N. The Deepest Well: Healing the Long-Term Effects of Childhood Adversity. Houghton Mifflin Harcourt.
- "Gov. Newsom Appoints California's First-Ever Surgeon General". NBC Bay Area. San Francisco, CA. January 21, 2019. Retrieved January 21, 2019.
- Lee, Stephanie M. (February 17, 2015), "Dr. Nadine Burke Harris gets to the heart of children's stress", San Francisco Chronicle
- "Google gives $3 million to Nadine Burke Harris' Bayview clinic". San Francisco Chronicle. November 3, 2014.
- "Bayview center pioneers approach to crime prevention by fighting stress in youths". sfexaminer.com. December 8, 2013.
- "Paul Tough Speaks at Harvard: How Children Succeed". Boston Globe. September 3, 2012.
- Ceiling Breaker for Female Leaders in Public Health, Clinton Foundation, March 20, 2015
- "Childhood trauma a public health crisis". healthnewscolorado.org. November 19, 2014.
- "Former pediatrics resident will be California's first surgeon general". scopeblog.stanford.edu.
- "Childhood trauma's devastating impact on health". hsph.harvard.edu.
- Tough, Paul (March 14, 2011). "The Poverty Clinic". The New Yorker. Retrieved February 22, 2019.
- "Meet the Fellows | Nadine Burke-Harris". www.pdsoros.org. Retrieved June 13, 2020.
- "Nadine Burke Harris: How Does Trauma Affect A Child's DNA?". NPR.org. Retrieved June 13, 2020.
- "Makers Profile, Nadine Burke Harris, Founder & CEO, Center for Youth Wellness". Makers.
- "Childhood trauma a public health crisis The Poverty Clinic. Can a stressful childhood make you a sick adult?". The New Yorker. March 21, 2011.
- "About the Project". aap.org. Retrieved February 22, 2019.
- "TEDMED - Talks". TEDMED. Retrieved June 13, 2020.
- "How Childhood Trauma Affects Health Across a Lifetime". TEDMED 2014. TED.com. 2014.
- "Gov. Newsom Appoints California's First-Ever Surgeon General". NBC Bay Area. Retrieved February 22, 2019.
- "Child Abuse and Neglect Prevention|Violence Prevention|Injury Center|CDC". www.cdc.gov. April 10, 2018. Retrieved May 3, 2018.
- "ACEs & Toxic Stress Science | Center for Youth Wellness". Center for Youth Wellness. Retrieved May 3, 2018.
- "Mission | Center for Youth Wellness". Center for Youth Wellness. Retrieved May 3, 2018.
- "Your Neighborhood at a Glance: Bayview-Hunters Point and Visitacion Valley" (PDF). Harder Company Community Research. March 2012 – via San Francisco Department of Public Health.
- "Weddings: Nadine Burke and Arno Harris". The New York Times. July 8, 2011. Retrieved April 17, 2015.
- "U.S. Conference of Mayors Adopts Resolution to Replicate Let`s Get Healthy California Task Force in Other U.S. Cities". Retrieved February 22, 2019.
- "Let's Get Healthy California – Task Force Final Report – December 19, 2012, page xviii" (PDF). Retrieved February 22, 2019.
- "The Paul & Daisy Soros Fellowships for New Americans – Spring 1999 Fellows". Archived from the original on September 7, 2009. Retrieved February 22, 2019.
- Fagan, Kevin (February 28, 2014). "Dynamic leaders of child-help center win Irvine Award". San Francisco Chronicle. Retrieved August 12, 2015.
- Sentinel News Service (February 27, 2014). "The James Irvine Foundation Announces its 2014 Leadership Award Recipients". Los Angeles Sentinel. Retrieved August 12, 2015.
- "The Heinz Awards :: Recipients". heinzawards.net. Retrieved September 27, 2016.
- Briggance, BB; Burke, N. "Shaping America's health care professions: the dramatic rise of multiculturalism". West J Med. 176: 62–4. doi:10.1136/ewjm.176.1.62. PMC 1071658. PMID 11788544.
- Burke, NJ; Hellman, JL; Scott, BG; Weems, CF; Carrion, VG. "The impact of adverse childhood experiences on an urban pediatric population". Child Abuse Negl. 35: 408–13. doi:10.1016/j.chiabu.2011.02.006. PMC 3119733. PMID 21652073.
- "The Shriver Report – The Chronic Stress of Poverty: Toxic to Children". shriverreport.org. Retrieved February 22, 2019.
- Scott, Brandon G. (2013). "The Interrelation of Adverse Childhood Experiences within an At-Risk Pediatric Sample". Journal of Child & Adolescent Trauma. 6: 217–229. doi:10.1080/19361521.2013.811459.