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I would be especially honored if selected to your distinguished Master’s in Public Health Program at XXXX because of your low student-to-faculty ratio and the subsequent attention from and ability to interact with the faculty that results. I also very much appreciate the way in which students are encouraged to contribute to the design of their curriculum. I love XXXX’s interdisciplinary nature, collaboration with other XXXX schools, especially the XXXX Medical School and the XXXX School of Design. Conducting a thesis project and/or internship in association with the XXXX Department of Health or another public-health -related organization represents a singularly valuable opportunity.

A Japanese student, I have a close friend in the MPH Program at XXXX, XXXX, who is a Siddha doctor, specializing in the traditional medicine of India. I am impressed with the fact that XXXX has the foundations to guide and assist her unique research on preventive medicine for Alzeheimer's and diabetes patients using traditional Indian medical knowledge and technique. On her blog, she describes in detail her vast appreciation for XXXX and how thoughtfully the faculty caters to each student. Learning all about your system, resources, environment and people through her and her experiences, I have fallen in love myself with the idea of attending your program.

Your MPH Program at XXXX is Health my first choice for graduate study for a variety of reasons, most of all the simple fact that it is one of the leading public health programs in the world. I also appreciate the fact that you have a large and extremely diverse student body from all over the planet, since I very much look forward to learning a great deal from my peers as well as my professors. While I keenly look forward to learning as much as I can about cutting-edge theory and challenges in all areas of Public Health, I plan to develop my own special focus on mental health, epidemiology, public policy challenges, treatments, etc. I especially appreciate the efforts being made at Brown in the area of global mental health, and, in particular, the study of public mental health in the wake of natural disasters such as the Tsunami that hit Japan in March if 2011, programs to help manage stress after these kinds of events, etc.

A Japanese man who is 25 years old, for years now I have been developing a special passion for epidemiology and public health. Completing your rigorous program at XXXX will enable me to acquire precisely the kind of professional skills and knowledge base that I will need in the future to excel, learning to better analyze and understand the genesis and propagation of disease, so as to know how to best prevent it. I am especially interested in mental health and want to use epidemiological skills to study and address global mental health issues. Japan is infamous for its high suicide rate (Karoshi). I want to thoroughly investigate the environmental/social-risk factors for mental health diseases, how to effectively treat if not prevent them from occurring. Japan is also unparalleled as an aging society. Soon, public health resources in Japan will continue to be stretched increasingly thin; and other countries face similar problems related to aging populations.

After completing my MPH Degree and within time my PHD, I want to work for a health organization such as the WHO. I look forward to publishing in the future concerning what I see as the Japanese fear of failure and how it is related to suicide. I look forward to better understanding why Japanese people are so susceptible to mental illness, generally speaking, especially the young, and how it is related to problems at school.

With frequency, growing up over the years, my family has gone to the US to visit our relatives in Denver, Colorado where I learned to speak English at play with my cousins. I also studied my cousins, their assimilation issues, how they compared to children growing up in Japan. I have also traveled, learning and reflecting a great deal about mental health across cultures, especially India, where I have spent significant periods of time. Despite enormous challenges resulting from poverty and poor sanitation, I suspect that the Indian people have fewer mental health issues than the Japanese, and this intrigues me greatly.

I thank you for considering my application to XXXX.

Earning my MSW last year, 2014, at the University of XXXX was a crowning achievement; nevertheless, I find myself still thirsty for additional academic preparation. As career professional with Child Protective Services in the Twin Cities with 20 years experience, earning the MSW helped me to become much better in my service to the community in every way, more sensitive, effective, etc. In fact, my MSW has helped me to see more clearly the broader picture of a whole range of issues that are involved with questions of child protection—most of all, health issues, particularly mental health and addictions. As a result, I feel very strongly that earning my MPH Degree at the University of XXXX would enable me to continue to advance in novel and creative directions what would summon my maximum professional contribution to health care in our inner city. Health concerns are especially evident in the cases that I have dealt with for the past two decades working with Spanish-speaking clients. Raised for several formative years in Puerto Rico as a child, I have always been part of this community and I hope to continue to work with and study our primarily Spanish-speaking population and their relationship with our social services for the balance of my personal as well as professional life.

I hope to earn a Master of Public Health with a concentration in the area of health care management, public policy development, and education; and I plan to also develop a concurrent focus on crisis and disaster management. I look forward to a lifetime of creative research in the search for ways to better implement intervention policies that are able to provide the population with direct access to primary health care--even in the face of emergencies—due to public health preparedness education and strategic planning, even in a Third World country such as my own, Pakistan, that is prone to natural disasters as well as plagued by political violence

Three months ago I had the chance of meeting Dr XXXX, a practicing pulmonologist in Farmington, Connecticut, United States. We got into a discussion concerning the primary health care structure in Pakistan, what it is lacking, and why the system is failing. The basic health unit (BHU), the first medical contact available to villagers, is generally found without a doctor and all too often with a lock on the door and no help to be found at all. In order for the BHUs to be functional we need to provide incentives for doctors to work in rural areas and ensure an authority is responsible to ensure that quality of service is maintained and checked regularly. I was especially excited by an example that Dr. XXXX told me about of a module in the US where a team of attending physicians rotates into a rural areas for one week out of each month, greatly enhancing the coverage and quality of care in those rural areas that are most in need of that care. Completing my MPH program will provide me with the opportunity to explore a wide range of health care delivery models and creative ideas for bringing health care to rural areas, especially in the Developing World.

I look forward to working on medical education and awareness especially in much neglected parts of the interior, in Sindh, Balochistan and Punjab. My project of diarrhea awareness and basic preventive measure in ‘Mithi’ Thar Parkar helped me to become acutely aware of the deadly consequences of our vast health care delivery disparities between our rural and urban populations. I would continue to do parallel projects with ‘Akhuwat’ and ‘Rotary Foundation’ and align my health awareness programs with welfare projects that are already in place.

One of the highlights of my career so far was going to India as part of an intellectual exchange conference where I had the opportunity to meet fellow members of the Rotary Foundation, who had successfully improved their health care systems through the use of primary health care campaigns in rural areas. We face special challenges in my country because Pakistan has been facing one natural disaster after the other or as long as I can remember. Every year, we face floods and every year we realize how utterly unprepared we are. Command structures break down and information delivery systems fail to function; all in the absence of adequate plans of action for what few emergency response resources do exist.

Once I earn the MPH Degree in America, I hope to work with our National Disaster Management Authority (NDMA) to address the most salient structural weaknesses that result in our in ability to respond to natural disasters with medical assistance to the victims.

In Nigeria as in most other countries, Cardiovascular disease is on the rise, now accounting for approximately 31% of global deaths (Fuster et al., 2010; World Health Organization., 2015). It has been firmly established that while cardiovascular disease is multifactorial, it can be alleviated through good nutrition (Wheatcroft et al., 2005). Most importantly for my purposes evidence from randomized controlled trials and observational studies suggests that flavanol-rich foods may result in profound cardiovascular health benefits for patients with cardiovascular risk factors and even the presence of disease. A residual cardiovascular risk is estimated to be present in about 50% of those who are correctly treate (Fruchart et al.,2008). Flavanols are a family of biologically active polyphenolic compounds found in fruits, vegetables, tea and red wine, so they are widely available.

Vitamin D has been shown to be helpful at improving endothelial function and other cardiovascular risk markers. Vitamin D deficiency, on the other hand, has been linked to pathogenesis of cardiovascular risk markers and the emergence of complications in cardiovascular disease cases. (Ambuj et al., 2015; Harikrishnan et al., 2015). Cardiovascular diseases (CVDs) are the number one cause of death globally with more people dying annually worldwide from CVDs than from any other cause (WHO, 2016). This provides urgency to my research makes me as dedicated as possible.

Since Vitamin D deficiency has been linked to Cardiovascular disease (Peter Brøndum-Jacobsen et al., 2012), this makes CVDs and Vitamin D deficiency significant Public Health issues and therefore, worth investigating. Thus, I am especially interested in the investigation of how Vitamin D  and dietary Flavonoid supplementation has the potential to reduce the risk of Cardiovascular disease, the dose dependency of dietary flavonoid and Vitamin D supplementation and the respective effects upon cardiovascular disease risk markers, as well as the duration of intervention required to exert changes in humans.The specific objective of my research is to investigate the effects of Dietary Flavonid and Vitamin D supplementation on vascular health and cardiovascular risk markers in healthy subjects through a randomised, double-blinded placebo-controlled, cross over chronic intervention protocol that aims to answer the following research hypotheses: Dietary flavonoid and Vitamin D supplementation are generally supportive of healthy vascular function. I also want to pay special attention to the mechanism of action and its bioavailability as well as the minimum dosage required to effect a positive change in vascular function.

I firmly believe that I can make a difference in local and global public health by gaining further knowledge and skills as a graduate student. I could not be more certain that your particularly distinguished MPH Program in General Epidemiology at the University of XXXX School of Public Health is the optimal springboard upon which I might achieve my goals. First, XXXX is world famous for its public health resources. In addition to ranking at the very top, I especially appreciate the rich history of XXXX SPH. I was astonished by the fact that the Department of Epidemiology at the University of XXXX, School of Public Health has been practicing world-class public health education and epidemiological research for more than 70 years, longer than the histories of most medical schools in my country, Japan. which is longer than the history of most of medical schools in Japan. Most public health programs in Japan are no more than 15 years old. I look to the University of XXXX and a role model, therefore, for advancement of our public health system in Japan.

Traditionally speaking, public health has only existed as an academic discipline as part of medical school. This has resulted in serious shortages of public health experts: biostatisticians, epidemiologists, and health policy-makers while medical doctors with only cursory training in public health are still the only professors to teach the subject in Japan. If given the opportunity to distinguish myself in your cutting edge program, I am confident that I will be selected to continue to my studies at the PHD level so as to contribute to the advancement of Public Health as an independent academic discipline in my country.

Another reason why UX is my first choice is because my foremost mentor is a graduate of your program school, XXXX, now a professor of Preventive Medicine at the university where I went to medical school. He took the time to inspire me to start to begin thinking of epidemiology as my career.

I do not think that my relatively low cumulative GPA (2.9) is an accurate measure of my ability to succeed as a graduate student. I was competing in medical school against the top 1 percent. By the end of the first two years, more than 20% of the students dropped out, including one of my closest friends who committed suicide. My grades improved over the course of the last two years, in part, thanks to the inspiration of XXXX in the areas of Preventive Medicine and Epidemiology. Under his guidance, the study of medicine became much more than curing patients one at a time. Rather, I was able to envision a world where disease is prevented rather than cured. Suddenly, I became possess by my studies, like a spiritual crusade, and soon found myself above the 95th percentile in the class, earning an A, very rare at my medical school. I finished with my sights fully focused on Epidemiology. My GPA over the last two years was 3.45, with straight A’s in the professional training “Bedside learning”.

Kazutoshi Nakamura was my watershed moment in education because I simply fell in love with Epidemiology. Since then, I keep in touch with him for guidance in my research on mercury poisoning which I have developed throughout the course of several presentations. The fact that both of us focus investigations on the Niigata Prefecture make our working relationship especially mutually beneficial. He has also advised me to pursue the MPH in the USA. I am pleased that an alumnus of UX’s MPH Program is one of those mentors writing a letter of recommendation on my behalf. He has told me all about the UX system, resources, environment and people. I hope to be accepted to your world-class Master’s in Public Health Program at the University of XXXX so that I might learn from some of the finest instructors in the world.

I could not be more certain that your particularly distinguished MPH program at the University of XXXX is the optimal springboard upon which I might achieve my goals. First, your program has a very low student-to-faculty ratio; and the subsequent attention from and ability to easily interact with the faculty. I also appreciate the flexibility that the Generalist Track offers, in which I can pursue in-depth my special interest, mental health, alongside the more general curricula. I love the interdisciplinary nature of your program and keenly look forward to conducting my Capstone and Field Experience in a location with numerous, creative resources and opportunities within my reach. at my disposal. I am impressed with the fact that UX has a wealth of student resources available, such as the International Student and Scholar Services and the Graduate Student Center to guide and assist international students.

Japan has the longest life expectancy and the lowest infant mortality in the world, as a result of its world-renowned health care system. However, as a result, Japan is now one of the most aged countries and also has a very low birth rate, putting an extreme financial burden on the young and it looks increasingly likely that our single-payer national health insurance system is going to fail. I look forward to a lifetime of investigation into the public health challenges unique to Japan, especially younger Japanese people and particularly labor-related issues such as karoshi, death caused by overwork or job-related exhaustion. I seek to explore unsolved mysteries and thereby prepare for the future.

I plan to become an epidemiologist who is especially accomplished at the analysis of risk factors that negatively affect our mental health, so that unnecessary deaths – especially suicide – can be prevented. I was myself bullied in elementary school and subsequently absent for enough time to fall behind in my studies. I suffered a great deal from this state of affairs because I clearly did not have enough support and the root cause was not investigated. Somehow, I managed to get through it, but I would frequently see similar cases when others went through a very similar experience, the worst of which occurred when one of my best friends took his life after failing a class due to extreme pressure.

An experienced physician, when working in the hospital as a doctor, I meet many patients toiling under the heavy burden of at once being caregivers and also putting in long hours at their places of employment. It troubles me that we focus on treating the symptoms, instead of directly addressing many of the causal factors for mental illness, stress, depression, and in many cases suicide.  According to Japan’s Health Ministry, although the chief cause of domestic suicide over the last 5 years is health related, work or family problems comes in 2^nd for people between their 20s and 50s and school-related issues are 1^st for teenagers. Depression accounts for nearly half of these health problems. The statistics clearly show a need for preventive measures in dealing with suicide and mental illness. I like to think that we can prevent these diseases, especially for the young, with advanced public mental health strategies.

I joined the computer club at our university and learned the basics of programming as well as statistics. I also held an internship position at a public health center, assisting with the analysis of data on infections at the local level. I put an enormous amount of effort into these experiences so that I would be qualified for large-scale epidemiological research that not only requires medical knowledge, but also statistical and analytical skills. As an example, there was a study submitted to the New England Journal of Medicine in 2014 on reducing the risk of cardiovascular disease with low sodium intake. This study targeted more than 100,000 people in 17 countries with intricate statistical analysis on the relationship between cardiovascular status and sodium intake. It revealed that an estimated sodium intake between 3g per day and 6g per day was associated with a lower risk of death and cardiovascular events than either a higher or lower estimated level of sodium intake. This study led Japan’s Ministry of Health to introduce a new recommendation for daily sodium consumption, changing the way people in Japan eat and think about their health.

In my case, I look forward to playing a central role in the realization of dramatic public health success stories in the area of mental health, in light of and in response to the unique challenges, stressors, and cultural factors – for better or for worse – that serve to define our horizons in the advance of public health practice.

I thank you for considering my application to your unparalleled MPH program at the University of XXXX.