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The 91�Թ�/Stanford e-Course on Global Health is a distance-learning course sponsored by Takatsuki Senior High School and the  (91�Թ�) at 91�Թ�. Students are encouraged to think critically about global health through a variety of lenses and contexts. Course instructor Sabrina Ishimatsu recently wrote these reflections about the program’s 10th anniversary.

For the last ten years, it has been my privilege to work with Principal Tsuyoshi Kudo, the staff, and the students of . Without the vision and leadership of Principal Kudo, this course would not be what it is today.

Many years ago, as a young college graduate, I worked as an English teacher in Japan through the Japan Exchange and Teaching (JET) Program. It was one of the seminal experiences of my life. Being immersed in a new country and culture opened my mind to new ideas and possibilities I had not before considered.

All these years later, working with the Takatsuki Senior High School students has been very natsukashii (fondly nostalgic). Seeing them in their classroom and wearing their school uniforms feels so familiar and brings back great memories of my time in Japan. However, what makes this course so personally fulfilling is reconnecting to such curious and hopeful young minds. Their earnest enthusiasm and optimism imbue me with a similar youthful spirit. 

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As a middle-aged adult, it is easy to forget that the most urgent questions young people ask themselves are ones of self-identity. “Who am I? What do I stand for? Where will my future take me?” While this course doesn’t claim to answer these questions, I hope it will open students’ minds to new possibilities. Week after week, we learn from acclaimed global health professionals—including many from Stanford’s School of Medicine—who work in the real world. I recall one guest lecturer, an emergency room doctor who established the first comprehensive emergency response system in India and then created a similar system in Nepal where none had previously existed. There was also the doctor who trained community members in rural Guatemala to make house calls and monitor malnutrition in babies, drastically reducing the area’s child mortality rate. These brilliant and resourceful people, rather than focusing on material wealth, have dedicated their lives to help vulnerable people around the world. Their stories light the path for how a health professional can be a noble global citizen and change the world for the better. What a powerful example for the students of Takatsuki Senior High School who have not only gained knowledge from these experts but have also had their eyes opened to the many possibilities for them to be change-making global citizens.

There is a 16-hour time difference between Japan and California, so I usually begin teaching each class at 9:00pm on a Friday, and it ends late into the night. When a class is particularly inspiring, I find myself buzzing with excitement and I can’t go to sleep. I have to find my husband or one of my 16-year-old twin daughters to tell them all about it. When they look at me, their expression suggests, “Why are you so hyper right now?” My response usually starts, “You won’t believe the amazing person I met tonight…” and “I can’t believe the insightful questions my students asked in their second language!”

The 91�Թ�/Stanford e-Course on Global Health is one of 91�Թ�’s local student programs in Japan. 

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