Letter from the President
Fundación Amistad remains dedicated to its core mission of
increasing the awareness of the American public on the history,
culture and Cuban society through conferences, educational seminars,
and exhibits. Over the course of the past year, Fundación has
organized and sent several delegations to Cuba in an effort to carry
out its mission. With future projects already in the works,
Fundación's believes its work is fostering good will and
important professional and social relationships between Cuba and the
During 1998-1999 Fundación successfully initiated professional
contacts and educational exchanges between Cuba and the United
States. Which included:
- Fundación sent a delegation to Cuba to explore and
investigate the status of women and children.
- Fundación organized a symposium held at the Cooper-Hewitt,
National Design Museum, Smithsonian Institution titled, "Preserving
the Architecture of Cuba". The symposium attracted
Cuban, Cuban-American, and American architects who came to
openly discuss architectural preservation for the first time.
- Fundación and Duke University developed and implemented a six-week
study-abroad program in Cuba, with courses taught at the
cultural institution - Casa de las Americas.
- Fundación facilitated an academic exchange in which Dr.
Calixto Machado lectured at Duke University on his work in
the field of Neurology and Neurosurgery.
- Fundación completed an exploratory trip with Dr. Jean
Spaulding, of the Duke University Medical School to evaluate
the Cuban medical system.
- Fundación and the American Academy of Child and Adolescent
Psychiatry completed a weeklong assessment of Cuban
child and adolescent psychiatry and conducted an information
exchange between U.S. and Cuban psychiatrists.
- Fundación organized and facilitated an exchange between Dr.
Carmelo Graffagnino of Duke University Medical Center,
Neurology Department with the Instituto de Neurologia de Cuba.
Future projects and initiatives for the upcoming year include:
- Fundación Amistad sent a delegation of educators, architects,
and professionals to attend the First
International Culture and Development Congress in Havana.
- New York University's Child Study Center will travel to Cuba
and meet with the Clinica del Adolescente and other Cuban child
psychiatry groups to address Attention Deficit Disorder and
Attention Deficit and Hyperactivity Disorder in children and
- Fundación will assist the Clinica del Adolescente in
implementing their project titled "Towards a Happy Adolescence
in the Year 2000". Fundacion will also send the clinic
supplies to run the program and set up a group to monitor the
- Fundación is organizing an Institutional and Management
Training Program for Casa de las Americas. Casa del las
Americas plays a vital role in the arts and culture of not only
in Cuba but throughout Latin America and is in need of
management training programs in order to ensure its survival as
an institution in the future.
- Fundacion is developing a Science and Environmental Education
Program for teachers in Cuba based on a similar program that is
run by Boys Harbor in New York City. This program will
exchange ideas with Cuban teachers on the ways children can be
taught to explore, protect, and appreciate their natural
- Fundación is creating an initiative titled "Cuba:
Multidisciplinary Approaches to Mental Health and Education".
This program will put together a delegation of social workers
and psychologists to exchange information and methodologies with
their Cuban counterparts.
- Duke University will return to Cuba for their second Summer
Study Abroad program let by Professor Orin Starn of the Duke
University Anthropology Department.
- Fundación will organize a delegation to attend and
participate in a discussion panel at an international conference
being held in Cuba regarding Child and Mental Health Issues.
As these projects are being planned and implemented, ongoing
efforts are underway to seek foundation support.
I would like to thank all the many private citizens, foundations,
and companies who have contributed and supported Fundación Amistad
with all its work. It is my hope that as Fundación prepares
for the coming year, it will receive continued support of old and
new friends so we can carry on our mission to bring understanding
between Cuba and the United States.
The Status of Women and Children in Cuba - March 8-15, 1998
In March l998, Fundación Amistad organized a delegation of nine
individuals who traveled to Cuba to investigate and observe the
services available to a representative sample population of women
The educational and the mental health needs of children and
adolescents were particular priorities in the delegation's
observations. The delegation also devoted special attention to the
issues of infant and child health care, reproductive and prevention
services, vaccination programs for childhood diseases, average daily
diet and national nutrition needs for children and pregnant women.
The delegation visited the Hermanas Giral (primary school) and
Lenin School for Science and Technology (secondary school) schools,
the Clinica del Adolescente in Havana, and various day-care centers.
The delegation also visited several non-governmental organizations,
including the Federation of Women, CARITAS CUBA, a Catholic
institution that distributes humanitarian aid from Catholic Relief
Services in other countries, MEDICC (Medical Educational Cooperation
with Cuba, a program of the American Association of World Health),
The group published a formal report on its findings, which were
presented by Luly Duke, President of Fundación Amistad, on May 7,
1998 to the U.S. Congressional Subcommittee on Trade, Committee on
Ways and Means.
This report provided an in-depth description of the delegation'
observations and cited the devastating lack of supplies as well as a
weak infrastructure supporting education, day-care, and health care.
These severe conditions have has a tremendous negative impact on
Cuba's academic, social and medical infrastructure. Although
it is illegal to be unemployed in Cuba, guaranteed employment is a
thing of the past; once vaunted advances in education and health
care have deteriorated. In schools, shortages of educational
materials such as textbooks and computers have exacerbated the
already overcrowded classrooms operating in substandard conditions
and buildings. Basic items such as food, clothing, medicine
and cleaning materials are indeed scarce. In the area of
medicine, Cuban physicians, although well-trained, lack access to
basic medicine, let alone the latest research and techniques in
The delegation concluded that the continued imposition of the
American trade embargo on Cuba would only further contribute to this
Maria de Lourdes Duke
(Luly): President of Fundación
Amistad, a nonprofit organization designed to increase US
awareness of Cuban history, culture and society, and to find ways
to improve life in Cuba. Mrs. Duke is also Vice President of The
Harbor for Boys and Girls in New York City.
, Ph.D: child psychologist. Chair of the
Children's Task Force of the Women's Commission for Refugee
Women and Children. Clinical Professor of Child Psychology, Child
Study Center, NYU Medical School. Member of several boards
focusing on educational/emotional needs of children worldwide.
: educational consultant in community
organizing. Former President of Futures for Children, a nonprofit
in New Mexico doing community work with American Indians.
Mrs. Frazier has established independent community educational
organizations in Colombia, Honduras, Costa Rica and Mexico.
: founder and President of Dress for Success
in New York City which provides clothing and training for women
returning to work force. Author of book on the history of
women's reproductive rights. She is active in women's issues.
: journalist specializing in youth
issues, urban poverty, and education. Author of On the
Outside Looking In: A Year at an Inner City High School.
: Director of the National Child Care
Program for the General Services Administration, oversees all
federal day care programs.
Mary Ann Schwalbe
: consultant to the International
Rescue Committee and Save the Children, US. Former director
and current Board member of Women's Commission for Refugee Women
and Children. Extensive work in secondary and post-secondary
, MD: pediatrician, Professor of
Pediatrics, Albany Medical College. Chief of Allergy
Division, Ellis Hospital, and Co-Founder of Physicians for Social
, MD: pediatrics resident at Dartmouth
Hitchcock Medical Center in New Hampshire. Extensive work
with homeless adolescents in New York City.
Preserving the Architecture of Cuba - May 1, 1999
Cuba has a rich architectural heritage dating back to the Spanish
colonial era. This high architectural legacy has been
threatened by the passage time and suffered due to insufficient
regard to need for preservation and reconstruction.
On May 1, 1998, a collaboration between Fundación Amistad and
the Cooper Hewitt, National Design Museum resulted in a one-day
symposium on the topic of Cuban architecture titled "Preserving
the Architecture of Cuba
". The day-long symposium was a
ground-breaking success in that for the first time, Cuban,
Cuban-American and American architects all shared the same podium in
New York City to discuss the humanitarian and cultural aspects of
Cuban architectural design, preservation, and materials usage.
Barriers between scholars and professionals were broken down and a
new bridge was built. All together, the program attracted a
diverse audience of approximately 250 students, scholars, curators,
preservation professionals, and members of the general public.
The Symposium consisted of two panels, each panel assigned a
moderator who offered additional observations, suggested alternative
strategies for research relevant to the topic, and facilitated
discussion between the panelists and the audience.
The symposium was made possible through contributions of the
Arthur Ross Foundation, the Christopher Reynolds Foundation, Friends
of Fundación Amistad, and the James Marston Fitch Charitable Trust.
Opening remarks were made by:
, Director, Cooper-Hewitt, National Design
Museum, Smithsonian Institution
, President, Fundación Amistad
, Counselor to the Secretary for Community
Affairs, Smithsonian Institution
Participants and topics
Panel One: Historic and National Perspectives
Moderator: Gustavo Araoz
, Executive Director,
United States International Council on Monuments and Sites
Colonial Cuba: A Jewel in the Spanish Crown
, AIA, Partner, Perkins and Will,
Adjunct Professor, School of Architecture, University of Miami
National Goals: Preserving Cuba's Architectural Heritage
, Director Emeritus, National Center for
Conservation, Restoration and Museology.
Architectural Conservation in Cuba: Methodology and
, Architectural Conservator, Sculpture
Panel Two: Case Studies and Contemporary Perspectives
Moderator: Adolfo V. Nodal
Department of Cultural Affairs, City of Los Angeles
Models for Community -Based Urban Development and
Preservation in Havana
, Sub-Director, Group for the Integrated
Development of Havana
Bayamo: The City as Monument
, Professor Emeritus, School of Architecture,
University of Miami
Saving the Legacy of 20th Century Cuban
Eduardo Luis Rodriguez
, Architect, Critic, Historian,
Editor, Arquitectura Cuba
Arquitectura Desaparacida: Unknown Contemporary Cuban
, Associate Professor, School of Architecture, City
College of New York.
Duke University Study Abroad Summer Program -May 1998
Fundación Amistad assisted Duke University in the development of
their first study abroad summer program in Cuba. In May l998,
a group of ten students arrived in Cuba with Professor Hortensia
Calvo, and the program was held at Casa de las Americas in Vedado,
This unique six week program focused on intensive study of Cuban
cultural and social life as well as research on the role of Cuba as
one of the greater forces in the history of the Americas, from the
colonial period to the present. Excursions to historical sites
on other parts of the island were included, and students were given
the option of enrolling in a non-credit Spanish language course at
Casa de las Americas.
One of the objectives of the program was to bridge the
communication gap that exists between our respective countries.
The ten students who participated were very pleased to have had the
opportunity to learn about a country that has had almost no positive
relations with the United States for the last forty years. One
student stated, " We have had an overwhelming experience; it may
well take a few years before we realize the total value of it."
Through this same exchange program, Duke University invited one
of the Cuban professors, Ambrosio Fornet, to teach at Duke during
the 1999 Spring Semester in a class co-taught with a Duke professor.
These collaborations can only foster better understanding between
our two nations.
Duke University will offer their Study Abroad Program in Cuba
again in the summer of 2000. Professor Orin Starn, an
anthropologist, will accompany the students. Based on the
success of this program, Fundación Amistad and Duke University will
explore the possibility of creating other Semester Abroad Programs.
Duke University Summer Study Abroad Course Offerings
- Cuba in the Americas: This course explored Cuba's
role in the historical dynamics that shaped the Americas during
the colonial and postcolonial periods. Special attention
was paid to the processes of de-colonization, the effects of
race and racism in Cuba and the Americas. These social and
historical dynamics were explored in the context of Cuban and
- Cuban History and Culture: This course focused on the
various aspects of Cuban culture from its independence from
Spain to the present time. The course was taught by
several professors, each concentrating on one of the following
- Closer Study of Cuban Culture, four seminars about
the genesis of the Cuban culture and the way it has
- Contemporary Cuban Art, four seminars about the
development of visual and musical arts.
- Popular Culture and Religion in Cuba, four seminars
about the genesis and development of different religious
centers in Cuba, and the differences within the traditional
- Literature and the Cuban Movie, four seminars about
the development of the movie and literature during this
- Cuban Social Reality: This course focused on the
present social processes of Cuba, Cuba and its relations with
the United States, ethnic issues, Cuban woman, children, and
youth. The courses were integrated with historical visits
throughout the city and other provinces.
Duke University Neurology Department and Dr. Calixto Machado - November 1998
Fundación Amistad and Duke University invited Professor Calixto
Machado, m.d. a Cuban neurologist to visit and lecture at the Duke
University Medical Center in November l998. Dr. Machado had
previously visited other medical centers in the United States and
was most interested in visiting Duke University's Neuro-Intensive
Dr. Machado's host at Duke was Dr. Carmelo Graffagnino, the
Co-Director of the Neuro-Intensive Care Unit. It was a very
successful visit and the two doctors discovered that their
professional interests and their current research projects are very
similar. Dr. Graffagnino expressed interest in establishing a
collaborative research effort between the Cuban Institute of
Technology and Duke University's Neurology Department.
Fundación Amistad is arranging for Dr. Graffagnino and Dai Wai
Olson, R.N. a nurse from the Intensive care unit to visit The
Instituto de Neurologia y Neurocirugia in Havana.
Dr. Graffagnino will start a protocol for a joint collaboration
research program (See May 1999
Medical System Evaluation and Research Trip - November 2-6, 1998
In November of 1998, Fundación Amistad organized a delegation of
professionals to research and evaluate the organization of the
medical system in Cuba, with particular focus on family medicine.
The delegation visited and interviewed doctors and other
professionals at various teaching hospitals, "polyclinics",
Cuban vocational schools, and universities to research their
facilities, specialties, and academic and residency requirements for
The delegation met with Dr. Clarivel Presno Labrador, of the
Family Doctors Association, in Vedado, Havana. She gave a
lecture to the group giving them an overview of the history of Cuban
family medicine since the revolution and the organization of the
In general, primary care occurs through the family practitioner
(or consultant), followed by referrals to the "polyclinic", and
then to a level of tertiary care at the hospitals. The Cuban
medical system consists of three primary hospitals: the Hospital for
Gynecology, the Hospital for Maternal and Infant Health, and the
Surgical Hospital. Each hospital is staffed with specialists
in the different medical disciplines. In addition to these
hospitals, the delegation also visited hospitals like the
William Soler Hospital Pediatrico, which serves the expressed
purpose of primary care and surgical intervention for children.
"Polyclinics", which currently number 442 in Cuba, have been
established to relieve the patient care volume from the hospitals.
A "polyclinic" consists of a pediatrician, a clinician, an
obstetrician, a social worker, a statistician, a hygienist, and a
dentist. Each "polyclinic" serves a specific geographical
region seeing on average 43,000 patients with approximately 120
families per consulting unit. The consulting unit consists of
a nurse and a doctor who actually reside in the area and provide
service to the individuals in their neighborhoods. The
consulting unit assumes primary responsibility for the health of the
individuals and interfaces with the "polyclinic".
The delegation also met with Dr. Elsa Gutierrez, Director of the
Clinica del Adolescente who gave the group an overview of her work
at the clinic and future programs the clinic would like to develop
and implement (See January 1999 AACAP Trip & Future Projects)
The Clinica del Adolescente sees approximately 3000 cases a year
with 40,000 outpatient visits per year.
During the four days the delegation stayed in Cuba examining the
medical system, the delegation concluded that they would like to
develop the following:
- Exchanges of both Cuban and American physicians with a strong
emphasis in regard to women's health issues.
- Medical student exchanges
- Assistance to Cuban medical societies to aid in publishing
their respective bulletins and sharing of appropriate
information as it relates to the practice of medicine.
This trip was made possible through gifts from Mr. Peter O'Neil
and Mr. Ben Holloway.
Mrs. Luly Duke
: President, Fundación Amistad
Mr. Ben Holloway
: Trustee Emeritus, Duke University;
Consultant, Continental Companies
Mr. Peter O'Neil
: Boys Harbor
Dr. Jean Spaulding
: Vice Chancellor for Health Affairs,
Duke University Health System.
Fundación Amistad & American Academy of Child and Adolescent Psychiatry (AACAP) -
In January of 1999, Grupo Nacional de Psiquiatria, the Cuban
Ministry of Public Health (MINSAP), and the Cuban Society of
Psychiatry and its Child Psychiatry Section hosted a delegation
consisting of members of Fundación Amistad and the American Academy
of Child and Adolescent Psychiatry (AACAP), and Dr. Gail Furman,
During the delegation stay in Cuba they researched the
psychiatric services available to Cuban children and adolescents and
Cuba's experience in treating children and adolescents who suffer
from post-traumatic stress.
The delegation visited urban and rural pediatric hospitals,
partial-hospitalization programs, and "polyclinics. It also
conducted interviews and meetings with officials from government
agencies and various Cuban psychiatric groups and societies. The
delegation shared information with their Cuban counterparts on the
latest methodology for treating psychiatric problems and on ways of
integrating psychiatric programs into community programs and
The delegation understood the Cuban philosophy that "mental
health and physical health" are not treated as separate problems,
but as one condition. The foundation of the Cuban health care
system is community-based primary care with a strong emphasis
towards preventative health measures, especially maternal and child
Cuban psychiatrists have limited access to continuing medical
education through journals, especially American publications.
Clinical and laboratory equipment is limited and antiquated, and the
availability of medicines is in very short supply.
The trip proved to be successful in that a relationship was
established between the Cuban Psychiatric Society and the American
Academy of Child and Adolescent Psychiatry.
President of Fundación Amistad and Executive
Vice President of Boys Harbor, Inc.
Dr. Gail Furman, Ph.D.
, Child psychologist. Chair of the
Children's Task Force of the Women's Commission for Refugee
Women and Children. Clinical Professor of Child Psychology, Child
Study Center, NYU Medical School. Member of several boards
focusing on educational/emotional needs of children.
David Pruitt, M.D.
, President of the American Academy of
Child and Adolescent Psychiatry (AACAP)
Clarice Kestenbaum, M.D.
, President Elect of AACAP
Virginia Q. Anthony
, Executive Director of AACAP
Theodore Petti, M.D.
, Treasurer of AACAP
Marilyn Benoit, M.D.
, Secretary of AACAP
William Arroyo, M.D.
, Member or the AACAP Council
E. James Anthony, M.D.
, Chair of AACAP's Committee on
Lynn Ponton, M.D.
, Chair of AACAP's Committee on
Disaster and Trauma Issues
Graeme Hanson, M.D.
, Chair of AACAP's Work Group on
Paul Adams, M.D.
Duke University Neurological Department and
Fundación Amistad exchange with Cuban Institute of Neurology and
Neuro-Surgery - May 23-27, 1999
In May 1999, Fundación Amistad coordinated and sponsored an
exchange with Dr. Carmelo Graffagnino and his nurse Michael Dai Wai
Olson of Duke University Medical Center's Neurology Department, to
visit the Instituto de Neurologia y Neurocirugia in Havana.
Dr. Calixto Machado, who had been previously hosted at Duke
University by Dr. Graffagnino (See November 1998
), who was
the host of this group.
The purpose of this visit was
to explore the common research interests and projects of the two
doctors and their respective institutions.
At the Instituto, Dr. Graffagnino presented Neurological Grand
Rounds on two occasions with over 50 attendants, including
physicians and residents in training. The rounds lasted
between 2 � 4 hours, which displayed to Dr. Graffagnino an
outstanding degree of enthusiasm from the Cuban doctors. Dr.
Graffagnino found the physicians of the Instituto were highly
knowledgeable and well trained in medicine and neurocritical care.
During the same period of time, Mr. Olson held a number of
in-service lectures for the nursing staff of the Neurological and
Neurosurgical Intensive Care Unit. He reported likewise that
the nursing staff of the Instituto was very knowledgeable, highly
trained, and committed professionals.
Towards the conclusion of the trip to the Instituto, the group
held a number of conferences and meetings with the directorship of
the Institute. Both the director, the attending physicians,
and Dr. Graffagnino are of the opinion that this visit was only the
first step in a long collaboration between Duke University and the
Neurological and Neurosurgical Institute of Havana. They
identified a number of areas for future development.
The first area pertaining to this shared research will include
the initiation of a clinical study of tomographic EEG techniques in
the setting of cerebral ischemia and vasospasm. Dr. Calixto
Machado has pioneered this technology, which Dr. Graffagnino
believes will show great promise in monitoring and diagnosing
cerebral ischemia in his patients with stroke and vasospasm.
As a next step, it is Dr. Graffagnino desire to invite Dr. Machado
to come to Duke University Medical Center to establish this
technology at Duke and conduct a research collaboration with his
A second area of future collaboration relates to the education
and training of Cuban physicians in the field of neuro-critical
care. Dr. Graffagnino and Mr. Olson would like to establish a
fellowship training program through for Cuban neurologists and
neurosurgeons who wish to acquire advanced neuro-critical care
techniques and training in clinical trials methodology.
The third area of collaboration the group wishes to pursue is a
continued visitation and exchange of physicians and nurses.
Dr. Machado has also invited Dr. Graffagnino and Mr. Dai Wai
Olson to attend and participate in the Third International Symposium
on Coma and Death, which will be hosted by the Neurological and
Neurosurgical Institute. During this symposium, the physicians
and nurses would be able to hold simultaneous round table discussion
and training programs for neuro-critical care nurses from Cuba, as
well as from other countries.
In summary, Dr. Graffagnino and Dr. Machado felt the trip was a
major success. Both doctors are very enthusiastic about the
possibilities of continued interaction and the prospect of joint
collaboration. It is Fundación's hope that these two
doctors and their institutions will continue to work together to
advance not only the field of medicine, but also the relationship
between the United States and Cuba.
This exchange to Cuba was made possible by a grant from Pfizer,
First International Culture and Development
Congress - Havana, Cuba - June 7-14
In March 1999, Fundación Amistad was invited to attend the First
Culture and Development Congress in Havana. Fundación
assembled a delegation of educators, professionals to participate
and present workshops and lectures at the Congress.
The First International Culture and Development Congress was
aimed at establishing a space for reflection and making up a
collective learning forum enabling an exchange of ideas,
experiences, knowledge, and projects. Professionals and
institutions involved in all aspects of cultural processes were
invited in order to determine what is common and unique to Cuba and
other cultures around the world. The Congress convened with
the hope of facing new challenges and drawing up new strategies to
face the new millennium, while reassessing the cultural focus from
which development concepts and practices must stem. The theme
of the Congress was "Ethical Development from an Ethical
Perspective" and was divided into the following nine topics:
- Cultural Policies and Development
- The Role of Artists and Intellectuals in Designing Cultural
- Technology and Its Impact on Culture
- Culture and Economy
- Culture, Environment and Sustainable Environment
- Manners, Conflicts and Approaches to the Future of Trans-culturation
- The Human Being as the Arbiter of Cultural Development
- Culture and Tourism
- Integration and Participation in Community Development
The Congress was sponsored by UNESCO, UNICEF, the Organization of
Iberian-American States for Education, Science, and Culture (OEI),
the Latin American Economic System (SELA), the National Union of
Cuban Writers and Artists (UNEAC), Cuban Institute of Friendship
with the Peoples (ICAP) and the Ministries of: Culture, Foreign
Relations, Science, Technology, and the Environment; and Education.
Fundación Amistad's delegation presented the following
Environmental Studies for Children in the City
Presented by Dr. Robert Wallace and Luly Duke, The Harbor Academy
for Environmental Science and the Arts
This lecture shared with the Congress some of the ways in
which the Harbor Academy, a school for inner-city children in
New York City, works with children in the school and
after-school programs to explore and appreciate the natural
environment in the city. This is done from the perspective
of scientific investigation and through the integration of the
visual and performing arts.
Museum as a Social Catalyst
: Presented by Ms.
Sharon Sun-Mei Mah, Cooper-Hewitt, National Design Museum,
Smithsonian Institution, Education Department
This lecture discussed the collaborations between Cuban and
US organizations, Design as a neutral framework, and educating
new audiences. The Cuban architecture and preservation
programs developed by Fundación Amistad and the Museum serve as
an international platform for discussion among architects,
academics, preservationists, and concerned citizens. The
Fundación Amistad and Museum sponsored lectures and conferences
address topics from the historical value of various buildings to
adapting conservation techniques using materials available in
Mestizo Architecture in Southern Texas
by Henry Munoz, Kell Munoz Wigodsky Architects
This lecture explored the influence of Spanish, Mexican, and
other Latin American and Caribbean styles on architecture in
southern Texas that have evolved into its own distinct style of
As a result of this congress, Fundación Amistad is in the
process of developing future projects and collaborations with
various cultural entities in Cuba such as UNESCO, Instituto Superior
de Artes, Buen D�a Theatre, and the Teatro Nacional. Fundación
is discussing the development of a community based theatre
program with the Teatro Nacional de Cuba.
Fundación's delegation to the First International and Cultural
Development Congress was made possible by a grant from the Mary Duke
Biddle Foundation and the Arthur Ross Foundation.
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