1 00:00:03,640 --> 00:00:07,760 >>WELCOME TO THE SECOND ANNUAL 2 00:00:07,760 --> 00:00:09,240 NIH ASIAN AMERICAN NATIVE 3 00:00:09,240 --> 00:00:13,040 HAWAIIAN PACIFIC ISLANDER HEALTH 4 00:00:13,040 --> 00:00:14,080 RESEARCH CONFERENCE. 5 00:00:14,080 --> 00:00:18,200 THIS EVENT IS SPONSORED BY THE 6 00:00:18,200 --> 00:00:23,160 NATIONAL CANCER INSTITUTE HOST 7 00:00:23,160 --> 00:00:26,240 THE NIH ASIAN AMERICAN NATIVE 8 00:00:26,240 --> 00:00:26,800 HAWAIIAN PACIFIC ISLANDER 9 00:00:26,800 --> 00:00:28,200 SCIENTIFIC AND INTEREST GROUP. 10 00:00:28,200 --> 00:00:29,680 THIS CONFERENCE IS RECORDED AND 11 00:00:29,680 --> 00:00:34,600 OPEN TO THE PUBLIC. 12 00:00:34,600 --> 00:00:36,480 MY NAME IS DAN XI THE PROGRAM 13 00:00:36,480 --> 00:00:42,760 DIRECTOR OF NCI THE CHAIR OF 14 00:00:42,760 --> 00:00:45,080 THIS CONFERENCE TOGETHER WITH MY 15 00:00:45,080 --> 00:00:47,440 COLLEAGUES FROM THE NIH AND HHS 16 00:00:47,440 --> 00:00:51,200 WE PUT TOGETHER TODAY'S 17 00:00:51,200 --> 00:00:53,440 IMPORTANT EVENT TO COMMEMORATE 18 00:00:53,440 --> 00:00:56,760 MAY HERITAGE MONTH TO RECOGNIZE 19 00:00:56,760 --> 00:00:59,480 THE HISTORY AND TO CELEBRATE THE 20 00:00:59,480 --> 00:01:00,080 CONTRIBUTION OF AANHPI TO OUR 21 00:01:00,080 --> 00:01:03,760 NATION. 22 00:01:03,760 --> 00:01:06,920 THIS CONFERENCE BRINGS TOGETHER 23 00:01:06,920 --> 00:01:11,160 THE WORLD'S LEADING SCIENTIFIC 24 00:01:11,160 --> 00:01:13,080 EXPERT IN THE FIELD OF AANHPI 25 00:01:13,080 --> 00:01:15,720 RESEARCH FROM GOVERNMENT, 26 00:01:15,720 --> 00:01:19,320 ACADEMIA AND THE COMMUNITY. 27 00:01:19,320 --> 00:01:21,520 THE PURPOSE OF THIS CONFERENCE 28 00:01:21,520 --> 00:01:26,280 ARE TO CELEBRATE AND EDUCATE THE 29 00:01:26,280 --> 00:01:26,560 HERITAGE. 30 00:01:26,560 --> 00:01:31,720 TO HIGHLIGHT ACHIEVEMENT IN THE 31 00:01:31,720 --> 00:01:35,480 AANHPI HEALTH RESEARCH AND ALL 32 00:01:35,480 --> 00:01:39,000 AANHPI SCIENTISTS TO DISCUSS HOW 33 00:01:39,000 --> 00:01:39,720 RESEARCH THEME. 34 00:01:39,720 --> 00:01:45,200 THE THEME IS IMPROVING THE 35 00:01:45,200 --> 00:01:46,120 HEALTH OF AANHPI. 36 00:01:46,120 --> 00:01:51,720 WE SUSPECT GENETIC ANCESTRY AND 37 00:01:51,720 --> 00:01:56,440 DISEASE MECHANISM. 38 00:01:56,440 --> 00:01:59,440 EARLIER THIS YEAR, WHITE HOUSE 39 00:01:59,440 --> 00:02:03,160 ESTABLISHED THE FIRST EVER 40 00:02:03,160 --> 00:02:04,520 NATIONAL STRATEGY TO ADVANCE THE 41 00:02:04,520 --> 00:02:07,720 EQUITY, JUSTICE AND OPPORTUNITY 42 00:02:07,720 --> 00:02:13,760 FOR THE AANHPI COMMUNITY. 43 00:02:13,760 --> 00:02:15,640 NIH AANHPI INTEREST GROUP 44 00:02:15,640 --> 00:02:18,320 INITIATED A PROJECT WAS SELECTED 45 00:02:18,320 --> 00:02:23,720 AS ONE OF THE FIVE HHS PRIOR TIS 46 00:02:23,720 --> 00:02:28,200 INCLUDED IN THE NATIONAL 47 00:02:28,200 --> 00:02:28,880 STRATEGY. 48 00:02:28,880 --> 00:02:31,480 NIH AANHPI INTEREST GROUP 49 00:02:31,480 --> 00:02:32,720 ESTABLISHED IN 2021. 50 00:02:32,720 --> 00:02:37,160 IN LESS THAN TWO YEARS HAS MADE 51 00:02:37,160 --> 00:02:38,080 EXTRAORDINARY EFFORT IN 52 00:02:38,080 --> 00:02:42,280 ADVANCING NIH MISSION OF 53 00:02:42,280 --> 00:02:44,440 IMPROVING THE HEALTH FOR AANHPI 54 00:02:44,440 --> 00:02:47,400 TOWARDS THE NATIONAL LEVEL. 55 00:02:47,400 --> 00:02:51,720 IN 2021 U.S. REPRESENTATIVES 56 00:02:51,720 --> 00:02:55,560 JUDY CHU INTRODUCED THE FIRST 57 00:02:55,560 --> 00:02:59,040 CONGRESSIONAL RESOLUTION TO 58 00:02:59,040 --> 00:03:03,200 RECOGNIZE MAY 10 AS ASIAN 59 00:03:03,200 --> 00:03:03,840 AMERICAN NATIVE HAWAIIAN PACIFIC 60 00:03:03,840 --> 00:03:04,440 ISLANDER MENTAL HEALTH DAY. 61 00:03:04,440 --> 00:03:10,240 WE ARE THRILLED TO ANNOUNCE THAT 62 00:03:10,240 --> 00:03:14,480 THE NIH AANHPI INTEREST GROUP IS 63 00:03:14,480 --> 00:03:18,120 ESTABLISHED AND U.S. RESPONSE 64 00:03:18,120 --> 00:03:19,720 JUDY CHU AANHPI MENTAL HEALTH 65 00:03:19,720 --> 00:03:25,560 LECTURE. 66 00:03:25,560 --> 00:03:30,720 WE ARE VERY HONORED TO HAVE 67 00:03:30,720 --> 00:03:34,800 PRE-RECORDED REMARKS FROM 68 00:03:34,800 --> 00:03:36,640 REPRESENTATIVE JUDY CHU AND THE 69 00:03:36,640 --> 00:03:39,040 WHITE HOUSE AND TWO KEY NOTE 70 00:03:39,040 --> 00:03:39,600 SPEAKERS. 71 00:03:39,600 --> 00:03:42,160 WILL PROVIDE THEIR PERSPECTIVE 72 00:03:42,160 --> 00:03:46,000 ON THE HEALTH DISPARITY AND BIAS 73 00:03:46,000 --> 00:03:51,720 AND RACISM IN SOME WORKPLACE 74 00:03:51,720 --> 00:03:56,440 FACING AANHPI POPULATIONS. 75 00:03:56,440 --> 00:03:59,000 THE RESEARCH TALKS AND FOUR 76 00:03:59,000 --> 00:03:59,560 SCIENTIFIC SESSIONS WILL 77 00:03:59,560 --> 00:04:01,200 CONTINUE TO PROVIDE THE INPUTS 78 00:04:01,200 --> 00:04:05,960 FOR THE IMPLEMENTING THE 79 00:04:05,960 --> 00:04:11,400 NATIONAL STRATEGY AND HHS FUND 80 00:04:11,400 --> 00:04:14,120 TO CELEBRATE THE 80th 81 00:04:14,120 --> 00:04:15,720 ANNIVERSARY OF MEDICINE AND 82 00:04:15,720 --> 00:04:18,560 THERE WILL BE AN EDUCATION TALK 83 00:04:18,560 --> 00:04:18,840 TOMORROW. 84 00:04:18,840 --> 00:04:20,640 WE WILL NOT TAKE QUESTIONS IN 85 00:04:20,640 --> 00:04:22,280 THE MORNING SESSION BUT WELCOME 86 00:04:22,280 --> 00:04:23,160 COMMENTS IN THE CHAT BOX. 87 00:04:23,160 --> 00:04:25,600 WITHOUT FURTHER ADO, LET ME TURN 88 00:04:25,600 --> 00:04:29,720 IT OVER TO THE NCI STAFF TO PLAY 89 00:04:29,720 --> 00:04:35,440 THE RECORDINGS AND KICK OFF THE 90 00:04:35,440 --> 00:04:35,760 CONFERENCE. 91 00:04:35,760 --> 00:04:46,080 THANK YOU AND ENJOY. 92 00:04:46,400 --> 00:04:50,560 >>HELLO, EVERYONE ON BEHALF OF 93 00:04:50,560 --> 00:04:53,440 EVERYONE THE PRESIDENT AND THE 94 00:04:53,440 --> 00:04:56,560 WHITE HOUSE AND HAPPY ASIAN 95 00:04:56,560 --> 00:04:57,200 AMERICAN NATIVE HAWAIIAN PACIFIC 96 00:04:57,200 --> 00:04:57,560 ISLANDER MONTH. 97 00:04:57,560 --> 00:04:59,880 >>I'M SENIOR ADVISER TO THE 98 00:04:59,880 --> 00:05:00,680 PRESIDENT AND WHITE HOUSE STAFF 99 00:05:00,680 --> 00:05:00,920 SECRETARY. 100 00:05:00,920 --> 00:05:03,320 SINCE THE FIRST DAY IN OFFICE, 101 00:05:03,320 --> 00:05:05,080 PRESIDENT BIDEN MADE CLEAR IT IS 102 00:05:05,080 --> 00:05:07,040 A PRIORITY OF HIS ADMINISTRATION 103 00:05:07,040 --> 00:05:11,440 TO ADVANCE EQUITY FOR UNDER 104 00:05:11,440 --> 00:05:14,200 SERVED COMMUNITIES INCLUDING 105 00:05:14,200 --> 00:05:14,800 ASIAN AMERICAN NATIVE HAWAIIAN 106 00:05:14,800 --> 00:05:15,640 PACIFIC ISLANDERS. 107 00:05:15,640 --> 00:05:18,400 THE BIDEN-HARRIS ADMINISTRATION 108 00:05:18,400 --> 00:05:19,080 HAS BEEN DELIVERING ON HIS 109 00:05:19,080 --> 00:05:20,960 PROMISE AND IMPROVING THE LIVES 110 00:05:20,960 --> 00:05:23,240 OF EVERYONE IN OUR COUNTRY AND 111 00:05:23,240 --> 00:05:23,560 COMMUNITY. 112 00:05:23,560 --> 00:05:24,840 THE ECONOMY IS STRONG WITH WAGES 113 00:05:24,840 --> 00:05:26,760 GOING UP AND PRICES GOING DOWN. 114 00:05:26,760 --> 00:05:28,480 THE PRESIDENT'S BUDGET DETAILS A 115 00:05:28,480 --> 00:05:31,480 ROAD MAP TO BUILD ON THE 116 00:05:31,480 --> 00:05:32,480 HISTORIC PROGRESS OVER THE LAST 117 00:05:32,480 --> 00:05:34,400 TWO YEARS AND FINISH THE JOB. 118 00:05:34,400 --> 00:05:35,720 COMBINED WITH THE HISTORIC 119 00:05:35,720 --> 00:05:38,400 PASSAGE OF THE INFLATION 120 00:05:38,400 --> 00:05:40,800 REDUCTION ACT, THE LOWER COST 121 00:05:40,800 --> 00:05:41,320 FOR ASIAN AMERICAN NATIVE 122 00:05:41,320 --> 00:05:42,400 HAWAIIAN PACIFIC ISLANDER 123 00:05:42,400 --> 00:05:43,200 FAMILIES AND FOR HEALTH 124 00:05:43,200 --> 00:05:45,160 INSURANCE, CHILDCARE, 125 00:05:45,160 --> 00:05:46,560 PRESCRIPTION DRUGS, HOUSING, 126 00:05:46,560 --> 00:05:48,040 COLLEGE, ENERGY AND MORE. 127 00:05:48,040 --> 00:05:51,480 AND THANKS TO PRESIDENT BIDEN 128 00:05:51,480 --> 00:05:53,000 WE'VE BECOME MORE VISIBLE 129 00:05:53,000 --> 00:05:54,920 TOGETHER THAN EVER BEFORE. 130 00:05:54,920 --> 00:05:57,640 WE HAVE THE MOST DIVERSE 131 00:05:57,640 --> 00:05:59,480 GOVERNMENT IN U.S. HISTORY WITH 132 00:05:59,480 --> 00:06:02,600 AN UNPRECEDENTED AANHPI 133 00:06:02,600 --> 00:06:03,200 REPRESENTATION IN THE 134 00:06:03,200 --> 00:06:05,320 ADMINISTRATION INCLUDING OUR 135 00:06:05,320 --> 00:06:07,400 VERY OWN VICE PRESIDENT KAMALA 136 00:06:07,400 --> 00:06:08,720 HARRIS THE FIRST SOUTH ASIAN 137 00:06:08,720 --> 00:06:10,600 AMERICAN TO SERVE IN THE SECOND 138 00:06:10,600 --> 00:06:12,960 HIGHEST OFFICE IN THE NATION. 139 00:06:12,960 --> 00:06:17,440 CURRENTLY, 14% OF OUR POINTES 140 00:06:17,440 --> 00:06:24,200 AND NOMINEES IDENTIFY AS AANHPI. 141 00:06:24,200 --> 00:06:26,600 THIS IS A RECORD WORTH 142 00:06:26,600 --> 00:06:27,600 CELEBRATING AND ADVANCING AND 143 00:06:27,600 --> 00:06:28,880 FORTUNATE TO HAVE A PRESIDENT 144 00:06:28,880 --> 00:06:30,440 WHO HAS OUR BACK AND UNDERSTANDS 145 00:06:30,440 --> 00:06:33,520 OUR COMMUNITY AND SEES US, HEARS 146 00:06:33,520 --> 00:06:38,440 US AND VALUES US. 147 00:06:38,440 --> 00:06:39,000 >>ALOHA. 148 00:06:39,000 --> 00:06:42,120 I'M INDEED HONORED TO SERVE AS 149 00:06:42,120 --> 00:06:44,480 DEPUTY ASSISTANT TO THE 150 00:06:44,480 --> 00:06:45,920 PRESIDENT AND FIRST EVER ASIAN 151 00:06:45,920 --> 00:06:46,560 AMERICAN NATIVE HAWAIIAN PACIFIC 152 00:06:46,560 --> 00:06:47,320 ISLANDER SENIOR LIAISON AT THE 153 00:06:47,320 --> 00:06:49,800 WHITE HOUSE. 154 00:06:49,800 --> 00:06:54,600 THIS IS A ROLE THE PRESIDENT 155 00:06:54,600 --> 00:06:56,480 CREATED TO BE REPRESENTATIVE TO 156 00:06:56,480 --> 00:06:56,960 THE COMMUNITIES. 157 00:06:56,960 --> 00:06:59,640 OVER THE PAST TWO YEARS FROM 158 00:06:59,640 --> 00:07:05,440 HONOLULU, ALBUQUERQUE, PHOENIX 159 00:07:05,440 --> 00:07:09,080 TO ATLANTA WE WITNESS THE IMPACT 160 00:07:09,080 --> 00:07:14,120 OF THE PRESIDENT'S AGENDA AS 161 00:07:14,120 --> 00:07:15,400 WELL AS THE TREMENDOUS STRENGTH 162 00:07:15,400 --> 00:07:16,320 AND RESILIENCE OF OUR COMMUNITY. 163 00:07:16,320 --> 00:07:18,400 THE PRESIDENT IS WORKING TO HELP 164 00:07:18,400 --> 00:07:20,560 OUR COMMUNITY RISE ABOVE OUR 165 00:07:20,560 --> 00:07:23,440 TRAUMA FROM THE RACISM AND 166 00:07:23,440 --> 00:07:27,080 VIOLENCE THAT SPIKED DURING THE 167 00:07:27,080 --> 00:07:27,360 PANDEMIC. 168 00:07:27,360 --> 00:07:29,120 THANKS TO THE COVID-19 HATE 169 00:07:29,120 --> 00:07:29,720 CRIMES ACT THE DEPARTMENT OF 170 00:07:29,720 --> 00:07:32,200 JUSTICE DESIGNATED THE FIRST 171 00:07:32,200 --> 00:07:33,760 ANTI-HATE RESOURCES COORDINATOR 172 00:07:33,760 --> 00:07:35,120 AS WELL AS THE FIRST EVER 173 00:07:35,120 --> 00:07:39,720 FULL-TIME LANGUAGE ACCESS 174 00:07:39,720 --> 00:07:40,200 COORDINATOR. 175 00:07:40,200 --> 00:07:42,480 THE PRESIDENT WENT TO MONTEREY 176 00:07:42,480 --> 00:07:44,640 PARK, CALIFORNIA TO GRIEF WITH 177 00:07:44,640 --> 00:07:47,480 THE COMMUNITY SHAKEN BY THE 178 00:07:47,480 --> 00:07:49,720 MURDERS IN JANUARY AND ANNOUNCED 179 00:07:49,720 --> 00:07:50,520 EXECUTIVE ACTION TO REDUCE GUN 180 00:07:50,520 --> 00:07:53,440 VIOLENCE IN OUR COUNTRY. 181 00:07:53,440 --> 00:07:54,760 NOW, BOTH THE PRESIDENT AND VICE 182 00:07:54,760 --> 00:07:56,640 PRESIDENT HAVE MET WITH THE 183 00:07:56,640 --> 00:07:58,760 FAMILIES OF THE VICTIMS AND 184 00:07:58,760 --> 00:07:59,760 DEMONSTRATED WITH THEIR WORDS 185 00:07:59,760 --> 00:08:03,680 AND THEIR ACTIONS AND THEIR 186 00:08:03,680 --> 00:08:04,640 PRESENCE HOW MUCH THEY SINCERELY 187 00:08:04,640 --> 00:08:06,320 CARE FOR OUR COMMUNITY. 188 00:08:06,320 --> 00:08:10,240 AND HOW MUCH HOPE THEY HAVE FOR 189 00:08:10,240 --> 00:08:10,800 OUR FUTURE. 190 00:08:10,800 --> 00:08:14,640 WE BELIEVE THAT TOGETHER WE'LL 191 00:08:14,640 --> 00:08:15,880 BE STRONGER AND MORE VISIBLE AS 192 00:08:15,880 --> 00:08:18,040 A COMMUNITY AND AS A COUNTRY. 193 00:08:18,040 --> 00:08:19,880 >>THANK YOU, ERICA. 194 00:08:19,880 --> 00:08:22,320 I'M PHILLIP KIN AND PROUD TO 195 00:08:22,320 --> 00:08:26,760 SERVE IN THE BIDEN-HARRIS 196 00:08:26,760 --> 00:08:28,160 ADMINISTRATION AS SENIOR 197 00:08:28,160 --> 00:08:28,360 ADVISER. 198 00:08:28,360 --> 00:08:31,280 I AM MOVED IN REMINDED EVERY DAY 199 00:08:31,280 --> 00:08:32,760 OF THE BEAUTY OF OUR DIVERSE 200 00:08:32,760 --> 00:08:35,200 COMMUNITY AND THE UNPRECEDENTED 201 00:08:35,200 --> 00:08:35,920 WAYS THE ADMINISTRATION HAS SEEN 202 00:08:35,920 --> 00:08:38,040 AND UPLIFTED US. 203 00:08:38,040 --> 00:08:41,440 YOU'LL SEE IN THE HERITAGE MONTH 204 00:08:41,440 --> 00:08:43,720 PROCLAMATION HOW HE AND FIRST 205 00:08:43,720 --> 00:08:48,920 LADY DR. BIDEN HOSTED A 206 00:08:48,920 --> 00:08:51,720 RECEPTION THROUGH LINE DANCES 207 00:08:51,720 --> 00:08:54,920 AND DUMPLINGS AND HELD SPACE TO 208 00:08:54,920 --> 00:08:59,240 SHOW TRAGEDY DOESN'T DEFINE US 209 00:08:59,240 --> 00:09:02,040 AND WE'RE STRONGER TOGETHER AND 210 00:09:02,040 --> 00:09:03,440 HAVE INVESTED TO SUPPORT OUR 211 00:09:03,440 --> 00:09:04,480 AANHPI COMMUNITIES PROVIDING 212 00:09:04,480 --> 00:09:06,800 DIRECT RELIEF, STRENGTHENING 213 00:09:06,800 --> 00:09:08,120 MENTAL HEALTH AND EXPANDING 214 00:09:08,120 --> 00:09:09,040 ECONOMIC OPPORTUNITY ALL THROUGH 215 00:09:09,040 --> 00:09:14,480 THE AMERICAN RESCUE PLAN, 216 00:09:14,480 --> 00:09:15,480 BIPARTISAN INFRASTRUCTURE LAW 217 00:09:15,480 --> 00:09:16,360 AND OTHER INITIATIVES. 218 00:09:16,360 --> 00:09:17,920 THE WORK ISN'T FINISHED. 219 00:09:17,920 --> 00:09:20,680 AS THE PRESIDENT SAID DURING THE 220 00:09:20,680 --> 00:09:21,320 STATE OF THE UNION WE'RE DOING 221 00:09:21,320 --> 00:09:23,160 ALL WE CAN TO FINISH THE JOB. 222 00:09:23,160 --> 00:09:25,440 WE DON'T DO THIS ALONE BUT 223 00:09:25,440 --> 00:09:27,280 THROUGH COALITIONS INSIDE AND 224 00:09:27,280 --> 00:09:28,720 OUTSIDE THE AANHPI COMMUNITY 225 00:09:28,720 --> 00:09:30,400 WITHIN AND OUTSIDE THE FEDERAL 226 00:09:30,400 --> 00:09:32,200 GOVERNMENT AND MOST OF ALL WITH 227 00:09:32,200 --> 00:09:32,360 YOU. 228 00:09:32,360 --> 00:09:33,920 SO THANK YOU FOR ALL THAT YOU DO 229 00:09:33,920 --> 00:09:39,280 IN PARTNERSHIP WITH THIS 230 00:09:39,280 --> 00:09:40,400 ADMINISTRATION TO ENSURE WE'RE 231 00:09:40,400 --> 00:09:40,880 VISIBLE TOGETHER. 232 00:09:40,880 --> 00:09:44,400 >>I'M HONORED TO SERVE AS THE 233 00:09:44,400 --> 00:09:45,080 EXECUTIVE DIRECTOR OF THE WHITE 234 00:09:45,080 --> 00:09:48,480 HOUSE INITIATIVE AND PRESIDENT'S 235 00:09:48,480 --> 00:09:53,440 ADVISORY COMMISSION ON ASIAN 236 00:09:53,440 --> 00:09:54,080 AMERICAN NATIVE HAWAIIAN PACIFIC 237 00:09:54,080 --> 00:09:54,360 ISLANDERS. 238 00:09:54,360 --> 00:09:55,720 PRESIDENT BIDEN REINVIGORATED 239 00:09:55,720 --> 00:09:58,320 BOTH ENTITIES IN MAY OF 2021 AND 240 00:09:58,320 --> 00:10:04,120 CO-CHAIRED BY HEALTH AND HUMAN 241 00:10:04,120 --> 00:10:05,480 SERVICES SECRETARY XAVIER 242 00:10:05,480 --> 00:10:07,880 BECERRA AND KATHERINE TY. 243 00:10:07,880 --> 00:10:08,960 THE WHITE HOUSE HAS RESPONDED TO 244 00:10:08,960 --> 00:10:10,960 THE NEEDS OF OUR COMMUNITIES 245 00:10:10,960 --> 00:10:15,680 DURING TIMES OF BOTH JOY AND 246 00:10:15,680 --> 00:10:16,000 TRAGEDY. 247 00:10:16,000 --> 00:10:17,000 AMONG OUR PRIORITY HAVE BEEN 248 00:10:17,000 --> 00:10:21,520 EFFORTS TO ADDRESS ANTI-ASIAN 249 00:10:21,520 --> 00:10:29,480 HATE, PRIORITIZE DATA DIS 250 00:10:29,480 --> 00:10:31,640 DISAGGREGATION AND WE'LL ADVANCE 251 00:10:31,640 --> 00:10:34,160 EQUITY AND JUSTICE AND 252 00:10:34,160 --> 00:10:34,760 OPPORTUNITY FOR AANHPI 253 00:10:34,760 --> 00:10:36,440 COMMUNITIES THAT DETAILS OUR 254 00:10:36,440 --> 00:10:38,240 WHOLE OF GOVERNMENT APPROACH TO 255 00:10:38,240 --> 00:10:40,880 ADDRESS BARRIERS IMPACTING OUR 256 00:10:40,880 --> 00:10:42,000 COMMUNITIES INCLUDING EFFORTS TO 257 00:10:42,000 --> 00:10:44,120 IMPROVE INTER-AGENCY POLICY 258 00:10:44,120 --> 00:10:47,440 MAKING, PROGRAM DEVELOPMENT AND 259 00:10:47,440 --> 00:10:47,720 OUTREACH. 260 00:10:47,720 --> 00:10:49,640 WE'VE ALSO BEEN BUSY TRAVELLING 261 00:10:49,640 --> 00:10:51,680 ACROSS THE COUNTRY TO MEET 262 00:10:51,680 --> 00:10:54,680 THROUGH ANY OF YOU THROUGH OUR 263 00:10:54,680 --> 00:10:57,880 ECONOMIC SUMMITS AND OTHER 264 00:10:57,880 --> 00:10:59,680 ENGAGEMENTS TO CONNECT 265 00:10:59,680 --> 00:11:00,480 COMMUNITIES WITH FEDERAL 266 00:11:00,480 --> 00:11:01,000 RESOURCE. 267 00:11:01,000 --> 00:11:02,480 WE'RE GRATEFUL TO BE PART OF A 268 00:11:02,480 --> 00:11:06,080 WHITE HOUSE THAT WORKS SO HARD 269 00:11:06,080 --> 00:11:08,160 TO EMPOWER AANHPIS AND DELIVER 270 00:11:08,160 --> 00:11:10,400 ON THE PROMISES MADE BY THE 271 00:11:10,400 --> 00:11:10,760 PRESIDENT. 272 00:11:10,760 --> 00:11:12,520 WE LOOK FORWARD TO SEEING YOU ON 273 00:11:12,520 --> 00:11:13,840 THE ROAD AND BE VISIBLE 274 00:11:13,840 --> 00:11:14,160 TOGETHER. 275 00:11:14,160 --> 00:11:18,160 >>ONCE AGAIN ON BEHALF OF 276 00:11:18,160 --> 00:11:19,320 PRESIDENT BIDEN AND THE 277 00:11:19,320 --> 00:11:20,200 ADMINISTRATION. 278 00:11:20,200 --> 00:11:23,760 >>WE WISH EVERYONE A WONDERFUL 279 00:11:23,760 --> 00:11:24,400 ASIAN AMERICAN NATIVE HAWAIIAN 280 00:11:24,400 --> 00:11:24,880 PACIFIC ISLANDER MONTH. 281 00:11:24,880 --> 00:11:26,000 >>SIGN UP FOR STAKEHOLDER 282 00:11:26,000 --> 00:11:26,680 CALLS. 283 00:11:26,680 --> 00:11:27,720 >>AND SIGN UP FOR NEWSLETTERS. 284 00:11:27,720 --> 00:11:40,720 >>THANK YOU. 285 00:11:40,720 --> 00:11:42,600 HELLO, I'M CONGRESS MEMBER JUDY 286 00:11:42,600 --> 00:11:47,360 CHU FROM CALIFORNIA'S 28th 287 00:11:47,360 --> 00:11:49,320 DISTRICT AND CHAIR OF THE ASIAN 288 00:11:49,320 --> 00:11:51,000 AMERICAN CAUCUS. 289 00:11:51,000 --> 00:11:52,920 I'M THRILLED TO JOIN YOU FOR THE 290 00:11:52,920 --> 00:11:57,920 NATIONAL INSTITUTES OF HEALTH'S 291 00:11:57,920 --> 00:11:58,560 ASIAN AMERICAN NATIVE HAWAIIAN 292 00:11:58,560 --> 00:11:59,080 PACIFIC ISLANDER HEALTH 293 00:11:59,080 --> 00:11:59,720 SCIENTIFIC INTEREST GROUP'S 294 00:11:59,720 --> 00:12:00,920 SECOND ANNUAL CONFERENCE. 295 00:12:00,920 --> 00:12:02,880 I'M SO INCREDIBLY HONORED TO 296 00:12:02,880 --> 00:12:05,680 HAVE THE LECTURE SERIES NAMED 297 00:12:05,680 --> 00:12:05,960 AFTER ME. 298 00:12:05,960 --> 00:12:09,320 I AM STUNNED TO BE ABLE TO GET 299 00:12:09,320 --> 00:12:12,600 SUCH AN HONOR FROM SUCH A 300 00:12:12,600 --> 00:12:14,200 PRESTIGIOUS GROUP LIKE YOURS. 301 00:12:14,200 --> 00:12:15,520 IT IS WONDERFUL TO GET IT AT 302 00:12:15,520 --> 00:12:17,920 THIS YEAR'S CONFERENCE WHICH IS 303 00:12:17,920 --> 00:12:21,840 AN EXCITING OPPORTUNITY FOR 304 00:12:21,840 --> 00:12:25,240 ASIAN AMERICAN NATIVE HAWAIIAN 305 00:12:25,240 --> 00:12:25,920 AND PACIFIC ISLANDERS TO COME 306 00:12:25,920 --> 00:12:27,520 TOGETHER AND DISCUSS THE LATEST 307 00:12:27,520 --> 00:12:30,440 IN HEALTH RESEARCH AND CELEBRATE 308 00:12:30,440 --> 00:12:34,360 OUR ACHIEVEMENTS AND CULTURES 309 00:12:34,360 --> 00:12:36,360 DURING THIS MONTH. 310 00:12:36,360 --> 00:12:39,440 AS THE FIRST CHINESE AMERICAN 311 00:12:39,440 --> 00:12:42,040 WOMAN ELECTED TO CONGRESS THIS 312 00:12:42,040 --> 00:12:43,560 HELPS UPLIFT OUR ACCOMPLISHMENTS 313 00:12:43,560 --> 00:12:44,920 AND CONTINUE TO BREAK DOWN 314 00:12:44,920 --> 00:12:47,400 BARRIERS IN THE PRESENT ARE 315 00:12:47,400 --> 00:12:50,280 CLOSE TO MY HEART. 316 00:12:50,280 --> 00:12:53,400 AS CHAIR OF THIS CHAMPIONING THE 317 00:12:53,400 --> 00:12:55,960 INTEREST OF ASIAN AMERICAN 318 00:12:55,960 --> 00:12:56,440 NATIVE HAWAIIAN PACIFIC 319 00:12:56,440 --> 00:12:57,080 ISLANDERS IN THE HAULS OF 320 00:12:57,080 --> 00:12:59,640 CONGRESS HAS NEVER BEEN MORE 321 00:12:59,640 --> 00:13:00,440 PARAMOUNT. 322 00:13:00,440 --> 00:13:02,840 BECAUSE OUR COMMUNITIES HAVE A 323 00:13:02,840 --> 00:13:07,080 SEAT AT THE TABLE WE 324 00:13:07,080 --> 00:13:09,000 SUCCESSFULLY PASSED BILLS LAST 325 00:13:09,000 --> 00:13:10,240 CONGRESS LIKE THE COVID-19 HATE 326 00:13:10,240 --> 00:13:11,520 CRIMES ACT AND THE BILL CREATING 327 00:13:11,520 --> 00:13:13,640 A COMMISSION TO STUDY THE 328 00:13:13,640 --> 00:13:17,960 CREATION OF A NATIONAL MUSEUM OF 329 00:13:17,960 --> 00:13:21,200 AANHPI HISTORY AND CULTURE. 330 00:13:21,200 --> 00:13:23,040 I'M PROUD PRESIDENT BIDEN SIGNED 331 00:13:23,040 --> 00:13:26,360 BOTH PIECES OF LEGISLATION INTO 332 00:13:26,360 --> 00:13:27,000 LAW. 333 00:13:27,000 --> 00:13:29,800 IT'S SO CRITICAL TO RESEARCH AND 334 00:13:29,800 --> 00:13:31,240 IMPROVE ON HEALTH EQUITY AND 335 00:13:31,240 --> 00:13:32,680 WELLNESS FOR OUR COMMUNITIES 336 00:13:32,680 --> 00:13:34,520 BOTH PHYSICAL AND MENTAL 337 00:13:34,520 --> 00:13:37,280 ESPECIALLY AS WE CONTINUE TO 338 00:13:37,280 --> 00:13:39,520 RECOVER FROM BOTH THE COVID-19 339 00:13:39,520 --> 00:13:41,080 PANDEMIC AND THE SCOURGE OF 340 00:13:41,080 --> 00:13:41,880 ANTI-ASIAN HATE. 341 00:13:41,880 --> 00:13:43,560 AS A FORMER PSYCHOLOGY 342 00:13:43,560 --> 00:13:45,520 PROFESSOR, I'M ACUTELY AWARE 343 00:13:45,520 --> 00:13:50,040 WHEN IT COMES TO MENTAL HEALTH 344 00:13:50,040 --> 00:13:54,200 AANHPIs ESPECIALLY FACE UNIQUE 345 00:13:54,200 --> 00:13:55,240 BARRIERS. 346 00:13:55,240 --> 00:13:57,520 WE KNOW AANHPIS HAVE THE LOWEST 347 00:13:57,520 --> 00:13:59,200 HELP-SEEKING RATE OF ANY RACIAL 348 00:13:59,200 --> 00:14:02,120 OR ETHNIC GROUP WITH ONLY 25% OF 349 00:14:02,120 --> 00:14:05,440 ASIAN ADULTS WITH A MENTAL 350 00:14:05,440 --> 00:14:07,240 ILLNESS RECEIVING TREATMENTING 351 00:14:07,240 --> 00:14:09,480 AND WHILE SUICIDE IS THE TENTH 352 00:14:09,480 --> 00:14:11,240 LEADING CAUSE OF THE UNITED 353 00:14:11,240 --> 00:14:13,280 STATES OVER ALL IT'S BEEN THE 354 00:14:13,280 --> 00:14:15,720 FIRST LEADING CAUSE OF DEATH FOR 355 00:14:15,720 --> 00:14:18,320 AANHPI YOUTH AGES 10-24. 356 00:14:18,320 --> 00:14:19,840 THESE HEALTH DISPARITIES ARE DUE 357 00:14:19,840 --> 00:14:21,240 TO A VARIETY OF FACTORS 358 00:14:21,240 --> 00:14:23,520 INCLUDING A LACK OF ACCESS TO 359 00:14:23,520 --> 00:14:26,120 AFFORDABLE MENTAL HEALTH 360 00:14:26,120 --> 00:14:28,320 SERVICES AND THE STIGMA ATTACHED 361 00:14:28,320 --> 00:14:29,280 TO MENTAL HEALTH ISSUES. 362 00:14:29,280 --> 00:14:31,240 THAT'S WHY EVERY YEAR I 363 00:14:31,240 --> 00:14:32,680 INTRODUCED TWO PIECES OF 364 00:14:32,680 --> 00:14:33,640 LEGISLATION. 365 00:14:33,640 --> 00:14:36,640 THE STOP MENTAL HEALTH STIGMA IN 366 00:14:36,640 --> 00:14:38,400 OUR COMMUNITIES ACT WHICH 367 00:14:38,400 --> 00:14:40,800 PROVIDES RESOURCES TO MEET THE 368 00:14:40,800 --> 00:14:43,240 DIRECT MENTAL HEALTH SERVICE 369 00:14:43,240 --> 00:14:47,520 NEEDS FOR AANHPIs AS WELL AS THE 370 00:14:47,520 --> 00:14:50,080 RESOLUTION MARKING AANHPI MENTAL 371 00:14:50,080 --> 00:14:53,120 HEALTH DAY ON MAY 10 WHICH 372 00:14:53,120 --> 00:14:54,520 RAISES NATIONAL AWARENESS ABOUT 373 00:14:54,520 --> 00:14:56,120 MENTAL HEALTH WITHIN OUR 374 00:14:56,120 --> 00:14:56,400 COMMUNITIES. 375 00:14:56,400 --> 00:14:58,880 LET ME BE CLEAR, THESE KINDS OF 376 00:14:58,880 --> 00:15:00,280 EFFORTS IN CONGRESS DON'T HAPPEN 377 00:15:00,280 --> 00:15:04,840 BY OUR EFFORTS ALONE. 378 00:15:04,840 --> 00:15:07,240 THEY'RE ACHIEVED BY WORKING 379 00:15:07,240 --> 00:15:09,680 CLOSELY WITH AND LEARNING FROM 380 00:15:09,680 --> 00:15:11,840 ALL YOU HERE TODAY, THE 381 00:15:11,840 --> 00:15:13,040 SCIENTISTS DRIVING THE RESEARCH 382 00:15:13,040 --> 00:15:14,360 ADDRESSING THE UNIQUE HEALTH 383 00:15:14,360 --> 00:15:16,640 DISPARITIES OF OUR FAMILIES AND 384 00:15:16,640 --> 00:15:16,920 CHILDREN. 385 00:15:16,920 --> 00:15:20,160 YOU ARE ALL STRENGTHENING OUR 386 00:15:20,160 --> 00:15:22,520 COMMUNITIES IN SUCH VIBRANT AND 387 00:15:22,520 --> 00:15:24,040 IMPORTANT WAYS. 388 00:15:24,040 --> 00:15:28,080 SO THANK YOU AGAIN TO THE NIH, 389 00:15:28,080 --> 00:15:35,560 AANHPI, HSIG FOR INVITING ME TO 390 00:15:35,560 --> 00:15:37,400 JOIN YOU AT THIS INCREDIBLE 391 00:15:37,400 --> 00:15:38,640 CONFERENCE AND NAMING THE 392 00:15:38,640 --> 00:15:39,400 LECTURE SERIES AFTER ME. 393 00:15:39,400 --> 00:15:46,360 I WISH YOU A HAPPY AANHPI 394 00:15:46,360 --> 00:15:47,520 HERITAGE MONTH. 395 00:15:47,520 --> 00:15:51,520 NOW, I WILL TURN THE PODIUM TO 396 00:15:51,520 --> 00:15:57,320 DR. MING LI ADVISER OF THE 397 00:15:57,320 --> 00:16:00,120 AANHPI STAKE GROUP TO INTRODUCE 398 00:16:00,120 --> 00:16:01,640 THE RESEARCH LEADERS. 399 00:16:01,640 --> 00:16:02,440 >>GOOD MORNING. 400 00:16:02,440 --> 00:16:07,240 ON BEHALF OF ALL OF US HERE AND 401 00:16:07,240 --> 00:16:09,480 NIH LEADERS FOR THEIR CONTINUED 402 00:16:09,480 --> 00:16:10,440 SUPPORT OF OUR COMMUNITY. 403 00:16:10,440 --> 00:16:14,080 I AM HONORED TO INTRODUCE THEM 404 00:16:14,080 --> 00:16:16,400 TO YOU BEFORE THEIR REMARKS. 405 00:16:16,400 --> 00:16:18,360 OUR FIRST SPEAKER IS 406 00:16:18,360 --> 00:16:21,440 DR. LAWRENCE TABAK OUR ACTING 407 00:16:21,440 --> 00:16:25,000 DIRECTOR SINCE DECEMBER 2021. 408 00:16:25,000 --> 00:16:27,320 PRIOR TO THAT, DR. TABAK SERVED 409 00:16:27,320 --> 00:16:31,840 AS THE PRINCIPLE DEPUTY DIRECTOR 410 00:16:31,840 --> 00:16:33,320 AND THE DIRECTOR OF THE NATIONAL 411 00:16:33,320 --> 00:16:35,000 INSTITUTE OF DENTAL AND 412 00:16:35,000 --> 00:16:37,080 CRANIOFACIAL RESEARCH AND ALSO A 413 00:16:37,080 --> 00:16:40,480 CO-CHAIR OF THE NIH UNITE 414 00:16:40,480 --> 00:16:42,840 INITIATIVE THAT PROMOTES EQUITY 415 00:16:42,840 --> 00:16:44,960 AND SYSTEMATIC CHANGE. 416 00:16:44,960 --> 00:16:48,040 DR. TABAK IS A LEADING 417 00:16:48,040 --> 00:16:50,400 RESEARCHER ON GLYCOPROTEIN 418 00:16:50,400 --> 00:16:52,920 SYNTHESIS STRUCTURE AND FUNCTION 419 00:16:52,920 --> 00:16:55,120 AND CONTINUES TO LEAD ACTIVE 420 00:16:55,120 --> 00:16:58,200 RESEARCH IN LABORATORY IN 421 00:16:58,200 --> 00:17:00,080 ADDITION TO HIS BUSY 422 00:17:00,080 --> 00:17:00,880 ADMINISTRATIVE RESPONSIBILITIES. 423 00:17:00,880 --> 00:17:03,560 HE IS AN ELECTED MEMBER OF THE 424 00:17:03,560 --> 00:17:05,080 NATIONAL ACADEMY OF MEDICINE. 425 00:17:05,080 --> 00:17:07,760 DR. TABAK EARNED HIS 426 00:17:07,760 --> 00:17:11,000 UNDERGRADUATE DEGREE FROM THE 427 00:17:11,000 --> 00:17:14,960 CITY COLLEGE OF NEW YORK, A DDS 428 00:17:14,960 --> 00:17:15,960 FROM COLUMBIA UNIVERSITY AND 429 00:17:15,960 --> 00:17:19,640 Ph.D. FROM THE UNIVERSITY OF 430 00:17:19,640 --> 00:17:20,280 BUFFALO. 431 00:17:20,280 --> 00:17:22,560 PRIOR TO JOINING NIH IN 2000 HE 432 00:17:22,560 --> 00:17:24,880 WAS A SENIOR ASSOCIATE DEAN FOR 433 00:17:24,880 --> 00:17:27,240 RESEARCH AND PROFESSOR AT A 434 00:17:27,240 --> 00:17:28,640 UNIVERSITY OF RODCHESTER. 435 00:17:28,640 --> 00:17:35,760 WITHOUT FURTHER ADO, DR. TABAK. 436 00:17:35,760 --> 00:17:36,000 >>OKAY. 437 00:17:36,000 --> 00:17:38,160 I HAVE ACHIEVED UNMUTING. 438 00:17:38,160 --> 00:17:38,440 WONDERFUL. 439 00:17:38,440 --> 00:17:42,000 THANK YOU FOR THE KIND 440 00:17:42,000 --> 00:17:47,000 INTRODUCTION AND THANK YOU TO 441 00:17:47,000 --> 00:17:48,840 THE NIH ASIAN AMERICAN NATIVE 442 00:17:48,840 --> 00:17:49,480 HAWAIIAN PACIFIC ISLANDER HEALTH 443 00:17:49,480 --> 00:17:51,160 SCIENTIFIC INTEREST GROUP FOR 444 00:17:51,160 --> 00:17:54,960 ORGANIZING WHAT IS NOW THE 2nd 445 00:17:54,960 --> 00:17:59,440 ANNUAL CONFERENCE TO CELEBRATE 446 00:17:59,440 --> 00:18:01,480 AANHPI HERITAGE MONTH AND I'M 447 00:18:01,480 --> 00:18:05,840 GLAD TO SEE IT RETURN. 448 00:18:05,840 --> 00:18:08,040 ADVANCING AANHPI HEALTH IS AN 449 00:18:08,040 --> 00:18:10,640 INTEGRAL PART OF NIH'S PRIORITY 450 00:18:10,640 --> 00:18:12,000 FOCUSSED ON MINORITY HEALTH 451 00:18:12,000 --> 00:18:13,560 DISPARITIES RESEARCH AND SO AS A 452 00:18:13,560 --> 00:18:16,080 RESULT I'M DELIGHTED TO JOIN YOU 453 00:18:16,080 --> 00:18:18,280 ALL ON THIS EVENT TO REFLECT ON 454 00:18:18,280 --> 00:18:21,760 THE HISTORY AND CELEBRATE THE 455 00:18:21,760 --> 00:18:24,720 ACHIEVEMENTS OF ALL ASIAN 456 00:18:24,720 --> 00:18:25,360 AMERICAN NATIVE HAWAIIAN PACIFIC 457 00:18:25,360 --> 00:18:25,640 ISLANDERS. 458 00:18:25,640 --> 00:18:29,040 SO LET ME START WITH SOME 459 00:18:29,040 --> 00:18:30,040 ADDITIONAL THANKS. 460 00:18:30,040 --> 00:18:32,360 FIRST THE STAFF AT NIH AND HHS 461 00:18:32,360 --> 00:18:34,280 WHO PLANNED THIS EVENT AND ALL 462 00:18:34,280 --> 00:18:38,240 THE SPEAKERS IN THE AUDIENCE FOR 463 00:18:38,240 --> 00:18:40,280 YOUR SUPPORT OF NIH RESEARCH AND 464 00:18:40,280 --> 00:18:42,080 AANHPI HEALTH AND FOR YOUR 465 00:18:42,080 --> 00:18:43,760 SUPPORT FOR THIS CONFERENCE IN 466 00:18:43,760 --> 00:18:44,160 GENERAL. 467 00:18:44,160 --> 00:18:47,600 NOW, SOME OF YOU MAY KNOW I 468 00:18:47,600 --> 00:18:51,880 JOINED NIH AT THE TAIL END OF 469 00:18:51,880 --> 00:18:53,200 THE CLINTON ADMINISTRATION. 470 00:18:53,200 --> 00:18:57,200 IN 1999 IT WAS THEN PRESIDENT 471 00:18:57,200 --> 00:19:00,040 CLINTON WHO ESTABLISHED THE 472 00:19:00,040 --> 00:19:05,400 FIRST WHITE HOUSE INITIATIVE ON 473 00:19:05,400 --> 00:19:06,280 ASIAN AMERICANS AND PACIFIC 474 00:19:06,280 --> 00:19:09,360 ISLANDERS WITH A FOCUS ON LIFE 475 00:19:09,360 --> 00:19:11,360 AND INCREASING OPPORTUNITIES TO 476 00:19:11,360 --> 00:19:12,920 PARTICIPATE IN FEDERAL PROGRAMS. 477 00:19:12,920 --> 00:19:17,840 TO THE BIDEN-HARRIS 478 00:19:17,840 --> 00:19:20,760 ADMINISTRATION IN MAY OF '21 THE 479 00:19:20,760 --> 00:19:23,080 ADMINISTRATION REINVIGORATE THE 480 00:19:23,080 --> 00:19:26,800 INITIATIVE NOW CALLED THE WHITE 481 00:19:26,800 --> 00:19:29,000 HOUSE INITIATIVE ON ASIAN 482 00:19:29,000 --> 00:19:29,600 AMERICAN NATIVE HAWAIIAN PACIFIC 483 00:19:29,600 --> 00:19:29,880 ISLANDERS. 484 00:19:29,880 --> 00:19:31,200 THE WHITE HOUSE RELEASED THE 485 00:19:31,200 --> 00:19:32,760 FIRST EVER NATIONAL STRATEGY TO 486 00:19:32,760 --> 00:19:37,240 ADVANCE EQUITY, JUSTICE AND 487 00:19:37,240 --> 00:19:38,280 OPPORTUNITY FOR AANHPI 488 00:19:38,280 --> 00:19:45,320 COMMUNITIES IN JANUARY OF 2023. 489 00:19:45,320 --> 00:19:47,400 AND ACTION PLANS FROM 32 490 00:19:47,400 --> 00:19:49,080 DIFFERENT AGENCIES INCLUDING ALL 491 00:19:49,080 --> 00:19:51,760 15 EXECUTIVE DEPARTMENTS AND 492 00:19:51,760 --> 00:19:52,160 CABINET. 493 00:19:52,160 --> 00:19:58,280 THE STRATEGY NOTABLY SETS 494 00:19:58,280 --> 00:20:00,000 ACTIONABLE PRIORITIES INCLUDING 495 00:20:00,000 --> 00:20:05,160 DATA DISAGGREGATING AND 496 00:20:05,160 --> 00:20:06,720 COMBATTING ANTI-ASIAN LATE. 497 00:20:06,720 --> 00:20:09,000 AS PART OF THIS EFFORT THE 498 00:20:09,000 --> 00:20:11,440 DEPARTMENT OF HHS IDENTIFIED 499 00:20:11,440 --> 00:20:13,480 FIVE GOALS TO ACHIEVE OVER THE 500 00:20:13,480 --> 00:20:18,000 FIVE YEARS ADVANCING EQUITY, 501 00:20:18,000 --> 00:20:19,640 JUSTICE AND OPPORTUNITY FOR 502 00:20:19,640 --> 00:20:21,360 ASIAN AMERICAN NATIVE HAWAIIAN 503 00:20:21,360 --> 00:20:21,960 PACIFIC ISLANDER COMMUNITIES. 504 00:20:21,960 --> 00:20:24,200 FIRST GOAL IS TO ENHANCE THE 505 00:20:24,200 --> 00:20:27,360 AVAILABILITY, QUALITY AND 506 00:20:27,360 --> 00:20:29,400 COLLECTION AND USE OF 507 00:20:29,400 --> 00:20:31,360 DISAGGREGATED DATA ON AANHPI 508 00:20:31,360 --> 00:20:31,880 POPULATIONS. 509 00:20:31,880 --> 00:20:36,000 THE SECOND GOAL IS TO INCREASE 510 00:20:36,000 --> 00:20:38,640 LANGUAGE ACCESS ACROSS HHS 511 00:20:38,640 --> 00:20:39,680 PROGRAMS FOR AANHPI COMMUNITIES. 512 00:20:39,680 --> 00:20:42,280 THE THIRD IS TO RAISE AWARENESS 513 00:20:42,280 --> 00:20:46,280 OF HATE CRIMES AND INCIDENTS AND 514 00:20:46,280 --> 00:20:50,080 ADDRESS ANTI-ASIAN 515 00:20:50,080 --> 00:20:52,720 DISCRIMINATION AND FOURTH IS TO 516 00:20:52,720 --> 00:20:55,440 COMBAT HUMAN TRAFFICKING OF 517 00:20:55,440 --> 00:20:57,480 AANHPI POPULATIONS AND THE FIFTH 518 00:20:57,480 --> 00:21:01,080 GOAL RELEVANT TO THE NIH IS 519 00:21:01,080 --> 00:21:02,080 STRENGTHEN AANHPI HEALTH 520 00:21:02,080 --> 00:21:02,360 RESEARCH. 521 00:21:02,360 --> 00:21:07,640 I WANT TO CONGRATULATE THE NIH 522 00:21:07,640 --> 00:21:08,520 AANHPI HEALTH SCIENTIFIC 523 00:21:08,520 --> 00:21:09,840 INTEREST GROUP FOR ITS 524 00:21:09,840 --> 00:21:11,720 LEADERSHIP, ITS DEDICATION AND 525 00:21:11,720 --> 00:21:13,680 THEIR OUTSTANDING CONTRIBUTIONS 526 00:21:13,680 --> 00:21:17,240 IN HELPING TO ESTABLISH AND 527 00:21:17,240 --> 00:21:18,040 IMPLEMENT THE OVER ALL WHITE 528 00:21:18,040 --> 00:21:19,840 HOUSE NATIONAL STRATEGY AND IN 529 00:21:19,840 --> 00:21:24,040 PARTICULAR FOR THEIR EFFORTS IN 530 00:21:24,040 --> 00:21:25,760 HELPING TO DEVELOP HHS PRIORITY 531 00:21:25,760 --> 00:21:29,680 GOAL FIVE WHICH IS BEING LED BY 532 00:21:29,680 --> 00:21:30,000 NIH. 533 00:21:30,000 --> 00:21:32,960 SO THE GROUP'S ACTIVITIES 534 00:21:32,960 --> 00:21:34,560 INCLUDING THE INAUGURAL HEALTH 535 00:21:34,560 --> 00:21:36,840 RESEARCH CONFERENCE OF LAST MAY 536 00:21:36,840 --> 00:21:40,360 PROVIDED A FOUNDATION FOR HHS'S 537 00:21:40,360 --> 00:21:46,280 GOAL FIVE AND THE AIM OF 538 00:21:46,280 --> 00:21:47,240 STRENGTHENING AANHPI HEALTH 539 00:21:47,240 --> 00:21:50,280 RESEARCH IS COMPLEMENTARY AND A 540 00:21:50,280 --> 00:21:53,640 WELCOME ADDITION TO THE NEWLY 541 00:21:53,640 --> 00:21:56,640 RELEASED FY23 THROUGH '27 NIH 542 00:21:56,640 --> 00:22:01,320 WIDE STRATEGY PLAN FOR 543 00:22:01,320 --> 00:22:01,960 DIVERSITY, EQUITY, INCLUSION AND 544 00:22:01,960 --> 00:22:02,320 ACCESSIBILITY. 545 00:22:02,320 --> 00:22:03,880 TAKEN TOGETHER THE ROAD MAPS AND 546 00:22:03,880 --> 00:22:07,960 NIH IS COMMITTED TO EMBRACING, 547 00:22:07,960 --> 00:22:09,000 STRENGTHENING AND INTEGRATING 548 00:22:09,000 --> 00:22:10,840 DEI EFFORTS ACROSS ALL OF OUR 549 00:22:10,840 --> 00:22:11,840 AGENCY'S ACTIVITIES. 550 00:22:11,840 --> 00:22:14,280 AGAIN, I WANT TO EXPRESS MY 551 00:22:14,280 --> 00:22:15,760 SUPPORT FOR YOUR EFFORTS AND I'M 552 00:22:15,760 --> 00:22:17,680 LOOKING FORWARD TO THE 553 00:22:17,680 --> 00:22:19,720 COMPLETION OF THE 554 00:22:19,720 --> 00:22:20,880 RECOMMENDATIONS AND ACTION PLAN 555 00:22:20,880 --> 00:22:23,800 FOR THE HEALTH AND HUMAN 556 00:22:23,800 --> 00:22:25,840 SERVICES GOAL FIVE. 557 00:22:25,840 --> 00:22:29,720 NOW, THIS YEAR IS THE 80th 558 00:22:29,720 --> 00:22:30,880 ANNIVERSARY OF THE CHINESE 559 00:22:30,880 --> 00:22:34,120 EXCLUSION REPEAL ACT KNOWN AS 560 00:22:34,120 --> 00:22:35,360 THE MAGNUSON ACT. 561 00:22:35,360 --> 00:22:38,040 THIS ENDED A LAW THAT WAS IN 562 00:22:38,040 --> 00:22:41,600 PLACE SINCE 1882 THAT BANNED 563 00:22:41,600 --> 00:22:44,640 CHINESE IMMIGRANTS AND IMPOSED 564 00:22:44,640 --> 00:22:45,360 ONEROUS RESTRICTIONS ON CHINESE 565 00:22:45,360 --> 00:22:47,880 PEOPLE ALREADY IN THE COUNTRY. 566 00:22:47,880 --> 00:22:53,120 IN 1992, CONGRESS ESTABLISHED 567 00:22:53,120 --> 00:22:54,960 MAY AS ASIAN AMERICAN AND 568 00:22:54,960 --> 00:22:57,240 PACIFIC ISLANDER HERITAGE MONTH 569 00:22:57,240 --> 00:23:02,520 TO HONOR THOSE WHO CONTRIBUTED 570 00:23:02,520 --> 00:23:06,600 SO MUCH TO OUR COUNTRY'S 571 00:23:06,600 --> 00:23:06,840 SUCCESS. 572 00:23:06,840 --> 00:23:10,280 TODAY I'D LIKE TO ACKNOWLEDGE 573 00:23:10,280 --> 00:23:13,560 THE MANY EXTRAORDINARY 574 00:23:13,560 --> 00:23:14,280 CONTRIBUTIONS FROM ASIAN 575 00:23:14,280 --> 00:23:14,920 AMERICAN NATIVE HAWAIIAN PACIFIC 576 00:23:14,920 --> 00:23:19,160 ISLANDERS FOR THE WORK AT NIH 577 00:23:19,160 --> 00:23:20,440 AND BIO MEDICAL RESEARCH IN 578 00:23:20,440 --> 00:23:20,800 GENERAL. 579 00:23:20,800 --> 00:23:23,520 I RECOGNIZE MANY OF YOU ARE 580 00:23:23,520 --> 00:23:26,840 CONCERNED ABOUT READING ABOUT 581 00:23:26,840 --> 00:23:29,440 SCIENTISTS MANY OF WHOM ARE 582 00:23:29,440 --> 00:23:32,400 CHINESE AMERICANS WHO HAVE LOST 583 00:23:32,400 --> 00:23:33,840 THEIR JOBS REGARDING 584 00:23:33,840 --> 00:23:34,960 INVESTIGATIONS REGARDING TRUST 585 00:23:34,960 --> 00:23:36,200 AND INTEGRITY ISSUES. 586 00:23:36,200 --> 00:23:38,200 I WANT TO FIRST ASSURE YOU NIH 587 00:23:38,200 --> 00:23:42,040 IS NOT TARGETING OR 588 00:23:42,040 --> 00:23:42,760 DISCRIMINATING AGAINST ANY 589 00:23:42,760 --> 00:23:45,160 PARTICULAR RACE OR ETHNIC GROUP 590 00:23:45,160 --> 00:23:47,640 IN OUR EFFORTS TO MITIGATE 591 00:23:47,640 --> 00:23:50,000 BREACHES OF TRUST THAT UNDERMINE 592 00:23:50,000 --> 00:23:52,440 THE INTEGRITY OF U.S. RESEARCH 593 00:23:52,440 --> 00:23:54,280 BUT WILL NOT TOLERATE 594 00:23:54,280 --> 00:23:56,160 DISCRIMINATION AGAINST CHINESE 595 00:23:56,160 --> 00:23:57,320 AMERICANS SUCH AS WE DON'T 596 00:23:57,320 --> 00:23:59,040 TOLERATE DISCRIMINATION AGAINST 597 00:23:59,040 --> 00:24:02,360 ANY RACE OR ETHNIC GROUP AND 598 00:24:02,360 --> 00:24:06,040 THEY'RE NOT UNIQUE TO ANY ONE 599 00:24:06,040 --> 00:24:11,760 ETHNICITY OR NATIONALITY. 600 00:24:11,760 --> 00:24:14,320 TO SUM UP SOME ISSUES THERE'S A 601 00:24:14,320 --> 00:24:17,320 SMALL NUMBER OF NIH-SUPPORTED 602 00:24:17,320 --> 00:24:19,880 INVESTIGATORS WHO HAVE FOUND TO 603 00:24:19,880 --> 00:24:23,200 HAVE SIGNIFICANT CONFLICTS IN 604 00:24:23,200 --> 00:24:24,760 THEIR COMMITMENT. 605 00:24:24,760 --> 00:24:25,640 SIMPLY, YOU CAN'T EXPECT THE 606 00:24:25,640 --> 00:24:28,120 GOVERNMENT TO HAVE A GRANT THAT 607 00:24:28,120 --> 00:24:34,280 PAYS YOU FOR MORE THAN 100% OF 608 00:24:34,280 --> 00:24:35,240 YOUR TIME. 609 00:24:35,240 --> 00:24:38,160 IN OTHER WORDS, TWO FULL-TIME 610 00:24:38,160 --> 00:24:38,360 JOBS. 611 00:24:38,360 --> 00:24:40,080 THAT'S DIFFERENT THAN LEGITIMATE 612 00:24:40,080 --> 00:24:41,960 SCIENTIFIC COLLABORATION WHICH 613 00:24:41,960 --> 00:24:43,760 WE WELCOME AND CERTAINLY 614 00:24:43,760 --> 00:24:44,960 ENCOURAGE AND THAT IS CERTAINLY 615 00:24:44,960 --> 00:24:48,920 VERY DIFFERENT FROM LEGITIMATE 616 00:24:48,920 --> 00:24:50,160 DECLARED CONSULTING THAT 617 00:24:50,160 --> 00:24:51,840 INDIVIDUALS MAY DO DEPENDING ON 618 00:24:51,840 --> 00:24:53,600 THEIR OWN INSTITUTIONAL POLICIES 619 00:24:53,600 --> 00:24:56,960 BUT THESE DON'T HAVE TO BE 620 00:24:56,960 --> 00:24:59,920 SEPARATE FROM NIH-SUPPORTED 621 00:24:59,920 --> 00:25:00,280 ACTIVITIES. 622 00:25:00,280 --> 00:25:02,280 AND AGAIN, A VERY SMALL NUMBER 623 00:25:02,280 --> 00:25:05,040 OF SCIENTISTS HAVE APPLIED FOR 624 00:25:05,040 --> 00:25:06,800 AND HAVE RECEIVED FUNDING FROM A 625 00:25:06,800 --> 00:25:10,320 FOREIGN COUNTRY FOR THE EXACT 626 00:25:10,320 --> 00:25:14,280 SAME WORK THEY HAVE AN ACTIVE 627 00:25:14,280 --> 00:25:21,480 NIH GRANT ON. 628 00:25:21,480 --> 00:25:23,000 THAT DOESN'T REPRESENT A 629 00:25:23,000 --> 00:25:23,240 MISTAKE. 630 00:25:23,240 --> 00:25:27,200 LET'S CALL THAT FOR WHAT IT IS. 631 00:25:27,200 --> 00:25:28,760 IT'S GREED. 632 00:25:28,760 --> 00:25:31,440 NOW, NIH'S INVOLVEMENT IN THESE 633 00:25:31,440 --> 00:25:33,160 ISSUES BEGAN IN 2016 WHEN THE 634 00:25:33,160 --> 00:25:34,800 FBI CONTACTED US ABOUT CONCERNS 635 00:25:34,800 --> 00:25:38,040 ABOUT OUR PEER-REVIEW SYSTEM. 636 00:25:38,040 --> 00:25:44,840 THE FIGURE YOU HAVE UP THERE IS 637 00:25:44,840 --> 00:25:48,160 A COMPILATION OF ALL RESEARCH 638 00:25:48,160 --> 00:25:50,040 INTEGRITY ALLEGATIONS WE 639 00:25:50,040 --> 00:25:53,080 RECEIVED AT NIH AND IT'S THE 640 00:25:53,080 --> 00:25:55,480 GREEN PORTION OF THE BAR WHICH 641 00:25:55,480 --> 00:25:58,440 REPRESENTS THINGS RELATED TO 642 00:25:58,440 --> 00:26:01,000 SO-CALLED FOREIGN INFLUENCE. 643 00:26:01,000 --> 00:26:03,320 THERE ARE A LARGE NUMBER OF 644 00:26:03,320 --> 00:26:07,240 CASES IN 2017 AND 2018 AND WHY 645 00:26:07,240 --> 00:26:11,680 YOU SEE IN 2018 AND 2019 A BURST 646 00:26:11,680 --> 00:26:12,600 OF CASES. 647 00:26:12,600 --> 00:26:15,840 A LARGE BURST OF CASES. 648 00:26:15,840 --> 00:26:19,360 NOW, THIS EFFORT HAS ALWAYS BEEN 649 00:26:19,360 --> 00:26:22,480 SEPARATE AND DISTINCT FROM THE 650 00:26:22,480 --> 00:26:25,080 DEPARTMENT OF JUSTICE'S SO CALL 651 00:26:25,080 --> 00:26:25,680 CHINA INITIATIVE. 652 00:26:25,680 --> 00:26:27,640 IT'S A SEPARATE ISSUE. 653 00:26:27,640 --> 00:26:38,160 AS YOU LOOK AT THE DATA AND THE 654 00:26:39,600 --> 00:26:41,080 REPORT IS PROMISING AND THERE'S 655 00:26:41,080 --> 00:26:43,440 A DIMINUTION THE GREEN BAR HAS 656 00:26:43,440 --> 00:26:46,160 GONE DOWN IN THE LAST FEW YEARS 657 00:26:46,160 --> 00:26:47,480 AND MODEST FOR 2022 AND OUR HOPE 658 00:26:47,480 --> 00:26:50,440 IS THAT NOW THERE IS A GREATER 659 00:26:50,440 --> 00:26:51,160 UNDERSTANDING AND GREATER 660 00:26:51,160 --> 00:26:53,240 ADHERENCE TO THE RULES GOING 661 00:26:53,240 --> 00:26:57,880 FORWARD. 662 00:26:57,880 --> 00:27:02,720 NOW, ALL THIS SAID, TO THE GROUP 663 00:27:02,720 --> 00:27:04,160 AND COMMUNITY TO HAVE FURTHER 664 00:27:04,160 --> 00:27:05,000 DISCUSSIONS IF YOU WOULD LIKE TO 665 00:27:05,000 --> 00:27:07,240 DO SO BECAUSE I DO WANT TO BE 666 00:27:07,240 --> 00:27:09,080 ABLE TO REASSURE YOU AND ANSWER 667 00:27:09,080 --> 00:27:13,080 ANY QUESTIONS THAT YOU MAY HAVE 668 00:27:13,080 --> 00:27:16,560 ABOUT THIS IMPORTANT ISSUE. 669 00:27:16,560 --> 00:27:20,200 I'LL CLOSE BY THANKING YOU ONCE 670 00:27:20,200 --> 00:27:21,560 AGAIN THE AANHPI HEALTH 671 00:27:21,560 --> 00:27:23,600 SCIENTIFIC INTEREST GROUP, THE 672 00:27:23,600 --> 00:27:24,680 TRANS-NIH PLANNING COMMITTEE AND 673 00:27:24,680 --> 00:27:27,880 ALL THE SPEAKERS AND ATTENDEES 674 00:27:27,880 --> 00:27:28,880 FOR THIS ANNUAL CONFERENCE. 675 00:27:28,880 --> 00:27:32,480 THE CONFERENCE IS A WONDERFUL 676 00:27:32,480 --> 00:27:34,920 WAY TO COMMEMORATE MAY AANHPI 677 00:27:34,920 --> 00:27:35,920 HERITAGE MONTH AND I APPRECIATE 678 00:27:35,920 --> 00:27:39,440 ALL YOUR HARD WORK TO IMPROVE 679 00:27:39,440 --> 00:27:43,480 THE HEALTH OF ASIAN AMERICAN 680 00:27:43,480 --> 00:27:43,960 NATIVE HAWAIIAN PACIFIC 681 00:27:43,960 --> 00:27:46,640 ISLANDERS AND TO ADVANCE THE 682 00:27:46,640 --> 00:27:47,280 OVER ALL NIH'S MISSION. 683 00:27:47,280 --> 00:27:48,480 BEST WISHES TO ALL OF YOU AND 684 00:27:48,480 --> 00:27:48,920 THANK YOU. 685 00:27:48,920 --> 00:27:53,080 >>THANK YOU, DR. TABAK FOR YOUR 686 00:27:53,080 --> 00:27:54,440 ASSURING WORDS AND CONTINUED 687 00:27:54,440 --> 00:27:57,120 EFFORT TO HELP SAFEGUARD THE 688 00:27:57,120 --> 00:27:59,960 INTEGRITY AND FAIRNESS FOR THE 689 00:27:59,960 --> 00:28:03,280 BIOMEDICAL RESEARCH COMMUNITY. 690 00:28:03,280 --> 00:28:06,320 OUR NEXT SPEAKER IS DR. ELISEO 691 00:28:06,320 --> 00:28:19,800 PEREZ-STABLE. 692 00:28:19,800 --> 00:28:25,440 HE'S A LEADING RESEARCH IN SMOKE 693 00:28:25,440 --> 00:28:36,000 CESSATION AND TA BACK --TOBACCO 694 00:28:36,000 --> 00:28:39,840 CONTROL AND DIRECTOR OF THE 695 00:28:39,840 --> 00:28:40,800 INSTITUTE ON MINORITY 696 00:28:40,800 --> 00:28:46,840 HEALTH AND HEALTH DISPARITIES 697 00:28:46,840 --> 00:28:49,360 AND PART OF FIGHTING THE 698 00:28:49,360 --> 00:28:52,120 COVID-19 PANDEMIC IN COMMUNITIES 699 00:28:52,120 --> 00:28:52,400 OF COLOR. 700 00:28:52,400 --> 00:28:53,320 DR. PEREZ-STABLE EARNED A B.A. 701 00:28:53,320 --> 00:28:55,920 IN CHEMISTRY AND M.D. FROM THE 702 00:28:55,920 --> 00:28:57,320 UNIVERSITY OF MIAMI AND 703 00:28:57,320 --> 00:29:01,360 COMPLETED HIS INTERNAL RESIDENCE 704 00:29:01,360 --> 00:29:02,960 IN MEDICINE AT THE UNIVERSITY OF 705 00:29:02,960 --> 00:29:04,800 CALIFORNIA SAN FRANCISCO AND WAS 706 00:29:04,800 --> 00:29:07,360 A PROFESSOR AT UCSF FOR MORE 707 00:29:07,360 --> 00:29:10,560 THAN 30 YEARS BEFORE JOINING THE 708 00:29:10,560 --> 00:29:10,720 NIH. 709 00:29:10,720 --> 00:29:14,560 DR. PEREZ-STABLE. 710 00:29:14,560 --> 00:29:16,120 >>THANK YOU SO MUCH, MING. 711 00:29:16,120 --> 00:29:19,880 YOU ARE PART OF THAT EFFORT THAT 712 00:29:19,880 --> 00:29:22,560 LED TO THE AWARD SO THANK YOU 713 00:29:22,560 --> 00:29:23,880 FOR ALL YOU'VE DONE ON THIS. 714 00:29:23,880 --> 00:29:27,520 I ALSO WANT TO ACKNOWLEDGE AND 715 00:29:27,520 --> 00:29:32,080 THANK THE ORGANIZERS OF THE 2nd 716 00:29:32,080 --> 00:29:33,960 ANNUAL CONFERENCE AND MOVE 717 00:29:33,960 --> 00:29:39,600 FORWARD WITH THE PERSPECTIVES 718 00:29:39,600 --> 00:29:40,400 FROM NIMHD. 719 00:29:40,400 --> 00:29:42,960 SO I'M GOING TO MAKE A FEW 720 00:29:42,960 --> 00:29:47,880 POINTS BASED ON SOME OF THE WORK 721 00:29:47,880 --> 00:29:52,040 WE'RE INVOLVED WITH AND 722 00:29:52,040 --> 00:29:52,960 EMPHASIZES FROM A RESEARCH 723 00:29:52,960 --> 00:29:56,320 PERSPECTIVE SINCE OUR THEME IS 724 00:29:56,320 --> 00:29:58,080 RESEARCH ON HEALTH. 725 00:29:58,080 --> 00:30:00,120 WE ARE ALL AWARE ASIAN AMERICAN 726 00:30:00,120 --> 00:30:01,760 NATIVE HAWAIIAN PACIFIC 727 00:30:01,760 --> 00:30:02,160 ISLANDERS ARE RACIAL ETHNIC 728 00:30:02,160 --> 00:30:03,720 MINORITY POPULATIONS IN THE 729 00:30:03,720 --> 00:30:08,080 U.S. AND THEREFORE ARE INCLUDED 730 00:30:08,080 --> 00:30:10,600 IN THE NIMHD DEFINED FOR NIH 731 00:30:10,600 --> 00:30:12,880 PURPOSES POPULATIONS WITH HEALTH 732 00:30:12,880 --> 00:30:14,360 DISPARITIES. 733 00:30:14,360 --> 00:30:17,560 THE IMPORTANT POINT OF THIS 734 00:30:17,560 --> 00:30:20,400 AGGREGATION HAS BEEN REPEATED 735 00:30:20,400 --> 00:30:22,440 EMPHASIS OF THIS COMMUNITY OF 736 00:30:22,440 --> 00:30:24,080 SCIENTISTS AS WELL AS THE 737 00:30:24,080 --> 00:30:24,800 GENERAL COMMUNITY. 738 00:30:24,800 --> 00:30:34,760 THE FIRST STEP IS TO SEPARATE 739 00:30:34,760 --> 00:30:38,000 PACIFIC ISLANDERS NATIVE 740 00:30:38,000 --> 00:30:40,320 HAWAIIANS AS SEPARATE RACE AND 741 00:30:40,320 --> 00:30:42,160 THE STATISTICS FROM THE CENTERS 742 00:30:42,160 --> 00:30:46,760 FOR DISEASE CONTROL LUMPED THEM 743 00:30:46,760 --> 00:30:49,560 TOGETHER MOSTLY BECAUSE THE 744 00:30:49,560 --> 00:30:52,800 STATES TOOK ABOUT 17 YEARS FOR 745 00:30:52,800 --> 00:30:55,360 ALMOST 20 YEARS TO SEPARATE OUT 746 00:30:55,360 --> 00:30:57,400 THE TWO CATEGORIZATIONS. 747 00:30:57,400 --> 00:31:00,640 CDC COLLECTS DATA FROM EACH 748 00:31:00,640 --> 00:31:04,640 STATE ON THAT AND AS OF 2017 THE 749 00:31:04,640 --> 00:31:06,600 DATA ARE AVAILABLE SEPARATELY. 750 00:31:06,600 --> 00:31:10,360 BUT THAT SAID, THE TERM OF API 751 00:31:10,360 --> 00:31:15,040 MORTALITY OR API RATES SHOULD BE 752 00:31:15,040 --> 00:31:16,240 FULLY ABANDONED. 753 00:31:16,240 --> 00:31:19,560 AANHPI IS USED BUT REALLY SHOULD 754 00:31:19,560 --> 00:31:23,760 BE TWO SEPARATE CATEGORIES. 755 00:31:23,760 --> 00:31:24,480 WITHIN THE ASIAN AMERICAN 756 00:31:24,480 --> 00:31:27,040 POPULATION THERE'S A DAUNTING 757 00:31:27,040 --> 00:31:31,000 LEVEL OF HETEROGENEITY I THINK 758 00:31:31,000 --> 00:31:32,520 EXCEEDS ANY OF THE OTHER RACIAL 759 00:31:32,520 --> 00:31:37,320 AND ETHNIC POPULATIONS WE WORK 760 00:31:37,320 --> 00:31:40,720 WITH OVER 100 LANGUAGES AND 761 00:31:40,720 --> 00:31:43,520 HERITAGES AND DIFFERENCES IN 762 00:31:43,520 --> 00:31:46,160 VASTNESS OF TERRITORY THAT 763 00:31:46,160 --> 00:31:48,240 REALLY EXCEED THAT SEEN IN THE 764 00:31:48,240 --> 00:31:48,640 AMERICAS. 765 00:31:48,640 --> 00:31:51,040 ONE EXAMPLE OF A MAJOR 766 00:31:51,040 --> 00:31:54,680 DIFFERENCE ARE SOUTH ASIAN 767 00:31:54,680 --> 00:31:58,560 PEOPLE FROM INDIA AND NEPAL AND 768 00:31:58,560 --> 00:32:03,160 PAKISTAN WHO ARE REALLY MIXED 769 00:32:03,160 --> 00:32:07,040 EUROPEAN AND AFRICAN AND SOME 770 00:32:07,040 --> 00:32:14,480 EAST ASIAN ANCESTRY TOWARDS 771 00:32:14,480 --> 00:32:16,760 BURMA AND MANY OF US THINK THEY 772 00:32:16,760 --> 00:32:19,040 SHOULD BE A SEPARATE ETHNIC 773 00:32:19,040 --> 00:32:27,040 GROUP OPPOSED TO BEING LUMPED 774 00:32:27,040 --> 00:32:29,200 WITH ASIAN AMERICANS AND CHINESE 775 00:32:29,200 --> 00:32:30,160 AMERICANS ARE THE MOST COMMON IN 776 00:32:30,160 --> 00:32:33,240 THE U.S. FOLLOWED BY PEOPLE FROM 777 00:32:33,240 --> 00:32:36,280 SOUTH ASIA AND INDIAN AND 778 00:32:36,280 --> 00:32:38,600 PAKISTANIS AND THEN VIETNAMESE 779 00:32:38,600 --> 00:32:44,040 AND JAPANESE AND FILIPINOS. 780 00:32:44,040 --> 00:32:48,280 IN WORK WE CONDUCTED IN 781 00:32:48,280 --> 00:32:49,960 COLLABORATION WITH COLLEAGUES AT 782 00:32:49,960 --> 00:32:53,840 NIH AND THE INSTITUTE OF HEALTH 783 00:32:53,840 --> 00:32:54,480 METRIC ADMINISTRATION IN THE 784 00:32:54,480 --> 00:32:56,720 UNIVERSITY OF WASHINGTON WE 785 00:32:56,720 --> 00:32:57,640 SHOWED AND PUBLISHED THAT ASIAN 786 00:32:57,640 --> 00:33:02,560 AMERICANS IF YOU FOCUS ON THIS 787 00:33:02,560 --> 00:33:04,560 QUADRANT DOWN HERE IN THE LOWER 788 00:33:04,560 --> 00:33:07,040 LEFT HAVE A BETTER LIFE 789 00:33:07,040 --> 00:33:13,240 EXPECTANCY THAN WHITE AMERICANS. 790 00:33:13,240 --> 00:33:15,920 SIMILAR TO HISPANIC LATINOS 791 00:33:15,920 --> 00:33:18,320 EXCEPT LONGER LIFE EXPECTANCY 792 00:33:18,320 --> 00:33:18,680 THAN LATINOS. 793 00:33:18,680 --> 00:33:22,760 CDC PUBLISHED MORTALITY RATES 794 00:33:22,760 --> 00:33:24,680 ABOUT THE SAME TIME AND 795 00:33:24,680 --> 00:33:27,040 GEOGRAPHICALLY THERE'S NOT MUCH 796 00:33:27,040 --> 00:33:27,760 VARIATION ACROSS THE COUNTRY 797 00:33:27,760 --> 00:33:30,160 WHERE ASIAN AMERICANS ARE 798 00:33:30,160 --> 00:33:32,680 CONCENTRATED FROM HAWAI'I TO THE 799 00:33:32,680 --> 00:33:32,960 NORTHEAST. 800 00:33:32,960 --> 00:33:35,040 LIFE EXPECTANCY IS BETTER FOR 801 00:33:35,040 --> 00:33:45,320 ASIANS COMPARED TO WHITES. 802 00:33:45,320 --> 00:33:48,360 ISSUES FROM OUR PRIORITY AT 803 00:33:48,360 --> 00:33:51,040 NIMHD WE HAVE RELATIVELY GOOD 804 00:33:51,040 --> 00:33:52,280 POPULATION OUTCOMES AND RATHER 805 00:33:52,280 --> 00:33:55,080 THAN SAY WELL, WE'RE DONE, ONE 806 00:33:55,080 --> 00:34:00,240 IS IN A RESEARCH PERSPECTIVE AND 807 00:34:00,240 --> 00:34:00,920 WHY IS THIS? 808 00:34:00,920 --> 00:34:04,480 WHAT ARE THE GOOD ASPECTS AND IS 809 00:34:04,480 --> 00:34:09,160 IT ALL IMMIGRANT EFFECTS 70% OF 810 00:34:09,160 --> 00:34:13,800 ALL ASIANS ARE FIRST GENERATION 811 00:34:13,800 --> 00:34:14,080 IMMIGRANTS. 812 00:34:14,080 --> 00:34:19,040 THERE WERE DISPARITIES IN 813 00:34:19,040 --> 00:34:24,560 COVID-19 AMONG ASIAN AMERICANS 814 00:34:24,560 --> 00:34:27,600 AND THERE WERE SOME AREAS WHERE 815 00:34:27,600 --> 00:34:29,520 IT WAS NOT TRUE LIKE IN PLACES 816 00:34:29,520 --> 00:34:31,840 LIKE CALIFORNIA AND IT REFLECTS 817 00:34:31,840 --> 00:34:33,640 THE TYPE OF EMPLOYMENT AND THE 818 00:34:33,640 --> 00:34:35,320 ABILITY TO SELF-ISOLATE OR WORK 819 00:34:35,320 --> 00:34:39,040 FROM HOME THAT VARIED ACROSS THE 820 00:34:39,040 --> 00:34:42,240 COUNTRY. 821 00:34:42,240 --> 00:34:47,400 AND HEPATITIS B IS A 822 00:34:47,400 --> 00:34:50,280 PARTICULARLY CHRONIC PROBLEM FOR 823 00:34:50,280 --> 00:34:52,800 ASIAN AMERICANS WITH HIGH RATES 824 00:34:52,800 --> 00:34:56,640 OF TRANSMISSION AT CHILDHOOD AND 825 00:34:56,640 --> 00:34:59,880 AT BIRTH AND THIS IS PREVENTIBLE 826 00:34:59,880 --> 00:35:01,680 WITH A VERY EFFECTIVE VACCINE 827 00:35:01,680 --> 00:35:03,080 AND WE'VE SEEN TREMENDOUS 828 00:35:03,080 --> 00:35:07,040 PROGRESS IN SOME COUNTRIES IN 829 00:35:07,040 --> 00:35:08,920 ASIA BY BROAD IMMUNIZATION 830 00:35:08,920 --> 00:35:09,320 CAMPAIGNS. 831 00:35:09,320 --> 00:35:13,160 WE NEED TO FOLLOW THOSE 832 00:35:13,160 --> 00:35:15,040 FOOTSTEPS IN THE UNITED STATES 833 00:35:15,040 --> 00:35:19,040 NOT ONLY PREVENTING HEPATITIS B 834 00:35:19,040 --> 00:35:22,800 AND CHRONIC LIVER DISEASE AND 835 00:35:22,800 --> 00:35:26,280 LIVER DISEASE CAUSED BY THE 836 00:35:26,280 --> 00:35:28,160 HEPATITIS B VIRUS IN LIVER CELLS 837 00:35:28,160 --> 00:35:30,840 AS WELL AS WITH PEOPLE WITH 838 00:35:30,840 --> 00:35:32,800 CHRONIC HEPATITIS B AND 839 00:35:32,800 --> 00:35:37,880 INFLAMMATORY LIVER DISEASE AND 840 00:35:37,880 --> 00:35:39,040 STOMACH CANCER IS MORE COMMON 841 00:35:39,040 --> 00:35:41,840 AND LUNG CANCER HAS BEEN 842 00:35:41,840 --> 00:35:43,040 IDENTIFIED AS A CHALLENGE FOR 843 00:35:43,040 --> 00:35:44,920 NEVER SMOKERS PARTICULARLY 844 00:35:44,920 --> 00:35:45,320 WOMEN. 845 00:35:45,320 --> 00:35:47,760 WE DON'T FULLY UNDERSTAND THE 846 00:35:47,760 --> 00:35:49,440 MECHANISMS WHY THIS IS HAPPENING 847 00:35:49,440 --> 00:35:51,040 AND REALIZE THE CONFERENCE IS 848 00:35:51,040 --> 00:35:52,800 SPONSOR THE NCI AND THERE'LL BE 849 00:35:52,800 --> 00:35:58,000 A FOCUS ON CANCER. 850 00:35:58,000 --> 00:36:04,800 WE OBSERVE EXCESS RATES OF 851 00:36:04,800 --> 00:36:07,480 DIABETES DESPITE LESS OBESITY 852 00:36:07,480 --> 00:36:08,120 COMPARED TO AFRICAN AMERICANS 853 00:36:08,120 --> 00:36:13,520 AND LATINOS AND AMONG WHITE 854 00:36:13,520 --> 00:36:15,920 AMERICANS AMONG SOUTH ASIANS AND 855 00:36:15,920 --> 00:36:20,360 THOSE STUDIED AND THE DATA 856 00:36:20,360 --> 00:36:22,560 INDICATES THE OVER ALL HEALTH OF 857 00:36:22,560 --> 00:36:26,600 THIS POPULATION IS ACTUALLY 858 00:36:26,600 --> 00:36:28,720 WORSE THAN ASIAN AMERICANS AND 859 00:36:28,720 --> 00:36:31,360 WORSE THAN LATINOS AND HISPANICS 860 00:36:31,360 --> 00:36:36,320 AND WHITES BUT WORSE THAN FOR 861 00:36:36,320 --> 00:36:39,040 AFRICAN AMERICANS AND CLOSER TO 862 00:36:39,040 --> 00:36:45,480 THE RANGE WE SEE FOR AMERICAN 863 00:36:45,480 --> 00:36:47,280 INDIANS AND THERE'S PROCESSES OF 864 00:36:47,280 --> 00:36:49,000 CARE REPRESENTATIVE WHICH 865 00:36:49,000 --> 00:36:51,040 ALLUDED TO THIS. 866 00:36:51,040 --> 00:36:53,960 THE ENGAGEMENT WITH THE HEALTH 867 00:36:53,960 --> 00:36:57,600 CARE SYSTEM IS OFTEN FRAUGHT 868 00:36:57,600 --> 00:36:59,000 WITH DISTRUST. 869 00:36:59,000 --> 00:37:00,800 ASIAN AMERICANS CONSISTENTLY 870 00:37:00,800 --> 00:37:04,720 SCORE THE HIGHEST LEVEL OF 871 00:37:04,720 --> 00:37:05,360 DISSATISFACTION WITH HEALTH CARE 872 00:37:05,360 --> 00:37:07,600 COMPARED TO OTHER GROUPS DESPITE 873 00:37:07,600 --> 00:37:09,640 NOT HAVING PERHAPS WORSE HEALTH 874 00:37:09,640 --> 00:37:12,400 OUTCOMES AS I ALLUDED TO. 875 00:37:12,400 --> 00:37:15,280 WE SEE LOWER SCREENING RATES FOR 876 00:37:15,280 --> 00:37:16,760 CANCER WHERE THE POWERFUL 877 00:37:16,760 --> 00:37:21,560 RECOMMENDATION OF THE CLINICIAN 878 00:37:21,560 --> 00:37:23,840 IS OFTEN A FACTOR INFLUENCING 879 00:37:23,840 --> 00:37:27,040 PATIENT'S DECISIONS TO GET 880 00:37:27,040 --> 00:37:27,320 SCREENED. 881 00:37:27,320 --> 00:37:30,440 THE CHALLENGE OF MENTAL HEALTH 882 00:37:30,440 --> 00:37:32,480 ISSUES AND THE DISASSOCIATION OF 883 00:37:32,480 --> 00:37:33,600 MENTAL HEALTH AND PHYSICAL 884 00:37:33,600 --> 00:37:34,800 HEALTH AND THE IMPORTANCE OF 885 00:37:34,800 --> 00:37:36,400 SEEING IT AS A CONDITION OPPOSED 886 00:37:36,400 --> 00:37:40,720 TO A CHARACTER FLAW IS ONE AND 887 00:37:40,720 --> 00:37:43,040 THE STIGMA ASSOCIATED WITH IT 888 00:37:43,040 --> 00:37:47,720 ARE GREATER CHALLENGES IN ASIAN 889 00:37:47,720 --> 00:37:48,000 AMERICANS. 890 00:37:48,000 --> 00:37:51,600 THERE'S HUGE LANGUAGE BARRIERS 891 00:37:51,600 --> 00:37:53,800 ESPECIALLY FOR OLDER ADULTS AND 892 00:37:53,800 --> 00:37:54,920 IMMIGRANT AND LACK THE PHYSICIAN 893 00:37:54,920 --> 00:37:56,800 ABILITY TO SPEAK THE DIFFERENT 894 00:37:56,800 --> 00:37:57,120 LANGUAGES. 895 00:37:57,120 --> 00:38:00,760 I WITNESSED A LOT OF THIS IN SAN 896 00:38:00,760 --> 00:38:06,560 FRANCISCO WHICH IS A HEAVILY 897 00:38:06,560 --> 00:38:12,440 ASIAN CITY AND WE KNOW CLINICIAN 898 00:38:12,440 --> 00:38:13,840 CONCORDANCE IS AN IMPORTANT 899 00:38:13,840 --> 00:38:14,040 ISSUE. 900 00:38:14,040 --> 00:38:15,440 THE QUALITY OF CARE AS A 901 00:38:15,440 --> 00:38:18,080 MENTIONED IS PERCEIVED TO BE 902 00:38:18,080 --> 00:38:19,720 WORSE AND ASIAN AMERICAN 903 00:38:19,720 --> 00:38:21,880 PATIENTS ARE GENERALLY LESS 904 00:38:21,880 --> 00:38:22,760 SATISFIED IN THE SURVEYS. 905 00:38:22,760 --> 00:38:25,440 THE FEW THAT INCLUDED 906 00:38:25,440 --> 00:38:27,080 SUBSTANTIAL SAMPLES I WOULD ADD 907 00:38:27,080 --> 00:38:28,760 BECAUSE MANY OR MOST STUDIES 908 00:38:28,760 --> 00:38:36,880 HAVE NOT. 909 00:38:36,880 --> 00:38:38,840 THEN WE HAVE THE IMMIGRATION 910 00:38:38,840 --> 00:38:42,480 EXPERIENCE AND WE SAW THE RACISM 911 00:38:42,480 --> 00:38:44,400 AGAINST ASIAN AMERICANS IN 912 00:38:44,400 --> 00:38:44,800 RECENT YEARS. 913 00:38:44,800 --> 00:38:48,880 IT'S BEEN PRESENT ALL THIS TIME. 914 00:38:48,880 --> 00:38:52,000 DR. TABAK HIGHLIGHTED THE 915 00:38:52,000 --> 00:38:52,760 HISTORICAL IMPORTANCE OF THE 916 00:38:52,760 --> 00:38:55,360 CHINESE EXCLUSION ACT. 917 00:38:55,360 --> 00:38:59,040 THIS WAS HEAVILY INFLUENCED IN 918 00:38:59,040 --> 00:39:01,920 CALIFORNIA WITH CHINESE 919 00:39:01,920 --> 00:39:03,560 IMMIGRANTS HAVING BEEN BROUGHT 920 00:39:03,560 --> 00:39:05,920 TO THE COUNTRY FOR WORKING IN 921 00:39:05,920 --> 00:39:07,520 RAILROADS AND SETTLED AND LIVED 922 00:39:07,520 --> 00:39:10,760 IN SAN FRANCISCO FOR GENERATIONS 923 00:39:10,760 --> 00:39:11,600 BEFORE THIS WAS LIFTED. 924 00:39:11,600 --> 00:39:18,080 AND SO THIS HISTORY IS NOT 925 00:39:18,080 --> 00:39:18,960 RESOLVED EXCLUSIVELY WITH 926 00:39:18,960 --> 00:39:21,280 LEGISLATIVE ACTION AND WE DO 927 00:39:21,280 --> 00:39:26,040 NEED TO BE ATTUNE TO THIS. 928 00:39:26,040 --> 00:39:30,920 AN EXAMPLE WAS A STUDY CONDUCTED 929 00:39:30,920 --> 00:39:31,880 BY NIMHD INTRAMURAL 930 00:39:31,880 --> 00:39:34,480 INVESTIGATORS SHOWING THE 931 00:39:34,480 --> 00:39:35,440 COVID-RELATED DISCRIMINATION IN 932 00:39:35,440 --> 00:39:35,960 DECEMBER. 933 00:39:35,960 --> 00:39:41,760 THE SURVEY WAS CONDUCTED TO 934 00:39:41,760 --> 00:39:45,960 FEBRUARY 2021 WAS HIGHEST AMONG 935 00:39:45,960 --> 00:39:46,800 ASIAN AMERICANS NOT JUST IN 936 00:39:46,800 --> 00:39:49,120 COMPARE TO WHITE AMERICANS, 30% 937 00:39:49,120 --> 00:39:51,320 VERSUS 10% BUT ALSO COMPARED TO 938 00:39:51,320 --> 00:39:56,640 OTHER RACIAL AND ETHNIC 939 00:39:56,640 --> 00:40:05,560 POPULATIONS IN THE COUNTRY. 940 00:40:05,560 --> 00:40:08,760 NIMHD FUNDS ABOUT 13% OF OUR 941 00:40:08,760 --> 00:40:12,280 AWARDS PRIMARILY RO1s ON ASIAN 942 00:40:12,280 --> 00:40:17,560 AMERICAN HEALTH AND ABOUT 8% ON 943 00:40:17,560 --> 00:40:18,200 NATIVE HAWAIIAN PACIFIC ISLANDER 944 00:40:18,200 --> 00:40:20,760 HEALTH IT'S PART OF OUR MISSION 945 00:40:20,760 --> 00:40:23,040 AND WILL CONTINUE TO BE SO. 946 00:40:23,040 --> 00:40:26,720 ACROSS NIH ABOUT 21% OF RO1 947 00:40:26,720 --> 00:40:32,600 GRANTS AND 20% OF Ks ARE AWARDED 948 00:40:32,600 --> 00:40:35,040 TO ASIAN AMERICANS INVESTIGATOR 949 00:40:35,040 --> 00:40:39,040 AND YOU SEE THE TINY FRACTION OF 950 00:40:39,040 --> 00:40:46,000 RO1s BY NATIVE HAWAIIAN AND 951 00:40:46,000 --> 00:40:47,400 PACIFIC ISLANDERS AT NIMHD AND 952 00:40:47,400 --> 00:40:50,080 THEY REPRESENT SOMEWHERE AROUND 953 00:40:50,080 --> 00:40:54,600 .5% OF THE U.S. POPULATION SO WE 954 00:40:54,600 --> 00:40:56,960 SEE WE HAVE A WAYS TO GO. 955 00:40:56,960 --> 00:41:00,600 I WANT TO THANK EVERYONE FOR 956 00:41:00,600 --> 00:41:01,960 THEIR ATTENTION AND WE LOOK 957 00:41:01,960 --> 00:41:02,440 FORWARD TO THE OTHER 958 00:41:02,440 --> 00:41:03,040 PRESENTATIONS. 959 00:41:03,040 --> 00:41:09,840 THANK YOU. 960 00:41:09,840 --> 00:41:14,520 >>THANK YOU, DR. PEREZ-STABLE. 961 00:41:14,520 --> 00:41:16,000 THE NEXT SPEAKER IS DR. CHAN 962 00:41:16,000 --> 00:41:17,720 FROM THE NATIONAL EYE INSTITUTE. 963 00:41:17,720 --> 00:41:20,240 WHILE I'M DOING THE BRIEF 964 00:41:20,240 --> 00:41:22,280 INTRODUCTION I HOPE OUR I.T. 965 00:41:22,280 --> 00:41:25,960 COLLEAGUES CAN GET ACCESS TO 966 00:41:25,960 --> 00:41:29,200 DR. CHAN AS A SPEAKER, PLEASE. 967 00:41:29,200 --> 00:41:32,800 DR. CHAN IS A LEADING RESEARCHER 968 00:41:32,800 --> 00:41:34,800 IN THE DEVELOPMENT AND 969 00:41:34,800 --> 00:41:40,400 APPLICATION OF INFORMATICS 970 00:41:40,400 --> 00:41:45,080 METHODS TO CLINICAL STUDY AND 971 00:41:45,080 --> 00:41:47,080 LED THE ARTIFICIAL INTELLIGENCE 972 00:41:47,080 --> 00:41:50,200 FOR RETINALPATHY THAT RECEIVED A 973 00:41:50,200 --> 00:41:52,480 BREAKTHROUGH STATUS FROM THE 974 00:41:52,480 --> 00:41:53,080 FDA. 975 00:41:53,080 --> 00:41:57,520 DR. CHAN RECEIVED A B.S. IN 976 00:41:57,520 --> 00:42:00,600 ELECTROENGINEERING AND BIOLOGY 977 00:42:00,600 --> 00:42:01,800 FROM STANFORD UNIVERSITY AND 978 00:42:01,800 --> 00:42:02,400 M.D. FROM THE HARVARD MEDICAL 979 00:42:02,400 --> 00:42:03,640 SCHOOL AND HARVARD M.I. T. 980 00:42:03,640 --> 00:42:04,880 PROGRAM IN HEALTH SCIENCE AND 981 00:42:04,880 --> 00:42:10,120 COMPLETED RESIDENCY AND 982 00:42:10,120 --> 00:42:12,840 FELLOWSHIP AT JOHNS HOPKINS AND 983 00:42:12,840 --> 00:42:16,440 HAD FACULTY POSITIONS AT 984 00:42:16,440 --> 00:42:17,760 COLUMBIA AND HEALTH SCIENCES 985 00:42:17,760 --> 00:42:18,360 UNIVERSITY BEFORE JOINING THE 986 00:42:18,360 --> 00:42:18,560 NIH. 987 00:42:18,560 --> 00:42:21,920 DR. CHAN. 988 00:42:21,920 --> 00:42:23,280 >>MING, THANK YOU VERY MUCH FOR 989 00:42:23,280 --> 00:42:24,600 THE INTRODUCTION AND TO YOU AND 990 00:42:24,600 --> 00:42:26,920 DAN FOR THE OPPORTUNITY TO SPEAK 991 00:42:26,920 --> 00:42:30,480 HERE AND GIVE BRIEF REMARKS. 992 00:42:30,480 --> 00:42:33,360 I'M GRATEFUL NIH IS DOING SO 993 00:42:33,360 --> 00:42:38,280 MUCH TO CELEBRATE AANHPI 994 00:42:38,280 --> 00:42:39,400 HERITAGE MONTH. 995 00:42:39,400 --> 00:42:40,440 FROM A PERSONAL PERSPECTIVE I 996 00:42:40,440 --> 00:42:43,440 GREW UP IN THE 1970s AND 1980s 997 00:42:43,440 --> 00:42:44,360 IN DETROIT, MICHIGAN. 998 00:42:44,360 --> 00:42:46,160 AT THE TIME THERE WAS WHAT I 999 00:42:46,160 --> 00:42:48,560 WOULD SAY SIGNIFICANT ANTI-ASIAN 1000 00:42:48,560 --> 00:42:51,240 SENTIMENT IN THE COUNTRY AND 1001 00:42:51,240 --> 00:42:54,560 ESPECIALLY IN DETROIT BECAUSE OF 1002 00:42:54,560 --> 00:42:56,280 ANTI-JAPANESE FEELINGS FROM 1003 00:42:56,280 --> 00:42:58,200 COMPETITION IN THE AUTOMOTIVE 1004 00:42:58,200 --> 00:42:58,480 INDUSTRY. 1005 00:42:58,480 --> 00:43:00,000 AND THAT SUPER IMPOSED ON 1006 00:43:00,000 --> 00:43:03,240 PEOPLE'S WHAT I CALL INNATE 1007 00:43:03,240 --> 00:43:03,480 BIASES. 1008 00:43:03,480 --> 00:43:06,400 WHEN I LOOK AT THE LANDSCAPE NOW 1009 00:43:06,400 --> 00:43:09,680 I SEE A LOT OF SIMILARITIES BUT 1010 00:43:09,680 --> 00:43:11,520 ON A MUCH LARGER SCALE AND I 1011 00:43:11,520 --> 00:43:14,640 THINK THAT'S PARTLY DUE TO 1012 00:43:14,640 --> 00:43:16,320 ANTI-ASIAN FEELINGS FROM THE 1013 00:43:16,320 --> 00:43:19,240 PANDEMIC AND SOME POLITICAL 1014 00:43:19,240 --> 00:43:21,120 ISSUES DR. TABAK MENTIONED. 1015 00:43:21,120 --> 00:43:27,800 AND I THINK IT'S ALSO COMMON TO 1016 00:43:27,800 --> 00:43:31,240 OVERLOOK AANHPIs IN AREAS LIKE 1017 00:43:31,240 --> 00:43:34,160 LEADERSHIP BECAUSE OF THE BIAS 1018 00:43:34,160 --> 00:43:37,360 THEY'RE BETTER WORKERS THAN 1019 00:43:37,360 --> 00:43:39,040 COMMUNICATORS AND I'M GLAD 1020 00:43:39,040 --> 00:43:41,000 DR. D'SOUZA IS GIVING THE KEY 1021 00:43:41,000 --> 00:43:44,280 NOTE AND DR. BYRNES AFTER ME. 1022 00:43:44,280 --> 00:43:46,800 I'LL SAY FROM A HEALTH 1023 00:43:46,800 --> 00:43:48,360 PERSPECTIVE I'M GLAD 1024 00:43:48,360 --> 00:43:50,520 DR. PEREZ-STABLE BROUGHT TO 1025 00:43:50,520 --> 00:43:52,680 ATTENTION THE FACT THAT AANHPIs 1026 00:43:52,680 --> 00:43:56,960 ARE A VERY HETEROGENEOUS GROUP 1027 00:43:56,960 --> 00:43:57,720 WITH A LOT OF DIFFERENT I'D SAY 1028 00:43:57,720 --> 00:44:00,320 UNIQUE NEEDS. 1029 00:44:00,320 --> 00:44:03,600 AND SO WHAT I'M GOING TO DO IS 1030 00:44:03,600 --> 00:44:07,000 JUST TALK ABOUT IT AND SHARE A 1031 00:44:07,000 --> 00:44:10,520 FEW SLIDES HERE DEALING WITH EYE 1032 00:44:10,520 --> 00:44:21,040 HEALTH IN AANHPI COMMUNITIES. 1033 00:44:21,680 --> 00:44:24,520 FROM THE PERSPECTIVE OF 1034 00:44:24,520 --> 00:44:29,360 FOLLOWING ON WHAT ELISEO SAID 1035 00:44:29,360 --> 00:44:31,160 THIS GROUP IS DYNAMIC. 1036 00:44:31,160 --> 00:44:34,160 ASIANS ARE PREDICTED TO BE THE 1037 00:44:34,160 --> 00:44:35,000 LARGEST IMMIGRANT GROUP IN THE 1038 00:44:35,000 --> 00:44:37,400 U.S. BY 2055. 1039 00:44:37,400 --> 00:44:40,480 IN 2018 THE TOP COUNTRY OF 1040 00:44:40,480 --> 00:44:43,120 ORIGIN FOR NEW IMMIGRANT WAS 1041 00:44:43,120 --> 00:44:48,160 CHINA, 149,000 PEOPLE. 1042 00:44:48,160 --> 00:44:52,080 I WANTED TO GIVE EXAMPLES OF 1043 00:44:52,080 --> 00:44:53,120 UNIQUE NEEDS WITHIN THE AANHPI 1044 00:44:53,120 --> 00:44:55,760 COMMUNITY AS IT PERTAINS TO 1045 00:44:55,760 --> 00:44:57,320 VISION AND EYE CARE. 1046 00:44:57,320 --> 00:45:00,280 THERE WAS A GROUP AT THE 1047 00:45:00,280 --> 00:45:01,960 UNIVERSITY OF SOUTHERN 1048 00:45:01,960 --> 00:45:03,840 CALIFORNIA THAT CONDUCTED WHAT 1049 00:45:03,840 --> 00:45:04,480 WAS KNOWN AS THE CHINESE 1050 00:45:04,480 --> 00:45:06,760 AMERICAN EYE STUDY AND IT'S A 1051 00:45:06,760 --> 00:45:09,080 POPULATION-BASED STUDY OF ABOUT 1052 00:45:09,080 --> 00:45:10,560 5,000 CHINESE AMERICANS WHO WERE 1053 00:45:10,560 --> 00:45:14,400 50 YEARS AND OLDER RESIDING IN 1054 00:45:14,400 --> 00:45:15,760 SOUTHERN CALIFORNIA IN MONTEREY 1055 00:45:15,760 --> 00:45:16,240 PARK. 1056 00:45:16,240 --> 00:45:20,040 IT WAS DESIGNED TO ADDRESS A 1057 00:45:20,040 --> 00:45:21,360 LACK OF DATA ABOUT EYE AND 1058 00:45:21,360 --> 00:45:25,800 VISION HEALTH IN OLDER CHINESE 1059 00:45:25,800 --> 00:45:26,080 AMERICANS. 1060 00:45:26,080 --> 00:45:28,280 AND WHAT THE GROUP REALLY FOUND 1061 00:45:28,280 --> 00:45:30,680 WAS THAT CHINESE AMERICANS HAD A 1062 00:45:30,680 --> 00:45:32,160 PREVALENCE OF VISUAL IMPAIRMENT 1063 00:45:32,160 --> 00:45:34,240 SIMILAR TO NON-HISPANIC WHITES 1064 00:45:34,240 --> 00:45:35,720 AND LATINO INDIVIDUALS IN THE 1065 00:45:35,720 --> 00:45:38,560 U.S. WITH SIMILAR CAUSES. 1066 00:45:38,560 --> 00:45:44,080 AND UNRECORRECTED A GLASSES AND 1067 00:45:44,080 --> 00:45:48,840 CATARACTS WERE COMMON CAUSE OF 1068 00:45:48,840 --> 00:45:50,200 LOSS OF VISION NOW, ONE OF THE 1069 00:45:50,200 --> 00:45:51,720 THINGS THAT CAME UP THAT WAS 1070 00:45:51,720 --> 00:45:53,640 UNIQUE WITHIN THE GROUP WAS ONE 1071 00:45:53,640 --> 00:45:58,360 OF THE MOST COMMON CAUSES WAS 1072 00:45:58,360 --> 00:46:02,560 MYOPIC RETINOPATHY AND IT'S 1073 00:46:02,560 --> 00:46:03,320 DEGENERATIVE DISEASE OF THE 1074 00:46:03,320 --> 00:46:06,400 RETINA THAT IS NOT AS COMMON IN 1075 00:46:06,400 --> 00:46:07,240 OTHER RACIAL OR OTHER ETHNIC 1076 00:46:07,240 --> 00:46:10,920 GROUPS. 1077 00:46:10,920 --> 00:46:14,280 AND BUILDING ON THIS THE 1078 00:46:14,280 --> 00:46:17,000 RESEARCH COMMUNITY HAS REALLY 1079 00:46:17,000 --> 00:46:19,240 CONTINUED TO DO SOME STUDIES IN 1080 00:46:19,240 --> 00:46:23,240 DISEASES THAT ARE UNIQUE TO OR 1081 00:46:23,240 --> 00:46:26,880 MORE COMMON IN PEOPLE OF AANHPI 1082 00:46:26,880 --> 00:46:27,120 DESCENT. 1083 00:46:27,120 --> 00:46:35,240 ONE EXAMPLE OF EARLY CAREER 1084 00:46:35,240 --> 00:46:36,680 SCIENTISTS THAT LEAD A STUDY 1085 00:46:36,680 --> 00:46:43,160 THAT EVALUATES A NEW METHOD OF 1086 00:46:43,160 --> 00:46:45,240 DIAGNOSING PRIMARY ANGLE CLOSURE 1087 00:46:45,240 --> 00:46:47,080 GLAUCOMA AND IS SIGNIFICANTLY 1088 00:46:47,080 --> 00:46:50,560 HIGHER IN PEOPLE OF CHINESE AND 1089 00:46:50,560 --> 00:46:52,960 SOUTH ASIAN DESCENT COMPARED TO 1090 00:46:52,960 --> 00:46:56,840 EUROPEANS AND HAS A HIGHER RISK 1091 00:46:56,840 --> 00:46:59,000 OF SEVERE IMPARMENTD AND PAIN 1092 00:46:59,000 --> 00:47:02,640 COMPARED TO WHAT WE SEE MORE 1093 00:47:02,640 --> 00:47:08,440 OFTEN WHICH IS COMMON GLAUCOMA 1094 00:47:08,440 --> 00:47:13,720 AND IS EVALUATE ING A METHOD 1095 00:47:13,720 --> 00:47:15,240 INVOLVING METHODS LIKE 1096 00:47:15,240 --> 00:47:17,000 ARTIFICIAL INTELLIGENCE, 1097 00:47:17,000 --> 00:47:20,040 AUTOMATED DIAGNOSIS. 1098 00:47:20,040 --> 00:47:22,760 AND THE ONLY OTHER THING I WANT 1099 00:47:22,760 --> 00:47:25,800 TO CALL ATTENTION TO IS MYOPIA. 1100 00:47:25,800 --> 00:47:28,840 A COMMON DISEASE, 1101 00:47:28,840 --> 00:47:29,640 NEAR-SIGHTEDNESS BUT IN THE 1102 00:47:29,640 --> 00:47:31,240 POPULATION AT LARGE THE 1103 00:47:31,240 --> 00:47:32,840 PREVALENCE OF MYOPIA IS 1104 00:47:32,840 --> 00:47:34,840 INCREASING RAPIDLY. 1105 00:47:34,840 --> 00:47:37,960 OVER THE PAST 20, 30 YEARS THE 1106 00:47:37,960 --> 00:47:39,280 TREND LINE HAS GONE UP 1107 00:47:39,280 --> 00:47:41,960 SIGNIFICANTLY. 1108 00:47:41,960 --> 00:47:45,360 NOW, BEFORE I GET INTO THE 1109 00:47:45,360 --> 00:47:47,520 AANHPI SPECIFIC ASPECT OF IT, 1110 00:47:47,520 --> 00:47:50,280 I'LL JUST SAY THAT NOBODY REALLY 1111 00:47:50,280 --> 00:47:52,080 UNDERSTANDS WHY THAT IS. 1112 00:47:52,080 --> 00:47:55,920 DURING THIS PANDEMIC THE 1113 00:47:55,920 --> 00:47:57,800 PREVALENCE HAS INCREASED FAIRLY 1114 00:47:57,800 --> 00:48:02,400 SIGNIFICANTLY AND THERE ARE OVER 1115 00:48:02,400 --> 00:48:10,600 200 GENETIC LOCI IDENTIFIED AND 1116 00:48:10,600 --> 00:48:12,920 WHAT CAUSES THE EYES TO GET 1117 00:48:12,920 --> 00:48:15,840 LONGER AND NEAR SIGHTED AND 1118 00:48:15,840 --> 00:48:18,200 DOESN'T DESCRIBE THE RAPID RISE 1119 00:48:18,200 --> 00:48:18,840 IN PREVALENCE. 1120 00:48:18,840 --> 00:48:20,440 THERE'S ENVIRONMENTAL FACTORS 1121 00:48:20,440 --> 00:48:21,480 THAT HAVE BEEN SUSPECTED BUT 1122 00:48:21,480 --> 00:48:23,240 PEOPLE DON'T AGREE WHAT THEY 1123 00:48:23,240 --> 00:48:23,440 ARE. 1124 00:48:23,440 --> 00:48:27,240 SOME OF THE ENVIRONMENTAL 1125 00:48:27,240 --> 00:48:29,800 FACTORS ARE READING, STUDYING, 1126 00:48:29,800 --> 00:48:33,000 LACK OF OUTDOOR TIME, AIR 1127 00:48:33,000 --> 00:48:34,800 POLLUTION, CERTAIN WAVE LENGTHS 1128 00:48:34,800 --> 00:48:36,720 OF LIFE HAVE BEEN IMPLICATED. 1129 00:48:36,720 --> 00:48:39,280 BUT IT'S NOT REALLY -- THERE'S 1130 00:48:39,280 --> 00:48:40,480 NOT CONSENSUS ON WHAT THOSE 1131 00:48:40,480 --> 00:48:41,640 FACTORS ARE AND THERE'S REALLY 1132 00:48:41,640 --> 00:48:45,480 NOT A VERY GOOD UNDERSTANDING OF 1133 00:48:45,480 --> 00:48:46,120 WHAT THOSE PERFORM GENE 1134 00:48:46,120 --> 00:48:47,680 ENVIRONMENT INTERACTIONS ARE. 1135 00:48:47,680 --> 00:48:51,680 THE STATISTICS SHOW THAT -- IT'S 1136 00:48:51,680 --> 00:48:55,120 BEEN ESTIMATED BY 2050 THERE 1137 00:48:55,120 --> 00:48:56,600 WILL BE 5 BILLION PEOPLE 1138 00:48:56,600 --> 00:49:00,520 WORLDWIDE WITH MYOPIA AND 1 1139 00:49:00,520 --> 00:49:07,040 BILLION WITH HIGH MYOPIA AND 1140 00:49:07,040 --> 00:49:09,640 WITH GLASSES MINUS 6.0 OR WORSE 1141 00:49:09,640 --> 00:49:12,560 AND PEOPLE OF ASIAN AND EAST 1142 00:49:12,560 --> 00:49:15,520 ASIAN DESCENT CONSIDER HIGH 1143 00:49:15,520 --> 00:49:17,840 INCIDENCE OF MYOPIA AND YOU KNOW 1144 00:49:17,840 --> 00:49:22,960 THIS AND IN MOST COUNTRY IS 90% 1145 00:49:22,960 --> 00:49:23,920 AMONG YOUNGER PEOPLE ESPECIALLY. 1146 00:49:23,920 --> 00:49:25,520 THE OTHER FACTOR IS IT'S NOT 1147 00:49:25,520 --> 00:49:28,200 JUST EYE GLASSES. 1148 00:49:28,200 --> 00:49:30,360 BY AGE 75 ALMOST 4% OF PEOPLE 1149 00:49:30,360 --> 00:49:33,240 WHO ARE NEAR SIGHTED AND ALMOST 1150 00:49:33,240 --> 00:49:39,240 40% OF PEOPLE WITH HIGH MYOPIA 1151 00:49:39,240 --> 00:49:42,040 THE MINUS 6 AND WORSE WILL HAVE 1152 00:49:42,040 --> 00:49:43,400 IMPAIRMENT ASSOCIATED WITH 1153 00:49:43,400 --> 00:49:46,440 MYOPIA, RETINAL DEGENERATION OR 1154 00:49:46,440 --> 00:49:48,520 GLAUCOMA OR OTHER DEGENERATIVE 1155 00:49:48,520 --> 00:49:50,560 DISEASES OF THE RETINA THAT ARE 1156 00:49:50,560 --> 00:49:53,160 CAUSED WHEN THE EYE GETS REALLY 1157 00:49:53,160 --> 00:49:53,360 LONG. 1158 00:49:53,360 --> 00:49:56,640 SO WHAT ARE WE DOING ABOUT THIS? 1159 00:49:56,640 --> 00:50:02,880 WE ARE WORKING WITH NASEM ON A 1160 00:50:02,880 --> 00:50:04,960 CONSENSUS STUDY OF MYOPIA 1161 00:50:04,960 --> 00:50:06,760 LOOKING AT BASIC SCIENCE AND 1162 00:50:06,760 --> 00:50:10,880 HEALTH DISPARITIES OBJECTIVES. 1163 00:50:10,880 --> 00:50:14,120 FROM A SCIENTIFIC PERSPECTIVE 1164 00:50:14,120 --> 00:50:17,040 WHAT CAUSES EYES TO GROW TOO 1165 00:50:17,040 --> 00:50:19,840 LONG AND BECOME NEAR SIGHTED 1166 00:50:19,840 --> 00:50:22,960 FROM AN ENVIRONMENTAL FACTOR 1167 00:50:22,960 --> 00:50:24,400 WHAT ARE THOSE AND HOW DO WE 1168 00:50:24,400 --> 00:50:27,280 STUDY THEM AND FROM A SOCIO 1169 00:50:27,280 --> 00:50:29,800 ECONOMIC PERSPECTIVE, WHY IS IT 1170 00:50:29,800 --> 00:50:33,120 SO HARD TO GIVE PEOPLE GLASSES? 1171 00:50:33,120 --> 00:50:35,800 IN OTHER WORDS, IN THIS COUNTRY 1172 00:50:35,800 --> 00:50:39,280 WHY DO SO MANY PEOPLE WHO STILL 1173 00:50:39,280 --> 00:50:44,600 HAVE VISION LOSS FROM 1174 00:50:44,600 --> 00:50:46,760 UNREFRACTED CARE AND THERE'S A 1175 00:50:46,760 --> 00:50:50,320 LARGE PUBLIC MEETING PLANNED IN 1176 00:50:50,320 --> 00:50:54,800 2023 THROUGH NASEM AND MORE AND 1177 00:50:54,800 --> 00:50:56,480 IN CLOSING I WANT TO SAY THANK 1178 00:50:56,480 --> 00:50:59,360 YOU TO MING AND TO DAN FOR 1179 00:50:59,360 --> 00:51:03,480 LETTING ME SAY A FEW WORDS AND I 1180 00:51:03,480 --> 00:51:05,120 HOPE THAT THIS WORKSHOP CAN 1181 00:51:05,120 --> 00:51:07,040 REALLY DRAW ATTENTION TO SOME OF 1182 00:51:07,040 --> 00:51:12,760 THESE UNIQUE ISSUES THAT ADDRESS 1183 00:51:12,760 --> 00:51:16,160 PEOPLE OF AANHPI DESCENT AND 1184 00:51:16,160 --> 00:51:17,960 CREATE A BROADER CONVERSATION 1185 00:51:17,960 --> 00:51:19,320 ABOUT A LOT OF THE THIS 1186 00:51:19,320 --> 00:51:22,680 COMMUNITY IS DEALING WITH SO 1187 00:51:22,680 --> 00:51:23,120 THANK YOU VERY MUCH. 1188 00:51:23,120 --> 00:51:25,720 >>THANK YOU VERY MUCH, 1189 00:51:25,720 --> 00:51:26,760 DR. CHAN. 1190 00:51:26,760 --> 00:51:32,880 I THINK THE PERSPECTIVE THE 1191 00:51:32,880 --> 00:51:34,080 AANHPI COMMUNITY IS DIVERSE AND 1192 00:51:34,080 --> 00:51:35,560 ALSO CLOSELY CONNECTED AND 1193 00:51:35,560 --> 00:51:37,080 TOGETHER IN THIS. 1194 00:51:37,080 --> 00:51:38,440 THANK YOU SO MUCH. 1195 00:51:38,440 --> 00:51:42,760 OUR NEXT SPEAKER IS DR. NONI 1196 00:51:42,760 --> 00:51:44,160 BYRNES FROM THE CENTER OF 1197 00:51:44,160 --> 00:51:45,000 SCIENTIFIC REVIEW. 1198 00:51:45,000 --> 00:51:50,520 SHE STARTED HER CAREER AT NIH -- 1199 00:51:50,520 --> 00:51:59,040 HER NIH CAREER AS THE CSR AS AN 1200 00:51:59,040 --> 00:52:02,280 SRO AND SERVED AS CHIEF DIVISION 1201 00:52:02,280 --> 00:52:04,200 DIRECTOR, ACTING DEPUTY DIRECTOR 1202 00:52:04,200 --> 00:52:05,920 AND ACTING DIRECTOR BEFORE 1203 00:52:05,920 --> 00:52:09,120 TAKING THE HELM IN 2019. 1204 00:52:09,120 --> 00:52:14,120 AMONG HER MANY ACCOMPLISHMENTS 1205 00:52:14,120 --> 00:52:14,760 DR. BYRNES LED CSRs DEVELOPMENT 1206 00:52:14,760 --> 00:52:17,360 AND IMPLEMENTATION OF A 1207 00:52:17,360 --> 00:52:19,800 DATA-DRIVEN FRAMEWORK FOR 1208 00:52:19,800 --> 00:52:21,760 CONTINUOUS EVALUATION OF A MORE 1209 00:52:21,760 --> 00:52:27,280 THAN 170 STUDY SECTIONS THAT 1210 00:52:27,280 --> 00:52:32,800 SERVED ALL NIH FUNDING AND THE 1211 00:52:32,800 --> 00:52:36,280 ENTIRE BIOMEDICAL COMMUNITY AND 1212 00:52:36,280 --> 00:52:41,000 HOLDS A B.S. AND Ph.D. IN 1213 00:52:41,000 --> 00:52:43,280 ANALYTIC CHEMISTRY FROM EMORY 1214 00:52:43,280 --> 00:52:45,320 UNIVERSITY. 1215 00:52:45,320 --> 00:52:45,600 DR. BYRNES. 1216 00:52:45,600 --> 00:52:50,840 >>THANK YOU VERY MUCH, MING. 1217 00:52:50,840 --> 00:52:53,920 I DON'T HAVE SLIDES BUT I AM 1218 00:52:53,920 --> 00:52:54,960 DELIGHTED TO BE HERE AND WELCOME 1219 00:52:54,960 --> 00:52:58,080 EVERYONE AND DELIGHTED TO 1220 00:52:58,080 --> 00:53:02,760 WELCOME YOU TO THE 2nd ANNUAL 1221 00:53:02,760 --> 00:53:03,280 NIH ASIAN AMERICAN NATIVE 1222 00:53:03,280 --> 00:53:03,920 HAWAIIAN PACIFIC ISLANDER HEALTH 1223 00:53:03,920 --> 00:53:07,280 RESEARCH CONFERENCE. 1224 00:53:07,280 --> 00:53:12,000 THANKS TO DR. XI AND THE NIH 1225 00:53:12,000 --> 00:53:13,000 AANHPI HEALTH SCIENTIFIC 1226 00:53:13,000 --> 00:53:13,760 INTEREST GROUP FOR THEIR 1227 00:53:13,760 --> 00:53:17,000 COMMITMENT TO ADVANCING THE 1228 00:53:17,000 --> 00:53:18,240 HEALTH OF AANHPI POPULATIONS 1229 00:53:18,240 --> 00:53:20,120 WITH THIS IMPORTANT CONFERENCE. 1230 00:53:20,120 --> 00:53:24,560 IN ADDITION TO THE EXCITING 1231 00:53:24,560 --> 00:53:26,640 RESEARCH THAT WILL BE PRESENTED 1232 00:53:26,640 --> 00:53:28,320 TODAY I THINK THIS CONFERENCE 1233 00:53:28,320 --> 00:53:31,880 WILL ALSO SHOWCASE THE RICH 1234 00:53:31,880 --> 00:53:33,080 DIVERSITY WITHIN THE BROAD 1235 00:53:33,080 --> 00:53:33,920 UMBRELLA WE CALL AANHPI AND 1236 00:53:33,920 --> 00:53:37,600 RAISE AWARENESS ABOUT THE 1237 00:53:37,600 --> 00:53:39,280 IMPORTANCE OF UNDERSTANDING AND 1238 00:53:39,280 --> 00:53:41,000 ADDRESSING THE SPECIFIC HEALTH 1239 00:53:41,000 --> 00:53:43,280 CHALLENGES FACED BY THE 1240 00:53:43,280 --> 00:53:45,600 DIFFERENT AANHPI POPULATIONS. 1241 00:53:45,600 --> 00:53:51,920 EARLIER THIS YEAR I JOINED 1242 00:53:51,920 --> 00:53:54,520 DOCTORS BERNARD AND SCHWETZ AS 1243 00:53:54,520 --> 00:53:57,560 THE FOURTH CO-CHAIR OF THE UNITE 1244 00:53:57,560 --> 00:53:58,760 INITIATIVE A BROAD EFFORT TO 1245 00:53:58,760 --> 00:54:00,480 BREAK DOWN STRUCTURAL BARRIERS 1246 00:54:00,480 --> 00:54:01,800 AND ADVANCE EQUITY IN ALL 1247 00:54:01,800 --> 00:54:05,400 ASPECTS OF NIH'S ACTIVITIES. 1248 00:54:05,400 --> 00:54:09,240 THEY RANGE FROM NIH-SUPPORTED 1249 00:54:09,240 --> 00:54:12,320 BIOMEDICAL RESEARCH ECO SYSTEM 1250 00:54:12,320 --> 00:54:14,080 TO OUR OWN INTERNAL WORKFORCE 1251 00:54:14,080 --> 00:54:16,480 AND SYSTEMS. 1252 00:54:16,480 --> 00:54:18,480 MY OTHER ROLE AT NIH INVOLVES 1253 00:54:18,480 --> 00:54:20,360 DIRECTING CSR, THE CENTER FOR 1254 00:54:20,360 --> 00:54:24,080 SCIENTIFIC REVIEW WHICH CONDUCT 1255 00:54:24,080 --> 00:54:25,840 THE PEER REVIEW OF GRANT 1256 00:54:25,840 --> 00:54:26,920 APPLICATIONS FROM BASIC SCIENCES 1257 00:54:26,920 --> 00:54:31,040 TO TRANSLATIONAL, CLINICAL AND 1258 00:54:31,040 --> 00:54:33,040 SOCIAL, BEHAVIORAL AND COMMUNITY 1259 00:54:33,040 --> 00:54:33,840 RESEARCH. 1260 00:54:33,840 --> 00:54:36,680 A KEY SHARED INTEREST OF CSR AND 1261 00:54:36,680 --> 00:54:40,520 UNITE IS TO ENSURE FAIRNESS AND 1262 00:54:40,520 --> 00:54:42,160 MITIGATE BIAS IN THE IMPORTANCE 1263 00:54:42,160 --> 00:54:45,040 OF PEER REVIEW PROCESS THAT 1264 00:54:45,040 --> 00:54:46,200 UNDER LIES NIH FUNDING 1265 00:54:46,200 --> 00:54:46,600 DECISIONS. 1266 00:54:46,600 --> 00:54:48,800 WE BELIEVE THERE'S A CRITICAL 1267 00:54:48,800 --> 00:54:52,200 NEED FOR THE NIH TO HEAR DIVERSE 1268 00:54:52,200 --> 00:54:54,000 PERSPECTIVES TO FULFILL 1269 00:54:54,000 --> 00:54:56,480 PEER-REVIEW MISSIONS OF 1270 00:54:56,480 --> 00:54:58,920 IDENTIFYING THE BEST MOST 1271 00:54:58,920 --> 00:54:59,760 DISRUPTIVE NOVEL SCIENCE. 1272 00:54:59,760 --> 00:55:02,080 AS SUCH THE MOST EFFECTIVE 1273 00:55:02,080 --> 00:55:04,560 REVIEW COMMITTEES ARE BROADLY 1274 00:55:04,560 --> 00:55:07,760 DIVERSE IN MULTIPLE DIMENSIONS 1275 00:55:07,760 --> 00:55:08,920 INCLUDING DEMOGRAPHIC, 1276 00:55:08,920 --> 00:55:09,520 SCIENTIFIC CAREER STAGE AND 1277 00:55:09,520 --> 00:55:12,880 EXPERIENCE WITH PEER REVIEW. 1278 00:55:12,880 --> 00:55:14,400 WE'VE BEEN WORKING HARD WITH 1279 00:55:14,400 --> 00:55:15,520 SOME SUCCESS TO BROADEN THE 1280 00:55:15,520 --> 00:55:18,360 DIVERSITY OF OUR REVIEW 1281 00:55:18,360 --> 00:55:19,840 COMMITTEES AND WE REGULARLY POST 1282 00:55:19,840 --> 00:55:27,480 THE DATA ONLINE ON CSRs WEBSITE. 1283 00:55:27,480 --> 00:55:29,000 WHILE THE AGGREGATE 1284 00:55:29,000 --> 00:55:30,120 REPRESENTATION OF COMMITTEES 1285 00:55:30,120 --> 00:55:32,200 MATCHES OF THAT THE APPLICANT 1286 00:55:32,200 --> 00:55:35,000 POOL IS AROUND 25% WE'RE VERY 1287 00:55:35,000 --> 00:55:36,520 AWARE THIS NUMBER DOES NOT 1288 00:55:36,520 --> 00:55:39,280 REPRESENT THE HETEROGENEITY OF 1289 00:55:39,280 --> 00:55:40,760 THIS POPULATION. 1290 00:55:40,760 --> 00:55:44,600 IT'S ALSO CLEAR THAT WE HAVE 1291 00:55:44,600 --> 00:55:46,160 LOWER REPRESENTATION OF AANHPI 1292 00:55:46,160 --> 00:55:47,280 REVIEWERS AND APPLICANTS IN THE 1293 00:55:47,280 --> 00:55:50,640 AREA OF BEHAVIORAL, SOCIAL AND 1294 00:55:50,640 --> 00:55:51,200 COMMUNITY HEALTH RESEARCH. 1295 00:55:51,200 --> 00:55:58,200 THIS HAS BEEN AN AREA OF FOCUS 1296 00:55:58,200 --> 00:56:00,160 FOR RECRUITMENT AND REQUIRES A 1297 00:56:00,160 --> 00:56:02,920 BROAD BASED STRATEGY TO INVOLVE 1298 00:56:02,920 --> 00:56:04,120 UNITE AND CSR. 1299 00:56:04,120 --> 00:56:05,600 ADDITIONALLY WE HAVE INITIATED 1300 00:56:05,600 --> 00:56:08,320 CHANGES TO THE PEER-REVIEW 1301 00:56:08,320 --> 00:56:10,400 FRAMEWORK FOR RESEARCH PROJECT 1302 00:56:10,400 --> 00:56:11,640 AND FELLOWSHIP GRANT APPLICATION 1303 00:56:11,640 --> 00:56:14,280 TO REDUCE THE EFFECTS OF 1304 00:56:14,280 --> 00:56:17,320 REPUTATIONAL AND INSTITUTIONAL 1305 00:56:17,320 --> 00:56:17,600 BIAS. 1306 00:56:17,600 --> 00:56:22,440 WE ESTABLISHED DIRECT AVENUES 1307 00:56:22,440 --> 00:56:27,280 FOR THE EXTRAMURAL SCIENTIFIC 1308 00:56:27,280 --> 00:56:30,920 COMMUNITY TO REVIEW BIAS TO CSR 1309 00:56:30,920 --> 00:56:32,480 LEADERSHIP AND DEVELOPED BIAS 1310 00:56:32,480 --> 00:56:34,600 AWARENESS TRAINING WHICH HAS 1311 00:56:34,600 --> 00:56:35,920 BEEN COMPLETED BY OVER 19,000 1312 00:56:35,920 --> 00:56:38,800 SCIENTIFIC PEER REVIEWERS. 1313 00:56:38,800 --> 00:56:41,480 THROUGH UNITE A NUMBER OF 1314 00:56:41,480 --> 00:56:42,840 INITIATIVES WILL SOON BE 1315 00:56:42,840 --> 00:56:44,960 AVAILABLE NIH WIDE. 1316 00:56:44,960 --> 00:56:47,680 ULTIMATELY A FAIR PEER REVIEW 1317 00:56:47,680 --> 00:56:49,520 PROCESS WITH SCIENTIFIC EXPERT 1318 00:56:49,520 --> 00:56:51,120 WHO BRING VARIED PERSPECTIVES TO 1319 00:56:51,120 --> 00:56:53,680 THE TABLE IS CRITICAL TO 1320 00:56:53,680 --> 00:56:55,600 ENSURING NIH IDENTIFIES THE MOST 1321 00:56:55,600 --> 00:56:56,240 PROMISING RESEARCH TO ADDRESS 1322 00:56:56,240 --> 00:57:00,760 THE HEALTH OF THIS COUNTRY'S 1323 00:57:00,760 --> 00:57:01,640 RICH AND DIVERSE POPULATION. 1324 00:57:01,640 --> 00:57:04,320 OVER THE COURSE OF THIS TWO-DAY 1325 00:57:04,320 --> 00:57:08,360 CONFERENCE YOU'LL HEAR ABOUT 1326 00:57:08,360 --> 00:57:08,960 RESEARCH RELATED TO AANHPI 1327 00:57:08,960 --> 00:57:11,000 HEALTH AND HEALTH DISPARITIES 1328 00:57:11,000 --> 00:57:14,320 SPAN BROAD RANGE OF SCIENTIFIC 1329 00:57:14,320 --> 00:57:16,720 AND DISEASE AREAS INCLUDING WITH 1330 00:57:16,720 --> 00:57:18,560 ALL NIH AND UNITE LEADERSHIP I 1331 00:57:18,560 --> 00:57:20,440 LOOK FORWARD TO THE REPORT AND 1332 00:57:20,440 --> 00:57:21,320 RECOMMENDATIONS THAT WILL EMERGE 1333 00:57:21,320 --> 00:57:22,360 IN THESE DISCUSSIONS. 1334 00:57:22,360 --> 00:57:23,320 THANK YOU FOR THE OPPORTUNITY TO 1335 00:57:23,320 --> 00:57:25,600 SPEAK WITH YOU AND I'LL TURN 1336 00:57:25,600 --> 00:57:28,120 THIS BACK OVER TO MING. 1337 00:57:28,120 --> 00:57:30,760 >>THANK YOU, DR. BYRNES. 1338 00:57:30,760 --> 00:57:33,680 I SHOULD HAVE POINTED OUT YOU 1339 00:57:33,680 --> 00:57:37,720 ARE A CO-CHAIR OF THE UNITE 1340 00:57:37,720 --> 00:57:38,040 INITIATIVE. 1341 00:57:38,040 --> 00:57:43,280 IT'S VERY IMPORTANT AND OUR NEXT 1342 00:57:43,280 --> 00:57:52,840 SPEAKER IS DR. KOROSHETZ FROM 1343 00:57:52,840 --> 00:57:54,720 THE CENTER OF NEUROLOGICAL 1344 00:57:54,720 --> 00:57:55,800 DISORDERS AND STROKE AND PRIOR 1345 00:57:55,800 --> 00:57:59,360 SERVING AS THE DEPUTY DIRECTOR 1346 00:57:59,360 --> 00:58:01,320 AND ACTING DIRECTOR OF THE 1347 00:58:01,320 --> 00:58:03,080 INSTITUTE AND ALSO HELD 1348 00:58:03,080 --> 00:58:05,600 LEADERSHIP ROLES IN A NUMBER OF 1349 00:58:05,600 --> 00:58:08,920 TRANS-NIH PROGRAMS INCLUDING THE 1350 00:58:08,920 --> 00:58:10,920 BRAIN INITIATIVE AND NIH OFFICE 1351 00:58:10,920 --> 00:58:14,960 OF EMERGENCY CARE RESEARCH. 1352 00:58:14,960 --> 00:58:16,480 DR. KOROSHETZ' OWN RESEARCH 1353 00:58:16,480 --> 00:58:18,360 FOCUSSED ON DEVELOPING MEASURES 1354 00:58:18,360 --> 00:58:19,720 THAT REFLECT THE UNDERLYING 1355 00:58:19,720 --> 00:58:25,560 BIOLOGY OF NEUROLOGICAL 1356 00:58:25,560 --> 00:58:32,400 DISORDERS USING MR SPECTROSCOPY 1357 00:58:32,400 --> 00:58:35,000 HE LOOKED AT HUNTINGTON DISEASE 1358 00:58:35,000 --> 00:58:39,160 PATIENTS AND HIS TEAM PIONEERED 1359 00:58:39,160 --> 00:58:41,040 THE IMAGING IN ACUTE STROKE. 1360 00:58:41,040 --> 00:58:44,960 DR. KOROSHETZ OWNERED HIS 1361 00:58:44,960 --> 00:58:46,760 UNDERGRADUATE DEGREE FROM 1362 00:58:46,760 --> 00:58:47,320 GEORGETOWN UNIVERSITY AND 1363 00:58:47,320 --> 00:58:50,680 MEDICAL DEGREE FROM THE 1364 00:58:50,680 --> 00:58:53,080 UNIVERSITY OF CHICAGO AND HAS 1365 00:58:53,080 --> 00:58:58,120 FELLOWSHIP TRAINING AT THE 1366 00:58:58,120 --> 00:59:00,240 UNIVERSITY OF CHICAGO AND 1367 00:59:00,240 --> 00:59:00,920 MASSACHUSETTS GENERAL HOSPITAL 1368 00:59:00,920 --> 00:59:03,520 AND A PROFESSOR AT HARVARD 1369 00:59:03,520 --> 00:59:06,680 MEDICAL SCHOOL AND MASS GENERAL 1370 00:59:06,680 --> 00:59:10,160 PRIOR TO JOINING NIH IN 2007. 1371 00:59:10,160 --> 00:59:10,840 DR. KOROSHETZ. 1372 00:59:10,840 --> 00:59:12,680 >>THANK YOU, MING. 1373 00:59:12,680 --> 00:59:14,240 IT'S A PLEASURE TO TALK TO YOU 1374 00:59:14,240 --> 00:59:18,880 TODAY AND TWO MAIN POINTS. 1375 00:59:18,880 --> 00:59:25,120 ONE IS NINDS AS WELL AS ALL OF 1376 00:59:25,120 --> 00:59:26,480 NIH INVESTED IN PROFESSIONAL 1377 00:59:26,480 --> 00:59:30,600 DEVELOPMENT AND THE 1378 00:59:30,600 --> 00:59:32,840 CONTRIBUTIONS OF ALL ASIAN 1379 00:59:32,840 --> 00:59:34,360 SCIENTISTS AND THE SECOND ONE I 1380 00:59:34,360 --> 00:59:36,280 CAN'T HELP BUT GO INTO A PUBLIC 1381 00:59:36,280 --> 00:59:39,200 HEALTH ISSUE WHICH IS STROKE AND 1382 00:59:39,200 --> 00:59:43,280 IN PARTICULAR WITH REGARD TO 1383 00:59:43,280 --> 00:59:50,560 STROKE AND ASIAN AMERICANS. 1384 00:59:50,560 --> 00:59:56,400 THIS SLIDE BASICALLY SHOWS AS I 1385 00:59:56,400 --> 00:59:58,840 MENTIONED THAT AANHPI 1386 00:59:58,840 --> 01:00:01,000 INVESTIGATORS HAVE A CRITICAL 1387 01:00:01,000 --> 01:00:06,360 COMPONENT OF GRANTEES AND NESNRY 1388 01:00:06,360 --> 01:00:14,960 AND ABOUT 30% OF OUR MENTEES ARE 1389 01:00:14,960 --> 01:00:19,240 OF ASIAN HERITAGE AND RECOGNIZE 1390 01:00:19,240 --> 01:00:20,600 AND HAVE RECOGNIZED OVER THE 1391 01:00:20,600 --> 01:00:22,200 PAST COUPLE YEARS THE SERIOUS 1392 01:00:22,200 --> 01:00:23,040 CONCERN OF DISCRIMINATION 1393 01:00:23,040 --> 01:00:33,560 DR. TABAK MENTIONED AND I'LL GO 1394 01:00:47,800 --> 01:00:49,880 TO COMMON CONDITIONS AND ONE IS 1395 01:00:49,880 --> 01:00:50,840 ALZHEIMER'S DISEASE AND THIS IS 1396 01:00:50,840 --> 01:00:59,000 GOING TO COME TO A HEAD I THINK 1397 01:00:59,000 --> 01:01:03,600 SHORTLY AS THE ANTI-AMYLOID 1398 01:01:03,600 --> 01:01:04,680 DRUGS COME TO THE SECTOR AND THE 1399 01:01:04,680 --> 01:01:11,480 QUESTION IS WHO BENEFITS AND WHO 1400 01:01:11,480 --> 01:01:13,080 WILL HAVE MORE RISK THAN BENEFIT 1401 01:01:13,080 --> 01:01:15,280 FROM THE THERAPIES AN THERE'S 1402 01:01:15,280 --> 01:01:18,640 REASON TO BELIEVE THERE MAY BE A 1403 01:01:18,640 --> 01:01:20,120 HETEROGENEITY IN ANSWERS TO 1404 01:01:20,120 --> 01:01:21,240 THOSE QUESTIONS WITH RESPECT TO 1405 01:01:21,240 --> 01:01:31,520 ONE'S HERITAGE. 1406 01:01:36,480 --> 01:01:42,480 AND THEY'RE SMALLER MORE 1407 01:01:42,480 --> 01:01:43,360 COMPARATIVELY IN ASIAN AMERICANS 1408 01:01:43,360 --> 01:01:45,800 AND NOT SURE WHAT THIS MEANS 1409 01:01:45,800 --> 01:01:49,760 WITH REGARD TO THE ANTI-AMYLOID 1410 01:01:49,760 --> 01:01:51,240 THERAPY BUT THERE'S MAJOR 1411 01:01:51,240 --> 01:01:53,520 BIOLOGICAL DIFFERENCES THAT WE 1412 01:01:53,520 --> 01:01:55,280 HAVE TO TAKE CARE TO 1413 01:01:55,280 --> 01:02:01,840 INVESTIGATE. 1414 01:02:01,840 --> 01:02:05,000 NOW, STROKE IT'S IMPORTANT FOR 1415 01:02:05,000 --> 01:02:11,000 THE ASIAN AMERICANS TO PAY 1416 01:02:11,000 --> 01:02:14,600 SPECIAL ATTENTION TO STROKE RISK 1417 01:02:14,600 --> 01:02:20,840 BECAUSE AND PARTS OF CHINA 1418 01:02:20,840 --> 01:02:23,960 REALLY THE ONLY PLACE IN THE 1419 01:02:23,960 --> 01:02:26,680 WORLD WHERE STROKE IS A GREATER 1420 01:02:26,680 --> 01:02:29,240 CAUSE OF MORTALITY THAN HEART 1421 01:02:29,240 --> 01:02:30,840 DISEASE. 1422 01:02:30,840 --> 01:02:32,320 FOR WHATEVER REASON THE BLOOD 1423 01:02:32,320 --> 01:02:34,200 VESSELS IN THE BRAIN MAY BE MORE 1424 01:02:34,200 --> 01:02:37,800 VULNERABLE TO THINGS LIKE 1425 01:02:37,800 --> 01:02:40,080 HYPERTENSION AND SMOKING THAN 1426 01:02:40,080 --> 01:02:48,000 THE HEART VESSELS IN ASIANS AND 1427 01:02:48,000 --> 01:02:51,120 THAT ALSO CAN AFFECT ASIAN 1428 01:02:51,120 --> 01:02:53,000 AMERICANS. 1429 01:02:53,000 --> 01:02:56,360 IF YOU LOOK AT THE U.K. AND 1430 01:02:56,360 --> 01:03:01,400 ASIAN AMERICANS LIVING IN 1431 01:03:01,400 --> 01:03:04,920 BRITAIN AND THE PATTERN OF SOUTH 1432 01:03:04,920 --> 01:03:08,640 ASIANS, THOSE FROM INDIA, AND 1433 01:03:08,640 --> 01:03:15,280 THE INCIDENTS OF STROKE IS LESS 1434 01:03:15,280 --> 01:03:17,000 IN HONOLULU STUDY THAN THE 1435 01:03:17,000 --> 01:03:21,520 FRAMINGHAM STUDY AND YOU HAVE 1436 01:03:21,520 --> 01:03:23,000 CONDITIONS LIKE AGGRESSIVE 1437 01:03:23,000 --> 01:03:28,400 STENOSIS OF THE INTERNAL CAROTID 1438 01:03:28,400 --> 01:03:30,560 ARTERIES AND THIS IS MUCH HIGHER 1439 01:03:30,560 --> 01:03:34,000 INCIDENTS AND PREVALENCE IN 1440 01:03:34,000 --> 01:03:36,320 JAPAN THAN IN NON-HISPANIC 1441 01:03:36,320 --> 01:03:37,920 WHITES, FOR INSTANCE. 1442 01:03:37,920 --> 01:03:40,840 THE OTHER POINT MADE BEFORE IS 1443 01:03:40,840 --> 01:03:42,720 THAT THE DIFFERENCE ASIAN 1444 01:03:42,720 --> 01:03:46,760 SUBPOPULATIONS ARE ACTING 1445 01:03:46,760 --> 01:03:49,240 DIFFERENTLY AND SO WE NEED TO 1446 01:03:49,240 --> 01:03:50,960 DISAGGREGATE THE SUBGROUP DATA 1447 01:03:50,960 --> 01:03:52,440 TO PROVIDE INTERVENTIONS AND 1448 01:03:52,440 --> 01:03:56,000 REDUCE ALL-STROKE MORTALITY. 1449 01:03:56,000 --> 01:04:04,360 AND THIS IS A PICTURE OF THE 1450 01:04:04,360 --> 01:04:08,200 STANDARDIZED DISABILITY LEADING 1451 01:04:08,200 --> 01:04:12,240 INTO THE BRAIN AND THE PRIMARY 1452 01:04:12,240 --> 01:04:15,240 CAUSE IS HYPERTENSION AND YOU 1453 01:04:15,240 --> 01:04:19,000 CAN SEE HERE THE LIGHT BLUE AND 1454 01:04:19,000 --> 01:04:23,280 YELLOW TO REDS AND HIGH 1455 01:04:23,280 --> 01:04:27,200 INCIDENTS AND INCREASES AND 1456 01:04:27,200 --> 01:04:29,720 INCIDENTS IN SOUTHEAST ASIANS 1457 01:04:29,720 --> 01:04:31,800 AND CHINA AND THIS IS LEADING TO 1458 01:04:31,800 --> 01:04:37,600 THE BRAIN AGAIN WE THINK MUCH 1459 01:04:37,600 --> 01:04:38,840 MORE COMMON IN ASIAN AMERICANS 1460 01:04:38,840 --> 01:04:41,280 AS WELL AS THOSE LIVING IN THESE 1461 01:04:41,280 --> 01:04:43,960 COUNTRIES COMPARED TO 1462 01:04:43,960 --> 01:04:44,960 NON-HISPANIC WHITES. 1463 01:04:44,960 --> 01:04:55,280 THE TAKE HOME MESSAGE HERE IS 1464 01:04:55,280 --> 01:04:57,840 AGGRESSIVE BLOOD PRESSURE 1465 01:04:57,840 --> 01:05:05,040 CONTROL AND YOU SEE THE RED AND 1466 01:05:05,040 --> 01:05:08,160 YELLOW HERE AND AGAIN STROKE 1467 01:05:08,160 --> 01:05:11,040 MUCH MORE COMMON IN ASIANS AND 1468 01:05:11,040 --> 01:05:12,320 IN ASIAN AMERICANS. 1469 01:05:12,320 --> 01:05:17,040 IF YOU LOOK AT U.S. DATA OF 1470 01:05:17,040 --> 01:05:19,240 ASIAN AMERICANS THE MORTALITY 1471 01:05:19,240 --> 01:05:21,880 COMPARED TO NON-HISPANIC WHITES 1472 01:05:21,880 --> 01:05:25,880 IS AS HIGH AS 1.6 FOR ALL ASIAN 1473 01:05:25,880 --> 01:05:32,960 AMERICAN AND GOES UP TO 1.8 FOR 1474 01:05:32,960 --> 01:05:39,160 VIETNAMESE MEN AND AGAIN THE 1475 01:05:39,160 --> 01:05:40,800 TAKE HOME POINT IS ASIAN 1476 01:05:40,800 --> 01:05:43,280 AMERICANS ARE MUCH MORE 1477 01:05:43,280 --> 01:05:49,120 SUSCEPTIBLE TO STROKE, DEATH AND 1478 01:05:49,120 --> 01:05:51,760 MOBILITY AND THE NEXT SLIDE 1479 01:05:51,760 --> 01:05:55,240 SHOWS DATA FROM THE GUIDELINE 1480 01:05:55,240 --> 01:05:59,040 PROJECT ACROSS THE U.S. LOTS OF 1481 01:05:59,040 --> 01:06:03,280 PEOPLE IN THIS 1. 7 MILLION 1482 01:06:03,280 --> 01:06:05,600 WHITES AND 6.4 MILLION ASIAN 1483 01:06:05,600 --> 01:06:07,800 AMERICANS AND WE SEE GREATER 1484 01:06:07,800 --> 01:06:09,040 STROKES IN ASIAN AMERICANS AND 1485 01:06:09,040 --> 01:06:10,600 HIGHER MORTALITY AND LONGER 1486 01:06:10,600 --> 01:06:15,760 LENGTH OF STAY, LESS LIKELY TO 1487 01:06:15,760 --> 01:06:17,760 LEAVE WITH DISCHARGE AND HAVE 1488 01:06:17,760 --> 01:06:21,040 MORE HEMORRHAGES AFTER BEING 1489 01:06:21,040 --> 01:06:23,040 TREATED AND MORE COMPLICATIONS 1490 01:06:23,040 --> 01:06:25,160 AND ACTUALLY THEY ARE TREATED 1491 01:06:25,160 --> 01:06:30,320 SIMILARLY IF NOT BETTER IN TERMS 1492 01:06:30,320 --> 01:06:35,040 OF GUIDELINES THROUGH ISSUES 1493 01:06:35,040 --> 01:06:44,480 MORE RELATED TO BRAIN AND THE 1494 01:06:44,480 --> 01:06:47,040 VASCULAR DISEASE THAN AN PROCESS 1495 01:06:47,040 --> 01:06:57,240 MEASURED. 1496 01:07:01,360 --> 01:07:04,920 THIS IS LOOKING AT 1497 01:07:04,920 --> 01:07:07,280 ATHEROSCLEROSIS AND AS I 1498 01:07:07,280 --> 01:07:09,280 MENTIONED BEFORE THAT IN ASIAN 1499 01:07:09,280 --> 01:07:11,520 AMERICANS AND PEOPLE LIVING IN 1500 01:07:11,520 --> 01:07:15,280 ASIA THERE'S A PROPENSITY FOR 1501 01:07:15,280 --> 01:07:18,160 ATHEROSCLEROSIS TO INVOLVED THE 1502 01:07:18,160 --> 01:07:20,560 INTRACRANIAL VESSELS AND YOU SEE 1503 01:07:20,560 --> 01:07:23,040 THE DIFFERENCES BETWEEN EXTRA 1504 01:07:23,040 --> 01:07:27,960 CAROTID ATHERO VERSUS 1505 01:07:27,960 --> 01:07:29,360 INTRACRANIAL AND FOR ASIAN 1506 01:07:29,360 --> 01:07:30,200 AMERICANS AND CHINESE IT'S 1507 01:07:30,200 --> 01:07:32,640 HIGHER ON THE INTRACRANIAL SIDE 1508 01:07:32,640 --> 01:07:39,200 THAN THE CAROTID SIDE. 1509 01:07:39,200 --> 01:07:41,960 IN PARTICULAR STROKES ARE COMMON 1510 01:07:41,960 --> 01:07:43,920 IN ASIAN AMERICANS PARTICULARLY 1511 01:07:43,920 --> 01:07:44,560 CHINESE. 1512 01:07:44,560 --> 01:07:50,360 HERE YOU CAN SEE THE DATA IN 1513 01:07:50,360 --> 01:07:52,640 HONG KONG WITH REGARDS TO THE 1514 01:07:52,640 --> 01:07:56,480 PATIENTS WITH STROKE DUE TO 1515 01:07:56,480 --> 01:07:57,400 INTRACRANIAL SCLEROSIS AND WHAT 1516 01:07:57,400 --> 01:08:01,360 WE'RE DOING AT NIH IS FUNDING A 1517 01:08:01,360 --> 01:08:05,040 TRIAL OF INTRACRANIAL STENOSIS 1518 01:08:05,040 --> 01:08:06,520 AND HAVE DONE A NUMBER OF TRIALS 1519 01:08:06,520 --> 01:08:10,840 OVER THE YEARS LOOKING AT MORE 1520 01:08:10,840 --> 01:08:13,680 AGGRESSIVE ANTI-PLATELET AGENTS 1521 01:08:13,680 --> 01:08:17,040 FOUND TO BE MOST EFFECTIVE. 1522 01:08:17,040 --> 01:08:24,120 BUT LOOKING ALSO AT THE DRUG 1523 01:08:24,120 --> 01:08:28,360 THAT REQUIRES METABOLISM LESS 1524 01:08:28,360 --> 01:08:32,000 EFFECTIVE IN ASIAN AMERICANS AND 1525 01:08:32,000 --> 01:08:38,000 WE'RE LOOKING AT THAT AND OF ALL 1526 01:08:38,000 --> 01:08:41,440 THE DIFFERENCES BETWEEN ASIAN 1527 01:08:41,440 --> 01:08:42,560 AMERICANS AND CAUCASIANS THAT 1528 01:08:42,560 --> 01:08:48,960 NEED TO BE TAKEN INTO ACCOUNT. 1529 01:08:48,960 --> 01:08:52,520 THIS SHOWS THE DIFFERENCES 1530 01:08:52,520 --> 01:08:53,800 BETWEEN DIFFERENT SUBGROUPS OF 1531 01:08:53,800 --> 01:08:54,440 ASIAN AMERICANS IN THE STROKE 1532 01:08:54,440 --> 01:08:55,000 RISK. 1533 01:08:55,000 --> 01:08:57,280 THE VIETNAMESE IS ACTUALLY THE 1534 01:08:57,280 --> 01:08:59,440 HIGHEST OF ALL. 1535 01:08:59,440 --> 01:09:06,160 NEXT IS THE GREEN WHICH IS 1536 01:09:06,160 --> 01:09:08,800 ASIAN-INDIAN AMERICANS AND AGAIN 1537 01:09:08,800 --> 01:09:12,720 THEY'RE 1.6 TIMES HIGHER THAN 1538 01:09:12,720 --> 01:09:17,360 FOR NON-HISPANIC WHITES AND THE 1539 01:09:17,360 --> 01:09:20,760 TAKE HOME MESSAGE IS MORE BLOOD 1540 01:09:20,760 --> 01:09:24,680 PRESSURE CONTROL AND WE JUST HAD 1541 01:09:24,680 --> 01:09:25,640 A MEETING WITH REGARD TO THE 1542 01:09:25,640 --> 01:09:33,240 FIRST ITEM I BROUGHT UP WITH THE 1543 01:09:33,240 --> 01:09:36,000 EXTRAMURAL ENGAGEMENT GROUP TO 1544 01:09:36,000 --> 01:09:38,880 IMPROVE THE CULTURE OF PEOPLE TO 1545 01:09:38,880 --> 01:09:42,920 TALK ABOUT THEIR ISSUES AND ALSO 1546 01:09:42,920 --> 01:09:44,760 BRING ANYTHING THAT CAN BE 1547 01:09:44,760 --> 01:09:47,560 SOLVED TO THE LEADERSHIP OF 1548 01:09:47,560 --> 01:09:47,760 NINDS. 1549 01:09:47,760 --> 01:09:49,320 AS I SAID OUR GOAL WAS TO MAKE 1550 01:09:49,320 --> 01:09:51,360 THIS A WELCOMING PLACE FOR 1551 01:09:51,360 --> 01:09:52,120 EVERYBODY TO WORK . 1552 01:09:52,120 --> 01:09:53,720 WITH THAT, THANK YOU FOR YOUR 1553 01:09:53,720 --> 01:09:54,120 ATTENTION AND TAKE CARE OF YOUR 1554 01:09:54,120 --> 01:09:55,360 BLOOD PRESSURE. 1555 01:09:55,360 --> 01:09:56,560 >>THANK YOU VERY MUCH, 1556 01:09:56,560 --> 01:09:58,640 DR. KOROSHETZ AND THANK YOU TO 1557 01:09:58,640 --> 01:10:02,280 ALL THE NIH LEADERS WHO HAVE 1558 01:10:02,280 --> 01:10:04,280 SPOKEN AND THIS CONCLUDES THIS 1559 01:10:04,280 --> 01:10:05,240 SEGMENT OF THE CONFERENCE AND 1560 01:10:05,240 --> 01:10:12,040 NOW I WILL TURN THE PODIUM TO MY 1561 01:10:12,040 --> 01:10:14,400 COLLEAGUE, AND TO INTRODUCE OUR 1562 01:10:14,400 --> 01:10:30,240 KEYNOTE SPEAKER. 1563 01:10:30,240 --> 01:10:31,680 NEXT IS DIRECTOR OF THE DIVISION 1564 01:10:31,680 --> 01:10:34,160 OF HEALTH AND BEHAVIORAL AND 1565 01:10:34,160 --> 01:10:36,560 VICE CHAIR OF RESEARCH AT THE 1566 01:10:36,560 --> 01:10:38,160 DEPARTMENT OF POPULATION HEALTH 1567 01:10:38,160 --> 01:10:42,000 AT NYU SCHOOL OF MEDICINE. 1568 01:10:42,000 --> 01:10:46,360 RESEARCH HAS FOCUSSED ON 1569 01:10:46,360 --> 01:10:48,240 PREVENTION AND REDUCING HEALTH 1570 01:10:48,240 --> 01:10:53,200 DISPARITIES AND ADVANCING HEALTH 1571 01:10:53,200 --> 01:10:56,000 EQUITY. 1572 01:10:56,000 --> 01:10:59,000 THEY HAVE DEVELOPED EXPERTISE IN 1573 01:10:59,000 --> 01:11:04,120 PARTICIPATORY RESEARCH AND 1574 01:11:04,120 --> 01:11:05,400 IMPLEMENTATION RESEARCH. 1575 01:11:05,400 --> 01:11:11,640 A 1576 01:11:11,640 --> 01:11:18,760 AND ALSO IS FROM NCI CANCER 1577 01:11:18,760 --> 01:11:25,440 CENTER AND HELD A DOCTORATE IN 1578 01:11:25,440 --> 01:11:29,320 PUBLIC HEALTH FROM COLUMBIA 1579 01:11:29,320 --> 01:11:30,760 UNIVERSITY AND CO-AUTHORED 1580 01:11:30,760 --> 01:11:32,920 PUBLICATIONS AND BOOKS AND ONE 1581 01:11:32,920 --> 01:11:35,520 ON POPULATION HEALTH APPROACHES 1582 01:11:35,520 --> 01:11:38,040 FOR ASIAN AMERICAN COMMUNITY. 1583 01:11:38,040 --> 01:11:42,240 PLEASE WELCOME DR 1584 01:11:42,240 --> 01:11:45,200 DR. TRINH-SHEVRIN. 1585 01:11:45,200 --> 01:11:48,200 >>THANK YOU. 1586 01:11:48,200 --> 01:11:54,640 I'M SHARE ON RESEARCH ON ASIAN 1587 01:11:54,640 --> 01:11:55,080 AMERICANS. 1588 01:11:55,080 --> 01:11:57,160 I'M A FIRST GENERATION IMMIGRANT 1589 01:11:57,160 --> 01:12:00,680 AND CAME TO THE UNITED STATES IN 1590 01:12:00,680 --> 01:12:03,160 1975 AND THIS NEWSPAPER CLIPPING 1591 01:12:03,160 --> 01:12:06,120 CAPTURES THE MOMENT WHEN MY 1592 01:12:06,120 --> 01:12:09,480 FAMILY ARRIVED IN SHREVEPORT, 1593 01:12:09,480 --> 01:12:09,960 LOUISIANA. 1594 01:12:09,960 --> 01:12:13,440 CURRENTLY I'M AT THE NYU SCHOOL 1595 01:12:13,440 --> 01:12:16,360 OF MEDICINE WHERE I LEAD FUNDED 1596 01:12:16,360 --> 01:12:17,440 HEALTH EQUITY RESEARCH PROGRAMS. 1597 01:12:17,440 --> 01:12:21,200 I HAVE NO CONFLICTS OF INTEREST 1598 01:12:21,200 --> 01:12:27,560 IN THE PRESENTATION TODAY. 1599 01:12:27,560 --> 01:12:29,440 I CO-LEAD WITH THE NATIONAL 1600 01:12:29,440 --> 01:12:31,080 CENTER FOR THE STUDY OF ASIAN 1601 01:12:31,080 --> 01:12:33,880 AMERICAN HEALTH AND GOING IN OUR 1602 01:12:33,880 --> 01:12:36,520 21st YEAR AS THE CENTER OF 1603 01:12:36,520 --> 01:12:36,800 EXCELLENCE. 1604 01:12:36,800 --> 01:12:39,200 WE WORK WITH COMMUNITY PARTNERS 1605 01:12:39,200 --> 01:12:40,720 AND ACADEMIC PARTNERS ON 1606 01:12:40,720 --> 01:12:45,920 SUPPORTING COMMUNITY-ENGAGED 1607 01:12:45,920 --> 01:12:51,200 RESEARCH AND WE ALSO SERVE 1608 01:12:51,200 --> 01:12:53,280 NATIVE HAWAIIAN AND PACIFIC 1609 01:12:53,280 --> 01:12:55,680 ISLANDER POPULATION TO PROMOTE 1610 01:12:55,680 --> 01:12:57,200 EQUITY AND DATA COLLECTION FOR 1611 01:12:57,200 --> 01:13:00,200 OUR AGENCIES AND CO-LEAD WITH 1612 01:13:00,200 --> 01:13:01,480 THE MOUNT SINAI SCHOOL OF 1613 01:13:01,480 --> 01:13:04,400 MEDICINE AND INSTITUTE FOR 1614 01:13:04,400 --> 01:13:07,000 FAMILY HEALTH A COMMUNITY 1615 01:13:07,000 --> 01:13:08,480 ENGAGEMENT ALLIANCE TO END COVID 1616 01:13:08,480 --> 01:13:08,800 DISPARITIES. 1617 01:13:08,800 --> 01:13:14,240 IT'S FOCUSSED ON BLACK AND LATIN 1618 01:13:14,240 --> 01:13:20,040 AMERICAN COMMUNITIES IN NEW YORK 1619 01:13:20,040 --> 01:13:22,200 AND OUR WORK IS PRESENTED WITH 1620 01:13:22,200 --> 01:13:23,920 THIS AND THE NEW YORK SEAL 1621 01:13:23,920 --> 01:13:24,200 AWARD. 1622 01:13:24,200 --> 01:13:29,360 THE PRESENTATION WILL TOUCH ON 1623 01:13:29,360 --> 01:13:30,680 SOCIAL AND HEALTH CONTEXT 1624 01:13:30,680 --> 01:13:32,480 DRIVERS OF HEALTH DISPARITIES 1625 01:13:32,480 --> 01:13:36,520 AND ADVANCING HEALTH EQUITY AND 1626 01:13:36,520 --> 01:13:41,640 WELL BEING AMONG ASIAN AMERICAN 1627 01:13:41,640 --> 01:13:42,640 POPULATIONS. 1628 01:13:42,640 --> 01:13:45,360 A LITTLE CONTEXT ASIAN AMERICANS 1629 01:13:45,360 --> 01:13:47,200 ARE THE FASTEST GROWING MINORITY 1630 01:13:47,200 --> 01:13:50,920 GROUP AND EXPECTED TO SURPASS 36 1631 01:13:50,920 --> 01:13:52,720 MILLION FUELED IN PART BY 1632 01:13:52,720 --> 01:14:00,240 IMMIGRATION TRENDS. 1633 01:14:00,240 --> 01:14:02,480 ALSO MANY ETHNICITIES FALL IN 1634 01:14:02,480 --> 01:14:06,720 THE POPULATION AND BROAD 1635 01:14:06,720 --> 01:14:11,040 CATEGORIES INCLUDE SOUTHEAST AND 1636 01:14:11,040 --> 01:14:13,320 ASIANS AND THERE'S SUB GROUPS IN 1637 01:14:13,320 --> 01:14:15,560 THOSE CATEGORIES. 1638 01:14:15,560 --> 01:14:20,480 AND THEY'RE ALSO DISPERSED MORE 1639 01:14:20,480 --> 01:14:21,800 THAN HALF LIVE IN FIVE STATES 1640 01:14:21,800 --> 01:14:24,960 AND NEW YORK HAS THE HIGHEST 1641 01:14:24,960 --> 01:14:25,560 CONCENTRATION ABOUT 1.4 ASIAN 1642 01:14:25,560 --> 01:14:30,680 AMERICANS. 1643 01:14:30,680 --> 01:14:36,080 THERE'S A GREATER PERCENTAGE OF 1644 01:14:36,080 --> 01:14:41,000 ASIAN AMERICANS WHO ARE FOREIGN 1645 01:14:41,000 --> 01:14:45,000 BORN AND WHEN YOU LOOK AT THE 1646 01:14:45,000 --> 01:14:50,520 DATA DISAGGREGATES THERE'S A 1647 01:14:50,520 --> 01:14:54,240 HIGH OF 85% AMONG TWO GROUPS AND 1648 01:14:54,240 --> 01:15:00,800 HIGHER IN THE U.S. RATE. 1649 01:15:00,800 --> 01:15:02,000 IN THE AGGREGATE ASIAN AMERICANS 1650 01:15:02,000 --> 01:15:04,160 SEEM TO HAVE A HIGHER LEVEL OF 1651 01:15:04,160 --> 01:15:04,800 EDUCATION ATTAINMENT COMPARED TO 1652 01:15:04,800 --> 01:15:06,600 THE REST OF THE U.S. 1653 01:15:06,600 --> 01:15:08,680 BUT WHEN THE DATA IS 1654 01:15:08,680 --> 01:15:11,640 DISAGGREGATED YOU SEE TREMENDOUS 1655 01:15:11,640 --> 01:15:14,800 DIFFERENCES ACROSS GROUPS AMONG 1656 01:15:14,800 --> 01:15:17,440 CAMBODIAN, BURMESE AND OTHERS 1657 01:15:17,440 --> 01:15:20,280 ARE BELOW THE NATIONAL AVERAGE. 1658 01:15:20,280 --> 01:15:23,600 INCOME ALSO TELLS A SIMILAR 1659 01:15:23,600 --> 01:15:23,800 STORY. 1660 01:15:23,800 --> 01:15:27,160 IN THE AGGREGATE ASIANS APPEAR 1661 01:15:27,160 --> 01:15:30,880 TO HAVE A HIGHER IMMEDIATE 1662 01:15:30,880 --> 01:15:32,680 HOUSEHOLD INCOME AND YOU SEE 1663 01:15:32,680 --> 01:15:34,040 DIFFERENCES IN INCOME LEVELS 1664 01:15:34,040 --> 01:15:37,000 ACROSS GROUPS. 1665 01:15:37,000 --> 01:15:40,080 FOR EXAMPLE SOME ARE A MUCH LESS 1666 01:15:40,080 --> 01:15:40,880 HOUSEHOLD INCOME. 1667 01:15:40,880 --> 01:15:43,400 IN NEW YORK CITY, ONE OUT OF 1668 01:15:43,400 --> 01:15:45,240 FIVE ASIANS ARE LIVING IN 1669 01:15:45,240 --> 01:15:53,000 POVERTY. 1670 01:15:53,000 --> 01:15:56,120 THIS IS OFTEN AN UNDER 1671 01:15:56,120 --> 01:15:57,200 RECOGNIZED MARKER OF 1672 01:15:57,200 --> 01:16:06,960 DISADVANTAGE. 1673 01:16:06,960 --> 01:16:12,520 AND DIFFERENT ENGLISH PROF 1674 01:16:12,520 --> 01:16:14,600 PROFICIENCY RATE AND HAS 1675 01:16:14,600 --> 01:16:15,200 IMPLICATIONS WITH RESPECT TO 1676 01:16:15,200 --> 01:16:25,480 LANGUAGE ACCESS. 1677 01:16:26,720 --> 01:16:28,040 HERE WE HAVE DATA FROM 1678 01:16:28,040 --> 01:16:30,800 CALIFORNIA THAT DEMONSTRATE THE 1679 01:16:30,800 --> 01:16:32,040 LEADING CANCER TYPES DIFFER 1680 01:16:32,040 --> 01:16:37,160 CONSIDERABLY ACROSS GROUPS AND 1681 01:16:37,160 --> 01:16:39,200 AS MENTIONED EARLIER THEY'RE 1682 01:16:39,200 --> 01:16:41,280 PROMINENT FOR MANY GROUPS AND 1683 01:16:41,280 --> 01:16:45,200 SOME ARE PREVENTIBLE AND YET 1684 01:16:45,200 --> 01:16:49,760 UNDER DETECTED. 1685 01:16:49,760 --> 01:16:52,320 COMPARED TO OTHER GROUPS, CANCER 1686 01:16:52,320 --> 01:16:57,440 SCREENING RATES OF PREVENTIVE 1687 01:16:57,440 --> 01:16:59,240 BEHAVIORS ARE LOWER AMONG ASIAN 1688 01:16:59,240 --> 01:16:59,480 AMERICANS. 1689 01:16:59,480 --> 01:17:02,440 IN TERMS OF DIABETES WE SEE IN 1690 01:17:02,440 --> 01:17:03,920 NEW YORK CITY THAT SOUTH AND 1691 01:17:03,920 --> 01:17:06,040 SOUTHEAST ASIAN HAVE AMONG THE 1692 01:17:06,040 --> 01:17:09,200 HIGHEST PREVALENCE AFTER MEXICAN 1693 01:17:09,200 --> 01:17:11,920 AMERICANS. 1694 01:17:11,920 --> 01:17:14,400 WHEN YOU LOOK AT OTHER DATA SETS 1695 01:17:14,400 --> 01:17:16,240 IN GEOGRAPHIC AREAS, ASIA ASIAN 1696 01:17:16,240 --> 01:17:20,440 AMERICANS AND FILIPINOS HAVE A 1697 01:17:20,440 --> 01:17:23,720 GREATER DIABETES PREVALENCE AND 1698 01:17:23,720 --> 01:17:24,320 DISTINCT DIFFERENCES ACROSS 1699 01:17:24,320 --> 01:17:24,560 GROUPS. 1700 01:17:24,560 --> 01:17:26,440 AND I WANT TO TOUCH ON MENTAL 1701 01:17:26,440 --> 01:17:27,840 HEALTH DISPARITY. 1702 01:17:27,840 --> 01:17:30,000 SUICIDE IS THE EIGHTH LEADING 1703 01:17:30,000 --> 01:17:31,920 CAUSE OF MORTALITY FOR ASIAN 1704 01:17:31,920 --> 01:17:34,280 AMERICANS COMPARED TO THE TENTH 1705 01:17:34,280 --> 01:17:36,960 FOR OTHER ETHNIC GROUPS AND 1706 01:17:36,960 --> 01:17:39,200 SUICIDE IS THE LEADING CAUSE OF 1707 01:17:39,200 --> 01:17:40,720 MORTALITY FOR ASIAN AMERICAN 1708 01:17:40,720 --> 01:17:41,840 YOUTH UNDER THE AGES OF 19. 1709 01:17:41,840 --> 01:17:47,920 PART IS DUE TO CHALLENGES OF 1710 01:17:47,920 --> 01:17:49,360 ACCESSING MENTAL HEALTH SERVICES 1711 01:17:49,360 --> 01:17:51,120 DUE TO STIGMA AND CULTURAL NORMS 1712 01:17:51,120 --> 01:17:54,000 AND LANGUAGE ACCESS AND LARGELY 1713 01:17:54,000 --> 01:17:59,800 DUE TO THE LACK SHORTAGES OF 1714 01:17:59,800 --> 01:18:00,960 BILINGUAL WORKFORCE AND I WANT 1715 01:18:00,960 --> 01:18:02,720 TO GIVE A QUICK COMMENT BEFORE 1716 01:18:02,720 --> 01:18:04,200 COVID WE OBSERVED MANY OF THE 1717 01:18:04,200 --> 01:18:07,680 DISEASES THAT WE TARGET SUCH AS 1718 01:18:07,680 --> 01:18:08,480 HYPERTENSION AND DIABETES AND 1719 01:18:08,480 --> 01:18:10,520 CANCER, MENTAL HEALTH AN STRESS 1720 01:18:10,520 --> 01:18:12,320 ARE PROMINENT FEATURES OF WHAT 1721 01:18:12,320 --> 01:18:13,440 IS SHARED BY STUDY PARTICIPANTS 1722 01:18:13,440 --> 01:18:17,560 IN OUR COMMUNITIES. 1723 01:18:17,560 --> 01:18:27,960 AND POST COVID IT HAS IMPACTED 1724 01:18:27,960 --> 01:18:29,640 COMMUNITIES OF WELL-BEING AND 1725 01:18:29,640 --> 01:18:30,120 LOOKS AT OTHER HEALTH 1726 01:18:30,120 --> 01:18:36,520 CONDITIONS. 1727 01:18:36,520 --> 01:18:38,960 WE LOOK AT HEALTH DISPARITIES 1728 01:18:38,960 --> 01:18:41,680 UNIQUE TO THE ASIAN AMERICANS 1729 01:18:41,680 --> 01:18:41,960 POPULATION. 1730 01:18:41,960 --> 01:18:47,120 THE MODERN MINORITY MYTH IS A 1731 01:18:47,120 --> 01:18:49,440 PERSISTENT STEREOTYPE AND HELP 1732 01:18:49,440 --> 01:18:50,680 TO REPRODUCE INEQUITIES FOR 1733 01:18:50,680 --> 01:18:52,680 ASIAN AMERICAN COMMUNITIES. 1734 01:18:52,680 --> 01:18:55,400 THE STEREOTYPE IS THE NOTION 1735 01:18:55,400 --> 01:18:57,200 THAT ASIAN AMERICANS ARE 1736 01:18:57,200 --> 01:19:00,480 HEALTHIER AND WEALTHIER AND 1737 01:19:00,480 --> 01:19:01,800 WISER THAN OTHER COMMUNITIES AND 1738 01:19:01,800 --> 01:19:04,680 WHILE SEEMINGLY POSITIVE HAS 1739 01:19:04,680 --> 01:19:06,040 IMIMPACTED SOCIAL POLICIES AND 1740 01:19:06,040 --> 01:19:06,560 DIRECT IMPACT ON RESEARCH 1741 01:19:06,560 --> 01:19:13,240 FUNDING. 1742 01:19:13,240 --> 01:19:17,040 HERE'S THE COVER OF TIME 1743 01:19:17,040 --> 01:19:19,280 MAGAZINE REFLECTING ASIAN 1744 01:19:19,280 --> 01:19:20,800 AMERICANS AS WIZ KIDS BUT IN 1745 01:19:20,800 --> 01:19:23,440 REALITY DOESN'T REFLECT THE FULL 1746 01:19:23,440 --> 01:19:27,040 ETHNIC AND DIVERSITY OF ASIAN 1747 01:19:27,040 --> 01:19:29,440 AMERICANS IN THE U.S. MORE HAVE 1748 01:19:29,440 --> 01:19:32,560 AND HOW IMMIGRATION PATTERNS 1749 01:19:32,560 --> 01:19:34,600 AFFECT MENTAL HEALTH AND TRAUMA 1750 01:19:34,600 --> 01:19:37,440 AND LANGUAGE INCREASES BARRIERS 1751 01:19:37,440 --> 01:19:45,680 AND DISPARITIES. 1752 01:19:45,680 --> 01:19:48,960 THERE'S BEEN A HISTORY OF 1753 01:19:48,960 --> 01:19:50,960 NEGATIVE PROPAGANDA AND 1754 01:19:50,960 --> 01:19:54,440 RESTRICTIVE POLICIES DIRECTED TO 1755 01:19:54,440 --> 01:19:59,160 ASIANS AND THE END RESULT 1756 01:19:59,160 --> 01:20:01,440 STIGMATIZING THEM AS NOT 1757 01:20:01,440 --> 01:20:02,600 TRUSTWORTHY AND SEEN AS 1758 01:20:02,600 --> 01:20:06,280 OUTSIDERS NOT FIT FOR AMERICAN 1759 01:20:06,280 --> 01:20:10,400 CITIZENSHIP AND THE INTERNMENT 1760 01:20:10,400 --> 01:20:13,920 OF ASIAN AMERICANS DURING WORLD 1761 01:20:13,920 --> 01:20:15,000 WAR II. 1762 01:20:15,000 --> 01:20:21,960 THEY'RE ALSO VIEWED AS DISEASE 1763 01:20:21,960 --> 01:20:23,800 CARRIERS AND SUCH RHETORIC 1764 01:20:23,800 --> 01:20:25,360 INCREASES VIOLENCE SINCE MARCH 1765 01:20:25,360 --> 01:20:29,920 OF 2020 HAVE LED TO COMMUNITY 1766 01:20:29,920 --> 01:20:36,560 TRAUMA AND STIGMATIZATSTIGMATIZ. 1767 01:20:36,560 --> 01:20:37,120 ASIANS WERE ONCE VIEWED AT 1768 01:20:37,120 --> 01:20:40,040 OUTSIDERS AND LUMPED TOGETHER 1769 01:20:40,040 --> 01:20:42,560 AND REINFORCING ATTITUDES AND 1770 01:20:42,560 --> 01:20:43,000 STEREOTYPES. 1771 01:20:43,000 --> 01:20:44,480 LESS FOCUS GOES TO SOCIAL NEEDS 1772 01:20:44,480 --> 01:20:50,680 AND LESS DATA IS PRODUCED. 1773 01:20:50,680 --> 01:20:53,760 AND WITH THAT LIMIT IN DATA IT 1774 01:20:53,760 --> 01:20:56,120 LEADS THE DATA TO BE AGGREGATED 1775 01:20:56,120 --> 01:20:58,720 AND OBSCURING DISPARITIES AND 1776 01:20:58,720 --> 01:21:00,520 THE CONCLUSION IN THE 1985 BLACK 1777 01:21:00,520 --> 01:21:03,200 AND MINORITY HEALTH REPORT OVER 1778 01:21:03,200 --> 01:21:05,200 ALL THIS IS A POPULATION 1779 01:21:05,200 --> 01:21:07,840 HEALTHIER THAN OTHERS AND 1780 01:21:07,840 --> 01:21:15,640 ENFORCING THE NOTION WE'RE ONE 1781 01:21:15,640 --> 01:21:18,240 MONOLITHIC POPULATION. 1782 01:21:18,240 --> 01:21:27,440 THIS HAVECONTRIBUTE TO WHAT HAS 1783 01:21:27,440 --> 01:21:30,960 PLAYED OUT WITH COVID AND 1784 01:21:30,960 --> 01:21:34,560 RESEARCH WAS FOCUSSED ON BLACK 1785 01:21:34,560 --> 01:21:45,120 AND LATIN POPULATIONS WHO FACED 1786 01:21:45,520 --> 01:21:46,040 DISCRIMINATION EARLY IN THE 1787 01:21:46,040 --> 01:21:48,040 PANDEMIC AND THERE'S 1788 01:21:48,040 --> 01:21:49,880 IMPLICATIONS IN TERMS OF THE 1789 01:21:49,880 --> 01:21:52,080 EARLIER RESOURCE ALLOCATION 1790 01:21:52,080 --> 01:21:58,880 POLICIES. 1791 01:21:58,880 --> 01:22:00,080 ADMINISTRATIVE DATA CONTRIBUTE 1792 01:22:00,080 --> 01:22:01,840 TO THE CHALLENGE OF POOR DATA 1793 01:22:01,840 --> 01:22:03,720 AND REINFORCING BIASES AND 1794 01:22:03,720 --> 01:22:10,600 MISCONCEPTIONS. 1795 01:22:10,600 --> 01:22:13,200 IN DATA LAST FALL WE SEE HOW 1796 01:22:13,200 --> 01:22:15,440 MISSING AND AGGREGATED DATA 1797 01:22:15,440 --> 01:22:17,320 OBSCURES HEALTH INEQUITIES HERE 1798 01:22:17,320 --> 01:22:19,040 AND THERE'S A SUBSTANTIAL 1799 01:22:19,040 --> 01:22:22,080 PROPORTION OF DATA CLASSIFIED AS 1800 01:22:22,080 --> 01:22:24,280 OTHER AND ARE MISSING AND FOR 1801 01:22:24,280 --> 01:22:26,560 THOSE NOT MISSING THEY'RE 1802 01:22:26,560 --> 01:22:28,720 AGGREGATED AND THOSE CLASSIFIED 1803 01:22:28,720 --> 01:22:30,600 AS OTHER FALL WITHIN THE GROUPS 1804 01:22:30,600 --> 01:22:32,920 NOTED ON THE RIGHT INCLUDING 1805 01:22:32,920 --> 01:22:36,080 ASIAN AMERICANS AND NATIVE 1806 01:22:36,080 --> 01:22:40,360 HAWAIIAN AND PACIFIC ISLANDERS. 1807 01:22:40,360 --> 01:22:45,920 TO UNDERSTAND THE DISPARITIES 1808 01:22:45,920 --> 01:22:47,640 DURING COVID COLLEAGUES WORKED 1809 01:22:47,640 --> 01:22:49,880 WITH THE HEALTH AND HOSPITALS 1810 01:22:49,880 --> 01:22:54,400 CORPORATION WHICH IS THE LARGEST 1811 01:22:54,400 --> 01:22:55,400 SAFETY NET SYSTEM IN THE NEW 1812 01:22:55,400 --> 01:22:57,400 YORK CITY AND EXAMINED DATA 1813 01:22:57,400 --> 01:22:58,840 DURING THE HEIGHT OF THE 1814 01:22:58,840 --> 01:23:00,000 PANDEMIC IN NEW YORK CITY AND 1815 01:23:00,000 --> 01:23:05,360 THROUGH THAT INNOVATIVE METHOD 1816 01:23:05,360 --> 01:23:10,160 THEY WERE ABLE TO SUPPORT 1817 01:23:10,160 --> 01:23:13,880 DISAGGREGATED DATA COLLECTION 1818 01:23:13,880 --> 01:23:21,080 AND REVEALED SOUTH ASIANS 1819 01:23:21,080 --> 01:23:23,640 RELATED DISCRIMINATION LEADING 1820 01:23:23,640 --> 01:23:27,320 TO HOSPITALIZATION AND DEATHS 1821 01:23:27,320 --> 01:23:30,800 AND LESS THAN 1% OF NIH FUNDING 1822 01:23:30,800 --> 01:23:32,880 HAS BEEN FOCUSSED ON THIS ASIAN 1823 01:23:32,880 --> 01:23:33,520 AMERICAN NATIVE HAWAIIAN PACIFIC 1824 01:23:33,520 --> 01:23:34,960 ISLANDER POPULATIONS AND FOUND 1825 01:23:34,960 --> 01:23:36,600 CONSISTENTLY OVER TIME IN TWO 1826 01:23:36,600 --> 01:23:37,880 DIFFERENT REPORTS AND SEVERAL 1827 01:23:37,880 --> 01:23:44,640 RECENT ARTICLES INCLUDING 1828 01:23:44,640 --> 01:23:46,360 ANOTHER AND THERE'S INCREASING 1829 01:23:46,360 --> 01:23:46,960 RECOGNITION OF THE KNOWLEDGE 1830 01:23:46,960 --> 01:23:49,520 GAPS AND INEQUITIES IN RESEARCH 1831 01:23:49,520 --> 01:23:52,080 FUNDING AND SUPPORT BY THE 1832 01:23:52,080 --> 01:23:54,280 CURRENT ADMINISTRATION AS WELL 1833 01:23:54,280 --> 01:23:56,160 AS THE 2021 TRANS-NIH WORKSHOP 1834 01:23:56,160 --> 01:23:58,040 IN TODAY'S CONFERENCE TO SUPPORT 1835 01:23:58,040 --> 01:23:58,840 DATA IN RESEARCH EQUITY FOR OUR 1836 01:23:58,840 --> 01:24:04,600 COMMUNITIES. 1837 01:24:04,600 --> 01:24:05,840 SO QUICKLY RECOMMENDED 1838 01:24:05,840 --> 01:24:11,200 STRATEGIES IN TERMS OF FUTURE 1839 01:24:11,200 --> 01:24:13,680 DIRECTIONS, AGAIN, ADVANCING 1840 01:24:13,680 --> 01:24:17,320 DIALOGUE AND OUR COMMUNITY 1841 01:24:17,320 --> 01:24:19,880 PARTNERS WANT DATA EQUITY AND 1842 01:24:19,880 --> 01:24:24,080 DATA AGGREGATED AND BROKEN DOWN 1843 01:24:24,080 --> 01:24:25,880 BY GENDER AND RACE AND WANT IT 1844 01:24:25,880 --> 01:24:31,600 TO INFORM THEIR PRIORITIES. 1845 01:24:31,600 --> 01:24:33,080 WE'RE WORKING WITH NATIONAL 1846 01:24:33,080 --> 01:24:35,480 PARTNERS INCLUDING THE ASIAN 1847 01:24:35,480 --> 01:24:36,800 AMERICAN HEALTH BOARD TO LOOK AT 1848 01:24:36,800 --> 01:24:38,640 DATA AND IMPROVE THAT CAPACITY 1849 01:24:38,640 --> 01:24:41,840 IN THE ELECTRONIC HEALTH RECORDS 1850 01:24:41,840 --> 01:24:45,360 AND OTHER SURVEYS TO PROMOTE 1851 01:24:45,360 --> 01:24:46,680 DISAGGREGATED DATA PROMOTION AND 1852 01:24:46,680 --> 01:24:48,080 ANALYSIS. 1853 01:24:48,080 --> 01:24:53,280 AND THERE'S A NEED FOR PRACTICE 1854 01:24:53,280 --> 01:24:55,120 RELEVANT TO MINORITY BASED 1855 01:24:55,120 --> 01:24:56,640 COMMUNITIES AND RESEARCHERS 1856 01:24:56,640 --> 01:24:58,760 SKILLED IN REACHING SMALLER 1857 01:24:58,760 --> 01:24:59,400 POPULATIONS NOT WHERE HE FLECTED 1858 01:24:59,400 --> 01:25:04,760 IN LARGER STUDIES. 1859 01:25:04,760 --> 01:25:07,840 IN THE WORK WE DO IN THE STUDY 1860 01:25:07,840 --> 01:25:11,640 OF ASIAN HEALTH WE REDUCE 1861 01:25:11,640 --> 01:25:17,640 BARRIERS TO AC ACCESS AND THOSE 1862 01:25:17,640 --> 01:25:19,560 ASSOCIATED WITH SOCIAL 1863 01:25:19,560 --> 01:25:20,560 DETERMINATES OF HEALTH AND 1864 01:25:20,560 --> 01:25:23,040 REALIZING HEALTH OCCURS AT 1865 01:25:23,040 --> 01:25:23,880 MULTIPLE LEVELS. 1866 01:25:23,880 --> 01:25:25,880 FOR EXAMPLE, OUR COMMUNITY 1867 01:25:25,880 --> 01:25:28,360 CLINICAL LINKAGE INTERVENTIONS 1868 01:25:28,360 --> 01:25:35,560 FOR CANCER, DIABETES AND 1869 01:25:35,560 --> 01:25:40,080 HYPERTENSION HAVE APPLIED THE 1870 01:25:40,080 --> 01:25:42,440 NIMHD FRAMEWORK AND 1871 01:25:42,440 --> 01:25:43,880 IMPLEMENTATION RESEARCH AND 1872 01:25:43,880 --> 01:25:46,480 PARTICIPATORY APPROACHES TO 1873 01:25:46,480 --> 01:25:48,160 TACKLE MULTIPLE LEVELS OF 1874 01:25:48,160 --> 01:25:50,320 INFLUENCE TO ENSURE REACH, 1875 01:25:50,320 --> 01:25:55,280 ADOPTION AND SUSTAINABILITY. 1876 01:25:55,280 --> 01:25:59,760 RECENTLY IN OUR WORK OF CANCER 1877 01:25:59,760 --> 01:26:02,560 PREVENTION COLLABORATING WE 1878 01:26:02,560 --> 01:26:03,640 INCORPORATED RACIAL EQUITY IN 1879 01:26:03,640 --> 01:26:06,160 OUR HEALTH EQUITY PRINCIPLES. 1880 01:26:06,160 --> 01:26:08,640 FOR EXAMPLE, STRATEGIES THAT 1881 01:26:08,640 --> 01:26:11,240 PROMOTE POWER SHARING AND 1882 01:26:11,240 --> 01:26:13,880 CAPACITY BUILDING AND 1883 01:26:13,880 --> 01:26:15,840 ACCOUNTABILITY BUILDING AND 1884 01:26:15,840 --> 01:26:17,120 RESEARCH SHARING AND ADDRESSING 1885 01:26:17,120 --> 01:26:18,040 SOCIAL AND SYSTEM LEVEL CAUSES 1886 01:26:18,040 --> 01:26:26,840 OF DISPARITIES. 1887 01:26:26,840 --> 01:26:28,040 WE WORKED CLOSELY WITH COMMUNITY 1888 01:26:28,040 --> 01:26:30,480 PARTNERS AND MEMBERS TO ENSURE 1889 01:26:30,480 --> 01:26:31,960 THE STRATEGIES THAT WE DEVELOP 1890 01:26:31,960 --> 01:26:35,360 ARE APPROPRIATE AND MEANINGFUL 1891 01:26:35,360 --> 01:26:36,320 AND CULTURALLY AND LINGUI 1892 01:26:36,320 --> 01:26:42,240 LINGUISTICALLY RELEVANT. 1893 01:26:42,240 --> 01:26:44,520 WE WORK WITH COMMUNITIES WITH 1894 01:26:44,520 --> 01:26:46,240 LIMIT TO ENGLISH AND MISTRUST IN 1895 01:26:46,240 --> 01:26:49,640 SCIENCE AND APPROACHES ARE 1896 01:26:49,640 --> 01:26:51,560 INTEGRAL IN DETERMINING THE 1897 01:26:51,560 --> 01:26:53,040 APPROACH AND REACHING UNDER 1898 01:26:53,040 --> 01:26:54,720 SERVED COMMUNITIES AND CLINICAL 1899 01:26:54,720 --> 01:26:57,320 PROVIDERS AND FACILITATING 1900 01:26:57,320 --> 01:26:58,640 BEHAVIOR CHANGE AND ADHERENCE 1901 01:26:58,640 --> 01:27:03,400 AND TRUSTED MESSENGERS. 1902 01:27:03,400 --> 01:27:05,000 CHW COMMUNITY HEALTH WORKERS CAN 1903 01:27:05,000 --> 01:27:07,160 PLAY A CRITICAL ROLE IN 1904 01:27:07,160 --> 01:27:08,920 MITIGATING SYSTEM-LEVEL BARRIERS 1905 01:27:08,920 --> 01:27:10,800 AND ACCESS TO CARE. 1906 01:27:10,800 --> 01:27:12,320 STUDIES HAVE DOCUMENTED THIS FOR 1907 01:27:12,320 --> 01:27:14,760 MANY PROGRAMS FOCUSSED ON 1908 01:27:14,760 --> 01:27:16,080 CANCER, DIABETES AND 1909 01:27:16,080 --> 01:27:23,360 HYPERTENSION DISPARITIES. 1910 01:27:23,360 --> 01:27:24,880 NEXT, I WANT TO BACK TO THE 1911 01:27:24,880 --> 01:27:26,280 ISSUE OF MENTAL HEALTH AND 1912 01:27:26,280 --> 01:27:29,920 TRAUMA AND NOW THAT WE ENTERED A 1913 01:27:29,920 --> 01:27:31,560 POST-COVID PERIOD IT'S BECOME 1914 01:27:31,560 --> 01:27:33,080 IMPORTANT TO THINK THROUGH AS WE 1915 01:27:33,080 --> 01:27:34,800 DEVELOP INTERVENTIONS WHETHER IT 1916 01:27:34,800 --> 01:27:37,720 BE FOR CANCER OR DIABETES TO 1917 01:27:37,720 --> 01:27:38,960 INTEGRATE MENTAL HEALTH 1918 01:27:38,960 --> 01:27:40,480 STRATEGIES IN OUR WORK. 1919 01:27:40,480 --> 01:27:42,240 IN THE CASE OF MENTAL HEALTH AND 1920 01:27:42,240 --> 01:27:44,800 CANCER THAT RELATIONSHIP IS 1921 01:27:44,800 --> 01:27:46,440 OFTEN OVERLOOKED YET MENTAL 1922 01:27:46,440 --> 01:27:47,840 HEALTH IS A FUNDAMENTAL 1923 01:27:47,840 --> 01:27:49,240 COMPONENT OF IMPROVING CANCER 1924 01:27:49,240 --> 01:27:51,560 OUTCOMES. 1925 01:27:51,560 --> 01:27:53,160 WE KNOW SUICIDE RATES ARE HIGHER 1926 01:27:53,160 --> 01:27:55,120 AMONG CANCER PATIENT SURVIVORS 1927 01:27:55,120 --> 01:27:56,480 COMPARED TO THE GENERAL 1928 01:27:56,480 --> 01:27:57,200 POPULATION. 1929 01:27:57,200 --> 01:27:59,160 THINKING THROUGH HOW DO WE 1930 01:27:59,160 --> 01:28:01,920 IMPROVE CANCER OUTCOMES AND 1931 01:28:01,920 --> 01:28:05,000 IMPROVE MENTAL HEALTH AND LOOK 1932 01:28:05,000 --> 01:28:06,520 IS CRITICAL AND MORE IMPORTANT 1933 01:28:06,520 --> 01:28:06,800 NOW. 1934 01:28:06,800 --> 01:28:10,440 IN THE WORK WE'RE DOING WE USED 1935 01:28:10,440 --> 01:28:12,120 CULTURE PARTICIPATORY FRAMEWORK 1936 01:28:12,120 --> 01:28:13,680 DESCRIBED EARLIER AS WELL AS 1937 01:28:13,680 --> 01:28:15,320 DESIGNED THINKING APPROACHES TO 1938 01:28:15,320 --> 01:28:16,400 UNDERSTAND THE CHALLENGES OF THE 1939 01:28:16,400 --> 01:28:18,000 COMMUNITY AND SYSTEM LEVEL FROM 1940 01:28:18,000 --> 01:28:20,120 THE PERSPECTIVE OF PATIENTS 1941 01:28:20,120 --> 01:28:24,080 ANDERS ON ACCESSING MENTAL 1942 01:28:24,080 --> 01:28:25,560 HEALTH CARE AND SOCIAL SUPPORT. 1943 01:28:25,560 --> 01:28:30,760 IN DOING THAT WORK, HERE'S A 1944 01:28:30,760 --> 01:28:31,800 PRELIMINARY MAP OF THE CANCER 1945 01:28:31,800 --> 01:28:34,440 PATIENT JOURNEY AND THE PAIN 1946 01:28:34,440 --> 01:28:35,280 POINT AND OPPORTUNITIES FOR 1947 01:28:35,280 --> 01:28:35,960 SCREENING AND SOCIAL 1948 01:28:35,960 --> 01:28:37,920 DETERMINATES OF HEALTH AND 1949 01:28:37,920 --> 01:28:39,920 THINKING THROUGH HOW DO WE 1950 01:28:39,920 --> 01:28:42,320 SUPPORT THE CAPACITY AND CAN WE 1951 01:28:42,320 --> 01:28:43,120 INTEGRATE COMMUNITY HEALTH 1952 01:28:43,120 --> 01:28:45,840 WORKERS FOR EXAMPLE TO ADDRESS 1953 01:28:45,840 --> 01:28:49,200 SOME OF THOSE GAPS WITH RESPECT 1954 01:28:49,200 --> 01:28:50,800 TO MENTAL HEALTH WORKFORCE AND 1955 01:28:50,800 --> 01:28:55,000 WORK IN CLOSE RELATIONSHIP WITH 1956 01:28:55,000 --> 01:28:56,720 CLINICAL PROVIDERS TO PROVIDE 1957 01:28:56,720 --> 01:28:57,640 THE RIGHT KIND OF CARE. 1958 01:28:57,640 --> 01:29:02,640 AND THE PATIENT-CENTERED 1959 01:29:02,640 --> 01:29:03,360 APPROACH IS NEEDED. 1960 01:29:03,360 --> 01:29:07,640 IN ADDITION WE'RE DOING WORK 1961 01:29:07,640 --> 01:29:10,080 AROUND SOCIAL DETERMINATES OF 1962 01:29:10,080 --> 01:29:13,040 HEALTH TO ADDRESS FOOD 1963 01:29:13,040 --> 01:29:16,360 INSECURITY THAT IMPACT OBESITY 1964 01:29:16,360 --> 01:29:18,560 AND CANCER RISK AND THERE'S A 1965 01:29:18,560 --> 01:29:19,960 SYSTEM SCIENCE APPROACH TO 1966 01:29:19,960 --> 01:29:22,560 UNDERSTAND FOOD INSECURITY AND 1967 01:29:22,560 --> 01:29:25,000 OBESITY RISK FOR RACIAL-ETHNIC 1968 01:29:25,000 --> 01:29:26,280 COMMUNITIES AND FROM THAT EFFORT 1969 01:29:26,280 --> 01:29:30,080 ESTABLISHED BUILDING ACCESS TO 1970 01:29:30,080 --> 01:29:31,400 FOOD THROUGH SYSTEMS OF 1971 01:29:31,400 --> 01:29:32,440 SOLIDARITY AND PILOTED THAT WORK 1972 01:29:32,440 --> 01:29:37,040 IN CHINESE AMERICANS. 1973 01:29:37,040 --> 01:29:40,880 WORKING WITH COMMUNITY PARTNERS, 1974 01:29:40,880 --> 01:29:43,920 IDENTIFYING SOLUTIONS AND 1975 01:29:43,920 --> 01:29:47,400 CO-CREATED STRATEGIES. 1976 01:29:47,400 --> 01:29:49,080 LEADING TO A MULTI PRONGED 1977 01:29:49,080 --> 01:29:50,880 APPROACH TO IMPROVING FOOD 1978 01:29:50,880 --> 01:29:55,120 ACCESS AND CULTURALLY RELEVANT 1979 01:29:55,120 --> 01:29:56,880 NUTRITION INFORMATION AND 1980 01:29:56,880 --> 01:29:57,560 PROCUREMENT PRACTICES CENTERED 1981 01:29:57,560 --> 01:30:01,160 ON COMMUNITY PREFERENCES AND 1982 01:30:01,160 --> 01:30:01,800 OPPORTUNITIES FOR LEARNING AND 1983 01:30:01,800 --> 01:30:06,000 SOCIAL ENGAGEMENT. 1984 01:30:06,000 --> 01:30:09,280 A QUICK SUMMARY OF RECOMMENDED 1985 01:30:09,280 --> 01:30:10,160 STRATEGIES TO ADVANCE EQUITY AND 1986 01:30:10,160 --> 01:30:11,760 WELL BEING. 1987 01:30:11,760 --> 01:30:16,080 WE NEED TO DISMANTLE POLICIES 1988 01:30:16,080 --> 01:30:18,920 ROOTED IN RACISM AND XENOPHOBIA 1989 01:30:18,920 --> 01:30:22,000 AND ENCOURAGE COMMUNITY PARTNERS 1990 01:30:22,000 --> 01:30:23,400 AND MEMBERS TO ENCOURAGE 1991 01:30:23,400 --> 01:30:28,400 SOLUTIONS FOR THEIR COMMUNITIES 1992 01:30:28,400 --> 01:30:35,480 AND SUPPORT DATA EQUITY THROUGH 1993 01:30:35,480 --> 01:30:37,960 RESEARCH FUNDING AND A HEALTH 1994 01:30:37,960 --> 01:30:39,600 APPROACH IS KEY TO ADDRESSING 1995 01:30:39,600 --> 01:30:40,440 SOCIAL FACTORS THAT INFLUENCE 1996 01:30:40,440 --> 01:30:43,600 WELL BEING, ACCESS, ENGAGEMENT, 1997 01:30:43,600 --> 01:30:46,240 ADOPTION AND ADHERENCE. 1998 01:30:46,240 --> 01:30:50,880 THE USE OF FRAMEWORKS ARE 1999 01:30:50,880 --> 01:30:55,600 IMPORTANT FOR SUCCESSFUL AND FOR 2000 01:30:55,600 --> 01:30:56,240 MINORITIZED FRAMEWORKS SHOULD BE 2001 01:30:56,240 --> 01:30:59,400 PART OF THAT. 2002 01:30:59,400 --> 01:31:01,960 COMMUNITY HEALTH WORKERS AND 2003 01:31:01,960 --> 01:31:03,600 STRATEGIES ARE NECESSARY IN 2004 01:31:03,600 --> 01:31:05,280 REACHING MINORITIZED COMMUNITIES 2005 01:31:05,280 --> 01:31:07,880 AND BRIDGING THE GAPS IN TRUST 2006 01:31:07,880 --> 01:31:10,720 AND AS MENTIONED BEFORE WE NEED 2007 01:31:10,720 --> 01:31:12,680 TO INTEGRATE TRAUMA-INFORMED AND 2008 01:31:12,680 --> 01:31:18,640 MENTAL HEALTH STRATEGIES FOR ALL 2009 01:31:18,640 --> 01:31:19,880 DISEASE CONDITIONS IN HEALTH 2010 01:31:19,880 --> 01:31:22,880 OUTCOMES AND FINALLY, I WOULD 2011 01:31:22,880 --> 01:31:24,080 ALSO RECOMMEND FOSTERING 2012 01:31:24,080 --> 01:31:26,520 WORKFORCE DEVELOPMENT AND 2013 01:31:26,520 --> 01:31:29,600 DIVERSITY THAT INCLUDE ASIAN 2014 01:31:29,600 --> 01:31:31,760 AMERICANS, NATIVE HAWAIIAN AND 2015 01:31:31,760 --> 01:31:36,080 PACIFIC ISLANDERS OFTEN LEFT OUT 2016 01:31:36,080 --> 01:31:37,760 IN THE DISCOURSE AND PROGRAMS ON 2017 01:31:37,760 --> 01:31:40,080 DIVERSITY AND CRIN COLLUSION AND 2018 01:31:40,080 --> 01:31:41,880 NEED A WORKFORCE TRAINED IN 2019 01:31:41,880 --> 01:31:43,640 HEALTH EQUITY RESEARCH AND WHO 2020 01:31:43,640 --> 01:31:46,200 ARE REPRESENTATIVE OF THOSE 2021 01:31:46,200 --> 01:31:46,480 COMMUNITIES. 2022 01:31:46,480 --> 01:31:49,160 IT'S CRITICAL TO ADVANCING 2023 01:31:49,160 --> 01:31:51,200 HEALTH EQUITY AND STRENGTHENING 2024 01:31:51,200 --> 01:31:52,600 THE RESEARCH WORKFORCE 2025 01:31:52,600 --> 01:31:55,360 REFLECTIVE OF THE COMMUNITY'S 2026 01:31:55,360 --> 01:31:56,720 EXPERIENCING HEALTH DISPARITIES. 2027 01:31:56,720 --> 01:31:57,760 I'M PLEASED SOME OF THESE 2028 01:31:57,760 --> 01:32:00,640 STRATEGIES ARE ALIGNED TO THE 2029 01:32:00,640 --> 01:32:02,320 NIH ROAD MAP DESCRIBED EARLIER 2030 01:32:02,320 --> 01:32:08,160 TODAY. 2031 01:32:08,160 --> 01:32:13,560 AND FINALLY THIS IS THE STUDY 2032 01:32:13,560 --> 01:32:15,440 FOR THE CENTER OF ASIAN AMERICAN 2033 01:32:15,440 --> 01:32:21,160 HEALTH AND REFLECTS THE WORK 2034 01:32:21,160 --> 01:32:23,120 THEY DO FOR MORE INFORMATION I 2035 01:32:23,120 --> 01:32:25,800 URGE YOU TO LOOK AT THE RECENTLY 2036 01:32:25,800 --> 01:32:27,360 PUBLISHED TEXTBOOK ON APPLIED 2037 01:32:27,360 --> 01:32:28,960 HEALTH APPROACHES FOR ASIAN 2038 01:32:28,960 --> 01:32:29,440 AMERICAN COMMUNITIES. 2039 01:32:29,440 --> 01:32:39,600 THANK YOU. 2040 01:33:03,200 --> 01:33:03,280 2041 01:33:03,280 --> 01:33:05,080 >>OKAY. 2042 01:33:05,080 --> 01:33:09,920 AS IRRITATING AS IT MIGHT BE TO 2043 01:33:09,920 --> 01:33:12,680 OVERCOME TECHNOLOGY, SERENDIPITY 2044 01:33:12,680 --> 01:33:17,520 HAS MANAGED AND HAPPY TO ROUND 2045 01:33:17,520 --> 01:33:19,280 OUT THE SESSION WHICH HAS BEEN 2046 01:33:19,280 --> 01:33:24,360 INFORMATIVE AND DATA DRIVEN. 2047 01:33:24,360 --> 01:33:26,880 THANK YOU FOR SHARING THE DATA 2048 01:33:26,880 --> 01:33:28,120 AND TO MY COLLEAGUES, 2049 01:33:28,120 --> 01:33:33,760 DR. PEREZ-STABLE AND DR. CHANG 2050 01:33:33,760 --> 01:33:36,080 AND YOU INSPIRE ME EVERY TIME I 2051 01:33:36,080 --> 01:33:37,160 HEAR YOU TALK. 2052 01:33:37,160 --> 01:33:40,720 I'LL TAKE A DIFFERENT TWIST ON 2053 01:33:40,720 --> 01:33:41,880 THIS BECAUSE A LOT OF THE POINTS 2054 01:33:41,880 --> 01:33:43,280 I HAD HAVE BEEN COVERED AND I'LL 2055 01:33:43,280 --> 01:33:49,960 BE GOING FASTER THAN USUAL AND 2056 01:33:49,960 --> 01:33:58,200 STARTING OUT FIRST BY BRINGING 2057 01:33:58,200 --> 01:34:06,880 WARM GREETHS FROM -- WARM 2058 01:34:06,880 --> 01:34:07,120 GREETINGS. 2059 01:34:07,120 --> 01:34:09,000 WE HAVE ONE OF THE MOST DIVERSE 2060 01:34:09,000 --> 01:34:13,840 LEADERSHIP TEAMS ON THE CAMPUS. 2061 01:34:13,840 --> 01:34:24,400 A SHOUT OUT TO MANY AND WE HAVE 2062 01:34:37,600 --> 01:34:38,600 A YOGA CLASS LATER AND 2063 01:34:38,600 --> 01:34:39,080 ACTIVITIES THAT IS ENRICHED BY 2064 01:34:39,080 --> 01:34:40,800 THE PRESENCE OF COMMUNITIES SUCH AS THIS 2065 01:34:40,800 --> 01:34:43,000 SO MY THEME IS A BIT EXTENDED 2066 01:34:43,000 --> 01:34:44,600 FROM WHAT YOU HAVE ALREADY 2067 01:34:44,600 --> 01:34:45,320 HEARD. 2068 01:34:45,320 --> 01:34:47,840 IMPROVING THE HEALTH, WELL BEING 2069 01:34:47,840 --> 01:34:51,040 AND EQUITY OF OUR COMMUNITIES IS 2070 01:34:51,040 --> 01:34:53,280 A MULTI-PRONGED CHALLENGE AND 2071 01:34:53,280 --> 01:34:54,440 I'M DELIGHTED THE EMPHASIS IS ON 2072 01:34:54,440 --> 01:34:55,080 THE SCIENCE. 2073 01:34:55,080 --> 01:34:58,480 YOU LOOK AT RISK FACTORS, 2074 01:34:58,480 --> 01:35:00,320 GENETIC, ANCESTRY DISEASE 2075 01:35:00,320 --> 01:35:02,320 MECHANISMS, ETCETERA. 2076 01:35:02,320 --> 01:35:06,360 I WANT TO GLOSS OVER NIDCRs 2077 01:35:06,360 --> 01:35:07,240 COMMITMENTS AND APPRECIATE WHY I 2078 01:35:07,240 --> 01:35:11,280 CAN GO INTO DEPTH AND PERHAPS 2079 01:35:11,280 --> 01:35:13,400 WILL ASK FOR THE COMMUNITY TO 2080 01:35:13,400 --> 01:35:15,200 SHARE THE ISSUES, CHALLENGES 2081 01:35:15,200 --> 01:35:17,440 THAT WE DEAL WITH IN ORAL 2082 01:35:17,440 --> 01:35:17,720 HEALTH. 2083 01:35:17,720 --> 01:35:20,240 I WANT TO ALSO CONTINUE TO TALK 2084 01:35:20,240 --> 01:35:22,680 ABOUT THE MIX THAT CONTRIBUTE TO 2085 01:35:22,680 --> 01:35:24,200 HEALTH DISPARITIES AND ALL OF 2086 01:35:24,200 --> 01:35:27,360 YOU HAVE COVERED THAT 2087 01:35:27,360 --> 01:35:30,280 BEAUTIFULLY. 2088 01:35:30,280 --> 01:35:31,480 AND IT'S NOT SO MUCH OF WHAT 2089 01:35:31,480 --> 01:35:34,520 HAVE YOU ALL GET TO KNOW ME 2090 01:35:34,520 --> 01:35:36,520 THOROUGHLY AND FOR ME TO SHARE 2091 01:35:36,520 --> 01:35:40,400 THE LESSONS LEARNED AND THE 2092 01:35:40,400 --> 01:35:45,160 LESSONS I WISH TO SIMPLY OPEN UP 2093 01:35:45,160 --> 01:35:47,800 FOR DISCUSSION AS WE CONTINUE 2094 01:35:47,800 --> 01:35:48,040 ON. 2095 01:35:48,040 --> 01:35:53,920 THE ORAL CAVITY, ENTIRE COMPLEX 2096 01:35:53,920 --> 01:35:58,280 WE CALL DENTAL CRANIOCOMPLEX IS 2097 01:35:58,280 --> 01:35:59,840 ESSENTIAL FOR HEALTH AND 2098 01:35:59,840 --> 01:36:00,120 WELL-BEING. 2099 01:36:00,120 --> 01:36:03,240 WE'RE WORKING HARD TO ESTABLISH 2100 01:36:03,240 --> 01:36:06,680 THE MOLECULAR MECHANISM THE 2101 01:36:06,680 --> 01:36:08,880 FACTORS THAT CONTRIBUTE TO THESE 2102 01:36:08,880 --> 01:36:09,720 CONNECTIONS AND MANY IN 2103 01:36:09,720 --> 01:36:11,040 ALZHEIMER'S AND COGNITIVE 2104 01:36:11,040 --> 01:36:15,840 DECLINE AND ASIAN AMERICAN 2105 01:36:15,840 --> 01:36:18,120 COMMUNITIES AND NATIVE HAWAIIAN 2106 01:36:18,120 --> 01:36:18,720 AND PACIFIC ISLANDERS ARE 2107 01:36:18,720 --> 01:36:21,160 SUBJECT TO EFFECTS OF THESE 2108 01:36:21,160 --> 01:36:21,920 CONNECTIONS. 2109 01:36:21,920 --> 01:36:25,920 THE PORTAL OF ENTRY FOR THE 2110 01:36:25,920 --> 01:36:27,560 COMMON RISK FACTORS, 2111 01:36:27,560 --> 01:36:29,200 CARDIOVASCULAR DISEASE AND 2112 01:36:29,200 --> 01:36:32,880 METABOLIC SYNDROME WE ARE 2113 01:36:32,880 --> 01:36:37,640 CONNECTED AND OUR SOCIETY AND 2114 01:36:37,640 --> 01:36:39,400 HEALTH POLICIES AND COVERAGE 2115 01:36:39,400 --> 01:36:43,120 PROVIDERS ARE NOT QUITE 2116 01:36:43,120 --> 01:36:45,120 INCLUSIVE OF THIS COMPLEX. 2117 01:36:45,120 --> 01:36:47,640 THAT APPLIES TO VISION AND 2118 01:36:47,640 --> 01:36:50,560 DEAFNESS AND MENTAL HEALTH AS 2119 01:36:50,560 --> 01:36:52,400 WELL. 2120 01:36:52,400 --> 01:36:56,520 IN RECOGNIZING THIS IMPORTANCE 2121 01:36:56,520 --> 01:36:58,600 NIDRR ESTABLISHED A HEALTH 2122 01:36:58,600 --> 01:37:02,280 STATUS OF THE NATION AFTER THE 2123 01:37:02,280 --> 01:37:03,120 FIRST SURGEON GENERAL'S REPORT 2124 01:37:03,120 --> 01:37:04,560 THAT BROUGHT TO LIGHT THE 2125 01:37:04,560 --> 01:37:06,480 IMPORTANCE OF ORAL HEALTH. 2126 01:37:06,480 --> 01:37:08,400 AS WE SPEARHEADED THIS THROUGH 2127 01:37:08,400 --> 01:37:10,560 THE PANDEMIC TO GET TO 2128 01:37:10,560 --> 01:37:12,440 COMPLETION WHAT STOOD OUT TO ME 2129 01:37:12,440 --> 01:37:14,880 WAS THE ONE CONCLUSION THAT IN 2130 01:37:14,880 --> 01:37:16,040 FACT POPULATIONS IN THE 2131 01:37:16,040 --> 01:37:18,320 U.S. EXPERIENCE ORAL HEALTH 2132 01:37:18,320 --> 01:37:19,480 DIFFERENTLY. 2133 01:37:19,480 --> 01:37:21,400 FOR THAT REASON OUR STRATEGIC 2134 01:37:21,400 --> 01:37:23,760 PLAN SURPRISINGLY DEVELOPED 2135 01:37:23,760 --> 01:37:25,120 INDEPENDENTLY FROM THE REPORT 2136 01:37:25,120 --> 01:37:26,960 FOCUSES ON THE HIGH LEVEL THEMES 2137 01:37:26,960 --> 01:37:29,480 OF TRANSLATING IMPLEMENTATION 2138 01:37:29,480 --> 01:37:33,160 SCIENCES IN A BIG WAY TO MAKE 2139 01:37:33,160 --> 01:37:37,640 SURE OR WORKFORCE THAT WE TRAIN 2140 01:37:37,640 --> 01:37:38,640 AND PREPARE FOR THE FUTURE 2141 01:37:38,640 --> 01:37:39,880 REPRESENT THE DEMOGRAPHICS OF 2142 01:37:39,880 --> 01:37:41,760 OUR NATION AND WILL CONTINUALLY 2143 01:37:41,760 --> 01:37:43,800 BE EVOLVING AND EVALUATING THE 2144 01:37:43,800 --> 01:37:45,720 OUTCOMES OF OUR PROGRAMS. 2145 01:37:45,720 --> 01:37:47,720 SO WE HAVE A STRATEGIC PLAN WITH 2146 01:37:47,720 --> 01:37:50,200 THE PATIENT IN THE CENTER AS YOU 2147 01:37:50,200 --> 01:37:51,480 SEE WITH ONE CLEAR GOALS WHICH 2148 01:37:51,480 --> 01:37:54,440 IS TO MAKE SURE THAT OUR SCIENCE 2149 01:37:54,440 --> 01:37:57,400 PROVIDES THE EVIDENCE THAT CAN 2150 01:37:57,400 --> 01:38:02,080 GUIDE SYSTEMS, POLICIES, SOCIETY 2151 01:38:02,080 --> 01:38:04,000 SO ORAL HEALTH IS AVAILABLE FOR 2152 01:38:04,000 --> 01:38:09,400 ALL AND HAVE IN PLACE A ROBUST 2153 01:38:09,400 --> 01:38:11,080 PROGRAM INCLUSIVE AND BRINGING 2154 01:38:11,080 --> 01:38:14,120 TO THE FORE THE SENSE OF 2155 01:38:14,120 --> 01:38:16,080 BELONGING THAT EVERYONE ON OUR 2156 01:38:16,080 --> 01:38:18,120 CAMPUS FEELS THAT SENSE OF 2157 01:38:18,120 --> 01:38:18,400 BELONGING. 2158 01:38:18,400 --> 01:38:23,440 AND WE KNOW VERY WELL STRUCTURAL 2159 01:38:23,440 --> 01:38:27,000 RACISM IN OUR SOCIETY IS THE BED 2160 01:38:27,000 --> 01:38:29,960 ROCK OF HEALTH INEQUITIES AND 2161 01:38:29,960 --> 01:38:30,240 DISPARITIES. 2162 01:38:30,240 --> 01:38:32,720 LOOKING FROM A HOLISTIC VIEW, 2163 01:38:32,720 --> 01:38:35,120 WHAT IS THAT CEILING? 2164 01:38:35,120 --> 01:38:36,600 YOU HEARD ABOUT IT. 2165 01:38:36,600 --> 01:38:39,880 OUR LAST SPEAKER ELOQUENTLY 2166 01:38:39,880 --> 01:38:41,840 DESCRIBED THAT AND THE FEELING 2167 01:38:41,840 --> 01:38:46,160 DOES NOT IMPLY IT'S A WEAK 2168 01:38:46,160 --> 01:38:46,400 BARRIER. 2169 01:38:46,400 --> 01:38:48,160 AS YOU KNOW THERE ARE BUILDINGS 2170 01:38:48,160 --> 01:38:50,240 MADE OF BAMBOO. 2171 01:38:50,240 --> 01:38:52,760 IT CAN BE A RESILIENT FIBER AND 2172 01:38:52,760 --> 01:38:57,920 INTERTWINED IN THE COMPLEXITY OF 2173 01:38:57,920 --> 01:39:00,760 WHAT WE FACE AS ASIAN AMERICAN 2174 01:39:00,760 --> 01:39:01,240 NATIVE HAWAIIAN PACIFIC 2175 01:39:01,240 --> 01:39:02,920 ISLANDERS IT'S A DETRIMENT 2176 01:39:02,920 --> 01:39:03,160 RIGHT. 2177 01:39:03,160 --> 01:39:05,200 SO THE MINORITY MYTH YOU HEARD 2178 01:39:05,200 --> 01:39:08,640 ABOUT IS THAT IN FACT OUR 2179 01:39:08,640 --> 01:39:19,040 POPULATIONS ARE QUITE 2180 01:39:21,080 --> 01:39:24,640 INDUSTRIOUS AND THERE'S A 2181 01:39:24,640 --> 01:39:26,480 CULTURE UNIQUENESS THAT 2182 01:39:26,480 --> 01:39:28,520 SOMETIMES DIVIDE US AND WITH 2183 01:39:28,520 --> 01:39:30,920 LANGUAGES AND RELIGIONS AFFECT 2184 01:39:30,920 --> 01:39:33,400 THE DIETS WE EAT AND SOCIAL 2185 01:39:33,400 --> 01:39:36,880 CONNECTIONS WE MAKE AND THIS 2186 01:39:36,880 --> 01:39:38,000 APPLIES TO THE PACIFIC 2187 01:39:38,000 --> 01:39:39,280 ISLANDERS. 2188 01:39:39,280 --> 01:39:42,000 YOU SEE THE VARIATION IN THE 2189 01:39:42,000 --> 01:39:43,480 DIVERSITY WITHIN THE 2190 01:39:43,480 --> 01:39:45,240 POPULATIONS. 2191 01:39:45,240 --> 01:39:47,640 FOR US IN ORAL HEALTH AND 2192 01:39:47,640 --> 01:39:49,840 LOOKING AT THE WORKFORCE ITSELF 2193 01:39:49,840 --> 01:39:57,880 YOU SEE THE UNDER REPRESENTATION 2194 01:39:57,880 --> 01:40:03,360 AND LEADERS IN ACADEMIA ARE 2195 01:40:03,360 --> 01:40:05,480 POORLY REPRESENTED AND WE HAVE 2196 01:40:05,480 --> 01:40:06,960 STUDENTS COMING IN BUT THOSE AT 2197 01:40:06,960 --> 01:40:09,760 THE TABLE MAKING DECISIONS AND 2198 01:40:09,760 --> 01:40:13,040 EMPOWERED TO DO SO THERE'S ROOM 2199 01:40:13,040 --> 01:40:14,640 THERE TO GROW. 2200 01:40:14,640 --> 01:40:21,760 AND THE CEILING ITSELF IS 2201 01:40:21,760 --> 01:40:23,920 DEFINED AS GENERAL POPULATIONS 2202 01:40:23,920 --> 01:40:25,240 THAT SUFFER FROM THE SAME 2203 01:40:25,240 --> 01:40:27,200 INEQUITIES AND BARRIERS AND MANY 2204 01:40:27,200 --> 01:40:29,120 ARE CULTURALLY DERIVED. 2205 01:40:29,120 --> 01:40:31,000 I'M PLEASED THIS MONTH WE CAN 2206 01:40:31,000 --> 01:40:35,200 HIGHLIGHT OUR UNIQUENESS AND 2207 01:40:35,200 --> 01:40:36,360 CULTURE. 2208 01:40:36,360 --> 01:40:38,920 COLLECTIVISM AND TRYING TO BE 2209 01:40:38,920 --> 01:40:39,800 PEACE MAKERS AND PUTTING THE 2210 01:40:39,800 --> 01:40:43,480 NEEDS IN FRONT OF US IS THE WAY 2211 01:40:43,480 --> 01:40:44,600 WE WERE RAISED. 2212 01:40:44,600 --> 01:40:47,480 DEFERENCE FOR AUTHORITY AND 2213 01:40:47,480 --> 01:40:51,280 OCCUPATION ACHIEVEMENTS AND THE 2214 01:40:51,280 --> 01:40:54,400 POWERFUL SENSE OF FAMILY VALUES 2215 01:40:54,400 --> 01:40:56,720 AND TRUE RESPECT FOR AUTHORITY 2216 01:40:56,720 --> 01:41:02,280 AND WHO WE ARE AND THIS I THINK 2217 01:41:02,280 --> 01:41:05,000 IS UNIQUE CULTURAL THEMES THAT 2218 01:41:05,000 --> 01:41:07,440 CONNECT US AND CONSIDERED AS BIG 2219 01:41:07,440 --> 01:41:08,840 STRENGTHS IN SOCIETY. 2220 01:41:08,840 --> 01:41:10,760 THE PROBLEMS WE REALIZED WITH 2221 01:41:10,760 --> 01:41:15,360 THE BAMBOO CEILING IS MANY OF US 2222 01:41:15,360 --> 01:41:18,320 LIVE UNFULFILLED POTENTIAL WITH 2223 01:41:18,320 --> 01:41:18,640 FRUSTRATIONS. 2224 01:41:18,640 --> 01:41:21,160 WE TURNOVER OFTEN BECAUSE 2225 01:41:21,160 --> 01:41:23,800 THERE'S NO ONE'S PATH WHO IS 2226 01:41:23,800 --> 01:41:25,360 PATH WE CAN SHAPE OUR CAREERS 2227 01:41:25,360 --> 01:41:27,160 WITH AND ROLE MODELS AND MENTORS 2228 01:41:27,160 --> 01:41:28,680 ARE LACK IN GENERAL AND THE OVER 2229 01:41:28,680 --> 01:41:31,480 ALL LACK OF DIVERSITY AFFECTS 2230 01:41:31,480 --> 01:41:33,040 HOW DECISIONS ARE MADE AND WE 2231 01:41:33,040 --> 01:41:36,440 HAVE SEEN THAT EVIDENCE IN OUR 2232 01:41:36,440 --> 01:41:36,680 CAMPUS. 2233 01:41:36,680 --> 01:41:37,320 AND WE'RE PLEASED THE POSITION 2234 01:41:37,320 --> 01:41:39,920 NIH IS TAKING THAT IS FUTURISTIC 2235 01:41:39,920 --> 01:41:41,320 AND PROGRESSIVE. 2236 01:41:41,320 --> 01:41:44,880 NOW, HOW DID I GET IN THIS 2237 01:41:44,880 --> 01:41:45,120 POSITION? 2238 01:41:45,120 --> 01:41:49,440 WHAT WAS MY JOURNEY LIKE? 2239 01:41:49,440 --> 01:41:53,040 THAT SENSE OF CURIOSITY OF A 2240 01:41:53,040 --> 01:41:54,400 CHILD TRYING TO UNDERSTAND WHY 2241 01:41:54,400 --> 01:41:57,800 THINGS WERE SO ANECDOTAL AND WHY 2242 01:41:57,800 --> 01:42:01,480 DON'T WE HAVE A MORE 2243 01:42:01,480 --> 01:42:03,400 SCIENCE-BASED TRUST IN DENTISTRY 2244 01:42:03,400 --> 01:42:05,520 AND CRANIOFACIAL HEALTH HOWEVER, 2245 01:42:05,520 --> 01:42:07,760 THAT WAS ALWAYS BALANCED WITH 2246 01:42:07,760 --> 01:42:09,600 THE NEED TO GIVE BACK WITH 2247 01:42:09,600 --> 01:42:10,880 MENTORING AND THE SHARING OF 2248 01:42:10,880 --> 01:42:11,120 KNOWLEDGE. 2249 01:42:11,120 --> 01:42:13,480 FOR ME AND I'M HOPING FOR MOST 2250 01:42:13,480 --> 01:42:16,320 OF YOU THE BALANCE IS EQUALLY 2251 01:42:16,320 --> 01:42:16,640 WEIGHTED. 2252 01:42:16,640 --> 01:42:19,320 OUR OWN SUCCESSES ARE REALLY 2253 01:42:19,320 --> 01:42:21,240 GOING TO BE BUILT ON THE NUMBER 2254 01:42:21,240 --> 01:42:23,160 WE TRAIN OR INSPIRE FOR THE 2255 01:42:23,160 --> 01:42:23,360 FUTURE. 2256 01:42:23,360 --> 01:42:24,960 THE COMMITMENT TO DIVERSITY HAS 2257 01:42:24,960 --> 01:42:27,960 ALWAYS BEEN WITH ME. 2258 01:42:27,960 --> 01:42:30,840 I WAS IN TEXAS AND UTAH, VERY 2259 01:42:30,840 --> 01:42:32,600 CONSERVATIVE STATES AND DIDN'T 2260 01:42:32,600 --> 01:42:33,840 SEE MANY PEOPLE WHO LOOKED LIKE 2261 01:42:33,840 --> 01:42:35,480 ME IN POSITIONS OF DECISION 2262 01:42:35,480 --> 01:42:37,840 MAKING. 2263 01:42:37,840 --> 01:42:40,280 THAT CALLED ME TO THE POSITION 2264 01:42:40,280 --> 01:42:42,000 AND DROVE ME TO MAKE A 2265 01:42:42,000 --> 01:42:44,960 DIFFERENCE AND I WAS IN DALLAS 2266 01:42:44,960 --> 01:42:46,720 IN MY APARTMENT BECAUSE I 2267 01:42:46,720 --> 01:42:49,520 COMMUTED FOR A WHILE AS A CHAIR 2268 01:42:49,520 --> 01:42:53,000 AND RAN INTO AN ASTROLOGER WHO 2269 01:42:53,000 --> 01:42:57,400 TOLD ME SATURN TAKES PO 30 2270 01:42:57,400 --> 01:43:01,160 YEARS TO REVOLVE AROUND THE 2271 01:43:01,160 --> 01:43:03,400 EARTH AND OUR LIFE SPANS ARE 2272 01:43:03,400 --> 01:43:05,600 MOSTLY ON 30 YEAR CYCLES AND I'M 2273 01:43:05,600 --> 01:43:07,040 NOT A FIRM BELIEVER BUT LISTENED 2274 01:43:07,040 --> 01:43:10,160 TO HER AND I LOOKED AT MY LIFE 2275 01:43:10,160 --> 01:43:13,040 AND THAT IS TRUE PLUS FOR MINUS 2276 01:43:13,040 --> 01:43:15,440 FIVE YEARS AND A CAME IN TO THE 2277 01:43:15,440 --> 01:43:18,440 COUNTRY LIKE MANY OF YOU AS A 2278 01:43:18,440 --> 01:43:21,320 FIRST GENERATION AND RAISED 2279 01:43:21,320 --> 01:43:26,320 CATHOLIC IN A PREDOMINANT MUSLIM 2280 01:43:26,320 --> 01:43:29,800 AND HINDU SOCIETY AND I TRAVELED 2281 01:43:29,800 --> 01:43:32,360 TO THE U.S. IN 1978 AND MY 2282 01:43:32,360 --> 01:43:34,160 SIBLINGS AND MY MOM WITH ME. 2283 01:43:34,160 --> 01:43:37,240 THE FAMILY UPBRINGING CAME THE 2284 01:43:37,240 --> 01:43:38,640 LESSON WHERE WE COME FROM DOES 2285 01:43:38,640 --> 01:43:40,520 MATTER AND OUR ROOTS ARE 2286 01:43:40,520 --> 01:43:42,320 IMPORTANT AND THEY'RE VALUABLE 2287 01:43:42,320 --> 01:43:43,200 AND WE SHOULD NEVER HIDE THEM 2288 01:43:43,200 --> 01:43:45,400 AND BE PROUD OF THEM BECAUSE OUR 2289 01:43:45,400 --> 01:43:47,360 FAMILY VALUES ARE STRONG AND FOR 2290 01:43:47,360 --> 01:43:50,080 ME IT WAS ABOUT WORKING HARD AND 2291 01:43:50,080 --> 01:43:52,000 ALWAYS HELPING THE LESS 2292 01:43:52,000 --> 01:43:52,280 FORTUNATE. 2293 01:43:52,280 --> 01:43:56,320 I TOOK THAT WITH ME THROUGHOUT 2294 01:43:56,320 --> 01:43:58,680 MY CAREER NO MATTER HOW LONG 2295 01:43:58,680 --> 01:43:59,600 STRUGGLES I FACED I ALWAYS FELT 2296 01:43:59,600 --> 01:44:01,080 I NEEDED TO HELP SOMEONE WHO 2297 01:44:01,080 --> 01:44:02,560 DIDN'T HAVE THE POSITION OR 2298 01:44:02,560 --> 01:44:03,400 RESOURCES I HAD. 2299 01:44:03,400 --> 01:44:05,840 I LEARNED THAT WHEN YOU LOOK AT 2300 01:44:05,840 --> 01:44:07,480 PREJUDICES AND BIASES IT TOOK ME 2301 01:44:07,480 --> 01:44:09,320 TO A HIGHER LEVEL OF THINKING 2302 01:44:09,320 --> 01:44:12,800 THESE BELONG TO A GROUP OF HUMAN 2303 01:44:12,800 --> 01:44:15,040 FRAILTIES AND IT'S PART OF THE 2304 01:44:15,040 --> 01:44:15,840 PROCESS TO DIFFERENTIATE FROM 2305 01:44:15,840 --> 01:44:18,400 EACH OTHER AND FROM THE ANIMAL 2306 01:44:18,400 --> 01:44:21,160 KINGDOM AND FOR ME INTERPRETING 2307 01:44:21,160 --> 01:44:22,760 NEGATIVE EVENTS IN THE PROPER 2308 01:44:22,760 --> 01:44:25,240 CONTEXT WAS PAYING ATTENTION TO 2309 01:44:25,240 --> 01:44:26,480 ENVIRONMENTAL CUES BECAME A 2310 01:44:26,480 --> 01:44:29,600 LESSON I LEARNED AS A STUMBLED 2311 01:44:29,600 --> 01:44:29,960 THROUGH LIFE. 2312 01:44:29,960 --> 01:44:32,200 AND NOW 25 OR SO I COME TO THE 2313 01:44:32,200 --> 01:44:34,960 U.S. AND SETTING UP MY CAREER 2314 01:44:34,960 --> 01:44:36,920 AND MOVED TO HOUSTON BECAUSE MY 2315 01:44:36,920 --> 01:44:42,160 FUTURE HUSBAND WAS FACED THERE 2316 01:44:42,160 --> 01:44:45,240 AND THE ENERGY INDUSTRY KEPT ME 2317 01:44:45,240 --> 01:44:50,720 TRAPPED IN TEXAS AND BECAME A 2318 01:44:50,720 --> 01:44:51,640 U.S. CITIZEN AND MOTHERED TWO 2319 01:44:51,640 --> 01:44:55,000 BEAUTIFUL CHILDREN AND BEGAN MY 2320 01:44:55,000 --> 01:44:55,800 ACADEMIC CAREER AND THAT'S WHEN 2321 01:44:55,800 --> 01:44:57,400 THE WORLD WAS CHANGING FOR ME IN 2322 01:44:57,400 --> 01:44:58,360 MY SECOND CYCLE. 2323 01:44:58,360 --> 01:45:01,120 AND IN THE THIRD CYCLE I WAS 2324 01:45:01,120 --> 01:45:03,400 GATHERING ALL THESE EXPERIENCES 2325 01:45:03,400 --> 01:45:06,760 AND STRUGGLING THROUGH ACADEMIC 2326 01:45:06,760 --> 01:45:10,280 LIFE TENURE, ALL THAT DESPITE A 2327 01:45:10,280 --> 01:45:12,960 PRODUCTIVE C.V. BUT I HAD THE 2328 01:45:12,960 --> 01:45:13,880 OPPORTUNITY TO SERVE IN 2329 01:45:13,880 --> 01:45:14,960 IMPORTANT POSITIONS THAT TOOK ME 2330 01:45:14,960 --> 01:45:16,800 OUTSIDE THE WORLD THAT HELPED ME 2331 01:45:16,800 --> 01:45:25,040 VALUE THE BEAUTY OF THE HUMAN 2332 01:45:25,040 --> 01:45:25,240 SOUL. 2333 01:45:25,240 --> 01:45:27,400 HERE I AM IN SOUTH AFRICA LOVING 2334 01:45:27,400 --> 01:45:32,120 MY TIME THERE FOCUSSING ON CLEFT 2335 01:45:32,120 --> 01:45:34,480 PALATE RESEARCH AND MY 2336 01:45:34,480 --> 01:45:35,480 CLUELESSNESS LED ME TO RESHAPE 2337 01:45:35,480 --> 01:45:38,920 MY OWN THINKING TO BECOME FAR 2338 01:45:38,920 --> 01:45:42,160 MORE CLUED IN ABOUT WHERE WAS 2339 01:45:42,160 --> 01:45:44,160 AND WHAT I WAS TO DO AND LEARN 2340 01:45:44,160 --> 01:45:47,000 FROM THE SECOND CYCLE HERE I AM 2341 01:45:47,000 --> 01:45:53,080 IN JAPAN IN A REAL KIMONO AND 2342 01:45:53,080 --> 01:45:56,000 NEVER GIVE UP WHEN ALL SEEMS TO 2343 01:45:56,000 --> 01:45:56,240 FAIL. 2344 01:45:56,240 --> 01:45:57,640 IN FACT SUCCESS IS DETERMINED BY 2345 01:45:57,640 --> 01:46:00,760 NOT THE NUMBER OF TIMES YOU FALL 2346 01:46:00,760 --> 01:46:02,600 BUT THE TIMES YOU RISE. 2347 01:46:02,600 --> 01:46:04,880 UNDERSTANDING VALUES LIKE HERE 2348 01:46:04,880 --> 01:46:07,480 AT NIH, ENVIRONMENTAL CUES, 2349 01:46:07,480 --> 01:46:08,120 DEVELOPING EXCELLENCE AND 2350 01:46:08,120 --> 01:46:11,920 EXPERTISE AND MAKING SURE THAT 2351 01:46:11,920 --> 01:46:13,680 IS IN FACT RECOGNIZED BY THE 2352 01:46:13,680 --> 01:46:15,440 INDIVIDUALS WHO WORK WITH YOU, 2353 01:46:15,440 --> 01:46:17,400 SUPERVISORS AND YOUR PEERS AND 2354 01:46:17,400 --> 01:46:19,840 ALWAYS BALANCING THAT LONG-TERM 2355 01:46:19,840 --> 01:46:23,480 VISION AND I'M SO MUCH IN THAT 2356 01:46:23,480 --> 01:46:24,440 CATEGORY WITH MORE IMMEDIATE 2357 01:46:24,440 --> 01:46:26,480 GOAL SETTING GIVING BACK AND 2358 01:46:26,480 --> 01:46:28,040 MENTORING SERVICE MAKES FOR A 2359 01:46:28,040 --> 01:46:33,120 LIFE-LONG JOURNEY OF LEARNING. 2360 01:46:33,120 --> 01:46:35,560 NOW THAT I'M HERE I THOUGHT MY 2361 01:46:35,560 --> 01:46:36,680 CUMULATIVE EXPERIENCES HAD A 2362 01:46:36,680 --> 01:46:37,000 PURPOSE. 2363 01:46:37,000 --> 01:46:39,080 I DIDN'T KNOW THAT AND KNOW 2364 01:46:39,080 --> 01:46:43,480 EVERY CHALLENGE I FACED WAS 2365 01:46:43,480 --> 01:46:47,280 PREPARING ME FOR ANOTHER ROLE 2366 01:46:47,280 --> 01:46:49,960 BUT THE POSITION BECAME 2367 01:46:49,960 --> 01:46:51,960 AVAILABLE AND I FELT I HAD A 2368 01:46:51,960 --> 01:46:53,400 STEP UP BUT THAT DEEP SENSE OF 2369 01:46:53,400 --> 01:46:56,200 CALLING TO MAKE A DIFFERENCE TO 2370 01:46:56,200 --> 01:46:59,400 THE ORAL HEALTH PROFESSION AND 2371 01:46:59,400 --> 01:46:59,720 INEQUITIES. 2372 01:46:59,720 --> 01:47:00,960 NOW, AS I GO THROUGH MY 2373 01:47:00,960 --> 01:47:03,360 EXPERIENCES HERE AND BRINGING 2374 01:47:03,360 --> 01:47:05,640 ALL THAT I HAVE ENCOUNTERED IN 2375 01:47:05,640 --> 01:47:07,480 THE PAST I LEARNED LESSONS THAT 2376 01:47:07,480 --> 01:47:09,440 AS THE IMPORTANT TO STUDY 2377 01:47:09,440 --> 01:47:11,480 CONFLICTS USING MULTIPLE LENSES 2378 01:47:11,480 --> 01:47:13,520 WHICH MEANS WE LISTEN TO THE 2379 01:47:13,520 --> 01:47:16,800 OTHER PERSON ON THE OTHER SIDE 2380 01:47:16,800 --> 01:47:18,400 OF THE DIVIDE. 2381 01:47:18,400 --> 01:47:22,520 IT'S VERY EASY AND I AM AND I'M 2382 01:47:22,520 --> 01:47:23,480 SURE MY ASIAN AMERICAN 2383 01:47:23,480 --> 01:47:25,960 COLLEAGUES ARE SIMILAR. 2384 01:47:25,960 --> 01:47:30,400 WE QUICKLY DRAW CONCLUSIONS AND 2385 01:47:30,400 --> 01:47:32,240 OFTEN THEY'RE NOT REALLY RIGHT. 2386 01:47:32,240 --> 01:47:35,440 TESTING THOSE ASSUMPTIONS IS 2387 01:47:35,440 --> 01:47:38,640 IMPORTANT AND FOLLOWING MY 2388 01:47:38,640 --> 01:47:41,280 ABSOLUTE MODEL OF REFLECTION AND 2389 01:47:41,280 --> 01:47:45,440 THOUGHT UNDERSTANDING RUTH BADER 2390 01:47:45,440 --> 01:47:50,160 GINSBURG REMAINED SOLID AS SHE 2391 01:47:50,160 --> 01:47:51,240 ELEVATED WOMEN IN OUR SOCIETY 2392 01:47:51,240 --> 01:47:52,920 THROUGH SUPREME COURT RULINGS 2393 01:47:52,920 --> 01:47:55,280 WHEN YOU HAVE -- WHEN YOU 2394 01:47:55,280 --> 01:47:57,400 EXPERIENCE DISCRIMINATION AND 2395 01:47:57,400 --> 01:47:58,400 HARASSMENT ON OUR CAMPUS HERE OR 2396 01:47:58,400 --> 01:48:01,560 ANYWHERE ELSE IT'S IMPORTANT TO 2397 01:48:01,560 --> 01:48:03,360 CALL IT OUT IN A PROFESSIONAL 2398 01:48:03,360 --> 01:48:06,400 AND RESPECTFUL WAY BUT COMES 2399 01:48:06,400 --> 01:48:09,440 ONLY WHEN IN FACT OUR INNER 2400 01:48:09,440 --> 01:48:11,640 SWITCH IS TURNED ON AND HAVE THE 2401 01:48:11,640 --> 01:48:13,920 POSITION OF CONFIDENCE, NOT 2402 01:48:13,920 --> 01:48:16,000 ARROGANCE BUT CONFIDENCE TO CALL 2403 01:48:16,000 --> 01:48:18,320 THINGS OUT HAPPENING TO YOU OR 2404 01:48:18,320 --> 01:48:20,080 MORE IMPORTANTLY TO OTHERS 2405 01:48:20,080 --> 01:48:20,480 AROUND YOU. 2406 01:48:20,480 --> 01:48:23,320 STAYING DIAGNOSTIC AND BUILDING 2407 01:48:23,320 --> 01:48:25,000 THAT CIRCLE OF ADVOCATES OF 2408 01:48:25,000 --> 01:48:27,160 MENTORS, ADVISORS ALL WHO PLAY 2409 01:48:27,160 --> 01:48:28,320 DIFFERENT ROLES IS IMPORTANT TO 2410 01:48:28,320 --> 01:48:30,760 GUIDE YOU TO DOING THE RIGHT 2411 01:48:30,760 --> 01:48:31,920 THING FOR THE RIGHT PERSON AT 2412 01:48:31,920 --> 01:48:33,440 THE RIGHT TIME AND FOR THE RIGHT 2413 01:48:33,440 --> 01:48:34,160 REASON. 2414 01:48:34,160 --> 01:48:36,840 THAT IS IN FACT THE OATH THAT 2415 01:48:36,840 --> 01:48:38,280 GUIDES OUR PRACTICES AS HEALTH 2416 01:48:38,280 --> 01:48:39,040 PROFESSIONALS. 2417 01:48:39,040 --> 01:48:43,440 I WANTED TO OFFER FOR YOU THIS 2418 01:48:43,440 --> 01:48:45,600 WONDERFUL RESOURCE BY DAVID 2419 01:48:45,600 --> 01:48:46,920 BROOKS WHO IS A CONSERVATIVE 2420 01:48:46,920 --> 01:48:49,520 WRITER FOR THE NEW YORK TIMES. 2421 01:48:49,520 --> 01:48:51,440 I READ AN EXCERPT OF HIS BOOK 2422 01:48:51,440 --> 01:48:53,920 AND SO TAKEN BY THE PRINCIPLES 2423 01:48:53,920 --> 01:48:59,440 THAT SO APPLIED TO ME I READ THE 2424 01:48:59,440 --> 01:49:09,200 BOOK HOW WE WANT TO CLIMB UP THE 2425 01:49:09,200 --> 01:49:11,720 FIRST MOUNTAIN AND MAKE OUR MARK 2426 01:49:11,720 --> 01:49:15,440 ON THE FIELDS, ALL OF HAVE BEEN 2427 01:49:15,440 --> 01:49:16,840 THERE AND ARE THERE AND STRIVE 2428 01:49:16,840 --> 01:49:17,640 TO BE HAPPY BECAUSE THAT'S HOW 2429 01:49:17,640 --> 01:49:19,680 YOU FEEL ABOUT WHAT YOU DO FOR 2430 01:49:19,680 --> 01:49:20,000 YOURSELF. 2431 01:49:20,000 --> 01:49:21,320 AND WHEN WE GET TO THE TOP OF 2432 01:49:21,320 --> 01:49:23,840 THAT FIRST MOUNTAIN AND YOU 2433 01:49:23,840 --> 01:49:24,960 SUDDENLY STRUCK WITH SOMETHING 2434 01:49:24,960 --> 01:49:28,360 THAT YOU DIDN'T EXPECT, IT COULD 2435 01:49:28,360 --> 01:49:30,440 BE THE UNFORTUNATE DEATH OF A 2436 01:49:30,440 --> 01:49:33,440 PARENTS, SPOUSE OR CHILD, IT 2437 01:49:33,440 --> 01:49:35,480 TAKES YOU INTO THE DEEPEST 2438 01:49:35,480 --> 01:49:38,040 VALLEY OF DESPERATION AND GLOOM 2439 01:49:38,040 --> 01:49:39,360 AND OFTEN IT'S JOB RELATED. 2440 01:49:39,360 --> 01:49:42,320 YOU LOSE A JOB OR GET A POOR 2441 01:49:42,320 --> 01:49:43,480 RATING AND YOU HAVE TO BE IN 2442 01:49:43,480 --> 01:49:45,800 THAT VALLEY TO RECOGNIZE YOUR 2443 01:49:45,800 --> 01:49:47,240 TRUE CHARACTER EMERGE. 2444 01:49:47,240 --> 01:49:49,120 THE STRENGTH AND HOPE AND 2445 01:49:49,120 --> 01:49:50,760 PROMISE YOU HOLD FOR YOURSELF 2446 01:49:50,760 --> 01:49:53,840 AND THEN YOU BECOME JOYFUL WHICH 2447 01:49:53,840 --> 01:49:55,240 IS THAT JOY FROM THE SUCCESS OF 2448 01:49:55,240 --> 01:49:57,440 WHAT YOU DO OR WHAT YOU CREATE 2449 01:49:57,440 --> 01:49:59,440 IN SOMEONE ELSE'S LIFE. 2450 01:49:59,440 --> 01:50:03,200 AND AS A SCIENTIST AND TRAINEES, 2451 01:50:03,200 --> 01:50:05,120 WE ARE MOTIVATED BY THAT HERE. 2452 01:50:05,120 --> 01:50:08,360 SO I WANTED TO END THERE BUT 2453 01:50:08,360 --> 01:50:10,080 SAYING THAT GOOD CHARACTER 2454 01:50:10,080 --> 01:50:12,040 FORMATION IS NOT ABOUT 2455 01:50:12,040 --> 01:50:14,720 INDIVIDUALS BUT GIVING ONE SELF 2456 01:50:14,720 --> 01:50:16,200 AWAY AND MOVING FROM A 2457 01:50:16,200 --> 01:50:18,160 SELF-DIRECTED CAREER -- AND I 2458 01:50:18,160 --> 01:50:19,400 KNOW THAT'S DIFFICULT FOR US AS 2459 01:50:19,400 --> 01:50:21,840 A COMMUNITY TO ACCEPT BUT MOVING 2460 01:50:21,840 --> 01:50:25,360 ON TO FROM AN INDEPENDENT TO 2461 01:50:25,360 --> 01:50:26,160 INTERDEPENDENCE STATE WHERE 2462 01:50:26,160 --> 01:50:30,200 ACROSS THE HETEROGENEITY OF OUR 2463 01:50:30,200 --> 01:50:32,200 COMMUNITIES WE FIND THAT COMMON 2464 01:50:32,200 --> 01:50:36,400 BOND OF UNITY AND IF WE HAVE 2465 01:50:36,400 --> 01:50:37,840 OVERDONE SOMETHING THAT'S A 2466 01:50:37,840 --> 01:50:41,720 PURPOSE BECAUSE IT HELPS TRAN -- 2467 01:50:41,720 --> 01:50:44,480 TRANSCEND YOURSELF AND BECOME 2468 01:50:44,480 --> 01:50:48,360 THE PERSON YOU ARE MEANT TO BE 2469 01:50:48,360 --> 01:50:54,120 AND AT 30 YOU MAY BE A 2470 01:50:54,120 --> 01:50:57,440 SUCCESSFUL AND AT 40 YOU OPENED 2471 01:50:57,440 --> 01:50:59,320 UP SCHOOLS IN AFRICA TRAINING 2472 01:50:59,320 --> 01:51:01,200 YOUNG WOMEN TO BE LEADERS AND 2473 01:51:01,200 --> 01:51:02,760 NOW THAT YOU'RE 50 AND SHE HAD A 2474 01:51:02,760 --> 01:51:04,480 SIMPLE PHRASE THAT LINGERS IN MY 2475 01:51:04,480 --> 01:51:06,280 MIND AND THIS IS FROM 15 YEARS 2476 01:51:06,280 --> 01:51:08,400 AGO THAT SAID I JUST WANT TO BE 2477 01:51:08,400 --> 01:51:09,920 THE PERSON I WAS MEANT TO BE. 2478 01:51:09,920 --> 01:51:12,720 I WANTED TO END THAT. 2479 01:51:12,720 --> 01:51:15,160 IT SOUNDS VERY MOTIVATIONAL BUT 2480 01:51:15,160 --> 01:51:16,280 THOUGHT IT WOULD ADD A BALANCE 2481 01:51:16,280 --> 01:51:17,600 TO THE DISCUSSIONS WE'LL HAVE IN 2482 01:51:17,600 --> 01:51:18,480 THE TWO DAYS. 2483 01:51:18,480 --> 01:51:20,120 I WANT TO THANK YOU FOR ALLOWING 2484 01:51:20,120 --> 01:51:21,800 ME THE OPPORTUNITY. 2485 01:51:21,800 --> 01:51:23,480 SORRY ABOUT THE GLITCHES AND I 2486 01:51:23,480 --> 01:51:26,160 HOPE THAT MY MESSAGE RESONATES 2487 01:51:26,160 --> 01:51:27,440 WITH YOU. 2488 01:51:27,440 --> 01:51:29,320 I AM PRIVILEGED TO MENTOR 2489 01:51:29,320 --> 01:51:30,360 SEVERAL IN THE COMMUNITY AND I 2490 01:51:30,360 --> 01:51:32,040 CAN TELL YOU I LEARNED FAR MORE 2491 01:51:32,040 --> 01:51:33,960 THAN I EVER HOPED I CAN TEACH. 2492 01:51:33,960 --> 01:51:36,280 THANK YOU FOR YOUR ATTENTION AND 2493 01:51:36,280 --> 01:51:39,440 I HOPE WE CAN ENTERTAIN 2494 01:51:39,440 --> 01:51:44,480 QUESTIONS AT SOME POINT. 2495 01:51:44,480 --> 01:51:46,160 >>OKAY. 2496 01:51:46,160 --> 01:51:47,840 THANK YOU VERY MUCH AND FOR YOUR 2497 01:51:47,840 --> 01:51:50,320 EXCELLENT TALK. 2498 01:51:50,320 --> 01:51:54,320 FOR THE MORNING SESSION PEOPLE 2499 01:51:54,320 --> 01:51:55,840 CAN PUT THE QUESTION IN THE CHAT 2500 01:51:55,840 --> 01:51:56,920 BOX. 2501 01:51:56,920 --> 01:52:03,160 NOW, I WILL TURN THE PODIUM TO 2502 01:52:03,160 --> 01:52:05,640 THE CDC STAFF IN THE CONFERENCE 2503 01:52:05,640 --> 01:52:09,440 PLANNING COMMITTEE TO INTRODUCE 2504 01:52:09,440 --> 01:52:09,800 CDC CANCER SPEAKERS. 2505 01:52:09,800 --> 01:52:10,640 >>GOOD MORNING. 2506 01:52:10,640 --> 01:52:14,120 I'M PLEASED TO ATTEND THIS 2507 01:52:14,120 --> 01:52:15,800 WONDERFUL CONFERENCE AND VERY 2508 01:52:15,800 --> 01:52:17,480 PLEASED TO INTRODUCE MY 2509 01:52:17,480 --> 01:52:26,200 COLLEAGUE LIEUTENANT CHEN AN 2510 01:52:26,200 --> 01:52:28,240 EPIDEMIOLOGIST AND LEARN MORE IN 2511 01:52:28,240 --> 01:52:31,720 THE CONFERENCE MATERIALS AND 2512 01:52:31,720 --> 01:52:33,800 I'LL TURN OVER THE PODIUM TO 2513 01:52:33,800 --> 01:52:34,160 LIEUTENANT CHEN. 2514 01:52:34,160 --> 01:52:36,920 THANK YOU. 2515 01:52:36,920 --> 01:52:40,160 >>GOOD MORNING, GOOD AFTERNOON, 2516 01:52:40,160 --> 01:52:41,800 EVERYBODY DEPENDING ON WHERE YOU 2517 01:52:41,800 --> 01:52:42,160 ARE. 2518 01:52:42,160 --> 01:52:47,560 I'M HAPPY AND GLAD TO JOIN ALL 2519 01:52:47,560 --> 01:52:48,360 OF YOU TODAY. 2520 01:52:48,360 --> 01:52:52,320 A TRANSLATION FROM A WONDERFUL 2521 01:52:52,320 --> 01:52:56,640 WISDOM SHARED FROM DR. D'SOUZA 2522 01:52:56,640 --> 01:52:59,440 ABOUT HER PROFESSION AND LIFE 2523 01:52:59,440 --> 01:53:02,840 AND LETS DELVE MORE INTO CANCER 2524 01:53:02,840 --> 01:53:04,800 AND HEALTH DISPARITIES IN ASIAN 2525 01:53:04,800 --> 01:53:05,800 AMERICANS AND PACIFIC ISLANDERS 2526 01:53:05,800 --> 01:53:08,000 AND LOOK AT SOME OF THE DATA AND 2527 01:53:08,000 --> 01:53:13,520 I'M ALSO GOING TO SHARE SOME OF 2528 01:53:13,520 --> 01:53:16,600 OUR WORK FROM THE CDC CANCER 2529 01:53:16,600 --> 01:53:18,120 PREVENTION AND CONTROL AND I'LL 2530 01:53:18,120 --> 01:53:28,600 USE AAPI TO REFER TO ASIAN 2531 01:53:29,240 --> 01:53:30,600 AMERICAN PACIFIC ISLANDER 2532 01:53:30,600 --> 01:53:32,880 POPULATIONS. 2533 01:53:32,880 --> 01:53:34,520 FIRST I'LL DESCRIBE THE CANCER 2534 01:53:34,520 --> 01:53:36,320 BURDEN AND THEN DISCUSS CANCER 2535 01:53:36,320 --> 01:53:38,720 SCREENING AND LASTLY PROVIDE AN 2536 01:53:38,720 --> 01:53:40,240 EXAMPLE OF IMPLEMENTATION 2537 01:53:40,240 --> 01:53:42,720 PROJECT TO BUILD CAPACITY OF 2538 01:53:42,720 --> 01:53:45,640 CERVICAL CANCER SCREENING IN 2539 01:53:45,640 --> 01:53:54,640 U.S. AFFILIATED PACIFIC ISLANDS. 2540 01:53:54,640 --> 01:53:56,640 CANCER HAS BEEN THE LEADING 2541 01:53:56,640 --> 01:53:58,720 CAUSE OF DEATH FOR ASIAN 2542 01:53:58,720 --> 01:53:59,920 AMERICANS SINCE 2000. 2543 01:53:59,920 --> 01:54:01,440 IN THE FIGURE OF TOP THREE 2544 01:54:01,440 --> 01:54:06,280 LEADING CAUSES OF DEATH IN 2021 2545 01:54:06,280 --> 01:54:16,800 BY RACE AND ETHNICITY THE BARS 2546 01:54:17,280 --> 01:54:18,400 REPRESENT THE DEATHS AND CANCER 2547 01:54:18,400 --> 01:54:20,360 WAS THE FIRST LEADING CAUSE OF 2548 01:54:20,360 --> 01:54:24,720 DEATH FOR NON-HISPANIC ASIAN 2549 01:54:24,720 --> 01:54:26,800 POPULATIONS AND IT WAS THE 2550 01:54:26,800 --> 01:54:30,680 SECOND OR THE THIRD FOR NATIVE 2551 01:54:30,680 --> 01:54:32,240 HAWAIIAN OR PACIFIC ISLANDER 2552 01:54:32,240 --> 01:54:34,240 POPULATIONS AND THE SECOND OR 2553 01:54:34,240 --> 01:54:36,280 THIRD CAUSE OF DEATH FOR OTHER 2554 01:54:36,280 --> 01:54:38,400 RACE AND ETHNICITY GROUPS. 2555 01:54:38,400 --> 01:54:39,840 THE PERCENTAGE OF CANCER DEATHS 2556 01:54:39,840 --> 01:54:42,480 AMONG ALL DEATHS WAS ALSO THE 2557 01:54:42,480 --> 01:54:45,080 HIGHEST IN NON-HISPANIC ASIAN 2558 01:54:45,080 --> 01:54:54,400 POPULATION AT 21% IN 2021. 2559 01:54:54,400 --> 01:54:56,440 THE U.S. CANCER STATISTICS ARE 2560 01:54:56,440 --> 01:54:59,440 THE OFFICIAL FEDERAL CANCER 2561 01:54:59,440 --> 01:55:00,400 STATISTICS COMBINING CANCER 2562 01:55:00,400 --> 01:55:03,360 REGISTRY DATA FROM CDC'S 2563 01:55:03,360 --> 01:55:06,240 NATIONAL PROGRAM OF CANCER 2564 01:55:06,240 --> 01:55:10,840 REGISTRIES AND THE NATIONAL 2565 01:55:10,840 --> 01:55:13,120 CANCER INSTITUTE'S SURVEILLANCE 2566 01:55:13,120 --> 01:55:17,520 AND EPIDEMIOLOGY RESULTS FOR 2567 01:55:17,520 --> 01:55:19,720 100% OF THE POPULATION. 2568 01:55:19,720 --> 01:55:22,240 THEY COLLECT DEMOGRAPHIC AND 2569 01:55:22,240 --> 01:55:23,000 CLINICAL AND DIAGNOSTIC DISEASE 2570 01:55:23,000 --> 01:55:23,320 DATA. 2571 01:55:23,320 --> 01:55:27,160 I ENCOURAGE YOU TO LOOK AT OUR 2572 01:55:27,160 --> 01:55:28,280 WEBSITE WHICH INCLUDES GREAT 2573 01:55:28,280 --> 01:55:31,840 INFORMATION ABOUT THE DATABASE 2574 01:55:31,840 --> 01:55:34,320 INCLUDING A DATA VISUALIZATION 2575 01:55:34,320 --> 01:55:36,600 TOOL AND LOOK AT CANCER OUTCOMES 2576 01:55:36,600 --> 01:55:41,640 BY VARIOUS METRICS. 2577 01:55:41,640 --> 01:55:45,160 THE DATABASES REPORT STATISTIC 2578 01:55:45,160 --> 01:55:49,600 FOR API BUT THE DISAGGREGATED 2579 01:55:49,600 --> 01:55:50,280 INFORMATION HAS BEEN COLLECTED 2580 01:55:50,280 --> 01:55:58,280 AND MY COLLEAGUES HAVE JUST 2581 01:55:58,280 --> 01:56:00,800 PUBLISHED A MORBIDITY REPORT 2582 01:56:00,800 --> 01:56:06,120 LOOKS AT INCIDENTS AMONGST 23 2583 01:56:06,120 --> 01:56:06,800 ASIAN AMERICAN NATIVE HAWAIIAN 2584 01:56:06,800 --> 01:56:08,680 PACIFIC ISLANDER SUB GROUPS 2585 01:56:08,680 --> 01:56:17,880 USING 2015 THROUGH 2019 DATA. 2586 01:56:17,880 --> 01:56:21,480 I'LL SHOW YOU STATISTICS FROM 2587 01:56:21,480 --> 01:56:23,480 THE CANCER VISUALIZATION TOOLS 2588 01:56:23,480 --> 01:56:28,520 AND SHOWS THE TOP TEN CANCERS 2589 01:56:28,520 --> 01:56:29,320 PER INCIDENTS RATES. 2590 01:56:29,320 --> 01:56:31,160 AND THE LEFT IS FOR WOMEN OF ALL 2591 01:56:31,160 --> 01:56:33,520 RACE AND ETHNICITY AND THE RIGHT 2592 01:56:33,520 --> 01:56:41,320 PANEL IS FOR AAPI WOMEN. 2593 01:56:41,320 --> 01:56:46,640 THE TOP THREE WERE BREAST, 2594 01:56:46,640 --> 01:56:48,320 OVARIAN AND COLON AND THERE WERE 2595 01:56:48,320 --> 01:56:50,840 OVARIAN AND STOMACH AND LIVER 2596 01:56:50,840 --> 01:56:51,920 CANCERS THAT WERE NOT IN THE TOP 2597 01:56:51,920 --> 01:56:53,640 TEN IN WOMEN OVER ALL. 2598 01:56:53,640 --> 01:56:56,200 I ALSO WANT TO POINT OUT THAT 2599 01:56:56,200 --> 01:56:57,800 BREAST CANCER INCIDENTS 2600 01:56:57,800 --> 01:57:05,200 INCREASED AMONGST AAPI WOMEN 2601 01:57:05,200 --> 01:57:07,680 FROM 2005 TO 2018 AND DECREASED 2602 01:57:07,680 --> 01:57:11,520 OR NO CHANGE IN OTHER RACE AND 2603 01:57:11,520 --> 01:57:12,800 ETHNICITY GROUPS IN THE SAME 2604 01:57:12,800 --> 01:57:17,920 TIME PERIOD BASED ON THE 2022 2605 01:57:17,920 --> 01:57:18,840 MMWR. 2606 01:57:18,840 --> 01:57:22,280 THIS SLIDE SHOWS THE TOP TEN 2607 01:57:22,280 --> 01:57:24,720 CANCERS BY MORTALITY RATES FOR 2608 01:57:24,720 --> 01:57:26,600 100,000 WOMEN AND LUNG CANCER IS 2609 01:57:26,600 --> 01:57:29,200 THE LEADING RATE OF CANCER 2610 01:57:29,200 --> 01:57:31,640 MORTALITY FOLLOWED BY BREAST AND 2611 01:57:31,640 --> 01:57:33,640 COLORECTAL CANCERS. 2612 01:57:33,640 --> 01:57:34,840 STOMACH CANCER WAS IN THE TOP 2613 01:57:34,840 --> 01:57:37,720 TEN FOR AAPI WOMEN BUT NOT WOMEN 2614 01:57:37,720 --> 01:57:39,160 OVER ALL. 2615 01:57:39,160 --> 01:57:42,080 AAPI WOMEN HAD HIGHER MORTALITY 2616 01:57:42,080 --> 01:57:42,840 RATE OF LIVER CANCER COMPARED TO 2617 01:57:42,840 --> 01:57:50,640 OTHER GROUPS. 2618 01:57:50,640 --> 01:57:53,720 THIS SLIDE SHOWS THE TOP 10 2619 01:57:53,720 --> 01:57:55,800 CANCERS BY INCIDENT RATES PER 2620 01:57:55,800 --> 01:57:58,840 MEN AND PROSTATE, LUNG AND 2621 01:57:58,840 --> 01:57:59,880 COLORECTAL CANCERS. 2622 01:57:59,880 --> 01:58:02,840 SIMILAR TO WOMEN, LIVER AND 2623 01:58:02,840 --> 01:58:03,640 STOMACH CANCERS WERE IN THE TOP 2624 01:58:03,640 --> 01:58:06,800 10 FOR AAPI MEN BUT NOT IN MEN 2625 01:58:06,800 --> 01:58:13,920 OVER ALL. 2626 01:58:13,920 --> 01:58:15,360 THE SLIDE SHOWS THE TOP TEN 2627 01:58:15,360 --> 01:58:17,640 CANCERS BY MORTALITY RATES IN 2628 01:58:17,640 --> 01:58:18,000 MEN. 2629 01:58:18,000 --> 01:58:22,800 AGAIN, LUNG CANCER RANK THE 2630 01:58:22,800 --> 01:58:30,600 HIGHEST IN TERMS OF MORTALITY 2631 01:58:30,600 --> 01:58:37,240 STOMACH AND AAPI MEN HAD HIGHER 2632 01:58:37,240 --> 01:58:37,880 MORTALITY RATE OF LIVER CANCER 2633 01:58:37,880 --> 01:58:47,760 COMPARED TO OTHER GROUPS. 2634 01:58:47,760 --> 01:58:50,240 HERE'S ANOTHER DATA QUERY WHICH 2635 01:58:50,240 --> 01:58:52,880 SHOWS LUNG CANCER IN BOTH MEN 2636 01:58:52,880 --> 01:58:54,800 AND WOMEN WAS DIAGNOSED AT A 2637 01:58:54,800 --> 01:58:58,560 LATER STAGE IN AAPI PERSONS 2638 01:58:58,560 --> 01:59:00,720 COMPARED WITH NON-HISPANIC WHITE 2639 01:59:00,720 --> 01:59:00,960 PERSONS. 2640 01:59:00,960 --> 01:59:06,840 IT REFERS TO THE EXTENT OF THE 2641 01:59:06,840 --> 01:59:13,840 CANCER SUCH AS HOW LARGE IT IS 2642 01:59:13,840 --> 01:59:18,800 AND IF IT SPREAD AND THE LUNG 2643 01:59:18,800 --> 01:59:22,760 CANCER DIAGNOSED AT DIFFERENT 2644 01:59:22,760 --> 01:59:23,880 STAGES, CANCER SPREADING TO 2645 01:59:23,880 --> 01:59:26,800 DISTANT PARTS OR UNSTAGED. 2646 01:59:26,800 --> 01:59:34,120 WE SEE 53.9% OF LUNG CANCER IN 2647 01:59:34,120 --> 01:59:35,840 AAPI PERSONS WERE DIAGNOSED 2648 01:59:35,840 --> 01:59:38,840 COMPARED TO THIS PERCENT IN 2649 01:59:38,840 --> 01:59:45,040 NON-HISPANIC WHITE PERSONS. 2650 01:59:45,040 --> 01:59:46,840 THE PURPOSE OF THIS FIGURE IS TO 2651 01:59:46,840 --> 01:59:50,520 DEMONSTRATE THE HETEROGENEOUS 2652 01:59:50,520 --> 01:59:53,160 CANCER RATES AMONG THE AAPI SUB 2653 01:59:53,160 --> 01:59:53,720 GROUPS. 2654 01:59:53,720 --> 01:59:56,400 THIS EXAMINED CANCER-RELATED 2655 01:59:56,400 --> 01:59:58,960 DEATHS FROM 2003 TO 2010 TO 2011 2656 01:59:58,960 --> 02:00:05,040 IN SIX MAJOR AAPI SUBGROUPS. 2657 02:00:05,040 --> 02:00:08,640 HERE'S TRENDS IN STOMACH AND 2658 02:00:08,640 --> 02:00:10,840 LIVER CANCER AND AGE ADJUSTED 2659 02:00:10,840 --> 02:00:16,960 MORTALITY RATE PER 100,000 MEN 2660 02:00:16,960 --> 02:00:21,280 AND SEE VARIATIONS HIGHLIGHTING 2661 02:00:21,280 --> 02:00:22,840 THE NEED FOR DISAGGREGATION IN 2662 02:00:22,840 --> 02:00:26,480 REPORTING. 2663 02:00:26,480 --> 02:00:29,360 CANCER BURDEN STATISTICS HAVE 2664 02:00:29,360 --> 02:00:33,240 SHOWN AAPI POPULATIONS ARE 2665 02:00:33,240 --> 02:00:34,800 DISPROPORTIONATELY AFFECTED IN 2666 02:00:34,800 --> 02:00:37,240 CANCERS WITH INFECTIOUS 2667 02:00:37,240 --> 02:00:37,920 ETIOLOGY. 2668 02:00:37,920 --> 02:00:41,040 FOR EXAMPLE, LIVER CANCER IS 2669 02:00:41,040 --> 02:00:42,200 ASSOCIATED WITH CHRONIC 2670 02:00:42,200 --> 02:00:44,680 HEPATITIS B INFECTION WHICH 2671 02:00:44,680 --> 02:00:46,560 COULD BE CONTRIBUTED TO COUNTRY 2672 02:00:46,560 --> 02:00:50,480 OF ORIGIN, RECENT IMMIGRATION 2673 02:00:50,480 --> 02:00:52,480 AND VERTICAL TRANSMISSION. 2674 02:00:52,480 --> 02:00:58,840 AND THE LIVER CANCER INCIDENTS 2675 02:00:58,840 --> 02:01:02,840 IS CONTRIBUTED TO LIVER DISEASE 2676 02:01:02,840 --> 02:01:06,800 AND RISK FACTORS INCLUDE H. 2677 02:01:06,800 --> 02:01:12,400 PYLORI INFECTION AND SMOKING AND 2678 02:01:12,400 --> 02:01:18,840 INGESTION OF SOFT PRESERVED 2679 02:01:18,840 --> 02:01:23,680 FOODS. 2680 02:01:23,680 --> 02:01:25,720 CERTAIN GROUPS INCLUDING WOMEN 2681 02:01:25,720 --> 02:01:28,120 IN PACIFIC ISLANDS EXPERIENCE 2682 02:01:28,120 --> 02:01:30,800 THE HIGHEST RATES OF CERVICAL 2683 02:01:30,800 --> 02:01:33,640 CANCER IN THE U.S. 2684 02:01:33,640 --> 02:01:35,760 LINKED TO A HIGH PREVALENCE OF 2685 02:01:35,760 --> 02:01:38,680 THE HUMAN PAPILLOMA VIRUS. 2686 02:01:38,680 --> 02:01:41,400 SOUTHEAST ASIAN INDIVIDUALS HAVE 2687 02:01:41,400 --> 02:01:45,400 A HIGHER RISK OF CANCER 2688 02:01:45,400 --> 02:01:48,080 ASSOCIATED WITH THE EPSTEIN BARR 2689 02:01:48,080 --> 02:01:48,280 VIRUS. 2690 02:01:48,280 --> 02:01:51,880 VACCINATION IS HIGHLY EFFECTIVE 2691 02:01:51,880 --> 02:01:56,320 TO PREVENT HEPATITIS B AND H. 2692 02:01:56,320 --> 02:02:00,440 PYLORI CAN BE TESTED AND 2693 02:02:00,440 --> 02:02:04,600 ERADICATED USING ANTIBIOTICS. 2694 02:02:04,600 --> 02:02:06,800 AND ANOTHER CANCER IS LUNG 2695 02:02:06,800 --> 02:02:09,800 CANCER AMONG NON-SMOKERS 2696 02:02:09,800 --> 02:02:12,800 ESPECIALLY AMONG FEMALES AND 2697 02:02:12,800 --> 02:02:15,600 HALF OF ASIAN AMERICAN WOMEN 2698 02:02:15,600 --> 02:02:18,840 DIAGNOSED WITH LUNG CANCER NEVER 2699 02:02:18,840 --> 02:02:23,560 SMOKED. 2700 02:02:23,560 --> 02:02:24,760 NEXT, I'LL DISCUSS CANCER 2701 02:02:24,760 --> 02:02:31,000 SCREENING IN AAPI POPULATIONS. 2702 02:02:31,000 --> 02:02:33,520 SCREENING FOR BEST, CERVICAL AND 2703 02:02:33,520 --> 02:02:36,240 RECTAL CANCERS HELP FIND 2704 02:02:36,240 --> 02:02:37,720 DISEASES AT AN EARLY STAGE AND 2705 02:02:37,720 --> 02:02:41,560 TREATMENT WORKS BEST AND REDUCE 2706 02:02:41,560 --> 02:02:44,360 THE CHANCE OF DYING. 2707 02:02:44,360 --> 02:02:45,680 MANY STUDIES SHOWING SCREENING 2708 02:02:45,680 --> 02:02:48,760 RATES IN ASIAN AMERICAN WOMEN 2709 02:02:48,760 --> 02:02:50,760 AND COLORECTAL CANCER IN ASIAN 2710 02:02:50,760 --> 02:02:51,960 AMERICAN WOMEN AND MEN ARE BELOW 2711 02:02:51,960 --> 02:02:55,240 THOSE OF OTHER ETHNIC GROUPS. 2712 02:02:55,240 --> 02:02:56,920 THIS HEALTH CARE DISPARITY 2713 02:02:56,920 --> 02:02:58,840 PERSISTS AFTER ADJUSTING FOR 2714 02:02:58,840 --> 02:03:09,320 ACCESS TO HEALTH THROUGH CARE. 2715 02:03:11,480 --> 02:03:13,680 THIS IS BASED ON RECOMMENDATIONS 2716 02:03:13,680 --> 02:03:17,400 USING THE DATA FROM THE 2018 2717 02:03:17,400 --> 02:03:20,600 NATIONAL HEALTH SURVEY WHICH 2718 02:03:20,600 --> 02:03:21,280 PROVIDES NATIONALLY 2719 02:03:21,280 --> 02:03:21,800 REPRESENTATIVE ESTIMATES. 2720 02:03:21,800 --> 02:03:27,880 AS WE SEE ASIAN POPULATION HAD A 2721 02:03:27,880 --> 02:03:30,200 LOWER PREVALENCE OF UP TO DATE 2722 02:03:30,200 --> 02:03:34,200 SCREENING OF BREAST, CERVICAL 2723 02:03:34,200 --> 02:03:36,680 AND COLORECTAL CANCERS AND HAD 2724 02:03:36,680 --> 02:03:39,520 LOWER PREVALENCE THAN HISPANIC 2725 02:03:39,520 --> 02:03:43,120 POPULATION FOR CERVICAL CANCER 2726 02:03:43,120 --> 02:03:52,760 SCREENING. 2727 02:03:52,760 --> 02:03:54,800 THIS LOOKS AT HETEROGENEITY IN 2728 02:03:54,800 --> 02:04:00,560 SCREENING RATES. 2729 02:04:00,560 --> 02:04:05,560 THIS INCLUDED WOMEN IN THE SAME 2730 02:04:05,560 --> 02:04:08,600 HEALTH CARE UTILIZATION AND HAD 2731 02:04:08,600 --> 02:04:10,800 INSURANCE AND THE AUTHORS FOUND 2732 02:04:10,800 --> 02:04:12,400 SUBSTANTIAL VARIATIONS IN CANCER 2733 02:04:12,400 --> 02:04:14,920 SCREENING RATES AND SUBGROUPS 2734 02:04:14,920 --> 02:04:18,320 FOR EXAMPLE THERE WAS A 23% 2735 02:04:18,320 --> 02:04:21,600 DIFFERENCE BETWEEN ASIAN INDIAN 2736 02:04:21,600 --> 02:04:24,480 AND JAPANESE WOMEN IN COLORECTAL 2737 02:04:24,480 --> 02:04:31,760 CANCER SCREENING RATE. 2738 02:04:31,760 --> 02:04:32,920 AS MANY SPEAKERS HAVE TALKED 2739 02:04:32,920 --> 02:04:34,720 ABOUT AND SHOWN IN OTHER 2740 02:04:34,720 --> 02:04:41,240 STUDIES, THERE'S A NEED FOR BOTH 2741 02:04:41,240 --> 02:04:42,800 NATIONAL AS WELL AS COMMUNITY 2742 02:04:42,800 --> 02:04:45,120 LEVEL HEALTH DATA COLLECTION. 2743 02:04:45,120 --> 02:04:47,760 THE INCREDIBLE HETEROGENEITYTOWN 2744 02:04:47,760 --> 02:04:58,280 THE AAPI POPULATION IS EX 2745 02:04:58,720 --> 02:05:00,480 EXEMPLIFIED WE THE 2746 02:05:00,480 --> 02:05:02,680 CHARACTERISTICS. 2747 02:05:02,680 --> 02:05:04,160 TWO-THIRDS OF ALL ASIAN 2748 02:05:04,160 --> 02:05:06,560 AMERICANS SPEAK A LANGUAGE OTHER 2749 02:05:06,560 --> 02:05:10,040 THAN ENGLISH AT HOME AND MANY 2750 02:05:10,040 --> 02:05:12,840 ARE HAVE LIMITED ENGLISH 2751 02:05:12,840 --> 02:05:14,720 PROFICIENCY AND AN IMPORTANT 2752 02:05:14,720 --> 02:05:15,880 VARIATION AMONG ASIAN AMERICANS 2753 02:05:15,880 --> 02:05:18,800 IB CONTRAST TO OTHER CULTURES IS 2754 02:05:18,800 --> 02:05:22,280 THE ATTITUDE TOWARDS HEALTH 2755 02:05:22,280 --> 02:05:22,840 CARE. 2756 02:05:22,840 --> 02:05:24,000 FOR EXAMPLE, THE WORD CANCER 2757 02:05:24,000 --> 02:05:30,800 CARRIES A STIGMA IN MANY ASIAN 2758 02:05:30,800 --> 02:05:33,400 CULTURES VIEWS AND BARRIERS TO 2759 02:05:33,400 --> 02:05:34,240 BREAST AND CERVICAL CANCER 2760 02:05:34,240 --> 02:05:38,840 SCREENING PLAY BE INFLUENCED BY 2761 02:05:38,840 --> 02:05:41,840 CULTURAL PERCEPTIONS OF MODESTY 2762 02:05:41,840 --> 02:05:46,080 AMONG WOMEN AND THE MINORITY 2763 02:05:46,080 --> 02:05:47,760 LABEL CONTRIBUTE TO THE BIAS 2764 02:05:47,760 --> 02:05:49,080 ASIAN AMERICANS HAVE SIMILAR 2765 02:05:49,080 --> 02:05:51,720 DISEASE RISK PROFILES FOR THE 2766 02:05:51,720 --> 02:05:52,920 MAJORITY OF WHITE AMERICAN 2767 02:05:52,920 --> 02:05:54,840 POPULATION AND MAY CAUSE API 2768 02:05:54,840 --> 02:05:57,600 INDIVIDUALS TO EMBODY THE MYTH 2769 02:05:57,600 --> 02:05:59,960 OF THE DOCILE HARD-WORKING 2770 02:05:59,960 --> 02:06:00,760 CITIZENS WHO WILL NOT COMPLAIN 2771 02:06:00,760 --> 02:06:02,640 OR ADD BURDEN TO OTHERS. 2772 02:06:02,640 --> 02:06:05,520 THIS ACCEPTANCE BY PATIENTS AND 2773 02:06:05,520 --> 02:06:08,480 PROVIDERS OF THE STEREOTYPE IS 2774 02:06:08,480 --> 02:06:11,880 TO LESS ADVOCACY AND LESS 2775 02:06:11,880 --> 02:06:12,800 INFORMATION OF DIFFERENT DISEASE 2776 02:06:12,800 --> 02:06:15,000 RISK PROFILES AND LESS 2777 02:06:15,000 --> 02:06:15,320 SCREENING. 2778 02:06:15,320 --> 02:06:20,480 THIS IS ALSO MANIFESTED IN 2779 02:06:20,480 --> 02:06:21,120 HEALTH-SEEKING BEHAVIORS IT'S 2780 02:06:21,120 --> 02:06:24,800 BEEN SHOWN AAPI INDIVIDUALS ARE 2781 02:06:24,800 --> 02:06:26,440 LESS FORTHCOMING ABOUT SYMPTOMS 2782 02:06:26,440 --> 02:06:29,640 AND CONCERNS INCLUDING MENTAL 2783 02:06:29,640 --> 02:06:31,960 HEALTH CONCERNS AND LESS 2784 02:06:31,960 --> 02:06:34,120 ACCEPTANCE OF SCREENING FOR 2785 02:06:34,120 --> 02:06:36,840 SYMPTOMS AND LESS LIKELY TO HAVE 2786 02:06:36,840 --> 02:06:40,000 SEEN A PHYSICIAN IN THE PRIOR 12 2787 02:06:40,000 --> 02:06:40,880 MONTHS. 2788 02:06:40,880 --> 02:06:42,600 AAPI PERSONS ARE UNDER 2789 02:06:42,600 --> 02:06:45,280 REPRESENTED IN CLINICAL TRIALS. 2790 02:06:45,280 --> 02:06:50,840 ACCORDING TO CLINICAL TRIAL.gov 2791 02:06:50,840 --> 02:06:52,680 THE PROPORTION WITH ETHNIC AND 2792 02:06:52,680 --> 02:06:54,280 MINORITY POPULATION TRIALS AS 2793 02:06:54,280 --> 02:06:55,800 THE PRIMARY FOCUS IS 2794 02:06:55,800 --> 02:06:58,840 APPROXIMATELY 1% OF ALL CLINICAL 2795 02:06:58,840 --> 02:06:59,160 TRIALS. 2796 02:06:59,160 --> 02:07:00,720 ONLY FIVE SUCH TRIALS FOCUSSED 2797 02:07:00,720 --> 02:07:05,920 ON AAPI COMPARED WITH 83 FOR 2798 02:07:05,920 --> 02:07:10,840 AFRICAN AMERICANS AND 32 FOR 2799 02:07:10,840 --> 02:07:19,240 HISPANICS AND WE CAN SEE MANY 2800 02:07:19,240 --> 02:07:21,400 OPPORTUNITIES FOR CANCER 2801 02:07:21,400 --> 02:07:22,840 PREVENTION CONTROL IN THESE 2802 02:07:22,840 --> 02:07:24,800 POPULATIONS FROM PRIME PRI 2803 02:07:24,800 --> 02:07:26,320 PREVENTION TARGETING CANCERS 2804 02:07:26,320 --> 02:07:28,280 WITH INFECTIOUS ETIOLOGIES AND 2805 02:07:28,280 --> 02:07:30,280 OTHER RISK FACTORS TO INCREASE 2806 02:07:30,280 --> 02:07:32,240 SCREENING AMONG AAPI POPULATIONS 2807 02:07:32,240 --> 02:07:34,520 FOR EARLY DETECTION TO INCLUSION 2808 02:07:34,520 --> 02:07:39,600 IN CLINICAL TRIALS AND RESEARCH. 2809 02:07:39,600 --> 02:07:42,720 ACCESS TO INFORMATION AND 2810 02:07:42,720 --> 02:07:44,720 SERVICES IS CRITICAL THROUGHOUT 2811 02:07:44,720 --> 02:07:46,280 THE CANCER CARE CONTINUUM. 2812 02:07:46,280 --> 02:07:47,760 IT'S ALSO IMPORTANT TO EDUCATE 2813 02:07:47,760 --> 02:07:51,880 BOTH AAPI COMMUNITIES AND THEIR 2814 02:07:51,880 --> 02:07:53,120 HEALTH CARE PROVIDERS ABOUT 2815 02:07:53,120 --> 02:07:54,680 SPECIFIC CANCER RISK AND 2816 02:07:54,680 --> 02:08:04,960 PREVENTION IN CONTROL MEASURES. 2817 02:08:04,960 --> 02:08:08,560 LASTLY I'D LIKE TO TALK ABOUT 2818 02:08:08,560 --> 02:08:09,720 THE PROJECT FUNDED BY CDC 2819 02:08:09,720 --> 02:08:10,840 DIVISION OF CANCER PREVENTION 2820 02:08:10,840 --> 02:08:16,880 AND CONTROL. 2821 02:08:16,880 --> 02:08:21,920 THE OBJECTIVE OF THE PROJECT IS 2822 02:08:21,920 --> 02:08:23,440 TO ESTABLISH INFRASTRUCTURE TO 2823 02:08:23,440 --> 02:08:25,040 PROMOTE CERVICAL CANCER 2824 02:08:25,040 --> 02:08:26,840 SCREENING AND MANAGEMENT IN 2825 02:08:26,840 --> 02:08:30,840 U.S. AFFILIATED PACIFIC ISLANDS. 2826 02:08:30,840 --> 02:08:37,200 THE APPROACH TO IMPLEMENT 2827 02:08:37,200 --> 02:08:38,520 TESTING INCLUDING THE POTENTIAL 2828 02:08:38,520 --> 02:08:43,800 TO REACH MORE HARD TO REACH 2829 02:08:43,800 --> 02:08:48,160 WOMEN WE PILOTED THIS PROJECT IN 2830 02:08:48,160 --> 02:08:48,760 TWO SITES. 2831 02:08:48,760 --> 02:08:59,240 GUAM AND FEDERATED STATES AND 2832 02:08:59,800 --> 02:09:02,760 THIS IS BIGGER THAN THE AREA OF 2833 02:09:02,760 --> 02:09:08,560 THE CONTINENTAL U.S. 2834 02:09:08,560 --> 02:09:10,600 THE BURDEN OF CERVICAL CANCER IN 2835 02:09:10,600 --> 02:09:13,840 PACIFIC ISLANDS IS HIGH AND PART 2836 02:09:13,840 --> 02:09:17,200 OF THE NATIONAL PROGRAM OF 2837 02:09:17,200 --> 02:09:18,800 CANCER REGISTRY THE CENTRAL 2838 02:09:18,800 --> 02:09:21,680 CANCER REGISTRY IS AT THE 2839 02:09:21,680 --> 02:09:23,600 UNIVERSITY OF HAWAI'I DESIGNATED 2840 02:09:23,600 --> 02:09:26,000 TO OVERSEE THE PROGRAM ON BEHALF 2841 02:09:26,000 --> 02:09:26,520 OF THE JURISDICTIONS. 2842 02:09:26,520 --> 02:09:29,440 I WANT TO POINT OUT CURRENTLY 2843 02:09:29,440 --> 02:09:32,920 THE CANCER REGISTRY DATA FROM 2844 02:09:32,920 --> 02:09:35,640 U.S. PACIFIC ISLANDERS ARE NOT 2845 02:09:35,640 --> 02:09:39,240 IN THE U.S. PUBLIC DATABASES DUE 2846 02:09:39,240 --> 02:09:41,480 TO THE CHALLENGES MEETING THE 2847 02:09:41,480 --> 02:09:44,680 REPORTING CRITERIA AND QUALITY. 2848 02:09:44,680 --> 02:09:48,320 NONETHELESS THE TABLE REPRESENTS 2849 02:09:48,320 --> 02:09:50,120 CANCER INCIDENTS RATE AMONG 2850 02:09:50,120 --> 02:09:54,840 WOMEN 20 YEARS OR OLDER DURING 2851 02:09:54,840 --> 02:09:57,000 2007 TO 2018. 2852 02:09:57,000 --> 02:09:59,000 THE INCIDENCE OF SERVING CAL 2853 02:09:59,000 --> 02:10:02,760 CANCER IN U.S. API IS TWICE THAT 2854 02:10:02,760 --> 02:10:07,120 OF THE CONTINENTAL U.S. THE 2855 02:10:07,120 --> 02:10:14,840 DIFFERENCE IN GUAM TO 68.8 PER 2856 02:10:14,840 --> 02:10:19,400 100,000 WOMEN IN MARSHALL 2857 02:10:19,400 --> 02:10:19,720 ISLAND. 2858 02:10:19,720 --> 02:10:22,120 CERVICAL CANCER SCREEN COVERAGE 2859 02:10:22,120 --> 02:10:28,360 IS LOW IN AFFILIATED ISLANDS AND 2860 02:10:28,360 --> 02:10:32,600 THE WOMEN 21 TO 65 YEARS NOT 2861 02:10:32,600 --> 02:10:35,280 SCREENED USING THE SURVEILLANCE 2862 02:10:35,280 --> 02:10:38,120 SYSTEM AND THE SURVEY CONDUCTED 2863 02:10:38,120 --> 02:10:44,400 AROUND THE TIME 2016 TO 2018. 2864 02:10:44,400 --> 02:10:49,480 COMPARED TO THE REST OF 2865 02:10:49,480 --> 02:10:55,280 U.S. AROUND 20% NEVER SCREEN THE 2866 02:10:55,280 --> 02:10:57,840 PROPORTION OF WOMEN NOT SCREENED 2867 02:10:57,840 --> 02:11:00,800 WAS HIGHER IN THE API AS HIGH AS 2868 02:11:00,800 --> 02:11:10,440 70%. 2869 02:11:10,440 --> 02:11:11,920 THE SCREENING RATES ARE 2870 02:11:11,920 --> 02:11:13,080 ASSOCIATED WITH BARRIERS SUCH AS 2871 02:11:13,080 --> 02:11:16,240 LACK OF AWARENESS OF IMPORTANCE 2872 02:11:16,240 --> 02:11:18,680 OF CERVICAL CANCER SCREENING AND 2873 02:11:18,680 --> 02:11:19,840 LOW CAPACITY OF HEALTH CARE 2874 02:11:19,840 --> 02:11:22,720 SYSTEM AND WORKFORCE. 2875 02:11:22,720 --> 02:11:27,360 FOR EXAMPLE, CURRENTLY GUAM AND 2876 02:11:27,360 --> 02:11:32,800 YAP CURRENTLY ONLY HAVE ONE 2877 02:11:32,800 --> 02:11:35,960 OB-GYN AND HAVE TO SHIP TO FOR 2878 02:11:35,960 --> 02:11:37,520 LAB TESTING BECAUSE THERE'S NOT 2879 02:11:37,520 --> 02:11:39,360 STRUCTURE ON SITE AND MANY LIVE 2880 02:11:39,360 --> 02:11:41,480 IN REMOTE AREAS WITH LIMITED 2881 02:11:41,480 --> 02:11:42,000 TRANSPORTATION TO HEALTH 2882 02:11:42,000 --> 02:11:46,160 CENTERS. 2883 02:11:46,160 --> 02:11:50,400 THERE ARE ALSO UNIQUE CULTURAL 2884 02:11:50,400 --> 02:12:00,920 SAMPLES AND THE STIGMA OF HPV 2885 02:12:02,920 --> 02:12:08,440 AND BEING EXAMINED. 2886 02:12:08,440 --> 02:12:12,440 AND THERE'S JURISDICTION 2887 02:12:12,440 --> 02:12:14,840 PARTNERS AND WE ASSEMBLED 2888 02:12:14,840 --> 02:12:18,960 EXPERTS WITH EXTENSIVE 2889 02:12:18,960 --> 02:12:21,560 EXPERIENCE IN CANCER PREVENTION 2890 02:12:21,560 --> 02:12:24,080 IN LOW-RESOURCE SETTINGS WITH 2891 02:12:24,080 --> 02:12:25,480 MEDICAL EXPERTS, HEALTH 2892 02:12:25,480 --> 02:12:30,640 ECONOMISTS AND PUBLIC HEALTH 2893 02:12:30,640 --> 02:12:31,480 OFFICERS FROM VARIOUS 2894 02:12:31,480 --> 02:12:34,840 ORGANIZAT 2895 02:12:34,840 --> 02:12:36,280 ORGANIZATIONS A TEAM DEVELOPED A 2896 02:12:36,280 --> 02:12:40,840 FRAMEWORK TO GUIDE OUR 2897 02:12:40,840 --> 02:12:42,440 ACTIVITIES AND CONSISTS OF 2898 02:12:42,440 --> 02:12:44,080 COMMUNITY ENGAGEMENT, MEDICAL 2899 02:12:44,080 --> 02:12:46,680 AND LABORATORY AND DATA SYSTEM 2900 02:12:46,680 --> 02:12:47,400 AND MODELLING. 2901 02:12:47,400 --> 02:12:49,520 THE COMMUNITY ENGAGEMENT PIECE 2902 02:12:49,520 --> 02:12:52,880 FOCUSES ON ACTIVITIES TO 2903 02:12:52,880 --> 02:12:54,400 INCREASE AWARENESS, PROVIDE 2904 02:12:54,400 --> 02:12:56,200 EDUCATION THROUGH COMMUNITY 2905 02:12:56,200 --> 02:12:58,400 HEALTH WORKERS AND OUTREACH 2906 02:12:58,400 --> 02:12:59,840 ACTIVITIES. 2907 02:12:59,840 --> 02:13:00,960 MEDICAL AND LABORATORY PIECE 2908 02:13:00,960 --> 02:13:03,960 FOCUSES ON ACTIVITIES TO BUILD 2909 02:13:03,960 --> 02:13:06,720 CERVICAL CANCER SCREENING AND 2910 02:13:06,720 --> 02:13:08,360 MANAGEMENT CAPACITY THROUGH 2911 02:13:08,360 --> 02:13:10,840 LOCAL HEALTH CARE PROVIDER AND 2912 02:13:10,840 --> 02:13:11,440 SYSTEMS AS WELL AS LABORATORY 2913 02:13:11,440 --> 02:13:15,480 INFRASTRUCTURE. 2914 02:13:15,480 --> 02:13:19,800 WE ALSO WORK ON DATA SYSTEMS AND 2915 02:13:19,800 --> 02:13:24,800 CONDUCT ANALYSIS TO LOOK AT 2916 02:13:24,800 --> 02:13:26,200 EFFECTIVE CERVICAL CANCER 2917 02:13:26,200 --> 02:13:27,440 PREVENTION AND SCREENING 2918 02:13:27,440 --> 02:13:30,800 STRATEGIES FOR EACH 2919 02:13:30,800 --> 02:13:34,600 JURISDICTION. 2920 02:13:34,600 --> 02:13:35,920 A BETTER UNDERSTANDING OF 2921 02:13:35,920 --> 02:13:40,120 DISPARITIES AND BARRIERS IN AAPI 2922 02:13:40,120 --> 02:13:42,040 POPULATION HELP US DESIGN AND 2923 02:13:42,040 --> 02:13:42,640 IMPLEMENT INTERVENTIONS TO 2924 02:13:42,640 --> 02:13:43,360 ADDRESS THEM. 2925 02:13:43,360 --> 02:13:46,320 FIRST WE NEED TO ENHANCE 2926 02:13:46,320 --> 02:13:48,680 AVAILABILITY AND QUALITY AND USE 2927 02:13:48,680 --> 02:13:55,000 OF THE DATA ON AAPI POPULATIONS. 2928 02:13:55,000 --> 02:13:56,800 THERE'S A LOT WE CAN DO WITH 2929 02:13:56,800 --> 02:13:58,320 PRIMARY AND SECONDARY PREVENTION 2930 02:13:58,320 --> 02:13:59,680 AS DISCUSSED EARLIER. 2931 02:13:59,680 --> 02:14:01,720 INTERPRETATION SERVICES ARE 2932 02:14:01,720 --> 02:14:04,800 CRITICAL FOR THOSE WITH LIMITED 2933 02:14:04,800 --> 02:14:05,680 ENGLISH PROFICIENCY WHICH IS 2934 02:14:05,680 --> 02:14:06,880 ONE-THIRD OF THE AAPI 2935 02:14:06,880 --> 02:14:10,560 POPULATIONS. 2936 02:14:10,560 --> 02:14:13,280 AND CARE NAVIGATION CAN IMPROVE 2937 02:14:13,280 --> 02:14:14,720 AWARENESS OF ISSUES AND ACCESS 2938 02:14:14,720 --> 02:14:17,480 TO CARE AND CANCER SCREENING IN 2939 02:14:17,480 --> 02:14:22,760 A SKULL 2940 02:14:24,200 --> 02:14:28,640 CULTURALLY SENSITIVE WAY AND 2941 02:14:28,640 --> 02:14:30,240 SPEND TIME TO APPROPRIATELY 2942 02:14:30,240 --> 02:14:32,200 DISCUSS CANCER SCREENING AND 2943 02:14:32,200 --> 02:14:35,080 PRIMARY PREVENTION. 2944 02:14:35,080 --> 02:14:36,280 CULTURALLY APPROPRIATE 2945 02:14:36,280 --> 02:14:37,640 COMMUNITY-BASED INTERVENTIONS 2946 02:14:37,640 --> 02:14:39,280 THAT MEET THE AAPI POPULATIONS 2947 02:14:39,280 --> 02:14:42,800 WHERE THEY LIVE ARE LIKELY TO BE 2948 02:14:42,800 --> 02:14:44,520 THE MOST EFFECTIVE AND INCLUDING 2949 02:14:44,520 --> 02:14:46,840 ACCESS TO EDUCATION ABOUT HEALTH 2950 02:14:46,840 --> 02:14:49,440 CARE. 2951 02:14:49,440 --> 02:14:52,400 IT'S LIKELY THEY NOT ONLY 2952 02:14:52,400 --> 02:14:54,800 ADDRESS DISPARITIES IN CANCER 2953 02:14:54,800 --> 02:14:55,320 HEALTH BUT OTHER HEALTH 2954 02:14:55,320 --> 02:15:05,200 CONDITIONS. 2955 02:15:05,200 --> 02:15:06,840 THANK YOU VERY MUCH FOR YOUR 2956 02:15:06,840 --> 02:15:12,000 ATTENTION. 2957 02:15:12,000 --> 02:15:14,400 THAT CONCLUDES MY PRESENTATION. 2958 02:15:14,400 --> 02:15:18,800 >>THANK YOU, DR. CHEN FOR YOUR 2959 02:15:18,800 --> 02:15:19,200 EXCELLENT TALK. 2960 02:15:19,200 --> 02:15:27,560 WE ALL LEARNED A LOT. 2961 02:15:27,560 --> 02:15:29,320 THIS MORNING'S SESSION IS 2962 02:15:29,320 --> 00:00:00,000 CONCLUDED.