1 00:00:05,880 --> 00:00:09,480 WELCOME TO THE 126 MEETING OF 2 00:00:09,480 --> 00:00:14,760 THE NIH ADVISORY COUNCIL TO THE 3 00:00:14,760 --> 00:00:17,360 DIRECTOR. 4 00:00:17,360 --> 00:00:19,480 I WANT TO THANK ALL OF YOU FOR 5 00:00:19,480 --> 00:00:21,640 TAKING TIME OUT OF YOUR VERY 6 00:00:21,640 --> 00:00:25,560 BUSY SCHEDULES TO BE WITH US, 7 00:00:25,560 --> 00:00:28,560 BOTH TODAY AND TOMORROW. 8 00:00:28,560 --> 00:00:29,560 THE PUBLIC MEETING TODAY WILL 9 00:00:29,560 --> 00:00:35,600 RUN FROM 10 A.M. EAST COAST TIME 10 00:00:35,600 --> 00:00:38,000 TO ABOUT 5:10 P.M. 11 00:00:38,000 --> 00:00:43,240 AND THAT WILL BE FOLLOWED BY A 12 00:00:43,240 --> 00:00:45,800 SHORT CLOSED SESSION, FROM ABOUT 13 00:00:45,800 --> 00:00:52,920 5:10 P.M. TO 6 P.M., AGAIN EAST 14 00:00:52,920 --> 00:00:54,160 COAST TIME. 15 00:00:54,160 --> 00:00:58,080 AND THEN TOMORROW WE WILL HAVE A 16 00:00:58,080 --> 00:01:00,520 PUBLIC SESSION FROM 10:30 A.M. 17 00:01:00,520 --> 00:01:03,520 UNTIL 4:30 P.M., EAST COAST 18 00:01:03,520 --> 00:01:03,720 TIME. 19 00:01:03,720 --> 00:01:05,840 THE MEETING WILL BE RECORDED 20 00:01:05,840 --> 00:01:10,000 BOTH DAYS, AND WILL BE MADE 21 00:01:10,000 --> 00:01:12,520 AVAILABLE AFTER THE MEETING. 22 00:01:12,520 --> 00:01:13,840 NOW, APPRECIATING HOW VERY FULL 23 00:01:13,840 --> 00:01:17,120 OUR AGENDA IS FOR THE NEXT 24 00:01:17,120 --> 00:01:21,280 COUPLE OF DAYS WE'RE GOING TO DO 25 00:01:21,280 --> 00:01:24,680 OUR BEST TO STAY ON TIME, AND 26 00:01:24,680 --> 00:01:27,240 ACTING PRINCIPAL DEPUTY DR. TARA 27 00:01:27,240 --> 00:01:29,920 SCHWETZ WILL HELP US DO THAT. 28 00:01:29,920 --> 00:01:32,480 TARA, LET ME TURN IT TO YOU TO 29 00:01:32,480 --> 00:01:36,600 GO OVER LOGISTICAL ITEMS PLEASE 30 00:01:36,600 --> 00:01:39,560 >> THANKS, LARRY. 31 00:01:39,560 --> 00:01:41,240 SO, GOOD MORNING, EVERYONE. 32 00:01:41,240 --> 00:01:43,240 JUST FOR THE LOGISTICAL DETAILS, 33 00:01:43,240 --> 00:01:45,680 I'LL RUN THROUGH IT HERE IN A 34 00:01:45,680 --> 00:01:46,240 SECOND. 35 00:01:46,240 --> 00:01:48,080 SO, EXCEPT FOR CLOSED SESSION, 36 00:01:48,080 --> 00:01:50,840 THE MEETING IS OPEN TO THE 37 00:01:50,840 --> 00:01:52,320 PUBLIC, AS LARRY INDICATED. 38 00:01:52,320 --> 00:01:54,040 THAT INCLUDES MEMBERS OF THE 39 00:01:54,040 --> 00:01:55,840 PRESS AND IT'S ALSO BEING 40 00:01:55,840 --> 00:01:56,480 WEBCAST. 41 00:01:56,480 --> 00:01:58,640 SO JUST FOR YOUR REFERENCE. 42 00:01:58,640 --> 00:01:59,920 THE MEETING PRESENTATIONS AND 43 00:01:59,920 --> 00:02:00,880 ANY OF THE SUPPLEMENTAL 44 00:02:00,880 --> 00:02:03,520 MATERIALS ARE GOING TO BE POSTED 45 00:02:03,520 --> 00:02:05,640 ON THE ACD WEBSITE, SHORTLY 46 00:02:05,640 --> 00:02:06,600 AFTER THE MEETING. 47 00:02:06,600 --> 00:02:09,160 WE'LL ASSURE ALL OF THAT IS 48 00:02:09,160 --> 00:02:10,440 PUBLICLY AVAILABLE. 49 00:02:10,440 --> 00:02:11,760 THE MEETING ALSO WAS ANNOUNCED 50 00:02:11,760 --> 00:02:15,000 IN THE FEDERAL REGISTER ON MAY 51 00:02:15,000 --> 00:02:15,480 19, 2023. 52 00:02:15,480 --> 00:02:21,520 AND OF NOTE, WE DID RECEIVE 53 00:02:21,520 --> 00:02:22,720 PUBLIC COMMENT AND ACD MEMBERS 54 00:02:22,720 --> 00:02:28,200 CAN WE REVIEW ON SHARE FILE SI. 55 00:02:28,200 --> 00:02:30,400 WE'RE USING THE VIRTUAL FORMAT 56 00:02:30,400 --> 00:02:32,320 ON ZOOM AS ACCUSTOMED TO OVER 57 00:02:32,320 --> 00:02:37,240 THE LAST SEVERAL YEARS TODAY AND 58 00:02:37,240 --> 00:02:37,600 TOMORROW. 59 00:02:37,600 --> 00:02:38,960 PLEASE RAISE YOUR HAND VIRTUALLY 60 00:02:38,960 --> 00:02:41,280 RATHER THAN USE THE CHAT TO POSE 61 00:02:41,280 --> 00:02:43,160 A QUESTION OR MAKE A COMMENT. 62 00:02:43,160 --> 00:02:46,160 IT MAKES THINGS EASIER AND 63 00:02:46,160 --> 00:02:46,800 SMOOTHER. 64 00:02:46,800 --> 00:02:48,760 AND WHEN AN ACD MEMBER DOES WISH 65 00:02:48,760 --> 00:02:49,960 TO MAKE A COMMENT, WE ASK THAT 66 00:02:49,960 --> 00:02:51,560 YOU PLEASE MAKE SURE TO TURN ON 67 00:02:51,560 --> 00:02:54,160 YOUR VIDEO AND YOUR MIC, IF YOU 68 00:02:54,160 --> 00:02:57,240 CAN, SO THAT WE'RE RECORDING 69 00:02:57,240 --> 00:02:59,080 MORE THAN JUST A BLACK BOX WITH 70 00:02:59,080 --> 00:03:01,400 YOUR NAME ON IT. 71 00:03:01,400 --> 00:03:03,040 BUT WITH THAT I'M GOING TO TURN 72 00:03:03,040 --> 00:03:07,040 IT BACK OVER TO LARRY. 73 00:03:07,040 --> 00:03:08,720 >> THANKS VERY MUCH, TARA. 74 00:03:08,720 --> 00:03:10,640 WHAT I'D LIKE TO DO NOW, IF WE 75 00:03:10,640 --> 00:03:14,800 COULD PULL UP THE AGENDA FOR THE 76 00:03:14,800 --> 00:03:21,200 MEETING. 77 00:03:21,200 --> 00:03:24,360 IS THAT POSSIBLE? 78 00:03:24,360 --> 00:03:29,240 WELL, I'LL JUST SPEAK TO IT. 79 00:03:29,240 --> 00:03:31,880 WE'LL BEGIN THE MEETING WITH 80 00:03:31,880 --> 00:03:32,920 DIRECTOR'S REPORT. 81 00:03:32,920 --> 00:03:37,880 AS YOU KNOW, THAT WILL INCLUDE 82 00:03:37,880 --> 00:03:43,040 BOTH A BUDGET UPDATE AND 83 00:03:43,040 --> 00:03:44,840 LEGISLATIVE UPDATE BY NEIL 84 00:03:44,840 --> 00:03:46,240 SHAPIRO AND LAUREN HIGGINS, 85 00:03:46,240 --> 00:03:46,880 RESPECTIVELY. 86 00:03:46,880 --> 00:03:47,560 OH, THANKS VERY MUCH. 87 00:03:47,560 --> 00:03:48,360 APPRECIATE IT. 88 00:03:48,360 --> 00:03:50,560 WE'LL GIVE YOU A SHORT BREAK 89 00:03:50,560 --> 00:03:57,000 AFTER THE DIRECTORS REPORT. 90 00:03:57,000 --> 00:04:05,840 AND 11:15 A.M., EAST COAST TIME, 91 00:04:05,840 --> 00:04:08,640 LYRIC JORGENSEN WILL REVIEW THE 92 00:04:08,640 --> 00:04:09,720 PUBLIC ACCESS PLAN, FOLLOWED BY 93 00:04:09,720 --> 00:04:13,280 A PRESENTATION ABOUT THE CANCER 94 00:04:13,280 --> 00:04:15,680 MOONSHOT BY MONICA BERTAGNOLLI, 95 00:04:15,680 --> 00:04:18,280 THE DIRECTOR OF THE NCI. 96 00:04:18,280 --> 00:04:23,160 AGAIN, WE'LL GIVE YOU A SHORT 97 00:04:23,160 --> 00:04:25,040 BREAK FOR LUNCH, FOR THOSE OF US 98 00:04:25,040 --> 00:04:29,880 HERE ON EAST COAST TIME. 99 00:04:29,880 --> 00:04:36,760 AND THEN AT 1:45 DR. SHELLI 100 00:04:36,760 --> 00:04:38,160 AVENEVOLI, DEPUTY DIRECTOR AT 101 00:04:38,160 --> 00:04:39,600 NIMH, WILL GIVE A PRESENTATION 102 00:04:39,600 --> 00:04:41,120 ON ADDRESSING MENTAL HEALTH 103 00:04:41,120 --> 00:04:42,680 CRISIS THROUGH RESEARCH. 104 00:04:42,680 --> 00:04:44,240 SHORT BREAK. 105 00:04:44,240 --> 00:04:47,920 AND THEN DR. GARY GIBBONS, 106 00:04:47,920 --> 00:04:51,960 DIRECTOR OF NHLBI, WILL PRESENT 107 00:04:51,960 --> 00:04:54,880 ON HOW NIH IS ADDRESSING THE 108 00:04:54,880 --> 00:04:56,760 PUBLIC HEALTH THREAT OF 109 00:04:56,760 --> 00:05:01,760 POST-ACUTE SEQUELAE OF 110 00:05:01,760 --> 00:05:02,400 SARS-COV-2 INFECTION, PASC, 111 00:05:02,400 --> 00:05:04,360 THROUGH THE NIH RECOVER 112 00:05:04,360 --> 00:05:06,480 INITIATIVE. 113 00:05:06,480 --> 00:05:09,280 AT 4 P.M., DR. JULIE GERBERDING, 114 00:05:09,280 --> 00:05:14,160 CEO OF THE FOUNDATION FOR NIH, 115 00:05:14,160 --> 00:05:15,560 WILL PRESENT SOME OF HER MOST 116 00:05:15,560 --> 00:05:16,280 RECENT EFFORTS. 117 00:05:16,280 --> 00:05:23,000 AND THEN WE'LL CLOSE WITH A 118 00:05:23,000 --> 00:05:24,120 SHORT -- VERY BRIEF COMMENTS, 119 00:05:24,120 --> 00:05:25,200 ADJOURN, AND PROCEED TO CLOSED 120 00:05:25,200 --> 00:05:29,720 SESSION WHERE ONLY MEMBERS OF 121 00:05:29,720 --> 00:05:33,680 THE COUNCIL WILL PARTICIPATE. 122 00:05:33,680 --> 00:05:37,440 ON FRIDAY, DR. DEB TUCCI, 123 00:05:37,440 --> 00:05:40,600 DIRECTOR OF NIDCD, WILL PRESENT 124 00:05:40,600 --> 00:05:42,440 ON CLINICAL TRIAL STEWARDSHIP, 125 00:05:42,440 --> 00:05:52,720 FOLLOWED BY DR. MARIE BERNARD, 126 00:05:52,720 --> 00:05:53,680 UPDATE ON ACCESSIBILITY EFFORTS 127 00:05:53,680 --> 00:05:55,720 AT NIH. 128 00:05:55,720 --> 00:05:59,160 A QUICK BREAK FOR LUNCH, HERE ON 129 00:05:59,160 --> 00:06:04,080 THE EAST COAST. 130 00:06:04,080 --> 00:06:09,000 AT 12:30 THE HeLa GENOME 131 00:06:09,000 --> 00:06:11,640 ACCESS WORKING GROUP WILL 132 00:06:11,640 --> 00:06:13,800 PRESENT DATA ACCESS REQUESTS, 133 00:06:13,800 --> 00:06:16,880 GARTH GRAHAM AND LYRIC JORGENSON 134 00:06:16,880 --> 00:06:21,320 WILL MAKE THOSE REQUESTS KNOWN. 135 00:06:21,320 --> 00:06:24,080 12:45 DR. RICK WOYCHIK, DIRECTOR 136 00:06:24,080 --> 00:06:27,360 OF NIEHS, WILL SUMMARIZE SOME OF 137 00:06:27,360 --> 00:06:29,280 THE NIH-WIDE COLLABORATIVE 138 00:06:29,280 --> 00:06:31,520 INITIATIVES ON CLIMATE CHANGE 139 00:06:31,520 --> 00:06:32,520 AND HEALTH. 140 00:06:32,520 --> 00:06:34,360 FOLLOWING A SHORT BREAK, WE'LL 141 00:06:34,360 --> 00:06:36,240 HAVE AN UPDATE FROM THE ACD 142 00:06:36,240 --> 00:06:38,120 WORKING GROUP ON CATALYZING THE 143 00:06:38,120 --> 00:06:41,400 DEVELOPMENT AND USE OF NOVEL 144 00:06:41,400 --> 00:06:47,840 ALTERNATIVE METHODS TO ADVANCE 145 00:06:47,840 --> 00:06:48,720 BIOMEDICAL RESEARCH, DOCTORS 146 00:06:48,720 --> 00:06:50,320 HOWARD CHANG AND LYRIC JORGENSON 147 00:06:50,320 --> 00:06:54,480 WILL DO THAT PRESENTATION, 148 00:06:54,480 --> 00:06:56,560 FOLLOWED BY AT 3 P.M. AN UPDATE 149 00:06:56,560 --> 00:07:01,440 FROM ACD WORKING GROUP ON 150 00:07:01,440 --> 00:07:02,520 RE-ENVISIONING NIH-SUPPORTED 151 00:07:02,520 --> 00:07:05,120 POSTDOCTORAL TRAINING PRESENTED 152 00:07:05,120 --> 00:07:08,960 BY DOCTORS SHELLEY BERGER AND 153 00:07:08,960 --> 00:07:09,520 TARA SCHWETZ. 154 00:07:09,520 --> 00:07:11,040 VERY FULL SCHEDULE. 155 00:07:11,040 --> 00:07:16,000 WE'LL KEEP CLOSING COMMENTS TO A 156 00:07:16,000 --> 00:07:16,400 MINIMUM. 157 00:07:16,400 --> 00:07:19,440 BUT I'M SURE YOU CAN APPRECIATE 158 00:07:19,440 --> 00:07:21,640 THAT EACH TOPIC IS SUBSTANTIVE 159 00:07:21,640 --> 00:07:25,400 AND TIMELY, AND OF COURSE THE 160 00:07:25,400 --> 00:07:27,560 PRESENTATIONS ARE THERE TO FRAME 161 00:07:27,560 --> 00:07:31,160 THE DISCUSSION THAT WILL BE HELD 162 00:07:31,160 --> 00:07:32,240 WITH THE COUNCIL. 163 00:07:32,240 --> 00:07:34,360 AND THAT IS REALLY THE CORE OF 164 00:07:34,360 --> 00:07:39,880 WHAT THE ADVISORY COMMITTEE IS 165 00:07:39,880 --> 00:07:44,080 ABOUT, TO HAVE, YOU KNOW, FULL 166 00:07:44,080 --> 00:07:47,480 DISCUSSION IN A PUBLIC FORUM, 167 00:07:47,480 --> 00:07:48,840 AND SO PLEASE, ALTHOUGH I KNOW 168 00:07:48,840 --> 00:07:52,640 THIS GROUP IS NOT BASHFUL, 169 00:07:52,640 --> 00:08:00,640 PLEASE DO ENGAGE WITH THE TOPICS 170 00:08:00,640 --> 00:08:01,600 AS THEY ARE PRESENTED. 171 00:08:01,600 --> 00:08:03,520 NOW IF WE COULD PULL UP THE 172 00:08:03,520 --> 00:08:06,440 SLIDE DECK PLEASE AND GO TO 173 00:08:06,440 --> 00:08:16,600 SLIDE 3. 174 00:08:18,280 --> 00:08:21,800 I WANTED TO WELCOME SOME NEW 175 00:08:21,800 --> 00:08:24,400 FACES WHO ARE PARTICIPATING 176 00:08:24,400 --> 00:08:27,520 TODAY, AD HOC MEMBERS OF THE ACD 177 00:08:27,520 --> 00:08:28,400 WHILE THEIR MEMBERSHIPS ARE 178 00:08:28,400 --> 00:08:33,760 BEING CONSIDERED TO THE BOARD. 179 00:08:33,760 --> 00:08:35,400 IF I BUTCHER THE PRONUNCIATION 180 00:08:35,400 --> 00:08:37,360 OF YOUR NAME, PLEASE, PLEASE 181 00:08:37,360 --> 00:08:44,120 CORRECT ME, AND AAPOLOGIZE IN 182 00:08:44,120 --> 00:08:46,760 ADVANCE. 183 00:08:46,760 --> 00:08:48,760 DR. ONAMACHADO FROM YALE, 184 00:08:48,760 --> 00:08:49,840 PROFESSOR THE MEDICINE AND 185 00:08:49,840 --> 00:08:51,680 BIOMEDICAL INFORMATICS AND DATA 186 00:08:51,680 --> 00:08:54,320 SCIENCE, DEPUTY DEAN FOR 187 00:08:54,320 --> 00:08:55,400 BIOMEDICAL INFORMATICS AND CHAIR 188 00:08:55,400 --> 00:08:58,520 OF THE BIOMEDICAL INFORMATICS 189 00:08:58,520 --> 00:09:02,440 AND DATA SCIENCE, WELCOME. 190 00:09:02,440 --> 00:09:04,440 DR. CORY MOORE, FROM LANGSTON 191 00:09:04,440 --> 00:09:05,560 UNIVERSITY, CHAIR AND PROFESSOR 192 00:09:05,560 --> 00:09:10,200 OF THE DEPARTMENT OF 193 00:09:10,200 --> 00:09:10,800 REHABILITATION AND DISABILITY 194 00:09:10,800 --> 00:09:12,680 STUDIES, PRINCIPAL INVESTIGATOR 195 00:09:12,680 --> 00:09:15,120 AND RESEARCH DIRECTOR FOR 196 00:09:15,120 --> 00:09:16,120 REHABILITATION RESEARCH AND 197 00:09:16,120 --> 00:09:19,520 TRAINING CENTERS ON RESEARCH AND 198 00:09:19,520 --> 00:09:22,560 CAPACITY BUILDING FOR MINORITY 199 00:09:22,560 --> 00:09:24,440 ENTITIES ON ADVANCING EMPLOYMENT 200 00:09:24,440 --> 00:09:27,520 EQUITY FOR MULTI-PLI 201 00:09:27,520 --> 00:09:30,240 MARGINALIZED PERSONS WITH 202 00:09:30,240 --> 00:09:31,200 DISABILITIES. 203 00:09:31,200 --> 00:09:33,720 DR. TASHA SOLOMON FROM 204 00:09:33,720 --> 00:09:35,240 UNIVERSITY OF ARIZONA, ASSOCIATE 205 00:09:35,240 --> 00:09:37,320 PROFESSOR, DEPARTMENT OF FAMILY 206 00:09:37,320 --> 00:09:39,160 AND COMMUNITY MEDICINE, FORMER 207 00:09:39,160 --> 00:09:42,480 DIRECTOR OF THE NATIVE AMERICAN 208 00:09:42,480 --> 00:09:46,400 RESEARCH AND TRAINING CENTER. 209 00:09:46,400 --> 00:09:48,360 DR. BRIAN MUSTANSKI, 210 00:09:48,360 --> 00:09:48,880 NORTHWESTERN UNIVERSITY, 211 00:09:48,880 --> 00:09:50,360 FEINBERG SCHOOL OF MEDICINE, 212 00:09:50,360 --> 00:09:54,800 PROFESSOR OF MEDICAL SOCIAL 213 00:09:54,800 --> 00:09:56,120 SCIENCES, PSYCHIATRY, BEHAVIORAL 214 00:09:56,120 --> 00:09:57,160 SCIENCES, PSYCHOLOGY, AND 215 00:09:57,160 --> 00:09:59,520 DIRECTOR OF THE INSTITUTE FOR 216 00:09:59,520 --> 00:10:00,760 SEXUAL AND GENDER MINORITY 217 00:10:00,760 --> 00:10:05,000 HEALTH AND WELL BEING. 218 00:10:05,000 --> 00:10:08,200 FINALLY DR. GISELLE CORBY, UNC 219 00:10:08,200 --> 00:10:13,840 SCHOOL OF MEDICINE, THE KEENAN 220 00:10:13,840 --> 00:10:16,600 DIRECTOR OF PROFESSOR FOR SOCIAL 221 00:10:16,600 --> 00:10:20,440 MEDICINE, VICE PROVOST FOR 222 00:10:20,440 --> 00:10:24,400 FACULTY AFFAIRS, PROFESSOR OF 223 00:10:24,400 --> 00:10:25,240 INTERNAL MEDICINE. 224 00:10:25,240 --> 00:10:27,360 WE'RE EXCITED TO HAVE YOU AND 225 00:10:27,360 --> 00:10:32,960 APPRECIATE YOUR WILLINGNESS TO 226 00:10:32,960 --> 00:10:34,480 SHARE YOUR EXPERTISE, SO REALLY, 227 00:10:34,480 --> 00:10:34,720 WELCOME. 228 00:10:34,720 --> 00:10:38,960 AND AS WE WELCOME THESE NEW 229 00:10:38,960 --> 00:10:42,360 VOICES, WE ALSO WANT TO 230 00:10:42,360 --> 00:10:43,880 ACKNOWLEDGE SEVERAL ACD MEMBERS 231 00:10:43,880 --> 00:10:46,360 WHO GRACIOUSLY AGREED TO EXTEND 232 00:10:46,360 --> 00:10:48,680 THEIR SERVICE TO THIS MEETING, 233 00:10:48,680 --> 00:10:51,840 BUT NOW WILL NEED TO ROTATE OFF. 234 00:10:51,840 --> 00:10:54,760 THE GOOD NEWS IS, IT 235 00:10:54,760 --> 00:10:58,200 DEMONSTRATES THE ACD IS NOT A 236 00:10:58,200 --> 00:10:59,400 LIFE SENTENCE, BUT NEVERTHELESS 237 00:10:59,400 --> 00:11:01,560 WE'RE VERY SORRY THAT THESE 238 00:11:01,560 --> 00:11:04,080 FOLKS ARE ROTATING OFF. 239 00:11:04,080 --> 00:11:05,840 FIRST DR. SHELLEY BERGER, FROM 240 00:11:05,840 --> 00:11:07,160 UNIVERSITY OF PENNSYLVANIA, AND 241 00:11:07,160 --> 00:11:10,280 YOU WILL HEAR FROM DR. BERGER 242 00:11:10,280 --> 00:11:20,800 LATER, AS SHE HAS TAKEN UP THE 243 00:11:21,840 --> 00:11:24,400 MANTLE, ON THE REENVISIONS 244 00:11:24,400 --> 00:11:26,920 NIH-SUPPORTED DOCTORAL TRAINING 245 00:11:26,920 --> 00:11:27,120 EFFORT. 246 00:11:27,120 --> 00:11:29,440 DR. ROBERT BRINTON, UNIVERSITY 247 00:11:29,440 --> 00:11:31,840 OF ARIZONA, AGAIN THANK YOU SO 248 00:11:31,840 --> 00:11:34,040 MUCH FOR YOUR TREMENDOUS 249 00:11:34,040 --> 00:11:35,520 CONTRIBUTIONS AND IN PARTICULAR 250 00:11:35,520 --> 00:11:37,960 YOUR SERVICE AS CO-CHAIR OF THE 251 00:11:37,960 --> 00:11:40,600 ACD WORKING GROUP ON DIVERSITY. 252 00:11:40,600 --> 00:11:45,280 AND THEN FINALLY DR. BARBARA 253 00:11:45,280 --> 00:11:49,240 WAHL, CAL TECH, WHO I WORKED 254 00:11:49,240 --> 00:11:51,200 WITH CLOSELY AS CO-CHAIRS OF ACD 255 00:11:51,200 --> 00:11:54,040 WORKING GROUP ON ENHANCING 256 00:11:54,040 --> 00:11:56,760 RIGOR, TRANSPARENCY, AND 257 00:11:56,760 --> 00:11:58,680 TRANSLATABILITY IN ANIMAL 258 00:11:58,680 --> 00:11:58,960 RESEARCH. 259 00:11:58,960 --> 00:12:01,440 I CAN'T BEGIN TO SAY HOW MUCH WE 260 00:12:01,440 --> 00:12:03,440 HAVE APPRECIATED THE WISDOM AND 261 00:12:03,440 --> 00:12:06,080 INSIGHT THAT THESE MEMBERS HAVE 262 00:12:06,080 --> 00:12:08,440 GIVEN TO US, OVER THE PAST 263 00:12:08,440 --> 00:12:11,200 SEVERAL YEARS. 264 00:12:11,200 --> 00:12:17,600 AND WE REALLY DO SAY THANK YOU. 265 00:12:17,600 --> 00:12:21,480 LOOKING FORWARD TO YOUR 266 00:12:21,480 --> 00:12:21,960 CONTRIBUTIONS TODAY. 267 00:12:21,960 --> 00:12:23,760 WITH REGARD TO OTHER LEADERSHIP 268 00:12:23,760 --> 00:12:28,880 CHANGE TO MAKE YOU AWARE OF, 269 00:12:28,880 --> 00:12:30,360 NEXT SLIDE PLEASE. 270 00:12:30,360 --> 00:12:34,800 I'M SURE YOU'RE AWARE PRESIDENT 271 00:12:34,800 --> 00:12:36,320 BIDEN HAS NOMINATED DR. MONICA 272 00:12:36,320 --> 00:12:37,160 BERTAGNOLLI, THE CURRENT 273 00:12:37,160 --> 00:12:40,000 DIRECTOR OF THE NATIONAL CANCER 274 00:12:40,000 --> 00:12:44,440 INSTITUTE, AS THE NEXT NIH 275 00:12:44,440 --> 00:12:44,800 DIRECTOR. 276 00:12:44,800 --> 00:12:49,640 I'LL LEAVE IT TO LAUREN HIGGINS 277 00:12:49,640 --> 00:12:54,800 TO EXPLAIN THE PROCESS THAT 278 00:12:54,800 --> 00:12:59,560 NEEDS TO BE FOLLOWED THROUGH 279 00:12:59,560 --> 00:13:00,880 CONFIRMATION OF DR. BERTAGNOLLI. 280 00:13:00,880 --> 00:13:02,480 NEXT SLIDE PLEASE. 281 00:13:02,480 --> 00:13:06,120 WE HAVE A NUMBER OF SEARCHES 282 00:13:06,120 --> 00:13:06,720 ONGOING FOR LEADERSHIP. 283 00:13:06,720 --> 00:13:09,080 AND SO THERE ARE SOME NEW FACES 284 00:13:09,080 --> 00:13:10,480 WITH THE COUNCIL TODAY. 285 00:13:10,480 --> 00:13:12,320 I JUST WANT TO ALERT YOU TO WHO 286 00:13:12,320 --> 00:13:13,960 THESE FOLKS ARE. 287 00:13:13,960 --> 00:13:16,520 I'VE ALREADY MENTIONED LAUREN 288 00:13:16,520 --> 00:13:19,200 HIGGINS, WHO IS THE ACTING 289 00:13:19,200 --> 00:13:21,120 ASSOCIATE DIRECTOR FOR 290 00:13:21,120 --> 00:13:24,600 LEGISLATIVE POLICY AND ANALYSIS. 291 00:13:24,600 --> 00:13:29,720 SHE GRACIOUSLY STEPPED IN WHEN 292 00:13:29,720 --> 00:13:30,920 ADRIENNE HALLET STEPPED DOWN 293 00:13:30,920 --> 00:13:33,480 FROM THIS ROLE AND WE'RE VERY, 294 00:13:33,480 --> 00:13:35,200 VERY APPRECIATIVE OF LAUREN 295 00:13:35,200 --> 00:13:37,880 DOING THIS FOR US WHILE A 296 00:13:37,880 --> 00:13:42,000 NATIONWIDE SEARCH IS ONGOING FOR 297 00:13:42,000 --> 00:13:45,120 THE PERMANENT DIRECTOR. 298 00:13:45,120 --> 00:13:46,000 NEXT SLIDE PLEASE. 299 00:13:46,000 --> 00:13:48,360 ALSO I WANT TO THANK DR. DAVID 300 00:13:48,360 --> 00:13:52,200 MURRAY FOR SERVING AS ACTING 301 00:13:52,200 --> 00:13:54,320 DIRECTOR FOR OFFICE OF DIETARY 302 00:13:54,320 --> 00:13:59,720 SUPPLEMENTS, PLEASED TO ANNOUNCE 303 00:13:59,720 --> 00:14:01,240 THAT DR. STEPHAN PASIAKOS WILL 304 00:14:01,240 --> 00:14:03,120 BEGIN SERVING AS DIRECTOR OF 305 00:14:03,120 --> 00:14:06,480 OFFICE OF DIETARY SUPPLEMENTS IN 306 00:14:06,480 --> 00:14:07,640 MID-JULY. 307 00:14:07,640 --> 00:14:10,680 HE'S CURRENTLY A PHYSIOLOGIST AT 308 00:14:10,680 --> 00:14:12,560 THE ARMY INSTITUTE OF 309 00:14:12,560 --> 00:14:13,520 ENVIRONMENTAL MEDICINE. 310 00:14:13,520 --> 00:14:16,680 AND SO WE LOOK FORWARD TO 311 00:14:16,680 --> 00:14:17,320 GREETING HIM SHORTLY. 312 00:14:17,320 --> 00:14:22,040 IF I COULD HAVE THE NEXT SLIDE 313 00:14:22,040 --> 00:14:23,240 PLEASE. 314 00:14:23,240 --> 00:14:27,640 WE'RE VERY GRATEFUL TO DR. BILL 315 00:14:27,640 --> 00:14:29,000 KAPOGIANNIS FOR STEPPING UP AS 316 00:14:29,000 --> 00:14:31,720 ACTING ASSOCIATE DIRECTOR OF 317 00:14:31,720 --> 00:14:34,640 OFFICE OF AIDS RESEARCH, AND THE 318 00:14:34,640 --> 00:14:36,440 ACTING DIRECTOR WE'RE CURRENTLY 319 00:14:36,440 --> 00:14:38,560 ENGAGED IN A NATIONWIDE SEARCH 320 00:14:38,560 --> 00:14:46,920 FOR A NEW DIRECTOR TO REPLACE 321 00:14:46,920 --> 00:14:48,320 DR. MAUREEN GUTENOW WHO LED FOR 322 00:14:48,320 --> 00:14:49,360 SEVEN YEARS. 323 00:14:49,360 --> 00:14:50,920 NEXT SLIDE PLEASE. 324 00:14:50,920 --> 00:14:53,320 THANKS GO TO DR. WENDY SMITH WHO 325 00:14:53,320 --> 00:14:56,000 WILL BE STEPPING IN TO SERVE AS 326 00:14:56,000 --> 00:14:58,560 ACTING ASSOCIATE DIRECTOR FOR 327 00:14:58,560 --> 00:15:00,400 BEHAVIORAL AND SOCIAL SCIENCES 328 00:15:00,400 --> 00:15:02,960 RESEARCH, FOLLOWING THE RECENT 329 00:15:02,960 --> 00:15:03,920 RETIREMENT OF DR. CHRISTINE 330 00:15:03,920 --> 00:15:06,880 HUNTER, WHO HAD BEEN SERVING IN 331 00:15:06,880 --> 00:15:08,880 THE ACTING DIRECTOR CAPACITY. 332 00:15:08,880 --> 00:15:11,840 THERE IS AN ACTIVE SEARCH 333 00:15:11,840 --> 00:15:13,800 ONGOING, AND WE HOPE TO BE ABLE 334 00:15:13,800 --> 00:15:17,320 TO SHARE WITH YOU THE RESULTS OF 335 00:15:17,320 --> 00:15:19,240 THAT IN THE NOT TOO DISTANT 336 00:15:19,240 --> 00:15:19,480 FUTURE. 337 00:15:19,480 --> 00:15:22,800 AND THEN FINALLY IF I COULD HAVE 338 00:15:22,800 --> 00:15:24,720 THE NEXT SLIDE PLEASE, WE'RE 339 00:15:24,720 --> 00:15:28,440 DELIGHTED TO WELCOME DR. KARINA 340 00:15:28,440 --> 00:15:35,200 WALTERS AS NEW DIRECTOR OF THE 341 00:15:35,200 --> 00:15:36,800 NIH TRIBAL HEALTH RESEARCH 342 00:15:36,800 --> 00:15:38,840 OFFICE, A MEMBER OF THE CHOCTAW 343 00:15:38,840 --> 00:15:40,320 NATION OF OKLAHOMA BRINGING A 344 00:15:40,320 --> 00:15:43,040 WEALTH OF EXPERIENCE AND DEEP 345 00:15:43,040 --> 00:15:45,080 COMMITMENT TO ENGAGING TRIBAL 346 00:15:45,080 --> 00:15:47,240 NATIONS AND THEIR LEADERSHIP IN 347 00:15:47,240 --> 00:15:49,680 HEALTH RESEARCH EFFORTS, AND WE 348 00:15:49,680 --> 00:15:51,840 HAVE ALREADY BEGUN WORKING VERY 349 00:15:51,840 --> 00:15:55,720 CLOSELY WITH DR. WALTERS ON A 350 00:15:55,720 --> 00:15:58,720 NUMBER OF ISSUES RELATED TO 351 00:15:58,720 --> 00:16:01,560 TRIBAL HEALTH. 352 00:16:01,560 --> 00:16:02,360 NEXT PLEASE. 353 00:16:02,360 --> 00:16:04,560 SO I WANT TO BRAG A LITTLE BIT 354 00:16:04,560 --> 00:16:08,000 ABOUT SOME NIH FOLKS, SOME 355 00:16:08,000 --> 00:16:09,280 AWARDS. 356 00:16:09,280 --> 00:16:11,320 NEXT PLEASE. 357 00:16:11,320 --> 00:16:15,160 WE HAVE THE SO-CALLED SAMMY 358 00:16:15,160 --> 00:16:17,640 AWARDS, SERVICE TO AMERICA 359 00:16:17,640 --> 00:16:17,920 AWARDS. 360 00:16:17,920 --> 00:16:21,440 IN 2023 I'M DELIGHTED WE HAVE 361 00:16:21,440 --> 00:16:28,440 TWO SETS OF FINALISTS. 362 00:16:28,440 --> 00:16:32,120 NHGRI TELOMERES TO TELOMERES 363 00:16:32,120 --> 00:16:34,960 TEAM LED BY DR. PHILIPY, KOREN, 364 00:16:34,960 --> 00:16:38,800 AND RHIE, IN THE RUNNING FOR THE 365 00:16:38,800 --> 00:16:49,560 2023 SCIENCE TECHNOLOGY IENCE TD 366 00:16:49,960 --> 00:16:50,800 ENVIRONMENT MEDAL. 367 00:16:50,800 --> 00:16:52,360 INSTRUMENTAL IN CRACKING THE 368 00:16:52,360 --> 00:16:54,840 LAST 8% OF THE GENETIC CODE, 369 00:16:54,840 --> 00:16:56,480 MYRIAD OF INSIGHT TO COMPLEXITY 370 00:16:56,480 --> 00:16:58,200 OF DNA AND ITS RELATIONSHIP TO 371 00:16:58,200 --> 00:17:02,560 HEALTH, A VERY LARGE 372 00:17:02,560 --> 00:17:04,520 COLLABORATIVE EFFORT, AND THESE 373 00:17:04,520 --> 00:17:07,080 ARE THE FOLKS WHO LED MUCH OF 374 00:17:07,080 --> 00:17:07,960 THE COORDINATION. 375 00:17:07,960 --> 00:17:13,400 THANK YOU TO THEM. 376 00:17:13,400 --> 00:17:14,120 WISH THEM LUCK. 377 00:17:14,120 --> 00:17:19,320 NEXT SLIDE PLEASE. 378 00:17:19,320 --> 00:17:23,600 DR. ERIC ROCKY FEUER IS A 379 00:17:23,600 --> 00:17:26,880 FINALIST FOR VOLCKER CAREER 380 00:17:26,880 --> 00:17:28,800 ACHIEVEMENT MEDAL, USING 381 00:17:28,800 --> 00:17:32,240 STATISTICAL ANALYSIS OVER THE 382 00:17:32,240 --> 00:17:34,600 COURSE OF HIS CAREER IN 383 00:17:34,600 --> 00:17:35,200 UNDERSTANDING IMPACT OF CANCER 384 00:17:35,200 --> 00:17:37,720 IN THE U.S. 385 00:17:37,720 --> 00:17:39,840 HE'S USED DATA TO DEMONSTRATE 386 00:17:39,840 --> 00:17:44,360 HOW NEW PREVENTION SCREENING AND 387 00:17:44,360 --> 00:17:46,000 TREATMENT OPTIONS COULD HELP 388 00:17:46,000 --> 00:17:48,600 REDUCE CANCER RATES. 389 00:17:48,600 --> 00:17:50,800 NOW, AS A PLUG, THE PUBLIC CAN 390 00:17:50,800 --> 00:17:53,680 VOTE FOR THEIR CHOICE IN THE 391 00:17:53,680 --> 00:17:55,840 2023 PUBLIC CHOICE AWARDS VIA 392 00:17:55,840 --> 00:17:58,240 THE PARTNERSHIP FOR PUBLIC 393 00:17:58,240 --> 00:18:00,280 SERVICE'S WEBSITE UNTIL JUNE 394 00:18:00,280 --> 00:18:00,640 30th. 395 00:18:00,640 --> 00:18:04,040 SO, I DO HOPE THAT SOME OF YOU 396 00:18:04,040 --> 00:18:11,440 TAKE ADVANTAGE OF THAT TO HELP 397 00:18:11,440 --> 00:18:12,840 HONOR THESE INDIVIDUALS. 398 00:18:12,840 --> 00:18:15,600 I HOPE YOU JOIN ME IN, YOU KNOW, 399 00:18:15,600 --> 00:18:17,560 APPLAUDING, IF YOU WILL, 400 00:18:17,560 --> 00:18:19,680 VIRTUALLY THE OUTSTANDING 401 00:18:19,680 --> 00:18:21,400 ACCOMPLISHMENTS OF THESE FOLKS. 402 00:18:21,400 --> 00:18:24,800 IF I COULD HAVE THE NEXT SLIDE 403 00:18:24,800 --> 00:18:25,600 PLEASE. 404 00:18:25,600 --> 00:18:28,080 SO, WE RECENTLY HAD A 405 00:18:28,080 --> 00:18:31,520 GROUNDBREAKING CEREMONY. 406 00:18:31,520 --> 00:18:33,040 NEXT SLIDE PLEASE. 407 00:18:33,040 --> 00:18:35,680 A NEW SURGERY, RADIOLOGY, AND 408 00:18:35,680 --> 00:18:41,120 LABORATORY MEDICINE WING OF THE 409 00:18:41,120 --> 00:18:44,640 CLINICAL CENTER HAS STARTED 410 00:18:44,640 --> 00:18:46,320 CONSTRUCTION, BEGINNING WITH 411 00:18:46,320 --> 00:18:47,760 THIS CEREMONIAL TURNING OF THE 412 00:18:47,760 --> 00:18:49,240 SOIL, IF YOU WILL. 413 00:18:49,240 --> 00:18:54,520 AND IN THE CENTER OF OF THE 414 00:18:54,520 --> 00:19:00,080 PICTURE HERE IS ANDREA POM, 415 00:19:00,080 --> 00:19:00,720 DEPUTY SECRETARY, DEPARTMENT OF 416 00:19:00,720 --> 00:19:02,760 HEALTH AND HUMAN SERVICES, WE 417 00:19:02,760 --> 00:19:05,400 WERE DELIGHTED TO HOST HER ON 418 00:19:05,400 --> 00:19:07,360 MAY 16 FOR THIS CEREMONY. 419 00:19:07,360 --> 00:19:09,920 MANY, MANY, MANY PEOPLE MADE 420 00:19:09,920 --> 00:19:12,160 THIS HAPPEN. 421 00:19:12,160 --> 00:19:14,080 THE CONGRESS, OMB, THE 422 00:19:14,080 --> 00:19:15,480 DEPARTMENT, THE MONTGOMERY 423 00:19:15,480 --> 00:19:17,440 COUNTY DELEGATION, AND MANY, 424 00:19:17,440 --> 00:19:20,960 MANY, MANY LEADERS ACROSS NIH. 425 00:19:20,960 --> 00:19:26,040 THIS ADDITION IS SCHEDULED FOR 426 00:19:26,040 --> 00:19:28,280 COMPLETION IN 2029. 427 00:19:28,280 --> 00:19:32,560 AND WILL ENABLE OF COURSE THE 428 00:19:32,560 --> 00:19:34,640 CONTINUED DISCOVERY USING 429 00:19:34,640 --> 00:19:35,280 STATE-OF-THE-ART DIAGNOSTICS, 430 00:19:35,280 --> 00:19:37,400 THERAPIES, AND CURES FOR A WIDE 431 00:19:37,400 --> 00:19:39,240 RANGE OF DISEASES AND CONDITIONS 432 00:19:39,240 --> 00:19:41,480 STUDIED IN THE CLINICAL CENTER. 433 00:19:41,480 --> 00:19:42,400 NEEDLESS TO SAY, WE'RE 434 00:19:42,400 --> 00:19:42,680 DELIGHTED. 435 00:19:42,680 --> 00:19:49,560 THIS IS GOING TO BE A 547,000 436 00:19:49,560 --> 00:19:52,520 SQUARE FOOT ADDITION, AND IT'S 437 00:19:52,520 --> 00:19:54,280 OBVIOUSLY A VERY SUBSTANTIVE 438 00:19:54,280 --> 00:19:56,600 PROJECT. 439 00:19:56,600 --> 00:19:58,640 AND WE'RE JUST SO THRILLED IT 440 00:19:58,640 --> 00:19:59,480 HAS BEGUN. 441 00:19:59,480 --> 00:20:03,160 IF I COULD HAVE THE NEXT SLIDE 442 00:20:03,160 --> 00:20:03,400 PLEASE. 443 00:20:03,400 --> 00:20:08,720 I WANT TO MENTION TO YOU ABOUT 444 00:20:08,720 --> 00:20:13,040 AN INITIATIVE THAT WE HAVE 445 00:20:13,040 --> 00:20:17,480 UNDERTAKEN, AN NIH VIRTUAL TOUR. 446 00:20:17,480 --> 00:20:19,280 NEXT SLIDE PLEASE. 447 00:20:19,280 --> 00:20:21,200 SO, WE'LL BE LAUNCHING THIS 448 00:20:21,200 --> 00:20:23,600 FORMALLY NEXT WEEK. 449 00:20:23,600 --> 00:20:26,800 IT IS A DIGITAL EXPERIENCE THAT 450 00:20:26,800 --> 00:20:28,560 SEEKS TO HELP THE PUBLIC LEARN 451 00:20:28,560 --> 00:20:30,560 MORE ABOUT THE NIH AND HOW WE 452 00:20:30,560 --> 00:20:34,240 WORK TO HELP AMERICANS LIVE 453 00:20:34,240 --> 00:20:35,800 LONGER, HEALTHIER LIVES, ALL 454 00:20:35,800 --> 00:20:38,280 ASPECT OF THE TOUR ARE 508 455 00:20:38,280 --> 00:20:40,240 COMPLIANT TO ENSURE ALL WILL 456 00:20:40,240 --> 00:20:45,320 HAVE ACCESS TO THIS INFORMATION. 457 00:20:45,320 --> 00:20:49,040 VISITORS WILL BE ABLE TO EXPLORE 458 00:20:49,040 --> 00:20:51,800 THE VIRTUAL TOUR THROUGH GUIDED 459 00:20:51,800 --> 00:20:54,040 TOUR STOPS THAT PROVIDE AN 460 00:20:54,040 --> 00:20:57,160 OVERVIEW OF THE NIH'S MISSION, 461 00:20:57,160 --> 00:20:59,400 INTRODUCE THEM TO PEOPLE ACROSS 462 00:20:59,400 --> 00:21:02,360 THE CAMPUS, THE RESEARCH THAT'S 463 00:21:02,360 --> 00:21:03,880 BEING CONDUCTED, THE FACILITIES 464 00:21:03,880 --> 00:21:05,600 THAT ARE HERE, PARTICULARLY OF 465 00:21:05,600 --> 00:21:09,240 INTEREST TO PATIENTS WHO VISIT 466 00:21:09,240 --> 00:21:10,160 THE CLINICAL CENTER. 467 00:21:10,160 --> 00:21:13,160 AS PART OF THIS, YOU'LL FIND 468 00:21:13,160 --> 00:21:17,240 INTERVIEWS WITH SENIOR LEADERS, 469 00:21:17,240 --> 00:21:19,200 WITH ADMINISTRATORS, WITH 470 00:21:19,200 --> 00:21:24,240 SCIENTISTS, PHYSICIANS, 471 00:21:24,240 --> 00:21:26,240 TRAINEES, OTHER CLINICIANS AND 472 00:21:26,240 --> 00:21:26,840 PATIENTS. 473 00:21:26,840 --> 00:21:33,640 IMPORTANTLY, FOR PEOPLE LIKE MY 474 00:21:33,640 --> 00:21:36,160 SPATIALLY CHALLENGED THERE'S AN 475 00:21:36,160 --> 00:21:37,720 INTERACTIVE MAP SO YOU CAN FIND 476 00:21:37,720 --> 00:21:39,680 WHERE YOU'RE GOING ON CAMPUS. 477 00:21:39,680 --> 00:21:44,640 ONE IT -- ONCE IT GOES LIVE 478 00:21:44,640 --> 00:21:46,440 WE'LL PROVIDE YOU WITH A LINK 479 00:21:46,440 --> 00:21:49,600 AND REALLY ENCOURAGE YOU TO 480 00:21:49,600 --> 00:21:50,240 EXPLORE THIS. 481 00:21:50,240 --> 00:21:55,360 TREMENDOUS CREDIT GOES TO RENATA 482 00:21:55,360 --> 00:21:59,440 MILES, ACTING DIRECTOR OF 483 00:21:59,440 --> 00:22:01,000 COMMUNICATION, PATIENT LIAISON 484 00:22:01,000 --> 00:22:04,080 BRANCH, AND HER EXTENSIVE TEAM 485 00:22:04,080 --> 00:22:07,080 THAT WORKED WITH CIT AND OTHER 486 00:22:07,080 --> 00:22:08,880 EQUITIES ACROSS THE CAMPUS TO 487 00:22:08,880 --> 00:22:10,560 MAKE THIS HAPPEN. 488 00:22:10,560 --> 00:22:15,160 SO, PLEASE BE ON THE LOOKOUT FOR 489 00:22:15,160 --> 00:22:18,720 THAT. 490 00:22:18,720 --> 00:22:19,200 NEXT SLIDE PLEASE. 491 00:22:19,200 --> 00:22:24,320 NOW A BRIEF UPDATE ON THE 492 00:22:24,320 --> 00:22:24,840 PROGRESS OF THE NIH-WIDE 493 00:22:24,840 --> 00:22:26,240 DIVERSITY, EQUITY, INCLUSION, 494 00:22:26,240 --> 00:22:26,840 AND ACCESSIBILITY STRATEGIC 495 00:22:26,840 --> 00:22:30,960 PLAN, IF I COULD HAVE THAT NEXT 496 00:22:30,960 --> 00:22:33,560 SLIDE PLEASE. 497 00:22:33,560 --> 00:22:38,800 THIS PLAN WHICH COVERS PROJECTED 498 00:22:38,800 --> 00:22:42,560 EFFORTS FROM 2023 THROUGH 2027 499 00:22:42,560 --> 00:22:45,720 REALLY THINK DOES A GOOD JOB 500 00:22:45,720 --> 00:22:47,960 ARTICULATING THE AGENCY'S VISION 501 00:22:47,960 --> 00:22:50,480 FOR EMBRACING, FOR 502 00:22:50,480 --> 00:22:53,760 STRENGTHENING, AND FOR 503 00:22:53,760 --> 00:22:54,440 INTEGRATING ALL DIVERSITY, 504 00:22:54,440 --> 00:22:56,440 EQUITY, INCLUSION, AND 505 00:22:56,440 --> 00:22:58,680 ACCESSIBILITY ISSUES ACROSS THE 506 00:22:58,680 --> 00:23:03,080 NUMEROUS ACTIVITIES THAT ARE 507 00:23:03,080 --> 00:23:07,880 OCCURRING ACROSS THE CAMPUS. 508 00:23:07,880 --> 00:23:10,400 IT PRESENTS OUR DEIA PRIORITIES 509 00:23:10,400 --> 00:23:13,920 IN THREE AREAS IN THE FORM OF 510 00:23:13,920 --> 00:23:17,400 OBJECTIVES, WHICH ARE LISTED 511 00:23:17,400 --> 00:23:18,320 THERE. 512 00:23:18,320 --> 00:23:21,560 AND ACROSS ALL THESE PRIORITIES, 513 00:23:21,560 --> 00:23:25,960 NIH WILL BE EMPHASIZING 514 00:23:25,960 --> 00:23:26,760 CROSS-CUTTING THEMES, APPROACHES 515 00:23:26,760 --> 00:23:30,960 THAT ARE COMMON TO ALL 516 00:23:30,960 --> 00:23:35,440 OBJECTIVES OF THE PLAN, AND 517 00:23:35,440 --> 00:23:38,200 THAT'S LOCATED IN THE LOWER 518 00:23:38,200 --> 00:23:40,800 RIGHT-HAND QUADRANT OF THIS 519 00:23:40,800 --> 00:23:41,040 FIGURE. 520 00:23:41,040 --> 00:23:42,160 THE PLAN HIGHLIGHTS ONGOING 521 00:23:42,160 --> 00:23:42,680 EFFORTS. 522 00:23:42,680 --> 00:23:45,360 IT GIVES YOU SOME INSIGHTS INTO 523 00:23:45,360 --> 00:23:49,880 FUTURE EFFORTS THAT WILL BE USED 524 00:23:49,880 --> 00:23:52,760 TO FOSTER DEIA WITHIN THE 525 00:23:52,760 --> 00:23:54,520 BIOMEDICAL AND BEHAVIORAL 526 00:23:54,520 --> 00:23:55,400 RESEARCH ENTERPRISE, AND IT 527 00:23:55,400 --> 00:23:57,880 PROVIDES A GUIDE, IF YOU WILL, 528 00:23:57,880 --> 00:24:01,440 FOR ACTIONS ACROSS THE AGENCY 529 00:24:01,440 --> 00:24:07,080 THAT WILL ENSURE THAT WE PROCEED 530 00:24:07,080 --> 00:24:11,680 IN A TRANSPARENT AND ACCOUNTABLE 531 00:24:11,680 --> 00:24:18,600 MANNER, TO ENSURE THAT THE PLAN 532 00:24:18,600 --> 00:24:20,560 IS -- APPROPRIATELY CONSIDERS A 533 00:24:20,560 --> 00:24:22,680 BROAD RANGE OF PERSPECTIVES, WE 534 00:24:22,680 --> 00:24:25,600 SOUGHT INPUT FROM MANY, MANY, 535 00:24:25,600 --> 00:24:26,560 MANY QUARTERS. 536 00:24:26,560 --> 00:24:27,880 THE COMMUNITY AT LARGE, 537 00:24:27,880 --> 00:24:31,640 INCLUDING OUR OWN NIH STAFF. 538 00:24:31,640 --> 00:24:36,040 WE REACHED OUT TO EXTRAMURAL 539 00:24:36,040 --> 00:24:37,000 INSTITUTIONS, OUR SO-CALLED 540 00:24:37,000 --> 00:24:37,880 FUNDED INSTITUTIONS. 541 00:24:37,880 --> 00:24:43,240 AND THEN WE RECEIVED QUITE A 542 00:24:43,240 --> 00:24:47,240 BIT OF INPUT FROM THE GENERAL 543 00:24:47,240 --> 00:24:55,720 PUBLIC THROUGH A VARIETY OF 544 00:24:55,720 --> 00:24:58,760 FORA, INCLUDING REQUEST FOR 545 00:24:58,760 --> 00:24:59,080 INFORMATION. 546 00:24:59,080 --> 00:25:00,800 I WANT TO THANK EVERYBODY WHO 547 00:25:00,800 --> 00:25:06,440 PROVIDED INPUT INTO THE NEW 548 00:25:06,440 --> 00:25:08,480 STRATEGIC PLAN, AND WE'RE NOW 549 00:25:08,480 --> 00:25:13,000 QUITE A WAYS AWAY INTO THE 550 00:25:13,000 --> 00:25:15,000 PLANNING OF A COMPREHENSIVE AND 551 00:25:15,000 --> 00:25:18,080 INTENTIONAL APPROACH TO THE 552 00:25:18,080 --> 00:25:20,280 IMPLEMENTATION OF ALL OF THESE 553 00:25:20,280 --> 00:25:20,520 ELEMENTS. 554 00:25:20,520 --> 00:25:23,320 SO PLEASE STAY TUNED FOR THAT 555 00:25:23,320 --> 00:25:24,800 COMPANION EFFORT TO BE SHARED 556 00:25:24,800 --> 00:25:29,760 WITH YOU ONCE IT IS READY. 557 00:25:29,760 --> 00:25:33,320 IF I COULD HAVE THE NEXT SLIDE 558 00:25:33,320 --> 00:25:34,120 PLEASE. 559 00:25:34,120 --> 00:25:39,560 SO, WE'RE NOW EMBARKING ON A 560 00:25:39,560 --> 00:25:40,600 CADENCE WHERE UNITE -- WE'LL 561 00:25:40,600 --> 00:25:43,360 GIVE YOU AN UPDATE OF UNITE 562 00:25:43,360 --> 00:25:46,320 ACTIVITIES IN MY DIRECTOR'S 563 00:25:46,320 --> 00:25:48,440 REPORT, WITH ANTICIPATION THAT 564 00:25:48,440 --> 00:25:51,360 IT WILL BE PRESENTED AS A FORMAL 565 00:25:51,360 --> 00:25:52,360 PRESENTATION IN THE NEXT 566 00:25:52,360 --> 00:25:54,040 ADVISORY COMMITTEE TO THE 567 00:25:54,040 --> 00:25:54,320 DIRECTOR. 568 00:25:54,320 --> 00:26:00,800 IF I COULD HAVE SLIDE NUMBER 20 569 00:26:00,800 --> 00:26:01,360 PLEASE. 570 00:26:01,360 --> 00:26:06,520 SO JUST A FEW VERY EXCITING 571 00:26:06,520 --> 00:26:06,840 DEVELOPMENTS. 572 00:26:06,840 --> 00:26:08,080 THE COMMON FUND'S COMMUNITY 573 00:26:08,080 --> 00:26:11,840 PARTNERSHIPS TO ADVANCE SCIENCE 574 00:26:11,840 --> 00:26:13,480 FOR SOCIETY, THE SO-CALLED 575 00:26:13,480 --> 00:26:16,160 COMPASS PROGRAM, HAS FULLY 576 00:26:16,160 --> 00:26:17,400 RELEASED ALL FUNDING 577 00:26:17,400 --> 00:26:20,080 SOLICITATIONS AND WE SHOULD HAVE 578 00:26:20,080 --> 00:26:21,880 DECISIONS ABOUT AWARDS BY THE 579 00:26:21,880 --> 00:26:25,680 END OF THIS FISCAL YEAR. 580 00:26:25,680 --> 00:26:28,080 YOU MAY RECALL THAT COMPASS CAME 581 00:26:28,080 --> 00:26:38,520 ABOUT AS A RESULT OF UNIT 582 00:26:40,400 --> 00:26:44,520 ADVOCATING RESEARCH, INCLUDING 583 00:26:44,520 --> 00:26:47,040 TWO CO-LEADS, DOCTORS JANINE 584 00:26:47,040 --> 00:26:49,960 CLAYTON AND SHANNON ZENK. 585 00:26:49,960 --> 00:26:54,640 THE COMMUNITY-LED HEALTH EQUITY 586 00:26:54,640 --> 00:26:55,720 STRUCTURAL INTERVENTIONS AND 587 00:26:55,720 --> 00:26:59,480 HEALTH EQUITY RESEARCH HUBS AND 588 00:26:59,480 --> 00:27:04,360 COMPASS COORDINATE NATION CENTER 589 00:27:04,360 --> 00:27:06,000 WILL COLLECTIVELY DEVELOP, 590 00:27:06,000 --> 00:27:08,440 SHARE, EVALUATE COMMUNITY-LED 591 00:27:08,440 --> 00:27:09,720 HEALTH EQUITY STRUCTURAL 592 00:27:09,720 --> 00:27:12,400 INTERVENTIONS THAT AIM TO 593 00:27:12,400 --> 00:27:14,360 LEVERAGE PARTNERSHIPS ACROSS 594 00:27:14,360 --> 00:27:20,280 MULTIPLE SECTORS TO REDUCE 595 00:27:20,280 --> 00:27:21,880 HEALTH DISPARITIES. 596 00:27:21,880 --> 00:27:23,840 SO WE'RE SEEKING TANGIBLE 597 00:27:23,840 --> 00:27:26,520 INTERVENTIONS THAT WILL MAKE 598 00:27:26,520 --> 00:27:27,480 SUBSTANTIVE DIFFERENCES. 599 00:27:27,480 --> 00:27:29,080 AND THE IDEA OF COURSE IS TO 600 00:27:29,080 --> 00:27:34,120 DEVELOP A NEW HEALTH EQUITY 601 00:27:34,120 --> 00:27:36,800 RESEARCH MODEL FOR COMMUNITY-LED 602 00:27:36,800 --> 00:27:38,760 MULTI-SECTIONAL STRUCTURAL 603 00:27:38,760 --> 00:27:39,680 INTERVENTIONAL RESEARCH ACROSS 604 00:27:39,680 --> 00:27:42,040 NIH, AND WE HOPE THAT THIS IS 605 00:27:42,040 --> 00:27:44,280 PICKED UP BY OTHER FEDERAL 606 00:27:44,280 --> 00:27:47,200 AGENCIES TO GUIDE THEIR EFFORTS 607 00:27:47,200 --> 00:27:50,760 AS WELL. 608 00:27:50,760 --> 00:27:51,800 NEXT SLIDE PLEASE. 609 00:27:51,800 --> 00:27:55,040 TO CONTINUE WITH OTHER 610 00:27:55,040 --> 00:27:56,560 ACTIVITIES, SEVERAL FUNDING 611 00:27:56,560 --> 00:27:57,640 OPPORTUNITIES HAVE BEEN 612 00:27:57,640 --> 00:27:57,960 RELEASED. 613 00:27:57,960 --> 00:28:00,120 THE SECOND ROUND OF 614 00:28:00,120 --> 00:28:05,240 SOLICITATIONS FOR THE SEPA 615 00:28:05,240 --> 00:28:09,120 AWARDS, THESE ARE -- HAS BEEN 616 00:28:09,120 --> 00:28:10,720 ANNOUNCED. 617 00:28:10,720 --> 00:28:14,560 THIS IS A PROGRAM WHICH PROVIDES 618 00:28:14,560 --> 00:28:16,800 STEM EDUCATION THROUGH K-12. 619 00:28:16,800 --> 00:28:22,000 NOW, ORIGINALLY THIS WAS SOLELY 620 00:28:22,000 --> 00:28:24,880 THE PURVIEW OF NIGMS BUT WE'VE 621 00:28:24,880 --> 00:28:27,120 EXPANDED THIS NOW, I'M PLEASED 622 00:28:27,120 --> 00:28:29,880 TO SAY, TO A NUMBER OF 623 00:28:29,880 --> 00:28:31,520 ADDITIONAL INSTITUTES, CENTERING 624 00:28:31,520 --> 00:28:36,120 AND OFFICES AT NIH, 17 IN ALL. 625 00:28:36,120 --> 00:28:39,760 WE THINK THAT IT'S VERY 626 00:28:39,760 --> 00:28:45,200 IMPORTANT TO, YOU KNOW, TRY AND 627 00:28:45,200 --> 00:28:46,760 ENGAGE WITH YOUTH EARLY, 628 00:28:46,760 --> 00:28:49,920 BECAUSE, AGAIN, AS EDUCATORS 629 00:28:49,920 --> 00:28:52,760 WILL TELL US, SCIENCE IDENTITY 630 00:28:52,760 --> 00:28:55,680 IS FORMED, YOU KNOW, EARLY IN 631 00:28:55,680 --> 00:28:56,600 MIDDLE SCHOOL EXPERIENCE. 632 00:28:56,600 --> 00:29:00,640 SO, WE THINK THIS IS A TIMELY 633 00:29:00,640 --> 00:29:02,480 AND AN IMPORTANT EFFORT. 634 00:29:02,480 --> 00:29:06,320 ALSO SHOWN ON THIS SLIDE ARE 635 00:29:06,320 --> 00:29:10,760 THREE OTHER RECENTLY RELEASED 636 00:29:10,760 --> 00:29:13,440 NOTICES OF INTEREST, NOFOs. 637 00:29:13,440 --> 00:29:16,160 AND WE CERTAINLY ENCOURAGE 638 00:29:16,160 --> 00:29:19,760 INTERESTED PARTIES TO APPLY TO 639 00:29:19,760 --> 00:29:23,560 THESE THREE PROGRAMS. 640 00:29:23,560 --> 00:29:26,040 THE REWARD EFFORT, 641 00:29:26,040 --> 00:29:27,480 INSTRUMENTATION GRANTS FOR 642 00:29:27,480 --> 00:29:29,520 RESOURCE-LIMITED INSTITUTIONS, 643 00:29:29,520 --> 00:29:31,400 AND THE SO-CALLED STRONG 644 00:29:31,400 --> 00:29:31,760 PROGRAM. 645 00:29:31,760 --> 00:29:32,600 THE LINKS ARE PROVIDED. 646 00:29:32,600 --> 00:29:35,280 AND YOU'LL BE ABLE TO 647 00:29:35,280 --> 00:29:41,680 INTERROGATE THEM TO GET 648 00:29:41,680 --> 00:29:42,200 ADDITIONAL INFORMATION. 649 00:29:42,200 --> 00:29:43,360 NEXT SLIDE PLEASE. 650 00:29:43,360 --> 00:29:46,320 WE'RE ALSO EXCITED TO ANNOUNCE 651 00:29:46,320 --> 00:29:49,760 THE NIH INSTITUTIONAL EXCELLENCE 652 00:29:49,760 --> 00:29:51,720 IN DEIA PRIZE COMPETITION. 653 00:29:51,720 --> 00:29:53,720 THIS HAS BEEN LAUNCHED. 654 00:29:53,720 --> 00:29:57,880 THE GOAL HERE IS TO RECOGNIZE 655 00:29:57,880 --> 00:29:59,400 TRANSFORMATIVE CULTURE SYSTEMS 656 00:29:59,400 --> 00:30:01,680 PROJECTS AND PROCESSES THAT HAVE 657 00:30:01,680 --> 00:30:05,120 BEEN DEVELOPED BY ACADEMIC 658 00:30:05,120 --> 00:30:06,200 INSTITUTIONS TO PROMOTE 659 00:30:06,200 --> 00:30:08,000 INCLUSIVE EXCELLENCE, CREATE 660 00:30:08,000 --> 00:30:10,400 ENVIRONMENTS THAT FOSTER AND 661 00:30:10,400 --> 00:30:13,880 VALUE DEIA CULTURE. 662 00:30:13,880 --> 00:30:16,800 SUBMISSIONS DUE ON THE 26th. 663 00:30:16,800 --> 00:30:20,640 AGAIN, ADDITIONAL DETAILS CAN BE 664 00:30:20,640 --> 00:30:30,160 FOUND AT THE NIH DEIA PRIZE.ORG 665 00:30:30,160 --> 00:30:32,360 WEBSITE. 666 00:30:32,360 --> 00:30:33,960 NEXT SLIDE PLEASE. 667 00:30:33,960 --> 00:30:37,400 AND THIS IS GIVING YOU THAT 668 00:30:37,400 --> 00:30:37,960 INFORMATION. 669 00:30:37,960 --> 00:30:39,400 WE HOPE TO ANNOUNCE WINNERS 670 00:30:39,400 --> 00:30:48,480 BEFORE THE END OF THE THE 671 00:30:48,480 --> 00:30:49,080 CALENDAR YEAR, DECEMBER 2023 672 00:30:49,080 --> 00:30:50,280 NEXT SLIDE PLEASE. 673 00:30:50,280 --> 00:30:54,800 FINALLY AS PART OF UNITE WE HAVE 674 00:30:54,800 --> 00:30:55,520 SOUGHT BROAD COMMUNITY INPUT, 675 00:30:55,520 --> 00:30:58,640 BOTH THROUGH A REQUEST FOR 676 00:30:58,640 --> 00:31:02,360 INFORMATION WHERE WE RECEIVED 677 00:31:02,360 --> 00:31:03,920 OVER 1100 SUBMISSIONS FROM BOTH 678 00:31:03,920 --> 00:31:06,480 INDIVIDUALS AS WELL AS 679 00:31:06,480 --> 00:31:07,400 ORGANIZATIONS. 680 00:31:07,400 --> 00:31:11,400 AND ANALYSIS OF THE RFI 681 00:31:11,400 --> 00:31:15,000 RESPONSES YIELDED A NUMBER OF 682 00:31:15,000 --> 00:31:16,360 KEY AREAS AND CROSS-CUTTING 683 00:31:16,360 --> 00:31:16,800 THEMES. 684 00:31:16,800 --> 00:31:19,240 THE FULL REPORT CAN BE FOUND ON 685 00:31:19,240 --> 00:31:20,880 THE UNITE WEBSITE. 686 00:31:20,880 --> 00:31:22,880 ADDITIONALLY A SUMMARY REPORT OF 687 00:31:22,880 --> 00:31:25,480 THE UNITE EXTERNAL LISTENING 688 00:31:25,480 --> 00:31:28,640 SESSIONS CAN ALSO BE FOUND ON 689 00:31:28,640 --> 00:31:30,160 THIS SITE. 690 00:31:30,160 --> 00:31:34,200 WE WERE ABLE TO GATHER 691 00:31:34,200 --> 00:31:36,360 PERSPECTIVES FROM JUST UNDER 692 00:31:36,360 --> 00:31:38,200 1300 INDIVIDUALS, WHO 693 00:31:38,200 --> 00:31:40,200 REPRESENTED MULTIPLE RESEARCH 694 00:31:40,200 --> 00:31:41,800 COMMUNITY SECTORS, OVER THE 14 695 00:31:41,800 --> 00:31:45,000 LISTENING SESSIONS THAT OUR TEAM 696 00:31:45,000 --> 00:31:47,040 HELD FROM DECEMBER 2020 THROUGH 697 00:31:47,040 --> 00:31:47,560 FEBRUARY OF 2021. 698 00:31:47,560 --> 00:31:51,040 I WANT TO THANK THE ENTIRE 699 00:31:51,040 --> 00:31:52,440 COMMUNITY FOR REALLY ALL OF 700 00:31:52,440 --> 00:31:56,080 THEIR TIME AND EFFORT IN SHARING 701 00:31:56,080 --> 00:31:56,960 THEIR PERSPECTIVES AND FOR MY 702 00:31:56,960 --> 00:31:58,680 COLLEAGUES WHO ARE PART OF UNITE 703 00:31:58,680 --> 00:32:01,920 WHO HAVE DONE SUCH A GREAT JOB 704 00:32:01,920 --> 00:32:04,320 COLLATING AND ANALYZING ALL OF 705 00:32:04,320 --> 00:32:05,080 THIS INFORMATION. 706 00:32:05,080 --> 00:32:08,240 ALL OF THIS IS GOING TO REALLY 707 00:32:08,240 --> 00:32:10,640 PLAY AN IMPORTANT ROLE IN 708 00:32:10,640 --> 00:32:14,040 SHAPING NIH EFFORTS GOING 709 00:32:14,040 --> 00:32:15,000 FORWARD. 710 00:32:15,000 --> 00:32:16,920 OKAY, NEXT SLIDE PLEASE. 711 00:32:16,920 --> 00:32:19,640 TO CHANGE GEARS NOW I'D LIKE TO 712 00:32:19,640 --> 00:32:24,480 JUST TOUCH UPON SOME ASPECTS OF 713 00:32:24,480 --> 00:32:27,360 THE SIMPLIFYING REVIEW CRITERIA 714 00:32:27,360 --> 00:32:27,960 EFFORT. 715 00:32:27,960 --> 00:32:29,880 NEXT SLIDE PLEASE. 716 00:32:29,880 --> 00:32:32,880 YOU MAY RECALL AT THE DECEMBER 717 00:32:32,880 --> 00:32:34,160 ACD MEETING DR. NONI BYRNES, 718 00:32:34,160 --> 00:32:36,840 LECTOR OF CENTER FOR SCIENTIFIC 719 00:32:36,840 --> 00:32:39,080 REVIEW, PRESENTED THE PROPOSED 720 00:32:39,080 --> 00:32:41,200 NEW FRAMEWORK FOR REVIEW 721 00:32:41,200 --> 00:32:47,520 CRITERIA, WHICH IS PROVIDING A 722 00:32:47,520 --> 00:32:51,160 QUICK UPDATE HERE, AND SO, 723 00:32:51,160 --> 00:32:53,520 AGAIN, YOU WILL RECALL OVERALL 724 00:32:53,520 --> 00:32:55,560 THREE FACTORS, IMPORTANCE OF 725 00:32:55,560 --> 00:32:58,840 RESEARCH, RIGOR AND FEASIBILITY, 726 00:32:58,840 --> 00:33:04,200 AND EXPERTISE AND RESOURCES. 727 00:33:04,200 --> 00:33:08,000 AND WE RECEIVED AN RFI THAT 728 00:33:08,000 --> 00:33:12,760 REALLY GOT A ROBUST RESPONSE, 729 00:33:12,760 --> 00:33:15,280 780 INDIVIDUALS, 30 SOCIETIES, 730 00:33:15,280 --> 00:33:18,520 23 ACADEMIC INSTITUTIONS, 731 00:33:18,520 --> 00:33:21,000 MAJORITY WERE VERY SUPPORTIVE. 732 00:33:21,000 --> 00:33:24,960 MINORITY OF THE RESPONDENTS FELT 733 00:33:24,960 --> 00:33:27,920 FACTOR 3 SHOULD BE SCORED, EVEN 734 00:33:27,920 --> 00:33:30,200 A SMALLER MINORITY OF 735 00:33:30,200 --> 00:33:33,480 INDIVIDUALS RECOMMENDED BLINDED 736 00:33:33,480 --> 00:33:34,200 REVIEWS. 737 00:33:34,200 --> 00:33:35,800 WE'VE DISCUSSED BLINDED REVIEWS 738 00:33:35,800 --> 00:33:38,920 AND DIFFICULTIES IN DOING THAT, 739 00:33:38,920 --> 00:33:41,480 IN PRACTICAL TERMS, A NUMBER OF 740 00:33:41,480 --> 00:33:43,160 TIMES OVER THE YEARS. 741 00:33:43,160 --> 00:33:46,320 AND VIRTUALLY EVERYBODY CALLED 742 00:33:46,320 --> 00:33:49,520 FOR STRONG TRAINING RESOURCES TO 743 00:33:49,520 --> 00:33:50,640 ENSURE APPROPRIATE SOCIALIZATION 744 00:33:50,640 --> 00:33:51,960 OF THESE CHANGES FOR REVIEWERS 745 00:33:51,960 --> 00:33:55,480 AND CHAIRS OF THE PANELS AND OF 746 00:33:55,480 --> 00:33:57,760 COURSE STAFF. 747 00:33:57,760 --> 00:34:00,000 SO NEXT STEPS ARE ACROSS THE 748 00:34:00,000 --> 00:34:02,160 AGENCY IMPLEMENTATION COMMITTEE 749 00:34:02,160 --> 00:34:03,840 WHICH HAS A MULTI-DIMENSIONAL 750 00:34:03,840 --> 00:34:06,400 EXPERTISE IN PEER REVIEW, 751 00:34:06,400 --> 00:34:14,280 REVIEWER TRAINING, STAFF 752 00:34:14,280 --> 00:34:16,400 TRAINING, ELECTRONIC SYSTEMS, 753 00:34:16,400 --> 00:34:17,520 CONSIDERING A ROLLOUT STRATEGY. 754 00:34:17,520 --> 00:34:21,640 SO IF WE COULD HAVE THE NEXT 755 00:34:21,640 --> 00:34:22,920 SLIDE PLEASE. 756 00:34:22,920 --> 00:34:24,960 SO, WE'RE NOW ALSO CONSIDERING 757 00:34:24,960 --> 00:34:29,200 HOW TO BEST SIMPLIFY REVIEW FOR 758 00:34:29,200 --> 00:34:31,720 THE NRSA FELLOWSHIPS TO ADDRESS 759 00:34:31,720 --> 00:34:35,240 CONCERNS THAT THE CURRENT REVIEW 760 00:34:35,240 --> 00:34:37,120 PROCESS HAS DISADVANTAGED SOME 761 00:34:37,120 --> 00:34:43,680 VERY HIGHLY QUALIFIED AND 762 00:34:43,680 --> 00:34:45,400 PROMISING APPLICANTS. 763 00:34:45,400 --> 00:34:47,640 DATA ANALYSIS OF 6,000 764 00:34:47,640 --> 00:34:49,640 APPLICATIONS HAS SUGGESTED THAT 765 00:34:49,640 --> 00:34:51,920 THE MAJORITY OF FELLOWSHIP 766 00:34:51,920 --> 00:34:53,520 APPLICATIONS ARE SUBMITTED BY A 767 00:34:53,520 --> 00:34:56,760 VERY TINY NUMBER OF 768 00:34:56,760 --> 00:34:57,440 INSTITUTIONS. 769 00:34:57,440 --> 00:35:00,280 AND NOT SURPRISINGLY, THOSE 770 00:35:00,280 --> 00:35:02,640 INSTITUTIONS DO FAR BETTER IN 771 00:35:02,640 --> 00:35:02,920 REVIEW. 772 00:35:02,920 --> 00:35:07,280 AND SO WE'RE LOOKING AT WAYS OF 773 00:35:07,280 --> 00:35:10,920 REVISING BOTH THE REVIEW 774 00:35:10,920 --> 00:35:12,440 CRITERIA FOR THE FELLOWSHIPS AND 775 00:35:12,440 --> 00:35:15,640 APPLICATIONS SO THEY BETTER 776 00:35:15,640 --> 00:35:17,040 ALIGN WITH THESE CRITERIA. 777 00:35:17,040 --> 00:35:19,880 TO RECEIVE FEEDBACK ON THIS, 778 00:35:19,880 --> 00:35:23,640 WE'VE RELEASED AN RFI, REQUEST 779 00:35:23,640 --> 00:35:25,480 FOR INFORMATION, OPEN THROUGH 780 00:35:25,480 --> 00:35:26,960 NEXT WEEK, JUNE 23. 781 00:35:26,960 --> 00:35:28,720 PLEASE SHARE THE NEWS OF THIS 782 00:35:28,720 --> 00:35:30,160 RFI WITH YOUR NETWORKS. 783 00:35:30,160 --> 00:35:33,920 WE WOULD LIKE TO HEAR FROM AS 784 00:35:33,920 --> 00:35:37,520 MANY PEOPLE AS POSSIBLE, AND THE 785 00:35:37,520 --> 00:35:42,000 LINK TO THE RFI IS NOTED ON THE 786 00:35:42,000 --> 00:35:42,240 SLIDE. 787 00:35:42,240 --> 00:35:48,880 LET'S GO TO THE NEXT SLIDE 788 00:35:48,880 --> 00:35:50,320 PLEASE. 789 00:35:50,320 --> 00:35:54,920 SO, VERY QUICK UPDATE ON COVID. 790 00:35:54,920 --> 00:35:55,400 NEXT PLEASE. 791 00:35:55,400 --> 00:35:57,000 SO BASED ON A FRAMEWORK 792 00:35:57,000 --> 00:36:04,040 DEVELOPED BY THE W.H.O., NIH 793 00:36:04,040 --> 00:36:04,880 ESTABLISHED A COVID-19 794 00:36:04,880 --> 00:36:07,760 INTRAACTION REVIEW WHICH TRIED 795 00:36:07,760 --> 00:36:10,320 TO CAPTURE ONGOING EXPERIENCES, 796 00:36:10,320 --> 00:36:12,200 LESSONS LEARNED, AND THE MANY 797 00:36:12,200 --> 00:36:16,560 GOALS THAT EMERGE FROM OUR 798 00:36:16,560 --> 00:36:19,040 EFFORTS DURING THE PANDEMIC. 799 00:36:19,040 --> 00:36:20,720 AND OF COURSE THE WHOLE POINT OF 800 00:36:20,720 --> 00:36:23,760 THIS IS TO BETTER PREPARE US FOR 801 00:36:23,760 --> 00:36:26,200 THE FUTURE, FOR UNEXPECTED 802 00:36:26,200 --> 00:36:27,360 EVENTS, FOR EMERGENCIES, WHICH 803 00:36:27,360 --> 00:36:30,760 NO DOUBT WILL OCCUR IN ONE FORM 804 00:36:30,760 --> 00:36:31,920 OR ANOTHER. 805 00:36:31,920 --> 00:36:36,200 THE TEAM USED AN INQUIRY-BASED 806 00:36:36,200 --> 00:36:36,440 PROCESS. 807 00:36:36,440 --> 00:36:37,240 THEY CONDUCTED INTERVIEWS, BASED 808 00:36:37,240 --> 00:36:39,920 ON KEY THEMES WITH LEADERS FROM 809 00:36:39,920 --> 00:36:43,200 THE NIH, WITH PEER 810 00:36:43,200 --> 00:36:45,680 ORGANIZATIONS, INCLUDING BOTH 811 00:36:45,680 --> 00:36:49,640 FEDERAL AND UNIVERSITY PARTNERS. 812 00:36:49,640 --> 00:36:52,000 AND THESE INTERVIEWS CAPTURED A 813 00:36:52,000 --> 00:36:55,040 BROAD RANGE OF EXPERIENCES, AND 814 00:36:55,040 --> 00:36:57,320 REALLY DID INFORM 815 00:36:57,320 --> 00:36:58,760 RECOMMENDATIONS ESTABLISHED BY 816 00:36:58,760 --> 00:37:01,880 NIH IN OUR FINAL LESSONS LEARNED 817 00:37:01,880 --> 00:37:02,120 REPORT. 818 00:37:02,120 --> 00:37:07,040 THE KEY THEMES THAT EYE MERGED 819 00:37:07,040 --> 00:37:10,760 ARE OUTLINED HERE UNDER THE 820 00:37:10,760 --> 00:37:17,000 CATEGORIES OF WORKFORCE, 821 00:37:17,000 --> 00:37:17,920 OPERATIONS, INFRASTRUCTURE, 822 00:37:17,920 --> 00:37:21,560 COMMUNICATIONS, AND INNOVATIVE 823 00:37:21,560 --> 00:37:22,280 SCIENTIFIC COLLABORATIONS. 824 00:37:22,280 --> 00:37:23,880 AND I WON'T READ THE SLIDE TO 825 00:37:23,880 --> 00:37:27,440 YOU, BUT YOU CAN SEE UNDER EACH 826 00:37:27,440 --> 00:37:31,600 OF THESE KEY AREAS THE TOP LINE 827 00:37:31,600 --> 00:37:33,400 MESSAGES ARE CAPTURED. 828 00:37:33,400 --> 00:37:37,520 AND I HAVE NO DOUBT THAT THIS 829 00:37:37,520 --> 00:37:40,080 EFFORT AND OF COURSE THE DETAIL 830 00:37:40,080 --> 00:37:42,080 CONTAINED WITHIN THE ACTUAL 831 00:37:42,080 --> 00:37:50,720 REPORT WILL BE OF GREAT VALUE TO 832 00:37:50,720 --> 00:37:51,560 DEAL WITH FUTURE ISSUES. 833 00:37:51,560 --> 00:37:52,560 NEXT SLIDE PLEASE. 834 00:37:52,560 --> 00:37:55,920 YOU'RE GOING TO RECEIVE A VERY 835 00:37:55,920 --> 00:37:57,560 DETAILED REPORT ON RECOVER BY 836 00:37:57,560 --> 00:37:59,520 DR. GIBBONS LATER ON IN THE 837 00:37:59,520 --> 00:37:59,760 PROGRAM. 838 00:37:59,760 --> 00:38:01,840 BUT IN CASE THERE'S SOME FOLKS 839 00:38:01,840 --> 00:38:04,320 WHO HAVE JUST TUNED IN FOR THE 840 00:38:04,320 --> 00:38:06,280 DIRECTOR'S REPORT ONLY, I DID 841 00:38:06,280 --> 00:38:12,360 WANT TO JUST SAY THAT OUR 842 00:38:12,360 --> 00:38:15,320 RECOVER INITIATIVE IS WORKING 843 00:38:15,320 --> 00:38:17,640 TOWARDS FINDING STRATEGIES FOR 844 00:38:17,640 --> 00:38:19,600 BOTH INTERVENTIONS AND 845 00:38:19,600 --> 00:38:24,120 PREVENTION OF SO-CALLED LONG 846 00:38:24,120 --> 00:38:25,800 COVID, OR PASC. 847 00:38:25,800 --> 00:38:28,240 PATIENTS ARE AT THE ABSOLUTE 848 00:38:28,240 --> 00:38:30,200 CENTER OF OUR EFFORTS. 849 00:38:30,200 --> 00:38:32,680 WE UNDERSTAND THAT THEY ARE 850 00:38:32,680 --> 00:38:33,680 SUFFERING FROM AN UNKNOWN 851 00:38:33,680 --> 00:38:36,120 SYNDROME THAT IS NOT CLEARLY 852 00:38:36,120 --> 00:38:37,440 CHARACTERIZED YET, ALTHOUGH 853 00:38:37,440 --> 00:38:40,280 WE'RE WORKING VERY HARD TO 854 00:38:40,280 --> 00:38:43,040 REDRESS THAT. 855 00:38:43,040 --> 00:38:45,120 THE RECOVER PROGRAM IS DESIGNED 856 00:38:45,120 --> 00:38:48,720 TO FIGURE OUT WHAT THE RISK 857 00:38:48,720 --> 00:38:54,400 FACTORS ARE, THE DIFFERENT 858 00:38:54,400 --> 00:38:55,920 PRESENTATIONS OF THE SYNDROME, 859 00:38:55,920 --> 00:38:58,600 AND PROGRESSION OVER TIME SO WE 860 00:38:58,600 --> 00:38:59,400 CAN IDENTIFY POSSIBLE TREATMENTS 861 00:38:59,400 --> 00:39:05,240 TO HELP THOSE WHO ARE SUFFERING 862 00:39:05,240 --> 00:39:05,760 FROM THESE SYMPTOMS. 863 00:39:05,760 --> 00:39:10,680 IF I COULD HAVE THE NEXT SLIDE. 864 00:39:10,680 --> 00:39:12,680 THESE ARE JUST SOME OF THE 865 00:39:12,680 --> 00:39:13,680 ACCOMPLISHMENTS TO DATE, AND 866 00:39:13,680 --> 00:39:17,000 THERE HAVE BEEN MANY. 867 00:39:17,000 --> 00:39:18,760 FIRST AND NON-TRIVIAL, WE'VE 868 00:39:18,760 --> 00:39:23,800 BUILT THE LARGEST DIVERSE AND 869 00:39:23,800 --> 00:39:26,960 DEEPLY CHARACTERIZED COHORT OF 870 00:39:26,960 --> 00:39:28,720 PATIENTS THAT EXISTS. 871 00:39:28,720 --> 00:39:36,040 AND WE'RE DOING SO BY BUILDING A 872 00:39:36,040 --> 00:39:40,720 DIVERSE COHORT THAT REPRESENTS 873 00:39:40,720 --> 00:39:44,160 THE DISEASE AND SO WE HAD WORKED 874 00:39:44,160 --> 00:39:46,640 VERY HARD AT INCLUSIVE AND 875 00:39:46,640 --> 00:39:48,000 DIVERSE PARTICIPATION AND 876 00:39:48,000 --> 00:39:49,600 COMMUNITY ENGAGEMENT. 877 00:39:49,600 --> 00:39:50,920 WE'VE CREATED PLATFORM AND 878 00:39:50,920 --> 00:39:55,000 MASTER PROTOCOLS TO HELP US 879 00:39:55,000 --> 00:39:56,240 STANDARDIZE METHODOLOGIES AND 880 00:39:56,240 --> 00:39:58,360 HARMONIZE DATA ACROSS ALL OF OUR 881 00:39:58,360 --> 00:40:00,560 STUDIES, THROUGH COMMON DATA 882 00:40:00,560 --> 00:40:03,480 ELEMENTS, AND AS SCIENCE EVOLVES 883 00:40:03,480 --> 00:40:05,800 AND AS NEW INFORMATION BECOMES 884 00:40:05,800 --> 00:40:07,680 AVAILABLE, WE AIM TO BE ADAPTIVE 885 00:40:07,680 --> 00:40:12,240 AND SHAPE THE FUTURE OF THE 886 00:40:12,240 --> 00:40:13,840 STUDY AS APPROPRIATE. 887 00:40:13,840 --> 00:40:15,840 THE GUIDING PRINCIPLES HAVE BEEN 888 00:40:15,840 --> 00:40:18,520 CONSISTENT THROUGHOUT THE STUDY, 889 00:40:18,520 --> 00:40:21,120 AND THEY WILL CONTINUE TO SHOW 890 00:40:21,120 --> 00:40:25,200 US THE WAY MOVING FORWARD. 891 00:40:25,200 --> 00:40:27,920 AND, AGAIN, DR. GIBBONS WILL 892 00:40:27,920 --> 00:40:29,400 PRESENT A VERY THOROUGH SUMMARY 893 00:40:29,400 --> 00:40:30,880 OF ALL OF THE EFFORTS BUT I DID 894 00:40:30,880 --> 00:40:35,000 WANT TO AT LEAST MENTION THIS IN 895 00:40:35,000 --> 00:40:37,520 MY OPENING REMARKS. 896 00:40:37,520 --> 00:40:40,480 NEXT SLIDE PLEASE. 897 00:40:40,480 --> 00:40:43,720 I DIDN'T WANT TO LEAVE A COVID 898 00:40:43,720 --> 00:40:45,720 UPDATE WITHOUT QUICKLY 899 00:40:45,720 --> 00:40:49,080 SUMMARIZING SOME OF THE ACTIV 900 00:40:49,080 --> 00:40:49,560 EFFORTS. 901 00:40:49,560 --> 00:40:55,560 WE STOOD THIS UP OF COURSE IN 902 00:40:55,560 --> 00:40:55,760 2020. 903 00:40:55,760 --> 00:40:57,720 IT WAS A PUBLIC/PRIVATE 904 00:40:57,720 --> 00:40:58,800 PARTNERSHIP TO COORDINATE 905 00:40:58,800 --> 00:41:00,720 RESEARCH STRATEGY FOR 906 00:41:00,720 --> 00:41:01,800 PRIORITIZING AND SPEEDING 907 00:41:01,800 --> 00:41:04,360 DEVELOPMENT OF TREATMENTS AND 908 00:41:04,360 --> 00:41:04,760 VACCINES. 909 00:41:04,760 --> 00:41:07,720 IT REALLY PROVIDED A FORUM FOR 910 00:41:07,720 --> 00:41:10,920 RAPID AND OPEN EXCHANGE OF IDEAS 911 00:41:10,920 --> 00:41:15,040 AMONG THE GOVERNMENT, INDUSTRY, 912 00:41:15,040 --> 00:41:15,520 ACADEMIA. 913 00:41:15,520 --> 00:41:16,840 WE EMPLOYED EXISTING TRIAL 914 00:41:16,840 --> 00:41:20,520 NETWORKS, BOTH IN U.S. AND 915 00:41:20,520 --> 00:41:21,360 INTERNATIONALLY. 916 00:41:21,360 --> 00:41:23,160 TREMENDOUS AMOUNT OF IMPACT. 917 00:41:23,160 --> 00:41:26,960 STILL ONGOING TRIALS, AS YOU CAN 918 00:41:26,960 --> 00:41:28,760 SEE HERE, WHICH WE'LL BE 919 00:41:28,760 --> 00:41:30,320 FINISHING UP OVER THE NEXT YEAR. 920 00:41:30,320 --> 00:41:36,440 IF I COULD HAVE THE NEXT SLIDE 921 00:41:36,440 --> 00:41:37,600 PLEASE. 922 00:41:37,600 --> 00:41:38,960 HERE ARE OUTPUTS, ENROLLED 923 00:41:38,960 --> 00:41:43,120 23,000 PATIENTS, OVER 300 SITES. 924 00:41:43,120 --> 00:41:44,560 MANY, MANY PUBLICATIONS HAVE 925 00:41:44,560 --> 00:41:47,280 BEEN WELL CITED. 926 00:41:47,280 --> 00:41:49,960 NEXT PLEASE. 927 00:41:49,960 --> 00:41:53,160 WE REVIEWED OVER 800 AGENTS, 34 928 00:41:53,160 --> 00:41:55,400 AGENTS AND COMBINATIONS WERE 929 00:41:55,400 --> 00:41:55,680 TESTED. 930 00:41:55,680 --> 00:41:59,120 TURNED OUT THAT 6 PROVED 931 00:41:59,120 --> 00:42:00,120 EFFICACIOUS. 932 00:42:00,120 --> 00:42:04,240 AS THE VIRUS EVOLVED, SOME WERE 933 00:42:04,240 --> 00:42:05,680 NO LONGER USEFUL, BUT THIS OF 934 00:42:05,680 --> 00:42:08,160 COURSE IS WHAT YOU ARE DEALING 935 00:42:08,160 --> 00:42:12,560 WITH, WITH A RAPIDLY EVOLVING 936 00:42:12,560 --> 00:42:14,320 RNA VIRUS. 937 00:42:14,320 --> 00:42:17,480 AND I WOULD JUST LIKE TO THANK 938 00:42:17,480 --> 00:42:24,000 ALL OF THE ACTIV LEADERSHIP TEAM 939 00:42:24,000 --> 00:42:25,520 AND DR. GERBERDING WHEN SHE 940 00:42:25,520 --> 00:42:27,320 PRESENTS MAY TOUCH UPON THIS BUT 941 00:42:27,320 --> 00:42:29,840 I ESPECIALLY WANT TO THANK OUR 942 00:42:29,840 --> 00:42:31,080 COLLEAGUES AT THE FNIH FOR ALL 943 00:42:31,080 --> 00:42:36,560 THAT THEY DID IN HELPING US. 944 00:42:36,560 --> 00:42:38,000 NEXT PLEASE. 945 00:42:38,000 --> 00:42:40,840 JUST A COUPLE ADDITIONAL 946 00:42:40,840 --> 00:42:41,560 INITIATIVES, VERY QUICKLY 947 00:42:41,560 --> 00:42:46,200 BECAUSE I'M A LITTLE BEHIND 948 00:42:46,200 --> 00:42:46,680 TIME. 949 00:42:46,680 --> 00:42:48,000 NEXT PLEASE. 950 00:42:48,000 --> 00:42:49,600 DR. BERTAGNOLLI WILL PROVIDE A 951 00:42:49,600 --> 00:42:53,000 COMPREHENSIVE VIEW OF THE 952 00:42:53,000 --> 00:42:54,800 MOONSHOT BUT, AGAIN, IF THERE'S 953 00:42:54,800 --> 00:42:56,560 SOMEBODY ONLY TUNING IN FOR THE 954 00:42:56,560 --> 00:43:00,720 DIRECTOR'S REPORT I DID WANT TO 955 00:43:00,720 --> 00:43:01,760 MENTION THIS. 956 00:43:01,760 --> 00:43:05,160 VERY BOLD AND IMPORTANT 957 00:43:05,160 --> 00:43:08,120 INITIATIVE, IT BUILDS UPON THE 958 00:43:08,120 --> 00:43:10,760 CANCER MOONSHOT IN 2016 THAT 959 00:43:10,760 --> 00:43:12,880 SUPPORTED OVER 250 RESEARCH 960 00:43:12,880 --> 00:43:19,040 PROJECTS, OVER 70 PROGRAMS AND 961 00:43:19,040 --> 00:43:19,360 CONSORTIA. 962 00:43:19,360 --> 00:43:22,280 THE GOALS FOR THE MOONSHOT 963 00:43:22,280 --> 00:43:26,240 LAUNCHED BY THE PRESIDENT IN 964 00:43:26,240 --> 00:43:28,360 FEBRUARY OF 2022 ARE AGAIN 965 00:43:28,360 --> 00:43:29,640 AMBITIOUS, TO REDUCE CANCER 966 00:43:29,640 --> 00:43:31,760 DEATH RATE BY 50% OVER THE NEXT 967 00:43:31,760 --> 00:43:33,760 25 YEARS, AND TO IMPROVE THE 968 00:43:33,760 --> 00:43:35,200 EXPERIENCE OF PEOPLE AND THEIR 969 00:43:35,200 --> 00:43:37,200 FAMILIES LIVING WITH AND 970 00:43:37,200 --> 00:43:39,280 SURVIVING CANCER. 971 00:43:39,280 --> 00:43:41,120 AND AGAIN, DR. BERTAGNOLLI WILL 972 00:43:41,120 --> 00:43:47,760 GIVE YOU THE DETAILS OF THIS. 973 00:43:47,760 --> 00:43:48,840 NEXT PLEASE. 974 00:43:48,840 --> 00:43:50,240 DR. AVENEVOLI WILL TALK ABOUT 975 00:43:50,240 --> 00:43:51,320 THE MENTAL HEALTH CRISIS AND 976 00:43:51,320 --> 00:43:54,400 WHAT NIH IS DOING ABOUT IT. 977 00:43:54,400 --> 00:43:56,600 AGAIN, I DIDN'T WANT THIS 978 00:43:56,600 --> 00:43:58,240 DIRECTOR'S REPORT TO GO WITHOUT 979 00:43:58,240 --> 00:44:00,640 AT LEAST ME MENTIONING THIS, 980 00:44:00,640 --> 00:44:03,480 GIVEN THE URGENT NATIONAL CRISIS 981 00:44:03,480 --> 00:44:04,280 WE HAVE WITH YOUTH MENTAL 982 00:44:04,280 --> 00:44:06,520 HEALTH, SADLY THE RATE OF 983 00:44:06,520 --> 00:44:12,440 SUICIDE IS INCREASING AMONG 984 00:44:12,440 --> 00:44:14,480 YOUTH INCLUDING PRE-TEENS, 985 00:44:14,480 --> 00:44:17,520 EXACERBATED AMONG RACIAL AND 986 00:44:17,520 --> 00:44:18,480 ETHNIC MINORITY. 987 00:44:18,480 --> 00:44:20,800 SURGEON GENERAL'S OFFICE ISSUED 988 00:44:20,800 --> 00:44:21,840 ADVISORIES, AND WE'RE OF COURSE 989 00:44:21,840 --> 00:44:25,560 SUPPORTING A GREAT DEAL OF 990 00:44:25,560 --> 00:44:26,640 RESEARCH IN THIS EFFORT AND, 991 00:44:26,640 --> 00:44:30,040 AGAIN, LOOK FORWARD TO HEARING 992 00:44:30,040 --> 00:44:31,320 FROM DR. AVENEVOLI LATER TODAY 993 00:44:31,320 --> 00:44:39,080 ON ADDRESSING THE MENTAL HEALTH 994 00:44:39,080 --> 00:44:41,520 CRISIS THROUGH RESEARCH. 995 00:44:41,520 --> 00:44:44,080 AMP, WHICH DR. GERBERDING MAY 996 00:44:44,080 --> 00:44:47,040 TOUCH UPON, IS EXTREMELY ACTIVE, 997 00:44:47,040 --> 00:44:48,240 ACCELERATING MEDICINES 998 00:44:48,240 --> 00:44:50,520 PARTNERSHIP WHICH THE FOUNDATION 999 00:44:50,520 --> 00:44:53,320 FOR NIH HELPS CATALYZE. 1000 00:44:53,320 --> 00:44:56,400 TEN PROJECTS NOW, OVER $800 1001 00:44:56,400 --> 00:45:00,320 MILLION IN INVESTMENTS, WITH 1002 00:45:00,320 --> 00:45:02,640 OVER 34 INDUSTRY PARTNERS, 37 1003 00:45:02,640 --> 00:45:05,000 NOT FOR PROFITS. 1004 00:45:05,000 --> 00:45:06,800 THIS IS REALLY BECOMING A 1005 00:45:06,800 --> 00:45:09,200 PARADIGM OF BEING ABLE TO DO 1006 00:45:09,200 --> 00:45:11,160 CUTTING-EDGE WORK, AND WE ARE 1007 00:45:11,160 --> 00:45:14,680 VERY, VERY GRATEFUL FOR THE HELP 1008 00:45:14,680 --> 00:45:18,520 OF THE FOUNDATION AND ALL OF OUR 1009 00:45:18,520 --> 00:45:20,600 PARTNERS BOTH INDUSTRY, 1010 00:45:20,600 --> 00:45:23,280 NOT-FOR-PROFITS, AND THOSE HERE 1011 00:45:23,280 --> 00:45:24,320 AT NIH. 1012 00:45:24,320 --> 00:45:29,240 WE HAVE PROJECTS RELATED TO 1013 00:45:29,240 --> 00:45:30,800 THINGS SUCH AS AUTOIMMUNE 1014 00:45:30,800 --> 00:45:31,560 DISEASE, ALZHEIMER'S DISEASE, 1015 00:45:31,560 --> 00:45:33,880 GENE THEY WERE AND MANY SURE. 1016 00:45:33,880 --> 00:45:35,720 SHE WILL TOUCH UPON THAT. 1017 00:45:35,720 --> 00:45:39,960 NEXT SLIDE PLEASE. 1018 00:45:39,960 --> 00:45:41,000 NEXT SLIDE PLEASE. 1019 00:45:41,000 --> 00:45:42,440 AS ANYBODY HERE ON THE EAST 1020 00:45:42,440 --> 00:45:43,840 COAST WHO IS EXPERIENCING THE 1021 00:45:43,840 --> 00:45:45,840 SMOKY SKIES TODAY CAN ATTEST, 1022 00:45:45,840 --> 00:45:47,880 THE RISK OF CLIMATE CHANGE IS 1023 00:45:47,880 --> 00:45:49,480 REAL AND I SUSPECT OUR 1024 00:45:49,480 --> 00:45:52,400 COLLEAGUES ON THE WEST COAST 1025 00:45:52,400 --> 00:45:53,480 COULD HAVE TOLD US A LONG TIME 1026 00:45:53,480 --> 00:45:55,200 AGO ABOUT THAT. 1027 00:45:55,200 --> 00:45:57,120 WE DO HAVE THIS NIH-WIDE 1028 00:45:57,120 --> 00:45:59,720 COLLABORATIVE INITIATIVE ON 1029 00:45:59,720 --> 00:46:02,360 CLIMATE CHANGE AND HEALTH, WHICH 1030 00:46:02,360 --> 00:46:04,040 IS OUTLINED HERE. 1031 00:46:04,040 --> 00:46:05,960 AND THIS INITIATIVE REALLY IS 1032 00:46:05,960 --> 00:46:10,320 DESIGNED TO BUILD A 1033 00:46:10,320 --> 00:46:12,760 COLLABORATIVE COMMUNITY ENGAGING 1034 00:46:12,760 --> 00:46:13,400 POLICYMAKERS, INDUSTRY, 1035 00:46:13,400 --> 00:46:16,680 TECHNOLOGY LEADERS, DIVERSE 1036 00:46:16,680 --> 00:46:17,840 COMMUNITIES, OTHER STAKEHOLDERS, 1037 00:46:17,840 --> 00:46:19,760 FOUR CORE ELEMENTS, HEALTH 1038 00:46:19,760 --> 00:46:22,720 EFFECTS RESEARCH, HEALTH EQUITY 1039 00:46:22,720 --> 00:46:23,720 RESEARCH, INTERVENTION RESEARCH, 1040 00:46:23,720 --> 00:46:25,880 AND TRAINING AND CAPACITY 1041 00:46:25,880 --> 00:46:26,160 BUILDING. 1042 00:46:26,160 --> 00:46:36,640 THIS IS LED BY DR. WOYCHEK, 1043 00:46:40,120 --> 00:46:43,040 HELPED BY SEVEN INSTITUTE AND 1044 00:46:43,040 --> 00:46:44,880 CENTER DIRECTORS. 1045 00:46:44,880 --> 00:46:46,000 SLIDE 41, NEXT SLIDE. 1046 00:46:46,000 --> 00:46:48,800 JUST TO SHARE A COUPLE QUICK 1047 00:46:48,800 --> 00:46:51,360 UPDATES FROM OUR NIH HELPING TO 1048 00:46:51,360 --> 00:46:54,440 END ADDICTION LONG TERM, SO 1049 00:46:54,440 --> 00:46:55,960 CALLED HEAL INITIATIVE. 1050 00:46:55,960 --> 00:46:59,080 THIS IS AN AGGRESSIVE NIH-WIDE 1051 00:46:59,080 --> 00:47:01,920 EFFORT TO SPEED SCIENTIFIC 1052 00:47:01,920 --> 00:47:04,520 SOLUTIONS TO STEM, CONTINUING 1053 00:47:04,520 --> 00:47:11,400 CRISIS IN OPIOID USE DISORDER. 1054 00:47:11,400 --> 00:47:12,720 MOST INSTITUTES AND CENTERS ARE 1055 00:47:12,720 --> 00:47:12,960 INVOLVED. 1056 00:47:12,960 --> 00:47:16,200 AS YOU CAN SEE FROM THE SUMMARY 1057 00:47:16,200 --> 00:47:18,920 SLIDE HERE, OVER $2.5 BILLION IN 1058 00:47:18,920 --> 00:47:22,840 RESEARCH, OVER 1,000 RESEARCH 1059 00:47:22,840 --> 00:47:24,000 PROJECTS, VERY IMPORTANTLY OVER 1060 00:47:24,000 --> 00:47:29,080 300 CLINICAL TRIALS ARE ONGOING. 1061 00:47:29,080 --> 00:47:31,080 WITH 41 FDA APPROVALS FOR 1062 00:47:31,080 --> 00:47:34,360 INVESTIGATIONAL NEW DRUGS OR 1063 00:47:34,360 --> 00:47:34,720 DEVICES. 1064 00:47:34,720 --> 00:47:36,760 THIS IS ONGOING WITH 1065 00:47:36,760 --> 00:47:38,400 PARTNERSHIPS WITH FEDERAL 1066 00:47:38,400 --> 00:47:39,520 AGENCIES, PRIVATE SECTOR, 1067 00:47:39,520 --> 00:47:43,560 ACADEMIA AND COMMUNITIES. 1068 00:47:43,560 --> 00:47:44,960 NEXT PLEASE. 1069 00:47:44,960 --> 00:47:46,480 "HEAL" IS MAKING A DIFFERENCE. 1070 00:47:46,480 --> 00:47:49,200 FOR EXAMPLE, THERE'S NOW A NEW 1071 00:47:49,200 --> 00:47:53,120 STANDARD OF CARE FOR INFANTS 1072 00:47:53,120 --> 00:47:55,960 BORN DEPENDENT ON OPIOIDS. 1073 00:47:55,960 --> 00:47:59,240 RECENTLY, IN COLLABORATION WITH 1074 00:47:59,240 --> 00:48:02,480 THE BRAIN INITIATIVE, A PATIENT 1075 00:48:02,480 --> 00:48:04,720 SIGNATURE BRAIN SIGNATURE WAS 1076 00:48:04,720 --> 00:48:07,640 IDENTIFIED IN THOSE WITH CHRONIC 1077 00:48:07,640 --> 00:48:08,080 PAIN. 1078 00:48:08,080 --> 00:48:12,320 ANOTHER EXAMPLE, THE SAFETY AND 1079 00:48:12,320 --> 00:48:16,840 EFFICACY OF BUPRENORPHINE USE IN 1080 00:48:16,840 --> 00:48:18,240 THE EMERGENCY DEPARTMENT WAS 1081 00:48:18,240 --> 00:48:19,480 DEMONSTRATED. 1082 00:48:19,480 --> 00:48:21,680 AND THIS IS EXTREMELY IMPORTANT 1083 00:48:21,680 --> 00:48:23,840 IN AN ERA WHERE FENTANYL IS JUST 1084 00:48:23,840 --> 00:48:25,800 SO WIDESPREAD. 1085 00:48:25,800 --> 00:48:27,520 AND THEN FINALLY OPIOID 1086 00:48:27,520 --> 00:48:33,920 ADDICTION HAS BEEN FOUND TO BE 1087 00:48:33,920 --> 00:48:35,120 REDUCING RECIDIVISM BY 30% IF 1088 00:48:35,120 --> 00:48:38,600 YOU TREAT THE ADDICTION WHILE 1089 00:48:38,600 --> 00:48:42,240 THE INDIVIDUAL IS INCARCERATED. 1090 00:48:42,240 --> 00:48:43,720 NEXT PLEASE. 1091 00:48:43,720 --> 00:48:46,960 WITH THAT, WITH APOLOGIES TO MY 1092 00:48:46,960 --> 00:48:49,960 COLLEAGUES, FOR BEING A LITTLE 1093 00:48:49,960 --> 00:48:52,160 BIT OVER TIME, I THINK WE'LL GET 1094 00:48:52,160 --> 00:48:55,680 US BACK ON TRACK, I'M GOING TO 1095 00:48:55,680 --> 00:48:57,800 ASK FOR BUDGET AND LEGISLATIVE 1096 00:48:57,800 --> 00:48:58,200 UPDATES. 1097 00:48:58,200 --> 00:49:00,280 SO WE'LL START WITH NEIL SHAPIRO 1098 00:49:00,280 --> 00:49:01,920 FOR THE FORMER AND TURN TO 1099 00:49:01,920 --> 00:49:03,560 LAUREN HIGGINS FOR THE LATTER. 1100 00:49:03,560 --> 00:49:05,120 SO NEIL, TAKE IT AWAY. 1101 00:49:05,120 --> 00:49:07,120 NEXT SLIDE. 1102 00:49:07,120 --> 00:49:09,680 >> THANK YOU. 1103 00:49:09,680 --> 00:49:11,080 CAN YOU HEAR ME? 1104 00:49:11,080 --> 00:49:12,480 LET'S GO TO THE NEXT SLIDE 1105 00:49:12,480 --> 00:49:15,600 PLEASE. 1106 00:49:15,600 --> 00:49:18,760 LET ME START WITH WHERE WE ARE 1107 00:49:18,760 --> 00:49:20,640 ON FISCAL YEAR 2023, CURRENT 1108 00:49:20,640 --> 00:49:20,840 YEAR. 1109 00:49:20,840 --> 00:49:24,240 WE RECEIVED OUR FULL YEAR 1110 00:49:24,240 --> 00:49:26,920 APPROPRIATION ON DECEMBER 29, 1111 00:49:26,920 --> 00:49:27,880 AFTER THREE CONTINUING 1112 00:49:27,880 --> 00:49:28,200 RESOLUTIONS. 1113 00:49:28,200 --> 00:49:30,680 THE FUNDS ARE SUPPOSED TO ARRIVE 1114 00:49:30,680 --> 00:49:31,520 BY SEPTEMBER 30. 1115 00:49:31,520 --> 00:49:32,880 THAT RARELY HAPPENS. 1116 00:49:32,880 --> 00:49:35,640 LAST YEAR IT TOOK UNTIL MARCH 1117 00:49:35,640 --> 00:49:38,040 15, SO DECEMBER 29 WAS AN 1118 00:49:38,040 --> 00:49:38,640 IMPROVEMENT. 1119 00:49:38,640 --> 00:49:42,080 AND IN THAT BILL WE RECEIVED OUR 1120 00:49:42,080 --> 00:49:43,920 FULL YEAR DISCRETIONARY 1121 00:49:43,920 --> 00:49:46,560 APPROPRIATION AS WELL AS 1122 00:49:46,560 --> 00:49:50,880 AUTHORIZATION LANGUAGE FOR 1123 00:49:50,880 --> 00:49:53,840 ARPA-H, AS AN INDEPENDENT 1124 00:49:53,840 --> 00:49:54,760 ENTITY, SUBJECT TO DEBATE 1125 00:49:54,760 --> 00:49:55,960 WHETHER IT SHOULD BE PART OF NIH 1126 00:49:55,960 --> 00:49:57,400 OR NOT. 1127 00:49:57,400 --> 00:49:59,120 CONGRESS IN THIS OMNIBUS BILL 1128 00:49:59,120 --> 00:50:02,880 INCLUDED THAT LANGUAGE TO PUT IT 1129 00:50:02,880 --> 00:50:04,840 WITHIN NIH. 1130 00:50:04,840 --> 00:50:07,040 AND THEN THE ADMINISTRATION HAD 1131 00:50:07,040 --> 00:50:09,680 REQUESTED A PANDEMIC 1132 00:50:09,680 --> 00:50:12,000 PREPAREDNESS PROPOSAL, THIS WAS 1133 00:50:12,000 --> 00:50:16,360 AN $82 BILLION PROPOSAL WHICH 1134 00:50:16,360 --> 00:50:17,920 NIH'S SHARE WAS ABOUT $12 1135 00:50:17,920 --> 00:50:18,160 BILLION. 1136 00:50:18,160 --> 00:50:20,720 AND THAT DID NOT GO THROUGH TO 1137 00:50:20,720 --> 00:50:21,840 PREPARE FOR FUTURE PANDEMICS, 1138 00:50:21,840 --> 00:50:25,360 AND WE ALSO DID NOT RECEIVE 1139 00:50:25,360 --> 00:50:26,560 ADDITIONAL EMERGENCY 1140 00:50:26,560 --> 00:50:28,360 SUPPLEMENTAL FUNDS FOR COVID-19 1141 00:50:28,360 --> 00:50:33,160 RESEARCH, AS PART OF THE 23 1142 00:50:33,160 --> 00:50:33,360 ACTION. 1143 00:50:33,360 --> 00:50:35,200 NEXT SLIDE. 1144 00:50:35,200 --> 00:50:36,960 SO HERE ARE SOME NUMBERS. 1145 00:50:36,960 --> 00:50:38,520 YOU CAN SEE WHETHER THEY CAME 1146 00:50:38,520 --> 00:50:38,800 OUT. 1147 00:50:38,800 --> 00:50:41,600 TOTAL INCREASE OVER THE PRIOR 1148 00:50:41,600 --> 00:50:43,040 FISCAL YEAR WAS $3 BILLION. 1149 00:50:43,040 --> 00:50:46,720 HALF OF THAT FOR ARPA-H, AND 1150 00:50:46,720 --> 00:50:52,280 $2.5 BILLION FOR THE REST OF 1151 00:50:52,280 --> 00:50:53,480 NIH. 1152 00:50:53,480 --> 00:50:57,160 THE PERCENTAGE, 6.5% OVERALL, 1153 00:50:57,160 --> 00:51:00,440 WITHOUT ARPA-H 5.5%, SO ANOTHER 1154 00:51:00,440 --> 00:51:02,040 HEALTHY INCREASE AFTER SEVERAL 1155 00:51:02,040 --> 00:51:05,200 YEARS IN WHICH CONGRESS HAS BEEN 1156 00:51:05,200 --> 00:51:07,280 ABLE TO GREATLY INCREASE THE NIH 1157 00:51:07,280 --> 00:51:11,680 BUDGET AND HELP US MAKE UP FOR 1158 00:51:11,680 --> 00:51:13,640 MANY YEARS BEFOREHAND WHERE OUR 1159 00:51:13,640 --> 00:51:18,800 PURCHASING POWER WAS REDUCED BY 1160 00:51:18,800 --> 00:51:19,040 INFLATION. 1161 00:51:19,040 --> 00:51:20,720 THE INSTITUTES AND CENTERS PART 1162 00:51:20,720 --> 00:51:23,880 OF THE 5.5%, RECEIVED 3.8% 1163 00:51:23,880 --> 00:51:27,040 GENERAL INCREASE, AND SPECIFIC 1164 00:51:27,040 --> 00:51:29,320 INCREASES FOR CERTAIN RESEARCH 1165 00:51:29,320 --> 00:51:29,520 AREAS. 1166 00:51:29,520 --> 00:51:32,320 AND ALSO GETTING BACK TO WHAT 1167 00:51:32,320 --> 00:51:33,920 LARRY SAID ABOUT THE 21ST 1168 00:51:33,920 --> 00:51:35,960 CENTURY CURES ACT, OF THOSE 1169 00:51:35,960 --> 00:51:37,440 BILLIONS OF DOLLARS THAT YOU MAY 1170 00:51:37,440 --> 00:51:39,880 HAVE NOTICED ON HIS SLIDE, THEY 1171 00:51:39,880 --> 00:51:42,120 WERE SPREAD OUT OVER SEVERAL 1172 00:51:42,120 --> 00:51:44,480 YEARS, DEPENDING ON THE PROJECT. 1173 00:51:44,480 --> 00:51:47,120 AND DISTRIBUTION OF FUNDS DIDN'T 1174 00:51:47,120 --> 00:51:48,880 MATCH PROGRAMMATIC NEEDS. 1175 00:51:48,880 --> 00:51:51,640 SO FISCAL 23, CURRENT YEAR IS A 1176 00:51:51,640 --> 00:51:54,600 PEAK YEAR FOR THE CURES ACT 1177 00:51:54,600 --> 00:51:56,360 FUNDING IN THIS INNOVATION 1178 00:51:56,360 --> 00:51:58,440 ACCOUNT, WHICH WAS PROVIDED IN 1179 00:51:58,440 --> 00:51:59,840 THE 21ST CENTURY CURES ACT, IT'S 1180 00:51:59,840 --> 00:52:02,800 THE FINAL YEAR OF FUNDING FOR 1181 00:52:02,800 --> 00:52:05,920 THE CANCER MOONSHOT, IN THAT 1182 00:52:05,920 --> 00:52:06,480 ACT. 1183 00:52:06,480 --> 00:52:08,880 BUT THE LEVELS FOR THE "ALL OF 1184 00:52:08,880 --> 00:52:10,440 US" RESEARCH PROGRAM AND BRAIN 1185 00:52:10,440 --> 00:52:14,480 INITIATIVE GO BACK DOWN IN 2024. 1186 00:52:14,480 --> 00:52:15,960 SO, WHAT HAS HAPPENED, THE 1187 00:52:15,960 --> 00:52:17,960 CONGRESS THIS YEAR AS WE 1188 00:52:17,960 --> 00:52:21,440 REQUESTED HAS BALANCED OUT THE 1189 00:52:21,440 --> 00:52:25,000 TWO SOURCES OF FUNDING, AND THEN 1190 00:52:25,000 --> 00:52:27,560 A REQUEST FOR 2024 IS TO KEEP 1191 00:52:27,560 --> 00:52:29,160 THOSE LEVELS AT THIS YEAR'S 1192 00:52:29,160 --> 00:52:33,520 AMOUNT WHICH I'LL GET INTO IN A 1193 00:52:33,520 --> 00:52:33,760 MOMENT. 1194 00:52:33,760 --> 00:52:34,520 NEXT SLIDE. 1195 00:52:34,520 --> 00:52:37,720 THIS IS A QUICK LIST OF THE 1196 00:52:37,720 --> 00:52:39,480 TARGETED INCREASES IN THE BILL. 1197 00:52:39,480 --> 00:52:43,280 THERE'S A CONTINUED RAMP-UP OF 1198 00:52:43,280 --> 00:52:44,960 FUNDING FOR ALZHEIMER'S DISEASE 1199 00:52:44,960 --> 00:52:47,160 RESEARCH, THIS YEAR SPLIT 1200 00:52:47,160 --> 00:52:49,360 BETWEEN NIA AND NINDS. 1201 00:52:49,360 --> 00:52:51,520 IN PRIOR YEARS HAD ALL GONE TO 1202 00:52:51,520 --> 00:52:52,000 NIA. 1203 00:52:52,000 --> 00:52:54,080 THERE WAS ADDITIONAL FUNDING FOR 1204 00:52:54,080 --> 00:52:58,040 NCI TO IMPROVE SUCCESS RATES 1205 00:52:58,040 --> 00:52:59,680 PAYLINES, HIV/AIDS RESEARCH, 1206 00:52:59,680 --> 00:53:01,600 NIH-WIDE RECEIVED AN INCREASE. 1207 00:53:01,600 --> 00:53:04,640 BUILDINGS AND FACILITIES VERY 1208 00:53:04,640 --> 00:53:05,760 CRITICALLY NEEDED $100 MILLION 1209 00:53:05,760 --> 00:53:07,440 INCREASE FOR THAT ACCOUNT. 1210 00:53:07,440 --> 00:53:09,480 AS WELL AS MORE THAN GENERAL 1211 00:53:09,480 --> 00:53:11,800 INCREASE FOR THE COMMON FUND, 1212 00:53:11,800 --> 00:53:16,720 AND ADDITIONAL INCREASES LISTED 1213 00:53:16,720 --> 00:53:16,920 HERE. 1214 00:53:16,920 --> 00:53:17,440 NEXT SLIDE. 1215 00:53:17,440 --> 00:53:19,760 I WANTED TO MENTION AS LARRY 1216 00:53:19,760 --> 00:53:23,200 TOUCHED ON WE CONTINUE TO 1217 00:53:23,200 --> 00:53:25,160 ADMINISTER EMERGENCY 1218 00:53:25,160 --> 00:53:27,360 SUPPLEMENTAL FUNDS FOR COVID-19, 1219 00:53:27,360 --> 00:53:30,240 OVER A TWO-YEAR PERIOD NIH 1220 00:53:30,240 --> 00:53:33,120 RECEIVED OVER $4.8 BILLION OF 1221 00:53:33,120 --> 00:53:34,320 FUNDING FOR COVID-19 RESEARCH, 1222 00:53:34,320 --> 00:53:36,280 IN ADDITION WE'VE BEEN 1223 00:53:36,280 --> 00:53:38,720 IMPLEMENTING BILLIONS OF DOLLARS 1224 00:53:38,720 --> 00:53:41,920 OF FUNDING FROM THE HHS PUBLIC 1225 00:53:41,920 --> 00:53:44,080 HEALTH AND SOCIAL SERVICES 1226 00:53:44,080 --> 00:53:45,280 EMERGENCY FUND. 1227 00:53:45,280 --> 00:53:46,520 UNDER DELEGATED AUTHORITIES SO 1228 00:53:46,520 --> 00:53:48,520 THOSE ARE SOME PROJECTS THAT NIH 1229 00:53:48,520 --> 00:53:51,120 IS ADMINISTRATION BUT THE 1230 00:53:51,120 --> 00:53:52,320 FUNDING WAS PROVIDED TO 1231 00:53:52,320 --> 00:53:55,280 DEPARTMENT RATHER THAN DIRECTLY 1232 00:53:55,280 --> 00:53:57,000 TO NIH. 1233 00:53:57,000 --> 00:54:00,280 I WANT TO MENTION A PROJECT 1234 00:54:00,280 --> 00:54:01,840 COLLABORATION WITH BARDA TO WORK 1235 00:54:01,840 --> 00:54:06,480 ON NEXT GENERATION OF COVID-19 1236 00:54:06,480 --> 00:54:07,600 VACCINES AND TREATMENTS, $5 1237 00:54:07,600 --> 00:54:10,760 BILLION INITIATIVE THAT JUST 1238 00:54:10,760 --> 00:54:14,000 LAUNCHED RECENTLY. 1239 00:54:14,000 --> 00:54:14,600 NEXT. 1240 00:54:14,600 --> 00:54:17,600 SO 2024 THE PRESIDENT'S BUDGET 1241 00:54:17,600 --> 00:54:19,760 AS WELL AS OMNIBUS CAME OUT 1242 00:54:19,760 --> 00:54:23,240 AFTER THE LAST ACD MEETING. 1243 00:54:23,240 --> 00:54:25,960 HERE THE PROPOSAL IS FOR 1244 00:54:25,960 --> 00:54:29,880 ADDITIONAL $1.9 BILLION OVER 1245 00:54:29,880 --> 00:54:32,800 FISCAL 23, THAT'S $1 BILLION TO 1246 00:54:32,800 --> 00:54:34,680 CONTINUE RAMPING UP ARPA-H, THE 1247 00:54:34,680 --> 00:54:38,000 OTHER $919 MILLION FOR THE REST 1248 00:54:38,000 --> 00:54:39,840 OF NIH. 1249 00:54:39,840 --> 00:54:43,080 AND IT INCLUDES -- THAT MONEY 1250 00:54:43,080 --> 00:54:43,880 PRIORITY INITIATIVES 1251 00:54:43,880 --> 00:54:44,800 PARTICULARLY THE CANCER MOONSHOT 1252 00:54:44,800 --> 00:54:48,320 WHICH I'LL MENTION IN A MOMENT, 1253 00:54:48,320 --> 00:54:50,760 BUT IN 2024 THERE ISN'T A 1254 00:54:50,760 --> 00:54:52,640 PROPOSAL TO INCREASE THE BASE 1255 00:54:52,640 --> 00:54:54,120 BUDGETS FOR THE INSTITUTES AND 1256 00:54:54,120 --> 00:54:56,640 CENTERS THAT WOULD REMAIN AT THE 1257 00:54:56,640 --> 00:54:57,680 2023 LEVEL. 1258 00:54:57,680 --> 00:55:00,360 IN ADDITION, THERE'S ANOTHER 1259 00:55:00,360 --> 00:55:01,920 PROPOSAL MANDATORY FUNDING, 1260 00:55:01,920 --> 00:55:03,440 SEPARATE FROM THE ANNUAL 1261 00:55:03,440 --> 00:55:05,080 DISCRETIONARY FUNDING. 1262 00:55:05,080 --> 00:55:05,960 FOR PANDEMIC PREPAREDNESS. 1263 00:55:05,960 --> 00:55:09,120 THIS IS A SCALED DOWN PROPOSAL. 1264 00:55:09,120 --> 00:55:18,680 TOTAL IS $20 BILLION RATHER THAN 1265 00:55:18,680 --> 00:55:22,520 82, NIH SHARE $2.6 BILLION 1266 00:55:22,520 --> 00:55:23,320 RATHER THAN 12. 1267 00:55:23,320 --> 00:55:26,920 WE'RE HOPE FUL WE MAY MAKE 1268 00:55:26,920 --> 00:55:27,920 PROGRESS WITH THE SCALED DOWN 1269 00:55:27,920 --> 00:55:31,720 REQUEST THIS YEAR. 1270 00:55:31,720 --> 00:55:32,440 NEXT. 1271 00:55:32,440 --> 00:55:34,760 SO AS I MENTIONED BEFORE, THERE 1272 00:55:34,760 --> 00:55:37,800 ARE INCREASES TO BASE FUNDING 1273 00:55:37,800 --> 00:55:40,400 BECAUSE OF THE 21ST CENTURY 1274 00:55:40,400 --> 00:55:42,280 CURES ACT PROPOSAL, BOTH "ALL OF 1275 00:55:42,280 --> 00:55:44,960 US" RESEARCH PROGRAM AND BRAIN 1276 00:55:44,960 --> 00:55:47,240 INITIATIVE WOULD STAY AT THE 1277 00:55:47,240 --> 00:55:48,600 TOTAL 2023 LEVEL SO FUNDING 1278 00:55:48,600 --> 00:55:52,200 SHIFTS BETWEEN THE TWO SOURCES, 1279 00:55:52,200 --> 00:55:54,480 BUT WE HAVE REQUESTED THAT THEY 1280 00:55:54,480 --> 00:55:57,080 NOT BE REDUCED WITH THE 1281 00:55:57,080 --> 00:55:58,520 INNOVATION FUNDS SCALING DOWN AS 1282 00:55:58,520 --> 00:56:01,880 WELL AS WITH CANCER MOONSHOT 1283 00:56:01,880 --> 00:56:04,280 BECAUSE THAT WAS A SEVEN-YEAR 1284 00:56:04,280 --> 00:56:05,760 PROFILE RATHER THAN TEN YEARS 1285 00:56:05,760 --> 00:56:09,280 LIKE THE OTHER TWO PROGRAMS, IN 1286 00:56:09,280 --> 00:56:10,880 2024 TO MAINTAIN THAT LEVEL THE 1287 00:56:10,880 --> 00:56:14,680 FUNDS WOULD NEED TO SHIFT FROM 1288 00:56:14,680 --> 00:56:16,200 THE INNOVATION ACCOUNT FUNDING 1289 00:56:16,200 --> 00:56:18,600 TO BASE FUNDING LIKE THE REST OF 1290 00:56:18,600 --> 00:56:19,480 THE BUDGET. 1291 00:56:19,480 --> 00:56:24,040 SO THE REQUEST FOR CANCER 1292 00:56:24,040 --> 00:56:26,440 MOONSHOT IS FOR $716 MILLION, 1293 00:56:26,440 --> 00:56:33,600 $216 MILLION WAS THE CURES ACT 1294 00:56:33,600 --> 00:56:36,440 LEVEL, 716 WOULD BE NON-CURES 1295 00:56:36,440 --> 00:56:39,560 FUNDING WITH $500 MILLION 1296 00:56:39,560 --> 00:56:43,560 INCREASE. 1297 00:56:43,560 --> 00:56:53,880 BUDGET ALSO PROPOSED 1298 00:56:58,160 --> 00:56:58,440 $1.5 BILLION. 1299 00:56:58,440 --> 00:56:59,400 THE OTHER TARGETED INCREASES 1300 00:56:59,400 --> 00:57:04,000 THAT I MENTIONED AS PART OF THAT 1301 00:57:04,000 --> 00:57:10,400 $900 MILLION, $200 MILLION 1302 00:57:10,400 --> 00:57:11,320 MENTAL HEALTH RESEARCH, $120 1303 00:57:11,320 --> 00:57:12,080 MILLION NUTRITION SCIENCE, 1304 00:57:12,080 --> 00:57:15,040 THAT'S A REPEAT OF THE 2023 1305 00:57:15,040 --> 00:57:17,360 INITIATIVE THAT SO FAR CONGRESS 1306 00:57:17,360 --> 00:57:19,880 HAS NOT SUPPORTED, AND ALSO 1307 00:57:19,880 --> 00:57:24,000 INCREASING OUR TYPE 1 DIABETES 1308 00:57:24,000 --> 00:57:25,640 MANDATORY FUNDING TO $250 1309 00:57:25,640 --> 00:57:28,280 MILLION FROM WHAT HAS BEEN $150 1310 00:57:28,280 --> 00:57:30,880 MILLION IN SOME YEARS GETS 1311 00:57:30,880 --> 00:57:32,560 REDUCED BY SEQUESTER WHICH IS 1312 00:57:32,560 --> 00:57:34,920 WHY WE NEED THE EXTRA $9 MILLION 1313 00:57:34,920 --> 00:57:37,240 THERE, AS PART OF THE TYPE 1 1314 00:57:37,240 --> 00:57:39,120 DIABETES FUNDS, THAT THIS YEAR 1315 00:57:39,120 --> 00:57:42,320 WAS PROVIDED BY CONGRESS AS BASE 1316 00:57:42,320 --> 00:57:48,320 FUNDING RATHER THAN MANDATORY. 1317 00:57:48,320 --> 00:57:50,600 AND NEXT. 1318 00:57:50,600 --> 00:57:51,600 FISCAL RESPONSIBILITY ACT OF 1319 00:57:51,600 --> 00:57:54,040 2023, AS YOU'VE HEARD ABOUT IN 1320 00:57:54,040 --> 00:57:56,760 THE NEWS, THIS IS THE DEBT 1321 00:57:56,760 --> 00:57:59,680 CEILING BILL. 1322 00:57:59,680 --> 00:58:00,880 IT INCLUDES TWO YEARS SUSPENSION 1323 00:58:00,880 --> 00:58:06,200 OF DEBT LIMIT SO WE WON'T BE 1324 00:58:06,200 --> 00:58:12,920 RENEGING ON COMMITMENTS, AND 1325 00:58:12,920 --> 00:58:14,120 TWO-YEAR BUDGET DEAL NON-DEFENSE 1326 00:58:14,120 --> 00:58:15,920 DISCRETIONARY SPENDING WHERE NIH 1327 00:58:15,920 --> 00:58:24,520 FITS IN THE BUDGET IS ROUGHLY 1328 00:58:24,520 --> 00:58:28,080 FLAT IN FISCAL 2024, INCREASING 1329 00:58:28,080 --> 00:58:29,640 1% IN 2025, CHALLENGING 1330 00:58:29,640 --> 00:58:30,360 APPROPRIATIONS SEASON, UP TO 1331 00:58:30,360 --> 00:58:33,080 CONGRESS HOW THEY CHOOSE TO LIVE 1332 00:58:33,080 --> 00:58:34,040 WITHIN THOSE LIMITS. 1333 00:58:34,040 --> 00:58:37,120 BUT IT DOES LOOK LIKE IT WILL BE 1334 00:58:37,120 --> 00:58:39,560 DIFFICULT TO MAINTAIN THE KIND 1335 00:58:39,560 --> 00:58:40,880 OF INCREASES THAT WE'VE RECEIVED 1336 00:58:40,880 --> 00:58:43,200 THE LAST SEVERAL YEARS IN 2024, 1337 00:58:43,200 --> 00:58:45,560 AND WE'LL CONTINUE TO WORK FOR 1338 00:58:45,560 --> 00:58:48,320 THE BEST POSSIBLE OUTCOME ON 1339 00:58:48,320 --> 00:58:49,280 THAT FRONT. 1340 00:58:49,280 --> 00:58:52,480 THERE'S A PROVISION IN THE BILL 1341 00:58:52,480 --> 00:58:54,760 INTENDED TO TRY TO PROVIDE 1342 00:58:54,760 --> 00:58:57,200 INCENTIVES FOR CONGRESS TO GET 1343 00:58:57,200 --> 00:59:00,400 APPROPRIATIONS BILL DONE AS 1344 00:59:00,400 --> 00:59:00,840 QUICKLY AS POSSIBLE. 1345 00:59:00,840 --> 00:59:03,600 THEY HAVE UNTIL THE END OF THE 1346 00:59:03,600 --> 00:59:05,680 CALENDAR YEAR, SO THIS YEAR, 1347 00:59:05,680 --> 00:59:06,640 THIS PAST SEASON, THEY MADE IT 1348 00:59:06,640 --> 00:59:08,040 BY THE END OF DECEMBER. 1349 00:59:08,040 --> 00:59:08,960 PRIOR YEAR NOT. 1350 00:59:08,960 --> 00:59:11,680 BUT IF THEY DON'T GET ALL THE 1351 00:59:11,680 --> 00:59:13,680 APPROPRIATIONS BILLS DONE BY 1352 00:59:13,680 --> 00:59:16,120 THAT DATE, THERE'S PROVISION 1353 00:59:16,120 --> 00:59:17,920 THAT REDUCES STATUTORY CAPS DOWN 1354 00:59:17,920 --> 00:59:21,280 TO 1% BELOW THE FISCAL 2023 1355 00:59:21,280 --> 00:59:21,480 LEVEL. 1356 00:59:21,480 --> 00:59:24,040 HOPEFULLY THAT WILL BE A VERY 1357 00:59:24,040 --> 00:59:25,920 STRONG INCENTIVE FOR CONGRESS TO 1358 00:59:25,920 --> 00:59:27,560 GET APPROPRIATIONS BILLS DONE ON 1359 00:59:27,560 --> 00:59:32,240 TIME AND NOT HAVE TO REDUCE THEM 1360 00:59:32,240 --> 00:59:34,080 FURTHER THAN THE 2024 CAP. 1361 00:59:34,080 --> 00:59:37,880 AND FINALLY IN THE BILL THERE'S 1362 00:59:37,880 --> 00:59:39,520 RESCISSION OF COVID SUPPLEMENTAL 1363 00:59:39,520 --> 00:59:39,880 APPROPRIATIONS. 1364 00:59:39,880 --> 00:59:43,800 IT IS IN THE BILLIONS OF 1365 00:59:43,800 --> 00:59:44,480 DOLLARS. 1366 00:59:44,480 --> 00:59:46,280 BUT LARGELY NOT DIRECTED TOWARDS 1367 00:59:46,280 --> 00:59:48,680 THE TYPES OF SPENDING THAT NIH 1368 00:59:48,680 --> 00:59:55,520 HAS BEEN DOING WITH OUR COVID 1369 00:59:55,520 --> 00:59:58,680 SUP FUNDS, THERE ARE EXEMPTIONS 1370 00:59:58,680 --> 01:00:00,200 THE ADMINISTRATION WILL BE 1371 01:00:00,200 --> 01:00:00,560 IMPLEMENTING. 1372 01:00:00,560 --> 01:00:05,480 I WOULD NOTE THAT OF THE 1373 01:00:05,480 --> 01:00:06,080 $4.8 BILLION NIH INITIALLY 1374 01:00:06,080 --> 01:00:07,760 RECEIVED, THERE'S VERY LITTLE 1375 01:00:07,760 --> 01:00:12,840 THAT HAS NOT BEEN OBLIGATED YET, 1376 01:00:12,840 --> 01:00:14,640 TO AWARD GRANT OR CONTRACT, FOR 1377 01:00:14,640 --> 01:00:17,280 EXAMPLE, WE WILL CONTINUE TO 1378 01:00:17,280 --> 01:00:18,400 IMPLEMENT RESEARCH FOR QUITE 1379 01:00:18,400 --> 01:00:21,280 SOME TIME IN TERMS OF AWARDS 1380 01:00:21,280 --> 01:00:23,840 WE'VE ALREADY MADE, BUT THIS 1381 01:00:23,840 --> 01:00:25,920 PROVISION WILL LIMIT THE AMOUNT 1382 01:00:25,920 --> 01:00:29,520 OF ADDITIONAL ACTIVITY THAT GOES 1383 01:00:29,520 --> 01:00:32,360 ON IN THIS AREA, SO WANTED TO 1384 01:00:32,360 --> 01:00:35,160 MAKE CLEAR THE RESCISSIONS WHILE 1385 01:00:35,160 --> 01:00:36,680 REDUCING FUNDING AVAILABLE TO 1386 01:00:36,680 --> 01:00:38,680 MAKE FURTHER AWARDS IS NOT 1387 01:00:38,680 --> 01:00:42,840 LIMITING THE RESEARCH THAT WE'RE 1388 01:00:42,840 --> 01:00:44,480 DOING WITH EXISTING AWARDS. 1389 01:00:44,480 --> 01:00:49,480 WITH THAT LET ME STOP. 1390 01:00:49,480 --> 01:00:51,360 >> OKAY. 1391 01:00:51,360 --> 01:00:52,600 THANKS VERY MUCH, NEIL. 1392 01:00:52,600 --> 01:00:55,120 LAUREN, IF WE COULD TURN TO YOU 1393 01:00:55,120 --> 01:01:01,840 NEXT PLEASE. 1394 01:01:01,840 --> 01:01:03,280 >> HELLO. 1395 01:01:03,280 --> 01:01:04,680 THANK YOU. 1396 01:01:04,680 --> 01:01:06,880 I'M LAUREN HIGGINS, GIVING THE 1397 01:01:06,880 --> 01:01:07,920 LEGISLATIVE UPDATE. 1398 01:01:07,920 --> 01:01:09,000 NEXT SLIDE PLEASE. 1399 01:01:09,000 --> 01:01:11,480 I WANT TO START WITH THE 1400 01:01:11,480 --> 01:01:14,800 EXCITING NEWS, WE HAVE A NOMINEE 1401 01:01:14,800 --> 01:01:19,480 FOR NIH DIRECTOR, THIS IS A 1402 01:01:19,480 --> 01:01:21,480 SENATE-CONFIRMED POSITION. 1403 01:01:21,480 --> 01:01:22,680 THEREFORE THERE'S A PROCESS 1404 01:01:22,680 --> 01:01:22,960 INVOLVED. 1405 01:01:22,960 --> 01:01:25,600 I THOUGHT I WOULD TOUCH UPON 1406 01:01:25,600 --> 01:01:26,200 THAT PROCESS. 1407 01:01:26,200 --> 01:01:32,880 I WANT TO MENTION THAT THE WHITE 1408 01:01:32,880 --> 01:01:34,920 HOUSE LEGISLATIVE OFFICE AND HHS 1409 01:01:34,920 --> 01:01:36,320 LEGISLATUREIVE OFFICE MANAGED 1410 01:01:36,320 --> 01:01:38,360 THIS PROCESS. 1411 01:01:38,360 --> 01:01:40,000 OUR OFFICE UNFORTUNATELY IS NOT 1412 01:01:40,000 --> 01:01:40,920 INVOLVED. 1413 01:01:40,920 --> 01:01:42,400 THE PRESIDENT ANNOUNCED THE 1414 01:01:42,400 --> 01:01:44,960 NOMINEE IN MAY. 1415 01:01:44,960 --> 01:01:54,000 AND DR. BERTAGNOLLI, CURRENT NI 1416 01:01:54,000 --> 01:01:54,800 DIRECTOR, HAS BEGUN MEETING WITH 1417 01:01:54,800 --> 01:01:58,760 A LARGE NUMBER OF SENATORS OVER 1418 01:01:58,760 --> 01:02:01,040 THE NEXT COUPLE MONTHS. 1419 01:02:01,040 --> 01:02:02,800 THE SENATE HEALTH COMMITTEE, NIH 1420 01:02:02,800 --> 01:02:04,320 AUTHORIZING COMMITTEE, WILL HOLD 1421 01:02:04,320 --> 01:02:06,720 A HEARING ON THE NOMINATION. 1422 01:02:06,720 --> 01:02:08,400 AND THEN THE COMMITTEE WILL HAVE 1423 01:02:08,400 --> 01:02:12,600 A VOTE ON THE NOMINATION. 1424 01:02:12,600 --> 01:02:15,240 ONCE THAT HAPPENS, IT GOES -- 1425 01:02:15,240 --> 01:02:16,600 NOMINATION GOES TO THE SENATE 1426 01:02:16,600 --> 01:02:18,200 FLOOR, AND AT ANY TIME THE 1427 01:02:18,200 --> 01:02:21,080 SENATE CAN CALL IT UP FOR A 1428 01:02:21,080 --> 01:02:21,280 VOTE. 1429 01:02:21,280 --> 01:02:23,440 SO, THE PROCESS LOOKS EASY ON 1430 01:02:23,440 --> 01:02:24,280 PAPER. 1431 01:02:24,280 --> 01:02:25,800 WE HOPE IT GOES SMOOTHLY. 1432 01:02:25,800 --> 01:02:27,960 WE LOOK FORWARD TO WORKING WITH 1433 01:02:27,960 --> 01:02:29,480 HER ONCE SHE'S CONFIRMED. 1434 01:02:29,480 --> 01:02:30,760 THANK YOU. 1435 01:02:30,760 --> 01:02:32,480 THE NEXT SLIDE PLEASE. 1436 01:02:32,480 --> 01:02:36,600 I'M GOING TO GO FAST. 1437 01:02:36,600 --> 01:02:38,440 I THINK WHEN ADRIAN GAVE THE 1438 01:02:38,440 --> 01:02:40,840 LAST UPDATE IN DECEMBER WE KNEW 1439 01:02:40,840 --> 01:02:46,960 THAT REPUBLICANS HAD JUST TAKEN 1440 01:02:46,960 --> 01:02:49,600 THE MAJORITY FOR THE HOUSE, THAT 1441 01:02:49,600 --> 01:02:50,280 SWITCHED. 1442 01:02:50,280 --> 01:02:51,960 IN THE SENATE DEMOCRATS REMAINED 1443 01:02:51,960 --> 01:02:53,240 IN CONTROL AND HAD ACTUALLY 1444 01:02:53,240 --> 01:02:57,400 GAINED A SEAT SO THEY HAD A 1445 01:02:57,400 --> 01:02:58,560 MAJORITY OF 51. 1446 01:02:58,560 --> 01:03:00,360 SO THE SPEAKER OF THE HOUSE IS 1447 01:03:00,360 --> 01:03:03,960 ACTUALLY VOTED ON BY THE FULL 1448 01:03:03,960 --> 01:03:06,080 HOUSE, AND IT TOOK 15 BALLOTS 1449 01:03:06,080 --> 01:03:11,520 OVER FOUR DAYS TO ELECT SPEAKER 1450 01:03:11,520 --> 01:03:11,800 McCARTHY. 1451 01:03:11,800 --> 01:03:14,320 GIVEN THE SMALL MARGIN, WE SAW 1452 01:03:14,320 --> 01:03:17,880 IT PLAY OUT, AND JUST FOR SOME 1453 01:03:17,880 --> 01:03:19,760 TRIVIA CONTEXT, PRIOR TO THIS 1454 01:03:19,760 --> 01:03:23,240 CONGRESS THERE WERE 14 TIMES 1455 01:03:23,240 --> 01:03:24,640 THAT THE SPEAKER'S RACE TOOK 1456 01:03:24,640 --> 01:03:26,080 MORE THAN ONE BALLOT, 13 1457 01:03:26,080 --> 01:03:29,520 OCCURRED BEFORE THE CIVIL WAR. 1458 01:03:29,520 --> 01:03:33,040 THE LAST TIME WAS IN 1923, IT 1459 01:03:33,040 --> 01:03:34,080 TOOK NINE BALLOTS. 1460 01:03:34,080 --> 01:03:39,040 IN THE HOUSE LEADERSHIP WE SAW A 1461 01:03:39,040 --> 01:03:41,760 GENERATIONAL SWITCH WHEN SPEAKER 1462 01:03:41,760 --> 01:03:43,520 PELOSI AND STENY HOYER STEPPED 1463 01:03:43,520 --> 01:03:48,280 DOWN FROM THEIR LEADERSHIP ROLES 1464 01:03:48,280 --> 01:03:51,240 AND HAKEEM JEFFRIES AND 1465 01:03:51,240 --> 01:03:52,960 KATHERINE CLARK OF MASSACHUSETTS 1466 01:03:52,960 --> 01:04:00,160 STEPPED INTO THOSE LEADERSHIP 1467 01:04:00,160 --> 01:04:00,480 ROLES. 1468 01:04:00,480 --> 01:04:04,200 IN THE SENATE, CHUCK SCHUMER 1469 01:04:04,200 --> 01:04:05,400 MAJORITY LEADER, MITCH 1470 01:04:05,400 --> 01:04:06,000 McCONNELL AS MINORITY LEADER, 1471 01:04:06,000 --> 01:04:08,640 THEY HAVE BEEN THE LEADERS FOR 1472 01:04:08,640 --> 01:04:09,360 THE LAST COUPLE CONGRESSES IN 1473 01:04:09,360 --> 01:04:11,280 THE SENATE. 1474 01:04:11,280 --> 01:04:13,440 I MENTIONED THE SLIM MAJORITIES 1475 01:04:13,440 --> 01:04:14,920 IN HOUSE AND SENATE. 1476 01:04:14,920 --> 01:04:18,120 WHAT THIS DOES IS EMPOWERS 1477 01:04:18,120 --> 01:04:20,120 MEMBERS OR SMALL CAUCUSES OF 1478 01:04:20,120 --> 01:04:22,480 MEMBERS TO HAVE A LITTLE BIT 1479 01:04:22,480 --> 01:04:23,560 MORE POWER ON HOW LEGISLATION 1480 01:04:23,560 --> 01:04:23,760 MOVES. 1481 01:04:23,760 --> 01:04:26,040 WE'RE SEEING THAT PLAY OUT IN 1482 01:04:26,040 --> 01:04:26,960 REAL TIME RIGHT NOW. 1483 01:04:26,960 --> 01:04:29,760 WITH THE DEBT LIMIT BILL, 1484 01:04:29,760 --> 01:04:32,160 SPEAKER McCARTHY NEGOTIATED 1485 01:04:32,160 --> 01:04:33,400 WITH THE WHITE HOUSE, A NUMBER 1486 01:04:33,400 --> 01:04:35,360 OF REPUBLICANS WERE NOT HAPPY, 1487 01:04:35,360 --> 01:04:36,880 IT TOOK DEMOCRATIC VOTES TO 1488 01:04:36,880 --> 01:04:38,240 ADVANCE THE DEBT LIMIT BILL AND 1489 01:04:38,240 --> 01:04:40,040 BRING TO A FINAL VOTE. 1490 01:04:40,040 --> 01:04:40,600 IN THE HOUSE. 1491 01:04:40,600 --> 01:04:42,400 IT WAS BECAUSE OF DEMOCRATIC 1492 01:04:42,400 --> 01:04:45,120 VOTES THAT IT PASSED THE HOUSE. 1493 01:04:45,120 --> 01:04:49,520 SO, HIS MEMBERS THAT WERE 1494 01:04:49,520 --> 01:04:50,240 UNHAPPY ARE CURRENTLY REVOLTING, 1495 01:04:50,240 --> 01:04:55,920 THEY ARE SAYING IN THE PRESS, 1496 01:04:55,920 --> 01:04:58,880 AND VOTES THIS WEEK TO MOVE 1497 01:04:58,880 --> 01:05:00,240 LEGISLATION AND THESE ARE 1498 01:05:00,240 --> 01:05:02,080 REPUBLICAN PRIORITIES, HAVE COME 1499 01:05:02,080 --> 01:05:05,960 TO A STANDSTILL, THEY ARE VOTING 1500 01:05:05,960 --> 01:05:06,800 AGAINST ADVANCING LEGISLATION. 1501 01:05:06,800 --> 01:05:08,480 AND LAST NIGHT THEY THOUGHT 1502 01:05:08,480 --> 01:05:10,000 THEY -- THIS HAPPENED TUESDAY 1503 01:05:10,000 --> 01:05:10,280 NIGHT. 1504 01:05:10,280 --> 01:05:11,640 THEY THOUGHT YESTERDAY THEY 1505 01:05:11,640 --> 01:05:13,560 COULD NEGOTIATE A WAY OUT TO 1506 01:05:13,560 --> 01:05:14,720 ADVANCE THESE BILLS. 1507 01:05:14,720 --> 01:05:16,080 BUT LAST NIGHT IT BROKE DOWN AND 1508 01:05:16,080 --> 01:05:17,480 THERE WILL BE NO MORE VOTES IN 1509 01:05:17,480 --> 01:05:19,280 THE HOUSE UNTIL NEXT WEEK. 1510 01:05:19,280 --> 01:05:21,680 NEXT SLIDE PLEASE. 1511 01:05:21,680 --> 01:05:23,960 AND NOW TO OUR COMMITTEES, WE 1512 01:05:23,960 --> 01:05:27,720 HAVE NEW LEADERSHIP HERE AS 1513 01:05:27,720 --> 01:05:27,920 WELL. 1514 01:05:27,920 --> 01:05:29,760 SENATOR BERNIE SANDERS OF 1515 01:05:29,760 --> 01:05:33,080 VERMONT IS OUR NEW CHAIR OF THE 1516 01:05:33,080 --> 01:05:35,080 HEALTH EQUITY, OUR AUTHORIZING 1517 01:05:35,080 --> 01:05:35,480 COMMITTEE. 1518 01:05:35,480 --> 01:05:38,720 RANKING MEMBER BILL CASSIDY OF 1519 01:05:38,720 --> 01:05:40,520 LOUISIANA IS OUR NEW RANKING 1520 01:05:40,520 --> 01:05:41,200 MEMBER. 1521 01:05:41,200 --> 01:05:42,720 BOTH HAVE BEEN LONGTIME MEMBERS 1522 01:05:42,720 --> 01:05:48,400 OF THE HEALTH COMMITTEE. 1523 01:05:48,400 --> 01:05:51,480 AND BERNIE SANDERS CAME TO NIH 1524 01:05:51,480 --> 01:05:53,680 FIRST WEEK AS CHAIR JANUARY 6, 1525 01:05:53,680 --> 01:05:56,600 GAVE US TWO DAYS' NOTICE BUT I 1526 01:05:56,600 --> 01:05:58,360 THINK IT WENT WELL, AS MOST OF 1527 01:05:58,360 --> 01:06:00,880 YOU KNOW HIS BIG PRIORITY IS 1528 01:06:00,880 --> 01:06:01,760 DRUG PRICING. 1529 01:06:01,760 --> 01:06:04,760 HE'S ALSO INTERESTED IN AGING 1530 01:06:04,760 --> 01:06:07,440 RESEARCH AND DISABILITY 1531 01:06:07,440 --> 01:06:07,960 RESEARCH. 1532 01:06:07,960 --> 01:06:09,440 SENATOR CASSIDY'S INTERESTED IN 1533 01:06:09,440 --> 01:06:11,840 MENTAL HEALTH AND HE HAS BEEN 1534 01:06:11,840 --> 01:06:15,760 VERY VOCAL ABOUT HOW BURDEN OF 1535 01:06:15,760 --> 01:06:18,600 DISEASE SHOULD HAVE SOME IMPACT 1536 01:06:18,600 --> 01:06:20,840 ON OUR FUNDING DECISIONS. 1537 01:06:20,840 --> 01:06:24,320 NEXT SLIDE PLEASE. 1538 01:06:24,320 --> 01:06:28,080 HOUSE SIDE WE HAVE BECAUSE THE 1539 01:06:28,080 --> 01:06:29,240 HOUSE, REPUBLICANS TOOK 1540 01:06:29,240 --> 01:06:30,360 MAJORITY, CATHY MCMORRIS ROGERS 1541 01:06:30,360 --> 01:06:33,280 WHO WAS RANKING MEMBER IN LAST 1542 01:06:33,280 --> 01:06:34,960 CONGRESS BECAME OUR FULL 1543 01:06:34,960 --> 01:06:37,360 COMMITTEE CHAIR. 1544 01:06:37,360 --> 01:06:41,560 AND FRANK PALLONE, LONGTIME 1545 01:06:41,560 --> 01:06:44,080 CHAIR, BECAME RANKING MEMBER. 1546 01:06:44,080 --> 01:06:46,120 CHAIR RODGERS PRIORITIES ARE 1547 01:06:46,120 --> 01:06:55,840 DOWN SYNDROME, NIH REFORM, AND 1548 01:06:55,840 --> 01:06:58,400 OVERSIGHT OF SHOVED RESPONSE. 1549 01:06:58,400 --> 01:07:03,440 PALLONE HAS BEEN INTERESTED IN 1550 01:07:03,440 --> 01:07:05,720 SUDDEN INFANT DEATH SYNDROME, 1551 01:07:05,720 --> 01:07:07,920 CLINICAL TRIALS REPORTING, 21ST 1552 01:07:07,920 --> 01:07:08,720 CENTURY CURES. 1553 01:07:08,720 --> 01:07:09,960 APPROPRIATIONS, FIRST I WANT TO 1554 01:07:09,960 --> 01:07:11,960 MENTION FOR THE FIRST TIME THE 1555 01:07:11,960 --> 01:07:13,360 FULL COMMITTEE CHAIRS IN BOTH 1556 01:07:13,360 --> 01:07:17,200 SENATE AND HOUSE ARE WOMEN. 1557 01:07:17,200 --> 01:07:18,640 LONGTIME SUBCOMMITTEE CHAIR 1558 01:07:18,640 --> 01:07:20,280 PATTY MURRAY OF WASHINGTON WAS 1559 01:07:20,280 --> 01:07:23,480 ALSO OUR HEALTH COMMITTEE CHAIR 1560 01:07:23,480 --> 01:07:25,680 FOR MANY YEARS, NOW FULL CHAIR, 1561 01:07:25,680 --> 01:07:27,440 CHAIR OF FULL COMMITTEE OF 1562 01:07:27,440 --> 01:07:28,720 APPROACH RIGSES, AND SUSAN 1563 01:07:28,720 --> 01:07:31,040 COLLINS OF MAINE IS RANKING 1564 01:07:31,040 --> 01:07:34,200 MEMBER. 1565 01:07:34,200 --> 01:07:35,560 IN THE HOUSE SIDE, 1566 01:07:35,560 --> 01:07:37,440 REPRESENTATIVE KAY GRANGER IS 1567 01:07:37,440 --> 01:07:41,560 THE NEW CHAIR, AND RANKING 1568 01:07:41,560 --> 01:07:46,600 MEMBER ROSE DELAURO, EXCITED TO 1569 01:07:46,600 --> 01:07:48,480 SEE FOUR WOMEN IN THOSE POWERFUL 1570 01:07:48,480 --> 01:07:48,840 ROLES. 1571 01:07:48,840 --> 01:07:50,400 BUT FOR OUR SUBCOMMITTEE WHO WE 1572 01:07:50,400 --> 01:07:56,120 WORK WITH MORE CLOSELY WE HAVE 1573 01:07:56,120 --> 01:08:00,040 TAMMY BALDWIN, WISCONSIN, NEW 1574 01:08:00,040 --> 01:08:01,960 SUBCOMMITTEE CHAIR, SHE AND 1575 01:08:01,960 --> 01:08:06,080 SHELLY MOORE CAPITO, RANKING 1576 01:08:06,080 --> 01:08:07,160 MEMBER BOTH ON SUBCOMMITTEE FOR 1577 01:08:07,160 --> 01:08:10,480 A LONG TIME AND ARE MEMBERS WHO 1578 01:08:10,480 --> 01:08:14,360 ARE VERY INTERESTED IN NIH 1579 01:08:14,360 --> 01:08:14,680 RESEARCH. 1580 01:08:14,680 --> 01:08:16,320 NEXT SLIDE PLEASE. 1581 01:08:16,320 --> 01:08:20,280 NOW ON THE HOUSE SIDE, ROBERT 1582 01:08:20,280 --> 01:08:23,360 ADERHOLT OF ALABAMA IS OUR NEW 1583 01:08:23,360 --> 01:08:25,760 SUBCOMMITTEE CHAIR, TOM COLE WHO 1584 01:08:25,760 --> 01:08:31,160 HAD BEEN OUR REPUBLICAN LEADER, 1585 01:08:31,160 --> 01:08:31,880 APPROPRIATIONS SUBCOMMITTEE, 1586 01:08:31,880 --> 01:08:33,600 MOVED OFF TO A DIFFERENT 1587 01:08:33,600 --> 01:08:33,920 SUBCOMMITTEE. 1588 01:08:33,920 --> 01:08:38,240 SO WE WERE SORRY TO SEE HIM GO 1589 01:08:38,240 --> 01:08:41,600 BUT GETTING TO KNOW CHAIR 1590 01:08:41,600 --> 01:08:43,720 ADERHOLT AND ROSA DELAURO, WHO 1591 01:08:43,720 --> 01:08:47,200 HAS BEEN CHAIR OR RANKING MEMBER 1592 01:08:47,200 --> 01:08:48,520 IS NOW THE RANKING MEMBER, 1593 01:08:48,520 --> 01:08:50,960 WORKING WITH HER FOR A LONG 1594 01:08:50,960 --> 01:08:51,480 TIME. 1595 01:08:51,480 --> 01:08:54,320 NEXT SLIDE PLEASE. 1596 01:08:54,320 --> 01:08:56,120 SO, SNAPSHOT OF ACTIVITIES, 1597 01:08:56,120 --> 01:08:59,440 THREE HEARINGS, IN ADDITION TO 1598 01:08:59,440 --> 01:09:02,400 TWO APPROPRIATIONS COMMITTEE 1599 01:09:02,400 --> 01:09:05,560 HEARINGS, WE HAD ONE COMMERCE 1600 01:09:05,560 --> 01:09:08,120 COMMITTEE OVERSIGHT HEARING, DR. 1601 01:09:08,120 --> 01:09:13,360 TABAK APPEARED ALONG WITH FDA 1602 01:09:13,360 --> 01:09:16,400 DIRECTOR AND CDC DIRECTOR 1603 01:09:16,400 --> 01:09:17,360 ROCHELLE WALENSKY, TWO 1604 01:09:17,360 --> 01:09:17,960 APPROPRIATIONS COMMITTEE 1605 01:09:17,960 --> 01:09:19,040 HEARINGS THE HOUSE HEARING WAS 1606 01:09:19,040 --> 01:09:22,280 DIFFERENT THIS YEAR. 1607 01:09:22,280 --> 01:09:23,560 WE NORMALLY HAVE OUR HEARINGS 1608 01:09:23,560 --> 01:09:27,920 WHERE THE NIH DIRECTOR GOES UP 1609 01:09:27,920 --> 01:09:29,600 WITH FOUR OR FIVE INSTITUTE 1610 01:09:29,600 --> 01:09:32,120 DIRECTORS, ON THE HOUSE SIDE IT 1611 01:09:32,120 --> 01:09:34,880 WAS A COMBINATION, BUDGET 1612 01:09:34,880 --> 01:09:36,640 HEARING AND COVID OVERSIGHT 1613 01:09:36,640 --> 01:09:36,880 HEARINGS. 1614 01:09:36,880 --> 01:09:39,080 DR. TABAK WAS A WITNESS ALONG 1615 01:09:39,080 --> 01:09:46,320 WITH THE DIRECTOR OF CDC, AND 1616 01:09:46,320 --> 01:09:50,600 ASPR DIRECTOR. 1617 01:09:50,600 --> 01:09:54,640 SENATE SIDE, NORMAL HEARING, DR. 1618 01:09:54,640 --> 01:09:57,440 TABAK ACCOMPANIED BY DR. 1619 01:09:57,440 --> 01:09:59,400 GORDONEN, RICHARD HODES, ACTING 1620 01:09:59,400 --> 01:10:04,040 DEPUTY DIRECTOR FOR NCI DOUG 1621 01:10:04,040 --> 01:10:08,080 LOWY, AND NIDA DIRECTOR NORA 1622 01:10:08,080 --> 01:10:08,720 VOLKOW. 1623 01:10:08,720 --> 01:10:10,960 WE HOSTED FOUR VISITS SO FAR, 1624 01:10:10,960 --> 01:10:12,160 MORE COMING UP. 1625 01:10:12,160 --> 01:10:14,520 CONGRESS IS BACK IN BUSINESS. 1626 01:10:14,520 --> 01:10:16,040 NIH IS OPEN. 1627 01:10:16,040 --> 01:10:19,720 WE'RE VERY EXCITED. 1628 01:10:19,720 --> 01:10:25,440 WE'VE HAD FIVE ROUNDTABLES, 79 1629 01:10:25,440 --> 01:10:28,160 BRIEFINGS, 55 REQUESTS FOR 1630 01:10:28,160 --> 01:10:28,760 INFORMATION. 1631 01:10:28,760 --> 01:10:30,120 APPROPRIATIONS, I MENTIONED THAT 1632 01:10:30,120 --> 01:10:31,000 WE HAD TWO APPROPRIATIONS 1633 01:10:31,000 --> 01:10:33,160 HEARINGS, THESE ARE THE MAJORITY 1634 01:10:33,160 --> 01:10:36,600 OF THE THEMES THAT WE HEARD 1635 01:10:36,600 --> 01:10:37,640 MEMBERS ASK ABOUT. 1636 01:10:37,640 --> 01:10:38,800 EARLY-STAGE INVESTIGATORS, 1637 01:10:38,800 --> 01:10:40,000 NUMBER ONE. 1638 01:10:40,000 --> 01:10:41,760 ALZHEIMER'S DISEASE, YOUTH 1639 01:10:41,760 --> 01:10:45,040 MENTAL HEALTH, CHILDHOOD CANCER, 1640 01:10:45,040 --> 01:10:47,520 FENTANYL AND OPIOIDS, ARPA-H 1641 01:10:47,520 --> 01:10:48,440 FUNDING, CHILDREN AND 1642 01:10:48,440 --> 01:10:51,840 TECHNOLOGIES, AND COVID-19 1643 01:10:51,840 --> 01:10:52,160 RESPONSE. 1644 01:10:52,160 --> 01:10:53,880 THOSE WERE THE THINGS WE'VE BEEN 1645 01:10:53,880 --> 01:10:57,640 HEARING FROM CONGRESS ABOUT 1646 01:10:57,640 --> 01:10:58,920 WHICH IS NO SURPRISE. 1647 01:10:58,920 --> 01:11:01,000 OKAY, NEXT SLIDE. 1648 01:11:01,000 --> 01:11:03,360 LOOKING FORWARD, NOW THAT THE 1649 01:11:03,360 --> 01:11:05,160 DEBT LIMIT BILL GOT PASSED, 1650 01:11:05,160 --> 01:11:06,880 CONGRESS CAN GET TO WORK ON 1651 01:11:06,880 --> 01:11:08,480 OTHER THINGS, THAT WAS THE FOCUS 1652 01:11:08,480 --> 01:11:10,880 AND THERE WASN'T A LOT GOING ON. 1653 01:11:10,880 --> 01:11:14,200 SOME OF THE MUST HAVE 1654 01:11:14,200 --> 01:11:15,080 LEGISLATION, THESE ARE A LOT OF 1655 01:11:15,080 --> 01:11:19,400 BILLS EVEN IF THEY DON'T INVOLVE 1656 01:11:19,400 --> 01:11:19,680 NIH. 1657 01:11:19,680 --> 01:11:22,680 AND NIH-RELATED PROVISIONS COULD 1658 01:11:22,680 --> 01:11:26,280 GET ADDED. 1659 01:11:26,280 --> 01:11:29,520 THE FDA USER FEE PROGRAMS, THE 1660 01:11:29,520 --> 01:11:31,960 PANDEMIC AND ALL-HAZARDS 1661 01:11:31,960 --> 01:11:32,920 PREPAREDNESS ACT WHICH EXPIRES 1662 01:11:32,920 --> 01:11:36,800 END OF SEPTEMBER. 1663 01:11:36,800 --> 01:11:37,840 THEN APPROPRIATIONS BILLS, IF 1664 01:11:37,840 --> 01:11:39,920 THOSE DON'T PASS THEN THERE'S 1665 01:11:39,920 --> 01:11:41,520 THAT SEQUESTRATION SO I THINK 1666 01:11:41,520 --> 01:11:42,920 CONGRESS WILL BE MOTIVATED TO 1667 01:11:42,920 --> 01:11:44,480 PASS THE INDIVIDUAL BILLS THIS 1668 01:11:44,480 --> 01:11:47,400 YEAR OR GET AN OMNIBUS. 1669 01:11:47,400 --> 01:11:51,880 AND THEN THE NDAA, THE DEFENSE 1670 01:11:51,880 --> 01:11:58,040 AUTHORIZATION BILL, ALWAYS 1671 01:11:58,040 --> 01:11:59,280 GOVERNMENT-WIDE PROVISIONS WE 1672 01:11:59,280 --> 01:11:59,480 SEE. 1673 01:11:59,480 --> 01:12:01,720 WE COULD EXPECT ANOTHER 1674 01:12:01,720 --> 01:12:12,240 OVERSIGHT HEARING AT ANY TIME. 1675 01:12:17,000 --> 01:12:17,240 THANK YOU. 1676 01:12:17,240 --> 01:12:18,840 >> THANKS FOR THE REPORTS. 1677 01:12:18,840 --> 01:12:21,760 WITH APOLOGIES ON ME, I TOOK TOO 1678 01:12:21,760 --> 01:12:24,520 LONG, WE'VE KIND OF EATEN INTO 1679 01:12:24,520 --> 01:12:25,680 YOUR BREAK TIME. 1680 01:12:25,680 --> 01:12:30,440 I DO WANT TO OPEN UP FOR ANY 1681 01:12:30,440 --> 01:12:34,200 QUESTIONS THAT THE COUNCIL MAY 1682 01:12:34,200 --> 01:12:34,800 HAVE. 1683 01:12:34,800 --> 01:12:36,120 AND OBVIOUSLY, IF YOU NEED TO 1684 01:12:36,120 --> 01:12:38,120 TAKE A QUICK BREAK, PLEASE DO 1685 01:12:38,120 --> 01:12:40,680 SO. 1686 01:12:40,680 --> 01:12:42,400 AND COME RIGHT BACK. 1687 01:12:42,400 --> 01:12:45,320 KNOW WE BUILT IN TIME FOR 1688 01:12:45,320 --> 01:12:47,160 DISCUSSION DURING THE NEXT 1689 01:12:47,160 --> 01:12:48,560 PRESENTATION SO WE MAY STEAL A 1690 01:12:48,560 --> 01:12:49,800 LITTLE OF THAT TIME DEPENDING 1691 01:12:49,800 --> 01:12:54,080 UPON HOW MANY QUESTIONS THERE 1692 01:12:54,080 --> 01:12:54,600 ARE. 1693 01:12:54,600 --> 01:12:58,160 IF WE COULD HAVE THE FULL SCREEN 1694 01:12:58,160 --> 01:13:03,280 SO WE CAN SEE ALL THE 1695 01:13:03,280 --> 01:13:05,360 PARTICIPANTS PLEASE. 1696 01:13:05,360 --> 01:13:07,160 AND ACKNOWLEDGE THOSE WHO ARE 1697 01:13:07,160 --> 01:13:07,800 RAISING THEIR HAND FOR 1698 01:13:07,800 --> 01:13:15,720 QUESTIONING. 1699 01:13:15,720 --> 01:13:17,560 GREAT, THANK YOU. 1700 01:13:17,560 --> 01:13:21,520 SHELLEY, WHY DON'T YOU LEAD OFF. 1701 01:13:21,520 --> 01:13:23,760 >> THANK YOU, LARRY. 1702 01:13:23,760 --> 01:13:26,000 I WANT TO THANK YOU FOR THE 1703 01:13:26,000 --> 01:13:30,680 OPPORTUNITY TO SERVE ON THE 1704 01:13:30,680 --> 01:13:32,760 COMMITTEE, THANKING YOU AND DR. 1705 01:13:32,760 --> 01:13:34,560 COLLINS FOR THAT, IT'S BEEN A 1706 01:13:34,560 --> 01:13:35,000 PLEASURE. 1707 01:13:35,000 --> 01:13:37,240 JUST WANTED TO SAY THAT BEFORE I 1708 01:13:37,240 --> 01:13:38,120 GO ON. 1709 01:13:38,120 --> 01:13:39,400 I DID HAVE A QUESTION. 1710 01:13:39,400 --> 01:13:40,880 I DON'T KNOW HOW MUCH IN THE 1711 01:13:40,880 --> 01:13:43,080 WEEDS WE WANT TO GET HERE, BUT I 1712 01:13:43,080 --> 01:13:46,440 DID HAVE A QUESTION ABOUT THE 1713 01:13:46,440 --> 01:13:48,560 SIMPLIFICATION OF REVIEW 1714 01:13:48,560 --> 01:13:52,160 CRITERIA THAT YOU DISCUSSED. 1715 01:13:52,160 --> 01:13:54,520 AND I'M PARTICULARLY -- IT'S 1716 01:13:54,520 --> 01:13:56,440 SOMETHING -- WE HAD A 1717 01:13:56,440 --> 01:13:59,600 PRESENTATION LAST TIME, ON THE 1718 01:13:59,600 --> 01:14:02,760 THIRD FACTOR, INSTITUTION AND 1719 01:14:02,760 --> 01:14:03,800 INVESTIGATOR, THE DECISION NOT 1720 01:14:03,800 --> 01:14:05,600 TO SCORE. 1721 01:14:05,600 --> 01:14:08,600 I JUST WONDERED, YOU MENTIONED 1722 01:14:08,600 --> 01:14:10,840 THAT THERE WAS A MINORITY 1723 01:14:10,840 --> 01:14:12,840 REACTION IN THE RFI, I WONDERED 1724 01:14:12,840 --> 01:14:15,760 IF THERE WAS MORE DETAIL ABOUT 1725 01:14:15,760 --> 01:14:18,920 TAKING THOSE APART BECAUSE I 1726 01:14:18,920 --> 01:14:21,520 THINK IT'S QUITE DIFFERENT, 1727 01:14:21,520 --> 01:14:22,840 INSTITUTION, AND INVESTIGATOR, 1728 01:14:22,840 --> 01:14:25,040 ABOUT WHETHER THEY SHOULD BE 1729 01:14:25,040 --> 01:14:28,320 SCORED AND JUST TO FINISH MY 1730 01:14:28,320 --> 01:14:32,240 ENTIRE QUESTION, WONDERING IF 1731 01:14:32,240 --> 01:14:33,800 THERE IS ANY FURTHER DEEP 1732 01:14:33,800 --> 01:14:38,000 THINKING ABOUT THE SCORING OF 1733 01:14:38,000 --> 01:14:41,520 INVESTIGATOR, FOR EXAMPLE, MAYBE 1734 01:14:41,520 --> 01:14:44,920 ESI NOT TO SCORE BUT PAST THAT 1735 01:14:44,920 --> 01:14:47,080 TIME TO SCORE, YOU KNOW, JUST 1736 01:14:47,080 --> 01:14:48,880 WONDERING IF THERE'S ANY DEEPER 1737 01:14:48,880 --> 01:14:50,240 THOUGHT ABOUT THIS BECAUSE I 1738 01:14:50,240 --> 01:14:59,360 DON'T THINK IT'S A TRIVIAL 1739 01:14:59,360 --> 01:14:59,760 DECISION. 1740 01:14:59,760 --> 01:15:00,760 >> THANKS FOR THE QUESTIONS. 1741 01:15:00,760 --> 01:15:09,720 THIS IS SOMETHING VERY IMPORTANT 1742 01:15:09,720 --> 01:15:12,440 TO THE AGENCY. 1743 01:15:12,440 --> 01:15:14,840 I WONDER, MIKE LAUER, IF YOU 1744 01:15:14,840 --> 01:15:17,480 WANT TO ADDRESS THE QUESTIONS, 1745 01:15:17,480 --> 01:15:18,600 YOU'RE CLOSER TO SPECIFICS THAN 1746 01:15:18,600 --> 01:15:18,840 I AM. 1747 01:15:18,840 --> 01:15:24,320 >> WE PUT OUT A BLOG WHICH I 1748 01:15:24,320 --> 01:15:27,680 THINK LARRY ALLUDED TO, ON 1749 01:15:27,680 --> 01:15:31,160 RESULTS OF RFI, MAJORITY OF 1750 01:15:31,160 --> 01:15:32,640 RESPONDENTS LARGELY AGREED WITH 1751 01:15:32,640 --> 01:15:35,320 THE PROPOSAL AS IT WAS THERE. 1752 01:15:35,320 --> 01:15:38,720 BUT THERE WERE PEOPLE WHO DID 1753 01:15:38,720 --> 01:15:45,400 EXPRESS SOMETHING SIMILAR TO 1754 01:15:45,400 --> 01:15:47,240 WHAT YOU'RE SUGGESTING, SHELLEY, 1755 01:15:47,240 --> 01:15:49,480 THAT ENVIRONMENT AND 1756 01:15:49,480 --> 01:15:50,640 INVESTIGATORS SHOULD BE SCORED 1757 01:15:50,640 --> 01:15:53,400 AS OPPOSED TO THE WAY ORIGINALLY 1758 01:15:53,400 --> 01:15:53,640 SHOWN. 1759 01:15:53,640 --> 01:15:54,680 THIS IS SOMETHING WE'RE 1760 01:15:54,680 --> 01:15:55,480 CURRENTLY WORKING OUR WAY 1761 01:15:55,480 --> 01:15:55,720 THROUGH. 1762 01:15:55,720 --> 01:16:01,960 >> THANK YOU VERY MUCH. 1763 01:16:01,960 --> 01:16:02,960 >> OTHER QUESTIONS FROM MEMBERS 1764 01:16:02,960 --> 01:16:05,880 OF THE COUNCIL PLEASE? 1765 01:16:05,880 --> 01:16:07,880 1766 01:16:07,880 --> 01:16:16,160 I FEAR I'VE ANESTHETIZED 1767 01:16:16,160 --> 01:16:16,440 EVERYBODY. 1768 01:16:16,440 --> 01:16:17,960 WELL, OKAY. 1769 01:16:17,960 --> 01:16:20,480 I'M GOING TO TAKE THE VOTE OF 1770 01:16:20,480 --> 01:16:23,320 NON-QUESTION TO MEAN THAT WE 1771 01:16:23,320 --> 01:16:25,120 SHOULD MOVE ON NOW. 1772 01:16:25,120 --> 01:16:29,720 WE ARE ONE MINUTE INTO THE NEXT 1773 01:16:29,720 --> 01:16:32,000 SESSION, SO AGAIN WITH MY 1774 01:16:32,000 --> 01:16:33,720 APOLOGIES I'M GOING TO MOVE 1775 01:16:33,720 --> 01:16:36,080 FORWARD BECAUSE WE WANT TO KEEP 1776 01:16:36,080 --> 01:16:37,200 ON SCHEDULE. 1777 01:16:37,200 --> 01:16:39,280 OBVIOUSLY PLEASE STEP AWAY IF 1778 01:16:39,280 --> 01:16:40,200 YOU NEED TO. 1779 01:16:40,200 --> 01:16:45,480 MIKE HAS PUT INTO THE CHAT BOX 1780 01:16:45,480 --> 01:16:47,920 THE LINK TO HIS BLOG. 1781 01:16:47,920 --> 01:16:50,720 AND THOSE WHO WANT ADDITIONAL 1782 01:16:50,720 --> 01:16:54,400 DETAIL, PLEASE INTERROGATE THAT 1783 01:16:54,400 --> 01:16:55,560 SITE FOR THAT INFORMATION. 1784 01:16:55,560 --> 01:17:00,000 LET ME TURN THIS NOW TO TARA, 1785 01:17:00,000 --> 01:17:02,200 WHO WILL LEAD US THROUGH THE 1786 01:17:02,200 --> 01:17:05,560 REST OF THE AGENDA. 1787 01:17:05,560 --> 01:17:07,600 PLEASE TAKE IT AWAY. 1788 01:17:07,600 --> 01:17:10,240 >> THANKS, LARRY. 1789 01:17:10,240 --> 01:17:12,120 I'LL TAKE A MOMENT BECAUSE WE'RE 1790 01:17:12,120 --> 01:17:13,440 OVER TIME. 1791 01:17:13,440 --> 01:17:17,600 I WANT TO INTRODUCE DR. LYRIC 1792 01:17:17,600 --> 01:17:21,000 JORGENSON, OUR ACTING ASSOCIATE 1793 01:17:21,000 --> 01:17:22,760 DIRECTOR FOR SCIENCE POLICY, TO 1794 01:17:22,760 --> 01:17:24,880 GIVE US AN OVERVIEW OF SOME OF 1795 01:17:24,880 --> 01:17:26,240 THE ACTIVITIES THAT SHE'S BEEN 1796 01:17:26,240 --> 01:17:28,120 WORKING ON, HER TEAM HAS BEEN 1797 01:17:28,120 --> 01:17:30,880 WORKING ON, OTHERS ACROSS NIH ON 1798 01:17:30,880 --> 01:17:32,120 THE NIH PUBLIC ACCESS PLAN 1799 01:17:32,120 --> 01:17:33,160 COORDINATING WITH THE WHITE 1800 01:17:33,160 --> 01:17:35,280 HOUSE AND OTHERS. 1801 01:17:35,280 --> 01:17:36,520 WITH THAT, LYRIC, I'LL TURN IT 1802 01:17:36,520 --> 01:17:39,320 OVER TO YOU. 1803 01:17:39,320 --> 01:17:41,240 >> THANKS, TARA. 1804 01:17:41,240 --> 01:17:42,760 I'LL SHARE MY SCREEN WITH YOU 1805 01:17:42,760 --> 01:17:44,680 ALL TO GO OVER TODAY'S 1806 01:17:44,680 --> 01:17:45,000 PRESENTATION. 1807 01:17:45,000 --> 01:17:47,080 CAN YOU CONFIRM YOU CAN SEE IT? 1808 01:17:47,080 --> 01:17:48,920 >> YEP, WE CAN SEE AND HEAR 1809 01:17:48,920 --> 01:17:49,080 YOU. 1810 01:17:49,080 --> 01:17:50,080 >> PERFECT. 1811 01:17:50,080 --> 01:17:50,560 THANKS. 1812 01:17:50,560 --> 01:17:51,560 GREETINGS TO EVERYONE. 1813 01:17:51,560 --> 01:17:53,280 GOOD MORNING. 1814 01:17:53,280 --> 01:17:57,280 FOR THOSE NEW TO ACD, I'M LYRIC 1815 01:17:57,280 --> 01:17:57,560 JORGENSON 1816 01:17:57,560 --> 01:17:58,680 OVERSEE NIH POLICY EFFORTS. 1817 01:17:58,680 --> 01:18:01,400 I LAST MET WITH YOU ALL IN 1818 01:18:01,400 --> 01:18:03,320 DECEMBER WITH MY COLLEAGUE DR. 1819 01:18:03,320 --> 01:18:04,560 SUSAN GREGURICK, DR. LAUER AND 1820 01:18:04,560 --> 01:18:07,200 DR. BRENNAN TO PROVIDE YOU WITH 1821 01:18:07,200 --> 01:18:10,040 AN INTEGRATED VISION FOR NIH 1822 01:18:10,040 --> 01:18:10,920 OPEN DATA ECOSYSTEM. 1823 01:18:10,920 --> 01:18:11,920 TODAY I'M PLEASED TO GIVE AN 1824 01:18:11,920 --> 01:18:14,400 UPDATE ON ONE OF THE SIGNIFICANT 1825 01:18:14,400 --> 01:18:17,600 EFFORTS RELATED TO THIS 1826 01:18:17,600 --> 01:18:18,960 DECISION, SPECIFICALLY REGARDING 1827 01:18:18,960 --> 01:18:20,480 INCREASING EQUITABLE ACCESS TO 1828 01:18:20,480 --> 01:18:25,840 RESEARCH RESULTS. 1829 01:18:25,840 --> 01:18:26,800 IN PARTICULAR, RESEARCH 1830 01:18:26,800 --> 01:18:27,160 PUBLICATION. 1831 01:18:27,160 --> 01:18:30,160 THREE GOALS, FIRST TO DISCUSS 1832 01:18:30,160 --> 01:18:32,920 IMPETUS FOR PROMOTING ACCESS TO 1833 01:18:32,920 --> 01:18:34,640 RESEARCH RESULTS, ACD MEMBERS 1834 01:18:34,640 --> 01:18:37,040 ARE ON THE FRONT LINE THERE'S 1835 01:18:37,040 --> 01:18:39,040 VALUE IN REITERATING IMPORTANT 1836 01:18:39,040 --> 01:18:41,040 DRIVERS UNDERLYING NIH DECISION 1837 01:18:41,040 --> 01:18:41,680 MAKING HERE. 1838 01:18:41,680 --> 01:18:44,520 SECOND, WOULD LIKE TO DISCUSS 1839 01:18:44,520 --> 01:18:45,920 WITH ACD NIH PUBLIC ACCESS PLAN, 1840 01:18:45,920 --> 01:18:48,320 WHERE WE ARE ON THE TIMELINE FOR 1841 01:18:48,320 --> 01:18:51,080 UPDATING OUR PUBLIC ACCESS 1842 01:18:51,080 --> 01:18:51,560 POLICY. 1843 01:18:51,560 --> 01:18:52,680 FINALLY I'M HOPING THIS 1844 01:18:52,680 --> 01:18:57,000 PRESENTATION STIMULATES A 1845 01:18:57,000 --> 01:18:57,600 DISCUSSION AMONGST ACD, LEADERS 1846 01:18:57,600 --> 01:19:00,400 IN THE SETTINGS THAT CAN HELP US 1847 01:19:00,400 --> 01:19:01,200 THINK THROUGH THE INCENTIVES 1848 01:19:01,200 --> 01:19:02,600 WE'RE GOING TO NEED TO PUT IN 1849 01:19:02,600 --> 01:19:04,120 PLACE TO ESTABLISH THE ACTUAL 1850 01:19:04,120 --> 01:19:07,640 VISION OF OPEN DATA ECOSYSTEM. 1851 01:19:07,640 --> 01:19:10,800 I WANT TO REMIND THOSE TUNING IN 1852 01:19:10,800 --> 01:19:12,280 WHY ARE WE DISCUSSING THIS 1853 01:19:12,280 --> 01:19:15,280 IMPORTANT SET OF ISSUES. 1854 01:19:15,280 --> 01:19:16,520 FIRST, THROUGHOUT THE GOVERNMENT 1855 01:19:16,520 --> 01:19:18,160 THERE ARE NUMEROUS EFFORTS 1856 01:19:18,160 --> 01:19:22,200 UNDERWAY WITHIN AND ACROSS 1857 01:19:22,200 --> 01:19:23,120 AGENCIES, ACROSS RESEARCH 1858 01:19:23,120 --> 01:19:25,160 FUNDERS TO PROMOTE ACCESS TO 1859 01:19:25,160 --> 01:19:29,080 BOTH RESEARCH DATA AND RESEARCH 1860 01:19:29,080 --> 01:19:29,400 PUBLICATIONS. 1861 01:19:29,400 --> 01:19:31,360 NIH HAS BEEN A LEADER FOR SOME 1862 01:19:31,360 --> 01:19:31,560 TIME. 1863 01:19:31,560 --> 01:19:35,120 WE DISCUSSED SOME OF THIS IN 1864 01:19:35,120 --> 01:19:35,400 DECEMBER. 1865 01:19:35,400 --> 01:19:37,640 NIH HAS SUPPORTED ACCESS TO 1866 01:19:37,640 --> 01:19:38,440 RESEARCH DATA AND PUBLICATIONS, 1867 01:19:38,440 --> 01:19:39,600 WE ALL KNOW THIS. 1868 01:19:39,600 --> 01:19:41,960 IT'S IMPORTANT FOR ADVANCING NEW 1869 01:19:41,960 --> 01:19:43,440 SCIENTIFIC DISCOVERIES AND 1870 01:19:43,440 --> 01:19:44,960 STIMULATING NEW TYPES OF 1871 01:19:44,960 --> 01:19:46,160 INQUIRIES, IMPORTANT FOR RAPID 1872 01:19:46,160 --> 01:19:47,280 DISSEMINATION WHICH ALLOWS FOR 1873 01:19:47,280 --> 01:19:51,320 NEW KNOWLEDGE TO REACH HEALTH 1874 01:19:51,320 --> 01:19:53,120 PRACTICE FASTER AND EQUITABLY, 1875 01:19:53,120 --> 01:19:54,840 IMPORTANT FOR BUILDING 1876 01:19:54,840 --> 01:19:56,320 TRUSTWORTHINESS IN THE 1877 01:19:56,320 --> 01:19:57,480 SCIENTIFIC ENTERPRISE ITSELF. 1878 01:19:57,480 --> 01:20:01,200 THESE BENEFITS CAN ONLY BE 1879 01:20:01,200 --> 01:20:02,960 REALIZED IF SCIENTISTS TO DO THE 1880 01:20:02,960 --> 01:20:05,320 THE WORK TO MAKE THIS A REALITY. 1881 01:20:05,320 --> 01:20:06,920 CHANGE IN PRACTICE AFFECTS 1882 01:20:06,920 --> 01:20:10,680 RESEARCHERS, WE NEED TO BE 1883 01:20:10,680 --> 01:20:12,840 THOUGHTFUL ABOUT MAKING CHANGES 1884 01:20:12,840 --> 01:20:13,360 MEANINGFUL. 1885 01:20:13,360 --> 01:20:19,080 THIS IS AN OLDER SLIDE, BUT TWO 1886 01:20:19,080 --> 01:20:20,680 POINTS IN DECEMBER FOR CONTEXT. 1887 01:20:20,680 --> 01:20:22,960 PERHAPS MOST TIMELY EXAMPLE OF 1888 01:20:22,960 --> 01:20:24,360 WHY NIH AND THE SCIENTIFIC 1889 01:20:24,360 --> 01:20:27,280 COMMUNITY AT LARGE IS WORKING 1890 01:20:27,280 --> 01:20:28,240 TOWARDS OPEN DATA ECOSYSTEM HAS 1891 01:20:28,240 --> 01:20:30,760 BEEN WHAT WE'VE BEEN ABLE TO 1892 01:20:30,760 --> 01:20:35,320 ACHIEVE IN COMBATING OF THE THE 1893 01:20:35,320 --> 01:20:35,960 COVID PANDEMIC. 1894 01:20:35,960 --> 01:20:42,600 IT TOOK 40 YEARS TO GET A POLIO 1895 01:20:42,600 --> 01:20:43,280 VACCINE, 11 MONTHS FROM 1896 01:20:43,280 --> 01:20:46,440 ISOLATION OF THE SEQUENCE TO 1897 01:20:46,440 --> 01:20:47,680 FORMER NIH GETTING VACCINATED, 1898 01:20:47,680 --> 01:20:48,080 11 MONTHS. 1899 01:20:48,080 --> 01:20:49,880 ON THE RIGHT IT SHOWS HOW 1900 01:20:49,880 --> 01:20:51,320 IMPORTANT ACCESS TO RESEARCH 1901 01:20:51,320 --> 01:20:55,320 PRODUCTS WERE TO ENABLING THIS 1902 01:20:55,320 --> 01:20:55,560 FEAT. 1903 01:20:55,560 --> 01:20:57,120 RESEARCH COMMUNITY AT THE TIME 1904 01:20:57,120 --> 01:21:03,680 THE SLIDE WAS CREATED CREATED D 1905 01:21:03,680 --> 01:21:06,960 PAPERS IN PUBLIC MED CENTRAL, 1906 01:21:06,960 --> 01:21:08,560 150,000, MORE RECENT ESTIMATES 1907 01:21:08,560 --> 01:21:10,320 CLOSER TO 500,000 INDICATING HOW 1908 01:21:10,320 --> 01:21:14,760 IMPORTANT RESEARCH SHARING HAS 1909 01:21:14,760 --> 01:21:16,000 BEEN. 1910 01:21:16,000 --> 01:21:18,840 NEXT POINT, IMPORTANCE OF 1911 01:21:18,840 --> 01:21:21,000 TRANSPARENCY IN RESEARCH ITSELF. 1912 01:21:21,000 --> 01:21:25,360 PUBLISHED BY THE PEW 1913 01:21:25,360 --> 01:21:26,200 ORGANIZATION, RESPONDENTS WERE 1914 01:21:26,200 --> 01:21:28,000 ASKED FOUR QUESTIONS. 1915 01:21:28,000 --> 01:21:29,120 I CONTINUE TO BE FASCINATED. 1916 01:21:29,120 --> 01:21:31,600 MORE THAN HALF OF AMERICANS SAY 1917 01:21:31,600 --> 01:21:32,800 THEY TRUST RESEARCH FINDINGS 1918 01:21:32,800 --> 01:21:34,920 MORE IF DATA IS SET AND STUDY IS 1919 01:21:34,920 --> 01:21:36,800 OPENLY AVAILABLE TO THE PUBLIC. 1920 01:21:36,800 --> 01:21:38,560 INTERESTINGLY THE INFLUENCE OF 1921 01:21:38,560 --> 01:21:39,840 GOVERNMENT FUNDING IS LESS 1922 01:21:39,840 --> 01:21:40,200 CLEAR. 1923 01:21:40,200 --> 01:21:43,760 ABOUT A QUARTER SAY IT MAKES 1924 01:21:43,760 --> 01:21:45,280 FINDING MORE TRUSTWORTHY, A 1925 01:21:45,280 --> 01:21:47,920 QUARTER LESS, ABOUT HALF SAY IT 1926 01:21:47,920 --> 01:21:49,720 MAKES ABSOLUTELY NO DIFFERENCE. 1927 01:21:49,720 --> 01:21:51,200 AGAIN, STUDY IS PART OF A 1928 01:21:51,200 --> 01:21:53,120 GROWING BODY OF EVIDENCE 1929 01:21:53,120 --> 01:21:54,160 SUPPORTING THE HYPOTHESIS THAT 1930 01:21:54,160 --> 01:21:56,040 ACCESS TO OPEN DATA AND 1931 01:21:56,040 --> 01:21:57,960 INDEPENDENT REVIEW OF RESEARCH 1932 01:21:57,960 --> 01:21:59,160 RESULTS INCREASES PUBLIC 1933 01:21:59,160 --> 01:21:59,840 CONFIDENCE IN RESEARCH FINDINGS. 1934 01:21:59,840 --> 01:22:01,600 I KNOW THIS IS A TOPIC THAT 1935 01:22:01,600 --> 01:22:03,240 WE'VE BEEN DISCUSSING FOR SOME 1936 01:22:03,240 --> 01:22:05,520 TIME GIVEN THE GROWING INTEREST 1937 01:22:05,520 --> 01:22:10,640 IN THE CURRENT STATE 1938 01:22:10,640 --> 01:22:10,960 OFINFORMATION. 1939 01:22:10,960 --> 01:22:12,560 RECENT SUCCESS OF OPEN DATA 1940 01:22:12,560 --> 01:22:14,760 ECOSYSTEM PROMPTED NIH TO STEP 1941 01:22:14,760 --> 01:22:20,040 BACK AND TAKE A HOLISTIC 1942 01:22:20,040 --> 01:22:20,360 PERSPECTIVE. 1943 01:22:20,360 --> 01:22:21,520 THIS IS COMPLEX. 1944 01:22:21,520 --> 01:22:24,240 WE PRESENTED THIS TO THE ACD AND 1945 01:22:24,240 --> 01:22:26,280 NIH PROGRESS ON CERTAIN EFFORTS 1946 01:22:26,280 --> 01:22:26,680 BACK IN DECEMBER. 1947 01:22:26,680 --> 01:22:28,080 AT THE END OF THE DAY THE POINT 1948 01:22:28,080 --> 01:22:30,840 WE'RE TRYING TO MAKE IS WE 1949 01:22:30,840 --> 01:22:31,840 BELIEVE SCIENTIFIC ADVANCES ARE 1950 01:22:31,840 --> 01:22:38,800 MORE LIKELY AS THEY FLOW THROUH 1951 01:22:38,800 --> 01:22:43,000 THE PIPELINE RATHER THAN 1952 01:22:43,000 --> 01:22:44,960 DISCRETE MOMENTS IN TIME. 1953 01:22:44,960 --> 01:22:48,120 NIH PUT OUT POLICIES TO HELP 1954 01:22:48,120 --> 01:22:49,480 FACILITATE FLOW OF INFORMATION, 1955 01:22:49,480 --> 01:22:50,640 WE'VE HAD NUMEROUS EFFORTS OVER 1956 01:22:50,640 --> 01:22:53,480 THE COURSE OF SEVERAL DECADES TO 1957 01:22:53,480 --> 01:22:54,320 ACHIEVE DECISIONS. 1958 01:22:54,320 --> 01:22:58,560 TODAY WHAT WE WANT TO TALK ABOUT 1959 01:22:58,560 --> 01:23:01,720 IS UPDATE ON 2008 PUBLIC ACCESS 1960 01:23:01,720 --> 01:23:02,840 POLICY, RESEARCH PUBLICATIONS SO 1961 01:23:02,840 --> 01:23:07,000 WE CAN WORK IN TANDEM WITH THE 1962 01:23:07,000 --> 01:23:08,000 RESEARCH COMMUNITY. 1963 01:23:08,000 --> 01:23:09,520 AS I MENTIONED IN DISEASE THE 1964 01:23:09,520 --> 01:23:11,720 NEWS OF THE WHITE HOUSE ISSUING 1965 01:23:11,720 --> 01:23:14,760 NEW DIRECTIVE FOCUSED ON 1966 01:23:14,760 --> 01:23:15,640 ENSURING FREE, IMMEDIATE, 1967 01:23:15,640 --> 01:23:17,960 EQUITABLE ACCESS TO FEDERALLY 1968 01:23:17,960 --> 01:23:19,040 FUNDED RESEARCH, PROMOTE PRIOR 1969 01:23:19,040 --> 01:23:22,880 WORK ON THE MOONSHOT THAT AT THE 1970 01:23:22,880 --> 01:23:24,440 TIME VICE PRESIDENT BIDEN AND 1971 01:23:24,440 --> 01:23:27,200 YOU'LL HEAR FROM DR. BERTAGNOLLI 1972 01:23:27,200 --> 01:23:28,200 WE CAN ATTEST TO HIS COMPLIMENT 1973 01:23:28,200 --> 01:23:32,640 TO THE ISSUE. 1974 01:23:32,640 --> 01:23:36,040 THE NEW DIRECTIVE DIRECTS 1975 01:23:36,040 --> 01:23:37,520 FEDERAL AGENCIES TO ENSURE 1976 01:23:37,520 --> 01:23:38,640 FEDERALLY FUNDED PUBLICATIONS 1977 01:23:38,640 --> 01:23:41,040 MADE FREELY AVAILABLE AND 1978 01:23:41,040 --> 01:23:42,280 PUBLICLY ACCESSIBLE WITHOUT 1979 01:23:42,280 --> 01:23:42,520 EMBARGO. 1980 01:23:42,520 --> 01:23:44,640 THE SECOND COMPONENT IS MAKE 1981 01:23:44,640 --> 01:23:46,400 SURE SCIENTIFIC DATA UNDERLYING 1982 01:23:46,400 --> 01:23:49,160 PUBLICATIONS ARE ACCESSIBLE AT 1983 01:23:49,160 --> 01:23:52,680 THE TIME OF PUBLICATION, THIRD 1984 01:23:52,680 --> 01:23:57,440 REGARDLESS OF PUBLICATION STATUS 1985 01:23:57,440 --> 01:23:59,320 DEVELOP APPROACHES AND FINALLY 1986 01:23:59,320 --> 01:24:01,080 EFFORTS TO DIRECT POLICIES FOR 1987 01:24:01,080 --> 01:24:03,960 USE OF METADATA AND IDENTIFIERS 1988 01:24:03,960 --> 01:24:05,240 TO MAKE THIS INFORMATION 1989 01:24:05,240 --> 01:24:07,840 FINDABLE AND USABLE BY THE 1990 01:24:07,840 --> 01:24:08,160 COMMUNITY. 1991 01:24:08,160 --> 01:24:11,000 GOOD NEWS, WE'RE WELL ON OUR 1992 01:24:11,000 --> 01:24:11,680 WAY. 1993 01:24:11,680 --> 01:24:14,240 RESEARCH COMMUNITY ESPECIALLY 1994 01:24:14,240 --> 01:24:15,680 NIH FUNDED INVESTIGATORS MADE 1995 01:24:15,680 --> 01:24:16,960 PROGRESS IN FULFILLING THIS 1996 01:24:16,960 --> 01:24:17,200 MANDATE. 1997 01:24:17,200 --> 01:24:18,400 WORKING WITH YOU OVER THE COURSE 1998 01:24:18,400 --> 01:24:20,840 OF THE LAST SEVEN YEARS WE HAVE 1999 01:24:20,840 --> 01:24:22,880 OUR DATA MANAGEMENT SHARING 2000 01:24:22,880 --> 01:24:25,600 POLICY, IN PLACE, SATISFIES THE 2001 01:24:25,600 --> 01:24:27,560 FIRST PORTION. 2002 01:24:27,560 --> 01:24:30,000 2008 PUBLIC ACCESS POLICY 2003 01:24:30,000 --> 01:24:32,400 IMPLEMENTS REQUIREMENTS STATED 2004 01:24:32,400 --> 01:24:39,880 IN APPROPRIATIONS ACT OF 2009 2005 01:24:39,880 --> 01:24:42,240 REQUIRES NIH INVESTIGATORS TO 2006 01:24:42,240 --> 01:24:43,760 SUBMIT OR HAVE SUBMITTED 2007 01:24:43,760 --> 01:24:45,640 NATIONAL LIBRARY OF MEDICINE 2008 01:24:45,640 --> 01:24:47,360 PUBMED CENTRAL, ELECTRONIC 2009 01:24:47,360 --> 01:24:49,160 VERSION OF THE FINAL PEER 2010 01:24:49,160 --> 01:24:50,200 REVIEWED MANUSCRIPT UPON 2011 01:24:50,200 --> 01:24:52,080 ACCEPTANCE FOR PUBLICATION. 2012 01:24:52,080 --> 01:24:53,720 CURRENTLY IT IS TO BE MADE 2013 01:24:53,720 --> 01:24:54,840 PUBLICLY AVAILABLE NO LATER THAN 2014 01:24:54,840 --> 01:24:58,360 12 MONTHS AFTER THE DATE OF 2015 01:24:58,360 --> 01:24:58,680 PUBLICATION. 2016 01:24:58,680 --> 01:25:00,880 THIS HAS BEEN A SUCCESSFUL 2017 01:25:00,880 --> 01:25:02,760 POLICY TO DATE SINCE 2018 01:25:02,760 --> 01:25:04,280 IMPLEMENTATION OF THE 2008 CLOSE 2019 01:25:04,280 --> 01:25:05,960 TO HALF OF PUBLICATIONS ARE 2020 01:25:05,960 --> 01:25:07,640 ALREADY SUBMITTED TO PUBLIC MED 2021 01:25:07,640 --> 01:25:09,720 CENTRAL THROUGH AGREEMENTS MADE 2022 01:25:09,720 --> 01:25:10,880 WITH PUBLISHERS THEMSELVES. 2023 01:25:10,880 --> 01:25:15,320 REMAINING HALF DEPOSITED BY THE 2024 01:25:15,320 --> 01:25:15,560 AUTHORS. 2025 01:25:15,560 --> 01:25:17,760 A THIRD OF ARTICLES ALREADY 2026 01:25:17,760 --> 01:25:20,280 SUBMITTED HAVE NO EMBARGO PERIOD 2027 01:25:20,280 --> 01:25:23,520 DESPITE THE YEAR-LONG PERIOD 2028 01:25:23,520 --> 01:25:25,160 AVAILABLE TO THEM. 2029 01:25:25,160 --> 01:25:29,200 HOW DO WE GET ALL OF OUR 2030 01:25:29,200 --> 01:25:31,280 RESEARCH TO GO TO ZERO? 2031 01:25:31,280 --> 01:25:36,960 THE GOAL OF EQUITABLE ACCESS AND 2032 01:25:36,960 --> 01:25:39,920 ENSURING BENEFITS OUTWEIGH THE 2033 01:25:39,920 --> 01:25:40,400 COSTS. 2034 01:25:40,400 --> 01:25:43,640 THIS BRINGS US TO NIH CURRENT 2035 01:25:43,640 --> 01:25:44,840 POLICY PROPOSAL, RECENTLY 2036 01:25:44,840 --> 01:25:46,880 OUTLINED IN OUR PUBLIC ACCESS 2037 01:25:46,880 --> 01:25:49,480 PLAN PROVIDED TO THE WHITE 2038 01:25:49,480 --> 01:25:49,840 HOUSE. 2039 01:25:49,840 --> 01:25:51,760 I'D LIKE TO EMPHASIZE THIS IS 2040 01:25:51,760 --> 01:25:52,640 OUR PROPOSAL. 2041 01:25:52,640 --> 01:25:54,680 IF YOU'VE NOT BEEN PAYING 2042 01:25:54,680 --> 01:25:56,960 ATTENTION, THIS IS THE PROPOSAL 2043 01:25:56,960 --> 01:25:58,120 WE'RE SEEKING INPUT, NO DRAFT 2044 01:25:58,120 --> 01:26:00,240 POLICY HAS BEEN PUT OUT. 2045 01:26:00,240 --> 01:26:02,720 THE FIRST EXPECTATION ON ACCESS 2046 01:26:02,720 --> 01:26:04,640 TO PUBLICATION IS PEER REVIEWED 2047 01:26:04,640 --> 01:26:06,280 SCHOLARLY PUBLICATIONS WILL BE 2048 01:26:06,280 --> 01:26:08,240 MADE FREELY AVAILABLE AND 2049 01:26:08,240 --> 01:26:09,160 PUBLICLY ACCESSIBLE. 2050 01:26:09,160 --> 01:26:12,240 WE PLAN TO CONTINUE A NUMBER OF 2051 01:26:12,240 --> 01:26:12,920 CURRENT PRACTICES ALREADY 2052 01:26:12,920 --> 01:26:14,440 ACHIEVING THIS GOAL. 2053 01:26:14,440 --> 01:26:17,040 PUBLIC MED CENTRAL WOULD WONT TO 2054 01:26:17,040 --> 01:26:20,880 SERVE AS DESIGNATED REPOSITORY, 2055 01:26:20,880 --> 01:26:23,040 MANUSCRIPTS CAN BE SUBMITTED TO 2056 01:26:23,040 --> 01:26:28,720 PMC AT THE TIME OF ACCEPTANCE. 2057 01:26:28,720 --> 01:26:31,080 BECAUSE IT'S GOOD FOR SCIENCE, 2058 01:26:31,080 --> 01:26:33,680 WE'LL MAKE ARTICLES AVAILABLE 2059 01:26:33,680 --> 01:26:37,520 POST-PUBLICATION IN PUBMED 2060 01:26:37,520 --> 01:26:38,680 CENTRAL AS PROCESSING IS 2061 01:26:38,680 --> 01:26:40,360 COMPLETE WITHOUT EMBARGO. 2062 01:26:40,360 --> 01:26:41,600 THAT'S THE PROPOSAL AND 2063 01:26:41,600 --> 01:26:44,240 DIRECTIVE FROM THE WHITE HOUSE. 2064 01:26:44,240 --> 01:26:48,600 TO HELP MEET THESE EXPECTATIONS, 2065 01:26:48,600 --> 01:26:52,800 WE PROPOSE PROVIDING GUIDANCE, 2066 01:26:52,800 --> 01:26:57,480 LOOKING FOR YOU TODAY, 2067 01:26:57,480 --> 01:27:02,200 CLARIFYING, NECESSARY TO COMPLY 2068 01:27:02,200 --> 01:27:06,040 AND TECHNICAL DETAILS. 2069 01:27:06,040 --> 01:27:15,200 THE NEXT IS AGENCIES WILL 2070 01:27:15,200 --> 01:27:17,800 MAXIMIZE REACH, ALLOW MORE 2071 01:27:17,800 --> 01:27:19,440 MACHINE READABILITY. 2072 01:27:19,440 --> 01:27:21,280 CURRENTLY CONVERTS AND ALLOWS 2073 01:27:21,280 --> 01:27:24,000 FOR USE OF METADATA, PLAN TO 2074 01:27:24,000 --> 01:27:25,000 CONTINUE THESE PRACTICES. 2075 01:27:25,000 --> 01:27:27,040 TO FURTHER AIMS HERE UNDER THE 2076 01:27:27,040 --> 01:27:28,120 POLICY DIRECTIVE WE PLAN TO 2077 01:27:28,120 --> 01:27:30,640 CONTINUE TO WORK WITH THE 2078 01:27:30,640 --> 01:27:35,480 COMMUNITY TO DEVELOP AND UPDATE 2079 01:27:35,480 --> 01:27:36,920 STANDARDS FOR SUBMISSION. 2080 01:27:36,920 --> 01:27:39,960 WE'VE BEEN SEEKING PUBLIC INPUT 2081 01:27:39,960 --> 01:27:43,920 ON OTHER THINGS WHICH I'LL SAY 2082 01:27:43,920 --> 01:27:44,880 MORE ABOUT. 2083 01:27:44,880 --> 01:27:46,560 FINALLY THE MEMO EXPECTS 2084 01:27:46,560 --> 01:27:49,960 AGENCIES TO ALLOW RESEARCHERS TO 2085 01:27:49,960 --> 01:27:53,000 INCLUDE REASONABLE PUBLICATION 2086 01:27:53,000 --> 01:27:55,400 COSTS AS ALLOWABLE EXPENSES. 2087 01:27:55,400 --> 01:27:57,600 GOOD NEWS, CURRENTLY NIH THROUGH 2088 01:27:57,600 --> 01:27:59,240 GRANTS POLICY STATEMENT ALLOWS 2089 01:27:59,240 --> 01:28:00,240 FOR REASONABLE PUBLICATION COSTS 2090 01:28:00,240 --> 01:28:04,120 AND WE'LL CONTINUE THESE 2091 01:28:04,120 --> 01:28:04,560 PRACTICES. 2092 01:28:04,560 --> 01:28:06,040 PROPOSAL DOES NOT REQUIRE 2093 01:28:06,040 --> 01:28:07,880 RESEARCHERS TO PUBLISH IN 2094 01:28:07,880 --> 01:28:08,960 JOURNALS ADOPTING SPECIFIC 2095 01:28:08,960 --> 01:28:10,920 BUSINESS MODELS, WE DO WANT TO 2096 01:28:10,920 --> 01:28:13,440 ENSURE WE'RE MONITORING TRENDS 2097 01:28:13,440 --> 01:28:17,480 IN PUBLICATION TO ENSURE THEY 2098 01:28:17,480 --> 01:28:19,720 REMAIN REASONABLE AND EQUITABLE. 2099 01:28:19,720 --> 01:28:22,160 I MENTIONED THIS WAS REFERENCED 2100 01:28:22,160 --> 01:28:23,400 IN THE PUBLIC ACCESS PLAN 2101 01:28:23,400 --> 01:28:25,440 SUBMITTED TO THE WHITE HOUSE IN 2102 01:28:25,440 --> 01:28:29,000 RESPONSE TO THE MEMO BUT STILL 2103 01:28:29,000 --> 01:28:30,080 CONSIDERED DRAFT FORM. 2104 01:28:30,080 --> 01:28:33,320 WHEN WE SUBMITTED OUR PLAN WE 2105 01:28:33,320 --> 01:28:35,760 ALSO POSTED ONLINE ASKED FOR 2106 01:28:35,760 --> 01:28:38,680 COMMENT ON PROPOSALS AND HELD A 2107 01:28:38,680 --> 01:28:39,560 LISTENING SESSION. 2108 01:28:39,560 --> 01:28:41,600 I ANTICIPATE WE'LL HAVE MORE 2109 01:28:41,600 --> 01:28:44,400 WORKSHOPS AS WE MOVE FORWARD. 2110 01:28:44,400 --> 01:28:47,000 TO DATE WE'VE RECEIVED 2111 01:28:47,000 --> 01:28:47,520 TREMENDOUSLY INFORMATIVE 2112 01:28:47,520 --> 01:28:48,560 FEEDBACK FROM A BROUGHT SET OF 2113 01:28:48,560 --> 01:28:51,560 MEMBERS OF THE PUBLIC INCLUDING 2114 01:28:51,560 --> 01:28:52,840 PUBLISHERS, LIBRARIANS, RESEARCH 2115 01:28:52,840 --> 01:28:53,880 PARTICIPANTS, PROFESSIONAL 2116 01:28:53,880 --> 01:28:54,600 ORGANIZATIONS AND MORE. 2117 01:28:54,600 --> 01:28:57,240 IN RESPONSE TO OUR REQUEST FOR 2118 01:28:57,240 --> 01:28:58,920 INFORMATION, OPEN FOR TWO MONTHS 2119 01:28:58,920 --> 01:29:03,400 AND CLOSED IN APRIL, WE RECEIVED 2120 01:29:03,400 --> 01:29:07,240 143 RESPONSES WHICH I'LL 2121 01:29:07,240 --> 01:29:08,960 HIGHLIGHT NOW FOR YOU. 2122 01:29:08,960 --> 01:29:14,080 GIVEN THE GOALS OF INCREASING 2123 01:29:14,080 --> 01:29:15,680 EQUITY WE ENCOURAGED RECIPIENT 2124 01:29:15,680 --> 01:29:18,520 TO COMMENT ALSO ON HOW DIRECTLY 2125 01:29:18,520 --> 01:29:20,720 IMPACTS ISSUES OF EQUITY. 2126 01:29:20,720 --> 01:29:21,920 THIS IS IN TERMS OF PEOPLE WHO 2127 01:29:21,920 --> 01:29:24,360 WANT TOKING A SAYS INFORMATION 2128 01:29:24,360 --> 01:29:27,960 AND MAKE THAT A PROCESS AS WELL 2129 01:29:27,960 --> 01:29:30,680 AS THOSE SUBMITTING FOR 2130 01:29:30,680 --> 01:29:31,200 PUBLICATION. 2131 01:29:31,200 --> 01:29:33,000 I LISTED HIGHLIGHTED TOPICAL 2132 01:29:33,000 --> 01:29:35,920 AREAS ON THE LEFT, DEMOGRAPHICS 2133 01:29:35,920 --> 01:29:39,200 ON THE RIGHT. 2134 01:29:39,200 --> 01:29:40,840 I WON'T GO INTO DETAIL BUT I 2135 01:29:40,840 --> 01:29:44,600 WILL NOTE WE HEARD FROM MANY 2136 01:29:44,600 --> 01:29:45,960 RESEARCHERS, ESPECIALLY ACADEMIC 2137 01:29:45,960 --> 01:29:47,480 INSTITUTIONS, AS WELL AS 2138 01:29:47,480 --> 01:29:48,440 SOCIETIES FROM ACADEMIC 2139 01:29:48,440 --> 01:29:51,120 DISCIPLINES THAT HOUSE THEIR OWN 2140 01:29:51,120 --> 01:29:52,520 JOURNALS. 2141 01:29:52,520 --> 01:29:54,920 ALSO BEFORE I BEGIN I WOULD LIKE 2142 01:29:54,920 --> 01:29:58,560 TO THANK THE STAFF FOR WORKING 2143 01:29:58,560 --> 01:30:00,200 AT A BREAK-NECK PACE TO PROVIDE 2144 01:30:00,200 --> 01:30:01,760 A PRELIMINARY ANALYSIS FOR YOU 2145 01:30:01,760 --> 01:30:05,520 TODAY SO WE COULD DIVE INTO 2146 01:30:05,520 --> 01:30:06,200 DETAIL. 2147 01:30:06,200 --> 01:30:09,400 I DON'T THINK IT'S A SURPRISE 2148 01:30:09,400 --> 01:30:15,440 HERE THAT MAJORITY SUPPORTED THE 2149 01:30:15,440 --> 01:30:16,280 THE 2150 01:30:16,280 --> 01:30:19,360 REMOVAL OF EMBARGO PERIOD SAYING 2151 01:30:19,360 --> 01:30:20,320 IT LIMITS AVAILABILITY. 2152 01:30:20,320 --> 01:30:24,720 WE ALL KNOW THE DEVIL IS IN THE 2153 01:30:24,720 --> 01:30:24,960 DETAILS. 2154 01:30:24,960 --> 01:30:26,280 MANY EMPHASIZE REMOVAL IS NOT 2155 01:30:26,280 --> 01:30:30,800 LIKELY TO BE THE SILVER BULLET. 2156 01:30:30,800 --> 01:30:32,760 THIS IS BECAUSE ACCESSIBILITY 2157 01:30:32,760 --> 01:30:33,960 AND AVAILABILITY ARE NOT 2158 01:30:33,960 --> 01:30:38,040 NECESSARILY ONE AND THE SAME 2159 01:30:38,040 --> 01:30:38,280 THINGS. 2160 01:30:38,280 --> 01:30:39,360 RESPONDERS RAISE PUBLICATIONS 2161 01:30:39,360 --> 01:30:41,440 EVEN WHEN THEY ARE AVAILABLE CAN 2162 01:30:41,440 --> 01:30:43,880 BE DIFFICULT TO FIND. 2163 01:30:43,880 --> 01:30:45,640 TRANSLATING RESEARCH 2164 01:30:45,640 --> 01:30:47,040 PUBLICATIONS INTO ACCESSIBLE 2165 01:30:47,040 --> 01:30:48,080 FORMATS INCLUDING DIVERSE 2166 01:30:48,080 --> 01:30:51,520 CONSUMERS IS NOT ALWAYS OPTIMAL. 2167 01:30:51,520 --> 01:30:56,080 I WANT TO DIVE INTO COMMON 2168 01:30:56,080 --> 01:30:57,720 THREADS, WHAT WE'VE HEARD 2169 01:30:57,720 --> 01:30:58,760 THROUGH THE MECHANISMS, AND 2170 01:30:58,760 --> 01:31:01,960 WHERE NIH IS THINKING ON HOW TO 2171 01:31:01,960 --> 01:31:02,800 ADDRESS AND MOVE FORWARD. 2172 01:31:02,800 --> 01:31:05,600 FIRST ONE OF THE THINGS WE HEARD 2173 01:31:05,600 --> 01:31:07,320 FROM RESPONDENTS WERE CONCERNS 2174 01:31:07,320 --> 01:31:09,880 MOVING TO OPEN ACCESS POLICY. 2175 01:31:09,880 --> 01:31:12,000 RESPONDENTS MADE IT CLEAR NIH 2176 01:31:12,000 --> 01:31:13,520 MUST COMMUNICATE DIFFERENCE 2177 01:31:13,520 --> 01:31:14,680 BETWEEN PUBLIC ACCESS POLICIES 2178 01:31:14,680 --> 01:31:18,160 AND DIRECTIVE FOR USE OF OPEN 2179 01:31:18,160 --> 01:31:19,040 ACCESS PUBLICATION. 2180 01:31:19,040 --> 01:31:20,800 MOVING FORWARD IT'S IMPORTANT WE 2181 01:31:20,800 --> 01:31:22,280 ALL WORK TOGETHER TO EMPHASIZE 2182 01:31:22,280 --> 01:31:24,040 PUBLIC ACCESS IS A LARGE 2183 01:31:24,040 --> 01:31:25,720 UMBRELLA TERM THAT USUALLY 2184 01:31:25,720 --> 01:31:27,840 REFERS TO POLICIES THAT MAKE 2185 01:31:27,840 --> 01:31:29,240 PRODUCTS FREELY AVAILABLE TO THE 2186 01:31:29,240 --> 01:31:33,760 PUBLIC AS QUICKLY AS POSSIBLE. 2187 01:31:33,760 --> 01:31:36,560 THIS REFERS TO DATA AND 2188 01:31:36,560 --> 01:31:37,360 PUBLICATION AND METADATA TO 2189 01:31:37,360 --> 01:31:39,040 TRACK AND FIND THEM. 2190 01:31:39,040 --> 01:31:40,880 OPEN ACCESS ON THE OTHER HAND IS 2191 01:31:40,880 --> 01:31:43,760 A PUBLISHING MODEL FOR SCHOLARLY 2192 01:31:43,760 --> 01:31:44,880 COMMUNICATION THAT MAKES 2193 01:31:44,880 --> 01:31:45,800 RESEARCH INFORMATION AVAILABLE 2194 01:31:45,800 --> 01:31:47,240 TO READERS AT NO COST. 2195 01:31:47,240 --> 01:31:49,400 THERE ARE MANY TYPES OF OPEN 2196 01:31:49,400 --> 01:31:53,520 ACCESS MODELS WHICH I WON'T GET 2197 01:31:53,520 --> 01:31:55,840 INTO BUT IT IS SUFFICIENT TO SAY 2198 01:31:55,840 --> 01:31:57,680 WHEN PUBLICATIONS ARE PUBLISHED 2199 01:31:57,680 --> 01:31:59,680 VIA OPEN ACCESS, SOMEONE HAS TO 2200 01:31:59,680 --> 01:32:03,120 BEAR THE COST OF PEER REVIEW, 2201 01:32:03,120 --> 01:32:03,680 EDITING, TYPESETTING, 2202 01:32:03,680 --> 01:32:04,960 ORGANIZING, THIS DOES FALL TO 2203 01:32:04,960 --> 01:32:08,280 THE INVESTIGATOR IN SOME MODELS. 2204 01:32:08,280 --> 01:32:12,360 TO BE CLEAR, THE MEMO IS 2205 01:32:12,360 --> 01:32:15,480 AGNOSTIC AS TO WHAT PUBLISHING 2206 01:32:15,480 --> 01:32:18,080 MODELS JOURNALS CHOOSE. 2207 01:32:18,080 --> 01:32:20,360 NIH EMPHASIZES AND ECHOES THE 2208 01:32:20,360 --> 01:32:24,440 STATEMENT WE DO NOT ANTICIPATE 2209 01:32:24,440 --> 01:32:25,480 REQUIRING A SPECIFIC MODEL BUT 2210 01:32:25,480 --> 01:32:27,000 CHANGES MAY DRIVE CHANGES IN 2211 01:32:27,000 --> 01:32:29,440 BUSINESS MODELS NOT UNDER OUR 2212 01:32:29,440 --> 01:32:29,960 CONTROL. 2213 01:32:29,960 --> 01:32:33,120 REGARDING THE MOVE TO ZERO 2214 01:32:33,120 --> 01:32:35,160 EMBARGO WE HEARD REMOVAL OF 2215 01:32:35,160 --> 01:32:36,480 EMBARGO PERIOD MAY LEAD TO 2216 01:32:36,480 --> 01:32:38,000 CHANGE IN PUBLISHER BUSINESS 2217 01:32:38,000 --> 01:32:40,440 MODELS THAT PROMOTE EQUITY IN 2218 01:32:40,440 --> 01:32:42,680 ACCESS FOR READERS, INCREASE 2219 01:32:42,680 --> 01:32:44,520 INEQUITY FOR AUTHORS. 2220 01:32:44,520 --> 01:32:45,560 FINER POINT, SOME COMMENTERS 2221 01:32:45,560 --> 01:32:48,360 WERE CONCERNED ANY SHIFT OF 2222 01:32:48,360 --> 01:32:49,480 PRIORITIZING OPEN ACCESS WOULD 2223 01:32:49,480 --> 01:32:51,280 PLACE BURDEN OF COST ON THE 2224 01:32:51,280 --> 01:32:55,800 INVESTIGATOR IN TERMS OF ARTICLE 2225 01:32:55,800 --> 01:32:57,440 PROCESSING CHARGE IMPACTING 2226 01:32:57,440 --> 01:32:59,000 THOSE ARE LESS FUNDING OR PAYING 2227 01:32:59,000 --> 01:33:02,200 FOR VOLUME INSTEAD OF QUALITY. 2228 01:33:02,200 --> 01:33:03,600 MANY COMMENTERS WANTED 2229 01:33:03,600 --> 01:33:07,480 REASSURANCE AUTHORS COULD COMPLY 2230 01:33:07,480 --> 01:33:11,520 WITHOUT PAYING APCs IF THEY 2231 01:33:11,520 --> 01:33:12,160 DEPOSIT ACCEPTED MANUSCRIPTS IN 2232 01:33:12,160 --> 01:33:13,000 PUBMED CENTRAL. 2233 01:33:13,000 --> 01:33:19,240 WE MAINTAIN IT CAN BE MET AT NO 2234 01:33:19,240 --> 01:33:21,400 COST BY DEPOSITING, AND THAT'S 2235 01:33:21,400 --> 01:33:22,680 OUR PROPOSAL MOVING FORWARD. 2236 01:33:22,680 --> 01:33:25,280 COMPLIANCE CAN BE MET THROUGH 2237 01:33:25,280 --> 01:33:26,600 DEPOSITION IN PUBMED CENTRAL I 2238 01:33:26,600 --> 01:33:28,240 DON'T WANT TO GLOSS OVER THE 2239 01:33:28,240 --> 01:33:31,320 CONCERNS REGARDING POTENTIAL FOR 2240 01:33:31,320 --> 01:33:34,480 SHIFT IN COST. 2241 01:33:34,480 --> 01:33:36,520 THIS IS HIGHLIGHTED IN A SURVEY 2242 01:33:36,520 --> 01:33:39,000 ON EXPERIENCE AND PERSPECTIVES 2243 01:33:39,000 --> 01:33:42,680 REGARDING PUBLISHING COSTS, 2244 01:33:42,680 --> 01:33:44,960 WHICH INDICATE NEARLY 2/3 OF 2245 01:33:44,960 --> 01:33:47,200 RESEARCHERS REPORTED THEY DO NOT 2246 01:33:47,200 --> 01:33:49,600 BUDGET FOR PUBLISHING COSTS AND 2247 01:33:49,600 --> 01:33:53,520 1/3 HAD NEVER PAID AN APC. 2248 01:33:53,520 --> 01:33:59,200 THE RIGHT INDICATES THERE ARE 2249 01:33:59,200 --> 01:34:00,560 CHOICES AFFECTING CONDUCT, 2250 01:34:00,560 --> 01:34:02,680 PARTICIPATING IN WORKSHOPS OR 2251 01:34:02,680 --> 01:34:06,680 PROFESSIONAL DEVELOPMENT, OR 2252 01:34:06,680 --> 01:34:07,360 HIRING ADDITIONAL TRAINEES 2253 01:34:07,360 --> 01:34:10,520 INSTEAD SO THEY CAN PAY FOR OPEN 2254 01:34:10,520 --> 01:34:10,760 ACCESS. 2255 01:34:10,760 --> 01:34:12,880 ADDITIONAL DATA INDICATE THESE 2256 01:34:12,880 --> 01:34:14,480 CHOICES MAY ALSO HIT SPECIFIC 2257 01:34:14,480 --> 01:34:17,120 COMMUNITIES HARDER WHICH IS AN 2258 01:34:17,120 --> 01:34:18,000 IMPORTANT CONSIDERATION IN 2259 01:34:18,000 --> 01:34:22,720 ACHIEVING FIRST GOAL OF EQUITY. 2260 01:34:22,720 --> 01:34:24,120 WE'RE AWARE THAT PUBLISHERS ARE 2261 01:34:24,120 --> 01:34:26,760 PILOTING A VARIETY OF MODELS TO 2262 01:34:26,760 --> 01:34:28,080 MAINTAIN HIGH QUALITY PEER 2263 01:34:28,080 --> 01:34:29,880 REVIEWED PRACTICES BUT ALSO KEEP 2264 01:34:29,880 --> 01:34:32,560 COST MODELS SUPPORTIVE OF 2265 01:34:32,560 --> 01:34:39,880 ADVANCING EQUITY FOR AUTHORS. 2266 01:34:39,880 --> 01:34:42,520 THE DIRECTOR AFFECTS THE 2267 01:34:42,520 --> 01:34:43,720 ENTIRETY, THERE'S TREMENDOUS 2268 01:34:43,720 --> 01:34:44,880 STATUS TO REACH OUTCOME. 2269 01:34:44,880 --> 01:34:46,360 NIH IS IN DISCUSSION WITH 2270 01:34:46,360 --> 01:34:47,480 GOVERNMENT PARTNERS AND WITH 2271 01:34:47,480 --> 01:34:51,360 PUBLISHERS AS WELL TO CHART A 2272 01:34:51,360 --> 01:34:54,680 REASONABLE PATH FORWARD. 2273 01:34:54,680 --> 01:34:55,520 BEYOND PUBLISHING MODELS 2274 01:34:55,520 --> 01:34:56,400 RESPONDENTS HAD SUGGESTIONS TO 2275 01:34:56,400 --> 01:34:58,280 HELP US GET THROUGH INCLUDING 2276 01:34:58,280 --> 01:35:01,560 KEEPING CURRENT REQUIREMENTS AND 2277 01:35:01,560 --> 01:35:05,720 DEPOSITING MANUSCRIPTS WITH NO 2278 01:35:05,720 --> 01:35:06,080 COST. 2279 01:35:06,080 --> 01:35:08,600 MANY RESPONDENTS AGREE WITH NIH 2280 01:35:08,600 --> 01:35:10,520 PLAN TO CONTINUE MONITORING 2281 01:35:10,520 --> 01:35:13,080 COSTS AND SHIFTING MODELS. 2282 01:35:13,080 --> 01:35:14,880 SEVERAL SUGGESTED IT'S CRITICAL 2283 01:35:14,880 --> 01:35:17,520 TO DETERMINE WHAT IS REASONABLE 2284 01:35:17,520 --> 01:35:19,480 AND ASSOCIATED AS REASONABLE 2285 01:35:19,480 --> 01:35:19,960 COST. 2286 01:35:19,960 --> 01:35:21,520 THE NIH GRANT POLICY STATEMENT 2287 01:35:21,520 --> 01:35:22,880 ALREADY ALLOWS FOR INVESTIGATORS 2288 01:35:22,880 --> 01:35:27,280 TO PAY FOR REASONABLE COSTS 2289 01:35:27,280 --> 01:35:28,720 ASSOCIATED WITH PUBLISHING. 2290 01:35:28,720 --> 01:35:30,240 MANY METHODS WERE SUGGESTED 2291 01:35:30,240 --> 01:35:31,800 INCLUDING LOOKING AT APPLICATION 2292 01:35:31,800 --> 01:35:32,760 BUDGETS, ANNUAL REPORTS. 2293 01:35:32,760 --> 01:35:34,360 CONTINUING TO WORK WITH 2294 01:35:34,360 --> 01:35:36,080 PUBLISHERS TO UNDERSTAND 2295 01:35:36,080 --> 01:35:38,560 PUBLISHING MODELS OSH DISCIPLINE 2296 01:35:38,560 --> 01:35:40,240 SPECIFIC REQUIREMENTS. 2297 01:35:40,240 --> 01:35:42,480 AND REFERENCING CURRENTLY 2298 01:35:42,480 --> 01:35:44,760 EXISTING RESOURCES SUCH AS 2299 01:35:44,760 --> 01:35:47,200 JOURNAL COMPARISON SERVICE. 2300 01:35:47,200 --> 01:35:49,120 RESPONDENTS EMPHASIZE COST OF 2301 01:35:49,120 --> 01:35:49,800 PUBLICATION WERE DIRECTLY 2302 01:35:49,800 --> 01:35:52,160 RELATED, AND NIH MUST CONTINUE 2303 01:35:52,160 --> 01:35:55,000 TO MONITOR COSTS, NOT ONLY FOR 2304 01:35:55,000 --> 01:36:00,520 AGENCIES BUT IN TERMS OF 2305 01:36:00,520 --> 01:36:03,960 IMPLICATION FOR EQUITY. 2306 01:36:03,960 --> 01:36:06,000 FINALLY, A CONCERN, WE WANTED TO 2307 01:36:06,000 --> 01:36:16,560 ADDRESS CONCERNS ABOUT POTENTIAL 2308 01:36:16,880 --> 01:36:17,720 FOR INCREASED ADMINISTRATIVE 2309 01:36:17,720 --> 01:36:18,760 BURDENS, NOT ALL INSTITUTIONS 2310 01:36:18,760 --> 01:36:23,280 HAVE MONEY TO SUPPORT LOCAL 2311 01:36:23,280 --> 01:36:24,280 GUIDANCE, ESPECIALLY IF 2312 01:36:24,280 --> 01:36:26,040 INVESTIGATORS HAD TO WORK WITH 2313 01:36:26,040 --> 01:36:28,440 THE PUBLISHER FOR DIFFERENT 2314 01:36:28,440 --> 01:36:28,680 VERSIONS. 2315 01:36:28,680 --> 01:36:30,240 RESPONDENTS INDICATED NIH COULD 2316 01:36:30,240 --> 01:36:32,920 EASE BURDEN BY CLARIFYING AND 2317 01:36:32,920 --> 01:36:34,960 EASING MECHANISMS OF COMPLIANCE 2318 01:36:34,960 --> 01:36:41,280 SUCH AS ISSUING CONCISE GUIDANCE 2319 01:36:41,280 --> 01:36:46,840 AND TEMPLATE LANGUAGE FOR 2320 01:36:46,840 --> 01:36:47,680 RETAINING LICENSE. 2321 01:36:47,680 --> 01:36:51,040 COMMENTS RECEIVED TO DATE ARE ON 2322 01:36:51,040 --> 01:36:52,480 THE INITIAL POLICY PROVISION. 2323 01:36:52,480 --> 01:36:53,160 PLEASE REMEMBER WHAT WE'RE 2324 01:36:53,160 --> 01:36:55,880 TALKING ABOUT RIGHT NOW IS A 2325 01:36:55,880 --> 01:36:56,680 DRAFT PLAN. 2326 01:36:56,680 --> 01:36:59,080 WE RECOGNIZE POLICY DEVELOPMENT 2327 01:36:59,080 --> 01:37:00,680 IS ITERATIVE AND IMPLEMENTATION 2328 01:37:00,680 --> 01:37:01,960 TAKES TIME. 2329 01:37:01,960 --> 01:37:03,920 WE'VE WORKED WITH INTERAGENCY 2330 01:37:03,920 --> 01:37:06,800 PARTNERS TO HAVE SHARED GOALS 2331 01:37:06,800 --> 01:37:08,280 AND COMMONALITIES, AND ENSURE WE 2332 01:37:08,280 --> 01:37:10,480 HAVE TIME TO SOLICIT INPUT AND 2333 01:37:10,480 --> 01:37:12,320 DRAFT A POLICY THAT DELAYS WHEN 2334 01:37:12,320 --> 01:37:14,240 THE POLICY TAKES EFFECT. 2335 01:37:14,240 --> 01:37:16,680 WE'VE GOT 2.5 YEARS UNTIL 2336 01:37:16,680 --> 01:37:19,400 REVISED PUBLIC ACCESS POLICY 2337 01:37:19,400 --> 01:37:20,960 NEEDS TO TAKE EFFECT, BUILDING 2338 01:37:20,960 --> 01:37:27,920 IN MULTIPLE PLACES TO SEEK 2339 01:37:27,920 --> 01:37:28,280 INPUT. 2340 01:37:28,280 --> 01:37:29,600 DRIVING THE DISCUSSION NIH IS 2341 01:37:29,600 --> 01:37:31,200 WORKING ACROSS THE WHOLE OF U.S. 2342 01:37:31,200 --> 01:37:32,880 GOVERNMENT AND WITH COMMUNITY TO 2343 01:37:32,880 --> 01:37:34,960 MAKE AN OPEN DATA ECOSYSTEM A 2344 01:37:34,960 --> 01:37:35,680 REALITY. 2345 01:37:35,680 --> 01:37:40,520 WE'RE GOING TO CONTINUE TO DO 2346 01:37:40,520 --> 01:37:41,600 SO. 2347 01:37:41,600 --> 01:37:43,200 WE RECOGNIZE NEED FOR 2348 01:37:43,200 --> 01:37:50,120 COORDINATION AT ALL LEVELS. 2349 01:37:50,120 --> 01:37:54,240 I WOULD ASK GIVEN NIH IS THE 2350 01:37:54,240 --> 01:37:55,680 WORLD'S LARGER FUNDER OF 2351 01:37:55,680 --> 01:37:57,440 RESEARCH, WHAT ROLES AND 2352 01:37:57,440 --> 01:37:58,560 RESPONSIBILITIES DO AWARDEES 2353 01:37:58,560 --> 01:38:00,240 HAVE IN MAKING THIS AVAILABLE TO 2354 01:38:00,240 --> 01:38:01,400 THE PUBLIC IMMEDIATELY AND FREE 2355 01:38:01,400 --> 01:38:02,240 COST? 2356 01:38:02,240 --> 01:38:03,640 WHAT ARE THE FUTURE 2357 01:38:03,640 --> 01:38:05,520 OPPORTUNITIES AND CHALLENGES FOR 2358 01:38:05,520 --> 01:38:07,680 PUBLIC ACCESS REGARDING RESEARCH 2359 01:38:07,680 --> 01:38:08,120 PROJECTS? 2360 01:38:08,120 --> 01:38:09,800 AND OF COURSE WHILE WE'RE 2361 01:38:09,800 --> 01:38:14,880 DEVELOPING POLICIES HOW CAN WE 2362 01:38:14,880 --> 01:38:16,760 ACHIEVE POLICY AIMS, WHO SHOULD 2363 01:38:16,760 --> 01:38:17,720 BE PROVIDING INCENTIVES IN TERMS 2364 01:38:17,720 --> 01:38:22,000 OF WE ALL HAVE A SHARED ROLE. 2365 01:38:22,000 --> 01:38:27,280 WITH THAT I WILL TURN IT TO DR. 2366 01:38:27,280 --> 01:38:29,040 TABAK AND DR. SCHWETZ TO 2367 01:38:29,040 --> 01:38:30,240 MODERATE AND I'M HAPPY TO ANSWER 2368 01:38:30,240 --> 01:38:33,960 ANY QUESTIONS. 2369 01:38:33,960 --> 01:38:36,440 2370 01:38:36,440 --> 01:38:46,080 >> THANKS, LYRIC. 2371 01:38:46,080 --> 01:38:46,840 REALLY IMPORTANT QUESTIONS. 2372 01:38:46,840 --> 01:38:47,560 [AUDIO DISTORTION] 2373 01:38:47,560 --> 01:38:49,560 DOES ANYONE HAVE QUESTIONS? 2374 01:38:49,560 --> 01:38:50,760 PLEASE RAISE YOUR VIRTUAL HAND 2375 01:38:50,760 --> 01:38:54,160 SO WE CAN CALL ON YOU. 2376 01:38:54,160 --> 01:38:55,760 2377 01:38:55,760 --> 01:38:59,120 >> THERE ARE FOUR MEMBERS WHO 2378 01:38:59,120 --> 01:38:59,880 HAVE HANDS RAISED, TARA. 2379 01:38:59,880 --> 01:39:06,400 >> I CAN'T SEE THEM BECAUSE OF 2380 01:39:06,400 --> 01:39:07,520 THE CURRENT VIEW. 2381 01:39:07,520 --> 01:39:14,240 >>ROBERTA, YOU'RE NUMBER ONE. 2382 01:39:14,240 --> 01:39:14,480 GO AHEAD. 2383 01:39:14,480 --> 01:39:16,480 >> FIRST LET ME SAY IT'S BEEN 2384 01:39:16,480 --> 01:39:20,440 AN HONOR TO SERVE ON THE NIH 2385 01:39:20,440 --> 01:39:21,400 DIRECTOR'S ADVISORY COMMITTEE, 2386 01:39:21,400 --> 01:39:23,840 AND LOOK FORWARD TO LEARNING 2387 01:39:23,840 --> 01:39:26,240 MORE AS YOU GO FORWARD. 2388 01:39:26,240 --> 01:39:29,600 MY QUESTION REALLY IS AROUND THE 2389 01:39:29,600 --> 01:39:31,600 DATA FORMATTING. 2390 01:39:31,600 --> 01:39:35,080 MOST LABORATORIES ARE NOT DATA 2391 01:39:35,080 --> 01:39:37,680 SCIENCE LABORATORIES, MANY ARE 2392 01:39:37,680 --> 01:39:39,640 BENCH LABORATORIES, BENCH 2393 01:39:39,640 --> 01:39:40,840 SCIENCE LABORATORIES AND 2394 01:39:40,840 --> 01:39:42,040 CLINICAL SCIENCE. 2395 01:39:42,040 --> 01:39:47,080 SO, I'M WONDERING TO WHAT EXTENT 2396 01:39:47,080 --> 01:39:51,840 THE NIH IS PURSUING A UNIFORM 2397 01:39:51,840 --> 01:39:55,280 DATA FORMAT STRATEGY THAT WILL 2398 01:39:55,280 --> 01:39:59,480 EITHER BE COMMERCIALLY AVAILABLE 2399 01:39:59,480 --> 01:40:02,640 OR PUBLICLY AVAILABLE FOR MOVING 2400 01:40:02,640 --> 01:40:05,160 THIS DATA SHARING CAPACITY 2401 01:40:05,160 --> 01:40:07,880 FORWARD. 2402 01:40:07,880 --> 01:40:10,600 >> THIS IS OBVIOUSLY ONE OF THE 2403 01:40:10,600 --> 01:40:14,400 BIG QUESTIONS A LOT OF PEOPLE 2404 01:40:14,400 --> 01:40:16,680 HAVE IN TERMS OF STANDARDS TO 2405 01:40:16,680 --> 01:40:23,680 MAKE DATA USE AND SHAREABLE AND 2406 01:40:23,680 --> 01:40:26,040 LIMIT BY TRYING TO FORCE INTO A 2407 01:40:26,040 --> 01:40:26,320 STANDARD. 2408 01:40:26,320 --> 01:40:28,400 WE'RE WORKING HARD WITH 2409 01:40:28,400 --> 01:40:29,080 NIH-FUNDED RESEARCHES, 2410 01:40:29,080 --> 01:40:31,160 COLLEAGUES AT NSF AND OTHERS TO 2411 01:40:31,160 --> 01:40:32,640 DETERMINE WHERE PUTTING 2412 01:40:32,640 --> 01:40:34,360 STANDARDS IN PLACE WOULD HELP 2413 01:40:34,360 --> 01:40:35,720 DRIVE THE COMMUNITY FORWARD BUT 2414 01:40:35,720 --> 01:40:38,920 WHERE DO WE NEED TO CONVENE THE 2415 01:40:38,920 --> 01:40:40,040 COMMUNITY FOR SELF-ADOPTED 2416 01:40:40,040 --> 01:40:40,400 STANDARDS. 2417 01:40:40,400 --> 01:40:42,280 ONE OF THE WAYS WE HOPE TO 2418 01:40:42,280 --> 01:40:44,960 CATALYZE IS BY MAKING OUR DATA 2419 01:40:44,960 --> 01:40:46,280 MANAGEMENT AND SHARING PLAN 2420 01:40:46,280 --> 01:40:47,320 PUBLICLY ACCESSIBLE SO THE 2421 01:40:47,320 --> 01:40:48,360 RESEARCH COMMUNITY CAN LOOK AT 2422 01:40:48,360 --> 01:40:50,160 OTHER DATA SHARING PLANS AND SEE 2423 01:40:50,160 --> 01:40:51,760 BY WHAT STANDARDS ARE THEY USING 2424 01:40:51,760 --> 01:40:53,160 AND COLLECTING AND SHARING 2425 01:40:53,160 --> 01:40:55,080 INFORMATION THAT PEOPLE CAN 2426 01:40:55,080 --> 01:40:56,200 SELF-ASSEMBLE AROUND DATA 2427 01:40:56,200 --> 01:40:58,720 SHARING STANDARDS AND THEN MOVE 2428 01:40:58,720 --> 01:41:00,000 FORWARD WITH A COLLECTIVE VIEW. 2429 01:41:00,000 --> 01:41:02,400 AT THE SAME TIME THE PUBLIC 2430 01:41:02,400 --> 01:41:05,360 ACCESS MEMO FROM THE WHITE HOUSE 2431 01:41:05,360 --> 01:41:10,760 HAS ASKED US TO DEVELOP GUIDANCE 2432 01:41:10,760 --> 01:41:13,600 AND POLICY AROUND PERSISTENT 2433 01:41:13,600 --> 01:41:14,880 IDENTIFIERS, IT'S SOMETHING 2434 01:41:14,880 --> 01:41:17,840 WE'LL BE MOVING FORWARD, TRYING 2435 01:41:17,840 --> 01:41:21,840 TO HAVE THAT PUSH/PULL, ADOPTING 2436 01:41:21,840 --> 01:41:23,360 STANDARDS THAT MAKES SENSE AS 2437 01:41:23,360 --> 01:41:24,480 WELL AS ESTABLISHING BASELINE 2438 01:41:24,480 --> 01:41:26,680 PARAMETERS TO GET US THERE. 2439 01:41:26,680 --> 01:41:29,480 >> I APPRECIATE ALL THAT DEEP 2440 01:41:29,480 --> 01:41:29,760 THINKING. 2441 01:41:29,760 --> 01:41:32,480 I'M MUCH MORE ON THE PRAGMATIC 2442 01:41:32,480 --> 01:41:36,920 LEVEL, IS NIH WORKING WITH, FOR 2443 01:41:36,920 --> 01:41:40,600 EXAMPLE, DATA SCIENCE COMPANIES 2444 01:41:40,600 --> 01:41:41,680 TO CREATE THESE PLATFORMS THAT 2445 01:41:41,680 --> 01:41:43,360 THEY ARE ALMOST PLUG AND PLAY, 2446 01:41:43,360 --> 01:41:45,640 THOSE ARE THE KINDS OF ISSUES 2447 01:41:45,640 --> 01:41:49,440 THAT I THINK ARE GOING TO HAVE A 2448 01:41:49,440 --> 01:41:53,720 TREMENDOUS IMPACT ON THE KIND OF 2449 01:41:53,720 --> 01:41:55,080 RESEARCH LABORATORIES THAT ARE 2450 01:41:55,080 --> 01:41:55,960 INDIVIDUALLY FUNDED. 2451 01:41:55,960 --> 01:42:00,200 >> I WOULD TURN TO DR. TABAK OR 2452 01:42:00,200 --> 01:42:01,160 DR. SCHWETZ. 2453 01:42:01,160 --> 01:42:03,680 DR. SUSAN GREGURICK RUNS THE 2454 01:42:03,680 --> 01:42:05,640 OFFICE OF DATA SCIENCE STRATEGY 2455 01:42:05,640 --> 01:42:08,360 IS WORKING WITH PRIVATE SECTOR 2456 01:42:08,360 --> 01:42:10,760 AND MORE TO ESTABLISH ACTUAL 2457 01:42:10,760 --> 01:42:11,880 PLATFORMS FOR RESEARCHERS TO 2458 01:42:11,880 --> 01:42:12,120 UTILIZE. 2459 01:42:12,120 --> 01:42:13,560 >> THANK YOU. 2460 01:42:13,560 --> 01:42:15,240 THAT'S GREAT NEWS. 2461 01:42:15,240 --> 01:42:16,760 >> I THINK YOU JUST SAID IT, 2462 01:42:16,760 --> 01:42:17,080 LYRIC. 2463 01:42:17,080 --> 01:42:25,040 THANKS. 2464 01:42:25,040 --> 01:42:29,680 >> ALL RIGHT. 2465 01:42:29,680 --> 01:42:29,880 ALEXA? 2466 01:42:29,880 --> 01:42:30,400 >> THANKS. 2467 01:42:30,400 --> 01:42:32,120 REALLY ENDORSE THIS WORK. 2468 01:42:32,120 --> 01:42:33,880 SO IMPORTANT. 2469 01:42:33,880 --> 01:42:35,960 AGAIN, HAVE BEEN SEEING REALLY 2470 01:42:35,960 --> 01:42:38,920 HIGH RATES FOR THESE 2471 01:42:38,920 --> 01:42:40,680 PUBLICATIONS, VERY PROBLEMATIC 2472 01:42:40,680 --> 01:42:42,720 FOR ESPECIALLY INVESTIGATORS 2473 01:42:42,720 --> 01:42:44,360 DOING INITIATING SITE INITIATED 2474 01:42:44,360 --> 01:42:46,080 WORK WITH LIMITED FUNDING, SO WE 2475 01:42:46,080 --> 01:42:48,600 ENDORSE KEEPING AN EYE ON THAT. 2476 01:42:48,600 --> 01:42:51,160 ONE COMMENT, THERE'S A THEME 2477 01:42:51,160 --> 01:42:52,680 THAT WASN'T TOUCHED ON, PUTTING 2478 01:42:52,680 --> 01:42:54,800 THESE THINGS INTO THE OPEN 2479 01:42:54,800 --> 01:42:56,680 DOMAIN IS REALLY BENEFICIAL FOR 2480 01:42:56,680 --> 01:42:57,960 THE RESEARCHERS BECAUSE RESEARCH 2481 01:42:57,960 --> 01:43:00,040 IS ACCESSED MORE AND CITED MORE. 2482 01:43:00,040 --> 01:43:01,760 WHEN WE TALK ABOUT 2483 01:43:01,760 --> 01:43:03,840 ADMINISTRATIVE BURDEN THERE'S A 2484 01:43:03,840 --> 01:43:06,240 WAY TO ADDRESS THAT AS THE 2485 01:43:06,240 --> 01:43:07,680 TRADEOFF IN MAKING THIS AND 2486 01:43:07,680 --> 01:43:09,800 THERE'S GOOD DATA SO FAR AROUND 2487 01:43:09,800 --> 01:43:12,200 THAT, AND MAYBE AN OPPORTUNITY 2488 01:43:12,200 --> 01:43:14,520 TO COLLECT DATA AROUND HOW THIS 2489 01:43:14,520 --> 01:43:15,320 ACTUALLY INCREASES CITATION 2490 01:43:15,320 --> 01:43:15,720 RATES. 2491 01:43:15,720 --> 01:43:18,320 SO JUST WANT TO MAKE SURE THAT 2492 01:43:18,320 --> 01:43:20,160 POSITIVE ASPECT GOT PUT INTO THE 2493 01:43:20,160 --> 01:43:27,560 NARRATIVE AROUND THIS. 2494 01:43:27,560 --> 01:43:28,000 THANK YOU. 2495 01:43:28,000 --> 01:43:28,920 >> EXCELLENT POINT. 2496 01:43:28,920 --> 01:43:34,960 THANK YOU VERY MUCH. 2497 01:43:34,960 --> 01:43:35,200 TESHIA? 2498 01:43:35,200 --> 01:43:35,720 >> THANK YOU. 2499 01:43:35,720 --> 01:43:37,080 THANK YOU FOR THE PRESENTATION 2500 01:43:37,080 --> 01:43:37,720 AS WELL. 2501 01:43:37,720 --> 01:43:41,200 IF I COULD START WITH ALSO 2502 01:43:41,200 --> 01:43:46,880 SHOWING GRATITUDE TO DR. TABAK 2503 01:43:46,880 --> 01:43:48,200 AND THE COMMITTEE ALLOWING ME TO 2504 01:43:48,200 --> 01:43:49,440 BE A NEW MEMBER. 2505 01:43:49,440 --> 01:43:52,160 IN THAT ROLE I'M GOING TO SPEAK 2506 01:43:52,160 --> 01:43:55,320 TO MAYBE THE CONCEPT OF BALANCE 2507 01:43:55,320 --> 01:43:59,640 HERE FOR COMMUNITIES WHO ARE 2508 01:43:59,640 --> 01:44:02,600 OFTEN STIGMATIZED FROM RESULTS 2509 01:44:02,600 --> 01:44:03,680 OF RESEARCH, PARTICULARLY 2510 01:44:03,680 --> 01:44:06,040 HAPPENS IN THE PUBLICATION 2511 01:44:06,040 --> 01:44:07,120 PROCESS. 2512 01:44:07,120 --> 01:44:11,280 AND SO I'M CURIOUS AS TO WHAT IS 2513 01:44:11,280 --> 01:44:14,320 BEING DONE OR AT LEAST TO PUT A 2514 01:44:14,320 --> 01:44:17,720 COMMENT OUT THERE FOR 2515 01:44:17,720 --> 01:44:20,360 CONSIDERATION, REGARDING THE 2516 01:44:20,360 --> 01:44:21,600 PREVENTION OF STIGMATIZATION 2517 01:44:21,600 --> 01:44:26,720 BOTH IN THE DATA ACCESS PIECE, 2518 01:44:26,720 --> 01:44:29,360 SO THE BIOSECURITY POLICY AND 2519 01:44:29,360 --> 01:44:31,120 PROTECTIONS AND REVIEW PROCESSES 2520 01:44:31,120 --> 01:44:34,960 THAT ARE PUT FORWARD TO PROTECT 2521 01:44:34,960 --> 01:44:36,280 THOSE COMMUNITIES. 2522 01:44:36,280 --> 01:44:37,760 I THINK THERE'S BOTH SOME 2523 01:44:37,760 --> 01:44:38,960 CHALLENGES AND SOME 2524 01:44:38,960 --> 01:44:43,440 OPPORTUNITIES HERE. 2525 01:44:43,440 --> 01:44:43,720 THANK YOU. 2526 01:44:43,720 --> 01:44:46,040 >> LET ME JUMP IN, AND THEN 2527 01:44:46,040 --> 01:44:47,440 LYRIC AND TARA CAN ADD ANYTHING 2528 01:44:47,440 --> 01:44:50,880 THAT I MAY HAVE OMITTED. 2529 01:44:50,880 --> 01:44:54,040 THE ISSUES THAT I BRING UP OF 2530 01:44:54,040 --> 01:44:56,440 COURSE ARE VERY REAL AND 2531 01:44:56,440 --> 01:44:57,960 CRITICALLY IMPORTANT. 2532 01:44:57,960 --> 01:45:02,960 BUT THE INTERVENTIONS ARE NEEDED 2533 01:45:02,960 --> 01:45:07,480 WELL BEFORE THE PUBLICATION, YOU 2534 01:45:07,480 --> 01:45:07,920 KNOW, APPEARING. 2535 01:45:07,920 --> 01:45:10,200 AND, YOU KNOW, I DID MENTION IN 2536 01:45:10,200 --> 01:45:16,440 MY OPENING REMARKS THAT WE HAVE 2537 01:45:16,440 --> 01:45:17,360 RECENTLY SUCCESSFULLY RECRUITED 2538 01:45:17,360 --> 01:45:20,880 A NEW DIRECTOR OF TRIBAL HEAD 2539 01:45:20,880 --> 01:45:23,320 OFFICE, AND THAT OFFICE REALLY 2540 01:45:23,320 --> 01:45:27,280 GUIDES ALL THE INSTITUTES AND 2541 01:45:27,280 --> 01:45:29,160 CENTERS IN THE APPROPRIATE WAY 2542 01:45:29,160 --> 01:45:33,040 THAT, FOR EXAMPLE, ONE NEEDS TO 2543 01:45:33,040 --> 01:45:36,480 ENGAGE WITH TRIBAL LEADERSHIP 2544 01:45:36,480 --> 01:45:39,320 AND TRIBAL NATIONS, INCLUDING 2545 01:45:39,320 --> 01:45:42,360 FORMAL CONSULTATIONS AS WELL AS 2546 01:45:42,360 --> 01:45:44,960 INFORMAL DISCUSSIONS, AND OVER 2547 01:45:44,960 --> 01:45:47,240 THE PAST MANY YEARS OUR AGENCY 2548 01:45:47,240 --> 01:45:50,240 HAS BEEN INVOLVED IN NUMEROUS 2549 01:45:50,240 --> 01:45:53,080 FORMAL CONSULTATIONS AS WELL AS 2550 01:45:53,080 --> 01:45:56,000 INFORMAL DISCUSSIONS ABOUT THESE 2551 01:45:56,000 --> 01:45:56,360 ISSUES. 2552 01:45:56,360 --> 01:45:58,680 AND OF COURSE THE CONCERNS YOU 2553 01:45:58,680 --> 01:46:02,440 RAISE ARE NOT LIMITED TO TRIBAL 2554 01:46:02,440 --> 01:46:04,440 NATIONS YOU ABOUT INDEED MANY 2555 01:46:04,440 --> 01:46:11,080 COMMUNITIES THAT HAVE BEEN 2556 01:46:11,080 --> 01:46:11,720 MARGINALIZED, DISADVANTAGED, SO 2557 01:46:11,720 --> 01:46:13,440 FORTH, THERE MAY BE A LESS 2558 01:46:13,440 --> 01:46:15,520 FORMAL WAY OF WORKING THROUGH 2559 01:46:15,520 --> 01:46:17,680 THESE, SO WE'RE VERY SENSITIVE 2560 01:46:17,680 --> 01:46:18,760 TO THIS. 2561 01:46:18,760 --> 01:46:23,280 WE TRY AND WORK DIRECTLY WITH 2562 01:46:23,280 --> 01:46:24,280 THE POTENTIALLY AFFECTED 2563 01:46:24,280 --> 01:46:26,480 COMMUNITIES, FOR EXAMPLE, WITH 2564 01:46:26,480 --> 01:46:29,280 OUR "ALL OF US" PROGRAM, THERE'S 2565 01:46:29,280 --> 01:46:32,440 BEEN TREMENDOUS AMOUNT OF CARE 2566 01:46:32,440 --> 01:46:37,320 TAKEN TO NAVIGATE THIS SO WE 2567 01:46:37,320 --> 01:46:39,760 DON'T WIND UP WITH THIS JUST 2568 01:46:39,760 --> 01:46:42,240 TERRIBLE OUTCOME, YOU KNOW, WHEN 2569 01:46:42,240 --> 01:46:42,800 IT HAPPENS. 2570 01:46:42,800 --> 01:46:45,040 ADDITIONALLY, I'M GOING TO TURN 2571 01:46:45,040 --> 01:46:47,960 TO MIKE LAUER, IF HE'S STILL ON, 2572 01:46:47,960 --> 01:46:51,280 IN INSTANCES WHERE WE DO SEE 2573 01:46:51,280 --> 01:46:52,800 SORT OF EGREGIOUS BEHAVIOR, IF 2574 01:46:52,800 --> 01:46:58,560 YOU WILL, A MISUSE OF DATA, FOR 2575 01:46:58,560 --> 01:47:00,280 EXAMPLE, FOR UNTOWARD REASONS, 2576 01:47:00,280 --> 01:47:02,320 WE DO TAKE SOME ACTION. 2577 01:47:02,320 --> 01:47:06,320 MIKE, MAYBE YOU WOULDN'T MIND 2578 01:47:06,320 --> 01:47:07,280 PLEASE ADDRESSING THAT POINT. 2579 01:47:07,280 --> 01:47:09,800 >> THESE RO REFERRED TO AS DATA 2580 01:47:09,800 --> 01:47:14,800 MANAGEMENT INCIDENTS, SO WE'VE 2581 01:47:14,800 --> 01:47:20,000 HAD CASES WHERE PEOPLE HAVE 2582 01:47:20,000 --> 01:47:21,840 VIOLATED DATA USE AGREEMENT. 2583 01:47:21,840 --> 01:47:24,480 MOST SIGNED BY SCIENTISTS BUT 2584 01:47:24,480 --> 01:47:25,560 ALSO THEIR INSTITUTION. 2585 01:47:25,560 --> 01:47:29,840 AND SO ONE LEVERAGE THAT WE HAVE 2586 01:47:29,840 --> 01:47:30,640 HAD INSTITUTIONAL OFFICIALS 2587 01:47:30,640 --> 01:47:31,160 THEMSELVES. 2588 01:47:31,160 --> 01:47:34,040 WE'VE HAD CASES WHERE WE'VE GONE 2589 01:47:34,040 --> 01:47:35,200 TO INSTITUTIONAL OFFICIALS, 2590 01:47:35,200 --> 01:47:37,960 IDENTIFIED VIOLATIONS OF DATA 2591 01:47:37,960 --> 01:47:38,720 USE AGREEMENTS, INAPPROPRIATE 2592 01:47:38,720 --> 01:47:40,680 USE OF DATA AND VARIOUS ACTIONS 2593 01:47:40,680 --> 01:47:42,640 HAVE BEEN TAKEN. 2594 01:47:42,640 --> 01:47:45,960 AND AS AN EXAMPLE OF ONE ACTION, 2595 01:47:45,960 --> 01:47:47,640 IS THAT WE SUSPEND THE ABILITY 2596 01:47:47,640 --> 01:47:51,400 OF PARTICULAR SCIENTIST TO HAVE 2597 01:47:51,400 --> 01:47:54,800 ACCESS TO DATA FOR A PERIOD OF 2598 01:47:54,800 --> 01:47:56,560 TIME. 2599 01:47:56,560 --> 01:47:57,800 WE'VE DONE THAT. 2600 01:47:57,800 --> 01:47:59,080 THERE HAVE BEEN CASES IN THE 2601 01:47:59,080 --> 01:48:01,960 COURSE OF ACTIONS THEY HAVE 2602 01:48:01,960 --> 01:48:04,080 VIOLATED INSTITUTIONAL POLICIES 2603 01:48:04,080 --> 01:48:07,800 AND INSTITUTIONAL LEADERS CAN 2604 01:48:07,800 --> 01:48:09,080 HOLD SCIENTISTS APPROPRIATELY 2605 01:48:09,080 --> 01:48:13,600 ACCOUNTABLE, AS DEPENDING ON THE 2606 01:48:13,600 --> 01:48:14,120 SPECIFIC CIRCUMSTANCES. 2607 01:48:14,120 --> 01:48:14,960 >> THANKS, MIKE. 2608 01:48:14,960 --> 01:48:22,880 LYRIC OR TARA, HAVE I LEFT 2609 01:48:22,880 --> 01:48:23,480 ANYTHING OUT? 2610 01:48:23,480 --> 01:48:28,240 >> YOU EXPRESS OUR COMMITMENT 2611 01:48:28,240 --> 01:48:29,040 VERY PERFECTLY. 2612 01:48:29,040 --> 01:48:31,080 WE'RE THINKING ABOUT IT FROM 2613 01:48:31,080 --> 01:48:32,600 BEGINNING THROUGH AND THAT 2614 01:48:32,600 --> 01:48:33,560 PIPELINE I SHOWED ABOUT SHARING 2615 01:48:33,560 --> 01:48:35,040 INFORMATION FROM THE DATA 2616 01:48:35,040 --> 01:48:35,960 MANAGEMENT SHARING POLICY THAT 2617 01:48:35,960 --> 01:48:40,480 SAYS THERE ARE LIMITS TO SHARING 2618 01:48:40,480 --> 01:48:46,360 IF THERE ARE ETHICAL OR SOCIAL 2619 01:48:46,360 --> 01:48:47,200 IMPLICATION TO ACCESS REQUEST, 2620 01:48:47,200 --> 01:48:49,480 PART IS LOOKING DOES IT HAVE 2621 01:48:49,480 --> 01:48:50,120 POTENTIAL FOR STIGMATIZING 2622 01:48:50,120 --> 01:48:53,360 RESULTS INTO THE PLACE OF HOW 2623 01:48:53,360 --> 01:48:54,960 AND WHAT INFORMATION PEOPLE WANT 2624 01:48:54,960 --> 01:48:56,560 THROUGH ANOTHER ENGAGEMENT WITH 2625 01:48:56,560 --> 01:48:57,800 AN ADVISORY COMMITTEE DIRECTOR 2626 01:48:57,800 --> 01:48:59,480 ASKING REAL PEOPLE ACROSS THE 2627 01:48:59,480 --> 01:49:01,080 COUNTRY WHAT ARE IMPLICATIONS 2628 01:49:01,080 --> 01:49:02,480 FOR YOU, YOUR FAMILIES, AND THE 2629 01:49:02,480 --> 01:49:03,920 COMMUNITIES THAT YOU LIVE IN. 2630 01:49:03,920 --> 01:49:06,280 WE'RE TAKING A REAL HOLISTIC 2631 01:49:06,280 --> 01:49:07,800 APPROACH TO THE QUESTION, I 2632 01:49:07,800 --> 01:49:09,280 APPRECIATE YOU RAISING IT. 2633 01:49:09,280 --> 01:49:10,480 >> YEAH, AND, AGAIN, I'D LIKE 2634 01:49:10,480 --> 01:49:14,840 TO ADD MY THANKS. 2635 01:49:14,840 --> 01:49:16,920 WE LOOK FORWARD TO CONTINUED 2636 01:49:16,920 --> 01:49:18,360 GUIDANCE AS WE GO FORWARD. 2637 01:49:18,360 --> 01:49:20,320 THIS IS A TOPIC THAT YOU HAVE 2638 01:49:20,320 --> 01:49:22,680 SPENT A LOT OF TIME WORKING IN 2639 01:49:22,680 --> 01:49:24,920 AND THINKING ABOUT. 2640 01:49:24,920 --> 01:49:25,400 SO THANK YOU. 2641 01:49:25,400 --> 01:49:27,720 >> I JUST WANT TO BE CLEAR WHAT 2642 01:49:27,720 --> 01:49:29,040 I'M SUGGESTING IS EVERYTHING 2643 01:49:29,040 --> 01:49:29,920 YOU'RE DOING IS GREAT. 2644 01:49:29,920 --> 01:49:31,840 I DON'T HAVE A PROBLEM WITH 2645 01:49:31,840 --> 01:49:32,040 THAT. 2646 01:49:32,040 --> 01:49:34,360 I'M STEPPING INTO A SPACE WHERE 2647 01:49:34,360 --> 01:49:37,280 I CAN CLEARLY SAY THAT I'M A 2648 01:49:37,280 --> 01:49:39,200 DINOSAUR WHERE TECHNOLOGY IS 2649 01:49:39,200 --> 01:49:43,240 CONSIDERED, SO I HAPPILY 'EM 2650 01:49:43,240 --> 01:49:43,400 -- 2651 01:49:43,400 --> 01:49:44,040 EMBRACE THAT. 2652 01:49:44,040 --> 01:49:46,200 AS YOU TALKED ABOUT PREPAREDNESS 2653 01:49:46,200 --> 01:49:48,200 AROUND COVID THAT WE ARE 2654 01:49:48,200 --> 01:49:50,200 THINKING ABOUT THE NEXT PANDEMIC 2655 01:49:50,200 --> 01:49:54,200 AND THAT MADE ME THINK ABOUT THE 2656 01:49:54,200 --> 01:49:56,920 DATA AND THE WAY THAT TECHNOLOGY 2657 01:49:56,920 --> 01:49:59,960 AND THOSE PEOPLE WHO WOULD DO 2658 01:49:59,960 --> 01:50:02,080 HARM ARE, YOU KNOW, ALWAYS AHEAD 2659 01:50:02,080 --> 01:50:04,160 OF US, ALWAYS AHEAD OF US HOW TO 2660 01:50:04,160 --> 01:50:05,600 TAKE ADVANTAGE OF THOSE 2661 01:50:05,600 --> 01:50:05,960 SITUATIONS. 2662 01:50:05,960 --> 01:50:07,840 SO I THINK THERE MIGHT BE AN 2663 01:50:07,840 --> 01:50:09,800 OPPORTUNITY, I DON'T KNOW, BUT 2664 01:50:09,800 --> 01:50:13,320 IN THAT VEIN FOR NIH TO BE 2665 01:50:13,320 --> 01:50:13,600 INVOLVED. 2666 01:50:13,600 --> 01:50:19,120 TO BE INVOLVED IN HOW CAN WE 2667 01:50:19,120 --> 01:50:20,880 ENGAGE TECHNOLOGY COMMUNITY IN 2668 01:50:20,880 --> 01:50:23,200 RESEARCH ABOUT SPECIFICALLY THE 2669 01:50:23,200 --> 01:50:24,880 PROTECTION OF BIODATA AND AS WE 2670 01:50:24,880 --> 01:50:26,880 BEGIN TO BE MORE OPEN WITH THE 2671 01:50:26,880 --> 01:50:28,160 DATA THROUGH "ALL OF US" AND 2672 01:50:28,160 --> 01:50:31,120 OTHER TYPES OF PROGRAM HOW DO WE 2673 01:50:31,120 --> 01:50:34,040 STAY ONE STEP AHEAD, SO I THINK 2674 01:50:34,040 --> 01:50:36,120 THERE'S SOME OPPORTUNITY THERE 2675 01:50:36,120 --> 01:50:38,760 AND THAT'S MY POINT, TO OFFER 2676 01:50:38,760 --> 01:50:41,880 THAT CHALLENGE AND MAYBE TO 2677 01:50:41,880 --> 01:50:42,200 GET -- YEAH. 2678 01:50:42,200 --> 01:50:43,080 >> THANK YOU. 2679 01:50:43,080 --> 01:50:46,240 THAT'S A GOOD SEGUE. 2680 01:50:46,240 --> 01:50:50,240 OUR NEXT QUESTIONER IS AN EXPERT 2681 01:50:50,240 --> 01:50:50,960 IN THE TECHNOLOGY. 2682 01:50:50,960 --> 01:50:53,120 I DON'T KNOW IF YOU'RE GOING TO 2683 01:50:53,120 --> 01:50:54,880 SPEAK TO THAT DIRECTLY BUT 2684 01:50:54,880 --> 01:50:56,480 YOU'RE UP NEXT. 2685 01:50:56,480 --> 01:50:59,120 >> NOT DIRECTLY. 2686 01:50:59,120 --> 01:51:01,120 THANKS FOR THE GREAT UPDATE. 2687 01:51:01,120 --> 01:51:04,120 TODAY WE'RE TALKING ABOUT MORE 2688 01:51:04,120 --> 01:51:05,160 ABOUT OPEN ACCESS PUBLICATIONS, 2689 01:51:05,160 --> 01:51:07,480 INSTEAD OF OPEN ACCESSION DATA, 2690 01:51:07,480 --> 01:51:09,240 WHICH COULD BE ITS OWN 2691 01:51:09,240 --> 01:51:09,760 SEVERAL-HOUR DISCUSSION. 2692 01:51:09,760 --> 01:51:14,560 I HAVE A BUNCH OF QUESTIONS. 2693 01:51:14,560 --> 01:51:16,360 I'LL START WITH THE MOST 2694 01:51:16,360 --> 01:51:20,520 CONTROVERSIAL ONE FIRST. 2695 01:51:20,520 --> 01:51:23,320 WHY IS NIH JUST CONSIDERING 2696 01:51:23,320 --> 01:51:24,640 REASONABLE PUBLICATION COSTS, 2697 01:51:24,640 --> 01:51:26,920 WHY NOT DIRECTLY LOWER THEM? 2698 01:51:26,920 --> 01:51:29,800 FOR EXAMPLE WE NOW HAVE CMS 2699 01:51:29,800 --> 01:51:32,640 NEGOTIATING DRUG PRICING, RIGHT? 2700 01:51:32,640 --> 01:51:34,960 WHY COULDN'T NIH ENTER 2701 01:51:34,960 --> 01:51:35,720 DISCUSSIONS TO DIRECTLY LOWER 2702 01:51:35,720 --> 01:51:38,040 ARTICLE OF PUBLISHING INDICATION 2703 01:51:38,040 --> 01:51:39,040 COSTS FOR NIH-FUNDED 2704 01:51:39,040 --> 01:51:39,360 INVESTIGATORS? 2705 01:51:39,360 --> 01:51:40,920 WE'VE TAKEN SOME STEPS AT THE 2706 01:51:40,920 --> 01:51:46,400 UNIVERSITY OF CALIFORNIA LIKE 2707 01:51:46,400 --> 01:51:48,600 WITH ELSEVIER, I'M NOT SAYING 2708 01:51:48,600 --> 01:51:50,160 IT'S EASY OR WITHOUT CONTROVERSY 2709 01:51:50,160 --> 01:51:51,840 BUT WHY COULDN'T NIH JUST START 2710 01:51:51,840 --> 01:51:53,480 TO ASK THEM TO BE LOWERED? 2711 01:51:53,480 --> 01:51:55,680 LET ME START WITH THE FIRST 2712 01:51:55,680 --> 01:51:55,960 QUESTION. 2713 01:51:55,960 --> 01:52:00,000 >> LET ME JUMP IN BECAUSE MY 2714 01:52:00,000 --> 01:52:01,680 TEAM IS POINTING THE FINGERS AT 2715 01:52:01,680 --> 01:52:10,240 ME HERE TO ANSWER THAT. 2716 01:52:10,240 --> 01:52:12,160 INDEED WE'VE THOUGHT ABOUT THIS. 2717 01:52:12,160 --> 01:52:17,600 AS YOU MIGHT IMAGINE, SHOULD WE 2718 01:52:17,600 --> 01:52:19,840 EMBARK ON THAT APPROACH, WE 2719 01:52:19,840 --> 01:52:25,000 ENTER A VERY COMPLEX ECOSYSTEM. 2720 01:52:25,000 --> 01:52:28,080 BUT I THINK, YOU KNOW, ONE WE'RE 2721 01:52:28,080 --> 01:52:29,640 NOT GOING TO NECESSARILY SHY 2722 01:52:29,640 --> 01:52:31,240 AWAY FROM BUT WANT TO ENSURE 2723 01:52:31,240 --> 01:52:36,240 THAT WE HAVE THOUGHT THROUGH ALL 2724 01:52:36,240 --> 01:52:39,520 OF THE POTENTIAL IMPLICATIONS, 2725 01:52:39,520 --> 01:52:43,360 SO I THINK YOUR POINT IS A VERY 2726 01:52:43,360 --> 01:52:44,040 GOOD ONE. 2727 01:52:44,040 --> 01:52:46,920 AND SO I WOULD JUST SAY STAY 2728 01:52:46,920 --> 01:52:53,800 TUNED TO SEE WHETHER OR NOT THE 2729 01:52:53,800 --> 01:52:54,600 VARIOUS DISCUSSION ULTIMATELY 2730 01:52:54,600 --> 01:52:56,840 LEAD US IN THAT DIRECTION, OR 2731 01:52:56,840 --> 01:52:59,000 NOT. 2732 01:52:59,000 --> 01:53:01,400 SO TO BE CONTINUED. 2733 01:53:01,400 --> 01:53:01,600 OKAY? 2734 01:53:01,600 --> 01:53:03,240 >> I APPRECIATE THAT. 2735 01:53:03,240 --> 01:53:04,560 THREE SORTER AND SIMPLER 2736 01:53:04,560 --> 01:53:06,440 QUESTIONS NEXT. 2737 01:53:06,440 --> 01:53:08,840 ONE STEP TOWARDS GETTING THERE 2738 01:53:08,840 --> 01:53:10,600 MIGHT BE TO ACTUALLY TRACK HOW 2739 01:53:10,600 --> 01:53:12,240 MUCH NIH SPENDS ON THESE THINGS. 2740 01:53:12,240 --> 01:53:17,360 DO WE HAVE ANY IDEA YET WHAT 2741 01:53:17,360 --> 01:53:20,000 PERCENT IS SPENT ON ARTICLE 2742 01:53:20,000 --> 01:53:20,960 PUBLICATION COST, IS THERE ANY 2743 01:53:20,960 --> 01:53:22,160 WAY TO TRACK THAT YET? 2744 01:53:22,160 --> 01:53:24,960 >> I DON'T THINK IT'S 2745 01:53:24,960 --> 01:53:25,520 INCREDIBLY LARGE. 2746 01:53:25,520 --> 01:53:30,600 MIKE, WOULD YOU HAVE ANY INSIGHT 2747 01:53:30,600 --> 01:53:31,240 VIS-A-VIS EXTRAMURAL RESEARCH? 2748 01:53:31,240 --> 01:53:35,760 >> SO AT ONE POINT WE DID MAKE 2749 01:53:35,760 --> 01:53:39,160 AN ESTIMATE, AND IT'S A VERY 2750 01:53:39,160 --> 01:53:44,960 SMALL PERCENTAGE OF THE OVERALL 2751 01:53:44,960 --> 01:53:45,160 COST. 2752 01:53:45,160 --> 01:53:47,800 >> AND NINA, FOR THE INTRAMURAL 2753 01:53:47,800 --> 01:53:52,560 PROGRAM WOULD YOU CONCUR? 2754 01:53:52,560 --> 01:53:57,200 >> YEAH, I THINK IT'S MORE OF A 2755 01:53:57,200 --> 01:53:59,920 PROBLEM FOR THE INDIVIDUAL 2756 01:53:59,920 --> 01:54:01,080 INTRAMURAL PROGRAM SCIENTIST BUT 2757 01:54:01,080 --> 01:54:02,840 I DON'T THINK OVERALL BECAUSE 2758 01:54:02,840 --> 01:54:05,080 THE NUMBERS ARE SO MUCH SMALLER 2759 01:54:05,080 --> 01:54:06,760 THAN IT IS IN EXTRAMURAL. 2760 01:54:06,760 --> 01:54:09,400 I DON'T THINK OVERALL IT WOULD 2761 01:54:09,400 --> 01:54:11,240 BE A SIGNIFICANT INCREMENT. 2762 01:54:11,240 --> 01:54:15,280 >> THANK YOU BOTH. 2763 01:54:15,280 --> 01:54:19,000 >> WE CAN TRACK THAT TO MAKE 2764 01:54:19,000 --> 01:54:21,920 SURE IT DOESN'T CONTINUE TO 2765 01:54:21,920 --> 01:54:22,120 RISE. 2766 01:54:22,120 --> 01:54:23,360 >> WE PROPOSED TRACKING TO 2767 01:54:23,360 --> 01:54:26,800 MONITOR AND ASSESS COSTS TO US, 2768 01:54:26,800 --> 01:54:28,240 AUTHORS, MODELS, THAT'S 2769 01:54:28,240 --> 01:54:28,960 SOMETHING WE PROPOSED. 2770 01:54:28,960 --> 01:54:29,960 >> GREAT. 2771 01:54:29,960 --> 01:54:33,440 TWO MORE QUICK QUESTIONS ON 2772 01:54:33,440 --> 01:54:34,560 PUBMED CENTRAL ITSELF. 2773 01:54:34,560 --> 01:54:37,400 DO WE HAVE USAGE DATA ON PUBMED 2774 01:54:37,400 --> 01:54:37,800 CENTRAL? 2775 01:54:37,800 --> 01:54:40,400 I WAS GOOGLING AND COULDN'T FIND 2776 01:54:40,400 --> 01:54:41,640 ANYTHING FROM NLM. 2777 01:54:41,640 --> 01:54:45,280 DO WE SEE THE PUBLIC USING IT? 2778 01:54:45,280 --> 01:54:50,400 WE DON'T ADVERTISE TO THE PUBLIC 2779 01:54:50,400 --> 01:54:50,800 AND SHOULD WE? 2780 01:54:50,800 --> 01:54:52,280 >> WE CERTAINLY TRACK THIS 2781 01:54:52,280 --> 01:54:52,560 INFORMATION. 2782 01:54:52,560 --> 01:54:57,240 I CAN'T SPEAK ON BEHALF OF DR. 2783 01:54:57,240 --> 01:54:59,200 BRENNAN, IT'S VERY WIDELY USE, 2784 01:54:59,200 --> 01:55:01,120 AND WE'RE HAPPY TO FOLLOW UP 2785 01:55:01,120 --> 01:55:03,040 WITH THAT INFORMATION AND IT 2786 01:55:03,040 --> 01:55:05,160 CHANGES OBVIOUSLY DAILY. 2787 01:55:05,160 --> 01:55:06,800 THAT'S WHY MY STATISTICS ARE 2788 01:55:06,800 --> 01:55:09,760 ALREADY OUT OF DATE, WENT FROM 2789 01:55:09,760 --> 01:55:11,600 150,000 TO 500,000 PAPERS IN THE 2790 01:55:11,600 --> 01:55:12,760 COURSE OF A YEAR. 2791 01:55:12,760 --> 01:55:13,440 >> THAT'S GREAT. 2792 01:55:13,440 --> 01:55:15,560 WOULD BE GREAT TO SEE THE PUBLIC 2793 01:55:15,560 --> 01:55:18,280 USING AND BENEFITING FROM IT, 2794 01:55:18,280 --> 01:55:20,320 MAYBE CASE EXAMPLES, HOW 2795 01:55:20,320 --> 01:55:21,120 PATIENTS HAVE HELPED THEMSELVES 2796 01:55:21,120 --> 01:55:25,240 WOULD BE GREAT TO TRACK. 2797 01:55:25,240 --> 01:55:26,920 LAST COMMENT, IS NIH OKAY WITH 2798 01:55:26,920 --> 01:55:30,680 ANY AND ALL USES FOR PUBMED 2799 01:55:30,680 --> 01:55:31,080 CENTRAL? 2800 01:55:31,080 --> 01:55:34,720 I MEAN, I'M SITTING IN SILICON 2801 01:55:34,720 --> 01:55:36,440 VALLEY, HOWARD AND OTHERS 2802 01:55:36,440 --> 01:55:42,600 SURROUNDED BY COMPANIES BUILDING 2803 01:55:42,600 --> 01:55:44,560 LARGE LANGUAGE MODELS, A.I., WE 2804 01:55:44,560 --> 01:55:47,040 CAN LARGE MODELS SPECIFICALLY 2805 01:55:47,040 --> 01:55:49,400 TRAINED ON NIH-FUNDED RESEARCH 2806 01:55:49,400 --> 01:55:52,480 AND THEIR PUBLICATIONS. 2807 01:55:52,480 --> 01:55:53,800 IT'S A NEW DIRECTION, IS NIH 2808 01:55:53,800 --> 01:55:55,200 GOING TO BE OKAY? 2809 01:55:55,200 --> 01:56:01,080 WE'RE IMAGINING USE ARE FOR 2810 01:56:01,080 --> 01:56:02,120 PUBMED CENTRAL THAT WEREN'T 2811 01:56:02,120 --> 01:56:03,480 THINKABLE FIVE YEARS AGO, IS NIH 2812 01:56:03,480 --> 01:56:05,720 GOING TO BE OKAY WITH THIS? 2813 01:56:05,720 --> 01:56:06,560 >> I'LL JUMP IN. 2814 01:56:06,560 --> 01:56:09,560 OF COURSE WE'RE GOING TO BE OKAY 2815 01:56:09,560 --> 01:56:10,680 WITH IT. 2816 01:56:10,680 --> 01:56:14,400 THIS IS ALL REALLY EXCITING 2817 01:56:14,400 --> 01:56:15,280 STUFF, RIGHT? 2818 01:56:15,280 --> 01:56:18,040 AND OF COURSE OUR COLLEAGUES AT 2819 01:56:18,040 --> 01:56:19,640 NLM, YOU KNOW, THEY HAVE BEEN 2820 01:56:19,640 --> 01:56:21,760 KNOWN TO WRITE A COUPLE LINES OF 2821 01:56:21,760 --> 01:56:26,920 CODE THEMSELVES EVERY ONCE IN A 2822 01:56:26,920 --> 01:56:27,320 WHILE. 2823 01:56:27,320 --> 01:56:30,280 I'M BEING SILLY HERE BUT 2824 01:56:30,280 --> 01:56:31,240 CERTAINLY PEOPLE ARE 2825 01:56:31,240 --> 01:56:32,120 CONTEMPLATING NOT ONLY THE 2826 01:56:32,120 --> 01:56:36,000 PRESENT BUT WHAT THE FUTURE IS. 2827 01:56:36,000 --> 01:56:43,240 AND I DO THINK WITH THAT FUTURE 2828 01:56:43,240 --> 01:56:43,840 COMES TREMENDOUS OPPORTUNITY 2829 01:56:43,840 --> 01:56:45,880 BUT, YOU KNOW I'M GOING TO SAY 2830 01:56:45,880 --> 01:56:48,040 NEXT, ALSO THE CAUTIONARY TALE, 2831 01:56:48,040 --> 01:56:48,920 RIGHT? 2832 01:56:48,920 --> 01:56:52,400 AND SO IT BEHOOVES US AS WE 2833 01:56:52,400 --> 01:56:55,240 THINK THROUGH THIS TO REALLY 2834 01:56:55,240 --> 01:56:56,960 UNDERSTAND ALL THE DIMENSIONS 2835 01:56:56,960 --> 01:56:57,440 HERE. 2836 01:56:57,440 --> 01:57:03,080 YES, WE CAN DO THINGS FASTER, 2837 01:57:03,080 --> 01:57:05,640 BETTER, GAIN INSIGHTS THAT 2838 01:57:05,640 --> 01:57:06,840 HERETOFORE WERE HIDDEN, THAT ONE 2839 01:57:06,840 --> 01:57:08,720 WOULD HAVE NEVER EVEN 2840 01:57:08,720 --> 01:57:09,040 CONTEMPLATED. 2841 01:57:09,040 --> 01:57:11,520 BUT IF YOU TURN THAT AROUND, 2842 01:57:11,520 --> 01:57:13,680 RIGHT, AND I KNOW YOU THINK 2843 01:57:13,680 --> 01:57:15,600 DEEPLY ABOUT THIS, SO LET ME -- 2844 01:57:15,600 --> 01:57:18,080 IF YOU TURN THAT AROUND, YOU 2845 01:57:18,080 --> 01:57:19,560 KNOW, GOUT TO MAKE SURE YOU DO 2846 01:57:19,560 --> 01:57:26,400 THIS IN A WAY THAT DOES NOT 2847 01:57:26,400 --> 01:57:27,120 ADVERSELY AFFECT INDIVIDUALS, 2848 01:57:27,120 --> 01:57:28,840 COMMUNITIES, ET CETERA. 2849 01:57:28,840 --> 01:57:33,280 THAT GETS BACK, YOU KNOW, TO DR. 2850 01:57:33,280 --> 01:57:35,720 SOLOMON'S ORIGINAL COMMENTS. 2851 01:57:35,720 --> 01:57:39,360 AND SO BUT WE'RE NOT GOING TO BE 2852 01:57:39,360 --> 01:57:42,040 OSTRICHES, RIGHT? 2853 01:57:42,040 --> 01:57:45,160 WE REALLY HAVE TO EMBRACE THIS. 2854 01:57:45,160 --> 01:57:48,680 AND, YOU KNOW, OUR -- ONE OF THE 2855 01:57:48,680 --> 01:57:51,360 LESSONS LEARNED DURING THE 2856 01:57:51,360 --> 01:57:53,600 PANDEMIC WAS THE INCREDIBLE 2857 01:57:53,600 --> 01:57:59,040 VALUE THAT NIH GAINED FROM 2858 01:57:59,040 --> 01:57:59,800 WORKING WITH INDUSTRY. 2859 01:57:59,800 --> 01:58:01,440 WE LEARNED A LOT. 2860 01:58:01,440 --> 01:58:03,240 HEY, YOU KNOW, THIS ACTUALLY 2861 01:58:03,240 --> 01:58:06,480 COULD WORK. 2862 01:58:06,480 --> 01:58:08,800 MY HOPE IS THAT WE EMBRACE THAT 2863 01:58:08,800 --> 01:58:11,280 IN OTHER DIRECTIONS AS WELL. 2864 01:58:11,280 --> 01:58:15,240 THIS IS A PERFECT EXAMPLE OF 2865 01:58:15,240 --> 01:58:17,760 WHERE THAT NOT ONLY COULD BUT I 2866 01:58:17,760 --> 01:58:21,600 THINK SHOULD HAPPEN IN THE 2867 01:58:21,600 --> 01:58:22,160 FUTURE. 2868 01:58:22,160 --> 01:58:22,680 >> GREAT. 2869 01:58:22,680 --> 01:58:23,120 THANKS. 2870 01:58:23,120 --> 01:58:24,280 THANKS FOR ANSWERING ALL THESE 2871 01:58:24,280 --> 01:58:26,520 QUESTIONS. 2872 01:58:26,520 --> 01:58:32,640 2873 01:58:32,640 --> 01:58:32,920 >> COREY? 2874 01:58:32,920 --> 01:58:33,560 >> THANK YOU. 2875 01:58:33,560 --> 01:58:36,920 >> YOUR SOUND IS A LITTLE 2876 01:58:36,920 --> 01:58:38,320 MUTED. 2877 01:58:38,320 --> 01:58:39,080 I'M SORRY. 2878 01:58:39,080 --> 01:58:39,520 >> REALLY MUFFLED. 2879 01:58:39,520 --> 01:58:39,960 >> OKAY. 2880 01:58:39,960 --> 01:58:43,800 CAN YOU HEAR ME NOW? 2881 01:58:43,800 --> 01:58:45,280 >> THAT'S BETTER. 2882 01:58:45,280 --> 01:58:45,600 THANK YOU. 2883 01:58:45,600 --> 01:58:47,800 >> IT'S BETTER? 2884 01:58:47,800 --> 01:58:48,400 OKAY. 2885 01:58:48,400 --> 01:58:52,440 I TOO AM A NEW MEMBER TO THE ACD 2886 01:58:52,440 --> 01:58:56,560 AND WANT TO THANK DR. TABAK AND 2887 01:58:56,560 --> 01:58:59,600 NIH FOR THIS OPPORTUNITY. 2888 01:58:59,600 --> 01:59:01,880 I HAVE TWO QUESTIONS, PERHAPS 2889 01:59:01,880 --> 01:59:02,360 COMMENTS. 2890 01:59:02,360 --> 01:59:05,840 NUMBER ONE IN TERMS OF THE 2891 01:59:05,840 --> 01:59:07,720 ADMINISTRATIVE BURDEN THAT'S 2892 01:59:07,720 --> 01:59:15,400 BEEN DISCUSSED IN TERMS OF DATA 2893 01:59:15,400 --> 01:59:18,080 SHARING, CMS, HAS NIH GIVEN ANY 2894 01:59:18,080 --> 01:59:21,120 THOUGHT OR PLANS TO BUILDING 2895 01:59:21,120 --> 01:59:22,800 DATA CENTER CAPACITY AT 2896 01:59:22,800 --> 01:59:24,640 HISTORICALLY BLACK COLLEGES AND 2897 01:59:24,640 --> 01:59:28,080 UNIVERSITIES THAT MAY BE FUNDED 2898 01:59:28,080 --> 01:59:29,760 UNDER NIH IN DISPARITY RESEARCH 2899 01:59:29,760 --> 01:59:32,920 AS WELL AS TRIBAL COLLEGES AND 2900 01:59:32,920 --> 01:59:35,080 UNIVERSITIES AND OTHER 2901 01:59:35,080 --> 01:59:35,680 MINORITY-SERVING INSTITUTIONS 2902 01:59:35,680 --> 01:59:40,240 THAT MAY NOT HAVE THE RESOURCES 2903 01:59:40,240 --> 01:59:43,520 THAT OTHER INSTITUTIONS MIGHT 2904 01:59:43,520 --> 01:59:47,360 HAVE, HAVE YOU IDENTIFIED ANY 2905 01:59:47,360 --> 01:59:51,400 PARTICULAR NEED FOR DATA SHARING 2906 01:59:51,400 --> 01:59:55,520 CAPACITY BUILDING TRAINING OR 2907 01:59:55,520 --> 01:59:58,240 ANY CERTAIN RESOURCE 2908 01:59:58,240 --> 02:00:08,760 IDENTIFICATION TO ENSURE THEY 2909 02:00:12,000 --> 02:00:19,440 ARE -- [ LOW AUDIO ]. 2910 02:00:19,440 --> 02:00:22,040 >> THIS HAS BEEN A 2911 02:00:22,040 --> 02:00:23,120 PROGRAM-BY-PROGRAM BASIS, AND I 2912 02:00:23,120 --> 02:00:25,280 WOULD THINK GOING FORWARD WE 2913 02:00:25,280 --> 02:00:30,720 WOULD PROBABLY WANT TO TRY A 2914 02:00:30,720 --> 02:00:31,920 MORE GENERALIZED APPROACH ACROSS 2915 02:00:31,920 --> 02:00:32,320 THE BOARD. 2916 02:00:32,320 --> 02:00:33,800 MIKE, I DON'T KNOW IF YOU HAVE 2917 02:00:33,800 --> 02:00:38,080 COMMENTS YOU'D LIKE TO MAKE 2918 02:00:38,080 --> 02:00:38,560 ABOUT THIS. 2919 02:00:38,560 --> 02:00:39,760 >> WELL, THERE ARE SOME 2920 02:00:39,760 --> 02:00:44,480 PROGRAMS I CAN THINK OF, I'M NOT 2921 02:00:44,480 --> 02:00:46,400 SURE THOSE ARE SALIENT HERE BUT 2922 02:00:46,400 --> 02:00:50,520 ONE IS THE AIM AHEAD PROGRAM. 2923 02:00:50,520 --> 02:00:55,920 THERE'S ALSO EFFORTS TO ENHANCE 2924 02:00:55,920 --> 02:01:00,120 RESEARCH CAPACITY AT 2925 02:01:00,120 --> 02:01:00,720 MINORITY-SERVING INSTITUTIONS 2926 02:01:00,720 --> 02:01:01,760 USING CONTRACT MECHANISMS THAT 2927 02:01:01,760 --> 02:01:03,200 MAY APPLY HERE. 2928 02:01:03,200 --> 02:01:04,720 ANOTHER IMPORTANT POINT, THE WAY 2929 02:01:04,720 --> 02:01:08,320 THE POLICY IS WRITTEN AND BEING 2930 02:01:08,320 --> 02:01:10,200 IMPLEMENTED IS THAT COSTS FOR 2931 02:01:10,200 --> 02:01:13,240 DATA MANAGEMENT AND DATA SHARING 2932 02:01:13,240 --> 02:01:14,640 ARE INCORPORATED INTO BUDGETS. 2933 02:01:14,640 --> 02:01:17,240 AND IN FACT WE INSIST ON THAT. 2934 02:01:17,240 --> 02:01:19,520 WE WANT INSTITUTIONS TO THINK 2935 02:01:19,520 --> 02:01:21,240 ABOUT THAT RIGHT UP FRONT. 2936 02:01:21,240 --> 02:01:24,120 SO, THOSE ARE THREE THINGS I CAN 2937 02:01:24,120 --> 02:01:24,520 THINK OF. 2938 02:01:24,520 --> 02:01:26,880 >> YEAH, TO BUILD OFF YOUR LAST 2939 02:01:26,880 --> 02:01:29,520 POINT, MIKE, WHAT WE WILL NEED 2940 02:01:29,520 --> 02:01:31,480 TO DO IS TO ENCOURAGE 2941 02:01:31,480 --> 02:01:32,400 ORGANIZATIONS, PARTICULARLY 2942 02:01:32,400 --> 02:01:36,360 THOSE THAT MIGHT BE SOMEWHAT 2943 02:01:36,360 --> 02:01:38,120 LESS FAMILIAR WITH NIH, TO 2944 02:01:38,120 --> 02:01:40,360 CONTEMPLATE WHAT THOSE COSTS 2945 02:01:40,360 --> 02:01:42,520 MIGHT BE, THAT IS THE WHOLE 2946 02:01:42,520 --> 02:01:45,040 COST, SO THAT THEY APPROPRIATELY 2947 02:01:45,040 --> 02:01:48,680 BUILD THAT IN TO ANY PROPOSAL 2948 02:01:48,680 --> 02:01:50,320 THAT THEY PROVIDE. 2949 02:01:50,320 --> 02:01:53,480 OF COURSE THE ACD REPRESENTS ONE 2950 02:01:53,480 --> 02:01:56,640 GOOD FORUM TO GET THAT WORD OUT. 2951 02:01:56,640 --> 02:02:07,080 I KNOW YOU HAD A SECOND 2952 02:02:09,160 --> 02:02:09,360 QUESTION. 2953 02:02:09,360 --> 02:02:09,600 >> YES. 2954 02:02:09,600 --> 02:02:20,160 (INDISCERNIBLE) IF THE ULTIMATE 2955 02:02:21,520 --> 02:02:24,600 GOAL IS TO TRANSLATE RESULTS TO 2956 02:02:24,600 --> 02:02:30,240 THE LEVEL WHICH PEOPLE CAN USE 2957 02:02:30,240 --> 02:02:34,200 THEM TO BENEFIT PEOPLE IN THE 2958 02:02:34,200 --> 02:02:37,160 COMMUNITY, PROVIDERS, OTHER 2959 02:02:37,160 --> 02:02:40,040 BIOMEDICAL RESEARCHERS, AND THE 2960 02:02:40,040 --> 02:02:43,000 LIKE, ULTIMATELY GET FINDINGS 2961 02:02:43,000 --> 02:02:44,560 AND RESULTS THAT IMPACT CHANGE 2962 02:02:44,560 --> 02:02:45,560 AT THE COMMUNITY AND INDIVIDUAL 2963 02:02:45,560 --> 02:02:50,440 LEVEL IN TERMS OF SHARING THIS 2964 02:02:50,440 --> 02:02:56,200 DATA WHAT SORTS OF MONITORING, 2965 02:02:56,200 --> 02:02:59,000 EVALUATION, LEARNING AGENDAS 2966 02:02:59,000 --> 02:03:04,600 MIGHT NIH HAVE TO GATHER DATA OR 2967 02:03:04,600 --> 02:03:07,280 TO GET A SENSE OF HOW THIS 2968 02:03:07,280 --> 02:03:13,640 INFORMATION IS BEING USED AT THE 2969 02:03:13,640 --> 02:03:16,600 REALLY MICRO LEVEL AND DEFINITE 2970 02:03:16,600 --> 02:03:19,360 WITH UNDERSERVED COMMUNITIES, 2971 02:03:19,360 --> 02:03:20,480 THOSE COMMUNITIES MARGINALIZED 2972 02:03:20,480 --> 02:03:23,000 BASED ON RACE AND POVERTY AND 2973 02:03:23,000 --> 02:03:28,880 RURAL AREAS OF THE COUNTRY, 2974 02:03:28,880 --> 02:03:34,320 WHERE INDIVIDUALS WHO HAVE 2975 02:03:34,320 --> 02:03:35,400 EXPERIENCED HEALTH DISPARITIES 2976 02:03:35,400 --> 02:03:36,720 DISPROPORTIONATELY MIGHT NOT 2977 02:03:36,720 --> 02:03:40,920 HAVE ACCESS TO THIS INFORMATION, 2978 02:03:40,920 --> 02:03:43,440 INDIVIDUALS LIVING IN THESE 2979 02:03:43,440 --> 02:03:43,640 AREAS. 2980 02:03:43,640 --> 02:03:48,560 SO, I GUESS MY BASIC QUESTION 2981 02:03:48,560 --> 02:03:50,760 FOLLOWS UP ON THE INITIAL 2982 02:03:50,760 --> 02:03:53,400 STATEMENT REGARDING THE END USER 2983 02:03:53,400 --> 02:03:54,520 PIECE, ULTIMATE GOAL TO GET THE 2984 02:03:54,520 --> 02:03:57,000 INFORMATION DOWN TO THE LEVEL 2985 02:03:57,000 --> 02:04:01,080 WHERE INDIVIDUALS CAN ACTUALLY 2986 02:04:01,080 --> 02:04:02,080 USE THIS INFORMATION THROUGH 2987 02:04:02,080 --> 02:04:05,680 PUBLISHING IT AND MAKING THE 2988 02:04:05,680 --> 02:04:10,240 INFORMATION ACCESSIBLE THROUGH 2989 02:04:10,240 --> 02:04:10,880 PEER-REVIEWED PUBLICATIONS. 2990 02:04:10,880 --> 02:04:14,240 >> THANK YOU FOR THAT. 2991 02:04:14,240 --> 02:04:20,480 TARA, WOULD SOME OF THE EFFORTS 2992 02:04:20,480 --> 02:04:23,120 IN THE RADX-UP EFFORT BE GERMANE 2993 02:04:23,120 --> 02:04:29,800 AS AN EXAMPLE OF THINGS BEING 2994 02:04:29,800 --> 02:04:30,240 ASKED ABOUT? 2995 02:04:30,240 --> 02:04:36,160 >> I THINK MORE APPROPRIATE S 2996 02:04:36,160 --> 02:04:37,080 THE CEAL EFFORT, REALLY DIRECTED 2997 02:04:37,080 --> 02:04:42,240 AT TRYING TO NOT JUST WORK WITH 2998 02:04:42,240 --> 02:04:44,200 COMMUNITIES BUT ALSO REAL FOCUS 2999 02:04:44,200 --> 02:04:46,360 OF THE EFFORTS IS COMMUNICATING 3000 02:04:46,360 --> 02:04:48,200 THAT INFORMATION TO COMMUNITIES 3001 02:04:48,200 --> 02:04:52,880 SO THERE HAS BEEN A LINKAGE 3002 02:04:52,880 --> 02:04:54,280 BETWEEN THE RADx UNDERSERVEED 3003 02:04:54,280 --> 02:04:56,120 POPULATION COMMUNITY, A PROGRAM 3004 02:04:56,120 --> 02:05:00,080 WHICH IS ABOUT, YOU KNOW, IT'S 3005 02:05:00,080 --> 02:05:05,360 COVID RESEARCH BUT TRYING TO 3006 02:05:05,360 --> 02:05:06,800 BETTER UNDERSTAND APPROPRIATE 3007 02:05:06,800 --> 02:05:11,520 WAYS TO DISTRIBUTE AND MAKE 3008 02:05:11,520 --> 02:05:13,000 ACCESSIBLE AND MONITOR UPTAKE OF 3009 02:05:13,000 --> 02:05:15,880 COVID TESTING OPTIONS BUT THEN 3010 02:05:15,880 --> 02:05:19,640 WORKING WITH THE CEAL COMMUNITY, 3011 02:05:19,640 --> 02:05:22,160 PROGRAM, THEY HAVE DEVELOPED OR 3012 02:05:22,160 --> 02:05:24,480 ARE STARTING TO BETTER 3013 02:05:24,480 --> 02:05:25,280 UNDERSTAND AND DEVELOP 3014 02:05:25,280 --> 02:05:28,320 MECHANISMS WITH WHICH TO BETTER 3015 02:05:28,320 --> 02:05:30,960 COMMUNICATE THAT INFORMATION TO 3016 02:05:30,960 --> 02:05:35,920 VARIOUS DIFFERENT COMMUNITIES. 3017 02:05:35,920 --> 02:05:36,240 >> THANK YOU. 3018 02:05:36,240 --> 02:05:40,960 DO YOU HAVE ANYTHING TO ADD ON 3019 02:05:40,960 --> 02:05:49,520 THIS TOPIC? 3020 02:05:49,520 --> 02:05:51,400 3021 02:05:51,400 --> 02:05:52,440 I'M NOT HEARING YOU. 3022 02:05:52,440 --> 02:05:53,800 >> WE'RE EVALUATING THIS. 3023 02:05:53,800 --> 02:05:55,680 THIS IS THE CONVERSATION WE'RE 3024 02:05:55,680 --> 02:05:56,800 HAVING AS A TRADEOFF BETWEEN 3025 02:05:56,800 --> 02:05:58,880 BURDEN, THE BURDEN CAN BE THE 3026 02:05:58,880 --> 02:05:59,920 GOLD STANDARD WE'RE TALKING 3027 02:05:59,920 --> 02:06:03,000 ABOUT MAKING SURE WE HAVE THE 3028 02:06:03,000 --> 02:06:04,400 HIGHEST QUALITY THAT PLACE 3029 02:06:04,400 --> 02:06:06,600 BURDEN ON THE SCIENTIST AND 3030 02:06:06,600 --> 02:06:07,560 INNOVATION BUT MAKE MAXIMAL 3031 02:06:07,560 --> 02:06:08,920 UTILITY OF THE DATA. 3032 02:06:08,920 --> 02:06:10,840 WE'RE LOOKING AT THE STEP-WISE 3033 02:06:10,840 --> 02:06:12,400 PROSE LET'S GET INTO THE 3034 02:06:12,400 --> 02:06:14,920 PRACTICE OF SHARING MAKE IT 3035 02:06:14,920 --> 02:06:16,120 EASY, PROVIDE REPOSITORIES AND 3036 02:06:16,120 --> 02:06:19,680 RESOURCES SO EVERYONE CAN ENTER 3037 02:06:19,680 --> 02:06:21,640 INTO THE GAME. 3038 02:06:21,640 --> 02:06:22,520 WE'LL KEEP MOVING THAT DOWN THE 3039 02:06:22,520 --> 02:06:24,640 PIPE SO WE CAN GET TO THE GOLD 3040 02:06:24,640 --> 02:06:29,320 STAR, MAKE IT SO EVERYONE CAN 3041 02:06:29,320 --> 02:06:31,200 PLAY THE GAME, AND MAKING 3042 02:06:31,200 --> 02:06:32,280 DISCOVERIES USEFUL FOR ALL OF 3043 02:06:32,280 --> 02:06:33,200 THE COMMUNITIES OUT THERE. 3044 02:06:33,200 --> 02:06:34,720 SO WE'RE GOING TO CONTINUE 3045 02:06:34,720 --> 02:06:36,760 WORKING TOWARDS THAT GOAL AND 3046 02:06:36,760 --> 02:06:39,120 MONITOR AND EVALUATE OUR ACTUAL 3047 02:06:39,120 --> 02:06:40,160 END USERS, PEOPLE UPTAKING 3048 02:06:40,160 --> 02:06:42,760 INFORMATION, ARE THEY SHARING 3049 02:06:42,760 --> 02:06:44,400 DATA, REUSING INFORMATION. 3050 02:06:44,400 --> 02:06:46,480 MORE TO COME IN COMING YEARS ON 3051 02:06:46,480 --> 02:06:46,840 THIS TOPIC. 3052 02:06:46,840 --> 02:06:48,200 >> THANK YOU, LYRIC. 3053 02:06:48,200 --> 02:06:50,480 MIKE, PLEASE, IF YOU WANTED TO 3054 02:06:50,480 --> 02:06:50,960 ADD ANYTHING. 3055 02:06:50,960 --> 02:06:53,720 >> THERE HAVE BEEN SOME 3056 02:06:53,720 --> 02:06:56,200 MICROANALYSES OF DATA USE. 3057 02:06:56,200 --> 02:06:57,840 THERE WAS A STUDY PUBLISHED BY 3058 02:06:57,840 --> 02:06:59,800 SOME OF OUR COLLEAGUES ON THE 3059 02:06:59,800 --> 02:07:02,800 USE OF DATA FROM DBGaP, 3060 02:07:02,800 --> 02:07:04,800 GENOMICS DATABASE SHOWING HIGH 3061 02:07:04,800 --> 02:07:07,880 RATE OF USAGE AND HIGH QUALITY 3062 02:07:07,880 --> 02:07:08,520 PUBLICATIONS. 3063 02:07:08,520 --> 02:07:09,920 ANOTHER WAS STUDY PUBLISHED IN 3064 02:07:09,920 --> 02:07:12,080 THE NEW ENGLAND JOURNAL OF 3065 02:07:12,080 --> 02:07:13,520 MEDICINE ON USE OF CLINICAL 3066 02:07:13,520 --> 02:07:16,840 TRIAL DATA FROM NHLBI STUDIES, 3067 02:07:16,840 --> 02:07:19,400 MOST OF THE CLINICAL TRIALS IN 3068 02:07:19,400 --> 02:07:21,320 WHICH DATA WERE MADE AVAILABLE 3069 02:07:21,320 --> 02:07:23,160 THOSE DATA WERE DOWNLOADED, A 3070 02:07:23,160 --> 02:07:25,800 LARGE NUMBER RESULTED IN 3071 02:07:25,800 --> 02:07:26,160 PUBLICATIONS. 3072 02:07:26,160 --> 02:07:28,040 I THINK ONE PARTICULAR EQUITY 3073 02:07:28,040 --> 02:07:29,440 ISSUE HERE IS THAT THESE KINDS 3074 02:07:29,440 --> 02:07:31,960 OF HIGH QUALITY DATA CAN BE USED 3075 02:07:31,960 --> 02:07:33,280 BY EARLY CAREER INVESTIGATORS. 3076 02:07:33,280 --> 02:07:36,160 AS THEY ARE TRYING TO GET THEIR 3077 02:07:36,160 --> 02:07:37,920 CAREER STARTED AND START 3078 02:07:37,920 --> 02:07:39,680 DEVELOPING THEIR OWN DATA, THEY 3079 02:07:39,680 --> 02:07:41,280 HAVE THE OPPORTUNITY TO SEE HIGH 3080 02:07:41,280 --> 02:07:48,040 QUALITY DATA BUT ALSO USE IT FOR 3081 02:07:48,040 --> 02:07:54,120 THEIR OWN SCHOLARLY OUTPUT. 3082 02:07:54,120 --> 02:07:58,640 >> WE ONLY HAVE A FEW MINUTES, 3083 02:07:58,640 --> 02:08:02,600 TO GET TO THE REMAINING HANDS. 3084 02:08:02,600 --> 02:08:03,080 BRIAN, YOU'RE NEXT. 3085 02:08:03,080 --> 02:08:04,880 >> WELL, I WANT TO THANK YOU 3086 02:08:04,880 --> 02:08:06,680 FOR INVITING ME TO PARTICIPATE 3087 02:08:06,680 --> 02:08:09,040 IN THIS ADVISORY COMMITTEE, AS A 3088 02:08:09,040 --> 02:08:09,440 NEW PARTICIPANTS. 3089 02:08:09,440 --> 02:08:10,800 I WANTED TO COMMENT ON OPEN 3090 02:08:10,800 --> 02:08:12,480 ACCESS PART OF THE DISCUSSION 3091 02:08:12,480 --> 02:08:14,360 TODAY WHICH I THINK SOUNDS LIKE 3092 02:08:14,360 --> 02:08:16,960 THE PROCESS WILL STAY THE SAME 3093 02:08:16,960 --> 02:08:18,240 BUT PERHAPS THINGS WILL NEED TO 3094 02:08:18,240 --> 02:08:20,120 MOVE FASTER IN TERMS OF ARTICLES 3095 02:08:20,120 --> 02:08:29,120 GETTING OUT AND BEING OPEN 3096 02:08:29,120 --> 02:08:29,400 ACCESS. 3097 02:08:29,400 --> 02:08:33,000 I THINK WE TALKED ABOUT THE COST 3098 02:08:33,000 --> 02:08:34,840 AS PURELY FINANCIAL MEASURED IN 3099 02:08:34,840 --> 02:08:36,640 DOLLARS PAID FOR ARTICLE 3100 02:08:36,640 --> 02:08:38,800 PROCESSING FEES BUT THERE'S THE 3101 02:08:38,800 --> 02:08:39,880 OPPORTUNITY COSTS FOR 3102 02:08:39,880 --> 02:08:41,000 INVESTIGATORS, MANAGING THE 3103 02:08:41,000 --> 02:08:45,880 PROCESS OF GETTING THE ARTICLES 3104 02:08:45,880 --> 02:08:52,360 INTO PUBMED CENTRAL AND THINGS 3105 02:08:52,360 --> 02:08:53,160 DONE TO STREAMLINE. 3106 02:08:53,160 --> 02:08:56,400 IT'S A FAIR BIT OF WORK UNDER 3107 02:08:56,400 --> 02:08:57,480 THE CURRENT SYSTEM, PARTICULARLY 3108 02:08:57,480 --> 02:09:02,920 IN LABS WHERE THERE MIGHT BE 3109 02:09:02,920 --> 02:09:03,400 PUBLICATION ACTIVITIES. 3110 02:09:03,400 --> 02:09:05,760 I LIKE TO TEACH MY MENTEES WHO 3111 02:09:05,760 --> 02:09:07,040 MIGHT BE PUBLISHING PAPERS FROM 3112 02:09:07,040 --> 02:09:09,040 MY GRANTS HOW TO GO THROUGH THE 3113 02:09:09,040 --> 02:09:10,440 PROCESS, MAKE THE DEPOSITS 3114 02:09:10,440 --> 02:09:12,320 THEMSELVES SO THEY COULD DO IT 3115 02:09:12,320 --> 02:09:16,280 AND FOLLOW THE PROCESS IN THE 3116 02:09:16,280 --> 02:09:18,080 FUTURE WHEN THEY ARE FUNDED BUT 3117 02:09:18,080 --> 02:09:19,560 THAT REQUIRES ME FREQUENTLY TO 3118 02:09:19,560 --> 02:09:21,920 LOG IN TO NIH MANUSCRIPT 3119 02:09:21,920 --> 02:09:23,640 CENTRAL, CHECK THE PROCESS, LOOK 3120 02:09:23,640 --> 02:09:28,600 FOR SNAGS, MENTOR THROUGH THE 3121 02:09:28,600 --> 02:09:30,120 PROCESS, IF THEY MISS AN E-MAIL 3122 02:09:30,120 --> 02:09:32,480 I'M ON THE HOOK IN TERMS OF 3123 02:09:32,480 --> 02:09:34,040 COMPLIANCE SO I WANT TO DO THE 3124 02:09:34,040 --> 02:09:35,800 RIGHT THING AND BE COMPLIANT BUT 3125 02:09:35,800 --> 02:09:41,440 IT'S A LOT OF ADMINISTRATIVE 3126 02:09:41,440 --> 02:09:41,680 BURDEN. 3127 02:09:41,680 --> 02:09:44,600 NLM DOES HIGH QUALITY WORK AND 3128 02:09:44,600 --> 02:09:45,600 UNDERTOOK USER CENTER DESIGNED 3129 02:09:45,600 --> 02:09:49,880 APPROACH BUT I'M WONDERING IF 3130 02:09:49,880 --> 02:09:52,240 IT'S WORTH LOOKING AT THAT AGAIN 3131 02:09:52,240 --> 02:09:58,120 AND I HAVE ONE CONCRETE 3132 02:09:58,120 --> 02:09:58,440 SUGGESTION. 3133 02:09:58,440 --> 02:10:03,080 I KNOW IN PUBMED CENTRAL MY NCBI 3134 02:10:03,080 --> 02:10:04,520 I CAN DELEGATE ACCESS FOR 3135 02:10:04,520 --> 02:10:05,920 SOMEONE TO LOOK FOR 3136 02:10:05,920 --> 02:10:06,680 NON-COMPLIANCE ISSUES. 3137 02:10:06,680 --> 02:10:09,880 I DON'T BELIEVE I CAN DELEGATE 3138 02:10:09,880 --> 02:10:11,320 ACCESS IN THE SYSTEM WHERE YOU 3139 02:10:11,320 --> 02:10:12,760 DEPOSIT AND TRACK THE DEPOSIT. 3140 02:10:12,760 --> 02:10:14,920 WHICH MEANS I'M THE ONLY PERSON 3141 02:10:14,920 --> 02:10:16,440 WHO CAN MONITOR THINGS MOVING 3142 02:10:16,440 --> 02:10:17,760 THROUGH THAT SYSTEM. 3143 02:10:17,760 --> 02:10:21,040 IF I COULD DELEGATE TO A STAFF 3144 02:10:21,040 --> 02:10:22,560 MEMBER WITH MY OVERSIGHT I THINK 3145 02:10:22,560 --> 02:10:23,760 IT WOULD REALLY REDUCE 3146 02:10:23,760 --> 02:10:25,680 ADMINISTRATIVE BURDEN FOR THE 3147 02:10:25,680 --> 02:10:26,800 P.I. SO I WOULD ENCOURAGE YOU TO 3148 02:10:26,800 --> 02:10:35,960 LOOK INTO THAT AND SEE IF THAT'S 3149 02:10:35,960 --> 02:10:37,520 AN OPTION. 3150 02:10:37,520 --> 02:10:39,680 MAYBE AN FAQ EXPLAINING HOW TO 3151 02:10:39,680 --> 02:10:41,600 DO IT MY HELP IF IT IS ALREADY 3152 02:10:41,600 --> 02:10:42,200 AN OPTION. 3153 02:10:42,200 --> 02:10:45,440 >> WE'D BE HAPPY TO LOOK INTO 3154 02:10:45,440 --> 02:10:51,680 THAT. 3155 02:10:51,680 --> 02:10:52,040 >> GREAT. 3156 02:10:52,040 --> 02:10:52,280 SHELLEY? 3157 02:10:52,280 --> 02:10:59,480 >> I HAVE A COUPLE COMMENTS 3158 02:10:59,480 --> 02:11:01,640 FOLLOWING UP ON THE COMMENT ON 3159 02:11:01,640 --> 02:11:03,160 TALKING TO SOME JOURNALS THAT 3160 02:11:03,160 --> 02:11:09,440 MAYBE NIH CAN MAIN INROADS. 3161 02:11:09,440 --> 02:11:13,080 IT'S PARTICULARLY DISTURBING THE 3162 02:11:13,080 --> 02:11:14,360 CELL SCIENCE NATURE JOURNALS, 3163 02:11:14,360 --> 02:11:18,520 THEY PUSH YOU OFF TO THEIR 3164 02:11:18,520 --> 02:11:21,600 PUBLIC ACCESS, CELL REPORTS, 3165 02:11:21,600 --> 02:11:22,520 NATURE COMMUNICATION, SCIENCE 3166 02:11:22,520 --> 02:11:26,280 ANSWERS, THEY ARE TWO TO THREE 3167 02:11:26,280 --> 02:11:29,680 TIMES THE PUBLICATION COSTS, I 3168 02:11:29,680 --> 02:11:31,000 THINK IT'S ACTUALLY SCANDALOUS 3169 02:11:31,000 --> 02:11:34,200 IT'S SO HIGH. 3170 02:11:34,200 --> 02:11:42,920 I DON'T UNDERSTAND IT AND I'M 3171 02:11:42,920 --> 02:11:44,360 WONDERING IF SOME DISCUSSION 3172 02:11:44,360 --> 02:11:45,840 COULD BE MADE THERE, IF YOU HAVE 3173 02:11:45,840 --> 02:11:47,240 COMMENT WHETHER YOU THOUGHT 3174 02:11:47,240 --> 02:11:50,080 ABOUT THAT, THAT ISSUE. 3175 02:11:50,080 --> 02:11:51,000 PARTICULARLY IT BURDENS 3176 02:11:51,000 --> 02:11:54,800 EARLY-STAGE INVESTIGATORS WHO 3177 02:11:54,800 --> 02:12:00,080 TEND TO GET, YOU KNOW, SHUFFLED 3178 02:12:00,080 --> 02:12:04,080 OFF INTO THOSE SO-CALLED SISTER 3179 02:12:04,080 --> 02:12:04,360 JOURNALS. 3180 02:12:04,360 --> 02:12:08,280 >> YEAH. 3181 02:12:08,280 --> 02:12:14,160 WELL, AGAIN, AS WE'RE THINKING 3182 02:12:14,160 --> 02:12:16,960 ABOUT THIS HOLISTICALLY WE'RE 3183 02:12:16,960 --> 02:12:20,400 PAINFULLY AWARE OF THE SPECIFIC 3184 02:12:20,400 --> 02:12:21,800 EXAMPLE YOU JUST PROVIDED. 3185 02:12:21,800 --> 02:12:27,720 THOSE KINDS OF THINGS GOING INTO 3186 02:12:27,720 --> 02:12:28,480 OUR THINKING GOING FORWARD. 3187 02:12:28,480 --> 02:12:32,200 >> AND THE OTHER THING I 3188 02:12:32,200 --> 02:12:35,320 WONDERED ABOUT IS bioRxiv 3189 02:12:35,320 --> 02:12:35,680 ALTERNATIVE. 3190 02:12:35,680 --> 02:12:39,280 WE HAVEN'T TALKED ABOUT IT. 3191 02:12:39,280 --> 02:12:42,720 IT DOESN'T COST ANYTHING. 3192 02:12:42,720 --> 02:12:44,640 IT'S ACTUALLY PRETTY GOOD. 3193 02:12:44,640 --> 02:12:46,320 I WAS RESISTING FOR A LONG TIME, 3194 02:12:46,320 --> 02:12:49,360 AND MY GROUP IS NOW USING THAT. 3195 02:12:49,360 --> 02:12:54,320 IT'S EFFECTIVE FOR MANY REASONS. 3196 02:12:54,320 --> 02:12:57,400 I WONDERED, YOU KNOW, LYRIC, 3197 02:12:57,400 --> 02:12:59,440 HAVE YOU -- HAS THAT COME INTO 3198 02:12:59,440 --> 02:13:00,520 PLAY IN YOUR THINKING? 3199 02:13:00,520 --> 02:13:01,240 >> ABSOLUTELY. 3200 02:13:01,240 --> 02:13:03,120 THIS IS A CONVERSATION ACD MIGHT 3201 02:13:03,120 --> 02:13:04,840 WANT TO HAVE AT SOME POINT. 3202 02:13:04,840 --> 02:13:06,560 WE'RE TALKING ABOUT PUBLIC 3203 02:13:06,560 --> 02:13:08,440 ACCESS, YOU NOTICE POLICY 3204 02:13:08,440 --> 02:13:11,640 APPLIES TO PEER REVIEWED 3205 02:13:11,640 --> 02:13:15,600 SCHOLARLY MANUSCRIPTS, DOESN'T 3206 02:13:15,600 --> 02:13:17,160 TAKE ABOUT PRE-PRINT AND WHERE 3207 02:13:17,160 --> 02:13:20,760 ARE THEY FOLLOWING IN THE MODEL, 3208 02:13:20,760 --> 02:13:22,360 IT'S A TOPIC WE'RE ACTIVELY 3209 02:13:22,360 --> 02:13:24,280 MONITORING AND I WOULD TURN TO 3210 02:13:24,280 --> 02:13:26,640 MIKE WHO IS PAYING ATTENTION 3211 02:13:26,640 --> 02:13:26,880 CLOSELY. 3212 02:13:26,880 --> 02:13:30,800 >> A NUMBER OF YEARS AGO WE PUT 3213 02:13:30,800 --> 02:13:32,600 OUT A STATEMENT, GUIDE NOTICE, 3214 02:13:32,600 --> 02:13:35,240 WE MADE IT CLEAR THAT PRE-PRINTS 3215 02:13:35,240 --> 02:13:36,400 ARE VIABLE AND ACCEPTABLE 3216 02:13:36,400 --> 02:13:37,360 RESEARCH PRODUCTS. 3217 02:13:37,360 --> 02:13:40,480 SO ON YOUR PROGRESS REPORTS OR 3218 02:13:40,480 --> 02:13:42,600 BIOSKETCH, IF YOU WANT TO REPORT 3219 02:13:42,600 --> 02:13:46,280 RESEARCH PROJECTS PRE-PRINTS ARE 3220 02:13:46,280 --> 02:13:47,440 PERFECTLY OKAY. 3221 02:13:47,440 --> 02:13:50,280 AND SO WE'RE SEEING A VERY LARGE 3222 02:13:50,280 --> 02:13:52,760 UPTAKE IN USE OF PRE-PRINTS, 3223 02:13:52,760 --> 02:13:56,320 IT'S HELPFUL THERE ARE SOME 3224 02:13:56,320 --> 02:13:57,920 JOURNALS THAT EVEN REQUIRE, COME 3225 02:13:57,920 --> 02:13:59,760 CLOSE TO REQUIRING THEY DON'T 3226 02:13:59,760 --> 02:14:02,360 ALLOW YOU TO USE PRE-PRINTS BUT 3227 02:14:02,360 --> 02:14:05,000 REQUIRE YOU TO USE PRE-PRINTS 3228 02:14:05,000 --> 02:14:07,440 AND EVEN SOME OF THE CLINICAL 3229 02:14:07,440 --> 02:14:09,440 JOURNALS LIKE NEW ENGLAND 3230 02:14:09,440 --> 02:14:12,920 JOURNAL OF MEDICINE NOW ALLOW -- 3231 02:14:12,920 --> 02:14:14,440 AND JAMA ALLOW PRE-PRINTS, GOOD 3232 02:14:14,440 --> 02:14:15,080 TRENDS TO SEE. 3233 02:14:15,080 --> 02:14:19,920 >> ONE QUICK FOLLOW-UP ON THAT, 3234 02:14:19,920 --> 02:14:21,240 MIKE, THAT I NOTICE THAT I'VE 3235 02:14:21,240 --> 02:14:22,680 SUBMITTED A COUPLE GRANTS IN THE 3236 02:14:22,680 --> 02:14:27,520 LAST FEW MONTHS AND YOU CAN 3237 02:14:27,520 --> 02:14:28,280 LIST bioRxiv SUBMISSIONS 3238 02:14:28,280 --> 02:14:30,280 WHEN YOU FIRST SUBMIT A GRANT 3239 02:14:30,280 --> 02:14:33,240 BUT IN THAT ONE MONTH WINDOW 3240 02:14:33,240 --> 02:14:36,920 BEFORE IT'S REVIEWED YOU CAN'T 3241 02:14:36,920 --> 02:14:37,840 UPDATE WITH bioRxivS, THAT'S 3242 02:14:37,840 --> 02:14:39,840 SOMETHING THAT NIH COULD DO ON 3243 02:14:39,840 --> 02:14:44,160 ITS OWN TO MAKE THAT MORE -- A 3244 02:14:44,160 --> 02:14:51,240 WAY TO IMPROVE USAGE OF THAT. 3245 02:14:51,240 --> 02:14:51,600 >> THANK YOU. 3246 02:14:51,600 --> 02:14:55,920 >> FOR REFERENCE I PUT IN 3247 02:14:55,920 --> 02:14:56,920 PRE-PRINT PILOT WORKING THROUGH 3248 02:14:56,920 --> 02:15:00,760 INFORMATION, PUT IT IN THE CHAT 3249 02:15:00,760 --> 02:15:02,040 TO CHECK IT OUT. 3250 02:15:02,040 --> 02:15:02,760 >> GREAT. 3251 02:15:02,760 --> 02:15:06,840 HOWARD WE'LL GIVE YOU THE FINAL 3252 02:15:06,840 --> 02:15:07,080 WORD. 3253 02:15:07,080 --> 02:15:08,480 >> YES, SHELLEY ASKED MY 3254 02:15:08,480 --> 02:15:10,240 QUESTION SO I'M ALSO FULLY 3255 02:15:10,240 --> 02:15:11,400 SUPPORTIVE, IT'S IMPORTANT TO 3256 02:15:11,400 --> 02:15:13,000 HAVE THE PUBLIC ACCESS FOR 3257 02:15:13,000 --> 02:15:14,840 RESEARCH PRODUCTS AND PRE-PRINTS 3258 02:15:14,840 --> 02:15:16,440 ARE INCREASING IMPORTANT 3259 02:15:16,440 --> 02:15:21,040 COMPONENT OF ECOSYSTEM BECAUSE 3260 02:15:21,040 --> 02:15:22,640 THEY ALLOW TIMELY RELEASE OF 3261 02:15:22,640 --> 02:15:23,680 INFORMATION, AS MIKE POINTED OUT 3262 02:15:23,680 --> 02:15:28,360 WE CAN USE THAT INFORMATION FOR 3263 02:15:28,360 --> 02:15:29,600 NIH APPLICATIONS, RESEARCH 3264 02:15:29,600 --> 02:15:31,520 PRODUCT, AND I SEE TRAINEES 3265 02:15:31,520 --> 02:15:32,840 BEFORE THE APPLICATION PEOPLE 3266 02:15:32,840 --> 02:15:35,360 WANT TO GET DATA ORGANIZE AND 3267 02:15:35,360 --> 02:15:37,880 PUT IT IN PRE-PRINT SO PEOPLE 3268 02:15:37,880 --> 02:15:40,400 CAN SEE FULLY THE BODY OF WORK 3269 02:15:40,400 --> 02:15:41,200 DISCUSSED. 3270 02:15:41,200 --> 02:15:45,920 AND YOU CAN FORMAT OUR 3271 02:15:45,920 --> 02:15:48,280 INFORMATION ONCE AND MAYBE TO 3272 02:15:48,280 --> 02:15:52,240 PUBMED CENTRAL REDUCING 3273 02:15:52,240 --> 02:15:52,800 ADMINISTRATIVE BURDEN. 3274 02:15:52,800 --> 02:15:54,320 >> THAT'S GREAT. 3275 02:15:54,320 --> 02:15:54,880 THANKS, HOWARD. 3276 02:15:54,880 --> 02:15:58,440 ONE THING TO POINT OUT FOR THOSE 3277 02:15:58,440 --> 02:16:00,920 WATCHING ON THE VIDEOCAST, YOU 3278 02:16:00,920 --> 02:16:02,280 CAN'T SEE THE INFORMATION BEING 3279 02:16:02,280 --> 02:16:06,080 POSTED TO THE CHAT SO WE'LL MAKE 3280 02:16:06,080 --> 02:16:07,480 SURE THAT'S POSTED PUBLICLY 3281 02:16:07,480 --> 02:16:09,520 EITHER ON THE VIDEOCAST WEBSITE 3282 02:16:09,520 --> 02:16:12,160 OR ACD SITE ITSELF. 3283 02:16:12,160 --> 02:16:15,200 FLAGGING THAT FOR AWARENESS. 3284 02:16:15,200 --> 02:16:15,560 OKAY. 3285 02:16:15,560 --> 02:16:16,880 WE'RE ONLY NOW A MINUTE BEHIND. 3286 02:16:16,880 --> 02:16:19,600 WE'VE BEEN ABLE TO CATCH UP. 3287 02:16:19,600 --> 02:16:23,680 THANKS FOR HELPING TO MAKE THAT 3288 02:16:23,680 --> 02:16:23,960 POSSIBLE. 3289 02:16:23,960 --> 02:16:27,440 I WILL TURN IT OVER TO DR. 3290 02:16:27,440 --> 02:16:28,800 MONICA BERTAGNOLLI, WHO IS GOING 3291 02:16:28,800 --> 02:16:30,680 TO GIVE AN UPDATE ON ALL THE 3292 02:16:30,680 --> 02:16:36,520 WORK BEING DONE ON CANCER 3293 02:16:36,520 --> 02:16:36,920 MOONSHOT. 3294 02:16:36,920 --> 02:16:37,120 MONICA? 3295 02:16:37,120 --> 02:16:37,720 >> THANK YOU. 3296 02:16:37,720 --> 02:16:40,440 IT'S SUCH AN HONOR TO BE HERE, 3297 02:16:40,440 --> 02:16:42,960 TO PRESENT TO YOU ALL AND GET 3298 02:16:42,960 --> 02:16:43,480 YOUR FEEDBACK. 3299 02:16:43,480 --> 02:16:45,280 I'M REALLY THRILLED AND EXCITED 3300 02:16:45,280 --> 02:16:49,760 TO BE ABLE TO PRESENT FOR NCI. 3301 02:16:49,760 --> 02:16:50,000 TODAY. 3302 02:16:50,000 --> 02:16:52,520 IT'S ALSO A PLEASURE TO TELL YOU 3303 02:16:52,520 --> 02:16:54,920 ABOUT THIS VERY SPECIAL PROJECT 3304 02:16:54,920 --> 02:16:57,760 THAT STARTED EIGHT YEARS AGOE 3305 02:16:57,760 --> 02:17:01,360 THAT NOW IS GUIDING NCI RESEARCH 3306 02:17:01,360 --> 02:17:04,360 OVERALL, CANCER MOONSHOT. 3307 02:17:04,360 --> 02:17:06,520 NEXT SLIDE PLEASE. 3308 02:17:06,520 --> 02:17:10,440 CANCER MOONSHOT BEGAN IN 2016, 3309 02:17:10,440 --> 02:17:11,480 WHEN THEN-VICE PRESIDENT BIDEN 3310 02:17:11,480 --> 02:17:14,280 LED THE CHARGE TO LAUNCH A NEW 3311 02:17:14,280 --> 02:17:17,000 INITIATIVE LED BY NCI TO 3312 02:17:17,000 --> 02:17:18,800 ACCELERATE DISCOVERY IN CANCER 3313 02:17:18,800 --> 02:17:21,520 RESEARCH TO FOSTER GREATER 3314 02:17:21,520 --> 02:17:23,000 COLLABORATION AND IMPROVE THE 3315 02:17:23,000 --> 02:17:24,480 SHARING OF DATA. 3316 02:17:24,480 --> 02:17:26,640 A BLUE RIBBON PANEL OF DIVERSE 3317 02:17:26,640 --> 02:17:28,320 LEADERS IN CANCER RESEARCH AND 3318 02:17:28,320 --> 02:17:31,120 CLINICAL CARE WAS CONVENED. 3319 02:17:31,120 --> 02:17:32,840 THIS PANEL SET SPECIFIC GOALS TO 3320 02:17:32,840 --> 02:17:35,160 GUIDE THE EFFORTS OF THE INITIAL 3321 02:17:35,160 --> 02:17:36,880 MOONSHOT THAT I WILL DETAIL 3322 02:17:36,880 --> 02:17:40,160 LATER AND WITH THIS FOCUS WE'VE 3323 02:17:40,160 --> 02:17:42,640 MADE REALLY TREMENDOUS PROGRESS 3324 02:17:42,640 --> 02:17:43,760 IN MANY AREAS, I'LL DESCRIBE 3325 02:17:43,760 --> 02:17:46,240 THEM IN A MINUTE. 3326 02:17:46,240 --> 02:17:48,200 THEN LAST YEAR PRESIDENT BIDEN 3327 02:17:48,200 --> 02:17:50,880 ANNOUNCED HIS INTENT TO BUILD ON 3328 02:17:50,880 --> 02:17:53,640 THE SEVEN-YEAR SUCCESS OF THE 3329 02:17:53,640 --> 02:17:55,880 INITIAL MOONSHOT AND REIGNITE 3330 02:17:55,880 --> 02:17:57,720 THE CANCER MOONSHOT SETTING SOME 3331 02:17:57,720 --> 02:18:01,640 VERY AMBITIOUS GOALS. 3332 02:18:01,640 --> 02:18:03,240 NUMBER ONE, REDUCE THE CANCER 3333 02:18:03,240 --> 02:18:05,520 AGE ADJUSTED MORTALITY RATE BY 3334 02:18:05,520 --> 02:18:08,560 50% IN 25 YEARS FOR U.S. PEOPLE. 3335 02:18:08,560 --> 02:18:10,280 AND TO IMPROVE EXPERIENCE OF 3336 02:18:10,280 --> 02:18:13,000 PEOPLE AND THEIR FAMILIES LIVING 3337 02:18:13,000 --> 02:18:15,400 WITH AND SURVIVING CANCER. 3338 02:18:15,400 --> 02:18:17,600 AND THIS MEANS MORE SUPPORT FOR 3339 02:18:17,600 --> 02:18:21,960 PATIENTS AND THEIR FAMILIES. 3340 02:18:21,960 --> 02:18:24,560 NEXT SLIDE PLEASE. 3341 02:18:24,560 --> 02:18:27,920 SO, ACHIEVING THE PRESIDENT'S 3342 02:18:27,920 --> 02:18:29,400 GOALS WILL TRANSFORM THE 3343 02:18:29,400 --> 02:18:34,000 NATIONAL EXPERIENCE OF CANCER. 3344 02:18:34,000 --> 02:18:38,000 THESE ARE NOT TRIVIAL GOALS. 3345 02:18:38,000 --> 02:18:40,720 THEY REALLY -- THE EFFORT IS TO 3346 02:18:40,720 --> 02:18:43,680 END CANCER AS WE KNOW IT. 3347 02:18:43,680 --> 02:18:44,920 AND RADICALLY CHANGE PEOPLE'S 3348 02:18:44,920 --> 02:18:46,480 EXPERIENCE WITH THIS TERRIBLE 3349 02:18:46,480 --> 02:18:47,320 DISEASE. 3350 02:18:47,320 --> 02:18:49,120 AND I'M VERY CONFIDENT WE CAN 3351 02:18:49,120 --> 02:18:50,720 ACHIEVE THESE GOALS AND REACH 3352 02:18:50,720 --> 02:18:53,040 THE DAY WHERE ALL PEOPLE WITH 3353 02:18:53,040 --> 02:18:54,960 CANCER LIVE FULL AND ACTIVE 3354 02:18:54,960 --> 02:18:57,840 LIVES FREE FROM ITS HARMFUL 3355 02:18:57,840 --> 02:18:58,080 EFFECTS. 3356 02:18:58,080 --> 02:19:00,200 AND WHERE WE PREVENT MANY MORE 3357 02:19:00,200 --> 02:19:03,680 CANCERS SO PEOPLE DON'T HAVE TO 3358 02:19:03,680 --> 02:19:05,120 FACE THIS CHALLENGE. 3359 02:19:05,120 --> 02:19:07,280 IT REALLY WILL TAKE ACTION 3360 02:19:07,280 --> 02:19:09,320 THOUGH ACROSS ALL OF SOCIETY TO 3361 02:19:09,320 --> 02:19:12,400 ACHIEVE THIS. 3362 02:19:12,400 --> 02:19:16,280 NEXT SLIDE. 3363 02:19:16,280 --> 02:19:17,960 CONGRESS PROVIDED SEVEN YEARS OF 3364 02:19:17,960 --> 02:19:20,720 FUNDING, THAT'S SCHEDULED TO END 3365 02:19:20,720 --> 02:19:21,520 THIS YEAR. 3366 02:19:21,520 --> 02:19:23,880 AND PRESIDENT BIDEN SUBMITTED A 3367 02:19:23,880 --> 02:19:25,200 BUDGET TO CONGRESS FOR 2024, 3368 02:19:25,200 --> 02:19:27,960 THAT WOULD HELP US AVOID THE 3369 02:19:27,960 --> 02:19:30,640 FUNDING CLIFF FOR MOONSHOT BY 3370 02:19:30,640 --> 02:19:32,480 PROVIDING ANOTHER $216 MILLION 3371 02:19:32,480 --> 02:19:33,880 FOR NEXT YEAR. 3372 02:19:33,880 --> 02:19:37,680 WHICH MATCHES THE AMOUNT THAT WE 3373 02:19:37,680 --> 02:19:42,240 CURRENTLY HAVE AVAILABLE FOR 3374 02:19:42,240 --> 02:19:42,440 2023. 3375 02:19:42,440 --> 02:19:47,720 HE ALSO PROPOSED $500 MILLION TO 3376 02:19:47,720 --> 02:19:50,120 INCREASE ACTIVITIES NEXT YEAR 3377 02:19:50,120 --> 02:19:53,000 AND ALSO A REAUTHORIZATION OF 3378 02:19:53,000 --> 02:19:54,720 THE 21ST CENTURY CURES ACT WITH 3379 02:19:54,720 --> 02:19:58,520 MANDATORY FUNDING FOR THE CANCER 3380 02:19:58,520 --> 02:19:59,960 MOONSHOT OF APPROXIMATELY 3381 02:19:59,960 --> 02:20:02,840 $1.45 BILLION FOR BOTH 2025 AND 3382 02:20:02,840 --> 02:20:03,560 2026. 3383 02:20:03,560 --> 02:20:07,200 YOU CAN SEE IN SIGNALING THIS 3384 02:20:07,200 --> 02:20:09,080 LEVEL OF FUNDING COMMITMENT THAT 3385 02:20:09,080 --> 02:20:12,600 PRESIDENT BIDEN IS VERY SERIOUS 3386 02:20:12,600 --> 02:20:15,480 ABOUT MAKING PROGRESS FOR 3387 02:20:15,480 --> 02:20:15,800 CANCER. 3388 02:20:15,800 --> 02:20:16,360 NEXT SLIDE. 3389 02:20:16,360 --> 02:20:19,960 SO TO GIVE A LOOK AT WHERE WE'VE 3390 02:20:19,960 --> 02:20:24,400 BEEN YOU'VE HEARD THE MONEY OF 3391 02:20:24,400 --> 02:20:26,480 THE INITIAL MOONSHOT WAS SPREAD 3392 02:20:26,480 --> 02:20:28,920 OVER SEVERAL YEARS, 2023 BUDGET 3393 02:20:28,920 --> 02:20:32,080 IS $216 MILLION. 3394 02:20:32,080 --> 02:20:34,840 AND WE ARE, AS YOU KNOW, 3395 02:20:34,840 --> 02:20:37,120 SUSTAINED, FUNDING IS REQUIRED 3396 02:20:37,120 --> 02:20:38,000 TO MAINTAIN PROGRESS. 3397 02:20:38,000 --> 02:20:39,840 WE HAVEN'T REACHED OUR ULTIMATE 3398 02:20:39,840 --> 02:20:41,960 GOAL, AND YOU CAN SEE BY THE 3399 02:20:41,960 --> 02:20:43,920 FUNDING CLIFF WE FACE WITH 3400 02:20:43,920 --> 02:20:46,160 MOONSHOT BUDGET THAT WAS 3401 02:20:46,160 --> 02:20:46,840 ESTABLISHED THROUGH 21ST CENTURY 3402 02:20:46,840 --> 02:20:48,640 CURES WHICH ENDS THIS YEAR CAN 3403 02:20:48,640 --> 02:20:48,960 BE SERIOUS. 3404 02:20:48,960 --> 02:20:52,440 IN LIGHT OF THE POLITICAL 3405 02:20:52,440 --> 02:20:53,080 SITUATION AFFECTING 3406 02:20:53,080 --> 02:20:53,760 CONGRESSIONAL APPOINTMENTS, WHAT 3407 02:20:53,760 --> 02:20:57,880 WILL COME NEXT YEAR IS ANYBODY'S 3408 02:20:57,880 --> 02:20:58,080 GUESS. 3409 02:20:58,080 --> 02:21:00,840 OF COURSE, WE'LL DO ALL THAT WE 3410 02:21:00,840 --> 02:21:02,600 CAN WITH WHATEVER WE HAVE 3411 02:21:02,600 --> 02:21:03,720 AVAILABLE TO US. 3412 02:21:03,720 --> 02:21:06,520 BUT I THINK IT'S ALSO REALLY 3413 02:21:06,520 --> 02:21:08,600 IMPORTANT WHEN YOU TAKE ON A 3414 02:21:08,600 --> 02:21:11,760 GOAL SUCH AS THAT ARTICULATED 3415 02:21:11,760 --> 02:21:14,440 WITH THE MOONSHOT, NCI'S BUDGET 3416 02:21:14,440 --> 02:21:16,160 ALONE CAN NEVER SUFFICE. 3417 02:21:16,160 --> 02:21:17,800 IT WILL TAKE COLLABORATION 3418 02:21:17,800 --> 02:21:21,400 ACROSS ALL OF GOVERNMENT AND ALL 3419 02:21:21,400 --> 02:21:22,240 OF SOCIETY TO SUCCEED. 3420 02:21:22,240 --> 02:21:24,360 MORE ON THIS IN A MINUTE. 3421 02:21:24,360 --> 02:21:24,840 NEXT SLIDE. 3422 02:21:24,840 --> 02:21:26,640 SO, WHAT KIND OF PROGRESS HAVE 3423 02:21:26,640 --> 02:21:28,720 WE MADE WITH MOONSHOT SO FAR? 3424 02:21:28,720 --> 02:21:31,480 GOOD NEWS, THIS HAS LAID A SOLID 3425 02:21:31,480 --> 02:21:32,840 FOUNDATION FOR PROGRESS FROM 3426 02:21:32,840 --> 02:21:35,680 WHICH WE CAN CAPITALIZE TO 3427 02:21:35,680 --> 02:21:37,320 ACCELERATE RESEARCH THAT WILL 3428 02:21:37,320 --> 02:21:38,400 BRING REAL SOLUTIONINGS TO 3429 02:21:38,400 --> 02:21:40,560 MILLIONS OF PEOPLE WHO FACE 3430 02:21:40,560 --> 02:21:42,560 CANCER, AND I'LL SPEAK FOR A BIT 3431 02:21:42,560 --> 02:21:44,440 NOW ON MOONSHOT HISTORY AND 3432 02:21:44,440 --> 02:21:45,640 HIGHLIGHT IMPORTANT ELEMENTS OF 3433 02:21:45,640 --> 02:21:48,440 THE PROGRESS. 3434 02:21:48,440 --> 02:21:51,320 NEXT SLIDE. 3435 02:21:51,320 --> 02:21:53,360 SO, INITIALLY THE INITIAL 3436 02:21:53,360 --> 02:21:55,040 MOONSHOT WAS BASED ON THESE TEN 3437 02:21:55,040 --> 02:21:56,280 RECOMMENDATIONS FROM A BLUE 3438 02:21:56,280 --> 02:21:57,080 RIBBON PANEL. 3439 02:21:57,080 --> 02:21:58,800 I'M NOT GOING TO READ EACH FOR 3440 02:21:58,800 --> 02:21:59,440 YOU. 3441 02:21:59,440 --> 02:22:00,880 YOU HAVE THEM IN YOUR MATERIALS, 3442 02:22:00,880 --> 02:22:04,680 BUT I DO WANT TO HIGHLIGHT THE 3443 02:22:04,680 --> 02:22:07,480 PEOPLE-CENTERED NATURE OF THESE 3444 02:22:07,480 --> 02:22:07,840 RECOMMENDATIONS. 3445 02:22:07,840 --> 02:22:10,320 NOT ONLY BUILDING NEW MORE 3446 02:22:10,320 --> 02:22:12,920 EFFECTIVE PREVENTION TREATMENT 3447 02:22:12,920 --> 02:22:17,280 AND SCREENING METHODS, BUT 3448 02:22:17,280 --> 02:22:18,400 DIRECTLY INVOLVING PEOPLE, 3449 02:22:18,400 --> 02:22:20,200 PATIENTS ARE PARTNERS WITH LIVED 3450 02:22:20,200 --> 02:22:23,120 EXPERIENCE, AND ADDRESSING THE 3451 02:22:23,120 --> 02:22:25,160 FACTORS THAT ALLOW THEM TO LEAD 3452 02:22:25,160 --> 02:22:26,400 FULL AND ACTIVE LIVES. 3453 02:22:26,400 --> 02:22:32,440 TO DATE THE MOONSHOT ENABLED NCI 3454 02:22:32,440 --> 02:22:36,480 TO SUPPORT MORE THAN 70 3455 02:22:36,480 --> 02:22:39,560 PROGRAMS, 250 RESEARCH PROJECTS, 3456 02:22:39,560 --> 02:22:40,480 AND THESE ARE CHANGED THE 3457 02:22:40,480 --> 02:22:42,680 LANDSCAPE OF WHAT IS POSSIBLE IN 3458 02:22:42,680 --> 02:22:45,120 CANCER RESEARCH TODAY AND LED TO 3459 02:22:45,120 --> 02:22:47,240 ADVANCES THAT BENEFIT PATIENTS. 3460 02:22:47,240 --> 02:22:50,080 AMONG THESE ARE IMPROVEMENT IN 3461 02:22:50,080 --> 02:22:52,280 IMMUNOTHERAPY, PROGRESS IN 3462 02:22:52,280 --> 02:22:53,840 CHILDHOOD CANCER RESEARCH, 3463 02:22:53,840 --> 02:22:55,640 EXPANDED USE OF PROVEN 3464 02:22:55,640 --> 02:22:57,120 STRATEGIES FOR CANCER PREVENTION 3465 02:22:57,120 --> 02:22:59,400 AND EARLY DETECTION TO BOTH 3466 02:22:59,400 --> 02:23:02,760 REDUCE CANCER RISK AND 3467 02:23:02,760 --> 02:23:04,080 IMPORTANTLY ALSO REDUCE 3468 02:23:04,080 --> 02:23:05,120 DISPARITIES. 3469 02:23:05,120 --> 02:23:08,360 THANKS TO POWERFUL NEW DATA 3470 02:23:08,360 --> 02:23:09,360 RESOURCES AND REALLY 3471 02:23:09,360 --> 02:23:10,520 UNPRECEDENTED COLLABORATION THAT 3472 02:23:10,520 --> 02:23:13,240 CAME AS RESULT OF THESE BLUE 3473 02:23:13,240 --> 02:23:14,240 RIBBON PANEL RECOMMENDATIONS, 3474 02:23:14,240 --> 02:23:17,520 WE'VE BEEN ABLE TO TRANSFORM 3475 02:23:17,520 --> 02:23:19,320 WHAT'S POSSIBLE, THROUGH THIS WE 3476 02:23:19,320 --> 02:23:22,680 OFFER THE COMMUNITY A WIDE RANGE 3477 02:23:22,680 --> 02:23:23,960 OF VALUABLE DATA RESOURCES, 3478 02:23:23,960 --> 02:23:26,400 ACROSS THE SPECTRUM OF CANCER 3479 02:23:26,400 --> 02:23:27,960 SCIENCE AND CLINICAL RESEARCH, 3480 02:23:27,960 --> 02:23:31,840 AS WELL AS NEW NETWORKS THAT ARE 3481 02:23:31,840 --> 02:23:33,440 COLLABORATING WITH TO PRODUCE 3482 02:23:33,440 --> 02:23:34,240 SIGNIFICANT SCIENTIFIC ADVANCES. 3483 02:23:34,240 --> 02:23:36,440 THIS IS WHAT I MEANT WHEN I SAID 3484 02:23:36,440 --> 02:23:39,960 IT REALLY HAS CHANGED THE 3485 02:23:39,960 --> 02:23:44,840 LANDSCAPE AND WE INTEND TO SEE 3486 02:23:44,840 --> 02:23:48,320 THIS GO FORWARD. 3487 02:23:48,320 --> 02:23:51,720 THE NCI HUMAN TUMOR ATLAS 3488 02:23:51,720 --> 02:23:53,960 NETWORK, PROGRAM GOAL CONSTRUCT 3489 02:23:53,960 --> 02:23:58,400 DYNAMIC THREE DIMENSIONAL LAT 3490 02:23:58,400 --> 02:23:59,840 ATLASES OF HUMAN CANCERS, 3491 02:23:59,840 --> 02:24:01,400 HELPING US BETTER UNDERSTAND 3492 02:24:01,400 --> 02:24:04,000 MOLECULAR AND CELLULAR NATURE OF 3493 02:24:04,000 --> 02:24:07,520 TUMORS NOT AT ONE TIME POINT BUT 3494 02:24:07,520 --> 02:24:09,440 AS THEY INITIATE AND EVOLVE. 3495 02:24:09,440 --> 02:24:10,480 ABSOLUTELY ESSENTIAL IF WE'RE 3496 02:24:10,480 --> 02:24:13,080 GOING TO BE ABLE TO BOTH PREVENT 3497 02:24:13,080 --> 02:24:14,440 AS WELL AS TREAT TUMORS. 3498 02:24:14,440 --> 02:24:17,680 THE GOAL IS TO FULLY 3499 02:24:17,680 --> 02:24:19,320 CHARACTERIZE TUMOR EVOLUTION 3500 02:24:19,320 --> 02:24:21,320 FROM EARLIEST LESIONS THROUGH 3501 02:24:21,320 --> 02:24:25,920 PRIMARY TUMOR TO RESISTANCE TO 3502 02:24:25,920 --> 02:24:29,000 METASTASIS TO DEVELOP PREDICTIVE 3503 02:24:29,000 --> 02:24:31,320 COMPUTATIONAL MODELS BASED ON 3504 02:24:31,320 --> 02:24:33,360 DETAILED MOLECULAR AND CELLULAR 3505 02:24:33,360 --> 02:24:35,440 CHARACTERIZATION OF TUMORS. 3506 02:24:35,440 --> 02:24:36,240 NEXT SLIDE. 3507 02:24:36,240 --> 02:24:39,200 YOU CAN SEE FROM THIS SLIDE THE 3508 02:24:39,200 --> 02:24:42,520 DIFFERENT TUMOR SITES THAT HAVE 3509 02:24:42,520 --> 02:24:44,840 NOW REAL DATA AND REAL RESOURCES 3510 02:24:44,840 --> 02:24:54,320 AS A RESULT OF HTAN, TRULY A 3511 02:24:54,320 --> 02:24:54,960 NATIONAL EFFORT. 3512 02:24:54,960 --> 02:25:00,480 EACH BOX IS A TEAM, COLORS 3513 02:25:00,480 --> 02:25:03,600 REPRESENT SIX DISEASE WITH DATA 3514 02:25:03,600 --> 02:25:05,760 FROM CANCER TO METASTATIC 3515 02:25:05,760 --> 02:25:07,280 DISEASE, IMPORTANTLY WITH 3516 02:25:07,280 --> 02:25:08,800 EXAMPLES OF TREATMENT EFFECTS. 3517 02:25:08,800 --> 02:25:11,640 IT'S COLOR CODED FOR DIFFERENT 3518 02:25:11,640 --> 02:25:13,480 APPROACHES, TAKEN FOR DIFFERENT 3519 02:25:13,480 --> 02:25:15,480 ORGAN SITES, DIFFERENT 3520 02:25:15,480 --> 02:25:18,680 TECHNOLOGIES IN USE, INCLUDING 3521 02:25:18,680 --> 02:25:19,520 CONVENTIONAL 3522 02:25:19,520 --> 02:25:20,240 IMMUNOHISTOCHEMISTRY, SINGLE 3523 02:25:20,240 --> 02:25:22,240 CELL STUDY, SPATIAL OMICS, AND 3524 02:25:22,240 --> 02:25:23,600 MANY OTHERS. 3525 02:25:23,600 --> 02:25:26,000 FOR EXAMPLE, WE HAVE AN EFFORT 3526 02:25:26,000 --> 02:25:31,200 IN PANCREATIC CANCER IN PURPLE 3527 02:25:31,200 --> 02:25:33,160 HERE ON THE LEFT, WHERE WE'RE 3528 02:25:33,160 --> 02:25:35,560 USING ALL OF THE DIFFERENT 3529 02:25:35,560 --> 02:25:37,440 TECHNOLOGIES AVAILABLE TO MAP 3530 02:25:37,440 --> 02:25:40,120 TUMOR EVOLUTION. 3531 02:25:40,120 --> 02:25:41,840 HEADINGS OF EACH BOX LIST 3532 02:25:41,840 --> 02:25:43,760 REFERENCES WHERE YOU CAN FIND 3533 02:25:43,760 --> 02:25:44,880 DETAIL CONCERNING THESE PROGRAMS 3534 02:25:44,880 --> 02:25:46,000 AND RESOURCES. 3535 02:25:46,000 --> 02:25:47,680 THESE ATLASES WILL BE FOLLOWED 3536 02:25:47,680 --> 02:25:51,760 IN THE NEXT YEAR AND A HALF BY 3537 02:25:51,760 --> 02:25:55,560 AT LEAST ANOTHER 20 DATA AND 3538 02:25:55,560 --> 02:25:58,040 INSIGHT-RICH ANALYSES AVAILABLE 3539 02:25:58,040 --> 02:26:02,440 TO THE BROAD COMMUNITY. 3540 02:26:02,440 --> 02:26:05,840 HTAN HAS PUBLISHED 12 ATLASES 3541 02:26:05,840 --> 02:26:07,000 DESCRIBING TRANSITION FROM 3542 02:26:07,000 --> 02:26:10,600 PRE-CANCER TO FULL MALIGNANCY, 3543 02:26:10,600 --> 02:26:12,200 LOCALLY INVASIVE TO METASTATIC 3544 02:26:12,200 --> 02:26:13,360 AND DEVELOPMENT OF THERAPY 3545 02:26:13,360 --> 02:26:14,360 RESISTANCE. 3546 02:26:14,360 --> 02:26:19,000 IN ADDITION TO THE NOW 12 MAIN 3547 02:26:19,000 --> 02:26:22,480 HTAN ATLASES AVAILABLE, 3548 02:26:22,480 --> 02:26:23,400 INVESTIGATORS HAVE CONTRIBUTED 3549 02:26:23,400 --> 02:26:26,440 161 MANUSCRIPTS OF WORK REPORTED 3550 02:26:26,440 --> 02:26:27,200 ALREADY. 3551 02:26:27,200 --> 02:26:28,480 NEXT SLIDE. 3552 02:26:28,480 --> 02:26:34,120 SO, THIS IS JUST ONE KEY PROGRAM 3553 02:26:34,120 --> 02:26:36,840 THAT IS ALLOWING US TO BEGIN TO 3554 02:26:36,840 --> 02:26:38,440 UNDERSTAND CELLULAR INTERACTIONS 3555 02:26:38,440 --> 02:26:41,480 THAT ARE OCCURRING WITHIN 3556 02:26:41,480 --> 02:26:43,280 TUMORS, HETEROGENEITY OF TUMORS 3557 02:26:43,280 --> 02:26:45,680 IN HUMAN POPULATIONS, AND HOW 3558 02:26:45,680 --> 02:26:46,960 THIS HETEROGENEITY GOVERNS 3559 02:26:46,960 --> 02:26:49,040 ARCHITECTURE AND THE EVOLUTION 3560 02:26:49,040 --> 02:26:51,920 AND DYNAMICS OF THE MANY 3561 02:26:51,920 --> 02:26:52,880 INTERACTIONS THAT OCCUR 3562 02:26:52,880 --> 02:26:54,760 INCLUDING RESPONSE TO TREATMENT. 3563 02:26:54,760 --> 02:26:57,520 THESE DATA WILL CONTINUE TO 3564 02:26:57,520 --> 02:26:59,360 GROW, AND WITH COMMITMENT BE 3565 02:26:59,360 --> 02:27:01,240 USED BY THE WIDEST POSSIBLE 3566 02:27:01,240 --> 02:27:04,320 COMMUNITY OF RESEARCHERS TO 3567 02:27:04,320 --> 02:27:05,240 INFORM TREATMENT, PREVENTION, 3568 02:27:05,240 --> 02:27:09,200 DIAGNOSTIC DISCOVERY. 3569 02:27:09,200 --> 02:27:10,920 NEXT SLIDE. 3570 02:27:10,920 --> 02:27:13,160 21ST CENTURY CURES ACT REQUIRES 3571 02:27:13,160 --> 02:27:14,360 THAT ALL MOONSHOT RESEARCH AND 3572 02:27:14,360 --> 02:27:18,800 THE DATA IT FUNDS TO BE MADE 3573 02:27:18,800 --> 02:27:20,600 PUBLICLY AVAILABLE IMMEDIATELY 3574 02:27:20,600 --> 02:27:24,120 UPON PUBLICATION, THEREFORE ALL 3575 02:27:24,120 --> 02:27:25,920 HTAN DATA ARE PUBLICLY AVAILABLE 3576 02:27:25,920 --> 02:27:28,320 AND WE PROVIDED THE URL HERE. 3577 02:27:28,320 --> 02:27:30,560 NEXT SLIDE. 3578 02:27:30,560 --> 02:27:34,200 ANOTHER MOONSHOT PROGRAM IS 3579 02:27:34,200 --> 02:27:34,800 IMMUNO-ONCOLOGY TRANSLATIONAL 3580 02:27:34,800 --> 02:27:36,200 WORKING TO ACCELERATE DISCOVERY 3581 02:27:36,200 --> 02:27:37,720 OF IMMUNE TARGETS FOR CANCER 3582 02:27:37,720 --> 02:27:41,400 TREATMENT AND DEVELOPMENT OF NEW 3583 02:27:41,400 --> 02:27:41,800 IMMUNOTHERAPIES. 3584 02:27:41,800 --> 02:27:43,320 WE UNDERSTAND THAT IMMUNE 3585 02:27:43,320 --> 02:27:45,920 RESPONSE TO TUMOR DEPENDS ON ALL 3586 02:27:45,920 --> 02:27:50,720 COMPONENTS OF THE IMMUNE SYSTEM, 3587 02:27:50,720 --> 02:27:52,600 ADAPTIVE, ESPECIALLY INCLUDING T 3588 02:27:52,600 --> 02:27:56,160 CELLS, B CELLS, DENDRITIC CELLS, 3589 02:27:56,160 --> 02:27:58,040 NATURAL KILLER CELLS, ALL THE 3590 02:27:58,040 --> 02:28:02,520 STROMAL COMPONENTS OF THE TUMOR 3591 02:28:02,520 --> 02:28:03,760 MICROENVIRONMENT, COMPLEX, AND 3592 02:28:03,760 --> 02:28:05,520 THEY ALL MATTER WHEN IT COMES TO 3593 02:28:05,520 --> 02:28:09,800 UNDERSTANDING HOW TO VERY MANY 3594 02:28:09,800 --> 02:28:10,280 EFFECTIVE IMMUNOTHERAPY. 3595 02:28:10,280 --> 02:28:11,080 CHECKPOINT INHIBITORS HAS DONE A 3596 02:28:11,080 --> 02:28:12,920 LOT FOR PATIENTS. 3597 02:28:12,920 --> 02:28:15,120 THEY CAN RELIEVE SOME OF THE 3598 02:28:15,120 --> 02:28:15,920 CHALLENGES CREATED BY TUMOR 3599 02:28:15,920 --> 02:28:19,080 IMMUNE SUPPRESSION BUT THEY ARE 3600 02:28:19,080 --> 02:28:20,200 NOT UNIVERSALLY EFFECTIVE. 3601 02:28:20,200 --> 02:28:22,600 CAR T CELLS ARE SHOWING ENORMOUS 3602 02:28:22,600 --> 02:28:25,320 PROMISE FOR SOME BUT NOT ALL 3603 02:28:25,320 --> 02:28:26,440 TUMORS. 3604 02:28:26,440 --> 02:28:28,400 SO NOW THROUGH THIS NETWORK 3605 02:28:28,400 --> 02:28:32,320 WE'RE EXPLORING NOVEL APPROACHES 3606 02:28:32,320 --> 02:28:33,720 TO STIMULATE ANTITUMOR RESPONSE, 3607 02:28:33,720 --> 02:28:36,320 FOR BOTH PREVENTION ALL THE WAY 3608 02:28:36,320 --> 02:28:40,200 THROUGH ADVANCED DISEASE TO 3609 02:28:40,200 --> 02:28:40,800 OVERCOME THE IMMUNOSUPPRESSIVE 3610 02:28:40,800 --> 02:28:42,160 MECHANISMS OF THE TUMOR. 3611 02:28:42,160 --> 02:28:43,840 AND FINALLY THERE'S A BIG EFFORT 3612 02:28:43,840 --> 02:28:46,560 I WANT TO CALL OUT TO IDENTIFY 3613 02:28:46,560 --> 02:28:49,520 NEW ANTIGENS AS WELL AS NOVEL 3614 02:28:49,520 --> 02:28:51,720 IMMUNE THERAPEUTIC TARGETS. 3615 02:28:51,720 --> 02:28:53,440 NEXT SLIDE. 3616 02:28:53,440 --> 02:28:55,880 WE'VE MADE PROGRESS. 3617 02:28:55,880 --> 02:28:57,560 WE'VE CREATED NEW RESEARCH 3618 02:28:57,560 --> 02:28:59,160 NETWORK, WE ARE PUBLICLY SHARING 3619 02:28:59,160 --> 02:29:01,800 DATA FROM THIS WORK SO FAR. 3620 02:29:01,800 --> 02:29:03,960 THERE HAVE BEEN 410 MANUSCRIPTS 3621 02:29:03,960 --> 02:29:06,040 PUBLISHED FROM THIS EFFORT AT 3622 02:29:06,040 --> 02:29:07,640 LAST COUNT. 3623 02:29:07,640 --> 02:29:10,000 AND MOST IMPORTANTLY, NEW 3624 02:29:10,000 --> 02:29:12,560 COLLABORATIONS TO BRIDGE 3625 02:29:12,560 --> 02:29:14,360 IMPORTANT CLINICAL GAPS IN 3626 02:29:14,360 --> 02:29:15,560 IMMUNO-ONCOLOGY. 3627 02:29:15,560 --> 02:29:17,840 IN ADDITION TO RESEARCH, THE 3628 02:29:17,840 --> 02:29:23,720 MOONSHOT HAS BEEN SUPPORTED 3629 02:29:23,720 --> 02:29:24,840 EFFORTS IN IMMUNOPREVENTION, 3630 02:29:24,840 --> 02:29:26,280 IMMUNOENGINEERING AS THERAPEUTIC 3631 02:29:26,280 --> 02:29:29,240 MODALITY AND EFFORTS TO MITIGATE 3632 02:29:29,240 --> 02:29:31,560 IMMUNOTHERAPY MEDIATED ADVERSE 3633 02:29:31,560 --> 02:29:32,160 EVENTS. 3634 02:29:32,160 --> 02:29:33,160 NEXT SLIDE. 3635 02:29:33,160 --> 02:29:36,000 ANOTHER HIGHLIGHT FOR YOU, 3636 02:29:36,000 --> 02:29:38,520 CHILDHOOD CANCER WAS A MAJOR 3637 02:29:38,520 --> 02:29:40,720 FOCUS, SINCE MANY DISEASES ARE 3638 02:29:40,720 --> 02:29:42,760 FUNDAMENTALLY DIFFERENT FROM 3639 02:29:42,760 --> 02:29:44,240 ADULT CANCERS IN UNDERLYING 3640 02:29:44,240 --> 02:29:45,440 BIOLOGY, AND RESPONSE TO 3641 02:29:45,440 --> 02:29:46,160 TREATMENT. 3642 02:29:46,160 --> 02:29:48,040 WE LEARNED OVER AND OVER AGAIN 3643 02:29:48,040 --> 02:29:50,480 CHILDREN ARE NOT JUST SMALL 3644 02:29:50,480 --> 02:29:50,880 ADULTS. 3645 02:29:50,880 --> 02:30:01,280 ABOUT HALF OF ALL CHILD CANCERS 3646 02:30:01,280 --> 02:30:05,640 ARE CAUSED BY SLICING, FUSED 3647 02:30:05,640 --> 02:30:08,520 PROTEINS MUTATES ONCOGENIC 3648 02:30:08,520 --> 02:30:09,000 SIGNALING. 3649 02:30:09,000 --> 02:30:10,400 FUSION ONCOPROTEIN 2 CONSORTIUM 3650 02:30:10,400 --> 02:30:13,920 WAS LAUNCHED TO UNDERSTAND HUE 3651 02:30:13,920 --> 02:30:15,760 FUSION ONCOPROTEINS DRIVE 3652 02:30:15,760 --> 02:30:20,240 TUMORIGENESIS AND DEVELOP SMALL 3653 02:30:20,240 --> 02:30:21,040 MOLECULES. 3654 02:30:21,040 --> 02:30:24,040 WE FUNDED NINE CENTERS, COVERING 3655 02:30:24,040 --> 02:30:25,160 SIX IDENTIFIED FUSION 3656 02:30:25,160 --> 02:30:26,960 ONCOPROTEINS IN HIGH RISK 3657 02:30:26,960 --> 02:30:28,120 CHILDHOOD CANCERS. 3658 02:30:28,120 --> 02:30:30,960 IT'S BEEN HIGHLY SUCCESSFUL IN 3659 02:30:30,960 --> 02:30:32,240 CHARACTERIZING THE MOLECULAR 3660 02:30:32,240 --> 02:30:34,960 MECHANISMS BY WHICH FUSION 3661 02:30:34,960 --> 02:30:36,640 ONCOPROTEINS HIJACK THE 3662 02:30:36,640 --> 02:30:37,400 TRANSCRIPTIONAL MACHINERY, AND 3663 02:30:37,400 --> 02:30:40,200 THESE GROUPS HAVE MADE THE 3664 02:30:40,200 --> 02:30:42,000 SURPRISING FINDING THREE 3665 02:30:42,000 --> 02:30:43,520 DIFFERENT FUSION ONCOPROTEINS 3666 02:30:43,520 --> 02:30:46,240 DERIVED FROM DIFFERENT GENE 3667 02:30:46,240 --> 02:30:48,240 FUSIONS SHARE A COMMON MECHANISM 3668 02:30:48,240 --> 02:30:52,840 OF ACTION, BECAUSE EACH ONE 3669 02:30:52,840 --> 02:30:54,520 REGULATES -- DYSREGULATES, 3670 02:30:54,520 --> 02:30:55,760 SORRY, CHROMATIN ARCHITECTURE TO 3671 02:30:55,760 --> 02:30:59,680 ENABLE EXPRESSION OF GENES 3672 02:30:59,680 --> 02:31:03,480 NORMALLY TRANSCRIPTIONALLY 3673 02:31:03,480 --> 02:31:04,680 SILENCED, LEADING TO 3674 02:31:04,680 --> 02:31:07,080 UNCONTROLLED GROWTH, LEADING TO 3675 02:31:07,080 --> 02:31:11,680 DEVELOP SMALL MOLECULES TO 3676 02:31:11,680 --> 02:31:11,920 DISRUPT. 3677 02:31:11,920 --> 02:31:13,840 WE'VE ALL TALKED ABOUT THIS, 3678 02:31:13,840 --> 02:31:15,400 DATA SHARING IS ABSOLUTELY 3679 02:31:15,400 --> 02:31:17,640 CRITICAL TO ACHIEVING OUR GOALS. 3680 02:31:17,640 --> 02:31:20,600 AND I'M HAPPY TO SAY WE CAN 3681 02:31:20,600 --> 02:31:22,400 PROVIDE SOME RESOURCES TO THE 3682 02:31:22,400 --> 02:31:23,240 COMMUNITY THROUGH THE FUNDING 3683 02:31:23,240 --> 02:31:26,400 AND EFFORTS OF THE MOONSHOT. 3684 02:31:26,400 --> 02:31:29,880 WE'RE CREATING NATIONAL CANCER 3685 02:31:29,880 --> 02:31:32,040 DATA ECOSYSTEM THAT WE'LL 3686 02:31:32,040 --> 02:31:33,840 CONTINUALLY EXPAND TO MAXIMIZE 3687 02:31:33,840 --> 02:31:35,720 DATA UTILITY MAKING IT EASIER 3688 02:31:35,720 --> 02:31:39,520 FOR PEOPLE ACROSS THE CANCER 3689 02:31:39,520 --> 02:31:41,760 RESEARCH AND IMPORTANTLY CARE 3690 02:31:41,760 --> 02:31:43,880 CONTINUUM TO SHARE ACCESS AND 3691 02:31:43,880 --> 02:31:45,160 ANALYZE DATA. 3692 02:31:45,160 --> 02:31:47,520 NCI IS BUILDING A CANCER 3693 02:31:47,520 --> 02:31:48,760 RESEARCH DATA COMMONS, IT'S 3694 02:31:48,760 --> 02:31:51,000 AVAILABLE, IT WILL CONTINUE TO 3695 02:31:51,000 --> 02:31:52,440 GROW AND EXPAND AS AN 3696 02:31:52,440 --> 02:31:54,120 INFRASTRUCTURE TO SUPPORT DATA 3697 02:31:54,120 --> 02:31:57,960 COLLECTION AND USE FOR THE 3698 02:31:57,960 --> 02:32:01,080 ENTIRE RESEARCH COMMUNITY. 3699 02:32:01,080 --> 02:32:03,440 THE CDRC LEVERAGES COMPUTING 3700 02:32:03,440 --> 02:32:05,720 POWER OF THE CLOUD CURRENTLY TO 3701 02:32:05,720 --> 02:32:07,600 OFFER VIRTUE DATA SCIENCE 3702 02:32:07,600 --> 02:32:08,680 INFRASTRUCTURE, CONNECTING 3703 02:32:08,680 --> 02:32:10,480 CANCER RESEARCH DATA COLLECTIONS 3704 02:32:10,480 --> 02:32:11,480 WITH ANALYTIC TOOLS. 3705 02:32:11,480 --> 02:32:14,160 AND IT CAN TODAY BE USED BY 3706 02:32:14,160 --> 02:32:20,600 RESEARCHERS TO STORE, ANALYZE TO 3707 02:32:20,600 --> 02:32:21,480 IMPROVE OUR UNDERSTANDING, I 3708 02:32:21,480 --> 02:32:25,440 WILL EMPHASIZE AGAIN I THINK WE 3709 02:32:25,440 --> 02:32:26,840 AT THE INITIAL LET'S SAY BABY 3710 02:32:26,840 --> 02:32:29,560 STEPS OF WHAT IT WILL TAKE TO 3711 02:32:29,560 --> 02:32:32,920 REALLY SHARE DATA AT THE SCALE 3712 02:32:32,920 --> 02:32:35,440 AND FUNCTIONAL CAPACITY THAT WE 3713 02:32:35,440 --> 02:32:37,880 WANT, BUT WE'VE MADE A START AND 3714 02:32:37,880 --> 02:32:39,560 IT CAN HELP PEOPLE ACHIEVE 3715 02:32:39,560 --> 02:32:40,040 RESULTS. 3716 02:32:40,040 --> 02:32:40,640 NEXT SLIDE. 3717 02:32:40,640 --> 02:32:46,240 ONE OF THE KEY COMPONENTS OF THE 3718 02:32:46,240 --> 02:32:47,600 COMMONS THAT'S BEEN EVOLVING 3719 02:32:47,600 --> 02:32:50,000 OVER MANY YEARS IS THE GENOMIC 3720 02:32:50,000 --> 02:32:51,160 DATA COMMONS. 3721 02:32:51,160 --> 02:32:53,720 IT PROVIDES CANCER RESEARCH 3722 02:32:53,720 --> 02:32:54,600 COMMUNITY WITH UNIFIED 3723 02:32:54,600 --> 02:32:55,800 REPOSITORY AND CANCER KNOWLEDGE 3724 02:32:55,800 --> 02:32:59,640 BASE TO ENABLE DATA SHARING 3725 02:32:59,640 --> 02:33:03,480 ACROSS CANCER GENOMIC STUDIES IN 3726 02:33:03,480 --> 02:33:05,600 SUPPORT OF PRECISION MEDICINE, 3727 02:33:05,600 --> 02:33:07,680 SUPPORTING SEVERAL PROGRAMS AT 3728 02:33:07,680 --> 02:33:18,040 THE 1999 NCI CENTER. 3729 02:33:18,440 --> 02:33:21,200 AS YOU CAN SEE, TODAY THE 3730 02:33:21,200 --> 02:33:22,760 COMMONS CONTAINS GENOMIC DATA 3731 02:33:22,760 --> 02:33:26,200 FOR 68 CANCER SITES, ALMOST 3732 02:33:26,200 --> 02:33:29,600 87,000 CANCER CASES, AND CLOSE 3733 02:33:29,600 --> 02:33:31,320 TO 3 MILLION ASSOCIATED 3734 02:33:31,320 --> 02:33:31,600 MUTATIONS. 3735 02:33:31,600 --> 02:33:34,240 IT ALSO TODAY QUITE A RESOURCE 3736 02:33:34,240 --> 02:33:40,560 THAT CONTINUES TO EXPAND. 3737 02:33:40,560 --> 02:33:43,360 THIS BEGAN UNDER THE INITIAL 3738 02:33:43,360 --> 02:33:43,680 MOONSHOT. 3739 02:33:43,680 --> 02:33:46,480 WE'LL CONTINUE TO INVEST IN DATA 3740 02:33:46,480 --> 02:33:47,680 SHARING INFRASTRUCTURE 3741 02:33:47,680 --> 02:33:48,680 THROUGHOUT OUR ACTIVITIES AS 3742 02:33:48,680 --> 02:33:49,920 PART OF THE NATIONAL CANCER PLAN 3743 02:33:49,920 --> 02:33:55,160 WHICH I'LL COME BACK TO SHORTLY. 3744 02:33:55,160 --> 02:33:57,000 SO, WHEN PRESIDENT BIDEN 3745 02:33:57,000 --> 02:33:57,880 REIGNITED THE MOONSHOT A YEAR 3746 02:33:57,880 --> 02:34:01,000 AGO HE GAVE US THE CHARGE TO 3747 02:34:01,000 --> 02:34:03,520 ACHIEVE EACH ACTION HERE. 3748 02:34:03,520 --> 02:34:06,120 AND THIS IS EXACTLY RIGHT. 3749 02:34:06,120 --> 02:34:07,120 EACH OF THESE THINGS MUST HAPPEN 3750 02:34:07,120 --> 02:34:08,960 IF WE'RE GOING TO END CANCER AS 3751 02:34:08,960 --> 02:34:11,640 WE KNOW IT. 3752 02:34:11,640 --> 02:34:13,200 NEXT SLIDE. 3753 02:34:13,200 --> 02:34:16,640 AS PART OF HIS COMMITMENT TO A 3754 02:34:16,640 --> 02:34:18,680 WHOLE-OF-GOVERNMENT APPROACH HE 3755 02:34:18,680 --> 02:34:20,120 BEGAN BY CONVENING A CANCER 3756 02:34:20,120 --> 02:34:22,720 CABINET LAST YEAR TO BRING 3757 02:34:22,720 --> 02:34:23,760 TOGETHER DEPARTMENTS AND 3758 02:34:23,760 --> 02:34:25,560 AGENCIES ACROSS THE FEDERAL 3759 02:34:25,560 --> 02:34:28,240 GOVERNMENT TO COORDINATE ACTION. 3760 02:34:28,240 --> 02:34:32,600 THESE INCLUDED HEALTH FOCUSED 3761 02:34:32,600 --> 02:34:35,760 AGENCIES LIKE HHS, NIH, HRSA, 3762 02:34:35,760 --> 02:34:37,400 CMS, BUT ALSO OTHERS WITH 3763 02:34:37,400 --> 02:34:45,520 ACTIONS AND EXPERTISE, EPA, 3764 02:34:45,520 --> 02:34:47,680 DEPARTMENT OF DEFENSE, EVEN 3765 02:34:47,680 --> 02:34:49,000 NASA. 3766 02:34:49,000 --> 02:34:51,240 WE'RE SEEING IMPORTANT NEW 3767 02:34:51,240 --> 02:34:54,360 ACTIONS TAKEN BY CABINET 3768 02:34:54,360 --> 02:34:55,120 MEMBERS. 3769 02:34:55,120 --> 02:34:56,720 HRSA SPONSORING AWARDS THAT 3770 02:34:56,720 --> 02:34:59,160 BRING COMMUNITY HEALTH CENTERS 3771 02:34:59,160 --> 02:35:01,400 TOGETHER WITH NCI DESIGNATED 3772 02:35:01,400 --> 02:35:03,920 CANCER CENTERS TO FACILITATE 3773 02:35:03,920 --> 02:35:06,160 ACCESS TO EARLY DETECTION 3774 02:35:06,160 --> 02:35:08,000 SERVICES FOR UNDERSERVED 3775 02:35:08,000 --> 02:35:08,280 COMMUNITIES. 3776 02:35:08,280 --> 02:35:10,920 AND HHS, OFFICE OF THE NATIONAL 3777 02:35:10,920 --> 02:35:12,960 COORDINATOR AND OFFICE OF THE 3778 02:35:12,960 --> 02:35:14,200 ASSISTANT SECRETARY FOR HEALTH, 3779 02:35:14,200 --> 02:35:18,040 ARE LAUNCHING A PROGRAM KNOWN AS 3780 02:35:18,040 --> 02:35:20,400 CANCER-X, A PUBLIC/PRIVATE 3781 02:35:20,400 --> 02:35:21,640 PARTNERSHIP TO ACCELERATE 3782 02:35:21,640 --> 02:35:24,640 BIOTECH AND HEALTH TECH START-UP 3783 02:35:24,640 --> 02:35:27,760 SOLUTIONS FOCUSED ON PREVENTION, 3784 02:35:27,760 --> 02:35:29,160 DETECTION, TREATMENT, AND 3785 02:35:29,160 --> 02:35:31,920 TRANSITION AND CARE. 3786 02:35:31,920 --> 02:35:33,000 NEXT SLIDE. 3787 02:35:33,000 --> 02:35:34,760 WE DON'T HAVE FUNDING MORE THE 3788 02:35:34,760 --> 02:35:39,560 FOON SHOT BEYOND OF OF OF -- 3789 02:35:39,560 --> 02:35:43,600 MOONSHOT BEYOND 2023 WE'RE USING 3790 02:35:43,600 --> 02:35:45,840 CURRENT FUNDS TO THE FULLEST 3791 02:35:45,840 --> 02:35:47,360 EXTENT. 3792 02:35:47,360 --> 02:35:48,320 THE TRACE PROGRAM AWARDED $23 3793 02:35:48,320 --> 02:35:49,880 MILLION TO FOUR CENTERS TO 3794 02:35:49,880 --> 02:35:55,680 ESTABLISH THEM AS CENTERS 3795 02:35:55,680 --> 02:35:56,920 EXCELLENCE TO STUDY TELEHEALTH, 3796 02:35:56,920 --> 02:35:58,680 WE LEARNED A LOT DURING THE 3797 02:35:58,680 --> 02:36:00,480 PANDEMIC ABOUT HOW EFFECTIVE 3798 02:36:00,480 --> 02:36:01,800 TELEHEALTH APPROACHES CAN MAKE 3799 02:36:01,800 --> 02:36:04,120 IT EASIER FOR PEOPLE TO 3800 02:36:04,120 --> 02:36:06,160 PARTICIPATE IN SOME TYPES OF 3801 02:36:06,160 --> 02:36:07,760 RESEARCH LIKE CLINICAL TRIALS. 3802 02:36:07,760 --> 02:36:10,160 AND TO ACCESS HEALTH CARE. 3803 02:36:10,160 --> 02:36:11,760 THESE AWARDS ARE A COMMITMENT TO 3804 02:36:11,760 --> 02:36:14,280 HELPING US UNDERSTAND HOW TO 3805 02:36:14,280 --> 02:36:16,600 BEST USE THIS TECHNOLOGY, TO 3806 02:36:16,600 --> 02:36:18,840 ADDRESS THE NEEDS OF OUR 3807 02:36:18,840 --> 02:36:20,800 PATIENTS, AND EXPAND THEIR 3808 02:36:20,800 --> 02:36:22,840 PARTICIPATION AND RESEARCH. 3809 02:36:22,840 --> 02:36:24,440 UNFORTUNATELY, WE STILL HAVEN'T 3810 02:36:24,440 --> 02:36:25,640 REACHED LEVEL OF DIVERSITY WE 3811 02:36:25,640 --> 02:36:29,160 FEEL IS NEEDED AMONG OUR R01 3812 02:36:29,160 --> 02:36:29,600 GRANTEES. 3813 02:36:29,600 --> 02:36:31,000 THE CANCER MOONSHOT SCHOLARS 3814 02:36:31,000 --> 02:36:32,880 PROGRAM IS DESIGNED TO ADDRESS 3815 02:36:32,880 --> 02:36:35,800 THIS WITH THE AIM TO ADVANCE 3816 02:36:35,800 --> 02:36:37,160 CANCER SCIENCE WHILE ALSO 3817 02:36:37,160 --> 02:36:40,560 DIVERSIFYING THE POOL OF 3818 02:36:40,560 --> 02:36:45,040 RESEARCHERS AND PERSPECTIVESES 3819 02:36:45,040 --> 02:36:46,960 AND APPROACHES TO INCREASE 3820 02:36:46,960 --> 02:36:49,640 NUMBER OF APPLICATIONS TARGETED 3821 02:36:49,640 --> 02:36:51,280 TO EARLY STAGE INVESTIGATORS 3822 02:36:51,280 --> 02:36:53,800 FROM DIVERSE BACKGROUNDS, AND WE 3823 02:36:53,800 --> 02:36:55,640 EXPECT TO BE FUNDING 45 NEW 3824 02:36:55,640 --> 02:36:58,440 R01s THROUGH THIS PROGRAM OVER 3825 02:36:58,440 --> 02:37:00,440 THE NEXT THREE YEARS. 3826 02:37:00,440 --> 02:37:03,880 A THIRD IS NCI MULTI-CANCER 3827 02:37:03,880 --> 02:37:07,560 DETECTION TEST VANGUARD STUDY, 3828 02:37:07,560 --> 02:37:11,000 FOR MANY CANCERS, PANCREATIC, 3829 02:37:11,000 --> 02:37:13,400 BRAIN TUMORS, OVARIAN CANCER, WE 3830 02:37:13,400 --> 02:37:16,200 JUST DON'T HAVE MEASURES TO 3831 02:37:16,200 --> 02:37:17,000 ALLOW EARLY DETECTION. 3832 02:37:17,000 --> 02:37:18,600 EVEN THOUGH WE KNOW EARLY 3833 02:37:18,600 --> 02:37:20,440 DETECTION CAN SAVE LIVES. 3834 02:37:20,440 --> 02:37:22,720 THESE TESTS ARE CONDUCTED 3835 02:37:22,720 --> 02:37:25,080 THROUGH SIMPLE BLOOD DRAW, MAY 3836 02:37:25,080 --> 02:37:30,080 PROVIDE LESS INVASIVE MEANS FOR 3837 02:37:30,080 --> 02:37:32,360 EARLY DETECTION AND BETTER 3838 02:37:32,360 --> 02:37:33,840 OUTCOME, THIS WILL EVALUATE 3839 02:37:33,840 --> 02:37:36,280 WHETHER BENEFITS OF USING MCD 3840 02:37:36,280 --> 02:37:40,720 APPROACH TO SCREEN FOR CANCER 3841 02:37:40,720 --> 02:37:41,560 WILL OUTWEIGH HARMS, 3842 02:37:41,560 --> 02:37:44,640 OVERDIAGNOSIS IS A REAL ISSUE, 3843 02:37:44,640 --> 02:37:48,200 PARTICULARLY IN OUR AGING 3844 02:37:48,200 --> 02:37:48,960 PATIENT POPULATIONS. 3845 02:37:48,960 --> 02:37:51,520 SO, THE PLAN IS TO BEGIN 3846 02:37:51,520 --> 02:37:53,760 ENROLLING 24,000 HEALTHY PEOPLE, 3847 02:37:53,760 --> 02:37:56,360 AGES 45 TO 70, IN 2024 TO LAY 3848 02:37:56,360 --> 02:37:59,360 THE GROUND WORK FOR THE LARGER 3849 02:37:59,360 --> 02:38:03,600 STUDY THAT IS REQUIRED THAT WILL 3850 02:38:03,600 --> 02:38:05,160 ENROLL 225,000 PEOPLE TO 3851 02:38:05,160 --> 02:38:07,320 DEMONSTRATE BENEFIT FOR THIS 3852 02:38:07,320 --> 02:38:10,480 TYPE OF SCREENING ACROSS ALL 3853 02:38:10,480 --> 02:38:19,920 CANCERS, WITH THE ENPOINT BEING 3854 02:38:19,920 --> 02:38:20,640 REDUCED MORTALITY. 3855 02:38:20,640 --> 02:38:22,360 WE NEED TO MAKE FASTER PROGRESS 3856 02:38:22,360 --> 02:38:24,480 AGAINST THE MOST COMMON CANCERS 3857 02:38:24,480 --> 02:38:25,720 BUT ALSO ACHIEVE BETTER RESULTS 3858 02:38:25,720 --> 02:38:28,200 FOR ALL PEOPLE WITH ALL OTHER 3859 02:38:28,200 --> 02:38:32,120 CANCERS IF WE'RE GOING TO OBTAIN 3860 02:38:32,120 --> 02:38:34,520 THE PRESIDENT'S 25 MORTALITY 3861 02:38:34,520 --> 02:38:36,640 RATE BY 2047. 3862 02:38:36,640 --> 02:38:41,720 OUR CURRENT RATE OF DECLINE IN 3863 02:38:41,720 --> 02:38:43,280 CANCER DEATHS PER YEAR BASED ON 3864 02:38:43,280 --> 02:38:46,000 CURRENT DATA IS 2.3%. 3865 02:38:46,000 --> 02:38:48,160 ANALYSIS SAYS WE NEED TO GET TO 3866 02:38:48,160 --> 02:38:51,280 A SUSTAINED RATE OF DECLINE OF 3867 02:38:51,280 --> 02:38:54,000 2.7% PER YEAR OVER THE NEXT 25 3868 02:38:54,000 --> 02:38:56,280 YEARS TO MEET THIS GOAL. 3869 02:38:56,280 --> 02:38:59,680 SOUND LIKE IT'S NOT SO HARD. 3870 02:38:59,680 --> 02:38:59,920 WOW! 3871 02:38:59,920 --> 02:39:03,160 WHEN YOU LOOK AT THE MODELING 3872 02:39:03,160 --> 02:39:05,000 AND THE DATA, BASED ON WHAT HAS 3873 02:39:05,000 --> 02:39:06,440 COME BEFORE AND WHAT WE NEED TO 3874 02:39:06,440 --> 02:39:11,000 DO NEXT, IT IS NOT EASY AT ALL. 3875 02:39:11,000 --> 02:39:13,840 IT IS GOING TO TAKE A 3876 02:39:13,840 --> 02:39:15,680 SIGNIFICANT COMMITTED COLLECTIVE 3877 02:39:15,680 --> 02:39:18,480 ACTION FROM ALL OF US, INCLUDING 3878 02:39:18,480 --> 02:39:19,480 SOCIETAL CHANGES BEYOND THE 3879 02:39:19,480 --> 02:39:20,360 BIOMEDICAL COMMUNITY IF WE'RE 3880 02:39:20,360 --> 02:39:25,560 GOING TO REACH THIS GOAL. 3881 02:39:25,560 --> 02:39:25,880 NEXT SLIDE. 3882 02:39:25,880 --> 02:39:28,600 NEXT SLIDE PLEASE. 3883 02:39:28,600 --> 02:39:31,600 SO, THIS IS WHY THE NATIONAL 3884 02:39:31,600 --> 02:39:31,960 CANCER PLAN. 3885 02:39:31,960 --> 02:39:34,360 THE NATIONAL CANCER ACT OF 1971 3886 02:39:34,360 --> 02:39:36,600 WAS IMPORTANT, SHAPING WHAT THE 3887 02:39:36,600 --> 02:39:39,000 NATIONAL CANCER INSTITUTE IS 3888 02:39:39,000 --> 02:39:40,960 TODAY, GRANTED NEW AUTHORITY, 3889 02:39:40,960 --> 02:39:42,200 CREATED CRITICAL INFRASTRUCTURE, 3890 02:39:42,200 --> 02:39:44,480 INCREASED FUNDING FOR CANCER 3891 02:39:44,480 --> 02:39:45,920 RESEARCH, BUT ALSO GAVE THE 3892 02:39:45,920 --> 02:39:49,160 AUTHORITY OF THE NCI DIRECTOR TO 3893 02:39:49,160 --> 02:39:51,400 PLAN AND DEVELOP A NATIONAL 3894 02:39:51,400 --> 02:39:53,000 CANCER PROGRAM THAT INCLUDED NCI 3895 02:39:53,000 --> 02:39:54,360 AND OTHER RESEARCH INSTITUTES 3896 02:39:54,360 --> 02:39:58,680 AND OTHER FEDERAL AND 3897 02:39:58,680 --> 02:40:00,120 NON-FEDERAL PROGRAMS, TWO ROLES 3898 02:40:00,120 --> 02:40:03,720 TO LEAD THE INSTITUTE BUT ALSO 3899 02:40:03,720 --> 02:40:04,560 TO DEVELOP AND IMPLEMENT 3900 02:40:04,560 --> 02:40:05,560 NATIONAL CANCER PLAN. 3901 02:40:05,560 --> 02:40:09,400 SO, IT IS IN THIS LIGHT THAT WE 3902 02:40:09,400 --> 02:40:12,280 IN COLLABORATION WITH SO MANY 3903 02:40:12,280 --> 02:40:14,880 CRITICAL COLLEAGUES ACROSS THE 3904 02:40:14,880 --> 02:40:19,400 OTHER NIH INSTITUTES AND CENTERS 3905 02:40:19,400 --> 02:40:20,840 ALSO THE OTHER AGENCIES OF 3906 02:40:20,840 --> 02:40:22,920 HEALTH AND HUMAN SERVICES TO 3907 02:40:22,920 --> 02:40:23,920 CREATE A NEW NATIONAL CANCER 3908 02:40:23,920 --> 02:40:24,360 PLAN. 3909 02:40:24,360 --> 02:40:26,080 WHAT IS THIS? 3910 02:40:26,080 --> 02:40:27,280 NEXT SLIDE. 3911 02:40:27,280 --> 02:40:29,160 THIS PLAN EMBRACES THE IDEA THAT 3912 02:40:29,160 --> 02:40:32,600 TO END CANCER AS WE KNOW IT 3913 02:40:32,600 --> 02:40:34,200 EVERYONE HAS TO HELP INCLUDING 3914 02:40:34,200 --> 02:40:36,160 EVERYONE THROUGHOUT THE CANCER 3915 02:40:36,160 --> 02:40:38,560 SCIENCE CONTINUUM ACROSS BASIC 3916 02:40:38,560 --> 02:40:39,320 TRANSLATIONAL AND CLINICAL 3917 02:40:39,320 --> 02:40:39,680 RESEARCH. 3918 02:40:39,680 --> 02:40:43,120 HOWEVER, IT WILL TAKE MORE THAN 3919 02:40:43,120 --> 02:40:43,480 JUST RESEARCH. 3920 02:40:43,480 --> 02:40:45,440 WE WILL REQUIRE CONTRIBUTIONS 3921 02:40:45,440 --> 02:40:50,360 FROM OTHER FEDERAL AGENCIES, 3922 02:40:50,360 --> 02:40:52,400 INDUSTRY, ACADEMIA, INDUSTRY, 3923 02:40:52,400 --> 02:40:53,280 CAREGIVERS, PATIENTS, FAMILY 3924 02:40:53,280 --> 02:40:54,880 MEMBERS, REALLY ALL ASPECTS OF 3925 02:40:54,880 --> 02:40:56,600 SOCIETY, AND TO DO THIS WE HAVE 3926 02:40:56,600 --> 02:40:59,320 TO FIND NEW WAYS TO WORK 3927 02:40:59,320 --> 02:40:59,840 TOGETHER. 3928 02:40:59,840 --> 02:41:04,800 AND TAKE FULL ADVANTAGE OF 3929 02:41:04,800 --> 02:41:06,360 EVERYONE'S COLLECTIVE RESOURCES, 3930 02:41:06,360 --> 02:41:07,480 EXPERTISE, AND EXPERIENCE. 3931 02:41:07,480 --> 02:41:10,360 SO, IN THIS WAY THE NATIONAL 3932 02:41:10,360 --> 02:41:11,800 CANCER PLAN CAN'T BE JUST A 3933 02:41:11,800 --> 02:41:13,760 PRODUCT BUT HAS TO BE A PROCESS 3934 02:41:13,760 --> 02:41:16,520 TO HELP US FIND THE WAY WE NEED 3935 02:41:16,520 --> 02:41:18,800 TO WORK TOGETHER. 3936 02:41:18,800 --> 02:41:19,560 NEXT SLIDE. 3937 02:41:19,560 --> 02:41:23,240 SO DEVELOPED WITH SO MANY 3938 02:41:23,240 --> 02:41:27,640 WONDERFUL COLLEAGUES ACROSS THE 3939 02:41:27,640 --> 02:41:29,960 SPECTRUM, THERE ARE EIGHT GOALS. 3940 02:41:29,960 --> 02:41:32,520 YOU CAN SEE THE HEADINGS. 3941 02:41:32,520 --> 02:41:35,800 BUT THESE GOALS ALIGN WITH THE 3942 02:41:35,800 --> 02:41:39,920 REIGNITED MOONSHOT GOALS. 3943 02:41:39,920 --> 02:41:42,240 THEY WERE DESIGNED AS A -- WHAT 3944 02:41:42,240 --> 02:41:44,840 WOULD SUCCESS LOOK LIKE, WHAT DO 3945 02:41:44,840 --> 02:41:47,560 WE REALLY NEED TO ACHIEVE IF 3946 02:41:47,560 --> 02:41:50,000 WE'RE GOING TO END CANCER? 3947 02:41:50,000 --> 02:41:53,720 THE LARGER PLAN ON THIS WEBSITE, 3948 02:41:53,720 --> 02:41:54,800 IT ALSO DESCRIBES THE CURRENT 3949 02:41:54,800 --> 02:41:57,800 STATE OF THE CANCER WORLD FOR 3950 02:41:57,800 --> 02:42:00,840 EACH OF THESE GOALS, WHAT 3951 02:42:00,840 --> 02:42:01,480 SCIENTIFIC OR SOCIETAL 3952 02:42:01,480 --> 02:42:02,680 CHALLENGES EXIST, WHAT IS 3953 02:42:02,680 --> 02:42:04,160 POSSIBLE AND NEEDED TO DO 3954 02:42:04,160 --> 02:42:09,640 BETTER, AND WE INCLUDE WHERE NCI 3955 02:42:09,640 --> 02:42:12,120 IS MAKING A COMMITMENT TO MAJOR 3956 02:42:12,120 --> 02:42:13,920 CONTRIBUTIONS TO EACH. 3957 02:42:13,920 --> 02:42:17,720 WE ENVISION THROUGH GUIDANCE OF 3958 02:42:17,720 --> 02:42:18,480 THE PRESIDENT'S CANCER PANEL 3959 02:42:18,480 --> 02:42:21,720 THAT THIS PLAN WILL BE A LIVING 3960 02:42:21,720 --> 02:42:24,240 DOCUMENT THAT WE WILL REVISE AS 3961 02:42:24,240 --> 02:42:27,120 NEW OPPORTUNITIES AND NEEDS 3962 02:42:27,120 --> 02:42:28,640 ARISE OVER OUR 25-YEAR TIME 3963 02:42:28,640 --> 02:42:30,440 FRAME TO ACHIEVE THE GOALS OF 3964 02:42:30,440 --> 02:42:32,240 THIS NEW MOONSHOT. 3965 02:42:32,240 --> 02:42:34,120 NEXT SLIDE. 3966 02:42:34,120 --> 02:42:36,880 I'LL GIVE QUICK EXAMPLES OF 3967 02:42:36,880 --> 02:42:37,720 NCI'S CONTRIBUTIONS TO THE 3968 02:42:37,720 --> 02:42:39,000 NATIONAL CANCER PLAN. 3969 02:42:39,000 --> 02:42:41,120 WE'RE COMMITTED TO DOING 3970 02:42:41,120 --> 02:42:42,680 EVERYTHING WE CAN TO POWER 3971 02:42:42,680 --> 02:42:44,640 RESEARCH ACROSS THE SPECTRUM 3972 02:42:44,640 --> 02:42:52,960 FROM BASIC DISCOVERY TO CLINICL 3973 02:42:52,960 --> 02:42:53,520 RESEARCH. 3974 02:42:53,520 --> 02:42:55,160 WITHOUT ADEQUATE PARTICIPANT 3975 02:42:55,160 --> 02:42:56,600 REPRESENTATION IN CANCER 3976 02:42:56,600 --> 02:42:59,120 RESEARCH, ESPECIALLY IN 3977 02:42:59,120 --> 02:43:00,800 THERAPEUTIC TRIALS, DISPARITIES 3978 02:43:00,800 --> 02:43:03,120 ARE LIKELY TO INCREASE AS RACIAL 3979 02:43:03,120 --> 02:43:04,640 AND ETHNIC POPULATIONS MAY NOT 3980 02:43:04,640 --> 02:43:06,800 BE ABLE TO FULLY BENEFIT FROM 3981 02:43:06,800 --> 02:43:09,560 CUTTING EDGE TREATMENT AND 3982 02:43:09,560 --> 02:43:11,280 PROMISES OF PRECISION MEDICINE. 3983 02:43:11,280 --> 02:43:14,840 ONE PROGRAM KNOWN AS CONNECTING 3984 02:43:14,840 --> 02:43:16,320 UNDERREPRESENTED POPULATIONS TO 3985 02:43:16,320 --> 02:43:18,960 CLINICAL TRIALS, ADDRESSES KEY 3986 02:43:18,960 --> 02:43:20,440 ISSUES THAT AFFECT DIVERSITY IN 3987 02:43:20,440 --> 02:43:24,360 TRIALS AND WILL IMPROVE THE 3988 02:43:24,360 --> 02:43:25,920 DISSEMINATION OF INFORMATION AND 3989 02:43:25,920 --> 02:43:26,720 CARE N. INTO UNDERSERVED 3990 02:43:26,720 --> 02:43:28,440 COMMUNITIES WHERE THEY ARE 3991 02:43:28,440 --> 02:43:34,920 NEEDED MOST. YOU CAN'T DO 3992 02:43:34,920 --> 02:43:36,440 CLINICAL RESEARCH WHERE YOU 3993 02:43:36,440 --> 02:43:37,800 CAN'T DO CLINICAL CARE. 3994 02:43:37,800 --> 02:43:39,800 THEY GO HAND IN HAND. 3995 02:43:39,800 --> 02:43:43,000 IF WE HOPE TO REACH -- I'M 3996 02:43:43,000 --> 02:43:47,160 SORRY, GO BACK. 3997 02:43:47,160 --> 02:43:51,640 IF WE HOPE TO ACHIEVE LEVEL OF 3998 02:43:51,640 --> 02:43:54,640 RESEARCH PARTICIPATION REQUIRED 3999 02:43:54,640 --> 02:43:56,000 WE MUST EMPOWER RESEARCHERS NOT 4000 02:43:56,000 --> 02:43:59,440 JUST AT THE MAIN HUBS, LIKE 4001 02:43:59,440 --> 02:44:01,400 PROGRAMS LIKE THE RESEARCH 4002 02:44:01,400 --> 02:44:03,080 PROGRAM ARE SO IMPORTANT BECAUSE 4003 02:44:03,080 --> 02:44:05,000 NCCOR, WHICH HAS BEEN AROUND FOR 4004 02:44:05,000 --> 02:44:06,400 MORE THAN A DECADE, EXTENDS THE 4005 02:44:06,400 --> 02:44:08,840 REACH OF CLINICAL TRIALS INTO 4006 02:44:08,840 --> 02:44:10,720 THE COMMUNITIES WHERE PEOPLE 4007 02:44:10,720 --> 02:44:12,280 ACTUALLY LIVE, TO BRING CARE AND 4008 02:44:12,280 --> 02:44:14,600 RESEARCH TO THEM. 4009 02:44:14,600 --> 02:44:16,480 NEXT SLIDE. 4010 02:44:16,480 --> 02:44:19,560 A NEW NCI INITIATIVE THAT GOES 4011 02:44:19,560 --> 02:44:22,400 BY SHORT HAND, CC-DIRECT, BRINGS 4012 02:44:22,400 --> 02:44:25,560 CLINICAL NAVIGATION AND CARE 4013 02:44:25,560 --> 02:44:27,520 NAVIGATION TO SUPPORT CHILDREN, 4014 02:44:27,520 --> 02:44:28,840 ADOLESCENTS, YOUNG ADULTS WITH 4015 02:44:28,840 --> 02:44:31,000 CANCER IN FAMILIES. 4016 02:44:31,000 --> 02:44:34,560 IT WILL ALSO FACILITATE RESEARCH 4017 02:44:34,560 --> 02:44:36,040 PARTICIPATION AND IMPORTANTLY WE 4018 02:44:36,040 --> 02:44:38,800 WERE TALKING ABOUT DATA SHARING 4019 02:44:38,800 --> 02:44:42,520 STANDARDS BEFORE, WELL, IT WILL 4020 02:44:42,520 --> 02:44:45,720 ESTABLISH A PORTABLE SHAREABLE 4021 02:44:45,720 --> 02:44:48,040 STANDARDIZED CANCER HEALTH 4022 02:44:48,040 --> 02:44:50,680 RECORD FOR KIDS, ADOLESCENTS, 4023 02:44:50,680 --> 02:44:51,720 YOUNG ADULTS. 4024 02:44:51,720 --> 02:44:53,000 IT STANDS OUT BECAUSE IT 4025 02:44:53,000 --> 02:44:56,680 REPRESENTS A FIRST OF ITS KIND 4026 02:44:56,680 --> 02:44:57,720 PUBLIC/PRIVATE PARTNERSHIP 4027 02:44:57,720 --> 02:45:00,120 BETWEEN NCI AND EIGHT PARTNER 4028 02:45:00,120 --> 02:45:03,240 ORGANIZATIONS SPANNING 4029 02:45:03,240 --> 02:45:04,680 GOVERNMENT, NON-PROFIT, 4030 02:45:04,680 --> 02:45:05,320 RESEARCH, CLINICAL PRACTICE 4031 02:45:05,320 --> 02:45:07,760 SECTORS WHICH IS WHAT WE NEED TO 4032 02:45:07,760 --> 02:45:10,200 DO IF WE'RE GOING TO DEVELOP A 4033 02:45:10,200 --> 02:45:12,720 STANDARD SUCH AS THIS 4034 02:45:12,720 --> 02:45:13,520 GENERALIZABLE HEALTH RECORD THAT 4035 02:45:13,520 --> 02:45:14,640 CAN WORK FOR ALL. 4036 02:45:14,640 --> 02:45:17,240 WE WANT TO ALSO DO WHAT WE CAN 4037 02:45:17,240 --> 02:45:18,840 TO ENSURE THE FAMILY OF EVERY 4038 02:45:18,840 --> 02:45:21,920 CHILD WITH CANCER IS CONNECTED 4039 02:45:21,920 --> 02:45:24,880 TO THE KNOWLEDGE AND RESOURCES 4040 02:45:24,880 --> 02:45:26,080 REQUIRED TO ACCESS AND 4041 02:45:26,080 --> 02:45:30,720 PARTICIPATE IN RESEARCH. 4042 02:45:30,720 --> 02:45:32,120 NEXT SLIDE. 4043 02:45:32,120 --> 02:45:35,240 NCI HAS BEEN DOING CLINICAL 4044 02:45:35,240 --> 02:45:37,040 TRIALS SINCE 1954. 4045 02:45:37,040 --> 02:45:39,560 HOWEVER, WE SEE A GREAT NEED 4046 02:45:39,560 --> 02:45:42,400 WITH ALL THIS EXPERIENCE TO 4047 02:45:42,400 --> 02:45:44,640 EXPAND AND MODERNIZE CANCER 4048 02:45:44,640 --> 02:45:47,080 CLINICAL TRIALS TO PRODUCE 4049 02:45:47,080 --> 02:45:49,560 BETTER DATA, MORE QUICKLY. 4050 02:45:49,560 --> 02:45:54,080 WE NEED THIS TO ACHIEVE THE 4051 02:45:54,080 --> 02:45:54,680 GOALS. 4052 02:45:54,680 --> 02:45:55,480 WE'RE LOOKING AT HOW WE DESIGN 4053 02:45:55,480 --> 02:45:57,160 CLINICAL TRIALS FROM TOP TO 4054 02:45:57,160 --> 02:45:59,360 BOTTOM, TO DETERMINE HOW WE CAN 4055 02:45:59,360 --> 02:46:02,520 ENROLL PEOPLE FROM VERY DIVERSE 4056 02:46:02,520 --> 02:46:03,560 POPULATIONS, PRODUCE RESULTS 4057 02:46:03,560 --> 02:46:06,040 FASTER, SO THESE RESULTS CAN BE 4058 02:46:06,040 --> 02:46:08,000 MORE QUICKLY ADOPTED FOR WIDER 4059 02:46:08,000 --> 02:46:10,360 BENEFIT. 4060 02:46:10,360 --> 02:46:11,800 IN ORDER TO INNOVATE AND BREAK 4061 02:46:11,800 --> 02:46:13,840 THE MOLD AND TAKE SOME RISKS WE 4062 02:46:13,840 --> 02:46:16,360 NEED TO TAKE, IN ORDER TO 4063 02:46:16,360 --> 02:46:18,080 INNOVATE, WE DECIDED TO PROVIDE 4064 02:46:18,080 --> 02:46:20,320 A DEDICATED TEAM AT NCI TO 4065 02:46:20,320 --> 02:46:24,040 PARTNER WITH THE FAULD -- FDA 4066 02:46:24,040 --> 02:46:26,080 AND LEADERS OF CLINICAL TRIALS 4067 02:46:26,080 --> 02:46:27,240 GROUPS, LAUNCHED IN FEBRUARY 4068 02:46:27,240 --> 02:46:32,480 KNOWN AS THE CLINICAL TRIALS 4069 02:46:32,480 --> 02:46:33,720 INNOVATION UNIT, SELECTING 4070 02:46:33,720 --> 02:46:34,960 HIGH-PRIORITY SCIENTIFIC 4071 02:46:34,960 --> 02:46:37,040 QUESTIONS THAT ARE PARTICULARLY 4072 02:46:37,040 --> 02:46:40,280 AMENABLE TO RADICALLY NEW STUDY 4073 02:46:40,280 --> 02:46:41,160 DESIGNS AND OPERATIONAL 4074 02:46:41,160 --> 02:46:43,520 PROCEDURES, AND THEN CARRY THEM 4075 02:46:43,520 --> 02:46:44,920 FORWARD THROUGH THE ESTABLISHED 4076 02:46:44,920 --> 02:46:48,360 NATIONAL CLINICAL TRIALS 4077 02:46:48,360 --> 02:46:51,120 NETWORK.. 4078 02:46:51,120 --> 02:46:56,600 WE'RE NOW ACCEPTING OUR FIRST 4079 02:46:56,600 --> 02:46:58,240 ROUND, NOW THROUGH JUNE 12. 4080 02:46:58,240 --> 02:47:00,280 I NEED TO EMPHASIZE ALL ASPECTS 4081 02:47:00,280 --> 02:47:02,480 OF CLINICAL TRIALS ARE ON THE 4082 02:47:02,480 --> 02:47:03,080 TABLE. 4083 02:47:03,080 --> 02:47:05,680 EVERYTHING THAT CAN BE ADAPTED 4084 02:47:05,680 --> 02:47:08,120 TO ACHIEVE MORE DIVERSE AND 4085 02:47:08,120 --> 02:47:10,360 FASTER BENEFIT FOR PEOPLE IS UP 4086 02:47:10,360 --> 02:47:12,280 TO INNOVATION BY THIS NEW 4087 02:47:12,280 --> 02:47:16,120 PROGRAM SUCH AS BETTER WAYS TO 4088 02:47:16,120 --> 02:47:17,360 ENGAGE IMPORTANT POPULATIONS, 4089 02:47:17,360 --> 02:47:18,880 NEW DATA COLLECTION METHODS, AND 4090 02:47:18,880 --> 02:47:22,280 EVEN BETTER WAYS TO MEASURE 4091 02:47:22,280 --> 02:47:22,880 BENEFIT FOR PEOPLE. 4092 02:47:22,880 --> 02:47:25,600 OUR AIM IS FOR TRIALS TO SET NEW 4093 02:47:25,600 --> 02:47:28,000 STANDARDS FOR HOW PARTICULAR 4094 02:47:28,000 --> 02:47:28,600 CANCER RESEARCH QUESTIONS ARE 4095 02:47:28,600 --> 02:47:30,840 ADDRESSED, TO HELP US GET 4096 02:47:30,840 --> 02:47:33,440 ANSWERS FASTER AND MORE 4097 02:47:33,440 --> 02:47:34,240 EFFECTIVELY, AND THIS WILL MAKE 4098 02:47:34,240 --> 02:47:36,480 A DIFFERENCE TO HELP US OVERCOME 4099 02:47:36,480 --> 02:47:38,120 THE CHALLENGES THAT WE 4100 02:47:38,120 --> 02:47:39,720 EXPERIENCE WITH TRIALS AND 4101 02:47:39,720 --> 02:47:42,880 CREATE MORE OPPORTUNITIES FOR 4102 02:47:42,880 --> 02:47:45,560 PROGRESS. 4103 02:47:45,560 --> 02:47:46,240 NEXT SLIDE. 4104 02:47:46,240 --> 02:47:49,240 SO AN EXAMPLE, YOU MIGHT HAVE 4105 02:47:49,240 --> 02:47:50,640 HEARD ABOUT THE PRAGMATICA-LUNG 4106 02:47:50,640 --> 02:47:53,160 STUDY LAUNCHED, NOW ENROLLING 4107 02:47:53,160 --> 02:47:53,520 PARTICIPANTS. 4108 02:47:53,520 --> 02:47:58,920 ON ITS FACE, IT IS A 4109 02:47:58,920 --> 02:48:03,440 REGISTRATION TRIAL DESIGNED TO 4110 02:48:03,440 --> 02:48:04,760 ANSWER A VERY STRAIGHTFORWARD 4111 02:48:04,760 --> 02:48:07,440 QUESTION, FOR SOME PEOPLE WITH 4112 02:48:07,440 --> 02:48:09,520 NON-SMALL CELL LUNG CANCER IS 4113 02:48:09,520 --> 02:48:13,640 COMBINATION OF TWO TARGETED 4114 02:48:13,640 --> 02:48:15,680 THERAPIES BETTER AT PROLONGING 4115 02:48:15,680 --> 02:48:17,760 LIFE THAN CURRENT STANDARD 4116 02:48:17,760 --> 02:48:18,040 THERAPIES? 4117 02:48:18,040 --> 02:48:21,000 BUT THIS TRIAL IS TESTING WAYS 4118 02:48:21,000 --> 02:48:24,160 TO GET THE RESULTS, AGAIN A 4119 02:48:24,160 --> 02:48:26,600 REGISTRATION TRIAL, PRODUCING 4120 02:48:26,600 --> 02:48:29,080 DATA FOR FDA REVIEW, BUT DO IT 4121 02:48:29,080 --> 02:48:30,080 MUCH FASTER. 4122 02:48:30,080 --> 02:48:33,240 IT'S FOCUSED ON RAPIDLY ENGAGING 4123 02:48:33,240 --> 02:48:33,840 PATIENTS, PARTICULARLY THOSE 4124 02:48:33,840 --> 02:48:36,200 FROM POPULATION ALSO TOO OFTEN 4125 02:48:36,200 --> 02:48:39,000 LEFT OUT OF CLINICAL TRIALS WHO 4126 02:48:39,000 --> 02:48:40,000 FACE SOCIETAL BARRIERS AND 4127 02:48:40,000 --> 02:48:43,440 FRANKLY ARE ALSO THE PEOPLE AT 4128 02:48:43,440 --> 02:48:44,800 GREATEST RISK FOR NON-SMALL CELL 4129 02:48:44,800 --> 02:48:47,000 LUNG CANCER IN THE FIRST PLACE, 4130 02:48:47,000 --> 02:48:49,400 ELIGIBILITY CRITERIA ARE BROAD 4131 02:48:49,400 --> 02:48:52,280 SO WE DON'T EXCLUDE PEOPLE WHO 4132 02:48:52,280 --> 02:48:54,520 CAN BENEFIT, FOCUSED ON ONLY 4133 02:48:54,520 --> 02:48:57,240 DATA ESSENTIAL TO ANSWER THE 4134 02:48:57,240 --> 02:48:58,360 QUESTION ABOUT IMPACT ON 4135 02:48:58,360 --> 02:49:02,520 SURVIVAL, SIMPLICITY IS THE KE. 4136 02:49:02,520 --> 02:49:06,160 I WILL TELL YOU THIS PROJECT, 4137 02:49:06,160 --> 02:49:10,240 THIS IDEA, FIRST LANDED AT THE 4138 02:49:10,240 --> 02:49:13,480 REVIEW AS A POSSIBILITY, AT THE 4139 02:49:13,480 --> 02:49:16,760 END OF AUGUST 2022. 4140 02:49:16,760 --> 02:49:18,800 AND IT OPENED TO ENROLLMENT IN 4141 02:49:18,800 --> 02:49:19,320 MARCH. 4142 02:49:19,320 --> 02:49:19,880 THAT INCLUDED NOT ONLY 4143 02:49:19,880 --> 02:49:21,200 COLLABORATION WITH ALL THE 4144 02:49:21,200 --> 02:49:24,240 PARTNERS REQUIRED TO DEVELOP THE 4145 02:49:24,240 --> 02:49:26,720 STUDY, IT ALSO INCLUDED 4146 02:49:26,720 --> 02:49:29,080 INVESTMENT AND BUY-IN FROM TWO 4147 02:49:29,080 --> 02:49:30,560 DIFFERENT PHARMACEUTICAL 4148 02:49:30,560 --> 02:49:31,600 COMPANIES. 4149 02:49:31,600 --> 02:49:34,400 SO, WE CAN DO THINGS REALLY 4150 02:49:34,400 --> 02:49:38,680 QUICKLY IF WE HAVE THE RIGHT 4151 02:49:38,680 --> 02:49:45,320 PARTNERS. 4152 02:49:45,320 --> 02:49:49,960 WE'RE ASKING EVERYONE TO HELP US 4153 02:49:49,960 --> 02:49:51,440 CHAMPION THE NATIONAL CANCER 4154 02:49:51,440 --> 02:49:53,880 PLAN SO IT BECOMES PART OF 4155 02:49:53,880 --> 02:49:54,480 DECISION MAKING AND THEY 4156 02:49:54,480 --> 02:49:57,240 COMMUNICATE WITH US SO WE KNOW 4157 02:49:57,240 --> 02:49:59,120 WHAT TO DO BETTER. 4158 02:49:59,120 --> 02:50:01,880 WE CAN REALLY OVERCOME THE 4159 02:50:01,880 --> 02:50:03,400 STRUCTURAL AND SOCIETAL BARRIERS 4160 02:50:03,400 --> 02:50:05,120 THAT LED TO SUBSTANTIAL 4161 02:50:05,120 --> 02:50:10,600 DISPARITIES IN CANCER INCIDENCE 4162 02:50:10,600 --> 02:50:11,800 AND MORTALITY AND LIMIT SOME 4163 02:50:11,800 --> 02:50:13,480 PARTICIPATION IN SCIENCE. 4164 02:50:13,480 --> 02:50:15,160 WE'RE ALSO ASKING THAT EVERYONE 4165 02:50:15,160 --> 02:50:17,640 KEEP US INFORMED OF THOSE 4166 02:50:17,640 --> 02:50:21,040 ACTIVITIES, NEW AND ONES 4167 02:50:21,040 --> 02:50:22,720 UNDERWAY, THAT ALIGN WITH GOALS. 4168 02:50:22,720 --> 02:50:26,080 THE INTENTION IS TO BREAK DOWN 4169 02:50:26,080 --> 02:50:26,560 BARRIERS. 4170 02:50:26,560 --> 02:50:28,400 TO COLLABORATION, SO WE CAN BEST 4171 02:50:28,400 --> 02:50:29,080 SUPPORT AND AMPLIFY THIS 4172 02:50:29,080 --> 02:50:29,600 IMPORTANT WORK. 4173 02:50:29,600 --> 02:50:31,720 I HOPE THROUGH ALL THE EXAMPLES 4174 02:50:31,720 --> 02:50:34,920 I'VE GIVEN YOU, YOU CAN SEE THAT 4175 02:50:34,920 --> 02:50:37,600 IN EVERY SINGLE BIT OF THE 4176 02:50:37,600 --> 02:50:40,360 MOONSHOT THE THEME IS 4177 02:50:40,360 --> 02:50:42,240 COLLABORATION AND BREAKING DOWN 4178 02:50:42,240 --> 02:50:42,840 BARRIERS. 4179 02:50:42,840 --> 02:50:44,000 I'LL WRAP UP. 4180 02:50:44,000 --> 02:50:45,720 A LOT IS HAPPENING. 4181 02:50:45,720 --> 02:50:48,160 WE'RE TAKING DELIBERATE STEPS TO 4182 02:50:48,160 --> 02:50:49,640 ENSURE WE PUT PEOPLE AT THE 4183 02:50:49,640 --> 02:50:50,880 CENTER OF EVERYTHING THAT WE DO. 4184 02:50:50,880 --> 02:50:53,600 AND THAT WE'RE ON THE RIGHT PATH 4185 02:50:53,600 --> 02:50:55,920 TO DELIVER THE BEST POSSIBLE 4186 02:50:55,920 --> 02:50:57,200 CANCER RESEARCH RESULTS FOR THE 4187 02:50:57,200 --> 02:50:59,840 PEOPLE WHO NEED IT MOST. 4188 02:50:59,840 --> 02:51:03,920 I PERSONALLY HAVE SEEN A 4189 02:51:03,920 --> 02:51:05,200 DRAMATIC CULTURE CHANGE DURING 4190 02:51:05,200 --> 02:51:08,120 MY CAREER. 4191 02:51:08,120 --> 02:51:10,160 FROM RESEARCHERS FOCUSED 4192 02:51:10,160 --> 02:51:10,960 ENTIRELY ON INDIVIDUAL 4193 02:51:10,960 --> 02:51:12,400 SCIENTIFIC GOALS TO ONE WHERE WE 4194 02:51:12,400 --> 02:51:16,960 HAVE TODAY WHERE ALL THROUGHOUT 4195 02:51:16,960 --> 02:51:19,360 RESEARCH ARE ENGAGED MEMBERS OF 4196 02:51:19,360 --> 02:51:21,520 A COMMUNITY THAT INCLUDES THOSE 4197 02:51:21,520 --> 02:51:23,480 PEOPLE WE SERVE AS ESSENTIAL 4198 02:51:23,480 --> 02:51:25,320 PARTNERS, AND THIS IS TRULY 4199 02:51:25,320 --> 02:51:27,520 MOVING US FORWARD AS NEVER 4200 02:51:27,520 --> 02:51:27,840 BEFORE. 4201 02:51:27,840 --> 02:51:29,560 SO I'M EXCITED ABOUT THE 4202 02:51:29,560 --> 02:51:31,160 POTENTIAL FOR ALL OF US TOGETHER 4203 02:51:31,160 --> 02:51:33,200 AND ALL THAT WE'LL ACHIEVE, AND 4204 02:51:33,200 --> 02:51:34,880 SO NOW I'D LIKE TO GET TO THE 4205 02:51:34,880 --> 02:51:35,920 BEST PART, YOUR QUESTIONS. 4206 02:51:35,920 --> 02:51:38,840 THANK YOU SO MUCH. 4207 02:51:38,840 --> 02:51:45,960 4208 02:51:45,960 --> 02:51:53,800 4209 02:51:53,800 --> 02:51:54,320 >> GISELLE AND LUCILA. 4210 02:51:54,320 --> 02:51:57,480 >> THANK YOU SO MUCH FOR YOUR 4211 02:51:57,480 --> 02:51:57,840 PRESENTATION. 4212 02:51:57,840 --> 02:51:59,920 I'M GRATEFUL TO BE HERE AS A NEW 4213 02:51:59,920 --> 02:52:03,200 MEMBER OF THE ACD. 4214 02:52:03,200 --> 02:52:05,920 AND SO I'VE LISTENED WITH MUCH 4215 02:52:05,920 --> 02:52:08,120 INTEREST TO YOUR PRESENTATION. 4216 02:52:08,120 --> 02:52:12,840 I WAS REALLY HAPPY TO HEAR OF 4217 02:52:12,840 --> 02:52:15,880 THE WAYS IN WHICH HEALTH EQUITY 4218 02:52:15,880 --> 02:52:18,800 OR INEQUALITY, HEALTH 4219 02:52:18,800 --> 02:52:19,360 DISPARITIES, ACTUALLY WERE 4220 02:52:19,360 --> 02:52:21,040 ACTUAL INTEGRATED IN SOME PARTS, 4221 02:52:21,040 --> 02:52:23,880 PARTICULARLY OF THE CANCER -- OF 4222 02:52:23,880 --> 02:52:26,520 THE NATIONAL CANCER PLAN. 4223 02:52:26,520 --> 02:52:29,080 IT SEEMS LIKE A LOT HAS TO DO, 4224 02:52:29,080 --> 02:52:34,160 WHAT YOU DESCRIBED, OFTEN 4225 02:52:34,160 --> 02:52:34,960 FOCUSED ON INTEGRATION, 4226 02:52:34,960 --> 02:52:35,480 INCLUSIVE CLINICAL TRIAL 4227 02:52:35,480 --> 02:52:36,680 PARTICIPATION, WHICH IS NEAR AND 4228 02:52:36,680 --> 02:52:38,400 DEAR TO MY HEART, IT'S WHAT I 4229 02:52:38,400 --> 02:52:42,720 STARTED DOING EARLY ON. 4230 02:52:42,720 --> 02:52:44,480 AND DEVELOPED INTERVENTIONS 4231 02:52:44,480 --> 02:52:45,320 AROUND CANCER PARTICIPATION AND 4232 02:52:45,320 --> 02:52:47,760 CANCER CLINICAL TRIALS WITH 4233 02:52:47,760 --> 02:52:49,160 COMMUNITY MEMBERS ACROSS NORTH 4234 02:52:49,160 --> 02:52:49,560 CAROLINA. 4235 02:52:49,560 --> 02:52:51,680 THE REALITY IS TO GET TO THE 4236 02:52:51,680 --> 02:52:54,680 POINT, TO GET TO THAT POINT 4% 4237 02:52:54,680 --> 02:52:55,600 DROP THAT YOU'RE DESCRIBING 4238 02:52:55,600 --> 02:52:59,000 THERE NEEDS TO BE EVEN GREATER 4239 02:52:59,000 --> 02:53:01,520 EMPHASIS ON POPULATIONS 4240 02:53:01,520 --> 02:53:04,840 DISPROPORTIONATELY IMPACTED BY 4241 02:53:04,840 --> 02:53:06,000 CANCER MORBIDITY AND MORTALITY. 4242 02:53:06,000 --> 02:53:09,960 I WONDER IF YOU COULD SAY MORE 4243 02:53:09,960 --> 02:53:12,040 ABOUT HOW THAT EMPHASIS, 4244 02:53:12,040 --> 02:53:13,440 IMPORTANT AND NEEDED EMPHASIS, 4245 02:53:13,440 --> 02:53:14,720 BEYOND CLINICAL TRIALS 4246 02:53:14,720 --> 02:53:16,520 PARTICIPATION, WILL SHOW UP IN 4247 02:53:16,520 --> 02:53:19,800 THIS NEWEST ITERATION OF THE 4248 02:53:19,800 --> 02:53:21,320 MOONSHOT, AND THEN A SECOND 4249 02:53:21,320 --> 02:53:23,640 QUESTION WHICH I'M HAPPY TO ASK 4250 02:53:23,640 --> 02:53:27,040 NOW OR WAIT ON, THAT HAS TO DO 4251 02:53:27,040 --> 02:53:27,800 WITH COLLABORATION ACROSS 4252 02:53:27,800 --> 02:53:28,600 INSTITUTES. 4253 02:53:28,600 --> 02:53:28,960 >> TERRIFIC. 4254 02:53:28,960 --> 02:53:33,200 I LOVE THIS QUESTION. 4255 02:53:33,200 --> 02:53:35,520 SO, BECAUSE IT EXEMPLIFIES HOW 4256 02:53:35,520 --> 02:53:36,760 THE MOONSHOT IS DIFFERENT AND 4257 02:53:36,760 --> 02:53:38,480 NEEDS MORE AND IS BEYOND NCI 4258 02:53:38,480 --> 02:53:42,480 ALONE, YOU HEARD ME SAY YOU 4259 02:53:42,480 --> 02:53:43,880 CAN'T DO CLINICAL RESEARCH UNTIL 4260 02:53:43,880 --> 02:53:46,080 YOU CAN DO CLINICAL CARE. 4261 02:53:46,080 --> 02:53:50,240 YOU HAVE TO REMOVE -- WELL, WE 4262 02:53:50,240 --> 02:53:51,920 CAN RESEARCH INEQUITIES, WE KIND 4263 02:53:51,920 --> 02:53:53,760 OF KNOW THERE ARE INEQUITIES OUT 4264 02:53:53,760 --> 02:53:55,760 THERE AND CAN RESEARCH THEM AND 4265 02:53:55,760 --> 02:53:58,200 DO RESEARCH ON WAYS TO OVERCOME 4266 02:53:58,200 --> 02:53:58,920 THEM, THAT'S WONDERFUL. 4267 02:53:58,920 --> 02:54:01,360 BUT WE WANT TO BRING THE FULL 4268 02:54:01,360 --> 02:54:02,880 SPECTRUM OF RESEARCH TO 4269 02:54:02,880 --> 02:54:03,400 EVERYONE. 4270 02:54:03,400 --> 02:54:04,600 SO IT'S GOT TO BE EVERYTHING WE 4271 02:54:04,600 --> 02:54:06,400 DO LAST TO BE FULLY INTEGRATED 4272 02:54:06,400 --> 02:54:09,040 INTO THE HEALTH CARE DELIVERY 4273 02:54:09,040 --> 02:54:09,240 SYSTEM. 4274 02:54:09,240 --> 02:54:12,120 AND WE NEED ALL OF THE OTHER 4275 02:54:12,120 --> 02:54:15,000 PARTNERS WHO ARE WORKING ON 4276 02:54:15,000 --> 02:54:17,200 IMPROVING HEALTH CARE DELIVERY 4277 02:54:17,200 --> 02:54:19,840 OVERALL TO WORK WITH US, TO 4278 02:54:19,840 --> 02:54:21,800 BRING THE RESEARCH PARTICIPATION 4279 02:54:21,800 --> 02:54:22,960 TO THOSE POPULATIONS. 4280 02:54:22,960 --> 02:54:28,000 I THINK THE HRSA EXAMPLE IS A 4281 02:54:28,000 --> 02:54:32,760 SIMPLE ONE THAT EVERYBODY CAN 4282 02:54:32,760 --> 02:54:34,160 GRAB, FEDERALLY QUALIFIED HEALTH 4283 02:54:34,160 --> 02:54:35,200 CENTERS, SCREENING FOR MAJOR 4284 02:54:35,200 --> 02:54:39,640 CANCERS TO EVERYONE WHO WALKS IN 4285 02:54:39,640 --> 02:54:41,520 THE DOOR, WHAT IF THEY ARE 4286 02:54:41,520 --> 02:54:42,840 DIAGNOSED WITH A CANCER? 4287 02:54:42,840 --> 02:54:44,800 NOW THEY HAVE TO GO SOMEWHERE TO 4288 02:54:44,800 --> 02:54:46,600 GET THEIR TREATMENT. 4289 02:54:46,600 --> 02:54:50,600 LINKING THOSE SCREENING CENTERS 4290 02:54:50,600 --> 02:54:51,600 WITH THE NCI DESIGNATED CANCER 4291 02:54:51,600 --> 02:54:53,280 CENTERS AS THE LINK TO GET THE 4292 02:54:53,280 --> 02:54:57,960 CARE THEY NEED IN A CANCER 4293 02:54:57,960 --> 02:54:58,920 INSTITUTE-FUNDED ENVIRONMENT, 4294 02:54:58,920 --> 02:55:00,240 THAT'S A REALLY GREAT 4295 02:55:00,240 --> 02:55:01,920 COLLABORATION RIGHT THERE. 4296 02:55:01,920 --> 02:55:03,440 WE'RE LOOKING FOR MANY MORE OF 4297 02:55:03,440 --> 02:55:06,160 THOSE KINDS OF IDEAS. 4298 02:55:06,160 --> 02:55:07,520 AND FINALLY, THE ISSUE OF 4299 02:55:07,520 --> 02:55:07,800 DISPARITIES. 4300 02:55:07,800 --> 02:55:09,880 I GREW UP IN A RURAL 4301 02:55:09,880 --> 02:55:12,840 ENVIRONMENT, 100 MILES FROM THE 4302 02:55:12,840 --> 02:55:15,720 NEAREST HOSPITAL. 4303 02:55:15,720 --> 02:55:20,240 I UNDERSTAND NOR KIND OF 4304 02:55:20,240 --> 02:55:21,440 INEQUITY, JUST NO ACCESS BECAUSE 4305 02:55:21,440 --> 02:55:22,880 IT'S TOO FAR AWAY. 4306 02:55:22,880 --> 02:55:27,320 WHAT THAT IS TELLING ME THERE'S 4307 02:55:27,320 --> 02:55:29,680 SO MANY DIFFERENT VERSIONS OF 4308 02:55:29,680 --> 02:55:31,800 THIS PROBLEM, AND ONE THING WE 4309 02:55:31,800 --> 02:55:34,600 LEARNED, THIS IS WHY NCCOR IS 4310 02:55:34,600 --> 02:55:37,560 PRECIOUS TO US, THE SOLUTION FOR 4311 02:55:37,560 --> 02:55:40,200 EVERY INEQUITY IS GOING TO BE 4312 02:55:40,200 --> 02:55:42,960 SPECIFIC TO EVERY POPULATION AND 4313 02:55:42,960 --> 02:55:43,280 EVERY PLACE. 4314 02:55:43,280 --> 02:55:43,640 >> ABSOLUTELY. 4315 02:55:43,640 --> 02:55:45,240 >> WE HAVE TO BE COMMITTED TO 4316 02:55:45,240 --> 02:55:48,400 ALL OF THAT. 4317 02:55:48,400 --> 02:55:51,160 THAT'S WHY ALL THESE INDIVIDUAL 4318 02:55:51,160 --> 02:55:52,840 COMMUNITY SOLUTIONS ARE KEY, AND 4319 02:55:52,840 --> 02:55:54,640 WE'RE NEVER GOING TO FIND THOSE 4320 02:55:54,640 --> 02:55:58,360 UNLESS THOSE COMMUNITIES ARE OUR 4321 02:55:58,360 --> 02:55:58,640 PARTNERS. 4322 02:55:58,640 --> 02:55:59,000 >> THANK YOU. 4323 02:55:59,000 --> 02:56:00,240 >> THAT'S WHERE WE ARE. 4324 02:56:00,240 --> 02:56:01,480 >> THANK YOU FOR IN A. 4325 02:56:01,480 --> 02:56:03,160 >> THANKS FOR YOUR HELP BECAUSE 4326 02:56:03,160 --> 02:56:05,240 WE'RE GOING TO NEED A LOT OF 4327 02:56:05,240 --> 02:56:05,440 HELP. 4328 02:56:05,440 --> 02:56:07,320 >> AS A PRIMARY CARE PHYSICIAN 4329 02:56:07,320 --> 02:56:08,760 WHO PRACTICES IN A FEDERALLY 4330 02:56:08,760 --> 02:56:09,960 QUALIFIED COMMUNITY HEALTH 4331 02:56:09,960 --> 02:56:12,960 CENTER I WAS EXCITED TO HEAR 4332 02:56:12,960 --> 02:56:13,600 HRSA EXAMPLE. 4333 02:56:13,600 --> 02:56:17,200 MY QUESTION HAS TO DO WITH 4334 02:56:17,200 --> 02:56:19,240 COLLABORATION WITH ACROSS NIH 4335 02:56:19,240 --> 02:56:19,440 ALSO. 4336 02:56:19,440 --> 02:56:22,240 WHEN YOU LOOK AT THE RISK 4337 02:56:22,240 --> 02:56:23,760 FACTORS FOR CANCERS, MOST 4338 02:56:23,760 --> 02:56:25,080 CANCERS, RISK FACTORS ARE THE 4339 02:56:25,080 --> 02:56:28,280 SAME FOR MANY CHRONIC ILLNESSES. 4340 02:56:28,280 --> 02:56:30,760 AND, AGAIN, AS WE THINK ABOUT 4341 02:56:30,760 --> 02:56:32,720 THE INEQUALITIES AS ONE LEVER 4342 02:56:32,720 --> 02:56:35,080 THAT WE CAN PULL, IN ADDRESSING 4343 02:56:35,080 --> 02:56:37,280 AND TRYING TO GET TO OUR GOAL IN 4344 02:56:37,280 --> 02:56:41,080 THAT MARK, IN TERMS OF THE 4345 02:56:41,080 --> 02:56:42,800 MOONSHOT AND REDUCTION IN CANCER 4346 02:56:42,800 --> 02:56:46,360 AS WE KNOW IT, I WONDER ABOUT 4347 02:56:46,360 --> 02:56:49,040 THE COLLABORATION ACROSS THE NIH 4348 02:56:49,040 --> 02:56:52,400 INSTITUTE AND HOW THAT CAN BE 4349 02:56:52,400 --> 02:56:54,160 LEVERAGED AS WELL, AGAIN 4350 02:56:54,160 --> 02:56:57,440 PARTICULARLY VIS-A-VIS WHEN WE 4351 02:56:57,440 --> 02:56:59,920 THINK ABOUT POPULATIONS THAT MAY 4352 02:56:59,920 --> 02:57:01,640 HAVE DISPROPORTIONATELY IMPACTED 4353 02:57:01,640 --> 02:57:03,000 BY THEIR ENVIRONMENTAL FACTORS 4354 02:57:03,000 --> 02:57:06,520 AS WELL AS BEHAVIORAL FACTORS AS 4355 02:57:06,520 --> 02:57:10,120 CONTRIBUTORS TO CANCER RISK AND 4356 02:57:10,120 --> 02:57:10,640 MORBIDITY AND MORTALITY. 4357 02:57:10,640 --> 02:57:12,720 >> SO OF COURSE YOU DON'T WALK 4358 02:57:12,720 --> 02:57:15,040 INTO A SITUATION AND YOU SAY, 4359 02:57:15,040 --> 02:57:17,480 ANYWHERE, WE'RE ONLY INTERESTED 4360 02:57:17,480 --> 02:57:18,520 IN YOUR CANCER PROBLEM. 4361 02:57:18,520 --> 02:57:21,600 AND WE ALSO KNOW THAT CANCER, IF 4362 02:57:21,600 --> 02:57:23,400 WE JUST TAKE THE ISSUE OF CANCER 4363 02:57:23,400 --> 02:57:26,880 IT GOES DEEP INTO LET 4364 02:57:26,880 --> 02:57:28,800 EVERYWHERE, FROM MENTAL HEALTH 4365 02:57:28,800 --> 02:57:30,840 THROUGH -- I CAN LIST EVERYTHING 4366 02:57:30,840 --> 02:57:32,360 THAT THE NIH DOES, IT IS 4367 02:57:32,360 --> 02:57:34,120 RELEVANT TO CANCER. 4368 02:57:34,120 --> 02:57:37,600 ONE OF THE REALLY WONDERFUL, 4369 02:57:37,600 --> 02:57:40,000 WONDERFUL THINGS ABOUT MY TENURE 4370 02:57:40,000 --> 02:57:42,600 NOW AS BEING PART OF THE NIH HAS 4371 02:57:42,600 --> 02:57:44,680 BEEN TO SEE THE AMAZING 4372 02:57:44,680 --> 02:57:45,800 WILLINGNESS OF THE OTHER 4373 02:57:45,800 --> 02:57:48,360 INSTITUTE DIRECTORS TO WORK ON 4374 02:57:48,360 --> 02:57:49,760 PROBLEMS LIKE THIS TOGETHER. 4375 02:57:49,760 --> 02:57:51,520 WE SHALL JUST STARTING. 4376 02:57:51,520 --> 02:57:52,760 THE CANCER PLAN WAS ANNOUNCED IN 4377 02:57:52,760 --> 02:57:54,040 MARCH. THERE WERE MANY 4378 02:57:54,040 --> 02:57:55,120 CONTRIBUTORS FROM ACROSS THE 4379 02:57:55,120 --> 02:57:58,200 OTHER I.C.s TO THE PLAN 4380 02:57:58,200 --> 02:57:59,000 ITSELF. 4381 02:57:59,000 --> 02:58:00,400 AND NOW WE'RE REALLY STARTING TO 4382 02:58:00,400 --> 02:58:02,200 GET INTO DETAILS OF HOW WE ARE 4383 02:58:02,200 --> 02:58:06,840 GOING TO WORK TOGETHER AND 4384 02:58:06,840 --> 02:58:08,320 LEVERAGE EVERYTHING THAT WE HAVE 4385 02:58:08,320 --> 02:58:10,280 TO THE BENEFIT OF ALL. 4386 02:58:10,280 --> 02:58:13,040 ANOTHER QUICK EXAMPLE, THINK 4387 02:58:13,040 --> 02:58:15,000 ABOUT THE ISSUE OF AUTOIMMUNE 4388 02:58:15,000 --> 02:58:15,240 DISEASE. 4389 02:58:15,240 --> 02:58:17,040 YOU MIGHT THINK THAT HAS NOTHING 4390 02:58:17,040 --> 02:58:18,720 TO DO WITH CANCER. 4391 02:58:18,720 --> 02:58:20,320 EVERYTHING WE'RE DOING IN 4392 02:58:20,320 --> 02:58:21,320 IMMUNOTHERAPY AND SEEING THE 4393 02:58:21,320 --> 02:58:22,960 RESPONSES THAT WE GET IN THE 4394 02:58:22,960 --> 02:58:25,200 FIELD OF CANCER IMMUNOTHERAPY IS 4395 02:58:25,200 --> 02:58:26,680 INCREDIBLY RELEVANT TO THE 4396 02:58:26,680 --> 02:58:28,240 PROBLEM OF EVEN SOMETHING WE 4397 02:58:28,240 --> 02:58:29,680 DIDN'T THINK OF AS BEING 4398 02:58:29,680 --> 02:58:31,000 SOMETHING THAT WAS JOINED TO 4399 02:58:31,000 --> 02:58:34,560 CANCER, IT'S A VERY EXCITING 4400 02:58:34,560 --> 02:58:39,320 TIME. 4401 02:58:39,320 --> 02:58:42,520 4402 02:58:42,520 --> 02:58:45,080 LET'S SEE. 4403 02:58:45,080 --> 02:58:45,320 LUCILA? 4404 02:58:45,320 --> 02:58:45,680 THANK YOU. 4405 02:58:45,680 --> 02:58:48,240 >> YES, THANK YOU. 4406 02:58:48,240 --> 02:58:50,160 I'M ALSO A ROOKIE ON THIS 4407 02:58:50,160 --> 02:58:53,520 COMMITTEE, VERY HONORED TO BE 4408 02:58:53,520 --> 02:58:53,720 HERE. 4409 02:58:53,720 --> 02:58:57,080 I'M EXCITED ABOUT THIS INVOLVING 4410 02:58:57,080 --> 02:59:01,280 EVERYONE INTO THE NATIONAL 4411 02:59:01,280 --> 02:59:03,240 CANCER PLAN. 4412 02:59:03,240 --> 02:59:04,920 MY QUESTION IS, WITH REGARDS TO 4413 02:59:04,920 --> 02:59:08,720 WORK ALSO WITH OTHER AGENCIES IN 4414 02:59:08,720 --> 02:59:11,520 TERMS OF HEALTH LITERACY, IN 4415 02:59:11,520 --> 02:59:14,000 TERMS OF RESEARCH, ARE YOU 4416 02:59:14,000 --> 02:59:17,760 THINKING OF SOMETHING FOR THE 4417 02:59:17,760 --> 02:59:20,600 K-12, FOR EXAMPLE, OR COMMUNITY 4418 02:59:20,600 --> 02:59:22,400 COLLEGES, IN ALL THIS EDUCATION 4419 02:59:22,400 --> 02:59:23,960 THAT NEEDS TO EXIST? 4420 02:59:23,960 --> 02:59:26,080 >>YEAH, SO OF COURSE HEALTH 4421 02:59:26,080 --> 02:59:29,760 LITERACY IS ABSOLUTELY KEY TO 4422 02:59:29,760 --> 02:59:30,200 EVERYTHING. 4423 02:59:30,200 --> 02:59:34,480 YOU'VE ALREADY HEARD A GREAT 4424 02:59:34,480 --> 02:59:35,800 NIH-WIDE PROGRAM TARGETING 4425 02:59:35,800 --> 02:59:41,560 HEALTH LITERACY, TRUE FOR AWFUL 4426 02:59:41,560 --> 02:59:43,160 US. 4427 02:59:43,160 --> 02:59:45,520 THE ASKED A QUESTION ABOUT THE 4428 02:59:45,520 --> 02:59:46,920 MOONSHOT AND PRESIDENT'S 4429 02:59:46,920 --> 02:59:47,240 APPROACH. 4430 02:59:47,240 --> 02:59:48,560 THE DEPARTMENT OF EDUCATION SITS 4431 02:59:48,560 --> 02:59:51,480 ON THE PRESIDENT'S CANCER PANEL, 4432 02:59:51,480 --> 02:59:53,160 THIS IS A QUESTION THAT'S BEEN 4433 02:59:53,160 --> 02:59:57,080 DISCUSSED WITH THEM, WHAT CAN 4434 02:59:57,080 --> 02:59:58,720 EDUCATION HAVE TO CONTRIBUTE TO 4435 02:59:58,720 --> 03:00:00,320 LET LITERACY AS WELL. 4436 03:00:00,320 --> 03:00:02,320 IF THE FOCUS FOR THAT 4437 03:00:02,320 --> 03:00:06,560 PRESIDENT'S CANCER PANEL IS ON 4438 03:00:06,560 --> 03:00:10,080 CANCER, WE CAN ALSO USE THAT 4439 03:00:10,080 --> 03:00:12,280 VEHICLE TO PROMOTE HEALTH FOR 4440 03:00:12,280 --> 03:00:12,480 ALL. 4441 03:00:12,480 --> 03:00:15,520 YOU SAY GOING RIGHT DOWN TO 4442 03:00:15,520 --> 03:00:15,880 PRESCHOOL. 4443 03:00:15,880 --> 03:00:17,920 WE ALL KNOW THAT'S ESSENTIAL IF 4444 03:00:17,920 --> 03:00:27,680 WE'RE GOING TO MAKE PROGRESS. 4445 03:00:27,680 --> 03:00:28,200 >> THANK YOU. 4446 03:00:28,200 --> 03:00:28,480 >> ATUL? 4447 03:00:28,480 --> 03:00:32,480 >> ALL RIGHT. 4448 03:00:32,480 --> 03:00:34,040 >> THANK YOU FOR THE 4449 03:00:34,040 --> 03:00:34,360 PRESENTATION. 4450 03:00:34,360 --> 03:00:36,960 I'M A HUGE FAN OF YOUR WORK. 4451 03:00:36,960 --> 03:00:40,520 I'M REALLY ENCOURAGED TO SEE YOU 4452 03:00:40,520 --> 03:00:41,880 IN THE BLUE RIBBON PANEL 4453 03:00:41,880 --> 03:00:44,160 INDICATING FOR SUPPORT FOR 4454 03:00:44,160 --> 03:00:44,960 PATIENTS, DIRECT PATIENT 4455 03:00:44,960 --> 03:00:45,400 INVOLVEMENT. 4456 03:00:45,400 --> 03:00:47,520 IT'S A LONG QUESTION BUT I'M 4457 03:00:47,520 --> 03:00:51,800 GOING TO POKE AND PROD HERE. 4458 03:00:51,800 --> 03:00:53,240 I LOVE THE DATA SHARING GOALS 4459 03:00:53,240 --> 03:00:57,120 YOU SHOWED BUT PARTICULARLY 4460 03:00:57,120 --> 03:00:58,240 FOCUSED ON MOLECULAR AND 4461 03:00:58,240 --> 03:01:01,480 CELLULAR DATA, NOT MUCH ON 4462 03:01:01,480 --> 03:01:02,480 CLINICAL DATA, WHAT I'LL 4463 03:01:02,480 --> 03:01:04,640 CHALLENGE YOU ON BY TAKING A 4464 03:01:04,640 --> 03:01:05,720 MOMENT TO SHOWCASE SOMETHING I 4465 03:01:05,720 --> 03:01:07,800 THINK NIH DID REALLY WELL DURING 4466 03:01:07,800 --> 03:01:08,720 THE COVID PANDEMIC. 4467 03:01:08,720 --> 03:01:12,000 AND NCI COULD THINK ABOUT. 4468 03:01:12,000 --> 03:01:13,640 DURING COVID, NCATS IN 4469 03:01:13,640 --> 03:01:16,760 PARTICULAR BUILT THIS NATIONAL 4470 03:01:16,760 --> 03:01:21,000 COVID COHORT COLLABORATIVE, N3C, 4471 03:01:21,000 --> 03:01:25,920 WORKING THROUGH CTSAs, 102 4472 03:01:25,920 --> 03:01:26,480 CLINICAL SITES, CENTRALIZED 4473 03:01:26,480 --> 03:01:30,080 DATABASE, 19.1 MILLION PATIENTS, 4474 03:01:30,080 --> 03:01:32,960 400 RESEARCH PROJECTS, SECURELY 4475 03:01:32,960 --> 03:01:33,440 LINKED TO CMS, SOCIAL 4476 03:01:33,440 --> 03:01:34,120 DETERMINANTS OF HEALTH. 4477 03:01:34,120 --> 03:01:36,040 I'M NOT SAYING EVERYTHING WAS 4478 03:01:36,040 --> 03:01:37,480 DONE PERFECTLY OR IN 4479 03:01:37,480 --> 03:01:38,800 NON-CONTROVERSIAL WAY. 4480 03:01:38,800 --> 03:01:40,120 EVEN OTHERS ON ACD HAVE ISSUES 4481 03:01:40,120 --> 03:01:43,440 WITH THAT BUT IT DID WORK, 4482 03:01:43,440 --> 03:01:44,400 THERE'S SOMETHING TO BE ADMIRED 4483 03:01:44,400 --> 03:01:44,600 THERE. 4484 03:01:44,600 --> 03:01:48,760 NOW WE'RE IN A REIGNITED CANCER 4485 03:01:48,760 --> 03:01:51,000 MOONSHOT AGAIN AND WE STILL 4486 03:01:51,000 --> 03:01:55,720 DON'T HAVE AN EQUIVALENT OF N3C 4487 03:01:55,720 --> 03:01:57,880 FOR CANCER. 4488 03:01:57,880 --> 03:01:59,360 NCI DOES NOT REQUIRE NCI CANCER 4489 03:01:59,360 --> 03:02:03,680 CENTERS TO WORK TOGETHER AT ALL, 4490 03:02:03,680 --> 03:02:05,080 PARTICULARLY TO SHARE CLINICAL 4491 03:02:05,080 --> 03:02:07,600 DATA. 4492 03:02:07,600 --> 03:02:09,920 AND TO BE CLEAR, I DON'T SEE A 4493 03:02:09,920 --> 03:02:12,560 WAY TO SHARE CANCER CASES, CARE 4494 03:02:12,560 --> 03:02:19,120 OF THE PATIENT, AND THE 4495 03:02:19,120 --> 03:02:19,400 OUTCOMES. 4496 03:02:19,400 --> 03:02:22,560 IT'S ALREADY THREE YEARS OLD. 4497 03:02:22,560 --> 03:02:25,480 IF YOU AND I HAD A PROBLEM WITH 4498 03:02:25,480 --> 03:02:26,760 CANCER WE WOULD KNOW WHERE TO GO 4499 03:02:26,760 --> 03:02:29,200 BECAUSE OF OUR PRIVILEGE BUT THE 4500 03:02:29,200 --> 03:02:30,680 PUBLIC HAS NO NCI-DRIVEN TOOLS 4501 03:02:30,680 --> 03:02:33,080 FOR PATIENTS TO SEARCH THROUGH 4502 03:02:33,080 --> 03:02:34,960 NCI CANCER CENTERS TO FIND THE 4503 03:02:34,960 --> 03:02:36,040 BEST CANCER CENTERS. 4504 03:02:36,040 --> 03:02:38,400 WE HAVE A MAP, THAT'S ABOUT IT. 4505 03:02:38,400 --> 03:02:39,880 NO DIRECT COMPARISON TOOLS TO 4506 03:02:39,880 --> 03:02:42,400 COMPARE OUTCOMES, QUALITY OF 4507 03:02:42,400 --> 03:02:47,880 CARE, WE LEAVE THOSE TASKS TO 4508 03:02:47,880 --> 03:02:48,720 U. 4509 03:02:48,720 --> 03:02:50,800 "U.S. NEWS & WORLD REPORT" OR 4510 03:02:50,800 --> 03:02:51,800 ORGANIZATIONS OR GOOGLE SO A 4511 03:02:51,800 --> 03:02:53,760 PATIENT TYPES IN THE NAME OF THE 4512 03:02:53,760 --> 03:02:55,360 CANCER AND WHOEVER BUYS THE ADS 4513 03:02:55,360 --> 03:02:58,400 AT THE TOP GETS THE CLICK AND 4514 03:02:58,400 --> 03:02:58,640 CARE. 4515 03:02:58,640 --> 03:03:01,960 SO WHY NOT NCI? 4516 03:03:01,960 --> 03:03:04,720 WHY CAN'T NCI DIRECTLY FUND 4517 03:03:04,720 --> 03:03:05,640 PATIENT CENTRIC TOOLS TO 4518 03:03:05,640 --> 03:03:07,480 UNDERSTAND WHAT SHOULD HAPPEN 4519 03:03:07,480 --> 03:03:09,080 NEXT WITH THAT DIAGNOSIS AND 4520 03:03:09,080 --> 03:03:10,680 WHERE THEY SHOULD GET THEIR 4521 03:03:10,680 --> 03:03:13,320 CARE, LET ME STOP THERE. 4522 03:03:13,320 --> 03:03:16,320 >> DID WE PLANT YOU ON THIS 4523 03:03:16,320 --> 03:03:17,320 COMMITTEE? 4524 03:03:17,320 --> 03:03:20,320 YOU'RE SPEAKING AS YOU KNOW, 4525 03:03:20,320 --> 03:03:22,960 ATUL, IN SOMETHING THAT -- A 4526 03:03:22,960 --> 03:03:24,480 TOPIC I'M MOST COMMITTED TO 4527 03:03:24,480 --> 03:03:27,200 ABOVE ALL ELSE, RIGHT? 4528 03:03:27,200 --> 03:03:27,960 HERE'S WHAT I'LL DO. 4529 03:03:27,960 --> 03:03:30,040 THIS COULD BE A THREE-HOUR 4530 03:03:30,040 --> 03:03:31,480 CONVERSATION. 4531 03:03:31,480 --> 03:03:34,200 TAKE A LOOK AT CC DIRECT, TAKE A 4532 03:03:34,200 --> 03:03:36,320 LOOK AT THIS PUBLIC/PRIVATE 4533 03:03:36,320 --> 03:03:37,680 PARTNERSHIP AT WHAT C.C. DIRECT 4534 03:03:37,680 --> 03:03:41,040 IS DOING. 4535 03:03:41,040 --> 03:03:43,480 THIS IS NCI'S PILOT. 4536 03:03:43,480 --> 03:03:44,680 THERE ARE 13,000 CHILDREN 4537 03:03:44,680 --> 03:03:47,320 DIAGNOSED WITH CANCER EVERY 4538 03:03:47,320 --> 03:03:49,720 YEAR. 4539 03:03:49,720 --> 03:03:50,920 IT IS A DIRECTED, DEFINED 4540 03:03:50,920 --> 03:03:52,960 POPULATION THAT WE CAN REALLY 4541 03:03:52,960 --> 03:03:55,920 FOCUS ON BUT C.C. DIRECT IS 4542 03:03:55,920 --> 03:03:57,800 BUILDING TOOLS THAT WILL SCALE 4543 03:03:57,800 --> 03:03:59,040 TO THE ENTIRE POPULATION, WHAT 4544 03:03:59,040 --> 03:04:02,760 ARE THE TOOLS? 4545 03:04:02,760 --> 03:04:05,800 NUMBER ONE, A STANDARDIZED 4546 03:04:05,800 --> 03:04:07,920 COMPUTABLE SHAREABLE CLINICAL 4547 03:04:07,920 --> 03:04:09,800 RECORD THAT IS COMING FROM EVERY 4548 03:04:09,800 --> 03:04:11,120 CLINICAL SITE ACROSS THE WHOLE 4549 03:04:11,120 --> 03:04:13,200 UNITED STATES. 4550 03:04:13,200 --> 03:04:15,760 NUMBER TWO, A CONSENT, A 4551 03:04:15,760 --> 03:04:16,360 COMPUTABLE CONSENT, WE'RE NOT 4552 03:04:16,360 --> 03:04:19,160 GOING TO BE USING DATA FOR 4553 03:04:19,160 --> 03:04:20,400 RESEARCH WHERE THESE CHILDREN OR 4554 03:04:20,400 --> 03:04:22,680 FAMILIES ARE NOT GIVING US 4555 03:04:22,680 --> 03:04:24,920 PERMISSION AND YOU KNOW THAT 4556 03:04:24,920 --> 03:04:26,440 TECHNOLOGY EXISTS TO PUT A NICE 4557 03:04:26,440 --> 03:04:28,000 METADATA TAG ON EVERY PIECE OF 4558 03:04:28,000 --> 03:04:30,320 DATA THAT SAYS YES THIS PATIENT 4559 03:04:30,320 --> 03:04:31,880 IS CONSENTED OR NO THIS PATIENT 4560 03:04:31,880 --> 03:04:33,440 SAID NO. 4561 03:04:33,440 --> 03:04:37,680 SO WE CAN FINALLY HONOR ON A 4562 03:04:37,680 --> 03:04:38,600 NATIONAL SCALE PEOPLE'S DESIRES 4563 03:04:38,600 --> 03:04:40,560 FOR WHETHER WE USE THEIR DATA OR 4564 03:04:40,560 --> 03:04:42,280 NOT BECAUSE I THINK WE GOT TO 4565 03:04:42,280 --> 03:04:44,040 LISTEN TO PEOPLE NO MATTER WHAT. 4566 03:04:44,040 --> 03:04:45,640 OTHERWISE WHY WOULD THEY TRUST 4567 03:04:45,640 --> 03:04:46,560 US, RIGHT? 4568 03:04:46,560 --> 03:04:48,640 THAT'S NUMBER TWO. 4569 03:04:48,640 --> 03:04:51,080 NUMBER THREE, IT IS TIED TO 4570 03:04:51,080 --> 03:04:52,440 NAVIGATION. 4571 03:04:52,440 --> 03:04:53,880 WE MAKE SURE THESE KIDS, AND WE 4572 03:04:53,880 --> 03:04:56,400 DO WELL WITH KIDS IN AMERICA, 4573 03:04:56,400 --> 03:04:58,640 MOST KIDS GET IN, BUT THERE'S 4574 03:04:58,640 --> 03:05:02,320 STILL 10 TO 15% THAT DON'T, THEY 4575 03:05:02,320 --> 03:05:03,440 ARE SOMEWHERE, SO IT'S ALL 4576 03:05:03,440 --> 03:05:05,080 THROUGH A WEBSITE. 4577 03:05:05,080 --> 03:05:05,960 TAKE A LOOK. 4578 03:05:05,960 --> 03:05:12,800 THIS IS WHAT WE WANT TO DO AND 4579 03:05:12,800 --> 03:05:13,000 SCALE. 4580 03:05:13,000 --> 03:05:15,400 >> WE'LL CHAT A LOT. 4581 03:05:15,400 --> 03:05:16,760 >> THIS IS AN ALL-OF-GOVERNMENT 4582 03:05:16,760 --> 03:05:17,160 APPROACH. 4583 03:05:17,160 --> 03:05:18,640 YOU'LL SEE THE OTHER GOVERNMENT 4584 03:05:18,640 --> 03:05:21,920 AGENCIES BY OUR SIDE HELPING TO 4585 03:05:21,920 --> 03:05:24,720 DO THIS. 4586 03:05:24,720 --> 03:05:25,040 >> THANKS. 4587 03:05:25,040 --> 03:05:26,080 >> SHELLEY, YOU'RE NEXT. 4588 03:05:26,080 --> 03:05:27,280 >> WONDERFUL SUMMARY OF THE 4589 03:05:27,280 --> 03:05:32,960 WORK THAT'S BEING DONE UNDER THE 4590 03:05:32,960 --> 03:05:36,320 CANCER MOONSHOT. 4591 03:05:36,320 --> 03:05:38,880 I WONDERED, I LOVED THE EXAMPLES 4592 03:05:38,880 --> 03:05:42,680 OF THE BASIC RESEARCH 4593 03:05:42,680 --> 03:05:43,400 INITIATIVES, THREE EXAMPLES, 4594 03:05:43,400 --> 03:05:46,440 REALLY EXCITING. 4595 03:05:46,440 --> 03:05:49,000 I WONDERED IS THAT THE MAIN -- 4596 03:05:49,000 --> 03:05:51,320 ARE THOSE THE MAIN INITIATIVES 4597 03:05:51,320 --> 03:05:53,240 GOING FORWARD INTO THE NEXT 4598 03:05:53,240 --> 03:05:55,800 ITERATION, ARE THERE GOING TO BE 4599 03:05:55,800 --> 03:05:56,640 ADDITIONAL ONES? 4600 03:05:56,640 --> 03:06:00,400 YOU DIDN'T REALLY SPEAK TO THAT 4601 03:06:00,400 --> 03:06:00,920 IN YOUR LATER REMARKS. 4602 03:06:00,920 --> 03:06:02,200 >> THANK YOU. 4603 03:06:02,200 --> 03:06:03,920 THE REASON I HIGHLIGHTED THOSE, 4604 03:06:03,920 --> 03:06:06,720 I WANTED TO HIGHLIGHT THE ONES 4605 03:06:06,720 --> 03:06:08,160 AVAILABLE TO THE COMMUNITY FOR 4606 03:06:08,160 --> 03:06:08,800 SHARING AND USE. 4607 03:06:08,800 --> 03:06:12,760 I WANTED TO MAKE IT VERY CLEAR 4608 03:06:12,760 --> 03:06:14,120 WHICH ONES THESE MOONSHOT WORK 4609 03:06:14,120 --> 03:06:16,200 IS ABOUT, BUILDING COMMUNITY AND 4610 03:06:16,200 --> 03:06:17,200 BUILDING RESOURCES, AND SETTING 4611 03:06:17,200 --> 03:06:19,360 IT OUT THERE FOR EVERY 2010 4612 03:06:19,360 --> 03:06:22,000 PARTICIPATE, WHICH IS WHY I 4613 03:06:22,000 --> 03:06:23,000 PICKED THESE. 4614 03:06:23,000 --> 03:06:25,320 YEAH, WE CAN'T LET THESE SUNSET. 4615 03:06:25,320 --> 03:06:26,920 WE'RE GOING HAVE TO FIND A WAY 4616 03:06:26,920 --> 03:06:29,560 TO KEEP THIS GOING. 4617 03:06:29,560 --> 03:06:33,680 AS YOU KNOW, THAT MIGHT BE TOUGH 4618 03:06:33,680 --> 03:06:34,800 BUT THANK GOODNESS THE PRESIDENT 4619 03:06:34,800 --> 03:06:36,680 IS SUPPORTING AT LEAST HIS 4620 03:06:36,680 --> 03:06:37,720 BUDGET, SUPPORTING WHAT WE NEED 4621 03:06:37,720 --> 03:06:39,080 TO DO TO KEEP THOSE GOING. 4622 03:06:39,080 --> 03:06:41,480 THERE WILL BE NEW THINGS. 4623 03:06:41,480 --> 03:06:46,920 THERE'S ALWAYS NEW THINGS. 4624 03:06:46,920 --> 03:06:48,440 AGAIN, AS WE LEARN AND CONTINUE 4625 03:06:48,440 --> 03:06:52,040 TO RESPOND TO THE NEEDS OF OUR 4626 03:06:52,040 --> 03:06:55,400 RESEARCH AND PATIENT COMMUNITY, 4627 03:06:55,400 --> 03:06:59,520 BUT THESE ARE THE CORE 4628 03:06:59,520 --> 03:06:59,880 RESOURCES. 4629 03:06:59,880 --> 03:07:00,840 FINALLY IMMUNOTHERAPY STUDIES 4630 03:07:00,840 --> 03:07:02,000 WERE TARGETED TO IMMUNOTHERAPY. 4631 03:07:02,000 --> 03:07:03,800 THESE THINGS CAN BE SCALED ONCE 4632 03:07:03,800 --> 03:07:05,080 YOU HAVE THESE MODELS. 4633 03:07:05,080 --> 03:07:08,720 I WILL SAY THAT'S OUR GENERAL 4634 03:07:08,720 --> 03:07:09,000 APPROACH. 4635 03:07:09,000 --> 03:07:11,280 MODEL AND SCALE, MODEL AND 4636 03:07:11,280 --> 03:07:11,520 SCALE. 4637 03:07:11,520 --> 03:07:13,600 THAT'S HOW WE GET THE 4638 03:07:13,600 --> 03:07:15,760 COLLABORATION WE NEED. 4639 03:07:15,760 --> 03:07:17,760 >> THANK YOU. 4640 03:07:17,760 --> 03:07:19,680 ABSOLUTELY WONDERFUL 4641 03:07:19,680 --> 03:07:20,160 INITIATIVES. 4642 03:07:20,160 --> 03:07:20,480 I APPLAUD. 4643 03:07:20,480 --> 03:07:21,520 >> AMAZING COLLEAGUES AT NCI 4644 03:07:21,520 --> 03:07:22,160 AND BEYOND. 4645 03:07:22,160 --> 03:07:31,000 THEY GET ALL THE CREDIT. 4646 03:07:31,000 --> 03:07:31,280 YES, GARTH? 4647 03:07:31,280 --> 03:07:34,240 >> THANK YOU FOR THAT 4648 03:07:34,240 --> 03:07:34,560 PRESENTATION. 4649 03:07:34,560 --> 03:07:36,280 A SIMPLE QUESTION. 4650 03:07:36,280 --> 03:07:41,080 THE MOONSHOT SCHOLARS PROGRAM, 4651 03:07:41,080 --> 03:07:42,480 IS THAT DIRECTLY TARGETED FOR 4652 03:07:42,480 --> 03:07:43,120 UNDERREPRESENTED MINORITY GROUPS 4653 03:07:43,120 --> 03:07:46,680 OR IS IT A BROADER PROGRAM THAT 4654 03:07:46,680 --> 03:07:50,480 HAS ONE OF THE FOCI BEING 4655 03:07:50,480 --> 03:07:51,160 UNDERREPRESENTED MINORITIES 4656 03:07:51,160 --> 03:07:52,360 GROUPS AND DO YOU KNOW HOW IT'S 4657 03:07:52,360 --> 03:07:56,880 GOING IN TERMS OF BEING ABLE TO 4658 03:07:56,880 --> 03:07:59,440 GET R01-FUNDED INVESTIGATORS 4659 03:07:59,440 --> 03:08:01,840 FROM UNDERREPRESENTED GROUPS 4660 03:08:01,840 --> 03:08:03,560 GIVEN THE MACROCHALLENGES, EVEN 4661 03:08:03,560 --> 03:08:05,000 UNRELATED TO THIS PROGRAM? 4662 03:08:05,000 --> 03:08:08,640 >> IT'S DIRECTLY TARGETED 4663 03:08:08,640 --> 03:08:12,160 TOWARD UNDERREPRESENTED MINORITY 4664 03:08:12,160 --> 03:08:12,960 GROUPS. 4665 03:08:12,960 --> 03:08:18,600 WE'RE JUST NOW RECEIVING THE 4666 03:08:18,600 --> 03:08:19,640 FIRST ROUND OF APPLICANTS. 4667 03:08:19,640 --> 03:08:22,520 WHAT I CAN TELL YOU IS THAT IT'S 4668 03:08:22,520 --> 03:08:25,360 BEEN WONDERFUL TO SEE NOT ONLY 4669 03:08:25,360 --> 03:08:28,160 THE DIVERSITY OF RESEARCHERS BUT 4670 03:08:28,160 --> 03:08:30,600 DIVERSITY OF PROJECTS. 4671 03:08:30,600 --> 03:08:32,080 IT'S EVERYTHING FROM BASIC 4672 03:08:32,080 --> 03:08:33,920 SCIENCE TO COMPUTATIONAL BIOLOGY 4673 03:08:33,920 --> 03:08:37,200 TO CANCER CARE DELIVERY 4674 03:08:37,200 --> 03:08:37,720 RESEARCH. 4675 03:08:37,720 --> 03:08:39,840 IT'S A REALLY GREAT SPECTRUM. 4676 03:08:39,840 --> 03:08:42,640 AS THE PROGRAM IS BEING 4677 03:08:42,640 --> 03:08:43,600 CENTRALLY MANAGED, AS 4678 03:08:43,600 --> 03:08:45,080 APPLICATIONS COME IN THEIR BEING 4679 03:08:45,080 --> 03:08:47,760 HANDLED BY THE VARIOUS EXPERT 4680 03:08:47,760 --> 03:08:49,040 GROUPS WITHIN NCI WHO EVALUATE 4681 03:08:49,040 --> 03:08:51,960 AND LOOK AT THESE PROGRAMS AND 4682 03:08:51,960 --> 03:08:55,400 THE IDEA IS THESE INDIVIDUALS 4683 03:08:55,400 --> 03:08:56,960 WOULD THEN BE HOPEFULLY -- WE 4684 03:08:56,960 --> 03:09:00,200 WANT TO SEE THEM SUCCEED AND BE 4685 03:09:00,200 --> 03:09:01,800 EMBRACED BY THE VARIOUS 4686 03:09:01,800 --> 03:09:10,520 SUBCOMPONENTS OF 1999 -- OF NC. 4687 03:09:10,520 --> 03:09:10,720 COREY? 4688 03:09:10,720 --> 03:09:20,800 >> IN TERMS OF THE SPECIFIC 4689 03:09:20,800 --> 03:09:21,920 DIVERSITY, IN TERMS OF 4690 03:09:21,920 --> 03:09:27,000 ACKNOWLEDGMENT FOR NEED FOR MY 4691 03:09:27,000 --> 03:09:28,760 DIVERSITY AMONG CANCER 4692 03:09:28,760 --> 03:09:33,400 RESEARCHERS, INITIATIVES 4693 03:09:33,400 --> 03:09:34,160 FOCUSING ON UNDERREPRESENTED 4694 03:09:34,160 --> 03:09:37,640 RESEARCHERS, MY QUESTION ABOUT 4695 03:09:37,640 --> 03:09:41,840 HISTORICALLY BLACK COLLEGES AND 4696 03:09:41,840 --> 03:09:43,360 UNIVERSITIES BE TARGETED AS A 4697 03:09:43,360 --> 03:09:46,000 STRATEGY FOR ENHANCING TEAM OF 4698 03:09:46,000 --> 03:09:46,880 QUALIFIED APPLICANTS FOR 4699 03:09:46,880 --> 03:09:49,120 PARTICIPATING IN THAT PROGRAM? 4700 03:09:49,120 --> 03:09:54,040 YOU INDICATED THAT THE FOCUS IS 4701 03:09:54,040 --> 03:09:57,320 ON IDENTIFYING EARLY CAREER 4702 03:09:57,320 --> 03:10:02,040 INVESTIGATORS, AND SO I THINK IT 4703 03:10:02,040 --> 03:10:08,360 WOULD BE IMPORTANT TO IDENTIFY 4704 03:10:08,360 --> 03:10:13,320 HBCUS AND OTHER MINORITY-SERVING 4705 03:10:13,320 --> 03:10:14,640 INSTITUTIONS BECAUSE NUMBERS OF 4706 03:10:14,640 --> 03:10:16,560 INDIVIDUALS FROM MINORITY 4707 03:10:16,560 --> 03:10:19,240 BACKGROUNDS OR SCHOLARS AND 4708 03:10:19,240 --> 03:10:23,680 FACULTY MEMBERS AND INDIVIDUALS 4709 03:10:23,680 --> 03:10:24,960 WITH DISABILITIES AS WELL, 4710 03:10:24,960 --> 03:10:28,280 RACIAL AND ETHNIC GROUPS, AGAIN 4711 03:10:28,280 --> 03:10:33,000 MY QUESTION ARE THERE PLANS FOR 4712 03:10:33,000 --> 03:10:34,240 TARGETING HBCUs AND 4713 03:10:34,240 --> 03:10:35,320 MINORITY-SERVING INSTITUTIONS 4714 03:10:35,320 --> 03:10:39,400 ENROLLING A NUMBER OF AVAILABLE 4715 03:10:39,400 --> 03:10:41,680 CANCER RESEARCHERS FOR FUTURE 4716 03:10:41,680 --> 03:10:41,960 RESEARCH. 4717 03:10:41,960 --> 03:10:43,880 >> SO, TWO THINGS. 4718 03:10:43,880 --> 03:10:46,960 FIRST OF ALL, THERE ARE PLANS, 4719 03:10:46,960 --> 03:10:48,240 NCI HAS HAD THIS AS A MAJOR 4720 03:10:48,240 --> 03:10:49,840 FOCUS FOR MORE THAN A DECADE. 4721 03:10:49,840 --> 03:10:53,240 I REFER YOU TO THE CENTER FOR 4722 03:10:53,240 --> 03:10:54,200 REDUCING CANCER HEALTH 4723 03:10:54,200 --> 03:10:56,920 DISPARITIES, WHICH IS A CENTER 4724 03:10:56,920 --> 03:11:02,040 WITHIN NCI, THAT CENTER 4725 03:11:02,040 --> 03:11:03,640 COORDINATES PROGRAMS TO 4726 03:11:03,640 --> 03:11:05,880 FACILITATE TRAINING AND ACCESS 4727 03:11:05,880 --> 03:11:08,160 AND CAREER SUPPORT ACROSS THAT 4728 03:11:08,160 --> 03:11:10,400 SPECTRUM OF WHAT WE NEED TO 4729 03:11:10,400 --> 03:11:18,280 ACHIEVE DIVERSITY IN OUR CANCER 4730 03:11:18,280 --> 03:11:19,520 RESEARCH INVESTIGATORS. 4731 03:11:19,520 --> 03:11:24,480 IT ALSO -- IT'S HELPING 4732 03:11:24,480 --> 03:11:25,520 COORDINATE CANCER MOONSHOT 4733 03:11:25,520 --> 03:11:26,800 SCHOLARS BUT THE ENTIRE CENTER 4734 03:11:26,800 --> 03:11:27,840 WITHIN NCI HAS BEEN AROUND FOR 4735 03:11:27,840 --> 03:11:29,920 MORE THAN A DECADE NOW THAT DOES 4736 03:11:29,920 --> 03:11:32,120 THIS WORK. 4737 03:11:32,120 --> 03:11:34,240 I'LL ALSO SAY THROUGHOUT EVERY 4738 03:11:34,240 --> 03:11:36,920 DIVISION OF NCI THERE ARE ALSO 4739 03:11:36,920 --> 03:11:40,320 PROGRAM OFFICERS WHO ARE WORKING 4740 03:11:40,320 --> 03:11:44,480 WITH CRCHC DEVOTE THE TO THIS 4741 03:11:44,480 --> 03:11:44,720 ISSUE. 4742 03:11:44,720 --> 03:11:49,960 IT PERMEATES THROUGH NCI AND 4743 03:11:49,960 --> 03:11:53,120 FOCUS ON AREAS TO YIELD SUCCESS 4744 03:11:53,120 --> 03:11:54,680 BECAUSE WE'RE PARTNERING, LIKE 4745 03:11:54,680 --> 03:11:56,480 YOU SAY, PARTNERING WITH THE 4746 03:11:56,480 --> 03:11:57,600 COLLEGES AND UNIVERSITIES AND 4747 03:11:57,600 --> 03:12:00,880 CENTERS THAT CAN HELP US SUCCEED 4748 03:12:00,880 --> 03:12:03,880 IN THIS IS THE GOAL. 4749 03:12:03,880 --> 03:12:05,960 FINALLY EIGHT GOALS OF THE 4750 03:12:05,960 --> 03:12:08,680 NATIONAL CANCER PLAN, ONE GOAL, 4751 03:12:08,680 --> 03:12:09,640 ELIMINATE INEQUITIES. 4752 03:12:09,640 --> 03:12:11,880 IF YOU LOOK UNDER THE SUBAIMS OF 4753 03:12:11,880 --> 03:12:16,520 THOSE GOALS, IT'S NOT ONLY 4754 03:12:16,520 --> 03:12:17,280 ELIMINATE INEQUITIES FOR THE 4755 03:12:17,280 --> 03:12:19,320 PEOPLE WE SERVE IN THE UNITED 4756 03:12:19,320 --> 03:12:21,600 STATES AND WORLD, ELIMINATE 4757 03:12:21,600 --> 03:12:24,520 INEQUITIES WE HAVE IN OUR -- 4758 03:12:24,520 --> 03:12:27,720 THROUGHOUT EVERY ONE OF THE 4759 03:12:27,720 --> 03:12:29,200 OTHER GOALS, IN RESEARCH, IN 4760 03:12:29,200 --> 03:12:32,640 CARE DELIVERY, IN EVERYTHING 4761 03:12:32,640 --> 03:12:33,920 THAT WE DO. 4762 03:12:33,920 --> 03:12:35,120 >> QUICK FOLLOW-UP. 4763 03:12:35,120 --> 03:12:37,800 IN TERMS OF UNDERREPRESENTED 4764 03:12:37,800 --> 03:12:42,680 RESEARCHERS, SO WE UNDERSTAND 4765 03:12:42,680 --> 03:12:45,120 ETHNIC MINORITIES, INDIVIDUALS 4766 03:12:45,120 --> 03:12:46,600 IN THOSE POPULATIONS CLEARLY 4767 03:12:46,600 --> 03:12:48,600 REPRESENT RESEARCHERS WHO DON'T 4768 03:12:48,600 --> 03:12:49,640 ALWAYS -- AS EARLY CAREER 4769 03:12:49,640 --> 03:12:52,080 INVESTIGATORS DON'T ALWAYS HAVE 4770 03:12:52,080 --> 03:12:53,760 THE OPPORTUNITY TO RECEIVE 4771 03:12:53,760 --> 03:12:54,840 MENTORSHIP, NET WORK 4772 03:12:54,840 --> 03:12:58,200 OPPORTUNITIES, LACK OF GROWTH AS 4773 03:12:58,200 --> 03:13:01,520 RESEARCHERS THAT ONE GROUP THAT 4774 03:13:01,520 --> 03:13:03,640 IS SOMETIMES LEFT OUT OF THE 4775 03:13:03,640 --> 03:13:06,840 DISCUSSION IS RESEARCHERS WITH 4776 03:13:06,840 --> 03:13:07,280 DISABILITIES. 4777 03:13:07,280 --> 03:13:11,160 SO WHAT PLANS MIGHT YOU HAVE IN 4778 03:13:11,160 --> 03:13:13,280 TERMS OF DIVERSIFICATION OF THE 4779 03:13:13,280 --> 03:13:15,800 COUNCIL OF SCIENTIFIC WORKFORCE 4780 03:13:15,800 --> 03:13:19,960 TO BE INCLUSIVE INDIVIDUALS WITH 4781 03:13:19,960 --> 03:13:21,720 DISABILITIES INCLUDING THOSE 4782 03:13:21,720 --> 03:13:25,160 WITH MINORITY BACKGROUNDS. 4783 03:13:25,160 --> 03:13:31,600 >> NIH HACK A FOCUS ON DEIA, A 4784 03:13:31,600 --> 03:13:32,640 BUYING ACCESSIBILITY, LARRY 4785 03:13:32,640 --> 03:13:34,240 PRESENTED SOME IN THE INTRO. 4786 03:13:34,240 --> 03:13:39,360 ALSO ONE OF THE MAJOR WORKING 4787 03:13:39,360 --> 03:13:41,040 GROUPS OF THE NCI EQUITY COUNCIL 4788 03:13:41,040 --> 03:13:45,560 IN COLLABORATION WITH CENTER FOR 4789 03:13:45,560 --> 03:13:49,720 REDUCING HEALTH DISPARITIES IS 4790 03:13:49,720 --> 03:13:52,320 ALL ABOUT INDIVIDUALS WITH 4791 03:13:52,320 --> 03:13:53,480 DISABILITIES, AND ALL THE 4792 03:13:53,480 --> 03:13:57,960 APPROACHES WE NEED TO BE ABLE TO 4793 03:13:57,960 --> 03:13:59,600 REALIZE THEIR POTENTIAL FOR 4794 03:13:59,600 --> 03:14:04,520 CONTRIBUTING TO THE SUCCESS OF 4795 03:14:04,520 --> 03:14:05,280 NCI. 4796 03:14:05,280 --> 03:14:07,800 THESE ARE CHALLENGES. 4797 03:14:07,800 --> 03:14:11,320 AND WE'RE VERY, VERY COMMITTED 4798 03:14:11,320 --> 03:14:13,800 TO THEM AND, AGAIN, NEED MORE 4799 03:14:13,800 --> 03:14:16,600 PARTNERS TO DO MORE BUT THERE'S 4800 03:14:16,600 --> 03:14:21,360 MANY WILLING PEOPLE AT NIH AND 4801 03:14:21,360 --> 03:14:23,440 NCI ALREADY TRYING TO MEET THE 4802 03:14:23,440 --> 03:14:23,680 CHALLENGE. 4803 03:14:23,680 --> 03:14:28,120 >> IF I COULD JUMP IN. 4804 03:14:28,120 --> 03:14:31,880 I WANT TO SAY IF YOU HAVE A 4805 03:14:31,880 --> 03:14:34,720 CHANCE AT SOME POINT, DR. MOORE, 4806 03:14:34,720 --> 03:14:37,880 REVIEW THE DEIA PLAN THAT I 4807 03:14:37,880 --> 03:14:41,720 ALLUDED TO EARLIER, YOU WILL SEE 4808 03:14:41,720 --> 03:14:44,840 THAT WE ARE DOING MUCH MORE 4809 03:14:44,840 --> 03:14:47,960 CONCERTED EFFORT TO REACH OUT TO 4810 03:14:47,960 --> 03:14:50,520 THOSE INDIVIDUALS IN THE 4811 03:14:50,520 --> 03:14:51,680 DISABILITY COMMUNITY, AND AGAIN 4812 03:14:51,680 --> 03:14:54,320 WE'LL LOOK FORWARD TO YOUR 4813 03:14:54,320 --> 03:14:56,160 GUIDANCE, THIS IS AN AREA YOU'VE 4814 03:14:56,160 --> 03:15:00,920 THOUGHT ABOUT A GREAT DEAL, AS 4815 03:15:00,920 --> 03:15:02,720 WE INCREASE OUR EFFORT TO ENGAGE 4816 03:15:02,720 --> 03:15:04,560 WITH THOSE GROUPS. 4817 03:15:04,560 --> 03:15:06,680 SO REALLY APPRECIATE YOUR 4818 03:15:06,680 --> 03:15:08,360 COMMENT. 4819 03:15:08,360 --> 03:15:10,200 TARA, WE'RE GETTING CLOSE TO THE 4820 03:15:10,200 --> 03:15:11,040 WITCHING HOUR. 4821 03:15:11,040 --> 03:15:15,160 >> I'VE BEEN HAVING AUDIO 4822 03:15:15,160 --> 03:15:15,400 ISSUES. 4823 03:15:15,400 --> 03:15:18,720 I'M NOT SURE IF PEOPLE CAN HEAR 4824 03:15:18,720 --> 03:15:20,720 ME NOW. 4825 03:15:20,720 --> 03:15:22,720 I HAVE A COMMENT. 4826 03:15:22,720 --> 03:15:23,880 GOOD, THUMBS UP. 4827 03:15:23,880 --> 03:15:24,880 THAT'S GREAT. 4828 03:15:24,880 --> 03:15:26,440 I WOULD POINT OUT MARIE BERNARD 4829 03:15:26,440 --> 03:15:28,480 IS GOING TO GIVE AN UPDATE ON 4830 03:15:28,480 --> 03:15:31,000 SOME ACCESSIBILITY WORK THAT WE 4831 03:15:31,000 --> 03:15:34,000 HAVE ONGOING ACROSS NIH TOMORROW 4832 03:15:34,000 --> 03:15:34,280 MORNING. 4833 03:15:34,280 --> 03:15:35,320 SO THAT'S SOMETHING THAT MAKE 4834 03:15:35,320 --> 03:15:38,560 SURE TO LOOK OUT FOR. 4835 03:15:38,560 --> 03:15:39,640 HOWARD, WE'RE AT TIME, WE'LL 4836 03:15:39,640 --> 03:15:42,200 HAVE YOU BE THE FINAL WORD FOR 4837 03:15:42,200 --> 03:15:45,320 THIS SESSION AND GIVE FOLKS A 4838 03:15:45,320 --> 03:15:45,560 BREAK. 4839 03:15:45,560 --> 03:15:47,880 >> I'LL KEEP IT SHORT. 4840 03:15:47,880 --> 03:15:53,440 THAT WAS A GREAT PRESENTATION TO 4841 03:15:53,440 --> 03:15:53,840 SEE THE PROGRESS. 4842 03:15:53,840 --> 03:15:57,360 MY QUESTION IS ABOUT LESSONS 4843 03:15:57,360 --> 03:16:01,000 FROM CANCER MOONSHOT, IN A MIGHT 4844 03:16:01,000 --> 03:16:03,640 APPLY TO THE R01 ESPECIALLY 4845 03:16:03,640 --> 03:16:06,840 BECAUSE YOU TALK ABOUT TEAMS, 4846 03:16:06,840 --> 03:16:08,120 PARTNERSHIP, COLLABORATION, BUT 4847 03:16:08,120 --> 03:16:10,960 THE METRICS FOR EVALUATION FOR 4848 03:16:10,960 --> 03:16:15,960 YOUR I GUESS BREAD AND BUTTER IS 4849 03:16:15,960 --> 03:16:17,200 REALLY ABOUT INDIVIDUAL LAB 4850 03:16:17,200 --> 03:16:17,560 ACHIEVEMENT. 4851 03:16:17,560 --> 03:16:20,240 HOW CAN WE CHANGE THAT CULTURE, 4852 03:16:20,240 --> 03:16:21,600 MAYBE EVALUATION METRIC, TO GET 4853 03:16:21,600 --> 03:16:23,960 PEOPLE TO WORK TOGETHER MORE? 4854 03:16:23,960 --> 03:16:26,240 >> WELL, I'LL CHALLENGE YOU A 4855 03:16:26,240 --> 03:16:31,040 BIT JUST BY SAYING THAT THE R01 4856 03:16:31,040 --> 03:16:32,640 MECHANISM HAS PRODUCED AMAZING 4857 03:16:32,640 --> 03:16:34,040 SUCCESS FOR US. 4858 03:16:34,040 --> 03:16:37,920 SO LET'S START BY SAYING WE'VE 4859 03:16:37,920 --> 03:16:41,800 GOT A TREMENDOUSLY SUCCESSFUL 4860 03:16:41,800 --> 03:16:44,720 PROGRAM THAT WE, AND ONE WHERE 4861 03:16:44,720 --> 03:16:46,880 LITERALLY ANY RESEARCHER WITH A 4862 03:16:46,880 --> 03:16:51,960 GREAT IDEA CAN COMPETE FOR THIS 4863 03:16:51,960 --> 03:16:52,200 FUNDING. 4864 03:16:52,200 --> 03:16:52,800 THAT'S INCREDIBLY VALUABLE. 4865 03:16:52,800 --> 03:16:55,880 AS YOU KNOW THERE ARE OTHER 4866 03:16:55,880 --> 03:16:57,040 MECHANISMS TRULY BASED ON 4867 03:16:57,040 --> 03:17:03,440 COLLABORATION, THEY ARE ALL 4868 03:17:03,440 --> 03:17:04,280 THROUGHOUT NIH. 4869 03:17:04,280 --> 03:17:10,680 SO, MY ANSWER IS WE NEED BOTH. 4870 03:17:10,680 --> 03:17:14,320 WE CAN FACILITATE COLLABORATION 4871 03:17:14,320 --> 03:17:15,640 BY RESOURCES AND INCENTIVES, AND 4872 03:17:15,640 --> 03:17:17,880 PROJECTS SUCH AS THE ONES I'VE 4873 03:17:17,880 --> 03:17:21,960 PROPOSED TO YOU, BUT RATHER THAN 4874 03:17:21,960 --> 03:17:24,000 TRYING TO, I DON'T KNOW, PLACE 4875 03:17:24,000 --> 03:17:25,960 RESTRICTIONS ON WHAT PEOPLE CAN 4876 03:17:25,960 --> 03:17:27,680 AND DO APPLY FOR, I'D RATHER 4877 03:17:27,680 --> 03:17:30,240 GIVE PEOPLE ALL THE OPTIONS 4878 03:17:30,240 --> 03:17:32,000 AVAILABLE AND MAKE THE 4879 03:17:32,000 --> 03:17:36,080 COLLABORATION OPTIONS REALLY, 4880 03:17:36,080 --> 03:17:36,560 REALLY ATTRACTIVE. 4881 03:17:36,560 --> 03:17:38,200 LIKE I SAID WE DON'T WANT TO 4882 03:17:38,200 --> 03:17:39,360 MESS WITH SUCCESS EITHER. 4883 03:17:39,360 --> 03:17:40,640 THERE ARE MANY SUCCESSES THAT 4884 03:17:40,640 --> 03:17:43,320 HAVE COME OUT OF THAT EXISTING 4885 03:17:43,320 --> 03:17:44,400 R01 MECHANISM. 4886 03:17:44,400 --> 03:17:46,920 SO LET'S DO BOTH. 4887 03:17:46,920 --> 03:17:50,000 THAT'S MY IDEA. 4888 03:17:50,000 --> 03:17:51,760 I WILL SAY FINALLY THAT ONE 4889 03:17:51,760 --> 03:17:53,800 THING WE REALLY WOULD LIKE, THAT 4890 03:17:53,800 --> 03:17:56,760 I TRY TO ADVOCATE WHEN I 4891 03:17:56,760 --> 03:17:57,720 POSSIBLY CAN IS RECOGNITION ON 4892 03:17:57,720 --> 03:18:00,280 THE PARTS OF OUR ACADEMIC 4893 03:18:00,280 --> 03:18:01,560 INSTITUTIONS FOR TEAM SCIENCE. 4894 03:18:01,560 --> 03:18:04,040 THAT I DO THINK WE NEED TO TRY 4895 03:18:04,040 --> 03:18:11,240 TO CONTINUE TO DO MORE ON. 4896 03:18:11,240 --> 03:18:12,240 >> THANK YOU. 4897 03:18:12,240 --> 03:18:14,760 I PROMISE AFTER THE BREAK I 4898 03:18:14,760 --> 03:18:19,520 HOPEFULLY WILL HAVE BETTER AUDIO 4899 03:18:19,520 --> 03:18:22,280 BECAUSE I KEEP GETTING -- IT'S 4900 03:18:22,280 --> 03:18:24,960 NOT WORKING WELL. 4901 03:18:24,960 --> 03:18:27,520 TO REALLY APPRECIATE YOU, 4902 03:18:27,520 --> 03:18:29,400 MONICA, FOR THE TIME AND 4903 03:18:29,400 --> 03:18:31,560 PRESENTING ON THIS IMPORTANT 4904 03:18:31,560 --> 03:18:33,400 INITIATIVE TO THE GROUP. 4905 03:18:33,400 --> 03:18:34,760 WITH THAT WE'LL ADJOURN FOR A 4906 03:18:34,760 --> 03:18:37,680 BREAK, AND IF WE COULD MAKE SURE 4907 03:18:37,680 --> 03:18:40,520 EVERYONE IS BACK AT 1:45, WE'D 4908 03:18:40,520 --> 03:18:43,880 APPRECIATE THAT TO MAKE SURE 4909 03:18:43,880 --> 03:18:45,120 WE'LL HIT QUORUM. 4910 03:18:45,120 --> 03:18:49,160 WE'LL SEE EVERYONE BACK AT 1:45. 4911 03:18:49,160 --> 03:18:51,240 >> WELCOME BACK, EVERYONE. 4912 03:18:51,240 --> 03:18:52,200 WE'LL WELCOME THOSE STILL 4913 03:18:52,200 --> 03:18:55,040 GETTING SITUATED AND TURNING ON 4914 03:18:55,040 --> 03:18:55,280 CAMERAS. 4915 03:18:55,280 --> 03:18:59,560 WE WANT TO SHIFT INTO THE NEXT 4916 03:18:59,560 --> 03:19:04,520 SESSION, WHERE WE'LL WELCOME DR. 4917 03:19:04,520 --> 03:19:07,040 SHELLI AVENEVOLI, DEPUTY 4918 03:19:07,040 --> 03:19:07,640 DIRECTOR OF THE NATIONAL 4919 03:19:07,640 --> 03:19:08,960 INSTITUTE OF MENTAL HEALTH, AND 4920 03:19:08,960 --> 03:19:11,200 SHE'S GOING TO TALK A LITTLE BIT 4921 03:19:11,200 --> 03:19:12,120 ABOUT SOME REALLY IMPORTANT WORK 4922 03:19:12,120 --> 03:19:14,520 THEY ARE DOING TO ADDRESS THE 4923 03:19:14,520 --> 03:19:20,920 MENTAL HEALTH CRISIS THROUGH 4924 03:19:20,920 --> 03:19:21,160 RESEARCH. 4925 03:19:21,160 --> 03:19:22,280 >> THANKS, TARA. 4926 03:19:22,280 --> 03:19:22,760 GOOD AFTERNOON. 4927 03:19:22,760 --> 03:19:24,600 I'M PLEASED TO BE HERE TODAY. 4928 03:19:24,600 --> 03:19:28,400 IT'S AN HONOR TO SPEAK WITH YOU 4929 03:19:28,400 --> 03:19:29,800 AND UPDATE WHAT WE KNOW ABOUT 4930 03:19:29,800 --> 03:19:31,400 THE MENTAL HEALTH CRISIS AND 4931 03:19:31,400 --> 03:19:34,640 WHAT WE ARE DOING THROUGH 4932 03:19:34,640 --> 03:19:36,000 RESEARCH TO ADDRESS IT. 4933 03:19:36,000 --> 03:19:39,480 I THINK WE'RE WAITING ON THE 4934 03:19:39,480 --> 03:19:41,760 SLIDES. 4935 03:19:41,760 --> 03:19:43,920 4936 03:19:43,920 --> 03:19:47,200 YOU CAN GO TO THE NEXT SLIDE 4937 03:19:47,200 --> 03:19:47,560 PLEASE. 4938 03:19:47,560 --> 03:19:51,520 I WANTED TO DIVIDE THE 4939 03:19:51,520 --> 03:19:52,960 PRESENTATION INTO THREE PARTS. 4940 03:19:52,960 --> 03:19:55,560 FIRST WHAT WE'VE LEARNED THROUGH 4941 03:19:55,560 --> 03:19:58,160 RESEARCH ON HOW THE COVID-19 4942 03:19:58,160 --> 03:19:58,680 PANDEMIC HAS ACTUALLY 4943 03:19:58,680 --> 03:20:01,200 EXACERBATED THE MENTAL HEALTH 4944 03:20:01,200 --> 03:20:03,640 CRISIS, I THEN WANT TO ZERO IN 4945 03:20:03,640 --> 03:20:05,600 ON THE CRISIS AMONG YOUTH 4946 03:20:05,600 --> 03:20:07,240 SPECIFICALLY, AND TELL YOU ABOUT 4947 03:20:07,240 --> 03:20:09,400 SOME OF THE INITIATIVES WE ARE 4948 03:20:09,400 --> 03:20:11,320 SUPPORTING TO MEET THE MOMENT IN 4949 03:20:11,320 --> 03:20:13,240 MENTAL HEALTH. 4950 03:20:13,240 --> 03:20:14,160 NEXT SLIDE PLEASE. 4951 03:20:14,160 --> 03:20:18,840 I LIKE TO START WITH THE NIMH 4952 03:20:18,840 --> 03:20:20,160 MISSION, TO TRANSFORM THE 4953 03:20:20,160 --> 03:20:25,640 UNDERSTANDING AND TREATMENT OF 4954 03:20:25,640 --> 03:20:28,080 MENTAL ILLNESS, PAVING THE WAY 4955 03:20:28,080 --> 03:20:30,000 FOR PREVENTION AND CURE. 4956 03:20:30,000 --> 03:20:30,480 NEXT SLIDE. 4957 03:20:30,480 --> 03:20:31,760 I WANTED TO TAKE THIS BRIEF 4958 03:20:31,760 --> 03:20:33,600 MOMENT TO PROVIDE YOU CAN 4959 03:20:33,600 --> 03:20:34,520 EVIDENCE THAT WE ARE IN THE 4960 03:20:34,520 --> 03:20:38,440 MIDST OF A MENTAL HEALTH CRISIS, 4961 03:20:38,440 --> 03:20:41,240 MENTAL DISORDERS ARE HIGHLY 4962 03:20:41,240 --> 03:20:42,840 PREVALENT, BURDENSOME, AND CARE 4963 03:20:42,840 --> 03:20:44,640 IS NOT ALWAYS AVAILABLE FOR 4964 03:20:44,640 --> 03:20:46,360 THOSE WHO NEED IT. 4965 03:20:46,360 --> 03:20:49,640 ABOUT HALF OF ALL AMERICAN 4966 03:20:49,640 --> 03:20:50,720 ADULTS AND ADOLESCENTS HAVE 4967 03:20:50,720 --> 03:20:52,600 REPORTED A PSYCHIATRIC DISORDER 4968 03:20:52,600 --> 03:20:53,640 IN THEIR LIFETIME. 4969 03:20:53,640 --> 03:20:55,520 MENTAL AND SUBSTANCE USE 4970 03:20:55,520 --> 03:20:57,040 DISORDERS ARE ALSO THE THIRD 4971 03:20:57,040 --> 03:20:59,320 LEADING CAUSE OF DISABILITY IN 4972 03:20:59,320 --> 03:21:00,360 THE UNITED STATES RIGHT NOW, AND 4973 03:21:00,360 --> 03:21:05,480 AS YOU CAN SEE FROM THIS FIGURE 4974 03:21:05,480 --> 03:21:06,800 HERE, WHAT IS PARTICULARLY 4975 03:21:06,800 --> 03:21:11,080 CONCERNING IS THAT THE BURDEN OF 4976 03:21:11,080 --> 03:21:12,960 MENTAL AND SUBSTANCE USE 4977 03:21:12,960 --> 03:21:15,120 DISORDERS, THE BLUE LINE, STARTS 4978 03:21:15,120 --> 03:21:18,080 VERY EARLY IN LIFE, AND THIS 4979 03:21:18,080 --> 03:21:19,720 MEANS MANY INDIVIDUALS WILL 4980 03:21:19,720 --> 03:21:21,560 CARRY THIS BURDEN THROUGHOUT 4981 03:21:21,560 --> 03:21:25,200 MUCH OF THEIR LIFETIME. 4982 03:21:25,200 --> 03:21:26,560 NEXT SLIDE. 4983 03:21:26,560 --> 03:21:30,320 LET'S SHIFT THE CONVERSATION TO 4984 03:21:30,320 --> 03:21:31,400 THE COVID-19 PANDEMIC. 4985 03:21:31,400 --> 03:21:32,560 NEXT SLIDE PLEASE. 4986 03:21:32,560 --> 03:21:34,800 EARLY IN THE PANDEMIC THERE WAS 4987 03:21:34,800 --> 03:21:37,080 ALREADY EVIDENCE OF A 4988 03:21:37,080 --> 03:21:39,000 SUBSTANTIAL INCREASE IN 4989 03:21:39,000 --> 03:21:40,680 SELF-REPORTED SYMPTOMS OF 4990 03:21:40,680 --> 03:21:42,640 DISSTRESS, IN JUNE OF 2020 THE 4991 03:21:42,640 --> 03:21:45,920 CDC REPORTED THAT 40% OF U.S. 4992 03:21:45,920 --> 03:21:47,040 ADULTS REPORTED STRUGGLING WITH 4993 03:21:47,040 --> 03:21:49,440 MENTAL HEALTH OR SUBSTANCE 4994 03:21:49,440 --> 03:21:52,680 ABUSE, 31% REPORTED SYMPTOMS OF 4995 03:21:52,680 --> 03:21:55,840 ANXIETY OR DEPRESSION, 11% 4996 03:21:55,840 --> 03:21:56,760 REPORTED SUICIDAL IDEATION, 4997 03:21:56,760 --> 03:21:58,040 WHAT'S IMPORTANT TO CONSIDER 4998 03:21:58,040 --> 03:22:00,920 HERE IS THAT THESE NUMBERS ARE 4999 03:22:00,920 --> 03:22:02,120 NEARLY DOUBLE WHAT WOULD BE 5000 03:22:02,120 --> 03:22:04,880 EXPECTED BEFORE THE PANDEMIC 5001 03:22:04,880 --> 03:22:05,360 BEGAN. 5002 03:22:05,360 --> 03:22:09,240 THE RATES ARE SIMILAR FOR 5003 03:22:09,240 --> 03:22:10,800 CHILDREN AND ADOLESCENCE, 5004 03:22:10,800 --> 03:22:14,800 ESSENTIALLY DOUBLE PRE-PANDEMIC 5005 03:22:14,800 --> 03:22:18,240 ESTIMATES AS WELL. 5006 03:22:18,240 --> 03:22:20,320 SURVEYS SHOW RATES OF SYMPTOMS 5007 03:22:20,320 --> 03:22:24,040 CONTINUE TO INCREASE AND REMAIN 5008 03:22:24,040 --> 03:22:24,680 STABLE THROUGHOUT. 5009 03:22:24,680 --> 03:22:27,800 IT ALSO BECAME EVIDENT THE 5010 03:22:27,800 --> 03:22:28,400 PANDEMIC WAS HAVING 5011 03:22:28,400 --> 03:22:29,280 DISPROPORTIONATE IMPACT ON 5012 03:22:29,280 --> 03:22:32,800 INDIVIDUALS FROM SOME RACIAL AND 5013 03:22:32,800 --> 03:22:34,920 ETHNIC GROUPS, PARTICULARLY 5014 03:22:34,920 --> 03:22:35,640 BLACK AND HISPANIC INDIVIDUALS, 5015 03:22:35,640 --> 03:22:38,960 AS WELL AS ON FRONT LINE 5016 03:22:38,960 --> 03:22:41,600 WORKERS, MIGRANTS, LOW INCOME 5017 03:22:41,600 --> 03:22:43,600 LEVELS, WITH PREEXISTING 5018 03:22:43,600 --> 03:22:44,960 PSYCHIATRIC OR MENTAL HEALTH 5019 03:22:44,960 --> 03:22:47,080 CONDITIONS, JUST TO NAME A FEW. 5020 03:22:47,080 --> 03:22:48,640 NEXT SLIDE PLEASE. 5021 03:22:48,640 --> 03:22:51,960 NEXT QUESTION IS GIVEN WHERE WE 5022 03:22:51,960 --> 03:22:53,800 ARE WITH PUBLIC HEALTH EMERGENCY 5023 03:22:53,800 --> 03:22:56,240 HAVING ENDED, WHAT WILL BE THE 5024 03:22:56,240 --> 03:22:58,880 LONG-TERM IMPACT OF THE PANDEMIC 5025 03:22:58,880 --> 03:22:59,640 ON MELT? 5026 03:22:59,640 --> 03:23:02,880 WE DON'T HAVE THOSE ANSWERS YET 5027 03:23:02,880 --> 03:23:04,520 BUT HAVE STARTED TO SEE 5028 03:23:04,520 --> 03:23:05,200 FLUCTUATIONS AND SYMPTOMS OVER 5029 03:23:05,200 --> 03:23:10,280 THE COURSE OF THE PANDEMIC. 5030 03:23:10,280 --> 03:23:14,320 ON LEFT RATES OF ANXIETY AND 5031 03:23:14,320 --> 03:23:15,040 DEPRESSION, DOTTED LINES, 5032 03:23:15,040 --> 03:23:16,720 FLUCTUATED AS NUMBER OF THE 5033 03:23:16,720 --> 03:23:18,640 COVID CASES OR VACCINE RATES 5034 03:23:18,640 --> 03:23:21,200 HAVE RISEN AND FALLEN. 5035 03:23:21,200 --> 03:23:22,760 AND THE COVID CASES IN THE RED 5036 03:23:22,760 --> 03:23:23,440 LINE. 5037 03:23:23,440 --> 03:23:25,520 WE CAN ALSO LEARN A LOT FROM 5038 03:23:25,520 --> 03:23:27,560 PRIOR RESEARCH ON EXPOSURE TO 5039 03:23:27,560 --> 03:23:29,960 OTHER SIGNIFICANT EVENTS LIKE 5040 03:23:29,960 --> 03:23:30,680 NATURAL DISASTERS. 5041 03:23:30,680 --> 03:23:32,960 THAT RESEARCH HAS TOLD US THAT 5042 03:23:32,960 --> 03:23:35,480 THESE EVENTS DO LEAD TO 5043 03:23:35,480 --> 03:23:36,520 INCREASED INITIAL SYMPTOMS AMONG 5044 03:23:36,520 --> 03:23:39,200 A LARGE MAJORITY OF THE 5045 03:23:39,200 --> 03:23:41,880 POPULATION, BUT THE IDEA THESE 5046 03:23:41,880 --> 03:23:45,960 GENERALLY IMPROVE WITH TIME. 5047 03:23:45,960 --> 03:23:47,320 HOWEVER, THERE WILL BE OR WE 5048 03:23:47,320 --> 03:23:50,000 EXPECT A MINORITY OF INDIVIDUALS 5049 03:23:50,000 --> 03:23:52,400 WITH LONG-TERM OR CHRONIC 5050 03:23:52,400 --> 03:23:53,800 EXPERIENCE WITH MENTAL ILLNESS, 5051 03:23:53,800 --> 03:23:56,920 IT'S BEEN THE CASE WITH PRIOR 5052 03:23:56,920 --> 03:23:58,880 EVENTS THESE TEND TO EXPLOIT 5053 03:23:58,880 --> 03:24:01,360 SYSTEMIC AND SOCIAL INEQUITIES 5054 03:24:01,360 --> 03:24:03,880 THAT EXISTED LONG BEFORE THE 5055 03:24:03,880 --> 03:24:04,080 EVENTS. 5056 03:24:04,080 --> 03:24:05,240 NEXT SLIDE. 5057 03:24:05,240 --> 03:24:06,240 ONE OF THE MOST COMMON QUESTIONS 5058 03:24:06,240 --> 03:24:09,280 WE GET IS WHAT PUTS SOME PEOPLE 5059 03:24:09,280 --> 03:24:10,840 AT GREATER RISK FOR MENTAL 5060 03:24:10,840 --> 03:24:12,360 PROBLEMS THAN OTHERS? 5061 03:24:12,360 --> 03:24:17,240 THIS SLIDE REPRESENTS A HOST OF 5062 03:24:17,240 --> 03:24:17,800 POSSIBILITIES, THINGS LIKE 5063 03:24:17,800 --> 03:24:18,800 EXPOSURE TO THE DEATH OR INJURY 5064 03:24:18,800 --> 03:24:21,400 OF A LOVED ONE DURING THE 5065 03:24:21,400 --> 03:24:24,200 PANDEMIC, HISTORY OF TRAUMA OR 5066 03:24:24,200 --> 03:24:27,080 MENTAL ILLNESS, BEING FEMALE, 5067 03:24:27,080 --> 03:24:28,040 NON-WHITE, HAVING FEW SOCIAL 5068 03:24:28,040 --> 03:24:30,920 SUPPORTS, LIVING IN AREAS WITH 5069 03:24:30,920 --> 03:24:33,840 SEVERE OUTBREAKS, SOME OF THE 5070 03:24:33,840 --> 03:24:36,040 PANDEMIC SPECIFIC FACTORS, 5071 03:24:36,040 --> 03:24:38,280 DISRUPTION IN ROUTINES, AND 5072 03:24:38,280 --> 03:24:39,120 EXPERIENCES WITH ADVERSE 5073 03:24:39,120 --> 03:24:40,480 CHILDHOOD EXPERIENCES JUST TO 5074 03:24:40,480 --> 03:24:43,480 NAME A FEW. 5075 03:24:43,480 --> 03:24:44,520 NEXT SLIDE. 5076 03:24:44,520 --> 03:24:48,320 I'VE MENTIONED THAT THERE ARE 5077 03:24:48,320 --> 03:24:49,200 DISPARITIES IN MENTAL OUTCOMES, 5078 03:24:49,200 --> 03:24:52,280 WHAT ARE SOME FACTORS THAT MIGHT 5079 03:24:52,280 --> 03:24:53,520 EXPLAIN THESE DISPARITIES? 5080 03:24:53,520 --> 03:24:56,880 YOU SEE AN EXAMPLE OF ONE STUDY 5081 03:24:56,880 --> 03:24:58,480 ON ADOLESCENTS ADAPTED FROM 5082 03:24:58,480 --> 03:25:00,600 BRAIN AND CHILD DEVELOPMENT 5083 03:25:00,600 --> 03:25:03,600 STUDY, IN THAT GROUP THEY FOUND 5084 03:25:03,600 --> 03:25:07,040 THAT SEVERAL SOCIAL DETERMINANTS 5085 03:25:07,040 --> 03:25:14,080 OF HEALTH, PANDEMIC-RELATED FOOD 5086 03:25:14,080 --> 03:25:14,520 INSECURITY, PARENTAL 5087 03:25:14,520 --> 03:25:17,040 UNEMPLOYMENT, DISRUPTED MENTAL 5088 03:25:17,040 --> 03:25:18,040 TREATMENT AND LAGGING 5089 03:25:18,040 --> 03:25:19,320 VACCINATION RATES WERE 5090 03:25:19,320 --> 03:25:20,600 ASSOCIATED WITH NEGATIVE 5091 03:25:20,600 --> 03:25:23,000 OUTCOMES BUT THESE ASSOCIATIONS 5092 03:25:23,000 --> 03:25:25,560 WERE MORE COMMON AMONG ASIAN, 5093 03:25:25,560 --> 03:25:31,040 BLACK, HISPANIC CHILDREN THAN 5094 03:25:31,040 --> 03:25:33,120 AMONG WHITE CHILDREN. 5095 03:25:33,120 --> 03:25:41,000 ANOTHER DISPARITY ARE PEOPLE 5096 03:25:41,000 --> 03:25:42,400 WITH MENTAL ILLNESS, INCREASED 5097 03:25:42,400 --> 03:25:43,720 FOR INFECTION WITH SARS-COV-2 5098 03:25:43,720 --> 03:25:50,880 AND ALSO INCREASED RISK OF DEATH 5099 03:25:50,880 --> 03:25:52,680 FROM INFECTION WITH COVID-19. 5100 03:25:52,680 --> 03:25:54,360 ANOTHER LINE OF RESEARCH WE 5101 03:25:54,360 --> 03:25:56,760 FUNDED LOOKED AT WAYS WE MIGHT 5102 03:25:56,760 --> 03:25:59,080 MITIGATE THE IMPACT OF PANDEMIC 5103 03:25:59,080 --> 03:26:00,760 STRESSORS ON MENTAL HEALTH 5104 03:26:00,760 --> 03:26:01,280 OUTCOMES. 5105 03:26:01,280 --> 03:26:03,960 THIS STUDY SHOWS HERE THAT 5106 03:26:03,960 --> 03:26:06,440 ACCESS TO FREE GROCERIES OR 5107 03:26:06,440 --> 03:26:10,680 MEALS IMPROVED MENTAL HEALTH, 5108 03:26:10,680 --> 03:26:12,400 THAT MAY NOT BE SURPRISING BUT 5109 03:26:12,400 --> 03:26:15,320 WE KNOW FROM PRIOR RESEARCH THAT 5110 03:26:15,320 --> 03:26:16,720 INTERVENTIONS THAT FIRST ADDRESS 5111 03:26:16,720 --> 03:26:18,240 THE MOST PRESSING ECONOMIC OR 5112 03:26:18,240 --> 03:26:25,040 SOCIAL NEEDS LIKE FOOD 5113 03:26:25,040 --> 03:26:27,920 INSECURITY LOWER RISK AND 5114 03:26:27,920 --> 03:26:29,480 MAXIMIZE CHANCE FOR RECOVERY. 5115 03:26:29,480 --> 03:26:30,760 ALSO PROMOTING HEALTHY COPING 5116 03:26:30,760 --> 03:26:32,560 STRATEGIES AND TREATING NEW OR 5117 03:26:32,560 --> 03:26:37,920 WORSENING ILLNESSES AS SOON AS 5118 03:26:37,920 --> 03:26:38,240 POSSIBLE. 5119 03:26:38,240 --> 03:26:40,560 I WANT TO ACKNOWLEDGE THOSE WITH 5120 03:26:40,560 --> 03:26:41,600 MENTAL ILLNESS EXPERIENCE 5121 03:26:41,600 --> 03:26:47,680 SIGNIFICANT DISRUPTIONS IN CARE 5122 03:26:47,680 --> 03:26:49,720 DURING THE PANDEMIC, WE SAW 5123 03:26:49,720 --> 03:26:55,280 NOTABLE DECREASES IN THINGS LIKE 5124 03:26:55,280 --> 03:26:56,440 OUTPATIENT VISITS PRESCRIPTION 5125 03:26:56,440 --> 03:27:03,320 REFILLS, HOSPITAL ADMISSIONS. 5126 03:27:03,320 --> 03:27:04,760 NEXT SLIDE. 5127 03:27:04,760 --> 03:27:06,880 RATES OF TELEHEALTH INCREASED, 5128 03:27:06,880 --> 03:27:08,720 60 TO 80% AND REMAINED STABLE. 5129 03:27:08,720 --> 03:27:10,280 THE GOOD NEWS IS THAT THIS 5130 03:27:10,280 --> 03:27:12,200 ALLOWED MANY INDIVIDUALS TO GET 5131 03:27:12,200 --> 03:27:13,480 THE CARE THEY NEEDED, BROUGHT 5132 03:27:13,480 --> 03:27:17,240 NEW PEOPLE TO CARE DURING THE 5133 03:27:17,240 --> 03:27:17,640 PANDEMIC. 5134 03:27:17,640 --> 03:27:18,560 HOWEVER, UNFORTUNATELY, THERE 5135 03:27:18,560 --> 03:27:20,880 ARE DISPARITIES IN THE ACCESS 5136 03:27:20,880 --> 03:27:24,120 AND USAGE OF TELEHEALTH, WITH 5137 03:27:24,120 --> 03:27:26,440 SIGNIFICANTLY LOWER USAGE BY 5138 03:27:26,440 --> 03:27:27,520 BLACK AMERICANS, HISPANICS, 5139 03:27:27,520 --> 03:27:29,880 ASIAN AMERICANS. 5140 03:27:29,880 --> 03:27:31,680 THIS HAS BEEN INCONSISTENT SO 5141 03:27:31,680 --> 03:27:34,120 THERE'S RESEARCH UNDERWAY TO 5142 03:27:34,120 --> 03:27:37,560 BETTER UNDERSTAND USE OF 5143 03:27:37,560 --> 03:27:38,360 TELEHEALTH. 5144 03:27:38,360 --> 03:27:38,760 NEXT SLIDE PLEASE. 5145 03:27:38,760 --> 03:27:40,680 I WANTED TO TAKE A MOMENT TO 5146 03:27:40,680 --> 03:27:43,640 HIGHLIGHT SOME OF THE AREAS OF 5147 03:27:43,640 --> 03:27:46,600 FOCI OF RESEARCH WE SUPPORTED 5148 03:27:46,600 --> 03:27:47,320 THROUGH THE PANDEMIC. 5149 03:27:47,320 --> 03:27:49,560 IN THE BEGINNING WE DID MORE 5150 03:27:49,560 --> 03:27:51,880 GENERAL ANNOUNCEMENTS CALLING 5151 03:27:51,880 --> 03:27:53,040 FOR BASIC TRANSLATIONAL 5152 03:27:53,040 --> 03:27:53,800 INTERVENTIONS AND SERVICES 5153 03:27:53,800 --> 03:27:55,800 RESEARCH FOCUSED ON THE IMPACT 5154 03:27:55,800 --> 03:27:58,240 OF THE PANDEMIC ON MENTAL 5155 03:27:58,240 --> 03:27:59,440 HEALTH. 5156 03:27:59,440 --> 03:28:01,320 BUT WE PLACED SPECIAL EMPHASIS 5157 03:28:01,320 --> 03:28:03,080 ON RESEARCH THAT INFORMS HOW TO 5158 03:28:03,080 --> 03:28:05,640 MITIGATE IMPACT ON THE PANDEMIC. 5159 03:28:05,640 --> 03:28:07,520 WE KNEW THE PANDEMIC HAD 5160 03:28:07,520 --> 03:28:10,280 NEGATIVE EFFECTS BUT DON'T KNOW 5161 03:28:10,280 --> 03:28:11,840 HOW BEST TO MITIGATE. 5162 03:28:11,840 --> 03:28:14,240 WE PUT STRONG EMPHASIS ON 5163 03:28:14,240 --> 03:28:16,800 UNDERSTANDING THE IMPACT OF THE 5164 03:28:16,800 --> 03:28:18,760 PANDEMIC AND UNDERSERVE AND 5165 03:28:18,760 --> 03:28:19,520 VULNERABLE POPULATIONS, TO 5166 03:28:19,520 --> 03:28:21,560 IDENTIFY AND ADDRESS THESE 5167 03:28:21,560 --> 03:28:22,920 HEALTH DISPARITIES, AND THIS IS 5168 03:28:22,920 --> 03:28:23,440 SOMETHING WE DID IN 5169 03:28:23,440 --> 03:28:25,480 COLLABORATION WITH MANY OF OUR 5170 03:28:25,480 --> 03:28:33,520 SISTER INSTITUTES AND CENTERS AT 5171 03:28:33,520 --> 03:28:34,080 NIH. 5172 03:28:34,080 --> 03:28:37,120 WE ADDRESSED INITIATIVES LIKE 5173 03:28:37,120 --> 03:28:42,160 SCHOOL DISRUPTION AND VACCINE 5174 03:28:42,160 --> 03:28:42,840 HESITANCY. 5175 03:28:42,840 --> 03:28:44,520 THIS LAST SLIDE SUMMARIZES MUCH 5176 03:28:44,520 --> 03:28:46,800 OF WHAT I'VE TOLD YOU ALREADY, 5177 03:28:46,800 --> 03:28:48,960 THAT THERE'S BEEN AN INCREASE IN 5178 03:28:48,960 --> 03:28:57,440 SYMPTOMS WE HOPE THAT WILL 5179 03:28:57,440 --> 03:28:59,840 DECLINE, THERE IS A 5180 03:28:59,840 --> 03:29:00,480 BIDIRECTIONAL RELATIONSHIP 5181 03:29:00,480 --> 03:29:02,840 LEADING YOU VULNERABLE, WITH A 5182 03:29:02,840 --> 03:29:04,480 NEGATIVE IMPACT ON MENTAL 5183 03:29:04,480 --> 03:29:09,040 HEALTH, THE PANDEMIC HAS 5184 03:29:09,040 --> 03:29:10,200 EXPLOITED INEQUITIES AND STILL 5185 03:29:10,200 --> 03:29:12,120 RESEARCH WE'RE WAITING TO INFORM 5186 03:29:12,120 --> 03:29:16,240 OUR FUTURE EFFORTS. 5187 03:29:16,240 --> 03:29:24,120 NEXT SLIDE. 5188 03:29:24,120 --> 03:29:25,520 SWITCHING GEARS, LARRY ALLUDED 5189 03:29:25,520 --> 03:29:28,720 TO IN HIS INTRODUCTION THAT THE 5190 03:29:28,720 --> 03:29:31,440 U.S. SURGEON GENERAL RELEASED AN 5191 03:29:31,440 --> 03:29:32,920 ADVISORY IN LATE 2021, THAT 5192 03:29:32,920 --> 03:29:34,600 HIGHLIGHTED THAT WE ARE IN THE 5193 03:29:34,600 --> 03:29:39,680 MIDST OF A YOUTH MENTAL HEALTH 5194 03:29:39,680 --> 03:29:40,200 CRISIS. 5195 03:29:40,200 --> 03:29:41,880 THE NEEDS OF CHILDREN AND 5196 03:29:41,880 --> 03:29:43,640 ADOLESCENTS WERE ON THE RISE 5197 03:29:43,640 --> 03:29:44,920 LONG BEFORE THE PANDEMIC AND 5198 03:29:44,920 --> 03:29:49,240 I'LL TELL YOU ABOUT THAT NOW. 5199 03:29:49,240 --> 03:29:50,040 NEXT SLIDE. 5200 03:29:50,040 --> 03:29:52,280 ONE OF THE DEFINING 5201 03:29:52,280 --> 03:29:53,920 CHARACTERISTICS IS HOW COMMON 5202 03:29:53,920 --> 03:29:56,760 MENTAL HEALTH PROBLEMS ACTUALLY 5203 03:29:56,760 --> 03:29:59,680 ARE, I MENTIONED THAT ABOUT 50% 5204 03:29:59,680 --> 03:30:04,440 REPORT LIFETIME MENTAL DISORDERS 5205 03:30:04,440 --> 03:30:09,040 OF ANY KIND, 22% REPORT SEVERE 5206 03:30:09,040 --> 03:30:13,160 DISORDERS, IN 2021 ABOUT 20% OR 5207 03:30:13,160 --> 03:30:15,640 FIVE MILLION HAD A MAJOR 5208 03:30:15,640 --> 03:30:16,560 DEPRESSIVE EPISODE IN THE PAST 5209 03:30:16,560 --> 03:30:19,360 YEAR ALONE. 5210 03:30:19,360 --> 03:30:21,320 NEXT SLIDE PLEASE. 5211 03:30:21,320 --> 03:30:22,240 ANOTHER DEFINE CHARACTERISTIC IS 5212 03:30:22,240 --> 03:30:22,960 INCREASE IN MENTAL HEALTH 5213 03:30:22,960 --> 03:30:29,400 PROBLEMS OVER THE PAST TWO 5214 03:30:29,400 --> 03:30:29,760 DECADES. 5215 03:30:29,760 --> 03:30:32,640 SURVEYS SHOW INCREASES IN 5216 03:30:32,640 --> 03:30:36,120 DEPRESSIVE SYMPTOMS, SUICIDAL 5217 03:30:36,120 --> 03:30:39,600 IDEATION, FEELINGS EVER SADNESS 5218 03:30:39,600 --> 03:30:40,520 AND HOPELESSNESS, 40% REPORTING 5219 03:30:40,520 --> 03:30:43,040 SYMPTOMS AT A GIVEN TIME. 5220 03:30:43,040 --> 03:30:48,240 THIS FIGURE SHOWS THAT RATES OF 5221 03:30:48,240 --> 03:30:53,520 MAJOR DEPRESSIVE EPISODES 5222 03:30:53,520 --> 03:30:57,560 INCREASED FROM 2004 TO 2020, AND 5223 03:30:57,560 --> 03:31:04,480 VISITS TO EMERGENCY DEPARTMENTS 5224 03:31:04,480 --> 03:31:09,360 INCREASED DURING THIS PERIOD. 5225 03:31:09,360 --> 03:31:13,200 WE'VE SEEN INCREASING RATES OF 5226 03:31:13,200 --> 03:31:15,240 SUICIDE, INCREASING BY 57%, THEY 5227 03:31:15,240 --> 03:31:18,680 DID TAKE A DIP BETWEEN 2018 AND 5228 03:31:18,680 --> 03:31:20,920 2020, BUT UNFORTUNATELY THEY 5229 03:31:20,920 --> 03:31:31,440 INCREASED AGAIN IN 2021 ALMOST 5230 03:31:32,960 --> 03:31:34,600 TO THE 2018 LEVELS. 5231 03:31:34,600 --> 03:31:36,360 YOU CAN SEE DIFFERENCES BY RACE. 5232 03:31:36,360 --> 03:31:39,120 I WANT TO HIGHLIGHT THE TOP RED 5233 03:31:39,120 --> 03:31:42,760 LINE, THE SUICIDE RATES AMONG 5234 03:31:42,760 --> 03:31:50,440 AMERICAN INDIAN AND ALASKA 5235 03:31:50,440 --> 03:31:51,880 NATIVE ADOLESCENTS 10-24, 5236 03:31:51,880 --> 03:31:52,480 HIGHEST RATES IN THE UNITED 5237 03:31:52,480 --> 03:31:52,760 STATES. 5238 03:31:52,760 --> 03:31:54,840 I WANT TO DRAW YOUR ATTENTION TO 5239 03:31:54,840 --> 03:31:57,320 THE STARK INCREASE IN SUICIDE 5240 03:31:57,320 --> 03:31:58,120 RATES AMONG BLACK YOUTH, 5241 03:31:58,120 --> 03:32:02,240 REPRESENTED BY THE PURPLE LINE 5242 03:32:02,240 --> 03:32:02,840 WITH TRIANGLES. 5243 03:32:02,840 --> 03:32:08,680 35% OVER THE SHORT PERIOD OF 5244 03:32:08,680 --> 03:32:09,560 TIME. 5245 03:32:09,560 --> 03:32:11,360 RATES OF SUICIDE AMONG BLACK 5246 03:32:11,360 --> 03:32:13,120 YOUTH HAVE RISEN FASTER THAN IN 5247 03:32:13,120 --> 03:32:15,760 ANY OTHER RACIAL/ETHNIC GROUP IN 5248 03:32:15,760 --> 03:32:17,640 THE PAST TWO DECADES. 5249 03:32:17,640 --> 03:32:20,200 THE RATES INCREASED IN MALE AND 5250 03:32:20,200 --> 03:32:21,440 FEMALE BLACK ADOLESCENTS BUT 5251 03:32:21,440 --> 03:32:23,680 RATES IN BLACK MALE ADOLESCENTS 5252 03:32:23,680 --> 03:32:28,760 HAVE INCREASED BY ALMOST 60%. 5253 03:32:28,760 --> 03:32:30,200 ANOTHER GROUP WE'RE SEEING 5254 03:32:30,200 --> 03:32:34,120 INCREASES IN SUICIDE DEATHS ARE 5255 03:32:34,120 --> 03:32:37,880 AMONG 5 TO 9 YEARS OLD, 5256 03:32:37,880 --> 03:32:38,200 PRE-TEENS. 5257 03:32:38,200 --> 03:32:38,880 THEY HAVE INCREASED 5258 03:32:38,880 --> 03:32:41,440 SUBSTANTIALLY IN THE PAST FEW 5259 03:32:41,440 --> 03:32:42,560 YEARS, FOR THE FIRST TIME 5260 03:32:42,560 --> 03:32:44,240 SUICIDE IS THE TENTH LEADING 5261 03:32:44,240 --> 03:32:47,960 CAUSE OF DEATH IN THIS YOUNG AGE 5262 03:32:47,960 --> 03:32:48,160 GROUP. 5263 03:32:48,160 --> 03:32:50,000 I WANT TO NOTE I DON'T HAVE 5264 03:32:50,000 --> 03:32:52,280 STATISTICS TO SHOW BUT SEXUAL 5265 03:32:52,280 --> 03:32:54,000 AND GENDER MINORITY YOUTH ARE 5266 03:32:54,000 --> 03:32:58,680 HIGH RISK GROUP WITH ALMOST FOUR 5267 03:32:58,680 --> 03:33:01,280 TIMES -- FOUR TIMES MORE LIKELY 5268 03:33:01,280 --> 03:33:06,880 TO ATTEMPT SUICIDE THAN 5269 03:33:06,880 --> 03:33:11,160 CISGENDER HETEROSEXUAL PEERS. 5270 03:33:11,160 --> 03:33:17,520 ANOTHER CHARACTERISTICS IS UNMET 5271 03:33:17,520 --> 03:33:20,400 NEAT FOR TREATMENT, ONLY HALF 5272 03:33:20,400 --> 03:33:22,000 RECEIVE TREATMENT OR COUNSELING. 5273 03:33:22,000 --> 03:33:23,520 I'M HIGHLIGHTING EVEN AMONG 5274 03:33:23,520 --> 03:33:24,720 YOUTH WHO DO RECEIVE TREATMENT 5275 03:33:24,720 --> 03:33:26,840 THERE ARE DISPARITIES IN THE 5276 03:33:26,840 --> 03:33:28,160 TIMES OF TREATMENT THEY RECEIVE. 5277 03:33:28,160 --> 03:33:33,440 AND IN THE CASE OF THIS STUDY, 5278 03:33:33,440 --> 03:33:37,920 WHITE ADOLESCENTS MORE OFTEN 5279 03:33:37,920 --> 03:33:39,560 RECEIVED MENTAL HEALTH SERVICE 5280 03:33:39,560 --> 03:33:40,880 WHERE IS WE EXPECTED HIGHER 5281 03:33:40,880 --> 03:33:43,120 QUALITY OF CARE AND BLACK 5282 03:33:43,120 --> 03:33:46,320 ADOLESCENTS MORE OFTEN RECEIVED 5283 03:33:46,320 --> 03:33:47,920 CARE IN NON-SPECIALTY 5284 03:33:47,920 --> 03:33:49,560 FACILITIES, ASIAN ADOLESCENTS 5285 03:33:49,560 --> 03:33:50,920 HAD LOWEST ESTIMATE OF MENTAL 5286 03:33:50,920 --> 03:34:01,040 HEALTH SERVICES IN SPECIALTY AND 5287 03:34:01,040 --> 03:34:01,960 NON-SPECIALTY FACILITIES. 5288 03:34:01,960 --> 03:34:07,080 I'VE SHARED THE COMPONENTS. 5289 03:34:07,080 --> 03:34:12,800 WHAT AR FACTORS THAT EXPLAIN 5290 03:34:12,800 --> 03:34:13,120 WHY? 5291 03:34:13,120 --> 03:34:14,760 YOUNG PEOPLE ARE MORE OPEN TO 5292 03:34:14,760 --> 03:34:17,440 DISCUSS AND REPORT CONCERNS AND 5293 03:34:17,440 --> 03:34:19,040 SEEK CARE. 5294 03:34:19,040 --> 03:34:19,960 HOWEVER, THERE'S ALSO 5295 03:34:19,960 --> 03:34:21,960 RECOGNITION THAT MANY ASPECTS OF 5296 03:34:21,960 --> 03:34:23,800 OUR CHANGING SOCIAL ENVIRONMENT 5297 03:34:23,800 --> 03:34:27,600 MAY PLAY A ROLE DURING A HIGHLY 5298 03:34:27,600 --> 03:34:28,280 FORMATIVE PERIOD OF DEVELOPMENT, 5299 03:34:28,280 --> 03:34:31,240 AND THIS HAS LED TO A LOT OF 5300 03:34:31,240 --> 03:34:33,120 INCREASED INTEREST IN FACTORS 5301 03:34:33,120 --> 03:34:36,480 LIKE GROWING USE OF DIGITAL 5302 03:34:36,480 --> 03:34:38,000 MEDIA, INCREASING ACADEMIC 5303 03:34:38,000 --> 03:34:40,960 PRESSURE, LIMITED ACCESS TO 5304 03:34:40,960 --> 03:34:44,040 MENTAL HEALTH CARE, STRESSORS 5305 03:34:44,040 --> 03:34:46,280 LIKE 2008 FINANCIAL CRISIS, 5306 03:34:46,280 --> 03:34:56,760 RACISM, GUN VIOLENCE, CLIMATE 5307 03:34:58,000 --> 03:34:58,200 CHANGE. 5308 03:34:58,200 --> 03:35:00,600 I'VE THROWN A LOT OF INFORMATION 5309 03:35:00,600 --> 03:35:01,160 AT YOU. 5310 03:35:01,160 --> 03:35:03,440 I WANT TO TALK ABOUT HOW NIMH IS 5311 03:35:03,440 --> 03:35:06,800 TRYING TO MEET THE MOMENT TO 5312 03:35:06,800 --> 03:35:08,280 RESEARCH. 5313 03:35:08,280 --> 03:35:10,080 I WANT TO ACKNOWLEDGE THAT I'M 5314 03:35:10,080 --> 03:35:11,640 ONLY ABLE TO HIGHLIGHT A 5315 03:35:11,640 --> 03:35:13,480 SAMPLING OF SOME RECENT 5316 03:35:13,480 --> 03:35:15,040 INITIATIVES, BUT HAPPY TO 5317 03:35:15,040 --> 03:35:17,160 ADDRESS QUESTIONS ABOUT WHETHER 5318 03:35:17,160 --> 03:35:18,960 WE'RE HITTING OTHER OTHERS. 5319 03:35:18,960 --> 03:35:23,080 I'M GOING TO TOKE FOCUS ON 5320 03:35:23,080 --> 03:35:24,200 OVERLAPPING WITH WHITE HOUSE AND 5321 03:35:24,200 --> 03:35:26,760 CONGRESSIONAL INTEREST AT THE 5322 03:35:26,760 --> 03:35:28,360 MOMENT. 5323 03:35:28,360 --> 03:35:29,800 NEXT SLIDE PLEASE. 5324 03:35:29,800 --> 03:35:31,040 THIS SUMMARIZES SOME OF OUR 5325 03:35:31,040 --> 03:35:33,440 RECENT WHITE HOUSE AND 5326 03:35:33,440 --> 03:35:35,680 CONGRESSIONAL INTERACTIONS 5327 03:35:35,680 --> 03:35:38,200 FOCUSED ON MENTAL HEALTH. 5328 03:35:38,200 --> 03:35:39,520 STARTING IN MARCH OF 2022, 5329 03:35:39,520 --> 03:35:40,480 PRESIDENT BIDEN DISCUSSED THE 5330 03:35:40,480 --> 03:35:42,000 MENTAL HEALTH CRISIS DURING THIS 5331 03:35:42,000 --> 03:35:47,920 STATE OF THE UNION AND RELEASED 5332 03:35:47,920 --> 03:35:48,760 UNITY AGENDA. 5333 03:35:48,760 --> 03:35:53,920 SUMMER OF THE SAME YEAR, THE 5334 03:35:53,920 --> 03:35:56,760 WHITE HOUSE DOMESTIC POLICY 5335 03:35:56,760 --> 03:35:57,800 COUNCIL WANTED TO INTEGRATE 5336 03:35:57,800 --> 03:35:59,960 RESEARCH PRIORITIES INTO THAT 5337 03:35:59,960 --> 03:36:01,680 UNITY AGENDA. 5338 03:36:01,680 --> 03:36:03,120 AND SO UPON REQUEST, NIH 5339 03:36:03,120 --> 03:36:04,960 SUBMITTED A LIST OF PRIORITIES 5340 03:36:04,960 --> 03:36:07,400 IN MENTAL HEALTH RESEARCH TO THE 5341 03:36:07,400 --> 03:36:08,920 WHITE HOUSE. 5342 03:36:08,920 --> 03:36:13,440 DURING THE SAME PERIOD, WE 5343 03:36:13,440 --> 03:36:14,520 RECEIVED SEVERAL CONGRESSIONAL 5344 03:36:14,520 --> 03:36:20,080 INQUIRIES AND A REQUEST FOR 5345 03:36:20,080 --> 03:36:21,240 PROFESSIONAL JUDGMENT BUDGET. 5346 03:36:21,240 --> 03:36:24,600 THE BUDGET WHICH WE SUBMITTED IN 5347 03:36:24,600 --> 03:36:29,320 WINTER OF 2023, JUST RECENTLY, 5348 03:36:29,320 --> 03:36:31,360 WE HIGHLIGHTED THINGS THAT WE 5349 03:36:31,360 --> 03:36:35,000 THOUGHT WOULD BE NEEDED TO SEE 5350 03:36:35,000 --> 03:36:36,040 IMPROVEMENTS IN SERIOUS MENTAL 5351 03:36:36,040 --> 03:36:37,840 ILLNESS IN A LIMITED TIME FRAME 5352 03:36:37,840 --> 03:36:39,800 AND TRIED TO BE CONSISTENT WITH 5353 03:36:39,800 --> 03:36:41,680 THE INFORMATION THAT WE HAD 5354 03:36:41,680 --> 03:36:44,000 SUPPLIED ALREADY TO THE WHITE 5355 03:36:44,000 --> 03:36:45,200 HOUSE. 5356 03:36:45,200 --> 03:36:47,760 ALSO AT THE END OF WINTER THIS 5357 03:36:47,760 --> 03:36:49,640 YEAR, PRESIDENT BIDEN RELEASED 5358 03:36:49,640 --> 03:36:51,520 THE WHITE HOUSE REPORT OF MENTAL 5359 03:36:51,520 --> 03:36:53,680 HEALTH RESEARCH PRIORITIES AS 5360 03:36:53,680 --> 03:37:00,920 WELL AS HIS FY 24 PRESIDENT'S 5361 03:37:00,920 --> 03:37:01,520 BUDGET. 5362 03:37:01,520 --> 03:37:02,520 SO NIMH CONTRIBUTED 5363 03:37:02,520 --> 03:37:03,280 SIGNIFICANTLY TO THIS WHITE 5364 03:37:03,280 --> 03:37:05,720 HOUSE REPORT ON MENTAL HEALTH 5365 03:37:05,720 --> 03:37:06,560 RESEARCH PRIORITIES. 5366 03:37:06,560 --> 03:37:10,680 THE REPORT IS MEANT TO OUTLINE 5367 03:37:10,680 --> 03:37:11,320 ADMINISTRATION-WIDE NEEDS AND 5368 03:37:11,320 --> 03:37:13,200 OPPORTUNITIES, IT'S NOT MEANT TO 5369 03:37:13,200 --> 03:37:15,800 BE AN EXHAUSTIVE LIST OF 5370 03:37:15,800 --> 03:37:16,800 RESEARCH PRIORITIES. 5371 03:37:16,800 --> 03:37:18,840 INSTEAD HIGHLIGHTS PRIORITIES 5372 03:37:18,840 --> 03:37:21,080 THAT AGENCIES CAN WORK ON 5373 03:37:21,080 --> 03:37:23,400 TOGETHER TO HAVE MORE IMPACT OR 5374 03:37:23,400 --> 03:37:25,120 THAT ARE REQUIRE AGENCIES TO 5375 03:37:25,120 --> 03:37:29,880 WORK TOGETHER TO HAVE IMPACT. 5376 03:37:29,880 --> 03:37:34,320 THERE CROSS-CUTTING THEMES LIKE 5377 03:37:34,320 --> 03:37:36,120 ADDRESSING INEQUITIES, ACROSS 5378 03:37:36,120 --> 03:37:37,720 TOPICAL THINKS, SUPPORTING 5379 03:37:37,720 --> 03:37:39,440 MENTAL HEALTH WORKFORCE, TOPICAL 5380 03:37:39,440 --> 03:37:42,280 AREAS FOCUS ON INCREASING THE 5381 03:37:42,280 --> 03:37:45,000 IMPACT OF OUR INTERVENTIONS, 5382 03:37:45,000 --> 03:37:48,000 IMPROVING TREATMENTS FOR SERIOUS 5383 03:37:48,000 --> 03:37:50,200 MENTAL ILLNESS, PREVENTING 5384 03:37:50,200 --> 03:37:50,920 SUICIDE OUTCOMES, SUPPORTING 5385 03:37:50,920 --> 03:37:52,720 YOUTH MENTAL HEALTH. 5386 03:37:52,720 --> 03:37:53,880 NEXT SLIDE. 5387 03:37:53,880 --> 03:37:57,000 HERE IS MORE DETAIL ON THE 5388 03:37:57,000 --> 03:38:00,080 PRESIDENT'S FY 24 BUDGET 5389 03:38:00,080 --> 03:38:03,880 REQUEST, SPECIFICALLY FOR NIMH, 5390 03:38:03,880 --> 03:38:04,480 HIGHLIGHTS INCREASE OF $200 5391 03:38:04,480 --> 03:38:08,400 MILLION AND FUNDS ARE MEANT TO 5392 03:38:08,400 --> 03:38:11,160 SUPPORT, IF THE FUNDS WERE TO BE 5393 03:38:11,160 --> 03:38:15,760 MADE ABLE, SUPPORTING BETTER 5394 03:38:15,760 --> 03:38:16,240 DIAGNOSTICS, IMPROVED 5395 03:38:16,240 --> 03:38:16,920 TREATMENTS, UNDERSTANDING MENTAL 5396 03:38:16,920 --> 03:38:19,840 HEALTH IMPACTS OF SOCIAL MEDIA 5397 03:38:19,840 --> 03:38:23,200 AND ALSO PRECISION PSYCHIATRY. 5398 03:38:23,200 --> 03:38:23,520 NEXT SLIDE. 5399 03:38:23,520 --> 03:38:25,520 SO LET ME TELL YOU ABOUT SOME OF 5400 03:38:25,520 --> 03:38:27,400 THE CONCEPTS WE SHARED WITH THE 5401 03:38:27,400 --> 03:38:29,120 WHITE HOUSE AND CONGRESS. 5402 03:38:29,120 --> 03:38:31,840 THOSE ARE GROUPED INTO FOUR 5403 03:38:31,840 --> 03:38:32,880 PRIORITY AREAS, I'LL TAKE EACH 5404 03:38:32,880 --> 03:38:34,760 IN TURN, FIRST IS ADVANCING 5405 03:38:34,760 --> 03:38:43,920 LEARNING HEALTH CARE TO IMPROVE 5406 03:38:43,920 --> 03:38:46,480 MENTAL HEALTH OUTCOMES. 5407 03:38:46,480 --> 03:38:47,880 CLINICAL EFFECTIVENESS DECLINES 5408 03:38:47,880 --> 03:38:50,240 AS WE TAKE EVIDENCE-BASED 5409 03:38:50,240 --> 03:38:52,080 INTERVENTIONS OUT OF OUR 5410 03:38:52,080 --> 03:38:53,360 CONTROLLED RESEARCH ENVIRONMENT 5411 03:38:53,360 --> 03:38:56,000 AND PUT THEM INTO REAL WORLD 5412 03:38:56,000 --> 03:38:56,640 TREATMENT SETTINGS. 5413 03:38:56,640 --> 03:38:58,640 LEARNING HEALTH CARE IS A 5414 03:38:58,640 --> 03:38:59,760 PROMISING APPROACH THAT 5415 03:38:59,760 --> 03:39:01,720 HOPEFULLY WILL HELP US MITIGATE 5416 03:39:01,720 --> 03:39:04,640 WHAT WE CALL THIS VOTAGE DROP 5417 03:39:04,640 --> 03:39:06,960 AND HELP PROMOTE CONTINUOUSLY 5418 03:39:06,960 --> 03:39:09,080 IMPROVING HEALTH CARE. 5419 03:39:09,080 --> 03:39:10,920 FOR THOSE NOT FAMILIAR, LEARNING 5420 03:39:10,920 --> 03:39:14,520 HEALTH CARE SYSTEMS ARE MEANT TO 5421 03:39:14,520 --> 03:39:16,480 SYSTEMATICALLY GATHER DATA, 5422 03:39:16,480 --> 03:39:18,560 CREATE EVIDENCE, AND THEN APPLY 5423 03:39:18,560 --> 03:39:21,080 THE MOST PROMISING EVIDENCE IN 5424 03:39:21,080 --> 03:39:24,920 REAL TIME TO GUIDE CARE AND 5425 03:39:24,920 --> 03:39:26,000 ULTIMATELY IMPROVE CARE. 5426 03:39:26,000 --> 03:39:29,400 THE IDEA THAT AS A RESULT OF 5427 03:39:29,400 --> 03:39:31,720 THIS PROCESS PATIENTS GET HIGHER 5428 03:39:31,720 --> 03:39:37,520 QUALITY SAFER AND MORE EFFICIENT 5429 03:39:37,520 --> 03:39:37,760 CARE. 5430 03:39:37,760 --> 03:39:40,640 NIMH IS SUPPORTING A LARGE STUDY 5431 03:39:40,640 --> 03:39:42,160 OF THIS KIND. 5432 03:39:42,160 --> 03:39:44,760 THE REASON, A LITTLE BACKGROUND 5433 03:39:44,760 --> 03:39:47,120 WHY WE'RE FOCUSED ON EARLY 5434 03:39:47,120 --> 03:39:49,120 PSYCHOSIS, IT'S BECAUSE THE 5435 03:39:49,120 --> 03:39:51,280 NUMBER OF CLINICAL PROGRAMS THAT 5436 03:39:51,280 --> 03:39:53,160 STARTED DEVELOPING ACROSS THE 5437 03:39:53,160 --> 03:39:55,840 COUNTRY FOCUSED ON INDIVIDUALS 5438 03:39:55,840 --> 03:39:57,800 EXPERIENCING A FIRST EPISODE OF 5439 03:39:57,800 --> 03:39:58,320 PSYCHOSIS. 5440 03:39:58,320 --> 03:39:59,960 AND THAT NUMBER OF CLINICAL 5441 03:39:59,960 --> 03:40:01,040 PROGRAMS HAS BEEN INCREASING 5442 03:40:01,040 --> 03:40:04,240 SUBSTANTIALLY OVER THE PAST TEN 5443 03:40:04,240 --> 03:40:04,760 YEARS. 5444 03:40:04,760 --> 03:40:07,840 SO NIMH CREATED THE EARLY 5445 03:40:07,840 --> 03:40:08,920 PSYCHOSIS INTERVENTION NETWORK 5446 03:40:08,920 --> 03:40:10,040 IN RESPONSE TO COORDINATE SOME 5447 03:40:10,040 --> 03:40:12,760 OF THESE EFFORTS AND TO LEARN 5448 03:40:12,760 --> 03:40:15,320 FROM THESE EFFORTS. 5449 03:40:15,320 --> 03:40:17,800 SO, EPINET IS A NATIONAL LEARN 5450 03:40:17,800 --> 03:40:19,560 HEALTH CARE PARTNERSHIP THAT 5451 03:40:19,560 --> 03:40:22,680 BRINGS TOGETHER 101 OF THESE 5452 03:40:22,680 --> 03:40:26,280 EARLY PSYCHOSIS CLINICS ACROSS 5453 03:40:26,280 --> 03:40:28,160 16 STATES. 5454 03:40:28,160 --> 03:40:32,720 IT'S STRUCTURED AROUND 8 HUBS, 5455 03:40:32,720 --> 03:40:34,760 AND THEY COORDINATE RESEARCH 5456 03:40:34,760 --> 03:40:41,600 EFFORTS ACROSS THE 101 CLINICAL 5457 03:40:41,600 --> 03:40:41,840 SITES. 5458 03:40:41,840 --> 03:40:44,280 ALL LINKED TO THE DATA CENTER. 5459 03:40:44,280 --> 03:40:46,480 TOGETHER SITES AND HUBS COLLECT 5460 03:40:46,480 --> 03:40:48,280 DATA SYSTEMATICALLY ACROSS THE 5461 03:40:48,280 --> 03:40:51,680 SITES USING A CORE ASSESSMENT 5462 03:40:51,680 --> 03:40:52,880 BATTERY, UNIFORM DATA COLLECTION 5463 03:40:52,880 --> 03:40:54,920 METHODS, AND ALSO INTEGRATE DATA 5464 03:40:54,920 --> 03:40:58,960 ACROSS SERVICE USERS AND 5465 03:40:58,960 --> 03:40:59,720 CLINICS. 5466 03:40:59,720 --> 03:41:02,720 THIS PROCESS INVOLVES CLIENTS, 5467 03:41:02,720 --> 03:41:04,400 FAMILIES, CLINICIANS, HEALTH 5468 03:41:04,400 --> 03:41:06,800 CARE ADMINISTRATORS AND 5469 03:41:06,800 --> 03:41:08,680 SCIENTISTS, PARTNERED TOGETHER 5470 03:41:08,680 --> 03:41:09,440 WITHIN EPINET TO IDENTIFY 5471 03:41:09,440 --> 03:41:11,440 PROBLEMS, INNOVATE ON THE 5472 03:41:11,440 --> 03:41:13,040 SOLUTIONS, TO DEVELOP NEW 5473 03:41:13,040 --> 03:41:16,240 RESEARCH STUDIES, AND TO IMPROVE 5474 03:41:16,240 --> 03:41:16,640 CARE. 5475 03:41:16,640 --> 03:41:19,320 EPINET IS BEGINNING TO MAKE ITS 5476 03:41:19,320 --> 03:41:20,880 RESOURCES AVAILABLE TO OTHER 5477 03:41:20,880 --> 03:41:21,600 EARLY PSYCHOSIS PROGRAMS ACROSS 5478 03:41:21,600 --> 03:41:23,800 THE COUNTRY EVEN THOUGH IT'S NOT 5479 03:41:23,800 --> 03:41:25,200 INVOLVED IN THE NETWORK. 5480 03:41:25,200 --> 03:41:28,160 THE IDEA IS THAT THIS KIND OF 5481 03:41:28,160 --> 03:41:29,800 SYSTEM COULD BE EXPANDED TO 5482 03:41:29,800 --> 03:41:32,960 OTHER AREAS OF MENTAL HEALTH AND 5483 03:41:32,960 --> 03:41:35,960 MENTAL ILLNESS. 5484 03:41:35,960 --> 03:41:36,400 NEXT SLIDE. 5485 03:41:36,400 --> 03:41:38,240 MOVING TO THE SECOND TOPICAL 5486 03:41:38,240 --> 03:41:40,400 AREA UNDER MEETING THE MOMENT, 5487 03:41:40,400 --> 03:41:42,560 WE HAVE TRANSFORMING THE SYSTEM 5488 03:41:42,560 --> 03:41:47,440 OF CARE FOR YOUTH MENTAL HEALTH. 5489 03:41:47,440 --> 03:41:48,840 NEXT SLIDE PLEASE. 5490 03:41:48,840 --> 03:41:51,040 THERE IS WIDESPREAD INTEREST IN 5491 03:41:51,040 --> 03:41:52,280 UNDERSTANDING THE IMPACT OF 5492 03:41:52,280 --> 03:41:55,080 SOCIAL AND DIGITAL MEDIA USE ON 5493 03:41:55,080 --> 03:41:55,760 MENTAL HEALTH. 5494 03:41:55,760 --> 03:41:58,640 WE DO KNOW FROM RESEARCH THAT 5495 03:41:58,640 --> 03:42:00,760 CHILDREN AND ADOLESCENTS R 5496 03:42:00,760 --> 03:42:01,920 INCREASING ACCESS AND SPEND 5497 03:42:01,920 --> 03:42:03,720 INCREASING AMOUNT OF TIME 5498 03:42:03,720 --> 03:42:05,520 ENGAGING IN ONLINE SOCIAL 5499 03:42:05,520 --> 03:42:07,320 INTERACTIONS, AS WELL AS 5500 03:42:07,320 --> 03:42:10,080 CONSUMING CONTENT ON THESE 5501 03:42:10,080 --> 03:42:10,560 PLATFORMS. 5502 03:42:10,560 --> 03:42:14,760 UP TO 95% OF ADOLESCENTS REPORT 5503 03:42:14,760 --> 03:42:15,440 USING SOCIAL MEDIA PLATFORM WITH 5504 03:42:15,440 --> 03:42:17,960 MORE THAN A THIRD OF THEM SAYING 5505 03:42:17,960 --> 03:42:21,600 THEY USE SOCIAL MEDIA ALMOST 5506 03:42:21,600 --> 03:42:22,280 CONSTANTLY. 5507 03:42:22,280 --> 03:42:23,560 RESEARCH ALSO SHOWS US THAT 5508 03:42:23,560 --> 03:42:25,200 SCREEN TIME AND SOCIAL MEDIA 5509 03:42:25,200 --> 03:42:28,480 HAVE SOME BENEFITS AT LEAST FOR 5510 03:42:28,480 --> 03:42:29,240 SOME CHILDREN AND ADOLESCENTS, 5511 03:42:29,240 --> 03:42:30,920 THEY CAN PROVIDE MEANS OF 5512 03:42:30,920 --> 03:42:32,760 CONNECTION OR SUPPORT FOR THOSE 5513 03:42:32,760 --> 03:42:35,240 WHO SHARE COMMON INTERESTS OR 5514 03:42:35,240 --> 03:42:36,520 IDENTITIES. 5515 03:42:36,520 --> 03:42:37,960 BUT THERE'S ALSO EVIDENCE THAT 5516 03:42:37,960 --> 03:42:40,320 SOCIAL MEDIA USE INCREASES RISK 5517 03:42:40,320 --> 03:42:42,240 FOR MENTAL HEALTH PROBLEMS, 5518 03:42:42,240 --> 03:42:44,360 OTHER PROBLEMS LIKE SLEEP 5519 03:42:44,360 --> 03:42:49,920 DISRUPTION, AND THOSE PROBLEMS 5520 03:42:49,920 --> 03:42:53,760 TYPICALLY INCREASE AS USAGE 5521 03:42:53,760 --> 03:42:54,040 INCREASES. 5522 03:42:54,040 --> 03:42:54,840 EXEMPLIFIED ON THE SLIDE ON THE 5523 03:42:54,840 --> 03:42:55,040 RIGHT. 5524 03:42:55,040 --> 03:42:55,560 NEXT SLIDE. 5525 03:42:55,560 --> 03:42:57,240 THE STATE OF KNOWLEDGE IN THIS 5526 03:42:57,240 --> 03:43:01,600 AREA IS STILL QUITE LIMITED AND 5527 03:43:01,600 --> 03:43:04,520 NOT YET METHODOLOGICALLY 5528 03:43:04,520 --> 03:43:05,320 SOPHISTICATED. 5529 03:43:05,320 --> 03:43:11,400 NIMH IS SUPPORTING AN RFA ON 5530 03:43:11,400 --> 03:43:12,040 BIDIRECTIONAL INFLUENCES BETWEEN 5531 03:43:12,040 --> 03:43:14,080 ADOLESCENT SOCIAL MEDIA USE AN 5532 03:43:14,080 --> 03:43:15,760 MENTAL HEALTH, A BROAD 5533 03:43:15,760 --> 03:43:18,600 INITIATIVE, MOST THINGS THAT ARE 5534 03:43:18,600 --> 03:43:20,320 RELEVANT TO THIS ASSOCIATION 5535 03:43:20,320 --> 03:43:24,360 WOULD QUALIFY UNDER THIS RFA BUT 5536 03:43:24,360 --> 03:43:25,480 WE'VE PLACED EMPHASIS ON 5537 03:43:25,480 --> 03:43:27,320 UNDERSTANDING POSITIVE AND 5538 03:43:27,320 --> 03:43:29,000 NEGATIVE EFFECTS OF SOCIAL 5539 03:43:29,000 --> 03:43:31,840 MEDIA, ON FACTORS THAT INFLUENCE 5540 03:43:31,840 --> 03:43:34,280 RISK AND RESILIENCE AND USE OF 5541 03:43:34,280 --> 03:43:35,880 SOPHISTICATED AND FINE GRAIN 5542 03:43:35,880 --> 03:43:38,480 APPROACHES TO ASSESS AND BETTER 5543 03:43:38,480 --> 03:43:40,600 CONTEXTUALIZE SOCIAL MEDIA USE, 5544 03:43:40,600 --> 03:43:41,880 TO BETTER UNDERSTAND INDIVIDUAL 5545 03:43:41,880 --> 03:43:43,800 DIFFERENCES OF WHY IT HAS 5546 03:43:43,800 --> 03:43:45,240 POSITIVE IMPACT FOR SOME, 5547 03:43:45,240 --> 03:43:46,320 NEGATIVE FOR OTHERS. 5548 03:43:46,320 --> 03:43:48,640 WE'RE ALSO VERY INTERESTED IN 5549 03:43:48,640 --> 03:43:51,720 RESEARCH THAT PROVIDES INSIGHTS 5550 03:43:51,720 --> 03:43:54,360 INTO EITHER CLINICAL OR SOCIETAL 5551 03:43:54,360 --> 03:43:56,960 INTERVENTIONS THAT MIGHT HELP US 5552 03:43:56,960 --> 03:44:00,000 MITIGATE POTENTIAL HARMS. 5553 03:44:00,000 --> 03:44:01,520 THE REALITY IS SOCIAL MEDIA AND 5554 03:44:01,520 --> 03:44:03,280 DIGITAL MEDIA USE IS NOT GOING 5555 03:44:03,280 --> 03:44:06,960 AWAY AND THE QUESTION IS HOW CAN 5556 03:44:06,960 --> 03:44:11,120 WE BEST LEVERAGE THIS FOR GOOD? 5557 03:44:11,120 --> 03:44:12,000 NEXT SLIDE PLEASE. 5558 03:44:12,000 --> 03:44:15,040 ANOTHER AREA OF FOCUS IN YOUTH 5559 03:44:15,040 --> 03:44:18,000 MENTAL HEALTH IS YOUTH MENTAL 5560 03:44:18,000 --> 03:44:19,280 HEALTH DISPARITIES. 5561 03:44:19,280 --> 03:44:21,120 EARLY 2023, NIMH RELEASED A 5562 03:44:21,120 --> 03:44:22,280 STRATEGIC FRAMEWORK FOR 5563 03:44:22,280 --> 03:44:25,800 ADDRESSING YOUTH MENTAL HEALTH 5564 03:44:25,800 --> 03:44:26,880 DISPARITIES, SUMMARIZING OUR 5565 03:44:26,880 --> 03:44:28,080 PRIORITIES FOR GUIDING RESEARCH 5566 03:44:28,080 --> 03:44:30,600 IN THIS AREA WITH GOAL OF 5567 03:44:30,600 --> 03:44:32,840 REDUCING MENTAL HEALTH 5568 03:44:32,840 --> 03:44:35,600 DISPARITIES AMONG UNDERSERVED 5569 03:44:35,600 --> 03:44:38,480 AND UNDERREPRESENTED YOUTH BY 5570 03:44:38,480 --> 03:44:38,680 2031. 5571 03:44:38,680 --> 03:44:39,680 NIMH PARTNERED WITH NATIONAL 5572 03:44:39,680 --> 03:44:41,960 INSTITUTE ON MINORITY HEALTH AND 5573 03:44:41,960 --> 03:44:43,160 HEALTH DISPARITIES AND EUNICE 5574 03:44:43,160 --> 03:44:44,560 KENNEDY SHRIVER NATIONAL 5575 03:44:44,560 --> 03:44:45,520 INSTITUTE OF CHILD HEALTH AND 5576 03:44:45,520 --> 03:44:50,640 HUMAN DEVELOP ON THIS EFFORT, 5577 03:44:50,640 --> 03:44:51,480 ENGAGED WITH FEDERAL AGENCIES 5578 03:44:51,480 --> 03:44:52,960 AND RESEARCHERS AND CARE 5579 03:44:52,960 --> 03:44:53,760 PROVIDERS ACROSS THE COUNTRY 5580 03:44:53,760 --> 03:44:56,920 THROUGH A SERIES OF WORKSHOPS TO 5581 03:44:56,920 --> 03:44:58,440 INFORM THIS EFFORT. 5582 03:44:58,440 --> 03:45:00,440 THERE ARE THREE COMPONENTS, ONE 5583 03:45:00,440 --> 03:45:02,440 FOCUSING ON ADDRESSING RESEARCH 5584 03:45:02,440 --> 03:45:04,840 GAPS, ANOTHER ON ENGAGING STAKE 5585 03:45:04,840 --> 03:45:06,040 HOLDERS, AND THE THIRD ON 5586 03:45:06,040 --> 03:45:09,000 GROWING THE YOUTH MENTAL HEALTH 5587 03:45:09,000 --> 03:45:12,200 DISPARITIES WORKFORCE. 5588 03:45:12,200 --> 03:45:12,880 NEXT SLIDE. 5589 03:45:12,880 --> 03:45:14,880 ONE OF THE AREAS FOCUSED ON 5590 03:45:14,880 --> 03:45:16,720 YOUTH MENTAL HEALTH DISPARITIES 5591 03:45:16,720 --> 03:45:19,120 IS IN BLACK YOUTH SUICIDE BUT 5592 03:45:19,120 --> 03:45:20,720 THIS SLIDE HIGHLIGHTS THAT WE 5593 03:45:20,720 --> 03:45:25,960 HAVE A BROAD PROGRAM AND BETTER 5594 03:45:25,960 --> 03:45:27,080 UNDERSTANDING YOUTH SUICIDE 5595 03:45:27,080 --> 03:45:27,520 PREVENTION. 5596 03:45:27,520 --> 03:45:29,960 WE ARE FOCUSED ON BLACK YOUTH 5597 03:45:29,960 --> 03:45:39,720 SUICIDE AND PRE-TEEN SUICIDE, 5598 03:45:39,720 --> 03:45:41,680 WE'VE HOLD WORKSHOP AND WEBINARS 5599 03:45:41,680 --> 03:45:43,360 TO BRING TOGETHER DIVERSITY OF 5600 03:45:43,360 --> 03:45:45,520 PERSPECTIVES TO UP HAD US 5601 03:45:45,520 --> 03:45:49,640 UNDERSTAND WHAT WE KNOW, WHAT 5602 03:45:49,640 --> 03:45:51,480 RESEARCH IS NEED AND CHALLENGES 5603 03:45:51,480 --> 03:45:52,920 TO PROGRESS, AND BASED ON THOSE 5604 03:45:52,920 --> 03:45:56,120 DISCUSSIONS WE'VE BEEN ABLE TO 5605 03:45:56,120 --> 03:45:57,000 PUBLISH SOME INITIAL INITIATIVES 5606 03:45:57,000 --> 03:45:59,520 TO BEGIN TO ADDRESS THESE ISSUES 5607 03:45:59,520 --> 03:46:01,000 THROUGH RESEARCH BUT MUCH OF 5608 03:46:01,000 --> 03:46:05,960 THIS IS STILL UNDER DEVELOPMENT. 5609 03:46:05,960 --> 03:46:06,480 NEXT SLIDE PLEASE. 5610 03:46:06,480 --> 03:46:08,960 NOW I WANT TO MOVE TO OUR THIRD 5611 03:46:08,960 --> 03:46:10,600 AREA OF MEETING THE MOMENT IN 5612 03:46:10,600 --> 03:46:12,760 MENTAL HEALTH, THIS IS FOCUSED 5613 03:46:12,760 --> 03:46:15,720 ON LEVERAGING PRECISION MEDICINE 5614 03:46:15,720 --> 03:46:18,720 TO TRANSFORM THERAPEUTICS. 5615 03:46:18,720 --> 03:46:21,520 NEXT SLIDE PLEASE. 5616 03:46:21,520 --> 03:46:23,360 FOR PRECISION MEDICINE, WE ARE 5617 03:46:23,360 --> 03:46:24,560 LAUNCHING A RESEARCH PROGRAM 5618 03:46:24,560 --> 03:46:27,360 THAT WILL FOCUS ON TWO PARALLEL 5619 03:46:27,360 --> 03:46:28,520 AREAS OF NEED. 5620 03:46:28,520 --> 03:46:30,720 ONE ON BIOMARKER DEVELOPMENT, 5621 03:46:30,720 --> 03:46:34,840 THE OTHER ON PRECISION 5622 03:46:34,840 --> 03:46:35,440 DIAGNOSTICS. 5623 03:46:35,440 --> 03:46:36,120 NEXT SLIDE PLEASE. 5624 03:46:36,120 --> 03:46:40,320 I WANT TO TELL YOU ABOUT ONE OF 5625 03:46:40,320 --> 03:46:42,840 THE BIOMARKER EFFORTS. 5626 03:46:42,840 --> 03:46:47,920 THE GOAL SEEKS TO DEVELOP FAST, 5627 03:46:47,920 --> 03:46:50,160 ACCURATE, EASY-TO-USE ACCESSIBLE 5628 03:46:50,160 --> 03:46:53,440 TOOLS TO PREDICT RESPONSE ACROSS 5629 03:46:53,440 --> 03:46:54,600 MULTIPLE EXISTING TREATMENTS FOR 5630 03:46:54,600 --> 03:46:55,000 DEPRESSION. 5631 03:46:55,000 --> 03:46:58,120 OUR LONG-TERM GOAL HERE IS TO 5632 03:46:58,120 --> 03:46:59,680 ACTUALLY DEVELOP CLINICAL TOOLS 5633 03:46:59,680 --> 03:47:01,680 THAT A CLINICIAN CAN USE TO 5634 03:47:01,680 --> 03:47:03,560 ASSIGN A PATIENT WHO COMES TO 5635 03:47:03,560 --> 03:47:07,120 HIS OR HER OFFICE TO AN OPTIMAL 5636 03:47:07,120 --> 03:47:09,680 TREATMENT THAT WILL ENABLE THEM 5637 03:47:09,680 --> 03:47:10,880 TO ACHIEVE RAPID SYMPTOMATIC 5638 03:47:10,880 --> 03:47:15,600 RELIEF AND IMPROVE THE QUALITY 5639 03:47:15,600 --> 03:47:18,720 OF THEIR LIVES. 5640 03:47:18,720 --> 03:47:20,120 A FINAL APPROACH MODEL SOMEWHAT 5641 03:47:20,120 --> 03:47:22,440 AFTER ONE OF THE RADx 5642 03:47:22,440 --> 03:47:24,240 INITIATIVES, THAT'S MEANT TO 5643 03:47:24,240 --> 03:47:27,120 CREATE A FLEXIBLE RAPID PIPELINE 5644 03:47:27,120 --> 03:47:28,800 TO ACCELERATE DEVELOPMENT AND 5645 03:47:28,800 --> 03:47:32,200 VALIDATION OF THESE TOOLS OR 5646 03:47:32,200 --> 03:47:34,000 BIOMARKERS AND WILL INCORPORATE 5647 03:47:34,000 --> 03:47:36,720 EXPERTISE FROM THE TECH 5648 03:47:36,720 --> 03:47:39,360 INDUSTRY, REGULATORY AFFAIRS, 5649 03:47:39,360 --> 03:47:41,160 ALSO FROM BUSINESS. 5650 03:47:41,160 --> 03:47:43,240 THE NOTICE OF FUNDING 5651 03:47:43,240 --> 03:47:44,400 OPPORTUNITY IS NOW AVAILABLE, IT 5652 03:47:44,400 --> 03:47:46,400 IS NOT ON THIS SLIDE BECAUSE IT 5653 03:47:46,400 --> 03:47:49,240 CAME OUT AFTER I HAD CREATED THE 5654 03:47:49,240 --> 03:47:49,800 SLIDE. 5655 03:47:49,800 --> 03:47:52,640 BUT THAT ANNOUNCEMENT IS A 5656 03:47:52,640 --> 03:47:54,840 PHASED AWARD, THE FIRST PHASE IS 5657 03:47:54,840 --> 03:47:56,680 MEANT TO ALLOW SPACE FOR PILOT 5658 03:47:56,680 --> 03:48:00,480 OR SMALL STUDIES TO TEST THE 5659 03:48:00,480 --> 03:48:03,280 BIOMARKER OR TOOL, IF MILESTONES 5660 03:48:03,280 --> 03:48:06,960 ARE MET IN THE UH3 COMPONENT 5661 03:48:06,960 --> 03:48:07,920 INVESTIGATORS WOULD CONDUCT 5662 03:48:07,920 --> 03:48:09,320 LARGER CLINICAL TRIALS TO 5663 03:48:09,320 --> 03:48:14,640 VALIDATE THE USE OF THAT TOOL OR 5664 03:48:14,640 --> 03:48:15,080 BIOMARKER. 5665 03:48:15,080 --> 03:48:16,120 NEXT SLIDE. 5666 03:48:16,120 --> 03:48:19,440 SO IN THE OTHER AREA, AREA OF 5667 03:48:19,440 --> 03:48:20,800 PRECISION DIAGNOSTICS, OUR GOAL 5668 03:48:20,800 --> 03:48:22,600 IN THIS PARTICULAR EFFORT WHICH 5669 03:48:22,600 --> 03:48:25,480 I'M SHARING WITH YOU TODAY IS TO 5670 03:48:25,480 --> 03:48:27,960 USE DATA CENTRIC AND DATA DRIVEN 5671 03:48:27,960 --> 03:48:29,800 APPROACHES TO GENERATE MORE 5672 03:48:29,800 --> 03:48:31,480 SPECIFIC AND LESS BIASED 5673 03:48:31,480 --> 03:48:33,320 CLINICAL PHENOTYPES, WITH THE 5674 03:48:33,320 --> 03:48:36,960 HOPES THAT WOULD ENRICH OUR 5675 03:48:36,960 --> 03:48:37,680 APPROACHES TO DIAGNOSTICS, 5676 03:48:37,680 --> 03:48:38,520 PROGNOSTICS, TREATMENT DECISION. 5677 03:48:38,520 --> 03:48:40,880 MANY OF YOU KNOW RIGHT NOW OUR 5678 03:48:40,880 --> 03:48:42,280 CURRENT APPROACHES TO 5679 03:48:42,280 --> 03:48:43,960 UNDERSTANDING AND TREATING 5680 03:48:43,960 --> 03:48:45,960 MENTAL DISORDERS ARE LARGELY 5681 03:48:45,960 --> 03:48:47,560 BASED ON LONGSTANDING DIAGNOSTIC 5682 03:48:47,560 --> 03:48:51,240 CRITERIA, WHICH ARE BASED ON 5683 03:48:51,240 --> 03:48:52,280 PATIENT SELF-REPORT AND 5684 03:48:52,280 --> 03:48:55,320 CLINICIAN JUDGMENT, WE'RE TRYING 5685 03:48:55,320 --> 03:48:56,080 TO CREATE NON-BIASED APPROACHES 5686 03:48:56,080 --> 03:48:57,520 TO THIS. 5687 03:48:57,520 --> 03:48:59,760 NEXT SLIDE PLEASE. 5688 03:48:59,760 --> 03:49:03,040 THE RFA FOR THIS CONCEPT CLOSES 5689 03:49:03,040 --> 03:49:03,440 SOON. 5690 03:49:03,440 --> 03:49:05,120 IF YOU'RE INTERESTED, YOU'LL 5691 03:49:05,120 --> 03:49:06,920 HAVE TO WORK FAST, BUT THIS 5692 03:49:06,920 --> 03:49:08,840 NOTICE OF FUNDING OPPORTUNITY 5693 03:49:08,840 --> 03:49:11,680 CALLS FOR RESEARCH THAT USES 5694 03:49:11,680 --> 03:49:14,200 BEHAVIORAL MEASURES AND TOGETHER 5695 03:49:14,200 --> 03:49:15,920 WITH COMPUTATIONAL METHODS TO 5696 03:49:15,920 --> 03:49:16,600 DEFINE NOVEL CLINICAL SIGNATURES 5697 03:49:16,600 --> 03:49:19,840 THAT WE CAN USE FOR THIS 5698 03:49:19,840 --> 03:49:20,760 INDIVIDUAL LEVEL CLINICAL 5699 03:49:20,760 --> 03:49:24,360 DECISION MAKING. 5700 03:49:24,360 --> 03:49:26,920 IT TAKES A MULTI-COMPONENT 5701 03:49:26,920 --> 03:49:28,720 APPROACH, PLAN TO IDENTIFY 5702 03:49:28,720 --> 03:49:30,960 BEHAVIORAL TASK, COLLECT DATA 5703 03:49:30,960 --> 03:49:33,680 FROM NOVEL CLINICAL COHORTS, AND 5704 03:49:33,680 --> 03:49:35,840 DERIVE THOSE CLINICAL SIGNATURES 5705 03:49:35,840 --> 03:49:39,040 THROUGH COMPUTATIONAL METHODS. 5706 03:49:39,040 --> 03:49:39,680 NEXT SLIDE. 5707 03:49:39,680 --> 03:49:41,640 I'M GETTING TO THE END, ONE MORE 5708 03:49:41,640 --> 03:49:44,040 CONCEPT TO TELL YOU ABOUT IN OUR 5709 03:49:44,040 --> 03:49:47,560 LAST AREA WHICH IS DIVERSIFYING 5710 03:49:47,560 --> 03:49:52,640 GENETICS FOR NEXT GENERATION 5711 03:49:52,640 --> 03:49:53,040 TREATMENTS. 5712 03:49:53,040 --> 03:49:54,960 THIS IS JUST AN INTRODUCTORY 5713 03:49:54,960 --> 03:49:58,360 SLIDE TO GIVE YOU BACKGROUND. 5714 03:49:58,360 --> 03:50:01,200 FOR THOSE WHO KNOW, FOR THOSE 5715 03:50:01,200 --> 03:50:04,600 WHO DON'T, THERE'S REALLY BEEN A 5716 03:50:04,600 --> 03:50:06,560 DRAMATIC INCREASE IN NUMBER OF 5717 03:50:06,560 --> 03:50:07,880 GENES IDENTIFIED FROM GENETIC 5718 03:50:07,880 --> 03:50:09,200 ASSOCIATION STUDIES, AS BEING 5719 03:50:09,200 --> 03:50:11,040 LINKED TO RISK FOR THESE 5720 03:50:11,040 --> 03:50:11,320 DISORDERS. 5721 03:50:11,320 --> 03:50:13,360 THAT OFTEN NUMBERS IN THE 5722 03:50:13,360 --> 03:50:13,840 HUNDREDS. 5723 03:50:13,840 --> 03:50:20,560 AND EXAMPLE SHOWN HERE IS FOR 5724 03:50:20,560 --> 03:50:23,400 SCHIZOPHRENIA, NUMBER AROUND 5725 03:50:23,400 --> 03:50:24,240 250. 5726 03:50:24,240 --> 03:50:27,000 RESEARCH THAT FOLLOWS FOCUS ON A 5727 03:50:27,000 --> 03:50:29,120 SMALL FRACTION OF THESE GENES, 5728 03:50:29,120 --> 03:50:33,680 WHICH THEN LIMITS OUR ABILITY TO 5729 03:50:33,680 --> 03:50:35,600 DETERMINE WHERE GENETIC RISK 5730 03:50:35,600 --> 03:50:38,440 CONVERGES WITH BIOLOGY IN TERMS 5731 03:50:38,440 --> 03:50:39,440 OF CELL TYPES, SIGNALING 5732 03:50:39,440 --> 03:50:41,320 PATHWAYS, CIRCUITS AND STAGES OF 5733 03:50:41,320 --> 03:50:45,280 BRAIN DEVELOPMENT. 5734 03:50:45,280 --> 03:50:46,400 NEXT SLIDE. 5735 03:50:46,400 --> 03:50:50,280 SO, THE FRAMEWORK IS AN EFFORT 5736 03:50:50,280 --> 03:50:51,320 TO TRY TO MORE SYSTEMATICALLY 5737 03:50:51,320 --> 03:50:53,520 CHARACTERIZE FUNCTION OF GENES 5738 03:50:53,520 --> 03:50:56,240 ASSOCIATED WITH RISK FOR 5739 03:50:56,240 --> 03:50:56,760 PSYCHIATRIC DISORDERS, AND 5740 03:50:56,760 --> 03:51:00,160 REVEALED MECHANISMS THAT 5741 03:51:00,160 --> 03:51:01,680 UNDERLIE DISORDERS. 5742 03:51:01,680 --> 03:51:04,680 IT'S ENVISIONED, THIS CONCEPT IS 5743 03:51:04,680 --> 03:51:11,400 ENVISIONED AS TIERED OR PHRASED 5744 03:51:11,400 --> 03:51:13,520 APPROACH, WITH THROUGHPUT 5745 03:51:13,520 --> 03:51:14,000 SCREENS THROUGH DEEP 5746 03:51:14,000 --> 03:51:15,960 HIGH-THROUGHPUT SCREENS AND GOES 5747 03:51:15,960 --> 03:51:20,080 INTO CASES 2 AND 3 FOCUSING ON 5748 03:51:20,080 --> 03:51:23,200 DEEP TARGETED LOWER THROUGHPUT 5749 03:51:23,200 --> 03:51:23,560 INVESTIGATIONS. 5750 03:51:23,560 --> 03:51:26,080 WE ARE ALREADY -- HAVE STARTED 5751 03:51:26,080 --> 03:51:27,520 FUNDING PHASE 1, CURRENTLY BEING 5752 03:51:27,520 --> 03:51:32,280 SUPPORTED TRUE -- THROUGH GRANS 5753 03:51:32,280 --> 03:51:34,760 IN MAY, FOCUSING ON SCALABLE 5754 03:51:34,760 --> 03:51:36,360 TECHNOLOGIES THAT WILL 5755 03:51:36,360 --> 03:51:38,680 CHARACTERIZE BETWEEN 100 AND 250 5756 03:51:38,680 --> 03:51:41,400 KNOCKOUTS OF THESE GENES, ACROSS 5757 03:51:41,400 --> 03:51:42,080 BIOLOGICAL SCALES OF 5758 03:51:42,080 --> 03:51:43,560 ORGANIZATIONS, AND AS I 5759 03:51:43,560 --> 03:51:45,320 MENTIONED THE NEXT PHASES ARE 5760 03:51:45,320 --> 03:51:48,520 REALLY ENVISIONED AS A 5761 03:51:48,520 --> 03:51:52,320 PROGRESSIVELY DEEPER DIVE INTO 5762 03:51:52,320 --> 03:51:53,120 FUNDAMENTAL BIOLOGY. 5763 03:51:53,120 --> 03:51:55,480 NEXT SLIDE PLEASE. 5764 03:51:55,480 --> 03:51:56,960 I'M GOING TO LEAVE YOU HERE. 5765 03:51:56,960 --> 03:51:59,960 I WANT TO THANK YOU FOR YOUR 5766 03:51:59,960 --> 03:52:01,760 ATTENTION, FOR HAVING ME TODAY, 5767 03:52:01,760 --> 03:52:03,960 I WELCOME YOUR COMMENTS AND YOUR 5768 03:52:03,960 --> 03:52:13,040 QUESTIONS. 5769 03:52:13,040 --> 03:52:14,120 >> THANKS, SHELLI, APPRECIATE 5770 03:52:14,120 --> 03:52:15,640 ALL THE AREAS YOU LAID OUT AND 5771 03:52:15,640 --> 03:52:19,880 THE WORK THAT NIMH IS DOING TO 5772 03:52:19,880 --> 03:52:23,840 ADDRESS THIS IMPORTANT -- THESE 5773 03:52:23,840 --> 03:52:24,560 IMPORTANT TOPICS. 5774 03:52:24,560 --> 03:52:26,200 TESHA, I SEE YOUR HAND UP. 5775 03:52:26,200 --> 03:52:30,280 >> I WAS HOPING TO GO LAST. 5776 03:52:30,280 --> 03:52:30,560 OKAY. 5777 03:52:30,560 --> 03:52:33,320 I REALLY WANT TO THANK YOU FOR 5778 03:52:33,320 --> 03:52:35,240 THAT PRESENTATION, ALL THE 5779 03:52:35,240 --> 03:52:36,800 EXCITING STUFF YOU'RE GOING TO 5780 03:52:36,800 --> 03:52:39,280 ADDRESS THESE IMPORTANT ISSUES 5781 03:52:39,280 --> 03:52:42,400 IN YOUR COMMUNITIES AND 5782 03:52:42,400 --> 03:52:44,440 COMMUNITIES SUFFERING FROM 5783 03:52:44,440 --> 03:52:46,320 MENTAL HEALTH STEMMING FROM MANY 5784 03:52:46,320 --> 03:52:46,680 THINGS. 5785 03:52:46,680 --> 03:52:47,320 ONE IS VIOLENCE. 5786 03:52:47,320 --> 03:52:49,000 I'M GOING TO BRING THIS UP 5787 03:52:49,000 --> 03:52:54,840 BECAUSE THIS IS THE ONLY PLACE 5788 03:52:54,840 --> 03:52:58,280 IT SEEMS TO FIT. 5789 03:52:58,280 --> 03:53:02,600 IT'S RELATIVE TO THE SOCIETAL 5790 03:53:02,600 --> 03:53:02,960 ISSUE. 5791 03:53:02,960 --> 03:53:05,240 I WANT TO FOCUS ON A FEW 5792 03:53:05,240 --> 03:53:06,840 COMMENTS AND THOUGHTS. 5793 03:53:06,840 --> 03:53:08,760 AND THEN I'LL JUST -- IT'S NOT 5794 03:53:08,760 --> 03:53:11,240 REALLY A QUESTION. 5795 03:53:11,240 --> 03:53:12,840 IT'S, AGAIN, A RECOMMENDATION 5796 03:53:12,840 --> 03:53:16,160 FOR NIH TO TAKE ADVANTAGE OF ALL 5797 03:53:16,160 --> 03:53:18,160 OF ITS OPPORTUNITIES TO ADDRESS 5798 03:53:18,160 --> 03:53:22,440 VIOLENCE IN THE U.S., IN ALL ITS 5799 03:53:22,440 --> 03:53:26,240 FORMS, ACROSS THE CONTINUUM OF 5800 03:53:26,240 --> 03:53:27,600 AGE, ETHNICITY, RACE, GENDER, 5801 03:53:27,600 --> 03:53:32,200 COMMUNITIES, I THINK WE SEE HOW 5802 03:53:32,200 --> 03:53:35,080 VIOLENCE HAS -- GIVE ME A 5803 03:53:35,080 --> 03:53:35,320 MINUTE. 5804 03:53:35,320 --> 03:53:40,600 HAS IMPACTED ALL OF US. 5805 03:53:40,600 --> 03:53:43,120 I WANT TO ENCOURAGE CREATIVITY 5806 03:53:43,120 --> 03:53:47,680 AND INNOVATION IN THE CALL FOR 5807 03:53:47,680 --> 03:53:48,640 RESEARCH THAT ADDRESSES THESE 5808 03:53:48,640 --> 03:53:56,360 ISSUES AND THINK ABOUT THEM IN A 5809 03:53:56,360 --> 03:53:59,640 CROSS--SOCIOLOGICAL SITE FROM A 5810 03:53:59,640 --> 03:54:01,880 MENTAL HEALTH ISSUE BUT AN 5811 03:54:01,880 --> 03:54:03,040 INDIVIDUAL'S MENTAL HEALTH, BUT 5812 03:54:03,040 --> 03:54:06,680 ALSO THINKING ABOUT FROM THE 5813 03:54:06,680 --> 03:54:09,480 COMMUNITY PERSPECTIVE. 5814 03:54:09,480 --> 03:54:10,960 DISPARITIES HAPPENING IN 5815 03:54:10,960 --> 03:54:11,280 COMMUNITIES. 5816 03:54:11,280 --> 03:54:13,560 WE TALKED ABOUT TECHNOLOGY AND 5817 03:54:13,560 --> 03:54:14,840 YOU TALKED ABOUT TECHNOLOGY ON 5818 03:54:14,840 --> 03:54:16,520 BOTH SIDES OF THE COIN. 5819 03:54:16,520 --> 03:54:17,800 IT'S REALLY IMPORTANT TO 5820 03:54:17,800 --> 03:54:20,040 UNDERSTAND HOW DO WE USE 5821 03:54:20,040 --> 03:54:21,960 TECHNOLOGY, AND HOW DO WE THINK 5822 03:54:21,960 --> 03:54:25,000 ABOUT IT, HOW DO WE ADDRESS IT 5823 03:54:25,000 --> 03:54:30,280 FROM POLICY TO INDIVIDUAL USE, 5824 03:54:30,280 --> 03:54:33,120 INTO USING IT AS A PREVENTION OR 5825 03:54:33,120 --> 03:54:33,760 TREATMENT TOOL. 5826 03:54:33,760 --> 03:54:34,480 THANK YOU FOR THAT. 5827 03:54:34,480 --> 03:54:36,080 WE NEED MORE OF THAT. 5828 03:54:36,080 --> 03:54:37,720 WE NEED HAVE RESEARCH THAT 5829 03:54:37,720 --> 03:54:39,560 FOCUSES ON POLICY AND SYSTEMS. 5830 03:54:39,560 --> 03:54:44,080 WHERE DO WE HAVE POLICIES AND 5831 03:54:44,080 --> 03:54:46,800 SYSTEMS THAT DO BOTH, THAT 5832 03:54:46,800 --> 03:54:49,440 ENCOURAGE VIOLENCE WHEN WE DON'T 5833 03:54:49,440 --> 03:54:50,040 SEE -- DON'T NECESSARILY MEAN 5834 03:54:50,040 --> 03:54:51,760 FOR THAT TO HAPPEN BUT IT'S 5835 03:54:51,760 --> 03:54:56,040 HAPPENING ACROSS COMMUNITIES, IN 5836 03:54:56,040 --> 03:54:57,920 STATES, HOW WE ADDRESS HATE 5837 03:54:57,920 --> 03:55:00,920 SPEECH, HOW WE ADDRESS GUNS, HOW 5838 03:55:00,920 --> 03:55:03,200 WE ADDRESS OWNERSHIP IN THE WAY 5839 03:55:03,200 --> 03:55:04,280 PEOPLE INTERACT WITH ONE 5840 03:55:04,280 --> 03:55:05,120 ANOTHER. 5841 03:55:05,120 --> 03:55:07,560 AND IN THOSE SPACES THAT ARE 5842 03:55:07,560 --> 03:55:11,160 PUBLIC BUT ALSO PRIVATE. 5843 03:55:11,160 --> 03:55:12,920 HOW DO WE EFFECT POLICIES AND 5844 03:55:12,920 --> 03:55:14,120 ADDRESS RESEARCH TO LOOK AT THAT 5845 03:55:14,120 --> 03:55:16,080 AS WELL AS THROUGH SYSTEMS, WHAT 5846 03:55:16,080 --> 03:55:18,240 ARE SYSTEMS GOING ON, WHAT 5847 03:55:18,240 --> 03:55:18,440 WORKS? 5848 03:55:18,440 --> 03:55:21,200 SO BEING ABLE TO LOOK AT OTHER 5849 03:55:21,200 --> 03:55:22,560 COMMUNITIES, LOOKING AT OUR 5850 03:55:22,560 --> 03:55:24,800 RATES, OUR STATS COMPARED TO 5851 03:55:24,800 --> 03:55:28,320 OTHER COUNTRIES, BOTH IN WHAT'S 5852 03:55:28,320 --> 03:55:29,240 HAPPENING, MORTALITY OR 5853 03:55:29,240 --> 03:55:30,600 MORBIDITY IS ONE THING BUT NIH 5854 03:55:30,600 --> 03:55:33,840 HAS AN OPPORTUNITY TO GO BEYOND 5855 03:55:33,840 --> 03:55:34,280 THAT. 5856 03:55:34,280 --> 03:55:36,600 WHAT WORKS? 5857 03:55:36,600 --> 03:55:38,000 WHAT POLICIES WORK? 5858 03:55:38,000 --> 03:55:40,760 WHAT SYSTEM AFFECTS WORK? 5859 03:55:40,760 --> 03:55:43,000 HOW DO WE LET PEOPLE KNOW ABOUT 5860 03:55:43,000 --> 03:55:43,400 THAT? 5861 03:55:43,400 --> 03:55:45,880 BOTH AS WE WERE TALKING ABOUT 5862 03:55:45,880 --> 03:55:48,640 DATA THAT'S AVAILABLE TO THE 5863 03:55:48,640 --> 03:55:50,440 PUBLIC BUT ALSO TO LEGISLATURES, 5864 03:55:50,440 --> 03:55:52,160 YOU HAVE AN OPPORTUNITY TO SPEAK 5865 03:55:52,160 --> 03:55:54,520 TO THAT AS WELL AS ANY STATE OR 5866 03:55:54,520 --> 03:55:55,960 OTHER KINDS OF GOVERNING SYSTEMS 5867 03:55:55,960 --> 03:55:59,120 THAT MIGHT BE INTERESTED IN 5868 03:55:59,120 --> 03:55:59,680 THAT. 5869 03:55:59,680 --> 03:56:01,320 AND LOOKING ACROSS STATES, WHAT 5870 03:56:01,320 --> 03:56:03,360 DO WE HAVE? 5871 03:56:03,360 --> 03:56:05,480 NOT JUST ABOUT GUNS, YOU'RE 5872 03:56:05,480 --> 03:56:09,400 ADDRESSING FROM A BASIC LEVEL, 5873 03:56:09,400 --> 03:56:10,240 WHAT HAPPENS? 5874 03:56:10,240 --> 03:56:11,240 WHAT HAPPENS AT THE MENTAL 5875 03:56:11,240 --> 03:56:12,040 HEALTH LEVEL? 5876 03:56:12,040 --> 03:56:14,360 AND HOW DO WE ADDRESS THAT AND 5877 03:56:14,360 --> 03:56:15,640 HELP THAT? 5878 03:56:15,640 --> 03:56:18,560 TO APPLY THAT, ALL ACROSS THAT, 5879 03:56:18,560 --> 03:56:22,760 TO THINK ABOUT VIOLENCE AS FROM 5880 03:56:22,760 --> 03:56:23,360 NIH-SPEAK, DISEASE. 5881 03:56:23,360 --> 03:56:26,400 IF VIOLENCE IS A DISEASE HOW DO 5882 03:56:26,400 --> 03:56:27,400 WE ADDRESS IT, EXPLORE WHAT'S 5883 03:56:27,400 --> 03:56:29,400 GOING ON AND CAUSING THIS, NOT 5884 03:56:29,400 --> 03:56:31,560 JUST SELF-HARM BUT HARM TO 5885 03:56:31,560 --> 03:56:31,920 OTHERS. 5886 03:56:31,920 --> 03:56:33,040 NOT JUST THE PEOPLE WHO SUFFER 5887 03:56:33,040 --> 03:56:35,680 FROM IT BUT THE PEOPLE WHO 5888 03:56:35,680 --> 03:56:36,560 DELIVER IT. 5889 03:56:36,560 --> 03:56:39,200 HOW DO WE REALLY TAKE A HOLISTIC 5890 03:56:39,200 --> 03:56:41,920 PERSPECTIVE OF VIOLENCE AND 5891 03:56:41,920 --> 03:56:44,280 TAKING CARE OF PEOPLE? 5892 03:56:44,280 --> 03:56:45,000 PARTICULARLY SMALL CHILDREN. 5893 03:56:45,000 --> 03:56:46,680 THANK YOU. 5894 03:56:46,680 --> 03:56:49,480 >> I JUST WANT TO THANK YOU SO 5895 03:56:49,480 --> 03:56:50,440 MUCH FOR THOSE COMMENTS, 5896 03:56:50,440 --> 03:56:51,320 ACKNOWLEDGE THEM. 5897 03:56:51,320 --> 03:56:54,040 IT WASN'T A QUESTION BUT MY VERY 5898 03:56:54,040 --> 03:56:55,880 BRIEF REPLY IS THIS IS A 5899 03:56:55,880 --> 03:56:57,360 DIALOGUE THAT WE'RE HAVING 5900 03:56:57,360 --> 03:57:00,080 ACROSS NIH. 5901 03:57:00,080 --> 03:57:01,520 IT'S NOT AN NIMH-SPECIFIC 5902 03:57:01,520 --> 03:57:02,760 QUESTION AS YOU SUGGESTED, NOT 5903 03:57:02,760 --> 03:57:03,920 SPECIFIC TO MENTAL HEALTH. 5904 03:57:03,920 --> 03:57:06,280 WE ALL SUPPORT DIFFERENT 5905 03:57:06,280 --> 03:57:07,480 COMPONENTS OF IT, I APPRECIATE 5906 03:57:07,480 --> 03:57:09,960 YOUR SUGGESTION OF TAKING A MORE 5907 03:57:09,960 --> 03:57:10,640 HOLISTIC APPROACH. 5908 03:57:10,640 --> 03:57:11,960 THAT MAKES A LOT OF SENSE. 5909 03:57:11,960 --> 03:57:19,240 SO THANK YOU VERY MUCH. 5910 03:57:19,240 --> 03:57:19,760 >> BRIAN? 5911 03:57:19,760 --> 03:57:21,040 >> THANK YOU FOR THAT 5912 03:57:21,040 --> 03:57:21,680 PRESENTATION. 5913 03:57:21,680 --> 03:57:24,880 I WANTED TO ASK YOU SPECIFICALLY 5914 03:57:24,880 --> 03:57:28,520 ABOUT WORK ON THE LGBTQ 5915 03:57:28,520 --> 03:57:30,680 COMMUNITY, PARTICULARLY LGBTQ 5916 03:57:30,680 --> 03:57:30,880 YOUTH. 5917 03:57:30,880 --> 03:57:34,280 CDC DATA SHOWS THAT AT LEAST ONE 5918 03:57:34,280 --> 03:57:37,680 IN FIVE TEENS IDENTIFY AS LGBTQ 5919 03:57:37,680 --> 03:57:41,840 NOW, AND THEIR DATA SHOW THAT 5920 03:57:41,840 --> 03:57:42,800 ALMOST 70% REPORTED SEVERE 5921 03:57:42,800 --> 03:57:45,600 PATTERNS OF BEING SAD OR 5922 03:57:45,600 --> 03:57:46,320 DEPRESSED OR HOPELESS, AND 5923 03:57:46,320 --> 03:57:48,960 THAT'S OVER TWICE THE NUMBER OF 5924 03:57:48,960 --> 03:57:51,040 HETEROSEXUAL YOUTH, THEIR DATA 5925 03:57:51,040 --> 03:57:54,160 SHOW THAT THESE YOUTH WERE MOST 5926 03:57:54,160 --> 03:57:56,600 IMPACTED BY THE COVID PANDEMIC, 5927 03:57:56,600 --> 03:58:00,440 FOUR TIMES MORE LIKELY TO 5928 03:58:00,440 --> 03:58:04,080 ATTEMPT SUICIDE AND HETEROSEXUAL 5929 03:58:04,080 --> 03:58:04,840 PEERS, LONGSTANDING PATTERNS 5930 03:58:04,840 --> 03:58:05,920 EXACERBATED MORE BY COVID. 5931 03:58:05,920 --> 03:58:09,320 I WOULD SAY IN MY EXPERIENCE 5932 03:58:09,320 --> 03:58:12,000 OBSERVING SOME OF THE YOUTH, 5933 03:58:12,000 --> 03:58:14,280 MENTAL HEALTH RESEARCH 5934 03:58:14,280 --> 03:58:16,160 PRIORITIES AND PRACTICE 5935 03:58:16,160 --> 03:58:17,800 PRIORITIES, LGBTQ YOUNG PEOPLE 5936 03:58:17,800 --> 03:58:20,400 ARE INCONSISTENTLY INCLUDED AND 5937 03:58:20,400 --> 03:58:24,160 IDENTIFIED DESPITE THE CDC DATA 5938 03:58:24,160 --> 03:58:29,240 SHOWING REALLY DRAMATIC AND 5939 03:58:29,240 --> 03:58:31,600 ALARMING TRENDS, AND I WONDER IF 5940 03:58:31,600 --> 03:58:33,480 YOU COULD TALK ABOUT HOW YOU SEE 5941 03:58:33,480 --> 03:58:35,000 THEM INCLUDED IN THIS WORK. 5942 03:58:35,000 --> 03:58:37,640 >> THANK YOU SO MUCH. 5943 03:58:37,640 --> 03:58:38,440 ABSOLUTELY. 5944 03:58:38,440 --> 03:58:41,640 WE REALLY HAVE A VERY BROAD AND 5945 03:58:41,640 --> 03:58:44,080 RICH -- BROAD AND DEEP PORTFOLIO 5946 03:58:44,080 --> 03:58:45,720 ON SUICIDE PREVENTION, SUICIDE 5947 03:58:45,720 --> 03:58:46,800 RISK AND PREVENTION EFFORTS 5948 03:58:46,800 --> 03:58:47,440 WITHIN NIMH. 5949 03:58:47,440 --> 03:58:49,960 I ONLY WAS ABLE TO TELL YOU 5950 03:58:49,960 --> 03:58:51,360 ABOUT A LITTLE BIT. 5951 03:58:51,360 --> 03:58:53,360 MAINLY BECAUSE WE'VE BEEN 5952 03:58:53,360 --> 03:58:56,600 FOCUSED ON SOME OF THE RECENT 5953 03:58:56,600 --> 03:58:57,480 TRENDS. 5954 03:58:57,480 --> 03:58:59,280 YOU'RE RIGHT, WE HAVE A NUMBER 5955 03:58:59,280 --> 03:59:02,560 OF INVESTMENTS ALREADY FOCUSED 5956 03:59:02,560 --> 03:59:03,960 ON LGBTQ+ YOUTH. 5957 03:59:03,960 --> 03:59:06,280 WE HAVE HAD INITIATIVES WHERE 5958 03:59:06,280 --> 03:59:09,200 WE'VE DONE A LOAN, A PARTNERED 5959 03:59:09,200 --> 03:59:10,880 WITH OTHERS TO UNDERSTAND RISK, 5960 03:59:10,880 --> 03:59:12,640 AND MORE IMPORTANTLY TO BETTER 5961 03:59:12,640 --> 03:59:14,680 UNDERSTAND HOW BEST TO IDENTIFY 5962 03:59:14,680 --> 03:59:17,440 AND INTERVENE EARLY, AND THINK 5963 03:59:17,440 --> 03:59:21,160 THAT'S AN IMPORTANT KEY HERE. 5964 03:59:21,160 --> 03:59:23,440 WE ALSO HAVE RIGHT NOW ON THE 5965 03:59:23,440 --> 03:59:25,200 STREET, WHILE SOME OF OUR 5966 03:59:25,200 --> 03:59:27,160 RESEARCH FOCUS HAS BEEN ON 5967 03:59:27,160 --> 03:59:28,920 UNDERSTANDING RISK AMONG BLACK 5968 03:59:28,920 --> 03:59:31,200 YOUTH, WE'VE EXPANDED THAT 5969 03:59:31,200 --> 03:59:33,400 RECENTLY SO WE HAVE AN 5970 03:59:33,400 --> 03:59:35,840 ANNOUNCEMENT OUT NOW THAT 5971 03:59:35,840 --> 03:59:37,640 FOCUSES ON VULNERABLE AND 5972 03:59:37,640 --> 03:59:39,520 UNDERREPRESENTED YOUTH OF ALL 5973 03:59:39,520 --> 03:59:41,280 KINDS BECAUSE WE RECOGNIZE THAT 5974 03:59:41,280 --> 03:59:42,880 THE NEEDS -- THE WAYS THAT WE 5975 03:59:42,880 --> 03:59:45,000 WILL GO ABOUT IDENTIFYING AND 5976 03:59:45,000 --> 03:59:47,360 UNDERSTANDING RISK AND HOW WE 5977 03:59:47,360 --> 03:59:49,520 WILL GO ABOUT INTERVENING DOES 5978 03:59:49,520 --> 03:59:50,200 DIFFER BY VARIOUS SUBPOPULATIONS 5979 03:59:50,200 --> 03:59:52,920 SO WE HAVE A CALL OUT RIGHT NOW 5980 03:59:52,920 --> 03:59:53,800 TO DO THAT. 5981 03:59:53,800 --> 03:59:57,160 AND A GOOD PART OF OUR PORTFOLIO 5982 03:59:57,160 --> 03:59:59,360 REALLY DOES FOCUS ON VULNERABLE 5983 03:59:59,360 --> 04:00:06,880 AND UNDERREPRESENTED PEOPLE MORE 5984 04:00:06,880 --> 04:00:10,440 SO THAN MORE BROADLY. 5985 04:00:10,440 --> 04:00:12,280 THANK YOU. 5986 04:00:12,280 --> 04:00:15,640 >> SEXUAL AND GENDER MINORITY 5987 04:00:15,640 --> 04:00:17,320 PORTFOLIO ANALYSIS THERE ARE 5988 04:00:17,320 --> 04:00:18,800 VERY FEW STUDIES SO I THINK IT'S 5989 04:00:18,800 --> 04:00:21,680 SOMETHING I'D LOVE TO SEE GROWTH 5990 04:00:21,680 --> 04:00:22,920 IN THAT PORTFOLIO. 5991 04:00:22,920 --> 04:00:24,960 >> I WOULD -- WE VERY MUCH 5992 04:00:24,960 --> 04:00:26,400 APPRECIATE ANY THOUGHTS YOU 5993 04:00:26,400 --> 04:00:26,960 HAVE. 5994 04:00:26,960 --> 04:00:29,000 WE HAVE HAD ROUNDTABLES ON THIS 5995 04:00:29,000 --> 04:00:30,360 TOPIC AS WELL. 5996 04:00:30,360 --> 04:00:31,880 HOW WE CAN ENGAGE MORE PEOPLE TO 5997 04:00:31,880 --> 04:00:35,720 FOCUS ON THIS AS AN AREA OF 5998 04:00:35,720 --> 04:00:37,480 RESEARCH, SO IN SOME WAYS WE 5999 04:00:37,480 --> 04:00:39,200 HAVE BEEN COMMUNICATING AS A 6000 04:00:39,200 --> 04:00:40,760 PRIORITY BUT IN OTHER WAYS NOT 6001 04:00:40,760 --> 04:00:42,600 ALWAYS DRAWING PEOPLE TO THE 6002 04:00:42,600 --> 04:00:44,520 AREA, SO WE'RE VERY OPEN IF YOU 6003 04:00:44,520 --> 04:00:45,600 OR OTHERS HAVE SUGGESTIONS AND 6004 04:00:45,600 --> 04:00:49,160 HOW TO DO A BETTER JOB OF 6005 04:00:49,160 --> 04:00:49,960 REACHING INVESTIGATORS AND 6006 04:00:49,960 --> 04:00:52,120 ENCOURAGING THEM IN THIS SPACE. 6007 04:00:52,120 --> 04:00:55,400 >> YEAH, JUST ONE QUICK IDEA. 6008 04:00:55,400 --> 04:00:57,920 I THINK IT'S AN AREA WHERE WE 6009 04:00:57,920 --> 04:00:59,320 NEED TO GROW INVESTIGATORS, 6010 04:00:59,320 --> 04:01:01,160 SCIENTIFIC WORKFORCE OF PEOPLE 6011 04:01:01,160 --> 04:01:02,480 EXPERIENCED WORKING WITH THIS 6012 04:01:02,480 --> 04:01:03,680 COMMUNITY, PARTICULARLY IN THE 6013 04:01:03,680 --> 04:01:04,720 MENTAL HEALTH AREA, THERE'S A 6014 04:01:04,720 --> 04:01:06,880 LARGE NUMBER OF INVESTIGATORS IN 6015 04:01:06,880 --> 04:01:09,400 THIS AREA WORKING ON HIV BUT 6016 04:01:09,400 --> 04:01:10,400 MUCH SMALLER IN MENTAL HEALTH 6017 04:01:10,400 --> 04:01:13,120 AND SUICIDE. 6018 04:01:13,120 --> 04:01:15,320 K AWARDS, F32, TRAINING GRANTS 6019 04:01:15,320 --> 04:01:17,240 TO GROW WORKFORCE ARE NEEDED TO 6020 04:01:17,240 --> 04:01:21,520 GET FOLKS TO THE PLACE TO APPLY 6021 04:01:21,520 --> 04:01:21,840 FOR R01s. 6022 04:01:21,840 --> 04:01:26,160 >> GREAT SUGGESTION, THANK YOU. 6023 04:01:26,160 --> 04:01:28,040 >> LUCILA? 6024 04:01:28,040 --> 04:01:30,720 >>MY QUESTION IS RELATED TO 6025 04:01:30,720 --> 04:01:36,320 YOUR CHARGE ON THE SOCIAL MEDIA, 6026 04:01:36,320 --> 04:01:37,760 WHICH IS QUITE STRIKING. 6027 04:01:37,760 --> 04:01:40,920 IS IT PERCEIVED AS AN ADDICTION, 6028 04:01:40,920 --> 04:01:42,080 AND THEREFORE ADDRESSED THAT 6029 04:01:42,080 --> 04:01:42,880 WAY? 6030 04:01:42,880 --> 04:01:45,800 AND WHAT'S THE ROLE OF THE 6031 04:01:45,800 --> 04:01:47,560 SOCIAL MEDIA PLATFORMS TO 6032 04:01:47,560 --> 04:01:52,360 CONTRIBUTE SOMEHOW TO FIX THIS 6033 04:01:52,360 --> 04:01:52,560 ISSUE? 6034 04:01:52,560 --> 04:01:53,280 >>GREAT QUESTIONS. 6035 04:01:53,280 --> 04:01:55,440 SO, I WOULD SAY WE HAVE MULTIPLE 6036 04:01:55,440 --> 04:01:56,800 LEVELS OF INVOLVEMENT HERE. 6037 04:01:56,800 --> 04:02:00,320 TODAY I TOTAL -- TOLD WHAT YOU 6038 04:02:00,320 --> 04:02:03,480 WE'RE DOING IN OUR OWN RESEARCH, 6039 04:02:03,480 --> 04:02:04,520 WE'RE RESPONSIBLE FOR DEVELOPING 6040 04:02:04,520 --> 04:02:05,920 RESEARCH PRIORITIES IN THIS 6041 04:02:05,920 --> 04:02:06,200 SPACE. 6042 04:02:06,200 --> 04:02:09,360 OUR SURVEY OF THE LITERATURE IS, 6043 04:02:09,360 --> 04:02:11,720 AS I SAID, IT'S VERY NEW, IT'S 6044 04:02:11,720 --> 04:02:14,080 NOT WELL DEVELOPED, AND IT 6045 04:02:14,080 --> 04:02:19,640 REALLY NEEDS TO IMPROVE 6046 04:02:19,640 --> 04:02:22,280 METHODOLOGICALLY TO BE 6047 04:02:22,280 --> 04:02:23,840 SOPHISTICATED INSTEAD OF SAYING 6048 04:02:23,840 --> 04:02:25,280 X NUMBER OF HOURS ON SCREENS IS 6049 04:02:25,280 --> 04:02:27,280 BAD, UNDERSTANDING WHAT IT IS 6050 04:02:27,280 --> 04:02:29,800 ABOUT THAT TIME, IS IT EXPOSURE 6051 04:02:29,800 --> 04:02:31,400 TO CONTENT, IS IT THE FACT THAT 6052 04:02:31,400 --> 04:02:33,320 YOU'RE NOT DOING OTHER THINGS 6053 04:02:33,320 --> 04:02:35,240 LIKE SLEEPING OR ENGAGING WITH 6054 04:02:35,240 --> 04:02:35,480 PEERS? 6055 04:02:35,480 --> 04:02:36,480 YOU KNOW, FACE TO FACE. 6056 04:02:36,480 --> 04:02:39,960 SO THERE'S A LOT MORE THAT NEEDS 6057 04:02:39,960 --> 04:02:41,760 TO BE LEARNED IN THAT. 6058 04:02:41,760 --> 04:02:43,080 ASIDE FROM OUR OWN RESEARCH 6059 04:02:43,080 --> 04:02:47,360 AGENDA OF TRYING TO FILL GAPS IN 6060 04:02:47,360 --> 04:02:48,920 OUR UNDERSTANDING, WE'VE HAD 6061 04:02:48,920 --> 04:02:50,080 THAT FORTUNATE OPPORTUNITY TO 6062 04:02:50,080 --> 04:02:52,000 ENGAGE WITH A LOT OF DIFFERENT 6063 04:02:52,000 --> 04:02:54,960 PEOPLE WITH A LOT OF 6064 04:02:54,960 --> 04:02:57,040 PERSPECTIVES IN THIS AREA, AND I 6065 04:02:57,040 --> 04:02:58,800 THINK WE'RE ALL MOVING 6066 04:02:58,800 --> 04:03:00,560 ESPECIALLY WITHIN HHS TO BE 6067 04:03:00,560 --> 04:03:02,040 WORKING TOGETHER ON THESE 6068 04:03:02,040 --> 04:03:06,160 ISSUES, TO INFORM ACROSS 6069 04:03:06,160 --> 04:03:07,760 AGENCIES, ON WHAT KIND EVER 6070 04:03:07,760 --> 04:03:10,040 RESEARCH IS NEEDED TO INFORM 6071 04:03:10,040 --> 04:03:13,520 SERVICE DELIVERY, INFORM THE 6072 04:03:13,520 --> 04:03:15,080 DEVELOPMENT OF REGULATIONS 6073 04:03:15,080 --> 04:03:17,360 AROUND COVID-19, THINGS LIKE 6074 04:03:17,360 --> 04:03:17,560 THAT. 6075 04:03:17,560 --> 04:03:20,440 SORRY, REGULATIONS AROUND SOCIAL 6076 04:03:20,440 --> 04:03:21,960 MEDIA USE. 6077 04:03:21,960 --> 04:03:23,640 AND YOU ASK -- DID I GET ALL OF 6078 04:03:23,640 --> 04:03:26,280 YOUR QUESTION OR MISS A 6079 04:03:26,280 --> 04:03:26,640 COMPONENT? 6080 04:03:26,640 --> 04:03:29,480 OH, YOU ASKED ABOUT SOCIAL MEDIA 6081 04:03:29,480 --> 04:03:30,040 PLATFORMS. 6082 04:03:30,040 --> 04:03:30,400 THAT'S TRICKIER. 6083 04:03:30,400 --> 04:03:33,480 I THINK WHAT WE'RE TRYING TO DO 6084 04:03:33,480 --> 04:03:37,280 IS IN DISCUSSIONS IS ENGAGE WITH 6085 04:03:37,280 --> 04:03:39,520 LARGER GROUPS IN DISCUSSIONS 6086 04:03:39,520 --> 04:03:41,880 ABOUT WHAT CAN BE DONE. 6087 04:03:41,880 --> 04:03:44,720 THIS IS AN EXAMPLE THROUGH THE 6088 04:03:44,720 --> 04:03:47,760 NATIONAL ACTION ALLIANCE FOR 6089 04:03:47,760 --> 04:03:49,160 SUICIDE PREVENTION, NIMH IS PART 6090 04:03:49,160 --> 04:03:52,320 OF THE NATIONAL ACTION LINE FOR 6091 04:03:52,320 --> 04:03:54,160 SUICIDE PREVENTION, THERE ARE 6092 04:03:54,160 --> 04:03:55,920 MEMBERS FROM BOTH PUBLIC AND 6093 04:03:55,920 --> 04:03:56,680 PRIVATE ORGANIZATIONS HERE. 6094 04:03:56,680 --> 04:03:59,400 WE'VE TRIED TO WORK TOGETHER TO 6095 04:03:59,400 --> 04:04:01,160 BRING, FOR EXAMPLE, FACEBOOK TO 6096 04:04:01,160 --> 04:04:03,840 OUR MEETINGS, TO OTHER EVENTS TO 6097 04:04:03,840 --> 04:04:06,800 TALK ABOUT OUR CONCERNS ABOUT 6098 04:04:06,800 --> 04:04:08,640 ONLINE CONTENT OR THINGS, AND 6099 04:04:08,640 --> 04:04:10,400 THEN HAVE DIALOGUE AROUND THOSE 6100 04:04:10,400 --> 04:04:10,760 TOPICS. 6101 04:04:10,760 --> 04:04:12,680 SO I CAN SAY WE'RE TRYING TO 6102 04:04:12,680 --> 04:04:13,920 ENGAGE IN THOSE DISCUSSIONS AND 6103 04:04:13,920 --> 04:04:17,200 THEN WHEN WE CAN TRYING TO DO 6104 04:04:17,200 --> 04:04:18,400 RESEARCH AROUND UNDERSTANDING 6105 04:04:18,400 --> 04:04:23,360 THE COMPLEXITIES OF THOSE 6106 04:04:23,360 --> 04:04:23,680 ASSOCIATIONS. 6107 04:04:23,680 --> 04:04:30,400 >>THANK YOU SO MUCH. 6108 04:04:30,400 --> 04:04:32,240 >> AS SHELLI ALLUDED TO, MANY 6109 04:04:32,240 --> 04:04:36,240 OF THESE PROBLEMS WHICH ARE OF 6110 04:04:36,240 --> 04:04:38,840 COURSE SOCIETAL IN NATURE 6111 04:04:38,840 --> 04:04:42,080 TRANSCEND JUST NIMH OR INDEED, 6112 04:04:42,080 --> 04:04:44,280 YOU KNOW, THE DEPARTMENT. 6113 04:04:44,280 --> 04:04:46,760 BUT INCREASINGLY, AND UNDER THE 6114 04:04:46,760 --> 04:04:47,760 DEPARTMENT'S LEADERSHIP, I HAVE 6115 04:04:47,760 --> 04:04:52,840 TO SAY WE'RE DOING MORE AND MORE 6116 04:04:52,840 --> 04:04:53,800 ACROSS THE DEPARTMENT 6117 04:04:53,800 --> 04:04:56,280 ENGAGEMENT, AND NIMH OF COURSE 6118 04:04:56,280 --> 04:04:59,960 IS LEADING IN A NUMBER OF THESE 6119 04:04:59,960 --> 04:05:00,440 AREAS. 6120 04:05:00,440 --> 04:05:09,920 AND I THINK THAT'S A REALLY GOOD 6121 04:05:09,920 --> 04:05:12,040 DIRECTION THAT IS BEING FOLLOWED 6122 04:05:12,040 --> 04:05:16,160 BECAUSE WE'RE JUST GOING TO NEED 6123 04:05:16,160 --> 04:05:17,800 MORE ENGAGEMENT ACROSS THE 6124 04:05:17,800 --> 04:05:19,960 GOVERNMENT, QUITE FRANKLY, TO 6125 04:05:19,960 --> 04:05:25,360 MEET ALL OF THESE INCREDIBLE 6126 04:05:25,360 --> 04:05:25,680 CHALLENGES. 6127 04:05:25,680 --> 04:05:30,760 I KNOW WE ALL WOULD LIKE TO 6128 04:05:30,760 --> 04:05:32,560 THINK AS NIH-ERS, THAT WE CAN 6129 04:05:32,560 --> 04:05:36,160 SOLVE ALL THE PROBLEMS, BUT I 6130 04:05:36,160 --> 04:05:41,840 THINK SOME OF THESE WE REALLY DO 6131 04:05:41,840 --> 04:05:45,520 HAVE TO COUNT ON EXTENSIVE 6132 04:05:45,520 --> 04:05:46,280 PARTNERSHIPS. 6133 04:05:46,280 --> 04:05:51,680 AS YOU CONSIDER THESE DIFFERENT 6134 04:05:51,680 --> 04:05:53,480 CHALLENGES, YOUR SUGGESTIONS 6135 04:05:53,480 --> 04:05:55,000 ABOUT OTHER PARTNERS, YOU KNOW, 6136 04:05:55,000 --> 04:05:58,760 AND MAYBE PARTNERS THAT WE 6137 04:05:58,760 --> 04:06:03,400 HADN'T CONSIDERED, BECAUSE MAYBE 6138 04:06:03,400 --> 04:06:05,080 IT'S NOT SELF-EVIDENT, BUT IT 6139 04:06:05,080 --> 04:06:09,400 WOULD BE HELPFUL FOR YOU TO 6140 04:06:09,400 --> 04:06:12,200 PROVIDE US YOUR SUGGESTIONS IN 6141 04:06:12,200 --> 04:06:12,520 THAT REGARD. 6142 04:06:12,520 --> 04:06:15,840 TARA, I DON'T SEE ANY ADDITIONAL 6143 04:06:15,840 --> 04:06:17,840 HANDS BEING RAISED. 6144 04:06:17,840 --> 04:06:22,240 ANY OTHER COMMENTS BY -- AH, 6145 04:06:22,240 --> 04:06:22,640 THERE'S BARBARA. 6146 04:06:22,640 --> 04:06:25,120 >> BARBARA, YEAH. 6147 04:06:25,120 --> 04:06:27,640 6148 04:06:27,640 --> 04:06:31,120 >> I'M SORRY TO BE VISUALLY ON 6149 04:06:31,120 --> 04:06:31,320 MUTE. 6150 04:06:31,320 --> 04:06:34,160 BUT I WAS VERY IMPRESSED WITH 6151 04:06:34,160 --> 04:06:39,040 THIS, AND IT IS AS LARRY SAYS IN 6152 04:06:39,040 --> 04:06:44,080 DIFFERENT WORDS, AN INCREDIBLY 6153 04:06:44,080 --> 04:06:46,960 IMPORTANT BOIL THE OCEAN SIZE 6154 04:06:46,960 --> 04:06:49,680 PROBLEM, THE DIFFICULT THING FOR 6155 04:06:49,680 --> 04:06:51,320 NIH AND NIMH IN WHAT PARTS CAN 6156 04:06:51,320 --> 04:06:54,080 WE BE THE TIP OF THE SPEAR 6157 04:06:54,080 --> 04:06:56,120 PROVIDING A SOLUTION MUCH BIGGER 6158 04:06:56,120 --> 04:06:58,640 THAN WHAT NIH ALONE CAN DO, 6159 04:06:58,640 --> 04:07:00,320 WHICH GOES BACK TO EARLY SLIDE 6160 04:07:00,320 --> 04:07:01,240 ABOUT EPI. 6161 04:07:01,240 --> 04:07:04,040 I WAS IMPRESSED WITH THE VOLTAGE 6162 04:07:04,040 --> 04:07:05,840 DROP PROP AND HOW EPI IS 6163 04:07:05,840 --> 04:07:07,840 ACTUALLY PART OF THAT SOLUTION 6164 04:07:07,840 --> 04:07:08,440 ALREADY. 6165 04:07:08,440 --> 04:07:11,520 AND WHAT I DID NOT GET 6166 04:07:11,520 --> 04:07:14,000 NECESSARILY THAT I HAD HOPED, 6167 04:07:14,000 --> 04:07:17,720 MAYBE THAT WAS ME, WAS IS THERE 6168 04:07:17,720 --> 04:07:21,760 A PART OF EXPANDING ON EPI, 6169 04:07:21,760 --> 04:07:23,400 EXPANDING IN PARTICULAR PERHAPS 6170 04:07:23,400 --> 04:07:25,760 FEEDBACK COMING BACK THROUGH 6171 04:07:25,760 --> 04:07:28,320 SOCIAL MEDIA, TO GET MORE 6172 04:07:28,320 --> 04:07:30,840 EVIDENCE-BASED INFORMATION AS 6173 04:07:30,840 --> 04:07:32,480 QUICKLY AS POSSIBLE ON WHICH 6174 04:07:32,480 --> 04:07:33,960 THINGS ARE EFFECTIVE TO WHICH 6175 04:07:33,960 --> 04:07:35,600 COMMUNITIES, AND WHAT NEEDS TO 6176 04:07:35,600 --> 04:07:38,560 BE AMPLIFIED IN DELIVERY BY THE 6177 04:07:38,560 --> 04:07:40,360 MUCH LARGER ENTERPRISE. 6178 04:07:40,360 --> 04:07:44,000 SO, WHERE COULD WE PUT MORE 6179 04:07:44,000 --> 04:07:46,880 RESOURCES RIGHT AWAY MOST 6180 04:07:46,880 --> 04:07:47,200 EFFECTIVELY? 6181 04:07:47,200 --> 04:07:50,560 >> THANK YOU FOR THAT. 6182 04:07:50,560 --> 04:07:52,760 VERY DIFFICULT QUESTION. 6183 04:07:52,760 --> 04:07:53,480 >> SORRY! 6184 04:07:53,480 --> 04:07:55,640 >>NO, IT'S -- YOU ARTICULATED 6185 04:07:55,640 --> 04:07:56,360 IT VERY WELL. 6186 04:07:56,360 --> 04:07:57,560 IT'S A CHALLENGE TO FIGURE OUT 6187 04:07:57,560 --> 04:08:00,200 WHERE WE CAN MAKE THE BIGGEST 6188 04:08:00,200 --> 04:08:03,400 IMPACT, PARTICULARLY WHEN WE 6189 04:08:03,400 --> 04:08:04,560 HAVE A LARGE NUMBER OF AREAS 6190 04:08:04,560 --> 04:08:06,720 THAT WE'RE TRYING TO COVER, 6191 04:08:06,720 --> 04:08:09,120 MENTAL DISORDERS, THERE ARE MANY 6192 04:08:09,120 --> 04:08:10,320 DIFFERENT KINDS. 6193 04:08:10,320 --> 04:08:11,920 AND MANY DIFFERENT NEEDS, WITHIN 6194 04:08:11,920 --> 04:08:16,760 EACH ARE A VARIETY OF DIFFERENT 6195 04:08:16,760 --> 04:08:20,200 WAYS, AREAS WHICH WE COULD 6196 04:08:20,200 --> 04:08:22,480 FOCUS. 6197 04:08:22,480 --> 04:08:25,400 GOING BACK TO EPINET THE IDEA, 6198 04:08:25,400 --> 04:08:28,840 THIS IS ONE STRUCTURE THAT WE 6199 04:08:28,840 --> 04:08:31,240 CREATED TO TRY TO ALLOW IN REAL 6200 04:08:31,240 --> 04:08:33,880 TIME THE ABILITY TO MODIFY AND 6201 04:08:33,880 --> 04:08:34,840 IMPROVE CARE. 6202 04:08:34,840 --> 04:08:36,800 AND THAT MODEL HAS BEEN USED BY 6203 04:08:36,800 --> 04:08:38,480 OTHERS, NOT JUST NIMH. 6204 04:08:38,480 --> 04:08:40,320 IT WAS A MODEL I THINK INITIALLY 6205 04:08:40,320 --> 04:08:41,720 PUT OUT BY INSTITUTE OF MEDICINE 6206 04:08:41,720 --> 04:08:44,640 BUT THE IDEA IS WE COULD EXPAND 6207 04:08:44,640 --> 04:08:46,800 THAT AND DO THAT IN OTHER AREAS 6208 04:08:46,800 --> 04:08:47,800 OF HEALTH. 6209 04:08:47,800 --> 04:08:51,480 THOSE ARE USUALLY SET WITHIN 6210 04:08:51,480 --> 04:08:52,120 HEALTH CARE SYSTEMS. 6211 04:08:52,120 --> 04:08:55,600 >> WHAT I WAS INTERESTED IN WAS 6212 04:08:55,600 --> 04:08:58,000 FUSING THAT TO FEEDBACK SO IT 6213 04:08:58,000 --> 04:09:00,800 BECOMES A SOURCE OF 6214 04:09:00,800 --> 04:09:01,480 EVIDENCE-BASED IMPROVEMENT AS 6215 04:09:01,480 --> 04:09:03,720 WELL AS SIMPLY A VERY GOOD WAY 6216 04:09:03,720 --> 04:09:07,080 TO GIVE OUR BEST MORE 6217 04:09:07,080 --> 04:09:07,360 EFFECTIVELY. 6218 04:09:07,360 --> 04:09:08,400 >> THAT'S HOW IT WORKS, WHAT 6219 04:09:08,400 --> 04:09:11,360 YOU SAID IS HOW IT WORKS WITHIN 6220 04:09:11,360 --> 04:09:12,520 THESE HEALTH CARE SYSTEMS, 6221 04:09:12,520 --> 04:09:13,640 WITHIN THESE CLINICS THAT ARE 6222 04:09:13,640 --> 04:09:15,400 LINKED TO THIS. 6223 04:09:15,400 --> 04:09:16,960 THEN YOU MENTIONED SOCIAL MEDIA, 6224 04:09:16,960 --> 04:09:18,720 SO I'M WONDERING IF YOU MEAN 6225 04:09:18,720 --> 04:09:21,560 FEEDBACK ON WHAT WE LEARN ABOUT 6226 04:09:21,560 --> 04:09:23,200 THESE THINGS MORE GENERALLY. 6227 04:09:23,200 --> 04:09:26,280 >> I DO. 6228 04:09:26,280 --> 04:09:28,600 SO START WITH THAT AND THEN GO 6229 04:09:28,600 --> 04:09:31,880 BIGGER IN A WAY THAT REQUIRES 6230 04:09:31,880 --> 04:09:33,240 PERHAPS A DIFFERENT 6231 04:09:33,240 --> 04:09:34,440 INFRASTRUCTURE TO BE COLLECTING 6232 04:09:34,440 --> 04:09:36,240 INFORMATION BACK FROM SOCIAL 6233 04:09:36,240 --> 04:09:37,680 MEDIA BECAUSE OBVIOUSLY YOU'RE 6234 04:09:37,680 --> 04:09:41,080 STARTING WITH A VERY ACUTE AND 6235 04:09:41,080 --> 04:09:42,560 SPECIAL GROUP EARLY ONSET 6236 04:09:42,560 --> 04:09:43,680 PSYCHOSIS, AND THE PROBLEM WE 6237 04:09:43,680 --> 04:09:47,280 HAVE IS A MUCH LARGER 6238 04:09:47,280 --> 04:09:48,880 ENVIRONMENTAL ONE FALLING ON 6239 04:09:48,880 --> 04:09:53,360 POSSIBLY EVERYBODY OR A VERY 6240 04:09:53,360 --> 04:09:54,440 LARGE PERCENTAGE OF POPULATION 6241 04:09:54,440 --> 04:09:55,760 WHERE ANSWERS MAY BE DIFFERENT. 6242 04:09:55,760 --> 04:09:57,240 SO THE QUESTION IS WHETHER 6243 04:09:57,240 --> 04:09:58,360 THERE'S A WAY TO EXTEND OR 6244 04:09:58,360 --> 04:10:02,120 WHETHER WE HAVE TO THINK ABOUT 6245 04:10:02,120 --> 04:10:03,120 IT VERY DIFFERENTLY. 6246 04:10:03,120 --> 04:10:05,280 >> I THINK WE CAN EXTEND, IS 6247 04:10:05,280 --> 04:10:08,120 ONE SOLUTION BUT THERE ARE OTHER 6248 04:10:08,120 --> 04:10:10,640 ASPECTS THAT WILL REQUIRE 6249 04:10:10,640 --> 04:10:13,480 DIFFERENT APPROACHES AND I HAVE 6250 04:10:13,480 --> 04:10:14,840 MENTIONED, LARRY ALSO SUPPORTED 6251 04:10:14,840 --> 04:10:17,680 THIS, THAT AROUND THE ISSUE OF 6252 04:10:17,680 --> 04:10:18,880 SOCIAL MEDIA ENGAGEMENT AND 6253 04:10:18,880 --> 04:10:24,000 YOUTH, BEING ABLE TO HAVE THESE 6254 04:10:24,000 --> 04:10:24,880 CONVERSATIONS ACROSS AGENCIES 6255 04:10:24,880 --> 04:10:26,800 AND GROUPS, WE SUPPORT THE 6256 04:10:26,800 --> 04:10:27,160 RESEARCH. 6257 04:10:27,160 --> 04:10:28,960 WE MIGHT FIT THE PRIORITIES BUT 6258 04:10:28,960 --> 04:10:32,160 WE SUPPORT THE RESEARCH AND 6259 04:10:32,160 --> 04:10:34,720 ULTIMATELY TO MOVE INTO FEEDBACK 6260 04:10:34,720 --> 04:10:35,800 MECHANISMS TO MAKE DIFFERENCES 6261 04:10:35,800 --> 04:10:36,880 WE NEED OTHER AGENCY INVOLVEMENT 6262 04:10:36,880 --> 04:10:38,520 IN THAT. 6263 04:10:38,520 --> 04:10:42,000 AND SO I THINK SOCIAL MEDIA, 6264 04:10:42,000 --> 04:10:45,000 IT'S BEEN FANTASTIC WITH ENOUGH 6265 04:10:45,000 --> 04:10:47,400 WIDESPREAD ATTENTION AND ALSO 6266 04:10:47,400 --> 04:10:48,240 WITH THE CONGRESSIONAL AND WHITE 6267 04:10:48,240 --> 04:10:50,280 HOUSE INTEREST IN THIS SPACE, 6268 04:10:50,280 --> 04:10:51,600 POTENTIAL RESOURCES TO ACTUALLY 6269 04:10:51,600 --> 04:10:55,720 MAKE THIS HAPPEN IN THAT AREA. 6270 04:10:55,720 --> 04:11:00,600 >> THANK YOU. 6271 04:11:00,600 --> 04:11:01,600 >> THANK YOU. 6272 04:11:01,600 --> 04:11:02,000 >> TESHIA? 6273 04:11:02,000 --> 04:11:03,200 >> YEAH, THANK YOU. 6274 04:11:03,200 --> 04:11:06,640 I WANTED TO FOLLOW UP, AND DR. 6275 04:11:06,640 --> 04:11:08,200 TABAK, YOU KNOW ME WELL ENOUGH 6276 04:11:08,200 --> 04:11:09,640 AND OTHERS KNOW I'M ALWAYS 6277 04:11:09,640 --> 04:11:09,880 PUSHING. 6278 04:11:09,880 --> 04:11:14,640 I'M GOING TO PUSH THE ENVELOPE 6279 04:11:14,640 --> 04:11:15,040 HERE. 6280 04:11:15,040 --> 04:11:19,480 AND SAY THAT DON'T UNDERESTIMATE 6281 04:11:19,480 --> 04:11:22,480 YOURSELVES OR THE POWER THAT YOU 6282 04:11:22,480 --> 04:11:23,680 HAVE, DON'T UNDERESTIMATE 6283 04:11:23,680 --> 04:11:25,720 SUCCESSES YOU HAVE, OR DON'T 6284 04:11:25,720 --> 04:11:26,440 UNDERESTIMATE THE VOICES AND 6285 04:11:26,440 --> 04:11:28,640 REACH THAT YOU HAVE. 6286 04:11:28,640 --> 04:11:31,920 SO YOU DRAW UPON THIS INCREDIBLE 6287 04:11:31,920 --> 04:11:33,040 WEALTH OF INTELLIGENT PEOPLE OUT 6288 04:11:33,040 --> 04:11:37,240 THERE IN THE WORLD THAT YOU GET 6289 04:11:37,240 --> 04:11:40,360 TO DRAW UPON THEIR WEALTH, THEIR 6290 04:11:40,360 --> 04:11:42,000 INTELLIGENCE, FOR INNOVATION AND 6291 04:11:42,000 --> 04:11:42,400 CREATIVITY. 6292 04:11:42,400 --> 04:11:43,880 YOU'VE BEEN SUCCESSFUL. 6293 04:11:43,880 --> 04:11:45,280 COVID SHOWED US. 6294 04:11:45,280 --> 04:11:46,760 YOU SPOKE ABOUT HOW GREAT YOU 6295 04:11:46,760 --> 04:11:48,800 GUYS HAVE BEEN AT WORKING WITH 6296 04:11:48,800 --> 04:11:50,800 OTHER DEPARTMENTS AND OTHER 6297 04:11:50,800 --> 04:11:53,200 GROUPS WITHIN THE HHS AND 6298 04:11:53,200 --> 04:11:54,400 BEYOND, CORPORATE, WHATEVER. 6299 04:11:54,400 --> 04:11:56,800 I'M JUST SAYING TAKE IT. 6300 04:11:56,800 --> 04:11:57,720 TAKE THE OPPORTUNITY EVERY 6301 04:11:57,720 --> 04:12:00,400 CHANCE YOU GET. 6302 04:12:00,400 --> 04:12:02,640 I'M ASKING EVERYBODY, TAKE THIS 6303 04:12:02,640 --> 04:12:03,720 OPPORTUNITY TO SAY THAT WE WILL 6304 04:12:03,720 --> 04:12:05,080 NOT PUT UP WITH THE VIOLENCE 6305 04:12:05,080 --> 04:12:05,960 THAT'S GOING ON. 6306 04:12:05,960 --> 04:12:08,480 WE WILL NOT WATCH ANY MORE 6307 04:12:08,480 --> 04:12:09,240 CHILDREN DIE. 6308 04:12:09,240 --> 04:12:10,480 AND WE'RE GOING TO DO EVERYTHING 6309 04:12:10,480 --> 04:12:13,480 WE CAN TO ADDRESS IT. 6310 04:12:13,480 --> 04:12:14,800 WE HAVE THE OPPORTUNITY THROUGH 6311 04:12:14,800 --> 04:12:16,400 NIH AND THE THINGS YOU'RE SO 6312 04:12:16,400 --> 04:12:17,920 GOOD AT. 6313 04:12:17,920 --> 04:12:20,440 AND LOOKING AT THIS AS A DISEASE 6314 04:12:20,440 --> 04:12:23,400 ENTITY, NOT BODY PART, IT'S A 6315 04:12:23,400 --> 04:12:23,720 DISEASE. 6316 04:12:23,720 --> 04:12:26,880 IT'S HAPPENING AND IT'S AN 6317 04:12:26,880 --> 04:12:27,400 EPIDEMIC. 6318 04:12:27,400 --> 04:12:27,680 THANK YOU. 6319 04:12:27,680 --> 04:12:31,320 >> THANK YOU SO MUCH. 6320 04:12:31,320 --> 04:12:33,480 REALLY APPRECIATE THAT. 6321 04:12:33,480 --> 04:12:39,120 >> THANKS FOR YOUR COMMENTS. 6322 04:12:39,120 --> 04:12:43,320 COREY, WE'LL GIVE YOU THE FINAL 6323 04:12:43,320 --> 04:12:43,520 WORD. 6324 04:12:43,520 --> 04:12:45,960 >> WE CAN'T HEAR YOU. 6325 04:12:45,960 --> 04:12:49,120 >> CAN YOU HEAR ME NOW? 6326 04:12:49,120 --> 04:12:51,160 >> NO, WE CAN'T, UNFORTUNATELY. 6327 04:12:51,160 --> 04:12:52,960 >> BARELY. 6328 04:12:52,960 --> 04:12:53,440 VERY FAINT. 6329 04:12:53,440 --> 04:12:56,560 >> OKAY. 6330 04:12:56,560 --> 04:12:57,040 WHAT ABOUT NOW? 6331 04:12:57,040 --> 04:12:57,480 >> SLIGHTLY. 6332 04:12:57,480 --> 04:13:01,360 YOU CAN GIVE IT A TRY BUT WE 6333 04:13:01,360 --> 04:13:03,560 CAN'T HEAR YOU SUPER WELL, I'LL 6334 04:13:03,560 --> 04:13:08,720 SEE IF I CAN TRANSLATE. 6335 04:13:08,720 --> 04:13:09,320 >> OKAY. 6336 04:13:09,320 --> 04:13:10,720 I HAVE MORE OF A STATEMENT THAN 6337 04:13:10,720 --> 04:13:11,680 A QUESTION. 6338 04:13:11,680 --> 04:13:16,560 MY STATEMENT HAD TO DO WITH THE 6339 04:13:16,560 --> 04:13:19,640 NEED FOR A LENS IN TERMS OF 6340 04:13:19,640 --> 04:13:25,520 LOOKING AT BEHAVIORAL OUTCOMES, 6341 04:13:25,520 --> 04:13:26,680 SUICIDE RATE OUTCOMES. 6342 04:13:26,680 --> 04:13:30,360 THE DATA IS FRIGHTENING IN TERMS 6343 04:13:30,360 --> 04:13:33,360 OF SOME OF THE ISSUES RELATING 6344 04:13:33,360 --> 04:13:38,080 TO YOUTH AND SUICIDE RATES. 6345 04:13:38,080 --> 04:13:41,520 HOWEVER, THERE MAY BE A NEED TO 6346 04:13:41,520 --> 04:13:52,000 LOOK AT THE INTERSECTION OF 6347 04:13:53,920 --> 04:13:56,000 SUBGROUPS TO INCLUDE 6348 04:13:56,000 --> 04:14:00,400 RACE/ETHNICITY, LGBTQ STATUS, IN 6349 04:14:00,400 --> 04:14:02,800 YOUTH RESIDING IN LOCATIONS OF 6350 04:14:02,800 --> 04:14:11,080 THE UNITED STATES, WITH POVERTY, 6351 04:14:11,080 --> 04:14:17,000 MIGHT HELP IDENTIFY A DEEPER 6352 04:14:17,000 --> 04:14:18,120 UNDERSTANDING, DEEPER 6353 04:14:18,120 --> 04:14:23,160 UNDERSTANDING WHAT THE NEED IS 6354 04:14:23,160 --> 04:14:28,840 IN TERMS OF -- THE PARADIGM 6355 04:14:28,840 --> 04:14:31,680 (INDISCERNIBLE) FROM LOOKING AT 6356 04:14:31,680 --> 04:14:35,000 RACE/ETHNICITY AND OTHER 6357 04:14:35,000 --> 04:14:39,440 IDENTITY AS AN ISOLATED FACTOR, 6358 04:14:39,440 --> 04:14:41,960 IT'S APPARENT THE NEED TO LOOK 6359 04:14:41,960 --> 04:14:47,720 AT HOW THESE SUBGROUPS INTERSECT 6360 04:14:47,720 --> 04:14:56,600 WITH OTHER SUBGROUPS, TO GET AT 6361 04:14:56,600 --> 04:14:57,480 WHERE THE PROBLEM IS. 6362 04:14:57,480 --> 04:14:58,560 >> THANK YOU SO MUCH. 6363 04:14:58,560 --> 04:15:00,080 FOR THOSE WHO MIGHT HAVE NOT 6364 04:15:00,080 --> 04:15:01,600 HEARD, THE FOCUS WAS REALLY ON 6365 04:15:01,600 --> 04:15:05,280 DOING A BETTER JOB OF TAKING AN 6366 04:15:05,280 --> 04:15:06,640 INTERSECTIONAL LENS TO REALLY 6367 04:15:06,640 --> 04:15:10,600 HELP US IDENTIFY WHERE THE NEED 6368 04:15:10,600 --> 04:15:12,960 IS AND LEAD OUR EFFORTS GOING 6369 04:15:12,960 --> 04:15:14,600 FORWARD. 6370 04:15:14,600 --> 04:15:16,040 THAT WAS VERY BRIEF. 6371 04:15:16,040 --> 04:15:18,720 THANK YOU FOR THAT. 6372 04:15:18,720 --> 04:15:19,680 AND YOU'RE ABSOLUTELY RIGHT, 6373 04:15:19,680 --> 04:15:21,720 SOMETHING WE'RE TRYING TO DO A 6374 04:15:21,720 --> 04:15:22,640 BETTER JOB OF. 6375 04:15:22,640 --> 04:15:26,640 SOMETIMES WE HAVE DATA AT 6376 04:15:26,640 --> 04:15:27,680 INTERSECTIONAL LEVEL, SOMETIMES 6377 04:15:27,680 --> 04:15:27,960 WE DON'T. 6378 04:15:27,960 --> 04:15:29,200 IT'S IMPORTANT TO KEEP IN MIND 6379 04:15:29,200 --> 04:15:30,360 AND MAKE SURE WE INCORPORATE 6380 04:15:30,360 --> 04:15:31,880 INTO HOW WE DISCUSS THOSE 6381 04:15:31,880 --> 04:15:34,760 ISSUES, APPRECIATE THAT. 6382 04:15:34,760 --> 04:15:38,400 6383 04:15:38,400 --> 04:15:42,560 >> WITH THAT, WE HAVE A ANOTHER 6384 04:15:42,560 --> 04:15:48,960 BREAK SCHEDULED FOR THE AGENDA, 6385 04:15:48,960 --> 04:15:50,200 SO, SHELLI, THANK YOU AGAIN FOR 6386 04:15:50,200 --> 04:15:50,840 THE PRESENTATION. 6387 04:15:50,840 --> 04:15:53,480 WE'LL TAKE THE OPPORTUNITY TO GO 6388 04:15:53,480 --> 04:15:55,760 ON A COUPLE-MINUTE LONG BREAK. 6389 04:15:55,760 --> 04:16:00,240 WE'LL BE BACK AT 3:00 FOR THE 6390 04:16:00,240 --> 04:16:01,160 NEXT PRESENTATION. 6391 04:16:01,160 --> 04:16:06,760 WE'LL SEE YOU ALL IN 18 MINUTES. 6392 04:16:06,760 --> 04:16:08,800 >>WE'LL GET GOING ON THE LAST 6393 04:16:08,800 --> 04:16:10,960 COUPLE SESSIONS OF THE DAY. 6394 04:16:10,960 --> 04:16:12,920 AND HERE TO START THAT OUT FOR 6395 04:16:12,920 --> 04:16:15,680 US IS DR. GARY GIBBONS, HEAD OF 6396 04:16:15,680 --> 04:16:17,760 NATIONAL HEART, LUNG AND BLOOD 6397 04:16:17,760 --> 04:16:19,800 INSTITUTE TO TALK A BIT ABOUT 6398 04:16:19,800 --> 04:16:21,760 SOME EFFORTS THAT HE AND OTHERS 6399 04:16:21,760 --> 04:16:28,680 ACROSS THE AGENCY ARE WORKING ON 6400 04:16:28,680 --> 04:16:30,520 AROUND POST-ACUTE SEQUELAE OF 6401 04:16:30,520 --> 04:16:34,840 SARS-COV-2, LONG COVID, TO TALK 6402 04:16:34,840 --> 04:16:42,080 ABOUT SPECIFICALLY RECOVER 6403 04:16:42,080 --> 04:16:42,400 INITIATIVE. 6404 04:16:42,400 --> 04:16:42,600 GARY? 6405 04:16:42,600 --> 04:16:44,880 >> THANK YOU VERY MUCH. 6406 04:16:44,880 --> 04:16:48,320 APPRECIATE THIS OPPORTUNITY TO 6407 04:16:48,320 --> 04:16:52,920 PRESENT TO THE ACD, ON BEHALF OF 6408 04:16:52,920 --> 04:16:55,200 CO-CHAIRS AND SENIOR LEADERSHIP 6409 04:16:55,200 --> 04:17:00,240 TEAM AND RECOVER CONSORTIUM. 6410 04:17:00,240 --> 04:17:01,400 NEXT SLIDE PLEASE. 6411 04:17:01,400 --> 04:17:06,840 AS LEVEL SETTING AND REMINDER OF 6412 04:17:06,840 --> 04:17:08,560 PREVIOUS UPDATES TO ACD, THE 6413 04:17:08,560 --> 04:17:10,960 GOAL TO CLEARLY RAPIDLY IMPROVE 6414 04:17:10,960 --> 04:17:14,520 OUR UNDERSTANDING OF ABILITY TO 6415 04:17:14,520 --> 04:17:16,960 PREDICT, TREAT, PREVENT LONG 6416 04:17:16,960 --> 04:17:18,520 COVID, THE OVERARCHING OBJECTIVE 6417 04:17:18,520 --> 04:17:21,920 OF RECOVER. 6418 04:17:21,920 --> 04:17:23,720 AND IT HAS THE SAME KEY SPECIFIC 6419 04:17:23,720 --> 04:17:25,960 AIMS THAT RELATE TO EXTENDING 6420 04:17:25,960 --> 04:17:29,320 AND UNDERSTANDING OF THE 6421 04:17:29,320 --> 04:17:31,120 CLINICAL SPECTRUM, AND THE 6422 04:17:31,120 --> 04:17:31,960 UNDERLYING TRAJECTORIES OF 6423 04:17:31,960 --> 04:17:34,880 RECOVERY, AS TO WHO GETS IT AND 6424 04:17:34,880 --> 04:17:45,360 WHO DOES NOT GET PASC, RISK 6425 04:17:46,920 --> 04:17:48,080 FACTORS, INCIDENCE, PREVALENCE, 6426 04:17:48,080 --> 04:17:51,040 DISTINCT PASC PHENOTYPES, TO 6427 04:17:51,040 --> 04:17:52,920 STUDY THE PATHOGENESIS, 6428 04:17:52,920 --> 04:17:54,200 UNDERLYING ETIOLOGIES OF THE 6429 04:17:54,200 --> 04:17:57,120 BROAD SYMPTOM COMPLEX THAT 6430 04:17:57,120 --> 04:18:01,400 CHARACTERIZES LONG COVID AS WELL 6431 04:18:01,400 --> 04:18:03,320 AS IMPLICATIONS FOR ORGAN 6432 04:18:03,320 --> 04:18:05,200 DYSFUNCTION AND PERHAPS MOST 6433 04:18:05,200 --> 04:18:09,160 IMPORTANTLY EVENTUALLY AS WE GET 6434 04:18:09,160 --> 04:18:11,800 THIS KNOWLEDGE TO TREAT AND 6435 04:18:11,800 --> 04:18:15,560 PREVENT THE POST-ACUTE SEQUELAE 6436 04:18:15,560 --> 04:18:18,400 OF COVID AND LONG COVID. 6437 04:18:18,400 --> 04:18:23,240 WE'VE BEEN OPERATING SINCE 6438 04:18:23,240 --> 04:18:26,920 INCEPTION WITH PATIENT-CENTERED 6439 04:18:26,920 --> 04:18:29,800 APPROACH, OPERATING PRINCIPLE, 6440 04:18:29,800 --> 04:18:31,280 PARTICIPANTS ARE PARTNERS, 6441 04:18:31,280 --> 04:18:32,600 CO-CREATING THE RECOVER 6442 04:18:32,600 --> 04:18:34,360 PLATFORM, AS WELL AS EVERY 6443 04:18:34,360 --> 04:18:40,960 ELEMENT OF THE STUDY FROM DESIGN 6444 04:18:40,960 --> 04:18:44,000 AND PROTOCOLS TO IMPLEMENTATION 6445 04:18:44,000 --> 04:18:44,520 EXECUTION. 6446 04:18:44,520 --> 04:18:47,480 KEY GUIDING PRINCIPLE TO CREATE 6447 04:18:47,480 --> 04:18:50,240 THIS NATIONAL SCALE, WITH 6448 04:18:50,240 --> 04:18:53,400 INCLUSIVE DIVERSE PARTICIPATION 6449 04:18:53,400 --> 04:18:55,360 AND ENGAGEMENT OF COMMUNITIES, 6450 04:18:55,360 --> 04:18:56,800 AND HOPEFULLY IT'S EVIDENT THAT 6451 04:18:56,800 --> 04:19:00,640 WE'RE WELL ON OUR WAY TO PUTTING 6452 04:19:00,640 --> 04:19:02,320 THAT PRINCIPLE IN ACTION. 6453 04:19:02,320 --> 04:19:07,280 IN ADDITION AS WE DEVELOP THIS 6454 04:19:07,280 --> 04:19:09,920 ReCOVer PLATFORM WE LEVERAGE 6455 04:19:09,920 --> 04:19:12,880 IT AS A PLATFORM THAT ENABLING 6456 04:19:12,880 --> 04:19:16,160 US TO DO SCIENCE AT SALE AND 6457 04:19:16,160 --> 04:19:19,040 SPEED OF SCOPE BY SCOPE BY 6458 04:19:19,040 --> 04:19:21,800 PROVIDING COMMON DATA ELEMENTS, 6459 04:19:21,800 --> 04:19:29,200 AGAIN APPROACHES THAT ALLOW FOR 6460 04:19:29,200 --> 04:19:30,240 COMPREHENSIVE INTEGRATED 6461 04:19:30,240 --> 04:19:32,600 ANALYSIS OF DATASETS AND TRIALS. 6462 04:19:32,600 --> 04:19:40,160 FINALLY APPROACHING WITH GREAT 6463 04:19:40,160 --> 04:19:41,480 HUMILITY, THAT THERE'S A LOT WE 6464 04:19:41,480 --> 04:19:43,480 KNOW BUT WE HAVE TO KEEP 6465 04:19:43,480 --> 04:19:46,000 ADAPTING NOT ONLY TO THE CORES 6466 04:19:46,000 --> 04:19:49,920 OF THE PANDEMIC BUT ALSO AS WE 6467 04:19:49,920 --> 04:19:52,160 LEARN AND NEW SCIENTIFIC 6468 04:19:52,160 --> 04:19:53,880 OPPORTUNITIES EMERGE THAT WE 6469 04:19:53,880 --> 04:19:57,000 MAINTAIN A CERTAIN ADAPTIVE 6470 04:19:57,000 --> 04:19:58,760 NIMBLENESS. 6471 04:19:58,760 --> 04:20:02,160 NEXT SLIDE PLEASE. 6472 04:20:02,160 --> 04:20:05,520 TOWARD THAT END, PRINCIPLES IN 6473 04:20:05,520 --> 04:20:09,520 ACTION OF MEANINGFUL PATIENT 6474 04:20:09,520 --> 04:20:11,800 ENGAGEMENT, AS PARAMOUNT 6475 04:20:11,800 --> 04:20:14,280 PRINCIPLE, WE'VE ENDEAVORED TO 6476 04:20:14,280 --> 04:20:16,640 MAKE ReCOVer SET A HIGH 6477 04:20:16,640 --> 04:20:19,840 STANDARD, HIGH BAR FOR PATIENT 6478 04:20:19,840 --> 04:20:20,160 ENGAGEMENT. 6479 04:20:20,160 --> 04:20:23,640 TO WE DON'T ALWAYS GET IT RIGHT 6480 04:20:23,640 --> 04:20:25,120 WITH HICCUPS AND SPEED BUMPS 6481 04:20:25,120 --> 04:20:28,680 ALONG THE WAY BUT I THINK 6482 04:20:28,680 --> 04:20:33,480 OVERALL THE NET OUTCOME HAS BEEN 6483 04:20:33,480 --> 04:20:34,520 THIS HAS BEEN INCREDIBLE PLUS TO 6484 04:20:34,520 --> 04:20:37,480 BE WORKING WITH PATIENTS AND 6485 04:20:37,480 --> 04:20:41,120 PARTICIPANTS AS PARTNERS, ALL 6486 04:20:41,120 --> 04:20:41,920 STAKEHOLDERS GAINED FROM 6487 04:20:41,920 --> 04:20:43,560 PERSPECTIVES OF LIVED EXPERIENCE 6488 04:20:43,560 --> 04:20:48,000 OF PATIENTS AT EVERY LEVEL OF 6489 04:20:48,000 --> 04:20:50,160 THE ReCOVer INITIATIVE 6490 04:20:50,160 --> 04:20:53,000 WHETHER AT THE NATIONAL 6491 04:20:53,000 --> 04:20:54,600 ENGAGEMENT GROUP WHICH IS THE 6492 04:20:54,600 --> 04:20:57,240 CENTRAL CORE FUNCTION AND CORE 6493 04:20:57,240 --> 04:20:58,960 ELEMENT, GOVERNANCE STRUCTURE 6494 04:20:58,960 --> 04:21:06,200 THAT REALLY FOCUSES IN ON THE 6495 04:21:06,200 --> 04:21:09,600 PATIENT PERSPECTIVE BUT WHETHER 6496 04:21:09,600 --> 04:21:15,640 IT'S THE STEERING COMMIT, 6497 04:21:15,640 --> 04:21:17,240 EXECUTIVE COMMITTEE, SCIENTIFIC 6498 04:21:17,240 --> 04:21:21,080 WORK GROUPS AND OVERSIGHT 6499 04:21:21,080 --> 04:21:22,240 COMMITTEES, PATIENTS ARE 6500 04:21:22,240 --> 04:21:25,920 CO-AUTHORS ON MANY PUBLICATIONS 6501 04:21:25,920 --> 04:21:35,440 THAT WE'LL BE HIGHLIGHTING 6502 04:21:35,440 --> 04:21:35,640 TODAY. 6503 04:21:35,640 --> 04:21:37,240 WE'VE TRIED TO RAISE THIS TO AS 6504 04:21:37,240 --> 04:21:40,880 HIGH A BAR AS ANY NIH STUDY. 6505 04:21:40,880 --> 04:21:46,640 AS LEVEL SETTING IN PURSUIT OF 6506 04:21:46,640 --> 04:21:51,480 KEY SCIENTIFIC AIMS, BASIC 6507 04:21:51,480 --> 04:21:53,800 PLATFORM STRUCTURE, THREE 6508 04:21:53,800 --> 04:21:54,560 PILLARS, OBSERVATION STUDIES 6509 04:21:54,560 --> 04:21:56,960 THAT FORM A COHORT AT DIFFERENT 6510 04:21:56,960 --> 04:22:00,880 LEVELS OF SCALE AND DEPTH 6511 04:22:00,880 --> 04:22:02,000 INCLUSIVE OF EHR DATA, 6512 04:22:02,000 --> 04:22:03,600 ELECTRONIC HEALTH RECORD DATA, 6513 04:22:03,600 --> 04:22:06,080 OBVIOUSLY AT THE LARGER SCALE 6514 04:22:06,080 --> 04:22:08,720 BUT ALSO CLINICAL ENROLLING 6515 04:22:08,720 --> 04:22:12,520 COHORTS THAT ENABLE US TO DO IN 6516 04:22:12,520 --> 04:22:14,240 DEPTH DEEP CLINICAL 6517 04:22:14,240 --> 04:22:15,240 CHARACTERIZATION OF PATIENTS 6518 04:22:15,240 --> 04:22:18,200 WITH PASC AS WELL AS 6519 04:22:18,200 --> 04:22:19,720 COMMUNITY-BASED COHORTS WHICH 6520 04:22:19,720 --> 04:22:22,440 PROVIDE AN INTERMEDIATE LEVEL OF 6521 04:22:22,440 --> 04:22:25,440 EVALUATION BUT WHERE THERE'S 6522 04:22:25,440 --> 04:22:27,680 POWER OF THE LONGITUDINAL 6523 04:22:27,680 --> 04:22:29,000 ASSESSMENT PRE-COVID AND LONG 6524 04:22:29,000 --> 04:22:30,880 TERM FOLLOW-UP THAT'S BUILT IN 6525 04:22:30,880 --> 04:22:34,280 TO THESE COHORTS AND NOW WE'RE 6526 04:22:34,280 --> 04:22:36,360 LAYERING IN PASC ANALYSIS. 6527 04:22:36,360 --> 04:22:38,640 THE OTHER KEY PILLAR IS 6528 04:22:38,640 --> 04:22:42,040 PATHOBIOLOGY, IN WHICH THIS IS A 6529 04:22:42,040 --> 04:22:43,840 GREAT OPPORTUNITY FOR BIOMARKER 6530 04:22:43,840 --> 04:22:46,080 DISCOVERY AND DIAGNOSTICS, AS 6531 04:22:46,080 --> 04:22:49,280 WELL AS CLEARLY DRIVING TOWARD 6532 04:22:49,280 --> 04:22:52,280 THE ETIOLOGY OF THE POST 6533 04:22:52,280 --> 04:22:54,040 SEQUELAE OF SARS-COV-2 INFECTION 6534 04:22:54,040 --> 04:22:57,920 PASC AS WELL AS TESTING SOME 6535 04:22:57,920 --> 04:23:00,160 EARLY HYPOTHESES OF VIRAL 6536 04:23:00,160 --> 04:23:02,680 PERSISTENCE OR REACTIVATION OR 6537 04:23:02,680 --> 04:23:04,560 OTHER IMMUNE DYSREGULATION, 6538 04:23:04,560 --> 04:23:06,240 ORGAN DAMAGE AND DYSFUNCTION, 6539 04:23:06,240 --> 04:23:11,720 AND DRILLING DOWN INTO TISSUE 6540 04:23:11,720 --> 04:23:13,800 PATHOBIOLOGY AND MOLECULAR 6541 04:23:13,800 --> 04:23:14,200 PATHWAYS. 6542 04:23:14,200 --> 04:23:19,000 THIRD MAJOR PILLAR IS RELATED TO 6543 04:23:19,000 --> 04:23:23,880 CLINICAL TRIALS, AND HERE WE'LL 6544 04:23:23,880 --> 04:23:24,800 OUTLINE THE VARIOUS 6545 04:23:24,800 --> 04:23:25,840 INTERVENTIONS BEING PLANNED, 6546 04:23:25,840 --> 04:23:28,960 THAT GO ACROSS THE VARIOUS 6547 04:23:28,960 --> 04:23:32,560 DOMAINS OF DRUG, BIOLOGICS, 6548 04:23:32,560 --> 04:23:33,600 DEVICES, BEHAVIORAL, 6549 04:23:33,600 --> 04:23:35,280 COMPLEMENTARY AND INTEGRATIVE 6550 04:23:35,280 --> 04:23:37,960 APPROACHES AS WELL. 6551 04:23:37,960 --> 04:23:42,600 AND SO WE RECOGNIZE THIS TAKES A 6552 04:23:42,600 --> 04:23:44,600 FULL COURT PRESS, ALL-OUT EFFORT 6553 04:23:44,600 --> 04:23:45,400 ACROSS MULTIPLE DISCIPLINES, 6554 04:23:45,400 --> 04:23:48,640 THAT'S HOW WE'VE TRIED TO SET UP 6555 04:23:48,640 --> 04:23:50,880 THE PLATFORM, INCLUSIVE OF THE 6556 04:23:50,880 --> 04:23:55,000 BROAD ARRAY OF DATA TYPES, 6557 04:23:55,000 --> 04:23:55,520 IMAGING, MOBILE, DIGITAL, 6558 04:23:55,520 --> 04:23:57,280 CLINICAL, ELECTRONIC HEALTH 6559 04:23:57,280 --> 04:23:59,320 RECORD AND MULTIOMIC ANALYSES, 6560 04:23:59,320 --> 04:24:01,560 AND IT'S ALL LEVERAGING VARIOUS 6561 04:24:01,560 --> 04:24:04,120 CORE ELEMENTS, WHETHER PATIENT 6562 04:24:04,120 --> 04:24:07,240 ENGAGEMENT CORE AND OTHER 6563 04:24:07,240 --> 04:24:07,840 COORDINATION CORES AND 6564 04:24:07,840 --> 04:24:09,560 BIOREPOSITORIES, ALL OF WHICH WE 6565 04:24:09,560 --> 04:24:13,440 HOPE WILL PROVIDE AN INTEGRATED 6566 04:24:13,440 --> 04:24:15,000 AND COHERENT EXPERIMENTAL AND 6567 04:24:15,000 --> 04:24:18,240 ANALYTICAL APPROACH TO THESE 6568 04:24:18,240 --> 04:24:18,680 DATASETS. 6569 04:24:18,680 --> 04:24:20,400 NEXT SLIDE PLEASE. 6570 04:24:20,400 --> 04:24:23,320 TOWARD THAT END, KIND OF A 6571 04:24:23,320 --> 04:24:26,480 BOTTOM LINE UP-FRONT THUMB NAIL 6572 04:24:26,480 --> 04:24:29,800 SUMMARY, OVERVIEW OF THESE THREE 6573 04:24:29,800 --> 04:24:35,440 PILLARS, SUFFICE IT TO SAY FOR 6574 04:24:35,440 --> 04:24:37,400 THE ADULT ENROLLMENT COHORT THAT 6575 04:24:37,400 --> 04:24:39,160 WE'VE MADE REMARKABLE PROGRESS. 6576 04:24:39,160 --> 04:24:41,760 I BELIEVE IN DEVELOPING THE 6577 04:24:41,760 --> 04:24:47,040 LARGEST MOST DIVERSE AND DEEPLY 6578 04:24:47,040 --> 04:24:47,880 CHARACTERIZED LONGITUDINAL 6579 04:24:47,880 --> 04:24:49,800 CLINICAL COHORT OF LONG COVID 6580 04:24:49,800 --> 04:24:52,640 PATIENTS THAT WE'RE AWARE OF IN 6581 04:24:52,640 --> 04:24:54,080 THE WORLD. 6582 04:24:54,080 --> 04:24:57,640 AND THAT'S ALL BEEN DONE 6583 04:24:57,640 --> 04:24:58,840 PROBABLY ENROLLING 15,000 6584 04:24:58,840 --> 04:25:00,760 INDIVIDUALS IN 15 MONTHS WHICH 6585 04:25:00,760 --> 04:25:02,920 MAY BE A NEW SPEED RECORD FOR 6586 04:25:02,920 --> 04:25:06,400 NIH IN DEVELOPMENT OF A COHORT 6587 04:25:06,400 --> 04:25:08,880 STUDY, AND THAT IS ALREADY 6588 04:25:08,880 --> 04:25:11,360 STARTING TO GENERATE NEW 6589 04:25:11,360 --> 04:25:13,320 KNOWLEDGE THAT WE'LL OUTLINE 6590 04:25:13,320 --> 04:25:14,680 BRIEFLY FOR YOU. 6591 04:25:14,680 --> 04:25:18,360 SIMILARLY, PROGRESS MADE ON THE 6592 04:25:18,360 --> 04:25:20,160 PATHOBIOLOGY REALM, WITH FUNDED 6593 04:25:20,160 --> 04:25:23,680 STUDIES THAT ARE UNDERWAY AN 6594 04:25:23,680 --> 04:25:25,560 COLLABORATIONS GROWING THAT ARE 6595 04:25:25,560 --> 04:25:29,040 DOING THE DEEPER DIVE ON 6596 04:25:29,040 --> 04:25:31,840 PATHOBIOLOGICAL PATHWAYS, AND 6597 04:25:31,840 --> 04:25:34,440 VARIOUS APPROACHES, AND 6598 04:25:34,440 --> 04:25:37,000 INCLUSIVE OF AN AUTOPSY SERIES 6599 04:25:37,000 --> 04:25:47,560 WHICH THEY HAVE ENROLLED 140 OR 6600 04:25:48,720 --> 04:25:50,960 SO PLUS DECEDENTS, AND ON 6601 04:25:50,960 --> 04:25:52,760 PARALLEL TRACKS FOR HIGH 6602 04:25:52,760 --> 04:25:54,920 PRIORITIES AND WORKING ALONGSIDE 6603 04:25:54,920 --> 04:25:56,360 PATIENTS AND PROVIDERS, EXPERTS 6604 04:25:56,360 --> 04:26:00,920 FROM ACROSS A VARIETY OF 6605 04:26:00,920 --> 04:26:02,200 DISCIPLINES, NECESSARY TO 6606 04:26:02,200 --> 04:26:05,880 ADDRESS THE SYNDROME AND 6607 04:26:05,880 --> 04:26:07,480 ESTABLISH SYNERGISTIC INDUSTRY, 6608 04:26:07,480 --> 04:26:08,840 COLLABORATIONS OF PUBLIC/PRIVATE 6609 04:26:08,840 --> 04:26:10,840 PARTNERSHIP, FACILITATED BY THE 6610 04:26:10,840 --> 04:26:13,240 FOUNDATION OF NIH IN MANY CASES 6611 04:26:13,240 --> 04:26:16,360 TO REALLY DEVELOP FIVE PLATFORM 6612 04:26:16,360 --> 04:26:19,200 MASTER PROTOCOLS THAT WE'LL 6613 04:26:19,200 --> 04:26:24,880 DETAIL AT THE END OF THE TALK 6614 04:26:24,880 --> 04:26:27,520 WITH ANTICIPATION THEY WILL BE 6615 04:26:27,520 --> 04:26:29,160 ROLLING OUT IMMINENTLY AS WE 6616 04:26:29,160 --> 04:26:33,440 ENTER THE THIRD AND FOURTH 6617 04:26:33,440 --> 04:26:39,880 QUALITYERS -- QUARTERS OF THIS 6618 04:26:39,880 --> 04:26:42,120 CALENDAR YEAR, CAN A SENSE OF 6619 04:26:42,120 --> 04:26:44,120 URGENCY TO ADDRESS SUFFERING OF 6620 04:26:44,120 --> 04:26:49,720 PATIENTS WITH LONG COVID. 6621 04:26:49,720 --> 04:26:50,920 NEXT SLIDE PLEASE. 6622 04:26:50,920 --> 04:26:53,040 BRIEF SKETCHES RELATED TO 6623 04:26:53,040 --> 04:26:55,680 ELEMENTS, FIRST STARTING WITH 6624 04:26:55,680 --> 04:26:57,680 OBSERVATIONAL STUDIES, AND 6625 04:26:57,680 --> 04:26:58,360 PARTICULARLY ELECTRONIC HEALTH 6626 04:26:58,360 --> 04:27:00,600 RECORD REAL WORLD DATA SORTS OF 6627 04:27:00,600 --> 04:27:03,000 STUDIES THAT HAVE BEEN PROLIFIC 6628 04:27:03,000 --> 04:27:04,560 AND WE ANTICIPATE WOULD BE 6629 04:27:04,560 --> 04:27:06,080 AMONGST THE FIRST OUT OF THE 6630 04:27:06,080 --> 04:27:11,320 BOX, AS THE OTHER ELEMENTS 6631 04:27:11,320 --> 04:27:14,960 PROCEEDED, INDEED GREAT PROGRESS 6632 04:27:14,960 --> 04:27:17,960 ANALYZING 60 MILLION RECORDS 6633 04:27:17,960 --> 04:27:19,880 IDENTIFYING COHORTS VIRTUALLY, 7 6634 04:27:19,880 --> 04:27:21,520 MILLION COVID CASES, ACROSS 6635 04:27:21,520 --> 04:27:24,520 DIVERSE POPULATIONS IN THIS 6636 04:27:24,520 --> 04:27:25,040 COUNTRY. 6637 04:27:25,040 --> 04:27:30,160 AND REALLY ESTABLISHING A UNIQUE 6638 04:27:30,160 --> 04:27:30,960 CROSS-COLLABORATION BETWEEN MANY 6639 04:27:30,960 --> 04:27:36,360 ELECTRONIC HEALTH RECORD 6640 04:27:36,360 --> 04:27:38,840 DATASETS SUCH AS N3C, PEDS NET, 6641 04:27:38,840 --> 04:27:41,520 ALL OF US AS WELL, THESE 6642 04:27:41,520 --> 04:27:43,000 ELECTRONIC HEALTH RECORD 6643 04:27:43,000 --> 04:27:46,360 DATASETS HAVE GREAT ADVANTAGES 6644 04:27:46,360 --> 04:27:47,480 AND UNDERSTANDING, INCIDENCE 6645 04:27:47,480 --> 04:27:50,240 PREVALENCE, RISK FACTORS OVER 6646 04:27:50,240 --> 04:27:53,920 TIME, AND ARE LIKELY TO BE VERY 6647 04:27:53,920 --> 04:27:55,920 INSTRUMENTAL IN LONG-TERM 6648 04:27:55,920 --> 04:27:58,560 FOLLOW-UP OF PATIENTS WITH PASC 6649 04:27:58,560 --> 04:28:00,840 AS WELL AS DEFINING 6650 04:28:00,840 --> 04:28:05,400 SUBPHENOTYPES AND OTHER 6651 04:28:05,400 --> 04:28:08,200 CHARACTERIZATIONS, INDEED A KEY 6652 04:28:08,200 --> 04:28:10,000 FIRST STEP WAS DEVELOPING A 6653 04:28:10,000 --> 04:28:13,240 PHENOTYPE OF PASC IN ADULTS AND 6654 04:28:13,240 --> 04:28:14,720 CHILDREN, PARTICULARLY USEFUL 6655 04:28:14,720 --> 04:28:17,360 FOR THAT UNIQUE COLLABORATION TO 6656 04:28:17,360 --> 04:28:19,680 TEST THOSE COMPUTABLE PHENOTYPES 6657 04:28:19,680 --> 04:28:21,240 ACROSS THE DIFFERENT ELECTRONIC 6658 04:28:21,240 --> 04:28:24,200 HEALTH RECORD PLATFORMS AS A 6659 04:28:24,200 --> 04:28:26,520 FURTHER CROSS-VALIDATION. 6660 04:28:26,520 --> 04:28:28,920 IT WAS ABLE TO DO IN ESSENCE 6661 04:28:28,920 --> 04:28:30,640 CLINICAL TRIAL EMULATIONS, IF 6662 04:28:30,640 --> 04:28:33,800 YOU WILL, VIRTUALLY, TO SORT OF 6663 04:28:33,800 --> 04:28:37,560 SEE EXPOSURE, FOR EXAMPLE, TO 6664 04:28:37,560 --> 04:28:39,080 VACCINATION, INFLUENCE THE 6665 04:28:39,080 --> 04:28:43,920 INCIDENCE OF PASC OR LONG COVID, 6666 04:28:43,920 --> 04:28:45,000 SUGGESTIVE EVIDENCE THAT 6667 04:28:45,000 --> 04:28:48,240 VACCINATION COULD BE PROTECTIVE 6668 04:28:48,240 --> 04:28:49,760 AGAINST LONG COVID, SIMILARLY 6669 04:28:49,760 --> 04:28:52,120 PROVIDE USEFUL PREVALENCE DATA 6670 04:28:52,120 --> 04:28:55,160 FOR BOTH ADULTS AND CHILDREN 6671 04:28:55,160 --> 04:28:58,240 HERE HIGHLIGHTING THE LOWER 6672 04:28:58,240 --> 04:29:00,920 LEVEL OF PREVALENCE AMONGST 6673 04:29:00,920 --> 04:29:01,160 CHILDREN. 6674 04:29:01,160 --> 04:29:04,520 ADVANCE SPECIFIC AIMS RELATED TO 6675 04:29:04,520 --> 04:29:06,120 RISK FACTORS, ADULTS WHERE 6676 04:29:06,120 --> 04:29:08,400 SEVERITY OF THE DISEASE CLEARLY 6677 04:29:08,400 --> 04:29:11,800 WAS A WELCOME FACTOR, ACUTE 6678 04:29:11,800 --> 04:29:13,840 COVID, COMORBID CONDITIONS, SUCH 6679 04:29:13,840 --> 04:29:17,120 AS DIABETES, FOR EXAMPLE, 6680 04:29:17,120 --> 04:29:19,280 OBESITY, FEMALE SEX AND 6681 04:29:19,280 --> 04:29:21,440 RACE/ETHNIC DISPARITIES AS WELL 6682 04:29:21,440 --> 04:29:23,280 ELUCIDATED FROM PUBLICATIONS 6683 04:29:23,280 --> 04:29:26,240 THAT HAVE BEEN YIELDED FROM THE 6684 04:29:26,240 --> 04:29:26,920 ELECTRONIC HEALTH RECORD 6685 04:29:26,920 --> 04:29:30,880 COHORTS, NOT ONLY FOR ADULTS FOR 6686 04:29:30,880 --> 04:29:32,040 PEDIATRICS, IT WAS THE CLINICAL 6687 04:29:32,040 --> 04:29:34,160 COURSE OF ACUTE COVID THAT 6688 04:29:34,160 --> 04:29:38,320 APPEARED TO BE PARTICULARLY 6689 04:29:38,320 --> 04:29:39,040 POTENT RISK FACTOR FOR 6690 04:29:39,040 --> 04:29:41,560 DEVELOPMENT OF LONG COVID 6691 04:29:41,560 --> 04:29:45,320 AMONGST CHILDREN, AND FINALLY 6692 04:29:45,320 --> 04:29:46,880 THESE VIRTUAL COHORTS HELPFUL IN 6693 04:29:46,880 --> 04:29:48,640 IDENTIFYING INCREASED RISK OF 6694 04:29:48,640 --> 04:29:50,600 NEW ONSET CONDITIONS AS WE 6695 04:29:50,600 --> 04:29:53,640 FOLLOW PATIENTS WITH LONG COVID 6696 04:29:53,640 --> 04:29:55,640 FURTHER OUT, AND INCLUDING 6697 04:29:55,640 --> 04:30:01,560 ELEMENTS SUCH AS TYPE 2 DIABETES 6698 04:30:01,560 --> 04:30:08,000 AND MENTAL HEALTH CONDITIONS 6699 04:30:08,000 --> 04:30:09,800 LIKE ANXIETY, ET CETERA. 6700 04:30:09,800 --> 04:30:13,200 LOOKING FOR CROSS-VALIDATION 6701 04:30:13,200 --> 04:30:15,800 THAT MAY BENEFIT FROM CROSS-TALK 6702 04:30:15,800 --> 04:30:22,000 OF THE ELEMENTS OF ReCOVer, 6703 04:30:22,000 --> 04:30:23,480 OBSERVATION AND EHR COHORTS TO 6704 04:30:23,480 --> 04:30:26,080 FORM OF INFORM AND ENHANCE EACH 6705 04:30:26,080 --> 04:30:26,280 OTHER. 6706 04:30:26,280 --> 04:30:27,680 NEXT SLIDE PLEASE. 6707 04:30:27,680 --> 04:30:30,840 TOWARD THAT END A FEW HIGHLIGHTS 6708 04:30:30,840 --> 04:30:32,720 OF NEW KNOWLEDGE BEING GENERATED 6709 04:30:32,720 --> 04:30:36,160 OUT OF ReCOVer. 6710 04:30:36,160 --> 04:30:40,120 WITH THE EHR COHORTS, THIS ONE 6711 04:30:40,120 --> 04:30:44,120 JUST IS ONE ILLUSTRATIVE OF 6712 04:30:44,120 --> 04:30:48,400 ABILITY TO TRACK THIS CASE FOLKS 6713 04:30:48,400 --> 04:30:50,320 WITH SARS-COV-2 INFECTION, OVER 6714 04:30:50,320 --> 04:30:52,600 TIME, AND THEN RECOGNIZING THAT 6715 04:30:52,600 --> 04:30:54,880 SORT OF EMERGENCE OF IN THIS 6716 04:30:54,880 --> 04:31:01,320 CASE BURST OF NEW CASES OF TYPE 6717 04:31:01,320 --> 04:31:04,800 2 DIABETES AND HOW THAT MIGHT 6718 04:31:04,800 --> 04:31:06,880 RELATE TO ACUTE PHASE OF 6719 04:31:06,880 --> 04:31:07,880 SARS-COV-2, WORKING THROUGH 6720 04:31:07,880 --> 04:31:09,600 ETIOLOGY, WHETHER COMBINATION OF 6721 04:31:09,600 --> 04:31:12,640 THE STRESS AND ILLNESS OF THE 6722 04:31:12,640 --> 04:31:14,320 COVID INFECTION, DIRECT EFFECTS 6723 04:31:14,320 --> 04:31:17,760 OF VIRUS ON THE VASCULATURE OR 6724 04:31:17,760 --> 04:31:20,160 PANCREATIC FUNCTION, AS WELL AS 6725 04:31:20,160 --> 04:31:21,760 INSULIN SENSITIVITY OR 6726 04:31:21,760 --> 04:31:22,520 RESISTANCE. 6727 04:31:22,520 --> 04:31:26,880 AND AGAIN THIS IS A PHENOMENON 6728 04:31:26,880 --> 04:31:29,800 OF CHARACTERIZING, AGAIN, NOT 6729 04:31:29,800 --> 04:31:32,200 ONLY COMORBID CONDITIONS 6730 04:31:32,200 --> 04:31:34,600 PRE-COVID BUT ACTUALLY HOW COVID 6731 04:31:34,600 --> 04:31:36,400 ITSELF MAY BE ALTERING GLUCOSE 6732 04:31:36,400 --> 04:31:39,640 METABOLISM IN WAYS THAT MIGHT 6733 04:31:39,640 --> 04:31:41,880 PREDISPOSE TO DIABETES BOTH IN 6734 04:31:41,880 --> 04:31:44,320 NEAR TERM OR PERHAPS EVEN LONG 6735 04:31:44,320 --> 04:31:47,440 TERM, AND CRITICAL PART OF 6736 04:31:47,440 --> 04:31:50,840 FOLLOWING UP THESE PATIENTS WITH 6737 04:31:50,840 --> 04:31:54,280 PASC AND TOWARD THAT END THIS IS 6738 04:31:54,280 --> 04:31:58,080 AN OPPORTUNITY TO UNDERSTAND IN 6739 04:31:58,080 --> 04:31:59,040 GREATER MECHANISTIC DETAIL HOW 6740 04:31:59,040 --> 04:32:02,800 THAT WORKS AND I MIGHT JUST 6741 04:32:02,800 --> 04:32:04,080 FORESHADOW SOME PATHOBIOLOGY 6742 04:32:04,080 --> 04:32:06,040 STUDIES ARE INDEED DOING A 6743 04:32:06,040 --> 04:32:08,240 DEEPER DIVE ON GLUCOSE 6744 04:32:08,240 --> 04:32:10,040 METABOLISM AS IS OBSERVATIONAL 6745 04:32:10,040 --> 04:32:15,480 STUDY TO FURTHER ELUCIDATE 6746 04:32:15,480 --> 04:32:19,240 MECHANISMS AND COMPLEMENT EHR 6747 04:32:19,240 --> 04:32:19,840 OBSERVATIONS. 6748 04:32:19,840 --> 04:32:22,000 NEXT SLIDE PLEASE. 6749 04:32:22,000 --> 04:32:24,320 EHR STUDIES ARE STARTING TO 6750 04:32:24,320 --> 04:32:26,120 REVEAL THINGS ABOUT OTHER 6751 04:32:26,120 --> 04:32:28,120 PREEXISTING CONDITIONS, THIS IS 6752 04:32:28,120 --> 04:32:34,000 A RECENT OBSERVATION RELATED TO 6753 04:32:34,000 --> 04:32:35,160 OBSTRUCTIVE SLEEP APNEA AS 6754 04:32:35,160 --> 04:32:40,320 POTENTIAL RISK FACTOR FOR PASC, 6755 04:32:40,320 --> 04:32:43,480 IN THIS CASE AGAIN SHOWING 6756 04:32:43,480 --> 04:32:45,680 INCREASED RISK HERE, THIS GOES 6757 04:32:45,680 --> 04:32:46,760 INTO DETAIL, BUT SUFFICE IT TO 6758 04:32:46,760 --> 04:32:50,080 SAY THAT THERE IS THAT INCREASED 6759 04:32:50,080 --> 04:32:51,800 RISK THAT'S QUITE EVIDENT IN THE 6760 04:32:51,800 --> 04:32:54,360 UNADJUSTED BUT EVEN WHEN YOU 6761 04:32:54,360 --> 04:32:57,760 ADJUST FOR AGE, SEX, RACE, 6762 04:32:57,760 --> 04:32:58,920 ETHNICITY, AND INDEED 6763 04:32:58,920 --> 04:33:01,120 HOSPITALIZATION STATUS WHICH IS 6764 04:33:01,120 --> 04:33:03,000 KNOWN TO INFLUENCE THE PASC, 6765 04:33:03,000 --> 04:33:07,840 STILL SEEMS TO BE AN ASSOCIATION 6766 04:33:07,840 --> 04:33:09,120 AND PERHAPS NOT SURPRISINGLY 6767 04:33:09,120 --> 04:33:14,120 GIVEN THE ROLE OF OBESITY AND 6768 04:33:14,120 --> 04:33:18,720 PREDISPOSING TO BOTH ACUTE COVID 6769 04:33:18,720 --> 04:33:21,360 SEVERITY AS WELL AS OSA 6770 04:33:21,360 --> 04:33:23,440 ADJUSTING FOR BMI REDUCE OR 6771 04:33:23,440 --> 04:33:26,200 ATTENUATED SOME OF THAT ODDS 6772 04:33:26,200 --> 04:33:30,120 RATIO BUT THEN ELIMINATED. 6773 04:33:30,120 --> 04:33:31,960 NEXT SLIDE PLEASE. 6774 04:33:31,960 --> 04:33:35,800 SO REALLY EHR STUDIES HAVE BEEN 6775 04:33:35,800 --> 04:33:38,280 PROLIFIC, ARE ALSO LOOKING AT 6776 04:33:38,280 --> 04:33:38,960 AND LEVERAGING DIVERSE 6777 04:33:38,960 --> 04:33:43,760 POPULATION FROM WHICH THEY ARE 6778 04:33:43,760 --> 04:33:44,800 DERIVED, AND TESTED HYPOTHESIS 6779 04:33:44,800 --> 04:33:47,000 THAT MANY OF US ANTICIPATED THAT 6780 04:33:47,000 --> 04:33:51,120 IN THE SAME WAY THAT COVID WAS 6781 04:33:51,120 --> 04:33:55,680 CHARACTERIZED BY RACE/ETHNICITY 6782 04:33:55,680 --> 04:33:56,480 DISPARITIES, DISPROPORTION 6783 04:33:56,480 --> 04:33:58,160 BURDEN AMONGST AFRICAN AMERICAN, 6784 04:33:58,160 --> 04:34:00,080 LATINO POPULATIONS, THERE, 6785 04:34:00,080 --> 04:34:01,880 AGAIN, APPEARS TO BE SOME OF 6786 04:34:01,880 --> 04:34:04,400 THAT SAME PATTERN RELATED TO 6787 04:34:04,400 --> 04:34:08,080 LONG COVID, AND IN PARTICULAR 6788 04:34:08,080 --> 04:34:09,200 CERTAIN SUBCLUSTERS OF 6789 04:34:09,200 --> 04:34:13,000 INVOLVEMENT THAT MAY INVOLVE THE 6790 04:34:13,000 --> 04:34:13,680 RESPIRATORY SYSTEM, CIRCULATORY 6791 04:34:13,680 --> 04:34:15,080 SYSTEMS, IN PARTICULAR 6792 04:34:15,080 --> 04:34:17,200 CHALLENGING THESE POPULATIONS. 6793 04:34:17,200 --> 04:34:18,040 AGAIN, WHERE THESE POPULATIONS 6794 04:34:18,040 --> 04:34:21,240 ARE KNOWN TO HAVE SOME RISK 6795 04:34:21,240 --> 04:34:23,400 FACTORS, PRE-COVID, IN THE SAME 6796 04:34:23,400 --> 04:34:25,560 AREAS AND THAT CONVERGENCE OF 6797 04:34:25,560 --> 04:34:29,000 THOSE RISK FACTORS AND 6798 04:34:29,000 --> 04:34:30,320 INFECTION. 6799 04:34:30,320 --> 04:34:32,120 NEXT SLIDE PLEASE. 6800 04:34:32,120 --> 04:34:34,720 ONE OF THE OPPORTUNITIES, AGAIN, 6801 04:34:34,720 --> 04:34:38,560 IS TO FURTHER DEFINE THAT 6802 04:34:38,560 --> 04:34:39,760 CLINICAL SPECTRUM, PARTICULARLY 6803 04:34:39,760 --> 04:34:40,160 SUBPHENOTYPES. 6804 04:34:40,160 --> 04:34:44,840 A KEY PART OF THAT WILL BE TO GO 6805 04:34:44,840 --> 04:34:45,840 BACK AND FORTH BETWEEN 6806 04:34:45,840 --> 04:34:47,280 ELECTRONIC HEALTH RECORDS THAT 6807 04:34:47,280 --> 04:34:50,840 HAVE STARTED TO IDENTIFY THAT 6808 04:34:50,840 --> 04:34:53,360 COMPUTABLE PHENOTYPE BASED ON 6809 04:34:53,360 --> 04:34:54,840 THE VARIABLES IN ELECTRONIC 6810 04:34:54,840 --> 04:34:57,880 HEALTH RECORD, BUT ONE OF THE 6811 04:34:57,880 --> 04:34:59,680 ADVANTAGES OF THE OBSERVATIONAL 6812 04:34:59,680 --> 04:35:08,920 ENROLLING COHORTS IS SHEER DEPH 6813 04:35:08,920 --> 04:35:12,040 OF CHARACTERIZATION IN DIRECT 6814 04:35:12,040 --> 04:35:12,560 VISITS, WE'RE ANTICIPATING 6815 04:35:12,560 --> 04:35:13,800 BETWEEN ELECTRONIC HEALTH RECORD 6816 04:35:13,800 --> 04:35:21,600 COHORTS AS WELL AS OBSERVATIONAL 6817 04:35:21,600 --> 04:35:22,920 STUDIES SHOULDN'T PROVIDE 6818 04:35:22,920 --> 04:35:24,720 ENLIGHTENMENT TO BOTH ENHANCING 6819 04:35:24,720 --> 04:35:26,840 PHENOTYPE AND CHARACTERIZING AND 6820 04:35:26,840 --> 04:35:29,000 TESTING HYPOTHESES IN THE 6821 04:35:29,000 --> 04:35:29,560 OBSERVATIONAL COHORT, 6822 04:35:29,560 --> 04:35:31,040 PARTICULARLY AT THE LEVEL OF 6823 04:35:31,040 --> 04:35:33,760 SYMPTOMS BUT AS YOU CAN IMAGINE 6824 04:35:33,760 --> 04:35:37,960 AS WE GET DEEPER 6825 04:35:37,960 --> 04:35:39,040 CHARACTERIZATION OF 6826 04:35:39,040 --> 04:35:40,280 OBSERVATIONAL STUDIES THAT 6827 04:35:40,280 --> 04:35:43,680 INVOLVE CLINICAL TESTING, SCANS 6828 04:35:43,680 --> 04:35:45,560 OF CTs, BRAIN MRIs, THIS CAN 6829 04:35:45,560 --> 04:35:49,080 BECOME A RICHER AND RICHER 6830 04:35:49,080 --> 04:35:51,960 DATASET AND ANALYTICAL 6831 04:35:51,960 --> 04:35:52,600 APPROACHES INCLUDING MACHINE 6832 04:35:52,600 --> 04:35:55,960 LEARNING A.I. TO SEE PATTERNS 6833 04:35:55,960 --> 04:35:58,800 AND SUBCLUSTERS OF SYMPTOMS THAT 6834 04:35:58,800 --> 04:36:00,000 HOPEFULLY WILL FURTHER 6835 04:36:00,000 --> 04:36:00,680 CHARACTERIZE BOTH CASE 6836 04:36:00,680 --> 04:36:03,080 DEFINITION AS WELL AS 6837 04:36:03,080 --> 04:36:09,360 SUBPHENOTYPING THAT IS ONGOING. 6838 04:36:09,360 --> 04:36:10,240 NEXT SLIDE. 6839 04:36:10,240 --> 04:36:13,080 LET ME SHIFT OVER TO THE 6840 04:36:13,080 --> 04:36:15,000 OBSERVATIONAL STUDIES THAT 6841 04:36:15,000 --> 04:36:18,520 INVOLVE OUR ENROLLING CLINICAL 6842 04:36:18,520 --> 04:36:20,360 COHORTS AS REAL COMPLEMENT TO 6843 04:36:20,360 --> 04:36:22,760 VIRTUAL ELECTRONIC HEALTH RECORD 6844 04:36:22,760 --> 04:36:25,840 REAL WORLD DATASETS OF COHORTS 6845 04:36:25,840 --> 04:36:28,600 IN WHICH THE KEY ADVANTAGE WILL 6846 04:36:28,600 --> 04:36:32,080 BE DEEP PHENOTYPING OF DIVERSE 6847 04:36:32,080 --> 04:36:35,560 PARTICIPANTS ACROSS THE LIFESPAN 6848 04:36:35,560 --> 04:36:38,240 AND CLINICAL CONTINUUM THAT THIS 6849 04:36:38,240 --> 04:36:39,040 REALLY ENTAILS. 6850 04:36:39,040 --> 04:36:42,760 AND SO, AGAIN, THIS HAS BEEN 6851 04:36:42,760 --> 04:36:45,360 MOVING VERY QUICKLY ENROLLING 6852 04:36:45,360 --> 04:36:47,840 POST-ACUTE PATIENTS FROM 200 6853 04:36:47,840 --> 04:36:50,640 SITES AROUND THE COUNTRY, AND, 6854 04:36:50,640 --> 04:36:53,240 AGAIN, WE'RE VERY PLEASED WITH 6855 04:36:53,240 --> 04:36:57,680 THE ReCOVer TEAM AND 6856 04:36:57,680 --> 04:37:00,000 CONSORTIA'S HARD WORK SUCH THAT 6857 04:37:00,000 --> 04:37:03,960 ADULT ENROLLING COHORT IS ALMOST 6858 04:37:03,960 --> 04:37:06,520 COMPLETE, WELL OVER 90%, 6859 04:37:06,520 --> 04:37:09,640 CERTAINLY AS WE ENTER Q3, WILL 6860 04:37:09,640 --> 04:37:11,160 BE COMPLETE, PEDIATRIC IS ABOUT 6861 04:37:11,160 --> 04:37:16,320 50% OF THE WAY THERE. 6862 04:37:16,320 --> 04:37:26,840 AND THERE WILL BE FURTHER IN 6863 04:37:27,240 --> 04:37:28,520 DEPTH CHARACTERIZATION THAT WILL 6864 04:37:28,520 --> 04:37:31,360 BE IMPORTANT MOVING FORWARD. 6865 04:37:31,360 --> 04:37:34,360 THIS IS ALREADY STARTING TO 6866 04:37:34,360 --> 04:37:36,680 YIELD NEW PUBLICATIONS, WHAT 6867 04:37:36,680 --> 04:37:37,920 HAVE YOU. 6868 04:37:37,920 --> 04:37:40,640 A KEY PART MOVING FORWARD IS 6869 04:37:40,640 --> 04:37:44,760 ANOTHER ELEMENT THAT IS BEING 6870 04:37:44,760 --> 04:37:46,920 LAUNCHED THAT INVOLVES USING 6871 04:37:46,920 --> 04:37:50,120 WEARABLE PERSONAL SENSOR DATA TO 6872 04:37:50,120 --> 04:37:50,880 FURTHER ENRICH DATASET AND 6873 04:37:50,880 --> 04:37:57,160 SHOULD BE VERY INFORMATIVE ABOUT 6874 04:37:57,160 --> 04:38:00,160 EXERCISE CAPACITY, SLEEP, OTHER 6875 04:38:00,160 --> 04:38:01,840 PARAMETERS THAT FULLY ENRICH OUR 6876 04:38:01,840 --> 04:38:04,280 UNDERSTANDING OF LONG COVID. 6877 04:38:04,280 --> 04:38:06,040 NEXT SLIDE PLEASE. 6878 04:38:06,040 --> 04:38:09,640 TO THAT END WE'RE EXCITED BY THE 6879 04:38:09,640 --> 04:38:12,400 MOST RECENT PUBLICATION IN JAMA 6880 04:38:12,400 --> 04:38:14,520 LAST WEEK OR SO, THAT REPRESENTS 6881 04:38:14,520 --> 04:38:17,840 SOME OF THE FIRST FRUITS OF THE 6882 04:38:17,840 --> 04:38:19,320 OBSERVATIONAL STUDY. 6883 04:38:19,320 --> 04:38:21,120 IT SHOULD BE NOTABLE, 6884 04:38:21,120 --> 04:38:23,040 PARTICULARLY TO ACD, THAT IT'S 6885 04:38:23,040 --> 04:38:25,960 QUITE A RARE THING THAT WHILE 6886 04:38:25,960 --> 04:38:32,840 YOU'RE DOING AN ENROLLMENT OF A 6887 04:38:32,840 --> 04:38:34,800 COHORT, YOUR PUBLICATION COMES 6888 04:38:34,800 --> 04:38:35,920 OUT THIS QUICKLY. 6889 04:38:35,920 --> 04:38:45,200 THIS WAS AN ENTER HIM -- INTERIM 6890 04:38:45,200 --> 04:38:47,040 ANALYSIS WITH 90 PARTICIPANTS, 6891 04:38:47,040 --> 04:38:50,440 CURRENTLY MORE, A SENSE OF 6892 04:38:50,440 --> 04:38:51,280 URGENCY IN PROVIDING AS MUCH 6893 04:38:51,280 --> 04:38:54,280 INFORMATION AND NEW KNOWLEDGE WE 6894 04:38:54,280 --> 04:38:55,840 COULD TO, AGAIN, ADDRESS THIS 6895 04:38:55,840 --> 04:38:58,040 SUFFERING OF PATIENTS WE THOUGHT 6896 04:38:58,040 --> 04:39:01,800 WAS IMPORTANT TO ALSO MOVE WITH 6897 04:39:01,800 --> 04:39:02,880 SENSE OF SURGERY GETTING 6898 04:39:02,880 --> 04:39:06,880 INFORMATION OUT AND INDEED THIS 6899 04:39:06,880 --> 04:39:10,960 FIRST PAPER STARTS TO LEVERAGE 6900 04:39:10,960 --> 04:39:15,640 THAT EARLY SET OF SYMPTOM 6901 04:39:15,640 --> 04:39:18,960 COMPLEX QUESTIONS INVOLVING OVER 6902 04:39:18,960 --> 04:39:20,840 200 SYMPTOMS SURVEYED, PATTERNS 6903 04:39:20,840 --> 04:39:24,160 STARTED TO EMERGE IN WHICH SOME 6904 04:39:24,160 --> 04:39:28,080 OF THE CONTOURS OF KEY DRIVERS 6905 04:39:28,080 --> 04:39:30,440 AND KEY DISCRIMINATING ELEMENTS 6906 04:39:30,440 --> 04:39:32,320 OF PASC THAT MAKE IT DISTINCT 6907 04:39:32,320 --> 04:39:34,760 FROM CONTROL GROUPS IN THIS, AND 6908 04:39:34,760 --> 04:39:37,880 YOU CAN SEE EMERGING IN THE 6909 04:39:37,880 --> 04:39:41,880 MODEL HERE SYMPTOMS THAT SEEM TO 6910 04:39:41,880 --> 04:39:44,360 HAVE A PARTICULAR DISCRIMINATIVE 6911 04:39:44,360 --> 04:39:47,680 POWER BETWEEN UNINFECTED 6912 04:39:47,680 --> 04:39:49,400 CONTROLS AND OTHERS, VERSUS 6913 04:39:49,400 --> 04:39:52,200 THOSE WITH PASC, AND YOU CAN SEE 6914 04:39:52,200 --> 04:39:54,560 LOSS OF SMELL AND TASTE RANKS 6915 04:39:54,560 --> 04:39:57,440 VERY HIGH IN THE SCORING SYSTEM 6916 04:39:57,440 --> 04:40:02,320 MODEL THAT THE INVESTIGATORS 6917 04:40:02,320 --> 04:40:03,880 USED. 6918 04:40:03,880 --> 04:40:04,960 POST EXERTIONAL MALAISE, 6919 04:40:04,960 --> 04:40:07,120 CHARACTERISTICS OF THOSE WITH 6920 04:40:07,120 --> 04:40:10,120 EXERCISE INTOLERANCE, THIS IS A 6921 04:40:10,120 --> 04:40:11,360 PHENOMENON COMMON IN CHRONIC 6922 04:40:11,360 --> 04:40:13,600 FATIGUE SYNDROME AS WELL. 6923 04:40:13,600 --> 04:40:19,160 AND YOU CAN SEE CHRONIC COUGH, 6924 04:40:19,160 --> 04:40:21,160 BRAIN FOG, PALPITATIONS, CHEST 6925 04:40:21,160 --> 04:40:23,240 PAIN, I WON'T DETAIL THEM ALL 6926 04:40:23,240 --> 04:40:25,680 BUT THE POINT IS BY 6927 04:40:25,680 --> 04:40:27,040 CHARACTERIZING THESE SYMPTOMS 6928 04:40:27,040 --> 04:40:29,360 WE'RE GETTING MUCH GREATER 6929 04:40:29,360 --> 04:40:30,040 UNDERSTANDING OF THE TRAJECTORY 6930 04:40:30,040 --> 04:40:33,760 OF SYMPTOMS AS THEY MOVE FROM 6931 04:40:33,760 --> 04:40:40,320 ACUTE COVID TO THE POST-ACUTE 6932 04:40:40,320 --> 04:40:42,160 SEQUELAE, AND THESE WERE PICKED 6933 04:40:42,160 --> 04:40:48,080 UP IN SIX-MONTH FOLLOW-UP, 6934 04:40:48,080 --> 04:40:51,920 ENRICHED BY SIZE AND DURATION OF 6935 04:40:51,920 --> 04:40:52,920 FOLLOW-UP AND DEEPER 6936 04:40:52,920 --> 04:40:54,120 CHARACTERIZATION, BUT WE 6937 04:40:54,120 --> 04:40:54,360 EXCITED. 6938 04:40:54,360 --> 04:40:56,600 IN FACT I BELIEVE THIS IS 6939 04:40:56,600 --> 04:41:07,120 ALREADY -- OUT A WEEK RANKS IN 6940 04:41:08,080 --> 04:41:08,640 FIRST PERCENTILE OF JAMA 6941 04:41:08,640 --> 04:41:12,920 ARTICLES IN THE LAST YEAR OR SO. 6942 04:41:12,920 --> 04:41:14,840 TOWARD THAT END, THE NEXT STEP 6943 04:41:14,840 --> 04:41:16,960 TO MOVE FROM TIER 1 ANALYSIS 6944 04:41:16,960 --> 04:41:19,600 THAT WAS VERY MUCH ABOUT 6945 04:41:19,600 --> 04:41:22,440 PATIENT-REPORTED SYMPTOMS AND 6946 04:41:22,440 --> 04:41:24,000 OTHER CHARACTERIZATION, TO 6947 04:41:24,000 --> 04:41:25,800 DEEPER CLINICAL CHARACTERIZATION 6948 04:41:25,800 --> 04:41:30,320 IN TIER 2 AND TIER 3 THAT WILL 6949 04:41:30,320 --> 04:41:32,440 INVOLVE MORE COMPLETE ANALYSIS 6950 04:41:32,440 --> 04:41:35,360 OF CT SCANS, MRI SCANS, BIOPSIES 6951 04:41:35,360 --> 04:41:42,680 IN SOME CASES, ET CETERA. 6952 04:41:42,680 --> 04:41:47,320 ENSURING THIS IS THE MOST DEEPLY 6953 04:41:47,320 --> 04:41:47,920 COMPREHENSIBLE CHARACTERIZED 6954 04:41:47,920 --> 04:41:52,320 COHORT OF LONG COVID THAT 6955 04:41:52,320 --> 04:41:52,560 EXISTS. 6956 04:41:52,560 --> 04:41:54,360 NEXT SLIDE PLEASE. 6957 04:41:54,360 --> 04:42:00,360 TOWARD THAT END, ANOTHER 6958 04:42:00,360 --> 04:42:03,520 OBSERVATIONAL STUDY FINDING 6959 04:42:03,520 --> 04:42:07,040 RELATES TO THE DIFFERENT WAVES 6960 04:42:07,040 --> 04:42:08,960 OF THE PANDEMIC WITH VARIANTS, 6961 04:42:08,960 --> 04:42:12,000 MANY OF YOU ARE AWARE OF THE 6962 04:42:12,000 --> 04:42:16,480 DELTA WAVE AND OMICRON WAVE, AND 6963 04:42:16,480 --> 04:42:17,720 THIS STUDY WAS ALREADY STARTING 6964 04:42:17,720 --> 04:42:19,480 TO PICK UP SOME OF THOSE 6965 04:42:19,480 --> 04:42:21,000 ELEMENTS AS WERE THE OTHER 6966 04:42:21,000 --> 04:42:22,880 COHORTS, ELECTRONIC HEALTH 6967 04:42:22,880 --> 04:42:23,560 RECORD AND COMMUNITY-BASED 6968 04:42:23,560 --> 04:42:27,640 COHORTS, SO WE ARE GETTING SOME 6969 04:42:27,640 --> 04:42:30,200 SENSE THAT DELTA WAVE OF THE 6970 04:42:30,200 --> 04:42:33,000 PANDEMIC MAY HAVE YIELDED A 6971 04:42:33,000 --> 04:42:35,840 HIGHER PREVALENCE OF LONG COVID, 6972 04:42:35,840 --> 04:42:36,520 RELATIVE TO OMICRON. 6973 04:42:36,520 --> 04:42:38,680 THIS IS STILL BEING SORTED OUT, 6974 04:42:38,680 --> 04:42:41,600 ALL THESE ARE STILL EARLY DAYS 6975 04:42:41,600 --> 04:42:43,440 OF ANALYSIS BUT THOSE THAT THE 6976 04:42:43,440 --> 04:42:45,840 INITIAL HINTS OF WHAT WE'RE 6977 04:42:45,840 --> 04:42:47,240 LEARNING THUS -- THOSE ARE THE 6978 04:42:47,240 --> 04:42:49,040 INITIAL HINTS OF WHAT WE'RE 6979 04:42:49,040 --> 04:42:49,600 LEARNING THUS FAR. 6980 04:42:49,600 --> 04:42:52,280 NEXT SLIDE PLEASE. 6981 04:42:52,280 --> 04:42:53,440 NOW PIVOTING AMONGST 6982 04:42:53,440 --> 04:42:55,200 OBSERVATIONAL STUDIES FROM EHR 6983 04:42:55,200 --> 04:42:57,160 AND ENROLLING COHORTS NOW BRIEF 6984 04:42:57,160 --> 04:42:59,200 WORD ON THE LONGITUDINAL 6985 04:42:59,200 --> 04:43:01,240 COMMUNITY-BASED COHORTS, THIS IS 6986 04:43:01,240 --> 04:43:05,680 WHERE WE'VE LEVERAGED OVER 14 6987 04:43:05,680 --> 04:43:06,360 EXISTING LONGITUDINAL 6988 04:43:06,360 --> 04:43:08,720 COMMUNITY-BASED COHORTS, SIMILAR 6989 04:43:08,720 --> 04:43:13,320 TO FRAMING HAM AND JACKSON HEART 6990 04:43:13,320 --> 04:43:19,640 STUDY, STUDY OF LATINOS, NO MAS, 6991 04:43:19,640 --> 04:43:24,280 REGARDS, ET CETERA, INVOLVING 6992 04:43:24,280 --> 04:43:29,520 OVER 50,000 ADULTS, 12,000 6993 04:43:29,520 --> 04:43:31,720 LEVERAGING ABCD STUDY, STUDYING 6994 04:43:31,720 --> 04:43:32,520 PRE-COVID, WILL FOLLOW THEM 6995 04:43:32,520 --> 04:43:35,000 SUBSEQUENTLY FOR THE NEXT DECADE 6996 04:43:35,000 --> 04:43:39,600 OR MORE, AS AN OPPORTUNITY TO 6997 04:43:39,600 --> 04:43:44,760 CHARACTERIZE COVID IN THESE 6998 04:43:44,760 --> 04:43:53,200 PATIENT POPULATIONS, LONG COVID, 6999 04:43:53,200 --> 04:43:57,080 LONG-TERM EFFECTS ON TRAJECTORY 7000 04:43:57,080 --> 04:43:59,840 OF EITHER PRE-COVID CONDITIONS 7001 04:43:59,840 --> 04:44:01,360 OR COMORBID CONDITIONS, A GREAT 7002 04:44:01,360 --> 04:44:02,200 OPPORTUNITY. 7003 04:44:02,200 --> 04:44:05,680 THESE STUDIES ARE UNDERWAY, 7004 04:44:05,680 --> 04:44:07,240 PARTICULARLY LOOKING AT 7005 04:44:07,240 --> 04:44:09,280 INITIALLY EFFECT OF SMOKING AND 7006 04:44:09,280 --> 04:44:12,000 HOSPITALIZATION ON COVID AND 7007 04:44:12,000 --> 04:44:13,800 ASSOCIATION WITH SLOW RECOVERY 7008 04:44:13,800 --> 04:44:15,800 AND POTENTIALLY PASC AS WELL. 7009 04:44:15,800 --> 04:44:17,360 THOSE WERE ONGOING. 7010 04:44:17,360 --> 04:44:19,800 AND WE LOOK FORWARD TO THEIR 7011 04:44:19,800 --> 04:44:24,720 POWERFUL INSIGHTS. 7012 04:44:24,720 --> 04:44:25,640 NEXT SLIDE PLEASE. 7013 04:44:25,640 --> 04:44:29,680 LET ME NOW SHIFT TO THE SECOND 7014 04:44:29,680 --> 04:44:31,080 PILLAR, PATHOBIOLOGY. 7015 04:44:31,080 --> 04:44:32,680 WE'VE ALLUDED TO SOME OF THE 7016 04:44:32,680 --> 04:44:36,200 ELEMENTS OF THIS WHERE THESE ARE 7017 04:44:36,200 --> 04:44:39,960 STUDIES OF, MOST ARE 7018 04:44:39,960 --> 04:44:41,280 INVESTIGATOR INITIATED, THAT 7019 04:44:41,280 --> 04:44:44,840 CAME THROUGH GRANTS, NOTICE OF 7020 04:44:44,840 --> 04:44:46,480 SPECIAL INTEREST, AND RESEARCH 7021 04:44:46,480 --> 04:44:48,000 OPPORTUNITY ANNOUNCEMENTS. 7022 04:44:48,000 --> 04:44:50,800 THEY ARE PURSUING THOSE 7023 04:44:50,800 --> 04:44:54,600 ETIOLOGIC FACTORS AND BIOMARKER 7024 04:44:54,600 --> 04:44:55,240 DISCOVERY. 7025 04:44:55,240 --> 04:44:58,800 NEXT SLIDE PLEASE. 7026 04:44:58,800 --> 04:45:02,040 AND INDEED YOU'RE SEEING VARIOUS 7027 04:45:02,040 --> 04:45:06,200 HYPOTHESES, AND USING A VARIETY 7028 04:45:06,200 --> 04:45:09,480 OF ANALYTIC APPROACHES, A LARGE 7029 04:45:09,480 --> 04:45:10,440 NUMBER OF IMMUNOPHENOTYPING 7030 04:45:10,440 --> 04:45:16,480 ANALYSES ARE GOING ON, B OR T 7031 04:45:16,480 --> 04:45:21,240 CELL FUNCTION, AGAIN LEVERAGING 7032 04:45:21,240 --> 04:45:23,720 FLOW CYTOMETRY, USING PROTEOMIC 7033 04:45:23,720 --> 04:45:29,440 AND HIGH-THROUGHPUTS TO GET 7034 04:45:29,440 --> 04:45:31,560 CYTOKINE PROFILING, PROTEOMICS, 7035 04:45:31,560 --> 04:45:32,240 TRANSCRIPTOMICS, METABOLOMICS, 7036 04:45:32,240 --> 04:45:33,880 STUDY OF MICROBIOME AS WELL, ALL 7037 04:45:33,880 --> 04:45:38,840 THIS IS PART OF GETTING DEEP 7038 04:45:38,840 --> 04:45:39,920 MOLECULAR CHARACTERIZATION OF 7039 04:45:39,920 --> 04:45:41,720 THE OBSERVATIONAL STUDIES AND 7040 04:45:41,720 --> 04:45:42,840 OTHER COHORTS. 7041 04:45:42,840 --> 04:45:47,720 TOWARD THAT END, WE'RE LOOKING 7042 04:45:47,720 --> 04:45:51,160 FORWARD TO NEW KNOWLEDGE 7043 04:45:51,160 --> 04:45:53,280 GENERATED WHICH WILL FURTHER 7044 04:45:53,280 --> 04:45:54,280 ENRICH THE OBSERVATIONAL 7045 04:45:54,280 --> 04:45:58,200 DATASETS AND GIVE US NEW 7046 04:45:58,200 --> 04:46:00,400 INSIGHTS. 7047 04:46:00,400 --> 04:46:01,880 NEXT SLIDE PLEASE. 7048 04:46:01,880 --> 04:46:05,080 ONE OF THE OTHER EXCITING 7049 04:46:05,080 --> 04:46:09,080 ELEMENTS IS THAT THEY START OFF 7050 04:46:09,080 --> 04:46:10,400 AS INVESTIGATOR-INITIATED 7051 04:46:10,400 --> 04:46:17,560 PROPOSALS, THEY ARE INCREASINGLY 7052 04:46:17,560 --> 04:46:18,800 BECOMING COLLABORATIVE AN 7053 04:46:18,800 --> 04:46:21,720 INTEGRATED IN THE CONSORTIUM, A 7054 04:46:21,720 --> 04:46:23,760 NETWORK DIAGRAM TO GIVE A TASTE 7055 04:46:23,760 --> 04:46:26,320 OF BREADTH IN AREAS OF STUDY 7056 04:46:26,320 --> 04:46:29,200 THAT GO FROM MUSCULOSKELETAL 7057 04:46:29,200 --> 04:46:32,320 SYSTEMS TO TESTING VIRAL 7058 04:46:32,320 --> 04:46:35,120 PERSISTENCE, HYPOTHESIS, AND 7059 04:46:35,120 --> 04:46:36,800 MULTIPLE ORGAN ANALYSES BEING 7060 04:46:36,800 --> 04:46:38,840 DONE AND INCLUDING SOME 7061 04:46:38,840 --> 04:46:41,840 COMPARATIVE WORK WITH OTHER 7062 04:46:41,840 --> 04:46:45,280 DISORDERS AND SYNDROMES. 7063 04:46:45,280 --> 04:46:46,760 AND INDEED CROSS-FERTILIZING 7064 04:46:46,760 --> 04:46:50,760 ACROSS DISCIPLINES AS WE GO. 7065 04:46:50,760 --> 04:46:52,520 NEXT SLIDE PLEASE. 7066 04:46:52,520 --> 04:46:55,200 FINALLY, LET ME PROVIDE YOU WITH 7067 04:46:55,200 --> 04:46:57,880 BRIEF UPDATE OF WHERE WE ARE 7068 04:46:57,880 --> 04:47:00,800 WITH CLINICAL TRIALS, 7069 04:47:00,800 --> 04:47:02,800 IDENTIFYING SAFE AND EFFECTIVE 7070 04:47:02,800 --> 04:47:04,360 PASC TREATMENT STRATEGIES, AND 7071 04:47:04,360 --> 04:47:08,400 AGAIN THE OBJECTIVE HERE IS TO, 7072 04:47:08,400 --> 04:47:10,800 AGAIN, ENGAGE COMMUNITY PATIENT 7073 04:47:10,800 --> 04:47:13,280 PROVIDERS THROUGHOUT THE PROCESS 7074 04:47:13,280 --> 04:47:15,840 AND PROTOCOL DESIGN, AND 7075 04:47:15,840 --> 04:47:19,760 DEFINING ENDPOINTS, AND DOING SO 7076 04:47:19,760 --> 04:47:22,600 IN A WAY THAT'S COHERENT AND 7077 04:47:22,600 --> 04:47:24,720 CONSISTENT WITH COMMON DATA 7078 04:47:24,720 --> 04:47:28,640 ELEMENTS AND COMMON ENDPOINTS TO 7079 04:47:28,640 --> 04:47:31,440 FACILITATE INTEGRATIVE SORTS OF 7080 04:47:31,440 --> 04:47:33,000 ANALYSES. 7081 04:47:33,000 --> 04:47:35,240 NEXT SLIDE PLEASE. 7082 04:47:35,240 --> 04:47:38,000 AND SO MANY OF YOU ARE FAMILIAR 7083 04:47:38,000 --> 04:47:41,120 WITH THIS PROCESS OF HOW TO 7084 04:47:41,120 --> 04:47:44,640 STAND UP A CLINICAL TRIAL, AND 7085 04:47:44,640 --> 04:47:46,200 WE RECOGNIZE THAT ALTHOUGH WE'RE 7086 04:47:46,200 --> 04:47:49,760 MOVING WITH SENSE OF URGENCY, 7087 04:47:49,760 --> 04:47:53,080 THE PROCESS IS SOMETHING THAT'S 7088 04:47:53,080 --> 04:47:55,280 CRITICAL FOR MAINTAINING SAFETY 7089 04:47:55,280 --> 04:47:57,960 AND INTEGRITY OF CLINICAL 7090 04:47:57,960 --> 04:47:58,720 TRIALS. 7091 04:47:58,720 --> 04:48:01,160 AND THESE THINGS DO INHERENTLY 7092 04:48:01,160 --> 04:48:05,520 TAKE TIME AND ARE OFTEN 7093 04:48:05,520 --> 04:48:08,320 TYPICALLY ITERATIVE, WHETHER 7094 04:48:08,320 --> 04:48:09,200 IT'S ASSEMBLING A 7095 04:48:09,200 --> 04:48:13,240 MULTI-DISCIPLINARY TEAM OF BOTH 7096 04:48:13,240 --> 04:48:14,680 PROVIDERS, EXPERTS, TRIALISTS, 7097 04:48:14,680 --> 04:48:16,280 AND BRINGING THEM ALL TOGETHER 7098 04:48:16,280 --> 04:48:20,720 TO WORK ON DEVELOPING PROTOCOLS 7099 04:48:20,720 --> 04:48:25,000 THAT CAN CAPTURE THE PLEIOTROPIC 7100 04:48:25,000 --> 04:48:28,280 NATURE OF PASC AND YET TEST 7101 04:48:28,280 --> 04:48:30,480 INTERVENTIONS, A VARIETY OF 7102 04:48:30,480 --> 04:48:33,480 INTERVENTIONS, ACROSS THE BOARD 7103 04:48:33,480 --> 04:48:35,760 AND DEVELOP PROTOCOLS AND ENSURE 7104 04:48:35,760 --> 04:48:39,040 THEY GO THROUGH NORMATIVE REVIEW 7105 04:48:39,040 --> 04:48:43,800 BODIES, SAFETY MONITORING BOARD, 7106 04:48:43,800 --> 04:48:44,680 INSTITUTIONAL REVIEW BOARDS. 7107 04:48:44,680 --> 04:48:46,080 >> GARY, I'M NOT HEARING YOU. 7108 04:48:46,080 --> 04:48:47,000 MAYBE IT'S JUST ME? 7109 04:48:47,000 --> 04:48:50,200 >> I CAN HEAR HIM. 7110 04:48:50,200 --> 04:48:52,920 >> I'M HEARING HIM TOO. 7111 04:48:52,920 --> 04:48:53,360 >> ME TOO. 7112 04:48:53,360 --> 04:48:56,000 >> FINE FOR ME AS WELL. 7113 04:48:56,000 --> 04:48:57,760 >> FINE FOR ME. 7114 04:48:57,760 --> 04:48:59,560 >> OKAY. 7115 04:48:59,560 --> 04:49:00,360 THANK YOU. 7116 04:49:00,360 --> 04:49:03,840 WE'LL HAVE TO WORK ON DR. 7117 04:49:03,840 --> 04:49:06,520 TABAK'S NEXT EXAM. 7118 04:49:06,520 --> 04:49:09,600 SO, YEAH, I'M WINDING UP HERE. 7119 04:49:09,600 --> 04:49:20,040 A NUMBER OF AND HIGH OF 7120 04:49:24,920 --> 04:49:25,600 HIGH-THROUGHPUT ADDICTIVE WAY, 7121 04:49:25,600 --> 04:49:27,720 IT'S IMPORTANT THAT WE GET THIS 7122 04:49:27,720 --> 04:49:30,600 NOT ONLY DONE WITH SENSE OF 7123 04:49:30,600 --> 04:49:34,720 URGENCY BUT DO IT RIGHT AND A 7124 04:49:34,720 --> 04:49:37,080 KEY PART IS BEING SURE WE HAVE 7125 04:49:37,080 --> 04:49:39,400 AND MAINTAIN THE PATIENT 7126 04:49:39,400 --> 04:49:40,640 PERSPECTIVE AT THE CENTER, THEY 7127 04:49:40,640 --> 04:49:44,160 ARE INVOLVED IN EVERY ASPECT, 7128 04:49:44,160 --> 04:49:45,840 DEFINING THE MOST IMPORTANT 7129 04:49:45,840 --> 04:49:47,920 SYMPTOMS, AND HOW THAT SHOULD 7130 04:49:47,920 --> 04:49:49,800 RELATE TO BOTH INCLUSION 7131 04:49:49,800 --> 04:49:51,360 CRITERIA AS WELL AS CLINICAL END 7132 04:49:51,360 --> 04:49:53,200 POINTS, AS WELL AS 7133 04:49:53,200 --> 04:50:03,440 INTERVENTIONS, 7134 04:50:06,920 --> 04:50:09,480 REALLY ENRICHED AND ENHANCED THE 7135 04:50:09,480 --> 04:50:11,600 PLATFORM AND PRODUCTS AND 7136 04:50:11,600 --> 04:50:14,600 PROTOCOLS THAT WE WILL BE 7137 04:50:14,600 --> 04:50:18,360 PROVIDING AND WE'RE ESTIMATING 7138 04:50:18,360 --> 04:50:24,840 THAT AS YOU KNOW Q3 IS RIGHT 7139 04:50:24,840 --> 04:50:30,040 AROUND THE CORNER, WE POISED TO 7140 04:50:30,040 --> 04:50:31,800 LAUNCH FIVE MASTER PROTOCOLS AND 7141 04:50:31,800 --> 04:50:32,480 INTERVENTIONS WITH QUARTER THREE 7142 04:50:32,480 --> 04:50:34,560 AND FOUR OF THIS YEAR. 7143 04:50:34,560 --> 04:50:39,240 NEXT SLIDE PLEASE. 7144 04:50:39,240 --> 04:50:40,920 AGAIN OUTLINES THE VARIOUS 7145 04:50:40,920 --> 04:50:43,520 MASTER PROTOCOLS THAT FORM 7146 04:50:43,520 --> 04:50:45,400 AROUND CERTAIN CLUSTERS, SOME 7147 04:50:45,400 --> 04:50:48,640 RELATED TO VIRAL PERSISTENCE AND 7148 04:50:48,640 --> 04:50:51,800 IMMUNE DYSREGULATION, ONE MASTER 7149 04:50:51,800 --> 04:50:56,200 PROTOCOL, IN WHICH WE WANT TO 7150 04:50:56,200 --> 04:50:59,160 TEST VIRAL PERSISTENCE 7151 04:50:59,160 --> 04:51:00,600 HYPOTHESIS WITH ANTI-VIRAL AND 7152 04:51:00,600 --> 04:51:01,400 OTHER SYMPTOM COMPLEXES THAT 7153 04:51:01,400 --> 04:51:04,840 CAME OUT OF THE OBSERVATIONAL 7154 04:51:04,840 --> 04:51:07,920 STUDY AND, AGAIN, INFORMED THE 7155 04:51:07,920 --> 04:51:10,000 CLINICAL TRIAL DESIGNS AND WHERE 7156 04:51:10,000 --> 04:51:12,120 THE MASTER PROTOCOLS WOULD BE 7157 04:51:12,120 --> 04:51:21,080 FOCUSED SINCE BRAIN FOG WAS A 7158 04:51:21,080 --> 04:51:28,960 KEY SYMPTOM, AUTONOMIC, SLEEP 7159 04:51:28,960 --> 04:51:31,200 DISORDERS, AND CARDIOPULMONARY 7160 04:51:31,200 --> 04:51:32,280 EXERCISE TOLERANCE AND 7161 04:51:32,280 --> 04:51:32,600 CHALLENGES. 7162 04:51:32,600 --> 04:51:34,080 ONE OF THE STRONG ELEMENTS IN 7163 04:51:34,080 --> 04:51:36,520 THIS PLATFORM KIND OF WAY RATHER 7164 04:51:36,520 --> 04:51:38,720 THAN LETTING A THOUSAND FLOWERS 7165 04:51:38,720 --> 04:51:40,680 BLOOM IS THAT IT'S MORE 7166 04:51:40,680 --> 04:51:42,640 INTEGRATIVE ACROSS THESE FIVE 7167 04:51:42,640 --> 04:51:46,160 MASTER PROTOCOLS WITH SHARED 7168 04:51:46,160 --> 04:51:49,760 ENDPOINTS, REGULATORY FRAMEWORK 7169 04:51:49,760 --> 04:51:51,120 THAT WE'VE PARTNERED EFFECTIVELY 7170 04:51:51,120 --> 04:51:53,840 WITH FDA ON TO REALLY ESTABLISH 7171 04:51:53,840 --> 04:51:56,840 FOR THE FIELD A REGULATORY 7172 04:51:56,840 --> 04:51:59,560 PATHWAY FOR DISORDER LIKE THIS 7173 04:51:59,560 --> 04:52:01,720 THAT LITERALLY GOES ACROSS 7174 04:52:01,720 --> 04:52:03,080 MULTIPLE FDA DIVISIONS OF 7175 04:52:03,080 --> 04:52:06,560 DISEASE AND TYPES OF 7176 04:52:06,560 --> 04:52:09,280 INTERVENTIONS AND TYPES OF 7177 04:52:09,280 --> 04:52:11,960 AGENTS USED IN THOSE 7178 04:52:11,960 --> 04:52:14,560 INTERVENTIONS, SO WE VERY MUCH 7179 04:52:14,560 --> 04:52:15,160 APPRECIATED THE COLLABORATIVE 7180 04:52:15,160 --> 04:52:18,080 WORK WITH FDA TO SEE HOW WE CAN 7181 04:52:18,080 --> 04:52:20,000 DO THIS RIGHT AND DEFINE AGENTS 7182 04:52:20,000 --> 04:52:23,120 THAT ARE SAFE AND EFFECTIVE FOR 7183 04:52:23,120 --> 04:52:26,400 PASC LONG COVID AND SO WE THINK 7184 04:52:26,400 --> 04:52:28,360 DEFINING THAT REGULATORY PATHWAY 7185 04:52:28,360 --> 04:52:30,960 HAS BEEN A CRITICAL ELEMENT OF 7186 04:52:30,960 --> 04:52:34,240 SETTING THIS UP AND WILL ENABLE 7187 04:52:34,240 --> 04:52:36,520 SHARED APPROACHES ACROSS THESE 7188 04:52:36,520 --> 04:52:38,320 PLATFORMS IN WHICH EACH ONE WILL 7189 04:52:38,320 --> 04:52:39,120 INFORM EACH OTHER. 7190 04:52:39,120 --> 04:52:42,560 AND WE'LL BE ABLE TO RAPIDLY 7191 04:52:42,560 --> 04:52:44,360 ASSESS RESPONSES, SEE WHAT 7192 04:52:44,360 --> 04:52:47,480 WORKS, WHAT DOESN'T, AND BECAUSE 7193 04:52:47,480 --> 04:52:49,120 OF ADAPTIVE NATURE ADD IN 7194 04:52:49,120 --> 04:52:50,000 ADDITIONAL ARMS AND 7195 04:52:50,000 --> 04:52:52,400 INTERVENTIONS AS WE GO AND 7196 04:52:52,400 --> 04:52:53,160 LEARN. 7197 04:52:53,160 --> 04:53:01,160 SO WE'RE EXCITED THAT THIS IS -- 7198 04:53:01,160 --> 04:53:02,280 WE'RE POISED TO LAUNCH THESE. 7199 04:53:02,280 --> 04:53:03,920 NEXT SLIDE PLEASE. 7200 04:53:03,920 --> 04:53:04,840 FINALLY ANOTHER ELEMENT 7201 04:53:04,840 --> 04:53:14,840 IMPORTANT FOR ACD TO BE AWARE OF 7202 04:53:14,840 --> 04:53:15,920 WE'RE SHOWING DATA GENERATORS, 7203 04:53:15,920 --> 04:53:17,480 INTENTION TO SHARE AND 7204 04:53:17,480 --> 04:53:22,400 DISSEMINATE AND RELEASE THE DATA 7205 04:53:22,400 --> 04:53:24,080 THAT ReCOVer IS DEVELOPING 7206 04:53:24,080 --> 04:53:26,600 FOR THE ENTIRE COMMUNITY. 7207 04:53:26,600 --> 04:53:29,000 AND SO WE RECOGNIZE THAT THIS 7208 04:53:29,000 --> 04:53:33,360 WILL BE, WE BELIEVE, A RICH AND 7209 04:53:33,360 --> 04:53:37,120 NOVEL DATA SOURCE WITH NOTABLE 7210 04:53:37,120 --> 04:53:39,200 DATA TYPES, MOBILE, DIGITAL, 7211 04:53:39,200 --> 04:53:44,840 ELECTRONIC HEALTH RECORD, 7212 04:53:44,840 --> 04:53:45,800 MULTIOMICS, PATHOLOGY, IMAGING, 7213 04:53:45,800 --> 04:53:48,080 CLINICAL ASSESSMENTS. 7214 04:53:48,080 --> 04:53:49,720 WE'VE CREATED WITHIN A 7215 04:53:49,720 --> 04:53:52,280 CLOUD-BASED RESOURCE ONE THAT 7216 04:53:52,280 --> 04:53:56,120 WAS ALREADY EXISTING BIODATA 7217 04:53:56,120 --> 04:53:59,280 CATALYST THAT WOULD ENABLE 7218 04:53:59,280 --> 04:54:02,240 WORKSPACES UNDER CONTROLLED 7219 04:54:02,240 --> 04:54:04,320 ACCESS BY INVESTIGATORS FROM 7220 04:54:04,320 --> 04:54:05,400 OUTSIDE THE CONSORTIUM, AND 7221 04:54:05,400 --> 04:54:07,520 THAT'S BEING SET UP AS WE'VE 7222 04:54:07,520 --> 04:54:09,400 TRIED TO WRAP UP THE ENROLLMENT 7223 04:54:09,400 --> 04:54:11,160 OF THE COHORTS, MAKE SURE WE 7224 04:54:11,160 --> 04:54:15,000 HAVE CLEAN DATASETS, AND WE HAVE 7225 04:54:15,000 --> 04:54:16,680 THE ENVIRONMENT WHERE 7226 04:54:16,680 --> 04:54:17,480 INVESTIGATORS FROM OUTSIDE 7227 04:54:17,480 --> 04:54:19,960 CONSORTIUM CAN START TO DIVE IN 7228 04:54:19,960 --> 04:54:22,640 AND ANALYZE DATA AS WELL, AND 7229 04:54:22,640 --> 04:54:25,960 WE'RE ANTICIPATING THIS TO BE 7230 04:54:25,960 --> 04:54:28,200 AVAILABLE IN THIS CLOUD-BASED 7231 04:54:28,200 --> 04:54:30,720 RESOURCE THIS FALL. 7232 04:54:30,720 --> 04:54:32,480 NEXT SLIDE PLEASE. 7233 04:54:32,480 --> 04:54:37,320 SO I'VE TRIED TO QUICKLY CONVEY 7234 04:54:37,320 --> 04:54:40,080 WHERE WE ARE WITH ReCOVer, 7235 04:54:40,080 --> 04:54:42,920 CURRENTLY, PARTICULARLY WITH 7236 04:54:42,920 --> 04:54:44,480 REGARD TO OBSERVATIONAL STUDIES. 7237 04:54:44,480 --> 04:54:46,640 I THINK THE CONSORTIUM IS TO BE 7238 04:54:46,640 --> 04:54:49,640 CREDITED WITH A LOT OF 7239 04:54:49,640 --> 04:54:51,200 HARD-WORKING INVESTIGATORS AND 7240 04:54:51,200 --> 04:54:52,680 PATIENTS AND PROVIDERS IN 7241 04:54:52,680 --> 04:54:55,160 DEVELOPING THE LARGEST MOST 7242 04:54:55,160 --> 04:54:57,960 DIVERSE AND DEEPLY CHARACTERIZED 7243 04:54:57,960 --> 04:55:00,360 CLINICAL COHORT OF PASC 7244 04:55:00,360 --> 04:55:01,680 PATIENTS, ACROSS THE LIFESPAN 7245 04:55:01,680 --> 04:55:04,640 THAT EXISTS TO OUR AWARENESS AND 7246 04:55:04,640 --> 04:55:08,560 THAT ONGOING IN DEPTH CLINICAL 7247 04:55:08,560 --> 04:55:10,000 CHARACTERIZATION IN THE NEXT 18 7248 04:55:10,000 --> 04:55:12,720 MONTHS AND THAT WILL BE CRITICAL 7249 04:55:12,720 --> 04:55:18,840 FOR THAT IN DEPTH 7250 04:55:18,840 --> 04:55:19,480 CHARACTERIZATION, COMPLEMENTING 7251 04:55:19,480 --> 04:55:25,680 ANALYSES THUS FAR, IT WILL BE 7252 04:55:25,680 --> 04:55:26,600 THEN LINKED AND CROSS-VALIDATED 7253 04:55:26,600 --> 04:55:27,720 WITH ELECTRONIC HEALTH RECORD 7254 04:55:27,720 --> 04:55:29,600 STUDIES ONGOING, WE LOOK FORWARD 7255 04:55:29,600 --> 04:55:31,560 TO CROSS-TALK BETWEEN ENROLLING 7256 04:55:31,560 --> 04:55:37,160 COHORT AND EHR STUDIES. 7257 04:55:37,160 --> 04:55:40,720 ACROSS EHR PLATFORMS INCLUDING 7258 04:55:40,720 --> 04:55:44,160 ALL ALL, PCORnet AND N3C, AND 7259 04:55:44,160 --> 04:55:46,400 THEN FURTHER INTEGRATION OF 7260 04:55:46,400 --> 04:55:48,280 WEARABLE SENSOR DATA THAT MANY 7261 04:55:48,280 --> 04:55:50,840 OF US ARE EXCITED ABOUT, THAT 7262 04:55:50,840 --> 04:55:52,560 MAY GIVE US, AGAIN, ADDITIONAL 7263 04:55:52,560 --> 04:55:55,000 INSIGHTS PARTICULARLY WHICH 7264 04:55:55,000 --> 04:55:58,360 RELATE TO FATIGUE, EXERCISE 7265 04:55:58,360 --> 04:56:01,360 INTOLERANCE, SLEEP, AND OTHER 7266 04:56:01,360 --> 04:56:01,760 CHALLENGES. 7267 04:56:01,760 --> 04:56:03,480 AND FINALLY THE PROMISE THAT WE 7268 04:56:03,480 --> 04:56:06,080 THINK WILL BE THERE FOR GETTING 7269 04:56:06,080 --> 04:56:09,240 THAT MECHANISTIC INSIGHT WITH 7270 04:56:09,240 --> 04:56:11,680 DEEPER IMMUNOPHENOTYPING AND 7271 04:56:11,680 --> 04:56:16,000 MULTIOMIC ANALYSES AND FINALLY 7272 04:56:16,000 --> 04:56:16,560 CLINICAL TRIAL PROTOCOLS 7273 04:56:16,560 --> 04:56:20,760 LAUNCHED IN THE NEXT FEW MONTHS. 7274 04:56:20,760 --> 04:56:24,000 WITH THAT, THAT'S MY LAST SLIDE, 7275 04:56:24,000 --> 04:56:27,560 AND HAPPY TO ADDRESS ANY 7276 04:56:27,560 --> 04:56:30,000 RESIDUAL QUESTIONS ACD MAY HAVE. 7277 04:56:30,000 --> 04:56:32,480 >> THANKS, GARY. 7278 04:56:32,480 --> 04:56:35,440 ROBERTA, YOUR HAND WAS UP. 7279 04:56:35,440 --> 04:56:40,280 >> YEAH, THIS IS -- WHAT AN 7280 04:56:40,280 --> 04:56:43,040 INCREDIBLE TOUR DE FORCE, 7281 04:56:43,040 --> 04:56:44,960 CONGRATULATIONS, DR. GIBBONS, TO 7282 04:56:44,960 --> 04:56:47,480 THE ENTIRE ReCOVer TEAM FOR 7283 04:56:47,480 --> 04:56:49,880 ASTOUNDING SCIENCE ACROSS THE 7284 04:56:49,880 --> 04:56:50,320 BOARD. 7285 04:56:50,320 --> 04:56:53,800 A COUPLE QUESTIONS. 7286 04:56:53,800 --> 04:56:58,600 FIRST OF ALL, A BIG CONCERN IS 7287 04:56:58,600 --> 04:57:01,000 ONE YOU RAISED AROUND THIS ONE 7288 04:57:01,000 --> 04:57:04,000 LASTING SYMPTOM, TWO OF WHICH 7289 04:57:04,000 --> 04:57:07,840 ARE VERY RELATED TO ALZHEIMER'S 7290 04:57:07,840 --> 04:57:09,840 DISEASE AND WAS HEARTENED TO SEE 7291 04:57:09,840 --> 04:57:12,000 THE LONGITUDINAL ANALYSES IT'S 7292 04:57:12,000 --> 04:57:14,320 GOING TO BE POSSIBLE TO TRACK 7293 04:57:14,320 --> 04:57:17,640 WHETHER IN FACT LONG COVID IS A 7294 04:57:17,640 --> 04:57:18,960 RISK FACTOR FOR DEVELOPING 7295 04:57:18,960 --> 04:57:19,880 ALZHEIMER'S DISEASE AND SYMPTOMS 7296 04:57:19,880 --> 04:57:24,440 LIKE LOSS OF SMELL AND TASTE AND 7297 04:57:24,440 --> 04:57:27,400 BRAIN FOG BEING KEY AMONG THOSE. 7298 04:57:27,400 --> 04:57:30,920 SO THANK YOU FOR THAT. 7299 04:57:30,920 --> 04:57:33,480 THE OTHER QUESTIONS THAT I HAVE, 7300 04:57:33,480 --> 04:57:36,480 ONE, CAN YOU COMMENT ON 7301 04:57:36,480 --> 04:57:41,120 ReCOVer INITIATIVE AS A 7302 04:57:41,120 --> 04:57:44,440 MODEL AND PLATFORM FOR 7303 04:57:44,440 --> 04:57:45,320 RESPONDING TO FUTURE PANDEMICS, 7304 04:57:45,320 --> 04:57:50,520 IT SEEMS YOU HAVE SET UP A 7305 04:57:50,520 --> 04:57:54,080 PLATFORM THAT HAS MULTIPLE 7306 04:57:54,080 --> 04:57:56,120 POTENTIAL USAGES, THAT EVEN 7307 04:57:56,120 --> 04:57:58,280 THOUGH IT WASN'T FUNDED THROUGH 7308 04:57:58,280 --> 05:03:13,800 CONGRESS 7309 05:03:13,800 --> 05:03:15,560 >> NOT COVID FUNDS, I THINK WAS 7310 05:03:15,560 --> 05:03:16,120 THE STATEMENT. 7311 05:03:16,120 --> 05:03:18,000 >> THANK YOU. 7312 05:03:18,000 --> 05:03:23,680 THAT'S CORRECT. 7313 05:03:23,680 --> 05:03:24,000 OKAY. 7314 05:03:24,000 --> 05:03:24,400 OTHER COMMENTS? 7315 05:03:24,400 --> 05:03:26,520 >> NOT SEEING ANY BUT WE'RE 7316 05:03:26,520 --> 05:03:28,240 CHECKING ON THE STATUS OF OUR 7317 05:03:28,240 --> 05:03:29,400 NEXT PRESENTER TO SEE IF WE 7318 05:03:29,400 --> 05:03:39,320 MIGHT BE ABLE TO JOIN A COUPLE 7319 05:03:39,320 --> 05:03:39,680 MINUTES EARLY. 7320 05:03:39,680 --> 05:03:43,280 >> GARY, I WANT TO THANK YOU 7321 05:03:43,280 --> 05:03:45,240 FOR YOUR LEADERSHIP. 7322 05:03:45,240 --> 05:03:47,240 I'VE BEEN GIVING A HOLE IN THE 7323 05:03:47,240 --> 05:03:49,080 HEAD ABOUT THIS BECAUSE OF, YOU 7324 05:03:49,080 --> 05:03:54,760 KNOW, YOU SHARE THIS, I KNOW, 7325 05:03:54,760 --> 05:03:56,080 THE OBVIOUS NEED FOR DOING 7326 05:03:56,080 --> 05:03:58,480 THINGS AS RAPIDLY AS IS 7327 05:03:58,480 --> 05:04:00,000 REASONABLE, BECAUSE WE HAVE EACH 7328 05:04:00,000 --> 05:04:04,480 SPOKEN TO PATIENTS AND THEIR 7329 05:04:04,480 --> 05:04:07,640 ADVOCATES, AND WE HAVE EACH 7330 05:04:07,640 --> 05:04:13,560 CERTAINLY, YOU KNOW, COME TO 7331 05:04:13,560 --> 05:04:14,240 UNDERSTAND HOW PROFOUNDLY 7332 05:04:14,240 --> 05:04:16,000 AFFECTED THESE INDIVIDUALS AND 7333 05:04:16,000 --> 05:04:17,880 THEIR FAMILIES ARE, AND BUT YET 7334 05:04:17,880 --> 05:04:21,200 YOU HAVE TO BALANCE THAT AS YOU 7335 05:04:21,200 --> 05:04:24,000 ARTICULATED SO VERY WELL, THE 7336 05:04:24,000 --> 05:04:30,560 NEED TO DO THIS IN THE MOST 7337 05:04:30,560 --> 05:04:32,080 ROBUST WAY POSSIBLE. 7338 05:04:32,080 --> 05:04:34,600 AND YOU DON'T GET TOO MANY 7339 05:04:34,600 --> 05:04:45,200 ATTEMPTS, PARTICULARLY WITH SOMF 7340 05:04:48,560 --> 05:04:58,920 YOUR DATA SUGGESTS NEWER 7341 05:04:59,840 --> 05:05:00,880 VARIANTS ARE LESS DELETERIOUS. 7342 05:05:00,880 --> 05:05:02,880 >> ONLY TIME WITH TELL, THAT'S 7343 05:05:02,880 --> 05:05:06,000 WHERE THE LONGITUDINAL FOLLOW-UP 7344 05:05:06,000 --> 05:05:07,480 IS KEY AND TO DO THAT 7345 05:05:07,480 --> 05:05:09,040 COMPARATIVE ANALYSIS OF 7346 05:05:09,040 --> 05:05:11,560 INFLUENCE AT DIFFERENCE SURGES 7347 05:05:11,560 --> 05:05:13,440 AND MORBIDITIES AND 7348 05:05:13,440 --> 05:05:14,240 UNDERSTANDING ETIOLOGY BETTER. 7349 05:05:14,240 --> 05:05:15,920 YOU SAY WE ONLY HAD ONE SHOT AT 7350 05:05:15,920 --> 05:05:18,880 THIS TO TRY TO GET IT RIGHT, AND 7351 05:05:18,880 --> 05:05:21,840 NOW THE PLATFORM IS SUCH WITH 7352 05:05:21,840 --> 05:05:23,320 THE ELECTRONIC HEALTH RECORDS, 7353 05:05:23,320 --> 05:05:25,320 LONGITUDINAL COMMUNITY-BASED 7354 05:05:25,320 --> 05:05:27,920 COHORTS AS WELL AS OBSERVATIONAL 7355 05:05:27,920 --> 05:05:30,360 STUDIES THAT WE'RE HOPEFUL THAT 7356 05:05:30,360 --> 05:05:32,560 WE CAN DO SOME OF THE LONGER 7357 05:05:32,560 --> 05:05:35,280 TERM FOLLOW-UP TO ADDRESS THOSE 7358 05:05:35,280 --> 05:05:36,600 QUESTIONS YOU HAVE, AND THAT 7359 05:05:36,600 --> 05:05:40,080 PROBABLY WILL GIVE US INSIGHTS 7360 05:05:40,080 --> 05:05:42,400 TO UNFORTUNATELY FUTURE POST 7361 05:05:42,400 --> 05:05:43,160 VIRAL POST INFECTIOUS SYNDROMES 7362 05:05:43,160 --> 05:05:47,640 AS THEY OH -- EMERGE AND 7363 05:05:47,640 --> 05:05:49,080 HOPEFULLY WE'LL BE SMARTER AND 7364 05:05:49,080 --> 05:05:50,880 ABLE TO CAPTURE AT THE TIME OF 7365 05:05:50,880 --> 05:05:53,440 THE ACUTE INFECTION ALL THE WAY 7366 05:05:53,440 --> 05:05:55,080 THROUGH WHICH IS MISSING FOR A 7367 05:05:55,080 --> 05:06:05,000 LOT OF THE OTHER POST VIRAL 7368 05:06:05,000 --> 05:06:05,360 SYNDROME WORK. 7369 05:06:05,360 --> 05:06:09,000 >> APPLICATIONS BEYOND WHAT WE 7370 05:06:09,000 --> 05:06:17,040 KNOW TODAY ARE REALLY GREAT AND 7371 05:06:17,040 --> 05:06:23,520 UNKNOWN OPPORTUNITIES TO 7372 05:06:23,520 --> 05:06:23,800 LEVERAGE. 7373 05:06:23,800 --> 05:06:28,320 >> PROMPTED BY ROBERTA'S POINT 7374 05:06:28,320 --> 05:06:29,520 THERE'S SIMILARITIES WITH ISSUES 7375 05:06:29,520 --> 05:06:35,120 OF LIKE A.D. AND OTHER COMPLEX 7376 05:06:35,120 --> 05:06:41,200 DISEASES, I'M WONDERING HOW DO 7377 05:06:41,200 --> 05:06:42,040 YOU DISENTANGLE FURTHER AWAY 7378 05:06:42,040 --> 05:06:46,040 FROM THE PANDEMIC AND NUMBERS 7379 05:06:46,040 --> 05:06:50,320 DRAW UP, HOW DO YOU DISENTANGLE 7380 05:06:50,320 --> 05:06:51,200 CHRONIC DISEASES? 7381 05:06:51,200 --> 05:06:54,920 IT'S BEEN A PROBLEM WITH OTHER 7382 05:06:54,920 --> 05:06:57,320 LONG-TERM THINGS LIKE LYMES, I'M 7383 05:06:57,320 --> 05:06:59,640 WONDERING HOW DO YOU -- THIS 7384 05:06:59,640 --> 05:07:03,520 SEEMS COMPLEX AND COMPLICATED TO 7385 05:07:03,520 --> 05:07:05,120 ME, HOW DO YOU DEAL WITH ARE 7386 05:07:05,120 --> 05:07:05,320 THAT? 7387 05:07:05,320 --> 05:07:06,720 >> IT'S A GREAT POINT. 7388 05:07:06,720 --> 05:07:12,440 I DON'T THINK I HAVE ANY MAGIC 7389 05:07:12,440 --> 05:07:12,800 BULLETS. 7390 05:07:12,800 --> 05:07:16,000 THAT'S THE OTHER THING WE'RE 7391 05:07:16,000 --> 05:07:17,800 TESTING A NUMBER OF HYPOTHESES, 7392 05:07:17,800 --> 05:07:22,400 MAYBE SEVERAL ARE CORRECT AND 7393 05:07:22,400 --> 05:07:23,800 MAYBE THAT'S DRIVING SOME 7394 05:07:23,800 --> 05:07:26,760 DIFFERENT ELEMENTS OF SYMPTOM 7395 05:07:26,760 --> 05:07:31,120 CLUSTERS, IT MAY BE MORE THAN 7396 05:07:31,120 --> 05:07:38,960 ONE DISEASE, PROBABLY MULTIPLE 7397 05:07:38,960 --> 05:07:40,200 ETIOLOGIES, LIKE DIABETES THERE 7398 05:07:40,200 --> 05:07:43,800 MAY BE INTERACTIONS IN WHICH A 7399 05:07:43,800 --> 05:07:46,200 GIVEN CONDITION MIGHT PREDISPOSE 7400 05:07:46,200 --> 05:07:52,240 TO MORE SEVERE ACUTE COVID, BUT 7401 05:07:52,240 --> 05:07:53,680 THEN ALSO INFLUENCE RISK OF 7402 05:07:53,680 --> 05:07:55,080 DEVELOPING LONG COVID AND PART 7403 05:07:55,080 --> 05:07:58,920 OF LONG COVID MAY INVOLVE 7404 05:07:58,920 --> 05:08:06,800 ONGOING PERTURBATION, GLUCOSE 7405 05:08:06,800 --> 05:08:10,520 METABOLISM SO THAT'S ONE OF THE 7406 05:08:10,520 --> 05:08:11,520 ELEMENTS WHERE ELECTRONIC HEALTH 7407 05:08:11,520 --> 05:08:13,520 RECORD IS STARTING TO BE USEFUL 7408 05:08:13,520 --> 05:08:15,440 IN THAT REGARD, TO LOOK 7409 05:08:15,440 --> 05:08:16,880 PRE-COVID AND TRACK TRAJECTORY 7410 05:08:16,880 --> 05:08:18,400 OVER TIME. 7411 05:08:18,400 --> 05:08:21,280 BUT ALSO OUR LONGITUDINAL 7412 05:08:21,280 --> 05:08:22,000 COMMUNITY-BASED COHORTS, 7413 05:08:22,000 --> 05:08:24,440 FRAMINGHAMS OF THE WORLD, 7414 05:08:24,440 --> 05:08:27,400 BECAUSE THOSE HAVE IN DEPTH 7415 05:08:27,400 --> 05:08:29,440 CHARACTERIZESSATION OF PRE-COVID 7416 05:08:29,440 --> 05:08:31,640 CONDITION AND UNDERSTANDING 7417 05:08:31,640 --> 05:08:33,000 ENTIRE TRAJECTORY OVER TIME, 7418 05:08:33,000 --> 05:08:34,280 SOMETIMES 10-YEAR OR MORE 7419 05:08:34,280 --> 05:08:36,040 LEAD-IN AND THEY WILL HAVE AGAIN 7420 05:08:36,040 --> 05:08:42,120 A LONG HORIZON AS WELL. 7421 05:08:42,120 --> 05:08:43,480 SO TO THE POINT ABOUT 7422 05:08:43,480 --> 05:08:44,560 ALZHEIMER'S AND OTHER CONDITIONS 7423 05:08:44,560 --> 05:08:50,160 WE'LL SEE IF THERE'S AN 7424 05:08:50,160 --> 05:08:52,360 INTERSECTION THAT INFLUENCES 7425 05:08:52,360 --> 05:09:00,760 TRAJECTORIES OF EVOLVING OVER 7426 05:09:00,760 --> 05:09:02,400 TIME, THE COVID PERTURBOGEN, IF 7427 05:09:02,400 --> 05:09:08,120 YOU WILL, TO PROVIDE INSIGHTS 7428 05:09:08,120 --> 05:09:09,480 AND DIMENSION THE MOIST INSIGHT. 7429 05:09:09,480 --> 05:09:12,720 >> LIKE THE POINT ABOUT IT 7430 05:09:12,720 --> 05:09:16,200 BEING SUCH A UNIQUE OPPORTUNITY, 7431 05:09:16,200 --> 05:09:17,320 OTHER COMPLEX CHRONIC DISEASES 7432 05:09:17,320 --> 05:09:22,440 WE HAVEN'T HAD THE OPPORTUNITY 7433 05:09:22,440 --> 05:09:26,280 WITH IT HAPPENINGS AT THE ONSET 7434 05:09:26,280 --> 05:09:28,280 QUICKLY, AVAILABILITY. 7435 05:09:28,280 --> 05:09:30,800 WE DIDN'T WANT IT BUT MAKING THE 7436 05:09:30,800 --> 05:09:31,680 MOST OF IT. 7437 05:09:31,680 --> 05:09:39,040 SO VERY NICE. 7438 05:09:39,040 --> 05:09:39,720 THANK YOU. 7439 05:09:39,720 --> 05:09:45,120 >> ALL RIGHT. 7440 05:09:45,120 --> 05:09:46,240 I THE ReCOVer EFFORT HAS 7441 05:09:46,240 --> 05:09:51,720 BEEN A HUGE LIFT FOR YOU, AMY 7442 05:09:51,720 --> 05:09:54,120 PATTERSON AND FOLKS ON THE 7443 05:09:54,120 --> 05:09:54,800 ReCOVer TEAM INCLUDING 7444 05:09:54,800 --> 05:09:55,400 INVESTIGATORS, THANKS SO MUCH 7445 05:09:55,400 --> 05:09:58,800 FOR EVERYTHING THAT YOU GUYS ARE 7446 05:09:58,800 --> 05:09:59,000 DOING. 7447 05:09:59,000 --> 05:10:00,680 >> YEAH, AND THEY DO ALL THE 7448 05:10:00,680 --> 05:10:00,880 WORK. 7449 05:10:00,880 --> 05:10:11,240 I JUST DO THE TALKING. 7450 05:10:11,920 --> 05:10:12,040 >> . 7451 05:10:12,040 --> 05:10:13,520 >>WE'LL SHIFT TO THE LAST OPEN 7452 05:10:13,520 --> 05:10:17,040 PORTION OF THE MEETING, DR. 7453 05:10:17,040 --> 05:10:18,400 JULIE GERBERDING FROM THE 7454 05:10:18,400 --> 05:10:21,800 FOUNDATION FOR NIH, WHERE SHE'S 7455 05:10:21,800 --> 05:10:28,280 THE CFO, CEO LEADING THAT 7456 05:10:28,280 --> 05:10:29,120 ORGANIZATION, AND TELLING US 7457 05:10:29,120 --> 05:10:30,160 ABOUT THINGS THEY ARE FOCUSING 7458 05:10:30,160 --> 05:10:38,360 ON IN THE NEXT CHAPTER FOR THE 7459 05:10:38,360 --> 05:10:38,680 ORGANIZATION. 7460 05:10:38,680 --> 05:10:40,960 JULIE? 7461 05:10:40,960 --> 05:10:46,240 7462 05:10:46,240 --> 05:10:46,640 >> YOU'RE MUTED. 7463 05:10:46,640 --> 05:10:48,160 >> CAN YOU HEAR ME NOW? 7464 05:10:48,160 --> 05:10:48,680 >>YES. 7465 05:10:48,680 --> 05:10:51,120 >> THANK YOU FOR GIVING ME AN 7466 05:10:51,120 --> 05:10:52,880 OPPORTUNITY TO PRESENT TODAY AND 7467 05:10:52,880 --> 05:10:55,280 TO GET TO LISTEN TO GARY'S 7468 05:10:55,280 --> 05:10:56,720 PRESENTATION, THE ReCOVer 7469 05:10:56,720 --> 05:10:58,720 PROCESS IS SO FASCINATING AND SO 7470 05:10:58,720 --> 05:11:01,520 COMPLICATED, IT'S GREAT TO HEAR 7471 05:11:01,520 --> 05:11:03,400 THE PROGRESS THAT'S COME INTO 7472 05:11:03,400 --> 05:11:03,840 PLAY. 7473 05:11:03,840 --> 05:11:05,000 I HAVE THE WONDERFUL TASK OF 7474 05:11:05,000 --> 05:11:06,800 DESCRIBING TO YOU A LITTLE BIT 7475 05:11:06,800 --> 05:11:10,240 ABOUT THE FOUNDATION FOR THE 7476 05:11:10,240 --> 05:11:11,600 NIH, WHICH IS CONGRESSIONALLY 7477 05:11:11,600 --> 05:11:14,800 ORDAINED TO SUPPORT THE MISSION 7478 05:11:14,800 --> 05:11:19,040 OF THE NIH, REALLY BEEN IN THAT 7479 05:11:19,040 --> 05:11:22,240 BUSINESS FOR 25 YEARS, THIS IS 7480 05:11:22,240 --> 05:11:24,480 MY FIRST YEAR, HAVING COMPLETED 7481 05:11:24,480 --> 05:11:25,120 MY ONE-YEAR ANNIVERSARY, AS I 7482 05:11:25,120 --> 05:11:26,960 SAID AT THE BOARD MEETING LAST 7483 05:11:26,960 --> 05:11:29,080 MONTH IT'S BEEN THE HAPPIEST 7484 05:11:29,080 --> 05:11:30,320 PROFESSIONAL YEAR OF MY LIFE. 7485 05:11:30,320 --> 05:11:32,320 I LOVE WHAT I'M DOING AND THAT 7486 05:11:32,320 --> 05:11:36,680 THRILLS ME TO BE ABLE TO TELL 7487 05:11:36,680 --> 05:11:37,880 OTHERS ABOUT IT. 7488 05:11:37,880 --> 05:11:39,960 OBVIOUSLY, THE NIH IS IN THE 7489 05:11:39,960 --> 05:11:41,200 BUSINESS OF TURNING DISCOVERY 7490 05:11:41,200 --> 05:11:43,760 INTO HEALTH, BUT IF YOU LOOK AT 7491 05:11:43,760 --> 05:11:47,200 THE NEXT SLIDE THE FNIH IS PART 7492 05:11:47,200 --> 05:11:48,760 OF THAT PROCESS BY BUILDING 7493 05:11:48,760 --> 05:11:50,360 BRIDGES TO THE PRIVATE SECTOR 7494 05:11:50,360 --> 05:11:53,000 AND REALLY TRYING TO SUPPORT THE 7495 05:11:53,000 --> 05:11:54,840 NIH THROUGH OUR ABILITY TO 7496 05:11:54,840 --> 05:11:57,160 CONVENE IN WAYS THAT ARE 7497 05:11:57,160 --> 05:11:58,680 OTHERWISE VERY DIFFICULT FOR 7498 05:11:58,680 --> 05:12:00,240 GOVERNMENT. 7499 05:12:00,240 --> 05:12:01,880 THE NEXT SLIDE -- 7500 05:12:01,880 --> 05:12:03,440 >>I'M SORRY, I JUST LEARNED 7501 05:12:03,440 --> 05:12:04,160 THAT -- NEVER MIND. 7502 05:12:04,160 --> 05:12:04,720 I'M SORRY. 7503 05:12:04,720 --> 05:12:07,440 WE DIDN'T HAVE A QUORUM FOR A 7504 05:12:07,440 --> 05:12:08,960 COUPLE MINUTES. 7505 05:12:08,960 --> 05:12:12,240 I JUST LEARNED RIGHT AS I SAID 7506 05:12:12,240 --> 05:12:13,880 IT I GOT PINGED TO SAY THE LAST 7507 05:12:13,880 --> 05:12:15,320 MEMBER WE NEEDED JOINED SO WE'RE 7508 05:12:15,320 --> 05:12:15,880 GOOD. 7509 05:12:15,880 --> 05:12:16,920 I'M SORRY TO INTERRUPT. 7510 05:12:16,920 --> 05:12:18,720 >> OKAY. 7511 05:12:18,720 --> 05:12:20,480 I KNOW THAT'S IMPORTANT. 7512 05:12:20,480 --> 05:12:23,240 NEXT SLIDE, I HAVE ARTICULATED 7513 05:12:23,240 --> 05:12:27,040 IN SIMPLE TERMS THE ELEVATOR 7514 05:12:27,040 --> 05:12:29,560 SPEECH OF WHAT THE FNIH IS ALL 7515 05:12:29,560 --> 05:12:29,760 ABOUT. 7516 05:12:29,760 --> 05:12:32,720 OUR MISSION IS REALLY TO TRY TO 7517 05:12:32,720 --> 05:12:34,840 ACCELERATE AND AMPLIFY THE VALUE 7518 05:12:34,840 --> 05:12:37,880 THAT THE NIH CREATES THROUGH ITS 7519 05:12:37,880 --> 05:12:38,880 RESEARCH AND SCIENTIFIC 7520 05:12:38,880 --> 05:12:40,840 COLLABORATIONS WITH THAT SAME 7521 05:12:40,840 --> 05:12:45,880 IMPACT IN MIND, BUILDING 7522 05:12:45,880 --> 05:12:50,160 PROJECTS TO IMPROVE HEALTH AND 7523 05:12:50,160 --> 05:12:52,360 HEALTH EQUALITY, ONE WAY BY 7524 05:12:52,360 --> 05:12:55,000 SUPPORTING COLLABORATIVE 7525 05:12:55,000 --> 05:12:57,720 SCIENCE, THE PRIVATE/PUBLIC 7526 05:12:57,720 --> 05:12:59,440 PATIENT PARTNERSHIPS, SUPPORTING 7527 05:12:59,440 --> 05:13:01,360 SCIENTISTS, AND MORE RECENTLY BY 7528 05:13:01,360 --> 05:13:04,160 BUILDING A FOCUS ON TRUST IN 7529 05:13:04,160 --> 05:13:07,560 SCIENCE WHICH WHEREVER WE ARE IN 7530 05:13:07,560 --> 05:13:10,160 THE ECOSYSTEM IS INCREASINGLY 7531 05:13:10,160 --> 05:13:11,920 ISSUE THAT'S REACHENING CRISIS 7532 05:13:11,920 --> 05:13:12,680 PROPORTIONS. 7533 05:13:12,680 --> 05:13:19,520 NEXT SLIDE, I'M LINKING TO YOU 7534 05:13:19,520 --> 05:13:21,440 TO A SHORT VIDEO TO EXPLAIN THE 7535 05:13:21,440 --> 05:13:22,880 WORK OF THE FNIH IN VISUAL 7536 05:13:22,880 --> 05:13:26,280 TERMS, IF YOU CAN LINK TO THE 7537 05:13:26,280 --> 05:13:32,640 VIDEO THAT WOULD BE TERRIFIC. 7538 05:13:32,640 --> 05:13:35,000 I'LL SEND IT TO THE BOARD AFTER 7539 05:13:35,000 --> 05:13:36,880 THE MEETING SO PEOPLE CAN TAKE A 7540 05:13:36,880 --> 05:13:37,520 LOOK. 7541 05:13:37,520 --> 05:13:43,240 IT'S ON OUR WEBSITE AT FNIH.ORG, 7542 05:13:43,240 --> 05:13:45,280 IF YOU'RE INTERESTING YOU CAN 7543 05:13:45,280 --> 05:13:45,920 TAKE A LOOK. 7544 05:13:45,920 --> 05:13:47,480 I'LL MOVE INTO A DESCRIPTION OF 7545 05:13:47,480 --> 05:13:49,560 SOME OF THE MAJOR WAYS THAT WE 7546 05:13:49,560 --> 05:13:50,960 DO OUR WORK. 7547 05:13:50,960 --> 05:13:53,800 ONE OF THE REAL STRENGTHS OF 7548 05:13:53,800 --> 05:13:56,000 FNIH IS CONVENING CAPABILITY, WE 7549 05:13:56,000 --> 05:13:58,200 CAN REALLY PULL PEOPLE TOGETHER 7550 05:13:58,200 --> 05:13:59,600 WITH THE NIH INSTITUTE 7551 05:13:59,600 --> 05:14:01,560 SCIENTIFIC LEADERS FROM 7552 05:14:01,560 --> 05:14:02,600 BASICALLY EVERY SECTOR AND 7553 05:14:02,600 --> 05:14:05,440 INCREASINGLY THAT ISN'T JUST IN 7554 05:14:05,440 --> 05:14:07,880 THE HEALTH SECTOR BUT IS 7555 05:14:07,880 --> 05:14:09,400 EXTENDING INTO HEALTH TECH AND 7556 05:14:09,400 --> 05:14:12,200 BEYOND INTO A BROADER SET OF 7557 05:14:12,200 --> 05:14:14,840 GLOBAL HEALTH ISSUES AS WELL. 7558 05:14:14,840 --> 05:14:18,680 WE FACILITATE THE DESIGN AND 7559 05:14:18,680 --> 05:14:19,960 DEVELOPMENT OF PARTNERSHIPS, 7560 05:14:19,960 --> 05:14:22,280 PARTICULARLY THOSE THAT INVOLVE 7561 05:14:22,280 --> 05:14:24,680 COMPLEX PARTNERS OR CHALLENGING 7562 05:14:24,680 --> 05:14:25,560 PRE-COMPETITIVE AREAS ESPECIALLY 7563 05:14:25,560 --> 05:14:28,320 OBVIOUSLY FOR INVOLVED WITH 7564 05:14:28,320 --> 05:14:28,720 BIOTECHNOLOGY. 7565 05:14:28,720 --> 05:14:30,280 WE RAISE MONEY. 7566 05:14:30,280 --> 05:14:31,800 THE NIH IN GENERAL CONTRIBUTES 7567 05:14:31,800 --> 05:14:33,360 ABOUT HALF OF THE PROJECT FUNDS, 7568 05:14:33,360 --> 05:14:35,320 WE RAISE THE MONEY FOR THE OTHER 7569 05:14:35,320 --> 05:14:38,600 HALF OF THE PROJECT FUNDS 7570 05:14:38,600 --> 05:14:41,200 THROUGH OUTSIDE SOURCES FROM 7571 05:14:41,200 --> 05:14:42,440 PHILANTHROPY, FROM THE 7572 05:14:42,440 --> 05:14:43,680 BIOPHARMACEUTICAL PARTNERS AND 7573 05:14:43,680 --> 05:14:46,000 OTHER PEOPLE WHO ARE 7574 05:14:46,000 --> 05:14:47,000 PARTICIPATING IN THE 7575 05:14:47,000 --> 05:19:45,560 PARTNERSHIPS. 7576 05:19:45,560 --> 05:19:47,560 ONE IS OBVIOUSLY WE NEED MUCH 7577 05:19:47,560 --> 05:19:49,160 BETTER SURVEILLANCE, NOT JUST 7578 05:19:49,160 --> 05:19:52,200 FOR THE EMERGENCE OF A THREAT 7579 05:19:52,200 --> 05:19:53,960 BUT FOR THE VARIANTS OF THE 7580 05:19:53,960 --> 05:19:55,520 PATHOGEN AS THEY EMERGE. 7581 05:19:55,520 --> 05:19:59,360 IN A REALLY SPEAKS TO THIS SLIDE 7582 05:19:59,360 --> 05:20:00,880 I JUMP OVER, THE TRACE EFFORT 7583 05:20:00,880 --> 05:20:05,360 MONITORING IN REAL TIME OR NEAR 7584 05:20:05,360 --> 05:20:06,320 REAL TIME EMERGENCE OF VARIANTS, 7585 05:20:06,320 --> 05:20:08,080 SHARING SEQUENCING DATA AS WELL 7586 05:20:08,080 --> 05:20:11,600 AS IN VITRO DATA BROADLY FROM 7587 05:20:11,600 --> 05:20:12,360 THROUGHOUT THE SCIENTIFIC 7588 05:20:12,360 --> 05:20:16,320 COMMUNITY TO STAY ON TOP OF 7589 05:20:16,320 --> 05:20:18,680 VARIANTS AS THEY EMERGED, TRACE 7590 05:20:18,680 --> 05:20:19,800 EVOLVED ALSO INTO ENVIRONMENTAL 7591 05:20:19,800 --> 05:20:21,680 SURVEILLANCE WHICH IS, AGAIN, 7592 05:20:21,680 --> 05:20:25,520 STILL ONGOING, LOOKING FOR 7593 05:20:25,520 --> 05:20:28,560 VARIANTS IN WATER AND OTHER 7594 05:20:28,560 --> 05:20:28,960 MATERIALS. 7595 05:20:28,960 --> 05:20:31,440 SECOND MAJOR LESSON IS REALLY 7596 05:20:31,440 --> 05:20:34,720 NEEDING TO INVEST NOW IN THE 7597 05:20:34,720 --> 05:20:38,760 PIPELINE, YOU'VE HEARD ABOUT THE 7598 05:20:38,760 --> 05:20:39,840 NIAID-FUNDED WORK TO REALLY 7599 05:20:39,840 --> 05:20:41,440 FOCUS ON FAST TRACKING 7600 05:20:41,440 --> 05:20:43,240 ANTI-VIRAL DEVELOPMENT FOR THE 7601 05:20:43,240 --> 05:20:44,320 FAMILIES OF NON-PATHOGENS SO 7602 05:20:44,320 --> 05:20:46,520 THIS WORK IS UNDERWAY BUT IT'S 7603 05:20:46,520 --> 05:20:49,440 NOT CLEAR YET HOW THE 7604 05:20:49,440 --> 05:20:52,960 TRANSLATIONAL CAPACITY WILL 7605 05:20:52,960 --> 05:20:54,280 EVOLVE SO THERE'S A SIGNIFICANT 7606 05:20:54,280 --> 05:20:56,680 AMOUNT OF ROOM FOR INVESTMENT 7607 05:20:56,680 --> 05:20:58,880 AND PARTNERSHIP, I BELIEVE, IN 7608 05:20:58,880 --> 05:21:01,720 PROSECUTING THESE PORTFOLIOS OF 7609 05:21:01,720 --> 05:21:03,360 JUST IN CASE MEDICINES SIMILAR 7610 05:21:03,360 --> 05:21:09,080 TO THE MODEL CEPI IS USING. 7611 05:21:09,080 --> 05:21:10,280 THE PRIORITIZATION AND 7612 05:21:10,280 --> 05:21:12,440 EVALUATION OF REPURPOSED AS WELL 7613 05:21:12,440 --> 05:21:14,760 AS NEW PRODUCTS WAS PART OF THE 7614 05:21:14,760 --> 05:21:16,320 HEROIC EFFORT I DESCRIBED BUT 7615 05:21:16,320 --> 05:21:19,120 THIS IS SOMETHING THAT REALLY 7616 05:21:19,120 --> 05:21:21,600 NEEDS TO BE PLANNED IN A 7617 05:21:21,600 --> 05:21:22,680 PROTOCOL MANNER TEMPLATED, IF 7618 05:21:22,680 --> 05:21:24,160 YOU WILL, SO THAT IT DOESN'T 7619 05:21:24,160 --> 05:21:25,400 HAVE TO BE INVENTED ON THE FLY 7620 05:21:25,400 --> 05:21:28,240 EACH TIME THERE'S A NEW 7621 05:21:28,240 --> 05:21:28,520 PATHOGEN. 7622 05:21:28,520 --> 05:21:32,720 THAT MEANS WE NEED TO HAVE 7623 05:21:32,720 --> 05:21:34,280 REPOSITORIES OF DATA, VIRUSES, 7624 05:21:34,280 --> 05:21:36,440 ASSAYS, ANIMAL MODELS, ET 7625 05:21:36,440 --> 05:21:37,440 CETERA, JUST BASICALLY A 7626 05:21:37,440 --> 05:21:39,920 PANDEMIC PLAN FOR HOW TO CONDUCT 7627 05:21:39,920 --> 05:21:43,800 EMERGENCY SCIENCE IN THE CONTEXT 7628 05:21:43,800 --> 05:21:45,880 OF AN EMERGING INFECTIOUS 7629 05:21:45,880 --> 05:21:46,240 DISEASE THREAT. 7630 05:21:46,240 --> 05:21:48,800 ON THE NEXT SLIDE I'VE DISCUSSED 7631 05:21:48,800 --> 05:21:50,920 THE NEED FOR BETTER COORDINATION 7632 05:21:50,920 --> 05:21:53,720 OF THE PRE-CLINICAL AND CLINICAL 7633 05:21:53,720 --> 05:21:54,720 RESEARCH. 7634 05:21:54,720 --> 05:21:58,960 WE PUT THIS NETWORK OF 63 SITES 7635 05:21:58,960 --> 05:22:04,160 UP IN RAPID PACE, BUT AS THE 7636 05:22:04,160 --> 05:22:06,280 RESOURCES TO SUSTAIN THAT 7637 05:22:06,280 --> 05:22:08,400 COORDINATED SYSTEM HAVE DECLINED 7638 05:22:08,400 --> 05:22:09,480 OBVIOUSLY THE NETWORKS ARE 7639 05:22:09,480 --> 05:22:12,000 DECLINING OR AT LEAST FALLING 7640 05:22:12,000 --> 05:22:14,200 BACK INTO THEIR BASAL STATE. 7641 05:22:14,200 --> 05:22:15,960 PART OF THE LEANING INTO THE 7642 05:22:15,960 --> 05:22:18,680 WORLD WE LIVE IN NOW ARE THESE 7643 05:22:18,680 --> 05:22:19,760 OUTBREAKS AND EMERGENCES ARE 7644 05:22:19,760 --> 05:22:21,280 GOING TO CONTINUE TO HAPPEN IS 7645 05:22:21,280 --> 05:22:23,840 TO THINK WHAT CAN BE DONE TO 7646 05:22:23,840 --> 05:22:25,080 MAINTAIN THE WARMTH OF THE 7647 05:22:25,080 --> 05:22:27,960 NETWORKS, NOT JUST IN THE U.S. 7648 05:22:27,960 --> 05:22:29,400 BUT GLOBALLY, BUT ALSO WHAT ARE 7649 05:22:29,400 --> 05:22:33,680 THE THINGS IN THE BACK OFFICE, 7650 05:22:33,680 --> 05:22:34,600 POLICIES, STRUCTURE CONTRACT 7651 05:22:34,600 --> 05:22:36,320 TEMPLATES, MASTER AGREEMENTS, ET 7652 05:22:36,320 --> 05:22:40,600 CETERA, THAT COULD BE PLANNED IN 7653 05:22:40,600 --> 05:22:48,120 EVER READY FORM SO THEY DON'T O 7654 05:22:48,120 --> 05:22:48,440 BE INVENTED. 7655 05:22:48,440 --> 05:22:51,000 WE KNOW GETTING 33 PARTNERS 7656 05:22:51,000 --> 05:22:53,160 AROUND LAWYERS TO COME TO 7657 05:22:53,160 --> 05:22:54,920 AGREEMENT IS A TEDIOUS EFFORT AT 7658 05:22:54,920 --> 05:22:56,880 BEST, AND CAN BE ABLE TO DO SOME 7659 05:22:56,880 --> 05:22:58,080 OF THIS IN ADVANCE AND HAVE 7660 05:22:58,080 --> 05:23:00,800 THINGS READY TO ROLL OUT WHEN 7661 05:23:00,800 --> 05:23:04,000 THEY ARE NEEDED WOULD SAVE TIME 7662 05:23:04,000 --> 05:23:06,120 AND ACCELERATE THE PROCESS. 7663 05:23:06,120 --> 05:23:09,000 I THINK ACTIV AND MOST OF THE 7664 05:23:09,000 --> 05:23:12,000 CLINICAL WORK IN THE CONTEXT OF 7665 05:23:12,000 --> 05:23:14,280 THE PANDEMIC REALLY DID 7666 05:23:14,280 --> 05:23:15,800 EVENTUALLY INTEGRATE WELL INTO 7667 05:23:15,800 --> 05:23:18,440 COMMUNITY CARE SETTINGS BUT NOT 7668 05:23:18,440 --> 05:23:19,440 FAR ENOUGH PARTICULARLY IN RURAL 7669 05:23:19,440 --> 05:23:21,960 AREAS, SO WE HAVE TO MAKE SURE 7670 05:23:21,960 --> 05:23:26,960 THAT OUR TRIAL NETWORKS ARE MORE 7671 05:23:26,960 --> 05:23:28,560 ININCLUSIVE THAN AT THE 7672 05:23:28,560 --> 05:23:30,120 BEGINNING OF THE PANDEMIC. 7673 05:23:30,120 --> 05:23:32,000 THIS IS A SELF SERVING POINT BUT 7674 05:23:32,000 --> 05:23:35,520 WE NEED A PARTNERSHIP MODEL WELL 7675 05:23:35,520 --> 05:23:37,080 HONED AND TONED SO THAT IT'S 7676 05:23:37,080 --> 05:23:40,320 READY TO ROLL WHEN WE NEED IT 7677 05:23:40,320 --> 05:23:42,280 FOR AN EFFECTIVE PANDEMIC 7678 05:23:42,280 --> 05:23:42,720 RESPONSE. 7679 05:23:42,720 --> 05:23:43,760 WE SAW HOW VALUABLE THAT WAS IN 7680 05:23:43,760 --> 05:23:45,280 WARP SPEED AS WELL. 7681 05:23:45,280 --> 05:23:47,360 THAT'S ACTIV IN A NUTSHELL. 7682 05:23:47,360 --> 05:23:49,840 AND MY THANKS TO LARRY, WHO WHEN 7683 05:23:49,840 --> 05:23:52,680 I CAME ON BOARD LARRY WAS REALLY 7684 05:23:52,680 --> 05:23:54,440 THE FORCE THAT KEPT THE TRAINS 7685 05:23:54,440 --> 05:23:56,760 RUNNING ON THE TRACKS AND 7686 05:23:56,760 --> 05:23:58,600 KEEPING ACTIV GOING AND MAKING 7687 05:23:58,600 --> 05:24:00,160 SURE THAT WE DIDN'T LOSE ANY 7688 05:24:00,160 --> 05:24:01,880 STEAM AS THINGS BEGAN TO SLOW 7689 05:24:01,880 --> 05:24:04,080 DOWN A BIT AND IN THE SENSE OF 7690 05:24:04,080 --> 05:24:06,360 THE URGENCY, SO THE WHOLE TEAM 7691 05:24:06,360 --> 05:24:10,160 IS HEROIC BUT LARRY, I THANK YOU 7692 05:24:10,160 --> 05:24:13,160 AND YOUR PATIENTS KEEPING THIS 7693 05:24:13,160 --> 05:24:15,240 REALLY ON TRACK. 7694 05:24:15,240 --> 05:24:16,800 NEXT SLIDE I'M SWITCHING GEARS 7695 05:24:16,800 --> 05:24:23,160 TO TALK ABOUT THE ACCELERATING 7696 05:24:23,160 --> 05:24:23,760 MEDICINES PARTNERSHIP, $780 7697 05:24:23,760 --> 05:24:27,120 MILLION PORTFOLIO EVE -- OF 7698 05:24:27,120 --> 05:24:29,440 PROJECTS LISTED ON THE LEFT OF 7699 05:24:29,440 --> 05:24:30,440 THE SCREEN. 7700 05:24:30,440 --> 05:24:33,160 BUT THESE PROGRAMS ARE REALLY 7701 05:24:33,160 --> 05:24:36,000 DESIGNED TO IDENTIFY NEW 7702 05:24:36,000 --> 05:24:39,000 POTENTIAL TARGETS FOR DRUG 7703 05:24:39,000 --> 05:24:41,240 TREATMENTS OR OTHER 7704 05:24:41,240 --> 05:24:43,000 INTERVENTIONS, OR TO UNDERSTAND 7705 05:24:43,000 --> 05:24:46,280 THE PATHWAYS AND PHYSIOLOGY OF 7706 05:24:46,280 --> 05:24:48,560 THE WELL AND DISEASE STATES IN 7707 05:24:48,560 --> 05:24:49,800 THERAPEUTIC AREAS. 7708 05:24:49,800 --> 05:24:52,400 THE AMAZING THING AS I BEGAN TO 7709 05:24:52,400 --> 05:24:53,960 STUDY THESE PROJECTS WAS FIRST 7710 05:24:53,960 --> 05:24:56,600 OF ALL THEIR DURABILITY, MOST OF 7711 05:24:56,600 --> 05:24:58,960 THESE ARE INTENSITY FUNDED 7712 05:24:58,960 --> 05:25:00,280 THROUGH THE PHARMACEUTICAL 7713 05:25:00,280 --> 05:25:03,000 INDUSTRY CONTRIBUTIONS THAT AS I 7714 05:25:03,000 --> 05:25:04,880 SAID IS ROUGHLY EQUAL TO WHAT 7715 05:25:04,880 --> 05:25:06,480 NIH IS CONTRIBUTING IN MOST 7716 05:25:06,480 --> 05:25:08,680 CASES, BUT THE FACT THAT THEY 7717 05:25:08,680 --> 05:25:10,280 SUSTAIN THE INVESTMENT FOR SUCH 7718 05:25:10,280 --> 05:25:12,880 LONG PERIODS OF TIME AND WHEN 7719 05:25:12,880 --> 05:25:16,040 THE PROJECT ENDS THEY REUP FOR 7720 05:25:16,040 --> 05:25:18,200 AN ADVANCED VERSION OF IT. 7721 05:25:18,200 --> 05:25:20,840 COMING FROM MY BACKGROUNDED A 7722 05:25:20,840 --> 05:25:22,560 MERCK THAT SUGGESTS PARTNERS ARE 7723 05:25:22,560 --> 05:25:24,760 FINDING THESE TO BE EXTREMELY 7724 05:25:24,760 --> 05:25:25,000 VALUABLE. 7725 05:25:25,000 --> 05:25:26,200 IT ISN'T EASY TO FIND THIS KIND 7726 05:25:26,200 --> 05:25:28,600 OF MONEY IN THE R&D SPACE WHEN 7727 05:25:28,600 --> 05:25:33,000 IT'S NOT DIRECTLY LINKED TO 7728 05:25:33,000 --> 05:25:34,640 SPECIFIC PRODUCT OR OUTCOME, TO 7729 05:25:34,640 --> 05:25:35,760 THAT THE COLLABORATIVE SCIENCE 7730 05:25:35,760 --> 05:25:37,800 GOING ON TELLS ME IT'S HIGH 7731 05:25:37,800 --> 05:25:39,440 VALUE SCIENCE, SO AS I WAS 7732 05:25:39,440 --> 05:25:41,200 COMING ON BOARD I INTERVIEWED 7733 05:25:41,200 --> 05:25:43,720 WITH A NUMBER OF THE COMPANIES 7734 05:25:43,720 --> 05:25:46,320 WHO ARE PARTNERS OF FNIH TO 7735 05:25:46,320 --> 05:25:47,720 REALLY UNDERSTAND WHAT IS IT 7736 05:25:47,720 --> 05:25:50,280 THAT YOU GET OUT OF THESE 7737 05:25:50,280 --> 05:25:52,360 COLLABORATIONS, AND I WAS PRETTY 7738 05:25:52,360 --> 05:25:54,320 IMPRESSED THAT IT'S NOT JUST THE 7739 05:25:54,320 --> 05:25:55,760 SPIRIT OF COLLABORATION, IT'S 7740 05:25:55,760 --> 05:25:56,840 REALLY THE SENSE WHEN THEY WORK 7741 05:25:56,840 --> 05:25:58,400 TOGETHER THEY CAN DO THINGS THAT 7742 05:25:58,400 --> 05:26:00,120 NO COMPANY COULD DO ALONE. 7743 05:26:00,120 --> 05:26:05,600 OFT EN IT HAS TO DO WITH 7744 05:26:05,600 --> 05:26:08,600 DATABASES SO THE QUERIES AND THE 7745 05:26:08,600 --> 05:26:10,880 INPUTS FROM CLINICAL TRIALS OR 7746 05:26:10,880 --> 05:26:12,640 PRE-COMPETITIVE WORK CAN BE 7747 05:26:12,640 --> 05:26:13,720 SHARED AND AGGREGATED IN WAYS 7748 05:26:13,720 --> 05:26:16,600 THAT DEVELOP A GREAT DEAL MORE 7749 05:26:16,600 --> 05:26:19,800 POWER TO IDENTIFY POTENTIAL 7750 05:26:19,800 --> 05:26:21,760 TARGETS OR DETERMINANTS OF 7751 05:26:21,760 --> 05:26:22,960 DISEASE STATES. 7752 05:26:22,960 --> 05:26:24,280 NEXT SLIDE I'M GOING TO 7753 05:26:24,280 --> 05:26:26,800 ILLUSTRATE A LITTLE BIT HOW 7754 05:26:26,800 --> 05:26:29,480 THESE PROGRAMS HAVE EVOLVED OVER TIME 7755 05:26:29,480 --> 05:26:36,360 AS THIS PROGRAM WOUND DOWN, 7756 05:26:36,360 --> 05:26:39,400 THE DECISION WAS MADE BY THE 7757 05:26:39,400 --> 05:26:40,760 PARTICIPANTS IT TOO HAD SO MUCH 7758 05:26:40,760 --> 05:26:45,240 MERIT THEY WANTED TO EXTEND IT. 7759 05:26:45,240 --> 05:26:46,600 YOU CAN SEE THE PARTNERSHIP 7760 05:26:46,600 --> 05:26:49,000 EXTENDED TO INCLUDE A MUCH 7761 05:26:49,000 --> 05:26:50,080 BROADER SWATH OF METABOLIC 7762 05:26:50,080 --> 05:26:51,280 DISEASES, INCLUDING KIDNEYS, 7763 05:26:51,280 --> 05:26:52,720 OBESITY, NASH, ET CETERA, THE 7764 05:26:52,720 --> 05:26:53,480 SYNDROMES THAT ARE ALL 7765 05:26:53,480 --> 05:26:54,000 COLLECTIVELY KNOWN AS COMMON 7766 05:26:54,000 --> 05:26:56,240 METABOLIC DISEASES BUT SIMILAR 7767 05:26:56,240 --> 05:26:57,800 APPROACH TO REALLY POOLING 7768 05:26:57,800 --> 05:27:00,800 INFORMATION FROM A VARIETY OF 7769 05:27:00,800 --> 05:27:01,600 RESOURCES 7770 05:27:01,600 --> 05:27:03,840 ALLOWING THAT DATA TO BE 7771 05:27:03,840 --> 05:27:06,280 ACCESSED AND UTILIZED BROADLY BY 7772 05:27:06,280 --> 05:27:09,480 NOT JUST PARTNERS BUT BY ANY 7773 05:27:09,480 --> 05:27:10,200 QUALIFIED INVESTIGATOR SO 7774 05:27:10,200 --> 05:27:12,480 ULTIMATE GOAL IS FOR ALL OF THE 7775 05:27:12,480 --> 05:27:14,720 DATA THAT ARE ASSEMBLED THROUGH 7776 05:27:14,720 --> 05:27:16,600 FNIH PARTNERSHIPS TO BE PUBLICLY 7777 05:27:16,600 --> 05:27:19,240 AVAILABLE TO THE APPROPRIATELY 7778 05:27:19,240 --> 05:27:21,240 CREDENTIALED RESEARCHERS. 7779 05:27:21,240 --> 05:27:24,160 NEXT SLIDE, JUST BRIEFLY 7780 05:27:24,160 --> 05:27:26,680 DESCRIBING THE AMP IN AUTOIMMUNE 7781 05:27:26,680 --> 05:27:28,240 AND IMMUNE MEDIATED DISEASE 7782 05:27:28,240 --> 05:27:33,440 WHICH STARTED WITH AN AMP IN 7783 05:27:33,440 --> 05:27:34,360 LUPUS BUT NOW EXTENDING INTO 7784 05:27:34,360 --> 05:27:37,200 MUCH MORE PROBING OF THE 7785 05:27:37,200 --> 05:27:38,800 INFLAMMASOME, THIS IS 7786 05:27:38,800 --> 05:27:40,680 COMPLICATED SYSTEMS BIOLOGY 7787 05:27:40,680 --> 05:27:40,960 APPROACH. 7788 05:27:40,960 --> 05:27:43,000 I HAVEN'T REALLY HAD A DEEP DIVE 7789 05:27:43,000 --> 05:27:44,200 INTO THE DETAILS BUT I KNOW 7790 05:27:44,200 --> 05:27:47,280 THERE'S GREAT DEAL OF EXCITEMENT 7791 05:27:47,280 --> 05:27:48,680 AND WE'VE HAD SEVERAL RECENT 7792 05:27:48,680 --> 05:27:50,440 PEOPLE COME FORWARD AND SAY THEY 7793 05:27:50,440 --> 05:27:52,080 WOULD LOVE TO BE PART OF THIS 7794 05:27:52,080 --> 05:27:58,560 PARTNERSHIP SO I THINK THIS IS 7795 05:27:58,560 --> 05:28:08,600 ALIVE AND WELL WITH A $65 7796 05:28:08,600 --> 05:28:09,000 MILLION INVESTMENT. 7797 05:28:09,000 --> 05:28:13,640 THE MOST RECENT ONE TO BE IN THE 7798 05:28:13,640 --> 05:28:16,400 NEWS, WHEN THE CONSORTIUM FOR 7799 05:28:16,400 --> 05:28:17,680 BESPOKE GENE THERAPY ANNOUNCED 7800 05:28:17,680 --> 05:28:19,320 THE DECISIONS ABOUT WHAT RARE 7801 05:28:19,320 --> 05:28:23,240 DISEASES WERE GOING TO GO INTO 7802 05:28:23,240 --> 05:28:28,840 THE PORTFOLIO OF CLINICAL TRIALS 7803 05:28:28,840 --> 05:28:30,840 FOR AAV-BASED GENE THERAPY, THIS 7804 05:28:30,840 --> 05:28:32,480 IS A VERY SMALL SUBSET OF THE 7805 05:28:32,480 --> 05:28:35,560 WORLD OF RARE DISEASES THAT HAVE 7806 05:28:35,560 --> 05:28:37,080 A GENETIC BASIS POTENTIALLY 7807 05:28:37,080 --> 05:28:39,160 AMENABLE TO GENE THERAPY BUT IT 7808 05:28:39,160 --> 05:28:49,680 REPRESENTS IN A SENSE PROTOTYPIC 7809 05:28:51,680 --> 05:28:54,040 IDEAS, RARE DISEASE INVESTMENTS 7810 05:28:54,040 --> 05:28:56,760 TO SUPPORT. 7811 05:28:56,760 --> 05:28:59,080 THOSE INCLUDE, FOR EXAMPLE, 7812 05:28:59,080 --> 05:29:00,160 MANUFACTURING OF GENE VECTORS, 7813 05:29:00,160 --> 05:29:04,440 GENE THERAPY VECTORS AND 7814 05:29:04,440 --> 05:29:05,440 MANUFACTURING GMP STANDARDS TO 7815 05:29:05,440 --> 05:29:07,160 COME TO SYSTEMIC AGREEMENT ABOUT 7816 05:29:07,160 --> 05:29:08,360 THAT, IT WOULD BENEFIT EVERYONE 7817 05:29:08,360 --> 05:29:12,760 WHO IS IN THIS SPACE. 7818 05:29:12,760 --> 05:29:13,520 LIKEWISE, HOW TO REALLY 7819 05:29:13,520 --> 05:29:14,400 PROSECUTE CLINICAL TRIALS FOR 7820 05:29:14,400 --> 05:29:18,480 RARE DISEASES WHEN YOU CAN'T DO 7821 05:29:18,480 --> 05:29:19,240 A RANDOMIZED CONTROLLED STUDY, 7822 05:29:19,240 --> 05:29:23,040 HAVING OPPORTUNITY TO CREATE 7823 05:29:23,040 --> 05:29:23,840 MORE REGULATORY CERTAINTY, 7824 05:29:23,840 --> 05:29:30,840 DECREASES RISK TO PEOPLE 7825 05:29:30,840 --> 05:29:33,040 INVESTING IN PROTOCOLS AND HELPS 7826 05:29:33,040 --> 05:29:34,440 SPEED THEM UP. 7827 05:29:34,440 --> 05:29:36,720 I LISTED THE DISEASES PART OF 7828 05:29:36,720 --> 05:29:39,360 THIS PORTFOLIO, AND I THINK A 7829 05:29:39,360 --> 05:29:41,440 BEAUTIFUL QUOTE FROM A MOTHER 7830 05:29:41,440 --> 05:29:43,880 WHO REALLY HAD WORKED SO HARD TO 7831 05:29:43,880 --> 05:29:47,600 TRY TO GET PEOPLE INTERESTED IN 7832 05:29:47,600 --> 05:29:49,640 HER CHILD'S DISEASE, THROUGH 7833 05:29:49,640 --> 05:29:53,200 BAKE SALES, ROAD RACES, GOFUNDME 7834 05:29:53,200 --> 05:29:54,840 TYPE EFFORTS, PEOPLE JUST 7835 05:29:54,840 --> 05:29:56,640 POURING THEIR HEARTS INTO TRYING 7836 05:29:56,640 --> 05:30:03,920 TO MOVE WHAT THEY KNOW IS 7837 05:30:03,920 --> 05:30:04,800 SCIENTIFICALLY POTENTIALLY 7838 05:30:04,800 --> 05:30:08,720 POSSIBLE TO WHERE IT'S 7839 05:30:08,720 --> 05:30:10,040 PRACTICALLY POSSIBLE TO DEVELOP 7840 05:30:10,040 --> 05:30:10,800 THERAPIES. 7841 05:30:10,800 --> 05:30:15,920 I HAVE THE PARTNERS CURRENTLY IN 7842 05:30:15,920 --> 05:30:16,760 THIS CONSORTIUM INCLUDING TEN 7843 05:30:16,760 --> 05:30:18,920 NIH INSTITUTES AND BRAIN 7844 05:30:18,920 --> 05:30:19,760 INITIATIVE, FDA IS VERY 7845 05:30:19,760 --> 05:30:23,480 IMPORTANT TO ALL OF THE PARTNERS 7846 05:30:23,480 --> 05:30:30,480 IN TERMS OF WHAT PETER MARKS IS 7847 05:30:30,480 --> 05:30:32,680 DOING TO SUPPORT ACCELERATED 7848 05:30:32,680 --> 05:30:32,920 THERAPY. 7849 05:30:32,920 --> 05:30:34,680 THE NON-GOVERNMENT PARTNERS HAVE 7850 05:30:34,680 --> 05:30:36,640 VERY LARGE PHARMA COMPANIES LIKE 7851 05:30:36,640 --> 05:30:38,800 PFIZER BUT ALSO VERY SMALL 7852 05:30:38,800 --> 05:30:41,960 COMPANIES AND A NUMBER OF 7853 05:30:41,960 --> 05:30:42,720 PATIENT ORGANIZATIONS. 7854 05:30:42,720 --> 05:30:45,800 WHAT'S TOUCHING IS MANY OF THE 7855 05:30:45,800 --> 05:30:47,000 PATIENT ORGANIZATIONS INVOLVED 7856 05:30:47,000 --> 05:30:48,120 ARE CONCERNED ABOUT DISEASES 7857 05:30:48,120 --> 05:30:49,880 THAT ARE NOT INCLUDED IN THE 7858 05:30:49,880 --> 05:30:50,840 LIST OF EIGHT DISEASES THAT ARE 7859 05:30:50,840 --> 05:30:53,920 GOING TO BE THE FIRST OUT OF THE 7860 05:30:53,920 --> 05:30:55,320 STARTING GATE, BUT JUST 7861 05:30:55,320 --> 05:30:57,760 RECOMMENDS, AGAIN, THAT SENTENCE 7862 05:30:57,760 --> 05:30:58,760 THAT LIKE COLLABORATING ALL 7863 05:30:58,760 --> 05:31:00,240 BOATS WILL FLOAT HIGHER AND WE 7864 05:31:00,240 --> 05:31:03,680 CAN GO FURTHER AND FASTER IF WE 7865 05:31:03,680 --> 05:31:07,480 WORK TOGETHER. 7866 05:31:07,480 --> 05:31:09,480 NEXT SLIDE, I'M ILLUSTRATING A 7867 05:31:09,480 --> 05:31:11,640 CONCEPT THAT IS ALWAYS PART OF 7868 05:31:11,640 --> 05:31:16,480 THE INTERSECTION WHEN NIH AND 7869 05:31:16,480 --> 05:31:16,680 FNIH. 7870 05:31:16,680 --> 05:31:18,920 BUT NOW THAT THIS IS SUCH AN 7871 05:31:18,920 --> 05:31:20,760 IMPORTANT PART OF THE OVERALL 7872 05:31:20,760 --> 05:31:22,560 PROCESS OF DRUG DEVELOPMENT WE 7873 05:31:22,560 --> 05:31:25,160 WANTED TO REALLY CREATE A MORE 7874 05:31:25,160 --> 05:31:26,200 SYSTEMIC APPROACH, SO THE WOMAN 7875 05:31:26,200 --> 05:31:30,280 ON THE LEFT HERE IS A WOMAN 7876 05:31:30,280 --> 05:31:31,840 NURSE WHO WORKED WITH ME AT 7877 05:31:31,840 --> 05:31:34,440 MERCK WHEN I WAS THE CHIEF 7878 05:31:34,440 --> 05:31:37,280 PATIENT OFFICER, TRYING TO BUILD 7879 05:31:37,280 --> 05:31:39,800 A COHESIVE AND COHERENT END TO 7880 05:31:39,800 --> 05:31:41,880 END PATIENT FOCUS AT MERCK, 7881 05:31:41,880 --> 05:31:43,040 SHE'S BEEN A CONSULTANT TO OUR 7882 05:31:43,040 --> 05:31:46,040 EFFORT TO DO THE SAME AS FNIH. 7883 05:31:46,040 --> 05:31:47,480 TANYA IS THE WOMAN IN THE MIDDLE 7884 05:31:47,480 --> 05:31:51,200 WHO IS PART OF ONE OF OUR AMP 7885 05:31:51,200 --> 05:31:53,600 METABOLIC AMP, NOW HAS A NEW 7886 05:31:53,600 --> 05:31:55,920 TITLE AS DIRECTOR OF PATIENT 7887 05:31:55,920 --> 05:31:57,560 ENGAGEMENT AND INNOVATION, NEXT 7888 05:31:57,560 --> 05:32:01,960 TO HER IS DAVID CARMEL, NEWEST 7889 05:32:01,960 --> 05:32:07,840 LEADER OF FNIH, AN AMAZING 7890 05:32:07,840 --> 05:32:10,600 ENTREPRENEUR AND HARVARD-TRAINED 7891 05:32:10,600 --> 05:32:13,880 AND STANFORD MBA BUSINESSMAN, 7892 05:32:13,880 --> 05:32:16,600 BUT ALSO HAS INDUSTRY EXPERIENCE 7893 05:32:16,600 --> 05:32:21,240 IN THE INVESTMENT AND INVESTOR 7894 05:32:21,240 --> 05:32:22,920 TO RELATIONS AREAS, MOST 7895 05:32:22,920 --> 05:32:24,520 RECENTLY FEATURED ON "THE TODAY 7896 05:32:24,520 --> 05:32:27,160 SHOW" BECAUSE HE AND HIS BROTHER 7897 05:32:27,160 --> 05:32:29,960 ARE WORKING COLLABORATIVELY TO 7898 05:32:29,960 --> 05:32:32,280 TRY TO FIND SOLUTIONS TO SPINAL 7899 05:32:32,280 --> 05:32:34,920 CORD INJURY IN PART BECAUSE 7900 05:32:34,920 --> 05:32:36,200 DAVID ATTEND A SEVERE SPINAL 7901 05:32:36,200 --> 05:32:37,520 CORD INJURY AT AGE 26 WHEN HE 7902 05:32:37,520 --> 05:32:40,840 TOOK A HEADER INTO A SANDBAR 7903 05:32:40,840 --> 05:32:43,880 WHILE SWIMMING, AND BECAME 7904 05:32:43,880 --> 05:32:46,000 PARALYZED FROM CHEST DOWN. 7905 05:32:46,000 --> 05:32:49,440 DAVID IS VERY MUCH COMMITTED TO 7906 05:32:49,440 --> 05:32:51,200 THIS CONCEPT OF PATIENT FOCUS 7907 05:32:51,200 --> 05:32:54,080 ACROSS OUR WORK, I WON'T GO INTO 7908 05:32:54,080 --> 05:32:55,200 DETAILS BUT WE'RE WORKING HARD 7909 05:32:55,200 --> 05:33:00,960 TO INCREASE OUR PRESENCE AND WE 7910 05:33:00,960 --> 05:33:03,160 DO HAVE PATIENT ENGAGEMENT AND 7911 05:33:03,160 --> 05:33:05,120 HAVE HIRED PATIENT AMBASSADORS 7912 05:33:05,120 --> 05:33:06,560 WHO ARE THERE TO HELP, HELP 7913 05:33:06,560 --> 05:33:08,680 OTHER PEOPLE UNDERSTAND THE 7914 05:33:08,680 --> 05:33:10,520 IMPORTANCE OF TRIALS AND 7915 05:33:10,520 --> 05:33:12,520 CLINICAL RESEARCH AND IMPORTANCE 7916 05:33:12,520 --> 05:33:16,040 OF IMPROVING ACCESS AND 7917 05:33:16,040 --> 05:33:17,360 PARTICIPATION. 7918 05:33:17,360 --> 05:33:19,920 NEXT SLIDE, I'M ILLUSTRATING ONE 7919 05:33:19,920 --> 05:33:21,160 REALLY IMPORTANT POINT, 7920 05:33:21,160 --> 05:33:23,360 POTENTIALLY A POINT WHERE THE 7921 05:33:23,360 --> 05:33:27,280 ADVISORY COMMITTEE COULD BE 7922 05:33:27,280 --> 05:33:27,520 HELPFUL. 7923 05:33:27,520 --> 05:33:31,960 THAT IS THE PLAN FOR OUR MOST 7924 05:33:31,960 --> 05:33:33,040 RECENT AMP, TO MOVE TOWARD THE 7925 05:33:33,040 --> 05:33:34,520 LAUNCH PHASE. 7926 05:33:34,520 --> 05:33:38,240 THIS IS THE ALS AMP, WHICH IS 7927 05:33:38,240 --> 05:33:40,560 SOMETHING THAT WE HAVE A GREAT 7928 05:33:40,560 --> 05:33:42,640 DEAL OF PASSION FOR, BUT WHEN WE 7929 05:33:42,640 --> 05:33:44,640 WERE THINKING ABOUT HOW TO TIME 7930 05:33:44,640 --> 05:33:46,880 OUR WORK I WENT BACK AND LOOKED 7931 05:33:46,880 --> 05:33:50,200 AT HOW WE LAUNCHED ALL OF OUR 7932 05:33:50,200 --> 05:33:51,640 OTHER AMPs, AND DISCOVERED 7933 05:33:51,640 --> 05:33:54,040 THAT ON AVERAGE IT TAKES AT 7934 05:33:54,040 --> 05:33:56,000 LEAST 18 MONTHS FROM THE TIME 7935 05:33:56,000 --> 05:33:57,320 THE IDEA IS GENERALLY ACCEPTED 7936 05:33:57,320 --> 05:34:00,120 AS A GOOD ONE UNTIL WE CAN GO 7937 05:34:00,120 --> 05:34:02,680 THROUGH ALL THE STAGES OF 7938 05:34:02,680 --> 05:34:04,400 DESIGNING AND RAISING MONEY AND 7939 05:34:04,400 --> 05:34:07,040 EXECUTING THE CONTRACTS, AND 7940 05:34:07,040 --> 05:34:09,880 ULTIMATELY DEVELOPING THE 7941 05:34:09,880 --> 05:34:10,200 RESEARCH PLAN. 7942 05:34:10,200 --> 05:34:11,560 FOR THE PEOPLE ON THE INDUSTRY 7943 05:34:11,560 --> 05:34:14,080 SIDE THIS IS TOO LONG BECAUSE 7944 05:34:14,080 --> 05:34:16,280 THEY OPERATE ON BUDGET CYCLES 7945 05:34:16,280 --> 05:34:17,440 MUCH SHORTER AND THEY NEED TO 7946 05:34:17,440 --> 05:34:19,640 HAVE SOMETHING TO SHOW FOR THEIR 7947 05:34:19,640 --> 05:34:23,240 INVESTMENTS ON A FASTER TIMELINE 7948 05:34:23,240 --> 05:34:24,040 THAN THIS. 7949 05:34:24,040 --> 05:34:26,440 SO WE ARE EXPERIMENTING WITH ALS 7950 05:34:26,440 --> 05:34:30,160 AMP TO SEE HOW WE CAN DO SOME 7951 05:34:30,160 --> 05:34:31,920 THINGS IN PARALLEL AS OPPOSED TO 7952 05:34:31,920 --> 05:34:34,120 IN SERIES BUT MORE IMPORTANTLY 7953 05:34:34,120 --> 05:34:36,720 HOW WE CAN JUMP START THE 7954 05:34:36,720 --> 05:34:38,160 FUNDING OF THESE PROJECTS EVEN 7955 05:34:38,160 --> 05:34:40,640 IF NIH ISN'T YET IN A NEW FISCAL 7956 05:34:40,640 --> 05:34:42,080 YEAR WHERE THEY HAVE A BUDGET OR 7957 05:34:42,080 --> 05:34:44,880 IF THEY HAVE A CONTINUING 7958 05:34:44,880 --> 05:34:47,400 RESOLUTION AND CAN'T START 7959 05:34:47,400 --> 05:34:52,200 THINGS NEW EASILY, WE REALLY 7960 05:34:52,200 --> 05:34:53,400 RECOGNIZE IMPORTANT ROLES FNIH 7961 05:34:53,400 --> 05:34:56,000 CAN PLAY TO JUMP START THINGS TO 7962 05:34:56,000 --> 05:34:57,800 ACCELERATE THEM AND GET THEM 7963 05:34:57,800 --> 05:34:58,120 GOING FASTER. 7964 05:34:58,120 --> 05:35:01,160 THAT'S HOW WE'RE OPERATING WITH 7965 05:35:01,160 --> 05:35:04,800 THIS PARTICULAR AMP, WORKING ON 7966 05:35:04,800 --> 05:35:09,920 CONTRACTUAL MODELS, TASK ORDER, 7967 05:35:09,920 --> 05:35:10,800 ET CETERA. 7968 05:35:10,800 --> 05:35:11,960 WE'RE OPTIMISTIC WE'RE GOING TO 7969 05:35:11,960 --> 05:35:14,880 LEARN A LOT, ON TRACK TO SHORTEN 7970 05:35:14,880 --> 05:35:15,720 LAUNCH TIME. 7971 05:35:15,720 --> 05:35:17,800 STAY TUNED. 7972 05:35:17,800 --> 05:35:22,960 I WANTED TO THANK LARRY AND NIH 7973 05:35:22,960 --> 05:35:24,040 BECAUSE CONGRESS AUTHORIZES THE 7974 05:35:24,040 --> 05:35:25,800 NIH TO TRANSFER CERTAIN AMOUNT 7975 05:35:25,800 --> 05:35:27,120 OF MONEY TO THE FNIH EACH YEAR 7976 05:35:27,120 --> 05:35:30,640 AND THIS IS ONE OF THE WAYS I 7977 05:35:30,640 --> 05:35:32,600 INTEND TO USE THOSE RESOURCES TO 7978 05:35:32,600 --> 05:35:34,680 HELP MOVE THE CYCLE OF THESE 7979 05:35:34,680 --> 05:35:37,520 PARTNERSHIP ALSO INTO A FASTER 7980 05:35:37,520 --> 05:35:40,240 PHASE AND SO APPRECIATE THAT 7981 05:35:40,240 --> 05:35:40,960 SUPPORT. 7982 05:35:40,960 --> 05:35:42,720 NEXT SLIDE, I'M LISTING SOME OF 7983 05:35:42,720 --> 05:35:47,280 THE WAYS IN WHICH WE THINK THE 7984 05:35:47,280 --> 05:35:49,680 RESOURCE DEVELOPMENT WILL BE 7985 05:35:49,680 --> 05:35:52,080 HELPFUL TO NIH AND OBVIOUSLY 7986 05:35:52,080 --> 05:35:55,240 FNIH, WE'RE IN THE QUIET PHASE 7987 05:35:55,240 --> 05:35:57,800 OF A FUNDRAISING CAMPAIGN TO 7988 05:35:57,800 --> 05:35:59,960 BUILD THIS CHEST OF FLEXIBLE 7989 05:35:59,960 --> 05:36:01,320 RESOURCES, MY GOAL NOT TO 7990 05:36:01,320 --> 05:36:04,480 SOLICIT RESOURCES TODAY BUT JUST 7991 05:36:04,480 --> 05:36:06,120 TO SAY THAT WE ARE LEARNING AS 7992 05:36:06,120 --> 05:36:09,480 WE GO ABOUT AND DO OUR HOMEWORK 7993 05:36:09,480 --> 05:36:11,600 ON THIS FINANCIAL CAMPAIGN THAT 7994 05:36:11,600 --> 05:36:13,040 WE ARE EXTREMELY WELL POSITIONED 7995 05:36:13,040 --> 05:36:16,840 TO RAISE MONEY FROM THE OUTSIDE 7996 05:36:16,840 --> 05:36:17,840 PARTICULARLY FROM DONOR-ADVISED 7997 05:36:17,840 --> 05:36:20,160 FUNDS WHERE PEOPLE WHO CARE 7998 05:36:20,160 --> 05:36:26,160 ABOUT BIOMEDICAL RESEARCH MOVED 7999 05:36:26,160 --> 05:36:30,000 THEIR MONEY INTO FUNDS WHERE 8000 05:36:30,000 --> 05:36:31,840 THEY CAN ITEM THE ADVISER WHERE 8001 05:36:31,840 --> 05:36:34,160 TO PUT THE MONEY BUT WHEN THEY 8002 05:36:34,160 --> 05:36:35,440 APPRECIATE THEY COULD INVEST IN 8003 05:36:35,440 --> 05:36:38,880 THE SITUATION THAT HAS THE NIH 8004 05:36:38,880 --> 05:36:40,880 WITH ITS INCREDIBLE SCIENTIFIC 8005 05:36:40,880 --> 05:36:42,880 CREDIBILITY, SOME OF THE BEST 8006 05:36:42,880 --> 05:36:44,680 ACADEMICIANS WORKING IN A 8007 05:36:44,680 --> 05:36:46,080 PARTICULAR THERAPEUTIC AREA, AND 8008 05:36:46,080 --> 05:36:51,160 HEADS OF R&D OF OUR 8009 05:36:51,160 --> 05:36:53,080 BIOPHARMACEUTICAL SYSTEM 8010 05:36:53,080 --> 05:36:53,960 CONCENTRATE IN PARTNERSHIP ON 8011 05:36:53,960 --> 05:36:58,200 TACKLING SOME OF THESE VEXING 8012 05:36:58,200 --> 05:36:58,920 PROBLEMS AND PRE-COMPETITIVE 8013 05:36:58,920 --> 05:37:00,600 SPACE, THEY ARE VERY EXCITED AND 8014 05:37:00,600 --> 05:37:04,800 WE THINK THIS IS REALLY NOT ONLY 8015 05:37:04,800 --> 05:37:06,640 HELPFUL TO EXPANDING THE VALUE 8016 05:37:06,640 --> 05:37:08,800 OF PARTNERSHIPS AND SPEEDING 8017 05:37:08,800 --> 05:37:13,120 THEM UP BUT ALSO IN A SENSE WILL 8018 05:37:13,120 --> 05:37:14,880 HELP BUILD UNDERSTANDING AND 8019 05:37:14,880 --> 05:37:18,000 RECOGNITION OF WHAT NIH IS AND 8020 05:37:18,000 --> 05:37:20,720 DOES AND PROVIDE SOME LIGHT 8021 05:37:20,720 --> 05:37:22,320 ON -- SHINE A BRIGHT LIGHT ON 8022 05:37:22,320 --> 05:37:23,480 SCIENTIFIC STARS THAT WOULD BE 8023 05:37:23,480 --> 05:37:25,680 PART OF THE NARRATIVE DESCRIBING 8024 05:37:25,680 --> 05:37:27,000 THE IMPORTANCE OF THIS WORK. 8025 05:37:27,000 --> 05:37:29,160 LONG TERM FROM THE STANDPOINT OF 8026 05:37:29,160 --> 05:37:31,320 FNIH OBVIOUSLY WE AIM TO 8027 05:37:31,320 --> 05:37:34,120 INCREASE OUR LONG TERM FINANCIAL 8028 05:37:34,120 --> 05:37:35,400 STABILITY AND FLEXIBILITY, SO WE 8029 05:37:35,400 --> 05:37:39,160 HOPE THAT YOU HAVE SPIRITUAL 8030 05:37:39,160 --> 05:37:40,800 SUPPORT FOR THIS CAMPAIGN AND 8031 05:37:40,800 --> 05:37:42,840 IT'S IMPORTANT TO ME THAT PEOPLE 8032 05:37:42,840 --> 05:37:45,160 UNDERSTAND WHY WE'RE DOING IT 8033 05:37:45,160 --> 05:37:46,480 BECAUSE I'VE ALSO HAD THE 8034 05:37:46,480 --> 05:37:47,880 EXPERIENCE WHERE PEOPLE ARE A 8035 05:37:47,880 --> 05:37:49,240 LITTLE BIT CONFUSED ABOUT WHY 8036 05:37:49,240 --> 05:37:51,080 THEY WOULD GIVE MONEY TO THE 8037 05:37:51,080 --> 05:37:51,920 NIH. 8038 05:37:51,920 --> 05:37:54,920 AND SO I'M HELPING HOPEFULLY TO 8039 05:37:54,920 --> 05:37:57,200 TELL THE STORY THAT THERE'S 8040 05:37:57,200 --> 05:37:58,960 VALUE IN SUPPORTING THE WORK OF 8041 05:37:58,960 --> 05:38:03,120 THE NIH AND THE COLLABORATIVE 8042 05:38:03,120 --> 05:38:05,400 SCIENCE AND SCIENTIFIC 8043 05:38:05,400 --> 05:38:08,040 DEVELOPMENT SPACES. 8044 05:38:08,040 --> 05:38:09,560 NEXT SLIDE, I WANTED TO SWITCH 8045 05:38:09,560 --> 05:38:12,200 GEARS A LITTLE BIT AND JUST SAY 8046 05:38:12,200 --> 05:38:14,000 THAT WHAT I'VE BEEN DESCRIBING 8047 05:38:14,000 --> 05:38:16,240 IS PRIMARILY ONE OF OUR 8048 05:38:16,240 --> 05:38:17,800 PORTFOLIO PROGRAMS BUT WE HAVE 8049 05:38:17,800 --> 05:38:18,880 OTHERS. 8050 05:38:18,880 --> 05:38:20,600 WE ALSO HAVE A PIPELINE SO THIS 8051 05:38:20,600 --> 05:38:22,560 JUST GIVES YOU THE FLAVOR OF 8052 05:38:22,560 --> 05:38:24,760 SOME OF THE OTHER ACTIVITIES 8053 05:38:24,760 --> 05:38:27,080 THAT WE ARE EITHER DESIGNING OR 8054 05:38:27,080 --> 05:38:29,560 BUILDING FUNDING FOR AT THE 8055 05:38:29,560 --> 05:38:31,760 PRESENT TIME FOR THIS COMING 8056 05:38:31,760 --> 05:38:32,880 YEAR. 8057 05:38:32,880 --> 05:38:35,840 AND YOU CAN SEE A VARIETY OF 8058 05:38:35,840 --> 05:38:38,120 DOMAINS, VERY SMALL STAKE IN 8059 05:38:38,120 --> 05:38:39,680 GENOMIC WORKFORCE DIVERSITY AT 8060 05:38:39,680 --> 05:38:44,040 NIH AND THE "ALL OF US" OF US, 8061 05:38:44,040 --> 05:38:45,400 SERIOUS ABOUT DOING WHAT WE CAN 8062 05:38:45,400 --> 05:38:49,040 TO SUPPORT SOME OF THE EFFORTS 8063 05:38:49,040 --> 05:38:51,360 THAT ARE WORK ON BUILDING A MORE 8064 05:38:51,360 --> 05:38:53,440 DIVERSE INCLUSION IN THE "ALL OF 8065 05:38:53,440 --> 05:38:57,720 US" AND MORE DIVERSE WORKFORCE. 8066 05:38:57,720 --> 05:39:00,120 I THINK THIS IS EXCITING BUT 8067 05:39:00,120 --> 05:39:01,960 IT'S NOT TAKING US AS FAR AS WE 8068 05:39:01,960 --> 05:39:03,840 WANT TO GO BECAUSE WE REALLY 8069 05:39:03,840 --> 05:39:05,960 WANT TO HAVE MORE GLOBAL 8070 05:39:05,960 --> 05:39:06,360 RELEVANCE. 8071 05:39:06,360 --> 05:39:09,840 I HAD A CHANCE TO MEET WITH THE 8072 05:39:09,840 --> 05:39:11,200 ADVISORY COMMITTEE OF THE 8073 05:39:11,200 --> 05:39:13,040 FOGARTY, THAT GROUP HAD SPECIFIC 8074 05:39:13,040 --> 05:39:14,880 IDEAS ON PLACES WHERE 8075 05:39:14,880 --> 05:39:16,760 PARTNERSHIP MODELS MIGHT BE 8076 05:39:16,760 --> 05:39:17,640 PARTICULARLY SUCCESSFUL SOY 8077 05:39:17,640 --> 05:39:19,600 WE'RE EXPLORING SOME OF THAT. 8078 05:39:19,600 --> 05:39:22,760 SICKLE CELL GENE THERAPY PROGRAM 8079 05:39:22,760 --> 05:39:25,160 LISTED HERE HAS ALREADY BEEN 8080 05:39:25,160 --> 05:39:27,960 APPROVED AND IS MOVING FORWARD 8081 05:39:27,960 --> 05:39:29,320 FUNDED BY THE BILL AND MELINDA 8082 05:39:29,320 --> 05:39:31,760 GATES FOUNDATION IS A GLOBAL 8083 05:39:31,760 --> 05:39:33,920 PROJECT DESIGNED TO ULTIMATELY 8084 05:39:33,920 --> 05:39:38,400 MAKE GENE THERAPY FOR SICKLE 8085 05:39:38,400 --> 05:39:39,400 CELL DISEASE AVAILABLE IN 8086 05:39:39,400 --> 05:39:41,160 DEVELOPING WORLD, OBVIOUSLY 8087 05:39:41,160 --> 05:39:42,800 THAT'S VERY LONG RUNWAY BUT AT 8088 05:39:42,800 --> 05:39:44,320 LEAST WE'RE GETTING A START. 8089 05:39:44,320 --> 05:39:46,640 BUT YOU MAY HAVE IDEAS ABOUT 8090 05:39:46,640 --> 05:39:51,840 OTHER AREAS WHERE YOU THINK 8091 05:39:51,840 --> 05:39:54,200 PARTNERSHIP MODEL WOULD BE 8092 05:39:54,200 --> 05:39:55,480 EFFECTIVE AND I'D LIKE TO HEAR 8093 05:39:55,480 --> 05:40:00,400 IF YOU HAVE ANY ANY THOUGHTS ON 8094 05:40:00,400 --> 05:40:00,640 THAT. 8095 05:40:00,640 --> 05:40:01,280 NEXT SLIDE. 8096 05:40:01,280 --> 05:40:07,000 WANTED TO EMPHASIZE IMPORTANCE 8097 05:40:07,000 --> 05:40:07,880 OF SUPPORTING SCIENTISTS. 8098 05:40:07,880 --> 05:40:09,400 THIS IS A SNAPSHOT OF THE BIG 8099 05:40:09,400 --> 05:40:15,600 PICTURE SUPPORT FOR SCIENTISTS, 8100 05:40:15,600 --> 05:40:17,840 THE LURIE PRIZE IS A PRESTIGIOUS 8101 05:40:17,840 --> 05:40:19,680 AWARD FOR RISING STARS IN 8102 05:40:19,680 --> 05:40:23,440 SCIENCE. 8103 05:40:23,440 --> 05:40:25,920 WE'RE PROUD THAT IN 2014 8104 05:40:25,920 --> 05:40:27,560 JENNIFER DOWDEN RECEIVED THE 8105 05:40:27,560 --> 05:40:29,400 PRIZE AND DEVELOPED A NOBEL 8106 05:40:29,400 --> 05:40:30,280 PRIZE IN LATER YEARS. 8107 05:40:30,280 --> 05:40:35,240 WE'VE HAD A NUMBER OF REMARKABLE 8108 05:40:35,240 --> 05:40:36,800 SCIENTISTS, THIS YEAR THE TWO 8109 05:40:36,800 --> 05:40:39,920 INDIVIDUALS WHO SHARED THE LURIE 8110 05:40:39,920 --> 05:40:44,320 PRIZE WERE REMARKABLE 8111 05:40:44,320 --> 05:40:45,160 SCIENTISTS, INCREDIBLE 8112 05:40:45,160 --> 05:40:45,840 SCIENTIFIC COMMUNICATORS, MADE 8113 05:40:45,840 --> 05:40:47,280 EVERYONE IN THE ROOM WANT TO GO 8114 05:40:47,280 --> 05:40:49,440 INTO THEIR FIELD OF RESEARCH. 8115 05:40:49,440 --> 05:40:50,880 TRAILBLAZER PRIZE IS ONE THAT'S 8116 05:40:50,880 --> 05:40:54,520 NEAR AND DEAR TO MY HEART, DR. 8117 05:40:54,520 --> 05:40:56,800 GALLIN AT THE NIH CLINICAL 8118 05:40:56,800 --> 05:41:00,440 CENTER IS SUCH A STRONG ADVOCATE 8119 05:41:00,440 --> 05:41:02,480 FOR PHYSICIAN-SCIENTISTS AND HE 8120 05:41:02,480 --> 05:41:05,440 JUMP STARTED THIS PRIZE FOR 8121 05:41:05,440 --> 05:41:07,080 CLINICIAN SCIENTISTS TO HAVE THE 8122 05:41:07,080 --> 05:41:08,440 KIND OF RECOGNITION THEY 8123 05:41:08,440 --> 05:41:08,840 DESERVE. 8124 05:41:08,840 --> 05:41:10,920 I'M JUST THRILLED BECAUSE 8125 05:41:10,920 --> 05:41:18,160 YESTERDAY I LEARNED FROM THE 8126 05:41:18,160 --> 05:41:23,720 PRESIDENT ELECT OF THE ASCI THAT 8127 05:41:23,720 --> 05:41:26,240 CLINICAL MEETINGS, YOU KNOW THEY 8128 05:41:26,240 --> 05:41:26,880 ARE PRESTIGIOUS AND IMPORTANT, 8129 05:41:26,880 --> 05:41:28,800 THEY FELL OUT OF FAVOR FOR A 8130 05:41:28,800 --> 05:41:30,960 WHILE BUT NOW THEY ARE PICKING 8131 05:41:30,960 --> 05:41:35,240 UP STEAM BUT WE'LL HAVE THE 8132 05:41:35,240 --> 05:41:37,200 TRAILBLAZER LECTURE ANNUALLY AT 8133 05:41:37,200 --> 05:41:38,640 THE CLINICAL MEETINGS, AND THAT 8134 05:41:38,640 --> 05:41:44,760 WILL HELP AGAIN BRING THE 8135 05:41:44,760 --> 05:41:48,280 NIH/FNIH PARTNERSHIP AND 8136 05:41:48,280 --> 05:41:49,760 ENCOURAGE NOMINATIONS OF 8137 05:41:49,760 --> 05:41:51,920 TALENTED RISING STARS TO BE 8138 05:41:51,920 --> 05:41:53,120 NOMINATED AND RECOGNIZED FOR 8139 05:41:53,120 --> 05:41:57,160 THEIR WORK. 8140 05:41:57,160 --> 05:41:57,920 SMALL WAYS OF ACKNOWLEDGING THE 8141 05:41:57,920 --> 05:42:00,520 CREAM OF THE CROP IN SOME SENSE, 8142 05:42:00,520 --> 05:42:02,280 WHAT WE'RE HAPPY ABOUT THIS YEAR 8143 05:42:02,280 --> 05:42:03,960 IS NUMBER OF NOMINATIONS FOR 8144 05:42:03,960 --> 05:42:06,120 BOTH PRIZES HAVE ALMOST DOUBLED. 8145 05:42:06,120 --> 05:42:16,560 SO WE'RE REALLY PICKING UP 8146 05:42:17,040 --> 05:42:17,480 STEAM. 8147 05:42:17,480 --> 05:42:22,720 WE HAVE ERUDITE JUDGES, AND WE 8148 05:42:22,720 --> 05:42:24,640 PROUD TO BE ABLE TO SUPPORT 8149 05:42:24,640 --> 05:42:24,840 THEM. 8150 05:42:24,840 --> 05:42:26,720 THIS IS KIND OF THE TIP OF THE 8151 05:42:26,720 --> 05:42:27,960 ICEBERG. 8152 05:42:27,960 --> 05:42:29,880 WHEN YOU WATCH THE VIDEO, IT 8153 05:42:29,880 --> 05:42:31,920 MENTIONS OVER THE LIFESPAN OF 8154 05:42:31,920 --> 05:42:34,000 THE FNIH WE'VE HAD INTERACTIONS 8155 05:42:34,000 --> 05:42:36,840 WITH SOME 25,000 SCIENTISTS AND 8156 05:42:36,840 --> 05:42:39,960 VARIOUS TRAINING PROGRAMS. 8157 05:42:39,960 --> 05:42:49,240 MENTORING PROGRAMS, INTERFACING 8158 05:42:49,240 --> 05:42:50,200 BETWEEN NIH AND OXFORD 8159 05:42:50,200 --> 05:42:50,520 CAMBRIDGE. 8160 05:42:50,520 --> 05:42:53,640 WE WISH WE COULD BE MORE HELPFUL 8161 05:42:53,640 --> 05:43:00,600 WITH THE POSTBAC SALARY 8162 05:43:00,600 --> 05:43:04,680 CHALLENGE BUT WE'LL ROLL UP OUR 8163 05:43:04,680 --> 05:43:09,200 SLEEVES AND ENGAGE. 8164 05:43:09,200 --> 05:43:11,280 MY FAVORITE TO BE LAUNCHED 8165 05:43:11,280 --> 05:43:13,760 PROJECT IS FROM THE GENOME 8166 05:43:13,760 --> 05:43:15,920 RESEARCH INSTITUTE. 8167 05:43:15,920 --> 05:43:18,600 AND WE INTEND TO PUT GENOMIC 8168 05:43:18,600 --> 05:43:22,640 SCIENCE ON A MOBILE BUS OR BUSES 8169 05:43:22,640 --> 05:43:25,720 THAT WILL TRAVEL TO SCHOOLS IN 8170 05:43:25,720 --> 05:43:27,000 UNDERRESOURCED COMMUNITIES 8171 05:43:27,000 --> 05:43:29,880 AROUND THE UNITED STATES, AND 8172 05:43:29,880 --> 05:43:34,360 LET KIDS HAVE AN EXPERIENCE IN 8173 05:43:34,360 --> 05:43:37,280 GENOMIC SCIENCE, A GREAT WAY TO 8174 05:43:37,280 --> 05:43:40,000 EXCITE KIDS AND GIVE THEM AN 8175 05:43:40,000 --> 05:43:40,920 IMAGINATION ABOUT SOMETHING 8176 05:43:40,920 --> 05:43:42,320 FARFETCHED BASED ON SCIENCE 8177 05:43:42,320 --> 05:43:43,760 CURRICULUM IN MANY SCHOOLS WHICH 8178 05:43:43,760 --> 05:43:45,400 IS CERTAINLY FAR FROM OPTIMAL 8179 05:43:45,400 --> 05:43:47,600 BUT ALSO I THINK IS JUST ANOTHER 8180 05:43:47,600 --> 05:43:51,880 WAY TO BUILD RECOGNITION OF NIH 8181 05:43:51,880 --> 05:43:53,920 SCIENCE AND RELEVANCE AT A 8182 05:43:53,920 --> 05:43:55,000 COMMUNITY LEVEL AND HOPEFULLY 8183 05:43:55,000 --> 05:43:57,680 WILL INTEREST PEOPLE IN 8184 05:43:57,680 --> 05:43:58,960 UNDERSTANDING HOW STEM SCIENCE 8185 05:43:58,960 --> 05:44:00,600 AND THE PIPELINE FOR STEM 8186 05:44:00,600 --> 05:44:01,320 SCIENCE WORKS. 8187 05:44:01,320 --> 05:44:04,000 I THINK WE CAN BUILD A WHOLE 8188 05:44:04,000 --> 05:44:06,400 CADRE OF COMMUNICATION EFFORTS 8189 05:44:06,400 --> 05:44:07,240 AROUND THIS SO REALLY EXCITED 8190 05:44:07,240 --> 05:44:09,040 ABOUT IT. 8191 05:44:09,040 --> 05:44:09,800 STAY TUNED. 8192 05:44:09,800 --> 05:44:11,200 IF I TALK TO YOU AGAIN WE'LL BE 8193 05:44:11,200 --> 05:44:13,200 ABLE TO REPORT ON OUR PROGRESS 8194 05:44:13,200 --> 05:44:13,800 THERE. 8195 05:44:13,800 --> 05:44:17,280 LAST THING I WANTED TO DISCUSS 8196 05:44:17,280 --> 05:44:18,400 BEFORE I COMPLETELY FORMAL 8197 05:44:18,400 --> 05:44:22,000 REMARKS IS ON THE NEXT SLIDE, 8198 05:44:22,000 --> 05:44:23,200 JUST REALLY TALKING ABOUT THE 8199 05:44:23,200 --> 05:44:24,920 THIRD PIECE OF OUR WORK THAT IS 8200 05:44:24,920 --> 05:44:26,800 THE MOST RECENT PIECE. 8201 05:44:26,800 --> 05:44:29,080 THAT IS TRYING TO UNDERSTAND 8202 05:44:29,080 --> 05:44:31,120 WHAT WE NEED TO DO TO HELP EARN 8203 05:44:31,120 --> 05:44:33,240 BACK THE TRUST IN SCIENCE THAT 8204 05:44:33,240 --> 05:44:36,920 HAS BEEN SO DAMAGED THE PAST FEW 8205 05:44:36,920 --> 05:44:37,960 YEARS. 8206 05:44:37,960 --> 05:44:40,920 WHEN I HAD OUR ANNUAL DINNER, 8207 05:44:40,920 --> 05:44:42,360 DR. COLLINS SPOKE, AND IN FRONT 8208 05:44:42,360 --> 05:44:46,000 OF MY BOARD AND A ROOM FULL OF 8209 05:44:46,000 --> 05:44:48,560 OUR WONDERFUL PARTNERS REALLY 8210 05:44:48,560 --> 05:44:50,280 CHALLENGED FNIH TO TAKE SOME 8211 05:44:50,280 --> 05:44:52,000 LEADERSHIP AND TO COMMIT TO 8212 05:44:52,000 --> 05:44:55,440 TRYING TO TAKE A MORE VISIBLE 8213 05:44:55,440 --> 05:44:59,160 POSITION ON BUILDING TRUST IN 8214 05:44:59,160 --> 05:44:59,680 SCIENCE. 8215 05:44:59,680 --> 05:45:02,680 SO, TOGETHER WITH A SMALL NUMBER 8216 05:45:02,680 --> 05:45:05,240 OF COLLEAGUES INCLUDING THE HEAD 8217 05:45:05,240 --> 05:45:08,920 OF AAAS, AND MARY WOOLY FROM 8218 05:45:08,920 --> 05:45:12,840 RESEARCH AMERICA, BILL NOVELLY, 8219 05:45:12,840 --> 05:45:15,360 FORMERLY PORTER NOVELLY PUBLIC 8220 05:45:15,360 --> 05:45:17,800 RELATIONS FIRM, SCHOOL OF 8221 05:45:17,800 --> 05:45:20,200 NURSING AT PENN, A HANDFUL OF US 8222 05:45:20,200 --> 05:45:21,800 SAID THERE'S SAFETY IN NUMBERS, 8223 05:45:21,800 --> 05:45:24,880 AND SO FAR WE'VE BEEN ABLE TO 8224 05:45:24,880 --> 05:45:26,840 ENLIST THE SUPPORT OF 70 8225 05:45:26,840 --> 05:45:28,280 ORGANIZATIONS ACROSS THE 8226 05:45:28,280 --> 05:45:32,880 SPECTRUM OF HEALTH AND HEALTH 8227 05:45:32,880 --> 05:45:33,880 CARE, PROFESSIONAL 8228 05:45:33,880 --> 05:45:34,400 ORGANIZATIONS, PATIENT 8229 05:45:34,400 --> 05:45:36,480 SOCIETIES, SO ON AND SO FORTH. 8230 05:45:36,480 --> 05:45:41,920 TO COME TOGETHER AND COMMIT TO 8231 05:45:41,920 --> 05:45:42,960 CORRECTING MISINFORMATION WHEN 8232 05:45:42,960 --> 05:45:45,680 WE SEE IT. 8233 05:45:45,680 --> 05:45:47,320 AND THEN NON-INFLAMMATORY 8234 05:45:47,320 --> 05:45:49,040 NON-JUDGMENTAL WAY, JUST 8235 05:45:49,040 --> 05:45:51,000 PROVIDING ACCESS TO APPROPRIATE 8236 05:45:51,000 --> 05:45:54,760 INFORMATION, AND IF WE SEE 8237 05:45:54,760 --> 05:45:56,600 DANGEROUS DISINFORMATION, TO 8238 05:45:56,600 --> 05:46:02,400 REALLY COLLECTIVELY FIND WALES 8239 05:46:02,400 --> 05:46:04,280 -- WAYS TO CALL THAT OUT. 8240 05:46:04,280 --> 05:46:06,880 PEOPLE MIGHT REGARD THAT AS 8241 05:46:06,880 --> 05:46:07,640 VIOLATION OF FIRST AMENDMENT BUT 8242 05:46:07,640 --> 05:46:10,160 I DON'T THINK THE FIRST 8243 05:46:10,160 --> 05:46:13,480 AMENDMENT WAS DESIGNED TO, YOU 8244 05:46:13,480 --> 05:46:14,280 KNOW, ENCOURAGE DISINFORMATION, 8245 05:46:14,280 --> 05:46:17,200 SO I'M HOPING THAT BY TAKING A 8246 05:46:17,200 --> 05:46:18,960 FACTUAL EVIDENCE-BASED APPROACH 8247 05:46:18,960 --> 05:46:21,480 TO THIS THAT WE CAN BUILD NOT 8248 05:46:21,480 --> 05:46:25,200 JUST A RESOURCE OF INFORMATION 8249 05:46:25,200 --> 05:46:26,400 BUT WE CAN COLLECTIVELY ACROSS 8250 05:46:26,400 --> 05:46:27,800 THE THOUSANDS OF PEOPLE NOW 8251 05:46:27,800 --> 05:46:29,680 INCLUDED IN THESE MEMBER 8252 05:46:29,680 --> 05:46:32,000 ORGANIZATIONS, THAT WE CAN 8253 05:46:32,000 --> 05:46:34,640 CREATE OUR OWN SOCIAL NETWORK TO 8254 05:46:34,640 --> 05:46:38,000 SPREAD THE FACTS FAST AND PUT 8255 05:46:38,000 --> 05:46:38,880 INFORMATION TO COUNTER-BALANCE 8256 05:46:38,880 --> 05:46:41,480 SOME OF THE NONSENSE THAT GETS 8257 05:46:41,480 --> 05:46:43,280 PROMULGATED SO EASILY ACROSS THE 8258 05:46:43,280 --> 05:46:45,120 WIRES OF OUR SOCIAL ENGAGEMENT. 8259 05:46:45,120 --> 05:46:46,760 NEXT SLIDE I HAVE A QUICK 8260 05:46:46,760 --> 05:46:48,400 ILLUSTRATION HOW SOMETHING LIKE 8261 05:46:48,400 --> 05:46:50,800 THIS MIGHT WORK. 8262 05:46:50,800 --> 05:46:55,560 IF THERE IS A MYTH THAT'S BEING 8263 05:46:55,560 --> 05:46:56,600 PERPETRATED, CAUSING 8264 05:46:56,600 --> 05:46:57,960 CONSTERNATION OR BAD DECISION 8265 05:46:57,960 --> 05:46:59,240 MAKING IN HEALTH TO NOT, YOU 8266 05:46:59,240 --> 05:47:01,200 KNOW, MAKE A JUDGMENT ABOUT WHO 8267 05:47:01,200 --> 05:47:03,280 IS PROMOTING IT OR WHY BUT 8268 05:47:03,280 --> 05:47:05,160 RATHER JUST PUT INFORMATION 8269 05:47:05,160 --> 05:47:06,520 ABOUT THAT PROVIDES THE ACTUAL 8270 05:47:06,520 --> 05:47:08,240 FACTS AS WE KNOW THEM AND 8271 05:47:08,240 --> 05:47:10,040 UPDATES THOSE FACTS IF THEY 8272 05:47:10,040 --> 05:47:13,080 CHANGE OVER TIME, ET CETERA. 8273 05:47:13,080 --> 05:47:15,160 SO, I'M OBVIOUSLY WELL AWARE WE 8274 05:47:15,160 --> 05:47:18,320 DON'T HAVE AN ANSWER TO TRUST IN 8275 05:47:18,320 --> 05:47:20,120 SCIENCE ISSUE, BUT OVER THE LONG 8276 05:47:20,120 --> 05:47:22,320 ARC OF TIME I THINK BY BUILDING 8277 05:47:22,320 --> 05:47:24,440 A NETWORK OF PEOPLE WHO ARE 8278 05:47:24,440 --> 05:47:26,160 TRUSTED AT THE COMMUNITY LEVEL 8279 05:47:26,160 --> 05:47:28,240 AND HAVE THE INFORMATION QUICKLY 8280 05:47:28,240 --> 05:47:30,960 THAT THEY NEED TO PUT THESE 8281 05:47:30,960 --> 05:47:32,400 MYTHS AND MISINFORMATION IN 8282 05:47:32,400 --> 05:47:34,280 CONTEXT, WE CAN HOPEFULLY GAIN 8283 05:47:34,280 --> 05:47:35,520 SOME GROUND AND REBUILD SOME OF 8284 05:47:35,520 --> 05:47:38,360 THE TRUST THAT HAS BEEN SO 8285 05:47:38,360 --> 05:47:38,760 DAMAGED. 8286 05:47:38,760 --> 05:47:41,160 SO WITH THAT, I WILL HAVE MY 8287 05:47:41,160 --> 05:47:45,680 LAST SLIDE, WHICH BASICALLY JUST 8288 05:47:45,680 --> 05:47:48,280 SUMMARIZES THE AMBITION THAT WE 8289 05:47:48,280 --> 05:47:55,720 HAVE TO REALLY BE ACCELERANT AND 8290 05:47:55,720 --> 05:47:57,160 AMPLIFIER OF WHAT NIH IS DOING 8291 05:47:57,160 --> 05:47:59,360 AND THE THREE KIND OF PILLARS OF 8292 05:47:59,360 --> 05:48:00,680 OUR WORK, THE FLAVOR OF WHAT 8293 05:48:00,680 --> 05:48:02,520 WE'RE DOING IN EACH OF THEM. 8294 05:48:02,520 --> 05:48:04,920 I WILL STOP NOW AND TAKE ANY 8295 05:48:04,920 --> 05:48:06,240 QUESTIONS OR COMMENTS THAT YOU 8296 05:48:06,240 --> 05:48:06,560 MIGHT HAVE. 8297 05:48:06,560 --> 05:48:12,640 THANK YOU FOR YOUR ATTENTION. 8298 05:48:12,640 --> 05:48:18,800 >> LET ME JUMP IN AND THANK YOU 8299 05:48:18,800 --> 05:48:20,440 FOR YOUR REMARKABLE LEADERSHIP. 8300 05:48:20,440 --> 05:48:22,680 YOU'RE NO LONGER A NEWBIE. 8301 05:48:22,680 --> 05:48:25,080 YOU'VE BEEN HERE NOW FOR A BIT. 8302 05:48:25,080 --> 05:48:29,320 AND I MUST SAY THE TRANSITION 8303 05:48:29,320 --> 05:48:33,160 WAS SEAMLESS, AND YOU BROUGHT A 8304 05:48:33,160 --> 05:48:36,560 RENEWED ENERGY TO THINGS BECAUSE 8305 05:48:36,560 --> 05:48:38,840 IT'S JUST HUMAN NATURE TO HAVE A 8306 05:48:38,840 --> 05:48:43,040 LITTLE BIT OF A LULL AFTER BEIG 8307 05:48:43,040 --> 05:48:46,000 THROUGH SUCH AN INTENSE PERIOD 8308 05:48:46,000 --> 05:48:51,240 OF ACTIVITY, AND YOU AND YOUR 8309 05:48:51,240 --> 05:48:52,720 COLLEAGUES HAVE REALLY ENSURED 8310 05:48:52,720 --> 05:48:57,760 THAT IS A MINI LULL AND THAT WE 8311 05:48:57,760 --> 05:49:00,440 MOVED RIGHT INTO, YOU KNOW, 8312 05:49:00,440 --> 05:49:02,400 ACTION AT A VERY GOOD PACE. 8313 05:49:02,400 --> 05:49:05,440 I THINK SOME OF THE INITIATIVES 8314 05:49:05,440 --> 05:49:11,160 THAT YOU SHARED WITH THE ACD 8315 05:49:11,160 --> 05:49:14,560 TODAY ARE VERY EXCITING, I THINK 8316 05:49:14,560 --> 05:49:16,280 THE INSTITUTES TRULY ENJOY 8317 05:49:16,280 --> 05:49:18,680 WORKING WITH THE FOUNDATION. 8318 05:49:18,680 --> 05:49:21,640 I THINK THE ACCELERATING 8319 05:49:21,640 --> 05:49:24,480 MEDICINES PARTNERSHIP IS SORT OF 8320 05:49:24,480 --> 05:49:27,080 EXHIBIT A ON THAT. 8321 05:49:27,080 --> 05:49:28,080 AND, YOU KNOW, RESOURCES ARE 8322 05:49:28,080 --> 05:49:30,120 IMPORTANT, OF COURSE, I DON'T 8323 05:49:30,120 --> 05:49:32,160 WANT TO MINIMIZE THAT. 8324 05:49:32,160 --> 05:49:33,720 FIRST I KNOW HOW HARD IT IS TO 8325 05:49:33,720 --> 05:49:38,520 DO THAT BUT IT GOES WAY BEYOND 8326 05:49:38,520 --> 05:49:43,200 MONETARY RESOURCES. 8327 05:49:43,200 --> 05:49:47,800 YOU SAY QUICKLY SPEAKING TO THE 8328 05:49:47,800 --> 05:49:52,240 EXPERTISE OR PROJECT MANAGEMENT, 8329 05:49:52,240 --> 05:49:53,640 THAT YOUR COLLEAGUES PROVIDE, 8330 05:49:53,640 --> 05:49:55,680 AND IT IS INVALUABLE. 8331 05:49:55,680 --> 05:49:58,680 I HAVE TO SAY, I HAVE LEARNED SO 8332 05:49:58,680 --> 05:50:04,440 MUCH BY WORKING WITH YOUR TEAM, 8333 05:50:04,440 --> 05:50:06,400 AND SO I JUST -- ON BEHALF OF 8334 05:50:06,400 --> 05:50:08,920 NIH I WANT TO THANK YOU 8335 05:50:08,920 --> 05:50:10,160 PERSONALLY AND YOUR ENTIRE TEAM 8336 05:50:10,160 --> 05:50:11,960 WHICH IS REALLY FIRST RATE. 8337 05:50:11,960 --> 05:50:13,320 SO THANK YOU. 8338 05:50:13,320 --> 05:50:15,160 >> THANK YOU, LARRY. 8339 05:50:15,160 --> 05:50:16,680 OF COURSE, ALL OF US HAVE 8340 05:50:16,680 --> 05:50:18,400 PROBABLY MOVED FROM ONE JOB TO 8341 05:50:18,400 --> 05:50:19,760 ANOTHER THROUGH THE YEARS BUT 8342 05:50:19,760 --> 05:50:22,480 I'VE NEVER MOVED INTO A JOB 8343 05:50:22,480 --> 05:50:24,360 WHERE THE ORGANIZATION I 8344 05:50:24,360 --> 05:50:27,560 INHERITED WAS IN SUCH GOOD 8345 05:50:27,560 --> 05:50:27,960 SHAPE. 8346 05:50:27,960 --> 05:50:29,240 I REALLY REFER TO THE WONDERFUL 8347 05:50:29,240 --> 05:50:30,840 JOB OF BUILDING THESE 8348 05:50:30,840 --> 05:50:32,520 RELATIONSHIPS AND THESE PROGRAMS 8349 05:50:32,520 --> 05:50:37,160 AND IT'S JUST A JOY TO BE ABLE 8350 05:50:37,160 --> 05:50:38,160 TO PICK UP. 8351 05:50:38,160 --> 05:50:39,800 I'M A VERY LUCKY WOMAN AND VERY 8352 05:50:39,800 --> 05:50:41,320 HAPPY PERSON TO BE DOING WHAT 8353 05:50:41,320 --> 05:50:44,800 I'M DOING. 8354 05:50:44,800 --> 05:50:47,960 >> WE'RE GLAD YOU'RE IN THE 8355 05:50:47,960 --> 05:50:48,320 ROLE. 8356 05:50:48,320 --> 05:50:51,160 AND OBVIOUSLY AS YOU ALL HEARD, 8357 05:50:51,160 --> 05:50:53,880 THE PARTNERSHIP THAT WE HAVE 8358 05:50:53,880 --> 05:50:56,720 WITH FNIH IS CRITICAL THAT A LOT 8359 05:50:56,720 --> 05:50:57,960 OF ONGOING WORK AT NIH. 8360 05:50:57,960 --> 05:50:58,760 YOU'VE SEEN THAT FROM THE 8361 05:50:58,760 --> 05:51:02,120 SUCCESS OF SOME OF THE PROGRAMS 8362 05:51:02,120 --> 05:51:05,640 LIKE ACTIV AND AMP. 8363 05:51:05,640 --> 05:51:05,960 OKAY. 8364 05:51:05,960 --> 05:51:07,640 ROBERTA, YOUR HAND IS UP. 8365 05:51:07,640 --> 05:51:13,280 >> YEAH, I WANT TO ECHO WHAT 8366 05:51:13,280 --> 05:51:16,240 DR. TABAK SAID ABOUT THE IMPACT 8367 05:51:16,240 --> 05:51:18,640 OF THE ACCELERATED MEDICINE 8368 05:51:18,640 --> 05:51:19,160 PARTNERSHIPS. 8369 05:51:19,160 --> 05:51:23,360 I KNOW I REALIZE YOU GET THESE 8370 05:51:23,360 --> 05:51:26,520 BIG REPORTS THAT ARE BROAD IN 8371 05:51:26,520 --> 05:51:27,960 SCOPE, JUST FROM AP SINGLE 8372 05:51:27,960 --> 05:51:30,800 LABORATORY THAT IT GOES FROM 8373 05:51:30,800 --> 05:51:34,400 BASIC TO CLINICAL SCIENCE, IN 8374 05:51:34,400 --> 05:51:36,600 THE ALZHEIMER'S SPACE, 8375 05:51:36,600 --> 05:51:37,760 ACCELERATED MEDICINES 8376 05:51:37,760 --> 05:51:38,880 PARTNERSHIP HAVE BEEN 8377 05:51:38,880 --> 05:51:41,080 TRANSFORMATIVE FOR RESEARCH 8378 05:51:41,080 --> 05:51:43,040 ACROSS THESE DIFFERENT DOMAINS, 8379 05:51:43,040 --> 05:51:46,320 AND WE USE THE ACCELERATED 8380 05:51:46,320 --> 05:51:47,520 MEDICINE PARTNERSHIPS IN 8381 05:51:47,520 --> 05:51:52,360 ALZHEIMER'S DISEASE TO TRAIN OUR 8382 05:51:52,360 --> 05:51:54,120 T32 PRE-DOCTORAL FELLOWS, AND 8383 05:51:54,120 --> 05:51:58,040 OUR NATIVE AMERICAN R25 FELLOWS. 8384 05:51:58,040 --> 05:52:01,200 SO -- AND OUR, YOU KNOW, ADRC 8385 05:52:01,200 --> 05:52:02,400 RESEARCH SCHOLARS. 8386 05:52:02,400 --> 05:52:07,880 SO NOT ONLY IS IT A PLATFORM FOR 8387 05:52:07,880 --> 05:52:09,640 GAINING INSIGHTS AND DISCOVERY, 8388 05:52:09,640 --> 05:52:13,800 IT'S ALSO A PLATFORM, A 8389 05:52:13,800 --> 05:52:17,320 LEARNING, THE DATA SCIENCE, HOW 8390 05:52:17,320 --> 05:52:20,600 DATA IS COLLECTED AND ARCHIVED 8391 05:52:20,600 --> 05:52:22,680 AND ACCESSIBLE. 8392 05:52:22,680 --> 05:52:25,520 IT HAS A HUGE IMPACT ACROSS THE 8393 05:52:25,520 --> 05:52:27,240 SPECTRUM. 8394 05:52:27,240 --> 05:52:28,480 THANK YOU SO VERY MUCH. 8395 05:52:28,480 --> 05:52:30,560 >> IT'S GREAT TO GET THAT 8396 05:52:30,560 --> 05:52:30,840 ENDORSEMENT. 8397 05:52:30,840 --> 05:52:33,880 I KNOW THE TEAM WILL APPRECIATE 8398 05:52:33,880 --> 05:52:34,120 THAT. 8399 05:52:34,120 --> 05:52:44,240 SO THANK YOU. 8400 05:52:44,240 --> 05:52:45,120 >> SHELLEY? 8401 05:52:45,120 --> 05:52:51,040 >> YOU WOULD HAVE BEEN SO MOVED 8402 05:52:51,040 --> 05:52:55,080 WHEN OUR R25 NATIVE AMERICAN 8403 05:52:55,080 --> 05:52:58,000 TRAINEES WERE CONDUCTING THEIR 8404 05:52:58,000 --> 05:53:00,560 RESEARCH, USING AMP-AD, AND THIS 8405 05:53:00,560 --> 05:53:06,680 WAS DURING COVID, DRIVING AROUD 8406 05:53:06,680 --> 05:53:07,800 THE NAVAJO NATION TO FIND 8407 05:53:07,800 --> 05:53:10,360 INTERNET TOE GIVE AN INTERNET 8408 05:53:10,360 --> 05:53:11,640 ACCESS, TO GIVE THEIR 8409 05:53:11,640 --> 05:53:15,960 PRESENTATIONS OF THEIR DATA 8410 05:53:15,960 --> 05:53:17,600 SCIENCE ON AMP-AD. 8411 05:53:17,600 --> 05:53:21,000 IT WAS A REMARKABLE EXAMPLE OF 8412 05:53:21,000 --> 05:53:26,760 THE POWER AND IMPACT OF THIS 8413 05:53:26,760 --> 05:53:27,040 RESOURCE. 8414 05:53:27,040 --> 05:53:29,560 SO THANK YOU. 8415 05:53:29,560 --> 05:53:31,320 >> I ACTUALLY KNOW THAT AREA, 8416 05:53:31,320 --> 05:53:33,720 AND NOT TO GO OFF SUBJECT HERE 8417 05:53:33,720 --> 05:53:35,360 BUT IF YOU MAP THE UNITED STATES 8418 05:53:35,360 --> 05:53:37,760 BY COUNTY AND LOOK AT COUNTIES 8419 05:53:37,760 --> 05:53:40,200 THAT HAVE HIGH VACCINATION RATES 8420 05:53:40,200 --> 05:53:42,720 AND COUNTIES THAT HAD LOW DEATH 8421 05:53:42,720 --> 05:53:44,800 RATES FROM COVID, THERE'S ALMOST 8422 05:53:44,800 --> 05:53:47,040 PERFECT CONCORDANCE, EXCEPT IN 8423 05:53:47,040 --> 05:53:47,840 THE NAVAJO NATION. 8424 05:53:47,840 --> 05:53:50,160 BECAUSE WHILE THEY HAD A 8425 05:53:50,160 --> 05:53:52,560 WONDERFUL INDIAN HEALTH SERVICE 8426 05:53:52,560 --> 05:53:54,440 IMMUNIZATION PROGRAM, THE 8427 05:53:54,440 --> 05:53:55,440 CONDITIONS WERE SO TERRIBLE IN 8428 05:53:55,440 --> 05:53:57,480 TERMS OF ACCESS TO OTHER HEALTH 8429 05:53:57,480 --> 05:54:00,960 SERVICES AND CROWDING IN THEIR 8430 05:54:00,960 --> 05:54:01,920 HOMES AND AVAILABILITY OF 8431 05:54:01,920 --> 05:54:03,520 MEDICAL RESOURCES THAT THEIR 8432 05:54:03,520 --> 05:54:06,600 DEATH RATES WERE REALLY HIGH 8433 05:54:06,600 --> 05:54:08,560 PLUS COMORBID CONDITIONS WHICH 8434 05:54:08,560 --> 05:54:09,800 I'M SURE GARY TALKED ABOUT, HE 8435 05:54:09,800 --> 05:54:13,960 DID TALK ABOUT IT IN HIS 8436 05:54:13,960 --> 05:54:15,240 CONVERSATION ABOUT ReCOVer, 8437 05:54:15,240 --> 05:54:17,600 SO IT'S WONDERFUL YOU HAVE THE 8438 05:54:17,600 --> 05:54:19,000 PROGRAM AND THAT YOU'RE BRINGING 8439 05:54:19,000 --> 05:54:22,200 SCIENCE TO THE PEOPLE IN THE 8440 05:54:22,200 --> 05:54:23,160 COMMUNITY WHO REALLY, REALLY 8441 05:54:23,160 --> 05:54:25,280 NEED ALL THE HELP WE CAN GIVE 8442 05:54:25,280 --> 05:54:25,480 THEM. 8443 05:54:25,480 --> 05:54:27,840 >> AMP-AD WAS THERE WITH THEM. 8444 05:54:27,840 --> 05:54:28,320 SO THANK YOU. 8445 05:54:28,320 --> 05:54:31,000 >> THANK YOU. 8446 05:54:31,000 --> 05:54:34,040 8447 05:54:34,040 --> 05:54:37,080 8448 05:54:37,080 --> 05:54:38,560 >>OKAY, SHELLI? 8449 05:54:38,560 --> 05:54:38,920 >> INSPIRING. 8450 05:54:38,920 --> 05:54:42,080 THANK YOU SO MUCH. 8451 05:54:42,080 --> 05:54:46,600 I'M CURIOUS, FROM PROGRAM TO 8452 05:54:46,600 --> 05:54:48,360 PROGRAM, HOW YOU DISPERSE THE 8453 05:54:48,360 --> 05:54:50,840 FUNDS, IS IT GOING THROUGH -- 8454 05:54:50,840 --> 05:54:53,920 I'M SORRY IF I'M -- MAYBE I 8455 05:54:53,920 --> 05:54:57,240 COMPLETELY MISSED IT BUT IS THE 8456 05:54:57,240 --> 05:55:02,560 PROJECT MANAGEMENT TEAMS THAT 8457 05:55:02,560 --> 05:55:05,680 ARE IDENTIFYING -- DO YOU HAVE A 8458 05:55:05,680 --> 05:55:12,160 SEPARATE GRANT PROGRAM? 8459 05:55:12,160 --> 05:55:13,040 I'M SORRY. 8460 05:55:13,040 --> 05:55:15,760 >> HOW THESE ARE SET UP. 8461 05:55:15,760 --> 05:55:18,080 >> FIRST THERE'S NOT A 8462 05:55:18,080 --> 05:55:21,800 ONE-SIZE-FITS-ALL SO THEY VARY. 8463 05:55:21,800 --> 05:55:24,480 IT'S THE ACTIV THAT'S DIFFERENT 8464 05:55:24,480 --> 05:55:26,440 BECAUSE OF THE NATURE OF THE 8465 05:55:26,440 --> 05:55:26,840 PANDEMIC. 8466 05:55:26,840 --> 05:55:29,480 BUT WHEN A PROJECT IS PROPOSED, 8467 05:55:29,480 --> 05:55:32,600 IT'S FIRST APPROVED BY NIH, SO 8468 05:55:32,600 --> 05:55:35,240 GOES THROUGH THE PROPOSAL REVIEW 8469 05:55:35,240 --> 05:55:38,160 PROCESS AT NIH, AND THE NIH 8470 05:55:38,160 --> 05:55:38,800 BUDGET ASPECT OF THAT OPERATES 8471 05:55:38,800 --> 05:55:41,680 PRETTY MUCH THE WAY IT DOES FOR 8472 05:55:41,680 --> 05:55:44,720 ANY GRANT PROGRAM, STUDY SECTION 8473 05:55:44,720 --> 05:55:45,320 PROCESS, PEER REVIEW, GRANT 8474 05:55:45,320 --> 05:55:49,760 REVIEW, PAYMENT TO THE GRANTEES, 8475 05:55:49,760 --> 05:55:52,160 ET CETERA GOES THROUGH THE 8476 05:55:52,160 --> 05:55:53,800 NORMAL NIH MECHANISMS, WELL PEER 8477 05:55:53,800 --> 05:55:54,560 REVIEWED. 8478 05:55:54,560 --> 05:55:57,840 THE OTHER FUNDS THAT ARE RAISED 8479 05:55:57,840 --> 05:55:59,640 FROM THE PARTNERSHIP, SOMETIMES 8480 05:55:59,640 --> 05:56:01,920 FLOW INTO THAT, TO RESOURCE, 8481 05:56:01,920 --> 05:56:04,240 SOME OF THOSE GRANTS. 8482 05:56:04,240 --> 05:56:05,400 SOMETIMES THE OTHER FUNDED 8483 05:56:05,400 --> 05:56:06,720 RESOURCES ARE USED TO DO THINGS 8484 05:56:06,720 --> 05:56:14,320 LIKE BUILD THE DATA CENTER OR 8485 05:56:14,320 --> 05:56:17,040 IMPLEMENT SUPPORT FOR THE 8486 05:56:17,040 --> 05:56:17,440 BIOINFORMATICS OR 8487 05:56:17,440 --> 05:56:18,000 INSTRUMENTATION TECHNICIAN, 8488 05:56:18,000 --> 05:56:20,160 SOMETIMES, YOU KNOW, IF WE'RE 8489 05:56:20,160 --> 05:56:22,760 DOING SOMETHING THAT IS 8490 05:56:22,760 --> 05:56:23,640 AMALGAMATING DATA FROM ONGOING 8491 05:56:23,640 --> 05:56:25,680 CLINICAL TRIALS, IT'S IMPORTANT 8492 05:56:25,680 --> 05:56:28,560 TO BE ABLE TO HAVE EVERYBODY WHO 8493 05:56:28,560 --> 05:56:31,200 IS DOING THIS USE A FAKE EXAMPLE 8494 05:56:31,200 --> 05:56:33,640 LIKE OSTEOPOROSIS, EVERYBODY WHO 8495 05:56:33,640 --> 05:56:34,240 IS DOING OSTEOPOROSIS STUDIES 8496 05:56:34,240 --> 05:56:41,520 HAVE A COME OP -- COMMON 8497 05:56:41,520 --> 05:56:43,840 DATASET, STANDARDIZATION ACROSS 8498 05:56:43,840 --> 05:56:45,160 THE G.E. INSTRUMENT, HAVE TO 8499 05:56:45,160 --> 05:56:47,440 HAVE A MECHANISM TO BUILD 8500 05:56:47,440 --> 05:56:48,000 STANDARDIZATION EFFORTS. 8501 05:56:48,000 --> 05:56:50,920 WE PAY FOR THAT. 8502 05:56:50,920 --> 05:56:56,560 THERE ARE DIFFERENT WAYS THE 8503 05:56:56,560 --> 05:56:57,640 PRIVATE SECTOR OR OTHER 8504 05:56:57,640 --> 05:56:59,680 RESOURCES ARE USED BUT GENERALLY 8505 05:56:59,680 --> 05:57:04,600 PEOPLE AWARDED MONEY THROUGH THE 8506 05:57:04,600 --> 05:57:06,640 COLLABORATIVE PROCESS FROM THE 8507 05:57:06,640 --> 05:57:07,960 NIH SIDE RECEIVE THEIR RESOURCES 8508 05:57:07,960 --> 05:57:10,440 THROUGH THE USUAL NIH FUNDING 8509 05:57:10,440 --> 05:57:12,280 MECHANISMS, WITH THE SAME 8510 05:57:12,280 --> 05:57:14,680 OVERHEAD THEY WOULD NORMALLY 8511 05:57:14,680 --> 05:57:14,920 EXPECT. 8512 05:57:14,920 --> 05:57:18,320 THAT'S ONE THING WHEN WE FUND, 8513 05:57:18,320 --> 05:57:22,480 AND WE DO SOMETIMES FUND 8514 05:57:22,480 --> 05:57:23,920 ACADEMICIANS BUT OUR OVERHEAD IS 8515 05:57:23,920 --> 05:57:25,120 CAPPED. 8516 05:57:25,120 --> 05:57:27,160 WE'RE EFFICIENT BECAUSE WE DON'T 8517 05:57:27,160 --> 05:57:28,280 PAY HIGH INDIRECTS BUT THAT'S 8518 05:57:28,280 --> 05:57:34,000 NOT SO GOOD IF YOU'RE ON THE 8519 05:57:34,000 --> 05:57:34,920 ACADEMIC SIDE. 8520 05:57:34,920 --> 05:57:35,200 >> I SEE. 8521 05:57:35,200 --> 05:57:37,800 THANK YOU VERY MUCH. 8522 05:57:37,800 --> 05:57:43,920 8523 05:57:43,920 --> 05:57:45,120 8524 05:57:45,120 --> 05:57:50,480 >> I'M NOT SEEING ANY OTHER 8525 05:57:50,480 --> 05:57:52,320 QUESTIONS FOR JULIE. 8526 05:57:52,320 --> 05:57:54,320 THANK YOU, JULIE, FOR ALL THAT 8527 05:57:54,320 --> 05:57:56,520 YOU GUYS ARE DOING AT FNIH TO 8528 05:57:56,520 --> 05:57:58,040 PARTNER WITH US, AND THANKS FOR 8529 05:57:58,040 --> 05:57:59,920 THAT GREAT PRESENTATION. 8530 05:57:59,920 --> 05:58:04,200 I WILL TURN IT OVER TO LARRY. 8531 05:58:04,200 --> 05:58:05,240 >> THANKS, EVERYONE. 8532 05:58:05,240 --> 05:58:08,160 >> THANKS VERY MUCH, JULIE. 8533 05:58:08,160 --> 05:58:10,200 AND THANK YOU, EVERYBODY. 8534 05:58:10,200 --> 05:58:13,720 SO, WE'VE HAD A VERY FULL AND 8535 05:58:13,720 --> 05:58:15,480 VERY PRODUCTIVE DAY. 8536 05:58:15,480 --> 05:58:18,760 I WANT TO THANK ALL OF THE 8537 05:58:18,760 --> 05:58:23,280 MEMBERS OF THE ACD FOR HANGING 8538 05:58:23,280 --> 05:58:24,880 IN THERE WITH US. 8539 05:58:24,880 --> 05:58:26,880 I KNOW SOME PEOPLE HAD TO COME 8540 05:58:26,880 --> 05:58:28,840 IN AND OUT AND WE CERTAINLY 8541 05:58:28,840 --> 05:58:29,720 UNDERSTAND THAT. 8542 05:58:29,720 --> 05:58:30,720 BUT DO APPRECIATE THAT WE WERE 8543 05:58:30,720 --> 05:58:33,120 ABLE TO MAINTAIN A QUORUM AT THE 8544 05:58:33,120 --> 05:58:33,680 ENTIRE TIME. 8545 05:58:33,680 --> 05:58:44,280 AND I WANT TO THAT, I WOULD LIKO 8546 05:58:53,760 --> 05:58:55,520 END THE SESSION, UNTIL TOMORROW 8547 05:58:55,520 --> 05:59:00,640 AND SO WHAT THAT MEANS IS WE ARE 8548 05:59:00,640 --> 05:59:03,320 GOING TO FIGURATIVELY CLEAR THE 8549 05:59:03,320 --> 05:59:08,720 ROOM OF EVERYBODY BUT JUST ACD 8550 05:59:08,720 --> 05:59:10,160 MEMBERS, DR. SCHWETZ, DR. 8551 05:59:10,160 --> 05:59:12,480 CARTER, MYSELF. 8552 05:59:12,480 --> 05:59:14,000 EVERYBODY IS EXCUSED. 8553 05:59:14,000 --> 05:59:16,480 AGAIN, TO THOSE WHO SERVED ON 8554 05:59:16,480 --> 05:59:18,480 NATIONAL ADVISORY COUNCILS FOR 8555 05:59:18,480 --> 05:59:20,440 INSTITUTES AND CENTERS, THIS IS 8556 05:59:20,440 --> 05:59:22,480 EQUIVALENT TO THE CLOSED SESSION 8557 05:59:22,480 --> 05:59:24,160 THAT YOU EXPERIENCE AT YOUR 8558 05:59:24,160 --> 05:59:27,240 COUNCIL MEETINGS, THERE ARE A 8559 05:59:27,240 --> 05:59:31,840 COUPLE PROGRAMS WHERE THE ACD 8560 05:59:31,840 --> 05:59:37,080 SERVES AS THE COUNCIL ACROSS 8561 05:59:37,080 --> 05:59:38,160 PROGRAMMING SINCE THERE'S NO 8562 05:59:38,160 --> 05:59:41,080 OBVIOUS SINGLE HOME, WE USE THE 8563 05:59:41,080 --> 05:59:42,640 ACD, AND THIS WILL BE EXPLAINED 8564 05:59:42,640 --> 05:59:45,800 IN A FEW MOMENTS ONCE WE GO INTO 8565 05:59:45,800 --> 05:59:47,080 CLOSED SESSION. 8566 05:59:47,080 --> 05:59:49,640 SO, AGAIN, I WANT TO THANK ALL 8567 05:59:49,640 --> 05:59:51,360 THE MEMBERS OF THE STAFF WHO 8568 05:59:51,360 --> 05:59:53,040 HAVE BEEN WITH US, BUT WE'RE 8569 05:59:53,040 --> 00:00:00,000 GOING TO NOW GO INTO CLOSED SESSION