I'M JIM ANDERSON, DIRECTOR OF THE DIVISION OF PROGRAM COORDINATION, PLANNING AND STRATEGIC INITIATIVES. I'M VERY PLEASED TO BE WITH YOU TODAY AND THANKS FOR FINDING THE TIME THE DAY BEFORE THE END OF THE YEAR. THANKS TO THE MEMBERS OF THE COUNCIL WHO COULD MAKE YOURSELVES AVAILABLE FOR THIS PUBLIC MEETING TO DISCUSS AND OBTAIN YOUR INPUT AS COUNCILMEMBERS ON THE ADDITION OF A NEW OFFICE TO THE DIVISION. DRS. AS ACEBAL -- THIS ONE IS LIVE ONLINE TO THE PUBLIC VIA VIDEOCAST, AND BEFORE WE BEGIN, I'D LIKE TO ASK ROBYN, THE DEPUTY DIRECTOR OF DPCPSI, WHO IS ALSO ACTING AS THE EXECUTIVE SECRETARY FOR THE COUNCIL FOR THIS MEETING TO TAKE THE ROLL CALL AND SHE'LL ALSO MAKE A FEW COMMENTS ABOUT CONFLICT OF INTEREST AND THEN WE'LL BEGIN. ROBYN? >> THIS AFTERNOON, DENISE AND I WILL BE THE TAG TEAM FOR THE ROLL CALL. I WILL CALL ON COUNCILMEMBERS' NAMES IN THE ORDER THEY APPEAR ON THE PANELIST LIST, AND THEN DENISE WILL UNMUTE YOU. AND AT THE END, DENISE WILL CHECK TO BE SURE THAT WE HAVEN'T MISSED ANYONE. DR. FEINBERG. >> PROFESSOR AT JOHNS HOPKINS UNIVERSITY. >> I'M CHARLES MOUTON, EXECUTIVE VICE PRESIDENT, PROVOST AND DEAN, SCHOOL OF SCHOOL OF MEDICINE AT UNIVERSITY OF TEXAS MEDICAL BRANCH IN GAVEL TON, TEXAS. >> THANK YOU. DR. MITCHELL? >> DR. EDITH MITCHELL. I'M PROFESSOR OF MEDICINE AND MEDICAL ONCOLOGY AND ONE OF THE ASSOCIATE DIRECTORS OF THE SIDNEY KIMMEL CANCER CENTER AT JEFFERSON IN PHILADELPHIA. >> DR. KORETZKY? >> THANK YOU. THIS IS GARY KORETZKY. I AM PROFESSOR OF MEDICINE AT WEILL CORNELL AND VICE PRO VEST AT CORNELL UNIVERSITY. >> DR. COLDITZ? >> GRAHAM COLDITZ, UNIVERSITY OF ST. LOUIS. >> DR. SCHAFFER? >> THIS IS JEAN SCHAFFER. I'M A SENIOR INVESTIGATOR AT THE JOS LIN DIABETES CENTER AND PROFESSOR OF MEDICINE AT HARVARD MEDICAL SCHOOL. >> DR. BOTKIN. >> JEFF BOTKIN, PROFESSOR OF PEDIATRICS AND MEDICAL ETHICS AT THE UNIVERSITY OF UTAH. >> DR. LI? >> -- UNIVERSITY. >> THANK YOU. DR. KEVIN JOHNSON? >> KEVIN JOHNSON. I'M PROFESSOR OF PEDIATRICS AND PROFESSOR OF BIOMEDICAL INFORMATICS AT VANDERBILT UNIVERSITY MEDICAL CENTER. >> THANK YOU. DR. ARDLIE? >> KRISTIN ARDLIE, I'M GENETICIST FROM THE BROAD INSTITUTE IN CAMBRIDGE. >> PROFESSOR OF EPIDEMIOLOGY AT THE UNIVERSITY OF CALIFORNIA SAN DIEGO, WISHING EVERYONE A HEALTHY AND HAPPY NEW YEAR. >> HI, I'M DR. SCOUT. I'M THE DIRECTOR OF THE NATIONAL LGBT CANCER NETWORK. HAPPY TO BE HERE. >> PAUL JOHNSON, DIRECTOR OF THE YERKES NATIONAL PRIMATE RESEARCH CENTER AND PROFESSOR OF MEDICINE AT EMORY UNIVERSITY. >> DR. KRUGMAN. >> DISTINGUISHED PROFESSOR OF PEDIATRICS, RECOVERED DEAN AND VICE CHANCELLOR AT THE UNIVERSITY OF COLORADO SCHOOL OF MEDICINE. >> DR. HORWITZ? >> -- RICK HORWITZ, EXECUTIVE DIRECTOR OF THE ALLEN INSTITUTE FOR CELL SCIENCE IN SEATTLE. >> DR. VANGELDER. >> RUSS VANGELDER, DEPARTMENT OF OPHTHALMOLOGY, UNIVERSITY OF WASHINGTON IN SEATTLE. >> AND DR. SANCHEZ. >> GOOD AFTERNOON. SUSAN SANCHEZ, PROFESSOR OF INFECTIOUS DISEASES, MICROBIOLOGY, DIRECTOR OF -- HEALTH. >> WE HAVE A COUPLE OF PEOPLE WHO'VE JOINED. DR. LAIRMORE. >> MICHAEL LAIRMORE, DEAN AT THE UNIVERSITY OF CALIFORNIA, DAVIS, SCHOOL OF VETERINARY MEDICINE. >> WE HAVE DR. KENNY. >> MY NAME IS PAUL KENNY, CHAIR OF THE DEPARTMENT OF NEUROSCIENCE, ICAHN SCHOOL OF MEDICINE, MOUNT SINAI, NEW YORK. >> THAT'S IT. >> HOW ABOUT MEGAN O'BOYLE? I SEE HER IN THE ATTENDEE LIST, DENISE. >> MEGAN SHARNER -- >> NO, MEGAN O'BOYLE IS IN THE ATTENDEE LIST. >> DR. O'BOYLE? >> NO, THIS IS DR. SIEGA-RIZ. >> OKAY, DR. SIEGA-RIZ? >> HI. THIS IS ANNA MARIA, I AM THE DEAN OF THE SCHOOL OF PUBLIC HEALTH AND HEALTH SCIENCES AT UMASS AMHERST. >> OKAY. >> OKAY. SO I HAVE A FEW ANNOUNCEMENTS RELATED TO CONFLICT OF INTEREST. YOU'VE HEARD THESE MANY TIMES BEFORE. AS MEMBERS OF THIS COMMITTEE, YOU ARE SPECIAL GOVERNMENT EMPLOYEES AND ARE SUBJECT TO THE RULES OF CONDUCT THAT APPLY TO FEDERAL EMPLOYEES, AND THESE RULES AND REGULATIONS ARE EXPLAINED IN A REPORT ENTITLED STANDARDS OF ETHICAL CONDUCT FOR EMPLOYEES OF THE EXECUTIVE BRANCH, WHICH YOU RECEIVED WHEN YOU WERE APPOINTED TO THE COUNCIL. AT EVERY MEETING, IN ADDITION TO REMINDING YOU ABOUT THE IMPORTANCE OF FOLLOWING THE ETHICS RULES, WE ALWAYS LIKE TO REVIEW THE STEPS THAT WE TAKE AND ASK YOU TO TAKE TO ENSURE THAT ANY CONFLICTS OF INTEREST BETWEEN YOUR PUBLIC RESPONSIBILITIES AND YOUR PRIVATE INTERESTS AND ACTIVITIES ARE IDENTIFIED AND ADDRESSED. THREE TIMES A YEAR, YOU PROVIDE US WITH INFORMATION ABOUT YOUR PERSONAL, PROFESSIONAL AND FINANCIAL INTERESTS. WE USE THIS INFORMATION AS THE BASIS FOR ASSESSING WHETHER YOU HAVE ANY REAL, POTENTIAL OR APPARENT CONFLICT OF INTEREST THAT COULD COMPROMISE YOUR ABILITY TO BE OBJECTIVE IN GIVING ADVICE DURING COUNCIL MEETINGS. IF SUCH CONFLICTS ARE IDENTIFIED, WE EITHER ISSUE A WAIVER OR RECUSE YOU FROM A PARTICULAR PORTION OF THE MEETING. WE ALSO RELY ON YOU TO BE AT10 ATTENTATIVE DURING OUR MEETINGS IF AN ISSUE ARISES THAT COULD AFFECT OR APPEAR TO AFFECT YOUR INTERESTS IN A SPECIFIC WAY. IF THIS HAPPENS WE ASK YOU RECUSE YOURSELF FROM THE DISCUSSION. IF YOU HAVE ANY QUESTIONS ON CONFLICT OF INTEREST OR THE RULES CONDUCT, RULES OF CONDUCT, I WOULD BE HAPPY TO ADDRESS THEM. TODAY TIME IS ALLOTTED IN THE AGENDA FOR DISCUSSION BETWEEN THE COUNCIL AND THE SPEAKERS. THE PUBLIC IS WELCOME TO SUBMIT COMMENTS IN WRITING AFTER MEETING, AND INSTRUCTIONS FOR DOING SO ARE IN THE FEDERAL REGISTER NOTICE THAT WAS PUBLISHED ON DECEMBER 18TH. APPROVED MINUTES OF THE MEETING WILL BE POSTED TO THE DPCPSI WEBSITE, AS WILL THE FUTURE MEETING DATES. AS A REMINDER, THE JANUARY 29TH COUNCIL MEETING NEXT YEAR WILL BE HELD IN VIRTUAL FORMAT. IF YOU HAVE ANY TECHNICAL DIFFICULTIES, PLEASE CONTACT TECHNICAL SUPPORT. YOU'LL SEA RAY LISTED NEAR THE TOP OF THE PANELISTS AND YOU CAN CONTACT HIM THROUGH THE CHAT FUNCTION. BACK TO YOU, JIM. >> OKAY, THANK YOU, ROBIN. YOU KNOW, AS WE REALLY HAVE ONLY ONE FULL DAY LEFT IN THIS YEAR, I JUST HAVE TO REFLECT WHAT A TRAGIC YEAR THIS HAS BEEN, BUT AS WE RUN THROUGH THE ROSTER, I'M ALSO A LITTLE UPLIFTED AT WHAT A TERRIFIC GROUP WE HAVE ADVISING THE DIVISION AT NIH HERE, SO LOOKING FORWARD TO YOUR COMMENTS TODAY ON WHAT WE WANT TO DISCUSS. BEFORE WE GET STARTED, I'D LIKE TO REMIND EVERYONE THAT WE ARE IN OPEN SESSION, WHICH MEANS OPEN TO THE PUBLIC, INCLUDING MEMBERS OF THE PRESS. WE'RE VIDEOCASTING THIS MEETING SO ALL INTERESTED STAKEHOLDERS CAN LUS ENAND LISTEN AND IT WILL BE AVAILABLE IN THE FUTURE. I AM VERY PLEASED THAT DR. GRIFFIN RODGERS, DIRECTOR OF THE NATIONAL INSTITUTE OF DIABETES, DIGESTIVE AND KIDNEY DISEASES IS JOINING US TODAY. DR. RODGERS AND I WILL BE PRESENTING THE SLIDES THAT WE SENT TO YOU FOR REVIEW IN ADVANCE OF THE MEETING, AND DR. RODGERS WILL START WITH AN OVERVIEW OF THE 2020 TO 2030 STRATEGIC PLAN FOR NIH NUTRITION RESEARCH AND ITS IMPLEMENTATION. FOLLOWING THAT, I'LL DISCUSS WHY THE TRANSFER OF THE OFFICE OF NUTRITION RESEARCH TO DPCPSI IS APPROPRIATE, AND WE'LL HELP FACILITATE IMPLEMENTATION OF THE PLAN. I'LL ALSO HAVE DR. CHRIS LYNCH, WHO'S THE DIRECTOR OF THE OFFICE OF NUTRITION RESEARCH IN NIDDK, HE'S ALSO ON THIS CALL AND CAN HELP IF THERE ARE QUESTIONS THAT ONLY CHRIS CAN ANSWER. SO DR. RODGERS IS GOING TO LEAD OFF THE PRESENTATION AND I'LL HAND TO YOU. GRIFF? >> JIM, THANKS VERY MUCH. CAN YOU HEAR ME OKAY? >> SURE CAN. >> WELL, GOOD AFTERNOON, AND AS I WAS HEARING THE ROLL CALL, I'M PLEASED TO BE JOINED BY SO MANY FRIENDS AND COLLEAGUES AND PEOPLE THAT HAVE WORKED ON SPECIAL WORKING GROUPS AND COMMITTEES WITH. ON BEHALF OF MY FELLOW CO-CHAIRS OF THE NUTRITION RESEARCH TASK FORCE, IN THE TIME ALLOTTED, AS DR. ANDERSON MENTIONED, I'D LIKE TO GIVE YOU AN UPDATE ON NIH NUTRITION RESEARCH AND SOME ONGOING IMPLEMENTATION OF THE STRATEGIC PLAN. FOR NIH NUTRITION. IF I CAN HAVE THE NEXT SLIDE, PLEASE. THE NUTRITION RESEARCH TASK FORCE IS CO-CHAIRED FROM LEFT TO RIGHT BY BARRY GIBBONS, DIRECTOR OF NHLBI, NED SHARPLESS, DIRECTOR OF N KRI. , DR. DIANA BIANCHI, DIRECTOR OF NICHD AND MYSELF. BUT AS A SENIOR LEADERSHIP GROUP APPOINTED BY THE CO-CHAIR, THE EXECUTIVE SECRETARY OF THIS TASK FORCE IS DR. CHRIS LYNCH, WHO SERVES AS DIRECTOR OF OUR OFFICE OF NUTRITION. THE CO-CHAIRS HAVE A WORKING GROUP OF ABOUT 50 INTRAAND EXTRAMURAL SCIENTISTS FROM 17 INSTITUTES, CENTERS AND OFFICES AT THE NIH. AND THE NUTRITION TASK FORCE WAS INITIALLY CHARGED BY FRANCIS WITH IDENTIFYING PROMISING SCIENTIFIC OPPORTUNITIES AND KEY RESEARCH -- TO SOLICIT FEEDBACK IN DEVELOPMENT OF THE PLAN AND RELATED EFFORTS INCLUDING FROM THE PUBLIC AND OTHER FEDERAL AGENCIES AND SCIENTIFIC COMMUNITY AND TO PROMOTE INTRADISCIPLINARY WORK TO ACHIEVE THE COMMON GOALS IN NUTRITION LEADING TO THE DEVELOPMENT OF A STRATEGIC PLAN, AS DR. ANDERSON MENTIONED, ENCOMPASSING THE NEXT 10 YEARS OF NIH RESEARCH. SO EMERGING FROM THE STRATEGIC KOHL'S AND CROSS-CUTTING RESEARCH AREA OF THE PLAN IS AN OVERARCHING THEME OF PRECISION NUTRITION. THIS PLAN AIMS TO BE A CATALYST FOR MODERNIZING NUTRITION RESEARCH AND ENSURING RIGOR AND CONSISTENCY ACROSS BIOMEDICAL RESEARCH THAT EXAMINES THE ROLE OF DIET AND DISEASE. AND THE PLAN HAS REALLY FOUR SPECIFIC GOALS. THOSE FOUR ARE TO FIRST SPUR DISCOVERY AND INNOVATION THROUGH FOUNDATIONAL RESEARCH. IN OTHER WORDS, WHAT DO WE EAT AND HOW DOES IT AFFECT US? SECONDLY, THE PLAN HOPES TO INVESTIGATE THE ROLE OF DIETARY PATTERNS AND BEHAVIOR FOR OPTIMAL HEALTH. WE KNOW ABOUT INTERMITTENT FASTING, SO ESSENTIALLY WE'RE ASKING HERE WHAT AND WHEN SHOULD WE EAT? THE THIRD OBJECTIVE IS TO DEFINE THE ROLE OF BEHAVIOR -- I'M SORRY, AND THIRD TO DEFINE THE ROLE OF NUTRITION ACROSS THE LIFESPAN. SO HOW DOES WHAT WE EAT PROMOTE HEALTH ACROSS OUR LIFESPAN? HERE OUR FOCUS WILL BE ON UNDERSTUDIED PARTS OF THE LIFE COURSE, PREGNANCY, BIRTH TO EARLY LIFE, AND THEN HEALTHY AGING. AND THEN FINALLY, TO REDUCE THE BURDEN OF DISEASE IN THE CLINICAL SETTINGS. WE'VE ALL HEARD THAT FOOD CAN BE MEDICINE, SO REALLY, HOW CAN WE IMPROVE THE USE OF FOOD AS MEDICINE? AND IN ADDITION TO THESE GOALS, IT HAS FIVE CROSS-CUTTING RESEARCH AREAS. NEXT SLIDE, PLEASE. THESE ARE SHOWN HERE. THEY INCLUDE MINORITY HEALTH AND HEALTH DISPARITIES, HEALTH OF WOMEN, RI IMOR AND REPRODUCIBILITY, DATA SCIENCE, ARTIFICIAL INTELLIGENCE, AND TRAINING THE NEXT GENERATION OF THE NUTRITION SCIENTIFIC WORKFORCE. NUTRITION RESEARCH IS CROSS-CUTTING TOPIC LIMITED TO THE FOUR INSTITUTES THAT CO-CHAIR THAT COMMITTEE, IN FISCAL YEAR 2019, FOR EXAMPLE, NUTRITION RESEARCH -- ABOUT $1.9 BILLION, MORE THAN ANY OTHER FEDERAL AGENCY, AND IT FUNDED OVER 4600 PROJECTS. THEREFORE, ON THE NEXT SLIDE, THE CHALLENGE IS, HOW DO WE ENGAGE THE OTHER INSTITUTES, CENTERS AND OFFICES IN THIS OFFICE, HOW CAN, FOR EXAMPLE, YOU ENGAGE THE NEUROSCIENCE EXPERTISE. CLICK ONE MORE TIME, PLEASE. HOW CAN WE SPECIFICALLY ENGAGE NEUROSCIENCE EXPERTISE TO ADDRESS ISSUES RELATED TO DIET AND NEURODEGENERATIVE DISEASE, NEURODEVELOPMENT, IMAGING, AND QUESTIONS AROUND THE RESPONSES TO TASTE AND SMELL, AND EATING BEHAVIOR, AND OTHER SCIENCE, NEUROBIOLOGY OF HUNGER, SATIETY AND FOOD CHOICE? THESE ARE VERY IMPORTANT AND WE WANT TO BRIQ BRING THEM OBVIOUSLY INTO THE FOLD. FLEX SLIDE, PLEASE. SO TO IMPLEMENT THE STRATEGIC PLAN, WE STOOD UP SEVEN TRANS-NIH IMPLEMENTATION WORKING GROUPS. THEY'RE LISTED HERE. WE DID THIS LAST YEAR, AND THEY'VE BEEN MEETING AROUND TOPIC AREAS. THE GOAL IS TO IMPLEMENT THE STRATEGIC PLAN BY DEVELOPING TRULY TRANS-NIH ACTIVITIES AND AN INITIATIVE INSPIRED BY THE STRATEGIC GOALS IN OUR OBJECTIVES I'VE OUTLINED. THESE WORK GROUPS HAVE PERFORMED PORTFOLIO ANALYSIS, AND HAVE DEVELOPED BOTH SHORT AND LONG TERM GOALS AND OUTLINED WORKSHOP CONCEPTS, ITEMS FOR OTHER IMPLEMENTATION WORK GROUP, TRANS-NIH INITIATIVES, AND GRAND CHALLENGES FOR CONSIDERATION. AS A DIRECT RESULT OF STANDING UP THESE WORK GROUPS, WE'VE GOTTEN MANY MORE EMBERS AS EL STRAIGHTED HERE, THERE ARE NOW 17 CENTERS AND OFFICES THAT HAVE PARTICIPATED IN THE IMPLEMENTATION OF THESE SELECT AREAS, BUT WE STILL SEEK TO EXPAND THE NEUROLOGY, -- THAT'S SOMETHING JIM WILL DISCUSS IN A MOMENT. NOW, ONE OF THE CHALLENGES DEVELOPED BY THE MEMBERS OF THIS GROUP IS A PRECISION NUTRITION STUDY THAT WAS -- THE CONCEPT OF WHICH WAS CLEARED BY YOU GUYS AT THE SEPTEMBER COUNCIL OF COUNCILS MEETING, NUTRITION FOR PRECISION HEALTH, POWERED BY THE ALL-OF-US RESEARCH PROGRAM. IT'S AN NIH COMMON FUND PROGRAM DEDICATED TO PRECISION NUTRITION, AND REPRESENTS REALLY THE FIRST ANCILLARY STUDY NESTED IN THE ALL-OF-US COHORT. MORE INFORMATION ABOUT THIS PROGRAM IS ON THE NIH'S COMMON FUND WEBSITE, BUT BRIEFLY, HERE YOU SEE THE PROPOSED BOLD CLINICAL RESEARCH STUDY THAT AIMS TO PROVIDE THE EVIDENCE BASE FOR NUTRITION RECOMMENDATIONS BY LEVERAGING THE EXTENSIVE ALL-OF-US NETWORK. IF YOU CLICK A COUPLE OF TIMES, I'LL JUST GO THROUGH THIS. DURING PHASE ONE, WE'LL RECRUIT 10,000 10,000 PARTICIPANTS FOR A MODULAR DISCOVERY SCIENCE STUDY, MAKING IT REALLY THE LARGEST PRECISION NUTRITION STUDY EVER CONDUCTED. IN EACH MODULE, WE WILL BE PERFORMING CONTINUOUS GLUCOSE MONITORING, COLLECTING OTHER BIOLOGICAL MEASURES AND CONDUCTING CHALLENGES, WE WILL EXAMINE SOCIAL, COMMUNITY AND OTHER FACTORS THAT COULD BE A SOURCE OF INDIVIDUAL VARIABILITY IN DIETARY RESPONSES ALONG WITH MICROBIOME -- BEHAVIORAL, PHYSIOLOGICAL, PROTEOMIC, METABOLOMICS ASSESSMENT, AND WE'LL ALSO LEVERAGE THE ALL-OF-US DATA ON GENOMICS, ELECTRONIC HEALTH RECORDS AND SURVEY. NOW IN MODULE ONE, FOR ALL 10,000 PARTICIPANTS, WE PLAN TO EXAMINE PARTICIPANT RESPONSES TO THEIR USUAL DIET AND OBTAIN BLOOD, URINE AND STOOL SAMPLES FOR VARIOUS ANALYSES. AND A SMALLER SUBSET, WE WILL EXAMINE RESPONSES TO CHALLENGE DIETS AND CONTROLLED EATINGS STUDIES EATING STUDIES IN -- PARTICIPANTS IN MODULE 2, THEN TO THE RIGHT IN MODULE 3, FROM THAT, WE WILL ALSO STUDY ABOUT 500 TO A THOUSAND IN MODULE 3. THESE WILL BE INDIVIDUALS WHO -- DOMICILED EATING, SMALLER CONTROLLED FEEDING CENTER. OBVIOUSLY THE RIGOR OF THE DATA COLLECTED FROM 1 TO 2 AND 1 TO 3 WILL FURT HER ENHANCE THE ANALYSIS OF MODULE 1 COHORT. OVERALL EXTENSIVE METABOLIC AND MICROBIOME PHENOTYPING COLLECTION OF BIOLOGICAL SAMPLES AND MONITORING OF INDIVIDUAL RESPONSES TO KNOWN DIETARY CONSTITUENTS WHO PROVIDE A RICH DATA SOURCE THAT WILL LEAD TO DIETARY RECOMMENDATIONS -- TO POPULATION TAILORED TO POPULATION SUBGROUPS. SMART DEVICES, THESE KIND OF TOOLS CAN PROVIDE DIETARY ASSESSMENT, ARTIFICIAL INTELLIGENCE COACHES TO ADVANCE THE FIELD OF PRECISION NUTRITION. THE OVERALL DELIVERABLE OF STAGE ONE, IN THE FIRST FIVE YEARS OF THE COMMON FUND PROPOSAL, WILL BE ALGORITHMS THAT WILL PREDICT INDIVIDUAL RESPONSES TO DIET. IN STAGE II, THE SECOND COMMON FUND PROPOSAL, WE WOULD CONDUCT FURTHER STUDY TO VALIDATE THE -- PREDICTED [INAUDIBLE]. WHILE THERE ARE TWO SLIDES THAT WERE INCLUDED, LET ME SORT OF SUMMARIZE THEM BY QUICKLY SAYING THAT WE WILL NEED ABOUT FIVE INITIATIVES TO CARRY OUT. I THINK IT MAY BE INCLUDED IN THE ADDITIONAL SLIDES THAT WERE INCLUDED. OH, THERE WE GO. AND THESE RESEARCH COORDINATING CENTERS, CLINICAL CENTERS, ARTIFICIAL INTELLIGENCE, ALL-OF-US BIOBANK, WILL EITHER REQUIRE THE DEVELOPMENT FOAs, SOME THAT THE ALL-OF-US PROGRAM HAVE ALREADY PUT IN PLACE. I THINK THERE ARE SOME ADDITIONAL SLIDES THAT ARE INCLUDED SO I WON'T GO THROUGH THAT. THEN THE FINAL SLIDE, THIS SLIDE JUST REMINDS YOU THAT WE CHOSE THE ALL-OF-US TO DO THIS STUDY, IT'S REALLY AN IDEAL PARTNER FOR THIS STUDY, FOR MANY REASONS. THEY AIM TO HAVE A LARGE COHORT, UP TO A MILLION OR MORE PEOPLE WITH A WEALTH OF DATA AVAILABLE, AND THEIR COMMITMENT TO DIVERSITY AND UNCOLLUSION AND INCLUSION T O ALLOW US TO SELECT PARTICIPANTS THAT REALLY REPRESENT THE DIVERSITY OF THE UNITED STATES, THERE'S AN EXTENSIVE INFRASTRUCTURE ALREADY IN PLACE THAT WE CAN LEVERAGE, ALSO CAN LEVERAGE GENOMIC AND ELECTRONIC HEALTH RECORDS, DIGITAL HEALTH AND SURVEY DATA, ALL OF WHICH CAN BE USED AS POTENTIAL INPUT INTO THE PRECISION NUTRITION ALGORITHM. THEY ALREADY HAVE IMPLEMENTED DATA SHARING POLICIES THAT WILL ENSURE ANY QUALIFIED RESEARCHER WITH ACCESS TO DATA THAT'S GENERATED IN THE STUDY AND WE EXPECT TO BE ABLE TO ADD VALUE BACK TO THE ALL-OF-US PROGRAM BY INTRODUCING NEW DATA TYPES IN OUR STUDYS THAT WOULDN'T BE ABLE TO [INAUDIBLE] LIKE THE MICROBIOME DATA DETAILED [INAUDIBLE] SO WE HOPE TO BE ABLE TO RETURN HIGH VALUE INFORMATION TO STUDY PARTICIPANTS AS WELL AS INCLUDING DIETARY RECOMMENDATIONS IN RECOMMENDATIONS TO INDIVIDUAL OR SUBGROUP. THIS WORK THAT HAS GONE ON, BOTH THE STRATEGIC PLAN AND IMPLEMENTATION AND ALSO DEVELOPMENT OF THE INITIATIVE ON PRECISION NUTRITION HAS REALLY TAKEN A LOT OF COORDINATION THROUGH THE OFFICE OF NUTRITION RESEARCH, ALL OF US FOLKS, AS WELL AS PEOPLE INVOLVED IN COMMON FUND OFFICE THAT DR. ANDERSON OVERSEES, AND THERE'S EXTENSIVE COORDINATION THAT'S ONGOING, AND THAT'S WHY -- THAT'S ANOTHER REASON THAT WE THOUGHT WE WOULD BRING THIS IDEA TO THE -- IN TERMS OF ALLOWING THAT OFFICE TO [INAUDIBLE] AND WITH THAT, LET ME TURN IT OVER TO DR. ANDERSON. >> OKAY, THANKS VERY MUCH, GRIFF. WE DID HAVE -- I'M SORRY, GRIFF, YOUR EXTRA SLIDES ARE THERE. SO IF WE COULD GO ON. I WILL CONTINUE AND WE'LL HAVE DISCUSSION AFTER MY BRIEF PRESENTATION. OKAY. NEXT SLIDE, PLEASE. WE'VE GONE BACK TO THE BEGINNING. WE WANT TO GO RIGHT TO MY SLIDES THAT FOLLOW GRIFF'S. SO AS GRIFF HAS POINTED OUT, NUTRITION IS REALLY RELEVANT TO THE MISSION OF MOST OF OUR INSTITUTES, AND THERE IS A LARGE INVESTMENT IN NUTRITION ALREADY. IT'S OBVIOUSLY CRUCIAL FOR MAINTAINING HEALTH ACROSS THE LIFESPAN, YOU CAN THINK OF NUTRITION AS MEDICINE. IT'S SOMETHING THAT'S VERY CENTRAL TO WHAT MANY OF OUR INSTITUTES DO, SO THE QUESTION THAT CAME UP WAS RAISED BY -- THROUGHOUT HIS PRESENTATION IS HOW CAN WE ENHANCE ENGAGEMENT OF ALL OF NIH IN IMPLEMENTING THE STRATEGIC PLAN FOR NUTRITION RESEARCH, WHICH IS REALLY OUR CORPORATE PLAN FOR HOW WE WANT TO DO THIS RESEARCH IN ALL AREAS AND COORDINATE IT. AND OBVIOUSLY ONE WAY TO DO THAT IS TO TRANSFER THE OFFICE OF NUTRITION RESEARCH FROM NIDDK TO DPCPSI, TO COORDINATE AND LEAD ALL OF OUR -- MOST OF OUR NIH-WIDE NUTRITION RESEARCH, INCLUDING IMPLEMENTATION. THE NEXT SLIDE. AS THE COUNCILMEMBERS WILL WELL KNOW, OUR DIVISION HAS A STATUTORY REQUIREMENT FOR NIH COORDINATION PLANNING AND CREATING STRATEGIC INITIATIVES AND OVERSEEING THEM IN PARTNERSHIP WITH THE INSTITUTES. CURRENTLY WE HAVE 10 PROGRAM OFFICES AND I WON'T GO THROUGH THESE, THE COUNCIL WILL RECOGNIZE THESE AS OFFICE OF AIDS RESEARCH, OFFICE OF BEHAVIORAL SOCIAL SCIENCE RESEARCH, DISEASE PREVENTION, DIETARY SUPPLEMENTS AND SO ON. SO THIS IS NOT EVERYTHING NIH DOES BUT THE DIVISION DOES TAKE ON A CENTRAL ROLE IN COORDINATING SOME AREAS OF THE RESEARCH THAT ARE REALLY CROSS-CUTTING, LIKE NEW NUTRITION. SO THE RESEARCH FOCI OF EACH OF THESE OFFICES DOES DIFFER BUT THEY DO SHARE THAT COMMON MISSION TO IDENTIFY, COORDINATE, MANAGE AND LEAD RESEARCH ACTIVITIES IN PARTNERSHIP WITH THE INSTITUTES. SO IN TERMS OF HOW WE DESCRIBE HOW WE DO THAT, SOME OF OUR DPCPSI OFFICES PREPARE AN OFFICE-SPECIFIC STRATEGIC PLAN. FOUR OF THEM ARE LISTED THERE, BEHAVIORAL AND SOCIAL SCIENCE RESEARCH, ENDING WITH OFFICE OF RESEARCH INFRASTRUCTURE PROGRAMS. THESE DESCRIBE HOW THE OFFICE WILL FUNCTION AND WHAT ITS GOALS ARE TO ASSIST NIH IN ITS AREA OF RESEARCH. BUT THEN THERE ARE OTHER OFFICES THAT ARE CHARGED WITH PREPARING THE TRANS-NIH OR NIH WIDE STRATEGIC PLANS FOR WHAT WE WILL DO AS AN AGENCY, AND THOSE ARE THE OFFICE OF AIDS RESEARCH, DATA SCIENCE STRATEGY, WHICH YOU'VE HEARD FROM SEVERAL TIMES, WOMEN'S HEALTH, THE COMMON FUND WHICH YOU'RE VERY INGAUGED IN ENGAGED AND CLEAR THE CONCEPTS FOR, SEXUAL MINORITY AND OUR TRIBAL RESEARCH OFFICE. SO IT IS NOT UNCOMMON FOR OUR OFFICES TO BE CHARGED WITH DEVELOPING THE PLAP AND IMPLEMENTING IT THE PLAN AND IMPLEMENTING IT FOR SPECIFIC AREAS OF RESEARCH. OUR OFFICES USE VERY SIMILAR TACTICS, I WOULD SAY, WITH CO-FUNDING OR HAVING COORDINATING COMMITTEES THAT ENGAGE ALL OF THE INSTITUTES OR BEING RESPONSIBLE FOR ARGUE NIEZING THE NEEDS FOR WORKSHOPS AND FUNDING OPPORTUNITIES AND SO ON. SO THIS IS JUST A PICTURE DEPICTING THE OFFICES IN THE DIVISION, AND ON THE BOTTOM TWO LINES ARE THE PROGRAM OFFICES AND THERE ARE ALREADY SIX THAT ARE CHARGED WITH WITH DEVELOPING OUR NIH WIDE STRATEGIC PLANS, AND THE PROPOSAL WOULD BE TO ADD OFFICE OF NUTRITION RESEARCH IN THE BOTTOM RIGHT, FOR WHICH THERE IS ALREADY AN NIH-WIDE STRATEGIC PLAN, AS THERE HAD BEEN FOR OTHER OFFICES, WHERE A PLAN WAS CREATED AND THEN AN OFFICE DEVELOPED TO IMPLEMENT THE PLAN ACROSS ALL THE INSTITUTES. WE HAVE HEARD STRONG EXTERNAL SUPPORT FROM THAT, WE HAD AN OPPORTUNITY FOR THE PUBLIC TO SUBMIT COMMENTS, WHICH ACTUALLY IS CLOSED TODAY BUT OPEN FOR A WHILE. THE COMMENTS THERE HAVE ALL BEEN VERY SUPPORTIVE. THERE'S ALSO BEEN PUBLICATIONS RECENTLY. I'LL POINT YOU TO ONE HERE CALLED STRENGTHENING NATIONAL NUTRITION RESEARCH RATIONALE AND OPTIONS FOR NEW COORDINATION OF FEDERAL RESEARCH EFFORT AND AUTHORITY. THIS IS A WHITE PAPER THAT WAS DEVELOPED WITH LEADERSHIP OF THE AMERICAN SOCIETY FOR NUTRITION, A PAST COMMISSIONER OF THE FDA, A PAST U.S. SECRETARY OF AGRICULTURE, AND A VARIETY OF OTHER PEOPLE THAT ARE VERY PASSIONATE ABOUT THIS AREA OFFERED HOW THE U.S. GOVERNMENT ACROSS ALL OF GOVERNMENT COULD BETTER COORDINATE, AND AMONG THEIR RECOMMENDATIONS WAS TO CREATE AN INSTITUTE, A CENTER, OR MOVE THE OFFICE MORE CENTRALLY IN NIH TO THE OFFICE OF DIRECTOR. THE LINK HERE IS TO A WHITE PAPER THEY RELEASED WHEN THEY PRESENTED IT AT A PIE PARTISAN BIPARTISAN POLICY CENTER EVENT WHERE SEVERAL MEMBERS OF CONGRESS SPOKE AND I HAD THE HONOR TO PARTICIPATE AS WELL. SO WHAT ARE THE ACTIONS WE WOULD TAKE THIS FISCAL YEAR? IT WOULD BE TO TRANSFER THE OFFICE OF NUTRITION RESEARCH FROM DDK TO DPCPSI. ITS PREDOMINANT CHARGE WOULD BE TO OVERSEE IMPLEMENTATION OF THE STRATEGIC PLAN THAT HAS ALREADY BEEN DEVELOPED AND FOR WHICH THERE ARE ALREADY EXCELLENT WORKING GROUPS AND PARTICIPATION. IT WOULD ALSO SERVE AS THE NIH-WIDE VOICE FOR NUTRITION RESEARCH, POINT OF CONTACT WITH THE PUBLIC, ADVOCATES, CONGRESS, OTHER AGENCIES. AND ALSO AS CHRIS POINTED OUT, PLAY A VERY CRITICAL ROLE IN OVERSEEING THE NUTRITION FOR PRECISION HEALTH, WHICH I KNOW YOU FOLKS ARE ALL ACQUAINTED WITH THIS COMMON FUND PROGRAM WHICH IS THIS LARGE COHORT, LARGEST COHORT STUDY ON NUTRITION EVER ATTEMPTED. AND THE FOUR -- SO AS YOU KNOW TOO, OUR COMMON FUND PROGRAM'S SCIENTIFIC DIRECTION IS PROVIDED BY MULTIPLE INSTITUTE DIRECTORS FOR EACH PROGRAM, AND THE CO-CHAIRS FOR THE TASK FORCE THAT DEVELOPED THE STRATEGIC PLAN THAT CURRENTLY LEAD THE NUTRITION FOR HEALTH WILL REMAIN IN THAT ROLE OVERSEEING THE PROGRAM SCIENTIFICALLY. SO I'D ALSO SAY THE TASK FORCE THAT DEVELOPED THE PLAN WAS CHARGED FOUR YEARS AGO, THEY IT WAS EXCELLENT, THEY DELIVERED IN LATE SPRING. THEY WERE ALSO ASKED TO SET UP THE SENIOR LEADERSHIP GROUP TO GUIDE IMPLEMENTATION FOR THE PLAN AND THEY HAVE DONE THAT. SO I THINK IT'S TIME NOW TO MOVE ON TO IMPLEMENTATION FULLY. ONE THING WE WOULD DO IMMEDIATELY IS EXPAND THE SENIOR LEADERSHIP GROUP TO EMBRACE MORE OF THE INSTITUTES THAT HAVE KEY ROLES BUT MAYBE IN TERMS OF NUMBER OF GRANTS AND SO ON A SLIGHTLY LESSER ROLE, AND AGAIN, OUR CO-CHAIRS WOULD CONTINUE ADVISING THE OFFICE AND HAVE A VERY ACTIVE ROLE IN HELPING TO OVERSEE THE ALL-OF-US PROGRAM. SO WITH THAT, I WOULD LIKE TO OPEN IT UP TO COUNCILMEMBERS TO COMMENT ON THIS PROPOSAL, INCLUDING HOW TO MAKE THIS MOST EFFECTIVE, AND THE WAY WE'RE GOING TO DO THIS IS, IF YOU WOULD PLEASE ENTER YOUR NAME IN THE CHAT BOX IF YOU WOULD LIKE TO MAYBE A COMMENT AND THE HOST WILL CALL ON YOU THEN, OKAY? SO LET'S BEGIN WITH THAT. ANYONE WHO WANTS TO MAKE A COMMENT, PLEASE ENTER YOUR NAME IN THE CHAT BOX, AND WE'LL GO IN ORDER OF THE ENTERED NAMES. >> DR. SCHAFFER. >> SO I THINK I'M UNMUTED, SMASHING? >> JANE, JEAN, YOU'RE ON. I'D LIKE TO PERSONALLY SAY THANK YOU TO DR. RODGERS AND TO THE NUTRITION TASK FORCE AND TO DR. LYNCH FOR ALL YOUR EFFORTS ON BEHALF OF NUTRITION SCIENCE AND A VERY CLEAR PRESENTATION. INSIGHTS FROM THE TASK FORCE HAVE REALLY GUIDED THE DEVELOPMENT OF A COMPREHENSIVE PLAN THAT HAS TRULY IMPORTANT GOALS THAT ADDRESS KEY QUESTIONS IN A WIDE ROAD MAP FOR ACHIEVING THESE GOALS. AND I THINK THE CASE HAS BEEN MADE VERY EFFECTIVELY THAT NUTRITION HAS IMPORTANT IMPACTS ON DIVERSE DISEASE PROCESSES. SO TO ME, INCORPORATION OF NUTRITION IS AN AREA INDEED DPCPSI PROVIDES SEVERAL REALLY IMPORTANT OPPORTUNITIES. FIRST, IT WILL CERTAINLY FACILITATE WIDER ENGAGEMENT OF SCIENTISTS FROM MANY FIELDS. I DO BELIEVE IT WILL EXPAND THE BREADTH AND DEPTH OF LEADERSHIP AND PARTNERSHIP WITH THE DIFFERENT INSTITUTES. AND IMPORTANTLY, I THINK THIS PROVIDES NEW OPPORTUNITIES TO LEVERAGE SYNERGIES AND COORDINATION OF APPROACHES FROM DIVERSE FIELDS TO ADDRESS PROBLEMS THAT CROSS DISEASE BOUNDARIES. SO I WOULD JUST LIKE TO SAY I'M HIGHLY ENTHUSIASTIC FOR WHAT IS A VERY WELL PLANNED EVOLUTION OF THIS OFFICE OF NUTRITION THAT WAS PRESENTED TODAY, AND I WANT TO AGAIN THANK DR. RODGERS AND THE OTHERS WHO HAVE WORKED SO CAREFULLY TO DEVELOP THIS PLAN. >> THANKS SO MUCH, DR. SCHAFFER. APPRECIATE IT. >> THANKS, JEAN. >> NOW WE HAVE DR. MOUTON. >> YES, I THINK THE PLAN IS A GREAT IDEA OF MOVING TO DPCPSI. THANK YOU, DR. RODGERS, FOR ALL YOUR HARD WORK IN PULLING THIS O I HAD ONE THOUGHT, THOUGH, PARTICULARLY THE ISSUE OF IMPLEMENTATION. I KNOW THE PLAN HAS A LOT OF IMPORTANT WORK TO BE DONE AND THE BASIC SCIENCE OF NUTRITION, SO TO SPEAK, BUT GIVEN THAT THE USDA HAS FOOD AND NUTRITION, AND HOW DO YOU MOVE THE SCIENCE AND THE INFORMATION TO ARRIVE TO AN IMPLEMENTATION FRAMEWORK WITHOUT INCLUDING SOMEONE MAYBE FROM USDA ON THE LEADERSHIP PIECE WITH THIS? >> AS WE WERE MOVING ON THIS, ACTUALLY AS IT TURNS OUT, THERE IS A NUMBER OF THE USDA ADVISORY COUNCIL THAT DR. SCHAFFER WELL KNOWS, EARLY IN THE EVOLUTION OF THIS WILL NUTRITION STRATEGIC PLAN [INAUDIBLE] CONTINUE TO HAVE AN ACTIVE ROLE IN AGENCY EFFORT IN TERMS OF AREAS THAT SNEAK UP. IN FACT, THERE ARE A COUPLE PROPOSALS FROM LARGE STRATEGIC PLAN THAT -- DIRECTLY WITH SOME AGENCY COORDINATION. JIM? >> THAT'S A VERY GOOD QUESTION, BECAUSE THE FEDERAL GOVERNMENT IS VERY BROAD AND NUTRITION IS INCREDIBLY BROAD. IT NOT ONLY INVOLVES THE USDA, IT INVOLVES THE WEATHER, CHILDREN'S LUNCH PROGRAMS, IT'S QUITE BROAD IN HOW YOU INCORPORATE THAT. I DON'T KNOW, GRIFF, IS IT FAIR TO ASK CHRIS, THE COMMITTEES HE'S ON TO HELP COORDINATE? IT'S A ROBUST -- CHRIS, DO YOU WANT TO HANDLE THAT? >> OUR OFFICE MEETS WITH OTHER FEDERAL PARTNERS EVERY OTHER MONTH AT A NUTRITION RESEARCH COORDINATING MEETING. ANY STAFF WORKING ON NUTRITION, YOU KNOW, AT THE CDC, NASA, USDA, DEPARTMENT OF DEFENSE, THEY -- YOU KNOW, WE MEET REGULARLY WITH THEM, AND THEN AT A HIGHER LEVEL, WE HAVE A MEETING A FEW TIMES A YEAR BETWEEN THE USDA CHIEF SCIENTIST AND THE ASSISTANT SECRETARY OF HEALTH, INTERAGENCY COMMITTEE ON HUMAN NUTRITION RESEARCH, SO WITHIN THESE COMMITTEES, WE COORDINATE A LOT OF RESEARCH, WE HEAR ABOUT WHAT THE OTHER FEDERAL PARTNERS ARE DOING. SOMETIMES THEY WANT YOU TO SUPPORT EFFORTS THEY'RE DOING, AND THOSE ARE THE KIND OF DISCUSSIONS WE HAVE THERE. SO THERE'S A LOT OF FEDERAL COORDINATION ON THIS EFFORT BECAUSE IT IS SO CROSS-CUTTING ACROSS MANY GOVERNMENT AGENCIES. >> THANKS, CHRIS. >> THANKS FOR THAT. >> QUESTION FROM DR. ARANETA. >> DR. RODGERS, I WAS VERY EXCITED AT TODAY'S PRESENTATION AND ACTUALLY THE INITIAL PRESENTATION IN SEPTEMBER. I HAVE THREE SUGGESTIONS FOR YOUR CONSIDERATION. ONE IS THE DUTCH WINTER FAMINE STUDY HAS PROVIDED A LOT OF INFORMATION ON THE DEVELOPMENTAL ORIGINS OF DISEASE, PRIMARILY CARDIOMETABOLIC OUTCOMES, AND THE COVID PANDEMIC, THE POVERTY AND THE FOOD INSECURITY THAT'S RESULTED OFFERS A UNIQUE OPPORTUNITY IN HISTORY TO LOOK AT THE DEVELOPMENTAL ORIGINS OF FOOD INSECURITY AMONG PREGNANT WOMEN, AMONG GROWING TODDLERS, BUT IT ALSO MIGHT HAVE IMPLICATIONS IN UNDERSTANDING THE ETIOLOGY OF BRAIN DEVELOPMENT, NEUROPSYCHIATRIC ORDERS, OF MAYBE RETINAL DEVELOPMENT SO THERE MIGHT BE OPPORTUNITIES TO ENGAGE OTHER INSTITUTES. THE SECOND IS IF WE COULD CONSIDER LOOKING AT THE BREAST MILK MICROBIOME AND WHAT IS THE IMPACT ON LACTATING WOMEN, WHICH MIGHT BE OF INTEREST TO NIDA AND NIAAA AS WELL AS WITH NCATS, AND MY FINAL SUGGESTION IS, CAN WE ALSO INCLUDE LOOKING AT ACCESS. I MEAN, FOOD INSECURITY, FOOD DESERTS, THE NAVAJO NATION AND UR URBAN ENVIRONMENTS ARE AFFECTING COMMUNITIES DISPROPORTIONATELY AND MIGHT LEND TO LONGER TERM UNDERSTANDING OF ETIOLOGIC FACTORS. BUT THANK YOU, WE'RE VERY EXCITED TO SEE THIS. >> THANK YOU VERY MUCH FOR YOUR COMMENTS. SOME OF THE GRAND CHALLENGES THAT THE IMPLEMENTATION GROUPS ARE WORKING ON TOUCH EXACTLY ON THE TOPICS THAT [INAUDIBLE], ESPECIALLY DEVELOPMENT OF DISEASES. I KNOW THAT'S AN AREA THAT -- AND MY COLLEAGUE ACTIVELY ARE PURSUING, AND THE SECTION IN THE STRATEGIC PLANNING DOCUMENT. SO THANKS FOR BRINGING THOSE UP. THOSE ARE ALL VERY IMPORTANT TOPICS. REALLY APPRECIATE IT. AND ALSO IT PROVIDES -- EFFORT OF BRINGING ALL OF THE INSTITUTES [INAUDIBLE] >> DR. LAIRMORE. >> THANK YOU. AND AGAIN, I SHARE ENTHUSIASM FOR THE PRESENTATION AND THE DIRECTION OF ALL WHAT WAS PRESENTED. SO THANK YOU VERY MUCH. I HAVE A COUPLE OF MAYBE MORE SPECIFIC QUESTIONS, MAYBE THESE ARE MORE FOR JIM. IN THE PROA. PORTFOLIO, YOUR DIRECTOR OFFICE, IS THE OFFICE OF DIETARY SUPPLEMENTS. I JUST WONDERED ABOUT THE THOUGHT OF HOW DOES THAT INTERFACE WITH THE NUTRITION RESEARCH OFFICE, AND THEN THE SECOND QUESTION IS, WHEN YOU THINK ABOUT THE PRINCIPLES OF WHAT GOES INTO THE OFFICE OF THE DIRECTOR OF -- UNDER YOU, JIM, WE CAN THINK OF OTHER CROSS-CUTTING TOPICS ACROSS MEDICINE THAT MIGHT ALSO MAKE THESE SAME ARGUMENTS IN THE FUTURE. AND ARE THERE PRINCIPLES THAT WOULD ALLOW YOU TO HELP US UNDERSTAND, WHERE DOES THIS GO IN THE FUTURE FOR OTHER TOPICS? >> THOSE ARE EXCELLENT QUESTIONS. AND THE SECOND QUESTION, I THINK ABOUT ALL THE TIME. OKAY, SO FOR THE FIRST, WE DO HAVE THE OFFICE 6 DIETARY OFFICE OF DIETAR Y SUPPLEMENTS. IT'S BEEN IN THE STATUTES FOR DECADES AND HAS A SPECIFIC SET OF REQUIREMENTS FROM CONGRESS. ALSO DIETARY SUPPLEMENTS ARE A VERY SPECIFIC DESCRIPTION TOO. THEY'RE ORALLY INGESTED, THEY CANNOT BE USED FOR TREATMENT OF AN ILLNESS BUT FOR MAINTAINING HEALTH, SO THEY'RE NOT DRUGS, SO I THINK OF IT MORE AS A SUBSET OF THE ISSUES THAT WE TACKLE IN NUTRITION RESEARCH. IT'S APPROPRIATE, I THINK, TO HAVE THESE AS SIBLING OFFICES, AND WE HAVEN'T DONE THIS YET, BUT WE'RE GOING TO VERY CAREFULLY LOOK THROUGH EXACTLY WHAT WE THINK IS WITHIN THE CHARGE OF EACH, AND WHICH -- THEY CAN MAINTAIN THE UNIQUE RESPONSIBILITIES BUT ALSO SYNERGIZE WHERE APPROPRIATE. YOU KNOW, IT'S COME UP WHY NOT FUSE THE OFFICES. THAT MIGHT BE A GOOD IDEA. DIETARY SUPPLEMENTS ARE REALLY QUITE UNIQUE IN THEIR LEGAL DESCRIPTION, AND IT WOULD BE A VERY HEAVY LIFT TO COMBINE THEM WITH NUTRITION. SO THAT'S AN OVERLY WONKY ANSWER, BUT WHAT WE NEED TO DO IS MAKE SURE THEY'RE WELL INFORMED THE OTHER'S ACTIVITIES. THERE'S ACTUALLY A MEMBER OF DIETARY SUPPLEMENTS WHO'S WORKING IN THE OFFICE OF NUTRITION NOW AND THERE'S A LOT OF CROSSTALK BETWEEN THEM. SO I'M CONFIDENT THAT WE WILL LAND IN A PLACE WHERE THEY WORK TOGETHER VERY CLOSELY. THE SECOND IS, WHAT'S APPROPRIATE TO PUT IN DPCPSI? THE NIH DIRECTOR HAS THE LEGAL AUTHORITY TO CREATE ANY OFFICE IN KIPS THAT HE DPCPSI THAT HE OR SHE WIS HES. IN EFFECT WHAT'S HAPPENED IS WHEN THERE'S AN OPPORTUNITY THAT'S COMPELLING, THAT WE NEED A CENTRAL MANAGEMENT OF AN ISSUE. A VERY GOOD EXAMPLE RECENTLY WAS DATA SCIENCE, WHERE THERE'S SO MUCH ABOUT THE DATA SCIENCE MOVING SO QUICKLY, THERE'S SO MUCH ABOUT IT THAT'S NOT STANDARDIZED OR INTEROPERABLE, THAT WE JUST FELT HAVING COORDINATION FROM A CENTRAL LOCATION WAS A GOOD IDEA. AS OPPOSED TO EACH INSTITUTE DEVELOPING THEIR OWN PRINCIPLES FOR DATA PLATFORMS AND SO ON. SO I WOULD SAY FINALLY IT'S UP TO THE NIH DIRECTOR, BUT WE TAKE A CAREFUL LOOK AT IS THIS REALLY AN OPPORTUNITY TO DO SOMETHING MUCH BETTER BY DOING IT IN A CENTRALLY MANAGED WAYMENT WAY. AND WHEN I SAY THAT, IT'S A CENTRALLY COORDINATED WAY, BECAUSE EVERYTHING WE DO IS A PARTNERSHIP WITH THE INSTITUTE. BUT I TAKE YOUR QUESTION VERY SERIOUSLY. THERE'S OBVIOUSLY SOME LIMIT TO HOW MANY THINGS YOU WOULD WANT TO TAKE ON IN THIS WAY. >> WE HAVE ANOTHER QUESTION FROM DR. FEINBERG. >> SO DR. RODGERS, I JUST THINK THIS IS WONDERFUL, BOTH BECAUSE OF THE SUBSTANCE OF IT, BUT ALSO BECAUSE, YOU KNOW, WE'RE SORT OF USED TO ENCOURAGING PEOPLE TO THINK OUT OF THE BOX. THIS RESEARCH IS LIKE THAT. BUT YOU'RE DOING THAT, VERY MUCH SO, ACTUALLY, REACHING OUT -- MECHANISMS WITH THIS OFFICE. WITH THAT IN MIND, ONE OF THE THINGS THAT DPCPSI IS USED TO, YOU KNOW, IT'S IN THEIR WHEEL HOUSE THAT THIS MIGHT BE ALSO AN ADVANTAGE AS YOU'RE DOING FURTHER PLANNING IS HIGH RISK/HIGH REWARD RESEARCH. IN NUTRITION IN PARTICULAR, THERE ARE LOTS OF ASSUMPTIONS THAT ARE SORT OF NON-CONTESTED OBVIOUSLY, THERE ARE LOTS OF VERY BIG SURPRISES AND THERE'S LOTS OF TECHNOLOGIES THAT HAVEN'T REALLY BEEN BROUGHT INTO THIS WHICH OF COURSE YOU'RE ADDRESSING, BUT ALSO -- AND MAYBE, I WOULD THINK IT WOULD BE WORTH CONSIDERING THAT FOR PART OF THE PORTFOLIO, THERE WOULD BE SOME ROOM FOR HIGH RISK/HIGH REWARD RESEARCH FROM INVESTIGATORS WHO HAVE IDEAS IN THIS FIELD. ESPECIALLY THEY MIGHT HAVE A HARD TIME FIGURING OUT HOW THEY WOULD EVER DO IT INSIDE YOUR INSTITUTE ALONE, VERSUS IT MIGHT NOT BE REALLY COMMON FUND IDEA BUT IT STILL MIGHT BE AN IPT INTERINSTITUTE -- I'M THRILLED YOU'RE DOING THIS AND IF YOU'D CONSIDER SOME OF THIS FOR HR/HR-TYPE WORK. >> YOU MAKE A VERY VALID POINT. I THINK ONE OF THE COROLLARY -- I CAN SEE IN RAISING THE VISIBILITY, IF YOU WILL, IN NUTRITION RESEARCH, PUTTING IT IN THIS OFFICE, IS PERHAPS, YOU KNOW, SOME ADDITIONAL SUPPORT FOR NUTRITION RESEARCH [INAUDIBLE], INCLUDING THE BASIC SCIENCE STUDY THAT I THINK YOU'RE YOU'RE ALLUDING TO, SO WHILE NUTRITION WILL STILL BE DONE IN THE INSTITUTE, LARGE PIECES OF THIS THAT REQUIRE COORDINATION WILL BE HANDLED, BUT LET'S HOPE WE'LL HAVE ADDITIONAL RESOURCES FOR THESE CRITICAL QUESTIONS IN BASIC SCIENCE. >> THANK YOU. >> CAN I ADD THAT ANYONE WITH IDEAS FOR NUTRITION RESEARCH IS WELCOME TO APPLY FOR THE STANDARD COMMON FUND HR/HR PROGRAMS. >> THANKS, JIM. I JUST THOUGHT -- NOT QUITE RIGHT FOR THAT AND NOT QUITE RIGHT FOR GOING TO NIDDK, BUT MIGHT BE IN A HYBRID THING OR SOMETHING, BECAUSE IT CROSSES A FEW INSTITUTES. THAT'S WHAT I WAS DRIVING AT. THANKS. >> GOOD. THANK YOU. >> QUESTION HERE FROM EDITH MITCHELL. >> DR. RODGERS, THANK YOU SO MUCH FOR AN OUTSTANDING PRESENTATION. AND TO YOU AND DR. ANDERSON, MY QUESTION IS RELATED TO THE RECOGNITION THAT CANCERS OCCUR IN COMMUNITIES -- UNDERSERVED COMMUNITIES, AS WELL AS OTHER DISEASE PROCESSES, AND I DIDN'T SEE ANYTHING IN THE SLIDES ABOUT COMMUNITY ENGAGEMENT AND HOW YOU WOULD APPROACH THE RESEARCH INITIATIVES IN THOSE HIGH RISK COMMUNITIES, MANY OF WHICH HAVE VERY LITTLE TRUST IN ORGANIZED MEDICINE, AND ORGANIZED CLINICAL TRIALS. SO HOW WILL YOU INTEGRATE COMMUNITY ENGAGEMENT AND RESEARCH IN COMMUNITY ENGAGEMENT TO IMPLEMENT SOME OF THE STRATEGIES THAT YOU SO BEAUTIFULLY OUTLINED TODAY? >> MAYBE I CAN START AND EITHER JIM OR CHRIS. DR. MITCHELL, YOUR COMMENTS ARE REALLY RIGHT ON THE POINT. I CAN TELL YOU THAT FROM OUR INSTITUTE'S PERSPECTIVE, COMMUNITY ENGAGEMENT AND PARTICIPANTS' ENGAGEMENT IS REALLY WHAT WE'VE BEEN ABOUT FOR QUITE SOME TIME AND WE'VE DOUBLED DOWN ON RECENTLY, EVEN GIVING COMMUNITY MEMBERS AND PARTICIPANTS -- GETTING THEM ENGAGED, GIVING US ADVICE ON DEVELOPING PROTOCOLS, AND I IMAGINE WHAT WE'VE LEARNED IN OUR INSTITUTE MIGHT BE TRANSFERABLE TO SOME OF THESE EFFORTS THAT WILL BE ONGOING, EARLY DEVELOPMENT OF NUTRITION EFFORTS. THE EFFORTS I TRY TO SHOW, THE CROSS-CUTTING AREA RELATED TO IMPLEMENTATION OF THIS RESEARCH IN COMMUNITIES AND BRINGING IN TO SHARP FOCUS DIVERSITY [INAUDIBLE] POPULATION. I DIDN'T HAVE TIME TO GO INTO THIS IN GREAT DETAIL, BUT COMMUNITY PARTICIPATION [INAUDIBLE] IS REALLY ONE OF THE BULLET POINTS UNDER THAT CROSS-CUTTING PIECE. CHRIS, DO YOU WANT TO SAY A FEW THINGS ABOUT THE GROUP THAT YOU'VE ALREADY GOT INVOLVED IN SOME OF IT? >> ONE OF OUR IMPLEMENTATION WORK GROUPS FOCUSES ON IMPLEMENTATION SCIENCE IN THIS VERY QUESTION YOU MENTIO ABOUT HOW DO YOU APPROACH THINGS IN DIFFERENT COMMUNITIES, HOW YOU MIGHT SOLVE A NUTRITION PROBLEM OR A NUTRITION NUTRITION HEALTH DISPARITI ES PROBLEM IN RURAL TEXAS MIGHT BE VERY DIFFERENT IN HOW YOU'D DO THAT IN EASTERN OR WESTERN URBAN ENVIRONMENT. SO THIS WORK GROUP BRINGS TOGETHER EXPERTS ON THAT VERY QUESTION TO COME UP WITH INITIATIVES IN THAT AREA. WE ALSO HAVE ANOTHER WORK GROUP THAT'S WORKING ON SOCIAL DETERMINANTS OF HEALTH AND NUTRITION HEALTH DISPARITIES. SO THEY WORK VERY CLOSELY TOGETHER. I HOPE THAT ANSWERS. >> NEXT UP WOULD BE DR. CHANG. >> HELLO? >> HELLO. I'M NOT SURE YOU CAN SEE ME, BUT ANYWAY, I REALLY APPRECIATE THIS INITIATIVE. I THINK IT'S A GREAT IDEA. I'M A NEUROLOGIST, AND I DO A LOT OF NEUROSCIENCE RESEARCH, AND I THOUGHT WHAT YOU'VE BROUGHT UP ABOUT HOW THE NEUROSCIENCE INSTITUTES HAVE NOT BEEN INVOLVED IS A REALLY IMPORTANT POINT BECAUSE THERE'S -- FOR EXAMPLE, THERE ARE QUITE A FEW -- I WAS WONDERING, IT MIGHT BE A GOOD IDEA TO REACH OUT TO SOME OF THOSE BIG DATA GENERATING PROJECTS DIRECTLY, FOR EXAMPLE, THE ABCD STUDY, IT'S NOT AS BIG AS ALL-OF-US BUT THEY ARE ALREADY COLLECTING VERY COMPREHENSIVE OUTCOME MEASURES, COGNITIVE DEVELOPMENT AND BRAIN IMAGING, VERY SOPHISTICATED BRAIN IMAGING STUDY AND SO FORTH, SO IF YOU COULD LINK NUTRITION TO THAT, THEY'RE ALSO COLLECTING GENETIC DATA AS WELL. SO THAT'S JUST AN EXAMPLE, THEY'RE GETTING READY TO LAUNCH THEIR ACBD STUDY, WHICH IS THE HEALTHY BRAIN DEVELOPMENT STUDY STUDYING FROM INFANCY TO AGE 10. THE ABCD IS STARTING FROM AGE # TO 10 TO 19 TO 20 YEARS, LONGITUDINAL FOLLOW-UP STUDY IN 11,000 CHILDREN AND IT INVOLVES 15 INSTITUTES ALREADY, AND CENTERS, SO I THINK THOSE BIG STUDIES, I THINK WOULD BE THE WAY TO TAP INTO AT THE NUTRITIONAL COMPONENT, AND MAYBE -- I'M JUST NOT SURE WHAT THE MECHANISM WOULD BE, BUT TO CONTACT THE PEOPLE WHO ARE ORGANIZING OR LEADING THOSE BIG DATA STUDIES, SIMILARLY FOR THE NEURODEGENERATIVE STUDIES, THERE'S SO MANY, NEURODEGENERATIVE DATABASES THAT ARE BEING GENERATED, THE HUMAN CONNECTOME DATABASE. SO THAT'S JUST A SUGGESTION. >> THANK YOU, DR. CHANG. I CAN TELL YOU THAT DR. LYNCH AND I HAVE ACTUALLY HAD A COUPLE OF PRIVATE ZOOM MEETINGS WITH OUR COLLEAGUES IN NIDA, WHO ARE VERY ACTIVELY INVOLVED IN BOTH THE ABCD AND -- STUDIES AND HOW SOME OF THESE MAY ACTUALLY INTERACT. WE ALSO HAVE DEVELOPMENT IMPLEMENTATION SCIENCE WORKING GROUP THAT FOCUSES SPECIFICALLY ON THE TOPIC THAT YOU'VE BROUGHT UP, SO USUALLY THESE THINGS REALLY INITIALLY INVOLVE GETTING TOGETHER -- THESE DAYS, BUT DISCUSSING AREAS OF OVERLAP -- WE'VE BEGUN SOME OF THE DISCUSSION. >> IT WOULD JUST BE AN EFFICIENT WAY AND A COMPLEMENTARY WAY TO ADD THIS TO IT. >> AGREE. >> DR. SIEGA-RIZ? >> HI. YES, THANK YOU. I THINK I'M THE ONLY NUTRITIONIST-TRAINED PH.D. FORMER R.D. ON COUNCIL, AND I JUST WANT TO SAY FOR ALL OF THOSE OF US WHO DO NUTRITION RESEARCH AND BEEN TRAINED, THIS IS SOMETHING THAT WE HAVE WANTED FOR SO MANY YEARS, AND SO IT'S ABOUT TIME, IT'S GOING TO MAKE A HUGE DIFFERENCE, IS NUTRITION AS YOU AND MY COLLEAGUES HAVE NOTED, ARE VERY IMPORTANT, HAS BEEN A CROSS-CUTTING THEME FOR MANY, MANY YEARS, AND I'M JUST DELIGHTED AND VERY SUPPORTIVE OF THIS PROPOSAL. THANK YOU. >> THANK YOU. >> THANK YOU VERY MUCH. AND WE HAVE CLOSED IN ON THE 3:00 HOUR. I'M NOT SURE HOW WE CAN END WITH A MORE POSITIVE STATEMENT. I THINK THAT AFFIRMS OUR THOUGHTS OR WHY WE'RE GOING TO DO THIS. IS THERE MAYBE ONE LAST -- >> YES, WE HAVE ONE LAST QUESTION FROM DR. PAUL JOHNSON. >> GOOD. OKAY, THANKS. PAUL? >> SORRY, I'VE GOT SOME BACKGROUND NOISE HERE, CAN YOU HEAR ME? >> YES. >> VERY QUICKLY, TIME IS SHORT, I WOULD ALSO LIKE TO -- ALL THE POSITIVE COMMENTS ABOUT THE POSITIVE RATIONALE FOR CREATING THIS OFFICE. ONE BRIEF COMMENT WITH REGARD TO THE OVERARCHING -- NUTRITION, I JUST WANT TO EMPHASIZE THE POTENTIAL ROLE OF -- STUDIES AND ANIMAL MODELS, PLANNING TO RIGOROUSLY DEFINE MECHANISMS RELATED TO PRECISION NUTRITION. AND I THINK HYPOTHESES GENERATED FROM THE NUTRITION FOR PRECISION HEALTH INITIATIVE COULD BE THEN LOOKED AT EXPLICITLY DEPENDING ON THE QUESTION OF EITHER -- MODELS OR NON-HUMAN PRIMATE MODELS, NOW YOU CAN HAVE A MUCH LARGER BASE OF GENOMIC DATA TO DRAW ON, TO LEVERAGE, AND TO EMPHASIZE AN ITERATIVE PROCESS INVOLVING THE LARGER HUMAN -- THE LARGE SCALE STUDIES IN HUMANS THEN GOING BACK TO ADDRESS SPECIFIC MECHANISMS IN ANIMAL MODELS. SO AGAIN, THANKS TO ALL OF YOU FOR REALLY AN EXCELLENT SET OF PRESENTATIONS. >> THANKS TO YOU. SO WITH THAT, I WANT TO THANK ALL OF YOU FOR PARTICIPATING IN TODAY'S DISCUSSION, AND FOR ALL OF YOUR THOUGHTFUL INPUT. WE'VE HEARD YOU, AND WE'LL CONSIDER ALL THIS AND INCLUDE IT AS WE CONSIDER FURTHER THE TRANSFER OF THIS OFFICE FROM NIDDK TO POTATO DPCPSI. MOVING ON TO ANOTHER THOUGHT, WE LOOK FORWARD TO SEEING YOU AT THE COUNCIL MEETING ON JANUARY 29TH, AND I HOPE ALL OF YOU STAY SAFE AND HEALTHY AND WISH YOU ALL THE BEST IN A NEW YEAR, AND IT'S GOING TO BE A MUCH BETTER YEAR. SO THANK YOU SO MUCH. BYE.