1 00:00:08,640 --> 00:00:10,320 >>WELCOME. 2 00:00:10,320 --> 00:00:13,880 THIS IS A FIRST IN A SERIES OF 3 00:00:13,880 --> 00:00:16,800 MDWG OR HEAL MULTI-DISCIPLINARY 4 00:00:16,800 --> 00:00:18,600 MEETING DISCUSSIONS THIS MONTH. 5 00:00:18,600 --> 00:00:21,200 TODAY WE'RE GOING TO FOCUS ON 6 00:00:21,200 --> 00:00:24,520 HEAL PROGRAMS THAT WERE LAUNCHED 7 00:00:24,520 --> 00:00:26,440 IN 2018 AND 2019 WHEN WE ALL 8 00:00:26,440 --> 00:00:27,760 FIRST MET AND LEARNED ABOUT THE 9 00:00:27,760 --> 00:00:29,920 PROGRESS THEY'VE MADE IN THEIR 10 00:00:29,920 --> 00:00:36,400 PLANS FOR GOING FORWARD. 11 00:00:36,400 --> 00:00:38,440 NEXT WEEK WE'LL TALK ABOUT NEW 12 00:00:38,440 --> 00:00:39,120 PROPOSED RESEARCH, AS WE HAVE IN 13 00:00:39,120 --> 00:00:40,000 THE PAST. 14 00:00:40,000 --> 00:00:41,640 CONSIDERING HOW THIS RESEARCH 15 00:00:41,640 --> 00:00:43,280 ALLIANCE WITH THE PUBLIC-HEALTH 16 00:00:43,280 --> 00:00:45,840 AND RESEARCH GOALS OF THE 17 00:00:45,840 --> 00:00:47,160 HELPING TO END ADDICTION 18 00:00:47,160 --> 00:00:48,120 LONG-TERM INITIATIVE AND GAIN 19 00:00:48,120 --> 00:00:49,680 YOUR INPUT AND I AM SIGHT ON 20 00:00:49,680 --> 00:00:55,120 IN SIGHT ON THOS 21 00:00:55,120 --> 00:00:55,760 PROPOSED PROJECTS. 22 00:00:55,760 --> 00:00:57,120 THANK YOU FOR JOINING US. 23 00:00:57,120 --> 00:00:58,440 THANK YOU TO THE HEAL TEAM AND 24 00:00:58,440 --> 00:01:00,040 THE SCIENTISTS WE'RE GOING TO 25 00:01:00,040 --> 00:01:01,920 HEAR FROM IN THE NEXT COUPLE 26 00:01:01,920 --> 00:01:02,680 MEETINGS. 27 00:01:02,680 --> 00:01:04,000 WE'VE WORKED REALLY HARD TO PUT 28 00:01:04,000 --> 00:01:05,160 TOGETHER THIS SET OF 29 00:01:05,160 --> 00:01:06,360 PRESENTATIONS FOR YOU, AND WE 30 00:01:06,360 --> 00:01:08,240 HOPE IT CAN BE REALLY 31 00:01:08,240 --> 00:01:10,240 DISCUSSIONAL SO, WE'RE GOING TO 32 00:01:10,240 --> 00:01:11,720 RESERVE SOME TIME. 33 00:01:11,720 --> 00:01:15,880 ASK YOU TO WEIGH IF WITH YOUR 34 00:01:15,880 --> 00:01:17,120 THOUGHTS AND INPUT. 35 00:01:17,120 --> 00:01:19,040 PLEASE DON'T HESITATE TO DO THIS 36 00:01:19,040 --> 00:01:20,800 OR PUT A NOTE INTO THE CHAT WE 37 00:01:20,800 --> 00:01:22,080 CAN GO BACK TO, IF YOU DON'T 38 00:01:22,080 --> 00:01:25,560 WANT TO JUST JUMP IN AT THAT 39 00:01:25,560 --> 00:01:26,000 MOMENT. 40 00:01:26,000 --> 00:01:27,120 WE APPRECIATE THE TIME THAT YOU 41 00:01:27,120 --> 00:01:28,840 GIVE TO US AND THE EFFORT YOU 42 00:01:28,840 --> 00:01:30,760 MAKE IN REVIEWING ALL THESE 43 00:01:30,760 --> 00:01:33,960 MATERIALS AND ALSO, FOR YOUR 44 00:01:33,960 --> 00:01:35,160 INSIGHTS AND EXPERTISE AS WE 45 00:01:35,160 --> 00:01:38,560 ADDRESS THIS URGENT 46 00:01:38,560 --> 00:01:39,840 PUBLIC-HEALTH CRISIS, AS YOU 47 00:01:39,840 --> 00:01:44,400 KNOW, SINCE WE LAST MET, THE 48 00:01:44,400 --> 00:01:46,120 CRISIS OF PAIN, THE MISUSE, 49 00:01:46,120 --> 00:01:48,040 ADDICTION AND OVERDOSE HAS NOT 50 00:01:48,040 --> 00:01:50,040 IMPROVED IN FACT THE DATA SHOW 51 00:01:50,040 --> 00:01:51,760 IT'S IN FACT WORSENING. 52 00:01:51,760 --> 00:01:57,080 WE'RE GOING TO HEAR A LITTLE BIT 53 00:01:57,080 --> 00:01:58,520 MORE THIS MORNING ABOUT THE 54 00:01:58,520 --> 00:02:02,040 SPECIFICS OF THAT EVOLUTION 55 00:02:02,040 --> 00:02:03,600 ALTHOUGH WHAT WE'RE SEEING IS 56 00:02:03,600 --> 00:02:05,520 THAT SINCE 2020, THE MOST RECENT 57 00:02:05,520 --> 00:02:08,560 DATA IN 2021 SHOWS SIGNIFICANT 58 00:02:08,560 --> 00:02:10,560 INCREASE AND THAT THIS INCREASE 59 00:02:10,560 --> 00:02:13,160 IN OVERDOSE DEATH IS REALLY 60 00:02:13,160 --> 00:02:15,280 DRIVEN BY FENTANYL, THE DEADLY 61 00:02:15,280 --> 00:02:16,480 SYNTHETIC OPIOID THAT IS 62 00:02:16,480 --> 00:02:19,960 EVERYWHERE AND 63 00:02:19,960 --> 00:02:20,520 DISPROPORTIONATELY EFFECTING 64 00:02:20,520 --> 00:02:21,560 CERTAIN COMMUNITIES INCLUDING 65 00:02:21,560 --> 00:02:25,000 PEOPLE OF COLOR AND YOUNG PEOPLE 66 00:02:25,000 --> 00:02:27,920 EVEN AS YOUNG AS MIDDLE SCHOOL. 67 00:02:27,920 --> 00:02:29,440 AND AT THE SAME TIME, WE'RE 68 00:02:29,440 --> 00:02:34,000 SEEING NEW THREATS, NEW 69 00:02:34,000 --> 00:02:36,320 SUBSTANCES LIKE SIGH LOW SEEN 70 00:02:36,320 --> 00:02:38,000 LAYING ON EXISTING PROBLEMS THAT 71 00:02:38,000 --> 00:02:40,680 ARE DIFFICULT TO SOLVE WITH OUR 72 00:02:40,680 --> 00:02:41,760 CURRENT RESEARCH TOOLS. 73 00:02:41,760 --> 00:02:43,760 THE IMPORTANCE OF LOOKING AT THE 74 00:02:43,760 --> 00:02:45,800 TOOLS WE HAVE FOR TREATMENTS, AS 75 00:02:45,800 --> 00:02:47,760 WELL AS OUR TOOLS WE HAVE 76 00:02:47,760 --> 00:02:49,040 THROUGH OUR COLLABORATIONS WITH 77 00:02:49,040 --> 00:02:50,480 OUR SISTER AGENCIES WILL BE 78 00:02:50,480 --> 00:02:52,000 REALLY IMPORTANT TO CONSIDER HOW 79 00:02:52,000 --> 00:02:54,040 WE CAN WORK TOGETHER, IDENTIFY 80 00:02:54,040 --> 00:02:56,640 GAP AREAS, AND INTERVENTIONS FOR 81 00:02:56,640 --> 00:03:01,160 THESE CHALLENGES AND REALLY 82 00:03:01,160 --> 00:03:03,120 TROUBLING DEVELOPMENTS IN THE 83 00:03:03,120 --> 00:03:03,840 OVERDOSE CRISIS. 84 00:03:03,840 --> 00:03:04,920 AND AT THE SAME TIME, WE 85 00:03:04,920 --> 00:03:06,200 CONTINUE TO STRUGGLE WITH THE 86 00:03:06,200 --> 00:03:07,400 NEEDS OF INDIVIDUALS WITH 87 00:03:07,400 --> 00:03:10,960 UNTREATED PHYSICAL AND EMOTIONAL 88 00:03:10,960 --> 00:03:12,080 PAIN. 89 00:03:12,080 --> 00:03:13,040 WE'VE BEEN DEALING WITH THESE 90 00:03:13,040 --> 00:03:16,600 FOR A LONG TIME BUT THE OPIOID 91 00:03:16,600 --> 00:03:18,200 CRISIS HAS NOT MADE THEM GO AWAY 92 00:03:18,200 --> 00:03:19,800 AND IN FACT OUR COUNTRY IS 93 00:03:19,800 --> 00:03:21,720 FACING AN UNPRECEDENTED MENTAL 94 00:03:21,720 --> 00:03:24,200 HEALTH CRISIS AND PEOPLE OF ALL 95 00:03:24,200 --> 00:03:26,000 AGES, BLACK AND BROWN 96 00:03:26,000 --> 00:03:32,400 COMMUNITIES DIS PURCHASE OR THED 97 00:03:32,400 --> 00:03:33,240 UNDER TREATED. 98 00:03:33,240 --> 00:03:38,080 THE UNIQUE COMBINATION OF 99 00:03:38,080 --> 00:03:38,680 LONELINESS, SOCIALIZATION AND 100 00:03:38,680 --> 00:03:39,960 BRIEF BROUGHT UPON BY THE 101 00:03:39,960 --> 00:03:40,920 PANDEMIC IS CALLING US TO 102 00:03:40,920 --> 00:03:42,600 DEVELOP NEW SCIENTIFIC SOLUTIONS 103 00:03:42,600 --> 00:03:44,240 TO ADDRESS ALL OF THE ELEMENTS 104 00:03:44,240 --> 00:03:46,720 OF THE NEEDS OF OUR POPULATIONS 105 00:03:46,720 --> 00:03:48,040 WE SERVE. 106 00:03:48,040 --> 00:03:50,600 AND SO THIS, I BRING UP, IN PART 107 00:03:50,600 --> 00:03:52,040 BECAUSE THERE'S A REAL 108 00:03:52,040 --> 00:03:54,760 LEGISLATIVE AND ADMINISTRATIVE 109 00:03:54,760 --> 00:03:56,280 CONTEXT FOR THE HELPING TO END 110 00:03:56,280 --> 00:03:57,680 ADDICTION LONG-TERM OR HEAL 111 00:03:57,680 --> 00:03:59,440 RESEARCH THAT WE'RE GOING TO 112 00:03:59,440 --> 00:04:00,960 TALK ABOUT. 113 00:04:00,960 --> 00:04:02,240 FORTUNATELY, WE HAVE A LOT OF 114 00:04:02,240 --> 00:04:03,840 COMMITTED PEOPLE THAT ARE 115 00:04:03,840 --> 00:04:08,680 WORKING ON THIS PROBABLE WITH 116 00:04:08,680 --> 00:04:10,280 INCLUDING OUR LEADERSHIP IN THE 117 00:04:10,280 --> 00:04:11,280 JOE BIDEN ADMINISTRATION WHO 118 00:04:11,280 --> 00:04:13,320 HAVE BEEN VOCAL ABOUT ADDRESSING 119 00:04:13,320 --> 00:04:14,880 THE DRIVERS AND CONSEQUENCES OF 120 00:04:14,880 --> 00:04:18,440 THE OPIOID CRISIS, INCLUDING 121 00:04:18,440 --> 00:04:19,640 SUBSTANCE ABUSE, YOUTH MEMBER 122 00:04:19,640 --> 00:04:23,880 HEMENTALHEALTH AND SUICIDE. 123 00:04:23,880 --> 00:04:25,520 IN 2022, AT THE VERY, VERY END 124 00:04:25,520 --> 00:04:27,440 OF THE YEAR, CONGRESS PASSED TWO 125 00:04:27,440 --> 00:04:29,800 MAJOR PIECES OF LEGISLATION THAT 126 00:04:29,800 --> 00:04:30,960 ARE IMPORTANT FOR EVERYONE TO 127 00:04:30,960 --> 00:04:34,640 KNOW ABOUT AND I ALSO KNOW THAT 128 00:04:34,640 --> 00:04:35,920 WE WILL EXPANDS ON THESE AND 129 00:04:35,920 --> 00:04:40,760 TALK ABOUT THEM IN MORE DETAIL. 130 00:04:40,760 --> 00:04:42,680 THOSE PROVIDE HISTORIC FUNDING 131 00:04:42,680 --> 00:04:44,880 FOR MENTAL AND BEHAVIORAL HEALTH 132 00:04:44,880 --> 00:04:46,080 PROGRAMS, INCLUDING PUTTING 133 00:04:46,080 --> 00:04:48,000 DOLLARS INTO THE IMPORTANT 134 00:04:48,000 --> 00:04:52,160 BEHAVIORAL WORKFORCE THAT OUR 135 00:04:52,160 --> 00:04:53,280 COLLEAGUES AND PARTNERS CARRYING 136 00:04:53,280 --> 00:04:55,320 FOR PEOPLE WITH PAIN SUBSTANCE 137 00:04:55,320 --> 00:04:57,560 USE DISORDER AND ALSO 138 00:04:57,560 --> 00:04:58,760 LEGISLATIVE ACTION THAT'S WILL 139 00:04:58,760 --> 00:05:01,320 STRENGTHEN THE CONTEXT IN WHICH 140 00:05:01,320 --> 00:05:02,760 HEAL IMPLEMENTATION RESEARCH IS 141 00:05:02,760 --> 00:05:03,200 CONDUCTED. 142 00:05:03,200 --> 00:05:04,400 WE'LL SPEED THE PROCESS OF 143 00:05:04,400 --> 00:05:06,560 PUTTING RESULTS INTO PRACTICE 144 00:05:06,560 --> 00:05:09,440 AND COMMUNITIES ACROSS THE 145 00:05:09,440 --> 00:05:10,040 COUNTRY. 146 00:05:10,040 --> 00:05:12,240 SO, AS YOU KNOW, WE'RE WORKING 147 00:05:12,240 --> 00:05:16,760 REALLY DILIGENTLY TO WITH OUR 148 00:05:16,760 --> 00:05:20,720 PARTNERS ACROSS GOVERNMENT TO 149 00:05:20,720 --> 00:05:24,120 PUT INTO PLACE SOME OF THE 150 00:05:24,120 --> 00:05:25,920 ELEMENTS OF THE MOST RECENT 151 00:05:25,920 --> 00:05:27,680 OMNIBUS AND THAT INCLUDES 152 00:05:27,680 --> 00:05:29,160 MAINSTREAMING ADDICTION 153 00:05:29,160 --> 00:05:31,240 TREATMENT ACT AND THE MEDICATION 154 00:05:31,240 --> 00:05:34,400 ACCESS AND TRAINING EXPANSION 155 00:05:34,400 --> 00:05:36,000 ACT AND I REFERRED TO THESE 156 00:05:36,000 --> 00:05:39,480 BEFORE THESE ARE BOTH TARGETED 157 00:05:39,480 --> 00:05:41,400 TOWARDS INCREASING ACCESS TO 158 00:05:41,400 --> 00:05:44,640 TREATMENT FOR SUBSTANCE USE 159 00:05:44,640 --> 00:05:46,280 DISORDER AND AIM TO MAKE IT IT 160 00:05:46,280 --> 00:05:48,280 EASIER FOR PHARMACY TO STOCK AND 161 00:05:48,280 --> 00:05:50,200 DISPENSE MEDICATION AND FOR 162 00:05:50,200 --> 00:05:51,360 PROVIDERS TO PRESCRIBE 163 00:05:51,360 --> 00:05:53,320 MEDICATIONS FOR THE TREATMENT OF 164 00:05:53,320 --> 00:05:57,120 OPIOID USE DISORDER AND THEN IN 165 00:05:57,120 --> 00:05:58,560 ADDITION TO THOSE LEGISLATIVE 166 00:05:58,560 --> 00:06:03,920 EFFORTS THERE ARE EFFORTS TO 167 00:06:03,920 --> 00:06:06,160 MODERNIZE HOW WE DISTRIBUTE 168 00:06:06,160 --> 00:06:08,240 NALOXONE AND OVER THE COUNTER IF 169 00:06:08,240 --> 00:06:11,080 EVIDENCE SHOWS ITS SAFE AND 170 00:06:11,080 --> 00:06:11,840 EFFECTIVE. 171 00:06:11,840 --> 00:06:13,440 SURELY, ALL OF THESE EFFORTS 172 00:06:13,440 --> 00:06:14,640 ACROSS GOVERNMENT ARE REALLY 173 00:06:14,640 --> 00:06:15,520 TIGHTLY CONNECTED AND WE'RE 174 00:06:15,520 --> 00:06:17,560 GOING TO TAKE THIS INTO 175 00:06:17,560 --> 00:06:19,000 CONSIDERATION TODAY WHEN WE TALK 176 00:06:19,000 --> 00:06:22,160 ABOUT SOME OF THE RESEARCH 177 00:06:22,160 --> 00:06:23,480 PROJECTS THAT ARE ON GOING THAT 178 00:06:23,480 --> 00:06:25,120 WE LAUNCHED AT THE BEGINNING OF 179 00:06:25,120 --> 00:06:27,640 HEAL AND HOW THE INSIGHTS COMING 180 00:06:27,640 --> 00:06:28,720 FROM THOSE COULD BE PUT INTO 181 00:06:28,720 --> 00:06:30,920 PRACTICE NOW IN THIS NEW KIND OF 182 00:06:30,920 --> 00:06:34,960 LEGISLATIVE AND PRACTICE 183 00:06:34,960 --> 00:06:35,200 FRAMEWORK. 184 00:06:35,200 --> 00:06:37,960 SO, I THINK WHAT WE'LL DO NOW, 185 00:06:37,960 --> 00:06:40,640 IS TO KIND OF SWITCH -- SO NOW 186 00:06:40,640 --> 00:06:44,320 I'LL END BEING DR. TABAK. 187 00:06:44,320 --> 00:06:46,680 THANKING YOU AGAIN FOR JOINING 188 00:06:46,680 --> 00:06:47,520 US TODAY. 189 00:06:47,520 --> 00:06:49,040 FOR YOUR CONTRIBUTIONS TO HEAL. 190 00:06:49,040 --> 00:06:51,760 FOR YOUR THOUGHTS ON THE CURRENT 191 00:06:51,760 --> 00:06:53,160 AND FUTURE OF PLANNED HEAL 192 00:06:53,160 --> 00:06:54,600 RESEARCH EFFORTS. 193 00:06:54,600 --> 00:06:57,840 OUR MISSION ENABLES US TO 194 00:06:57,840 --> 00:06:59,680 ADVANCE SCIENTIFIC SOLUTION 195 00:06:59,680 --> 00:07:01,120 ACROSS DISCIPLINES AND SECTORS 196 00:07:01,120 --> 00:07:03,400 AND SO I THANK YOU FOR ALL THE 197 00:07:03,400 --> 00:07:04,200 CONTRIBUTIONS THAT YOU ARE GOING 198 00:07:04,200 --> 00:07:06,120 TO MAKE OVER THE NEXT COUPLE OF 199 00:07:06,120 --> 00:07:08,360 DAYS AND THANK YOU FOR YOUR 200 00:07:08,360 --> 00:07:10,720 TIME, TALENT AND DEDICATION. 201 00:07:10,720 --> 00:07:12,480 WE RELY ON YOU TO ENSURE WE'RE 202 00:07:12,480 --> 00:07:14,760 ON THE BEST PATH FORWARD FOR THE 203 00:07:14,760 --> 00:07:16,520 HEAL MISSION OF ENDING ADDICTION 204 00:07:16,520 --> 00:07:17,800 LONG-TERM SO I'M GOING TO STOP 205 00:07:17,800 --> 00:07:20,280 THERE AND THEN WE CAN SWITCH 206 00:07:20,280 --> 00:07:22,360 GEARS TO KIND OF A MORE 207 00:07:22,360 --> 00:07:24,360 PROGRAMMATIC UPDATE ON HEAL 208 00:07:24,360 --> 00:07:26,720 RESEARCH AND I THINK WE HAVE 209 00:07:26,720 --> 00:07:33,360 SLIDES FOR THAT. 210 00:07:33,360 --> 00:07:34,520 >>THANK YOU. 211 00:07:34,520 --> 00:07:42,200 >>SO, NEXT SLIDE, PLEASE. 212 00:07:42,200 --> 00:07:47,680 SO, AS YOU ALL KNOW WHILE HEAL 213 00:07:47,680 --> 00:07:50,560 LAUNCHED IN 2018 AND 2019 AND 214 00:07:50,560 --> 00:07:51,160 HAVE SPENT WOULD AND A HALF 215 00:07:51,160 --> 00:07:54,920 BILLION DOLLARS ON RESEARCH, 216 00:07:54,920 --> 00:07:55,400 CONTRACTS, GRANTS AND 217 00:07:55,400 --> 00:07:56,240 CO-OPERATIVE AGREEMENTS OVER 218 00:07:56,240 --> 00:07:58,040 1,000 DIFFERENT PROJECTS AND 219 00:07:58,040 --> 00:07:59,960 OVER 40 DIFFERENT PROGRAMS IN 220 00:07:59,960 --> 00:08:03,040 ALL 50 STATES ARE NOW UNDER WAY 221 00:08:03,040 --> 00:08:03,640 SEEKING TO BRING TOGETHER THE 222 00:08:03,640 --> 00:08:04,960 POWER OF SCIENCE AND COMMUNITY 223 00:08:04,960 --> 00:08:08,600 AND HERE ON THE LEFT, I HAVE A 224 00:08:08,600 --> 00:08:11,200 FEW EXAMPLES OF HOW WE ARE 225 00:08:11,200 --> 00:08:16,280 TAKING OR SEEKING INTO 226 00:08:16,280 --> 00:08:17,160 CONSIDERATION COMMENTS AND INPUT 227 00:08:17,160 --> 00:08:18,560 YOU'VE GIVEN US IN THE PAST TO 228 00:08:18,560 --> 00:08:20,000 DRIVE HEAL RESEARCH FORWARD. 229 00:08:20,000 --> 00:08:22,000 IN THE PAST YEAR, WE'VE LAUNCHED 230 00:08:22,000 --> 00:08:23,080 THE HEAL CONNECTIONS PROGRAM 231 00:08:23,080 --> 00:08:25,600 WHICH PARTNERS A DIVERSE SET OF 232 00:08:25,600 --> 00:08:27,000 COMMUNITIES, STAKEHOLDERS, 233 00:08:27,000 --> 00:08:29,120 TOGETHER WITH EXPERTS IN PAIN 234 00:08:29,120 --> 00:08:31,360 AND OPIOID USE DISORDER SO THAT 235 00:08:31,360 --> 00:08:32,720 AS RESULTS FROM THESE OVER A 236 00:08:32,720 --> 00:08:36,640 THOUSAND PROJECTS COME FORWARD, 237 00:08:36,640 --> 00:08:38,240 WE CAN BE AS PREPARED AS 238 00:08:38,240 --> 00:08:40,600 POSSIBLE TO SHARE THESE RESULT 239 00:08:40,600 --> 00:08:44,520 AND BROADEN THE IMPACT OF HEAL 240 00:08:44,520 --> 00:08:44,760 FINDINGS. 241 00:08:44,760 --> 00:08:46,960 WE HAVE KIND OF DIVERSIFIED OUR 242 00:08:46,960 --> 00:08:49,480 OVER ALL REAL RESEARCH PORTFOLIO 243 00:08:49,480 --> 00:08:53,400 AIMED AT ADAPTING TO THE CRISIS 244 00:08:53,400 --> 00:08:55,240 AS EVOLVES SO THERE'S BEEN A LOT 245 00:08:55,240 --> 00:08:57,000 OF CHANGES IN POPULATION AND 246 00:08:57,000 --> 00:08:58,800 SUBSTANCES THAT ARE DRIVING THE 247 00:08:58,800 --> 00:09:00,440 OVERDOSE CRISIS AS WELL AS 248 00:09:00,440 --> 00:09:02,080 INCREASING APPRECIATION OF THE 249 00:09:02,080 --> 00:09:06,200 ROLE OF HEALTH EQUITY AND CO 250 00:09:06,200 --> 00:09:07,160 OCCURRING CONDITIONS AND 251 00:09:07,160 --> 00:09:08,440 PATTERNS OF DRUG USE. 252 00:09:08,440 --> 00:09:11,920 YOU ARE HEAL OVER THE NEXT TWO 253 00:09:11,920 --> 00:09:12,960 WEEKS, MORE INFORMATION ABOUT 254 00:09:12,960 --> 00:09:17,120 HOW OUR RESEARCH IS ADAPTING TO 255 00:09:17,120 --> 00:09:18,320 THESE CHANGES. 256 00:09:18,320 --> 00:09:23,320 WE ALSO HAVE LAUNCHED RESEARCH 257 00:09:23,320 --> 00:09:25,560 TO -- WE LIKE A DATA-DRIVEN 258 00:09:25,560 --> 00:09:27,000 APPROACH TO RESPONDING TO THE 259 00:09:27,000 --> 00:09:27,800 CRISIS. 260 00:09:27,800 --> 00:09:29,480 WORKING WITH PARTNERS WHO GATHER 261 00:09:29,480 --> 00:09:31,560 REAL-TIME DATA AND INFORMING 262 00:09:31,560 --> 00:09:33,160 TARGETED TREATMENTS AND THEN 263 00:09:33,160 --> 00:09:35,120 LASTLY, ENSURING OUR RESULTS ARE 264 00:09:35,120 --> 00:09:37,920 IMPACTFUL. 265 00:09:37,920 --> 00:09:40,160 MEANING THAT WE ARE PARTNERING 266 00:09:40,160 --> 00:09:42,280 INCLUDING WITH THOSE IN THE 267 00:09:42,280 --> 00:09:43,240 JUSTICE SYSTEM WITH FOLKS IN 268 00:09:43,240 --> 00:09:44,440 COMMUNITIES AND HEALTHCARE 269 00:09:44,440 --> 00:09:47,120 SETTINGS TO BRING FORWARD OUR 270 00:09:47,120 --> 00:09:51,120 RESEARCH FINDING AND IN THE NEXT 271 00:09:51,120 --> 00:09:52,640 SLIDE, I THINK THIS ARE A FEW 272 00:09:52,640 --> 00:09:55,000 EXAMPLES THAT I ALLUDED TO 273 00:09:55,000 --> 00:09:55,480 ALREADY. 274 00:09:55,480 --> 00:09:58,400 AS PATTERNS OF DRUG USE ARE 275 00:09:58,400 --> 00:10:02,440 SHIFTING, WE CONSIDER WAYS OUR 276 00:10:02,440 --> 00:10:04,120 EXISTING RESEARCH CAN BE USED TO 277 00:10:04,120 --> 00:10:07,400 UNDERSTAND AND ADDRESS NEW 278 00:10:07,400 --> 00:10:10,320 THREATS SUCH AS XYLAZINE AND 279 00:10:10,320 --> 00:10:19,280 TARGETING TREATMENT AND SERVICES 280 00:10:19,280 --> 00:10:24,080 AND STIMULANTS HAVE FENTANYL AND 281 00:10:24,080 --> 00:10:25,240 ADDRESS THE NEEDS WITH THOSE AT 282 00:10:25,240 --> 00:10:29,200 RISK OF OVERDOSING AS WELL AS 283 00:10:29,200 --> 00:10:31,000 PULLING IN THE DATA NEEDS TO 284 00:10:31,000 --> 00:10:33,480 COMMUNITIES HAVE DASHBOARDS AND 285 00:10:33,480 --> 00:10:35,720 INFORMATION AT THEIR FINGER TIPS 286 00:10:35,720 --> 00:10:38,080 TO SEE WHAT I'M ARE USING AND 287 00:10:38,080 --> 00:10:39,400 HOW THEY RESPOND. 288 00:10:39,400 --> 00:10:42,840 HOW MENTAL HEALTH AND MENTAL 289 00:10:42,840 --> 00:10:45,200 ILLNESS ARE ACCESSING TREATMENT 290 00:10:45,200 --> 00:10:55,720 AND SERVICES HOW THEY HAD ACCESS 291 00:10:56,280 --> 00:10:58,920 HIGH-QUALITY PAY MANAGEMENT ARE 292 00:10:58,920 --> 00:11:04,320 COR DCOORDINATE. 293 00:11:04,320 --> 00:11:07,680 AND PRO FIGHTING HEALTH AND WE 294 00:11:07,680 --> 00:11:08,800 ARE ADDRESSING THROUGH RESEARCH 295 00:11:08,800 --> 00:11:12,200 ON SOCIAL DETERMINANTS OF 296 00:11:12,200 --> 00:11:15,280 HEALTH. 297 00:11:15,280 --> 00:11:18,000 A FEW AREAS OF RESEARCH -- I 298 00:11:18,000 --> 00:11:19,440 THINK THAT YOU WILL HEAR MORE 299 00:11:19,440 --> 00:11:20,720 ABOUT THIS NEXT WEEK, BUT THIS 300 00:11:20,720 --> 00:11:23,760 IS JUST A SHORT PREVIEW ON THE 301 00:11:23,760 --> 00:11:25,520 PAIN MANAGEMENT SIDE, 302 00:11:25,520 --> 00:11:28,800 UNDERSTANDING VARIATIONS IN 303 00:11:28,800 --> 00:11:29,800 INDIVIDUALS AND HOW THEY 304 00:11:29,800 --> 00:11:34,920 EXPERIENCE PAIN EX WHAT PAIN ANT 305 00:11:34,920 --> 00:11:36,080 CONTRIBUTES TO THEIR PAIN. 306 00:11:36,080 --> 00:11:38,680 PAIN IS COMMON IN PEDIATRIC 307 00:11:38,680 --> 00:11:39,880 POPULATION AND WE DON'T HAVE A 308 00:11:39,880 --> 00:11:42,160 TON OF RESEARCH WITHIN HEAL TO 309 00:11:42,160 --> 00:11:43,400 ADJUST THIS. 310 00:11:43,400 --> 00:11:44,600 ALSO CONSIDERING THE END POINTS 311 00:11:44,600 --> 00:11:46,000 WE MEASURE PAIN AND HOW WE CAN 312 00:11:46,000 --> 00:11:47,560 IMPROVE ON THAT THROUGH OUR 313 00:11:47,560 --> 00:11:51,520 COLLECTIVE RESEARCH. 314 00:11:51,520 --> 00:11:53,440 ON THE OPIOID USE DISORDER 315 00:11:53,440 --> 00:11:54,680 FRONT, WE HAVE RESEARCH IN NEW 316 00:11:54,680 --> 00:11:57,880 FINDINGS AND NEW POPULATIONS FOR 317 00:11:57,880 --> 00:12:01,120 DISTRIBUTING BOTH TREATMENT AND 318 00:12:01,120 --> 00:12:04,280 HARM REDUCTION STRATEGIES. 319 00:12:04,280 --> 00:12:05,720 COMBINATIONS OF MEDICATIONS FOR 320 00:12:05,720 --> 00:12:06,920 THE TREATMENT OF OPIOID USE 321 00:12:06,920 --> 00:12:08,680 DISORDER AND A FOCUS ON SPECIFIC 322 00:12:08,680 --> 00:12:11,720 POPULATIONS INCLUDING POSTPARTUM 323 00:12:11,720 --> 00:12:13,160 WOMEN WHO REPRESENT 324 00:12:13,160 --> 00:12:16,760 OPPORTUNITIES TO INTERVENE. 325 00:12:16,760 --> 00:12:20,080 AND THEN WE ALSO HAVE SOME MORE 326 00:12:20,080 --> 00:12:22,240 DATA-FOCUSED RESEARCH AS OUR 327 00:12:22,240 --> 00:12:23,280 ECOSYSTEM IS BUILT OUT. 328 00:12:23,280 --> 00:12:25,240 WE CAN BRING IN MORE RESEARCH ON 329 00:12:25,240 --> 00:12:27,400 CLINICAL OUTCOMES AND DATA 330 00:12:27,400 --> 00:12:28,680 REANALYSIS TO INFORM FUTURE 331 00:12:28,680 --> 00:12:30,160 RESEARCH AND TREATMENT 332 00:12:30,160 --> 00:12:30,880 STRATEGIES. 333 00:12:30,880 --> 00:12:36,360 SO, NEXT SLIDE, PLEASE. 334 00:12:36,360 --> 00:12:38,520 OVER THE NEXT COUPLE 335 00:12:38,520 --> 00:12:39,120 PRESENTATIONS, YOU ARE GOING TO 336 00:12:39,120 --> 00:12:42,560 HEAR FROM A LOT OF THE FOLKS AND 337 00:12:42,560 --> 00:12:43,480 THE VICTIMS WHOSE NAMES ARE 338 00:12:43,480 --> 00:12:44,920 LISTED ON THIS SLIDE. 339 00:12:44,920 --> 00:12:46,640 I'LL JUST REMIND YOU THAT HEAL 340 00:12:46,640 --> 00:12:50,160 HAS TWO OVERARCHING AND 341 00:12:50,160 --> 00:12:52,000 INTERCONNECTED GOALS IN 342 00:12:52,000 --> 00:12:53,440 ENHANCING PAIN MANAGEMENT AND 343 00:12:53,440 --> 00:12:55,840 IMPROVING TREATMENTS FOR OPIOID 344 00:12:55,840 --> 00:12:58,800 MISUSE AND PREVENTING TREATMENT 345 00:12:58,800 --> 00:12:59,960 STRATEGIES FOR A BIG USE IN 346 00:12:59,960 --> 00:13:01,360 ADDICTION. 347 00:13:01,360 --> 00:13:03,160 THE CO-CHAIRS OF THE TEAMS 348 00:13:03,160 --> 00:13:05,080 REPRESENTING THE SIX AREAS OF 349 00:13:05,080 --> 00:13:06,480 RESEARCH FOCUS THAT YOU SEE 350 00:13:06,480 --> 00:13:10,760 SHOWN ON THIS SLIDE, ARE GOING 351 00:13:10,760 --> 00:13:13,320 TO SHARE WITH YOU THE PROGRESS, 352 00:13:13,320 --> 00:13:14,920 MADE ALREADY IN THEIR DIFFERENT 353 00:13:14,920 --> 00:13:18,200 RESEARCH PROGRAMS THAT HAVE BEEN 354 00:13:18,200 --> 00:13:19,680 LAUNCHED AND SCIENTISTS HAVE 355 00:13:19,680 --> 00:13:23,080 BEEN HARD AT WORK TO BRING ABOUT 356 00:13:23,080 --> 00:13:24,800 THESE SCIENTIFIC SOLUTIONS AND 357 00:13:24,800 --> 00:13:28,200 NEXT WEEK THEY WILL TELL YOU 358 00:13:28,200 --> 00:13:30,800 WHAT THEY THINK CAN VAST ADDANCE 359 00:13:30,800 --> 00:13:32,640 OUR GOALS, BASED ON WHAT WE'RE 360 00:13:32,640 --> 00:13:34,200 ALREADY DOING, SOME OF THE GAPS 361 00:13:34,200 --> 00:13:35,160 AND OPPORTUNITIES THAT THEY SEE 362 00:13:35,160 --> 00:13:37,080 FOR FUTURE RESEARCH. 363 00:13:37,080 --> 00:13:39,760 SO, THIS IS KIND OF OUR MAP OF 364 00:13:39,760 --> 00:13:40,840 THE DIFFERENT GROUPS AND 365 00:13:40,840 --> 00:13:45,120 INDIVIDUALS THAT WE'RE GOING TO 366 00:13:45,120 --> 00:13:48,360 HEAR FROM. 367 00:13:48,360 --> 00:13:50,200 AND THEN I'LL REMIND YOU THAT 368 00:13:50,200 --> 00:13:51,160 SPECIFICALLY FOR TODAY, WE HAVE 369 00:13:51,160 --> 00:13:53,800 A SERIES OF PRESENTATIONS FROM 370 00:13:53,800 --> 00:13:57,600 PROGRPROGRAMS LAUNCHED AT THE 371 00:13:57,600 --> 00:13:58,360 BEGINNING IN HEAL. 372 00:13:58,360 --> 00:14:00,600 WHEN WE ALL FIRST MET IN 2019, 373 00:14:00,600 --> 00:14:02,000 THESE PROGRAMS WERE LAUNCHED 374 00:14:02,000 --> 00:14:06,960 BASED ON A SET OF CUTTING-EDGE 375 00:14:06,960 --> 00:14:08,880 MEETINGS AND WHERE WE BROUGHT 376 00:14:08,880 --> 00:14:09,880 TOGETHER STAKEHOLDERS FROM 377 00:14:09,880 --> 00:14:11,680 DIFFERENT SECTORS AND 378 00:14:11,680 --> 00:14:12,960 DISCIPLINES TRYING TO UNDERSTAND 379 00:14:12,960 --> 00:14:15,680 WHAT NIH AND THE BIOMEDICAL 380 00:14:15,680 --> 00:14:17,520 RESEARCH COMMUNITY COULD DO WITH 381 00:14:17,520 --> 00:14:18,600 OUR COLLECTED EQUITIES TO 382 00:14:18,600 --> 00:14:20,600 ADDRESS THIS VERY INTER 383 00:14:20,600 --> 00:14:22,760 DISCIPLINARY CROSS-CUTTING AND 384 00:14:22,760 --> 00:14:24,280 LARGE IN MAGNITUDE CRISIS OF 385 00:14:24,280 --> 00:14:25,640 PAIN AND ADDICTION. 386 00:14:25,640 --> 00:14:27,760 THAT BECAME ALL OF THE RESEARCH 387 00:14:27,760 --> 00:14:31,000 YOU HEARD ABOUT OVER THE PAST 388 00:14:31,000 --> 00:14:34,200 SEVERAL YEARS AND NEXT SLIDE, 389 00:14:34,200 --> 00:14:34,920 PLEASE. 390 00:14:34,920 --> 00:14:37,200 AND WHAT WE SAW TO DO IN THIS 391 00:14:37,200 --> 00:14:40,760 WAS REALLY MAP HOW PROGRAMS WERE 392 00:14:40,760 --> 00:14:43,000 LAUNCHED IN 2019. 393 00:14:43,000 --> 00:14:44,680 IN SOME CASES RIGHT BEFORE THE 394 00:14:44,680 --> 00:14:47,640 END OF 2018 BUT FOR THE MOST 395 00:14:47,640 --> 00:14:49,880 PART 2019 AND THEN AS TIME 396 00:14:49,880 --> 00:14:52,120 PROGRESSED WE ADDED ADDITIONAL 397 00:14:52,120 --> 00:14:53,400 PROGRAMS AND SO ALL THE WAY ON 398 00:14:53,400 --> 00:14:56,040 THE LEFT, THESE ARE KIND OF OUR 399 00:14:56,040 --> 00:14:59,240 INAUGURAL HEAL RESEARCH EFFORTS 400 00:14:59,240 --> 00:15:03,080 AND WHAT I SHOWS HERE WITH THESE 401 00:15:03,080 --> 00:15:03,960 LITTLE RED SLIDES ARE AREAS 402 00:15:03,960 --> 00:15:06,520 WHERE WE'RE COMING TO YOU FOR 403 00:15:06,520 --> 00:15:08,120 PROGRAMS THAT WERE LAUNCHED AT 404 00:15:08,120 --> 00:15:09,720 THE BEGINNING OF HEAL SHARING 405 00:15:09,720 --> 00:15:11,440 WITH YOU UPDATES ON THE PROGRESS 406 00:15:11,440 --> 00:15:12,640 THESE PROGRAMS HAVE MADE AND 407 00:15:12,640 --> 00:15:16,320 ALSO ASKING FOR YOUR INPUT IN 408 00:15:16,320 --> 00:15:18,160 GUIDANCE ON THE BEST WAY TO 409 00:15:18,160 --> 00:15:19,520 CONTINUE THE GOALS OF THESE 410 00:15:19,520 --> 00:15:22,600 PROGRAMS AND MAKE SURE THAT AS 411 00:15:22,600 --> 00:15:24,960 FINDINGS EX FORWARD AND AS WE 412 00:15:24,960 --> 00:15:27,800 LEARN, WE'RE BEST DECIDING WHAT 413 00:15:27,800 --> 00:15:29,960 SHOULD HAPPEN AND THE PROGRAM 414 00:15:29,960 --> 00:15:33,960 SHOULD BE CONTINUED, SHOULD IT 415 00:15:33,960 --> 00:15:36,320 BE SCALED DOWN, RECOGNIZING IT'S 416 00:15:36,320 --> 00:15:38,160 ACHIEVED A LOT OF ITS GOALS. 417 00:15:38,160 --> 00:15:40,720 SHOULD IT BE STRATEGICALLY SPUN 418 00:15:40,720 --> 00:15:43,040 INTO SOMETHING ELSE BASED ON 419 00:15:43,040 --> 00:15:44,040 EMERGING NEEDS SO YOU WILL HEAR 420 00:15:44,040 --> 00:15:45,920 FROM THE EXPERTS WHO ARE LEADING 421 00:15:45,920 --> 00:15:47,880 THESE PROGRAMS AND THE CO-CHAIRS 422 00:15:47,880 --> 00:15:52,120 OF THE SCIENTIFIC TEAMS WHO 423 00:15:52,120 --> 00:15:54,480 OVERSEE THEM AND FOR THE 424 00:15:54,480 --> 00:15:55,640 SCIENTIFIC TEAM, THE NEW 425 00:15:55,640 --> 00:15:57,120 STRATEGIES TO PREVENT AND TREAT 426 00:15:57,120 --> 00:15:58,640 OPIOID ADDICTION. 427 00:15:58,640 --> 00:16:00,320 WE'LL HEAR ABOUT RESEARCH 428 00:16:00,320 --> 00:16:04,080 FOCUSED ON PREVENTING OPIOID USE 429 00:16:04,080 --> 00:16:06,280 DISORDER AS WE RESEARCH THROUGH 430 00:16:06,280 --> 00:16:09,000 THE CHILD NETWORK FOCUSING ON 431 00:16:09,000 --> 00:16:15,280 OPIOID USING HEAL FUNDING. 432 00:16:15,280 --> 00:16:18,400 IN THE RESEARCH FOCUS AREA OF 433 00:16:18,400 --> 00:16:19,680 TRANSLATION TO FOCUS PRACTICE 434 00:16:19,680 --> 00:16:21,000 FOR THE TREATMENT OF ADDICTION 435 00:16:21,000 --> 00:16:22,280 WE'LL HAVE PRESENTATIONS FROM 436 00:16:22,280 --> 00:16:25,680 THE LEADS OF THE JUSTICE 437 00:16:25,680 --> 00:16:26,960 COMMUNITY OPIOID NETWORK AND THE 438 00:16:26,960 --> 00:16:29,120 HEALING COMMUNITIES STUDY AND 439 00:16:29,120 --> 00:16:32,080 THEN SOME RELATED RESEARCH ALSO 440 00:16:32,080 --> 00:16:36,680 GOING THROUGH THE NIDA CLINICAL 441 00:16:36,680 --> 00:16:40,000 TRIALS NETWORK. 442 00:16:40,000 --> 00:16:41,920 SWITCHING GEARS TO THE RESEARCH 443 00:16:41,920 --> 00:16:45,160 THAT'S FOCUSED ON PAIN AND 444 00:16:45,160 --> 00:16:46,480 PRECLINICAL SETTINGS AND WAYS TO 445 00:16:46,480 --> 00:16:48,440 TRANSLATE THAT RESEARCH INTO 446 00:16:48,440 --> 00:16:49,640 TREATMENTS FOR PEOPLE WITH 447 00:16:49,640 --> 00:16:52,080 DIFFERENT PAIN CONDITIONS, WE'LL 448 00:16:52,080 --> 00:16:53,480 HEAR ABOUT RESEARCH UNDERWAY 449 00:16:53,480 --> 00:16:55,480 THROUGH THE PRECLINICAL 450 00:16:55,480 --> 00:16:57,280 SCREENING PLATFORM FOR PAIN AS 451 00:16:57,280 --> 00:17:01,600 WELL AS RESEARCH THAT HEAL HAS 452 00:17:01,600 --> 00:17:03,960 SUPPORTED THROUGH NCATS THAT 453 00:17:03,960 --> 00:17:07,720 FOCUSED ON TRANSLATING SOME OF 454 00:17:07,720 --> 00:17:10,720 THE INSIGHTS FROM OUR DIFFERENT 455 00:17:10,720 --> 00:17:16,680 COLLABORATORS AND EXTRAMURAL 456 00:17:16,680 --> 00:17:17,600 COMMUNITY FROM THE COMMUNITY OF 457 00:17:17,600 --> 00:17:18,080 PAIN. 458 00:17:18,080 --> 00:17:18,800 NEXT SLIDE, PLEASE. 459 00:17:18,800 --> 00:17:22,000 THIS IS A LITTLE BIT CUT OFF ON 460 00:17:22,000 --> 00:17:22,400 MY SCREEN. 461 00:17:22,400 --> 00:17:28,000 THIS IS JUST THE OVER ALL BUDGET 462 00:17:28,000 --> 00:17:29,600 OUTLOOK FOR THE HEAL INITIATIVE 463 00:17:29,600 --> 00:17:32,480 AND AT BEGINNING BECAUSE SUCH AN 464 00:17:32,480 --> 00:17:34,480 IMPORTANT FOCUS ON TREATING 465 00:17:34,480 --> 00:17:37,320 OPIOID USE DISORDER AND 466 00:17:37,320 --> 00:17:38,720 PREVENTING OVER ALL DOSES THE 467 00:17:38,720 --> 00:17:40,160 BALANCE OF INVESTMENTS WAS MORE 468 00:17:40,160 --> 00:17:43,200 FOCUSED ON THE OPIOID USE 469 00:17:43,200 --> 00:17:44,360 DISORDER AND OVERDOSE SIDE BUT 470 00:17:44,360 --> 00:17:45,760 WITH TIME WE'VE BEEN INCREASING 471 00:17:45,760 --> 00:17:54,560 THE RESEARCH IN OUR PAIN 472 00:17:54,560 --> 00:17:57,360 PORTFOLIO SHOWN IN BLUE AND 473 00:17:57,360 --> 00:17:59,840 ORANGE WITH THE CROSS CUTTING 474 00:17:59,840 --> 00:18:01,280 RESEARCH ALSO BEING IMPORTED AND 475 00:18:01,280 --> 00:18:03,600 NOT ALL IT RESEARCH FALLS NEATLY 476 00:18:03,600 --> 00:18:05,400 INTO ONE SIDE OR THE OTHER. 477 00:18:05,400 --> 00:18:08,160 THIS IS KIND OF QUITE A REDUCK 478 00:18:08,160 --> 00:18:09,520 DIFFERENT EXERCISE TO PUT IT IT 479 00:18:09,520 --> 00:18:12,000 INTO ONE CATEGORY OR THE OTHER 480 00:18:12,000 --> 00:18:14,000 BUT WE WANT YOU TO SEE THERE'S 481 00:18:14,000 --> 00:18:14,960 BEEN AN INCREASE IN THE 482 00:18:14,960 --> 00:18:15,960 INVESTMENTS AND YOU WILL HEAR 483 00:18:15,960 --> 00:18:18,840 MORE NEXT WEEK ABOUT WHAT THE 484 00:18:18,840 --> 00:18:20,520 SCIENTIFIC TEAM FOCUSED ON PAIN 485 00:18:20,520 --> 00:18:22,160 HAS IDENTIFIED AS PRIORITIES 486 00:18:22,160 --> 00:18:23,160 GOING FORWARDS. 487 00:18:23,160 --> 00:18:27,840 SO, NEXT SLIDE, PLEASE. 488 00:18:27,840 --> 00:18:30,280 THIS IS A REMINDER OF THE 489 00:18:30,280 --> 00:18:31,960 PROGRAMS THAT WILL BE DISCUSSED 490 00:18:31,960 --> 00:18:32,400 TODAY. 491 00:18:32,400 --> 00:18:35,760 WE'RE REALLY LOOKING FOR YOU TO 492 00:18:35,760 --> 00:18:38,600 THINK EXPANSIVELY AND HELP US 493 00:18:38,600 --> 00:18:39,680 RECOGNIZING THAT THERE HASN'T 494 00:18:39,680 --> 00:18:42,320 BEEN ENOUGH TIME FOR THESE 495 00:18:42,320 --> 00:18:44,760 PROGRAMS TO ACTUALLY COMPLETE 496 00:18:44,760 --> 00:18:46,360 THEIR RESEARCH AND TO SHARE ALL 497 00:18:46,360 --> 00:18:51,520 OF THEIR FINDINGS AND YET THEY 498 00:18:51,520 --> 00:18:53,160 HAVE MADE PROGRESS AND THEY'LL 499 00:18:53,160 --> 00:18:56,200 COME AROUND THE PROGRESS THEY'VE 500 00:18:56,200 --> 00:18:58,040 MADE AND ABOUT WHERE THEY 501 00:18:58,040 --> 00:18:59,440 PROPOSE TO GO MOVING FORWARD SO 502 00:18:59,440 --> 00:19:02,240 WE'RE ASKING YOU TO THINK ABOUT 503 00:19:02,240 --> 00:19:03,840 THE PUBLIC NEEDS THESE RESEARCH 504 00:19:03,840 --> 00:19:05,960 PROGRAMS ARE ADDRESSING AND THE 505 00:19:05,960 --> 00:19:07,440 DEGREE TO WHICH THEY'VE BEEN 506 00:19:07,440 --> 00:19:08,600 SUCCESSFUL AND THE GOALS THAT 507 00:19:08,600 --> 00:19:09,840 THEY'VE SET OUT FOR THEMSELVES 508 00:19:09,840 --> 00:19:11,400 FROM A SCIENTIFIC PERSPECTIVE 509 00:19:11,400 --> 00:19:14,000 AND THE PUBLIC-HEALTH 510 00:19:14,000 --> 00:19:14,840 PERSPECTIVE AND THEN LOOKING 511 00:19:14,840 --> 00:19:16,720 OVER ALL ACROSS ALL OF THE 512 00:19:16,720 --> 00:19:18,040 DIFFERENT THINGS THAT HEAL IS 513 00:19:18,040 --> 00:19:20,760 TRYING DO BECAUSE WE HAVE SUCH A 514 00:19:20,760 --> 00:19:22,320 LARGE CRISIS AND SUCH A LARGE 515 00:19:22,320 --> 00:19:25,560 POPULATION IMPACT IN FRONT OF US 516 00:19:25,560 --> 00:19:27,520 AND SUCH A BREADTH OF RESEARCH 517 00:19:27,520 --> 00:19:32,160 TO ADDRESS IT, HOW CAN WE BEST 518 00:19:32,160 --> 00:19:32,600 PROGRAM THAT RESEARCH 519 00:19:32,600 --> 00:19:34,840 INVESTMENTS FOR THE NEEDS AND 520 00:19:34,840 --> 00:19:35,720 OPPORTUNITIES SO THANK YOU FOR 521 00:19:35,720 --> 00:19:38,640 THINKING ABOUT THIS WITH US AND 522 00:19:38,640 --> 00:19:40,000 NOW I WILL PAUSE FOR QUESTIONS 523 00:19:40,000 --> 00:19:44,440 OR COMMENTS BEFORE WE MOVE 524 00:19:44,440 --> 00:19:51,160 FORWARD. 525 00:19:51,160 --> 00:19:54,360 >>CAN I CAN APP OUT OF THE -- 526 00:19:54,360 --> 00:19:57,760 IT'S NOT RELATED BUT YOU 527 00:19:57,760 --> 00:19:58,840 MENTIONED IT IN THE INTRODUCTION 528 00:19:58,840 --> 00:20:00,480 AND I THOUGHT I WOULD THROW IT 529 00:20:00,480 --> 00:20:01,960 OUT. 530 00:20:01,960 --> 00:20:02,880 IT'S BEEN BOTHERING ME A LOT 531 00:20:02,880 --> 00:20:04,040 RECENTLY. 532 00:20:04,040 --> 00:20:07,600 WHEN I READ ABOUT THE XYLAZINE. 533 00:20:07,600 --> 00:20:10,840 IT'S A ALPHA 2A AGO GA NIST AND 534 00:20:10,840 --> 00:20:12,760 THERE'S ANTAGONIST TO THAT 535 00:20:12,760 --> 00:20:13,400 RECEPTORS. 536 00:20:13,400 --> 00:20:16,720 JUST AS PEOPLE WALK AROUND WITH 537 00:20:16,720 --> 00:20:25,240 NARCAN, IS THERE ANY EXPLAIN WHY 538 00:20:25,240 --> 00:20:26,200 IT CAN'T BE ADDRESSED. 539 00:20:26,200 --> 00:20:29,760 IT IT DOESN'T MAKE ANY SENSE TO 540 00:20:29,760 --> 00:20:33,160 ME? 541 00:20:33,160 --> 00:20:35,680 >>NORAH, WOULD YOU LIKE TO 542 00:20:35,680 --> 00:20:37,000 RESPOND TO ALAN'S QUESTION. 543 00:20:37,000 --> 00:20:38,160 IT'S NOT AN EASY ONE. 544 00:20:38,160 --> 00:20:40,680 >>NO, NO, NO. 545 00:20:40,680 --> 00:20:43,640 ACTUALLY THERE'S NOT MUCH 546 00:20:43,640 --> 00:20:46,840 RESEARCH ON THIS WHOLE FIELD. 547 00:20:46,840 --> 00:20:49,120 WITH RESPECT TO XYLAZINE BUT 548 00:20:49,120 --> 00:20:50,880 THINK ABOUT THE FOLLOWING THING, 549 00:20:50,880 --> 00:20:52,520 ALAN, WHEN SOMEONE GOES ON 550 00:20:52,520 --> 00:20:54,760 OPIOID WITHDRAWAL INCLUDING ALSO 551 00:20:54,760 --> 00:20:56,200 NALOXONE PARTICIPATED WITHDRAWAL 552 00:20:56,200 --> 00:20:58,680 WHICH IS MUCH WORSE. 553 00:20:58,680 --> 00:21:03,240 YOU GIVE AN ALPHA SILO SEEN 554 00:21:03,240 --> 00:21:04,800 COMPOUND SO HERE YOU ARE 555 00:21:04,800 --> 00:21:08,240 OBSERVING PEOPLE OVERDOSING. 556 00:21:08,240 --> 00:21:11,200 98% OF XYLAZINE DEATHS HAVE 557 00:21:11,200 --> 00:21:12,400 ANOTHER DRUG AND THAT OTHER DRUG 558 00:21:12,400 --> 00:21:14,040 IS FREQUENTLY FENTANYL. 559 00:21:14,040 --> 00:21:16,040 SO, WHAT YOU ARE GOING TO BE 560 00:21:16,040 --> 00:21:20,240 DOING BY ANTAGONIZING THAT 561 00:21:20,240 --> 00:21:24,280 RESPONSE COULD BE EXACERBATED. 562 00:21:24,280 --> 00:21:26,480 IT'S NOT BLACK AND WHITE, ALAN. 563 00:21:26,480 --> 00:21:30,720 I THINK TO ME IT HAS BEEN A VERY 564 00:21:30,720 --> 00:21:31,320 CHALLENGED PHARMACOLOGICALLY 565 00:21:31,320 --> 00:21:33,320 BECAUSE THE PRINCIPLE NET 566 00:21:33,320 --> 00:21:35,120 REDDICKLY, RIGHT, YOU WOULD 567 00:21:35,120 --> 00:21:39,560 EXPECT THE XYLAZINE WILL HAVE 568 00:21:39,560 --> 00:21:41,440 THE WITHDRAWAL AND IT'S NOT THE 569 00:21:41,440 --> 00:21:44,760 REASON WHY PEOPLE SAY THEY 570 00:21:44,760 --> 00:21:47,000 COMBINED XYLAZINE WITH OPIOIDS. 571 00:21:47,000 --> 00:21:48,680 THEY COMBINE THEM, THEY STAY 572 00:21:48,680 --> 00:21:50,600 BECAUSE IF THE INCREASES THE 573 00:21:50,600 --> 00:21:52,360 DURATION THE EFFECTS OF THE 574 00:21:52,360 --> 00:21:56,640 DRUG, WHICH AGAIN, IS NOT 575 00:21:56,640 --> 00:21:57,240 PHARMACOLOGICALLY STUDIED 576 00:21:57,240 --> 00:22:01,840 SPECIFICALLY, BUT WE COULD 577 00:22:01,840 --> 00:22:04,160 HYPOTHESIZE IT MAY REFLECT THIS 578 00:22:04,160 --> 00:22:06,960 TYPE OF AGENTS THAT THEN 579 00:22:06,960 --> 00:22:07,960 ACTUALLY KEEPS THAT DRUG IN 580 00:22:07,960 --> 00:22:10,960 PLACE, IT IT DOES NOT CLEAR IT. 581 00:22:10,960 --> 00:22:12,640 BUT THIS IS AN AREA THAT 582 00:22:12,640 --> 00:22:15,240 REQUIRES RESEARCH FOR US TO 583 00:22:15,240 --> 00:22:16,080 UNDERSTAND, WHY IS IT THAT 584 00:22:16,080 --> 00:22:17,600 PEOPLE ARE COMBINING THAT? 585 00:22:17,600 --> 00:22:19,600 WHAT ARE THE MECHANISMS AND 586 00:22:19,600 --> 00:22:20,840 IMPORTANTLY TO YOUR QUESTIONS, 587 00:22:20,840 --> 00:22:22,960 HOW TO OPTIMALLY TREAT IT 588 00:22:22,960 --> 00:22:24,640 BECAUSE IT'S NOT DONE 589 00:22:24,640 --> 00:22:26,400 NECESSARILY STRAIGHT FORWARD. 590 00:22:26,400 --> 00:22:30,880 >>THANK YOU. 591 00:22:30,880 --> 00:22:33,000 >>ALAN, THE OTHER THING IS, I 592 00:22:33,000 --> 00:22:36,760 HAVE TO CHECK IN THIS, BUT ONE 593 00:22:36,760 --> 00:22:41,680 OF THE PROBLEMS IS NA CRISIS OF 594 00:22:41,680 --> 00:22:43,800 THE SKIN AND EXTREMITIES DUE TO 595 00:22:43,800 --> 00:22:45,720 THE FACT YOU ARE INJECTING 596 00:22:45,720 --> 00:22:47,760 LOCALLY GETTING A BIG HIGH DOSE 597 00:22:47,760 --> 00:22:51,920 RIGHT WHERE YOU INJECT. 598 00:22:51,920 --> 00:22:53,720 I'M NOT SURE -- BUT I HAVE TO 599 00:22:53,720 --> 00:22:56,880 LOOK INTO IT MORE TO KNOW THE 600 00:22:56,880 --> 00:22:59,040 SYSTEMIC BLOCKADE WOULD BE 601 00:22:59,040 --> 00:22:59,400 HELPFUL OR NOT. 602 00:22:59,400 --> 00:23:02,120 >>IT SAYS SYSTEMIC EFFECTS 603 00:23:02,120 --> 00:23:10,360 BECAUSE YOU OBSERVE I AND MAY 604 00:23:10,360 --> 00:23:12,000 REFLECT VAAS OWE CONSTRICTION 605 00:23:12,000 --> 00:23:14,160 BUT AGAIN IF IT'S NOT -- THERE 606 00:23:14,160 --> 00:23:16,320 MAY BE -- I MEAN I'M TRYING TO 607 00:23:16,320 --> 00:23:20,760 LOOK AT PHARMACOLOGY TO SEE 608 00:23:20,760 --> 00:23:23,400 MOLECULAR TARGETS APART FROM THE 609 00:23:23,400 --> 00:23:24,640 ALPHA AND IT'S NOT STRAIGHT 610 00:23:24,640 --> 00:23:25,880 FORWARD AND I CANNOT FIND 611 00:23:25,880 --> 00:23:27,520 ANYTHING THAT I CAN PUT MY HANDS 612 00:23:27,520 --> 00:23:29,120 ON THAT WOULD CLARIFY IT 613 00:23:29,120 --> 00:23:29,360 FURTHER. 614 00:23:29,360 --> 00:23:32,480 >>I HAVE A FEW HANDS RAISED. 615 00:23:32,480 --> 00:23:35,320 NED, IF YOUR QUESTION OR COMMEN- 616 00:23:35,320 --> 00:23:38,400 >>JUST THAT ANECDOTALLY I'VE 617 00:23:38,400 --> 00:23:43,920 HEARD THAT THE DEALERS ARE 618 00:23:43,920 --> 00:23:44,760 PUTTING XYLAZINE WITH THE 619 00:23:44,760 --> 00:23:45,720 FENTANYL BECAUSE IT DOESN'T 620 00:23:45,720 --> 00:23:47,160 SUPPRESS RESPIRATION SO THEY'RE 621 00:23:47,160 --> 00:23:53,880 LESS LIKELY TO KILL THEIR 622 00:23:53,880 --> 00:23:55,400 CLIENTS AND IT'S INTERESTING TO 623 00:23:55,400 --> 00:24:04,800 THINK ABOUT A AN AN TAG AN ANTA. 624 00:24:04,800 --> 00:24:06,520 >>YOU GET SEVERE WITHDRAWALS. 625 00:24:06,520 --> 00:24:07,360 >>YEAH, YEAH. 626 00:24:07,360 --> 00:24:09,680 >>AND HYPERTENSION AND WHO 627 00:24:09,680 --> 00:24:12,280 KNOWS WHAT ELSE. 628 00:24:12,280 --> 00:24:22,800 I AGREE IT'S APP AREA TO STUDY. 629 00:24:23,680 --> 00:24:24,640 THANK YOU. 630 00:24:24,640 --> 00:24:25,720 CHRIS, YOU HAVE YOUR HAND 631 00:24:25,720 --> 00:24:25,960 RAISED. 632 00:24:25,960 --> 00:24:27,760 >>YEAH, I HAVE A DIFFERENT 633 00:24:27,760 --> 00:24:30,400 TOPIC SO I DON'T KNOW IF -- WELL 634 00:24:30,400 --> 00:24:31,520 RELATED BUT NOT SPECIFIC TO WHAT 635 00:24:31,520 --> 00:24:34,360 WE'RE DISCUSSING SO IF OTHERS 636 00:24:34,360 --> 00:24:35,280 HAVE QUESTIONS OR COMMENTS I'M 637 00:24:35,280 --> 00:24:39,720 HAPPY FOR THEM TO GO BEFORE ME. 638 00:24:39,720 --> 00:24:41,600 >>WE'RE GOING TO TALK A LITTLE 639 00:24:41,600 --> 00:24:52,120 BIT MORE ABOUT SIGH LOW SEEN -- 640 00:24:55,360 --> 00:24:57,160 >>CONGRESS ASKED HEAL TO START 641 00:24:57,160 --> 00:24:58,480 ADDRESS STIMULANT ABUSE AS WELL 642 00:24:58,480 --> 00:25:02,560 AND IF SO, WHAT LED PERFORMING R 643 00:25:02,560 --> 00:25:04,000 AMOUNT OF BUDGET IS BEING 644 00:25:04,000 --> 00:25:05,480 DEDICATE TODAY THAT. 645 00:25:05,480 --> 00:25:06,680 MY QUESTION RELATE TODAY WHAT 646 00:25:06,680 --> 00:25:15,680 WE'RE TALKING ABOUT NOW IS -- IS 647 00:25:15,680 --> 00:25:16,880 XYLAZINE PART OF THE PORTFOLIO 648 00:25:16,880 --> 00:25:20,120 OR ADDRESSED BY NIDA OR 649 00:25:20,120 --> 00:25:22,720 ADDRESSED UNDER THE HEADING OF 650 00:25:22,720 --> 00:25:25,240 MULTI SUBSTANCE USE, I GUESS, 651 00:25:25,240 --> 00:25:27,320 I'M A LITTLE BIT CONFUSED IN 652 00:25:27,320 --> 00:25:29,760 TERMS OF WHAT THE ACTUAL PURVIEW 653 00:25:29,760 --> 00:25:32,160 OF HEAL IS IS, IF IT'S EXPANDING 654 00:25:32,160 --> 00:25:34,840 AND THEN HOW THE BUDGET IS BEING 655 00:25:34,840 --> 00:25:35,920 DIFFERENTIATED VERSUS WHAT IS 656 00:25:35,920 --> 00:25:38,200 BEING FUNDED DIRECTLY OUT OF 657 00:25:38,200 --> 00:25:40,440 NIDA'S BUDGET. 658 00:25:40,440 --> 00:25:42,000 NON-HEAL RELATED, IF THAT MAKES 659 00:25:42,000 --> 00:25:42,440 SENSE. 660 00:25:42,440 --> 00:25:44,000 >>I CAN START TO TALK ABOUT 661 00:25:44,000 --> 00:25:45,760 HEAL AND NORAH, WEIGH IN IF YOU 662 00:25:45,760 --> 00:25:47,440 WOULD LIKE TO ADD ABOUT THE 663 00:25:47,440 --> 00:25:48,720 RESEARCH THAT'S UNDERWAY AND 664 00:25:48,720 --> 00:25:49,920 PLANNED OUTSIDE OF THE HEAL 665 00:25:49,920 --> 00:25:51,240 INITIATIVES. 666 00:25:51,240 --> 00:25:55,120 SO, WHEN WE LAUNCHED IN 2018, 667 00:25:55,120 --> 00:25:58,200 THE MISSION WAS TO FOCUS ON 668 00:25:58,200 --> 00:26:00,240 PAIN, THE MISUSE ADDICTION AND 669 00:26:00,240 --> 00:26:00,720 OVERDOSE. 670 00:26:00,720 --> 00:26:03,080 AND WE LAUNCHED A SET OF 671 00:26:03,080 --> 00:26:04,760 RESEARCH TO ADDRESS THIS REALLY 672 00:26:04,760 --> 00:26:06,600 FOCUSING ON A FEW CORE AREAS. 673 00:26:06,600 --> 00:26:09,320 SO HOW DO WE ACCELERATE THE 674 00:26:09,320 --> 00:26:10,760 DEVELOPMENT OF NEW PAIN 675 00:26:10,760 --> 00:26:12,880 TREATMENTS, HOW DO WE GIVE 676 00:26:12,880 --> 00:26:16,960 CLINICIANS THE INFORMATION THEY 677 00:26:16,960 --> 00:26:18,960 NEED TO FAST TREAT PAIN AND 678 00:26:18,960 --> 00:26:19,680 REDUCE ALLIANCE ON OPIOID WHEN 679 00:26:19,680 --> 00:26:21,400 THEY MAY NOT BE EFFECTIVE AND 680 00:26:21,400 --> 00:26:23,440 THEY MAY HAVE RISKS INCLUDING 681 00:26:23,440 --> 00:26:24,560 THE RISK OF ADDICTION. 682 00:26:24,560 --> 00:26:26,440 A BIG FOCUS ON NOVEL MEDICATIONS 683 00:26:26,440 --> 00:26:28,760 FOR THE TREATMENT OF OPIOID DIS 684 00:26:28,760 --> 00:26:30,720 DISORDERS, PREVENTION AND 685 00:26:30,720 --> 00:26:32,120 REVERSAL OF OVERDOSE INCLUDING 686 00:26:32,120 --> 00:26:35,360 DIFFERENT ASPECTS OF THE 687 00:26:35,360 --> 00:26:38,720 ADDICTION PROCESS, CRAVING 688 00:26:38,720 --> 00:26:39,880 WITHDRAWAL AND THEN AS YOU HEARD 689 00:26:39,880 --> 00:26:41,920 A LOT ABOUT, QUITE A FEW 690 00:26:41,920 --> 00:26:44,400 CLINICAL RESEARCH STUDIES AND 691 00:26:44,400 --> 00:26:45,840 TRANSLATIONS RESEARCH TO 692 00:26:45,840 --> 00:26:47,600 PRACTICE IMPLEMENTATION-STYLE 693 00:26:47,600 --> 00:26:49,640 STUDIES THAT SEEK TO TAKE THE 694 00:26:49,640 --> 00:26:52,240 REALLY LIFE SAVING MEDICATIONS 695 00:26:52,240 --> 00:26:55,240 AND INTERVENTIONS FOR OPIOID USE 696 00:26:55,240 --> 00:26:57,040 DISORDERS AND FOR OPIOID 697 00:26:57,040 --> 00:26:59,440 OVERDOSE AND TO GET THEM INTO 698 00:26:59,440 --> 00:27:01,440 THE COMMUNITY HEALTHCARE JUSTICE 699 00:27:01,440 --> 00:27:06,040 AND OTHER SETTINGS WHERE PEOPLE 700 00:27:06,040 --> 00:27:07,480 WERE COMING AND SEEKING HELP EX 701 00:27:07,480 --> 00:27:08,960 AT RISK FOR OVERDOSE AND 702 00:27:08,960 --> 00:27:09,880 OVERDOSE DEATH. 703 00:27:09,880 --> 00:27:11,800 SO THAT WAS THE STARTING POINT 704 00:27:11,800 --> 00:27:15,200 FOR OUR COLLECTIVE RESEARCH 705 00:27:15,200 --> 00:27:15,800 INVESTMENTS. 706 00:27:15,800 --> 00:27:19,200 AS CONGRESS IDENTIFIED THE 707 00:27:19,200 --> 00:27:24,720 CHALLENGES RELATED TO STIMULANTS 708 00:27:24,720 --> 00:27:28,480 WITH A SPECIFIC INTEREST IN HOW 709 00:27:28,480 --> 00:27:38,920 SUBSTANCE USE AND THE WAS MAKING 710 00:27:38,920 --> 00:27:40,120 OUR RESPONSE TRAGEDY MORE 711 00:27:40,120 --> 00:27:40,560 COMPLICATED. 712 00:27:40,560 --> 00:27:44,000 WE EXPANDED THE SUBSTANCE USE 713 00:27:44,000 --> 00:27:45,160 DISORDER SIDE OF THE HEAL 714 00:27:45,160 --> 00:27:49,520 RESEARCH INITIATIVE TO INCLUDE 715 00:27:49,520 --> 00:27:50,960 MEDICATION DEVELOPMENT EFFORTS 716 00:27:50,960 --> 00:27:55,240 FOCUSED ON STIMULANT USE 717 00:27:55,240 --> 00:27:57,400 DISORDERS AS WELL AS QUITE A 718 00:27:57,400 --> 00:27:59,520 SIGNIFICANT SET OF NEW PROGRAMS 719 00:27:59,520 --> 00:28:01,440 FOR THIS PALLIA SIV SUBSTANCE 720 00:28:01,440 --> 00:28:03,920 USE INTERVENE NORTH PRIMARY CARE 721 00:28:03,920 --> 00:28:06,440 SETTINGS FROM A PREVENTION 722 00:28:06,440 --> 00:28:08,080 APPROACH AND A SYSTEMS APPROACH 723 00:28:08,080 --> 00:28:09,400 RECOGNIZING MOST PEOPLE WHO USE 724 00:28:09,400 --> 00:28:11,960 SUBSTANCES USE MORE THAN ONE 725 00:28:11,960 --> 00:28:13,520 SUBSTANCE, HOW CAN OUR RESEARCH 726 00:28:13,520 --> 00:28:15,920 REFLECT THAT AND HOW CAN WE BE 727 00:28:15,920 --> 00:28:18,600 SMART IN OUR INVESTMENTS SO WE 728 00:28:18,600 --> 00:28:19,920 ARE ABLE TO COME UP WITH 729 00:28:19,920 --> 00:28:21,480 SOLUTIONS THAT ARE GOING TO BE 730 00:28:21,480 --> 00:28:24,200 MEANINGFUL IN THE CONTEXT OF 731 00:28:24,200 --> 00:28:25,120 SUBSTANCE USE. 732 00:28:25,120 --> 00:28:27,200 SO THAT'S KIND OF WHAT I SEE AS 733 00:28:27,200 --> 00:28:29,320 THE EVOLUTION OF HEAL RESEARCH. 734 00:28:29,320 --> 00:28:31,640 WE HAVE DONE VERY LITTLE 735 00:28:31,640 --> 00:28:33,960 PIVOTING OR ADDITION OF ANY KIND 736 00:28:33,960 --> 00:28:36,480 RELATE TODAY XYLAZINE WHERE MORE 737 00:28:36,480 --> 00:28:37,400 JUST HAVING A DISCUSSION AROUND 738 00:28:37,400 --> 00:28:38,600 IT IT AND PROBABLY CONSIDERING 739 00:28:38,600 --> 00:28:40,880 HOW IT IT AFFECTS OUR 740 00:28:40,880 --> 00:28:41,720 TRANSLATIONAL RESEARCH PORTFOLIO 741 00:28:41,720 --> 00:28:45,560 THAT IS FOCUSED ON PRIMARILY 742 00:28:45,560 --> 00:28:46,320 OPIOIDS. 743 00:28:46,320 --> 00:28:48,600 NORAH MAY HAVE MORE TO ADD IN 744 00:28:48,600 --> 00:28:50,760 TERMS OF HOW NIDA IS THINKING 745 00:28:50,760 --> 00:28:52,160 ABOUT THIS AND HOW THERE COULD 746 00:28:52,160 --> 00:28:54,040 BE OPPORTUNITIES TO EXPAND AND 747 00:28:54,040 --> 00:28:55,720 BE THOUGHTFUL WHERE HEAL HAS 748 00:28:55,720 --> 00:28:57,160 ALREADY MADE INVESTMENTS. 749 00:28:57,160 --> 00:28:59,800 >>I THINK IT'S A VERY GOOD 750 00:28:59,800 --> 00:29:01,560 RESPONSE. 751 00:29:01,560 --> 00:29:04,400 REBECA, I THINK TO ALSO MEAN 752 00:29:04,400 --> 00:29:08,520 HEAL'S MISSION IS TO ADDRESS THE 753 00:29:08,520 --> 00:29:10,520 OVERDOSE CRISIS AND SO THE 754 00:29:10,520 --> 00:29:11,800 OVERDOSE CRISIS HAS CHANGES AND 755 00:29:11,800 --> 00:29:13,320 IT CHANGES DRAMATICALLY AND 756 00:29:13,320 --> 00:29:17,680 QUITE RAPIDLY SO IF WE WANT TO 757 00:29:17,680 --> 00:29:21,280 SUCCEED, WE NEED TO HAVE THE 758 00:29:21,280 --> 00:29:22,920 FLEXIBILITY TO I AM CORPORATE 759 00:29:22,920 --> 00:29:25,120 THE RESEARCH OBJECT AGAIN DA AND 760 00:29:25,120 --> 00:29:26,280 WHAT WE'RE SERVING IN THE REA 761 00:29:26,280 --> 00:29:34,200 LOT OFTHALITY OFTHIS CRISIS ANDN 762 00:29:34,200 --> 00:29:35,560 THAT MULTIPLE SUBSTANCES WERE 763 00:29:35,560 --> 00:29:39,720 FOUND IN PEOPLE DYING FROM 764 00:29:39,720 --> 00:29:41,120 OPIOID OVERDOSES HAS BEEN THERE 765 00:29:41,120 --> 00:29:45,880 AT LEAST FOR FIVE YEARS IF NOT 766 00:29:45,880 --> 00:29:49,280 MORE AND IT'S NOT JUST XYLAZINE. 767 00:29:49,280 --> 00:29:50,560 IT'S RECENT IN THE PAST I WOULD 768 00:29:50,560 --> 00:29:53,120 SAY THROW OR FOUR YEARS BUT ALL 769 00:29:53,120 --> 00:29:55,760 ALONG, WE SEE THAT COMBINATIONS 770 00:29:55,760 --> 00:29:58,520 WITH A WIDE VARIETY OF DRUGS 771 00:29:58,520 --> 00:30:02,520 INCLUDING SOME OF THE ANTI-EP EP 772 00:30:02,520 --> 00:30:03,480 LET TICK DRUGS. 773 00:30:03,480 --> 00:30:05,600 WE CANNOT DIVERSE OUR PORTFOLIO 774 00:30:05,600 --> 00:30:07,160 OF WHAT ATTRACTS THE ATTENTION 775 00:30:07,160 --> 00:30:08,800 OF THE MEDIA BUT WE DO HAVE TO 776 00:30:08,800 --> 00:30:12,120 BE ALERT ABOUT UNDERSTANDING 777 00:30:12,120 --> 00:30:13,680 WHAT IS EMERGING SO WE HAVE BOTH 778 00:30:13,680 --> 00:30:16,040 FROM THE PERSPECTIVE OF HOW WE 779 00:30:16,040 --> 00:30:18,040 MANAGE THE NIDA PORTFOLIO AND 780 00:30:18,040 --> 00:30:21,800 HOW BASICALLY WE PROPOSE THAT WE 781 00:30:21,800 --> 00:30:24,600 SEARCH FOR THE HEAL COMPONENT 782 00:30:24,600 --> 00:30:27,920 OPIOID CRISIS TO ACTUALLY 783 00:30:27,920 --> 00:30:30,760 MAXIMIZE OUR ABILITY TO PROVIDE 784 00:30:30,760 --> 00:30:32,160 WITH KNOWLEDGE THAT CAN BE USED 785 00:30:32,160 --> 00:30:32,960 FOR TREATMENT. 786 00:30:32,960 --> 00:30:34,560 AND IN THIS CASE, IT DOES RELATE 787 00:30:34,560 --> 00:30:36,200 TO UNDERSTANDING BETTER THE 788 00:30:36,200 --> 00:30:38,640 PHARMACOLOGY OF XYLAZINE AND THE 789 00:30:38,640 --> 00:30:39,720 DISCUSSION THAT'S WE'RE JUST 790 00:30:39,720 --> 00:30:40,000 HAVING. 791 00:30:40,000 --> 00:30:41,760 AS OF YOUR QUESTION FOR THE 792 00:30:41,760 --> 00:30:43,520 STIMULANTS, I MEAN, 793 00:30:43,520 --> 00:30:45,840 UNFORTUNATELY, WE KNOW NOW THAT 794 00:30:45,840 --> 00:30:48,440 PROBABLY SOMETHING LIKE 65,000 795 00:30:48,440 --> 00:30:51,000 PEOPLE DIE FROM STIMULANT 796 00:30:51,000 --> 00:30:51,360 OVERDOSES. 797 00:30:51,360 --> 00:30:54,240 MOST OF THEM ARE ASSOCIATED WITH 798 00:30:54,240 --> 00:30:54,840 FENTANYL. 799 00:30:54,840 --> 00:30:56,560 BUT SINCE OUR MISSION IS TO 800 00:30:56,560 --> 00:30:57,880 ADDRESS THE OVERDOSE CRISIS 801 00:30:57,880 --> 00:31:00,440 THROUGH THE HEAL, OR TO ADDRESS 802 00:31:00,440 --> 00:31:03,000 THE PROBLEMS OF DRUG USE THROUGH 803 00:31:03,000 --> 00:31:07,960 NIDA, ADDITIONALLY, WE HAVE TO 804 00:31:07,960 --> 00:31:10,800 MAXIMIZE AND BE CLEVER ON HOW WE 805 00:31:10,800 --> 00:31:14,440 USE THE RESOURCES TO BASIC 806 00:31:14,440 --> 00:31:16,920 EXTRACT INFORMATION THAT IS 807 00:31:16,920 --> 00:31:18,840 PERTAINING TO BOTH OPIOIDS BUT 808 00:31:18,840 --> 00:31:20,560 ALSO POLY SUBSTANCE USE AND WHAT 809 00:31:20,560 --> 00:31:23,640 YOU WILL BE HEARING, NOT SO MUCH 810 00:31:23,640 --> 00:31:25,280 TODAY BUT ONE OF THE STRATEGIES 811 00:31:25,280 --> 00:31:27,480 THAT HAS BEEN TO MOVE MORE 812 00:31:27,480 --> 00:31:29,600 TOWARDS MEDICATIONS THAT CAN BE 813 00:31:29,600 --> 00:31:31,120 USED FOR DRUGS, DRUG ADDICTION 814 00:31:31,120 --> 00:31:34,320 IN GENERAL, NOT JUST FOR OPIOIDS 815 00:31:34,320 --> 00:31:36,080 OF COCAINE THAT TACKLE 816 00:31:36,080 --> 00:31:38,480 MECHANISMS THAT ARE PERTINENT TO 817 00:31:38,480 --> 00:31:40,520 ADDICTIONS IN AND OF ITSELF AND 818 00:31:40,520 --> 00:31:43,280 BECAUSE THIS IN PRINCIPLE HAVE 819 00:31:43,280 --> 00:31:44,840 THE POTENTIAL OF ADDRESSING MORE 820 00:31:44,840 --> 00:31:48,960 THAN ONE SUBSTANCE. 821 00:31:48,960 --> 00:31:49,640 THAT'S WHERE WE ARE. 822 00:31:49,640 --> 00:31:52,360 WE RELY ON AWFUL TO YOU GIVE US 823 00:31:52,360 --> 00:31:54,120 INPUT AND GIVE US YOUR 824 00:31:54,120 --> 00:31:55,440 PERSPECTIVE ON HOW TO MAXIMIZE 825 00:31:55,440 --> 00:31:58,120 THE LIKELIHOOD THAT WE WILL BE 826 00:31:58,120 --> 00:31:59,760 SUCCESSFUL AND WE'RE NOT USING 827 00:31:59,760 --> 00:32:01,440 THE OPPORTUNITY FOR THE MOST 828 00:32:01,440 --> 00:32:05,160 IMPACTFUL RESEARCH. 829 00:32:05,160 --> 00:32:07,600 >>THAT MAKES SENSE, THANK YOU 830 00:32:07,600 --> 00:32:11,560 FOR THE THOROUGH EXPLANATION. 831 00:32:11,560 --> 00:32:13,560 I KNOW WE LIKE TO NEATLY AND 832 00:32:13,560 --> 00:32:15,280 NICELY SEPARATE EVERYTHING INTO 833 00:32:15,280 --> 00:32:17,480 YOU CAN BETS AND CATEGORIES BUT 834 00:32:17,480 --> 00:32:19,800 DEALING WITH SUBSTANCE USE 835 00:32:19,800 --> 00:32:21,160 DISORDER AND OPIOID SUBSTANCE 836 00:32:21,160 --> 00:32:22,880 USE AND ALSO WITH PAIN WE KNOW 837 00:32:22,880 --> 00:32:23,720 THESE ARE COMPLEX THINGS AND YOU 838 00:32:23,720 --> 00:32:25,120 CAN'T JUST SEPARATE ONE LITTLE 839 00:32:25,120 --> 00:32:26,000 PIECE OUT FROM THE OTHER. 840 00:32:26,000 --> 00:32:27,720 I JUST WANT TO MAKE SURE I WAS 841 00:32:27,720 --> 00:32:29,080 CLEAR ON WHERE THINGS CURRENTLY 842 00:32:29,080 --> 00:32:31,280 STAND IN TERMS OF CONGRESS' 843 00:32:31,280 --> 00:32:38,560 MANDATE FOR HEAL. 844 00:32:38,560 --> 00:32:43,000 >>THANK YOU, CHRIS AND THEN 845 00:32:43,000 --> 00:32:44,080 ROB, YOU HAVE YOUR HAPPENED 846 00:32:44,080 --> 00:32:44,320 RAISED. 847 00:32:44,320 --> 00:32:46,200 >>YEAH, I WAS FOLLOWING ON TO 848 00:32:46,200 --> 00:32:46,720 THAT. 849 00:32:46,720 --> 00:32:47,600 JUST SOMETHING TO KEEP OUR EYE 850 00:32:47,600 --> 00:32:51,040 ON THE BALL, I MEAN, WE HAVE TO 851 00:32:51,040 --> 00:32:56,680 KEEP EVOLVING AS Dr. VOLKOF 852 00:32:56,680 --> 00:32:58,080 WAS SAYING ON THE THREATS OF THE 853 00:32:58,080 --> 00:32:59,040 GROUPED AND IT'S A MOVING 854 00:32:59,040 --> 00:32:59,640 TARGET. 855 00:32:59,640 --> 00:33:03,480 I THINK THAT YOU KNOW, THE 856 00:33:03,480 --> 00:33:04,680 BUDGET SLIDE WAS CUT OFF A 857 00:33:04,680 --> 00:33:06,440 LITTLE BIT BUT TRYING FOR US TO 858 00:33:06,440 --> 00:33:08,680 THINK ABOUT HOW WE DO THAT AND 859 00:33:08,680 --> 00:33:11,080 RESPOND TO THOSE THINGS WITHOUT 860 00:33:11,080 --> 00:33:15,520 ERODING THE OTHER PARTS OF THE 861 00:33:15,520 --> 00:33:20,000 MISSION AND THEY'RE GOING TO 862 00:33:20,000 --> 00:33:25,000 CONTINUE TO BE NEW DRUGS ON THE 863 00:33:25,000 --> 00:33:27,720 STREET AND THINGS MIXED IN WITH 864 00:33:27,720 --> 00:33:30,240 THE SUPPLY BUT PAIN REMAINS AND 865 00:33:30,240 --> 00:33:34,880 I JUST WANT TO BE CONTINUING TO 866 00:33:34,880 --> 00:33:37,280 HAVE THE SAME FOCUSED ON THAT 867 00:33:37,280 --> 00:33:38,200 MISSION. 868 00:33:38,200 --> 00:33:40,600 PAIN DOESN'T -- WE DON'T GET NEW 869 00:33:40,600 --> 00:33:41,280 PAINS NECESSARILY POPPING UP BUT 870 00:33:41,280 --> 00:33:45,600 WE STILL HAVE THE SCOPE THE 871 00:33:45,600 --> 00:33:48,760 IMPACT WE HAVE SOMETHING TO 872 00:33:48,760 --> 00:33:50,080 ADDRESS OVERDOSE ISSUES. 873 00:33:50,080 --> 00:33:53,280 HOW DO WE DO THAT AND STILL 874 00:33:53,280 --> 00:33:54,200 MAINTAIN THAT BALANCE MISSION 875 00:33:54,200 --> 00:34:01,680 THAT WE'RE SUPPOSED TO BE. 876 00:34:01,680 --> 00:34:03,880 >>THE SUBSTANCE USE DISORDER 877 00:34:03,880 --> 00:34:07,760 OVERDOSE PREVENTION AND REVERSAL 878 00:34:07,760 --> 00:34:10,120 GOALS ARE VERY INTERTWINED AND 879 00:34:10,120 --> 00:34:11,920 ARE GOING TO BE EFFECTED BY THE 880 00:34:11,920 --> 00:34:14,680 SUBSTANCE OF PEOPLE ARE USING 881 00:34:14,680 --> 00:34:17,080 AND THE PAIN AND SIDE OF THE 882 00:34:17,080 --> 00:34:19,200 PORTFOLIO IS ALWAYS GOING TO BE 883 00:34:19,200 --> 00:34:20,600 CONNECTED TO THAT AND SOME 884 00:34:20,600 --> 00:34:22,840 REGARD AND IN TERMS OF THE 885 00:34:22,840 --> 00:34:23,880 POPULATIONS OF PEOPLE AND 886 00:34:23,880 --> 00:34:24,720 WHETHER THEY EXPERIENCE PAIN AND 887 00:34:24,720 --> 00:34:27,760 WHETHER THE TREATMENTS WE'RE 888 00:34:27,760 --> 00:34:31,240 USING ARE PUTTING THEM AT RISK 889 00:34:31,240 --> 00:34:34,720 FOR OWNERSHIP MISUSE BUT THE 890 00:34:34,720 --> 00:34:36,480 FLIP SIDE WE HAVE QUITE A 891 00:34:36,480 --> 00:34:38,040 DIVERSE PORTFOLIO ON BOTH SIDES 892 00:34:38,040 --> 00:34:41,920 AS YOU'VE SEEN AND WE WILL SEE 893 00:34:41,920 --> 00:34:43,680 SO WE HAVE A LOT OF RESEARCH ON 894 00:34:43,680 --> 00:34:45,240 THE PAIN SIDE FOCUSED ON 895 00:34:45,240 --> 00:34:46,800 DIFFERENT PAIN CONDITIONS AND ON 896 00:34:46,800 --> 00:34:49,280 NOT QUITE BASIC SCIENCE BUT 897 00:34:49,280 --> 00:34:52,720 PRETTY PRECLINICAL AND BROAD 898 00:34:52,720 --> 00:34:57,800 RANGING EXPLORATORY AND 899 00:34:57,800 --> 00:34:59,360 THERAPEUTIC DEVELOPMENT ORIENTED 900 00:34:59,360 --> 00:35:03,520 RESEARCH AND THEN WE ALSO HAVE 901 00:35:03,520 --> 00:35:10,240 QUITE A DIVERSE RESEARCH ON 902 00:35:10,240 --> 00:35:11,240 CLINICAL MANAGEMENT OF PAIN AND 903 00:35:11,240 --> 00:35:14,720 THE NEEDS OF DIFFERENT 904 00:35:14,720 --> 00:35:16,520 POPULATIONS AND THE BARRIERS TO 905 00:35:16,520 --> 00:35:17,840 ACCESS TO HIGH-QUALITY PAIN AND 906 00:35:17,840 --> 00:35:20,880 ALL OF THAT CONTINUES TO GROW 907 00:35:20,880 --> 00:35:22,080 AND CONTINUES TO EVOLVE BASED ON 908 00:35:22,080 --> 00:35:24,560 THE SCIENTIFIC NEED AND BASED ON 909 00:35:24,560 --> 00:35:27,080 THE INPUT THAT WE HEAR FROM YOU 910 00:35:27,080 --> 00:35:28,840 FRANKLY AS WELL AS FROM 911 00:35:28,840 --> 00:35:30,480 STAKEHOLDERS OUTSIDE OF THIS 912 00:35:30,480 --> 00:35:31,920 GROUP. 913 00:35:31,920 --> 00:35:35,320 SO I THINK THERE'S A LOT TO 914 00:35:35,320 --> 00:35:38,040 COVER BUT THE -- THE STRENGTH OF 915 00:35:38,040 --> 00:35:39,480 OUR PORTFOLIO IS HOW BROAD IT IS 916 00:35:39,480 --> 00:35:41,200 AND HOW IT IT SEEKS TO BRING 917 00:35:41,200 --> 00:35:42,400 THESE DIFFERENT PERSPECTIVES 918 00:35:42,400 --> 00:35:45,680 TOWARDS THIS REALLY 919 00:35:45,680 --> 00:35:46,440 INTERCONNECTED SET OF GOALS. 920 00:35:46,440 --> 00:35:48,200 I KNOW WE HAVE A BREAK THAT IS 921 00:35:48,200 --> 00:35:50,240 SET ASIDE SO WE CAN TURN THE 922 00:35:50,240 --> 00:35:54,920 VIDEO CAST AND SWITCH GEARS INTO 923 00:35:54,920 --> 00:35:57,160 THE CLOSED SECTION BUT BUT WE 924 00:35:57,160 --> 00:35:59,200 CAN GO A FEW MINUTES PASSED. 925 00:35:59,200 --> 00:36:02,600 WALTER, I INVITE YOU TO REACT TO 926 00:36:02,600 --> 00:36:03,520 THE PAIN FORT FOAL AND HOW YOU 927 00:36:03,520 --> 00:36:07,360 SEE THAT CONTINUING TO ADDRESS 928 00:36:07,360 --> 00:36:10,880 PUBLIC-HEALTH NEEDS AND 929 00:36:10,880 --> 00:36:12,560 SCIENTIFIC AND OPIOID CRISIS AND 930 00:36:12,560 --> 00:36:14,880 OVERDOSE CRISIS CONTINUES TO 931 00:36:14,880 --> 00:36:15,240 EVOLVE. 932 00:36:15,240 --> 00:36:17,960 >>WELL, I THINK WE HAVE LOTS OF 933 00:36:17,960 --> 00:36:22,800 CHALLENGES ON THE PAIN SIDE AND 934 00:36:22,800 --> 00:36:24,640 WE'LL TALK LATER ABOUT THE DATA 935 00:36:24,640 --> 00:36:26,040 THE PAIN PROBLEMS ARE GETTING 936 00:36:26,040 --> 00:36:27,080 WORSE, NOT GETTING BETTER. 937 00:36:27,080 --> 00:36:29,440 WE WENT THROUGH THIS PERIOD OF 938 00:36:29,440 --> 00:36:31,720 TIME WHERE THERE WAS A SHIFT OF 939 00:36:31,720 --> 00:36:36,640 PEOPLE WHO NEEDED OPIOIDS, 940 00:36:36,640 --> 00:36:37,040 COULDN'T GET THEM. 941 00:36:37,040 --> 00:36:42,440 WE'RE WORKING HARD TO DEVELOP 942 00:36:42,440 --> 00:36:45,840 GUIDELINES THAT ALLOW PATIENTS 943 00:36:45,840 --> 00:36:48,000 TO BEST UTILIZE THE CURRENT 944 00:36:48,000 --> 00:36:50,440 TREATMENTS AVAILABLE IN A WAY 945 00:36:50,440 --> 00:36:52,880 THAT GIVES BALANCE THAT IMPROVES 946 00:36:52,880 --> 00:36:57,040 FUNCTION AS THE TOP GOAL AND SO 947 00:36:57,040 --> 00:36:58,920 BALANCING IN THAT RISK OF 948 00:36:58,920 --> 00:37:02,440 ADDICTION AND THAT RISK OF PAIN 949 00:37:02,440 --> 00:37:03,520 INHIBITING ONES DAILY DIFFERENT 950 00:37:03,520 --> 00:37:08,960 TACTIVITIESIS IMPORTANT THE MAIE 951 00:37:08,960 --> 00:37:13,760 NEED TO INVIGORATE THE THERAPY 952 00:37:13,760 --> 00:37:17,400 DEVELOPMENTS SPACE TO GET BETTER 953 00:37:17,400 --> 00:37:18,840 MEDICINAL TREATMENTS THAT WILL 954 00:37:18,840 --> 00:37:22,880 BE ALTERNATIVES FOR OPIOIDS AND 955 00:37:22,880 --> 00:37:24,800 THAT IS WHAT WE HAVE TO PRESS 956 00:37:24,800 --> 00:37:25,240 FORWARD. 957 00:37:25,240 --> 00:37:26,800 IT'S NOT EASY. 958 00:37:26,800 --> 00:37:28,640 THAT'S WHY THE COMPANIES AREN'T 959 00:37:28,640 --> 00:37:29,680 DOING IT ANYMORE. 960 00:37:29,680 --> 00:37:32,280 SO ALMOST THE ONLY GAME IF TOWN 961 00:37:32,280 --> 00:37:33,960 BUT THEY FEEL WE REALLY HAVE TO 962 00:37:33,960 --> 00:37:36,480 PRESS AHEAD THERE TO MAKE A 963 00:37:36,480 --> 00:37:38,600 LASTING DIFFERENCE AND THAT'S 964 00:37:38,600 --> 00:37:40,720 WHAT HEAL IS TO HELP END 965 00:37:40,720 --> 00:37:41,640 ADDICTION LONG-TERM. 966 00:37:41,640 --> 00:37:43,560 TO DO THAT, WE REALLY NEED TO 967 00:37:43,560 --> 00:37:48,040 HAVE ALTERNATIVES FOR OPIOIDS 968 00:37:48,040 --> 00:37:52,800 AND WE HAVE TAP TAS TICK GROUP P 969 00:37:52,800 --> 00:37:56,640 WORKING HERE TO MAKE THAT 970 00:37:56,640 --> 00:37:57,680 HAPPEN. 971 00:37:57,680 --> 00:38:01,120 HAPPY TO GET INTO MORE LATER. 972 00:38:01,120 --> 00:38:05,240 >>THANK YOU, WALTER. 973 00:38:05,240 --> 00:38:06,880 I HEAR EVERYONE'S INTEREST IN 974 00:38:06,880 --> 00:38:09,440 THE BUDGET BREAKDOWN AND HOW THE 975 00:38:09,440 --> 00:38:10,600 INVESTMENTS ARE ORGANIZED INTO 976 00:38:10,600 --> 00:38:12,040 THESE DIFFERENT SECTIONS. 977 00:38:12,040 --> 00:38:14,240 SO, GOING INTO THE MEETING 978 00:38:14,240 --> 00:38:16,480 SCHEDULED FOR NEXT WEEK, WE'LL 979 00:38:16,480 --> 00:38:18,240 PUT INTO THE AGENDA A LITTLE BIT 980 00:38:18,240 --> 00:38:19,840 MORE TIME TO BREAK THAT DOWN AND 981 00:38:19,840 --> 00:38:21,800 TALK THROUGH IT SO EVERYONE 982 00:38:21,800 --> 00:38:24,120 UNDERSTANDS AND NOT JUST FLASH A 983 00:38:24,120 --> 00:38:25,240 HIGH-LEVEL IMAGE IN FRONT OF 984 00:38:25,240 --> 00:38:28,400 YOU. 985 00:38:28,400 --> 00:38:29,440 NOW SINCE WE HAVE JUST ANOTHER 986 00:38:29,440 --> 00:38:30,640 MINUTE OR SO, ARE THERE ANY 987 00:38:30,640 --> 00:38:34,120 OTHER MEMBERS OF THE EXECUTIVE 988 00:38:34,120 --> 00:38:36,240 COMMITTEE OR THE 989 00:38:36,240 --> 00:38:36,880 MULTI-DISCIPLINARY WORKING GROUP 990 00:38:36,880 --> 00:38:39,560 WHO WOULD LIKE TO ADD A COMMENT 991 00:38:39,560 --> 00:38:46,440 OR RESPONSE AT THIS TIME? 992 00:38:46,440 --> 00:38:46,960 OK. 993 00:38:46,960 --> 00:38:49,400 AND THAT CASE, THANK YOU VERY 994 00:38:49,400 --> 00:38:51,040 MUCH FOR TUNING IN, EVERYONE. 995 00:38:51,040 --> 00:38:53,440 THIS CONCLUDES THE OPEN SESSION 996 00:38:53,440 --> 00:38:55,440 OF TODAY'S MULTI-DISCIPLINARY 997 00:38:55,440 --> 00:38:57,680 WORKING GROUP OF THE NIH HELPING 998 00:38:57,680 --> 00:39:01,400 TO END ADDICTION LAUNCH OR HEAL 999 00:39:01,400 --> 00:39:02,120 INITIATIVE. 1000 00:39:02,120 --> 00:39:05,880 FOR NIH STAFF, AND MEMBERS OF 1001 00:39:05,880 --> 00:39:07,640 THE MULTI-DISCIPLINARY WORKING, 1002 00:39:07,640 --> 00:39:10,760 WE'LL RECONVENE IN FIVE MINUTES 1003 00:39:10,760 --> 00:39:13,480 AT 11:50 A.M. FOR OUR CLOSED 1004 00:39:13,480 --> 00:39:15,000 SESSION DISCUSSION. 1005 00:39:15,000 --> 00:39:27,360 THANK YOU, VERY MUCH.