1 00:00:06,214 --> 00:00:09,517 >> WELL, WELCOME, EVERYBODY. 2 00:00:09,517 --> 00:00:11,186 TO THE TRIBAL HEALTH RESEARCH 3 00:00:11,186 --> 00:00:13,922 OFFICE AT THE NATIONAL 4 00:00:13,922 --> 00:00:17,459 INSTITUTES OF HEALTH FOR OUR 5 00:00:17,459 --> 00:00:19,094 NATIVE AMERICAN HERITAGE MONTH 6 00:00:19,094 --> 00:00:19,494 EVENT. 7 00:00:19,494 --> 00:00:20,495 OUR DISTINGUISHED PANEL THAT 8 00:00:20,495 --> 00:00:23,965 WE'RE EXCITED TO SHARE WITH THE 9 00:00:23,965 --> 00:00:27,569 WORLD TODAY. 10 00:00:27,569 --> 00:00:30,305 MY NAME -- 11 00:00:30,305 --> 00:00:32,507 [SPEAKING INDIGENOUS LANGUAGE] 12 00:00:32,507 --> 00:00:34,242 MY NAME IS KARINA WALTERS, I AM 13 00:00:34,242 --> 00:00:35,343 THE DIRECTOR OF THE TRIBAL 14 00:00:35,343 --> 00:00:37,412 HEALTH RESEARCH OFFICE HERE AT 15 00:00:37,412 --> 00:00:37,979 THE NATIONAL INSTITUTES OF 16 00:00:37,979 --> 00:00:38,213 HEALTH. 17 00:00:38,213 --> 00:00:43,218 AND I WANT TO EXTEND MY DEEPEST 18 00:00:43,218 --> 00:00:44,319 GRATITUDE FOR ALL OF YOU JOINING 19 00:00:44,319 --> 00:00:45,854 US TODAY FOR THIS VIDEOCAST. 20 00:00:45,854 --> 00:00:47,689 OUR THEME THIS MONTH AND FOR 21 00:00:47,689 --> 00:00:49,824 THIS YEAR IS I AM THE DATA, THE 22 00:00:49,824 --> 00:00:51,860 DATA IS ME! I AM THE DATA, THE 23 00:00:51,860 --> 00:00:54,062 DATA IS ME! THIS IS REALLY 24 00:00:54,062 --> 00:00:55,363 RELEVANT BECAUSE IN A LOT OF OUR 25 00:00:55,363 --> 00:00:56,765 TRIBAL TRADITIONS, WE HAVE 26 00:00:56,765 --> 00:00:59,634 PROVERBS AND SAYINGS LIKE I AM 27 00:00:59,634 --> 00:01:01,937 THE LAND, THE LAND IS ME, AS 28 00:01:01,937 --> 00:01:03,805 OPPOSED TO I OWN THE LAND, THE 29 00:01:03,805 --> 00:01:04,339 LAND IS MINE. 30 00:01:04,339 --> 00:01:06,074 SO WE THOUGHT A PARALLEL PROCESS 31 00:01:06,074 --> 00:01:08,476 IS AT HAND HERE, AND WE WANT TO 32 00:01:08,476 --> 00:01:09,477 ACKNOWLEDGE IN LIGHT OF THE 33 00:01:09,477 --> 00:01:11,646 IMPORTANCE OF INDIGENOUS DATA 34 00:01:11,646 --> 00:01:14,316 SOVEREIGNTY THAT WE ALSO I AM 35 00:01:14,316 --> 00:01:16,751 THE DATA, THE DATA IS ME! I AM 36 00:01:16,751 --> 00:01:17,385 THE DATA, THE DATA IS ME!, AND 37 00:01:17,385 --> 00:01:18,753 IT'S NOT ABOUT I OWN THE DATA, 38 00:01:18,753 --> 00:01:19,988 THE DATA IS MINE, AND THAT WE 39 00:01:19,988 --> 00:01:24,793 WANT TO REALLY CENTER AND HONOR 40 00:01:24,793 --> 00:01:26,761 INDIGENOUS RIGHTS TO TRIBAL 41 00:01:26,761 --> 00:01:29,164 SOVEREIGNTY WITH RESPECT TO 42 00:01:29,164 --> 00:01:30,899 DATA, AND SO WE HAVE OUR FIRST 43 00:01:30,899 --> 00:01:31,766 DISTINGUISHED PANEL WHO'S GOING 44 00:01:31,766 --> 00:01:33,435 TO KIND OF TACKLE SOME OF THE 45 00:01:33,435 --> 00:01:34,636 ISSUES, ESPECIALLY FROM A 46 00:01:34,636 --> 00:01:36,705 GENETIC AND GENOMIC PERSPECTIVE, 47 00:01:36,705 --> 00:01:39,641 AND SO OUR LECTURE TODAY IS ON 48 00:01:39,641 --> 00:01:49,184 CENTERING CULTURE AND INDIJNESSD 49 00:01:49,184 --> 00:01:50,285 THE HONOR AND PRIVILEGE OF 50 00:01:50,285 --> 00:01:51,252 SITTING WITH THESE THREE 51 00:01:51,252 --> 00:01:53,788 DISTINGUISHED GUESTS AT THE 52 00:01:53,788 --> 00:01:54,656 BANBERRY CENTER MOST RECENTLY 53 00:01:54,656 --> 00:01:56,858 WHERE THEY SHARED SOME OF THEIR 54 00:01:56,858 --> 00:01:58,393 INSIGHTS AROUND -- FROM AN 55 00:01:58,393 --> 00:02:01,096 INTERNATIONAL INDIGENOUS 56 00:02:01,096 --> 00:02:02,964 PERSPECTIVE AROUND THE ETHICS 57 00:02:02,964 --> 00:02:05,367 AND INDIGENOUS PRINCIPLES IN 58 00:02:05,367 --> 00:02:09,738 ADDRESSING INDIGENOUS GENOMIC 59 00:02:09,738 --> 00:02:11,840 PRACTICES AND REFERENCE GENOMES. 60 00:02:11,840 --> 00:02:15,977 SO I DON'T WANT TO STALL ANY 61 00:02:15,977 --> 00:02:17,946 LONGER BUT I WANTED TO GIVE AN 62 00:02:17,946 --> 00:02:18,713 OPPORTUNITY FOR EACH OF THE 63 00:02:18,713 --> 00:02:21,383 SPEAKERS TO INTRODUCE 64 00:02:21,383 --> 00:02:21,683 THEMSELVES. 65 00:02:21,683 --> 00:02:22,684 I'M GOING TO FIRST SHARE A 66 00:02:22,684 --> 00:02:25,820 LITTLE ABOUT THEIR BIO, AND THEN 67 00:02:25,820 --> 00:02:28,890 WHEN THEY GO IN ORDER, THEY'RE 68 00:02:28,890 --> 00:02:30,225 GOING TO HAVE AN OPPORTUNITY TO 69 00:02:30,225 --> 00:02:32,293 INTRODUCE THEMSELVES MORE FULLY. 70 00:02:32,293 --> 00:02:35,263 SO OUR THREE SPEAKERS TODAY, 71 00:02:35,263 --> 00:02:38,633 FIRST IS -- WILL BE DR. CRYSTAL 72 00:02:38,633 --> 00:02:40,835 TSOSIE, A GENETIC EPIDEMIOLOGIST 73 00:02:40,835 --> 00:02:42,771 AND BIOETHICIST AND ASSISTANT 74 00:02:42,771 --> 00:02:44,439 PROFESSOR IN THE SCHOOL OF LIFE 75 00:02:44,439 --> 00:02:45,740 SCIENCES AT ARIZONA STATE 76 00:02:45,740 --> 00:02:46,608 UNIVERSITY, ALSO ASSOCIATE 77 00:02:46,608 --> 00:02:47,942 DIRECTOR OF THE BIODIVERSITY 78 00:02:47,942 --> 00:02:49,577 KNOWLEDGE INTEGRATION CENTER AT 79 00:02:49,577 --> 00:02:55,050 ASU AND SHE CO-FOUNDED THE DATA 80 00:02:55,050 --> 00:02:58,953 BIODATA CONSORTIUM IN A 501C3 81 00:02:58,953 --> 00:03:00,188 TRIBAL RESEARCH NON-PROFIT 82 00:03:00,188 --> 00:03:00,955 ORGANIZATION. 83 00:03:00,955 --> 00:03:02,357 HER RESEARCH AREAS ARE SPECIFIC 84 00:03:02,357 --> 00:03:04,659 TO INDIGENOUS COMMUNITIES AND 85 00:03:04,659 --> 00:03:10,465 PEOPLE IN HE HEALTH, SHE'S GOINO 86 00:03:10,465 --> 00:03:12,000 BE FIRST, BECAUSE SHE WILL BE -- 87 00:03:12,000 --> 00:03:13,201 SHE WILL ACTUALLY HAVE TO LEAVE 88 00:03:13,201 --> 00:03:15,703 A LITTLE EARLY FROM OUR 89 00:03:15,703 --> 00:03:17,572 PRESENTATION. 90 00:03:17,572 --> 00:03:21,709 FOLLOWING DR. TSOSIE WILL BE DR. 91 00:03:21,709 --> 00:03:25,680 HE IS AN ASSOCIATE PROFESSOR AND 92 00:03:25,680 --> 00:03:29,751 HAS TRIBAL AFFILIATIONS ARE -- 93 00:03:29,751 --> 00:03:34,522 I'LL SEE IF I GET THIS RIGHT, 94 00:03:34,522 --> 00:03:41,196 NGATI RAKAIPAAKA, I'M GOING TO 95 00:03:41,196 --> 00:03:42,297 STOP THERE BECAUSE I THINK I'M 96 00:03:42,297 --> 00:03:43,264 REALLY GOING TO MESS THE REST 97 00:03:43,264 --> 00:03:47,001 UP, BUT WE'RE HONORED TO HAVE 98 00:03:47,001 --> 00:03:48,536 HIM HERE. 99 00:03:48,536 --> 00:03:52,373 HE'S BASED IN THE UNIVERSITY OF 100 00:03:52,373 --> 00:03:53,341 OTAGOS DEPARTMENT OF MATHEMATICS 101 00:03:53,341 --> 00:03:54,342 AND STATISTICS AND HAS 102 00:03:54,342 --> 00:03:57,078 EXPERIENCE IN APPLIED GENOMICS, 103 00:03:57,078 --> 00:03:58,279 AS WELL AS ENDWAIJMENT WITH 104 00:03:58,279 --> 00:03:59,080 INDIGENOUS COMMUNITIES REGARDING 105 00:03:59,080 --> 00:04:00,014 GENE TECHNOLOGIES. 106 00:04:00,014 --> 00:04:02,550 HE'S ALSO AN AFFILIATE OF THE 107 00:04:02,550 --> 00:04:05,753 UNIVERSITY OF OTAGOS BIOETHICS 108 00:04:05,753 --> 00:04:09,224 CENTER AND CURRENT MEMBER OF 109 00:04:09,224 --> 00:04:10,291 MAPNED, GENE MAPPING SCIENTISTS 110 00:04:10,291 --> 00:04:12,393 AND LED THE VIRTUAL INSTITUTE 111 00:04:12,393 --> 00:04:13,661 FOR STATISTICAL GENETICS FROM 112 00:04:13,661 --> 00:04:14,929 2008 TO 2013. 113 00:04:14,929 --> 00:04:17,398 AND OUR THIRD SPEAKER IS 114 00:04:17,398 --> 00:04:19,701 DR. ALEX BROWN. 115 00:04:19,701 --> 00:04:23,872 HE IS A PROFESSOR OF INDIGENOUS 116 00:04:23,872 --> 00:04:28,042 GENOMICS AND AUSTRALIAN NATIONAL 117 00:04:28,042 --> 00:04:28,343 UNIVERSITY. 118 00:04:28,343 --> 00:04:30,411 HE'S AN INTERNATIONALLY RENOWNED 119 00:04:30,411 --> 00:04:33,148 LEADER, LEADING ABORIGINAL 120 00:04:33,148 --> 00:04:34,582 CLINICIAN AND RESEARCHER WHO HAS 121 00:04:34,582 --> 00:04:37,418 WORKED HIS ENTIRE CAREER IN 122 00:04:37,418 --> 00:04:38,286 ABORIGINAL HEALTH AND IN THE 123 00:04:38,286 --> 00:04:39,721 PROVISION OF PUBLIC HEALTH 124 00:04:39,721 --> 00:04:40,388 SERVICES, INFECTIOUS DISEASES 125 00:04:40,388 --> 00:04:42,423 AND CHRONIC DISEASE HEALTHCARE 126 00:04:42,423 --> 00:04:43,558 POLICY AND A RESEARCH. 127 00:04:43,558 --> 00:04:48,363 HE HAS FAMILY CONNECTIONS ON THE 128 00:04:48,363 --> 00:04:50,565 FAR SOUTH COAST OF NEW SOUTH 129 00:04:50,565 --> 00:04:52,634 WALES, AND HE'S FROM THE U.N. 130 00:04:52,634 --> 00:04:55,370 NATION AS WELL. 131 00:04:55,370 --> 00:04:56,671 SO WELCOME, DISTINGUISHED 132 00:04:56,671 --> 00:04:57,539 PANELISTS. 133 00:04:57,539 --> 00:04:59,174 IT'S AN HONOR AND PRIVILEGE TO 134 00:04:59,174 --> 00:05:00,608 HAVE YOU HERE, AND IF YOU WANT 135 00:05:00,608 --> 00:05:05,313 TO TAKE A FEW MINUTES AND 136 00:05:05,313 --> 00:05:06,181 BRIEFLY INTRODUCE YOURSELVES OR 137 00:05:06,181 --> 00:05:07,382 RIGHT BEFORE YOU CAN SPEAK, WE 138 00:05:07,382 --> 00:05:08,616 CAN GO WITH WHAT WILL BE BEST 139 00:05:08,616 --> 00:05:12,320 FOR YOU. 140 00:05:12,320 --> 00:05:15,156 SO WHAT IS YOUR WISH? 141 00:05:15,156 --> 00:05:16,257 >> INTRODUCE RIGHT BEFORE WE 142 00:05:16,257 --> 00:05:16,491 SPEAK? 143 00:05:16,491 --> 00:05:17,892 >> SOUNDS GREAT. 144 00:05:17,892 --> 00:05:18,927 OKAY. 145 00:05:18,927 --> 00:05:21,196 DR. TSOSIE, YOU'RE UP FIRST. 146 00:05:21,196 --> 00:05:23,565 >> ONE LITTLE HOUSEKEEPING NOTE, 147 00:05:23,565 --> 00:05:23,765 SORRY. 148 00:05:23,765 --> 00:05:28,203 >> THANK YOU, DR. CALDWELL. 149 00:05:28,203 --> 00:05:31,072 >> IF THERE ARE QUESTIONS, THERE 150 00:05:31,072 --> 00:05:36,177 IS A LIVE FEEDBACK FEATURE ON 151 00:05:36,177 --> 00:05:37,145 THE VIDEOCAST THAT YOU'LL BE 152 00:05:37,145 --> 00:05:40,548 ABLE TO SUBMIT QUESTIONS TO, AND 153 00:05:40,548 --> 00:05:43,818 WE HAVE SOMEBODY MONITORING THAT 154 00:05:43,818 --> 00:05:45,486 AND WE'LL BE ABLE TO PROVIDE 155 00:05:45,486 --> 00:05:46,888 THAT TO THE PANELISTS AT THE END 156 00:05:46,888 --> 00:05:47,455 OF THEIR TALKS. 157 00:05:47,455 --> 00:05:53,595 THANK YOU. 158 00:05:53,595 --> 00:05:55,897 >> GREAT. 159 00:05:55,897 --> 00:05:56,965 >> ALL RIGHT. 160 00:05:56,965 --> 00:06:00,134 I ASSUME YOU CAN SEE THE PROPER 161 00:06:00,134 --> 00:06:00,468 MAIN SLIDE? 162 00:06:00,468 --> 00:06:05,940 THANK YOU. 163 00:06:05,940 --> 00:06:09,877 [SPEAKING INDIGENOUS LANGUAGE] 164 00:06:09,877 --> 00:06:13,147 THANK YOU SO MUCH FOR ATTENDING 165 00:06:13,147 --> 00:06:15,550 THIS WONDERFUL PANEL, AND I'M SO 166 00:06:15,550 --> 00:06:19,487 HONORED TO BE IN COMMUNITY WITH 167 00:06:19,487 --> 00:06:21,356 EVERYONE HERE, PARTICULARLY ALSO 168 00:06:21,356 --> 00:06:24,092 DR. ALEX BROWN AND DR. PHIL 169 00:06:24,092 --> 00:06:25,827 WILCOX, WHO I'VE KNOWN AND 170 00:06:25,827 --> 00:06:27,161 ADMIRED FOR MANY YEARS AND SO 171 00:06:27,161 --> 00:06:30,431 GRATEFUL THEY'RE ABLE TO JOIN US 172 00:06:30,431 --> 00:06:32,066 FROM ACROSS HEMISPHERES. 173 00:06:32,066 --> 00:06:34,469 SO I'M GOING TO TRY TO CRAM AS 174 00:06:34,469 --> 00:06:40,708 MANY SLIDES AS POSSIBLE. 175 00:06:40,708 --> 00:06:42,143 I WANT TO START WITH SOME 176 00:06:42,143 --> 00:06:43,111 DISCLOSURE STATEMENTS, ONE, THAT 177 00:06:43,111 --> 00:06:45,647 I'M LEADING THE DEMO ANALYSIS OF 178 00:06:45,647 --> 00:06:47,582 GENOMICS DATA GENERATED FROM 179 00:06:47,582 --> 00:06:49,350 AMERICAN INDIANS AND ALASKA 180 00:06:49,350 --> 00:06:50,485 NATIVES FROM THE ALL-OF-US 181 00:06:50,485 --> 00:06:50,985 RESEARCH PROGRAM. 182 00:06:50,985 --> 00:06:52,520 THIS IS NOT A RESPONSIBILITY I 183 00:06:52,520 --> 00:06:53,221 TAKE LIGHTLY. 184 00:06:53,221 --> 00:06:56,457 IT IS WITH A LOT OF 185 00:06:56,457 --> 00:06:57,292 INTROSPECTION, ESPECIALLY 186 00:06:57,292 --> 00:06:58,860 CONSIDERING I WAS ON AND STILL 187 00:06:58,860 --> 00:07:01,062 AM KIND OF CRITICAL OF THE 188 00:07:01,062 --> 00:07:03,364 PROGRAM, BUT ALSO I THINK IT'S 189 00:07:03,364 --> 00:07:05,867 IMPORTANT THAT WE HAVE 190 00:07:05,867 --> 00:07:06,968 INDIGENOUS GENOMICISTS LEADING 191 00:07:06,968 --> 00:07:08,036 THESE TYPES OF EFFORTS SO THAT 192 00:07:08,036 --> 00:07:09,737 WE CAN PROPERLY FRAME THE 193 00:07:09,737 --> 00:07:12,206 INTERPRETATION OF THIS DATA, 194 00:07:12,206 --> 00:07:13,841 ESPECIALLY SINCE WE ACKNOWLEDGE 195 00:07:13,841 --> 00:07:17,679 AND REALIZE THAT GENOMICS DATA 196 00:07:17,679 --> 00:07:18,780 IS, HAS BEEN AND WILL BE 197 00:07:18,780 --> 00:07:22,183 COLLECTED FROM INDIGENOUS 198 00:07:22,183 --> 00:07:23,251 PEOPLES WITHIN -- SOMETIMES 199 00:07:23,251 --> 00:07:25,887 WITHOUT COMMUNITY CONSENT AND 200 00:07:25,887 --> 00:07:27,422 SOMETIMES ONLY FROM A WESTERN 201 00:07:27,422 --> 00:07:30,792 INDIVIDUAL SENSE OF YO AUTONOMYD 202 00:07:30,792 --> 00:07:31,459 AGENCY. 203 00:07:31,459 --> 00:07:34,195 AND ALSO COFOUNDED THE NATIVE 204 00:07:34,195 --> 00:07:36,064 BIODATA CONSORTIUM WHICH I'M SO 205 00:07:36,064 --> 00:07:37,131 PROUD TO TALK ABOUT A LITTLE BIT 206 00:07:37,131 --> 00:07:37,799 MORE. 207 00:07:37,799 --> 00:07:39,033 I'M ALSO REALLY HAPPY TO STATE 208 00:07:39,033 --> 00:07:40,768 THAT IN MY YEAR AND A HALF AS A 209 00:07:40,768 --> 00:07:43,938 FACULTY MEMBER AT ARIZONA STATE 210 00:07:43,938 --> 00:07:45,440 UNIVERSITY, WHICH I'M JUST NOW 211 00:07:45,440 --> 00:07:49,177 FORTUNATE TO LEAD A GROUP OF 12 212 00:07:49,177 --> 00:07:53,448 MEMBERS FOR THE LAB FOR 213 00:07:53,448 --> 00:07:54,849 INDIGENOUS EQUITY AND JUSTICE 214 00:07:54,849 --> 00:07:57,719 AND 75% OF WHOM ARE INDIGENOUS 215 00:07:57,719 --> 00:08:00,888 AND THIS ARTICLE JUST LANDED 216 00:08:00,888 --> 00:08:03,958 YESTERDAY OR THE DAY BEFORE ON 217 00:08:03,958 --> 00:08:05,693 ASU NEWS, BASICALLY STATING THAT 218 00:08:05,693 --> 00:08:08,663 WE NOW HAVE THREE INDIGENOUS 219 00:08:08,663 --> 00:08:10,431 FACULTY MEMBERS, TWO OF WHO ARE 220 00:08:10,431 --> 00:08:14,869 GOING TO BE JOINING AS FACULTY 221 00:08:14,869 --> 00:08:18,840 SOON, SO THE ASU CONSTITUTES THE 222 00:08:18,840 --> 00:08:20,475 LARGEST POTENTIALLY 223 00:08:20,475 --> 00:08:22,877 R01 INSTITUTION WITH THE AMOUNT 224 00:08:22,877 --> 00:08:24,379 OF INDIGENOUS GENOMICISTS AND 225 00:08:24,379 --> 00:08:25,413 THAT'S IMPORTANT WHEN WE THINK 226 00:08:25,413 --> 00:08:26,914 ABOUT POLICY AND IMPACT FOR 227 00:08:26,914 --> 00:08:29,851 GENOMICS RESEARCH FOR HUMANS AND 228 00:08:29,851 --> 00:08:30,451 NON-HUMANS. 229 00:08:30,451 --> 00:08:32,720 MY AREAS OF RESEARCH RELATE TO 230 00:08:32,720 --> 00:08:33,521 EPIDEMIOLOGY, SPECIFICALLY 231 00:08:33,521 --> 00:08:37,425 LOOKING AT VARIATIONS -- GENE 232 00:08:37,425 --> 00:08:39,060 VARIATION CONTRIBUTING TO HEALTH 233 00:08:39,060 --> 00:08:39,827 DISPARITIES, BUT ALSO THINKING 234 00:08:39,827 --> 00:08:41,696 ABOUT COMMUNITY ENGAGEMENT TO 235 00:08:41,696 --> 00:08:43,030 BUILD TRUST AND ALSO DATA TRUST 236 00:08:43,030 --> 00:08:45,833 IN TERMS OF INFRASTRUCTURE, AND 237 00:08:45,833 --> 00:08:47,402 ALSO THINKING ABOUT BUILDING 238 00:08:47,402 --> 00:08:49,370 RESEARCH CAPACITY AND TRAINING 239 00:08:49,370 --> 00:08:50,638 WITH MACHINE LEARNING 240 00:08:50,638 --> 00:08:55,676 TECHNOLOGIES AND ALSO DATA -- 241 00:08:55,676 --> 00:08:57,345 INDIGENOUS LAB BIOREPOSITORIES 242 00:08:57,345 --> 00:08:59,347 TO REALLY THINK ABOUT BUILDING 243 00:08:59,347 --> 00:09:02,450 DATA CENTERED BIOECONOMIES THAT 244 00:09:02,450 --> 00:09:04,118 ARE INDIGENOUS OWNED AND 245 00:09:04,118 --> 00:09:04,752 ORIENTED. 246 00:09:04,752 --> 00:09:05,953 I WANTED TO REMIND THAT EVEN 247 00:09:05,953 --> 00:09:09,223 WITH THE RECENTLY EXPANDED PANEL 248 00:09:09,223 --> 00:09:11,526 OF 74 MEDICALLY ACTUAL GENES BY 249 00:09:11,526 --> 00:09:14,395 ACMG, ONLY A FEW, A HANDFUL 250 00:09:14,395 --> 00:09:15,463 ACTUALLY HAVE INFORMATION 251 00:09:15,463 --> 00:09:17,098 SPECIFIC TO INDIGENOUS PEOPLE SO 252 00:09:17,098 --> 00:09:18,766 OF COURSE A QUESTION IS, HOW 253 00:09:18,766 --> 00:09:19,734 DOES THIS AFFECT CLINICAL 254 00:09:19,734 --> 00:09:21,803 UTILITY AND EQUITY? 255 00:09:21,803 --> 00:09:23,771 AND DESPITE OVER NOW 20 YEARS OF 256 00:09:23,771 --> 00:09:26,307 EFFORTS TO TRY TO INCREASE THE 257 00:09:26,307 --> 00:09:27,408 NUMBERS OF INDIGENOUS 258 00:09:27,408 --> 00:09:29,143 PARTICIPANTS IN RESEARCH 259 00:09:29,143 --> 00:09:31,212 STUDIES, INDIGENOUS PEOPLE STILL 260 00:09:31,212 --> 00:09:33,848 CONSTITUTE LESS THAN 1% OF 261 00:09:33,848 --> 00:09:35,149 RESEARCH PARTICIPANTS IN 262 00:09:35,149 --> 00:09:37,251 GENOMICS RESEARCH. 263 00:09:37,251 --> 00:09:38,986 I WANT TO REMIND YOU THIS IS NOT 264 00:09:38,986 --> 00:09:40,755 LIKE AN AIM TO GET MORE 265 00:09:40,755 --> 00:09:42,590 INDIGENOUS PEOPLES INVOLVED IN 266 00:09:42,590 --> 00:09:44,692 GENETICS RESEARCH, BECAUSE THAT 267 00:09:44,692 --> 00:09:48,729 ALONE IS A VERY COERCIVE AND 268 00:09:48,729 --> 00:09:49,330 UNIDIRECTIONAL RESEARCH AIM. 269 00:09:49,330 --> 00:09:51,232 IT'S NOT A MATTER OF SELLING 270 00:09:51,232 --> 00:09:52,767 ENGAGEMENT OR RECRUITMENT AS A 271 00:09:52,767 --> 00:09:54,969 MEANS OF JUST IMPROVING NUMBERS 272 00:09:54,969 --> 00:09:57,138 OF INDIGENOUS PEOPLES IN 273 00:09:57,138 --> 00:09:57,572 GENOMICS RESEARCH. 274 00:09:57,572 --> 00:10:01,309 WE ALSO HAVE TO THINK ABOUT 275 00:10:01,309 --> 00:10:02,610 OVERCOMING MISTRUST, 276 00:10:02,610 --> 00:10:04,278 PRIORITIZING BENEFIT SHARING AND 277 00:10:04,278 --> 00:10:06,247 ALSO EMPOWERING DATA 278 00:10:06,247 --> 00:10:06,881 DECISION-MAKING EQUITY. 279 00:10:06,881 --> 00:10:08,316 I ALSO WANT TO REMIND ABOUT 280 00:10:08,316 --> 00:10:10,151 SELLING THE NEXT INNOVATIONS IN 281 00:10:10,151 --> 00:10:11,486 PRECISION MEDICINE AS A BENEFIT 282 00:10:11,486 --> 00:10:12,887 DOES NOT WORK FOR INDIGENOUS 283 00:10:12,887 --> 00:10:14,422 COMMUNITIES WHO DO NOT HAVE 284 00:10:14,422 --> 00:10:16,057 EQUITABLE ACCESS TO PREVENTIVE 285 00:10:16,057 --> 00:10:16,290 HEALTH. 286 00:10:16,290 --> 00:10:18,960 WE HAVE A LOT OF STRUCTURAL 287 00:10:18,960 --> 00:10:20,661 INEQUITIES RELATED TO FEDERALLY 288 00:10:20,661 --> 00:10:21,529 SPONSORED HEALTHCARE FOR 289 00:10:21,529 --> 00:10:22,964 INDIGENOUS PEOPLES. 290 00:10:22,964 --> 00:10:25,600 WE HAVE TIME AND TIME AGAIN A 291 00:10:25,600 --> 00:10:31,105 FAILURE AND JUST ALSO GROSS 292 00:10:31,105 --> 00:10:32,907 INADEQUATE FUNDING FOR OUR 293 00:10:32,907 --> 00:10:34,442 TRIBAL HEALTHCARE FACILITIES. 294 00:10:34,442 --> 00:10:37,712 THIS WAS EVEN PERSISTENT BEFORE 295 00:10:37,712 --> 00:10:39,480 THE PANDEMIC AND HAS PROBABLY 296 00:10:39,480 --> 00:10:41,115 EVEN BEEN EXACERBATED SINCE THE 297 00:10:41,115 --> 00:10:43,951 PANDEMIC. 298 00:10:43,951 --> 00:10:46,687 SO IN ARE REASONS WHY INDIGENOUS 299 00:10:46,687 --> 00:10:48,222 PEOPLES DO NOT PARTICIPATE IN 300 00:10:48,222 --> 00:10:49,323 GENOMICS RESEARCH AND THESE ARE 301 00:10:49,323 --> 00:10:50,758 STRUCTURAL AND EMBEDDED RELATED 302 00:10:50,758 --> 00:10:53,694 AND ROOTED IN CONFLICT ISSUES 303 00:10:53,694 --> 00:10:55,129 RELATED TO CULTURAL AND 304 00:10:55,129 --> 00:10:56,797 POLITICAL FACTORS RELATED TO 305 00:10:56,797 --> 00:11:00,601 HEALTH, BUT ALSO THERE ARE 306 00:11:00,601 --> 00:11:02,169 EXISTENT POWER IMBALANCES, SOME 307 00:11:02,169 --> 00:11:05,406 RELATED TO RESEARCH HARMS AND 308 00:11:05,406 --> 00:11:06,374 MISCONDUCTS, AND THOSE ALSO HAVE 309 00:11:06,374 --> 00:11:08,910 TO BE SHIFTED, A POWER SHIFT HAS 310 00:11:08,910 --> 00:11:10,978 TO OCCUR BEFORE WE JUST TELL 311 00:11:10,978 --> 00:11:11,679 INDIGENOUS PEOPLES THAT THEY'RE 312 00:11:11,679 --> 00:11:12,880 GOING TO MISS OUT ON THE 313 00:11:12,880 --> 00:11:14,148 BENEFITS OF PRECISION HEALTH IF 314 00:11:14,148 --> 00:11:15,349 THEY DO NOT ENGAGE. 315 00:11:15,349 --> 00:11:16,684 BECAUSE THAT ALONE, THAT 316 00:11:16,684 --> 00:11:18,085 MESSAGING ALONE COULD BE 317 00:11:18,085 --> 00:11:21,055 COERCIVE AND ACTUALLY A FORM OF 318 00:11:21,055 --> 00:11:21,923 VICTIM-BLAMING IF WE'RE NOT 319 00:11:21,923 --> 00:11:22,156 CAREFUL. 320 00:11:22,156 --> 00:11:23,558 I ALSO WANT TO BRING THIS QUOTE, 321 00:11:23,558 --> 00:11:27,261 IT'S ACTUALLY FROM A REAL 322 00:11:27,261 --> 00:11:30,865 ESTEEMED COLLEAGUE OF MINE, A 323 00:11:30,865 --> 00:11:33,734 MENTOR, DINE, WHO STATED FAIRLY 324 00:11:33,734 --> 00:11:35,136 RECENTLY THAT GENETICS MEDICINE 325 00:11:35,136 --> 00:11:36,671 WILL NEVER BE A BENEFIT OF TO 326 00:11:36,671 --> 00:11:37,572 INDIGENOUS PEOPLE. 327 00:11:37,572 --> 00:11:39,740 THIS IS FROM THE FRAMING OF 328 00:11:39,740 --> 00:11:44,111 ACTUALLY BEING A RURAL MEDICAL 329 00:11:44,111 --> 00:11:47,381 PRACTITIONER IN THE AMERICAN 330 00:11:47,381 --> 00:11:48,115 SOUTHWEST. 331 00:11:48,115 --> 00:11:50,351 SO SHE'S SEEN THAT IN PEOPLE 332 00:11:50,351 --> 00:11:53,621 LIVING IN INDIAN COUNTRY, OUR 333 00:11:53,621 --> 00:11:55,056 HEALTHCARE CLINICS ARE 334 00:11:55,056 --> 00:11:56,457 CHRONICALLY UNDERFUNDED, WE HAVE 335 00:11:56,457 --> 00:11:58,893 OUTDATED EQUIPMENT, WE HAVE 336 00:11:58,893 --> 00:12:01,162 LIMITED ACCESS TO PREVENTIVE 337 00:12:01,162 --> 00:12:02,196 HEALTHCARE. 338 00:12:02,196 --> 00:12:03,030 NONETHELESS, ACCESS TO MORE 339 00:12:03,030 --> 00:12:05,566 ADVANCED FORMS OF PRECISION 340 00:12:05,566 --> 00:12:06,867 MEDICINE AND HEALTHCARE AND ALL 341 00:12:06,867 --> 00:12:08,936 THESE OTHER STRUCTURAL BARRIERS 342 00:12:08,936 --> 00:12:10,371 RELATED TO HEALTH. 343 00:12:10,371 --> 00:12:13,441 AND THIS IS AGAIN EXACERBATED 344 00:12:13,441 --> 00:12:17,578 DURING COVID, WHERE IT WAS LIKE 345 00:12:17,578 --> 00:12:18,913 THE SURGE OF RESEARCHERS WHO 346 00:12:18,913 --> 00:12:24,051 WANTED TO RESEARCH COVID WAS 347 00:12:24,051 --> 00:12:25,286 MORE -- HAD HIGHER INCIDENCE 348 00:12:25,286 --> 00:12:29,190 RATES IN OUR COMMUNITIES, EVEN 349 00:12:29,190 --> 00:12:30,391 THOUGH THOSE DISPARITIES WERE 350 00:12:30,391 --> 00:12:32,126 NOT DUE TO INHERENT BIOLOGICAL 351 00:12:32,126 --> 00:12:33,127 DIFFERENCES BUT DUE TO THE 352 00:12:33,127 --> 00:12:33,894 STRUCTURAL BARRIERS. 353 00:12:33,894 --> 00:12:38,165 AND DURING THE PANDEMIC, A LOT 354 00:12:38,165 --> 00:12:39,600 OF TRIBAL RESEARCH REVIEW BOARDS 355 00:12:39,600 --> 00:12:42,637 WERE CONSIDERED NON-ESSENTIAL 356 00:12:42,637 --> 00:12:44,605 COMPARED TO THE HEALTH OF TRIBAL 357 00:12:44,605 --> 00:12:46,907 MEMBERS, AND SO MANY OF THE 358 00:12:46,907 --> 00:12:51,946 RESEARCH OVERVIEW PROCESSES AND 359 00:12:51,946 --> 00:12:55,316 IN-DEPTH LOOK TO INPROVE 360 00:12:55,316 --> 00:12:56,417 PROTOCOLED RELATED TO RESEARCH 361 00:12:56,417 --> 00:12:58,152 WERE EITHER HALTED OR FAST 362 00:12:58,152 --> 00:12:58,586 TRACKED. 363 00:12:58,586 --> 00:12:59,587 THIS ALSO HIGHLIGHTS THE 364 00:12:59,587 --> 00:13:02,556 IMPORTANCE OF HAVING INDIGENOUS 365 00:13:02,556 --> 00:13:03,190 LED STRUCTURES. 366 00:13:03,190 --> 00:13:05,393 WHAT HAPPENED IS DURING THE 367 00:13:05,393 --> 00:13:11,065 PANDEMIC, INDIGENOUS NATIONS 368 00:13:11,065 --> 00:13:12,600 TRADED THE SHORT TERM NEED FOR 369 00:13:12,600 --> 00:13:14,368 COVID TESTING SURVEILLANCE AND 370 00:13:14,368 --> 00:13:16,437 VACCINATION WITH THE LONG TERM 371 00:13:16,437 --> 00:13:17,571 UNRESTRICTED ACCESS TO 372 00:13:17,571 --> 00:13:18,839 INDIGENOUS PEOPLES, GENOMES AND 373 00:13:18,839 --> 00:13:19,840 DATA. 374 00:13:19,840 --> 00:13:21,175 ABSENT LOCAL TESTING CENTERS, 375 00:13:21,175 --> 00:13:23,544 TRIBAL NATIONS WERE RELIANT ON 376 00:13:23,544 --> 00:13:25,112 NON-TRAVEL RESOURCES THAT ALSO 377 00:13:25,112 --> 00:13:27,181 LED TO UNPRECEDENTED COLLECTION 378 00:13:27,181 --> 00:13:30,451 OF TRIBAL HEALTH DATA OUTSIDE 379 00:13:30,451 --> 00:13:31,085 TRIBAL OVERSIGHT. 380 00:13:31,085 --> 00:13:32,820 IT ALSO LED TO ESPECIALLY AT THE 381 00:13:32,820 --> 00:13:35,322 START OF LIKE -- OR IN 382 00:13:35,322 --> 00:13:37,758 CONSIDERING BRINGING OUT A 383 00:13:37,758 --> 00:13:40,695 ROLLOUT OF A VACCINE, THE U.S. 384 00:13:40,695 --> 00:13:43,664 GOVERNMENT INVESTED THIS ALL-IN 385 00:13:43,664 --> 00:13:45,232 COMMERCIAL INVESTMENT OF 386 00:13:45,232 --> 00:13:47,068 OPERATION WARP SPEED THAT 387 00:13:47,068 --> 00:13:49,770 BROUGHT CONCERNS THAT VACCINE 388 00:13:49,770 --> 00:13:51,005 COMPANIES WERE RUSHING TRIBAL 389 00:13:51,005 --> 00:13:52,640 APPROVAL PROCEDURES OR EVEN 390 00:13:52,640 --> 00:13:53,941 RECRUITING TRIBAL CITIZENS 391 00:13:53,941 --> 00:13:56,777 RESIDING OUTSIDE OF THEIR TRIBAL 392 00:13:56,777 --> 00:13:59,413 JURISDICTIONS, SO JUST TRYING TO 393 00:13:59,413 --> 00:14:00,281 PERHAPS SURPASS COMMUNITY 394 00:14:00,281 --> 00:14:04,452 ENGAGEMENT PROCESSES OR END UP 395 00:14:04,452 --> 00:14:06,387 REVIEW BY TRIBES JUST TO GET 396 00:14:06,387 --> 00:14:07,288 VACCINES TO COMMUNITIES. 397 00:14:07,288 --> 00:14:09,156 AND ALSO WHAT ENDED UP HAPPENING 398 00:14:09,156 --> 00:14:15,830 IS, DURING THIS ERA, SOME PEOPLE 399 00:14:15,830 --> 00:14:17,198 WHO HAD PARTNERED WITH SOME OF 400 00:14:17,198 --> 00:14:20,334 THE VACCINE COMPANIES STATED 401 00:14:20,334 --> 00:14:24,038 THAT THEY WERE ABIDING BY TRIBAL 402 00:14:24,038 --> 00:14:26,107 DATA SOVEREIGNTY AND RESPECTED 403 00:14:26,107 --> 00:14:27,408 TRIBAL DATA SOVEREIGNTY BY 404 00:14:27,408 --> 00:14:30,678 PUTTING A MOBILE VAN TO RECRUIT 405 00:14:30,678 --> 00:14:31,479 RESEARCH PARTICIPANTS OUTSIDE OF 406 00:14:31,479 --> 00:14:34,181 THE BORDERS OF TRIBAL NATIONS. 407 00:14:34,181 --> 00:14:36,050 SO THIS IS NOT REALLY RESPECT, 408 00:14:36,050 --> 00:14:38,686 IT'S ACTUALLY DISRESPECTFUL, BUT 409 00:14:38,686 --> 00:14:41,088 IT'S INTERESTING, LIKE THIS 410 00:14:41,088 --> 00:14:46,460 DYNAMIC OF REALLY JUST 411 00:14:46,460 --> 00:14:48,095 EXACERBATING OR FALLING INTO A 412 00:14:48,095 --> 00:14:49,730 LOOPHOLE OF REGULATION. 413 00:14:49,730 --> 00:14:51,031 AND IN TERMS OF LIKE THE 414 00:14:51,031 --> 00:14:53,667 CLINICAL SPACE, MANY INDIGENOUS 415 00:14:53,667 --> 00:14:54,702 PEOPLES DON'T -- YOU KNOW, THEY 416 00:14:54,702 --> 00:14:56,403 HAVE A CATCH 22. 417 00:14:56,403 --> 00:14:58,606 THEY MAY DECIDE NOT TO 418 00:14:58,606 --> 00:14:59,940 CONTRIBUTE DATA DNA FOR CLINICAL 419 00:14:59,940 --> 00:15:00,808 TESTING BECAUSE THEY CAN'T 420 00:15:00,808 --> 00:15:02,109 AFFORD IT OR THEY'RE CONCERNED 421 00:15:02,109 --> 00:15:04,411 ABOUT DATA USAGE, OR IF THEY DO 422 00:15:04,411 --> 00:15:06,380 AGREE TO CONTRIBUTE THEIR DNA 423 00:15:06,380 --> 00:15:10,451 FOR TESTING, THEY ALSO BROADLY 424 00:15:10,451 --> 00:15:11,619 IMPLICITLY BROADLY CONSENT TO 425 00:15:11,619 --> 00:15:13,788 ANY SECONDARY DATA USAGE AND 426 00:15:13,788 --> 00:15:15,022 OWNERSHIP BY TESTING COMPANIES, 427 00:15:15,022 --> 00:15:16,991 AND YET STILL DERIVE LITTLE TO 428 00:15:16,991 --> 00:15:19,493 NO CLINICAL UTILITY. 429 00:15:19,493 --> 00:15:20,895 THIS ALSO MEANS THAT COMMERCIAL 430 00:15:20,895 --> 00:15:23,998 GENETIC COMPANIES CAN CO-AUTHOR 431 00:15:23,998 --> 00:15:25,633 OR CLAIM OWNERSHIP OF PEOPLE'S 432 00:15:25,633 --> 00:15:26,066 GENETIC DATA. 433 00:15:26,066 --> 00:15:28,102 WHAT HAPPENS WHEN THIS IS 434 00:15:28,102 --> 00:15:29,370 DEPOSITED INTO PUBLIC DATABASES 435 00:15:29,370 --> 00:15:31,639 LIKE CLINVAR, WHERE THERE'S NO 436 00:15:31,639 --> 00:15:32,339 OPT-OUT PROCESSES. 437 00:15:32,339 --> 00:15:34,275 THERE'S ALSO A CONCERN ABOUT 438 00:15:34,275 --> 00:15:36,243 URBAN TERTIARY CARE CENTERS, 439 00:15:36,243 --> 00:15:37,545 ESPECIALLY CANCER CARE CENTERS, 440 00:15:37,545 --> 00:15:40,080 THAT ALSO BIOBANK SAMPLES AND 441 00:15:40,080 --> 00:15:41,482 DATA WITHOUT EXPLICIT TRIBAL 442 00:15:41,482 --> 00:15:43,250 NATION APPROVAL, WHICH ALSO 443 00:15:43,250 --> 00:15:44,685 RAISES CONCERNS ABOUT THE 444 00:15:44,685 --> 00:15:46,754 CONFLATION OF RESEARCH CONSENT 445 00:15:46,754 --> 00:15:48,489 VERSUS CONSENT TO CARE FOR 446 00:15:48,489 --> 00:15:49,824 MINORITIZED COMMUNITIES. 447 00:15:49,824 --> 00:15:54,295 AND ALSO WE'VE HAD MANY DRUG 448 00:15:54,295 --> 00:15:56,797 COMPANIES TELL US THAT IT'S NOT 449 00:15:56,797 --> 00:15:57,998 PROFIT-GENERATIVE TO USE 450 00:15:57,998 --> 00:15:59,533 INDIGENOUS PEOPLE'S DNA TO 451 00:15:59,533 --> 00:16:01,068 SPECIFICALLY CREATE THERAPEUTICS 452 00:16:01,068 --> 00:16:01,936 THAT IMPACT INDIGENOUS PEOPLE 453 00:16:01,936 --> 00:16:03,804 BECAUSE WE ARE TOO SMALL OF A 454 00:16:03,804 --> 00:16:08,309 PROFIT SHARE FOR THE MARKET TO 455 00:16:08,309 --> 00:16:09,710 SUPPORT THOSE TYPES OF 456 00:16:09,710 --> 00:16:10,711 INNOVATIONS. 457 00:16:10,711 --> 00:16:12,112 SO RECRUITING MORE PEOPLE INTO 458 00:16:12,112 --> 00:16:13,113 DATASETS IS NOT GOING TO SOLVE 459 00:16:13,113 --> 00:16:14,982 THIS PROBLEM, NEITHER IS 460 00:16:14,982 --> 00:16:16,951 DROPPING GENETIC TESTS IN OUR 461 00:16:16,951 --> 00:16:19,653 COMMUNITIES. 462 00:16:19,653 --> 00:16:22,423 SO WHERE DOES THE DATA COME 463 00:16:22,423 --> 00:16:24,391 FROM, FROM EXCLUSIVELY 464 00:16:24,391 --> 00:16:25,259 INDIGENOUS POPULATIONS? 465 00:16:25,259 --> 00:16:26,994 IT ACTUALLY COMES FROM 466 00:16:26,994 --> 00:16:28,095 INDIGENOUS GROUPS OUTSIDE THE 467 00:16:28,095 --> 00:16:28,429 U.S. 468 00:16:28,429 --> 00:16:30,397 THIS IS FROM THE HUMAN GENOME 469 00:16:30,397 --> 00:16:30,798 DIVERSITY PROJECT. 470 00:16:30,798 --> 00:16:32,032 IF YOU NOTICE IN THE SORT OF 471 00:16:32,032 --> 00:16:33,901 PINKISH COLOR, MOST OF THESE 472 00:16:33,901 --> 00:16:37,071 GROUPS ARE IN MEXICO AND FURTHER 473 00:16:37,071 --> 00:16:38,372 SOUTH, POTENTIALLY IN COUNTRIES 474 00:16:38,372 --> 00:16:39,807 THAT DON'T HAVE EQUAL 475 00:16:39,807 --> 00:16:42,209 ACKNOWLEDGMENT OF INDIGENOUS 476 00:16:42,209 --> 00:16:44,511 PEOPLES' RIGHTS WHICH MEANS THAT 477 00:16:44,511 --> 00:16:46,580 THEY WOULD POSSIBLY BE EXPLOITED 478 00:16:46,580 --> 00:16:48,649 OR DATA EXTRACTED WITHOUT 479 00:16:48,649 --> 00:16:48,983 PERMISSION. 480 00:16:48,983 --> 00:16:51,051 THESE ARE THE SAME DATASETS THAT 481 00:16:51,051 --> 00:16:55,122 ARE USED BY GENETIC COMPANIES TO 482 00:16:55,122 --> 00:16:59,493 CREATE TESTS THAT ARE MARKETED, 483 00:16:59,493 --> 00:17:02,763 BUT SOME OF THESE ONLY HAVE AS 484 00:17:02,763 --> 00:17:04,632 FEW AS 30 INDIVIDUALS WHERE 485 00:17:04,632 --> 00:17:05,599 OTHER REFERENCE POPULATIONS HAVE 486 00:17:05,599 --> 00:17:07,568 MORE THAN 10,000, AND YES 487 00:17:07,568 --> 00:17:08,669 BECAUSE THESE ARE THE ONLY ONES 488 00:17:08,669 --> 00:17:12,273 THAT ARE PUBLICLY AVAILABLE, 489 00:17:12,273 --> 00:17:14,341 IT'S USED FOR GENETIC ANCESTRY 490 00:17:14,341 --> 00:17:15,776 FOR ALL U.S. INDIGENOUS PEOPLES. 491 00:17:15,776 --> 00:17:17,411 SO IF WE THINK ABOUT LIKE A 492 00:17:17,411 --> 00:17:19,680 STANDARD PCA PLOT, PRINCIPAL 493 00:17:19,680 --> 00:17:20,581 COMPONENTS ANALYSES, MOST OF 494 00:17:20,581 --> 00:17:22,216 THESE WORKFLOWS ARE 495 00:17:22,216 --> 00:17:24,418 INAPPROPRIATE FOR INDIGENOUS 496 00:17:24,418 --> 00:17:26,353 PEOPLES, BECAUSE IT DEFAULTS TO 497 00:17:26,353 --> 00:17:28,489 THIS PAN INDIGENOUS NOTION OF 498 00:17:28,489 --> 00:17:31,959 WHO IS NOT OR IS INDIGENOUS BY 499 00:17:31,959 --> 00:17:34,161 BLOOD AND POSSIBLY CATEGORIZING 500 00:17:34,161 --> 00:17:36,897 INDIGENOUS PEOPLES AS BEING 501 00:17:36,897 --> 00:17:37,731 GENETICALLY HOMOGENEOUS 502 00:17:37,731 --> 00:17:38,198 IDENTITY. 503 00:17:38,198 --> 00:17:40,267 THESE TYPES OF SAMPLING 504 00:17:40,267 --> 00:17:41,535 APPROACHES ARE NOT APPROPRIATE 505 00:17:41,535 --> 00:17:45,105 FOR SMALL INDIGENOUS GROUPS 506 00:17:45,105 --> 00:17:46,507 BECAUSE YOU HAVE THESE 507 00:17:46,507 --> 00:17:56,884 ASSUMPTIONS RELATED TO 508 00:17:58,185 --> 00:18:00,621 HARDY-WEINBERG EQUILIBRIUM. 509 00:18:00,621 --> 00:18:02,156 IF WE'RE TRYING TO REMOVE 510 00:18:02,156 --> 00:18:03,891 OURSELVES AWAY FROM THIS EUGENIC 511 00:18:03,891 --> 00:18:05,326 PAST, THIS IS NOT THE WAY TO DO 512 00:18:05,326 --> 00:18:09,330 IT, BUT IT ALSO IGNORES LIVED 513 00:18:09,330 --> 00:18:10,130 EXPERIENCES RELATED TO 514 00:18:10,130 --> 00:18:10,998 STRUCTURAL DETERMINANTS OF 515 00:18:10,998 --> 00:18:12,099 HEALTH AND ALSO RELATES TO THE 516 00:18:12,099 --> 00:18:14,134 POOR MODELING OF PHENOTYPES THAT 517 00:18:14,134 --> 00:18:16,704 ARE POORLY REFLECTED IN EHR 518 00:18:16,704 --> 00:18:17,338 RECORDS. 519 00:18:17,338 --> 00:18:18,772 THERE HAVE BEEN MANY EFFORTS TO 520 00:18:18,772 --> 00:18:21,275 CREATE INDIGENOUS-SPECIFIC 521 00:18:21,275 --> 00:18:22,710 REFERENCE GENOMES. 522 00:18:22,710 --> 00:18:27,414 THESE ARE SOME OF THEM, BUT 523 00:18:27,414 --> 00:18:28,849 THEY'RE ALL ALSO WEIRDLY FALLING 524 00:18:28,849 --> 00:18:30,918 INTO THESE TRAPS OF CREATING A 525 00:18:30,918 --> 00:18:34,521 GENOMIC NARRATIVE OF ALL 526 00:18:34,521 --> 00:18:35,189 INDIGENOUS PEOPLES BEING SIMILAR 527 00:18:35,189 --> 00:18:36,724 AS PART OF THIS GENTLEMAN 528 00:18:36,724 --> 00:18:39,226 NETICALLY HOMOGENEOUS HOLE, AND 529 00:18:39,226 --> 00:18:41,528 SOME OF THEM ARE ALSO INCREDIBLY 530 00:18:41,528 --> 00:18:43,397 COLONIAL HOW THEY NAMED 531 00:18:43,397 --> 00:18:44,698 INDIGENOUS GROUPS BY THEIR 532 00:18:44,698 --> 00:18:46,133 COLONIAL NAME AND NOT PROPERLY 533 00:18:46,133 --> 00:18:47,234 ATTRIBUTING TO THEIR CULTURAL 534 00:18:47,234 --> 00:18:49,303 NAME. 535 00:18:49,303 --> 00:18:51,038 ALEX BROWN IS GOING TO SPEAK 536 00:18:51,038 --> 00:18:52,573 MORE ABOUT EXACTLY WHAT A 537 00:18:52,573 --> 00:18:54,541 REFERENCE GENOME IS, AND IT'S 538 00:18:54,541 --> 00:18:56,944 IMPORTANT TO UTILITY, BUT THERE 539 00:18:56,944 --> 00:18:58,612 ARE EMERGING PROJECTS ABOUT 540 00:18:58,612 --> 00:19:00,781 CREATING A HUMAN PAN GENOME 541 00:19:00,781 --> 00:19:03,517 REFERENCE CONSORTIUM, AND THE 542 00:19:03,517 --> 00:19:05,386 CHALLENGE HERE IS TO ENSURE THAT 543 00:19:05,386 --> 00:19:06,787 THIS PROJECT JUST DOESN'T 544 00:19:06,787 --> 00:19:08,322 REPLICATE THE SAME PROBLEMS OF 545 00:19:08,322 --> 00:19:11,058 THE PAST AND TRYING TO AVOID 546 00:19:11,058 --> 00:19:15,429 EXPLOITATION. 547 00:19:15,429 --> 00:19:19,366 DR. KEOLU FOX IS ANOTHER GENOMIC 548 00:19:19,366 --> 00:19:20,701 SCIENTIST THAT SAYS WE CREATE AS 549 00:19:20,701 --> 00:19:23,404 MANY LABELS AS WE WANT BUT AT 550 00:19:23,404 --> 00:19:24,638 THE END OF THE DAY, WHO IS DOING 551 00:19:24,638 --> 00:19:27,808 THE LABELING? 552 00:19:27,808 --> 00:19:28,675 RESEARCHERS SHOULD DEFER TO 553 00:19:28,675 --> 00:19:29,977 COMMUNITIES INVOLVING THEM AND 554 00:19:29,977 --> 00:19:31,078 CONDUCTING SCIENCE THAT WOULD 555 00:19:31,078 --> 00:19:31,945 TRULY ADDRESS DISPARITY. 556 00:19:31,945 --> 00:19:33,614 SO THERE'S A HUGE QUESTION ABOUT 557 00:19:33,614 --> 00:19:35,015 POPULATION DESCRIPTORS AND ALSO 558 00:19:35,015 --> 00:19:35,883 WHETHER OR NOT WE SHOULD EVEN 559 00:19:35,883 --> 00:19:37,651 USE THEM IN RESEARCH, BUT SIMPLY 560 00:19:37,651 --> 00:19:38,752 REMOVING LABELS DOES NOT REMOVE 561 00:19:38,752 --> 00:19:41,555 THE ABILITY TO REIDENTIFY OR 562 00:19:41,555 --> 00:19:42,556 STIGMATIZE DATA FROM INDIGENOUS 563 00:19:42,556 --> 00:19:42,790 PEOPLES. 564 00:19:42,790 --> 00:19:44,525 YOU CAN REALLY DO CLUSTER 565 00:19:44,525 --> 00:19:45,959 ANALYSES SO THAT CAN ALSO 566 00:19:45,959 --> 00:19:50,330 CONTRIBUTE TO SOME OF THESE 567 00:19:50,330 --> 00:19:51,498 PROBLEMATIC GENOMIC STATEMENTS 568 00:19:51,498 --> 00:19:53,667 THAT WE'RE TRYING TO MOVE AWAY 569 00:19:53,667 --> 00:19:53,867 FROM. 570 00:19:53,867 --> 00:19:56,670 THIS GETS ME TO A DEFINITION FOR 571 00:19:56,670 --> 00:19:57,638 INDIGENOUS GENOMIC DATA 572 00:19:57,638 --> 00:19:59,073 SOVEREIGNTY WHICH IS THE RIGHT 573 00:19:59,073 --> 00:20:00,507 OF INL DIJ NUSS NATIONS AND 574 00:20:00,507 --> 00:20:02,409 PEOPLE TO EXERCISE AUTONOMY 575 00:20:02,409 --> 00:20:07,181 RELATE THE TO THEIR I DYNAMIC D. 576 00:20:07,181 --> 00:20:08,282 WE STARTED WITH THE SAME PREMISE 577 00:20:08,282 --> 00:20:09,483 OF RETURNING DATA BACK TO 578 00:20:09,483 --> 00:20:10,551 COMMUNITIES AND LETTING THEM 579 00:20:10,551 --> 00:20:11,652 DETERMINE WHAT SHOULD OR SHOULD 580 00:20:11,652 --> 00:20:14,054 NOT BE DONE WITH THEIR DATA, AND 581 00:20:14,054 --> 00:20:17,891 THIS INVOLVES A LOT OF COMMUNITY 582 00:20:17,891 --> 00:20:19,226 DIRECTED GOVERNANCE AND THIS 583 00:20:19,226 --> 00:20:21,495 ALSO INVOLVES QUITE A BIT OF 584 00:20:21,495 --> 00:20:22,963 POLICY AND LEGAL INFRASTRUCTURES 585 00:20:22,963 --> 00:20:25,432 THAT NEEDED TO BE CREATED AT THE 586 00:20:25,432 --> 00:20:26,533 TRIBAL RESOLUTION LEVEL IN ORDER 587 00:20:26,533 --> 00:20:28,869 TO BE ABLE TO BE PROTECTIVE OF 588 00:20:28,869 --> 00:20:30,804 THE TYPE OF RESEARCH THAT MAY BE 589 00:20:30,804 --> 00:20:31,872 INVOLVING INDIGENOUS PEOPLES. 590 00:20:31,872 --> 00:20:33,740 SO IT'S NOT JUST A MATTER OF 591 00:20:33,740 --> 00:20:34,408 COLLECTING DATA. 592 00:20:34,408 --> 00:20:38,445 IT'S ALSO A MATTER OF CREATING 593 00:20:38,445 --> 00:20:39,880 THESE POLICY AND LEGAL 594 00:20:39,880 --> 00:20:41,081 INFRASTRUCTURES TO EVEN BE ABLE 595 00:20:41,081 --> 00:20:42,549 TO CONSIDER THE TYPES OF 596 00:20:42,549 --> 00:20:44,485 RESEARCH QUESTIONS THAT MIGHT 597 00:20:44,485 --> 00:20:45,252 ORIGINATE FROM COMMUNITY 598 00:20:45,252 --> 00:20:45,886 MEMBERS. 599 00:20:45,886 --> 00:20:49,923 THIS ALSO MEANS BUILDING DATA 600 00:20:49,923 --> 00:20:51,792 INFRASTRUCTURES THAT ADVANCE ON 601 00:20:51,792 --> 00:20:55,629 THESE -- LIKE WHO GETS ACCESS TO 602 00:20:55,629 --> 00:20:59,566 DATA, ADVANCES HOW WE REGULATE 603 00:20:59,566 --> 00:21:02,503 AND CONDUCT CONSENT AS ROOTED IN 604 00:21:02,503 --> 00:21:06,907 MACHINE LEARNING PROCESSES. 605 00:21:06,907 --> 00:21:10,511 MY OWN LAB, WE ARE DOING OUR OWN 606 00:21:10,511 --> 00:21:13,347 URBAN INDIGENOUS COHORT WITH 607 00:21:13,347 --> 00:21:15,315 STARTING FIRST FROM DEMOCRATIC 608 00:21:15,315 --> 00:21:16,717 DELIBERATIONS OR COMMUNITY 609 00:21:16,717 --> 00:21:18,919 ENGAGED APPROACH TO REALLY 610 00:21:18,919 --> 00:21:19,686 SPECIFICALLY LOOK AT WHAT ARE 611 00:21:19,686 --> 00:21:20,787 THE FACTORS THAT WERE MISSING 612 00:21:20,787 --> 00:21:23,790 WHEN WE ONLY FOCUS ON GENOMICS 613 00:21:23,790 --> 00:21:25,259 DATA OR ELECTRONIC HEALTH RECORD 614 00:21:25,259 --> 00:21:28,228 DATA, AND IT INVOLVES THE 615 00:21:28,228 --> 00:21:31,064 CREATION OF CULTURALLY VALIDATED 616 00:21:31,064 --> 00:21:31,932 SURVEYS TO GET AT THOSE THINGS 617 00:21:31,932 --> 00:21:33,033 THAT ARE MISSING WHEN WE ONLY 618 00:21:33,033 --> 00:21:34,668 FOCUS ON THOSE TWO DATA TYPES. 619 00:21:34,668 --> 00:21:37,404 WHEN WE'RE TALKING ABOUT 620 00:21:37,404 --> 00:21:38,839 BUILDING INDIGENOUS DATA 621 00:21:38,839 --> 00:21:42,676 SOVEREIGNTY, WE'RE TALKING ABOUT 622 00:21:42,676 --> 00:21:44,745 POLICY LONG GOVERNANCE BUT ALSO 623 00:21:44,745 --> 00:21:46,580 NEED TO THINK ABOUT DIGITAL 624 00:21:46,580 --> 00:21:48,015 SOVEREIGNTIES AND ACTUALLY 625 00:21:48,015 --> 00:21:49,349 BUILDING DATA INFRASTRUCTURE, 626 00:21:49,349 --> 00:21:50,984 DATA REPOSITORIES, DATA TOOLS 627 00:21:50,984 --> 00:21:52,553 AND POTENTIALLY CLOUD SOLUTIONS 628 00:21:52,553 --> 00:21:53,720 THAT WORK FOR INDIGENOUS 629 00:21:53,720 --> 00:21:54,288 PEOPLES. 630 00:21:54,288 --> 00:21:56,123 THIS ALSO IS AN OPPORTUNITY FOR 631 00:21:56,123 --> 00:21:57,324 INDIGENOUS PEOPLES TO EXERCISE 632 00:21:57,324 --> 00:22:01,495 THAT CONTROL OVER GENOMIC DAY DA 633 00:22:01,495 --> 00:22:02,930 TO MAKE IT BENEFICIAL FOR THEM 634 00:22:02,930 --> 00:22:04,665 BUT IT ALSO INCLUDES CHANGES IN 635 00:22:04,665 --> 00:22:06,533 THE STRUCTURAL SYSTEMS. 636 00:22:06,533 --> 00:22:07,734 SO RECRUITMENT IS NOT 637 00:22:07,734 --> 00:22:08,068 ENGAGEMENT. 638 00:22:08,068 --> 00:22:10,237 WE NEED TO IMPLEMENT RESPONSIBLE 639 00:22:10,237 --> 00:22:12,439 DATA ACCESS AND DATA SHARING 640 00:22:12,439 --> 00:22:14,508 PRACTICES, WE NEED TO RE-THINK 641 00:22:14,508 --> 00:22:16,043 INFORMED CONSENT THAT'S 642 00:22:16,043 --> 00:22:18,779 CULTURALLY CONSISTENT, AND ALSO 643 00:22:18,779 --> 00:22:23,016 RECONSIDER WHO'S ETHICS ARE 644 00:22:23,016 --> 00:22:24,918 BEING PRIORITIZED AND ENSURE 645 00:22:24,918 --> 00:22:25,786 INNOVATIONS ARE ALIGNED WITH 646 00:22:25,786 --> 00:22:26,220 EQUITY. 647 00:22:26,220 --> 00:22:27,521 I REALLY WANT TO THANK ALL THE 648 00:22:27,521 --> 00:22:28,622 INDIVIDUALS THAT JOINED US FOR 649 00:22:28,622 --> 00:22:34,761 THIS RECENT MEETING AT THE 650 00:22:34,761 --> 00:22:36,063 BANBURY INSTITUTE IN COLDSPRING 651 00:22:36,063 --> 00:22:36,430 HARBOR. 652 00:22:36,430 --> 00:22:38,365 IT WAS A MONUMENTAL EVENT IF YOU 653 00:22:38,365 --> 00:22:41,101 CONSIDER THAT THE HISTORY OF 654 00:22:41,101 --> 00:22:43,270 COLDSPRING HARBOR AND ITS ROLE 655 00:22:43,270 --> 00:22:46,773 IN SORT OF PERPETUATING THIS 656 00:22:46,773 --> 00:22:48,542 EUGENICS HISTORY THAT WAS 657 00:22:48,542 --> 00:22:50,043 PERVASIVE IN THE FIELD OF 658 00:22:50,043 --> 00:22:51,545 GENOMICS RESEARCH, TO HAVE AN 659 00:22:51,545 --> 00:22:54,214 EVENT THAT IS INDIGENOUS LED AND 660 00:22:54,214 --> 00:22:55,549 INDIGENOUS -- HUGE NUMBER OF 661 00:22:55,549 --> 00:22:57,084 SCIENTISTS AND SCHOLARS AND 662 00:22:57,084 --> 00:22:59,586 MEDICAL PRACTITIONERS AND OTHERS 663 00:22:59,586 --> 00:23:00,454 COMING TOGETHER TO TALK ABOUT 664 00:23:00,454 --> 00:23:01,688 THIS ISSUE, AND TALK ABOUT 665 00:23:01,688 --> 00:23:02,990 POTENTIAL WAYS FORWARD IF THERE 666 00:23:02,990 --> 00:23:03,423 ARE ANY. 667 00:23:03,423 --> 00:23:05,926 THIS IS LIKE AN AMAZING 668 00:23:05,926 --> 00:23:07,261 BEGINNING OF MULTIPLE 669 00:23:07,261 --> 00:23:10,430 CONVERSATIONS ROW LA RELATED TO 670 00:23:10,430 --> 00:23:12,065 HISTORICAL, ETHICAL, TECHNICAL 671 00:23:12,065 --> 00:23:14,034 QUESTIONS AND INVOLVING BOTH 672 00:23:14,034 --> 00:23:15,669 RECOGNIZED AND UNRECOGNIZED 673 00:23:15,669 --> 00:23:16,203 SOVEREIGN NATIONS. 674 00:23:16,203 --> 00:23:19,306 AND AT THE CENTER OF THIS, WE 675 00:23:19,306 --> 00:23:21,241 FOUND THAT WE NEED TO THINK 676 00:23:21,241 --> 00:23:24,544 ABOUT CULTURAL PROTECTION AND 677 00:23:24,544 --> 00:23:25,712 POLICY SAFEGUARDS. 678 00:23:25,712 --> 00:23:26,880 SORRY, THAT WAS REALLY LONG, BUT 679 00:23:26,880 --> 00:23:33,420 THERE WAS A LOT. 680 00:23:33,420 --> 00:23:34,721 >> YOU ENDED RIGHT ON TIME. 681 00:23:34,721 --> 00:23:35,656 IT WAS FANTASTIC. 682 00:23:35,656 --> 00:23:39,192 THANK YOU SO MUCH, DR. TSOSIE. 683 00:23:39,192 --> 00:23:40,927 WE ARE GOING TO HOLD OUR 684 00:23:40,927 --> 00:23:42,562 QUESTIONS, WE ARE ON VIDEOCAST, 685 00:23:42,562 --> 00:23:45,198 WE WILL HAVE QUESTIONS AFTER ALL 686 00:23:45,198 --> 00:23:47,734 THREE PRESENTERS SPEAK. 687 00:23:47,734 --> 00:23:49,803 SO THANK YOU FOR THAT GREAT 688 00:23:49,803 --> 00:23:50,570 PRESENTATION, AND NOW I'M 689 00:23:50,570 --> 00:23:53,540 THINKING ABOUT INDIGENOUS 690 00:23:53,540 --> 00:23:54,207 GENOMIC DATA SOVEREIGNTY AS 691 00:23:54,207 --> 00:23:54,608 WELL. 692 00:23:54,608 --> 00:23:55,942 SO VERY EXCITING. 693 00:23:55,942 --> 00:23:59,646 OUR NEXT SPEAKER IS DR. WILCOX, 694 00:23:59,646 --> 00:24:04,584 AND THE FLOOR IS YOURS. 695 00:24:04,584 --> 00:24:06,086 >> I'M JUST CHECKING TO SEE WHAT 696 00:24:06,086 --> 00:24:10,791 YOU CAN SEE, MAKE SURE THAT MY 697 00:24:10,791 --> 00:24:11,725 SCREEN IS VIEWABLE? 698 00:24:11,725 --> 00:24:13,126 >> IT'S VIEWABLE. 699 00:24:13,126 --> 00:24:13,327 YEP. 700 00:24:13,327 --> 00:24:13,827 THANK YOU. 701 00:24:13,827 --> 00:24:14,528 >> GREAT. 702 00:24:14,528 --> 00:24:17,464 THANKS VERY MUCH. 703 00:24:17,464 --> 00:24:19,566 WELL, 704 00:24:19,566 --> 00:24:30,077 [SPEAKING INDIGENOUS LANGUAGE] 705 00:24:40,721 --> 00:24:42,856 THAT'S JUST A QUICK GREETING TO 706 00:24:42,856 --> 00:24:45,092 YOU ALL, FIRST OF ALL TO ALL OF 707 00:24:45,092 --> 00:24:48,762 THE INDIGENOUS PEOPLES OF WHAT 708 00:24:48,762 --> 00:24:51,698 WE CALL THE TURTLE ISLAND, WE'RE 709 00:24:51,698 --> 00:24:53,467 REFERRING TO MAINLAND NORTH 710 00:24:53,467 --> 00:24:54,668 AMERICA, AS WELL AS EVERYBODY 711 00:24:54,668 --> 00:24:55,769 WHO'S ATTENDING TODAY. 712 00:24:55,769 --> 00:25:00,907 AND OF COURSE I JUST WANTED TO 713 00:25:00,907 --> 00:25:02,175 ACKNOWLEDGE NATIVE AMERICAN 714 00:25:02,175 --> 00:25:05,178 HERITAGE MONTH AND THE 715 00:25:05,178 --> 00:25:10,751 CELEBRATIONS AND THANK KARINA 716 00:25:10,751 --> 00:25:13,587 AND HER TEAM FOR INVITING ME 717 00:25:13,587 --> 00:25:16,857 ALONG TO TALK TO YOU TODAY ABOUT 718 00:25:16,857 --> 00:25:19,292 EXPERIENCES IN NEW ZEALAND. 719 00:25:19,292 --> 00:25:24,064 SO THIS IS PEPEHA, A TRADITIONAL 720 00:25:24,064 --> 00:25:31,171 FORM OF INTRODUCTION AND THEN 721 00:25:31,171 --> 00:25:34,374 I'LL DRAW AN ANALOGY TO GENETICS 722 00:25:34,374 --> 00:25:38,612 CONCEPTS USING THIS PEPEHA, AN 723 00:25:38,612 --> 00:25:41,148 EXAMPLE OF A PEPEHA. 724 00:25:41,148 --> 00:25:48,155 SO HERE WE GO. 725 00:25:48,155 --> 00:25:58,665 [SPEAKING INDIGENOUS LANGUAGE] 726 00:25:59,599 --> 00:26:02,369 SO WHAT WE'RE LOOKING AT HERE, 727 00:26:02,369 --> 00:26:03,570 THE FIRST PART IS THE 728 00:26:03,570 --> 00:26:04,671 ENVIRONMENT OR THE PLACE THAT I 729 00:26:04,671 --> 00:26:05,605 COME FROM. 730 00:26:05,605 --> 00:26:08,275 AND THE SECOND PART OF THAT IS 731 00:26:08,275 --> 00:26:10,911 MY TRIBAL AFFILIATIONS. 732 00:26:10,911 --> 00:26:12,646 AND OUR TRIBES ARE NAMED AFTER 733 00:26:12,646 --> 00:26:15,816 ANCESTORS, SO WE ARE DE16 DEBTSS 734 00:26:15,816 --> 00:26:18,585 OF 735 00:26:19,085 --> 00:26:21,121 WE ARE DESCENDANTS OF THESE 736 00:26:21,121 --> 00:26:21,588 PEOPLE. 737 00:26:21,588 --> 00:26:22,756 SO WHAT YOU'RE LOOKING AT THERE 738 00:26:22,756 --> 00:26:27,327 IS SOMETHING THAT DESCRIBES THE 739 00:26:27,327 --> 00:26:28,228 ENVIRONMENT I COME FROM AS WELL 740 00:26:28,228 --> 00:26:29,963 AS MY GENEALOGY. 741 00:26:29,963 --> 00:26:32,466 SO FOR THOSE OF YOU WHO HAVE A 742 00:26:32,466 --> 00:26:33,366 BACKGROUND IN GENETICS, THAT'S 743 00:26:33,366 --> 00:26:35,969 THE VERY FIRST EQUATION WE WILL 744 00:26:35,969 --> 00:26:37,737 SEE IN QUANTITATIVE GENETICS 745 00:26:37,737 --> 00:26:40,106 WITH A PHENOTYPE, SOME OF THE 746 00:26:40,106 --> 00:26:43,410 GENOTYPE AND THE ENVIRONMENT. 747 00:26:43,410 --> 00:26:46,913 SO PEPEHA IS THE CONCEPTUAL 748 00:26:46,913 --> 00:26:48,014 EQUIVALENT OF THIS. 749 00:26:48,014 --> 00:26:48,982 THE ONLY DIFFERENCE REALLY IS 750 00:26:48,982 --> 00:26:50,750 THE TIMING OF WHEN THOSE 751 00:26:50,750 --> 00:26:52,052 CONCEPTS OR EQUIVALENTS WERE 752 00:26:52,052 --> 00:26:53,553 ACTUALLY PUT INTO PRACTICE. 753 00:26:53,553 --> 00:26:55,989 THIS PARTICULAR FORM OF PEPEHA, 754 00:26:55,989 --> 00:26:59,392 I'M NOT EXACTLY SURE WHEN IT 755 00:26:59,392 --> 00:27:01,228 FIRST AROSE AMONGST OUR 756 00:27:01,228 --> 00:27:02,128 ANCESTORS MANY HUNDREDS TO 757 00:27:02,128 --> 00:27:03,530 THOUSANDS OF YEARS AGO, BUT I 758 00:27:03,530 --> 00:27:06,933 CAN ASSURE YOU THAT IT'S WELL 759 00:27:06,933 --> 00:27:09,569 AND TRULY SUBSTANTIVELY BEFORE 760 00:27:09,569 --> 00:27:13,940 THE LATE VICTORIAN ERA, BIOMET 761 00:27:13,940 --> 00:27:16,109 CAL GENETICISTS WHO BEGAN 762 00:27:16,109 --> 00:27:17,777 WORKING IN QUANTITATIVE GENETIC 763 00:27:17,777 --> 00:27:20,480 THEORY VERY, VERY EARLY IN THE 764 00:27:20,480 --> 00:27:22,682 PACE FROM A MODERN GENETICS 765 00:27:22,682 --> 00:27:23,984 SCIENCE PERSPECTIVE. 766 00:27:23,984 --> 00:27:25,752 PEOPLE HAD SIMILAR CONCEPTS BUT 767 00:27:25,752 --> 00:27:27,287 WELL BEFORE. 768 00:27:27,287 --> 00:27:31,758 THESE CONCEPTS WERE FIRST AR 769 00:27:31,758 --> 00:27:32,759 ARTICULATED IN THE WESTERN 770 00:27:32,759 --> 00:27:36,997 SCIENCE CONTEXT, SO JUST A 771 00:27:36,997 --> 00:27:39,533 LITTLE BIT MORE ABOUT MYSELF. 772 00:27:39,533 --> 00:27:41,601 WE'RE AT THE INTERFACE OF GENE 773 00:27:41,601 --> 00:27:45,438 TECHNOLOGIES AND MAORI PEOPLES 774 00:27:45,438 --> 00:27:47,274 FOR OVER 20 YEARS NOW, INCLUDING 775 00:27:47,274 --> 00:27:51,278 WORKING FOR MY OWN TRIBE, AS 776 00:27:51,278 --> 00:27:53,313 WELL AS A WHOLE BUNCH OF OTHER 777 00:27:53,313 --> 00:27:54,848 ACTIVITIES THAT I'LL GO INTO IN 778 00:27:54,848 --> 00:27:58,785 TERMS OF ADVISORY AS WELL AS 779 00:27:58,785 --> 00:27:59,719 EDUCATION, ROLES, DEPARTMENT 780 00:27:59,719 --> 00:28:05,025 ROLES THAT ARE MAORI-SPECIFIC. 781 00:28:05,025 --> 00:28:07,527 INCLUDING AT THE UNIVERSITY OF 782 00:28:07,527 --> 00:28:09,829 OTAGO WHERE I WORK, I HAVE A 783 00:28:09,829 --> 00:28:11,131 ROLE THAT BRINGS IN THESE 784 00:28:11,131 --> 00:28:15,402 CONCEPTS OF HEREDITARY -- IN 785 00:28:15,402 --> 00:28:19,339 GENETICS PAPERS AND WE ASSIST 786 00:28:19,339 --> 00:28:22,275 THEM, TO WORK WITH MAORI 787 00:28:22,275 --> 00:28:23,276 COMMUNITIES BASED ON SOME OF THE 788 00:28:23,276 --> 00:28:24,578 FRAME WORKS THAT I'LL TALK ABOUT 789 00:28:24,578 --> 00:28:25,011 TODAY. 790 00:28:25,011 --> 00:28:27,314 SOME OTHER THINGS THAT I WORK 791 00:28:27,314 --> 00:28:35,388 ON, I'LL TALK ABOUT -- AS WELL 792 00:28:35,388 --> 00:28:39,459 AS A GENETICS PLATFORM THAT'S 793 00:28:39,459 --> 00:28:41,428 GOVERNED BY -- THERE'S 794 00:28:41,428 --> 00:28:42,095 INDIGENOUS GOVERNMENTS BUILT 795 00:28:42,095 --> 00:28:43,396 INTO THAT PLATFORM WHERE 796 00:28:43,396 --> 00:28:46,666 ANALYSES OF DATA ARE TRANSPARENT 797 00:28:46,666 --> 00:28:48,635 TO COMMUNITY MEMBERS WHO HAVE 798 00:28:48,635 --> 00:28:50,103 GOVERNMENTS' RIGHTS. 799 00:28:50,103 --> 00:28:58,144 AND ALSO INVOLVED FOR MOLECULAR 800 00:28:58,144 --> 00:29:00,480 DISCOVERY WHERE I'M DEPUTY 801 00:29:00,480 --> 00:29:02,215 DIRECTOR, AND THAT HAS A 802 00:29:02,215 --> 00:29:03,650 SUBSTANTIVE AMOUNT OF WORK NOW 803 00:29:03,650 --> 00:29:07,020 WORKING ON DISEASES THAT IMPACT 804 00:29:07,020 --> 00:29:09,756 OUR PEOPLE IN TERMS OF 805 00:29:09,756 --> 00:29:12,058 PARTICULARLY METABOLIC CANCER 806 00:29:12,058 --> 00:29:13,159 AND INFECTIOUS CONDITIONS. 807 00:29:13,159 --> 00:29:14,461 SO WHAT I'LL TALK ABOUT, I'LL 808 00:29:14,461 --> 00:29:17,731 GIVE SOME BACKGROUND INTO THE 809 00:29:17,731 --> 00:29:19,599 MAORI WORLD, I'LL TALK ABOUT 810 00:29:19,599 --> 00:29:23,436 THESE THINGS, TIKANGA MAORI, 811 00:29:23,436 --> 00:29:24,938 WHAT THOSE THINGS ARE, HOW 812 00:29:24,938 --> 00:29:26,272 THEY'RE RELEVANT AND HOW WE 813 00:29:26,272 --> 00:29:28,241 APPLY THEM AND STUDY DESIGN AND 814 00:29:28,241 --> 00:29:30,310 TO DEVELOP YEE KNOW MIBG 815 00:29:30,310 --> 00:29:33,046 RESOURCES. 816 00:29:33,046 --> 00:29:36,549 AND THEN I TALKED ABOUT -- OR AN 817 00:29:36,549 --> 00:29:40,020 EXAMPLE OF THAT WHEN I GAVE MY 818 00:29:40,020 --> 00:29:42,255 PAPER HERE, HOW DOES IT INFORM 819 00:29:42,255 --> 00:29:44,324 GENETIC CO-DEVELOPMENT, AND 820 00:29:44,324 --> 00:29:45,191 PARTICULARLY HOW WE'RE USING 821 00:29:45,191 --> 00:29:47,494 THAT TO IMPROVE OUR ABILITY TO 822 00:29:47,494 --> 00:29:49,663 ESTIMATE DISEASE RISK. 823 00:29:49,663 --> 00:29:50,964 AND I'LL FINISH OFF ON THAT 824 00:29:50,964 --> 00:29:51,297 POINT. 825 00:29:51,297 --> 00:29:56,670 SO A LITTLE BIT OF BACKGROUND. 826 00:29:56,670 --> 00:30:01,775 MAORI FIRST PEAKED WHERE THE 827 00:30:01,775 --> 00:30:05,111 FIRST HUMANS TO ARRIVE AROUND 828 00:30:05,111 --> 00:30:07,747 800 YEARS AGO, AND I'LL SAY IT 829 00:30:07,747 --> 00:30:09,049 WAS THE LAST SIGNIFICANT LAND 830 00:30:09,049 --> 00:30:11,885 MASS TO BE OCCUPIED BY HOMO SAIP 831 00:30:11,885 --> 00:30:12,886 YENS. 832 00:30:12,886 --> 00:30:14,621 MOST PEOPLE WERE OUR ANCESTORS 833 00:30:14,621 --> 00:30:20,293 WHO CAME FROM POLYNESIA, AND 834 00:30:20,293 --> 00:30:22,395 THOSE IN TURN IT MY GREATED OUT 835 00:30:22,395 --> 00:30:33,406 MIGRATED TOPLACES TO EASTERN POA 836 00:30:34,741 --> 00:30:37,077 WHERE THEY RADIATED AROUND THE 837 00:30:37,077 --> 00:30:39,279 PACIFIC OCEAN AND EVEN INTO THE 838 00:30:39,279 --> 00:30:40,046 AMERICAS. 839 00:30:40,046 --> 00:30:44,184 THEY BROUGHT WITH THEM AN 840 00:30:44,184 --> 00:30:45,518 EASTERN POLYNESIAN CULTURE AND 841 00:30:45,518 --> 00:30:46,586 LANGUAGE THAT WENT THROUGH A 842 00:30:46,586 --> 00:30:50,423 PERIOD OF EVOLUTION IN THIS 843 00:30:50,423 --> 00:30:50,957 COUNTRY. 844 00:30:50,957 --> 00:30:56,329 SUBSEQUENT TO THOSE ORIGINAL 845 00:30:56,329 --> 00:31:01,267 RIVALS, AND IT HAS EVOLVED INTO 846 00:31:01,267 --> 00:31:04,637 WHAT WE NOW REFER TO AS THE 847 00:31:04,637 --> 00:31:11,111 CLASSIC MAORI MULTICULTURE AND 848 00:31:11,111 --> 00:31:14,047 FAST FORWARD TO THE LATE 849 00:31:14,047 --> 00:31:16,349 1700s, EARLY 1800s WITH THE 850 00:31:16,349 --> 00:31:19,986 ARRIVAL OF PEOPLE OF EUROPEAN 851 00:31:19,986 --> 00:31:23,990 DECENT, AND THAT CREATED 852 00:31:23,990 --> 00:31:26,626 TENSIONS, WHEN THEY ARRIVED, 853 00:31:26,626 --> 00:31:29,596 THEY BROUGHT FIREARMS AND NEW 854 00:31:29,596 --> 00:31:33,967 METHODS TO BE ABLE TO KILL EACH 855 00:31:33,967 --> 00:31:35,068 OTHER, AND AS A RESULT OF THAT, 856 00:31:35,068 --> 00:31:37,370 WE HAD THE SIGNING OF THE TREATY 857 00:31:37,370 --> 00:31:40,974 OF WAITANGI BACK IN 1840 BETWEEN 858 00:31:40,974 --> 00:31:42,175 TRIBAL LEADERS AND 859 00:31:42,175 --> 00:31:43,710 REPRESENTATIVES OF THE BRITISH 860 00:31:43,710 --> 00:31:45,779 GOVERNMENT AS IT WAS BACK THEN. 861 00:31:45,779 --> 00:31:48,848 THAT OPENED THE DOOR TO A LARGE 862 00:31:48,848 --> 00:31:50,049 INFLUX, AND I HAVEN'T FINISHED 863 00:31:50,049 --> 00:31:51,451 THESE WORDS HERE, BUT LARGE 864 00:31:51,451 --> 00:31:53,119 INFLUX OF COLONISTS FROM 865 00:31:53,119 --> 00:31:58,124 BRITAIN. 866 00:31:58,124 --> 00:32:01,094 IN THE 1860s, THEY 867 00:32:01,094 --> 00:32:02,495 UNDERTOOK -- THE GOVERNMENT -- 868 00:32:02,495 --> 00:32:03,830 THE COLONIAL GOVERNMENT 869 00:32:03,830 --> 00:32:07,433 UNDERTOOK A SUSTAINED PERIOD OF 870 00:32:07,433 --> 00:32:11,037 LAND CON CONFISCATION, ALONG WH 871 00:32:11,037 --> 00:32:13,006 THE DISEASES THAT THEY BROUGHT, 872 00:32:13,006 --> 00:32:14,874 ALONG WITH THE FIREARMS, ET 873 00:32:14,874 --> 00:32:19,579 CETERA, ET CETERA, TO SPICE 874 00:32:19,579 --> 00:32:23,616 PEOPLE FROM THEIR LANDS, AND 875 00:32:23,616 --> 00:32:28,888 THIS CAUSED QUITE A SUBSTANTIVE 876 00:32:28,888 --> 00:32:31,391 DISRUPTION TO THE MAORI WORLD. 877 00:32:31,391 --> 00:32:35,461 AND TODAY, WE HAVE ALMOST A 878 00:32:35,461 --> 00:32:38,398 MILLION PEOPLE OF MAORI DESCENT 879 00:32:38,398 --> 00:32:41,034 IN THIS COUNTRY, IT HAD 880 00:32:41,034 --> 00:32:43,269 BOTTLENECKED TO AROUND 40, 881 00:32:43,269 --> 00:32:46,606 50,000 PEOPLE OF THE EARLY 882 00:32:46,606 --> 00:32:47,040 1900s. 883 00:32:47,040 --> 00:32:48,908 THE POPULATION HAS GROWN 884 00:32:48,908 --> 00:32:50,977 SUBSTANTIALLY AND IS CONTINUING 885 00:32:50,977 --> 00:32:54,581 TO GROW, MOST OF THOSE PEOPLE 886 00:32:54,581 --> 00:32:57,650 ARE IDENTIFIED CULTURALLY AS 887 00:32:57,650 --> 00:32:58,651 BEING MAORI. 888 00:32:58,651 --> 00:33:00,820 THEN IN THE LAST 25 TO 30 YEARS, 889 00:33:00,820 --> 00:33:05,291 WE'VE UNDERGONE A PERIOD OF 890 00:33:05,291 --> 00:33:09,429 QUITE STRANG PARALLELLED WITH 891 00:33:09,429 --> 00:33:11,097 TRIBAL BASED SET EMMENTS, 892 00:33:11,097 --> 00:33:12,098 LITIGATION ARISING FROM THE 893 00:33:12,098 --> 00:33:15,034 HISTORIC BREECHES OF THE 894 00:33:15,034 --> 00:33:17,871 TERRITORIY OF TAITANGI, STILL 895 00:33:17,871 --> 00:33:19,305 GIVING RISE TO TEMPORARY 896 00:33:19,305 --> 00:33:20,406 GRIEVANCES, BUT AT LEAST THEY'RE 897 00:33:20,406 --> 00:33:22,275 TRYING TO ADDRESS SOME OF THOSE 898 00:33:22,275 --> 00:33:23,176 HISTORIC GRIEVANCES. 899 00:33:23,176 --> 00:33:25,044 SO WE'VE SEEN AN INCREASED 900 00:33:25,044 --> 00:33:31,217 PRESENCE OF MAORI IN THEIR 901 00:33:31,217 --> 00:33:32,518 PRIMARY -- WE HAVE SOMETHING 902 00:33:32,518 --> 00:33:36,756 LIKE THE MAORI ECONOMY IS 903 00:33:36,756 --> 00:33:39,058 SOMETHING LIKE $70 BILLION WORTH 904 00:33:39,058 --> 00:33:40,293 OF ASSETS BUT ABOUT A THIRD OF 905 00:33:40,293 --> 00:33:43,963 THAT IS TIED UP IN PRIMARY 906 00:33:43,963 --> 00:33:47,800 SECTOR, AND OF THAT $70 BILLION 907 00:33:47,800 --> 00:33:49,435 OF ASSETS THAT GENERATE 908 00:33:49,435 --> 00:33:51,838 SOMETHING ABOUT $10 BILLION PER 909 00:33:51,838 --> 00:33:54,374 ANUM TO GROSS DOMESTIC PRODUCT. 910 00:33:54,374 --> 00:33:56,342 HEALTH STATUS IS GENERALLY POOR, 911 00:33:56,342 --> 00:34:01,014 NOT UNUSUAL. 912 00:34:01,014 --> 00:34:02,649 SADLY, THERE'S A LOT OF 913 00:34:02,649 --> 00:34:04,851 PARALLELS BETWEEN HEALTH STATUS 914 00:34:04,851 --> 00:34:07,787 OF NATIVE PEOPLES AND THE UNITED 915 00:34:07,787 --> 00:34:09,889 STATES AND TERRITORIES. 916 00:34:09,889 --> 00:34:11,090 AND I'LL ALSO POINT OUT THAT WE 917 00:34:11,090 --> 00:34:14,060 ARE CLOSELY RELATED TO 918 00:34:14,060 --> 00:34:17,096 HAWAIIANS, WHO ARE ALSO EASTERN 919 00:34:17,096 --> 00:34:19,299 POLYNESIANS IN THE HAWAIIAN 920 00:34:19,299 --> 00:34:21,467 ISLANDS AND WERE POPULATED BY 921 00:34:21,467 --> 00:34:23,236 EASTERN POLYNESIAN NAVIGATORS 922 00:34:23,236 --> 00:34:24,537 AROUND ABOUT THE SAME TIME. 923 00:34:24,537 --> 00:34:30,543 SO WE SHARE A LOT IN TERMS OF 924 00:34:30,543 --> 00:34:33,513 ANCESTRY, AND OUR SOCIAL AND 925 00:34:33,513 --> 00:34:34,480 BIOLOGICAL DETERMINANTS OF 926 00:34:34,480 --> 00:34:35,381 HEALTH. 927 00:34:35,381 --> 00:34:39,285 SO WE DO HAVE HERITABLE 928 00:34:39,285 --> 00:34:39,752 CONDITIONS. 929 00:34:39,752 --> 00:34:41,287 YOU PROBABLY READ THE WORDS 930 00:34:41,287 --> 00:34:44,924 THERE, CARDIOVASCULAR DISEASES, 931 00:34:44,924 --> 00:34:47,627 TYPE 2 DIABETES, AS WELL AS SOME 932 00:34:47,627 --> 00:34:48,394 MENDELIAN CONDITIONS WHICH TEND 933 00:34:48,394 --> 00:34:52,565 TO BE MORE PREVALENT IN THOSE 934 00:34:52,565 --> 00:34:56,602 CONDITIONS WITHIN FAMILIES. 935 00:34:56,602 --> 00:34:57,603 OVERREPRESENTED AND VIRTUALLY 936 00:34:57,603 --> 00:35:00,106 ONE OF THE NEGATIVE HEALTH 937 00:35:00,106 --> 00:35:00,873 STATISTICS, AND I'VE ALSO 938 00:35:00,873 --> 00:35:02,642 MENTIONED THAT WE DO HAVE 939 00:35:02,642 --> 00:35:03,943 MENDELIAN CONDITIONS. 940 00:35:03,943 --> 00:35:06,546 ELSEWHERE IS THIS UNIQUE GENETIC 941 00:35:06,546 --> 00:35:10,183 ARCHITECTURE THAT WE SHARED WITH 942 00:35:10,183 --> 00:35:13,119 POLYNESIANS INCLUDING 943 00:35:13,119 --> 00:35:13,786 HAWAIIANs. 944 00:35:13,786 --> 00:35:16,422 THEY HAVE AN SES TREA-SPECIFIC 945 00:35:16,422 --> 00:35:18,925 ALLELES OR ETIOLOGIES, WHICH 946 00:35:18,925 --> 00:35:20,560 SOMETIMES IT'S UNIQUE GENES OR 947 00:35:20,560 --> 00:35:24,263 UNIQUE VARIANTS AND GENES 948 00:35:24,263 --> 00:35:25,365 ASSOCIATED WITH THESE VARIOUS 949 00:35:25,365 --> 00:35:25,798 CONDITIONS. 950 00:35:25,798 --> 00:35:32,138 SO I'LL TALK ABOUT IT. IKANGA 951 00:35:32,138 --> 00:35:35,108 MAORI, BASICALLY BIOETHICS. 952 00:35:35,108 --> 00:35:36,409 SO THOSE ARE THE CULTURAL NORMS 953 00:35:36,409 --> 00:35:38,611 THAT GOVERN OUR BEHAVIOR, CUSS 954 00:35:38,611 --> 00:35:40,346 TOE MARE VALUES AND PRACTICES, 955 00:35:40,346 --> 00:35:42,749 FROM WHICH WE DERIVE SOCIAL 956 00:35:42,749 --> 00:35:45,718 CONTROL, AS WELL AS THOSEST CAL 957 00:35:45,718 --> 00:35:47,787 AND MORAL PRACTICES, WHICH 958 00:35:47,787 --> 00:35:49,989 INCLUDE THINGS LIKE RESEARCH AND 959 00:35:49,989 --> 00:35:53,793 HOW GENOMIC RESEARCH IS 960 00:35:53,793 --> 00:35:54,093 UNDERTAKEN. 961 00:35:54,093 --> 00:36:00,366 THOSE ETHICAL FRAME WORKS, WELL, 962 00:36:00,366 --> 00:36:01,901 MAORI BIOETHICS ESSENTIALLY IS 963 00:36:01,901 --> 00:36:05,738 UNDERPINNED BY THIS THING CALLED 964 00:36:05,738 --> 00:36:07,373 TIKANGA, CULTURAL CONCEPTS AND 965 00:36:07,373 --> 00:36:09,575 VALUES THAT ARE FUNDAMENTAL TO 966 00:36:09,575 --> 00:36:12,512 RESEARCH AND GENES, THINGS LIKE 967 00:36:12,512 --> 00:36:17,884 MODI, WHI -- MAURI, WHICH TALKST 968 00:36:17,884 --> 00:36:20,853 LIFE ESSENCE, MANA, 969 00:36:20,853 --> 00:36:25,425 POWER/AUTHORITY, AND THE OTHER 970 00:36:25,425 --> 00:36:27,860 IS ENVIRONMENTAL GUARDIANSHIP 971 00:36:27,860 --> 00:36:30,563 AND MANAGEMENT FOR SUSTAINED 972 00:36:30,563 --> 00:36:31,998 MANAGEMENT FOR FUTURE 973 00:36:31,998 --> 00:36:35,701 GENERATIONS. 974 00:36:35,701 --> 00:36:37,170 SO THOSE CULTURAL CONCEPTS ARE 975 00:36:37,170 --> 00:36:39,705 THE CUES THAT PROVIDE AN 976 00:36:39,705 --> 00:36:43,042 UNDERPINNING CULTURAL LOGIC. 977 00:36:43,042 --> 00:36:45,044 IT DICTATES HOW WE SHOULD ENGAGE 978 00:36:45,044 --> 00:36:47,447 AS RESEARCHERS, HOW WE SHOULD 979 00:36:47,447 --> 00:36:49,315 ENGAGE WITH OUR INDIGENOUS 980 00:36:49,315 --> 00:36:51,150 COMMUNITIES OR REMOTE MAORI 981 00:36:51,150 --> 00:36:52,351 COMMUNITIES IN A CULTURALLY 982 00:36:52,351 --> 00:36:53,786 ACCEPTABLE MANNER, AND THOSE 983 00:36:53,786 --> 00:36:55,221 QUOTES WERE TAKEN FROM A 984 00:36:55,221 --> 00:36:56,656 GUIDELINE THAT WE DEVELOPED A 985 00:36:56,656 --> 00:37:00,927 NUMBER OF YEARS AGO WHILE 986 00:37:00,927 --> 00:37:08,034 WORKING WITH KIN SPECIES DNA, 987 00:37:08,034 --> 00:37:09,769 SPECIES OF EMOTIONAL VALUE WHICH 988 00:37:09,769 --> 00:37:15,174 ARE TYPICALLY THOSE SPECIES, 989 00:37:15,174 --> 00:37:17,276 FROM THE TIME THEY ARRIVED IN 990 00:37:17,276 --> 00:37:22,048 NEW ZEALAND, 800 OR SO YEARS 991 00:37:22,048 --> 00:37:23,916 AGO, BUT THERE'S THIS TERM, AND 992 00:37:23,916 --> 00:37:25,751 IT'S NOT A SWEAR WORD WHEN I 993 00:37:25,751 --> 00:37:27,286 PRONOUNCE IT, SO PLEASE DON'T BE 994 00:37:27,286 --> 00:37:32,758 PUT OFF BY THAT, BUT IT'S THE 995 00:37:32,758 --> 00:37:36,629 TERM OF WHAKAPAPA AND IT 996 00:37:36,629 --> 00:37:38,231 BASICALLY REFERS TO GENE YOLG 997 00:37:38,231 --> 00:37:43,269 ANGENEALOGYAND THE STORY OF THOE 998 00:37:43,269 --> 00:37:45,171 COME BEFORE US BUT ALSO TALKS 999 00:37:45,171 --> 00:37:46,939 ABOUT RELATIONSHIPS BETWEEN 1000 00:37:46,939 --> 00:37:49,242 HUMAN AND NON-HUMAN, ANIMATE AND 1001 00:37:49,242 --> 00:37:52,078 NON-ANIMATE AND IS ALSO A 1002 00:37:52,078 --> 00:37:53,513 METAPHOR FOR CREATION IN SOME 1003 00:37:53,513 --> 00:37:53,980 WAYS. 1004 00:37:53,980 --> 00:37:55,081 I'LL TALK ABOUT THEM IN A LITTLE 1005 00:37:55,081 --> 00:37:58,151 MORE DETAIL A BIT FURTHER ON, 1006 00:37:58,151 --> 00:37:59,785 BECAUSE IT IS A PRACTICE, IT 1007 00:37:59,785 --> 00:38:04,690 TALKS ABOUT A PRACTICE OF 1008 00:38:04,690 --> 00:38:06,592 MAINTAINING KNOWLEDGE ANCESTORS, 1009 00:38:06,592 --> 00:38:07,460 ANCESTORS' NAMES AND THE STORIES 1010 00:38:07,460 --> 00:38:10,096 THAT CAME WITH THEM. 1011 00:38:10,096 --> 00:38:11,831 THESE OTHER TERMS, I'VE ALREADY 1012 00:38:11,831 --> 00:38:14,133 TALKED ABOUT THE SECOND SET OF 1013 00:38:14,133 --> 00:38:17,203 THREE ON THAT LIST, BUT 1014 00:38:17,203 --> 00:38:20,606 MATAURANGA IS INDIGENOUS 1015 00:38:20,606 --> 00:38:21,174 KNOWLEDGE. 1016 00:38:21,174 --> 00:38:27,813 SO THINGS LIKE THIS TERM TAPU, 1017 00:38:27,813 --> 00:38:34,587 SACRED OR RESTRICTED, THEY HAVE 1018 00:38:34,587 --> 00:38:38,324 HEALTH INFORMATION, AS WELL AS 1019 00:38:38,324 --> 00:38:42,929 GENOMIC INFORMATION, AND THE TOP 1020 00:38:42,929 --> 00:38:45,464 MEANS IT'S PUBLICLY AVAILABLE 1021 00:38:45,464 --> 00:38:49,168 BUT IS SOMETHING THAT IS KEPT 1022 00:38:49,168 --> 00:38:51,671 PRIVATE, AND ACCESS TO IT IS 1023 00:38:51,671 --> 00:38:53,573 UNDER STRICT CONDITIONS. 1024 00:38:53,573 --> 00:38:58,477 SO WE HAVE THESE TIKANGA-BASED 1025 00:38:58,477 --> 00:39:00,780 ETHICAL FRAME WORKS IN A 1026 00:39:00,780 --> 00:39:02,882 RESEARCH CONTEXT TO ENSURE THAT 1027 00:39:02,882 --> 00:39:05,384 THIS CULTURALLY APPROPRIATE 1028 00:39:05,384 --> 00:39:07,687 CONTEXTUALIZATION AND GUIDANCE 1029 00:39:07,687 --> 00:39:09,222 FOR ACTIVITIES SUCH AS RESEARCH 1030 00:39:09,222 --> 00:39:11,857 BUT NOT ONLY RESEARCH, A WHOLE 1031 00:39:11,857 --> 00:39:14,694 BUNCH OF OTHER ACTIVITIES, THEY 1032 00:39:14,694 --> 00:39:18,998 PROVIDE US WITH A FRAMEWORK TO 1033 00:39:18,998 --> 00:39:21,267 UNDERTAKE AN EVALUATION OF STUDY 1034 00:39:21,267 --> 00:39:24,237 DESIGN AS WELL AS CONDUCT OF 1035 00:39:24,237 --> 00:39:27,206 STUDY THAT ARE ROOTED IN OUR VAL 1036 00:39:27,206 --> 00:39:31,477 OVALUES, PRINCIPLES AN CUSTOMS. 1037 00:39:31,477 --> 00:39:34,447 IF THOSE TIKANGA SHOULD BE 1038 00:39:34,447 --> 00:39:36,082 APPLIED VERY MUCH AT THE 1039 00:39:36,082 --> 00:39:37,617 RESEARCH CON ACCEPT 1040 00:39:37,617 --> 00:39:39,252 SEWELLIZATION PHRASE AND LAST 1041 00:39:39,252 --> 00:39:41,354 THROUGHOUT THE LONGEVITY OF A 1042 00:39:41,354 --> 00:39:43,756 RESEARCH PROJECT AND THEN 1043 00:39:43,756 --> 00:39:46,926 BEYOND. 1044 00:39:46,926 --> 00:39:48,661 MAORI KNOWLEDGE, MODERN FOR 1045 00:39:48,661 --> 00:39:49,996 COMBINED KNOWLEDGE OF OUR POLL 1046 00:39:49,996 --> 00:39:55,134 KNEE SHAB AN SES FORES. 1047 00:39:55,134 --> 00:39:56,669 MAORI, LIVING IN THE ENVIRONMENT 1048 00:39:56,669 --> 00:39:59,972 INCLUDE THINGS LIKE OUR 1049 00:39:59,972 --> 00:40:01,841 LANGUAGE, KNOWLEDGE OF CULTURAL 1050 00:40:01,841 --> 00:40:04,677 PRACTICE, HEALING, FISHING, 1051 00:40:04,677 --> 00:40:08,281 CULTIVATION, AND MAORI WERE 1052 00:40:08,281 --> 00:40:10,449 EXTREMELY GOOD AGRICULTURALISTS 1053 00:40:10,449 --> 00:40:12,118 AND THE PERIOD IMMEDIATELY AFTER 1054 00:40:12,118 --> 00:40:13,986 THE EUROPEANS JUST ARRIVED WERE 1055 00:40:13,986 --> 00:40:22,128 ABLE TO ADEPT, USE SPECIES AND 1056 00:40:22,128 --> 00:40:23,296 BECOME AND EXPORT CROPS. 1057 00:40:23,296 --> 00:40:25,598 THEY WERE THE FIRST PEOPLE WHO 1058 00:40:25,598 --> 00:40:26,699 ACTUALLY -- ANCESTORS OF THE 1059 00:40:26,699 --> 00:40:29,368 FIRST PEOPLE WHO ESTABLISHED NEW 1060 00:40:29,368 --> 00:40:30,670 ZEALAND AS AN AGRICULTURAL 1061 00:40:30,670 --> 00:40:35,775 NATION, WE WERE ABLE TO EXPORT 1062 00:40:35,775 --> 00:40:36,709 PRODUCE AROUND THE WORLD AND 1063 00:40:36,709 --> 00:40:37,877 PARTICULARLY TO AUSTRALIA. 1064 00:40:37,877 --> 00:40:44,250 SO THAT COMPOSES PART OF MAORI 1065 00:40:44,250 --> 00:40:45,885 LANGUAGE, AND IT INCLUDES AND IS 1066 00:40:45,885 --> 00:40:47,653 UNDERPINNED BY VALUES OF AND 1067 00:40:47,653 --> 00:40:48,087 CULTURE. 1068 00:40:48,087 --> 00:40:50,156 THIS SLIDE JUST REALLY REFLECTS 1069 00:40:50,156 --> 00:40:55,094 THE FACT THAT MAORI IS WRAPPED 1070 00:40:55,094 --> 00:40:59,031 WITHIN TIKANG, TIKANGA IS HOW TO 1071 00:40:59,031 --> 00:41:02,435 APPLY IT AND THE KNOWLEDGE 1072 00:41:02,435 --> 00:41:05,838 ITSELF SITS WITHIN THAT 1073 00:41:05,838 --> 00:41:07,807 FRAMEWORK AROUND HOW TO 1074 00:41:07,807 --> 00:41:08,341 APPROPRIATELY UTILIZE IT. 1075 00:41:08,341 --> 00:41:10,776 I JUST WANT TO POINT OUT THIS 1076 00:41:10,776 --> 00:41:21,387 QUOTE HERE WH FROM MAZZOCHI, CAT 1077 00:41:21,387 --> 00:41:22,922 EXTRACT JUST THOSE PARTS OF 1078 00:41:22,922 --> 00:41:23,823 TRADITIONAL KNOWLEDGE THAT SEEM 1079 00:41:23,823 --> 00:41:25,758 TO MEASURE UP TO SCIENTIFIC 1080 00:41:25,758 --> 00:41:28,761 CRITERIA AND IGNORE THE REST. 1081 00:41:28,761 --> 00:41:30,830 YOU CAN'T EXTRACT JUST THOSE 1082 00:41:30,830 --> 00:41:32,365 PARTS OF TRADITIONAL KNOWLEDGE, 1083 00:41:32,365 --> 00:41:34,567 THAT SAME TO MEASURE UP TO SEE 1084 00:41:34,567 --> 00:41:42,775 OUR SCIENTIFIC CRITERIA AND -- 1085 00:41:42,775 --> 00:41:45,978 SO WE HAVE DEVELOPED TIKANGA 1086 00:41:45,978 --> 00:41:47,079 FRAME WORKS OVER 20 YEARS 1087 00:41:47,079 --> 00:41:49,148 WORKING IN THAT SPACE, AND THEN 1088 00:41:49,148 --> 00:41:53,853 APPLYING THEM, PARTICULARLY 1089 00:41:53,853 --> 00:41:54,954 INVOLVING GENE TECHNOLOGIES. 1090 00:41:54,954 --> 00:41:56,055 HERE ARE SOME OF THE FRAME 1091 00:41:56,055 --> 00:41:56,589 WORKS. 1092 00:41:56,589 --> 00:41:58,657 MOST OF THESE ONES, I'VE WORKED 1093 00:41:58,657 --> 00:42:00,860 ON, SOME I HAVEN'T, BUT WE 1094 00:42:00,860 --> 00:42:03,929 DEVELOPED A FRAMEWORK IN 2008, 1095 00:42:03,929 --> 00:42:09,869 WE PUBLISHED THE AROTURUKI 1096 00:42:09,869 --> 00:42:13,072 FRAMEWORK WHICH IS REALLY AROUND 1097 00:42:13,072 --> 00:42:16,342 MODIFICATION WORKING IN 1098 00:42:16,342 --> 00:42:16,876 INDIGENOUS COMMUTES. 1099 00:42:16,876 --> 00:42:22,014 ABOUT THE SAME TIME, A 1100 00:42:22,014 --> 00:42:28,387 WELL-KNOWN ACADEMIC AND 1101 00:42:28,387 --> 00:42:29,255 INTELLECTUAL -- THERE'S A BUNCH 1102 00:42:29,255 --> 00:42:30,356 OF OTHER FRAME WORKS. 1103 00:42:30,356 --> 00:42:33,526 I'LL TALK ABOUT THE TE MATA IRA 1104 00:42:33,526 --> 00:42:35,728 FRAMEWORK IN A LITTLE BIT OF 1105 00:42:35,728 --> 00:42:36,061 DETAIL HERE. 1106 00:42:36,061 --> 00:42:40,533 THAT WAS A PROJECT LED BY MAUI 1107 00:42:40,533 --> 00:42:41,967 HUDSON, BUT IT INVOLVED A NUMBER 1108 00:42:41,967 --> 00:42:50,509 OF OTHER TRIBAL LEADERS, BOTH 1109 00:42:50,509 --> 00:42:53,045 CHIEFS OF THEIR TRIBES, THEIR 1110 00:42:53,045 --> 00:42:56,315 RESPECTED TRIBAL GROUPS, BUT 1111 00:42:56,315 --> 00:42:59,084 ALSO WELL-KNOWN NATIONALLY FOR 1112 00:42:59,084 --> 00:43:02,922 THEIR BE ACTIVISM AND PROMOTION 1113 00:43:02,922 --> 00:43:05,324 OF MAORI CULTURE. 1114 00:43:05,324 --> 00:43:11,096 AS WELL AS THE GRAND OLD LADY 1115 00:43:11,096 --> 00:43:14,733 HERE, DR. WAIORA PORT WHO WORKED 1116 00:43:14,733 --> 00:43:16,268 IN THE AREA OF GENETIC 1117 00:43:16,268 --> 00:43:24,810 COUNSELING AND DEVELOPING 1118 00:43:24,810 --> 00:43:26,879 MULTI- -- THE CHAIM WORK SORT OF 1119 00:43:26,879 --> 00:43:29,615 LOOKS ESSENTIALLY MODELS THE 1120 00:43:29,615 --> 00:43:30,749 RESEARCH PRACTICE. 1121 00:43:30,749 --> 00:43:32,284 AN IDEA IS CONCEIVED, 1122 00:43:32,284 --> 00:43:33,853 PREPARATION FOR DIALOGUE WITH 1123 00:43:33,853 --> 00:43:35,921 THE MAORI COMMUNITIES, INTO A 1124 00:43:35,921 --> 00:43:37,656 CONSULTATION PHASE, AND THEN 1125 00:43:37,656 --> 00:43:43,629 DURIDOING RESEARCH, AND AFTER TE 1126 00:43:43,629 --> 00:43:44,930 RESEARCH IS COMPLETED, 1127 00:43:44,930 --> 00:43:46,131 TRANSLATING THE RESULTS BACK TO 1128 00:43:46,131 --> 00:43:46,966 COMMUNITIES. 1129 00:43:46,966 --> 00:43:51,604 SO EACH ONE OF THOSE PROPOSAL, 1130 00:43:51,604 --> 00:43:53,038 WE HAVE TO CONSIDER QUESTIONS 1131 00:43:53,038 --> 00:43:54,340 THAT PERTAIN TO EACH ONE OF 1132 00:43:54,340 --> 00:43:55,875 THOSE PHASES. 1133 00:43:55,875 --> 00:43:59,812 SO FOR EXAMPLE, IN THE 1134 00:43:59,812 --> 00:44:02,948 CONSULTATION PHASE, THERE'S ONE 1135 00:44:02,948 --> 00:44:04,917 ASPECT WE CALL KAWA, WHICH IS 1136 00:44:04,917 --> 00:44:07,052 THE WAY WE DO THINGS, WHAT TYPE 1137 00:44:07,052 --> 00:44:08,587 OF RESEARCHERS NEED TO ANSWER 1138 00:44:08,587 --> 00:44:11,657 THESE OR ADDRESS THESE QUESTIONS 1139 00:44:11,657 --> 00:44:12,992 WHATEVER TYPE OF RELATIONSHIP 1140 00:44:12,992 --> 00:44:17,596 THEY'RE LOOKING FOR, WHAT 1141 00:44:17,596 --> 00:44:18,998 PRINCIPLES INFORM THE RESEARCH 1142 00:44:18,998 --> 00:44:23,802 PROJECT, AND HOW -- THEN TRUST 1143 00:44:23,802 --> 00:44:25,938 TO BE -- AS PART OF INTELLECTUAL 1144 00:44:25,938 --> 00:44:30,843 PROPERTY, THAT INCLUDES RIGHTS, 1145 00:44:30,843 --> 00:44:32,278 INDIGENOUS A AND DATA 1146 00:44:32,278 --> 00:44:33,045 SOVEREIGNTY RIGHTS, ET CETERA, 1147 00:44:33,045 --> 00:44:33,946 ET CETERA. 1148 00:44:33,946 --> 00:44:37,650 GOVERNANCE IS ANOTHER ONE, WHAT 1149 00:44:37,650 --> 00:44:38,751 GOVERNMENT ARRANGEMENTS ARE IN 1150 00:44:38,751 --> 00:44:40,953 PLACE, HOW CAN TRIBES BEING 1151 00:44:40,953 --> 00:44:43,923 INVOLVED IN THE GOVERNANCE OF 1152 00:44:43,923 --> 00:44:45,457 SAMPLES, SOMETHING THAT CRYSTAL 1153 00:44:45,457 --> 00:44:51,931 HAD REFERRED TO IN HER 1154 00:44:51,931 --> 00:44:53,132 PRESENTATION, TO ESTABLISH THAT, 1155 00:44:53,132 --> 00:44:56,735 WE ARE ESTABLISHING A SIMILAR 1156 00:44:56,735 --> 00:45:01,140 ENTITY, WE'RE GOING DOWN A VERY 1157 00:45:01,140 --> 00:45:04,009 SIMILAR PATH, WHICH IS AROUND 1158 00:45:04,009 --> 00:45:04,877 INDIGENOUS GOVERNMENTS OVER 1159 00:45:04,877 --> 00:45:08,581 INDIGENOUS INFORMATION. 1160 00:45:08,581 --> 00:45:11,150 SO OTHER THINGS TO THINK ABOUT, 1161 00:45:11,150 --> 00:45:13,018 IS THERE DYNAMIC CONSENT OR 1162 00:45:13,018 --> 00:45:14,753 RE-CONSENT, WHAT ARE THE 1163 00:45:14,753 --> 00:45:16,422 BENEFITS ARISING FROM THE 1164 00:45:16,422 --> 00:45:19,024 STUDIES, AND HOW WILL THEY BE 1165 00:45:19,024 --> 00:45:20,793 RETURNED TO PARTICIPANTS IN 1166 00:45:20,793 --> 00:45:23,529 THEIR COMMUNITIES. 1167 00:45:23,529 --> 00:45:27,266 SO THESE FRAME WORKS HAVE BEEN 1168 00:45:27,266 --> 00:45:29,335 APPLIED IN A NUMBER OF DIFFERENT 1169 00:45:29,335 --> 00:45:29,802 PROJECTS. 1170 00:45:29,802 --> 00:45:32,705 MOST OF THESE, I'VE BEEN 1171 00:45:32,705 --> 00:45:33,706 INVOLVED IN. 1172 00:45:33,706 --> 00:45:37,443 I'LL TALK ABOUT ONE IN 1173 00:45:37,443 --> 00:45:47,386 PARTICULAR IN A SECOND, BUT -- 1174 00:45:47,386 --> 00:45:48,387 WE'LL GO INTO THAT ONE, ABOUT 1175 00:45:48,387 --> 00:45:52,558 ONE OF THESE PROJECTS, OUR VERY 1176 00:45:52,558 --> 00:45:56,261 OWN PROJECT AND HOW WE'VE USED 1177 00:45:56,261 --> 00:45:57,963 MAORI KNOWLEDGE TO DEVELOP THIS 1178 00:45:57,963 --> 00:46:03,535 VERY OWN TOOL. 1179 00:46:03,535 --> 00:46:06,572 SORE IT'S CALLED HE KAKANO, 1180 00:46:06,572 --> 00:46:11,310 WHICH MEANS THE SEED OR GENETIC 1181 00:46:11,310 --> 00:46:15,781 INHAINHERITANCE. 1182 00:46:15,781 --> 00:46:21,153 WE RECRUITED ABOUT -- JUST OVER 1183 00:46:21,153 --> 00:46:23,155 AHOW PROJECT, AND THE PROJECT 1184 00:46:23,155 --> 00:46:27,292 WAS DESIGNED -- PART OF THAT WAS 1185 00:46:27,292 --> 00:46:29,828 WE ASKED EVERY PARTICIPANT TO 1186 00:46:29,828 --> 00:46:34,433 TELL US WHAT -- ESSENTIALLY WHAT 1187 00:46:34,433 --> 00:46:37,936 THEIR GENEALOGY IS SO THAT WE 1188 00:46:37,936 --> 00:46:39,571 COULD DETERMINE WHETHER OR NOT 1189 00:46:39,571 --> 00:46:40,906 WE'VE GOT -- DEVELOPED A 1190 00:46:40,906 --> 00:46:47,813 RESOURCE THAT IS WIDELY SUITABLE 1191 00:46:47,813 --> 00:46:57,423 TO USE ACROSS THE MAORI WORLD. 1192 00:46:57,423 --> 00:46:59,224 IT'S BOTH A GENETIC AND SOCIAL 1193 00:46:59,224 --> 00:47:00,959 CONSTRUCT, IT REFERS TO THE 1194 00:47:00,959 --> 00:47:05,464 NAMES OF AN SE TORES SO THEY CAN 1195 00:47:05,464 --> 00:47:06,999 BEING FILLED WITH THE BONES AND 1196 00:47:06,999 --> 00:47:15,874 THE STORIES WHO GO WITH THEM. 1197 00:47:15,874 --> 00:47:17,543 MAORI HAVE OVER 30 GENERATIONS 1198 00:47:17,543 --> 00:47:18,744 OF AN SES INVENTORIES AND THAT'S 1199 00:47:18,744 --> 00:47:20,045 REALLY QUITE STUNNING, HOW THAT 1200 00:47:20,045 --> 00:47:21,613 WAS ACTUALLY ACHIEVED. 1201 00:47:21,613 --> 00:47:23,682 BUT THERE WERE A NUMBER OF 1202 00:47:23,682 --> 00:47:25,317 DIFFERENT CULTURAL PRACTICES 1203 00:47:25,317 --> 00:47:27,653 THAT ENABLED KNOWLEDGE OF 1204 00:47:27,653 --> 00:47:29,188 ANCESTORS, THEIR NAMES TO BE 1205 00:47:29,188 --> 00:47:31,390 RECORDED, AND THEN TO BE 1206 00:47:31,390 --> 00:47:34,426 VALIDATED AND PASSED ON TO EACH 1207 00:47:34,426 --> 00:47:36,328 SUBSEQUENT GENERATION. 1208 00:47:36,328 --> 00:47:38,530 SO WE'VE USED THAT INFORMATION 1209 00:47:38,530 --> 00:47:42,701 IN DEVELOPING OUR VERY OWN, AND 1210 00:47:42,701 --> 00:47:45,003 OUR FIRST ROUND OF RECRUITS IN 1211 00:47:45,003 --> 00:47:47,206 THE FIRST 125, I THINK, WE 1212 00:47:47,206 --> 00:47:49,274 RECRUITED FROM THE EAST COAST 1213 00:47:49,274 --> 00:47:50,809 REGION -- THE NORTHEAST COAST 1214 00:47:50,809 --> 00:47:57,416 REGION HERE, AND IN THE NORTH 1215 00:47:57,416 --> 00:47:59,151 ISLAND, AND WHAT WE FOUND WAS 1216 00:47:59,151 --> 00:48:01,253 THERE WAS AN OVERREPRESENTATION 1217 00:48:01,253 --> 00:48:02,988 NOT SURPRISINGLY OF THE TRIBES 1218 00:48:02,988 --> 00:48:07,493 FROM THAT AREA, SO WE HAD TO 1219 00:48:07,493 --> 00:48:09,294 CHANGE OUR RECRUITMENT STRATEGY 1220 00:48:09,294 --> 00:48:10,529 AND MOVE TO RECRUITING IN 1221 00:48:10,529 --> 00:48:11,497 DIFFERENT PLACES AND SPACES 1222 00:48:11,497 --> 00:48:17,970 AROUND THE COUNTRY TO ENABLE US 1223 00:48:17,970 --> 00:48:19,471 TO HAVE A MORE REPRESENTATIVE 1224 00:48:19,471 --> 00:48:26,645 SAMPLE OF MAORI FROM AROUND 1225 00:48:26,645 --> 00:48:27,880 AOTEAROA. 1226 00:48:27,880 --> 00:48:29,681 THIS ON THE RIGHT-HAND SIDE HERE 1227 00:48:29,681 --> 00:48:32,251 SHOWS THE DISTRIBUTION OF 1228 00:48:32,251 --> 00:48:33,886 DIFFERENT TRIBAL GROUPS, AND 1229 00:48:33,886 --> 00:48:37,389 THERE'S OVER A HUNDRED 1230 00:48:37,389 --> 00:48:41,527 RECOGNIZED TRIBES. 1231 00:48:41,527 --> 00:48:45,397 WWHAT WE WERE ABLE TO DO AFTER E 1232 00:48:45,397 --> 00:48:49,234 HAD RELOCATED OUR CENTERS OF 1233 00:48:49,234 --> 00:48:50,636 RECRUITMENT, WHAT WE WERE ABLE 1234 00:48:50,636 --> 00:48:54,940 TO DO WAS SEE A LOT MORE 1235 00:48:54,940 --> 00:48:56,909 DIVERSITY AND A LOT CLOSER 1236 00:48:56,909 --> 00:48:59,778 REPRESENTATION TO THE RELATIVE 1237 00:48:59,778 --> 00:49:04,817 PROPORTIONS OF TRIBES AS THEY 1238 00:49:04,817 --> 00:49:07,686 WERE IN THE 2013 CENSUS WAS 1239 00:49:07,686 --> 00:49:08,954 ACHIEVED BY CHANGING OUR 1240 00:49:08,954 --> 00:49:10,289 RECRUITMENT STRATEGY. 1241 00:49:10,289 --> 00:49:14,493 AND SO NOW WE HAVE A RESOURCE 1242 00:49:14,493 --> 00:49:16,461 THAT MORE ADEQUATELY REFLECTS 1243 00:49:16,461 --> 00:49:20,365 THE BROAD LEVEL OF VARIATION 1244 00:49:20,365 --> 00:49:22,034 THAT OCCURS WITHIN THIS 1245 00:49:22,034 --> 00:49:28,841 ALMOST -- OVER A MILLION MAORI, 1246 00:49:28,841 --> 00:49:30,809 SO THAT WORK WAS UNDERTAKEN BY 1247 00:49:30,809 --> 00:49:34,780 ONE OF MY MASTER STUDENTS, BEN 1248 00:49:34,780 --> 00:49:36,582 RANGIHUNA, WHO FROM HIMSELF IS 1249 00:49:36,582 --> 00:49:37,883 FROM THE TRIBE ON THE EAST 1250 00:49:37,883 --> 00:49:39,184 COAST. 1251 00:49:39,184 --> 00:49:44,957 SO WE'VE ALSO USED MATAURANGA 1252 00:49:44,957 --> 00:49:47,326 INFORMATION TO LOOK AT HOW DO WE 1253 00:49:47,326 --> 00:49:48,093 CALCULATE DISEASE RISK. 1254 00:49:48,093 --> 00:49:50,162 WHY WOULD WE NEED TO DO THAT? 1255 00:49:50,162 --> 00:49:51,196 POLYGENIC RISK SCORES, WHICH ARE 1256 00:49:51,196 --> 00:49:54,132 TYPICALLY USED TO CALCULATE 1257 00:49:54,132 --> 00:49:59,271 DISEASE RISK DO NOT PERFORM AS 1258 00:49:59,271 --> 00:50:01,640 WELL FOR POPULATIONS WHERE THOSE 1259 00:50:01,640 --> 00:50:03,041 POPULATIONS ARE NOT REPRESENTED 1260 00:50:03,041 --> 00:50:04,476 IN THE DATABASES USED TO 1261 00:50:04,476 --> 00:50:05,444 GENERATE THOSE RISK SCORES. 1262 00:50:05,444 --> 00:50:09,114 SO WE HAVE TO LOOK AT OTHER 1263 00:50:09,114 --> 00:50:12,918 METHODS. 1264 00:50:12,918 --> 00:50:14,786 POLYGENIC RISK SCORES COME FROM 1265 00:50:14,786 --> 00:50:15,888 GENOME WIDE ASSOCIATION STUDIES 1266 00:50:15,888 --> 00:50:20,492 THAT TYPICALLY INVOLVE OVER 1000 1267 00:50:20,492 --> 00:50:25,163 RESOURCES IN THIS COUNTRY TO RUN 1268 00:50:25,163 --> 00:50:28,267 A STUDY OF THAT SIZE, AND 1269 00:50:28,267 --> 00:50:30,669 THERE'S WIDESPREAD RELUCTANCE 1270 00:50:30,669 --> 00:50:32,871 AMONGST MAORI TO PARTICIPATE FOR 1271 00:50:32,871 --> 00:50:38,944 ALMOST EXACTLY THE SAME RENS 1272 00:50:38,944 --> 00:50:39,711 THAT -- NATIVE AMERICANS TO 1273 00:50:39,711 --> 00:50:40,812 PARTICIPATE IN THESE SORTS OF 1274 00:50:40,812 --> 00:50:41,146 STUDIES. 1275 00:50:41,146 --> 00:50:42,915 SO WE HAVE TO LOOK AT OUR 1276 00:50:42,915 --> 00:50:44,650 ALTERNATIVE METHODS, AND I'LL 1277 00:50:44,650 --> 00:50:49,488 JUST FINISH ON THIS. 1278 00:50:49,488 --> 00:50:50,689 THIS COMBINES I GUESS MY 1279 00:50:50,689 --> 00:50:54,660 KNOWLEDGE OF OUR PEOPLES' 1280 00:50:54,660 --> 00:50:57,062 CULTURE, AS WELL AS THE 1281 00:50:57,062 --> 00:50:59,464 STATISTICAL METHODS TO CALCULATE 1282 00:50:59,464 --> 00:51:00,032 DISEASE RISK. 1283 00:51:00,032 --> 00:51:03,869 AND WHAT WE'VE DONE AND I'LL 1284 00:51:03,869 --> 00:51:07,539 JUST CREATE -- THESE TWO GUYS UP 1285 00:51:07,539 --> 00:51:13,845 IN THE UPPER RIGHT SIDE, THIS IS 1286 00:51:13,845 --> 00:51:15,213 VERY PRELIMINARY AT THE MOMENT, 1287 00:51:15,213 --> 00:51:20,919 BUT IF WE USE THIS WITHOUT ANY 1288 00:51:20,919 --> 00:51:22,554 DNA OR GENOTYPIC INFORMATION, 1289 00:51:22,554 --> 00:51:27,292 WHAT WE FIND IS OUR PREDICTION 1290 00:51:27,292 --> 00:51:29,695 ACCURACY, OF AROUND ABOUT .6, 1291 00:51:29,695 --> 00:51:31,663 AND IT NOT TOO DIFFERENT TO 1292 00:51:31,663 --> 00:51:33,432 PUBLISH ESTIMATES OF POLYGENIC 1293 00:51:33,432 --> 00:51:39,137 RISK SCORE ACCURACIES FOR 1294 00:51:39,137 --> 00:51:40,339 CONDITIONS LIKE TYPE 2 DIABETES. 1295 00:51:40,339 --> 00:51:42,407 OF COURSE IF WE DIDN'T HAVE ANY 1296 00:51:42,407 --> 00:51:44,743 INFORMATION, WE'D HAVE ZERO 1297 00:51:44,743 --> 00:51:46,411 PREDICTION ACCURACY. 1298 00:51:46,411 --> 00:51:47,913 SO THIS GIVES US QUITE A LOT BY 1299 00:51:47,913 --> 00:51:48,246 ITSELF. 1300 00:51:48,246 --> 00:51:50,816 IF WE WERE GOING TO COMBINE THAT 1301 00:51:50,816 --> 00:51:52,217 WITH GENETIC INFORMATION, WHAT 1302 00:51:52,217 --> 00:51:54,853 WE CAN SEE IS IF WE GENOTYPED 1303 00:51:54,853 --> 00:51:58,290 50% OF OUR COHORTS AND COMBINED 1304 00:51:58,290 --> 00:52:02,227 IT WITH OUR INFORMATION ON THOSE 1305 00:52:02,227 --> 00:52:04,629 WHERE THE OTHER 50% WERE NOT 1306 00:52:04,629 --> 00:52:06,765 GENOTYPED, WHAT WE CAN SEE IS 1307 00:52:06,765 --> 00:52:08,066 PREDICTION ACCURACIES NOT FAR 1308 00:52:08,066 --> 00:52:10,469 LESS THAN EVERYBODY BEING 1309 00:52:10,469 --> 00:52:11,036 GENOTYPED. 1310 00:52:11,036 --> 00:52:14,239 NOW WHAT'S THE POINT HERE? 1311 00:52:14,239 --> 00:52:17,309 THE POINT IS SO -- WE DON'T NEED 1312 00:52:17,309 --> 00:52:20,479 TO GENOTYPE EVERYBODY. 1313 00:52:20,479 --> 00:52:22,047 WE'RE GENOTYPING EITHER FOR A 1314 00:52:22,047 --> 00:52:26,618 STUDY OR FOR ROUTINE CLINICAL 1315 00:52:26,618 --> 00:52:29,921 PURPOSES, YOU NEED TO SPEND 1316 00:52:29,921 --> 00:52:32,190 SOMEWHERE BETWEEN 300 AND $600 1317 00:52:32,190 --> 00:52:33,925 U.S. TO GENOTYPE THOSE PEOPLE. 1318 00:52:33,925 --> 00:52:35,961 IF YOU COMBINE -- IF WE'RE GOING 1319 00:52:35,961 --> 00:52:38,764 TO DO THAT ACROSS OUR ENTIRE 1320 00:52:38,764 --> 00:52:39,965 MAORI POPULATION IN THIS 1321 00:52:39,965 --> 00:52:41,800 COUNTRY, THAT'S ESSENTIALLY 1322 00:52:41,800 --> 00:52:42,734 500,000 PEOPLE THAT WE DON'T 1323 00:52:42,734 --> 00:52:48,340 NEED TO GENOTYPE, MULTIPLY THAT 1324 00:52:48,340 --> 00:52:49,975 BY $600 U.S., THAT'S A VERY, 1325 00:52:49,975 --> 00:52:51,777 VERY LARGE AMOUNT OF MONEY THAT 1326 00:52:51,777 --> 00:52:54,312 THE TAXPAYER DOES NOT HAVE TO 1327 00:52:54,312 --> 00:52:56,748 SPEND FOR VERY LITTLE LOSS IN 1328 00:52:56,748 --> 00:52:59,317 PREDICTION ACCURACY. 1329 00:52:59,317 --> 00:53:01,019 SO IT HAS REAL BENEFITS, NOT 1330 00:53:01,019 --> 00:53:02,320 ONLY FINANCIALLY BUT ALSO IN 1331 00:53:02,320 --> 00:53:04,089 TERMS OF OUR ABILITY TO CONDUCT 1332 00:53:04,089 --> 00:53:05,424 STUDIES AS WELL. 1333 00:53:05,424 --> 00:53:09,361 BEFORE WE ONLY HAD THE RESOURCES 1334 00:53:09,361 --> 00:53:10,695 FOR WIDESPREAD GENOME WIDE 1335 00:53:10,695 --> 00:53:12,164 ASSOCIATION STUDIES, BUT IF WE 1336 00:53:12,164 --> 00:53:14,032 WERE ABLE TO UNDERTAKE THESE 1337 00:53:14,032 --> 00:53:16,535 STUDIES WITH -- SIMILAR STUDIES 1338 00:53:16,535 --> 00:53:19,337 BUT WITH FAR FEWER PEOPLE 1339 00:53:19,337 --> 00:53:21,273 WITHOUT A LOSS OF ACCURACY, THEN 1340 00:53:21,273 --> 00:53:23,975 THAT HAS BENEFITS EVEN FOR 1341 00:53:23,975 --> 00:53:25,477 RESEARCH PROJECTS. 1342 00:53:25,477 --> 00:53:27,546 SO I'LL END THERE. 1343 00:53:27,546 --> 00:53:32,918 JUST BY STATING THAT BOTH 1344 00:53:32,918 --> 00:53:37,222 TIKANGA AND MATAURANGA MAORI 1345 00:53:37,222 --> 00:53:41,126 HAVE CONTRIBUTED TO IMPROVED 1346 00:53:41,126 --> 00:53:42,661 OUTCOMES, GREATER LEVELS OF 1347 00:53:42,661 --> 00:53:43,895 PARTICIPATION BY MAORI, MORE 1348 00:53:43,895 --> 00:53:45,430 EFFECTIVE STUDY DESIGN AND 1349 00:53:45,430 --> 00:53:46,765 CONDUCT, WE HAVE BETTER 1350 00:53:46,765 --> 00:53:47,766 RESOURCES, THEY ARE A LOT BETTER 1351 00:53:47,766 --> 00:53:49,301 THAN THEY WOULD HAVE BEEN 1352 00:53:49,301 --> 00:53:50,602 OTHERWISE IF WE DIDN'T UTILIZE 1353 00:53:50,602 --> 00:53:51,036 THIS. 1354 00:53:51,036 --> 00:53:52,270 AND IT'S POTENTIALLY GOING TO 1355 00:53:52,270 --> 00:53:55,307 LEAD TO MORE COST-EFFECTIVE AND 1356 00:53:55,307 --> 00:53:57,642 ACCURATE DISEASE RISK AND 1357 00:53:57,642 --> 00:53:57,943 ESTIMATION. 1358 00:53:57,943 --> 00:53:59,744 AND ALL OF THOSE OUTCOMES ARE 1359 00:53:59,744 --> 00:54:02,280 NOT JUST GOOD FOR OUR PEOPLE, 1360 00:54:02,280 --> 00:54:04,116 BUT THEY'RE GOOD SCIENTIFICALLY, 1361 00:54:04,116 --> 00:54:06,685 SO HE CAN DO GOOD SCIENCE BY 1362 00:54:06,685 --> 00:54:10,088 COULDDOING THINGS ETHICALLY AND 1363 00:54:10,088 --> 00:54:11,256 APPROPRIATELY UTILIZING 1364 00:54:11,256 --> 00:54:12,090 INDIGENOUS KNOWLEDGE. 1365 00:54:12,090 --> 00:54:14,292 AND THAT KNOWLEDGE AND THOSE 1366 00:54:14,292 --> 00:54:16,661 FRAME WORKS CAN, THEREFORE, ALSO 1367 00:54:16,661 --> 00:54:19,498 BE ABLE TO POTENTIALLY REDUCE 1368 00:54:19,498 --> 00:54:20,866 EQUITY GAPS. 1369 00:54:20,866 --> 00:54:22,300 AND I THINK THAT THAT'S A REALLY 1370 00:54:22,300 --> 00:54:24,035 IMPORTANT LESSON FOR AN 1371 00:54:24,035 --> 00:54:25,670 INDIGENOUS REFERENCE GENOME. 1372 00:54:25,670 --> 00:54:29,007 WE NEED TO -- WE NEED TO 1373 00:54:29,007 --> 00:54:30,976 INCORPORATE HOW ETHICAL 1374 00:54:30,976 --> 00:54:32,410 PRACTICES AS WELL AS 1375 00:54:32,410 --> 00:54:34,146 UNDERSTANDINGS OF OUR CONCEPTS 1376 00:54:34,146 --> 00:54:36,148 OF HEREDITARY INHERITANCE. 1377 00:54:36,148 --> 00:54:37,816 EVEN THOUGH THOSE THINGS MIGHT 1378 00:54:37,816 --> 00:54:42,521 BE LOCALIZED, THEY NONETHELESS 1379 00:54:42,521 --> 00:54:46,158 CAN PROVIDE DOING SCIENCE IN A 1380 00:54:46,158 --> 00:54:51,997 MUCH BETTER WAY THAN ACTUALLY TY 1381 00:54:51,997 --> 00:54:53,932 DELIVERS OUTCOMES FOR OUR 1382 00:54:53,932 --> 00:54:54,332 COMMUNITIES. 1383 00:54:54,332 --> 00:55:01,139 IN OUR NE KAKANO, WE HAVE A FEW 1384 00:55:01,139 --> 00:55:04,109 PEOPLE INVOLVED, PROFESSOR 1385 00:55:04,109 --> 00:55:06,444 STEVEN ROBERTSON, LEADERSHIP 1386 00:55:06,444 --> 00:55:09,714 GROUP, WHO ALMOST ALL BUT ONE 1387 00:55:09,714 --> 00:55:16,721 ARE MAORI AND HUTI WATSON IS THE 1388 00:55:16,721 --> 00:55:17,989 CHAIR OF THAT GROUP. 1389 00:55:17,989 --> 00:55:20,825 SO MY FINAL COMMENT, 1390 00:55:20,825 --> 00:55:29,134 [SPEAKING INDIGENOUS LANGUAGE] 1391 00:55:29,134 --> 00:55:30,302 THE BIRD THAT EATS THE FRUIT OF 1392 00:55:30,302 --> 00:55:32,237 THE MIRO TREE WILL HAVE THE 1393 00:55:32,237 --> 00:55:33,772 FOREST AS ITS DOMAIN, BUT THE 1394 00:55:33,772 --> 00:55:34,806 BIRD THAT EATS THE TREE OF 1395 00:55:34,806 --> 00:55:35,807 KNOWLEDGE WILL INHERIT THE 1396 00:55:35,807 --> 00:55:39,177 EARTH. 1397 00:55:39,177 --> 00:55:40,879 ALL FINISHED. 1398 00:55:40,879 --> 00:55:42,581 >> THANK YOU SO MUCH, 1399 00:55:42,581 --> 00:55:43,515 DR. WILCOX. 1400 00:55:43,515 --> 00:55:45,016 REALLY APPRECIATE THAT. 1401 00:55:45,016 --> 00:55:47,319 WE'LL TURN NEXT TO OUR NEXT 1402 00:55:47,319 --> 00:55:49,254 SPEAKER, OUR THIRD SPEAKER, 1403 00:55:49,254 --> 00:55:52,057 DR. BROWN. 1404 00:55:52,057 --> 00:55:52,757 >> THANK YOU. 1405 00:55:52,757 --> 00:55:55,927 AND WHAT A GREAT PRIVILEGE AND 1406 00:55:55,927 --> 00:55:57,362 PLEASURE IT IS TO BE ABLE TO 1407 00:55:57,362 --> 00:56:01,499 JOIN YOU ALL TODAY. 1408 00:56:01,499 --> 00:56:02,867 MY NAME IS ALEX BROWN. 1409 00:56:02,867 --> 00:56:04,236 I'M JUST TRYING TO BRING UP MY 1410 00:56:04,236 --> 00:56:07,706 SLIDES HERE. 1411 00:56:07,706 --> 00:56:09,241 I THINK -- HERE WE GO. 1412 00:56:09,241 --> 00:56:13,278 YOU SHOULD BE ABLE TO -- VERY 1413 00:56:13,278 --> 00:56:13,478 GOOD. 1414 00:56:13,478 --> 00:56:15,146 I HOPE YOU CAN NOW SEE THAT. 1415 00:56:15,146 --> 00:56:17,616 IT'S A GREAT PRIVILEGE TO BE 1416 00:56:17,616 --> 00:56:19,784 JOINING YOU DURING NATIVE 1417 00:56:19,784 --> 00:56:20,885 AMERICAN HERITAGE MONTH. 1418 00:56:20,885 --> 00:56:21,853 KARINA, THANK YOU SO MUCH FOR 1419 00:56:21,853 --> 00:56:24,322 THE INVITATION, AND IT'S A GREAT 1420 00:56:24,322 --> 00:56:27,726 PRIVILEGE AS ALWAYS TO SHARE THE 1421 00:56:27,726 --> 00:56:31,896 VIRTUAL NOOR W FLOOR WITH CRYSTD 1422 00:56:31,896 --> 00:56:33,131 PHIL, WHO I'VE ENJOYED WORKING 1423 00:56:33,131 --> 00:56:35,100 WITH FOR NOW SOME TIME. 1424 00:56:35,100 --> 00:56:36,334 WHAT I THOUGHT I WOULD DO IS 1425 00:56:36,334 --> 00:56:37,235 JUST GIVE YOU A LITTLE BIT OF 1426 00:56:37,235 --> 00:56:39,738 INFORMATION FROM WHERE I'M FROM. 1427 00:56:39,738 --> 00:56:43,842 I'M FROM THE SOUTH COAST OF NEW 1428 00:56:43,842 --> 00:56:46,678 SOUTH WALES, FOR THOSE OF YOU 1429 00:56:46,678 --> 00:56:47,879 PARTICULARLY IN THE U.S. WHO 1430 00:56:47,879 --> 00:56:49,514 DON'T KNOW WHAT AUSTRALIA LOOKS 1431 00:56:49,514 --> 00:56:51,283 LIKE, WE'VE GOT A MAP THERE, I'M 1432 00:56:51,283 --> 00:56:54,686 FROM THE BOTTOM LEFT-HAND 1433 00:56:54,686 --> 00:56:56,655 CORNER, AND MY GRANDMOTHER'S 1434 00:56:56,655 --> 00:57:00,592 COUNTRY IS THIS PLACE ON THE 1435 00:57:00,592 --> 00:57:04,029 RIGHT CALLED WALLAGA LAKE. 1436 00:57:04,029 --> 00:57:06,131 IN THE BACKGROUND IS OUR 1437 00:57:06,131 --> 00:57:07,399 ANCESTORS' PLACE, OUR MOUNTAIN, 1438 00:57:07,399 --> 00:57:11,870 IT WAS NAMED BY CAPTAIN COOK, 1439 00:57:11,870 --> 00:57:13,405 BECAUSE HE THOUGHT IT LOOKED 1440 00:57:13,405 --> 00:57:13,938 LIKE A CAMEL. 1441 00:57:13,938 --> 00:57:15,540 WE HAVE ANOTHER NAME FOR THAT 1442 00:57:15,540 --> 00:57:18,209 PLACE AS IT HAS BEEN FOR TENS OF 1443 00:57:18,209 --> 00:57:23,715 THOUSANDS OF YEARS, AND IT'S THE 1444 00:57:23,715 --> 00:57:24,949 BIRTHPLACE OF MY ANCESTORS. 1445 00:57:24,949 --> 00:57:27,285 YOU CAN OBVIOUSLY TELL THE 1446 00:57:27,285 --> 00:57:28,586 BOTTOM LEFT-HAND SIDE WHERE I 1447 00:57:28,586 --> 00:57:30,121 GET MY VERY HANDSOME LOOKS FROM, 1448 00:57:30,121 --> 00:57:34,759 MY DAD AND MY GRANDFATHER. 1449 00:57:34,759 --> 00:57:36,194 WHAT I THOUGHT I'D DO TODAY IS 1450 00:57:36,194 --> 00:57:40,699 JUST LAY OUT SOME OF THE 1451 00:57:40,699 --> 00:57:41,566 COMPLEXITIES AND QUESTIONS WE 1452 00:57:41,566 --> 00:57:42,967 NEED TO ASK OURSELVES AND THE 1453 00:57:42,967 --> 00:57:44,936 WAY IN WHICH GENOMICS RESEARCH 1454 00:57:44,936 --> 00:57:45,870 HAS BEEN CONDUCTED. 1455 00:57:45,870 --> 00:57:49,140 OUR STARTING POINT UNFORTUNATE 1456 00:57:49,140 --> 00:57:52,143 NATTILY IS THE HISTORY OF 1457 00:57:52,143 --> 00:57:53,345 SCIENCE, CERTAINLY IN OUR 1458 00:57:53,345 --> 00:57:54,679 COUNTRY, WHERE SCIENCE WAS NOT 1459 00:57:54,679 --> 00:57:57,549 JUST AN INNOCENT BYSTANDER TO 1460 00:57:57,549 --> 00:57:59,517 THE PROCESS OF COLONIZATION, IT 1461 00:57:59,517 --> 00:58:02,687 BECAME A TOOL OF OPPRESSION, IT 1462 00:58:02,687 --> 00:58:05,023 WAS A FORM OF CONFLICT AND HARM 1463 00:58:05,023 --> 00:58:07,292 AND VIOLENCE AGAINST INDIGENOUS 1464 00:58:07,292 --> 00:58:09,427 INTERESTS. 1465 00:58:09,427 --> 00:58:12,297 IN A WAY TO DEMONSTRATE THAT 1466 00:58:12,297 --> 00:58:13,965 WILL INDIGENOUS AUSTRALIANS, 1467 00:58:13,965 --> 00:58:16,935 DESPITE HAVING LIVED O IN THIS 1468 00:58:16,935 --> 00:58:19,304 COUNTRY FOR OVER 60,000 YEARS, 1469 00:58:19,304 --> 00:58:20,772 WERE SOMEHOW LESS HUMAN THAN THE 1470 00:58:20,772 --> 00:58:23,942 REST OF THE GLOBE. 1471 00:58:23,942 --> 00:58:28,146 AND THIS WAS CREATED AS A METHOD 1472 00:58:28,146 --> 00:58:30,348 OF DISPOSSESSING INDIGENOUS 1473 00:58:30,348 --> 00:58:31,216 AUSTRALIANS OF THEIR RIGHTS AS 1474 00:58:31,216 --> 00:58:32,817 THE ORIGINAL INHABITANTS OF THIS 1475 00:58:32,817 --> 00:58:34,452 LAND. 1476 00:58:34,452 --> 00:58:37,722 AND I POSE TO YOU A SET OF 1477 00:58:37,722 --> 00:58:39,691 CONSIDERATIONS ABOUT HOW IF 1478 00:58:39,691 --> 00:58:42,360 WE'RE ABLE TO PROGRESS OUR 1479 00:58:42,360 --> 00:58:43,695 AGENDA ON OUR TERMS, 1480 00:58:43,695 --> 00:58:46,097 PARTICULARLY IN THE CONTEXT OF 1481 00:58:46,097 --> 00:58:47,298 GENETICS, THAT WOULD MAKE A 1482 00:58:47,298 --> 00:58:48,633 SIGNIFICANT DIFFERENCE. 1483 00:58:48,633 --> 00:58:50,635 NOW WE KNOW THAT MOST OF THE 1484 00:58:50,635 --> 00:58:56,107 AGENDA PLAYING OUT IN THE GLOBAL 1485 00:58:56,107 --> 00:58:56,975 GENOMICS RESEARCH COMMUNITIES 1486 00:58:56,975 --> 00:58:58,042 THAT IS A REQUIREMENT FOR A 1487 00:58:58,042 --> 00:59:01,312 WHOLE BUNCH OF INDIGENOUS FOLK 1488 00:59:01,312 --> 00:59:03,148 AND OTHER ANCESTRALLY DIVERSE 1489 00:59:03,148 --> 00:59:06,151 COMMUNITIES TO BE INVOLVED IN 1490 00:59:06,151 --> 00:59:08,987 THIS GENOMICS AGENDA. 1491 00:59:08,987 --> 00:59:10,755 AND WHILE THERE IS A STRONG CASE 1492 00:59:10,755 --> 00:59:14,826 FOR INCLUSION, THERE IS CLEARLY 1493 00:59:14,826 --> 00:59:17,896 SIGNIFICANT ADDITIONAL 1494 00:59:17,896 --> 00:59:18,897 CONSIDERATIONS TO BE PLAYED 1495 00:59:18,897 --> 00:59:19,998 THROUGH. 1496 00:59:19,998 --> 00:59:22,834 INCLUSION AT THIS STAGE, A STAMP 1497 00:59:22,834 --> 00:59:25,703 COLLECTING EXERCISE AS VIEWED BY 1498 00:59:25,703 --> 00:59:27,906 MANY WILL NOT DELIVER THE EQUITY 1499 00:59:27,906 --> 00:59:28,973 AND, MORE IMPORTANTLY, THE 1500 00:59:28,973 --> 00:59:29,974 SOVEREIGNTY THAT INDIGENOUS 1501 00:59:29,974 --> 00:59:32,110 PEOPLES DESERVE AND ASPIRE TO IN 1502 00:59:32,110 --> 00:59:34,746 THE CONDUCT OF THIS WORK, AND 1503 00:59:34,746 --> 00:59:39,050 I'LL GO THROUGH SOME OF THAT. 1504 00:59:39,050 --> 00:59:41,653 WE KNOW, AS HAS ALREADY BEEN 1505 00:59:41,653 --> 00:59:44,189 TOUCHED ON BY CRYSTAL IS THERE 1506 00:59:44,189 --> 00:59:47,492 ARE VERY FEW INDIGENOUS PEOPLE 1507 00:59:47,492 --> 00:59:48,927 INVOLVED IN GENOMICS AGENDAS 1508 00:59:48,927 --> 00:59:49,928 ACROSS THE GLOBE AND THAT 1509 00:59:49,928 --> 00:59:51,229 DOESN'T LOOK LIKE CHANGING IN 1510 00:59:51,229 --> 00:59:53,164 THE NEAR FUTURE. 1511 00:59:53,164 --> 00:59:55,133 WE MIGHT SAY WELL, OKAY, 1512 00:59:55,133 --> 00:59:56,000 INDIGENOUS PEOPLE HAVE CHOSEN 1513 00:59:56,000 --> 00:59:57,368 NOT TO PLAY AND THAT'S CERTAINLY 1514 00:59:57,368 --> 00:59:58,870 BEEN THE CASE IN AUSTRALIA. 1515 00:59:58,870 --> 00:59:59,871 BUT THE CHALLENGE FOR US IS THAT 1516 00:59:59,871 --> 01:00:01,072 ALL OF THE TOOLS TO BE 1517 01:00:01,072 --> 01:00:03,208 DEVELOPED, AS PHILIP TOUCHED ON, 1518 01:00:03,208 --> 01:00:10,949 WILL BE BIASED IN THEIR 1519 01:00:10,949 --> 01:00:12,183 APPLICABILITY IN THE CONTEXT OF 1520 01:00:12,183 --> 01:00:13,651 HEALTHCARE AND RESEARCH IN RE 1521 01:00:13,651 --> 01:00:14,986 VANS TO US AS INDIGENOUS 1522 01:00:14,986 --> 01:00:15,653 PEOPLES. 1523 01:00:15,653 --> 01:00:16,387 THERE WAS ALSO A CONVERSATION 1524 01:00:16,387 --> 01:00:18,556 THAT WE PROBABLY NEED TO HAVE AS 1525 01:00:18,556 --> 01:00:22,794 A GLOBAL COMMUNITY ABOUT OUR 1526 01:00:22,794 --> 01:00:25,630 HETEROGENEITY. 1527 01:00:25,630 --> 01:00:27,699 NOT JUST IN TERMS OF LABELING OF 1528 01:00:27,699 --> 01:00:29,300 INDIGENOUS PEOPLES WITH COLONIAL 1529 01:00:29,300 --> 01:00:31,169 CONSTRUCTS OF WHO WE ARE AND 1530 01:00:31,169 --> 01:00:32,604 WHAT WE REPRESENT, BUT WE 1531 01:00:32,604 --> 01:00:34,072 PUBLISHED RECENTLY DATA TO SHOW 1532 01:00:34,072 --> 01:00:37,008 THAT THERE IS DISTINCT GENETIC 1533 01:00:37,008 --> 01:00:40,845 ARCHITECTURE WITHIN INDIGENOUS 1534 01:00:40,845 --> 01:00:41,379 AUSTRALIANS. 1535 01:00:41,379 --> 01:00:42,847 THIS DATA PUBLISHED IN NATURE 1536 01:00:42,847 --> 01:00:44,649 LAST YEAR SHOWED THAT ABOUT 25% 1537 01:00:44,649 --> 01:00:46,684 OF THE VARIATION WE SAW IN 1538 01:00:46,684 --> 01:00:47,652 INDIGENOUS COMMUNITIES IN 1539 01:00:47,652 --> 01:00:49,153 AUSTRALIA WAS UNIQUE TO US AND 1540 01:00:49,153 --> 01:00:50,889 NOT SEEN IN ANY EUROPEAN 1541 01:00:50,889 --> 01:00:51,756 POPULATIONS. 1542 01:00:51,756 --> 01:00:58,263 BUT MORE IMPORTANTLY, PERHAPS, 1543 01:00:58,263 --> 01:00:59,898 AS 25% OF OUR VARIATION WAS 1544 01:00:59,898 --> 01:01:00,665 UNIQUE BETWEEN COMMUNITIES. 1545 01:01:00,665 --> 01:01:02,300 AND THIS WAS NOT SURPRISING THAT 1546 01:01:02,300 --> 01:01:04,769 CULTURAL AND HISTORICAL 1547 01:01:04,769 --> 01:01:06,971 REALITIES OF INDIGENOUS 1548 01:01:06,971 --> 01:01:09,707 COMMUNITIES ACROSS AUSTRALIA, WE 1549 01:01:09,707 --> 01:01:11,109 WERE SOVEREIGN, INDEPENDENT 1550 01:01:11,109 --> 01:01:12,377 NATIONS THAT HAD VERY CLOSELY 1551 01:01:12,377 --> 01:01:13,678 MONITORED WAYS OF 1552 01:01:13,678 --> 01:01:15,313 INTERCONNECTING WITH OTHER 1553 01:01:15,313 --> 01:01:17,081 LANGUAGE GROUPS OR OTHER TRIBES, 1554 01:01:17,081 --> 01:01:22,921 AND THIS IS DEMONSTRATED IN THE 1555 01:01:22,921 --> 01:01:24,589 GENOMICS STRUCTURE WE SEE WITHIN 1556 01:01:24,589 --> 01:01:25,123 INDIGENOUS COMMUNITIES. 1557 01:01:25,123 --> 01:01:26,991 AND THIS HAS ENORMOUS RELEVANCE 1558 01:01:26,991 --> 01:01:29,661 FOR OUR QUESTIONS OF HOW WILL 1559 01:01:29,661 --> 01:01:31,195 THE TOOLS THAT NEED TO BE 1560 01:01:31,195 --> 01:01:33,598 DEVELOPED TO ASSIST IN REDUCING 1561 01:01:33,598 --> 01:01:35,633 HEALTH INEQUALITIES CONTEND WITH 1562 01:01:35,633 --> 01:01:37,835 THESE CHALLENGES, AND ALSO 1563 01:01:37,835 --> 01:01:39,337 RELEVANCE TO THE QUESTION OF 1564 01:01:39,337 --> 01:01:46,678 WHAT IS AN INDIGENOUS REFERENCE, 1565 01:01:46,678 --> 01:01:50,148 WOULD BE ENOUGH TO CAPTURE THE 1566 01:01:50,148 --> 01:01:51,883 UNIQUE VARIATION IN 1567 01:01:51,883 --> 01:01:52,650 HETEROGENEITY ACROSS OUR 1568 01:01:52,650 --> 01:01:53,918 COMMUNITIES BOTH IN TERMS OF OUR 1569 01:01:53,918 --> 01:01:55,219 CULTURE, OUR BACKGROUNDS ABOUT 1570 01:01:55,219 --> 01:01:56,888 BU ALSO OUR GENOMIC PICTURE. 1571 01:01:56,888 --> 01:01:59,591 AND IN OUR CONVERSATIONS WITH 1572 01:01:59,591 --> 01:02:00,658 COMMUNITIES, THERE ARE ALSO 1573 01:02:00,658 --> 01:02:04,829 ADDITIONAL CHALLENGES. 1574 01:02:04,829 --> 01:02:06,764 FOR JUST THINKING WE CAN ROLL UP 1575 01:02:06,764 --> 01:02:08,199 OUR SLEEVES AND RECRUIT A WHOLE 1576 01:02:08,199 --> 01:02:12,870 BIBUNCH OF INDIGENOUS PEOPLE INO 1577 01:02:12,870 --> 01:02:15,139 RESEARCH EFFORTS MORE BROADLY. 1578 01:02:15,139 --> 01:02:18,276 QUESTIONS COMING FROM INL DIJ 1579 01:02:18,276 --> 01:02:20,345 NUSS AUSTRALIANS ARE QUESTIONS 1580 01:02:20,345 --> 01:02:22,547 ABOUT TRUST, THEIR CONCERN IS 1581 01:02:22,547 --> 01:02:24,248 HOW WILL GENOMICS ACTUALLY BE 1582 01:02:24,248 --> 01:02:25,216 USED AGAINST US? 1583 01:02:25,216 --> 01:02:29,053 LARGELY BASED ON OUR HISTORICAL 1584 01:02:29,053 --> 01:02:31,456 REALITY OF -- THE TOOL OF A 1585 01:02:31,456 --> 01:02:32,290 PERSON. 1586 01:02:32,290 --> 01:02:33,491 SCIENCE AS I MENTIONED BEFORE 1587 01:02:33,491 --> 01:02:35,693 HAS NOT TRADED INDIGENOUS PEOPLE 1588 01:02:35,693 --> 01:02:36,794 OR THEIR INTERESTS OR 1589 01:02:36,794 --> 01:02:40,131 PROTECTIONS OF THEIR RIGHTS, AND 1590 01:02:40,131 --> 01:02:41,099 SOVEREIGN ABILITY TO DECIDE 1591 01:02:41,099 --> 01:02:46,671 THEIR OWN FUTURE. 1592 01:02:46,671 --> 01:02:48,873 PARTICULARLY WELL. 1593 01:02:48,873 --> 01:02:49,907 QUESTIONS ABOUT CONTROL, WHO'S 1594 01:02:49,907 --> 01:02:51,876 MAKING ALL OF THESE DECISIONS? 1595 01:02:51,876 --> 01:02:53,411 WHO HAS ACCESS TO THE DATA? 1596 01:02:53,411 --> 01:02:55,780 IS THERE A DEGREE OF 1597 01:02:55,780 --> 01:02:56,547 EXPLOITATION AT PLAY HERE? 1598 01:02:56,547 --> 01:02:57,849 ARE YOU STEALING OUR CULTURE, 1599 01:02:57,849 --> 01:02:59,784 OUR STORY, OUR HISTORY, OUR 1600 01:02:59,784 --> 01:03:01,552 PEOPLE, OUR NARRATIVES, OUR ORAL 1601 01:03:01,552 --> 01:03:03,488 AND CULTURAL TRADITIONS? 1602 01:03:03,488 --> 01:03:05,256 AND ONE OF THE IMPORTANT 1603 01:03:05,256 --> 01:03:06,524 QUESTIONS, COMMUNITIES, ARE 1604 01:03:06,524 --> 01:03:08,693 STILL GRAPPLING WITH AND I THINK 1605 01:03:08,693 --> 01:03:09,894 THE GENOMICS COMMUNITY HAS YET 1606 01:03:09,894 --> 01:03:14,532 TO ANSWER, IS HOW WILL THESE 1607 01:03:14,532 --> 01:03:15,166 BENEFIT COMMUNITY SPECIFICALLY, 1608 01:03:15,166 --> 01:03:16,734 HOW WILL IT HELP THE NEXT 1609 01:03:16,734 --> 01:03:19,704 GENERATIONS OF INDIGENOUS 1610 01:03:19,704 --> 01:03:24,509 PEOPLES AND OUR COMMUNITIES? 1611 01:03:24,509 --> 01:03:25,977 AND I FEEL THERE'S STILL 1612 01:03:25,977 --> 01:03:27,078 ENORMOUS WORK TO BE DONE TO 1613 01:03:27,078 --> 01:03:28,112 ANSWER THESE QUESTIONS IN A WAY 1614 01:03:28,112 --> 01:03:30,348 THAT WOULD GIVE COMFORT IN SOME 1615 01:03:30,348 --> 01:03:32,483 WAY TO THE PROTECTION OF 1616 01:03:32,483 --> 01:03:37,955 INDIGENOUS RIGHTS AND INTERESTS. 1617 01:03:37,955 --> 01:03:39,390 YOU MIGHT ASK IF YOU'VE GOT ALL 1618 01:03:39,390 --> 01:03:40,958 THESE PROBLEMS WITH GENETICS, 1619 01:03:40,958 --> 01:03:42,393 ALEX, WHY THE HELL ARE YOU DOING 1620 01:03:42,393 --> 01:03:42,827 IT? 1621 01:03:42,827 --> 01:03:45,296 WELL, IT TOOK A LONG TIME TO 1622 01:03:45,296 --> 01:03:46,164 NEGOTIATE CONVERSATIONS WITH 1623 01:03:46,164 --> 01:03:48,132 COMMUNITIES ABOUT HOW GENOMICS 1624 01:03:48,132 --> 01:03:49,901 COULD BE USED TO ANSWER SOME 1625 01:03:49,901 --> 01:03:52,070 FUNDAMENTAL QUESTIONS WE HAVE, 1626 01:03:52,070 --> 01:03:55,306 AND OUR STARTING POINT WAS 1627 01:03:55,306 --> 01:03:57,942 ACTUALLY AROUND THE 1628 01:03:57,942 --> 01:03:59,243 INVESTIGATION OF THE AMOUNT OF 1629 01:03:59,243 --> 01:04:01,345 TYPE 2 DIABETES THAT WE SEE IN 1630 01:04:01,345 --> 01:04:03,281 OUR COMMUNITIES. 1631 01:04:03,281 --> 01:04:05,116 ABOUT 50% OF ADULTS OVER THE AGE 1632 01:04:05,116 --> 01:04:07,485 OF 50 WILL HAVE TYPE 2 DIABETES 1633 01:04:07,485 --> 01:04:08,820 IN MANY OF OUR COMMUNITIES. 1634 01:04:08,820 --> 01:04:12,256 SO WE HAVE THIS EXTREMELY HIGH 1635 01:04:12,256 --> 01:04:14,225 BURDEN. 1636 01:04:14,225 --> 01:04:17,628 WE SEE VERY EARLY ONSET OF TYPE 1637 01:04:17,628 --> 01:04:19,230 2 DIABETES IN OUR COMMUNITIES, 1638 01:04:19,230 --> 01:04:22,066 MUCH OF WHICH IS NOT EXPLAINED 1639 01:04:22,066 --> 01:04:25,002 BY TRADITIONAL RISK FACTORS FOR 1640 01:04:25,002 --> 01:04:29,273 TYPE 2 DIABETES AS WE CURRENTLY 1641 01:04:29,273 --> 01:04:31,242 KNOWN AS THIS COMMONLY REFERS 1642 01:04:31,242 --> 01:04:33,811 TO, AND THIS ONSET IS UP TO TWO 1643 01:04:33,811 --> 01:04:35,780 DECADES EARLIER IN INDIGENOUS 1644 01:04:35,780 --> 01:04:36,547 AUSTRALIANS. 1645 01:04:36,547 --> 01:04:38,449 WE SEE A VERY HIGH BURDEN OF 1646 01:04:38,449 --> 01:04:39,083 AGGRESSIVE COMPLICATION AND WE 1647 01:04:39,083 --> 01:04:40,985 SEE A PHENOTYPE THAT PROGRESSES 1648 01:04:40,985 --> 01:04:43,054 VERY RAPIDLY TO COMPLICATIONS, 1649 01:04:43,054 --> 01:04:45,323 PARTICULARLY WITHIN FAMILY 1650 01:04:45,323 --> 01:04:45,757 GROUPS. 1651 01:04:45,757 --> 01:04:48,593 THOSE COMPLICATIONS BEING END 1652 01:04:48,593 --> 01:04:51,028 STAGE KIDNEY DISEASE, BLINDNESS 1653 01:04:51,028 --> 01:04:53,331 FROM RETINOPATHY, HEART DISEASE 1654 01:04:53,331 --> 01:04:56,000 AND STROKES. 1655 01:04:56,000 --> 01:04:57,635 WE KNOW THAT WE WANT AS A 1656 01:04:57,635 --> 01:04:59,704 HEALTHCARE SYSTEM TO IMPROVE OUR 1657 01:04:59,704 --> 01:05:01,439 ABILITY TO PREDICT WHO'S GOING 1658 01:05:01,439 --> 01:05:03,174 TO HAVE TROUBLE, AND THE 1659 01:05:03,174 --> 01:05:03,741 QUESTION IS WHETHER OR NOT 1660 01:05:03,741 --> 01:05:07,111 GENETICS OFFERS US TOOLS WHEN 1661 01:05:07,111 --> 01:05:08,479 EXISTING APPROACHES DON'T DO THE 1662 01:05:08,479 --> 01:05:09,580 BUSINESS. 1663 01:05:09,580 --> 01:05:12,650 AND WHETHER OR NOT WE CAN 1664 01:05:12,650 --> 01:05:14,285 INCREASE ACCESS AND IMPROVE 1665 01:05:14,285 --> 01:05:16,020 OUTCOMES IN OUR COMMUNITIES. 1666 01:05:16,020 --> 01:05:17,522 SO THIS WAS A NEGOTIATION 1667 01:05:17,522 --> 01:05:20,091 PROCESS THAT TOOK OVER THREE 1668 01:05:20,091 --> 01:05:26,798 YEARS TO START WITH. 1669 01:05:26,798 --> 01:05:29,066 WHAT THAT'S LED US TO IS TWO 1670 01:05:29,066 --> 01:05:30,401 FUNDAMENTAL APPROACHES MORE 1671 01:05:30,401 --> 01:05:31,135 BROADLY BEYOND A SPECIFIC 1672 01:05:31,135 --> 01:05:34,705 PROJECT OF INTEREST TO AGENDAS, 1673 01:05:34,705 --> 01:05:35,807 ONE AROUND EMPOWERING 1674 01:05:35,807 --> 01:05:37,141 COMMUNITIES IN DECISION-MAKING 1675 01:05:37,141 --> 01:05:40,211 ABOUT INVOLVING THEMSELVES IN 1676 01:05:40,211 --> 01:05:42,079 GENOMICS IF THEY SO CHOOSE, AND 1677 01:05:42,079 --> 01:05:43,314 THE SECOND IS ENSURING THAT WE 1678 01:05:43,314 --> 01:05:45,850 HAVE VERY CLEAR LINE OF SIGHT OR 1679 01:05:45,850 --> 01:05:52,857 ROAD MAPS TO THE DELIVERY OF 1680 01:05:52,857 --> 01:05:54,025 BENEFIT AS DEFINED BY 1681 01:05:54,025 --> 01:05:55,593 COMMUNITIES THEMSELVES RATHER 1682 01:05:55,593 --> 01:05:56,961 THAN HOW GOOD RESEARCHERS ARE AT 1683 01:05:56,961 --> 01:05:58,396 SELLING THE DREAM OF WHAT THEIR 1684 01:05:58,396 --> 01:05:59,330 WORK WILL SOLVE. 1685 01:05:59,330 --> 01:06:03,401 AND WE'VE GOT A LARGE SCALE 1686 01:06:03,401 --> 01:06:04,168 NATIONAL PROJECT RESEARCH 1687 01:06:04,168 --> 01:06:07,004 FOCUSED ABOUT EMPOWERING 1688 01:06:07,004 --> 01:06:07,305 COMMUNITIES. 1689 01:06:07,305 --> 01:06:08,573 IT STARTS WITH INDIGENOUS 1690 01:06:08,573 --> 01:06:09,807 KNOWLEDGE SYSTEMS AND I THINK 1691 01:06:09,807 --> 01:06:12,543 WE'VE GOT A LOT TO LEARN AND 1692 01:06:12,543 --> 01:06:13,978 HOPEFULLY MODEL ON THE WORK 1693 01:06:13,978 --> 01:06:18,749 THAT'S BEING LED BY PHIL AND 1694 01:06:18,749 --> 01:06:20,618 COLLEAGUES ABOUT THIS FRAME OF 1695 01:06:20,618 --> 01:06:24,121 REFERENCE THAT IS FUNDAMENTALLY 1696 01:06:24,121 --> 01:06:26,390 INDIGENOUS AND HOW WE USE THAT 1697 01:06:26,390 --> 01:06:31,095 AS THE FOUNDATIONS OF OUR WORK 1698 01:06:31,095 --> 01:06:31,629 MOVING FORWARD. 1699 01:06:31,629 --> 01:06:34,465 A STRONG FOCUS ON DATA SCIENCES, 1700 01:06:34,465 --> 01:06:35,766 OUR INTERESTING MULTI-YOE MIX OF 1701 01:06:35,766 --> 01:06:37,301 COMPLEX DISEASE, OUR ABILITY TO 1702 01:06:37,301 --> 01:06:39,370 CAPTURE AND UNDERSTAND AND WORK 1703 01:06:39,370 --> 01:06:42,707 THROUGH THE IMPLICATIONS OF OUR 1704 01:06:42,707 --> 01:06:44,342 UNIQUE GENETIC VARIATION. 1705 01:06:44,342 --> 01:06:48,079 INCLUDING THE DEVELOPMENT OF PAN 1706 01:06:48,079 --> 01:06:51,649 GENOMIC RESOURCES, ASSEMBLIES 1707 01:06:51,649 --> 01:06:53,618 AND THE ABILITY TO UTILIZE THOSE 1708 01:06:53,618 --> 01:06:55,253 AS A FOUNDATION FOR GENETICS 1709 01:06:55,253 --> 01:06:57,788 INFORMED HEALTHCARE DELIVERY. 1710 01:06:57,788 --> 01:07:00,691 NOTING THAT IMPORTANT JOB TO DO 1711 01:07:00,691 --> 01:07:02,793 TO INCREASE CAPACITY ACROSS THE 1712 01:07:02,793 --> 01:07:04,428 SYSTEM, AND OUR WILLINGNESS TO 1713 01:07:04,428 --> 01:07:05,696 COLLABORATE WITH HEALTHCARE 1714 01:07:05,696 --> 01:07:08,199 SYSTEMS THEMSELVES, RESEARCHERS 1715 01:07:08,199 --> 01:07:10,835 ACROSS THE NATION AND INDUSTRY 1716 01:07:10,835 --> 01:07:12,770 PARTNERS, ALL OF WHICH AS YOU 1717 01:07:12,770 --> 01:07:14,639 CAN IMAGINE IS AN ENORMOUS 1718 01:07:14,639 --> 01:07:17,174 CHALLENGE AND WHY I HAVE GREY 1719 01:07:17,174 --> 01:07:19,143 HAIR DESPITE BEING A VERY YOUNG 1720 01:07:19,143 --> 01:07:21,412 PERSON IN MY MID 20s. 1721 01:07:21,412 --> 01:07:24,448 THAT'S NOT TRUE, BY THE WAY. 1722 01:07:24,448 --> 01:07:27,184 WE ALSO DECIDED IT WAS TIME TO 1723 01:07:27,184 --> 01:07:29,020 BRING TOGETHER EXPERTISE ACROSS 1724 01:07:29,020 --> 01:07:31,522 THE NATION AND ESTABLISH AN 1725 01:07:31,522 --> 01:07:34,058 ALLIANCE IN INDIGENOUS GENETICS, 1726 01:07:34,058 --> 01:07:35,593 WHICH I LEAD. 1727 01:07:35,593 --> 01:07:38,930 IT WAS REFLECTIVE REALLY OF THE 1728 01:07:38,930 --> 01:07:41,065 EMERGENCE OF INDIGENOUS GENETICS 1729 01:07:41,065 --> 01:07:42,867 AS A FIELD IN AND OF ITSELF, 1730 01:07:42,867 --> 01:07:44,602 I'LL TOUCH ON THAT IN A LITTLE 1731 01:07:44,602 --> 01:07:45,002 WHILE. 1732 01:07:45,002 --> 01:07:46,971 THEY HAD FRAGMENTATION ACROSS 1733 01:07:46,971 --> 01:07:50,041 THE NATION IN SMALL SCALE 1734 01:07:50,041 --> 01:07:51,042 ISOLATED EFFORTS AND WE THOUGHT 1735 01:07:51,042 --> 01:07:52,910 IT WAS TIME TO BRING TOGETHER 1736 01:07:52,910 --> 01:07:55,379 THOSE PIECES OF THE PUZZLE. 1737 01:07:55,379 --> 01:07:59,717 WE WANTED TO COMPLEMENT EACH 1738 01:07:59,717 --> 01:08:04,021 OTHER IN TERMS OF THE SKILL, 1739 01:08:04,021 --> 01:08:05,923 EXPERTISE THAT WE HAD, WE WANTED 1740 01:08:05,923 --> 01:08:07,792 TO MAKE SURE THERE WAS OVERSIGHT 1741 01:08:07,792 --> 01:08:09,527 OF SUSTAINABLE NATIONAL EFFORTS. 1742 01:08:09,527 --> 01:08:10,928 WE WANTED TO TAKE THIS SORT OF 1743 01:08:10,928 --> 01:08:12,797 MORAL AND ETHICAL IMPERATIVE OF 1744 01:08:12,797 --> 01:08:17,368 MAKING SURE IF THIS PRECISION 1745 01:08:17,368 --> 01:08:22,173 MEDICINE AGENDA IS HURDLING DOWN 1746 01:08:22,173 --> 01:08:24,575 THE TRAIN TRACKS AT A ZILLION 1747 01:08:24,575 --> 01:08:27,945 MILES AN HOUR THAT WE HAD 1748 01:08:27,945 --> 01:08:32,283 SOME - SOME SAY IN HOW THAT WAS 1749 01:08:32,283 --> 01:08:32,550 DONE. 1750 01:08:32,550 --> 01:08:33,918 THE TRACKS DON'T COME ANYWHERE 1751 01:08:33,918 --> 01:08:36,020 NEAR US, THE TRAIN DOESN'T 1752 01:08:36,020 --> 01:08:37,388 SHOWDOWN ENOUGH FOR US TO JUMP 1753 01:08:37,388 --> 01:08:39,156 ON OR EVEN IF WE WERE, WE'RE NOT 1754 01:08:39,156 --> 01:08:40,224 ABLE TO BUY A TICKET. 1755 01:08:40,224 --> 01:08:41,625 IF HE WITH COULD BUY A TICKET, 1756 01:08:41,625 --> 01:08:42,760 THERE'S NO CARRIAGE FOR US AND 1757 01:08:42,760 --> 01:08:44,662 AS A CONSEQUENCE, THE TRAIN 1758 01:08:44,662 --> 01:08:46,697 HURDLES ON WITHOUT US IN ANY 1759 01:08:46,697 --> 01:08:48,499 WAY, SHAPE OR FORM AND WE WANT 1760 01:08:48,499 --> 01:08:52,403 TO CHANGE THAT DYNAMIC. 1761 01:08:52,403 --> 01:08:54,638 THIS NATIONAL NETWORK, THE 1762 01:08:54,638 --> 01:08:55,973 ALLIANCE, THE AUSTRALIAN 1763 01:08:55,973 --> 01:09:00,144 ALLIANCE FOR INDIGENOUS GENETICS 1764 01:09:00,144 --> 01:09:01,445 CALLED ALIGN, THE JOB WAS REALLY 1765 01:09:01,445 --> 01:09:05,016 TO ESTABLISH THIS NETWORK, WE 1766 01:09:05,016 --> 01:09:07,318 NOW HAVE NODES OF EFFORT RIGHT 1767 01:09:07,318 --> 01:09:08,185 ACROSS THE COUNTRY. 1768 01:09:08,185 --> 01:09:10,354 WE HAVE 45 INDIGENOUS PEOPLE IN 1769 01:09:10,354 --> 01:09:12,423 POSITIONS OF INDIGENOUS 1770 01:09:12,423 --> 01:09:13,624 GOVERNANCE ACROSS ALL 1771 01:09:13,624 --> 01:09:14,225 JURISDICTIONS. 1772 01:09:14,225 --> 01:09:20,931 THE JOB IS TO ENHANCE ABORIGINAL 1773 01:09:20,931 --> 01:09:22,366 SENSE OF CONTROL OVER HOW THIS 1774 01:09:22,366 --> 01:09:23,334 WORK GETS DONE AND WHAT THEY 1775 01:09:23,334 --> 01:09:25,102 CHOOSE TO BE INVOLVED IN OR NO. 1776 01:09:25,102 --> 01:09:26,937 OUR JOB AS A NETWORK IS TO 1777 01:09:26,937 --> 01:09:28,939 IDENTIFY THE KEY POLICY MANNERS, 1778 01:09:28,939 --> 01:09:32,276 HOW DO WE RESPOND, WHAT ARE THE 1779 01:09:32,276 --> 01:09:34,111 ELEMENTS OF BEST PRACTICE THAT 1780 01:09:34,111 --> 01:09:36,680 EXIST OR NEED TO BE DEVELOPED 1781 01:09:36,680 --> 01:09:38,616 AND COMMUNICATED, HOW DO WE 1782 01:09:38,616 --> 01:09:41,185 BUILD CAPACITY AT NATIONAL SCALE 1783 01:09:41,185 --> 01:09:47,224 FOR WHAT'S REQUIRED HERE AND AS 1784 01:09:47,224 --> 01:09:48,526 I SORT OF TOUCHED ON EARLIER 1785 01:09:48,526 --> 01:09:50,661 BEFORE, HOW DO WE DEFINE IN 1786 01:09:50,661 --> 01:09:51,729 PARTNERSHIP WITH COMMUNITIES 1787 01:09:51,729 --> 01:09:53,731 WHAT THEY SEE AS POTENTIAL 1788 01:09:53,731 --> 01:09:56,100 BENEFITS OF GENETICS ENABLED 1789 01:09:56,100 --> 01:09:56,901 HEALTHCARE SYSTEM OF THE FUTURE, 1790 01:09:56,901 --> 01:10:00,037 AND ACCORDING TO SOME USER CASE 1791 01:10:00,037 --> 01:10:01,472 SCENARIO, WHERE GENOMICS IS MORE 1792 01:10:01,472 --> 01:10:04,075 PROXIMAL IN ITS APPLICATION TO 1793 01:10:04,075 --> 01:10:05,743 HEALTH AND HEALTHCARE DELIVERY 1794 01:10:05,743 --> 01:10:09,346 IN THIS NATION, WHAT'S THE PLAN 1795 01:10:09,346 --> 01:10:11,649 TO ENSURE THAT IT DELIVERS THE 1796 01:10:11,649 --> 01:10:13,451 BENEFIT THAT COMMUNITIES DEFINE 1797 01:10:13,451 --> 01:10:15,152 THEMSELVES AND THOSE TARGET 1798 01:10:15,152 --> 01:10:20,691 AREAS OF PHARMACOGENOMICS, OUR 1799 01:10:20,691 --> 01:10:22,560 QUEENS LAND NODE, PRECISION 1800 01:10:22,560 --> 01:10:26,063 MEDICINE, OUR GENOME BIOLOGY AND 1801 01:10:26,063 --> 01:10:28,365 WORK LED OUT OF THE NATIONAL 1802 01:10:28,365 --> 01:10:30,868 CENTER FOR INDIGENOUS GENOMICS, 1803 01:10:30,868 --> 01:10:32,636 OUR IMMUNOGENOMICS FLAGSHIP IS 1804 01:10:32,636 --> 01:10:34,605 LED OUT OF VICTORIA, AND OUR 1805 01:10:34,605 --> 01:10:39,477 WESTERN YOU A STRAIL YAL AUSTRAS 1806 01:10:39,477 --> 01:10:40,644 LEAD EFFORTS AROUND RARE DISEASE 1807 01:10:40,644 --> 01:10:43,581 AND WHAT THAT MEANS FOR 1808 01:10:43,581 --> 01:10:44,448 INDIGENOUS COMMUNITIES. 1809 01:10:44,448 --> 01:10:45,316 WHERE WE'RE HEADING IN TERMS OF 1810 01:10:45,316 --> 01:10:46,750 WHAT WE THINK IS SORT OF A 1811 01:10:46,750 --> 01:10:49,920 RESEARCH AGENDA FOR GENOMICS AT 1812 01:10:49,920 --> 01:10:51,689 NATIONAL SCALE, IMPORTANTLY A 1813 01:10:51,689 --> 01:10:52,756 FOCUS ON PEOPLE AND DEVELOPING 1814 01:10:52,756 --> 01:10:55,926 THE NEXT GENERATION OF 1815 01:10:55,926 --> 01:10:56,894 INDIGENOUS GENETICS SCIENTISTS, 1816 01:10:56,894 --> 01:10:58,262 SO THAT IS OUR PRIMARY FUNCTION, 1817 01:10:58,262 --> 01:11:00,598 BUT IN ORDER FOR US TO DO THIS, 1818 01:11:00,598 --> 01:11:02,366 WE UNDERSTAND THERE IS A JOB TO 1819 01:11:02,366 --> 01:11:05,870 DO TO INFORM AND EDUCATE AND 1820 01:11:05,870 --> 01:11:09,340 GUIDE OR USE THE WORD GUIDE 1821 01:11:09,340 --> 01:11:10,441 DIPLOMATICALLY HERE, 1822 01:11:10,441 --> 01:11:13,177 NON-INDIGENOUS INTERESTS IN 1823 01:11:13,177 --> 01:11:14,345 THEIR APPLICATION TO INDIGENOUS 1824 01:11:14,345 --> 01:11:17,882 HEALTH AS WELL. 1825 01:11:17,882 --> 01:11:22,686 HE WITH WWE WANT TO ENSURE WE HA 1826 01:11:22,686 --> 01:11:23,954 PICTURE OF GENOMIC VARIATION SO 1827 01:11:23,954 --> 01:11:25,956 TOOLS CAN BE DEVELOPED AND CAN 1828 01:11:25,956 --> 01:11:28,559 BE DEPLOYED AND APPLIED TO 1829 01:11:28,559 --> 01:11:29,827 HEALTH OF OUR COMMUNITIES, OUR 1830 01:11:29,827 --> 01:11:30,594 WAY. 1831 01:11:30,594 --> 01:11:33,030 WE WANT TO DEVELOP GENOMIC 1832 01:11:33,030 --> 01:11:39,270 RESOURCES INCLUDING T2 T 1833 01:11:39,270 --> 01:11:40,905 ASSEMBLIES AND REFERENCE 1834 01:11:40,905 --> 01:11:44,608 GENOMES, BUT HAS TO ALSO BE 1835 01:11:44,608 --> 01:11:45,776 CONSIDERING OF THE TOOLS AND 1836 01:11:45,776 --> 01:11:47,878 RESOURCES REQUIRED TO INFORM AND 1837 01:11:47,878 --> 01:11:48,846 ENGAGE AND SUPPORT COMMUNITIES 1838 01:11:48,846 --> 01:11:50,681 IN THEIR DECISION-MAKING AROUND 1839 01:11:50,681 --> 01:11:51,215 INVOLVEMENT IN GENOMICS. 1840 01:11:51,215 --> 01:11:53,083 WE HAVE A LOT OF INTEREST AND 1841 01:11:53,083 --> 01:11:56,587 EFFORT ALREADY IN PLAY AROUND 1842 01:11:56,587 --> 01:11:58,088 PRECISION MEDICINE APPLICATIONS 1843 01:11:58,088 --> 01:11:59,190 AND OUR AMBITION IS TO TARGET 1844 01:11:59,190 --> 01:12:03,360 THE CONDITIONS THAT DRIVE THE 1845 01:12:03,360 --> 01:12:04,295 GREATEST DEGREE IN EQUALITY AND 1846 01:12:04,295 --> 01:12:06,163 HEALTH OUTCOMES FOR OUR 1847 01:12:06,163 --> 01:12:06,931 COMMUNITIES, SO THAT WOULD BE 1848 01:12:06,931 --> 01:12:08,566 HEART DISEASE, DIABETES, AND 1849 01:12:08,566 --> 01:12:13,170 CANCER AT THIS STAGE. 1850 01:12:13,170 --> 01:12:14,104 AND THINKING THROUGH WHAT IT'S 1851 01:12:14,104 --> 01:12:15,005 GOING TO TAKE TO DELIVER TOOLS 1852 01:12:15,005 --> 01:12:18,175 THAT COULD BE DEPLOYED IN 1853 01:12:18,175 --> 01:12:19,043 HEALTHCARE SYSTEMS FOR OUR 1854 01:12:19,043 --> 01:12:21,312 COMMUNITIES INTO THE FUTURE. 1855 01:12:21,312 --> 01:12:23,714 AND IN THE ABILITY TO BEND THE 1856 01:12:23,714 --> 01:12:28,219 WILL OF GENETICS TO APPLY IN OUR 1857 01:12:28,219 --> 01:12:29,253 BIODIVERSITY ECOLOGICAL HEALTH 1858 01:12:29,253 --> 01:12:31,255 AND WELL-BEING AND THAT 1859 01:12:31,255 --> 01:12:32,990 INTERRELATIONSHIP WITH HEALTH OF 1860 01:12:32,990 --> 01:12:35,626 OUR POPULATIONS GIVEN A 1861 01:12:35,626 --> 01:12:37,761 SYMBIOTIC RELATIONSHIP BETWEEN 1862 01:12:37,761 --> 01:12:43,334 COMMUNITIES AND PLACE. 1863 01:12:43,334 --> 01:12:44,868 I'LL NOW POSE TO YOU A FEW 1864 01:12:44,868 --> 01:12:46,403 QUESTIONS TO SORT OF GET YOU 1865 01:12:46,403 --> 01:12:47,438 THINKING MAYBE ABOUT WHERE WE'RE 1866 01:12:47,438 --> 01:12:50,541 AT AND WHERE THE FUTURE MAY TAKE 1867 01:12:50,541 --> 01:12:53,711 US AT LEAST IN TERMS OF GENOMICS 1868 01:12:53,711 --> 01:12:58,716 EFFORTS MORE BROADLY. 1869 01:12:58,716 --> 01:13:00,351 I'LL TOUCH ON THE FOUR THAT WE 1870 01:13:00,351 --> 01:13:02,219 ARE SEEING THE BIRTH OF 1871 01:13:02,219 --> 01:13:03,420 INDIGENOUS GENOMICS AS A 1872 01:13:03,420 --> 01:13:05,489 MOVEMENT AS WELL AS I FEEL AS A 1873 01:13:05,489 --> 01:13:06,023 SCIENTIFIC FIELD. 1874 01:13:06,023 --> 01:13:10,394 WE NOW HAVE INTERNATIONALLY 1875 01:13:10,394 --> 01:13:14,665 CONNECTED PARTNERS IN THE SAME 1876 01:13:14,665 --> 01:13:18,602 CONSORTIA, THE SUMMER INTERNSHIP 1877 01:13:18,602 --> 01:13:20,037 FOR INDIGENOUS PEOPLES AND 1878 01:13:20,037 --> 01:13:21,005 GENOMICS STARTED IN THE U.S. AND 1879 01:13:21,005 --> 01:13:25,542 REALLY QUICKLY SPREAD TO -- AND 1880 01:13:25,542 --> 01:13:26,644 OTHER COMMUNITIES ACROSS THE 1881 01:13:26,644 --> 01:13:28,746 GLOBE TO BUILD CAPACITY AND 1882 01:13:28,746 --> 01:13:31,448 ENGAGEMENT AND PLACE TO DISCUSS 1883 01:13:31,448 --> 01:13:34,585 MATTERS OF INDIGENOUS GENOMICS. 1884 01:13:34,585 --> 01:13:36,220 THE IMPORTANT REALITY HERE IS 1885 01:13:36,220 --> 01:13:38,956 IT'S NOT JUST, OKAY, HOW DO WE 1886 01:13:38,956 --> 01:13:42,660 TAKE ALL THESE APPROACHES AND 1887 01:13:42,660 --> 01:13:44,194 DEPLOY THEM IN INDIGENOUS 1888 01:13:44,194 --> 01:13:44,628 COMMUNITIES. 1889 01:13:44,628 --> 01:13:45,729 THE METHODS THAT WE'RE GOING TO 1890 01:13:45,729 --> 01:13:48,465 NEED TO DEVELOP, OUR 1891 01:13:48,465 --> 01:13:50,000 UNDERSTANDING OF CULTURE AND 1892 01:13:50,000 --> 01:13:53,070 CONTEXT IN PLACE OVER TIME WILL 1893 01:13:53,070 --> 01:13:54,738 HAVE IMPORTANT IMPLICATIONS FOR 1894 01:13:54,738 --> 01:13:59,176 THE WAY IN WHICH WE DO GENETICS, 1895 01:13:59,176 --> 01:14:00,577 AND THAT SHOULD BE INFORMED BY 1896 01:14:00,577 --> 01:14:01,779 INDIGENOUS PEOPLE AND INDIGENOUS 1897 01:14:01,779 --> 01:14:04,715 KNOWLEDGE SYSTEMS, I THINK 1898 01:14:04,715 --> 01:14:05,916 IMPORTANTLY AS PHIL IN 1899 01:14:05,916 --> 01:14:08,452 PARTICULAR GAVE A FEW CRITICAL 1900 01:14:08,452 --> 01:14:09,787 EXAMPLES. 1901 01:14:09,787 --> 01:14:14,558 THE OTHER QUESTION WE NEED TO 1902 01:14:14,558 --> 01:14:17,094 POSE IS REALLY WHAT IS DRIVING 1903 01:14:17,094 --> 01:14:18,062 THIS DIVERSITY AGENDA IN 1904 01:14:18,062 --> 01:14:18,662 GENOMICS. 1905 01:14:18,662 --> 01:14:20,097 NOW IF WE WERE TO SPEAK TO MOST 1906 01:14:20,097 --> 01:14:21,665 OF THE SORT OF BROAD GENETICS 1907 01:14:21,665 --> 01:14:23,100 COMMUNITY, IT'S ALL ABOUT 1908 01:14:23,100 --> 01:14:23,967 ALTRUISM BECAUSE THEY WANT TO 1909 01:14:23,967 --> 01:14:25,836 MAKE SURE THAT THEY'RE DOING 1910 01:14:25,836 --> 01:14:28,205 GOOD THINGS FOR INDIGENOUS 1911 01:14:28,205 --> 01:14:29,973 INTERESTS BUT THERE ARE OTHER 1912 01:14:29,973 --> 01:14:32,843 FORCES AT PLAY THAT MIGHT IN 1913 01:14:32,843 --> 01:14:35,946 FACT BE INFLUENCING THAT AGENDA, 1914 01:14:35,946 --> 01:14:40,217 IS IT A SENSE OF GUILT, IS IT 1915 01:14:40,217 --> 01:14:41,552 UNBRIDLED AMBITION, IS IT A 1916 01:14:41,552 --> 01:14:44,154 SEARCH FOR POWER, OR IS 1917 01:14:44,154 --> 01:14:45,556 INDIGENOUS GENOMICS JUST THE 1918 01:14:45,556 --> 01:14:48,192 NEXT BIG THING ALONG THE 1919 01:14:48,192 --> 01:14:51,328 PIPELINE OF CREATING 1920 01:14:51,328 --> 01:14:52,896 LONG-STANDING CAREERS AND 1921 01:14:52,896 --> 01:14:55,599 AGENDAS AND RESOURCE ALLOCATION 1922 01:14:55,599 --> 01:14:57,801 FOR LARGE GROUPS WHO HAVE 1923 01:14:57,801 --> 01:14:59,536 PREVIOUSLY IGNORED INDIGENOUS 1924 01:14:59,536 --> 01:15:01,405 INTERESTS BUT NOW WANT TO FIND A 1925 01:15:01,405 --> 01:15:02,272 WAY TO CONNECT. 1926 01:15:02,272 --> 01:15:05,776 NOW I KNOW THAT SOUNDS A LITTLE 1927 01:15:05,776 --> 01:15:10,781 CYNICAL, BUT IT'S CERTAINLY A 1928 01:15:10,781 --> 01:15:11,982 QUESTION WE SHOULD MAINTAIN AS 1929 01:15:11,982 --> 01:15:13,083 WE ENGAGE WITH BROADER 1930 01:15:13,083 --> 01:15:16,120 COMMUNITIES WHO WANT TO NOW WORK 1931 01:15:16,120 --> 01:15:17,788 WITH INDIGENOUS PEOPLES AND 1932 01:15:17,788 --> 01:15:18,255 COMMUNITIES. 1933 01:15:18,255 --> 01:15:19,189 THE OTHER CHALLENGE IS 1934 01:15:19,189 --> 01:15:20,624 RESEARCHERS ARE REALLY GOOD AT 1935 01:15:20,624 --> 01:15:23,127 SELLING BENEFIT, AND I KNOW THIS 1936 01:15:23,127 --> 01:15:24,194 BECAUSE THAT'S WHAT I DO FOR A 1937 01:15:24,194 --> 01:15:24,661 LIVING. 1938 01:15:24,661 --> 01:15:28,232 MY JOB IS TO CONVINCE PEOPLE OF 1939 01:15:28,232 --> 01:15:29,199 ANY PERSUASION THAT OUR APPROACH 1940 01:15:29,199 --> 01:15:30,667 IS GOING TO BE BETTER THAN WHAT 1941 01:15:30,667 --> 01:15:34,037 ANYONE ELSE DID AND WE CAN 1942 01:15:34,037 --> 01:15:36,607 DELIVER NIRVANA WITH A PAPERCLIP 1943 01:15:36,607 --> 01:15:44,214 AND A SMALL BIT OF GAFFER TAPE. 1944 01:15:44,214 --> 01:15:45,716 THE REALITY IS MOST OF THOSE 1945 01:15:45,716 --> 01:15:46,383 BENEFITS AREN'T ACTUALLY 1946 01:15:46,383 --> 01:15:47,418 DELIVERED TO COMMUNITIES AND 1947 01:15:47,418 --> 01:15:49,219 CRYSTAL TOUCHED ON THIS EARLIER. 1948 01:15:49,219 --> 01:15:53,257 THE CHALLENGE IS HOW DO WE 1949 01:15:53,257 --> 01:15:54,491 NEGOTIATE BENEFIT WITH 1950 01:15:54,491 --> 01:15:56,427 COMMUNITIES WHO ARE SEEKING TO 1951 01:15:56,427 --> 01:16:01,365 ENGAGE WITH, SHOULDN'T THEY BE 1952 01:16:01,365 --> 01:16:02,900 THE ULTIMATE ARBITER OF WHAT 1953 01:16:02,900 --> 01:16:04,835 BENEFITS THEY CAN EXPECT AND 1954 01:16:04,835 --> 01:16:06,270 WHAT BENEFITS THEY CAN HOLD 1955 01:16:06,270 --> 01:16:07,137 RESEARCHERS TO ACCOUNT FOR IN 1956 01:16:07,137 --> 01:16:08,572 THE EVENT THEY ARE NOT 1957 01:16:08,572 --> 01:16:09,039 DELIVERED. 1958 01:16:09,039 --> 01:16:10,407 THIS IS A MUCH HARDER SET OF 1959 01:16:10,407 --> 01:16:11,008 CONVERSATIONS. 1960 01:16:11,008 --> 01:16:14,011 IT'S SOMETHING THAT RESEARCHERS 1961 01:16:14,011 --> 01:16:16,313 ARE NOT PARTICULARLY SKILLED AT 1962 01:16:16,313 --> 01:16:16,747 DOING. 1963 01:16:16,747 --> 01:16:19,049 AND WE THINK THERE NEEDS TO BE A 1964 01:16:19,049 --> 01:16:22,186 REAL SHIFT IN THE POWERBALL ANS 1965 01:16:22,186 --> 01:16:23,720 OF WHO DECIDES WHAT BENEFIT IS 1966 01:16:23,720 --> 01:16:25,489 AND HOW IS THAT DELIVERED ACROSS 1967 01:16:25,489 --> 01:16:26,790 TIME. 1968 01:16:26,790 --> 01:16:29,960 I THINK THE OTHER QUESTION IS, 1969 01:16:29,960 --> 01:16:32,029 INCLUSION ISN'T GOOD ENOUGH, AND 1970 01:16:32,029 --> 01:16:34,431 IT WON'T DELIVER EQUITY IN 1971 01:16:34,431 --> 01:16:36,066 OUTCOMES FOR OUR COMMUNITIES, 1972 01:16:36,066 --> 01:16:38,635 AND IF WE'RE TO THINK ABOUT WHAT 1973 01:16:38,635 --> 01:16:39,570 EQUITY SHOULD LOOK LIKE, IT'S 1974 01:16:39,570 --> 01:16:43,273 GOING TO BE A LOT MORE THAN 1975 01:16:43,273 --> 01:16:43,707 INCLUSION. 1976 01:16:43,707 --> 01:16:45,242 THE OTHER REALITY IS, 1977 01:16:45,242 --> 01:16:47,311 UNFORTUNATELY ALL OF THE KEYS TO 1978 01:16:47,311 --> 01:16:49,947 THE DOORS TO EQUITY ARE STILL 1979 01:16:49,947 --> 01:16:52,182 HELD IN THE HANDS OF OPPRESSORS, 1980 01:16:52,182 --> 01:16:53,750 AND THIS IS AN ENORMOUS 1981 01:16:53,750 --> 01:16:55,919 CHALLENGE FOR THE WAY IN WHICH 1982 01:16:55,919 --> 01:16:58,021 GENOMICS CAN BE MOVED FORWARD. 1983 01:16:58,021 --> 01:17:00,390 WE THINK THERE'S A BROADER SET 1984 01:17:00,390 --> 01:17:02,259 OF CONSIDERATIONS ABOUT 1985 01:17:02,259 --> 01:17:04,328 DELIVERING AN EQUITY AGENDA IN 1986 01:17:04,328 --> 01:17:11,635 GENETICS GENOMICS THAT WILL BE L 1987 01:17:11,635 --> 01:17:12,402 BASED. 1988 01:17:12,402 --> 01:17:14,404 THESE PRINCIPLES IN EMPOWERMENT, 1989 01:17:14,404 --> 01:17:17,441 RESPECT, TRUST, CULTURE, AND 1990 01:17:17,441 --> 01:17:18,742 BENEFIT BUT THEY COULD BE 1991 01:17:18,742 --> 01:17:19,510 APPLIED SPECIFICALLY FROM THE 1992 01:17:19,510 --> 01:17:20,711 VIEW OF COMMUNITIES THEMSELVES. 1993 01:17:20,711 --> 01:17:21,979 THERE ARE CLEAR FOUNDATIONS THAT 1994 01:17:21,979 --> 01:17:24,314 NEED TO BE IN PLAY, DEDICATED 1995 01:17:24,314 --> 01:17:25,516 RESOURCES, THE RIGHT WORKFORCE, 1996 01:17:25,516 --> 01:17:27,017 THE RIGHT INFRASTRUCTURE THAT 1997 01:17:27,017 --> 01:17:28,452 ENABLES US TO DO THIS WORK AND 1998 01:17:28,452 --> 01:17:32,356 MAKE ACCEPTS SENSE OF IT, COLLED 1999 01:17:32,356 --> 01:17:33,891 CURATE AND PROVIDE CUSTODIANSHIP 2000 01:17:33,891 --> 01:17:34,892 OF APPROPRIATE DATA. 2001 01:17:34,892 --> 01:17:37,194 WE NEED TO BEND THE WILL OF 2002 01:17:37,194 --> 01:17:38,495 GENETICS TO THE THINGS THAT 2003 01:17:38,495 --> 01:17:40,764 MATTER MOST TO US AS INDIGENOUS 2004 01:17:40,764 --> 01:17:41,532 PEOPLES. 2005 01:17:41,532 --> 01:17:44,067 OUR CHOICE IN AUSTRALIA HAS BEEN 2006 01:17:44,067 --> 01:17:47,638 TO FOCUS GENOMICS EFFORTS TODAY 2007 01:17:47,638 --> 01:17:49,740 ON THE CONDITIONS THAT DRIVE THE 2008 01:17:49,740 --> 01:17:54,177 MOST INEQUITY. 2009 01:17:54,177 --> 01:17:55,078 SO THAT'S AN IMPORTANT 2010 01:17:55,078 --> 01:17:56,079 CONSIDERATION, AND PARTICULARLY 2011 01:17:56,079 --> 01:17:57,714 COMMUNITIES WANT US TO USE 2012 01:17:57,714 --> 01:17:59,116 GENOMICS FOR PREVENTING DISEASE 2013 01:17:59,116 --> 01:18:01,418 IN THE FIRST PLACE. 2014 01:18:01,418 --> 01:18:03,787 WHICH IS AN IMPORTANT SET OF 2015 01:18:03,787 --> 01:18:04,154 CONSIDERATIONS. 2016 01:18:04,154 --> 01:18:05,222 THEN HOW DO WE DELIVER THIS? 2017 01:18:05,222 --> 01:18:07,424 HOW DO WE IMPLEMENT AT SCALE, 2018 01:18:07,424 --> 01:18:09,493 HOW DO WE HOLD THE SYSTEM TO 2019 01:18:09,493 --> 01:18:11,895 ACCOUNT, HOW DO WE HARMONIZE THE 2020 01:18:11,895 --> 01:18:17,901 EFFORTS ACROSS THE BOARD. 2021 01:18:17,901 --> 01:18:19,636 THE QUESTION WILL PRECISION 2022 01:18:19,636 --> 01:18:20,837 MEDICINE REDUCE HEALTH 2023 01:18:20,837 --> 01:18:21,738 INEQUALITIES, THIS IS AN 2024 01:18:21,738 --> 01:18:22,172 IMPORTANT QUESTION. 2025 01:18:22,172 --> 01:18:24,341 WE KNOW IT COULD, BUT WILL IT? 2026 01:18:24,341 --> 01:18:26,743 CAN WE PERSONALIZE PREVENTION? 2027 01:18:26,743 --> 01:18:28,712 CAN WE COME TO TERMS WITH THE 2028 01:18:28,712 --> 01:18:31,214 ETHICAL LEGAL SOCIAL AND 2029 01:18:31,214 --> 01:18:32,616 CULTURAL CONSIDERATIONS THAT ARE 2030 01:18:32,616 --> 01:18:35,485 REQUIRED FOR US TO WORK THROUGH 2031 01:18:35,485 --> 01:18:37,220 TO SEE THIS HAPPEN. 2032 01:18:37,220 --> 01:18:41,692 WHO'S IN CONTROL? 2033 01:18:41,692 --> 01:18:42,793 CAN WE IDENTIFY TARGETS FOR 2034 01:18:42,793 --> 01:18:44,227 TREATMENTS AND THEN ACCESS THOSE 2035 01:18:44,227 --> 01:18:45,295 TREATMENTS FOR OUR COMMUNITIES. 2036 01:18:45,295 --> 01:18:47,264 DO WE HAVE THE RIGHT MODELS OF 2037 01:18:47,264 --> 01:18:49,232 CARE, HAVE WE TRAINED THE RIGHT 2038 01:18:49,232 --> 01:18:51,735 WORKFORCE, CAN WE SHIFT THE LENS 2039 01:18:51,735 --> 01:18:55,138 OF GENETICS GENOMICS TO THE REDF 2040 01:18:55,138 --> 01:18:56,440 HEALTH INEQUALITIES. 2041 01:18:56,440 --> 01:18:59,309 AND ANOTHER KEY CONSIDERATION 2042 01:18:59,309 --> 01:19:01,712 FOR US IS CAN GENOMICS CONTEND 2043 01:19:01,712 --> 01:19:03,347 WITH THE PRIMARY DRIVERS OF 2044 01:19:03,347 --> 01:19:04,514 HEALTH INEQUALITIES IN THE FIRST 2045 01:19:04,514 --> 01:19:05,849 PLACE, WHICH ARE THE SOCIAL 2046 01:19:05,849 --> 01:19:09,119 DETERMINANTS AND THE ST STRUCTUL 2047 01:19:09,119 --> 01:19:09,987 INEQUALITYS THAT WE IN OUR 2048 01:19:09,987 --> 01:19:10,554 COMMUNITIES FACE. 2049 01:19:10,554 --> 01:19:12,055 NOW WE MAY BE ABLE TO DO THAT, 2050 01:19:12,055 --> 01:19:13,357 BUT IT'S GOING TO TAKE AN 2051 01:19:13,357 --> 01:19:15,559 ENORMOUS AMOUNT OF COLLECTIVE 2052 01:19:15,559 --> 01:19:18,395 EFFORT AND VISION AND WISE 2053 01:19:18,395 --> 01:19:20,130 COUNSEL FROM OUR COMMUNITIES, 2054 01:19:20,130 --> 01:19:22,199 AND THE APPROPRIATE PLACEMENT OF 2055 01:19:22,199 --> 01:19:24,835 GENOMICS WITHIN A BROADER AGENDA 2056 01:19:24,835 --> 01:19:26,403 TO IMPROVE HEALTH AND SOCIAL 2057 01:19:26,403 --> 01:19:29,773 OUTCOMES FOR OUR COMMUNITIES. 2058 01:19:29,773 --> 01:19:31,074 GENOMICS WILL NOT DEAL WITH THE 2059 01:19:31,074 --> 01:19:32,275 STRUCTURAL DRIVERS OF 2060 01:19:32,275 --> 01:19:33,176 INEQUALITIES, AND THE QUESTION 2061 01:19:33,176 --> 01:19:35,512 IS, IS THAT FAIR TO INVEST WHAT 2062 01:19:35,512 --> 01:19:37,080 WE KNOW IS REQUIRED WHEN THERE 2063 01:19:37,080 --> 01:19:38,715 ARE FAMILIES STILL TRYING TO 2064 01:19:38,715 --> 01:19:40,350 STRUGGLE TO PUT FOOD ON THE 2065 01:19:40,350 --> 01:19:41,652 TABLE EVERY DAY FOR THEIR 2066 01:19:41,652 --> 01:19:43,654 CHILDREN. 2067 01:19:43,654 --> 01:19:44,955 AS IT CURRENTLY STANDS, AND 2068 01:19:44,955 --> 01:19:47,357 CRYSTAL TOUCHED ON THIS, THIS 2069 01:19:47,357 --> 01:19:49,126 ELEMENT OF EQUITY GAS LIGHTING, 2070 01:19:49,126 --> 01:19:52,696 I THINK SHE FRAMED IT AS 2071 01:19:52,696 --> 01:19:53,263 COERCIVENESS. 2072 01:19:53,263 --> 01:19:54,031 WE'RE NOT GETTING THESE 2073 01:19:54,031 --> 01:19:56,199 NARRATIVES IN AUSTRALIA THAT BY 2074 01:19:56,199 --> 01:20:00,137 JUST ASKING FOR APPROPRIATE 2075 01:20:00,137 --> 01:20:01,872 INFORMED CONSENT, AN INDIGENOUS 2076 01:20:01,872 --> 01:20:04,174 GOVERNANCE BY THE WAY OVER HOW 2077 01:20:04,174 --> 01:20:05,375 WORK GETS DONE AND HOW IT'S 2078 01:20:05,375 --> 01:20:06,476 IMPLEMENTED AND TRANSLATED, THAT 2079 01:20:06,476 --> 01:20:11,448 WE ARE NOW FUNDAMENTALLY RYE F Y 2080 01:20:11,448 --> 01:20:12,582 RESPONSIBLE FOR DRIVING 2081 01:20:12,582 --> 01:20:13,450 INEQUALITIES FOR OUR COMMUNITIES 2082 01:20:13,450 --> 01:20:14,351 BECAUSE WE'RE GETTING IN THE WAY 2083 01:20:14,351 --> 01:20:15,752 OF THE MARCH OF SCIENCE AND 2084 01:20:15,752 --> 01:20:16,186 GENOMICS. 2085 01:20:16,186 --> 01:20:19,356 AND THIS IS A HIGHLY PROBLEMATIC 2086 01:20:19,356 --> 01:20:21,858 SPACE AND SOMETHING THAT WE 2087 01:20:21,858 --> 01:20:26,797 REJECT REPEATEDLY, BUT IT STILL 2088 01:20:26,797 --> 01:20:29,633 MAINTAINS STRONG MOMENTUM IN THE 2089 01:20:29,633 --> 01:20:31,368 RESEARCH AND GENOMICS COMMUNITY 2090 01:20:31,368 --> 01:20:33,236 WITHIN AUSTRALIA. 2091 01:20:33,236 --> 01:20:37,074 AND I WONDER IF WE WERE TO LOOK 2092 01:20:37,074 --> 01:20:39,042 AT GENOMICS, RACISM AND 2093 01:20:39,042 --> 01:20:40,777 DISCRIMINATION WHAT WE MIGHT 2094 01:20:40,777 --> 01:20:42,079 FIND, AND WHETHER OR NOT THE 2095 01:20:42,079 --> 01:20:45,282 GENOMICS COMMUNITY IS READY FOR 2096 01:20:45,282 --> 01:20:49,753 THAT. 2097 01:20:49,753 --> 01:20:51,288 THE OTHER CONNECTION IS THAT 2098 01:20:51,288 --> 01:20:52,255 PRECISION MEDICINE IS NOT NEW, 2099 01:20:52,255 --> 01:20:54,024 NOR IS OUR UNDERSTANDING OF 2100 01:20:54,024 --> 01:20:54,558 INHERITANCE. 2101 01:20:54,558 --> 01:20:55,992 WE HAVE 65,000 YEARS OF 2102 01:20:55,992 --> 01:20:57,527 KNOWLEDGE HERE IN AUSTRALIA, AND 2103 01:20:57,527 --> 01:20:58,929 WE MAINTAIN HEALTH AND 2104 01:20:58,929 --> 01:21:00,464 WELL-BEING ACROSS THOSE 65,000 2105 01:21:00,464 --> 01:21:01,665 YEARS LED BY INDIGENOUS 2106 01:21:01,665 --> 01:21:04,167 KNOWLEDGE SYSTEMS OF HEALTH, OF 2107 01:21:04,167 --> 01:21:06,903 WELL-BEING, OF PRESCRIBED 2108 01:21:06,903 --> 01:21:07,537 INTERRELATIONSHIP AND OUR 2109 01:21:07,537 --> 01:21:10,507 UNDERSTANDING OF INHERITANCE. 2110 01:21:10,507 --> 01:21:13,543 THE OTHER QUESTION WE HAVE IS 2111 01:21:13,543 --> 01:21:16,713 THAT -- HOW DO WE APPLY DATA 2112 01:21:16,713 --> 01:21:18,248 PROTECTIONS IN THE CONTEXT OF 2113 01:21:18,248 --> 01:21:19,983 INDIGENOUS GENOMICS. 2114 01:21:19,983 --> 01:21:22,219 OUR CONTENTION HERE IN AUSTRALIA 2115 01:21:22,219 --> 01:21:23,954 IS THAT WE CAN'T BE FAIR AND 2116 01:21:23,954 --> 01:21:25,455 COMPLIANT WITH THE FAIR 2117 01:21:25,455 --> 01:21:28,425 PRINCIPLES UNLESS WE CARE, AND 2118 01:21:28,425 --> 01:21:30,260 THOSE CARE PRINCIPLES BECOME THE 2119 01:21:30,260 --> 01:21:32,462 MOST IMPORTANT STARTING POINT 2120 01:21:32,462 --> 01:21:34,731 FOR US RATHER THAN THE OTHER WAY 2121 01:21:34,731 --> 01:21:35,265 AROUND. 2122 01:21:35,265 --> 01:21:37,033 THE FAIR PRINCIPLES, NO MATTER 2123 01:21:37,033 --> 01:21:38,568 HOW IMPORTANT, THEY ARE SEEN BY 2124 01:21:38,568 --> 01:21:40,437 THE GENOMICS COMMUNITIES, THERE 2125 01:21:40,437 --> 01:21:42,405 ARE ELEMENTS OF THOSE THAT WE 2126 01:21:42,405 --> 01:21:44,808 PROBABLY CAN'T SEE OURSELVES 2127 01:21:44,808 --> 01:21:46,409 BEING ADHERENT TO IN THE NEAR 2128 01:21:46,409 --> 01:21:47,210 FUTURE, AND THERE ARE QUESTIONS 2129 01:21:47,210 --> 01:21:51,348 TO ASK ABOUT HOW, IF 2130 01:21:51,348 --> 01:21:52,015 APPROPRIATELY, INFORMATION IS 2131 01:21:52,015 --> 01:21:55,485 SHARED AND ON WHOSE TERMS. 2132 01:21:55,485 --> 01:21:57,654 SO AS I SAID, INCLUSION IS ONE 2133 01:21:57,654 --> 01:21:58,889 THING, BUT WE HAVE A MUCH 2134 01:21:58,889 --> 01:22:04,127 STRONGER APPETITE PARTICULARLY 2135 01:22:04,127 --> 01:22:07,097 IN AUSTRALIA TO DELIVER A SYSTEM 2136 01:22:07,097 --> 01:22:08,632 OF GENOMICS THAT'S FOCUSED ON 2137 01:22:08,632 --> 01:22:10,600 EQUITY AND OUR ULTIMATE AGENDA 2138 01:22:10,600 --> 01:22:11,902 IS TO MAKE SURE WE'RE IN CONTROL 2139 01:22:11,902 --> 01:22:17,908 OF OUR OWN DESTINIES IN THIS 2140 01:22:17,908 --> 01:22:18,241 SPACE. 2141 01:22:18,241 --> 01:22:20,210 I'LL LEAVE IT THERE. 2142 01:22:20,210 --> 01:22:20,877 THANKS, KARINA. 2143 01:22:20,877 --> 01:22:22,612 >> OKAY, THANK YOU SO MUCH TO 2144 01:22:22,612 --> 01:22:23,513 ALL OF OUR SPEAKERS. 2145 01:22:23,513 --> 01:22:25,148 IF YOU CAN GO AHEAD AND TURN ON 2146 01:22:25,148 --> 01:22:26,683 YOUR CAMERAS SO WE CAN SEE YOU, 2147 01:22:26,683 --> 01:22:28,084 WE HAVE ABOUT 7 MINUTES AND HAVE 2148 01:22:28,084 --> 01:22:29,186 TIME FOR A FEW QUESTIONS. 2149 01:22:29,186 --> 01:22:30,720 I JUST WANT TO REMIND FOLKS ON 2150 01:22:30,720 --> 01:22:34,858 OUR VIDEOCAST THAT YOU CAN 2151 01:22:34,858 --> 01:22:35,759 SUBMIT QUESTIONS AND WE HAVE 2152 01:22:35,759 --> 01:22:38,461 TIME FOR A FEW. 2153 01:22:38,461 --> 01:22:39,629 AND FIRST I JUST WANT TO SAY 2154 01:22:39,629 --> 01:22:42,199 THANK YOU SO MUCH FOR YOUR 2155 01:22:42,199 --> 01:22:42,699 INCREDIBLE PRESENTATION. 2156 01:22:42,699 --> 01:22:44,835 THEY REALLY JUST BEAUTIFULLY 2157 01:22:44,835 --> 01:22:48,004 BUILT ON ONE ANOTHER AND WE 2158 01:22:48,004 --> 01:22:49,840 COULD SEE MANY, MANY PARALLEL 2159 01:22:49,840 --> 01:22:51,842 PROCESSES ACROSS THE GLOBE 2160 01:22:51,842 --> 01:22:55,879 AROUND OUR CONCERNS AROUND PRIOR 2161 01:22:55,879 --> 01:22:56,947 PRACTICES BUT ALSO WHAT WE NEED 2162 01:22:56,947 --> 01:22:58,949 TO DO FOR THE FUTURE AND MOVING 2163 01:22:58,949 --> 01:23:02,219 AHEAD TO ENSURE OUR SOVEREIGNTY 2164 01:23:02,219 --> 01:23:04,621 IN THIS PROCESS. 2165 01:23:04,621 --> 01:23:09,993 SO ONE OF THE QUESTIONS ASKED, 2166 01:23:09,993 --> 01:23:12,062 THERE SEEMS TO BE LOW INPUT FROM 2167 01:23:12,062 --> 01:23:13,263 INDIGENOUS COMMUNITIES ABOUT 2168 01:23:13,263 --> 01:23:17,100 WHETHER THEY ARE OKAY WITH THE 2169 01:23:17,100 --> 01:23:23,306 CREATION OF A REFERENCE GENOME. 2170 01:23:23,306 --> 01:23:25,842 WHAT CAN YOU ADD TO THAT 2171 01:23:25,842 --> 01:23:26,943 CONCERN, AND HOW ARE PEOPLE 2172 01:23:26,943 --> 01:23:32,616 ADDRESSING THAT? 2173 01:23:32,616 --> 01:23:34,150 ALEX, WOULD YOU LIKE TO TAKE 2174 01:23:34,150 --> 01:23:35,252 THAT SINCE -- 2175 01:23:35,252 --> 01:23:37,220 >> I CAN CERTAINLY START AND I'M 2176 01:23:37,220 --> 01:23:38,521 SURE THAT PHIL AND CRYSTAL WILL 2177 01:23:38,521 --> 01:23:41,491 HAVE THINGS TO ADD. 2178 01:23:41,491 --> 01:23:43,560 I AGREE, THERE HAS NOT BEEN 2179 01:23:43,560 --> 01:23:45,629 SIGNIFICANT ENGAGEMENT WITH 2180 01:23:45,629 --> 01:23:46,630 COMMUNITIES ABOUT WHAT A 2181 01:23:46,630 --> 01:23:48,031 REFERENCE GENOME IS. 2182 01:23:48,031 --> 01:23:49,799 LET ALONE WHAT IT REPRESENTS. 2183 01:23:49,799 --> 01:23:51,534 AND HOW IMPORTANT IT MIGHT OR 2184 01:23:51,534 --> 01:23:53,169 MIGHT NOT BE IN TERMS OF 2185 01:23:53,169 --> 01:23:55,272 PURSUING OUR INTERESTS. 2186 01:23:55,272 --> 01:23:56,706 THE REFERENCE GENOME WORK 2187 01:23:56,706 --> 01:23:57,908 HAPPENING WITH INDIGENOUS 2188 01:23:57,908 --> 01:23:59,309 COMMUNITIES IN AUSTRALIA, 2189 01:23:59,309 --> 01:24:01,845 THERE'S PROBABLY TWO THINGS TO 2190 01:24:01,845 --> 01:24:02,812 CONSIDER. 2191 01:24:02,812 --> 01:24:05,448 THE REFERENCE GENOME IS BASED ON 2192 01:24:05,448 --> 01:24:06,516 SAMPLES FROM COMMUNITIES WHERE 2193 01:24:06,516 --> 01:24:09,586 THIS WAS DISCUSSED AND WHERE WE 2194 01:24:09,586 --> 01:24:10,820 HAD MULTIPLE LAYERS OF CONSENT 2195 01:24:10,820 --> 01:24:11,521 FROM COMMUNITIES ABOUT 2196 01:24:11,521 --> 01:24:13,690 PROGRESSING. 2197 01:24:13,690 --> 01:24:15,525 THE SECOND IS, WE'VE GOT WORK TO 2198 01:24:15,525 --> 01:24:18,328 DO AS A SYSTEM TO ANSWER TWO 2199 01:24:18,328 --> 01:24:20,030 FUNDAMENTAL QUESTIONS. 2200 01:24:20,030 --> 01:24:21,665 ONE IS, IS ONE REFERENCE GENOME 2201 01:24:21,665 --> 01:24:22,632 EVEN GOING TO BE ENOUGH, WHICH 2202 01:24:22,632 --> 01:24:24,935 IT MAY NOT BE, AND I THINK OUR 2203 01:24:24,935 --> 01:24:25,936 VARIATION ACROSS INDIGENOUS 2204 01:24:25,936 --> 01:24:27,437 COMMUNITIES IN AUSTRALIA WOULD 2205 01:24:27,437 --> 01:24:28,538 SUGGEST WE NEED TO BE CAUTIOUS 2206 01:24:28,538 --> 01:24:29,973 ABOUT THAT. 2207 01:24:29,973 --> 01:24:31,741 THE SECOND IS, HOW IS IT USED 2208 01:24:31,741 --> 01:24:33,276 AND HOW IS IT GOING TO MAKE A 2209 01:24:33,276 --> 01:24:35,578 DIFFERENCE TO OUR FUTURE HEALTH 2210 01:24:35,578 --> 01:24:38,181 AND WELL-BEING? 2211 01:24:38,181 --> 01:24:40,383 AND I THINK THERE'S STILL 2212 01:24:40,383 --> 01:24:41,451 ENORMOUS CONVERSATIONS TO BE HAD 2213 01:24:41,451 --> 01:24:42,919 WITH COMMUNITIES TO ANSWER THOSE 2214 01:24:42,919 --> 01:24:45,455 FUNDAMENTAL QUESTIONS. 2215 01:24:45,455 --> 01:24:46,456 >> THANK YOU. 2216 01:24:46,456 --> 01:24:51,661 PHIL OR CRYSTAL? 2217 01:24:51,661 --> 01:24:53,296 >> I THINK YOU'RE RIGHT, I MEAN, 2218 01:24:53,296 --> 01:24:56,800 THERE NEEDS TO BE MORE 2219 01:24:56,800 --> 01:24:58,768 PARTICIPATION ENGAGEMENT WITH 2220 01:24:58,768 --> 01:25:00,403 COMMUNITIES ABOUT NOT ONLY WHAT 2221 01:25:00,403 --> 01:25:03,373 INDIGENOUS REFERENCE GENOME IS, 2222 01:25:03,373 --> 01:25:06,943 BUT ALSO -- AND THERE HAVE BEEN 2223 01:25:06,943 --> 01:25:10,046 SOME ENGAGED ACTIVITIES TALKING 2224 01:25:10,046 --> 01:25:13,750 ABOUT, LAKE, SPECIFICALLY AND 2225 01:25:13,750 --> 01:25:14,951 TRUTHFULLY, WHAT IS HAPPENING 2226 01:25:14,951 --> 01:25:20,623 WITH INDIGENOUS PEOPLES' GENOMIC 2227 01:25:20,623 --> 01:25:22,492 DATA AFTER A PROJECT ENDS, LIKE 2228 01:25:22,492 --> 01:25:24,361 WHERE DOES IT GET DEPOSITED, WHO 2229 01:25:24,361 --> 01:25:30,700 GETS ACCESS TO THAT POINT, AND 2230 01:25:30,700 --> 01:25:32,135 ALSO ESPECIALLY FOR INDIGENOUS 2231 01:25:32,135 --> 01:25:34,104 PEOPLES THAT ARE RECRUITED, 2232 01:25:34,104 --> 01:25:38,041 URBAN SETTINGS, ESPECIALLY IN 2233 01:25:38,041 --> 01:25:41,211 CLINICAL CARE SETTINGS, THAT 2234 01:25:41,211 --> 01:25:43,513 DISTINCTION BETWEEN 2235 01:25:43,513 --> 01:25:45,281 PARTICIPATING IN RESEARCH AND 2236 01:25:45,281 --> 01:25:46,383 WHAT THAT ENTAILS IN ITS 2237 01:25:46,383 --> 01:25:49,519 ENTIRETY VERSUS PARTICIPATING OR 2238 01:25:49,519 --> 01:25:50,520 JUST RECEIVING CARE IN THAT 2239 01:25:50,520 --> 01:25:53,490 CLINICAL SETTING. 2240 01:25:53,490 --> 01:25:55,291 SO I THINK THE NATIONAL 2241 01:25:55,291 --> 01:25:58,528 ACADEMIES HAS A REPORT OUT 2242 01:25:58,528 --> 01:26:02,799 RECENTLY ON COMMUNITY ENGAGEMENT 2243 01:26:02,799 --> 01:26:05,201 AND I CONTRIBUTED A TALK 2244 01:26:05,201 --> 01:26:09,072 ABOUT -- WITH DR. ANDREW BUSCAL, 2245 01:26:09,072 --> 01:26:10,240 WE STARTED TALKING ABOUT 2246 01:26:10,240 --> 01:26:11,241 ENGAGEMENT WASHING. 2247 01:26:11,241 --> 01:26:13,643 THAT SOMETIMES WE DO LIKE THIS 2248 01:26:13,643 --> 01:26:15,945 ONE LITTLE CONSULTATION OR 2249 01:26:15,945 --> 01:26:16,880 LISTENING SESSION WITH 2250 01:26:16,880 --> 01:26:18,181 INDIGENOUS PEOPLES AND IT'S 2251 01:26:18,181 --> 01:26:19,716 LIKE, OH, THERE'S THE CONSENT. 2252 01:26:19,716 --> 01:26:24,521 WE GOT THEIR BUY-IN. 2253 01:26:24,521 --> 01:26:26,389 ALSO WE DON'T THINK ABOUT 2254 01:26:26,389 --> 01:26:28,258 ENGAGEMENT ACROSS THE DATA 2255 01:26:28,258 --> 01:26:29,459 LIFECYCLE, WE TALK ABOUT 2256 01:26:29,459 --> 01:26:30,794 ENGAGEMENT MAYBE AT THE POINT OF 2257 01:26:30,794 --> 01:26:33,730 ORIGINATION OF THAT DATA BEING 2258 01:26:33,730 --> 01:26:34,831 GENERATED ANEW, BUT WE DON'T 2259 01:26:34,831 --> 01:26:36,833 REALLY TALK ABOUT LIKE THE 2260 01:26:36,833 --> 01:26:38,668 SUSTAINED LIFECYCLE OF LIKE 2261 01:26:38,668 --> 01:26:42,705 WHERE -- AND DATA IS LONGER IN 2262 01:26:42,705 --> 01:26:43,573 THOSE STAGES. 2263 01:26:43,573 --> 01:26:44,674 SO THERE'S JUST SO MUCH MORE 2264 01:26:44,674 --> 01:26:45,909 THAT NEEDS TO HAPPEN. 2265 01:26:45,909 --> 01:26:48,078 >> I FEEL LIKE WE'RE JUST AT THE 2266 01:26:48,078 --> 01:26:49,079 BEGINNING OF THESE 2267 01:26:49,079 --> 01:26:50,280 CONVERSATIONS, HONESTLY. 2268 01:26:50,280 --> 01:26:51,381 PHIL, ANYTHING YOU'D LIKE TO ADD 2269 01:26:51,381 --> 01:26:52,482 TO THAT? 2270 01:26:52,482 --> 01:26:54,984 >> I THINK THERE'S A NUMBER OF 2271 01:26:54,984 --> 01:26:56,086 FACTORS AT PLAY. 2272 01:26:56,086 --> 01:27:00,890 ONE IS OUR COMMUNITIES DON'T 2273 01:27:00,890 --> 01:27:02,759 NECESSARILY HAVE THE CAPACITY TO 2274 01:27:02,759 --> 01:27:03,626 EFFECTIVE ENGAGE BECAUSE THEY'VE 2275 01:27:03,626 --> 01:27:05,161 GOT SO MANY OTHER ISSUES THAT 2276 01:27:05,161 --> 01:27:09,299 ARE PRIORITY FOR THEM. 2277 01:27:09,299 --> 01:27:11,501 SO HOW WE'VE ADDRESSED THOSE 2278 01:27:11,501 --> 01:27:12,402 PRAGMATIC ISSUES IS WORKING 2279 01:27:12,402 --> 01:27:14,471 THROUGH HEALTH PROVIDERS, MAORI 2280 01:27:14,471 --> 01:27:15,538 HEALTH PROVIDERS INCLUDING 2281 01:27:15,538 --> 01:27:16,339 TRIBAL HEALTH PROVIDERS BECAUSE 2282 01:27:16,339 --> 01:27:18,274 WE HAVE SIGNIFICANT PROPORTION 2283 01:27:18,274 --> 01:27:21,444 OF OUR PEOPLE LIVING IN URBAN 2284 01:27:21,444 --> 01:27:23,313 AREAS OUTSIDE OF THEIR 2285 01:27:23,313 --> 01:27:27,083 TRADITIONAL TRAIBL BOUNDARI TRIS 2286 01:27:27,083 --> 01:27:29,452 AND THEIR MAORI HEALTH 2287 01:27:29,452 --> 01:27:30,487 PROVIDERS. 2288 01:27:30,487 --> 01:27:31,955 THAT WE'VE ENGAGED WITH AND HAVE 2289 01:27:31,955 --> 01:27:34,791 HELPED US RECRUIT INTO THE VERY 2290 01:27:34,791 --> 01:27:35,792 OWN PROJECT. 2291 01:27:35,792 --> 01:27:37,894 THEY ARE CLOSER TO UNDERSTANDING 2292 01:27:37,894 --> 01:27:39,395 BENEFITS, THEY'RE CLOSER TO 2293 01:27:39,395 --> 01:27:40,497 UNDERSTANDING THE SOCIAL 2294 01:27:40,497 --> 01:27:41,264 DETERMINANTS, AS WELL AS THE BUY 2295 01:27:41,264 --> 01:27:44,901 LONGBIOLOGICAL DETERMINANTS OF 2296 01:27:44,901 --> 01:27:48,705 HEALTH. 2297 01:27:48,705 --> 01:27:50,807 SO LACKING COMMUNITY ENGAGEMENT 2298 01:27:50,807 --> 01:27:52,242 IS NOT NECESSARILY LACKING 2299 01:27:52,242 --> 01:27:53,109 MEANINGFUL ENGAGEMENT. 2300 01:27:53,109 --> 01:27:56,946 THE OTHER POINT TO MAKE TOO IS 2301 01:27:56,946 --> 01:27:59,249 THAT WE HAVE USED -- AND I 2302 01:27:59,249 --> 01:28:00,350 DIDN'T TALK ABOUT THIS IN MY 2303 01:28:00,350 --> 01:28:00,783 PRESENTATION. 2304 01:28:00,783 --> 01:28:03,853 THERE ARE MAORI MODELS OF 2305 01:28:03,853 --> 01:28:05,054 HEALTH, HEALTH FRAME WORKS, AND 2306 01:28:05,054 --> 01:28:08,024 WE'VE DEVELOPED OUR PROJECT IN 2307 01:28:08,024 --> 01:28:12,061 PART ACCORDING TO THOSE FRAME 2308 01:28:12,061 --> 01:28:13,329 WORKS RATHER THAN OUR STANDARD 2309 01:28:13,329 --> 01:28:14,597 WESTERN MEDICAL MODEL. 2310 01:28:14,597 --> 01:28:16,232 YES, WE'VE USED THE STANDARD 2311 01:28:16,232 --> 01:28:17,667 WESTERN MEDICAL MODEL BUT THOSE 2312 01:28:17,667 --> 01:28:18,868 HEALTH FRAME WORKS HAVE BEEN 2313 01:28:18,868 --> 01:28:21,671 BROADLY APPLIED UP TO TWO 2314 01:28:21,671 --> 01:28:23,373 DECADES AGO, BEGINNING TWO 2315 01:28:23,373 --> 01:28:23,907 DECADES AGO. 2316 01:28:23,907 --> 01:28:30,380 I THINK WHEN -- KARINA, WHEN YOU 2317 01:28:30,380 --> 01:28:34,651 WERE AN ALTEREO MEMBER, THE 2318 01:28:34,651 --> 01:28:37,820 MODEL WHICH WE APPLIED TO OUR 2319 01:28:37,820 --> 01:28:39,455 PROJECT AND EVALUATED OUR 2320 01:28:39,455 --> 01:28:40,356 PROJECT ACCORDING TO THOSE 2321 01:28:40,356 --> 01:28:40,657 MODELS. 2322 01:28:40,657 --> 01:28:43,660 SO THAT WHEN WE DO GO IN FRONT 2323 01:28:43,660 --> 01:28:45,395 OF COMMUNITIES OR TRIBAL LEADERS 2324 01:28:45,395 --> 01:28:47,564 OR EVEN THEIR POLITICIANS, WE 2325 01:28:47,564 --> 01:28:49,465 CAN GET UP THERE AND SAY, WELL, 2326 01:28:49,465 --> 01:28:53,269 ACTUALLY, WE HAVE ADDRESSED 2327 01:28:53,269 --> 01:28:55,271 THINGS FROM OUR CULTURAL 2328 01:28:55,271 --> 01:28:59,842 PERSPECTIVE, AND AS A SURROGATE 2329 01:28:59,842 --> 01:29:01,177 FOR EXPANSIVE COMMUNITY 2330 01:29:01,177 --> 01:29:03,580 ENGAGEMENT, IT'S NOT A COMPLETE 2331 01:29:03,580 --> 01:29:04,714 REPLACEMENT, IT'S NOT A COMPLETE 2332 01:29:04,714 --> 01:29:07,050 SUBSTITUTE, BUT IT'S NOT A BAD 2333 01:29:07,050 --> 01:29:07,517 ONE EITHER. 2334 01:29:07,517 --> 01:29:11,254 AND IF WE CAN POINT TO THE 2335 01:29:11,254 --> 01:29:13,356 PATHWAYS TO BENEFITS FROM THE 2336 01:29:13,356 --> 01:29:15,191 RESOURCES THAT WE DEVELOP AND 2337 01:29:15,191 --> 01:29:16,960 PUT THOSE -- THE DEVELOPMENT OF 2338 01:29:16,960 --> 01:29:19,162 THE PANGENOME INTO THEIR 2339 01:29:19,162 --> 01:29:22,765 CONTEXT, I THINK WE'RE A FAIR 2340 01:29:22,765 --> 01:29:24,467 WAY DOWN THE TRACK TO ACHIEVING 2341 01:29:24,467 --> 01:29:26,169 THE OUTCOMES THAT I THINK THAT 2342 01:29:26,169 --> 01:29:27,136 OUR COMMUNITIES WOULD LIKE TO 2343 01:29:27,136 --> 01:29:28,705 SEE. 2344 01:29:28,705 --> 01:29:30,106 >> WELL, THANK YOU SO MUCH. 2345 01:29:30,106 --> 01:29:31,741 WE ARE ALMOST OUT OF TIME. 2346 01:29:31,741 --> 01:29:35,044 THE LAST QUESTION HAS TO DO WITH 2347 01:29:35,044 --> 01:29:38,548 SOMEBODY WHO'S ASKING FROM THE 2348 01:29:38,548 --> 01:29:39,349 UNDERGRADUATE WORLD, THEY'RE 2349 01:29:39,349 --> 01:29:41,718 ASKING A LITTLE BIT ABOUT WHAT 2350 01:29:41,718 --> 01:29:44,354 ARE THE SKILLSETS THAT YOU VALUE 2351 01:29:44,354 --> 01:29:49,492 IN UNDERGRADUATES COMING OUT AND 2352 01:29:49,492 --> 01:29:50,159 WANTING INDIGENOUS 2353 01:29:50,159 --> 01:29:50,760 UNDERGRADUATES IN PARTICULAR 2354 01:29:50,760 --> 01:29:51,928 COMING INTO YOUR LABS OR INTO 2355 01:29:51,928 --> 01:29:52,795 YOUR SPACE, WHAT WOULD YOU LIKE 2356 01:29:52,795 --> 01:29:57,734 TO SEE FOR THE UP AND COMING 2357 01:29:57,734 --> 01:29:59,702 GENERATION? 2358 01:29:59,702 --> 01:30:03,339 >> SO I THINK BECAUSE I'LL BE 2359 01:30:03,339 --> 01:30:05,642 EVALUATING APPLICATIONS SOON, 2360 01:30:05,642 --> 01:30:09,445 THE DEADLINE IS IN A COUPLE 2361 01:30:09,445 --> 01:30:15,051 DAYS, I'LL ANSWER. 2362 01:30:15,051 --> 01:30:16,586 SO I THINK WHEN I'M EVALUATING A 2363 01:30:16,586 --> 01:30:17,887 STUDENT, I'M REALLY EVALUATING 2364 01:30:17,887 --> 01:30:22,592 MORE IN TERMS OF INTEREST AND 2365 01:30:22,592 --> 01:30:22,792 DRIVE. 2366 01:30:22,792 --> 01:30:26,763 AND ALSO WHAT IT IS THEY'D LIKE 2367 01:30:26,763 --> 01:30:31,034 TO LEARN AND DO WITH RESEARCH. 2368 01:30:31,034 --> 01:30:32,902 AND SO IF A STUDENT COMES UP TO 2369 01:30:32,902 --> 01:30:34,337 ME AND STATES OH, I WANT TO DO 2370 01:30:34,337 --> 01:30:35,638 RESEARCH IN MY COMMUNITY, THAT'S 2371 01:30:35,638 --> 01:30:37,607 GREAT, BUT WHAT DOES THAT LOOK 2372 01:30:37,607 --> 01:30:38,141 LIKE? 2373 01:30:38,141 --> 01:30:39,008 BECAUSE THERE'S SO MANY 2374 01:30:39,008 --> 01:30:40,043 DIFFERENT TYPES OF RESEARCH. 2375 01:30:40,043 --> 01:30:41,678 DO YOU WANT TO -- DO YOU SEE 2376 01:30:41,678 --> 01:30:46,049 YOURSELF IN LIKE A LAB, BENCH 2377 01:30:46,049 --> 01:30:47,817 ENVIRONMENT, DO YOU SEE YOURSELF 2378 01:30:47,817 --> 01:30:48,785 WORKING COMPUTATIONALLY, DO YOU 2379 01:30:48,785 --> 01:30:51,220 SEE YOURSELF MORE IN, LIKE, 2380 01:30:51,220 --> 01:30:52,889 ETHNOGRAPHIC RESEARCH METHODS OR 2381 01:30:52,889 --> 01:30:54,190 MORE EMBEDDED TALKING WITH 2382 01:30:54,190 --> 01:30:59,228 COMMUNITY MEMBERS DIRECTLY, 2383 01:30:59,228 --> 01:31:00,129 QUALITATIVE, QUANTITATIVE 2384 01:31:00,129 --> 01:31:00,563 RESEARCH APPROACHES. 2385 01:31:00,563 --> 01:31:01,864 IT'S NOT JUST LIKE VISUALIZING 2386 01:31:01,864 --> 01:31:03,466 WHAT YOUR DAY TO DAY IN THE LIFE 2387 01:31:03,466 --> 01:31:07,136 IS, BUT ALSO IT HELPS YOU 2388 01:31:07,136 --> 01:31:08,237 UNDERSTAND WHAT TYPES OF DEGREE 2389 01:31:08,237 --> 01:31:09,105 PROGRAMS AND WHAT TYPES OF 2390 01:31:09,105 --> 01:31:10,206 TRAINING YOU NEED TO DO THE 2391 01:31:10,206 --> 01:31:11,307 TYPES OF THINGS THAT YOU'D LIKE 2392 01:31:11,307 --> 01:31:16,446 TO DO. 2393 01:31:16,446 --> 01:31:19,082 THEN AFTER THAT, IT IS, OKAY, 2394 01:31:19,082 --> 01:31:21,084 HOW DO YOU ENVISION EMBEDDING 2395 01:31:21,084 --> 01:31:24,554 YOUR UPBRINGING OR YOUR PERSONAL 2396 01:31:24,554 --> 01:31:28,291 EXPERIENCES INTO THAT REALM. 2397 01:31:28,291 --> 01:31:31,461 BECAUSE FOR ME, I THINK THE 2398 01:31:31,461 --> 01:31:33,062 STRONGEST STUDENTS ARE NOT 2399 01:31:33,062 --> 01:31:35,531 NECESSARILY WITH THE HIGHEST TB. 2400 01:31:35,531 --> 01:31:39,035 PAGPAs, IT'S MORE SEEING 2401 01:31:39,035 --> 01:31:39,836 THEMSELVES IN THE RESEARCH 2402 01:31:39,836 --> 01:31:41,437 PROCESS AND HAVING BENEFIT TO 2403 01:31:41,437 --> 01:31:44,941 THEIR COMMUNITIES. 2404 01:31:44,941 --> 01:31:45,942 SOME TYPES OF RESEARCH QUESTIONS 2405 01:31:45,942 --> 01:31:49,645 ARE GREAT, BUT THEY MAY NOT BE 2406 01:31:49,645 --> 01:31:52,081 MORE PROXIMALLY IMPACTFUL TO 2407 01:31:52,081 --> 01:31:54,050 INDIGENOUS PEOPLES, AND 2408 01:31:54,050 --> 01:31:55,251 COMMUNITIES, AND IT'S IMPORTANT 2409 01:31:55,251 --> 01:31:57,220 THAT STUDENTS REALIZE THAT UP 2410 01:31:57,220 --> 01:31:58,154 FRONT IF THAT'S IMPORTANT TO 2411 01:31:58,154 --> 01:31:59,956 THEM. 2412 01:31:59,956 --> 01:32:00,857 SO THOSE ARE THE TYPES OF 2413 01:32:00,857 --> 01:32:02,725 QUESTIONS THAT I KIND OF 2414 01:32:02,725 --> 01:32:03,393 INTERROGATE ON THE PERSONAL 2415 01:32:03,393 --> 01:32:07,330 SIDE, JUST TO SEE, LIKE, WHERE 2416 01:32:07,330 --> 01:32:08,831 MY MENTORSHIP STYLE MIGHT FIT 2417 01:32:08,831 --> 01:32:14,237 WITH THEIR NEEDS. 2418 01:32:14,237 --> 01:32:14,737 >> THANK YOU. 2419 01:32:14,737 --> 01:32:16,639 OUR TIME IS ACTUALLY UP, AND I 2420 01:32:16,639 --> 01:32:21,110 WANT TO AGAIN THANK THIS 2421 01:32:21,110 --> 01:32:23,546 INCREDIBLE PANEL FOR THAT TAKING 2422 01:32:23,546 --> 01:32:24,981 THEIR TIME AND ALL OF YOU FOR 2423 01:32:24,981 --> 01:32:25,748 SHARING YOUR WISDOM. 2424 01:32:25,748 --> 01:32:27,483 THIS WILL BE -- WE WILL HAVE 2425 01:32:27,483 --> 01:32:29,252 THIS SO THAT OTHER FOLKS WHO 2426 01:32:29,252 --> 01:32:32,655 DIDN'T JOIN US TODAY, WE HAD I 2427 01:32:32,655 --> 01:32:35,925 BELIEVE AT LEAST 50 PEOPLE 2428 01:32:35,925 --> 01:32:37,026 ONLINE TO SHARE WITH US TODAY, 2429 01:32:37,026 --> 01:32:38,561 AND I THINK WE WILL HAVE MANY 2430 01:32:38,561 --> 01:32:39,462 MORE WHO ARE GOING TO HAVE THE 2431 01:32:39,462 --> 01:32:40,096 OPPORTUNITY TO WATCH THIS. 2432 01:32:40,096 --> 01:32:41,731 SO I REALLY APPRECIATE YOUR 2433 01:32:41,731 --> 01:32:43,032 KNOWLEDGE AND ALL THE WORK THAT 2434 01:32:43,032 --> 01:32:44,167 YOU ARE DOING. 2435 01:32:44,167 --> 01:32:49,439 IT IS SO IMPORTANT, AND I LOOK 2436 01:32:49,439 --> 01:32:50,973 FORWARD TO HEAR MORE ABOUT THE 2437 01:32:50,973 --> 01:32:54,377 WORK AND WISH YOU ALL CONTINUED 2438 01:32:54,377 --> 01:32:55,445 SUCCESS, ESPECIALLY BRINGING UP 2439 01:32:55,445 --> 01:32:59,282 THAT NEXT GENERATION OF 2440 01:32:59,282 --> 01:33:00,383 INDIGENOUS GENETICISTS TO BE 2441 01:33:00,383 --> 01:33:01,284 ABLE TO LEAD THE WAY. 2442 01:33:01,284 --> 01:33:02,285 SO THANK YOU SO MUCH. 2443 01:33:02,285 --> 01:33:04,887 THANK YOU FOR THE TIME. 2444 01:33:04,887 --> 01:33:07,990 WE ARE GOING TO GO OFFLINE, 2445 01:33:07,990 --> 01:33:17,990 AND -- RIGHT NOW.