1 00:00:05,240 --> 00:00:09,120 >>I WOULD LIKE TO CALL THE 2 00:00:09,120 --> 00:00:12,000 JOINT BSA/NCAB MEETING TO ORDER. 3 00:00:12,000 --> 00:00:14,480 WELCOME. 4 00:00:14,480 --> 00:00:16,160 I WOULD LIKE TO WELCOME THE 5 00:00:16,160 --> 00:00:18,360 MEMBERS OF BOTH BOARD OF 6 00:00:18,360 --> 00:00:20,480 SCIENTIFIC ADVISERS AND THE 7 00:00:20,480 --> 00:00:23,440 NATIONAL CANCER ADVISER BOARD 8 00:00:23,440 --> 00:00:30,400 ALSO THE MCAB MEMBERS. 9 00:00:30,400 --> 00:00:32,440 AND BELATED HAPPY THANKSGIVING 10 00:00:32,440 --> 00:00:34,840 TO EVERYONE. 11 00:00:34,840 --> 00:00:37,680 THERE ARE SOME REQUIRED 12 00:00:37,680 --> 00:00:38,400 ANNOUNCEMENTS. 13 00:00:38,400 --> 00:00:40,280 MEMBERS OF THE PUBLIC WHO MAY 14 00:00:40,280 --> 00:00:42,960 WISH TO EXPRESS THEIR VIEWS 15 00:00:42,960 --> 00:00:44,280 REGARDING ANY ITEMS DISCUSSED 16 00:00:44,280 --> 00:00:46,280 DURING THIS MEETING MAY DO SO IN 17 00:00:46,280 --> 00:00:48,840 WRITING TO DR. PAULETTE GRAY WHO 18 00:00:48,840 --> 00:00:54,040 IS THE EXECUTIVE SECRETARY. 19 00:00:54,040 --> 00:00:56,120 WITHIN 10 DAYS AFTER THE 20 00:00:56,120 --> 00:00:56,760 MEETING. 21 00:00:56,760 --> 00:00:59,000 ANY WRITTEN STATEMENTS OR 22 00:00:59,000 --> 00:01:00,080 QUESTIONS WILL BE RECEIVED AND 23 00:01:00,080 --> 00:01:03,120 CAREFULLY CONSIDERED. 24 00:01:03,120 --> 00:01:04,440 AS BOARD MEMBERS I WANT TO 25 00:01:04,440 --> 00:01:10,600 REMIND YOU THAT YOU MUST ABSENT 26 00:01:10,600 --> 00:01:12,280 YOURSELVES VIRTUALLY WHEN YOUR 27 00:01:12,280 --> 00:01:13,840 PARTICIPATION AND DELIBERATIONS 28 00:01:13,840 --> 00:01:16,080 ON A PARTICULAR PRODUCT, PROGRAM 29 00:01:16,080 --> 00:01:17,640 OR OTHER SPECIFIC MATTERS WOULD 30 00:01:17,640 --> 00:01:19,280 CONSTITUTE A CONFLICT OF 31 00:01:19,280 --> 00:01:21,400 INTEREST OR CREATE EVEN THE 32 00:01:21,400 --> 00:01:22,560 APPEARANCE OF ONE. 33 00:01:22,560 --> 00:01:26,480 IT IS INCUMBENT UPON YOU BOARD 34 00:01:26,480 --> 00:01:28,680 MEMBERS TO ADVISE THE EXECUTIVE 35 00:01:28,680 --> 00:01:31,360 SECRETARY DR. GRAY TO OBTAIN 36 00:01:31,360 --> 00:01:33,440 FROM ANY ACTION REGARDING THAT 37 00:01:33,440 --> 00:01:33,840 MATTER. 38 00:01:33,840 --> 00:01:36,160 IN LIGHT OF THE CURRENT POLICIES 39 00:01:36,160 --> 00:01:37,880 GOVERNING CONFLICT OF INTEREST 40 00:01:37,880 --> 00:01:39,960 BASED ON FINANCIAL HOLDINGS OF 41 00:01:39,960 --> 00:01:41,120 SPECIAL GOVERNMENT EMPLOYEES 42 00:01:41,120 --> 00:01:42,640 WHICH INCLUDES ALL MEMBERS OF 43 00:01:42,640 --> 00:01:44,640 BOTH BOARDS WE MUST DEPEND ON 44 00:01:44,640 --> 00:01:48,280 YOU TO VOLUNTARILY ABSENT 45 00:01:48,280 --> 00:01:50,160 YOURSELF DURING ANY AND ALL 46 00:01:50,160 --> 00:01:51,920 DISCUSSIONS OF MATTERS THAT 47 00:01:51,920 --> 00:01:53,960 COULD IMPACT THE STATUS OF THOSE 48 00:01:53,960 --> 00:01:56,040 OF HOLDINGS SO WE TRUST YOUR 49 00:01:56,040 --> 00:01:58,240 JUDGMENT IN THESE INSTANCES. 50 00:01:58,240 --> 00:02:00,360 ALSO DURING ANY CLOSED SESSIONS 51 00:02:00,360 --> 00:02:03,600 WHICH ARE NOT EXPECT TODAY ANY 52 00:02:03,600 --> 00:02:06,640 MATERIALS OR DISCUSSIONS OF A 53 00:02:06,640 --> 00:02:08,200 CONFIDENTIALITY NATURE 54 00:02:08,200 --> 00:02:10,240 DELIBERATED ON TODAY ARE 55 00:02:10,240 --> 00:02:11,120 PRIVILEGED INFORMATION. 56 00:02:11,120 --> 00:02:12,560 AND ARE MADE AVAILABLE TO YOU ON 57 00:02:12,560 --> 00:02:15,360 A NEED NO KNOW BASES. 58 00:02:15,360 --> 00:02:17,120 SUCH DELIBERATIONS ARE PRIVATE 59 00:02:17,120 --> 00:02:20,560 AND THE CONTENTS SHOULD NOT BE 60 00:02:20,560 --> 00:02:21,040 DIVULGED. 61 00:02:21,040 --> 00:02:23,360 SO WE WANT TO FIRST DISCUSS 62 00:02:23,360 --> 00:02:24,440 FUTURE MEETINGS. 63 00:02:24,440 --> 00:02:26,600 THE FIRST ORDER OF BUSINESS WILL 64 00:02:26,600 --> 00:02:33,520 BE FOR THE NCAB TO APPROVE THE 65 00:02:33,520 --> 00:02:35,000 NCAB2023 MEETING DATES SO I 66 00:02:35,000 --> 00:02:37,280 WOULD LIKE TO CALL FOR A MOTION 67 00:02:37,280 --> 00:02:40,640 FROM NC AB MEMBERS TO APPROVE 68 00:02:40,640 --> 00:02:44,360 THE MEETING DATES. 69 00:02:44,360 --> 00:02:45,680 >> SO MOVED. 70 00:02:45,680 --> 00:02:50,480 >> SECOND. 71 00:02:50,480 --> 00:02:51,600 >> THANK YOU. 72 00:02:51,600 --> 00:02:57,680 ANY NAYs OR ABSTENTIONS? 73 00:02:57,680 --> 00:03:00,280 I THINK I HAND THE PODIUM OVER 74 00:03:00,280 --> 00:03:03,440 TO KEITH. 75 00:03:03,440 --> 00:03:06,200 >> THANK YOU, JOHN. 76 00:03:06,200 --> 00:03:08,200 GOOD AFTERNOON, EVERYONE OR 77 00:03:08,200 --> 00:03:10,080 MORNING DEPENDING ON YOUR 78 00:03:10,080 --> 00:03:10,360 LOCATION. 79 00:03:10,360 --> 00:03:12,680 SO WE HAVE A BUSY AGENDA AND WE 80 00:03:12,680 --> 00:03:15,120 ARE RIGHT ON SCHEDULE FOR IT 81 00:03:15,120 --> 00:03:19,520 START WITH DR. SHARPLESS'S NIH'S 82 00:03:19,520 --> 00:03:20,600 DIRECTOR'S REPORT. 83 00:03:20,600 --> 00:03:22,680 SO, I'LL HAND THE MICROPHONE 84 00:03:22,680 --> 00:03:26,440 FIRST TO DR. SHARPLESS. 85 00:03:26,440 --> 00:03:28,440 HOPEFULLY YOU HAVE THE AGENDA IN 86 00:03:28,440 --> 00:03:31,240 FRONT OF YOU AND WE WILL -- 87 00:03:31,240 --> 00:03:33,640 WE'LL HAVE A SCHEDULED BREAK 88 00:03:33,640 --> 00:03:35,240 COMING AHEAD FURTHER IN THE 89 00:03:35,240 --> 00:03:35,720 PROGRAM. 90 00:03:35,720 --> 00:03:38,600 THAT DOESN'T COME UNTIL 91 00:03:38,600 --> 00:03:40,400 3:45 P.M. AS A BRIEF WARNING BUT 92 00:03:40,400 --> 00:03:41,920 WE HAVE A NUMBER OF 93 00:03:41,920 --> 00:03:45,200 PRESENTATIONS PRIOR TO THAT 94 00:03:45,200 --> 00:03:45,920 TIME. 95 00:03:45,920 --> 00:03:47,280 SOME OPPORTUNITIES FOR 96 00:03:47,280 --> 00:03:50,240 DISCUSSION AFTER EACH AND 4:00 97 00:03:50,240 --> 00:03:53,080 TO 5:30 REVIEWING CONCEPTS AND 98 00:03:53,080 --> 00:03:54,920 OF COURSE RESUME THAT BUSINESS 99 00:03:54,920 --> 00:03:55,640 TOMORROW. 100 00:03:55,640 --> 00:03:58,240 SO DR. SHARPLESS 101 00:03:58,240 --> 00:04:01,520 >> PAULETTE, BEFORE WE GO TO THE 102 00:04:01,520 --> 00:04:02,720 PRESENTATION SHOULD WE ALSO 103 00:04:02,720 --> 00:04:04,640 APPROVE THE MINUTES? 104 00:04:04,640 --> 00:04:05,120 >> YES. 105 00:04:05,120 --> 00:04:07,840 SORRY. 106 00:04:07,840 --> 00:04:13,640 >> SO WE NEED TO APPROVE THE 107 00:04:13,640 --> 00:04:15,360 SEPTEMBER 1,2021 VIRTUAL MEETING 108 00:04:15,360 --> 00:04:15,880 MINUTES. 109 00:04:15,880 --> 00:04:18,200 DO WE HAVE A MOTION TO APPROVE 110 00:04:18,200 --> 00:04:19,480 THOSE MINUTES 111 00:04:19,480 --> 00:04:20,840 >> SO MOVED. 112 00:04:20,840 --> 00:04:24,560 >> SECOND. 113 00:04:24,560 --> 00:04:26,440 >> OKAY. 114 00:04:26,440 --> 00:04:30,320 I THINK NOW WE CAN MOVE ON TO 115 00:04:30,320 --> 00:04:30,720 DR. SHARPLESS' 116 00:04:30,720 --> 00:04:31,120 >> NO. 117 00:04:31,120 --> 00:04:31,320 JOHN. 118 00:04:31,320 --> 00:04:33,080 WE CANNOT. 119 00:04:33,080 --> 00:04:38,240 YOU ASKED FOR A MOTION FOR THE 120 00:04:38,240 --> 00:04:41,440 NCAB -- MEETING DATES AND YOU 121 00:04:41,440 --> 00:04:43,240 GOT UNANIMOUS YEAS. 122 00:04:43,240 --> 00:04:47,240 WE STILL HAVE TO VOTE ON THE 123 00:04:47,240 --> 00:04:48,880 FUTURE MEETING DATES. 124 00:04:48,880 --> 00:04:51,640 >> I'LL TAKE THAT. 125 00:04:51,640 --> 00:04:54,800 SO CIRCULATED TO ALL OF YOU ARE 126 00:04:54,800 --> 00:04:58,000 OUR PROPOSED 2023 MEETING DATES. 127 00:04:58,000 --> 00:04:59,240 ASSUMING THAT YOU'VE HAD A 128 00:04:59,240 --> 00:05:00,720 CHANCE TO REVIEW THOSE. 129 00:05:00,720 --> 00:05:03,600 CAN I ASK FOR A BSA MEMBER TO 130 00:05:03,600 --> 00:05:06,680 MAKE A MOTION FOR THE APPROVAL 131 00:05:06,680 --> 00:05:09,200 OF THE TO 23 MEETING DATES? 132 00:05:09,200 --> 00:05:10,760 >> SO MOVED. 133 00:05:10,760 --> 00:05:11,920 >> SECOND PLEASE 134 00:05:11,920 --> 00:05:12,840 >> SECOND. 135 00:05:12,840 --> 00:05:15,560 >> AND ANY NAYs FROM ANY OF 136 00:05:15,560 --> 00:05:23,920 THE BSA MEMBERS? 137 00:05:23,920 --> 00:05:24,960 >> THEREFORE IT WAS UNANIMOUS. 138 00:05:24,960 --> 00:05:27,280 I NEED YOU TO INDICATE TO THEM 139 00:05:27,280 --> 00:05:28,800 THE QUORUM ETC. 140 00:05:28,800 --> 00:05:29,840 JOHN. 141 00:05:29,840 --> 00:05:30,440 >> OKAY. 142 00:05:30,440 --> 00:05:33,560 SO QUORUM BY LAW A QUORUM OF 143 00:05:33,560 --> 00:05:35,840 BOARD MEMBERS IS REQUIRED FOR 144 00:05:35,840 --> 00:05:38,040 EACH INSTANCE IN WHICH A VOTE 145 00:05:38,040 --> 00:05:39,720 MAY OCCUR WHETHER IN OPEN OR 146 00:05:39,720 --> 00:05:40,320 CLOSED SESSION. 147 00:05:40,320 --> 00:05:43,840 DURING THIS MEETING A MINIMUM OF 148 00:05:43,840 --> 00:05:45,640 18 APPOINTED MEMBERS MUST BE 149 00:05:45,640 --> 00:05:48,240 PRESENT TO VOICE THEIR VOTES. 150 00:05:48,240 --> 00:05:50,440 SINCE WE CANNOT PREDICT THE TIME 151 00:05:50,440 --> 00:05:52,560 NORO CURE ANC OF ANY MOTION YOUR 152 00:05:52,560 --> 00:05:54,320 PRESENCE IN THE VIRTUAL ROOM FOR 153 00:05:54,320 --> 00:05:56,240 ALL SEGMENTS OF THE MEETING IS A 154 00:05:56,240 --> 00:05:58,040 MUST. 155 00:05:58,040 --> 00:06:00,520 THAT MEANS DON'T RUN OFF AND 156 00:06:00,520 --> 00:06:02,640 TAKE A RANDOM BREAK. 157 00:06:02,640 --> 00:06:04,920 MAKE SURE THAT YOU STAY INVOLVED 158 00:06:04,920 --> 00:06:09,560 IN THE MEETING AT ALL-TIMES. 159 00:06:09,560 --> 00:06:11,800 THUS THE QUORUM AT THAT TIME 160 00:06:11,800 --> 00:06:14,240 WILL BE 9 MEMBERS. 161 00:06:14,240 --> 00:06:14,840 OKAY. 162 00:06:14,840 --> 00:06:18,040 SO WHEN A CONCEPT IS DISCUSSED 163 00:06:18,040 --> 00:06:19,840 WHILE BOTH BOARDS CAN 164 00:06:19,840 --> 00:06:20,840 PARTICIPATE IN THE DISCUSSION 165 00:06:20,840 --> 00:06:23,640 ONLY BSA MEMBERS CAN VOTE. 166 00:06:23,640 --> 00:06:24,040 OKAY. 167 00:06:24,040 --> 00:06:25,520 ON THE DISCUSSION TODAY. 168 00:06:25,520 --> 00:06:28,320 OF THE CONCEPTS. 169 00:06:28,320 --> 00:06:30,360 SO THAT WILL BE 9 MEMBERS. 170 00:06:30,360 --> 00:06:32,240 ADDITIONALLY FOLLOWING THE 171 00:06:32,240 --> 00:06:34,640 SUBCOMMITTEE REPORT TODAY ONLY 172 00:06:34,640 --> 00:06:35,800 NCAB MEMBERS WILL BE COUNTED IN 173 00:06:35,800 --> 00:06:36,680 THE VOTE. 174 00:06:36,680 --> 00:06:39,120 ALL BOARD MEMBERS CAN 175 00:06:39,120 --> 00:06:40,600 PARTICIPATE IN THE DISCUSSION. 176 00:06:40,600 --> 00:06:42,280 OKAY. 177 00:06:42,280 --> 00:06:45,720 BUT ONLY BSA MEMBERS CAN VOTE ON 178 00:06:45,720 --> 00:06:48,320 CONCEPTS AND NCAB MEMBERS WILL 179 00:06:48,320 --> 00:06:50,400 VOTE ON THE SUBCOMMITTEE REPORTS 180 00:06:50,400 --> 00:06:52,320 LATER TODAY. 181 00:06:52,320 --> 00:06:55,200 SO THE QUORUM AT THAT TIME WILL 182 00:06:55,200 --> 00:06:58,080 ALSO BENIGN MEMBERS. 183 00:06:58,080 --> 00:06:59,520 -- BE -- NINE 184 00:06:59,520 --> 00:07:00,120 MEMBERS. 185 00:07:00,120 --> 00:07:04,800 DURING THE CONCEPTS ONLY BSA CAN 186 00:07:04,800 --> 00:07:06,680 VOTE: NINE MEMBERS ARE REQUIRED 187 00:07:06,680 --> 00:07:14,240 FOR A FORUM. 188 00:07:14,240 --> 00:07:16,200 PAULETTE, DO WE HAVE A QUORUM? 189 00:07:16,200 --> 00:07:18,120 >> WE HAVE A QUORUM. 190 00:07:18,120 --> 00:07:22,640 OKAY. 191 00:07:22,640 --> 00:07:25,720 >> SO ALSO MAKE SURE THAT YOU'RE 192 00:07:25,720 --> 00:07:26,440 MUTED. 193 00:07:26,440 --> 00:07:28,360 MEETING ETIQUETTE AND WE HAVE 194 00:07:28,360 --> 00:07:30,440 SOMEONE WHO CAN DO THE UNMUTING 195 00:07:30,440 --> 00:07:32,440 FOR US IF NEED BE. 196 00:07:32,440 --> 00:07:36,480 AND SO I THINK NOW WE CAN MOVE 197 00:07:36,480 --> 00:07:44,680 ON TO TH -- THE NCI's DIRECTOR 198 00:07:44,680 --> 00:07:45,080 REPORT 199 00:07:45,080 --> 00:07:46,160 >> GOOD AFTERNOON, JOHN 200 00:07:46,160 --> 00:07:48,240 I MISS MANY THINGS ABOUT DOING 201 00:07:48,240 --> 00:07:49,320 THIS MEETING IN PERSON. 202 00:07:49,320 --> 00:07:53,480 ONE OF THE THINGS IS WHEN YOU'RE 203 00:07:53,480 --> 00:07:56,680 HAVING TROUBLE GETTING THE 204 00:07:56,680 --> 00:07:58,680 ORGANIZATIONAL DETAILS IN PERSON 205 00:07:58,680 --> 00:08:00,840 PAULETTE CAN FOCUS WITH A STICK. 206 00:08:00,840 --> 00:08:03,040 I APPRECIATE EVERYONE PUTTING UP 207 00:08:03,040 --> 00:08:05,160 WITH US AS MOST OF YOU ARE AWARE 208 00:08:05,160 --> 00:08:09,240 THIS REVIEW OF CONCEPTS AND 209 00:08:09,240 --> 00:08:10,240 DISPERSIONMENTS OF FUNDS IS 210 00:08:10,240 --> 00:08:11,040 REQUIRED BY LAW. 211 00:08:11,040 --> 00:08:14,040 THIS IS A VERY IMPORTANT WORKING 212 00:08:14,040 --> 00:08:16,560 MEETING FOR NCI SO THANK YOU FOR 213 00:08:16,560 --> 00:08:18,040 PARTICIPATING AND YOUR HELP. 214 00:08:18,040 --> 00:08:20,400 I HAVE A PACKED TALK AND WE HAVE 215 00:08:20,400 --> 00:08:22,640 A PACKED AGENDA BUT I ALSO WANT 216 00:08:22,640 --> 00:08:24,600 TO MAKE SURE YOUR QUESTIONS ARE 217 00:08:24,600 --> 00:08:27,360 ANSWERED SO FEEL FREE TO SPEAK 218 00:08:27,360 --> 00:08:29,360 UP AND ASK IF THE PROCESS IS 219 00:08:29,360 --> 00:08:30,480 CONFUSING. 220 00:08:30,480 --> 00:08:32,520 OUR NEXT SLIDE. 221 00:08:32,520 --> 00:08:34,760 SO LET ME BEGIN WITH A HEARTFELT 222 00:08:34,760 --> 00:08:38,400 WELCOME TO OUR NEW MEMBERS SHOWN 223 00:08:38,400 --> 00:08:39,080 HERE. 224 00:08:39,080 --> 00:08:41,080 I DO A LITTLE INTRODUCTION BUT 225 00:08:41,080 --> 00:08:43,840 BECAUSE THERE ARE SO MANY NEW 226 00:08:43,840 --> 00:08:45,640 MEMBERS IN THE INTEREST OF TIME 227 00:08:45,640 --> 00:08:47,240 I'LL JUST SHOW THE NAMES. 228 00:08:47,240 --> 00:08:52,400 I WANT TO THANK KEITH FLAHERTY 229 00:08:52,400 --> 00:08:54,040 FOR TAKING ON THE CHAIR ROLE. 230 00:08:54,040 --> 00:08:58,000 THIS IS AN IMPORTANT JOB. 231 00:08:58,000 --> 00:09:02,160 I TRIED TO RECRUIT KEITH TO JOBS 232 00:09:02,160 --> 00:09:03,400 IN THE PAST. 233 00:09:03,400 --> 00:09:07,440 I WANT TO THANK THE OUTGOING 234 00:09:07,440 --> 00:09:09,680 CHAIR WHO DID A WONDERFUL JOB 235 00:09:09,680 --> 00:09:11,880 AND WE APPRECIATE HER COMMITMENT 236 00:09:11,880 --> 00:09:14,440 TO NCI THROUGH THE YEARS. 237 00:09:14,440 --> 00:09:16,120 WELCOME NEW BOARD MEMBERS AND WE 238 00:09:16,120 --> 00:09:18,040 LOOK FORWARD TO YOUR HELP. 239 00:09:18,040 --> 00:09:18,760 NEXT SLIDE. 240 00:09:18,760 --> 00:09:22,040 WE HAVE A NEW NCAB MEMBERS SHOWN 241 00:09:22,040 --> 00:09:22,960 HERE. 242 00:09:22,960 --> 00:09:26,440 WELCOME TO ALL OF YOU HERE AS 243 00:09:26,440 --> 00:09:38,000 WELL. 244 00:09:38,000 --> 00:09:41,680 AS I SAID THIS IS A BUSY AGENDA. 245 00:09:41,680 --> 00:09:43,640 I THINK SOME OF THE PROCESS CAN 246 00:09:43,640 --> 00:09:46,160 BE A BIT OFF-PUTTING BUT THIS IS 247 00:09:46,160 --> 00:09:48,040 VERY IMPORTANT TO THE NCI. 248 00:09:48,040 --> 00:09:49,760 WE TAKE YOUR COMMENTS AND 249 00:09:49,760 --> 00:09:51,640 FEEDBACK SERIOUSLY AND YOUR 250 00:09:51,640 --> 00:09:53,080 QUESTIONS SERIOUSLY. 251 00:09:53,080 --> 00:09:56,920 AND IF YOU HAVE QUESTIONS THAT 252 00:09:56,920 --> 00:09:59,040 WE ARE UNABLE TO ANSWER PLEASE 253 00:09:59,040 --> 00:10:00,240 LET US KNOW. 254 00:10:00,240 --> 00:10:02,800 AS PAULETTE EXPLAINED YOU CAN 255 00:10:02,800 --> 00:10:06,280 ASK THE NCI FOR MORE INFORMATION 256 00:10:06,280 --> 00:10:07,920 IF YOU DON'T FEEL LIKE YOU HAVE 257 00:10:07,920 --> 00:10:09,640 A FULL UNDERSTANDING. 258 00:10:09,640 --> 00:10:12,000 YOU CAN CALL OR E-MAIL ME OR 259 00:10:12,000 --> 00:10:15,840 OTHER NCI STAFF AND WORK THROUGH 260 00:10:15,840 --> 00:10:17,240 PAULETTE. 261 00:10:17,240 --> 00:10:20,560 THE ADVICE AND CONSENT IS VERY 262 00:10:20,560 --> 00:10:23,560 IMPORTANT TO OUR WORK. 263 00:10:23,560 --> 00:10:26,520 LASTLY -- WE HAVE A FEW MEMBERS 264 00:10:26,520 --> 00:10:30,240 ROTATING OFF FROM THE NCAB. 265 00:10:30,240 --> 00:10:40,760 WE'RE GOING TO DO A SEPARATE -- 266 00:10:40,760 --> 00:10:40,960 TODAY. 267 00:10:40,960 --> 00:10:43,640 THAT IS A TREMENDOUS BIT OF 268 00:10:43,640 --> 00:10:46,520 SERVICE TO THE NATIONAL CANCER 269 00:10:46,520 --> 00:10:48,080 INSTITUTE AND THESE STRONG 270 00:10:48,080 --> 00:10:49,560 ADVISORS WILL BE MISSED. 271 00:10:49,560 --> 00:10:52,360 SO WE'RE ABOUT TWO WEEKS FROM 272 00:10:52,360 --> 00:10:55,040 THE 50th ANNIVERSARY OF THE 273 00:10:55,040 --> 00:11:00,920 NATIONAL CANCER ACT OF 1971. 274 00:11:00,920 --> 00:11:02,040 DECEMBER 23rd IS THE ACTUAL 275 00:11:02,040 --> 00:11:03,800 SIGNING DATE. 276 00:11:03,800 --> 00:11:05,920 THE NCI HAS TRIED TO LEAD A 277 00:11:05,920 --> 00:11:07,680 NATIONAL EFFORT AMONG 278 00:11:07,680 --> 00:11:09,840 STAKEHOLDERS TO COMMUNICATE 279 00:11:09,840 --> 00:11:11,920 ABOUT THE IMPORTANCE AND WHAT 280 00:11:11,920 --> 00:11:13,440 HAS HAPPENED DURING AS A RESULT 281 00:11:13,440 --> 00:11:15,240 OF THE NATIONAL CANCER ACT AND 282 00:11:15,240 --> 00:11:16,720 WHERE WE HAVE LEFT TO GO. 283 00:11:16,720 --> 00:11:18,600 WHERE WE STILL NEED TO MAKE 284 00:11:18,600 --> 00:11:19,320 FURTHER PROGRESS. 285 00:11:19,320 --> 00:11:20,760 AND I'VE SPOKEN ABOUT THIS A 286 00:11:20,760 --> 00:11:21,360 LOT. 287 00:11:21,360 --> 00:11:24,440 I DID -- THERE WAS A NICE EVENT 288 00:11:24,440 --> 00:11:27,800 AT THE NIXON LIBRARY WHERE WE 289 00:11:27,800 --> 00:11:31,320 TALKED AND IT HAS BEEN A REALLY 290 00:11:31,320 --> 00:11:34,200 IN SOME WAYS GRATIFYING TO SEE 291 00:11:34,200 --> 00:11:36,000 HOW VISIONARY THE NATIONAL 292 00:11:36,000 --> 00:11:38,120 CANCER ACT WAS. 293 00:11:38,120 --> 00:11:39,000 CREATED THESE NEW AUTHORITIES 294 00:11:39,000 --> 00:11:41,560 AND ADDITIONAL FUNDING FOR 295 00:11:41,560 --> 00:11:44,640 CANCER RESEARCH AND THE SEAR 296 00:11:44,640 --> 00:11:47,160 DATABASE AND THE CANCER PROGRAM 297 00:11:47,160 --> 00:11:50,200 AND CLINICAL TRIAL NETWORKS. 298 00:11:50,200 --> 00:11:54,200 HOW THAT WAS ENVISIONED. 299 00:11:54,200 --> 00:11:55,960 IT'S ALSO IMPORTANT TO REALIZE 300 00:11:55,960 --> 00:11:58,840 THAT IT WAS QUITE NAIVE AND TO 301 00:11:58,840 --> 00:12:00,840 THINK WE WOULD HAVE A CURE FOR 302 00:12:00,840 --> 00:12:02,440 CANCER IN FIVE YEARS AND 303 00:12:02,440 --> 00:12:04,440 CERTAINLY IT HAS TURNED OUT TO 304 00:12:04,440 --> 00:12:06,120 BE A MUCH MORE CHALLENGING 305 00:12:06,120 --> 00:12:06,720 PROBLEM. 306 00:12:06,720 --> 00:12:11,840 SO -- IT'S A REALLY GOOD TIME 307 00:12:11,840 --> 00:12:14,440 WHO SAID ENDING CANCER AS WE 308 00:12:14,440 --> 00:12:18,120 KNOW IT IS COMMITTED. 309 00:12:18,120 --> 00:12:23,640 WE STILL HAVE A WAYS TO GO. 310 00:12:23,640 --> 00:12:25,560 WE'VE BEEN DOING A LOT OF 311 00:12:25,560 --> 00:12:28,560 COMMUNICATION AROUND THE NC I-5 312 00:12:28,560 --> 00:12:36,320 0. 313 00:12:36,320 --> 00:12:38,520 HERE A FEW MORE EXAMPLES. 314 00:12:38,520 --> 00:12:43,040 THE FDA IS DOING A NICE EVENT. 315 00:12:43,040 --> 00:12:45,080 SOON TO TALK ABOUT 50 YEARS OF 316 00:12:45,080 --> 00:12:46,720 CANCER PROGRESS. 317 00:12:46,720 --> 00:12:48,160 AND WE REALLY APPRECIATE THE 318 00:12:48,160 --> 00:12:48,960 SUPPORT. 319 00:12:48,960 --> 00:12:51,720 WE DO NOT BELIEVE THIS IS AN NCI 320 00:12:51,720 --> 00:12:53,280 EFFORT BUT EVERYONE WHO'S 321 00:12:53,280 --> 00:12:55,040 INTERESTED IN CANCER PROGRESS TO 322 00:12:55,040 --> 00:12:57,760 TALK ABOUT WHAT THE NATIONAL 323 00:12:57,760 --> 00:13:06,360 CANCER ACT AS -- HAS MEANT. 324 00:13:06,360 --> 00:13:09,840 IT'S VERY MEANINGFUL TO CONGRESS 325 00:13:09,840 --> 00:13:11,880 TO HEAR THIS COMMUNICATION FROM 326 00:13:11,880 --> 00:13:15,200 THE CANCER STAKEHOLDERS. 327 00:13:15,200 --> 00:13:17,840 THERE IS A REALLY IMPORTANT 328 00:13:17,840 --> 00:13:20,000 SOCIAL MEDIA EVENT GOING ON. 329 00:13:20,000 --> 00:13:21,640 WE'RE ASKING EVERYONE WITH AN 330 00:13:21,640 --> 00:13:23,640 INTEREST IN THIS TOPIC WHO'SING 331 00:13:23,640 --> 00:13:27,640 A SOCIAL MEDIA USER TO POST A 332 00:13:27,640 --> 00:13:29,200 SHORT CLIP OF THEMSELVES TO TALK 333 00:13:29,200 --> 00:13:30,800 ABOUT WHAT ENDING CANCER MEANS 334 00:13:30,800 --> 00:13:33,080 TO YOU AND NOTHING WILL STOP US. 335 00:13:33,080 --> 00:13:37,040 SO I HAVE POSTED MINE AND I'VE 336 00:13:37,040 --> 00:13:39,800 SEEN A FEW OTHERS POSTED ON 337 00:13:39,800 --> 00:13:43,600 Twitter. 338 00:13:43,600 --> 00:13:47,480 AND I THINK IT'S A NICE TIME TO 339 00:13:47,480 --> 00:13:49,080 BE TALKING ABOUT THIS IMPORTANT 340 00:13:49,080 --> 00:13:51,720 WORK AND WHERE WE CAN STILL MAKE 341 00:13:51,720 --> 00:13:54,200 MORE PROGRESS FOR PATIENTS. 342 00:13:54,200 --> 00:13:57,840 SO I HOPE YOU WILL TAKE THE TIME 343 00:13:57,840 --> 00:13:59,560 TO DO THAT. 344 00:13:59,560 --> 00:14:03,000 WE HAD RECENT VISIT TO THE NIH 345 00:14:03,000 --> 00:14:03,920 FROM PRESIDENT BIDEN. 346 00:14:03,920 --> 00:14:08,640 THIS VISIT -- WAS WIDELY COVERED 347 00:14:08,640 --> 00:14:14,160 IN THE MEDIA LARGELY FOCUSED ON 348 00:14:14,160 --> 00:14:19,040 THE NIH WORK RELATED TO COVID. 349 00:14:19,040 --> 00:14:21,800 I THINK BEFORE OUR PRIOR BOARD 350 00:14:21,800 --> 00:14:24,560 MEMBERS I TALKED ABOUT THE NCI 351 00:14:24,560 --> 00:14:26,880 PORTFOLIO RELATED TO CORONAVIRUS 352 00:14:26,880 --> 00:14:28,840 RESEARCH INCLUDING THE SCIENCES 353 00:14:28,840 --> 00:14:32,080 NETWORK AND WORK AT FREDERICK 354 00:14:32,080 --> 00:14:33,440 NATIONAL LAB RELATED TO 355 00:14:33,440 --> 00:14:37,880 UNDERSTANDING CANCER OUTCOMES OF 356 00:14:37,880 --> 00:14:41,760 CORONAVIRUS OUTCOMES IN CANCER 357 00:14:41,760 --> 00:14:42,120 PATIENTS. 358 00:14:42,120 --> 00:14:44,600 I WANT TO REMIND YOU THAT IT WAS 359 00:14:44,600 --> 00:14:48,600 SUPPORTED BY A SPECIAL 360 00:14:48,600 --> 00:14:51,400 APPROPRIATION FROM CONGRESS IN 361 00:14:51,400 --> 00:14:51,600 2020. 362 00:14:51,600 --> 00:14:54,920 SO THE WORK THAT WE'VE DONE HAS 363 00:14:54,920 --> 00:14:56,880 BEEN SUPPORTED BY SEPARATE 364 00:14:56,880 --> 00:14:57,640 MONIES. 365 00:14:57,640 --> 00:14:59,600 IT'S NOT THE CANCER SUPPORT THAT 366 00:14:59,600 --> 00:15:01,000 WE GET. 367 00:15:01,000 --> 00:15:02,560 IT'S AN ADDITIONAL FUNDING. 368 00:15:02,560 --> 00:15:06,960 WE LEARNED THAT THE NCI IS BEING 369 00:15:06,960 --> 00:15:08,760 ASKED TO CONTINUE RESEARCH AS 370 00:15:08,760 --> 00:15:12,680 PART OF NEW INITIATIVES FUNDED 371 00:15:12,680 --> 00:15:18,760 BY THE AMERICA'S RESCUE PLAN. 372 00:15:18,760 --> 00:15:22,880 FOR ACTIVITIES TO DETECT 373 00:15:22,880 --> 00:15:25,280 DIAGNOSE AND TRACE AND MITIGATE 374 00:15:25,280 --> 00:15:29,240 THE SPREAD OF COVID-19. 375 00:15:29,240 --> 00:15:31,840 $63 MILLION TO THE NCI TO 376 00:15:31,840 --> 00:15:33,560 ADDRESS TWO ADDITIONAL 377 00:15:33,560 --> 00:15:48,040 PRIORITIES. 378 00:15:48,040 --> 00:15:55,640 -- JUST WILL INCLUDE DEVELOPING 379 00:15:55,640 --> 00:15:59,880 SEAR LOGICAL ASSAYS -- * ALSO 380 00:15:59,880 --> 00:16:01,240 WORK TO DEVELOP REFERENCE 381 00:16:01,240 --> 00:16:03,240 MATERIALS THAT SUPPORT VACCINE 382 00:16:03,240 --> 00:16:05,920 TRIALS AND LICENSING AND OTHER 383 00:16:05,920 --> 00:16:07,160 THERAPEUTIC DEVELOPMENT. 384 00:16:07,160 --> 00:16:09,840 ALSO SURVEILLANCE STUDIES IN 385 00:16:09,840 --> 00:16:12,840 SPECIAL COMPROMISED POPULATIONS 386 00:16:12,840 --> 00:16:15,520 INCLUDING CANCER PATIENTS. 387 00:16:15,520 --> 00:16:17,960 THIS NEW $63 MILLION IS SEPARATE 388 00:16:17,960 --> 00:16:18,560 MONIES. 389 00:16:18,560 --> 00:16:21,440 IT WILL NOT COMPETE WITH 390 00:16:21,440 --> 00:16:24,080 EXTRAMURAL RESEARCH PRIORITIES. 391 00:16:24,080 --> 00:16:25,880 COORDINATING THIS WORK AND 392 00:16:25,880 --> 00:16:27,480 WORKING COLLABORATIVELY WITH 393 00:16:27,480 --> 00:16:29,320 PARTNERS SO THOSE OF YOU WHO 394 00:16:29,320 --> 00:16:30,760 KNOW ABOUT OUR ACTIVITIES 395 00:16:30,760 --> 00:16:31,880 REALIZE THAT THIS IS A 396 00:16:31,880 --> 00:16:33,920 SIGNIFICANT AMOUNT OF WORK. 397 00:16:33,920 --> 00:16:37,840 THE NCI REMAINS CANCER FOCUSED: 398 00:16:37,840 --> 00:16:41,160 THAT IS OUR DAY JOB BUT GIVEN 399 00:16:41,160 --> 00:16:44,920 OUR CAPABILITIES -- WE'RE REALLY 400 00:16:44,920 --> 00:16:46,920 EAGER TO TAKE ON THIS RESEARCH 401 00:16:46,920 --> 00:16:48,680 AND GRATEFUL FOR THE TRUST 402 00:16:48,680 --> 00:16:51,800 PLACED IN US BY CONGRESS AND BY 403 00:16:51,800 --> 00:16:53,960 HHS TO GET THIS IMPORTANT 404 00:16:53,960 --> 00:16:56,600 SCIENCE DONE BUT NOT TO WORRY. 405 00:16:56,600 --> 00:17:01,320 WE REMAIN LASER FOCUSED ON 406 00:17:01,320 --> 00:17:03,000 CONCERT RESEARCH AND ENDING 407 00:17:03,000 --> 00:17:05,520 CANCER AS WE KNOW IT IS A STATED 408 00:17:05,520 --> 00:17:06,840 TOP PRIORITY FOR THIS 409 00:17:06,840 --> 00:17:10,920 ADMINISTRATION AND WE'RE WORKING 410 00:17:10,920 --> 00:17:13,160 CLOSELY ON NEW CANCER PLANS SO 411 00:17:13,160 --> 00:17:16,480 STAY TUNED. 412 00:17:16,480 --> 00:17:20,880 ALONG THOSE LINES WE -- HAVE A 413 00:17:20,880 --> 00:17:23,600 NEW PERSONNEL DEVELOPMENT. 414 00:17:23,600 --> 00:17:31,360 DR. HENRY RODRIGUEZ -- WILL HELP 415 00:17:31,360 --> 00:17:33,880 ADVANCE INNOVATIONS FOR ALL 416 00:17:33,880 --> 00:17:34,280 AMERICANS. 417 00:17:34,280 --> 00:17:37,080 HE HAS MANY YEARS OF PUBLIC 418 00:17:37,080 --> 00:17:38,320 HEALTH AND RESEARCH SERVICE AND 419 00:17:38,320 --> 00:17:39,600 WILL DO A GREAT JOB. 420 00:17:39,600 --> 00:17:43,000 HE IS ON DETAIL AT THE WHITE 421 00:17:43,000 --> 00:17:46,000 HOUSE WHERE HE HAS BEEN AN 422 00:17:46,000 --> 00:17:48,840 IMPORTANT LEADER. 423 00:17:48,840 --> 00:17:50,800 GREAT TO HAVE HENRY HELPING WORK 424 00:17:50,800 --> 00:17:52,840 ON THIS AS WELL. 425 00:17:52,840 --> 00:17:55,840 ONE OF THE THINGS TO BE TALKING 426 00:17:55,840 --> 00:17:57,240 ABOUT IS GIVEN THAT THE 427 00:17:57,240 --> 00:17:59,480 PRESIDENT'S PRIORITY IS TO END 428 00:17:59,480 --> 00:18:03,120 CANCER AS WE KNOW IT WHAT DOES 429 00:18:03,120 --> 00:18:05,600 THAT MEAN? 430 00:18:05,600 --> 00:18:07,640 SO IN THINKING ABOUT THE PAST 50 431 00:18:07,640 --> 00:18:09,480 YEARS AND THE PROGRESS WE'VE 432 00:18:09,480 --> 00:18:11,920 MADE IT'S ALSO USEFUL TO THINK 433 00:18:11,920 --> 00:18:13,840 ABOUT WHERE WE NEED TO GO TO 434 00:18:13,840 --> 00:18:17,040 MAKE FURTHER PROGRESS FOR 435 00:18:17,040 --> 00:18:18,840 PATIENTS AND IT INVOLVES ASKING 436 00:18:18,840 --> 00:18:20,600 OURSELVES HOW DO WE KNOW CANCER 437 00:18:20,600 --> 00:18:21,000 TODAY? 438 00:18:21,000 --> 00:18:23,400 WHAT IT MEANS TO END CANCER AS 439 00:18:23,400 --> 00:18:26,160 WE KNOW IT AND THAT WOULD WOULD 440 00:18:26,160 --> 00:18:26,560 TAKE? 441 00:18:26,560 --> 00:18:30,080 THERE IS NO MENTION OF 442 00:18:30,080 --> 00:18:31,040 ERADICATING ALL CANCER. 443 00:18:31,040 --> 00:18:34,160 WE DON'T THINK THAT IS POSSIBLE. 444 00:18:34,160 --> 00:18:37,560 IN SOME WAYS IT'S A BIOLOGICAL 445 00:18:37,560 --> 00:18:40,240 ACT OF AGING. 446 00:18:40,240 --> 00:18:42,120 HOWEVER WE BELIEVE THAT WE CAN 447 00:18:42,120 --> 00:18:44,440 DO A TREMENDOUS AMOUNT TO 448 00:18:44,440 --> 00:18:46,880 ADDRESS THE TRAGEDY AND BURDEN 449 00:18:46,880 --> 00:18:49,000 OF CANCER AND CHANGE IT TO 450 00:18:49,000 --> 00:18:50,560 SOMETHING THAT IS MUCH MORE 451 00:18:50,560 --> 00:18:52,440 MANAGEABLE PROBLEM FOR US IN THE 452 00:18:52,440 --> 00:18:52,960 FUTURE. 453 00:18:52,960 --> 00:18:54,840 SO THIS IS A WAY THAT WE'VE BEEN 454 00:18:54,840 --> 00:18:56,280 THINKING ABOUT IT WITH THE WHITE 455 00:18:56,280 --> 00:18:57,840 HOUSE AND HERE ARE STATEMENTS 456 00:18:57,840 --> 00:18:59,760 THAT ARE TRUE TODAY ABOUT CANCER 457 00:18:59,760 --> 00:19:01,520 THAT WE WOULD LIKE TO MAKE 458 00:19:01,520 --> 00:19:03,840 UNTRUE AND BY MAKING THEM UNTRUE 459 00:19:03,840 --> 00:19:05,840 WE WOULD BE CHANGING HOW WE KNOW 460 00:19:05,840 --> 00:19:08,720 CANCER AND ENDING CANCER AS WE 461 00:19:08,720 --> 00:19:10,040 KNOW IT TODAY. 462 00:19:10,040 --> 00:19:12,840 I'VE SPOKEN A LOT ABOUT THE 463 00:19:12,840 --> 00:19:14,520 METRIC OF MORTALITY. 464 00:19:14,520 --> 00:19:17,600 ABOUT HOW CANCER KILLS 600,000 465 00:19:17,600 --> 00:19:18,640 AMERICANS IN THE UNITED STATES. 466 00:19:18,640 --> 00:19:20,760 THAT RATE OF MORTALITY HAS BEEN 467 00:19:20,760 --> 00:19:21,840 DECLINING. 468 00:19:21,840 --> 00:19:25,480 FOR MANY YEARS BUT THE RATE HAS 469 00:19:25,480 --> 00:19:27,600 BEEN ACCELERATING IN RECENT 470 00:19:27,600 --> 00:19:30,360 YEARS AND WE BELIEVE IT COULD BE 471 00:19:30,360 --> 00:19:32,680 ACCELERATED FURTHER THROUGH A 472 00:19:32,680 --> 00:19:37,640 NUMBER OF REASONABLE MEASURES. 473 00:19:37,640 --> 00:19:41,400 BUT MORTALITY IS ONLY ONE PRISM. 474 00:19:41,400 --> 00:19:43,000 THERE ARE MANY OTHER WAYS TO 475 00:19:43,000 --> 00:19:45,080 THINK ABOUT CANCER AS WELL SO 476 00:19:45,080 --> 00:19:47,800 HERE ARE SOME OTHER STATEMENTS. 477 00:19:47,800 --> 00:19:50,120 WE HAVE TOO FEW WAYS TO PREVENT 478 00:19:50,120 --> 00:19:50,640 CANCER. 479 00:19:50,640 --> 00:19:52,640 WE HAVE TREATMENTS THAT ARE 480 00:19:52,640 --> 00:19:55,320 EFFECTIVE BUT ARE QUITE TOXIC. 481 00:19:55,320 --> 00:19:56,960 WE HAVE PATIENTS THAT ARE 482 00:19:56,960 --> 00:19:59,480 STYMIED BY THE COMPLICATED 483 00:19:59,480 --> 00:20:01,640 LOGISTICS OF CANCER CARE. 484 00:20:01,640 --> 00:20:03,440 THESE ARE NOT THE ONLY 485 00:20:03,440 --> 00:20:05,120 REPRESENTATIVE STATEMENTS. 486 00:20:05,120 --> 00:20:10,760 THESE ARE JUST A FEW OF THEM. 487 00:20:10,760 --> 00:20:13,840 BUT I THINK THIS LIST IS A GOOD 488 00:20:13,840 --> 00:20:15,840 PLACE TO START AND THIS FRAMING 489 00:20:15,840 --> 00:20:17,960 IS A USEFUL WAY TO IDENTIFY WHAT 490 00:20:17,960 --> 00:20:19,760 WE KNOW ABOUT CANCER TODAY AND 491 00:20:19,760 --> 00:20:21,520 HOW WE WOULD LIKE TO CHANGE THAT 492 00:20:21,520 --> 00:20:23,200 FOR THE BENEFIT OF OUR PATIENTS 493 00:20:23,200 --> 00:20:23,960 IN THE FUTURE. 494 00:20:23,960 --> 00:20:25,920 IT'S A HELPFUL WAY TO LOOK AT 495 00:20:25,920 --> 00:20:27,640 THE PROBLEM. 496 00:20:27,640 --> 00:20:32,760 HOW WOULD WE GO ABOUT THIS? 497 00:20:32,760 --> 00:20:35,200 AND WE BELIEVE THAT WE CAN 498 00:20:35,200 --> 00:20:37,040 APPROACH THIS THROUGH SIX BROAD 499 00:20:37,040 --> 00:20:38,080 THEMES. 500 00:20:38,080 --> 00:20:39,840 THAT WILL BE MORE SENSE, IN THE 501 00:20:39,840 --> 00:20:41,880 YEARS AHEAD. 502 00:20:41,880 --> 00:20:43,800 BUILDING ON THE DECADES OF 503 00:20:43,800 --> 00:20:44,400 PROGRESS. 504 00:20:44,400 --> 00:20:46,640 THE BASIC SCIENCE AND 505 00:20:46,640 --> 00:20:48,960 UNDERSTANDING OF CANCER. 506 00:20:48,960 --> 00:20:50,960 DO ACTIVITIES TO PROMOTE AND 507 00:20:50,960 --> 00:20:53,040 ADVANCE HEALTH EQUITY. 508 00:20:53,040 --> 00:20:55,760 THE PARADIGM OF PERSONALIZING 509 00:20:55,760 --> 00:20:56,400 CANCER CARE. 510 00:20:56,400 --> 00:20:58,600 WE HAVE TO EMBRACE TECHNOLOGY 511 00:20:58,600 --> 00:21:00,960 AND INNOVATION INCLUDING 512 00:21:00,960 --> 00:21:02,480 TECHNOLOGIES THAT INCLUDE US TO 513 00:21:02,480 --> 00:21:03,920 LEARN FROM EVERY PATIENT. 514 00:21:03,920 --> 00:21:06,640 COMMITTED TO TRAINING TO INSPIRE 515 00:21:06,640 --> 00:21:09,240 THE NEXT GENERATION OF CANCER 516 00:21:09,240 --> 00:21:11,040 RESEARCHERS AND PURPOSEFULLY 517 00:21:11,040 --> 00:21:13,200 LOOK AROUND THE CORNERS AND 518 00:21:13,200 --> 00:21:14,720 PREPARE FOR THE CHALLENGES IN 519 00:21:14,720 --> 00:21:17,320 THE FUTURE OF CANCER RESEARCH. 520 00:21:17,320 --> 00:21:19,440 YOU CAN SEE MANY OF THESE 521 00:21:19,440 --> 00:21:23,440 EFFORTS ARE INNER WOVEN AND 522 00:21:23,440 --> 00:21:26,480 OVERLAPPING BUT THIS IS A 523 00:21:26,480 --> 00:21:29,120 FRAMEWORK THAT IS -- INCLUDES 524 00:21:29,120 --> 00:21:33,320 KEY FOCUSES OF THE NCI GOING 525 00:21:33,320 --> 00:21:36,120 FORWARD. 526 00:21:36,120 --> 00:21:38,400 SO THIS IS A SLIDE I SHOW AT 527 00:21:38,400 --> 00:21:39,440 EVERY BOARD MEETING. 528 00:21:39,440 --> 00:21:42,320 IT IS THE NCI APPROPRIATION 529 00:21:42,320 --> 00:21:45,440 TRENDS OVER THE LAST FEW YEARS. 530 00:21:45,440 --> 00:21:49,600 THE NCI HAS ENJOYED ROBUST 531 00:21:49,600 --> 00:21:50,600 SUPPORT FROM CONGRESS IN TERMS 532 00:21:50,600 --> 00:21:53,880 OF INCREASING FUNDING EVERY 533 00:21:53,880 --> 00:21:54,400 YEAR. 534 00:21:54,400 --> 00:21:58,760 THIS REFLECTS A BROAD BIPARTISAN 535 00:21:58,760 --> 00:22:00,720 SUPPORT IN THE U.S. CONGRESS. 536 00:22:00,720 --> 00:22:03,640 A GOOD USE OF FEDERAL MONIES AND 537 00:22:03,640 --> 00:22:06,640 THE RETURN ON INVESTMENT HAS 538 00:22:06,640 --> 00:22:08,000 BEEN QUITE STRONG. 539 00:22:08,000 --> 00:22:12,320 THE ORANGE BARS ARE 2017. 540 00:22:12,320 --> 00:22:17,960 THAT IS THE CANCER MOONSHOT. 541 00:22:17,960 --> 00:22:20,840 THAT IS $1.8 BILLION OVER SEVEN 542 00:22:20,840 --> 00:22:22,440 YEARS. 543 00:22:22,440 --> 00:22:25,840 THE GREEN BAR IN 2020. 544 00:22:25,840 --> 00:22:30,160 THE CHILDHOOD CANCER INITIATIVE. 545 00:22:30,160 --> 00:22:33,080 A $50 MILLION PER YEAR. 546 00:22:33,080 --> 00:22:36,720 TO TRY TO RADICALLY USE DATA 547 00:22:36,720 --> 00:22:38,040 DIFFERENTLY FOR CHILDHOOD 548 00:22:38,040 --> 00:22:42,040 CANCER. 549 00:22:42,040 --> 00:22:46,920 THERE IS ALSO THE WHITE BOX IN 550 00:22:46,920 --> 00:22:47,080 21. 551 00:22:47,080 --> 00:22:49,200 THE SPECIAL APPROPRIATION FOR 552 00:22:49,200 --> 00:22:51,440 COVID RESEARCH DONE AT THE NCI 553 00:22:51,440 --> 00:22:54,640 AND THEN TWO LIGHT BLUE BARS AND 554 00:22:54,640 --> 00:22:56,120 THOSE ARE THE PRESIDENT'S BUDGET 555 00:22:56,120 --> 00:23:00,360 AND THE 2022 HOUSE MARK FOR OUR 556 00:23:00,360 --> 00:23:01,520 APPROPRIATION. 557 00:23:01,520 --> 00:23:05,480 THE SAVVY IF YOU WILL NOTE THAT 558 00:23:05,480 --> 00:23:07,720 WE'RE WELL INTO DECEMBER -- WE 559 00:23:07,720 --> 00:23:10,840 DO NOT HAVE A BUDGET YET FOR 560 00:23:10,840 --> 00:23:11,160 2022. 561 00:23:11,160 --> 00:23:15,320 THE NCI IS OPERATING UNDER A 562 00:23:15,320 --> 00:23:16,040 CONTINUING RESOLUTION. 563 00:23:16,040 --> 00:23:19,480 IT HAS BEEN EXTENDED UNTIL 564 00:23:19,480 --> 00:23:20,640 FEBRUARY 18. 565 00:23:20,640 --> 00:23:23,080 THAT IS A CHALLENGING SITUATION. 566 00:23:23,080 --> 00:23:27,160 WE DON'T HAVE CLARITY SO MAKING 567 00:23:27,160 --> 00:23:29,080 COMMITMENTS ARE DIFFICULT. 568 00:23:29,080 --> 00:23:31,800 LET ME MAKE ONE FINAL POINT. 569 00:23:31,800 --> 00:23:33,840 THE NCI BUDGET IS LARGE. 570 00:23:33,840 --> 00:23:36,040 I THINK MANY OF YOU PARTICULARLY 571 00:23:36,040 --> 00:23:39,760 THOSE OF YOU WHO MAY BE NEW TO 572 00:23:39,760 --> 00:23:41,920 COUNCIL WILL THINK $6.6 BILLION 573 00:23:41,920 --> 00:23:43,800 IS A LOT OF MONEY. 574 00:23:43,800 --> 00:23:45,360 AND IT IS INDEED. 575 00:23:45,360 --> 00:23:47,840 BUT THE RETURN ON INVESTMENT IN 576 00:23:47,840 --> 00:23:50,400 CANCER RESEARCH IS VERY HIGH. 577 00:23:50,400 --> 00:23:51,640 THAT IS A FACT. 578 00:23:51,640 --> 00:23:54,200 IF YOU LOOK AT THE ADVANCES IN 579 00:23:54,200 --> 00:23:56,640 CANCER PROGRESS AND THE 580 00:23:56,640 --> 00:23:59,640 DIAGNOSTICS. 581 00:23:59,640 --> 00:24:03,760 CANCER RESEARCH IS A PUBLIC 582 00:24:03,760 --> 00:24:05,040 INVESTMENT THAT WORKS. 583 00:24:05,040 --> 00:24:08,680 THE BURDEN IS SIGNIFICANT. 584 00:24:08,680 --> 00:24:14,360 600,000 DEATHS PER YEAR. 585 00:24:14,360 --> 00:24:17,400 HUGE COSTS OF TREATMENT. 586 00:24:17,400 --> 00:24:19,680 AND COST IN TERMS OF LOSS OF 587 00:24:19,680 --> 00:24:22,000 PRODUCTIVITY AND OUT OF POCKET 588 00:24:22,000 --> 00:24:25,080 COST TO PATIENTS SO GIVEN THE 589 00:24:25,080 --> 00:24:27,440 TREMENDOUS SOCIETAL COST IT'S A 590 00:24:27,440 --> 00:24:30,200 FAIR QUESTION TO ASK IS IS THIS 591 00:24:30,200 --> 00:24:31,600 THE RIGHT AMOUNT TO BE SPENT. 592 00:24:31,600 --> 00:24:38,240 KEEP THAT IN MIND. 593 00:24:38,240 --> 00:24:40,600 HERE ARE INTERIM PAY LINES FOR 594 00:24:40,600 --> 00:24:42,880 WHILE WE HAVE TO OPERATE UNDER A 595 00:24:42,880 --> 00:24:45,480 CONTINUING RESOLUTION. 596 00:24:45,480 --> 00:24:47,840 CRs COME WITH CERTAIN 597 00:24:47,840 --> 00:24:51,520 CHALLENGES FOR ANY GOVERNMENT 598 00:24:51,520 --> 00:25:02,920 TRYING TO MAKE A BUDGET. 599 00:25:02,920 --> 00:25:06,840 THE FIRST CR WAS FUNDED THROUGH 600 00:25:06,840 --> 00:25:08,560 DECEMBER 3rd AND NOW WE'RE 601 00:25:08,560 --> 00:25:15,360 IN TO A SECOND CR THAT GOES TO 602 00:25:15,360 --> 00:25:18,320 FEBRUARY. 603 00:25:18,320 --> 00:25:20,400 WE WON'T KNOW HOW MUCH FUNDING 604 00:25:20,400 --> 00:25:22,480 WE'LL HAVE UNTIL THE BUDGET IS 605 00:25:22,480 --> 00:25:22,880 PASSED. 606 00:25:22,880 --> 00:25:25,640 IT IS EVEN TECHNICALLY POSSIBLE 607 00:25:25,640 --> 00:25:27,840 THAT WE COULD HAVE A FULL YEAR 608 00:25:27,840 --> 00:25:29,280 CONTINUING RESOLUTION WHICH 609 00:25:29,280 --> 00:25:31,760 MEANS WE WOULD OPERATE UNDER THE 610 00:25:31,760 --> 00:25:32,440 2021 BUDGET. 611 00:25:32,440 --> 00:25:33,880 THAT WOULD BE A SIGNIFICANT 612 00:25:33,880 --> 00:25:35,240 CHALLENGE. 613 00:25:35,240 --> 00:25:37,960 BECAUSE OF THIS UNCERTAINTY WE 614 00:25:37,960 --> 00:25:41,200 HAVE TO BE VERY CONSERVATIVE IN 615 00:25:41,200 --> 00:25:45,360 OUR PLANNING AND THESE PAY LINES 616 00:25:45,360 --> 00:25:47,920 ARE QUITE CONSERVATIVE. 617 00:25:47,920 --> 00:25:51,680 KEEPING IN MIND IT WAS 11th IN 618 00:25:51,680 --> 00:25:52,360 2021. 619 00:25:52,360 --> 00:25:58,600 AND 14th PERCENTILE FOR 620 00:25:58,600 --> 00:26:03,680 ESIs. 621 00:26:03,680 --> 00:26:06,680 NOW I THINK ALL OF US AGREE THAT 622 00:26:06,680 --> 00:26:09,160 A 90% CUT IS TOO HIGH. 623 00:26:09,160 --> 00:26:10,920 AND WE HAVE EVERY HOPE AND 624 00:26:10,920 --> 00:26:11,920 EXPECTATIONS THAT WE WILL BE 625 00:26:11,920 --> 00:26:13,840 ABLE TO INCREASE THAT FURTHER 626 00:26:13,840 --> 00:26:18,040 ONCE WE GET BUDGETARY CLARITY. 627 00:26:18,040 --> 00:26:21,160 BUT IT'S PARTICULARLY COMPLEX 628 00:26:21,160 --> 00:26:23,480 YEAR GIVEN THAT THE BUDGET 629 00:26:23,480 --> 00:26:28,240 CONTROL ACT HAS EXPIRED. 630 00:26:28,240 --> 00:26:30,840 SO BECAUSE OF THAT UNCERTAINTY 631 00:26:30,840 --> 00:26:33,040 WE'RE THEREFORE ADOPTING THIS 632 00:26:33,040 --> 00:26:34,040 CONSERVATIVE APPROACH. 633 00:26:34,040 --> 00:26:38,880 SOME OF YOU MAY BE WONDERING WHY 634 00:26:38,880 --> 00:26:44,840 THEY ARE SO LOW TO BEGIN WITH. 635 00:26:44,840 --> 00:26:47,600 THIS QUITE LOW COMPARED TO OTHER 636 00:26:47,600 --> 00:26:48,200 NIH's. 637 00:26:48,200 --> 00:27:01,880 WE'VE HAD A LOT OF DISCUSSION. 638 00:27:01,880 --> 00:27:05,000 AND THE MAIN LET ME SUMMARIZE BY 639 00:27:05,000 --> 00:27:07,000 SAYING THE MAIN DRIVER HAS BEEN 640 00:27:07,000 --> 00:27:11,040 A MASSIVE INFLUX OF NEW 641 00:27:11,040 --> 00:27:11,440 APPLICATIONS. 642 00:27:11,440 --> 00:27:14,320 THE NCI HAS SEEN A GREATER 643 00:27:14,320 --> 00:27:16,000 INCREASE IN REQUEST FOR FUNDING 644 00:27:16,000 --> 00:27:18,040 THAN THE REST OF THE NIH. 645 00:27:18,040 --> 00:27:20,240 SO, THAT IS IN SOME WAYS A GOOD 646 00:27:20,240 --> 00:27:21,000 PROBLEM. 647 00:27:21,000 --> 00:27:23,040 IT'S A SIGN THAT OUR FIELD IS 648 00:27:23,040 --> 00:27:23,440 VIBRANT. 649 00:27:23,440 --> 00:27:25,240 INDIVIDUALS ARE COME TOGETHER 650 00:27:25,240 --> 00:27:27,560 NCI WITH NEW TECHNOLOGIES AND 651 00:27:27,560 --> 00:27:29,880 APPROACHES AND WAYS TO ADDRESS 652 00:27:29,880 --> 00:27:30,600 CANCER. 653 00:27:30,600 --> 00:27:32,920 BUT THIS INTENSE COMPETITION FOR 654 00:27:32,920 --> 00:27:34,840 FUNDING IS NOT GOOD FOR 655 00:27:34,840 --> 00:27:37,080 LONG-TERM CANCER RESEARCH AND 656 00:27:37,080 --> 00:27:39,240 THE PROSPECTS FOR NEW 657 00:27:39,240 --> 00:27:40,320 RESEARCHERS COMING TO OUR FIELD 658 00:27:40,320 --> 00:27:44,000 AND MAKING A CAREER AS A CANCER 659 00:27:44,000 --> 00:27:46,560 RESEARCHER. 660 00:27:46,560 --> 00:27:48,880 SO PRIORITY HAS BEEN TO IMPROVE 661 00:27:48,880 --> 00:27:50,360 PAY LINES. 662 00:27:50,360 --> 00:27:52,200 WE WERE AS LOW AS 8%. 663 00:27:52,200 --> 00:27:55,080 GOT IT UP TO 11% LAST YEAR. 664 00:27:55,080 --> 00:27:59,280 OUR GOAL IS 15th PERCENTILE. 665 00:27:59,280 --> 00:28:01,840 BUT THE ONLY WAY TO DO THAT IS 666 00:28:01,840 --> 00:28:03,520 WITH ROBUST SUPPORT FROM 667 00:28:03,520 --> 00:28:04,880 CONGRESS. 668 00:28:04,880 --> 00:28:09,080 LET ME UPDATE ON A FEW PRIORITY 669 00:28:09,080 --> 00:28:10,040 ISSUES. 670 00:28:10,040 --> 00:28:13,480 THE CHILDHOOD CANCER INITIATIVE. 671 00:28:13,480 --> 00:28:15,240 WE'RE WELL INTO YEAR TWO OF 672 00:28:15,240 --> 00:28:15,640 THIS. 673 00:28:15,640 --> 00:28:18,720 IT'S CREATING A REAL SET OF 674 00:28:18,720 --> 00:28:20,640 INFRASTRUCTURE FOR DATA SHARING 675 00:28:20,640 --> 00:28:22,520 AND A REAL COMMUNITY COMMITTED 676 00:28:22,520 --> 00:28:23,560 TO DOING THIS. 677 00:28:23,560 --> 00:28:25,800 AND I THINK WHAT WE LEARNED IN 678 00:28:25,800 --> 00:28:27,640 THE CHILDHOOD CANCER SETTING 679 00:28:27,640 --> 00:28:29,560 WILL BE I APPROVING GROUND WITH 680 00:28:29,560 --> 00:28:32,240 HOW WE SHARE AND AGGREGATE DATA 681 00:28:32,240 --> 00:28:34,920 FOR ALL OF CANCER RESEARCH. 682 00:28:34,920 --> 00:28:37,280 WE HELD A SYMPOSIUM. 683 00:28:37,280 --> 00:28:39,840 IT WAS WIDELY ATTENDED AND THE 684 00:28:39,840 --> 00:28:43,960 VIDEO IS ON-LINE AND QUITE 685 00:28:43,960 --> 00:28:47,240 IMPRESSIVE FOR THOSE OF YOU WHO 686 00:28:47,240 --> 00:28:48,640 WANT TO SEE THE DISCUSSION. 687 00:28:48,640 --> 00:28:50,640 WHERE THIS INITIATIVE HAS MADE 688 00:28:50,640 --> 00:28:52,640 PROGRESS AND THINGS THAT WE'RE 689 00:28:52,640 --> 00:28:53,680 STILL IN THE WORKS. 690 00:28:53,680 --> 00:29:00,520 I WANTED TO HIGHLIGHT TWO PARTS. 691 00:29:00,520 --> 00:29:05,680 THE FIRST IS MOLECULAR CARIBBEAN 692 00:29:05,680 --> 00:29:07,720 PROTOCOL. 693 00:29:07,720 --> 00:29:12,440 * MOLECULAR CHARACTERIZATION FOR 694 00:29:12,440 --> 00:29:14,600 ALL CHILDREN WITH CANCER. 695 00:29:14,600 --> 00:29:16,680 MANY PATIENTS ARE ALREADY 696 00:29:16,680 --> 00:29:19,680 GETTING SEQUENCING DONE AT 697 00:29:19,680 --> 00:29:22,680 ACADEMIC CENTERS AND MANY DON'T 698 00:29:22,680 --> 00:29:25,200 REQUIRE SEQUENCING BUT FOR THOSE 699 00:29:25,200 --> 00:29:27,320 WHO ARE NOT GETTING SEQUENCING 700 00:29:27,320 --> 00:29:29,560 DONE WE WANT TO SET A MINIMUM 701 00:29:29,560 --> 00:29:33,240 FLOOR FOR WHAT WE THINK IS THE 702 00:29:33,240 --> 00:29:33,480 ANALYSIS. 703 00:29:33,480 --> 00:29:35,640 THAT PROJECT IS WELL UNDERWAY. 704 00:29:35,640 --> 00:29:38,560 WHERE THE NCI WOULD SUPPORT THE 705 00:29:38,560 --> 00:29:41,560 SEQUENCING OF THESE PATIENTS IN 706 00:29:41,560 --> 00:29:44,560 AN A CREDITED WAY. 707 00:29:44,560 --> 00:29:45,880 IT COULD BE RETURNED TO THE 708 00:29:45,880 --> 00:29:47,760 PATIENT AND PHYSICIAN AND BE 709 00:29:47,760 --> 00:29:49,440 USED FOR CLINICAL DECISION 710 00:29:49,440 --> 00:29:50,280 MAKING. 711 00:29:50,280 --> 00:29:53,560 THE PROJECT WILL BEGIN WITH A 712 00:29:53,560 --> 00:29:55,560 FEW DISEASE TYPES BUT OUR GOAL 713 00:29:55,560 --> 00:29:58,000 IS TO EXPAND THIS BEYOND JUST 714 00:29:58,000 --> 00:30:01,640 THOSE TUMOR TYPES TO ANY TYPE OF 715 00:30:01,640 --> 00:30:02,040 CANCER. 716 00:30:02,040 --> 00:30:11,720 WE HAVE A VENDOR SELECTED. 717 00:30:11,720 --> 00:30:18,200 WE EXPECT WE WILL BE ABLE TO 718 00:30:18,200 --> 00:30:21,200 LAUNCH THIS THE FIRST CHILD THIS 719 00:30:21,200 --> 00:30:21,680 SPRING. 720 00:30:21,680 --> 00:30:24,720 PERHAPS AS SOON AS APRIL. 721 00:30:24,720 --> 00:30:27,960 WE'RE GEARING UP TO IMPLEMENT 722 00:30:27,960 --> 00:30:31,840 THE HANDLING OF THESE SPECIMENS. 723 00:30:31,840 --> 00:30:34,600 WE'VE AMENDED THE PROJECT -- TO 724 00:30:34,600 --> 00:30:39,240 INCLUDE THE MOLECULAR PROTOCOL. 725 00:30:39,240 --> 00:30:41,240 ALSO THINKING ABOUT WAYS THAT WE 726 00:30:41,240 --> 00:30:44,200 CAN ACCEPT SAMPLES FROM CHILDREN 727 00:30:44,200 --> 00:30:49,840 NOT TREATED HERE. 728 00:30:49,840 --> 00:30:52,400 AND WE WILL BE TARGETING UP TO 729 00:30:52,400 --> 00:30:54,840 3,000 PATIENTS A YEAR STARTING 730 00:30:54,840 --> 00:30:57,480 THIS SPRING. 731 00:30:57,480 --> 00:30:59,200 THE NATIONAL CHILDHOOD CANCER 732 00:30:59,200 --> 00:30:59,800 REGISTRY. 733 00:30:59,800 --> 00:31:02,640 THIS IS AN INNOVATIVE IDEA THAT 734 00:31:02,640 --> 00:31:04,040 WE CAN COLLECT AND LINK 735 00:31:04,040 --> 00:31:06,160 INFORMATION ON CHILDREN WITH 736 00:31:06,160 --> 00:31:07,680 CANCER FROM DISPARATE SOURCES 737 00:31:07,680 --> 00:31:09,840 AND MAKE THOSE DATA AVAILABLE TO 738 00:31:09,840 --> 00:31:14,240 THE RESEARCH COMMUNITY IN A WAY 739 00:31:14,240 --> 00:31:15,920 THAT IS VALUABLE. 740 00:31:15,920 --> 00:31:19,120 SEAR MEDICARE HAS BEEN VERY 741 00:31:19,120 --> 00:31:21,240 SUCCESSFUL. 742 00:31:21,240 --> 00:31:22,840 FOR THAT REASON WE HAVE A NEW 743 00:31:22,840 --> 00:31:26,240 EFFORT THAT WE'RE FOCUSED ON 744 00:31:26,240 --> 00:31:27,680 REGISTRY INFORMATION AND 745 00:31:27,680 --> 00:31:29,480 NATIONAL CHILDHOOD CANCER. 746 00:31:29,480 --> 00:31:32,160 IT'S RECENTLY LAUNCHED A TOOL 747 00:31:32,160 --> 00:31:34,840 THAT IS A WEB BASED APPLICATION 748 00:31:34,840 --> 00:31:36,480 PRESENTING CHILDHOOD CANCER 749 00:31:36,480 --> 00:31:37,120 STATISTICS. 750 00:31:37,120 --> 00:31:41,440 IT'S BASED IN MANY WAYS ON NCCR 751 00:31:41,440 --> 00:31:52,680 DATA. 752 00:31:52,680 --> 00:31:56,200 IT PROVIDES ACCESS TO THESE DATA 753 00:31:56,200 --> 00:31:58,360 AND WAYS TO VISUALIZE THEM AND 754 00:31:58,360 --> 00:32:01,960 THIS IS AN AREA WHERE WE ARE -- 755 00:32:01,960 --> 00:32:04,040 HAVE GRAND PLANS TO LINK FURTHER 756 00:32:04,040 --> 00:32:06,160 DATASETS AND MAKE MORE DATA 757 00:32:06,160 --> 00:32:08,000 AVAILABLE FOR RESEARCH. 758 00:32:08,000 --> 00:32:09,720 TO SEE WHAT HAPPENS TO CHILDREN 759 00:32:09,720 --> 00:32:13,920 WITH CANCER IN THE REAL WORLD 760 00:32:13,920 --> 00:32:22,880 WHO MAY BE TREATED BY TRIALS. 761 00:32:22,880 --> 00:32:27,200 >> ABOUT THREE WEEKS AGO 762 00:32:27,200 --> 00:32:29,720 REPRESENTATIVES OF BOTH NATIONS 763 00:32:29,720 --> 00:32:33,240 HAD A GREAT MEETING TO VIRTUALLY 764 00:32:33,240 --> 00:32:35,600 IDENTIFY OPPORTUNITIES FOR 765 00:32:35,600 --> 00:32:36,480 COLLABORATIVE EFFORTS AIMED AT 766 00:32:36,480 --> 00:32:38,760 THIS GOAL OF ENDING CANCER AS WE 767 00:32:38,760 --> 00:32:40,920 KNOW IT. 768 00:32:40,920 --> 00:32:43,240 THE SIX TOPICS ARE THE 769 00:32:43,240 --> 00:32:44,560 STATEMENTS THAT WE WOULD LIKE TO 770 00:32:44,560 --> 00:32:45,920 MAKE UNTRUE. 771 00:32:45,920 --> 00:32:47,840 CANCER PREVENTION. 772 00:32:47,840 --> 00:32:49,360 DISPARITIES AND HEALTH EQUITY. 773 00:32:49,360 --> 00:32:52,400 THE NEED FOR BETTER INFORMATION. 774 00:32:52,400 --> 00:32:54,400 A QUEST FOR BETTER PATIENT 775 00:32:54,400 --> 00:33:05,040 OVER-ALL SURVIVAL SO A REALLY 776 00:33:05,040 --> 00:33:06,840 INTERESTING SET OF DISCUSSIONS. 777 00:33:06,840 --> 00:33:09,040 I FOUND SOME OF THE TOPICS 778 00:33:09,040 --> 00:33:10,040 FASCINATING. 779 00:33:10,040 --> 00:33:12,880 THE DISCUSSION OF HEALTH 780 00:33:12,880 --> 00:33:13,480 DISPARITY RESEARCH. 781 00:33:13,480 --> 00:33:15,280 THERE IS SOME PROBLEMS THAT ARE 782 00:33:15,280 --> 00:33:16,040 SIMILAR. 783 00:33:16,040 --> 00:33:20,360 SOME THINGS THAT ARE DIFFERENT. 784 00:33:20,360 --> 00:33:23,120 I THINK THIS IS A REAL 785 00:33:23,120 --> 00:33:24,800 OPPORTUNITY TO LEARN AND DO SOME 786 00:33:24,800 --> 00:33:26,720 GREAT SCIENCE GOING FORWARD. 787 00:33:26,720 --> 00:33:28,960 THE PLAN IS TO HAVE A LEADERSHIP 788 00:33:28,960 --> 00:33:30,400 SUMMIT THIS SPRING AND IN THE 789 00:33:30,400 --> 00:33:34,920 MEANTIME WE'RE GOING TO WORK ON 790 00:33:34,920 --> 00:33:36,040 DELIVERABLES TO DEVELOP THOSE 791 00:33:36,040 --> 00:33:41,640 AND ANNOUNCE THAT IN THE SPRING. 792 00:33:41,640 --> 00:33:45,120 ONE AREA WHERE THERE HAS BEEN 793 00:33:45,120 --> 00:33:47,160 INVOLVEMENT A LOT OF DISCUSSION 794 00:33:47,160 --> 00:33:49,920 GOING ON IS THE TOPIC OF 795 00:33:49,920 --> 00:33:50,880 ENVIRONMENTAL CAR CERTAIN 796 00:33:50,880 --> 00:33:53,480 BEGINS. 797 00:33:53,480 --> 00:34:15,000 -- * CAR CERTAIN BEGINS. 798 00:34:15,000 --> 00:34:20,800 -- -- AND SO IT SEEMS TO ME LIKE 799 00:34:20,800 --> 00:34:22,600 THIS PROBLEM IS MORE CHALLENGING 800 00:34:22,600 --> 00:34:24,880 AND MORE COMPLEX AND THERE IS A 801 00:34:24,880 --> 00:34:26,360 REAL PUBLIC HEALTH RESEARCH NEED 802 00:34:26,360 --> 00:34:30,000 IN THIS AREA BECAUSE OF NEW DATA 803 00:34:30,000 --> 00:34:33,240 AND NEW APPROACHES BUT ALSO NEW 804 00:34:33,240 --> 00:34:34,720 TOXIC CHEMICALS IN THE 805 00:34:34,720 --> 00:34:36,680 ENVIRONMENT THAT MAY BE 806 00:34:36,680 --> 00:34:40,640 SIGNIFICANT TO AMBIENT 807 00:34:40,640 --> 00:34:45,040 ENVIRONMENT IN DIET AND DRINKING 808 00:34:45,040 --> 00:34:45,800 WATER. 809 00:34:45,800 --> 00:34:48,280 BREAST CANCER REMAINS A COMMON 810 00:34:48,280 --> 00:34:51,480 CAUSE -- A COMMON CANCER IN 811 00:34:51,480 --> 00:34:52,200 WOMEN. 812 00:34:52,200 --> 00:35:02,200 AND RECENT EVIDENCE POINTS TO -- 813 00:35:02,200 --> 00:35:07,200 RACIAL -- AND WE THINK THAT 814 00:35:07,200 --> 00:35:13,040 ENVIRONMENTAL CAR CERTAIN AGAIN 815 00:35:13,040 --> 00:35:32,520 ENVIRONMENT -- CAR SIN BEGINS. 816 00:35:32,520 --> 00:35:34,480 -- THERE ARE NEW AND EXCITING 817 00:35:34,480 --> 00:35:38,640 TECHNOLOGIES THAT WE NEED TO BE 818 00:35:38,640 --> 00:35:48,440 FURTHER STUDIED. 819 00:35:48,440 --> 00:35:49,800 WE NEED NEW THINKING IN THIS 820 00:35:49,800 --> 00:35:55,040 AREA AND I AGREE WITH THAT. 821 00:35:55,040 --> 00:35:58,880 THE STUDIES HAVE SERVED US WELL 822 00:35:58,880 --> 00:36:02,640 BUT WE CAN DO MORE NOW WHERE WE 823 00:36:02,640 --> 00:36:04,960 HAVE THINGS LIKE MUTATIONAL 824 00:36:04,960 --> 00:36:06,960 SIGNATURES AND THE ABILITY TO 825 00:36:06,960 --> 00:36:09,440 AGGREGATE BIG DATA AND OTHER 826 00:36:09,440 --> 00:36:12,240 SYSTEMS THAT THIS NEW SCIENTIFIC 827 00:36:12,240 --> 00:36:13,280 POSSIBILITY NEEDS TO BE 828 00:36:13,280 --> 00:36:15,520 CONSIDERED AND NONE OF THIS 829 00:36:15,520 --> 00:36:17,160 DISCUSSION WAS UNIQUE TO BREAST 830 00:36:17,160 --> 00:36:19,200 CANCER. 831 00:36:19,200 --> 00:36:21,800 THIS APPLIED TO ANY CANCER WHERE 832 00:36:21,800 --> 00:36:23,600 THERE IS AN INTEREST IN 833 00:36:23,600 --> 00:36:27,840 ENVIRONMENTAL CARCINOGENS AND 834 00:36:27,840 --> 00:36:34,640 THIS IS A TOPIC OF INTEREST. 835 00:36:34,640 --> 00:36:36,440 STAY TUNED. 836 00:36:36,440 --> 00:36:38,640 THERE WILL BE MORE INFORMATION 837 00:36:38,640 --> 00:36:41,760 COMING OUT OF THE NIH SOON. 838 00:36:41,760 --> 00:36:45,160 THIS YEAR THE LUNG CANCER 839 00:36:45,160 --> 00:36:47,320 SCREENING RECOMMENDATIONS. 840 00:36:47,320 --> 00:36:51,360 THIS IS AN INTERESTING PAPER. 841 00:36:51,360 --> 00:36:55,000 TO EVALUATE THE EFFECT OF THOSE 842 00:36:55,000 --> 00:36:56,560 REVISIONS AND IT MAKES AN 843 00:36:56,560 --> 00:36:58,240 INTERESTING POINT IS THAT LUNG 844 00:36:58,240 --> 00:37:01,640 CANCER SCREENING IS FAR UNDER 845 00:37:01,640 --> 00:37:03,760 UTILIZED. 846 00:37:03,760 --> 00:37:06,520 THERE IS ALSO A REAL POSSIBILITY 847 00:37:06,520 --> 00:37:09,520 TO COUPLE TOBACCO SESSION SAYS 848 00:37:09,520 --> 00:37:11,520 PROGRAMS WITH LUNG CANCER 849 00:37:11,520 --> 00:37:13,520 SCREENING THAT COULD BE 850 00:37:13,520 --> 00:37:13,920 IMPACTFUL. 851 00:37:13,920 --> 00:37:18,760 EVEN IF WE DON'T GET LUNG CANCER 852 00:37:18,760 --> 00:37:25,160 SCREENING UP TO A 40-50 853 00:37:25,160 --> 00:37:28,880 PERCENTILE BUT COUPLE IT THAT 854 00:37:28,880 --> 00:37:32,640 COULD MAKE AN IMPACT. 855 00:37:32,640 --> 00:37:35,240 HOW FAR TO ADD IN TOBACCO 856 00:37:35,240 --> 00:37:38,040 CESSATION AND COUPLE THAT. 857 00:37:38,040 --> 00:37:41,320 I WANT TO POINT OUT IN THIS 858 00:37:41,320 --> 00:37:46,280 APPROVAL -- FOR RENAL CELL 859 00:37:46,280 --> 00:37:47,080 CARCINOMA. 860 00:37:47,080 --> 00:37:48,640 THIS IS WORTH MENTIONING FOR 861 00:37:48,640 --> 00:37:49,720 LOTS OF REASONS. 862 00:37:49,720 --> 00:37:53,600 IT'S A QUITE ACTIVE DRUG IN 863 00:37:53,600 --> 00:37:57,240 ADVANCED RENAL CANCER. 864 00:37:57,240 --> 00:38:00,240 BUT ONE IMPORTANT POINT TO MAKE 865 00:38:00,240 --> 00:38:02,240 ABOUT THIS AGENT IS THAT THE 866 00:38:02,240 --> 00:38:04,240 BACK GROUND SCIENCE FOR THIS WAS 867 00:38:04,240 --> 00:38:06,240 HEAVILY SUPPORTED BY THE 868 00:38:06,240 --> 00:38:15,560 NATIONAL CANCER INSTITUTE. 869 00:38:15,560 --> 00:38:19,600 THEY'VE BEEN WORKING ON RENAL 870 00:38:19,600 --> 00:38:21,240 CANCER AND MADE PARADIGM 871 00:38:21,240 --> 00:38:24,800 CHANGING DISCOVERIES IN THIS 872 00:38:24,800 --> 00:38:28,640 FIELD AND OUR EXTERNAL FUNDIES 873 00:38:28,640 --> 00:38:34,120 -- WON THE NOBEL PRIZE -- SO 874 00:38:34,120 --> 00:38:36,840 THIS IS A STORY THAT IS ELEGANT 875 00:38:36,840 --> 00:38:40,160 BASIC SCIENCE THAT TRANSLATES 876 00:38:40,160 --> 00:38:42,400 INTO AN AGENT FOR PUBLIC GOOD. 877 00:38:42,400 --> 00:38:44,040 I TELL THESE SORTS OF STORIES 878 00:38:44,040 --> 00:38:47,520 ALL THE TIME. 879 00:38:47,520 --> 00:38:54,120 HOW -- DRUGS -- WHICH CAN CURE 880 00:38:54,120 --> 00:38:54,520 SOME PEOPLE. 881 00:38:54,520 --> 00:38:58,720 AND I TALK ABOUT HOW THE WORK 882 00:38:58,720 --> 00:39:01,600 LED TO APPROACHES AND HOW 883 00:39:01,600 --> 00:39:02,760 VALUABLE THEY'VE BEEN. 884 00:39:02,760 --> 00:39:14,680 THEY START WITH A -- R01. 885 00:39:14,680 --> 00:39:16,480 WE HAVE TO CAN BE THE CRITICAL 886 00:39:16,480 --> 00:39:18,840 ROLE OF BASIC SCIENCE. 887 00:39:18,840 --> 00:39:20,520 IT'S SOMETIMES A HARD ARGUMENT 888 00:39:20,520 --> 00:39:23,040 TO MAKE TO CONGAS TO WHY WE 889 00:39:23,040 --> 00:39:25,640 STILL NEED THE SUPPORT AT NCI. 890 00:39:25,640 --> 00:39:38,280 * AND THAT LEADS TO A NEW GREAT 891 00:39:38,280 --> 00:39:40,600 APPROACH TO CANCER IN HUMANS. 892 00:39:40,600 --> 00:39:43,240 NEXT SLIDE. 893 00:39:43,240 --> 00:39:45,160 VERY INTERESTED IN THE TOPIC OF 894 00:39:45,160 --> 00:39:46,520 TUMOR VACCINES. 895 00:39:46,520 --> 00:39:48,760 A LOT OF DISCUSSION ABOUT 896 00:39:48,760 --> 00:39:50,200 PREVENTIVE CANCER VACCINES 897 00:39:50,200 --> 00:39:51,680 ACROSS THE FEDERAL GOVERNMENT. 898 00:39:51,680 --> 00:39:55,240 THIS IS SOMETHING THAT CAME UP 899 00:39:55,240 --> 00:39:58,440 IN THE U.S./UK CALL. 900 00:39:58,440 --> 00:40:01,040 WE HAVE TWO TRIALS NOW GOING. 901 00:40:01,040 --> 00:40:06,440 THE FIRST IS A TRIAL IN LYNCH 902 00:40:06,440 --> 00:40:07,920 SYNDROME. 903 00:40:07,920 --> 00:40:10,760 IT CREATES CHARACTERISTIC 904 00:40:10,760 --> 00:40:12,920 ANTIGENS. 905 00:40:12,920 --> 00:40:16,840 AND THOSE CAN THEN BE THE 906 00:40:16,840 --> 00:40:22,880 SUBSTRATE FOR A VACCINE. 907 00:40:22,880 --> 00:40:25,120 A PREVENTIVE VACCINE FOR 908 00:40:25,120 --> 00:40:27,240 INDIVIDUALS AT HIGH RISK FOR 909 00:40:27,240 --> 00:40:29,560 COLON CANCER AND THIS IS A TRIAL 910 00:40:29,560 --> 00:40:32,960 THAT HAS RECENTLY I THINK IT WAS 911 00:40:32,960 --> 00:40:35,320 EXPECT TO START THIS QUARTER. 912 00:40:35,320 --> 00:40:37,560 ADDITIONALLY HERE IS A MORE 913 00:40:37,560 --> 00:40:39,280 TARGETED TRIAL FOR PATIENTS AT 914 00:40:39,280 --> 00:40:54,240 HIGH RISK OF PANCREATIC CANCER. 915 00:40:54,240 --> 00:40:57,600 LIZ IS THE PI OF THE TRIAL AND 916 00:40:57,600 --> 00:40:58,760 ALSO AN EXCITING APPROACH. 917 00:40:58,760 --> 00:41:01,840 THE TOPIC OF PREVENTIVE RACK 918 00:41:01,840 --> 00:41:04,000 SCENES FOR CANCER IS ONE THAT 919 00:41:04,000 --> 00:41:10,920 WE'RE INTERESTED IN EXPLORING. 920 00:41:10,920 --> 00:41:12,120 PEDIATRIC MATCH IS WELL 921 00:41:12,120 --> 00:41:15,160 UNDERWAY. 922 00:41:15,160 --> 00:41:18,360 THIS IS AFTER DECEMBER 31. 923 00:41:18,360 --> 00:41:20,920 THE PROCESS WILL CHANGE AND 924 00:41:20,920 --> 00:41:22,720 SCREENING WILL BE DONE THROUGH 925 00:41:22,720 --> 00:41:24,240 COMMERCIAL LABS. 926 00:41:24,240 --> 00:41:27,120 SO UP UNTIL THAT PERIOD NCI HAD 927 00:41:27,120 --> 00:41:29,760 BEEN DOING A LOT OF THE 928 00:41:29,760 --> 00:41:35,480 SEQUENCING FOR MATCH. 929 00:41:35,480 --> 00:41:37,120 ADULT MATCH IS NOW LARGELY 930 00:41:37,120 --> 00:41:39,120 CLOSED AND WE'RE THINKING ABOUT 931 00:41:39,120 --> 00:41:40,920 WHAT COMES NEXT FOR THE ADULT 932 00:41:40,920 --> 00:41:44,080 MATCH TRIAL BUT PEDS MATCH IS 933 00:41:44,080 --> 00:41:46,320 STILL GOING ON AND THERE ARE SIX 934 00:41:46,320 --> 00:41:51,440 STUDY ARMS GOING ON. 935 00:41:51,440 --> 00:41:55,920 AND NOW THE SEQUENCING IS MORE 936 00:41:55,920 --> 00:41:56,640 AVAILABLE THROUGH COMMERCIAL 937 00:41:56,640 --> 00:41:57,320 SOURCES. 938 00:41:57,320 --> 00:41:59,000 THE LAST THING IS WITH THE 939 00:41:59,000 --> 00:42:02,200 SUPPORT OF THE NCI EQUITY 940 00:42:02,200 --> 00:42:07,600 COUNCIL WE'RE LAUNCHING AN EARLY 941 00:42:07,600 --> 00:42:09,760 INVESTIGATOR PROGRAM TO BECOME 942 00:42:09,760 --> 00:42:13,280 INDEPENDENT RO1 SUPPORTED 943 00:42:13,280 --> 00:42:13,880 INVESTIGATORS. 944 00:42:13,880 --> 00:42:16,560 THE NEED FOR CANCER RESEARCH 945 00:42:16,560 --> 00:42:17,880 ENTERPRISE FOR CONTINUOUS FLOW 946 00:42:17,880 --> 00:42:20,640 OF TALENT THROUGH THE PIPELINE. 947 00:42:20,640 --> 00:42:23,760 EACH YEAR THE EIAP WILL SUPPORT 948 00:42:23,760 --> 00:42:32,880 THE CAREER DEVELOPMENT OF 949 00:42:32,880 --> 00:42:36,720 QUALIFIED INVESTIGATORS. 950 00:42:36,720 --> 00:42:42,040 PROVIDE ACCESS TO MENTORING. 951 00:42:42,040 --> 00:42:46,120 APPLICATIONS MUST BE SUBMITTED 952 00:42:46,120 --> 00:42:55,160 BY DECEMBE 31,2021. 953 00:42:55,160 --> 00:42:57,440 THIS IS ONE OF MANY INITIATIVES 954 00:42:57,440 --> 00:43:02,000 THAT HAS COME OUT OF THE EQUITY 955 00:43:02,000 --> 00:43:04,320 AND INCLUSION PROGRAM. 956 00:43:04,320 --> 00:43:07,000 I THINK AS I SAID PROMOTING 957 00:43:07,000 --> 00:43:08,360 HEALTH EQUITY THROUGH EVERYTHING 958 00:43:08,360 --> 00:43:12,000 THAT WE DO IS A TOP PRIORITY. 959 00:43:12,000 --> 00:43:14,120 SO THAT CONCLUDES MY PREPARED 960 00:43:14,120 --> 00:43:17,320 REMARKS AND LET AND SEE IF THERE 961 00:43:17,320 --> 00:43:18,560 ARE ANY QUESTIONS AND THANK YOU 962 00:43:18,560 --> 00:43:19,680 FOR THE OPPORTUNITY TO SPEAK 963 00:43:19,680 --> 00:43:22,240 TODAY. 964 00:43:22,240 --> 00:43:23,720 >> PLEASE USE -- 965 00:43:23,720 --> 00:43:25,720 >> QUICK QUESTION FOR YOU ABOUT 966 00:43:25,720 --> 00:43:28,440 THE PAY LINISH. 967 00:43:28,440 --> 00:43:30,840 9% VERY DISCOURAGING. 968 00:43:30,840 --> 00:43:36,880 WILL YOU BE ABLE TO GO BACK TO 969 00:43:36,880 --> 00:43:42,120 RBGs THAT ARE FUNDED BETWEEN 9 970 00:43:42,120 --> 00:43:44,480 AND 11% WHEN THE BUDGET IS 971 00:43:44,480 --> 00:43:45,000 PASSED 972 00:43:45,000 --> 00:43:47,640 >> 9 IS TEMPORARY. 973 00:43:47,640 --> 00:43:51,280 SO AS MK WILL DESCRIBE THE 2022 974 00:43:51,280 --> 00:43:53,880 BUDGET IS THE MOST CONFUSING IN 975 00:43:53,880 --> 00:43:55,840 MY TIME IN GOVERNMENT. 976 00:43:55,840 --> 00:43:58,520 WE -- THE TWO NUMBERS THE 977 00:43:58,520 --> 00:44:00,440 PRESIDENT'S NUMBER AND THE HOUSE 978 00:44:00,440 --> 00:44:03,160 NUMBER ARE LIKE $200 MILLION 979 00:44:03,160 --> 00:44:04,120 APART. 980 00:44:04,120 --> 00:44:05,880 A SUBSTANTIAL DIFFERENCE. 981 00:44:05,880 --> 00:44:08,560 SO WE HAVE A LOT OF UNCERTAINTY 982 00:44:08,560 --> 00:44:10,120 ABOUT WHAT IS GOING TO HAPPEN 983 00:44:10,120 --> 00:44:13,360 THIS YEAR SO THE 9% IS A VERY 984 00:44:13,360 --> 00:44:14,200 CONSERVATIVE NUMBER. 985 00:44:14,200 --> 00:44:16,640 BUT WE HOPE AND EXPECT TO DO 986 00:44:16,640 --> 00:44:18,920 BETTER THAN THAT ONCE WE KNOW 987 00:44:18,920 --> 00:44:21,240 WHAT OUR APPROPRIATION WILL BE 988 00:44:21,240 --> 00:44:21,960 FOR CONGRESS. 989 00:44:21,960 --> 00:44:25,240 WE CAN SAY OUR NUMBER ENDS UP 990 00:44:25,240 --> 00:44:27,840 BEING 11 OR 12 THEN WE CAN PICK 991 00:44:27,840 --> 00:44:30,040 UP THOSE GRANTS THAT WERE IN THE 992 00:44:30,040 --> 00:44:32,280 INTERVAL AND WE WILL DO THAT. 993 00:44:32,280 --> 00:44:34,080 BUT YOU CAN SEE WHY THIS CAUSES 994 00:44:34,080 --> 00:44:35,640 A PROBLEM FOR THE NCI. 995 00:44:35,640 --> 00:44:38,920 THE NCI PAYS A LOT OF GRANTS 996 00:44:38,920 --> 00:44:39,960 THROUGH SELECT PAY. 997 00:44:39,960 --> 00:44:42,280 SO WHAT DO YOU DO TODAY IF 998 00:44:42,280 --> 00:44:44,640 YOU'RE SITTING ON A 10%. 999 00:44:44,640 --> 00:44:48,760 IT PROVIDES THIS BUDGETARY 1000 00:44:48,760 --> 00:44:50,240 UNCERTAINTY FROM US. 1001 00:44:50,240 --> 00:44:52,520 I'M SURE THE PIs WHO ARE 1002 00:44:52,520 --> 00:44:54,760 WAITING TO HEAR FROM US IF THEY 1003 00:44:54,760 --> 00:44:57,240 ARE GOING FOR GET FUNDED OR NO. 1004 00:44:57,240 --> 00:44:59,040 WE HOPE THE GEARS OF CONGRESS 1005 00:44:59,040 --> 00:45:00,680 WILL SPIN QUICKLY. 1006 00:45:00,680 --> 00:45:02,880 >> BUT YOU WILL REVISIT THOSE 1007 00:45:02,880 --> 00:45:08,040 GRANTS THAT ARE BELOW 11. 1008 00:45:08,040 --> 00:45:09,520 >> AND ABOVE 11. 1009 00:45:09,520 --> 00:45:11,960 WHEN WE KNOW WHAT OUR PAY LINE 1010 00:45:11,960 --> 00:45:14,640 IS WE'LL LOOK AT ALL OF THEM. 1011 00:45:14,640 --> 00:45:17,080 AND MOST OF THEM WILL BE FUNDED 1012 00:45:17,080 --> 00:45:19,280 EXCEPT FOR THE OCCASIONAL 1013 00:45:19,280 --> 00:45:21,680 REASONS THAT WE DON'T FUND THEM. 1014 00:45:21,680 --> 00:45:25,320 IT'S GENERALLY THE WAY THEY GET 1015 00:45:25,320 --> 00:45:27,440 FUNDED. 1016 00:45:27,440 --> 00:45:31,400 BY THE WAY WE RECENTLY REVISED 1017 00:45:31,400 --> 00:45:33,280 PAY LINES AND THE PROCESS IS 1018 00:45:33,280 --> 00:45:35,960 DESCRIBED ON THE WEB AND IS 1019 00:45:35,960 --> 00:45:42,800 AVAILABLE IF YOU ARE INTERESTED. 1020 00:45:42,800 --> 00:45:44,760 >> THANK YOU. 1021 00:45:44,760 --> 00:45:45,480 >> QUICK QUESTION. 1022 00:45:45,480 --> 00:45:49,800 IN TERMS OF OUR 15th 1023 00:45:49,800 --> 00:45:51,680 PERCENTILE GOAL IS THIS GOING TO 1024 00:45:51,680 --> 00:45:54,240 BE IMPACTED DO YOU THINK AND THE 1025 00:45:54,240 --> 00:46:01,680 SECOND IS AND WHERE ARE WE ON 1026 00:46:01,680 --> 00:46:02,920 ARPA-H? 1027 00:46:02,920 --> 00:46:07,720 >> TWO GOOD QUESTIONS. 1028 00:46:07,720 --> 00:46:12,840 I THINK -- THE GOAL -- WOULD BE 1029 00:46:12,840 --> 00:46:19,320 THE NUMBER W -- WE SUGGESTED UP TO 1030 00:46:19,320 --> 00:46:22,640 THE 15th PERCENTILE. 1031 00:46:22,640 --> 00:46:26,320 TO GET THERE 2022 WOULD HAVE TO 1032 00:46:26,320 --> 00:46:27,880 BE 12%. 1033 00:46:27,880 --> 00:46:31,040 IT WOULD REQUIRE VERY ROBUST 1034 00:46:31,040 --> 00:46:32,160 SUPPORT FROM CONGRESS. 1035 00:46:32,160 --> 00:46:35,040 WE WOULD NOT BE ABLE TO DO THAT 1036 00:46:35,040 --> 00:46:38,080 WITH ONE OF THE LOWER NUMBERS. 1037 00:46:38,080 --> 00:46:40,120 THIS IS A REALLY CRITICAL TIME. 1038 00:46:40,120 --> 00:46:42,120 THE LARGER NUMBERS DISCUSSED IN 1039 00:46:42,120 --> 00:46:44,120 CONGRESS WE WOULD BE ABLE TO DO 1040 00:46:44,120 --> 00:46:46,240 THAT -- THE LOWER NUMBERS WE 1041 00:46:46,240 --> 00:46:48,360 MIGHT HAVE TO PAUSE IN OUR GOAL. 1042 00:46:48,360 --> 00:46:50,320 WE WOULD NEVER GIVE UP ON OUR 1043 00:46:50,320 --> 00:46:53,440 GOAL FOR INCREASING PAY LINES 1044 00:46:53,440 --> 00:46:55,840 FOR NCI INVESTIGATORS. 1045 00:46:55,840 --> 00:46:58,160 BUT WE WON'T KNOW. 1046 00:46:58,160 --> 00:47:03,000 THERE IS NO WAY OF DOING IT BY 1047 00:47:03,000 --> 00:47:09,960 MOVING MONEY AROUND. 1048 00:47:09,960 --> 00:47:12,040 SO THE ORIGINAL WAY TO MEET THAT 1049 00:47:12,040 --> 00:47:18,120 PAY LINE GOAL PROPOSED IS WITH 1050 00:47:18,120 --> 00:47:20,120 INCREASED SUPPORT FROM CONGRESS. 1051 00:47:20,120 --> 00:47:22,120 CONGRESS HAS HEARD ABOUT OUR PAY 1052 00:47:22,120 --> 00:47:24,440 LINE CRISIS FROM MANY OF YOU IN 1053 00:47:24,440 --> 00:47:25,160 FACT. 1054 00:47:25,160 --> 00:47:28,120 GIVING ADVICE TO THE CONGRESS 1055 00:47:28,120 --> 00:47:31,800 AND HAVE MADE CLEAR THAT AT 1056 00:47:31,800 --> 00:47:36,120 NUMBERS PAY LINES LIKE 9% PEOPLE 1057 00:47:36,120 --> 00:47:40,800 ARE GOING TO GO TO OTHER FIELDS 1058 00:47:40,800 --> 00:47:44,680 THE LAST THING IS TO NOT FUND 1059 00:47:44,680 --> 00:47:46,840 THE FOUNDATIONAL SCIENCE. 1060 00:47:46,840 --> 00:47:50,520 >> AND ARPA-H. 1061 00:47:50,520 --> 00:47:52,960 >> ARPA-H -- THE PROPOSED NEW 1062 00:47:52,960 --> 00:47:55,040 AGENCY THAT WOULD HAVE SPECIAL 1063 00:47:55,040 --> 00:47:56,720 CAPABILITIES FOR BIOMEDICAL 1064 00:47:56,720 --> 00:47:58,440 RESEARCH. 1065 00:47:58,440 --> 00:48:02,320 IT HAS BEEN THERE HAS BEEN SOME 1066 00:48:02,320 --> 00:48:04,000 DISCUSSION -- IT APPEARS IN BOTH 1067 00:48:04,000 --> 00:48:06,240 THE HOUSE AND THE SENATE BUDGET. 1068 00:48:06,240 --> 00:48:09,560 THE NUMBER IN THE FUNDING IS 1069 00:48:09,560 --> 00:48:11,320 $3 BILLION AND IN THE SENATE 1070 00:48:11,320 --> 00:48:12,080 BILL $2 BILLION. 1071 00:48:12,080 --> 00:48:14,800 THERE IS SOME DISCUSSION WHERE 1072 00:48:14,800 --> 00:48:18,360 ARPA-H WOULD LIVE AND EXIST. 1073 00:48:18,360 --> 00:48:24,720 THE MAJORITY OPINION IS -- 1074 00:48:24,720 --> 00:48:27,160 POSITIONED IN THE NIH AND IT 1075 00:48:27,160 --> 00:48:29,040 WOULD DO BIOMEDICAL RESEARCH 1076 00:48:29,040 --> 00:48:31,840 THAT WOULD BE DIFFERENT. 1077 00:48:31,840 --> 00:48:34,440 MAYBE BEING EXEMPT FROM OUR 1078 00:48:34,440 --> 00:48:37,400 USUAL PROCESS LIKE PEER REVIEW. 1079 00:48:37,400 --> 00:48:40,360 IT IS TASKED TO WORK ON CANCER 1080 00:48:40,360 --> 00:48:42,640 AND OTHER DISEASES. 1081 00:48:42,640 --> 00:48:44,440 IT WOULD REQUIRE AN INDEPENDENT 1082 00:48:44,440 --> 00:48:46,080 DIRECTOR BUT WE DON'T KNOW THE 1083 00:48:46,080 --> 00:48:47,760 BUDGET AND WHO THE DIRECTOR IS 1084 00:48:47,760 --> 00:48:49,080 GOING TO BE AND WHAT IT'S GOING 1085 00:48:49,080 --> 00:48:50,640 TO WORK ON. 1086 00:48:50,640 --> 00:48:53,000 WE'RE VERY MUCH INTERESTED IN 1087 00:48:53,000 --> 00:48:54,480 FURTHER DEVELOPMENTS. 1088 00:48:54,480 --> 00:48:57,880 THE IT'S A TOP PRIORITY OF THE 1089 00:48:57,880 --> 00:48:59,240 BIDEN ADMINISTRATION. 1090 00:48:59,240 --> 00:49:01,280 SO I THINK IT'S GOING TO HAPPEN 1091 00:49:01,280 --> 00:49:03,160 BUT THERE ARE STILL A LOT OF 1092 00:49:03,160 --> 00:49:04,560 DETAILS TO BE FILLED IN 1093 00:49:04,560 --> 00:49:05,800 >> WE'LL LEARN MORE ABOUT IT IN 1094 00:49:05,800 --> 00:49:07,040 THE COMING MONTHS. 1095 00:49:07,040 --> 00:49:08,080 THANK YOU SO MUCH. 1096 00:49:08,080 --> 00:49:14,040 WE DO HAVE TO MOVE ON. 1097 00:49:14,040 --> 00:49:15,680 >> I'VE BEEN PATIENTLY WAITING 1098 00:49:15,680 --> 00:49:17,200 WITH MY HAND RAISED 1099 00:49:17,200 --> 00:49:19,080 >> WE'VE GOT TO MOVE ON BECAUSE 1100 00:49:19,080 --> 00:49:24,360 WE'RE ABOUT 15 MINUTES BEHIND. 1101 00:49:24,360 --> 00:49:26,680 >> I WANT TO SAY A 10% CUT IS 1102 00:49:26,680 --> 00:49:28,360 NOT GOOD. 1103 00:49:28,360 --> 00:49:31,120 >> I APOLOGIZE FOREGOING OVER 1104 00:49:31,120 --> 00:49:34,760 BUT THANK YOU JOHN FOR KEEPING 1105 00:49:34,760 --> 00:49:35,840 US ON TRACK 1106 00:49:35,840 --> 00:49:38,160 >> FEEL FREE TO TYPE IT 1107 00:49:38,160 --> 00:49:39,840 DIRECTORY INTO THE CHAT. 1108 00:49:39,840 --> 00:49:41,840 AND WE CAN STILL EFFECTIVELY 1109 00:49:41,840 --> 00:49:43,000 ADDRESS YOUR QUESTION. 1110 00:49:43,000 --> 00:49:44,920 BUT I JUST WANT TO MOVE ON 1111 00:49:44,920 --> 00:49:47,040 BECAUSE WE'RE RUNNING A FEW 1112 00:49:47,040 --> 00:49:49,640 MINUTES BEHIND. 1113 00:49:49,640 --> 00:49:52,920 SO NEXT IS THE LEGISLATIVE 1114 00:49:52,920 --> 00:50:00,440 REPORT FROM MK HOLOHAN. 1115 00:50:00,440 --> 00:50:03,320 >> THANK YOU FOR THIS 1116 00:50:03,320 --> 00:50:04,320 OPPORTUNITY TO SPEAK. 1117 00:50:04,320 --> 00:50:06,320 I'M GOING TO BE BRIEF. 1118 00:50:06,320 --> 00:50:09,080 AS I REMIND MEMBERS EVERY 1119 00:50:09,080 --> 00:50:10,440 MEETING THERE IS A DETAILED 1120 00:50:10,440 --> 00:50:11,800 LEGISLATIVE UPDATE THAT IS PART 1121 00:50:11,800 --> 00:50:13,600 OF YOUR MEETING MATERIALS AND 1122 00:50:13,600 --> 00:50:15,360 PLEASE FEEL FREE TO CONTACT ME 1123 00:50:15,360 --> 00:50:16,640 OR MY TEAM. 1124 00:50:16,640 --> 00:50:18,640 WE'RE HAPPY TO HEAR FROM NEW 1125 00:50:18,640 --> 00:50:19,280 MEMBERS. 1126 00:50:19,280 --> 00:50:20,040 RETURNING MEMBERS. 1127 00:50:20,040 --> 00:50:21,160 YOUR STAFF. 1128 00:50:21,160 --> 00:50:22,840 IF YOU HAVE ANY QUESTIONS PLEASE 1129 00:50:22,840 --> 00:50:25,880 REACH OUT. 1130 00:50:25,880 --> 00:50:28,520 I WASN'T GOING TO SHOW POLITICAL 1131 00:50:28,520 --> 00:50:29,440 HEADLINES. 1132 00:50:29,440 --> 00:50:32,640 BECAUSE THEY WERE JUST TOO DIRE. 1133 00:50:32,640 --> 00:50:34,400 THE ONE ARTICLE THAT HAD AN 1134 00:50:34,400 --> 00:50:36,600 OVER-ALL SUMMATION OF WHERE 1135 00:50:36,600 --> 00:50:39,440 THINGS STAND -- ALONG THE LINES 1136 00:50:39,440 --> 00:50:43,240 OF SENATE SINKS DEEPER IN 1137 00:50:43,240 --> 00:50:45,040 DYSFUNCTIONAL QUAGMIRE. 1138 00:50:45,040 --> 00:50:48,880 BIG NEWS OVERNIGHT -- LOTS OF 1139 00:50:48,880 --> 00:50:49,520 DEVELOPMENTS. 1140 00:50:49,520 --> 00:50:53,080 CHUCK SCHUMER SHOWS HOW RETIRING 1141 00:50:53,080 --> 00:50:54,320 THINKS JOB IS THESE DAYS. 1142 00:50:54,320 --> 00:50:56,440 I DON'T KNOW WHAT IS IN THE BAGS 1143 00:50:56,440 --> 00:50:58,240 BUT I THINK THE MAN NEEDS A 1144 00:50:58,240 --> 00:51:00,360 STAFFER TO HELP HIM. 1145 00:51:00,360 --> 00:51:09,280 SENATOR McCONNEL AND SOME OF 1146 00:51:09,280 --> 00:51:15,800 THE REPUBLICANS ARE -- NO ONE IS 1147 00:51:15,800 --> 00:51:24,520 HAPPY WITH SENATOR McCONNEL 1148 00:51:24,520 --> 00:51:27,840 AND THE DEBT CEILING. 1149 00:51:27,840 --> 00:51:29,440 THEY'VE BEEN PLAYING CHICKEN. 1150 00:51:29,440 --> 00:51:32,760 AND IT HAS TO BE RAISED OR 1151 00:51:32,760 --> 00:51:35,520 SUSPENDED BY DECEMBER 15th. 1152 00:51:35,520 --> 00:51:36,640 DEMOCRATS HAVE BEEN TRYING TO 1153 00:51:36,640 --> 00:51:38,600 GET REPUBLICANS TO AGREE THAT 1154 00:51:38,600 --> 00:51:42,560 THIS IS A BIPARTISAN 1155 00:51:42,560 --> 00:51:43,040 RESPONSIBILITY. 1156 00:51:43,040 --> 00:51:45,000 DEMOCRATS ROSE TO RAISE IT WHEN 1157 00:51:45,000 --> 00:51:46,640 IT WAS NECESSARY AND THEY WANT 1158 00:51:46,640 --> 00:51:49,360 THE REPUBLICANS TO DO IT NOW. 1159 00:51:49,360 --> 00:51:51,040 YOU CONTROL THE HOUSE AND SENATE 1160 00:51:51,040 --> 00:51:52,840 AND WHITE HOUSE YOU CAN DO IT ON 1161 00:51:52,840 --> 00:51:54,840 YOUR OWN AND SINCE YOU'RE 1162 00:51:54,840 --> 00:51:58,240 PURSUING A RECONCILIATION BILL 1163 00:51:58,240 --> 00:51:59,800 WITHOUT OUR VOTES THAT IS THE 1164 00:51:59,800 --> 00:52:02,240 WHOLE BEAUTY OF THAT 1165 00:52:02,240 --> 00:52:03,160 RECONCILIATION PROCEDURE IS THAT 1166 00:52:03,160 --> 00:52:05,840 THEY CAN PASS WITH A SIMPLE 1167 00:52:05,840 --> 00:52:06,880 MAJORITY IN THE SENATE THEN YOU 1168 00:52:06,880 --> 00:52:08,040 CAN DO IT YOURSELF. 1169 00:52:08,040 --> 00:52:09,640 YOU RAISE THE DEBT LIMIT. 1170 00:52:09,640 --> 00:52:12,000 YOU OWN IT AND WE'LL TALK ABOUT 1171 00:52:12,000 --> 00:52:13,880 IT IN THE MID-TERMS. 1172 00:52:13,880 --> 00:52:16,240 COMING UP IN NOVEMBER AS YOU 1173 00:52:16,240 --> 00:52:17,680 REALIZE THAT PERMEATES ALL OF 1174 00:52:17,680 --> 00:52:19,240 THE CALCULATIONS GOING ON RIGHT 1175 00:52:19,240 --> 00:52:21,160 NOW. 1176 00:52:21,160 --> 00:52:23,200 WHAT THEY ARE ABLE TO DO IS 1177 00:52:23,200 --> 00:52:25,160 STRIKE A DEAL WHERE THEY WOULD 1178 00:52:25,160 --> 00:52:28,920 ALLOW A ONE TIME EXEMPTION -- 1179 00:52:28,920 --> 00:52:33,440 ONE TIME RULE CHANGE WHERE 1180 00:52:33,440 --> 00:52:36,680 DEMOCRATS CAN PASS -- DEMOCRATS 1181 00:52:36,680 --> 00:52:38,920 REFUSING TO ADD IT TO 1182 00:52:38,920 --> 00:52:39,800 RECONCILIATION. 1183 00:52:39,800 --> 00:52:42,600 THEY CAN PASS IT AND REPUBLICANS 1184 00:52:42,600 --> 00:52:44,240 INSISTED THAT THEY DO IT ON 1185 00:52:44,240 --> 00:52:45,840 THEIR OWN. 1186 00:52:45,840 --> 00:52:47,960 THAT THEY CLARIFY A SPECIFIC 1187 00:52:47,960 --> 00:52:49,760 DOLLAR AMOUNT. 1188 00:52:49,760 --> 00:52:53,280 NOT JUST SUCH AS NECESSARY BUT 1189 00:52:53,280 --> 00:52:55,600 TO CLAIM A SPECIFIC DOLLAR 1190 00:52:55,600 --> 00:52:57,840 AMOUNT TO GET THEM -- THEY WOULD 1191 00:52:57,840 --> 00:52:59,840 LIKE TO RAISE THE DEBT LIMIT AND 1192 00:52:59,840 --> 00:53:02,120 GET IT STAYING WHERE IT NEEDS TO 1193 00:53:02,120 --> 00:53:04,480 BE UNTIL THEY GET PASSED THE 1194 00:53:04,480 --> 00:53:05,960 MID-TERMS IN NOVEMBER. 1195 00:53:05,960 --> 00:53:08,280 THAT IS WHERE THE ESTIMATES ARE 1196 00:53:08,280 --> 00:53:10,840 AS HIGH AS $2 TRILLION. 1197 00:53:10,840 --> 00:53:14,120 AND IT'S REALLY BIG NEWS AND 1198 00:53:14,120 --> 00:53:15,240 McCONNEL FEELS LIKE HE IS 1199 00:53:15,240 --> 00:53:18,120 STICKING WITH HIS POLICIES THAT 1200 00:53:18,120 --> 00:53:20,360 Rs DO NOT NEED TO VOTE FOR THE 1201 00:53:20,360 --> 00:53:20,840 INCREASE. 1202 00:53:20,840 --> 00:53:22,440 BUT THIS IS A ONE TIME WORK 1203 00:53:22,440 --> 00:53:23,920 AROUND. 1204 00:53:23,920 --> 00:53:28,200 ALSO LAST NIGHT WE SAW SOME 1205 00:53:28,200 --> 00:53:30,720 AGREEMENT ABOUT THE HOUSE PASSED 1206 00:53:30,720 --> 00:53:32,360 THE DEFENSE AUTHORIZATION BILL 1207 00:53:32,360 --> 00:53:34,520 WHICH IS A VERY BIG DEAL FOR A 1208 00:53:34,520 --> 00:53:35,320 FEW REASONS. 1209 00:53:35,320 --> 00:53:39,240 IT HAS BEEN A BIPARTISAN 1210 00:53:39,240 --> 00:53:39,840 PRIORITY. 1211 00:53:39,840 --> 00:53:42,880 THEY PASSED IT FOR 60 YEARS. 1212 00:53:42,880 --> 00:53:44,640 IT HAS NEVER NOT PASSED AND IT 1213 00:53:44,640 --> 00:53:46,240 WAS RUNNING INTO A LOT OF 1214 00:53:46,240 --> 00:53:47,680 PROBLEMS THIS YEAR. 1215 00:53:47,680 --> 00:53:48,920 ONE THING THAT IS IMPORTANT IS 1216 00:53:48,920 --> 00:53:52,280 THAT IT TRIGGERS -- IT CONNECTS 1217 00:53:52,280 --> 00:53:55,360 TO A DISAGREEMENT ABOUT 1218 00:53:55,360 --> 00:53:56,480 APPROPRIATIONS AND DEFENSE 1219 00:53:56,480 --> 00:53:57,240 FUNDING. 1220 00:53:57,240 --> 00:53:59,520 THESE ARE REALLY POSITIVE SIGNS 1221 00:53:59,520 --> 00:54:00,960 OF WHAT HAPPENED IN THE PAST 24 1222 00:54:00,960 --> 00:54:05,320 HOURS. 1223 00:54:05,320 --> 00:54:07,440 SO CONGRESS HAS TO ADDRESS A LOT 1224 00:54:07,440 --> 00:54:09,480 OF FISCAL DEADLINES. 1225 00:54:09,480 --> 00:54:12,160 THE DEBT CEILING. 1226 00:54:12,160 --> 00:54:14,280 FY22 APPROPRIATIONS. 1227 00:54:14,280 --> 00:54:17,600 WE'RE IN OUR SECOND CONTINUING 1228 00:54:17,600 --> 00:54:28,400 RESOLUTION GOING TO FEBRUARY 18. 1229 00:54:28,400 --> 00:54:32,560 THERE IS A LOT OF CONCERN AS 1230 00:54:32,560 --> 00:54:33,920 DR. SHARPLESS MENTIONED WHEN 1231 00:54:33,920 --> 00:54:36,360 THEY CANNOT AGREE WEEKEND UP IN 1232 00:54:36,360 --> 00:54:39,120 A SITUATION WITH A FULL YEAR CR. 1233 00:54:39,120 --> 00:54:40,560 I DON'T THINK THAT IS GOING TO 1234 00:54:40,560 --> 00:54:42,720 HAPPEN. 1235 00:54:42,720 --> 00:54:44,400 AND THERE IS REALLY NO ONE 1236 00:54:44,400 --> 00:54:45,320 BENEFITS FROM THAT. 1237 00:54:45,320 --> 00:54:47,360 AND THIS IS KIND OF A UNIQUE 1238 00:54:47,360 --> 00:54:48,960 YEAR. 1239 00:54:48,960 --> 00:54:53,040 APPROPRIATIONS HAS BEEN SORT OF 1240 00:54:53,040 --> 00:55:02,040 AN INNOCENT BYSTANDER. 1241 00:55:02,040 --> 00:55:03,680 APPROPRIATIONS HAS NOT BEEN ABLE 1242 00:55:03,680 --> 00:55:05,960 TO BE THE SUBJECT OF THE KIND OF 1243 00:55:05,960 --> 00:55:07,960 LEADERSHIP NEGOTIATION THAT IT 1244 00:55:07,960 --> 00:55:09,720 TYPICALLY WOULD BECAUSE OF THESE 1245 00:55:09,720 --> 00:55:11,600 MAJOR LEGISLATIVE PACKAGES AND 1246 00:55:11,600 --> 00:55:13,600 REALLY AGAIN WITH MID-TERMS 1247 00:55:13,600 --> 00:55:14,920 LOOMING IN NOVEMBER THIS IS A 1248 00:55:14,920 --> 00:55:16,720 WINDOW THAT THE ADMINISTRATION 1249 00:55:16,720 --> 00:55:20,560 HAS TO ADVANCE THESE PROGRAMS 1250 00:55:20,560 --> 00:55:24,000 AND GETTING THE BIPARTISAN 1251 00:55:24,000 --> 00:55:25,640 INFRASTRUCTURE BILL DONE WAS A 1252 00:55:25,640 --> 00:55:26,800 REALLY BIG DEAL. 1253 00:55:26,800 --> 00:55:29,440 THIS NEXT THE BBB IS VERY 1254 00:55:29,440 --> 00:55:31,360 IMPORTANT TO THE ADMINISTRATION. 1255 00:55:31,360 --> 00:55:33,920 AND SO, THAT IS GOING TO BE 1256 00:55:33,920 --> 00:55:36,120 WHERE THE ENERGY IS AND 1257 00:55:36,120 --> 00:55:37,800 APPROPRIATIONS IS IN A SECOND 1258 00:55:37,800 --> 00:55:42,040 PLACE PRIORITY. 1259 00:55:42,040 --> 00:55:44,800 SO THE INFRASTRUCTURE PACKAGE 1260 00:55:44,800 --> 00:55:47,000 HAVING THIS PASSED A HUGE 1261 00:55:47,000 --> 00:55:47,840 VICTORY. 1262 00:55:47,840 --> 00:55:50,800 HERE IS OUR ROSE GARDEN 1263 00:55:50,800 --> 00:55:52,240 CEREMONY. 1264 00:55:52,240 --> 00:55:54,720 IT PASSED THURSDAY EVENING AND 1265 00:55:54,720 --> 00:55:56,040 THE PRESIDENT WAITED TO SIGN IT 1266 00:55:56,040 --> 00:55:58,040 UNTIL THE FOLLOWING WEEK SO HE 1267 00:55:58,040 --> 00:56:01,040 COULD ASSEMBLE SOME MEMBERS OF 1268 00:56:01,040 --> 00:56:02,520 CONGRESS WHO WORKED SO HARD TO 1269 00:56:02,520 --> 00:56:03,240 GET THIS DONE. 1270 00:56:03,240 --> 00:56:05,040 THIS IS YOUR TRADITIONAL 1271 00:56:05,040 --> 00:56:06,560 INFRASTRUCTURE BILL. 1272 00:56:06,560 --> 00:56:11,080 IT DOES INCLUDE SOME INNOVATIVE 1273 00:56:11,080 --> 00:56:14,600 APPROACHES FOR HIGH SPEED 1274 00:56:14,600 --> 00:56:17,840 INTERNET ACCESS. 1275 00:56:17,840 --> 00:56:21,880 ON TO THE NEXT NOW. 1276 00:56:21,880 --> 00:56:27,360 SOMETIMES THEY CALL THE BUILD 1277 00:56:27,360 --> 00:56:29,880 BACK BETTER ACT THE HUMAN 1278 00:56:29,880 --> 00:56:30,640 INFRASTRUCTURE ACT. 1279 00:56:30,640 --> 00:56:32,840 THIS IS AN ENORMOUS PRIORITY FOR 1280 00:56:32,840 --> 00:56:33,640 THE PRESIDENT. 1281 00:56:33,640 --> 00:56:35,240 ALL OF THE DEMOCRATIC LEADERS 1282 00:56:35,240 --> 00:56:37,640 ARE WORKING VERY HARD TO TRY TO 1283 00:56:37,640 --> 00:56:38,560 MAKE THIS HAPPEN. 1284 00:56:38,560 --> 00:56:41,640 IT HAS BEEN SHRUNK IN TERMS OF 1285 00:56:41,640 --> 00:56:43,600 SIZE AND SCOPE. 1286 00:56:43,600 --> 00:56:48,440 IT STARTED OUT AT $3.5 TRILLION. 1287 00:56:48,440 --> 00:56:51,000 SENATOR MAN CHEN AND SENATOR 1288 00:56:51,000 --> 00:56:52,800 CINEMA MADE IT CLEAR THEY WERE 1289 00:56:52,800 --> 00:56:55,320 NOT GOING TO GO WITH THAT. 1290 00:56:55,320 --> 00:56:55,840 *. 1291 00:56:55,840 --> 00:56:57,720 WE DON'T KNOW WHEN THE SENATE IS 1292 00:56:57,720 --> 00:57:01,200 GOING TO VOTE ON IT. 1293 00:57:01,200 --> 00:57:04,480 SENATOR SCHUMER SENT OUT A 1294 00:57:04,480 --> 00:57:06,400 LETTER SAYING EXPECT WEEKEND 1295 00:57:06,400 --> 00:57:06,760 VOTES. 1296 00:57:06,760 --> 00:57:07,800 LATE OF NIGHTS. 1297 00:57:07,800 --> 00:57:09,080 DON'T PLAN VACATION. 1298 00:57:09,080 --> 00:57:11,760 HE WOULD LIKE TO GET IT PASSED 1299 00:57:11,760 --> 00:57:12,880 BEFORE CHRISTMAS. 1300 00:57:12,880 --> 00:57:16,080 THERE ARE A LOT OF DEMOCRATS WHO 1301 00:57:16,080 --> 00:57:18,040 ARE SAYING DON'T SET A DEADLINE. 1302 00:57:18,040 --> 00:57:19,600 BECAUSE THAT IS GOING TO WORK 1303 00:57:19,600 --> 00:57:21,920 AGAINST US SO WE'LL SEE HOW THAT 1304 00:57:21,920 --> 00:57:24,640 HAPPENS. 1305 00:57:24,640 --> 00:57:25,280 ARPA-H. 1306 00:57:25,280 --> 00:57:27,640 THERE WAS LANGUAGE IN THE 1307 00:57:27,640 --> 00:57:28,120 RECONCILIATION PACKAGE. 1308 00:57:28,120 --> 00:57:30,040 IT CAME OUT OF THE 1309 00:57:30,040 --> 00:57:31,440 RECONCILIATION PACKAGE. 1310 00:57:31,440 --> 00:57:33,200 7 SOME OF THE LEADERS SAID IT 1311 00:57:33,200 --> 00:57:35,200 WAS NOT APPROPRIATE FOR 1312 00:57:35,200 --> 00:57:36,680 RECONCILIATION WHICH IS SUPPOSED 1313 00:57:36,680 --> 00:57:39,800 TO HAVE A NEXUS WITH THE BUDGET. 1314 00:57:39,800 --> 00:57:42,680 IN ADDITION TO THE DEADLINE 1315 00:57:42,680 --> 00:57:44,560 BEING SOMEWHAT A LITTLE BIT TOO 1316 00:57:44,560 --> 00:57:48,040 TIGHT TO GET THAT DONE BY THE 1317 00:57:48,040 --> 00:57:48,840 25th. 1318 00:57:48,840 --> 00:57:50,840 SENATOR MANCHIN SAID HE WAS 1319 00:57:50,840 --> 00:57:53,280 URGING A SLOW DOWN IN TERMS OF 1320 00:57:53,280 --> 00:57:56,960 MOVING THE RECONCILIATION BILL. 1321 00:57:56,960 --> 00:57:57,640 CURES 2.0. 1322 00:57:57,640 --> 00:58:00,240 WE SAW A DRAFT VERSION AND THIS 1323 00:58:00,240 --> 00:58:02,800 WAS INTRODUCED. 1324 00:58:02,800 --> 00:58:08,400 HR6,000 SPONSORED BY DIANE -- OF 1325 00:58:08,400 --> 00:58:12,280 COLORADO AND FRANK UPTON. 1326 00:58:12,280 --> 00:58:14,440 THIS WOULD ESTABLISH ARPA-H 1327 00:58:14,440 --> 00:58:15,360 WITHIN THE NIH. 1328 00:58:15,360 --> 00:58:17,360 WE EXPECT THIS BILL TO PICK UP 1329 00:58:17,360 --> 00:58:18,920 SOME STEAM OVER THE NEXT COUPLE 1330 00:58:18,920 --> 00:58:20,600 OF MONTHS. 1331 00:58:20,600 --> 00:58:23,040 MOST OF THE CONGRESSIONAL 1332 00:58:23,040 --> 00:58:24,360 WATCHERS THINK IT'S GOING TO 1333 00:58:24,360 --> 00:58:31,840 MOVE WHEN THE FDA USER FEE 1334 00:58:31,840 --> 00:58:34,440 AUTHORIZATION PASSED. 1335 00:58:34,440 --> 00:58:36,240 AND THAT IS SOMETHING THAT IS 1336 00:58:36,240 --> 00:58:39,280 WHERE PEOPLE ARE AIMING HERE 1337 00:58:39,280 --> 00:58:42,160 BECAUSE OF SOME OF THE SUBJECT 1338 00:58:42,160 --> 00:58:44,640 MATTER. 1339 00:58:44,640 --> 00:58:47,560 SO FY22 APPROPRIATIONS. 1340 00:58:47,560 --> 00:58:50,120 WE HAVE THE PRESIDENT'S BUDGET 1341 00:58:50,120 --> 00:58:51,200 REQUEST WHICH STARTS THE 1342 00:58:51,200 --> 00:58:51,920 PROCESS. 1343 00:58:51,920 --> 00:58:53,960 THE HOUSE MOVED QUICKLY. 1344 00:58:53,960 --> 00:59:01,440 THEY PROVIDED THE PRESIDENT'S 1345 00:59:01,440 --> 00:59:03,640 BUDGET REQUESTED THIS. 1346 00:59:03,640 --> 00:59:07,040 THE HOUSE CAME THROUGH WITH 1347 00:59:07,040 --> 00:59:10,760 $3 BILLION FOR ARPA-H. 1348 00:59:10,760 --> 00:59:13,520 THE SENATE WAS UNABLE TO GET 1349 00:59:13,520 --> 00:59:16,960 THEIR BILL OUT OF SUBCOMMITTEE. 1350 00:59:16,960 --> 00:59:18,960 A 50/50 SENATE MEANS THE RULES 1351 00:59:18,960 --> 00:59:21,400 ARE 50/50 SENATE IN THIS 1352 00:59:21,400 --> 00:59:23,680 CONGRESS WOULD BE 50/50 ON 1353 00:59:23,680 --> 00:59:25,600 COMMITTEE SO THEY DON'T HAVE THE 1354 00:59:25,600 --> 00:59:26,440 VOTES TO SWAY IT. 1355 00:59:26,440 --> 00:59:28,960 THIS IS NOT THE THING THAT GOES 1356 00:59:28,960 --> 00:59:32,400 TO YOU WHOLE SENATE AND THE VICE 1357 00:59:32,400 --> 00:59:34,360 PRESIDENT COMES TO BREAK THE 1358 00:59:34,360 --> 00:59:34,720 TIE. 1359 00:59:34,720 --> 00:59:37,400 THEY RELEASED THEIR DRAFT BILL. 1360 00:59:37,400 --> 00:59:39,040 BOTH SIDES HAVE DONE IT WHEN 1361 00:59:39,040 --> 00:59:41,200 THEY'VE BEEN IN THE MAJORITY. 1362 00:59:41,200 --> 00:59:42,960 SO WHAT THAT MEANS IS HERE IS 1363 00:59:42,960 --> 00:59:44,800 WHAT THE MAJORITY IS THINKING. 1364 00:59:44,800 --> 00:59:47,760 7 DOES NOT NECESSARILY REPRESENT 1365 00:59:47,760 --> 00:59:49,640 BIPARTISAN AGREEMENT ON THE 1366 00:59:49,640 --> 00:59:51,640 SENATE SUBCOMMITTEE SO THE 1367 00:59:51,640 --> 00:59:53,280 NUMBERS WE SAW WHEN THOSE BILLS 1368 00:59:53,280 --> 00:59:56,720 WERE POSTED WAS $2.4 BILLION 1369 00:59:56,720 --> 01:00:00,040 ALLOCATION FOR ARPA-H WHICH HAS 1370 01:00:00,040 --> 01:00:02,640 NOT YET BEEN AUTHORIZED. 1371 01:00:02,640 --> 01:00:05,040 THIS IS AN APPROPRIATION. 1372 01:00:05,040 --> 01:00:13,080 AND FOR NCI $6.77 BILLION 1373 01:00:13,080 --> 01:00:13,720 APPROPRIATION. 1374 01:00:13,720 --> 01:00:15,600 THE HOUSE BILL IS A BIGGER 1375 01:00:15,600 --> 01:00:20,040 INCREASE FOR NCI. 1376 01:00:20,040 --> 01:00:24,560 WE'RE IN OUR SECOND CR. 1377 01:00:24,560 --> 01:00:26,240 THAT GOES THROUGH 1378 01:00:26,240 --> 01:00:30,160 FEBRUARY 18th. 1379 01:00:30,160 --> 01:00:34,200 IN FY21 THERE WERE FIVE CRs 1380 01:00:34,200 --> 01:00:35,840 FAIRLY SHORT-TERM. 1381 01:00:35,840 --> 01:00:39,560 THEY LASTED 88 DAYS. 1382 01:00:39,560 --> 01:00:40,880 CRs ARE NORMAL. 1383 01:00:40,880 --> 01:00:42,640 IT'S REGULAR ORDER. 1384 01:00:42,640 --> 01:00:43,840 ESSENTIALLY. 1385 01:00:43,840 --> 01:00:45,800 SO THERE IS NOTHING TO READ INTO 1386 01:00:45,800 --> 01:00:47,600 ABOUT THE CRs THAT WE'VE HAD 1387 01:00:47,600 --> 01:00:49,040 SO FAR. 1388 01:00:49,040 --> 01:00:51,360 THE FACT THAT THIS LAST CR A 1389 01:00:51,360 --> 01:00:53,600 MORE STANDARD PLAY WOULD HAVE 1390 01:00:53,600 --> 01:00:56,800 BEEN TO TAKE IT UP TO CHRISTMAS 1391 01:00:56,800 --> 01:00:58,560 TO PUT PRESSURE ON CONGRESS TO 1392 01:00:58,560 --> 01:01:00,800 GET THE APPROPRIATION DONE. 1393 01:01:00,800 --> 01:01:03,200 8 THEY CHOSE TO GO TO 1394 01:01:03,200 --> 01:01:04,360 FEBRUARY 18 BECAUSE THERE ARE 1395 01:01:04,360 --> 01:01:07,640 TOO MANY OTHER BIG HIGH-PROFILE 1396 01:01:07,640 --> 01:01:09,440 PACKAGES THAT ARE SERVING THAT 1397 01:01:09,440 --> 01:01:12,760 PURPOSE OF THAT PRESSURE. 1398 01:01:12,760 --> 01:01:16,320 HERE IS ONE OF THE REASONS WHY I 1399 01:01:16,320 --> 01:01:22,040 THINK -- WE'LL NOT SEE A FULL 1400 01:01:22,040 --> 01:01:23,080 YEAR CR. 1401 01:01:23,080 --> 01:01:26,480 THIS IS THE FIRST THAT EARMARKS 1402 01:01:26,480 --> 01:01:30,160 OUR BACK. 1403 01:01:30,160 --> 01:01:32,840 WHICH ARE SPECIFIC PROJECTS. 1404 01:01:32,840 --> 01:01:34,440 THEY CALL THEM COMMUNITY PROJECT 1405 01:01:34,440 --> 01:01:35,440 FUNDING REQUESTS. 1406 01:01:35,440 --> 01:01:37,720 NONE OF THOSE GET DONE IF WE 1407 01:01:37,720 --> 01:01:40,440 DON'T HAVE A REAL APPROPRIATION 1408 01:01:40,440 --> 01:01:42,240 BILL. 1409 01:01:42,240 --> 01:01:45,200 IN THE SENATE 646 SENATORS 1410 01:01:45,200 --> 01:01:46,880 SUBMITTED THESE SPENDING 1411 01:01:46,880 --> 01:01:47,160 REQUESTS. 1412 01:01:47,160 --> 01:01:49,400 THEY ARE CALLING THEM SOMETHING 1413 01:01:49,400 --> 01:01:50,520 DIFFERENT IN THE SENATE AND THEY 1414 01:01:50,520 --> 01:01:52,640 HAVE TWO DIFFERENT SYSTEMS FOR 1415 01:01:52,640 --> 01:01:54,880 TRACKING THEM. 1416 01:01:54,880 --> 01:01:58,000 THIS REPRESENTS A SIGNIFICANT 1417 01:01:58,000 --> 01:02:02,040 NUMBER OF PROJECTS. 1418 01:02:02,040 --> 01:02:09,280 ONE RETIRING MEMBER FROM ALABAMA 1419 01:02:09,280 --> 01:02:13,040 -- ALSO THE HIGHEST RANKING 1420 01:02:13,040 --> 01:02:14,720 DEMOCRAT SENATOR LEAHY IS 1421 01:02:14,720 --> 01:02:16,240 RETIRING AS WELL. 1422 01:02:16,240 --> 01:02:20,200 IF WE DO NOT HAVE THE BILL THOSE 1423 01:02:20,200 --> 01:02:21,120 EARMARKS DON'T HAPPEN. 1424 01:02:21,120 --> 01:02:25,840 ALSO THE DEFENSE COMMUNITY HAS 1425 01:02:25,840 --> 01:02:29,640 BEGUN TO BE VERY VOCAL ABOUT 1426 01:02:29,640 --> 01:02:32,640 DEFENSE NEEDS AND FY22 1427 01:02:32,640 --> 01:02:32,960 APPROPRIATION. 1428 01:02:32,960 --> 01:02:35,440 THEY CANNOT CONTINUE BASED ON 1429 01:02:35,440 --> 01:02:47,240 THEIR FY20 IN A FEW YEAR CR. 1430 01:02:47,240 --> 01:02:49,840 THEY PASSED IT WITH A 1431 01:02:49,840 --> 01:02:51,240 $25 BILLION INCREASE IN 1432 01:02:51,240 --> 01:02:52,400 AUTHORIZATION FOR DEFENSE OVER 1433 01:02:52,400 --> 01:02:54,000 THE PRESIDENT'S BUDGET REQUEST. 1434 01:02:54,000 --> 01:02:57,200 ONE OF THE ISSUES THE TWO BIG 1435 01:02:57,200 --> 01:03:00,720 ISSUES -- ABOUT MOVING FY22 1436 01:03:00,720 --> 01:03:03,680 APPROPRIATIONS ARE POISON PILL 1437 01:03:03,680 --> 01:03:04,080 WRITERS. 1438 01:03:04,080 --> 01:03:06,280 THE REPUBLICANS SAY THE 1439 01:03:06,280 --> 01:03:10,400 DEMOCRATS HAVE PUT IN. 1440 01:03:10,400 --> 01:03:12,960 -- THAT HAS BEEN PART OF 1441 01:03:12,960 --> 01:03:15,200 APPROPRIATION BILLS FOR DECADES. 1442 01:03:15,200 --> 01:03:16,960 THE DEMOCRATS TOOK IT OUT THIS 1443 01:03:16,960 --> 01:03:17,600 TIME. 1444 01:03:17,600 --> 01:03:19,840 I ASSUME IT'S GOING BACK IN BUT 1445 01:03:19,840 --> 01:03:23,240 THIS IS A REAL POINT OF 1446 01:03:23,240 --> 01:03:29,720 CONTENTION. 1447 01:03:29,720 --> 01:03:33,400 THE OTHER ISSUE WAS DEFENSE. 1448 01:03:33,400 --> 01:03:35,920 THERE IS NO BUDGET CONTROL ACT 1449 01:03:35,920 --> 01:03:40,080 IN PLAY RIGHT NOW WHICH IN THE 1450 01:03:40,080 --> 01:03:42,400 PAST REQUIRED PARITY FROM 1451 01:03:42,400 --> 01:03:43,880 DEFENSE AND NONDEFENSE ACCOUNTS. 1452 01:03:43,880 --> 01:03:46,240 SO A LOT OF REPUBLICANS HAVE 1453 01:03:46,240 --> 01:03:48,240 SAID THEY WANT HIGHER NUMBER OF 1454 01:03:48,240 --> 01:03:48,960 DEFENSE. 1455 01:03:48,960 --> 01:03:50,160 NOW THEY HAVE THE OPPORTUNITY TO 1456 01:03:50,160 --> 01:03:51,160 MAKE THAT HAPPEN. 1457 01:03:51,160 --> 01:03:54,760 BUT ONLY IF THERE IS AN FY22 1458 01:03:54,760 --> 01:03:55,920 APPROPRIATION. 1459 01:03:55,920 --> 01:04:00,040 A FULL YEAR CR WOULD NOT BUDGE 1460 01:04:00,040 --> 01:04:01,200 THOSE NUMBERS. 1461 01:04:01,200 --> 01:04:04,160 WE SAW THIS WEEK THE DEATH OF 1462 01:04:04,160 --> 01:04:06,200 SENATOR BOB DOLE WHO IS ONE OF 1463 01:04:06,200 --> 01:04:07,960 THE LONGEST SERVING SENATORS IN 1464 01:04:07,960 --> 01:04:09,840 THE HISTORY OF THE SENATE AND I 1465 01:04:09,840 --> 01:04:12,280 THINK IT'S SORT OF APPROPRIATE. 1466 01:04:12,280 --> 01:04:13,760 IF YOU HAVE AN OPPORTUNITY TO 1467 01:04:13,760 --> 01:04:17,680 READ HIS LAST OP-ED -- IT'S IN 1468 01:04:17,680 --> 01:04:19,400 THE WASHINGTON POST. 1469 01:04:19,400 --> 01:04:22,240 HE WAS KNOWN AS A DEAL MAKER AND 1470 01:04:22,240 --> 01:04:23,160 SOMEONE WHO WORKED WITH THE 1471 01:04:23,160 --> 01:04:24,640 OTHER SIDE OF THE AISLE. 1472 01:04:24,640 --> 01:04:29,480 HE WORKED WITH SENATOR MOYNIHAN 1473 01:04:29,480 --> 01:04:31,400 OF NEW YORK AND HE WORKED WITH 1474 01:04:31,400 --> 01:04:32,640 TED KENNEDY TO PASS THE 1475 01:04:32,640 --> 01:04:34,960 AMERICANS WITH DISABILITY ACT IN 1476 01:04:34,960 --> 01:04:35,320 1990. 1477 01:04:35,320 --> 01:04:38,360 I THINK THE FACT THAT HE IS 1478 01:04:38,360 --> 01:04:39,920 GOING TO BE HIS SERVICE STARTS 1479 01:04:39,920 --> 01:04:40,520 TOMORROW. 1480 01:04:40,520 --> 01:04:44,120 HE WILL BE LYING IN STATE AT THE 1481 01:04:44,120 --> 01:04:44,760 CAPITOL. 1482 01:04:44,760 --> 01:04:47,240 THAT HAS PUT A LITTLE FIRE UNDER 1483 01:04:47,240 --> 01:04:49,120 THE LEGISLATIVE ACTIVITY IN THE 1484 01:04:49,120 --> 01:04:51,280 SENATE TO GET THINGS DONE WOULD 1485 01:04:51,280 --> 01:04:54,040 PLEASE HIM AS HE WAS ALL ABOUT 1486 01:04:54,040 --> 01:04:54,840 MAKING PROGRESS. 1487 01:04:54,840 --> 01:04:58,640 ALSO WHEN HE WAS DIAGNOSED WITH 1488 01:04:58,640 --> 01:05:01,840 LUNG CANCER IN FEBRUARY OF 2021 1489 01:05:01,840 --> 01:05:04,040 -- EVIDENTLY PRESIDENT BIDEN 1490 01:05:04,040 --> 01:05:06,560 VISITED HIM FOR A COUPLE OF 1491 01:05:06,560 --> 01:05:06,760 HOURS. 1492 01:05:06,760 --> 01:05:08,880 THEY WORKED TOGETHER FOR ALMOST 1493 01:05:08,880 --> 01:05:12,880 25 YEARS IN THE SENATE. 1494 01:05:12,880 --> 01:05:14,920 FORMER SENATOR DOLE GAVE HIM A 1495 01:05:14,920 --> 01:05:16,640 LITTLE BIT OF FEEDBACK ABOUT 1496 01:05:16,640 --> 01:05:18,440 SOME THINGS THAT HE DIDN'T FEEL 1497 01:05:18,440 --> 01:05:20,120 LIKE HE WAS DOING RIGHT SO HE 1498 01:05:20,120 --> 01:05:22,640 WAS TRYING TO MAKE DEALS UP TO 1499 01:05:22,640 --> 01:05:23,160 THE END. 1500 01:05:23,160 --> 01:05:26,520 I'M HAPPY TO TAKE ANY QUESTIONS. 1501 01:05:26,520 --> 01:05:29,040 I'M GOING TO IMAGINE THEY ARE 1502 01:05:29,040 --> 01:05:30,840 GOING TO ASK TO DO THOSE 1503 01:05:30,840 --> 01:05:32,160 OFF-LINE. 1504 01:05:32,160 --> 01:05:32,840 >> FANTASTIC. 1505 01:05:32,840 --> 01:05:35,840 A LOT BURIED IN THE SLIDES. 1506 01:05:35,840 --> 01:05:38,960 WE DO DEFINITELY -- WE'RE ABOUT 1507 01:05:38,960 --> 01:05:42,040 10 OR 11 MINUTES OVER TIME. 1508 01:05:42,040 --> 01:05:44,040 AND UNLESS THERE ARE ANY BURNING 1509 01:05:44,040 --> 01:05:45,480 QUESTIONS. 1510 01:05:45,480 --> 01:05:48,720 WE COULD MOVE ON TO THE NEXT 1511 01:05:48,720 --> 01:05:51,640 AGENDA ITEM. 1512 01:05:51,640 --> 01:05:54,680 AND THAT ACTUALLY IS 1513 01:05:54,680 --> 01:05:56,120 DR. SHARPLESS AND HIS 1514 01:05:56,120 --> 01:06:00,640 RECOGNITION OF RETIRING NCAB 1515 01:06:00,640 --> 01:06:13,400 MEMBERS. 1516 01:06:13,400 --> 01:06:16,240 >> WE'RE GOING TO PROJECT THOSE 1517 01:06:16,240 --> 01:06:17,080 NAMES. 1518 01:06:17,080 --> 01:06:31,680 CORRECT? 1519 01:06:31,680 --> 01:06:37,040 >> WE NEED THE RETIRING NCAB 1520 01:06:37,040 --> 01:06:42,520 MEMBER SLIDE. 1521 01:06:42,520 --> 01:07:08,080 >> I APOLOGIZE. 1522 01:07:08,080 --> 01:07:10,040 >> THIS IS ANOTHER REASON WHY 1523 01:07:10,040 --> 01:07:11,440 IT'S TOUGH DOING THESE THINGS 1524 01:07:11,440 --> 01:07:12,600 NOT IN PERSON. 1525 01:07:12,600 --> 01:07:44,120 >> LET ME SEE. 1526 01:07:44,120 --> 01:07:50,680 >> I HAVE A CHEAT SHEET. 1527 01:07:50,680 --> 01:07:51,200 OKAY. 1528 01:07:51,200 --> 01:07:52,800 HERE WE GO. 1529 01:07:52,800 --> 01:07:54,040 APOLOGIZE. 1530 01:07:54,040 --> 01:07:55,720 AS I MENTIONED BEFORE WE HAVE 1531 01:07:55,720 --> 01:07:58,520 SOME RETIRING BOARD MEMBERS WHO 1532 01:07:58,520 --> 01:08:02,160 AS I SAID HAVE BEEN ON SOME OF 1533 01:08:02,160 --> 01:08:04,960 THE NCAB FOR QUITE SOME TIME AND 1534 01:08:04,960 --> 01:08:07,640 WE WANT TO THANK THEM FOR THEIR 1535 01:08:07,640 --> 01:08:09,560 SERVICE. 1536 01:08:09,560 --> 01:08:19,760 PETER ADAMSON AND YUA N SPACE 1537 01:08:19,760 --> 01:08:24,120 CHANG ARE NOT HERE. 1538 01:08:24,120 --> 01:08:25,560 DEB IS THE SENIOR VICE PRESIDENT 1539 01:08:25,560 --> 01:08:28,600 OF RESEARCH AT EMORY UNIVERSITY 1540 01:08:28,600 --> 01:08:31,800 AND HAS BEEN A GREAT ASSET TO 1541 01:08:31,800 --> 01:08:34,080 THE NCI IN THINKING THROUGH LOTS 1542 01:08:34,080 --> 01:08:37,280 OF ISSUES RELATED TO HEALTH 1543 01:08:37,280 --> 01:08:38,240 SERVICES RESEARCH. 1544 01:08:38,240 --> 01:08:44,120 THE NRG AND A WEALTH OF GOOD 1545 01:08:44,120 --> 01:08:44,520 ADVICE. 1546 01:08:44,520 --> 01:08:46,960 THANK YOU FOR YOUR SERVICE. 1547 01:08:46,960 --> 01:08:49,600 NEXT IS TIM LEY. 1548 01:08:49,600 --> 01:08:52,040 HE IS THE PROFESSOR OF MEDICINE 1549 01:08:52,040 --> 01:08:58,600 AND GENETICS AT WASU IN ST. 1550 01:08:58,600 --> 01:09:00,320 LOUIS. 1551 01:09:00,320 --> 01:09:02,840 A PASSIONATE DEFENDER OF BASIC 1552 01:09:02,840 --> 01:09:06,840 SCIENCE AND HE HAS GIVEN ME A 1553 01:09:06,840 --> 01:09:11,760 LOT OF GREAT ADVISE. 1554 01:09:11,760 --> 01:09:14,640 MAX WICHA. 1555 01:09:14,640 --> 01:09:18,520 PLAQUE HAS BEEN A STALL WART * 1556 01:09:18,520 --> 01:09:20,920 SUPPORTER OF THE NCI. 1557 01:09:20,920 --> 01:09:48,600 THANK YOU, MAX. 1558 01:09:48,600 --> 01:09:51,400 PETER HAS GIVEN US GREAT ADVICE. 1559 01:09:51,400 --> 01:09:53,720 SO I WANT TO THANK ALL OF THESE 1560 01:09:53,720 --> 01:09:55,000 RETIRING BOARD MEMBERS FOR THEIR 1561 01:09:55,000 --> 01:09:55,800 SERVICE. 1562 01:09:55,800 --> 01:09:58,160 AS I SAID I WISH WE COULD HAVE 1563 01:09:58,160 --> 01:09:59,800 DONE THIS IN PERSON SO I COULD 1564 01:09:59,800 --> 01:10:08,960 GIVE YOU ALL OF THE OBLIGATORY 1565 01:10:08,960 --> 01:10:13,760 HUGS. 1566 01:10:13,760 --> 01:10:14,920 >> THANK YOU. 1567 01:10:14,920 --> 01:10:16,800 DO YOUR VIRTUAL HAND COLLAPSES 1568 01:10:16,800 --> 01:10:18,440 AND THANKS TO ALL OF THE MEMBERS 1569 01:10:18,440 --> 01:10:28,160 WHO ARE RETIRING. 1570 01:10:28,160 --> 01:10:30,520 WISH YOU THE BEST OF LUCK. 1571 01:10:30,520 --> 01:10:33,080 SO MOVING RIGHT ALONG. 1572 01:10:33,080 --> 01:10:36,800 THE NEXT AGENDA ITEM IS A 1573 01:10:36,800 --> 01:10:38,680 PRESENTATION ON CANCER MOONSHOT 1574 01:10:38,680 --> 01:10:39,520 LOOKING AHEAD. 1575 01:10:39,520 --> 01:10:40,960 IF YOU CAN PULL THAT 1576 01:10:40,960 --> 01:10:42,040 PRESENTATION UP. 1577 01:10:42,040 --> 01:10:43,800 WHICH ACTUALLY WAS REQUESTED BY 1578 01:10:43,800 --> 01:10:45,280 THE BOARD. 1579 01:10:45,280 --> 01:10:47,600 THIS WILL BE PRESENTED TO US BY 1580 01:10:47,600 --> 01:10:49,480 DANA SINGER. 1581 01:10:49,480 --> 01:10:53,360 A DEPUTY DIRECTOR FOR SCIENTIFIC 1582 01:10:53,360 --> 01:10:54,440 STRATEGY AND DEVELOPMENT. 1583 01:10:54,440 --> 01:10:55,080 >> THANK YOU. 1584 01:10:55,080 --> 01:10:56,720 CAN YOU HEAR ME? 1585 01:10:56,720 --> 01:10:57,480 >> YES. 1586 01:10:57,480 --> 01:10:59,040 >> AND THE SLIDES ARE UP? 1587 01:10:59,040 --> 01:11:00,680 >> YES. 1588 01:11:00,680 --> 01:11:05,160 >> THANK YOU AND GOOD AFTERNOON 1589 01:11:05,160 --> 01:11:06,680 OR GOOD MORNING AS THE CASE MAY 1590 01:11:06,680 --> 01:11:08,040 BE AND THANK YOU FOR THE CHANCE 1591 01:11:08,040 --> 01:11:10,040 TO GIVE YOU AN UPDATE ON THE 1592 01:11:10,040 --> 01:11:12,360 CANCER MOONSHOT AND THE PROGRESS 1593 01:11:12,360 --> 01:11:14,600 THAT HAS BEEN MADE OVER THE PAST 1594 01:11:14,600 --> 01:11:15,320 FIVE YEARS. 1595 01:11:15,320 --> 01:11:17,640 IN THE NEXT FEW MINUTES I'D LIKE 1596 01:11:17,640 --> 01:11:20,280 TO DESCRIBE SOME OF THE MOONSHOT 1597 01:11:20,280 --> 01:11:21,760 ACHIEVEMENTS AND THEN LOOK AHEAD 1598 01:11:21,760 --> 01:11:26,040 TO HOW WE SUSTAIN AND BUILD ON 1599 01:11:26,040 --> 01:11:28,040 THOSE ACCOMPLISHMENTS IN A WAY 1600 01:11:28,040 --> 01:11:31,360 THAT ENCORPORATES THEM INTO THE 1601 01:11:31,360 --> 01:11:33,160 LARGER CANCER RESEARCH EFFORT. 1602 01:11:33,160 --> 01:11:35,680 THE LEGISLATION THAT ENACTED THE 1603 01:11:35,680 --> 01:11:37,880 CANCER MOONSHOT IDENTIFIED THREE 1604 01:11:37,880 --> 01:11:39,360 SPECIFIC GOALS. 1605 01:11:39,360 --> 01:11:41,280 ONE TO ACCELERATE OUR 1606 01:11:41,280 --> 01:11:43,080 UNDERSTANDING OF CANCER. 1607 01:11:43,080 --> 01:11:45,520 TWO, TO ENHANCE DATA SHARING AND 1608 01:11:45,520 --> 01:11:48,640 THREE, TO ENCOURAGE GREATER 1609 01:11:48,640 --> 01:11:49,040 COLLABORATION. 1610 01:11:49,040 --> 01:11:53,560 TO ACHIEVE THE FIRST GOAL A BLUE 1611 01:11:53,560 --> 01:11:56,640 RIBBON PANEL WAS CONVENED AND 1612 01:11:56,640 --> 01:11:58,760 CHARGED WITH IDENTIFYING THOSE 1613 01:11:58,760 --> 01:12:00,320 AREAS OF RESEARCH THAT WERE 1614 01:12:00,320 --> 01:12:02,360 POISED FOR ACCELERATION. 1615 01:12:02,360 --> 01:12:05,360 THEIR RECOMMENDATIONS ARE LISTED 1616 01:12:05,360 --> 01:12:05,880 HERE. 1617 01:12:05,880 --> 01:12:08,480 I'M GOING TO USE THIS TEMPLATE 1618 01:12:08,480 --> 01:12:12,040 TO HIGHLIGHT JUST A FEW OF THE 1619 01:12:12,040 --> 01:12:13,800 MOONSHOT INITIATIVE THAT'S 1620 01:12:13,800 --> 01:12:15,840 RESPOND TO THE RECOMMENDATIONS. 1621 01:12:15,840 --> 01:12:18,160 THE PATIENT ENGAGEMENT 1622 01:12:18,160 --> 01:12:18,960 RECOMMENDATION CALLED FOR 1623 01:12:18,960 --> 01:12:20,760 NETWORKS TO ASSIST CANCER 1624 01:12:20,760 --> 01:12:22,840 PATIENTS IN FINDING CLINICAL 1625 01:12:22,840 --> 01:12:23,240 TRIALS. 1626 01:12:23,240 --> 01:12:25,880 AND CONVERSELY TO HELP 1627 01:12:25,880 --> 01:12:27,600 RESEARCHERS ENROLL PATIENTS FROM 1628 01:12:27,600 --> 01:12:30,040 DIVERSE POPULATIONS. 1629 01:12:30,040 --> 01:12:31,800 NCI CONNECT AND MY PART WERE 1630 01:12:31,800 --> 01:12:34,040 STARTED IN 2018. 1631 01:12:34,040 --> 01:12:40,680 THESE TW TWO -- PROGRAMMED HAVE 1632 01:12:40,680 --> 01:12:41,600 FORMED PARTNERSHIPS THAT ARE 1633 01:12:41,600 --> 01:12:43,680 AIMED AT UNDERSTANDING AND 1634 01:12:43,680 --> 01:12:45,440 TREATING RARE TUMORS. 1635 01:12:45,440 --> 01:12:46,760 THROUGH THESE PROGRAMS A NUMBER 1636 01:12:46,760 --> 01:12:48,960 OF CLINICAL TRIALS HAVE BEEN 1637 01:12:48,960 --> 01:12:50,880 STARTED. 1638 01:12:50,880 --> 01:12:53,200 PECGS IS A PATIENT ENGAGEMENT 1639 01:12:53,200 --> 01:13:00,840 INITIATIVE STARTED IN 2020. 1640 01:13:00,840 --> 01:13:03,160 ENCOURAGING CANCER PATIENTS AND 1641 01:13:03,160 --> 01:13:04,600 SURVIVORS TO BE ACTIVE 1642 01:13:04,600 --> 01:13:06,840 PARTICIPANTS IN CANCER RESEARCH 1643 01:13:06,840 --> 01:13:09,120 AND ADDRESS GAPS IN OUR 1644 01:13:09,120 --> 01:13:12,040 KNOWLEDGE AND CANCER GENOMICS OF 1645 01:13:12,040 --> 01:13:17,600 RARE OR HIGHLY LETHAL CANCERS. 1646 01:13:17,600 --> 01:13:20,000 PEDIATRIC CANCER WAS CALLED OUT 1647 01:13:20,000 --> 01:13:24,520 IN TWO OF THE RECOMMENDATIONS. 1648 01:13:24,520 --> 01:13:26,840 FOCUSES ON UNDERSTANDING THE 1649 01:13:26,840 --> 01:13:29,920 STRUCTURE AND FUNCTION OF FUSION 1650 01:13:29,920 --> 01:13:32,480 -- PROTEIN COMPLEXES TO INFORM 1651 01:13:32,480 --> 01:13:34,400 THE DEVELOPMENT OF SMALL 1652 01:13:34,400 --> 01:13:39,440 MOLECULE DISRUPTORS. 1653 01:13:39,440 --> 01:13:43,000 I'M R IMMUNO THERAPY. 1654 01:13:43,000 --> 01:13:46,080 WE ALL KNOW THAT WHILE THESE 1655 01:13:46,080 --> 01:13:49,080 HAVE SHOWN INCREDIBLE PROMISE * 1656 01:13:49,080 --> 01:13:51,960 FOR SOME TYPES OF CANCER IN 1657 01:13:51,960 --> 01:13:54,160 OTHER CANCERS CURRENT APPROACHES 1658 01:13:54,160 --> 01:13:59,880 STILL HAVE LIMITED EFFICACY. 1659 01:13:59,880 --> 01:14:05,040 THE PI-DDN -- DEVELOPING NOVEL 1660 01:14:05,040 --> 01:14:07,040 THERAPEUTIC APPROACHES FOR 1661 01:14:07,040 --> 01:14:10,400 PEDIATRIC CANCER AND IT HAS BEEN 1662 01:14:10,400 --> 01:14:11,200 ENORMOUSLY SUCCESSFUL. 1663 01:14:11,200 --> 01:14:13,520 ONE OF THE PROGRAMS THAT HAS 1664 01:14:13,520 --> 01:14:17,400 GENERATED A CLASS OF T CELLS -- 1665 01:14:17,400 --> 01:14:20,600 BY RECOGNIZING SURFACE -- 1666 01:14:20,600 --> 01:14:23,960 PEPTIDE -- COMPLEXES. 1667 01:14:23,960 --> 01:14:28,120 PEDIATRIC CITN SUPPORTS 1668 01:14:28,120 --> 01:14:31,080 MULTI-INSTITUTIONAL PHASE I AND 1669 01:14:31,080 --> 01:14:45,000 EARLY PHASE II PEDIATRIC IMMUNO 1670 01:14:45,000 --> 01:14:48,080 THERAPIES. 1671 01:14:48,080 --> 01:14:50,560 UNDERSTANDING THE IMMUNE 1672 01:14:50,560 --> 01:14:53,520 MECHANISMS THAT CONTRIBUTE TO 1673 01:14:53,520 --> 01:14:57,120 TUMOR RESISTANCE AND AMONG ITS 1674 01:14:57,120 --> 01:14:57,680 ACCOMPLISHMENTS IS THE 1675 01:14:57,680 --> 01:15:00,880 DEVELOPMENT OF A CAR T-CELL THAT 1676 01:15:00,880 --> 01:15:02,880 KILLS CANCER CELLS EXPRESSING 1677 01:15:02,880 --> 01:15:06,200 LARGE AMOUNTS OF ANTIGEN BUT 1678 01:15:06,200 --> 01:15:08,680 DOESN'T KILL NORMAL CELLS THAT 1679 01:15:08,680 --> 01:15:11,040 EXPRESS LOWER LEVELS OF THE SAME 1680 01:15:11,040 --> 01:15:15,040 PROTEIN AND ADDRESSING THE 1681 01:15:15,040 --> 01:15:17,160 IMPORTANT ISSUE OF ON TARGET OFF 1682 01:15:17,160 --> 01:15:19,640 TUMOR KILLING. 1683 01:15:19,640 --> 01:15:20,760 IMPLEMENTATION SCIENCE HAS BEEN 1684 01:15:20,760 --> 01:15:23,600 A MAJOR FOCUS OF THE MOONSHOT 1685 01:15:23,600 --> 01:15:28,760 WITH MANY PREVENTION AND SYMPTOM 1686 01:15:28,760 --> 01:15:30,520 MANAGEMENT. 1687 01:15:30,520 --> 01:15:32,320 PROGRAMS LIKE IMPACT THAT 1688 01:15:32,320 --> 01:15:36,160 FOCUSES ON REDUCING SYMPTOM 1689 01:15:36,160 --> 01:15:39,440 BURDEN AND OPTIMIZING 1690 01:15:39,440 --> 01:15:40,800 THERAPEUTIC OUTCOME BOTH IN 1691 01:15:40,800 --> 01:15:44,760 CHILDREN AND ADULTS. 1692 01:15:44,760 --> 01:15:47,280 THE C3I PROGRAM HAS LED TO A 1693 01:15:47,280 --> 01:15:49,760 BETTER UNDERSTANDING OF WHAT 1694 01:15:49,760 --> 01:15:52,920 CONSTITUTES A SUCCESSFUL SMOKING 1695 01:15:52,920 --> 01:15:54,360 CESSATION PROGRAM. 1696 01:15:54,360 --> 01:15:57,120 TWO OF THE PROGRAMS ARE 1697 01:15:57,120 --> 01:15:59,560 INCREASING COLORECTAL CANCER 1698 01:15:59,560 --> 01:16:01,440 SCREENING, FOLLOW-UP AND 1699 01:16:01,440 --> 01:16:03,240 REFERRER IN UNDERSERVED GROUPS. 1700 01:16:03,240 --> 01:16:05,280 DURING THE PANDEMIC THESE TEAMS 1701 01:16:05,280 --> 01:16:07,400 CONTINUE TO WORK IMPLEMENTING 1702 01:16:07,400 --> 01:16:08,960 NOVEL TELEHEALTH SERVICES THAT 1703 01:16:08,960 --> 01:16:11,040 LED TO INCREASED SCREENING UP 1704 01:16:11,040 --> 01:16:13,760 TAKE. 1705 01:16:13,760 --> 01:16:16,200 I SHOULD POINT OUT THAT WHILE 1706 01:16:16,200 --> 01:16:19,600 THESE PROGRAMS ADDRESS HEALTH 1707 01:16:19,600 --> 01:16:21,160 DISPARITIES, HEALTH DISPARITIES 1708 01:16:21,160 --> 01:16:24,240 WAS A FIND AS A CROSSCUTTING 1709 01:16:24,240 --> 01:16:27,160 THEME IN THE RECOMMENDATIONS. 1710 01:16:27,160 --> 01:16:29,040 ALL MOONSHOT PROGRAMS ARE 1711 01:16:29,040 --> 01:16:30,240 REQUIRED TO CONSIDER HEALTH 1712 01:16:30,240 --> 01:16:32,160 DISPARITIES. 1713 01:16:32,160 --> 01:16:35,440 THE HUMAN TUMOR ATLAS NETWORK IS 1714 01:16:35,440 --> 01:16:37,440 DEVELOPING ATLASES THAT 1715 01:16:37,440 --> 01:16:41,120 VISUALIZE THE 3-D ARCHITECTURE. 1716 01:16:41,120 --> 01:16:43,560 THE COMPETENT SINCE AND 1717 01:16:43,560 --> 01:16:46,840 MULTI-SCALE INTERACTIONS OF THE 1718 01:16:46,840 --> 01:16:50,040 TUMOR AS THE TUMOR PROGRESSES 1719 01:16:50,040 --> 01:16:51,640 AND METASTASIZES. 1720 01:16:51,640 --> 01:16:54,640 THERE ARE DATA FROM 8 INITIAL 1721 01:16:54,640 --> 01:16:56,800 ATLASES INCLUDING PEDIATRIC THAT 1722 01:16:56,800 --> 01:16:58,920 ARE AVAILABLE THROUGH THE PORTAL 1723 01:16:58,920 --> 01:17:02,080 WITH MORE TO BE DEPOSITED SOON. 1724 01:17:02,080 --> 01:17:05,280 SO IN TOTAL THE MOONSHOT HAS 1725 01:17:05,280 --> 01:17:07,280 LAUNCHED OVER 70 NEW PROGRAMS 1726 01:17:07,280 --> 01:17:11,040 AND SUPPORTED OVER 240 PROJECTS. 1727 01:17:11,040 --> 01:17:13,360 CLEARLY I'VE ONLY HAD TIME TO 1728 01:17:13,360 --> 01:17:16,240 HIGHLIGHT A SMALL FRACTION OF 1729 01:17:16,240 --> 01:17:20,360 THESE BUT I HOPE I'VE GIVEN YOU 1730 01:17:20,360 --> 01:17:28,800 A SENSE OF THE BREATH AND DEPTH. 1731 01:17:28,800 --> 01:17:32,440 WE HAVE NOT NEGLECTED THE OTHER 1732 01:17:32,440 --> 01:17:33,400 TWO GOALS. 1733 01:17:33,400 --> 01:17:36,400 TO ENHANCE DATA SHARING NCI HAS 1734 01:17:36,400 --> 01:17:39,240 DEVELOPED THE CANCER RESEARCH 1735 01:17:39,240 --> 01:17:41,640 DATA COMMONS WHICH HOUSES AND 1736 01:17:41,640 --> 01:17:43,960 WILL MAKE AVAILABLE ALL OF THE 1737 01:17:43,960 --> 01:17:50,040 MOONSHOT DATA. IN ADDITION ALL 1738 01:17:50,040 --> 01:17:51,440 PUBLICATIONS AND THE UNDERLYING 1739 01:17:51,440 --> 01:17:53,800 DATA ARE REQUIRED TO BE MADE 1740 01:17:53,800 --> 01:17:57,320 FREELY AND PUBLICLY AVAILABLE 1741 01:17:57,320 --> 01:17:59,800 IMMEDIATELY UPON PUBLICATION. 1742 01:17:59,800 --> 01:18:01,680 WITH RESPECT TO THE THIRD GOAL 1743 01:18:01,680 --> 01:18:03,800 MANY OF THE MOONSHOT PROGRAMS 1744 01:18:03,800 --> 01:18:07,000 ARE NETWORKS WHERE COLLABORATION 1745 01:18:07,000 --> 01:18:10,480 IS INTEGRAL TO AND EMBEDDED 1746 01:18:10,480 --> 01:18:11,640 WITHIN THEM. 1747 01:18:11,640 --> 01:18:13,760 MEETINGS HAVE BROUGHT TOGETHER 1748 01:18:13,760 --> 01:18:15,640 MOONSHOT INVESTIGATORS FROM 1749 01:18:15,640 --> 01:18:17,120 MULTIPLE VARIOUS PROGRAMS TO 1750 01:18:17,120 --> 01:18:19,400 DISCUSS RESEARCH AND TO SPARK 1751 01:18:19,400 --> 01:18:21,320 CROSS INITIATIVE COLLABORATIONS. 1752 01:18:21,320 --> 01:18:23,800 THE NCI HAS ESTABLISHED 1753 01:18:23,800 --> 01:18:25,800 PARTNERSHIPS WITH THE DOE, THE 1754 01:18:25,800 --> 01:18:29,000 DoD AND THE VA AS WELL AS WITH 1755 01:18:29,000 --> 01:18:30,920 OTHER NIH INSTITUTES. 1756 01:18:30,920 --> 01:18:33,640 AND THE MONTHLY MOONSHOT SEMINAR 1757 01:18:33,640 --> 01:18:35,640 SERIES IS DESIGNED TO INFORM 1758 01:18:35,640 --> 01:18:38,000 BOTH THE RESEARCH COMMUNITY AND 1759 01:18:38,000 --> 01:18:40,520 THE PUBLIC OF MOONSHOT RESEARCH 1760 01:18:40,520 --> 01:18:42,880 ACCOMPLISHMENTS. 1761 01:18:42,880 --> 01:18:45,240 SO AS THE MOONSHOT IS WINDING 1762 01:18:45,240 --> 01:18:47,240 DOWN WE'VE ALREADY STARTED TO 1763 01:18:47,240 --> 01:18:49,840 ASSESS ITS CONTRIBUTIONS USING A 1764 01:18:49,840 --> 01:18:53,040 TWO PHASE APPROACH. 1765 01:18:53,040 --> 01:18:55,120 THE FIRST PHASE IS COLLECTING 1766 01:18:55,120 --> 01:18:57,480 AND ANALYZING DATA TO MONITOR 1767 01:18:57,480 --> 01:18:58,000 PROGRESS. 1768 01:18:58,000 --> 01:19:00,920 IT WILL CONTINUE THROUGH 2026 1769 01:19:00,920 --> 01:19:03,240 WHEN ALL OF THE INITIAL MOONSHOT 1770 01:19:03,240 --> 01:19:05,160 FUNDED GRANTS WILL END. 1771 01:19:05,160 --> 01:19:08,160 SINCE THE PROGRAM'S IMPACT ONLY 1772 01:19:08,160 --> 01:19:10,680 BECOMES APPARENT OVER TIME A 1773 01:19:10,680 --> 01:19:12,360 FINAL ASSESSMENT WILL BE ONGOING 1774 01:19:12,360 --> 01:19:15,560 OVER THE FOLLOWING FEW YEARS IN 1775 01:19:15,560 --> 01:19:18,920 PHASE II. 1776 01:19:18,920 --> 01:19:20,640 BUT WE CAN ALSO TAKE AN EARLY 1777 01:19:20,640 --> 01:19:24,440 LOOK AT THE ANALYSIS OF MOONSHOT 1778 01:19:24,440 --> 01:19:25,680 ACCOMPLISHMENTS AND WE CAN SEE 1779 01:19:25,680 --> 01:19:27,240 THAT IT'S ALREADY BEEN 1780 01:19:27,240 --> 01:19:29,120 PRODUCTIVE LEADING TO A LARGE 1781 01:19:29,120 --> 01:19:31,520 NUMBER OF PUBLICATIONS OF 1782 01:19:31,520 --> 01:19:33,040 PATENTS AND TRIALS. 1783 01:19:33,040 --> 01:19:36,800 IF WE FOCUS JUST ON MOONSHOT 1784 01:19:36,800 --> 01:19:39,800 PUBLICATIONS WE SEE THAT ON 1785 01:19:39,800 --> 01:19:41,880 AVERAGE THEY ARE MORE HIGHLY 1786 01:19:41,880 --> 01:19:43,800 CITED WHEN COMPARED TO 1787 01:19:43,800 --> 01:19:45,560 PUBLICATIONS FROM THE NCI BASE 1788 01:19:45,560 --> 01:19:47,320 INDICATING THAT THEY HAVE A HIGH 1789 01:19:47,320 --> 01:19:50,640 OVER-ALL IMPACT. 1790 01:19:50,640 --> 01:19:52,440 THE MOONSHOTS ALSO SERVE TO 1791 01:19:52,440 --> 01:19:56,960 EXPAND THE CANCER RESEARCH 1792 01:19:56,960 --> 01:19:57,240 WORKFORCE. 1793 01:19:57,240 --> 01:19:59,240 A QUARTER WERE NEW INVESTIGATORS 1794 01:19:59,240 --> 01:20:03,480 AND OVER 10% HAD NO PRIOR NC 1795 01:20:03,480 --> 01:20:04,200 ISSUES FUNDING. 1796 01:20:04,200 --> 01:20:05,560 WOMEN REPRESENT ABOUT A THIRD OF 1797 01:20:05,560 --> 01:20:07,160 ALL OF THE INVESTIGATORS. 1798 01:20:07,160 --> 01:20:09,240 WHICH REFLECTS THE 1799 01:20:09,240 --> 01:20:11,040 REPRESENTATION IN THE APPLICANT 1800 01:20:11,040 --> 01:20:12,840 POOL. 1801 01:20:12,840 --> 01:20:16,400 SO I HOPE IT'S EVIDENCE FROM 1802 01:20:16,400 --> 01:20:21,640 THESE INITIAL ANALYSIS THAT THE 1803 01:20:21,640 --> 01:20:23,200 MOONSHOT HAS LAID CRITICAL 1804 01:20:23,200 --> 01:20:25,320 FOUNDATIONS. 1805 01:20:25,320 --> 01:20:27,640 WE'RE BEGINNING TO LOOK AHEAD TO 1806 01:20:27,640 --> 01:20:29,760 THINK ABOUT HOW DO INCORPORATE 1807 01:20:29,760 --> 01:20:32,040 THE SCIENTIFIC ADVANCES MADE 1808 01:20:32,040 --> 01:20:34,040 THROUGH THE MOONSHOT INTO THE 1809 01:20:34,040 --> 01:20:38,080 OVER-ALL NCI PORTFOLIO AND HOW 1810 01:20:38,080 --> 01:20:40,280 TO TRANSITION MOONSHOT FUNDING 1811 01:20:40,280 --> 01:20:49,480 TO STANDARD APPROPRIATED FUND 1812 01:20:49,480 --> 01:20:49,720 FUNDING. 1813 01:20:49,720 --> 01:20:52,240 NCI NEEDS TO BUILD ON THE 1814 01:20:52,240 --> 01:20:54,760 ADVANCES WHILE MAINTAINING AND 1815 01:20:54,760 --> 01:20:56,280 ENHANCING INVESTIGATOR 1816 01:20:56,280 --> 01:20:59,280 INITIATIVE RESEARCH AND OTHER 1817 01:20:59,280 --> 01:21:02,520 NCI MISSION CRITICAL OBJECTIVES. 1818 01:21:02,520 --> 01:21:04,400 ALSO PURSUE NEW AREAS AND 1819 01:21:04,400 --> 01:21:06,640 OPPORTUNITIES THAT HAVE EMERGED 1820 01:21:06,640 --> 01:21:09,240 AS A RESULT OF MOONSHOT 1821 01:21:09,240 --> 01:21:09,880 RESEARCH. 1822 01:21:09,880 --> 01:21:12,280 IT HAS PROMOTED A CULTURE OF 1823 01:21:12,280 --> 01:21:14,440 COLLABORATION OF DATA SHARING 1824 01:21:14,440 --> 01:21:17,000 AND OF OPEN ACCESS PUBLICATION. 1825 01:21:17,000 --> 01:21:19,200 ALL OF WHICH WILL WANT TO 1826 01:21:19,200 --> 01:21:21,080 CONTINUE TO INCORPORATE ACROSS 1827 01:21:21,080 --> 01:21:23,680 ALL OF OUR FUNDED RESEARCH. 1828 01:21:23,680 --> 01:21:26,640 SO AS WE PLAN FOR THE TRANSITION 1829 01:21:26,640 --> 01:21:28,920 WE HAVE TO DETERMINE WHICH OF 1830 01:21:28,920 --> 01:21:31,440 THE MOONSHOT PROGRAMS NEED 1831 01:21:31,440 --> 01:21:33,320 CONTINUED SUPPORT TO ACHIEVE 1832 01:21:33,320 --> 01:21:34,880 THEIR GOALS AND WHICH HAVE 1833 01:21:34,880 --> 01:21:36,640 ALREADY ACHIEVED THEIR GOALS. 1834 01:21:36,640 --> 01:21:38,400 WE HAVE ALSO WANT TO SUPPORT NEW 1835 01:21:38,400 --> 01:21:40,480 PROGRAMS THAT EMERGE FROM THE 1836 01:21:40,480 --> 01:21:42,600 SUCCESS OF THE MOONSHOT 1837 01:21:42,600 --> 01:21:43,800 PROGRAMS. 1838 01:21:43,800 --> 01:21:45,720 YOU'RE GOING TO SEE AN EXAMPLE 1839 01:21:45,720 --> 01:21:50,720 OF THAT TOMORROW. 1840 01:21:50,720 --> 01:21:53,240 IT'S A DIRECT OUTGROWTH OF THE 1841 01:21:53,240 --> 01:21:55,920 SUCCESS OF PIDDN. 1842 01:21:55,920 --> 01:22:00,240 AS WE PLAN THE TRANSITION AN 1843 01:22:00,240 --> 01:22:01,040 IMPORTANT CONSIDERATION IS TO 1844 01:22:01,040 --> 01:22:03,560 BALANCE THE NEEDS OF MOONSHOT 1845 01:22:03,560 --> 01:22:05,160 PROGRAMS WITH NONMOONSHOT 1846 01:22:05,160 --> 01:22:06,960 PROGRAMS AND TO THAT END WE'RE 1847 01:22:06,960 --> 01:22:09,600 IN THE PROCESS OF ESTABLISHING A 1848 01:22:09,600 --> 01:22:12,080 BUDGET PLAN TO HELP EASE THE 1849 01:22:12,080 --> 01:22:14,520 TRANSITION OF CONTINUING 1850 01:22:14,520 --> 01:22:17,800 MOONSHOT PROGRAMS INTO THE 1851 01:22:17,800 --> 01:22:18,960 APPROPRIATED BUDGET. 1852 01:22:18,960 --> 01:22:21,440 SO THE TRANSITION PLANNING HAS 1853 01:22:21,440 --> 01:22:22,760 STARTED WITH EACH OF THE 1854 01:22:22,760 --> 01:22:24,480 MOONSHOT PROGRAMS OUTLINING 1855 01:22:24,480 --> 01:22:27,120 THEIR PLANS FOR THE FUTURE. 1856 01:22:27,120 --> 01:22:29,240 THIS SLIDE SUMMARIZES THOSE 1857 01:22:29,240 --> 01:22:31,560 PROGRAMS THAT WOULD LIKE TO 1858 01:22:31,560 --> 01:22:34,360 CONTINUE BEYOND THE APPROPRIATED 1859 01:22:34,360 --> 01:22:38,040 MOONSHOT FUNDING AND THEIR A 1860 01:22:38,040 --> 01:22:39,400 ASSOCIATED TIME LINES. 1861 01:22:39,400 --> 01:22:40,520 SO ABOUT TWO-THIRDS OF THE 1862 01:22:40,520 --> 01:22:42,280 PROGRAMS HAVE EXPRESSED AN 1863 01:22:42,280 --> 01:22:44,000 INTEREST IN CONTINUING IN SOME 1864 01:22:44,000 --> 01:22:46,080 FORM AND WOULD NEED TO BE 1865 01:22:46,080 --> 01:22:51,360 SUPPORT THROUGH STANDARD 1866 01:22:51,360 --> 01:22:52,760 APPROPRIATED FUNDS. 1867 01:22:52,760 --> 01:22:54,760 THE IMPACT ON THE BUDGET IS 1868 01:22:54,760 --> 01:22:58,680 SPREAD OUT BETWEEN FY22 AND FY27 1869 01:22:58,680 --> 01:23:00,240 AS YOU CAN SEE HERE WITH THE 1870 01:23:00,240 --> 01:23:04,960 MAJOR IMPACT IN FY23 AND 24. 1871 01:23:04,960 --> 01:23:08,760 SO I WANT TO SHOW YOU THE BUDGE 1872 01:23:08,760 --> 01:23:12,200 TEARY CHALLENGE. 1873 01:23:12,200 --> 01:23:13,240 *. 1874 01:23:13,240 --> 01:23:18,040 IT IS $1.8 BILLION. 1875 01:23:18,040 --> 01:23:24,040 THAT $1.25 BILLION HAS BEEN 1876 01:23:24,040 --> 01:23:26,960 OBLIGATED. 1877 01:23:26,960 --> 01:23:28,440 THE REQUEST FOR CONTINUATION 1878 01:23:28,440 --> 01:23:31,080 THAT I JUST SUMMARIZED IN THE 1879 01:23:31,080 --> 01:23:34,200 LAST SLIDE TOTAL $884 MILLION. 1880 01:23:34,200 --> 01:23:36,680 SO THAT WOULD BRING THE TOTAL 1881 01:23:36,680 --> 01:23:39,840 MOONSHOT INVESTMENT TO 1882 01:23:39,840 --> 01:23:42,000 $2.3 BILLION AND RESULT IN WHAT 1883 01:23:42,000 --> 01:23:45,800 WE CAN CALL A NOMINAL DEFICIT OF 1884 01:23:45,800 --> 01:23:47,560 $564 MILLION. 1885 01:23:47,560 --> 01:23:49,880 SO IN ANTICIPATION OF NEEDING TO 1886 01:23:49,880 --> 01:23:52,840 CONTINUE TO SUPPORT SOME OF THE 1887 01:23:52,840 --> 01:23:54,200 MOONSHOT PROGRAMS WE HAVE 1888 01:23:54,200 --> 01:23:58,480 RESERVED ABOUT $280 MILLION OF 1889 01:23:58,480 --> 01:24:00,400 MOONSHOT NO YEAR FUNDS TO EASE 1890 01:24:00,400 --> 01:24:02,800 THE TRANSITION OF MOONSHOT 1891 01:24:02,800 --> 01:24:04,920 PROGRAMS INTO APPROPRIATED 1892 01:24:04,920 --> 01:24:07,240 FUNDING AND HAVE BEEN MODELING 1893 01:24:07,240 --> 01:24:09,120 VARIOUS WAYS IN WHICH IT COULD 1894 01:24:09,120 --> 01:24:11,240 HELP -- THOSE MOONSHOT FUNDS 1895 01:24:11,240 --> 01:24:13,080 COULD HELP OFFSET THE IMPACT ON 1896 01:24:13,080 --> 01:24:15,760 THE BUDGET. 1897 01:24:15,760 --> 01:24:17,680 IF ALL OF THE TRANSITION 1898 01:24:17,680 --> 01:24:20,120 REQUESTS THAT I SHOWED YOU 1899 01:24:20,120 --> 01:24:21,760 BEFORE WERE TO BE APPROVED WE 1900 01:24:21,760 --> 01:24:24,280 ESTIMATE THAT ON AVERAGE IT 1901 01:24:24,280 --> 01:24:27,160 WOULD TAKE $100 MILLION 1902 01:24:27,160 --> 01:24:29,240 ADDITIONAL ADDED ANNUALLY TO THE 1903 01:24:29,240 --> 01:24:29,960 NCI BUDGET. 1904 01:24:29,960 --> 01:24:32,680 BUT I WANT TO POINT OUT THAT 1905 01:24:32,680 --> 01:24:35,400 THESE REQUESTS FOR CONTINUATION 1906 01:24:35,400 --> 01:24:36,800 WILL STILL HAVE TO GO THROUGH 1907 01:24:36,800 --> 01:24:39,200 THE NORMAL APPROVAL PROCESS AND 1908 01:24:39,200 --> 01:24:41,800 IT'S LIKELY THAT NOT ALL OF 1909 01:24:41,800 --> 01:24:43,800 THOSE REQUESTED CONTINUATIONS 1910 01:24:43,800 --> 01:24:45,200 WILL BE APPROVED. 1911 01:24:45,200 --> 01:24:49,040 SO THE BUDGET MODELING IS STILL 1912 01:24:49,040 --> 01:24:52,560 GOING TO BE ADJUSTED DYNAMICALLY 1913 01:24:52,560 --> 01:24:54,040 AS PROGRAMS BRING CONCEPTS 1914 01:24:54,040 --> 01:24:55,320 FORWARD AND WE'LL CONTINUE TO 1915 01:24:55,320 --> 01:24:57,840 TRY TO OPTIMIZE THE MODELING TO 1916 01:24:57,840 --> 01:25:00,360 EQUAL THIS TRANSITION. 1917 01:25:00,360 --> 01:25:03,880 SO IN THE EARLIER SLIDES I 1918 01:25:03,880 --> 01:25:07,080 SHOWED YOU THE SCIENCE. 1919 01:25:07,080 --> 01:25:09,600 THIS WORK CLOUD IS INTENDED TO 1920 01:25:09,600 --> 01:25:11,240 ILLUSTRATE AT A HIGH LEVEL HOW 1921 01:25:11,240 --> 01:25:12,960 THE MOONSHOT FUNDS THEMSELVES 1922 01:25:12,960 --> 01:25:15,440 HAVE BEEN INVESTED ACROSS THE 1923 01:25:15,440 --> 01:25:17,040 DIFFERENT SCIENTIFIC AREAS. 1924 01:25:17,040 --> 01:25:20,040 WE'VE MADE MAJOR INVESTMENT IN 1925 01:25:20,040 --> 01:25:22,960 PREVENTION AND EARLY DETECTION. 1926 01:25:22,960 --> 01:25:25,360 IN IMMUNO THERAPY AND CHILDHOOD 1927 01:25:25,360 --> 01:25:27,040 CANCERS AND INFRASTRUCTURE. 1928 01:25:27,040 --> 01:25:29,200 WITH THE REQUEST THAT WE HAVE 1929 01:25:29,200 --> 01:25:31,080 FOR CONTINUATION WE CAN DO A 1930 01:25:31,080 --> 01:25:33,200 SIMILAR ANALYSIS TO SEE HOW 1931 01:25:33,200 --> 01:25:40,080 THOSE ARE SPREAD OUT. 1932 01:25:40,080 --> 01:25:43,200 SO THIS NOW ILLUSTRATES THE 1933 01:25:43,200 --> 01:25:46,040 DISTRIBUTION OF MOONSHOT FUNDING 1934 01:25:46,040 --> 01:25:48,400 REQUESTS. 1935 01:25:48,400 --> 01:25:49,440 THE $844 MILLION THAT I REFERRED 1936 01:25:49,440 --> 01:25:51,000 TO BEFORE. 1937 01:25:51,000 --> 01:25:53,240 AND WHEN YOU SEE THAT ALL OF THE 1938 01:25:53,240 --> 01:25:55,800 REQUESTS REPRESENT A MIX OF BOTH 1939 01:25:55,800 --> 01:25:58,040 RESEARCH AND INFRASTRUCTURE 1940 01:25:58,040 --> 01:26:01,120 THERE IS A GREATER EMPHASIS HERE 1941 01:26:01,120 --> 01:26:03,160 ON INFRASTRUCTURE AND SO THAT 1942 01:26:03,160 --> 01:26:05,480 REALLY TELLS US AND I THINK IT'S 1943 01:26:05,480 --> 01:26:10,240 A MAJOR CONSIDERATION IS TO WHAT 1944 01:26:10,240 --> 01:26:14,240 EXTENT WE PRIORITIZE CONTINUED 1945 01:26:14,240 --> 01:26:16,800 SUPPORT FOR INFROM A STRUCTURE 1946 01:26:16,800 --> 01:26:18,240 RELATIVE TO ONGOING RESEARCH. 1947 01:26:18,240 --> 01:26:21,040 SO DESPITE THE BUDGETARY 1948 01:26:21,040 --> 01:26:22,360 CHALLENGES WE'LL HAVE TO 1949 01:26:22,360 --> 01:26:24,600 CONTINUE TO DEVELOP NEW EMERGING 1950 01:26:24,600 --> 01:26:26,040 PROGRAMS WHILE BALANCING THEM 1951 01:26:26,040 --> 01:26:29,680 WITH THE NEEDS OF MOONSHOT AND 1952 01:26:29,680 --> 01:26:31,400 NONMOONSHOT PROGRAMS. 1953 01:26:31,400 --> 01:26:33,920 IN PARALLEL WE'LL COMMENT TO 1954 01:26:33,920 --> 01:26:36,840 DYNAMICALLY MODEL WAYS IN WHICH 1955 01:26:36,840 --> 01:26:38,480 TO EASE THESE PROGRAMS FROM 1956 01:26:38,480 --> 01:26:42,440 MOONSHOT FUNDING INTO 1957 01:26:42,440 --> 01:26:45,440 APPROPRIATED FUNDING AND MAKING 1958 01:26:45,440 --> 01:26:47,320 DECISIONS WILL BE INFORMED BY 1959 01:26:47,320 --> 01:26:50,040 THE ONGOING ASSESSMENT OF THE 1960 01:26:50,040 --> 01:26:51,120 MOONSHOT PROGRAMS. 1961 01:26:51,120 --> 01:26:52,880 BASED ON THE INITIAL ASSESSMENT 1962 01:26:52,880 --> 01:26:55,000 IT'S CLEAR THAT MOONSHOT HAS 1963 01:26:55,000 --> 01:26:58,840 BEEN SUCCESSFUL IN ACHIEVING ITS 1964 01:26:58,840 --> 01:27:01,160 PRIMARY GOALS BUT GOING FORWARD 1965 01:27:01,160 --> 01:27:03,000 OUR GOAL WILL BE TO MAINTAIN AND 1966 01:27:03,000 --> 01:27:05,520 BUILD ON THOSE ACHIEVEMENTS. 1967 01:27:05,520 --> 01:27:08,920 SO IN CLOSING I WANT TO THANK 1968 01:27:08,920 --> 01:27:12,440 ALL OF THE MANY NCI STAFF ON THE 1969 01:27:12,440 --> 01:27:15,120 MOONSHOT IMPLEMENTATION TEAM. 1970 01:27:15,120 --> 01:27:20,640 THIS HAS BEEN AN ENORMOUS 1971 01:27:20,640 --> 01:27:23,240 ONGOING PROJECT ON THEIR PART 1972 01:27:23,240 --> 01:27:26,920 AND I'M HAPPY TO ANSWER ANY 1973 01:27:26,920 --> 01:27:33,640 QUESTIONS. 1974 01:27:33,640 --> 01:27:35,320 FOR THE CLEAR PRESENTATION AND 1975 01:27:35,320 --> 01:27:38,080 BEING CONCISE AND GETTING US 1976 01:27:38,080 --> 01:27:39,360 CLOSE TO BEING ON TRACK. 1977 01:27:39,360 --> 01:27:40,480 THERE ARE A NUMBER OF QUESTIONS 1978 01:27:40,480 --> 01:27:41,160 IN THE CHAT. 1979 01:27:41,160 --> 01:27:43,040 BUT WE DO HAVE TIME I THINK FOR 1980 01:27:43,040 --> 01:27:46,920 A COUPLE OF QUESTIONS. 1981 01:27:46,920 --> 01:27:50,640 I COULD READ A FEW IN THE CHAT. 1982 01:27:50,640 --> 01:27:54,800 ONE FROM DR. AZAD. 1983 01:27:54,800 --> 01:27:58,520 GREAT TO SEE THE PUBLICATIONS 1984 01:27:58,520 --> 01:27:58,760 PATENTS. 1985 01:27:58,760 --> 01:28:00,440 BUT WANTED TO SEE WHETHER OR NOT 1986 01:28:00,440 --> 01:28:04,640 YOU HAVE STARTED WORKING TOWARDS 1987 01:28:04,640 --> 01:28:07,280 DEVELOPING TANGIBLE OUTPUTS AS 1988 01:28:07,280 --> 01:28:09,760 WE CONSIDER QUANTIFIABLE IMPACT. 1989 01:28:09,760 --> 01:28:12,320 HOW ARE WE IMPACTING PATIENTS 1990 01:28:12,320 --> 01:28:13,880 THROUGH MOON SHOT OF ACTIVITIES 1991 01:28:13,880 --> 01:28:15,320 AND WHAT ARE THE PLANS FOR 1992 01:28:15,320 --> 01:28:20,040 CREATING THAT IMPACT MODEL? 1993 01:28:20,040 --> 01:28:20,440 >> YEAH. 1994 01:28:20,440 --> 01:28:23,800 THAT IS A VERY GOOD QUESTION. 1995 01:28:23,800 --> 01:28:27,760 AND I THINK AS WE ASSESS THE 1996 01:28:27,760 --> 01:28:31,440 SUCCESS OF THE MOONSHOT AND THE 1997 01:28:31,440 --> 01:28:32,640 RETROSPECTIVE ANALYSIS WE WILL 1998 01:28:32,640 --> 01:28:35,080 BE ABLE TO DO A MUCH BETTER JOB 1999 01:28:35,080 --> 01:28:37,640 OF DEVELOPING AN IMPACT MODEL 2000 01:28:37,640 --> 01:28:40,640 BUT WHAT WE CAN SEE IS THAT MANY 2001 01:28:40,640 --> 01:28:41,640 OF THE RESEARCH ACCOMPLISHMENTS 2002 01:28:41,640 --> 01:28:43,800 THAT WERE SUPPORTED BY THE 2003 01:28:43,800 --> 01:28:46,080 MOONSHOT HAVE MOVED INTO 2004 01:28:46,080 --> 01:28:47,160 CLINICAL TRIALS NOW. 2005 01:28:47,160 --> 01:28:50,000 SO THE CLINICAL TRIALS ARE NOT 2006 01:28:50,000 --> 01:28:52,840 NECESSARILY SUPPORT BY MOONSHOT 2007 01:28:52,840 --> 01:28:54,840 BUT HAVE BEEN ENABLED BY THE 2008 01:28:54,840 --> 01:28:56,840 MOONSHOT AND WE EXPECT OVER TIME 2009 01:28:56,840 --> 01:28:59,920 THAT WE'LL SEE MORE AND MORE 2010 01:28:59,920 --> 01:29:01,880 CLINICAL TRIALS EMERGING AS A 2011 01:29:01,880 --> 01:29:05,360 RESULT OF THE MOONSHOT SUPPORT. 2012 01:29:05,360 --> 01:29:09,120 AND SO I THINK THAT AS WE GET 2013 01:29:09,120 --> 01:29:11,040 FURTHER BEYOND THE MOONSHOT WE 2014 01:29:11,040 --> 01:29:13,520 WILL BE ABLE TO HAVE A MUCH 2015 01:29:13,520 --> 01:29:15,440 BETTER IDEA OF WHAT KIND OF 2016 01:29:15,440 --> 01:29:18,200 IMPACT THE MOONSHOT HAS HAD. 2017 01:29:18,200 --> 01:29:21,960 >> SURE AND ANOTHER I THINK 2018 01:29:21,960 --> 01:29:23,960 IMPORTANT CONSIDERATION IS AS WE 2019 01:29:23,960 --> 01:29:26,480 THINK ABOUT TRAINING AS WE THINK 2020 01:29:26,480 --> 01:29:31,040 ABOUT DIVERSITY A QUESTION ABOUT 2021 01:29:31,040 --> 01:29:34,680 WHAT PERCENTAGE OF THE MOONSHOT 2022 01:29:34,680 --> 01:29:37,960 PRINCIPLE INVESTIGATOR ARE UNDER 2023 01:29:37,960 --> 01:29:39,880 REPRESENTED MINORITIES AND IS 2024 01:29:39,880 --> 01:29:41,800 THAT BEING TRACKED AS WELL? 2025 01:29:41,800 --> 01:29:45,040 >> YEAH. 2026 01:29:45,040 --> 01:29:46,800 CURRENTLY THE UNDER REPRESENTED 2027 01:29:46,800 --> 01:29:48,320 MINORITY SUPPORTED THROUGH THE 2028 01:29:48,320 --> 01:29:52,320 MOONSHOT IS LESS THAN 10%. 2029 01:29:52,320 --> 01:29:54,760 SO IT'S OBVIOUSLY SOMETHING THAT 2030 01:29:54,760 --> 01:29:56,640 WE'RE CONCERNED ABOUT AND 2031 01:29:56,640 --> 01:29:59,600 WATCHING BUT HAVE AN EMPHASIS 2032 01:29:59,600 --> 01:30:02,040 FOR OUR TRAINEES TO TRY TO 2033 01:30:02,040 --> 01:30:03,720 RECRUIT MORE UNDER REPRESENTED 2034 01:30:03,720 --> 01:30:05,400 MINORITIES BUT RIGHT NOW IT'S 2035 01:30:05,400 --> 01:30:09,200 LESS THAN 10%. 2036 01:30:09,200 --> 01:30:10,960 AND I SHOULD POINTED OUT THAT 2037 01:30:10,960 --> 01:30:14,960 IT'S HARD TO DO A LOT OF 2038 01:30:14,960 --> 01:30:17,680 SPECIFIC DATA ANALYSIS IN 2039 01:30:17,680 --> 01:30:19,480 REPORTING BECAUSE THE NUMBERS 2040 01:30:19,480 --> 01:30:23,240 ARE SO SMALL WE'RE CONSTRAINED 2041 01:30:23,240 --> 01:30:25,680 BUT WE'RE TRYING TO TRACK IT AS 2042 01:30:25,680 --> 01:30:28,240 MUCH AS POSSIBLE TO KNOW HOW TO 2043 01:30:28,240 --> 01:30:29,640 TARGET TO IMPROVE THE 2044 01:30:29,640 --> 01:30:33,600 REPRESENTATION. 2045 01:30:33,600 --> 01:30:33,880 >> GREAT. 2046 01:30:33,880 --> 01:30:36,640 I THINK AMY HAS A QUESTION. 2047 01:30:36,640 --> 01:30:38,640 WOULD YOU LIKE TO POSE YOUR 2048 01:30:38,640 --> 01:30:39,240 QUESTION. 2049 01:30:39,240 --> 01:30:42,280 UNMUTE YOUR MIC 2050 01:30:42,280 --> 01:30:44,080 >> I WAS THINKING IT WOULD BE 2051 01:30:44,080 --> 01:30:46,000 INTEREST TO LOOK AT THE SAME 2052 01:30:46,000 --> 01:30:48,000 METRICS WITH THE OVER-ALL NCI 2053 01:30:48,000 --> 01:30:50,760 PROGRAM TO SEE IF THIS STRATEGY 2054 01:30:50,760 --> 01:30:53,200 IS EFFECTIVE RELATIVE TO THE 2055 01:30:53,200 --> 01:30:58,680 MORE STANDARDIZED WAY. 2056 01:30:58,680 --> 01:30:59,960 >> YES. 2057 01:30:59,960 --> 01:31:02,640 SO WE HAVE BEEN USING THE NCI 2058 01:31:02,640 --> 01:31:07,200 BASE AS A COMPARER AND SOME OF 2059 01:31:07,200 --> 01:31:09,640 THE DATA I SHOWED YOU IN TERMS 2060 01:31:09,640 --> 01:31:11,680 OF THE IMPACT OF THE 2061 01:31:11,680 --> 01:31:14,360 PUBLICATIONS IS USING THAT. 2062 01:31:14,360 --> 01:31:17,440 THE PROBLEM IS IT'S NOT REALLY 2063 01:31:17,440 --> 01:31:20,040 AN IDEAL COMPARER. 2064 01:31:20,040 --> 01:31:22,040 MOONSHOT FUNDING WAS WEIGHTED 2065 01:31:22,040 --> 01:31:24,600 VERY HEAVILY ON NETWORKS AND 2066 01:31:24,600 --> 01:31:26,160 COOPERATIVE AGREEMENTS WHEREAS 2067 01:31:26,160 --> 01:31:28,800 THE NCI BASE IS MUCH MORE 2068 01:31:28,800 --> 01:31:31,880 HEAVILY WEIGHTED ON INVESTIGATOR 2069 01:31:31,880 --> 01:31:33,840 INITIATIVE RESEARCH ON RO1s 2070 01:31:33,840 --> 01:31:36,920 AND PO1s SO WE'RE STRUGGLING 2071 01:31:36,920 --> 01:31:40,520 TO IDENTIFY WHAT THE RIGHT 2072 01:31:40,520 --> 01:31:41,320 METRICS ARE. 2073 01:31:41,320 --> 01:31:42,720 WE'RE TRYING TO FIGURE OUT THE 2074 01:31:42,720 --> 01:31:45,800 BEST WAY TO ANALYZE THESE DATA. 2075 01:31:45,800 --> 01:31:49,440 THANK YOU FOR THAT. 2076 01:31:49,440 --> 01:31:50,160 >> ADDITIONAL QUESTIONS? 2077 01:31:50,160 --> 01:31:52,040 WE MAY HAVE TIME FOR ANOTHER ONE 2078 01:31:52,040 --> 01:31:53,320 OR TWO. 2079 01:31:53,320 --> 01:31:55,560 >> THERE ARE COMMENTS ABOUT THE 2080 01:31:55,560 --> 01:31:59,760 HOW MUCH THE MOON COUNT AND THE 2081 01:31:59,760 --> 01:32:02,400 IMPACT -- -- ON PAY LINES IN THE 2082 01:32:02,400 --> 01:32:02,800 FUTURE. 2083 01:32:02,800 --> 01:32:04,600 DO YOU WANT TO TALK ABOUT THAT 2084 01:32:04,600 --> 01:32:05,440 ISSUE? 2085 01:32:05,440 --> 01:32:07,520 >> YEAH. 2086 01:32:07,520 --> 01:32:10,240 CLEARLY WE'RE VERY AWARE OF THE 2087 01:32:10,240 --> 01:32:11,680 IMPACT THAT IT MIGHT HAVE. 2088 01:32:11,680 --> 01:32:13,880 THAT IS ONE OF THE REASONS WE 2089 01:32:13,880 --> 01:32:16,040 HAVE SET ASIDE SOME OF THE 2090 01:32:16,040 --> 01:32:17,880 MOONSHOT FUNDS TO HELP WITH THAT 2091 01:32:17,880 --> 01:32:20,080 TRANSITION TO MINIMIZE THE 2092 01:32:20,080 --> 01:32:22,560 IMPACT ON THE RPG AND THE PAY 2093 01:32:22,560 --> 01:32:23,360 LINE. 2094 01:32:23,360 --> 01:32:26,120 I SHOULD ALSO NOTE THAT MUCH OF 2095 01:32:26,120 --> 01:32:28,160 THE MOONSHOT INVESTMENT IS NOT 2096 01:32:28,160 --> 01:32:30,040 IN THE RPG. 2097 01:32:30,040 --> 01:32:32,240 EVEN THOUGH THE TOTAL AMOUNT 2098 01:32:32,240 --> 01:32:35,800 THAT WILL MOVE INTO APPROPRIATED 2099 01:32:35,800 --> 01:32:38,040 FUNDS IS EVERYTHING IS APPROVED 2100 01:32:38,040 --> 01:32:39,440 WOULD BE SUBSTANTIAL. 2101 01:32:39,440 --> 01:32:41,960 NOT ALL OF THAT WOULD GO INTO 2102 01:32:41,960 --> 01:32:43,080 THE RPG. 2103 01:32:43,080 --> 01:32:46,400 IN OUR MODELING WE'RE TRYING 2104 01:32:46,400 --> 01:32:48,960 REALLY TO PROTECT THE RPG AND 2105 01:32:48,960 --> 01:32:50,640 THE PAY LINE SO THAT WE DON'T 2106 01:32:50,640 --> 01:32:53,280 HAVE A MAJOR DISTORTION IN THE 2107 01:32:53,280 --> 01:32:57,240 PAY LINE AS A RESULT OF THE 2108 01:32:57,240 --> 01:32:57,640 MOONSHOT 2109 01:32:57,640 --> 01:33:00,640 >> A QUICK QUESTION. 2110 01:33:00,640 --> 01:33:02,440 YOU'RE GOING TO KNOW THE ANSWER 2111 01:33:02,440 --> 01:33:04,360 TO THIS I KNOW. 2112 01:33:04,360 --> 01:33:06,800 SO IT'S HARD TO STOP DOING 2113 01:33:06,800 --> 01:33:10,040 THINGS AT THE NCI. 2114 01:33:10,040 --> 01:33:13,240 I'M CURIOUS THE MANY MOONSHOT 2115 01:33:13,240 --> 01:33:14,280 INVESTIGATORS THAT HAVE COME IN 2116 01:33:14,280 --> 01:33:15,960 AND THE NUMBER OF PRIORITIES 2117 01:33:15,960 --> 01:33:17,520 THAT WE HAVE DO THESE 2118 01:33:17,520 --> 01:33:18,880 INVESTIGATORS REALLY UNDERSTAND 2119 01:33:18,880 --> 01:33:21,040 THAT THESE PROGRAMS ARE FINITE. 2120 01:33:21,040 --> 01:33:23,120 AND IN FACT -- MANY OF THEM ARE 2121 01:33:23,120 --> 01:33:29,120 GOING TO END. 2122 01:33:29,120 --> 01:33:30,600 >> ANNA THAT IS A GREAT QUESTION 2123 01:33:30,600 --> 01:33:32,600 AND A QUESTION THAT APPLIES TO 2124 01:33:32,600 --> 01:33:34,560 ALL NCI PROGRAMS. 2125 01:33:34,560 --> 01:33:36,000 >> ALL OF WHICH ARE HARD TO 2126 01:33:36,000 --> 01:33:37,680 STOP. 2127 01:33:37,680 --> 01:33:39,280 >> BUT WE DO STOP THEM. 2128 01:33:39,280 --> 01:33:42,160 I THINK THIS ONE IS CLEARER AND 2129 01:33:42,160 --> 01:33:45,040 I WILL POINT OUT THAT MANY OF 2130 01:33:45,040 --> 01:33:50,000 THEM IN A NUMBER OF CASES THOSE 2131 01:33:50,000 --> 01:33:52,520 PROGRAMS CAN NOW -- NOT THE 2132 01:33:52,520 --> 01:33:54,200 PROGRAMS BUT THE INVESTIGATORS 2133 01:33:54,200 --> 01:33:57,640 CAN NOW ENTER THE RPG POOL AND 2134 01:33:57,640 --> 01:34:02,640 SUBMIT APPLICATIONS THAT DON'T 2135 01:34:02,640 --> 01:34:04,080 NECESSARILY NEED CONCERTED 2136 01:34:04,080 --> 01:34:04,680 PROGRAMS. 2137 01:34:04,680 --> 01:34:07,360 NOW REMEMBER I SAID ABOUT A 2138 01:34:07,360 --> 01:34:10,040 THIRD OF THE PROGRAMS HAVE 2139 01:34:10,040 --> 01:34:11,440 ALREADY DECIDED THAT THEY ARE 2140 01:34:11,440 --> 01:34:13,240 NOT GOING FOR CONTINUE AND ARE 2141 01:34:13,240 --> 01:34:14,920 WORKING WITH THEIR INVESTIGATORS 2142 01:34:14,920 --> 01:34:16,640 TO TRANSITION. 2143 01:34:16,640 --> 01:34:19,200 SO IT'S NEVER EASY. 2144 01:34:19,200 --> 01:34:21,840 IT'S USUALLY PAINFUL ON THE SIDE 2145 01:34:21,840 --> 01:34:24,680 OF THE INVESTIGATOR BUT WE DO 2146 01:34:24,680 --> 01:34:26,720 HAVE TO CONTINUE TO EVOLVE OUR 2147 01:34:26,720 --> 01:34:28,480 PROGRAMS TO ADDRESS THE NEWEST 2148 01:34:28,480 --> 01:34:29,720 OPPORTUNITIES. 2149 01:34:29,720 --> 01:34:30,240 >> SURE. 2150 01:34:30,240 --> 01:34:30,960 THANK YOU 2151 01:34:30,960 --> 01:34:33,960 >> THIS IS MIKE. 2152 01:34:33,960 --> 01:34:35,880 VERY NICE PRESENTATION. 2153 01:34:35,880 --> 01:34:40,240 SINCE ONE OF THE GOALS WAS WHAT 2154 01:34:40,240 --> 01:34:43,240 DATA -- GIVE ME AN IDEA OF THE 2155 01:34:43,240 --> 01:34:43,640 PIPELINE. 2156 01:34:43,640 --> 01:34:46,960 I GET THIS IMPRESSION THAT MANY 2157 01:34:46,960 --> 01:34:48,320 OF THE PROGRAMS AND CENTERS HAVE 2158 01:34:48,320 --> 01:34:52,200 THEIR OWN DATA PLAN AND THE 2159 01:34:52,200 --> 01:34:53,440 UPLOADS HAVE BEEN SLOW SO WHAT 2160 01:34:53,440 --> 01:34:55,440 IS YOUR IMPRESSION OF HOW MUCH 2161 01:34:55,440 --> 01:34:57,760 IS IN THE CANCER DATA COMMONS 2162 01:34:57,760 --> 01:34:59,560 AND WHAT CAN WE EXPECT BEFORE 2163 01:34:59,560 --> 01:35:01,360 FUNDING IS DONE WITH THE FUNDED 2164 01:35:01,360 --> 01:35:05,320 PROGRAMS OF GETTING THAT ALL 2165 01:35:05,320 --> 01:35:06,440 HARMONIZED AND INTEGRATED INTO 2166 01:35:06,440 --> 01:35:09,320 THE DATA COMMONS AS THERE WAS A 2167 01:35:09,320 --> 01:35:10,800 CENTRAL PART OF THE PROGRAM AND 2168 01:35:10,800 --> 01:35:11,800 IT SEEMS TO BE LAGGING. 2169 01:35:11,800 --> 01:35:13,480 7 2170 01:35:13,480 --> 01:35:14,000 >> YEAH. 2171 01:35:14,000 --> 01:35:16,200 SO A NUMBER OF THE PROGRAMS AS 2172 01:35:16,200 --> 01:35:19,480 YOU SAID DO HAVE THEIR OWN DATA 2173 01:35:19,480 --> 01:35:21,440 COORDINATING CENTERS. 2174 01:35:21,440 --> 01:35:24,160 THEY ARE AS I UNDERSTAND IT 2175 01:35:24,160 --> 01:35:25,920 DESIGNED TO BE ABLE TO DIRECTLY 2176 01:35:25,920 --> 01:35:29,000 FEED INTO THE CANCER RESEARCH 2177 01:35:29,000 --> 01:35:29,640 DATA COMMONS. 2178 01:35:29,640 --> 01:35:31,760 AS THE DIFFERENT DATA COMMONS 2179 01:35:31,760 --> 01:35:33,000 ARE STOOD UP. 2180 01:35:33,000 --> 01:35:36,680 AND THAT HAS BEEN HAPPENING AT 2181 01:35:36,680 --> 01:35:38,920 VARIOUS SPEEDS BUT THERE IS A 2182 01:35:38,920 --> 01:35:40,440 COMMITMENT TO ENSURING THAT ALL 2183 01:35:40,440 --> 01:35:43,240 OF THE DATA THAT WERE GENERATED 2184 01:35:43,240 --> 01:35:47,120 THROUGH THE MOONSHOT WILL BE 2185 01:35:47,120 --> 01:35:50,640 BROUGHT INTO THE CRDC. 2186 01:35:50,640 --> 01:35:53,120 I DON'T KNOW IF TONY IS ON THE 2187 01:35:53,120 --> 01:35:53,800 CALL TODAY. 2188 01:35:53,800 --> 01:35:55,400 AND WOULD WANT TO COMMENT ON 2189 01:35:55,400 --> 01:36:05,800 THAT. 2190 01:36:05,800 --> 01:36:08,240 >> COULD I ASK -- THAT THIS 2191 01:36:08,240 --> 01:36:10,280 ISSUE BE ADDRESSED AND GIVE US 2192 01:36:10,280 --> 01:36:13,120 AN IDEA OF THE PIPELINE. 2193 01:36:13,120 --> 01:36:16,120 THERE IS NO DOUBT THAT IT HAS 2194 01:36:16,120 --> 01:36:18,680 BEEN EARTH SHATTERING SUCCESS. 2195 01:36:18,680 --> 01:36:22,280 I REMAIN CONCERNED THAT ALL OF 2196 01:36:22,280 --> 01:36:25,720 THE COMMONS HAS ALL OF THIS 2197 01:36:25,720 --> 01:36:28,280 WONDERFUL DATA -- THERE ARE 2198 01:36:28,280 --> 01:36:33,480 FIVE, SIX TIMES -- INVESTIGATORS 2199 01:36:33,480 --> 01:36:37,200 HAVE TO GET THE DATA. 2200 01:36:37,200 --> 01:36:39,000 THE QUICKER IT IS IN THE COMMONS 2201 01:36:39,000 --> 01:36:42,520 -- ANYTHING THAT WE CAN DO TO DO 2202 01:36:42,520 --> 01:36:44,720 THIS WILL HAVE A TREMENDOUS 2203 01:36:44,720 --> 01:36:45,120 IMPACT. 2204 01:36:45,120 --> 01:36:46,600 WITH THE PROGRAM WINDING DOWN 2205 01:36:46,600 --> 01:36:49,880 THAT THIS MAJOR GOAL WILL NOT BE 2206 01:36:49,880 --> 01:36:50,400 FULFILLED. 2207 01:36:50,400 --> 01:36:52,920 THE DATA MAY BE LOST IF THIS IS 2208 01:36:52,920 --> 01:36:54,560 NOT DONE AS A PRIORITY. 2209 01:36:54,560 --> 01:36:56,200 SO I MIGHT SUGGEST THAT WE FOCUS 2210 01:36:56,200 --> 01:37:00,600 ON THAT ASPECT OF IT IN A FUTURE 2211 01:37:00,600 --> 01:37:05,520 NCI -- BSA -- NCAB MEETING 2212 01:37:05,520 --> 01:37:06,480 >> THERE ARE TWO COMMONS THAT 2213 01:37:06,480 --> 01:37:07,640 ARE UP. 2214 01:37:07,640 --> 01:37:11,640 THE CANINE AND THE IMMUNO 2215 01:37:11,640 --> 01:37:13,640 ONCOLOGY COMMONS THAT ARE 2216 01:37:13,640 --> 01:37:14,240 ACCEPTING DATA. 2217 01:37:14,240 --> 01:37:16,240 I CANNOT TELL YOU HOW 2218 01:37:16,240 --> 01:37:18,160 EFFICIENTLY THAT IS. 2219 01:37:18,160 --> 01:37:19,680 BUT GIVING A PRESENTATION HERE 2220 01:37:19,680 --> 01:37:21,040 WOULD BE A GOOD IDEA. 2221 01:37:21,040 --> 01:37:23,800 >> I WAS GOING TO MAKE THAT 2222 01:37:23,800 --> 01:37:24,200 SUGGESTION. 2223 01:37:24,200 --> 01:37:28,240 IT'S BEEN A SIGNIFY TOUR PART -- 2224 01:37:28,240 --> 01:37:31,640 -- SIGNATURE PART. 2225 01:37:31,640 --> 01:37:34,760 I THINK IT'S PRETTY ROBUST. 2226 01:37:34,760 --> 01:37:36,320 WE SHOULD HEAR MORE ABOUT IT AND 2227 01:37:36,320 --> 01:37:48,400 TEEN IS NOT HERE TO TALK ABOUT. 2228 01:37:48,400 --> 01:37:51,960 A MAJOR INVESTMENT BEYOND THE 2229 01:37:51,960 --> 01:37:54,040 MOONSHOT AND AN AREA WHERE WE 2230 01:37:54,040 --> 01:37:59,240 NEED ADVICE ABOUT WHERE TO G -- GO 2231 01:37:59,240 --> 01:37:59,880 IN THE FUTURE 2232 01:37:59,880 --> 01:38:02,240 >> DATA SHARING AND DATA 2233 01:38:02,240 --> 01:38:05,960 MANAGEMENT. 2234 01:38:05,960 --> 01:38:07,960 WE SHOULD PUT THAT ON ONE OF THE 2235 01:38:07,960 --> 01:38:11,000 FUTURE AGENDAS. 2236 01:38:11,000 --> 01:38:12,200 THANK YOU. 2237 01:38:12,200 --> 01:38:17,120 IT WAS A GREAT DISCUSSION. 2238 01:38:17,120 --> 01:38:18,000 AND THANK YOU. 2239 01:38:18,000 --> 01:38:20,040 >> THANK YOU. 2240 01:38:20,040 --> 01:38:23,440 >> NEXT WE HAVE A PRESENTATION 2241 01:38:23,440 --> 01:38:26,200 ENTITLED THE NIH COMMON FUND, 2242 01:38:26,200 --> 01:38:28,440 FACULTY INSTITUTIONAL 2243 01:38:28,440 --> 01:38:33,040 RECRUITMENT FOR SUSTAINABLE 2244 01:38:33,040 --> 01:38:37,440 TRANSFORMATION OR THE NIH FIRST. 2245 01:38:37,440 --> 01:38:42,280 BY DR. SPRINGFIELD. 2246 01:38:42,280 --> 01:38:50,040 >> THANK YOU. 2247 01:38:50,040 --> 01:38:52,440 >> I JUST WANT TO TAKE LIBERTY. 2248 01:38:52,440 --> 01:38:53,520 DON'T GET MAD AT ME. 2249 01:38:53,520 --> 01:38:55,840 BUT I WANT TO ACKNOWLEDGE THIS 2250 01:38:55,840 --> 01:38:57,840 HISTORIC DAY. 2251 01:38:57,840 --> 01:39:09,720 HAVING JOHN CARPTEN -- THE FIRST 2252 01:39:09,720 --> 01:39:12,680 AFRICAN-AMERICAN -- -- WE THANK 2253 01:39:12,680 --> 01:39:13,960 YOU PAULETTE. 2254 01:39:13,960 --> 01:39:16,040 WE THANK YOU,ED IN FOR 2255 01:39:16,040 --> 01:39:22,240 NOMINATING JOHN TO THIS VERY I 2256 01:39:22,240 --> 01:39:24,640 PLUS STRAWS * POSITION. 2257 01:39:24,640 --> 01:39:27,000 JOHN REPRESENTS THE KIND OF 2258 01:39:27,000 --> 01:39:29,560 FACULTY THAT WE'RE LOOKING FOR 2259 01:39:29,560 --> 01:39:31,040 IN THESE FIRST AWARDS. 2260 01:39:31,040 --> 01:39:33,280 HE HAS BEEN A GREAT MENTOR. 2261 01:39:33,280 --> 01:39:36,480 A STRONG SUPPORTER. 2262 01:39:36,480 --> 01:39:38,800 THE FIRST AFRICAN-AMERICAN TO DO 2263 01:39:38,800 --> 01:39:42,520 THE AACR ANNUAL MEETING SO JOHN 2264 01:39:42,520 --> 01:39:44,440 REPRESENTS A WONDERFUL ROLE 2265 01:39:44,440 --> 01:39:46,640 MODEL FOR US IN CANCER AND 2266 01:39:46,640 --> 01:39:48,440 CANCER HEALTH DISPARITIES SO 2267 01:39:48,440 --> 01:39:51,920 THANK YOU JOHN FOR JOINING THE 2268 01:39:51,920 --> 01:39:53,760 NCAB AND WELCOME. 2269 01:39:53,760 --> 01:40:10,320 SO LET ME START -- LET ME DISPEL 2270 01:40:10,320 --> 01:40:12,040 A MYTH. 2271 01:40:12,040 --> 01:40:14,680 HE HAS BEEN GOING OUT AND A A 2272 01:40:14,680 --> 01:40:21,440 CHAMPION OF THE PROGRAM. 2273 01:40:21,440 --> 01:40:24,520 HE HAS DONE SUCH A GREAT JOB OF 2274 01:40:24,520 --> 01:40:26,480 PROMOTING THIS PROGRAM. 2275 01:40:26,480 --> 01:40:28,800 THAT MANY PEOPLE THINK THIS IS 2276 01:40:28,800 --> 01:40:30,040 AN NCI PROGRAM. 2277 01:40:30,040 --> 01:40:31,560 AND IT'S NOT. 2278 01:40:31,560 --> 01:40:32,600 AND HE JUST SAID. 2279 01:40:32,600 --> 01:40:35,240 THE NCI FIRST IS GOING TO BE 2280 01:40:35,240 --> 01:40:36,200 PRESENTED. 2281 01:40:36,200 --> 01:40:39,400 LET ME DISPEL THIS MYTH. 2282 01:40:39,400 --> 01:40:40,840 WE STILL GET QUESTIONS ABOUT 2283 01:40:40,840 --> 01:40:41,600 THIS. 2284 01:40:41,600 --> 01:40:43,160 WHILE WE WOULD LOVE TO TAKE 2285 01:40:43,160 --> 01:40:46,120 CREDIT FOR THE FIRST THIS IS NOT 2286 01:40:46,120 --> 01:40:50,160 AN NCI PROGRAM. 2287 01:40:50,160 --> 01:40:52,520 IT'S A COMMON FUND PROGRAM. 2288 01:40:52,520 --> 01:40:55,400 THIS PROGRAM SUPPORTED BY THE 2289 01:40:55,400 --> 01:40:57,400 NIH COMMON FUND AND FOR THOSE OF 2290 01:40:57,400 --> 01:41:00,360 YOU WHO MAY HAVE BEEN AROUND IN 2291 01:41:00,360 --> 01:41:02,920 2004 IT STARTED AT THE NIH ROAD 2292 01:41:02,920 --> 01:41:06,640 MAP AND THIS PROGRAM HAS AGAIN 2293 01:41:06,640 --> 01:41:10,040 BEEN UNANIMOUSLY REAUTHORIZED AT 2294 01:41:10,040 --> 01:41:10,760 THE NIH LEVEL. 2295 01:41:10,760 --> 01:41:13,640 THERE IS A DIVISION THAT REALLY 2296 01:41:13,640 --> 01:41:15,440 HOUSES THESE DEDICATED SOURCES 2297 01:41:15,440 --> 01:41:21,720 OF FUNDING TO ENABLE GOAL DRIVEN 2298 01:41:21,720 --> 01:41:24,480 TRANS NIH RESEARCH. 2299 01:41:24,480 --> 01:41:27,360 SO ALL COMMON FUND PROGRAMS MUST 2300 01:41:27,360 --> 01:41:30,240 HAVE THESE FIVE CRITERIA EVEN TO 2301 01:41:30,240 --> 01:41:34,120 BE CONSIDERED OR ELIGIBLE TO BE 2302 01:41:34,120 --> 01:41:35,160 PROPOSED FOR FUNDING. 2303 01:41:35,160 --> 01:41:37,040 THEY MUST BE TRANSFORMATIVE. 2304 01:41:37,040 --> 01:41:40,960 THEY MUST HAVE A HIGH IMPACT. 2305 01:41:40,960 --> 01:41:43,960 TO DRAMATICALLY AFFECT THE 2306 01:41:43,960 --> 01:41:46,000 BIOMEDICAL AND BEHAVIORAL 2307 01:41:46,000 --> 01:41:48,040 RESEARCH OVER THE NEXT DECADE. 2308 01:41:48,040 --> 01:41:50,520 THEY MUST BE CATALYTIC. 2309 01:41:50,520 --> 01:41:53,520 THEY MUST ACHIEVE THESE DEFINED 2310 01:41:53,520 --> 01:41:56,160 SETS OF HIGH IMPACT GOALS WITHIN 2311 01:41:56,160 --> 01:41:56,880 5-10 YEARS. 2312 01:41:56,880 --> 01:42:00,080 SO ALL OF YOU SITTING OUT HERE 2313 01:42:00,080 --> 01:42:03,800 THAT HAVE RO1s THAT HAVE THE 2314 01:42:03,800 --> 01:42:07,120 NUMBER 25 OR THE P30 WITH THE 2315 01:42:07,120 --> 01:42:09,240 NUMBER 20 ATTACHED TO THEM YOU 2316 01:42:09,240 --> 01:42:11,040 WON'T FIND THEM HERE. 2317 01:42:11,040 --> 01:42:13,480 THESE ARE SHORT-TERM HIGH IMPACT 2318 01:42:13,480 --> 01:42:14,760 PROGRAMS. 2319 01:42:14,760 --> 01:42:18,440 THEY MUST BE SYNERGISTIC. 2320 01:42:18,440 --> 01:42:22,120 THEY MUST PROMOTE THE MISSION. 2321 01:42:22,120 --> 01:42:25,520 OF THE NIH INSTITUTES AND 2322 01:42:25,520 --> 01:42:27,040 CENTERS TO BENEFIT HEALTH. 2323 01:42:27,040 --> 01:42:30,160 THEY HAVE TO BE CROSSCUTTING. 2324 01:42:30,160 --> 01:42:33,240 THEY MUST CUT ACROSS SEVERAL 2325 01:42:33,240 --> 01:42:36,360 MISSIONS, MULTIPLE IC MISSIONS 2326 01:42:36,360 --> 01:42:38,960 THAT ARE RELATIVE TO MULTIPLE 2327 01:42:38,960 --> 01:42:40,960 DISEASE OR CONDITIONS AND THEY 2328 01:42:40,960 --> 01:42:44,920 HAVE TO BE SUFFICIENTLY COMPLEX 2329 01:42:44,920 --> 01:42:50,760 TO REQUEST A COORDINATED 2330 01:42:50,760 --> 01:42:52,240 APPROACH AND THESE PROGRAMS MUST 2331 01:42:52,240 --> 01:42:53,920 BE UNIQUE. 2332 01:42:53,920 --> 01:42:57,680 SOMETHING THAT NO ONE ENTITY IS 2333 01:42:57,680 --> 01:43:05,280 LIKELY TO DO ON ITS OWN. 2334 01:43:05,280 --> 01:43:09,680 THIS SLIDE DEMONSTRATES FOR YOU 2335 01:43:09,680 --> 01:43:12,040 THE SPECTRUM OF RESEARCH AND 2336 01:43:12,040 --> 01:43:14,360 RESEARCH CATEGORIES THAT ARE 2337 01:43:14,360 --> 01:43:16,800 CURRENTLY FUNDED BY THE COMMON 2338 01:43:16,800 --> 01:43:17,520 FUND PROGRAM. 2339 01:43:17,520 --> 01:43:21,800 AND I WANT TO POINT OUT THAT NCI 2340 01:43:21,800 --> 01:43:23,800 LEADERSHIP AND STAFF ARE 2341 01:43:23,800 --> 01:43:26,720 INVOLVED IN MANY, MANY OF THESE 2342 01:43:26,720 --> 01:43:29,680 INITIATIVES AND PROBABLY YOU AS 2343 01:43:29,680 --> 01:43:31,600 PIs HAVE BENEFITED AND 2344 01:43:31,600 --> 01:43:33,800 RECEIVED AWARDS SUPPORTED BY THE 2345 01:43:33,800 --> 01:43:34,960 COMMON FUND. 2346 01:43:34,960 --> 01:43:37,000 THE ONE THAT I'M GOING TO TALK 2347 01:43:37,000 --> 01:43:40,120 BUT IS THE FACULTY INSTITUTIONAL 2348 01:43:40,120 --> 01:43:44,640 RECRUITMENT FOR SUSTAINABLE 2349 01:43:44,640 --> 01:43:48,720 TRANSFORMATION. 2350 01:43:48,720 --> 01:43:52,520 8 SO WHY FIRST? 2351 01:43:52,520 --> 01:43:54,960 I KNOW JUST ABOUT EVERYBODY 2352 01:43:54,960 --> 01:43:56,480 AROUND THIS TABLE AND YOU KNOW 2353 01:43:56,480 --> 01:43:58,720 THE PROBLEMS WE'VE BEEN FACED 2354 01:43:58,720 --> 01:43:59,840 WITH THESE PROBLEMS. 2355 01:43:59,840 --> 01:44:02,240 IT'S NOT NEW AND THE FACT THAT 2356 01:44:02,240 --> 01:44:04,520 UNDER REPRESENTED MINORITIES ARE 2357 01:44:04,520 --> 01:44:06,960 BEING GRANTED PhDs BUT THEY 2358 01:44:06,960 --> 01:44:08,960 ARE NOT BEING HIRED AT THE 2359 01:44:08,960 --> 01:44:10,560 ACADEMIC INSTITUTIONS AND ONCE 2360 01:44:10,560 --> 01:44:12,800 THEY ARE HIRED TYPICALLY ONE AT 2361 01:44:12,800 --> 01:44:16,800 A TIME OR TWO AT BEST THEY FEEL 2362 01:44:16,800 --> 01:44:20,240 A SENSE OF ISOLATION AND THEY 2363 01:44:20,240 --> 01:44:21,320 DON'T FEEL THAT THEY HAVE TRUST 2364 01:44:21,320 --> 01:44:25,880 OR THE RELATIONSHIPS COMPARE TO 2365 01:44:25,880 --> 01:44:27,800 NONMINORITY COUNTERPARTS ARE NOT 2366 01:44:27,800 --> 01:44:30,000 THE SAME AND THEN THE OTHER 2367 01:44:30,000 --> 01:44:33,560 PROBLEM IS INSTITUTIONAL. 2368 01:44:33,560 --> 01:44:34,160 RIGHT? 2369 01:44:34,160 --> 01:44:37,560 THESE REALLY LACK THE NECESSARY 2370 01:44:37,560 --> 01:44:39,200 ELEMENTS OF INCLUSION AND EQUITY 2371 01:44:39,200 --> 01:44:42,000 AND THAT SEND A HORRIBLE MESSAGE 2372 01:44:42,000 --> 01:44:46,040 TO PEOPLE OF COLOR UNDER 2373 01:44:46,040 --> 01:44:48,560 REPRESENTED MINORITIES THAT THEY 2374 01:44:48,560 --> 01:44:53,880 JUST DON'T BELONG IN SCIENCE. 2375 01:44:53,880 --> 01:44:58,960 AND BELIEVE ME IF WE DO NOT DO 2376 01:44:58,960 --> 01:45:02,440 ANYTHING ABOUT THIS WE KNOW THAT 2377 01:45:02,440 --> 01:45:05,040 THIS PROBLEM WOULD ONLY HAVE 2378 01:45:05,040 --> 01:45:06,440 BEGUN TO GET WORSE. 2379 01:45:06,440 --> 01:45:11,400 SO UNDER THE LEADERSHIP OF 2380 01:45:11,400 --> 01:45:15,360 DR. HANNAH VALENTINE WHO WAS THE 2381 01:45:15,360 --> 01:45:19,760 CHIEF OPERATING DIVERSE TEASE 2382 01:45:19,760 --> 01:45:20,240 OFFICER. 2383 01:45:20,240 --> 01:45:22,240 SHE FELT THAT NIH HAD TO DO 2384 01:45:22,240 --> 01:45:23,200 SOMETHING ABOUT THIS. 2385 01:45:23,200 --> 01:45:24,960 SHE DEVELOPED A CONCEPT AND 2386 01:45:24,960 --> 01:45:29,040 PRESENT EDIT TO THE ADVISORY 2387 01:45:29,040 --> 01:45:31,040 COUNCIL, THE DIRECTOR 2388 01:45:31,040 --> 01:45:31,440 DR. COLLINS. 2389 01:45:31,440 --> 01:45:33,880 IT WAS APPROVED AND A LARGER 2390 01:45:33,880 --> 01:45:37,160 WORKING GROUP WAS CONVENED TO 2391 01:45:37,160 --> 01:45:38,600 CONCEIVE AND DEVELOP AND 2392 01:45:38,600 --> 01:45:39,840 IMPLEMENT THIS PROGRAM. 2393 01:45:39,840 --> 01:45:43,280 AND SO ON THIS SLIDE YOU SEE THE 2394 01:45:43,280 --> 01:45:44,120 CURRENT STRUCTURE. 2395 01:45:44,120 --> 01:45:46,600 IT'S COMPOSED OF TWO OF LIMITS. 2396 01:45:46,600 --> 01:45:49,640 A U54 WHICH IS A FACULTY COHORT. 2397 01:45:49,640 --> 01:45:53,920 AND THAT IS THE PROGRAM THAT NCI 2398 01:45:53,920 --> 01:45:54,440 MANAGES. 2399 01:45:54,440 --> 01:45:58,400 AGAIN THIS IS NOT AN NCI PROGRAM 2400 01:45:58,400 --> 01:46:00,240 SO DON'T ASKED IN FOR MORE 2401 01:46:00,240 --> 01:46:02,440 MONEY. 2402 01:46:02,440 --> 01:46:06,480 AND THE OTHER COMPONENT IS A 2403 01:46:06,480 --> 01:46:08,480 COORDINATING AND EVALUATING 2404 01:46:08,480 --> 01:46:09,040 CENTER. 2405 01:46:09,040 --> 01:46:11,040 IT'S HOUSE ENDS AT THE NATIONAL 2406 01:46:11,040 --> 01:46:12,680 INSTITUTE OF MINORITY HEALTH AND 2407 01:46:12,680 --> 01:46:14,960 HEALTH DISPARITIES AND THIS 2408 01:46:14,960 --> 01:46:18,120 EVALUATION CENTER WILL CONDUCT A 2409 01:46:18,120 --> 01:46:20,240 COMPREHENSIVE EVALUATION OF THE 2410 01:46:20,240 --> 01:46:22,160 FIRST COHORT PROGRAM. 2411 01:46:22,160 --> 01:46:24,600 THE INITIAL PROGRAM BUDGET 2412 01:46:24,600 --> 01:46:27,680 ALLOCATION IS AT $241 MILLION 2413 01:46:27,680 --> 01:46:33,800 AND THIS IS A NINE-YEAR PROGRAM. 2414 01:46:33,800 --> 01:46:36,440 SO AGAIN THE PURPOSE OF THE 2415 01:46:36,440 --> 01:46:42,000 FIRST COHORT -- IS TO TRANSFORM 2416 01:46:42,000 --> 01:46:45,040 CULTURE AT NIH FUNDED EXTRAMURAL 2417 01:46:45,040 --> 01:46:45,800 INSTITUTIONS. 2418 01:46:45,800 --> 01:46:49,640 AND WHAT THIS PROGRAM WILL DO IS 2419 01:46:49,640 --> 01:46:52,880 PROVIDE SUPPORT FOR THESE 2420 01:46:52,880 --> 01:46:57,040 INSTITUTIONS TO IMPLEMENT, 2421 01:46:57,040 --> 01:47:00,120 ENHANCE, SUSTAIN CULTURES OF 2422 01:47:00,120 --> 01:47:02,960 INCLUSIVE EXCELLENCE THAT HAVE 2423 01:47:02,960 --> 01:47:05,440 TO BE TRANSFORMATIONAL NOT AT 2424 01:47:05,440 --> 01:47:07,280 JUST THEIR OWN ACADEMIC 2425 01:47:07,280 --> 01:47:08,960 INSTITUTION BUT BEYOND AND WHAT 2426 01:47:08,960 --> 01:47:09,880 DOES THAT MEAN? 2427 01:47:09,880 --> 01:47:12,560 WE WANT THESE INSTITUTIONS YOUR 2428 01:47:12,560 --> 01:47:15,640 INSTITUTIONS TO CREATE 2429 01:47:15,640 --> 01:47:17,080 ENVIRONMENTS WHERE ALL 2430 01:47:17,080 --> 01:47:21,320 INDIVIDUALS ARE WELCOME AND NOT 2431 01:47:21,320 --> 01:47:25,800 ONLY SURVIVE BUT WILL THRIVE. 2432 01:47:25,800 --> 01:47:29,080 ALSO PROVIDING SUPPORT FOR THESE 2433 01:47:29,080 --> 01:47:32,200 INSTITUTIONS TO RECRUIT AND HIRE 2434 01:47:32,200 --> 01:47:36,160 A DIVERSE COHORT OF EARLY CAREER 2435 01:47:36,160 --> 01:47:39,280 FACULTY AND THE COHORT IS A 2436 01:47:39,280 --> 01:47:42,160 WHOLE GROUP OF INDIVIDUALS NOT 2437 01:47:42,160 --> 01:47:46,120 ONE, NOT TWO BECAUSE THE 2438 01:47:46,120 --> 01:47:46,800 ISOLATIONS DETRIMENTAL TO THE 2439 01:47:46,800 --> 01:47:47,400 SUCCESS. 2440 01:47:47,400 --> 01:47:49,720 SO THIS COHORT MODEL IS ONE THAT 2441 01:47:49,720 --> 01:47:52,160 HAS BEEN USED BY THE NIH AND 2442 01:47:52,160 --> 01:47:55,880 OTHER ICs AND EVEN US THE IQ 2443 01:47:55,880 --> 01:47:58,240 WE USE A COHORT MODEL. 2444 01:47:58,240 --> 01:47:59,680 WE KNOW THE IMPORTANCE OF 2445 01:47:59,680 --> 01:48:01,080 BRINGING INDIVIDUALS IN A GROUP 2446 01:48:01,080 --> 01:48:02,480 WHERE WE SEE EACH OTHER. 2447 01:48:02,480 --> 01:48:04,200 WE CAN TALK TO EACH OTHER. 2448 01:48:04,200 --> 01:48:05,440 WE TALK THE SAME LANGUAGE. 2449 01:48:05,440 --> 01:48:07,360 WE HAVE THE SAME PROBLEMS. 2450 01:48:07,360 --> 01:48:09,200 WE EAT THE SAME FOOD. 2451 01:48:09,200 --> 01:48:11,320 WE DRESS THE SAME WAY. 2452 01:48:11,320 --> 01:48:15,280 WE WEAR THE SAME -- AND WE'RE 2453 01:48:15,280 --> 01:48:18,760 MORE COMFORTABLE. 2454 01:48:18,760 --> 01:48:21,760 THE ADDITIONAL ADVANTAGE IS THAT 2455 01:48:21,760 --> 01:48:23,400 WE'RE ASKING INDIVIDUAL 2456 01:48:23,400 --> 01:48:25,480 INSTITUTIONS TO HIRE NOT JUST IN 2457 01:48:25,480 --> 01:48:26,560 A COHORT BUT IN RESEARCH 2458 01:48:26,560 --> 01:48:27,400 CLUSTERS. 2459 01:48:27,400 --> 01:48:30,600 THAT WILL AID IN THESE FACULTY 2460 01:48:30,600 --> 01:48:34,320 -- ESTABLISHING NETWORKS FOR 2461 01:48:34,320 --> 01:48:35,640 COLLABORATIONS, RIGHT SO THAT 2462 01:48:35,640 --> 01:48:37,320 THEY IN FACT CAN BE MORE 2463 01:48:37,320 --> 01:48:38,800 SUCCESSFUL. 2464 01:48:38,800 --> 01:48:40,560 SO THE FACULTY THAT ARE 2465 01:48:40,560 --> 01:48:42,600 RECRUITED AND HIRED MUST HAVE A 2466 01:48:42,600 --> 01:48:44,320 COMMITMENT TO PROMOTING 2467 01:48:44,320 --> 01:48:46,120 DIVERSITY AND INCLUSION AND THEY 2468 01:48:46,120 --> 01:48:49,040 MUST BE COMPETITIVE FOR 2469 01:48:49,040 --> 01:48:51,080 ADVERTISED RESEARCH TO ATTRACT 2470 01:48:51,080 --> 01:48:52,040 EQUIVALENT POSITIONS. 2471 01:48:52,040 --> 01:48:54,280 THEY MUST BE COMPETITIVE. 2472 01:48:54,280 --> 01:48:54,920 WHY? 2473 01:48:54,920 --> 01:48:56,800 BECAUSE THE GOAL IS TO HAVE 2474 01:48:56,800 --> 01:48:59,840 THESE FACULTY APPLY FOR RO1 2475 01:48:59,840 --> 01:49:01,240 FUNDING WITHIN A VERY SHORT 2476 01:49:01,240 --> 01:49:02,800 PERIOD OF TIME WHICH IS THE 2477 01:49:02,800 --> 01:49:08,120 DURATION OF THE AWARD. 2478 01:49:08,120 --> 01:49:10,000 SO THE PROGRAM OVERVIEW IS AS 2479 01:49:10,000 --> 01:49:10,360 FOLLOWS. 2480 01:49:10,360 --> 01:49:12,320 WE HAVE PLAN TO MAKE 12 2481 01:49:12,320 --> 01:49:13,520 STAGGERED AWARDS. 2482 01:49:13,520 --> 01:49:15,040 FOUR AWARDS EACH YEAR. 2483 01:49:15,040 --> 01:49:19,440 WE'RE RELEASING THREE 4 PHASE. 2484 01:49:19,440 --> 01:49:22,480 EACH AWARD IS FIVE YEARS. 2485 01:49:22,480 --> 01:49:25,640 THE FIRST YEAR IS A LAUNCH YEAR. 2486 01:49:25,640 --> 01:49:27,120 A PLANNING YEAR. 2487 01:49:27,120 --> 01:49:28,880 FOR KEY PERSONNEL AND CORE 2488 01:49:28,880 --> 01:49:30,240 LEADERS. 2489 01:49:30,240 --> 01:49:32,240 PLANNING STRATEGIES. 2490 01:49:32,240 --> 01:49:33,480 CLUSTER HIRING. 2491 01:49:33,480 --> 01:49:35,800 FACULTY AND PROFESSIONAL AND 2492 01:49:35,800 --> 01:49:37,360 RESEARCH DEVELOPMENT AND SEARCH 2493 01:49:37,360 --> 01:49:38,040 COMMITTEES. 2494 01:49:38,040 --> 01:49:39,760 THIS IS A YEAR WHERE THEY ARE 2495 01:49:39,760 --> 01:49:41,520 PLANNING SO WE'RE GIVING THEM 2496 01:49:41,520 --> 01:49:43,800 THIS YEAR TO GET IT TOGETHER. 2497 01:49:43,800 --> 01:49:45,320 THE SECOND THROUGH THE FOURTH 2498 01:49:45,320 --> 01:49:47,760 YEAR IS WHERE THE FACULTY ARE 2499 01:49:47,760 --> 01:49:49,040 BEING RECRUITED AND HIRED. 2500 01:49:49,040 --> 01:49:52,320 ALL FACULTY HAVE TO BE HIRED BY 2501 01:49:52,320 --> 01:49:54,800 THE THIRD YEAR OF THIS AWARD. 2502 01:49:54,800 --> 01:49:57,800 SO WE PROVIDE FUNDS FOR START UP 2503 01:49:57,800 --> 01:49:58,400 PACKAGES. 2504 01:49:58,400 --> 01:49:59,960 WE PROVIDE FUNDS FOR 2505 01:49:59,960 --> 01:50:02,200 PROFESSIONAL DEVELOPMENT AS WELL 2506 01:50:02,200 --> 01:50:03,840 AS INCLUSIVE ACTION TO 2507 01:50:03,840 --> 01:50:06,800 ACTIVITIES. 2508 01:50:06,800 --> 01:50:08,560 SO HERE IS THE FIRST COHORT 2509 01:50:08,560 --> 01:50:09,160 STRUCTURE. 2510 01:50:09,160 --> 01:50:11,480 ALL PROGRAMS MUST HAVE THESE 2511 01:50:11,480 --> 01:50:12,840 REQUIRED CORES. 2512 01:50:12,840 --> 01:50:13,800 ADMINISTRATIVE CORE. 2513 01:50:13,800 --> 01:50:15,600 FACULTY DEVELOPMENT CORE. 2514 01:50:15,600 --> 01:50:16,640 EVALUATION CORE. 2515 01:50:16,640 --> 01:50:17,800 AGAIN THE ADMINISTRATIVE CORE IS 2516 01:50:17,800 --> 01:50:20,680 THE POWER HOUSE OF THIS PROGRAM. 2517 01:50:20,680 --> 01:50:24,240 THIS IS WHERE THE ACTIVITY THE 2518 01:50:24,240 --> 01:50:25,320 ENERGY THE LEADERSHIP ALL OF 2519 01:50:25,320 --> 01:50:26,920 THESE THINGS ARE TAKING PLACE. 2520 01:50:26,920 --> 01:50:28,200 KEY PERSONNEL. 2521 01:50:28,200 --> 01:50:29,800 CORE LEADERS. 2522 01:50:29,800 --> 01:50:32,000 IF YOU HAVE LARGE INFRASTRUCTURE 2523 01:50:32,000 --> 01:50:33,800 PROGRAMS THIS IS NO DIFFERENT 2524 01:50:33,800 --> 01:50:35,240 FROM OTHER PROGRAMS THAT YOU 2525 01:50:35,240 --> 01:50:36,480 HAVE MANAGED IN THE PAST. 2526 01:50:36,480 --> 01:50:40,120 THE FACULTY DEFINITELY CORE IS 2527 01:50:40,120 --> 01:50:43,320 THIS CORE THAT IS RESPONSIBLE 2528 01:50:43,320 --> 01:50:47,640 FOR DEVELOPING THESE ACTIVITIES. 2529 01:50:47,640 --> 01:50:50,520 AGAIN THESE ARE EARLY CAREER 2530 01:50:50,520 --> 01:50:50,920 FACULTY. 2531 01:50:50,920 --> 01:50:53,120 WE HAVE TO PROVIDE PROFESSIONAL 2532 01:50:53,120 --> 01:50:55,600 DEVELOPMENT, MENTORING. 2533 01:50:55,600 --> 01:50:56,280 SPONSORSHIP. 2534 01:50:56,280 --> 01:50:57,640 ACTIVITIES TO MAKE SURE THAT 2535 01:50:57,640 --> 01:51:00,080 THEY ARE IN FACT COMPETITIVE FOR 2536 01:51:00,080 --> 01:51:05,200 THESE RO1 SUBMISSIONS AND THE 2537 01:51:05,200 --> 01:51:08,280 EVALUATION CORE IS TO ESTABLISH 2538 01:51:08,280 --> 01:51:10,480 THE INDIVIDUAL MILESTONES FOR 2539 01:51:10,480 --> 01:51:11,960 INDIVIDUAL PROGRAMS AS WELL AS 2540 01:51:11,960 --> 01:51:15,160 WORKING IN PARTNERSHIP WITH THE 2541 01:51:15,160 --> 01:51:17,480 CEC TO DEVELOP COMMON METRICS 2542 01:51:17,480 --> 01:51:19,680 AND COMMON MEASURES AND OUTCOMES 2543 01:51:19,680 --> 01:51:22,120 THAT CAN BE EVALUATED AT THE END 2544 01:51:22,120 --> 01:51:31,920 OF THIS PROJECT PERIOD. 2545 01:51:31,920 --> 01:51:34,120 SO YOU HAVE TO BE ABLE TO 2546 01:51:34,120 --> 01:51:36,120 CONDUCT RESEARCH AND YOU HAVE TO 2547 01:51:36,120 --> 01:51:37,400 PROVIDE EVIDENCE FOR COMMITMENT 2548 01:51:37,400 --> 01:51:40,440 TO DIVERSITY AND INCLUSION. 2549 01:51:40,440 --> 01:51:42,960 IT HAS TO APPLY EITHER AS A 2550 01:51:42,960 --> 01:51:45,400 LIMITED RESOURCE, HIGH RESOURCE 2551 01:51:45,400 --> 01:51:50,240 INSTITUTION OR IN PARTNERSHIP. 2552 01:51:50,240 --> 01:51:52,480 AND SO THIS SLIDE REALLY LETS US 2553 01:51:52,480 --> 01:51:55,040 KNOW WHAT IS A LIMITED RESOURCE 2554 01:51:55,040 --> 01:51:56,400 INSTITUTION. 2555 01:51:56,400 --> 01:51:58,720 IT IS AN INSTITUTION THAT 2556 01:51:58,720 --> 01:52:02,440 RECEIVES LESS THAN $50 MILLION 2557 01:52:02,440 --> 01:52:05,680 AND LESS THAN $25 MILLION IN RO1 2558 01:52:05,680 --> 01:52:07,720 SUPPORT. 2559 01:52:07,720 --> 01:52:10,200 AND THE LAST THREE YEARS BEFORE 2560 01:52:10,200 --> 01:52:22,160 SUBMITTING THE GRANT. 2561 01:52:22,160 --> 01:52:24,600 AND YOU CAN ALSO APPLY AS A 2562 01:52:24,600 --> 01:52:26,720 PARTNERSHIP. 2563 01:52:26,720 --> 01:52:28,800 AND YOU CAN APPLY WITH A HIGH 2564 01:52:28,800 --> 01:52:30,000 RESOURCE INSTITUTION. 2565 01:52:30,000 --> 01:52:32,880 A LIMITED RESOURCE INSTITUTION. 2566 01:52:32,880 --> 01:52:39,040 VICE VARSHA -- *. 2567 01:52:39,040 --> 01:52:41,440 CAVEATS IS THEY MUST RECRUIT NO 2568 01:52:41,440 --> 01:52:43,480 LESS THAN 10 FACULTY. 2569 01:52:43,480 --> 01:52:46,240 LIMITED RESOURCE INSTITUTIONS 2570 01:52:46,240 --> 01:52:48,920 MUST RECRUIT NO LESS THAN SIX. 2571 01:52:48,920 --> 01:52:52,800 SO IF YOU COMBINE AN HRI WITH AN 2572 01:52:52,800 --> 01:52:55,240 LRI YOU HAVE TO RECRUIT NO LESS 2573 01:52:55,240 --> 01:52:56,400 THAN 10. 2574 01:52:56,400 --> 01:53:00,640 7 IF TWO LRIs ARE PARTNERED NO 2575 01:53:00,640 --> 01:53:03,800 LESS THAN 6 FACULTY HAVE TO BE 2576 01:53:03,800 --> 01:53:04,800 RECRUITED. 2577 01:53:04,800 --> 01:53:07,920 SO AS I POINTED OUT IN THE FIRST 2578 01:53:07,920 --> 01:53:10,240 COUPLE OF SLIDES STATING THAT 2579 01:53:10,240 --> 01:53:11,800 THESE COMMON FUND INITIATIVES 2580 01:53:11,800 --> 01:53:13,720 HAVE TO HAVE MEASURABLE GOALS 2581 01:53:13,720 --> 01:53:15,920 AND OBJECTIVES WITHIN A SHORT 2582 01:53:15,920 --> 01:53:17,600 PERIOD OF TIME THIS PROGRAM HAS 2583 01:53:17,600 --> 01:53:18,960 THIS AS WELL. 2584 01:53:18,960 --> 01:53:21,200 EACH OF THE GOAL AREAS FOR 2585 01:53:21,200 --> 01:53:22,840 INSTITUTIONAL CULTURE CHANGE, 2586 01:53:22,840 --> 01:53:26,240 HIRING THE FACULTY, 2587 01:53:26,240 --> 01:53:30,800 PROFESSIONAL MeSH P -- 2588 01:53:30,800 --> 01:53:31,200 DEVELOPMENT. 2589 01:53:31,200 --> 01:53:33,160 * THESE ARE GOING TO BE REFINED 2590 01:53:33,160 --> 01:53:35,040 AS WE BEGIN TO WORK WITH THE 2591 01:53:35,040 --> 01:53:35,760 CEC. 2592 01:53:35,760 --> 01:53:37,680 BUT THE CAVS NET HERE IS THAT 2593 01:53:37,680 --> 01:53:40,640 THE APPLICANT MUST PROVIDE 2594 01:53:40,640 --> 01:53:43,200 BASELINE DATA FOR EACH OF THESE 2595 01:53:43,200 --> 01:53:44,360 GOALS. 2596 01:53:44,360 --> 01:53:47,320 IN ORDER NOR US TO EVALUATE ON A 2597 01:53:47,320 --> 01:53:50,000 YEARLY BASES AS WELL AS AT THE 2598 01:53:50,000 --> 01:53:55,000 END OF THE PROJECT PERIOD. 2599 01:53:55,000 --> 01:53:57,000 THIS IS A BUDGET SLIDE AND I 2600 01:53:57,000 --> 01:53:59,640 WANT TO POINT YOU TO THE BOTTOM 2601 01:53:59,640 --> 01:54:02,840 LEFT HAND WHICH REALLY GIVES US 2602 01:54:02,840 --> 01:54:04,240 THE BUDGET PER AWARD. 2603 01:54:04,240 --> 01:54:06,680 EACH AWARD WILL GET AN AVERAGE 2604 01:54:06,680 --> 01:54:08,680 OF ABOUT $10 MILLION. 2605 01:54:08,680 --> 01:54:12,200 NOW YOU MAY SAY OH, MY GOODNESS. 2606 01:54:12,200 --> 01:54:13,960 THIS IS NOT ENOUGH MONEY AT ALL 2607 01:54:13,960 --> 01:54:15,440 TO DO ALL OF THE THINGS THAT YOU 2608 01:54:15,440 --> 01:54:16,880 HAVE WANT US TO DO. 2609 01:54:16,880 --> 01:54:19,160 IN THIS PROGRAM. 2610 01:54:19,160 --> 01:54:19,560 RIGHT. 2611 01:54:19,560 --> 01:54:21,800 AND IT'S NOT. 2612 01:54:21,800 --> 01:54:23,920 AGAIN COMMON FUND PROGRAMS ARE 2613 01:54:23,920 --> 01:54:25,840 CATALYTIC. 2614 01:54:25,840 --> 01:54:27,240 THESE INSTITUTIONS HAVE TO PUT 2615 01:54:27,240 --> 01:54:29,040 SOME SKIN IN THE GAME. 2616 01:54:29,040 --> 01:54:32,360 THEY HAVE TO COMMIT TO MAKING 2617 01:54:32,360 --> 01:54:33,440 THESE FACULTY WHOLE BECAUSE WE 2618 01:54:33,440 --> 01:54:35,600 KNOW THE FUNDS THAT WE'RE 2619 01:54:35,600 --> 01:54:37,440 PROVIDING FOR THESE START UP 2620 01:54:37,440 --> 01:54:39,640 PACKAGES MAY NOT BE EQUIVALENT 2621 01:54:39,640 --> 01:54:42,040 TO WHAT YOU'RE OFFERING OTHER 2622 01:54:42,040 --> 01:54:43,800 FACULTY SO YOU HAVE TO PUT SKIN 2623 01:54:43,800 --> 01:54:44,600 IN THE GAME. 2624 01:54:44,600 --> 01:54:49,760 THE FUNDS THAT WE'RE PROVIDING 2625 01:54:49,760 --> 01:54:50,360 ARE INSUFFICIENT. 2626 01:54:50,360 --> 01:54:52,800 YOU HAVE TO PUT SOME SKIN IN THE 2627 01:54:52,800 --> 01:54:53,760 GAME. 2628 01:54:53,760 --> 01:54:56,400 INSTITUTIONAL COMMITMENT IS 2629 01:54:56,400 --> 01:54:57,640 ABSOLUTELY PARAMOUNT TO THE 2630 01:54:57,640 --> 01:54:58,840 SUCCESS OF THESE PROGRAMS 2631 01:54:58,840 --> 01:55:01,320 BECAUSE YOU'RE TRANSFORMING YOUR 2632 01:55:01,320 --> 01:55:03,200 INSTITUTIONAL CULTURE AS WELL AS 2633 01:55:03,200 --> 01:55:05,160 BRINGING IN A DIVERSE COHORT 2634 01:55:05,160 --> 01:55:08,600 THAT YOU WANT TO RETAIN AND 2635 01:55:08,600 --> 01:55:10,800 PROMOTE SO THAT WE CAN ANSWER 2636 01:55:10,800 --> 01:55:12,880 THESE QUESTIONS ABOUT DIVERSITY 2637 01:55:12,880 --> 01:55:17,680 OF FACULTY ON SOME OF OUR LARGE 2638 01:55:17,680 --> 01:55:19,360 STANDING PROGRAMS WHERE WE DON'T 2639 01:55:19,360 --> 01:55:21,720 SEE THEM EXIST. 2640 01:55:21,720 --> 01:55:24,160 THIS REPRESENTS AN INITIAL GREAT 2641 01:55:24,160 --> 01:55:27,120 START IN PROVIDING THE CATALYTIC 2642 01:55:27,120 --> 01:55:27,760 EFFORT. 2643 01:55:27,760 --> 01:55:30,080 THE FUNDS, THE VENTURE CAPITAL 2644 01:55:30,080 --> 01:55:32,680 IF YOU WILL TO SUPPORT THESE BUT 2645 01:55:32,680 --> 01:55:34,400 YOU AS INSTITUTIONS HAVE TO 2646 01:55:34,400 --> 01:55:36,840 COMMIT TO THESE PROGRAMS. 2647 01:55:36,840 --> 01:55:38,920 AND INSTITUTIONAL COMMITMENT IS 2648 01:55:38,920 --> 01:55:41,040 SOMETHING THAT WE TAKE SERIOUSLY 2649 01:55:41,040 --> 01:55:42,920 WHEN MAKING RECOMMENDATIONS. 2650 01:55:42,920 --> 01:55:44,120 NEXT SLIDE. 2651 01:55:44,120 --> 01:55:45,920 SO HERE WE ARE. 2652 01:55:45,920 --> 01:55:47,280 WE'VE GONE THROUGH THE FIRST 2653 01:55:47,280 --> 01:55:47,680 YEAR. 2654 01:55:47,680 --> 01:55:49,440 IT'S BEEN A BANNER YEAR. 2655 01:55:49,440 --> 01:55:52,160 IT'S BEEN A WONDERFUL YEAR. 2656 01:55:52,160 --> 01:55:54,920 WE RECEIVED A TREMENDOUS OUT 2657 01:55:54,920 --> 01:55:56,360 POURING OF SUPPORT FROM THE 2658 01:55:56,360 --> 01:55:57,720 COMMUNITY AND THAT MEANS WE HAD 2659 01:55:57,720 --> 01:56:00,920 A LOT OF APPLICATIONS FOR THE 2660 01:56:00,920 --> 01:56:03,480 FIRST FISCAL 21. 2661 01:56:03,480 --> 01:56:05,840 AND THIS IS WHERE WE'VE COME UP 2662 01:56:05,840 --> 01:56:07,440 WITH IN TERMS OF OUR 2663 01:56:07,440 --> 01:56:08,360 RECOMMENDATIONS. 2664 01:56:08,360 --> 01:56:12,560 7 IT TOOK US A LONG TIME TO VET 2665 01:56:12,560 --> 01:56:13,920 THESE APPLICATIONS. 2666 01:56:13,920 --> 01:56:16,400 THE REVIEWERS DID A GREAT JOB. 2667 01:56:16,400 --> 01:56:19,360 THESE APPLICATIONS WERE ALSO 2668 01:56:19,360 --> 01:56:20,200 OUTSTANDING. 2669 01:56:20,200 --> 01:56:23,160 SO IT MADE OUR JOB VERY 2670 01:56:23,160 --> 01:56:27,360 DIFFICULT TRYING TO IDENTIFY 2671 01:56:27,360 --> 01:56:30,600 THESE FIRST COHORT AWARDEES. 2672 01:56:30,600 --> 01:56:32,720 AND YOU CAN SEE THERE IS A GOOD 2673 01:56:32,720 --> 01:56:33,440 DIVERSITY HERE. 2674 01:56:33,440 --> 01:56:38,520 WE HAVE ONE FROM UAB IN 2675 01:56:38,520 --> 01:56:39,120 TUSKEGEE. 2676 01:56:39,120 --> 01:56:41,240 A HIGH RESOURCE AND LIMITED 2677 01:56:41,240 --> 01:56:42,160 RESOURCE INSTITUTION. 2678 01:56:42,160 --> 01:56:44,880 WE HAVE TWO LRI SAN DIEGO STATE 2679 01:56:44,880 --> 01:56:46,360 UNIVERSITY AND FLORIDA STATE 2680 01:56:46,360 --> 01:56:47,080 UNIVERSITY. 2681 01:56:47,080 --> 01:56:53,040 WE HAVE THREE HRI & DREXEL, 2682 01:56:53,040 --> 01:56:54,960 MOUNT SINAI AND SAN DIEGO. 2683 01:56:54,960 --> 01:56:56,600 NOW THIS PROGRAM IS STILL 2684 01:56:56,600 --> 01:56:58,960 ONGOING AND WHAT I CAN TELL YOU 2685 01:56:58,960 --> 01:57:01,040 IS THE PLANS THEY HAVE IN PLACE 2686 01:57:01,040 --> 01:57:03,400 ARE PHENOMENAL. 2687 01:57:03,400 --> 01:57:05,200 I CAN'T GIVE YOU DETAILS AT THIS 2688 01:57:05,200 --> 01:57:07,840 POINT AND CERTAINLY WE'RE GOING 2689 01:57:07,840 --> 01:57:09,840 TO COME BACK TO DO THAT BECAUSE 2690 01:57:09,840 --> 01:57:13,960 WE HAVE ONE MORE ROUND. 2691 01:57:13,960 --> 01:57:15,400 INSTITUTIONAL SUPPORT HAS BEEN 2692 01:57:15,400 --> 01:57:16,040 FABULOUS. 2693 01:57:16,040 --> 01:57:17,920 THE FACULTY DEVELOPMENT 2694 01:57:17,920 --> 01:57:19,800 ACTIVITIES ARE VERY UNIQUE FOR 2695 01:57:19,800 --> 01:57:22,240 THESE DIVERSE COHORTS. 2696 01:57:22,240 --> 01:57:26,560 I WAS JUST BLOWN AWAY BY THESE 2697 01:57:26,560 --> 01:57:30,320 APPLICATIONS AND THIS -- 2698 01:57:30,320 --> 01:57:32,280 REPRESENTS SIX BUT THERE WERE SO 2699 01:57:32,280 --> 01:57:32,920 MANY MORE. 2700 01:57:32,920 --> 01:57:37,280 THESE ARE AREAS THAT THERE IS A 2701 01:57:37,280 --> 01:57:39,640 NATIONAL CONCERN. 2702 01:57:39,640 --> 01:57:41,440 IN ADDITION TO LOOKING AT THE 2703 01:57:41,440 --> 01:57:47,600 MERIT OF THE APPLICATION AND 2704 01:57:47,600 --> 01:57:49,400 GEOGRAPHY, THE TYPE OF 2705 01:57:49,400 --> 01:57:51,040 INSTITUTIONS AND THE NUMBER OF 2706 01:57:51,040 --> 01:57:54,400 FACULTY BEING RECRUITED WE ALSO 2707 01:57:54,400 --> 01:57:56,280 LOOKED AT THE BIOMEDICAL 2708 01:57:56,280 --> 01:57:59,040 RESEARCH AREAS AND THE NEXT 2709 01:57:59,040 --> 01:58:01,720 SLIDE SHOWS YOU THAT THERE IS A 2710 01:58:01,720 --> 01:58:08,400 VERY DIVERSE -- -- RESEARCH THAT 2711 01:58:08,400 --> 01:58:11,680 IS TAKING PLACE THAT WILL BE 2712 01:58:11,680 --> 01:58:13,640 FUNDED THROUGH THESE PROGRAMS. 2713 01:58:13,640 --> 01:58:17,160 SO THE MISSION OF THE BIOMEDICAL 2714 01:58:17,160 --> 01:58:20,440 RESEARCH AND BEHAVIORAL RESEARCH 2715 01:58:20,440 --> 01:58:26,320 EFFORTS ARE HIGHLIGHTED HERE. 2716 01:58:26,320 --> 01:58:28,280 THREE OF THE STATION ARE GOING 2717 01:58:28,280 --> 01:58:31,400 TO BE RECRUITING FACULTY AND 2718 01:58:31,400 --> 01:58:32,360 CANCER. 2719 01:58:32,360 --> 01:58:35,440 THE OTHER THING THAT WE NOTICED 2720 01:58:35,440 --> 01:58:40,720 IS THAT HEALTH EQUITY OR HEALTH 2721 01:58:40,720 --> 01:58:41,840 DISPARITY RESEARCH IS COMMON 2722 01:58:41,840 --> 01:58:44,320 AMONG ALL OF THESE APPLICATIONS. 2723 01:58:44,320 --> 01:58:46,440 SO, IT'S REALLY GRATIFYING TO 2724 01:58:46,440 --> 01:58:48,640 SEE THAT WE'RE DEALING ALSO WITH 2725 01:58:48,640 --> 01:58:50,640 THE DISPARITY RESEARCH AND 2726 01:58:50,640 --> 01:58:52,960 BUILDING UP AN AREA THAT IS 2727 01:58:52,960 --> 01:58:54,440 DESPERATELY NEEDED ACROSS THE 2728 01:58:54,440 --> 01:58:57,040 NIH. 2729 01:58:57,040 --> 01:58:59,440 SO THESE AWARDS WERE MADE IN 2730 01:58:59,440 --> 01:59:00,280 SEPTEMBER. 2731 01:59:00,280 --> 01:59:02,280 WE HAD OUR FIRST KICK OFF 2732 01:59:02,280 --> 01:59:02,680 MEETING. 2733 01:59:02,680 --> 01:59:04,720 THE PIs ATTENDED. 2734 01:59:04,720 --> 01:59:06,640 THE CORE LEADERS ATTENDED. 2735 01:59:06,640 --> 01:59:09,200 WE HAD A WONDERFUL KEYNOTE 2736 01:59:09,200 --> 01:59:12,720 ADDRESS BY FRANCIS AND WONDERFUL 2737 01:59:12,720 --> 01:59:14,640 REMARKS FROM THREE OF OUR 2738 01:59:14,640 --> 01:59:20,440 COCHAIRS 2739 01:59:20,440 --> 01:59:21,920 AND THE PROGRAM MANAGEMENT IS 2740 01:59:21,920 --> 01:59:22,640 UNDER WAY. 2741 01:59:22,640 --> 01:59:25,040 THESE PROGRAMS ARE STANDING UP. 2742 01:59:25,040 --> 01:59:29,080 WE'RE MEETING WITH THEM ON A 2743 01:59:29,080 --> 01:59:31,440 MONTHLY BASES PROVIDING INPUT 2744 01:59:31,440 --> 01:59:33,280 AND FEEDBACK ON THE FIRST YEAR. 2745 01:59:33,280 --> 01:59:34,880 WE'RE GOING TO BE IDENTIFYING 2746 01:59:34,880 --> 01:59:37,480 PROJECT SCIENTISTS BECAUSE THE 2747 01:59:37,480 --> 01:59:39,720 RESEARCH AREAS ARE VERY DIVERSE 2748 01:59:39,720 --> 01:59:43,640 SO WE'RE EMPLOYING SUBJECT 2749 01:59:43,640 --> 01:59:46,440 MATTER EXPERTISE FROM ACROSS THE 2750 01:59:46,440 --> 01:59:50,160 NIH SO THEREFORE IT'S REALLY AN 2751 01:59:50,160 --> 01:59:51,280 EXCITING TIME. 2752 01:59:51,280 --> 01:59:52,800 LOOKING FORWARD TO NEXT YEAR. 2753 01:59:52,800 --> 01:59:57,240 THE OTHER THING IS OUR FIRST CEC 2754 01:59:57,240 --> 01:59:58,920 EXECUTIVE STEERING COMMITTEE HAS 2755 01:59:58,920 --> 01:59:59,320 MET. 2756 01:59:59,320 --> 02:00:04,240 AND THIS AWARD WAS MADE TO 2757 02:00:04,240 --> 02:00:06,280 MOOREHOUSE SCHOOL OF MEDICINE. 2758 02:00:06,280 --> 02:00:07,320 ANOTHER LIMITED RESOURCE 2759 02:00:07,320 --> 02:00:07,920 INSTITUTION. 2760 02:00:07,920 --> 02:00:09,880 SO WE'RE VERY EXCITED ABOUT 2761 02:00:09,880 --> 02:00:10,640 THIS. 2762 02:00:10,640 --> 02:00:12,840 WE'RE EXCITED ABOUT THE 2763 02:00:12,840 --> 02:00:14,000 DIVERSITY OF THE APPLICATIONS 2764 02:00:14,000 --> 02:00:17,080 AND THE AWARDS AND ALSO THAT THE 2765 02:00:17,080 --> 02:00:22,360 CEC IS GOING TO BE MANAGED BY 2766 02:00:22,360 --> 02:00:24,240 MOOREHOUSE COOL OF MEDICINE 2767 02:00:24,240 --> 02:00:31,680 UNDER THE LEADERSHIP. 2768 02:00:31,680 --> 02:00:34,840 SO HERE WE ARE. 2769 02:00:34,840 --> 02:00:37,640 WE MADE THE 6 AWARDS FOR FISCAL 2770 02:00:37,640 --> 02:00:38,440 21. 2771 02:00:38,440 --> 02:00:40,480 WE'RE IN FISCAL 22 NOW. 2772 02:00:40,480 --> 02:00:42,840 THE APPLICATIONS HAVE COME IN 2773 02:00:42,840 --> 02:00:43,640 FOR 22. 2774 02:00:43,640 --> 02:00:45,880 THEY CAME IN -- IN SEPTEMBER. 2775 02:00:45,880 --> 02:00:47,800 THE REVIEW IS ABOUT TO TAKE 2776 02:00:47,800 --> 02:00:48,840 PLACE IN FEBRUARY. 2777 02:00:48,840 --> 02:00:51,160 WE'RE RECRUITING REVIEWERS IF 2778 02:00:51,160 --> 02:00:53,360 YOU'RE INTERESTED IN LEARN ABOUT 2779 02:00:53,360 --> 02:00:55,680 THIS PROGRAM -- SEND YOUR NAME 2780 02:00:55,680 --> 02:00:56,520 TO ME. 2781 02:00:56,520 --> 02:00:58,440 I WILL PASS IT FORWARD. 2782 02:00:58,440 --> 02:01:01,840 WE ANTICIPATE MAKING FOUR AWARDS 2783 02:01:01,840 --> 02:01:04,560 AGAIN IN 22. 2784 02:01:04,560 --> 02:01:08,840 FOR THE LAST -- THE COCHAIRS 2785 02:01:08,840 --> 02:01:11,200 HAVE APPROVED. 2786 02:01:11,200 --> 02:01:13,400 WE'RE MAKING FINAL CHANGES IN 2787 02:01:13,400 --> 02:01:17,040 THE RFA AND HOPEFULLY THAT THIRD 2788 02:01:17,040 --> 02:01:21,360 RFA WILL BE RELEASED IN JANUARY 2789 02:01:21,360 --> 02:01:28,040 OF EARLY 22. 2790 02:01:28,040 --> 02:01:30,320 SO I DON'T KNOW IF YOU GOT IT. 2791 02:01:30,320 --> 02:01:33,000 OUR PLAN WAS TO MAKE FOUR AWARDS 2792 02:01:33,000 --> 02:01:33,640 ORIGINALLY. 2793 02:01:33,640 --> 02:01:36,920 BUT IN 21 WE MADE SIX. 2794 02:01:36,920 --> 02:01:43,040 AND I HAVE TO TELL YOU THE IC 2795 02:01:43,040 --> 02:01:49,120 COCHAIRS LED BY NED, MARIE, 2796 02:01:49,120 --> 02:01:51,600 ELISSAO DID A GREAT JOB. 2797 02:01:51,600 --> 02:01:54,120 BECAUSE WE RECEIVED A LOT OF 2798 02:01:54,120 --> 02:01:54,520 APPLICATIONS. 2799 02:01:54,520 --> 02:01:58,280 A LOT OF APPLICATION ESCORTED 2800 02:01:58,280 --> 02:02:01,400 GREAT -- * THEY WERE WONDERFUL 2801 02:02:01,400 --> 02:02:06,440 AND IT WAS DIFFICULT TRYING TO 2802 02:02:06,440 --> 02:02:07,840 IDENTIFY THE FOUR. 2803 02:02:07,840 --> 02:02:10,680 WE WENT BACK TO THE COMMON FUND 2804 02:02:10,680 --> 02:02:12,920 AND WENT BACK TO THE IC 2805 02:02:12,920 --> 02:02:15,120 DIRECTORS AND ASK HEY CAN YOU 2806 02:02:15,120 --> 02:02:16,520 CONTRIBUTE TO THIS EFFORT AND WE 2807 02:02:16,520 --> 02:02:21,160 WERE DELIGHTED THAT THE COMMON 2808 02:02:21,160 --> 02:02:24,840 FUND -- AND AGAIN NED AND MARIE 2809 02:02:24,840 --> 02:02:31,360 AND ELISSO AND OTHER ICs AS 2810 02:02:31,360 --> 02:02:33,960 YOU CAN SEE HERE AND THAT 2811 02:02:33,960 --> 02:02:35,680 ALLOWED US TO MAKE TWO 2812 02:02:35,680 --> 02:02:36,800 ADDITIONAL AWARDS THIS YEAR. 2813 02:02:36,800 --> 02:02:39,760 I'M REALLY HOPING THAT THIS 2814 02:02:39,760 --> 02:02:41,320 HAPPENS AGAIN EACH FISCAL YEAR. 2815 02:02:41,320 --> 02:02:45,760 BUT THIS REALLY -- IS A 2816 02:02:45,760 --> 02:02:48,000 TESTAMENT TO THE COMMITMENT AT 2817 02:02:48,000 --> 02:02:49,960 THE NIH LEVEL FOR ALL OF THE 2818 02:02:49,960 --> 02:02:52,080 ICs FOR THIS PROGRAM. 2819 02:02:52,080 --> 02:02:59,600 SO I'M VERY HAPPY ABOUT THAT. 2820 02:02:59,600 --> 02:03:01,680 THE NCI FIRST TEAM HAS BEEN 2821 02:03:01,680 --> 02:03:03,040 AMAZING. 2822 02:03:03,040 --> 02:03:04,840 KUDOS TO THEM. 2823 02:03:04,840 --> 02:03:07,960 KUDOS TO OGA GIVING THESE AWARDS 2824 02:03:07,960 --> 02:03:09,120 OUT THIS YEAR. 2825 02:03:09,120 --> 02:03:11,040 AND OUR PROGRAM MANAGEMENT TEAM 2826 02:03:11,040 --> 02:03:12,720 THROUGHOUT THE COURSE OF THIS 2827 02:03:12,720 --> 02:03:14,400 HAS BEEN AMAZING. 2828 02:03:14,400 --> 02:03:22,200 BUT -- NEXT SLIDE -- NCIs 2829 02:03:22,200 --> 02:03:24,960 EFFORT PALE IN COMPARISON TO THE 2830 02:03:24,960 --> 02:03:28,280 WORK OF THIS TRANS NCI FIRST 2831 02:03:28,280 --> 02:03:29,200 WORKING GROUP. 2832 02:03:29,200 --> 02:03:31,000 THE COCHAIRS ARE COMMITTED, 2833 02:03:31,000 --> 02:03:31,480 PASSIONATE. 2834 02:03:31,480 --> 02:03:33,840 THEY ARE FIGHTING FOR WAR AND 2835 02:03:33,840 --> 02:03:35,640 IT'S BEEN A PLEASURE ALSO TO 2836 02:03:35,640 --> 02:03:37,560 WORK WITH THE WORKING GROUP 2837 02:03:37,560 --> 02:03:38,200 LEADER TEAM. 2838 02:03:38,200 --> 02:03:40,640 AND I HAVE TO SAY THAT WE ALL 2839 02:03:40,640 --> 02:03:43,840 BEGAN THIS WORK WHEN COVID HIT. 2840 02:03:43,840 --> 02:03:46,640 AND DURING THE TIME WHEN WE WERE 2841 02:03:46,640 --> 02:03:48,200 SEEING RACIAL AND SOCIAL IN 2842 02:03:48,200 --> 02:03:52,160 JUSTICE IN FRONT OF OUR FACE 2843 02:03:52,160 --> 02:03:54,960 DAILY AND SO THIS WAS A BEAM OF 2844 02:03:54,960 --> 02:03:57,400 LIGHTED FOR US WORKING THROUGH 2845 02:03:57,400 --> 02:03:59,600 THOSE DARK DAYS AND WE WOULD SEE 2846 02:03:59,600 --> 02:04:01,840 THIS EVERY DAY. 2847 02:04:01,840 --> 02:04:03,320 WE HAVE NEVER MET FACE TO FACE. 2848 02:04:03,320 --> 02:04:05,520 ALL OF OUR WORK HAS BEEN 2849 02:04:05,520 --> 02:04:06,280 VIRTUAL. 2850 02:04:06,280 --> 02:04:08,360 AND IT'S JUST BEEN SUCH A 2851 02:04:08,360 --> 02:04:10,200 REWARDING EXPERIENCE. 2852 02:04:10,200 --> 02:04:13,160 AND I AM SO HOPEFUL THAT THE 2853 02:04:13,160 --> 02:04:15,480 WORK THAT WE PUT INTO THIS 2854 02:04:15,480 --> 02:04:19,120 PROGRAM WILL TRANSFORM THE 2855 02:04:19,120 --> 02:04:21,560 CULTURES AT OUR ACADEMIC 2856 02:04:21,560 --> 02:04:24,240 INSTITUTIONS SO THANK YOU. 2857 02:04:24,240 --> 02:04:25,640 APPRECIATE YOUR TIME. 2858 02:04:25,640 --> 02:04:27,960 AGAIN THIS IS NOT AN NCI PROGRAM 2859 02:04:27,960 --> 02:04:30,640 SO DO NOT ASKED IN FOR MORE 2860 02:04:30,640 --> 02:04:31,000 MONEY 2861 02:04:31,000 --> 02:04:31,400 >> TREMENDOUS. 2862 02:04:31,400 --> 02:04:32,000 TREMENDOUS. 2863 02:04:32,000 --> 02:04:35,440 THANK YOU SO MUCH SONIA FOR THAT 2864 02:04:35,440 --> 02:04:36,360 PRESENTATION ABOUT THIS NEW 2865 02:04:36,360 --> 02:04:40,560 PROGRAM. 2866 02:04:40,560 --> 02:04:42,040 AND I'M SPEECHLESS. 2867 02:04:42,040 --> 02:04:44,040 SO EXCITED ABOUT THE OUTCOMES. 2868 02:04:44,040 --> 02:04:48,160 YET ANOTHER AMAZING NCI 2869 02:04:48,160 --> 02:04:50,360 INITIATIVE. 2870 02:04:50,360 --> 02:04:50,760 >> NO. 2871 02:04:50,760 --> 02:04:53,040 NIH INITIATIVE. 2872 02:04:53,040 --> 02:04:53,760 >> NIH -- 2873 02:04:53,760 --> 02:04:56,560 >> MAY I MAKE ONE COMMENT? 2874 02:04:56,560 --> 02:04:56,960 >> YES. 2875 02:04:56,960 --> 02:04:59,720 BUT JUST A COMMENT 2876 02:04:59,720 --> 02:05:06,000 >> I APOLOGIZE -- BUT IT'S ONLY 2877 02:05:06,000 --> 02:05:07,520 BECAUSE I'M SO PROUD OF IT. 2878 02:05:07,520 --> 02:05:11,480 I THINK SONIA HAS BEEN A LITTLE 2879 02:05:11,480 --> 02:05:12,080 COY. 2880 02:05:12,080 --> 02:05:16,440 THIS WAS A CAT HERDING EXERCISE. 2881 02:05:16,440 --> 02:05:19,040 AND IT WAS AMAZING THAT SONIA 2882 02:05:19,040 --> 02:05:21,040 PULLED THIS OFF ALSO WORKING 2883 02:05:21,040 --> 02:05:24,440 WITH THE COLLABORATORS AND I'M 2884 02:05:24,440 --> 02:05:28,960 EXCITED THAT SONIA MENTIONED 2885 02:05:28,960 --> 02:05:30,800 HANNAH VALENTINE. 2886 02:05:30,800 --> 02:05:32,920 HER ROLE WAS SIGNIFICANT. 2887 02:05:32,920 --> 02:05:33,920 GREAT PRESENTATION. 2888 02:05:33,920 --> 02:05:35,160 >> THERE ARE A LOT OF QUESTIONS 2889 02:05:35,160 --> 02:05:36,280 I'M SURE. 2890 02:05:36,280 --> 02:05:39,040 I THINK IT'S DEFINITELY WORTH AT 2891 02:05:39,040 --> 02:05:45,400 LEAST ONE OR TWO QUESTIONS. 2892 02:05:45,400 --> 02:05:46,840 >> WE'RE GOING TO COME BACK WITH 2893 02:05:46,840 --> 02:05:51,920 THE OUTCOMES. 2894 02:05:51,920 --> 02:05:55,040 >> A COUPLE OF PEOPLE HAVE 2895 02:05:55,040 --> 02:05:56,200 QUESTIONS IN THE CHAT. 2896 02:05:56,200 --> 02:05:58,080 DOES ANYONE WANT TO ASK A 2897 02:05:58,080 --> 02:06:04,120 QUESTION AT THIS POINT? 2898 02:06:04,120 --> 02:06:04,520 >> JOHN. 2899 02:06:04,520 --> 02:06:05,800 THIS IS CHASE. 2900 02:06:05,800 --> 02:06:08,160 THIS IS A GOOD PROGRAM. 2901 02:06:08,160 --> 02:06:10,200 I SHARE THE ENTHUSIASM. 2902 02:06:10,200 --> 02:06:13,000 IT'S A LONG TIME IN THE MAKING. 2903 02:06:13,000 --> 02:06:14,360 WE ALL KNOW THIS. 2904 02:06:14,360 --> 02:06:16,640 BUT THERE IS NO SUCH THING AS A 2905 02:06:16,640 --> 02:06:18,800 FREE LUNCH AND WE DON'T HAVE 2906 02:06:18,800 --> 02:06:20,680 THAT BIG OF A POOL OF PEOPLE 2907 02:06:20,680 --> 02:06:23,920 ACROSS THE COUNTRY TO DRAW ON. 2908 02:06:23,920 --> 02:06:27,040 SO MY GET WAS TO WHAT EXTENT ARE 2909 02:06:27,040 --> 02:06:31,320 WE LOOKING AT POTENTIAL NEGATIVE 2910 02:06:31,320 --> 02:06:36,840 IMPACTS IN INSTITUTIONS -- 2911 02:06:36,840 --> 02:06:38,880 [ INDISCERNIBLE ] 2912 02:06:38,880 --> 02:06:40,200 >> I'M SORRY. 2913 02:06:40,200 --> 02:06:44,040 I DON'T UNDERSTAND THE QUESTION. 2914 02:06:44,040 --> 02:06:47,440 >> I THINK THE QUESTION IS THERE 2915 02:06:47,440 --> 02:06:50,120 A THREAT THAT SOME INSTITUTIONS 2916 02:06:50,120 --> 02:06:55,840 MAY LOSE SOME OF THEIR TALENT TO 2917 02:06:55,840 --> 02:07:00,520 NIH FIRST FUNDED INSTITUTIONS? 2918 02:07:00,520 --> 02:07:03,640 >> OR ARE -- LESS EQUIPPED LESS 2919 02:07:03,640 --> 02:07:05,560 RESOURCED INSTITUTIONS THAT 2920 02:07:05,560 --> 02:07:08,560 WE'RE TRYING TO SHORE UP. 2921 02:07:08,560 --> 02:07:13,320 SO I CAN SEE A NEGATIVE FLOW 2922 02:07:13,320 --> 02:07:15,960 OUTFLOW FROM THESE INSTITUTIONS 2923 02:07:15,960 --> 02:07:17,520 AS THESE PROGRAMS ARE LED 2924 02:07:17,520 --> 02:07:19,080 ELSEWHERE. 2925 02:07:19,080 --> 02:07:20,560 >> AGAIN WE SEPARATED OUT THE 2926 02:07:20,560 --> 02:07:22,560 HIGH RESOURCE FROM THE LIMITED 2927 02:07:22,560 --> 02:07:23,600 RESOURCE. 2928 02:07:23,600 --> 02:07:26,240 THE SEPARATE REVIEW FOR THOSE 2929 02:07:26,240 --> 02:07:26,880 INSTITUTIONS. 2930 02:07:26,880 --> 02:07:29,880 SO WE'RE TRYING TO AGAIN EQUIP 2931 02:07:29,880 --> 02:07:31,520 THE LIMITED RESOURCE 2932 02:07:31,520 --> 02:07:33,880 INSTITUTIONS AS WELL. 2933 02:07:33,880 --> 02:07:36,840 THIS ISSUE OF BRAIN DRAIN OR 2934 02:07:36,840 --> 02:07:38,040 HAVING UNDER REPRESENTED 2935 02:07:38,040 --> 02:07:40,400 MINORITIES BEING STOLEN AWAY 2936 02:07:40,400 --> 02:07:41,960 INTO MAINSTREAM INSTITUTION IS 2937 02:07:41,960 --> 02:07:43,400 SOMETHING THAT WE'VE BEEN 2938 02:07:43,400 --> 02:07:44,680 DEALING WITH FOREVER. 2939 02:07:44,680 --> 02:07:47,800 I DON'T THINK IT'S ALL TO 2940 02:07:47,800 --> 02:07:49,840 AUTOMATICALLY GO AWAY BUT AS 2941 02:07:49,840 --> 02:07:50,880 MORE OF THE PROGRAMS ARE 2942 02:07:50,880 --> 02:07:53,240 IMPLEMENTED AND DIVERSITY 2943 02:07:53,240 --> 02:07:55,000 BECOMES THE FACE OF THE 2944 02:07:55,000 --> 02:07:56,560 INSTITUTIONS WE'LL SEE LESS OF 2945 02:07:56,560 --> 02:07:57,040 THAT. 2946 02:07:57,040 --> 02:07:58,440 THAT IS THE HOPE. 2947 02:07:58,440 --> 02:08:04,640 >> THAT IS GREAT. 2948 02:08:04,640 --> 02:08:07,120 ANY OTHER QUESTIONS FOR 2949 02:08:07,120 --> 02:08:10,800 DR. SPRINGFIELD. 2950 02:08:10,800 --> 02:08:14,200 I'M SURE THERE ARE BUT BE GREAT 2951 02:08:14,200 --> 02:08:16,960 TO HEAR THE UPDATES AND TO SEE 2952 02:08:16,960 --> 02:08:19,200 THE NEXT GROUP AND TO EVEN SEE 2953 02:08:19,200 --> 02:08:21,000 WHO THAT COHORT IS. 2954 02:08:21,000 --> 02:08:24,080 AND TO WATCH THEIR CAREER 2955 02:08:24,080 --> 02:08:24,480 TRAJECTORIES. 2956 02:08:24,480 --> 02:08:26,480 THANK YOU SO MUCH SONIA FOR THAT 2957 02:08:26,480 --> 02:08:27,280 PRESENTATION. 2958 02:08:27,280 --> 02:08:31,760 >> THANKS. 2959 02:08:31,760 --> 02:08:33,080 >> OUR FINAL PRESENTATION WILL 2960 02:08:33,080 --> 02:08:37,400 BE BROUGHT TO US BY DR. ROBERT 2961 02:08:37,400 --> 02:08:39,840 CROYLE WHO'S THE RETIRING 2962 02:08:39,840 --> 02:08:42,920 DIRECTOR OF THE DIVISION OF 2963 02:08:42,920 --> 02:08:47,040 CANCER CONTROL AND POPULATION 2964 02:08:47,040 --> 02:08:52,560 SCIENCES. 2965 02:08:52,560 --> 02:08:53,960 >> THANK YOU, JOHN. 2966 02:08:53,960 --> 02:08:56,320 TERRIFIC TO SEE YOU. 2967 02:08:56,320 --> 02:08:58,080 AND JUST FOR CONTEXT AND RELATED 2968 02:08:58,080 --> 02:09:00,800 TO THE NATIONAL CANCER ACT I 2969 02:09:00,800 --> 02:09:02,120 WANT TO MAKE SURE THAT THE BOARD 2970 02:09:02,120 --> 02:09:04,600 MEMBERS ARE AWARE THAT NCI IS 2971 02:09:04,600 --> 02:09:08,040 THE ONLY INSTITUTE OF THE NIH 2972 02:09:08,040 --> 02:09:10,640 WHO WHERE THE CHAIR OF THE 2973 02:09:10,640 --> 02:09:12,040 ADVISORY COUNCIL IS NOT THE 2974 02:09:12,040 --> 02:09:14,360 INSTITUTE DIRECTOR. 2975 02:09:14,360 --> 02:09:18,080 BECAUSE OF THE NATIONAL CANCER 2976 02:09:18,080 --> 02:09:21,320 ACT THE BOARD IS CHAIRED BY 2977 02:09:21,320 --> 02:09:23,480 SOMEBODY OUTSIDE THE NCI. 2978 02:09:23,480 --> 02:09:26,440 AND BECAUSE OF THE PROVISIONS 2979 02:09:26,440 --> 02:09:29,560 AND OTHER REASONS NCI HAS MORE 2980 02:09:29,560 --> 02:09:31,640 OVERSIGHT MORE ACCOUNTABILITY 2981 02:09:31,640 --> 02:09:34,640 AND MORE TRANSPARENCY I CAN SAY 2982 02:09:34,640 --> 02:09:37,440 NOW I'M ABOUT TO RETIRE FROM NIH 2983 02:09:37,440 --> 02:09:41,040 AND AFTER ATTENDING A LOT OF 2984 02:09:41,040 --> 02:09:43,040 ADVISORY MEMBERS WHERE INSTITUTE 2985 02:09:43,040 --> 02:09:44,640 DIRECTORS CAN BE VERY DIRECTIVE 2986 02:09:44,640 --> 02:09:46,400 IN WHAT HAPPENS AT A COUNCIL 2987 02:09:46,400 --> 02:09:49,040 MEETING I THINK -- JUST TO 2988 02:09:49,040 --> 02:09:50,840 APPRECIATE THAT THE 2989 02:09:50,840 --> 02:09:54,040 ACCOUNTABILITY THAT NCI HAS. 2990 02:09:54,040 --> 02:09:56,720 WE HAVE MORE ADVISORY BOARDS 2991 02:09:56,720 --> 02:09:58,160 THAN ANYBODY ELSE AND OUR 2992 02:09:58,160 --> 02:09:59,840 COUNCIL IS NOT CHAIRED BY OUR 2993 02:09:59,840 --> 02:10:01,000 INSTITUTE DIRECTOR. 2994 02:10:01,000 --> 02:10:03,760 SO I'M GOING TO TALK ABOUT IN A 2995 02:10:03,760 --> 02:10:05,880 VERY QUICK SUPERFICIAL WAY 2996 02:10:05,880 --> 02:10:10,040 BECAUSE IT'S HARD TO REFLECT AND 2997 02:10:10,040 --> 02:10:12,960 SUMMARIZE 19 YEARS AS DIVISION 2998 02:10:12,960 --> 02:10:15,440 DIRECTOR AND 23 YEARS AT NCI AND 2999 02:10:15,440 --> 02:10:16,720 SUMMARIZE CHALLENGES MOVING 3000 02:10:16,720 --> 02:10:18,520 FORWARD IN A SHORT AMOUNT OF 3001 02:10:18,520 --> 02:10:18,720 TIME. 3002 02:10:18,720 --> 02:10:20,880 SO I'M GOING TO HIT SOME 3003 02:10:20,880 --> 02:10:22,120 HIGHLIGHTS ABOUT WHERE WE'VE 3004 02:10:22,120 --> 02:10:27,600 BEEN IN TERMS OF CANCER CONTROL 3005 02:10:27,600 --> 02:10:28,720 AND SOME OF THE CHALLENGES 3006 02:10:28,720 --> 02:10:33,360 MOVING FORWARD. 3007 02:10:33,360 --> 02:10:37,040 I'M GOING TO TALK ABOUT THE 3008 02:10:37,040 --> 02:10:38,920 LAUNCH OF THE DIVISION AND SOME 3009 02:10:38,920 --> 02:10:41,240 OF THE MAJOR PROGRAMS AND 3010 02:10:41,240 --> 02:10:42,680 MECHANISMS FOR FUNDING RESEARCH 3011 02:10:42,680 --> 02:10:44,680 THAT WE'VE UTILIZED IN THE 3012 02:10:44,680 --> 02:10:46,240 DIVISION. 3013 02:10:46,240 --> 02:10:48,600 AND THEN AGAIN JUST TOUCH ON A 3014 02:10:48,600 --> 02:10:51,640 FEW ISSUES OF CURRENT CHALLENGES 3015 02:10:51,640 --> 02:10:54,000 AND ALSO MENTION OUR TRANSITION 3016 02:10:54,000 --> 02:10:55,920 TO OUR NEW DEVELOPMENT DIRECTOR 3017 02:10:55,920 --> 02:11:03,400 WHO HAS ALREADY STARTED. 3018 02:11:03,400 --> 02:11:05,120 SO THIS SLIDE HIGHLIGHTS A FEW 3019 02:11:05,120 --> 02:11:10,080 OF THE MAJOR EVENTS IN THE 3020 02:11:10,080 --> 02:11:10,720 HISTORY. 3021 02:11:10,720 --> 02:11:13,160 WHICH WAS FORMED THE DIVISION 3022 02:11:13,160 --> 02:11:16,120 WAS FORMED IN RESPONSE TO BOARD 3023 02:11:16,120 --> 02:11:19,760 CRITICISM OF NCI. 3024 02:11:19,760 --> 02:11:23,040 SO WHEN RICK WAS DIRECTOR HE 3025 02:11:23,040 --> 02:11:25,120 COMMISSION ENDS FIVE PROGRAM 3026 02:11:25,120 --> 02:11:27,440 REVIEW GROUPS AND THERE WAS THE 3027 02:11:27,440 --> 02:11:30,200 BISHOP -- REPORT WHICH LED TO A 3028 02:11:30,200 --> 02:11:33,760 MAJOR REORGANIZATION OF NCI. 3029 02:11:33,760 --> 02:11:38,320 SO WHAT I OFTEN CALL THE BRAIN 3030 02:11:38,320 --> 02:11:43,920 REORGANIZATION UNDER RICK -- AND 3031 02:11:43,920 --> 02:11:45,880 ALSO AT THE SAME TIME THE OFFICE 3032 02:11:45,880 --> 02:11:47,680 OF CANCER SURVIVORSHIP WAS 3033 02:11:47,680 --> 02:11:50,360 CREATED SO I WANTED TO SHOUT OUT 3034 02:11:50,360 --> 02:11:52,920 -- BECAUSE WE'RE CELEBRATING THE 3035 02:11:52,920 --> 02:11:56,440 25th ANNIVERSARY OF OCS WHICH 3036 02:11:56,440 --> 02:11:59,760 IS LED BY DR. EMILY -- BUT AGAIN 3037 02:11:59,760 --> 02:12:02,640 THE RESULT OF ADVOCACY AND INPUT 3038 02:12:02,640 --> 02:12:03,760 FROM ADVISORS. 3039 02:12:03,760 --> 02:12:06,160 AND ENGAGEMENT FROM THE WHITE 3040 02:12:06,160 --> 02:12:08,640 HOUSE. 3041 02:12:08,640 --> 02:12:11,480 AGAIN IN PART DUE TO THE CANCER 3042 02:12:11,480 --> 02:12:13,040 ACT. 3043 02:12:13,040 --> 02:12:15,840 BARBARA -- IS THE GIANT WHOSE 3044 02:12:15,840 --> 02:12:17,640 SHOULDER I'VE STOOD ON. 3045 02:12:17,640 --> 02:12:20,200 SHE WAS APPOINTED AS THE 3046 02:12:20,200 --> 02:12:22,000 ORIGINAL DIVISION DIRECTOR AND 3047 02:12:22,000 --> 02:12:24,840 SHE HAD THE CHARGE OF SITTING 3048 02:12:24,840 --> 02:12:28,040 DOWN WITH BOB HYATT THE DEPUTY 3049 02:12:28,040 --> 02:12:30,040 ORIGINALLY AND MYSELF WITH A 3050 02:12:30,040 --> 02:12:32,960 BLANK SHEET OF PAPER CREATING A 3051 02:12:32,960 --> 02:12:34,640 NEW DIVISION AT NCI. 3052 02:12:34,640 --> 02:12:37,240 IT WAS AN EXCITING TIME AND A 3053 02:12:37,240 --> 02:12:38,720 HUGE OPPORTUNITY AND A HUGE 3054 02:12:38,720 --> 02:12:40,840 RESPONSIBILITY. 3055 02:12:40,840 --> 02:12:42,960 WE THEN FORMED A NUMBER OF NEW 3056 02:12:42,960 --> 02:12:44,840 PROGRAMS AND CONTINUED TO EVOLVE 3057 02:12:44,840 --> 02:12:46,880 INVOLVE OVER THE YEARS. 3058 02:12:46,880 --> 02:12:50,240 A WHOLE NEW PROGRAM WHEN HEALTH 3059 02:12:50,240 --> 02:12:51,800 CARE DELIVERY RESEARCH WHICH AT 3060 02:12:51,800 --> 02:12:53,640 THE TIME WAS A BIT 3061 02:12:53,640 --> 02:12:54,040 CONTROVERSIAL. 3062 02:12:54,040 --> 02:12:56,640 BUT ALSO SOME SIGNATURE RESEARCH 3063 02:12:56,640 --> 02:12:57,040 PROGRAMS. 3064 02:12:57,040 --> 02:12:58,800 SO THERE IS NO WAY I'LL GO 3065 02:12:58,800 --> 02:13:01,560 THROUGH ALL OF THE RFAs AND 3066 02:13:01,560 --> 02:13:02,720 SPECIAL INITIATIVES. 3067 02:13:02,720 --> 02:13:05,840 I'M GOING TO AS WE WILL MAIL YOU 3068 02:13:05,840 --> 02:13:08,680 THE LAST -- OUR DIVISION'S LAST 3069 02:13:08,680 --> 02:13:11,120 ANNUAL REPORT UNDER MY TENURE SO 3070 02:13:11,120 --> 02:13:15,400 YOU WILL BE GETTING IN THE MAIL 3071 02:13:15,400 --> 02:13:17,760 A HARD COPY OF OUR LAST ANNUAL 3072 02:13:17,760 --> 02:13:19,120 REPORT WHICH ALSO INCLUDES A BIT 3073 02:13:19,120 --> 02:13:22,880 OF A RETROSPECTIVE REVIEW ON THE 3074 02:13:22,880 --> 02:13:27,000 MAJOR INITIATIVES OVER THE 3075 02:13:27,000 --> 02:13:27,200 YEARS. 3076 02:13:27,200 --> 02:13:30,560 ONE OF THE STRATEGIES THAT WE 3077 02:13:30,560 --> 02:13:32,240 USE WHICH HAS BECOME MORE COMMON 3078 02:13:32,240 --> 02:13:35,840 AT NCI NOW BUT WAS NEW AT THE 3079 02:13:35,840 --> 02:13:37,400 TIME WAS CENTERS OF EXCELLENCE 3080 02:13:37,400 --> 02:13:39,960 AS A RESEARCH FUNDING MECHANISM 3081 02:13:39,960 --> 02:13:43,160 TO PROVIDE REALLY AMBITIOUS 3082 02:13:43,160 --> 02:13:45,160 RESEARCH GOALS IN A COMPLEX 3083 02:13:45,160 --> 02:13:46,840 CHALLENGING AREA OF GREAT 3084 02:13:46,840 --> 02:13:48,640 IMPORTANCE TO CANCER CONTROL. 3085 02:13:48,640 --> 02:13:51,520 THE FIRST OF THESE BEING THE 3086 02:13:51,520 --> 02:13:58,800 TRANTRANSDISCIPLINARY TOBACCO USE. 3087 02:13:58,800 --> 02:14:01,040 IT WAS COLLABORATIVE WITH OTHER 3088 02:14:01,040 --> 02:14:04,680 INSTITUTES AND FUNDERS. 3089 02:14:04,680 --> 02:14:10,000 HNIDA AND -- WOOD FOUNDATION. 3090 02:14:10,000 --> 02:14:13,280 THESE ARE THE LARGEST RFAs 3091 02:14:13,280 --> 02:14:15,720 THAT WE'VE LAUNCHED ALL OF WHICH 3092 02:14:15,720 --> 02:14:18,600 WERE DISCUSSED AND REVIEWED BY 3093 02:14:18,600 --> 02:14:19,440 THE BSA OF COURSE. 3094 02:14:19,440 --> 02:14:21,800 AND ALSO I THINK THIS IS ONE WAY 3095 02:14:21,800 --> 02:14:23,800 TO HIGHLIGHT SOME OF THE HIGHEST 3096 02:14:23,800 --> 02:14:26,120 RESEARCH PRIORITIES THAT WE'VE 3097 02:14:26,120 --> 02:14:27,680 HAD IN CANCER CONTROL. 3098 02:14:27,680 --> 02:14:29,480 WE WERE THE FIRST INSTITUTE AT 3099 02:14:29,480 --> 02:14:31,520 NIH TO PUT AN EFFORT IN 3100 02:14:31,520 --> 02:14:33,040 COMMUNICATION RESEARCH. 3101 02:14:33,040 --> 02:14:35,360 AND THAT IS REALLY COME BACK 3102 02:14:35,360 --> 02:14:37,280 AROUND TO THE NIH AND I THINK 3103 02:14:37,280 --> 02:14:39,440 NIH CLEARLY HAS RECOGNIZED THAT 3104 02:14:39,440 --> 02:14:41,520 THE AGENCY AS A WHOLE COULD HAVE 3105 02:14:41,520 --> 02:14:45,240 AND SHOULD HAVE MADE A BROADER 3106 02:14:45,240 --> 02:14:48,560 COMMITMENT AS WE'VE SEEN IN 3107 02:14:48,560 --> 02:14:53,360 COVID IN THE EXISTENCE OF 3108 02:14:53,360 --> 02:14:56,880 VACCINE HESITANCY. 3109 02:14:56,880 --> 02:14:58,600 HOPEFULLY MOVING FORWARD A 3110 02:14:58,600 --> 02:15:00,560 GREATER EFFORT ON HEALTH 3111 02:15:00,560 --> 02:15:04,440 COMMUNICATION AND UNDERSTANDING 3112 02:15:04,440 --> 02:15:11,120 PERSUASION AND HOW TO COUNTER 3113 02:15:11,120 --> 02:15:12,520 MISINFORMATION 3114 02:15:12,520 --> 02:15:15,240 SO WHAT IS NEXT? 3115 02:15:15,240 --> 02:15:18,080 ONE THAT THE BSA YOUR GROUP 3116 02:15:18,080 --> 02:15:22,560 BEING REVIEWED -- WE JUST HAD 3117 02:15:22,560 --> 02:15:24,840 THE REVIEW FOR THE NEW CENTERS 3118 02:15:24,840 --> 02:15:26,120 OF EXCELLENCE IN TELEHEALTH 3119 02:15:26,120 --> 02:15:26,800 RESEARCH. 3120 02:15:26,800 --> 02:15:29,160 IN CANCER RELATED CARE SO I 3121 02:15:29,160 --> 02:15:32,920 THINK NCI IS PLAYING A SIGNIFY 3122 02:15:32,920 --> 02:15:34,440 TOUR LEADERSHIP ROLE. 3123 02:15:34,440 --> 02:15:38,040 WE WERE TRACKING POLICY AND 3124 02:15:38,040 --> 02:15:39,640 DEVELOPMENTS AND SAW THE GREATER 3125 02:15:39,640 --> 02:15:42,120 INTEREST IN CONGRESS AND ALSO 3126 02:15:42,120 --> 02:15:45,320 HOW TELEHEALTH BECAME SO VITAL 3127 02:15:45,320 --> 02:15:47,240 DURING COVID AND IN THE SPRING 3128 02:15:47,240 --> 02:15:50,200 OF NEXT YEAR WE WILL BE DECIDING 3129 02:15:50,200 --> 02:15:53,400 ON AND FUNDING OUR FIRST 3130 02:15:53,400 --> 02:15:54,960 RESOURCE CENTERS ON TELEHEALTH 3131 02:15:54,960 --> 02:15:56,760 AND THIS WILL BE CRITICAL MOVING 3132 02:15:56,760 --> 02:16:00,280 FORWARD. 3133 02:16:00,280 --> 02:16:01,960 ONE OF THE THINGS THAT WE'VE 3134 02:16:01,960 --> 02:16:08,560 BEEN CAREFUL TO DO -- IN THE 3135 02:16:08,560 --> 02:16:10,240 CASE OF THE MOONSHOT AS YOU 3136 02:16:10,240 --> 02:16:12,240 HEARD AND ALSO ALL OF US WHO 3137 02:16:12,240 --> 02:16:16,080 HAVE LED MAJOR INITIATIVES HAVE 3138 02:16:16,080 --> 02:16:21,280 BEEN MINDFUL ABOUT EVALUATION 3139 02:16:21,280 --> 02:16:25,080 AND LESSONS LEARNED. 3140 02:16:25,080 --> 02:16:35,680 IT HAS BEEN MORRI MORE -- RIGOROUS. 3141 02:16:35,680 --> 02:16:37,920 UNDERSTANDING HOW TO IMPROVE THE 3142 02:16:37,920 --> 02:16:40,040 FUNCTIONING OF TEAM SCIENCE. 3143 02:16:40,040 --> 02:16:42,080 AND PROJECTS. 3144 02:16:42,080 --> 02:16:47,200 AND WE CREATED A NEW FIELD NOW 3145 02:16:47,200 --> 02:16:52,920 KNOWN AS THE TEAM SCIENCE. 3146 02:16:52,920 --> 02:16:59,840 AND I RECENTLY PUBLISHED A BOOK. 3147 02:16:59,840 --> 02:17:01,720 SO I THINK THIS ISSUE. 3148 02:17:01,720 --> 02:17:03,480 EVALUATION IS GOING TO BE 3149 02:17:03,480 --> 02:17:09,520 IMPORTANT GOING FORWARD. 3150 02:17:09,520 --> 02:17:11,520 YOU CANNOT TALK ABOUT CANCER 3151 02:17:11,520 --> 02:17:14,360 CONTROL IN ANY CONTEXT WITHOUT 3152 02:17:14,360 --> 02:17:15,280 TALKING ABOUT TOBACCO CONTROL 3153 02:17:15,280 --> 02:17:17,480 AND IT'S STILL THE CASE THAT 3154 02:17:17,480 --> 02:17:19,640 CANCER CONTROL'S MOST IMPORTANT 3155 02:17:19,640 --> 02:17:20,760 CHALLENGE IS TOBACCO CONTROL. 3156 02:17:20,760 --> 02:17:22,480 WE DON'T DISCUSS IT ENOUGH. 3157 02:17:22,480 --> 02:17:24,920 IT'S STILL THE LEADING CAUSE OF 3158 02:17:24,920 --> 02:17:27,560 PREVENTED ANNUAL DEATH IN THE 3159 02:17:27,560 --> 02:17:28,200 UNITED STATES. 3160 02:17:28,200 --> 02:17:30,880 AND * AND THE LEADING CAUSE OF 3161 02:17:30,880 --> 02:17:31,880 CANCER DEATH. 3162 02:17:31,880 --> 02:17:38,000 TOBACCO CONTROL -- HAS BEEN AN 3163 02:17:38,000 --> 02:17:41,520 AREA -- BUT WILL CONTINUE TO BE 3164 02:17:41,520 --> 02:17:43,640 IMPORTANT. 3165 02:17:43,640 --> 02:17:46,240 WE OFTEN TAKE IT FOR GRANTED. 3166 02:17:46,240 --> 02:17:47,680 BECAUSE IT IS STILL WIDESPREAD 3167 02:17:47,680 --> 02:17:48,840 AND BECAUSE IT'S STILL A 3168 02:17:48,840 --> 02:17:50,680 CHALLENGE. 3169 02:17:50,680 --> 02:17:52,760 BUT I THINK ONE OF THE MOST 3170 02:17:52,760 --> 02:17:54,960 REMARKABLE PUBLIC HEALTH STORIES 3171 02:17:54,960 --> 02:17:57,080 IS THE PROGRESS WE'VE MADE IN 3172 02:17:57,080 --> 02:17:58,760 TOBACCO CONTROL AND MANY OF YOU 3173 02:17:58,760 --> 02:18:00,440 HAVE SEEN THIS SLIDE BEFORE IN 3174 02:18:00,440 --> 02:18:01,520 VARIOUS FORMS AND OVER THE 3175 02:18:01,520 --> 02:18:03,000 YEARS. 3176 02:18:03,000 --> 02:18:05,560 BUT THIS SHOWS TOBACCO 3177 02:18:05,560 --> 02:18:06,560 CONSUMPTION CIGARETTE 3178 02:18:06,560 --> 02:18:08,240 CONSUMPTION IN ADULTS IN THE 3179 02:18:08,240 --> 02:18:11,240 U.S. OVER THE LAST MANY YEARS 3180 02:18:11,240 --> 02:18:13,400 AND ITS ASSOCIATION WITH A 3181 02:18:13,400 --> 02:18:15,560 NUMBER OF EVENTS P. ALL OF WHICH 3182 02:18:15,560 --> 02:18:17,440 WERE VERY HARD FOUGHT AND HARD 3183 02:18:17,440 --> 02:18:18,480 WON. 3184 02:18:18,480 --> 02:18:21,680 THRILLED THAT THE DOCTOR HAS 3185 02:18:21,680 --> 02:18:22,920 JOINED OUR BOARD BECAUSE THIS 3186 02:18:22,920 --> 02:18:24,040 CONTINUES TO BE A HUGE 3187 02:18:24,040 --> 02:18:30,000 CHALLENGE. 3188 02:18:30,000 --> 02:18:31,640 IT'S IMPORTANT TO NOTE THAT ONE 3189 02:18:31,640 --> 02:18:33,560 OF THE OUR BIGGEST AREAS OF 3190 02:18:33,560 --> 02:18:35,320 PROGRESS AGAINST CANCER IS THE 3191 02:18:35,320 --> 02:18:37,720 RESULT OF OUR PROGRESS IN 3192 02:18:37,720 --> 02:18:42,200 REDUCING TOBACCO USE. 3193 02:18:42,200 --> 02:18:44,200 AND THIS IS JUST PART OF THE PAY 3194 02:18:44,200 --> 02:18:44,600 OFF. 3195 02:18:44,600 --> 02:18:46,840 OFTEN TIMES WE TALK ABOUT THE 3196 02:18:46,840 --> 02:18:48,560 REDUCTION OF LUNG CANCER 3197 02:18:48,560 --> 02:18:49,240 MORTALITY. 3198 02:18:49,240 --> 02:18:50,840 AGAIN REDUCTION OF TOBACCO USE 3199 02:18:50,840 --> 02:18:54,760 BEING THE MAJOR DRIVER. 3200 02:18:54,760 --> 02:18:57,520 IMPROVEMENTS IN SURVIVAL AS A 3201 02:18:57,520 --> 02:18:58,840 RESULT OF THE ADVANCEMENTS IN 3202 02:18:58,840 --> 02:19:01,560 THERAPY. 3203 02:19:01,560 --> 02:19:03,160 BUT ALSO IMPORTANT TO SAY THAT'S 3204 02:19:03,160 --> 02:19:05,280 A NOT JUST A CANCER ISSUE. 3205 02:19:05,280 --> 02:19:08,840 MANY DIFFERENT CHRONIC ISSUES 3206 02:19:08,840 --> 02:19:13,920 ARE ASSOCIATED WITH TOBACCO USE. 3207 02:19:13,920 --> 02:19:17,600 FDA HAS PLAYED A KEY ROLE. 3208 02:19:17,600 --> 02:19:19,680 THE DEPARTMENT OF HEALTH AND 3209 02:19:19,680 --> 02:19:21,840 HUMAN SERVICES AND MANY OTHER 3210 02:19:21,840 --> 02:19:23,080 AGENCIES AS WELL. 3211 02:19:23,080 --> 02:19:25,040 I'VE GOT TO GIVE A SHOUT OUT TO 3212 02:19:25,040 --> 02:19:28,960 THE CDC ON SMOKING ON HEALTH. 3213 02:19:28,960 --> 02:19:31,280 THEY'VE BEEN CLOSE AND TIGHT 3214 02:19:31,280 --> 02:19:33,200 COLLABORATORS OVER THE YEARS AND 3215 02:19:33,200 --> 02:19:38,160 DONE REMARKABLE WORK AT THE CDC. 3216 02:19:38,160 --> 02:19:40,880 KEY CHALLENGES MOVING FORWARD. 3217 02:19:40,880 --> 02:19:43,800 QUICK AND SIMPLISTIC. 3218 02:19:43,800 --> 02:19:45,360 MOVING FORWARD AND GENERATING 3219 02:19:45,360 --> 02:19:48,720 THE EVIDENCE THE FDA NEEDS. 3220 02:19:48,720 --> 02:19:51,200 THERE ARE MANY AUTHORITIES AND 3221 02:19:51,200 --> 02:19:55,000 WE'VE WORKED CLOSELY WITH THEM 3222 02:19:55,000 --> 02:19:58,240 AND WE'VE BEEN THE BENEFICIARY 3223 02:19:58,240 --> 02:19:59,880 BECAUSE IT'S BEEN UNPRECEDENTED 3224 02:19:59,880 --> 02:20:05,600 THE AMOUNT OF MONEY THAT FDA HAS 3225 02:20:05,600 --> 02:20:07,400 TRANSFERRED OVER THAT FUND MANY 3226 02:20:07,400 --> 02:20:08,760 OF OUR GRANTS. 3227 02:20:08,760 --> 02:20:11,080 SO THERE HAS BEEN A SIGNIFICANT 3228 02:20:11,080 --> 02:20:14,320 INFLOW OF RESEARCH FUNDS NOT 3229 02:20:14,320 --> 02:20:17,720 PAID FOR BY NCI BUT BY THE FDA 3230 02:20:17,720 --> 02:20:19,200 AND THAT IS REALLY IMPORTANT TO 3231 02:20:19,200 --> 02:20:20,000 ACKNOWLEDGE. 3232 02:20:20,000 --> 02:20:21,000 BUT ONE OF THE AUTHORITIES THAT 3233 02:20:21,000 --> 02:20:23,920 THEY HAVE IS TO REDUCE NICOTINE 3234 02:20:23,920 --> 02:20:24,960 LEVELS IN TOBACCO PRODUCTS AND 3235 02:20:24,960 --> 02:20:27,560 THIS IS A REALLY CRITICAL ISSUE 3236 02:20:27,560 --> 02:20:29,440 MOVING FORWARD AND FOR THEM TO 3237 02:20:29,440 --> 02:20:30,880 EXERCISE THAT OPPORTUNITY OUR 3238 02:20:30,880 --> 02:20:32,240 RESEARCH COMMUNITY NEEDS TO 3239 02:20:32,240 --> 02:20:34,120 PROVIDE THE APPROPRIATE 3240 02:20:34,120 --> 02:20:34,400 EVIDENCE. 3241 02:20:34,400 --> 02:20:36,960 IMPROVING EFFICACY OF QUITTING 3242 02:20:36,960 --> 02:20:39,640 SMOKING. 3243 02:20:39,640 --> 02:20:44,040 WE FOLKED ON ADULTS BUT WE NEED 3244 02:20:44,040 --> 02:20:46,480 TO GET PEOPLE TO QUIT SOONER. 3245 02:20:46,480 --> 02:20:49,160 YOUTH AND TEENAGERS. 3246 02:20:49,160 --> 02:20:54,680 PEOPLE BECOME DEPENDENT QUICKLY. 3247 02:20:54,680 --> 02:20:56,560 CIGARETTE USE IN THE U.S. IS 3248 02:20:56,560 --> 02:20:59,040 LARGELY A RISK BEHAVIOR THAT IS 3249 02:20:59,040 --> 02:21:00,640 IN THE LESS EDUCATED AND 3250 02:21:00,640 --> 02:21:05,080 UNDERSERVED POPULATIONS AND THE 3251 02:21:05,080 --> 02:21:07,520 DEBATE AROUND ELECTRONIC 3252 02:21:07,520 --> 02:21:09,560 CIGARETTES IS STILL ONGOING. 3253 02:21:09,560 --> 02:21:13,040 I WANTED TO POINT OUT THIS. 3254 02:21:13,040 --> 02:21:15,240 THERE IS A LOT OF DISCUSSION ON 3255 02:21:15,240 --> 02:21:19,040 THIS TOPIC AND THAT IS OBESITY. 3256 02:21:19,040 --> 02:21:23,320 THIS ONE PARTICULAR PAPER THAT 3257 02:21:23,320 --> 02:21:26,440 HIGHLIGHTS THAT WHEN YOU LOOK AT 3258 02:21:26,440 --> 02:21:31,160 OVER-ALL CANCER TRENDS THE 3259 02:21:31,160 --> 02:21:33,000 MORTALITY REDUCTION HAVE BEEN IN 3260 02:21:33,000 --> 02:21:35,040 THE NONOBESITY ASSOCIATED 3261 02:21:35,040 --> 02:21:35,440 CANCERS. 3262 02:21:35,440 --> 02:21:40,280 IF YOU LOOK AT THE SUBSTANTIVE 3263 02:21:40,280 --> 02:21:43,480 CANCERS FOR OBESITY BEING A RISK 3264 02:21:43,480 --> 02:21:45,600 FACTOR YOU DON'T SEE THE SAME 3265 02:21:45,600 --> 02:21:46,040 PROGRESS. 3266 02:21:46,040 --> 02:21:49,200 AND THIS IS A TROUBLING SIGN 3267 02:21:49,200 --> 02:21:50,800 BECAUSE THESE MORTALITY RATES 3268 02:21:50,800 --> 02:21:53,200 ARE THE REPORT CARD ON THE WAR 3269 02:21:53,200 --> 02:21:54,240 ON CANCER. 3270 02:21:54,240 --> 02:21:55,640 THEY CHANGE SLOWLY AND 3271 02:21:55,640 --> 02:21:57,880 INFLUENCED OVER MANY YEARS. 3272 02:21:57,880 --> 02:22:00,320 SO THIS IS A RED FLAG FOR ALL OF 3273 02:22:00,320 --> 02:22:02,160 US MOVING FORWARD. 3274 02:22:02,160 --> 02:22:05,040 THE THREAT OF OBESITY AND 3275 02:22:05,040 --> 02:22:06,360 CHALLENGING OUR PROGRESS AGAINST 3276 02:22:06,360 --> 02:22:09,040 CANCER. 3277 02:22:09,040 --> 02:22:13,800 ONE OF THE AREAS OF MINE ARE MY 3278 02:22:13,800 --> 02:22:16,560 OWN FOCUS IS BUILDING UP AND 3279 02:22:16,560 --> 02:22:18,960 ENHANCING THE RESEARCH 3280 02:22:18,960 --> 02:22:20,800 INFRASTRUCTURE FOR POPULATION 3281 02:22:20,800 --> 02:22:23,080 SCIENCE IN THE U.S. 3282 02:22:23,080 --> 02:22:26,280 THE ESSENTIAL INFRASTRUCTURE FOR 3283 02:22:26,280 --> 02:22:27,360 POPULATION SCIENCE. 3284 02:22:27,360 --> 02:22:30,640 I COULD SPEND A WHOLE TALK JUST 3285 02:22:30,640 --> 02:22:35,080 TALKING ABOUT EPIDEMIOLOGY 3286 02:22:35,080 --> 02:22:36,040 CONSORTIA. 3287 02:22:36,040 --> 02:22:38,840 SEVERAL YEARS AGO -- THE 3288 02:22:38,840 --> 02:22:41,040 VISIONARIES IN THE FORMATION OF 3289 02:22:41,040 --> 02:22:44,200 MANY THESE CONSORTIA. 3290 02:22:44,200 --> 02:22:46,200 THEY'VE BEEN A MODEL OF 3291 02:22:46,200 --> 02:22:47,760 COLLABORATION AND DATA SHARING 3292 02:22:47,760 --> 02:22:50,280 AND ENABLING AND PROVIDING THE 3293 02:22:50,280 --> 02:22:54,680 STATISTICAL POWER FOR MOLECULAR 3294 02:22:54,680 --> 02:22:55,280 EPIDEMIOLOGY. 3295 02:22:55,280 --> 02:22:57,080 AND RISK FACTORS. 3296 02:22:57,080 --> 02:22:59,240 SO I WON'T GO INTO THIS IN 3297 02:22:59,240 --> 02:22:59,840 DETAIL. 3298 02:22:59,840 --> 02:23:01,600 WE COULD COME BACK TO THIS BUT 3299 02:23:01,600 --> 02:23:04,240 TWO OF THE PROGRAM ANNOUNCEMENTS 3300 02:23:04,240 --> 02:23:07,880 RELATE TO THE EPIDEMIOLOGY 3301 02:23:07,880 --> 02:23:09,440 COHORTS WHICH HAS BEEN AN 3302 02:23:09,440 --> 02:23:11,840 ESSENTIAL INFRASTRUCTURE AND 3303 02:23:11,840 --> 02:23:14,320 WILL BE ON -- AN ONGOING BASES 3304 02:23:14,320 --> 02:23:17,240 FOR CANCER RESEARCH. 3305 02:23:17,240 --> 02:23:20,080 CANCER SURVEILLANCE WE'VE MADE 3306 02:23:20,080 --> 02:23:24,840 REMARKABLE PROGRESS. 3307 02:23:24,840 --> 02:23:28,640 THERE WERE SOME UPDATES. 3308 02:23:28,640 --> 02:23:31,080 ONE OF MY OWN GOALS AS DIRECTOR 3309 02:23:31,080 --> 02:23:34,240 OF CANCER CONTROL WAS THAT BY 3310 02:23:34,240 --> 02:23:37,600 THE 50th ANNIVERSARY OF THE 3311 02:23:37,600 --> 02:23:44,720 NATIONAL CANCER ACT WOULD -- WE 3312 02:23:44,720 --> 02:23:47,680 WOULD EXPAND AND WE BARELY MADE 3313 02:23:47,680 --> 02:23:48,520 IT. 3314 02:23:48,520 --> 02:23:50,360 THAT IS IMPORTANT. 3315 02:23:50,360 --> 02:23:58,520 FROM A SCIENTIFIC PERSPECTIVE. 3316 02:23:58,520 --> 02:24:00,040 PARTICULARLY WITH ETHNIC 3317 02:24:00,040 --> 02:24:02,160 MINORITY POPULATIONS AND 3318 02:24:02,160 --> 02:24:02,880 SUBPOPULATIONS. 3319 02:24:02,880 --> 02:24:05,920 THIS IS IS A CURRENT MAP OF 3320 02:24:05,920 --> 02:24:07,080 SEER. 3321 02:24:07,080 --> 02:24:16,560 WE HAVE TWO TIERS OF CONTRACTS. 3322 02:24:16,560 --> 02:24:18,360 THESE ARE THE LIGHT BLUE REGIONS 3323 02:24:18,360 --> 02:24:19,760 ON THE MAP. 3324 02:24:19,760 --> 02:24:21,520 SMALL CONTRACTS BUT THAT PUT IN 3325 02:24:21,520 --> 02:24:26,440 PLACE A MECHANISM THAT THEN 3326 02:24:26,440 --> 02:24:30,000 ENABLE THESE SCIENTISTSES TO PAR 3327 02:24:30,000 --> 02:24:31,320 ---- PETITION AND I HAVE TO GIVE 3328 02:24:31,320 --> 02:24:36,240 A SHOUT OUT TO THE CDC. 3329 02:24:36,240 --> 02:24:38,200 THEY'VE BEEN A GREAT 3330 02:24:38,200 --> 02:24:40,840 COLLABORATOR AND THEIR 3331 02:24:40,840 --> 02:24:48,320 PARTICIPATION. 3332 02:24:48,320 --> 02:24:52,840 SOME OF THE STATES ADDED 3333 02:24:52,840 --> 02:24:53,760 DIVERSIFY. 3334 02:24:53,760 --> 02:25:00,120 THE STATE OF TEXAS -- THIS 3335 02:25:00,120 --> 02:25:01,800 SUMMARIZES WHAT HAS BEEN 3336 02:25:01,800 --> 02:25:03,560 DISCUSSED AT PREVIOUS BOARD 3337 02:25:03,560 --> 02:25:04,000 MEMBERS. 3338 02:25:04,000 --> 02:25:06,720 BUT MANY OF THE SCIENTIFIC 3339 02:25:06,720 --> 02:25:10,600 REASONS WHY EXPANDING SEER IS SO 3340 02:25:10,600 --> 02:25:10,840 IMPORTANT. 3341 02:25:10,840 --> 02:25:11,440 THIS IS ONE. 3342 02:25:11,440 --> 02:25:14,800 7 AND I THINK -- THIS CONTINUES 3343 02:25:14,800 --> 02:25:20,760 TO BE UNDER A R -- APPRECIATED. 3344 02:25:20,760 --> 02:25:23,280 * AND THE SIGNIFICANT 3345 02:25:23,280 --> 02:25:24,760 DEMOGRAPHIC CHANGE HAPPENING IN 3346 02:25:24,760 --> 02:25:27,400 THE UNITED STATES TODAY AND THIS 3347 02:25:27,400 --> 02:25:29,280 EXAMPLE OF THE PERCENT OF GROWTH 3348 02:25:29,280 --> 02:25:31,440 OF THE U.S. LATINO POPULATION 3349 02:25:31,440 --> 02:25:33,720 DESERVES MORE ATTENTION FROM THE 3350 02:25:33,720 --> 02:25:34,640 SCIENTIFIC COMMUNITY. 3351 02:25:34,640 --> 02:25:37,480 WE ARE LAGGING BEHIND IN TERMS 3352 02:25:37,480 --> 02:25:40,440 OF GENERATING THE SUBPOPULATION 3353 02:25:40,440 --> 02:25:41,200 RELEVANT EVIDENCE. 3354 02:25:41,200 --> 02:25:42,840 NOT ONLY FOR THE LATINO 3355 02:25:42,840 --> 02:25:44,640 POPULATION AS A WHOLE BUT FOR 3356 02:25:44,640 --> 02:25:48,440 THE MANY SUBPOPULATIONS. 3357 02:25:48,440 --> 02:25:50,440 AND THE COMPLEXITIES OF 3358 02:25:50,440 --> 02:25:54,840 UNDERSTANDING THE GET NETTEDIC 3359 02:25:54,840 --> 02:25:56,440 EPIDEMIOLOGY. 3360 02:25:56,440 --> 02:25:57,400 *. 3361 02:25:57,400 --> 02:25:59,240 THIS SHOWS THE PROGRESS WE'VE 3362 02:25:59,240 --> 02:26:01,040 MADE IN FILLING IN THESE GAPS 3363 02:26:01,040 --> 02:26:02,600 AND THIS IS GOING TO BE A 3364 02:26:02,600 --> 02:26:04,600 CRITICAL PLATFORM FOR HEALTH 3365 02:26:04,600 --> 02:26:05,640 DISPARITY RESEARCH MOVING 3366 02:26:05,640 --> 02:26:06,240 FORWARD. 3367 02:26:06,240 --> 02:26:08,880 IF YOU LOOK IN THE BOTTOM RIGHT 3368 02:26:08,880 --> 02:26:12,280 WE'VE REALLY EXPANDED THE 3369 02:26:12,280 --> 02:26:13,760 HISPANIC REASON ROLEMENT. 3370 02:26:13,760 --> 02:26:21,040 ALSO IN THE ASIAN POPULATION. 3371 02:26:21,040 --> 02:26:22,920 IT'S UNDERGONE A SIGNIFICANT 3372 02:26:22,920 --> 02:26:23,320 CHANGE. 3373 02:26:23,320 --> 02:26:25,040 THIS IS NEW. 3374 02:26:25,040 --> 02:26:27,320 THIS IS JUST BEING BUILT AND 3375 02:26:27,320 --> 02:26:28,840 EXPANDED OVER THE NEXT YEAR. 3376 02:26:28,840 --> 02:26:31,800 THIS IS AN ENABLER FOR 3377 02:26:31,800 --> 02:26:33,560 POPULATION SCIENCE RESEARCH 3378 02:26:33,560 --> 02:26:38,840 MOVING FORWARD. 3379 02:26:38,840 --> 02:26:41,400 SURVEILLANCE IS JUST NOT ABOUT 3380 02:26:41,400 --> 02:26:42,960 CANCER INCIDENT SURVEILLANCE. 3381 02:26:42,960 --> 02:26:45,040 OUR SURVEILLANCE PROGRAM GOES 3382 02:26:45,040 --> 02:26:47,160 WELL BEYOND CANCER INCIDENTS. 3383 02:26:47,160 --> 02:26:50,240 FOR EXAMPLE WE LEAD OR COSPONSOR 3384 02:26:50,240 --> 02:26:51,360 MANY NATIONAL SURVEYS. 3385 02:26:51,360 --> 02:26:54,840 THESE ARE CRITICAL COMPONENTS. 3386 02:26:54,840 --> 02:26:57,160 AS WE'VE SEEN DURING THE COVID 3387 02:26:57,160 --> 02:27:00,400 EPIDEMIC. 3388 02:27:00,400 --> 02:27:03,120 WE'VE MONITORED AT A NATIONAL 3389 02:27:03,120 --> 02:27:05,240 LEVEL WHAT THE PUBLIC THINKS AND 3390 02:27:05,240 --> 02:27:06,880 KNOWS AND THEIR MYTHS ABOUT 3391 02:27:06,880 --> 02:27:07,760 CANCER. 3392 02:27:07,760 --> 02:27:10,200 AND THIS IS REALLY ESSENTIAL 3393 02:27:10,200 --> 02:27:12,240 INFORMATION AS WE MONITOR AND 3394 02:27:12,240 --> 02:27:14,920 DEVELOP STRATEGIES FOR CANCER 3395 02:27:14,920 --> 02:27:17,160 CONTROLLED INTERVENTION AND 3396 02:27:17,160 --> 02:27:20,040 COMMUNICATE WITH THE PUBLIC. 3397 02:27:20,040 --> 02:27:23,920 ONE OF MY OWN PRIORITIES AND 3398 02:27:23,920 --> 02:27:27,040 SOME PEOPLE HAVE ACCUSED ME OF 3399 02:27:27,040 --> 02:27:27,600 BIAS. 3400 02:27:27,600 --> 02:27:30,400 BECAUSE I COME FROM TWO CANCER 3401 02:27:30,400 --> 02:27:34,360 CENTERS PREVIOUSLY WORKING AT 3402 02:27:34,360 --> 02:27:38,840 HUNTSMAN CANCER INSTITUTE -- 3403 02:27:38,840 --> 02:27:43,560 SEVERAL FOCUS ON LEVERAGING AND 3404 02:27:43,560 --> 02:27:45,760 ALSO FOR CANCER CONTROL AND 3405 02:27:45,760 --> 02:27:46,720 COMMUNITY ENGAGEMENT. 3406 02:27:46,720 --> 02:27:49,680 SO I WANT TO SPEND A FEW MINUTES 3407 02:27:49,680 --> 02:27:54,120 ON THAT ISSUE. 3408 02:27:54,120 --> 02:27:56,640 ONE OF THE THINGS THAT I CHOSE 3409 02:27:56,640 --> 02:27:59,720 TO DO -- IS TO REALLY FOCUS ON 3410 02:27:59,720 --> 02:28:01,520 THE OUTED SITUATION OF CANCER 3411 02:28:01,520 --> 02:28:03,280 CENTER SUPPLEMENTS AS A 3412 02:28:03,280 --> 02:28:05,080 MECHANISM TO CATALYZE NEW AREAS 3413 02:28:05,080 --> 02:28:08,120 OF RESEARCH. 3414 02:28:08,120 --> 02:28:12,600 AND I BELIEVE THAT THIS HAS BEEN 3415 02:28:12,600 --> 02:28:13,840 REALLY SUCCESSFUL. 3416 02:28:13,840 --> 02:28:18,320 OFTEN TIMES THESE ARE $100,000 3417 02:28:18,320 --> 02:28:20,040 VERY SMALL P30 SUPPLEMENTS. 3418 02:28:20,040 --> 02:28:22,000 THEY'VE HAD A TRANSFORMATIVE 3419 02:28:22,000 --> 02:28:23,280 IMPACT ON GROWING A NUMBER OF 3420 02:28:23,280 --> 02:28:26,960 AREAS OF CRITICAL RESEARCH. 3421 02:28:26,960 --> 02:28:28,760 THIS SLIDE SHOWS THE TOPIC AREAS 3422 02:28:28,760 --> 02:28:31,280 WHERE WE'VE DIN CANCER CENTER 3423 02:28:31,280 --> 02:28:32,360 SUPPLEMENT INITIATIVES. 3424 02:28:32,360 --> 02:28:34,360 AND SO THESE ARE ALL DESCRIBED 3425 02:28:34,360 --> 02:28:36,160 IN MUCH BETTER DETAIL ON OUR 3426 02:28:36,160 --> 02:28:37,680 WEBSITE AND YOU CAN GET MORE 3427 02:28:37,680 --> 02:28:39,040 INFORMATION ABOUT THESE SO I'M 3428 02:28:39,040 --> 02:28:41,840 GOING TO MENTION A COUPLE OF 3429 02:28:41,840 --> 02:28:42,800 THESE. 3430 02:28:42,800 --> 02:28:46,520 THEY REALLY ENERGIZED WORK AND 3431 02:28:46,520 --> 02:28:48,320 EFFORT AT CANCER CENTERS IN 3432 02:28:48,320 --> 02:28:53,760 THESE DOMAINS. 3433 02:28:53,760 --> 02:29:00,000 ONE EXAMPLE THAT WAS TIMED TO 3434 02:29:00,000 --> 02:29:00,960 COINCIDE WITH THE REQUIREMENT IN 3435 02:29:00,960 --> 02:29:04,560 THE CANCER CENTERS WHICH I ALSO 3436 02:29:04,560 --> 02:29:07,200 BELIEVE HAS BEEN HAS HAD A 3437 02:29:07,200 --> 02:29:09,840 TRANSFORMATIVE IMPACT IS ONE ON 3438 02:29:09,840 --> 02:29:12,640 HPV VACCINATIONS. 3439 02:29:12,640 --> 02:29:16,440 THIS ALSO LED TO A LOT OF MORE 3440 02:29:16,440 --> 02:29:17,520 COLLABORATION AND NATIONAL 3441 02:29:17,520 --> 02:29:19,280 CONSORTIA AND GENERATED PILOT 3442 02:29:19,280 --> 02:29:22,320 WORK THAT LED TO A NUMBER OF NEW 3443 02:29:22,320 --> 02:29:24,440 GRANT AWARDS AND GREATLY 3444 02:29:24,440 --> 02:29:26,680 EXPANDED OUR RESEARCH PORTFOLIO 3445 02:29:26,680 --> 02:29:30,680 RELATED TO HPV RELATED CANCERS 3446 02:29:30,680 --> 02:29:33,240 THESE ARE JUST SOME EXAMPLES OF 3447 02:29:33,240 --> 02:29:35,080 THINGS THAT GREW OUT OF THESE 3448 02:29:35,080 --> 02:29:38,240 SUPPLEMENTS INCLUDING THE FIRST 3449 02:29:38,240 --> 02:29:42,040 EVER NATIONAL STATEMENT CO-KIND 3450 02:29:42,040 --> 02:29:44,920 BY EVERY DIRECTOR. 3451 02:29:44,920 --> 02:29:48,960 THE IMPACT OFF PROGRAMS AT THE 3452 02:29:48,960 --> 02:29:52,040 STATE AND LOCAL LEVEL CANNOT BE 3453 02:29:52,040 --> 02:29:53,160 UNDERESTIMATED. 3454 02:29:53,160 --> 02:29:54,120 ADDING THAT LANGUAGE ON 3455 02:29:54,120 --> 02:29:55,640 COMMUNITY OUTREACH AND 3456 02:29:55,640 --> 02:29:57,680 ENGAGEMENT TO THE GUIDELINES WAS 3457 02:29:57,680 --> 02:29:58,240 CRITICAL. 3458 02:29:58,240 --> 02:30:00,840 BECAUSE OUR CANCER CENTERS ARE 3459 02:30:00,840 --> 02:30:02,800 STEP SOMETHING UP IN NEW WAYS IN 3460 02:30:02,800 --> 02:30:05,360 TERMS OF IMPACT ON THEIR LOCAL 3461 02:30:05,360 --> 02:30:08,360 COMMUNITIES IN A WAY THAT HAS 3462 02:30:08,360 --> 02:30:11,040 NEVER HAPPENED BEFORE. 3463 02:30:11,040 --> 02:30:14,040 ANOTHER EXAMPLE THAT DINA TALKED 3464 02:30:14,040 --> 02:30:19,560 ABOUT -- WAS THIS INITIATIVE. 3465 02:30:19,560 --> 02:30:24,480 AMONG THE ONES THAT WAS FUNDED 3466 02:30:24,480 --> 02:30:26,320 BY THE CANCER MOONSHOT. 3467 02:30:26,320 --> 02:30:29,040 IT'S MUCH LARGER IN SCALE IN 3468 02:30:29,040 --> 02:30:30,800 TERMS OF NUMBER OF AWARDS. 3469 02:30:30,800 --> 02:30:34,640 BUT ADDRESSING A HUGE PROBLEM 3470 02:30:34,640 --> 02:30:38,240 WHICH I THINK WAS A CHRONIC 3471 02:30:38,240 --> 02:30:41,120 EMBARRASSMENT TO THE NCI AND THE 3472 02:30:41,120 --> 02:30:42,320 CANCER COMMUNITY. 3473 02:30:42,320 --> 02:30:44,360 UNTIL RECENTLY MANY OUR CANCER 3474 02:30:44,360 --> 02:30:48,240 CENTERS WERE NOT ASSESSING OR 3475 02:30:48,240 --> 02:30:51,520 PROVIDING CESSATION SERVICES TO 3476 02:30:51,520 --> 02:30:55,440 THEIR CANCER PATIENTS. 3477 02:30:55,440 --> 02:30:59,200 AND I CAN GIVE SHOUT OUTS TO OUR 3478 02:30:59,200 --> 02:31:02,280 ADVISORY BOARDS FOR CATEGORIZING 3479 02:31:02,280 --> 02:31:08,240 THIS. 3480 02:31:08,240 --> 02:31:10,800 SAYING IF YOU WANT A MOONSHOT 3481 02:31:10,800 --> 02:31:13,000 HOW ABOUT MAKING SURE THE 3482 02:31:13,000 --> 02:31:16,200 SMOKERS WITH CANCER THAT WE'RE 3483 02:31:16,200 --> 02:31:23,080 TREATING GET SESSIONATION 3484 02:31:23,080 --> 02:31:23,840 SERVICES. 3485 02:31:23,840 --> 02:31:24,440 *. 3486 02:31:24,440 --> 02:31:26,320 THE MOONSHOT FUNDING HAS ENDED 3487 02:31:26,320 --> 02:31:28,520 AND NOW THE BALL SITS WITH THE 3488 02:31:28,520 --> 02:31:30,640 CANCER CENTERS AND IT'S UP TO 3489 02:31:30,640 --> 02:31:32,640 OUR DIRECTOR'S COMMUNITY TO 3490 02:31:32,640 --> 02:31:35,040 SUSTAIN THESE CLINICAL SERVICES 3491 02:31:35,040 --> 02:31:37,840 THAT WERE FIRST PILOTED THROUGH 3492 02:31:37,840 --> 02:31:41,480 RESEARCH FUNDS. 3493 02:31:41,480 --> 02:31:43,040 THIS SHOWS YOU JUST ONE MEASURE 3494 02:31:43,040 --> 02:31:46,360 OF THE IMPACT OF THIS SUPPLEMENT 3495 02:31:46,360 --> 02:31:48,160 INITIATIVE. 3496 02:31:48,160 --> 02:31:50,600 OVER 63,000 CANCER PATIENTS 3497 02:31:50,600 --> 02:31:52,760 REACHED THROUGH THE PROGRAMS. 3498 02:31:52,760 --> 02:31:54,640 A REMARKABLE ACCOMPLISHMENT OF 3499 02:31:54,640 --> 02:31:56,200 ALL OF THE CENTERS WHO 3500 02:31:56,200 --> 02:31:57,360 PARTICIPATED. 3501 02:31:57,360 --> 02:31:59,160 SO THINGS ARE CHANGING FOLKS. 3502 02:31:59,160 --> 02:32:01,640 BUT WE STILL HAVE A WAYS TO GO 3503 02:32:01,640 --> 02:32:04,040 BECAUSE NOW WE NEED TO 3504 02:32:04,040 --> 02:32:05,480 INSTITUTIONALIZE THESE IN THE 3505 02:32:05,480 --> 02:32:07,920 CLINICAL SERVICE LINES OF EVERY 3506 02:32:07,920 --> 02:32:12,800 CANCER CENTER. 3507 02:32:12,800 --> 02:32:14,040 AND THIS AGAIN HIGHLIGHTS THE 3508 02:32:14,040 --> 02:32:17,120 FACT THAT IN THIS LAST YEAR WE 3509 02:32:17,120 --> 02:32:20,520 HAVE PROVIDED FUNDING TO THE -- 3510 02:32:20,520 --> 02:32:22,080 WISCONSIN -- THEY HAVE ONE YEAR 3511 02:32:22,080 --> 02:32:24,760 OF FUNDING LEFT TO A 'EM BELL 3512 02:32:24,760 --> 02:32:26,680 AND AGGREGATE AND DISSIM SENATE 3513 02:32:26,680 --> 02:32:29,880 THESE LESSONS * LEARNED AND THEY 3514 02:32:29,880 --> 02:32:31,680 WILL BE PROVIDING TOOLS FOR 3515 02:32:31,680 --> 02:32:33,720 EVERY CANCER CENTER. 3516 02:32:33,720 --> 02:32:37,440 FOR EVERY CANCER CENTER IN THE 3517 02:32:37,440 --> 02:32:39,560 NATION TO IMPLEMENT SIMILAR 3518 02:32:39,560 --> 02:32:40,160 PROGRAMS. 3519 02:32:40,160 --> 02:32:43,520 *. 3520 02:32:43,520 --> 02:32:46,560 AND HERE IS ONE THAT MAYBE YOU 3521 02:32:46,560 --> 02:32:48,440 WERE NOT EXPECTING. 3522 02:32:48,440 --> 02:32:55,880 A COUPLE OF TOPICS BEFORE 3523 02:32:55,880 --> 02:32:56,400 DISCUSSION. 3524 02:32:56,400 --> 02:33:00,920 I'M A COUPLE OF WEEKS AWAY FROM 3525 02:33:00,920 --> 02:33:02,720 RETIRING IN NIH. 3526 02:33:02,720 --> 02:33:05,040 WHAT IS THE BIG HANGING CHAD 3527 02:33:05,040 --> 02:33:06,080 RELATIVE TO CANCER. 3528 02:33:06,080 --> 02:33:10,600 THE FACT THAT WE'RE DOING WAY 3529 02:33:10,600 --> 02:33:15,160 WAY TOO LITTLE IN THE -- SCIENCE 3530 02:33:15,160 --> 02:33:17,840 OF UNDERSTANDING CANNABIS. 3531 02:33:17,840 --> 02:33:20,520 THE IMPACT IN CANCER PATIENTS SO 3532 02:33:20,520 --> 02:33:22,440 I'M GOING TO LEAVE WITH YOU A 3533 02:33:22,440 --> 02:33:23,840 PITCH HERE AND TELL YOU HOW 3534 02:33:23,840 --> 02:33:25,480 WE'RE JUST GETTING STARTED IN 3535 02:33:25,480 --> 02:33:32,720 THIS AREA AND RAMPING UP. 3536 02:33:32,720 --> 02:33:37,280 WE ARE UNDERGOING A MASSIVE 3537 02:33:37,280 --> 02:33:38,040 UNCONTROLLED HEALTH EXPERIENCE 3538 02:33:38,040 --> 02:33:39,960 IN THE UNITED STATES OF AMERICA 3539 02:33:39,960 --> 02:33:42,960 WITH THE CHANGE IN CANNABIS 3540 02:33:42,960 --> 02:33:43,560 POLICIES. 3541 02:33:43,560 --> 02:33:46,560 AND WE HARDLY HAVE A CLUE ABOUT 3542 02:33:46,560 --> 02:33:48,120 THE HEALTH IMPACT OF WHAT WE'RE 3543 02:33:48,120 --> 02:33:52,640 DOING. 3544 02:33:52,640 --> 02:33:56,000 THIS IS CHANGED AGAIN IN THE 3545 02:33:56,000 --> 02:33:58,000 LAST FALL ELECTIONS IN SOME 3546 02:33:58,000 --> 02:33:59,960 STATES BUT SHOWING YOU THE MAST 3547 02:33:59,960 --> 02:34:01,840 MASSIVE POLICY CHANGE THAT THE 3548 02:34:01,840 --> 02:34:03,800 NATION HAS UNDERGONE. 3549 02:34:03,800 --> 02:34:07,240 IN TERMS OF ACCESS TO CANNABIS. 3550 02:34:07,240 --> 02:34:10,320 NOT ONLY MEDICAL BUT BROAD 3551 02:34:10,320 --> 02:34:12,000 PUBLIC AND RECREATIONAL USE AND 3552 02:34:12,000 --> 02:34:14,840 A LOT OF STATE LEGISLATORS HAVE 3553 02:34:14,840 --> 02:34:16,840 BEEN FRUSTRATED WITH NIH BECAUSE 3554 02:34:16,840 --> 02:34:20,520 EVERY TIME A STATE LEGS TOUR 3555 02:34:20,520 --> 02:34:24,720 DEBATE THESE * POLICIES THEY SAY 3556 02:34:24,720 --> 02:34:25,880 SHOW US THE EVIDENCE. 3557 02:34:25,880 --> 02:34:28,000 WE HAVE TO SHRUG OUR SHOULDERS 3558 02:34:28,000 --> 02:34:29,800 AND SAY IT'S A WORK IN PROGRESS. 3559 02:34:29,800 --> 02:34:31,560 THERE IS A LOT THAT WE DON'T 3560 02:34:31,560 --> 02:34:32,000 KNOW. 3561 02:34:32,000 --> 02:34:34,920 SO WE'RE NOT DOING OUR DUTY IN 3562 02:34:34,920 --> 02:34:37,120 INFORMING POLICY MAKERS ABOUT 3563 02:34:37,120 --> 02:34:38,960 UNDERSTANDING THE IMPACT OF 3564 02:34:38,960 --> 02:34:42,640 CANNABIS USE. 3565 02:34:42,640 --> 02:34:44,240 THIS ILLUSTRATES IT FROM A 3566 02:34:44,240 --> 02:34:45,600 PUBLIC HEALTH PERSPECTIVE. 3567 02:34:45,600 --> 02:34:47,720 THIS IS FROM THE MONITORING THE 3568 02:34:47,720 --> 02:34:52,520 FUTURE STUDY THAT HNIDA RUNS: 3569 02:34:52,520 --> 02:34:55,360 THEY SURVEYED 12th GRADERS. 3570 02:34:55,360 --> 02:34:57,160 LOOK AT THE PROGRESS WE'VE MADE 3571 02:34:57,160 --> 02:35:00,160 IN TERMS OF REDUCTION OF 3572 02:35:00,160 --> 02:35:01,200 CIGARETTE USE. 3573 02:35:01,200 --> 02:35:06,400 A REMARKABLE ACCOMPLISHMENT. 3574 02:35:06,400 --> 02:35:08,720 BUT CANNABIS USING NOW DOUBLE 3575 02:35:08,720 --> 02:35:10,640 CIGARETTE USE IN HIGH SCHOOL 3576 02:35:10,640 --> 02:35:11,240 SENIORS. 3577 02:35:11,240 --> 02:35:13,600 THINK OF THE WEALTH OF EVIDENCE 3578 02:35:13,600 --> 02:35:15,680 WE HAVE ABOUT TOBACCO CONTROL IN 3579 02:35:15,680 --> 02:35:18,040 THE UNITED STATES AND ALL OF THE 3580 02:35:18,040 --> 02:35:21,360 AGENCIES WITH PROGRAMS FOCUSED 3581 02:35:21,360 --> 02:35:25,000 ON TOBACCO CONTROL AND MARIJUANA 3582 02:35:25,000 --> 02:35:27,560 USE IN SENIORS IS DOUBLE THAT OF 3583 02:35:27,560 --> 02:35:30,040 TOBACCO USE. 3584 02:35:30,040 --> 02:35:34,040 AND YOU LOOK AT VAPING -- 3585 02:35:34,040 --> 02:35:37,240 RADICAL INCREASES IN VAPING. 3586 02:35:37,240 --> 02:35:40,040 YOU'VE HEARD BEFORE VAPING 3587 02:35:40,040 --> 02:35:43,440 CIGARETTES AND THE JULEP 3588 02:35:43,440 --> 02:35:45,960 DEMOCRATIC. 3589 02:35:45,960 --> 02:35:59,480 VAPING IS A * HUGE ISSUE. 3590 02:36:01,600 --> 02:36:04,040 SO WE DID A CANCER CENTER 3591 02:36:04,040 --> 02:36:05,240 SUPPLEMENT. 3592 02:36:05,240 --> 02:36:07,760 KIND OF PUSHING THE INVOLVEMENT 3593 02:36:07,760 --> 02:36:09,200 NUDGING OUR RESEARCH COMMUNITY 3594 02:36:09,200 --> 02:36:11,640 AND ONE OF THE REASONS I'VE DONE 3595 02:36:11,640 --> 02:36:14,400 THESE SUPPLEMENTS IS TO GRAB ALL 3596 02:36:14,400 --> 02:36:17,160 OF THE CANCER CENTER DIRECTORS 3597 02:36:17,160 --> 02:36:18,640 TOGETHER AND SAY PAY ATTENTION. 3598 02:36:18,640 --> 02:36:19,880 BECAUSE THIS IS SOMETHING THAT 3599 02:36:19,880 --> 02:36:22,320 WE ALSO MAY CONSIDER FOR FUTURE 3600 02:36:22,320 --> 02:36:23,040 NCI FUNDING 3601 02:36:23,040 --> 02:36:31,040 7 SO, ITS ALSO TRYING TO 3602 02:36:31,040 --> 02:36:32,840 INCREASE ATTENTION IN OUR 3603 02:36:32,840 --> 02:36:34,400 RESEARCH COMMUNITY TO AN ISSUE 3604 02:36:34,400 --> 02:36:37,920 AND SO WE AWARDED 12 CANCER 3605 02:36:37,920 --> 02:36:40,240 CENTER SUPPLEMENTS TO FOCUS ON 3606 02:36:40,240 --> 02:36:43,080 ONE SUBSET ISSUE AND THAT IS 3607 02:36:43,080 --> 02:36:47,440 CANNABIS USE AMONG CANCER 3608 02:36:47,440 --> 02:36:47,880 PATIENTS. 3609 02:36:47,880 --> 02:36:49,840 AND IN THE NEXT FEW MONTHS WE'RE 3610 02:36:49,840 --> 02:36:53,640 GOING TO GET A NEW WAVE OF DATA. 3611 02:36:53,640 --> 02:36:55,400 I'VE SEEN SOME OF THE DATA MUCH 3612 02:36:55,400 --> 02:36:56,560 IS NOT PUBLISHED. 3613 02:36:56,560 --> 02:36:58,440 SO TAKE THIS WITH A GRAIN OF 3614 02:36:58,440 --> 02:37:00,520 SALT BUT IN GENERAL I THINK WE 3615 02:37:00,520 --> 02:37:02,640 CAN SAY THAT ROUGHLY BASED ON 3616 02:37:02,640 --> 02:37:03,560 STUDIES THAT HAVE BEEN COMPLETED 3617 02:37:03,560 --> 02:37:09,920 SO FAR AS MANY AS 25% OF ALL OF 3618 02:37:09,920 --> 02:37:12,320 OUR CANCER PATIENTS IN THE 3619 02:37:12,320 --> 02:37:14,440 NATION WE THINK MAY BE USING 3620 02:37:14,440 --> 02:37:15,200 CANNABIS. 3621 02:37:15,200 --> 02:37:19,000 THAT IS A MASSIVE UNCONTROLLED 3622 02:37:19,000 --> 02:37:21,200 EXPOSURE FOR CANCER PATIENTS AND 3623 02:37:21,200 --> 02:37:23,160 AGAIN WE NEED TO UNDERSTAND THIS 3624 02:37:23,160 --> 02:37:27,840 A LOT BETTER. 3625 02:37:27,840 --> 02:37:32,600 SO NCI HELD ITS FIRST CANNABIS 3626 02:37:32,600 --> 02:37:33,240 WORKSHOP. 3627 02:37:33,240 --> 02:37:35,560 WE FUNDED THE SUPPLEMENTS TO TRY 3628 02:37:35,560 --> 02:37:37,440 TO DRAW ATTENTION TO THIS AREA 3629 02:37:37,440 --> 02:37:39,440 AND CATALYZE PLANNING AND 3630 02:37:39,440 --> 02:37:40,040 RESEARCH TEAMS. 3631 02:37:40,040 --> 02:37:41,840 WE ARE DISCUSSING THE 3632 02:37:41,840 --> 02:37:44,560 POSSIBILITY OF SOME TYPE OF 3633 02:37:44,560 --> 02:37:45,400 CONCEPT IN THE FUTURE BUT THAT 3634 02:37:45,400 --> 02:37:50,440 IS UP TO MY SUCCESSOR. 3635 02:37:50,440 --> 02:37:53,320 AS I STEP DOWN AND WE ARE REALLY 3636 02:37:53,320 --> 02:37:55,440 WORKING CLOSELY WITH OTHER 3637 02:37:55,440 --> 02:37:57,880 AGENCIES AND NIH AND HHS ON THIS 3638 02:37:57,880 --> 02:38:00,440 ISSUE BECAUSE OUR SURVEILLANCE 3639 02:38:00,440 --> 02:38:03,280 OF MARIJUANA USING VERY POOR 3640 02:38:03,280 --> 02:38:05,400 BECAUSE IT'S REALLY HARD TO GET 3641 02:38:05,400 --> 02:38:07,840 GOOD ACCURATE SELF-REPORT DATA. 3642 02:38:07,840 --> 02:38:09,240 YOU ASK PEOPLE WHAT PRODUCTS 3643 02:38:09,240 --> 02:38:10,080 THEY ARE USING. 3644 02:38:10,080 --> 02:38:12,760 WHAT IS THE THC CONTENT. 3645 02:38:12,760 --> 02:38:15,240 HALF THE TIME THEY DON'T KNOW. 3646 02:38:15,240 --> 02:38:17,240 USING SPORADIC. 3647 02:38:17,240 --> 02:38:20,000 I DON'T USE ANYTHING DURING THE 3648 02:38:20,000 --> 02:38:21,160 WORK. 3649 02:38:21,160 --> 02:38:24,240 BUT I DO ON THE WEEKEND. 3650 02:38:24,240 --> 02:38:27,320 REALLY TOUGH. 3651 02:38:27,320 --> 02:38:29,240 WHAT IS THE GREATEST CHALLENGE. 3652 02:38:29,240 --> 02:38:31,560 NOW I'M LEAVING I CAN TALK ABOUT 3653 02:38:31,560 --> 02:38:33,720 POLICY. 3654 02:38:33,720 --> 02:38:36,960 DEA SCHEDULING. 3655 02:38:36,960 --> 02:38:40,400 CANNABIS IS MARIJUANAS A 3656 02:38:40,400 --> 02:38:43,840 SCHEDULE ONE DRUG. 3657 02:38:43,840 --> 02:38:46,040 EQUIVALENT TO HEROIN AND 3658 02:38:46,040 --> 02:38:47,360 ECSTASY. 3659 02:38:47,360 --> 02:38:49,840 IT'S ABSOLUTELY INSANE AND THIS 3660 02:38:49,840 --> 02:38:51,920 IS A HUGE BARRIER TO RESEARCH 3661 02:38:51,920 --> 02:38:55,880 AND A BARRIER TO NIH BEING ABLE 3662 02:38:55,880 --> 02:38:56,920 TO FUND THE RESEARCH. 3663 02:38:56,920 --> 02:38:58,440 THIS IS BEING DEBATED IN 3664 02:38:58,440 --> 02:38:59,800 CONGRESS. 3665 02:38:59,800 --> 02:39:01,640 ALL OF THE ATTEMPTS TO OPEN THIS 3666 02:39:01,640 --> 02:39:03,440 UP LEGALLY THROUGH THE COURT 3667 02:39:03,440 --> 02:39:04,480 SYSTEM HAVE FAILED. 3668 02:39:04,480 --> 02:39:06,520 SITES UP TO CONGRESS. 3669 02:39:06,520 --> 02:39:09,520 THEY ARE RESCHEDULING BILLS IN 3670 02:39:09,520 --> 02:39:10,040 CONGRESS. 3671 02:39:10,040 --> 02:39:11,880 SENATOR SCHUMER CAME OUT AND 3672 02:39:11,880 --> 02:39:15,640 SAID HE SUPPORTED DESCHEDULING 3673 02:39:15,640 --> 02:39:17,440 WHICH IS IMPORTANT FOR OPENING 3674 02:39:17,440 --> 02:39:19,840 UP OPPORTUNITIES FOR OUR 3675 02:39:19,840 --> 02:39:20,360 INVESTIGATORS. 3676 02:39:20,360 --> 02:39:21,920 OUR INVESTIGATORS ARE 3677 02:39:21,920 --> 02:39:23,760 CONSTRAINED. 3678 02:39:23,760 --> 02:39:27,040 I WILL SAY A FEW WORDS ABOUT 3679 02:39:27,040 --> 02:39:28,760 HEALTH DISPARITIES. 3680 02:39:28,760 --> 02:39:30,720 ONE OF THE THINGS THAT I'M PROUD 3681 02:39:30,720 --> 02:39:35,160 OF IS THE SIGNIFICANT EXPANSION 3682 02:39:35,160 --> 02:39:36,880 OF OUR RESEARCH PORTFOLIO IN 3683 02:39:36,880 --> 02:39:38,640 HEALTH DISPARITIES AND THE FACT 3684 02:39:38,640 --> 02:39:40,320 THAT THE HEALTH DISPARITIES 3685 02:39:40,320 --> 02:39:42,840 RESEARCH THAT WE'RE FUNDING IS 3686 02:39:42,840 --> 02:39:44,440 ABSOLUTELY HIGH QUALITY 3687 02:39:44,440 --> 02:39:46,280 STATE-OF-THE-ART AND WE'RE IN 3688 02:39:46,280 --> 02:39:48,720 THIRD GENERATION HEALTH 3689 02:39:48,720 --> 02:39:49,240 DISPARITY RESEARCH. 3690 02:39:49,240 --> 02:39:54,480 THAT ARE LOOKING AT COMPLEXITY 3691 02:39:54,480 --> 02:39:58,120 THE INTERACTIONS IN A 3692 02:39:58,120 --> 02:40:00,560 SOPHISTICATED WAY THAT REALLY, 3693 02:40:00,560 --> 02:40:02,240 REALLY IS REMARKABLE AND IS 3694 02:40:02,240 --> 02:40:05,400 GOING TO INFORM US GOING 3695 02:40:05,400 --> 02:40:06,480 FORWARD. 3696 02:40:06,480 --> 02:40:08,600 WE HAVE OUR OWN CODING SYSTEM 3697 02:40:08,600 --> 02:40:09,640 FOR GRANTS IN THE DIVISION. 3698 02:40:09,640 --> 02:40:12,440 THIS IS NOT OFFICIAL. 3699 02:40:12,440 --> 02:40:15,440 WHAT NIH SAYS OR NCI SAYS. 3700 02:40:15,440 --> 02:40:17,520 WHEN SONIA PULLS TOGETHER THE 3701 02:40:17,520 --> 02:40:21,600 DATA SHE HAS TO FOLLOW THE RULES 3702 02:40:21,600 --> 02:40:23,400 WHICH IS NOR THE GREATEST CODING 3703 02:40:23,400 --> 02:40:23,880 SYSTEM. 3704 02:40:23,880 --> 02:40:26,080 AND I'M LEAVING SO I CAN SAY 3705 02:40:26,080 --> 02:40:26,880 THAT. 3706 02:40:26,880 --> 02:40:30,640 SONIA HAS HAD TO SUFFER UNDER 3707 02:40:30,640 --> 02:40:33,240 THIS ANTIQUATED CODING SYSTEM. 3708 02:40:33,240 --> 02:40:38,600 WE DO MUCH MORE FOCUSED ON 3709 02:40:38,600 --> 02:40:40,720 RESEARCH AIMS AND OUR HEALTH 3710 02:40:40,720 --> 02:40:42,640 DISPARITY RESEARCH PORTFOLIO 3711 02:40:42,640 --> 02:40:45,040 THAT IS ASKING HEALTH DISPARITY 3712 02:40:45,040 --> 02:40:47,360 RESEARCH QUESTIONS HAS DOUBLED. 3713 02:40:47,360 --> 02:40:51,240 AND PART OF THAT IS NOT JUST 3714 02:40:51,240 --> 02:40:53,120 RFAs AS SPECIAL INITIATIVES, 3715 02:40:53,120 --> 02:40:55,120 THE APPLICATIONS ARE SCORING 3716 02:40:55,120 --> 02:40:57,680 BETTER IN PEER REVIEW. 3717 02:40:57,680 --> 02:40:59,840 AND THAT IS A REALLY SHOUT OUT 3718 02:40:59,840 --> 02:41:04,680 TO ALL OF THE TRAINING PROGRAMS. 3719 02:41:04,680 --> 02:41:07,440 A LOT OF MONEY HAS BEEN INVESTED 3720 02:41:07,440 --> 02:41:08,440 OVER THE YEARS. 3721 02:41:08,440 --> 02:41:10,760 BUT ALSO THE FACT THAT WE'VE 3722 02:41:10,760 --> 02:41:13,440 GROWN THE ENTIRE INVESTIGATOR 3723 02:41:13,440 --> 02:41:13,880 BASE. 3724 02:41:13,880 --> 02:41:15,800 NOT JUST MINORITY INVESTIGATORS 3725 02:41:15,800 --> 02:41:18,120 BUT THOSE CONDUCTING RESEARCH IN 3726 02:41:18,120 --> 02:41:20,920 THIS DOMAIN. 3727 02:41:20,920 --> 02:41:22,680 SO SOME OF THE BIG OPPORTUNITIES 3728 02:41:22,680 --> 02:41:26,000 GOING FORWARD AND GAPS IN OUR 3729 02:41:26,000 --> 02:41:27,160 DISPARITY PORTFOLIO. 3730 02:41:27,160 --> 02:41:31,240 WE HAVE A TINY PORTFOLIO FOCUS 3731 02:41:31,240 --> 02:41:34,440 ON AMERICAN INDIAN ALASKA 3732 02:41:34,440 --> 02:41:36,320 NATIVES AND THIS IS A 3733 02:41:36,320 --> 02:41:38,200 SUBPOPULATION WHERE THE CANCER 3734 02:41:38,200 --> 02:41:39,680 BURDEN IS TREMENDOUS. 3735 02:41:39,680 --> 02:41:43,120 VERY DIFFICULT AND COMPLEX. 3736 02:41:43,120 --> 02:41:46,040 AND TRIBAL GOVERNANCE ISSUES. 3737 02:41:46,040 --> 02:41:47,480 THESE ARE INDEPENDENT ENTITIES 3738 02:41:47,480 --> 02:41:51,840 THAT HAVE A SPECIAL RELATIONSHIP 3739 02:41:51,840 --> 02:41:52,720 WITH THE U.S. GOVERNMENT. 3740 02:41:52,720 --> 02:41:55,080 THE HISTORY IS NOT PRETTY. 3741 02:41:55,080 --> 02:41:58,000 AND TRUST IS A HUGE ISSUE. 3742 02:41:58,000 --> 02:42:02,200 I'VE GOT TO GIVE A SHOUT OUT TO 3743 02:42:02,200 --> 02:42:04,240 -- WHO HAS DEVOTED THE LAST 3744 02:42:04,240 --> 02:42:07,280 SEVERAL YEARS TO OUTREACH AND 3745 02:42:07,280 --> 02:42:08,440 COLLABORATION OF THESE 3746 02:42:08,440 --> 02:42:09,440 COMMUNITIES. 3747 02:42:09,440 --> 02:42:10,600 HOPEFULLY YOU WILL BE HEARING 3748 02:42:10,600 --> 02:42:13,280 MORE ABOUT THIS. 3749 02:42:13,280 --> 02:42:16,520 SEXUAL GENDER MINORITY -- A VERY 3750 02:42:16,520 --> 02:42:18,360 SMALL PART OF OUR PORTFOLIO AND 3751 02:42:18,360 --> 02:42:27,600 I THINK THE TIME HAS COME TO RE 3752 02:42:27,600 --> 02:42:30,240 REGIGGER -- OUR EFFORTS MORE 3753 02:42:30,240 --> 02:42:31,640 SPECIFICALLY TARGETED. 3754 02:42:31,640 --> 02:42:34,400 JUST LIKE OUR MOLECULAR 3755 02:42:34,400 --> 02:42:36,400 TARGETING STRATEGY WE NEED MORE 3756 02:42:36,400 --> 02:42:39,000 SPECIFIC TARGETING TO THOSE 3757 02:42:39,000 --> 02:42:40,560 POPULATIONS IN THE GREATEST NEED 3758 02:42:40,560 --> 02:42:42,560 AND THEY ARE OFTEN TIMES THE 3759 02:42:42,560 --> 02:42:44,880 POPULATIONS WHO ARE NOT 3760 02:42:44,880 --> 02:42:46,000 PARTICIPATING IN OUR RESEARCH 3761 02:42:46,000 --> 02:42:46,680 STUDIES. 3762 02:42:46,680 --> 02:42:50,960 YOU WILL BE HEARING WHO ARE 3763 02:42:50,960 --> 02:42:53,280 THIS. 3764 02:42:53,280 --> 02:42:55,800 THE FOCUSING ON PERSISTENT 3765 02:42:55,800 --> 02:42:56,920 POVERTY. 3766 02:42:56,920 --> 02:42:58,280 LOOKING AT THE WHOLE PROBLEM IN 3767 02:42:58,280 --> 02:43:02,760 A VERY DIFFERENT WAY. 3768 02:43:02,760 --> 02:43:05,960 SOME OF THE CHALLENGES MOVING 3769 02:43:05,960 --> 02:43:09,440 FORWARD. 3770 02:43:09,440 --> 02:43:11,520 I THINK AN OPPORTUNITY TO 3771 02:43:11,520 --> 02:43:15,400 REVISIT OUR ENTIRE RELATIONSHIP 3772 02:43:15,400 --> 02:43:19,040 -- NOW IS THE TIME TO DO IT. 3773 02:43:19,040 --> 02:43:21,360 IT'S GREAT THAT KAREN HAS TAKEN 3774 02:43:21,360 --> 02:43:22,320 ON THE ROLE. 3775 02:43:22,320 --> 02:43:23,880 YOU HEARD ABOUT BREAST CANCER 3776 02:43:23,880 --> 02:43:28,640 AND THE ENVIRONMENT AND THE 3777 02:43:28,640 --> 02:43:32,520 STRONGER RELATIONSHIP. 3778 02:43:32,520 --> 02:43:37,400 WE'RE STRUGGLING IN THAT AREA. 3779 02:43:37,400 --> 02:43:44,120 THE GDPR -- IN EUROPE. 3780 02:43:44,120 --> 02:43:45,200 THIS IS HUGE. 3781 02:43:45,200 --> 02:43:49,320 IF YOU TRY TO COLLABORATE IT'S 3782 02:43:49,320 --> 02:43:52,560 BEEN INCREDIBLY DIFFICULT TO 3783 02:43:52,560 --> 02:43:55,000 SHARE DATA WITH COLLEAGUES IN 3784 02:43:55,000 --> 02:43:55,520 EUROPE. 3785 02:43:55,520 --> 02:43:57,440 WE HAVE NOT FIGURED THIS OUT. 3786 02:43:57,440 --> 02:44:01,000 NIH IS STRUGGLING WITH THIS 3787 02:44:01,000 --> 02:44:03,440 EUROPEAN UNION POLICY ON DATA 3788 02:44:03,440 --> 02:44:04,240 SHARING. 3789 02:44:04,240 --> 02:44:07,240 PRIVATE SECTOR BIG DATA. WE 3790 02:44:07,240 --> 02:44:09,240 BARELY TOUCHED THE SURFACE ON 3791 02:44:09,240 --> 02:44:11,080 THEIR MASSIVE COMMERCIAL 3792 02:44:11,080 --> 02:44:11,920 DATASETS. 3793 02:44:11,920 --> 02:44:15,880 NOT GENOMICS DATASETS BUT 3794 02:44:15,880 --> 02:44:18,680 COMMERCIAL DATASETS FOR 3795 02:44:18,680 --> 02:44:24,520 MARKETING DATABASE. 3796 02:44:24,520 --> 02:44:27,200 WE HAVE NOT LEVERAGED THAT. 3797 02:44:27,200 --> 02:44:31,040 AND I ALSO MENTIONED THE FUTURE. 3798 02:44:31,040 --> 02:44:33,640 WE NEED A NEW SUSTAINABLE 3799 02:44:33,640 --> 02:44:36,120 FUNDING MODEL FOR CoE IN THE 3800 02:44:36,120 --> 02:44:46,000 CANCER COMMUNITY. 3801 02:44:46,000 --> 02:44:48,400 MAYBE NOW THAT I'M LEAVING MAYBE 3802 02:44:48,400 --> 02:44:51,600 WE SHOULD RETHINK OUR CCSG AND 3803 02:44:51,600 --> 02:44:52,880 WHETHER OR NOT THERE SHOULD BE 3804 02:44:52,880 --> 02:44:57,800 DEDICATED FUNDING ON CoE 3805 02:44:57,800 --> 02:44:59,120 >> BOB WE WANT TO MAKE SURE WE 3806 02:44:59,120 --> 02:45:02,000 HAVE A COUPLE OF MINUTES FOR 3807 02:45:02,000 --> 02:45:02,240 QUESTIONS 3808 02:45:02,240 --> 02:45:04,120 >> THIS IS MY LAST SLIDE. 3809 02:45:04,120 --> 02:45:06,160 7 THE FUTURE IS BRIGHT. 3810 02:45:06,160 --> 02:45:08,840 BECAUSE OUR LEADERSHIP GROUP IS 3811 02:45:08,840 --> 02:45:09,120 TERRIFIC. 3812 02:45:09,120 --> 02:45:12,480 WE HAVE A NEW DIRECTOR 3813 02:45:12,480 --> 02:45:15,120 IT'S BEEN A GREAT TRANSITION. 3814 02:45:15,120 --> 02:45:17,240 AND THEY WILL BENEFIT FROM YOUR 3815 02:45:17,240 --> 02:45:18,760 ADVISE JUST AS I HAVE. 3816 02:45:18,760 --> 02:45:20,040 THANKS, JOHN. 3817 02:45:20,040 --> 02:45:24,440 >> WOW! 3818 02:45:24,440 --> 02:45:27,320 THIS IS A SPECIAL MOMENT, BOB 3819 02:45:27,320 --> 02:45:31,960 AND I WANT TO PROVIDE 3820 02:45:31,960 --> 02:45:34,480 DR. SHARPLESS THE PRIVILEGE OF 3821 02:45:34,480 --> 02:45:37,640 MAKING A FEW COMMENTS BEFORE WE 3822 02:45:37,640 --> 02:45:40,040 ENTERTAIN A FEW QUESTIONS. 3823 02:45:40,040 --> 02:45:41,120 NED. 3824 02:45:41,120 --> 02:45:43,040 >> I WILL BE BRIEF BECAUSE IT'S 3825 02:45:43,040 --> 02:45:46,640 SO HARD -- AND IMPOSSIBLE TO 3826 02:45:46,640 --> 02:45:48,400 SUMMARIZE BOB'S WORK. 3827 02:45:48,400 --> 02:45:50,600 THE TALK GAVE YOU A GREAT SENSE 3828 02:45:50,600 --> 02:45:52,240 OF HIS VISION AND CLARITY AND 3829 02:45:52,240 --> 02:45:52,640 PASSION. 3830 02:45:52,640 --> 02:45:54,840 I THINK HE IS WELL-KNOWN FOR 3831 02:45:54,840 --> 02:45:55,440 THAT. 3832 02:45:55,440 --> 02:45:57,360 HE IS LESS WELL-KNOWN FOR SOME 3833 02:45:57,360 --> 02:45:58,600 OTHER THINGS THAT I WOULD LIKE 3834 02:45:58,600 --> 02:45:59,440 TO POINT OUT. 3835 02:45:59,440 --> 02:46:01,520 HE IS A REAL SOURCE OF WISDOM AT 3836 02:46:01,520 --> 02:46:03,440 THE NCI. 3837 02:46:03,440 --> 02:46:07,240 I'VE GONE TO HIM MANY TIMES. 3838 02:46:07,240 --> 02:46:10,760 I'VE SEEN OTHER LEADERS GO TO 3839 02:46:10,760 --> 02:46:13,080 BOB AND GET ADVICE BECAUSE HE IS 3840 02:46:13,080 --> 02:46:15,800 SUCH AN EFFECTIVE MANAGER AND 3841 02:46:15,800 --> 02:46:17,040 LEADER. 3842 02:46:17,040 --> 02:46:20,240 HE HAS BEEN OUR WONDERFUL 3843 02:46:20,240 --> 02:46:21,880 CONDUIT TO OTHER PARTS OF THE 3844 02:46:21,880 --> 02:46:26,640 FEDERAL GOVERNMENT. 3845 02:46:26,640 --> 02:46:28,320 AND ONE OF THE REASONS IS 3846 02:46:28,320 --> 02:46:29,800 BECAUSE BOB IS A FANTASTIC 3847 02:46:29,800 --> 02:46:31,240 MENTOR. 3848 02:46:31,240 --> 02:46:33,720 YOU REALIZE HE TRAINED HALF OF 3849 02:46:33,720 --> 02:46:34,800 THESE PEOPLE. 3850 02:46:34,800 --> 02:46:37,360 HE IS SUCH A GREAT GUY. 3851 02:46:37,360 --> 02:46:41,440 AND LASTLY HE IS THAT DIAGRAM OF 3852 02:46:41,440 --> 02:46:43,840 COMPASSION AND INTELLECTUAL FIRE 3853 02:46:43,840 --> 02:46:47,680 POWER AND REALLY COMPETENT 3854 02:46:47,680 --> 02:46:49,280 FEDERAL EMPLOYEE. 3855 02:46:49,280 --> 02:46:50,440 BOB IS THAT. 3856 02:46:50,440 --> 02:46:53,560 AND WE SAW THAT CLEARLY AND HE 3857 02:46:53,560 --> 02:46:55,640 PROVIDED A WONDERFUL EXAMPLE OF 3858 02:46:55,640 --> 02:46:57,640 THAT IN THE CANCER CENTER 3859 02:46:57,640 --> 02:46:59,840 PROGRAM AND THAT IS ONE OF THE 3860 02:46:59,840 --> 02:47:04,440 MOST IMPORTANT AND EFFECTIVE. 3861 02:47:04,440 --> 02:47:06,640 AND IT WAS ADMINISTRATIVE 3862 02:47:06,640 --> 02:47:07,600 CHANGE. 3863 02:47:07,600 --> 02:47:13,840 IT WAS A ADVIS A VISIONARY IDEA. 3864 02:47:13,840 --> 02:47:16,720 8 WE'RE EXCITED ABOUT THE TEAM 3865 02:47:16,720 --> 02:47:19,840 HE LEAVES IN PLACE. 3866 02:47:19,840 --> 02:47:22,520 BOB IS IRREPLACEABLE. 3867 02:47:22,520 --> 02:47:24,840 CONGRATULATIONS. 3868 02:47:24,840 --> 02:47:30,280 >> I'M THINKING WE -- THANK YOU 3869 02:47:30,280 --> 02:47:32,280 SO MUCH NED AND BOB. 3870 02:47:32,280 --> 02:47:35,040 WE DO WANT TO ENTERTAIN AT LEAST 3871 02:47:35,040 --> 02:47:36,120 ONE QUESTION. 3872 02:47:36,120 --> 02:47:40,240 WE WANT TO HAVE AT LEAST A 10 3873 02:47:40,240 --> 02:47:41,200 MINUTE BREAK. 3874 02:47:41,200 --> 02:47:43,720 I SEE MARGARET DEFINITELY 3875 02:47:43,720 --> 02:47:45,120 RAISING HER HAND 3876 02:47:45,120 --> 02:47:47,840 >> I JUST WANTED TO USE ONE WORD 3877 02:47:47,840 --> 02:47:49,120 TO DESCRIBE HIS LEADERSHIP AND 3878 02:47:49,120 --> 02:47:52,240 THAT IS INSPIRATIONAL. 3879 02:47:52,240 --> 02:47:54,240 AND I ALSO WANTED TO SAY THAT I 3880 02:47:54,240 --> 02:47:57,240 AGREE THAT THE SUPPLEMENTS ARE A 3881 02:47:57,240 --> 02:47:59,520 CRITICAL COMPONENT THAT HE 3882 02:47:59,520 --> 02:48:01,040 DEVELOPED AND ESPECIALLY FOR 3883 02:48:01,040 --> 02:48:02,920 CANCER CENTERS WHERE THE 3884 02:48:02,920 --> 02:48:05,360 POPULATION SCIENCE PROGRAMS NEED 3885 02:48:05,360 --> 02:48:08,120 SOME BOOSTING SO I DO HOPE THAT 3886 02:48:08,120 --> 02:48:09,640 THAT PROGRAM WILL BE CONTINUED 3887 02:48:09,640 --> 02:48:13,200 AND I'M SURE YOU'RE NOT RETIRING 3888 02:48:13,200 --> 02:48:16,440 FULLY AND BEST OF LUCK IN ALL 3889 02:48:16,440 --> 02:48:18,840 FUTURE ENDEAVORS WHICH I'M SURE 3890 02:48:18,840 --> 02:48:20,880 WILL BE MANY AND SUCCESSFUL. 3891 02:48:20,880 --> 02:48:23,240 THANK YOU FOR ALLOWING ME TO SAY 3892 02:48:23,240 --> 02:48:23,640 THAT. 3893 02:48:23,640 --> 02:48:26,920 >> THANK YOU FOR THE COMMENTS. 3894 02:48:26,920 --> 02:48:29,800 THE VISION TO TACKLE CANNABIS IS 3895 02:48:29,800 --> 02:48:30,400 AMAZING. 3896 02:48:30,400 --> 02:48:32,200 I LOOK FORWARD TO SEEING HOW WE 3897 02:48:32,200 --> 02:48:35,160 GET AROUND THIS AND TACKLE THIS 3898 02:48:35,160 --> 02:48:36,480 COMPLEX ISSUE. 3899 02:48:36,480 --> 02:48:40,600 BOB, YOU DID A WONDERFUL JOB AT 3900 02:48:40,600 --> 02:48:43,120 REALLY PROVIDING THE PERSPECTIVE 3901 02:48:43,120 --> 02:48:46,120 AROUND HOW COMPLEX TACKLING THIS 3902 02:48:46,120 --> 02:48:47,920 JET HOW IMPORTANT IT IS FOR US 3903 02:48:47,920 --> 02:48:49,360 FOR UNDERSTAND THE LONG-TERM 3904 02:48:49,360 --> 02:48:52,600 IMPACTS. 3905 02:48:52,600 --> 02:48:56,200 SO WE'RE 12:50. 3906 02:48:56,200 --> 02:48:58,640 I WANT TO THANK THE PRESENTERS. 3907 02:48:58,640 --> 02:49:28,520 WE'LL TAKE A 10 MINUTE BREAK. 3908 02:49:28,520 --> 02:49:31,120 >> WE WILL NOW BEGIN REVIEWING 3909 02:49:31,120 --> 02:49:34,040 THE CONCEPTS. 3910 02:49:34,040 --> 02:49:36,640 BSA MEMBERS HAVE BEEN ASSIGNED 3911 02:49:36,640 --> 02:49:37,720 REVIEWERS TO EACH. 3912 02:49:37,720 --> 02:49:40,320 I WOULD LIKE TO THANK THE VAST 3913 02:49:40,320 --> 02:49:42,520 MAJORITY OF YOU FOR DOING DOUBLE 3914 02:49:42,520 --> 02:49:44,640 DUTY IN TERMS OF TAKING ON TWO 3915 02:49:44,640 --> 02:49:46,200 CONCEPT REVIEWS. 3916 02:49:46,200 --> 02:49:48,720 RECOGNIZE THAT THAT IS NOT EASY 3917 02:49:48,720 --> 02:49:52,240 TO FIT WITHIN YOUR DAY JOBS AND 3918 02:49:52,240 --> 02:49:55,080 SOME WAY SOMEHOW FIND A WAY TO 3919 02:49:55,080 --> 02:49:56,000 PAY YOU BACK. 3920 02:49:56,000 --> 02:49:57,360 MAYBE IN PERSON. 3921 02:49:57,360 --> 02:49:59,640 I'LL BRING DOUGHNUTS OR MAYBE 3922 02:49:59,640 --> 02:50:02,640 SOME GOOD COFFEE WHICH WOULD BE 3923 02:50:02,640 --> 02:50:05,480 A REAL GIFT AND MAYBE 3924 02:50:05,480 --> 02:50:06,440 PARTICULARLY APPRECIATED FOR 3925 02:50:06,440 --> 02:50:07,880 THOSE WHO HAVE BEEN IN PERSON 3926 02:50:07,880 --> 02:50:11,920 FOR BSA MEETINGS. 3927 02:50:11,920 --> 02:50:14,720 JUST TO REMIND YOU OF THE 3928 02:50:14,720 --> 02:50:20,720 PROCESS -- WE WILL REVIEW THESE 3929 02:50:20,720 --> 02:50:22,040 CONCEPTS, HAVE THEM PRESENTED 3930 02:50:22,040 --> 02:50:24,240 AND HAVE SUBCOMMITTEE MEMBERS 3931 02:50:24,240 --> 02:50:25,440 COMMENT. 3932 02:50:25,440 --> 02:50:26,920 BSA MEMBERS WILL BE THE ONES TO 3933 02:50:26,920 --> 02:50:29,560 VOTE TO APPROVE DISAPPROVE OR 3934 02:50:29,560 --> 02:50:33,320 DEFER A NEW CONCEPT FOR 3935 02:50:33,320 --> 02:50:34,640 REISSUANCE, BSA MEMBERS WILL 3936 02:50:34,640 --> 02:50:39,800 VOTE TO CONCUR, NONCONCUR OR 3937 02:50:39,800 --> 02:50:41,280 DEFER. 3938 02:50:41,280 --> 02:50:45,720 NCAB AND BSA MEMBERS MAY 3939 02:50:45,720 --> 02:50:47,200 PARTICIPATE IN DISCUSSION OF 3940 02:50:47,200 --> 02:50:48,560 EACH CONCEPT. 3941 02:50:48,560 --> 02:50:52,600 THIS ALLOWS NCI TO RECEIVE THE 3942 02:50:52,600 --> 02:50:54,960 BENEFIT OF YOUR EXPERTISE BUT 3943 02:50:54,960 --> 02:50:57,640 ONLY THE BSA MEMBERS WILL VOTE. 3944 02:50:57,640 --> 02:50:59,920 WE HAVE TO STAY ON SCHEDULE 3945 02:50:59,920 --> 02:51:01,120 TODAY AND TOMORROW. 3946 02:51:01,120 --> 02:51:03,960 SO LET'S GET STARTED WITH A 3947 02:51:03,960 --> 02:51:04,560 BRISK PACE. 3948 02:51:04,560 --> 02:51:06,920 DURING THE VOTING I WILL ASK HOW 3949 02:51:06,920 --> 02:51:10,040 MANY MEMBERS DISAPPROVE OR 3950 02:51:10,040 --> 02:51:12,320 NONCONCUR AND THEN HOW MANY 3951 02:51:12,320 --> 02:51:12,720 ABSTAIN. 3952 02:51:12,720 --> 02:51:15,440 THIS IS TO REINFORCE THE POINT 3953 02:51:15,440 --> 02:51:18,800 THAT IT'S CRITICAL FOR VOTING 3954 02:51:18,800 --> 02:51:20,560 MEMBERS TO STAY ON SCREEN AND 3955 02:51:20,560 --> 02:51:22,160 WITH US THE ENTIRE MEETING. 3956 02:51:22,160 --> 02:51:24,360 IF YOU HAVE TO STEP AWAY LET US 3957 02:51:24,360 --> 02:51:25,840 KNOW THROUGH THE CHAT. 3958 02:51:25,840 --> 02:51:27,880 THAT YOU NEED TO DO SO. 3959 02:51:27,880 --> 02:51:29,880 BECAUSE OTHERWISE WE TAKE YOUR 3960 02:51:29,880 --> 02:51:32,120 PRESENCE IN THE MEETING AS A YES 3961 02:51:32,120 --> 02:51:37,320 VOTE SINCE WE'RE COLLECTING 3962 02:51:37,320 --> 02:51:41,840 DISAPPROVALS OR NON. 3963 02:51:41,840 --> 02:51:47,440 PLEASE STATE YOUR NAME AND THEN 3964 02:51:47,440 --> 02:51:48,920 SEPARATELY ABSTAINING. 3965 02:51:48,920 --> 02:51:53,520 FIRST CONCEPT IS A COOPERATIVE 3966 02:51:53,520 --> 02:51:56,120 AGREEMENT FOR EQUITABLE CANCER 3967 02:51:56,120 --> 02:51:57,280 CONTROL. 3968 02:51:57,280 --> 02:52:04,280 IT WILL BE PRESENTED BY DR. NEAT 3969 02:52:04,280 --> 02:52:04,400 A. 3970 02:52:04,400 --> 02:52:05,920 >> THANK YOU FOR THE OPPORTUNITY 3971 02:52:05,920 --> 02:52:22,920 TO PRESENT OUR CONCEPT. 3972 02:52:22,920 --> 02:52:26,000 AS YOU KNOW GLOBAL INEQUITIES IN 3973 02:52:26,000 --> 02:52:28,480 CONCERT CONTROL ARE INCREASING. 3974 02:52:28,480 --> 02:52:30,960 ACCORDING TO THE 2020 COMPANY 3975 02:52:30,960 --> 02:52:35,040 REPORT ON CONCERT PROGRESS IS 3976 02:52:35,040 --> 02:52:36,800 SIGNIFICANTLY SLOWER IN 3977 02:52:36,800 --> 02:52:41,920 LOW-INCOME COUNTRIES. 3978 02:52:41,920 --> 02:52:44,000 THE GOOD NEWS IS THAT MANY 3979 02:52:44,000 --> 02:52:46,400 EFFECTIVE INTERVENTIONS 3980 02:52:46,400 --> 02:52:50,360 CONTINUUM CAN PREVENT PREMATURE 3981 02:52:50,360 --> 02:52:51,720 DEATH FROM CANCER. 3982 02:52:51,720 --> 02:52:55,000 HOWEVER IT'S BEEN SLOW AND 3983 02:52:55,000 --> 02:52:57,720 INCONSISTENT AND INCOMPLETE. 3984 02:52:57,720 --> 02:52:59,240 HERE YOU CAN SEE THE TIME IT 3985 02:52:59,240 --> 02:53:01,760 TAKES FOR A RANGE OF CANCER 3986 02:53:01,760 --> 02:53:04,720 CONTROL INTERVENTIONS TO REACH 3987 02:53:04,720 --> 02:53:06,480 JUST 50% OF THE TARGET 3988 02:53:06,480 --> 02:53:08,000 POPULATION AND THIS IS IN THE 3989 02:53:08,000 --> 02:53:08,720 U.S. ALONE. 3990 02:53:08,720 --> 02:53:13,000 FOR MOST THEY'VE YET TO REACH 3991 02:53:13,000 --> 02:53:14,040 50% UP TAKE. 3992 02:53:14,040 --> 02:53:16,240 SO WHY DOES IT TAKE SO LONG AND 3993 02:53:16,240 --> 02:53:19,880 HOW CAN WE ACCELERATE THE TIME 3994 02:53:19,880 --> 02:53:21,320 IT TAKES FOR THE EVIDENCE TO BE 3995 02:53:21,320 --> 02:53:21,800 IMPLEMENTED. 3996 02:53:21,800 --> 02:53:25,320 YOU CAN SEE EFFECTIVE CANCER 3997 02:53:25,320 --> 02:53:26,400 CONTROL INTERVENTIONS. 3998 02:53:26,400 --> 02:53:28,400 ON THE RIGHT YOU SEE OUR GOAL. 3999 02:53:28,400 --> 02:53:30,160 TO DECREASE THE BURDEN OF 4000 02:53:30,160 --> 02:53:30,520 CANCER. 4001 02:53:30,520 --> 02:53:32,920 IN THE MIDDLE YOU SEE REASONS 4002 02:53:32,920 --> 02:53:34,720 WHY THERE IS A GAP FROM THE 4003 02:53:34,720 --> 02:53:36,120 INTERVENTION TO THE INTENDED 4004 02:53:36,120 --> 02:53:36,520 EFFECT. 4005 02:53:36,520 --> 02:53:38,720 IT'S THE CHALLENGE OF 4006 02:53:38,720 --> 02:53:40,040 IMPLEMENTATION. 4007 02:53:40,040 --> 02:53:42,000 7 THEY ARE OFTEN UNDER AND OVER 4008 02:53:42,000 --> 02:53:42,360 USED. 4009 02:53:42,360 --> 02:53:44,280 THIS IS HIGHLIGHTED DURING THE 4010 02:53:44,280 --> 02:53:46,840 COVID PANDEMIC. 4011 02:53:46,840 --> 02:53:48,680 SOME REASONS FOR THAT GAP 4012 02:53:48,680 --> 02:53:51,960 INCLUDE INSUFFICIENT TRAINING, 4013 02:53:51,960 --> 02:53:53,440 INFRASTRUCTURE, GOVERNANCE AND 4014 02:53:53,440 --> 02:53:59,200 POLICIES. 4015 02:53:59,200 --> 02:54:00,920 THROUGH IMPLEMENTATION SCIENCE 4016 02:54:00,920 --> 02:54:03,240 WE CAN UNDERSTAND THE BARRIERS 4017 02:54:03,240 --> 02:54:05,240 AND DEVELOP AND TEST STRATEGIES 4018 02:54:05,240 --> 02:54:08,920 TO OVERCOME THOSE BARRIERS. 4019 02:54:08,920 --> 02:54:10,520 HOW DO WE KNOW IF THOSE 4020 02:54:10,520 --> 02:54:12,520 STRATEGIES ARE WORKING? 4021 02:54:12,520 --> 02:54:14,160 THOSE STRATEGIES SHOULD IMPROVE 4022 02:54:14,160 --> 02:54:15,920 THE FEASIBILITY AND 4023 02:54:15,920 --> 02:54:18,520 ACCEPTABILITY OF AN 4024 02:54:18,520 --> 02:54:19,280 INTERVENTION. 4025 02:54:19,280 --> 02:54:21,120 TO REACH AS MANY PEOPLE AS 4026 02:54:21,120 --> 02:54:22,320 POSSIBLE. 4027 02:54:22,320 --> 02:54:25,800 INSURE FIDELITY SO IT WORKS AS 4028 02:54:25,800 --> 02:54:27,920 IT IS INTENDED AND SUSTAIN THE 4029 02:54:27,920 --> 02:54:31,760 INTERVENTION OVER TIME. 4030 02:54:31,760 --> 02:54:33,760 WE'RE PROTECTING THE ADOPTION 4031 02:54:33,760 --> 02:54:35,840 AND INTEGRATION INTO PRACTICE BY 4032 02:54:35,840 --> 02:54:37,600 STUDYING THESE IMPLEMENTATION 4033 02:54:37,600 --> 02:54:39,720 OUTCOMES AND GENERATING EVIDENCE 4034 02:54:39,720 --> 02:54:41,520 ON STRATEGIES WHICH WILL IMPROVE 4035 02:54:41,520 --> 02:54:43,680 OUR ABILITY TO DECREASE THE 4036 02:54:43,680 --> 02:54:45,520 BURDEN OF CANCER THROUGH 4037 02:54:45,520 --> 02:54:49,280 EFFECTIVE DATA DRIVEN 4038 02:54:49,280 --> 02:54:50,000 IMPLEMENTATION. 4039 02:54:50,000 --> 02:54:52,200 AS YOU CAN SEE IMPLEMENTATION 4040 02:54:52,200 --> 02:54:55,520 SCIENCE BRIDGES THE DIVIDE. 4041 02:54:55,520 --> 02:54:59,600 THUS NCI RECOGNIZED THIS AS A 4042 02:54:59,600 --> 02:55:04,120 PRIORITY AREA. 4043 02:55:04,120 --> 02:55:06,280 SO TO SEE WHAT THE SCIENCE LOOKS 4044 02:55:06,280 --> 02:55:09,920 LIKE GIVEN THE FOCUS ON TESTING 4045 02:55:09,920 --> 02:55:13,960 STRATEGIES LET'S TAKE THE THE 4046 02:55:13,960 --> 02:55:17,120 EXAMPLE OF TASK SHIFTING. 4047 02:55:17,120 --> 02:55:20,120 IT'S A BROAD STRATEGY TO ENHANCE 4048 02:55:20,120 --> 02:55:21,920 ACCESS THROUGH DECENTRALIZATION 4049 02:55:21,920 --> 02:55:23,920 OF CARE. 4050 02:55:23,920 --> 02:55:33,600 TWO STUDIES TESTED SPECIFIC --S. 4051 02:55:33,600 --> 02:55:35,600 BOTH FOUND A THREEFOLD INCREASE 4052 02:55:35,600 --> 02:55:38,520 IN UP TAKE SUGGESTING THAT THE 4053 02:55:38,520 --> 02:55:39,760 STRATEGY CAN BE BROADLY 4054 02:55:39,760 --> 02:55:42,080 EFFECTIVE TO ADDRESS A REIGNS OF 4055 02:55:42,080 --> 02:55:44,120 GLOBAL CANCER CONTROL 4056 02:55:44,120 --> 02:55:48,880 IMPLEMENTATION CHALLENGES. 4057 02:55:48,880 --> 02:55:51,280 EFFORTS TO IMPLEMENT 4058 02:55:51,280 --> 02:55:52,600 INTERVENTIONS ARE NOT 4059 02:55:52,600 --> 02:55:54,920 NECESSARILY BEING CONDUCTED OR 4060 02:55:54,920 --> 02:55:56,840 CAPTURED IN A RIGOROUS WAY. 4061 02:55:56,840 --> 02:55:58,720 HERE YOU CAN SEE A GRAPHIC 4062 02:55:58,720 --> 02:56:01,840 DEPICTION OF THAT PROBLEM. 4063 02:56:01,840 --> 02:56:04,480 IN ASYMPTOMATIC REVIEW IN A 4064 02:56:04,480 --> 02:56:06,320 RANGE OF HEALTH INTERVENTIONS 4065 02:56:06,320 --> 02:56:08,680 ONLY A SMALL FRACTION CAPTURED 4066 02:56:08,680 --> 02:56:11,120 INFORMATION TO INFORM 4067 02:56:11,120 --> 02:56:13,040 IMPLEMENTATION EFFORTS AND EVEN 4068 02:56:13,040 --> 02:56:15,240 FEWER DOCUMENTED IMPLEMENTATION 4069 02:56:15,240 --> 02:56:16,600 OUTCOMES AT ALL. 4070 02:56:16,600 --> 02:56:18,360 THIS RELATES A CLEAR MISSED 4071 02:56:18,360 --> 02:56:21,440 OPPORTUNITY TO CAPTURE THE LARGE 4072 02:56:21,440 --> 02:56:22,880 RESERVOIR TO ACCUMULATE 4073 02:56:22,880 --> 02:56:25,280 KNOWLEDGE REGARDING 4074 02:56:25,280 --> 02:56:31,120 IMPLEMENTATION. 4075 02:56:31,120 --> 02:56:35,400 THIS WILL HELP ACHIEVE GREATER 4076 02:56:35,400 --> 02:56:36,000 EQUITY. 4077 02:56:36,000 --> 02:56:38,520 BUT THIS CANNOT BE FULLY 4078 02:56:38,520 --> 02:56:40,600 REALIZED WITHOUT SUPPORTING 4079 02:56:40,600 --> 02:56:44,320 TRAINING AND CAPACITY IN 4080 02:56:44,320 --> 02:56:54,880 LMICs. 4081 02:56:54,880 --> 02:56:57,360 TO DATE THROUGH OUR 4082 02:56:57,360 --> 02:57:00,640 DISSEMINATION AND IMPLEMENTATION 4083 02:57:00,640 --> 02:57:02,840 OPPORTUNITIES NCI HAS FUNDED 85 4084 02:57:02,840 --> 02:57:06,280 U.S. BASED INVESTIGATORS ABOUT A 4085 02:57:06,280 --> 02:57:08,800 DOZEN OF WHOM HAVE CONDUCTED 4086 02:57:08,800 --> 02:57:11,480 THESE STUDIES FROM DIVERSE 4087 02:57:11,480 --> 02:57:13,320 GEOGRAPHICAL LOCATIONS WHO ARE 4088 02:57:13,320 --> 02:57:15,520 WELL POSITIONED FOR FUTURE 4089 02:57:15,520 --> 02:57:16,720 COLLABORATIONS. 4090 02:57:16,720 --> 02:57:22,720 WE'RE ALSO SLATED TO FUND THESE 4091 02:57:22,720 --> 02:57:38,840 IN LMIC POPULATIONS. 4092 02:57:38,840 --> 02:57:41,280 THESE EFFORTS ARE FOCUSED ON 4093 02:57:41,280 --> 02:57:43,840 DOMESTIC CANCER CONTROL. 4094 02:57:43,840 --> 02:57:47,040 FOR THESE EXHIBITING INITIATIVES 4095 02:57:47,040 --> 02:57:51,120 -- THERE ARE NO EFFORTS IN 4096 02:57:51,120 --> 02:57:55,640 LMICs. 4097 02:57:55,640 --> 02:57:59,920 THE CONSORTIUM IS NEEDED TO 4098 02:57:59,920 --> 02:58:01,640 SIGNIFICANTLY NEEDED TO MOVE 4099 02:58:01,640 --> 02:58:06,920 THIS SCIENCE. 4100 02:58:06,920 --> 02:58:09,720 THUS WE PROPOSE TO BROADEN THE 4101 02:58:09,720 --> 02:58:13,720 SCOPE THROUGH A NEW GLOBAL 4102 02:58:13,720 --> 02:58:15,240 IMPLEMENTATION CONSORTIUM. 4103 02:58:15,240 --> 02:58:20,920 WE SEEK TO BUILD LMIC BASED 4104 02:58:20,920 --> 02:58:29,120 IMPLEMENTATION HUBS. 4105 02:58:29,120 --> 02:58:30,880 ALSO DEVELOP RESEARCH CAPACITY 4106 02:58:30,880 --> 02:58:33,720 FOR DEVELOPING ONGOING 4107 02:58:33,720 --> 02:58:38,800 IMPLEMENTATION STUDIES. 4108 02:58:38,800 --> 02:58:41,760 GIVEN THE CRITICAL ROLE OF 4109 02:58:41,760 --> 02:58:45,160 PRACTITIONERS AND OTHER 4110 02:58:45,160 --> 02:58:49,880 STAKEHOLDERS -- -- THUS WE HOPE 4111 02:58:49,880 --> 02:58:53,840 TO ENHANCE THE ABILITY TO SERVE 4112 02:58:53,840 --> 02:58:56,040 AS REGIONAL HUBS FOR 4113 02:58:56,040 --> 02:58:57,360 IMPLEMENTATION SCIENCE AND 4114 02:58:57,360 --> 02:58:58,600 TRAINING AND INDEPENDENT 4115 02:58:58,600 --> 02:58:59,400 RESEARCH CENTERS. 4116 02:58:59,400 --> 02:59:01,120 THIS INITIATIVE WOULD PROMOTE 4117 02:59:01,120 --> 02:59:06,120 THE MATURATION OF A READY 4118 02:59:06,120 --> 02:59:07,280 SCIENCE COMMUNITY THAT COULD 4119 02:59:07,280 --> 02:59:11,640 PROVIDE THE EVIDENCE BASED AND 4120 02:59:11,640 --> 02:59:14,520 FORM AND EXTEND EXISTING 4121 02:59:14,520 --> 02:59:16,800 EFFORTS. 4122 02:59:16,800 --> 02:59:19,560 WE PROPOSE A MECHANISM OVER FIVE 4123 02:59:19,560 --> 02:59:22,520 YEARS FOR FOUR AWARDS AT A COST 4124 02:59:22,520 --> 02:59:27,240 OF $4 MILLION PER YEAR. 4125 02:59:27,240 --> 02:59:33,760 EACH U54 APPLICANT WOULD DEVELOP 4126 02:59:33,760 --> 02:59:42,240 TWO PROJECTS. 4127 02:59:42,240 --> 02:59:45,000 THE RESEARCH CAPACITY BUILDING 4128 02:59:45,000 --> 02:59:46,720 CORE WOULD INCLUDE TRAINING AS 4129 02:59:46,720 --> 02:59:48,840 WELL AS STRUCTURED MENTORSHIP 4130 02:59:48,840 --> 02:59:50,720 FROM IMPLEMENTATION SCIENCE 4131 02:59:50,720 --> 02:59:52,320 EXPERTS ON THE DESIGN AND 4132 02:59:52,320 --> 02:59:56,440 CONTEXT OF THESE STUDIES. 4133 02:59:56,440 --> 02:59:58,240 ADDITIONALLY THIS CORE COULD 4134 02:59:58,240 --> 03:00:00,120 SUPPORT THE DEVELOPMENT OF 4135 03:00:00,120 --> 03:00:01,360 STANDARDIZED MEASURES. 4136 03:00:01,360 --> 03:00:04,960 THIS ENGAGES NCI TO COORDINATE 4137 03:00:04,960 --> 03:00:08,120 ACTIVITIES TO FACILITATE 4138 03:00:08,120 --> 03:00:10,200 HARMONIZED MEASURES AND 4139 03:00:10,200 --> 03:00:17,400 COLLABORATION. 4140 03:00:17,400 --> 03:00:18,880 ADDRESS KEY RESEARCH AREAS. 4141 03:00:18,880 --> 03:00:21,080 INCLUDING HOW TO ADAPT 4142 03:00:21,080 --> 03:00:21,800 INTERVENTIONS. 4143 03:00:21,800 --> 03:00:24,360 BUNDLE SERVICES. 4144 03:00:24,360 --> 03:00:27,680 INTEGRATE CANCER CONTROL INTO 4145 03:00:27,680 --> 03:00:30,320 PRIMARY CARE. 4146 03:00:30,320 --> 03:00:33,440 AND ENHANCE RETENSE OF CANCER 4147 03:00:33,440 --> 03:00:37,480 PATIENTS * ACROSS THE CONTINUUM 4148 03:00:37,480 --> 03:00:39,080 OF CARE. 4149 03:00:39,080 --> 03:00:41,160 SOME EXAMPLES INCLUDE STUDIES TO 4150 03:00:41,160 --> 03:00:43,120 UNDERSTAND BARRIERS AND 4151 03:00:43,120 --> 03:00:45,440 FACILITATORS TO EVALUATE 4152 03:00:45,440 --> 03:00:47,320 IMPLEMENTATION PROCESSES AND 4153 03:00:47,320 --> 03:00:49,920 CO-DESIGN STRATEGIES TO ENHANCE 4154 03:00:49,920 --> 03:00:52,160 INTEGRATION OF CANCER CONTROL 4155 03:00:52,160 --> 03:00:55,000 SERVICE OR TO TEST THE COST 4156 03:00:55,000 --> 03:01:02,040 EFFECTIVENESS OF STRATEGIES. 4157 03:01:02,040 --> 03:01:04,280 GREATLY APPRECIATE INPUT FROM 4158 03:01:04,280 --> 03:01:12,280 REVIEWERS. 4159 03:01:12,280 --> 03:01:14,240 WE HAVE ALSO CLARIFIED THAT THE 4160 03:01:14,240 --> 03:01:17,320 GOAL IS TO BUILD DEEP 4161 03:01:17,320 --> 03:01:18,520 IMPLEMENTATION SCIENCE AND 4162 03:01:18,520 --> 03:01:19,680 CAPACITY. 4163 03:01:19,680 --> 03:01:22,680 AND THE NEXT AND FINAL SLIDE WE 4164 03:01:22,680 --> 03:01:25,960 FURTHER CLARIFY ELIGIBILITY AND 4165 03:01:25,960 --> 03:01:30,720 REVIEW CRITERIA. 4166 03:01:30,720 --> 03:01:34,000 NONDOMESTIC INSTITUTIONS WILL BE 4167 03:01:34,000 --> 03:01:38,440 ELIGIBLE TO APPLY. 4168 03:01:38,440 --> 03:01:41,080 U.S. BASED INSTITUTIONS MUST 4169 03:01:41,080 --> 03:01:48,120 HAVE AN LMCI BASED MPI. 4170 03:01:48,120 --> 03:01:51,400 APPLICANTS SHOULD DEMONSTRATE A 4171 03:01:51,400 --> 03:01:54,960 HISTORY OF PARTNERSHIP. 4172 03:01:54,960 --> 03:01:58,720 THEY MUST ADDRESS HIGH PRIORITY 4173 03:01:58,720 --> 03:02:00,720 IMPLEMENTATION GAPS IN CANCER 4174 03:02:00,720 --> 03:02:03,240 CONTROL AND USE APPROPRIATE 4175 03:02:03,240 --> 03:02:04,560 APPROACHES IN THEIR RESEARCH 4176 03:02:04,560 --> 03:02:05,080 DESIGN. 4177 03:02:05,080 --> 03:02:07,000 THEY MUST DEMONSTRATE 4178 03:02:07,000 --> 03:02:09,880 INSTITUTIONAL SUPPORT FOR 4179 03:02:09,880 --> 03:02:13,920 IMPLEMENTATIONAL SCIENCE. 4180 03:02:13,920 --> 03:02:15,280 METRICS OF SUCCESS INCLUDE THE 4181 03:02:15,280 --> 03:02:19,000 NUMBER OF NEW LMIC 4182 03:02:19,000 --> 03:02:20,480 INVESTIGATORS. 4183 03:02:20,480 --> 03:02:23,520 NEW COLLABORATIONS ACROSS LMIC 4184 03:02:23,520 --> 03:02:25,520 BASED INSTITUTIONS. 4185 03:02:25,520 --> 03:02:30,000 PEER REVIEWED PUBLICATIONS. 4186 03:02:30,000 --> 03:02:32,320 AND IMPORTANTLY THE GENERATION 4187 03:02:32,320 --> 03:02:33,600 OF EVIDENCE THAT INFORMS 4188 03:02:33,600 --> 03:02:34,920 NATIONAL AND INTERNATIONAL 4189 03:02:34,920 --> 03:02:36,520 POLICIES AND PRACTICE. 4190 03:02:36,520 --> 03:02:38,400 THANK YOU FOR YOUR TIME AND 4191 03:02:38,400 --> 03:02:38,920 ATTENTION. 4192 03:02:38,920 --> 03:02:44,040 I WELCOME YOUR QUESTIONS. 4193 03:02:44,040 --> 03:02:44,600 >> OKAY. 4194 03:02:44,600 --> 03:02:54,440 FOR THIS ONE WE HAVE DR. BONDI. 4195 03:02:54,440 --> 03:02:56,360 PERHAPS -- WE CAN GET STARTED 4196 03:02:56,360 --> 03:02:58,560 >> I APPRECIATE SO MUCH THAT YOU 4197 03:02:58,560 --> 03:03:00,720 REALLY PAID ATTENTION TO THE 4198 03:03:00,720 --> 03:03:04,920 COMMENTS THAT WE HAD AFTER OUR 4199 03:03:04,920 --> 03:03:09,120 DISCUSSIONS AND NOW DR. FLAHERTY 4200 03:03:09,120 --> 03:03:12,440 SAID -- WE REALLY LIKE THE WORK 4201 03:03:12,440 --> 03:03:15,080 THAT YOU'VE PROPOSED AND NEED 4202 03:03:15,080 --> 03:03:18,120 NOR DOING IMPLEMENTATION SCIENCE 4203 03:03:18,120 --> 03:03:20,560 AND THE WORK THAT YOU PLAN TO DO 4204 03:03:20,560 --> 03:03:28,760 WITH TRYING TO INCORPORATE THE 4205 03:03:28,760 --> 03:03:33,480 ---THE OTHER THE U.S. BASED 4206 03:03:33,480 --> 03:03:35,400 INSTITUTIONS TO WORK TOGETHER. 4207 03:03:35,400 --> 03:03:37,520 SOME OF THE CONCERNS THAT WE HAD 4208 03:03:37,520 --> 03:03:40,120 I BELIEVE YOU'VE ADDRESSED AND 4209 03:03:40,120 --> 03:03:42,920 OBVIOUSLY WE FELT LIKE FOR ONLY 4210 03:03:42,920 --> 03:03:45,440 HAVING FOUR APPLICATIONS THAT 4211 03:03:45,440 --> 03:03:47,520 WOULD BE AWARDED WAS PROBABLY 4212 03:03:47,520 --> 03:03:49,720 NOT ENOUGH AND ALSO YOU 4213 03:03:49,720 --> 03:03:51,360 DISCUSSED HAVING HUBS AROUND THE 4214 03:03:51,360 --> 03:03:53,720 WORLD AND HOW WOULD THOSE HUBS 4215 03:03:53,720 --> 03:03:55,160 STILL BE PLACED BECAUSE THE 4216 03:03:55,160 --> 03:03:57,040 WORLD IS VERY LARGE AND WE FELT 4217 03:03:57,040 --> 03:04:01,200 LIKE AND I KNOW THAT YOU HAVE 4218 03:04:01,200 --> 03:04:03,360 ALREADY EXPECTED THAT THERE 4219 03:04:03,360 --> 03:04:06,560 WOULD BE FOUR APPLICATIONS AND 4220 03:04:06,560 --> 03:04:08,080 $20 MILLION OVER FIVE YEARS AND 4221 03:04:08,080 --> 03:04:09,840 WE FELT LIKE MAYBE THAT WAS NOT 4222 03:04:09,840 --> 03:04:11,720 ENOUGH MONEY TO BE ABLE TO DO 4223 03:04:11,720 --> 03:04:14,920 THESE BUT THIS COULD BE A 4224 03:04:14,920 --> 03:04:16,440 DEMONSTRATION PROJECT BUT THAT 4225 03:04:16,440 --> 03:04:17,920 WAS SOME OF THE CONCERNS THAT 4226 03:04:17,920 --> 03:04:20,320 THERE WOULD NOT BE -- A SMALL 4227 03:04:20,320 --> 03:04:21,840 NUMBER OF CENTERS AROUND THE 4228 03:04:21,840 --> 03:04:24,280 WORLD AND HOW THE REGIONS WOULD 4229 03:04:24,280 --> 03:04:26,080 BE IDENTIFIED AND HOW THAT WOULD 4230 03:04:26,080 --> 03:04:28,560 BE DONE AND OBVIOUSLY THAT WAS 4231 03:04:28,560 --> 03:04:30,720 NOT UP TO YOU TO BE ABLE TO MAKE 4232 03:04:30,720 --> 03:04:33,120 THAT DECISION BUT WE FELT THAT 4233 03:04:33,120 --> 03:04:35,680 WAS IMPORTANT TO BRING THAT UP 4234 03:04:35,680 --> 03:04:37,120 -- AN OPPORTUNITY FOR US TO 4235 03:04:37,120 --> 03:04:39,440 BRING IT UP AT THIS VENUE AND 4236 03:04:39,440 --> 03:04:42,320 THE BSA TO DISCUSS THIS. 4237 03:04:42,320 --> 03:04:44,200 AND OBVIOUSLY IT'S IMPORTANT TO 4238 03:04:44,200 --> 03:04:48,240 HAVE AND CLARIFY THE BREADTH AND 4239 03:04:48,240 --> 03:04:51,200 DEPTH OF THESE APPLICATIONS AND 4240 03:04:51,200 --> 03:04:53,000 MAKING SURE THAT THESE 4241 03:04:53,000 --> 03:04:54,200 INSTITUTIONS WOULD BE ABLE TO 4242 03:04:54,200 --> 03:04:55,640 ADDRESS THAT AND MAKE A 4243 03:04:55,640 --> 03:04:57,520 DIFFERENCE AND I THINK THAT YOU 4244 03:04:57,520 --> 03:04:59,320 BROUGHT THAT UP WITH THE METRICS 4245 03:04:59,320 --> 03:05:01,400 AND THE SUCCESS METRICS OF EACH 4246 03:05:01,400 --> 03:05:02,800 OF THESE INITIATIVES AND HOW 4247 03:05:02,800 --> 03:05:03,800 THAT WOULD BE DONE. 4248 03:05:03,800 --> 03:05:06,160 I THINK YOU'VE ADDRESSED ALL OF 4249 03:05:06,160 --> 03:05:07,520 THE CONCERNS THAT WE HAD AND I 4250 03:05:07,520 --> 03:05:12,360 WANT TO ASK THE OTHERS IN OUR 4251 03:05:12,360 --> 03:05:15,200 REVIEW GROUP IF THEY HAVE ANY 4252 03:05:15,200 --> 03:05:15,440 ISSUES. 4253 03:05:15,440 --> 03:05:18,360 I KNOW DR. ROBESON AND DR. -- 4254 03:05:18,360 --> 03:05:19,000 WERE ALSO MEMBERS. 4255 03:05:19,000 --> 03:05:25,080 SO I'LL PASS THAT ON TO THEM 4256 03:05:25,080 --> 03:05:26,320 >> I'LL REITERATE. 4257 03:05:26,320 --> 03:05:29,320 THE BSA NEEDS TO APPRECIATE THE 4258 03:05:29,320 --> 03:05:32,040 FACT THAT WITH THE DIVERSITY AND 4259 03:05:32,040 --> 03:05:33,920 LOW AND MIDDLE INCOME COUNTRIES 4260 03:05:33,920 --> 03:05:39,160 IN TERMS OF THE SETTING AND THE 4261 03:05:39,160 --> 03:05:40,560 COMPLEXITIES I REALLY THINK THIS 4262 03:05:40,560 --> 03:05:42,560 IS AN IMPORTANT INITIATIVE TO 4263 03:05:42,560 --> 03:05:46,320 START TO LEARN TO BRING THINGS 4264 03:05:46,320 --> 03:05:48,520 FORWARD AND FOUR CENTERS I JUST 4265 03:05:48,520 --> 03:05:51,160 REALLY URGE NCI LEADERSHIP TO 4266 03:05:51,160 --> 03:05:53,120 THINK ABOUT THE POTENTIAL TO 4267 03:05:53,120 --> 03:05:54,520 EXPAND THE NUMBER OF CENTERS TO 4268 03:05:54,520 --> 03:05:58,040 BE ABLE TO GET THAT BREADTH OF 4269 03:05:58,040 --> 03:06:01,440 DIFFERENCES THAT ONE SEES IN THE 4270 03:06:01,440 --> 03:06:03,960 COUNTRIES TO REALLY SORT OF 4271 03:06:03,960 --> 03:06:05,440 ACCELERATE OUR LEARNING IN TERMS 4272 03:06:05,440 --> 03:06:07,920 OF HOW FAR THESE BARRIERS WHICH 4273 03:06:07,920 --> 03:06:09,880 BARRIERS EXIST AND HOW THEY CAN 4274 03:06:09,880 --> 03:06:10,400 BE OVERCOME. 4275 03:06:10,400 --> 03:06:12,520 I JUST WANT TO ECHO THE 4276 03:06:12,520 --> 03:06:15,280 DISCUSSION THAT THE BSA 4277 03:06:15,280 --> 03:06:17,920 SUBCOMMITTEE HAD IS THAT A 4278 03:06:17,920 --> 03:06:19,240 DEMONSTRATION PROJECT, YES. 4279 03:06:19,240 --> 03:06:21,480 BUT THIS SHOULD BE MORE THAN A 4280 03:06:21,480 --> 03:06:22,720 DEMONSTRATION PROJECT. 4281 03:06:22,720 --> 03:06:25,800 IT SHOULD -- I CONSIDER 4282 03:06:25,800 --> 03:06:27,920 STRENGTHENING THE OUTPUT OF THE 4283 03:06:27,920 --> 03:06:29,560 INVESTMENT THAT IS GOING TO GO 4284 03:06:29,560 --> 03:06:33,640 INTO THIS. 4285 03:06:33,640 --> 03:06:35,120 >> I DON'T HAVE ANYTHING TO ADD 4286 03:06:35,120 --> 03:06:36,960 TO THE CONTINUES. 4287 03:06:36,960 --> 03:06:39,360 THE ONLY COMMENT I WILL ADD IS 4288 03:06:39,360 --> 03:06:41,320 TO CONSIDER SUSTAINABILITY 4289 03:06:41,320 --> 03:06:43,480 METRIC IN TERMS OF SUCCESS 4290 03:06:43,480 --> 03:06:45,280 METRICS. 4291 03:06:45,280 --> 03:06:47,720 I THINK -- IT WOULD BE IMPORTANT 4292 03:06:47,720 --> 03:06:52,080 TO HAVE THAT UP FRONT. 4293 03:06:52,080 --> 03:06:54,600 >> ANY OTHER QUESTIONS OR 4294 03:06:54,600 --> 03:06:58,720 COMMENTS FROM BSA MEMBERS 4295 03:06:58,720 --> 03:07:00,720 >> HI. 4296 03:07:00,720 --> 03:07:06,120 I GOT THE IMPRESSION THAT THE PI 4297 03:07:06,120 --> 03:07:08,960 OR THE MPI SHOULD BE IN COUNTRY 4298 03:07:08,960 --> 03:07:09,920 AND THAT IS TERRIFIC. 4299 03:07:09,920 --> 03:07:12,960 AND THAT THE TRAINING WOULD BE 4300 03:07:12,960 --> 03:07:15,160 TOWARDS THE IN COUNTRY PEOPLE 4301 03:07:15,160 --> 03:07:17,320 AGAIN THAT IS SMART. 4302 03:07:17,320 --> 03:07:20,280 BUT THIS IS -- THE 4303 03:07:20,280 --> 03:07:21,800 IMPLEMENTATION SCIENCE ITSELF IS 4304 03:07:21,800 --> 03:07:24,880 A SMALL FIELD AND THOSE THAT ARE 4305 03:07:24,880 --> 03:07:26,720 CANCER CENTERS AND INSTITUTIONS 4306 03:07:26,720 --> 03:07:29,720 THAT ARE KIND OF IMPLEMENTATION 4307 03:07:29,720 --> 03:07:31,480 SCIENTISTS AND GLOBAL I THINK 4308 03:07:31,480 --> 03:07:35,080 THAT THERE SHOULD BE PERHAPS 4309 03:07:35,080 --> 03:07:37,720 THERE IS MORE OF AN INTERCHANGES 4310 03:07:37,720 --> 03:07:39,040 THAT THE RESEARCH CAPACITY 4311 03:07:39,040 --> 03:07:40,720 BUILDING SHOULD BE BUILDING THE 4312 03:07:40,720 --> 03:07:43,800 TRAINEES HERE AND THERE AND BY 4313 03:07:43,800 --> 03:07:46,320 THAT I MEAN TRAINEES FROMth 4314 03:07:46,320 --> 03:07:50,480 U.S. THAT LIVE OR WORK IN THE 4315 03:07:50,480 --> 03:07:53,960 LMIC. 4316 03:07:53,960 --> 03:08:00,680 >> SURE AND ACTUALLY I'M NOT 4317 03:08:00,680 --> 03:08:10,320 SURE IF YOU'R YOUR -- YOU'RE AWARE -- 4318 03:08:10,320 --> 03:08:13,840 WE HAVE ALREADY TRAINED A COHORT 4319 03:08:13,840 --> 03:08:17,000 OF HUNDREDS OF INVESTIGATORS IN 4320 03:08:17,000 --> 03:08:18,720 CANCER CONTROL MANY OF WHOM BUT 4321 03:08:18,720 --> 03:08:20,880 I DON'T KNOW THE SPECIFIC 4322 03:08:20,880 --> 03:08:23,960 STATISTICS WHO DO HAVE GLOBAL 4323 03:08:23,960 --> 03:08:25,720 COLLABORATIONS AND FOR SOME OF 4324 03:08:25,720 --> 03:08:27,600 OUR IMPLEMENTATION SCIENCE 4325 03:08:27,600 --> 03:08:30,800 CENTERS THAT ARE FUNDED THROUGH 4326 03:08:30,800 --> 03:08:32,920 THE MOONSHOT SOME HAVE STRONG 4327 03:08:32,920 --> 03:08:35,320 GLOBAL CONNECTIONS AS WELL AS I 4328 03:08:35,320 --> 03:08:37,400 MENTIONED OVER A DOES OF OUR 4329 03:08:37,400 --> 03:08:38,640 INVESTIGATORS HAVE PARTNERED 4330 03:08:38,640 --> 03:08:41,000 WITH LMICs. 4331 03:08:41,000 --> 03:08:43,120 IN TERMS OF THE TRAINING IT'S A 4332 03:08:43,120 --> 03:08:46,720 GREAT SUGGESTION AND ACTUALLY IT 4333 03:08:46,720 --> 03:08:49,440 WOULD BE ONE THING TO THINK 4334 03:08:49,440 --> 03:08:51,680 ABOUT HOW OUR TRAININGS CAN BE 4335 03:08:51,680 --> 03:08:54,400 MORE BROADLY RELEVANT BOTH TO 4336 03:08:54,400 --> 03:08:56,320 GLOBAL AND DOMESTIC AUDIENCES. 4337 03:08:56,320 --> 03:08:58,440 BUT I THINK ONE OF THE BIG 4338 03:08:58,440 --> 03:09:00,640 VALUES OF THIS INITIATIVE IS 4339 03:09:00,640 --> 03:09:02,640 THAT FOR MANY INVESTIGATORS THEY 4340 03:09:02,640 --> 03:09:05,120 WANT TRAINING IN THEIR LANGUAGE. 4341 03:09:05,120 --> 03:09:07,600 SO WE NEED THESE TRAININGS IN 4342 03:09:07,600 --> 03:09:07,960 FRENCH. 4343 03:09:07,960 --> 03:09:10,160 IN SPANISH AND THERE IS A GROUP 4344 03:09:10,160 --> 03:09:13,240 OF INVESTIGATORS ACROSS LATIN 4345 03:09:13,240 --> 03:09:14,880 AMERICA WHO ARE TRYING TO 4346 03:09:14,880 --> 03:09:18,120 ORGANIZE SOMETHING SIMILAR BUT 4347 03:09:18,120 --> 03:09:20,720 STRUGGLING TO FIND THE FUNDS -- 4348 03:09:20,720 --> 03:09:23,560 I JUST LEARNED ABOUT THIS BUT 4349 03:09:23,560 --> 03:09:24,720 OBVIOUSLY COULD NOT SHARE THIS. 4350 03:09:24,720 --> 03:09:27,160 BUT I DO THINK THERE ARE MANY 4351 03:09:27,160 --> 03:09:28,760 INVESTIGATORS AROUND THE WORLD 4352 03:09:28,760 --> 03:09:30,920 WHO ARE INTERESTED IN DEVELOPING 4353 03:09:30,920 --> 03:09:32,760 THEIR OWN TRAINING PROGRAMS SO 4354 03:09:32,760 --> 03:09:34,160 THIS WOULD BE A REAL 4355 03:09:34,160 --> 03:09:36,240 OPPORTUNITY. 4356 03:09:36,240 --> 03:09:36,720 >> CONGRATULATIONS. 4357 03:09:36,720 --> 03:09:39,320 I THINK IT'S A GREAT INITIATIVE. 4358 03:09:39,320 --> 03:09:44,200 I WANTED TO FOLLOW-UP ON 4359 03:09:44,200 --> 03:09:45,800 DR. ROBESON COMMENTS. 4360 03:09:45,800 --> 03:09:50,520 FUNDING FOR CENTERS AND GIVEN 4361 03:09:50,520 --> 03:09:55,320 THE BREADTH OF NEEDS I WORRY 4362 03:09:55,320 --> 03:09:57,600 YOU'RE GOING TO HAVE A LOT OF 4363 03:09:57,600 --> 03:09:58,800 APPLICATIONS AND IT'S GOING TO 4364 03:09:58,800 --> 03:10:03,120 BE HARD TO DISTINGUISH BETWEEN 4365 03:10:03,120 --> 03:10:05,680 THE APPLICATIONS AND PRIORITIZE. 4366 03:10:05,680 --> 03:10:10,440 HAS THERE BEEN MORE THOUGHT 4367 03:10:10,440 --> 03:10:12,320 ABOUT WHAT THE METRICS WILL BE 4368 03:10:12,320 --> 03:10:16,680 FOR REVIEWERS IN TERMS OF HOW TO 4369 03:10:16,680 --> 03:10:18,320 PRIORITIZE AMONG THE MANY 4370 03:10:18,320 --> 03:10:19,160 APPLICATIONS. 4371 03:10:19,160 --> 03:10:20,640 7 4372 03:10:20,640 --> 03:10:23,520 >> SO I THINK THAT THAT QUESTION 4373 03:10:23,520 --> 03:10:25,280 MAY BE BEST ANSWERED BY THE 4374 03:10:25,280 --> 03:10:26,600 DIRECTOR OF THE CENTER FOR 4375 03:10:26,600 --> 03:10:27,640 GLOBAL HEALTH. 4376 03:10:27,640 --> 03:10:30,160 BUT MY HOPE WOULD BE THAT THERE 4377 03:10:30,160 --> 03:10:33,320 WOULD BE SOME CONSIDERATION FOR 4378 03:10:33,320 --> 03:10:34,720 GEOGRAPHICAL DIVERSITY AS WELL 4379 03:10:34,720 --> 03:10:37,640 AS DIVERSITY IN CANCER CONTROL 4380 03:10:37,640 --> 03:10:39,520 AREAS AND OTHER TYPES OF 4381 03:10:39,520 --> 03:10:41,200 SETTINGS WHETHER COMMUNITY OR 4382 03:10:41,200 --> 03:10:45,640 CLINICAL ETC. 4383 03:10:45,640 --> 03:10:49,160 SO WE DO HOPE TO SEE A DIVERSE 4384 03:10:49,160 --> 03:10:52,560 RANGE IN DIVERSITY NOT JUST 4385 03:10:52,560 --> 03:10:53,560 GEOGRAPHICALLY BUT IN OTHER 4386 03:10:53,560 --> 03:10:55,560 WAYS. 4387 03:10:55,560 --> 03:11:02,480 BUT I WONDER IF DR. -- OR OTHERS 4388 03:11:02,480 --> 03:11:06,320 MAY WANT TO FURTHER WEIGH IN ON 4389 03:11:06,320 --> 03:11:09,520 THE PROCESS WITH HOW WE MIGHT 4390 03:11:09,520 --> 03:11:12,320 WEIGHT THAT. 4391 03:11:12,320 --> 03:11:15,400 >> THANKS. 4392 03:11:15,400 --> 03:11:17,840 -- WE EXPECT A LOT OF STRONG 4393 03:11:17,840 --> 03:11:19,560 APPLICATIONS. 4394 03:11:19,560 --> 03:11:22,080 A NUMBER OF PEOPLE -- THERE IS A 4395 03:11:22,080 --> 03:11:23,400 RICH INVESTIGATOR COMMUNITY THAT 4396 03:11:23,400 --> 03:11:25,040 MAY END UP BEING A PROBLEM THAT 4397 03:11:25,040 --> 03:11:29,000 IS NOT DISSIMILAR TO WHAT SONIA 4398 03:11:29,000 --> 03:11:30,760 SPRINGFIELD DESCRIBED WITH THE 4399 03:11:30,760 --> 03:11:31,360 FIRST INITIATIVE. 4400 03:11:31,360 --> 03:11:34,000 WE WOULD LIKE TO SUPPORT KIND OF 4401 03:11:34,000 --> 03:11:36,000 STRONG IMPLEMENTATION SCIENCE 4402 03:11:36,000 --> 03:11:38,960 HUBS THAT CAN ADDRESS HIGHLY 4403 03:11:38,960 --> 03:11:41,200 RELEVANT CONTEXTUAL NEEDS. 4404 03:11:41,200 --> 03:11:43,320 WE'LL OF COURSE CONSIDER ISSUES 4405 03:11:43,320 --> 03:11:46,120 OF DISEASE. 4406 03:11:46,120 --> 03:11:47,160 GEOGRAPHIC HETEROGENEITY. 4407 03:11:47,160 --> 03:11:50,160 BUT WE'LL HAVE TO MAKE DECISIONS 4408 03:11:50,160 --> 03:11:52,600 AROUND THE SCIENCE. 4409 03:11:52,600 --> 03:11:54,680 THERE ARE OTHER RELATED 4410 03:11:54,680 --> 03:11:56,560 IMPLEMENTATION SCIENCE 4411 03:11:56,560 --> 03:11:58,880 ACTIVITIES BOTH DOMESTICALLY 4412 03:11:58,880 --> 03:12:00,760 INCLUDING AND INTERNATIONALLY 4413 03:12:00,760 --> 03:12:04,120 INCLUDING AN OPEN RFA THAT WE 4414 03:12:04,120 --> 03:12:07,160 HAVE THAT ARE FOCUSED ON HIV 4415 03:12:07,160 --> 03:12:07,600 POPULATIONS. 4416 03:12:07,600 --> 03:12:10,280 SO OUR HOPE IS THAT EVEN IF IT 4417 03:12:10,280 --> 03:12:11,640 IS JUST FOUR CENTERS AND OF 4418 03:12:11,640 --> 03:12:14,280 COURSE WE WOULD SUPPORT A LARGER 4419 03:12:14,280 --> 03:12:16,960 NUMBER IF THAT IS DOABLE THAT WE 4420 03:12:16,960 --> 03:12:20,120 CAN EFFECTIVELY COORDINATE AND 4421 03:12:20,120 --> 03:12:21,320 LEVERAGE THIS WITH OTHERS 4422 03:12:21,320 --> 03:12:25,280 INCLUDING THE TRAINING 4423 03:12:25,280 --> 03:12:27,720 ACTIVITIES TO HELP SUPPORT THE 4424 03:12:27,720 --> 03:12:30,000 COMMUNITY. 4425 03:12:30,000 --> 03:12:34,240 >> THANKS FOR THE DISCUSSION. 4426 03:12:34,240 --> 03:12:37,000 IF YOU ANSWER THE BRIEF QUESTION 4427 03:12:37,000 --> 03:12:39,080 IN THE CHAT WHILE WE MOVE TO 4428 03:12:39,080 --> 03:12:45,400 VOTING TO TRY TO KEEP ON 4429 03:12:45,400 --> 03:12:45,760 SCHEDULE. 4430 03:12:45,760 --> 03:12:49,480 THIS IS A NEW CONCEPT RFA. 4431 03:12:49,480 --> 03:12:54,760 SO DR. BON DEE CAN I ASK FOR A 4432 03:12:54,760 --> 03:12:59,000 MOTION. 4433 03:12:59,000 --> 03:13:02,120 >> I'D LIKE TO PROPOSE THAT WE 4434 03:13:02,120 --> 03:13:03,960 -- TO MAKE A MOTION THAT WE 4435 03:13:03,960 --> 03:13:07,400 ACCEPT THIS PROPOSAL. 4436 03:13:07,400 --> 03:13:11,680 >> A PROVAL. 4437 03:13:11,680 --> 03:13:12,880 *. 4438 03:13:12,880 --> 03:13:14,960 >> CAN I ASK FOR A SECOND? 4439 03:13:14,960 --> 03:13:16,960 >> SECOND. 4440 03:13:16,960 --> 03:13:17,440 >> THANK YOU. 4441 03:13:17,440 --> 03:13:22,280 ANY FURTHER DISCUSSION? 4442 03:13:22,280 --> 03:13:22,880 >> SORRY. 4443 03:13:22,880 --> 03:13:25,160 I HAD A QUICK QUESTION. 4444 03:13:25,160 --> 03:13:28,640 I FELT THAT WHEN HE SPOKE HE 4445 03:13:28,640 --> 03:13:31,040 FELT THAT THE CONCEPT DID NOT GO 4446 03:13:31,040 --> 03:13:31,840 FAR ENOUGH. 4447 03:13:31,840 --> 03:13:35,000 DID I MISS INTERPRET WHAT YOU 4448 03:13:35,000 --> 03:13:35,200 SAID? 4449 03:13:35,200 --> 03:13:37,280 >> I THINK IT DIDN'T GO FAR 4450 03:13:37,280 --> 03:13:40,680 ENOUGH IN TERMS OF ACCOMPLISHING 4451 03:13:40,680 --> 03:13:43,640 THE OBJECTIVE OF HUBS THAT CAN 4452 03:13:43,640 --> 03:13:45,520 HELP GENERATE INFORMATION THAT 4453 03:13:45,520 --> 03:13:49,000 WOULD HAVE A GREATER APPLICATION 4454 03:13:49,000 --> 03:13:51,240 GENERALIZABILITY WITHIN LOW AND 4455 03:13:51,240 --> 03:13:52,480 MIDDLE INCOME COUNTRIES. 4456 03:13:52,480 --> 03:13:54,800 MY VIEW IS I'M CONCERNED THAT 4457 03:13:54,800 --> 03:13:58,080 FOUR WOULD PROVIDE THAT LEVEL OF 4458 03:13:58,080 --> 03:14:02,160 BREADTH. 4459 03:14:02,160 --> 03:14:04,440 >> I THINK THE GROUP TALKED 4460 03:14:04,440 --> 03:14:10,680 ABOUT THE ISSUE OF BRE BREADTH AND 4461 03:14:10,680 --> 03:14:18,120 IN MANY WAYS THIS IS A PILOT. 4462 03:14:18,120 --> 03:14:20,120 ACROSS MANY AREAS ACROSS THE 4463 03:14:20,120 --> 03:14:29,040 WORLD 4464 03:14:29,040 --> 03:14:31,560 -- BUT AT THE SAME TIME PERHAPS 4465 03:14:31,560 --> 03:14:34,080 IT WILL ALLOW US TO SEE HOW TO 4466 03:14:34,080 --> 03:14:37,040 SET THEM UP AND THAT MAY BE A 4467 03:14:37,040 --> 03:14:39,720 WAY TO APPROACH IT WITH LIMITED 4468 03:14:39,720 --> 03:14:42,720 RESOURCES. 4469 03:14:42,720 --> 03:14:49,720 BUT ALSO THESE ARE GOING TO -- 4470 03:14:49,720 --> 03:14:54,240 WITH EXISTING PROGRAMS. 4471 03:14:54,240 --> 03:14:56,360 THAT MAY ALLOW US TO BEGIN TO 4472 03:14:56,360 --> 03:14:59,200 LEARN HOW TO SET THIS UP IN AN 4473 03:14:59,200 --> 03:15:10,640 EFFECTIVE WAY. 4474 03:15:10,640 --> 03:15:12,000 >> THANK YOU VERY MUCH. 4475 03:15:12,000 --> 03:15:13,040 OKAY. 4476 03:15:13,040 --> 03:15:15,880 LET'S MOVE TO VOTING. 4477 03:15:15,880 --> 03:15:19,160 SO AGAIN THE DEFAULT IS A VOTE 4478 03:15:19,160 --> 03:15:21,400 OF APPROVAL. 4479 03:15:21,400 --> 03:15:23,960 SO PLEASE VOICE YOUR DISAPPROVAL 4480 03:15:23,960 --> 03:15:25,920 VOTES IF YOU DISAPPROVE THIS 4481 03:15:25,920 --> 03:15:27,520 CONCEPT OR DEFERRAL. 4482 03:15:27,520 --> 03:15:30,560 I DIDN'T HEAR ANY DISCUSSION OF 4483 03:15:30,560 --> 03:15:33,200 DEFERRAL SO I'M ASSUMING WE'RE 4484 03:15:33,200 --> 03:15:35,920 VOTING TO APPROVE OR DISAPPROVE. 4485 03:15:35,920 --> 03:15:41,920 ANY DISAPPROVALS, PLEASE. 4486 03:15:41,920 --> 03:15:44,960 PAULETTE, I DON'T SEE ANY OTHER 4487 03:15:44,960 --> 03:15:46,000 EITHER SCREEN 4488 03:15:46,000 --> 03:15:47,960 >> SO THE VOTE WAS UNANIMOUS 4489 03:15:47,960 --> 03:15:49,120 APPROVAL. 4490 03:15:49,120 --> 03:15:53,840 >> ANY ABSTENTIONS? 4491 03:15:53,840 --> 03:15:57,080 AGAIN I DO NOT SEE ANY. 4492 03:15:57,080 --> 03:15:59,320 SO UNANIMOUS APPROVAL. 4493 03:15:59,320 --> 03:16:05,320 NO ABSTENTIONS. 4494 03:16:05,320 --> 03:16:06,960 PAULETTE I'LL PROCEED. 4495 03:16:06,960 --> 03:16:07,560 >> YES. 4496 03:16:07,560 --> 03:16:08,360 >> THANK YOU. 4497 03:16:08,360 --> 03:16:12,920 THE MEXICAN SENT IS A REISSUE 4498 03:16:12,920 --> 03:16:16,760 RFP. 4499 03:16:16,760 --> 03:16:17,800 DR. SEI IS PRESENTING. 4500 03:16:17,800 --> 03:16:20,360 THE SUBCOMMITTEE IS INCLUDES 4501 03:16:20,360 --> 03:16:25,800 MYSELF AS CHAIR. 4502 03:16:25,800 --> 03:16:28,160 -- HAVE JOINED ME. 4503 03:16:28,160 --> 03:16:29,480 PLEASE PRESENT. 4504 03:16:29,480 --> 03:16:30,200 >> THANK YOU. 4505 03:16:30,200 --> 03:16:32,400 ON BEHALF OF THE DIVISION OF 4506 03:16:32,400 --> 03:16:35,360 CANCER PREVENTION I'M PLEASED TO 4507 03:16:35,360 --> 03:16:37,760 PRESENT WHAT PREVENT HAS BEEN 4508 03:16:37,760 --> 03:16:39,920 ABLE TO ACCOMPLISH SINCE THINGS 4509 03:16:39,920 --> 03:16:42,240 ACCEPTS. 4510 03:16:42,240 --> 03:16:46,920 -- THE -- INCEPTION. 4511 03:16:46,920 --> 03:17:33,000 * -- THE MISSION -- 4512 03:17:33,000 --> 03:17:48,240 [ READING FROM SCREEN ] 4513 03:17:48,240 --> 03:17:54,640 >> -- 4514 03:18:00,480 --> 03:18:23,720 [ READING FROM SCREEN ] 4515 03:18:23,720 --> 03:19:09,360 [ READING FROM SCREEN ] 4516 03:19:09,360 --> 03:19:49,400 [ READING FROM SCREEN ] 4517 03:19:49,400 --> 03:20:30,960 [ READING FROM SCREEN ] 4518 03:20:30,960 --> 03:21:06,840 --PREVENT IS EXPECTED TO SUPPORT 4519 03:21:06,840 --> 03:21:08,400 DEVELOPMENT NEEDS COMING FROM 4520 03:21:08,400 --> 03:21:10,920 CAP IT AS WELL AS NONCAP IT 4521 03:21:10,920 --> 03:21:14,400 INVESTIGATORS. 4522 03:21:14,400 --> 03:21:18,560 PREVENT IMPLEMENTS -- 4523 03:21:18,560 --> 03:21:21,760 COMPETITIVELY SELECTED. 4524 03:21:21,760 --> 03:21:24,440 WHEN THESE CONTRACTORS DO NOT -- 4525 03:21:24,440 --> 03:21:28,960 HAVE A CERTAIN ASPECT THEY CAN 4526 03:21:28,960 --> 03:21:36,880 BRING IN SUBCONTRACTORS. 4527 03:21:36,880 --> 03:21:39,960 NOW APPROVED CONCEPTS CAN ENTER 4528 03:21:39,960 --> 03:21:42,600 AT ANY POINT WITHIN THE PREVENT 4529 03:21:42,600 --> 03:21:44,960 PIPELINE WHICH CONSISTS OF THREE 4530 03:21:44,960 --> 03:21:46,400 MAJOR DEVELOPMENT STAGES 4531 03:21:46,400 --> 03:21:50,400 PROOF OF CONCEPT, TESTING AND 4532 03:21:50,400 --> 03:21:53,000 ADVANCED PRECLINICAL 4533 03:21:53,000 --> 03:21:53,720 DEVELOPMENT. 4534 03:21:53,720 --> 03:21:58,360 7 EACH PROJECT GOES THROUGH THE 4535 03:21:58,360 --> 03:22:02,640 PIPELINE WITH GO NO GO DECISIONS 4536 03:22:02,640 --> 03:22:04,960 MADE WITH THE OVERSIGHT AND 4537 03:22:04,960 --> 03:22:08,840 APPROVAL OF THE INTERNAL -- WHEN 4538 03:22:08,840 --> 03:22:16,760 THEY ARE READY TO ADVANCE -- -- 4539 03:22:20,640 --> 03:22:24,920 NOW TO DATE PREVENT HAS RECEIVED 4540 03:22:24,920 --> 03:22:26,360 390 APPLICATIONS AFTER THE PEER 4541 03:22:26,360 --> 03:22:29,720 REVIEW AND THE SECONDARY REVIEW. 4542 03:22:29,720 --> 03:22:31,720 101 APPLICATIONS HAVE BEEN 4543 03:22:31,720 --> 03:22:35,440 APPROVED. 4544 03:22:35,440 --> 03:22:38,760 SHOWN ON THE RIGHT IS THE 4545 03:22:38,760 --> 03:22:42,200 DISTRIBUTION OF PREVENTION. 4546 03:22:42,200 --> 03:22:46,960 SO FAR WE HAVE COMPLETED 74 OF 4547 03:22:46,960 --> 03:22:49,160 THOSE CONCEPT PROJECTS. 4548 03:22:49,160 --> 03:22:51,560 IT CAN BE SEEN WITH X MARKS. 4549 03:22:51,560 --> 03:22:54,400 THE SLIDE SHOWS THE BREAKDOWN OF 4550 03:22:54,400 --> 03:22:58,160 THE DECISIONS MADE ON THOSE 4551 03:22:58,160 --> 03:23:04,440 CLOSED OR COMPLETED PROJECTS. 4552 03:23:04,440 --> 03:23:06,360 45 HAVE BEEN CLOSED. 4553 03:23:06,360 --> 03:23:09,560 OF THOSE 27 PROJECTS WHICH IS 4554 03:23:09,560 --> 03:23:12,120 60% HAVE BEEN DEEMED NO GO. 4555 03:23:12,120 --> 03:23:17,600 SIMILARLY OF THE 21 CLOSED 4556 03:23:17,600 --> 03:23:19,600 PROJECTS, 17 WHICH IS 81% HAVE 4557 03:23:19,600 --> 03:23:21,680 BEEN DEEMED NO GO. 4558 03:23:21,680 --> 03:23:23,960 IN CONTRAST OF THE 8 CLOSED 4559 03:23:23,960 --> 03:23:26,320 PROJECTS IN ADVANCED DEVELOPMENT 4560 03:23:26,320 --> 03:23:27,760 STAGE ONLY ONE PROJECT HAS BEEN 4561 03:23:27,760 --> 03:23:29,480 DEEMED NO GO. 4562 03:23:29,480 --> 03:23:32,680 THIS BREAK DOWN ILLUSTRATES THAT 4563 03:23:32,680 --> 03:23:35,480 THE PREVENT STRIVES TO -- DROP 4564 03:23:35,480 --> 03:23:38,400 FAILING PROJECTS DURING 4565 03:23:38,400 --> 03:23:44,320 PRECLINICAL TESTING PHASE. 4566 03:23:44,320 --> 03:23:49,240 OF THE GO PROJECTS WE HAVE 4567 03:23:49,240 --> 03:23:57,880 ADVANCED -- AS CAN BE SEEN ... 4568 03:23:57,880 --> 03:24:08,280 INCLUDING SIX AGENTS SINCE 2016. 4569 03:24:08,280 --> 03:24:17,440 NOW THE -- -- PREVENT HAS BEEN 4570 03:24:17,440 --> 03:24:19,120 QUITE SUCCESSFUL. 4571 03:24:19,120 --> 03:24:24,200 ONE OF THE UNIQUE ASPECTS OF THE 4572 03:24:24,200 --> 03:24:28,680 DEVELOPMENT RESEARCH IS THE 4573 03:24:28,680 --> 03:24:31,960 OVER-ALL -- 4574 03:24:45,560 --> 03:25:39,320 WE ESTABLISHED AREA SOLIZED -- WE 4575 03:25:39,320 --> 03:25:42,600 HAVE COMPLETED THE GLP STUDIES 4576 03:25:42,600 --> 03:25:44,720 AND FORMULATION HAS BEEN 4577 03:25:44,720 --> 03:25:45,120 DEVELOPED. 4578 03:25:45,120 --> 03:25:49,800 NOW WE'RE DISCUSSING -- FOR 4579 03:25:49,800 --> 03:25:53,960 CLINICAL STUDIES. 4580 03:25:53,960 --> 03:25:57,160 I APOLOGIZE FOR THE GLITZ. 4581 03:25:57,160 --> 03:26:02,200 IN SUM REAR OVER THE * PREVENT 4582 03:26:02,200 --> 03:26:04,040 HAS SHIFTED TO PREVENTION AND 4583 03:26:04,040 --> 03:26:05,040 TRANSFORMED THE PROGRAM 4584 03:26:05,040 --> 03:26:08,960 PORTFOLIO WITH INNOVATIVE 4585 03:26:08,960 --> 03:26:13,080 TARGETED AND IMMUNO TARGETED. 4586 03:26:13,080 --> 03:26:16,160 WE HAVE EXPANDED TECHNICAL 4587 03:26:16,160 --> 03:26:20,080 CAPABILITIES INCLUDING COMPLEX 4588 03:26:20,080 --> 03:26:23,640 MODELS AND BUILT THE PIPELINE 4589 03:26:23,640 --> 03:26:29,920 INFRASTRUCTURE WITH -- STEPS 4590 03:26:29,920 --> 03:26:31,720 EMBEDDED. 4591 03:26:31,720 --> 03:26:35,960 WE HAVE ADVANCED SEVEN AGENTS TO 4592 03:26:35,960 --> 03:26:39,880 FULLY -- DEVELOPMENT PHRASE. 4593 03:26:39,880 --> 03:26:42,640 MORE ARE EXPECTED IN 2022 AND 4594 03:26:42,640 --> 03:26:43,160 NEXT YEAR. 4595 03:26:43,160 --> 03:26:49,360 7 NOW AS FOR THE JUSTIFICATION 4596 03:26:49,360 --> 03:26:52,360 OF PROGRAM RENEWAL AND THE 4597 03:26:52,360 --> 03:27:16,720 BUDGET. 4598 03:27:16,720 --> 03:27:20,440 WE DO EXPECT AN INCREASE WHEN 4599 03:27:20,440 --> 03:27:28,280 AGENTS -- ENTER THE PIPELINE. 4600 03:27:28,280 --> 03:27:31,160 SO MEET THESE DEMANDS WE ARE 4601 03:27:31,160 --> 03:27:33,400 PROPOSING GRADUAL FUNDING 4602 03:27:33,400 --> 03:27:35,960 INCREASE FROM THE CURRENT 4603 03:27:35,960 --> 03:27:40,240 $11 MILLION TO $30 MILLION IN 4604 03:27:40,240 --> 03:27:44,200 FY23-24 FOLLOWED BY $50 MILLION 4605 03:27:44,200 --> 03:27:48,720 IN FY25. 4606 03:27:48,720 --> 03:27:52,800 WE WOULD LIKE TO THANK THE TEAM 4607 03:27:52,800 --> 03:27:55,760 MEMBERS -- FOR THEIR VERY 4608 03:27:55,760 --> 03:27:57,480 HELPFUL AND CRITICAL ADVISE AND 4609 03:27:57,480 --> 03:27:57,880 COMMENTS. 4610 03:27:57,880 --> 03:28:00,360 OUR RESPONSES AND CLARIFICATION 4611 03:28:00,360 --> 03:28:02,200 HAVE BEEN INCORPORATED IN 4612 03:28:02,200 --> 03:28:02,840 TODAY'S PRESENTATION. 4613 03:28:02,840 --> 03:28:04,800 7 THANK YOU FOR YOUR ATTENTION. 4614 03:28:04,800 --> 03:28:06,600 I WILL BE HAPPY TO TAKE 4615 03:28:06,600 --> 03:28:09,040 QUESTIONS. 4616 03:28:09,040 --> 03:28:12,720 >> THANK YOU DR. SEI. 4617 03:28:12,720 --> 03:28:14,760 OUR DISCUSSION WAS VERY NICELY 4618 03:28:14,760 --> 03:28:16,560 REFLECTED IN THIS PRESENTATION. 4619 03:28:16,560 --> 03:28:19,000 WE SPENT A FAIR LITTLE BIT OF 4620 03:28:19,000 --> 03:28:20,880 TIME REFLECTING FIRST AND 4621 03:28:20,880 --> 03:28:23,080 FOREMOST ON THE REALLY CRITICAL 4622 03:28:23,080 --> 03:28:27,600 ROLE THAT THIS PROGRAM PLAYS IN 4623 03:28:27,600 --> 03:28:32,800 THIS AREA OF DEVELOPMENT. 4624 03:28:32,800 --> 03:28:35,560 WHICH EVERYONE KNOWS AS NOT 4625 03:28:35,560 --> 03:28:39,560 ADDRESSED IN THE PRIVATE SECTOR. 4626 03:28:39,560 --> 03:28:42,040 IN TERMS OF DRIVING THIS TYPE OF 4627 03:28:42,040 --> 03:28:44,280 RESEARCH FORWARD. 4628 03:28:44,280 --> 03:28:46,920 THIS IS A UNIQUE PROGRAM IN ITS 4629 03:28:46,920 --> 03:28:48,920 PURVIEW IN TERMS OF SUPPORTING 4630 03:28:48,920 --> 03:28:50,360 THIS BROAD SPECTRUM OF CONTRACTS 4631 03:28:50,360 --> 03:28:52,280 AND WE HAD AN EXCELLENT 4632 03:28:52,280 --> 03:28:54,400 DISCUSSION AS WAS REFLECTED IN 4633 03:28:54,400 --> 03:28:56,240 THE PRESENTATION REGARDING WHAT 4634 03:28:56,240 --> 03:28:59,400 I CONSIDER TO BE EXCEPTIONABLE 4635 03:28:59,400 --> 03:29:00,360 PRODUCTIVITY BOTH WITH REGARD TO 4636 03:29:00,360 --> 03:29:01,680 THE NUMBER OF CONTRACTS 4637 03:29:01,680 --> 03:29:03,120 SUPPORTED AND THE SELECTION 4638 03:29:03,120 --> 03:29:05,440 PROCESS AND THE STRATEGY LOOKING 4639 03:29:05,440 --> 03:29:08,720 BACKWARD OVER THE PAST PERIOD 4640 03:29:08,720 --> 03:29:09,600 FUNDING PERIOD. 4641 03:29:09,600 --> 03:29:12,960 STRATEGY IN TERMS OF 4642 03:29:12,960 --> 03:29:14,080 PRIORITIZING THOSE CONCEPTS THAT 4643 03:29:14,080 --> 03:29:16,960 HAD THE GREATEST TRANSLATIONAL 4644 03:29:16,960 --> 03:29:19,280 POTENTIAL AND I THINK THE REALLY 4645 03:29:19,280 --> 03:29:21,320 EXCELLENT DISCIPLINE IN TERMS OF 4646 03:29:21,320 --> 03:29:24,280 MAKING THE GO NO GO DECISIONS AS 4647 03:29:24,280 --> 03:29:26,560 DESCRIBED AT EACH STAGE. 4648 03:29:26,560 --> 03:29:31,520 SO WE FELT AS A GROUP I THINK 4649 03:29:31,520 --> 03:29:35,960 THAT THIS PROGRAM IN ITS PAST 4650 03:29:35,960 --> 03:29:36,960 PERFORMANCE WAS QUITE 4651 03:29:36,960 --> 03:29:37,560 EXCEPTIONAL. 4652 03:29:37,560 --> 03:29:40,440 THE NEED REMAINS AS PRESSING IF 4653 03:29:40,440 --> 03:29:43,080 NOT MORE SO IN 2021 LOOKING 4654 03:29:43,080 --> 03:29:43,800 FORWARD. 4655 03:29:43,800 --> 03:29:47,360 SO OUR CONSENSUS AFTER EXTENSIVE 4656 03:29:47,360 --> 03:29:49,000 DISCUSSION WAS CONCURRENCE AS A 4657 03:29:49,000 --> 03:29:49,600 GROUP. 4658 03:29:49,600 --> 03:29:53,240 THAT SAID I'D LIKE TO ALLOW 4659 03:29:53,240 --> 03:30:03,440 OTHERS TO ADD THEIR COMMENTS. 4660 03:30:03,440 --> 03:30:06,400 >> I VERY MUCH AGREE WITH 4661 03:30:06,400 --> 03:30:06,920 DR. FLAHERTY. 4662 03:30:06,920 --> 03:30:11,200 THIS IS AN AREA OF UNMET NEED. 4663 03:30:11,200 --> 03:30:13,400 TO ADDRESS IT THROUGH THE 4664 03:30:13,400 --> 03:30:14,040 STRATEGY. 4665 03:30:14,040 --> 03:30:17,160 I THINK FOR ME ESPECIALLY HAVING 4666 03:30:17,160 --> 03:30:18,920 THAT CLARE OR PARTICULAR LACKS 4667 03:30:18,920 --> 03:30:25,320 OF THE ABILITY TO -- -- THAT 4668 03:30:25,320 --> 03:30:41,240 CLEAR ARTICULATION -- *. 4669 03:30:41,240 --> 03:30:42,720 -- 4670 03:30:42,720 --> 03:30:51,160 >> OTHER COMMENTS OR QUESTIONS? 4671 03:30:51,160 --> 03:30:54,080 >> THERE IS A QUESTION IN THE 4672 03:30:54,080 --> 03:30:55,160 CHAT. 4673 03:30:55,160 --> 03:30:56,840 >> OH, GREAT. 4674 03:30:56,840 --> 03:30:57,920 >> LET ME SCROLL UP. 4675 03:30:57,920 --> 03:31:02,240 THERE ARE A COUPLE OF. 4676 03:31:02,240 --> 03:31:06,560 YES. 4677 03:31:06,560 --> 03:31:08,880 THE INVESTIGATORS -- ARE THEY ON 4678 03:31:08,880 --> 03:31:12,200 THE STEERING PANEL -- 4679 03:31:12,200 --> 03:31:14,560 >> WHEN WE PULL EXTERNAL -- YOU 4680 03:31:14,560 --> 03:31:16,960 ARE PROBABLY REFERRING TO 4681 03:31:16,960 --> 03:31:18,800 EXTERNAL STEERING PANEL. 4682 03:31:18,800 --> 03:31:19,320 SO NO. 4683 03:31:19,320 --> 03:31:20,480 THEY ARE NOT. 4684 03:31:20,480 --> 03:31:24,440 THEY ARE NOT ON THE SPECIAL 4685 03:31:24,440 --> 03:31:27,200 EMPHASIS PANEL WHO REVIEW THE 4686 03:31:27,200 --> 03:31:30,520 APPLICATIONS BUT THEY ARE ON THE 4687 03:31:30,520 --> 03:31:31,840 INTERNAL DECISION MAKING 4688 03:31:31,840 --> 03:31:32,240 COMMITTEES. 4689 03:31:32,240 --> 03:31:34,960 THAT IS PROBABLY WHAT YOU MEANT 4690 03:31:34,960 --> 03:31:35,560 TO ASK. 4691 03:31:35,560 --> 03:31:39,840 AND YES WE'RE IN CONSTANT 4692 03:31:39,840 --> 03:31:41,600 COORDINATION AND COMMUNICATION 4693 03:31:41,600 --> 03:31:43,760 WITH THE CLINICAL TRIAL TEAMS 4694 03:31:43,760 --> 03:31:47,520 >> IF YOU WANT TO ANSWER THE 4695 03:31:47,520 --> 03:31:49,280 SECOND ONE KEEP YOUR RESPONSE 4696 03:31:49,280 --> 03:31:51,080 SHORT. 4697 03:31:51,080 --> 03:31:52,160 >> SORRY. 4698 03:31:52,160 --> 03:31:53,440 >> ANOTHER QUICK QUESTION. 4699 03:31:53,440 --> 03:31:55,920 MAYBE CLARIFICATION. 4700 03:31:55,920 --> 03:31:59,200 WHEN YOU TALK ABOUT PREVENTION 4701 03:31:59,200 --> 03:32:01,160 WOULD THAT INCLUDE AGENTS THAT 4702 03:32:01,160 --> 03:32:04,160 WOULD PREVENT LOW GRADE TUMORS 4703 03:32:04,160 --> 03:32:08,760 FROM PROGRESSING TO HIGH GRADE 4704 03:32:08,760 --> 03:32:13,160 TUMORS. 4705 03:32:13,160 --> 03:32:17,560 >> SO I COLLECT -- USE THE 4706 03:32:17,560 --> 03:32:20,480 CANCER PREVENTION. 4707 03:32:20,480 --> 03:32:25,720 AS WELL AS INTERCEPTS OF AGENTS. 4708 03:32:25,720 --> 03:32:31,240 WE DO SUPPORT AGING DEVELOPMENT 4709 03:32:31,240 --> 03:32:34,560 FOR CANCER -- 4710 03:32:34,560 --> 03:32:35,520 [ INDISCERNIBLE ] 4711 03:32:35,520 --> 03:32:49,520 WHILE PREVENTION IS TO PREVENT. 4712 03:32:49,520 --> 03:32:52,120 THANK YOU FOR THE QUESTION. 4713 03:32:52,120 --> 03:32:54,440 >> THANK YOU. 4714 03:32:54,440 --> 03:32:56,880 >> FOR THE SAKE OF TIME LET'S 4715 03:32:56,880 --> 03:32:58,040 MOVE TOWARDS VOTING. 4716 03:32:58,040 --> 03:33:00,040 IF YOU WOULDN'T MIND TRYING TO 4717 03:33:00,040 --> 03:33:01,000 ANSWER THE QUESTIONS IN THE 4718 03:33:01,000 --> 03:33:03,280 CHAT. 4719 03:33:03,280 --> 03:33:07,680 PAUL LET, AM I ALLOWED TO CALL 4720 03:33:07,680 --> 03:33:09,800 FOR A MOTION. 4721 03:33:09,800 --> 03:33:10,240 >> YES. 4722 03:33:10,240 --> 03:33:12,040 YOU CAN. 4723 03:33:12,040 --> 03:33:16,960 YOU CAN ALSO CALL AND THEN HAVE 4724 03:33:16,960 --> 03:33:18,160 KAREN DO IT 4725 03:33:18,160 --> 03:33:19,000 >> LET'S DO THAT. 4726 03:33:19,000 --> 03:33:21,560 SO IT DOESN'T LOOK LIKE I'M 4727 03:33:21,560 --> 03:33:23,160 STEERING THE CONVERSATION 4728 03:33:23,160 --> 03:33:26,480 >> I'D LIKE TO CALL FOR A MOTION 4729 03:33:26,480 --> 03:33:32,240 >> I'M CALL FO -- CALLING FOR A 4730 03:33:32,240 --> 03:33:33,160 REISSUANCE. 4731 03:33:33,160 --> 03:33:36,040 >> CAN I GET A SECOND. 4732 03:33:36,040 --> 03:33:36,960 >> SECOND. 4733 03:33:36,960 --> 03:33:43,360 >> AND ANY FURTHER DISCUSSION? 4734 03:33:43,360 --> 03:33:45,800 AND HEARING NONE LET'S MOVE TO 4735 03:33:45,800 --> 03:33:48,080 FULL VOTING OF BSA MEMBERS. 4736 03:33:48,080 --> 03:33:50,440 THE MOTION IS FOR CONCURRENCE. 4737 03:33:50,440 --> 03:33:57,240 WE'RE GOING TO ASSUME THAT YOU 4738 03:33:57,240 --> 03:33:57,640 CONCUR. 4739 03:33:57,640 --> 03:34:02,840 ANY VOTES OF NONCONCURRENCE? 4740 03:34:02,840 --> 03:34:05,480 PAULETTE, I DO NOT SEE ANY. 4741 03:34:05,480 --> 03:34:07,840 >> ALL RIGHT. 4742 03:34:07,840 --> 03:34:13,520 >> ANY ABSTINENCES? 4743 03:34:13,520 --> 03:34:14,560 >> NO. 4744 03:34:14,560 --> 03:34:16,560 SO WE HAVE UNANIMOUS CONCURRENCE 4745 03:34:16,560 --> 03:34:20,680 AND NO ABSTINENCES. 4746 03:34:20,680 --> 03:34:21,080 GOOD. 4747 03:34:21,080 --> 03:34:22,440 THANK YOU ALL. 4748 03:34:22,440 --> 03:34:25,760 THANK YOU VERY MUCH DR. SEI. 4749 03:34:25,760 --> 03:34:26,440 EXCELLENT PRESENTATION. 4750 03:34:26,440 --> 03:34:27,360 >> THANK YOU. 4751 03:34:27,360 --> 03:34:33,720 >> NOW WE'RE MOVING TO A CONCEPT 4752 03:34:33,720 --> 03:34:35,760 TO REMIND YOU IN TERMS OF THE 4753 03:34:35,760 --> 03:34:41,520 TIME ALLOCATION FOR PARs. 4754 03:34:41,520 --> 03:34:46,920 10 MINUTES OF PRESENTATION AND 4755 03:34:46,920 --> 03:34:48,520 FIVE MINUTES OF DISCUSSION. 4756 03:34:48,520 --> 03:34:52,840 KEEP AN EYE ON THE CLOCK. 4757 03:34:52,840 --> 03:34:57,360 THIS IS A CANCER EPIDEMIOLOGY 4758 03:34:57,360 --> 03:35:01,000 COHORT STUDY. 4759 03:35:01,000 --> 03:35:03,160 DR. JOANNE ELENA IS PRESENTING 4760 03:35:03,160 --> 03:35:05,160 >> THANK YOU FOR THE OPPORTUNITY 4761 03:35:05,160 --> 03:35:07,960 TO PRESENT THIS PAR CONCEPT. 4762 03:35:07,960 --> 03:35:10,480 THIS PAR IS PART OF AN OVER-ALL 4763 03:35:10,480 --> 03:35:13,400 PLAN TO SUPPORT CANCER RESEARCH 4764 03:35:13,400 --> 03:35:15,360 AND COHORT STUDIES WHICH 4765 03:35:15,360 --> 03:35:20,080 INCLUDES TWO COMPLEMENTARY 4766 03:35:20,080 --> 03:35:21,520 PARs THAT YOU'LL HEAR ABOUT 4767 03:35:21,520 --> 03:35:26,960 TODAY. 4768 03:35:26,960 --> 03:35:29,760 THE PURPOSE OF THIS PAR IS TO 4769 03:35:29,760 --> 03:35:31,480 PROVIDE CONTINUED SUPPORT FOR 4770 03:35:31,480 --> 03:35:33,320 ESTABLISHED COHORT STUDIES THAT 4771 03:35:33,320 --> 03:35:35,080 ADDRESS NOVEL AND IMPORTANT 4772 03:35:35,080 --> 03:35:37,720 RESEARCH QUESTIONS ACROSS THE 4773 03:35:37,720 --> 03:35:39,440 CANCER CONTINUUM. 4774 03:35:39,440 --> 03:35:44,320 WE'RE DEFINING STUDIES. 4775 03:35:44,320 --> 03:35:50,960 THIS PAR WILL REPLACE PAR20-294 4776 03:35:50,960 --> 03:35:55,880 WHICH IS EXPIRING IN NOVEMBER OF 4777 03:35:55,880 --> 03:35:56,080 2022. 4778 03:35:56,080 --> 03:35:57,640 SEPARATED INFRASTRUCTURE FROM 4779 03:35:57,640 --> 03:36:00,120 RESEARCH BY PROVIDING SUPPORT 4780 03:36:00,120 --> 03:36:01,760 FOR BASIC MAINTENANCE ONLY. 4781 03:36:01,760 --> 03:36:03,480 THINGS LIKE PARTICIPANT 4782 03:36:03,480 --> 03:36:04,520 FOLLOW-UP. 4783 03:36:04,520 --> 03:36:07,400 CASE ASCERTAINMENT. 4784 03:36:07,400 --> 03:36:09,720 BIOSPECIMEN STORAGE BUT DID NOT 4785 03:36:09,720 --> 03:36:17,480 ALLOW FOR HYPOTHESIS RESEARCH. 4786 03:36:17,480 --> 03:36:19,240 THOSE WHO ARE CURRENTLY FUNDED 4787 03:36:19,240 --> 03:36:24,320 BY PAR TO-294 ARE NOT ELIGIBLE 4788 03:36:24,320 --> 03:36:26,400 TO RECEIVE FUNDING UNTIL AFTER 4789 03:36:26,400 --> 03:36:28,160 THE EXPIRATION OF THEIR CURRENT 4790 03:36:28,160 --> 03:36:30,560 GRANT. 4791 03:36:30,560 --> 03:36:34,400 THEY MAY SUBJECT THE GRANTS 4792 03:36:34,400 --> 03:36:43,720 INCLUDING -- 4793 03:36:43,720 --> 03:36:44,920 >> WORKING MOTHERS. 4794 03:36:44,920 --> 03:36:46,160 IT NEVER ENDS 4795 03:36:46,160 --> 03:36:50,520 >> WE'VE ALL BEEN THERE. 4796 03:36:50,520 --> 03:36:54,240 I'LL TALK FAST TO MAKE UP FOR 4797 03:36:54,240 --> 03:36:58,360 IT. 4798 03:36:58,360 --> 03:37:02,920 AND DEVELOPING THIS PAR -- 4799 03:37:02,920 --> 03:37:06,000 [ AUDIO DIFFICULTIES ] 4800 03:37:06,000 --> 03:37:12,640 WE WENT BACK TO THE JUNE -- 4801 03:37:12,640 --> 03:37:13,960 [ AUDIO DIFFICULTIES ] 4802 03:37:13,960 --> 03:37:15,120 >> SOMETHING HAPPENED TO YOUR 4803 03:37:15,120 --> 03:37:30,360 MICROPHONE. 4804 03:37:30,360 --> 03:37:37,960 -- WE WENT BACK TO THE -- 4805 03:37:37,960 --> 03:37:47,200 [ AUDIO DIFFICULTIES ] 4806 03:37:47,200 --> 03:37:49,400 UNLESS IT'S TOO DISTRACTING. 4807 03:37:49,400 --> 03:37:51,240 AND YOU TELL ME. 4808 03:37:51,240 --> 03:37:53,320 >> WE WENT TO THE AD HOC WORKING 4809 03:37:53,320 --> 03:37:56,040 GROUP -- PLEASE NEXT SLIDE. 4810 03:37:56,040 --> 03:37:58,720 WE'RE GOING TO GET THROUGH THIS. 4811 03:37:58,720 --> 03:38:01,640 WE WENT BACK TO THE AD HOC 4812 03:38:01,640 --> 03:38:03,840 WORKING GROUP ON POPULATION 4813 03:38:03,840 --> 03:38:06,480 SCIENCES REPORT FROM JUNE 2019 4814 03:38:06,480 --> 03:38:08,280 WHICH WAS CHAIRED BY LESS 4815 03:38:08,280 --> 03:38:09,960 ROBINSON AND JULIE PALMER AND 4816 03:38:09,960 --> 03:38:13,520 THIS PAR ADDRESSED MANY OF THEIR 4817 03:38:13,520 --> 03:38:14,240 RECOMMENDATIONS INCLUDING 4818 03:38:14,240 --> 03:38:16,600 CONTINUED SUPPORT FOR COHORTS TO 4819 03:38:16,600 --> 03:38:19,560 ADDRESS CRITICAL SCIENTIFIC GAPS 4820 03:38:19,560 --> 03:38:22,160 THAT PEER REVIEW SHOULD INCLUDE 4821 03:38:22,160 --> 03:38:23,240 JUSTIFICATION FOR CONTINUE 4822 03:38:23,240 --> 03:38:25,160 FOLLOW-UP BASED ON SCIENTIFIC 4823 03:38:25,160 --> 03:38:27,760 YIELD AND THAT COHORTS SHOULD 4824 03:38:27,760 --> 03:38:30,120 ADDRESS EMERGING FACTS AND 4825 03:38:30,120 --> 03:38:31,200 RESEARCH WITH APPROPRIATE 4826 03:38:31,200 --> 03:38:31,800 POPULATIONS. 4827 03:38:31,800 --> 03:38:35,360 FOR COHORTS OF CANCER SURVIVORS 4828 03:38:35,360 --> 03:38:41,360 THEY SHOULD ALSO ADDRESS CANCER 4829 03:38:41,360 --> 03:38:42,960 GAPS BY TREATMENTS. 4830 03:38:42,960 --> 03:38:47,440 AS DR. -- MENTIONED TODAY I 4831 03:38:47,440 --> 03:38:50,720 AGREE -- COHORT STUDIES HAVE LED 4832 03:38:50,720 --> 03:38:52,920 TO THE IDENTIFICATION OF A 4833 03:38:52,920 --> 03:38:56,880 MYRIAD OF ENVIRONMENTAL 4834 03:38:56,880 --> 03:39:01,960 BEHAVIORAL -- AND GENOMIC FACTOR 4835 03:39:01,960 --> 03:39:03,080 THES. 4836 03:39:03,080 --> 03:39:12,920 WE LEARNED OF THE LINKS AND 4837 03:39:12,920 --> 03:39:16,720 SOLIDIFIED EVIDENCE. 4838 03:39:16,720 --> 03:39:18,600 THEY'VE ALSO PROVIDED 4839 03:39:18,600 --> 03:39:20,040 INTERVENTIONS SUCH AS SUPPORT 4840 03:39:20,040 --> 03:39:23,600 FOR INTERVENTION SUCH AS SECOND 4841 03:39:23,600 --> 03:39:25,160 SCREENING -- SCREENING FOR 4842 03:39:25,160 --> 03:39:29,040 SECOND CANCERS 4843 03:39:29,040 --> 03:39:32,120 THEY ARE RICH RESOURCES OF DATA 4844 03:39:32,120 --> 03:39:35,840 -- THROUGH A WIDE VARIETY OF 4845 03:39:35,840 --> 03:39:36,360 RESEARCH. 4846 03:39:36,360 --> 03:39:39,000 MANY GROUPS ARE NOW COMBINING 4847 03:39:39,000 --> 03:39:42,400 DATA COLLECTED AND BIOSESSION 4848 03:39:42,400 --> 03:39:44,400 MENS AVAILABLE AMONG MANY OF THE 4849 03:39:44,400 --> 03:39:52,440 TOPICS. 4850 03:39:52,440 --> 03:39:55,000 REQUIRING SCIENTIFIC GAMES WITH 4851 03:39:55,000 --> 03:39:56,760 SPECIFIC RESEARCH QUESTIONS AND 4852 03:39:56,760 --> 03:40:01,400 ONE MECHANISM DESIGNED TO 4853 03:40:01,400 --> 03:40:05,160 SUPPORT WILL GUIDE STUDY DESIGN 4854 03:40:05,160 --> 03:40:11,960 AND SHORE UP APPROPRIATE USE OF 4855 03:40:11,960 --> 03:40:20,360 METHODS. 4856 03:40:20,360 --> 03:40:24,960 TO THIS AIM WE WILL A REQUIRE 4857 03:40:24,960 --> 03:40:31,880 APPLICANTS TO ADDRESS KEY GAPS. 4858 03:40:31,880 --> 03:40:35,160 THEY MUST INCLUDE HYPOTHESIS 4859 03:40:35,160 --> 03:40:36,160 BASED RESEARCH. 4860 03:40:36,160 --> 03:40:39,400 >> OKAY. 4861 03:40:39,400 --> 03:40:40,960 WE'RE HAVING PROBLEMS WITH THIS 4862 03:40:40,960 --> 03:40:44,200 PRESENTATION. 4863 03:40:44,200 --> 03:40:52,000 WHY DON'T WE -- AS NED SUGGESTED 4864 03:40:52,000 --> 03:40:54,160 WE MOVE TO THE NEXT ONE. 4865 03:40:54,160 --> 03:40:56,600 PERHAPS WE CAN DO IT TOMORROW AS 4866 03:40:56,600 --> 03:40:58,280 THE LAST ONE. 4867 03:40:58,280 --> 03:40:58,480 OKAY. 4868 03:40:58,480 --> 03:40:58,720 OKAY. 4869 03:40:58,720 --> 03:41:04,800 7 SO LET'S MOVE ON -- KEITH. 4870 03:41:04,800 --> 03:41:05,360 >> OKAY. 4871 03:41:05,360 --> 03:41:07,040 THANKS, PAULETTE. 4872 03:41:07,040 --> 03:41:10,840 SO THIS IS THE RELATED ALSO NEW 4873 03:41:10,840 --> 03:41:13,320 PAR -- COHORTS BUILDING THE NEXT 4874 03:41:13,320 --> 03:41:15,960 GENERATION OF RESEARCH COHORTS. 4875 03:41:15,960 --> 03:41:20,240 CLINICAL TRIALS NOT ALLOWED. 4876 03:41:20,240 --> 03:41:20,720 DR. LAM. 4877 03:41:20,720 --> 03:41:24,280 PLEASE PROCEED 4878 03:41:24,280 --> 03:41:25,760 >> THANK YOU. 4879 03:41:25,760 --> 03:41:28,720 WE'VE ALL BEEN THERE SO I 4880 03:41:28,720 --> 03:41:30,560 APPRECIATE -- THAT YOU'VE GONE 4881 03:41:30,560 --> 03:41:32,560 THROUGH. 4882 03:41:32,560 --> 03:41:33,400 GOOD AFTERNOON. 4883 03:41:33,400 --> 03:41:36,920 I'M PRESENTING A CONCEPT 4884 03:41:36,920 --> 03:41:41,200 PROPOSAL ENTITLED CANCER 4885 03:41:41,200 --> 03:41:43,440 EPIDEMIOLOGY COHORTS -- BUILDING 4886 03:41:43,440 --> 03:41:46,360 THE NEXT GENERATION OF RESEARCH 4887 03:41:46,360 --> 03:41:46,560 COHORTS. 4888 03:41:46,560 --> 03:41:50,760 THIS SEEKS TO SUPPORT OF 4889 03:41:50,760 --> 03:41:53,720 INITIATING AND BUILDING THE NEXT 4890 03:41:53,720 --> 03:41:56,440 GENERATION OF POPULATION BASED 4891 03:41:56,440 --> 03:42:17,080 CANCER EPIDEMIOLOGY. 4892 03:42:17,080 --> 03:42:20,160 AS WE LOOK FORWARD IN TIME NEW 4893 03:42:20,160 --> 03:42:22,600 CANCER EPIDEMIOLOGY COHORTS ARE 4894 03:42:22,600 --> 03:42:25,160 NEEDED TO ALIGN WITH FUTURE 4895 03:42:25,160 --> 03:42:25,680 NEEDS. 4896 03:42:25,680 --> 03:42:27,560 THE UNITED STATES IS RAPIDLY 4897 03:42:27,560 --> 03:42:28,920 EVOLVING WITH CHANGING 4898 03:42:28,920 --> 03:42:31,760 ENVIRONMENTAL AND DEMOGRAPHIC 4899 03:42:31,760 --> 03:42:32,880 LANDSCAPE THAT WILL DIFFER FROM 4900 03:42:32,880 --> 03:42:36,640 THE ONES OF PREVIOUS DECADES. 4901 03:42:36,640 --> 03:42:40,640 THIS CHANGING LANDSCAPE -- WOULD 4902 03:42:40,640 --> 03:42:43,400 HAVE SIGNIFICANT IMPLICATIONS ON 4903 03:42:43,400 --> 03:42:45,400 CANCER CONTROL AND PREVENTION IN 4904 03:42:45,400 --> 03:42:46,760 THE NEAR FUTURE. 4905 03:42:46,760 --> 03:42:49,960 AND AS SUCH NEW POPULATION BASED 4906 03:42:49,960 --> 03:42:52,080 CANCER EPIDEMIOLOGY COHORTS ARE 4907 03:42:52,080 --> 03:42:54,400 NEEDED IN ANTICIPATION OF 4908 03:42:54,400 --> 03:42:57,800 CHALLENGES THAT WILL FACE OUR 4909 03:42:57,800 --> 03:42:58,800 COUNTRY. 4910 03:42:58,800 --> 03:43:00,320 THESE NEXT GENERATION RESEARCH 4911 03:43:00,320 --> 03:43:05,280 COHORTS SHOULD ADDRESS CERTAIN 4912 03:43:05,280 --> 03:43:09,560 RESEARCH GAPS AND TO FOSTER 4913 03:43:09,560 --> 03:43:11,600 INCORPORATION AND ADAPTATION OF 4914 03:43:11,600 --> 03:43:15,920 NEW TECHNOLOGY AND APPROACHES. 4915 03:43:15,920 --> 03:43:18,360 THE WORLD IS RAPIDLY CHANGING AS 4916 03:43:18,360 --> 03:43:19,080 YOU KNOW. 4917 03:43:19,080 --> 03:43:23,160 OUR ENVIRONMENTAL EXPOSURE IS 4918 03:43:23,160 --> 03:43:24,960 EVOLVING AND THIS VISUALLY 4919 03:43:24,960 --> 03:43:27,720 SHOWCASES SOME KEY FACTORS. 4920 03:43:27,720 --> 03:43:29,840 CLIMATE CHANGE WILL INFLUENCE 4921 03:43:29,840 --> 03:43:32,400 POTENTIAL CANCER ASSOCIATED RISK 4922 03:43:32,400 --> 03:43:35,720 FACTORS SENSITIVE TO EXTREME 4923 03:43:35,720 --> 03:43:38,960 TEMPERATURES. 4924 03:43:38,960 --> 03:43:42,480 THERE ARE PRESENT AND EMERGING 4925 03:43:42,480 --> 03:43:44,280 ENVIRONMENTAL CHEMICALS AND 4926 03:43:44,280 --> 03:43:46,360 THERE ARE LIFESTYLE AND 4927 03:43:46,360 --> 03:43:49,680 BEHAVIORAL FACTORS SUCH AS 4928 03:43:49,680 --> 03:43:56,720 EXPOSURE FROM MULTIPLE I -- 4929 03:43:56,720 --> 03:44:09,160 EXSPOUS--EXPOSURES. 4930 03:44:09,160 --> 03:44:12,400 AS YOU ALSO KNOW THERE IS A 4931 03:44:12,400 --> 03:44:13,760 DEMOGRAPHIC SHIFT IN THIS 4932 03:44:13,760 --> 03:44:14,920 COUNTRY. 4933 03:44:14,920 --> 03:44:16,480 THIS SHOWS THE PERCENTAGE 4934 03:44:16,480 --> 03:44:17,800 DISTRIBUTION OF RACE AND 4935 03:44:17,800 --> 03:44:21,680 HISPANIC ORIGIN BY AGE GROUP 4936 03:44:21,680 --> 03:44:23,360 FROM 2010 SHOWN IN THE LIGHT 4937 03:44:23,360 --> 03:44:25,760 BLUE AND 2020 SHOWN IN THE DARK 4938 03:44:25,760 --> 03:44:27,720 BLUE. 4939 03:44:27,720 --> 03:44:30,800 THE U.S. POPULATION IS BECOMING 4940 03:44:30,800 --> 03:44:34,720 MORE -- RACIAL AND NOTABLY IS 4941 03:44:34,720 --> 03:44:36,720 MORE DIVERSE THAN THE PAST 4942 03:44:36,720 --> 03:44:37,160 DECADE. 4943 03:44:37,160 --> 03:44:41,960 THIS IS MARKED IN PART BY A FAST 4944 03:44:41,960 --> 03:44:43,720 GROWING HISPANIC AND ASIAN 4945 03:44:43,720 --> 03:44:44,800 POPULATIONS. 4946 03:44:44,800 --> 03:44:47,160 AND THUS IN THE CONTEXT OF THESE 4947 03:44:47,160 --> 03:44:48,960 CHANGING LANDSCAPE THERE ARE 4948 03:44:48,960 --> 03:44:51,720 UNIQUE AND NEW EXPOSURES THAT WE 4949 03:44:51,720 --> 03:44:54,120 DO NOT KNOW THE INFLUENCE ON 4950 03:44:54,120 --> 03:44:56,160 CANCER RISK AND SURVIVORSHIP. 4951 03:44:56,160 --> 03:44:58,680 WE HAVE A DIVERSE POPULATION OF 4952 03:44:58,680 --> 03:45:00,760 AMERICANS MANY OF WHOM WHO ARE 4953 03:45:00,760 --> 03:45:02,480 NOT WELL REPRESENTED IN 4954 03:45:02,480 --> 03:45:03,960 BIOMEDICAL RESEARCH. 4955 03:45:03,960 --> 03:45:06,160 THESE FACTORS POSE NEW 4956 03:45:06,160 --> 03:45:08,280 CHALLENGES TO CANCER RESEARCH IN 4957 03:45:08,280 --> 03:45:10,120 HUMANS WITH SIGNIFICANT IMPACT 4958 03:45:10,120 --> 03:45:13,000 ON CANCER RISK AND OUTCOMES. 4959 03:45:13,000 --> 03:45:15,560 THESE NEW CHALLENGES REQUIRE 4960 03:45:15,560 --> 03:45:17,440 INNOVATIVE RESEARCH TO MEET THE 4961 03:45:17,440 --> 03:45:19,920 CHANGING NEEDS OF AN EVOLVING 4962 03:45:19,920 --> 03:45:22,960 MULTI-RACIAL AND ETHNIC NATION. 4963 03:45:22,960 --> 03:45:25,560 WITH THIS CONCEPT PROPOSAL WE 4964 03:45:25,560 --> 03:45:28,480 BELIEVE THAT NEW POPULATION 4965 03:45:28,480 --> 03:45:38,360 BASED CANCER COHORTS ARE NEEDED. 4966 03:45:38,360 --> 03:45:40,280 THEY SHOULD BE ABLE TO 4967 03:45:40,280 --> 03:45:44,960 INVESTIGATE THE 4968 03:45:44,960 --> 03:45:48,280 INTERSECTIONALITY AND INTERPLAY 4969 03:45:48,280 --> 03:45:51,600 THAT ARE RELEVANT ACROSS DIVERSE 4970 03:45:51,600 --> 03:45:52,880 POPULATIONS. 4971 03:45:52,880 --> 03:45:55,840 CANCER EPIDEMIOLOGY COHORTS ARE 4972 03:45:55,840 --> 03:45:59,800 COMPLEX ENTITIES AND THEIR 4973 03:45:59,800 --> 03:46:00,840 ESTABLISHMENT REQUIRES 4974 03:46:00,840 --> 03:46:02,880 METICULOUS PLANNING. 4975 03:46:02,880 --> 03:46:06,720 TO OPTIMIZE SUCCESS 4976 03:46:06,720 --> 03:46:10,320 METHODOLOGICAL WORK -- IS 4977 03:46:10,320 --> 03:46:16,600 REQUIRED FOR THIS CONCEPT. 4978 03:46:16,600 --> 03:46:23,560 TO ASK CONCRETE QUESTIONS. 4979 03:46:23,560 --> 03:46:26,440 AS WELL AS DEVELOP THE BASIC 4980 03:46:26,440 --> 03:46:27,920 INFRASTRUCTURE PRIOR TO FULL 4981 03:46:27,920 --> 03:46:30,480 SCALE INVESTMENT. 4982 03:46:30,480 --> 03:46:32,160 THESE ARE NOT LIMITED TO 4983 03:46:32,160 --> 03:46:34,720 APPROACHES TO OPTIMIZE 4984 03:46:34,720 --> 03:46:36,280 ENGAGEMENT, RECRUITMENT AND 4985 03:46:36,280 --> 03:46:58,760 RETENTION AS WELL AS ACCESSING 4986 03:46:58,760 --> 03:47:03,080 -- THE PROPOSED CONCEPT IS A 4987 03:47:03,080 --> 03:47:07,480 PRAGMATIC APPROACH TO MEET THE 4988 03:47:07,480 --> 03:47:13,160 CHALLENGES OF THE FUTURE. 4989 03:47:13,160 --> 03:47:16,720 THIS PAR SEEKS TO SUPPORT 4990 03:47:16,720 --> 03:47:18,560 METHODOLOGICAL WORK NECESSARY TO 4991 03:47:18,560 --> 03:47:21,240 INITIATE AND BUILD THE NEXT 4992 03:47:21,240 --> 03:47:23,280 GENERATION OF COHORTS. 4993 03:47:23,280 --> 03:47:33,160 APPEA.THEY WILL NEED TO JUSTIFY SAMPLE 4994 03:47:33,160 --> 03:47:33,720 SIZE. 4995 03:47:33,720 --> 03:47:35,880 STUDY POPULATIONS AND THE TYPE 4996 03:47:35,880 --> 03:47:38,120 OF DATA COLLECTION. 4997 03:47:38,120 --> 03:47:41,560 THERE ARE TWO OVER ARCHING KEY 4998 03:47:41,560 --> 03:47:43,200 FEATURES THAT APPLICATION MUST 4999 03:47:43,200 --> 03:47:44,160 ADDRESS. 5000 03:47:44,160 --> 03:47:47,160 CONCRETE PROPOSED METHODOLOGICAL 5001 03:47:47,160 --> 03:47:48,960 WORK AND COMMUNITY ENGAGEMENT. 5002 03:47:48,960 --> 03:47:51,080 THE COMMUNITY ENGAGEMENT IS 5003 03:47:51,080 --> 03:47:52,400 CRITICAL AND IT IS REQUIRED TO 5004 03:47:52,400 --> 03:47:55,280 REFLECT THE NEEDS OF LOCAL 5005 03:47:55,280 --> 03:47:57,480 CULTURE AND BELIEF SYSTEMS OF A 5006 03:47:57,480 --> 03:47:58,960 STUDY POPULATION PARTICULARLY 5007 03:47:58,960 --> 03:48:00,960 FOR MINORITY AND HARD TO REACH 5008 03:48:00,960 --> 03:48:01,480 POPULATIONS. 5009 03:48:01,480 --> 03:48:04,880 THE PROPOSED -- MAY TEST 5010 03:48:04,880 --> 03:48:07,080 QUESTIONS AS WELL AS SHORT-TERM 5011 03:48:07,080 --> 03:48:08,720 RESEARCH QUESTIONS THAT CUTS 5012 03:48:08,720 --> 03:48:11,880 ACROSS THE CANCER CONTINUUM AND 5013 03:48:11,880 --> 03:48:14,320 WE'VE HIGHLIGHTED A FEW HERE AND 5014 03:48:14,320 --> 03:48:18,360 LASTLY APPLICATIONS OF ALREADY 5015 03:48:18,360 --> 03:48:21,560 ESTABLISHED COHORTS ARE NOT 5016 03:48:21,560 --> 03:48:24,560 APPROPRIATE FOR THIS FOA. 5017 03:48:24,560 --> 03:48:28,560 WE ARE PROPOSING A PAR USING A 5018 03:48:28,560 --> 03:48:31,120 COOPERATIVE AGREEMENT MECHANISM. 5019 03:48:31,120 --> 03:48:33,560 IT SHOULD HAVE TWO RECEIPT DATES 5020 03:48:33,560 --> 03:48:35,040 PER YEAR FOR THREE YEARS. 5021 03:48:35,040 --> 03:48:39,160 UP TO FIVE YEARS OF FUNDING OUT. 5022 03:48:39,160 --> 03:48:41,720 THERE IS NO SET ASIDE REQUESTED 5023 03:48:41,720 --> 03:48:43,080 AND NO BUDGET CAP. 5024 03:48:43,080 --> 03:48:45,640 FOR APPLICATION WITH LARGE 5025 03:48:45,640 --> 03:48:48,160 BUDGETS THERE WILL BE A REVIEW 5026 03:48:48,160 --> 03:48:51,720 PROCESS TO ASSESS AND SCOPE THE 5027 03:48:51,720 --> 03:48:54,360 APPROPRIATENESS OF THE PROPOSE 5028 03:48:54,360 --> 03:49:11,400 ENDS BUDGET. 5029 03:49:11,400 --> 03:49:15,720 THE CURRENT CANCER EPIDEMIOLOGY 5030 03:49:15,720 --> 03:49:19,880 COHORT'S PORTFOLIO IS WELL 5031 03:49:19,880 --> 03:49:23,760 REPRESENTED OF APPROXIMATELY 31 5032 03:49:23,760 --> 03:49:28,240 COHORTS WITH OVER A MILLION 5033 03:49:28,240 --> 03:49:28,840 PARTICIPANTS. 5034 03:49:28,840 --> 03:49:31,800 THERE ARE SLIGHTLY MORE WOMEN 5035 03:49:31,800 --> 03:49:33,720 THAN MEN AND THE RACIAL 5036 03:49:33,720 --> 03:49:37,720 DISTRIBUTION IS 66% WHITE, 16% 5037 03:49:37,720 --> 03:49:41,160 BLACK AND 7% ASIANS AND 6% 5038 03:49:41,160 --> 03:49:44,280 HISPANICS. 5039 03:49:44,280 --> 03:49:47,160 THE HISPANIC POPULATION 5040 03:49:47,160 --> 03:49:48,360 REPRESENTED IN THESE COHORTS 5041 03:49:48,360 --> 03:49:52,320 THAT YOU'VE SEEN IS 5042 03:49:52,320 --> 03:49:54,160 SIGNIFICANTLY LOWER THAN THE 5043 03:49:54,160 --> 03:49:56,160 CURRENT PROPORTION OF HISPANICS 5044 03:49:56,160 --> 03:49:57,880 IN THE UNITED STATES. 5045 03:49:57,880 --> 03:49:59,440 THERE ARE TWO KEY POINTS THAT I 5046 03:49:59,440 --> 03:50:02,000 WOULD LIKE TO HIGHLIGHT ALSO IS 5047 03:50:02,000 --> 03:50:05,360 THAT 75% OF THE ASIAN AND 5048 03:50:05,360 --> 03:50:07,960 HISPANICS IN THE CURRENT FUNDED 5049 03:50:07,960 --> 03:50:14,080 -- DCCPS COHORTS -- AND 5050 03:50:14,080 --> 03:50:24,920 ESTABLISH A WELL-KNOWN COHORT. 5051 03:50:24,920 --> 03:50:28,280 WITH THE MEDIAN AGE OF 5052 03:50:28,280 --> 03:50:30,200 APPROXIMATELY GREATER THAN 75 5053 03:50:30,200 --> 03:50:32,760 YEARS OR OLDER AND AS WE PROJECT 5054 03:50:32,760 --> 03:50:37,080 INTO THE FUTURE WE'RE FACING ANN 5055 03:50:37,080 --> 03:50:38,720 ANTICIPATED RESOURCE GAP THAT'S 5056 03:50:38,720 --> 03:50:40,360 WILL LIMIT OUR CAPACITY TO 5057 03:50:40,360 --> 03:50:42,800 CONDUCT THE TYPE OF RESEARCH IN 5058 03:50:42,800 --> 03:50:44,920 HUMANS THAT WILL BE ABLE TO 5059 03:50:44,920 --> 03:50:46,880 ELIMINATE THE ROLE OF 5060 03:50:46,880 --> 03:50:48,960 ENVIRONMENTAL LIFESTYLE GENETIC 5061 03:50:48,960 --> 03:50:51,320 DETERMINANTS OF CANCER RELATED 5062 03:50:51,320 --> 03:50:53,960 RISK AND OUTCOMES RELEVANT TO 5063 03:50:53,960 --> 03:50:56,720 AMERICANS. 5064 03:50:56,720 --> 03:51:00,360 THE PROPOSED NEXT GENERATION 5065 03:51:00,360 --> 03:51:01,880 COHORT PAR IS FORWARD THINKING. 5066 03:51:01,880 --> 03:51:03,960 IT COMPLIMENTS THE RESEARCH 5067 03:51:03,960 --> 03:51:07,040 COHORT PAR BY AUGMENTING FUNDING 5068 03:51:07,040 --> 03:51:10,320 OPPORTUNITIES FOR INVESTIGATORS 5069 03:51:10,320 --> 03:51:12,720 IN THE ACTUAL -- COMMUNITY TO 5070 03:51:12,720 --> 03:51:13,440 INNOVATE. 5071 03:51:13,440 --> 03:51:16,120 IT PROVIDES A STRATEGIC LONGVIEW 5072 03:51:16,120 --> 03:51:19,360 OPTION TO ADDRESS SCIENTIFIC AND 5073 03:51:19,360 --> 03:51:21,200 RESEARCH GAPS TAKE INTO ACCOUNT 5074 03:51:21,200 --> 03:51:23,320 MULTIPLE IT WILL DOMAINS ACROSS 5075 03:51:23,320 --> 03:51:26,800 THE CONCERT CONTINUUM AND WILL 5076 03:51:26,800 --> 03:51:28,960 DEFINE THE NEXT GENERATION OF 5077 03:51:28,960 --> 03:51:30,280 COHORTS. 5078 03:51:30,280 --> 03:51:33,360 WE ENVISION THAT A DIVERSE 5079 03:51:33,360 --> 03:51:35,560 PORTFOLIO -- THAT COMES FROM 5080 03:51:35,560 --> 03:51:38,560 THESE TWO AND LED BY ACTUAL 5081 03:51:38,560 --> 03:51:40,000 RESEARCHERS WILL COMPLIMENT THE 5082 03:51:40,000 --> 03:51:43,400 COHORTS THAT ARE SPEARHEADED BY 5083 03:51:43,400 --> 03:51:45,280 INTRAMURAL INVESTIGATORS SUCH AS 5084 03:51:45,280 --> 03:51:49,520 CONNECT AND ALL OF US. 5085 03:51:49,520 --> 03:51:52,560 I WOULD LIKE TO THANK 5086 03:51:52,560 --> 03:51:56,520 DR. THOMPSON -- AND KNUDSEN FOR 5087 03:51:56,520 --> 03:51:58,000 THEIR FEEDBACK. 5088 03:51:58,000 --> 03:51:59,680 WE APPRECIATE THEIR SUPPORT 5089 03:51:59,680 --> 03:52:01,280 PARTICULARLY IN THE CONCLUSION 5090 03:52:01,280 --> 03:52:02,880 OF THE COMMUNITY ENGAGEMENT AND 5091 03:52:02,880 --> 03:52:03,480 LONG-TERM GOMES. 5092 03:52:03,480 --> 03:52:06,880 THE COMMITTEE ALSO ASKED US TO 5093 03:52:06,880 --> 03:52:09,960 CLARIFY HOW THEY WOULD EVALUATE 5094 03:52:09,960 --> 03:52:14,440 PROGRESS AND WE'LL CLARIFY THIS 5095 03:52:14,440 --> 03:52:17,520 EXPECTATION -- THIS INCLUDES THE 5096 03:52:17,520 --> 03:52:20,360 ABILITY TO RECRUIT AND THE 5097 03:52:20,360 --> 03:52:22,160 COMPLETION OF ENROLLMENT WITHIN 5098 03:52:22,160 --> 03:52:23,600 FIVE YEARS AS WELL AS THE 5099 03:52:23,600 --> 03:52:27,040 COMPLETION OF THE PROPOSED 5100 03:52:27,040 --> 03:52:27,840 SPECIFIC AIMS. 5101 03:52:27,840 --> 03:52:30,480 WE WANT OUR GRANTEES TO BE 5102 03:52:30,480 --> 03:52:33,160 SUCCESSFUL AND THE PROPOSED 5103 03:52:33,160 --> 03:52:38,200 MECHANISM WILL PERMIT MORE 5104 03:52:38,200 --> 03:52:40,080 INVOLVEMENT TO ADDRESS ANY 5105 03:52:40,080 --> 03:52:42,280 ISSUES EARLY ON AND WE WOULD 5106 03:52:42,280 --> 03:52:45,160 ALSO LIKE TO -- CONFIRM THAT THE 5107 03:52:45,160 --> 03:52:52,360 CONCEPT WILL INCORPORATE 5108 03:52:52,360 --> 03:52:57,480 INNOVATIVE APPROACHES. 5109 03:52:57,480 --> 03:53:00,120 TO TEST AND VALIDATE METHODS FOR 5110 03:53:00,120 --> 03:53:03,720 EXPOSURE AND OUTCOME ASSESSMENT. 5111 03:53:03,720 --> 03:53:09,080 LINKAGES TO EXISTING DATA -- AND 5112 03:53:09,080 --> 03:53:15,480 TO ASSESS SHORT-TERM EFFECTS. 5113 03:53:15,480 --> 03:53:17,560 THIS CONCLUDES MY PRESENTATION 5114 03:53:17,560 --> 03:53:19,240 AND I THANK YOU FOR YOUR TIME 5115 03:53:19,240 --> 03:53:21,440 AND I'M HAPPY TO ANSWER ANY 5116 03:53:21,440 --> 03:53:22,600 QUESTIONS THAT YOU MAY HAVE. 5117 03:53:22,600 --> 03:53:25,200 THANK YOU. 5118 03:53:25,200 --> 03:53:25,520 >> GREAT. 5119 03:53:25,520 --> 03:53:28,600 THANK YOU DR. LAM. 5120 03:53:28,600 --> 03:53:28,920 DR. THOMPSON 5121 03:53:28,920 --> 03:53:29,960 >> THANK YOU, KEITH. 5122 03:53:29,960 --> 03:53:35,960 WE WOULD LIKE TO -- THE 5123 03:53:35,960 --> 03:53:36,880 REVIEWERS -- AN EXCELLENT 5124 03:53:36,880 --> 03:53:40,640 CONVERSATION AND FOLLOW-UP WITH 5125 03:53:40,640 --> 03:53:43,400 DR. LAM AND ELENA. 5126 03:53:43,400 --> 03:53:45,440 THERE WAS SIGNIFICANT ENTHUSIASM 5127 03:53:45,440 --> 03:53:47,360 FOR THIS CONCEPT AND THE 5128 03:53:47,360 --> 03:53:49,680 PREVIOUS COHORTS OVER SO MANY 5129 03:53:49,680 --> 03:53:51,560 DECADES HAVE PROVIDED TREMENDOUS 5130 03:53:51,560 --> 03:53:55,680 INCITE INTO A BROAD RANGE OF 5131 03:53:55,680 --> 03:53:59,960 ISSUES RELATED TO CARCINOGEN 5132 03:53:59,960 --> 03:54:03,520 EXPOSURE AND WE'VE SEEN AN 5133 03:54:03,520 --> 03:54:03,960 IMPACT. 5134 03:54:03,960 --> 03:54:06,880 THE COHORTS OF THE PAST EXAMINED 5135 03:54:06,880 --> 03:54:09,720 POPULATIONS OF THAT TIME AND 5136 03:54:09,720 --> 03:54:11,280 ADDRESSED SOME OF THE ASPECTS OF 5137 03:54:11,280 --> 03:54:13,440 VERY DIFFERENT POPULATIONS OF 5138 03:54:13,440 --> 03:54:15,680 THE FUTURE NOR EXPOSURES AND 5139 03:54:15,680 --> 03:54:17,160 OTHER MEASURES THAT WE THINK 5140 03:54:17,160 --> 03:54:22,200 WILL PLAY A ROLE IN AND CANCER 5141 03:54:22,200 --> 03:54:24,760 CORE CERTAIN AGAIN SURVIVORSHIP 5142 03:54:24,760 --> 03:54:30,720 *. 5143 03:54:30,720 --> 03:54:33,160 ALL OF US FELT IT WAS EXTREMELY 5144 03:54:33,160 --> 03:54:36,000 IMPORTANT THAT THE CONCEPT BE 5145 03:54:36,000 --> 03:54:39,960 TESTS NEW METHODS -- THAT HAVE 5146 03:54:39,960 --> 03:54:42,440 NOT PREVIOUSLY BEEN ENROLLED AND 5147 03:54:42,440 --> 03:54:44,560 UNDER ASSESSED AS WELL AS 5148 03:54:44,560 --> 03:54:47,800 MEASURES IN BIOLOGICS FOR WHICH 5149 03:54:47,800 --> 03:54:50,360 THEY WILL NEED TO BUILD SYSTEMS 5150 03:54:50,360 --> 03:54:51,840 TO CAPTURE THE INFORMATION. 5151 03:54:51,840 --> 03:54:54,280 AS THE PROPOSALS WILL BE EXPECT 5152 03:54:54,280 --> 03:54:56,920 TO PROVIDE NOVEL METHODOLOGIES 5153 03:54:56,920 --> 03:55:00,160 AND SUCCESSFULLY RECRUIT BOTH OF 5154 03:55:00,160 --> 03:55:04,680 THOSE THE REVIEWERS FELT IT WAS 5155 03:55:04,680 --> 03:55:07,840 NECESSARY TO CAREFULLY CRAFT 5156 03:55:07,840 --> 03:55:11,480 MILESTONES AND MONITOR. 5157 03:55:11,480 --> 03:55:13,560 MUST BE COMPLETED IN FIVE YEARS 5158 03:55:13,560 --> 03:55:15,000 THERE WILL BE A NEED FOR 5159 03:55:15,000 --> 03:55:16,680 SUCCESSFUL INVESTIGATORS TO 5160 03:55:16,680 --> 03:55:18,560 PROVIDE A TRACK RECORD OF 5161 03:55:18,560 --> 03:55:20,360 ACCRUAL OF THESE POPULATIONS OF 5162 03:55:20,360 --> 03:55:22,720 INTEREST AND WE FELT THE 5163 03:55:22,720 --> 03:55:23,960 EXPECTATION OF COMMUNITY 5164 03:55:23,960 --> 03:55:25,520 ENGAGEMENT WAS CRITICALLY 5165 03:55:25,520 --> 03:55:28,280 IMPORTANT TO THE CONCEPT'S 5166 03:55:28,280 --> 03:55:28,880 SUCCESS. 5167 03:55:28,880 --> 03:55:30,800 THIS CONCEPT WILL INTERFACE WELL 5168 03:55:30,800 --> 03:55:32,440 WITH THE PLAN FOR THE OTHER 5169 03:55:32,440 --> 03:55:34,280 COHORTS THAT WE'LL HEAR ABOUT 5170 03:55:34,280 --> 03:55:34,880 LATER. 5171 03:55:34,880 --> 03:55:36,960 AND ULTIMATELY ALL OF THESE 5172 03:55:36,960 --> 03:55:40,600 COHORTS WILL NEED TO IN 5173 03:55:40,600 --> 03:55:43,480 CORPORATE THESE LESSONS LEARNED. 5174 03:55:43,480 --> 03:55:46,240 AGAIN THERE WAS TREMENDOUS 5175 03:55:46,240 --> 03:55:47,800 ENTHUSIASM BY THE REVIEWERS AND 5176 03:55:47,800 --> 03:55:50,000 I'LL LET MY COLLEAGUES MAKE 5177 03:55:50,000 --> 03:55:56,360 ADDITIONAL COMMENTS. 5178 03:55:56,360 --> 03:55:56,760 >> YEAH. 5179 03:55:56,760 --> 03:55:57,400 NO. 5180 03:55:57,400 --> 03:55:59,840 7 I DON'T REALLY HAVE VERY MUCH 5181 03:55:59,840 --> 03:56:00,680 TO ADD. 5182 03:56:00,680 --> 03:56:04,240 IT IS VERY FORWARD THINKING. 5183 03:56:04,240 --> 03:56:06,560 TAPPING INTO DAY VERSE 5184 03:56:06,560 --> 03:56:09,440 POPULATIONS AND -- DIVERSE 5185 03:56:09,440 --> 03:56:11,720 POPULATIONS. 5186 03:56:11,720 --> 03:56:13,160 AND THE ENVIRONMENT. 5187 03:56:13,160 --> 03:56:16,040 NOT ONLY CAPTURING DIFFERENT 5188 03:56:16,040 --> 03:56:19,440 EXPOSURES AND ALSO SOME 5189 03:56:19,440 --> 03:56:21,680 LIFESTYLE CHANGES BUT ALSO 5190 03:56:21,680 --> 03:56:23,560 PSYCHOSOCIAL CHANGES THAT ARE 5191 03:56:23,560 --> 03:56:26,040 OCCURRING AS WELL. 5192 03:56:26,040 --> 03:56:28,800 SO AGAIN I'M VERY SUPPORTIVE OF 5193 03:56:28,800 --> 03:56:30,000 THIS EFFORT. 5194 03:56:30,000 --> 03:56:31,920 >> I COMPLETELY AGREE WITH BOTH 5195 03:56:31,920 --> 03:56:36,240 OF MY COLLEAGUES AND ALSO THANK 5196 03:56:36,240 --> 03:56:37,800 DR. LAM FOR BEING SO RESPONSIVE 5197 03:56:37,800 --> 03:56:38,320 TO US. 5198 03:56:38,320 --> 03:56:40,400 IT'S THE CASE THAT THOSE COHORTS 5199 03:56:40,400 --> 03:56:44,040 IF YOU LOOK AT THE AGES THAT ARE 5200 03:56:44,040 --> 03:56:46,840 CURRENTLY IN ARE AGING OUT. 5201 03:56:46,840 --> 03:56:48,840 IT'S TIME TO BE BOLD AND LAUNCH 5202 03:56:48,840 --> 03:56:50,720 NEW COHORTS AND WE'RE ASKING 5203 03:56:50,720 --> 03:56:53,600 THIS NEW YOUNG OF INVESTIGATORS 5204 03:56:53,600 --> 03:56:57,040 TO -- OF COHORTS TO COME IN AND 5205 03:56:57,040 --> 03:56:59,800 DO SOMETHING DIFFICULT. 5206 03:56:59,800 --> 03:57:01,760 SO THE CONCEPT ARE REALLY 5207 03:57:01,760 --> 03:57:03,160 ENSURING THAT THEY ARE 5208 03:57:03,160 --> 03:57:05,800 SUCCESSFUL IN SETTING MILESTONES 5209 03:57:05,800 --> 03:57:11,040 WAS IMPORTANT TO US AND THE 5210 03:57:11,040 --> 03:57:16,200 RESPONSIVENESS IS IMPORTANT. 5211 03:57:16,200 --> 03:57:19,840 >> I SEE YOUR HAND DR. ROBSON SO 5212 03:57:19,840 --> 03:57:21,880 ASK YOUR QUESTION AND WHEN WE DO 5213 03:57:21,880 --> 03:57:24,800 MOVE TO VOTING DR. LAM IF YOU 5214 03:57:24,800 --> 03:57:27,280 COULD RESPOND TO THE CONTINUES 5215 03:57:27,280 --> 03:57:29,680 THAT APPEARED IN THE CHAT. 5216 03:57:29,680 --> 03:57:32,560 >> I THINK THIS IS A FANTASTIC 5217 03:57:32,560 --> 03:57:35,120 PAR THAT IS GOING TO MEET THE 5218 03:57:35,120 --> 03:57:35,960 NEEDS. 5219 03:57:35,960 --> 03:57:37,280 TWO QUICK QUESTIONS FOR 5220 03:57:37,280 --> 03:57:38,120 CLARIFICATION. 5221 03:57:38,120 --> 03:57:40,120 YOU MENTIONED MULTIPLE TIMES 5222 03:57:40,120 --> 03:57:42,160 POPULATION BASED. 5223 03:57:42,160 --> 03:57:44,240 IS THIS TRULY GOING TO BE 5224 03:57:44,240 --> 03:57:46,480 RESTRICT ONLY TO POPULATION 5225 03:57:46,480 --> 03:57:50,320 BASED COHORTS WHICH I FEEL IS 5226 03:57:50,320 --> 03:57:51,560 LIMITATION BECAUSE SOME OF THE 5227 03:57:51,560 --> 03:57:54,320 RESEARCH QUESTIONS MAY BEST BE 5228 03:57:54,320 --> 03:57:57,080 CARRIED OUT IN SELECTED 5229 03:57:57,080 --> 03:57:59,960 POPULATIONS THAT THAT DON'T NEED 5230 03:57:59,960 --> 03:58:02,160 THAT SPECIFIC CRITERIA. 5231 03:58:02,160 --> 03:58:03,840 ESPECIALLY WHEN WE TALK ABOUT 5232 03:58:03,840 --> 03:58:14,080 THE SURVIVOR COHORTS 5233 03:58:14,080 --> 03:58:15,320 >> TO ANSWER YOUR QUESTION I 5234 03:58:15,320 --> 03:58:17,880 BELIEVE THE SCIENCE THE 5235 03:58:17,880 --> 03:58:21,360 SCIENTIFIC GAPS WILL BE DRIVING 5236 03:58:21,360 --> 03:58:22,560 MUCH OF THE DECISIONS. 5237 03:58:22,560 --> 03:58:25,520 WE WOULD LIKE THE INTENSE IS TO 5238 03:58:25,520 --> 03:58:32,720 -- HAVE COHORTS THAT MEET THE 5239 03:58:32,720 --> 03:58:34,920 SCIENTIFIC GAPS. 5240 03:58:34,920 --> 03:58:38,080 AND AS SUCH WE WILL ENCOURAGE 5241 03:58:38,080 --> 03:58:40,720 INVESTIGATORS TO TOUCH BASE WITH 5242 03:58:40,720 --> 03:58:43,040 PROGRAM TO DISCUSS THE 5243 03:58:43,040 --> 03:58:44,920 APPROPRIATENESS OF THE STUDY 5244 03:58:44,920 --> 03:58:46,840 POPULATIONS SO WHILE WE SEEK FOR 5245 03:58:46,840 --> 03:58:49,320 POPULATION BASED COHORTS WE ARE 5246 03:58:49,320 --> 03:58:51,960 ALSO VERY OPEN TO ANY OTHER 5247 03:58:51,960 --> 03:58:53,400 POPULATIONS THAT WOULD ADDRESS 5248 03:58:53,400 --> 03:58:56,920 SOME OF THE SCIENTIFIC GAPS. 5249 03:58:56,920 --> 03:58:57,280 >> EXCELLENT. 5250 03:58:57,280 --> 03:59:01,400 THAT IS EXACTLY HOW I FEEL IT 5251 03:59:01,400 --> 03:59:02,440 SHOULD BE HANDLED. 5252 03:59:02,440 --> 03:59:06,120 THE SCIENCE SHOULD DRIVE THE 5253 03:59:06,120 --> 03:59:07,560 COMPOSITION OF THE COHORT. 5254 03:59:07,560 --> 03:59:09,360 THE SECOND POINT YOU SAID THIS 5255 03:59:09,360 --> 03:59:11,400 WOULD NOT BE RESPONSIVE TO 5256 03:59:11,400 --> 03:59:13,520 ESTABLISHED COHORTS AND I'M 5257 03:59:13,520 --> 03:59:15,400 REALLY SORT OF QUESTIONING WHAT 5258 03:59:15,400 --> 03:59:17,960 THE DEFINITION OF AN ESTABLISHED 5259 03:59:17,960 --> 03:59:18,680 COHORT WOULD BE. 5260 03:59:18,680 --> 03:59:22,160 BECAUSE SOME SMALL COHORTS THAT 5261 03:59:22,160 --> 03:59:25,280 MIGHT NOT BE NCI FUNDED MIGHT 5262 03:59:25,280 --> 03:59:26,720 ACTUALLY HAVE DEVELOPED SOME OF 5263 03:59:26,720 --> 03:59:28,960 THE METHODS, SHOWN THE METHODS 5264 03:59:28,960 --> 03:59:31,360 AND ACTUALLY BE FURTHER ALONG IN 5265 03:59:31,360 --> 03:59:34,240 TERMS OF MOVING FORWARD TO THE 5266 03:59:34,240 --> 03:59:34,720 OBJECTIVE. 5267 03:59:34,720 --> 03:59:36,960 SO I JUST ENCOURAGE YOU TO HAVE 5268 03:59:36,960 --> 03:59:39,560 A VERY CLEAR DEFINITION OF WHAT 5269 03:59:39,560 --> 03:59:41,120 YOU CAN BE AN ESTABLISHED 5270 03:59:41,120 --> 03:59:41,600 COHORT. 5271 03:59:41,600 --> 03:59:45,600 YOU MIGHT BE CUTTING OUT SOME 5272 03:59:45,600 --> 03:59:48,560 VERY IMPORTANT OPPORTUNITIES TO 5273 03:59:48,560 --> 03:59:50,920 ESTABLISH MORE EXPANDED COHORTS 5274 03:59:50,920 --> 03:59:52,920 THAT CAN MOST EFFECTIVELY 5275 03:59:52,920 --> 03:59:54,160 ADDRESS THE ISSUES 5276 03:59:54,160 --> 03:59:55,400 >> THANK YOU FOR THAT COMMENT. 5277 03:59:55,400 --> 03:59:57,760 IT IS PART OF OUR INTERNAL 5278 03:59:57,760 --> 03:59:59,680 DISCUSSION AS WELL TO HAVE 5279 03:59:59,680 --> 04:00:01,760 CLARITY ON WHAT WE MEAN BY 5280 04:00:01,760 --> 04:00:07,560 ESTABLISHED COHORTS. 5281 04:00:07,560 --> 04:00:10,360 AND -- THOSE THAT HAVE FINISHED 5282 04:00:10,360 --> 04:00:11,280 ENROLLMENT ALREADY. 5283 04:00:11,280 --> 04:00:13,320 WE'RE SEEKING FOR NEW COHORTS 5284 04:00:13,320 --> 04:00:15,960 THAT WILL ALLOW US TO CAPTURE 5285 04:00:15,960 --> 04:00:18,360 SOME OF THE -- ADDRESS SOME OF 5286 04:00:18,360 --> 04:00:20,160 THE SCIENTIFIC GAPS AND I WANT 5287 04:00:20,160 --> 04:00:23,040 TO UNDERSCORE AGAIN IS THAT THE 5288 04:00:23,040 --> 04:00:25,360 SCIENCE WILL BE DRIVING MUCH OF 5289 04:00:25,360 --> 04:00:28,360 THE DISCUSSION AND WHAT IS 5290 04:00:28,360 --> 04:00:30,680 QUALIFIED OR LEGIBLE FOR THIS 5291 04:00:30,680 --> 04:00:31,080 PAR. 5292 04:00:31,080 --> 04:00:32,520 THANK YOU FOR THE COMMENT 5293 04:00:32,520 --> 04:00:36,840 >> THANK YOU. 5294 04:00:36,840 --> 04:00:38,200 >> AND -- 5295 04:00:38,200 --> 04:00:39,840 >> THANK YOU DR. LAM. 5296 04:00:39,840 --> 04:00:41,720 AS YOU KNOW ONE OF THE 5297 04:00:41,720 --> 04:00:43,680 CHALLENGES OF THE NEW COHORTS IS 5298 04:00:43,680 --> 04:00:46,000 FOLLOW-UP TIME AND HAVING ENOUGH 5299 04:00:46,000 --> 04:00:48,480 EVENTS FOR WELL POWERED STUDIES. 5300 04:00:48,480 --> 04:00:50,960 IS THERE A THOUGHT ABOUT 5301 04:00:50,960 --> 04:00:53,360 ENCOURAGING INTERMEDIATE 5302 04:00:53,360 --> 04:00:56,360 BIOMARKERS AS END POINTS. 5303 04:00:56,360 --> 04:00:56,960 >> ABSOLUTELY. 5304 04:00:56,960 --> 04:01:00,040 AND THAT IS PART OF THE 5305 04:01:00,040 --> 04:01:02,040 SHORT-TERM RESEARCH STUDIES THAT 5306 04:01:02,040 --> 04:01:04,360 WE HAVE INCLUDED WITHIN THE 5307 04:01:04,360 --> 04:01:07,680 CONCEPT THAT WILL ALLOW THOSE 5308 04:01:07,680 --> 04:01:09,960 ASSESSMENT OF SHORT-TERM 5309 04:01:09,960 --> 04:01:12,720 RESEARCH QUESTIONS INCLUDING 5310 04:01:12,720 --> 04:01:15,560 BIOMARKERS. 5311 04:01:15,560 --> 04:01:17,400 I BELIEVE ONE OF MY SLIDES 5312 04:01:17,400 --> 04:01:18,640 HIGHLIGHTED THAT AND THAT IS 5313 04:01:18,640 --> 04:01:21,440 SOMETHING THAT THE REVIEWERS OF 5314 04:01:21,440 --> 04:01:23,840 THE BSA SUBCOMMITTEE ALSO 5315 04:01:23,840 --> 04:01:25,800 THOUGHT WAS A GREAT FEATURE OF 5316 04:01:25,800 --> 04:01:26,800 THIS PAR. 5317 04:01:26,800 --> 04:01:28,400 >> THANK YOU. 5318 04:01:28,400 --> 04:01:29,040 >> OKAY. 5319 04:01:29,040 --> 04:01:32,640 LET'S MOVE TO VOTING IF NO ONE 5320 04:01:32,640 --> 04:01:34,160 OBJECTS. 5321 04:01:34,160 --> 04:01:34,440 DR. THOMPSON 5322 04:01:34,440 --> 04:01:36,120 >> I MOVE FOR APPROVAL 5323 04:01:36,120 --> 04:01:37,760 >> CAN I GET A SECOND? 5324 04:01:37,760 --> 04:01:38,760 >> SECOND. 5325 04:01:38,760 --> 04:01:45,840 >> ANY FURTHER DISCUSSION? 5326 04:01:45,840 --> 04:01:46,360 >> OKAY. 5327 04:01:46,360 --> 04:01:48,560 HEARING NONE THIS IS A NEW 5328 04:01:48,560 --> 04:01:52,360 CONCEPT. 5329 04:01:52,360 --> 04:01:54,680 SOth MOTION IS TO APPROVE. 5330 04:01:54,680 --> 04:01:57,560 IF ANYONE DISAPPROVES PLEASE 5331 04:01:57,560 --> 04:02:02,680 VOICE THAT VOTE. 5332 04:02:02,680 --> 04:02:05,160 I DO NOT SEE ANY. 5333 04:02:05,160 --> 04:02:07,200 INDICATIONS OF SUCH. 5334 04:02:07,200 --> 04:02:10,960 ANY ABSTINENCES. 5335 04:02:10,960 --> 04:02:12,640 NO ABSTINENCES. 5336 04:02:12,640 --> 04:02:15,640 SO * CALL IT UNANIMOUS AND NO 5337 04:02:15,640 --> 04:02:17,160 ABSTINENCES. 5338 04:02:17,160 --> 04:02:18,720 >> GOT IT. 5339 04:02:18,720 --> 04:02:20,600 >> APOLOGIES FOR THE SHIFTING 5340 04:02:20,600 --> 04:02:23,040 SCHEDULE BUT WE WOULD LIKE TO 5341 04:02:23,040 --> 04:02:26,480 TRY TO KEEP FOCUS AND MOMENTUM. 5342 04:02:26,480 --> 04:02:30,000 >> WE REGISTERED THESE COMMENTS 5343 04:02:30,000 --> 04:02:31,520 IN THE CHAT. 5344 04:02:31,520 --> 04:02:33,520 THANK YOU FOR POINTING THAT OUT 5345 04:02:33,520 --> 04:02:37,560 AND IT'S NOTED. 5346 04:02:37,560 --> 04:02:39,440 >> DR. ELENA I THINK YOU ARE 5347 04:02:39,440 --> 04:02:41,080 TEED UP AND BACK ON-LINE. 5348 04:02:41,080 --> 04:02:43,720 WE WOULD LIKE TO RESUME YOUR 5349 04:02:43,720 --> 04:02:45,960 PRESENTATION AND KEEP OUR FOCUS 5350 04:02:45,960 --> 04:02:47,560 ON THIS. 5351 04:02:47,560 --> 04:02:49,120 >> WOULD YOU LIKE ME TO START 5352 04:02:49,120 --> 04:02:51,800 FROM THE TOP OR FROM WHERE YOU 5353 04:02:51,800 --> 04:02:52,920 LEFT OFF. 5354 04:02:52,920 --> 04:02:56,680 >> A BRIEF REMINDER WOULD BE 5355 04:02:56,680 --> 04:02:59,720 USEFUL AND THEN -- 5356 04:02:59,720 --> 04:03:00,800 >> I WILL BE BRIEF AT THE 5357 04:03:00,800 --> 04:03:01,360 BEGINNING. 5358 04:03:01,360 --> 04:03:06,160 I WANT TO PUT A PLUG IN FOR 5359 04:03:06,160 --> 04:03:13,720 WORKING AT NCI. 5360 04:03:13,720 --> 04:03:15,200 WHAT A GREAT PLACE AND GREAT 5361 04:03:15,200 --> 04:03:16,560 PEOPLE. 5362 04:03:16,560 --> 04:03:18,920 THANK YOU. 5363 04:03:18,920 --> 04:03:20,720 LET'S GO -- WITH THE SLIDES UP. 5364 04:03:20,720 --> 04:03:22,160 THANK YOU VERY MUCH. 5365 04:03:22,160 --> 04:03:23,160 VERY VERY BEGINNING. 5366 04:03:23,160 --> 04:03:24,880 7 OKAY. 5367 04:03:24,880 --> 04:03:27,120 YOU KNOW WHO WE ARE AND WHY 5368 04:03:27,120 --> 04:03:31,680 WE'RE HERE. 5369 04:03:31,680 --> 04:03:34,760 SO THE PURPOSE OF THIS PAR IS TO 5370 04:03:34,760 --> 04:03:36,360 PROVIDE CONTINUED SUPPORT FOR 5371 04:03:36,360 --> 04:03:39,200 ESTABLISHED COHORT STUDIES AND 5372 04:03:39,200 --> 04:03:41,080 DR. ROBSON JUST ASKED WHERE 5373 04:03:41,080 --> 04:03:43,160 DEFINING ESTABLISHED STUDIES AND 5374 04:03:43,160 --> 04:03:45,000 WE'RE DEFINING ESTABLISHED 5375 04:03:45,000 --> 04:03:47,640 STUDIES IS THOSE WHO HAVE 5376 04:03:47,640 --> 04:03:49,640 ACHIEVED THEIR INITIAL PLANNED 5377 04:03:49,640 --> 04:03:50,360 RECRUITMENT GOAL. 5378 04:03:50,360 --> 04:03:57,440 THIS PAR WILL BE REPLACED 5379 04:03:57,440 --> 04:04:02,560 PAR20-2694. 5380 04:04:02,560 --> 04:04:04,360 IT SEPARATED INFRASTRUCTURE FROM 5381 04:04:04,360 --> 04:04:06,760 RESEARCH BY PROVIDING SUPPORT 5382 04:04:06,760 --> 04:04:08,960 FOR BASIC MAINTENANCE ONLY. 5383 04:04:08,960 --> 04:04:10,680 THINGS LIKE PARTICIPANT 5384 04:04:10,680 --> 04:04:12,400 FOLLOW-UP. 5385 04:04:12,400 --> 04:04:15,480 CASE ASCERTAINMENT AND 5386 04:04:15,480 --> 04:04:16,600 BIOSPECIMEN STORAGE 5387 04:04:16,600 --> 04:04:18,960 THIS PAR IS BRINGING RESEARCH 5388 04:04:18,960 --> 04:04:20,440 AND INFRASTRUCTURE BACK 5389 04:04:20,440 --> 04:04:21,200 TOGETHER. 5390 04:04:21,200 --> 04:04:26,320 NEXT SLIDE. 5391 04:04:26,320 --> 04:04:28,600 IN DEVELOPING THIS PAR WE WENT 5392 04:04:28,600 --> 04:04:37,600 BACK TO THE JUNE 2019 -- AND 5393 04:04:37,600 --> 04:04:40,280 THIS PAR IS ADDRESSING MANY OF 5394 04:04:40,280 --> 04:04:42,000 THEIR RECOMMENDATIONS INCLUDING 5395 04:04:42,000 --> 04:04:45,360 CONTINUED SUPPORT FOR COHORTS TO 5396 04:04:45,360 --> 04:04:48,200 ADDRESS CRITICAL SCIENTIFIC GAPS 5397 04:04:48,200 --> 04:04:52,280 THAT PEER REVIEW SHOULD INCLUDE 5398 04:04:52,280 --> 04:04:53,200 JUSTIFICATION FOR CONTINUED 5399 04:04:53,200 --> 04:04:54,720 FOLLOW-UP AND THAT COHORTS 5400 04:04:54,720 --> 04:04:59,720 SHOULD ADDRESS EMERGING GAPS 5401 04:04:59,720 --> 04:05:02,040 WITH APPROPRIATE POPULATIONS. 5402 04:05:02,040 --> 04:05:04,040 ALSO RESEARCH GAPS BY CANCER 5403 04:05:04,040 --> 04:05:07,640 TYPE AND TREATMENT. 5404 04:05:07,640 --> 04:05:09,320 COHORTS STUDIES HAVE LED TO THE 5405 04:05:09,320 --> 04:05:12,680 IDENTIFICATION OF A MYRIAD OF 5406 04:05:12,680 --> 04:05:14,560 FACTORS ASSOCIATED WITH CANCER 5407 04:05:14,560 --> 04:05:15,800 INCIDENTS. 5408 04:05:15,800 --> 04:05:17,520 MORBIDITY AND MORTALITY. 5409 04:05:17,520 --> 04:05:19,600 WE'VE LEARNED THAT THE LINK OF 5410 04:05:19,600 --> 04:05:23,200 OBESITY AND CANCER MORTALITY AND 5411 04:05:23,200 --> 04:05:25,240 PESTICIDES AND SOLIDIFIED 5412 04:05:25,240 --> 04:05:26,880 EVIDENCE FOR ASSOCIATIONS WITH 5413 04:05:26,880 --> 04:05:28,760 SMOKING AND ALCOHOL INTAKE AMONG 5414 04:05:28,760 --> 04:05:30,240 MANY OTHERS. 5415 04:05:30,240 --> 04:05:32,040 THEY'VE ALSO PROVIDED SUPPORT 5416 04:05:32,040 --> 04:05:33,800 FOR INTERVENTIONS SUCH AS 5417 04:05:33,800 --> 04:05:35,480 SCREENING FOR SECOND CANCERS AND 5418 04:05:35,480 --> 04:05:37,680 HEALTH CONDITIONS AND CHILDHOOD 5419 04:05:37,680 --> 04:05:39,520 CANCER SURVIVORS. 5420 04:05:39,520 --> 04:05:42,360 THERE ARE RICH RESOURCES FOR A 5421 04:05:42,360 --> 04:05:44,360 WIDE VARIETY OF FUTURE RESEARCH. 5422 04:05:44,360 --> 04:05:46,800 MANY GROUPS ARE NOW COMBINING 5423 04:05:46,800 --> 04:05:51,760 COLLECTED DATA AND BIOSPECIMENS 5424 04:05:51,760 --> 04:05:54,600 TO DEVELOP RISK SCORES AND MANY 5425 04:05:54,600 --> 04:05:58,720 OTHER TOPICS. 5426 04:05:58,720 --> 04:06:00,640 REQUIRING SCIENTIFIC AIMS WITH 5427 04:06:00,640 --> 04:06:02,320 SPECIFIC RESEARCH QUESTIONS AND 5428 04:06:02,320 --> 04:06:04,720 ONE MECHANISM DESIGNED TO 5429 04:06:04,720 --> 04:06:09,520 SUPPORT ESTABLISHED CANCER EPPIE 5430 04:06:09,520 --> 04:06:11,840 COHORTS WILL GUIDE DESIGN AND 5431 04:06:11,840 --> 04:06:13,400 ASSURE APPROPRIATE METHODS WHICH 5432 04:06:13,400 --> 04:06:16,800 BRINGS US CLOSE TO OUR GOAL OF 5433 04:06:16,800 --> 04:06:17,840 ADVANCING SCIENTIFIC KNOWLEDGE 5434 04:06:17,840 --> 04:06:19,040 AND THE HEALTH OF THE 5435 04:06:19,040 --> 04:06:21,600 POPULATION. 5436 04:06:21,600 --> 04:06:24,960 * TO THIS AIM WE'LL REQUIRE 5437 04:06:24,960 --> 04:06:29,920 APPLICANTS TO ADDRESS KEY 5438 04:06:29,920 --> 04:06:31,080 SCIENTIFIC GAPS. 5439 04:06:31,080 --> 04:06:34,560 WE EXPECT THE INFRASTRUCTURE 5440 04:06:34,560 --> 04:06:36,840 NEEDS WILL BE INCLUDED. 5441 04:06:36,840 --> 04:06:40,360 THE JUSTIFICATION AND ADD ANY 5442 04:06:40,360 --> 04:06:41,800 PROPOSED ASSAYS WILL BE BASED ON 5443 04:06:41,800 --> 04:06:44,360 THE RESEARCH PROPOSED IN THE 5444 04:06:44,360 --> 04:06:46,720 SCIENTIFIC GAINS. 5445 04:06:46,720 --> 04:06:48,320 INTERNALLY PRIORITY WILL BE 5446 04:06:48,320 --> 04:06:52,920 GIVEN TO RESEARCH THAT INCLUDES 5447 04:06:52,920 --> 04:06:59,680 UNDERSTUDIED POPULATIONS. 5448 04:06:59,680 --> 04:07:02,200 AS WELL AS STUDIES THAT DIRECTLY 5449 04:07:02,200 --> 04:07:03,760 INFORM INTERVENTIONS AND 5450 04:07:03,760 --> 04:07:09,080 GUIDELINES. 5451 04:07:09,080 --> 04:07:11,800 WE WILL CLEARLY DEFINE WHO'S 5452 04:07:11,800 --> 04:07:12,360 ELIGIBLE. 5453 04:07:12,360 --> 04:07:14,640 THOSE APPLICATION THAT'S PROPOSE 5454 04:07:14,640 --> 04:07:17,320 NEW COHORTS OR DO NOT INCLUDE 5455 04:07:17,320 --> 04:07:19,400 RESEARCH FROM AN ESTABLISHED 5456 04:07:19,400 --> 04:07:21,880 COHORT STUDY IN THE AIM WILL BE 5457 04:07:21,880 --> 04:07:23,880 DEEMED NONRESPONSIVE BECAUSE WE 5458 04:07:23,880 --> 04:07:25,880 WANT TO MAXIMIZE THE 5459 04:07:25,880 --> 04:07:27,560 PRODUCTIVITY OF THESE STUDIES 5460 04:07:27,560 --> 04:07:29,200 WE'LL REQUIRE THAT THEY HAVE 5461 04:07:29,200 --> 04:07:31,240 DATA AND RESOURCE SHARING PLANS 5462 04:07:31,240 --> 04:07:33,200 THAT COMPLY WITH THE NIH POLICY 5463 04:07:33,200 --> 04:07:41,320 AND ADHERE TO FAIR PRINCIPLES. 5464 04:07:41,320 --> 04:07:43,160 WHILE THERE IS NO SPECIFIED 5465 04:07:43,160 --> 04:07:45,320 BUDGET GAP THE BUDGET MUST 5466 04:07:45,320 --> 04:07:48,560 REFLECT THE SCIENCE PROPOSED. 5467 04:07:48,560 --> 04:07:50,560 WE'LL FOLLOW THE POLICY FOR 5468 04:07:50,560 --> 04:07:53,880 GRANTS ABOVE $500,000 AND 5469 04:07:53,880 --> 04:07:55,840 BECAUSE WE COULD IMAGINE THAT 5470 04:07:55,840 --> 04:07:57,840 SOME OF THESE GRANTS MIGHT BE 5471 04:07:57,840 --> 04:08:00,920 QUITE COSTLY WE'LL REQUIRE A 5472 04:08:00,920 --> 04:08:03,360 PRESUBMISSION MEETING FOR GRANTS 5473 04:08:03,360 --> 04:08:06,200 ABOVE $700,000 DISTRICT COST 5474 04:08:06,200 --> 04:08:08,080 ANNUALLY APPROXIMATELY 12 WEEKS 5475 04:08:08,080 --> 04:08:09,760 BEFORE SUBMISSION TO ASSURE 5476 04:08:09,760 --> 04:08:12,960 APPROPRIATE SCOPE OF THE PROJECT 5477 04:08:12,960 --> 04:08:14,960 AND REASONABLENESS OF THE 5478 04:08:14,960 --> 04:08:29,160 PROJECT. 5479 04:08:29,160 --> 04:08:32,360 NCI HAS MADE A CONSIDERABLE 5480 04:08:32,360 --> 04:08:35,360 INVESTMENT IN COHORTS. 5481 04:08:35,360 --> 04:08:37,880 THERE ARE CURRENTLY YOU'VE HEARD 5482 04:08:37,880 --> 04:08:40,920 ABOUT THIS. 5483 04:08:40,920 --> 04:08:44,240 HAVE 31. 5484 04:08:44,240 --> 04:08:46,320 ABOUT THREE QUARTERS ARE WOMEN. 5485 04:08:46,320 --> 04:08:49,320 THE RACIAL AND ETHNIC 5486 04:08:49,320 --> 04:08:50,200 DISTRIBUTION PROBS MATES THE 5487 04:08:50,200 --> 04:08:52,840 U.S. POPULATION WITH THE 5488 04:08:52,840 --> 04:08:54,040 EXCEPTION OF THE HISPANIC 5489 04:08:54,040 --> 04:08:56,360 POPULATION CLASS 6% IN OUR 5490 04:08:56,360 --> 04:08:59,240 COHORTS YET 18% OF THE U.S. 5491 04:08:59,240 --> 04:09:00,920 POPULATION BASED ON RECENT 5492 04:09:00,920 --> 04:09:03,160 CENSUS DATA. WITH THE 5493 04:09:03,160 --> 04:09:05,680 LONG-STANDING SUPPORT MANY HAVE 5494 04:09:05,680 --> 04:09:07,440 OLDER POPULATIONS WHICH 5495 04:09:07,440 --> 04:09:09,560 TRANSLATES TO A CRITICAL NUMBER 5496 04:09:09,560 --> 04:09:11,520 OF EVENT. 5497 04:09:11,520 --> 04:09:14,600 THE MEDIAN AGE FOR SEVERAL RISK 5498 04:09:14,600 --> 04:09:19,720 COHORTS IS APPROACHING 80 YEARS. 5499 04:09:19,720 --> 04:09:22,280 SOME OF THE STUDIES HAVE FAIRLY 5500 04:09:22,280 --> 04:09:26,360 NARROW RANGES OF AGE OTHERS HAVE 5501 04:09:26,360 --> 04:09:29,560 A VAST RANGE OF AGES FROM LATE 5502 04:09:29,560 --> 04:09:33,760 40s TO OVER 100. 5503 04:09:33,760 --> 04:09:35,960 WE FOCUS ENDS ON ESTABLISHED 5504 04:09:35,960 --> 04:09:37,840 COHORTS BECAUSE THEY HAVE THE 5505 04:09:37,840 --> 04:09:38,720 NECESSARY DATA COLLECTED AND 5506 04:09:38,720 --> 04:09:41,160 NUMBER OF EVENTS TO PRODUCE 5507 04:09:41,160 --> 04:09:41,920 IMPORTANT RESEARCH. 5508 04:09:41,920 --> 04:09:44,920 NEXT SLIDE. 5509 04:09:44,920 --> 04:09:46,920 I THOUGHT IT MIGHT BE HELPFUL TO 5510 04:09:46,920 --> 04:09:49,960 GO THROUGH A TYPICAL TIME LINE. 5511 04:09:49,960 --> 04:09:52,800 ALTHOUGH THERE WILL BE 5512 04:09:52,800 --> 04:09:54,840 DIFFERENCES IN LENGTHS. 5513 04:09:54,840 --> 04:09:56,080 TYPICALLY THERE IS A PERIOD WHEN 5514 04:09:56,080 --> 04:10:00,040 THE STUDY TEAM IS PILOTING AND 5515 04:10:00,040 --> 04:10:02,560 THEY PROCEED TO ENROLLMENT AND 5516 04:10:02,560 --> 04:10:04,160 BEGIN COLLECTING DATA. THEY 5517 04:10:04,160 --> 04:10:06,000 WILL CONTINUE TO ACCRUE CASES 5518 04:10:06,000 --> 04:10:07,600 AND THEY HAVE A NUMBER OF WAYS 5519 04:10:07,600 --> 04:10:08,760 OF DATA COLLECTION. 5520 04:10:08,760 --> 04:10:13,480 THEY CONTINUE TO ACCRUE CASES 5521 04:10:13,480 --> 04:10:16,160 AND IT TRANSITIONS FROM ACTIVE 5522 04:10:16,160 --> 04:10:19,440 DATA COLLECTION TO MORE PASSIVE 5523 04:10:19,440 --> 04:10:21,240 FOLLOW-UP AND THEN ARCHIVES THE 5524 04:10:21,240 --> 04:10:22,360 DATA FOR FUTURE RESEARCH. 5525 04:10:22,360 --> 04:10:26,920 THIS PAR -- THIS IS AN 5526 04:10:26,920 --> 04:10:29,120 ANIMATEDDED SLIDE SO IF YOU'LL 5527 04:10:29,120 --> 04:10:31,360 HIT FORWARD ONCE. 5528 04:10:31,360 --> 04:10:33,280 THIS COVERS THE TIME PERIOD FROM 5529 04:10:33,280 --> 04:10:36,360 COMPLETED ENROLLMENT AND THE 5530 04:10:36,360 --> 04:10:44,560 NEXT PAR -- THE PREVIOUS PAR 5531 04:10:44,560 --> 04:10:45,800 COVERS THE INITIAL PERIOD THAT 5532 04:10:45,800 --> 04:10:48,760 IS CRITICAL FOR ESTABLISHING NEW 5533 04:10:48,760 --> 04:10:49,600 COHORTS. 5534 04:10:49,600 --> 04:10:52,800 TOGETHER THESE PARs WILL HELP 5535 04:10:52,800 --> 04:10:56,000 TO CONTINUE THE SUPPORT FOR 5536 04:10:56,000 --> 04:11:02,000 THESE IMPORTANT CONTRIBUTIONS. 5537 04:11:02,000 --> 04:11:04,720 I'VE SUMMARIZED THE MAIN 5538 04:11:04,720 --> 04:11:05,160 COMMENTS. 5539 04:11:05,160 --> 04:11:09,960 CURRENT GRANTEES FROM PAR20-294 5540 04:11:09,960 --> 04:11:12,000 ARE NOT ELIGIBLE FOR FUNDING BUT 5541 04:11:12,000 --> 04:11:14,960 ARE WELCOME TO SUBMIT 5542 04:11:14,960 --> 04:11:16,600 INVESTIGATOR INITIATED RESEARCH 5543 04:11:16,600 --> 04:11:18,000 GRANTS AT ANY POINT. 5544 04:11:18,000 --> 04:11:20,120 WE'VE CLARIFIED THE 5545 04:11:20,120 --> 04:11:21,600 NONRESPONSIVE CRITERIA. 5546 04:11:21,600 --> 04:11:24,280 AND THIS IS A GOOD PLACE TO END. 5547 04:11:24,280 --> 04:11:26,720 DIVERSITY AND INNOVATION ARE 5548 04:11:26,720 --> 04:11:29,160 IMPORTANT FOR OUR PORTFOLIO OF 5549 04:11:29,160 --> 04:11:31,080 CANCER EPIDEMIOLOGY COHORTS. 5550 04:11:31,080 --> 04:11:33,080 OF COURSE WE'RE TALKING ABOUT 5551 04:11:33,080 --> 04:11:35,400 RACIAL AND ETHNIC DIVERSITY BUT 5552 04:11:35,400 --> 04:11:39,040 ALSO AGE, CANCER SITE, URBAN AND 5553 04:11:39,040 --> 04:11:44,880 RURAL AND SOCIOECONOMIC STATUS 5554 04:11:44,880 --> 04:11:52,240 AND BEYOND. 5555 04:11:52,240 --> 04:11:54,560 AND I'M HAPPY TO ANSWER ANY 5556 04:11:54,560 --> 04:11:57,920 QUESTIONS. 5557 04:11:57,920 --> 04:11:58,320 >> DR. ROBSON. 5558 04:11:58,320 --> 04:12:00,880 DO YOU WANT TO START US WITH THE 5559 04:12:00,880 --> 04:12:02,760 DISCUSSION. 5560 04:12:02,760 --> 04:12:03,960 >> YES. 5561 04:12:03,960 --> 04:12:08,360 FIRST I WANT TO THANK DR. ELANA 5562 04:12:08,360 --> 04:12:12,040 AND LAM FOR THEIR TWO 5563 04:12:12,040 --> 04:12:13,520 PRESENTATIONS THAT ARE VERY MUCH 5564 04:12:13,520 --> 04:12:16,160 IN LINE WITH THE NCAB WORKING 5565 04:12:16,160 --> 04:12:18,280 GROUP REPORT. 5566 04:12:18,280 --> 04:12:19,720 THAT WAS GENERATED ADDRESSING 5567 04:12:19,720 --> 04:12:22,720 THE ISSUES OF COHORTS. 5568 04:12:22,720 --> 04:12:25,960 SO I REALLY CONGRATULATE THE NCI 5569 04:12:25,960 --> 04:12:27,400 AND REALLY THINKING ABOUT THE 5570 04:12:27,400 --> 04:12:30,080 FUTURE OF THE COHORTS WHICH WE 5571 04:12:30,080 --> 04:12:31,360 OBVIOUSLY THROUGH THESE 5572 04:12:31,360 --> 04:12:33,720 DISCUSSIONS HAVE REALLY 5573 04:12:33,720 --> 04:12:35,080 EMPHASIZED ARE AN IMPORTANT PART 5574 04:12:35,080 --> 04:12:37,360 OF THE NCI PORTFOLIO. 5575 04:12:37,360 --> 04:12:38,840 AND DOES REPRESENT A VERY 5576 04:12:38,840 --> 04:12:45,360 SPECIFIC METHODOLOGIC STUDY 5577 04:12:45,360 --> 04:12:47,760 DESIGN TO INFORM A NUMBER OF 5578 04:12:47,760 --> 04:12:49,400 IMPORTANT ISSUES RELATING TO 5579 04:12:49,400 --> 04:12:52,160 BOTH CANCER RISK AS WELL AS 5580 04:12:52,160 --> 04:12:53,280 CANCER OUTCOMES WITHIN THE 5581 04:12:53,280 --> 04:12:53,680 GROUP. 5582 04:12:53,680 --> 04:12:56,960 AS A WORKING GROUP WE WERE 5583 04:12:56,960 --> 04:12:58,520 INCREDIBLY POSITIVE ABOUT THIS 5584 04:12:58,520 --> 04:13:02,040 REVISED PAR THAT WOULD TAKE THE 5585 04:13:02,040 --> 04:13:04,280 PLACE OF THE EXISTING 5586 04:13:04,280 --> 04:13:06,040 INFRASTRUCTURE APPROACH. 5587 04:13:06,040 --> 04:13:10,520 WE THINK THIS IS A VERY POSITIVE 5588 04:13:10,520 --> 04:13:11,960 MODIFICATION THAT AGAIN STARTS 5589 04:13:11,960 --> 04:13:17,160 TO REINTEGRATE HYPOTHESIS DRIVEN 5590 04:13:17,160 --> 04:13:17,920 RESEARCH. 5591 04:13:17,920 --> 04:13:19,400 AROUND THE SUPPORT OF THE 5592 04:13:19,400 --> 04:13:21,960 INFRASTRUCTURE AND THE SPECIFIC 5593 04:13:21,960 --> 04:13:23,520 INFRA STRUCTURE BEING BUILT FOR 5594 04:13:23,520 --> 04:13:25,080 THE EXISTING COHORTS THAT ARE 5595 04:13:25,080 --> 04:13:26,560 GOING FORWARD. 5596 04:13:26,560 --> 04:13:29,560 SO I THINK WE CAN KEEP THE 5597 04:13:29,560 --> 04:13:29,880 DISCUSSIONS. 5598 04:13:29,880 --> 04:13:32,080 THERE IS A NUMBER OF OTHER 5599 04:13:32,080 --> 04:13:33,160 POSITIVE THINGS THAT HAVE BEEN 5600 04:13:33,160 --> 04:13:34,640 BROUGHT OUT IN SOME OF THE 5601 04:13:34,640 --> 04:13:35,360 PREVIOUS DISCUSSIONS. 5602 04:13:35,360 --> 04:13:38,120 SO I THINK IN GENERAL WE THINK 5603 04:13:38,120 --> 04:13:41,760 THAT THIS IS A VERY RESPONSIVE 5604 04:13:41,760 --> 04:13:44,440 -- TO THE NEEDS OF THE PORTFOLIO 5605 04:13:44,440 --> 04:13:47,880 FOR ITS COHORTS OF THE NCI AND 5606 04:13:47,880 --> 04:13:50,840 THAT IT WILL VERY MUCH HAVE THE 5607 04:13:50,840 --> 04:13:53,160 LIKELIHOOD OF ENHANCING THE 5608 04:13:53,160 --> 04:13:58,720 EXISTING INVESTMENT THAT NCI HAS 5609 04:13:58,720 --> 04:14:02,360 PUT IN THE CURRENT COHORTS. 5610 04:14:02,360 --> 04:14:07,560 7 I WANT TO RESPOND ABOUT 5611 04:14:07,560 --> 04:14:11,800 CLARIFYING TRANSITION -- AND WE 5612 04:14:11,800 --> 04:14:13,920 THINK THAT THE CRITERIA THAT 5613 04:14:13,920 --> 04:14:16,560 WILL BE APPLIED IS REALLY 5614 04:14:16,560 --> 04:14:19,000 ADEQUATELY DRESSED THROUGH OUR 5615 04:14:19,000 --> 04:14:20,560 PREVIOUS QUESTIONS AND YOUR 5616 04:14:20,560 --> 04:14:21,360 CURRENT PRESENTATION. 5617 04:14:21,360 --> 04:14:26,720 THE ONE THING THAT WE WANT TO 5618 04:14:26,720 --> 04:14:28,640 REEMPHASIZE IS THAT REVIEW OF 5619 04:14:28,640 --> 04:14:32,160 THESE PROPOSALS SUBMITTED 5620 04:14:32,160 --> 04:14:34,040 ABSOLUTELY NEED TO BE REVIEWED 5621 04:14:34,040 --> 04:14:36,160 THROUGH A SPECIAL EMPHASIS PANEL 5622 04:14:36,160 --> 04:14:38,240 THAT BRINGS TOGETHER THE RIGHT 5623 04:14:38,240 --> 04:14:38,840 EXPERTISE. 5624 04:14:38,840 --> 04:14:41,400 THAT IS SOMETHING THAT IS 5625 04:14:41,400 --> 04:14:42,840 ESSENTIAL FOREIGN SURING THAT 5626 04:14:42,840 --> 04:14:44,800 THE BEST SCIENCE AND THE BEST 5627 04:14:44,800 --> 04:14:46,520 APPROACHES GO FORWARD. 5628 04:14:46,520 --> 04:14:48,880 SO AGAIN I THINK THE WORKING 5629 04:14:48,880 --> 04:14:51,520 GROUP WAS INCREDIBLY SUPPORTIVE 5630 04:14:51,520 --> 04:14:54,720 AND I'LL STOP THERE AND OPEN IT 5631 04:14:54,720 --> 04:14:58,760 UP TO EITHER MELISSA AND KIM FOR 5632 04:14:58,760 --> 04:14:59,200 ADDITIONAL COMMENTS 5633 04:14:59,200 --> 04:15:01,360 >> I JUST WANT TO SAY JOANNE 5634 04:15:01,360 --> 04:15:03,080 WE'VE ALL BEEN THERE WITH OUR 5635 04:15:03,080 --> 04:15:04,360 KIDS AND WILL CONTINUE TO BE 5636 04:15:04,360 --> 04:15:05,880 THERE WITH OUR KIDS. 5637 04:15:05,880 --> 04:15:08,920 BUT ANYHOW WE ALL SYMPATHIZE 5638 04:15:08,920 --> 04:15:12,920 WITH YOU AND UNDERSTAND. 5639 04:15:12,920 --> 04:15:16,560 I DEFINITELY CONCUR AND I WAS 5640 04:15:16,560 --> 04:15:17,800 THINKING ABOUT HOW THE GRANTS 5641 04:15:17,800 --> 04:15:20,720 WOULD BE REVIEWED. 5642 04:15:20,720 --> 04:15:23,720 I'M REALLY GLAD THAT YOU ADDED 5643 04:15:23,720 --> 04:15:25,400 IT. 5644 04:15:25,400 --> 04:15:28,600 AND WE KNOW HOW STUDY SECTIONS 5645 04:15:28,600 --> 04:15:30,800 REVIEW THESE AND WHEN THEY ARE 5646 04:15:30,800 --> 04:15:32,920 HUGE GRANTS THAT WITHOUT THEM 5647 04:15:32,920 --> 04:15:36,000 BEING REVIEWED THEY WOULD FAIL. 5648 04:15:36,000 --> 04:15:37,480 SO THANK YOU FOR INCORPORATING 5649 04:15:37,480 --> 04:15:40,320 THAT POINT. 5650 04:15:40,320 --> 04:15:43,560 WE NEED TO KEEP THESE -- SOME OF 5651 04:15:43,560 --> 04:15:45,160 THESE GRANTS THE INFRASTRUCTURE 5652 04:15:45,160 --> 04:15:48,400 OF THESE COHORTS HAVE BEEN 5653 04:15:48,400 --> 04:15:50,520 REALLY IMPORTANT AND HAVE BEEN 5654 04:15:50,520 --> 04:15:51,640 TRANSFORMATIONAL IN TERMS OF 5655 04:15:51,640 --> 04:15:55,160 WHAT WE'VE LEARNED FROM THEM AND 5656 04:15:55,160 --> 04:15:57,800 WE WANT TO MAKE SURE THAT THE 5657 04:15:57,800 --> 04:15:59,120 INFRASTRUCTURE AND I THINK I 5658 04:15:59,120 --> 04:16:01,040 WROTE YOU THIS TOO OVER THE 5659 04:16:01,040 --> 04:16:03,920 WEEKEND AND INCLUDED THE OTHERS 5660 04:16:03,920 --> 04:16:05,640 THE IMPORTANCE OF THE 5661 04:16:05,640 --> 04:16:07,360 INFRASTRUCTURE THAT WHEN YOU ADD 5662 04:16:07,360 --> 04:16:09,720 IN HYPOTHESIS TO MAKE SURE THAT 5663 04:16:09,720 --> 04:16:11,640 THE INFRASTRUCTURE IS CONTINUED. 5664 04:16:11,640 --> 04:16:15,360 BECAUSE IT DOES HELP WITH THE 5665 04:16:15,360 --> 04:16:16,960 RO1s BECAUSE THE 5666 04:16:16,960 --> 04:16:19,040 INFRASTRUCTURE IS MAINTAINED IN 5667 04:16:19,040 --> 04:16:21,240 A LARGER GRANT SO I JUST WANT TO 5668 04:16:21,240 --> 04:16:24,040 MAKE SURE THAT THAT WOULD HELP 5669 04:16:24,040 --> 04:16:28,880 THE PI OF THE MAIN PARENT GRANT. 5670 04:16:28,880 --> 04:16:29,720 SO THANK YOU. 5671 04:16:29,720 --> 04:16:31,840 I DON'T HAVE ANY MORE COMMENTS. 5672 04:16:31,840 --> 04:16:34,840 I THINK YOU'VE ADDRESSED THEM 5673 04:16:34,840 --> 04:16:38,720 ALL AND DR. ROBISON MENTIONED 5674 04:16:38,720 --> 04:16:39,560 THEM AS WELL. 5675 04:16:39,560 --> 04:16:41,160 >> GREAT. 5676 04:16:41,160 --> 04:16:43,480 I JUST WANT TO SAY I'M GLAD THAT 5677 04:16:43,480 --> 04:16:45,760 WE COULD REVIEW THIS IN PARALLEL 5678 04:16:45,760 --> 04:16:48,440 WITH THE OTHER ONE BECAUSE THEY 5679 04:16:48,440 --> 04:16:49,480 GO TOGETHER NICELY. 5680 04:16:49,480 --> 04:16:50,160 THAT IS GREAT. 5681 04:16:50,160 --> 04:16:52,160 THIS IS AN INCREDIBLE RESOURCE 5682 04:16:52,160 --> 04:16:53,960 TO BE ABLE TO CARRY FORWARD NOT 5683 04:16:53,960 --> 04:16:56,760 JUST FEEDING AND WATERING BUT 5684 04:16:56,760 --> 04:16:58,400 PUTTING HYPOTHESIS GOVERNMENT 5685 04:16:58,400 --> 04:17:00,160 RESEARCH INTO IT. 5686 04:17:00,160 --> 04:17:01,160 AGREE WITH THE OTHER MEMBERS OF 5687 04:17:01,160 --> 04:17:02,920 THE COMMITTEE. 5688 04:17:02,920 --> 04:17:03,200 >> GREAT. 5689 04:17:03,200 --> 04:17:05,440 THANK YOU ALL. 5690 04:17:05,440 --> 04:17:07,560 ANY BRIEF SUCCINCT QUESTIONS OR 5691 04:17:07,560 --> 04:17:14,440 COMMENTS? 5692 04:17:14,440 --> 04:17:14,840 OKAY. 5693 04:17:14,840 --> 04:17:15,880 VERY GOOD. 5694 04:17:15,880 --> 04:17:19,240 LET'S MOVE TO VOTING. 5695 04:17:19,240 --> 04:17:20,320 DR. ROBSON. 5696 04:17:20,320 --> 04:17:23,120 >> I MAKE THE MOTION TO APPROVE 5697 04:17:23,120 --> 04:17:24,760 THIS CONCEPT. 5698 04:17:24,760 --> 04:17:25,560 >> A SECOND. 5699 04:17:25,560 --> 04:17:26,600 >> SECOND. 5700 04:17:26,600 --> 04:17:35,200 >> ANY FURTHER DISCUSSION? 5701 04:17:35,200 --> 04:17:35,680 OKAY. 5702 04:17:35,680 --> 04:17:37,960 THE MOTION IS FOR APPROVAL. 5703 04:17:37,960 --> 04:17:39,400 LOOKING FOR ANYONE WHO WOULD 5704 04:17:39,400 --> 04:17:47,120 LIKE TO VOTE TO DISAPPROVE? 5705 04:17:47,120 --> 04:17:49,160 I SEE NONE. 5706 04:17:49,160 --> 04:17:54,280 ANY ABSTENTIONS? 5707 04:17:54,280 --> 04:17:58,760 AND NO ABSTENTIONS SO UNANIMOUS 5708 04:17:58,760 --> 04:17:59,280 APPROVAL. 5709 04:17:59,280 --> 04:18:01,360 NO ABSTENTIONS. 5710 04:18:01,360 --> 04:18:01,760 >> OKAY. 5711 04:18:01,760 --> 04:18:04,480 SO WE'RE GOOD. 5712 04:18:04,480 --> 04:18:06,040 MEMBERS STAY WITH US. 5713 04:18:06,040 --> 04:18:07,520 WE HAVE ONLY ONE MORE AND WE 5714 04:18:07,520 --> 04:18:09,000 HAVE TO HAVE A QUORUM. 5715 04:18:09,000 --> 04:18:10,440 OKAY. 5716 04:18:10,440 --> 04:18:13,000 >> AS LONG AS WE CAN KEEP NINE 5717 04:18:13,000 --> 04:18:15,080 PEOPLE FROM THE BSA WE'RE GOING 5718 04:18:15,080 --> 04:18:17,440 TO MOTOR THROUGH THE LAST ONE. 5719 04:18:17,440 --> 04:18:19,720 THANK YOU ALL FOR YOUR 5720 04:18:19,720 --> 04:18:20,360 ENDURANCE. 5721 04:18:20,360 --> 04:18:23,560 WE HAVE ANOTHER NEW RFA FINAL 5722 04:18:23,560 --> 04:18:24,840 CONCEPT FOR THE DAY. 5723 04:18:24,840 --> 04:18:29,160 THE CANCER CONTROL RESEARCH IN 5724 04:18:29,160 --> 04:18:32,560 PERSISTENT POVERTY AREAS 5725 04:18:32,560 --> 04:18:35,040 CONCEPT. 5726 04:18:35,040 --> 04:18:36,640 DR. SRINIVASAN IS PRESENTING. 5727 04:18:36,640 --> 04:18:37,600 PLEASE PROCEED 5728 04:18:37,600 --> 04:18:39,360 >> THANK YOU ALL FOR STAYING ON 5729 04:18:39,360 --> 04:18:40,560 TO THE VERY END AND THANK YOU 5730 04:18:40,560 --> 04:18:42,120 FOR THE OPPORTUNITY TO SPEAK 5731 04:18:42,120 --> 04:18:43,320 WITH YOU TODAY. 5732 04:18:43,320 --> 04:18:47,800 THIS IS A REQUEST FOR THE U54RFA 5733 04:18:47,800 --> 04:18:52,000 ON CANCER CONTROL RESEARCH IN 5734 04:18:52,000 --> 04:18:55,560 POVERTY AREAS. 5735 04:18:55,560 --> 04:18:59,840 POVERTY IS DEFINED AS COUNTIES 5736 04:18:59,840 --> 04:19:03,400 WHERE 20% OR MORE OF THE 5737 04:19:03,400 --> 04:19:07,280 POPULATION IS BELOW THE POVERTY 5738 04:19:07,280 --> 04:19:15,200 LINE FOR THE PAST 20 YEARS. 5739 04:19:15,200 --> 04:19:17,640 FOPS LOOK AT THIS MAP WE SEE 5740 04:19:17,640 --> 04:19:20,160 THERE ARE ONLY A FEW STATES WITH 5741 04:19:20,160 --> 04:19:24,280 PERSISTENT POVERTY DEPICTED. 5742 04:19:24,280 --> 04:19:31,080 IN THE STUDY WE PUBLISHED IN 5743 04:19:31,080 --> 04:19:34,800 2020 WE FOUND THAT PEOPLE IN 5744 04:19:34,800 --> 04:19:36,080 PERSISTENT POVERTY AREAS HAVE 5745 04:19:36,080 --> 04:19:38,600 HIGHER CANCER MORTALITY THAN 5746 04:19:38,600 --> 04:19:41,720 THOSE IN -- AND EVEN HIGHER AS 5747 04:19:41,720 --> 04:19:44,560 COMPARED TO -- 5748 04:19:44,560 --> 04:19:50,040 [ AUDIO DIFFICULTIES ] 5749 04:19:50,040 --> 04:19:52,800 FOR SCREENABLE AND PREVENTABLE 5750 04:19:52,800 --> 04:19:53,440 CANCERS. 5751 04:19:53,440 --> 04:19:57,320 NEXT SLIDE PLEASE. 5752 04:19:57,320 --> 04:20:00,640 SO THIS ACTUALLY IS PART OF THE 5753 04:20:00,640 --> 04:20:02,440 STUDY WHICH WAS PUBLISHED WHERE 5754 04:20:02,440 --> 04:20:04,720 WE FOUND THAT PEOPLE WHO LIVED 5755 04:20:04,720 --> 04:20:06,200 IN THESE COUNTIES ARE MORE 5756 04:20:06,200 --> 04:20:08,200 LIKELY TO DIE FROM CANCER THAN 5757 04:20:08,200 --> 04:20:10,080 OTHER AREAS. 5758 04:20:10,080 --> 04:20:11,720 NEXT SLIDE, PLEASE. 5759 04:20:11,720 --> 04:20:14,800 SO PERSISTENT POVERTY IS AN 5760 04:20:14,800 --> 04:20:16,920 IMPORTANT CONTEXT TO ADDRESS 5761 04:20:16,920 --> 04:20:19,040 HIGH MORTALITY RATES FOR CANCER. 5762 04:20:19,040 --> 04:20:21,360 BUT THERE ARE LIMITATIONS TO 5763 04:20:21,360 --> 04:20:23,560 COUNTY LEVEL DEFINITIONS WHEREBY 5764 04:20:23,560 --> 04:20:26,000 SMALLER AREAS IN EXTREME POVERTY 5765 04:20:26,000 --> 04:20:29,000 ARE EXCLUDED FROM THIS 5766 04:20:29,000 --> 04:20:31,000 DEFINITION SUCH AS INNER CITIES. 5767 04:20:31,000 --> 04:20:33,760 SO IN CONJUNCTION WITH TRACY -- 5768 04:20:33,760 --> 04:20:37,560 AT THE U.S.D.A -- THEY EXTENDED 5769 04:20:37,560 --> 04:20:40,840 THE DEFINITION TO THE CENSUS 5770 04:20:40,840 --> 04:20:43,160 TRACK LEVEL AND WE MAKE THIS 5771 04:20:43,160 --> 04:20:44,320 INFORMATION AVAILABLE WITH THE 5772 04:20:44,320 --> 04:20:45,360 RFA. 5773 04:20:45,360 --> 04:20:48,360 DEFINING PERSISTENT POVERTY 5774 04:20:48,360 --> 04:20:50,760 LOUSE US TO DOUBLE THE 5775 04:20:50,760 --> 04:20:56,400 POPULATION FROM 16.5 MILLION TO 5776 04:20:56,400 --> 04:20:57,600 29 MILLION. 5777 04:20:57,600 --> 04:21:01,120 SO THIS IS A DEPICTION THAT 5778 04:21:01,120 --> 04:21:03,760 SHOWS THAT IN THE NEW DEFINITION 5779 04:21:03,760 --> 04:21:07,880 AT THE CENSUS TRACK LEVEL WE 5780 04:21:07,880 --> 04:21:10,360 HAVE REPRESENTATION ACROSS ALL 5781 04:21:10,360 --> 04:21:12,560 STATES AND THAT IT IS PERVASIVE 5782 04:21:12,560 --> 04:21:17,160 ACROSS THE U.S. 5783 04:21:17,160 --> 04:21:19,000 WHAT ARE THE THE UNIQUE 5784 04:21:19,000 --> 04:21:20,520 CHARACTERISTICS. 5785 04:21:20,520 --> 04:21:24,080 LACK OF ADEQUATE HOUSING. 5786 04:21:24,080 --> 04:21:26,720 GREATER ENVIRONMENTAL 5787 04:21:26,720 --> 04:21:28,080 DEGRADATION. 5788 04:21:28,080 --> 04:21:34,160 HIGHER RATES OF OBESITY, SMOKING 5789 04:21:34,160 --> 04:21:36,680 AND LOWER LEVELS OF EDUCATION 5790 04:21:36,680 --> 04:21:39,240 AND INADEQUATE ACCESS TO HEALTH 5791 04:21:39,240 --> 04:21:40,720 CARRA AMONG OTHER THINGS. 5792 04:21:40,720 --> 04:21:46,640 * THIS IS DATA REPORTED BY THE 5793 04:21:46,640 --> 04:21:48,160 U.S.D.A WHERE THEY TALK ABOUT 5794 04:21:48,160 --> 04:21:50,240 EFFECTS OF PERSISTENT POVERTY 5795 04:21:50,240 --> 04:21:52,000 AREAS AND PEOPLE LIVING IN THOSE 5796 04:21:52,000 --> 04:21:52,880 AREAS. 5797 04:21:52,880 --> 04:21:54,760 NOT ONLY THOSE IN POVERTY BUT 5798 04:21:54,760 --> 04:21:56,600 EVERYBODY LIVING IN THOSE AREAS. 5799 04:21:56,600 --> 04:21:59,560 THEY SAY THAT IT'S A GREATER 5800 04:21:59,560 --> 04:22:00,960 LIKELIHOOD FOR LACK OF ADEQUATE 5801 04:22:00,960 --> 04:22:03,000 SUPPORT OF SERVICES. 5802 04:22:03,000 --> 04:22:08,360 ALSO EXPOSURE TO PERSISTENTLY 5803 04:22:08,360 --> 04:22:10,680 POOR AREAS. 5804 04:22:10,680 --> 04:22:11,840 AND LASTLY THERE IS DOUBLE 5805 04:22:11,840 --> 04:22:13,720 POVERTY EXPOSURE. 5806 04:22:13,720 --> 04:22:16,080 PEOPLE WHO ARE IN POVERTY AND 5807 04:22:16,080 --> 04:22:19,480 ALSO THOSE WHO LIVE IN THESE 5808 04:22:19,480 --> 04:22:21,400 POVERTY AREAS HAVE LIMITED 5809 04:22:21,400 --> 04:22:23,040 OPPORTUNITIES FOR EVERYTHING 5810 04:22:23,040 --> 04:22:27,600 INCLUDING AFFORDABILITY. 5811 04:22:27,600 --> 04:22:30,560 SO THE AIM OF THIS INITIATIVE IS 5812 04:22:30,560 --> 04:22:33,760 TO CONDUCT CANCER CONTROL AND 5813 04:22:33,760 --> 04:22:35,120 PREVENTION RESEARCH IN 5814 04:22:35,120 --> 04:22:37,200 PARTNERSHIP WITH COMMUNITIES AND 5815 04:22:37,200 --> 04:22:39,760 CLINICS IN PERSISTENT POVERTY 5816 04:22:39,760 --> 04:22:42,200 AREAS BY LEVERAGING EXISTING 5817 04:22:42,200 --> 04:22:44,840 DATA RESOURCES AND CONDUCTING 5818 04:22:44,840 --> 04:22:46,840 PRELIMINARY DATA COLLECTION. 5819 04:22:46,840 --> 04:22:49,480 CONDUCTING MULTI-LEVEL 5820 04:22:49,480 --> 04:22:51,720 INTERVENTION AND IMPLEMENTING 5821 04:22:51,720 --> 04:22:56,200 TRAINING OF TRANSDISCIPLINARY -- 5822 04:22:56,200 --> 04:22:59,200 FOR JUNIOR INVESTIGATORS. 5823 04:22:59,200 --> 04:23:00,760 SOME EXAMPLE AREAS OF RESEARCH 5824 04:23:00,760 --> 04:23:06,280 ACROSS THE CANCER CONTINUUM -- 5825 04:23:06,280 --> 04:23:10,840 THE EFFECTS OF PERSISTENT 5826 04:23:10,840 --> 04:23:11,360 POVERTY -- 5827 04:23:11,360 --> 04:23:12,280 [ INDISCERNIBLE ] 5828 04:23:12,280 --> 04:23:14,080 WOULD LEAD TO TARGETED OUTCOMES 5829 04:23:14,080 --> 04:23:17,160 SUCH AS INCREASE IN CANCER 5830 04:23:17,160 --> 04:23:20,800 SCREENING. 5831 04:23:20,800 --> 04:23:23,600 PREVENTION STRATEGIES. 5832 04:23:23,600 --> 04:23:25,720 INCREASE VACCINATION RATES AND 5833 04:23:25,720 --> 04:23:28,400 IMPROVE SURVIVORSHIP CARE. 5834 04:23:28,400 --> 04:23:31,400 SO THE PROPOSED FUNDING 5835 04:23:31,400 --> 04:23:32,440 OPPORTUNITIES -- 5836 04:23:32,440 --> 04:23:33,720 [ INDISCERNIBLE ] 5837 04:23:33,720 --> 04:23:35,160 SPECIALIZED CENTERS AND WE'RE 5838 04:23:35,160 --> 04:23:37,840 SAYING THAT THESE CENTERS WOULD 5839 04:23:37,840 --> 04:23:42,520 HAVE THESE CODES. 5840 04:23:42,520 --> 04:23:44,920 ADMINISTRATIVE CORE. 5841 04:23:44,920 --> 04:23:47,440 A RESEARCH AND INFRASTRUCTURE 5842 04:23:47,440 --> 04:23:47,640 CORE. 5843 04:23:47,640 --> 04:23:51,640 7 ONE TO BE AN INTERVENTION. 5844 04:23:51,640 --> 04:23:53,360 PILOT PROJECTS. 5845 04:23:53,360 --> 04:23:55,360 DECIDED ON AFTER THE FUNDING TO 5846 04:23:55,360 --> 04:23:59,000 BE FLEXIBLE AND RESPONSIVE. 5847 04:23:59,000 --> 04:24:01,680 AND AGAIN WE'RE ASKING FOR A 5848 04:24:01,680 --> 04:24:03,680 MINIMUM OF TWO PILOT PROJECTS 5849 04:24:03,680 --> 04:24:06,840 AND ONE BEING AN INTERVENTION 5850 04:24:06,840 --> 04:24:08,640 AND AN INVESTIGATOR DEVELOPMENT 5851 04:24:08,640 --> 04:24:08,920 CORE. 5852 04:24:08,920 --> 04:24:14,320 7 5853 04:24:14,320 --> 04:24:16,960 [ INDISCERNIBLE ] 5854 04:24:16,960 --> 04:24:18,920 AND FOCUS ON COMMUNITY AND 5855 04:24:18,920 --> 04:24:21,040 INSTITUTIONAL AND STRUCTURAL 5856 04:24:21,040 --> 04:24:24,360 LEVELS AND BE MULTI-LEVEL AND 5857 04:24:24,360 --> 04:24:29,680 MULTI-FACTORIAL. 5858 04:24:29,680 --> 04:24:30,880 ADDITIONALLY THEY SHOULD ALSO 5859 04:24:30,880 --> 04:24:35,280 ADDRESS ISSUES OF SUSTAINABILITY 5860 04:24:35,280 --> 04:24:38,360 -- AS SUGGESTED BY THE BSA 5861 04:24:38,360 --> 04:24:42,280 REVIEWERS. 5862 04:24:42,280 --> 04:24:46,640 THE PROPOSED BUDGET IS FOR 5863 04:24:46,640 --> 04:24:47,720 $10 MILLION FOR YEAR. 5864 04:24:47,720 --> 04:24:51,520 FOR A TOTAL COST OF UP TO 5865 04:24:51,520 --> 04:24:53,360 $50 MILLION OVER FIVE YEARS WITH 5866 04:24:53,360 --> 04:24:56,040 FUNDING BEGINNING IN 2023. 5867 04:24:56,040 --> 04:24:59,160 WE'RE CAPPING EACH CENTER AT 5868 04:24:59,160 --> 04:25:00,720 $1.5 MILLION A YEAR. 5869 04:25:00,720 --> 04:25:03,920 WE'RE ASKING APPLICANTS TO SET 5870 04:25:03,920 --> 04:25:06,360 ASIDE 1.5% OF THEIR DIRECT COST 5871 04:25:06,360 --> 04:25:08,920 FOR THE ENTIRE FUNDING PERIOD TO 5872 04:25:08,920 --> 04:25:11,120 FUND TWO PILOT PROJECTS. 5873 04:25:11,120 --> 04:25:13,760 ONE AS I NOTED EARLIER WOULD BE 5874 04:25:13,760 --> 04:25:14,960 AN INTERVENTION STUDY. 5875 04:25:14,960 --> 04:25:19,360 WE WOULD LIKE TO ENCOURAGE 5876 04:25:19,360 --> 04:25:22,080 MULTI-CULTURAL PROJECTS -- 5877 04:25:22,080 --> 04:25:23,840 PILOTS AND DECIDED BY THE 5878 04:25:23,840 --> 04:25:28,080 STEERING COMMITTEE. 5879 04:25:28,080 --> 04:25:31,400 THE STEERING COMMITTEE WILL 5880 04:25:31,400 --> 04:25:36,880 COMPLY OF NCI STAFF AND 5881 04:25:36,880 --> 04:25:44,040 COLLABORATORS TO ASSESS. 5882 04:25:44,040 --> 04:25:46,160 AND WHICH WILL ALSO HELP PROVIDE 5883 04:25:46,160 --> 04:25:47,520 FEEDBACK TO THE STEERING 5884 04:25:47,520 --> 04:25:48,680 COMMITTEE. 5885 04:25:48,680 --> 04:25:50,560 WE'LL HOLD ANNUAL MEETINGS AND 5886 04:25:50,560 --> 04:25:52,440 MONTHLY CALLS WHICH WILL ALLOW 5887 04:25:52,440 --> 04:25:54,560 US TO ASSESS THE PROGRESS. 5888 04:25:54,560 --> 04:25:56,880 AND WE WILL BE ABLE TO ADDRESS 5889 04:25:56,880 --> 04:25:57,600 ANY CHALLENGE. 5890 04:25:57,600 --> 04:26:09,720 CHALLENGE.CAME UP WITH FIVE PROJECTS THAT 5891 04:26:09,720 --> 04:26:12,400 FOCUSED ON PEOPLE LIVING IN 5892 04:26:12,400 --> 04:26:13,440 PERSISTENT POVERTY AREAS. 5893 04:26:13,440 --> 04:26:17,360 WE ALSO DID A CANCER CENTER -- 5894 04:26:17,360 --> 04:26:20,880 IN THE SPRING OF 2021. 5895 04:26:20,880 --> 04:26:23,440 AND WE RECEIVED APPLICATIONS OF 5896 04:26:23,440 --> 04:26:25,520 WHICH WE FUNDED FIVE. 5897 04:26:25,520 --> 04:26:28,120 [ INDISCERNIBLE ] 5898 04:26:28,120 --> 04:26:31,560 WE HAVE NOT RECEIVED ANY 5899 04:26:31,560 --> 04:26:32,920 APPLICATIONS YET. 5900 04:26:32,920 --> 04:26:40,720 IT WAS PUBLISHED LATE SUMMER. 5901 04:26:40,720 --> 04:26:45,000 THE BSA REVIEWERS GAVE VERY GOOD 5902 04:26:45,000 --> 04:26:48,880 FEEDBACK AND THESE WERE THE 5903 04:26:48,880 --> 04:26:50,360 POINTS THAT THEY HIGHLIGHTED. 5904 04:26:50,360 --> 04:26:53,000 THEY ASKED US TO ENCOURAGE 5905 04:26:53,000 --> 04:26:54,360 SUSTAINABILITY OF TRAINING IN 5906 04:26:54,360 --> 04:26:58,480 THE OVER-ALL PROGRAM. 5907 04:26:58,480 --> 04:27:00,720 INCLUDE LANGUAGE AND ADOPTION OF 5908 04:27:00,720 --> 04:27:02,720 INNOVATIVE TECHNOLOGIES IN THE 5909 04:27:02,720 --> 04:27:05,280 RFA AND ALSO INCLUDE LANGUAGE 5910 04:27:05,280 --> 04:27:07,800 AND TRAINING ACROSS ALL PROJECTS 5911 04:27:07,800 --> 04:27:10,320 AND PILOTS AND ESPECIALLY CROSS 5912 04:27:10,320 --> 04:27:11,160 CENTER PROJECTS. 5913 04:27:11,160 --> 04:27:12,160 THANK YOU VERY MUCH FOR YOUR 5914 04:27:12,160 --> 04:27:16,880 TIME. 5915 04:27:16,880 --> 04:27:17,160 >> GREAT. 5916 04:27:17,160 --> 04:27:26,040 THANK YOU VERY MUCH. 5917 04:27:26,040 --> 04:27:29,160 DO YOU WANT TO START THE 5918 04:27:29,160 --> 04:27:29,440 DISCUSSION 5919 04:27:29,440 --> 04:27:31,560 >> THANK YOU DR. SRINIVASAN AND 5920 04:27:31,560 --> 04:27:33,240 DR. KENNEDY FOR PUTTING THIS 5921 04:27:33,240 --> 04:27:35,000 GREAT CONCEPT TOGETHER AND FOR 5922 04:27:35,000 --> 04:27:36,160 YOUR GREAT PRESENTATION. 5923 04:27:36,160 --> 04:27:38,320 WE WERE HIGHLY ENTHUSIASTIC 5924 04:27:38,320 --> 04:27:39,680 ABOUT THIS CONCEPT. 5925 04:27:39,680 --> 04:27:42,120 IT'S VERY TIMELY AND AS YOU 5926 04:27:42,120 --> 04:27:44,720 HEARD IT REALLY ADDRESSES A HIGH 5927 04:27:44,720 --> 04:27:46,560 UNMET NEED. 5928 04:27:46,560 --> 04:27:48,960 THERE IS AS YOU HEARD IN THE 5929 04:27:48,960 --> 04:27:50,960 LAST SLIDE THERE IS VERY LIMITED 5930 04:27:50,960 --> 04:27:52,760 RESEARCH IN THIS AREA. 5931 04:27:52,760 --> 04:27:56,520 IN THE NIH AND NCI PORTFOLIO AND 5932 04:27:56,520 --> 04:27:59,280 WE FELT IN ORDER TO IMPLEMENT 5933 04:27:59,280 --> 04:28:00,840 INTERVENTIONS IT'S GOING TO 5934 04:28:00,840 --> 04:28:04,040 REQUIRE A MUCH BETTER 5935 04:28:04,040 --> 04:28:07,120 UNDERSTANDING OF PERSISTENT 5936 04:28:07,120 --> 04:28:08,680 POVERTY AND OTHER HEALTH FACTORS 5937 04:28:08,680 --> 04:28:12,480 AT THE STRUCTURAL AND 5938 04:28:12,480 --> 04:28:15,200 INSTITUTIONAL LEVELS. 5939 04:28:15,200 --> 04:28:17,320 WE WERE REALLY PLEASED WITH THE 5940 04:28:17,320 --> 04:28:21,480 USE OF CENSUS TRACTS AS OPPOSED 5941 04:28:21,480 --> 04:28:23,960 TO COUNTY DATA BECAUSE TO DEFINE 5942 04:28:23,960 --> 04:28:26,240 THE AREAS OF PERSISTENT POVERTY 5943 04:28:26,240 --> 04:28:28,680 AND THOUGHT THIS WAS HIGHLY 5944 04:28:28,680 --> 04:28:31,200 BENEFICIAL BECAUSE IT ALLOWS THE 5945 04:28:31,200 --> 04:28:33,320 INCLUSIVENESS OF THE URBAN 5946 04:28:33,320 --> 04:28:34,360 POPULATION. 5947 04:28:34,360 --> 04:28:35,760 THERE WERE ANOTHER STRENGTH WAS 5948 04:28:35,760 --> 04:28:37,080 THE SUSTAINABILITY. 5949 04:28:37,080 --> 04:28:40,560 BECAUSE IT FOCUSES ON DEVELOPING 5950 04:28:40,560 --> 04:28:43,440 PROVENCE AND CONTROL STRATEGIES 5951 04:28:43,440 --> 04:28:45,360 IN PARTNERSHIP WITH LOCAL 5952 04:28:45,360 --> 04:28:47,640 COMMUNITIES AND COMMUNITY-BASED 5953 04:28:47,640 --> 04:28:50,520 ORGANIZATIONS AND PRIMARY AND 5954 04:28:50,520 --> 04:28:52,840 LOCAL CLINICS AND HOSPITALS. 5955 04:28:52,840 --> 04:28:55,040 IT HAS A STRONG EMPHASIS ON 5956 04:28:55,040 --> 04:28:56,960 BUILDING A NETWORK OF 5957 04:28:56,960 --> 04:28:58,640 RESEARCHERS FOR CONTINUITY OF 5958 04:28:58,640 --> 04:29:00,080 RESEARCH AND THIS IS THROUGH THE 5959 04:29:00,080 --> 04:29:01,640 DEVELOPMENT OF JUNIOR FACULTY 5960 04:29:01,640 --> 04:29:03,520 WITH CAREER DEVELOPMENT OF 5961 04:29:03,520 --> 04:29:05,640 RESEARCHERS VIA THE CORE 5962 04:29:05,640 --> 04:29:06,960 FACILITIES, THE INVESTIGATOR 5963 04:29:06,960 --> 04:29:08,320 DEVELOPMENT PROJECTS AND THE 5964 04:29:08,320 --> 04:29:09,960 MAIN PROJECTS THEMSELVES. 5965 04:29:09,960 --> 04:29:13,560 WE FELT THERE WERE VERY STRONG 5966 04:29:13,560 --> 04:29:16,240 -- AS YOU HEARD WE ASKED TO 5967 04:29:16,240 --> 04:29:20,400 EMPHASIZE BUILDING ON TECHNOLOGY 5968 04:29:20,400 --> 04:29:22,320 BUT ALSO DEVELOPING NEW 5969 04:29:22,320 --> 04:29:24,520 TECHNOLOGIES AS AN EMPHASIS OF 5970 04:29:24,520 --> 04:29:25,200 THIS MECHANISM. 5971 04:29:25,200 --> 04:29:28,800 WE FELT THAT THE EVALUATION 5972 04:29:28,800 --> 04:29:32,240 CRITERIA WAS VERY ROBUST AND 5973 04:29:32,240 --> 04:29:37,600 APPROPRIATE AND THAT ONE OF THE 5974 04:29:37,600 --> 04:29:41,680 STRENGTHS WAS THE STEERING 5975 04:29:41,680 --> 04:29:51,920 COMMITTEE. 5976 04:29:51,920 --> 04:29:52,920 DR. SRINIVASAN WAS ABLE TO 5977 04:29:52,920 --> 04:29:56,560 ADDRESS ALL OF OUR CONCERNS AND 5978 04:29:56,560 --> 04:29:58,960 OUR ONLY RECOMMENDATION IS WHATS 5979 04:29:58,960 --> 04:30:01,720 TO ADDRESS SUSTAINABILITY AND 5980 04:30:01,720 --> 04:30:03,160 DISCUSS THE USE AND DEVELOPMENT 5981 04:30:03,160 --> 04:30:04,600 OF ENOUGH TECHNOLOGIES AND I 5982 04:30:04,600 --> 04:30:09,960 WILL TURN IT OVER TO DR. -- -- 5983 04:30:09,960 --> 04:30:10,560 FOR THEIR COMMENTS. 5984 04:30:10,560 --> 04:30:17,000 7 5985 04:30:17,000 --> 04:30:20,280 >> I'LL JUST SAY VERY QUICKLY -- 5986 04:30:20,280 --> 04:30:22,400 THANK YOU AND A CONGRATULATIONS 5987 04:30:22,400 --> 04:30:25,440 TO DR. SRINIVASAN. 5988 04:30:25,440 --> 04:30:27,560 SHE AND BOB AND SOME PEOPLE FROM 5989 04:30:27,560 --> 04:30:30,480 THE DIVISION OF CANCER CONTROL 5990 04:30:30,480 --> 04:30:32,760 PUBLISHED THE PAPER WHICH SHE 5991 04:30:32,760 --> 04:30:34,160 REFERENCED IN HER TALK WHICH IS 5992 04:30:34,160 --> 04:30:36,240 ONE OF THE MOST IMPORTANT PAPERS 5993 04:30:36,240 --> 04:30:38,520 IN THE AREA OF HEALTH 5994 04:30:38,520 --> 04:30:42,280 DISPARITIES AND REALLY DOES HELP 5995 04:30:42,280 --> 04:30:43,720 LAUNCH THIS WHOLE ERA WHERE 5996 04:30:43,720 --> 04:30:46,880 WE'RE LOOKING AT ENVIRONMENTAL 5997 04:30:46,880 --> 04:30:49,120 INFLUENCES ON GENETIC AND 5998 04:30:49,120 --> 04:30:51,960 GENOMIC AND EPIGENETICS IN 5999 04:30:51,960 --> 04:30:54,080 CANCER AND I WANT TO SAY THANK 6000 04:30:54,080 --> 04:30:55,800 YOU NUMBER ONE FOR SOME GREAT 6001 04:30:55,800 --> 04:30:59,240 WORK AND I ENDORSE THIS CONCEPT 6002 04:30:59,240 --> 04:31:01,200 WHOLEHEARTEDLY. 6003 04:31:01,200 --> 04:31:03,360 >> I DON'T HAVE ANYTHING TO ADD. 6004 04:31:03,360 --> 04:31:05,560 I THINK THE CONTINUES THAT HAVE 6005 04:31:05,560 --> 04:31:08,640 BEEN MADE HAVE CAPTURED OUR 6006 04:31:08,640 --> 04:31:11,160 REACTIONS TO THIS HIGHLY 6007 04:31:11,160 --> 04:31:11,560 SUPPORTIVE. 6008 04:31:11,560 --> 04:31:14,160 I THINK IT SHINES A LIGHT IN AN 6009 04:31:14,160 --> 04:31:15,840 AREA THAT REALLY NEEDS TO BE 6010 04:31:15,840 --> 04:31:17,320 ADDRESSED. 6011 04:31:17,320 --> 04:31:17,760 >> GREAT. 6012 04:31:17,760 --> 04:31:20,600 THANK YOU. 6013 04:31:20,600 --> 04:31:21,000 DR. SRINIVASAN. 6014 04:31:21,000 --> 04:31:24,960 THERE ARE A COUPLE OF QUICK 6015 04:31:24,960 --> 04:31:26,000 QUESTIONS. 6016 04:31:26,000 --> 04:31:28,720 SPECIFICALLY ARE NCI 6017 04:31:28,720 --> 04:31:31,520 COMPREHENSIVE CANCER CENTERS WHO 6018 04:31:31,520 --> 04:31:35,200 DO NOT ACCEPT MEDICAID EXCLUDED? 6019 04:31:35,200 --> 04:31:35,560 NO. 6020 04:31:35,560 --> 04:31:36,840 NOT AT ALL. 6021 04:31:36,840 --> 04:31:39,840 WE WOULD ENCOURAGE -- TO GO OUT 6022 04:31:39,840 --> 04:31:42,040 INTO AREAS OF PERSISTENT POVERTY 6023 04:31:42,040 --> 04:31:44,160 AND CREATE THOSE PARTNERSHIPS TO 6024 04:31:44,160 --> 04:31:48,960 HELP DO THIS KIND OF WORK. 6025 04:31:48,960 --> 04:31:50,880 >> AND THEN WHITE BE ESSENTIAL 6026 04:31:50,880 --> 04:31:52,720 FOR INVESTIGATORS TO KNOW AS 6027 04:31:52,720 --> 04:31:55,520 SOON AS POSSIBLE THE RELEVANT 6028 04:31:55,520 --> 04:31:58,360 CENSUS TRACTS PRIOR TO THE FOA 6029 04:31:58,360 --> 04:32:03,080 IS PUBLICALLY ANNOUNCED. 6030 04:32:03,080 --> 04:32:06,440 >> S WE COULD MAKE IT PUBLICLY 6031 04:32:06,440 --> 04:32:08,200 AVAILABLE IN PROBABLY JANUARY OR 6032 04:32:08,200 --> 04:32:09,160 LATER IN FEBRUARY. 6033 04:32:09,160 --> 04:32:11,600 WE ARE TESTING THE DATA OUT AS 6034 04:32:11,600 --> 04:32:14,280 WE SPEAK. 6035 04:32:14,280 --> 04:32:16,640 TO SEE HOW IT WORKS OUT AND SEE 6036 04:32:16,640 --> 04:32:21,040 WHETHER THE DATA PROS ANY SMALL 6037 04:32:21,040 --> 04:32:21,960 CATEGORIES. 6038 04:32:21,960 --> 04:32:24,320 -- WE WANT TO MAKE SURE THE DATA 6039 04:32:24,320 --> 04:32:26,000 IS ROBUST ENOUGH. 6040 04:32:26,000 --> 04:32:27,920 WE HAVE THE CENSUS TRACT. 6041 04:32:27,920 --> 04:32:34,720 8 * AND WE WILL MAKE IT 6042 04:32:34,720 --> 04:32:37,840 AVAILABLE AS SOON AS POSSIBLE. 6043 04:32:37,840 --> 04:32:39,760 >> I HAVE A COMMENT AND MAYBE A 6044 04:32:39,760 --> 04:32:45,720 QUESTION. 6045 04:32:45,720 --> 04:32:51,840 VERY TIMELY STUDY. 6046 04:32:51,840 --> 04:32:54,160 THE CHARACTERISTICS OF 6047 04:32:54,160 --> 04:32:55,800 PERSISTENT POVERTY -- THAT YOU 6048 04:32:55,800 --> 04:32:59,160 HAD ON YOUR SLIDE WOULD BE ALSO 6049 04:32:59,160 --> 04:33:00,160 CHARACTERISTICS THAT WOULD 6050 04:33:00,160 --> 04:33:01,720 INCREASE INCIDENTS OF OTHER 6051 04:33:01,720 --> 04:33:03,680 TYPES OF CONDITIONS. 6052 04:33:03,680 --> 04:33:07,040 CARD OHIO VASCULAR DISEASE. 6053 04:33:07,040 --> 04:33:08,520 METABOLIC DISEASE. 6054 04:33:08,520 --> 04:33:11,800 DIABETES. 6055 04:33:11,800 --> 04:33:14,680 WONDER TO WHAT EXTENT HAS THIS 6056 04:33:14,680 --> 04:33:22,200 BEEN FACTORED THAT WOULD BE * 6057 04:33:22,200 --> 04:33:22,640 PROPOSED. 6058 04:33:22,640 --> 04:33:24,640 WHETHER OR NOT THE INTERACTION 6059 04:33:24,640 --> 04:33:26,760 BETWEEN THESE CONDITIONS AND 6060 04:33:26,760 --> 04:33:28,880 CANCER -- I'M NOT SURE THAT IS 6061 04:33:28,880 --> 04:33:30,680 BEYOND THE SCOPE OF THE PROGRAM 6062 04:33:30,680 --> 04:33:38,560 OR NOT. 6063 04:33:38,560 --> 04:33:41,240 >> I THINK THAT IS THE FEATURE 6064 04:33:41,240 --> 04:33:43,760 OF PEOPLE WHO LIVE WITH 6065 04:33:43,760 --> 04:33:47,200 PERSISTENT POVERTY -- IT'S A 6066 04:33:47,200 --> 04:33:49,320 HIGH DISEASE OCCURRENCES OF 6067 04:33:49,320 --> 04:33:51,160 DIABETES AND HEART DISEASE. 6068 04:33:51,160 --> 04:33:54,320 TO SAY IT'S ONLY CANCER IT'S 6069 04:33:54,320 --> 04:33:56,640 GOING TO BE DETRIMENTAL TO THE 6070 04:33:56,640 --> 04:33:58,080 WHOLE BEING RESPONSIVE TO THE 6071 04:33:58,080 --> 04:33:59,640 POPULATION AND THE NEEDS OF THE 6072 04:33:59,640 --> 04:34:00,040 POPULATION. 6073 04:34:00,040 --> 04:34:04,960 SO WE'RE NOT EXCLUDING ANY 6074 04:34:04,960 --> 04:34:05,560 POPULATION. 6075 04:34:05,560 --> 04:34:07,440 BUT ALSO TRY TO DEVELOP CANCER 6076 04:34:07,440 --> 04:34:10,160 SCREENING AND CANCER PREVENTION 6077 04:34:10,160 --> 04:34:11,600 TECHNIQUES ALONG WITH THE 6078 04:34:11,600 --> 04:34:12,960 CURRENT CONDITIONS THAT THEY 6079 04:34:12,960 --> 04:34:16,200 FACE. 6080 04:34:16,200 --> 04:34:17,280 >> THANK YOU. 6081 04:34:17,280 --> 04:34:22,320 ANY MORE QUESTIONS OR COMMENTS? 6082 04:34:22,320 --> 04:34:24,880 >> I THINK TO THAT POINT I'M 6083 04:34:24,880 --> 04:34:27,960 JUST WONDERING -- AN OPPORTUNITY 6084 04:34:27,960 --> 04:34:31,520 TO PARTNER WITH OTHER ICs OR 6085 04:34:31,520 --> 04:34:33,600 THINK ABOUT WAYS TO CREATE 6086 04:34:33,600 --> 04:34:36,520 RELATIONSHIPS TO BE ABLE TO 6087 04:34:36,520 --> 04:34:37,360 LEVERAGE THESE CENTERS. 6088 04:34:37,360 --> 04:34:39,360 7 6089 04:34:39,360 --> 04:34:43,240 >> WE ARE OPEN TO PARTNERSHIPS. 6090 04:34:43,240 --> 04:34:46,360 AS YOU KNOW ABSOLUTELY IF OTHER 6091 04:34:46,360 --> 04:34:49,360 ICs ARE WILLING TO JOIN US WE 6092 04:34:49,360 --> 04:34:51,800 WOULD SURELY BE OPEN TO IT. 6093 04:34:51,800 --> 04:34:53,320 WE WOULD ENCOURAGE IT. 6094 04:34:53,320 --> 04:34:55,760 WE WOULD LOVE IT. 6095 04:34:55,760 --> 04:34:57,440 BUT YOU HAVE TO UNDERSTAND THAT 6096 04:34:57,440 --> 04:34:59,320 IT HAS TAKEN US FOUR YEARS TO 6097 04:34:59,320 --> 04:35:01,320 GET TO UNDERSTAND THIS COMMUNITY 6098 04:35:01,320 --> 04:35:03,520 AND UNDERSTAND THE CHALLENGES 6099 04:35:03,520 --> 04:35:05,960 AND EVEN PUT OUT A PAPER AND 6100 04:35:05,960 --> 04:35:07,600 WE'RE IN THE PROCESS OF WRITING 6101 04:35:07,600 --> 04:35:17,160 A SECOND PAPER ON LOOKING AT THE 6102 04:35:17,160 --> 04:35:17,560 INTERSECTIONALITY. 6103 04:35:17,560 --> 04:35:21,600 THAT IS A BIGGER EYEOPENER FOR 6104 04:35:21,600 --> 04:35:22,640 PEOPLE. 6105 04:35:22,640 --> 04:35:30,320 IF WE GO -- I WILL APPROACH 6106 04:35:30,320 --> 04:35:32,920 NHLBI WE'LL ASK THEM TO PARTNER 6107 04:35:32,920 --> 04:35:35,080 WITH US AND ANY OTHER INSTITUTE 6108 04:35:35,080 --> 04:35:36,840 WHO'S WILLING TO DO SO. 6109 04:35:36,840 --> 04:35:39,160 >> I JUST WANT TO THANK YOU FOR 6110 04:35:39,160 --> 04:35:42,600 THE WORK YOU'VE DONE. 6111 04:35:42,600 --> 04:35:44,400 KNOWING THAT YOU'VE STUCK WITH 6112 04:35:44,400 --> 04:35:45,720 THIS AND THANK YOU SO MUCH FOR 6113 04:35:45,720 --> 04:35:47,240 THE PROGRESS YOU'VE MADE. 6114 04:35:47,240 --> 04:35:51,200 >> THANK YOU. 6115 04:35:51,200 --> 04:35:56,040 >> DR. FREES JUST ADDED ADDING 6116 04:35:56,040 --> 04:35:57,880 THE PARTNERSHIP -- WOULD BE -- 6117 04:35:57,880 --> 04:36:00,920 [ INDISCERNIBLE ] 6118 04:36:00,920 --> 04:36:01,800 ANY FURTHER COMMENTS OR 6119 04:36:01,800 --> 04:36:04,560 QUESTIONS. 6120 04:36:04,560 --> 04:36:06,240 >> I ENTHUSIASTICALLY MOVE TO 6121 04:36:06,240 --> 04:36:06,760 APPROVE 6122 04:36:06,760 --> 04:36:08,560 >> CAN I GET A SECOND 6123 04:36:08,560 --> 04:36:09,320 >> SECOND. 6124 04:36:09,320 --> 04:36:10,240 >> THANK YOU. 6125 04:36:10,240 --> 04:36:15,720 ANY FURTHER DISCUSSION? 6126 04:36:15,720 --> 04:36:16,160 OKAY. 6127 04:36:16,160 --> 04:36:18,080 THIS IS A NEW CONCEPT. 6128 04:36:18,080 --> 04:36:21,240 SO APPROVAL OR DISAPPROVAL. 6129 04:36:21,240 --> 04:36:23,080 MOTION IS TO APPROVE. 6130 04:36:23,080 --> 04:36:30,560 ANYONE DISAPPROVE? 6131 04:36:30,560 --> 04:36:32,360 JAKE YOU HAVE YOUR HAND UP BUT 6132 04:36:32,360 --> 04:36:34,800 I'M ASSUMING THAT IS FROM YOUR 6133 04:36:34,800 --> 04:36:35,840 LAST QUESTION. 6134 04:36:35,840 --> 04:36:36,320 GREAT. 6135 04:36:36,320 --> 04:36:40,440 JUST CONFIRMING. 6136 04:36:40,440 --> 04:36:43,800 ANYONE ABSTAINING? 6137 04:36:43,800 --> 04:36:46,080 NO. 6138 04:36:46,080 --> 04:36:48,160 SO UNANIMOUS APPROVAL AND NO 6139 04:36:48,160 --> 04:36:49,800 ABSTENTIONS. 6140 04:36:49,800 --> 04:36:50,080 >> OKAY. 6141 04:36:50,080 --> 04:36:53,360 7 OKAY. 6142 04:36:53,360 --> 04:36:55,240 THAT CLOSES OUR BUSINESS FOR 6143 04:36:55,240 --> 04:36:56,200 TODAY. 6144 04:36:56,200 --> 04:36:58,080 18 MINUTES BEHIND SCHEDULE. 6145 04:36:58,080 --> 04:37:01,520 MY APOLOGIES BUT REALLY ROBUST 6146 04:37:01,520 --> 04:37:02,000 DISCUSSION. 6147 04:37:02,000 --> 04:37:03,280 EXCELLENT PRESENTATIONS AND 6148 04:37:03,280 --> 04:37:04,840 DISCUSSION. 6149 04:37:04,840 --> 04:37:07,160 WE RESUME TOMORROW WITH OPENING 6150 04:37:07,160 --> 04:37:10,200 UP THE SESSION AT 1:00 TOMORROW 6151 04:37:10,200 --> 04:37:13,560 AND WE ASSUME CONCEPT REVIEWS 6152 04:37:13,560 --> 04:37:15,320 AFTER. 6153 04:37:15,320 --> 04:37:20,400 >> GREAT JOB BY THE NEW CHAIRS. 6154 04:37:20,400 --> 04:37:22,160 >> AGAIN TOMORROW, SAME TIME 6155 04:37:22,160 --> 04:37:24,560 SAME STATION. 6156 04:37:24,560 --> 04:37:25,000 >> 10:00 A.M. ON THE WEST COAST. 6157 04:37:25,000 --> 00:00:00,000 >> BYE ALL.