1 00:00:05,400 --> 00:00:09,440 WELCOME TO THE 296th MEETING 2 00:00:09,440 --> 00:00:12,640 OF THE NATIONAL HEART LUNG AND 3 00:00:12,640 --> 00:00:18,640 BLOOD ADVISORY COUNCIL. 4 00:00:18,640 --> 00:00:20,000 AND WITH THIS, WE HAVE NOW 5 00:00:20,000 --> 00:00:21,240 CONVENED THIS, ON FICIALLY AND 6 00:00:21,240 --> 00:00:22,040 BROUGHT THIS MEETING TO ORDER 7 00:00:22,040 --> 00:00:27,760 AND NOW TURN IT OVER TO OUR 8 00:00:27,760 --> 00:00:30,240 EXECUTIVE SECRETARY. 9 00:00:30,240 --> 00:00:30,960 DR. LAURA MOEN. 10 00:00:30,960 --> 00:00:32,600 >> SO THANK YOU DR. GIBBONS. 11 00:00:32,600 --> 00:00:33,440 WELCOME EVERYBODY, I WOULD LIKE 12 00:00:33,440 --> 00:00:35,000 TO CALL THIS OPEN SESSION TO 13 00:00:35,000 --> 00:00:36,400 ORDER AS DR. GIBBONS ALREADY 14 00:00:36,400 --> 00:00:36,600 SAID. 15 00:00:36,600 --> 00:00:38,840 I WANT TO REMIND YOU THAT WE DID 16 00:00:38,840 --> 00:00:40,760 ADVERTISE THIS MEETING IN THE 17 00:00:40,760 --> 00:00:42,280 FEDERAL REGISTER AND I ALSO WANT 18 00:00:42,280 --> 00:00:43,840 TO REMIND OUR COUNCIL MEMBERS 19 00:00:43,840 --> 00:00:49,000 WE'RE NOW IN OPEN SESSION SO 20 00:00:49,000 --> 00:00:51,840 REMEMBER WE ARE BEING WEBCAST AS 21 00:00:51,840 --> 00:00:52,680 WELL AS RECORDED. 22 00:00:52,680 --> 00:00:54,080 VIDEO WILL BE ARCHIVED AND 23 00:00:54,080 --> 00:00:55,640 REMAIN AVAILABLE TO THE PUBLIC 24 00:00:55,640 --> 00:00:56,440 AND OUR NIH COLLEAGUES. 25 00:00:56,440 --> 00:00:58,840 TO GIVE YOU A BRIEF OVERVIEW OF 26 00:00:58,840 --> 00:01:00,360 THIS AFTERNOON'S AGENDA, WELL, 27 00:01:00,360 --> 00:01:01,920 THIS MORNING AND AFTERNOON, THE 28 00:01:01,920 --> 00:01:03,680 MEETING IS GOING BEGIN WITH THE 29 00:01:03,680 --> 00:01:05,000 DIRECTOR'S REPORT FROM 30 00:01:05,000 --> 00:01:06,840 DR. GIBBONS FOLLOWED BY COUPLE 31 00:01:06,840 --> 00:01:08,040 OF PRESENTATIONS. 32 00:01:08,040 --> 00:01:20,240 THE FIRST OF THESE 33 00:01:20,240 --> 00:01:21,200 PRESENTATIONS--CLIMATE CHANGE 34 00:01:21,200 --> 00:01:21,600 AND HEALTH EQUITY. 35 00:01:21,600 --> 00:01:27,800 THEN WE WILL HEAR FROM DR. GAIL 36 00:01:27,800 --> 00:01:29,640 PEARSON AND THE DIVISION OF 37 00:01:29,640 --> 00:01:30,640 CARDIOVASCULAR SCIENCES AND 38 00:01:30,640 --> 00:01:31,920 DIRECTOR OF OFFICE OF CLINICAL 39 00:01:31,920 --> 00:01:34,320 RESEARCH AND THE DIRECTOR OF 40 00:01:34,320 --> 00:01:48,560 NHLBI, AS WELL AS MISS KATHRYN 41 00:01:48,560 --> 00:01:49,280 [INDISCERNIBLE] INCLUDING 42 00:01:49,280 --> 00:01:51,440 UNDERREPRESENTED GROUPS AND 43 00:01:51,440 --> 00:01:51,960 NHLBI CLINICAL RESEARCH. 44 00:01:51,960 --> 00:01:53,720 AND LAST BUT NOT LEAST WE WILL 45 00:01:53,720 --> 00:01:55,000 ENGAGE IN DISCUSSION OF THE 46 00:01:55,000 --> 00:01:56,680 DELEGATION OF AUTHORITY FOLLOWED 47 00:01:56,680 --> 00:01:57,560 BY ADJOURNMENT. 48 00:01:57,560 --> 00:02:01,320 SO, AS WE PROCEED WITH OPEN 49 00:02:01,320 --> 00:02:02,920 SESSION, YOU KNOW TAKE A BREAK 50 00:02:02,920 --> 00:02:05,240 IF YOU NEED 1, BUT REMEMBER WE 51 00:02:05,240 --> 00:02:07,200 WILL BE HAVING A WORKING LUNCH, 52 00:02:07,200 --> 00:02:09,640 SO IF YOU NEED A BIOBREAK OR YOU 53 00:02:09,640 --> 00:02:11,840 NEED TO DART OUT FOR A SECOND 54 00:02:11,840 --> 00:02:14,200 BUT DO NOT DISCONNECT FROM THE 55 00:02:14,200 --> 00:02:14,520 ZOOM MEETING. 56 00:02:14,520 --> 00:02:16,560 WITH THAT I THINK WE SHOULD GET 57 00:02:16,560 --> 00:02:17,520 STARTED. 58 00:02:17,520 --> 00:02:18,680 DR. GIBBONS WE MAY PROCEED WITH 59 00:02:18,680 --> 00:02:21,360 YOUR REPORT WHENEVER YOU ARE 60 00:02:21,360 --> 00:02:21,560 READY. 61 00:02:21,560 --> 00:02:22,840 >> OKAY, GREAT. 62 00:02:22,840 --> 00:02:24,080 THANK YOU DR. MOEN, IF I COULD 63 00:02:24,080 --> 00:02:29,760 HAVE MY SLIDES, PLEASE, THANK 64 00:02:29,760 --> 00:02:33,800 YOU. 65 00:02:33,800 --> 00:02:35,640 NEXT SLIDE, PLEASE. 66 00:02:35,640 --> 00:02:38,480 SO THE FIRST SEGMENT OF OUR 67 00:02:38,480 --> 00:02:39,760 ACCOUNTABLE STEWARDSHIP IS TO 68 00:02:39,760 --> 00:02:41,040 PROVIDE AN UPDATE TO THE 69 00:02:41,040 --> 00:02:43,320 ADVISORY COUNCIL IN OUR 70 00:02:43,320 --> 00:02:46,640 COMMUNITY OF A COUPLE OF 71 00:02:46,640 --> 00:02:49,560 LEADERSHIP TRANSITIONS, THESE 72 00:02:49,560 --> 00:02:50,640 ARE ALWAYS EXTREMELY BITTER 73 00:02:50,640 --> 00:02:52,040 SWEET. 74 00:02:52,040 --> 00:02:54,640 THE FIRST IS DR. ROBERT BALABAN 75 00:02:54,640 --> 00:02:59,240 WHO IS OUR SCIENTIFIC DIRECTOR 76 00:02:59,240 --> 00:03:00,680 LEADING OUR DIVISION OF 77 00:03:00,680 --> 00:03:02,440 INTRAMURAL RESEARCH AS PART OF 78 00:03:02,440 --> 00:03:05,800 THE OVERALL NIH INTRAMURAL 79 00:03:05,800 --> 00:03:07,480 RESEARCH PROGRAM. 80 00:03:07,480 --> 00:03:11,400 DR. BALABAN HAS BEEN THE 81 00:03:11,400 --> 00:03:14,240 SCIENTIFIC DIRECTOR FOR ABOUT 20 82 00:03:14,240 --> 00:03:18,640 YEARS NOW AND HE HAS BEEN 83 00:03:18,640 --> 00:03:19,920 EXEMPLARY IN THAT POSITION 84 00:03:19,920 --> 00:03:22,040 FOLLOWING A LONG TRADITION OF 85 00:03:22,040 --> 00:03:24,640 GREAT SCIENTIFIC DIRECTORS AT 86 00:03:24,640 --> 00:03:25,080 THE NHBBI. 87 00:03:25,080 --> 00:03:27,280 AND WE HAS REACHED THAT POINT 88 00:03:27,280 --> 00:03:30,680 WHERE HE WOULD LIKE TO STEP AWAY 89 00:03:30,680 --> 00:03:31,400 FROM HIS LEADERSHIP 90 00:03:31,400 --> 00:03:32,320 RESPONSIBILITIES TO GO BACK TO 91 00:03:32,320 --> 00:03:38,000 THE LAB FOR A WHILE AND WE HAVE 92 00:03:38,000 --> 00:03:39,840 GRUDGINGLY GRANTED THAT REQUEST. 93 00:03:39,840 --> 00:03:44,600 WE CERTAINLY WILL MISS HIS FINE 94 00:03:44,600 --> 00:03:46,680 LEADERSHIP AND HIS MARK AND 95 00:03:46,680 --> 00:03:49,920 LEGACY ON THE DIR IS SOMETHING 96 00:03:49,920 --> 00:03:50,600 THAT'S INDELIBLE. 97 00:03:50,600 --> 00:03:55,720 HE'S LEFT US WITH A VERY VIBRANT 98 00:03:55,720 --> 00:04:01,160 GROUP OF 60 FACULTY PLUS, A 99 00:04:01,160 --> 00:04:02,520 200 MILLION-DOLLAR PLUS PROGRAM 100 00:04:02,520 --> 00:04:06,840 THAT'S OUTSTANDING IN THE WORLD 101 00:04:06,840 --> 00:04:08,800 LINKED TO THE WORLD'S LARGEST 102 00:04:08,800 --> 00:04:10,720 RESEARCH HOSPITAL DOING LEADING 103 00:04:10,720 --> 00:04:12,640 EDGE WORK AND WE'RE SO 104 00:04:12,640 --> 00:04:18,080 APPRECIATIVE OF HIS LEADERSHIP. 105 00:04:18,080 --> 00:04:20,280 ANOTHER DEPARTURE SOMEONE WHO'S 106 00:04:20,280 --> 00:04:23,960 ALREADY GONE, KATHRYN STONE, THE 107 00:04:23,960 --> 00:04:25,360 DEPUTY OF CITRIS, SO WE 108 00:04:25,360 --> 00:04:26,760 APPRECIATE HER SERVICES WELL, 109 00:04:26,760 --> 00:04:30,640 STEPPING IN TO CONTINUE TO SET A 110 00:04:30,640 --> 00:04:32,480 PATHWAY FOR THIS NEW UNIT, 111 00:04:32,480 --> 00:04:34,240 RELATIVELY NEW UNIT OF THE 112 00:04:34,240 --> 00:04:36,080 INSTITUTE AND THE CENTER FOR 113 00:04:36,080 --> 00:04:38,080 TRANSLATIONAL RESEARCH AND 114 00:04:38,080 --> 00:04:40,720 IMPLEMENTATION SCIENCE UNDER 115 00:04:40,720 --> 00:04:41,000 DR. MENSA. 116 00:04:41,000 --> 00:04:43,640 SO WE APPRECIATE BOTH THOSE 117 00:04:43,640 --> 00:04:45,680 PUBLIC SERVANTS FOR THEIR 118 00:04:45,680 --> 00:04:47,280 SUPERLATIVE CONTRIBUTIONS TO THE 119 00:04:47,280 --> 00:04:49,880 INSTITUTE AND OUR MISSION. 120 00:04:49,880 --> 00:04:52,160 I MAY ALSO MENTION, MAYBE A 121 00:04:52,160 --> 00:04:55,040 COMMERCIAL NOTE THAT BOTH THESE 122 00:04:55,040 --> 00:04:56,680 SEARCHES ARE OPEN, I BELIEVE NOW 123 00:04:56,680 --> 00:04:58,720 OFFICIALLY, BOTH FOR THE 124 00:04:58,720 --> 00:05:01,800 SCIENTIFIC DIRECTOR AS WELL AS 125 00:05:01,800 --> 00:05:04,640 THE DEPUTY DIRECTOR OF CTRIS SO 126 00:05:04,640 --> 00:05:05,840 WE INVITE QUALIFIED APPLICANTS 127 00:05:05,840 --> 00:05:10,320 IN THIS INCLIEWZIVE PROCESS. 128 00:05:10,320 --> 00:05:11,480 NEXT SLIDE, PLEASE. 129 00:05:11,480 --> 00:05:13,960 IN ADDITION AS EXTENSION OF 130 00:05:13,960 --> 00:05:16,760 THOSE LEADERSHIP TRANSITIONS, 131 00:05:16,760 --> 00:05:19,840 AGAIN, THE MANY BITTER SWEET 132 00:05:19,840 --> 00:05:24,160 ELEMENTS TO THIS, IS LIKELY TO 133 00:05:24,160 --> 00:05:27,440 BE THE SWAN SONG I WOULD THINK 134 00:05:27,440 --> 00:05:30,760 FOR DR. KEITH HOOTS AS THE 135 00:05:30,760 --> 00:05:35,040 DIVISION OF BLOOD DISEASES AND 136 00:05:35,040 --> 00:05:36,560 RESOURCES DIRECTOR. 137 00:05:36,560 --> 00:05:40,000 AND KEITH HAS SERVED US SO 138 00:05:40,000 --> 00:05:44,280 SUPERBLY OVER THE LAST 13ISH 139 00:05:44,280 --> 00:05:46,640 YEARS AND HAS A REMARKABLE 140 00:05:46,640 --> 00:05:49,200 LEGACY OF ACHIEVEMENT AS THE 141 00:05:49,200 --> 00:05:52,440 DIVISION DIRECTOR, THE BLOOD 142 00:05:52,440 --> 00:05:55,240 DIVISION, AND WE BID HIM WELL AS 143 00:05:55,240 --> 00:06:02,840 HE SETS OFF ON A NEXT CHAPTER 144 00:06:02,840 --> 00:06:04,440 AND APPRECIATE HIS SERVICE 1 OF 145 00:06:04,440 --> 00:06:06,360 HIS SORT OF FINAL DUTIES OF 146 00:06:06,360 --> 00:06:09,520 EXCELLENCE WAS TO RECRUIT A 147 00:06:09,520 --> 00:06:20,920 TERRIFIC DEPUTY FOR THE BLOOD 148 00:06:20,920 --> 00:06:24,040 DIVISION, DR. JULIE P A NEPINTO, 149 00:06:24,040 --> 00:06:33,200 AND WE ARE DELIGHTED--LATER THIS 150 00:06:33,200 --> 00:06:34,040 SPRING. 151 00:06:34,040 --> 00:06:36,080 SO AGAIN, BOTH A FAREWELL, AND A 152 00:06:36,080 --> 00:06:40,560 WELCOME TO THE LEADERSHIP. 153 00:06:40,560 --> 00:06:43,240 NEXT SLIDE, PLEASE. 154 00:06:43,240 --> 00:06:45,800 MORE OVER, 1 TO ALSO CELEBRATE 155 00:06:45,800 --> 00:06:49,480 WITH ALL OF YOU COLLECTIVELY THE 156 00:06:49,480 --> 00:06:50,480 2022 AMERICAN HEART MONTH WHICH 157 00:06:50,480 --> 00:06:55,240 HAS A THEME OF TAKING THE STRESS 158 00:06:55,240 --> 00:06:56,800 OUT OF HEART HEALTH AND IN THE 159 00:06:56,800 --> 00:07:00,240 MIDST OF THIS PANDEMIC, I THINK 160 00:07:00,240 --> 00:07:01,840 WE COULD ALL USE SOME STRESS 161 00:07:01,840 --> 00:07:04,040 RELIEF AND YOU MIGHT NOTICE FROM 162 00:07:04,040 --> 00:07:06,560 MY VIRTUAL BACKGROUND THAT WE'RE 163 00:07:06,560 --> 00:07:09,600 ALL CELEBRATING THIS MONTH 164 00:07:09,600 --> 00:07:10,760 TOGETHER, PROBABLY HARD TO 165 00:07:10,760 --> 00:07:14,840 DISCERN ON ZOOM BUT THERE ARE 166 00:07:14,840 --> 00:07:16,240 ACTUALLY LITTLE RED STRIPES IN 167 00:07:16,240 --> 00:07:17,800 MY SHIRT AND INVITE YOU ALL TO 168 00:07:17,800 --> 00:07:22,240 GET IN THE SPIRIT OF THIS 169 00:07:22,240 --> 00:07:25,640 INITIATIVE, DR. GOFF, IS OFTEN 170 00:07:25,640 --> 00:07:27,480 OUR FLAG BEARER HERE AND WE 171 00:07:27,480 --> 00:07:31,040 INVITE YOU TO JOIN IN ON THE 172 00:07:31,040 --> 00:07:34,080 SOCIAL MEDIA CAMPAIGN TO AGAIN 173 00:07:34,080 --> 00:07:35,280 RAISE AWARENESS THAT HEART 174 00:07:35,280 --> 00:07:36,560 DISEASE IS CLEARLY THE NUMBER 1 175 00:07:36,560 --> 00:07:39,080 KILLER OF MEN AND WOMEN IN THIS 176 00:07:39,080 --> 00:07:41,920 COUNTRY AND THIS IS AN 177 00:07:41,920 --> 00:07:43,920 OPPORTUNITY TO REALLY RAISE THAT 178 00:07:43,920 --> 00:07:46,480 AWARENESS AND TRIGGER HOPEFULLY 179 00:07:46,480 --> 00:07:50,440 ACTION TOWARD FOLKS TO LIVE A 180 00:07:50,440 --> 00:07:54,760 HEART HEALTHIER LIFESTYLE. 181 00:07:54,760 --> 00:07:55,200 NEXT SLIDE, PLEASE. 182 00:07:55,200 --> 00:07:58,080 SO THOSE ARE SOME OF THE 183 00:07:58,080 --> 00:08:00,360 COMMENTS OF OUR ACCOUNTABLE 184 00:08:00,360 --> 00:08:00,640 LEADERSHIP. 185 00:08:00,640 --> 00:08:01,720 NEXT SLIDE. 186 00:08:01,720 --> 00:08:04,000 AND LEADERSHIP TRANSITIONS, LET 187 00:08:04,000 --> 00:08:07,040 ME GIVE YOU A SENSE OF OUR 188 00:08:07,040 --> 00:08:10,720 FISCAL STEWARDSHIP AND HERE YOU 189 00:08:10,720 --> 00:08:15,480 CAN SEE WHERE WE HOPEFULLY ARE 190 00:08:15,480 --> 00:08:16,760 WITH OUR APPROPRIATIONS PROCESS. 191 00:08:16,760 --> 00:08:19,240 MANY OF YOU ARE AWARE THAT WE 192 00:08:19,240 --> 00:08:20,840 REMAIN UNDER A CONTINUING 193 00:08:20,840 --> 00:08:22,760 RESOLUTION FROM CONGRESS WHICH 194 00:08:22,760 --> 00:08:24,760 BASICALLY MEANS THAT WE ARE 195 00:08:24,760 --> 00:08:31,240 FUNDED AT THE LEVEL OF FY21 AND 196 00:08:31,240 --> 00:08:34,280 WE'RE LOOKING FORWARD TO AN 197 00:08:34,280 --> 00:08:35,160 APPROPRIATION THIS YEAR. 198 00:08:35,160 --> 00:08:36,640 USUALLY THESE ARE SUPPOSED TO 199 00:08:36,640 --> 00:08:38,160 GET YOUR BUDGET OCTOBER 1 BUT AS 200 00:08:38,160 --> 00:08:39,440 IS THE NATURE OF CONGRESS WE'RE 201 00:08:39,440 --> 00:08:41,080 ALMOST THROUGH THE FISCAL YEAR 202 00:08:41,080 --> 00:08:46,240 AND WE WE'RE STILL AWAITING A 203 00:08:46,240 --> 00:08:47,080 BUDGET. 204 00:08:47,080 --> 00:08:48,480 WE ARE SOME ENCOURAGED BY THE 205 00:08:48,480 --> 00:08:50,680 FACT THAT THEY'VE DONE SOME 206 00:08:50,680 --> 00:08:52,640 MARKED UP SOME SORT OF ROUGH 207 00:08:52,640 --> 00:08:54,480 DRAFTS IF YOU WILL AND BOTH ON 208 00:08:54,480 --> 00:08:58,280 THE HOUSE AND THE SENATE SIDE. 209 00:08:58,280 --> 00:08:59,000 IT DOES--IT APPEARS WE CHRONIC 210 00:08:59,000 --> 00:09:01,840 LIVER DISEASE BE IN FOR A PLUS 211 00:09:01,840 --> 00:09:04,120 UP WHICH WOULD BE VERY WELCOME 212 00:09:04,120 --> 00:09:07,680 OVER OUR FY21 BUDGET WHICH WAS 213 00:09:07,680 --> 00:09:09,760 PRETTY TIGHT AND I JUST WANT TO 214 00:09:09,760 --> 00:09:10,480 BRING TO YOUR ATTENTION THERE 215 00:09:10,480 --> 00:09:15,440 WERE A NUMBER OF ELEMENTS IN THE 216 00:09:15,440 --> 00:09:17,720 OVERALL NIH BUDGET AND 217 00:09:17,720 --> 00:09:19,360 PARTICULARLY GERMANE TO 218 00:09:19,360 --> 00:09:24,720 PRESENTATION YOU WILL BE HEARING 219 00:09:24,720 --> 00:09:25,920 TODAY WAS SOME LANGUAGE 220 00:09:25,920 --> 00:09:28,200 INDICATING THAT THE FY22 221 00:09:28,200 --> 00:09:30,240 APPROPRIATIONS WOULD INCLUDE 222 00:09:30,240 --> 00:09:32,360 FUNDING FOR CLAIMATE CHANGE IN 223 00:09:32,360 --> 00:09:34,640 HEALTH THAT APPEARS TO BE ABOUT 224 00:09:34,640 --> 00:09:36,680 100 MILLION BOTH IN THE HOUSE 225 00:09:36,680 --> 00:09:37,400 AND SENATE VERSIONS. 226 00:09:37,400 --> 00:09:38,840 AGAIN, WE WILL HAVE TO WAIT AND 227 00:09:38,840 --> 00:09:41,480 SEE HOW IT ALL WORKS OUT AND 228 00:09:41,480 --> 00:09:43,360 MANY OF YOU ARE AWARE THAT 229 00:09:43,360 --> 00:09:44,960 LITERALLY I THINK THE 230 00:09:44,960 --> 00:09:45,880 APPROPRIATES ARE MEETING ALMOST 231 00:09:45,880 --> 00:09:49,600 EVERY DAY FOR THE LAST WEEK OR 232 00:09:49,600 --> 00:09:51,200 SO AND THIS WEEK, I BELIEVE A 233 00:09:51,200 --> 00:09:53,240 BILL MAY BE FLOATING AROUND THE 234 00:09:53,240 --> 00:09:56,400 HOUSE TO AT LEAST EXTEND THE C. 235 00:09:56,400 --> 00:09:57,720 R. TO MIDMARCH WITH THE HOPE 236 00:09:57,720 --> 00:10:01,440 THAT WE'LL REALLY GET AN 237 00:10:01,440 --> 00:10:03,000 APPROPRIATION BY MARCH AND 238 00:10:03,000 --> 00:10:05,640 HOPEFULLY JUMP START WHICH COULD 239 00:10:05,640 --> 00:10:07,920 BE AN EXCITING PROGRAM IN 240 00:10:07,920 --> 00:10:11,360 CLIMATE CHANGE, I THINK IS 241 00:10:11,360 --> 00:10:13,720 RELEVANT TO THE NHBBI PORTFOLIO 242 00:10:13,720 --> 00:10:16,120 AND YOU WILL HEAR MORE ABOUT 243 00:10:16,120 --> 00:10:16,320 THAT. 244 00:10:16,320 --> 00:10:17,320 SIMILARLY THERE IS LANGUAGE IN 245 00:10:17,320 --> 00:10:20,760 THE 22 MARK UPS, 1 ON MATERNAL 246 00:10:20,760 --> 00:10:22,600 MORBIDITY AND MORTALITY, AN AREA 247 00:10:22,600 --> 00:10:25,720 THAT IS IMPORTANT TO THE NHLBI 248 00:10:25,720 --> 00:10:30,160 PORTFOLIO AND SOME OF THE 249 00:10:30,160 --> 00:10:33,440 INITIATIVES THAT YOU'RE VIEWING 250 00:10:33,440 --> 00:10:37,200 TODAY, AS WELL AS A MAJOR 251 00:10:37,200 --> 00:10:39,760 INVESTMENT IN NIH HEALTH 252 00:10:39,760 --> 00:10:40,800 DISPARITIES RESEARCH PORTFOLIO 253 00:10:40,800 --> 00:10:43,760 AND AGAIN, SOMETHING THAT 254 00:10:43,760 --> 00:10:45,880 INTERSECTS THE LINES WITH NHLBI 255 00:10:45,880 --> 00:10:46,200 PRIORITIES. 256 00:10:46,200 --> 00:10:48,120 I JUST WANT TO BRING THAT TO 257 00:10:48,120 --> 00:10:53,560 YOUR ATTENTION. 258 00:10:53,560 --> 00:10:54,160 NEXT SLIDE, PLEASE. 259 00:10:54,160 --> 00:10:59,240 SORT OF IN THAT SAME LINE, WE'VE 260 00:10:59,240 --> 00:11:02,120 HAD YOU AND BE AS PART OF A 261 00:11:02,120 --> 00:11:04,520 RETREAT SEVERAL MONTHS AGO IN 262 00:11:04,520 --> 00:11:06,440 WHICH WE DID MORE OF A STEP BACK 263 00:11:06,440 --> 00:11:11,400 AND DEEP DIVE INTO OUR CLINICAL 264 00:11:11,400 --> 00:11:14,440 TRIAL RESEARCH PORTFOLIO AND WE 265 00:11:14,440 --> 00:11:22,320 APPRECIATE THE INSIGHTS GIVEN 266 00:11:22,320 --> 00:11:23,360 DURING THOSE SESSIONS AND AS 267 00:11:23,360 --> 00:11:25,240 SORT OF A FOLLOW-UP TO THAT WE 268 00:11:25,240 --> 00:11:27,920 WANTED TO GIVE YOU SOME SENSE OF 269 00:11:27,920 --> 00:11:51,280 THE INSTITUTES TRENDS IN 270 00:11:51,280 --> 00:11:52,720 INVESTMENTS--THAT BRING GREATER 271 00:11:52,720 --> 00:11:55,120 CLEARANCE TO OUR PORTFOLIO, 272 00:11:55,120 --> 00:11:56,240 CLEAR GREATER MILESTONES AND AS 273 00:11:56,240 --> 00:11:58,560 WELL AS PROVIDE A MEANS ACTUALLY 274 00:11:58,560 --> 00:12:01,640 OF BETTER TRACKING, OUR 275 00:12:01,640 --> 00:12:03,840 INVESTMENTS AND SO, ON THE RIGHT 276 00:12:03,840 --> 00:12:09,720 HAND PANEL, I THINK YOU CAN SEE 277 00:12:09,720 --> 00:12:11,400 HOW WE'VE TRIED TO RECOGNIZE THE 278 00:12:11,400 --> 00:12:12,640 GREAT OPPORTUNITY AND IMPORTANCE 279 00:12:12,640 --> 00:12:17,560 OF OUR CLINICAL TRIAL PORTFOLIO. 280 00:12:17,560 --> 00:12:19,200 AND TO FURTHER ENHANCE THOSE 281 00:12:19,200 --> 00:12:19,480 INVESTMENTS. 282 00:12:19,480 --> 00:12:24,040 SO HERE YOU CAN SEE A SWEEP OF 283 00:12:24,040 --> 00:12:25,760 ABOUT 10 YEARS ABOUT WHERE WE'VE 284 00:12:25,760 --> 00:12:29,040 BEEN, WHERE WE ARE NOW, AND 285 00:12:29,040 --> 00:12:32,040 BASED ON THE TRENDS OF 286 00:12:32,040 --> 00:12:34,760 APPROPRIATIONS, WHERE WE'RE 287 00:12:34,760 --> 00:12:35,920 HEADED AND HOPEFULLY IT'LL 288 00:12:35,920 --> 00:12:38,000 APPRECIATE THAT THERE'S AN 289 00:12:38,000 --> 00:12:40,720 UPWARD CURVE TO THAT TREND AS 290 00:12:40,720 --> 00:12:41,440 APPROPRIATIONS HAVE ALLOWED US 291 00:12:41,440 --> 00:12:43,280 AND SO THIS IS AN AREA THAT 292 00:12:43,280 --> 00:12:45,920 WE'RE VERY EXCITED ABOUT, WHERE 293 00:12:45,920 --> 00:12:49,440 WE THINK WE CAN SUPPORT CLINICAL 294 00:12:49,440 --> 00:12:53,960 TRIALS THAT HAVE AN IMPACT ON 295 00:12:53,960 --> 00:12:56,240 PATIENT CARE AND ENLIGHTEN AND 296 00:12:56,240 --> 00:13:00,240 ENHANCE GUIDELINES AS WELL AS 297 00:13:00,240 --> 00:13:01,040 PROVIDE MECHANISTIC INSIGHTS 298 00:13:01,040 --> 00:13:05,560 INTO DISEASE THAT WE HOPE WILL 299 00:13:05,560 --> 00:13:07,480 LEAD TO DYNAMIC NEW TREATMENTS. 300 00:13:07,480 --> 00:13:10,240 BUT AGAIN, I WANT TO GIVE YOU 301 00:13:10,240 --> 00:13:14,720 THAT TRIM LINE THAT OUR BUDGET 302 00:13:14,720 --> 00:13:16,360 MODEL REALLY SUPPORTS GROWING 303 00:13:16,360 --> 00:13:20,280 INVESTMENTS IN THIS SPACE. 304 00:13:20,280 --> 00:13:21,160 NEXT SLIDE, PLEASE. 305 00:13:21,160 --> 00:13:22,840 SIMILARLY, I WANT TO GIVE YOU A 306 00:13:22,840 --> 00:13:27,280 SIMILAR TREND VIEW OF SOME OF 307 00:13:27,280 --> 00:13:28,360 OUR ACCOUNTABLE STEWARDSHIP 308 00:13:28,360 --> 00:13:29,760 RELATED TO THE BIOMEDICAL 309 00:13:29,760 --> 00:13:30,040 WORKFORCE. 310 00:13:30,040 --> 00:13:31,240 YOU'VE SEEN AT VARIOUS COUNCILS 311 00:13:31,240 --> 00:13:32,920 WE GUF YOU A SINGLE YEAR SHOT 312 00:13:32,920 --> 00:13:36,440 AND SLICE OF THIS DATA BUT 313 00:13:36,440 --> 00:13:40,960 THOUGHT WE WOULD TAKE MORE OF A 314 00:13:40,960 --> 00:13:42,640 TREND VIEW IN THIS OCCASION AND 315 00:13:42,640 --> 00:13:45,440 YOU CAN SEE SEX-GENDER 316 00:13:45,440 --> 00:13:48,720 DEMOGRAPHICS ACROSS THE VARIOUS 317 00:13:48,720 --> 00:13:52,160 MECHANISMS AND WHICH YOU CAN SEE 318 00:13:52,160 --> 00:13:54,560 CERTAIN FOR SEX GENDER THAT AS 319 00:13:54,560 --> 00:13:59,440 YOU MOVE KIND OF EARLIER ON FROM 320 00:13:59,440 --> 00:13:59,880 OUR ESTABLISHED R01 321 00:13:59,880 --> 00:14:01,520 INVESTIGATORS, WHERE WE STILL 322 00:14:01,520 --> 00:14:02,920 HAVE CHALLENGES IN TERMS OF 323 00:14:02,920 --> 00:14:07,640 PARITY THAT THE ESIs IS MORE 324 00:14:07,640 --> 00:14:09,560 INCLUSIVE AND DIVERSE AS ARE 325 00:14:09,560 --> 00:14:11,040 TRAINING ELEMENTS BY SEX AND 326 00:14:11,040 --> 00:14:11,240 GENDER. 327 00:14:11,240 --> 00:14:15,760 WE'RE GETTING CLOSE TO PARITY. 328 00:14:15,760 --> 00:14:16,640 NEXT SLIDE, PLEASE. 329 00:14:16,640 --> 00:14:18,800 THIS GIVES YOU AGAIN BECAUSE OF 330 00:14:18,800 --> 00:14:21,760 THE SMALL NUMBERS A TREND OF 331 00:14:21,760 --> 00:14:23,040 OUR--MADE UNDER REPRESENTED 332 00:14:23,040 --> 00:14:24,440 GROUPS IN BIOMEDICAL WORKFORCE 333 00:14:24,440 --> 00:14:27,280 AND HOW THAT'S LOOKING ACROSS 334 00:14:27,280 --> 00:14:28,240 THE MECHANISMS. 335 00:14:28,240 --> 00:14:29,360 SO HOPEFULLY THIS TREND DATA 336 00:14:29,360 --> 00:14:30,760 GIVES YOU A SENSE OF THIS 337 00:14:30,760 --> 00:14:32,360 PARTICULARLY GIVEN THAT THESE 338 00:14:32,360 --> 00:14:33,240 ARE SMALL NUMBERS. 339 00:14:33,240 --> 00:14:35,960 NEXT SLIDE, PLEASE. 340 00:14:35,960 --> 00:14:40,040 SO THOSE ARE KIND OF THE 341 00:14:40,040 --> 00:14:40,760 STEWARDSHIP COMPONENTS THAT WE 342 00:14:40,760 --> 00:14:42,440 WANT TO SHARE AND THEN WE PIVOT 343 00:14:42,440 --> 00:14:43,680 TO SOME OF OUR SCIENTIFIC 344 00:14:43,680 --> 00:14:46,080 PRIORITIES THAT WE WANT TO 345 00:14:46,080 --> 00:14:51,760 HIGHLIGHT ON THIS SESSION AND 346 00:14:51,760 --> 00:14:54,400 AGAIN, IN KEEPING WITH OUR THEME 347 00:14:54,400 --> 00:14:57,160 ON THE IMPACT OF CLIMATE CHANGE 348 00:14:57,160 --> 00:15:01,080 ON PUBLIC HEALTH, CERTAINLY IN 349 00:15:01,080 --> 00:15:02,000 VULNERABLE POPULATIONS. 350 00:15:02,000 --> 00:15:04,000 AND AGAIN, I DON'T NEED TO TELL 351 00:15:04,000 --> 00:15:06,400 THIS ASTUTE AUDIENCE WHAT WE'RE 352 00:15:06,400 --> 00:15:10,520 SEEING IN THE CHANGES IN OUR 353 00:15:10,520 --> 00:15:10,760 PLANET. 354 00:15:10,760 --> 00:15:13,640 WHICH IS RELATED TO HUMAN 355 00:15:13,640 --> 00:15:15,680 ACTIVITY THAT'S GOING TO BE 356 00:15:15,680 --> 00:15:18,840 CHARACTERIZED BY PRIZING 357 00:15:18,840 --> 00:15:21,800 TEMPERATURES, AND MORE EXTREME 358 00:15:21,800 --> 00:15:24,640 WEATHER AND CHANGES THAT 359 00:15:24,640 --> 00:15:27,840 THREATEN CERTAIN AREAS OF THE 360 00:15:27,840 --> 00:15:30,800 GLOBE, PARTICULARLY RISING SEA 361 00:15:30,800 --> 00:15:51,320 LEVELS AND DROUGHTS, ET CETERA. 362 00:15:51,320 --> 00:15:52,600 AND ALL THAT VULNERABILITIES 363 00:15:52,600 --> 00:15:54,360 THAT WE NEED TO BE SENSITIVE TO 364 00:15:54,360 --> 00:15:54,600 THAT. 365 00:15:54,600 --> 00:15:55,960 CERTAINLY TO THESE EXTREMES, 366 00:15:55,960 --> 00:15:58,640 PERHAPS TO THE 2 TALES OF THE 367 00:15:58,640 --> 00:16:00,080 AGE DISTRIBUTION, THE VERY YOUNG 368 00:16:00,080 --> 00:16:03,240 AND THE VERY OLD AND THOSE WHO 369 00:16:03,240 --> 00:16:05,760 ARE QUITE FRANKLY AFFECTED BY 370 00:16:05,760 --> 00:16:07,480 SOCIAL DETERMINANTS OF HEALTH 371 00:16:07,480 --> 00:16:10,560 ARE PARTICULARLY PROBABLY 372 00:16:10,560 --> 00:16:12,880 AFFECTED AND RESPONSIVE AND 373 00:16:12,880 --> 00:16:14,440 VULNERABLE TO CLIMATE CHANGE, 374 00:16:14,440 --> 00:16:20,440 SIMILARLY, THOSE WHO HAVE 375 00:16:20,440 --> 00:16:22,800 CO-MORBIDITIES OR HAVE LOWER 376 00:16:22,800 --> 00:16:25,000 SOCIAL CAPITAL OR LOWER 377 00:16:25,000 --> 00:16:26,960 SOCIOECONOMIC STATUS MAY BE 378 00:16:26,960 --> 00:16:28,480 SENSITIVE AND VULNERABLE TO 379 00:16:28,480 --> 00:16:30,080 THOSE ENVIRONMENTAL SHIFTS. 380 00:16:30,080 --> 00:16:33,320 THIS IS AFFECTING EXPOSURE, 381 00:16:33,320 --> 00:16:35,600 PROFILE OF A VARIETY OF THE RISK 382 00:16:35,600 --> 00:16:37,480 FACTORS AND OUR DISEASE 383 00:16:37,480 --> 00:16:53,640 PORTFOLIO, AS A RESULT OF THESE 384 00:16:53,640 --> 00:16:57,720 POTENTIAL EXPOSURES TO MORE ALER 385 00:16:57,720 --> 00:17:01,080 GENS AS AN EXPOSE TOWER THESE 386 00:17:01,080 --> 00:17:02,640 CLAIMATE CHANGE AND 387 00:17:02,640 --> 00:17:04,720 ADDITIONALLY, IN TERMS OF HOW WE 388 00:17:04,720 --> 00:17:05,840 MIGHT BUILD RESILIENCE AND 389 00:17:05,840 --> 00:17:07,200 CHANGE IT BACK TO CAPACITY AND 390 00:17:07,200 --> 00:17:09,280 HOW IT MIGHT BE INCORPORATED IN 391 00:17:09,280 --> 00:17:15,240 A WAY TO PROMOTE ENHANCEMENTS IN 392 00:17:15,240 --> 00:17:17,840 HUMAN HEALTH, MITIGATE THE 393 00:17:17,840 --> 00:17:19,040 DELETEEROUS HEALTH OF CLIMATE 394 00:17:19,040 --> 00:17:22,240 CHANGE AND AS THEY RELATE TO 395 00:17:22,240 --> 00:17:23,480 NHLBI PORTFOLIO. 396 00:17:23,480 --> 00:17:25,680 NEXT SLIDE, PLEASE, TOWARD THAT 397 00:17:25,680 --> 00:17:32,520 END, WE SEE AN OPPORTUNITY, TO 398 00:17:32,520 --> 00:17:38,680 ASSESS THESE CLIMATE DRIVERS 399 00:17:38,680 --> 00:17:40,840 LIKE WILDFIRES AND EXTREME 400 00:17:40,840 --> 00:17:41,840 WEATHER EVENTS, MAY IMPACT AIR 401 00:17:41,840 --> 00:17:43,560 QUALITY AND EXTREME HEAT AND HOW 402 00:17:43,560 --> 00:17:45,600 THAT MIGHT TRANSLATE FROM THOSE 403 00:17:45,600 --> 00:17:46,840 EXPOSURE PATHWAYS TO DIFFERENT 404 00:17:46,840 --> 00:17:50,440 HEALTH OUTCOMES AND HOW THOSE 405 00:17:50,440 --> 00:17:54,560 HEALTH OUTCOMES MAY VARY, BE 406 00:17:54,560 --> 00:17:56,040 HETEROGEANIOUS WITH MAYBE 407 00:17:56,040 --> 00:17:58,040 CERTAIN COMMUNITIES 408 00:17:58,040 --> 00:17:58,640 DISPROPORTIONATELY AFFECTED BY 409 00:17:58,640 --> 00:18:02,240 CLIMATE CHANGE. 410 00:18:02,240 --> 00:18:02,800 NEXT SLIDE, PLEASE. 411 00:18:02,800 --> 00:18:08,240 TOWARD THAT END, THERE IS 412 00:18:08,240 --> 00:18:13,880 EMERGING DATA THAT RAISES THESE 413 00:18:13,880 --> 00:18:15,480 CONCERNS THAT ALTHOUGH FOR 414 00:18:15,480 --> 00:18:17,040 EXAMPLE, THE HEAT RAYS OF THE 415 00:18:17,040 --> 00:18:20,680 SUN MAY BE RELATIVELY EVENLY 416 00:18:20,680 --> 00:18:21,760 DISTRIBUTED ACROSS ALL THE 417 00:18:21,760 --> 00:18:23,040 COMMUNITIES OF OUR COUNTRY, 418 00:18:23,040 --> 00:18:26,560 THERE ARE STILL COMMUNITIES THAT 419 00:18:26,560 --> 00:18:28,160 ARE DISPROPORTIONATELY AFFECTED 420 00:18:28,160 --> 00:18:30,680 BY SOMETHING LIKE THE SURFACE 421 00:18:30,680 --> 00:18:32,440 HEAT INTENSITY, FOR EXAMPLE, 422 00:18:32,440 --> 00:18:35,440 THERE'S A STUDY DOWN THE COUNTY 423 00:18:35,440 --> 00:18:40,800 LEVEL RESOLUTION THAT LOOKED AT 424 00:18:40,800 --> 00:18:43,240 COMMUNITIES THAT WILL FEEL THE 425 00:18:43,240 --> 00:18:49,720 BRUNT OF THE URBAN HEAT ISLANDS, 426 00:18:49,720 --> 00:18:51,600 THAT NOTION THAT AGAIN AS A GUY 427 00:18:51,600 --> 00:18:54,760 WHO GREW UP IN INNER CITY 428 00:18:54,760 --> 00:18:56,720 PHILADELPHIA, I AM VERY FAMILIAR 429 00:18:56,720 --> 00:18:58,240 WITH THE NOTION OF GETTING ROWS 430 00:18:58,240 --> 00:19:02,680 AND ROWS OF HOUSES WITH BLACK 431 00:19:02,680 --> 00:19:05,000 ROOFS AND ASPHALT ROADWAYS WITH 432 00:19:05,000 --> 00:19:07,240 SMALL SIDEWALKS AND NO TREES, IT 433 00:19:07,240 --> 00:19:10,760 CAN GET PRETTY HOT IN THE SUMMER 434 00:19:10,760 --> 00:19:13,960 AND SO, IT'S NOT TOO SURPRISING 435 00:19:13,960 --> 00:19:21,200 TO ME ANYWAY, THAT IN 83 OF 106 436 00:19:21,200 --> 00:19:23,040 U.S. CITIES PEOPLE OF COLOR 437 00:19:23,040 --> 00:19:25,720 EXPOSED TO AN AVERAGE SUMMER 438 00:19:25,720 --> 00:19:27,400 SURFACE TEMPERATURE THAT'S 439 00:19:27,400 --> 00:19:28,520 2-DEGREES CELSIUS HIGHER THAN 440 00:19:28,520 --> 00:19:31,840 THE AREAS OUTSIDE THE CITY AND 441 00:19:31,840 --> 00:19:35,920 THAT'S ONLY TRUE FOR A RACIAL 442 00:19:35,920 --> 00:19:38,040 GAP IN TERMS OF VULNERABILITY IN 443 00:19:38,040 --> 00:19:39,640 TERMS OF THESE EXTREMES BUT 444 00:19:39,640 --> 00:19:42,040 SIMILAR TREND AND SEEN FOR LOWER 445 00:19:42,040 --> 00:19:48,400 SOCIOECONOMIC STATUS AND SO, WE 446 00:19:48,400 --> 00:19:50,000 CAN ANTICIPATE THAT LIKE MANY 447 00:19:50,000 --> 00:19:51,160 OTHER STRESSORS AND 448 00:19:51,160 --> 00:19:52,240 ENVIRONMENTAL FACTORS LIKE MANY 449 00:19:52,240 --> 00:19:53,640 OTHER ELEMENTS OF THE BUILT 450 00:19:53,640 --> 00:19:56,640 ENVIRONMENT, THERE MAY BE A 451 00:19:56,640 --> 00:19:58,200 DIFFERENTIAL IMPACT IN CERTAIN 452 00:19:58,200 --> 00:20:00,520 COMMUNITIES THAT ARE 453 00:20:00,520 --> 00:20:01,440 PARTICULARLY VULNERABLE AND 454 00:20:01,440 --> 00:20:03,240 THEREFORE THAT MAY TRANSLATE 455 00:20:03,240 --> 00:20:04,760 INTO DIFFERENT EXPOSURES AND 456 00:20:04,760 --> 00:20:11,960 HEALTH OUTCOMES. 457 00:20:11,960 --> 00:20:14,080 NEXT SLIDE, PLEASE. 458 00:20:14,080 --> 00:20:18,840 TOWARD THAT END, WE HAVE THAT 459 00:20:18,840 --> 00:20:20,640 CHALLENGE RAISES AN OPPORTUNITY, 460 00:20:20,640 --> 00:20:22,840 IN WHICH--IS THAT JUST MY SCREEN 461 00:20:22,840 --> 00:20:31,840 THAT JUST GOT A POP-UP? 462 00:20:31,840 --> 00:20:32,200 OKAY, SORRY. 463 00:20:32,200 --> 00:20:33,720 THAT WE HAVE AN OPPORTUNITY TO 464 00:20:33,720 --> 00:20:36,680 REDUCE THE HEALTH THREATS ACROSS 465 00:20:36,680 --> 00:20:39,800 THE LIFE SPAN AND BUILD HEALTH 466 00:20:39,800 --> 00:20:40,360 RESILIENCE, IN INDIVIDUALS, 467 00:20:40,360 --> 00:20:42,480 COMMUNITIES AND OUR NATION AS 468 00:20:42,480 --> 00:20:43,640 WELL AS PROVIDE LEADERSHIP 469 00:20:43,640 --> 00:20:48,040 AROUND THE WORLD TO ADDRESS 470 00:20:48,040 --> 00:20:49,760 THESE ADVERSE EFFECTS OF CLIMATE 471 00:20:49,760 --> 00:20:50,000 CHANGE. 472 00:20:50,000 --> 00:20:54,320 AND ON THE RIGHT THERE IS THE 473 00:20:54,320 --> 00:20:56,400 STRATEGIC FRAMEWORK OF THE 474 00:20:56,400 --> 00:21:01,240 TRANSNIH EFFORT LED BY NIEHS 475 00:21:01,240 --> 00:21:04,360 INVOLVING HOW WE NEED TO 476 00:21:04,360 --> 00:21:05,200 APPROACH CLIMATE CHANGE AND 477 00:21:05,200 --> 00:21:07,200 HEALTH FOR THE NIH THAT 478 00:21:07,200 --> 00:21:10,800 ADDRESSES HEALTH EFFECTS 479 00:21:10,800 --> 00:21:13,320 RESEARCH, HEALTH EQUITY, 480 00:21:13,320 --> 00:21:16,280 TRAINING, CAPACITY BUILDING AND 481 00:21:16,280 --> 00:21:18,200 INTERVENTION SCIENCE THAT CAN 482 00:21:18,200 --> 00:21:20,280 ADDRESS THIS EXSTENTIAL THREAT. 483 00:21:20,280 --> 00:21:21,160 NEXT SLIDE, PLEASE. 484 00:21:21,160 --> 00:21:22,320 TOWARD THAT END, I THINK THERE 485 00:21:22,320 --> 00:21:24,520 ARE A NUMBER OF ELEMENTS THAT 486 00:21:24,520 --> 00:21:26,840 ARE PARTICULARLY RELEVANT TO THE 487 00:21:26,840 --> 00:21:27,720 NHLBI COMMUNITY, NEXT SLIDE, 488 00:21:27,720 --> 00:21:32,080 PLEASE THAT WE THINK ALIGN WITH 489 00:21:32,080 --> 00:21:34,240 THIS TRANSNIH EFFORT IN CLIMATE 490 00:21:34,240 --> 00:21:34,840 CHANGE AND HEALTH. 491 00:21:34,840 --> 00:21:38,040 PARTICULARLY JUST GIVE A 492 00:21:38,040 --> 00:21:41,440 HIGHLIGHT TO ASTHMA AS REALLY AN 493 00:21:41,440 --> 00:21:43,200 EXEMPLAR AS WITH OUR PORTFOLIO 494 00:21:43,200 --> 00:21:45,640 IN WHICH THERE'S LIKELY TO BE 495 00:21:45,640 --> 00:21:46,440 THIS INTERSECTION BETWEEN THE 496 00:21:46,440 --> 00:22:02,960 ENVIRONMENTAL I AM NOT PACT OF 497 00:22:02,960 --> 00:22:04,320 CLIMATE CHANGE--OF AFFECTING 498 00:22:04,320 --> 00:22:06,160 CHILDREN WITHIN COMMUNITIES OF 499 00:22:06,160 --> 00:22:06,400 COLOR. 500 00:22:06,400 --> 00:22:07,320 SO WE'RE ALREADY FAMILIAR AS 501 00:22:07,320 --> 00:22:09,640 SHOWN ON THE LEFT WITH THE 502 00:22:09,640 --> 00:22:11,240 RACIAL ETHNIC DISPARITIES IN 503 00:22:11,240 --> 00:22:16,320 ASTHMA THAT WE KNOW EXIST AND SO 504 00:22:16,320 --> 00:22:18,400 AS WE TAKE THIS CLIMATE CHANGE 505 00:22:18,400 --> 00:22:22,160 LENS AND SEE THAT THE CLIMATE 506 00:22:22,160 --> 00:22:24,400 DRIVERS OF WILDFIRES WILL 507 00:22:24,400 --> 00:22:25,280 INFLUENCE EXPOSURE PATHWAYS 508 00:22:25,280 --> 00:22:27,840 RELATED TO POOR AIR QUALITY AND 509 00:22:27,840 --> 00:22:30,400 INCREASED ALER GENS IN A WAY 510 00:22:30,400 --> 00:22:32,480 THAT COULD CLEARLY EXACERBATE 511 00:22:32,480 --> 00:22:34,960 HEALTH OUTCOMES BOTH ACUTE AND 512 00:22:34,960 --> 00:22:36,800 CHRONIC IN RESPIRATORY 513 00:22:36,800 --> 00:22:38,280 ILLNESSES, ACROSS THE LIFE SPAN, 514 00:22:38,280 --> 00:22:40,120 PARTICULARLY HITTING AGAIN THE 515 00:22:40,120 --> 00:22:41,600 MOST VULNERABLE CHILDREN AND THE 516 00:22:41,600 --> 00:22:42,040 ELDERLY. 517 00:22:42,040 --> 00:22:46,640 NEXT SLIDE, PLEASE. 518 00:22:46,640 --> 00:23:07,120 WE ALREADY ARE WELL AWARE OF 519 00:23:07,120 --> 00:23:10,400 EVIDENCE WHERE THERE ARE PLACES 520 00:23:10,400 --> 00:23:17,120 WHERE THERE IS LONG-TERM HIGHER 521 00:23:17,120 --> 00:23:19,040 EXPOSURES TO AIR POLLUTION AND 522 00:23:19,040 --> 00:23:20,040 IMPLICATIONS OF LUNG HEALTH AND 523 00:23:20,040 --> 00:23:23,760 YOU CAN SEE THE EXPOSURE BY 524 00:23:23,760 --> 00:23:24,560 RACE-ETHNICITY AND ON THE RIGHT 525 00:23:24,560 --> 00:23:29,600 YOU CAN SEE HOW THIS IS ACTUALLY 526 00:23:29,600 --> 00:23:30,840 PLAYING OUT AT THE COMMUNITY 527 00:23:30,840 --> 00:23:35,280 LEVEL IN WHICH THERE ARE 528 00:23:35,280 --> 00:23:37,960 REDUCTIONS IN LUNG FUNCTION, 529 00:23:37,960 --> 00:23:39,680 LUNG CAPACITY, AS CHILDREN GROW 530 00:23:39,680 --> 00:23:43,000 AND DEVELOP THAT'S REFLECTED BY 531 00:23:43,000 --> 00:23:47,840 WHERE THEY LIVE, WORK AND PLAY 532 00:23:47,840 --> 00:23:50,960 AND THIS IS CLEARLY ALREADY BEEN 533 00:23:50,960 --> 00:23:52,760 SEEN WITH REGARD TO AIR 534 00:23:52,760 --> 00:23:54,160 POLLUTION AND THE COMMUNITIES IN 535 00:23:54,160 --> 00:23:59,720 WHICH YOU LIVE, NEXT SLIDE, 536 00:23:59,720 --> 00:23:59,960 PLEASE. 537 00:23:59,960 --> 00:24:01,840 THIS CLEARLY HAS LONG-TERM 538 00:24:01,840 --> 00:24:03,440 IMPLICATIONS BECAUSE AGAIN, IT'S 539 00:24:03,440 --> 00:24:04,160 AFFECTING THE STRUCTURE AND 540 00:24:04,160 --> 00:24:07,800 FUNCTION OF THE DEVELOPING LUNG 541 00:24:07,800 --> 00:24:11,920 WITH LONG STANDING, LONG LASTING 542 00:24:11,920 --> 00:24:12,520 CONSEQUENCES THEREOF. 543 00:24:12,520 --> 00:24:14,760 INDEED IN CONTEXT IN WHICH, 544 00:24:14,760 --> 00:24:23,080 INTERVENTIONS ARE MADE TO REDUCE 545 00:24:23,080 --> 00:24:26,520 AIR POLLUTION, THERE IS THE 546 00:24:26,520 --> 00:24:29,240 ADDITION OR CAPACITY TO 547 00:24:29,240 --> 00:24:30,440 EMELIORATE THESE AND THIS MAY 548 00:24:30,440 --> 00:24:32,720 PAN OUT AS WE THINK ABOUT THE 549 00:24:32,720 --> 00:24:35,480 LONG ARC OF CLIMATE CHANGE AND 550 00:24:35,480 --> 00:24:37,640 ITS IMPLICATION FOR AIR 551 00:24:37,640 --> 00:24:38,360 POLLUTION. 552 00:24:38,360 --> 00:24:39,000 NEXT SLIDE, PLEASE. 553 00:24:39,000 --> 00:24:41,040 INDEED, IT'S CLEAR THAT THERE IS 554 00:24:41,040 --> 00:24:44,000 NOW THIS NEW AIR QUALITY 555 00:24:44,000 --> 00:24:45,880 CHALLENGE RELATED TO THIS 556 00:24:45,880 --> 00:24:47,200 INCREASED EXPOSURES TO WILDFIRE 557 00:24:47,200 --> 00:24:48,640 OR SMOKE AND POOR HEALTH 558 00:24:48,640 --> 00:24:52,280 OUTCOMES IN WHICH YOU CAN SEE ON 559 00:24:52,280 --> 00:25:01,040 THE LEFT, AND INCREASING 560 00:25:01,040 --> 00:25:02,320 IMPLICATIONS OF WILDFIRE SMOKE 561 00:25:02,320 --> 00:25:03,800 EXPOSURE THAT ARE NOT JUST 562 00:25:03,800 --> 00:25:05,960 LIMITED TO CALIFORNIA BUT INDEED 563 00:25:05,960 --> 00:25:08,720 HAVE IMPLICATIONS ACROSS OUR 564 00:25:08,720 --> 00:25:11,520 COUNTRY AND 1 IN FACT IN WHICH 565 00:25:11,520 --> 00:25:13,960 THE SUPER IMPOSITION OF CLIMATE 566 00:25:13,960 --> 00:25:17,720 CHANGE MAY FURTHER EXACERBATE 567 00:25:17,720 --> 00:25:19,240 THESE CHALLENGES, AGAIN ACROSS 568 00:25:19,240 --> 00:25:21,720 OUR NATION AND PARTICULARLY 569 00:25:21,720 --> 00:25:22,520 CONCENTRATED IN THOSE 570 00:25:22,520 --> 00:25:27,600 VULNERABILITY COMMUNITIES. 571 00:25:27,600 --> 00:25:28,520 NEXT SLIDE, PLEASE. 572 00:25:28,520 --> 00:25:29,480 NEXT SLIDE, PLEASE. 573 00:25:29,480 --> 00:25:33,040 TOWARD THAT END, WE GAVE YOU 574 00:25:33,040 --> 00:25:36,840 THAT EXAMPLE OF ASTHMA AND 575 00:25:36,840 --> 00:25:39,240 WILDFIRES AND AIR POLLUTION, 576 00:25:39,240 --> 00:25:42,960 THIS MAY ALSO PAN OUT IN 577 00:25:42,960 --> 00:25:44,640 EXACERBATION OF HEALTH 578 00:25:44,640 --> 00:25:46,600 INIQUITIES WITH A CHALLENGE OF 579 00:25:46,600 --> 00:25:48,240 URBAN HEAT ISLANDS AND HELT 580 00:25:48,240 --> 00:25:50,880 DISPARITIES AS MANY OF YOU ARE 581 00:25:50,880 --> 00:25:52,840 AWARE, MANY OF THE UNDERLYING 582 00:25:52,840 --> 00:25:55,280 CAUSES OF HEAT DEATHS IN THE 583 00:25:55,280 --> 00:25:59,120 UNITED STATES COME BACK TO THE 584 00:25:59,120 --> 00:26:00,840 NHLBI PORTFOLIO, CLEARLY 585 00:26:00,840 --> 00:26:02,160 EXACERBATIONS OF THE ASCHEMIC 586 00:26:02,160 --> 00:26:05,520 HEART DISEASE, HEART FAILURE, 587 00:26:05,520 --> 00:26:06,800 RESPIRATORY ILLNESSES AND ARE 588 00:26:06,800 --> 00:26:11,640 AMONGST THE MAJOR FACTORS, 589 00:26:11,640 --> 00:26:13,360 THERMOREGULATION, PARTICULARLY 590 00:26:13,360 --> 00:26:14,040 CAUSING CARDIOVASCULAR 591 00:26:14,040 --> 00:26:19,240 CHALLENGES AND HEAT STROKE. 592 00:26:19,240 --> 00:26:20,760 AND SO, CLEARLY THE EXTREMES OF 593 00:26:20,760 --> 00:26:23,080 HEAT AND WEATHER HAVE 594 00:26:23,080 --> 00:26:25,560 IMPLICATIONS FOR OUR COMMUNITY 595 00:26:25,560 --> 00:26:26,600 AND OUR PORTFOLIO. 596 00:26:26,600 --> 00:26:32,160 YOU CAN SEE IN THE MIDDLE THERE, 597 00:26:32,160 --> 00:26:34,040 THE HEAT STRESS DEATHS, A DEEPER 598 00:26:34,040 --> 00:26:35,680 DIVE MORE GRANULAR IN NEW YORK 599 00:26:35,680 --> 00:26:37,840 CITY AND AGAIN THE 600 00:26:37,840 --> 00:26:40,280 OVERREPRESENTATION OF 601 00:26:40,280 --> 00:26:42,440 COMMUNITIES OF COLOR AS BEING 602 00:26:42,440 --> 00:26:45,120 MOST ADVERSELY AFFECTED IN THIS 603 00:26:45,120 --> 00:26:49,880 CONTEXT AND NOTE WORTHY THAT IT 604 00:26:49,880 --> 00:26:51,520 IS OFTEN THE BUILT ENVIRONMENT 605 00:26:51,520 --> 00:26:52,760 CONTEXT AND SOCIAL DETERMINANTS 606 00:26:52,760 --> 00:26:56,960 OF HEALTH THAT ARE DRIVING THESE 607 00:26:56,960 --> 00:27:05,560 PARTICULAR RACE ETHNIC 608 00:27:05,560 --> 00:27:15,840 VULNERABILITIES SUCH THAT INDEED 609 00:27:15,840 --> 00:27:16,440 BUILDING HEIGHT, HISTORIC RED 610 00:27:16,440 --> 00:27:18,440 LINE THAT HAS SHAPED THE 611 00:27:18,440 --> 00:27:20,320 STRUCTURES OF CERTAIN 612 00:27:20,320 --> 00:27:22,160 NEIGHBORHOODS CONCENTRATING ON 613 00:27:22,160 --> 00:27:24,400 THE ADVERSE IMPACT OF THESE 614 00:27:24,400 --> 00:27:34,240 WEATHER EXTREMES. 615 00:27:34,240 --> 00:27:35,040 NEXT SLIDE, PLEASE. 616 00:27:35,040 --> 00:27:37,360 EVEN IN OUR WASHINGTON D. C. 617 00:27:37,360 --> 00:27:39,000 AREA, IT'S NOTE WORTHY THAT IF 618 00:27:39,000 --> 00:27:43,160 YOU LOOK BACK ON THE LEFT AT THE 619 00:27:43,160 --> 00:27:44,480 FEDERAL HOUSING ADMINISTRATION 620 00:27:44,480 --> 00:27:46,360 MARKET ANALYSIS THAT REALLY THE 621 00:27:46,360 --> 00:27:47,840 UNDERPINNINGS OF THAT HISTORICAL 622 00:27:47,840 --> 00:27:50,160 RED LINES WHICH YOU CAN SEE THE 623 00:27:50,160 --> 00:27:53,640 STRETCH OF WHAT THEY CALL TYPE 624 00:27:53,640 --> 00:27:59,560 A, THE HIGHEST GRADE OF PROPERTY 625 00:27:59,560 --> 00:28:01,640 AND INVESTMENT TENDED TO BE 626 00:28:01,640 --> 00:28:02,920 TUCKED INTO THE NORTHWESTERN 627 00:28:02,920 --> 00:28:04,880 CORNER OF WASHINGTON D. C., AND 628 00:28:04,880 --> 00:28:10,840 AS YOU CAN SEE TYPE H, QUOTATION 629 00:28:10,840 --> 00:28:11,800 REPRESENTS NEGRO DEVELOPMENT AND 630 00:28:11,800 --> 00:28:14,320 LOWEST GRADE THAT H IS IN THE 631 00:28:14,320 --> 00:28:15,000 SOUTHEAST REGION OF WASHINGTON 632 00:28:15,000 --> 00:28:19,680 D. C. AND THIS IS BACK IN THE 633 00:28:19,680 --> 00:28:19,880 1930S. 634 00:28:19,880 --> 00:28:22,240 AS YOU CAN NOTE IN THE MIDDLE 635 00:28:22,240 --> 00:28:24,040 PANEL MULTIPLE GENERATIONS 636 00:28:24,040 --> 00:28:27,640 LATER, YOU CAN SEE THE RACIAL 637 00:28:27,640 --> 00:28:30,720 DEMOGRAPHIC PROFILE OF THE 638 00:28:30,720 --> 00:28:31,320 NORTHWEST PREDOMINANTLY MORE 639 00:28:31,320 --> 00:28:37,080 WHITE IN THE SOUTHEAST 640 00:28:37,080 --> 00:28:37,960 CONCENTRATION OF AFRICAN 641 00:28:37,960 --> 00:28:38,800 AMERICAN NEIGHBORHOODS AND 642 00:28:38,800 --> 00:28:44,040 COMMUNITIES AND NOTE WORTHY 643 00:28:44,040 --> 00:28:47,760 RELATED TO THAT IF YOU LOOK AT 644 00:28:47,760 --> 00:28:49,640 THE HEAT ISLAND EFFECTS MOSTLY, 645 00:28:49,640 --> 00:28:51,440 YOU WOULD AGAIN SEE THAT 646 00:28:51,440 --> 00:28:53,000 CONCENTRATION OF THOSE EXTREMES 647 00:28:53,000 --> 00:28:57,360 IN THE SOUTHEAST SECTOR OF THE 648 00:28:57,360 --> 00:28:57,840 CITY. 649 00:28:57,840 --> 00:28:59,160 NEXT SLIDE, PLEASE. 650 00:28:59,160 --> 00:29:01,720 THOSE ARE ALL, I MIGHT 651 00:29:01,720 --> 00:29:05,240 PARENTHETICALLY NOTE, IF WE DO A 652 00:29:05,240 --> 00:29:06,720 MAP OF WHERE HEART DISEASE IS 653 00:29:06,720 --> 00:29:08,440 THE GREATEST WHERE LIFE 654 00:29:08,440 --> 00:29:10,120 EXPECTANCY IS THE SHORTEST, AND 655 00:29:10,120 --> 00:29:16,720 WHERE WE SEE DISPARITIES, THAT 656 00:29:16,720 --> 00:29:18,120 SOUTHEAST CORNER UNFORTUNATELY 657 00:29:18,120 --> 00:29:21,560 S&P OFTEN THE 1 THAT'S 658 00:29:21,560 --> 00:29:23,040 OVERREPRESENTED FOR THE PORTION 659 00:29:23,040 --> 00:29:25,040 OF MORBIDITY AND MORTALITY. 660 00:29:25,040 --> 00:29:32,040 TOWARD THAT END, THIS IS AN 661 00:29:32,040 --> 00:29:33,320 OPPORTUNITY TO NOT ONLY RESEARCH 662 00:29:33,320 --> 00:29:35,520 AND STUDY THE CHALLENGES, BUT 663 00:29:35,520 --> 00:29:36,960 HOPEFULLY START TO DEVELOP 664 00:29:36,960 --> 00:29:37,920 INTERVENTIONS THAT PROMOTE 665 00:29:37,920 --> 00:29:40,840 RESILIENCE AND MITIGATE THE 666 00:29:40,840 --> 00:29:48,240 IMPACT AND INDEED THERE HAVE 667 00:29:48,240 --> 00:29:49,640 BEEN SOME PROJECTS AND 668 00:29:49,640 --> 00:29:51,600 INTERVENTIONS THAT HAVE BEEN 669 00:29:51,600 --> 00:29:52,960 TRIED INCLUDING EVEN SOMETHING 670 00:29:52,960 --> 00:29:54,560 AS STRAIGHT FORWARD AS PAINTING 671 00:29:54,560 --> 00:29:55,960 A BLACK ROOF WHITE AND 672 00:29:55,960 --> 00:30:01,840 DEMONSTRATE THAGOREAN AGAIN IN 673 00:30:01,840 --> 00:30:03,240 THOSE THOSE RESIDENCES THAT THE 674 00:30:03,240 --> 00:30:06,360 EXTREMES OF HEAT MIGHT BE 675 00:30:06,360 --> 00:30:07,160 MITIGATED. 676 00:30:07,160 --> 00:30:09,120 THIS ACTUALLY COULD BE LIFE 677 00:30:09,120 --> 00:30:10,520 SAVING FOR ELDERLY PEOPLE IN 678 00:30:10,520 --> 00:30:13,280 SOME OF THESE COMMUNITIES AND SO 679 00:30:13,280 --> 00:30:17,800 REALLY IT'S MEASURING THESE DOWN 680 00:30:17,800 --> 00:30:19,040 STREAM OUTCOMES MAY BE AN 681 00:30:19,040 --> 00:30:24,960 OPPORTUNITY TO HAVE AN IMPACT ON 682 00:30:24,960 --> 00:30:27,640 ADDRESSING SOME OF THE IMPACTS 683 00:30:27,640 --> 00:30:30,240 OF CLIMATE CHANGE THAT IMPACT 684 00:30:30,240 --> 00:30:31,240 THE MOST DISPROPORTIONATE 685 00:30:31,240 --> 00:30:31,520 COMMUNITIES. 686 00:30:31,520 --> 00:30:35,400 SO THIS IS AN OPPORTUNITY WE 687 00:30:35,400 --> 00:30:37,880 THINK THAT LEVERAGE COMMUNITY 688 00:30:37,880 --> 00:30:38,760 ENGAGED RESEARCH PLATFORMS TO 689 00:30:38,760 --> 00:30:42,120 ADDRESS THE IMPACT OF CLIMATE 690 00:30:42,120 --> 00:30:43,760 CHANGE ON HEALTH OR PROMOTE 691 00:30:43,760 --> 00:30:45,240 HEALTH EQUITY AS WE LOOK AT 692 00:30:45,240 --> 00:30:49,040 THESE INTERSECTIONS AND THE 693 00:30:49,040 --> 00:30:53,000 IMPACT OF THAT EXSTENTIAL 694 00:30:53,000 --> 00:30:54,720 PLANETARY HEALTH EFFECTS AND AN 695 00:30:54,720 --> 00:30:55,480 OPPORTUNITY TO PERHAPS LEVERAGE 696 00:30:55,480 --> 00:30:58,800 SOME OF THE LESSONS LEARNED FROM 697 00:30:58,800 --> 00:30:59,760 PROGRAMS SUCH AS DECIPHER, MORE 698 00:30:59,760 --> 00:31:03,640 RECENTLY IN THE PANDEMIC, THE 699 00:31:03,640 --> 00:31:05,040 SEAL'S PROGRAM, THE ALLIANCE 700 00:31:05,040 --> 00:31:06,120 AGAINST COVID-19 DISPARITIES IN 701 00:31:06,120 --> 00:31:08,240 WHICH WE ACTUALLY TAKE ON THE 702 00:31:08,240 --> 00:31:09,760 SOCIAL DETERMINANTS OF HEALTH. 703 00:31:09,760 --> 00:31:11,600 THE ENVIRONMENT, THE BUILT 704 00:31:11,600 --> 00:31:15,480 ENVIRONMENT AND USE INTEGRATED 705 00:31:15,480 --> 00:31:17,040 ASSESSMENTS TO IDENTIFY LOCAL 706 00:31:17,040 --> 00:31:19,400 RESEARCH NEEDS TO LEVERAGE 707 00:31:19,400 --> 00:31:25,160 COMMUNITY PROGRAMS, TO REACH THE 708 00:31:25,160 --> 00:31:26,680 MOST VULNERABLE PROMOTE INCLUDES 709 00:31:26,680 --> 00:31:29,040 PARTICIPATION IN THESE 710 00:31:29,040 --> 00:31:30,240 ADAPTATIONS THAT AVENGHT 711 00:31:30,240 --> 00:31:31,440 COMMUNITIES AND PROMOTE 712 00:31:31,440 --> 00:31:34,960 ADHERENCE AND TIPS AND RESOURCES 713 00:31:34,960 --> 00:31:36,840 ABOUT HOW TO MITIGATE THE IMPACT 714 00:31:36,840 --> 00:31:38,600 OF CLIMATE CHANGE IN THESE 715 00:31:38,600 --> 00:31:44,520 COMMUNITIES. 716 00:31:44,520 --> 00:31:45,360 NEXT SLIDE, PLOAZ. 717 00:31:45,360 --> 00:31:46,360 AND FINALLY, I THINK THIS WILL 718 00:31:46,360 --> 00:31:47,880 BE AN OPPORTUNITY TO FURTHER 719 00:31:47,880 --> 00:31:51,120 EXPAND OUR DATA RESOURCES 720 00:31:51,120 --> 00:31:53,640 LEVERAGING PARTNERSHIPS TO 721 00:31:53,640 --> 00:31:55,960 BETTER INFORM PUBLIC HEALTH, NOT 722 00:31:55,960 --> 00:31:56,920 ONLY THE SURVEILLANCE AND 723 00:31:56,920 --> 00:32:00,760 IDENTIFICATION OF THOSE HOT 724 00:32:00,760 --> 00:32:02,520 SPOTS LITERALLY AND FIGURATIVELY 725 00:32:02,520 --> 00:32:15,040 THAT ARE IMPACTED BY CLIMATE 726 00:32:15,040 --> 00:32:16,680 CHANGE IN THE FACTORS AND IMPACT 727 00:32:16,680 --> 00:32:30,320 BUT ALSO IN THE CLIMATE STUDY 728 00:32:30,320 --> 00:32:34,440 AND THEN BEING ABLE TO ADDRESS 729 00:32:34,440 --> 00:32:35,960 THE TRAJECTORY OF HEALTH 730 00:32:35,960 --> 00:32:37,040 OUTCOMES THAT MAY BE PART OF 731 00:32:37,040 --> 00:32:38,680 THAT EXPOSURE AND THIS IS AN 732 00:32:38,680 --> 00:32:39,640 OPPORTUNITY TO INTEGRATE A 733 00:32:39,640 --> 00:32:43,440 VARIETY OF DATA SOURCES, DATA 734 00:32:43,440 --> 00:32:44,560 PIPES, WHETHER IT'S SATELLITE 735 00:32:44,560 --> 00:32:51,600 DATA FROM NASA DIAGONALS US 736 00:32:51,600 --> 00:32:54,480 ABOUT CLIMATOLOGY OR THE SENSORS 737 00:32:54,480 --> 00:32:57,240 OR THE EPA SENSORS THAT ARE 738 00:32:57,240 --> 00:32:58,440 TELLING US ABOUT PARTICULAR 739 00:32:58,440 --> 00:33:00,600 MATTER AND VARIOUS EXPOSURES 740 00:33:00,600 --> 00:33:02,760 FROM THE ENVIRONMENT OR GIS DATA 741 00:33:02,760 --> 00:33:05,480 THAT'S TELLING US SOMETHING 742 00:33:05,480 --> 00:33:08,080 ABOUT THE VULNERABILITY OF 743 00:33:08,080 --> 00:33:09,240 PARTICULAR COMMUNITIES. 744 00:33:09,240 --> 00:33:11,120 THE CAPACITY OF MOBILE AND 745 00:33:11,120 --> 00:33:13,640 PERSONAL SENSOR DATA TO PICK UP 746 00:33:13,640 --> 00:33:16,000 THINGS LITERALLY AT THAT LOCAL 747 00:33:16,000 --> 00:33:18,840 LEVEL, THAT PERSONAL LEVEL OF 748 00:33:18,840 --> 00:33:21,880 EXPOSURE, AND RESPONSE TO THE 749 00:33:21,880 --> 00:33:23,480 ENVIRONMENT THAT COULD BE 750 00:33:23,480 --> 00:33:24,800 LEVERAGED IN THIS CONTEXT AS 751 00:33:24,800 --> 00:33:34,040 WELL AS OTHER SYSTEMS OF 752 00:33:34,040 --> 00:33:35,960 INFORMATION AT DAILY BASIS THEA 753 00:33:35,960 --> 00:33:37,800 HEALTH AND RESOURCE AND SCALE 754 00:33:37,800 --> 00:33:39,760 AND DEPTH AND GRANULARITY SO 755 00:33:39,760 --> 00:33:42,200 THIS IS A CHALLENGE OF DATA 756 00:33:42,200 --> 00:33:46,160 IMMIGRATION AND HARMONIZATION 757 00:33:46,160 --> 00:33:47,680 AND SHARINGING IN A WAY THAT NOT 758 00:33:47,680 --> 00:33:49,240 ONLY TRACKS THE PROBLEM BUT 759 00:33:49,240 --> 00:33:54,320 HOPEFULLY PROVIDES A PATHWAY TO 760 00:33:54,320 --> 00:33:56,960 ASSESS OUR INTERVENTIONS TO 761 00:33:56,960 --> 00:33:57,240 MITIGATE. 762 00:33:57,240 --> 00:33:58,240 NEXT SLIDE, PLEASE SO WE SEE 763 00:33:58,240 --> 00:34:05,880 THIS AS A FURTHER EXTENSION OF 764 00:34:05,880 --> 00:34:07,040 THE NHLBI RESOURCE BIODATA 765 00:34:07,040 --> 00:34:08,800 CATALYST THAT SHOULD BE 766 00:34:08,800 --> 00:34:09,800 INTEROPERABILITY AND CONNECT 767 00:34:09,800 --> 00:34:12,040 WITH THESE DIFFERENT ELEMENTS 768 00:34:12,040 --> 00:34:16,720 AND DIFFERENT DATA TYPES, DATA 769 00:34:16,720 --> 00:34:18,120 SOURCES WHETHER THAT'S 770 00:34:18,120 --> 00:34:22,200 ENVIRONMENTAL ELEMENTS, OTHER 771 00:34:22,200 --> 00:34:23,680 COHORTS, AND ALL THESE DIFFERENT 772 00:34:23,680 --> 00:34:26,720 DATA TYPES IN AN INTEGRATIVE WAY 773 00:34:26,720 --> 00:34:30,640 WITH CROSS DISCIPLINARY TEAMS 774 00:34:30,640 --> 00:34:32,760 NECESSARY TO ANALYZE THAT DATA 775 00:34:32,760 --> 00:34:35,840 AND TO TRANSLATE THE CLIMATE 776 00:34:35,840 --> 00:34:37,920 DRIVERS, THE EXPOSURE PATHWAYS 777 00:34:37,920 --> 00:34:41,240 AND HEALTH EFFECTS IN A 778 00:34:41,240 --> 00:34:42,400 WHOLISTIC AND INTEGRATED FASHION 779 00:34:42,400 --> 00:34:44,800 THAT WILL BE A CHALLENGE BUT 780 00:34:44,800 --> 00:34:47,000 THAT'S THE OPPORTUNITY, I THINK 781 00:34:47,000 --> 00:34:49,040 THAT THIS NEW INITIATIVE HOLDS 782 00:34:49,040 --> 00:34:52,000 FOR US ACROSS NIH DRAWING UPON 783 00:34:52,000 --> 00:34:55,400 THAT EXPERTISE AT NIH, AS WELL 784 00:34:55,400 --> 00:34:59,080 AS OTHER FIELDS SUCH AS THE 785 00:34:59,080 --> 00:35:00,160 CLIMBATTOLOGY AND ENVIRONMENTAL 786 00:35:00,160 --> 00:35:05,360 EXPERTS, NEXT SLIDE, PLEASE. 787 00:35:05,360 --> 00:35:07,240 SO THIS WAS IN MANY WAYS 788 00:35:07,240 --> 00:35:12,320 HOPEFULLY A SET UP TO OUR GUEST 789 00:35:12,320 --> 00:35:19,000 SPEAKER DR. RICK WOYCHIK, BEING 790 00:35:19,000 --> 00:35:21,240 THE LEAD IC OF THIS TRANSNIH 791 00:35:21,240 --> 00:35:23,800 EFFORT IN WHICH WE HOPE TO 792 00:35:23,800 --> 00:35:27,240 ENGAGE DIVERSE COMMUNITIES, 793 00:35:27,240 --> 00:35:29,400 FOSTER DIVERSE PARTNERSHIPS, 794 00:35:29,400 --> 00:35:30,600 EXPAND CLIMATE AND HEALTH 795 00:35:30,600 --> 00:35:32,360 INDICATORS IN OUR COHORT 796 00:35:32,360 --> 00:35:34,560 STUDIES, LEVERAGE AND EXPAND 797 00:35:34,560 --> 00:35:36,240 EXISTING RESOURCES, SUCH AS 798 00:35:36,240 --> 00:35:40,560 THOSE FOR OUR BIG DATA AND 799 00:35:40,560 --> 00:35:41,520 DEVELOP MULTIDISCIPLINARY 800 00:35:41,520 --> 00:35:43,880 WORKFORCE TO EXPLORE THIS DATA 801 00:35:43,880 --> 00:35:47,000 AND DEVELOP INNOVATIVE SOLUTIONS 802 00:35:47,000 --> 00:35:49,320 AND ADAPTIVE STRATEGIES. 803 00:35:49,320 --> 00:35:49,920 NEXT SLIDE, PLEASE. 804 00:35:49,920 --> 00:35:52,600 AND WITH THAT, I SAY THANK YOU 805 00:35:52,600 --> 00:35:55,880 FOR YOUR ATTENTION AND 806 00:35:55,880 --> 00:35:57,040 APPRECIATE THE STRATEGIC 807 00:35:57,040 --> 00:35:59,200 GUIDANCE OF OUR ADVISORY COUNCIL 808 00:35:59,200 --> 00:36:01,200 AS WE LOOK FORWARD TO THE 809 00:36:01,200 --> 00:36:04,600 INITIATIVES TODAY AS WELL AS 810 00:36:04,600 --> 00:36:06,600 THESE NEW OPPORTUNITIES TO ON 811 00:36:06,600 --> 00:36:08,880 THE HORIZON, SUCH AS ADDRESSING 812 00:36:08,880 --> 00:36:12,280 CLIMATE CHANGE AND HEALTH. 813 00:36:12,280 --> 00:36:12,880 THANK YOU. 814 00:36:12,880 --> 00:36:14,520 >> THANK YOU DR. GIBBONS. 815 00:36:14,520 --> 00:36:17,040 DOES ANYBODY HAVE ANY QUESTIONS 816 00:36:17,040 --> 00:36:19,360 FOR DR. GIBBONS OR SOME COMMENTS 817 00:36:19,360 --> 00:36:21,600 THAT THEY WOULD PERHAPS LIKE TO 818 00:36:21,600 --> 00:36:22,160 MAKE? 819 00:36:22,160 --> 00:36:25,720 >>WE HAVE A COMMENT FROM JEN, 820 00:36:25,720 --> 00:36:28,920 VERY EXCITING THANK YOU. 821 00:36:28,920 --> 00:36:30,680 SO, IT'S ALWAYS HARD TO BE THE 822 00:36:30,680 --> 00:36:34,440 FIRST SPEAKER AFTER LUNCH. 823 00:36:34,440 --> 00:36:37,040 WELL, I BELIEVE THAT OUR NEXT 824 00:36:37,040 --> 00:36:39,880 SPEAKER IS HERE. 825 00:36:39,880 --> 00:36:41,960 SO I'M GOING TO GO AHEAD AND 826 00:36:41,960 --> 00:36:44,840 INTRODUCE HIM, DR. RICK WOYCHIK 827 00:36:44,840 --> 00:36:46,400 IS THE DIRECTOR OF NATIONAL 828 00:36:46,400 --> 00:36:47,760 INSTITUTE OF ENVIRONMENTAL 829 00:36:47,760 --> 00:36:49,720 HEALTH SCIENCES AND THEN THE 830 00:36:49,720 --> 00:36:51,120 NATIONAL TOXICOLOGY PROGRAM. 831 00:36:51,120 --> 00:36:52,200 HE'S A MOLECULAR GENETICIST WITH 832 00:36:52,200 --> 00:36:55,160 A Ph.D. IN MOLECULAR BIOLOGY 833 00:36:55,160 --> 00:36:56,640 FROM CASE WESTERN RESERVE AND A 834 00:36:56,640 --> 00:36:58,040 POST DOCTORAL TRAINING WITH DR. 835 00:36:58,040 --> 00:37:00,160 PHIL EPIGENETIC LITTER AT 836 00:37:00,160 --> 00:37:02,280 HARVARD MEDICAL SCHOOL. 837 00:37:02,280 --> 00:37:16,680 HE SPENT ALMOST 10 YEARS 838 00:37:16,680 --> 00:37:20,040 AT----1997 HE ASSUMED THE ROLE 839 00:37:20,040 --> 00:37:22,040 OF VICE CHAIRMAN FOR PEDIATRICS 840 00:37:22,040 --> 00:37:23,280 AT CASE WESTERN UNIVERSITY. 841 00:37:23,280 --> 00:37:25,080 IN 1998 HE MOVED TO 842 00:37:25,080 --> 00:37:26,800 SAN FRANCISCO OR THE BAY AREA, 843 00:37:26,800 --> 00:37:28,800 ANYWAY, FIRST AS THE HEAD OF THE 844 00:37:28,800 --> 00:37:30,480 PARK DAVIS LABORATORY FOR 845 00:37:30,480 --> 00:37:32,960 MOLECULAR GENETICS AND THEN AS 846 00:37:32,960 --> 00:37:34,840 CHIEF SCIENTIFIC OFFICER AT 847 00:37:34,840 --> 00:37:35,440 LINKS THERAPEUTICS. 848 00:37:35,440 --> 00:37:37,200 HE THEN RETURNED TO ACADEMICS AS 849 00:37:37,200 --> 00:37:39,360 THE PRESIDENT AND CEO OF THE 850 00:37:39,360 --> 00:37:41,760 JACKSON LABORATORY IN AUGUST OF 851 00:37:41,760 --> 00:37:46,520 2002 AND SERVED IN THAT ROLE 852 00:37:46,520 --> 00:37:48,960 UNTIL JANUARY 2011, WHERE HE 853 00:37:48,960 --> 00:37:53,120 THEN CAME TO JOIN NIEHS AS THE 854 00:37:53,120 --> 00:37:53,560 DEPUTY DIRECTOR. 855 00:37:53,560 --> 00:37:56,560 SO PLEASE JOIN ME IN WELCOMING 856 00:37:56,560 --> 00:37:57,360 DR. WOYCHIK, HE'S GOING TO BE 857 00:37:57,360 --> 00:37:58,920 SPEAKING TO US ABOUT CLIMATE 858 00:37:58,920 --> 00:38:04,360 CHANGE AND HEALTH EQUITY, A 859 00:38:04,360 --> 00:38:06,960 STRATEGIC FRAMEWORK TO ENHANCE 860 00:38:06,960 --> 00:38:11,160 SOLUTIONS ACROSS NIH. 861 00:38:11,160 --> 00:38:12,760 WELCOME DR. WOYCHIK? 862 00:38:12,760 --> 00:38:13,600 >> THANK YOU LAUREN. 863 00:38:13,600 --> 00:38:14,640 >> THANK YOU. 864 00:38:14,640 --> 00:38:16,640 >> YES, YES YOU ARE. 865 00:38:16,640 --> 00:38:16,960 >> TERRIFIC. 866 00:38:16,960 --> 00:38:18,360 WELL, THANK YOU FOR THE GREAT 867 00:38:18,360 --> 00:38:21,440 INTRODUCTION AND I WILL--WITH 868 00:38:21,440 --> 00:38:22,640 THE INTRODUCTION FOR THE WHOLE 869 00:38:22,640 --> 00:38:24,120 ISSUE OF CLIMATE CHANGE AND 870 00:38:24,120 --> 00:38:25,800 HEALTH EQUITY, I WILL CONTINUE 871 00:38:25,800 --> 00:38:26,960 ON THIS THEME. 872 00:38:26,960 --> 00:38:28,560 ALTHOUGH THEA THE ONSET I WANT 873 00:38:28,560 --> 00:38:29,400 TO ACKNOWLEDGE RIGHT UP FRONT 874 00:38:29,400 --> 00:38:31,160 THAT I'M GIVING THIS 875 00:38:31,160 --> 00:38:32,400 PRESENTATION ON BEHALF OF 6 876 00:38:32,400 --> 00:38:36,560 OTHER IC DIRECTORS INCLUDING 877 00:38:36,560 --> 00:38:42,360 GARY, DIANNA BIANCHI, JOSH 878 00:38:42,360 --> 00:38:44,120 GORDON, DR. PEREZ-STABLE, AND 879 00:38:44,120 --> 00:38:45,920 DR. ZENC, SO WE HAVE ALL 880 00:38:45,920 --> 00:38:47,560 SELF-ASSEMBLED INTO A GROUP TO 881 00:38:47,560 --> 00:38:49,040 PROVIDE LEADERSHIP THAT REALLY 882 00:38:49,040 --> 00:38:50,800 AIMS TO ADDRESS THE CHALLENGES, 883 00:38:50,800 --> 00:38:52,360 MANY OF THE CHALLENGES THAT GARY 884 00:38:52,360 --> 00:38:54,120 JUST MENTIONED THAT ARE 885 00:38:54,120 --> 00:38:55,160 ASSOCIATED WITH CLIMATE CHANGE 886 00:38:55,160 --> 00:38:55,440 IN HEALTH. 887 00:38:55,440 --> 00:39:17,960 SO LET ME GO ON TO THE NEXT 888 00:39:17,960 --> 00:39:19,320 SLIDE ISSUES PLEASE. 889 00:39:19,320 --> 00:39:22,560 SO PRESIDENT BIDEN HAS ISSUED 2 890 00:39:22,560 --> 00:39:24,360 IMEKATIVE ORDERS TO CHANGE 891 00:39:24,360 --> 00:39:26,560 LIMATE HEALTH AND HUMAN HEALTH. 892 00:39:26,560 --> 00:39:29,360 THE FIRST OF THESE WAS 13990 893 00:39:29,360 --> 00:39:30,320 WHICH INVOLVES PROTECTING PUBLIC 894 00:39:30,320 --> 00:39:33,520 HEALTH AND THE ENVIRONMENT AND 895 00:39:33,520 --> 00:39:35,160 RESTORING SCIENCE TO TACKLE THE 896 00:39:35,160 --> 00:39:36,440 CLIMATE CRISIS. 897 00:39:36,440 --> 00:39:42,680 THE SECOND EXECUTIVE ORDER WAS 898 00:39:42,680 --> 00:39:44,600 14008 WHICH INVOLVES TACKLING 899 00:39:44,600 --> 00:39:46,040 THE CLIMATE CRISIS AT HOME AND 900 00:39:46,040 --> 00:39:46,280 ABROAD. 901 00:39:46,280 --> 00:39:47,600 IT TAKES A GOVERNMENT WIDE 902 00:39:47,600 --> 00:39:49,440 APPROACH TO THE ISSUE OF THE 903 00:39:49,440 --> 00:39:52,280 CLIMATE CRISIS AND IT'S BASED ON 904 00:39:52,280 --> 00:39:54,800 AN ENVIRONMENTAL JUSTICE 905 00:39:54,800 --> 00:39:56,120 FRAMEWORK, SO THIS EXECUTIVE 906 00:39:56,120 --> 00:39:58,960 ORDER ALSO CREATES A WHITE HOUSE 907 00:39:58,960 --> 00:39:59,760 ENVIRONMENTAL JUSTICE 908 00:39:59,760 --> 00:40:00,720 INTERAGENCY COUNCIL AND 909 00:40:00,720 --> 00:40:01,880 ESTABLISHES THE OFFICE OF 910 00:40:01,880 --> 00:40:04,440 CLIMATE CHANGE AND HEALTH EQUITY 911 00:40:04,440 --> 00:40:07,960 AND THAT'S LOCATED WITHIN HHS. 912 00:40:07,960 --> 00:40:09,960 IT ALSO ESTABLISHES THE JUSTICE 913 00:40:09,960 --> 00:40:11,960 40 INIT QUAATIVE THAT MANDATES 914 00:40:11,960 --> 00:40:14,800 THAT FEDERAL INVESTMENTS TO BE 915 00:40:14,800 --> 00:40:15,320 TARGETED TOWARD--FEDERAL 916 00:40:15,320 --> 00:40:19,160 INVESTMENTS SHOULD BE TARGETED 917 00:40:19,160 --> 00:40:21,960 TOWARD THE GOAL THAT 40% OF OVER 918 00:40:21,960 --> 00:40:24,720 ALL BENEFITS OF INVESTING 919 00:40:24,720 --> 00:40:26,760 CLIMATE CHAIMPLE SHOULD FLOW TO 920 00:40:26,760 --> 00:40:27,560 THE DISADVABTAGED COMMUNITIES 921 00:40:27,560 --> 00:40:29,120 THAT GARY WAS TALKING ABOUT IN 922 00:40:29,120 --> 00:40:29,600 HIS PRESENTATION. 923 00:40:29,600 --> 00:40:31,720 SO TO SUPPORT THE EXECUTIVE 924 00:40:31,720 --> 00:40:32,880 ORDERS, THE PRESIDENT, THE HOUSE 925 00:40:32,880 --> 00:40:35,000 AND THE SENATE BUDGET VS ALL 926 00:40:35,000 --> 00:40:37,120 INCLUDED LANGUAGE TO ALLOCATE 927 00:40:37,120 --> 00:40:37,680 $100 MILLION. 928 00:40:37,680 --> 00:40:40,400 WHICH WOULD BE DEDICATED TO 929 00:40:40,400 --> 00:40:41,600 SUPPORT RESEARCH AND CLIMATE 930 00:40:41,600 --> 00:40:45,560 CHANGE AND HEALTH EQUITY. 931 00:40:45,560 --> 00:40:48,160 SO WHILE THE FUNDING WILL BE PUT 932 00:40:48,160 --> 00:40:49,760 INTO THE NIEHS BUDGET, IT'S 933 00:40:49,760 --> 00:40:51,800 CLEAR THIS IS MUCH BIGGER THAN 934 00:40:51,800 --> 00:40:53,760 WHAT ANY 1 IC CAN ACCOMPLISH ON 935 00:40:53,760 --> 00:40:54,960 THEIR OWN, SO THEREFORE WE'RE 936 00:40:54,960 --> 00:40:56,160 TAKING AN APPROACH WHERE THE 937 00:40:56,160 --> 00:40:58,040 HUNDRED MILLION DOLLARS WILL BE 938 00:40:58,040 --> 00:41:00,400 USED TO CATALYZE AN NIH WIDE 939 00:41:00,400 --> 00:41:03,720 RESPONSE TO ADDRESS THE NEEDS 940 00:41:03,720 --> 00:41:05,600 AROUND CLIMATE CHANGE HEALTH AND 941 00:41:05,600 --> 00:41:05,960 HEALTH EQUITY. 942 00:41:05,960 --> 00:41:08,440 SO LET ME HAVE THE NEXT SLIDE 943 00:41:08,440 --> 00:41:09,040 PLEASE. 944 00:41:09,040 --> 00:41:12,880 SO THIS SLIDE, AGAIN BUILDING ON 945 00:41:12,880 --> 00:41:13,920 IN GARY'S PRESENTATION, THIS 946 00:41:13,920 --> 00:41:16,480 SLIDE REALLY SAYS IT ALL IN THE 947 00:41:16,480 --> 00:41:17,520 TOPIC OF CLIMATE CHANGE. 948 00:41:17,520 --> 00:41:18,840 SO WE'RE CLEARLY AT A POINT 949 00:41:18,840 --> 00:41:20,960 WHERE ACCORDING TO THE SECRETARY 950 00:41:20,960 --> 00:41:22,560 GENERAL OF THE UNITED NATIONS WE 951 00:41:22,560 --> 00:41:27,640 ARE EXPERIENCING A CODE RED FOR 952 00:41:27,640 --> 00:41:28,320 HUMANITY. 953 00:41:28,320 --> 00:41:29,440 CLIMATE CHANGE EXACERBATES 954 00:41:29,440 --> 00:41:31,040 CHRONIC AND CONTAGIOUS DISEASES, 955 00:41:31,040 --> 00:41:33,640 IT WORSENS FOOD AND WATER 956 00:41:33,640 --> 00:41:36,320 SHORTAGES, IT INCREASES RISKS OF 957 00:41:36,320 --> 00:41:39,440 PANDEMICS AND IT AGGRAVATES MASS 958 00:41:39,440 --> 00:41:39,760 DISPLACEMENT. 959 00:41:39,760 --> 00:41:41,920 SO WE ARE SEEING AN INCREASE 960 00:41:41,920 --> 00:41:45,000 SEVERITY AND FREQUENCY OF 961 00:41:45,000 --> 00:41:45,760 WEATHER RELATED DISASTERS 962 00:41:45,760 --> 00:41:47,440 LASTING OVER A BILLION DOLLARS. 963 00:41:47,440 --> 00:41:50,960 SO IN 2020 ALONE WE SAW 22 SUCH 964 00:41:50,960 --> 00:41:52,840 EVENTS, COSTING A TOTAL OF 450 965 00:41:52,840 --> 00:41:53,920 BILLION DOLLARS AND WORE AT THE 966 00:41:53,920 --> 00:41:56,000 POINT WHERE WE NEED TO BETTER 967 00:41:56,000 --> 00:41:58,200 UNDERSTAND THE LONG LASTING 968 00:41:58,200 --> 00:42:00,080 HEALTH IMPACTS OF THESE SEVERE 969 00:42:00,080 --> 00:42:03,760 WEATHER EVENTS. 970 00:42:03,760 --> 00:42:04,200 NEXT SLIDE, PLEASE. 971 00:42:04,200 --> 00:42:06,560 AND THESE SEVERE FLOODING, HEAT 972 00:42:06,560 --> 00:42:07,960 WAVES AND EXTREME WEATHER EVENTS 973 00:42:07,960 --> 00:42:09,160 ARE HAPPENING ACROSS THE GLOBE. 974 00:42:09,160 --> 00:42:15,160 WE SAW LAST YEAR THAT CLIMATE 975 00:42:15,160 --> 00:42:18,440 CHANGE DOES NOT GO AWAY AS WE 976 00:42:18,440 --> 00:42:24,560 EXPERIENCED IN OTHER 977 00:42:24,560 --> 00:42:26,280 AREAS--WEATHER EVENTS ARE FELT 978 00:42:26,280 --> 00:42:28,320 MOSTLY BY UNDERRESOURCED AND 979 00:42:28,320 --> 00:42:29,800 MARGINALIZED COMMUNITIES WHICH 980 00:42:29,800 --> 00:42:31,560 IS A VERY IMPORTANT POINT I WANT 981 00:42:31,560 --> 00:42:33,240 TO REINFORCE AND THAT GARY MADE 982 00:42:33,240 --> 00:42:35,560 AS WELL. 983 00:42:35,560 --> 00:42:36,160 NEXT SLIDE. 984 00:42:36,160 --> 00:42:38,840 SO THIS SLIDE ILLUSTRATES THE 985 00:42:38,840 --> 00:42:42,040 ENORMOUS COMPLEXITY ASSOCIATED 986 00:42:42,040 --> 00:42:43,240 WITH HOW CLIMATE IMPACTS HEALTH 987 00:42:43,240 --> 00:42:45,320 OUTCOMES AND SO THE CLIMATE 988 00:42:45,320 --> 00:42:50,440 DRIVERS AT THE TOP AFFECT HEALTH 989 00:42:50,440 --> 00:42:51,440 OUTCOMES DIRECTLY THROUGH 990 00:42:51,440 --> 00:42:56,080 WEATHER EVENTS SUCH AS CREAM 991 00:42:56,080 --> 00:42:57,920 HEAT, WILDFIRES, DROUGHTS, STORM 992 00:42:57,920 --> 00:43:01,400 SURGES OR FLOOD OR HEALTH IMPACT 993 00:43:01,400 --> 00:43:02,400 INCORRECTLY THROUGH EXPOSURE 994 00:43:02,400 --> 00:43:03,800 PATHWAYS SUCH AS AIR AND WATER 995 00:43:03,800 --> 00:43:05,080 QUALITY, FOOD QUALITY AND 996 00:43:05,080 --> 00:43:11,560 INFECTIOUS DISEASES AND MASSIVE 997 00:43:11,560 --> 00:43:13,040 DISPLACEMENT, HUMAN POPULATION 998 00:43:13,040 --> 00:43:14,120 DISPLACEMENT EVENTS. 999 00:43:14,120 --> 00:43:15,920 THESE PATHWAYS THEMSELVES ARE 1000 00:43:15,920 --> 00:43:18,800 INFLUENCE BIDE ENVIRONMENTAL 1001 00:43:18,800 --> 00:43:25,640 CONTEXT, RELATED TO LAND, 1002 00:43:25,640 --> 00:43:26,480 GEOGRAPHY, ECOSYSTEM, 1003 00:43:26,480 --> 00:43:28,200 INFRASTRUCTURE AND AGRICULTURE 1004 00:43:28,200 --> 00:43:29,280 THIS CREATES VULNERABILITY 1005 00:43:29,280 --> 00:43:35,640 BETWEEN LIFE STAGE, GENDER RACE, 1006 00:43:35,640 --> 00:43:37,560 AGE AND CARE. 1007 00:43:37,560 --> 00:43:41,760 SO ANY HEALTH WILL INVOLVE 1008 00:43:41,760 --> 00:43:44,360 INTERDISCIPLINARY FOR HEAT 1009 00:43:44,360 --> 00:43:48,040 RELATED ILLNESS, CARDIO PULL 1010 00:43:48,040 --> 00:43:50,760 MONITORARY ILLNESS, 1011 00:43:50,760 --> 00:43:53,040 PSYCHO-SOCIAL STRESS, FOOD, AND 1012 00:43:53,040 --> 00:43:54,040 VECTOR BORNE DISEASE. 1013 00:43:54,040 --> 00:43:54,560 COMPLICATED ISSUE. 1014 00:43:54,560 --> 00:43:55,680 NEXT SLIDE. 1015 00:43:55,680 --> 00:43:58,000 SO NIEHS HAS BEEN INVOAOF THING 1016 00:43:58,000 --> 00:43:59,080 IN CLIMATE CHANGE AND HEALTH 1017 00:43:59,080 --> 00:44:01,520 RESEARCH FOR OVER A DECADE, WE 1018 00:44:01,520 --> 00:44:02,480 FUNDED GRANTS AREYALATED TO 1019 00:44:02,480 --> 00:44:03,760 CLIMATE CHANGE AND THEY'VE BEEN 1020 00:44:03,760 --> 00:44:06,240 FOCUSED ON THE TYPES OF 1021 00:44:06,240 --> 00:44:07,360 ENVIRONMENTAL EXPOSURES THAT 1022 00:44:07,360 --> 00:44:09,280 RESULT FROM DISASTERS LIKE 1023 00:44:09,280 --> 00:44:09,960 WILDFIRES, FLOODS, HURRICANES 1024 00:44:09,960 --> 00:44:12,480 AND VARIOUS OTHER TYPES OF 1025 00:44:12,480 --> 00:44:13,160 EXTREME WEATHER EVENTS. 1026 00:44:13,160 --> 00:44:17,280 AS WE'VE ALSO SUPPORTED RESEARCH 1027 00:44:17,280 --> 00:44:18,440 ON THE RESPIRATORY, 1028 00:44:18,440 --> 00:44:19,960 CARDIOVASCULAR AND COGNITIVE 1029 00:44:19,960 --> 00:44:21,720 HEALTH RELATED EFFECTS CAUSED BY 1030 00:44:21,720 --> 00:44:22,840 CLIMATE CHANGE. 1031 00:44:22,840 --> 00:44:24,600 AS I JUST MENTIONED THE PROBLEM 1032 00:44:24,600 --> 00:44:27,240 IS BIGGER THAN JUST WHAT 1 IC AT 1033 00:44:27,240 --> 00:44:30,560 THE NIH CAN DO. 1034 00:44:30,560 --> 00:44:33,080 CLIMATE CHANGE GREATLY ELEVATES 1035 00:44:33,080 --> 00:44:35,160 THREATS TO HUMANS ACROSS A WIDE 1036 00:44:35,160 --> 00:44:37,720 RANGE OF ILLNESSES, AND THESE 1037 00:44:37,720 --> 00:44:40,200 RANGE FROM ASTHMA, AND 1038 00:44:40,200 --> 00:44:40,800 RESPIRATORY DISEASES, CANCER, 1039 00:44:40,800 --> 00:44:43,800 CARDIO VASCULARY DISEASES AND 1040 00:44:43,800 --> 00:44:44,920 STROKE, CHILDREN'S HEALTH, 1041 00:44:44,920 --> 00:44:46,160 HEALTH DISPARITIES, ALL THE WAY 1042 00:44:46,160 --> 00:44:48,680 TO MENTAL HEALTH AND 1043 00:44:48,680 --> 00:44:49,720 NEUROLOGICAL DISORDERS AND 1044 00:44:49,720 --> 00:44:51,080 EXTREME WEATHER RELATED 1045 00:44:51,080 --> 00:44:51,960 MORBIDITY AND MORTALITY AND IT'S 1046 00:44:51,960 --> 00:44:55,760 HAPPENING ON A GLOBAL SCALE. 1047 00:44:55,760 --> 00:44:57,400 SO THEREFORE I'VE BEEN WORKING 1048 00:44:57,400 --> 00:44:59,080 TOGETHER WITH GARY AND 6 OTHER 1049 00:44:59,080 --> 00:45:00,480 IC DIRECTORS I MENTIONED EARLIER 1050 00:45:00,480 --> 00:45:01,680 AND TOGETHER WE HAVE FORMED WHAT 1051 00:45:01,680 --> 00:45:03,680 WE ARE CALLING THE EXECUTIVE 1052 00:45:03,680 --> 00:45:05,160 COMMITTEE ON CLIMATE CHANGE AND 1053 00:45:05,160 --> 00:45:05,400 HEALTH. 1054 00:45:05,400 --> 00:45:08,160 SO WHILE I'M SHARING THE 1055 00:45:08,160 --> 00:45:09,760 EXECUTIVE COMMITTEE, I EXPECT TO 1056 00:45:09,760 --> 00:45:12,000 BE WORKING TOGETHER WITH GARY 1057 00:45:12,000 --> 00:45:14,280 AND OTHER IC DIRECTORS FOR THE 1058 00:45:14,280 --> 00:45:15,760 LEADERSHIP AND HEALTH INITIATIVE 1059 00:45:15,760 --> 00:45:17,840 ACROSS THE NIRE H. 1060 00:45:17,840 --> 00:45:19,760 THE EXECUTIVE COMMITTEE HAS 1061 00:45:19,760 --> 00:45:21,360 REENERGIZED A LONG STANDING 1062 00:45:21,360 --> 00:45:22,360 WORKING GROUP WITH 100 MEMBERS 1063 00:45:22,360 --> 00:45:24,040 ACROSS THE INSTITUTES AND 1064 00:45:24,040 --> 00:45:25,280 CENTERS AT THE NIH. 1065 00:45:25,280 --> 00:45:29,360 SO THE WORKING GROUP IS 1066 00:45:29,360 --> 00:45:32,440 CURLENIENT CO CHAIRED BY AWBRY 1067 00:45:32,440 --> 00:45:34,480 MILLER AND JOSH ROSENTHAL AT 1068 00:45:34,480 --> 00:45:35,840 FOGARTY INTERNATIONAL WILL. 1069 00:45:35,840 --> 00:45:37,960 THERE'S ALSO A STEERING 1070 00:45:37,960 --> 00:45:39,760 COMMITTEE GROUP WITH, POINTEES 1071 00:45:39,760 --> 00:45:41,360 FROM THE ICs REPRESENTED ON 1072 00:45:41,360 --> 00:45:42,160 THE EXECUTIVE COMMITTEE. 1073 00:45:42,160 --> 00:45:43,760 SO THE STEERING COMMITTEE IS, 1074 00:45:43,760 --> 00:45:47,840 WOOING WITH DRS. MILLER AND 1075 00:45:47,840 --> 00:45:50,560 RESOURCESSEN 1076 00:45:50,560 --> 00:45:52,880 ROSENTHALL, TO WORK ON THOSE AND 1077 00:45:52,880 --> 00:45:53,680 ACHIEVE. 1078 00:45:53,680 --> 00:45:55,440 AND OUR OWN GWIN COLEMAN AND 1079 00:45:55,440 --> 00:45:56,760 PROVIDING THE MUCH NEEDED 1080 00:45:56,760 --> 00:45:59,840 CENTRAL ACCORD NATION TO KEEP 1081 00:45:59,840 --> 00:46:03,960 ALL MOVING PARTS WORKING IN 1082 00:46:03,960 --> 00:46:05,560 SYNCHRONY, GWEN IS JOINING US 1083 00:46:05,560 --> 00:46:07,040 TODAY AND SHE IS ON THE PANEL 1084 00:46:07,040 --> 00:46:08,120 TODAY AND WILL BE AVAILABLE TO 1085 00:46:08,120 --> 00:46:09,880 HELP ADDRESS AND QUESTIONS OR 1086 00:46:09,880 --> 00:46:11,600 LISTEN TO ANY COMMENTS YOU MAY 1087 00:46:11,600 --> 00:46:13,520 HAVE. 1088 00:46:13,520 --> 00:46:14,200 NEXT SLIDE, PLEASE. 1089 00:46:14,200 --> 00:46:15,840 SO 1 OF THE FIRST THINGS THE 1090 00:46:15,840 --> 00:46:17,280 WORKING GROUP DID LAST SUMMER 1091 00:46:17,280 --> 00:46:19,160 WAS TO CONDUCT A PORTFOLIO 1092 00:46:19,160 --> 00:46:21,160 ANALYSIS OF OUR FUNDING PROFILE 1093 00:46:21,160 --> 00:46:22,920 FOR THE WORK RELATED TO CLIMATE 1094 00:46:22,920 --> 00:46:24,840 CHANGE AND HEALTH ACROSS THE 1095 00:46:24,840 --> 00:46:25,000 NIH. 1096 00:46:25,000 --> 00:46:26,640 SO THE FIRST PASS ANALYSIS 1097 00:46:26,640 --> 00:46:31,000 REVEALED THAT WE'RE ABOUT 350 1098 00:46:31,000 --> 00:46:34,160 GRANTS FUNDED FROM 2011 TO 2020. 1099 00:46:34,160 --> 00:46:36,640 AND WHILE IT WAS CLEAR THAT THE 1100 00:46:36,640 --> 00:46:39,640 VAST MAJORITY OF THE AWARDS WERE 1101 00:46:39,640 --> 00:46:42,120 MADE BY NIEHS, THERE WERE ALSO 1102 00:46:42,120 --> 00:46:44,800 21 OTHER ICTHAT IS HELPED WITH 1103 00:46:44,800 --> 00:46:46,520 RESEARCH AND CAPACITY BUILDING 1104 00:46:46,520 --> 00:46:48,040 PRONG ELECTRIC LIGHTINGS. 1105 00:46:48,040 --> 00:46:49,680 NIAID WAS NEXT HIGHEST IN THE 1106 00:46:49,680 --> 00:46:51,160 NUMBER OF GRANDS WITH 45 AND 1107 00:46:51,160 --> 00:46:55,560 FOGARTY WITH 32 AND NICHD AT 29. 1108 00:46:55,560 --> 00:46:59,800 I SEE ALSO THAT HL IT WAS IN THE 1109 00:46:59,800 --> 00:47:02,520 GAME WITH 10, BUT I WONDER IF 1110 00:47:02,520 --> 00:47:03,600 WE'RE UNDERCOUNTING THIS BASED 1111 00:47:03,600 --> 00:47:05,440 ON THE PRESENTATION THAT GARI 1112 00:47:05,440 --> 00:47:05,760 JUST GAVE. 1113 00:47:05,760 --> 00:47:07,960 SO WE'LL HAVE TO TAKE A LOOK AT 1114 00:47:07,960 --> 00:47:09,400 THAT BUT NEVERTHELESS, IT'S GOOD 1115 00:47:09,400 --> 00:47:11,600 TO SEE THAT HEART LUNG BLOOD IS 1116 00:47:11,600 --> 00:47:13,440 VERY INTERESTED IN THIS WHOLE 1117 00:47:13,440 --> 00:47:16,200 TOPIC AREA. 1118 00:47:16,200 --> 00:47:17,200 NEXT SLIDE. 1119 00:47:17,200 --> 00:47:20,360 SO USING THE RCDC, THE, WARDS 1120 00:47:20,360 --> 00:47:22,640 OVER THE PAST 10 YEARS WERE 1121 00:47:22,640 --> 00:47:34,960 ORGANIZED BY EXPOSURES, 1122 00:47:34,960 --> 00:47:35,760 OUTCOMES, METHODS AND--ALL THE 1123 00:47:35,760 --> 00:47:38,200 WAY TO FIRE AND WILDFIRE AND ON 1124 00:47:38,200 --> 00:47:39,280 THE RIGHT WE FUNDED AWARDS WITH 1125 00:47:39,280 --> 00:47:42,080 A VARIETY OF HEALTH OUTCOMES 1126 00:47:42,080 --> 00:47:43,360 RANGING FROM RESPIRATORY TO 1127 00:47:43,360 --> 00:47:46,000 MATERNAL HEALTH TO HEAT STRESS 1128 00:47:46,000 --> 00:47:47,960 AND DENGUE, SO THESE WERE JUST 1129 00:47:47,960 --> 00:47:50,760 THE TOP OUTCOME CONCEPTS IN THE 1130 00:47:50,760 --> 00:47:52,760 AWARDS FUNDED OVER THE PAST 10 1131 00:47:52,760 --> 00:47:55,160 YEARS. 1132 00:47:55,160 --> 00:47:55,720 NEXT SLIDE, PLEASE. 1133 00:47:55,720 --> 00:47:57,840 SO AS WE STARTED DEVELOPING OUR 1134 00:47:57,840 --> 00:47:59,120 PLANS, THE STEERING COMMITTEE 1135 00:47:59,120 --> 00:48:01,360 ISSUED A REQUEST FOR INFORMATION 1136 00:48:01,360 --> 00:48:03,080 LAST AUGUST, AND THE PURPOSE WAS 1137 00:48:03,080 --> 00:48:04,280 TO GATHER BROAD INPUT ON THE 1138 00:48:04,280 --> 00:48:05,800 APPROACHES THAT THE NIH COULD 1139 00:48:05,800 --> 00:48:09,160 TAKE TO ENHANCE RESEARCH ON THE 1140 00:48:09,160 --> 00:48:09,800 HEALTH IMPLICATIONS OF CLIMATE 1141 00:48:09,800 --> 00:48:11,560 CHANGE IN THE UNITED STATES AND 1142 00:48:11,560 --> 00:48:12,560 AROUND THE WORLD. 1143 00:48:12,560 --> 00:48:14,240 SO RESPONSES WERE SUBMITTED TO 1144 00:48:14,240 --> 00:48:16,880 THE NIH BY E-MAIL AND THEY WERE 1145 00:48:16,880 --> 00:48:19,560 DUE BY MIDSEPTEMBER ASK AND WE 1146 00:48:19,560 --> 00:48:21,440 WERE REALLY IMPRESSED. 1147 00:48:21,440 --> 00:48:23,400 A TOTAL OF 184 DIFFERENT 1148 00:48:23,400 --> 00:48:27,440 RESPONSES WERE RECEIVED, WITH 1149 00:48:27,440 --> 00:48:30,960 SUBSTANDIVE INPUT, RANGING FROM 1150 00:48:30,960 --> 00:48:33,920 ORGANIZATIONS THAT WERE ACADEMIC 1151 00:48:33,920 --> 00:48:35,160 INSTITUTIONS, PROFESSIONAL 1152 00:48:35,160 --> 00:48:36,480 SOCIETIES, GOVERNMENT AGENCIES, 1153 00:48:36,480 --> 00:48:38,640 NGOs, AND MANY OTHERS. 1154 00:48:38,640 --> 00:48:41,640 THE SUBMISSIONS WERE CODED ALONG 1155 00:48:41,640 --> 00:48:43,080 THE LINES OF 6 CLIMATE CHANGE 1156 00:48:43,080 --> 00:48:46,240 AND HEALTH PRIORITY AREAS. 1157 00:48:46,240 --> 00:48:47,560 ONE BEING INNOVATIVE RESEARCH, 1158 00:48:47,560 --> 00:48:50,440 ANOTHER BEING TRANSLATION AND 1159 00:48:50,440 --> 00:48:51,160 DISSEMINATION, SCIENTIFIC 1160 00:48:51,160 --> 00:48:53,040 INFRASTRUCTURE WAS THE THIRD, 1161 00:48:53,040 --> 00:48:54,800 DIVERSE WORKFORCE, PARTNERSHIPS 1162 00:48:54,800 --> 00:48:56,720 TO ADDRESS ENVIRONMENTAL JUSTICE 1163 00:48:56,720 --> 00:49:01,160 AND RESILIENCE, AS WELL AS RAPID 1164 00:49:01,160 --> 00:49:01,720 RESEARCH RESPONSE CAPACITY. 1165 00:49:01,720 --> 00:49:04,200 SO MOST OF THE RESPONSES WERE IN 1166 00:49:04,200 --> 00:49:05,880 THE INNOVATIVE RESEARCH CATEGORY 1167 00:49:05,880 --> 00:49:09,320 AND THE RESPONSES WERE ALSO 1168 00:49:09,320 --> 00:49:13,920 IDENTIFIED WITH SUBTHEMES SUCH 1169 00:49:13,920 --> 00:49:14,960 AS MULTIDISCIPLINARY, 1170 00:49:14,960 --> 00:49:16,040 TRANSDISCIPLINARY PLINARY 1171 00:49:16,040 --> 00:49:18,760 RESEARCH, TRAINING, DIVERSITY 1172 00:49:18,760 --> 00:49:20,800 AND IONIZATION CLIEWGZ, 1173 00:49:20,800 --> 00:49:21,640 IMPLEMENTATION SCIENCE, COHORT 1174 00:49:21,640 --> 00:49:24,680 STUDIES AND BIG DATA. 1175 00:49:24,680 --> 00:49:25,640 NEXT SLIDE, PLEASE. 1176 00:49:25,640 --> 00:49:28,360 SO WHAT WOULD BE IMPORTANT IN 1177 00:49:28,360 --> 00:49:30,200 ANY PLAN TO EXECUTE ON CLIMATE 1178 00:49:30,200 --> 00:49:33,280 CHANGE AND HEALTH WILL BE THE 1179 00:49:33,280 --> 00:49:35,120 RECOGNITION THAT CLIMATE CHANGE 1180 00:49:35,120 --> 00:49:38,280 DOESN'T AFFECT EVERYONE EQUALLY, 1181 00:49:38,280 --> 00:49:40,560 AGAIN THIS IS BUILDING ON GARY'S 1182 00:49:40,560 --> 00:49:44,360 PRESENTATION WHERE IT CLEARLY 1183 00:49:44,360 --> 00:49:45,320 DOESN'T AFFECT EVERYONE EQUALLY. 1184 00:49:45,320 --> 00:49:47,400 WE WILL NEED TO RECOGNIZE THAT 1185 00:49:47,400 --> 00:49:49,920 USHED RESOURCED AND MARGINALIZED 1186 00:49:49,920 --> 00:49:50,880 POPPULESS LIKE SOME COMMUNITIES 1187 00:49:50,880 --> 00:49:52,080 OF COLOR, HAVE YOU POPULATIONS 1188 00:49:52,080 --> 00:49:53,880 WITH LOW INCOME AND LOW 1189 00:49:53,880 --> 00:49:56,600 EDUCATIONAL ASTAINMENT AS WELL 1190 00:49:56,600 --> 00:49:58,160 AS IMMIGRANT GROUPS INCLUDING 1191 00:49:58,160 --> 00:50:00,560 THOSE WITH LIMITED ENGLISH 1192 00:50:00,560 --> 00:50:03,080 PROFICIENCY, MANY INDIGENOUS 1193 00:50:03,080 --> 00:50:04,240 POPULATIONS, EXPOSED FARM AND 1194 00:50:04,240 --> 00:50:05,680 CONSTRUCTION WORKERS, AND 1195 00:50:05,680 --> 00:50:06,160 PERSONS WITH DISABILITY. 1196 00:50:06,160 --> 00:50:10,720 THESE ARE ALL POPULATIONS 1197 00:50:10,720 --> 00:50:11,960 ESPECIALLY IMPACTED BY CLIMATE 1198 00:50:11,960 --> 00:50:12,360 CHANGE. 1199 00:50:12,360 --> 00:50:13,760 AS GARY MENTIONED WE ALSO NEED 1200 00:50:13,760 --> 00:50:19,280 TO RECOGNIZE THAT THE FETUS, 1201 00:50:19,280 --> 00:50:20,280 INFANTS, YOUNG CHILDREN, 1202 00:50:20,280 --> 00:50:21,960 PREGNANT WOMEN AND THOSE IN 1203 00:50:21,960 --> 00:50:23,360 VULNERABLE LIFE STAGES OR THOSE 1204 00:50:23,360 --> 00:50:25,160 WITH CHRONIC MEDICAL CONDITIONS, 1205 00:50:25,160 --> 00:50:26,720 THEY ARE ALSO ESPECIALLY 1206 00:50:26,720 --> 00:50:27,880 IMPAICTED BY CLIMATE CHANGE AND 1207 00:50:27,880 --> 00:50:29,840 WE HAVE TO RECOGNIZE THAT 1208 00:50:29,840 --> 00:50:32,280 POPULATIONS IN LOW AND MIDDLE 1209 00:50:32,280 --> 00:50:33,240 INCOME COUNTRIES ARE AT 1210 00:50:33,240 --> 00:50:34,960 INCREASED RISK FOR THE IMPACT OF 1211 00:50:34,960 --> 00:50:36,840 CLIMB AT CHANGE DUE TO THE 1212 00:50:36,840 --> 00:50:40,440 HIGHER RATES OF EXISTING 1213 00:50:40,440 --> 00:50:41,400 DISEASES, MALNUTRITION AND 1214 00:50:41,400 --> 00:50:44,840 EXTREME POVERTY. 1215 00:50:44,840 --> 00:50:46,160 NEXT SLIDE, PLEASE. 1216 00:50:46,160 --> 00:50:47,800 AS A FITTER FIRST STEP IN 1217 00:50:47,800 --> 00:50:49,200 GETTING OUR HEADS AROUND CLIMATE 1218 00:50:49,200 --> 00:50:50,600 CHANGE AND HEALTH RESEARCH, 1219 00:50:50,600 --> 00:50:52,320 STAFF ACROSS THE NIH ON THE 1220 00:50:52,320 --> 00:50:53,440 WORKING GROUP GENERATED A LIST 1221 00:50:53,440 --> 00:50:54,960 OF RESEARCH PROJECTS THAT THEY 1222 00:50:54,960 --> 00:50:57,120 ENVISION WILL BE INCLUDED IN AN 1223 00:50:57,120 --> 00:50:59,440 NIH WIDE FRAMEWORK FOR CLIMATE 1224 00:50:59,440 --> 00:51:00,200 CHANGE AND HEALTH RESEARCH. 1225 00:51:00,200 --> 00:51:01,760 SO THERE'S A WHOLE LIST OF 1226 00:51:01,760 --> 00:51:04,840 THINGS HERE, AND THE LIST 1227 00:51:04,840 --> 00:51:06,760 INCLUDES DEVELOPING PREDICTING 1228 00:51:06,760 --> 00:51:09,160 MODELS OF EXTREME WEATHER 1229 00:51:09,160 --> 00:51:09,760 EVENTS. 1230 00:51:09,760 --> 00:51:12,320 DEVELOPING A PREDICTIVE MODELS 1231 00:51:12,320 --> 00:51:19,000 BASED ON ACCESS TO HELT CARE 1232 00:51:19,000 --> 00:51:20,560 SERVICES, TRAINING TO RESPONSES 1233 00:51:20,560 --> 00:51:23,160 IN AFRICA TO INFECTIOUS AND 1234 00:51:23,160 --> 00:51:26,560 EMERGING DISEASES, ANOTHER COULD 1235 00:51:26,560 --> 00:51:28,240 BE DETERMINING RISKS OF RISKS IN 1236 00:51:28,240 --> 00:51:28,560 COMMUNITIES. 1237 00:51:28,560 --> 00:51:30,200 ANOTHER COULD BE USING 1238 00:51:30,200 --> 00:51:31,840 IMPLEMENTATION SCIENCE TO INSURE 1239 00:51:31,840 --> 00:51:33,240 HEALTH EQUITY AND FLOOD 1240 00:51:33,240 --> 00:51:33,560 INTERVENTIONS. 1241 00:51:33,560 --> 00:51:35,840 ACCOUNTED BE STUDIES USING 1242 00:51:35,840 --> 00:51:38,240 COMPUTATIONAL MODELING OF 1243 00:51:38,240 --> 00:51:39,600 CLIMATE AND RESPIRATORY DYNAMICS 1244 00:51:39,600 --> 00:51:40,520 ACROSS THE UNITED STATES, 1245 00:51:40,520 --> 00:51:42,720 ANOTHER COULD BE DEVELOPING THE 1246 00:51:42,720 --> 00:51:44,720 MEASURES OF LONGITUDINAL CLIMATE 1247 00:51:44,720 --> 00:51:46,600 MEDIATED CLINICAL CHANGE IN 1248 00:51:46,600 --> 00:51:47,520 MINORITY POPULATIONS. 1249 00:51:47,520 --> 00:51:49,080 OTHERS COULD INVOLVE STUDYING 1250 00:51:49,080 --> 00:51:50,760 THE INFLUENCE EVER CLIMATE 1251 00:51:50,760 --> 00:51:54,680 CHANGE ON DEPRESSION OR AN 1252 00:51:54,680 --> 00:51:57,240 ADVANCING WAYS TO REDUCE LIMATE 1253 00:51:57,240 --> 00:51:58,760 SUICIDE IN INDIGENOUS GROUPS. 1254 00:51:58,760 --> 00:52:00,760 OF COURSE CONDUCTING BASIC AND 1255 00:52:00,760 --> 00:52:02,600 NECKANISTIC STUDIES TO BETTER 1256 00:52:02,600 --> 00:52:04,200 UNDERSTAND HOW HEALTH EXPOSURES 1257 00:52:04,200 --> 00:52:07,240 IMPACT CELLULAR SYSTEMS SUCH AS 1258 00:52:07,240 --> 00:52:07,760 MITOCHONDRIAL FUNCTION 1259 00:52:07,760 --> 00:52:08,960 OROXIDATIVE STRESS, SO THERE ARE 1260 00:52:08,960 --> 00:52:11,680 LOTS OF DIFFERENT IDEAS THAT 1 1261 00:52:11,680 --> 00:52:12,240 CAN PULL FROM. 1262 00:52:12,240 --> 00:52:13,720 AND THIS WAS REALLY JUST THE 1263 00:52:13,720 --> 00:52:15,480 START TO BEGIN TO THINK ABOUT 1264 00:52:15,480 --> 00:52:18,320 THE BROAD ARRAY OF POSSIBLE 1265 00:52:18,320 --> 00:52:19,240 APPROACHES FOR CONDUCTING 1266 00:52:19,240 --> 00:52:22,400 CLIMATE CHANGE AND HEALTH 1267 00:52:22,400 --> 00:52:22,760 RESEARCH. 1268 00:52:22,760 --> 00:52:24,600 NEXT SLIDE, PLEASE. 1269 00:52:24,600 --> 00:52:31,560 SO THE NIH-WIDE INIT 1270 00:52:31,560 --> 00:52:32,360 KACCT--INITIATIVE HAS SET 1271 00:52:32,360 --> 00:52:34,600 AMBITIOUS GOALS TO ULTIMATELY 1272 00:52:34,600 --> 00:52:56,440 REDUCE HEALTH THREATS OF 1273 00:52:56,440 --> 00:52:56,680 CLIMATE. 1274 00:52:56,680 --> 00:53:00,640 SO THE FIRST IS TO MITIGATE 1275 00:53:00,640 --> 00:53:02,960 RISKS AND OPTIMIZE BENEFITS, AND 1276 00:53:02,960 --> 00:53:05,520 THE SECOND IS TO RESEARCH AND 1277 00:53:05,520 --> 00:53:07,000 INFRASTRUCTURE AND WORKFORCE, 1278 00:53:07,000 --> 00:53:08,760 ACROSS THE BIOMEDICAL 1279 00:53:08,760 --> 00:53:09,640 DISCIPLINES. 1280 00:53:09,640 --> 00:53:11,520 THE THIRD IS LEVERAGE 1281 00:53:11,520 --> 00:53:12,640 PARTNERSHIPS WITH OTHER 1282 00:53:12,640 --> 00:53:15,360 SCIENTIFIC AND SOCIAL 1283 00:53:15,360 --> 00:53:16,120 DISCIPLINES THAT ACHIEVE THE 1284 00:53:16,120 --> 00:53:18,880 GOAL WE'RE LOOKING FOR AND THE 1285 00:53:18,880 --> 00:53:27,080 FOURTH IS TO INNOVATIVE ACROSS 1286 00:53:27,080 --> 00:53:29,800 THE RESEARCH PROGRAM. 1287 00:53:29,800 --> 00:53:30,560 NEXT SLIDE. 1288 00:53:30,560 --> 00:53:32,960 SO THE WORKING GROUP HAS BEEN 1289 00:53:32,960 --> 00:53:35,360 ENGAGED AT A BREAK NECK PACE 1290 00:53:35,360 --> 00:53:36,760 OVER THE PAST SEVERAL MONTHS AND 1291 00:53:36,760 --> 00:53:40,120 THEY HAVE DEVELOPED AN NIH-WIDE 1292 00:53:40,120 --> 00:53:41,480 STRATEGIC FRAMEWORK FOR CLIMATE 1293 00:53:41,480 --> 00:53:42,040 CHANGE HEALTH. 1294 00:53:42,040 --> 00:53:44,160 AND TO DEVELOP THIS FRAMEWORK, 1295 00:53:44,160 --> 00:53:47,800 THEY USE THE OVER 180 RESPONSES 1296 00:53:47,800 --> 00:53:50,360 TO THE RFI AND THERE WAS FROM 1297 00:53:50,360 --> 00:53:51,920 ALL THE WORKING GROUP MEMBERS, 1298 00:53:51,920 --> 00:53:53,640 MANY OF THEM WERE FROM HEART, 1299 00:53:53,640 --> 00:53:56,040 LUNG AND BLOOD AT A STRATEGIC 1300 00:53:56,040 --> 00:53:57,160 WHITE BOARDING SESSION THAT 1301 00:53:57,160 --> 00:53:58,160 HAPPENED IN LATE SEPTEMBER. 1302 00:53:58,160 --> 00:54:00,400 AND THE FRAMEWORK ALSO INCLUDED 1303 00:54:00,400 --> 00:54:03,360 A CONSIDERATION OF THE PORTFOLIO 1304 00:54:03,360 --> 00:54:05,560 AND LANDSCAPE ANALYSIS THAT WERE 1305 00:54:05,560 --> 00:54:05,960 CONDUCTED. 1306 00:54:05,960 --> 00:54:07,240 SO THE WORKING GROUP CREATED 1307 00:54:07,240 --> 00:54:10,160 WHAT WE'RE CALLING THIS 1308 00:54:10,160 --> 00:54:11,800 CENTERPIECE DIAGRAM, AND THE 1309 00:54:11,800 --> 00:54:16,560 PURPOSE IS TO ILLUSTRATE THE 1310 00:54:16,560 --> 00:54:16,800 FRAMEWORK. 1311 00:54:16,800 --> 00:54:19,280 SO THE FLAME WORK IS BASED ON 4 1312 00:54:19,280 --> 00:54:20,760 DIFFERENT ELEMENTS WHICH INCLUDE 1313 00:54:20,760 --> 00:54:23,880 HEALTH EFFECTS ISSUES AS 1314 00:54:23,880 --> 00:54:24,440 GARI.E., INDICATED, HEALTH 1315 00:54:24,440 --> 00:54:26,720 EQUITY AS TRAINING AND CAPACITY 1316 00:54:26,720 --> 00:54:27,440 BUILDING AND TRAINING AND 1317 00:54:27,440 --> 00:54:30,160 SCIENCE AND THE AT THE CENTER IS 1318 00:54:30,160 --> 00:54:30,840 THE FOCUS, IT'S 1319 00:54:30,840 --> 00:54:32,160 TRANSDISCIPLINEAR SKPE BAKUGAN 1320 00:54:32,160 --> 00:54:34,640 TRANSFORMATIVE RESEARCH TO MAKE 1321 00:54:34,640 --> 00:54:34,960 THIS HAPPEN. 1322 00:54:34,960 --> 00:54:49,280 SO LET'S SEE, CAN WE CLICK 1 1323 00:54:49,280 --> 00:54:50,280 MORE TIME? 1324 00:54:50,280 --> 00:54:50,960 NOPE, NOT WORKING. 1325 00:54:50,960 --> 00:54:52,760 THE ANIMATION IS NOT WORKING SO 1326 00:54:52,760 --> 00:54:55,320 YOU SEE THE BLUE BAND HERE 1327 00:54:55,320 --> 00:54:57,240 HIGHLIGHTS THE WORK THAT THE 1328 00:54:57,240 --> 00:54:59,560 WORK WILL BE DONE WITH CROSS 1329 00:54:59,560 --> 00:55:01,440 SECONDER COMMUNITY AND ISHT 1330 00:55:01,440 --> 00:55:05,240 AGENCY PARTNERSHIPS AND THE COGS 1331 00:55:05,240 --> 00:55:06,960 ON THE CIRCUMFERENCE ARE MEANT 1332 00:55:06,960 --> 00:55:08,520 TO ILLUSTRATE SPECIFIC TYPES OF 1333 00:55:08,520 --> 00:55:09,960 SCIENCE THAT WILL NEED TO BE COB 1334 00:55:09,960 --> 00:55:12,000 DUCTED TO SUPPORT THE FRAMEWORK. 1335 00:55:12,000 --> 00:55:16,000 AND AS CAN YOU SEE, THE RESEARCH 1336 00:55:16,000 --> 00:55:18,200 AREAS ARE TRULY 1337 00:55:18,200 --> 00:55:18,960 MULTIDISCIPLINARY IN NATURE. 1338 00:55:18,960 --> 00:55:20,640 GARY TALKED ABOUT SOME OF THESE 1339 00:55:20,640 --> 00:55:22,600 AND THEY RANGE FROM BASIC 1340 00:55:22,600 --> 00:55:23,920 MECHANISTIC RESEARCH TO 1341 00:55:23,920 --> 00:55:25,160 BEHAVIORAL SOCIAL SCIENCE 1342 00:55:25,160 --> 00:55:26,880 RESEARCH, EPIDEMIOLOGY AND 1343 00:55:26,880 --> 00:55:27,360 PREDICTIVE MODEL. 1344 00:55:27,360 --> 00:55:29,440 ALL THE WAY TO ADAPTATION 1345 00:55:29,440 --> 00:55:31,760 RESEARCH, THERE'S A LOT TO BE 1346 00:55:31,760 --> 00:55:35,520 DONE AND IT WILL REQUIRE THIS 1347 00:55:35,520 --> 00:55:36,320 TRANSDISCIPLINARY, VERY 1348 00:55:36,320 --> 00:55:36,880 TRANSFORMATIVE, INNOVATIVE 1349 00:55:36,880 --> 00:55:37,800 APPROACHES TO GET THIS DONE. 1350 00:55:37,800 --> 00:55:40,360 SO THE GOOD NEWS IS, THAT WE 1351 00:55:40,360 --> 00:55:41,760 TOOK THIS CLIMATE CHANGE IN 1352 00:55:41,760 --> 00:55:44,320 HEALTH CONCEPT FOR CLEARANCE AT 1353 00:55:44,320 --> 00:55:47,880 A SPECIAL SESSION OF THE NIEHS 1354 00:55:47,880 --> 00:55:49,120 COUNCIL ON NOVEMBER 29th, AND 1355 00:55:49,120 --> 00:55:50,680 THANK YOU GARY FOR JOINING US 1356 00:55:50,680 --> 00:55:51,240 FOR THAT SESSION. 1357 00:55:51,240 --> 00:55:54,000 AND I'M PLEASED TO,A NOUNS THAT 1358 00:55:54,000 --> 00:55:55,600 WE OBTAIN CONCURRENCE FROM 1359 00:55:55,600 --> 00:55:56,520 COUNCIL SO WE ARE READY TO GO. 1360 00:55:56,520 --> 00:55:58,960 AND BEFORE I GO ON, I DO WANT TO 1361 00:55:58,960 --> 00:56:02,280 POINT OUT THAT WE HAVE NOW 1362 00:56:02,280 --> 00:56:03,960 CREATED AN NIH WEBSITE, SO IF 1363 00:56:03,960 --> 00:56:05,400 YOU ARE INTERESTED IN THIS 1364 00:56:05,400 --> 00:56:08,760 TOPIC, AND YOU WANT TO LEARN 1365 00:56:08,760 --> 00:56:14,000 MORE, WWW.N 1366 00:56:14,000 --> 00:56:14,520 IH.GOV/CLIMATEANDHEALTH. 1367 00:56:14,520 --> 00:56:15,600 SO TAKE A LOOK AND LET US KNOW 1368 00:56:15,600 --> 00:56:18,560 WHAT YOU THINK. 1369 00:56:18,560 --> 00:56:19,280 NEXT SLIDE. 1370 00:56:19,280 --> 00:56:21,640 AND SPEAKING OF DEPLOYING THE 1371 00:56:21,640 --> 00:56:22,600 MONEY, THE APPROACH WE'RE 1372 00:56:22,600 --> 00:56:24,720 PROPOSING TO USE FOR THE 1373 00:56:24,720 --> 00:56:26,560 $100 MILLION IS REALLY TO USE, 1374 00:56:26,560 --> 00:56:27,720 YOU KNOW A HUNDRED MILLION 1375 00:56:27,720 --> 00:56:29,440 DOLLARS IS A NICE CHUNK OF 1376 00:56:29,440 --> 00:56:31,560 CHANGE BUT IT'S NOT A LOT OF 1377 00:56:31,560 --> 00:56:31,760 MONEY. 1378 00:56:31,760 --> 00:56:34,600 SO WE WANT TO USE IT AS A 1379 00:56:34,600 --> 00:56:37,920 CATALYST TO IMPLEMENT NIH-WIDE 1380 00:56:37,920 --> 00:56:39,160 CLIMATE CHANGE AND HELT WERE. 1381 00:56:39,160 --> 00:56:41,600 THE FOCUS WILL BE ON BUILDING 1382 00:56:41,600 --> 00:56:42,600 TRANSDISCIPLINARY TEAMS WITH A 1383 00:56:42,600 --> 00:56:45,400 LOT OF COMMUNITY ENGAGEMENT AND 1384 00:56:45,400 --> 00:56:46,720 WE'RE DISCUSSING SPECIFIC 1385 00:56:46,720 --> 00:56:49,120 FUNDING MODELS WITH THE 1386 00:56:49,120 --> 00:56:50,360 EXECUTIVE COMMITTEE. 1387 00:56:50,360 --> 00:56:51,880 SO WAWE'RE NOT THERE YET, WE 1388 00:56:51,880 --> 00:56:52,680 DON'T KNOW EXACTLY WHAT WE'RE 1389 00:56:52,680 --> 00:56:57,240 GOING TO BE DOING, THE WORK IS 1390 00:56:57,240 --> 00:56:58,440 VERY ACTIVELY UNDERWAY, AND WE 1391 00:56:58,440 --> 00:57:00,080 DON'T HAVE THE MONEY YET BUT WE 1392 00:57:00,080 --> 00:57:01,840 WANT TO BE READY TO DISTRIBUTE 1393 00:57:01,840 --> 00:57:04,760 THE FUNDS ACROSS THE NIH WHEN 1394 00:57:04,760 --> 00:57:06,160 HOPEFULLY THE FUNDING WILL 1395 00:57:06,160 --> 00:57:09,080 ACTUALLY ARRIVE ONCE WE GET AN 1396 00:57:09,080 --> 00:57:10,680 FY22 BUDGET. 1397 00:57:10,680 --> 00:57:12,760 SO NIEHS EXPECTS TO PROVIDE 1398 00:57:12,760 --> 00:57:14,880 FUNDING AND TO PARTNER WITH 1399 00:57:14,880 --> 00:57:16,400 OTHER ICs INCLUDING HEART LUNG 1400 00:57:16,400 --> 00:57:16,720 AND BLOOD. 1401 00:57:16,720 --> 00:57:18,840 AND SOME OF THE MECHANISMS WE'RE 1402 00:57:18,840 --> 00:57:20,960 DISCUSSING WITH THE EXECUTIVE 1403 00:57:20,960 --> 00:57:21,400 COMMITTEE. 1404 00:57:21,400 --> 00:57:22,560 AGAIN WE HAVEN'T FINALIZED ON 1405 00:57:22,560 --> 00:57:23,800 THIS WHY THE BUT SOME OF THE 1406 00:57:23,800 --> 00:57:25,560 THINGS WE'RE DISCUSS IS TO 1407 00:57:25,560 --> 00:57:27,040 INCLUDE SUPPORT FOR ADMINISTRATE 1408 00:57:27,040 --> 00:57:28,720 OF SUPLEAPTS TO EXISTING GRANTS 1409 00:57:28,720 --> 00:57:31,360 AND PROVIDING SUPPORT FOR SOME 1410 00:57:31,360 --> 00:57:32,360 OF THE UNSOLICITED PROPOSALS 1411 00:57:32,360 --> 00:57:34,360 THAT ARE COMING IN ACROSS THE 1412 00:57:34,360 --> 00:57:38,880 NIH THAT ARE NOT QUITE GETTING 1413 00:57:38,880 --> 00:57:39,960 THE FUNDING WISE. 1414 00:57:39,960 --> 00:57:43,240 SO WE'RE EXPLORING THE 1415 00:57:43,240 --> 00:57:45,480 EXCELLENCE OF OF FLAGSHIP 1416 00:57:45,480 --> 00:57:47,840 CENTERS PROGRAM THAT FOSTERS 1417 00:57:47,840 --> 00:57:50,280 TEAM SCIENCE ACROSS MULTIPLE 1418 00:57:50,280 --> 00:57:53,960 DISCIPLINES WITH EXTENSIVE 1419 00:57:53,960 --> 00:57:56,960 COMMUNITY ENGAGEMENT. 1420 00:57:56,960 --> 00:58:00,800 THE NOSIs TO BROADLY ADVERTISE 1421 00:58:00,800 --> 00:58:02,760 THE INTONIGHT EXPAND THE CLIMATE 1422 00:58:02,760 --> 00:58:04,000 CHANGE AND HEALTH RESEARCH, AND 1423 00:58:04,000 --> 00:58:05,560 TO DO THIS AGAIN ACROSS THE NEYE 1424 00:58:05,560 --> 00:58:07,040 H SO WE'RE CONSIDERING 1425 00:58:07,040 --> 00:58:08,360 SUPPORTING CONFERENCES AND 1426 00:58:08,360 --> 00:58:10,800 WORKSHOPS WHICH WE FEEL WILL 1427 00:58:10,800 --> 00:58:12,320 ENHANCE AWARENESS AND KNOWLEDGE 1428 00:58:12,320 --> 00:58:14,240 OF THE OF THE CLIMATE CHANGE AND 1429 00:58:14,240 --> 00:58:15,480 HEALTH THARCH IS BEING 1430 00:58:15,480 --> 00:58:15,760 CONDUCTED. 1431 00:58:15,760 --> 00:58:18,640 SO THE WO,ING GROUP IS ALSO 1432 00:58:18,640 --> 00:58:20,640 EXPLORING WAYS TO BUILD MODEST 1433 00:58:20,640 --> 00:58:22,080 WERE CAPACITY ACROSS OUR 1434 00:58:22,080 --> 00:58:23,200 INTRAMURAL PROGRAMS ACROSS THE 1435 00:58:23,200 --> 00:58:23,520 NIH. 1436 00:58:23,520 --> 00:58:25,760 I THINK THERE'S A RECOGNITION OF 1437 00:58:25,760 --> 00:58:28,280 THE EXECUTIVE COMMITTEE THAT 1438 00:58:28,280 --> 00:58:29,000 THERE'S SOME REAL QUALITY 1439 00:58:29,000 --> 00:58:32,080 SCIENCE THAT COULD BE DONE IN AN 1440 00:58:32,080 --> 00:58:33,760 INTEGRAL PROGRAM THAT COULD 1441 00:58:33,760 --> 00:58:35,840 DOVETAIL WITH THAT THAT HAPPENS 1442 00:58:35,840 --> 00:58:37,360 PRIMARILY IN THE EXTRAMURAL 1443 00:58:37,360 --> 00:58:37,600 COMMUNITY. 1444 00:58:37,600 --> 00:58:39,800 SO THE ACTUAL NATURE OF AN 1445 00:58:39,800 --> 00:58:40,440 EPITHELIAL RAMURAL PROGRAM WILL 1446 00:58:40,440 --> 00:58:42,280 NEED TO BE DEVELOPED. 1447 00:58:42,280 --> 00:58:44,760 SO OVERALL WE'RE WORKING TOWARDS 1448 00:58:44,760 --> 00:58:46,280 SUPPORTING THE TRANSDISCIPLINARY 1449 00:58:46,280 --> 00:58:47,800 TEAMS, LOTS OF COMMUNITY 1450 00:58:47,800 --> 00:58:48,960 ENGAGEMENT AND WE'RE HOPING TO 1451 00:58:48,960 --> 00:58:51,360 FUND THE RESEARCH THAT FOCUSES 1452 00:58:51,360 --> 00:58:53,960 ON RESEARCH THEMES AND AREAS 1453 00:58:53,960 --> 00:58:56,040 THAT WERE ILLUSTRATE IN THAT 1454 00:58:56,040 --> 00:58:56,760 STRATEGIC FRAMEWORK THAT BOTH 1455 00:58:56,760 --> 00:58:58,320 GARY AND I SHOWED YOU AND TAKE A 1456 00:58:58,320 --> 00:58:59,840 LOOK AT THE WEBSITES. 1457 00:58:59,840 --> 00:59:01,800 SO IF YOU'RE INTERESTED IN 1458 00:59:01,800 --> 00:59:02,560 LEARNING MORE. 1459 00:59:02,560 --> 00:59:05,040 AND I GUESS JUST ULTIMATELY, WE 1460 00:59:05,040 --> 00:59:07,480 HOPE THAT OUR EFFORTS WILL HELP 1461 00:59:07,480 --> 00:59:09,400 BUILD RESILIENCE AND THROUGH 1462 00:59:09,400 --> 00:59:11,520 REDUCE THE IMPACT OF CLIMATE 1463 00:59:11,520 --> 00:59:13,680 CHANGE AND THE POPULATIONS 1464 00:59:13,680 --> 00:59:15,880 AROUND THE WORLD WHOSE HEALTH 1465 00:59:15,880 --> 00:59:17,400 AND MOST IMPACTED BY CLIMATE 1466 00:59:17,400 --> 00:59:17,640 CHANGE. 1467 00:59:17,640 --> 00:59:19,280 SO THE BOTTOM LINE IS THAT IF 1468 00:59:19,280 --> 00:59:24,280 YOU ARE INTERESTED, STAY TUNED, 1469 00:59:24,280 --> 00:59:25,960 WE WILL BE WORKING VIGOROUSLY 1470 00:59:25,960 --> 00:59:27,640 WITH MY PARTNERS ON THE 1471 00:59:27,640 --> 00:59:28,760 EXECUTIVE COMMITTEE, THE WORKING 1472 00:59:28,760 --> 00:59:29,760 GROUP, THE STEERING COMMITTEE 1473 00:59:29,760 --> 00:59:31,160 AND WE WILL GET OUT INFORMATION 1474 00:59:31,160 --> 00:59:33,760 TO ALL OF YOU AS QUICKLY AS WE 1475 00:59:33,760 --> 00:59:35,960 CAN AND LET'S HOPE THAT ONCE WE 1476 00:59:35,960 --> 00:59:37,440 GET A BUDGET WE WILL HAVE 1477 00:59:37,440 --> 00:59:38,840 FUNDING TO HELP SUPPORT SOME OF 1478 00:59:38,840 --> 00:59:43,160 THE IDEAS THAT WE HAVE. 1479 00:59:43,160 --> 00:59:44,760 SO BEFORE I GO TO THE NEXT SLIDE 1480 00:59:44,760 --> 00:59:46,560 PLEASE, BEFORE I OPEN THIS FOR 1481 00:59:46,560 --> 00:59:48,160 DISCUSSION I WANT TO ACKNOWLEDGE 1482 00:59:48,160 --> 00:59:50,000 ALL MEMBERS OF THE EXECUTIVE 1483 00:59:50,000 --> 00:59:51,160 COMMITTEE, OF COURSE GARY IS 1484 00:59:51,160 --> 00:59:54,960 THERE WITH US, DIANNA BIANCHI, 1485 00:59:54,960 --> 00:59:58,040 ROGER GLASS FROM FOGARTY 1486 00:59:58,040 --> 01:00:03,200 INTERNATIONAL, JOSH GORDON FROM 1487 01:00:03,200 --> 01:00:06,160 NIMH, ELISEO, PEREZ-STABLE FROM 1488 01:00:06,160 --> 01:00:09,080 DIRECTOR OF NIMHD AND SHANNON 1489 01:00:09,080 --> 01:00:12,440 ZENK WHO IS THE NEW DIRECTOR OF 1490 01:00:12,440 --> 01:00:13,160 THE NURSING INSTITUTE AND THERE 1491 01:00:13,160 --> 01:00:15,000 WERE A LOT OF PEOPLE INVOLVED IN 1492 01:00:15,000 --> 01:00:15,200 THIS. 1493 01:00:15,200 --> 01:00:17,920 SO IT'S NOT JUST THE OTHER 1494 01:00:17,920 --> 01:00:21,520 EXECUTIVE COMMITTEE MEMBERS AND 1495 01:00:21,520 --> 01:00:22,760 JOSH ROSENTHALL AND COLEMAN, WE 1496 01:00:22,760 --> 01:00:24,160 HAVE MEMBERS OF THE STEERING 1497 01:00:24,160 --> 01:00:25,480 COMMITTEEOT SLIDE AND LOTS OF 1498 01:00:25,480 --> 01:00:27,280 OTHER PEOPLE INVOLVED AND 1499 01:00:27,280 --> 01:00:29,120 PULLING THINGS TOGETHER SO THAT 1500 01:00:29,120 --> 01:00:29,560 WE'RE MOVING AHEAD. 1501 01:00:29,560 --> 01:00:31,440 WE EXPECT TO CONTINUE TO BE 1502 01:00:31,440 --> 01:00:33,240 ONERATING AT BREAK NECK PACE TO 1503 01:00:33,240 --> 01:00:37,360 TAKE ON THIS HUGE CHALLENGE OF 1504 01:00:37,360 --> 01:00:41,040 CLIMATE CHANGE AND HEALTH. 1505 01:00:41,040 --> 01:00:41,400 SO NEXT SLIDE. 1506 01:00:41,400 --> 01:00:43,000 SO I WANT TO THANK ALL OF AND 1507 01:00:43,000 --> 01:00:44,960 YOU GARY THANK YOU IN PARTICULAR 1508 01:00:44,960 --> 01:00:46,360 FOR THIS OPPORTUNITY TO BUILD ON 1509 01:00:46,360 --> 01:00:48,680 THE GREAT COMMENTS THAT YOU MADE 1510 01:00:48,680 --> 01:00:51,520 AT THE BEGINNING AND AGAIN, 1511 01:00:51,520 --> 01:00:53,080 THANK YOU FOR THE EFFORTS YOU'VE 1512 01:00:53,080 --> 01:00:53,720 BEEN SPENDING OR THE TIME AND 1513 01:00:53,720 --> 01:00:55,560 THE EXPOSURE TO RADIATIONS 1514 01:00:55,560 --> 01:00:56,800 YOU'VE MADE ON THE EXECUTIVE 1515 01:00:56,800 --> 01:00:58,200 COMMITTEE SO TOGETHER WE CAN 1516 01:00:58,200 --> 01:00:59,560 MAKE SOME PRETTY REMARKABLE 1517 01:00:59,560 --> 01:00:59,920 THINGS HAPPEN. 1518 01:00:59,920 --> 01:01:01,080 SO I'M HAPPY TO TAKE ANY AND ALL 1519 01:01:01,080 --> 01:01:02,800 QUESTIONS AND I SEE THIS GWEN 1520 01:01:02,800 --> 01:01:05,360 HAS TURNED ON HER CAMERA SO GWEN 1521 01:01:05,360 --> 01:01:06,760 IS ALSO HERE AND THANK YOU FOR 1522 01:01:06,760 --> 01:01:09,080 ALL OF YOUR CONSIDERABLE EFFORTS 1523 01:01:09,080 --> 01:01:14,200 TO KEEP ALL OF THE MOVING PARTS 1524 01:01:14,200 --> 01:01:15,360 WORKING IN SYNCHRONY. 1525 01:01:15,360 --> 01:01:16,720 SO ANY QUESTIONS? 1526 01:01:16,720 --> 01:01:19,320 >> PLEASE RAISE YOUR HAND SO 1527 01:01:19,320 --> 01:01:20,600 THAT DR. WOYCHIK CAN SEE YOU 1528 01:01:20,600 --> 01:01:21,760 BECAUSE IT BRINGS YOU TO THE TOP 1529 01:01:21,760 --> 01:01:25,520 OF THE PARTIT PANTS LIST, FOLKS. 1530 01:01:25,520 --> 01:01:31,280 I WILL SAY I SEE A COMMENT FROM 1531 01:01:31,280 --> 01:01:32,480 DR. CHEN DEFOE, AND JEN YOU WANT 1532 01:01:32,480 --> 01:01:36,680 TO ASK YOUR QUESTION? 1533 01:01:36,680 --> 01:01:36,960 >> SURE. 1534 01:01:36,960 --> 01:01:38,360 I'M NOT SURE I CAN GET MY VIDEO 1535 01:01:38,360 --> 01:01:41,720 ON HERE BUT THIS IS REALLY 1536 01:01:41,720 --> 01:01:42,320 EXCITING. 1537 01:01:42,320 --> 01:01:44,560 I'M JEN DEVO, I CHAIRED FAMILY 1538 01:01:44,560 --> 01:01:48,600 MEDICINE AT OHSU AND ALSO LEAD 1539 01:01:48,600 --> 01:01:49,280 NCI-FUNDED IMPLEMENTATION 1540 01:01:49,280 --> 01:01:50,480 SCIENCE CENTER AND SO, YOU KNOW 1541 01:01:50,480 --> 01:01:52,920 MANY OF US ARE EXCITED ABOUT 1542 01:01:52,920 --> 01:01:54,360 THIS INITIATIVE AND HOPING TO 1543 01:01:54,360 --> 01:01:57,760 CONTRIBUTE SO I KNOW YOU'VE 1544 01:01:57,760 --> 01:01:58,600 GOT--YOUR INFRASTRUCTURE SET UP 1545 01:01:58,600 --> 01:01:59,960 AND YOU'RE WAITING FOR FUNDING 1546 01:01:59,960 --> 01:02:01,840 BUT WE WOULD JUST LOVE TO HEAR 1547 01:02:01,840 --> 01:02:05,240 FROM YOU WHAT YOUR CRYSTAL BALL 1548 01:02:05,240 --> 01:02:07,440 SHOWS AS FAR AS LIKE A YEAR O 2 1549 01:02:07,440 --> 01:02:10,960 YEARS IN THE FUTURE WHERE WE CAN 1550 01:02:10,960 --> 01:02:13,160 BEST CONTRIBUTE OR WHERE YOU 1551 01:02:13,160 --> 01:02:13,960 MIGHT NEED ADDITIONAL HELP. 1552 01:02:13,960 --> 01:02:15,680 >> I WILL MAKE A FEW COMMENTS 1553 01:02:15,680 --> 01:02:18,360 AND THEN I WILL PREPARE GWEN TO 1554 01:02:18,360 --> 01:02:19,960 CHIME IN HERE AS WELL BECAUSE 1555 01:02:19,960 --> 01:02:21,320 SHE AT THE INTERSECTION OF MANY 1556 01:02:21,320 --> 01:02:22,840 OF THE DIFFERENT ACTIVITIES THAT 1557 01:02:22,840 --> 01:02:24,040 ARE HAPPENING, BUT YOU KNOW WE 1558 01:02:24,040 --> 01:02:27,920 WANT EVERYONE TO GET ENGAGED IN 1559 01:02:27,920 --> 01:02:30,320 THIS, INTELLECTUALLY GET ENGAGED 1560 01:02:30,320 --> 01:02:31,880 WITH US, WORK WITHIN YOUR 1561 01:02:31,880 --> 01:02:32,360 INSTITUTES. 1562 01:02:32,360 --> 01:02:34,200 GARY IS CLEARLY SUPPORTIVE OF 1563 01:02:34,200 --> 01:02:35,320 THE WORK THAT'S HAPPENING. 1564 01:02:35,320 --> 01:02:36,840 WE WILL BE WORKING WITH GARY AND 1565 01:02:36,840 --> 01:02:39,160 OTHERS ON THE EXECUTIVE 1566 01:02:39,160 --> 01:02:40,240 COMMITTEE, GWEN AND MEMBERS OF 1567 01:02:40,240 --> 01:02:41,360 THE STEERING COMMITTEE AND THE 1568 01:02:41,360 --> 01:02:42,880 WORKING GROUP TO REALLY PULL 1569 01:02:42,880 --> 01:02:44,000 TOGETHER DIFFERENT MECHANISMS OF 1570 01:02:44,000 --> 01:02:45,760 HOW TO DEPLOY THIS CATALYTIC 1571 01:02:45,760 --> 01:02:47,480 MONEY TO START MAKING SOME 1572 01:02:47,480 --> 01:02:48,040 THINGS HAPPEN. 1573 01:02:48,040 --> 01:02:50,160 SO STAY TUNED WITH US BUT I 1574 01:02:50,160 --> 01:02:51,120 THINK MORE IMMEDIATELY THERE ARE 1575 01:02:51,120 --> 01:02:52,400 OPPORTUNITIES YOU WANT TO ROLL 1576 01:02:52,400 --> 01:03:22,120 UP YOUR SLEEVES, THERE MAY BE AN 1577 01:03:22,120 --> 01:03:22,440 OPPORTUNITY-- 1578 01:03:22,440 --> 01:03:24,080 >> SO WE'RE TRYING TO BRING 1579 01:03:24,080 --> 01:03:25,360 RESEARCH PARTNERS, AND 1580 01:03:25,360 --> 01:03:26,160 INTERNATIONAL COMMUNITIES INTO 1581 01:03:26,160 --> 01:03:27,160 THIS BIG ENTERPRISE AND 1582 01:03:27,160 --> 01:03:28,840 CURRENTLY ALL OF THE INNITUTES 1583 01:03:28,840 --> 01:03:29,720 ARE ACCEPTING APPLICATIONS IN 1584 01:03:29,720 --> 01:03:33,520 THE CLIMB 8 CHANGE AND HEALTH 1585 01:03:33,520 --> 01:03:33,840 SPHERE. 1586 01:03:33,840 --> 01:03:34,880 WE'RE WORKING WITH THE CENTERS 1587 01:03:34,880 --> 01:03:36,160 FOR SCIENTIFIC REVIEW AND MAKING 1588 01:03:36,160 --> 01:03:40,440 SURE THAT GRAPTS THAT COME IN 1589 01:03:40,440 --> 01:03:41,960 THROUGH THE REGULAR COUNCIL 1590 01:03:41,960 --> 01:03:43,120 ROUND UNSOLICITED ARE FAIRLY 1591 01:03:43,120 --> 01:03:46,360 REVIEWED AND YOU KNOW WE WANT TO 1592 01:03:46,360 --> 01:03:48,040 SEE MORE OF THIS HAPPEN. 1593 01:03:48,040 --> 01:03:51,960 AND THEN OVERTIME WE WILL BE 1594 01:03:51,960 --> 01:03:53,360 BUILDING OPPORTUNITIES FOR TEAM 1595 01:03:53,360 --> 01:03:55,760 SCIENCE THAT ADDRESS THE 1596 01:03:55,760 --> 01:03:57,840 SOLUTIONS APPROACH TO STUDYING 1597 01:03:57,840 --> 01:03:59,800 THE MANY HEALTH OUTCOMES AND THE 1598 01:03:59,800 --> 01:04:03,760 MANY CLIMATE IMPACTS THAT LOCAL 1599 01:04:03,760 --> 01:04:04,960 COMMUNITIES BOTH IN THE U.S. AND 1600 01:04:04,960 --> 01:04:06,360 AROUND THE WORLD SO IT SOUNDS 1601 01:04:06,360 --> 01:04:10,880 LIKE YOUR AREA OF SCIENCE, 1602 01:04:10,880 --> 01:04:12,920 IMPLEMENTATION SCIENCE IS IN OUR 1603 01:04:12,920 --> 01:04:14,400 COG DIAGRAM AND SOMETHING WE'RE 1604 01:04:14,400 --> 01:04:16,360 ALSO INTERESTED IN AND LET YOU 1605 01:04:16,360 --> 01:04:17,640 KNOW THAT NIEHS IS HOLDING A 1606 01:04:17,640 --> 01:04:19,880 WORKSHOP AT THE END OF FEBRUARY 1607 01:04:19,880 --> 01:04:20,560 ON IMPLEMENTATION SCIENCE AND 1608 01:04:20,560 --> 01:04:22,440 HOW WE CAN BRING THAT DISCIPLINE 1609 01:04:22,440 --> 01:04:23,840 INTO THE ENVIRONMENTAL HEALTH 1610 01:04:23,840 --> 01:04:24,400 SCIENCE SPACE. 1611 01:04:24,400 --> 01:04:25,040 SOPHISTICATEDY WE INVITE TO YOU 1612 01:04:25,040 --> 01:04:30,560 JOIN US IF ARE THAT AS WELL. 1613 01:04:30,560 --> 01:04:30,880 >> GREAT. 1614 01:04:30,880 --> 01:04:38,600 DOES THAT ANSWER YOUR QUESTION? 1615 01:04:38,600 --> 01:04:40,480 >> YEAH, THANK YOU SO MUCH AND I 1616 01:04:40,480 --> 01:04:41,720 WILL STAY TUNED AND WATCH FOR 1617 01:04:41,720 --> 01:04:43,480 OTHER OPPORTUNITY SAYS AS THEY 1618 01:04:43,480 --> 01:04:45,440 COME OUT. 1619 01:04:45,440 --> 01:04:46,200 >> OKAY, TERRIFIC. 1620 01:04:46,200 --> 01:04:47,760 ANY OTHER COMMENTS OR QUESTIONS. 1621 01:04:47,760 --> 01:04:48,880 GARY ANYTHING FROM YOU? 1622 01:04:48,880 --> 01:04:50,640 >> THANK YOU SO MUCH RICK, 1623 01:04:50,640 --> 01:04:55,160 REALLY APPRECIATE YOU SHARING 1624 01:04:55,160 --> 01:04:57,040 THE CCH PLAN, APPRECIATE YOUR 1625 01:04:57,040 --> 01:04:59,320 LEADERSHIP AND THAT OF YOUR 1626 01:04:59,320 --> 01:05:00,240 STAFF IN THIS, ACTUALLY I JUST 1627 01:05:00,240 --> 01:05:04,880 WANT TO RIFF ALET BIT OFF OF 1628 01:05:04,880 --> 01:05:06,160 DR. DEVOW'S COMMENT AND QUERY 1629 01:05:06,160 --> 01:05:08,080 AND MAYBE SWITCH IT AROUND TO 1630 01:05:08,080 --> 01:05:11,960 HER A BIT AS AN EXPERT IN 1631 01:05:11,960 --> 01:05:13,800 IMPLEMENTATION SCIENCE AS WAS 1632 01:05:13,800 --> 01:05:15,480 ALLUDED TO BY GWEN, THIS COULD 1633 01:05:15,480 --> 01:05:16,200 BE AN IMPORTANT AREA. 1634 01:05:16,200 --> 01:05:22,160 DO YOU HAVE ANY THOUGHTS 1635 01:05:22,160 --> 01:05:22,720 DR. DEVOW ABOUT ABOUT THIS 1636 01:05:22,720 --> 01:05:23,560 INTERNATIONAL CLASSIFICATION 1637 01:05:23,560 --> 01:05:25,400 GRAITIONZ OF THE CLIMATE CHANGE 1638 01:05:25,400 --> 01:05:26,800 DIMENSION TO WHAT IMPLEMENTATION 1639 01:05:26,800 --> 01:05:28,720 SCIENCE YOU DO AND THE NETWORKS 1640 01:05:28,720 --> 01:05:31,840 YOU HAVE, SO FOR EXAMPLE, YOU 1641 01:05:31,840 --> 01:05:37,160 KNOW 1 OF THE THINGS THAT WE 1642 01:05:37,160 --> 01:05:38,920 WERE AT LEAST INTRIGUED ABOUT IS 1643 01:05:38,920 --> 01:05:42,160 YOU KNOW, HOW DO YOU GET THAT 1644 01:05:42,160 --> 01:05:44,400 EXPOSURE INFORMATION IN A WAY 1645 01:05:44,400 --> 01:05:48,160 THAT ACTUALLY MIGHT INTERSECT 1646 01:05:48,160 --> 01:05:50,560 WITH CLINICIANSOT GROUND AND HOW 1647 01:05:50,560 --> 01:05:52,560 THEY--LET'S SAY THEY ARE 1648 01:05:52,560 --> 01:05:56,760 TREATING ASMATICS AND AGAIN THAT 1649 01:05:56,760 --> 01:05:58,160 INTERSECTION OF BRINGING THE 1650 01:05:58,160 --> 01:06:00,280 CLIMATE CHANGE, THOSE DRIVERS, 1651 01:06:00,280 --> 01:06:03,280 THOSE EXPOSURES TO THE HEALTH 1652 01:06:03,280 --> 01:06:04,160 CONTEXTOT GROUND IN THE REAL 1653 01:06:04,160 --> 01:06:05,400 WORLD WHERE YOU WORK. 1654 01:06:05,400 --> 01:06:08,120 ANY THOUGHTS ABOUT THAT EITHER 1655 01:06:08,120 --> 01:06:10,200 FROM A DATA STANDPOINT OF WHAT 1656 01:06:10,200 --> 01:06:14,440 MIGHT NEED TO BE IN AN EHR OR 1657 01:06:14,440 --> 01:06:15,960 WHAT EXPOSURE DATA WE MAY NEED 1658 01:06:15,960 --> 01:06:19,880 TO GET AT A MORE GRANULAR LEVEL 1659 01:06:19,880 --> 01:06:21,920 THAT COULD INFLUENCE PRACTICE ON 1660 01:06:21,920 --> 01:06:24,560 THE GROUND, FRONT LINES, OVER? 1661 01:06:24,560 --> 01:06:26,800 >> YEAH, I WAS ALREADY THINKING 1662 01:06:26,800 --> 01:06:29,960 ABOUT HOW DO WE IMPROVE OUR 1663 01:06:29,960 --> 01:06:30,800 SURVEILLANCE SYSTEMS AND AGAIN 1664 01:06:30,800 --> 01:06:33,400 THIS IS WHERE THE 1665 01:06:33,400 --> 01:06:34,360 TRANSDISCIPLINARY SCIENCE COMES 1666 01:06:34,360 --> 01:06:35,640 INTO PLAY BECAUSE 1667 01:06:35,640 --> 01:06:37,160 ENVIRONMENTALLY THERE'S A LOT ON 1668 01:06:37,160 --> 01:06:38,520 THOSE MAPS YOU SHOWED AND 1669 01:06:38,520 --> 01:06:40,400 UNDERSTANDING ABOUT THE 1670 01:06:40,400 --> 01:06:41,520 COMMUNITIES WHERE PEOPLE LIVE, 1671 01:06:41,520 --> 01:06:43,600 WORK AND PLAY, AND THEN IN THE 1672 01:06:43,600 --> 01:06:45,440 HEALTHCARE SYSTEM, I WAS ALREADY 1673 01:06:45,440 --> 01:06:47,800 THINKING, YOU KNOW WE HAVE THIS 1674 01:06:47,800 --> 01:06:51,840 LARGE CENTER OF COMMUNITY HEALTH 1675 01:06:51,840 --> 01:06:53,960 CENTERS AND OCHEN AND LARGE 1676 01:06:53,960 --> 01:06:55,160 HEALTH RECORD EXPSES MANY OF 1677 01:06:55,160 --> 01:06:56,800 WHOM ARE PATIENTS IN THESE 1678 01:06:56,800 --> 01:06:58,960 COMMUNITIES AND POPULATIONS AND 1679 01:06:58,960 --> 01:07:01,320 WE HAVE FLEDGLING WORK ON 1680 01:07:01,320 --> 01:07:02,240 COMMUNITY VITAL SCIENCE AND 1681 01:07:02,240 --> 01:07:04,520 BRINGING THOSE IN THE HEALTHCARE 1682 01:07:04,520 --> 01:07:06,360 SETTING IN THE SAME WAY WE'RE 1683 01:07:06,360 --> 01:07:07,520 BRINGING IN BIOMETRIC 1684 01:07:07,520 --> 01:07:08,200 INFORMATION AND GENETIC 1685 01:07:08,200 --> 01:07:08,520 INFORMATION. 1686 01:07:08,520 --> 01:07:10,360 WE'RE ALSO BRINGING IN THOSE 1687 01:07:10,360 --> 01:07:11,360 COMMUNITY SOCIAL DETERMINANTS OF 1688 01:07:11,360 --> 01:07:12,560 HEALTH OR COMMUNITY VITAL SIGNS 1689 01:07:12,560 --> 01:07:14,360 WE LIKE TO CALL THEM AND 1690 01:07:14,360 --> 01:07:15,960 UNDERSTANDING HOW THAT'S 1691 01:07:15,960 --> 01:07:17,040 IMPACTING A PATIENT'S HEALTH BUT 1692 01:07:17,040 --> 01:07:19,040 I REALLY DO THINK WE COULD BUILD 1693 01:07:19,040 --> 01:07:21,560 A NATIONAL SURVEILLANCE SYSTEM 1694 01:07:21,560 --> 01:07:23,720 THAT BRINGS TOGETHER THE 1695 01:07:23,720 --> 01:07:28,880 CLINICAL DATA THAT WE HAVE IN 1696 01:07:28,880 --> 01:07:30,800 REALTIME AS FAR AS EXPOSURE DATA 1697 01:07:30,800 --> 01:07:32,280 AND BETTER UNDERSTAND HOW THESE 1698 01:07:32,280 --> 01:07:33,960 HOT SPOTS OR COLD SPOTS ARE AND 1699 01:07:33,960 --> 01:07:36,520 MOW WE BETTER ADDRESS THEM NOW 1700 01:07:36,520 --> 01:07:37,400 AND MITIGATE SOME OF THE LONGER 1701 01:07:37,400 --> 01:07:41,720 TERM I AM NOT PACTS ON HEALTH. 1702 01:07:41,720 --> 01:07:43,320 I THINK THERE'S A LOT ORDER 1703 01:07:43,320 --> 01:07:44,920 BUILT AND SO WE DON'T HAVE TO 1704 01:07:44,920 --> 01:07:47,160 START FROM SCRATCH BUT REALLY 1705 01:07:47,160 --> 01:07:49,920 PULLING TOGETHER SOME PRETTY 1706 01:07:49,920 --> 01:07:50,720 AMAZING SURVEILLANCE SYSTEMS AND 1707 01:07:50,720 --> 01:07:52,520 THE ABILITY TO SHOW OUR POLICY 1708 01:07:52,520 --> 01:07:54,200 MAKERS WHAT'S HAPPENING IN 1709 01:07:54,200 --> 01:07:54,640 REALTIME. 1710 01:07:54,640 --> 01:08:01,040 AND IDENTIFY POPULATIONS THAT 1711 01:08:01,040 --> 01:08:04,160 NEED MORE AND URGENT ATTENTION. 1712 01:08:04,160 --> 01:08:04,760 >> GREAT. 1713 01:08:04,760 --> 01:08:10,760 >> OVER. 1714 01:08:10,760 --> 01:08:21,200 >> GARY, I SEE THAT--SO GETTING 1715 01:08:21,200 --> 01:08:24,120 THAT INTO THE HEGHT RECORDS AND 1716 01:08:24,120 --> 01:08:25,880 THEN CROSS REFERENCING THAT TO 1717 01:08:25,880 --> 01:08:27,960 GIS DATA AND THEN BELLING THE 1718 01:08:27,960 --> 01:08:29,280 INFORMATICS TOOLS TO BE ABLE TO 1719 01:08:29,280 --> 01:08:31,600 BETTER UNDERSTAND WHAT TYPE OF 1720 01:08:31,600 --> 01:08:32,160 ENVIRONMENTAL EXPOSURE IS 1721 01:08:32,160 --> 01:08:33,560 SOMEONE THEY MAY HAVE BEEN 1722 01:08:33,560 --> 01:08:34,760 SUBJECTED TO BASED ON WHERE THEY 1723 01:08:34,760 --> 01:08:36,480 LIVE AND WHERE THEY WORK. 1724 01:08:36,480 --> 01:08:37,440 SO IT'S JUST--THERE'S A LOT OF 1725 01:08:37,440 --> 01:08:39,400 WORK TO BE DONE AND GARY I KNOW 1726 01:08:39,400 --> 01:08:40,320 YOU KNOW THAT WE'VE BEEN 1727 01:08:40,320 --> 01:08:44,640 SPENDING A LOT OF TIME ON THE 1728 01:08:44,640 --> 01:08:45,920 WHOLE EXPOSE OMICs CONCEPT AND 1729 01:08:45,920 --> 01:08:47,400 HOW DO YOU DO THAT EXPERIMENT? 1730 01:08:47,400 --> 01:08:50,200 AND WHAT ARE THE INTEGRAL 1731 01:08:50,200 --> 01:08:51,400 COMPONENTS TO THAT SO WE'VE HAD 1732 01:08:51,400 --> 01:08:53,840 A LOT OF DISCUSSIONS IN THE 1733 01:08:53,840 --> 01:08:57,240 ENVIRONMENTAL HELT SCIENCES 1734 01:08:57,240 --> 01:08:59,080 COMMUNITY TO BRING TOGETHER I 1735 01:08:59,080 --> 01:09:05,360 CALL IT OPERATIONAL WITH THE 1736 01:09:05,360 --> 01:09:07,560 EXPOSE OME, AND THEN IF GARY 1737 01:09:07,560 --> 01:09:08,760 WANTS TO DO THIS EXPERIMENT, HOW 1738 01:09:08,760 --> 01:09:12,520 DO YOU DO IT IN AND THEN ALSO 1739 01:09:12,520 --> 01:09:14,520 GLOBAL DATA INFRASTRUCTURE IN 1740 01:09:14,520 --> 01:09:15,280 PLACE TO CAPTURE THAT 1741 01:09:15,280 --> 01:09:16,440 INFORMATION SO THAT PHYSICIANS 1742 01:09:16,440 --> 01:09:20,960 CAN GET ACCESS THORS THIS 1743 01:09:20,960 --> 01:09:23,960 INFORMATION, SO WE'RE WORKING ON 1744 01:09:23,960 --> 01:09:29,280 ON THAT AND I'M INTERESTED IN 1745 01:09:29,280 --> 01:09:30,960 WORKING WITH NHLBI AND LET'S 1746 01:09:30,960 --> 01:09:32,120 KEEP THE DIALOGUE GOING AND A 1747 01:09:32,120 --> 01:09:34,000 LOT OF WORK WE HAVE TO DO. 1748 01:09:34,000 --> 01:09:35,720 SO GEORGE, I SEE YOU'VE BEEN 1749 01:09:35,720 --> 01:09:37,160 PATIENTLY WAITING WITH YOUR HAND 1750 01:09:37,160 --> 01:09:37,360 UP. 1751 01:09:37,360 --> 01:09:38,720 DID YOU HAVE A COMMENT OR 1752 01:09:38,720 --> 01:09:39,000 QUESTION. 1753 01:09:39,000 --> 01:09:41,040 >> YES, I DO HAVE A QUICK 1754 01:09:41,040 --> 01:09:41,280 COMMENT. 1755 01:09:41,280 --> 01:09:45,560 THANK YOU VERY MUCH, THIS IS HAS 1756 01:09:45,560 --> 01:09:46,560 BEEN AN OUTSTANDING 1757 01:09:46,560 --> 01:09:47,640 PRESENTERRATION, VERY, VERY 1758 01:09:47,640 --> 01:09:48,800 CLEAR AND TRULY EXCITING. 1759 01:09:48,800 --> 01:09:50,680 FIRST I JUST WANT TO SAY THAT WE 1760 01:09:50,680 --> 01:09:52,920 ARE REALLY PLEASED WITH A VERY 1761 01:09:52,920 --> 01:09:54,200 COMPREHENSIVE WAY IN WHICH YOU, 1762 01:09:54,200 --> 01:09:57,880 GARY AND THE NIH LEADERSHIP HAVE 1763 01:09:57,880 --> 01:09:58,360 BEEN APPROACHING THIS. 1764 01:09:58,360 --> 01:10:01,760 I ALSO WANT TO MENTION THAT 1765 01:10:01,760 --> 01:10:05,400 SEVERAL OF US AT NHLBI HAVE BEEN 1766 01:10:05,400 --> 01:10:06,640 WORKING WITH GWEN AND THE 1767 01:10:06,640 --> 01:10:08,600 STEERING COMMITTEE AND WE'RE 1768 01:10:08,600 --> 01:10:10,520 PLEASED WITH THE RECEPTION AND 1769 01:10:10,520 --> 01:10:16,200 SUPPORT WE'VE RECEIVED, FINALLY, 1770 01:10:16,200 --> 01:10:18,920 IT'S REALLY THRILLING NOT JUST 1771 01:10:18,920 --> 01:10:20,960 TO SEE THE IMPLEMENTATION 1772 01:10:20,960 --> 01:10:22,680 SCIENCE AS A BUT RISK 1773 01:10:22,680 --> 01:10:23,840 ASSESSMENTS IMPORTANT PART OF 1774 01:10:23,840 --> 01:10:25,560 YOUR COG WHEEL BUT ALSO YOUR 1775 01:10:25,560 --> 01:10:28,280 MENTION OF THE COMMUNITIES THAT 1776 01:10:28,280 --> 01:10:29,680 HAVE BEEN DISPROPORTIONATELY 1777 01:10:29,680 --> 01:10:29,960 IMPACTED. 1778 01:10:29,960 --> 01:10:31,680 THESE ARE THE SAME COMMUNITIES 1779 01:10:31,680 --> 01:10:34,000 THAT HAVE BEEN 1780 01:10:34,000 --> 01:10:34,720 DISPROPORTIONATELY IMPACT BIDE 1781 01:10:34,720 --> 01:10:37,360 COVID AND WE'RE HOPING THAT THE 1782 01:10:37,360 --> 01:10:41,280 NIH WIDE PLATFORM WE BUILT ARE 1783 01:10:41,280 --> 01:10:43,440 USING COMMUNITY ENGAGED RESEARCH 1784 01:10:43,440 --> 01:10:45,360 AND ACTIVELY ENGAGING COMMUNITY 1785 01:10:45,360 --> 01:10:47,160 BASED ORGANIZATIONS, THE BOOTS 1786 01:10:47,160 --> 01:10:48,800 ON THE GROUND, IN THE RURAL 1787 01:10:48,800 --> 01:10:51,720 AREAS, AND I WAS JUST CLIL 1788 01:10:51,720 --> 01:10:53,720 THRILLED THAT DR. DEVOE SPOKE 1789 01:10:53,720 --> 01:10:55,720 OUT BECAUSE THAT PLATFORM 1790 01:10:55,720 --> 01:10:57,640 ENABLES US TO ENGAGE FAMILY 1791 01:10:57,640 --> 01:11:01,200 MEDICINE, PRIMARY CARE AND THE 1792 01:11:01,200 --> 01:11:04,680 RURAL HEALTH CENTERS AND 1793 01:11:04,680 --> 01:11:05,600 HEALTHCARE FACILITIES SO IN 1794 01:11:05,600 --> 01:11:07,000 SHORT WE HAVE GREAT EXPECTATIONS 1795 01:11:07,000 --> 01:11:08,720 OF THIS AND SO WE WOULD BE 1796 01:11:08,720 --> 01:11:09,560 ACTIVELY WORKING WITH YOU AND 1797 01:11:09,560 --> 01:11:11,320 LOOK FORWARD TO THE SUPPORT 1798 01:11:11,320 --> 01:11:16,680 WE'VE ALREADY RECEIVED, THANK 1799 01:11:16,680 --> 01:11:16,880 YOU. 1800 01:11:16,880 --> 01:11:18,520 >> WELL GEORGE, I WANT TO 1801 01:11:18,520 --> 01:11:19,800 REINFORCE THAT IT'S BEEN GREAT 1802 01:11:19,800 --> 01:11:21,000 WORKING WITH YOU, YOUR 1803 01:11:21,000 --> 01:11:23,720 COLLEAGUES AND OTHERS AT NHLBI, 1804 01:11:23,720 --> 01:11:25,240 AS WELL AS OTHERS ACROSS THE 1805 01:11:25,240 --> 01:11:25,480 NIH. 1806 01:11:25,480 --> 01:11:27,880 THE WHOLE ISSUE OF CLIMATE 1807 01:11:27,880 --> 01:11:29,720 CHANGE AND HEALTH, THERE'S A LOT 1808 01:11:29,720 --> 01:11:31,280 OF INTEREST, A LOT OF PASSION 1809 01:11:31,280 --> 01:11:32,360 AND WORKING TOGETHER, IS HOW WE 1810 01:11:32,360 --> 01:11:33,880 WILL GET THE JOB DONE. 1811 01:11:33,880 --> 01:11:35,400 AND FURTHER MORE, WORKING IN 1812 01:11:35,400 --> 01:11:36,280 COLLABORATION WITH OTHER FEDERAL 1813 01:11:36,280 --> 01:11:37,800 AGENCIES, WE WANT TO MAKE SURE 1814 01:11:37,800 --> 01:11:40,120 WE'RE NOT COMPETING WITH CDC AND 1815 01:11:40,120 --> 01:11:42,400 COMPETING WITH OTHER--WE NEED TO 1816 01:11:42,400 --> 01:11:44,160 BE WORKING TO DEVELOP THE TYPES 1817 01:11:44,160 --> 01:11:46,160 OF DATA INTEGRATION TOOLS THAT 1818 01:11:46,160 --> 01:11:47,360 GARY REFERRED TO IN HIS TALKS 1819 01:11:47,360 --> 01:11:50,520 SOPHISTICATEDY THAT THE GIS DATA 1820 01:11:50,520 --> 01:11:53,400 FROM NOAA, AND USGS, YOU KNOW 1821 01:11:53,400 --> 01:11:54,720 GETS INTEGRATE INTOED OUR 1822 01:11:54,720 --> 01:11:57,320 PROTOCOLS, SO A LOT OF WORK TO 1823 01:11:57,320 --> 01:11:59,760 DO AND I THANK GWEN FOR A LOT OF 1824 01:11:59,760 --> 01:12:03,640 THE HARD WORK THAT SHE'S DOING, 1825 01:12:03,640 --> 01:12:05,520 YOU KNOW KEEPING EVERYONE 1826 01:12:05,520 --> 01:12:06,680 WORKING AND SYNCHRONNING WITH 1827 01:12:06,680 --> 01:12:08,800 EACH OTHER, SO IT'S MORE 1828 01:12:08,800 --> 01:12:10,000 DIFFICULT JUST BEYOND 1 IC BUT 1829 01:12:10,000 --> 01:12:12,960 AS I MENTIONED THIS IS A PROBLEM 1830 01:12:12,960 --> 01:12:15,600 THAT'S MUCH BIGGER THAN NIEHS 1831 01:12:15,600 --> 01:12:19,720 AND I'M SO PLEASE THAD GARY'S 1832 01:12:19,720 --> 01:12:23,920 WILLING TO STEP UP AND WORK WITH 1833 01:12:23,920 --> 01:12:25,000 US AND WORKING TOGETHER IS HOW 1834 01:12:25,000 --> 01:12:28,640 WE WILL MAKE A REAL IMPACT ON 1835 01:12:28,640 --> 01:12:31,560 THIS ENORMOUSLY IMPORTANT AND 1836 01:12:31,560 --> 01:12:32,480 COMPLICATED PROBLEM. 1837 01:12:32,480 --> 01:12:33,920 GWEN WITH RESPECT TO COMMUNITY 1838 01:12:33,920 --> 01:12:35,520 ENGAGEMENT, YOU WANT TO TAKE 1839 01:12:35,520 --> 01:12:36,480 30-SECONDS AND KIND OF CHIME IN 1840 01:12:36,480 --> 01:12:37,760 HERE BECAUSE I KNOW THIS HAS 1841 01:12:37,760 --> 01:12:39,720 BEEN A AREA OF PERSONAL PASSION 1842 01:12:39,720 --> 01:12:41,960 FOR YOU. 1843 01:12:41,960 --> 01:12:42,520 >> SURE, SURE. 1844 01:12:42,520 --> 01:12:44,720 YOU KNOW I WANT TO SAY THAT 1845 01:12:44,720 --> 01:12:46,280 NIEHS HAS A LONG HISTORY AS 1846 01:12:46,280 --> 01:12:48,160 WELL, WE HAVE FOCUSED FOR 1847 01:12:48,160 --> 01:12:51,320 SEVERAL DECADES ON BRINGING 1848 01:12:51,320 --> 01:12:52,320 COMMUNITIES TOGETHER, PROVIDING 1849 01:12:52,320 --> 01:12:53,960 THEM WITH INFORMATION ABOUT 1850 01:12:53,960 --> 01:12:57,360 ENVIRONMENTAL HAZARDS IN THEIR 1851 01:12:57,360 --> 01:12:58,320 COMMUNITIES LISTENING CAREFULLY 1852 01:12:58,320 --> 01:13:03,200 TO WHAT CONCERNS THEY HAVE 1853 01:13:03,200 --> 01:13:05,720 THERE'S MANY DECADES WORTH OF 1854 01:13:05,720 --> 01:13:08,840 THE TOXIC LEGACY OF RACISM AND 1855 01:13:08,840 --> 01:13:09,800 ENVIRONMENTAL INVISITS AND WE'RE 1856 01:13:09,800 --> 01:13:12,520 SO EXCITED ABOUT BRINGING OUR 1857 01:13:12,520 --> 01:13:13,440 NETWORK TOGETHER WITH THE 1858 01:13:13,440 --> 01:13:28,720 NETWORKS THAT I KNOW 1859 01:13:28,720 --> 01:13:30,160 ARE--THEY'LL PROBABLY OVERLAP TO 1860 01:13:30,160 --> 01:13:33,840 SOME EXTENT BECAUSE AS YOU SAID, 1861 01:13:33,840 --> 01:13:37,160 THE COMMUNITIES IMPACTED BY 1862 01:13:37,160 --> 01:13:41,760 COVID ARE ALSO DEALING WITH 1863 01:13:41,760 --> 01:13:42,440 ENVIRONMENTAL RESOURCES, I WOULD 1864 01:13:42,440 --> 01:13:43,800 LOVE TO BRING IN OTHER LEADER 1865 01:13:43,800 --> 01:13:45,880 SAYS IN THE FIELD IN THE 1866 01:13:45,880 --> 01:13:47,840 ENVIRONMENTAL JUSTICE AND 1867 01:13:47,840 --> 01:13:48,760 ENVIRONMENTAL HEALTH DISPARITY 1868 01:13:48,760 --> 01:13:50,520 SPACE, IT'S JUST TIME FOR US TO 1869 01:13:50,520 --> 01:13:53,600 ALL WORK TOGETHER AND TO SEE 1870 01:13:53,600 --> 01:13:54,520 WHETHER THESE INTERRELATIONSHIPS 1871 01:13:54,520 --> 01:14:04,360 ARE HAPPENING AND HOW WE CAN 1872 01:14:04,360 --> 01:14:05,240 EXPAND ON THEM. 1873 01:14:05,240 --> 01:14:06,160 >> GREAT. 1874 01:14:06,160 --> 01:14:06,400 OKAY. 1875 01:14:06,400 --> 01:14:07,840 WELL, GARY, I DON'T SEE ANY 1876 01:14:07,840 --> 01:14:08,720 OTHER COMMENTS COMING IN. 1877 01:14:08,720 --> 01:14:10,720 >> I DON'T SEE ANY OTHER 1878 01:14:10,720 --> 01:14:11,400 COMMENTS EITHER. 1879 01:14:11,400 --> 01:14:14,560 QUICK, FOLKS IF YOU WANT TO ASK 1880 01:14:14,560 --> 01:14:15,320 DR. WOYCHIK, 1 MORE QUESTION, 1881 01:14:15,320 --> 01:14:18,680 NOW IS YOUR CHANCE. 1882 01:14:18,680 --> 01:14:21,560 THAT OR YOU CAN E-MAIL ME, TOO. 1883 01:14:21,560 --> 01:14:22,880 IT DOESN'T EPPED HERE. 1884 01:14:22,880 --> 01:14:24,520 >> WELL, I WANT TO THANK YOU 1885 01:14:24,520 --> 01:14:27,440 AGAIN FOR COMING AND SPEAKING TO 1886 01:14:27,440 --> 01:14:29,440 US TODAY AND GWEN ALSO FOR YOUR 1887 01:14:29,440 --> 01:14:30,720 PRESENCE, IT WAS WONDERFUL TO 1888 01:14:30,720 --> 01:14:33,560 HEAR FROM BOTH OF YOU ABOUT SUCH 1889 01:14:33,560 --> 01:14:34,200 AN EXCITING INITIATIVE. 1890 01:14:34,200 --> 01:14:36,320 I HOPE WE KEPT THE APPROPRIATION 1891 01:14:36,320 --> 01:14:38,080 IN SOMEWHAT OF A TIMELY FASHION, 1892 01:14:38,080 --> 01:14:39,520 IT WOULD BE HELPFUL AFTER ALL 1893 01:14:39,520 --> 01:14:42,600 THE WORK YOU INVESTED IN LAYING 1894 01:14:42,600 --> 01:14:44,320 THE GROUND WORK FOR US TO HIT 1895 01:14:44,320 --> 01:14:44,720 THE GROUND RUNNING. 1896 01:14:44,720 --> 01:14:47,320 THANK YOU SO MUCH FOR ATTENDING 1897 01:14:47,320 --> 01:14:49,800 OUR COUNCIL MEETING TODAY. 1898 01:14:49,800 --> 01:14:51,320 >> THANK YOU VERY MUCH, LAURA 1899 01:14:51,320 --> 01:14:52,720 AND GARY, THANK YOU VERY MUCH 1900 01:14:52,720 --> 01:14:53,320 FOR THE INVITE. 1901 01:14:53,320 --> 01:14:54,320 >> THANK YOU. 1902 01:14:54,320 --> 01:14:59,240 >> TAKE CARE, BYE, EVERYONE. 1903 01:14:59,240 --> 01:15:02,480 >> BYE. 1904 01:15:02,480 --> 01:15:04,240 >> OUR NEXT SPEAKER ACTUALLY 1905 01:15:04,240 --> 01:15:05,400 DR. GAIL PEARSON BUT BEFORE WE 1906 01:15:05,400 --> 01:15:06,360 DO THAT, I ACTUALLY HAVE 1907 01:15:06,360 --> 01:15:08,680 SOMETHING ON THE AGENDA 1908 01:15:08,680 --> 01:15:09,680 SCHEDULED FOR A 15 MINUTE BREAK. 1909 01:15:09,680 --> 01:15:12,520 DO YOU WANT TO TAKE A BREAK OR 1910 01:15:12,520 --> 01:15:14,040 WOULD RATHER JUST GO AHEAD AND 1911 01:15:14,040 --> 01:15:21,120 MOVE THROUGH THE AGENDA? 1912 01:15:21,120 --> 01:15:22,680 DID EMPLOY I'M JUST GOING TO SAY 1913 01:15:22,680 --> 01:15:24,400 LET'S KEEP GOING, SO WE WILL 1914 01:15:24,400 --> 01:15:27,960 HEAR FROM DR. GAIL PEARSON, SHE 1915 01:15:27,960 --> 01:15:29,360 IS THE NHBBI'S ASSOCIATE 1916 01:15:29,360 --> 01:15:31,200 DIRECTOR IN THE DIVISION OF 1917 01:15:31,200 --> 01:15:31,960 CARDIOVASCULAR SCIENCES AND 1918 01:15:31,960 --> 01:15:33,360 DIRECTOR OF OFFICE OF CLINICAL 1919 01:15:33,360 --> 01:15:37,160 RESEARCH WHERE SHE OVERSEES A 1920 01:15:37,160 --> 01:15:37,800 BROAD SCIENTIFIC PORTFOLIO. 1921 01:15:37,800 --> 01:15:39,840 I CAN TELL YOU GAIL DOES SO MANY 1922 01:15:39,840 --> 01:15:42,040 THINGS, I DON'T KNOW HOW SHE 1923 01:15:42,040 --> 01:15:44,360 FINDS TIME TO HAVE HER OWN LIFE, 1924 01:15:44,360 --> 01:15:46,440 AS A PEDIATRIC CARDIOLOGYST SHE 1925 01:15:46,440 --> 01:15:48,000 STILL SEES PATIENTS HERE AT 1926 01:15:48,000 --> 01:15:49,280 CHILDREN'S NATIONAL HOSPITAL IN 1927 01:15:49,280 --> 01:15:52,320 D. C., SHE A PARTICULAR INTEREST 1928 01:15:52,320 --> 01:15:53,120 IN PEDIATRIC CARDIOVASCULAR 1929 01:15:53,120 --> 01:15:54,040 RESEARCH AND SHE'S PASSIONATE 1930 01:15:54,040 --> 01:15:57,960 ABOUT ALL OF THESE THINGS. 1931 01:15:57,960 --> 01:15:59,720 SHE'S CURRENTLY THE NHLBI 1932 01:15:59,720 --> 01:16:01,600 REPRESENTATIVE TO A NUMBER OF 1933 01:16:01,600 --> 01:16:03,560 EFFORTS INCLUDING THE TRANSNIH 1934 01:16:03,560 --> 01:16:05,360 PEDIATRIC CONSORTIUM AND THE 1935 01:16:05,360 --> 01:16:08,480 INCLUDE PROJECT, A TRANSNIH DOWN 1936 01:16:08,480 --> 01:16:09,880 CENTERED RESEARCH PROGRAM, SHE'S 1937 01:16:09,880 --> 01:16:11,840 HERE TODAY PRESENTING THE 1938 01:16:11,840 --> 01:16:13,160 TRIENNIAL INCLUSION PREPORT TO 1939 01:16:13,160 --> 01:16:20,400 YOU, JOINING DR. PEARSON IS MISS 1940 01:16:20,400 --> 01:16:21,360 KATHRYN KAVOUNIS, OFFICE WITH 1941 01:16:21,360 --> 01:16:23,360 THE CLINICAL RESEARCH AND 1942 01:16:23,360 --> 01:16:25,360 SPECIALIZES IN INCLUSION 1943 01:16:25,360 --> 01:16:27,160 MONITORING, HUMAN SUBJECTS 1944 01:16:27,160 --> 01:16:28,560 PROTECTIONS AND PORTFOLIO 1945 01:16:28,560 --> 01:16:34,280 ANALYSIS, SO WELCOME GAIL AND 1946 01:16:34,280 --> 01:16:34,480 KATIE. 1947 01:16:34,480 --> 01:16:35,520 THANK YOU IN ADVANCE FOR WHAT 1948 01:16:35,520 --> 01:16:38,800 YOU WILL BE TELLING US. 1949 01:16:38,800 --> 01:16:40,680 >> THANK YOU. 1950 01:16:40,680 --> 01:16:42,960 I'M HAVING--I SEE MY SLIDES BUT 1951 01:16:42,960 --> 01:16:44,440 I'M NOT SURE YOU DO. 1952 01:16:44,440 --> 01:16:46,360 >> THERE'S A BUTTON UP LEFT THAT 1953 01:16:46,360 --> 01:16:51,960 SAYS FROM BEGINNING, CLICK IT. 1954 01:16:51,960 --> 01:16:54,200 >> AH, AND THEN SWITCH MUCH 1955 01:16:54,200 --> 01:16:54,440 MPLEGHT. 1956 01:16:54,440 --> 01:16:55,560 >> YEAH, SWITCH. 1957 01:16:55,560 --> 01:16:55,960 >> YEAH, SWITCH? 1958 01:16:55,960 --> 01:17:00,440 OKAY, HOW ARE WE NOW? 1959 01:17:00,440 --> 01:17:00,880 >> PERFECT. 1960 01:17:00,880 --> 01:17:02,280 >> SO I'M PLEASED TO BE HERE 1961 01:17:02,280 --> 01:17:03,480 TODAY TO PRESENT THIS IMPORTANT 1962 01:17:03,480 --> 01:17:05,640 REPORT TO THE COUNCIL MEMBERS. 1963 01:17:05,640 --> 01:17:08,120 I'M GOING TO BE JOINED IN THE 1964 01:17:08,120 --> 01:17:11,640 PRESENTATION AS DR. MOEN NOTED 1965 01:17:11,640 --> 01:17:15,160 BY KATIE KAVOUNIS, WHO IS THE 1966 01:17:15,160 --> 01:17:17,440 POINT PERSON WITHIN NHLBI PER 1967 01:17:17,440 --> 01:17:19,280 ALL INCLUSION ACTIVITIES AND 1968 01:17:19,280 --> 01:17:22,360 ALSO REGULARLY ADVISES THE NIH 1969 01:17:22,360 --> 01:17:24,240 OFFICE OF EXTRAMURAL RESEARCH 1970 01:17:24,240 --> 01:17:29,440 AND REPRESENTS NHLBI IN TRANSNIH 1971 01:17:29,440 --> 01:17:30,160 INCLUSION ACTIVITIES. 1972 01:17:30,160 --> 01:17:31,720 SO FOR THIS PRESENTATION, WE 1973 01:17:31,720 --> 01:17:33,800 WILL GO THROUGH AN OVERVIEW OF 1974 01:17:33,800 --> 01:17:39,000 THE TRIENNIAL REPORT AND NIH 1975 01:17:39,000 --> 01:17:39,920 INCLUSION POLICY. 1976 01:17:39,920 --> 01:17:42,960 KATIE WILL PRESENT THE ACTUAL 1977 01:17:42,960 --> 01:17:44,720 NHLBI DATA I WILL TALK ABOUT A 1978 01:17:44,720 --> 01:17:46,960 FEW NIH AND LBI INITIATIVES AND 1979 01:17:46,960 --> 01:17:50,120 THEN THERE WILL BE OPPORTUNITY 1980 01:17:50,120 --> 01:17:52,280 FOR DISCUSSION. 1981 01:17:52,280 --> 01:17:54,240 SO THE TRIENNIAL REPORT, THIS IS 1982 01:17:54,240 --> 01:17:56,320 A REPORT THAT EACH INSTITUTE 1983 01:17:56,320 --> 01:17:59,120 CONTRIBUTES TO AN OVERALL NIH 1984 01:17:59,120 --> 01:18:02,840 REPORT, SO THAT CONGRESS CAN 1985 01:18:02,840 --> 01:18:04,000 UNDERSTAND WHAT WE'RE DOING IN 1986 01:18:04,000 --> 01:18:06,440 THE WAY OF INCLUSION FOR GENDER 1987 01:18:06,440 --> 01:18:09,000 RACE AND ETHNICITY IN OUR 1988 01:18:09,000 --> 01:18:09,400 CLINICAL STUDIES. 1989 01:18:09,400 --> 01:18:12,680 SO YOU'RE GOING TO HEAR TODAY, A 1990 01:18:12,680 --> 01:18:15,160 HIGH LEVEL SUMMARY OF THE NHLBI 1991 01:18:15,160 --> 01:18:18,240 REPORT AND THE ROLE OF THE 1992 01:18:18,240 --> 01:18:21,680 COUNCIL IS TO HELP THE INSTITUTE 1993 01:18:21,680 --> 01:18:23,160 CERTIFY THAT NHLBI IS IN 1994 01:18:23,160 --> 01:18:38,000 COMPLIANCE WITH ALL OF OUR 1995 01:18:38,000 --> 01:18:38,960 INCLUSION POLICIES,--IS THE 1996 01:18:38,960 --> 01:18:43,360 UPDATER PINNING STILL OF MANY OF 1997 01:18:43,360 --> 01:18:44,360 OUR POLICIES. 1998 01:18:44,360 --> 01:18:45,960 THAT IT'S REQUIRED THAT WOMEN 1999 01:18:45,960 --> 01:18:47,840 AND MINORITIES BE INCLUDE INDEED 2000 01:18:47,840 --> 01:18:50,280 ALL CLINICAL AND RESEARCH 2001 01:18:50,280 --> 01:18:51,880 STUDIES THAT PHASE 3 CLINICAL 2002 01:18:51,880 --> 01:18:55,720 TRIALS INCLUDE VALID 2003 01:18:55,720 --> 01:18:56,680 AND--WHOOPS, SORRY. 2004 01:18:56,680 --> 01:18:59,440 INCLUDE VALID ANALYSIS BY SEX, 2005 01:18:59,440 --> 01:19:00,680 GENDER, RACE AND ETHNICITY WHERE 2006 01:19:00,680 --> 01:19:02,960 APPROPRIATE AND THEN AS I JUST 2007 01:19:02,960 --> 01:19:06,400 MENTIONED THE ADVISE RECOUNCIL'S 2008 01:19:06,400 --> 01:19:07,520 HAVE THE--ADVISORY COUNCIL'S 2009 01:19:07,520 --> 01:19:09,720 HAVE THE ROLE OF REVIEWING AND 2010 01:19:09,720 --> 01:19:11,080 PROVIDING INPUT. 2011 01:19:11,080 --> 01:19:15,360 NIH CURRENT POLICIES AND 2012 01:19:15,360 --> 01:19:16,880 GUIDELINES, AGAIN ATTEMPT TO 2013 01:19:16,880 --> 01:19:18,280 INSURE THE APPROPRIATE INCLUSION 2014 01:19:18,280 --> 01:19:22,320 OF WOMEN AND MINORITIES AND 2015 01:19:22,320 --> 01:19:25,000 REPORTING OF ANALYSIS BY SEX, 2016 01:19:25,000 --> 01:19:27,280 GENDER, RACE AND ETHNICITY IS 2017 01:19:27,280 --> 01:19:28,720 NOW REQUIRED TO 2018 01:19:28,720 --> 01:19:29,160 CLINICALTRIALS.GOV. 2019 01:19:29,160 --> 01:19:33,240 IN ADDITION, MORE RECENTLY 2020 01:19:33,240 --> 01:19:35,360 THERE'S BEEN AN EMPHASIS ON 2021 01:19:35,360 --> 01:19:38,560 INCLUSION OF INDIVIDUALS IN 2022 01:19:38,560 --> 01:19:39,360 CLINICAL STUDIES ESPECIALLY 2023 01:19:39,360 --> 01:19:44,640 CHILDREN AND OLDER ADULTS. 2024 01:19:44,640 --> 01:19:46,800 SO EFFECTIVE AT THE BEGINNING OF 2025 01:19:46,800 --> 01:19:49,960 THIS CURRENT REPORTING PERIOD, 2026 01:19:49,960 --> 01:19:54,520 THE NIH POLICY ON INCLUSION 2027 01:19:54,520 --> 01:19:57,840 ACROSS THE LIFE SPAN, INCLUDED 3 2028 01:19:57,840 --> 01:19:59,560 KEY CHANGES, EXPANSION OF 2029 01:19:59,560 --> 01:20:03,400 INCLUSION REPORTING TO ALL AGES, 2030 01:20:03,400 --> 01:20:04,560 CLARIFYING ACCEPTABLE REASONS 2031 01:20:04,560 --> 01:20:07,880 FOR EXCLUSION AND IMPLEMENTED 2032 01:20:07,880 --> 01:20:14,320 AN ANNUAL REQUIREMENT TOY BEGIN 2033 01:20:14,320 --> 01:20:15,240 REPORTING DEIDENTIFIED 2034 01:20:15,240 --> 01:20:15,640 INDIVIDUAL--SORRY. 2035 01:20:15,640 --> 01:20:18,080 TRIGGER FINGER. 2036 01:20:18,080 --> 01:20:19,560 INDIVIDUAL LEVEL PARTICIPANT 2037 01:20:19,560 --> 01:20:22,920 DATA INCLUDING AGE OF 2038 01:20:22,920 --> 01:20:24,600 ENROLLMENT, SEX, GENDER, RACE, 2039 01:20:24,600 --> 01:20:25,920 ETHNICITY AND KATIE WILL TALK A 2040 01:20:25,920 --> 01:20:27,240 BIT MORE ABOUT THAT. 2041 01:20:27,240 --> 01:20:32,320 SO YOU'RE ALL FAMILIAR WITH THE 2042 01:20:32,320 --> 01:20:33,160 NIH--NHLBI'S STRATEGIC VISION 2043 01:20:33,160 --> 01:20:33,440 APPROACH. 2044 01:20:33,440 --> 01:20:39,440 ALL OF THE OBJECTIVES NOTED HERE 2045 01:20:39,440 --> 01:20:40,960 CONTAIN ASPECTS OF INCLUSION AND 2046 01:20:40,960 --> 01:20:42,960 DIVERSITY AND OF COURSE 2047 01:20:42,960 --> 01:20:45,120 DIVERSITY IS IMPORTANT IN ALL OF 2048 01:20:45,120 --> 01:20:48,920 THE RESEARCH WE DO, BUT, 2049 01:20:48,920 --> 01:20:51,400 OBJECTIVE 3, SPECIFICALLY CALLS 2050 01:20:51,400 --> 01:20:53,360 OUT INVESTIGATING FACTORS THAT 2051 01:20:53,360 --> 01:20:55,680 ACCOUNT FOR DIFFERENCES IN 2052 01:20:55,680 --> 01:20:56,280 HEALTH AMONG POPULATIONS. 2053 01:20:56,280 --> 01:21:00,200 SO THIS HAS BEEN A KEY PILLAR OF 2054 01:21:00,200 --> 01:21:04,960 NHLBI'S APPROACH FOR QUITE 2055 01:21:04,960 --> 01:21:05,480 SOMETIME. 2056 01:21:05,480 --> 01:21:07,120 NHLBI HAS PROCEDURES FOR 2057 01:21:07,120 --> 01:21:07,800 EVALUATING INCLUSION. 2058 01:21:07,800 --> 01:21:10,280 THIS IS THE JOINT EFFORT BETWEEN 2059 01:21:10,280 --> 01:21:13,840 PEER REVIEW, PROGRAM STAFF AND 2060 01:21:13,840 --> 01:21:14,280 GRANTS MANAGEMENT. 2061 01:21:14,280 --> 01:21:16,600 SO WOE ASK THINGS LIKE IS THE 2062 01:21:16,600 --> 01:21:17,520 INCLUSION PLAN JUSTIFIED IN 2063 01:21:17,520 --> 01:21:19,800 TERMS OF THE SCIENTIFIC GOALS 2064 01:21:19,800 --> 01:21:21,640 AND RESEARCH STRATEGY. 2065 01:21:21,640 --> 01:21:23,840 DOES IT PROPOSE PROPORTION OF 2066 01:21:23,840 --> 01:21:25,720 WOMEN MINORITIES AND RELEVANT 2067 01:21:25,720 --> 01:21:27,360 AGE GROUPS, MATCHED THE 2068 01:21:27,360 --> 01:21:28,960 PREVALENCE AND DISEASE OR 2069 01:21:28,960 --> 01:21:29,720 CONDITION BEING STUDIED. 2070 01:21:29,720 --> 01:21:32,520 AND THEN WHEN ALL THE GRANTS 2071 01:21:32,520 --> 01:21:34,360 SUBMIT THEIRANNUAL PROGRESS 2072 01:21:34,360 --> 01:21:36,800 REPORTS, THEIR REVIEWED TO SEE 2073 01:21:36,800 --> 01:21:42,120 WHETHER ENROLLMENT MET THE PLAN. 2074 01:21:42,120 --> 01:21:43,880 SO THIS IS REPORTED TO CONGRESS 2075 01:21:43,880 --> 01:21:47,760 AND REPORTED ON A PUBLIC WEBSITE 2076 01:21:47,760 --> 01:21:51,080 AND COVERS FISCAL YEARS 2019, 2077 01:21:51,080 --> 01:21:52,560 2020 AND 2021. 2078 01:21:52,560 --> 01:21:58,400 IT INCLUDES GRANTS AND CONTRACTS 2079 01:21:58,400 --> 01:22:00,200 WITH HUMAN SUBJECTS IT INCLUDING 2080 01:22:00,200 --> 01:22:02,560 EXTRAMURAL WHICH MAKES UP THE 2081 01:22:02,560 --> 01:22:05,080 BULK OF REPORTING AS WELL AS 2082 01:22:05,080 --> 01:22:06,520 INTERIM AND ENROLLMENT AND 2083 01:22:06,520 --> 01:22:07,560 EXCLUDES ANALYSIS OF EXISTING 2084 01:22:07,560 --> 01:22:09,040 DATA SETS AND THIS IS WHAT THE 2085 01:22:09,040 --> 01:22:10,680 REPORT LOOKED LIKE THE LAST TIME 2086 01:22:10,680 --> 01:22:14,480 COUNCIL REVIEWED THIS AND 2087 01:22:14,480 --> 01:22:15,320 DR. GIBBON'S CERTIFIED IT AND 2088 01:22:15,320 --> 01:22:16,560 THIS IS WHAT WILL OCCUR AGAIN 2089 01:22:16,560 --> 01:22:18,920 THIS YEAR AFTER YOUR REVIEW. 2090 01:22:18,920 --> 01:22:20,800 I WOULD LIKE TO ACKNOWLEDGE 2091 01:22:20,800 --> 01:22:21,960 KATIE'S INCREDIBLE WORK IN 2092 01:22:21,960 --> 01:22:23,520 PUTTING TOGETHER THE DATA ON THE 2093 01:22:23,520 --> 01:22:26,280 SLIDES YOU'RE ABOUT TO SEE. 2094 01:22:26,280 --> 01:22:28,640 SO TO START OFF WITH WE JUST 2095 01:22:28,640 --> 01:22:30,840 WANTED TO SUMMARIZE NHLBI 2096 01:22:30,840 --> 01:22:32,520 ENROLLMENT IN ALL HUMAN SUBJECT 2097 01:22:32,520 --> 01:22:37,080 STUDIES THROUGH A FISCAL YEAR 2098 01:22:37,080 --> 01:22:38,000 2019 THROUGH 2021. 2099 01:22:38,000 --> 01:22:41,600 THE RED IS U.S. PARTICIPANTS AND 2100 01:22:41,600 --> 01:22:43,040 THE BLUE IS NON U.S. 2101 01:22:43,040 --> 01:22:43,600 PARTICIPANTS. 2102 01:22:43,600 --> 01:22:47,880 YOU WILL SEE THERE'S A BIG BUMP 2103 01:22:47,880 --> 01:22:48,440 IN 2020. 2104 01:22:48,440 --> 01:22:52,320 THIS WAS DUE TO 3 EHR HOSPITAL 2105 01:22:52,320 --> 01:22:54,880 BASED GRANTS THAT HAD HUGE 2106 01:22:54,880 --> 01:22:55,320 ENROLLMENT. 2107 01:22:55,320 --> 01:22:57,320 AND THEN YOU PROBABLY WON'T BE 2108 01:22:57,320 --> 01:22:59,800 SURPRISED ABOUT A DECREASE IN 2109 01:22:59,800 --> 01:23:00,960 ENROLLMENT IN 2021, THIS IS DUE 2110 01:23:00,960 --> 01:23:05,040 TO A COUPLE OF THE REALLY LARGE 2111 01:23:05,040 --> 01:23:06,880 STUDIES, FINISHING BUT ALSO OF 2112 01:23:06,880 --> 01:23:10,600 COURSE DUE TO IMPACTS FROM THE 2113 01:23:10,600 --> 01:23:10,960 COVID PANDEMIC. 2114 01:23:10,960 --> 01:23:11,920 >> HI, GAIL, I WOONG 2115 01:23:11,920 --> 01:23:13,200 STRAIGHTENED OUT THE ISSUES, ARE 2116 01:23:13,200 --> 01:23:15,280 YOU ABLE TO HEAR ME NOW? 2117 01:23:15,280 --> 01:23:15,760 >> YES, GREAT. 2118 01:23:15,760 --> 01:23:17,120 >> DO YOU SEE THE SLIDE THAT 2119 01:23:17,120 --> 01:23:18,280 WE'RE ON? 2120 01:23:18,280 --> 01:23:22,360 >> I DO, YES, I'M SORRY, 2121 01:23:22,360 --> 01:23:23,160 EVERYONE. 2122 01:23:23,160 --> 01:23:26,000 >> THAT'S OKAY. 2123 01:23:26,000 --> 01:23:26,280 PLEASE. 2124 01:23:26,280 --> 01:23:28,120 >> SO, THANK YOU FOR YOUR 2125 01:23:28,120 --> 01:23:28,360 PATIENCE. 2126 01:23:28,360 --> 01:23:31,520 IN TERMS OF THE ENROLLMENT FOR 2127 01:23:31,520 --> 01:23:34,800 OUR PHASE 3 TRIALS, AS GAIL 2128 01:23:34,800 --> 01:23:36,360 MENTIONED DUE TO COVID, WE'VE 2129 01:23:36,360 --> 01:23:38,440 HAD A DECLINE IN ENROLLMENT, THE 2130 01:23:38,440 --> 01:23:42,160 BIG BUMP WE SEE IN 2019 IS REAL 2131 01:23:42,160 --> 01:23:46,000 RELATED TO A LARGE TRIAL, WOMEN 2132 01:23:46,000 --> 01:23:50,760 ONLY TRIAL THAT ENDED IN 2019, 2133 01:23:50,760 --> 01:23:54,320 SO IN 2020 AND 2021, WE WERE 2134 01:23:54,320 --> 01:23:57,680 BACK TO OUR MORE REGULAR LEVEL 2135 01:23:57,680 --> 01:23:58,560 OF ENROLLMENT IN CLINICAL TRIALS 2136 01:23:58,560 --> 01:23:59,960 BUT YOU'LL NOTICE THAT WE DID 2137 01:23:59,960 --> 01:24:04,080 HAVE A STUDY INCREASE IN FOREIGN 2138 01:24:04,080 --> 01:24:05,160 ENROLLMENT AND LATER ON, YOU 2139 01:24:05,160 --> 01:24:11,720 WILL SEE THAT THAT IMPACTS OUR 2140 01:24:11,720 --> 01:24:14,560 RACE AND ETHNICITY DATA IN 2021 2141 01:24:14,560 --> 01:24:21,000 AS WELL. 2142 01:24:21,000 --> 01:24:21,640 NEXT SLIDE. 2143 01:24:21,640 --> 01:24:25,560 SO FOR OUR SEX AND GENDER PIE 2144 01:24:25,560 --> 01:24:27,640 DIAGRAMS HERE, ALL OF THE 2145 01:24:27,640 --> 01:24:30,760 DEMOGRAPHICS ARE MEANT TO BE 2146 01:24:30,760 --> 01:24:32,160 PARTICIPANT REPORTED, 2147 01:24:32,160 --> 01:24:34,480 SELF-REPORTED, SO, DEPENDING ON 2148 01:24:34,480 --> 01:24:37,160 THE AIMS OF THE STUDY, AN 2149 01:24:37,160 --> 01:24:38,680 INVESTIGATOR MAY ASK FOR EITHER 2150 01:24:38,680 --> 01:24:40,560 SEX OR GENDER, BUT FOR THIS 2151 01:24:40,560 --> 01:24:45,080 DATA, THOSE ARE COMBINED AS 2152 01:24:45,080 --> 01:24:48,400 SEX/GENDER AND WE'RE PRETTY 2153 01:24:48,400 --> 01:24:49,440 CONSISTENT OVER THE YEARS. 2154 01:24:49,440 --> 01:24:52,200 WE HAVE A SLIGHT DECREASE IN OUR 2155 01:24:52,200 --> 01:24:55,400 ENROLLMENT OF WOMEN IN 2021 AND 2156 01:24:55,400 --> 01:24:57,320 AGAIN, I THINK THAT'S MOSTLY DUE 2157 01:24:57,320 --> 01:25:01,560 TO THE COMPLETION OF OUR LARGE 2158 01:25:01,560 --> 01:25:02,880 WOMEN ONLY TRIAL IN THE EARLIER 2159 01:25:02,880 --> 01:25:05,760 YEARS AS WELL AS IMPACT OF COVID 2160 01:25:05,760 --> 01:25:10,560 AND THE INCREASED ROLE OF 2161 01:25:10,560 --> 01:25:12,520 CAREGIVERS AMONG WOMEN. 2162 01:25:12,520 --> 01:25:13,000 NEXT SLIDE, PLEASE. 2163 01:25:13,000 --> 01:25:14,680 THIS IS THE SAME SEX GENDER 2164 01:25:14,680 --> 01:25:18,880 BREAK DOWN BUT FOR OUR PHASE 3 2165 01:25:18,880 --> 01:25:19,120 TRIALS. 2166 01:25:19,120 --> 01:25:23,760 AND AGAIN, THAT LARGE 66% 2167 01:25:23,760 --> 01:25:26,080 ENROLLMENT OF WOMEN IN 2019 WAS 2168 01:25:26,080 --> 01:25:27,800 RELATED TO THE LARGE WOMEN-ONLY 2169 01:25:27,800 --> 01:25:31,840 TRIAL AND THEN WE SAW A SLIGHT 2170 01:25:31,840 --> 01:25:38,320 DECREASE IN 2020, AND 2021. 2171 01:25:38,320 --> 01:25:40,560 NEXT SLIDE. 2172 01:25:40,560 --> 01:25:43,120 NOW THESE COLUMNS, 1 FOR 2019, 1 2173 01:25:43,120 --> 01:25:46,000 FOR 2020 AND 1 FOR 2021, SHOW 2174 01:25:46,000 --> 01:25:46,960 THE RACIAL CATEGORIES AND AGAIN 2175 01:25:46,960 --> 01:25:51,560 THIS IS MEANT TO BE RECORDED BY 2176 01:25:51,560 --> 01:25:53,880 THE STUDY PARTICIPANTS HOW THEY 2177 01:25:53,880 --> 01:25:56,400 IDENTIFY IN THESE RACIAL 2178 01:25:56,400 --> 01:25:59,280 CATEGORIES AND FROM TOP TO 2179 01:25:59,280 --> 01:26:01,280 BOTTOM THE FIRST CHUNK THERE ARE 2180 01:26:01,280 --> 01:26:03,600 UNKNOWN OR NOT REPORTED, SO WE 2181 01:26:03,600 --> 01:26:06,240 STILL HAVE A LOT OF PARTICIPANTS 2182 01:26:06,240 --> 01:26:08,880 WHO EITHER CHOOSE NOT TO REPORT 2183 01:26:08,880 --> 01:26:11,760 OR DON'T FEEL LIKE THEY FIT INTO 2184 01:26:11,760 --> 01:26:14,960 1 OF THESE CATEGORIES. 2185 01:26:14,960 --> 01:26:19,120 NEXT, IS THE MORE THAN 1 RAISE 2186 01:26:19,120 --> 01:26:39,160 CATEGORY, FOLLOWED BY THE 2187 01:26:39,160 --> 01:26:42,200 BLUE--AND YOU SEE WE HAD AN 2188 01:26:42,200 --> 01:26:44,600 INCREASE IN 2020 OR 2021 AS 2189 01:26:44,600 --> 01:26:46,600 THOSE WHO IDENTIFIED AS BLACK OR 2190 01:26:46,600 --> 01:26:47,080 AFRICA AMERICAN. 2191 01:26:47,080 --> 01:26:50,160 AND WE NEXT SAW THE ASIAN 2192 01:26:50,160 --> 01:26:55,040 PARTICIPANTS UP TO 4.4% IN 2021. 2193 01:26:55,040 --> 01:26:55,680 NEXT SLIDE PLEASE. 2194 01:26:55,680 --> 01:26:57,400 HERE ARE THOSE SAME CATEGORIES, 2195 01:26:57,400 --> 01:27:02,840 BUT FOR OUR PHASE 3 CLINICAL 2196 01:27:02,840 --> 01:27:03,080 TRIALS. 2197 01:27:03,080 --> 01:27:07,320 AGAIN WE SEE ALMOST A DOUBLING 2198 01:27:07,320 --> 01:27:09,640 IN OUR PARTICIPANTS WHO REPORTED 2199 01:27:09,640 --> 01:27:13,320 AS BLACK OR AFRICAN AMERICAN, UP 2200 01:27:13,320 --> 01:27:17,960 TO 25.8% IN 2021, AS WELL AS 2201 01:27:17,960 --> 01:27:22,240 ASIAN PARTICIPANTS AT 9.2%. 2202 01:27:22,240 --> 01:27:24,120 AND IN OUR PHASE 3 TRIALS WE 2203 01:27:24,120 --> 01:27:27,200 REALLY NOTICED IN THE PAST FEW 2204 01:27:27,200 --> 01:27:29,680 YEARS, AN INCREASE OF FOREIGN 2205 01:27:29,680 --> 01:27:31,320 FORPII SYSTEMSITANTS, WE HAD A 2206 01:27:31,320 --> 01:27:35,120 LARGE INDOOR AIR QUALITY STUDY 2207 01:27:35,120 --> 01:27:35,800 IN LOW INCOME COUNTRIES AND 2208 01:27:35,800 --> 01:27:38,200 ABOUT HALF OF THOSE PARTICIPANTS 2209 01:27:38,200 --> 01:27:40,120 WERE FROM LATIN AMERICAN 2210 01:27:40,120 --> 01:27:40,360 COUNTRIES. 2211 01:27:40,360 --> 01:27:43,160 WE ALSO HAD AN INCREASE IN 2212 01:27:43,160 --> 01:27:49,200 TARGETED PHASE 3 TRIALS, FOCUSED 2213 01:27:49,200 --> 01:27:50,200 ON UNDERREPRESENTED POPULATIONS. 2214 01:27:50,200 --> 01:27:55,240 SO I THINK OVERALL OUR MINORITY 2215 01:27:55,240 --> 01:27:57,040 ENROLLMENT IN OUR PHASE 3 TRIALS 2216 01:27:57,040 --> 01:27:59,760 HAS REALLY IMPROVED FROM THE 2217 01:27:59,760 --> 01:28:00,280 PREVIOUS TRIENNIAL REPORT. 2218 01:28:00,280 --> 01:28:03,240 WE HAD A LOT OF FOCUS TRIAL BUT 2219 01:28:03,240 --> 01:28:05,000 I THINK, YOU KNOW THERE'S ALWAYS 2220 01:28:05,000 --> 01:28:07,000 ROOM FOR IMPROVEMENT THAT'S FOR 2221 01:28:07,000 --> 01:28:10,880 SURE. 2222 01:28:10,880 --> 01:28:11,600 NEXT SLIDE, PLEASE. 2223 01:28:11,600 --> 01:28:13,880 NOW THESE CHARTS ARE LOOKING AT 2224 01:28:13,880 --> 01:28:15,800 ETHNICITY AND THE OMB CATEGORIES 2225 01:28:15,800 --> 01:28:17,840 THAT INVESTIGATORS HAVE TO USE 2226 01:28:17,840 --> 01:28:20,280 ARE HISPANIC OR LATINO OR NOT 2227 01:28:20,280 --> 01:28:21,240 HISPANIC OR LATINO. 2228 01:28:21,240 --> 01:28:23,960 AND YOU WILL NOTICE ACROSS THE 2229 01:28:23,960 --> 01:28:26,360 YEARS WE HAVE A HIGH PERCENTAGE 2230 01:28:26,360 --> 01:28:29,160 OF UNKNOWN OR NOT REPORTED AND I 2231 01:28:29,160 --> 01:28:33,560 THINK A LOT OF OUR INVESTIGATORS 2232 01:28:33,560 --> 01:28:35,760 REPORT THAT PARTICIPANTS, A LOT 2233 01:28:35,760 --> 01:28:38,800 OF TIMES DON'T UNDERSTAND BEING 2234 01:28:38,800 --> 01:28:40,280 ASKED BOTH RACIAL AND ETHNICITY 2235 01:28:40,280 --> 01:28:44,200 QUESTIONS AND A LOT OF THEM END 2236 01:28:44,200 --> 01:28:45,520 UP SAYING UNKNOWN OR DON'T GIVE 2237 01:28:45,520 --> 01:28:51,760 A RESPONSE FOR THE ETHNICITY 2238 01:28:51,760 --> 01:28:52,000 CATEGORY. 2239 01:28:52,000 --> 01:28:54,960 WE DO HAVE AN INCREASE IN 2020 2240 01:28:54,960 --> 01:28:59,400 AND THEN, SETTLE AT ABOUT 10.7% 2241 01:28:59,400 --> 01:29:04,320 HISPANIC OR LATINO PARTICIPANTS 2242 01:29:04,320 --> 01:29:20,360 IN 2021. 2243 01:29:20,360 --> 01:29:20,800 NEXT SLIDE, PLEASE. 2244 01:29:20,800 --> 01:29:24,560 AND AGAIN HERE ARE THE ETHNICITY 2245 01:29:24,560 --> 01:29:26,240 PIE CHARTS IN THE PHASE 3 2246 01:29:26,240 --> 01:29:28,880 CLINICAL TRIALS. 2247 01:29:28,880 --> 01:29:30,960 AND AGAIN IN 2019, 2020, AND 2248 01:29:30,960 --> 01:29:34,160 2021, ARE DUE TO THE TARGETED IN 2249 01:29:34,160 --> 01:29:35,840 THE UNDERREPRESENTED POPULATION. 2250 01:29:35,840 --> 01:29:38,920 WE HAVE A LARGE CARDIOVASCULAR 2251 01:29:38,920 --> 01:29:41,160 TRIAL AMONG HIV POSITIVE 2252 01:29:41,160 --> 01:29:45,960 PARTICIPANTS THAT HAD VERY HIGH 2253 01:29:45,960 --> 01:29:48,080 RACIAL AND ETHNIC MINORITY 2254 01:29:48,080 --> 01:29:48,400 POPULATION. 2255 01:29:48,400 --> 01:29:50,320 AGAIN, THE INDOOR AIR QUALITY, 2256 01:29:50,320 --> 01:29:53,320 FOREIGN TRIAL, AND THEN WE ALSO 2257 01:29:53,320 --> 01:29:55,080 HAD A VERY LARGE TRIAL LOOKING 2258 01:29:55,080 --> 01:29:56,680 AT THE DISSEMINATION AND 2259 01:29:56,680 --> 01:29:58,760 IMPLEMENTATION OF THE SPRINT 2260 01:29:58,760 --> 01:29:59,200 TRIAL RESUMMITS. 2261 01:29:59,200 --> 01:30:01,760 AND THAT WAS SPECIFICALLY 2262 01:30:01,760 --> 01:30:04,760 TARGETED TO UNDERSERVED 2263 01:30:04,760 --> 01:30:12,280 POPULATION. 2264 01:30:12,280 --> 01:30:12,960 NEXT SLIDE. 2265 01:30:12,960 --> 01:30:14,960 AND BRINGING THE LENS OUT A 2266 01:30:14,960 --> 01:30:16,800 LITTLE BIT, THIS SLIDE 2267 01:30:16,800 --> 01:30:19,320 SUMMARIZES ALL OF OUR PHASE 3 2268 01:30:19,320 --> 01:30:19,560 TRIALS. 2269 01:30:19,560 --> 01:30:23,320 SO IN 2021 ALL OF OUR TRIALS, 2270 01:30:23,320 --> 01:30:25,360 THE SUMMARY INFORMATION THERE 2271 01:30:25,360 --> 01:30:29,480 SHOWED WE HAD 52% PARTICIPATION 2272 01:30:29,480 --> 01:30:31,320 AMONG WOMEN, IT ALSO DOMEON 2273 01:30:31,320 --> 01:30:33,000 STRAIGHT THAD SAME INCREASE IN 2274 01:30:33,000 --> 01:30:35,360 PLAQUE OR AFRICAN AMERICAN 2275 01:30:35,360 --> 01:30:37,160 PARTICIPANTS IN ASIAN, HISPANIC 2276 01:30:37,160 --> 01:30:38,120 OR LATINO PARTICIPANTS AND I 2277 01:30:38,120 --> 01:30:41,240 THINK IT REALLY SHOWS, NHLBI'S 2278 01:30:41,240 --> 01:30:43,440 COMMITMENT TO THE SUSTAINED 2279 01:30:43,440 --> 01:30:47,960 INVESTMENTS IN HELPING THE 2280 01:30:47,960 --> 01:30:50,560 INVESTIGATORS REACH OUT TO 2281 01:30:50,560 --> 01:30:51,640 UNDERSERVED POPULATION AND AS I 2282 01:30:51,640 --> 01:30:53,520 MENTIONED, I THINK A LOT OF OUR 2283 01:30:53,520 --> 01:30:58,640 DATA IS DRIVEN BY THESE TARGETED 2284 01:30:58,640 --> 01:31:02,160 STUDIES AND TRIALS BUT IT 2285 01:31:02,160 --> 01:31:04,720 MAY--YOU KNOW I'M WORRIED IT MAY 2286 01:31:04,720 --> 01:31:05,880 MASK SOME INCLUSION ISSUES THAT 2287 01:31:05,880 --> 01:31:08,760 WE'RE STILL HAVING IN SOME OF 2288 01:31:08,760 --> 01:31:09,800 OUR VERY SPECIFIC PORTFOLIOS OR 2289 01:31:09,800 --> 01:31:15,160 SOME OF OUR SMALLER TRIALS. 2290 01:31:15,160 --> 01:31:17,640 SO I THINK OVERALL THE DATA 2291 01:31:17,640 --> 01:31:18,400 LOOKS GOOD. 2292 01:31:18,400 --> 01:31:20,120 OUR INVESTIGATORS ARE WORKING 2293 01:31:20,120 --> 01:31:23,320 HARD AND I THINK NHLBI PROGRAM 2294 01:31:23,320 --> 01:31:24,840 STAFF ARE WORKING CLOSELY WITH 2295 01:31:24,840 --> 01:31:26,480 INVESTIGATORS TO MAKE SURE THEY 2296 01:31:26,480 --> 01:31:41,040 UNDERSTAND THE IMPORTANCE OF 2297 01:31:41,040 --> 01:31:41,880 DIVERSITY AND INCLUSION--AND 2298 01:31:41,880 --> 01:31:42,800 HOPEFULLY WE WILL HAVE MORE 2299 01:31:42,800 --> 01:31:47,520 INFORMATION FOR THOSE AS WELL. 2300 01:31:47,520 --> 01:31:48,240 NEXT SLIDE. 2301 01:31:48,240 --> 01:31:50,800 AND AS GAIL MENTIONED THE 2021 2302 01:31:50,800 --> 01:31:52,960 DATA IS OUR FIRST LOOK AT THE 2303 01:31:52,960 --> 01:31:57,720 NEW REQUIREMENTS FOR 2304 01:31:57,720 --> 01:31:59,160 INVESTIGATORS TO PROVIDE AGE 2305 01:31:59,160 --> 01:32:00,560 ENROLLMENT DATA SO EVEN THOUGH 2306 01:32:00,560 --> 01:32:03,000 ABOUT 26% OF OUR STUDIES 2307 01:32:03,000 --> 01:32:04,560 REPORTING ENROLLMENT FALL UNDER 2308 01:32:04,560 --> 01:32:05,600 THIS NEW REQUIREMENTS, WE HAVE 2309 01:32:05,600 --> 01:32:10,480 THIS FIRST LOOK AT THE DATA AND 2310 01:32:10,480 --> 01:32:13,760 WE'RE SEEING THAT 11% OR THESE 2311 01:32:13,760 --> 01:32:16,560 BLUE BARS HERE OR 11% OF THE 2312 01:32:16,560 --> 01:32:17,960 PARTICIPANTS FALL INTO THE LESS 2313 01:32:17,960 --> 01:32:21,400 THAN 18 YEARS OLD CATEGORY, WE 2314 01:32:21,400 --> 01:32:25,560 HAVE 37% THAT FALL INTO THE 2315 01:32:25,560 --> 01:32:28,960 18-64 CATEGORY AND 49% OF THE 2316 01:32:28,960 --> 01:32:30,320 NHLBI PARTICIPANTS WERE 65 OR 2317 01:32:30,320 --> 01:32:31,760 OLDER AND I THINK, YOU KNOW THIS 2318 01:32:31,760 --> 01:32:38,040 IS TO BE EXPECTED, A LOT OF THE 2319 01:32:38,040 --> 01:32:40,880 NHLBI PORTFOLIO COVERED CHRONIC 2320 01:32:40,880 --> 01:32:42,080 CONDITIONS AND I THINK WE WILL 2321 01:32:42,080 --> 01:32:44,920 BE INTERESTED TO LOOK MORE--DIVE 2322 01:32:44,920 --> 01:32:46,200 MORE DEEPLY INTO THIS DATA 2323 01:32:46,200 --> 01:32:48,080 BEFORE WE START HAVING 2324 01:32:48,080 --> 01:32:50,040 INFORMATION AND PERHAPS IN THE 2325 01:32:50,040 --> 01:32:50,880 NEXT TRIENNIAL REPORT AND WE 2326 01:32:50,880 --> 01:32:53,560 WILL HAVE MORE THAN 26% OF THESE 2327 01:32:53,560 --> 01:32:57,880 STUDIES REPORTING OUR DETAIL. 2328 01:32:57,880 --> 01:32:58,160 NEXT SLIDE. 2329 01:32:58,160 --> 01:32:59,400 >> A LITTLE BIT MORE DETAIL IN 2330 01:32:59,400 --> 01:33:01,360 TERMS OF THE CHILDREN WHO ARE 2331 01:33:01,360 --> 01:33:04,040 ENROLLED IN OUR TRIALS, THE 2332 01:33:04,040 --> 01:33:07,560 MAJORITY, A LOT OF THEM FALL 2333 01:33:07,560 --> 01:33:08,800 INTO THE 6-12 YEAR CATEGORY AND 2334 01:33:08,800 --> 01:33:10,360 I THINK THIS IS BASED ON A LOT 2335 01:33:10,360 --> 01:33:13,560 OF OUR STUDIES OR A LARGER 2336 01:33:13,560 --> 01:33:14,880 STUDIES AS SCHOOL BASED SO THIS 2337 01:33:14,880 --> 01:33:16,560 WOULD BE THE ELEMENTARY SCHOOL 2338 01:33:16,560 --> 01:33:19,200 POPULATION AND I THINK WE HAVE A 2339 01:33:19,200 --> 01:33:20,520 FEW NUTRITION STUDIES THAT ARE 2340 01:33:20,520 --> 01:33:23,360 LOOKING AT SCHOOL BASED 2341 01:33:23,360 --> 01:33:25,120 NUTRITION. 2342 01:33:25,120 --> 01:33:25,560 NEXT SLIDE, PLEASE. 2343 01:33:25,560 --> 01:33:27,520 THIS IS A BREAK DOWN OF OUR 2344 01:33:27,520 --> 01:33:29,640 OLDER ADULTS AND YOU WILL SEE, 2345 01:33:29,640 --> 01:33:33,640 THE BIGGEST CHUNKS ARE IN THIS 2346 01:33:33,640 --> 01:33:38,800 75-79 AND 80-84 CATEGORY. 2347 01:33:38,800 --> 01:33:39,120 NEXT SLIDE. 2348 01:33:39,120 --> 01:33:43,560 BACK TO YOU GAIL. 2349 01:33:43,560 --> 01:33:45,120 >> THANKS, KATIE FOR TAKING US 2350 01:33:45,120 --> 01:33:46,040 THROUGH THE DATA, REALLY 2351 01:33:46,040 --> 01:33:46,360 APPRECIATE IT. 2352 01:33:46,360 --> 01:33:48,880 SO I WANT TO SPEND A FEW MINUTES 2353 01:33:48,880 --> 01:33:52,160 NOW, GOING OVER SOME NIH AND 2354 01:33:52,160 --> 01:33:54,040 NHLBI ACTIVITIES RELATED TO 2355 01:33:54,040 --> 01:33:55,320 INCLUSION AND DIVERSITY, 2356 01:33:55,320 --> 01:33:58,560 DR. GIBBONS MENTIONED IN HIS 2357 01:33:58,560 --> 01:34:01,800 TALK, THE INSTITUTES GAINS IN 2358 01:34:01,800 --> 01:34:04,440 INSURING THE DIVERSE POOL OF 2359 01:34:04,440 --> 01:34:07,080 INVESTIGATORS ARE LEADING OUR 2360 01:34:07,080 --> 01:34:09,720 STUDIES PARTICULARLY IN THE 2361 01:34:09,720 --> 01:34:11,280 TRAINING GRANT PORTFOLIO AND OF 2362 01:34:11,280 --> 01:34:13,600 COURSE, WE HEARD FROM BOTH 2363 01:34:13,600 --> 01:34:21,760 DR. GIBBONS AND DR. WOYCHIK, THE 2364 01:34:21,760 --> 01:34:23,040 INCREDIBLE EFFECTS ON EQUITY AND 2365 01:34:23,040 --> 01:34:25,320 CLIMATE CHANGE AND PROGRAM TO 2366 01:34:25,320 --> 01:34:27,080 COMBAT CLIMATE CHANGE AND 2367 01:34:27,080 --> 01:34:31,160 INCREASE HEALTH EQUITY. 2368 01:34:31,160 --> 01:34:32,720 SO, IN NOVEMBER, 2019 NIH 2369 01:34:32,720 --> 01:34:35,560 PUBLISHED THEIR STATEMENT OF 2370 01:34:35,560 --> 01:34:37,800 INTEREST IN DIVERSITY AND IN 2371 01:34:37,800 --> 01:34:41,000 THIS NIESH H ENCOURAGED 2372 01:34:41,000 --> 01:34:42,080 INSTITUTIONS TO DIVERSIFY 2373 01:34:42,080 --> 01:34:42,920 INSTITUTION AND FACULTY 2374 01:34:42,920 --> 01:34:44,440 POPULATIONS TO ENHANCE THE 2375 01:34:44,440 --> 01:34:45,600 PARTICIPATION OF INDIVIDUALS 2376 01:34:45,600 --> 01:34:47,680 FROM GROUPS THAT ARE UNDER 2377 01:34:47,680 --> 01:34:51,560 REPRESENTED IN ALL AREAS OF 2378 01:34:51,560 --> 01:34:51,960 RESEARCH. 2379 01:34:51,960 --> 01:34:54,440 AND UNDERREPRESENTED INCLUDING 2380 01:34:54,440 --> 01:34:56,240 IN THIS PERSPECTIVE, RACIAL AND 2381 01:34:56,240 --> 01:34:58,960 ETHNIC GROUPS, INDIVIDUALS WITH 2382 01:34:58,960 --> 01:35:00,320 DISABILITIES, INDIVIDUALS FROM 2383 01:35:00,320 --> 01:35:02,280 DISADVANTAGED BACK GROUPEDS SUCH 2384 01:35:02,280 --> 01:35:04,200 AS HAVING BEEN HOMELESS AND 2385 01:35:04,200 --> 01:35:07,200 WOMEN IN ALL THE CATEGORIES 2386 01:35:07,200 --> 01:35:12,840 ABOVE AS WELL AS AN EMPHASIS. 2387 01:35:12,840 --> 01:35:15,600 THIS NOTICE AND THIS STATEMENT 2388 01:35:15,600 --> 01:35:19,760 WILL BE INCORPORATED IN NHLBI'S 2389 01:35:19,760 --> 01:35:20,720 CLINICAL FUNDING ANNOUNCEMENTS 2390 01:35:20,720 --> 01:35:22,120 WHEN THEY ARE RESILIENCE LEASED 2391 01:35:22,120 --> 01:35:24,600 LATER THIS YEAR, SO THIS IS 1 OF 2392 01:35:24,600 --> 01:35:27,920 THE THINGS NHLBI'S DOING. 2393 01:35:27,920 --> 01:35:29,400 WHEN OUR STAFF TALK WITH 2394 01:35:29,400 --> 01:35:32,800 INVESTIGATORS, WHEN THEY COME 2395 01:35:32,800 --> 01:35:35,680 INTO US WITH LARGE GRANTS WHICH 2396 01:35:35,680 --> 01:35:36,360 TYPICALLY INCLUDE TRIALS AND 2397 01:35:36,360 --> 01:35:38,000 THEY'RE REQUIRED TO HAVE A 2398 01:35:38,000 --> 01:35:39,640 CONSULTATION WITH THE STAFF 2399 01:35:39,640 --> 01:35:41,160 BEFORE SUBMISSION, WE'RE ALSO 2400 01:35:41,160 --> 01:35:42,720 TAKING THE OPPORTUNITY TO 2401 01:35:42,720 --> 01:35:45,760 DISCUSS WITH THE INVESTIGATORS, 2402 01:35:45,760 --> 01:35:50,600 HOW THEIR RESEARCH TEAM WILL 2403 01:35:50,600 --> 01:35:52,400 INSURE DIVERSE RECRUITMENT AND 2404 01:35:52,400 --> 01:35:55,040 THIS OFTEN RESULTS IN A CHANGE, 2405 01:35:55,040 --> 01:35:56,800 MEANING INCREASED DIVERSITY IN 2406 01:35:56,800 --> 01:35:59,640 THE RESEARCH TEAMS, AND ENHANCES 2407 01:35:59,640 --> 01:36:06,640 THEIR FOCUS ON RECRUITING AND 2408 01:36:06,640 --> 01:36:07,080 DIVERSE POPULATION. 2409 01:36:07,080 --> 01:36:10,200 SO I THINK IN 2016 NIH 2410 01:36:10,200 --> 01:36:12,640 INTRODUCED ITS POLICY ON SEX AS 2411 01:36:12,640 --> 01:36:14,360 A BIOLOGICAL VARIABLE, THIS HAS 2412 01:36:14,360 --> 01:36:17,600 BEEN LED BY JANINE CLAYTON ON 2413 01:36:17,600 --> 01:36:19,000 THE OFFICE OF RESEARCH HEALTH 2414 01:36:19,000 --> 01:36:20,680 AND THE POLARIZED VEE SUGGESTS 2415 01:36:20,680 --> 01:36:22,400 THAT PEOPLE DESIGN STUDIES THAT 2416 01:36:22,400 --> 01:36:25,160 TAKE SEX INTO ACCOUNT AND THIS 2417 01:36:25,160 --> 01:36:27,360 IS NOT JUST CLINICAL, THIS 2418 01:36:27,360 --> 01:36:28,920 IS--OR ALL HUMAN SUBJECTS THIS, 2419 01:36:28,920 --> 01:36:30,960 THIS IS ACROSS ALL TYPES OF 2420 01:36:30,960 --> 01:36:35,360 HUMAN SUBJECTS ACROSS DATA 2421 01:36:35,360 --> 01:36:36,880 RESEARCH AND THAT DATA BE 2422 01:36:36,880 --> 01:36:38,560 TABULATED SO THAT THEY CAN BE 2423 01:36:38,560 --> 01:36:51,960 ANALYZED AND THEN THAT,--WHICH 2424 01:36:51,960 --> 01:36:54,800 COVERS THE PERIOD 2019-2023, 2425 01:36:54,800 --> 01:36:56,120 OTHER ACTIVITIES HAVE COME OUT 2426 01:36:56,120 --> 01:36:57,840 OF THIS INCLUDING TRAINING 2427 01:36:57,840 --> 01:37:00,960 EFFORTS, AND SOME FOCUSED 2428 01:37:00,960 --> 01:37:02,160 FUNDING ANNOUNCEMENTS, IN 2020 2429 01:37:02,160 --> 01:37:03,240 DR. CLAYTON AND OTHERS PUBLISHED 2430 01:37:03,240 --> 01:37:08,600 AN UPDATE ON THE EFFECTIVENESS 2431 01:37:08,600 --> 01:37:21,360 OF THIS POLICY THAT THERE HAVE 2432 01:37:21,360 --> 01:37:25,320 BEEN ADVANCES, THAT COVERS 2433 01:37:25,320 --> 01:37:28,880 FISCAL YEARS AND THEIR GOALS ARE 2434 01:37:28,880 --> 01:37:30,160 TO PRINCIPALLY ADVANCE AS 2435 01:37:30,160 --> 01:37:45,200 RESEARCH IN THESE AREAS--ANOTHER 2436 01:37:45,200 --> 01:37:46,360 NIH INIT WRAATIVE, I'M SURE 2437 01:37:46,360 --> 01:37:48,960 YOU'RE ALL FAMILIAR WITH THE 2438 01:37:48,960 --> 01:37:51,560 BRAIN INITIATIVE, DESIGN TO 2439 01:37:51,560 --> 01:37:53,360 BETTER UNDERSTAND THE HUMAN 2440 01:37:53,360 --> 01:37:56,320 BRAIN, THEY ARE ACHE TAKING AN 2441 01:37:56,320 --> 01:37:57,640 APPROACH FOR GRANT APPLICATIONS 2442 01:37:57,640 --> 01:38:00,160 NOW THAT INVOLVES A PLAN FOR 2443 01:38:00,160 --> 01:38:02,200 ENHANCING DIVERSE PERSPECTIVES, 2444 01:38:02,200 --> 01:38:04,680 SO THIS REQUIRES MOST 2445 01:38:04,680 --> 01:38:06,800 APPLICANTS, THE BRAIN INITIATIVE 2446 01:38:06,800 --> 01:38:07,240 FUNDING OPPORTUNITY 2447 01:38:07,240 --> 01:38:09,240 ANNOUNCEMENTS, TO HAVE THIS 2448 01:38:09,240 --> 01:38:11,440 PLAN, WHICH MEANS THAT IN THEIR 2449 01:38:11,440 --> 01:38:14,080 RESEARCH STRATEGY, THEY NEED TO 2450 01:38:14,080 --> 01:38:17,800 INTEGRATE STRATEGIES TO ADVANCE 2451 01:38:17,800 --> 01:38:19,040 THE SCIENTIFIC AND TECHNICAL 2452 01:38:19,040 --> 01:38:21,560 MERIT OF THE PROPOSED PROJECT 2453 01:38:21,560 --> 01:38:25,120 THROUGH THE INCLUSION OF DIVERSE 2454 01:38:25,120 --> 01:38:26,960 PERSPECTIVES AND INCLUDE A 1 2455 01:38:26,960 --> 01:38:28,040 PAGE SUMMARY OF THESE PLANS AND 2456 01:38:28,040 --> 01:38:30,440 THIS PLAN WILL BE PART OF THE 2457 01:38:30,440 --> 01:38:31,880 SCORING OF THE APPLICATION AND 2458 01:38:31,880 --> 01:38:35,920 WILL BE CONSIDERED WHEN FUNDING 2459 01:38:35,920 --> 01:38:36,560 DECISIONS ARE MADE. 2460 01:38:36,560 --> 01:38:39,520 SO IN THIS APPROACH, DIVERSE 2461 01:38:39,520 --> 01:38:40,560 PERSPECTIVES, REFERS TO THE 2462 01:38:40,560 --> 01:38:42,920 PEOPLE WHO DO THE RESEARCH, WHO 2463 01:38:42,920 --> 01:38:43,520 PER TAIS INHIBITOR PARTICIPATE 2464 01:38:43,520 --> 01:38:45,960 IN A TRIAL IN THE RESEARCH, AND 2465 01:38:45,960 --> 01:38:48,120 THE PLACES WHERE RESEARCH IS 2466 01:38:48,120 --> 01:38:48,360 DONE. 2467 01:38:48,360 --> 01:38:50,560 AND I'M GOING TO SKIP THIS NEXT 2468 01:38:50,560 --> 01:38:54,640 SLIDE FOR THE SAKE OF TIME. 2469 01:38:54,640 --> 01:38:57,560 NIH ALSO HAS GRASS ROOTS 2470 01:38:57,560 --> 01:38:58,720 STRATEGY FOR INCREASING 2471 01:38:58,720 --> 01:39:01,920 INCLUSION AND NIH RESEARCH, 2472 01:39:01,920 --> 01:39:03,200 DR. LO LA [INDISCERNIBLE] FROM 2473 01:39:03,200 --> 01:39:04,480 THE NEUROLOGY INSTITUTE HAS SET 2474 01:39:04,480 --> 01:39:06,600 UP THIS SPECIAL POPULATIONS 2475 01:39:06,600 --> 01:39:08,480 RESEARCH FORUM, THE PURPOSE OF 2476 01:39:08,480 --> 01:39:41,720 WHICH IS TO PROVIDE A RESOURCE 2477 01:39:41,720 --> 01:39:42,440 FOR BEST PRACTICES--AND 2478 01:39:42,440 --> 01:39:47,520 PERSPECTIVE LATER THIS YEAR, SX 2479 01:39:47,520 --> 01:39:49,000 HEAT TRAFFIC INCLUDING 2480 01:39:49,000 --> 01:39:50,320 UNDERREPRESENTED AND RACIAL AND 2481 01:39:50,320 --> 01:39:52,960 ETHNIC GROUPS IN ORDER TO 2482 01:39:52,960 --> 01:39:54,600 IDENTIFY DISPSMS OF GOOD 2483 01:39:54,600 --> 01:39:56,920 PRACTICES IN THIS AREA AND SHARE 2484 01:39:56,920 --> 01:40:00,200 THEM ACROSS NIH. 2485 01:40:00,200 --> 01:40:02,320 NHLBI IS I'M SURE YOU KNOW HAS 2486 01:40:02,320 --> 01:40:03,680 WOMEN'S HEALTH WORKING GROUP. 2487 01:40:03,680 --> 01:40:05,920 AND THEY'VE BEEN VERY BUSY, 2488 01:40:05,920 --> 01:40:10,800 DURING THE PERIOD OF THIS 2489 01:40:10,800 --> 01:40:13,480 INCLUSION REPORT, WITH WORKSHOPS 2490 01:40:13,480 --> 01:40:15,520 AND OTHER ACTIVITIES, SO THERE 2491 01:40:15,520 --> 01:40:17,160 HAVE BEEN IN 2020 THERE WAS A 2492 01:40:17,160 --> 01:40:21,160 MATERNAL HEALTH WORKSHOP THAT 2493 01:40:21,160 --> 01:40:22,960 WAS TRANSNIH, AND ANOTHER 2494 01:40:22,960 --> 01:40:24,400 WORKSHOP ON CARDIOVASCULAR 2495 01:40:24,400 --> 01:40:28,720 WORKSHOP PREDICTION FROM 2496 01:40:28,720 --> 01:40:30,560 MATERNAL MORBIDITY IN THE 2497 01:40:30,560 --> 01:40:33,200 WORKSHOP LED BY NIBIB ON 2498 01:40:33,200 --> 01:40:34,600 TECHNOLOGY TO IMPROVE MATERNAL 2499 01:40:34,600 --> 01:40:34,840 HEALTH. 2500 01:40:34,840 --> 01:40:36,760 WE'VE ALSO HAD SEX AND GENDER 2501 01:40:36,760 --> 01:40:38,880 SPECIFIC PORK SHOPS INCLUDING 1 2502 01:40:38,880 --> 01:40:41,960 RELATED TO AUTOIMMUNE INDUCED 2503 01:40:41,960 --> 01:40:42,840 LUNG DISEASES. 2504 01:40:42,840 --> 01:40:43,920 CO TRANSACTIVATOR FOR 2505 01:40:43,920 --> 01:40:45,240 CARDIOVASCULAR RISK ACROSS THE 2506 01:40:45,240 --> 01:40:48,800 LIFE SPAN FOR POLYCYSTIC OVARY 2507 01:40:48,800 --> 01:40:49,080 SYNDROME. 2508 01:40:49,080 --> 01:40:50,720 YET ANOTHER 1 BUILDING UNIFYING 2509 01:40:50,720 --> 01:40:53,040 SYSTEMS OF CARE, ADDRESSING 2510 01:40:53,040 --> 01:40:54,080 CO-MORBIDITIES IN WOMEN AND 2511 01:40:54,080 --> 01:40:55,840 GIRLS AND THIS COMING JUNE, 2512 01:40:55,840 --> 01:40:59,040 THERE WILL BE 1 ON SEX-SPECIFIC 2513 01:40:59,040 --> 01:41:00,840 COVID-19 OUTCOMES AND MANAGEMENT 2514 01:41:00,840 --> 01:41:07,120 RELEVANT TO ALL OF THE THINGS WE 2515 01:41:07,120 --> 01:41:07,880 STUDY. 2516 01:41:07,880 --> 01:41:10,560 AS DR. GIBBONS ALLUDED TO IN HIS 2517 01:41:10,560 --> 01:41:11,760 EARLIER TALK, YOU PARTICIPATED 2518 01:41:11,760 --> 01:41:15,160 OR MANY OF YOU PARTICIPATED IN 2519 01:41:15,160 --> 01:41:16,680 THE COUNCIL, EEG POINT WORKING 2520 01:41:16,680 --> 01:41:17,720 GROUP ON CLINICAL TRIALS THAT 2521 01:41:17,720 --> 01:41:19,600 WAS HELD IN LATE SUMMER. 2522 01:41:19,600 --> 01:41:21,600 THE LARGE TO THIS GROUP WAS TO 2523 01:41:21,600 --> 01:41:24,640 CONSIDER INNOVATIVE WAYS TO 2524 01:41:24,640 --> 01:41:27,920 OPTIMIZE NHLBI CLINICAL TRIALS 2525 01:41:27,920 --> 01:41:29,680 AND FROM THE 2 DAYS OF 2526 01:41:29,680 --> 01:41:31,680 DELIBERATIONS, I PULLED OUT THE 2527 01:41:31,680 --> 01:41:33,880 RECOMMENDATION RELATED TO 2528 01:41:33,880 --> 01:41:34,960 INCLUSION, IN THIS CASE ON 2529 01:41:34,960 --> 01:41:38,480 INVESTIGATORS AND ON THE NEXT 2530 01:41:38,480 --> 01:41:38,960 SLIDE, FOR PARTICIPANTS. 2531 01:41:38,960 --> 01:41:43,000 SO A NUMBER OF REALLY EXCELLENT 2532 01:41:43,000 --> 01:41:45,400 SUGGESTIONS HERE, THAT INCLUDE 2533 01:41:45,400 --> 01:41:46,800 FOR INVESTIGATORS, OF HELPING 2534 01:41:46,800 --> 01:42:01,280 THEM FIND WAYS TO PARTNER WITH 2535 01:42:01,280 --> 01:42:02,520 LESS EXPERIENCE TO TRIAL 2536 01:42:02,520 --> 01:42:04,720 LEADERSHIP TEAMS AND NETWORKS 2537 01:42:04,720 --> 01:42:05,440 INCLUDING DIVERSE INDIVIDUALS AS 2538 01:42:05,440 --> 01:42:07,320 MEMBERS OF THE TEAM DESIGNING A 2539 01:42:07,320 --> 01:42:09,800 TRIAL AND FOSTERING AN ACADEMIC 2540 01:42:09,800 --> 01:42:16,640 ENVIRONMENT THAT PROMOTES 2541 01:42:16,640 --> 01:42:17,720 DIVERSITY, USE VIRTUAL 2542 01:42:17,720 --> 01:42:20,120 TECHNOLOGY FOR MENTORSHIP 2543 01:42:20,120 --> 01:42:21,160 TRAINING AND COLLABORATION AND 2544 01:42:21,160 --> 01:42:25,040 PEOPLE IN SMALLER INSTITUTIONS 2545 01:42:25,040 --> 01:42:26,200 AND UNDERREPRESENTED DON'T HAVE 2546 01:42:26,200 --> 01:42:27,880 THE FUNDS TO PARTICIPATE IN MEET 2547 01:42:27,880 --> 01:42:29,880 EXPTION PROVIDE ACCESS TO 2548 01:42:29,880 --> 01:42:37,960 EXPERTS, RELATED TO GEOGRAPHIC 2549 01:42:37,960 --> 01:42:39,800 AND RACIAL DISPARITIES, AND IN 2550 01:42:39,800 --> 01:42:44,040 REGARD TO PARTIC PLAN TO ANALYZE 2551 01:42:44,040 --> 01:42:46,280 BY AGES AND TRIALS, 1 OF THE 2552 01:42:46,280 --> 01:42:47,960 GOALS IS TO USE REMOTE FOLLOW UP 2553 01:42:47,960 --> 01:42:49,960 AND HOME VISITS AND OTHER 2554 01:42:49,960 --> 01:42:51,120 SIMILAR APPROACHES TO 2555 01:42:51,120 --> 01:42:53,040 INCORPORATE COMMUNITY ENGAGEMENT 2556 01:42:53,040 --> 01:42:55,360 ACTIVITIES, DR. MENSA MENTIONED 2557 01:42:55,360 --> 01:42:56,640 THE COMMUNITY ENGAGEMENT 2558 01:42:56,640 --> 01:42:57,360 ALLIANCE FOR COVID, PREVIOUSLY, 2559 01:42:57,360 --> 01:42:58,960 THERE ARE A LOT OF LESSONS 2560 01:42:58,960 --> 01:43:01,760 LEARNED THERE THAT CAN BE 2561 01:43:01,760 --> 01:43:03,320 INCORPORATED INTLO ALL OF OUR 2562 01:43:03,320 --> 01:43:05,040 TRIAL ACTIVITIES, OF COURSE, 2563 01:43:05,040 --> 01:43:06,760 IT'S EXTREMELY IMPORTANT TO 2564 01:43:06,760 --> 01:43:10,840 ESTABLISH TRUST AND EXPAND REACH 2565 01:43:10,840 --> 01:43:11,560 THROUGH EDUCATION INFORMATION 2566 01:43:11,560 --> 01:43:13,520 AND WE ARE MOVING TOWARD BEING 2567 01:43:13,520 --> 01:43:15,560 ABLE TO BE PRESCRIPTIVE IN 2568 01:43:15,560 --> 01:43:16,280 APPLICATION REQUIREMENTS SUCH AS 2569 01:43:16,280 --> 01:43:19,320 WHAT I MENTIONED WITH THE BRAIN 2570 01:43:19,320 --> 01:43:19,640 INITIATIVE. 2571 01:43:19,640 --> 01:43:21,960 USING PRACTICE SETTINGS TO 2572 01:43:21,960 --> 01:43:23,560 BETTER REVEAL SOCIAL 2573 01:43:23,560 --> 01:43:25,080 DETERMINANTS OF HEALTH. 2574 01:43:25,080 --> 01:43:27,080 THIS IS RELATED TO PART OF THE 2575 01:43:27,080 --> 01:43:29,080 DISCUSSION DURING DR. WOYCHIK'S 2576 01:43:29,080 --> 01:43:34,960 TALK ABOUT HOW TO GET SOME OF 2577 01:43:34,960 --> 01:43:36,440 THE INFORMATION RELATED TO 2578 01:43:36,440 --> 01:43:38,120 CLIMATE CHANGE INTO THE 2579 01:43:38,120 --> 01:43:40,960 ELECTRONIC HEALTH RECORD AND TO 2580 01:43:40,960 --> 01:43:45,560 INVEST IN CARE, IT'S FORTUNATE 2581 01:43:45,560 --> 01:43:46,160 INCORPORATE IMPLEMENTATION 2582 01:43:46,160 --> 01:43:48,400 SCIENCE AND TRAVEL DESIGN TO 2583 01:43:48,400 --> 01:43:50,720 PARTNER WITH ADVOCACY GROUPS TO 2584 01:43:50,720 --> 01:43:54,040 PROVIDE AGAIN, ACCESS TO EXPERTS 2585 01:43:54,040 --> 01:43:56,520 TO ADDRESS GEOGRAPHIC AND RACIAL 2586 01:43:56,520 --> 01:43:59,120 DISPARITIES IN TRAINING AND CAN 2587 01:43:59,120 --> 01:44:00,280 PROMOTE COMMUNITY INVOLVEMENT. 2588 01:44:00,280 --> 01:44:02,640 AND THAT CONCLUDES OUR REPORT. 2589 01:44:02,640 --> 01:44:04,720 I WOULD LIKE TO THANK YOU FOR 2590 01:44:04,720 --> 01:44:05,880 YOUR ATTENTION. 2591 01:44:05,880 --> 01:44:08,760 WE ARE HAPPY TO ANSWER ANY 2592 01:44:08,760 --> 01:44:09,000 QUESTIONS. 2593 01:44:09,000 --> 01:44:20,480 I WILL STOP SHARING NOW. 2594 01:44:20,480 --> 01:44:24,560 DOES ANYONE HAVE ANY QUESTIONS 2595 01:44:24,560 --> 01:44:25,600 FOR GAIL, COMMENTS? 2596 01:44:25,600 --> 01:44:30,480 >> HI, GAIL, GREAT TO SEE YOU 2597 01:44:30,480 --> 01:44:30,680 AGAIN. 2598 01:44:30,680 --> 01:44:31,160 TERRIFIC PRESENTATION. 2599 01:44:31,160 --> 01:44:31,960 >> THANK YOU. 2600 01:44:31,960 --> 01:44:32,720 >> THIS IS REALLY REMARKABLE 2601 01:44:32,720 --> 01:44:35,360 WORK AND I THINK THIS IS REALLY 2602 01:44:35,360 --> 01:44:37,760 GREAT IN TERMS OF BEING ABLE TO 2603 01:44:37,760 --> 01:44:39,800 SHOW WHAT'S POSSIBLE. 2604 01:44:39,800 --> 01:44:43,200 I KNOW IT'S OFTEN TIMES A 2605 01:44:43,200 --> 01:44:45,600 MULTIPRONGED EFFORT BUT WHAT 2606 01:44:45,600 --> 01:44:47,000 WOULD YOU ATTRIBUTE MOST TO THE 2607 01:44:47,000 --> 01:44:48,520 SUCCESS YOU'VE BEEN ABLE TO 2608 01:44:48,520 --> 01:44:51,400 ACHIEVE BOTH IN SEX GENDER, 2609 01:44:51,400 --> 01:44:54,080 DIVERSITY AND RACE AND ETHNICITY 2610 01:44:54,080 --> 01:44:54,560 AS WELL? 2611 01:44:54,560 --> 01:44:56,640 >> YOU KNOW THANKS FOR THE 2612 01:44:56,640 --> 01:44:58,080 QUESTION, KEVIN, TO ME 1 OF THE 2613 01:44:58,080 --> 01:45:03,600 MOST IMPORTANT THINGS IS BEING 2614 01:45:03,600 --> 01:45:04,080 INTENTIONAL ABOUT IT. 2615 01:45:04,080 --> 01:45:06,520 YOU KNOW IN THE CASE OF TRIAL 2616 01:45:06,520 --> 01:45:08,360 TEAMS FOR EXAMPLE, NOT JUST 2617 01:45:08,360 --> 01:45:13,080 ROUNDING UP THE USUAL SUSPECT SO 2618 01:45:13,080 --> 01:45:14,640 TO SPEAK AND HAVING FRANK 2619 01:45:14,640 --> 01:45:16,360 CONVERSATIONS WITH INVESTIGATORS 2620 01:45:16,360 --> 01:45:17,760 ABOUT THESE ISSUES. 2621 01:45:17,760 --> 01:45:20,880 SO I THINK SLOWLY THE STAFF ARE 2622 01:45:20,880 --> 01:45:22,520 LEARNING HOW TO HAVE THESE 2623 01:45:22,520 --> 01:45:24,040 CONVERSATIONS WITH A LOT OF 2624 01:45:24,040 --> 01:45:28,000 MENTORSHIP FROM THE LEADERSHIP 2625 01:45:28,000 --> 01:45:28,440 HERE. 2626 01:45:28,440 --> 01:45:33,360 I THINK THAT IT'S HIGHLY 2627 01:45:33,360 --> 01:45:36,680 RECOGNIZED THAT A LOT OF WHAT'S 2628 01:45:36,680 --> 01:45:39,680 IN OUR PORTFOLIO IS HIGHLY 2629 01:45:39,680 --> 01:45:41,360 INFLUENCED BY RACE, ETHNICITY 2630 01:45:41,360 --> 01:45:46,520 AND GENDER AND SO I THINK IT 2631 01:45:46,520 --> 01:45:48,440 ALMOST SOUNDS SIMPLISTIC, 2632 01:45:48,440 --> 01:45:49,760 OBVIOUSLY IT ISN'T BUT THIS HAS 2633 01:45:49,760 --> 01:45:52,160 BEEN A HIGH INSTITUTE PRIORITY 2634 01:45:52,160 --> 01:46:03,760 FOR YEARS AND PEOPLE ARE REALLY 2635 01:46:03,760 --> 01:46:05,920 PAYING AND MEMBERS OF THE 2636 01:46:05,920 --> 01:46:07,640 LEADERSHIP CAN TALK AND ABOUT 2637 01:46:07,640 --> 01:46:09,840 HOW IMPORTANT THIS APPROACH IS 2638 01:46:09,840 --> 01:46:12,080 AND SO, I THINK ALL OF THAT ADDS 2639 01:46:12,080 --> 01:46:13,600 UP EVENTUALLY AND I KNOW KATIE 2640 01:46:13,600 --> 01:46:15,960 IF YOU HAVE OTHER THOUGHTS OR 2641 01:46:15,960 --> 01:46:18,320 ANYBODY ELSE FROM NHLBI WANTS TO 2642 01:46:18,320 --> 01:46:22,800 PROVIDE A RESPONSE. 2643 01:46:22,800 --> 01:46:23,760 >> I WOULD AGREE, AND I WOULD 2644 01:46:23,760 --> 01:46:32,200 SAY THAT YOU KNOW MAKING AND 2645 01:46:32,200 --> 01:46:35,600 DEFINITELY MADE THIS MORE OF A 2646 01:46:35,600 --> 01:46:37,200 VISIBLE TOPIC AND YOU KNOW 2647 01:46:37,200 --> 01:46:39,760 MAKING IT CLEAR TO INVESTIGATORS 2648 01:46:39,760 --> 01:46:42,040 THAT THIS GOES INTO YOU KNOWLET 2649 01:46:42,040 --> 01:46:43,320 REVIEW PROCESS OF THEIR 2650 01:46:43,320 --> 01:46:44,600 APPLICATION AND YOU KNOW THAT 2651 01:46:44,600 --> 01:46:46,360 THIS IS SOMETHING THAT'S 2652 01:46:46,360 --> 01:46:48,400 IMPORTANT TO CONSIDER FROM THE 2653 01:46:48,400 --> 01:46:49,680 VERY BEGINNING DEVELOPMENT OF 2654 01:46:49,680 --> 01:46:53,120 THEIR STUDIES AND THEIR 2655 01:46:53,120 --> 01:46:53,360 PROTOCOLS. 2656 01:46:53,360 --> 01:46:55,000 >> DOES THAT ANSWER YOUR 2657 01:46:55,000 --> 01:46:55,760 QUESTION, KEVIN? 2658 01:46:55,760 --> 01:46:57,840 >> IT DID, THANK YOU VERY MUCH. 2659 01:46:57,840 --> 01:47:21,760 APPRECIATE IT. 2660 01:47:21,760 --> 01:47:23,360 >> THANKS. 2661 01:47:23,360 --> 01:47:24,320 >> ANYBODY ELSE, COMMENTS? 2662 01:47:24,320 --> 01:47:25,240 >> MONICA HAS A COMMENT. 2663 01:47:25,240 --> 01:47:28,760 THANK YOU FOR ALL YOUR 2664 01:47:28,760 --> 01:47:29,520 OUTSTANDING EFFORTS? 2665 01:47:29,520 --> 01:47:31,520 I REALLY LIKED SEEING THE 2666 01:47:31,520 --> 01:47:34,080 INCREASE AND OUR ABILITY TO GET 2667 01:47:34,080 --> 01:47:35,160 MORE REPRESENTATION FROM 2668 01:47:35,160 --> 01:47:37,080 UNDERREPRESENTED GROUPS IN THESE 2669 01:47:37,080 --> 01:47:37,320 STUDIES. 2670 01:47:37,320 --> 01:47:38,280 IT'S VERY, VERY IMPORTANT AND I 2671 01:47:38,280 --> 01:47:40,760 KNOW WE'VE HAD A LOT OF TALKS 2672 01:47:40,760 --> 01:47:41,720 WITHIN INSTITUTE LEADERSHIP WITH 2673 01:47:41,720 --> 01:47:43,920 WAYS TO APPROACH THIS, I WAS 2674 01:47:43,920 --> 01:47:46,560 DELIGHTED YOU WERE ABLE TO ADAPT 2675 01:47:46,560 --> 01:47:48,640 THE BRAIN'S APPROACH, THE BRAIN 2676 01:47:48,640 --> 01:47:49,120 INITIATIVE APPROACH. 2677 01:47:49,120 --> 01:47:50,400 IT WAS GOOD THAT WE COULD GET 2678 01:47:50,400 --> 01:47:52,000 THE GO AHEAD TO DO THAT ACROSS 2679 01:47:52,000 --> 01:47:53,080 THE NIESH H. 2680 01:47:53,080 --> 01:47:54,920 THERE'S BEEN A LOT OF 2681 01:47:54,920 --> 01:47:56,160 FRUSTRATION I THINK WITH HOW WE 2682 01:47:56,160 --> 01:47:57,160 CAN ACTUALLY COME OUT AND SAY 2683 01:47:57,160 --> 01:47:59,200 WHAT WE WANT WITHOUT RUNNING 2684 01:47:59,200 --> 01:48:05,160 AFOUL OF CERTAIN LEGAL MATTERS. 2685 01:48:05,160 --> 01:48:09,240 >> TO KEVIN'S QUESTION, WE HAD 2686 01:48:09,240 --> 01:48:11,360 TO INFLUENCE THE ATTORNEYS HERE 2687 01:48:11,360 --> 01:48:12,840 FOR SOME OF THIS. 2688 01:48:12,840 --> 01:48:20,440 >> REMEMBER, THIS IS ALL BEING 2689 01:48:20,440 --> 01:48:20,720 RECORDED. 2690 01:48:20,720 --> 01:48:25,720 WE HAVE MORE COMMENTS IN THE 2691 01:48:25,720 --> 01:48:25,960 CHAT. 2692 01:48:25,960 --> 01:48:31,960 JEN, DEVOE IS THANKING YOU AS 2693 01:48:31,960 --> 01:48:42,400 WELL AS MERCEDES IS THANKING 2694 01:48:42,400 --> 01:48:44,200 YOU. 2695 01:48:44,200 --> 01:48:44,440 OKAY. 2696 01:48:44,440 --> 01:48:45,880 I'M NOT SEEING ANY MORE 2697 01:48:45,880 --> 01:48:47,080 QUESTIONS OR COMMENTS COMING 2698 01:48:47,080 --> 01:48:49,040 THROUGH, BUT ALSO YOU KATIE AND 2699 01:48:49,040 --> 01:48:50,080 I APPRECIATE YOUR PERSEERANCE 2700 01:48:50,080 --> 01:48:51,600 WITH YOUR AUDIO ISSUES, I'M 2701 01:48:51,600 --> 01:48:52,800 DPLAD WE COULD GET THOSE 2702 01:48:52,800 --> 01:48:54,120 RESOLVED SO WE COULD HEAR FROM 2703 01:48:54,120 --> 01:48:55,440 BOTH OF YOU THIS AFTERNOON. 2704 01:48:55,440 --> 01:48:56,360 THANK YOU VERY MUCH FOR TAKING 2705 01:48:56,360 --> 01:48:58,400 THE TIME TO PUT THE REPORT 2706 01:48:58,400 --> 01:49:02,160 TOGETHER AND FOR PRESENTING IT 2707 01:49:02,160 --> 01:49:02,920 TO US. 2708 01:49:02,920 --> 01:49:09,000 >> MY PLEASURE, THANK YOU. 2709 01:49:09,000 --> 01:49:10,880 >> OKAY, SO WE HAVE 1 MORE ITEM 2710 01:49:10,880 --> 01:49:12,080 ON OUR AGENDA TODAY. 2711 01:49:12,080 --> 01:49:13,360 THAT'S MINE, WE ARE GOING TO 2712 01:49:13,360 --> 01:49:14,960 TALK ABOUT THE DELEGATION OF 2713 01:49:14,960 --> 01:49:15,240 AUTHORITIES. 2714 01:49:15,240 --> 01:49:18,760 WE DO THIS EVERY YEAR. 2715 01:49:18,760 --> 01:49:20,560 I'M SUPPOSED TO BRING TO YOUR 2716 01:49:20,560 --> 01:49:21,960 CONSIDERATION THE ANNUAL RENEWAL 2717 01:49:21,960 --> 01:49:23,360 OF THE DELEGATED AUTHORITIES, 2718 01:49:23,360 --> 01:49:25,480 THESE ARE THE OPERATING 2719 01:49:25,480 --> 01:49:27,880 GUIDANCES THAT ALLOW NHLBI STAFF 2720 01:49:27,880 --> 01:49:30,640 TO PERFORM SPECIFIC FUNCTIONS 2721 01:49:30,640 --> 01:49:32,960 WITHOUT COUNCIL INVOLVEMENT 2722 01:49:32,960 --> 01:49:34,360 BECAUSE OCCASIONALLY WE CAN'T 2723 01:49:34,360 --> 01:49:35,800 CONVENE COUNCIL TO DO CERTAIN 2724 01:49:35,800 --> 01:49:37,560 THINGS THEREBY WE HAVE SOME 2725 01:49:37,560 --> 01:49:38,600 FLEXIBILITY AND DECREASE THE 2726 01:49:38,600 --> 01:49:40,160 BURDEN ON THE COUNCIL, SO, I'M 2727 01:49:40,160 --> 01:49:42,480 GOING TO BE ASKING YOU FOR YOUR 2728 01:49:42,480 --> 01:49:45,520 APPROVAL OF THE DELEGATED 2729 01:49:45,520 --> 01:49:46,640 AUTHORITIES FOR 2022 WHICH WERE 2730 01:49:46,640 --> 01:49:47,920 AVAILABLE ON THE ELECTRONIC 2731 01:49:47,920 --> 01:49:50,120 COUNCIL BOOK AND SUMMARIZED ON 2732 01:49:50,120 --> 01:49:53,000 THE SLIDE AND THESE DELEGATED 2733 01:49:53,000 --> 01:49:54,040 AUTHORITIES REMAIN UNCHANGED 2734 01:49:54,040 --> 01:49:57,280 FROM THOSE APPROVED FOR 2021. 2735 01:49:57,280 --> 01:50:01,320 SO THE SLIDE IS UP THERE FOR 2736 01:50:01,320 --> 01:50:02,760 YOUR PERUSAL, IN BRIEF, WHAT 2737 01:50:02,760 --> 01:50:05,520 WE'RE ALIEUD TO DO IS TAKE 2738 01:50:05,520 --> 01:50:07,520 ADMINISTRATIVE ACTIONS ON 2739 01:50:07,520 --> 01:50:08,440 ADMINISTRATIVE SUPPLEMENTS, 2740 01:50:08,440 --> 01:50:11,520 BUDGET RESTORATIONS, AT LEAST 2741 01:50:11,520 --> 01:50:13,360 BELOW A REASONABLE THRESHOLD, IF 2742 01:50:13,360 --> 01:50:15,160 THEY WERE HUGE WORKERS WOULD BE 2743 01:50:15,160 --> 01:50:16,760 COMING TO YOU, BRIDGE FUNDING, 2744 01:50:16,760 --> 01:50:18,240 CHANGE OF PI OR INSTITUTION, ALL 2745 01:50:18,240 --> 01:50:23,000 OF THESE THINGS ARE BUSINESS WE 2746 01:50:23,000 --> 01:50:23,920 CAN ACCOMPLISH WITHOUT COMING TO 2747 01:50:23,920 --> 01:50:26,160 YOU FOR APRAWFAL OR ADVICE, WE 2748 01:50:26,160 --> 01:50:27,400 USE SPECIFIC PROFESSIONAL 2749 01:50:27,400 --> 01:50:29,760 SERVICES OF NOT MORE THAN A 2750 01:50:29,760 --> 01:50:31,240 HUNDRED PROFESSIONAL EXPERTS TO 2751 01:50:31,240 --> 01:50:34,720 BE APPOINTED BY DR. GIBBONS AND 2752 01:50:34,720 --> 01:50:35,960 WE OCCASIONALLY EXPEDITE COUNCIL 2753 01:50:35,960 --> 01:50:37,480 CONATURE KENS USING THE 2754 01:50:37,480 --> 01:50:39,200 PROCEDURES OUTLINES IN THE 2755 01:50:39,200 --> 01:50:39,920 DELEGATED AUTHORITIES DOCUMENT 2756 01:50:39,920 --> 01:50:41,760 WHICH YOU'VE SEEN IN THE 2757 01:50:41,760 --> 01:50:42,360 ELECTRONIC COUNCIL BOOK. 2758 01:50:42,360 --> 01:50:45,160 THESE ARE FOR THINGS LIKE 2759 01:50:45,160 --> 01:50:46,360 PROGRAM PLANTS AND BLOCKED 2760 01:50:46,360 --> 01:50:47,760 CONCURRENCE AND WE DO THOSE 2761 01:50:47,760 --> 01:50:48,880 THROUGH THE ELECTRONIC COUNCIL 2762 01:50:48,880 --> 01:50:50,480 BOOKS SOPHISTICATEDY YOU'VE ALL 2763 01:50:50,480 --> 01:50:52,120 BEEN ASKED TO PARTICIPATE THAT 2764 01:50:52,120 --> 01:50:54,280 WAY AND OCCASIONALLY WE HAVE TO 2765 01:50:54,280 --> 01:50:55,920 MAKE CERTAIN ADMINISTRATIVE 2766 01:50:55,920 --> 01:50:56,560 DECISIONS, REGARDING THE 2767 01:50:56,560 --> 01:50:58,280 SELECTION AND FUNDING OF 2768 01:50:58,280 --> 01:51:00,000 COMPETING GRANT APPLICATIONS MRI 2769 01:51:00,000 --> 01:51:00,240 KAIGDZS. 2770 01:51:00,240 --> 01:51:05,360 IN THE EVENT OF A FEDERALLY 2771 01:51:05,360 --> 01:51:05,840 DECLARED EMERGENCY. 2772 01:51:05,840 --> 01:51:12,960 SO THESE APPLY FOR THE 2773 01:51:12,960 --> 01:51:15,560 ELECTRONIC COUNCIL BOOK AND 2774 01:51:15,560 --> 01:51:17,440 THESE ARIFIES EEBL, AND YOU CAN 2775 01:51:17,440 --> 01:51:18,520 IMAGINE THERE MIGHT BE SOMETHING 2776 01:51:18,520 --> 01:51:19,280 THAT CREATES AN ISSUE AND WE 2777 01:51:19,280 --> 01:51:20,360 WOULD HAVE TO DO THAT SO WHAT I 2778 01:51:20,360 --> 01:51:21,960 WOULD LIKE TO KNOW IS DOES 2779 01:51:21,960 --> 01:51:23,400 ANYBODY HAVE ANY QUESTIONS OR 2780 01:51:23,400 --> 01:51:30,960 CONCERNS ABOUT THESE DELEGATED 2781 01:51:30,960 --> 01:51:31,520 AUTHORITIES? 2782 01:51:31,520 --> 01:51:32,960 ARE THERE ANY OBJECTIONS TO 2783 01:51:32,960 --> 01:51:39,280 PROCEEDING WITH THE DELEGATED 2784 01:51:39,280 --> 01:51:39,560 AUTHORITIES. 2785 01:51:39,560 --> 01:51:42,600 OKAY, WELL, HAVING SAID THAT AND 2786 01:51:42,600 --> 01:51:44,160 HAVING HEARD NO OBJECTIONS, WE 2787 01:51:44,160 --> 01:51:45,760 WILL CONSIDER THESE APPROVED FOR 2788 01:51:45,760 --> 01:51:47,720 YET ANOTHER YEAR, OH JOY. 2789 01:51:47,720 --> 01:51:55,760 THANK YOU VERY MUCH. 2790 01:51:55,760 --> 01:51:56,920 SO AT THIS POINT I WILL TURN IT 2791 01:51:56,920 --> 01:51:58,640 BACK OVER TO YOU IF YOU WANT TO 2792 01:51:58,640 --> 01:51:59,360 HAVE OPEN DISCUSSION AT OPEN 2793 01:51:59,360 --> 01:52:01,600 SESSION SO THAT THE PUBLIC COULD 2794 01:52:01,600 --> 01:52:04,840 HEAR ANY OF IT AND IF NOT, YOU 2795 01:52:04,840 --> 01:52:21,000 COULD ADJOURN THE MEETING, IT'S 2796 01:52:21,000 --> 01:52:21,680 UP TO YOU. 2797 01:52:21,680 --> 01:52:24,560 >> ANY OTHER FURTHER ISSUES OR 2798 01:52:24,560 --> 01:52:26,840 COMMENTS, YOU WOULD LIKE TO MAKE 2799 01:52:26,840 --> 01:52:27,680 IN OPEN SESSION? 2800 01:52:27,680 --> 01:52:28,760 I WILL BE HAPPY TO ENTERTAIN 2801 01:52:28,760 --> 01:52:32,520 THOSE AT THIS TIME BEFORE WE 2802 01:52:32,520 --> 01:52:32,760 ADJOURN. 2803 01:52:32,760 --> 01:52:36,400 THIS IS 1 OF THE CHALLENGES WITH 2804 01:52:36,400 --> 01:52:38,240 THE VIRTUAL MEETING IN THAT 2805 01:52:38,240 --> 01:52:41,120 USUALLY AT THE END OF COUNCIL 2806 01:52:41,120 --> 01:52:42,880 EVERYBODY'S RUNNING FOR THEIR 2807 01:52:42,880 --> 01:52:44,720 TAXIS AND AIRLINES AND SO WE DO 2808 01:52:44,720 --> 01:52:46,960 ACTUALLY HAVE A FEW MOMENTS HERE 2809 01:52:46,960 --> 01:52:49,480 IF THERE WERE SOME ISSUES OR 2810 01:52:49,480 --> 01:52:52,320 MATTERS OF CONCERN YOU WOULD 2811 01:52:52,320 --> 01:52:54,920 LIKE TO RAISE. 2812 01:52:54,920 --> 01:52:58,040 BUT HEARING NONE DR. MOEN. 2813 01:52:58,040 --> 01:52:59,320 >> MONICA HAS HER HAND UP. 2814 01:52:59,320 --> 01:52:59,600 >> GREAT. 2815 01:52:59,600 --> 01:53:01,120 THIS IS JUST A QUICK, I WANT TO 2816 01:53:01,120 --> 01:53:03,560 SAY IN CASE THIS IS MY LAST 2817 01:53:03,560 --> 01:53:05,360 COUNCIL, YOU NEVER KNOW, I JUST 2818 01:53:05,360 --> 01:53:07,760 WANT TO SAY THANK YOU. 2819 01:53:07,760 --> 01:53:09,320 IT'S BEEN AN HONOR AND A 2820 01:53:09,320 --> 01:53:10,760 PRIVILEGE TO SERVE AND HONESTLY 2821 01:53:10,760 --> 01:53:11,960 I'M ALWAYS AVAILABLE IF YOU NEED 2822 01:53:11,960 --> 01:53:14,360 ME AGAIN, IF THINGS DIDN'T QUITE 2823 01:53:14,360 --> 01:53:15,920 FINISH WITH THE NEW FOLKS COMING 2824 01:53:15,920 --> 01:53:18,240 ON BUT I'VE REALLY ENJOYED IT 2825 01:53:18,240 --> 01:53:19,120 AND TODAY WAS REALLY 2826 01:53:19,120 --> 01:53:20,400 PARTICULARLY A GREAT DAY, I 2827 01:53:20,400 --> 01:53:23,120 THINK THE TOPICS WERE 2828 01:53:23,120 --> 01:53:23,680 INCREDIBLY, POIGNANT AND 2829 01:53:23,680 --> 01:53:27,240 NECESSARY AND I REALLY LOVE THE 2830 01:53:27,240 --> 01:53:29,520 DIRECTION THAT NIH AND NHLBI ARE 2831 01:53:29,520 --> 01:53:31,680 GOING SO THANK YOU VERY MUCH. 2832 01:53:31,680 --> 01:53:36,480 >> THANK YOU, SO MUCH FOR THAT 2833 01:53:36,480 --> 01:53:36,960 DR. KRAFT. 2834 01:53:36,960 --> 01:53:39,280 AND AGAIN I DON'T WANT TO MAKE A 2835 01:53:39,280 --> 01:53:41,320 PREMATURE JUDGMENT, THAT WE WILL 2836 01:53:41,320 --> 01:53:43,760 NEVER NEED YOU BACK AGAIN, 2837 01:53:43,760 --> 01:53:45,360 CERTAINLY YOUR SERVICE HAS BEEN 2838 01:53:45,360 --> 01:53:48,080 EXEMPLARY AND WE APPRECIATE YOU 2839 01:53:48,080 --> 01:53:51,360 AS A FABULOUS RESOURCE FOR THE 2840 01:53:51,360 --> 01:53:52,800 PARTICULARLY THE PULL MONITORARY 2841 01:53:52,800 --> 01:53:55,720 COMMUNITY BUT THE ENTIRE NHLBI 2842 01:53:55,720 --> 01:53:55,960 COMMUNITY. 2843 01:53:55,960 --> 01:53:57,240 AS WE APPRECIATE YOUR LEADERSHIP 2844 01:53:57,240 --> 01:53:59,360 AND I PUT YOU TO WORK ALREADY ON 2845 01:53:59,360 --> 01:54:01,840 SOME OTHER THINGS SO,-- 2846 01:54:01,840 --> 01:54:03,040 >> THAT'S ALL GOOD. 2847 01:54:03,040 --> 01:54:04,360 >> SO BUT AGAIN, WE APPRECIATE 2848 01:54:04,360 --> 01:54:06,160 THAT AND ALSO WANT TO EXTEND 2849 01:54:06,160 --> 01:54:11,320 THAT TO THE OTHER 5 MEMBERS OF 2850 01:54:11,320 --> 01:54:12,720 COUNCIL WHO SQUEEZED IN ANOTHER 2851 01:54:12,720 --> 01:54:15,000 SESSION AND AGAIN WE'RE HOPEFUL 2852 01:54:15,000 --> 01:54:16,360 THAT CONGRESS IN DOWN TOWN WILL 2853 01:54:16,360 --> 01:54:17,360 BE EFFICIENT AND EFFECTIVE AND 2854 01:54:17,360 --> 01:54:22,160 WE WILL HAVE A BUDGET AND A NEW 2855 01:54:22,160 --> 01:54:23,880 SLATE, BUT HOPE SPRINGS ETERNAL 2856 01:54:23,880 --> 01:54:26,840 IN WASHINGTON D. C. THAT THE 2857 01:54:26,840 --> 01:54:27,360 BUREAUCRACY WILL TURN. 2858 01:54:27,360 --> 01:54:30,120 WE LOOK FORWARD TO SEEING YOU 2859 01:54:30,120 --> 01:54:33,120 ALL IN JUNE, ALONG WITH THE NEW 2860 01:54:33,120 --> 01:54:33,920 SLATE. 2861 01:54:33,920 --> 01:54:35,320 SO DR. MOEN, I WILL TURN IT BACK 2862 01:54:35,320 --> 01:54:35,640 TO YOU. 2863 01:54:35,640 --> 01:54:38,520 WE WILL CALL THE 296th MEETING 2864 01:54:38,520 --> 01:54:40,720 OF THE NATIONAL HEART, LUNG 2865 01:54:40,720 --> 01:54:43,240 BLOOD ADVISORY COUNCIL 2866 01:54:43,240 --> 01:54:43,520 ADJOURNED. 2867 01:54:43,520 --> 01:54:44,760 >> THANK YOU DR. GIBBONS. 2868 01:54:44,760 --> 01:54:46,400 THANK YOU ALL FOR COMING TODAY, 2869 01:54:46,400 --> 01:54:47,960 I'M DPLAD WE DIDN'T HAVE TO TAKE 2870 01:54:47,960 --> 01:54:49,800 UP YOUR ENTIRE DAY AND IT WAS 2871 01:54:49,800 --> 01:54:50,520 GREAT TO SEE EVERYBODY EVEN 2872 01:54:50,520 --> 01:54:52,960 THOUGH IT WAS VIRTUAL. 2873 01:54:52,960 --> 01:54:54,480 I WILL JUST REMIND YOU, PLEASE 2874 01:54:54,480 --> 01:54:56,760 DO TAKE A LOOK AT THE FUTURE 2875 01:54:56,760 --> 01:54:58,440 COUNCIL DATES SO THAT YOU DON'T 2876 01:54:58,440 --> 01:54:59,400 MISS THE EXPWIEWN MEETING. 2877 01:54:59,400 --> 01:55:01,560 WE DON'T WANT YOU TO MISS THE 2878 01:55:01,560 --> 01:55:03,120 JUNE MEETINGS SO WE'LL SEE YOU 2879 01:55:03,120 --> 01:55:03,840 THERE AND THANKS EVERYBODY FOR 2880 01:55:03,840 --> 01:55:06,040 ALL THE WORK YOU DO TO HELP KEEP 2881 01:55:06,040 --> 01:55:06,440 US ON TRACK. 2882 01:55:06,440 --> 01:55:10,480 WE'RE HAPPY TO HEAR FROM YOU. 2883 01:55:10,480 --> 01:55:11,000 ANYTIME. 2884 01:55:11,000 --> 00:00:00,000 WE'RE DONE.