1 00:00:05,760 --> 00:00:10,080 >>I WANT TO WELCOME YOU ALL 2 00:00:10,080 --> 00:00:12,400 TO THE OPEN NATIONAL ADVISORY 3 00:00:12,400 --> 00:00:14,800 COUNCIL DRUG ABUSE, IT IS A 4 00:00:14,800 --> 00:00:16,800 PLEASURE TO HAVE YOU ALL AND I 5 00:00:16,800 --> 00:00:19,560 APPRECIATE THE OPPORTUNITY TO 6 00:00:19,560 --> 00:00:23,200 HAVE ALL OF OUR ACTIVITIES. 7 00:00:23,200 --> 00:00:24,920 BEFORE WE START I NEED TO READ 8 00:00:24,920 --> 00:00:27,680 THE FOLLOWING, THE GOVERNMENT IN 9 00:00:27,680 --> 00:00:29,800 THE SUN SHINE ACT AND FEDERAL 10 00:00:29,800 --> 00:00:30,800 ADVISORY COMMITTEE ACT REQUIRES 11 00:00:30,800 --> 00:00:33,120 THAT AS MANY ADVISORY COMMITTEE 12 00:00:33,120 --> 00:00:34,240 MEETINGS AS POSSIBLE BE OPEN TO 13 00:00:34,240 --> 00:00:35,520 THE PUBLIC. 14 00:00:35,520 --> 00:00:37,320 THIS INCLUDES MEETINGS OF THE 15 00:00:37,320 --> 00:00:38,920 NATIONAL ADVISORY COUNCIL ON 16 00:00:38,920 --> 00:00:39,840 DRUG ABUSE. 17 00:00:39,840 --> 00:00:41,800 TODAY'S MEETING IS OPEN TO THE 18 00:00:41,800 --> 00:00:46,120 PUBLIC AND IS BEING VIDEOCAST 19 00:00:46,120 --> 00:00:47,000 AND RECORDED. 20 00:00:47,000 --> 00:00:50,000 MINUTES WILL BE AVAILABLE ON 21 00:00:50,000 --> 00:00:51,040 THENOID DA HOME PAGE. 22 00:00:51,040 --> 00:00:52,200 RECORDINGS OF THE OPEN COUNCIL 23 00:00:52,200 --> 00:00:54,520 MEETING ARE POSTED ON THE NIH 24 00:00:54,520 --> 00:00:55,400 VIDEOCAST SIGHT. 25 00:00:55,400 --> 00:00:56,960 MEMBERS OF THE PUBLIC WHO MAY 26 00:00:56,960 --> 00:00:59,920 WISH TO EXPRESS VIEWS REGARDING 27 00:00:59,920 --> 00:01:01,400 ANY ITEMS DISCUSSED DURING THIS 28 00:01:01,400 --> 00:01:04,040 MEETING MAY DO SO BY WRITING TO 29 00:01:04,040 --> 00:01:06,480 DR. SUSAN WISE, EXECUTIVE 30 00:01:06,480 --> 00:01:08,560 SECRETARY WITHIN TEN DAYS OF THE 31 00:01:08,560 --> 00:01:09,920 MEETING. 32 00:01:09,920 --> 00:01:10,960 ANY WRITTEN STATEMENT BY MEMBERS 33 00:01:10,960 --> 00:01:15,720 OF THE PUBLIC WILL RECEIVE 34 00:01:15,720 --> 00:01:16,520 CAREFUL CONSIDERATION. 35 00:01:16,520 --> 00:01:19,720 NOW I WANT TO WELCOME THE NEW 36 00:01:19,720 --> 00:01:25,360 COUNCIL MEMBERS THE FIRST ONE IS 37 00:01:25,360 --> 00:01:28,440 DR. CHARLES CHAVKIN, PAIN 38 00:01:28,440 --> 00:01:29,920 RESEARCH DEPARTMENT OF 39 00:01:29,920 --> 00:01:30,920 DEPARTMENT OF PHARMACOLOGY, 40 00:01:30,920 --> 00:01:32,480 UNIVERSITY OF WASHINGTON. 41 00:01:32,480 --> 00:01:34,920 IT IS ALSO DIRECTOR OF THE 42 00:01:34,920 --> 00:01:36,520 UNIVERSITY OF WASHINGTON CENTER 43 00:01:36,520 --> 00:01:38,840 OF EXCELLENCE IN NEUROSCIENCE OF 44 00:01:38,840 --> 00:01:41,720 ADDICTION, PAIN AND EMOTION. 45 00:01:41,720 --> 00:01:44,320 DR. CHAVKIN'S RESEARCH IS ON THE 46 00:01:44,320 --> 00:01:46,240 MOLECULAR PHARMACOLOGY OF THE 47 00:01:46,240 --> 00:01:48,120 ENDOGENOUS OPIOID PEPTIDES AND 48 00:01:48,120 --> 00:01:51,200 OPIOID RECEPTORS WHICH HAS LED 49 00:01:51,200 --> 00:01:52,680 TO IMPORTANT INCITES ABOUT 50 00:01:52,680 --> 00:01:55,400 FUNCTIONAL SELECTIVITY OF OPIOID 51 00:01:55,400 --> 00:01:58,560 LIGANDS AND THE ROLE OF THE THE 52 00:01:58,560 --> 00:02:00,120 KAPPA OPIOID IN MEDIATING THE 53 00:02:00,120 --> 00:02:01,840 STRESS COMPONENTS OF ADDICTION 54 00:02:01,840 --> 00:02:05,720 RISK. 55 00:02:05,720 --> 00:02:07,160 EXPANDING SUCCESS OF 56 00:02:07,160 --> 00:02:08,320 UNDER-REPRESENTED AND FIRST 57 00:02:08,320 --> 00:02:09,640 GENERATION INDIVIDUALS TO 58 00:02:09,640 --> 00:02:11,120 SCIENTIFIC RESEARCH CAREERS. 59 00:02:11,120 --> 00:02:17,040 BY PROVIDING OUTREACH TO K 12 60 00:02:17,040 --> 00:02:18,560 STUDENTS UNDERGRADUATE AND 61 00:02:18,560 --> 00:02:19,080 GRADUATE STUDENTS. 62 00:02:19,080 --> 00:02:21,760 A SUMMER TRAIN PROGRAM DESIGNED 63 00:02:21,760 --> 00:02:23,160 TO PROVIDE INTENSIVE RESEARCH 64 00:02:23,160 --> 00:02:25,800 TRAINING AND PROFESSIONAL 65 00:02:25,800 --> 00:02:26,920 DEVELOPMENT FOR UNDERSERVED 66 00:02:26,920 --> 00:02:28,280 STUDENTS. HE RECEIVED HIS 67 00:02:28,280 --> 00:02:30,520 Ph.D. IN PHARMACOLOGY FROM 68 00:02:30,520 --> 00:02:31,680 STANFORD UNIVERSITY. 69 00:02:31,680 --> 00:02:33,920 WELCOME DR. CHAVKIN. 70 00:02:33,920 --> 00:02:36,680 OUR SECOND NEW MEMBER IS DR. 71 00:02:36,680 --> 00:02:37,520 ANNA CHILDRESS, ALSO WELL KNOWN 72 00:02:37,520 --> 00:02:39,520 TO THE FIELD. 73 00:02:39,520 --> 00:02:42,480 SHE IS RESEARCH PROFESSOR IN 74 00:02:42,480 --> 00:02:45,080 PSYCHIATRY AND DIRECTOR OF BRAIN 75 00:02:45,080 --> 00:02:46,200 BEHAVIORAL VULNERABILITY 76 00:02:46,200 --> 00:02:48,520 LABORATORY IN THE CENTER FOR 77 00:02:48,520 --> 00:02:49,760 STUDIES ON ADDICTION AT THE 78 00:02:49,760 --> 00:02:52,760 UNIVERSITY OF PENNSYLVANIA FAIR 79 00:02:52,760 --> 00:02:55,840 MONT SCHOOL OF MEDICINE. 80 00:02:55,840 --> 00:02:57,440 HER RESEARCH FOCUS ON BRAIN 81 00:02:57,440 --> 00:03:00,160 SUBSTRATES OF PLEASURE AND 82 00:03:00,160 --> 00:03:02,080 COMPETITIVE MOTIVATION AND THE 83 00:03:02,080 --> 00:03:04,520 ROLE IN ADDICTION RELAPSE. 84 00:03:04,520 --> 00:03:08,840 WITH A FOCUS ON TRIGGER DRUG 85 00:03:08,840 --> 00:03:11,520 MOTIVATION AND BIOBEHAVIORAL OR 86 00:03:11,520 --> 00:03:13,600 PHARMACOLOGICAL INTERVENTIONS. 87 00:03:13,600 --> 00:03:15,760 DR. CHILDRESS RECEIVED HER 88 00:03:15,760 --> 00:03:20,080 Ph.D. IN PSYCHOLOGY FROM 89 00:03:20,080 --> 00:03:22,640 (INAUDIBLE) COLLEGE, WELCOME TO 90 00:03:22,640 --> 00:03:25,320 NIDA COUNCIL. 91 00:03:25,320 --> 00:03:27,320 I'M GOING TO ASK RIGHT NOW FOR 92 00:03:27,320 --> 00:03:28,840 ANY COUNCIL MEMBERS IF YOU HAVE 93 00:03:28,840 --> 00:03:30,280 ANY COMMENTS OR HAVE CORRECTIONS 94 00:03:30,280 --> 00:03:33,080 TO THE MINUTES FROM THE 95 00:03:33,080 --> 00:03:35,120 SEPTEMBER 2021 COUNCIL MEETING. 96 00:03:35,120 --> 00:03:37,120 A COPY OF THE MEETING MADE 97 00:03:37,120 --> 00:03:38,560 AVAILABLE TO YOU IN THE 98 00:03:38,560 --> 00:03:40,120 ELECTRONIC COUNCIL BOOK UNDER 99 00:03:40,120 --> 00:03:44,720 THE NIDA CURRENT COUNCIL PACK. 100 00:03:44,720 --> 00:03:48,120 SO IF YOU DON'T HAVE QUESTIONS 101 00:03:48,120 --> 00:03:50,000 OR COMMENTS I'LL ASK FOR MOTION 102 00:03:50,000 --> 00:03:52,480 FOR APPROVAL. 103 00:03:52,480 --> 00:03:59,040 ALL THOSE APPROVED. 104 00:03:59,040 --> 00:04:00,000 ANYONE OPPOSED? 105 00:04:00,000 --> 00:04:02,520 ABSTAIN? 106 00:04:02,520 --> 00:04:06,760 I AM GOING TO ADD SO MOTION IS 107 00:04:06,760 --> 00:04:09,320 CARRIED. 108 00:04:09,320 --> 00:04:13,160 I WOULD LIKE TO ALSO ASK FOR A 109 00:04:13,160 --> 00:04:14,640 VOTE ON THE COUNCIL OPERATING 110 00:04:14,640 --> 00:04:15,200 PROCEDURES. 111 00:04:15,200 --> 00:04:17,680 SO WE DO THIS AS WELL ONCE A 112 00:04:17,680 --> 00:04:19,120 YEAR THERE IN THE ELECTRONIC 113 00:04:19,120 --> 00:04:20,320 COUNCIL BOOK, ESSENTIALLY THEY 114 00:04:20,320 --> 00:04:22,760 ARE THE SAME AS THEY WERE THE 115 00:04:22,760 --> 00:04:25,280 LAST FEW YEARS, THE ONLY CHANGE 116 00:04:25,280 --> 00:04:27,120 MADE WAS TO EXCLUDE THE NEED FOR 117 00:04:27,120 --> 00:04:28,720 COUNCIL APPROVAL FOR 118 00:04:28,720 --> 00:04:30,080 ADMINISTRATIVE SUPPLEMENT TO 119 00:04:30,080 --> 00:04:33,240 PROMOTE REENTRY AND 120 00:04:33,240 --> 00:04:34,560 REINTEGRATION IN RESEARCH 121 00:04:34,560 --> 00:04:34,920 CAREERS. 122 00:04:34,920 --> 00:04:37,520 SO CAN I GET A MOTION TO APPROVE 123 00:04:37,520 --> 00:04:41,160 THE OPERATING PROCEDURES? 124 00:04:41,160 --> 00:04:42,680 SECOND. 125 00:04:42,680 --> 00:04:43,120 APPROVE. 126 00:04:43,120 --> 00:04:43,960 ANY DENIALS? 127 00:04:43,960 --> 00:04:45,560 THANK YOU. 128 00:04:45,560 --> 00:04:48,560 >> NOW I WANT TO ANNOUNCE THE 129 00:04:48,560 --> 00:04:50,680 FUTURE COUNCIL DATES, THE NEXT 130 00:04:50,680 --> 00:04:52,120 MEETING WILL BE ON TWO DAYS WHEN 131 00:04:52,120 --> 00:04:55,120 WE DO JOINTLY WITH THE ALCOHOL 132 00:04:55,120 --> 00:04:55,360 INSTITUTE. 133 00:04:55,360 --> 00:04:58,120 AND IT IS MAY 10 FOR THE NIDA 134 00:04:58,120 --> 00:05:02,680 ONE AND ON MAY 11 FOR THE CRAN, 135 00:05:02,680 --> 00:05:04,960 ALCOHOL AND CANCER INSTITUTE. 136 00:05:04,960 --> 00:05:07,200 AND THE OTHER MEETING ON THIS 137 00:05:07,200 --> 00:05:11,120 YEAR IS GOING TO BE ON SEPTEMBER 138 00:05:11,120 --> 00:05:11,720 13. 139 00:05:11,720 --> 00:05:13,920 WITH THAT I AM READY TO PRESENT 140 00:05:13,920 --> 00:05:17,640 THE DIRECTORS REPORT. 141 00:05:17,640 --> 00:05:19,120 SUSAN, DO I START OR NOT? 142 00:05:19,120 --> 00:05:19,480 >> 143 00:05:19,480 --> 00:05:19,840 PLEASE START. 144 00:05:19,840 --> 00:05:23,320 YOU ARE SHARING YOUR SCREEN. 145 00:05:23,320 --> 00:05:26,920 >> I WILL BE SHARING MY SCREEN. 146 00:05:26,920 --> 00:05:30,800 I WILL NEED TO NODE (INAUDIBLE) 147 00:05:30,800 --> 00:05:33,680 OTHERWISE I WILL BE SPEAKING TO 148 00:05:33,680 --> 00:05:33,920 NO ONE. 149 00:05:33,920 --> 00:05:35,680 >> IT IS NOT YET IN THE SLIDE 150 00:05:35,680 --> 00:05:37,520 SHOW MODE. 151 00:05:37,520 --> 00:05:38,720 >> THERE IT IS. 152 00:05:38,720 --> 00:05:42,320 >> PERFECT. 153 00:05:42,320 --> 00:05:44,840 >> I LIKE TO START WITH OUR 154 00:05:44,840 --> 00:05:46,200 BUDGET BECAUSE THAT GIVES A 155 00:05:46,200 --> 00:05:47,640 PERSPECTIVE WHERE WE ARE RIGHT 156 00:05:47,640 --> 00:05:49,040 NOW AND WHERE WE WILL BE GOING 157 00:05:49,040 --> 00:05:51,000 TO THE NEXT YEAR. 158 00:05:51,000 --> 00:05:52,000 UNFORTUNATELY DIFFICULT WE ARE 159 00:05:52,000 --> 00:05:54,120 IN A CONTINUING RESOLUTION THE 160 00:05:54,120 --> 00:05:55,320 2032 BUDGET HAS NOT 161 00:05:55,320 --> 00:05:56,480 MATERIALIZED. 162 00:05:56,480 --> 00:05:59,200 AND AS YOU READ IN THE 163 00:05:59,200 --> 00:06:02,360 NEWSPAPERS, AS SHORT CONTINUED 164 00:06:02,360 --> 00:06:05,680 RESOLUTION WAS NOW PLACE FROM ON 165 00:06:05,680 --> 00:06:08,360 MARCH, I THINK MARCH 11. 166 00:06:08,360 --> 00:06:11,040 SO WHAT YOU CAN SEE FROM THE 167 00:06:11,040 --> 00:06:12,720 FINAL BUDGETS FOR 2021 VERSUS 168 00:06:12,720 --> 00:06:15,320 WHAT WE SHOULD BE GETTING ON 169 00:06:15,320 --> 00:06:16,520 2022, THERE WERE SIGNIFICANT 170 00:06:16,520 --> 00:06:19,120 INCREASES IN OUR BUDGET AND AS I 171 00:06:19,120 --> 00:06:21,720 EXPRESS AND EXPLAINING THE TASK, 172 00:06:21,720 --> 00:06:24,200 I PRESENT SEPARATELY OUR BASE 173 00:06:24,200 --> 00:06:25,440 BUDGET FROM THAT OF THE FIELD 174 00:06:25,440 --> 00:06:28,080 WHICH IS ALSO BASE BUDGET 175 00:06:28,080 --> 00:06:30,040 BECAUSE MANAGEMENT OF THE HEEL 176 00:06:30,040 --> 00:06:31,720 PROJECTS AND THE FUNDING THAT 177 00:06:31,720 --> 00:06:33,720 COMES THROUGH HEEL IS MUCH MORE 178 00:06:33,720 --> 00:06:35,840 COMPLEX AND IS ACTUALLY OVERSEEN 179 00:06:35,840 --> 00:06:38,280 BY THE OFFICE OF THE DIRECTOR. 180 00:06:38,280 --> 00:06:40,160 SO WE HAVE SEEN INCREASES 181 00:06:40,160 --> 00:06:43,360 DIRECTLY IN TO THE BASE FUNDING 182 00:06:43,360 --> 00:06:45,480 FOR NIDA THAT GOES DIRECTLY 183 00:06:45,480 --> 00:06:48,000 WITHOUT HAVING TO HAVE OVERSIGHT 184 00:06:48,000 --> 00:06:51,600 AT MANAGEMENT FOR THE DIRECTORS 185 00:06:51,600 --> 00:06:52,600 OFFICE AND WE HAVE SEEN 186 00:06:52,600 --> 00:06:54,360 INCREASES INTO THE BUDGETS FOR 187 00:06:54,360 --> 00:06:59,120 HEEL THAT IS OVERSEEN B BY THE 188 00:06:59,120 --> 00:07:00,000 DIRECTOR. 189 00:07:00,000 --> 00:07:01,680 THIS CONSTITUTES THE LARGEST 190 00:07:01,680 --> 00:07:04,160 INCREASE IF IT DOES MATERIALIZE 191 00:07:04,160 --> 00:07:06,160 IN 2022 THAT THE INSTITUTE HAS 192 00:07:06,160 --> 00:07:10,560 FOR HIGHLIGHTS THE OPPORTUNITIES 193 00:07:10,560 --> 00:07:12,600 THAT EXCEEDS FOR ALSO SCIENCE 194 00:07:12,600 --> 00:07:14,560 AND REFLECTS URGENCY TO ADDRESS 195 00:07:14,560 --> 00:07:17,680 THE OVERDOSE CRISIS THAT OUR 196 00:07:17,680 --> 00:07:18,280 COUNTRY IS LEADING. 197 00:07:18,280 --> 00:07:22,560 AND THE RECOGNITION THAT SCIENCE 198 00:07:22,560 --> 00:07:25,800 IS IMPORTANT IN ADDRESSING 199 00:07:25,800 --> 00:07:29,040 OVERALL PROBLEM OF ADDICTION. 200 00:07:29,040 --> 00:07:30,360 THE BUDGET DISTRIBUTION THE WAY 201 00:07:30,360 --> 00:07:33,040 THAT WE PRIORITIZE BASICALLY 202 00:07:33,040 --> 00:07:35,680 WHICH FUNDS ARE GOING TO WHICH 203 00:07:35,680 --> 00:07:37,520 DIVISION, IS DIFFERENT FOR THE 204 00:07:37,520 --> 00:07:38,720 NON-HEEL RESEARCH VERSUS THE 205 00:07:38,720 --> 00:07:40,920 HEEL RESEARCH. 206 00:07:40,920 --> 00:07:44,040 THE DIFFERENCE IS BASICALLY BY 207 00:07:44,040 --> 00:07:45,160 THE FACT THAT WITH RESEARCH 208 00:07:45,160 --> 00:07:47,600 THERE IS A GREAT DEAL OF URGENCY 209 00:07:47,600 --> 00:07:51,840 TO FUND PROJECTS THAT LEAD TO 210 00:07:51,840 --> 00:07:53,520 RELATIVELY FAST AND IMPORTANT 211 00:07:53,520 --> 00:07:56,920 CONTROL OF THE OVERDOSE CRISIS, 212 00:07:56,920 --> 00:07:58,800 THINGS THAT CAN BE IMPLEMENTED 213 00:07:58,800 --> 00:07:59,280 RIGHT NOW. 214 00:07:59,280 --> 00:08:02,040 AS A RESULT OF THAT FUNDING IN 215 00:08:02,040 --> 00:08:05,320 THE FUNDED THROUGH HEEL FOCUS 216 00:08:05,320 --> 00:08:07,120 MUCH MORE ON IMPLEMENTATION AND 217 00:08:07,120 --> 00:08:08,760 SERVICES RESEARCH THAT THE 218 00:08:08,760 --> 00:08:11,880 AMOUNT OF MONEY THAT IS EVEN 219 00:08:11,880 --> 00:08:13,320 THROUGH OUR DIRECT INVESTMENT 220 00:08:13,320 --> 00:08:16,200 EVEN THOUGH WE HAVE THE FUNDING 221 00:08:16,200 --> 00:08:19,480 FOR EPIDEMIOLOGY SERVICES AND 222 00:08:19,480 --> 00:08:20,800 PREVENTION RESEARCH WHICH 223 00:08:20,800 --> 00:08:23,040 OVERSEES THIS TYPE OF WORK HAS 224 00:08:23,040 --> 00:08:24,720 BEEN VERY ROBUST. 225 00:08:24,720 --> 00:08:26,520 THROUGH THIS FUNDING WE HAVE 226 00:08:26,520 --> 00:08:29,560 MORE RESOURCES TO FUND BASIC 227 00:08:29,560 --> 00:08:30,960 KNOWLEDGE THAT THEN OF COURSE 228 00:08:30,960 --> 00:08:32,160 INFORMS THE DEVELOPMENT OF 229 00:08:32,160 --> 00:08:34,960 MEDICATION AND THERAPEUTIC. 230 00:08:34,960 --> 00:08:38,360 WHICH ARE ALSO FUNDED BY AS WELL 231 00:08:38,360 --> 00:08:42,120 AS THROUGH THE HEEL BUDGET. 232 00:08:42,120 --> 00:08:45,800 AS IT RELATES TO CHANGES IN THE 233 00:08:45,800 --> 00:08:51,160 STAFF AT NIDA DR. JAK STAT A 234 00:08:51,160 --> 00:08:54,560 NIDA CHIEF OF STAFF DECIDED TO 235 00:08:54,560 --> 00:08:56,800 RETIRE ON DECEMBER 31, THIS IS A 236 00:08:56,800 --> 00:08:58,640 BIG LOSS BECAUSE JACK HAS BEEN 237 00:08:58,640 --> 00:09:01,000 AN INCREDIBLE PARTNER IN MANY, 238 00:09:01,000 --> 00:09:05,000 MANY ACTIVITIES, VERY VERY 239 00:09:05,000 --> 00:09:05,520 TALENTED. 240 00:09:05,520 --> 00:09:06,280 BASICALLY VERY MUCH INTERESTED 241 00:09:06,280 --> 00:09:08,400 AND HE SAID I OOH E NOT GOING TO 242 00:09:08,400 --> 00:09:12,000 DISENGAGE FROM MY INVOLVEMENT 243 00:09:12,000 --> 00:09:14,600 BUT THAT WAS OPEN NOW FOR CHIEF 244 00:09:14,600 --> 00:09:16,080 OF STAFF AND HE WAS ALSO THE 245 00:09:16,080 --> 00:09:17,280 DIRECTOR FOR THE OFFICE OF 246 00:09:17,280 --> 00:09:19,920 SCIENCE POLICY AND 247 00:09:19,920 --> 00:09:22,640 COMMUNICATION, AND VERY GLAD TO 248 00:09:22,640 --> 00:09:25,920 ANNOUNCE WE NOW HAVE FORMAL 249 00:09:25,920 --> 00:09:28,040 DIRECTOR JENNIFER WHO HAS TAKEN 250 00:09:28,040 --> 00:09:30,120 POSITION OF DIRECTOR AND ALSO 251 00:09:30,120 --> 00:09:33,400 IMMEDIATELY STARTED WITH A VERY, 252 00:09:33,400 --> 00:09:39,120 VERY ACTIVE ROLE AND GET TO -- 253 00:09:39,120 --> 00:09:42,000 INTERACT WITH MORE IN THIS NEW 254 00:09:42,000 --> 00:09:43,200 ROLE. 255 00:09:43,200 --> 00:09:44,960 MAJOR CHANGES HAVE HAPPENED AS 256 00:09:44,960 --> 00:09:48,520 YOU CAN SEE, NOT JUST THE 257 00:09:48,520 --> 00:09:50,000 CURRENT PANDEMIC BUT FRANCIS 258 00:09:50,000 --> 00:09:53,080 COLLINS, DIRECTOR OF THE NIH 259 00:09:53,080 --> 00:09:56,480 DECIDED TO RETIRE, REALLY NOT 260 00:09:56,480 --> 00:09:58,360 RETIRING, STAYING AS AN 261 00:09:58,360 --> 00:09:59,920 INVESTIGATOR BUT HE IS RETIRING 262 00:09:59,920 --> 00:10:03,680 FROM HIS ROLE AS NIH DIRECTOR 263 00:10:03,680 --> 00:10:06,080 AND LARRY TABAK WHO HAS BEEN THE 264 00:10:06,080 --> 00:10:07,320 MAIN DEPUTY DIRECTOR ASSUMING 265 00:10:07,320 --> 00:10:09,760 THE ROLE OF ACTING DIRECTOR AND 266 00:10:09,760 --> 00:10:11,840 LARRY HAS BEEN INVOLVED ALL 267 00:10:11,840 --> 00:10:14,960 ALONG IN MANY PROJECTS, THAT ARE 268 00:10:14,960 --> 00:10:17,640 RELEVANT TO NIDA INCLUDING THE 269 00:10:17,640 --> 00:10:18,720 HEEL INITIATIVE. 270 00:10:18,720 --> 00:10:20,840 AS A RESULT OF THAT NOW THE NEW 271 00:10:20,840 --> 00:10:23,160 PERSON THAT HAS THE OVERSIGHT 272 00:10:23,160 --> 00:10:25,160 FOR THE HEEL INITIATIVE ITSELF 273 00:10:25,160 --> 00:10:30,240 IS DR. LARRY TABAK. 274 00:10:30,240 --> 00:10:31,920 THE OTHER CRUCIAL ASPECT THAT 275 00:10:31,920 --> 00:10:34,240 HAS ACTUALLY AFFECTED ALL OF OUR 276 00:10:34,240 --> 00:10:37,120 LIVES AT MULTIPLE LEVELS FROM 277 00:10:37,120 --> 00:10:39,800 OBVIOUSLY SCIENTIFIC PERSPECTIVE 278 00:10:39,800 --> 00:10:41,120 HAS BEEN ACTUALLY A BIG 279 00:10:41,120 --> 00:10:42,240 CHALLENGE BUT ALSO AN 280 00:10:42,240 --> 00:10:45,920 OPPORTUNITY TO ADVANCE NEW 281 00:10:45,920 --> 00:10:47,320 DEVELOPMENTS AND KNOWLEDGE ABOUT 282 00:10:47,320 --> 00:10:49,720 WHAT COVID DOES IN OUR BODIES 283 00:10:49,720 --> 00:10:52,040 AND AS ADVANCE OUR UNDERSTANDING 284 00:10:52,040 --> 00:10:53,800 OF IMMUNE FUNCTION AND THAT 285 00:10:53,800 --> 00:10:55,280 TECHNOLOGIES IN ORDER TO BE ABLE 286 00:10:55,280 --> 00:10:58,960 TO DETECT IT. 287 00:10:58,960 --> 00:11:00,840 IT CASTS VERY ACCELERATED 288 00:11:00,840 --> 00:11:02,920 KNOWLEDGE AND INNOVATION INTO 289 00:11:02,920 --> 00:11:04,280 THIS SPACE. 290 00:11:04,280 --> 00:11:06,720 THE -- THIS IS AGAIN OVERSEEN 291 00:11:06,720 --> 00:11:09,320 THROUGH THE DIRECTORS OFFICE AND 292 00:11:09,320 --> 00:11:12,400 IT GAUGES BOTH RESEARCH THAT IS 293 00:11:12,400 --> 00:11:15,560 -- THAT AIMS AT UNDERSTANDING 294 00:11:15,560 --> 00:11:16,920 KNOWLEDGE BASIC KNOWLEDGE BUT 295 00:11:16,920 --> 00:11:19,480 IMPORTANTLY HIGHLIGHTING 296 00:11:19,480 --> 00:11:20,720 TRANSLATION IN NEW TREATMENTS 297 00:11:20,720 --> 00:11:23,600 AND VACCINES AND NEW TOOLS FOR 298 00:11:23,600 --> 00:11:24,640 ACTUALLY DETECTION OF THE VIRUS. 299 00:11:24,640 --> 00:11:26,720 IT HAS BEEN ABLE TO ACCELERATE 300 00:11:26,720 --> 00:11:29,240 THIS IN WAYS THAT HAVE NOT BEEN 301 00:11:29,240 --> 00:11:32,120 POSSIBLE IN THE PAST. 302 00:11:32,120 --> 00:11:33,120 IMPORTANTLY ALSO COVID 303 00:11:33,120 --> 00:11:34,560 INITIATIVES FUNDED THROUGH THE 304 00:11:34,560 --> 00:11:38,760 OFFICE OF DIRECTOR ARE VERY MUCH 305 00:11:38,760 --> 00:11:41,840 NOW RECOGNIZING IMPORTANCE OF 306 00:11:41,840 --> 00:11:44,760 POST ACUTE COVID SYNDROME IN 307 00:11:44,760 --> 00:11:49,360 THAT IS ACTUALLY PUTS A NEW 308 00:11:49,360 --> 00:11:50,720 CHALLENGE THAT RELATES NOT JUST 309 00:11:50,720 --> 00:11:53,520 TO THE INFECTION ITSELF BUT 310 00:11:53,520 --> 00:11:55,760 CONSEQUENCES OF THOSE INFECTIONS 311 00:11:55,760 --> 00:11:58,280 MAY HAVE LONG TERM AND WHAT IT 312 00:11:58,280 --> 00:11:59,960 WILL MEAN FOR THE POPULATION AND 313 00:11:59,960 --> 00:12:02,840 IMPORTANTLY OF COURSE HOW WE DO 314 00:12:02,840 --> 00:12:06,480 SCIENCE TO ADDRESS, FOR US AND 315 00:12:06,480 --> 00:12:09,480 NIDA, ONE OF THE QUESTIONS HAS 316 00:12:09,480 --> 00:12:11,560 BEEN JUMPING IS HOW COVID AFFECT 317 00:12:11,560 --> 00:12:13,240 THOSE INDIVIDUALS SUFFERING FROM 318 00:12:13,240 --> 00:12:14,680 SUBSTANCE USE DISORDERS, WHAT 319 00:12:14,680 --> 00:12:17,320 ARE THE RISK FACTORS, RISK FOR 320 00:12:17,320 --> 00:12:19,160 OUTCOMES AND HOW IT AFFECTS THE 321 00:12:19,160 --> 00:12:24,040 MOST VULNERABLE AND NOW WITH THE 322 00:12:24,040 --> 00:12:27,120 LONG LASTING COVID HOW DO DRUGS, 323 00:12:27,120 --> 00:12:29,040 FOR EXAMPLE, AFFECT THE 324 00:12:29,040 --> 00:12:30,760 DEVELOPMENT OF THESE CHRONIC 325 00:12:30,760 --> 00:12:32,680 SYNDROMES ASSOCIATED WITH COVID. 326 00:12:32,680 --> 00:12:35,320 THIS OF COURSE IS NOT KNOWN BUT 327 00:12:35,320 --> 00:12:38,080 WE HAVE BEEN VERY PROACTIVE IN 328 00:12:38,080 --> 00:12:40,400 SUPPLEMENTING RESEARCHERS TO BE 329 00:12:40,400 --> 00:12:43,520 ABLE TO START TO ADDRESS THESE 330 00:12:43,520 --> 00:12:43,920 QUESTIONS. 331 00:12:43,920 --> 00:12:46,280 WITH RESPECT TO THE BRAIN 332 00:12:46,280 --> 00:12:50,000 INITIATIVE, YOU ACTUALLY WANT TO 333 00:12:50,000 --> 00:12:55,720 HIGHLIGHT THAT IT IS NOW BRAIN 334 00:12:55,720 --> 00:12:59,360 2.0, LED BY DR. (INDISCERNIBLE) 335 00:12:59,360 --> 00:13:02,240 PART OF THE NINDS IN THE NEXT 336 00:13:02,240 --> 00:13:05,080 ROUND OF THE BRAIN INITIATIVE, 337 00:13:05,080 --> 00:13:06,760 THEY ARE GOING TO BE THREE MAIN 338 00:13:06,760 --> 00:13:08,720 PROJECTS ONE TO CREATE THE BRAIN 339 00:13:08,720 --> 00:13:10,840 CELL ATLAS OF THE HUMAN BRAIN, 340 00:13:10,840 --> 00:13:12,040 WHICH IS QUITE EXTRAORDINARY, 341 00:13:12,040 --> 00:13:15,920 THE OTHER IS TO CREATE A WHOLE 342 00:13:15,920 --> 00:13:17,360 MICROCONNECTIVITY OF MAMMALIAN 343 00:13:17,360 --> 00:13:19,240 BRAIN AND THIRDED IS TO DEVELOP 344 00:13:19,240 --> 00:13:20,680 TOOLS THAT HAVE BEEN ABLE 345 00:13:20,680 --> 00:13:22,440 PRECISION ACCESS TO SPECIFIC 346 00:13:22,440 --> 00:13:23,360 CELL TYPES. 347 00:13:23,360 --> 00:13:25,120 AGAIN THIS IS AS TRANSFORMATIVE 348 00:13:25,120 --> 00:13:27,000 AS IT GETS BECAUSE IN THE PAST 349 00:13:27,000 --> 00:13:28,960 WE COULD NOT IN ANYWAY 350 00:13:28,960 --> 00:13:30,280 SPECIFICALLY TARGET ONE CELL 351 00:13:30,280 --> 00:13:32,600 TYPE OR EVEN WITH COVID. 352 00:13:32,600 --> 00:13:34,560 NOW IT IS POSSIBLE FOR US TO 353 00:13:34,560 --> 00:13:36,320 RECORD THOSE CELL TASKS AND IN 354 00:13:36,320 --> 00:13:39,840 ADVANCES IN GENETIC TECHNOLOGY 355 00:13:39,840 --> 00:13:42,040 LIKE CRISPER ENABLE US TO MODIFY 356 00:13:42,040 --> 00:13:43,680 IN WAYS THAT ALLOW US TO 357 00:13:43,680 --> 00:13:45,720 UNDERSTAND HOW THEY AFFECT 358 00:13:45,720 --> 00:13:47,760 MICROCIRCUITRY HOW THEY AFFECT 359 00:13:47,760 --> 00:13:48,720 BEHAVIOR. 360 00:13:48,720 --> 00:13:50,920 VERY IMPORTANTLY FOR DRUG USE 361 00:13:50,920 --> 00:13:53,320 BECAUSE IT CAN ENABLE US TO 362 00:13:53,320 --> 00:13:56,200 INVESTIGATE WHICH CELLS ARE MORE 363 00:13:56,200 --> 00:13:58,200 SENSITIVE, WHICH ARE RESPONSIBLE 364 00:13:58,200 --> 00:13:59,520 FOR LONG LASTING EFFECTS MANY 365 00:13:59,520 --> 00:14:02,400 THE PROCESS OF ADDICTION. 366 00:14:02,400 --> 00:14:04,400 I WANT TO ADVERTISE THAT THE 367 00:14:04,400 --> 00:14:05,960 ANIMAL MEETING FROM THE BRAIN 368 00:14:05,960 --> 00:14:07,520 INITIATIVE MEETING IS GOING TO 369 00:14:07,520 --> 00:14:10,920 TAKE PLACE JUNE 21ST AND 22ND AA 370 00:14:10,920 --> 00:14:14,560 ARE OPENING UP BASICALLY IT IS 371 00:14:14,560 --> 00:14:16,480 OPEN UP FOR SUBMISSION OF -- AND 372 00:14:16,480 --> 00:14:18,520 THE DEADLINES ARE FEBRUARY 25 IF 373 00:14:18,520 --> 00:14:23,320 YOU WANT TO SUBMIT THE SYMPOSIA. 374 00:14:23,320 --> 00:14:24,160 MY GENERAL ASPECT. 375 00:14:24,160 --> 00:14:27,080 WITH THAT I WANT TO JUMP INTO 376 00:14:27,080 --> 00:14:30,560 WHERE ARE WE WITH DRUG USE IN 377 00:14:30,560 --> 00:14:32,120 OUR COUNTRY. 378 00:14:32,120 --> 00:14:33,800 AMID THE COVID PANDEMIC AND 379 00:14:33,800 --> 00:14:35,280 OPIOID CRISIS. 380 00:14:35,280 --> 00:14:37,520 LAST YEAR THE MONITORING THE 381 00:14:37,520 --> 00:14:39,360 FUTURE WHICH RELEASES THIS DATA 382 00:14:39,360 --> 00:14:41,480 IN DECEMBER, WHICH REFLECTS THE 383 00:14:41,480 --> 00:14:45,480 DATA FOR THE 2021 PROVIDED US 384 00:14:45,480 --> 00:14:47,800 EVIDENCE OF THE MOST DRAMATIC 385 00:14:47,800 --> 00:14:49,240 REDUCTION IN THE USE OF DRUGS 386 00:14:49,240 --> 00:14:52,680 AMONG TEENAGERS AND AS YOU KNOW 387 00:14:52,680 --> 00:14:55,320 THE MONITORS IN THE FUTURE IS 8, 388 00:14:55,320 --> 00:14:57,240 10 AND 12TH GRADERS. 389 00:14:57,240 --> 00:14:59,960 THERE'S SIGNIFICANT REDUCTION IN 390 00:14:59,960 --> 00:15:02,240 FOR THESE INDICATORS WHICH IS 391 00:15:02,240 --> 00:15:05,280 PAST YEAR USE, OF ILLICIT 392 00:15:05,280 --> 00:15:06,640 SUBSTANCES AND BASICALLY ALL OF 393 00:15:06,640 --> 00:15:07,680 THE DRUGS. 394 00:15:07,680 --> 00:15:09,800 ALMOST ALL THE DRUGS. 395 00:15:09,800 --> 00:15:10,920 SIGNIFICANTLY DECREASE FROM ONE 396 00:15:10,920 --> 00:15:12,800 YEAR TO THE OTHER, MOST NOTABLE 397 00:15:12,800 --> 00:15:15,600 WHERE DECREASES IN H ALCOHOL 398 00:15:15,600 --> 00:15:17,720 MARIJUANA AND NICOTINE. 399 00:15:17,720 --> 00:15:19,920 IT IS ALSO REMARKABLE THAT THEY 400 00:15:19,920 --> 00:15:24,040 ARE SEEING IT IN ALL THE GRADES 401 00:15:24,040 --> 00:15:28,320 AND YOU SEE THIS SHARP DECLINE, 402 00:15:28,320 --> 00:15:29,560 AMONG 10TH GRADERS THE QUESTIONS 403 00:15:29,560 --> 00:15:31,640 THAT EMERGE IS WHAT DOES THIS 404 00:15:31,640 --> 00:15:34,720 MEAN AND I'M JUST GOING TO SHOW 405 00:15:34,720 --> 00:15:37,040 YOU THE DATA FOR THE DRUGS WHERE 406 00:15:37,040 --> 00:15:38,720 WE SAW LARGEST CHANGES SO LET ME 407 00:15:38,720 --> 00:15:40,280 GUIDE, THIS IS -- I'M SHOWING 408 00:15:40,280 --> 00:15:43,440 YOU DATA FROM 2021 FOR 8 AND 409 00:15:43,440 --> 00:15:44,560 12TH GRADERS. 410 00:15:44,560 --> 00:15:48,960 SO FOR ALCOHOL MARIJUANA AND 411 00:15:48,960 --> 00:15:51,200 NICOTINE, HERE WE HAVE 8, 10, 412 00:15:51,200 --> 00:15:52,360 HERE WE HAVE 12TH GRADERS. 413 00:15:52,360 --> 00:15:54,800 THE FIRST COLUMN IS 2020 AND THE 414 00:15:54,800 --> 00:15:56,840 SECOND COLUMN IS 2021. 415 00:15:56,840 --> 00:15:59,080 YOU CAN SEE THE SIGNIFICANT 416 00:15:59,080 --> 00:16:01,520 REDUCTION IN ALCOHOL, LOOK AT 417 00:16:01,520 --> 00:16:03,160 REDUCTION IN ALCOHOL FOR 10 418 00:16:03,160 --> 00:16:05,280 GRADERS WHICH IS HUGE. 419 00:16:05,280 --> 00:16:06,920 THESE ARE THE LARGEST CHANGES 420 00:16:06,920 --> 00:16:09,560 THAT WE HAVE SEEN IN ONE SINGLE 421 00:16:09,560 --> 00:16:11,800 YEAR IN DECREASE IN DRUG 422 00:16:11,800 --> 00:16:12,120 CONSUMPTION. 423 00:16:12,120 --> 00:16:13,360 WE HAVE SEEN THIS LARGE CHANGES 424 00:16:13,360 --> 00:16:16,920 FROM INCREASES WITH VAPING BUT 425 00:16:16,920 --> 00:16:18,360 NEVER WITH THIS LEVEL OF 426 00:16:18,360 --> 00:16:21,240 DECREASE, ALSO SEEING IT WITH IN 427 00:16:21,240 --> 00:16:22,080 THE 12TH GRADERS. 428 00:16:22,080 --> 00:16:24,040 THE SAME STORY FOR MARIJUANA, 429 00:16:24,040 --> 00:16:26,120 LOOK AT DRAMATIC REDUCTION IN 430 00:16:26,120 --> 00:16:29,880 MARIJUANA USE AMONG 10 GRADERS 431 00:16:29,880 --> 00:16:32,920 ALSO AMONG 12TH GRADERS FOR 432 00:16:32,920 --> 00:16:33,520 MARIJUANA. 433 00:16:33,520 --> 00:16:35,200 AND SIMILARLY WE ARE SEEING 434 00:16:35,200 --> 00:16:36,720 REDUCTIONS FOR VAPING NICOTINE. 435 00:16:36,720 --> 00:16:38,280 SO WHAT DOES THIS MEAN? 436 00:16:38,280 --> 00:16:39,720 I THIS IS IT IS IMPORTANT FOR US 437 00:16:39,720 --> 00:16:42,720 TO ASK THE QUESTION AND TRY TO 438 00:16:42,720 --> 00:16:46,040 ACTUALLY UNDERSTAND IT BECAUSE 439 00:16:46,040 --> 00:16:49,120 IF -- IT POINTS TO FACTORS THAT 440 00:16:49,120 --> 00:16:51,720 ARE DRIVING THE DRUG TAKING IN 441 00:16:51,720 --> 00:16:53,200 MY BRAIN WHAT I LIKE TO 442 00:16:53,200 --> 00:16:56,280 SPECULATE IS THAT WE KNOW PEER 443 00:16:56,280 --> 00:16:57,600 PRESSURE IS VERY IMPORTANT IN 444 00:16:57,600 --> 00:16:59,360 DRUG TAKING AND DRUG TAKING 445 00:16:59,360 --> 00:17:03,760 AMONG TEENAGERS IS A GROUP PEER 446 00:17:03,760 --> 00:17:04,320 ACTIVITY. 447 00:17:04,320 --> 00:17:07,960 SO TO THE EXTENT THAT 448 00:17:07,960 --> 00:17:08,640 ADOLESCENTS HAVE LESS 449 00:17:08,640 --> 00:17:10,520 OPPORTUNITY OF GETTING TOGETHER 450 00:17:10,520 --> 00:17:14,080 AT SPORTING EVENTS OR EVEN AT 451 00:17:14,080 --> 00:17:15,840 SCHOOL OR PARTIES THAT DECREASE 452 00:17:15,840 --> 00:17:17,520 THEIR ABILITY TO CONSUME THESE 453 00:17:17,520 --> 00:17:18,000 DRUGS. 454 00:17:18,000 --> 00:17:21,200 ALSO TO THE EXTENT THERE WERE 455 00:17:21,200 --> 00:17:24,080 MANY OF THEM LEARNING FROM HOME 456 00:17:24,080 --> 00:17:25,920 WHETHER SOME OF THEM WITH THEIR 457 00:17:25,920 --> 00:17:27,280 PARENTS OVERSEEING THEM THAT MAY 458 00:17:27,280 --> 00:17:29,360 ALSO HAVE MADE IT HARDER FOR 459 00:17:29,360 --> 00:17:32,760 THEM TO ACTUALLY ACCESS THE 460 00:17:32,760 --> 00:17:33,440 DRUGS. 461 00:17:33,440 --> 00:17:35,120 WITH THESE IMPORTANT QUESTION 462 00:17:35,120 --> 00:17:38,240 BASED ON THIS ONE WILL HAPPEN 463 00:17:38,240 --> 00:17:42,120 ONCE THE LIFE OF THIS TEENAGERS 464 00:17:42,120 --> 00:17:44,840 IN SCHOOL BACK TO WHAT IT WAS IN 465 00:17:44,840 --> 00:17:46,720 THE PAST IN TERMS OF SOCIAL 466 00:17:46,720 --> 00:17:47,120 INTERACTION. 467 00:17:47,120 --> 00:17:48,440 QUESTIONS YOU CAN ASK IS DOES 468 00:17:48,440 --> 00:17:51,320 THIS REFLECT THE PATTERNS IN ALL 469 00:17:51,320 --> 00:17:52,120 THE AGE GROUPS? 470 00:17:52,120 --> 00:17:53,720 THE ANSWER IS ABSOLUTELY NOT. 471 00:17:53,720 --> 00:17:55,960 AND WHAT WE SEE, THIS IS VERY 472 00:17:55,960 --> 00:17:57,280 UNIQUE TO ADOLESCENTS. 473 00:17:57,280 --> 00:17:59,000 WHAT WE SEE FOR EXAMPLE, THIS IS 474 00:17:59,000 --> 00:18:02,560 DATA FROM MONITORING THE FUTURE 475 00:18:02,560 --> 00:18:04,680 OR FOR INDIVIDUALS THAT ARE 476 00:18:04,680 --> 00:18:06,600 MONITORING TO THEIR COLLEGE 477 00:18:06,600 --> 00:18:08,560 YEARS, I WANT YOU TO FOCUS ON 478 00:18:08,560 --> 00:18:12,640 MARIJUANA USE FROM 2015 TO 2020. 479 00:18:12,640 --> 00:18:14,320 I'M PRESENTING HERE DATA THAT 480 00:18:14,320 --> 00:18:16,840 RELATES -- THAT COMPARES THOSE 481 00:18:16,840 --> 00:18:18,200 THAT HAVE COLLEGE VERSUS THOSE 482 00:18:18,200 --> 00:18:21,720 THAT ARE NOT ON COLLEGE. 483 00:18:21,720 --> 00:18:24,920 I'M PRESENTING BASICALLY PAST 484 00:18:24,920 --> 00:18:27,520 YEAR FOR 2015. 485 00:18:27,520 --> 00:18:32,080 DAILY USE OF MARIJUANA FOR 2015, 486 00:18:32,080 --> 00:18:35,320 INDIVIDUALS THAT ARE ACTUALLY ON 487 00:18:35,320 --> 00:18:37,920 COLLEGE AND THESE NON-COLLEGE. 488 00:18:37,920 --> 00:18:40,720 YOU SEE ON DAILY VIEW THERE'S 489 00:18:40,720 --> 00:18:41,800 MANY MORE NON-COLLEGE 490 00:18:41,800 --> 00:18:43,320 INDIVIDUALS THAT ARE SMOKING 491 00:18:43,320 --> 00:18:44,400 WARE MARIJUANA. 492 00:18:44,400 --> 00:18:47,760 FAST FORWARD TO 2020, WHERE YOU 493 00:18:47,760 --> 00:18:48,840 CAN SEE SIGNIFICANT RISE IN THE 494 00:18:48,840 --> 00:18:52,480 DAILY USE OF MARIJUANA FOR BOTH 495 00:18:52,480 --> 00:18:54,560 GROUPS IN TERMS OF PERCENTAGES 496 00:18:54,560 --> 00:18:55,840 IS THE LARGEST FOR THOSE IN 497 00:18:55,840 --> 00:18:56,080 COLLEGE. 498 00:18:56,080 --> 00:18:59,200 WE ARE ALSO SEEK 10% INCREASES 499 00:18:59,200 --> 00:19:01,280 OVERALL IN CONSUMPTION OF 500 00:19:01,280 --> 00:19:02,920 MARIJUANA, THERE'S REALLY NO 501 00:19:02,920 --> 00:19:04,120 DIFFERENCE BETWEEN COLLEGE AND 502 00:19:04,120 --> 00:19:06,160 NON-COLLEGE. 503 00:19:06,160 --> 00:19:09,120 SO OVERALL THERE ARE SOME DRUGS 504 00:19:09,120 --> 00:19:10,160 AMONG THESE YOUNG GROUP OF 505 00:19:10,160 --> 00:19:10,960 INDIVIDUALS THAT CHANGE AND 506 00:19:10,960 --> 00:19:12,920 OTHERSES THAT DID NOT CHANGE ON 507 00:19:12,920 --> 00:19:15,040 THE COVID PANDEMIC, EVIDENCED BY 508 00:19:15,040 --> 00:19:16,600 THE COMPARISON BETWEEN 2019 AND 509 00:19:16,600 --> 00:19:19,320 2020. 510 00:19:19,320 --> 00:19:21,520 IN 2019 WHICH IS PRE-PANDEMIC 511 00:19:21,520 --> 00:19:23,680 BASICALLY THIS FOR MARIJUANA 512 00:19:23,680 --> 00:19:25,680 VAPING, THIS IS FOR NICOTINE 513 00:19:25,680 --> 00:19:26,240 VAPING. 514 00:19:26,240 --> 00:19:29,040 THERE APPEARS TO BE SOME SLIGHT 515 00:19:29,040 --> 00:19:31,120 CHANGES WITH NOTING THAT IT IS 516 00:19:31,120 --> 00:19:32,480 VERY SIGNIFICANT, WHAT WE ARE 517 00:19:32,480 --> 00:19:34,920 SEEING MAJOR CHANGES IN 518 00:19:34,920 --> 00:19:36,680 SIGNIFICANCE IS I WOULD SAY WITH 519 00:19:36,680 --> 00:19:38,640 ALCOHOL DRINKING, AND ALCOHOL 520 00:19:38,640 --> 00:19:40,200 DRINKING FOR COLLEGE KIDS GOT 521 00:19:40,200 --> 00:19:42,000 SIGNIFICANTLY DECREASED DURING 522 00:19:42,000 --> 00:19:43,840 THE PANDEMIC AND AGAIN THIS WILL 523 00:19:43,840 --> 00:19:45,960 REFLECT THE FACT THAT ALCOHOL 524 00:19:45,960 --> 00:19:47,560 DRINKING AMONG YOUNG ADULTS 525 00:19:47,560 --> 00:19:49,560 BASICALLY COLLEGE KIDS IS VERY 526 00:19:49,560 --> 00:19:52,240 MUCH LINKED ALSO WITH SOCIAL 527 00:19:52,240 --> 00:19:53,920 ACTIVITIES AND THE SOCIAL 528 00:19:53,920 --> 00:19:56,160 DISTANCES IS ACTUALLY MADE THIS 529 00:19:56,160 --> 00:19:56,680 HARDER. 530 00:19:56,680 --> 00:20:00,200 AGAIN WE WILL SEE HOW THIS 531 00:20:00,200 --> 00:20:02,120 EMERGES ONCE RESTRICTIONS ARE 532 00:20:02,120 --> 00:20:02,720 REMOVED. 533 00:20:02,720 --> 00:20:05,440 THERE IS ALSO VERY INTERESTING 534 00:20:05,440 --> 00:20:09,000 CHANGE THAT CAPTURE MY EYE WHICH 535 00:20:09,000 --> 00:20:11,440 WAS IN TERMS OF VIEWS AMONG 536 00:20:11,440 --> 00:20:12,240 THESE INDIVIDUALS. 537 00:20:12,240 --> 00:20:14,160 IT CAPTURE MY EYES BECAUSE WE 538 00:20:14,160 --> 00:20:16,720 HAVE NEVER SEEN THAT LEVEL OF 539 00:20:16,720 --> 00:20:18,920 PREVALENCE OF USE OF 540 00:20:18,920 --> 00:20:19,080 HALLUCINOGENIC DRUGS EVER. 541 00:20:19,080 --> 00:20:21,400 THIS IS MOST NOTABLE ACTUALLY I 542 00:20:21,400 --> 00:20:24,200 WOULD SAY YOU SEE FROM THE 2019 543 00:20:24,200 --> 00:20:26,000 TO 2020 BUT THE DELTA IS MOST 544 00:20:26,000 --> 00:20:28,120 NOTABLE AMONG THOSE THAT ARE 545 00:20:28,120 --> 00:20:32,080 GOING TO COLLEGE AND 5.3% TO 546 00:20:32,080 --> 00:20:32,280 8.6%. 547 00:20:32,280 --> 00:20:34,160 IT IS CLOSE TO 10% AMONG THOSE 548 00:20:34,160 --> 00:20:36,600 THAT ARE NOT GOING TO COLLEGE. 549 00:20:36,600 --> 00:20:37,600 AND OBVIOUSLY ONE OF THE FACT 550 00:20:37,600 --> 00:20:46,560 THATHATFACTORSTHAT DRIVE INCREASED ATTENTI ON 551 00:20:46,560 --> 00:20:48,200 TO HALLUCINOGENIC DRUGS 552 00:20:48,200 --> 00:20:50,400 INCLUDING THE DIALOGUE REGARDING 553 00:20:50,400 --> 00:20:51,960 ITS POTENTIAL THERAPEUTIC 554 00:20:51,960 --> 00:20:55,200 BENEFITS FOR MENTAL HEALTH, AS 555 00:20:55,200 --> 00:20:58,680 WELL AS I GUESS ISOLATION AND 556 00:20:58,680 --> 00:21:01,240 ROUTINE LIFESTYLE THAT THE COVID 557 00:21:01,240 --> 00:21:03,360 PANDEMIC HAS IMPOSED UPON ALL OF 558 00:21:03,360 --> 00:21:05,000 US THAT MAY MAKE CERTAIN DRUGS 559 00:21:05,000 --> 00:21:07,920 THAT CHANGE MENTAL STATES MORE 560 00:21:07,920 --> 00:21:09,800 APPEALING UNDER THESE CONDITIONS 561 00:21:09,800 --> 00:21:12,280 BUT AGAIN THIS IS A TIME 562 00:21:12,280 --> 00:21:13,160 SPECULATIVE FOLLOWING THESE 563 00:21:13,160 --> 00:21:14,840 TRENDS WILL ENABLE US TO GET A 564 00:21:14,840 --> 00:21:16,200 BETTER UNDERSTANDING ABOUT WHAT 565 00:21:16,200 --> 00:21:19,200 IS DRIVING THEM. 566 00:21:19,200 --> 00:21:22,040 AS RELATES OF COURSE TO HOW DO 567 00:21:22,040 --> 00:21:24,680 WE UNDERSTAND DRUG TAKING IN 568 00:21:24,680 --> 00:21:26,120 ADOLESCENCE AND WHAT ARE THE 569 00:21:26,120 --> 00:21:27,560 FACTORS OF MAKING THEM 570 00:21:27,560 --> 00:21:29,120 VULNERABLE PERHAPS ONE OF THE 571 00:21:29,120 --> 00:21:30,320 MOST EXCITING STORIES HAS BEEN 572 00:21:30,320 --> 00:21:33,200 THE A B C D STORY DONE IN 573 00:21:33,200 --> 00:21:33,880 PARTNERSHIP WITH ALCOHOL 574 00:21:33,880 --> 00:21:36,640 INSTITUTE AS WELL AS OTHER 575 00:21:36,640 --> 00:21:38,800 INSTITUTES AT NIH INCLUDING 576 00:21:38,800 --> 00:21:39,320 NIMH. 577 00:21:39,320 --> 00:21:42,360 HIS STUDY BASICALLY STARTED 578 00:21:42,360 --> 00:21:45,880 ASSESSMENTS IN 2016, 2017, IS 579 00:21:45,880 --> 00:21:48,360 ACTUALLY READY TO GET INTO THE 580 00:21:48,360 --> 00:21:50,480 7TH YEAR OF INCEPTION, IT 581 00:21:50,480 --> 00:21:52,920 FOLLOWS CLOSE TO 12,000 KITS 582 00:21:52,920 --> 00:21:55,600 FROM AREAS ALL OVER THE UNITED 583 00:21:55,600 --> 00:21:56,040 STATES. 584 00:21:56,040 --> 00:22:00,000 AND IT IS QUITE EXTRAORDINARY 585 00:22:00,000 --> 00:22:02,240 LED BY DR. DICES DIS IN WHAT I 586 00:22:02,240 --> 00:22:05,360 BASICALLY REFER TO AS PROBABLY A 587 00:22:05,360 --> 00:22:07,480 STRIKINGLY WELL MANAGED PROGRAM, 588 00:22:07,480 --> 00:22:11,080 THIS IS EVIDENCED BY LEVEL OF 589 00:22:11,080 --> 00:22:12,280 RETENTION. 590 00:22:12,280 --> 00:22:14,360 12,000, CLOSE TO 12,000 PERCENT 591 00:22:14,360 --> 00:22:17,200 RETAIN CLOSE TO 98% DESPITE THE 592 00:22:17,200 --> 00:22:17,600 COVID PANDEMIC. 593 00:22:17,600 --> 00:22:20,040 SO THAT GETS YOU AN IDEA HOW 594 00:22:20,040 --> 00:22:21,600 WELL THIS IS BEING MANAGED. 595 00:22:21,600 --> 00:22:26,760 IN THE MEANTIME THE DATA IS 596 00:22:26,760 --> 00:22:27,720 DEPOSITED REGULARLY SO IT CAN BE 597 00:22:27,720 --> 00:22:31,040 OPEN ACCESS AND AVAILABLE TO ALL 598 00:22:31,040 --> 00:22:31,760 INVESTIGATORS. 599 00:22:31,760 --> 00:22:33,600 THESE GUYS LED RAPIDLY TO 600 00:22:33,600 --> 00:22:35,720 PUBLICATION, NOT JUST FROM THOSE 601 00:22:35,720 --> 00:22:37,520 INDIVIDUALS THAT ARE A B C D 602 00:22:37,520 --> 00:22:40,400 INVESTIGATORS BUT IMPORTANTLY 603 00:22:40,400 --> 00:22:42,480 FOR EVERYONE THAT IS INTERESTED 604 00:22:42,480 --> 00:22:44,440 ON QUERYING THE DATA TO ANSWER 605 00:22:44,440 --> 00:22:45,680 QUESTIONS THAT RELATE TO HOW THE 606 00:22:45,680 --> 00:22:48,600 BRAIN DEVELOPS AND HOW BEHAVIORS 607 00:22:48,600 --> 00:22:50,640 FROM CHILDREN CHANGE AND IT -- 608 00:22:50,640 --> 00:22:52,960 THERE HAS NOT BEEN ANOTHER 609 00:22:52,960 --> 00:22:55,800 DATABASE THAT HAS THE ABILITY TO 610 00:22:55,800 --> 00:22:59,160 SAMPLE SIZE TO ADDRESS THIS SO 611 00:22:59,160 --> 00:23:01,120 IT IS BEING VERY TRANSFORMATIVE 612 00:23:01,120 --> 00:23:03,960 IN ADVANCING OUR UNDERSTANDING. 613 00:23:03,960 --> 00:23:05,800 YOU CAN SEE THE RATE OF 614 00:23:05,800 --> 00:23:08,480 INCREASES IN PUBLICATION IS JUST 615 00:23:08,480 --> 00:23:13,400 GOING UP, LEAST AS OF NOW 298 616 00:23:13,400 --> 00:23:15,080 PUBLICATIONS OUT OF THE A B C D. 617 00:23:15,080 --> 00:23:16,080 RAPIDLY WE REALIZE THE 618 00:23:16,080 --> 00:23:18,760 OPPORTUNITY THAT THE A B C D 619 00:23:18,760 --> 00:23:22,880 HAVE FOR RELATING LETTING US 620 00:23:22,880 --> 00:23:23,680 INVESTIGATE AND UNDERSTAND 621 00:23:23,680 --> 00:23:25,440 CHANGES IN LIFE OF TEENAGERS 622 00:23:25,440 --> 00:23:26,680 WITH COVID PANDEMIC. 623 00:23:26,680 --> 00:23:28,840 RAPIDLY WE PROVIDED SUPPLEMENTS 624 00:23:28,840 --> 00:23:32,120 TO THE A B C D INVESTIGATORS SO 625 00:23:32,120 --> 00:23:34,080 THAT THEY COULD DO SURVEYS THAT 626 00:23:34,080 --> 00:23:37,720 WILL MONITOR THE ACTIVITY AND 627 00:23:37,720 --> 00:23:39,800 CONSEQUENCES OF THAT COVID 628 00:23:39,800 --> 00:23:43,120 CHANGES TO THESE TEENAGERS. 629 00:23:43,120 --> 00:23:46,360 OUT OF THAT I CAME MULTIPLE 630 00:23:46,360 --> 00:23:48,760 PUBLICATIONS AND THESE ARE 631 00:23:48,760 --> 00:23:50,720 ACTUALLY ADDRESS HERE, THAT 632 00:23:50,720 --> 00:23:53,760 IDENTIFY INDEED AS WE WOULD HAVE 633 00:23:53,760 --> 00:23:56,040 EXPECTED, THE COVID PANDEMIC HAS 634 00:23:56,040 --> 00:23:58,960 HAD A MAJOR TOLL IN ADOLESCENTS, 635 00:23:58,960 --> 00:24:00,280 THEY ARE VERY SIGNIFICANT 636 00:24:00,280 --> 00:24:01,960 DIFFERENCES BETWEEN THEM, SOME 637 00:24:01,960 --> 00:24:04,680 ARE MORE VULNERABLE THAN OTHERS 638 00:24:04,680 --> 00:24:06,480 BUT OVERALL TEENAGERS ARE 639 00:24:06,480 --> 00:24:09,480 REPORTING HIGHER LEVELS ON -- 640 00:24:09,480 --> 00:24:13,240 ALSO REPORTING HIGHER LEVELS OF 641 00:24:13,240 --> 00:24:13,480 BOREDOM. 642 00:24:13,480 --> 00:24:15,040 THOSE TEENAGERS ARE -- START 643 00:24:15,040 --> 00:24:16,600 WITH MORE THE MORE VULNERABLE 644 00:24:16,600 --> 00:24:18,600 ARE ONES THAT ARE DISRUPTED THE 645 00:24:18,600 --> 00:24:19,840 MOST. 646 00:24:19,840 --> 00:24:22,040 BY THE PANDEMIC WITH HIGH 647 00:24:22,040 --> 00:24:24,120 IRDIESES STRESS AND ALSO WHAT IT 648 00:24:24,120 --> 00:24:27,960 IS CLEAR TOO IS THERE'S CERTAIN 649 00:24:27,960 --> 00:24:29,200 LIFESTYLES AND FAMILY BEHAVIORS 650 00:24:29,200 --> 00:24:30,840 THAT CAN PROVIDE RESILIENCE AND 651 00:24:30,840 --> 00:24:32,960 PROTECTION AND THERE'S A RECENT 652 00:24:32,960 --> 00:24:35,680 PAPER THAT ACTUALLY SHOWS THAT 653 00:24:35,680 --> 00:24:37,520 THOSE TEENAGERS THAT COME FROM 654 00:24:37,520 --> 00:24:38,840 FAMILIES WHERE THERE IS A VERY 655 00:24:38,840 --> 00:24:41,840 WELL STRUCTURED DAY THEY HAVE 656 00:24:41,840 --> 00:24:43,680 TIMES THEY GO TO BED AND WAKE UP 657 00:24:43,680 --> 00:24:47,760 AND PHYSICAL ACTIVITY AND THEY 658 00:24:47,760 --> 00:24:48,480 EAT TOGETHER. 659 00:24:48,480 --> 00:24:50,360 THAT HELPS AMELIORATE THE 660 00:24:50,360 --> 00:24:51,440 CHALLENGES FROM THE COVID 661 00:24:51,440 --> 00:24:51,720 PANDEMIC. 662 00:24:51,720 --> 00:24:55,240 THIS IS JUST WHAT THEY ARE, 663 00:24:55,240 --> 00:24:57,880 MONITORING MULTIPLE FACETS OF 664 00:24:57,880 --> 00:25:00,040 THE COVID PANDEMIC IN A LOT OF 665 00:25:00,040 --> 00:25:00,400 TEENAGERS. 666 00:25:00,400 --> 00:25:06,760 FROM THE PERSPECTIVE COVID-19 667 00:25:06,760 --> 00:25:08,560 FROM POST ACUTE SYNDROME OF 668 00:25:08,560 --> 00:25:10,400 COVID IT OFFERS EXTRAORDINARY 669 00:25:10,400 --> 00:25:11,600 OPPORTUNITY TO KNOW WHAT DOES IT 670 00:25:11,600 --> 00:25:15,760 DO, WHAT DOES THIS INFECTION DO 671 00:25:15,760 --> 00:25:17,520 TO THE BRAIN AND DOES IT HAVE 672 00:25:17,520 --> 00:25:20,280 LONG LASTING EFFECT OR IF IT HAS 673 00:25:20,280 --> 00:25:21,520 LONG LASTING EFFECT IS IT ONLY 674 00:25:21,520 --> 00:25:24,040 SEEN IN THOSE THAT HAVE PAST. 675 00:25:24,040 --> 00:25:25,880 WHAT ARE THOSE CHANGES? 676 00:25:25,880 --> 00:25:28,200 THIS ALSO IMPORTANT TO REALIZE 677 00:25:28,200 --> 00:25:29,560 THAT BECAUSE CHANGES HAVE BEEN 678 00:25:29,560 --> 00:25:33,520 NOT JUST FROM THE VIRUS ITSELF 679 00:25:33,520 --> 00:25:35,000 BUT FROM SOCIAL STRUCTURE WAY 680 00:25:35,000 --> 00:25:38,200 THEY ARE LEARNING, HOW DOES THAT 681 00:25:38,200 --> 00:25:41,400 IMPACT BRAIN DEVELOPMENT AND 682 00:25:41,400 --> 00:25:42,040 BEHAVIOR. 683 00:25:42,040 --> 00:25:44,240 WE PARTNER, WITH THE RECOVER 684 00:25:44,240 --> 00:25:46,920 INITIATIVE AT THE NIH, WHICH 685 00:25:46,920 --> 00:25:48,280 FOLLOWS INDIVIDUALS TO SEE WHAT 686 00:25:48,280 --> 00:25:50,240 ARE THE MECHANISMS THAT ARE 687 00:25:50,240 --> 00:25:53,600 UNDERLYING THE POST AQUME 688 00:25:53,600 --> 00:25:55,120 SYNDROME NEUROINFLAMMATORY 689 00:25:55,120 --> 00:25:58,520 VASCULAR OR VIRUS ITSELF, THERE 690 00:25:58,520 --> 00:25:59,840 ARE SEVEN YOU HAVE SEEN 691 00:25:59,840 --> 00:26:00,520 CERTAINLY FROM DATA THAT STARTED 692 00:26:00,520 --> 00:26:04,200 TO BE PUBLISHED IN ADULTS THAT 693 00:26:04,200 --> 00:26:06,920 IMMUNE MECHANISMS ARE VERY 694 00:26:06,920 --> 00:26:08,760 IMPORTANT IN THE BRAIN CHANGES. 695 00:26:08,760 --> 00:26:10,560 THERE IS ALSO SOME EVIDENCE THAT 696 00:26:10,560 --> 00:26:12,000 INDICATES VIRAL PRESENCE IN THE 697 00:26:12,000 --> 00:26:14,440 BRAIN ACTUALLY IN SEVERAL BRAIN 698 00:26:14,440 --> 00:26:18,600 REGIONS AND AS BASED ON POST 699 00:26:18,600 --> 00:26:21,400 MORTEM BRAINS. 700 00:26:21,400 --> 00:26:24,480 WE WILL THROUGH THE A B C D 701 00:26:24,480 --> 00:26:26,480 PARTNERS SO WE CAN NOW FOCUS 702 00:26:26,480 --> 00:26:30,320 MUCH GREATER LINE ON TEENAGERS 703 00:26:30,320 --> 00:26:32,320 WITH THIS FUNDING WE WILL BE 704 00:26:32,320 --> 00:26:35,640 OBTAINING COVID ANTIBODY TESTING 705 00:26:35,640 --> 00:26:38,960 OF THE CAREGIVER AND SURVEY 706 00:26:38,960 --> 00:26:39,520 SYSTEMATICALLY FOR PAST 707 00:26:39,520 --> 00:26:43,600 SYMPTOMS. 708 00:26:43,600 --> 00:26:44,720 DIFFERENTIATES INFECTION FROM 709 00:26:44,720 --> 00:26:47,360 GENERAL PANDEMIC RELATED EFFECTS 710 00:26:47,360 --> 00:26:49,000 AND I WILL HIGHLIGHT ANOTHER 711 00:26:49,000 --> 00:26:51,000 IMPORTANT AREA OF RESEARCH THAT 712 00:26:51,000 --> 00:26:52,600 PERTAINS TO ADOLESCENTS IS THEY 713 00:26:52,600 --> 00:26:56,000 DO GET INFECTED ARE THERE 714 00:26:56,000 --> 00:26:57,880 NEGATIVE EFFECTS OF DRUGS. 715 00:26:57,880 --> 00:27:00,000 SO HOW WILL DRUGS BE AFFECTING 716 00:27:00,000 --> 00:27:04,400 THEIR LIKELIHOOD OF DEVELOPING 717 00:27:04,400 --> 00:27:06,400 PATHS HAY DEVELOP PAST AND 718 00:27:06,400 --> 00:27:07,280 CONSUME DRUG DOES THIS 719 00:27:07,280 --> 00:27:07,760 EXACERBATE IT. 720 00:27:07,760 --> 00:27:09,320 THOSE ARE QUESTIONS WE DON'T 721 00:27:09,320 --> 00:27:10,920 HAVE ANSWERS ABOUT. 722 00:27:10,920 --> 00:27:12,920 WE KNOW THAT IS NOT GOOD FOR YOU 723 00:27:12,920 --> 00:27:15,000 TO TAKE DRUGS IF YOU HAVE HIV 724 00:27:15,000 --> 00:27:16,880 BECAUSE IT ACCELERATES 725 00:27:16,880 --> 00:27:18,720 INFLAMMATORY RESPONSE, SOME OF 726 00:27:18,720 --> 00:27:21,800 THESE DRUGS. 727 00:27:21,800 --> 00:27:23,360 THE OTHER MAJOR PROGRAM THAT WE 728 00:27:23,360 --> 00:27:26,440 ARE LAUNCHING THAT IS SEPTEMBER 729 00:27:26,440 --> 00:27:28,320 OF 2021 THAT IS ALSO VERY 730 00:27:28,320 --> 00:27:34,360 RELEVANT TO UNDERSTANDING DRUG 731 00:27:34,360 --> 00:27:36,000 EXPOSURE IN THE BRAIN AND HOW 732 00:27:36,000 --> 00:27:40,160 ADVERSE SOCIAL ENVIRONMENTS 733 00:27:40,160 --> 00:27:41,400 INFLUENCES RACE OF CHILDREN TO 734 00:27:41,400 --> 00:27:42,800 TAKE DRUGS LATER OEN AND OTHER 735 00:27:42,800 --> 00:27:45,320 MENTAL HEALTH CONDITIONS, 736 00:27:45,320 --> 00:27:46,640 FOLLOWING VERY MUCH THE TEMPLATE 737 00:27:46,640 --> 00:27:50,800 FROM THE A B C D INITIATED IN 738 00:27:50,800 --> 00:27:53,800 INFANCY IS THE HBCD STUDY THAT 739 00:27:53,800 --> 00:27:56,920 GRANTS WERE FUNDED ON SEPTEMBER 740 00:27:56,920 --> 00:28:00,880 OF LAST YEAR PI 25 SITES MET 741 00:28:00,880 --> 00:28:01,480 OCTOBER OF LAST YEAR. 742 00:28:01,480 --> 00:28:03,960 THESE ARE THE SITES. 743 00:28:03,960 --> 00:28:07,920 WE HAD FUNDED THROUGH A PILOT 744 00:28:07,920 --> 00:28:11,240 PROJECT SOME OF THESE SITES. 745 00:28:11,240 --> 00:28:15,560 THERE IS ALREADY DATA SHOWING 746 00:28:15,560 --> 00:28:17,000 EFFECTS OF COVID, PRELIMINARY 747 00:28:17,000 --> 00:28:18,320 DATA SHOWING EFFECTS ON BRAIN 748 00:28:18,320 --> 00:28:20,440 DEVELOPMENT OF THE MOTHER 749 00:28:20,440 --> 00:28:22,200 GETTING COVID DURING PREGNANCY 750 00:28:22,200 --> 00:28:24,200 HOW THAT AFFECTS THE DEVELOPMENT 751 00:28:24,200 --> 00:28:25,200 OF THE NEWBORN. 752 00:28:25,200 --> 00:28:27,600 SO THAT ALSO HIGHLIGHTS HOW 753 00:28:27,600 --> 00:28:31,240 IMPORTANT IT IS GOING TO BE TO 754 00:28:31,240 --> 00:28:34,800 FOLLOW THESE CHILDREN THAT ARE 755 00:28:34,800 --> 00:28:38,200 BORN DURING THE COVID PANDEMIC 756 00:28:38,200 --> 00:28:41,000 AND AGAIN, THE SITES SELECTED 757 00:28:41,000 --> 00:28:43,840 WERE SELECTED TO BE ABLE TO 758 00:28:43,840 --> 00:28:45,240 RECRUIT. 759 00:28:45,240 --> 00:28:48,880 FROM PARTICULARLY VULNERABLE 760 00:28:48,880 --> 00:28:50,440 HOUSEHOLDS WHERE IT IS HIGH RATE 761 00:28:50,440 --> 00:28:51,240 OF DRUG USE. 762 00:28:51,240 --> 00:28:54,320 AND OBVIOUSLY WE ARE INTERESTED 763 00:28:54,320 --> 00:28:56,560 IN UNDERSTANDING HOW OPIOID USE 764 00:28:56,560 --> 00:28:57,560 DURING PREGNANCY WITH AND 765 00:28:57,560 --> 00:28:59,120 WITHOUT OTHER DRUGS INFLUENCES 766 00:28:59,120 --> 00:29:03,200 BRAIN DEVELOPMENT BUT THIS IS 767 00:29:03,200 --> 00:29:03,880 HAPPENING ALSO AT THE SAME TIME 768 00:29:03,880 --> 00:29:05,320 WE ARE UNDERGOING SOCIETAL 769 00:29:05,320 --> 00:29:06,360 CHANGES FROM COVID AND 770 00:29:06,360 --> 00:29:08,080 EVERYTHING THAT COMES WITH IT. 771 00:29:08,080 --> 00:29:10,600 INCLUDING INFECTION, INCLUDING 772 00:29:10,600 --> 00:29:11,560 INFECTIONS OF THESE SOME OF 773 00:29:11,560 --> 00:29:13,880 THESE CHILDREN. 774 00:29:13,880 --> 00:29:15,160 SO HOW IMPORTANT IS THIS? 775 00:29:15,160 --> 00:29:18,200 I THINK JUST HIGHLIGHTING THIS 776 00:29:18,200 --> 00:29:20,600 IS BASICALLY NOTHING TO DO PER 777 00:29:20,600 --> 00:29:23,240 SE WITH HAVING BEEN INFECTED 778 00:29:23,240 --> 00:29:26,720 WITH BUT A STUDY DONE BY ONE OF 779 00:29:26,720 --> 00:29:32,480 THE INVESTIGATORS FROM THE HBCD 780 00:29:32,480 --> 00:29:35,360 MONITORING CHILDREN IN EARLY 781 00:29:35,360 --> 00:29:37,920 CHILDHOOD WHEN THEY ARE THREE 782 00:29:37,920 --> 00:29:39,240 MONTHS OLD UP TO THREE YEARS OF 783 00:29:39,240 --> 00:29:41,440 AGE MONITORING THEM FOR THEIR 784 00:29:41,440 --> 00:29:45,400 COVID CAPABILITIES AND 785 00:29:45,400 --> 00:29:46,720 (INAUDIBLE) PERIODICALLY, SO HE 786 00:29:46,720 --> 00:29:50,480 WAS ABLE TO OBTAIN 112 CHILDREN 787 00:29:50,480 --> 00:29:52,000 BORN DURING THE COVID PERIOD AND 788 00:29:52,000 --> 00:29:54,680 EVALUATED IN THE SAME WAY. 789 00:29:54,680 --> 00:29:55,920 THIS IS APPROPRIATE IT HAS NOT 790 00:29:55,920 --> 00:29:59,440 BEEN PUBLISHED FORMALLY YET. 791 00:29:59,440 --> 00:30:02,080 I WANT TO LOOK AT IT, THE 792 00:30:02,080 --> 00:30:03,920 FINDINGS ARE QUITE LARGE. 793 00:30:03,920 --> 00:30:07,520 ACTUALLY SHOWING THAT THESE 794 00:30:07,520 --> 00:30:10,920 CHILDREN THAT ARE WITHIN ONE 795 00:30:10,920 --> 00:30:14,240 YEAR OF AGE HAVE TWO STANDARD 796 00:30:14,240 --> 00:30:16,760 DEVIATIONS FROM THAT PERFORMANCE 797 00:30:16,760 --> 00:30:18,760 WHERE IT IS VEERABLE OR 798 00:30:18,760 --> 00:30:20,440 NON-VEERABLE FUNCTIONING 799 00:30:20,440 --> 00:30:21,360 INVESTIGATORS HAVE BEEN 800 00:30:21,360 --> 00:30:23,760 RECORDING OVER THE PAST NINE 801 00:30:23,760 --> 00:30:24,920 YEARS. 802 00:30:24,920 --> 00:30:27,680 THIS AGAIN IS NOT THE COVID 803 00:30:27,680 --> 00:30:29,400 INFECTION ITSELF, VIRUS, IT 804 00:30:29,400 --> 00:30:31,200 APPEARS TO BE RELATED TO THE 805 00:30:31,200 --> 00:30:35,400 MAJOR CHANGES IN WHICH THIS NEW 806 00:30:35,400 --> 00:30:39,000 VERY YOUNG CHILDREN ONE YEAR OF 807 00:30:39,000 --> 00:30:41,000 AGE MAYBE DEPRIVE OF SOCIAL 808 00:30:41,000 --> 00:30:42,440 INTERACTIONS OTHERWISE THEY WILL 809 00:30:42,440 --> 00:30:45,040 HAVE BEEN EXPOSED TO HAD THERE 810 00:30:45,040 --> 00:30:47,560 BEEN NOT SOCIAL ISOLATION AND 811 00:30:47,560 --> 00:30:49,600 HAD THEIR PARENTS NOT BASICALLY 812 00:30:49,600 --> 00:30:53,520 BEEN ABLE TO PERHAPS GO 813 00:30:53,520 --> 00:30:55,120 INTERACTING IN WAYS THAT THEY 814 00:30:55,120 --> 00:30:57,480 WERE BRAIN DEVELOPMENT, AGAIN, 815 00:30:57,480 --> 00:31:00,720 WE ARE, IT IS VERY DIFFICULT TO 816 00:31:00,720 --> 00:31:02,600 REALLY UNDERSTAND WHAT IS 817 00:31:02,600 --> 00:31:04,800 DRIVING THIS -- WHAT APPEARS 818 00:31:04,800 --> 00:31:06,520 DEVELOPMENTAL DELAYS BUT IT IS 819 00:31:06,520 --> 00:31:11,520 LIKELY TO BE LOT OF SOCIAL 820 00:31:11,520 --> 00:31:12,800 STIMULATION WHICH IS 821 00:31:12,800 --> 00:31:13,800 EXTRAORDINARILY IMPORTANT FOR 822 00:31:13,800 --> 00:31:16,320 BRAIN DEVELOPMENT DUE TO THE 823 00:31:16,320 --> 00:31:17,720 CONSEQUENCES OF WHAT WE ARE 824 00:31:17,720 --> 00:31:19,640 BEING FORCED TO LIVE FROM THE 825 00:31:19,640 --> 00:31:23,800 COVID PANDEMIC. 826 00:31:23,800 --> 00:31:25,000 THEN FROM THE COVID PANDEMIC TO 827 00:31:25,000 --> 00:31:27,000 THE OVERDOSE CRISIS, I HAVE BEEN 828 00:31:27,000 --> 00:31:29,000 PRESENTING EVERY TIME I SPEAK AT 829 00:31:29,000 --> 00:31:32,320 COUNCIL WHERE ARE WE WITH THE 830 00:31:32,320 --> 00:31:33,360 COVID PANDEMIC AND YOU HAVE SEEN 831 00:31:33,360 --> 00:31:35,200 WITH THE COVID PANDEMIC THE 832 00:31:35,200 --> 00:31:38,080 NUMBER OF OVERDOSE DEATHS 833 00:31:38,080 --> 00:31:38,560 SKYROCKETED. 834 00:31:38,560 --> 00:31:40,000 SINCE I LAST PRESENTED IN 835 00:31:40,000 --> 00:31:42,400 SEPTEMBER OF LAST YEAR, TO 836 00:31:42,400 --> 00:31:43,840 COUNCIL WE HAVE REACHED MORE 837 00:31:43,840 --> 00:31:45,280 THAN 100,000 PEOPLE HAVE DIED 838 00:31:45,280 --> 00:31:47,040 OVER ONE YEAR PERIOD. 839 00:31:47,040 --> 00:31:52,240 THAT WAS IN 6/20/21 COMPARED TO 840 00:31:52,240 --> 00:31:55,360 6, 2020 AT THE 84,000, HA THAT 841 00:31:55,360 --> 00:31:57,640 IS AN OVERALL 20% INCREASE, I 842 00:31:57,640 --> 00:31:58,840 HIGHLIGHT TO YOU WHAT I GOT 843 00:31:58,840 --> 00:32:02,000 DRUGS THAT ARE ACTUALLY 844 00:32:02,000 --> 00:32:06,160 ACCOUNTING FOR THESE DRAMATIC 845 00:32:06,160 --> 00:32:07,800 NON--- OVERDOSE DEATH AND 846 00:32:07,800 --> 00:32:13,560 HIGHLIGHT HOW WE CHANGED. 847 00:32:13,560 --> 00:32:15,120 HEROIN OVERDOSES ARE GOING DOWN 848 00:32:15,120 --> 00:32:16,760 AND OVERDOSES FROM PRESCRIPTION 849 00:32:16,760 --> 00:32:18,760 OPIOIDS ARE NOT GROWING, 850 00:32:18,760 --> 00:32:19,480 ACTUALLY QUITE STABLE. 851 00:32:19,480 --> 00:32:22,880 THE INCREASES ARE DUE TO TWO 852 00:32:22,880 --> 00:32:25,640 TYPES OF DRUGS, BASICALLY 853 00:32:25,640 --> 00:32:27,080 FENTANYL AND THE OTHER IS 854 00:32:27,080 --> 00:32:27,680 METHAMPHETAMINE. 855 00:32:27,680 --> 00:32:29,600 I WANT TO HIGHLIGHT AS WE HAVE 856 00:32:29,600 --> 00:32:32,400 BEEN VERY ORAWAY HOW FENTANYL 857 00:32:32,400 --> 00:32:36,200 HAS CREATED IN THE OVERDOSE 858 00:32:36,200 --> 00:32:36,640 DEATH. 859 00:32:36,640 --> 00:32:38,240 WHAT I WANT TO PAY ATTENTION TO 860 00:32:38,240 --> 00:32:41,200 THIS NUMBER HERE, 43% OF 861 00:32:41,200 --> 00:32:44,000 INCREASE IN OVERDOSE, BECAUSE IT 862 00:32:44,000 --> 00:32:46,520 IS CLEARLY METHAMPHETAMINE IS 863 00:32:46,520 --> 00:32:51,040 HAVING AN INCREASE IMPACT ON 864 00:32:51,040 --> 00:32:54,040 MORTALITY, I HAVE SEEN WITH 865 00:32:54,040 --> 00:32:56,800 OVERDOSES BUT IT IS ALSO LIKELY 866 00:32:56,800 --> 00:32:58,200 NEGATIVELY AFFECTING MANY OTHER 867 00:32:58,200 --> 00:33:02,080 OUTCOMES, MEDICAL AND BASICALLY 868 00:33:02,080 --> 00:33:02,840 BEHAVIORAL. 869 00:33:02,840 --> 00:33:06,040 MT. AMPHETAMINE IS MOST ADDICT 870 00:33:06,040 --> 00:33:07,760 GIVE DRUGS THAT WE KNOW AND ALSO 871 00:33:07,760 --> 00:33:11,600 HIGHLY TOXIC AND THOUGH IT HAS 872 00:33:11,600 --> 00:33:14,400 HIGH PRODUCING OVERDOSE DEATH AS 873 00:33:14,400 --> 00:33:15,720 IS THE CASE WITH OPIOIDS BECAUSE 874 00:33:15,720 --> 00:33:18,800 THEY STOP YOU FROM BREATHING, 875 00:33:18,800 --> 00:33:20,400 ACTUALLY IT DOES CAUSE MAJOR 876 00:33:20,400 --> 00:33:22,600 DAMAGE AND CARDIOVASCULAR 877 00:33:22,600 --> 00:33:22,960 PATHOLOGY. 878 00:33:22,960 --> 00:33:25,720 THESE DEATHS FROM 879 00:33:25,720 --> 00:33:26,920 METHAMPHETAMINE, 75% ARE 880 00:33:26,920 --> 00:33:29,600 AEVERYBODYIATED WITH FENTANYL. 881 00:33:29,600 --> 00:33:32,440 SO THE METHAMPHETAMINE DRUGS ARE 882 00:33:32,440 --> 00:33:33,400 WIDESPREAD, NOT JUST LIMBED TO 883 00:33:33,400 --> 00:33:34,320 THE WEST COAST BUT ALSO TO THE 884 00:33:34,320 --> 00:33:36,000 EAST COAST. 885 00:33:36,000 --> 00:33:38,280 ARE HAVE A HIGH PROBABILITY OF 886 00:33:38,280 --> 00:33:40,600 BEING LACED WITH FENTANYL WHICH 887 00:33:40,600 --> 00:33:42,200 INCREASES THE RISK OF MORTALITY 888 00:33:42,200 --> 00:33:43,720 FOR THOSE THAT TAKE THEM. 889 00:33:43,720 --> 00:33:46,560 THIS IS A SPACE THAT IS VERY 890 00:33:46,560 --> 00:33:47,000 CHALLENGING. 891 00:33:47,000 --> 00:33:49,000 AND I THINK IT IS ALSO 892 00:33:49,000 --> 00:33:51,960 CHALLENGING IN TERMS OF 893 00:33:51,960 --> 00:33:54,480 RECOGNIZING THAT METHAMPHETAMINE 894 00:33:54,480 --> 00:33:57,240 IS BECOMING A MAJOR, MAJOR DRUG 895 00:33:57,240 --> 00:34:00,240 OF ABUSE, A PROMINENT DRUG AFTER 896 00:34:00,240 --> 00:34:01,920 ABUSE. 897 00:34:01,920 --> 00:34:03,280 THERE IS ALSO CURRENTLY WE 898 00:34:03,280 --> 00:34:05,040 PRESENT ON THIS BUT I'M SHOWING 899 00:34:05,040 --> 00:34:07,480 IT IN INDICATOR TABLE THAT I 900 00:34:07,480 --> 00:34:10,360 THINK TELLS US THE WHOLE STORY 901 00:34:10,360 --> 00:34:11,600 ABOUT HOW THE GRAPHICS GOT 902 00:34:11,600 --> 00:34:14,600 CHANGED IN THE OPIOID CRISIS OR 903 00:34:14,600 --> 00:34:16,680 OVERDOSE CRISIS IS BETTER LABEL 904 00:34:16,680 --> 00:34:19,600 OVERDOSE CRISIS, BECAUSE YES, IT 905 00:34:19,600 --> 00:34:24,040 IS STARTED BY DAY 8 -- BASICALLY 906 00:34:24,040 --> 00:34:25,400 PREDOMINANTLY INFLUENCING THE 907 00:34:25,400 --> 00:34:27,680 THE TEST FROM WHITE AMERICANS 908 00:34:27,680 --> 00:34:29,600 AND AS YOU SEE HERE IN RED. 909 00:34:29,600 --> 00:34:31,640 BECAUSE OF PRESCRIPTION OF 910 00:34:31,640 --> 00:34:32,280 OPIOIDS. 911 00:34:32,280 --> 00:34:35,320 ANY PARALLEL YOU SAW RATE OF 912 00:34:35,320 --> 00:34:37,320 OVERDOSE DEATH WAS EQUIVALENT 913 00:34:37,320 --> 00:34:42,120 FOR AMERICAN INDIANS. 914 00:34:42,120 --> 00:34:43,680 OVERALL FOR BLACK AMERICANS HAVE 915 00:34:43,680 --> 00:34:45,960 HAD STABLE LEVELS OF OVERDOSE 916 00:34:45,960 --> 00:34:48,960 AND THOSE LEVELS WERE STABLE 917 00:34:48,960 --> 00:34:53,040 UNTIL AROUND 12, 13 WHEN THEY 918 00:34:53,040 --> 00:34:56,240 START TO GO UP THAT'S WHEN WE 919 00:34:56,240 --> 00:34:57,800 SEE INCREASE REPRESENTATION OF 920 00:34:57,800 --> 00:35:00,360 -- BUT IMPORTANTLY NOW HAVE 921 00:35:00,360 --> 00:35:02,000 FENTANYL WHICH IS CONTAMINATED 922 00:35:02,000 --> 00:35:04,040 ALL OF THE DRUGS. 923 00:35:04,040 --> 00:35:07,000 AND THEN FENTANYL 924 00:35:07,000 --> 00:35:09,200 METHAMPHETAMINE BUT FENTANYL 925 00:35:09,200 --> 00:35:09,920 CONTAMINATING COCAINE. 926 00:35:09,920 --> 00:35:11,600 THAT COMBINATION IS LIKELY ALSO 927 00:35:11,600 --> 00:35:13,120 TO ACCOUNT FOR WHY WE ARE SEEING 928 00:35:13,120 --> 00:35:16,600 INCREASE IN DEATH FROM COCAINE. 929 00:35:16,600 --> 00:35:20,240 WHAT I WANTED TO SEE HOW 930 00:35:20,240 --> 00:35:23,240 DRAMATIC SHOWED UP. 931 00:35:23,240 --> 00:35:25,480 WE TRANSLATE THESE GRAPHS IN TO 932 00:35:25,480 --> 00:35:28,560 THE NUMBER OF INDIVIDUALS PER 933 00:35:28,560 --> 00:35:29,680 HUNDRED, THOUSANDS OF POPULATION 934 00:35:29,680 --> 00:35:31,800 THAT DIED, YOU CAN SEE FOR 935 00:35:31,800 --> 00:35:35,040 WHITES IT IS 33 PER 100,000. 936 00:35:35,040 --> 00:35:38,240 FOR BLACKS 35.4 AND FOR AMERICAN 937 00:35:38,240 --> 00:35:40,680 INDIANS IT GOES TO 42 PER 938 00:35:40,680 --> 00:35:40,960 100,000. 939 00:35:40,960 --> 00:35:44,840 SO THIS IS A GROUP THAT AGAIN IS 940 00:35:44,840 --> 00:35:48,520 ALSO DEVASTATED BY THE OVERDOSE 941 00:35:48,520 --> 00:35:51,680 DEATH, AMERICAN INDIANS WE KNOW 942 00:35:51,680 --> 00:35:52,920 THAT HAVE ALWAYS BEEN HAVING A 943 00:35:52,920 --> 00:35:56,280 HIGHER NUMBER OF OVERDOSES PRO 944 00:35:56,280 --> 00:35:57,000 METHAMPHETAMINE THAN OTHER 945 00:35:57,000 --> 00:35:57,560 GROUPS. 946 00:35:57,560 --> 00:36:00,680 SO THESE VERY STEEP RISE IN 947 00:36:00,680 --> 00:36:02,240 OVERDOSE MORTALITY AND AMERICAN 948 00:36:02,240 --> 00:36:05,280 INDIANS ALASKA NATIVES LIKELY TO 949 00:36:05,280 --> 00:36:07,320 IN PART REFLECT CONTAMINATION AS 950 00:36:07,320 --> 00:36:08,680 MENTIONED BEFORE WITH 951 00:36:08,680 --> 00:36:11,160 METHAMPHETAMINE WITH FENTANYL. 952 00:36:11,160 --> 00:36:13,600 IT DOES HIGHLIGHT HORRIFIC 953 00:36:13,600 --> 00:36:15,280 DISPARITIES WE ARE FACENING THE 954 00:36:15,280 --> 00:36:18,360 OVERDOSE CRISIS NOW THAT ARE 955 00:36:18,360 --> 00:36:20,920 BECOMING ACCENTED, THE NEED TO 956 00:36:20,920 --> 00:36:24,760 ACTUALLY DO INTERVENTIONS THAT 957 00:36:24,760 --> 00:36:25,800 CAN -- THAT CONTAIN. 958 00:36:25,800 --> 00:36:28,520 WHAT IS IT THAT WE CAN DO? 959 00:36:28,520 --> 00:36:29,720 WITH SCIENCE AND OBVIOUSLY WE 960 00:36:29,720 --> 00:36:32,760 HAVE BEEN WORKING VERY, VERY 961 00:36:32,760 --> 00:36:36,960 AGGRESSIVELY TO TRY TO IDENTIFY 962 00:36:36,960 --> 00:36:38,720 INTERVENTION SCIENCE THAT CAN 963 00:36:38,720 --> 00:36:40,960 HELP ADDRESS THIS CRISIS. 964 00:36:40,960 --> 00:36:42,520 ONE OF THEM WE KNOW THAT THE 965 00:36:42,520 --> 00:36:44,760 MOST POWERFUL TOOLS THAT WE HAVE 966 00:36:44,760 --> 00:36:46,600 FOR ACTUALLY CONTROLLING AND 967 00:36:46,600 --> 00:36:48,320 PREVENTING OVERDOSE DEATH RELATE 968 00:36:48,320 --> 00:36:49,760 TO TWO THINGS VERY SIMPLE 969 00:36:49,760 --> 00:36:50,360 THINGS. 970 00:36:50,360 --> 00:36:52,800 ONE OF THEM IS PROVIDED 971 00:36:52,800 --> 00:36:56,240 MEDICATION FOR OPIOID USE 972 00:36:56,240 --> 00:36:57,640 DISORDERS AND AT LARGE GROUP OF 973 00:36:57,640 --> 00:37:00,880 PEOPLE AS WE CAN BUT DISTRIBUTE 974 00:37:00,880 --> 00:37:03,200 NALOXONE, IT'S BEEN 975 00:37:03,200 --> 00:37:04,000 INVESTIGATORS DOING MODELING 976 00:37:04,000 --> 00:37:07,120 HAVE SHOWN THAT THESE ARE THE 977 00:37:07,120 --> 00:37:09,120 TWO MOST -- THE TOOLS WE HAVE 978 00:37:09,120 --> 00:37:10,920 THAT IMPLEMENT HAVE THE MOST 979 00:37:10,920 --> 00:37:13,160 DRAMATIC EFFECT IN PREVENTING 980 00:37:13,160 --> 00:37:13,680 OVERDOSE. 981 00:37:13,680 --> 00:37:16,200 SO AT THE SAME TIME WE REALIZE 982 00:37:16,200 --> 00:37:20,320 THE MEDICATIONS THAT WE 983 00:37:20,320 --> 00:37:21,080 CURRENTLY HAVE WHILE B BEING 984 00:37:21,080 --> 00:37:22,360 EFFECTIVE IN PROTECTING 985 00:37:22,360 --> 00:37:23,920 INDIVIDUALS THAT THERE IS A 986 00:37:23,920 --> 00:37:27,640 PROBLEM IN TERMS OF RETENTION 987 00:37:27,640 --> 00:37:30,200 AND THE RISK OF RELAPSE IS 988 00:37:30,200 --> 00:37:31,960 PRETTY HIGH EVEN IF YOU ARE ON 989 00:37:31,960 --> 00:37:34,160 THIS MEDICATION SO WE NEED TO 990 00:37:34,160 --> 00:37:36,680 ENHANCE MEDICATION THAT MAY OR 991 00:37:36,680 --> 00:37:38,800 COMBINE MEDICATION THAT MAY 992 00:37:38,800 --> 00:37:39,720 IMPROVE RETENTION. 993 00:37:39,720 --> 00:37:41,400 AS IT RELATES TO NALOXONE WHICH 994 00:37:41,400 --> 00:37:44,080 IS REALLY AN EXTRAORDINARY DRUG 995 00:37:44,080 --> 00:37:45,640 FOR REVERTING OVERDOSES AND 996 00:37:45,640 --> 00:37:48,600 REVERTS OVERDOSE FENTANYL, AS 997 00:37:48,600 --> 00:37:50,360 POTENT OPIOID AS IT IS PROVIDED 998 00:37:50,360 --> 00:37:52,640 THAT YOU ACTUALLY GIVE IT IN IF 999 00:37:52,640 --> 00:37:54,800 TIME AT THE SUFFICIENT DOSE. 1000 00:37:54,800 --> 00:37:57,760 BUT IT IS ALSO CLEAR THAT THE -- 1001 00:37:57,760 --> 00:38:00,000 THESE DRUGS HAVE LONGER FENTANYL 1002 00:38:00,000 --> 00:38:04,040 AND OTHER ANALOGS, OTHER EFFECTS 1003 00:38:04,040 --> 00:38:06,720 THAN NALOXONE AND NEED TO HAVING 1004 00:38:06,720 --> 00:38:08,320 ALTERNATIVES TO NALOXONE 1005 00:38:08,320 --> 00:38:10,040 INCLUDING THE ADDRESSING THE 1006 00:38:10,040 --> 00:38:11,680 CHALLENGES OF HOW DO YOU ENSURE 1007 00:38:11,680 --> 00:38:13,800 THAT YOU ARE GOING TO BE ABLE TO 1008 00:38:13,800 --> 00:38:15,800 DELIVER NALOXONE SUFFICIENTLY 1009 00:38:15,800 --> 00:38:17,920 RAPIDLY BECAUSE FENTANYL GETS 1010 00:38:17,920 --> 00:38:19,840 INTO THE BRAIN AS MUCH FASTER 1011 00:38:19,840 --> 00:38:22,880 THAN HEROIN AND AS A RESULT OF 1012 00:38:22,880 --> 00:38:26,000 THAT HIT GREATER DEPRESSION WHEN 1013 00:38:26,000 --> 00:38:27,720 PUT THESE TWO TOGETHER. 1014 00:38:27,720 --> 00:38:28,840 EXTRAORDINARY FOR MICROKINETICS 1015 00:38:28,840 --> 00:38:30,400 INTO THE BRAIN AND HIGH POTENCY 1016 00:38:30,400 --> 00:38:33,400 AND THAT IS WHY YOU ARE FACING 1017 00:38:33,400 --> 00:38:34,600 THESE VERY HIGH RATES OF 1018 00:38:34,600 --> 00:38:35,880 OVERDOSE MORTALITY. 1019 00:38:35,880 --> 00:38:39,400 SO BEING ABLE TO DESIGN 1020 00:38:39,400 --> 00:38:43,000 INJECTORS OR METHODS THAT ENABLE 1021 00:38:43,000 --> 00:38:45,120 INDIVIDUAL TO UNDERSTAND AND 1022 00:38:45,120 --> 00:38:46,880 IDENTIFY WHEN SOMEONE MAYBE 1023 00:38:46,880 --> 00:38:48,920 GOING THROUGH OVERDOSE SO IT CAN 1024 00:38:48,920 --> 00:38:51,320 BE ADMINISTRATION OF THE 1025 00:38:51,320 --> 00:38:53,080 NALOXONE THROUGH MOUTH INJECTOR 1026 00:38:53,080 --> 00:38:57,600 OR ACTUALLY AN EMERGENCY SERVICE 1027 00:38:57,600 --> 00:38:58,640 IDENTIFICATION. 1028 00:38:58,640 --> 00:39:00,840 THERE IS ALSO WORK ONGOING TO 1029 00:39:00,840 --> 00:39:03,160 DEVELOP ALTERNATIVES SUCH AS 1030 00:39:03,160 --> 00:39:05,440 STIMULATING OF RESPIRATION, 1031 00:39:05,440 --> 00:39:07,840 MONOCLONAL ANTIBODIES FOR 1032 00:39:07,840 --> 00:39:11,240 FENTANYL, MONOCLONAL ANTIBODIES 1033 00:39:11,240 --> 00:39:12,920 THAT ADDRESS, PERHAPS EVEN HELP 1034 00:39:12,920 --> 00:39:16,200 WITH TREATMENT, DRUGS THAT CAN 1035 00:39:16,200 --> 00:39:17,000 SEQUESTER THESE COMPOUNDS SO 1036 00:39:17,000 --> 00:39:19,000 THEY CAN MINIMIZE THE TOXIC 1037 00:39:19,000 --> 00:39:20,240 EFFECT OF THESE DRUGS. 1038 00:39:20,240 --> 00:39:22,760 AND IN TERMS OF THERAPEUTICS 1039 00:39:22,760 --> 00:39:24,840 THEY ARE THERAPEUTIC THAT FOLLOW 1040 00:39:24,840 --> 00:39:26,200 NEW FORMULATIONS THAT IN MANY 1041 00:39:26,200 --> 00:39:27,960 WAYS ARE THE LOW HANGING FRUIT 1042 00:39:27,960 --> 00:39:31,160 BECAUSE IT WILL IMPROVE 1043 00:39:31,160 --> 00:39:32,360 RETENTION TO TREATMENT AND A LOT 1044 00:39:32,360 --> 00:39:35,920 OF WORK HAS GONE WITH 1045 00:39:35,920 --> 00:39:37,680 BUPRENORPHINE AND NALTREXONE BUT 1046 00:39:37,680 --> 00:39:41,440 NO WORK GOING ON WITH METHADONE. 1047 00:39:41,440 --> 00:39:42,760 AND AS A RESULT OF THAT ONE OF 1048 00:39:42,760 --> 00:39:45,640 THE PROJECTS THAT WE ARE FUNDING 1049 00:39:45,640 --> 00:39:47,440 IS THIS EXTENDED RATES OF 1050 00:39:47,440 --> 00:39:50,560 FORMULATION WITH THE ORAL 1051 00:39:50,560 --> 00:39:51,880 METHADONE THROUGH THAT COVID 1052 00:39:51,880 --> 00:39:53,840 WILL CHANGE THE WAY THAT 1053 00:39:53,840 --> 00:39:57,160 PATIENTS THAT ARE METHADONE ARE 1054 00:39:57,160 --> 00:39:57,800 ACTUALLY TREAT BADS IT WILL 1055 00:39:57,800 --> 00:40:00,160 ALLOW METHADONE IN A SAFE WAY 1056 00:40:00,160 --> 00:40:01,240 AND THE PATIENTS DON'T HAVE THE 1057 00:40:01,240 --> 00:40:04,680 BURDEN TO HAVE TO TAKE IT FROM A 1058 00:40:04,680 --> 00:40:05,720 DAILY BASIS. 1059 00:40:05,720 --> 00:40:10,000 ADVANCES IN OUR UNDERSTANDING OF 1060 00:40:10,000 --> 00:40:12,480 THE NEUROCIRCUITRY THAT INVOLVED 1061 00:40:12,480 --> 00:40:14,360 IN VARIOUS STAGES OF ADDICTION 1062 00:40:14,360 --> 00:40:15,760 CYCLE, AS WELL AS THE 1063 00:40:15,760 --> 00:40:17,440 DEVELOPMENT OF TOOLS WITH MORE 1064 00:40:17,440 --> 00:40:19,320 PRECISE STIMULATION OR 1065 00:40:19,320 --> 00:40:21,120 INNOVATION OF THESE CIRCUITS 1066 00:40:21,120 --> 00:40:22,520 PROVIDES MECHANISMS THAT 1067 00:40:22,520 --> 00:40:26,800 ACTUALLY ALLOW US TO FREE 1068 00:40:26,800 --> 00:40:29,080 BASICALLY POTENTIAL TO TREAT 1069 00:40:29,080 --> 00:40:30,600 ADDICTED BEHAVIORS BY THEMSELVES 1070 00:40:30,600 --> 00:40:33,320 OR COMBINATION WITH MEDICATIONS 1071 00:40:33,320 --> 00:40:36,280 WHETHER TRANSCRANIAL MAGNETIC 1072 00:40:36,280 --> 00:40:37,960 SIMULATION, BRAIN CURRENT 1073 00:40:37,960 --> 00:40:39,080 STIMULATION, EVEN DEEP BRAIN 1074 00:40:39,080 --> 00:40:40,640 STIMULATION AND THERE'S BEEN 1075 00:40:40,640 --> 00:40:43,200 SOME FASCINATING ADVANCES IN THE 1076 00:40:43,200 --> 00:40:45,600 BRAIN STIMULATION THAT ENABLE 1077 00:40:45,600 --> 00:40:47,520 YOU TO DELIVER STIMULATION ON 1078 00:40:47,520 --> 00:40:50,320 THE BASIS OF THE PATTERN OF 1079 00:40:50,320 --> 00:40:51,560 NEURONAL ACTIVITY THAT 1080 00:40:51,560 --> 00:40:52,760 INDIVIDUAL HAS THAT IS 1081 00:40:52,760 --> 00:40:54,000 ASSOCIATED WITH BEHAVIOR YOU ARE 1082 00:40:54,000 --> 00:40:55,280 TARGETING. 1083 00:40:55,280 --> 00:40:57,400 THIS OF COURSE HAS BEEN APPLY 1084 00:40:57,400 --> 00:40:59,520 FOR PARKINSON DISEASE, APPLIED 1085 00:40:59,520 --> 00:41:03,320 ONE CASE APPLIED FOR DEPRESSION. 1086 00:41:03,320 --> 00:41:07,080 WITH WHY SIGNIFICANT RESULT. 1087 00:41:07,080 --> 00:41:09,200 THIS NEEDS TO BE EXPLORED. 1088 00:41:09,200 --> 00:41:10,440 SIMILARLY FOR PERIPHERAL NERVE 1089 00:41:10,440 --> 00:41:14,280 STIMULATION ALLOWS US A MEANS TO 1090 00:41:14,280 --> 00:41:15,600 MODIFY CIRCUIT ACTIVITY. 1091 00:41:15,600 --> 00:41:17,600 AS IT RELATES TO NEW 1092 00:41:17,600 --> 00:41:18,800 OPPORTUNITIES FOR MEDICATION 1093 00:41:18,800 --> 00:41:20,200 DEVELOPMENT WHETHER IT IS FOR 1094 00:41:20,200 --> 00:41:22,280 OPIOID USE DISORDER MT. 1095 00:41:22,280 --> 00:41:26,160 AMPHETAMINE USE DISORDERS, NEW 1096 00:41:26,160 --> 00:41:27,200 TARGETS ARE COMING OUT FROM 1097 00:41:27,200 --> 00:41:28,640 SCIENCE, WE HAVE ALL THESE BASIC 1098 00:41:28,640 --> 00:41:30,360 SCIENCE AND DISCOVERIES AND THE 1099 00:41:30,360 --> 00:41:32,560 IDEA IS HOW TO MOVE THEM INTO 1100 00:41:32,560 --> 00:41:34,720 THE ULTIMATELY THERAPEUTIC 1101 00:41:34,720 --> 00:41:36,120 WORLD. 1102 00:41:36,120 --> 00:41:39,480 THAT'S WHERE THE VALUE OF THAT 1103 00:41:39,480 --> 00:41:41,360 EXISTS SO DR. (INAUDIBLE) AND 1104 00:41:41,360 --> 00:41:42,800 HER TEAM CAME UP WITH A PROCESS 1105 00:41:42,800 --> 00:41:44,680 THAT SAYS MAYBE IT IS JUST TOO 1106 00:41:44,680 --> 00:41:47,960 AMBITIOUS TO TRY TO DO THIS 1107 00:41:47,960 --> 00:41:50,400 THROWN THE VALLEY OF DEATH BUT 1108 00:41:50,400 --> 00:41:52,360 WHY ESTABLISH THAT ENABLES US TO 1109 00:41:52,360 --> 00:41:54,720 GO ONE STEP AT A TIME. 1110 00:41:54,720 --> 00:42:00,840 SO THEY A-- CLIMB UP OUT OF THE 1111 00:42:00,840 --> 00:42:02,000 VALLEY OF DEATH THROUGH THE 1112 00:42:02,000 --> 00:42:03,080 SUCCESSFUL PROGRAM THAT IS FA I 1113 00:42:03,080 --> 00:42:07,400 WILFACILITATING BRINGING OF 1114 00:42:07,400 --> 00:42:11,120 COMPOUNDS CLOSER TO PHASE 1 OR 1115 00:42:11,120 --> 00:42:13,200 PHASE 2 CLINICAL TRIALS. 1116 00:42:13,200 --> 00:42:15,080 AS EXCITING OBVIOUSLY IS VERY 1117 00:42:15,080 --> 00:42:16,560 EXCITING ALL THIS RESEARCH IN 1118 00:42:16,560 --> 00:42:18,880 TERMS OF THERAPEUTICS. 1119 00:42:18,880 --> 00:42:20,640 ANOTHER EXTREMELY IMPORTANT AREA 1120 00:42:20,640 --> 00:42:23,840 OF RESEARCH, AGAIN GREAT URGENCY 1121 00:42:23,840 --> 00:42:25,960 IS WE HAVE TREATMENT THAT WORK 1122 00:42:25,960 --> 00:42:27,520 AND WE HAVE NALOXONE THAT 1123 00:42:27,520 --> 00:42:28,720 REVERTS OVERDOSES AND WE KNOW 1124 00:42:28,720 --> 00:42:32,040 WHAT TO DO TO HELP ACTUALLY IF 1125 00:42:32,040 --> 00:42:34,920 WE DID, WE WILL BASICALLY ON ALL 1126 00:42:34,920 --> 00:42:36,680 THIS MODELING RESOURCE WE WILL 1127 00:42:36,680 --> 00:42:38,600 BE ABLE TO RETAIN AND REVERT THE 1128 00:42:38,600 --> 00:42:40,680 EPIDEMIC. 1129 00:42:40,680 --> 00:42:42,960 WE ARE NOT DOING IT, WE ARE 1130 00:42:42,960 --> 00:42:44,600 BASICALLY THERE ARE MAJOR 1131 00:42:44,600 --> 00:42:46,040 CHALLENGES IN THE DELIVERY OF 1132 00:42:46,040 --> 00:42:50,200 THIS INTERVENTIONS AND THAT 1133 00:42:50,200 --> 00:42:51,680 RELATES TO PLEA MENNATION 1134 00:42:51,680 --> 00:42:53,200 SCIENCE, WHAT MODELS OF CARE, 1135 00:42:53,200 --> 00:42:55,000 WHAT SYSTEMS SHOULD WE BE USING 1136 00:42:55,000 --> 00:42:57,600 TO DEPLOY THESE THERAPEUTICS. 1137 00:42:57,600 --> 00:42:59,920 FOR US IN THE FIELD OF SUBSTANCE 1138 00:42:59,920 --> 00:43:02,040 USE DISORDERS, THERE IS THAT 1139 00:43:02,040 --> 00:43:03,800 EXTRAORDINARY OPPORTUNITY OF 1140 00:43:03,800 --> 00:43:04,800 ENGAGING HEALTHCARE SYSTEMS 1141 00:43:04,800 --> 00:43:06,600 BECAUSE THEY ARE BASICALLY 1142 00:43:06,600 --> 00:43:08,600 ACCESSIBLE IN PRINCIPLE TO 1143 00:43:08,600 --> 00:43:09,040 EVERYONE. 1144 00:43:09,040 --> 00:43:11,320 BUT THEY HAVE NOT ENGAGED 1145 00:43:11,320 --> 00:43:13,200 TYPICALLY ON SCREENING OR 1146 00:43:13,200 --> 00:43:14,840 TREATING PEOPLE WITH SUBSTANCE 1147 00:43:14,840 --> 00:43:17,040 USE DISORDER FOR OPIOID USE 1148 00:43:17,040 --> 00:43:17,440 DISORDER. 1149 00:43:17,440 --> 00:43:19,200 SO AN OPPORTUNITY TO BRING THE 1150 00:43:19,200 --> 00:43:20,800 HELPER SYSTEM. 1151 00:43:20,800 --> 00:43:22,720 SO WE LAUNCHED SEVERAL PROJECTS 1152 00:43:22,720 --> 00:43:24,400 LIEU THE CLINICAL TRIAL NETWORKS 1153 00:43:24,400 --> 00:43:26,840 TO MAXIMIZE THAT DEPLOYMENT. 1154 00:43:26,840 --> 00:43:29,320 WHAT WE ALSO A ACTUALLY FOR THE 1155 00:43:29,320 --> 00:43:32,280 TREATMENT OF SUBSTANCE USE 1156 00:43:32,280 --> 00:43:33,240 DISORDER THE STEP BECOMES VERY 1157 00:43:33,240 --> 00:43:36,360 IMPORTANT FOR US BECAUSE THERE 1158 00:43:36,360 --> 00:43:39,200 IS SIGNIFICANTLY LARGE NUMBER OF 1159 00:43:39,200 --> 00:43:40,480 PEOPLE THAT SUFFER FROM 1160 00:43:40,480 --> 00:43:43,360 SUBSTANCE USE DISORDER OR OPIOID 1161 00:43:43,360 --> 00:43:45,000 USE DISORDER AND IN JUSTICE 1162 00:43:45,000 --> 00:43:45,560 SETTINGS. 1163 00:43:45,560 --> 00:43:46,920 AND RESEARCH HAS SHOWN IF YOU 1164 00:43:46,920 --> 00:43:51,080 ARE ABLE TO ACCURATELY PROVIDE 1165 00:43:51,080 --> 00:43:52,560 TREATMENT, WHILE IN JAIL OR 1166 00:43:52,560 --> 00:43:54,200 UNDER PAROLE, YOU SIGNIFICANTLY 1167 00:43:54,200 --> 00:44:04,080 IMPROVE THEIR OUTCOMES. 1168 00:44:04,080 --> 00:44:08,280 >> YOU JUST MUTED YOURSELF. 1169 00:44:08,280 --> 00:44:09,720 >> I WAS COMMENTING THAT WHILE 1170 00:44:09,720 --> 00:44:13,520 THE PROGRAMS HAVE SHOWN IN THAT 1171 00:44:13,520 --> 00:44:15,080 IMPLEMENTING TREATMENT IN JAILS 1172 00:44:15,080 --> 00:44:18,200 ACTUALLY PREVENTS MORTALITY, 1173 00:44:18,200 --> 00:44:20,240 ALSO IMPROVES RETENTION IN 1174 00:44:20,240 --> 00:44:22,200 TREATMENT, THERE IS A NEW PAPER 1175 00:44:22,200 --> 00:44:25,000 THAT WAS RELEASED FROM 1176 00:44:25,000 --> 00:44:27,800 MASSACHUSETTS THAT SHOWS 1177 00:44:27,800 --> 00:44:29,760 INTERVENTION THAT GIVE 1178 00:44:29,760 --> 00:44:30,960 BUPRENORPHINE IN THE JAIL 1179 00:44:30,960 --> 00:44:33,800 ACTUALLY PREVENTED 1180 00:44:33,800 --> 00:44:34,400 REINCARCERATION. 1181 00:44:34,400 --> 00:44:35,920 SO THIS IS DIFFERENT FROM WHAT 1182 00:44:35,920 --> 00:44:37,360 OTHER FINDINGS HAVE SHOWN THAT 1183 00:44:37,360 --> 00:44:40,240 HAVE BEEN UNABLE TO ACTUALLY 1184 00:44:40,240 --> 00:44:42,320 DOCUMENT A POSITIVITY RATE ON 1185 00:44:42,320 --> 00:44:45,280 INCARCERATION IN THIS STUDY IT 1186 00:44:45,280 --> 00:44:49,240 IS NOTABLE THEY DO SHOW IT, 1187 00:44:49,240 --> 00:44:49,800 ACTUALLY. 1188 00:44:49,800 --> 00:44:52,400 BUT MAY REFLECT THE FACT THIS 1189 00:44:52,400 --> 00:44:53,320 PARTICULAR JAILS WERE IN RURAL 1190 00:44:53,320 --> 00:44:54,360 COMMUNITIES BUT IT DOES 1191 00:44:54,360 --> 00:44:55,600 HIGHLIGHT HOW CRUCIAL IT IS FOR 1192 00:44:55,600 --> 00:44:58,000 US TO UNDERSTAND AND BRING 1193 00:44:58,000 --> 00:44:59,120 FORWARD THESE TREATMENTS IN TO 1194 00:44:59,120 --> 00:45:01,680 THE JUSTICE SETTING SO THAT 1195 00:45:01,680 --> 00:45:03,320 PATIENTS CAN BE PROVIDED THE 1196 00:45:03,320 --> 00:45:07,080 HELP THEY NEED. 1197 00:45:07,080 --> 00:45:09,000 THIS IS DONE THROUGH THE FUNDING 1198 00:45:09,000 --> 00:45:11,960 WE GET THROUGH THE HEEL 1199 00:45:11,960 --> 00:45:13,280 INITIATIVE. 1200 00:45:13,280 --> 00:45:17,760 THAT ALLOW US TO BASICALLY FUND 1201 00:45:17,760 --> 00:45:19,760 JUSTICE COMMUNITY INNOVATION 1202 00:45:19,760 --> 00:45:22,400 NETWORK THAT IS ABLY LED BY 1203 00:45:22,400 --> 00:45:24,840 TRISHA WHEEL AND HER TEAM IN DR. 1204 00:45:24,840 --> 00:45:25,760 BLANKO'S DIVISION. 1205 00:45:25,760 --> 00:45:27,560 THEN WE HAVE THE COMMUNITY SO IT 1206 00:45:27,560 --> 00:45:30,600 IS HEALTHCARE, JUSTICE, 1207 00:45:30,600 --> 00:45:33,600 COMMUNITIES, PARTNERING ACROSS 1208 00:45:33,600 --> 00:45:35,600 DIFFERENT MEMBERS OF THE 1209 00:45:35,600 --> 00:45:36,600 COMMUNITIES WHETHER IT IS POLICE 1210 00:45:36,600 --> 00:45:39,000 DEPARTMENT, WHETHER IT IS THE 1211 00:45:39,000 --> 00:45:42,600 STATE AGENT, OR HOSPITALS, THE 1212 00:45:42,600 --> 00:45:44,080 JAIL SYSTEMS. 1213 00:45:44,080 --> 00:45:47,280 INTEGRATING THE ACTIVITIES THAT 1214 00:45:47,280 --> 00:45:49,040 RESEARCH HAS SHOWN WHICH THERE 1215 00:45:49,040 --> 00:45:50,720 IS EVIDENCE OF BENEFIT ACROSS 1216 00:45:50,720 --> 00:45:52,920 ALL THESE PLAYERS IN THE 1217 00:45:52,920 --> 00:45:58,760 COMMUNITY IS WHAT THE COMMUNITY 1218 00:45:58,760 --> 00:46:00,080 STUDY IS DOING AND LEARNING HOW 1219 00:46:00,080 --> 00:46:01,040 THE CREATE NETWORKS OF 1220 00:46:01,040 --> 00:46:04,920 COLLABORATION AND HOW TO 1221 00:46:04,920 --> 00:46:06,400 MAXIMIZE OBTAINING OF DATA AND 1222 00:46:06,400 --> 00:46:08,720 US SEMINATION. 1223 00:46:08,720 --> 00:46:11,640 DISSEMINATION. 1224 00:46:11,640 --> 00:46:16,200 I ALSO WANT TO MAKE YOU AWARE OF 1225 00:46:16,200 --> 00:46:17,640 A NEW PROGRAM LAUNCHED LAST YEAR 1226 00:46:17,640 --> 00:46:21,280 AT THE END OF LAST YEAR WHICH IS 1227 00:46:21,280 --> 00:46:24,200 THAT HEEL INTEGRITY MANAGEMENT 1228 00:46:24,200 --> 00:46:27,960 USE OF PAIN AND USE DISORDER AND 1229 00:46:27,960 --> 00:46:29,600 RECOVERY LED BY DR. SHELLEY SHOE 1230 00:46:29,600 --> 00:46:31,280 WHICH ADDRESSES ONE OF THE MOST 1231 00:46:31,280 --> 00:46:32,960 CHALLENGING ISSUES THAT WE HAVE 1232 00:46:32,960 --> 00:46:34,200 IN THE TREATMENT OF INDIVIDUALS 1233 00:46:34,200 --> 00:46:36,800 WITH AN OPIOID USE DISORDER. 1234 00:46:36,800 --> 00:46:38,400 AND THAT IS INDIVIDUALS THAT 1235 00:46:38,400 --> 00:46:39,600 HAVE CHRONIC PAIN AND HAVE 1236 00:46:39,600 --> 00:46:41,080 OPIOID USE DISORDER. 1237 00:46:41,080 --> 00:46:44,520 AND THE PREVALENCE OF THIS 1238 00:46:44,520 --> 00:46:45,600 CO-MORBIDITIES IS QUITE HIGH. 1239 00:46:45,600 --> 00:46:48,040 IT IS BASICALLY BETWEEN 25 TO 1240 00:46:48,040 --> 00:46:49,960 30% INDIVIDUALS WITH OPIOID USE 1241 00:46:49,960 --> 00:46:53,000 DISORDER HAVE CHRONIC PAIN 1242 00:46:53,000 --> 00:46:55,560 SYNDROMES. 1243 00:46:55,560 --> 00:46:59,320 WHAT IS NOTABLE IS CHRONIC PAIN 1244 00:46:59,320 --> 00:47:03,800 REMAINS EVEN AFTER REMISSION AND 1245 00:47:03,800 --> 00:47:05,000 TREATMENT OF THE OPIOID USE 1246 00:47:05,000 --> 00:47:05,520 DISORDER. 1247 00:47:05,520 --> 00:47:07,600 IT IS CHALLENGING BECAUSE HOW DO 1248 00:47:07,600 --> 00:47:08,640 YOU TREAT FROM? 1249 00:47:08,640 --> 00:47:10,360 SO THIS NETWORK WILL ENABLE 1250 00:47:10,360 --> 00:47:14,200 ADVANCING THESE AREA OF RESEARCH 1251 00:47:14,200 --> 00:47:14,800 RESEARCH, TO HELP UNDERSTAND 1252 00:47:14,800 --> 00:47:17,400 WHAT ARE THE MODES TESTIFY 1253 00:47:17,400 --> 00:47:19,840 TREATMENT OPTIMAL FOR IMPROVE 1254 00:47:19,840 --> 00:47:20,920 FUNCTIONING OF INDIVIDUALS 1255 00:47:20,920 --> 00:47:22,320 SUFFERING FROM THIS CO-MORBID 1256 00:47:22,320 --> 00:47:25,480 CONDITIONS. 1257 00:47:25,480 --> 00:47:27,800 TO ADDRESS THE QUESTION WE NEED 1258 00:47:27,800 --> 00:47:32,280 TO UNDERSTAND,S DO CHRONIC 1259 00:47:32,280 --> 00:47:34,000 EXPOSURE TO OPIOIDS A FACTOR 1260 00:47:34,000 --> 00:47:36,200 THAT CONTRIBUTES TO THE CHRONIC 1261 00:47:36,200 --> 00:47:37,440 PAIN CONDITIONING CELL AS COULD 1262 00:47:37,440 --> 00:47:41,000 BE PERHAPS SUGGESTED BY THE FACT 1263 00:47:41,000 --> 00:47:43,120 THAT INDIVIDUALS WITH OPIOID USE 1264 00:47:43,120 --> 00:47:45,720 DISORDER THAT ARE IN REMISSION 1265 00:47:45,720 --> 00:47:47,000 CONTINUE TO PERCEIVE -- HAVE 1266 00:47:47,000 --> 00:47:49,800 CHRONIC PAIN. 1267 00:47:49,800 --> 00:47:51,600 AS WE GO FORWARD AND MOVE TO ALL 1268 00:47:51,600 --> 00:47:55,520 THESE INITIATIVES, IT IS CLEAR 1269 00:47:55,520 --> 00:47:57,680 THAT WHEN WE SPEAK ABOUT 1270 00:47:57,680 --> 00:47:58,800 PREVENTION, ANOTHER 1271 00:47:58,800 --> 00:47:59,680 EXTRAORDINARY IMPORTANT 1272 00:47:59,680 --> 00:48:01,560 COMPONENT THAT NEEDS TO BE 1273 00:48:01,560 --> 00:48:06,680 ADDRESSED, ON THE OVERDOSE 1274 00:48:06,680 --> 00:48:11,880 CRISIS, IT SHOULD BE NOT JUST 1275 00:48:11,880 --> 00:48:13,000 INDIVIDUALS WITH PAIN THAT 1276 00:48:13,000 --> 00:48:14,400 DEVELOPS OPIOID USE DISORDER, 1277 00:48:14,400 --> 00:48:19,800 THAT'S OF COURSE EXTRAORDINARILY 1278 00:48:19,800 --> 00:48:21,800 IMPORTANT THAT IS WHY HALF THE 1279 00:48:21,800 --> 00:48:25,120 HEEL INITIATIVE GOES IMPROVING 1280 00:48:25,120 --> 00:48:26,920 MANAGEMENT OF PAIN ON PATIENTS 1281 00:48:26,920 --> 00:48:30,200 THAT NEED IDEATION OF SUFFERING 1282 00:48:30,200 --> 00:48:31,640 OTHERWISE THEY WILL SAVE DRUGS 1283 00:48:31,640 --> 00:48:33,120 AND HIGH RISK OF CONSUMING THEM 1284 00:48:33,120 --> 00:48:35,680 AND OVERDOSING WHAT WE ALSO NEED 1285 00:48:35,680 --> 00:48:37,800 TO LOOK AT FROM THE PERSPECTIVE 1286 00:48:37,800 --> 00:48:39,560 OF ABOUT WHAT IS IT DRIVING 1287 00:48:39,560 --> 00:48:41,320 THESE HIGH RATES OF DRUG TAKING 1288 00:48:41,320 --> 00:48:42,000 IN HOUR COUNTRY. 1289 00:48:42,000 --> 00:48:44,320 WHAT IS IT THAT MAKES PEOPLE 1290 00:48:44,320 --> 00:48:45,000 VULNERABLE? 1291 00:48:45,000 --> 00:48:48,440 WE KNOW OF COURSE THAT THERE ARE 1292 00:48:48,440 --> 00:48:50,800 SOCIAL FACTORS THAT INCREASE 1293 00:48:50,800 --> 00:48:53,200 VULNERABILITY AND BIOLOGICAL AND 1294 00:48:53,200 --> 00:48:53,640 GENETIC. 1295 00:48:53,640 --> 00:48:55,360 BUT EXPRESSION OF BIOLOGICAL 1296 00:48:55,360 --> 00:48:58,080 GENETIC FACTORS IS BASICALLY 1297 00:48:58,080 --> 00:48:59,400 ACCELERATED OR PREVENTED 1298 00:48:59,400 --> 00:49:03,520 DEPENDING ON THE ENVIRONMENT SO 1299 00:49:03,520 --> 00:49:04,200 UNDERSTANDING THOSE 1300 00:49:04,200 --> 00:49:06,800 ENVIRONMENTAL EXPOSURES AND 1301 00:49:06,800 --> 00:49:10,120 PREVENTING THEIR ESCALATION 1302 00:49:10,120 --> 00:49:11,480 REVERSING THEM MEANS ONE OF THE 1303 00:49:11,480 --> 00:49:15,400 MAIN AIMS OF THE PREVENTION 1304 00:49:15,400 --> 00:49:18,400 RESEARCH PROJECT THAT NIDA 1305 00:49:18,400 --> 00:49:19,000 FUNDS. 1306 00:49:19,000 --> 00:49:21,120 AMONG THEM THERE IS ONE THAT I'M 1307 00:49:21,120 --> 00:49:23,200 ACTUALLY WANT TO HIGHLIGHT. 1308 00:49:23,200 --> 00:49:25,960 BECAUSE AS WE DEVELOP SCIENCE 1309 00:49:25,960 --> 00:49:27,600 AND KNOWLEDGE IT BECOMES 1310 00:49:27,600 --> 00:49:28,960 INCREASINGLY IMPERATIVE WE TAKE 1311 00:49:28,960 --> 00:49:30,200 AN OPPORTUNITY TO TRANSLATE 1312 00:49:30,200 --> 00:49:32,000 THOSE FINDINGS. 1313 00:49:32,000 --> 00:49:34,520 INTO ACTIONS THAT CAN HELP THOSE 1314 00:49:34,520 --> 00:49:35,640 SUFFERING FROM SUBSTANCE USE 1315 00:49:35,640 --> 00:49:37,960 DISORDER. 1316 00:49:37,960 --> 00:49:39,600 IN OUR CASE FOR EXAMPLE WE HAVE 1317 00:49:39,600 --> 00:49:40,880 INVESTED SIGNIFICANT RESOURCES 1318 00:49:40,880 --> 00:49:43,160 TO TRY TO BASICALLY EXPAND 1319 00:49:43,160 --> 00:49:44,240 INVOLVEMENT OF THE HEALTHCARE IN 1320 00:49:44,240 --> 00:49:46,240 THE TREATMENT OF SUBSTANCE USE 1321 00:49:46,240 --> 00:49:48,760 DISORDERS AND IMPORTANTLY ON THE 1322 00:49:48,760 --> 00:49:50,960 MODERATE TO SEVERE SUBSTANCE USE 1323 00:49:50,960 --> 00:49:51,360 DISORDER. 1324 00:49:51,360 --> 00:49:52,800 WHAT WE HAVE DONE RELATIVELY 1325 00:49:52,800 --> 00:49:57,000 VERY LETHAL AS IT RELATES TO HOW 1326 00:49:57,000 --> 00:50:00,480 DO WE INTERVENE FOR INSHIPPENS 1327 00:50:00,480 --> 00:50:02,680 OF DRUG EXPERIMENTATION. 1328 00:50:02,680 --> 00:50:07,760 THIS IS WHERE WIFE VERY MUCH 1329 00:50:07,760 --> 00:50:08,640 CREATED QUESTION ANSWER SERVICE 1330 00:50:08,640 --> 00:50:12,000 TO ENABLE WILL ENABLE HEALTHCARE 1331 00:50:12,000 --> 00:50:13,120 PROVIDERS TO SCREEN INDIVIDUALS 1332 00:50:13,120 --> 00:50:17,600 SO HOPEFULLY WE CAN DETECT EARLY 1333 00:50:17,600 --> 00:50:21,240 CONSUMPTION AND INTERVENTIONS 1334 00:50:21,240 --> 00:50:22,280 ULTIMATELY PREVENT FROM 1335 00:50:22,280 --> 00:50:23,600 ESCALATING. 1336 00:50:23,600 --> 00:50:25,280 IN FACT THE AMERICAN PEDIATRIC 1337 00:50:25,280 --> 00:50:29,000 ASSOCIATION RECOMMENDS THAT THAT 1338 00:50:29,000 --> 00:50:30,680 SCREENING BE APPLIED TO 1339 00:50:30,680 --> 00:50:31,640 CHILDREN. 1340 00:50:31,640 --> 00:50:34,080 PREVENTING SERVICES TASK FORCE 1341 00:50:34,080 --> 00:50:35,640 ARE NOT PER SE RECOMMENDED 1342 00:50:35,640 --> 00:50:37,320 BECAUSE THERE IS INSUFFICIENT 1343 00:50:37,320 --> 00:50:37,720 EVIDENCE. 1344 00:50:37,720 --> 00:50:41,560 BEING ABLE TO IDENTIFY 1345 00:50:41,560 --> 00:50:43,600 OPPORTUNITIES THAT FOR US IN 1346 00:50:43,600 --> 00:50:44,920 RESEARCH TO TRANSLATE AND 1347 00:50:44,920 --> 00:50:46,440 RECOVER THE GAP OF KNOWLEDGE 1348 00:50:46,440 --> 00:50:49,000 THAT WILL BRING THESE SERVICES 1349 00:50:49,000 --> 00:50:52,400 SUCH THAT THEY CAN BE REIMBURSED 1350 00:50:52,400 --> 00:50:54,760 WHO HAVE MAJOR IMPACT. 1351 00:50:54,760 --> 00:50:58,160 AS WE MOVE FORWARD IN TERMS OF 1352 00:50:58,160 --> 00:50:59,800 PREVENTION, WHETHER THROUGH HEAL 1353 00:50:59,800 --> 00:51:02,000 DOLLARS OR OTHER DOLLARS FROM 1354 00:51:02,000 --> 00:51:05,240 NIDA, TRYING TO ADVANCE AREAS 1355 00:51:05,240 --> 00:51:07,200 WHERE THERE IS EVIDENCE GAPS SO 1356 00:51:07,200 --> 00:51:10,200 WE CAN GET CLOSER TO ENSURE 1357 00:51:10,200 --> 00:51:13,560 SCREENING INTERVENTIONS THAT AS 1358 00:51:13,560 --> 00:51:18,040 WELL AS TREATMENT INTERVENTION 1359 00:51:18,040 --> 00:51:20,080 EARLY ON WILL BE REIMBURSED. 1360 00:51:20,080 --> 00:51:22,600 WE CAN TAKE -- ACTUALLY EMULATE 1361 00:51:22,600 --> 00:51:25,160 WHAT OTHERS HAVE DONE IN THE 1362 00:51:25,160 --> 00:51:28,000 DIABETES FIELD FOR EXAMPLE, 1363 00:51:28,000 --> 00:51:29,920 SCREENING AND TREATMENT FOR 1364 00:51:29,920 --> 00:51:32,600 PRE-DIABETES IS REIMBURSED. 1365 00:51:32,600 --> 00:51:34,600 THIS HAPPEN BECAUSE AGAIN THERE 1366 00:51:34,600 --> 00:51:35,760 WAS EVIDENCE HA SHOWED THERE WAS 1367 00:51:35,760 --> 00:51:38,720 BENEFIT. 1368 00:51:38,720 --> 00:51:39,600 EXPANDING THAT EVIDENCE IN THE 1369 00:51:39,600 --> 00:51:42,680 FIELD OF SUBSTANCE USE DISORDER 1370 00:51:42,680 --> 00:51:43,360 WILL BE VALUABLE. 1371 00:51:43,360 --> 00:51:45,520 I WANT YOU TO -- TO UPDATE YOU 1372 00:51:45,520 --> 00:51:47,760 ALSO WHERE WE ARE WITH OUR 1373 00:51:47,760 --> 00:51:51,280 RACIAL AND EQUITY INITIATIVE AS 1374 00:51:51,280 --> 00:51:52,560 MENTIONED WE HAVE WORKPLACE 1375 00:51:52,560 --> 00:51:54,360 WORKING GROUP WORK FORCE WORKING 1376 00:51:54,360 --> 00:51:57,200 GROUP AND RESEARCH GAPS AND 1377 00:51:57,200 --> 00:51:59,000 OPPORTUNITIES WORKING GROUP AND 1378 00:51:59,000 --> 00:52:01,280 VIRUS FOR THE WORKPLACE WE 1379 00:52:01,280 --> 00:52:03,040 COMPLETED A CLIMATE SURVEY THAT 1380 00:52:03,040 --> 00:52:04,480 WAS DONE BY CONTRACTOR, WE 1381 00:52:04,480 --> 00:52:07,480 WANTED IT TO BE INDEPENDENT OF 1382 00:52:07,480 --> 00:52:08,800 NIDA, AND RESULTS ARE GOING TO 1383 00:52:08,800 --> 00:52:12,200 BE USED TO IDENTIFY ACTIONABLE 1384 00:52:12,200 --> 00:52:15,600 PROBLEMS THAT CAN BE TARGETED. 1385 00:52:15,600 --> 00:52:17,200 AS RELATES TO THE WORK FORCE WE 1386 00:52:17,200 --> 00:52:18,280 EXPANDED THE MULTIPLE SOURCES 1387 00:52:18,280 --> 00:52:21,440 THAT ARE GIVEN TO MINORITY 1388 00:52:21,440 --> 00:52:22,800 INVESTIGATORS UNDER-REPRESENTED 1389 00:52:22,800 --> 00:52:27,200 GROUPS AS WELL AS AIM TO EXPAND 1390 00:52:27,200 --> 00:52:29,200 OUR INVESTMENT IN MINORITY 1391 00:52:29,200 --> 00:52:30,840 SERVICING INSTITUTIONS THROUGH 1392 00:52:30,840 --> 00:52:32,200 DIFFERENT MECHANISMS. 1393 00:52:32,200 --> 00:52:34,760 IN TERMS OF RESEARCH GAPS AND 1394 00:52:34,760 --> 00:52:36,760 OPPORTUNITIES IT BASICALLY AGAIN 1395 00:52:36,760 --> 00:52:39,200 BECOME CLEAR WE NEED TO ADDRESS 1396 00:52:39,200 --> 00:52:40,360 AND IDENTIFY OPPORTUNITIES AND 1397 00:52:40,360 --> 00:52:43,400 AGAIN HIGHLIGHTING RIGHT NOW 1398 00:52:43,400 --> 00:52:45,040 ACTIONABLE WHERE WE CAN HAVE 1399 00:52:45,040 --> 00:52:46,920 ACTUAL INTERVENTIONS THAT CAN 1400 00:52:46,920 --> 00:52:48,600 HELP REMOVE THE TREMENDOUS 1401 00:52:48,600 --> 00:52:50,400 HEALTH DISPARITIES THAT WE ARE 1402 00:52:50,400 --> 00:52:52,240 OBSERVING IN THE WHOLE SUBSTANCE 1403 00:52:52,240 --> 00:52:55,000 USE FIELD. 1404 00:52:55,000 --> 00:52:58,200 FINALLY I WANT TO MAKE YOU AWARE 1405 00:52:58,200 --> 00:53:03,200 OF REALLY REMARKABLE JOB NIDA 1406 00:53:03,200 --> 00:53:05,120 COMMUNICATIONS HAVE BEEN DOING 1407 00:53:05,120 --> 00:53:07,200 IN ORDER TO BRING FORTH THE 1408 00:53:07,200 --> 00:53:08,840 KNOWLEDGE THAT WE HAVE AND 1409 00:53:08,840 --> 00:53:11,480 OVERDOSE CRISIS AND OPIOID 1410 00:53:11,480 --> 00:53:12,920 CRISIS, YET THE COVID PANDEMIC 1411 00:53:12,920 --> 00:53:15,600 IS FAIRLY DEVASTATING AND BUT WE 1412 00:53:15,600 --> 00:53:18,800 CANNOT FORGET IN ANY WAY THE 1413 00:53:18,800 --> 00:53:19,560 OVERDOSE CRISIS. 1414 00:53:19,560 --> 00:53:21,520 IN FACT MORE YOUNG PEOPLE HAVE 1415 00:53:21,520 --> 00:53:24,080 BEEN DIE -- HAVE DIED IN 2021 1416 00:53:24,080 --> 00:53:27,080 FROM THE OVERDOSES THAT FROM 1417 00:53:27,080 --> 00:53:27,560 COVID. 1418 00:53:27,560 --> 00:53:29,800 SO THESE ARE TWO THINGS THAT 1419 00:53:29,800 --> 00:53:31,440 SHOULDN'T BE FOR ONE AGAINST THE 1420 00:53:31,440 --> 00:53:35,400 OTHER BUT TACKLE SO IN ONE YEAR 1421 00:53:35,400 --> 00:53:37,640 IN 2021 THE NIDA COMMUNICATIONS 1422 00:53:37,640 --> 00:53:41,600 OFFICE DOUBLED THE MEDIA OUTLET 1423 00:53:41,600 --> 00:53:42,320 26 PRESS RELEASES. 1424 00:53:42,320 --> 00:53:46,160 THERE WERE MORE THAN 550 MILLION 1425 00:53:46,160 --> 00:53:47,040 INTERACTIONS, 300 INTERVIEWS 1426 00:53:47,040 --> 00:53:49,600 WITH NIDA EXPERTS, THIS LEVEL OF 1427 00:53:49,600 --> 00:53:51,240 ACTIVITY IS COMPARABLE TO THAT 1428 00:53:51,240 --> 00:53:53,440 OF MUCH LARGER INSTITUTES SUCH 1429 00:53:53,440 --> 00:53:57,080 AS THE CANCER INSTITUTES OR THE 1430 00:53:57,080 --> 00:53:59,400 NEUROLOGY INSTITUTES. 1431 00:53:59,400 --> 00:54:01,760 THERE'S BEEN ON EDS HIGHLIGHTED 1432 00:54:01,760 --> 00:54:03,400 ON TOPICS THAT ARE RELEVANT TO 1433 00:54:03,400 --> 00:54:05,840 WHAT IS GOING ON AND THAT 1434 00:54:05,840 --> 00:54:08,880 REQUIRE AGAIN INTERVENTION. 1435 00:54:08,880 --> 00:54:13,200 OF THIS WHAT HAS RECENT MOST 1436 00:54:13,200 --> 00:54:14,280 INTEREST ACTUALLY, THE 1437 00:54:14,280 --> 00:54:16,240 RECOGNITION OF THE RISING 1438 00:54:16,240 --> 00:54:18,800 OVERDOSE DEATH AND HOW RISING 1439 00:54:18,800 --> 00:54:22,040 OVERDOSE DEATH BASICALLY NOW 1440 00:54:22,040 --> 00:54:23,400 AFFECTING UNDER-REPRESENTED 1441 00:54:23,400 --> 00:54:26,320 GROUPS, MUCH MORE. 1442 00:54:26,320 --> 00:54:29,840 THAT INFLUENCE SUBSTANCE USE ON 1443 00:54:29,840 --> 00:54:31,480 COVID BASICALLY EXACERBATES ALL 1444 00:54:31,480 --> 00:54:34,160 THE OUTCOMES AND THE IMPACT OF 1445 00:54:34,160 --> 00:54:36,080 COVID INFECTIOUS AND 1446 00:54:36,080 --> 00:54:39,400 NON-INFECTION ON ADOLESCENTS AND 1447 00:54:39,400 --> 00:54:40,200 CHILDREN. 1448 00:54:40,200 --> 00:54:42,520 AND WELCOME BASICALLY ALLOW YOU 1449 00:54:42,520 --> 00:54:47,120 TO GO IN TO IT AND -- FIT THAT, 1450 00:54:47,120 --> 00:54:48,880 ULTIMATELY WE DON'T DISSEMINATE 1451 00:54:48,880 --> 00:54:51,200 KNOWLEDGE AND THAT IMPLICATIONS 1452 00:54:51,200 --> 00:54:52,600 OF THAT KNOWLEDGE AND THE DATA 1453 00:54:52,600 --> 00:54:56,800 THAT WE ARE OBTAINING, PEOPLE 1454 00:54:56,800 --> 00:54:59,320 WILL IGNORE IT SO WE HAVE AN 1455 00:54:59,320 --> 00:55:00,200 OPPORTUNITY RIGHT NOW TO MOVE 1456 00:55:00,200 --> 00:55:02,680 THE FIELD IN WAYS THAT WE HAD 1457 00:55:02,680 --> 00:55:04,600 NOT HAD IN THE PAST. 1458 00:55:04,600 --> 00:55:06,960 AND WITH THAT I WANT TO END MY 1459 00:55:06,960 --> 00:55:08,240 PRESENTATIONS AND I'M GOING TO 1460 00:55:08,240 --> 00:55:11,800 STOP SHARING AND I'M OPEN TO 1461 00:55:11,800 --> 00:55:16,560 QUESTIONS IF YOU HAVE ANY. 1462 00:55:16,560 --> 00:55:20,120 >> HI NORA, ANDREA HERE, THANKS 1463 00:55:20,120 --> 00:55:21,560 FOR SHARING THAT. 1464 00:55:21,560 --> 00:55:22,600 THAT'S HELPFUL INFORMATION. 1465 00:55:22,600 --> 00:55:26,960 THE SLIDE YOU SHARED ABOUT THE 1466 00:55:26,960 --> 00:55:28,360 SOME OF THE EVIDENCE AROUND 1467 00:55:28,360 --> 00:55:30,560 PREVENTION I THINK IS REALLY 1468 00:55:30,560 --> 00:55:32,320 INTERESTING MADE ME THINK OF A 1469 00:55:32,320 --> 00:55:34,000 FEW INTERACTIONS THAT I HAVE HAD 1470 00:55:34,000 --> 00:55:36,960 WITH STATE LEADERS. 1471 00:55:36,960 --> 00:55:38,960 IN PARTICULAR NOT AROUND 1472 00:55:38,960 --> 00:55:40,880 PREVENTION BUT AROUND TREATMENT. 1473 00:55:40,880 --> 00:55:43,480 AND AROUND VIRTUAL MODALITIES OF 1474 00:55:43,480 --> 00:55:45,120 TREATMENT FOR SUBSTANCE USE 1475 00:55:45,120 --> 00:55:45,520 DISORDERS. 1476 00:55:45,520 --> 00:55:49,240 AND I THINK THAT THERE IS A VERY 1477 00:55:49,240 --> 00:55:51,200 BIG ROLE FOR SOMEONE IN 1478 00:55:51,200 --> 00:55:55,000 GOVERNMENT PERHAPS NIDA, TO HELP 1479 00:55:55,000 --> 00:55:57,040 DISSEMINATE EMERGING AND 1480 00:55:57,040 --> 00:56:00,600 ESTABLISHED EVIDENCE BASED 1481 00:56:00,600 --> 00:56:03,560 PRACTICES, AROUND VIRTUAL 1482 00:56:03,560 --> 00:56:04,880 TREATMENT OF OPIOID USE 1483 00:56:04,880 --> 00:56:06,040 DISORDER. 1484 00:56:06,040 --> 00:56:09,200 I KNOW THAT SCIENCE IS SOMEWHAT 1485 00:56:09,200 --> 00:56:13,160 EMERGING, AND I THINK THAT IT IS 1486 00:56:13,160 --> 00:56:16,160 A VERY BIG GAP FOR POLICY MAKERS 1487 00:56:16,160 --> 00:56:19,120 AND HAS A LOT TO DO WITH ACCESS 1488 00:56:19,120 --> 00:56:21,040 TO TREATMENT IN AN EQUITABLE 1489 00:56:21,040 --> 00:56:21,440 WAY. 1490 00:56:21,440 --> 00:56:25,280 A LOT OF REALLY BELL INTENTIONED 1491 00:56:25,280 --> 00:56:30,880 REGULATORS ARE GRASPING FOR 1492 00:56:30,880 --> 00:56:32,560 EVIDENCE TO SHAPE SOME OF THEIR 1493 00:56:32,560 --> 00:56:34,000 POLICY AND I THINK THE 1494 00:56:34,000 --> 00:56:36,280 EQUIVALENT OF WHAT YOU DESCRIBE 1495 00:56:36,280 --> 00:56:38,480 IN THAT PREVENTION PIECE WILL BE 1496 00:56:38,480 --> 00:56:41,680 REALLY POWERFUL IF THERE'S 1497 00:56:41,680 --> 00:56:42,480 ALREADY EVIDENCE AND I THINK 1498 00:56:42,480 --> 00:56:44,680 THERE'S SOME EMERGING EVIDENCE 1499 00:56:44,680 --> 00:56:47,120 THAT THERE COULD BE A FILLING OF 1500 00:56:47,120 --> 00:56:48,880 THAT EVIDENCE GAP IT COULD GO A 1501 00:56:48,880 --> 00:56:50,400 LONG WAY IN ADDRESSING SOME OF 1502 00:56:50,400 --> 00:56:54,200 THESE PRIORITIES AROUND EQUITY 1503 00:56:54,200 --> 00:56:56,080 ACCESS AND TREATMENT. 1504 00:56:56,080 --> 00:56:57,440 IN WHATEVER DIRECTION EVIDENCE 1505 00:56:57,440 --> 00:56:57,640 SHOWS. 1506 00:56:57,640 --> 00:56:59,440 MAYBE IT SHOWS GREAT VIRTUAL IS 1507 00:56:59,440 --> 00:57:01,440 A GREAT MODALITY OR MAYBE IT 1508 00:57:01,440 --> 00:57:04,280 SHOWS MAYBE DEPENDS ON SEVERITY 1509 00:57:04,280 --> 00:57:07,280 ILLNESS OR OTHER CONTEXT OR 1510 00:57:07,280 --> 00:57:09,040 VARIABLES. 1511 00:57:09,040 --> 00:57:11,920 I WANT TO CONVEY THAT IS HAPPEN 1512 00:57:11,920 --> 00:57:15,000 NOTHING NOT JUST STATES WHERE 1513 00:57:15,000 --> 00:57:16,320 THERE'S REGRESSION OF EVIDENCE, 1514 00:57:16,320 --> 00:57:18,160 PARTICULARLY LED BY SCIENCE, 1515 00:57:18,160 --> 00:57:19,240 THEY START STRUGGLING THERE. 1516 00:57:19,240 --> 00:57:20,840 SO FOOD FOR THOUGHT AND 1517 00:57:20,840 --> 00:57:22,440 CERTAINLY WELCOME OTHER FOLKS 1518 00:57:22,440 --> 00:57:24,680 PERSPECTIVES IF THEY CAN THINK 1519 00:57:24,680 --> 00:57:25,800 OF SOMETHING OTHER THAN WHAT I 1520 00:57:25,800 --> 00:57:26,200 DESCRIBE. 1521 00:57:26,200 --> 00:57:26,960 THANKS, NORA. 1522 00:57:26,960 --> 00:57:29,600 >> NO, NO, THANK YOU FOR 1523 00:57:29,600 --> 00:57:30,160 BRINGING THIS QUESTION. 1524 00:57:30,160 --> 00:57:32,120 ABSOLUTELY WE ARE VERY 1525 00:57:32,120 --> 00:57:33,480 INTERESTED AND I THINK IT IS 1526 00:57:33,480 --> 00:57:34,360 CRUEL BECAUSE YOU ARE RIGHT, 1527 00:57:34,360 --> 00:57:37,960 ACCESS TO DIGITAL THERAPEUTICS 1528 00:57:37,960 --> 00:57:39,080 ACTUALLY GOOD QUALITY COULD MAKE 1529 00:57:39,080 --> 00:57:40,640 A BIG DIFFERENCE FOR THOSE THAT 1530 00:57:40,640 --> 00:57:41,800 OTHERWISE COULDN'T HAVE ACCESS 1531 00:57:41,800 --> 00:57:42,480 TO THAT. 1532 00:57:42,480 --> 00:57:45,080 SO WE ARE FUNDING SEVERAL 1533 00:57:45,080 --> 00:57:47,320 RESEARCHERS, THE QUESTION IS, IS 1534 00:57:47,320 --> 00:57:49,160 THERE SUFFICIENT EVIDENCE, THAT 1535 00:57:49,160 --> 00:57:51,440 IS WHY WE HAVE THE RESEARCHERS 1536 00:57:51,440 --> 00:57:53,280 LOOKING AT IT. 1537 00:57:53,280 --> 00:57:56,040 THERE'S CLEAR EVIDENCE THAT VERY 1538 00:57:56,040 --> 00:57:57,280 CONSTRAINED ENVIRONMENT AND SOME 1539 00:57:57,280 --> 00:57:58,840 THERAPEUTICS BENEFITS AND SOME 1540 00:57:58,840 --> 00:58:01,080 OF THESE DIGITAL THERAPEUTIC 1541 00:58:01,080 --> 00:58:01,880 INTERVENTIONS HAVE BEEN SHOWN TO 1542 00:58:01,880 --> 00:58:04,240 BE AS EFFECTIVE AS FACE TO FACE 1543 00:58:04,240 --> 00:58:06,640 CONTACT IN SOME PLACES EVEN 1544 00:58:06,640 --> 00:58:07,200 BETTER. 1545 00:58:07,200 --> 00:58:08,600 BUT AGAIN, THEY ARE CONSTRAINED 1546 00:58:08,600 --> 00:58:10,640 BY THE CONTEXT IN WHICH THEY 1547 00:58:10,640 --> 00:58:12,000 WERE DONE. 1548 00:58:12,000 --> 00:58:13,920 SO THROUGH HEEL FUNDING AS WELL 1549 00:58:13,920 --> 00:58:15,960 AS NON-HEEL FUNDING WE ARE 1550 00:58:15,960 --> 00:58:18,280 FUNDING THIS IS AN AREA THAT WE 1551 00:58:18,280 --> 00:58:21,440 HAVE SEVERAL RESEARCHERS 1552 00:58:21,440 --> 00:58:22,000 WORKING. 1553 00:58:22,000 --> 00:58:24,960 >> GREAT, ONE OTHER QUICK 1554 00:58:24,960 --> 00:58:26,400 COMMENT FOR EVERYONE'S AWARENESS 1555 00:58:26,400 --> 00:58:29,000 HEALTH SERVICES RESEARCHERS IN 1556 00:58:29,000 --> 00:58:30,640 ADDICTION SPACE THERE IS A NEW 1557 00:58:30,640 --> 00:58:33,320 CPT CODE MODIFIER FOR AUDIO ONLY 1558 00:58:33,320 --> 00:58:36,080 TELEHEALTH THAT I'M NOT SURE 1559 00:58:36,080 --> 00:58:38,440 FOLKS REALIZE IS JUST CODIFIED 1560 00:58:38,440 --> 00:58:40,800 AND I THINK THAT OPENS A VERY 1561 00:58:40,800 --> 00:58:42,840 INTERESTING DOOR FOR EVALUATING 1562 00:58:42,840 --> 00:58:47,720 SAFETY EFFICACY OF AUDIO ONLY. 1563 00:58:47,720 --> 00:58:50,200 SUBSTANCE USE DISORDER TREATMENT 1564 00:58:50,200 --> 00:58:51,440 COUNSELING ETZ. 1565 00:58:51,440 --> 00:58:52,600 SO THROWING IT OUT THERE. 1566 00:58:52,600 --> 00:58:53,200 THANK YOU. 1567 00:58:53,200 --> 00:58:55,000 >> THANKS FOR ACTUALLY BRINGING 1568 00:58:55,000 --> 00:58:55,720 IT UP. 1569 00:58:55,720 --> 00:58:57,720 I WAS NOT AWARE. 1570 00:58:57,720 --> 00:58:59,480 SO IT IS RARE, ABSOLUTELY. 1571 00:58:59,480 --> 00:59:00,960 I SEE THAT DR. GREENFIELD HAS 1572 00:59:00,960 --> 00:59:09,360 HER HAND UP. 1573 00:59:09,360 --> 00:59:16,200 >> YOU ARE MUTED. 1574 00:59:16,200 --> 00:59:18,800 YOU ARE STILL MUTED. 1575 00:59:18,800 --> 00:59:21,160 >> HERE WE GO. 1576 00:59:21,160 --> 00:59:23,240 TWO YEARS OF ZOOM AND STILL HARD 1577 00:59:23,240 --> 00:59:23,800 TO UNMUTE. 1578 00:59:23,800 --> 00:59:27,120 IN ANY EVENT, THANK YOU SO MUCH 1579 00:59:27,120 --> 00:59:29,200 FOR THAT INCREDIBLE PRESENTATION 1580 00:59:29,200 --> 00:59:30,760 AND HOW INFORMATIVE IT WAS IN SO 1581 00:59:30,760 --> 00:59:31,560 MANY WAYS. 1582 00:59:31,560 --> 00:59:33,600 I WANTED TO BUILD OFF SOMETHING 1583 00:59:33,600 --> 00:59:35,560 THAT ANDRE JUST SAID, THE AREA 1584 00:59:35,560 --> 00:59:37,280 THAT YOU ARE TALKING ABOUT, 1585 00:59:37,280 --> 00:59:39,240 ABOUT CERTAIN HOW DO WE DO THAT 1586 00:59:39,240 --> 00:59:42,080 EARLY PREVENTION EARLY 1587 00:59:42,080 --> 00:59:43,280 SCREENING, EVERY TYPE OF 1588 00:59:43,280 --> 00:59:45,200 SCREENING IN ALMOST EVERY TYPE 1589 00:59:45,200 --> 00:59:46,520 OF HEALTHCARE CONTEXT FOR AS 1590 00:59:46,520 --> 00:59:49,880 LONG AS I HAVE BEEN IN THE FIELD 1591 00:59:49,880 --> 00:59:53,920 HAS GENERALLY BEEN PLAGUED BY 1592 00:59:53,920 --> 00:59:56,880 FOUR DIFFERENT AREAS THAT 1593 00:59:56,880 --> 00:59:58,360 CLINICIANS SAY, I DON'T HAVE THE 1594 00:59:58,360 --> 00:59:59,680 TRAINING TO DO IT, I DON'T HAVE 1595 00:59:59,680 --> 01:00:02,320 THE TIME TO DO IT, I DON'T HAVE 1596 01:00:02,320 --> 01:00:03,920 THE REIMBURSEMENT TO DO IT. 1597 01:00:03,920 --> 01:00:05,880 AND IF A PERSON SCREENS POSITIVE 1598 01:00:05,880 --> 01:00:08,720 WHAT SHOULD I DO ABOUT IT. 1599 01:00:08,720 --> 01:00:11,480 THAT IS THE FOUR -- THAT IS THE 1600 01:00:11,480 --> 01:00:12,600 NEXUS OF FOUR THINGS THAT SEEMS 1601 01:00:12,600 --> 01:00:13,960 TO PLAGUE ALL THE WAY THROUGH. 1602 01:00:13,960 --> 01:00:16,400 AND I DO AGREE WITH ANDRE THE 1603 01:00:16,400 --> 01:00:19,920 TECHNOLOGY AND VIRTUAL SPACE IS 1604 01:00:19,920 --> 01:00:22,760 ACTUALLY REALLY FANTASTIC 1605 01:00:22,760 --> 01:00:24,200 ADVANCE IN THE FIELD WHERE WE 1606 01:00:24,200 --> 01:00:27,520 CAN BEGIN TO PAIR CERTAIN TYPES 1607 01:00:27,520 --> 01:00:30,520 OF TECHNOLOGY INTERVENTIONS TO 1608 01:00:30,520 --> 01:00:32,160 ASSIST CLINICIANS ACROSS 1609 01:00:32,160 --> 01:00:34,040 MULTIPLE CONTEXTS. 1610 01:00:34,040 --> 01:00:35,720 HERE IS ACTUALLY SOMETHING THAT 1611 01:00:35,720 --> 01:00:37,480 YOU CAN USE, HERE IS SOMETHING 1612 01:00:37,480 --> 01:00:38,600 WE CAN TRAIN YOU ON, HERE IS 1613 01:00:38,600 --> 01:00:40,200 SOMETHING YOU CAN PROVIDE TO 1614 01:00:40,200 --> 01:00:42,320 PATIENTS, IF THEY DO SCREEN 1615 01:00:42,320 --> 01:00:44,040 POSITIVE AS A FIRST STEP. 1616 01:00:44,040 --> 01:00:46,400 IT IS A COMPLICATED THING AND 1617 01:00:46,400 --> 01:00:49,920 DOES DEPEND ON CONTEXT AND 1618 01:00:49,920 --> 01:00:50,200 ENVIRONMENT. 1619 01:00:50,200 --> 01:00:51,760 I WANT TO SAY THERE IS A BIG 1620 01:00:51,760 --> 01:00:53,200 OPEN PATHWAY. 1621 01:00:53,200 --> 01:00:55,000 FOR INVESTIGATION IN THIS AREA. 1622 01:00:55,000 --> 01:00:56,920 AND IT PROBABLY DOES FALL UNDER 1623 01:00:56,920 --> 01:00:59,320 THE REALM OF IMPLEMENTATION 1624 01:00:59,320 --> 01:01:02,280 SCIENCE SO I WILL STOP THERE. 1625 01:01:02,280 --> 01:01:04,080 >> WHAT YOU ARE PUTTING IN MY 1626 01:01:04,080 --> 01:01:05,960 BRAIN OBVIOUSLY IS -- BECAUSE WE 1627 01:01:05,960 --> 01:01:07,800 ARE, CERTAINLY WE CAN SAY 1628 01:01:07,800 --> 01:01:09,800 SCREENING WE NEED TO BE ABLE TO 1629 01:01:09,800 --> 01:01:10,920 PROVIDE TREATMENT AND NEED TO 1630 01:01:10,920 --> 01:01:12,480 SHOW EVIDENCE HA THAT TREATMENT 1631 01:01:12,480 --> 01:01:14,480 MAKES A DIFFERENCE IN THE EARLY 1632 01:01:14,480 --> 01:01:16,600 STAGES OF THE CASCADE OF 1633 01:01:16,600 --> 01:01:17,600 SUBSTANCE USE DISORDER. 1634 01:01:17,600 --> 01:01:20,920 SO WE ARE HAVING ACCESS TO THAT 1635 01:01:20,920 --> 01:01:22,280 DIGITAL SUPPORT TO MAKE A BIG 1636 01:01:22,280 --> 01:01:24,720 DIFFERENCE AND MAKE IT MORE 1637 01:01:24,720 --> 01:01:25,400 PRACTICAL. 1638 01:01:25,400 --> 01:01:28,080 WE -- OUR PERSPECTIVE ON THIS IS 1639 01:01:28,080 --> 01:01:30,080 LET'S WORK WITH MODELS THAT WORK 1640 01:01:30,080 --> 01:01:31,960 TO MAKE THIS HAPPEN. 1641 01:01:31,960 --> 01:01:36,160 WE ARE VERY AWARE WE NEED TO 1642 01:01:36,160 --> 01:01:38,400 BUILD KNOWLEDGE BASE TO SHOW TO 1643 01:01:38,400 --> 01:01:41,120 ENSURE YOU HAVE TO TRAIN ALSO, 1644 01:01:41,120 --> 01:01:43,720 WE NEED TO TRAIN PROVIDERS HOW 1645 01:01:43,720 --> 01:01:46,000 TO DO IT AND THERE AGAIN LIEU 1646 01:01:46,000 --> 01:01:50,880 THE CPN, BASICALLY WE ALSO -- WE 1647 01:01:50,880 --> 01:01:53,880 ARE DEVELOPING MODELS THAT CAN 1648 01:01:53,880 --> 01:01:55,800 HELP IDENTIFY OPTIMAL WAY FOR 1649 01:01:55,800 --> 01:01:57,880 CLINICIANS TO WORK IN THE 1650 01:01:57,880 --> 01:02:00,600 SUBSTANCE ABUSE SPACE OR 1651 01:02:00,600 --> 01:02:02,200 INTEGRATE BEHAVIORAL CURVE 1652 01:02:02,200 --> 01:02:03,960 SOMEONE WITH EXPERTISE. 1653 01:02:03,960 --> 01:02:05,400 THEN WITH VARIOUS CLINICIANS 1654 01:02:05,400 --> 01:02:07,840 THAT CAN ALSO MAKE IT POSSIBLE. 1655 01:02:07,840 --> 01:02:09,360 SO IT IS UNDERSTANDING THAT 1656 01:02:09,360 --> 01:02:10,960 THERE ARE NOT JUST ONE MODEL 1657 01:02:10,960 --> 01:02:12,200 THAT CAN WORK. 1658 01:02:12,200 --> 01:02:14,320 AND TAKING ADVANTAGE OF THESE 1659 01:02:14,320 --> 01:02:19,880 DIGITAL TECHNOLOGIES AUDIO ONLY 1660 01:02:19,880 --> 01:02:20,800 TECHNOLOGIES IS SOMETHING ON THE 1661 01:02:20,800 --> 01:02:21,800 TABLE AND WE SHOULD BE 1662 01:02:21,800 --> 01:02:35,160 EVALUATING IT. 1663 01:02:35,160 --> 01:02:41,200 ANY OTHER QUESTIONS? 1664 01:02:41,200 --> 01:02:47,200 >> NORA, I -- IF YOUR TEAM WOULD 1665 01:02:47,200 --> 01:02:50,040 LIKE ANY SUGGESTIONS AROUND 1666 01:02:50,040 --> 01:02:52,960 RESEARCH PRIORITIES THAT WILL 1667 01:02:52,960 --> 01:02:55,080 HELP FULFILL RESEARCH AND POLICY 1668 01:02:55,080 --> 01:02:57,920 GAPS PLEASE LET ME KNOW. 1669 01:02:57,920 --> 01:02:59,680 THERE IS VERY SPECIFIC AREAS 1670 01:02:59,680 --> 01:03:03,400 WHERE FOR EXAMPLE A STATE 1671 01:03:03,400 --> 01:03:05,080 CREDENTIALING AUTHORITY WILL SAY 1672 01:03:05,080 --> 01:03:08,800 NO WE CAN'T CREDENTIAL A VIRTUAL 1673 01:03:08,800 --> 01:03:10,840 PROVIDER UNLESS YOU DO WITHDRAW 1674 01:03:10,840 --> 01:03:13,120 MANAGEMENT BUT IT IS KIND OF 1675 01:03:13,120 --> 01:03:15,160 LIKE A BETWEEN A ROCK AND HARD 1676 01:03:15,160 --> 01:03:17,400 PLACE BECAUSE SHOULD VIRTUAL 1677 01:03:17,400 --> 01:03:19,600 PROVIDERS BE DOING WITHDRAW 1678 01:03:19,600 --> 01:03:20,200 MANAGEMENT. 1679 01:03:20,200 --> 01:03:21,680 I HAVE SEEN IT DONE SAFELY BUT 1680 01:03:21,680 --> 01:03:23,000 I'M ALSO TERRIFIED OF SEEING 1681 01:03:23,000 --> 01:03:24,920 THAT DONE SO WHAT IS THE 1682 01:03:24,920 --> 01:03:25,840 RESEARCH SAY? 1683 01:03:25,840 --> 01:03:28,720 DOES IT SAY IT IS SAFE DO 1684 01:03:28,720 --> 01:03:30,640 VIRTUAL -- CAN YOU DO LEVEL 1685 01:03:30,640 --> 01:03:33,320 HIGHER THAN 2.1 VIRTUALLY? 1686 01:03:33,320 --> 01:03:35,600 I'M A LITTLE ANXIOUS ABOUT THAT 1687 01:03:35,600 --> 01:03:39,160 BUT THERE'S -- WE HAVE LIKE THE 1688 01:03:39,160 --> 01:03:41,600 SCIENCE TO PROVE SAFE OR NOT 1689 01:03:41,600 --> 01:03:42,000 SAFE. 1690 01:03:42,000 --> 01:03:43,600 I THINK THOSE AREAS OF NUANCE 1691 01:03:43,600 --> 01:03:45,240 CAN BE SUPER INTERESTING TO HAVE 1692 01:03:45,240 --> 01:03:49,600 A LITTLE BIT MORE ROBUST 1693 01:03:49,600 --> 01:03:49,840 EVIDENCE. 1694 01:03:49,840 --> 01:03:51,120 >> I COMPLETELY AGREE. 1695 01:03:51,120 --> 01:03:54,000 THIS IS PART OF THE JOB OF 1696 01:03:54,000 --> 01:03:55,800 COUNCIL TO BRING FORWARD 1697 01:03:55,800 --> 01:03:56,840 OPPORTUNITIES OF RESEARCH, ONE 1698 01:03:56,840 --> 01:03:59,560 OF THE SPACES THAT WE CAN INPUT 1699 01:03:59,560 --> 01:04:01,080 WE ALSO BRING TOGETHER POLICY 1700 01:04:01,080 --> 01:04:04,120 EXPERTS AND AGENCIES TO IDENTIFY 1701 01:04:04,120 --> 01:04:05,840 WHAT ARE THE MAIN CHALLENGES AND 1702 01:04:05,840 --> 01:04:08,200 QUESTIONS TO BRING FORWARD. 1703 01:04:08,200 --> 01:04:10,120 SO AGAIN THESE EXACTLY WHAT WE 1704 01:04:10,120 --> 01:04:13,520 ARE HOPING TO GET FROM COUNCIL, 1705 01:04:13,520 --> 01:04:14,440 ULTIMATELY LOOKING HOW THINGS 1706 01:04:14,440 --> 01:04:17,000 ARE GOING WITH THE OVERDOSE 1707 01:04:17,000 --> 01:04:18,640 CRISIS, IT IS CLEAR THAT 1708 01:04:18,640 --> 01:04:21,520 POLICIES, BRINGING UP A POLICY 1709 01:04:21,520 --> 01:04:24,160 IS PROBABLY ONE OF THE MOST 1710 01:04:24,160 --> 01:04:25,720 CONSEQUENTIAL THINGS WE CAN DO 1711 01:04:25,720 --> 01:04:26,720 FOR BRINGING IN TRANSLATION 1712 01:04:26,720 --> 01:04:29,160 KNOWLEDGE INTO A PRACTICE. 1713 01:04:29,160 --> 01:04:30,280 OTHERWISE THE MOMENT THAT THERE 1714 01:04:30,280 --> 01:04:33,400 IS A POLICY THAT FACILITATES 1715 01:04:33,400 --> 01:04:36,440 BEING DONE IT WILL HAPPEN SO 1716 01:04:36,440 --> 01:04:37,000 YES. 1717 01:04:37,000 --> 01:04:39,200 I WELCOME VERY MUCH INPUT THAT 1718 01:04:39,200 --> 01:04:42,160 MAY HAVE VERY SPECIFIC THINGS 1719 01:04:42,160 --> 01:04:44,680 FROM EXPERIENCE ACTUALLY HAVE 1720 01:04:44,680 --> 01:04:48,240 BEEN A ROADBLOCK. 1721 01:04:48,240 --> 01:04:50,640 MY UNDERSTANDING WAS THAT SHARON 1722 01:04:50,640 --> 01:04:52,800 HAD A QUESTION BUT ANNA ROSE -- 1723 01:04:52,800 --> 01:04:54,600 >> MINE IS A VERY MUNDANE 1724 01:04:54,600 --> 01:04:56,840 QUESTION AND NOT REALLY A HUGE 1725 01:04:56,840 --> 01:04:58,560 POLICY LEVEL, IT IS MORE LEVEL 1726 01:04:58,560 --> 01:05:00,240 DAY-TO-DAY OPERATIONS AND THINGS 1727 01:05:00,240 --> 01:05:02,360 THAT MAKE LIFE MORE EASIER OR 1728 01:05:02,360 --> 01:05:02,720 MORE DIFFICULT. 1729 01:05:02,720 --> 01:05:04,400 WE TALKED A LITTLE BIT ABOUT THE 1730 01:05:04,400 --> 01:05:08,320 LAST COUNCIL MEETING ABOUT THE 1731 01:05:08,320 --> 01:05:10,080 ABILITY TO HAVE A CLEAR WAY TO 1732 01:05:10,080 --> 01:05:13,000 TEST FOR FENTANYL THAT YOU CAN 1733 01:05:13,000 --> 01:05:15,720 USE AT RESEARCH CLINICAL SITE 1734 01:05:15,720 --> 01:05:17,600 BUT ETZ SPECIALLY CLINICAL 1735 01:05:17,600 --> 01:05:19,600 RESEARCH SITE SO YOU KNOW WHAT'S 1736 01:05:19,600 --> 01:05:21,800 GOING ON RATHER THAN COST AND 1737 01:05:21,800 --> 01:05:24,160 DELAY WITH PCR THINGS THAT TAKE 1738 01:05:24,160 --> 01:05:24,480 LONGER. 1739 01:05:24,480 --> 01:05:28,040 SO I WONDERED IF IN ALL THE 1740 01:05:28,040 --> 01:05:29,600 WONDERFUL INNOVATIONS WE HAD 1741 01:05:29,600 --> 01:05:31,800 GOING ON, THE SMALL BUSINESS 1742 01:05:31,800 --> 01:05:33,400 OPPORTUNITIES THAT WERE 1743 01:05:33,400 --> 01:05:34,600 DISCUSSED, IF THERE'S BEEN 1744 01:05:34,600 --> 01:05:36,360 CONSIDERATION IS THAT A PATH TO 1745 01:05:36,360 --> 01:05:40,840 TRY TO TAKE FORWARD AND 1746 01:05:40,840 --> 01:05:44,920 ENCOURAGE FDA TO LOOK TOWARD 1747 01:05:44,920 --> 01:05:45,400 SOMETHING CLEAR WAVED? 1748 01:05:45,400 --> 01:05:46,920 I KNOW THIS IS A MUNDANE THING 1749 01:05:46,920 --> 01:05:48,640 COMPARED TO THE META ISSUES BUT 1750 01:05:48,640 --> 01:05:51,360 IT IS SOMETHING THAT WOULD MAKE 1751 01:05:51,360 --> 01:05:53,640 LIFE MORE MANAGEABLE AT THE 1752 01:05:53,640 --> 01:05:55,120 CLINICAL RESEARCH AND CLINICAL 1753 01:05:55,120 --> 01:05:58,800 LEVEL IF WE HAD A CLEANER WAY 1754 01:05:58,800 --> 01:06:01,520 THAT DOESN'T REQUIRE 1755 01:06:01,520 --> 01:06:01,920 LABORATORIES. 1756 01:06:01,920 --> 01:06:04,320 WOULD BE THE CASE IN THE 1757 01:06:04,320 --> 01:06:05,000 HOSPITAL. 1758 01:06:05,000 --> 01:06:09,640 >> ANNA ROSE, RAIDING ONE OF THE 1759 01:06:09,640 --> 01:06:10,880 ISSUES WE HAVE BEEN FRUSTRATED 1760 01:06:10,880 --> 01:06:12,640 LIKE HELL, HOW LONG IT TAKES TO 1761 01:06:12,640 --> 01:06:14,720 GET DATA OVERDOSE DEATH. 1762 01:06:14,720 --> 01:06:17,040 I'M PRESENTING DATA THAT IT'S 1763 01:06:17,040 --> 01:06:18,000 SEVEN MONTHS OLD. 1764 01:06:18,000 --> 01:06:19,200 IN THE MEANTIME WE DON'T KNOW 1765 01:06:19,200 --> 01:06:22,960 WHAT IS HAPPENING RIGHT NOW. 1766 01:06:22,960 --> 01:06:24,800 SO ONE OF THE IMPEDIMENTS, 1767 01:06:24,800 --> 01:06:26,680 SEVERAL IMPEDIMENTS BUT ONE 1768 01:06:26,680 --> 01:06:27,960 IMPORTANT IMPEDIMENT THAT WE 1769 01:06:27,960 --> 01:06:32,040 HAVE BASICALLY HEARING ON IS 1770 01:06:32,040 --> 01:06:33,360 THAT CORONERS TAKE TIME DOING 1771 01:06:33,360 --> 01:06:34,360 ANALYSIS OF WHAT IS RESPONSIBLE 1772 01:06:34,360 --> 01:06:36,240 FOR THE DEATH. 1773 01:06:36,240 --> 01:06:40,160 SO ONE OF THE INITIATIVES THAT 1774 01:06:40,160 --> 01:06:41,200 WAS BROUGHT UP THROUGH DR. 1775 01:06:41,200 --> 01:06:43,760 ELAINE CHRIS TO HAVE WAS TO 1776 01:06:43,760 --> 01:06:45,000 ACTUALLY ACCELERATE THE TOOLS 1777 01:06:45,000 --> 01:06:47,120 AND TECHNOLOGIES TO BE ABLE TO 1778 01:06:47,120 --> 01:06:51,000 HAVE HIGHER SENSITIVITY FOR 1779 01:06:51,000 --> 01:06:54,520 DETECTION OF WAYS OF IDENTIFYING 1780 01:06:54,520 --> 01:06:55,760 DRUGS IN DIFFERENT ENVIRONMENTS, 1781 01:06:55,760 --> 01:06:58,800 AND ONE OF THEM IS THE CORONERS. 1782 01:06:58,800 --> 01:07:00,880 THE OTHER ONE TOO WAS EMERGENCY 1783 01:07:00,880 --> 01:07:03,600 DEPARTMENTS, SO BEING ABLE TO 1784 01:07:03,600 --> 01:07:06,600 HAVE ACCESS TO WHAT TESTING THAT 1785 01:07:06,600 --> 01:07:08,240 WILL ALLOW YOU TO GET 1786 01:07:08,240 --> 01:07:10,280 INFORMATION WHAT THE PERSON HAS 1787 01:07:10,280 --> 01:07:13,200 ON BOARD WILL BE VERY VALUABLE. 1788 01:07:13,200 --> 01:07:15,520 THESE TOOLS HAVE TO BE 1789 01:07:15,520 --> 01:07:16,800 ACCESSIBLE, BECAUSE IT IS VERY 1790 01:07:16,800 --> 01:07:17,960 SOPHISTICATED AND EXPENSIVE NOT 1791 01:07:17,960 --> 01:07:20,240 GOING TO BE HAPPENING, ALSO 1792 01:07:20,240 --> 01:07:24,240 THROUGH THE HEEL INITIATIVE, WE 1793 01:07:24,240 --> 01:07:27,040 HAVE VERY SPECIFIC INTEREST ON 1794 01:07:27,040 --> 01:07:29,800 ACCELERATING THE DEVELOPMENT OF 1795 01:07:29,800 --> 01:07:32,200 FENTANYL TEST RISK TARGETING THE 1796 01:07:32,200 --> 01:07:34,640 TOOLS THAT HELP A PERSON THAT IS 1797 01:07:34,640 --> 01:07:36,640 TAKING DRUGS EVALUATE THAT 1798 01:07:36,640 --> 01:07:38,640 CONTENT OF THE DRUGS THEY ARE 1799 01:07:38,640 --> 01:07:40,280 AIMING TO CONSUME. 1800 01:07:40,280 --> 01:07:42,800 >> SO THAT -- THOSE STRIPS THAT 1801 01:07:42,800 --> 01:07:44,400 WE TRIED TO GET, YOU CAN GET 1802 01:07:44,400 --> 01:07:47,000 THEM AND IF YOU ARE A PURELY 1803 01:07:47,000 --> 01:07:48,000 PUBLIC HEALTH SITE YOU CAN USE 1804 01:07:48,000 --> 01:07:48,400 THEM. 1805 01:07:48,400 --> 01:07:50,040 BUT IRONICALLY IF YOU ARE A 1806 01:07:50,040 --> 01:07:52,720 CLINICAL RESEARCH SITE IN 1807 01:07:52,720 --> 01:07:54,440 ACADEMIC SETTING, APPARENTLY 1808 01:07:54,440 --> 01:07:57,200 FROM NURSE PRACTICERS IS A 1809 01:07:57,200 --> 01:07:58,400 LIABILITY INVOLVED BECAUSE IT IS 1810 01:07:58,400 --> 01:08:01,160 NOT CLEAR WAVED, NOT APPROVED SO 1811 01:08:01,160 --> 01:08:02,720 BASICALLY YOU ARE GIVING IT TO 1812 01:08:02,720 --> 01:08:04,040 SOMEONE OVERDOSE THEY SAY THEY 1813 01:08:04,040 --> 01:08:06,600 DIDN'T GET THE RIGHT THING, TO 1814 01:08:06,600 --> 01:08:08,400 TEST THEIR DRUGS. 1815 01:08:08,400 --> 01:08:10,200 IS HARM REDUCTION IDEA. 1816 01:08:10,200 --> 01:08:12,840 SO WE BUMPED INTO THAT AS A 1817 01:08:12,840 --> 01:08:15,400 BARRIER SO EVEN THOUGH I ORDERED 1818 01:08:15,400 --> 01:08:17,400 STRIPS FROM CANADA, NO ONE IS 1819 01:08:17,400 --> 01:08:19,600 COMFORTABLE USING THEM AT OUR 1820 01:08:19,600 --> 01:08:21,240 SITE SO IT IS A -- AND WE DO 1821 01:08:21,240 --> 01:08:24,360 HAVE THE OPPORTUNITY TO SEND 1822 01:08:24,360 --> 01:08:27,120 THEM OUT FENTANYL PANEL AT THE 1823 01:08:27,120 --> 01:08:29,000 HOSPITAL AND GET IT BACK NEXT 1824 01:08:29,000 --> 01:08:31,320 DAY OR DAY AFTER, BUT IT DOESN'T 1825 01:08:31,320 --> 01:08:33,240 HELP YOU AT THAT MOMENT AND 1826 01:08:33,240 --> 01:08:34,160 DOESN'T HELP YOU GIVING 1827 01:08:34,160 --> 01:08:37,240 SOMETHING TO THE PATIENT TO TEST 1828 01:08:37,240 --> 01:08:38,680 THEIR DRUGS SHOULD THEY CHOOSE 1829 01:08:38,680 --> 01:08:39,040 TO. 1830 01:08:39,040 --> 01:08:41,800 BY THE WAY IN PHILADELPHIA, 1831 01:08:41,800 --> 01:08:44,080 FENTANYL IS EVERYWHERE NOW SO IT 1832 01:08:44,080 --> 01:08:46,960 IS PRETTY MUCH HE PLACED HEROIN, 1833 01:08:46,960 --> 01:08:49,400 WE HAVE MOSTLY PEOPLE COMING IN 1834 01:08:49,400 --> 01:08:50,960 FENTANYL POSITIVE BUT HEROIN 1835 01:08:50,960 --> 01:08:51,360 NEGATIVE. 1836 01:08:51,360 --> 01:08:53,200 THAT IS THE PROFILE. 1837 01:08:53,200 --> 01:08:55,400 ALSO ADDING IN STIMULANTS FOR 1838 01:08:55,400 --> 01:08:55,920 SURE. 1839 01:08:55,920 --> 01:08:59,480 BUT ANYWAY, IT IS KIND OF A -- 1840 01:08:59,480 --> 01:09:00,800 IT IS SOMETHING THAT WOULD BE 1841 01:09:00,800 --> 01:09:02,760 VERY HELPFUL BUT I JUST DON'T 1842 01:09:02,760 --> 01:09:04,120 EVEN KNOW WHERE THE PROGRESS IS 1843 01:09:04,120 --> 01:09:07,200 ON THIS WITH REGARD TO FDA AND 1844 01:09:07,200 --> 01:09:09,920 HOW HARD IT IS TO GET FROM 1845 01:09:09,920 --> 01:09:13,560 SOMETHING THAT IS NOT CLEAR 1846 01:09:13,560 --> 01:09:15,560 WAVED TO SOMETHING THAT IS CLEAR 1847 01:09:15,560 --> 01:09:15,800 WAVED. 1848 01:09:15,800 --> 01:09:17,520 >> THE HEEL INITIATIVE IS VERY 1849 01:09:17,520 --> 01:09:20,480 MUCH BORN OUT OF DR. JANET 1850 01:09:20,480 --> 01:09:22,280 WOODCOCK WHO BROUGHT THAT UP AND 1851 01:09:22,280 --> 01:09:25,840 ACTUALLY DO STUDIES TO 1852 01:09:25,840 --> 01:09:26,920 CHARACTERIZE AND DEVELOP 1853 01:09:26,920 --> 01:09:29,000 STANDARDS FOR FENTANYL TEST 1854 01:09:29,000 --> 01:09:30,720 STRIPS, SO VERY INTERESTED IN 1855 01:09:30,720 --> 01:09:32,320 THE FDA IS ENGAGED AND WILL 1856 01:09:32,320 --> 01:09:35,560 BASICALLY WORK WITH THE FDA, 1857 01:09:35,560 --> 01:09:36,240 ABSOLUTELY. 1858 01:09:36,240 --> 01:09:37,680 AND BUT WHAT YOU ARE SAYING IS 1859 01:09:37,680 --> 01:09:40,400 NOT JUST -- THIS IS EXACTLY 1860 01:09:40,400 --> 01:09:41,680 THROUGHOUT THE SAME THING, NOT 1861 01:09:41,680 --> 01:09:44,400 JUST FOCUSING ON THE FENTANYL 1862 01:09:44,400 --> 01:09:44,960 TEST STRIPS THAT HELP 1863 01:09:44,960 --> 01:09:46,200 INDIVIDUALS THAT ARE TAKING 1864 01:09:46,200 --> 01:09:49,480 DRUGS BUT IMPORTANTLY ALSO THE 1865 01:09:49,480 --> 01:09:50,720 OTHER THE REST OF INDIVIDUALS 1866 01:09:50,720 --> 01:09:53,880 THAT BENEFIT FROM GETTING 1867 01:09:53,880 --> 01:09:56,040 INFORMATION ABOUT CONTENT OF 1868 01:09:56,040 --> 01:09:56,400 DRUGS. 1869 01:09:56,400 --> 01:09:59,720 YOU ARE ABSOLUTELY -- SO YES, WE 1870 01:09:59,720 --> 01:10:01,760 WANT TO ENGAGE WITH FDA. 1871 01:10:01,760 --> 01:10:03,400 SO THESE THINGS ARE STANDARDIZED 1872 01:10:03,400 --> 01:10:06,040 AND APPROVED AND USED IN 1873 01:10:06,040 --> 01:10:08,440 HOSPITAL SETTINGS. 1874 01:10:08,440 --> 01:10:10,720 >> THANKS. 1875 01:10:10,720 --> 01:10:13,200 I SEE DR. ROSS'S HAND RAISED. 1876 01:10:13,200 --> 01:10:15,000 >> THANKS, NORA. 1877 01:10:15,000 --> 01:10:19,200 I AM REFLECTING ON AGAIN LIKE 1878 01:10:19,200 --> 01:10:21,640 LAST TIME, THESE UNEQUAL OUTCOME 1879 01:10:21,640 --> 01:10:24,400 SLIDES YOU SHOW US AND I WORK 1880 01:10:24,400 --> 01:10:26,600 WITH AMERICAN COMMUNITIES ON 1881 01:10:26,600 --> 01:10:30,360 OPIOID RESPONSE ISSUES, AND IT 1882 01:10:30,360 --> 01:10:31,600 IS DOWN RIGHT TERRIFYING. 1883 01:10:31,600 --> 01:10:34,440 ALSO HAVING A TEENAGE SON I 1884 01:10:34,440 --> 01:10:36,000 THINK MANY OF US -- IT'S 1885 01:10:36,000 --> 01:10:37,880 TERRIFYING THAT PEOPLE WILL 1886 01:10:37,880 --> 01:10:40,400 EXPERIMENT AND SO THIS 1887 01:10:40,400 --> 01:10:42,520 CONVERSATION IN SO MANY WAYS 1888 01:10:42,520 --> 01:10:43,640 FEELS LIKE EVERY SINGLE THING 1889 01:10:43,640 --> 01:10:45,760 THAT ALL OF YOU ARE BRINGING UP 1890 01:10:45,760 --> 01:10:49,720 IS HITTING OUR TRIBES AND JUST 1891 01:10:49,720 --> 01:10:50,880 THREEFOLD FOUR FOLD DIFFERENT 1892 01:10:50,880 --> 01:10:51,360 WAYS. 1893 01:10:51,360 --> 01:10:56,560 SO ANDRE YOU BRING UP CLINICAL 1894 01:10:56,560 --> 01:10:58,120 CARE AS TREATMENT FOR EXAMPLE 1895 01:10:58,120 --> 01:11:01,200 AND WE HAVE PROVIDERS AS YOU 1896 01:11:01,200 --> 01:11:02,520 BRING UP SHELLEY MAINLY ALL 1897 01:11:02,520 --> 01:11:04,960 THOSE THINGS BUT HAVING NO TIME 1898 01:11:04,960 --> 01:11:07,480 TO RETRAIN, NEED TORR APPROVAL 1899 01:11:07,480 --> 01:11:09,080 INNOVATION SO IT IS NOT M.D. ETZ 1900 01:11:09,080 --> 01:11:10,320 OR EVEN NURSES DOING THIS KIND 1901 01:11:10,320 --> 01:11:13,600 OF CARE, HOW CAN WE TRAIN 1902 01:11:13,600 --> 01:11:14,200 PARAPROFESSIONALS TO HELP. 1903 01:11:14,200 --> 01:11:15,440 SO HA IS THE TREATMENT SIDE BUT 1904 01:11:15,440 --> 01:11:18,760 WHAT ABOUT PREVENTION? 1905 01:11:18,760 --> 01:11:19,280 FENTANYL TEST STRIPS HARM 1906 01:11:19,280 --> 01:11:22,160 REDUCTION MODEL HOW DO WE GET 1907 01:11:22,160 --> 01:11:23,680 IMMUNITY MEMBERS ENGAGED IN 1908 01:11:23,680 --> 01:11:25,920 WORKING WITH TRIBAL COUNCIL TO 1909 01:11:25,920 --> 01:11:27,800 REDUCE STIGMA, ALL THESE ISSUES 1910 01:11:27,800 --> 01:11:30,360 COME CRASHING TOGETHER BUT 1911 01:11:30,360 --> 01:11:31,720 BACKING UP EVEN FURTHER I JUST 1912 01:11:31,720 --> 01:11:34,920 KEEP THINKING ABOUT THE SUPPLY 1913 01:11:34,920 --> 01:11:36,760 CHAIN FOR FENTANYL. 1914 01:11:36,760 --> 01:11:38,840 YOU LOOK LEFT RIGHT UP AND DOWN, 1915 01:11:38,840 --> 01:11:40,400 PEOPLE ARE BLAMING CHINA AND 1916 01:11:40,400 --> 01:11:43,800 INDIA AND MEXICO, IT DOESN'T 1917 01:11:43,800 --> 01:11:47,040 REALLY -- IT IS COMING FROM 1918 01:11:47,040 --> 01:11:49,320 QUAINT -- I'M CURIOUS IS THERE A 1919 01:11:49,320 --> 01:11:50,960 ROLE FOR RESEARCH FOR NIDA, IN 1920 01:11:50,960 --> 01:11:54,400 THIS POLICY ADVOCACY IN THIS 1921 01:11:54,400 --> 01:11:56,920 WORK THAT I KNOW IS REALLY 1922 01:11:56,920 --> 01:11:59,560 USUALLY RELEGATED OVER TO THE 1923 01:11:59,560 --> 01:12:00,440 FEDS TO DEAL WITH THIS. 1924 01:12:00,440 --> 01:12:04,440 HOW CAN WE STOP THIS. 1925 01:12:04,440 --> 01:12:06,640 THIS CRISIS IS KILLING IT. 1926 01:12:06,640 --> 01:12:09,320 TWO PEOPLE LAST WEEK IN MY TINY 1927 01:12:09,320 --> 01:12:10,200 TRIBAL COMMUNITY. 1928 01:12:10,200 --> 01:12:13,080 HOW DO WE ENTER MULTI-LEVEL 1929 01:12:13,080 --> 01:12:15,080 ATTACK THIS ISSUE, IT IS 1930 01:12:15,080 --> 01:12:16,640 EXHAUSTING AND I DONE HAVE ANY 1931 01:12:16,640 --> 01:12:19,000 SOLUTIONS BUT I DO WANT TO SAY 1932 01:12:19,000 --> 01:12:20,760 YES HARM REDUCTION HOW WE 1933 01:12:20,760 --> 01:12:22,320 INTERRUPT THE SUPPLY CHAIN AND 1934 01:12:22,320 --> 01:12:23,720 NORA, YOU ARE SHOWING DATA FOR 1935 01:12:23,720 --> 01:12:26,560 YOUNG PEOPLE WHERE WHICH ARE 1936 01:12:26,560 --> 01:12:27,480 SIMULTANEOUSLY SEEING REDUCTION 1937 01:12:27,480 --> 01:12:28,920 IN PANDEMIC AND MOST DRUG AND 1938 01:12:28,920 --> 01:12:30,240 ALCOHOL USE BUT INCREASES IN 1939 01:12:30,240 --> 01:12:32,720 OVERDOSE IS THAT JUST A POTENCY 1940 01:12:32,720 --> 01:12:34,200 ISSUE OR SOMETHING UNIQUE ABOUT 1941 01:12:34,200 --> 01:12:35,600 I DON'T KNOW SOCIAL MEDIA KITS 1942 01:12:35,600 --> 01:12:37,360 OR WHAT IS GOING ON THERE THAT 1943 01:12:37,360 --> 01:12:37,960 IT'S DIFFERENT? 1944 01:12:37,960 --> 01:12:41,360 CURIOUS ABOUT THAT. 1945 01:12:41,360 --> 01:12:42,560 ANY COMPLAINING BEING 1946 01:12:42,560 --> 01:12:42,840 QUESTIONED. 1947 01:12:42,840 --> 01:12:43,400 >> NO. 1948 01:12:43,400 --> 01:12:46,960 I THINK YOU ARE LIVING THIS IN 1949 01:12:46,960 --> 01:12:48,080 RIGHT EXPERIENCE SO ACTUALLY 1950 01:12:48,080 --> 01:12:50,040 THAT VOICE IS CRUCIAL FOR US TO 1951 01:12:50,040 --> 01:12:50,240 HEAR. 1952 01:12:50,240 --> 01:12:52,440 WE CANNOT BECOME COMPLACENT. 1953 01:12:52,440 --> 01:12:56,000 THE INCREASE IN OVERDOSE ARE 1954 01:12:56,000 --> 01:12:58,640 BASICALLY HITTING WORST 18 TO 34 1955 01:12:58,640 --> 01:13:00,080 YEARS OLD. 1956 01:13:00,080 --> 01:13:03,600 SO OVERDOSES DO APPEAR IN 1957 01:13:03,600 --> 01:13:05,000 ADOLESCENTS AND CHILDREN THOUGH 1958 01:13:05,000 --> 01:13:06,000 USUALLY CHILDREN ACCIDENTS AND 1959 01:13:06,000 --> 01:13:10,000 THEY STARTED TO ACTUALLY, I'M 1960 01:13:10,000 --> 01:13:11,080 INTRIGUE BECAUSE OVERALL VERY 1961 01:13:11,080 --> 01:13:12,800 LOW IN ADOLESCENTS BUT THERE ARE 1962 01:13:12,800 --> 01:13:13,880 THINGS THAT ARE STARTING TO 1963 01:13:13,880 --> 01:13:14,640 WORRY ME. 1964 01:13:14,640 --> 01:13:17,200 ONE OF THEM IN LAST YEAR I THINK 1965 01:13:17,200 --> 01:13:19,800 IT MAY HAVE BEEN NOVEMBER, NEW 1966 01:13:19,800 --> 01:13:21,200 JERSEY THERE WAS THE DETECTION 1967 01:13:21,200 --> 01:13:24,160 OF FENTANYL IN MARIJUANA. 1968 01:13:24,160 --> 01:13:26,000 AND THIS IS OF CONCERN BECAUSE 1969 01:13:26,000 --> 01:13:27,800 THIS IS A DRUG THAT TEENAGERS 1970 01:13:27,800 --> 01:13:30,080 ARE USING. 1971 01:13:30,080 --> 01:13:32,160 SO SUPPLY OF MARIJUANA BECOMES 1972 01:13:32,160 --> 01:13:35,800 NOW INCREASINGLY MORE TAKEN WITH 1973 01:13:35,800 --> 01:13:38,480 FENTANYL, THAT WILL POSE A MAJOR 1974 01:13:38,480 --> 01:13:40,160 RISK FOR THESE TEENAGERS. 1975 01:13:40,160 --> 01:13:43,120 ALSO AT RISK IF THEY PURCHASE 1976 01:13:43,120 --> 01:13:44,880 ELICIT PRESCRIPTION MEDICATION 1977 01:13:44,880 --> 01:13:46,640 AND THEY DO THAT FOR EXAMPLE 1978 01:13:46,640 --> 01:13:47,360 WITH STIMULANTS. 1979 01:13:47,360 --> 01:13:49,800 AND THERE'S ALSO EVIDENCE 1980 01:13:49,800 --> 01:13:52,440 STIMULANTS CAN HAVE CONTAIN 1981 01:13:52,440 --> 01:13:52,800 FEBRUARY NIL. 1982 01:13:52,800 --> 01:13:53,560 AND THAT -- FENTANYL. 1983 01:13:53,560 --> 01:13:56,280 TO THE EXTENT THAT FENTANYL IS 1984 01:13:56,280 --> 01:14:01,000 VERY EASY TO MANUFACTURE AND 1985 01:14:01,000 --> 01:14:03,200 VERY CHEAP, YOU CAN SEE HOW IT 1986 01:14:03,200 --> 01:14:05,000 POSES AND WHY IS ONE OF THE 1987 01:14:05,000 --> 01:14:07,000 REASONS WHY ACTUALLY EXPANDING 1988 01:14:07,000 --> 01:14:08,560 EVERYWHERE, YOU HAVE A 1989 01:14:08,560 --> 01:14:11,440 TREMENDOUS INCENTIVE FROM THE 1990 01:14:11,440 --> 01:14:14,600 PERSPECTIVE OF WHAT DEALERS ARE 1991 01:14:14,600 --> 01:14:16,880 BASICALLY MAKING BY SELLING 1992 01:14:16,880 --> 01:14:17,240 THESE DRUGS. 1993 01:14:17,240 --> 01:14:20,600 IT IS AN ISSUE OF CONCERN. 1994 01:14:20,600 --> 01:14:25,600 WE NEED TO PAY ATTENTION TO IT. 1995 01:14:25,600 --> 01:14:28,880 AS OF NOW IN ADOLESCENTS IS NOT 1996 01:14:28,880 --> 01:14:30,440 THE GROUP HIGH RISK OF OVERDOSE 1997 01:14:30,440 --> 01:14:32,000 AND AGAIN I'M SPEAKING IN TERMS 1998 01:14:32,000 --> 01:14:36,720 OF POPULATION, WE NEED TO DWELL, 1999 01:14:36,720 --> 01:14:38,160 THIS DATA I SHOW YOU CLEARLY 2000 01:14:38,160 --> 01:14:40,960 SAYS SO, WHEN WE FEEL CONFIDENT 2001 01:14:40,960 --> 01:14:43,320 OTHERS NOT MORE CHANGE WE NEED 2002 01:14:43,320 --> 01:14:45,360 TO DWELL IN SOME GROUPS. 2003 01:14:45,360 --> 01:14:48,000 IF WE DON'T DO WE MAY SEE THAT 2004 01:14:48,000 --> 01:14:50,760 IN SOME GROUPS THERE IS INCREASE 2005 01:14:50,760 --> 01:14:53,920 IN OVERDOSES IN TEENAGERS THAT 2006 01:14:53,920 --> 01:14:58,400 WERE NOT DETECTED OTHERWISE. 2007 01:14:58,400 --> 01:15:01,600 SO I DON'T KNOW, IT IS REALLY 2008 01:15:01,600 --> 01:15:03,560 DEVASTATING WHAT IS GOING ON IN 2009 01:15:03,560 --> 01:15:08,920 AMERICAN INDIAN AND ALASKA 2010 01:15:08,920 --> 01:15:09,520 NATIVE COMMUNITIES. 2011 01:15:09,520 --> 01:15:11,000 I'M WORKING WITH THE TRIBES AND 2012 01:15:11,000 --> 01:15:14,600 IT IS AGAIN, IT IS AN ISSUE THAT 2013 01:15:14,600 --> 01:15:16,320 WILL REQUIRE WE CREATE 2014 01:15:16,320 --> 01:15:17,080 PARTNERSHIPS WITH THEM. 2015 01:15:17,080 --> 01:15:19,000 AS WE ADDRESS ALL THE CHALLENGE 2016 01:15:19,000 --> 01:15:22,000 IT IS WAY THAT IT IS GOING TO 2017 01:15:22,000 --> 01:15:23,640 HAPPEN IS BY ALL FROM THE 2018 01:15:23,640 --> 01:15:25,400 SCIENCE TO THOSE PROVIDERS OF 2019 01:15:25,400 --> 01:15:28,520 TREATMENT, AND PREVENTION 2020 01:15:28,520 --> 01:15:30,160 WORKING TOGETHER. 2021 01:15:30,160 --> 01:15:31,280 BECAUSE SCIENCE BY ITSELF IS 2022 01:15:31,280 --> 01:15:32,120 INSUFFICIENT. 2023 01:15:32,120 --> 01:15:33,240 WE NEED TO BRING IT TO THE NEXT 2024 01:15:33,240 --> 01:15:36,600 LEVEL. 2025 01:15:36,600 --> 01:15:46,800 I SEE GAIL HAS HER HANDS UP. 2026 01:15:46,800 --> 01:15:49,520 >> I WANT TO ASK ABOUT 2027 01:15:49,520 --> 01:15:50,400 DIVERSITY, I WANT TALK ABOUT 2028 01:15:50,400 --> 01:15:52,960 ACTIVE SURVEILLANCE, 20 EDs 2029 01:15:52,960 --> 01:15:53,440 ACROSS THE COUNTRY. 2030 01:15:53,440 --> 01:15:58,320 WE ARE SEEING 75, 76% OF 2031 01:15:58,320 --> 01:15:59,880 PATIENTS POSITIVE FOR FEINT 2032 01:15:59,880 --> 01:16:00,160 MILL. 2033 01:16:00,160 --> 01:16:02,240 THERE HAVE BEEN AND WE ARE USING 2034 01:16:02,240 --> 01:16:05,240 A NON-CLEAR WAVE FROM FENTANYL 2035 01:16:05,240 --> 01:16:05,800 STRIPS, WE HAVE AT LEAST 2036 01:16:05,800 --> 01:16:06,840 SOMEWHERE AROUND THREE OR FIVE 2037 01:16:06,840 --> 01:16:08,160 CASES WHEN WE ARE CONVINCED THAT 2038 01:16:08,160 --> 01:16:15,240 THEY REALLY DID. 2039 01:16:15,240 --> 01:16:16,000 AND THE R STRIPS WEREN'T 2040 01:16:16,000 --> 01:16:17,480 SENSITIVE ENOUGH TO PICK UP BUT 2041 01:16:17,480 --> 01:16:18,160 IN GENERAL PRETTY GOOD. 2042 01:16:18,160 --> 01:16:20,880 WE ARE ALSO SEEING 30% OF 2043 01:16:20,880 --> 01:16:23,000 INDIVIDUALS, THIS IS OUTS OF 2044 01:16:23,000 --> 01:16:25,800 SAMPLE OF 800 OR SO OF THE URINE 2045 01:16:25,800 --> 01:16:28,600 THAT WE ARE SEEING 30% ARE THE 2046 01:16:28,600 --> 01:16:29,840 ONLY OPIOID IS FENTANYL. 2047 01:16:29,840 --> 01:16:31,920 SO REGARDLESS WHAT THE PERSON 2048 01:16:31,920 --> 01:16:34,160 THINKS, IT IS ONLY FENTANYL, NOT 2049 01:16:34,160 --> 01:16:36,320 LIKE THERE IS SOME OTHER 2050 01:16:36,320 --> 01:16:38,040 SYNTHETIC -- THERE'S HEROIN, IT 2051 01:16:38,040 --> 01:16:38,600 IS ONLY FENTANYL. 2052 01:16:38,600 --> 01:16:39,920 SO WE ARE SEEING QUITE A BIT OF 2053 01:16:39,920 --> 01:16:41,400 IT. 2054 01:16:41,400 --> 01:16:44,320 BUT WHAT I WANTED TO ASK YOU 2055 01:16:44,320 --> 01:16:48,720 ABOUT NORA WAS THE DIVERSITY 2056 01:16:48,720 --> 01:16:49,040 GRANTS. 2057 01:16:49,040 --> 01:16:51,240 I KNOW PEOPLE -- THERE'S BEEN 2058 01:16:51,240 --> 01:16:52,240 SOME DISCUSSION THAT THERE'S NOT 2059 01:16:52,240 --> 01:16:54,520 A LOT OF PEOPLE WHO ARE APPLYING 2060 01:16:54,520 --> 01:16:58,240 BUT THE DIVERSITY GRANTS ARE 2061 01:16:58,240 --> 01:17:01,000 VERY SMALL IN FINANCE AND 2062 01:17:01,000 --> 01:17:01,520 BUDGET. 2063 01:17:01,520 --> 01:17:05,360 SO I'M PUTTING A PULLY OUT 2064 01:17:05,360 --> 01:17:08,560 THERE, THAT IN THE DIVERSITY 2065 01:17:08,560 --> 01:17:11,560 SUPPLEMENTS EVEN IF PIGGY 2066 01:17:11,560 --> 01:17:13,160 BACKING OFF ANOTHER GRANTS SAY A 2067 01:17:13,160 --> 01:17:17,400 LARGE ONE LIKE EDM MENTION I DO 2068 01:17:17,400 --> 01:17:21,280 NEED MONEY FOR EVALUATION 2069 01:17:21,280 --> 01:17:23,080 STATISTICAL SUPPORT, REVIEWING 2070 01:17:23,080 --> 01:17:24,800 TRANSCRIPTS, IF THERE'S SOME 2071 01:17:24,800 --> 01:17:25,840 QUALITATIVE PARTS OF IT. 2072 01:17:25,840 --> 01:17:27,400 IT IS NOT A HUGE AMOUNT OF MONEY 2073 01:17:27,400 --> 01:17:28,960 BUT EARN CERTAINLY MORE THAN 2074 01:17:28,960 --> 01:17:32,280 $1,500 A YEAR. 2075 01:17:32,280 --> 01:17:34,480 SO IT'S CERTAINLY MORE THAN 2076 01:17:34,480 --> 01:17:35,760 $1,500 A YEAR. 2077 01:17:35,760 --> 01:17:37,000 GIVEN ALSO TO INVESTIGATOR IS 2078 01:17:37,000 --> 01:17:37,520 VERY SMALL. 2079 01:17:37,520 --> 01:17:41,600 SO I'M JUST MAKING A PLEA THAT 2080 01:17:41,600 --> 01:17:44,800 WE TRY TO THINK ABOUT ALLOCATING 2081 01:17:44,800 --> 01:17:47,160 A LITTLE BIT MORE MONEY FROM FOR 2082 01:17:47,160 --> 01:17:50,000 THE DIVERSITY SUPPLEMENTS. 2083 01:17:50,000 --> 01:17:52,800 >> WE ARE LOOKING INTO IT, I 2084 01:17:52,800 --> 01:17:56,280 NEED TO UNDERSTAND EXACTLY WHERE 2085 01:17:56,280 --> 01:17:58,840 IF IT IS -- INCREASE IT AND HOW 2086 01:17:58,840 --> 01:18:00,160 THAT WAS ESTABLISHED AND HOW TO 2087 01:18:00,160 --> 01:18:01,800 DO IT BUT WE WILL LOOK INTO IT. 2088 01:18:01,800 --> 01:18:09,600 >> THANK YOU. 2089 01:18:09,600 --> 01:18:11,520 >> SUSAN, I THINK THERE ARE NO 2090 01:18:11,520 --> 01:18:13,680 MORE QUESTIONS. 2091 01:18:13,680 --> 01:18:15,880 SO IF THERE ARE NO MORE 2092 01:18:15,880 --> 01:18:17,880 QUESTIONS WE CAN GO INTO THE 2093 01:18:17,880 --> 01:18:19,960 NEXT ITEM IN THE AGENDA AND I 2094 01:18:19,960 --> 01:18:22,040 TURN THE MICROPHONE TO YOU. 2095 01:18:22,040 --> 01:18:23,640 >> THANK YOU, THE NEXT ITEM IS 2096 01:18:23,640 --> 01:18:27,600 GOING TO BE WILSON COMPTON, WHO 2097 01:18:27,600 --> 01:18:30,480 WILL GIVE THE 2022 TRY ANNUAL 2098 01:18:30,480 --> 01:18:31,480 ADVISORY COUNCIL REPORT ON 2099 01:18:31,480 --> 01:18:33,040 INCLUSION OF WOMEN AND 2100 01:18:33,040 --> 01:18:33,800 MINORITIES IN IN CLINICAL 2101 01:18:33,800 --> 01:18:36,200 RESEARCH. 2102 01:18:36,200 --> 01:18:38,000 ARE YOU SHARING YOUR SCREEN OR 2103 01:18:38,000 --> 01:18:39,600 DO WE -- ARE WE SHOWING THE 2104 01:18:39,600 --> 01:18:39,840 SLIDES? 2105 01:18:39,840 --> 01:18:41,000 >> I WILL BE SHARING MY SCREEN 2106 01:18:41,000 --> 01:18:41,560 IN A MOMENT. 2107 01:18:41,560 --> 01:18:44,600 THANK YOU. 2108 01:18:44,600 --> 01:18:46,200 >> THANKS FOR THIS OPPORTUNITY 2109 01:18:46,200 --> 01:18:50,920 TO SHARE WITH YOU A REQUIREMENT 2110 01:18:50,920 --> 01:18:51,720 FOR NIH. 2111 01:18:51,720 --> 01:18:52,960 YOU MIGHT ASK WHY IS WILSON 2112 01:18:52,960 --> 01:18:54,960 DOING THIS, WHY IS DEPUTY 2113 01:18:54,960 --> 01:18:55,640 DIRECTOR OF THE INSTITUTE? 2114 01:18:55,640 --> 01:18:59,400 THIS IS A TRADITION ACROSS NIH 2115 01:18:59,400 --> 01:19:00,840 BECAUSE IT IS SO IMPORTANT THE 2116 01:19:00,840 --> 01:19:05,000 ISSUES INVOLVED IN MAKING SURE 2117 01:19:05,000 --> 01:19:06,120 WE PROVIDE ADEQUATE 2118 01:19:06,120 --> 01:19:07,800 REPRESENTATION OF WOMEN AND 2119 01:19:07,800 --> 01:19:09,080 UNDER-- GENERALLY 2120 01:19:09,080 --> 01:19:11,160 UNDER-REPRESENTED MINORITIES IN 2121 01:19:11,160 --> 01:19:12,000 RESEARCH STUDIES. 2122 01:19:12,000 --> 01:19:13,560 SO WITH THAT LET ME BEGIN TO 2123 01:19:13,560 --> 01:19:15,400 SHARE, I WILL TELL YOU A LITTLE 2124 01:19:15,400 --> 01:19:18,040 BACKGROUND AND WHAT WE HAVE FOR 2125 01:19:18,040 --> 01:19:20,600 DATA REGARDING THIS TRIENNIAL 2126 01:19:20,600 --> 01:19:26,000 ADVISORY COUNCIL REPORT. 2127 01:19:26,000 --> 01:19:29,800 ARE YOU ABLE TO SEE IT? 2128 01:19:29,800 --> 01:19:35,240 >> 2129 01:19:35,240 --> 01:19:36,320 >> THAT WORKS. 2130 01:19:36,320 --> 01:19:36,560 PERFECT. 2131 01:19:36,560 --> 01:19:38,000 >> GOOD. 2132 01:19:38,000 --> 01:19:41,000 BASICALLY THIS IS A REPORT THAT 2133 01:19:41,000 --> 01:19:42,840 HAPPENS EVERY THREE YEARS, IT IS 2134 01:19:42,840 --> 01:19:46,760 AN OLD REQUIREMENT FOR NIH. 2135 01:19:46,760 --> 01:19:49,720 THE LAWINGS ESTABLISHING THE 2136 01:19:49,720 --> 01:19:53,440 REQUIREMENT TO INCLUDE WOMEN AND 2137 01:19:53,440 --> 01:19:55,400 MINORITIES GROUPS GOES BACK TO 2138 01:19:55,400 --> 01:19:57,440 1986 WHEN NIH ESTABLISHED THE 2139 01:19:57,440 --> 01:20:00,720 POLICY FOR WOMEN AND MINORITIES 2140 01:20:00,720 --> 01:20:01,760 INTO CLINICAL RESEARCH. 2141 01:20:01,760 --> 01:20:05,080 IT ADDED ADDITION OF MINORITIES 2142 01:20:05,080 --> 01:20:06,400 THROUGH NEXT YEAR, ADDITIONAL 2143 01:20:06,400 --> 01:20:09,280 WORK, STILL 25, 30 YEARS AGO IN 2144 01:20:09,280 --> 01:20:10,280 1993 AND '94. 2145 01:20:10,280 --> 01:20:12,160 WE HAVE BEEN WORKING SINCE THAT 2146 01:20:12,160 --> 01:20:13,880 TIME TO ASSURE THAT WOMEN AND 2147 01:20:13,880 --> 01:20:16,880 MINORITY GROUPS ARE INCLUDED IN 2148 01:20:16,880 --> 01:20:20,160 CLINICAL RESEARCH AT ALL THE NIH 2149 01:20:20,160 --> 01:20:21,320 INSTITUTES NIDA INCLUDED. 2150 01:20:21,320 --> 01:20:23,560 WE HAVE A DIVERSE PORTFOLIO 2151 01:20:23,560 --> 01:20:25,320 FALLING UNDER THIS POLICY 2152 01:20:25,320 --> 01:20:26,000 INCLUSION GUIDELINES. 2153 01:20:26,000 --> 01:20:27,360 WE HAVE A NUMBER OF STRATEGIES 2154 01:20:27,360 --> 01:20:30,000 FOR ENSURING COMPLIANCE. 2155 01:20:30,000 --> 01:20:32,880 THE IMPLEMENTATION OF GUIDELINES 2156 01:20:32,880 --> 01:20:34,640 INVOLVES REVIEW THAT INCLUDES 2157 01:20:34,640 --> 01:20:38,400 Y'ALL AS SECOND STAGE REVIEW. 2158 01:20:38,400 --> 01:20:40,000 PROGRAM STAFF, POLICY STAFF AND 2159 01:20:40,000 --> 01:20:41,440 GRANTS MANAGEMENT STAFF. 2160 01:20:41,440 --> 01:20:43,720 FUNDING ANNOUNCEMENTS CONTAIN 2161 01:20:43,720 --> 01:20:44,840 LANGUAGE ENCOURAGING AND 2162 01:20:44,840 --> 01:20:45,960 REQUIRING THAT WOMEN AND 2163 01:20:45,960 --> 01:20:47,160 MINORITIES BE INCLUDED IN 2164 01:20:47,160 --> 01:20:50,040 RESEARCH STUDY. 2165 01:20:50,040 --> 01:20:51,840 UNLESS INAPPROPRIATE FOR SOME 2166 01:20:51,840 --> 01:20:54,160 PARTICULAR SCIENTIFIC OR 2167 01:20:54,160 --> 01:20:55,280 CLINICAL REASON. 2168 01:20:55,280 --> 01:20:56,960 REVIEW AT INITIAL REVIEW GROUP 2169 01:20:56,960 --> 01:20:59,160 AND SECONDARY REVIEW AT COUNCIL 2170 01:20:59,160 --> 01:21:03,280 EVALUATE THESE APPLICATIONS AND 2171 01:21:03,280 --> 01:21:04,920 PROGRAM STAFF RESPONSIBLE FOR 2172 01:21:04,920 --> 01:21:07,440 REVIEWING INCLUSION INFORMATION 2173 01:21:07,440 --> 01:21:09,560 AND THE PLANT FOR SUCCESSFUL 2174 01:21:09,560 --> 01:21:11,680 RECRUITSMENT OF A DIVERSE 2175 01:21:11,680 --> 01:21:14,200 POPULATION OF CLINICAL SUBJECTS. 2176 01:21:14,200 --> 01:21:16,760 GRANTS MANAGEMENT STAFF ENSURE 2177 01:21:16,760 --> 01:21:17,360 TERMS AND CONDITIONS ARE 2178 01:21:17,360 --> 01:21:20,600 INCLUDED IN THE NOTICE OF AWARD. 2179 01:21:20,600 --> 01:21:22,280 AND INFORMATION ABOUT THE 2180 01:21:22,280 --> 01:21:24,320 INCLUSION IS DOCUMENTED IN THE 2181 01:21:24,320 --> 01:21:25,000 OFFICIAL GRANTS FILE. 2182 01:21:25,000 --> 01:21:28,680 IT IS NOT JUST EXTRAMURAL BUT 2183 01:21:28,680 --> 01:21:32,080 INTRAMURAL AS WELL REQUIRED TO 2184 01:21:32,080 --> 01:21:34,200 FOLLOW THESE GUIDELINES. 2185 01:21:34,200 --> 01:21:35,240 THE INTRAMURAL PROGRAM 2186 01:21:35,240 --> 01:21:36,480 INVESTIGATORS ARE REQUIRED TO 2187 01:21:36,480 --> 01:21:37,600 PROVIDE PLANTS FOR THE 2188 01:21:37,600 --> 01:21:38,440 APPROPRIATE INCLUSION OF WOMEN 2189 01:21:38,440 --> 01:21:42,160 AND MINORITIES. TRAINING IS 2190 01:21:42,160 --> 01:21:43,840 PROVIDED FOR STAFF AT ALL THESE 2191 01:21:43,840 --> 01:21:47,600 LEVELS BY NIH AND NIDA. 2192 01:21:47,600 --> 01:21:48,760 ON A REGULAR BASIS. 2193 01:21:48,760 --> 01:21:50,400 I'M GOING TO SHARE WITH YOU 2194 01:21:50,400 --> 01:21:51,480 BELIEFLY DATA SENT TO YOU AHEAD 2195 01:21:51,480 --> 01:21:54,080 OF TIME IN YOUR COUNCIL BOOK. 2196 01:21:54,080 --> 01:21:55,720 THE DATA FOR THE LAST FEW YEARS 2197 01:21:55,720 --> 01:21:57,600 WERE NOT DEVELOPED BY ME OR 2198 01:21:57,600 --> 01:21:59,160 DIRECTLY AT NIDA BUT THESE ARE 2199 01:21:59,160 --> 01:22:01,440 PROVIDED BY THE NIH OFFICE OF 2200 01:22:01,440 --> 01:22:04,080 EXTRAMURAL RESEARCH OER, AND ARE 2201 01:22:04,080 --> 01:22:06,960 BASED ON THE PRINCIPLE 2202 01:22:06,960 --> 01:22:09,400 INVESTIGATORS SELF-ROSTED DATA 2203 01:22:09,400 --> 01:22:10,600 FROM PARTICIPANTS SO MANY MAY 2204 01:22:10,600 --> 01:22:11,960 HAVE SUBMITTED DATA INCLUDED IN 2205 01:22:11,960 --> 01:22:12,640 THIS REPORT. 2206 01:22:12,640 --> 01:22:14,880 DATA IS STORED IN THE NIH HUMAN 2207 01:22:14,880 --> 01:22:16,480 SUBJECTS SYSTEM DATABASE. 2208 01:22:16,480 --> 01:22:20,040 I START OUT WITH SEX AND GENDER 2209 01:22:20,040 --> 01:22:21,720 DATA, OVERALL NUMBER OF RESEARCH 2210 01:22:21,720 --> 01:22:25,000 SUBJECTS ACROSS ALL OF NIDA 2211 01:22:25,000 --> 01:22:27,320 STUDIES IS TREMENDOUS. 2212 01:22:27,320 --> 01:22:30,480 1.6 MILLION IN FY 19, SOME 2213 01:22:30,480 --> 01:22:33,280 2.2 MILLION IN FY 20, QUITE A 2214 01:22:33,280 --> 01:22:35,160 BIT LOWER IN FY 21, THAT SPEAKS 2215 01:22:35,160 --> 01:22:36,880 TO THE COMPLEXITY OF DOING THE 2216 01:22:36,880 --> 01:22:39,080 LARGE SCALE PUPILLAGES STUDIES. 2217 01:22:39,080 --> 01:22:41,000 -- POPULATION STUDIES DURING THE 2218 01:22:41,000 --> 01:22:42,320 COVID PANDEMIC. 2219 01:22:42,320 --> 01:22:46,400 WHEN WE LOOK AT THE DIVERSITY IN 2220 01:22:46,400 --> 01:22:49,360 TERMS OF GENDER WE SEE THERE IS 2221 01:22:49,360 --> 01:22:52,160 A SLIGHT OVERREPRESENTATION OF 2222 01:22:52,160 --> 01:22:54,000 MEN IN OUR STUDIES ACROSS ALL 2223 01:22:54,000 --> 01:22:54,720 THREE YEARS. 2224 01:22:54,720 --> 01:22:59,800 MISSING DATA IS RARE THOSE MORE 2225 01:22:59,800 --> 01:23:01,280 COMMON IN MOST RECENT REPORTING 2226 01:23:01,280 --> 01:23:02,040 PERIOD. 2227 01:23:02,040 --> 01:23:04,040 I THOUGHT WE LOOK NOT ONLY 2228 01:23:04,040 --> 01:23:05,720 OVERALL BUT EXTRAMURAL 2229 01:23:05,720 --> 01:23:07,560 INTRAMURAL AND EMPHASIZE PHASE 3 2230 01:23:07,560 --> 01:23:09,160 STUDIES AS WELL FOR EACH 2231 01:23:09,160 --> 01:23:09,680 COMPONENT. 2232 01:23:09,680 --> 01:23:11,440 INTRAMURAL AND EXTRAMURAL ARE 2233 01:23:11,440 --> 01:23:12,680 SIMILAR IN TERMS OF RATES. 2234 01:23:12,680 --> 01:23:15,120 THE INTRAMURAL PROGRAM HAS 2235 01:23:15,120 --> 01:23:17,280 HIGHER RATE OF MALES THAN 2236 01:23:17,280 --> 01:23:20,000 FEMALES IN CLINICAL RESEARCH. 2237 01:23:20,000 --> 01:23:22,800 ALMOST NO CASES OF UNKNOWN SEX 2238 01:23:22,800 --> 01:23:26,520 OR GENDER. 2239 01:23:26,520 --> 01:23:28,280 WHEN IT COMES TO PHASE 3 TRIALS, 2240 01:23:28,280 --> 01:23:30,040 A SUB SETS OF CLINICAL RESEARCH 2241 01:23:30,040 --> 01:23:31,280 BUT IMPORTANT FOR REPRESENTATION 2242 01:23:31,280 --> 01:23:37,000 FOR CLINICAL DESIS MAKING, SEE 2243 01:23:37,000 --> 01:23:38,280 STRONG REPRESENTATION OF MEN AND 2244 01:23:38,280 --> 01:23:39,800 WOMEN AND SLIGHTLY HIGHER RATE 2245 01:23:39,800 --> 01:23:44,000 OF UNKNOWN PARTICULARLY 2019 BUT 2246 01:23:44,000 --> 01:23:45,560 LOW RATE OF UNKNOWN OR NOT 2247 01:23:45,560 --> 01:23:47,240 REPORTING INFORMATION IN 20 AND 2248 01:23:47,240 --> 01:23:47,680 21. 2249 01:23:47,680 --> 01:23:49,200 LET'S SWITCH TO RACE AND THEN 2250 01:23:49,200 --> 01:23:53,480 TALK ABOUT ETHNICITY. 2251 01:23:53,480 --> 01:23:56,000 RACIAL DATA IS MORE COMPLICATED. 2252 01:23:56,000 --> 01:23:57,800 T THE WAY THESE CHARTS ARE 2253 01:23:57,800 --> 01:23:59,080 ORGANIZATIONED IS IN ORDER -- 2254 01:23:59,080 --> 01:24:01,200 ORGANIZED IS IN ORDER OF 2255 01:24:01,200 --> 01:24:04,320 PRESENTATION. SO IN 2019, 2% 2256 01:24:04,320 --> 01:24:05,560 CLINICAL SUBJECTS IN OUR STUDIES 2257 01:24:05,560 --> 01:24:08,320 WITH AMERICAN INDIAN, ALASKA 2258 01:24:08,320 --> 01:24:09,880 NATIVE, 2.3% ASIAN. 2259 01:24:09,880 --> 01:24:14,120 19% BLACK OR AFRICAN AMERICAN, 2260 01:24:14,120 --> 01:24:17,600 .3 NATIVE HAWAII OR PACIFIC 2261 01:24:17,600 --> 01:24:18,480 ISLANDER. 2262 01:24:18,480 --> 01:24:19,760 58% WHITE. 2263 01:24:19,760 --> 01:24:23,040 2% MORE THAN ONE RACE OR 6% 2264 01:24:23,040 --> 01:24:24,400 UNKNOWN OR NOT REPORTED. 2265 01:24:24,400 --> 01:24:26,080 PERCENTAGE OF MORE THAN ONE RACE 2266 01:24:26,080 --> 01:24:30,680 INCREASED IN 2021 AND WE SEE A 2267 01:24:30,680 --> 01:24:32,000 SHIFT OVER TIME BUT GENERALLY 2268 01:24:32,000 --> 01:24:33,160 THE SAME PATTERNS OVER THE THREE 2269 01:24:33,160 --> 01:24:35,960 YEARS. 2270 01:24:35,960 --> 01:24:37,800 COMPARING THE EXTRAMURAL PROGRAM 2271 01:24:37,800 --> 01:24:40,280 TO INTRAMURAL, WE SEE A LARGE 2272 01:24:40,280 --> 01:24:42,000 REPRESENTATION OF BLACK OR 2273 01:24:42,000 --> 01:24:42,920 AFRICAN AMERICAN PARTICIPANTS IN 2274 01:24:42,920 --> 01:24:44,360 OUR INTRAMURAL PROGRAM. 2275 01:24:44,360 --> 01:24:49,400 AND A LOWER PERCENTAGE OF WE 2276 01:24:49,400 --> 01:24:52,440 WILL COME BACK TO HISPANIC IN A 2277 01:24:52,440 --> 01:24:54,680 MINUTE. 2278 01:24:54,680 --> 01:24:56,360 LOWER PERCENTAGE OF WHITE 2279 01:24:56,360 --> 01:24:58,200 REFLECTING DEMOGRAPHICS IN 2280 01:24:58,200 --> 01:24:59,520 BALTIMORE WHERE INTRAMURAL 2281 01:24:59,520 --> 01:25:02,160 PROGRAM IS LOCATED. 2282 01:25:02,160 --> 01:25:05,760 IN PHASE 3 TRIALS WE SEE DIVERSE 2283 01:25:05,760 --> 01:25:08,400 POPULATION OF REPRESENTATIONS 2284 01:25:08,400 --> 01:25:09,920 THOUGH SURPRISED WE HAVE UNKNOWN 2285 01:25:09,920 --> 01:25:11,240 OR NOT REPORTED IN HIGHER 2286 01:25:11,240 --> 01:25:16,160 PERCENTAGE IN THIS CASE. 2287 01:25:16,160 --> 01:25:16,640 BUT WE HAVE STRONG 2288 01:25:16,640 --> 01:25:18,400 REPRESENTATION OF BLACK OR 2289 01:25:18,400 --> 01:25:20,640 AFRICAN AMERICAN IN OUR CLINICAL 2290 01:25:20,640 --> 01:25:21,920 PHASE 3 TRIALS. 2291 01:25:21,920 --> 01:25:24,240 WHEN WE LOOK AT ETHNICITY AS A 2292 01:25:24,240 --> 01:25:26,600 SEPARATE CATEGORY FROM RACE 2293 01:25:26,600 --> 01:25:29,040 COMPARING LATINO OR HISPANIC 2294 01:25:29,040 --> 01:25:31,840 IDENTIFIED INDIVIDUALS, WE SEE 2295 01:25:31,840 --> 01:25:39,160 THAT THE RATES ARE 9% IN 2019 2296 01:25:39,160 --> 01:25:42,960 AND 2020 AND A LITTLE HIGHER 7% 2297 01:25:42,960 --> 01:25:45,960 IN 2021 OVERALL. 2298 01:25:45,960 --> 01:25:47,320 EXTRAMURAL VERSUS INTRAMURAL, 2299 01:25:47,320 --> 01:25:48,840 INTRAMURAL HAS LOWER PERCENTAGE 2300 01:25:48,840 --> 01:25:50,800 OF HISPANIC OR LATINO 2301 01:25:50,800 --> 01:25:52,520 INDIVIDUALS REFLECTING THE 2302 01:25:52,520 --> 01:25:54,400 POPULATION IN BALTIMORE WHERE 2303 01:25:54,400 --> 01:25:55,760 RECRUITS ARE MOSTLY FROM. 2304 01:25:55,760 --> 01:25:59,320 WHEN WE LOOK AT PHASE 3 TRIALS 2305 01:25:59,320 --> 01:26:00,840 WE SEE A HIGHER REPRESENTATION 2306 01:26:00,840 --> 01:26:02,640 OF HISPANICS LIKE THE OVERALL 2307 01:26:02,640 --> 01:26:06,800 NUMBERS IN 2021. 2308 01:26:06,800 --> 01:26:10,200 SO THAT IS A RAPID FIRE REVIEW 2309 01:26:10,200 --> 01:26:12,400 OF A TRIENNIAL REPORT ABOUT 2310 01:26:12,400 --> 01:26:15,920 INCLUSION OF WOMEN AND MINORITY 2311 01:26:15,920 --> 01:26:17,360 PERSONS IN CLINICAL RESEARCH AT 2312 01:26:17,360 --> 01:26:21,560 NIDA AS PART OF OVERALL ACROSS 2313 01:26:21,560 --> 01:26:21,920 NIH. 2314 01:26:21,920 --> 01:26:24,000 I HOPE YOU WILL AGREE WITH ME WE 2315 01:26:24,000 --> 01:26:26,240 HAVE STRATEGIES IN PLACE TO 2316 01:26:26,240 --> 01:26:27,960 ENSURE COMPLIANCE WHICH DO 2317 01:26:27,960 --> 01:26:29,680 INVOLVE PARTICIPATION OF Y'ALL 2318 01:26:29,680 --> 01:26:33,000 AS PART OF A REVIEW BUT PROGRAM 2319 01:26:33,000 --> 01:26:34,200 POLICY AND GRANTS MANAGEMENT 2320 01:26:34,200 --> 01:26:35,880 AMONG THE REST OF OUR TEAM THAT 2321 01:26:35,880 --> 01:26:37,000 WORK ON THESE ISSUES. 2322 01:26:37,000 --> 01:26:39,320 MY REQUEST TO YOU IS FOR Y'ALL 2323 01:26:39,320 --> 01:26:40,840 TO CERTIFY OUR COMPLIANCE WITH 2324 01:26:40,840 --> 01:26:44,720 THE POLICY ON INCLUSION BIER FOR 2325 01:26:44,720 --> 01:26:45,520 THESE PAST THREE YEARS. 2326 01:26:45,520 --> 01:26:46,760 I WILL ANSWER QUESTIONS AS BEST 2327 01:26:46,760 --> 01:26:49,200 I CAN. 2328 01:26:49,200 --> 01:26:52,200 BEFORE I WRAP UP I WANT TO 2329 01:26:52,200 --> 01:26:53,000 ACKNOWLEDGE (INAUDIBLE) WHO 2330 01:26:53,000 --> 01:26:54,680 WORKS IN OUR CLINICAL TRIALS 2331 01:26:54,680 --> 01:26:56,600 NETWORK WHO DID JUST A WONDERFUL 2332 01:26:56,600 --> 01:26:58,360 JOB HELPING ME PREPARE THIS 2333 01:26:58,360 --> 01:27:01,440 PRESENTATION AN REALLY REMINDS 2334 01:27:01,440 --> 01:27:04,000 ME EACH THREE YEARS OF THIS 2335 01:27:04,000 --> 01:27:05,200 REQUIREMENT IF THEY ARE HAVING 2336 01:27:05,200 --> 01:27:07,080 BEEN PROBLEMS IN THE MEANTIME 2337 01:27:07,080 --> 01:27:08,520 ABOUT ONCE EVERY THREE YEARS WE 2338 01:27:08,520 --> 01:27:10,720 WILL BRING IT TO YOUR ATTENTION. 2339 01:27:10,720 --> 01:27:12,600 T WITH THAT LET ME STOP SHARING 2340 01:27:12,600 --> 01:27:14,160 AND OPEN UP SO I CAN SEE THERE'S 2341 01:27:14,160 --> 01:27:15,160 ANY QUESTIONS. 2342 01:27:15,160 --> 01:27:18,040 THEN WE WILL OPEN UP I HOPE FOR 2343 01:27:18,040 --> 01:27:19,080 CONCURRENCE WITH THIS REPORT. 2344 01:27:19,080 --> 01:27:21,480 FOR APPROVAL OF THIS INCLUSION 2345 01:27:21,480 --> 01:27:27,920 REPORT. 2346 01:27:27,920 --> 01:27:28,400 SHELLEY. 2347 01:27:28,400 --> 01:27:29,520 CAN'T TELL WHETHER YOU ARE 2348 01:27:29,520 --> 01:27:32,960 ASKING A QUESTION OR MAKING A 2349 01:27:32,960 --> 01:27:33,200 MOTION -- 2350 01:27:33,200 --> 01:27:35,600 >> I'M GOING TO IF IT IS ALL 2351 01:27:35,600 --> 01:27:38,080 RIGHT JUST MAKE A QUICK COMMENT. 2352 01:27:38,080 --> 01:27:40,160 THANK YOU SO MUCH FOR THIS 2353 01:27:40,160 --> 01:27:42,360 REPORT WHICH I FIND REVIEWING 2354 01:27:42,360 --> 01:27:44,440 THE STATISTICS REALLY INCREDIBLY 2355 01:27:44,440 --> 01:27:47,200 IMPORTANT AND SALIENT FOR ALL OF 2356 01:27:47,200 --> 01:27:48,800 CLINICAL RESEARCH AND IT HAS 2357 01:27:48,800 --> 01:27:50,240 BEEN A LONG STRETCH OF TIME TO 2358 01:27:50,240 --> 01:27:52,680 INCREASE THE PROPORTION OF 2359 01:27:52,680 --> 01:27:54,640 INDIVIDUALS ENROLL IN CLINICAL 2360 01:27:54,640 --> 01:27:56,200 TRIALS, IN CLINICAL RESEARCH 2361 01:27:56,200 --> 01:28:00,160 ACROSS GENDER RACE ETHNICITY. 2362 01:28:00,160 --> 01:28:01,520 CLEARLY ALREADY MANY 2363 01:28:01,520 --> 01:28:03,040 IMPROVEMENTS IN SOME PLACES 2364 01:28:03,040 --> 01:28:06,840 WHERE WE STILL HAVE FAR TO GO. 2365 01:28:06,840 --> 01:28:09,080 ONE THING THAT IS ALWAYS A 2366 01:28:09,080 --> 01:28:12,400 CO-NUMBER DRUM IN CLINICAL RE-- 2367 01:28:12,400 --> 01:28:15,760 CONUNDRUM IN CLINICAL RESEARCH 2368 01:28:15,760 --> 01:28:17,760 IS INTERSECTION WALLTY BETWEEN 2369 01:28:17,760 --> 01:28:20,640 GENDER RACE AN ETHNICITY AND WE 2370 01:28:20,640 --> 01:28:22,560 HAVE ISSUES TO FIND OUT 2371 01:28:22,560 --> 01:28:23,240 REPRESENTATION TO WE CAN 2372 01:28:23,240 --> 01:28:24,480 UNDERSTAND THINGS THAT ARE BOTH 2373 01:28:24,480 --> 01:28:26,800 GENDER AND CULTURALLY SPECIFIC 2374 01:28:26,800 --> 01:28:27,640 TO POPULATIONS. 2375 01:28:27,640 --> 01:28:29,440 SO I WANTED TO MENTION THAT 2376 01:28:29,440 --> 01:28:31,160 BECAUSE IT IS REALLY COMES UP 2377 01:28:31,160 --> 01:28:32,840 ALL THE TIME IN OUR SUBSTANCE 2378 01:28:32,840 --> 01:28:36,480 USE DISORDER AND SUBSTANCE USE 2379 01:28:36,480 --> 01:28:38,640 RESEARCH IN CLINICAL TRIALS AND 2380 01:28:38,640 --> 01:28:39,880 ACROSS ALL CLINICAL RESEARCH BUT 2381 01:28:39,880 --> 01:28:43,560 I THANK YOU FOR THE REPORT, IT 2382 01:28:43,560 --> 01:28:45,920 IS IMPORTANT WORK IN TERMS OF 2383 01:28:45,920 --> 01:28:46,920 TRACK ALL THIS AND PRESENTING TO 2384 01:28:46,920 --> 01:28:48,280 THE SCRIPS SO THANK YOU, VERY 2385 01:28:48,280 --> 01:28:49,160 MUCH. 2386 01:28:49,160 --> 01:28:50,800 >> I WOULD SAY THIS IS A THEME 2387 01:28:50,800 --> 01:28:52,200 YOU ARE GOING TO BE HEARING 2388 01:28:52,200 --> 01:28:54,080 REFLECTED IN THE -- IN SOME OF 2389 01:28:54,080 --> 01:28:54,800 THE REST OF THE PRESENTATION 2390 01:28:54,800 --> 01:28:57,000 COUNCIL IN TERMS OF RACIAL 2391 01:28:57,000 --> 01:28:58,680 ETHNIC EQUITY ISSUES. 2392 01:28:58,680 --> 01:29:01,640 AND YOUR COMMENTS ABOUT 2393 01:29:01,640 --> 01:29:07,040 INTERSEXUALITY IS TAKEN -- 2394 01:29:07,040 --> 01:29:08,000 INTERSEXUALITY. 2395 01:29:08,000 --> 01:29:09,080 ADIFFERENT CROSSWALK BUT 2396 01:29:09,080 --> 01:29:10,120 CERTAINLY THAT IS POSSIBLE AND 2397 01:29:10,120 --> 01:29:11,360 WITH THESE LARGE NUMBERS THEY 2398 01:29:11,360 --> 01:29:16,240 ARE STABLE ESTIMATES. 2399 01:29:16,240 --> 01:29:17,800 FOR AT LEAST OVERALL FOR THE 2400 01:29:17,800 --> 01:29:20,600 CLINICAL RESEARCH PROGRAM. 2401 01:29:20,600 --> 01:29:25,600 INTERSEXUALITY. 2402 01:29:25,600 --> 01:29:30,800 COMMENTS 2403 01:29:30,800 --> 01:29:35,240 >> IF I CAN ASK FOR A MOTION TO 2404 01:29:35,240 --> 01:29:35,840 APPROVE THIS. 2405 01:29:35,840 --> 01:29:37,800 I'M SEEING A NUMBER OF HANDS 2406 01:29:37,800 --> 01:29:38,160 RAISED. 2407 01:29:38,160 --> 01:29:39,720 ANYONE DISAPPROVES WITH THE 2408 01:29:39,720 --> 01:29:40,520 APPROVAL? 2409 01:29:40,520 --> 01:29:41,840 I DON'T HEAR ANY SO THANK YOU 2410 01:29:41,840 --> 01:29:43,200 VERY MUCH AND I BELIEVE THAT 2411 01:29:43,200 --> 01:29:45,480 ENDS THIS PART OF MY 2412 01:29:45,480 --> 01:29:53,800 PRESENTATION TODAY. 2413 01:29:53,800 --> 01:29:57,040 >> WE ARE SCHEDULED FOR BREAK AT 2414 01:29:57,040 --> 01:29:57,400 2:30. 2415 01:29:57,400 --> 01:29:59,160 WE ARE A LITTLE AHEAD OF 2416 01:29:59,160 --> 01:30:00,000 SCHEDULE, ANY OTHER QUESTIONS 2417 01:30:00,000 --> 01:30:01,320 PEOPLE WANT TO BRING UP TO 2418 01:30:01,320 --> 01:30:03,880 WILSON OR NORA OR ANY ONE OF US 2419 01:30:03,880 --> 01:30:07,560 ON THE CALL, PLEASE YOU HAVE 2420 01:30:07,560 --> 01:30:09,080 ANOTHER CHANCE OTHERWISE WE GET 2421 01:30:09,080 --> 01:30:18,360 A NICE BREAK. 2422 01:30:18,360 --> 01:30:18,720 OKAY. 2423 01:30:18,720 --> 01:30:21,160 PLEASE GET BACK IN TIME OUR NEXT 2424 01:30:21,160 --> 01:30:23,440 SPEAKER IS AN OUTSIDE SPEAKER 2425 01:30:23,440 --> 01:30:26,160 WHICH DR. HILDRETH, IT WILL BE A 2426 01:30:26,160 --> 01:30:27,200 VERY INTERESTING DISCUSSION SO 2427 01:30:27,200 --> 01:30:28,800 HE STARTS AT 2:40. 2428 01:30:28,800 --> 01:30:32,120 PLEASE BE BACK BY THEN. 2429 01:30:32,120 --> 01:30:35,080 IT'S A PLEASURE FOR ME TO 2430 01:30:35,080 --> 01:30:37,640 INTRODUCE DR. JAMES HILDRETH WHO 2431 01:30:37,640 --> 01:30:44,520 IS A Ph.D. M.D. AND EXECUTIVE 2432 01:30:44,520 --> 01:30:46,200 OFFICER OF 2433 01:30:46,200 --> 01:30:48,560 MEHARRY MEDICAL 2434 01:30:48,560 --> 01:30:51,920 COLLEGE, THE NATION LARGEST 2435 01:30:51,920 --> 01:30:52,840 HISTORICALLY BLACK SCIENCE 2436 01:30:52,840 --> 01:30:53,240 CENTER. 2437 01:30:53,240 --> 01:30:56,400 HE OBTAINED BA IN CHEMISTRY FROM 2438 01:30:56,400 --> 01:30:58,000 HARVARD AND SELECTED THE FIRST 2439 01:30:58,000 --> 01:31:00,920 AFRICAN AMERICAN SCHOLAR FROM 2440 01:31:00,920 --> 01:31:03,520 ARKANSAS, OBTAIN Ph.D. IN 2441 01:31:03,520 --> 01:31:04,560 IMMUNOLOGY FROM OXFORD 2442 01:31:04,560 --> 01:31:06,520 UNIVERSITY WHERE HE STUDIED 2443 01:31:06,520 --> 01:31:08,440 BIOLOGY OF VIRUS SPECIFIC 2444 01:31:08,440 --> 01:31:10,760 CYTOTOXIC T-CELLS AND EXPERT IN 2445 01:31:10,760 --> 01:31:12,680 MONOCLONAL ANTIBODY TECHNOLOGY 2446 01:31:12,680 --> 01:31:15,240 AND CELL ADAPTATION. 2447 01:31:15,240 --> 01:31:17,360 OBTAIN M.D. FROM JOHNS HOPKINS 2448 01:31:17,360 --> 01:31:22,120 UNIVERSITY SCHOOL OF MEDICINE, 2449 01:31:22,120 --> 01:31:23,560 WORKING 1987 AS ASSISTANT 2450 01:31:23,560 --> 01:31:25,720 PROFESSOR AND WAS APPOINTED THE 2451 01:31:25,720 --> 01:31:29,680 FIRST ASSOCIATE DEAN FROM 2452 01:31:29,680 --> 01:31:32,880 GRADUATE STUDENTS, IN 202 HE 2453 01:31:32,880 --> 01:31:35,640 BECAME THE FIRST AFRICAN 2454 01:31:35,640 --> 01:31:38,360 AMERICAN IN THE 135 YEAR HISTORY 2455 01:31:38,360 --> 01:31:41,000 OF JOHNS HOPKINS TO EARN FULL 2456 01:31:41,000 --> 01:31:42,120 PROFESSORSHIP WITH TENURE IN 2457 01:31:42,120 --> 01:31:45,280 BASIC SCIENCES. 2458 01:31:45,280 --> 01:31:47,200 IN 205 HE BECAME DIRECTOR OF THE 2459 01:31:47,200 --> 01:31:49,920 NIH FUNDED CENTER FOR AIDS 2460 01:31:49,920 --> 01:31:52,160 HEALTH DISPARITIES RESEARCH AT 2461 01:31:52,160 --> 01:31:53,680 MEHARRY MEDICAL COLLEGE. 2462 01:31:53,680 --> 01:31:57,320 THEN IN 2011 HE BECAME TEN OF 2463 01:31:57,320 --> 01:32:00,600 THE COLLEGE BIOLOGICAL SCIENCES 2464 01:32:00,600 --> 01:32:03,720 UC DAVIS BEING THE FIRST AFRICAN 2465 01:32:03,720 --> 01:32:06,640 AMERICAN DEAN IN THE UNIVERSITY 2466 01:32:06,640 --> 01:32:08,680 THAT ALSO TENURE PROFESSORSHIPS 2467 01:32:08,680 --> 01:32:10,760 IN THE DEPARTMENT OF CELLULAR 2468 01:32:10,760 --> 01:32:14,160 AND MOLECULAR BIOLOGY, AND OF 2469 01:32:14,160 --> 01:32:15,520 SPECIAL MEDICINE. 2470 01:32:15,520 --> 01:32:18,240 HIS RESEARCH IN IMMUNOLOGY AND 2471 01:32:18,240 --> 01:32:21,120 VIROLOGY WITH A FOCUS ON HIV HAS 2472 01:32:21,120 --> 01:32:23,640 LED TO MORE THAN 135 2473 01:32:23,640 --> 01:32:25,400 PUBLICATIONS IN TOP JOURNALS AND 2474 01:32:25,400 --> 01:32:26,720 11 PATENTS. 2475 01:32:26,720 --> 01:32:29,720 HE HAS RECEIVED NUMEROUS NIH 2476 01:32:29,720 --> 01:32:32,840 GRANTS INCLUDING PRESTIGIOUS 2477 01:32:32,840 --> 01:32:34,880 PIONEER AWARD. 2478 01:32:34,880 --> 01:32:36,760 A TECHNOLOGY DEVELOPED BY DR. 2479 01:32:36,760 --> 01:32:41,520 HILDRETH WAS LICENSED BY 2480 01:32:41,520 --> 01:32:42,560 BIOGENENTECH AS THE BASIS FOR 2481 01:32:42,560 --> 01:32:46,160 FDA APPROVED DRUG RAPTIVA. 2482 01:32:46,160 --> 01:32:48,480 HE RECEIVED NUMEROUS AWARDS FOR 2483 01:32:48,480 --> 01:32:49,800 RESEARCH, COMMITMENT TO 2484 01:32:49,800 --> 01:32:52,000 DIVERSITY IN MEDICINE, 2485 01:32:52,000 --> 01:32:53,240 BIOMEDICAL RESEARCH AND SERVICE 2486 01:32:53,240 --> 01:32:55,520 TO THE COMMUNITIES. 2487 01:32:55,520 --> 01:33:00,280 THIS INCLUDES AMONG OTHERS HON 2488 01:33:00,280 --> 01:33:02,440 LAYER DEGREES IN INDUCTED TO 2489 01:33:02,440 --> 01:33:04,000 BLACK HALL OF FAME, JOHNS 2490 01:33:04,000 --> 01:33:06,440 HOPKINS UNIVERSITY SOCIETY OF 2491 01:33:06,440 --> 01:33:07,520 SCHOLAR, AND ELECTION TO 2492 01:33:07,520 --> 01:33:09,280 NATIONAL ACADEMY OF MEDICINE. 2493 01:33:09,280 --> 01:33:12,360 HE WAS RECENTLY NAMED ONE OF THE 2494 01:33:12,360 --> 01:33:15,800 50 MOST INFLUENTIAL CLINICAL 2495 01:33:15,800 --> 01:33:17,480 LEADERS BY MODERN HEALTHCARE. 2496 01:33:17,480 --> 01:33:20,800 HE SERVES IN TWO FDA ADVISORY 2497 01:33:20,800 --> 01:33:22,800 COMMITTEES, BUT SEEMS UNRELATED 2498 01:33:22,800 --> 01:33:26,800 BIOLOGICAL PROBLEMS AND ADVISORY 2499 01:33:26,800 --> 01:33:29,080 COMMITTEE AND THE ANTIMICROBIAL 2500 01:33:29,080 --> 01:33:32,400 DRUGS ADVISORY COMMITTEE OR THE 2501 01:33:32,400 --> 01:33:34,400 -- THAT COVID VACCINES AND DRUGS 2502 01:33:34,400 --> 01:33:35,480 FOR APPROVAL. 2503 01:33:35,480 --> 01:33:37,880 IN FEBRUARY OF 2021 HE WAS 2504 01:33:37,880 --> 01:33:40,320 APPOINTED BY PRESIDENT BIDEN TO 2505 01:33:40,320 --> 01:33:43,720 THE COVID HEALTH EQUITY TASK 2506 01:33:43,720 --> 01:33:44,120 FORCE. 2507 01:33:44,120 --> 01:33:48,200 HE HAS NUMEROUS ADVISORY BOARDS 2508 01:33:48,200 --> 01:33:50,000 INCLUDING HARVARD UNIVERSITY 2509 01:33:50,000 --> 01:33:51,520 BOARD OF OVERSEERS AN CURRENTLY 2510 01:33:51,520 --> 01:33:53,840 SERVES THE ADVISORY COUNCIL TO 2511 01:33:53,840 --> 01:33:57,600 THE NIH DIRECTOR, A SHARE OF THE 2512 01:33:57,600 --> 01:34:00,000 VETERANS ADMINISTRATION NATIONAL 2513 01:34:00,000 --> 01:34:01,520 ACADEMIC AFFILIATION COUNCIL AND 2514 01:34:01,520 --> 01:34:03,200 BOARD OF DIRECTORS OF THE 2515 01:34:03,200 --> 01:34:06,320 ASSOCIATION OF ACADEMIC HEALTH 2516 01:34:06,320 --> 01:34:08,720 CENTERS AND CHAIR OF THE 2517 01:34:08,720 --> 01:34:10,000 CHILDREN RESEARCH HOSPITAL 2518 01:34:10,000 --> 01:34:11,800 GRADUATE SCHOOL OF BIOMEDICAL 2519 01:34:11,800 --> 01:34:13,200 SCIENCES BOARD. 2520 01:34:13,200 --> 01:34:14,880 DR. HILDRETH, WELCOME, THANKS 2521 01:34:14,880 --> 01:34:18,520 FOR COMING AND SPEAKING WITH US. 2522 01:34:18,520 --> 01:34:19,840 >> THANK YOU, NORA. 2523 01:34:19,840 --> 01:34:23,480 I'M PLEASED TO BE WITH YOU TODAY 2524 01:34:23,480 --> 01:34:28,680 THANKS FOR GIVING ME A CHANCE 2525 01:34:28,680 --> 01:34:30,000 HEALTH DISPARITIES AND HOW WE 2526 01:34:30,000 --> 01:34:30,840 CAN CHANGE THAT. 2527 01:34:30,840 --> 01:34:32,920 SO I'M GOING TO SHARE MY KOREAN 2528 01:34:32,920 --> 01:34:34,720 IF THAT IS OKAY. 2529 01:34:34,720 --> 01:34:36,320 AND GET STARTED. 2530 01:34:36,320 --> 01:34:39,120 SO I WOULD LIKE TO MENTION I'M 2531 01:34:39,120 --> 01:34:40,800 LEADER OF MEHARRY MEDICAL 2532 01:34:40,800 --> 01:34:42,600 COLLEGE, BEEN AROUND SINCE 1876 2533 01:34:42,600 --> 01:34:45,120 FOUNDED AS A SCHOOL AFRICAN 2534 01:34:45,120 --> 01:34:47,400 AMERICANS WHO WERE RECENTLY 2535 01:34:47,400 --> 01:34:48,520 FREED FROM SLAVERY WITH LEARN 2536 01:34:48,520 --> 01:34:49,040 THE HEALING ARTS. 2537 01:34:49,040 --> 01:34:51,000 AT THE TIME IN THE SOUTH MEHARRY 2538 01:34:51,000 --> 01:34:52,320 WAS THE ONLY PLACE THAT IF YOU 2539 01:34:52,320 --> 01:34:53,520 WERE BLACK YOU COULD COME TO 2540 01:34:53,520 --> 01:34:56,200 LEARN TO BECOME A PHYSICIAN OR 2541 01:34:56,200 --> 01:34:56,720 HEELER. 2542 01:34:56,720 --> 01:34:57,560 -- HEALER. 2543 01:34:57,560 --> 01:34:59,040 SO TODAY I WANT TO TALK ABOUT 2544 01:34:59,040 --> 01:35:02,000 WHAT I CALL THE SIX DEGREES OF 2545 01:35:02,000 --> 01:35:05,080 SEPARATION, AND HOW WE MIGHT 2546 01:35:05,080 --> 01:35:07,040 CLOSE THE GAP IN HEALTH IN THE 2547 01:35:07,040 --> 01:35:07,920 UNITED STATES. 2548 01:35:07,920 --> 01:35:11,760 A CONTEXT FROM MY TALK IS 2549 01:35:11,760 --> 01:35:14,120 ANOTHER STORY WHICH IS THE SAME 2550 01:35:14,120 --> 01:35:15,480 SONG DIFFERENT MED DI TAIL OF 2551 01:35:15,480 --> 01:35:16,640 TWO PANDEMICS. 2552 01:35:16,640 --> 01:35:18,760 YESTERDAY WAS NATIONAL BLACK 2553 01:35:18,760 --> 01:35:20,360 AIDS WAY WARENESS DAY TO REMIND 2554 01:35:20,360 --> 01:35:21,600 US THERE WERE TWO PANDEMICS 2555 01:35:21,600 --> 01:35:22,920 UNDERWAY, NOT JUST ONE THAT'S 2556 01:35:22,920 --> 01:35:24,520 BEEN AROUND SINCE THE EARLY 2557 01:35:24,520 --> 01:35:27,640 '80s AND ANOTHER THAT STARTED 2558 01:35:27,640 --> 01:35:28,120 IN 2019. 2559 01:35:28,120 --> 01:35:29,800 SO LET'S TALK ABOUT THE OTHER 2560 01:35:29,800 --> 01:35:31,840 PANDEMIC VERY QUICKLY. 2561 01:35:31,840 --> 01:35:35,040 1981 IN THE SUMMER CDC REPORTED 2562 01:35:35,040 --> 01:35:37,480 SEVERAL YOUNG MEN WHO ARE ALL 2563 01:35:37,480 --> 01:35:38,880 HOMOSEXUALS, THE LEFT COAST AND 2564 01:35:38,880 --> 01:35:41,520 RIGHT COAST WHO CAME DOWN WITH 2565 01:35:41,520 --> 01:35:44,160 DISEASE THAT WERE PATHOGNOMONIC 2566 01:35:44,160 --> 01:35:46,560 OF IMMUNODEFICIENCY IN NEW 2567 01:35:46,560 --> 01:35:48,640 ENGLAND JOURNAL OF MEDICINE AND 2568 01:35:48,640 --> 01:35:50,560 DECEMBER BACK THE BACK REPORTS 2569 01:35:50,560 --> 01:35:52,920 REPORTING THE SAME PHENOMENON 2570 01:35:52,920 --> 01:35:55,080 AND AGAIN ALL THESE REPORTS HAVE 2571 01:35:55,080 --> 01:35:56,720 TO WITH HOMOSEXUALS IN 2572 01:35:56,720 --> 01:36:00,600 CALIFORNIA AND NEW YORK MOSTLY. 2573 01:36:00,600 --> 01:36:01,960 UNFORTUNATELY THIS DISEASE WAS 2574 01:36:01,960 --> 01:36:03,720 GIVEN A NAME GAY RELATED 2575 01:36:03,720 --> 01:36:04,360 IMMUNODEFICIENCY. 2576 01:36:04,360 --> 01:36:05,720 TELL YOU WHY SIGNIFICANT IN A 2577 01:36:05,720 --> 01:36:07,720 MOMENT. 2578 01:36:07,720 --> 01:36:10,120 IN 1983, COLORFUL SCIENTIST 2579 01:36:10,120 --> 01:36:14,720 IDENTIFIED THE BIAS RESPONSIBLE 2580 01:36:14,720 --> 01:36:16,680 FOR AIDS, WE KNOW HIV JUMPED 2581 01:36:16,680 --> 01:36:20,320 INTO HUMANS FROM CHIMPANZEES AT 2582 01:36:20,320 --> 01:36:23,320 LEAST 13 TIME, IN CAMEROON, THE 2583 01:36:23,320 --> 01:36:28,760 VIRUS MADE ITS WAY DOWN TORY 2584 01:36:28,760 --> 01:36:30,480 PUBLIC OF CONGO AND BECAME THE 2585 01:36:30,480 --> 01:36:31,840 EPICENTER OR SPREAD OF THE VIRUS 2586 01:36:31,840 --> 01:36:33,440 ALONG RIVER ROOTS AND RAILROADS 2587 01:36:33,440 --> 01:36:35,520 MADE IT WAY THROUGHOUT THE 2588 01:36:35,520 --> 01:36:37,760 CONTINENT OF AFRICA, MADE IT TO 2589 01:36:37,760 --> 01:36:39,120 POINT -- IN 1960 WE BELIEVE 2590 01:36:39,120 --> 01:36:40,400 THAT'S WHEN THE VIRUS SPREAD 2591 01:36:40,400 --> 01:36:43,080 AROUND THE WORLD. 2592 01:36:43,080 --> 01:36:44,360 IN THE PANDEMIC FASHION. 2593 01:36:44,360 --> 01:36:48,120 IN APRIL OF 1984 MARGARET 2594 01:36:48,120 --> 01:36:49,440 HECKLER THE THEN OF HHS 2595 01:36:49,440 --> 01:36:52,280 ANNOUNCED TO THE WORLD 2596 01:36:52,280 --> 01:36:53,080 SCIENTISTS DISCOVERED THE VIRUS 2597 01:36:53,080 --> 01:36:55,480 THAT CAUSES AIDS, SHE EXPRESSED 2598 01:36:55,480 --> 01:36:57,200 FERVENT HOPE ALMOST MADE A 2599 01:36:57,200 --> 01:36:57,960 PROMISE FOR A VACCINE IN TWO 2600 01:36:57,960 --> 01:36:59,920 YEARS. 2601 01:36:59,920 --> 01:37:01,760 ONE OF THE THINGS THAT WAS 2602 01:37:01,760 --> 01:37:03,920 STRIKING TO ME ABOUT THIS, 2603 01:37:03,920 --> 01:37:05,120 HAVING BEEN IN IT FROM THE 2604 01:37:05,120 --> 01:37:06,600 BEGINNING, FIRST CASES OF AIDS 2605 01:37:06,600 --> 01:37:09,600 WERE DISCOVERED IN 1981. 2606 01:37:09,600 --> 01:37:11,640 ARE THEN PRESIDENT REAGAN DIDN'T 2607 01:37:11,640 --> 01:37:12,920 MENTION THIS ILLNESS PUBLICLY 2608 01:37:12,920 --> 01:37:14,840 FOR SIX YEARS AND BY THAT TIME 2609 01:37:14,840 --> 01:37:18,840 60,000 CASES HAVE BEEN 2610 01:37:18,840 --> 01:37:19,920 IDENTIFIED MORE THAN 28,000 2611 01:37:19,920 --> 01:37:20,640 PEOPLE DIED. 2612 01:37:20,640 --> 01:37:22,600 PART OF REASON IS BECAUSE IT WAS 2613 01:37:22,600 --> 01:37:25,120 GIVEN THE NAME GAY RELATED 2614 01:37:25,120 --> 01:37:25,720 IMMUNODEFICIENCY. 2615 01:37:25,720 --> 01:37:26,920 AND THERE WAS THE BELIEF IT WAS 2616 01:37:26,920 --> 01:37:28,880 ONLY A PROBLEM THAT CONCERNED 2617 01:37:28,880 --> 01:37:31,160 GAY MEN AND AT THE TIME SOCIAL 2618 01:37:31,160 --> 01:37:32,520 CONSTRUCT WAS SUCH THAT NO ONE 2619 01:37:32,520 --> 01:37:34,240 THOUGHT A THAT TO BE A VERY 2620 01:37:34,240 --> 01:37:35,960 IMPORTANT PROBLEM IF IT WAS 2621 01:37:35,960 --> 01:37:41,280 RESTRICTED TO GAY MEN THIS SLIDE 2622 01:37:41,280 --> 01:37:41,960 SHOUGHS FROM THE BEGINNING IT 2623 01:37:41,960 --> 01:37:43,320 WAS NEVER A DISEASE OF GAY WHITE 2624 01:37:43,320 --> 01:37:45,000 MEN, IT IMPACTED THE WHOLE 2625 01:37:45,000 --> 01:37:46,240 POPULATION WHETHER BLACK WHITE 2626 01:37:46,240 --> 01:37:47,640 HISPANIC MALE OR FEMALE. 2627 01:37:47,640 --> 01:37:50,280 THE VIRUS INFECTED YOU AND 2628 01:37:50,280 --> 01:37:50,840 CAUSED DISEASE. 2629 01:37:50,840 --> 01:37:53,680 ONE OF THE THINGS THAT'S BEEN 2630 01:37:53,680 --> 01:37:56,280 TRUE THROUGHOUT THIS PANDEMIC IS 2631 01:37:56,280 --> 01:37:57,600 THAT HIV HAS BEEN PRIMARILY A 2632 01:37:57,600 --> 01:37:59,160 PROBLEM OF PEOPLE OF COLOR. 2633 01:37:59,160 --> 01:38:01,120 AND EVEN TODAY AS I SIT AND 2634 01:38:01,120 --> 01:38:02,280 SPEAK WITH YOU MORE THAN HALF OF 2635 01:38:02,280 --> 01:38:04,960 ALL THE CASES OF NEW INFECTIONS 2636 01:38:04,960 --> 01:38:07,280 OCCUR IN AFRICAN AMERICAN AND 2637 01:38:07,280 --> 01:38:08,400 HISPANIC MEN WHO HAVE SEX WITH 2638 01:38:08,400 --> 01:38:13,200 MEN. 2639 01:38:13,200 --> 01:38:15,440 WE HAVE MORE THAN 36 MILLION 2640 01:38:15,440 --> 01:38:17,440 PEOPLE LIVING WITH HIV AND 70% 2641 01:38:17,440 --> 01:38:19,520 WHO LIVE WITH IT ARE FOUND MANY 2642 01:38:19,520 --> 01:38:22,720 THE SOUTHERN AFRICAN CONTINENT 2643 01:38:22,720 --> 01:38:24,760 WHICH MEANS GLOBALLY AND HERE IN 2644 01:38:24,760 --> 01:38:26,360 THE UNITED STATES HIV AIDS IS 2645 01:38:26,360 --> 01:38:28,320 LARGELY A PROBLEM OF PEOPLE OF 2646 01:38:28,320 --> 01:38:28,680 COLOR. 2647 01:38:28,680 --> 01:38:31,520 VERY IMPORTANTLY AS I SAID 2648 01:38:31,520 --> 01:38:32,480 BEFORE 38 MILLION PEOPLE LIVING 2649 01:38:32,480 --> 01:38:34,360 WITH HIV MORE THAN A MILLION 2650 01:38:34,360 --> 01:38:36,040 PEOPLE BECOME NEWLY INFECTED 2651 01:38:36,040 --> 01:38:37,520 EACH YEAR AND MANY ARE STILL 2652 01:38:37,520 --> 01:38:39,880 DYING OF AIDS AROUND THE WORLD. 2653 01:38:39,880 --> 01:38:42,000 SO POINT IS THE HIV PANDEMIC IS 2654 01:38:42,000 --> 01:38:42,600 NOT OVER. 2655 01:38:42,600 --> 01:38:43,560 WE HAVE TWO PANDEMICS ON OUR 2656 01:38:43,560 --> 01:38:47,840 HANDS. 2657 01:38:47,840 --> 01:38:49,800 THE PANDEMIC DEYOUR IS COVID-19 2658 01:38:49,800 --> 01:38:51,840 CALLED BY VIRUS THAT BELONGS TO 2659 01:38:51,840 --> 01:38:53,800 THE HUMAN CORONA VIRUS FAMILY 2660 01:38:53,800 --> 01:38:55,200 SARS COV-2. 2661 01:38:55,200 --> 01:38:56,240 THESE THREE VIRUSES IN THIS 2662 01:38:56,240 --> 01:38:58,240 FAMILY ARE ONES THAT CAUSE 2663 01:38:58,240 --> 01:39:03,960 PANDEMICS, SARS IN 2003, MERS IN 2664 01:39:03,960 --> 01:39:06,200 2012 AND SARS COV-2 IN 2019. 2665 01:39:06,200 --> 01:39:07,440 DISEASE IS CHARACTERIZED BY 2666 01:39:07,440 --> 01:39:11,840 DESTRUCTION OF LOWER RESPIRATORY 2667 01:39:11,840 --> 01:39:12,760 TISSUE TWO THINGS HAPPEN THAT 2668 01:39:12,760 --> 01:39:14,120 ARE SIGNIFICANT, IT IS 2669 01:39:14,120 --> 01:39:15,160 DESTROYING TISSUES BUT 2670 01:39:15,160 --> 01:39:17,720 INFLAMMATORY RESPONSE TO THE 2671 01:39:17,720 --> 01:39:20,920 VIRUS IS EQUALLY DESTRUCTIVE AND 2672 01:39:20,920 --> 01:39:24,320 THAT IS MAKES THE DISEASE 2673 01:39:24,320 --> 01:39:25,000 SEVERE. 2674 01:39:25,000 --> 01:39:30,120 SO TODAY AS OF FEBRUARY 3, 386 2675 01:39:30,120 --> 01:39:31,520 MILLION PEOPLE REPORTED TO HAVE 2676 01:39:31,520 --> 01:39:33,880 A SARS COV-2 INFECTION AND MORE 2677 01:39:33,880 --> 01:39:36,760 THAN 5.7 MILLION PEOPLE DIED THE 2678 01:39:36,760 --> 01:39:37,800 REAL NUMBER IS CLOSER TO A 2679 01:39:37,800 --> 01:39:40,040 BILLION PEOPLE WHO HAD SARS 2680 01:39:40,040 --> 01:39:40,520 COV-2. 2681 01:39:40,520 --> 01:39:41,760 BECAUSE FOR EVERY CASE WE 2682 01:39:41,760 --> 01:39:43,120 DIAGNOSE THERE'S PROBABLY AT 2683 01:39:43,120 --> 01:39:45,840 LEAST THREE OTHERS THAT GO 2684 01:39:45,840 --> 01:39:47,440 UNDIAGNOSED. 2685 01:39:47,440 --> 01:39:50,280 HERE IN THE UNITED STATES 2686 01:39:50,280 --> 01:39:53,320 7.57 MILLION HAVE HAD COVID-19 2687 01:39:53,320 --> 01:39:55,960 OR INFECTION YESTERDAY I HEARD 2688 01:39:55,960 --> 01:39:57,480 NOW MORE THAN 900,000 PEOPLE 2689 01:39:57,480 --> 01:39:57,920 DIED. 2690 01:39:57,920 --> 01:39:59,240 AT THE RATE WE ARE GOING WE ARE 2691 01:39:59,240 --> 01:40:00,560 ALMOST CERTAINLY GOING TO 2692 01:40:00,560 --> 01:40:03,960 ECLIPSE THE 100 MILLION 2693 01:40:03,960 --> 01:40:07,720 DIAGNOSED CASES AND 1 MILLION 2694 01:40:07,720 --> 01:40:11,840 PEOPLE DEAD IN FROM 201 2019 AT PACE 2695 01:40:11,840 --> 01:40:12,160 WE ARE MOVING. 2696 01:40:12,160 --> 01:40:15,600 THIS IS A PROFOUND STATEMENT TO 2697 01:40:15,600 --> 01:40:17,880 THE POWER OF SCIENCE AND 2698 01:40:17,880 --> 01:40:19,440 RESEARCH, 10 BILLION SHOTS GIVEN 2699 01:40:19,440 --> 01:40:21,800 AROUND THE WORLD IN ALL VACCINES 2700 01:40:21,800 --> 01:40:22,880 INCLUDED, 22 ALL TOGETHER. 2701 01:40:22,880 --> 01:40:25,640 THAT ARE APPROVED FOR USE FOR 2702 01:40:25,640 --> 01:40:26,200 COVID-19. 2703 01:40:26,200 --> 01:40:28,720 AND THOSE ALL TOGETHER REPRESENT 2704 01:40:28,720 --> 01:40:29,560 10 BILLION SHOTS INTO ARMS. 2705 01:40:29,560 --> 01:40:33,800 HERE IN THE UNITED STATES, MORE 2706 01:40:33,800 --> 01:40:34,720 THAN 540 MILLION SHOTS HAVE BEEN 2707 01:40:34,720 --> 01:40:36,320 GIVEN AND THANKFULLY THAT MEANS 2708 01:40:36,320 --> 01:40:39,520 AS I SAID AND -- SIT AND SPEAK P 2709 01:40:39,520 --> 01:40:41,080 YOU, 64% OF THE POPULATION ARE 2710 01:40:41,080 --> 01:40:42,800 FULLY VACCINATED BY THAT WE MEAN 2711 01:40:42,800 --> 01:40:43,920 TWO SHOTS. 2712 01:40:43,920 --> 01:40:45,960 AND SMALL PERCENTAGE OF THOSE I 2713 01:40:45,960 --> 01:40:46,960 THINK 40% HAVE RECEIVED 2714 01:40:46,960 --> 01:40:53,920 BOOSTERS. SO THE FIRST CASES 2715 01:40:53,920 --> 01:40:56,640 WERE IDENTIFIED IN CHINA LATE 2716 01:40:56,640 --> 01:40:57,680 DECEMBER 2019. 2717 01:40:57,680 --> 01:41:00,360 THE VIRUS WAS IDENTIFIED JANUARY 2718 01:41:00,360 --> 01:41:01,560 7 PUBLISH FORD THE WORLD TO SEE. 2719 01:41:01,560 --> 01:41:02,920 THE FIRST CASE OUTSIDE OF CHINA 2720 01:41:02,920 --> 01:41:06,520 TOOK PLACE IN JANUARY 13TH, 2721 01:41:06,520 --> 01:41:06,960 2020. 2722 01:41:06,960 --> 01:41:08,240 AND THEY PROBABLY WAITED TOO 2723 01:41:08,240 --> 01:41:11,840 LONG TO DO SO BUT THE WHO 2724 01:41:11,840 --> 01:41:13,320 DECLARED THIS A PANDEMIC IN 2725 01:41:13,320 --> 01:41:16,120 MARCH 11, 2020. 2726 01:41:16,120 --> 01:41:20,000 SO IN AN EERIE PARALLEL TO HIV 2727 01:41:20,000 --> 01:41:22,760 AIDS, WE HAD A PRESIDENT WHO 2728 01:41:22,760 --> 01:41:23,960 AFTER ALMOST 5 MILLION CASES 2729 01:41:23,960 --> 01:41:27,880 HAVE BEEN IDENTIFIED TENS OF 2730 01:41:27,880 --> 01:41:29,880 THOUSANDS OF PEOPLE DEAD OR 2731 01:41:29,880 --> 01:41:31,000 PRESIDENT CHOSE TO IGNORE THIS 2732 01:41:31,000 --> 01:41:33,160 AS A TRUE PUBLIC HEALTH CRISIS 2733 01:41:33,160 --> 01:41:34,440 BY MAKING FALSE STATEMENTS ABOUT 2734 01:41:34,440 --> 01:41:35,840 IT AND ACTUALLY GETTING MANY THE 2735 01:41:35,840 --> 01:41:37,920 WAY OF PROGRESS IN TERMS OF 2736 01:41:37,920 --> 01:41:38,680 PUBLIC HEALTH RESPONSE AND 2737 01:41:38,680 --> 01:41:39,600 RESEARCH. 2738 01:41:39,600 --> 01:41:42,600 IT IS APARALLEL THAT WE RATHER 2739 01:41:42,600 --> 01:41:44,120 NOT SEE BUT STRIKING TO ME WE 2740 01:41:44,120 --> 01:41:45,600 HAD THOSE TWO SITUATIONS. 2741 01:41:45,600 --> 01:41:49,040 IN BOTH PANDEMICS. 2742 01:41:49,040 --> 01:41:52,560 IN CHINA EARLY ON IN THIS 2743 01:41:52,560 --> 01:41:54,120 PANDEMIC THEY MADE AN 2744 01:41:54,120 --> 01:41:55,000 OBSERVATION THAT WAS IMPORTANT I 2745 01:41:55,000 --> 01:41:57,000 THINK, THEY OBSERVED THAT 70% OF 2746 01:41:57,000 --> 01:42:00,440 THE PEOPLE WHO DIED OF COVID-19 2747 01:42:00,440 --> 01:42:02,320 HAD AT LEAST ONE CO-MORBID 2748 01:42:02,320 --> 01:42:02,840 CONDITION. 2749 01:42:02,840 --> 01:42:04,920 HIGH BLOOD PRESSURE 2750 01:42:04,920 --> 01:42:06,720 HYPERTENSION, DIABETES,s 2751 01:42:06,720 --> 01:42:07,960 SCHEMIC HEART DISEASE CHRONIC 2752 01:42:07,960 --> 01:42:09,320 LUNG DISEASE, STROKE. 2753 01:42:09,320 --> 01:42:10,920 OTHER MAJOR FACTOR WAS SMOKING. 2754 01:42:10,920 --> 01:42:13,280 THOSE WHO SMOKED HAD HIGHER RISK 2755 01:42:13,280 --> 01:42:15,840 OF DYING THAN THOSE WHO DIDN'T. 2756 01:42:15,840 --> 01:42:17,680 WHAT THAT MEANT WHEN YOU 2757 01:42:17,680 --> 01:42:18,520 TRANSPOSE PANDEMIC TO THE UNITED 2758 01:42:18,520 --> 01:42:20,720 STATES, IT WAS PREDICT AND 2759 01:42:20,720 --> 01:42:21,840 PREDICTABLE THAT AFRICAN 2760 01:42:21,840 --> 01:42:23,920 AMERICAN AND HISPANICS WOULD 2761 01:42:23,920 --> 01:42:26,000 HAVE THE MAJOR BURDEN OF THIS 2762 01:42:26,000 --> 01:42:28,240 DISEASE BECAUSE WE AS A 2763 01:42:28,240 --> 01:42:29,480 POPULATION HAVE MUCH HIGHER 2764 01:42:29,480 --> 01:42:31,680 RATES OF ALL THESE THINGS. 2765 01:42:31,680 --> 01:42:33,200 CARDIOVASCULAR DISEASE, 2766 01:42:33,200 --> 01:42:35,880 HYPERTENSION, DIABETES, OBESITY. 2767 01:42:35,880 --> 01:42:36,320 CANCER. 2768 01:42:36,320 --> 01:42:38,680 AND IT WAS PREDICTED THAT 2769 01:42:38,680 --> 01:42:42,680 MINORITY POPULATIONS WOULD BE 2770 01:42:42,680 --> 01:42:43,720 DISPROPORTIONATELY BURDENED BY 2771 01:42:43,720 --> 01:42:44,520 COVID-19. 2772 01:42:44,520 --> 01:42:45,440 THAT IS WHAT WE SAW. 2773 01:42:45,440 --> 01:42:46,920 THERE'S LOTS OF EXAMPLES TO SHOW 2774 01:42:46,920 --> 01:42:47,960 YOU BUT THESE ARE DATA FROM THE 2775 01:42:47,960 --> 01:42:50,960 SUMMER OF 2020 AND LOUISIANA 2776 01:42:50,960 --> 01:42:54,000 WHICH REPRESENTS THE MICHIGAN, 2777 01:42:54,000 --> 01:42:55,360 DETROIT, ILLINOIS, CHICAGO. 2778 01:42:55,360 --> 01:42:57,920 AS YOU CAN SEE ONE POINT IN THE 2779 01:42:57,920 --> 01:42:59,840 PANDEMIC THE INFECTION RATE OR 2780 01:42:59,840 --> 01:43:02,880 RATE OF DYING OF COVID-19 FOR 2781 01:43:02,880 --> 01:43:05,240 AFRICAN AMERICAN COMES COMPARED 2782 01:43:05,240 --> 01:43:06,600 TO WHITES WAS TEN TO ONE IN 2783 01:43:06,600 --> 01:43:08,120 DETROIT, MICHIGAN. 2784 01:43:08,120 --> 01:43:13,040 THE CDC NOW PUBLISHED SOME 2785 01:43:13,040 --> 01:43:15,120 CUMULATIVE DATA IN THIS REGARD, 2786 01:43:15,120 --> 01:43:16,560 AS YOU CAN SEE TALKING ABOUT 2787 01:43:16,560 --> 01:43:19,320 CASE, HOSPITALIZATIONS OR DEATH, 2788 01:43:19,320 --> 01:43:21,120 IF YOU ARE INDIGENOUS PERSON OR 2789 01:43:21,120 --> 01:43:23,320 HISPANIC OR BLACK YOUR CHANCE OF 2790 01:43:23,320 --> 01:43:25,000 HOSPITALIZED AND DYING, ARE MANY 2791 01:43:25,000 --> 01:43:26,400 FOLD HIGHER THAN IF GO ARE 2792 01:43:26,400 --> 01:43:29,520 WHITE. 2793 01:43:29,520 --> 01:43:31,040 SO THE TWO PANDEMICS POINT OUT 2794 01:43:31,040 --> 01:43:33,640 SOME REALLY INTERESTING THINGS. 2795 01:43:33,640 --> 01:43:36,200 FIRST OF ALL FAILED NATIONAL 2796 01:43:36,200 --> 01:43:37,520 LEADERSHIP, BECAUSE OF POLITICS 2797 01:43:37,520 --> 01:43:40,960 AND PREJUDICE, RESULTED IN A 2798 01:43:40,960 --> 01:43:42,320 DELAYED RESPONSE INEFFECTIVE 2799 01:43:42,320 --> 01:43:45,000 RESPONSE TO BOTH PANDEMICS EARLY 2800 01:43:45,000 --> 01:43:45,720 ON. 2801 01:43:45,720 --> 01:43:47,040 THE BOTH PANDEMICS REVEALED A 2802 01:43:47,040 --> 01:43:48,760 CHASM IN THE HEALTH STATUS OF 2803 01:43:48,760 --> 01:43:50,600 AFRICAN AMERICANS HISPANICS AND 2804 01:43:50,600 --> 01:43:52,320 INDIGENOUS PEOPLE, IN OUR 2805 01:43:52,320 --> 01:43:53,200 COUNTRY. 2806 01:43:53,200 --> 01:43:54,880 THESE LONG STANDING DISPARITIES 2807 01:43:54,880 --> 01:43:57,400 IN CHRONIC DISEASE ARE THE MAJOR 2808 01:43:57,400 --> 01:43:59,400 CONTRIBUTORS IN BOTH CASES 2809 01:43:59,400 --> 01:44:01,520 ACTUALLY, FOR WHY DISADVANTAGED 2810 01:44:01,520 --> 01:44:02,520 COMMUNITIES ARE SUFFERING SO 2811 01:44:02,520 --> 01:44:04,480 MUCH IN THESE TWO CASES. 2812 01:44:04,480 --> 01:44:06,680 AND THESE INEQUITIES IN BOTH 2813 01:44:06,680 --> 01:44:08,280 PANDEMICS ARE BEST UNDERSTOOD IN 2814 01:44:08,280 --> 01:44:10,120 THE CONTEXT OF THE SOCIAL 2815 01:44:10,120 --> 01:44:11,720 DETERMINANTS OF HEALTH WHICH I'M 2816 01:44:11,720 --> 01:44:12,680 SURE YOU HEARD QUITE A BIT 2817 01:44:12,680 --> 01:44:14,200 ABOUT. 2818 01:44:14,200 --> 01:44:16,720 THE WHO DEFINITION IS SOCIAL 2819 01:44:16,720 --> 01:44:17,760 DETERMINANTS OF HEALTH ARE 2820 01:44:17,760 --> 01:44:19,640 DEFINED THE CONDITIONS IN WHICH 2821 01:44:19,640 --> 01:44:22,880 WE ARE BORN GROW LIVE WORK AGE 2822 01:44:22,880 --> 01:44:24,240 AND I WOULD SAY DIE. 2823 01:44:24,240 --> 01:44:25,240 SHAPED BY THE DISTRIBUTION OF 2824 01:44:25,240 --> 01:44:27,480 MONEY POWER AN RESOURCES AT 2825 01:44:27,480 --> 01:44:28,920 LOCAL LEVEL COMMUNITY LEVELS AND 2826 01:44:28,920 --> 01:44:33,520 THROUGHOUT THE WORLD. 2827 01:44:33,520 --> 01:44:36,040 THE KEISER FAMILY FOUNDATION HAS 2828 01:44:36,040 --> 01:44:37,240 DONE A BEAUTIFUL ILLUSTRATION OF 2829 01:44:37,240 --> 01:44:38,560 FIVE PARAMETERS THAT WE LOOK AT 2830 01:44:38,560 --> 01:44:40,040 WHEN WE TALK ABOUT THE SOCIAL 2831 01:44:40,040 --> 01:44:40,960 DETERMINANTS OF HEALTH. 2832 01:44:40,960 --> 01:44:42,920 EDUCATION ACCESS, EQUALITY OF 2833 01:44:42,920 --> 01:44:45,360 THAT EDUCATION, HEALTHCARE 2834 01:44:45,360 --> 01:44:46,920 ACCESS AND EQUALITY OF THE 2835 01:44:46,920 --> 01:44:50,000 HEALTHCARE WE RECEIVE, THE BUILT 2836 01:44:50,000 --> 01:44:50,720 ENVIRONMENT, NEIGHBORHOODS WHICH 2837 01:44:50,720 --> 01:44:53,480 WE LIVE, SOCIAL COMMUNITY 2838 01:44:53,480 --> 01:44:55,120 CONTEXT, ECONOMIC STABILITY, AND 2839 01:44:55,120 --> 01:44:56,600 I REFER TO THESE AS THE FIVE 2840 01:44:56,600 --> 01:44:58,560 DEGREES OF SEPARATION. 2841 01:44:58,560 --> 01:45:00,520 BUT THEY ARE SIX DEGREES OF 2842 01:45:00,520 --> 01:45:02,760 SEPARATION THAT BECAME QUITE 2843 01:45:02,760 --> 01:45:05,680 APPARENT IN THE COVID-19 2844 01:45:05,680 --> 01:45:07,120 PANDEMIC THAT 6-DEGREE 2845 01:45:07,120 --> 01:45:09,600 SEPARATION IS TECHNOLOGY. 2846 01:45:09,600 --> 01:45:11,600 TECHNOLOGY HAS PLAYED AN 2847 01:45:11,600 --> 01:45:14,560 IMPORTANT ROLE IN RESPONDING TO 2848 01:45:14,560 --> 01:45:16,360 PANDEMIC BUT ALSO SHOWN A HUGE 2849 01:45:16,360 --> 01:45:18,720 GAP IN TERMS OF POPULATIONS IN 2850 01:45:18,720 --> 01:45:19,640 OUR COUNTRY THEY ARE ABLE TO 2851 01:45:19,640 --> 01:45:21,920 TAKE ADVANTAGE OF TECHNOLOGY. 2852 01:45:21,920 --> 01:45:23,120 SOME OF THE THINGS WE CAN POINT 2853 01:45:23,120 --> 01:45:25,680 TO IN THESE SIX DEGREES OF 2854 01:45:25,680 --> 01:45:27,440 SEPARATION THERE IS ALSO -- 2855 01:45:27,440 --> 01:45:30,840 THERE IS POOR ACCESS TO 2856 01:45:30,840 --> 01:45:32,120 EDUCATION ALSO POOR ACCESS TO 2857 01:45:32,120 --> 01:45:32,800 HEALTH INFORMATION WHICH IS 2858 01:45:32,800 --> 01:45:33,800 IMPACTFUL. 2859 01:45:33,800 --> 01:45:36,480 IN THE CASE OF HIV AND ALSO TO 2860 01:45:36,480 --> 01:45:39,120 SOME EXTENT COVID-19, MINORITY 2861 01:45:39,120 --> 01:45:40,320 COMMUNITIES RELATE TO GET 2862 01:45:40,320 --> 01:45:42,400 MEDICAL CARE IN CASE OF HIV IF 2863 01:45:42,400 --> 01:45:45,120 YOU CAME LATE INTO CARE THE 2864 01:45:45,120 --> 01:45:47,520 VIRUS HAD DECIMATED YOUR IMMUNE 2865 01:45:47,520 --> 01:45:48,840 SYSTEM AND THE CARE YOU RECEIVED 2866 01:45:48,840 --> 01:45:49,920 WAS NOT IMPACTFUL. 2867 01:45:49,920 --> 01:45:52,760 IN BOTH CASES POORLY MANAGED 2868 01:45:52,760 --> 01:45:53,360 CHRONIC CONDITIONS CONTRIBUTED 2869 01:45:53,360 --> 01:45:55,160 TO THE DISPARITY WE SAW. 2870 01:45:55,160 --> 01:45:57,880 IN COVID-19. 2871 01:45:57,880 --> 01:45:59,480 ONE OF THE THINGS IN COVID-19 2872 01:45:59,480 --> 01:46:02,800 VERY IMPACTFUL WAS 2873 01:46:02,800 --> 01:46:04,880 MULTI-GENERATIONAL HOUSEHOLDS IN 2874 01:46:04,880 --> 01:46:06,520 CERTAIN ZIP CODES IN CERTAIN 2875 01:46:06,520 --> 01:46:08,920 PARTS OF CERTAIN CITIES 2876 01:46:08,920 --> 01:46:11,920 CONTRIBUTED SIGNIFICANTLY TO 2877 01:46:11,920 --> 01:46:13,440 RAPID SPREAD OF VIRUS IN 2878 01:46:13,440 --> 01:46:13,720 IMMUNITY. 2879 01:46:13,720 --> 01:46:16,160 MASS INCARCERATION BOOTH BOTH 2880 01:46:16,160 --> 01:46:19,720 CASES FOR HIV AND CORONA VIRUS 2881 01:46:19,720 --> 01:46:21,360 ALSO CONTRIBUTED TO SPAN OF 2882 01:46:21,360 --> 01:46:24,840 VIRUS AND SPREAD OF DISEASE. 2883 01:46:24,840 --> 01:46:25,720 ONE OF THE SOCIAL CON SECTION 2884 01:46:25,720 --> 01:46:28,640 HERE THAT IS REALLY IMPORTANT IS 2885 01:46:28,640 --> 01:46:29,520 MISTRUST OF HEALTHCARE MEDICAL 2886 01:46:29,520 --> 01:46:32,960 RESEARCH, THAT IS FOUND IN 2887 01:46:32,960 --> 01:46:34,640 COMMUNITIES OF COLOR ACROSS THE 2888 01:46:34,640 --> 01:46:35,080 COUNTRY. 2889 01:46:35,080 --> 01:46:36,520 IN TERMS OF ECONOMIC INSTABILITY 2890 01:46:36,520 --> 01:46:39,120 WE HAVE LOW WAGE JOBS THERE IS A 2891 01:46:39,120 --> 01:46:40,560 WEALTH GAP THAT IS JUST 2892 01:46:40,560 --> 01:46:42,520 EXTRAORDINARY, WE LOOK AT THE 2893 01:46:42,520 --> 01:46:43,080 DATA. 2894 01:46:43,080 --> 01:46:44,680 SO THESE ARE SOME OF THE 2895 01:46:44,680 --> 01:46:45,800 PARAMETERS, SOME OF THE FACTORS 2896 01:46:45,800 --> 01:46:47,040 TO THINK ABOUT WHEN WE CONSIDER 2897 01:46:47,040 --> 01:46:52,720 THESE DEGREES OF SEPARATION FOR 2898 01:46:52,720 --> 01:46:56,240 TECHNOLOGY, MANY MINORITY 2899 01:46:56,240 --> 01:46:58,720 HOUSEHOLDS AND SCHOOLINGS LIKE 2900 01:46:58,720 --> 01:46:59,720 TOOLS TO BE TAKE ADVANTAGE OF 2901 01:46:59,720 --> 01:47:06,160 SERVICES PROVIDED USING 2902 01:47:06,160 --> 01:47:07,440 WEB-BASED TECHNOLOGY OFTENTIMES 2903 01:47:07,440 --> 01:47:08,680 PEOPLE IN POOR COMMUNITIES WERE 2904 01:47:08,680 --> 01:47:13,800 NOT ABLE THE SIGN UP FOR THOSE 2905 01:47:13,800 --> 01:47:23,040 VACCINES TELEHEALTH MANIFESTED 2906 01:47:23,040 --> 01:47:23,440 ALSO. 2907 01:47:23,440 --> 01:47:24,200 THE OTHER THING IS THE 2908 01:47:24,200 --> 01:47:26,520 TECHNOLOGY USE OF TECHNOLOGY AND 2909 01:47:26,520 --> 01:47:29,720 HEALTHCARE SETTINGS IS RAPIDLY 2910 01:47:29,720 --> 01:47:30,120 EXPANDING. 2911 01:47:30,120 --> 01:47:32,800 THE PROBLEM IS THOSE ALGORITHMS 2912 01:47:32,800 --> 01:47:34,040 DEVELOPED FOR PRECISION MEDICINE 2913 01:47:34,040 --> 01:47:36,360 AN INDIVIDUALIZED TREATMENT THEY 2914 01:47:36,360 --> 01:47:40,000 ARE BIASED LIKE BIASES THAT WE 2915 01:47:40,000 --> 01:47:42,440 FOUND IN HEALTHCARE DELIVERY 2916 01:47:42,440 --> 01:47:44,320 BEFORE ALGORITHMS CAME ALONG ARE 2917 01:47:44,320 --> 01:47:46,200 BAKED INTO THE ALGORITHMS AND 2918 01:47:46,200 --> 01:47:46,920 THAT HAS TO CHANGE. 2919 01:47:46,920 --> 01:47:48,560 WHAT THAT RESULTS IS THAT 2920 01:47:48,560 --> 01:47:50,920 MINORITY COMMUNITIES GET LESS 2921 01:47:50,920 --> 01:47:52,120 THAN OPTIMAL CARE BECAUSE OF 2922 01:47:52,120 --> 01:47:54,280 THESE BIASES. 2923 01:47:54,280 --> 01:47:56,800 THE REAL PART I WANT TO MAKE IS 2924 01:47:56,800 --> 01:48:01,360 THAT THERE IS A WEDGE THAT IS 2925 01:48:01,360 --> 01:48:03,040 LAUNCHED BETWEEN INDIGENOUS 2926 01:48:03,040 --> 01:48:05,080 PEOPLE AND PEEP OF COLOR AND 2927 01:48:05,080 --> 01:48:05,840 HAVING BEST INDIVIDUAL HEALTH 2928 01:48:05,840 --> 01:48:07,720 AND WELLNESS, THAT IS SOMETHING 2929 01:48:07,720 --> 01:48:08,600 THAT WE HAVE BEEN SLOW TO 2930 01:48:08,600 --> 01:48:09,800 ACKNOWLEDGE AND TALK ABOUT. 2931 01:48:09,800 --> 01:48:13,720 THE SYSTEMIC RACISM IF YOU DIG 2932 01:48:13,720 --> 01:48:15,320 DEEP IN ANY ONE OF THE SIX 2933 01:48:15,320 --> 01:48:17,760 DEGREES OF SEPARATION, 2934 01:48:17,760 --> 01:48:19,320 INEVITABLY LEADS YOU TO THIS ONE 2935 01:48:19,320 --> 01:48:20,280 CONCLUSION. 2936 01:48:20,280 --> 01:48:23,040 THAT'S SYSTEMIC RACISM HAS LED 2937 01:48:23,040 --> 01:48:24,800 TO ALL OF THESE CONVERSATIONS WE 2938 01:48:24,800 --> 01:48:26,560 ARE HAVING FOR SCHOOLS, 2939 01:48:26,560 --> 01:48:28,480 COMMUNITIES WE LIVE IN, HAVING 2940 01:48:28,480 --> 01:48:31,040 ACCESS TO QUALITY EDUCATION, 2941 01:48:31,040 --> 01:48:32,360 NEIGHBORHOODS WE LIVE IN, HAVE 2942 01:48:32,360 --> 01:48:35,560 BEEN DICTATED BY SYSTEMIC 2943 01:48:35,560 --> 01:48:36,240 RACISM, ECONOMIC STABILITY IS 2944 01:48:36,240 --> 01:48:37,680 CERTAINLY A FACTOR AND AS I 2945 01:48:37,680 --> 01:48:38,640 POINT OUT TECHNOLOGY IS ONE OF 2946 01:48:38,640 --> 01:48:40,560 THESE. 2947 01:48:40,560 --> 01:48:42,480 IN ORDER TO ALLOW DISADVANTAGED 2948 01:48:42,480 --> 01:48:44,160 COMMUNITIES TO ACHIEVE BEST 2949 01:48:44,160 --> 01:48:46,400 HEALTH AND WELLNESS, WE HAVE TO 2950 01:48:46,400 --> 01:48:48,320 DEAL WITH THIS WEDGE THAT 2951 01:48:48,320 --> 01:48:50,760 SEPARATES THEM FROM IT AND IT IS 2952 01:48:50,760 --> 01:48:53,880 SYSTEMIC RACISM. 2953 01:48:53,880 --> 01:48:55,000 THANKFULLY RACISM IS NOW 2954 01:48:55,000 --> 01:48:56,760 RECOGNIZED AS A MAJOR FACTOR 2955 01:48:56,760 --> 01:48:58,280 CONTRIBUTING TO POOR HEALTH. 2956 01:48:58,280 --> 01:48:59,400 THERE ARE NUMEROUS SCIENTIFIC 2957 01:48:59,400 --> 01:49:00,920 STUDIES THAT ARE NOW ATTEST TO 2958 01:49:00,920 --> 01:49:02,160 THIS AND I WILL TALK ABOUT THAT 2959 01:49:02,160 --> 01:49:03,880 IN A MINUTE. 2960 01:49:03,880 --> 01:49:05,960 THE CDC DECLARED RACISM A 2961 01:49:05,960 --> 01:49:07,440 SERIOUS HEALTH THREAT THAT HAS 2962 01:49:07,440 --> 01:49:08,760 FAR REACHING AND UNACCEPTABLE 2963 01:49:08,760 --> 01:49:11,320 CONSEQUENCES. PRESIDENT BIDEN 2964 01:49:11,320 --> 01:49:13,080 ESTABLISHED A COVID-19 EQUITY 2965 01:49:13,080 --> 01:49:14,360 TASK FORCE WHICH YOU HEARD 2966 01:49:14,360 --> 01:49:14,880 ABOUT. 2967 01:49:14,880 --> 01:49:18,200 AND WE HAVE ACTUALLY MADE 2968 01:49:18,200 --> 01:49:19,120 RECOMMENDATIONS TO HIM REGARDING 2969 01:49:19,120 --> 01:49:21,920 THINGS TO DO TO ELIMINATE GAPS. 2970 01:49:21,920 --> 01:49:24,520 AND AS A MEMBER FRANCIS COLLINS 2971 01:49:24,520 --> 01:49:27,520 ADVISORY COUNCIL I WAS REALLY 2972 01:49:27,520 --> 01:49:29,720 PLEASED AND THANKFUL TO HIM THAT 2973 01:49:29,720 --> 01:49:32,240 ON BEHALF OF THE ORGANIZATION HE 2974 01:49:32,240 --> 01:49:33,920 ACKNOWLEDGED RACE IMTO BE A 2975 01:49:33,920 --> 01:49:36,320 FACTOR AND SET IN MOTION A 2976 01:49:36,320 --> 01:49:37,320 PROGRAM OF ACTIVITIES TO DEAL 2977 01:49:37,320 --> 01:49:39,160 WITH IT. 2978 01:49:39,160 --> 01:49:40,320 IT IS CALLED UNITE. 2979 01:49:40,320 --> 01:49:42,320 SO I WANT TO GIVE DR. COLLINS 2980 01:49:42,320 --> 01:49:43,480 CREDIT FOR DOING THIS. 2981 01:49:43,480 --> 01:49:45,840 IT WAS THE FIRST TIME I EVER 2982 01:49:45,840 --> 01:49:47,520 EXPERIENCED SOMEONE LEADING A 2983 01:49:47,520 --> 01:49:48,520 NATIONAL ORGANIZATION WHO HAD 2984 01:49:48,520 --> 01:49:50,200 THE COURAGE TO STAND UP AND SAY 2985 01:49:50,200 --> 01:49:52,920 WE HAVE A PROBLEM, LET'S FIX IT. 2986 01:49:52,920 --> 01:49:54,920 MY COLLEAGUE AT HARVARD SCHOOL 2987 01:49:54,920 --> 01:49:56,120 OF PUBLIC HEALTH IS LEADING 2988 01:49:56,120 --> 01:49:57,720 AUTHORITY ON THIS, DR. DAVID 2989 01:49:57,720 --> 01:49:59,280 WILLIAMS, HAS PUBLISHED DOZENS 2990 01:49:59,280 --> 01:50:02,120 AND DOZENS OF PAPERS THAT 2991 01:50:02,120 --> 01:50:03,800 PROVIDE OBJECTIVE EVIDENCE THAT 2992 01:50:03,800 --> 01:50:05,160 RACISM ALONE WHEN YOU ACCOUNT 2993 01:50:05,160 --> 01:50:07,640 FOR ALL OTHER FACTORS RACISM BY 2994 01:50:07,640 --> 01:50:09,800 ITSELF CAN IMPACT HEALTH AND 2995 01:50:09,800 --> 01:50:11,360 THEREFORE EASY TO MEASURE 2996 01:50:11,360 --> 01:50:12,520 OBJECTIVES THAT WE CAN LOOK AT 2997 01:50:12,520 --> 01:50:14,280 TO TELL US THAT THAT IS TRUE. 2998 01:50:14,280 --> 01:50:16,680 MORE LIFE EXPECTANCY, HIGHER 2999 01:50:16,680 --> 01:50:18,920 BLOOD PRESSURE, LOWER RATES OF 3000 01:50:18,920 --> 01:50:20,240 VACCINATION, AND STRAIN ON 3001 01:50:20,240 --> 01:50:21,920 MENTAL HEALTH, THINGS WE CAN 3002 01:50:21,920 --> 01:50:23,720 MEASURE THAT CAN BE DIRECTLY 3003 01:50:23,720 --> 01:50:25,720 ADISTRIBUTED TO RACISM -- 3004 01:50:25,720 --> 01:50:28,120 ATTRIBUTED TO RACISM HAVING 3005 01:50:28,120 --> 01:50:29,160 OTHER PARAMETERS AND FACTORS 3006 01:50:29,160 --> 01:50:29,880 CONSIDERED. 3007 01:50:29,880 --> 01:50:31,440 WHEN THERE IS RACIAL INEQUALITY 3008 01:50:31,440 --> 01:50:33,720 THAT LEADS TO ECONOMICS 3009 01:50:33,720 --> 01:50:35,840 INSTABILITY AND DISPARITIES. 3010 01:50:35,840 --> 01:50:36,960 ECONOMIC DISPARITIES LEAD TO 3011 01:50:36,960 --> 01:50:39,200 EQUAL ACCESS TO HEALTHCARE, BUT 3012 01:50:39,200 --> 01:50:41,400 EVEN WHEN THERE IS ACCESS TO 3013 01:50:41,400 --> 01:50:43,160 HEALTHCARE, RACISM BECOME A 3014 01:50:43,160 --> 01:50:44,640 FACTOR BECAUSE IT IS WELL 3015 01:50:44,640 --> 01:50:46,120 UNDERSTOOD AND WELL DOCUMENTED 3016 01:50:46,120 --> 01:50:48,160 THAT MANY DOCTORS DISBELIEVE 3017 01:50:48,160 --> 01:50:51,080 NEGLECT AND DISCRIMINATE AGAINST 3018 01:50:51,080 --> 01:50:52,640 BLACK AN BROWN PATIENTS. 3019 01:50:52,640 --> 01:50:54,400 THIS IMPLICIT BIAS TOWARD 3020 01:50:54,400 --> 01:50:57,800 MINORITIES WE ARE WORRIED ABOUT 3021 01:50:57,800 --> 01:51:01,120 IT IN TERMS OF LONG COVID 3022 01:51:01,120 --> 01:51:02,120 BECAUSE THAT INVOLVES SIGNATURE 3023 01:51:02,120 --> 01:51:04,200 TOMS NOT DIAGNOSED EASILY BY 3024 01:51:04,200 --> 01:51:05,520 OBJECTIVE TESTS AND ARE TENS OF 3025 01:51:05,520 --> 01:51:06,800 THOUSANDS OF BLACK AND BROWN 3026 01:51:06,800 --> 01:51:09,560 PEOPLE WHO HAVE LONG COVID WORRY 3027 01:51:09,560 --> 01:51:10,480 ABOUT WHETHER OR NOT THEY WILL 3028 01:51:10,480 --> 01:51:12,240 GET THE CARE THEY DESERVE THAT 3029 01:51:12,240 --> 01:51:13,800 THEY NEED BECAUSE OF THIS WELL 3030 01:51:13,800 --> 01:51:15,560 KNOWN IMPLICIT BIAS WHEN WE 3031 01:51:15,560 --> 01:51:18,480 ENGAGE THE HEALTHCARE SYSTEM. 3032 01:51:18,480 --> 01:51:20,360 ANOTHER THING TO POINT OUT IS 3033 01:51:20,360 --> 01:51:24,240 THAT FOR WHOLE CENTURY FROM 1900 3034 01:51:24,240 --> 01:51:25,800 TO 2000, PERCENT OF U.S. 3035 01:51:25,800 --> 01:51:28,680 PHYSICIANS WHO ARE BLACK BARELY 3036 01:51:28,680 --> 01:51:31,640 BUDGED AND WAS NEVER MORE THAN 3037 01:51:31,640 --> 01:51:32,720 4%. IN FACT FOR MOST CENTURY IT 3038 01:51:32,720 --> 01:51:34,520 WAS LESS THAN 3%. 3039 01:51:34,520 --> 01:51:35,880 HOVERED AROUND THAT. 3040 01:51:35,880 --> 01:51:37,680 AND THAT'S A PROBLEM. 3041 01:51:37,680 --> 01:51:39,720 EVEN TODAY AS I SIT AND SPEAK 3042 01:51:39,720 --> 01:51:41,400 WITH YOU EVEN THOUGH WE 3043 01:51:41,400 --> 01:51:45,040 REPRESENT 13% OF THE POPULATION, 3044 01:51:45,040 --> 01:51:46,080 AFRICAN AMERICANS STILL 3045 01:51:46,080 --> 01:51:47,080 CONSTITUTE ABOUT 5% OF 3046 01:51:47,080 --> 01:51:48,520 PHYSICIANS. 3047 01:51:48,520 --> 01:51:50,240 THE SAME THING IS RUE FOR 3048 01:51:50,240 --> 01:51:51,760 HISPANICS AS WELL. 3049 01:51:51,760 --> 01:51:53,520 ANOTHER THING TO POINT OUT, 3050 01:51:53,520 --> 01:51:55,480 200,000 LICENSED DENTISTS IN THE 3051 01:51:55,480 --> 01:51:58,720 UNITED STATES, 6,000 WHOM ARE 3052 01:51:58,720 --> 01:52:00,600 BLACK, ONLY 3%. 3053 01:52:00,600 --> 01:52:02,400 QUITE REMARKABLY THERE'S 68 3054 01:52:02,400 --> 01:52:03,760 SCHOOLS OF DENTISTRY IN UNITED 3055 01:52:03,760 --> 01:52:06,120 STATES OF AMERICA AND ONE SCHOOL 3056 01:52:06,120 --> 01:52:08,920 IN NASHVILLE, TENNESSEE, IS 3057 01:52:08,920 --> 01:52:10,520 RESPONSIBLE FOR 40% OF ALL BLACK 3058 01:52:10,520 --> 01:52:11,360 DENTISTS WHO PRACTICE IN THE 3059 01:52:11,360 --> 01:52:12,920 UNITED STATES. 3060 01:52:12,920 --> 01:52:15,480 EVEN THOUGH THERE'S 67 OTHER 3061 01:52:15,480 --> 01:52:17,480 SCHOOLS WITH CAPACITY TO TRAIN 3062 01:52:17,480 --> 01:52:18,320 DENTISTS. 3063 01:52:18,320 --> 01:52:21,640 LIKEWISE, THERE'S 254 ACCREDITED 3064 01:52:21,640 --> 01:52:23,680 PHYSICIAN ASSISTANT PROGRAMS, 3065 01:52:23,680 --> 01:52:24,720 150,000 OR SO PHYSICIAN 3066 01:52:24,720 --> 01:52:26,400 ASSISTANTS IN THE UNITED STATES. 3067 01:52:26,400 --> 01:52:29,280 LESS THAN 3% ARE BLACK, AND ONLY 3068 01:52:29,280 --> 01:52:30,720 ONE IN A THOUSAND OF THEM ARE 3069 01:52:30,720 --> 01:52:33,320 BLACK MALES. 3070 01:52:33,320 --> 01:52:35,920 I POINT THIS OUT BECAUSE WE NOW 3071 01:52:35,920 --> 01:52:37,360 UNDERSTAND THAT WHEN THE 3072 01:52:37,360 --> 01:52:39,120 HEALTHCARE PROVIDERS REFLECT 3073 01:52:39,120 --> 01:52:41,360 POPULATION THEY CARE FOR, THE 3074 01:52:41,360 --> 01:52:42,760 OUTCOMES ARE MUCH BETTER. 3075 01:52:42,760 --> 01:52:44,320 THAT IS NOT TO SAY THAT IF YOU 3076 01:52:44,320 --> 01:52:46,480 ARE A WHITE PHYSICIAN YOU CAN'T 3077 01:52:46,480 --> 01:52:48,600 PROVIDE GREAT CARE TO BROWN OR 3078 01:52:48,600 --> 01:52:49,400 BLACK PERSON BECAUSE THAT 3079 01:52:49,400 --> 01:52:50,440 HAPPENS EVERY DAY. 3080 01:52:50,440 --> 01:52:52,560 THE POINT IS OVERALL WORK FORCE 3081 01:52:52,560 --> 01:52:53,920 REFLECT IT IS POPULATION, WE 3082 01:52:53,920 --> 01:52:57,560 KNOW THE OUTCOMES ARE BETTER. 3083 01:52:57,560 --> 01:52:59,560 SO JUST WANT TO SHARE A FEW 3084 01:52:59,560 --> 01:53:01,160 RECOMMENDATIONS WE MADE TO 3085 01:53:01,160 --> 01:53:02,560 PRESIDENT BIDEN. 3086 01:53:02,560 --> 01:53:05,440 IN THE TEN MONTHS WE SPENT 3087 01:53:05,440 --> 01:53:07,120 WORKING ON HEALTH EQUITY TASK 3088 01:53:07,120 --> 01:53:07,640 FORCE. 3089 01:53:07,640 --> 01:53:09,440 ONE OF THE MAJOR RECOMMENDATIONS 3090 01:53:09,440 --> 01:53:12,080 WE MADE WAS TO ELEVATE AND 3091 01:53:12,080 --> 01:53:13,200 EXPLOIT THE KNOWLEDGE AND 3092 01:53:13,200 --> 01:53:15,280 EXPERTISE OF COMMUNITIES. 3093 01:53:15,280 --> 01:53:17,280 IN OTHER WORDS, TO HAVE WHAT WE 3094 01:53:17,280 --> 01:53:19,520 CALL CULTURAL HUMILITY TO 3095 01:53:19,520 --> 01:53:20,400 RECOGNIZE THE SOME COMMUNITIES 3096 01:53:20,400 --> 01:53:21,640 HAVE THE ANSWERS. 3097 01:53:21,640 --> 01:53:22,880 THEY ARE JUST LACKING THE 3098 01:53:22,880 --> 01:53:25,240 RESOURCES AND WHEREWITHAL TO 3099 01:53:25,240 --> 01:53:27,720 IMPLEMENT THOSE SOLUTIONS. 3100 01:53:27,720 --> 01:53:29,080 WE ALSO SPENT A LOT OF TIME 3101 01:53:29,080 --> 01:53:32,320 TALKING ABOUT THE FACT THAT NOT 3102 01:53:32,320 --> 01:53:33,200 ONLY SOMETIMES IS DATA NOT 3103 01:53:33,200 --> 01:53:34,880 AVAILABLE TO ALLOW GOOD 3104 01:53:34,880 --> 01:53:36,680 DECISIONS TO BE MADE, BUT THE 3105 01:53:36,680 --> 01:53:38,920 DATA IS IN MOST CASES NOT 3106 01:53:38,920 --> 01:53:40,760 DISAGGREGATED TO ALLOW YOU TO 3107 01:53:40,760 --> 01:53:42,440 UNDERSTAND WHAT IS HAPPENING TO 3108 01:53:42,440 --> 01:53:44,200 CERTAIN POPULATIONS AND LIVED 3109 01:53:44,200 --> 01:53:44,760 EXPERIENCES. 3110 01:53:44,760 --> 01:53:47,080 SO WE ARE RECOMMENDING THAT 3111 01:53:47,080 --> 01:53:48,200 DISAGGREGATE THE DATA BE 3112 01:53:48,200 --> 01:53:51,200 PRODUCED, AND REPORTED SO THAT 3113 01:53:51,200 --> 01:53:53,080 DECISIONS CAN BE MADE THAT ARE 3114 01:53:53,080 --> 01:53:54,440 REASONABLE AND HAVE THE BEST 3115 01:53:54,440 --> 01:53:56,440 OUTCOMES. 3116 01:53:56,440 --> 01:53:59,440 WE ALSO THINK IN ALL THE 3117 01:53:59,440 --> 01:54:01,920 AGENCIES, IN THE UNITED STATES 3118 01:54:01,920 --> 01:54:04,120 GOVERNMENT, ALL THE PRACTICES 3119 01:54:04,120 --> 01:54:06,040 POLICIES AND ALL THOSE SHOULD BE 3120 01:54:06,040 --> 01:54:07,240 GOVERNED QUITE SOME TIME TO COME 3121 01:54:07,240 --> 01:54:09,120 TO INCLUDE HEALTH EQUITY AS 3122 01:54:09,120 --> 01:54:10,680 PRIORITY FACTOR IN THOSE 3123 01:54:10,680 --> 01:54:12,600 PROCESSES AND PRACTICES. 3124 01:54:12,600 --> 01:54:14,480 AND ONE OF THE MAJOR 3125 01:54:14,480 --> 01:54:15,840 RECOMMENDATIONS WE MADE AND THIS 3126 01:54:15,840 --> 01:54:17,120 IS ONE OF THE ONES THAT WE SPENT 3127 01:54:17,120 --> 01:54:19,920 A LOT OF TIME TALKING ABOUT, WE 3128 01:54:19,920 --> 01:54:22,120 ALL AGREED ALL OF US ON THE 3129 01:54:22,120 --> 01:54:23,880 HEALTH EQUITY TASK FOES, HUMAN 3130 01:54:23,880 --> 01:54:26,640 RIGHT HAS TO BE DECLARED A -- 3131 01:54:26,640 --> 01:54:27,880 HEALTHCARE HAS TO BE DECLARED A 3132 01:54:27,880 --> 01:54:28,800 HUMAN RIGHT. 3133 01:54:28,800 --> 01:54:30,920 TO ACKNOWLEDGE THE FACT THAT WE 3134 01:54:30,920 --> 01:54:33,120 REALLY DO BELIEVE ALL LIVES ARE 3135 01:54:33,120 --> 01:54:34,280 VALUABLE AND SAME BECAUSE THE 3136 01:54:34,280 --> 01:54:35,600 PANDEMIC HAS SHOWN US THAT A LOT 3137 01:54:35,600 --> 01:54:37,840 OF WAYS WE SAY THAT BUT IT 3138 01:54:37,840 --> 01:54:38,920 DOESN'T APPEAR TO BE TRUE IN OUR 3139 01:54:38,920 --> 01:54:40,440 COUNTRY. 3140 01:54:40,440 --> 01:54:43,960 SO HOW DO WE DISLODGE WEDGE OF 3141 01:54:43,960 --> 01:54:44,520 SEPARATION? 3142 01:54:44,520 --> 01:54:45,800 WE HAD THE MAKE SURE 3143 01:54:45,800 --> 01:54:46,320 INSTITUTIONS THAT TRAIN 3144 01:54:46,320 --> 01:54:49,600 HEALTHCARE PROVIDERS ARE HELD 3145 01:54:49,600 --> 01:54:52,920 ACCOUNTABLE FOR TRAINING DIVERSE 3146 01:54:52,920 --> 01:54:53,760 GROUP OF TRAINEES. 3147 01:54:53,760 --> 01:54:55,200 WE HAVE TO MAKE SURE THE BIAS 3148 01:54:55,200 --> 01:54:59,720 AND MEDICAL DECISION MAKING AND 3149 01:54:59,720 --> 01:55:02,480 ALGORITHMS DEVELOPED THOSE BE 3150 01:55:02,480 --> 01:55:03,600 ADDRESSED AND ELIMINATED AS 3151 01:55:03,600 --> 01:55:06,160 QUICK AS POSSIBLE. 3152 01:55:06,160 --> 01:55:07,440 WE BELIEVE GOVERNMENT HAS DUTY 3153 01:55:07,440 --> 01:55:10,000 TO MAKE SURE ENVIRONMENTAL 3154 01:55:10,000 --> 01:55:12,080 JUSTICE IS ENFORCED SO ALL OF US 3155 01:55:12,080 --> 01:55:13,520 HAVE ACCESS TO CLEAN WATER, 3156 01:55:13,520 --> 01:55:14,680 SANITATION AND HEALTHY FOODS AND 3157 01:55:14,680 --> 01:55:16,760 THAT WE ALL LIVE IN SAFE 3158 01:55:16,760 --> 01:55:18,120 COMMUNITIES WITH A POSSIBILITY 3159 01:55:18,120 --> 01:55:21,160 OF HAVING PHYSICALLY ACTIVE 3160 01:55:21,160 --> 01:55:22,960 LIFESTYLES. 3161 01:55:22,960 --> 01:55:23,840 PHYSICAL ACTIVITY EVER TIFTED BY 3162 01:55:23,840 --> 01:55:24,720 ITSELF WOULD MAKE A HUGE 3163 01:55:24,720 --> 01:55:26,800 DIFFERENCE IN THE HEALTH STATUS 3164 01:55:26,800 --> 01:55:28,840 OF MOST AMERICANS. 3165 01:55:28,840 --> 01:55:29,960 LAST, WE BELIEVE THAT ALL 3166 01:55:29,960 --> 01:55:31,720 FEDERAL AGENCIES SHOULD DO WHAT 3167 01:55:31,720 --> 01:55:33,720 NIH HAS DONE, TO ACKNOWLEDGE 3168 01:55:33,720 --> 01:55:36,600 RACISM IS A FACTOR AND HIRING 3169 01:55:36,600 --> 01:55:38,840 AND POLICY MAKING ALLOCATION OF 3170 01:55:38,840 --> 01:55:42,360 RESOURCES, AND DO AS NIH HAS 3171 01:55:42,360 --> 01:55:44,920 DONE, AND IMPLEMENT A PLAN TO 3172 01:55:44,920 --> 01:55:45,520 ELIMINATE IT. 3173 01:55:45,520 --> 01:55:49,080 SO JUST A FEW MORE WE ALSO THINK 3174 01:55:49,080 --> 01:55:51,160 HEALTHCARE ORGANIZATIONS IN OUR 3175 01:55:51,160 --> 01:55:53,080 DRY SHOULD BE INCENTIVIZED TO 3176 01:55:53,080 --> 01:55:55,280 PARTNER WITH LOCAL COMMUNITY 3177 01:55:55,280 --> 01:55:56,360 ORGANIZATIONS, THAT ARE 3178 01:55:56,360 --> 01:55:57,160 ADDRESSING THE SOCIAL 3179 01:55:57,160 --> 01:55:58,200 DETERMINANTS OF HEALTH, 3180 01:55:58,200 --> 01:55:59,040 HEALTHCARE PROVIDERS 3181 01:55:59,040 --> 01:56:00,960 ORGANIZATIONS ARE NOT SET UP TO 3182 01:56:00,960 --> 01:56:02,200 ADDRESS THE SOCIAL DETERMINANTS 3183 01:56:02,200 --> 01:56:04,000 OF HEALTH, THAT'S NOT WHAT THEY 3184 01:56:04,000 --> 01:56:05,360 ARE DESIGNED TO DO. 3185 01:56:05,360 --> 01:56:08,040 WHAT THEY HAVE BEEN DOING OVER 3186 01:56:08,040 --> 01:56:09,200 THESE DECADES BUT PARTNERING 3187 01:56:09,200 --> 01:56:11,440 WITH COMMUNITY ORGANIZATIONS WE 3188 01:56:11,440 --> 01:56:13,000 BELIEVE THEY CAN ACTUALLY BE 3189 01:56:13,000 --> 01:56:14,560 EFFECTIVE IN ADDRESSING THOSE 3190 01:56:14,560 --> 01:56:16,040 SOCIAL DETERMINANTS. 3191 01:56:16,040 --> 01:56:19,120 WE ALSO STRONGLY BELIEVE THE 3192 01:56:19,120 --> 01:56:19,920 INDIAN HEALTH SERVICE SHOULD 3193 01:56:19,920 --> 01:56:22,320 FINALLY BE FULLY FUNDED TO MAKE 3194 01:56:22,320 --> 01:56:24,040 SURE INDIGENOUS PERSONS CAN HAVE 3195 01:56:24,040 --> 01:56:26,800 ACCESS TO QUALITY HEALTHCARE AND 3196 01:56:26,800 --> 01:56:29,040 INCLUDING TELEMEDICINE AND 3197 01:56:29,040 --> 01:56:30,800 TELEHEALTH. 3198 01:56:30,800 --> 01:56:32,000 WE ALSO THINK BEHAVIORAL HEALTH 3199 01:56:32,000 --> 01:56:34,560 IS A HUGE PROBLEM ESPECIALLY FOR 3200 01:56:34,560 --> 01:56:36,000 MINORITY POPULATIONS AND THE 3201 01:56:36,000 --> 01:56:37,680 GOVERNMENT SHOULD SET UP 3202 01:56:37,680 --> 01:56:39,120 STANDARDS ACROSS ALL 3203 01:56:39,120 --> 01:56:40,160 ORGANIZATIONS TO MAKE SURE 3204 01:56:40,160 --> 01:56:41,840 UNDERSERVED POPULATIONS CAN GET 3205 01:56:41,840 --> 01:56:44,400 THE EQUITY CENTERED BEHAVIORAL 3206 01:56:44,400 --> 01:56:47,120 HEALTHCARE THEY NEED. 3207 01:56:47,120 --> 01:56:49,520 LASTLY, WE BELIEVE TECHNOLOGY 3208 01:56:49,520 --> 01:56:51,280 WHICH IS ONE OF THE SIX DEGREES 3209 01:56:51,280 --> 01:56:52,160 OF SEPARATION HAS TO BE 3210 01:56:52,160 --> 01:56:54,600 ADDRESSED TO MAKE SURE THAT 3211 01:56:54,600 --> 01:56:57,880 RURAL INDIVIDUALS MEMBERS THAT 3212 01:56:57,880 --> 01:57:00,360 ARE PART OF BIPOC COMMUNE AT 3213 01:57:00,360 --> 01:57:01,480 THIS AND UNDERSERVED COMMUNITIES 3214 01:57:01,480 --> 01:57:03,480 HAVE ACCESS TO HEALTHCARE 3215 01:57:03,480 --> 01:57:04,160 SERVICES DELIVERED THROUGH 3216 01:57:04,160 --> 01:57:05,720 TECHNOLOGY TELEMEDICINE AND 3217 01:57:05,720 --> 01:57:06,120 TELEHEALTH. 3218 01:57:06,120 --> 01:57:09,200 SO THERE ARE LOTS OF OTHER 3219 01:57:09,200 --> 01:57:10,560 RECOMMENDATIONS WE HAD BUT THESE 3220 01:57:10,560 --> 01:57:14,200 ARE MAJOR ONES TO SHARE WITH 3221 01:57:14,200 --> 01:57:15,240 YOU. 3222 01:57:15,240 --> 01:57:17,400 MY MAIN POINT IS IF YOU LOOK AT 3223 01:57:17,400 --> 01:57:18,520 ANY OF THOSE SIX DEGREES OF 3224 01:57:18,520 --> 01:57:20,320 SEPARATION AND YOU PROBE DEEP 3225 01:57:20,320 --> 01:57:22,920 ENOUGH, YOU COME TO THE SAME 3226 01:57:22,920 --> 01:57:23,520 CONCLUSIONS. 3227 01:57:23,520 --> 01:57:25,680 YOU CAN GET AWAY FROM THE FACT 3228 01:57:25,680 --> 01:57:27,120 SYSTEMIC RACISM OVER DECADES, I 3229 01:57:27,120 --> 01:57:29,280 WOULD SAY OVER 400 YEARS, HAS 3230 01:57:29,280 --> 01:57:32,360 PUT US IN A POSITION WHERE SOME 3231 01:57:32,360 --> 01:57:33,320 MEMBERS OF POPULATION ARE 3232 01:57:33,320 --> 01:57:35,000 DISADVANTAGED WHEN IT COMES TO 3233 01:57:35,000 --> 01:57:35,720 HEALTH AND HEALTHCARE. 3234 01:57:35,720 --> 01:57:37,080 AND DEALING WITH RACISM HAS TO 3235 01:57:37,080 --> 01:57:38,720 BE PART OF OUR STRATEGY. 3236 01:57:38,720 --> 01:57:39,600 I THINK THAT IS IT. 3237 01:57:39,600 --> 01:57:48,280 THANK YOU. 3238 01:57:48,280 --> 01:57:50,160 >> THANKS VERY MUCH FOR THE 3239 01:57:50,160 --> 01:57:51,120 WONDERFUL PRESENTATIONS. 3240 01:57:51,120 --> 01:57:53,720 I WILL OPEN UP NOW FOR QUESTIONS 3241 01:57:53,720 --> 01:58:00,680 ANYONE MAY HAVE. 3242 01:58:00,680 --> 01:58:02,040 >> AND SUGGESTIONS. 3243 01:58:02,040 --> 01:58:03,920 >> I THINK IN THINKING ABOUT THE 3244 01:58:03,920 --> 01:58:05,160 QUESTION FIRST OF ALL I THANK 3245 01:58:05,160 --> 01:58:07,160 YOU FOR BRINGING IN THE SIX 3246 01:58:07,160 --> 01:58:10,000 SEPARATION OF THE TECHNOLOGY 3247 01:58:10,000 --> 01:58:11,680 BECAUSE AS WE RELY MORE ON 3248 01:58:11,680 --> 01:58:12,640 TECHNOLOGY THIS IS NOT -- THE 3249 01:58:12,640 --> 01:58:16,840 GAP IS GOING TO GET WORSE. 3250 01:58:16,840 --> 01:58:20,920 SO IN TERMS OF HOW DO WE 3251 01:58:20,920 --> 01:58:22,080 ACCELERATE THAT SPECIFIC GAP OF 3252 01:58:22,080 --> 01:58:23,080 SEPARATION BECAUSE THERE ARE 3253 01:58:23,080 --> 01:58:27,480 MULTIPLE BUT THAT TECHNOLOGY ONE 3254 01:58:27,480 --> 01:58:29,280 IS SORT OF INCEPTION. 3255 01:58:29,280 --> 01:58:32,320 >> I THINK ONE OF THE PROBLEMS 3256 01:58:32,320 --> 01:58:34,760 IS THE NUMBER OF STUDENTS WHO 3257 01:58:34,760 --> 01:58:39,320 GET EXPOSED TO TECHNOLOGICALLY 3258 01:58:39,320 --> 01:58:40,680 INTENSE CAREER OPTIONS ARE VERY 3259 01:58:40,680 --> 01:58:42,720 FEW. 3260 01:58:42,720 --> 01:58:44,240 THAT IS A REASON WE STARTED 3261 01:58:44,240 --> 01:58:46,280 SCHOOL OF APPLIED COMPUTATIONAL 3262 01:58:46,280 --> 01:58:49,920 SCIENCES AT MEHARRY TO OFFER 3263 01:58:49,920 --> 01:58:51,280 DEGREES AND DATA SCIENCE 3264 01:58:51,280 --> 01:58:53,120 BIOMEDICAL DATA SCIENCE ROLLING 3265 01:58:53,120 --> 01:58:55,960 OUR FIRST CLASS THIS FALL AND WE 3266 01:58:55,960 --> 01:58:57,360 BELIEVE -- I BELIEVE PERSONALLY 3267 01:58:57,360 --> 01:58:58,960 THAT STUDENTS CANNOT BE EXCITED 3268 01:58:58,960 --> 01:59:01,040 ABOUT SOMETHING YOU ARE NOT 3269 01:59:01,040 --> 01:59:01,720 EXPOSED TO. 3270 01:59:01,720 --> 01:59:04,520 WE GOT EXPOSED MORE STUDENTS TO 3271 01:59:04,520 --> 01:59:06,640 THE POWER OF AND BEAUTY OF I 3272 01:59:06,640 --> 01:59:08,120 WOULD SAY DATA SCIENCE AND WHAT 3273 01:59:08,120 --> 01:59:09,720 THAT CAN DO AND MAKE SURE THEY 3274 01:59:09,720 --> 01:59:11,080 ARE INVOLVED IN DEVELOPING THE 3275 01:59:11,080 --> 01:59:12,520 ALGORITHMS AND DOING THE 3276 01:59:12,520 --> 01:59:12,920 RESEARCH. 3277 01:59:12,920 --> 01:59:14,480 TO ME IT IS ONE OF THE MOST 3278 01:59:14,480 --> 01:59:16,800 EXCITING THINGS GOING NOW. 3279 01:59:16,800 --> 01:59:19,720 IS DATA SCIENCE AND LARGE DATA 3280 01:59:19,720 --> 01:59:20,960 SETS AND DEVELOPING 3281 01:59:20,960 --> 01:59:22,080 INTERVENTIONS BASED ON THOSE 3282 01:59:22,080 --> 01:59:22,560 DATA SETS. 3283 01:59:22,560 --> 01:59:23,920 SO I THINK THE ONE THING WE HAVE 3284 01:59:23,920 --> 01:59:27,040 TO DO IS TO DO MORE TO ENCOURAGE 3285 01:59:27,040 --> 01:59:30,320 MORE YOUNG PEOPLE, TO HAVE AN 3286 01:59:30,320 --> 01:59:33,000 INTEREST IN TAKE ON TECHNOLOGY 3287 01:59:33,000 --> 01:59:34,680 SPECIFIC CAREERS. 3288 01:59:34,680 --> 01:59:35,160 GOING FORWARD. 3289 01:59:35,160 --> 01:59:36,560 IN AND OUT OF HEALTHCARE FOR 3290 01:59:36,560 --> 01:59:39,800 THAT MATTER. 3291 01:59:39,800 --> 01:59:41,520 >> MELISSA ROSS RAISING HER 3292 01:59:41,520 --> 01:59:42,160 HAND. 3293 01:59:42,160 --> 01:59:43,920 MELISSA. 3294 01:59:43,920 --> 01:59:47,760 >> I THINK COMMISSIONER RIGHT 3295 01:59:47,760 --> 01:59:49,640 BEFORE ME, DR. -- 3296 01:59:49,640 --> 01:59:52,680 >> THE GENTLEMAN I AM. 3297 01:59:52,680 --> 01:59:55,200 >> THANK YOU SO MUCH. 3298 01:59:55,200 --> 01:59:57,440 WANT TO LOWER MY HAND SO IT 3299 01:59:57,440 --> 01:59:58,880 DOESN'T STAY ON FOREVER. 3300 01:59:58,880 --> 02:00:00,600 THANK YOU DR. HILDRETH FOR YOUR 3301 02:00:00,600 --> 02:00:01,040 PRESENTATION. 3302 02:00:01,040 --> 02:00:04,680 I APPRECIATED SEEING THE 3303 02:00:04,680 --> 02:00:05,800 RECOMMENDATIONS TO THE BIDEN 3304 02:00:05,800 --> 02:00:08,160 ADMINISTRATION AND YOUR TIME 3305 02:00:08,160 --> 02:00:11,080 LINE OF PRIOR ADMINISTRATION 3306 02:00:11,080 --> 02:00:12,440 RESPONSIVE TO THE COVID PANDEMIC 3307 02:00:12,440 --> 02:00:14,680 IS GREAT TO SEE AS WELL SO THANK 3308 02:00:14,680 --> 02:00:17,360 YOU FOR THAT. 3309 02:00:17,360 --> 02:00:19,720 I AM FIRST NATION (INAUDIBLE) SO 3310 02:00:19,720 --> 02:00:21,920 SPEAKING FROM LINES OF MIXED 3311 02:00:21,920 --> 02:00:24,960 RACE INDIGENOUS PERSON, REALLY A 3312 02:00:24,960 --> 02:00:26,920 LOT ABOUT HOW CAN WE SHAKE UP 3313 02:00:26,920 --> 02:00:29,960 THE SYSTEMS FOR IMPACT. 3314 02:00:29,960 --> 02:00:34,920 FOR MORE EQUITABLE IMPACT. THE 3315 02:00:34,920 --> 02:00:37,120 THINGS WE CONTINUE TO DO, BOTH 3316 02:00:37,120 --> 02:00:38,720 WITHIN THE NIH AND WITHIN 3317 02:00:38,720 --> 02:00:41,840 SCIENCE MORE GENERALLY ARE 3318 02:00:41,840 --> 02:00:44,280 PRODUCING MAYBE NO CHANGES OR 3319 02:00:44,280 --> 02:00:46,520 INCREMENTAL CHANGES IN EQUITABLE 3320 02:00:46,520 --> 02:00:47,360 REPRESENTATION, CERTAINLY THEY 3321 02:00:47,360 --> 02:00:49,160 ARE NOT INCLUDING HEALTH 3322 02:00:49,160 --> 02:00:50,360 INEQUITIES, THEY ARE ONLY 3323 02:00:50,360 --> 02:00:50,840 GETTING WORSE. 3324 02:00:50,840 --> 02:00:52,720 SO I'M JUST -- I'M WONDERING A 3325 02:00:52,720 --> 02:00:54,920 LOT ABOUT WHAT CAN WE DO WITHIN 3326 02:00:54,920 --> 02:00:57,720 SAY THE CONFINES OF NIDA OR THE 3327 02:00:57,720 --> 02:00:59,400 NIH TO SHAKE IT UP. 3328 02:00:59,400 --> 02:01:01,720 WHAT ARE SOME BOLD INITIATIVES 3329 02:01:01,720 --> 02:01:03,360 THAT WE CAN TAKE ON. 3330 02:01:03,360 --> 02:01:05,720 CURIOUS IF YOU HAVE THOUGHTS ON 3331 02:01:05,720 --> 02:01:09,720 THIS, FROM MY PERSPECTIVE, KATHY 3332 02:01:09,720 --> 02:01:11,080 ETZ PART OF NIDA HELPED 3333 02:01:11,080 --> 02:01:12,640 COMMISSION A REPORT THAT SOME OF 3334 02:01:12,640 --> 02:01:15,400 US ENGAGED IN INDIGENOUS HEALTH 3335 02:01:15,400 --> 02:01:16,840 RESEARCH BROUGHT FOR REVIEWERS, 3336 02:01:16,840 --> 02:01:19,080 TO CONSIDER THINGS LIKE STOP 3337 02:01:19,080 --> 02:01:20,280 CONFLATING SIGNIFICANCE WITH 3338 02:01:20,280 --> 02:01:22,840 SIZE OF SAMPLE OF POPULATION. 3339 02:01:22,840 --> 02:01:24,600 STOP COUNTING ONLY PUBLICATIONS 3340 02:01:24,600 --> 02:01:26,920 AS METRICS OF SUCCESS AND 3341 02:01:26,920 --> 02:01:27,880 IMPACT. 3342 02:01:27,880 --> 02:01:28,720 FOR SCIENCE. 3343 02:01:28,720 --> 02:01:30,920 THESE ARE SMALL THINGS, CURIOUS 3344 02:01:30,920 --> 02:01:32,560 IF OTHER IDEAS WAYS TO BUST OUT 3345 02:01:32,560 --> 02:01:34,480 OF THE MODEL BECAUSE STATUS QUO 3346 02:01:34,480 --> 02:01:35,640 IS NOT WORKING AS YOU KNOW. 3347 02:01:35,640 --> 02:01:37,280 THANK YOU. 3348 02:01:37,280 --> 02:01:41,040 >> I DON'T HAVE ANY IDEAS THAT 3349 02:01:41,040 --> 02:01:44,080 YOU HAVEN'T HEARD ALREADY. 3350 02:01:44,080 --> 02:01:46,720 AS RADICAL FROM THAT PERSPECTIVE 3351 02:01:46,720 --> 02:01:49,480 THAT THE DIRECTIVE NIH TOOK THE 3352 02:01:49,480 --> 02:01:50,720 BOLD STEP AND IT WAS REALLY A 3353 02:01:50,720 --> 02:01:52,680 BOLD STEP TO SAY RACISM IS REAL, 3354 02:01:52,680 --> 02:01:53,920 WE HAVE TO DEAL WITH IT. 3355 02:01:53,920 --> 02:01:58,320 AND I THINK THAT JUST THAT ACT 3356 02:01:58,320 --> 02:02:02,040 ALONE SENT A MESSAGE TO 3357 02:02:02,040 --> 02:02:03,520 EXTRAMURAL COMMUNITY THAT NIH 3358 02:02:03,520 --> 02:02:05,320 LEADING BY EXAMPLE. 3359 02:02:05,320 --> 02:02:06,480 TO ME I HAVE ALWAYS THOUGHT 3360 02:02:06,480 --> 02:02:08,000 THAT'S THE BEST WAY TO LEAD IS 3361 02:02:08,000 --> 02:02:09,080 TO LEAD BY EXAMPLE. 3362 02:02:09,080 --> 02:02:10,880 I HAD TO THANK FRANCIS 3363 02:02:10,880 --> 02:02:11,280 PERSONALLY. 3364 02:02:11,280 --> 02:02:13,480 FOR DOING THIS BECAUSE I HAVE 3365 02:02:13,480 --> 02:02:15,040 BEEN DOING MEDICAL RESEARCH 3366 02:02:15,040 --> 02:02:17,040 SINCE I WAS A SOPHOMORE AT 3367 02:02:17,040 --> 02:02:17,440 HARVARD. 3368 02:02:17,440 --> 02:02:19,800 I WITNESSED SOME THINGS THAT ARE 3369 02:02:19,800 --> 02:02:22,560 TROUBLING TO ME, FOR EXAMPLE, 3370 02:02:22,560 --> 02:02:23,800 WHEN I WAS AT JOHNS HOPKINS I 3371 02:02:23,800 --> 02:02:25,200 SENT IN A GRANT FOR REVIEW AND 3372 02:02:25,200 --> 02:02:27,120 I'M SURE YOU HEARD ME SAY THIS 3373 02:02:27,120 --> 02:02:27,920 BEFORE. 3374 02:02:27,920 --> 02:02:29,640 THE ENVIRONMENT ALWAYS GOT A 3375 02:02:29,640 --> 02:02:31,120 ONE, DIDN'T MATTER HOW CRAPPY 3376 02:02:31,120 --> 02:02:33,520 THE REST OF GRAT WANT, THE 3377 02:02:33,520 --> 02:02:34,680 ENVIRONMENT GOT A ONE. 3378 02:02:34,680 --> 02:02:37,120 NOW AT MEHARRY MEDICAL COLLEGE 3379 02:02:37,120 --> 02:02:39,280 WE HAVE AMAZING INVESTIGATORS WE 3380 02:02:39,280 --> 02:02:40,880 GET -- FOR ENVIRONMENT THOUGHS 3381 02:02:40,880 --> 02:02:42,080 THEY NEVER SET FOOT ON CAMPUS. 3382 02:02:42,080 --> 02:02:43,160 WE HAVE A GREAT ENVIRONMENT. 3383 02:02:43,160 --> 02:02:46,640 MY POINT IS THAT WE HAVE TO FIND 3384 02:02:46,640 --> 02:02:50,320 WAYS TO DISMANTLE SOME OF THE 3385 02:02:50,320 --> 02:02:52,440 LONG STANDING PERSPECTIVES THAT 3386 02:02:52,440 --> 02:02:53,360 ARE WRONG. 3387 02:02:53,360 --> 02:02:54,760 THEY ARE JUST WRONG. 3388 02:02:54,760 --> 02:02:56,560 I THINK THAT PART OF WHAT NEEDS 3389 02:02:56,560 --> 02:03:00,640 TO HAPPEN IS SOME REALLY HONEST 3390 02:03:00,640 --> 02:03:01,120 CONVERSATIONS. 3391 02:03:01,120 --> 02:03:04,560 I DON'T LIKE TALKING RACISM AND 3392 02:03:04,560 --> 02:03:06,720 I DIDN'T MEAN FOR THAT TO BE THE 3393 02:03:06,720 --> 02:03:08,920 SUBJECT OF MY TALK TO BE HONEST 3394 02:03:08,920 --> 02:03:11,120 WITH YOU BUT WEENIE GOT THE 3395 02:03:11,120 --> 02:03:12,800 INVITATION FROM SUSAN AND SHE 3396 02:03:12,800 --> 02:03:14,320 ASKED ME TO SPEAK ABOUT WHAT 3397 02:03:14,320 --> 02:03:16,680 NEEDS TO BE DONE IN TERM TERMS 3398 02:03:16,680 --> 02:03:18,200 OF HEALTH EQUITY, YOU CAN'T GET 3399 02:03:18,200 --> 02:03:19,760 AROUND IT, IT IS ALL AROUND US, 3400 02:03:19,760 --> 02:03:21,080 IT IS PART OF WHAT WE DO. 3401 02:03:21,080 --> 02:03:24,600 SO WHAT I WOULD SAY IS FIND A 3402 02:03:24,600 --> 02:03:28,480 WAY TO ENGAGE TRUSTED 3403 02:03:28,480 --> 02:03:29,520 MESSENGERS, TRUSTED OPINION 3404 02:03:29,520 --> 02:03:30,320 LETTEDDERS AND INVOLVE THEM IN 3405 02:03:30,320 --> 02:03:31,680 THE THINGS YOU ARE DOING AND 3406 02:03:31,680 --> 02:03:33,120 THAT WILL HELP YOU ENGAGE 3407 02:03:33,120 --> 02:03:34,280 COMMUNITIES THAT YOU TRY TO 3408 02:03:34,280 --> 02:03:35,520 REACH AND TO ME THAT'S ONE OF 3409 02:03:35,520 --> 02:03:37,160 THE MOST EFFECTIVE WAYS OF 3410 02:03:37,160 --> 02:03:38,960 HAVING THE THINGS THAT YOU DO BE 3411 02:03:38,960 --> 02:03:42,160 IMPACTFUL IN THE COMMUNITIES BY 3412 02:03:42,160 --> 02:03:44,080 CONNECTING TO HAVING SOME 3413 02:03:44,080 --> 02:03:45,120 ASSOCIATION WITH THOSE 3414 02:03:45,120 --> 02:03:46,800 INDIVIDUALS WHO TRUST IT. 3415 02:03:46,800 --> 02:03:50,800 THAT IS WHY MY HIV WORK EARLY ON 3416 02:03:50,800 --> 02:03:53,080 IS PARTNERING WITH THE FAITH 3417 02:03:53,080 --> 02:03:53,720 LEADER IN THE BLACK CHURCH AND 3418 02:03:53,720 --> 02:03:54,840 THAT IS ONE THING TO SUGGEST TO 3419 02:03:54,840 --> 02:03:56,480 YOU. 3420 02:03:56,480 --> 02:03:58,720 I KNOW I DIDN'T ANSWER YOUR 3421 02:03:58,720 --> 02:04:00,720 QUESTION BUT THOSE ARE THOUGHTS 3422 02:04:00,720 --> 02:04:08,760 THAT I HAVE TO REFLECT ON. 3423 02:04:08,760 --> 02:04:10,520 >> COMMISSION O DARE. 3424 02:04:10,520 --> 02:04:13,720 >> THANK YOU SO MUCH, FIRST AND 3425 02:04:13,720 --> 02:04:15,200 FOREMOST, DR. HILDRETH, IT IS AN 3426 02:04:15,200 --> 02:04:18,080 HONOR TO MEET YOU, I HAVE HEARD 3427 02:04:18,080 --> 02:04:20,760 A LOT ABOUT YOUR WORK I'M 3428 02:04:20,760 --> 02:04:23,800 DELIGHTED TO HEAR FROM YOU I'M 3429 02:04:23,800 --> 02:04:26,520 WONDERING WILL YOU SHARE WITH US 3430 02:04:26,520 --> 02:04:27,040 YOUR SLIDES. 3431 02:04:27,040 --> 02:04:30,320 I HAVE NEVER SEEN A PRESENTATION 3432 02:04:30,320 --> 02:04:34,160 THAT IN DEPTH MOST -- I THINK MY 3433 02:04:34,160 --> 02:04:35,960 COLLEAGUES HERE FIRST CAME ON 3434 02:04:35,960 --> 02:04:38,200 FOR MY FIRST MEETING I TALKED 3435 02:04:38,200 --> 02:04:40,200 ABOUT SOCIAL DETERMINANTS OF 3436 02:04:40,200 --> 02:04:40,440 HEALTH. 3437 02:04:40,440 --> 02:04:41,800 IT IS AN ISSUE. 3438 02:04:41,800 --> 02:04:43,920 IT IS AN ISSUE THAT I'M 3439 02:04:43,920 --> 02:04:44,520 FIGHTING. 3440 02:04:44,520 --> 02:04:47,200 FOR YEAR IN COOK COUNTY. 3441 02:04:47,200 --> 02:04:51,080 BUT WE ARE THE SECOND LARGEST 3442 02:04:51,080 --> 02:04:52,240 COUNTY IN THE COUNTRY BUT WE ARE 3443 02:04:52,240 --> 02:04:55,160 FIGHTING NATIONAL, NATIONAL 3444 02:04:55,160 --> 02:04:56,720 ASSOCIATION OF -- I DECLARED 3445 02:04:56,720 --> 02:04:58,320 RACISM A PUBLIC HEALTH CRISIS 3446 02:04:58,320 --> 02:04:59,760 HERE IN COOK COUNTY. 3447 02:04:59,760 --> 02:05:01,960 WHICH BROUGHT US ON THE FIRST 3448 02:05:01,960 --> 02:05:06,520 CHIEF EQUITY OFFICER. 3449 02:05:06,520 --> 02:05:08,600 DECLARED GUN VIOLENCE A PUBLIC 3450 02:05:08,600 --> 02:05:11,240 HEALTH CRISIS HERE IN COOK 3451 02:05:11,240 --> 02:05:13,520 COUNTY, WE CREATED A MILLION 3452 02:05:13,520 --> 02:05:15,280 DOLLAR FUND BUT IN ADDITION A 3453 02:05:15,280 --> 02:05:16,040 $36 MILLION FUND. 3454 02:05:16,040 --> 02:05:17,400 PROVIDED IT'S HAPPENING IN 3455 02:05:17,400 --> 02:05:18,760 UNDERSERVED COMMUNITIES. LASTLY 3456 02:05:18,760 --> 02:05:20,720 WE DECLARED MENTAL HEALTH AND 3457 02:05:20,720 --> 02:05:23,040 THE LACK OF BEHAVIORAL HEALTH 3458 02:05:23,040 --> 02:05:25,280 SERVICES PUBLIC HEALTH CRISIS. 3459 02:05:25,280 --> 02:05:28,320 AND MY COLLEAGUES DID IT 3460 02:05:28,320 --> 02:05:30,520 UNANIMOUS UNDER MY LEADERSHIP 3461 02:05:30,520 --> 02:05:33,320 AND WE FUNDED THAT THROUGH ARPA 3462 02:05:33,320 --> 02:05:36,000 DOLLARS AT $60 MILLION. 3463 02:05:36,000 --> 02:05:37,240 MY QUESTION TO YOU IS I HAVE 3464 02:05:37,240 --> 02:05:39,480 HEARD YOU TALK ABOUT THE SOCIAL 3465 02:05:39,480 --> 02:05:41,360 DETERMINANTS OF HEALTH. 3466 02:05:41,360 --> 02:05:44,240 AND I -- MY GOAL IS TO PULL 3467 02:05:44,240 --> 02:05:45,960 TOGETHER EVERY ELECTED OFFICIAL 3468 02:05:45,960 --> 02:05:49,160 IN THIS COUNTRY THAT I CAN. 3469 02:05:49,160 --> 02:05:52,120 HOW DO WE DEAL WITH THIS -- WITH 3470 02:05:52,120 --> 02:05:53,720 THE POLITICAL DETERMINANTS OF 3471 02:05:53,720 --> 02:05:54,360 HEALTH. 3472 02:05:54,360 --> 02:05:56,560 AND DANIEL DOS TALKED ABOUT 3473 02:05:56,560 --> 02:05:58,840 THAT. 3474 02:05:58,840 --> 02:06:02,360 AT THE MOREHOUSE THATCHER 3475 02:06:02,360 --> 02:06:03,760 INSTITUTE SCHOOL OF MEDICINE, WE 3476 02:06:03,760 --> 02:06:05,800 KNOW POLITICAL DETERMINANTS OF 3477 02:06:05,800 --> 02:06:08,040 HEALTH EXIST, HOW DO WE FIT THAT 3478 02:06:08,040 --> 02:06:10,040 INTO THE SPECTRUM OF WHAT YOU 3479 02:06:10,040 --> 02:06:13,080 TALKED ABOUT TODAY. 3480 02:06:13,080 --> 02:06:15,320 >> COMMISSIONER DEAR, I MAKE IT 3481 02:06:15,320 --> 02:06:19,400 A POINT TO LEAD POLITICS 3482 02:06:19,400 --> 02:06:20,960 POLITICIANS, MY TRAINING AS A 3483 02:06:20,960 --> 02:06:22,760 SCIENTIST AND I TRY TO STAY IN 3484 02:06:22,760 --> 02:06:26,680 MY ORBIT BUT I DO BELIEVE THAT 3485 02:06:26,680 --> 02:06:29,320 POLARIZATION WE ARE WITNESSING 3486 02:06:29,320 --> 02:06:30,600 MANY THE UNITS RIGHT NOW IS 3487 02:06:30,600 --> 02:06:35,640 DANGEROUS AND I THINK THAT I GOT 3488 02:06:35,640 --> 02:06:36,560 INTO SCIENCE BECAUSE I BELIEVE 3489 02:06:36,560 --> 02:06:38,560 LAWS OF NATURE AND PHYSICS WOULD 3490 02:06:38,560 --> 02:06:41,680 WORK LIKE ANYBODY ELSE AND IF I 3491 02:06:41,680 --> 02:06:43,120 DID GOOD SCIENCE I COULD DO A 3492 02:06:43,120 --> 02:06:45,360 GOOD SCIENCE BECAUSE OF THAT. 3493 02:06:45,360 --> 02:06:47,600 I STILL BELIEVE THAT TO THIS 3494 02:06:47,600 --> 02:06:49,520 DAY, THAT IS WHY I CHOSE SCIENCE 3495 02:06:49,520 --> 02:06:50,640 AND RESEARCH BECAUSE I BELIEVE 3496 02:06:50,640 --> 02:06:53,680 THAT TO BE TRUE. 3497 02:06:53,680 --> 02:06:58,320 I THINK AS I SHARED WITH THE 3498 02:06:58,320 --> 02:06:59,760 PREVIOUS INDIVIDUAL, DR., I'M 3499 02:06:59,760 --> 02:07:03,280 SORRY, DR. WAHLS, I'M SORRY, 3500 02:07:03,280 --> 02:07:06,360 THAT WHAT WE NEEDED THIS COUNTRY 3501 02:07:06,360 --> 02:07:08,200 ARE SOME HONEST CONVERSATIONS. 3502 02:07:08,200 --> 02:07:09,960 I DON'T WANT TO MAKE PEOPLE 3503 02:07:09,960 --> 02:07:11,680 UNCOMFORTABLE TALKING RACISM 3504 02:07:11,680 --> 02:07:13,000 BECAUSE FIRST THING PEOPLE DO IS 3505 02:07:13,000 --> 02:07:14,200 SAY I'M NOT A RACIST. 3506 02:07:14,200 --> 02:07:16,040 I'M NOT CALLING ANYBODY RACIST. 3507 02:07:16,040 --> 02:07:17,920 WHAT I'M SAYING IS WE HAVE 3508 02:07:17,920 --> 02:07:19,520 SYSTEMS IN PLACE THAT HAVE BEEN 3509 02:07:19,520 --> 02:07:22,280 BORN OUT OF NON-OBJECTIVE 3510 02:07:22,280 --> 02:07:24,040 PERSPECTIVES BY PEOPLE IN THE 3511 02:07:24,040 --> 02:07:26,320 PAST AND IT IS TIME FOR THEM TO 3512 02:07:26,320 --> 02:07:27,720 BE DISMANTLED. 3513 02:07:27,720 --> 02:07:29,520 SO WHILE THERE ARE LOT OF PEOPLE 3514 02:07:29,520 --> 02:07:30,920 WHO ARE MY FRIENDS, COLLEAGUES 3515 02:07:30,920 --> 02:07:35,800 WHO DON'T LOOK LIKE ME, THEY ARE 3516 02:07:35,800 --> 02:07:37,280 CLOSE CONFIDENTS OF MINE, POINT 3517 02:07:37,280 --> 02:07:41,120 IS IF WE TAKE TIME TO HAVE 3518 02:07:41,120 --> 02:07:42,120 HONEST COFFERSES WE CAN GET PAST 3519 02:07:42,120 --> 02:07:42,520 THIS. 3520 02:07:42,520 --> 02:07:43,160 WE GOT TO HAVE THE 3521 02:07:43,160 --> 02:07:45,560 CONVERSATIONS. 3522 02:07:45,560 --> 02:07:48,240 I JUST SAW THAT DR. LANDER 3523 02:07:48,240 --> 02:07:50,320 RESIGNED AS THE CHIEF POLICY 3524 02:07:50,320 --> 02:07:52,440 OFFICER SCIENTIFIC POLICY 3525 02:07:52,440 --> 02:07:53,800 OFFICER FOR THE PRESIDENT. 3526 02:07:53,800 --> 02:07:54,280 WHY? 3527 02:07:54,280 --> 02:07:56,400 BECAUSE OF BEHAVIORS 3528 02:07:56,400 --> 02:07:57,400 UNACCEPTABLE. 3529 02:07:57,400 --> 02:07:59,400 THEY SHOULD BE UNACCEPTABLE 3530 02:07:59,400 --> 02:08:00,400 WHETHER HIGH SCHOOL MIDDLE 3531 02:08:00,400 --> 02:08:02,840 SCHOOL, PRESIDENT'S TEAM, 3532 02:08:02,840 --> 02:08:03,920 WHATEVER BUT WE HAVE TO BE 3533 02:08:03,920 --> 02:08:05,720 HONEST, WE CAN'T KEEP SAYING ONE 3534 02:08:05,720 --> 02:08:07,120 THING AND DOING ANOTHER. 3535 02:08:07,120 --> 02:08:09,520 IT DRIVES ME CRAZY. 3536 02:08:09,520 --> 02:08:14,120 SO WHAT I'M SAYING TO ALL OF YOU 3537 02:08:14,120 --> 02:08:18,920 IS LET'S HAVE SOME HONEST 3538 02:08:18,920 --> 02:08:20,120 CONVERSATIONS, SOME WILL BE 3539 02:08:20,120 --> 02:08:21,920 UNCOMFORTABLE BUT WILL MAKE A 3540 02:08:21,920 --> 02:08:23,160 BETTER SCIENCE, BETTER 3541 02:08:23,160 --> 02:08:25,600 COMMUNITIES, BETTER NATION IF WE 3542 02:08:25,600 --> 02:08:26,920 JUST HAVE THOSE HONEST 3543 02:08:26,920 --> 02:08:28,480 CONVERSATIONS THAT'S MY MAIN 3544 02:08:28,480 --> 02:08:30,120 MESSAGE TODAY AND I HOPE WE CAN 3545 02:08:30,120 --> 02:08:31,520 ALL AGREE THAT THAT MIGHT BE A 3546 02:08:31,520 --> 02:08:32,120 GOOD THING. 3547 02:08:32,120 --> 02:08:34,400 >> VERY GOOD THING. 3548 02:08:34,400 --> 02:08:42,440 ONE MORE QUESTION BECAUSE DR. 3549 02:08:42,440 --> 02:08:43,560 LAKSHMI IS RACING HERE. 3550 02:08:43,560 --> 02:08:47,160 THIS IS GOING TO BE QUICK. 3551 02:08:47,160 --> 02:08:49,120 WITHIN YOUR 60 YEARS OF 3552 02:08:49,120 --> 02:08:50,920 OPPRESSION YOU POINTED OUT 3553 02:08:50,920 --> 02:08:52,160 MISTRUST IN MEDICINE AND MELCAL 3554 02:08:52,160 --> 02:08:55,040 RESEARCH AS ONE OF THE ISSUE, 3555 02:08:55,040 --> 02:08:58,480 THAT CAME INTO FOCUS DURING THE 3556 02:08:58,480 --> 02:08:59,360 VACCINATION. 3557 02:08:59,360 --> 02:09:01,160 SO THE QUESTION IS WHAT CAN WE 3558 02:09:01,160 --> 02:09:04,520 DO AS A ACADEMIC INSTITUTION AND 3559 02:09:04,520 --> 02:09:05,400 FROM NATIONAL INSTITUTE, WHAT 3560 02:09:05,400 --> 02:09:12,720 CAN WE DO TO ADDRESS THIS. 3561 02:09:12,720 --> 02:09:16,320 >> WHAT I DID IN MY NUMEROUS 3562 02:09:16,320 --> 02:09:19,640 TOWN HALLS AND PRESENTATIONS WAS 3563 02:09:19,640 --> 02:09:21,880 TO POINT OUT THAT IN THIS CASE 3564 02:09:21,880 --> 02:09:23,040 THINGS WERE DIFFERENT. 3565 02:09:23,040 --> 02:09:25,840 WE HAD YOUNG BLACK SCIENTISTS AT 3566 02:09:25,840 --> 02:09:27,080 NIH, DR. CORBETT WHO WAS KEY IN 3567 02:09:27,080 --> 02:09:28,560 DEVELOPING THE VACCINE, WE HAVE 3568 02:09:28,560 --> 02:09:31,760 PEOPLE WHO ARE MEMBERS OF THE 3569 02:09:31,760 --> 02:09:33,880 DATA SCIENCE MONITORING BOARDS, 3570 02:09:33,880 --> 02:09:35,040 DSMB, WHATEVER THEY ARE CALLED 3571 02:09:35,040 --> 02:09:36,520 AND THEN YOU HAD ME AND MY 3572 02:09:36,520 --> 02:09:38,640 COLLEAGUE SITTING ON THE FDA 3573 02:09:38,640 --> 02:09:39,160 REVIEW PANEL. 3574 02:09:39,160 --> 02:09:41,080 WE HAVE TO POINT OUT TO PEOPLE 3575 02:09:41,080 --> 02:09:43,320 AND BE HONEST, BE ABLE TO BACK 3576 02:09:43,320 --> 02:09:44,920 THIS UP, THAT SCIENCE TODAY 3577 02:09:44,920 --> 02:09:45,800 LOOKS VERY DIFFERENT THAN WHAT 3578 02:09:45,800 --> 02:09:49,800 IT LOOKED LIKE IN THE TIMES THAT 3579 02:09:49,800 --> 02:09:51,320 THE MISTRUST WAS ENGENDERED. 3580 02:09:51,320 --> 02:09:53,200 THAT REQUIRES WORK. 3581 02:09:53,200 --> 02:09:54,360 IT IS NOT GOING TO BE EASY, 3582 02:09:54,360 --> 02:09:55,800 GOING TO REQUIRE WORK. 3583 02:09:55,800 --> 02:09:57,360 THAT IS WHY I THINK WE HAVE TO 3584 02:09:57,360 --> 02:10:00,520 IDENTIFY TRUSTED MESSENGERS, AND 3585 02:10:00,520 --> 02:10:01,400 HAVE THEM HAVE CONVERSATIONS 3586 02:10:01,400 --> 02:10:02,800 WITH COMMUNITIES WE ARE TRYING 3587 02:10:02,800 --> 02:10:03,520 TO ENGAGE. 3588 02:10:03,520 --> 02:10:05,280 AND WE CAN BE VERY SUCCESSFUL. 3589 02:10:05,280 --> 02:10:07,280 WHAT DOES THAT MEAN? 3590 02:10:07,280 --> 02:10:08,640 THERE NEEDS TO BE MORE 3591 02:10:08,640 --> 02:10:09,800 MESSENGERS PART OF THESE 3592 02:10:09,800 --> 02:10:10,880 ORGANIZATIONS. 3593 02:10:10,880 --> 02:10:12,360 THAT IS WHAT NORA IS TRYING TO 3594 02:10:12,360 --> 02:10:13,920 ACHIEVE IN NIDA, WHAT NIH IS 3595 02:10:13,920 --> 02:10:16,280 TRYING TO ACHIEVE AND DURING ALL 3596 02:10:16,280 --> 02:10:17,280 THAT WE CAN MAKE A DIFFERENCE. 3597 02:10:17,280 --> 02:10:19,640 BY PLEA TO EVERYONE AND I HAVE 3598 02:10:19,640 --> 02:10:22,720 CHANCE TO SPEAK TO, TIME FOR 3599 02:10:22,720 --> 02:10:24,120 HONEST UNCOMFORTABLE 3600 02:10:24,120 --> 02:10:26,680 CONVERSATIONS. 3601 02:10:26,680 --> 02:10:28,480 LET ME FOLLOW BY SAYING THAT, 3602 02:10:28,480 --> 02:10:29,920 I'M OVER TIME NOR RAY BUT 3603 02:10:29,920 --> 02:10:30,800 WOULDN'T MORE THING TO POINT 3604 02:10:30,800 --> 02:10:31,600 OUT. 3605 02:10:31,600 --> 02:10:36,520 SOME OF THE POLITICIANS ARE DE 3606 02:10:36,520 --> 02:10:38,360 DECRYING CRITICAL RACE THEORY 3607 02:10:38,360 --> 02:10:40,160 BECAUSE IT WILL MAKE WHITE 3608 02:10:40,160 --> 02:10:41,840 CHILDREN UNCOMFORTABLE. 3609 02:10:41,840 --> 02:10:43,200 WHAT ABOUT THEIR ACTUAL 3610 02:10:43,200 --> 02:10:44,440 SUFFERING OF BLACK AND BROWN 3611 02:10:44,440 --> 02:10:45,720 KIDS FOR 400 YEARS, WHAT ABOUT 3612 02:10:45,720 --> 02:10:50,200 THAT? 3613 02:10:50,200 --> 02:10:52,040 I'M GOING TO GET INTO MY 3614 02:10:52,040 --> 02:10:52,920 EMOTIONS HERE SO I'M GOING TO 3615 02:10:52,920 --> 02:10:58,120 LEAVE THAT ALONE CONVERSATIONS 3616 02:10:58,120 --> 02:10:59,720 DON'T DEAL WITH THAT SO LET'S 3617 02:10:59,720 --> 02:11:00,640 HAVE CONVERSATIONS. 3618 02:11:00,640 --> 02:11:02,440 LET'S DO THAT. 3619 02:11:02,440 --> 02:11:04,800 >> DR. HILDRETH, DON'T EVER 3620 02:11:04,800 --> 02:11:06,040 APOLOGIZE FOR YOUR EMOTION, I 3621 02:11:06,040 --> 02:11:08,640 THIS HI THE EMOTIONS CONVEYS THE 3622 02:11:08,640 --> 02:11:09,640 EMERGENCY OF WHAT WE ARE TRYING 3623 02:11:09,640 --> 02:11:10,360 TO DEAL WITH. 3624 02:11:10,360 --> 02:11:13,640 IT IS INSPIRATIONAL TO HEAR YOU 3625 02:11:13,640 --> 02:11:15,800 AND TO SEE CLARITY OF PROCESSES 3626 02:11:15,800 --> 02:11:17,920 WE CAN TACKLE IN ORDER TO CHANGE 3627 02:11:17,920 --> 02:11:18,640 IT. 3628 02:11:18,640 --> 02:11:20,160 I LIKE YOU BELIEVE IT CAN BE 3629 02:11:20,160 --> 02:11:20,600 CHANGED. 3630 02:11:20,600 --> 02:11:24,600 BUT I LIKE YOU ALSO BELIEVE THIS 3631 02:11:24,600 --> 02:11:26,840 REQUIRES VERY PROACTIVE 3632 02:11:26,840 --> 02:11:29,320 ENGAGEMENT AND NOT LETTING GO. 3633 02:11:29,320 --> 02:11:30,680 >> YES. 3634 02:11:30,680 --> 02:11:31,960 >> THANKS VERY MUCH. 3635 02:11:31,960 --> 02:11:34,920 >> THANK YOU, NORA. 3636 02:11:34,920 --> 02:11:35,560 THANKS, EVERYONE. 3637 02:11:35,560 --> 02:11:37,360 HAVE A GREAT DAY. 3638 02:11:37,360 --> 02:11:40,880 >> THANK YOU. 3639 02:11:40,880 --> 02:11:43,000 >> NOW AFTER THAT WONDERFUL 3640 02:11:43,000 --> 02:11:44,160 PRESENTATION WE ARE GOING TO GO 3641 02:11:44,160 --> 02:11:48,880 INTO THE NEXT ITEM INTO GOING TO 3642 02:11:48,880 --> 02:11:52,560 BE GIVEN BY OUR OWN DR. ALBERT 3643 02:11:52,560 --> 02:11:53,880 AVILA, WHO IS PRESENTING ON THE 3644 02:11:53,880 --> 02:11:56,640 BUILDING AND SUSTAINABILITY OF 3645 02:11:56,640 --> 02:11:59,600 DIVERSITY PROGRAMS ACROSS THE 3646 02:11:59,600 --> 02:12:01,240 SCIENTIFIC CAROLINA CONTINUUM. 3647 02:12:01,240 --> 02:12:02,920 ALBERT, PLEASE JUMP RIGHT IN. 3648 02:12:02,920 --> 02:12:03,680 >> GREAT. 3649 02:12:03,680 --> 02:12:06,120 CAN YOU HEAR ME? 3650 02:12:06,120 --> 02:12:07,960 >> YES. 3651 02:12:07,960 --> 02:12:09,320 >> THANK YOU SO MUCH. 3652 02:12:09,320 --> 02:12:11,080 IT IS MY PLEASURE TO PROVIDE 3653 02:12:11,080 --> 02:12:14,520 UPDATE TO EVERYBODY HERE ON 3654 02:12:14,520 --> 02:12:16,840 COUNCIL AND NIDA BUILDING AND 3655 02:12:16,840 --> 02:12:17,840 SUSTAINING DIVERSITY WORK FORCE 3656 02:12:17,840 --> 02:12:19,280 PROGRESS ACROSS THE SCIENTIFIC 3657 02:12:19,280 --> 02:12:20,720 CARE CONTINUUM, WHAT NIDA IS 3658 02:12:20,720 --> 02:12:21,960 DOING IN OFFICE OF HEALTH 3659 02:12:21,960 --> 02:12:23,320 DISPARITIES IN THIS SPACE AND WE 3660 02:12:23,320 --> 02:12:25,400 LOOK FORWARD TO FEEDBACK TO HELP 3661 02:12:25,400 --> 02:12:27,120 GUIDE US ON -- IN OUR WORK IN 3662 02:12:27,120 --> 02:12:28,760 THIS SPACE, IT IS AN HONOR TO 3663 02:12:28,760 --> 02:12:30,640 FOLLOW DR. HILDRETH, NOT SURE IF 3664 02:12:30,640 --> 02:12:33,360 HE IS STILL ON THE CALL. 3665 02:12:33,360 --> 02:12:36,240 SEVEN YEARS AGO ALMOST TO THIS 3666 02:12:36,240 --> 02:12:38,720 DAY, SEVEN YEARS FIVE DAYS AGO, 3667 02:12:38,720 --> 02:12:40,320 NIDA COUNCIL SUBCOMMITTEE WORK 3668 02:12:40,320 --> 02:12:41,680 GROUP ON DIVERSITY WHICH DR. 3669 02:12:41,680 --> 02:12:44,240 HILDRETH CHAIRED AND DR. WAHL IS 3670 02:12:44,240 --> 02:12:46,120 ON COUNCIL NOW SERVED ON, 3671 02:12:46,120 --> 02:12:49,520 PROVIDED A REPORT TO DR. VOLKOW, 3672 02:12:49,520 --> 02:12:51,120 THEIR CHARGE WAS TO PROVIDE 3673 02:12:51,120 --> 02:12:53,920 CONCRETE RECOMMENDATIONS TO THE 3674 02:12:53,920 --> 02:12:55,560 NIDA DRUG STRATEGIES TO INCREASE 3675 02:12:55,560 --> 02:12:56,920 NUMBER OF UNDER-REPRESENTED 3676 02:12:56,920 --> 02:12:58,360 MINORITIES CONDUCTING DRUG ABUSE 3677 02:12:58,360 --> 02:12:59,720 RESEARCH AND TWO INCREASE NUMBER 3678 02:12:59,720 --> 02:13:01,640 OF GRANT APPLICATIONS SUBMIT AND 3679 02:13:01,640 --> 02:13:02,440 FUBBED IT FROM UNDERSTOOD 3680 02:13:02,440 --> 02:13:03,120 REPRESENTED MINORITY 3681 02:13:03,120 --> 02:13:08,880 INVESTIGATORS. 3682 02:13:08,880 --> 02:13:10,240 THE RECOMMENDATION, THESE NEXT 3683 02:13:10,240 --> 02:13:12,000 TWO SLIDES ARE TAKEN FROM THAT 3684 02:13:12,000 --> 02:13:13,920 PRESENTATION SEVEN YEARS AGO. 3685 02:13:13,920 --> 02:13:17,040 AND A LOT OF WORK HAS BEEN BUILT 3686 02:13:17,040 --> 02:13:17,920 OFF THESE RECOMMENDATIONS YOU 3687 02:13:17,920 --> 02:13:19,440 WILL SEE INCREASE FUNDING TO 3688 02:13:19,440 --> 02:13:21,040 DIVERSITY SUPPLEMENT PROGRAM AND 3689 02:13:21,040 --> 02:13:22,720 STRENGTHEN THOSE PROGRAM 3690 02:13:22,720 --> 02:13:24,320 PRACTICES. 3691 02:13:24,320 --> 02:13:26,880 FIND MINIMUM OF FIVE K-99 AWARDS 3692 02:13:26,880 --> 02:13:28,680 TO UNDER-REPRESENTED VIATORSND 3693 02:13:28,680 --> 02:13:30,520 ENSURE T 32 PROGRAMS ARE USING 3694 02:13:30,520 --> 02:13:32,520 SLOTS FOR DIVERSITY, SCHOLARS 3695 02:13:32,520 --> 02:13:34,040 AND SUPPLEMENT THOSE THAT ARE 3696 02:13:34,040 --> 02:13:36,600 DOING A GREAT JOB. 3697 02:13:36,600 --> 02:13:37,760 INITIATE AND COORDINATE A 3698 02:13:37,760 --> 02:13:39,760 COLLABORATIVE TRAINING NETWORK. 3699 02:13:39,760 --> 02:13:41,480 WITH MULTIPLE LOCATIONS, IN 3700 02:13:41,480 --> 02:13:42,520 SUBSTANCE USE AND ADDICTION 3701 02:13:42,520 --> 02:13:44,160 RESEARCH. 3702 02:13:44,160 --> 02:13:46,680 INCREASE FUNDING TO TRAVEL AND 3703 02:13:46,680 --> 02:13:47,760 NETWORK SCIENTIFIC CONFERENCES, 3704 02:13:47,760 --> 02:13:49,840 AND ENSURE THAT CONFERENCE 3705 02:13:49,840 --> 02:13:52,480 GRANTS R 13s INCLUDE 3706 02:13:52,480 --> 02:13:54,320 MINORITIES ON PANEL SPEAKERS IN 3707 02:13:54,320 --> 02:13:56,560 REGARDS TO SECOND CHARGE TO 3708 02:13:56,560 --> 02:13:59,240 INCREASE APPLICATION FROM 3709 02:13:59,240 --> 02:14:01,040 UNDER-REPRESENTED GROUPS 3710 02:14:01,040 --> 02:14:04,640 DEMYSTIFY NIH AND NIDA GRANT 3711 02:14:04,640 --> 02:14:06,440 PROCESS, CREATE MENTORING 3712 02:14:06,440 --> 02:14:08,120 PROGRAMS INCREASE SCIENTIFIC 3713 02:14:08,120 --> 02:14:09,800 PERSONNEL WHEN THE ODHD, 3714 02:14:09,800 --> 02:14:11,560 IMPLICIT BIAS TRAINING FOR 3715 02:14:11,560 --> 02:14:12,600 REVIEW MEMBERS. 3716 02:14:12,600 --> 02:14:14,760 FOA ON COMMUNITY BASED 3717 02:14:14,760 --> 02:14:16,520 PARTICIPATORY RESEARCH AND AREAS 3718 02:14:16,520 --> 02:14:17,520 RELEVANT TO UNDERSERVED 3719 02:14:17,520 --> 02:14:23,120 COMMUNITIES AND PROVIDE RACEET RACE 3720 02:14:23,120 --> 02:14:24,120 MR. ETHERIDGE: NICITY DATA TO 3721 02:14:24,120 --> 02:14:25,720 NIH TO MAKE ACCESSIBLE TO THE 3722 02:14:25,720 --> 02:14:25,920 PUBLIC. 3723 02:14:25,920 --> 02:14:26,960 WE TOOK THAT AND STARTED TO 3724 02:14:26,960 --> 02:14:27,360 WORK. 3725 02:14:27,360 --> 02:14:29,360 WE ALSO LOOKED IN THE LITERATURE 3726 02:14:29,360 --> 02:14:30,920 AND WE ARE STILL CURRENTLY 3727 02:14:30,920 --> 02:14:33,040 LOOKING IN THE LITERATURE. 3728 02:14:33,040 --> 02:14:34,360 WILL THERE'S LOT OF OPINION 3729 02:14:34,360 --> 02:14:35,920 PIECES COMMENTS PAPERS ON THE 3730 02:14:35,920 --> 02:14:37,800 NEED TO INCREASE DIVERSITY WIFE 3731 02:14:37,800 --> 02:14:40,560 HEARD IT HERE TODAY AND WILL 3732 02:14:40,560 --> 02:14:42,240 STILL HEAR BUT PAPERS ARE COMING 3733 02:14:42,240 --> 02:14:45,240 OUT HOW CULTURAL DIVERSITY 3734 02:14:45,240 --> 02:14:47,480 INCREASING GENDER DIVERSITY, 3735 02:14:47,480 --> 02:14:49,200 REALLY DRIVES INNOVATION. 3736 02:14:49,200 --> 02:14:49,760 AND DISCOVERY. 3737 02:14:49,760 --> 02:14:52,440 SO WE USING THIS TO ALSO HELP 3738 02:14:52,440 --> 02:14:54,000 INFORM OUR ACTION AND OUR 3739 02:14:54,000 --> 02:14:54,400 PROGRAMS. 3740 02:14:54,400 --> 02:14:55,840 NOW LET'S LOOK AT THE SCIENTIFIC 3741 02:14:55,840 --> 02:14:57,120 WORK FORCE DATA BECAUSE HA IS 3742 02:14:57,120 --> 02:14:58,800 THE OTHER PIECE WE ARE TAKING 3743 02:14:58,800 --> 02:14:59,600 INTO CONSIDERATION AND FIRST 3744 02:14:59,600 --> 02:15:01,520 LET'S START AT THE Ph.D. 3745 02:15:01,520 --> 02:15:02,040 LEVEL. 3746 02:15:02,040 --> 02:15:03,600 THESE ARE Ph.D. RECIPIENTS, 3747 02:15:03,600 --> 02:15:06,480 FUNDED OFF THE NIH, THIS IS NIH 3748 02:15:06,480 --> 02:15:07,080 WIDE DATA. 3749 02:15:07,080 --> 02:15:09,960 TRAINING AND FELLOWSHIP AWARDS. 3750 02:15:09,960 --> 02:15:12,880 THAT'S COMPARING 2000 TO 2017. 3751 02:15:12,880 --> 02:15:17,240 THOSE ON TRAINING MECHANISMS. 3752 02:15:17,240 --> 02:15:19,040 IN 2000 AFRICAN AMERICANS 3753 02:15:19,040 --> 02:15:21,240 CONSISTED OF 5.3% OF TRAININGS 3754 02:15:21,240 --> 02:15:24,600 FUNDED ON THOSE MECHANISMS. 3755 02:15:24,600 --> 02:15:26,400 IN 2017 EVEN THOUGH THEIR N WENT 3756 02:15:26,400 --> 02:15:29,040 UP DOUBLED IT IS NOW 4% OF THE 3757 02:15:29,040 --> 02:15:30,520 PORTFOLIO AND EVERY RACE AND 3758 02:15:30,520 --> 02:15:34,560 ETHNICITY LISTED HERE WENT DOWN 3759 02:15:34,560 --> 02:15:36,400 ACCEPT THE WHITE TRAINEES IN THE 3760 02:15:36,400 --> 02:15:36,760 Ph.D. PROGRAMS. 3761 02:15:36,760 --> 02:15:38,920 MOVING TO THE OTHER END OF THE 3762 02:15:38,920 --> 02:15:40,720 SPECTRUM, LOOK AT PI RESEARCH 3763 02:15:40,720 --> 02:15:44,160 PROJECT GRANTS ACROSS THE NIH. 3764 02:15:44,160 --> 02:15:48,640 AGAIN IN 2010, HISPANICS 3765 02:15:48,640 --> 02:15:50,560 CONSTITUTESSED 4% OF THOSE PI 3766 02:15:50,560 --> 02:15:51,920 ACROSS THE NIH WITH RESEARCH 3767 02:15:51,920 --> 02:15:53,520 PROJECT GRANTS. 3768 02:15:53,520 --> 02:15:58,120 AND IN 2020 IT'S 4%. 3769 02:15:58,120 --> 02:16:02,360 BLACKS, MADE UP 1.7% AND 1.8 -- 3770 02:16:02,360 --> 02:16:03,880 .8% GAIN OVER THE DECADE. 3771 02:16:03,880 --> 02:16:06,440 AND AGAIN, THE Ns WENT UP A 3772 02:16:06,440 --> 02:16:09,520 LITTLE BIT BUT OVERALL PERCENT 3773 02:16:09,520 --> 02:16:10,680 OF THE PORTFOLIO REMAINEDDED THE 3774 02:16:10,680 --> 02:16:12,840 SAME. 3775 02:16:12,840 --> 02:16:14,520 DESPITE OUR EFFORTS IN DIZZINESS 3776 02:16:14,520 --> 02:16:17,400 WE PUT INTO THIS WORK DAY OF DAY 3777 02:16:17,400 --> 02:16:21,720 IT IS STILL SHOWS EVEN IF NOT 3778 02:16:21,720 --> 02:16:22,280 INCREASES. 3779 02:16:22,280 --> 02:16:24,360 BRING CLOSER HOME TO NIDA. 3780 02:16:24,360 --> 02:16:26,720 AND THIS DATA SHOWS NEW NIDA 3781 02:16:26,720 --> 02:16:28,800 GRANTEES BY RACE ETHNICITY 3782 02:16:28,800 --> 02:16:34,040 BROKEN DOWN BY MECHANISM, RO1, 3783 02:16:34,040 --> 02:16:35,560 BY NATURE ARE NEW INVESTIGATORS 3784 02:16:35,560 --> 02:16:36,800 BUT INCLUDED ON THIS SLIDE TO 3785 02:16:36,800 --> 02:16:37,840 GIVE A PERSPECTIVE AND TALK 3786 02:16:37,840 --> 02:16:39,520 ABOUT THE FELLOWSHIPS K AWARDS 3787 02:16:39,520 --> 02:16:43,640 BUT SO THE RO1 MECHANISM, NEW 3788 02:16:43,640 --> 02:16:44,960 INVESTIGATORS, BLACK OR AFRICAN 3789 02:16:44,960 --> 02:16:47,320 AMERICAN NEW INVESTIGATORS 3790 02:16:47,320 --> 02:16:49,920 CONSTITUTE 3.5% OF OUR RO1 3791 02:16:49,920 --> 02:16:51,800 AWARDEES IN 2020. 3792 02:16:51,800 --> 02:16:53,120 AGAIN, NEW INVESTIGATORS, SO 3793 02:16:53,120 --> 02:16:57,440 THEY HAVE NOT COMPETITIVELY 3794 02:16:57,440 --> 02:17:03,080 RECEIVED RO1 OR RPG 3.5%. 3795 02:17:03,080 --> 02:17:05,560 WHITE 77.8%, HISPANIC 3.9% YOU 3796 02:17:05,560 --> 02:17:07,160 CAN SEE WHAT THE OTHER RACE 3797 02:17:07,160 --> 02:17:08,120 ETHNICITIES ARE. 3798 02:17:08,120 --> 02:17:11,640 BUT MORE ALARMING TO ME, ARE 3799 02:17:11,640 --> 02:17:12,400 FELLOWSHIP AND K AWARDS. 3800 02:17:12,400 --> 02:17:14,600 THIS IS THE COHORT THAT WILL BE 3801 02:17:14,600 --> 02:17:16,200 APPLIED TO Rs THE NEXT TWO TO 3802 02:17:16,200 --> 02:17:17,320 FIVE YEARS DEPENDING WHERE NAY 3803 02:17:17,320 --> 02:17:18,280 ARE IN THE CAREER STAGE. 3804 02:17:18,280 --> 02:17:19,160 YOU CAN SEE WHAT THOSE 3805 02:17:19,160 --> 02:17:22,320 PERCENTAGES ARE, 3.4% OF KNOLL 3806 02:17:22,320 --> 02:17:25,160 SHIPS, THESE ARE PRE-DOC POST 3807 02:17:25,160 --> 02:17:26,200 DOC EARLY AWARDS. 3808 02:17:26,200 --> 02:17:34,680 AND THE K AWARDS, K99, 01, K 23. 3809 02:17:34,680 --> 02:17:36,880 AGAIN VERY LOW PERCENTAGES IN 3810 02:17:36,880 --> 02:17:39,240 THESE OTHER MECHANISMS. 3811 02:17:39,240 --> 02:17:40,920 NOW I WANT TO WALK YOU THROUGH 3812 02:17:40,920 --> 02:17:43,480 SOME DATA ANALYSIS THAT WE ARE 3813 02:17:43,480 --> 02:17:47,880 DOING AT THE RPG LEVEL ACROSS 3814 02:17:47,880 --> 02:17:48,600 ALL GRANTEES. 3815 02:17:48,600 --> 02:17:50,520 WHAT I'M SHOWING YOU NOW, THIS 3816 02:17:50,520 --> 02:17:52,720 IS NO LONGER NEW INVESTIGATORS, 3817 02:17:52,720 --> 02:17:54,240 THESE ARE GRANTEES THAT SUBMIT 3818 02:17:54,240 --> 02:17:55,920 AD GRANT IN 2020. 3819 02:17:55,920 --> 02:17:57,560 THE FIRST RIVER PLOT ARE THOSE 3820 02:17:57,560 --> 02:18:00,440 FROM APPLICATIONS FROM BLACK 3821 02:18:00,440 --> 02:18:02,080 APPLICANTS, AND THIS OTHER ONE 3822 02:18:02,080 --> 02:18:03,200 BOTTOM ONE IS FROM WHITE 3823 02:18:03,200 --> 02:18:03,600 APPLICANTS. 3824 02:18:03,600 --> 02:18:06,720 I WILL WALK THROUGH THE TOP 3825 02:18:06,720 --> 02:18:08,480 RIVER PLOT TO SHOW YOU HOW 3826 02:18:08,480 --> 02:18:09,960 ANALYSIS UNFOLDED. 3827 02:18:09,960 --> 02:18:13,000 IN 2020 WE RECEIVED 84 3828 02:18:13,000 --> 02:18:15,200 APPLICATIONS, FROM BLACK 3829 02:18:15,200 --> 02:18:17,440 APPLICANTS, 84 APPLICATION, 2.6% 3830 02:18:17,440 --> 02:18:18,960 WHAT WE RECEIVED THAT YEAR. 3831 02:18:18,960 --> 02:18:24,560 OF THOSE, ABOUT HALF, 43 WERE 3832 02:18:24,560 --> 02:18:26,480 DISCUSSED, 15% RECEIVED PRIORITY 3833 02:18:26,480 --> 02:18:28,560 SCORE LOWER THAN 30, BETTER THAN 3834 02:18:28,560 --> 02:18:33,760 30 AND 13 OF THOSE WERE AWARDED. 3835 02:18:33,760 --> 02:18:35,520 HOWEVER THOSE APPLICATIONS THAT 3836 02:18:35,520 --> 02:18:39,400 RECEIVED A SCORE 30 OR HIGHER, 3837 02:18:39,400 --> 02:18:40,880 28 OF THEM, FIVE WERE AWARDED 3838 02:18:40,880 --> 02:18:42,440 FOR A TOTAL OF 18 IN FUNDING 3839 02:18:42,440 --> 02:18:43,960 RATES OF 21.4%. 3840 02:18:43,960 --> 02:18:46,600 WE WENT THROUGH THE SAME 3841 02:18:46,600 --> 02:18:48,280 ANALYSIS FOR WHITE APPLICANTS 3842 02:18:48,280 --> 02:18:49,640 AND OTHER RACES AND ETHNICITIES 3843 02:18:49,640 --> 02:18:52,080 YOU CAN SEE THE FUNDING RATE FOR 3844 02:18:52,080 --> 02:18:53,120 BLACK APPLICANTS AND WHITE IS 3845 02:18:53,120 --> 02:18:54,800 ABOUT THE SAME, WITH BLACK 3846 02:18:54,800 --> 02:18:57,720 APPLICANTS SLIGHTLY HIGHER. 3847 02:18:57,720 --> 02:19:01,400 SO THIS PROVIDES MORE CONCRETE 3848 02:19:01,400 --> 02:19:04,640 DATA NOW THAT SHOWS WE NEED TO 3849 02:19:04,640 --> 02:19:06,360 WORK ON INCREASING NUMBER OF 3850 02:19:06,360 --> 02:19:07,360 APPLICATIONS, FUNDING RATE IS 3851 02:19:07,360 --> 02:19:09,920 STILL HOLDING STRONG OR 3852 02:19:09,920 --> 02:19:10,520 COMPARABLE. 3853 02:19:10,520 --> 02:19:12,160 SO ONE THING WE WANT TO ADDRESS 3854 02:19:12,160 --> 02:19:14,080 IS BRINGING MORE APPLICATIONS 3855 02:19:14,080 --> 02:19:15,880 INTO OUR PULL. 3856 02:19:15,880 --> 02:19:18,400 JUST TO SHOW YOU HISPANIC VERSUS 3857 02:19:18,400 --> 02:19:21,520 NON-HISPANIC DATA FOLLOWING THE 3858 02:19:21,520 --> 02:19:23,640 SAME FORMULAS TO WALK LIEU THE 3859 02:19:23,640 --> 02:19:26,440 RIVER PLOT. 3860 02:19:26,440 --> 02:19:28,560 FUNDING RATE HISPANIC VERSUS 3861 02:19:28,560 --> 02:19:34,760 NON-HISPANIC IS ABOUT THE SAME. 3862 02:19:34,760 --> 02:19:37,120 WE TOOK THOSE APPLICATIONS, NORA 3863 02:19:37,120 --> 02:19:40,200 ASKED US TO LOOK AT WHAT AREAS 3864 02:19:40,200 --> 02:19:42,960 OF RESEARCH THOSE 84 3865 02:19:42,960 --> 02:19:43,960 APPLICATIONS CAME INTO WHEN 3866 02:19:43,960 --> 02:19:47,560 SUBMITTED TO NIDA. 3867 02:19:47,560 --> 02:19:48,440 ANECDOTALLY WE HAVE SAID THIS 3868 02:19:48,440 --> 02:19:51,680 AND I HEARD IT YESTERDAY 3869 02:19:51,680 --> 02:19:54,640 MORNING, THAT MINORITIES SUBMIT 3870 02:19:54,640 --> 02:19:55,440 APPLICATIONS TO HEALTH 3871 02:19:55,440 --> 02:19:56,480 DISPARITIES RESEARCH. 3872 02:19:56,480 --> 02:19:57,720 WE DIDN'T HAVE THE DATA TO BACK 3873 02:19:57,720 --> 02:20:01,360 THAT UP. 3874 02:20:01,360 --> 02:20:04,560 SO WHEN WE LOOK AT 2020, THE 84 3875 02:20:04,560 --> 02:20:09,200 RPG APPLICATIONS WE RECEIVED, WE 3876 02:20:09,200 --> 02:20:12,120 SAW 54% OF THOSE FROM AFRICAN 3877 02:20:12,120 --> 02:20:13,520 AMERICAN APPLICANTS WERE 3878 02:20:13,520 --> 02:20:20,120 SUBMITTED TO DESPR AND THE OTHER 3879 02:20:20,120 --> 02:20:25,800 BENEFIT TO DMTD SO BASIC SCIENCE 3880 02:20:25,800 --> 02:20:26,400 RELATED VERGE WE THOUGHT THIS 3881 02:20:26,400 --> 02:20:31,560 WAS GOING TO BE -- WOULD BE 3882 02:20:31,560 --> 02:20:33,120 LARGER. 3883 02:20:33,120 --> 02:20:34,600 SO I THINK WHAT YOU CAN SEE WITH 3884 02:20:34,600 --> 02:20:37,920 THE OTHER POPULATIONS, ORANGE 3885 02:20:37,920 --> 02:20:39,560 BARS GET REREVERSE SOD WE 3886 02:20:39,560 --> 02:20:41,120 GROUPED THE OTHER POPULATIONS 3887 02:20:41,120 --> 02:20:45,720 TOGETHER AND IT IS 30% VERSUS 3888 02:20:45,720 --> 02:20:47,720 55% DSPR VERSUS DMB. 3889 02:20:47,720 --> 02:20:52,120 SO WE ARE USING THIS AND LOOKING 3890 02:20:52,120 --> 02:20:53,600 DEEPER TO UNDERSTAND BUT ALSO 3891 02:20:53,600 --> 02:20:54,600 POINTS OUT EVERYONE IS AN 3892 02:20:54,600 --> 02:20:55,720 INDIVIDUAL AND WE WANT TO JUST 3893 02:20:55,720 --> 02:20:57,840 BE CAREFUL NOT TO LUMP 3894 02:20:57,840 --> 02:20:59,880 MINORITIES INTO HEALTH 3895 02:20:59,880 --> 02:21:01,080 DISPARITIES RESEARCH, AS THE 3896 02:21:01,080 --> 02:21:03,280 DATA SHOWS IT IS ALMOST 5050. 3897 02:21:03,280 --> 02:21:06,520 WE ALSO INTERESTED IN 3898 02:21:06,520 --> 02:21:07,600 INSTITUTIONS AND BUILDING 3899 02:21:07,600 --> 02:21:08,560 PARTNERSHIPS WITHIN INSTITUTIONS 3900 02:21:08,560 --> 02:21:14,280 SPECIFICALLY MSI, AND HBCUs. 3901 02:21:14,280 --> 02:21:19,720 SO THIS DATA SHOWS 11 YEARS 3902 02:21:19,720 --> 02:21:21,240 APPLICATIONS FROM NIDA TO 3903 02:21:21,240 --> 02:21:23,000 HISTORICALLY BLACK COLLEGES AND 3904 02:21:23,000 --> 02:21:25,400 UNIVERSITY CONSISTND OVER 11 3905 02:21:25,400 --> 02:21:27,000 YEARS 20 SUBMITTED ONE GRANT TO 3906 02:21:27,000 --> 02:21:27,400 NIDA. 3907 02:21:27,400 --> 02:21:29,920 YOU CAN SEE MEHARRY AND HOWARD 3908 02:21:29,920 --> 02:21:31,720 ARE TWO MAJORITY -- TWO 3909 02:21:31,720 --> 02:21:34,280 INSTITUTIONS SUBMITTING THE VAST 3910 02:21:34,280 --> 02:21:36,480 MAJORITY OF THE APPLICATIONS AND 3911 02:21:36,480 --> 02:21:37,920 OVER 11 YEARS, 106 APPLICATION 3912 02:21:37,920 --> 02:21:43,280 SUBMITTED AND 11 FUNDED. 3913 02:21:43,280 --> 02:21:46,760 SO WE WANT TO WORK TO BUILD 3914 02:21:46,760 --> 02:21:49,200 INCREASE APPLICATION POOL AND 3915 02:21:49,200 --> 02:21:51,840 PROMOTE HBCU SUBMIT MORE 3916 02:21:51,840 --> 02:21:53,080 APPLICATION TO NIDA AND WORK 3917 02:21:53,080 --> 02:21:54,120 WITH THEM IDENTIFYING THE 3918 02:21:54,120 --> 02:21:56,400 APPROPRIATE MECHANISMS FOR THEIR 3919 02:21:56,400 --> 02:21:59,080 SUCCESS. 3920 02:21:59,080 --> 02:22:01,480 SO TAKEN TOGETHER ALL THIS WORK 3921 02:22:01,480 --> 02:22:03,600 IS REALLY DRIVING OUR STRATEGIC 3922 02:22:03,600 --> 02:22:06,120 APPROACH TO ENHANCING DIVERSITY 3923 02:22:06,120 --> 02:22:08,800 IN ADDICTION WORKS FOR. 3924 02:22:08,800 --> 02:22:14,400 WE ARE REALLY TRYING TO BE 3925 02:22:14,400 --> 02:22:16,600 INTENTIONAL WITH THIS WORK. 3926 02:22:16,600 --> 02:22:18,400 SO WE HAVE TOO MANY DRIVING 3927 02:22:18,400 --> 02:22:19,720 FACTOR, ENHANCING THE NUMBER AND 3928 02:22:19,720 --> 02:22:21,320 INCLUSION OF FUNDED 3929 02:22:21,320 --> 02:22:22,400 INDIVIDUALINGS FROM DIVERSE 3930 02:22:22,400 --> 02:22:23,880 BACKGROUNDS. 3931 02:22:23,880 --> 02:22:25,800 PROVIDING ACCESS, SUPPORT AND 3932 02:22:25,800 --> 02:22:26,600 OPPORTUNITIES FOR SCIENTISTS 3933 02:22:26,600 --> 02:22:31,840 FROM DIVERSE BACKGROUNDS TO DO 3934 02:22:31,840 --> 02:22:33,040 MEANINGFUL CONTRIBUTE SOUSE SANS 3935 02:22:33,040 --> 02:22:34,520 ABUSE AND RESEARCH AND 3936 02:22:34,520 --> 02:22:36,120 SCIENTIFIC ENTERPRISE SO I WILL 3937 02:22:36,120 --> 02:22:37,680 FOCUS ON WHAT WE ARE DOING AT 3938 02:22:37,680 --> 02:22:38,560 THE INDIVIDUAL LEVEL AND TOUCH A 3939 02:22:38,560 --> 02:22:44,480 LITTLE BIT ON THE INSTITUTION, 3940 02:22:44,480 --> 02:22:48,960 AND KNOW WE ARE STILL TRYING TO 3941 02:22:48,960 --> 02:22:51,160 BUILD THE SCIENTIST STAKEHOLDER 3942 02:22:51,160 --> 02:22:52,640 AND WHAT THAT LOOKS LIKE BUT 3943 02:22:52,640 --> 02:22:53,400 WALK YOU THROUGH WHAT WE ARE 3944 02:22:53,400 --> 02:22:54,400 DOING SO FAR. 3945 02:22:54,400 --> 02:22:56,640 THE MISSION REMAINS THE SAME 3946 02:22:56,640 --> 02:22:58,440 FROM 2015, TO STRENGTHEN THE 3947 02:22:58,440 --> 02:23:00,160 NIDA EXTRAMURAL SCIENTIFIC 3948 02:23:00,160 --> 02:23:01,760 PORTFOLIO THROUGH MORE DIVERSE 3949 02:23:01,760 --> 02:23:04,720 ROBUST EXTRAMURAL RESEARCH WORK 3950 02:23:04,720 --> 02:23:04,920 FORCE. 3951 02:23:04,920 --> 02:23:06,800 SO NOW I WILL WALK YOU THROUGH 3952 02:23:06,800 --> 02:23:08,040 MY MODEL CAREER DEVELOPMENT 3953 02:23:08,040 --> 02:23:09,720 LADDER AND TALK ABOUT PROGRAMS 3954 02:23:09,720 --> 02:23:11,400 WITHIN THIS LADDER AT THE 3955 02:23:11,400 --> 02:23:13,360 DIFFERENT CAREER STAGES AND AT 3956 02:23:13,360 --> 02:23:16,120 NIH WE REALLY HAVE OPPORTUNITIES 3957 02:23:16,120 --> 02:23:17,680 STARTING MAINLY AT THE HIGH 3958 02:23:17,680 --> 02:23:21,920 SCHOOL AND UNDERGRADUATE LEVEL. 3959 02:23:21,920 --> 02:23:23,600 WITHIN OUR OFFICE OF DIVERSITY 3960 02:23:23,600 --> 02:23:26,040 WE HAVE THE NIDA SUMMER RESEARCH 3961 02:23:26,040 --> 02:23:27,120 CANCERSHIP PROGRAM I WILL SHARE 3962 02:23:27,120 --> 02:23:28,400 WITH YOU IN A MINUTE. 3963 02:23:28,400 --> 02:23:29,000 MENTORSHIP. 3964 02:23:29,000 --> 02:23:30,680 WE HAVE THE DIVERSITY R 25, A 3965 02:23:30,680 --> 02:23:32,200 RESEARCH TRAINING PROGRAM, AND 3966 02:23:32,200 --> 02:23:34,680 THAT SUPPORTS CAREER STAGES FROM 3967 02:23:34,680 --> 02:23:36,120 UNDERGRAD THROUGH EARLY STAGE 3968 02:23:36,120 --> 02:23:36,640 INVESTIGATOR. 3969 02:23:36,640 --> 02:23:39,000 WE HAVE A SUMMER R 25 PROGRAM 3970 02:23:39,000 --> 02:23:40,240 FOR HIGH SCHOOL STUDENTS AND 3971 02:23:40,240 --> 02:23:41,480 TEACHERS AND UNDERGRADS FOR 3972 02:23:41,480 --> 02:23:42,520 SUMMER EXPERIENCES. 3973 02:23:42,520 --> 02:23:46,360 WE ALSO PARTICIPATE IN THE BLUE 3974 02:23:46,360 --> 02:23:48,360 PRINT UNDERGRADUATE PROGRAM AND 3975 02:23:48,360 --> 02:23:50,240 WE PARTICIPATE IN THE CEPA 3976 02:23:50,240 --> 02:23:50,640 AWARD. 3977 02:23:50,640 --> 02:23:53,320 SCIENCE EDUCATION PARTNERSHIPS 3978 02:23:53,320 --> 02:23:56,040 WHICH RK-12 AND WE CO-FUNDED ONE 3979 02:23:56,040 --> 02:23:59,120 WITH NIGMS. THE NIDA RESEARCH 3980 02:23:59,120 --> 02:24:00,720 PROGRAM IS A GEM HERE AT NIDA. 3981 02:24:00,720 --> 02:24:04,520 THIS IS A PAID EIGHT WEEK SUMMER 3982 02:24:04,520 --> 02:24:05,400 INTERNSHIP IN SUBSTANCE USE AND 3983 02:24:05,400 --> 02:24:06,640 ADDICTION RESEARCH TO ENHANCE 3984 02:24:06,640 --> 02:24:07,760 PARTICIPATION OF 3985 02:24:07,760 --> 02:24:08,480 UNDERREPRESENTED UNDERGRAD 3986 02:24:08,480 --> 02:24:09,680 STUDENTS CONDUCTING SUBSTANCE 3987 02:24:09,680 --> 02:24:11,480 USE AND ADDICTION RESEARCH. 3988 02:24:11,480 --> 02:24:13,480 ALL UNDERGRADS ELIGIBLE TO APPLY 3989 02:24:13,480 --> 02:24:15,280 AND AWARDS ARE MADE TO ALL RACES 3990 02:24:15,280 --> 02:24:16,960 AND ETHNICITIES. 3991 02:24:16,960 --> 02:24:19,800 IT WORKED WITH EXPERIENCED PIs 3992 02:24:19,800 --> 02:24:21,160 WITH HANDS ON RESEARCH AND HOST 3993 02:24:21,160 --> 02:24:22,720 OF OTHER RESEARCH AND 3994 02:24:22,720 --> 02:24:23,320 PROFESSIONAL DEVELOPMENT 3995 02:24:23,320 --> 02:24:23,720 ACTIVITIES. 3996 02:24:23,720 --> 02:24:26,920 AND IN 2021, THERE WERE TWO NEW 3997 02:24:26,920 --> 02:24:29,680 PROGRAM ENHANCEMENTS ADDED, 3998 02:24:29,680 --> 02:24:31,560 SUMMER SEMINAR SERIES WHERE WE 3999 02:24:31,560 --> 02:24:32,800 TALK DIFFERENT AREAS OF RESEARCH 4000 02:24:32,800 --> 02:24:35,760 IN NIDA AND WE HAVE A SESSION ON 4001 02:24:35,760 --> 02:24:37,440 GRADUATE SCHOOL AND USING A 4002 02:24:37,440 --> 02:24:39,000 RECORDER TO IDENTIFY TRAINING 4003 02:24:39,000 --> 02:24:41,440 PROGRAMS AND WE HAVE A PANEL OF 4004 02:24:41,440 --> 02:24:42,920 PAST SUMMER RECIPIENTS, WHAT 4005 02:24:42,920 --> 02:24:44,720 THEY HAVE GONE ON TO DO AND 4006 02:24:44,720 --> 02:24:47,080 PIs. 4007 02:24:47,080 --> 02:24:49,520 I DO WANT TO SAY THAT IN BOTTOM 4008 02:24:49,520 --> 02:24:52,640 OF SYSTEM OF MY SLIDES I HAVE 4009 02:24:52,640 --> 02:24:53,880 CONTRIBUTIONS BY AND IT TAKES A 4010 02:24:53,880 --> 02:24:56,320 WHOLE TEAM TO DO THESE, SO FOR 4011 02:24:56,320 --> 02:24:58,920 EXAMPLE THIS PROGRAM IS 4012 02:24:58,920 --> 02:25:00,120 COORDINATED BY JULIE AND I BUT 4013 02:25:00,120 --> 02:25:02,520 WE HAVE A HOST OF PEOPLE ACROSS 4014 02:25:02,520 --> 02:25:06,520 NIDA INCLUDING 50 NIDA REVIEWERS 4015 02:25:06,520 --> 02:25:08,320 THAT RECEIVE APPLICATION AND 4016 02:25:08,320 --> 02:25:09,440 HELP EVALUATE THEM. 4017 02:25:09,440 --> 02:25:11,240 IN 2022, THIS CURRENT YEAR WE 4018 02:25:11,240 --> 02:25:13,160 HAVE 182 PIs SET UP REGISTERED 4019 02:25:13,160 --> 02:25:15,280 TO HOST THE STUDENT ON 4020 02:25:15,280 --> 02:25:17,080 REGISTRATION GUIDE, 103 VIRTUAL 4021 02:25:17,080 --> 02:25:19,520 OR HYBRID. 4022 02:25:19,520 --> 02:25:21,120 WHEN I MADE THESE SLIDES WE HAD 4023 02:25:21,120 --> 02:25:23,360 A LITTLE BIT LESS THAN 200 AND 4024 02:25:23,360 --> 02:25:25,320 NOW AT 220 APPLICATION JUST FROM 4025 02:25:25,320 --> 02:25:27,360 OVER NIGHT. 4026 02:25:27,360 --> 02:25:29,800 AND THE DEADLINE IS COMING UP AT 4027 02:25:29,800 --> 02:25:30,320 THIS POINT. 4028 02:25:30,320 --> 02:25:32,120 WE USED A HUB AND SPOKE MODEL 4029 02:25:32,120 --> 02:25:33,960 FOR THIS PROGRAM, NIDA IS THE 4030 02:25:33,960 --> 02:25:36,200 HUB AND WE CONCENTRATE ON WE 4031 02:25:36,200 --> 02:25:38,600 HAVE PRETTY MUCH THE PROGRAM 4032 02:25:38,600 --> 02:25:40,600 LOGISTICS OUTREACH APPLICATION, 4033 02:25:40,600 --> 02:25:42,400 THE PUNNING SUPPORT AND SOME 4034 02:25:42,400 --> 02:25:42,920 OTHER ASPECTS. 4035 02:25:42,920 --> 02:25:45,040 AND WE RELY ON RESEARCH TO 4036 02:25:45,040 --> 02:25:47,240 PROVIDE RESEARCH TRAINING 4037 02:25:47,240 --> 02:25:48,720 PROFESSIONAL DEVELOPMENT, 4038 02:25:48,720 --> 02:25:49,720 MENTORING AND THINGS LIKE THAT, 4039 02:25:49,720 --> 02:25:51,880 REALLY THROUGH THIS COOPERATIVE 4040 02:25:51,880 --> 02:25:54,320 PROGRAM, COOPERATIVE AGREEMENT 4041 02:25:54,320 --> 02:25:55,920 SO TO SPEAK WE HONED IN ON 4042 02:25:55,920 --> 02:25:57,800 REALLY STRONG PROGRAM AND 4043 02:25:57,800 --> 02:25:59,200 HOPEFULLY WE WROTE A PAPER ON 4044 02:25:59,200 --> 02:26:02,200 THIS AND HOPEFULLY OUT IN THREE 4045 02:26:02,200 --> 02:26:03,320 WEEKS, OTHER AGENCY USE AS A 4046 02:26:03,320 --> 02:26:04,720 MODEL. 4047 02:26:04,720 --> 02:26:07,880 IN 2021 WE RECEIVED 493 4048 02:26:07,880 --> 02:26:10,040 APPLICATIONS AND MADE 53 AWARDS 4049 02:26:10,040 --> 02:26:11,120 FOR 17% SUCCESS RATE. 4050 02:26:11,120 --> 02:26:13,040 YOU CAN SEE THE BREAK DOWN IN 4051 02:26:13,040 --> 02:26:14,880 RACE ETHNICITY CATEGORIES FROM 4052 02:26:14,880 --> 02:26:20,160 LAST YEAR. 4053 02:26:20,160 --> 02:26:21,720 OUR INTERN MENTOR FEEDBACK FOR 4054 02:26:21,720 --> 02:26:24,120 THIS PROGRAM IS REALLY STRONG. 4055 02:26:24,120 --> 02:26:25,720 JUST AS WE ASK QUESTIONS HOW DID 4056 02:26:25,720 --> 02:26:28,080 PARTICIPATING IN SUMMER RESEARCH 4057 02:26:28,080 --> 02:26:29,560 PROGRAM AFFECT YOUR INTEREST IN 4058 02:26:29,560 --> 02:26:32,560 SCIENCE CAREER IN OVER 90% SAID 4059 02:26:32,560 --> 02:26:35,840 INCREASE SOMEWHAT OR ALLOT AFTER 4060 02:26:35,840 --> 02:26:36,720 PLEADING THE INTERNSHIP, WE 4061 02:26:36,720 --> 02:26:38,960 ASKED HOW IT AFFECTED THE 4062 02:26:38,960 --> 02:26:40,720 INSTITUTION Ph.D. OVER 75% 4063 02:26:40,720 --> 02:26:42,200 SAID INCREASE SOMEWHAT OR A LOT. 4064 02:26:42,200 --> 02:26:45,000 WE ASKED THE MENTORS FROM THE 4065 02:26:45,000 --> 02:26:49,720 LAST THREE YEARS, AFTER 4066 02:26:49,720 --> 02:26:51,680 INTERNSHIP YOUR STUDENT INTERN 4067 02:26:51,680 --> 02:26:52,680 HOW DO YOU CONTINUE ANY 4068 02:26:52,680 --> 02:26:53,600 PARTNERSHIP OR ANYTHING BEYOND 4069 02:26:53,600 --> 02:26:55,800 THAT? 4070 02:26:55,800 --> 02:26:59,480 AND THE GREEN SHOWS THAT 15% ARE 4071 02:26:59,480 --> 02:27:00,800 -- HAVE WRITTEN OR WRITING A 4072 02:27:00,800 --> 02:27:02,240 PAPER AFTER INTERNSHIP SO NOW 4073 02:27:02,240 --> 02:27:04,520 SUMMER INTERNS ARE PUBLISHED. 4074 02:27:04,520 --> 02:27:08,680 OTHERS ARE HIRING, AND THEN THE 4075 02:27:08,680 --> 02:27:10,120 OTHER THE TEAL BLUE BAR AT THE 4076 02:27:10,120 --> 02:27:13,200 END SHOWS THAT OVER 30% ARE 4077 02:27:13,200 --> 02:27:14,440 STILL SOME TYPE OF 4078 02:27:14,440 --> 02:27:15,640 COMMUNICATION, EITHER HIRING 4079 02:27:15,640 --> 02:27:18,280 THEM BACK AS TECHS OR RECRUITING 4080 02:27:18,280 --> 02:27:20,080 TO THEIR SCHOOL TO DO GRADUATE 4081 02:27:20,080 --> 02:27:21,440 STUDIES. 4082 02:27:21,440 --> 02:27:24,720 SO NOW MOVING UP THE NEXT CAREER 4083 02:27:24,720 --> 02:27:26,640 WRUNG ON THE CAREER LADDER IS 4084 02:27:26,640 --> 02:27:27,480 THE PRE-DOC. 4085 02:27:27,480 --> 02:27:29,720 AND PROGRAM SUPPORTED BY NIDA 4086 02:27:29,720 --> 02:27:32,720 THAT WE EITHER MANAGE OR THAT WE 4087 02:27:32,720 --> 02:27:33,800 PARTICIPATE IN ARE DIVERSITY 4088 02:27:33,800 --> 02:27:34,720 SUPPLEMENT PROGRAM I HIGHLIGHT 4089 02:27:34,720 --> 02:27:38,840 IN A MINUTE, THE F 99 K 00 4090 02:27:38,840 --> 02:27:41,160 DIVERSITY D SPAN AWARD, PRE-DOC 4091 02:27:41,160 --> 02:27:42,720 TO POST DOC TRANSITION AWARD 4092 02:27:42,720 --> 02:27:46,400 LIKE THE K99 R 00, BUT FOR THE 4093 02:27:46,400 --> 02:27:48,520 PRE-DOC POST DOC STAGE. 4094 02:27:48,520 --> 02:27:51,360 DIVERSITY F 31, DIVERSITY R 25 4095 02:27:51,360 --> 02:27:52,640 AND THE DIVERSITY TRAVEL AWARD 4096 02:27:52,640 --> 02:27:56,280 WHICH IS A RECOMMENDATION BY THE 4097 02:27:56,280 --> 02:27:57,040 SUBCOMMITTEE TO COUNCIL SEVEN 4098 02:27:57,040 --> 02:27:57,840 YEARS AGO. 4099 02:27:57,840 --> 02:27:58,960 AND WE HAVE A SUPPLEMENT 4100 02:27:58,960 --> 02:28:00,160 WORKSHOP THAT I WILL SHARE IN A 4101 02:28:00,160 --> 02:28:01,360 MINUTE. 4102 02:28:01,360 --> 02:28:03,360 HOWEVER, BEFORE I DO, I WANT TO 4103 02:28:03,360 --> 02:28:06,280 GO TO THE POST DOC CAREER STAGE 4104 02:28:06,280 --> 02:28:07,400 AND TALK ABOUT SOME OF THE 4105 02:28:07,400 --> 02:28:08,520 PROGRAMS THAT WE HAVE THERE 4106 02:28:08,520 --> 02:28:10,200 BECAUSE THERE IS A LOT OF -- 4107 02:28:10,200 --> 02:28:12,360 THERE'S SOME OVERLAP. 4108 02:28:12,360 --> 02:28:14,480 THE POST DOC STAGE, BEFORE I DO 4109 02:28:14,480 --> 02:28:17,360 YOU WILL SEE THAT THAT WRUNG IS 4110 02:28:17,360 --> 02:28:19,800 SLIGHTLY -- IS SLIGHTLY SLANTED. 4111 02:28:19,800 --> 02:28:21,920 YOU WILL ALSO SEE THAT THE 4112 02:28:21,920 --> 02:28:23,920 DISTANCE, THE STEP UP IF YOU 4113 02:28:23,920 --> 02:28:25,400 WILL FROM PRE-DOC TO POST DOC IS 4114 02:28:25,400 --> 02:28:26,920 BIGGER AND THAT IS INTENTIONAL. 4115 02:28:26,920 --> 02:28:30,280 WHAT I'M SEEING IS THAT THIS IS 4116 02:28:30,280 --> 02:28:32,360 A BIG -- ONE OF THE BIG LEEPS 4117 02:28:32,360 --> 02:28:34,520 AND THAT POST DOC CAREER STAGE 4118 02:28:34,520 --> 02:28:36,520 FROM WHEN I READ AND TALK TO 4119 02:28:36,520 --> 02:28:39,280 PEOPLE INDIVIDUALLY, PERSONALLY, 4120 02:28:39,280 --> 02:28:40,520 THIS IS THE CAREER STAGE 4121 02:28:40,520 --> 02:28:43,760 BECOMING MORE CRITICAL TO ME. 4122 02:28:43,760 --> 02:28:46,800 AND I HEAR WHERE WE NEED TO PUT 4123 02:28:46,800 --> 02:28:47,160 SOME THOUGHT. 4124 02:28:47,160 --> 02:28:48,680 SO I'M INTERESTED TO HEAR 4125 02:28:48,680 --> 02:28:49,840 FEEDBACK FROM COUNCIL WHAT WE 4126 02:28:49,840 --> 02:28:52,120 CAN DO AT THIS CAREER STAGE. 4127 02:28:52,120 --> 02:28:54,240 SO WE HAVE DIVERSITY SUPPLEMENT, 4128 02:28:54,240 --> 02:28:57,040 PARTICIPATE IN THE MOSAIC R 99 K 4129 02:28:57,040 --> 02:29:00,080 00 LIKE THE REGULAR FOR DIVERSE 4130 02:29:00,080 --> 02:29:01,240 INDIVIDUALS OR INDIVIDUAL STUDY 4131 02:29:01,240 --> 02:29:02,840 HEALTH DISPARITIES RESEARCH. 4132 02:29:02,840 --> 02:29:05,040 WE HAVE -- PARTICIPATE IN A 4133 02:29:05,040 --> 02:29:07,240 BRAIN F 32 AS WELL AS REGULAR F 4134 02:29:07,240 --> 02:29:07,720 32. 4135 02:29:07,720 --> 02:29:11,000 THE F 32, REGULAR STILL REMAINS 4136 02:29:11,000 --> 02:29:13,280 PRIMARY MECHANISM THAT WE USE 4137 02:29:13,280 --> 02:29:15,200 FOR EARLY ENTRY POST DOCS. 4138 02:29:15,200 --> 02:29:17,680 WE HAVE DIVERSITY R 25, WE HAVE 4139 02:29:17,680 --> 02:29:19,840 THE NIDA DIVERSITY SCHOLARSHIPLY 4140 02:29:19,840 --> 02:29:21,800 TALK IN A SECOND. 4141 02:29:21,800 --> 02:29:23,200 AGAIN TRAVEL AWARDS FOR POST 4142 02:29:23,200 --> 02:29:25,200 DOCS TO GO NETWORK AND HOPE WE 4143 02:29:25,200 --> 02:29:28,200 CAN DO THESE AGAIN STARTING THIS 4144 02:29:28,200 --> 02:29:30,280 YEAR TO CONFERENCES SCIENTIFIC 4145 02:29:30,280 --> 02:29:30,960 CONFERENCES. 4146 02:29:30,960 --> 02:29:34,880 WE ALSO USE THE NIDA LOWER PINK 4147 02:29:34,880 --> 02:29:36,360 PROGRAM AS AN INCENTIVE TO KEEP 4148 02:29:36,360 --> 02:29:38,480 PEOPLE IN THE RESEARCH. 4149 02:29:38,480 --> 02:29:39,720 ENTERPRISE. 4150 02:29:39,720 --> 02:29:41,440 SO I WANT TO SHARE WITH YOU THE 4151 02:29:41,440 --> 02:29:42,400 DIVERSITY SUPPLEMENT PROGRAM AND 4152 02:29:42,400 --> 02:29:43,840 I KNOW THERE WAS A QUESTION 4153 02:29:43,840 --> 02:29:45,240 EARLIER ON IT SO HOPEFULLY WE 4154 02:29:45,240 --> 02:29:46,080 CAN CIRCLE BACK TO THAT 4155 02:29:46,080 --> 02:29:48,120 QUESTION. 4156 02:29:48,120 --> 02:29:50,560 BUT TO BRING YOU UP TO SPEED, 4157 02:29:50,560 --> 02:29:53,280 MOST FOLKS KNOW THE GOAL OF THE 4158 02:29:53,280 --> 02:29:54,440 PROGRAM IS CONGRESSIONALLY 4159 02:29:54,440 --> 02:29:56,480 MANDATED PROGRAM TO ENHANCE 4160 02:29:56,480 --> 02:29:58,760 DIVERSITY OF THE ADDITIONAL 4161 02:29:58,760 --> 02:30:00,120 RESEARCH WORK FORCE RECRUITING 4162 02:30:00,120 --> 02:30:02,520 AN RETAINING POST BACKS PRE-AND 4163 02:30:02,520 --> 02:30:04,760 POST DOCS AND EARLY STAGE 4164 02:30:04,760 --> 02:30:06,000 INVESTIGATORS SO THIS IS WHAT 4165 02:30:06,000 --> 02:30:07,280 NIDA USES IT FOR. 4166 02:30:07,280 --> 02:30:09,520 WE OFFER TWO TO THREE YEARS OF 4167 02:30:09,520 --> 02:30:10,280 FUNDING. 4168 02:30:10,280 --> 02:30:13,720 DEPENDING ON THE CAREER STAGE. 4169 02:30:13,720 --> 02:30:17,040 AND WE HAVE EMPHASIZE 4170 02:30:17,040 --> 02:30:19,520 INDEPENDENT GRANT FUNDING. 4171 02:30:19,520 --> 02:30:20,360 ALSO OFFER FOLLOW-UP SUPPORT 4172 02:30:20,360 --> 02:30:22,840 THROUGH WORKSHOP. 4173 02:30:22,840 --> 02:30:25,640 YOU CAN SEE THE MAJORITY OF THE 4174 02:30:25,640 --> 02:30:26,600 SCHOLARS WITHIN OUR DIVERSITY 4175 02:30:26,600 --> 02:30:28,160 SUPPLEMENT PROGRAM FROM THE LAST 4176 02:30:28,160 --> 02:30:31,200 SIX YEARS ARE HISPANIC AND BLACK 4177 02:30:31,200 --> 02:30:32,920 AFRICAN AMERICAN BUT WE MAKE 4178 02:30:32,920 --> 02:30:34,600 AWARDS TO EVERYBODY TO ALL RACES 4179 02:30:34,600 --> 02:30:38,720 AN ETHNICITY AND WE TRY HARD TO 4180 02:30:38,720 --> 02:30:42,200 RECRUIT ACROSS ALL POPULATIONS. 4181 02:30:42,200 --> 02:30:44,040 IN REGARDS TO OUR DATA ANALYSIS 4182 02:30:44,040 --> 02:30:49,680 FOR THIS PROGRAM, AND WE -- ONE 4183 02:30:49,680 --> 02:30:51,640 OF THE THINGS WE LOOK AT IS 4184 02:30:51,640 --> 02:30:52,680 SUBSEQUENT NIH GRANT ACTIVITY 4185 02:30:52,680 --> 02:30:53,480 AFTER THEY RECEIVE THE 4186 02:30:53,480 --> 02:30:53,840 SUPPLEMENT. 4187 02:30:53,840 --> 02:30:59,440 SO I'M GOING TO WALK YOU THROUGH 4188 02:30:59,440 --> 02:31:02,840 COUPLE OF COHORT. 4189 02:31:02,840 --> 02:31:04,040 2013, 28 SUPPLEMENTS THAT YEAR. 4190 02:31:04,040 --> 02:31:07,560 OF THOSE 17 APPLIED FOR A GRANT, 4191 02:31:07,560 --> 02:31:08,320 WELL OVER 50%. 4192 02:31:08,320 --> 02:31:14,000 OF THOSE 17, 62 APPLICATIONS 4193 02:31:14,000 --> 02:31:15,200 SUBMITTED FROM THOSE 17 FOLKS. 4194 02:31:15,200 --> 02:31:18,200 OF THE 62, 12 FUNDED AND THEY 4195 02:31:18,200 --> 02:31:19,120 WENT TO EIGHT DIFFERENT 4196 02:31:19,120 --> 02:31:20,600 INDIVIDUALS. 4197 02:31:20,600 --> 02:31:26,120 SO OUT OF 17, HALF WERE FUNDED. 4198 02:31:26,120 --> 02:31:28,480 IN 2015, THERE WERE 29, 16 4199 02:31:28,480 --> 02:31:29,960 SUBMITTED A GRANT, SO FAR SIX 4200 02:31:29,960 --> 02:31:31,200 FUNDED. 4201 02:31:31,200 --> 02:31:33,000 SO THE CONCLUSION IS 4202 02:31:33,000 --> 02:31:34,040 APPLICATIONS SUBMISSION RATE IS 4203 02:31:34,040 --> 02:31:35,440 ABOUT 50% OF OUR SCHOLARS. 4204 02:31:35,440 --> 02:31:36,680 KEEP IN MIND SOME OF THESE 4205 02:31:36,680 --> 02:31:39,280 SCHOLARS WERE UNDERGRADS, 4206 02:31:39,280 --> 02:31:40,520 DIVERSITY SUPPLEMENT AND IT HAS 4207 02:31:40,520 --> 02:31:41,840 A VERY DIFFERENT CONTEXT THAN 4208 02:31:41,840 --> 02:31:42,880 SOMEONE WHO HAS POST DOC. 4209 02:31:42,880 --> 02:31:44,520 SO WE ARE NOT GOING TO REACH 4210 02:31:44,520 --> 02:31:45,800 100%. 4211 02:31:45,800 --> 02:31:47,840 BUT WE HAVE OVER 50% SUBMISSION 4212 02:31:47,840 --> 02:31:50,520 RATE AND THEN WITHIN THAT, WE 4213 02:31:50,520 --> 02:31:51,440 HAVE DEPENDING THE YEAR WE HAVE 4214 02:31:51,440 --> 02:31:55,120 A LITTLE BIT OVER 50%, AROUND 4215 02:31:55,120 --> 02:31:58,040 50% OR 40% SUCCESS RATED. 4216 02:31:58,040 --> 02:32:03,520 WE LIKE TO GET THAT OUT. 4217 02:32:03,520 --> 02:32:04,800 SO WHAT ARE NUMBERS IN TERMS OF 4218 02:32:04,800 --> 02:32:07,320 SUPPORT AND FUNDING NOW? 4219 02:32:07,320 --> 02:32:09,120 IN 2019 WE RECEIVED 27 4220 02:32:09,120 --> 02:32:10,160 APPLICATIONS WITH 19 AWARDS. 4221 02:32:10,160 --> 02:32:12,720 IN 2020 WE RECEIVED 35 4222 02:32:12,720 --> 02:32:17,880 APPLICATIONS AND MADE 32 AWARDS. 4223 02:32:17,880 --> 02:32:19,600 IN 2020 WE RAMPED UP OUR PROGRAM 4224 02:32:19,600 --> 02:32:20,000 OUTREACH. 4225 02:32:20,000 --> 02:32:23,240 WE RECEIVED 69 APPLICATIONS, NOT 4226 02:32:23,240 --> 02:32:25,360 INCLUDING THE NINE THAT WENT TO 4227 02:32:25,360 --> 02:32:26,880 THE NIH HEEL AND BRAIN PROGRAM 4228 02:32:26,880 --> 02:32:29,760 SO ADDITIONAL NINE NIDA RELATED, 4229 02:32:29,760 --> 02:32:32,480 GROUP WE PROVIDED DIRECT SUPPORT 4230 02:32:32,480 --> 02:32:38,960 TO PIs AND APPROXIMATE PRIA -- 4231 02:32:38,960 --> 02:32:39,840 APPLICANTS IN TERMS OF 4232 02:32:39,840 --> 02:32:40,200 CONSULTATION. 4233 02:32:40,200 --> 02:32:44,200 IN TERMS OF THOSE REVIEWED, 4234 02:32:44,200 --> 02:32:45,280 THAT'S 69 FROM NOVEMBER TO JUNE 4235 02:32:45,280 --> 02:32:46,840 AND THESE GROUP OF PEOPLE DOWN 4236 02:32:46,840 --> 02:32:49,520 HERE, THE NIDA DIVERSITY 4237 02:32:49,520 --> 02:32:50,600 SUPPLEMENT COMMITTEE REALLY PUT 4238 02:32:50,600 --> 02:32:52,640 A LOT OF TIME AND EFFORT INTO 4239 02:32:52,640 --> 02:32:53,960 REVIEWING THESE APPLICATIONS. 4240 02:32:53,960 --> 02:32:55,960 BECAUSE OF THAT WE PROVIDE 4241 02:32:55,960 --> 02:32:58,280 EXCELLENT FEEDBACK SO THEY CAN 4242 02:32:58,280 --> 02:32:59,400 COME BACK ANOTHER TIME AND BE 4243 02:32:59,400 --> 02:33:02,120 SUCCESSFUL AT THE DIVERSITY 4244 02:33:02,120 --> 02:33:02,720 SUPPLEMENT. 4245 02:33:02,720 --> 02:33:06,040 ED FROM FROM THOSE 69, 34 FUNDED 4246 02:33:06,040 --> 02:33:09,720 IN ADDITION TO 31 CONTINUING 4247 02:33:09,720 --> 02:33:11,520 INCLUDING 65 SUPPORTED IN 2021 4248 02:33:11,520 --> 02:33:14,320 AT 5.3 MILLION. 4249 02:33:14,320 --> 02:33:16,600 I MENTION WE EMPHASIZE SUPPORT 4250 02:33:16,600 --> 02:33:18,720 OF THIS PROGRAM AMEND ONE 4251 02:33:18,720 --> 02:33:19,440 RECOMMENDATION WAS STRENGTHEN 4252 02:33:19,440 --> 02:33:21,320 THE DIVERSITY SUPPLEMENT PROGRAM 4253 02:33:21,320 --> 02:33:23,040 SO WE WORKED ON THE PROFESSIONAL 4254 02:33:23,040 --> 02:33:26,320 DEVELOPMENT WORKSHOP AND IN 2021 4255 02:33:26,320 --> 02:33:28,320 WE DECIDED TO HOLD VIRTUALLY, 4256 02:33:28,320 --> 02:33:29,320 COUNSEL IN 2020. 4257 02:33:29,320 --> 02:33:34,000 SO WE COLLABORATED WITH NIAAA 4258 02:33:34,000 --> 02:33:37,120 AND NIMH PROVIDED 100 SCHOLARS 4259 02:33:37,120 --> 02:33:38,520 FROM POSTBACK TO EARLY STAGE 4260 02:33:38,520 --> 02:33:41,560 INVESTIGATOR CAREER STAGE DR. 4261 02:33:41,560 --> 02:33:42,840 VOLKOW CUBE AND GORDON 4262 02:33:42,840 --> 02:33:43,320 PRESENTED. 4263 02:33:43,320 --> 02:33:45,520 FRIEND WE USED GATHER TOWN, FOR 4264 02:33:45,520 --> 02:33:46,920 OUR SCIENTIFIC POSTER SESSION 4265 02:33:46,920 --> 02:33:50,120 AND FOR OUR REALLY POPULAR MEET 4266 02:33:50,120 --> 02:33:50,920 APPEAL SMALL BREAK OUT SESSION. 4267 02:33:50,920 --> 02:33:52,840 WE HAD TALKS ON FUNDING 4268 02:33:52,840 --> 02:33:53,720 OPPORTUNITIES, APPLICATION 4269 02:33:53,720 --> 02:33:56,640 REVIEW STRATEGIES, REALLY WHAT 4270 02:33:56,640 --> 02:33:58,880 THE COUNCIL RECOMMENDED IN TERMS 4271 02:33:58,880 --> 02:34:00,200 OF DEMYSTIFYING THE GRANT 4272 02:34:00,200 --> 02:34:00,560 PROCESS. 4273 02:34:00,560 --> 02:34:05,200 YOU CAN SEE WE HAVE A PICTURE OF 4274 02:34:05,200 --> 02:34:07,320 WHAT ONE SLIDE OF EVERYONE 4275 02:34:07,320 --> 02:34:08,160 GATHERED. 4276 02:34:08,160 --> 02:34:09,400 WE HAD 140 PEOPLE THERE. 4277 02:34:09,400 --> 02:34:10,720 T THE PICTURE ON THE BOTTOM IS 4278 02:34:10,720 --> 02:34:12,160 WHAT IT USED TO BE LIKE WHEN WE 4279 02:34:12,160 --> 02:34:13,160 HAVE IT IN PERSON AND I'M 4280 02:34:13,160 --> 02:34:15,720 EXCITED TO SAYNA IN 2022 THIS IS 4281 02:34:15,720 --> 02:34:17,920 AN NIH WIDE WORKSHOP OTHER 4282 02:34:17,920 --> 02:34:19,520 INSTITUTES WHERE WE HAVE 12 4283 02:34:19,520 --> 02:34:21,200 INSTITUTES JOINING ARE REALLY 4284 02:34:21,200 --> 02:34:23,440 EXCITED TO JOIN IN ON THIS 4285 02:34:23,440 --> 02:34:24,320 PROFESSIONAL DEVELOPMENT 4286 02:34:24,320 --> 02:34:25,480 WORKSHOP FOR DIVERSITY 4287 02:34:25,480 --> 02:34:28,160 SUPPLEMENT RECIPIENTS. SO WE 4288 02:34:28,160 --> 02:34:30,080 TRYING TO FIGURE HOW TO MANAGE 4289 02:34:30,080 --> 02:34:32,720 THE LARGE NUMBER OF PEOPLE 4290 02:34:32,720 --> 02:34:34,120 PARTICIPATING. 4291 02:34:34,120 --> 02:34:36,320 I WANT DO INVESTIGATOR SPOTLIGHT 4292 02:34:36,320 --> 02:34:38,800 OF DR. SABRINA, A 2015 4293 02:34:38,800 --> 02:34:39,400 SUPPLEMENT SCHOLAR. 4294 02:34:39,400 --> 02:34:40,640 SHE USED THAT SUPPLEMENT TO 4295 02:34:40,640 --> 02:34:46,720 APPLY FOR A NIDA K 23, AND LOAN 4296 02:34:46,720 --> 02:34:49,600 REPAYMENT PROGRAM BOTH AWARDED. 4297 02:34:49,600 --> 02:34:50,920 LAST YEAR SHE WAS AWARDED THE 4298 02:34:50,920 --> 02:34:52,520 LOUIS SULLIVAN ENDOW 4299 02:34:52,520 --> 02:34:55,920 PROFESSORSHIP. 4300 02:34:55,920 --> 02:35:00,320 I HAVE PRIVILEGED TO BE INVITED 4301 02:35:00,320 --> 02:35:01,680 TO HER CEREMONY. 4302 02:35:01,680 --> 02:35:03,720 IN IT SHE SPECIFICALLY MENTIONED 4303 02:35:03,720 --> 02:35:05,160 HOW PIVOTAL THE SUPPLEMENT AND 4304 02:35:05,160 --> 02:35:08,320 SUPPORT SHE RECEIVED WAS IN HER 4305 02:35:08,320 --> 02:35:10,520 CAREER, TO BE SUCCESSFUL AND TO 4306 02:35:10,520 --> 02:35:13,520 SUSTAIN A RESEARCH CAREER. 4307 02:35:13,520 --> 02:35:16,360 SO NOW MOVING THE CAREER LADDER 4308 02:35:16,360 --> 02:35:20,480 WE ARE GOING TO THE EARLY STAGE 4309 02:35:20,480 --> 02:35:21,120 INVESTIGATORS LEVEL. 4310 02:35:21,120 --> 02:35:23,120 YOU CAN SEE DEPENDING WHERE YOU 4311 02:35:23,120 --> 02:35:26,240 ARE ON THAT WRUNG, YOUR STEP UP 4312 02:35:26,240 --> 02:35:28,120 IS GOING TO BE EITHER A LITTLE 4313 02:35:28,120 --> 02:35:31,480 SHORTER OR A LITTLE LONGER. 4314 02:35:31,480 --> 02:35:32,720 AND THERE ARE MANY FACTORS THAT 4315 02:35:32,720 --> 02:35:33,720 MAY CONTRIBUTE TO SOMEONING 4316 02:35:33,720 --> 02:35:35,160 WITHOR BEING ON THAT LOWER PART 4317 02:35:35,160 --> 02:35:36,880 OF THE WRUNG BUT MAKE SURE 4318 02:35:36,880 --> 02:35:38,440 SUPPORT IS IN PLACE TO MAKE THE 4319 02:35:38,440 --> 02:35:40,360 LEAP UP AND BE SUCCESSFUL AND 4320 02:35:40,360 --> 02:35:42,720 SUSTAIN RESEARCH ENTERPRISE SO 4321 02:35:42,720 --> 02:35:44,200 WE HAVE BEEN SCHOLARS NETWORK 4322 02:35:44,200 --> 02:35:46,280 PROGRAM, SUPPLEMENTS AGAIN R 25 4323 02:35:46,280 --> 02:35:48,240 INCLUDING THE CLINICAL, WE 4324 02:35:48,240 --> 02:35:51,560 PARTICIPATE IN THE R 15 AND THE 4325 02:35:51,560 --> 02:35:52,720 -- WE GIVE ASSISTANCE TO 4326 02:35:52,720 --> 02:35:56,520 GRANTEES IN ALL THESE AREAS. 4327 02:35:56,520 --> 02:35:58,760 WE HAVE A NETWORKING EVENT AND 4328 02:35:58,760 --> 02:36:00,320 AGAIN TRAVEL AWARDS IN THE 4329 02:36:00,320 --> 02:36:00,600 SUPPLEMENT. 4330 02:36:00,600 --> 02:36:02,840 I WANT TO HIGHLIGHT THE OTHER 4331 02:36:02,840 --> 02:36:04,880 NIDAS, NIDA SCHOLARS NETWORK 4332 02:36:04,880 --> 02:36:08,560 WHICH CAME -- BORN OUT OF THAT 4333 02:36:08,560 --> 02:36:12,120 SUBCOMMITTEE. 4334 02:36:12,120 --> 02:36:16,720 THIS IS A COMPETITIVE AIMED AT 4335 02:36:16,720 --> 02:36:19,200 FUNDING UNDER-REPRESENTED 4336 02:36:19,200 --> 02:36:19,400 PSIs. 4337 02:36:19,400 --> 02:36:21,120 POST DOCS RES CONDITION AND 4338 02:36:21,120 --> 02:36:21,880 EARLY STAGE INVESTIGATORS ARE 4339 02:36:21,880 --> 02:36:22,560 ELIGIBLE. 4340 02:36:22,560 --> 02:36:24,320 U IT IS A TWO PART PROGRAM. 4341 02:36:24,320 --> 02:36:27,440 DR. CHAVKIN IS A MENTOR AND 4342 02:36:27,440 --> 02:36:29,760 OTHERS HAVE BEEN INVOLVED WITH 4343 02:36:29,760 --> 02:36:30,720 THIS PROGRAM. 4344 02:36:30,720 --> 02:36:35,360 ONCE INTERN -- SCHOLAR IS 4345 02:36:35,360 --> 02:36:37,280 SELECTED, THEY GET MATCH WITH A 4346 02:36:37,280 --> 02:36:38,920 SCIENTIFIC COACH AND THIS 4347 02:36:38,920 --> 02:36:40,160 SOMEONE AN EXPERT IN THEIR AREA 4348 02:36:40,160 --> 02:36:43,280 OF RESEARCH, USUALLY NIDA 4349 02:36:43,280 --> 02:36:45,080 FUNDED, OR PREVIOUS NIDA FUNDED 4350 02:36:45,080 --> 02:36:46,520 PI. 4351 02:36:46,520 --> 02:36:47,920 THEY ALSO GET MATCH PROGRAM 4352 02:36:47,920 --> 02:36:49,600 OFFICER AND WE INVITE THEM TO 4353 02:36:49,600 --> 02:36:51,840 PART ONE GOING OVER A LOT OF 4354 02:36:51,840 --> 02:36:53,920 DEMYSTIFYING THE NIH GRANT 4355 02:36:53,920 --> 02:36:55,680 REVIEW -- AND GRANT AND REVIEW 4356 02:36:55,680 --> 02:36:56,800 PROCESS. 4357 02:36:56,800 --> 02:36:57,960 AND WE OFFER STRATEGIES. 4358 02:36:57,960 --> 02:36:59,320 THIS YEAR I BROUGHT IN MY 4359 02:36:59,320 --> 02:37:00,840 COLLEAGUE FROM CSR AND THEY TALK 4360 02:37:00,840 --> 02:37:02,880 ABOUT THE EARLY CAREER REVIEWER 4361 02:37:02,880 --> 02:37:05,520 PROGRAM AND HOW THE GET INVOLVED 4362 02:37:05,520 --> 02:37:07,200 WITH THAT. 4363 02:37:07,200 --> 02:37:07,920 SO THEY MEET WITH COACHING 4364 02:37:07,920 --> 02:37:09,840 ALLIANCE AND THERE IS AN INTERIM 4365 02:37:09,840 --> 02:37:11,320 PERIOD THEY ARRIVE WITH GRANT 4366 02:37:11,320 --> 02:37:13,320 USED FOR PART TWO, WHICH IS THE 4367 02:37:13,320 --> 02:37:14,840 MOCK REVIEW, THEY CONSULT BACK 4368 02:37:14,840 --> 02:37:17,400 WITH COACHES AND POs AND ME 4369 02:37:17,400 --> 02:37:18,960 AND OTHERS FOR ADVICE ALONG THE 4370 02:37:18,960 --> 02:37:21,920 WAY, USUALLY THREE AND A HALF 4371 02:37:21,920 --> 02:37:23,720 MONTHS. 4372 02:37:23,720 --> 02:37:26,720 THEN THEY SUBMIT THE MOCK GRANT, 4373 02:37:26,720 --> 02:37:28,400 ALL COMPONENTS MOVE TO MOCK 4374 02:37:28,400 --> 02:37:30,360 REVIEW AND THEY GET PARTICIPATE, 4375 02:37:30,360 --> 02:37:31,920 BASICALLY FLIES ON THE WALL, 4376 02:37:31,920 --> 02:37:33,280 COME BEHIND THE CURTAIN AND SEE 4377 02:37:33,280 --> 02:37:35,280 WHAT A GRANT REVIEW LOOKS AND 4378 02:37:35,280 --> 02:37:35,880 FELTS LIKE. 4379 02:37:35,880 --> 02:37:38,240 THEY GET TO HEAR THEIR REVIEW AS 4380 02:37:38,240 --> 02:37:40,120 WELL AS REVIEW OF THEIR ENTIRE 4381 02:37:40,120 --> 02:37:40,600 COHORT. 4382 02:37:40,600 --> 02:37:41,520 YOU CAN IMAGINE SOMETIMES IT 4383 02:37:41,520 --> 02:37:42,720 GETS A LITTLE BIT EMOTIONAL BUT 4384 02:37:42,720 --> 02:37:44,120 IT IS A GREAT EXPERIENCE FOR 4385 02:37:44,120 --> 02:37:46,360 EVERYBODY TO PARTICIPATE IN AND 4386 02:37:46,360 --> 02:37:48,680 REALLY TRANSFORMATIVE. 4387 02:37:48,680 --> 02:37:51,560 SO WHAT IS THE SUCCESS OF THIS 4388 02:37:51,560 --> 02:37:53,920 INTERVENTION PROGRAM? 4389 02:37:53,920 --> 02:37:54,920 IN 2016 WE HAVE 14 FOLKS 4390 02:37:54,920 --> 02:37:56,600 PARTICIPATE, SCHOLARS, 13 OF 4391 02:37:56,600 --> 02:37:57,880 THEM SUBMITTED A GRANT, THEY 4392 02:37:57,880 --> 02:38:00,520 HAVE BEEN VERY BUSY, SUBMITTED A 4393 02:38:00,520 --> 02:38:01,160 HUNDRED GRANTS. 4394 02:38:01,160 --> 02:38:02,840 17 OF THOSE HAVE BEEN FUNDED AND 4395 02:38:02,840 --> 02:38:04,200 THEY WENT TO 11 PEOPLE. 4396 02:38:04,200 --> 02:38:06,200 YOU CAN SEE JUST THE GREAT 4397 02:38:06,200 --> 02:38:08,000 SUCCESS SO FAR THAT THIS PROGRAM 4398 02:38:08,000 --> 02:38:10,200 IS HAD AT LEAST WITHIN APPLYING 4399 02:38:10,200 --> 02:38:10,800 FOR GRANTS. 4400 02:38:10,800 --> 02:38:11,920 THEY'RE STILL IN THE SYSTEM, 4401 02:38:11,920 --> 02:38:16,120 WORKING REAPPLYING, AND WE HAVE 4402 02:38:16,120 --> 02:38:19,040 ALMOST 100% APPLICATION 4403 02:38:19,040 --> 02:38:20,160 SUBMISSION RATE AND HIGH LEVEL 4404 02:38:20,160 --> 02:38:22,520 SUCCESS ACROSS THE PROGRAM. 4405 02:38:22,520 --> 02:38:25,200 IN ADDITION WE -- THIS YEAR IN 4406 02:38:25,200 --> 02:38:27,760 JANUARY WE HAD OUR FIRST REUNION 4407 02:38:27,760 --> 02:38:29,240 NETWORKING EVENT, SCHOLARS ARE 4408 02:38:29,240 --> 02:38:30,480 REACHING TO ME SAYING THEY 4409 02:38:30,480 --> 02:38:31,720 WANTED THE OTHER SCHOLARS, WANT 4410 02:38:31,720 --> 02:38:34,800 TO COLLABORATE WITH FOREIGN 4411 02:38:34,800 --> 02:38:37,320 PARTNERSHIPS SO WE PUT TOGETHER 4412 02:38:37,320 --> 02:38:39,720 THIS REUNION EVENT WHERE WE 4413 02:38:39,720 --> 02:38:41,080 FOSTER CLAY B RATION AND 4414 02:38:41,080 --> 02:38:42,680 PARTNERSHIPS TO FORM A NETWORK. 4415 02:38:42,680 --> 02:38:44,320 WE HAD BREAK OUT SESSIONS WHERE 4416 02:38:44,320 --> 02:38:46,120 THEY CAN TALK WITH OTHER FOLKS 4417 02:38:46,120 --> 02:38:47,920 WHO ARE INTERESTED IN PARTNERING 4418 02:38:47,920 --> 02:38:49,920 WITHIN A SPECIFIC SCIENTIFIC 4419 02:38:49,920 --> 02:38:52,480 AREA AND HOPE IT LEADS TO MORE 4420 02:38:52,480 --> 02:38:53,400 PARTNERSHIPS AND MORE 4421 02:38:53,400 --> 02:38:54,680 COLLABORATION IN THE FUTURE. 4422 02:38:54,680 --> 02:38:56,680 NOW THERE, IS A NETWORK SET UP 4423 02:38:56,680 --> 02:38:58,440 AND FOR ALL -- THEY ARE ALL 4424 02:38:58,440 --> 02:38:59,520 EMAILING EACH OTHER. 4425 02:38:59,520 --> 02:39:00,920 AS A MATTER OF FACT WILL IS AN 4426 02:39:00,920 --> 02:39:03,280 EMAIL YESTERDAY ON SUBMITTING 4427 02:39:03,280 --> 02:39:03,720 PUBLICATIONS. 4428 02:39:03,720 --> 02:39:05,280 SOMEONE EDITOR AND THEY ARE 4429 02:39:05,280 --> 02:39:06,920 ASKING FOR PUBLICATION FROM THIS 4430 02:39:06,920 --> 02:39:07,120 GROUP. 4431 02:39:07,120 --> 02:39:09,360 I WANT TO POINT OUT TWO COMMENTS 4432 02:39:09,360 --> 02:39:10,640 REAL QUICK. 4433 02:39:10,640 --> 02:39:14,520 FROM DR. JOHNSON, SAME AT THE 4434 02:39:14,520 --> 02:39:16,480 NDSN AND NIDA SUPPLEMENT PROGRAM 4435 02:39:16,480 --> 02:39:20,640 LIFELINE LITERALLY LIFELINE IS 4436 02:39:20,640 --> 02:39:25,800 ACADEMIA AND DR. ORTIZ HELP 4437 02:39:25,800 --> 02:39:27,800 GETTING MY R21 FUNDED AND THE 4438 02:39:27,800 --> 02:39:29,800 SUPPLEMENT NIDA DIVERSITY WERE 4439 02:39:29,800 --> 02:39:31,680 PIVOTAL FOR ME STAYING IN 4440 02:39:31,680 --> 02:39:33,800 ACADEMIA. 4441 02:39:33,800 --> 02:39:36,720 WE HEAR THIS TIME AND AGAIN. 4442 02:39:36,720 --> 02:39:39,320 HE RECEIVED A KO 1 WITH THE 4443 02:39:39,320 --> 02:39:40,520 ACTUAL APPLICATION THAT HE USED 4444 02:39:40,520 --> 02:39:44,520 FOR THE 2019 PROGRAM. 4445 02:39:44,520 --> 02:39:45,960 THEN A YEAR LATER YEAR AND A 4446 02:39:45,960 --> 02:39:48,680 HALF LATER SUBMITTED A NIDA R 25 4447 02:39:48,680 --> 02:39:50,840 SO NOW START TRAINING UNDERGRADS 4448 02:39:50,840 --> 02:39:52,640 IN SUBSTANCE USE AND ADDICTION 4449 02:39:52,640 --> 02:39:54,000 VERGE AND HE'S SPECIALLY 4450 02:39:54,000 --> 02:39:55,880 INTERESTED IN THOSE FROM 4451 02:39:55,880 --> 02:39:57,000 HISTORICALLY UNDER-REPRESENTED 4452 02:39:57,000 --> 02:39:58,800 ACADEMIA. 4453 02:39:58,800 --> 02:40:00,920 THE LAST CAREER LADDER, QUICKLY 4454 02:40:00,920 --> 02:40:04,320 GOING THROUGH, IS THE PROFESSOR. 4455 02:40:04,320 --> 02:40:06,440 I WILL HIGHLIGHT TWO THINGS. 4456 02:40:06,440 --> 02:40:10,200 NIDA IS PARTNERED WITH NIMHD AND 4457 02:40:10,200 --> 02:40:11,840 ISSUED NOTICE TO RESEARCH CENTER 4458 02:40:11,840 --> 02:40:13,720 AND MINORITY INSTITUTIONS RCMI 4459 02:40:13,720 --> 02:40:14,280 WITH A SUPPLEMENT. 4460 02:40:14,280 --> 02:40:15,960 AND THIS IS OUR SECOND 4461 02:40:15,960 --> 02:40:17,960 ITERATION, SO WE DID ONE IN 4462 02:40:17,960 --> 02:40:20,800 2021, THIS IS OUR 2022 NOTICE. 4463 02:40:20,800 --> 02:40:22,280 THESE PROVIDE $15,000 A YEAR FOR 4464 02:40:22,280 --> 02:40:24,200 UP TO TWO YEARS AND THE PURPOSE 4465 02:40:24,200 --> 02:40:26,040 IS TO SUPPORT NEW INVESTIGATORS 4466 02:40:26,040 --> 02:40:28,360 TO CONDUCT PILOT STUDY AND 4467 02:40:28,360 --> 02:40:29,600 COLLECT DATA TO BE USED FOR 4468 02:40:29,600 --> 02:40:30,200 INDEPENDENT GRANT. 4469 02:40:30,200 --> 02:40:32,560 THIS IS ONE WAY WE ARE TRYING TO 4470 02:40:32,560 --> 02:40:34,720 REACH INSTITUTIONS FROM MSIs 4471 02:40:34,720 --> 02:40:36,840 AND HBCUs. 4472 02:40:36,840 --> 02:40:39,320 FROM THE FIRST ITERATION WE 4473 02:40:39,320 --> 02:40:40,520 FUNDED 4 EARLY STAGE 4474 02:40:40,520 --> 02:40:40,960 INVESTIGATORS. 4475 02:40:40,960 --> 02:40:42,920 AT MSI INSTITUTIONS. 4476 02:40:42,920 --> 02:40:45,200 TO CONDUCT SUBSTANCE USE IN 4477 02:40:45,200 --> 02:40:48,520 NEUROSCIENCE RELATED RESEARCH. 4478 02:40:48,520 --> 02:40:50,520 THE APPLICATION FOR THAT LAST 4479 02:40:50,520 --> 02:40:52,840 WEEK -- DEADLINE LAST WEEK SO TO 4480 02:40:52,840 --> 02:40:53,760 SEE WHICH ONES WE GET IN. 4481 02:40:53,760 --> 02:40:55,560 THIS IS SOMETHING TO BRING TO 4482 02:40:55,560 --> 02:40:58,160 EVERYONE'S ATTENTION, THIS WAS 4483 02:40:58,160 --> 02:40:59,200 RELEASED LAST WEEK. 4484 02:40:59,200 --> 02:41:01,560 AND THERE WAS A QUESTION ON 4485 02:41:01,560 --> 02:41:02,800 SUPPLEMENTS AND SO THIS IS 4486 02:41:02,800 --> 02:41:04,360 SOMETHING THAT EVERYONE MIGHT BE 4487 02:41:04,360 --> 02:41:05,720 ABLE TO TAKE ADVANTAGE OF. 4488 02:41:05,720 --> 02:41:07,560 THE ADMINISTRATIVE SUPPLEMENTS 4489 02:41:07,560 --> 02:41:10,040 TO RECOGNIZE EXCELLENCE IN DEIA 4490 02:41:10,040 --> 02:41:10,960 MENTORSHIP. 4491 02:41:10,960 --> 02:41:13,640 THE SUPPLEMENT AWARD IS UP TO 4492 02:41:13,640 --> 02:41:15,680 $250,000 IN DIRECT COSTS, NOT TO 4493 02:41:15,680 --> 02:41:16,720 EXCEED (INAUDIBLE). 4494 02:41:16,720 --> 02:41:17,880 AND IT IS FACULTY MEMBERS WHO 4495 02:41:17,880 --> 02:41:20,960 ARE MENTORING OR -- AND/OR 4496 02:41:20,960 --> 02:41:22,640 MENTORSHIP AS PART OF EXISTING 4497 02:41:22,640 --> 02:41:24,120 AWARD OR DEMONSTRATED A 4498 02:41:24,120 --> 02:41:25,360 COMMITMENT AND DEMONSTRATED A 4499 02:41:25,360 --> 02:41:26,480 COMMITMENT TO OUTSTANDING MENTOR 4500 02:41:26,480 --> 02:41:27,120 SHIP OR TRAINING. 4501 02:41:27,120 --> 02:41:28,600 WHAT I THINK IS UNIQUE THAT I 4502 02:41:28,600 --> 02:41:30,040 WANT TO HIGHLIGHT IS ALMOST 4503 02:41:30,040 --> 02:41:32,360 EVERY MECHANISM IS ELIGIBLE FOR 4504 02:41:32,360 --> 02:41:32,680 THIS. 4505 02:41:32,680 --> 02:41:36,360 Rs Ps ARKSs Ks Ts, AND 4506 02:41:36,360 --> 02:41:37,400 ARE ALL ELIGIBLE. 4507 02:41:37,400 --> 02:41:39,000 THE ONLY THING NOT ARE THE Fs 4508 02:41:39,000 --> 02:41:43,200 AND A FEW Rs I THINK THE R 25 4509 02:41:43,200 --> 02:41:44,720 IS NOT ELIGIBLE. 4510 02:41:44,720 --> 02:41:46,760 SO I WILL STOP HERE AND JUST SAY 4511 02:41:46,760 --> 02:41:48,280 WHAT ARE THE NEXT STEPS? 4512 02:41:48,280 --> 02:41:49,880 WHAT ARE THE NEXT STEPS HERE IN 4513 02:41:49,880 --> 02:41:52,800 NIDA AND ODHD IN TERMS OF 4514 02:41:52,800 --> 02:41:54,080 SUPPORTING THE LADDER AND WHAT 4515 02:41:54,080 --> 02:41:55,040 CAN WE DO? 4516 02:41:55,040 --> 02:41:59,520 I'M LOOKING AT FEEDBACK FROM YOU 4517 02:41:59,520 --> 02:42:02,920 GUYS ON WHAT YOU THINK WE CAN DO 4518 02:42:02,920 --> 02:42:04,160 ESPECIALLY ATTENTION ON 4519 02:42:04,160 --> 02:42:05,880 POST-DOCTORAL CAREER STAGE. 4520 02:42:05,880 --> 02:42:07,920 HOW CAN WE GROW AND SUSTAIN 4521 02:42:07,920 --> 02:42:09,920 PARTNERSHIPS WITH HBCUs AND 4522 02:42:09,920 --> 02:42:10,720 OTHER MSIs. 4523 02:42:10,720 --> 02:42:12,720 WE ARE LOOK AT INVESTIGATOR 4524 02:42:12,720 --> 02:42:13,320 WADES TO PROMOTE DIVERSITY IN 4525 02:42:13,320 --> 02:42:14,480 THE APPLICATION POOL. 4526 02:42:14,480 --> 02:42:16,480 BOTH FOR NEW AND AT RISK 4527 02:42:16,480 --> 02:42:18,040 INVESTIGATOR GRANTS, THIS WILL 4528 02:42:18,040 --> 02:42:19,280 BE PRESENTED AT CONCEPT 4529 02:42:19,280 --> 02:42:22,960 CLEARANCE AND THEN ALSO 4530 02:42:22,960 --> 02:42:24,400 PARTNERING ON THE NEW EXCELLENCE 4531 02:42:24,400 --> 02:42:25,960 DEI INVESTIGATOR GRANTS OFFSET 4532 02:42:25,960 --> 02:42:28,720 WHAT CALLED THE DIVERSITY TAX, 4533 02:42:28,720 --> 02:42:29,760 UNITE INITIATIVE AND THIS WAS 4534 02:42:29,760 --> 02:42:32,320 RECENT WILL I CLEARED BY NI 4535 02:42:32,320 --> 02:42:34,720 MANYGMS COUNCIL AND NIDA IS ONE 4536 02:42:34,720 --> 02:42:36,600 OF THE FOUR INSTITUTES HELP TO 4537 02:42:36,600 --> 02:42:38,320 WRITE THIS FOA THEN EXPAND OUR 4538 02:42:38,320 --> 02:42:39,960 NETWORK. 4539 02:42:39,960 --> 02:42:40,880 NDSN SUPPORT AND OPPORTUNITIES 4540 02:42:40,880 --> 02:42:41,280 NETWORK. 4541 02:42:41,280 --> 02:42:45,360 SO WITH THAT, I WILL STOP AND 4542 02:42:45,360 --> 02:42:46,720 HOPEFULLY GET SOME FEEDBACK FROM 4543 02:42:46,720 --> 02:42:47,160 YOU GUYS. 4544 02:42:47,160 --> 02:42:50,440 THANK YOU. 4545 02:42:50,440 --> 02:42:52,080 >> THANKS VERY MUCH. 4546 02:42:52,080 --> 02:43:00,800 WE HAVE A QUESTION FROM DR. 4547 02:43:00,800 --> 02:43:01,360 RAJITA SINHA. 4548 02:43:01,360 --> 02:43:02,720 >> THAT WAS AMAZING. 4549 02:43:02,720 --> 02:43:04,640 IT WAS REALLY COMPREHENSIVE AND 4550 02:43:04,640 --> 02:43:07,560 HIGHLIGHTS NIDA'S COMMITMENT AND 4551 02:43:07,560 --> 02:43:10,360 ALL OF YOUR COMMITMENT TO REALLY 4552 02:43:10,360 --> 02:43:12,960 EXPANDING THIS AND -- IN A VERY 4553 02:43:12,960 --> 02:43:19,000 GENUINE AND CONCERTED WAY SO 4554 02:43:19,000 --> 02:43:20,040 CONGRATULATIONS ON THAT, THERE 4555 02:43:20,040 --> 02:43:21,800 IS ROOM OF COURSE TO GROW THIS 4556 02:43:21,800 --> 02:43:22,760 AS YOU ARE ILLUSTRATING. 4557 02:43:22,760 --> 02:43:25,960 I HAD A COUPLE OF THOUGHTS. 4558 02:43:25,960 --> 02:43:28,320 I THINK SUMMER RESEARCH 4559 02:43:28,320 --> 02:43:29,440 INTERNSHIP PROGRAM I REMEMBER 4560 02:43:29,440 --> 02:43:30,480 FROM SEVERAL MANY YEARS AGO THAT 4561 02:43:30,480 --> 02:43:32,560 IS REALLY GROWN, IT WAS LOVELY 4562 02:43:32,560 --> 02:43:34,840 TO SEE THE NUMBERS AND THAT YOU 4563 02:43:34,840 --> 02:43:37,640 HAVE EXPANDED NATIONALLY. 4564 02:43:37,640 --> 02:43:39,880 ONE THOUGHT I HAD, NIDA IS SO 4565 02:43:39,880 --> 02:43:44,320 GREAT WITH SUPPORTING T 32ESS. 4566 02:43:44,320 --> 02:43:46,400 AND THERE IS THIS DROP THAT 4567 02:43:46,400 --> 02:43:48,680 HAPPENS WITH THESE 4568 02:43:48,680 --> 02:43:49,800 UNDERGRADUATES AND THEN THEY 4569 02:43:49,800 --> 02:43:52,280 DON'T WANT TO DO Ph.D.s. 4570 02:43:52,280 --> 02:43:52,960 AND GRAD SCHOOL. 4571 02:43:52,960 --> 02:43:56,640 A LOT OF US WHO HAVE T 32s 4572 02:43:56,640 --> 02:43:57,720 HAVE POST BACK PROGRAMS JUST 4573 02:43:57,720 --> 02:44:00,560 LIKE THE IRP DOES AND I WONDERED 4574 02:44:00,560 --> 02:44:02,520 IF THERE COULD BE MORE 4575 02:44:02,520 --> 02:44:05,120 STRUCTURED CONNECTION WITH THE T 4576 02:44:05,120 --> 02:44:09,200 32s AROUND THE POST BACK AND 4577 02:44:09,200 --> 02:44:11,240 NIDA MAY NOT HAVE TO SUPPORT 4578 02:44:11,240 --> 02:44:12,680 THAT, IT COULD COME FROM GRANTS 4579 02:44:12,680 --> 02:44:14,280 PEOPLE HAVE OR MAYBE A MIX OF IT 4580 02:44:14,280 --> 02:44:16,280 ANYWAY, THAT'S A SEPARATE ISSUE 4581 02:44:16,280 --> 02:44:19,080 BUT SORT OF ADDITIONAL TIER OF 4582 02:44:19,080 --> 02:44:20,960 CONNECTING PEOPLE WHO ARE 4583 02:44:20,960 --> 02:44:22,760 GETTING OUT OF UNDERGRAD AND 4584 02:44:22,760 --> 02:44:25,400 THEN KEEPING THEM IN SCIENCE 4585 02:44:25,400 --> 02:44:27,840 THROUGH YOUR PROGRAMS THAT ARE 4586 02:44:27,840 --> 02:44:29,520 IN FACT DEVELOPED IN PEOPLE AT 4587 02:44:29,520 --> 02:44:30,320 THAT NEXT STAGE. 4588 02:44:30,320 --> 02:44:33,080 THERE IS THAT DROP BETWEEN 4589 02:44:33,080 --> 02:44:36,520 GRADUATING, DOING SUMMER 4590 02:44:36,520 --> 02:44:37,960 PROGRAMS, RESEARCH AT THE 4591 02:44:37,960 --> 02:44:39,920 UNDERGRAD LEVEL AND COMMITTING 4592 02:44:39,920 --> 02:44:42,320 TO THE Ph.D.. 4593 02:44:42,320 --> 02:44:44,080 SO THAT WAS ONE THOUGHT I HAD. 4594 02:44:44,080 --> 02:44:48,280 THE SECOND THING HAD TO DO WITH 4595 02:44:48,280 --> 02:44:49,160 POST-DOCS. 4596 02:44:49,160 --> 02:44:51,520 I THINK THERE THE SAME ISSUE 4597 02:44:51,520 --> 02:44:56,320 AROUND IF THERE ARE WAYS FOR 4598 02:44:56,320 --> 02:44:58,280 HISTORICAL BLACK COLLEGES AND 4599 02:44:58,280 --> 02:44:59,920 SOME OF THE OTHER WHERE THERE IS 4600 02:44:59,920 --> 02:45:01,560 ALL OF US HAVE PIPELINE 4601 02:45:01,560 --> 02:45:02,160 INITIATIVE. 4602 02:45:02,160 --> 02:45:02,920 AT OUR INSTITUTION. 4603 02:45:02,920 --> 02:45:05,120 SO THERE'S WAYS TO CREATIVELY 4604 02:45:05,120 --> 02:45:06,920 THINK ABOUT CONNECTING DOING A 4605 02:45:06,920 --> 02:45:09,400 HUB AND SPOKE WHICH YOU HAD THAT 4606 02:45:09,400 --> 02:45:10,920 BEAUTIFUL DIAGRAM WHERE YOU 4607 02:45:10,920 --> 02:45:11,960 CONNECT INSTITUTIONS THAT TEND 4608 02:45:11,960 --> 02:45:14,840 TO HAVE LOWER NUMBERS AND 4609 02:45:14,840 --> 02:45:18,640 DESPERATELY TRYING TO ATRACK NEW 4610 02:45:18,640 --> 02:45:20,760 CANDIDATES TO CONNECT WITH 4611 02:45:20,760 --> 02:45:22,240 PLACES WHERE THERE IS ENERGY, 4612 02:45:22,240 --> 02:45:23,520 THERE ARE PEOPLE AND REALLY FOR 4613 02:45:23,520 --> 02:45:27,440 US TO COLLABORATE BY OFFERING 4614 02:45:27,440 --> 02:45:28,920 SHORT TERM PLACEMENTS 4615 02:45:28,920 --> 02:45:30,920 INTERNSHIPS OR LONGER TERM 4616 02:45:30,920 --> 02:45:33,000 COLLABORATING WITH FACULTY AT 4617 02:45:33,000 --> 02:45:33,880 HBCUs. 4618 02:45:33,880 --> 02:45:37,080 I'M THINKING MORE BROADLY, WE AT 4619 02:45:37,080 --> 02:45:39,520 OUR CTSA WE TRIED THIS WE ARE 4620 02:45:39,520 --> 02:45:40,960 DOING THIS WITH UNIVERSITY OF 4621 02:45:40,960 --> 02:45:43,520 PUERTO RICO, THE YALE CTSA IS 4622 02:45:43,520 --> 02:45:43,920 DOING IT. 4623 02:45:43,920 --> 02:45:46,320 WE STARTED TO HAVE SOME 4624 02:45:46,320 --> 02:45:48,800 DISCUSSIONS WITH HOWARD AS WELL. 4625 02:45:48,800 --> 02:45:51,680 SO I THINK WITH YOUR COMMITMENT 4626 02:45:51,680 --> 02:45:53,960 AND YOUR AMAZING NETWORK AND 4627 02:45:53,960 --> 02:45:55,120 STRUCTURES IN PLACE, THIS COULD 4628 02:45:55,120 --> 02:45:57,240 BE REALLY A WIN WIN IF YOU CAN 4629 02:45:57,240 --> 02:46:02,320 BUILD ON THAT. 4630 02:46:02,320 --> 02:46:04,400 >> MORE TO COME ON THAT AT 4631 02:46:04,400 --> 02:46:05,320 CONCEPT CLEARANCE. 4632 02:46:05,320 --> 02:46:11,320 AND THEN TO YOUR FIRST POINT, WE 4633 02:46:11,320 --> 02:46:13,920 WILL LOOK AT INVITING T 32s TO 4634 02:46:13,920 --> 02:46:15,920 THE SUMMER SEMINAR SERIES MAYBE 4635 02:46:15,920 --> 02:46:18,000 AS A WHICH TO BRIDGE PEOPLE. 4636 02:46:18,000 --> 02:46:19,680 MAYBE YOU CAN GIVE A SHORT TWO 4637 02:46:19,680 --> 02:46:20,680 MINUTE PRESENTATION ON YOUR 4638 02:46:20,680 --> 02:46:22,120 PROGRAM WHATEVER T 32 DIRECTION 4639 02:46:22,120 --> 02:46:23,480 YOU WANT TO COME AND THAT'S THE 4640 02:46:23,480 --> 02:46:25,000 WAY INTRODUCING BUT WE WILL WORK 4641 02:46:25,000 --> 02:46:26,360 ON THAT BECAUSE THAT IS OUR NEXT 4642 02:46:26,360 --> 02:46:28,840 STEP IS HOW WE CAN FORM 4643 02:46:28,840 --> 02:46:30,680 PARTNERSHIPS. 4644 02:46:30,680 --> 02:46:31,240 >> THANK YOU. 4645 02:46:31,240 --> 02:46:33,040 >> TO YOUR SECOND POINT THERE IS 4646 02:46:33,040 --> 02:46:34,200 ACTION ON THIS. 4647 02:46:34,200 --> 02:46:37,000 IT IS JUST HOW WE DO IT. 4648 02:46:37,000 --> 02:46:48,200 >> THANK YOU SO MUCH. 4649 02:46:48,200 --> 02:46:48,640 GAIL. 4650 02:46:48,640 --> 02:46:48,760 >> 4651 02:46:48,760 --> 02:46:49,160 >> GREAT. 4652 02:46:49,160 --> 02:46:49,840 THANK YOU VERY MUCH FOR THAT. 4653 02:46:49,840 --> 02:46:51,360 I APPRECIATE IT. 4654 02:46:51,360 --> 02:46:53,560 I JUST HAVE A COUPLE OF 4655 02:46:53,560 --> 02:46:55,360 COMMENTS. 4656 02:46:55,360 --> 02:46:57,000 ONE, IT IS MORE DIFFICULT FOR 4657 02:46:57,000 --> 02:46:59,240 PHYSICIAN EARLY PHYSICIAN 4658 02:46:59,240 --> 02:47:01,120 SCIENTISTS TO WORK AS YOU CAN 4659 02:47:01,120 --> 02:47:02,720 SEE THAT THE TWO INDIVIDUALS 4660 02:47:02,720 --> 02:47:03,760 THAT YOU HIGHLIGHTED ARE 4661 02:47:03,760 --> 02:47:05,240 Ph.D.s. 4662 02:47:05,240 --> 02:47:07,360 , SO IF YOU HAVE A PHYSICIAN 4663 02:47:07,360 --> 02:47:09,320 SCIENTIST WHO HAS TO WORK 4664 02:47:09,320 --> 02:47:11,840 CLINICALLY TO KEEP UP THEIR 4665 02:47:11,840 --> 02:47:14,080 SALARIES, THIS REDUCED SALARY 4666 02:47:14,080 --> 02:47:18,040 THAT IS ALLOWED FOR THE 4667 02:47:18,040 --> 02:47:19,040 DIVERSITY SUPPLEMENT JUST 4668 02:47:19,040 --> 02:47:19,800 DOESN'T WORK. 4669 02:47:19,800 --> 02:47:22,000 YOU HAVE TO HAVE ASK THE 4670 02:47:22,000 --> 02:47:23,920 DEPARTMENT TO SUPPLEMENT A HUGE 4671 02:47:23,920 --> 02:47:26,160 AMOUNT OF FUNDING WHICH IS JUST 4672 02:47:26,160 --> 02:47:29,280 DOESN'T HAPPEN A LOT, WE ARE 4673 02:47:29,280 --> 02:47:31,160 ACTUALLY DOING IT HERE FOR SOME 4674 02:47:31,160 --> 02:47:31,560 OF US. 4675 02:47:31,560 --> 02:47:34,960 BUT I STILL DO HAVE SOME 4676 02:47:34,960 --> 02:47:35,240 RESOURCES. 4677 02:47:35,240 --> 02:47:35,920 BUT IT IS DIFFICULT. 4678 02:47:35,920 --> 02:47:39,600 SO I THINK THAT THE MONEYS THAT 4679 02:47:39,600 --> 02:47:41,720 ARE ALLOTTED ARE VERY SMALL AND 4680 02:47:41,720 --> 02:47:43,120 PHYSICIAN SCIENTISTS AND THE 4681 02:47:43,120 --> 02:47:45,640 AMOUNTS OF MONEY FOR THE 4682 02:47:45,640 --> 02:47:47,560 DIVERSITY FOR THE PROJECT OF 4683 02:47:47,560 --> 02:47:49,760 $1,500 A YEAR JUST DOESN'T EVEN 4684 02:47:49,760 --> 02:47:51,320 MEET BASIC KINDS OF THINGS THEY 4685 02:47:51,320 --> 02:47:53,320 NEED TO DO. 4686 02:47:53,320 --> 02:47:54,920 MY OTHER -- I'M HOPING YOU WILL 4687 02:47:54,920 --> 02:47:56,800 THINK ABOUT THAT BECAUSE THAT IS 4688 02:47:56,800 --> 02:47:57,800 A REAL DETRIMENT TO THE 4689 02:47:57,800 --> 02:47:58,560 PHYSICIAN SCIENTIST. 4690 02:47:58,560 --> 02:47:59,280 >> IS THAT WHAT YOU WERE 4691 02:47:59,280 --> 02:48:00,320 REFERRING TO EARLIER? 4692 02:48:00,320 --> 02:48:00,720 >> YES. 4693 02:48:00,720 --> 02:48:00,880 YES. 4694 02:48:00,880 --> 02:48:04,000 >> SO THE $1,500 IS THE NUMBER 4695 02:48:04,000 --> 02:48:04,840 YOU WERE REFERRING TO. 4696 02:48:04,840 --> 02:48:06,120 >> YES. 4697 02:48:06,120 --> 02:48:07,920 SO $1,500 -- SUBMITTING WHAT I 4698 02:48:07,920 --> 02:48:08,520 NOTICE. 4699 02:48:08,520 --> 02:48:12,840 SO ONE OF MY MENTEES. 4700 02:48:12,840 --> 02:48:16,280 SO FOR OUR LARGE CN. 4701 02:48:16,280 --> 02:48:19,160 IT IS LIKE $60,000 OR SOMETHING 4702 02:48:19,160 --> 02:48:23,520 AND THAT IT IS $1,500 AND I CAN 4703 02:48:23,520 --> 02:48:27,760 WORK WONDERS BECAUSE I -- GRANTS 4704 02:48:27,760 --> 02:48:29,320 SO I CAN MOVE AROUND AND MAKE 4705 02:48:29,320 --> 02:48:31,440 THINGS HAPPEN FOR HIM BUT IT IS 4706 02:48:31,440 --> 02:48:33,120 REALLY A VERY DIFFERENT -- IT 4707 02:48:33,120 --> 02:48:35,000 HAS TO BE A DIFFERENT, HIS OWN 4708 02:48:35,000 --> 02:48:36,960 IN THIS CASE A HIM, HIS OWN WORK 4709 02:48:36,960 --> 02:48:39,760 SO IT IS INVOLVING MORE ANALYTIC 4710 02:48:39,760 --> 02:48:40,840 WORK, ETZ. 4711 02:48:40,840 --> 02:48:43,520 BUT THE OTHER THING -- SO THAT 4712 02:48:43,520 --> 02:48:46,000 IS WHY IT IS UPSETTING TO ME IT 4713 02:48:46,000 --> 02:48:48,520 IS SO SMALL, YOU WILL GET MORE 4714 02:48:48,520 --> 02:48:50,000 APPLICANTS FOR PHYSICIAN 4715 02:48:50,000 --> 02:48:51,240 SCIENTISTS IF IT COULD BE 4716 02:48:51,240 --> 02:48:52,880 ACTUALLY SOMETHING THAT THE 4717 02:48:52,880 --> 02:48:57,440 DEPARTMENTS COULD AFFORD TO ALSO 4718 02:48:57,440 --> 02:48:59,280 PARTNER AND SHARE. 4719 02:48:59,280 --> 02:49:00,840 THE OTHER THING I JUST HAVE THIS 4720 02:49:00,840 --> 02:49:02,640 THOUGHT, THE OTHER DAY WAS THAT 4721 02:49:02,640 --> 02:49:07,440 I AM PI OF A K 12 WHICH IS YOUNG 4722 02:49:07,440 --> 02:49:09,360 INVESTIGATORS. 4723 02:49:09,360 --> 02:49:09,760 AWARD HERE. 4724 02:49:09,760 --> 02:49:13,080 WE HAVE BEEN HAD SOME SUCCESS IN 4725 02:49:13,080 --> 02:49:14,520 RECRUITING CERTAIN SUCCESS 4726 02:49:14,520 --> 02:49:15,840 RECRUITING WOMEN, I WON'T TAKE 4727 02:49:15,840 --> 02:49:21,360 CREDIT BUT SOME SUCCESS IN 4728 02:49:21,360 --> 02:49:22,720 UNDER-REPRESENTED MEDICINE. 4729 02:49:22,720 --> 02:49:24,080 CANDIDATES BUT NOT AS MUCH AS I 4730 02:49:24,080 --> 02:49:25,880 WOULD LIKE. 4731 02:49:25,880 --> 02:49:27,880 SO I WONDER, JUST WONDERING TO 4732 02:49:27,880 --> 02:49:30,640 PUT THIS OUT THERE, IS TO THINK 4733 02:49:30,640 --> 02:49:34,840 ABOUT ALLOWING PROGRAMS THAT K 4734 02:49:34,840 --> 02:49:37,080 12s DO HAVE SCHOLARS IN 4735 02:49:37,080 --> 02:49:38,400 DIFFERENT INSTITUTIONS, BECAUSE 4736 02:49:38,400 --> 02:49:40,640 WE ARE ALWAYS A LITTLE BIT LIKE 4737 02:49:40,640 --> 02:49:42,120 WHAT -- WE ARE ASSUMING PEOPLE 4738 02:49:42,120 --> 02:49:44,480 WILL COME TO OUR INSTITUTION 4739 02:49:44,480 --> 02:49:46,760 WHICH IS QUITE UNFAIR REGARDING 4740 02:49:46,760 --> 02:49:48,480 FAMILIES AND JUST PLACES THAT WE 4741 02:49:48,480 --> 02:49:51,000 LIVE MAY NOT BE CONDUCIVE FOR 4742 02:49:51,000 --> 02:49:52,840 CERTAIN POPULATIONS. 4743 02:49:52,840 --> 02:49:54,680 SO WE HAVE ALL THE STRENGTH HERE 4744 02:49:54,680 --> 02:49:57,120 AND WE EXPECT SOMEONE TO COME TO 4745 02:49:57,120 --> 02:49:58,560 US FOR TWO, THREE YEARS, 4746 02:49:58,560 --> 02:50:00,520 WHATEVER, FOUR YEARS. 4747 02:50:00,520 --> 02:50:02,840 WE ARE -- WE COULD ACTUALLY 4748 02:50:02,840 --> 02:50:04,240 REACH OUT TO THESE PEOPLE OF 4749 02:50:04,240 --> 02:50:05,400 COURSE WITH THE ZOOM WITH ALL 4750 02:50:05,400 --> 02:50:07,160 THE THINGS WE ARE NOW DOING AND 4751 02:50:07,160 --> 02:50:10,320 THEN STILL SEEING EACH OTHER AT 4752 02:50:10,320 --> 02:50:12,800 SOME POINTS DURING THE YEAR 4753 02:50:12,800 --> 02:50:13,760 MAKING SOME ALLOWANCES. 4754 02:50:13,760 --> 02:50:15,240 WE COULD REALLY HAVE A LONG 4755 02:50:15,240 --> 02:50:18,080 TERM, NOT A SHORT TERM LIKE A 4756 02:50:18,080 --> 02:50:19,920 SUMMER OR WHATEVER BUT A LONG 4757 02:50:19,920 --> 02:50:22,280 TERM MULTI-YEAR RELATIONSHIP 4758 02:50:22,280 --> 02:50:25,800 WITH YOUNG FACULTY AT DIFFERENT 4759 02:50:25,800 --> 02:50:27,160 SITES INCORPORATE INTO THINGS 4760 02:50:27,160 --> 02:50:28,680 LIKE THE K 12. 4761 02:50:28,680 --> 02:50:31,200 IN THE PAST THIS IS NOT BEEN 4762 02:50:31,200 --> 02:50:33,120 LOOKED ON AS VERY WELL, EVERY 4763 02:50:33,120 --> 02:50:34,480 TIME I HAVE BEEN A SECONDARY 4764 02:50:34,480 --> 02:50:37,360 MENTOR ON A COUPLE OF K 12s AT 4765 02:50:37,360 --> 02:50:38,800 DIFFERENT INSTITUTIONS, BUT I 4766 02:50:38,800 --> 02:50:41,560 WAS A SECONDARY MENTOR AND IT 4767 02:50:41,560 --> 02:50:44,800 WAS REALLY DO A LOT OF 4768 02:50:44,800 --> 02:50:47,040 EXPLAINING OF HOW THAT WORKS I 4769 02:50:47,040 --> 02:50:48,960 THINK WE HAVE TO NOT EXPECT THAT 4770 02:50:48,960 --> 02:50:50,240 THESE INDIVIDUALS ARE GOING TO 4771 02:50:50,240 --> 02:50:52,120 COME LIVE WITH US IN DIFFERENT 4772 02:50:52,120 --> 02:50:53,400 STATES AND DIFFERENT 4773 02:50:53,400 --> 02:50:54,160 INSTITUTIONS FOR YEARS AND WE 4774 02:50:54,160 --> 02:50:55,960 HAVE LONG TERM RELATIONSHIPS BUT 4775 02:50:55,960 --> 02:50:57,520 WE COULD EASILY DO THAT FROM 4776 02:50:57,520 --> 02:51:00,160 AFAR. 4777 02:51:00,160 --> 02:51:01,880 WOULDN'T SAY EASILY BUT WE CAN 4778 02:51:01,880 --> 02:51:03,680 DO FROM AFAR NOW THAT WE HAVE 4779 02:51:03,680 --> 02:51:06,000 LEARN AD LOT FROM ZOOM AND MANY 4780 02:51:06,000 --> 02:51:07,720 NOW SCHOLARS DOING MOST OF OUR 4781 02:51:07,720 --> 02:51:08,960 EDUCATION AND ALL OF OUR 4782 02:51:08,960 --> 02:51:10,600 MEETINGS AND OUR RESEARCH AND 4783 02:51:10,600 --> 02:51:12,400 PROGRESS ARE ALL DONE BY ZOOM, 4784 02:51:12,400 --> 02:51:14,720 SO WHY COULDN'T IT BE DONE IN A 4785 02:51:14,720 --> 02:51:15,080 DIFFERENT PLACE? 4786 02:51:15,080 --> 02:51:17,320 IT IS PROVIDED THAT INSTITUTION 4787 02:51:17,320 --> 02:51:18,520 WOULD ALSO HAVE SOME OTHER 4788 02:51:18,520 --> 02:51:20,520 THINGS ASSOCIATED WITH IT THAT 4789 02:51:20,520 --> 02:51:21,920 THEY COULD LEARN FROM. 4790 02:51:21,920 --> 02:51:23,280 ANYWAY, JUST A THOUGHT OUT 4791 02:51:23,280 --> 02:51:25,720 THERE, TO BROADEN THIS ASPECT, 4792 02:51:25,720 --> 02:51:26,920 WE SHOULDN'T EXPECT PEOPLE TO 4793 02:51:26,920 --> 02:51:27,960 COME TO US ALL THE TIME. 4794 02:51:27,960 --> 02:51:31,920 WE COULD CERTAINLY GO TO OTHERS 4795 02:51:31,920 --> 02:51:33,440 IN DIFFERENT INSTITUTIONS. 4796 02:51:33,440 --> 02:51:37,280 >> THAT IS A GOOD POINT, WE CAN 4797 02:51:37,280 --> 02:51:38,720 -- WE KNOW THAT MODEL YOU ARE 4798 02:51:38,720 --> 02:51:40,200 DESCRIBING IS USING THE CLINICAL 4799 02:51:40,200 --> 02:51:42,000 R 25 SO THE CLINICAL R 25 BRINGS 4800 02:51:42,000 --> 02:51:44,520 IN FOLKS FROM DIFFERENT PLACES 4801 02:51:44,520 --> 02:51:47,120 THEY WORK SET OF PARTNERSHIPS 4802 02:51:47,120 --> 02:51:49,120 THEN DO BOOT CAMPS FOR A ONE OR 4803 02:51:49,120 --> 02:51:52,200 TWO WEEK PERIOD, FLY INTO UC SAN 4804 02:51:52,200 --> 02:51:53,680 FRANCISCO OR OTHER AREAS SO WE 4805 02:51:53,680 --> 02:51:54,840 HAVE A MODEL CONNECTED AND THEY 4806 02:51:54,840 --> 02:51:57,040 DO MONTHLY MEETINGS AN THINGS 4807 02:51:57,040 --> 02:51:59,320 LIKE THAT OR CHECK INs, WHAT 4808 02:51:59,320 --> 02:51:59,720 HAVE YOU. 4809 02:51:59,720 --> 02:52:01,600 THERE IS A MODEL THAT EXISTS, IT 4810 02:52:01,600 --> 02:52:08,520 IS NOT ONLY K 12, THERE'S OTHER 4811 02:52:08,520 --> 02:52:08,640 -- 4812 02:52:08,640 --> 02:52:11,000 >> THINK ABOUT IT BECAUSE I'M 4813 02:52:11,000 --> 02:52:12,040 INVOLVED IN R 25 TOO. 4814 02:52:12,040 --> 02:52:14,920 IT IS NOT THE SAME LEVEL OF MY 4815 02:52:14,920 --> 02:52:16,720 HELPING THOSE INDIVIDUALS BECOME 4816 02:52:16,720 --> 02:52:18,880 INDEPENDENT INVESTIGATORS. 4817 02:52:18,880 --> 02:52:20,520 IF THERE ARE ONES VENTSLY. 4818 02:52:20,520 --> 02:52:22,000 IT IS NOT THE SAME -- 4819 02:52:22,000 --> 02:52:22,400 EVENTUALLY. 4820 02:52:22,400 --> 02:52:24,400 SO WE HAVE TO TO THINK HOW WE 4821 02:52:24,400 --> 02:52:28,240 GET THAT LEVEL OF -- THAT SAME 4822 02:52:28,240 --> 02:52:30,560 LEVEL OF SUPPORT IN A MORE 4823 02:52:30,560 --> 02:52:31,920 SUSTAINED FASHION THAN AN R 25 4824 02:52:31,920 --> 02:52:39,120 DOES. 4825 02:52:39,120 --> 02:52:42,800 >> WE ARE AT 4, 03, I WANT TO 4826 02:52:42,800 --> 02:52:45,120 THANK YOU FOR YOUR WONDERFUL 4827 02:52:45,120 --> 02:52:46,360 PRESENTATION AND INCREDIBLE 4828 02:52:46,360 --> 02:52:50,880 WORKING COMMITMENT TO DIVERSITY. 4829 02:52:50,880 --> 02:52:54,400 AND NOW WE ARE GOING TO GO INTO 4830 02:52:54,400 --> 02:52:56,320 THE LAST STAGE OF OUR COUNCIL 4831 02:52:56,320 --> 02:52:59,720 TODAY WHICH IS A CONCEPT 4832 02:52:59,720 --> 02:53:00,480 CLEARANCE. 4833 02:53:00,480 --> 02:53:02,720 THE FIRST WILL BE CLEARANCE FOR 4834 02:53:02,720 --> 02:53:04,320 NIDA RACIAL EQUITY INITIATIVE 4835 02:53:04,320 --> 02:53:08,160 AND IS GOING TO BE PRESENTED BY 4836 02:53:08,160 --> 02:53:09,360 DR. ARYEH CRUMP. 4837 02:53:09,360 --> 02:53:11,560 PLEASE JUMP IN. 4838 02:53:11,560 --> 02:53:13,440 >> HI, EVERYONE. 4839 02:53:13,440 --> 02:53:14,720 THANKS SO MUCH FOR JOINING US 4840 02:53:14,720 --> 02:53:15,720 TODAY. 4841 02:53:15,720 --> 02:53:20,680 I'M HERE ON BEHALF OF THE RACIAL 4842 02:53:20,680 --> 02:53:22,520 EQUITY INITIATIVE GROUP. 4843 02:53:22,520 --> 02:53:25,840 THAT HAS A SLATE OF CONCEPTS TO 4844 02:53:25,840 --> 02:53:27,400 PRESENT AND WE'LL PULL THAT UP 4845 02:53:27,400 --> 02:53:28,160 NOW. 4846 02:53:28,160 --> 02:53:31,320 PRESENTING FOUR RESEARCH 4847 02:53:31,320 --> 02:53:32,440 CONCEPTS AND ONE PSYCHOWORK 4848 02:53:32,440 --> 02:53:33,760 FORCE CONCEPT ON BEHALF OF THE 4849 02:53:33,760 --> 02:53:36,560 GROUPMENT OUR EXPECTATION IS TO 4850 02:53:36,560 --> 02:53:38,120 STRENGTHEN SCIENCE FOR DIVERSE 4851 02:53:38,120 --> 02:53:39,920 TEAMS OF INVESTIGATORS AND TO 4852 02:53:39,920 --> 02:53:41,680 SUPPORT RESEARCH AND TRAINING AT 4853 02:53:41,680 --> 02:53:43,520 DIVERSE AWARDEE INSTITUTIONS. 4854 02:53:43,520 --> 02:53:46,000 SO NOTE THAT THE CONCEPT THAT 4855 02:53:46,000 --> 02:53:48,760 I'M PRESENTING TODAY HAVE BEEN 4856 02:53:48,760 --> 02:53:52,520 THE WORK OF MANY DEDICATED NIDA 4857 02:53:52,520 --> 02:53:53,240 STAFF MEMBERS. 4858 02:53:53,240 --> 02:53:58,080 SO I DON'T WANT TO UNDERSTATE 4859 02:53:58,080 --> 02:54:00,400 THAT, THIS IS A GROUP EFFORT. 4860 02:54:00,400 --> 02:54:02,520 FIRST CONCEPT IS ADDRESSING 4861 02:54:02,520 --> 02:54:04,320 RACIAL EQUITY IN SUBSTANCE USE 4862 02:54:04,320 --> 02:54:05,680 AND ADDICTION OUTCOMES TO 4863 02:54:05,680 --> 02:54:07,360 COMMUNITY ENGAGED RESEARCH. 4864 02:54:07,360 --> 02:54:11,240 AND THIS CONCEPT IS BEING LED BY 4865 02:54:11,240 --> 02:54:15,680 DR. KATHY ETZ FROM VESPER. 4866 02:54:15,680 --> 02:54:18,000 IT PROPOSES TO SUPPORT HIGH 4867 02:54:18,000 --> 02:54:20,520 IMPACT ENGAGED RESEARCH TO 4868 02:54:20,520 --> 02:54:21,760 IDENTIFY DEVELOP IMPLEMENT OR 4869 02:54:21,760 --> 02:54:23,240 TEST STRATEGIES TO I A DRESS 4870 02:54:23,240 --> 02:54:24,720 RACIAL ETHNIC DISPARITIES IN 4871 02:54:24,720 --> 02:54:26,320 SUBSTANCE USE AND ADDICTION. 4872 02:54:26,320 --> 02:54:27,840 PROJECTS WILL ADVANCE SCIENCE BY 4873 02:54:27,840 --> 02:54:30,280 MOVING BEYOND RESEARCH THAT 4874 02:54:30,280 --> 02:54:34,040 CONCEPTUALIZES RACE ETHNICITY AS 4875 02:54:34,040 --> 02:54:37,960 AN INDIVIDUAL LEVEL PREDICTOR 4876 02:54:37,960 --> 02:54:41,600 THAT INSTEAD LOOKING TO STUDIES 4877 02:54:41,600 --> 02:54:42,920 THAT DEVELOP KNOWLEDGE TO CREATE 4878 02:54:42,920 --> 02:54:43,400 EQUITY. 4879 02:54:43,400 --> 02:54:45,960 SO LOOKING MORE AT STRUCTURAL 4880 02:54:45,960 --> 02:54:47,400 INFLUENCES RATHER THAN 4881 02:54:47,400 --> 02:54:50,240 INDIVIDUAL INFLUENCES. 4882 02:54:50,240 --> 02:54:52,880 I WILL TAKE A PAUSE HERE AND SEE 4883 02:54:52,880 --> 02:54:54,760 IF THERE ARE ANY COMMENTS OR 4884 02:54:54,760 --> 02:54:55,760 QUESTIONS ABOUT THE FIRST 4885 02:54:55,760 --> 02:55:01,720 CONCEPT? 4886 02:55:01,720 --> 02:55:06,160 >> YOU MAY WANT TO DESCRIBE THEM 4887 02:55:06,160 --> 02:55:06,520 ALL. 4888 02:55:06,520 --> 02:55:07,280 MIGHT BE EASIER. 4889 02:55:07,280 --> 02:55:08,640 >> THAT'S FINE. 4890 02:55:08,640 --> 02:55:14,360 THE SECOND CONCEPT IS THE AWARD 4891 02:55:14,360 --> 02:55:15,600 PROGRAM FOR RACIAL EQUITY, I'M 4892 02:55:15,600 --> 02:55:16,360 LEAD FOR THIS PARTICULAR 4893 02:55:16,360 --> 02:55:17,920 CONCEPT. 4894 02:55:17,920 --> 02:55:20,040 THIS CONCEPT PROPOSES TO SUPPORT 4895 02:55:20,040 --> 02:55:22,280 EARLY STAGE INVESTIGATORS TO 4896 02:55:22,280 --> 02:55:23,680 CONDUCT HIGHLY INNOVATIVE 4897 02:55:23,680 --> 02:55:25,640 STUDIES THAT ARE FOCUSED ON 4898 02:55:25,640 --> 02:55:28,600 ACHIEVING EQUITY FOR U.S. RACIAL 4899 02:55:28,600 --> 02:55:30,920 ETHNIC MINORITY POPULATIONS 4900 02:55:30,920 --> 02:55:31,680 DISPROPORTIONATELY AFFECTED BY 4901 02:55:31,680 --> 02:55:33,760 HARMS RELATED TO SUBSTANCE USE 4902 02:55:33,760 --> 02:55:35,720 AND SUBSTANCE USE DISORDER. 4903 02:55:35,720 --> 02:55:37,720 THE PROPOSED STUDIES WOULD 4904 02:55:37,720 --> 02:55:39,320 ANSWER CHALLENGING QUESTIONS 4905 02:55:39,320 --> 02:55:41,640 WITH THE POTENTIAL TO INFORM 4906 02:55:41,640 --> 02:55:42,920 STRATEGIES FOR SYSTEM LEVEL 4907 02:55:42,920 --> 02:55:47,200 CHANGES TO POLICY AND PRACTICE. 4908 02:55:47,200 --> 02:55:51,400 THE NEXT CONCEPT IS -- WAS 4909 02:55:51,400 --> 02:55:53,440 DEVELOPED THE LEAD FOR THIS 4910 02:55:53,440 --> 02:55:56,960 CONCEPT THE DR. BONNIE 4911 02:55:56,960 --> 02:55:57,920 PARIYADATH FROM DMB. 4912 02:55:57,920 --> 02:56:00,160 THIS IS ENTITLED NEUROCOGNITIVE 4913 02:56:00,160 --> 02:56:01,720 MECHANISMS UNDERLYING THE IMPACT 4914 02:56:01,720 --> 02:56:04,040 OF STRUCTURAL RACISM ON THE 4915 02:56:04,040 --> 02:56:06,160 SUBSTANCE USE TRAJECTORY. 4916 02:56:06,160 --> 02:56:08,920 THIS CONCEPT FOCUSES ON 4917 02:56:08,920 --> 02:56:10,720 EXPLORATORY MECHANISTIC RESEARCH 4918 02:56:10,720 --> 02:56:13,840 SEEKING TO PARSE THE COMPLEX 4919 02:56:13,840 --> 02:56:16,160 EFFECT OF STRUCTURAL RACISM AND 4920 02:56:16,160 --> 02:56:18,920 INVESTIGATE THEIR IMPACT ON 4921 02:56:18,920 --> 02:56:22,520 NEUROCOGNITION WITH EMPHASIS ON 4922 02:56:22,520 --> 02:56:26,280 INFORMING INTERVENTIONS. 4923 02:56:26,280 --> 02:56:27,520 PROJECTS INCORPORATE 4924 02:56:27,520 --> 02:56:29,080 MULTI-SECTIONAL APPROACHES AND 4925 02:56:29,080 --> 02:56:31,320 IMPLEMENT BROAD EXPERTISE 4926 02:56:31,320 --> 02:56:33,080 INCLUDING ON COMMUNITY ENGAGED 4927 02:56:33,080 --> 02:56:34,120 RESEARCH. 4928 02:56:34,120 --> 02:56:37,800 NOW, WE ARE ALSO PROPOSING TO 4929 02:56:37,800 --> 02:56:40,400 HAVE A CENTER THAT WOULD SUPPORT 4930 02:56:40,400 --> 02:56:42,080 RESEARCH ON RACIAL EQUITY AND 4931 02:56:42,080 --> 02:56:44,000 HEALTH DISPARITIES AND THIS 4932 02:56:44,000 --> 02:56:46,200 CENTER WOULD PROVIDE TECHNICAL 4933 02:56:46,200 --> 02:56:47,640 SCIENTIFIC AND WILL GISTIC 4934 02:56:47,640 --> 02:56:50,920 SUPPORT TO FACILITATE 4935 02:56:50,920 --> 02:56:52,360 COLLABORATIONS BETWEEN 4936 02:56:52,360 --> 02:56:55,600 INVESTIGATORS INVOLVED IN THE 4937 02:56:55,600 --> 02:56:57,080 OTHER PROGRAMS AND THE IDEA IS 4938 02:56:57,080 --> 02:56:59,560 TO MAXIMIZE IMPACT OF THESE 4939 02:56:59,560 --> 02:57:00,680 PROJECTS THE CENTER WOULD 4940 02:57:00,680 --> 02:57:04,800 PROVIDE EXPERTISE AND 4941 02:57:04,800 --> 02:57:07,680 INFRASTRUCTURE TO GROW NIDA 4942 02:57:07,680 --> 02:57:09,320 RESEARCH TO HEALTH EQUITY 4943 02:57:09,320 --> 02:57:10,760 MEETING HIGH STANDARDS FOR 4944 02:57:10,760 --> 02:57:12,240 COMMUNITY COLLABORATION AND 4945 02:57:12,240 --> 02:57:12,920 DISSEMINATION OF RESEARCH 4946 02:57:12,920 --> 02:57:14,560 FINDINGS. 4947 02:57:14,560 --> 02:57:19,120 THESE ARE CAN CONCEPTS THAT ARE 4948 02:57:19,120 --> 02:57:20,920 FALLING UNDER RESEARCH GAPS AND 4949 02:57:20,920 --> 02:57:21,360 OPPORTUNITIES GROUP. 4950 02:57:21,360 --> 02:57:24,120 AND I'M ALSO GOING TO PRESENT A 4951 02:57:24,120 --> 02:57:26,880 CONCEPT THAT WAS DEVELOPED BEING 4952 02:57:26,880 --> 02:57:30,320 LED BY DR. SUSAN WRIGHT FROM 4953 02:57:30,320 --> 02:57:31,680 DMB, THIS CONCEPT IS TRAINING 4954 02:57:31,680 --> 02:57:33,760 AND DIVERSIFYING THE DATA 4955 02:57:33,760 --> 02:57:36,320 SCIENCE WORK FORCE FOR ADDICTION 4956 02:57:36,320 --> 02:57:37,000 RESEARCH. 4957 02:57:37,000 --> 02:57:41,320 SO THIS CONCEPT IS TO HAVE 4958 02:57:41,320 --> 02:57:42,200 RESEARCH ON ARTIFICIAL 4959 02:57:42,200 --> 02:57:43,920 INTELLIGENCE AND MACHINE 4960 02:57:43,920 --> 02:57:44,160 LEARNING. 4961 02:57:44,160 --> 02:57:47,080 THESE CONCEPTS OFFER EXCITING 4962 02:57:47,080 --> 02:57:48,440 OPPORTUNITIES TO ACCELERATE 4963 02:57:48,440 --> 02:57:49,560 INNOVATION IN BIOMEDICAL 4964 02:57:49,560 --> 02:57:50,520 RESEARCH AND HEALTHCARE. 4965 02:57:50,520 --> 02:57:52,520 WHILE ADDRESSING HEALTH 4966 02:57:52,520 --> 02:57:54,200 DISPARITY AND INEQUITIES. 4967 02:57:54,200 --> 02:57:57,320 THE PARTICULAR CONCEPT PROPOSES 4968 02:57:57,320 --> 02:57:59,480 TO SUPPORT MERITORIOUS RESEARCH, 4969 02:57:59,480 --> 02:58:00,200 STRENGTHSEN RESEARCH ENVIRONMENT 4970 02:58:00,200 --> 02:58:01,560 AND COLLABORATION FOR SUCCESSFUL 4971 02:58:01,560 --> 02:58:04,040 DATA SCIENCE, PROJECTS, AND 4972 02:58:04,040 --> 02:58:05,920 EXPOSE UNDERGRADUATE AND/OR 4973 02:58:05,920 --> 02:58:07,760 GRADUATE STUDENTS FROM 4974 02:58:07,760 --> 02:58:08,440 BURGEONING DATA SCIENCE PROGRAMS 4975 02:58:08,440 --> 02:58:11,560 TO RESEARCH IN THIS AREA. 4976 02:58:11,560 --> 02:58:15,200 AND SO THAT COVERS THE GROUP OF 4977 02:58:15,200 --> 02:58:17,920 CONCEPTS THAT WE ARE PROPOSING 4978 02:58:17,920 --> 02:58:20,280 AND WE ARE VERY HAPPY TO TAKE 4979 02:58:20,280 --> 02:58:22,120 ANY QUESTIONS THAT YOU MAY HAVE 4980 02:58:22,120 --> 02:58:24,400 ABOUT THEM. 4981 02:58:24,400 --> 02:58:26,120 OKAY THANK YOU. 4982 02:58:26,120 --> 02:58:28,960 APPRECIATE IT. 4983 02:58:28,960 --> 02:58:34,320 >> ANY QUESTIONS? 4984 02:58:34,320 --> 02:58:36,280 IF -- I DON'T SEE ANY HANDS 4985 02:58:36,280 --> 02:58:36,760 RAISED. 4986 02:58:36,760 --> 02:58:41,480 I'M TRYING TO SEE NOW, NO HANDS 4987 02:58:41,480 --> 02:58:44,360 RAISED BUT THANKS VERY MUCH FOR 4988 02:58:44,360 --> 02:58:45,360 THAT PRESENTATION. 4989 02:58:45,360 --> 02:58:47,240 >> THANK YOU VERY MUCH. 4990 02:58:47,240 --> 02:58:49,280 >> SO THEN WE CAN GO INTO THE 4991 02:58:49,280 --> 02:58:50,640 NEXT CONCEPT WHICH IS GOING TO 4992 02:58:50,640 --> 02:58:57,400 BE PRESENTED BY DR. SUNILA NAIR 4993 02:58:57,400 --> 02:58:58,760 FROM DIVISION OF SCIENCE AND 4994 02:58:58,760 --> 02:58:59,160 BEHAVIOR. 4995 02:58:59,160 --> 02:58:59,760 PLEASE JUMP IN. 4996 02:58:59,760 --> 02:59:00,880 >> HI, EVERYONE. 4997 02:59:00,880 --> 02:59:02,280 I WILL BE PRESENTING FIVE 4998 02:59:02,280 --> 02:59:03,720 CONCEPTS TODAY ON BEHALF OF THE 4999 02:59:03,720 --> 02:59:05,560 DIVISION OF NEUROSCIENCE AND 5000 02:59:05,560 --> 02:59:08,120 BEHAVIOR AND THE FIRST CONCEPT 5001 02:59:08,120 --> 02:59:10,760 IS TRANSFORMATIVE RESEARCH ON 5002 02:59:10,760 --> 02:59:11,760 BAYING IS MECHANISMS OF 5003 02:59:11,760 --> 02:59:12,920 POLYSUBSTANCE USE AN ADDICTION. 5004 02:59:12,920 --> 02:59:14,960 THE GOALS OF THIS CONCEPT IS TO 5005 02:59:14,960 --> 02:59:17,880 SEEK IDEAS THAT DOES NOVEL AND 5006 02:59:17,880 --> 02:59:19,680 EXPLORATORY HYPOTHESES THAT WILL 5007 02:59:19,680 --> 02:59:21,360 ADVANCE MECHANISTIC 5008 02:59:21,360 --> 02:59:24,080 UNDERSTANDING OF POLYSUBSTANCE 5009 02:59:24,080 --> 02:59:27,240 USE AT BASIC NEUROBIOLOGICAL 5010 02:59:27,240 --> 02:59:28,080 PHARMACOLOGICAL AND BEHAVIORAL 5011 02:59:28,080 --> 02:59:28,480 LEVELS. 5012 02:59:28,480 --> 02:59:31,320 THE SECOND CONCEPT IS RESEARCH 5013 02:59:31,320 --> 02:59:33,120 ON COUNTER ACTING THE 5014 02:59:33,120 --> 02:59:34,520 DELETERIOUS AFFECT OF ACUTE 5015 02:59:34,520 --> 02:59:38,960 OPIOID EXPOSURE AND THIS IS LED 5016 02:59:38,960 --> 02:59:40,440 BY DR. KIRAN VEMURI. 5017 02:59:40,440 --> 02:59:42,520 TO SUPPORT CUTTING EDGE RESEARCH 5018 02:59:42,520 --> 02:59:44,520 TO IDENTIFY NOVEL THERAPEUTIC 5019 02:59:44,520 --> 02:59:46,320 TARGETS AND APPROACHES LEADING 5020 02:59:46,320 --> 02:59:49,080 TO MEDICAL COUNTER MEASURES THAT 5021 02:59:49,080 --> 02:59:50,720 CAN LIFE THREATENING ENS CALLED 5022 02:59:50,720 --> 02:59:53,360 OPIOID EXPOSURE OR POISONING. 5023 02:59:53,360 --> 02:59:56,360 EASY TO ADMINISTER IN A MASS 5024 02:59:56,360 --> 02:59:57,720 CASUALTY SITUATION, AND 5025 02:59:57,720 --> 02:59:59,400 EFFECTIVE AS POST EXPOSURE 5026 02:59:59,400 --> 02:59:59,800 THERAPIES. 5027 02:59:59,800 --> 03:00:02,040 THE CONCEPT WILL ALSO SUPPORT 5028 03:00:02,040 --> 03:00:03,600 MEEKNIST UK RESEARCH AIMED AT 5029 03:00:03,600 --> 03:00:05,280 UNDERSTANDING AND TREATING THE 5030 03:00:05,280 --> 03:00:07,360 DELAYED PERSISTENT EFFECTS OF 5031 03:00:07,360 --> 03:00:09,440 ACUTE OPIOID EXPOSURE. 5032 03:00:09,440 --> 03:00:13,320 THE THIRD CONCEPT IS BRAIN 5033 03:00:13,320 --> 03:00:14,960 BEHAVIORAL QUANTIFICATION AND 5034 03:00:14,960 --> 03:00:17,080 SYNCHRONIZATION LED BY DR. HOLLY 5035 03:00:17,080 --> 03:00:17,560 MOORE. 5036 03:00:17,560 --> 03:00:19,120 THE GOAL OF THIS CONCEPT IS TO 5037 03:00:19,120 --> 03:00:20,640 BRING NEUROSCIENCE THE MOST 5038 03:00:20,640 --> 03:00:22,960 ADVANCE HIGH RESOLUTION 5039 03:00:22,960 --> 03:00:25,320 MULTI-MODAL METHOD TO CAPTURE 5040 03:00:25,320 --> 03:00:27,880 BEHAVIOR AT LEVEL BEHELD IN 5041 03:00:27,880 --> 03:00:29,880 CONCERT WITH DATA FROM THE 5042 03:00:29,880 --> 03:00:31,320 ENVIRONMENT IN WHICH THE 5043 03:00:31,320 --> 03:00:33,640 ORGANISM IS EMBEDDED AND FURTHER 5044 03:00:33,640 --> 03:00:35,200 TO DEVELOP NOVEL COMPUTATIONAL 5045 03:00:35,200 --> 03:00:39,200 MODELING APPROACHES TO INTEGRATE 5046 03:00:39,200 --> 03:00:40,840 MULTIPLEX DATA AND THIS WILL 5047 03:00:40,840 --> 03:00:43,320 REVEAL INSIGHTS ABOUT BEHAVIOR. 5048 03:00:43,320 --> 03:00:47,120 THE NEXT CONCEPT IS BY DR. 5049 03:00:47,120 --> 03:00:48,640 OLIVIER BERTON, LARGE SCALE IN 5050 03:00:48,640 --> 03:00:51,120 THE GREATER FUNCTION MAPPING AND 5051 03:00:51,120 --> 03:00:54,680 FROM FILING OF CELL ENSEMBLES 5052 03:00:54,680 --> 03:00:56,120 RADIATING ACTION IN ROW DEBIT 5053 03:00:56,120 --> 03:00:56,320 BRAIN. 5054 03:00:56,320 --> 03:00:59,600 THE GOAL OF THIS PROGRAM IS TO 5055 03:00:59,600 --> 03:01:02,480 ENABLE GENERATION OF MOLECULARLY 5056 03:01:02,480 --> 03:01:04,920 ANNOTATED CATALOG AND ATLAS OF 5057 03:01:04,920 --> 03:01:07,240 CELL ASSEMBLIES AN TYPES THAT 5058 03:01:07,240 --> 03:01:09,840 MEDIATE RESPONSE TO OPIOIDS. 5059 03:01:09,840 --> 03:01:11,080 THIS CONCEPT WILL SUPPORT 5060 03:01:11,080 --> 03:01:14,240 CONTINUATION OF EXPERIMENTAL 5061 03:01:14,240 --> 03:01:15,560 STUDIES AND BUT A COLLECTION 5062 03:01:15,560 --> 03:01:18,560 EFFORT INITIATED IN 2020 AND 5063 03:01:18,560 --> 03:01:20,720 DEVELOP RELATED DATA CENTER 5064 03:01:20,720 --> 03:01:22,120 COMPETENCE TO MAKE THREE CELLS 5065 03:01:22,120 --> 03:01:25,120 PUBLICLY AVAILABLE AND THESE 5066 03:01:25,120 --> 03:01:27,000 WILL BECOME WITH THE BRAIN 5067 03:01:27,000 --> 03:01:29,120 INITIATIVE DATABASES, TO ENABLE 5068 03:01:29,120 --> 03:01:31,440 JOINT SECONDARY ANALYSIS BY 5069 03:01:31,440 --> 03:01:33,000 THESE SCIENTIFIC COMMUNITIES. 5070 03:01:33,000 --> 03:01:36,480 THE LAST CONCEPT ALSO LED BY DR. 5071 03:01:36,480 --> 03:01:38,040 OLIVIER BERTON LEVERAGES CUTTING 5072 03:01:38,040 --> 03:01:39,520 EDGE TRACING APPROACHES TO CHART 5073 03:01:39,520 --> 03:01:41,840 EFFECT OF ADDICTIVE SUBSTANCES 5074 03:01:41,840 --> 03:01:44,280 ON BRAIN DEVELOPMENTAL 5075 03:01:44,280 --> 03:01:44,720 TRAJECTORIES. 5076 03:01:44,720 --> 03:01:46,720 AND THIS CONCEPT WILL SUPPORT 5077 03:01:46,720 --> 03:01:49,320 THE APPLICATION OF AN YOU KNOW 5078 03:01:49,320 --> 03:01:50,320 INVESTIGATIVE CELL LINEAGE AND 5079 03:01:50,320 --> 03:01:52,400 CONNECTIVITY TRACING APPROACHES 5080 03:01:52,400 --> 03:01:53,760 TO QUANTITATE AFFECT OF 5081 03:01:53,760 --> 03:01:56,000 ADDICTIVE SUBSTANCE ON 5082 03:01:56,000 --> 03:01:57,080 DEVELOPMENTAL FRA VECTORRIES OF 5083 03:01:57,080 --> 03:01:59,200 CELL TYPES IN RODENT BRAIN IN 5084 03:01:59,200 --> 03:01:59,680 VIVO. 5085 03:01:59,680 --> 03:02:01,880 AND THESE PROJECTS MAY SAMPLE 5086 03:02:01,880 --> 03:02:04,000 THE ENTIRE PERIOD OF EMBRYONIC 5087 03:02:04,000 --> 03:02:05,680 AND POSTNATAL DEVELOPMENT AND 5088 03:02:05,680 --> 03:02:07,120 REINVESTIGATE THE EFFECT OF ANY 5089 03:02:07,120 --> 03:02:09,520 ADDICTIVE SUBSTANCE WITH HIGH 5090 03:02:09,520 --> 03:02:11,640 TRANSLATIONAL AND PUBLIC HEALTH 5091 03:02:11,640 --> 03:02:12,560 RELEVANCE. 5092 03:02:12,560 --> 03:02:14,320 SO THOSE ARE FIVE CONCEPTS THAT 5093 03:02:14,320 --> 03:02:16,160 WE HAVE FROM B AND B AND WE WILL 5094 03:02:16,160 --> 03:02:16,920 BE HAPPY TO ANSWER ANY 5095 03:02:16,920 --> 03:02:21,720 QUESTIONS. 5096 03:02:21,720 --> 03:02:27,240 >> ANY QUESTIONS, COMMENTS? 5097 03:02:27,240 --> 03:02:31,480 I DON'T SEE ANY HANDS RISING. 5098 03:02:31,480 --> 03:02:35,680 YOUR OPPORTUNITY. 5099 03:02:35,680 --> 03:02:39,040 IF NOT, WE CAN GO INTO THE NEXT 5100 03:02:39,040 --> 03:02:40,880 -- YES. 5101 03:02:40,880 --> 03:02:45,520 SORRY, I DIDN'T SEE YOU. 5102 03:02:45,520 --> 03:02:48,000 >> THESE ARE WONDERFUL OF COURSE 5103 03:02:48,000 --> 03:02:50,240 MY OWN PERSONAL PERSPECTIVE THE 5104 03:02:50,240 --> 03:02:51,520 LAST TWO ARE INTRIGUING. 5105 03:02:51,520 --> 03:02:52,760 WONDERING IF OBVIOUSLY THESE ARE 5106 03:02:52,760 --> 03:02:55,000 BIG INITIATIVES BUT IF THERE ARE 5107 03:02:55,000 --> 03:02:57,440 WAYS TRYING TO BEGIN TO THINK 5108 03:02:57,440 --> 03:03:00,320 HOW LARGE SCALE MAPPING 5109 03:03:00,320 --> 03:03:02,520 INITIATIVES SEQUENCING SPECIFIC 5110 03:03:02,520 --> 03:03:04,360 CELL POPULATIONS OR RACING 5111 03:03:04,360 --> 03:03:05,840 TRAJECTORIES USING THESE COOL 5112 03:03:05,840 --> 03:03:07,720 BAR CODING TYPE OF APPROACHES IF 5113 03:03:07,720 --> 03:03:09,680 THERE IS WAY OF LINKING TO HUMAN 5114 03:03:09,680 --> 03:03:10,320 GENETICS. 5115 03:03:10,320 --> 03:03:14,160 SEE IF WE CAN IDENTIFY ALLELES 5116 03:03:14,160 --> 03:03:16,040 WE IDENTIFY HUMAN ADDICTION 5117 03:03:16,040 --> 03:03:17,280 VULNERABILITY AND WHICH CELLS 5118 03:03:17,280 --> 03:03:18,400 EXPRESS AND WHICH PATHWAYS MIGHT 5119 03:03:18,400 --> 03:03:21,880 BE INFLUENCED, JUST SEEMS GREAT 5120 03:03:21,880 --> 03:03:22,880 OPPORTUNITY TO BRING HUMAN 5121 03:03:22,880 --> 03:03:24,360 GENETICS MORE INTO PLAY. 5122 03:03:24,360 --> 03:03:26,960 >> YES. 5123 03:03:26,960 --> 03:03:28,960 THIS IS THE CONTACT -- OLIVIER, 5124 03:03:28,960 --> 03:03:30,960 THE CONTACT FOR THIS CONCEPT. 5125 03:03:30,960 --> 03:03:34,360 THE IDEA IS TO IF POSSIBLE SOME 5126 03:03:34,360 --> 03:03:36,600 OF THESE PROGRAMS TO INCLUDE 5127 03:03:36,600 --> 03:03:40,280 SOME STUDIES THAT COULD USE SOME 5128 03:03:40,280 --> 03:03:45,120 POST MORTEM TISSUES, FROM HUMAN 5129 03:03:45,120 --> 03:03:47,040 PATIENTS. 5130 03:03:47,040 --> 03:03:49,560 THAT COULD BE LOOKING AT 5131 03:03:49,560 --> 03:03:51,920 SPECIFIC DEVELOPMENTAL TIME 5132 03:03:51,920 --> 03:03:55,600 POINTS. TO TRY TO MAKE SOME 5133 03:03:55,600 --> 03:03:57,560 PARALLELS RAINS RATIONAL 5134 03:03:57,560 --> 03:03:59,040 PARALLELS ACROSS WHAT IS 5135 03:03:59,040 --> 03:04:02,360 OBSERVED IN ANIMAL MODELS AND 5136 03:04:02,360 --> 03:04:07,200 SOME DEVELOPMENTAL DATA. SO NOT 5137 03:04:07,200 --> 03:04:10,520 SPECIFICALLY WE DIDN'T HAVE 5138 03:04:10,520 --> 03:04:13,640 SPECIFIC PLAN YET TO INCORPORATE 5139 03:04:13,640 --> 03:04:15,320 HUMAN GENETIC DATA BUT THIS 5140 03:04:15,320 --> 03:04:18,120 COULD DEFINITELY BE AN 5141 03:04:18,120 --> 03:04:21,120 OPPORTUNITY TO -- 5142 03:04:21,120 --> 03:04:23,320 >> EXCELLENT. 5143 03:04:23,320 --> 03:04:24,720 SOUND LIKE GREAT STUFF. 5144 03:04:24,720 --> 03:04:26,120 EVENTUALLY GET HUMAN GENETICS, 5145 03:04:26,120 --> 03:04:28,200 THERE ARE TWO OBVIOUSLY WOULD BE 5146 03:04:28,200 --> 03:04:28,720 ATTRACTIVE. 5147 03:04:28,720 --> 03:04:29,120 THANKS. 5148 03:04:29,120 --> 03:04:30,400 >> OKAY. 5149 03:04:30,400 --> 03:04:34,560 >> ANY OTHER QUESTIONS? 5150 03:04:34,560 --> 03:04:38,360 IF NOT WE CAN GO INTO THE NEXT 5151 03:04:38,360 --> 03:04:39,520 PRESENTATION, WHICH IS GOING TO 5152 03:04:39,520 --> 03:04:40,680 BE GIVEN BY OFFICE OF 5153 03:04:40,680 --> 03:04:41,800 TRANSLATIONAL INITIATIVES AND 5154 03:04:41,800 --> 03:04:44,000 PROGRAM INNOVATIONS BY PRESENTED 5155 03:04:44,000 --> 03:04:47,280 BY DR. STACIE GUTOWSKI. 5156 03:04:47,280 --> 03:04:48,400 STACIE, PLEASE JUMP IN. 5157 03:04:48,400 --> 03:04:49,520 >> HELLO, EVERYBODY. 5158 03:04:49,520 --> 03:04:51,680 MY NAY IS STACIE GUTOWSKI, THANK 5159 03:04:51,680 --> 03:04:53,240 YOU FOR THE INTRODUCTION I WILL 5160 03:04:53,240 --> 03:04:55,680 BE PRESENTING THREE CONCEPTS ON 5161 03:04:55,680 --> 03:04:56,920 TRANSLATIONAL INITIATIVES AN 5162 03:04:56,920 --> 03:04:57,640 PROGRAM INNOVATION. 5163 03:04:57,640 --> 03:05:01,280 THE FIRST CONCEPT BY MYSELF WILL 5164 03:05:01,280 --> 03:05:03,120 BE FOR NOVEL DRUG MEDICAL DEVICE 5165 03:05:03,120 --> 03:05:03,920 DEVELOPMENT TOOLS WHICH ARE 5166 03:05:03,920 --> 03:05:07,440 KNOWN AS DDT AND MDDT TO 5167 03:05:07,440 --> 03:05:08,720 EXPEDITE CREATION AND REGULATORY 5168 03:05:08,720 --> 03:05:10,280 APPROVAL OF NEW THERAPIES FOR 5169 03:05:10,280 --> 03:05:11,720 SUBSTANCE USE DISORDERS. 5170 03:05:11,720 --> 03:05:15,120 THIS CONCEPT SUPPORTS 5171 03:05:15,120 --> 03:05:16,280 DEVELOPMENT OF NEW DEVELOPING 5172 03:05:16,280 --> 03:05:18,280 TOOLS AND ADVICE DEVELOPMENT 5173 03:05:18,280 --> 03:05:20,200 TOOLS WHICH ARE QUALIFIED TO BE 5174 03:05:20,200 --> 03:05:22,200 FDA FUTURE USE DEVELOPMENT OF 5175 03:05:22,200 --> 03:05:24,560 MEDICAL PRODUCTS. 5176 03:05:24,560 --> 03:05:26,520 DNT IS -- QUALIFIED BY FDA CAN 5177 03:05:26,520 --> 03:05:28,920 BE UTILIZED BY ANY RESEARCHER IN 5178 03:05:28,920 --> 03:05:31,720 THE INITIATIVE SPACE AND WILL BE 5179 03:05:31,720 --> 03:05:34,400 BY FDA REGULATORS TO SUPPORT 5180 03:05:34,400 --> 03:05:36,520 FUTURE DRUG AND MEDICAL DEVICE 5181 03:05:36,520 --> 03:05:36,920 APPROVALS. 5182 03:05:36,920 --> 03:05:38,720 THE SECOND CONCEPT BY CHRIS 5183 03:05:38,720 --> 03:05:40,280 CONRAD IS FOR THERAPEUTIC 5184 03:05:40,280 --> 03:05:42,400 DEVELOPMENT OF PSYCHOPATHOGENNIC 5185 03:05:42,400 --> 03:05:45,720 COMPOUNDS IN SUBSTANCE USE 5186 03:05:45,720 --> 03:05:48,720 DISORDERS TO SUPPORT THE 5187 03:05:48,720 --> 03:05:51,040 PSYCHOGENIC COMPOUNDS AS 5188 03:05:51,040 --> 03:05:51,720 TREATMENT FOR DISORDERS. 5189 03:05:51,720 --> 03:05:53,920 IT WILL RANGE EARLY STAGE DRUG 5190 03:05:53,920 --> 03:05:55,480 DISCOVERY TO THE PRE-CLINICAL 5191 03:05:55,480 --> 03:05:58,120 DEVELOPMENT OF NATURAL OR 5192 03:05:58,120 --> 03:06:01,920 SYNTHETIC COMPOUNDS BASED FOR 5193 03:06:01,920 --> 03:06:04,320 SUBSTANCE USE DISORDER. 5194 03:06:04,320 --> 03:06:08,120 THE THIRD CONCEPT ALSO LED BY 5195 03:06:08,120 --> 03:06:10,800 MYSELF AS WELL AS ELAINE WILL BE 5196 03:06:10,800 --> 03:06:15,120 ENABLING SUBSTANCE USE DISORDER 5197 03:06:15,120 --> 03:06:17,080 THERAPEUTIC RESEARCH, THERE ARE 5198 03:06:17,080 --> 03:06:18,520 DIFFERENCES BETWEEN REQUIREMENT 5199 03:06:18,520 --> 03:06:20,440 AND DATA COLLECTION NECESSARY TO 5200 03:06:20,440 --> 03:06:22,440 OBTAIN REGULATORY APPROVAL 5201 03:06:22,440 --> 03:06:23,880 VERSUS HEALTH ECONOMIC DATA 5202 03:06:23,880 --> 03:06:24,480 NECESSARY TO SUPPORT 5203 03:06:24,480 --> 03:06:25,240 REIMBURSEMENT MANY THE UNITED 5204 03:06:25,240 --> 03:06:27,480 STATES, LEADING TO DELAYS IN THE 5205 03:06:27,480 --> 03:06:30,160 DECISION MAKING FOR PAYERS FOR 5206 03:06:30,160 --> 03:06:31,200 DIGITAL HEALTH PRODUCTS 5207 03:06:31,200 --> 03:06:32,680 SUBSTANCE USE DISORDER. 5208 03:06:32,680 --> 03:06:34,760 THIS CONCEPTS WILL SUPPORT 5209 03:06:34,760 --> 03:06:35,440 RESEARCH AND CLINICAL TRIALS 5210 03:06:35,440 --> 03:06:36,000 CLINICAL TRIALS DEMON 5211 03:06:36,000 --> 03:06:37,280 INVESTIGATE SAFETY EFFECTIVENESS 5212 03:06:37,280 --> 03:06:39,600 OF DIGITAL THERAPEUTICS FOR SUD 5213 03:06:39,600 --> 03:06:41,520 RESULTING IN DATA PACKAGES THAT 5214 03:06:41,520 --> 03:06:42,520 LEAD TO REQUIREMENTS FOR 5215 03:06:42,520 --> 03:06:44,920 INCLUSION IN AND REIMBURSEMENT 5216 03:06:44,920 --> 03:06:47,120 FROM DIGITAL AREAS AS WELL AS 5217 03:06:47,120 --> 03:06:48,680 PRIVATE PAYERS. 5218 03:06:48,680 --> 03:06:50,680 WE ARE AVAILABLE TO TAKE ANY 5219 03:06:50,680 --> 03:06:51,560 QUESTIONS YOU MAY HAVE ABOUT 5220 03:06:51,560 --> 03:06:55,480 THESE CONCEPTS. 5221 03:06:55,480 --> 03:06:58,160 >> STACIE, THANKS. 5222 03:06:58,160 --> 03:07:03,680 ANY QUESTIONS OR COMMENTS? 5223 03:07:03,680 --> 03:07:06,480 I SEE THAT LAKSHMI RAISED HER 5224 03:07:06,480 --> 03:07:06,680 HAND. 5225 03:07:06,680 --> 03:07:11,160 LAKSHMI. 5226 03:07:11,160 --> 03:07:14,320 >> I WAS LOOKING FOR 5227 03:07:14,320 --> 03:07:16,040 CLARIFICATION ON THE 5228 03:07:16,040 --> 03:07:18,000 PSYCHOPLASTIC GENIC COMPOUNDS. 5229 03:07:18,000 --> 03:07:20,280 >> AT THIS POINT I'M GOING TO 5230 03:07:20,280 --> 03:07:25,160 TAG IN CHRISTOPHER. 5231 03:07:25,160 --> 03:07:28,000 >> CAN YOU CLARIFY THE 5232 03:07:28,000 --> 03:07:29,520 PSYCHOPLAST GENIC COMPOUNDS WITH 5233 03:07:29,520 --> 03:07:30,320 ME 5234 03:07:30,320 --> 03:07:31,800 >> I USE THIS NAME BECAUSE I 5235 03:07:31,800 --> 03:07:34,640 WANTED TO BE INCLUSIVE TO PSYCH 5236 03:07:34,640 --> 03:07:38,640 DELLICS AND ALSO 5237 03:07:38,640 --> 03:07:39,240 NON-HALLUCINOGENIC LIKE 5238 03:07:39,240 --> 03:07:39,840 COMPOUNDS DEVELOPED. 5239 03:07:39,840 --> 03:07:43,520 SO IN THAT AREA. 5240 03:07:43,520 --> 03:07:46,680 THESE COULD BE 5 H 2A AGONISTS 5241 03:07:46,680 --> 03:07:50,560 OR ANY OTHER DISSOCIATED 5242 03:07:50,560 --> 03:07:51,760 COMPOUNDS AS WELL. 5243 03:07:51,760 --> 03:07:52,160 >> OKAY. 5244 03:07:52,160 --> 03:07:54,720 THANKS. 5245 03:07:54,720 --> 03:08:00,080 >> ANY OTHER QUESTIONS? 5246 03:08:00,080 --> 03:08:02,120 IF NOT, STACIE, THANK VERY MUCH 5247 03:08:02,120 --> 03:08:03,520 FOR THE PRESENTATION. 5248 03:08:03,520 --> 03:08:05,880 WE CAN GO INTO THE LAST 5249 03:08:05,880 --> 03:08:07,680 PRESENTATION WHICH IS GOING TO 5250 03:08:07,680 --> 03:08:11,160 BE GIVEN BY DR. ALBERT AVILA, 5251 03:08:11,160 --> 03:08:13,440 DIRECTOR OF OFFICE OF E RESEARCH 5252 03:08:13,440 --> 03:08:14,920 TRAINING DIVERSITY AND 5253 03:08:14,920 --> 03:08:18,400 DISPARITIES AND HE WILL BE 5254 03:08:18,400 --> 03:08:20,520 GIVING CONCEPTS. 5255 03:08:20,520 --> 03:08:21,640 ALBERT. 5256 03:08:21,640 --> 03:08:22,960 >> THANK YOU. 5257 03:08:22,960 --> 03:08:26,000 SO THE FIRST CONCEPT IS CALLED 5258 03:08:26,000 --> 03:08:27,400 LEADING ADDICTION DIVERSITY AND 5259 03:08:27,400 --> 03:08:29,920 DISCOVERY AND EDUCATIONAL 5260 03:08:29,920 --> 03:08:33,160 RESEARCH AND LA,R FOR SHORT, 5261 03:08:33,160 --> 03:08:35,280 PRESENTING THIS ON BEHALF OF 5262 03:08:35,280 --> 03:08:38,280 EXTRAMURAL WORK FORCE SCIENTIFIC 5263 03:08:38,280 --> 03:08:39,680 WORK FORCE, COMMITTEE. 5264 03:08:39,680 --> 03:08:41,160 THE PURPOSE IS TO CREATE 5265 03:08:41,160 --> 03:08:42,320 PARTNERSHIPS IN COLLABORATIONS 5266 03:08:42,320 --> 03:08:43,520 BETWEEN LIMITED RESOURCE 5267 03:08:43,520 --> 03:08:44,560 UNIVERSITIES INCLUDING 5268 03:08:44,560 --> 03:08:47,240 INSTITUTIONS WITH DEMONSTRATED 5269 03:08:47,240 --> 03:08:48,320 COMMITTEE COMMITMENT TOE SH 5270 03:08:48,320 --> 03:08:49,840 ISING UNDERREPRESENTED GROUPS. 5271 03:08:49,840 --> 03:08:52,520 NIH T 32 FUNDED INSTITUTIONS TO 5272 03:08:52,520 --> 03:08:53,840 JOINTLY TRAIN SUBSTANCE USE 5273 03:08:53,840 --> 03:08:55,040 DISORDER RESEARCHERS. 5274 03:08:55,040 --> 03:08:56,920 THE GOAL OF THIS PROGRAM IS TO 5275 03:08:56,920 --> 03:08:58,720 ENSURE THERE IS A DIVERSE POOL 5276 03:08:58,720 --> 03:09:00,520 OF UNDERGRADUATE AND GRADUATE 5277 03:09:00,520 --> 03:09:01,640 STUDENTS WHO COMPLETE THEIR 5278 03:09:01,640 --> 03:09:03,080 DEGREE AND TRANSITION TO 5279 03:09:03,080 --> 03:09:04,040 SUBSTANCE USE ADISTINCTION 5280 03:09:04,040 --> 03:09:05,160 RESEARCH FOCUSED PROGRAMS AND 5281 03:09:05,160 --> 03:09:06,320 CAREERS. 5282 03:09:06,320 --> 03:09:08,320 TO ACHIEVE THE GOAL THE SUPPORT 5283 03:09:08,320 --> 03:09:11,000 WILL BE PROVIDED TO THE LIMITED 5284 03:09:11,000 --> 03:09:12,800 RESOURCE INSTITUTIONS TO PROVIDE 5285 03:09:12,800 --> 03:09:13,920 HIGH QUALITY TRAINING AND 5286 03:09:13,920 --> 03:09:15,400 MENTORING THAT WILL THEN PREPARE 5287 03:09:15,400 --> 03:09:16,720 EMPOWER THEIR SCHOLARS. 5288 03:09:16,720 --> 03:09:19,080 THE SECOND GOAL SO CREATE 5289 03:09:19,080 --> 03:09:19,720 PARTNERSHIPS AND COLLABORATION 5290 03:09:19,720 --> 03:09:22,920 BETWEEN LIMITED RESOURCE 5291 03:09:22,920 --> 03:09:24,320 UNIVERSITIES WITH T 32 FUNDED 5292 03:09:24,320 --> 03:09:25,480 INSTITUTION TO FOSTER EXCHANGE 5293 03:09:25,480 --> 03:09:28,040 OF IDEAS, AS WELL AS SPARK AND 5294 03:09:28,040 --> 03:09:29,600 SUSTAIN THE INTEREST AND 5295 03:09:29,600 --> 03:09:31,320 SUBSTANCE USE ADDICTION RESEARCH 5296 03:09:31,320 --> 03:09:32,520 AMONG SCHOLARS FROM DIVERSE 5297 03:09:32,520 --> 03:09:33,480 BACKGROUNDS. 5298 03:09:33,480 --> 03:09:34,520 WE SEE THIS AS A WIN WIN FOR 5299 03:09:34,520 --> 03:09:35,720 BOTH INSTITUTIONS. 5300 03:09:35,720 --> 03:09:39,000 THE SECOND INITIATIVE IS 5301 03:09:39,000 --> 03:09:40,440 RESEARCH -- CALLED RESEARCH 5302 03:09:40,440 --> 03:09:42,240 OPPORTUNITIES FOR NEW AT RISK 5303 03:09:42,240 --> 03:09:43,920 INVESTIGATORS TO PROMOTE 5304 03:09:43,920 --> 03:09:44,720 SCIENTIFIC WORK FORCE DIVERSITY. 5305 03:09:44,720 --> 03:09:47,200 YOU SAW THE DATA ON NEW 5306 03:09:47,200 --> 03:09:49,600 INVESTIGATORS EARLIER. 5307 03:09:49,600 --> 03:09:51,520 I'LL PRESENT THIS ON BEHALF OF 5308 03:09:51,520 --> 03:09:52,720 OFFICE DIVERSITY HEALTH 5309 03:09:52,720 --> 03:09:53,680 DISPARITIES AT NIDA. 5310 03:09:53,680 --> 03:09:55,360 THE GOAL IS TO POO SUPPORT AND 5311 03:09:55,360 --> 03:09:56,680 SUSTAIN NEW AND AT RISK 5312 03:09:56,680 --> 03:09:58,000 INVESTIGATORS FROM DIVERSE 5313 03:09:58,000 --> 03:09:59,120 BACKGROUNDS WHO ARE CONDUCTING 5314 03:09:59,120 --> 03:10:00,440 SUBSTANCE USE ADDICTION 5315 03:10:00,440 --> 03:10:01,520 RESEARCH. 5316 03:10:01,520 --> 03:10:02,800 DESPITE EFFORTS TO IMPROVE 5317 03:10:02,800 --> 03:10:05,000 EQUITY AND OPPORTUNITIES IN THE 5318 03:10:05,000 --> 03:10:05,720 SCIENTIFIC ENTERPRISE 5319 03:10:05,720 --> 03:10:06,920 INFORMATION EDUCATIONAL RESEARCH 5320 03:10:06,920 --> 03:10:07,920 OPPORTUNITIES ARE STILL NOT 5321 03:10:07,920 --> 03:10:08,520 EQUITABLE. 5322 03:10:08,520 --> 03:10:09,720 ONE OF THE MOST VULNERABLE 5323 03:10:09,720 --> 03:10:11,520 POINTS IN RESEARCH ERICA REAR IS 5324 03:10:11,520 --> 03:10:13,680 RECEIVING AND RENEWING AN RBG 5325 03:10:13,680 --> 03:10:15,120 AWARD TO SUSTAIN RESEARCH 5326 03:10:15,120 --> 03:10:15,720 PROGRAM. 5327 03:10:15,720 --> 03:10:17,600 TO THAT END THIS FIVE YEAR 5328 03:10:17,600 --> 03:10:18,640 RESEARCH AWARD WILL SUPPORT 5329 03:10:18,640 --> 03:10:20,320 RESEARCH PROTECT SOMEWHERES FROM 5330 03:10:20,320 --> 03:10:21,960 NEW AT RISK INVESTIGATORS 5331 03:10:21,960 --> 03:10:23,400 DIVERSE BACKGROUNDS INCLUDING 5332 03:10:23,400 --> 03:10:24,640 THOSE UNDER-REPRESENTED IN 5333 03:10:24,640 --> 03:10:25,920 HEALTH RELATED SCIENCES TO ARE 5334 03:10:25,920 --> 03:10:26,960 PROVIDE RESOURCES TO CONTINUE 5335 03:10:26,960 --> 03:10:28,520 WORK THROUGH AND ALONG THAT 5336 03:10:28,520 --> 03:10:29,000 STAGE. 5337 03:10:29,000 --> 03:10:30,680 THIS AWARD WILL HELP SERVE AS 5338 03:10:30,680 --> 03:10:32,120 ONE STEP TOWARDS PROMOTING 5339 03:10:32,120 --> 03:10:34,120 SUSTAINING DIVERSE INCLUSIVE 5340 03:10:34,120 --> 03:10:36,360 SCIENTIFIC WORK FORCE AND 5341 03:10:36,360 --> 03:10:37,680 EXTRAMURAL RESEARCH NEEDS. 5342 03:10:37,680 --> 03:10:38,760 THANK YOU. 5343 03:10:38,760 --> 03:10:40,880 >> ALBERT, THANKS VERY MUCH. 5344 03:10:40,880 --> 03:10:44,320 WE WANT TO OPEN UP FOR QUESTIONS 5345 03:10:44,320 --> 03:10:44,760 OR COMMENTS. 5346 03:10:44,760 --> 03:10:50,720 ANYONE? 5347 03:10:50,720 --> 03:10:53,600 I DON'T SEE ANY HANDS RISEN. 5348 03:10:53,600 --> 03:10:57,440 SO I GUESS YOU ANSWERED THEM 5349 03:10:57,440 --> 03:10:59,200 VERY THOROUGH. 5350 03:10:59,200 --> 03:10:59,960 ALBERT, THANKS VERY MUCH. 5351 03:10:59,960 --> 03:11:02,920 >> THANK YOU P. 5352 03:11:02,920 --> 03:11:04,800 >> AND THAT IS THE CONCEPT STAGE 5353 03:11:04,800 --> 03:11:06,160 OF OUR OPEN COUNCIL MEETING 5354 03:11:06,160 --> 03:11:10,360 TODAY AND WE NOW GO INTO THE 5355 03:11:10,360 --> 03:11:12,160 PUBLIC COMMENT PERIOD WHICH 5356 03:11:12,160 --> 03:11:14,960 ACTUALLY IS WHEN I READ ANY 5357 03:11:14,960 --> 03:11:16,560 PUBLIC COMMENT SUBMITTED PRIOR 5358 03:11:16,560 --> 03:11:19,360 TO COUNCIL TO DR. SUSAN WEISS. 5359 03:11:19,360 --> 03:11:22,160 TO MY UNDERSTANDING THERE HAVE 5360 03:11:22,160 --> 03:11:24,720 BEEN NO COMMENTS SUBMITTED TO 5361 03:11:24,720 --> 03:11:26,400 HER SO THERE IS NOTHING I CAN 5362 03:11:26,400 --> 03:11:28,920 REALLY READ BUT FOR FUTURE 5363 03:11:28,920 --> 03:11:31,040 MEETINGS IF YOU ARE ATTENDING 5364 03:11:31,040 --> 03:11:32,920 THE MEETING FIELD ANY COMMENTS 5365 03:11:32,920 --> 03:11:34,080 TO US THAT YOU WOULD LIKE US TO 5366 03:11:34,080 --> 03:11:35,560 BRING TO THE ATTENTION OF 5367 03:11:35,560 --> 03:11:37,080 COUNCIL AT THE END OF THE OPEN 5368 03:11:37,080 --> 03:11:41,320 COUNCIL SESSION. 5369 03:11:41,320 --> 03:11:41,520 SORRY? 5370 03:11:41,520 --> 03:11:43,160 >> WE WILL ALSO ACCEPT COMMENTS 5371 03:11:43,160 --> 03:11:46,080 ON THIS SESSION WITHIN TEN DAYS 5372 03:11:46,080 --> 03:11:47,520 OF THE COUNCIL. 5373 03:11:47,520 --> 03:11:50,080 IF THERE IS SOMEBODY WATCHES WHO 5374 03:11:50,080 --> 03:11:51,080 WANTS TO SUBMIT COMMENTS, PLEASE 5375 03:11:51,080 --> 03:11:52,720 DO. 5376 03:11:52,720 --> 03:11:54,360 >> SUSAN THANKS. 5377 03:11:54,360 --> 03:11:55,920 WITH THAT UNLESS THERE IS 5378 03:11:55,920 --> 03:11:58,160 SOMETHING ELSE, SUSAN, I GUESS 5379 03:11:58,160 --> 03:12:00,280 THAT I -- WE CAN ADJOURN AND 5380 03:12:00,280 --> 03:12:02,520 BEFORE WE ADJOURN THOUGH I WANT 5381 03:12:02,520 --> 03:12:05,320 TO THANK YOU AGAIN FOR YOUR 5382 03:12:05,320 --> 03:12:06,920 PARTICIPATION IN COUNCIL AND 5383 03:12:06,920 --> 03:12:08,560 REMIND YOU THAT THE INVOLVEMENT 5384 03:12:08,560 --> 03:12:10,960 IS NOT JUST WHEN WE ARE MEETING 5385 03:12:10,960 --> 03:12:12,640 FORMALLY FOR COUNCIL BUT FEEL 5386 03:12:12,640 --> 03:12:15,760 FREE AT ANY TIME TO COMMUNICATE 5387 03:12:15,760 --> 03:12:17,560 WITH YOU IDEAS, THAT IS 5388 03:12:17,560 --> 03:12:19,320 RESPONSIBILITY OF COUNCIL THAT 5389 03:12:19,320 --> 03:12:21,920 WAY WE CAN DIVERSIFY 5390 03:12:21,920 --> 03:12:22,720 PERSPECTIVES. 5391 03:12:22,720 --> 03:12:24,880 SO UNLESS ANYTHING ELSE YOU WANT 5392 03:12:24,880 --> 03:12:30,720 TO FINALIZE WITH SUSAN, WE CAN 5393 03:12:30,720 --> 03:12:30,920 ADJOURN? 5394 03:12:30,920 --> 03:12:32,720 >> NO, AGAIN, THANK YOU ALL, WE 5395 03:12:32,720 --> 03:12:34,120 APPRECIATE YOUR TIME AND YOUR 5396 03:12:34,120 --> 03:12:35,760 CONSIDERATION. 5397 03:12:35,760 --> 00:00:00,000 UNTIL NEXT TIME.