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GOOD AFTERNOON I'M TIMOTHY 

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HOLTZ THE OARAC OFFICIAL.

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WELCOME AND FOR YOUR 

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PARTICIPATION.

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AS A BRIEF REMINDER TO OUR 

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MEMBERS OUR COUNCIL IS GOVERNED 

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BY THE PROVISIONS OF THE FEDERAL

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ADVISORY COMMITTEE AS AMENDED 

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WHICH SETS FORTH STANDARDS FOR 

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THE FORMATION AND USE OF 

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ADVISORY COMMITTEES.

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MY ROLE AS A DESIGNATED FEDERAL 

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OFFICIAL IS TO PREPARE MEETING 

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AGENDAS, ORGANIZE MEETINGS AND 

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APPROVE ALL SUBCOMMITTEE 

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MEETINGS AND ADJOURN ANY MEETING

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WHEN IT'S IN THE PUBLIC 

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INTEREST.

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AS A NOTE, DR. GLENSHAW WILL 

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FULFILL THESE DUTIES IN THE CASE

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I CAN'T.

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PLEASE ALWAYS STAY MUTED UNLESS 

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YOU ARE SPEAKING.

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PLEASE KEEP YOUR CAMERA ON MOST 

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OF THE MEETING.

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HIDE YOUR CAMERA IF YOU NEED TO 

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LEAVE MOMENTARILY AND RETURN.

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WHEN YOU WOULD LIKE TO 

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PARTICIPATE IN DISCUSSION WE ASK

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YOU PLEASE USE THE ZOOM RAISE 

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HAND FEATURE.

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DR. KAPOGIANNIS AND I WILL NOTE 

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WHO WANT TO SPEAK AND CALL IN 

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TURN TO AVOID SPEAKING OVER ONE 

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ANOTHER.

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BE AWARE YOU'LL NEED TO LOWER 

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THE ZOOM HAND FEATURE ONCE 

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YOU'VE MADE YOUR REMARKS.

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FOR THIS MEETING THE ZOOM CHAT 

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FEATURE HAS BEEN DISABLED EXCEPT

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FOR LOGISTIC MESSAGES TO THE 

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MEETING HOSTS.

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IF YOU HAVE ISSUES OR CONCERNS 

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RELATED TO THE MEETING, PLEASE 

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CALL OR TEXT ME AND MS. MELISSA 

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MARA.

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OUR PHONE NUMBERS ARE IN THE 

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MEETING E-MAIL AND CHAT.

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FOR EVERYONE ON VIDEOCAST, 

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WELCOME.

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IF YOU WOULD LIKE TO SEE THE 

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CLOSED CAPTION FOR THE MEETING 

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CLICK THE CC ICON IN THE BOUGHT 

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RIGHT HAND CORNER OF THE VIDEO.

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I'D LIKE TO REMIND OUR MEMBERS 

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REGARDING CONFLICTS OF INTEREST 

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FORM.

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COUNCIL MEMBERS MAY NOT 

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PARTICIPATE IN THE REVIEW OR 

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VOTE OF A PROGRAM OF WHICH THEY 

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HAVE AN INTEREST.

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IF A TOPIC IS DISCUSSED THAT 

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POSE AS A CONFLICT REMOVE 

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YOURSELF AND SIGNAL ME AND WE'LL

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MOVE TO YOU A SEPARATE SPACE IN 

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ZOOM DURING THE DISCUSSION THAT 

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POSES A CONFLICT.

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AFTER THE MEETING KINDLY SIGN 

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THE COI FORM AND SEND BACK TO ME

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TO CONFIRM NOTHING DISCUSSED 

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TODAY OPPOSED A CONFLICT FOR 

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YOU.

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BEFORE I MOVE FORWARD ARE THERE 

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QUESTIONS ABOUT POTENTIAL 

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CONFLICTS OF INTEREST REGARDING 

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TODAY'S AGENDA?

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HEARING NONE REMEMBER THE 

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MEETING IS BEING RECORDED AND 

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VIDEOCAST LIVE BY NIH.

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I'LL TURN IT OVER THE 

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CHAIRPERSON OF THE 64th 

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DR. KAPOGIANNIS THE ACTING 

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DIRECTOR FOR AIDS AND THE ACTING

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DIRECTOR OF AIDS RESEARCH.

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DR. KAPOGIANNIS WILL NOW BRING 

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THE MEETING TO ORDER.

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>> GOOD AFTERNOON
EVERYONE.

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THE 64th OFFICE OF AIDS MEETING 

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IS NOW IN SESSION.

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WELCOME INVITED MEMBERS AND 

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COLLEAGUES WE'LL NOW CONDUCT A 

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ROLL CALL.

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WHEN I CALL YOUR NAME, STATE 

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YOUR POSITION AND INSTITUTIONAL 

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AFFILIATION.

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WE'LL START FIRST WITH THE OARAC

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VOTING MEMBERS DR. COLLINS.

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>> I'M PROFESSOR OF
INTERNAL 

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MEDICINE IN AND INFECTIOUS 

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DISEASE AND APROFESSOR OF 

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IMMUNOLOGY AT THE UNIVERSITY OF 

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MICHIGAN AND ASSOCIATE DEAN OF 

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TRAINING IN THE DIRECTOR OF THE 

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MSTP.

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MY RESEARCH FOCUSES ON HIV 

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DISEASE PATHOGENESIS.

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>> THANK YOU.

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DR. GALARAGA.

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>> I'M A FACULTY MEMBER AT
BROWN

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UNIVERSITY SCHOOL OF PUBLIC 

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HEALTH AND ALSO SERVE AS THE 

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DIRECTOR OF THE HEALTH SERVICES 

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RESEARCH PROGRAM AND MY RESEARCH

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IS ON ECONOMIC ASPECTS OF HIV 

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PREVENTION AND TREATMENT IN THE 

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U.S. AS WELL AS IN MEXICO, KENYA

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AND SOUTH AFRICA.

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THANK YOU.

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>> DR. MEHTA.

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>> MOVING ON DR. MILLER.

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>> THIS IS VERONICA
MILLER.

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I AM IN FACULTY AT THE SCHOOL OF

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PUBLIC HEATH FOR UNIVERSITY OF 

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CALIFORNIA BERKELEY AND ALSO THE

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DIRECTOR OF THE FORUM FOR 

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COLLABORATIVE HIV RESEARCH.

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>> I'M PROFESSOR OF
IMMUNOLOGY 

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AT THE WORCESTER INSTITUTE AND 

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DIRECTOR OF SCIENTIFIC 

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INVESTIGATIONS AND CO-PRINCIPAL 

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INVESTIGATOR OF THE 

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COLLABORATIVE HIV.

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>> DR. MONGAVI.

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>> I'M A PROFESSOR AT THE 

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DEPARTMENT OF MICROBIOLOGY AND 

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IMMUNOLOGY AT NORTHWESTERN 

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UNIVERSITY.

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I RESEARCH IN HIV SUB TYPES AND 

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RESULTING IN NEURODEGENERATION.

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>> I'M IN A PHYSICIAN AT
MASS 

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GENERAL HOSPITAL IN BOSTON AND 

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PROFESSION OF PEDIATRICS AND 

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PROFESSOR OF MEDICINE AT MASS 

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GENERAL HOSPITAL.

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MY CLINICAL RESEARCH FOCUS IS ON

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ADOLESCENCE AND YOUNG ADULTS 

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WITH HIV AND METHODS OF COST 

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EFFECTIVE ANALYSIS.

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GREAT TO BE HERE TODAY.

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>> I'M JOHN SLASMAN A
PROFESSOR 

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AT DUKE UNIVERSITY AND WITH DUKE

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UNIVERSITY HEALTH SYSTEMS AND 

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MEMBER OF THE LEADERSHIP GROUP 

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FINTAC AND LOOK AT CHILDREN AND 

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ADOLESCENTS WITH HIV.

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>> I'M IVY TURNBULL FOR
AIDS 

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ALLIANCE FOR INFANTS, CHILDREN, 

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YOUTH AND FAMILIES AND SERVE AS 

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THE CHAIR OF THE BOARD OF THE 

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NATIONAL BLACK WOMEN'S HIV AIDS 

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NETWORK.

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>> THANK YOU.

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NOW WE'LL MOVE TO OUR -- 

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>> SORRY, I BELIEVE DR.
MEHTA 

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JOINED US.

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>> MY RESEARCH IS FOCUS ON

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INTERVENTIONS TO IMPROVE UPTAKE 

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OF PREVENTION AND TREATMENT 

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INTERVENTIONS AMONG PEOPLE WHO 

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INJECT DRUGS.

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>> THANK YOU.

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NOW WE'LL MOVE TO OUR OARAC 

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EX-OFFICIO MEMBERS.

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DR. VICKY DAVY.

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>> MY POSITION IS WITH THE

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OFFICE OF AND DEVELOPMENT AT 

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V.A.

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THANK YOU.

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REAR ADMIRAL JONATHAN MERMIN.

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>> I REPRESENT CDC FOR
VIRAL 

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HEPATITIS AND SEXUALLY 

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TRANSMITTED INFECTIONS AND IT'S 

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GREAT TO BE HERE.

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>> NOW TO OUR ADVISORY
COUNCIL 

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REPRESENTATIVES.

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>> DR. DIEFENBACH WAS ABLE
TO 

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JOIN US.

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>> I'M THE DIRECTOR
DIVISION OF 

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AIDS AT THE NATIONAL INSTITUTE 

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OF ALLERGY AND INFECTIOUS 

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DISEASES.

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SORRY ABOUT THE CONFUSION.

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I'LL BE IN AND OUT THE REST OF 

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THE AFTERNOON.

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>> NO WORRIES, THANK YOU.

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>> TO ADVISORY COUNCIL 

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REPRESENTATIVES.

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DR. GANGNE.

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DR. LIGHTFOOT.

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>> I'M THE ASSOCIATE DEAN
FOR 

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RESEARCH AND DOCTORAL PROGRAMS, 

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PROFESSOR IN THE OREGON HEALTH 

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UNIVERSITY AT PORTLAND STATE 

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UNIVERSITY SCHOOL OF PUBLIC 

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HEALTH AND ON THE MENTAL HEALTH 

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COUNCIL.

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>> DR. OTT.

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>> I'M DIRECTOR OF THE
GLADSTONE

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INSTITUTE OF VIROLOGY AND 

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PROFESSOR OF MEDICINE AT UCSF.

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I CO-LEAD THE HOPE COLLABORATORY

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AND MY RESEARCH IS ON HIV CURE.

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GREAT TO BE HERE.

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>> THANK YOU, TO OUR GUEST

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00:10:09,976 --> 00:10:15,048
SPEAKERS AND PANELISTS.

216
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FIRST WE HAVE OUR REAR ADMIRAL 

217
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HOLTZ.

218
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>> I'M THE DEPUTY DIRECTOR
OF 

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THE OFFICE OF AIDS RESEARCH AND 

220
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EXECUTIVE SECRETARY OF OARAC.

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>> THANK YOU.

222
00:10:31,231 --> 00:10:35,035
CAPTAIN GLENSHAW.

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>> IT'S WONDERFUL TO SEE
YOU ALL

224
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AGAIN AND LEAD THE SCIENCE TEAM 

225
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AT OAR AND EPIDEMIOLOGIST BY 

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TRAINING.

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>> DR. ECLAND.

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OKAY.

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NOW TO DR. BARN.

230
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DR. KENDALL BRYANT.

231
00:11:04,264 --> 00:11:08,435
>> I'M CHRISTOPHER
BARNHART AND 

232
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HEALTH SCIENCE POLICY ANALYST 

233
00:11:09,069 --> 00:11:11,704
WITH THE SEXUAL AND GENDER 

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MINORITY OFFICE WITHIN THE NIH 

235
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OFFICE THE DIRECTOR.

236
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>> THANK YOU.

237
00:11:28,988 --> 00:11:30,390
MS. CORETTE BYRD.

238
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>> SHE'LL BE JOINING
LATER.

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00:11:32,959 --> 00:11:35,195
>> DR. CHANDLER.

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>> I'M THE DIRECTOR OF THE
HIV 

241
00:11:38,665 --> 00:11:40,934
RESEARCH PROGRAM AND THE HEALING

242
00:11:40,934 --> 00:11:42,368
COMMUNITY STUDY AT THE NATIONAL 

243
00:11:42,368 --> 00:11:44,938
INSTITUTES ON DRUG ABUSE.

244
00:11:44,938 --> 00:11:45,839
>> THANK YOU.

245
00:11:45,839 --> 00:11:49,109
>> MR. MALDONADO.

246
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>> FOUNDER AND CEO OF TRUE

247
00:11:51,277 --> 00:11:52,745
EVOLUTION A COMMUNITY-BASED 

248
00:11:52,745 --> 00:11:53,413
ORGANIZATION OUT OF CALIFORNIA 

249
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AND I'M A FORMER MEMBER OF THE 

250
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PRESIDENT'S ADVISORY COUNCIL ON 

251
00:11:57,383 --> 00:12:00,887
HIV AND AIDS IN THE OBAMA 

252
00:12:00,887 --> 00:12:01,254
ADMINISTRATION.

253
00:12:01,254 --> 00:12:01,821
THANK YOU FOR HAVING ME.

254
00:12:01,821 --> 00:12:04,057
>> THANK YOU FOR JOINING
US.

255
00:12:04,057 --> 00:12:14,334
>> DR. KNELTSON.

256
00:12:18,104 --> 00:12:21,808
DR. ELISEO PEREZ-STABLE 

257
00:12:21,808 --> 00:12:22,642
>> GOOD AFTERNOON.

258
00:12:22,642 --> 00:12:24,177
I'M ELISEO PEREZ-STABLE THE 

259
00:12:24,177 --> 00:12:24,978
DIRECTOR OF THE NATIONAL 

260
00:12:24,978 --> 00:12:26,513
INSTITUTE ON MINORITY HEALTH AND

261
00:12:26,513 --> 00:12:28,148
HEALTH DESPAIRS AND GLAD TO BE 

262
00:12:28,148 --> 00:12:28,348
HERE.

263
00:12:28,348 --> 00:12:32,418
>> THANK YOU.

264
00:12:32,418 --> 00:12:34,854
DR. DIANNE RAUSCH.

265
00:12:34,854 --> 00:12:35,755
>> I'M THE DIRECTOR OF THE

266
00:12:35,755 --> 00:12:37,624
DIVISION OF AIDS RESEARCH AT THE

267
00:12:37,624 --> 00:12:38,224
NATIONAL INSTITUTE OF MENTAL 

268
00:12:38,224 --> 00:12:41,161
HEALTH.

269
00:12:41,161 --> 00:12:43,229
>> THANK YOU.

270
00:12:43,229 --> 00:12:53,106
DR. WALTERS.

271
00:12:53,106 --> 00:13:01,114
LASTLY OUR INVITED GUESTS 

272
00:13:01,114 --> 00:13:03,082
JOINING LATER DR. POWELL.

273
00:13:03,082 --> 00:13:04,350
IS THERE ANYONE I DID NOT 

274
00:13:04,350 --> 00:13:08,788
ANNOUNCE?

275
00:13:08,788 --> 00:13:08,988
OKAY.

276
00:13:08,988 --> 00:13:09,756
THANK YOU, EVERYONE.

277
00:13:09,756 --> 00:13:13,893
AS A REMINDER FOR OUR CHARTER 

278
00:13:13,893 --> 00:13:19,365
AND LEGISLATION THE OARAC 

279
00:13:19,365 --> 00:13:22,702
ADVISES THE OAR DIRECTOR ON 

280
00:13:22,702 --> 00:13:23,903
STRATEGIC PLANNING AND THE 

281
00:13:23,903 --> 00:13:26,372
REVIEWING OF THE AIDS PROGRAMS.

282
00:13:26,372 --> 00:13:28,541
I'LL PROVIDE A BRIEF OVERVIEW OF

283
00:13:28,541 --> 00:13:30,410
THE AGENDA INCLUDING A REPORT 

284
00:13:30,410 --> 00:13:36,282
FROM ME, A PRESENTATION FROM 

285
00:13:36,282 --> 00:13:37,116
DR. ELISEO PEREZ-STABLE AND 

286
00:13:37,116 --> 00:13:42,388
DR. NELSON FROM YALE AND GABRIEL

287
00:13:42,388 --> 00:13:45,091
MALDONADO AND A PANEL DISCUSSION

288
00:13:45,091 --> 00:13:47,393
ON MODELS IN HIV HEALTH 

289
00:13:47,393 --> 00:13:48,428
DISPARITY RESEARCH.

290
00:13:48,428 --> 00:13:53,066
WE'LL HEAR UPDATES FROM NIH 

291
00:13:53,066 --> 00:13:54,467
COUNCILS AND FROM THE CLINICAL 

292
00:13:54,467 --> 00:13:56,169
GUIDELINES WORKING GROUPS.

293
00:13:56,169 --> 00:13:58,838
THE AGENDA ALSO INCLUDES TIME 

294
00:13:58,838 --> 00:14:02,008
FOR REGISTERED PUBLIC COMMENTS.

295
00:14:02,008 --> 00:14:03,276
ANYBODY LISTENING TODAY WHO 

296
00:14:03,276 --> 00:14:05,912
WISHES TO MAKE A PUBLIC COMMENT 

297
00:14:05,912 --> 00:14:11,584
SHOULD E-MAIL DR. HOLTZ.

298
00:14:11,584 --> 00:14:15,355
AT OARAC INFO AT NIH.gov WITH 

299
00:14:15,355 --> 00:14:17,123
YOUR NAME, AFFILIATION AND 

300
00:14:17,123 --> 00:14:19,225
QUESTION OR COMMENT.

301
00:14:19,225 --> 00:14:22,495
PLEASE VISIT THE OAR WEBSITE FOR

302
00:14:22,495 --> 00:14:25,098
THE FEDERAL REGISTER NOTICE FOR 

303
00:14:25,098 --> 00:14:26,165
MORE DETAILS.

304
00:14:26,165 --> 00:14:28,401
I'LL NOW PROVIDE THE DIRECTOR'S 

305
00:14:28,401 --> 00:14:28,635
REPORT.

306
00:14:28,635 --> 00:14:31,437
IF SOMEONE CAN BRING UP THE 

307
00:14:31,437 --> 00:14:41,581
SLIDES.

308
00:14:42,649 --> 00:14:44,717
WE HAVE ONE OF THE MOST PRESSING

309
00:14:44,717 --> 00:14:45,985
CHALLENGES HEALTH DISPARITIES.

310
00:14:45,985 --> 00:14:47,587
THE SCIENCE AROUND PREVENTING 

311
00:14:47,587 --> 00:14:49,656
AND TREATING HIV HAS COME A LONG

312
00:14:49,656 --> 00:14:54,427
WAY IN THE LAST TWO DECADES.

313
00:14:54,427 --> 00:14:58,131
ONE OF THE MOST SIGNIFICANT 

314
00:14:58,131 --> 00:14:58,798
ACCOMPLISHMENTS BUT NOT EVERYONE

315
00:14:58,798 --> 00:15:00,300
IS BENEFITING TO THE DEGREE THEY

316
00:15:00,300 --> 00:15:00,967
SHOULD BE.

317
00:15:00,967 --> 00:15:02,168
WE'VE BEEN TALKING ABOUT HEALTH 

318
00:15:02,168 --> 00:15:04,337
DISPARITIES FOR A LONG TIME BUT 

319
00:15:04,337 --> 00:15:04,937
YET HERE WE ARE.

320
00:15:04,937 --> 00:15:08,308
NOT HAVING A FULL IMPACT WE NEED

321
00:15:08,308 --> 00:15:09,108
TO HAVE.

322
00:15:09,108 --> 00:15:11,744
IT'S BECOMING INCREASINGLY CLEAR

323
00:15:11,744 --> 00:15:13,980
THAT WE MUST ADDRESS BIOMEDICAL,

324
00:15:13,980 --> 00:15:15,081
BEHAVIORAL AND SOCIAL SCIENCE 

325
00:15:15,081 --> 00:15:19,619
ASPECTS OF HEALTH DISPARITIES 

326
00:15:19,619 --> 00:15:20,253
SIMULTANEOUSLY IN BETTER AND 

327
00:15:20,253 --> 00:15:22,655
SMARTER WAYS THAN WE CURRENTLY 

328
00:15:22,655 --> 00:15:22,855
ARE.

329
00:15:22,855 --> 00:15:25,825
I RECALL STARTING AS A FELLOW IN

330
00:15:25,825 --> 00:15:28,728
INFECTIOUS DISEASE IN 2001 AND 

331
00:15:28,728 --> 00:15:31,197
PROSCRIBING ANTIRETROVIRAL 

332
00:15:31,197 --> 00:15:35,168
MEDICINE FOR MULTIPLE PILLS 

333
00:15:35,168 --> 00:15:39,739
MULTIPLE TIMES A DAY THAT WERE 

334
00:15:39,739 --> 00:15:41,107
TOXIC AND TODAY'S COMBINATIONS 

335
00:15:41,107 --> 00:15:47,080
HAVE FEWER SIDE EFFECTS AND 

336
00:15:47,080 --> 00:15:48,748
REVOLUTIONIZED HIV HEALTH CARE 

337
00:15:48,748 --> 00:15:49,716
BUT NOT FOR ALL.

338
00:15:49,716 --> 00:15:51,417
THAT'S WHY WE'LL BE TACKLING 

339
00:15:51,417 --> 00:15:58,291
HEALTH DISPARITIES TODAY.

340
00:15:58,291 --> 00:16:01,894
FEW PEOPLE HAVE HAD MORE 

341
00:16:01,894 --> 00:16:04,497
COMMITMENT THAT DR. WALLACE A 

342
00:16:04,497 --> 00:16:05,231
RECOGNIZED PUBLIC HEALTH AND 

343
00:16:05,231 --> 00:16:07,367
SOCIAL JUSTICE LEADER.

344
00:16:07,367 --> 00:16:08,768
HE PASSED AWAY AUGUST 5 AND I'D 

345
00:16:08,768 --> 00:16:11,838
LIKE TO TAKE A MOMENT TO HONOR 

346
00:16:11,838 --> 00:16:12,538
HIS LEGACY.

347
00:16:12,538 --> 00:16:15,007
HE WAS THE DIRECTOR OF EXTERNAL 

348
00:16:15,007 --> 00:16:18,277
DIRECTIONS FOR THE FRED HUTCH 

349
00:16:18,277 --> 00:16:20,079
INSON CANCER CENTERS TRIALS 

350
00:16:20,079 --> 00:16:21,114
NETWORK AND LAUNCHED THE 

351
00:16:21,114 --> 00:16:24,016
COMMUNITY ENGAGEMENT FOR THE 

352
00:16:24,016 --> 00:16:27,687
CFAR AT U-W FRED HUTCH AMONG 

353
00:16:27,687 --> 00:16:28,654
OTHER ACCOMPLISHMENTS.

354
00:16:28,654 --> 00:16:30,556
DR. WALLACE WORKED TO INCREASE 

355
00:16:30,556 --> 00:16:34,260
POSITIVE HEALTH OUTCOMES AMONG 

356
00:16:34,260 --> 00:16:35,728
MEMBERS OF ETHIC AND SEXUAL AND 

357
00:16:35,728 --> 00:16:37,263
GENDER MINORITY GROUPS IN THE 

358
00:16:37,263 --> 00:16:38,097
UNITED STATES AND 

359
00:16:38,097 --> 00:16:38,464
INTERNATIONALLY.

360
00:16:38,464 --> 00:16:41,968
WE HONOR HIS LIFE AS WE FOCUS ON

361
00:16:41,968 --> 00:16:43,002
THOSE PERSISTENT CHALLENGE.

362
00:16:43,002 --> 00:16:43,603
A BRIEF MOMENT OF SILENCE, 

363
00:16:43,603 --> 00:16:52,879
PLEASE.

364
00:16:52,879 --> 00:16:55,248
LET'S GO TO OUR NEXT SLIDE AND 

365
00:16:55,248 --> 00:16:57,250
THE CHALLENGES STILL PERSIST.

366
00:16:57,250 --> 00:17:01,454
IN 2021 ABOUT 70% OF NEW HIV 

367
00:17:01,454 --> 00:17:04,991
DIAGNOSES OCCURRED IN BLACK AND 

368
00:17:04,991 --> 00:17:05,892
HISPANIC POPULATIONS TOGETHER 

369
00:17:05,892 --> 00:17:08,761
REPRESENTING 31% OF THE 

370
00:17:08,761 --> 00:17:09,395
U.S. POPULATION.

371
00:17:09,395 --> 00:17:13,466
THE CURRENT HIV EPIDEMIC 

372
00:17:13,466 --> 00:17:15,268
REFLECTS THE STAGGERING HEALTH 

373
00:17:15,268 --> 00:17:15,935
DISPARITIES AND THIS SLIDE IS AN

374
00:17:15,935 --> 00:17:18,471
EXAMPLE OF THAT.

375
00:17:18,471 --> 00:17:20,840
YOU CAN SEE IN THE TOP THREE 

376
00:17:20,840 --> 00:17:24,243
BARS, THE MAJORITY OF DIAGNOSES 

377
00:17:24,243 --> 00:17:26,078
OCCUR IN POPULATIONS OF MEN WHO 

378
00:17:26,078 --> 00:17:29,115
HAVE SEX WITH MEN.

379
00:17:29,115 --> 00:17:33,119
BLACK AMERICAN SMM IS MOST 

380
00:17:33,119 --> 00:17:36,155
AFFECTED AND WITHIN THAT 

381
00:17:36,155 --> 00:17:39,192
POPULATION FROM 2019 INDICATE 

382
00:17:39,192 --> 00:17:41,127
YOUNG BLACK OR AFRICAN AMERICAN 

383
00:17:41,127 --> 00:17:44,664
SMM ARE THE MOST AFFECTED WITH 

384
00:17:44,664 --> 00:17:46,799
THREE OUT OF EVERY FOUR BEING 

385
00:17:46,799 --> 00:17:57,276
BETWEEN 13 TO 34 YEARS OLD.

386
00:17:57,810 --> 00:17:59,512
ANOTHER EXAMPLE RELATED TO HIV 

387
00:17:59,512 --> 00:18:00,847
ARE PEOPLE WITH DISABILITIES.

388
00:18:00,847 --> 00:18:02,582
THIS ALSO REPRESENTS AN 

389
00:18:02,582 --> 00:18:04,450
IMPORTANT ADVANCE IN THE HEALTH 

390
00:18:04,450 --> 00:18:06,185
DISPARITIES SPACE HERE.

391
00:18:06,185 --> 00:18:07,253
IN SEPTEMBER, AFTER CAREFUL 

392
00:18:07,253 --> 00:18:09,088
CONSIDERATION OF A SERIES OF 

393
00:18:09,088 --> 00:18:10,823
REPORTS FROM THE ADVISORY 

394
00:18:10,823 --> 00:18:12,758
COUNCILS REVIEWING THE SCIENCE 

395
00:18:12,758 --> 00:18:14,994
AND EVIDENCE AND WITH INPUT FROM

396
00:18:14,994 --> 00:18:16,395
THE DISABILITY COMMUNITY, NIH 

397
00:18:16,395 --> 00:18:17,897
ANNOUNCED PEOPLE WITH 

398
00:18:17,897 --> 00:18:19,732
DISABILITIES IS NOW AN 

399
00:18:19,732 --> 00:18:21,300
OFFICIALLY DESIGNATED POPULATION

400
00:18:21,300 --> 00:18:23,202
EXPERIENCING HEALTH DISPARITIES 

401
00:18:23,202 --> 00:18:25,671
AND THIS HAS IMPLICATIONS FOR 

402
00:18:25,671 --> 00:18:27,406
NIH SUPPORTIVE RESEARCH.

403
00:18:27,406 --> 00:18:28,941
DATA FROM THE REPORTS DEMMED 

404
00:18:28,941 --> 00:18:29,976
PEOPLE WITH DISABILITIES 

405
00:18:29,976 --> 00:18:32,278
REPRESENT MORE THAN 27% OF THE 

406
00:18:32,278 --> 00:18:33,946
U.S. ADULT POPULATION MAKING 

407
00:18:33,946 --> 00:18:36,282
THIS THE SINGLE LARGEST MINORITY

408
00:18:36,282 --> 00:18:40,953
GROUP IN THE COUNTRY.

409
00:18:40,953 --> 00:18:44,724
A RECENT LANCET PUBLICATION 

410
00:18:44,724 --> 00:18:47,960
REMINDS US THERE'S 1 BILLION WIN

411
00:18:47,960 --> 00:18:48,594
DISABILITIES GLOBALLY AND AS 

412
00:18:48,594 --> 00:18:52,665
WITH OTHER FACTORS, THE 

413
00:18:52,665 --> 00:18:53,332
CO-OCCURRENCE OF DISABILITY AND 

414
00:18:53,332 --> 00:18:57,103
HIV COMPOUNDS HEALTH 

415
00:18:57,103 --> 00:18:57,537
DISPARITIES.

416
00:18:57,537 --> 00:19:00,806
MODELS FROM TANZANIA AND SOUTH 

417
00:19:00,806 --> 00:19:02,375
AFRICA ESTIMATE THOSE DISABLED 

418
00:19:02,375 --> 00:19:05,111
ARE LESS LIKELY TO BE DIAGNOSED 

419
00:19:05,111 --> 00:19:07,146
OR RECEIVE ADEQUATE HIV CARE 

420
00:19:07,146 --> 00:19:10,316
COMPARED TO THE NON-DISABLED 

421
00:19:10,316 --> 00:19:11,584
COUNTERPARTS.

422
00:19:11,584 --> 00:19:12,485
RECOGNIZING PEOPLE THE 

423
00:19:12,485 --> 00:19:13,819
POPULATION WITH HEALTH 

424
00:19:13,819 --> 00:19:15,755
DISPARITIES WILL HAVE IMPORTANT 

425
00:19:15,755 --> 00:19:16,322
IMPLICATIONS FOR ADDRESSING 

426
00:19:16,322 --> 00:19:22,295
THOSE NEEDS.

427
00:19:22,295 --> 00:19:24,030
SO HEALTH OUTCOMES ARE 

428
00:19:24,030 --> 00:19:28,868
MULTI-FACTORIAL AND THIS IS A 

429
00:19:28,868 --> 00:19:31,070
SCHEMATIC I'LL WALK YOU THROUGH.

430
00:19:31,070 --> 00:19:32,338
DESIRED LEVELS OF HEALTH DEPEND 

431
00:19:32,338 --> 00:19:35,207
ON A CONFLUENCE OF FACTORS.

432
00:19:35,207 --> 00:19:36,776
DEVELOPING EFFECTIVE AND WELL 

433
00:19:36,776 --> 00:19:38,511
TOLERATED THERAPIES AND OTHER 

434
00:19:38,511 --> 00:19:41,047
TECHNOLOGY VITAL BUT NOT YET 

435
00:19:41,047 --> 00:19:41,447
SUFFICIENT.

436
00:19:41,447 --> 00:19:43,015
WE ALSO KNOW INDIVIDUALS, 

437
00:19:43,015 --> 00:19:45,384
GROUPS, POPULATIONS AND 

438
00:19:45,384 --> 00:19:47,720
SOCIETIES LIVE AND FUNCTION 

439
00:19:47,720 --> 00:19:48,754
WITHIN CONTEXT SOCIAL, 

440
00:19:48,754 --> 00:19:51,290
STRUCTURAL AND BEHAVIORAL 

441
00:19:51,290 --> 00:19:51,991
REALITIES.

442
00:19:51,991 --> 00:19:54,994
IT'S HARD TO ADDRESS THE FULL 

443
00:19:54,994 --> 00:19:56,562
SPECTRUM AND KEY FULCRUM POINTS 

444
00:19:56,562 --> 00:19:58,297
WITHIN THOSE REALITIES THAT ARE 

445
00:19:58,297 --> 00:19:59,198
SOME OF OUR KEY CHALLENGE.

446
00:19:59,198 --> 00:20:01,067
I INVITE TO YOU TAKE A LOOK AT 

447
00:20:01,067 --> 00:20:03,336
THE GRAPHIC ON THE SCREEN BEFORE

448
00:20:03,336 --> 00:20:04,503
WE WALK THROUGH IT IN GREATER 

449
00:20:04,503 --> 00:20:04,904
DETAIL.

450
00:20:04,904 --> 00:20:06,305
IF THERE'S ONE THING YOU TAKE 

451
00:20:06,305 --> 00:20:08,674
WITH YOU TODAY ABOUT THE FEATURE

452
00:20:08,674 --> 00:20:11,410
OF THE NIH HIV RESEARCH PROGRAM 

453
00:20:11,410 --> 00:20:12,812
MAKE IT THIS.

454
00:20:12,812 --> 00:20:15,114
WE CONTINUE TO MAKE PROGRESS IN 

455
00:20:15,114 --> 00:20:16,349
ADDRESSING THE HIV PANDEMIC WE 

456
00:20:16,349 --> 00:20:17,950
MUST DESIGN STRATEGIES TO 

457
00:20:17,950 --> 00:20:19,952
ADDRESS THE MULTI-FACTORIAL 

458
00:20:19,952 --> 00:20:21,487
NATURE OF HEALTH OUTCOME AND TO 

459
00:20:21,487 --> 00:20:23,723
COUNTER ACT THE SIGNIFICANT 

460
00:20:23,723 --> 00:20:25,925
NUMBER OF DETRIMENTAL AND 

461
00:20:25,925 --> 00:20:27,259
INTERACTING FACTORS SUCH AS AND 

462
00:20:27,259 --> 00:20:27,960
WE'LL WALK THROUGH THE LAYERS IN

463
00:20:27,960 --> 00:20:34,600
THE NEXT SLIDE.

464
00:20:34,600 --> 00:20:36,802
SO MOST OFTEN EXPERIENCED BY 

465
00:20:36,802 --> 00:20:39,238
SOCIALLY DISADVANTAGED THE 

466
00:20:39,238 --> 00:20:41,741
BURDEN OF DISEASE, VIOLENCE, OR 

467
00:20:41,741 --> 00:20:44,710
OPPORTUNITIES TO ACHIEVE OPTIMAL

468
00:20:44,710 --> 00:20:46,879
PUBLIC HEALTH AND LAYERED ON 

469
00:20:46,879 --> 00:20:48,047
THAT THE SOCIAL DETERMINATES OF 

470
00:20:48,047 --> 00:20:49,749
HEALTH ARE CONDITIONS IN THE 

471
00:20:49,749 --> 00:20:50,616
ENVIRONMENT WHERE PEOPLE ARE 

472
00:20:50,616 --> 00:20:56,355
BORN, LIVE, LEARN, WORK, PLAY, 

473
00:20:56,355 --> 00:20:57,823
WORSHIP AND AGE INCLUDING THE 

474
00:20:57,823 --> 00:20:59,592
WIDER SET OF SYSTEMS THAT AFFECT

475
00:20:59,592 --> 00:21:03,496
HEALTH, FUNCTIONS AND QUALITY OF

476
00:21:03,496 --> 00:21:09,702
LIFE OUTCOMES AND RISK AND THE 

477
00:21:09,702 --> 00:21:10,102
INTERSECTIONALITY.

478
00:21:10,102 --> 00:21:11,704
THE RECOGNITION THAT THERE'S 

479
00:21:11,704 --> 00:21:13,205
OVERLAPPING FACTORS SUCH AS 

480
00:21:13,205 --> 00:21:16,375
RACE, ETHNICITY AND STRUCTURAL 

481
00:21:16,375 --> 00:21:18,611
RACISM WITH THAT AND INTEGRATION

482
00:21:18,611 --> 00:21:22,248
STATUS AND EDUCATION, AGE, 

483
00:21:22,248 --> 00:21:24,150
SEXUAL ORIENTATION, 

484
00:21:24,150 --> 00:21:28,854
COMORBIDITIES, SUBSTANCE USE, 

485
00:21:28,854 --> 00:21:29,455
GEOGRAPHY AND EXPOSURE TO 

486
00:21:29,455 --> 00:21:32,191
EXTREME CLIMATIC EVENTS THAT 

487
00:21:32,191 --> 00:21:33,592
DISRUPT THE HIV CARE CONTINUUM.

488
00:21:33,592 --> 00:21:37,630
WITH THAT, FOUR CONCEPTS OF 

489
00:21:37,630 --> 00:21:38,497
INTERSECTIONALITY INCLUDE SOCIAL

490
00:21:38,497 --> 00:21:40,700
IDENTITIES AND INEQUALITIES, 

491
00:21:40,700 --> 00:21:43,202
INTERRELATED POWER DYNAMICS, 

492
00:21:43,202 --> 00:21:46,038
SOCIAL CONTEXT, RELATIONALITY 

493
00:21:46,038 --> 00:21:47,073
AND SOCIAL JUSTICE AND 

494
00:21:47,073 --> 00:21:49,675
COMPLEXITY 37 .

495
00:21:49,675 --> 00:21:51,510
THE NEXT IS SYNDEMICS WHICH IS 

496
00:21:51,510 --> 00:21:54,080
IMPORTANT TO UNDERSTAND THIS IS 

497
00:21:54,080 --> 00:21:57,416
AN INTERACTING SYNERGY OF TWO OR

498
00:21:57,416 --> 00:21:58,584
MORE DISEASE EPIDEMICS LEADING 

499
00:21:58,584 --> 00:22:01,454
TO EACH OTHER AND ACCESS BURDEN 

500
00:22:01,454 --> 00:22:05,157
OF DISEASE AND PERPETUATION OF 

501
00:22:05,157 --> 00:22:06,192
HEALTH DISPARITIES.

502
00:22:06,192 --> 00:22:08,194
AND CULMINATE INTO ALL THE 

503
00:22:08,194 --> 00:22:09,962
FACTORS COMING TOGETHER THAT 

504
00:22:09,962 --> 00:22:11,330
INFLUENCE HEALTH OUTCOMES.

505
00:22:11,330 --> 00:22:13,866
AND TODAY, WE WILL HEAR MORE ON 

506
00:22:13,866 --> 00:22:14,700
THIS FROM EXPERTS IN THE SPACE 

507
00:22:14,700 --> 00:22:16,368
AND REFLECT ON STRATEGIES TO 

508
00:22:16,368 --> 00:22:18,471
OVERCOME THE OBSTACLES STILL 

509
00:22:18,471 --> 00:22:19,572
STANDING IN THE WAY OF OUR 

510
00:22:19,572 --> 00:22:21,941
PROGRESS TO ENDING THE HIV 

511
00:22:21,941 --> 00:22:22,208
PANDEMIC.

512
00:22:22,208 --> 00:22:25,778
FIRST I'LL INTRODUCE YOU TO SOME

513
00:22:25,778 --> 00:22:28,013
OF THE WAYS THAT NIH RESEARCH IS

514
00:22:28,013 --> 00:22:29,115
WORKING TO ADDRESS THE 

515
00:22:29,115 --> 00:22:33,119
CHALLENGES.

516
00:22:33,119 --> 00:22:35,621
FIRST THROUGH THE NIH FUNDING 

517
00:22:35,621 --> 00:22:40,626
THE ENDING HIV EPIDEMIC IN THE 

518
00:22:40,626 --> 00:22:42,795
U.S. AND WHAT IS SHOWN ON THE 

519
00:22:42,795 --> 00:22:45,498
SLIDE IS ONLY A SMALL PROPORTION

520
00:22:45,498 --> 00:22:47,466
OF THE NIH RESEARCH FOCUSES ON 

521
00:22:47,466 --> 00:22:50,169
POPULATIONS EXPERIENCING HEALTH 

522
00:22:50,169 --> 00:22:50,469
DISPARITIES.

523
00:22:50,469 --> 00:22:52,538
IT'S AN IMPORTANT COMPONENT OF 

524
00:22:52,538 --> 00:22:54,206
THE DEPARTMENT OF HEALTH AND 

525
00:22:54,206 --> 00:22:55,541
HUMAN SERVICES EFFORTS TO REDUCE

526
00:22:55,541 --> 00:22:58,277
THE NUMBER OF HIV INFECTIONS BY 

527
00:22:58,277 --> 00:22:59,712
SCALING UP PREVENTION AND 

528
00:22:59,712 --> 00:23:04,483
TREATMENT S IN KEY 

529
00:23:04,483 --> 00:23:04,817
JURISDICTIONS.

530
00:23:04,817 --> 00:23:11,957
AND INCLUDES 48 COUNTIES, 

531
00:23:11,957 --> 00:23:14,894
WASHINGTON, D.C. AND SAN JUAN 

532
00:23:14,894 --> 00:23:16,562
PUERTO RICO AND STATES WHICH 

533
00:23:16,562 --> 00:23:17,763
HAVE A SUBSTANTIAL NUMBER OF HIV

534
00:23:17,763 --> 00:23:20,466
NUMBERS IN RURAL AREAS.

535
00:23:20,466 --> 00:23:25,037
NIH RECEIVES THE FUNDING TO 

536
00:23:25,037 --> 00:23:28,040
SUPPORT IMPLEMENTATION RESEARCH 

537
00:23:28,040 --> 00:23:29,708
IN THE JURISDICTIONS.

538
00:23:29,708 --> 00:23:34,580
SO FAR NIH HAS AWARDED 201 

539
00:23:34,580 --> 00:23:37,116
PROJECTS IN 2019 TO 2022.

540
00:23:37,116 --> 00:23:38,217
THIS SLIDE PROVIDES A VISUAL 

541
00:23:38,217 --> 00:23:40,686
OVERVIEW OF THE DISTRIBUTION OF 

542
00:23:40,686 --> 00:23:44,356
THOSE PROJECTS THAT INCLUDE 

543
00:23:44,356 --> 00:23:45,291
PRIORITY POPULATIONS WE SEE 

544
00:23:45,291 --> 00:23:47,760
THERE AND THE PROJECTS OF COURSE

545
00:23:47,760 --> 00:23:50,462
DO INCLUDE MORE THAN ONE 

546
00:23:50,462 --> 00:23:52,965
PRIORITY POPULATION IN MOST OF 

547
00:23:52,965 --> 00:23:53,165
THEM.

548
00:23:53,165 --> 00:24:02,241
SO I WILL ALSO NOTE THIS IS NOT 

549
00:24:02,241 --> 00:24:03,342
COINCIDENTAL THE BOXES ON THE 

550
00:24:03,342 --> 00:24:04,310
SLIDE RECEIVE MORE ATTENTION.

551
00:24:04,310 --> 00:24:07,580
THIS IS AN EXAMPLE IN THIS 

552
00:24:07,580 --> 00:24:11,784
PORTFOLIO OF THE HIV RESEARCH 

553
00:24:11,784 --> 00:24:14,620
WHERE THE NIH INVESTMENT FOLLOWS

554
00:24:14,620 --> 00:24:16,989
THE BURDEN OF DISEASE.

555
00:24:16,989 --> 00:24:21,026
MORE EVERIN 2023, NIH SOLICITED 

556
00:24:21,026 --> 00:24:23,729
AND FUNDING SCIENCE PROJECTS IN 

557
00:24:23,729 --> 00:24:24,029
FOUR AREAS.

558
00:24:24,029 --> 00:24:27,366
SYNDEMIC APPROACHES, LEVERAGING 

559
00:24:27,366 --> 00:24:31,103
PHARMACIES, LINKAGE TO CARE AND 

560
00:24:31,103 --> 00:24:32,471
CLUSTER DETECTION RESPONSE 

561
00:24:32,471 --> 00:24:34,506
TOTALLING ABOUT $25 MILLION IN 

562
00:24:34,506 --> 00:24:34,807
INVESTMENT.

563
00:24:34,807 --> 00:24:37,943
AGAIN, THERE WAS AN INTENTIONAL 

564
00:24:37,943 --> 00:24:38,611
PRIORITIZATION OF MORE 

565
00:24:38,611 --> 00:24:40,512
INVESTMENT IN SYNDEMIC 

566
00:24:40,512 --> 00:24:40,880
APPROACHES.

567
00:24:40,880 --> 00:24:44,049
BECAUSE AS I SHOWED WITH THE VEN

568
00:24:44,049 --> 00:24:46,986
DIAGRAM, SYNDEMIC INTERACTIONS 

569
00:24:46,986 --> 00:24:48,287
CAN NEGATIVELY AFFECT OUTCOME 

570
00:24:48,287 --> 00:24:49,221
ACROSS THE HIV PREVENTION AND 

571
00:24:49,221 --> 00:24:53,759
CARE CONTINUUM.

572
00:24:53,759 --> 00:24:56,428
IN ANOTHER EFFORT OAR HAS 

573
00:24:56,428 --> 00:24:58,530
ADDRESSED THE CHALLENGES OF 

574
00:24:58,530 --> 00:25:00,933
ENDING THE HIV PANDEMIC THROUGH 

575
00:25:00,933 --> 00:25:03,702
OUR NIH-WIDE MULTI-DISCIPLINARY 

576
00:25:03,702 --> 00:25:05,104
SIGNATURE PROGRAMS.

577
00:25:05,104 --> 00:25:08,540
OUR LAST OARAC MEETING FEATURED 

578
00:25:08,540 --> 00:25:11,844
WOMEN'S SIGNATURE PROGRAM.

579
00:25:11,844 --> 00:25:14,313
WE REMAIN CALLING FOR TECHNOLOGY

580
00:25:14,313 --> 00:25:16,048
FOR RESEARCH TO SOMETHING WE 

581
00:25:16,048 --> 00:25:17,983
HOPE IS MORE DESCRIPTIVE AND 

582
00:25:17,983 --> 00:25:20,653
ACCURATE AS THE ADVANCING 

583
00:25:20,653 --> 00:25:21,887
TECHNOLOGIES TO IMPROVE HIV 

584
00:25:21,887 --> 00:25:24,690
DIAGNOSIS AND CARE IN THE 

585
00:25:24,690 --> 00:25:25,090
SIGNATURE PROGRAM.

586
00:25:25,090 --> 00:25:27,660
FINALLY, RELATED TO THIS ON 

587
00:25:27,660 --> 00:25:30,963
NOVEMBER 1 AND 2, OAR AND THE 

588
00:25:30,963 --> 00:25:32,831
EXECUTIVE COMMITTEE WILL HOST 

589
00:25:32,831 --> 00:25:36,402
THE FIRST COMMUNITY-ORIENTED 

590
00:25:36,402 --> 00:25:39,872
WORKSHOP ON HIV DIAGNOSTICS AND 

591
00:25:39,872 --> 00:25:40,606
TECHNOLOGIES ENTITLED COMMUNITY 

592
00:25:40,606 --> 00:25:42,241
VOICES FORGING THE PATH FORWARD 

593
00:25:42,241 --> 00:25:45,744
FOR HIV SELF-TESTING AND 

594
00:25:45,744 --> 00:25:48,314
PERSONALIZED VIRAL LOAD 

595
00:25:48,314 --> 00:25:48,614
MONITORING.

596
00:25:48,614 --> 00:25:50,516
THIS WILL BE A VISUAL WORKSHOP 

597
00:25:50,516 --> 00:25:53,118
AND ADDITIONAL INFORMATION IS 

598
00:25:53,118 --> 00:25:55,654
AVAILABLE ON THE WEBSITE.

599
00:25:55,654 --> 00:25:57,122
SO, SEVERAL RECENT SUPPORTED 

600
00:25:57,122 --> 00:25:58,090
EVENTS ARE HELPING ADVANCE 

601
00:25:58,090 --> 00:26:00,359
APPROACHES TO IMPROVE CARE AND 

602
00:26:00,359 --> 00:26:01,961
REDUCE HEALTH DISPARITIES.

603
00:26:01,961 --> 00:26:05,097
THE FIRST I'LL MENTION IS THE 

604
00:26:05,097 --> 00:26:07,232
PHARMACY CENTER HIV RESEARCH 

605
00:26:07,232 --> 00:26:07,900
INITIATIVE.

606
00:26:07,900 --> 00:26:10,736
PHARMACIES PRESENT THE 

607
00:26:10,736 --> 00:26:11,770
GAME-CHANGING OPPORTUNITY TO 

608
00:26:11,770 --> 00:26:15,174
DECENTRALIZE CARE AND MAKE IT 

609
00:26:15,174 --> 00:26:20,646
MORE SAYS -- ACCESSIBLE AND THEY

610
00:26:20,646 --> 00:26:22,014
OFFER MORE CONVENIENT ACCESS 

611
00:26:22,014 --> 00:26:24,316
THROUGH LONGER HOURS AND MORE 

612
00:26:24,316 --> 00:26:24,883
LOCATIONS.

613
00:26:24,883 --> 00:26:26,652
WE KNOW THAT ONE OF THE 

614
00:26:26,652 --> 00:26:27,853
CHALLENGES IN IMPROVING HEALTH 

615
00:26:27,853 --> 00:26:29,154
OUTCOMES IS PEOPLE CAN'T ALWAYS 

616
00:26:29,154 --> 00:26:31,890
GET TO THE DOCTOR OR ACCESS THE 

617
00:26:31,890 --> 00:26:35,627
RIGHT SERVICES ONCE THEY ARE 

618
00:26:35,627 --> 00:26:35,828
THERE.

619
00:26:35,828 --> 00:26:37,529
WE NEED SCENES OPTIONS AS 

620
00:26:37,529 --> 00:26:38,464
POSSIBLE TO INCREASE ACCESS TO 

621
00:26:38,464 --> 00:26:40,265
CARE AND EXPANDING OUR APPROACH 

622
00:26:40,265 --> 00:26:41,233
BRINGING PREVENTION AND 

623
00:26:41,233 --> 00:26:43,235
TREATMENT SERVICES INTO 

624
00:26:43,235 --> 00:26:47,339
PHARMACIES ENABLES US TO DO 

625
00:26:47,339 --> 00:26:47,773
THAT.

626
00:26:47,773 --> 00:26:50,242
IN JUNE, NIH OFFICE OF AIDS 

627
00:26:50,242 --> 00:26:50,943
RESEARCH AND NATIONAL INSTITUTE 

628
00:26:50,943 --> 00:26:53,345
OF MENTAL HEALTH WITH OTHER 

629
00:26:53,345 --> 00:26:55,647
INSTITUTES CENTERS AND OFFICES 

630
00:26:55,647 --> 00:26:57,049
HELD A MEETING WITH SEVERAL 

631
00:26:57,049 --> 00:26:59,585
OTHER ATTENDEES AND SPEAKERS TO 

632
00:26:59,585 --> 00:27:03,389
DISCUSS PHARMACY DISCHARGE.

633
00:27:03,389 --> 00:27:04,757
FULL INFORMATION IS AVAILABLE ON

634
00:27:04,757 --> 00:27:07,159
THE OAR WEBSITE.

635
00:27:07,159 --> 00:27:10,162
EXPERTS FROM MANY SECTOR HIGHLY 

636
00:27:10,162 --> 00:27:12,731
MOTIVATED TO ADVANCE THIS 

637
00:27:12,731 --> 00:27:12,965
CONCEPT.

638
00:27:12,965 --> 00:27:14,533
I WILL NOT HIGHLIGHT ANOTHER 

639
00:27:14,533 --> 00:27:17,736
IMPORTANT EVENT THE OAR HELD IN 

640
00:27:17,736 --> 00:27:19,805
PARTNERSHIP WITH OTHER NIH 

641
00:27:19,805 --> 00:27:24,309
INSTITUTES AS THE CDC AND HRSA.

642
00:27:24,309 --> 00:27:26,478
IN EARLY SEPTEMBER, OARAC LED 

643
00:27:26,478 --> 00:27:29,982
THE AGING WORKSHOP WITH HIV AND 

644
00:27:29,982 --> 00:27:31,917
AIDS AND THEN HELD A PANEL 

645
00:27:31,917 --> 00:27:33,519
DISCUSSION INCLUDING COMMUNITY.

646
00:27:33,519 --> 00:27:35,754
AN IMPORTANT TAKE HOME MESSAGE 

647
00:27:35,754 --> 00:27:37,790
WAS THAT AGING WITH HIV NOT JUST

648
00:27:37,790 --> 00:27:40,959
ABOUT OLDER ADULTS BUT ABOUT 

649
00:27:40,959 --> 00:27:42,061
LIVING AND HAVING CUMULATIVE 

650
00:27:42,061 --> 00:27:44,997
EXPOSURE TO THE VIRUS AS WE 

651
00:27:44,997 --> 00:27:48,233
HEARD FROM THE COMMUNITY AT 

652
00:27:48,233 --> 00:27:50,536
USCHA AND WORTH NOTING ARE THE 

653
00:27:50,536 --> 00:27:56,909
CHILDREN BORN WITH HIV AND LIVE 

654
00:27:56,909 --> 00:28:00,312
LONG TERM WITH THE VIRUS AND ONE

655
00:28:00,312 --> 00:28:07,186
OF MY ADOLESCENT PATIENT 

656
00:28:07,186 --> 00:28:10,656
ACQUIRED HIV PERINATALLY AND 

657
00:28:10,656 --> 00:28:13,125
STILL TALK TO HIM AND ASKS THE 

658
00:28:13,125 --> 00:28:15,427
QUESTIONS ABOUT THE SIDE EFFECTS

659
00:28:15,427 --> 00:28:16,695
OF THE DRUGS AND WHAT I HAVE TO 

660
00:28:16,695 --> 00:28:17,229
DEAL WITH.

661
00:28:17,229 --> 00:28:20,332
AND FROM AN ALL-INCLUSIVE 

662
00:28:20,332 --> 00:28:22,534
PERSPECTIVE WE CAN REFER TO THIS

663
00:28:22,534 --> 00:28:25,104
PROGRAM AS NIH AND AGING ACROSS 

664
00:28:25,104 --> 00:28:27,506
THE LIFE SPAN.

665
00:28:27,506 --> 00:28:31,577
THE NEXT EVENT TOOK PLACE IN 

666
00:28:31,577 --> 00:28:33,378
CONJUNCTION WITH THE OFFICE OF 

667
00:28:33,378 --> 00:28:34,847
RESEARCH ON WOMEN'S HEALTH 

668
00:28:34,847 --> 00:28:39,952
CO-HOSTED A WOMEN'S WORKSHOP 

669
00:28:39,952 --> 00:28:43,021
THAT EXPLORED THE WAYS TO LOOK 

670
00:28:43,021 --> 00:28:44,223
AT PRIORITIES AT THE 

671
00:28:44,223 --> 00:28:45,624
INTERSECTION OF HIV IN WOMEN'S 

672
00:28:45,624 --> 00:28:47,059
HEALTH AND GATHER INPUT FROM THE

673
00:28:47,059 --> 00:28:47,392
COMMUNITY.

674
00:28:47,392 --> 00:28:52,631
PRESENTATIONS WERE FOLLOWED BY A

675
00:28:52,631 --> 00:28:53,265
LIVELY AND INTERACTIVE LISTENING

676
00:28:53,265 --> 00:28:54,166
SESSION.

677
00:28:54,166 --> 00:28:56,869
THEY REITERATED HIV IS NOT THE 

678
00:28:56,869 --> 00:28:58,237
DEFINING FEATURE BUT CALLED FOR 

679
00:28:58,237 --> 00:29:00,005
MORE MEANINGFUL ENGAGEMENT 

680
00:29:00,005 --> 00:29:02,541
WITH THAT CENTER ON THE 

681
00:29:02,541 --> 00:29:05,110
COMPLEXITY OF BLACK WOMEN'S 

682
00:29:05,110 --> 00:29:15,320
EXPERIENCE.

683
00:29:20,859 --> 00:29:25,097
THE RESEARCH IS CRITICAL TO 

684
00:29:25,097 --> 00:29:28,634
REMEMBER BASIC DISCOVERIES ARE 

685
00:29:28,634 --> 00:29:29,301
STILL PROGRESSING.

686
00:29:29,301 --> 00:29:31,570
THERE WAS THE FIRST INNOVATION 

687
00:29:31,570 --> 00:29:34,239
AND RESEARCH SYMPOSIUM AS PART 

688
00:29:34,239 --> 00:29:38,076
OF THE FESTIVAL HELD ON CAMPUS.

689
00:29:38,076 --> 00:29:41,046
WE HOPE IT MAKE IT AN ANNUAL 

690
00:29:41,046 --> 00:29:42,915
EVENT AND SUPPORTED BY THE 

691
00:29:42,915 --> 00:29:43,415
INNOVATION FUND.

692
00:29:43,415 --> 00:29:45,884
THE PROGRAM PROVIDES ONE-YEAR 

693
00:29:45,884 --> 00:29:48,387
FUNDING FOR MERITORIOUS PROJECT 

694
00:29:48,387 --> 00:29:52,925
USE INNOVATIVE APPROACHES TO 

695
00:29:52,925 --> 00:29:58,096
ADDRESS HIGH PRIORITIES IN HIV 

696
00:29:58,096 --> 00:29:59,898
RESEARCH THERE WAS A BROAD RANGE

697
00:29:59,898 --> 00:30:04,236
OF TOPICS INCLUDING THOSE 

698
00:30:04,236 --> 00:30:05,103
HIGHLIGHTED ON THE SCREEN FOR 

699
00:30:05,103 --> 00:30:09,808
YOU TO READ.

700
00:30:09,808 --> 00:30:11,710
CHANGING GEARS TO SIGNIFICANT 

701
00:30:11,710 --> 00:30:15,547
UPCOMING HIV RELATED EVENTS.

702
00:30:15,547 --> 00:30:17,683
THIS IS THE LAST OARAC MEETING 

703
00:30:17,683 --> 00:30:21,119
BEFORE WORLD AIDS DAY DECEMBER 

704
00:30:21,119 --> 00:30:21,787
1.

705
00:30:21,787 --> 00:30:22,721
THIS MARKS THE 35th ANNIVERSARY 

706
00:30:22,721 --> 00:30:27,693
OF THAT DAY AND THE CREATION OF 

707
00:30:27,693 --> 00:30:33,899
THE OFFICE OAR.

708
00:30:33,899 --> 00:30:36,001
IT WILL ALIGN WITH THE 

709
00:30:36,001 --> 00:30:39,071
U.S. GOVERNMENT'S THEME OF 

710
00:30:39,071 --> 00:30:40,505
REMEMBER AND COMMITTEE AND THE 

711
00:30:40,505 --> 00:30:41,440
WILL RELEASE THE ACTION REPORT 

712
00:30:41,440 --> 00:30:42,741
ON THAT DAY.

713
00:30:42,741 --> 00:30:43,909
THE UPDATE WILL HIGHLIGHT 

714
00:30:43,909 --> 00:30:45,677
PROGRESS MADE FOR ADVANCING THE 

715
00:30:45,677 --> 00:30:47,613
NATIONAL STRATEGY RELEASED IN 

716
00:30:47,613 --> 00:30:48,013
2021.

717
00:30:48,013 --> 00:30:48,747
STAY TUNED TO OUR WEBSITE FOR 

718
00:30:48,747 --> 00:30:53,018
MORE DETAILS.

719
00:30:53,018 --> 00:30:56,388
I ALSO WANTED TO REMEMBER 

720
00:30:56,388 --> 00:30:57,556
COUNCIL MEMBERS THE NEXT MEETING

721
00:30:57,556 --> 00:31:00,058
IS THURSDAY FEBRUARY 22 OF 2024 

722
00:31:00,058 --> 00:31:01,426
AND IT WILL BE A VIRTUAL EVENT.

723
00:31:01,426 --> 00:31:03,262
THANK YOU FOR MAKING THESE 

724
00:31:03,262 --> 00:31:07,232
MEETINGS A PRIORITY IN YOUR VERY

725
00:31:07,232 --> 00:31:10,636
BUSY SCHEDULES.

726
00:31:10,636 --> 00:31:12,838
I'LL SHARE A FEW IMPORTANT 

727
00:31:12,838 --> 00:31:14,940
ADMINISTRATIVE UPDATES.

728
00:31:14,940 --> 00:31:19,211
SEPTEMBER 1, OAR TRANSITIONED 

729
00:31:19,211 --> 00:31:23,482
THE FEDERAL OFFICER TO ADMIRAL 

730
00:31:23,482 --> 00:31:25,784
HOLTZ THE DEPUTY DIRECTOR.

731
00:31:25,784 --> 00:31:27,786
THIS TRANSITION ALIGNS WITH THE 

732
00:31:27,786 --> 00:31:30,555
LEADERSHIP STRUCTURE AND 

733
00:31:30,555 --> 00:31:32,724
STANDARD NIH PRACTICES AND 

734
00:31:32,724 --> 00:31:39,464
ENABLED CAPTAIN GLENSHAH TO 

735
00:31:39,464 --> 00:31:40,866
FOCUS ON THE STRATEGIC PLAN.

736
00:31:40,866 --> 00:31:41,933
THANK YOU FOR YOUR EXCELLENT 

737
00:31:41,933 --> 00:31:43,201
WORK OVER THE PAST FOUR YEARS 

738
00:31:43,201 --> 00:31:45,804
AND WELCOME TO YOUR FIRST 

739
00:31:45,804 --> 00:31:48,473
MEETING IN THE NEW ROLE.

740
00:31:48,473 --> 00:31:49,241
ADDITIONAL TRANSITIONS I'D LIKE 

741
00:31:49,241 --> 00:31:51,476
TO NOTE FOR THE COUNCIL, FIRST 

742
00:31:51,476 --> 00:31:53,845
THE CHANGE IN THE NATIONAL 

743
00:31:53,845 --> 00:31:54,446
CANCER ADVISORY BOARD 

744
00:31:54,446 --> 00:31:55,981
REPRESENTATIVE TO OARAC.

745
00:31:55,981 --> 00:31:58,850
WE THANK DR. FRANCIS OSMOND FOR 

746
00:31:58,850 --> 00:32:05,123
HIS SERVICE AND WARMLY WELCOME 

747
00:32:05,123 --> 00:32:10,495
DR. TRIESE AND WE THANK YOU 

748
00:32:10,495 --> 00:32:13,865
THOSE FOR THEIR TIME AND 

749
00:32:13,865 --> 00:32:14,399
COMMITMENT TO OARAC 

750
00:32:14,399 --> 00:32:16,468
AND I'D LIKE TO EXPRESS MY 

751
00:32:16,468 --> 00:32:21,807
GRATITUDE TO DIRECTORS, COLLINS,

752
00:32:21,807 --> 00:32:26,211
MILLER, RIVERA AND SLICEMAN FOR 

753
00:32:26,211 --> 00:32:27,212
RENEWING THEIR TERMS.

754
00:32:27,212 --> 00:32:31,049
AND THERE'S UPDATES REGARDING 

755
00:32:31,049 --> 00:32:31,950
THE NIH.

756
00:32:31,950 --> 00:32:33,685
FIRST SIGNIFICANT FOR THE HIV 

757
00:32:33,685 --> 00:32:36,822
RESEARCH PROGRAM A NEW DIRECTOR 

758
00:32:36,822 --> 00:32:47,366
FOR OAR'S LARGEST PARTNER NIAID 

759
00:32:49,501 --> 00:32:52,671
AND SHE COMES TO US FROM THE 

760
00:32:52,671 --> 00:32:55,207
UNIVERSITY OF ALABAMA BIRMINGHAM

761
00:32:55,207 --> 00:32:57,109
AND HAS BEEN AN ADVOCATE FOR 

762
00:32:57,109 --> 00:32:58,944
MINORITIZED POPULATIONS AFFECT 

763
00:32:58,944 --> 00:33:01,713
AED BY HIV AND STDs AND IS A 

764
00:33:01,713 --> 00:33:03,982
CHAMPION IN THIS ARENA.

765
00:33:03,982 --> 00:33:06,485
SHE BRINGS A WEALTH OF 

766
00:33:06,485 --> 00:33:07,252
LEADERSHIP EXPERIENCE FROM 

767
00:33:07,252 --> 00:33:08,653
LEADING INTERNATIONAL CLINICAL 

768
00:33:08,653 --> 00:33:11,490
TRIAL AND TRANSLATIONAL 

769
00:33:11,490 --> 00:33:11,890
RESEARCH.

770
00:33:11,890 --> 00:33:16,094
WE AT OAR LOOK FORWARD TO WORK 

771
00:33:16,094 --> 00:33:18,697
WITH HER AND LOOK FORWARD TO 

772
00:33:18,697 --> 00:33:20,132
ENDING THE HIV PANDEMIC.

773
00:33:20,132 --> 00:33:22,401
THERE'S NUMEROUS LEADERSHIP 

774
00:33:22,401 --> 00:33:24,936
UPDATES WITHIN THE OFFICE OF THE

775
00:33:24,936 --> 00:33:26,371
DIRECTOR'S VISION OF PROGRAM 

776
00:33:26,371 --> 00:33:28,740
COORDINATION, PLANNING AND 

777
00:33:28,740 --> 00:33:30,475
STRATEGIC INITIATIVES.

778
00:33:30,475 --> 00:33:33,612
THIS IS THE DIVISION IN WHICH 

779
00:33:33,612 --> 00:33:36,148
OAR ALSO SITS.

780
00:33:36,148 --> 00:33:37,849
JUST THIS MORNING DR. SCHWETZ 

781
00:33:37,849 --> 00:33:40,585
WAS NAME AS THE NIH DEPUTY 

782
00:33:40,585 --> 00:33:42,687
DIRECTOR FOR PROGRAM 

783
00:33:42,687 --> 00:33:44,723
COORDINATION, PLANNING AND 

784
00:33:44,723 --> 00:33:45,457
STRATEGIC INITIATIVES AND 

785
00:33:45,457 --> 00:33:45,724
DIRECTOR.

786
00:33:45,724 --> 00:33:48,794
SHE HAS BEEN SERVING AS THE 

787
00:33:48,794 --> 00:33:50,228
ACTING PRINCIPLE DEPUTY DIRECTOR

788
00:33:50,228 --> 00:33:52,764
SINCE SEPTEMBER OF 2021 AND 

789
00:33:52,764 --> 00:33:54,733
REMAIN IN THAT POSITION UNTIL 

790
00:33:54,733 --> 00:33:56,601
NEW NIH DIRECTOR IS CONFIRMED BY

791
00:33:56,601 --> 00:33:59,438
THE SENATE AND A TRANSITION 

792
00:33:59,438 --> 00:34:01,106
OCCURS.

793
00:34:01,106 --> 00:34:07,212
DR. ICINGER WILL CONTINUE AS THE

794
00:34:07,212 --> 00:34:08,680
DIRECTOR UNTIL THAT TIME.

795
00:34:08,680 --> 00:34:10,482
AND THERE'S A FEW ADDITIONAL 

796
00:34:10,482 --> 00:34:11,049
UPDATES.

797
00:34:11,049 --> 00:34:13,118
DR. WALTERS IS THE NEW DIRECTOR 

798
00:34:13,118 --> 00:34:16,555
OF THE NIH TRIBAL HEALTH 

799
00:34:16,555 --> 00:34:17,756
RESEARCH OFFICE AND A MEMBER OF 

800
00:34:17,756 --> 00:34:18,323
OUR PANEL TODAY.

801
00:34:18,323 --> 00:34:24,029
WE LOOK FORWARD TO HEARING FROM.

802
00:34:24,029 --> 00:34:26,364
AND THEN DR. JANE SIMONI THE 

803
00:34:26,364 --> 00:34:29,100
DIRECTOR OF THE OFFICE OF 

804
00:34:29,100 --> 00:34:30,268
BEHAVIORAL AND SCIENCE RESEARCH 

805
00:34:30,268 --> 00:34:32,304
AND DR. BREMER IS THE NEW 

806
00:34:32,304 --> 00:34:35,040
DIRECTOR OF THE OFFICE OF 

807
00:34:35,040 --> 00:34:35,807
NUTRITION RESEARCH.

808
00:34:35,807 --> 00:34:38,276
FINALLY, THE SEARCH FOR THE NEXT

809
00:34:38,276 --> 00:34:41,146
PERMANENT OAR DIRECTOR IS 

810
00:34:41,146 --> 00:34:43,215
ONGOING.

811
00:34:43,215 --> 00:34:44,983
I'D LIKE TO TAKE A FEW MINUTES 

812
00:34:44,983 --> 00:34:47,652
TO TALK ABOUT HOW WE'LL SHAPE 

813
00:34:47,652 --> 00:34:48,820
THE FUTURE OF THE NIH RESEARCH 

814
00:34:48,820 --> 00:34:52,324
PROGRAM TO ENHANCE HOW WE WILL 

815
00:34:52,324 --> 00:34:55,360
ADDRESS THE MULTI-FACETED 

816
00:34:55,360 --> 00:34:58,230
COMPLEX CHALLENGES.

817
00:34:58,230 --> 00:34:59,831
OAR WILL COORDINATE THE 

818
00:34:59,831 --> 00:35:01,466
STRATEGIC PLAN FOR HIV RESEARCH.

819
00:35:01,466 --> 00:35:02,434
WE'RE TAKING PRELIMINARY STEPS 

820
00:35:02,434 --> 00:35:06,137
TO PREPARE FOR THE UPDATE.

821
00:35:06,137 --> 00:35:09,941
WE PLAN TO VET IDEAS THROUGH 

822
00:35:09,941 --> 00:35:11,276
INTERNAL CHANNELS WITH THE HIV 

823
00:35:11,276 --> 00:35:12,878
AIDS COMMITTEE AND ALL OFFICES 

824
00:35:12,878 --> 00:35:16,615
AND CENTER WITH FUNDING.

825
00:35:16,615 --> 00:35:19,217
WE PLAN TO LAUNCH AN OARAC 

826
00:35:19,217 --> 00:35:21,887
WORKING GROUP TO INCORPORATE 

827
00:35:21,887 --> 00:35:22,320
INPUT.

828
00:35:22,320 --> 00:35:24,523
WE ANTICIPATE A MORE IN DEPTH 

829
00:35:24,523 --> 00:35:27,926
PRESENTATION ON THE TOPIC THE 

830
00:35:27,926 --> 00:35:31,596
FIRST OARAC MEETING IN 2024.

831
00:35:31,596 --> 00:35:34,165
LET ME SHOW YOU HERE THE 

832
00:35:34,165 --> 00:35:35,233
REMAINDER OF OUR MEETING TODAY 

833
00:35:35,233 --> 00:35:36,334
THE SCHEDULE AND I'LL GIVE YOU A

834
00:35:36,334 --> 00:35:39,538
MOMENT TO READ THROUGH THIS.

835
00:35:39,538 --> 00:35:40,639
SHORTLY WELL HEAR MUCH MORE 

836
00:35:40,639 --> 00:35:42,707
ABOUT HEALTH DISPARITIES IN THE 

837
00:35:42,707 --> 00:35:45,110
CONTEXT OF HIV FROM A SERIES OF 

838
00:35:45,110 --> 00:35:48,880
EXPERTS AS I MENTIONED BEFORE.

839
00:35:48,880 --> 00:35:51,049
FOLLOWED BY EYE LIVELY 

840
00:35:51,049 --> 00:35:52,551
DISCUSSION AND REPRESENTATIVES 

841
00:35:52,551 --> 00:35:55,820
FROM NIH INSTITUTES, CENTER AND 

842
00:35:55,820 --> 00:35:58,557
OFFICES AND OAR.

843
00:35:58,557 --> 00:36:00,258
BEFORE I TAKE SOME OF YOUR 

844
00:36:00,258 --> 00:36:03,695
QUESTIONS TODAY, I WANT TO COME 

845
00:36:03,695 --> 00:36:08,533
BACK TO THIS IMPORTANT POINT.

846
00:36:08,533 --> 00:36:11,069
TODAY AS NEVER BEFORE WE 

847
00:36:11,069 --> 00:36:11,703
RECOGNIZE THE CHALLENGES OPPOSED

848
00:36:11,703 --> 00:36:22,213
BY HEALTH DISPARITIES, SOCIAL 

849
00:36:23,048 --> 00:36:24,883
DETERMINATE NATES OF HEALTH AND 

850
00:36:24,883 --> 00:36:27,285
THIS IS A RECOMMITMENT TO WORK 

851
00:36:27,285 --> 00:36:29,654
TOGETHER IN THE LAYERS OF THIS 

852
00:36:29,654 --> 00:36:29,921
CHALLENGE.

853
00:36:29,921 --> 00:36:30,589
I TRUST TOGETHER WE'LL GET 

854
00:36:30,589 --> 00:36:32,991
THROUGH TO THE FINISH LINE.

855
00:36:32,991 --> 00:36:33,992
THANK YOU AND I WILL NOW OPEN 

856
00:36:33,992 --> 00:36:44,402
THE FLOOR TO QUESTIONS.

857
00:36:51,910 --> 00:36:52,844
>> THANK YOU.

858
00:36:52,844 --> 00:36:53,712
WE HAVE TWO MINUTES FOR COMMENTS

859
00:36:53,712 --> 00:36:54,813
AND QUESTIONS.

860
00:36:54,813 --> 00:36:55,447
RAISE YOUR HAND ON ZOOM IF YOU 

861
00:36:55,447 --> 00:37:05,724
HAVE A QUESTION.

862
00:37:17,302 --> 00:37:20,305
>> THANK YOU AND GRAN 

863
00:37:20,305 --> 00:37:22,607
CONGRATULATIONS AND GO BACK TO 

864
00:37:22,607 --> 00:37:25,210
HEALTH DISPARITY RESEARCH.

865
00:37:25,210 --> 00:37:32,150
A WHILE BACK IT WAS A WHILE BACK

866
00:37:32,150 --> 00:37:42,661
THE FORUM AND THE SUCCESS WAS 

867
00:37:44,229 --> 00:37:47,065
THAT THE CLINICAL RESEARCH HIV 

868
00:37:47,065 --> 00:37:50,101
FUNDING STREAM FUNDED ALL THREE 

869
00:37:50,101 --> 00:37:52,704
CALIFORNIA CFARs TO CONTINUE AND

870
00:37:52,704 --> 00:37:57,242
LOOK AT HEALTH DISPARITIES 

871
00:37:57,242 --> 00:38:05,116
RESEARCH IN THE IN THE OWN 

872
00:38:05,116 --> 00:38:15,660
BACKWARD AND I KNOW WHAT YOU'RE 

873
00:38:18,029 --> 00:38:21,099
TALKING ABOUT BUT IF THE C FARs 

874
00:38:21,099 --> 00:38:24,436
ARE CONTINUING WITH THE EFFORT 

875
00:38:24,436 --> 00:38:25,670
ON HEALTH DISPARITIES RESEARCH 

876
00:38:25,670 --> 00:38:27,038
IN THE COMMUNITY BECAUSE A LOT 

877
00:38:27,038 --> 00:38:28,707
OF THE RESEARCH HAS TO BE REALLY

878
00:38:28,707 --> 00:38:31,176
SPECIFIC TO THE LOCAL 

879
00:38:31,176 --> 00:38:34,979
COMMUNITIES OTHERWISE YOU JUST 

880
00:38:34,979 --> 00:38:36,781
COME UP WITH VERY GENERALIZED 

881
00:38:36,781 --> 00:38:38,550
MESSAGES ABOUT HEALTH 

882
00:38:38,550 --> 00:38:39,617
DISPARITIES AND HOW THEY'RE BAD 

883
00:38:39,617 --> 00:38:50,028
AND NEED TO BE OVERCOME.

884
00:39:43,848 --> 00:39:44,949
>> THEY'VE CONTINUED TO DO
THE 

885
00:39:44,949 --> 00:39:45,150
WORK.

886
00:39:45,150 --> 00:39:47,152
WE'RE WORKING TOGETHER TO COME 

887
00:39:47,152 --> 00:39:53,091
UP WITH NEW FOAs AND WE EXPANDED

888
00:39:53,091 --> 00:40:00,532
TO INCLUDE OTHER INSTITUTES.

889
00:40:00,532 --> 00:40:01,866
WE HIGHLIGHTED THE WORK BEING 

890
00:40:01,866 --> 00:40:07,272
DONE UNDER THE EHE RUBRIC IS 

891
00:40:07,272 --> 00:40:07,772
CONTINUING AND ONGOING.

892
00:40:07,772 --> 00:40:10,108
AND WE'RE IN THE PROCESS OF 

893
00:40:10,108 --> 00:40:12,577
DEVELOPING 2026 INITIATIVES.

894
00:40:12,577 --> 00:40:16,414
SO YOU'LL SEE A LOT OF THOSE 

895
00:40:16,414 --> 00:40:19,250
COMING UP WITH ONGOING EFFORTS.

896
00:40:19,250 --> 00:40:19,918
>> THANK YOU.

897
00:40:19,918 --> 00:40:21,553
>> THANK YOU, I THINK
WE'LL HEAR

898
00:40:21,553 --> 00:40:26,891
MORE ABOUT THIS IN THE PANEL 

899
00:40:26,891 --> 00:40:27,192
DISCUSSION.

900
00:40:27,192 --> 00:40:29,127
DR. MONTNERA.

901
00:40:29,127 --> 00:40:39,571
I BELIEVE YOU'RE ON MUTE.

902
00:40:46,044 --> 00:40:47,846
>> THANK YOU, WITH PREP
UPDATES 

903
00:40:47,846 --> 00:40:51,950
AND THE DYNAMIC OF PREVENTION 

904
00:40:51,950 --> 00:40:53,051
AND WITHIN THE POPULATION ARE 

905
00:40:53,051 --> 00:40:56,221
DISTINCT AND THOUGH THE LESSON 

906
00:40:56,221 --> 00:40:59,490
HIGHLIGHTED I WAS WONDERING 

907
00:40:59,490 --> 00:41:02,927
WHERE THE AGING POPULATION WAS 

908
00:41:02,927 --> 00:41:04,362
INTERSECTING WITH THESE PROJECTS

909
00:41:04,362 --> 00:41:04,963
IF IT'S A PARTICULAR EMPHASIS 

910
00:41:04,963 --> 00:41:10,001
AREA.

911
00:41:10,001 --> 00:41:15,707
>> I'M NOT AWARE THERE'S 

912
00:41:15,707 --> 00:41:25,283
ANYTHING AGING AND OLD OR ADULTS

913
00:41:25,283 --> 00:41:26,985
IN THE PROJECT AND WHETHER 

914
00:41:26,985 --> 00:41:28,920
THEY'RE CALLED OUT I MIGHT HAVE 

915
00:41:28,920 --> 00:41:33,691
TO REFER BACK TO DR. CARL OR 

916
00:41:33,691 --> 00:41:37,929
DIEFENBACH ABOUT THIS.

917
00:41:37,929 --> 00:41:40,331
>> WHILE THEY'RE NOT
ALWAYS 

918
00:41:40,331 --> 00:41:42,433
CALLED OUT SPECIFICALLY IT 

919
00:41:42,433 --> 00:41:45,703
INCLUDED WHEN WE WRITE THE 

920
00:41:45,703 --> 00:41:47,005
INITIATIVES AND THE AGING 

921
00:41:47,005 --> 00:41:50,508
POPULATION HAS ALWAYS BEEN A 

922
00:41:50,508 --> 00:41:52,911
TARGET AND CONTINUES TO BE.

923
00:41:52,911 --> 00:41:55,046
THERE ARE A LOT OF EFFORTS BEING

924
00:41:55,046 --> 00:41:57,148
DEVELOPED RIGHT NOW ABOUT THE 

925
00:41:57,148 --> 00:41:59,684
AGING POPULATION AND THE EHE 

926
00:41:59,684 --> 00:42:00,118
INCLUDES IT.

927
00:42:00,118 --> 00:42:02,120
I DON'T THINK THERE WAS A 

928
00:42:02,120 --> 00:42:04,322
SPECIFIC CALL UP LIKE BILL SAID 

929
00:42:04,322 --> 00:42:09,127
BUT IT'S DEFINITELY EMBEDDED IN 

930
00:42:09,127 --> 00:42:10,895
THERE.

931
00:42:10,895 --> 00:42:12,563
>> AND PRIORITY OF MINE
EFFORTS 

932
00:42:12,563 --> 00:42:16,634
TO TRY TO BRING FOCUS INTO THE 

933
00:42:16,634 --> 00:42:18,569
HIV AND AGING SPACE AND TRYING 

934
00:42:18,569 --> 00:42:20,204
TO FIGURE OUT WHAT OTHERS MIGHT 

935
00:42:20,204 --> 00:42:21,973
BE ABLE TO DO IN ADDITION TO 

936
00:42:21,973 --> 00:42:25,043
SOME WE HAVE ALREADY IMPLEMENTED

937
00:42:25,043 --> 00:42:26,477
IN THE FIELD WITH ADMINISTRATIVE

938
00:42:26,477 --> 00:42:27,712
SUPPLEMENTS AND COLLABORATIONS 

939
00:42:27,712 --> 00:42:30,982
WITH OTHER INSTITUTES LIKE NIA 

940
00:42:30,982 --> 00:42:33,151
AND OTHERS.

941
00:42:33,151 --> 00:42:34,319
THOSE ARE ADDITIONAL WAYS TO 

942
00:42:34,319 --> 00:42:37,088
ADDRESS THIS AND I THINK LOOKING

943
00:42:37,088 --> 00:42:39,924
FORWARD TO MORE SOON.

944
00:42:39,924 --> 00:42:40,458
JOHN, I THINK YOU HAVE A 

945
00:42:40,458 --> 00:42:45,163
QUESTION.

946
00:42:45,163 --> 00:42:48,766
>> THAT WAS A GREAT 

947
00:42:48,766 --> 00:42:49,100
PRESENTATION.

948
00:42:49,100 --> 00:42:50,501
AS YOU KNOW, IMPACT IS MEETING 

949
00:42:50,501 --> 00:42:53,137
THIS WEEK AND THE ISSUES OF 

950
00:42:53,137 --> 00:43:03,581
HEALTH CARE DISPARITIES, 

951
00:43:09,554 --> 00:43:14,425
IMPLEMENTATION SCIENCES AND ARE 

952
00:43:14,425 --> 00:43:16,694
WE BRINGING INITIATIVES ON 

953
00:43:16,694 --> 00:43:16,894
BOARD?

954
00:43:16,894 --> 00:43:20,198
>> AS I ARTICULATED, I
THINK WE 

955
00:43:20,198 --> 00:43:24,535
FULLY INTEND TO ENGAGE WITH ALL 

956
00:43:24,535 --> 00:43:25,937
SECTORS OF THIS EFFORT AND THE 

957
00:43:25,937 --> 00:43:27,071
STRATEGIC PLANNING AND LOOKING 

958
00:43:27,071 --> 00:43:29,440
AT THE PRIORITIES.

959
00:43:29,440 --> 00:43:32,510
AND THAT INCLUDES OBVIOUSLY THE 

960
00:43:32,510 --> 00:43:35,113
INTERNAL WORK HERE THAT WE HAVE 

961
00:43:35,113 --> 00:43:38,516
TO DO WITHIN ALL THE COLLEAGUES 

962
00:43:38,516 --> 00:43:40,551
AND PARTNERS ACROSS NIH AND IT 

963
00:43:40,551 --> 00:43:42,787
WILL INCLUDE THE COMMUNITY AND 

964
00:43:42,787 --> 00:43:50,895
THE FULL SWATH OF ACADEMICIANS 

965
00:43:50,895 --> 00:43:52,196
AND A CHANCE TO LOOK AT ALL 

966
00:43:52,196 --> 00:43:54,766
THESE THINGS THAT GO TO THAT 

967
00:43:54,766 --> 00:43:57,301
VERSION OF THE STRATEGIC PLAN.

968
00:43:57,301 --> 00:44:00,471
AGAIN, MORE TO COME AS THAT GETS

969
00:44:00,471 --> 00:44:01,706
FLUSHED OUT BY THE NEXT OARAC 

970
00:44:01,706 --> 00:44:04,709
MEETING YOU'LL HAVE A MUCH MORE 

971
00:44:04,709 --> 00:44:06,444
THOROUGH PRESENTATION.

972
00:44:06,444 --> 00:44:16,754
SHORT ANSWER, YES.

973
00:44:24,328 --> 00:44:29,600
>> WOULD YOU LIKE TO
INTRODUCE 

974
00:44:29,600 --> 00:44:31,269
ELISEO PEREZ-STABLE.

975
00:44:31,269 --> 00:44:32,670
>> THANK YOU.

976
00:44:32,670 --> 00:44:35,406
SO WE'LL NOW SWITCH GEARS AND GO

977
00:44:35,406 --> 00:44:37,375
INTO OUR NEXT PRESENTER, 

978
00:44:37,375 --> 00:44:41,179
DR. ELISEO PEREZ-STABLE DIRECTOR

979
00:44:41,179 --> 00:44:43,047
OF THE NATIONAL INSTITUTE ON 

980
00:44:43,047 --> 00:44:45,149
HEALTH AND HEALTH DISPARITY AND 

981
00:44:45,149 --> 00:44:46,551
OVERSEES THE BUDGET TO ADVANCE 

982
00:44:46,551 --> 00:44:47,985
THE BUDGET OF MINORITY HEALTH 

983
00:44:47,985 --> 00:44:53,257
AND HEALTH DISPARITIES RESEARCH.

984
00:44:53,257 --> 00:45:02,633
SINCE JOINING NIMHD HAS BEEN ON 

985
00:45:02,633 --> 00:45:09,107
THE CUTTING EDGE AND ENDING THE 

986
00:45:09,107 --> 00:45:10,141
HIV EPIDEMIC STARTS WITH 

987
00:45:10,141 --> 00:45:12,143
ADDRESSING THE HEALTH 

988
00:45:12,143 --> 00:45:12,443
DISPARITIES.

989
00:45:12,443 --> 00:45:13,144
BEGIN WHEN YOU'RE READY.

990
00:45:13,144 --> 00:45:19,283
>> THANK YOU VERY MUCH.

991
00:45:19,283 --> 00:45:22,787
THANK YOU, BILL AND TIM FOR ALL 

992
00:45:22,787 --> 00:45:23,554
THE EFFORTS YOU ARE DOING.

993
00:45:23,554 --> 00:45:28,893
I WANT TO START BY SHARING THAT 

994
00:45:28,893 --> 00:45:31,262
MY BACKGROUND AS A GENERAL 

995
00:45:31,262 --> 00:45:32,763
INTERNIST AND WAS IN SAN 

996
00:45:32,763 --> 00:45:35,733
FRANCISCO IN JUNE OF 1979 WHEN 

997
00:45:35,733 --> 00:45:38,402
THE FIRST PATIENT WITH 

998
00:45:38,402 --> 00:45:39,403
INTERSTITIAL LUNG DISEASE WAS 

999
00:45:39,403 --> 00:45:41,772
ADMITTED TO THE ICU AND OVER THE

1000
00:45:41,772 --> 00:45:44,976
OF THAT DECADE THAT FOLLOWED AS 

1001
00:45:44,976 --> 00:45:48,045
A PRIMARY CARE GENERAL INTERNIST

1002
00:45:48,045 --> 00:45:54,519
I SAW A LOT OF PATIENTS WITH 

1003
00:45:54,519 --> 00:45:55,820
HIV-AIDS WHO PROGRESSED AND DIED

1004
00:45:55,820 --> 00:45:58,956
WITH MULTIPLE COMPLICATIONS.

1005
00:45:58,956 --> 00:46:00,124
SO OBSERVING FROM A LITTLE BIT 

1006
00:46:00,124 --> 00:46:03,094
MORE DISTANCE THE EVOLUTION OF 

1007
00:46:03,094 --> 00:46:07,465
HOW WE ARE NOW IN 2023 AT WITH 

1008
00:46:07,465 --> 00:46:08,966
THE EPIDEMIC WITH TOOLS THAT CAN

1009
00:46:08,966 --> 00:46:11,936
LEAD TO A NORMAL LIFE EXPECTANCY

1010
00:46:11,936 --> 00:46:14,572
FOR SOMEONE INFECTED AT AGE 25 

1011
00:46:14,572 --> 00:46:18,075
IS REALLY AMAZING.

1012
00:46:18,075 --> 00:46:21,312
AND OUR COMMITMENT AT NIMHD FOR 

1013
00:46:21,312 --> 00:46:22,513
ADDRESSING THE HIV IN GENERAL 

1014
00:46:22,513 --> 00:46:25,716
AND PARTICULARLY IN THE HEALTH 

1015
00:46:25,716 --> 00:46:26,951
DISPARITIES AREA IS REALLY A 

1016
00:46:26,951 --> 00:46:27,518
VERY IMPORTANT PART OF OUR 

1017
00:46:27,518 --> 00:46:30,555
MISSION.

1018
00:46:30,555 --> 00:46:33,191
I'LL START WITH A BIG PICTURE 

1019
00:46:33,191 --> 00:46:35,893
THAT YOU ALL HEARD ALREADY WHO.

1020
00:46:35,893 --> 00:46:36,794
WE HAVE THE TOOLS.

1021
00:46:36,794 --> 00:46:37,562
WE HAVE PREP.

1022
00:46:37,562 --> 00:46:41,499
WE HAVE EFFECTIVE MEDICINES.

1023
00:46:41,499 --> 00:46:43,834
WE HAVE EASY DIAGNOSIS TO DO 

1024
00:46:43,834 --> 00:46:47,371
EARLY WITH HOME TESTING AND 

1025
00:46:47,371 --> 00:46:47,638
TREATING.

1026
00:46:47,638 --> 00:46:49,807
YET 20% OF NEW INFECTIONS OCCUR 

1027
00:46:49,807 --> 00:46:52,109
IN PEOPLE WHO ARE ALREADY 

1028
00:46:52,109 --> 00:46:52,977
TREATED AND NOT SUPPRESSED SO 

1029
00:46:52,977 --> 00:46:58,249
THAT'S CLEARLY AN AREA WE CAN DO

1030
00:46:58,249 --> 00:46:59,250
BETTER.

1031
00:46:59,250 --> 00:47:03,721
AND 63% OF PERSONS WITH HIV SHOW

1032
00:47:03,721 --> 00:47:06,357
VIRAL SUPPRESSION BUT AMONG 

1033
00:47:06,357 --> 00:47:09,360
BLACK AND LATINO INDIVIDUALS 

1034
00:47:09,360 --> 00:47:11,028
YOUNGER IT'S 50% YES.

1035
00:47:11,028 --> 00:47:13,731
THE MULTI-LEVEL APPROACHES ARE 

1036
00:47:13,731 --> 00:47:15,066
REALLY NECESSARY IN A FOCUSSED 

1037
00:47:15,066 --> 00:47:17,868
WAY.

1038
00:47:17,868 --> 00:47:20,271
SO IT IS A PRIORITY TO END HIV 

1039
00:47:20,271 --> 00:47:21,138
EPIDEMIC.

1040
00:47:21,138 --> 00:47:23,975
IT HAS TO START WITH DISPARITIES

1041
00:47:23,975 --> 00:47:25,810
AS BILL OUTLINED IN TERMS OF 

1042
00:47:25,810 --> 00:47:27,178
WHERE THE INFECTIONS ARE.

1043
00:47:27,178 --> 00:47:31,082
I DON'T HAVE A SLIDE TO FOCUS ON

1044
00:47:31,082 --> 00:47:32,250
THE GEOGRAPHY BUT IT CLEARLY 

1045
00:47:32,250 --> 00:47:36,087
ALSO IS IN CERTAIN PARTS OF THE 

1046
00:47:36,087 --> 00:47:41,158
COUNTRY THAT DO MUCH WORSE WITH 

1047
00:47:41,158 --> 00:47:49,133
KNEW INFECTIONS THAN OTHERS.

1048
00:47:49,133 --> 00:47:51,936
A

1049
00:47:51,936 --> 00:47:55,039
AND SET SOME STANDARDS YEARS AGO

1050
00:47:55,039 --> 00:47:56,507
AND IS AN ABSOLUTE REQUIREMENT 

1051
00:47:56,507 --> 00:47:59,477
TO DO GOOD SCIENCE AND ADDRESS 

1052
00:47:59,477 --> 00:48:00,611
ENDING THE HIV EPIDEMIC.

1053
00:48:00,611 --> 00:48:04,882
WE NEED TO IMPLEMENT WHAT WE 

1054
00:48:04,882 --> 00:48:05,149
KNOW.

1055
00:48:05,149 --> 00:48:07,451
WE SHOULD GET WELL OVER 80% OF 

1056
00:48:07,451 --> 00:48:10,321
INDIVIDUALS WHO ARE INFECTED 

1057
00:48:10,321 --> 00:48:13,057
WITH HIV SHOULD BE SUPPRESSED.

1058
00:48:13,057 --> 00:48:14,425
THERE ARE MODELS AT WORK.

1059
00:48:14,425 --> 00:48:15,159
AND DISSEMINATING THE MODELS 

1060
00:48:15,159 --> 00:48:22,300
SEEING WHAT ARE TE BARRIERS FOR 

1061
00:48:22,300 --> 00:48:23,134
NON-PARLI

1062
00:48:23,134 --> 00:48:23,467
NO

1063
00:48:23,467 --> 00:48:25,036
NON-IMPLEMENTING THEM IS WHERE 

1064
00:48:25,036 --> 00:48:28,105
THE SCIENCE OF ENDING THE HIV 

1065
00:48:28,105 --> 00:48:28,906
EPIDEMIC ON THE IMPLEMENTATION 

1066
00:48:28,906 --> 00:48:29,907
SIDE SHOULD BE.

1067
00:48:29,907 --> 00:48:34,345
WE SHOULD BE MORE OF AN ENGINE 

1068
00:48:34,345 --> 00:48:39,317
FOR INCREASING THE SCIENTIFIC 

1069
00:48:39,317 --> 00:48:46,123
AND CLINICAL WORKFORCE AND OUR 

1070
00:48:46,123 --> 00:48:50,227
CLINICAL WORKFORCE DIDN'T 

1071
00:48:50,227 --> 00:48:53,964
REFLECT THOSE OBTAINING HIV AND 

1072
00:48:53,964 --> 00:48:59,503
NEED TO DIVERSIFY THE WORKFORCE.

1073
00:48:59,503 --> 00:49:01,572
I HAVE THE AUTHORITY ACCORDING 

1074
00:49:01,572 --> 00:49:06,677
TO CONGRESSIONAL STATUTE AND THE

1075
00:49:06,677 --> 00:49:08,312
FIRST THREE BULLETS WERE 

1076
00:49:08,312 --> 00:49:08,879
INCLUDED IN THE ORIGINAL 

1077
00:49:08,879 --> 00:49:11,315
LEGISLATION IN 2000.

1078
00:49:11,315 --> 00:49:17,121
IN 2016 WE DECLARED SEXUAL ACOR 

1079
00:49:17,121 --> 00:49:19,790
GENDER MINORITIES OR LGBTQ AS A 

1080
00:49:19,790 --> 00:49:21,125
POPULATION WITH HEALTH 

1081
00:49:21,125 --> 00:49:24,729
DISPATRIOTS AND WE DECLARED 

1082
00:49:24,729 --> 00:49:26,197
PERSONS WITH DISABILITIES TO BE 

1083
00:49:26,197 --> 00:49:29,133
IN THE CATEGORY.

1084
00:49:29,133 --> 00:49:31,502
A UNIFYING CHARACTERISTIC IS THE

1085
00:49:31,502 --> 00:49:33,371
SOCIAL DISADVANTAGE THAT RESULTS

1086
00:49:33,371 --> 00:49:34,605
IN PART BEING SUBJECT TO 

1087
00:49:34,605 --> 00:49:36,073
DISCRIMINATION OR RACISM.

1088
00:49:36,073 --> 00:49:37,308
AND FROM BEING UNDER SERVED IN 

1089
00:49:37,308 --> 00:49:47,518
HEALTH CARE.

1090
00:49:48,519 --> 00:49:49,653
SOCIAL CLASS ARE FACTOR 

1091
00:49:49,653 --> 00:49:51,555
INFLUENCE FACT.

1092
00:49:51,555 --> 00:49:53,157
THEY PREDICT SO MUCH THAT WE 

1093
00:49:53,157 --> 00:49:55,826
DON'T FULLY UNDERSTAND THAT OUR 

1094
00:49:55,826 --> 00:49:57,595
POSITION IS IT SHOULD ALWAYS BE 

1095
00:49:57,595 --> 00:49:59,730
MEASURED IN STANDARDIZED WAYS 

1096
00:49:59,730 --> 00:50:03,200
AND CONSIDER NOT NECESSARILY AS 

1097
00:50:03,200 --> 00:50:05,169
CAUSAL BUT CONSIDERED IN THE 

1098
00:50:05,169 --> 00:50:09,473
CAUSAL PATHWAY IN ANY HEALTH 

1099
00:50:09,473 --> 00:50:12,009
OUTCOME IN HUMANS.

1100
00:50:12,009 --> 00:50:15,346
EXAMPLES INCLUDE RACE AND 

1101
00:50:15,346 --> 00:50:16,547
ETHNICITY PREDICT LIFE 

1102
00:50:16,547 --> 00:50:20,651
EXPECTANCY NOT FULLY EXPLAINED.

1103
00:50:20,651 --> 00:50:23,087
ASTHMA DISPROPORTIONATELY 

1104
00:50:23,087 --> 00:50:27,591
AFFECTS AFRICAN AMERICANS AND 

1105
00:50:27,591 --> 00:50:28,459
PUERTO RICANS FOR EXAMPLE AND 

1106
00:50:28,459 --> 00:50:29,927
NOT MEXICANS FOR EXAMPLE AND 

1107
00:50:29,927 --> 00:50:32,196
MOST COMMON IN THE POOR AND FOR 

1108
00:50:32,196 --> 00:50:34,632
EXAMPLE, MODERATE OR SEVERE 

1109
00:50:34,632 --> 00:50:37,368
OBESITY AND IT'S NOT BECAUSE OF 

1110
00:50:37,368 --> 00:50:39,570
POOR BEHAVIOR IT RELATE TO 

1111
00:50:39,570 --> 00:50:40,938
STRUCTURAL FACTORS AND A 

1112
00:50:40,938 --> 00:50:43,274
COMPLEXITY OF OTHER THINGS AND 

1113
00:50:43,274 --> 00:50:45,309
AMONG PERSONS WITH DIABETES WE 

1114
00:50:45,309 --> 00:50:50,247
OBSERVE ALL MINORITIZED 

1115
00:50:50,247 --> 00:50:53,150
POPULATIONS 30% LESS AND TWICE 

1116
00:50:53,150 --> 00:50:55,319
AS MANY RENAL DISEASE COMPARED 

1117
00:50:55,319 --> 00:50:57,655
TO WHITE COUNTERPARTS ACCORDING 

1118
00:50:57,655 --> 00:51:00,157
TO THE DIABETES REGISTRY OF 

1119
00:51:00,157 --> 00:51:01,992
NORTHERN CAROLINA KAISER.

1120
00:51:01,992 --> 00:51:03,961
SAME DISEASE AND HEALTH SYSTEM 

1121
00:51:03,961 --> 00:51:06,764
AND THE CRUDE FACTOR WE CALL 

1122
00:51:06,764 --> 00:51:08,532
RACE AND ETHNICITY PREDICTS 

1123
00:51:08,532 --> 00:51:10,534
DIFFERENCES IN OUTCOMES WE CARE 

1124
00:51:10,534 --> 00:51:13,170
ABOUT AND CAN CAUSE MAJOR 

1125
00:51:13,170 --> 00:51:16,340
MORBIDITY AND MORTALITY.

1126
00:51:16,340 --> 00:51:19,276
THIS IS AN EXAMPLE OF DATA FROM 

1127
00:51:19,276 --> 00:51:22,680
A DECADE AGO SHOWING A GRADIENT 

1128
00:51:22,680 --> 00:51:25,816
OF SOCIO ECONOMIC STATUS WITH 

1129
00:51:25,816 --> 00:51:26,417
MORTAL

1130
00:51:26,417 --> 00:51:26,684
MORTALITY.

1131
00:51:26,684 --> 00:51:31,589
IF YOU'RE POOR, $25,000 IS THE 

1132
00:51:31,589 --> 00:51:35,659
LEVEL OF INCOME FOR A FAMILY OF 

1133
00:51:35,659 --> 00:51:41,432
FOUR TWICE AS MUCH LIKELY TO DIE

1134
00:51:41,432 --> 00:51:43,267
AND YET HOW OFTEN DO OUR 

1135
00:51:43,267 --> 00:51:46,203
CLINICIANS OR OUR SCIENTISTS 

1136
00:51:46,203 --> 00:51:50,574
KNOW THE SOCIO ECONOMIC STATUS 

1137
00:51:50,574 --> 00:51:52,376
OR SOCIAL CLASS OF THEIR 

1138
00:51:52,376 --> 00:51:52,710
PARTICIPANTS?

1139
00:51:52,710 --> 00:51:54,144
THIS IS THE KIND OF RELATIONSHIP

1140
00:51:54,144 --> 00:51:57,448
THAT IS ALMOST AS ROBUST AS ONE 

1141
00:51:57,448 --> 00:52:00,217
WOULD SEE WITH SMOKING 

1142
00:52:00,217 --> 00:52:03,888
INTENSITY, CIGARETTE SMOKING 

1143
00:52:03,888 --> 00:52:04,455
INTENSITY, SYSTOLIC BLOOD 

1144
00:52:04,455 --> 00:52:06,724
PRESSURE OR BMI.

1145
00:52:06,724 --> 00:52:10,494
AND EARLIER THIS YEAR, IN A 

1146
00:52:10,494 --> 00:52:16,500
CONTRACT FROM NIMHD A GROUP OF 

1147
00:52:16,500 --> 00:52:18,903
HEALTH ECONOMISTS WE DID WITH 

1148
00:52:18,903 --> 00:52:21,338
ANALYSIS OF 10 YEARS AGO THAT IN

1149
00:52:21,338 --> 00:52:24,041
A GIVEN YEAR AN EXAMPLE OF 2018,

1150
00:52:24,041 --> 00:52:28,279
RACIAL AND ETHNIC DISPARITIES 

1151
00:52:28,279 --> 00:52:31,282
ACCOUNTED FOR $450 BILLION IN 

1152
00:52:31,282 --> 00:52:36,654
EXCESS COSTS TO THE UNITED 

1153
00:52:36,654 --> 00:52:36,887
STATES.

1154
00:52:36,887 --> 00:52:41,392
AND IN THROUGH EDUCATIONAL 

1155
00:52:41,392 --> 00:52:41,926
ATT

1156
00:52:41,926 --> 00:52:43,494
ATTAINMENT AND A COLLEGE DEGREE 

1157
00:52:43,494 --> 00:52:49,133
IS A DIVIDING LINE IN HEALTH 

1158
00:52:49,133 --> 00:52:51,468
OUTCOMES IN THE U.S. POPULATION.

1159
00:52:51,468 --> 00:52:54,271
AND COSTS A TRILLION DOLLARS.

1160
00:52:54,271 --> 00:52:57,141
THIS IS ON AN ANNUAL BASIS.

1161
00:52:57,141 --> 00:52:59,677
$451 BILLION IS ALMOST TEN TIMES

1162
00:52:59,677 --> 00:53:01,145
THE NIH BUDGET AND YET WE 

1163
00:53:01,145 --> 00:53:02,246
CONTINUE TO TOLERATE AND LIVE 

1164
00:53:02,246 --> 00:53:08,852
WITH THESE DISPARITIES.

1165
00:53:08,852 --> 00:53:11,188
SO NIMHD HAS FOCUSSED ON RACE 

1166
00:53:11,188 --> 00:53:13,991
AND ETHNICITY AND SOCIO ECONOMIC

1167
00:53:13,991 --> 00:53:16,460
STATUS AS THE FUNDAMENTAL 

1168
00:53:16,460 --> 00:53:17,595
PILLARS OF HEALTH DISPARITY 

1169
00:53:17,595 --> 00:53:20,197
SCIENCE AND WE ARE REITERATING 

1170
00:53:20,197 --> 00:53:23,334
OUR PRIORITY IN THIS CASE.

1171
00:53:23,334 --> 00:53:24,101
REMEMBER THAT POPULATIONS LIVING

1172
00:53:24,101 --> 00:53:26,837
WITH HEALTH DISPARITIES IS 

1173
00:53:26,837 --> 00:53:28,172
DECLARATION AND DESIGNATION WE 

1174
00:53:28,172 --> 00:53:30,975
MAKE FOR THE ENTIRE AGENCY.

1175
00:53:30,975 --> 00:53:32,443
THIS IS NOT TO SAY NIMHD IS 

1176
00:53:32,443 --> 00:53:33,410
GOING TO TAKE CARE OF IT.

1177
00:53:33,410 --> 00:53:35,312
WE REALLY CAN'T.

1178
00:53:35,312 --> 00:53:38,782
WE ACCOUNT FOR MAYBE 15% OF 

1179
00:53:38,782 --> 00:53:39,850
DISPARITIES BUDGET OF THE AGENCY

1180
00:53:39,850 --> 00:53:42,219
AND SO REALLY DEPENDENT ON OUR 

1181
00:53:42,219 --> 00:53:44,855
SISTER INSTITUTES ESPECIALLY THE

1182
00:53:44,855 --> 00:53:48,826
LARGE ONES TO MAKE THIS A 

1183
00:53:48,826 --> 00:53:49,126
PRIORITY.

1184
00:53:49,126 --> 00:53:50,394
WE HAVEN'T REALLY MADE 

1185
00:53:50,394 --> 00:53:52,796
SUFFICIENT PROGRESS IN RACIAL 

1186
00:53:52,796 --> 00:53:54,231
AND ETHNIC DISPARITIES FOR 

1187
00:53:54,231 --> 00:53:55,633
IMPORTANT SOCIAL CLASS TO SAY WE

1188
00:53:55,633 --> 00:53:58,469
CAN MOVE ON TO ANOTHER TOPIC OR 

1189
00:53:58,469 --> 00:54:01,138
MAKE THESE ALL SIMILAR 

1190
00:54:01,138 --> 00:54:01,605
PRIORITIES.

1191
00:54:01,605 --> 00:54:02,873
THIS IS OUR PRIORITY.

1192
00:54:02,873 --> 00:54:05,409
AND THIS IS OUR PRIORITY AND 

1193
00:54:05,409 --> 00:54:06,710
INTERSECTIONALITY IS A CRITICAL 

1194
00:54:06,710 --> 00:54:10,047
CONCEPT AS YOU SAW BILL OUTLINE.

1195
00:54:10,047 --> 00:54:12,516
RACE, ETHNICITY AND SOCIAL CLASS

1196
00:54:12,516 --> 00:54:14,018
INTERACT AND RURAL POPULATIONS 

1197
00:54:14,018 --> 00:54:16,220
AND PEOPLE WHO IDENTIFY AS 

1198
00:54:16,220 --> 00:54:18,088
SEXUAL AND GENDER MINORITIES.

1199
00:54:18,088 --> 00:54:21,125
PEOPLE LIVING WITH DISABILITIES 

1200
00:54:21,125 --> 00:54:25,095
AND CLINICAL CONDITION OR OTHER 

1201
00:54:25,095 --> 00:54:29,233
DEMOGRAPHIC FACTORS SUCH AS AGE 

1202
00:54:29,233 --> 00:54:36,507
OR LANGUAGE.

1203
00:54:36,507 --> 00:54:40,511
AND WE SEE DISPARITY INS PORTALS

1204
00:54:40,511 --> 00:54:44,915
AND ONE WOULD EXPECT THE 

1205
00:54:44,915 --> 00:54:46,316
WEALTHIEST SEGMENT OF RACE AND 

1206
00:54:46,316 --> 00:54:47,484
ETHNIC POPULATION TO HAVE THE 

1207
00:54:47,484 --> 00:54:48,218
BEST OUTCOMES WHICH ISN'T ALWAYS

1208
00:54:48,218 --> 00:54:52,289
THE CASE.

1209
00:54:52,289 --> 00:54:52,923
WHITE AMERICANS CONTINUE TO BE 

1210
00:54:52,923 --> 00:54:55,059
THE MAJORITY ABOUT 60% IN THE 

1211
00:54:55,059 --> 00:54:56,193
2020 CENSUS.

1212
00:54:56,193 --> 00:54:57,928
AND INSTEAD TRY TO MOVE THE 

1213
00:54:57,928 --> 00:55:00,230
FIELD TOWARDS CREATING 

1214
00:55:00,230 --> 00:55:01,065
ASPIRATIONAL GOALS BASED ON 

1215
00:55:01,065 --> 00:55:04,768
NATIONAL METRICS WHERE WE CAN 

1216
00:55:04,768 --> 00:55:06,103
COMPARE ANY POPULATION.

1217
00:55:06,103 --> 00:55:07,304
SOME IS SUMMARIZED IN OUR 

1218
00:55:07,304 --> 00:55:11,809
WEBSITE ON THE LINK THERE.

1219
00:55:11,809 --> 00:55:14,611
WE'VE ALSO FOCUSSED IN THE LAST 

1220
00:55:14,611 --> 00:55:18,048
FIVE YEARS OR SO ON STANDARDIZED

1221
00:55:18,048 --> 00:55:20,217
MEASUREMENTS PARTICULARLY AROUND

1222
00:55:20,217 --> 00:55:21,452
SOCIAL DETERMINATES OF HEALTH.

1223
00:55:21,452 --> 00:55:24,021
MANY ARE PROBABLY FAMILIAR WITH 

1224
00:55:24,021 --> 00:55:28,092
THE PHOENIX TOOLKIT INITIALLY 

1225
00:55:28,092 --> 00:55:30,194
STARTED WE THE NATIONAL HUMAN 

1226
00:55:30,194 --> 00:55:31,261
GENOME INSTITUTE AND FOLLOWED 

1227
00:55:31,261 --> 00:55:34,965
THEIR METHODOLOGY AND THIS 

1228
00:55:34,965 --> 00:55:36,266
REQUIRES WHAT WE PROPOSE 

1229
00:55:36,266 --> 00:55:39,803
CERTAINLY CONSTRUCTS AND 

1230
00:55:39,803 --> 00:55:40,838
CONCEPTS TO BE CONSIDERED.

1231
00:55:40,838 --> 00:55:42,573
AN EXPERT COMMITTEE IS NAMED AND

1232
00:55:42,573 --> 00:55:47,745
THEY TAKE ABOUT A YEAR OR SO AND

1233
00:55:47,745 --> 00:55:50,781
I'LL SAY YES THESE MEASURES ARE 

1234
00:55:50,781 --> 00:55:52,683
VETTED BY THE LITERATURE.

1235
00:55:52,683 --> 00:55:54,885
WE DON'T INVENT MEASURES OR 

1236
00:55:54,885 --> 00:56:00,758
CREATE MEASURES BUT VET WHAT HAS

1237
00:56:00,758 --> 00:56:08,132
BEEN PUBLISHED AND LOOK AT 

1238
00:56:08,132 --> 00:56:13,137
POPULATION-BASED SAMPLES.

1239
00:56:13,137 --> 00:56:15,139
IN DECEMBER OF LAST YEAR WE HAD 

1240
00:56:15,139 --> 00:56:17,741
TOOLS ADDED TO OUR TOOLKIT THE 

1241
00:56:17,741 --> 00:56:19,910
LINK ON THE SLIDE HOPEFULLY 

1242
00:56:19,910 --> 00:56:20,944
AVAILABLE TO YOU.

1243
00:56:20,944 --> 00:56:22,446
THE COLLECTIONS WILL REFER OUR 

1244
00:56:22,446 --> 00:56:23,981
APPLICANTS TO OUR INSTITUTE FOR 

1245
00:56:23,981 --> 00:56:26,550
GRANTS TO THE WEBSITE TO 

1246
00:56:26,550 --> 00:56:26,917
CONSIDER.

1247
00:56:26,917 --> 00:56:27,584
WE'RE NOW REVIEWING AND TRYING 

1248
00:56:27,584 --> 00:56:30,554
TO MAKE SURE THAT THE ONES WE 

1249
00:56:30,554 --> 00:56:32,923
HAVE FOR INDIVIDUAL SOCIAL 

1250
00:56:32,923 --> 00:56:35,726
DETERMINATES ARE DEMOGRAPHICS 

1251
00:56:35,726 --> 00:56:36,493
ARE ONES WE ARE CONTINUING TO 

1252
00:56:36,493 --> 00:56:38,629
SUPPORT AND AS YOU MAY HAVE 

1253
00:56:38,629 --> 00:56:40,364
HEARD, THE OFFICE OF MANAGEMENT,

1254
00:56:40,364 --> 00:56:43,167
BUDGET, CENSUS CATEGORIES ARE 

1255
00:56:43,167 --> 00:56:47,271
UNDER REVIEW AND WILL LIKELY BE 

1256
00:56:47,271 --> 00:56:49,573
CHANGED IN MID 2024.

1257
00:56:49,573 --> 00:56:51,341
IT HAS CLEARED THROUGH HHS IS IT

1258
00:56:51,341 --> 00:56:53,844
IS NOW IN ITS FINAL PHASE OF 

1259
00:56:53,844 --> 00:56:54,411
CLEARANCE IN THE EXECUTIVE 

1260
00:56:54,411 --> 00:57:00,984
BRANCH.

1261
00:57:00,984 --> 00:57:04,354
HIV AND HEALTH DISPARITIES, TO 

1262
00:57:04,354 --> 00:57:07,257
RETURN TO THIS AND HOUSING 

1263
00:57:07,257 --> 00:57:09,159
INSTABILITY INTERSECT 

1264
00:57:09,159 --> 00:57:09,860
SIGNIFICANTLY.

1265
00:57:09,860 --> 00:57:12,930
BLACKS OR AFRICAN AMERICANS MAKE

1266
00:57:12,930 --> 00:57:16,066
UP 40% OF AMERICANS FACING 

1267
00:57:16,066 --> 00:57:17,835
HOMELESSNESS AND NEW HIV 

1268
00:57:17,835 --> 00:57:19,536
DIAGNOSES AND WITH LATINOS YOU 

1269
00:57:19,536 --> 00:57:25,142
SEE A SIMILAR CHALLENGE, 22% 

1270
00:57:25,142 --> 00:57:25,742
EXPERIENCE HOMELESSNESS OF 

1271
00:57:25,742 --> 00:57:27,044
PERSONS EXPERIENCING 

1272
00:57:27,044 --> 00:57:31,281
HOMELESSNESS AND 27% OF NEW HIV 

1273
00:57:31,281 --> 00:57:31,782
DIAGNOSES.

1274
00:57:31,782 --> 00:57:34,952
YOUTH AND YOUNG ADULTS THAT 

1275
00:57:34,952 --> 00:57:41,158
CONTINUE INTO THE EARLY 20s WHO 

1276
00:57:41,158 --> 00:57:44,928
EXPERIENCE HOMELESSNESS ARE 

1277
00:57:44,928 --> 00:57:48,999
LIKELY TO BE INFECTED WITH DRUG 

1278
00:57:48,999 --> 00:57:51,101
USE OR SEX WORK AND OVER 

1279
00:57:51,101 --> 00:57:53,470
REPRESENTED IN THE HOMELESS 

1280
00:57:53,470 --> 00:57:53,770
POPULATION.

1281
00:57:53,770 --> 00:57:56,173
IN SOME WORK FUNDED THROUGH 

1282
00:57:56,173 --> 00:57:59,142
NIMHD IN A K AWARD THE 

1283
00:57:59,142 --> 00:58:00,344
RELATIONSHIP BETWEEN HOUSING 

1284
00:58:00,344 --> 00:58:03,146
CHARACTERISTICS AND OUTCOMES IN 

1285
00:58:03,146 --> 00:58:05,115
WOMEN LIVING WITH HIV SHOWN HERE

1286
00:58:05,115 --> 00:58:07,017
AND THE IMPORTANCE OF ASSESSING 

1287
00:58:07,017 --> 00:58:09,052
HOUSING STATUS AND 

1288
00:58:09,052 --> 00:58:11,455
CHARACTERISTICS THAT IDENTIFY 

1289
00:58:11,455 --> 00:58:12,789
WOMEN LIVING WITH HIV AND WILL 

1290
00:58:12,789 --> 00:58:15,893
BENEFIT FROM TARGETED 

1291
00:58:15,893 --> 00:58:17,294
INVENTIONS.

1292
00:58:17,294 --> 00:58:22,466
THIS IS DATA FROM MIAMI-DADE 

1293
00:58:22,466 --> 00:58:24,801
COUNTY WOMEN HOMELESS, UNSTABLY 

1294
00:58:24,801 --> 00:58:28,672
HOUSED, NO OTHER ADULT AND 

1295
00:58:28,672 --> 00:58:29,740
REPORTED NOT DISCLOSING THEIR 

1296
00:58:29,740 --> 00:58:32,876
HIV STATUS WERE AT RISK OF POOR 

1297
00:58:32,876 --> 00:58:33,210
HIV CARE.

1298
00:58:33,210 --> 00:58:35,412
THESE KINDS OF EMPIRICAL 

1299
00:58:35,412 --> 00:58:37,147
EVIDENCE WOULD SUPPORT TARGETED 

1300
00:58:37,147 --> 00:58:38,916
INTERVENTIONS IN LOCAL AREAS AND

1301
00:58:38,916 --> 00:58:43,253
WE ARE AT THE POINT WHERE WE 

1302
00:58:43,253 --> 00:58:45,656
NEED LOCAL EPIDEMIOLOGY AND 

1303
00:58:45,656 --> 00:58:49,159
LOCAL SOLUTIONS AND STRATEGIES 

1304
00:58:49,159 --> 00:58:53,897
TO ADDRESS THIS PANDEMIC.

1305
00:58:53,897 --> 00:58:56,433
AND WE SEE A NUMBER OF YEARS AGO

1306
00:58:56,433 --> 00:58:58,335
ADULT RESEARCH FRAMEWORK THAT WE

1307
00:58:58,335 --> 00:59:01,138
HAVE USED AGAIN ONE OF MY GOALS 

1308
00:59:01,138 --> 00:59:02,606
IS IS TO REVISIT THIS.

1309
00:59:02,606 --> 00:59:04,841
THIS WAS IN PART INSPIRED BY 

1310
00:59:04,841 --> 00:59:06,009
WORK I DID WITH THE NATIONAL 

1311
00:59:06,009 --> 00:59:08,145
INSTITUTE ON AGING WHILE I WAS 

1312
00:59:08,145 --> 00:59:10,547
ON THE COUNCIL AND DEVELOPED A 

1313
00:59:10,547 --> 00:59:13,317
RESEARCH FRAMEWORK FOR AGING 

1314
00:59:13,317 --> 00:59:13,717
DISPARITIES.

1315
00:59:13,717 --> 00:59:16,553
AND PART OF THE THING I LIKE 

1316
00:59:16,553 --> 00:59:19,256
ABOUT OUR FRAMEWORK DEVELOPED BY

1317
00:59:19,256 --> 00:59:21,825
STAFF AND INPUT IS THE 

1318
00:59:21,825 --> 00:59:22,259
SIMPLICITY.

1319
00:59:22,259 --> 00:59:23,593
IT'S NOT INTENDED TO BE CAUSAL.

1320
00:59:23,593 --> 00:59:28,131
IT'S NOT COMPLICATED.

1321
00:59:28,131 --> 00:59:33,971
AND IT DOESN'T INTEND TO BE 

1322
00:59:33,971 --> 00:59:35,339
COMPREHENSIVE BUT HIGHLIGHT THE 

1323
00:59:35,339 --> 00:59:36,573
LEVELS OF INFLUENCE.

1324
00:59:36,573 --> 00:59:37,808
THINGS WE'RE ALL AWARE OF AND 

1325
00:59:37,808 --> 00:59:40,310
LAY THEM OUT AND SEE WHERE IS MY

1326
00:59:40,310 --> 00:59:42,579
RESEARCH LOCATED HERE WHETHER 

1327
00:59:42,579 --> 00:59:45,482
BIOLOGICAL, BEHAVIORAL OR AROUND

1328
00:59:45,482 --> 00:59:46,550
THE BUILT ENVIRONMENT OR SOCIAL 

1329
00:59:46,550 --> 00:59:48,151
CULTURAL ENVIRONMENT.

1330
00:59:48,151 --> 00:59:50,787
OF COURSE, BEING A FORMER 

1331
00:59:50,787 --> 00:59:53,623
PRIMARY CARE DOC I VALUE AND 

1332
00:59:53,623 --> 00:59:54,391
CONSIDER THE HEALTH CARE SYSTEM 

1333
00:59:54,391 --> 00:59:57,127
AN ESSENTIAL PLACE TO ENHANCE OR

1334
00:59:57,127 --> 00:59:59,730
WORSEN DISPARITIES OR WORK TO 

1335
00:59:59,730 --> 01:00:01,131
DIMINISH OR DECREASE 

1336
01:00:01,131 --> 01:00:01,598
DISPARITIES.

1337
01:00:01,598 --> 01:00:02,866
YOU SEE THE DIFFERENT LEVELS OF 

1338
01:00:02,866 --> 01:00:06,103
INFLUENCE AS ILLUSTRATED EARLIER

1339
01:00:06,103 --> 01:00:06,937
BY BILL AS WELL AND EMPHASIZE 

1340
01:00:06,937 --> 01:00:10,407
THE FACT THAT MOST OF US 

1341
01:00:10,407 --> 01:00:11,608
INVESTIGATORS REALLY GRAVITATE 

1342
01:00:11,608 --> 01:00:12,909
TOWARDS THE INDIVIDUAL COMPONENT

1343
01:00:12,909 --> 01:00:17,147
AND IT'S MUCH HARDER TO SEE GOOD

1344
01:00:17,147 --> 01:00:18,482
SCIENTIFIC APPLICATIONS OVER TO 

1345
01:00:18,482 --> 01:00:20,650
THE RIGHT SIDE, MY RIGHT SIDE OF

1346
01:00:20,650 --> 01:00:21,318
THE FRAMEWORK.

1347
01:00:21,318 --> 01:00:23,453
SO IN THE COMMUNITY OR SOCIETAL 

1348
01:00:23,453 --> 01:00:29,026
FRAME AND WE NEED TO DO MORE OF 

1349
01:00:29,026 --> 01:00:36,833
THAT.

1350
01:00:36,833 --> 01:00:46,943
DATA ON NEW HIV STATUS.

1351
01:00:46,943 --> 01:00:50,614
BLACK AND LATINO 70% AND THE 

1352
01:00:50,614 --> 01:00:55,285
MAJORITY ARE MEN WHO HAVE SEX 

1353
01:00:55,285 --> 01:01:03,593
WITH MEN AN HETEROSEXUAL WOMEN 

1354
01:01:03,593 --> 01:01:05,328
ARE THERE MEN WHO HAVE SEX WITH 

1355
01:01:05,328 --> 01:01:13,603
WOMEN AND YOU CAN SEE THE DA

1356
01:01:13,603 --> 01:01:19,076
DARKENED STATES IN APPALACHIA 

1357
01:01:19,076 --> 01:01:22,245
AND NEW MEXICO HAVE A 

1358
01:01:22,245 --> 01:01:22,913
DISPROPORTIONATELY HIGHER RATE 

1359
01:01:22,913 --> 01:01:24,414
OF THE PERSONS LIVING WITH 

1360
01:01:24,414 --> 01:01:26,983
DIAGNOSED HIV INFECTION.

1361
01:01:26,983 --> 01:01:29,486
WHERE THE HIV EPIDEMIC BEGAN IN 

1362
01:01:29,486 --> 01:01:34,925
THE COUNTRY THE TWO COASTS, 

1363
01:01:34,925 --> 01:01:37,127
PARTICULARLY CALIFORNIA AND NEW 

1364
01:01:37,127 --> 01:01:39,963
YORK, WE SEE BETTER OUTCOMES AND

1365
01:01:39,963 --> 01:01:42,599
I THINK THIS IS WHERE WE NEED TO

1366
01:01:42,599 --> 01:01:44,935
GO IS THE FOCUS ON THESE STATES.

1367
01:01:44,935 --> 01:01:47,304
THESE ARE NOT RESEARCH -- 

1368
01:01:47,304 --> 01:01:49,172
THERE'S NOT TOO MANY RESEARCH 

1369
01:01:49,172 --> 01:01:49,973
INTENSIVE INSTITUTIONS IN MOST 

1370
01:01:49,973 --> 01:01:50,674
THOSE STATES.

1371
01:01:50,674 --> 01:01:52,542
SOME HAVE THEM.

1372
01:01:52,542 --> 01:01:54,411
THERE ARE CFARs LOCATED IN SOME 

1373
01:01:54,411 --> 01:01:57,180
STATES AS MENTIONED EARLIER AND 

1374
01:01:57,180 --> 01:01:59,683
WE AT NIMHD HAVE BEEN WORKING 

1375
01:01:59,683 --> 01:02:02,686
WITH THEM SINCE I'VE BEEN AT NIH

1376
01:02:02,686 --> 01:02:04,421
AND WILL CONTINUE TO COLLABORATE

1377
01:02:04,421 --> 01:02:06,656
AND LOOK FOR SYNERGY WITH OUR 

1378
01:02:06,656 --> 01:02:07,257
NETWORK.

1379
01:02:07,257 --> 01:02:09,726
NEXT SLOID.

1380
01:02:09,726 --> 01:02:11,361
-- NEXT SLIDE.

1381
01:02:11,361 --> 01:02:12,696
NOW, AGING WAS BROUGHT UP 

1382
01:02:12,696 --> 01:02:13,096
EARLIER.

1383
01:02:13,096 --> 01:02:16,266
I THINK APPROPRIATE TO THAT IS 

1384
01:02:16,266 --> 01:02:18,368
TO SEE WHAT COMORBIDITIES HIV 

1385
01:02:18,368 --> 01:02:18,602
STATUS.

1386
01:02:18,602 --> 01:02:20,704
I WAS TAKING CARE OF SOME 

1387
01:02:20,704 --> 01:02:23,373
PATIENTS WITH HIV UNTIL I 

1388
01:02:23,373 --> 01:02:26,176
STOPPED SEEING PATIENTS AT UCSF 

1389
01:02:26,176 --> 01:02:28,011
AND TOWARDS THE END MY PATIENTS 

1390
01:02:28,011 --> 01:02:29,713
WITH HIV WERE PRETTY 

1391
01:02:29,713 --> 01:02:31,281
STRAIGHTFORWARD IN TERMS OF 

1392
01:02:31,281 --> 01:02:34,518
THEIR HIV BUT THEY WERE GETTING 

1393
01:02:34,518 --> 01:02:36,820
HYPERTENSION, KIDNEY DISEASE OR 

1394
01:02:36,820 --> 01:02:38,855
OTHER PROBLEMS AND THAT WAS THE 

1395
01:02:38,855 --> 01:02:41,658
MAIN TOPIC OF OUR VISITS.

1396
01:02:41,658 --> 01:02:48,765
YOU CAN SEE HERE THE PERCENT OF 

1397
01:02:48,765 --> 01:02:52,402
PEOPLE WITH CHRONIC KIDNEY 

1398
01:02:52,402 --> 01:02:54,171
DISEASE IS HIGHER IN THE DATA 

1399
01:02:54,171 --> 01:02:59,743
SET OF BENEFICIARIES OVER A 

1400
01:02:59,743 --> 01:03:00,410
FIVE-YEAR COURSE.

1401
01:03:00,410 --> 01:03:04,781
LINKING HIV TO MEDICAL CARE 

1402
01:03:04,781 --> 01:03:05,916
WITHIN ONE MONTH DIAGNOSIS 

1403
01:03:05,916 --> 01:03:09,119
VARIES BY RACE AND ETHNICITY.

1404
01:03:09,119 --> 01:03:11,855
WE WERE AROUND THE 80% LEVEL, 

1405
01:03:11,855 --> 01:03:13,623
OVER ALL WE COULD SAY WE COULD 

1406
01:03:13,623 --> 01:03:15,492
DO BETTER.

1407
01:03:15,492 --> 01:03:19,563
GETTING TO 80 IS A BIG STEP IN 

1408
01:03:19,563 --> 01:03:20,063
MOST THE PUBLIC HEALTH 

1409
01:03:20,063 --> 01:03:21,431
INITIATIVE BUT HOW DO WE PUSH IT

1410
01:03:21,431 --> 01:03:24,134
UP TO THE 95% LEVEL TO COME AT A

1411
01:03:24,134 --> 01:03:25,802
QUALITY STANDARD AND THERE'S 

1412
01:03:25,802 --> 01:03:28,338
MANY OF THESE QUALITY STANDARDS 

1413
01:03:28,338 --> 01:03:33,777
ONE CAN RELATE TO WHETHER IT BE 

1414
01:03:33,777 --> 01:03:36,880
EVALUATION OF AN ABNORMAL 

1415
01:03:36,880 --> 01:03:38,748
MAMMOGRAM IN CANCER SCREENING OR

1416
01:03:38,748 --> 01:03:44,921
A PROPORTION OF THOSE WITH 

1417
01:03:44,921 --> 01:03:45,589
HYPERTENSION WITH BLOOD PRESSURE

1418
01:03:45,589 --> 01:03:46,823
CONTROL.

1419
01:03:46,823 --> 01:03:51,228
TURNING TO THE ISSUE OF RACISM.

1420
01:03:51,228 --> 01:03:54,064
NOT NECESSARILY POLITE 

1421
01:03:54,064 --> 01:03:55,265
CONVERSATION AT THE DINNER TABLE

1422
01:03:55,265 --> 01:03:58,702
BUT AN IMPORTANT PROBLEM THAT 

1423
01:03:58,702 --> 01:04:00,670
CAME UNDER A LOT OF EMPHASIS IN 

1424
01:04:00,670 --> 01:04:03,807
2020 WITH THE MURDER OF GEORGE 

1425
01:04:03,807 --> 01:04:04,007
FLOYD.

1426
01:04:04,007 --> 01:04:05,475
HOWEVER, THIS IS AN ISSUE WE 

1427
01:04:05,475 --> 01:04:06,643
HAVE BEEN LIVING WITH SINCE THE 

1428
01:04:06,643 --> 01:04:11,114
FOUNDING OF OUR COUNTRY REALLY.

1429
01:04:11,114 --> 01:04:12,983
THESE ARE DATA FROM 2015 AS YOU 

1430
01:04:12,983 --> 01:04:16,253
SEE DONE BY THE KAISER FAMILY 

1431
01:04:16,253 --> 01:04:18,188
FOUNDATION SURVEY OF AMERICANS 

1432
01:04:18,188 --> 01:04:20,523
ON RACE AND THEY ASKED HAVE YOU 

1433
01:04:20,523 --> 01:04:21,157
EXPERIENCED UNFAIR TREATMENT 

1434
01:04:21,157 --> 01:04:22,792
BECAUSE OF RACE OR ETHNIC 

1435
01:04:22,792 --> 01:04:24,661
BACKGROUND IN A VARIETY OF 

1436
01:04:24,661 --> 01:04:26,296
SETTINGS IN THE PAST 30 DAYS.

1437
01:04:26,296 --> 01:04:29,399
NOT LIFE TIME OR YEAR BUT 30 

1438
01:04:29,399 --> 01:04:32,002
DAYS AND OVER HALF OF AFRICAN 

1439
01:04:32,002 --> 01:04:34,504
AMERICANS SAY YES AND ABOUT OVER

1440
01:04:34,504 --> 01:04:36,339
A THIRD OF LATINOS SAY YES TO 

1441
01:04:36,339 --> 01:04:36,539
THIS.

1442
01:04:36,539 --> 01:04:38,275
THIS IS IS ASTOUNDING.

1443
01:04:38,275 --> 01:04:40,410
I WOULDN'T GUESS THESE NUMBERS 

1444
01:04:40,410 --> 01:04:43,546
HAVE REALLY DECREASED SINCE 

1445
01:04:43,546 --> 01:04:43,847
2015.

1446
01:04:43,847 --> 01:04:47,484
IF ANYTHING THEY MAY HAVE GOTTEN

1447
01:04:47,484 --> 01:04:49,319
WORSE AS A RESULT OF 2020 AND 

1448
01:04:49,319 --> 01:04:51,254
THE PANDEMIC.

1449
01:04:51,254 --> 01:04:55,091
AND YES WE NEED TO ADDRESS THIS.

1450
01:04:55,091 --> 01:04:57,794
NOW, WE'RE SCIENTISTS SO WE NEED

1451
01:04:57,794 --> 01:04:59,763
TO THINK HOW DISCRIMINATION 

1452
01:04:59,763 --> 01:05:01,097
PERHAPS CONTRIBUTE TO 

1453
01:05:01,097 --> 01:05:01,398
INEQUITIES.

1454
01:05:01,398 --> 01:05:04,034
THIS IS AN EXAMPLE OF A STUDY 

1455
01:05:04,034 --> 01:05:08,004
FUNDED BY NIMHD LOOKING AT BLACK

1456
01:05:08,004 --> 01:05:09,172
ADULTS WITH HIV WHO ARE 

1457
01:05:09,172 --> 01:05:11,708
RECRUITED AND LOOK AT THE ISSUE 

1458
01:05:11,708 --> 01:05:15,145
OF MEDICAL MISTRUST AND 

1459
01:05:15,145 --> 01:05:16,880
PERCEIVED DISCRIMINATION AT THE 

1460
01:05:16,880 --> 01:05:19,149
INTERSECTIONALITY OF HIV, RACE, 

1461
01:05:19,149 --> 01:05:22,552
SEXUAL AND GENDER MINORITY 

1462
01:05:22,552 --> 01:05:26,089
ORIENTATION AND POOR ADHERENCE 

1463
01:05:26,089 --> 01:05:28,758
TO ANTIVIRAL THERAPY LEADING TO 

1464
01:05:28,758 --> 01:05:30,260
LOWER CARE ENGAGEMENT AMONG 

1465
01:05:30,260 --> 01:05:31,961
BLACK ADULT WITH HIV.

1466
01:05:31,961 --> 01:05:34,631
THE ROLE THAT PERCEIVED 

1467
01:05:34,631 --> 01:05:35,699
DISCRIMINATION OR STRUCTURAL 

1468
01:05:35,699 --> 01:05:37,801
DISCRIMINATION MAY LED TO HEALTH

1469
01:05:37,801 --> 01:05:39,903
OUTCOMES IS SOMETHING WE NEED TO

1470
01:05:39,903 --> 01:05:40,537
STUDY MORE.

1471
01:05:40,537 --> 01:05:43,073
WE HAVE LAUNCHED INITIATIVES IN 

1472
01:05:43,073 --> 01:05:46,810
THIS ENDORSED BY THE MAJORITY OR

1473
01:05:46,810 --> 01:05:48,345
ALL THE NIH INSTITUTES.

1474
01:05:48,345 --> 01:05:53,516
AND THIS IS NOT A SHORT-TERME 

1475
01:05:53,516 --> 01:05:54,351
EFFORT.

1476
01:05:54,351 --> 01:06:00,056
WE NEED TO CONTINUE THE EFFORT.

1477
01:06:00,056 --> 01:06:01,124
AT NIMHD WE THOUGHT ABOUT 

1478
01:06:01,124 --> 01:06:01,524
RACISM.

1479
01:06:01,524 --> 01:06:03,193
INTERPERSONAL IS WHAT THE VAST 

1480
01:06:03,193 --> 01:06:04,327
MAJORITY OF LITERATURE YOU HEARD

1481
01:06:04,327 --> 01:06:07,197
ABOUT OR READ IS BASED ON.

1482
01:06:07,197 --> 01:06:09,432
IT'S GOOD WORK, GOOD SCALES.

1483
01:06:09,432 --> 01:06:12,969
IT'S ON THE TOOLKIT.

1484
01:06:12,969 --> 01:06:17,540
OTHERS HAVE DEVELOPED THESE 

1485
01:06:17,540 --> 01:06:28,084
EVERYDAY DISCRIMINATION SCALES.

1486
01:06:29,219 --> 01:06:37,127
A

1487
01:06:37,127 --> 01:06:42,832
AND STRUCTURAL RACISM AND WE 

1488
01:06:42,832 --> 01:06:47,637
TRIED TO EMPHASIZE EFFORTS AND 

1489
01:06:47,637 --> 01:06:49,139
IT'S NOT INDIVIDUAL BEHAVIORS 

1490
01:06:49,139 --> 01:06:52,509
BUT WHAT THIS ORGANIZATION HAS 

1491
01:06:52,509 --> 01:06:55,278
AND THINK ABOUT EVERYONE 

1492
01:06:55,278 --> 01:06:59,282
PROBABLY HAS AT LEAST HEARD OF 

1493
01:06:59,282 --> 01:07:02,485
OR PLAYED MONOPOLY AT SOME TIME 

1494
01:07:02,485 --> 01:07:08,057
UP THEIR LIFE AND A CERTAIN YOU 

1495
01:07:08,057 --> 01:07:09,959
CAN'T START TO PLAY AND THE 

1496
01:07:09,959 --> 01:07:11,361
PEOPLE PLAYING FOR AN HOUR HAVE 

1497
01:07:11,361 --> 01:07:14,697
GONE AROUND THE BLOCK A FEW 

1498
01:07:14,697 --> 01:07:16,599
TIMES, BOUGHT SOME PROPERTY AND 

1499
01:07:16,599 --> 01:07:19,235
PUTTING UP HOUSES AN HOTELS AND 

1500
01:07:19,235 --> 01:07:22,405
NOW YOU CAN JOIN AT A 

1501
01:07:22,405 --> 01:07:22,739
DISADVANTAGE.

1502
01:07:22,739 --> 01:07:24,908
THIS IS STRUCTURAL RACISM AND 

1503
01:07:24,908 --> 01:07:29,145
THIS IS WHAT AMERICAN INDIANS 

1504
01:07:29,145 --> 01:07:33,149
AND ALASKA NATIVES OR HISPANICS 

1505
01:07:33,149 --> 01:07:36,352
HAVE EXPERIENCED IN THE UNITED 

1506
01:07:36,352 --> 01:07:38,288
STATES TO DIFFERENT DEGREES.

1507
01:07:38,288 --> 01:07:41,090
WE'RE NOT HERE ABOUT CAUSING 

1508
01:07:41,090 --> 01:07:41,291
BLAME.

1509
01:07:41,291 --> 01:07:42,225
WE'RE HERE ABOUT ADDRESSING THIS

1510
01:07:42,225 --> 01:07:44,327
IN A SYSTEMATIC WAY AND STUDYING

1511
01:07:44,327 --> 01:07:45,395
IT BECAUSE WE'RE NIH AND WE 

1512
01:07:45,395 --> 01:07:48,331
THESE TO DO THE RESEARCH.

1513
01:07:48,331 --> 01:07:49,599
THERE'S OTHER CATEGORIES OF 

1514
01:07:49,599 --> 01:07:52,535
RACISM YOU SEE LISTS HERE 

1515
01:07:52,535 --> 01:07:53,470
CONCEPTUALLY IMPORTANT TO 

1516
01:07:53,470 --> 01:07:53,870
CONSIDER.

1517
01:07:53,870 --> 01:07:57,140
I WOULD SPECIFICALLY CALL OUT 

1518
01:07:57,140 --> 01:07:59,876
THE PERCEIVED SOCIETAL 

1519
01:07:59,876 --> 01:08:02,312
DISCRIMINATION AS A USEFUL 

1520
01:08:02,312 --> 01:08:04,380
CONCEPT OR CONSTRUCT WITH YOUTH.

1521
01:08:04,380 --> 01:08:06,416
RATHER THAN WHAT'S YOUR LIVED 

1522
01:08:06,416 --> 01:08:09,118
EXPERIENCE IS MORE WHAT DO YOU 

1523
01:08:09,118 --> 01:08:16,459
SEE SOCIETY OUT THERE LIKE.

1524
01:08:16,459 --> 01:08:19,529
SO THINKING ABOUT HOW DOES 

1525
01:08:19,529 --> 01:08:21,598
RACIAL INEQUITY POTENTIALLY 

1526
01:08:21,598 --> 01:08:21,798
HARM?

1527
01:08:21,798 --> 01:08:23,800
WE TALKED ABOUT MEASURES MUCH OF

1528
01:08:23,800 --> 01:08:28,371
THE DATA RELATES TO PHYSICAL AND

1529
01:08:28,371 --> 01:08:32,275
MENTAL HEALTH STATUS OF THE 

1530
01:08:32,275 --> 01:08:34,878
STUDIES LED BY JAMES JENSON FROM

1531
01:08:34,878 --> 01:08:39,415
THE UNIVERSITY OF MICHIGAN AND 

1532
01:08:39,415 --> 01:08:43,219
BLACK AMERICANS COHORT STUDY AS 

1533
01:08:43,219 --> 01:08:44,220
CUMULATIVE CHRONIC STRESS AND 

1534
01:08:44,220 --> 01:08:45,989
THE CHILDHOOD EVENTS AND THINGS 

1535
01:08:45,989 --> 01:08:48,825
THAT HAPPEN EARLY IN LIFE 

1536
01:08:48,825 --> 01:08:52,061
AFFECTING YOU 30, 40 MARKED 

1537
01:08:52,061 --> 01:08:52,595
POTATOES.

1538
01:08:52,595 --> 01:08:55,131
THERE'S DATA ON RACISM AND 

1539
01:08:55,131 --> 01:08:56,733
PHYSIOLOGIC MEASURES AND 

1540
01:08:56,733 --> 01:08:58,768
HYPERTENSION OR INFLAMMATORY 

1541
01:08:58,768 --> 01:08:59,469
MARKERS AND CARDIOVASCULAR RISK 

1542
01:08:59,469 --> 01:09:01,471
FACTOR AND THEN I MENTIONED 

1543
01:09:01,471 --> 01:09:05,141
BEFORE ABOUT THE SMOKING AND 

1544
01:09:05,141 --> 01:09:14,350
DRINKING AND SUBSTANCE USE.

1545
01:09:14,350 --> 01:09:17,520
AND THERE'S A HISTORY WE HAVE 

1546
01:09:17,520 --> 01:09:19,622
THAT OCCURRED IN THE 1930s.

1547
01:09:19,622 --> 01:09:21,724
IT WAS SYSTEMATICALLY 

1548
01:09:21,724 --> 01:09:24,961
INCORPORATED IN U.S. CITIES IN 

1549
01:09:24,961 --> 01:09:26,596
THE 1930s.

1550
01:09:26,596 --> 01:09:29,465
THE IDEA A BANK WOULD LOAN MONEY

1551
01:09:29,465 --> 01:09:36,306
TO THE HIGHEST PROPERTY AND 

1552
01:09:36,306 --> 01:09:38,541
RESTRICT AND THIS IS TAKEN FROM 

1553
01:09:38,541 --> 01:09:41,177
DOCUMENTS AND LOWEST GRADE AND 

1554
01:09:41,177 --> 01:09:42,879
WHAT WE SEE IS SEGREGATION IN 

1555
01:09:42,879 --> 01:09:44,247
THE DISTRICT OF COLUMBIA AND 

1556
01:09:44,247 --> 01:09:48,284
WHAT WE SEE IS DIFFERENCES IN 

1557
01:09:48,284 --> 01:09:49,786
LIFE EXPECTANCY EXCEEDING 10 

1558
01:09:49,786 --> 01:09:51,821
YEARS FROM EAST OF THE RIVER TO 

1559
01:09:51,821 --> 01:09:53,089
THE NORTHWEST.

1560
01:09:53,089 --> 01:09:54,157
DIFFERENCES IN CARDIOVASCULAR 

1561
01:09:54,157 --> 01:09:59,195
OUTCOMES, FOR EXAMPLE, AND ALSO 

1562
01:09:59,195 --> 01:10:00,430
WITH MEDIATORS OF CARDIOVASCULAR

1563
01:10:00,430 --> 01:10:00,697
OUTCOMES.

1564
01:10:00,697 --> 01:10:03,299
TO A LESSER OR GREATER EXTENT 

1565
01:10:03,299 --> 01:10:04,934
THIS OCCURRED IN ALMOST EVERY 

1566
01:10:04,934 --> 01:10:06,736
CITY IN THE UNITED STATES AND 

1567
01:10:06,736 --> 01:10:09,138
FOLLOWING THE BEGINNING OF THE 

1568
01:10:09,138 --> 01:10:10,406
ECONOMIC BOOM THE UNITED STATES 

1569
01:10:10,406 --> 01:10:12,208
EXPERIENCE AFTER WORLD WAR II 

1570
01:10:12,208 --> 01:10:14,844
THROUGH THE MID 1960s, THE 

1571
01:10:14,844 --> 01:10:20,183
BUILDING UP OF EQUITY FOR 

1572
01:10:20,183 --> 01:10:21,517
FAMILIES WAS DISPROPORTIONATELY 

1573
01:10:21,517 --> 01:10:27,357
FOR BLACKS AND LATINOS WHO CAME 

1574
01:10:27,357 --> 01:10:27,790
LATER.

1575
01:10:27,790 --> 01:10:31,260
THIS IS THE MONOPOLY ANALOGY I 

1576
01:10:31,260 --> 01:10:31,794
GAVE YOU EARLIER IS ABOUT.

1577
01:10:31,794 --> 01:10:34,597
SO HOW DO WE MITIGATE THIS?

1578
01:10:34,597 --> 01:10:36,699
THERE'S LESS ROBUST DATA ON THIS

1579
01:10:36,699 --> 01:10:40,837
HOPEFULLY THROUGH INITIATIVES AT

1580
01:10:40,837 --> 01:10:41,904
NIH WE BEGAN TO GENERATE MORE 

1581
01:10:41,904 --> 01:10:51,648
DATA ON THE TOPIC.

1582
01:10:51,648 --> 01:10:53,916
AND LOOK AT THE ONES PROVIDING 

1583
01:10:53,916 --> 01:10:57,120
THE CARE AND PROMOTING PHYSICAL 

1584
01:10:57,120 --> 01:11:00,556
ACTIVITY AND THESE ARE PROMISING

1585
01:11:00,556 --> 01:11:05,128
THE SO-CALLED INTEGRATION OR 

1586
01:11:05,128 --> 01:11:06,396
RACIAL SOCIALIZATION WHICH KIND 

1587
01:11:06,396 --> 01:11:09,332
OF ENDED IN 1980 FROM POLICIES 

1588
01:11:09,332 --> 01:11:11,334
IN THE UNITED STATES AROUND THE 

1589
01:11:11,334 --> 01:11:13,403
BUSING ISSUE.

1590
01:11:13,403 --> 01:11:15,805
PROBABLY WAS WORKING.

1591
01:11:15,805 --> 01:11:16,673
THERE'S MULTIPLE LINES OF 

1592
01:11:16,673 --> 01:11:24,614
EVIDENCE COMMUNITIES THAT HAVE A

1593
01:11:24,614 --> 01:11:27,050
SPECTRUM OF RESIDENTS AND 

1594
01:11:27,050 --> 01:11:29,886
ECONOMIC SPECTRUM AND THE 

1595
01:11:29,886 --> 01:11:33,122
WEALTHY WILL NOT LIVE WITH 

1596
01:11:33,122 --> 01:11:34,791
EVERYONE BUT NOT EVERYONE OF A 

1597
01:11:34,791 --> 01:11:37,126
PARTICULAR STRATA IS GOOD FOR 

1598
01:11:37,126 --> 01:11:39,328
THE GENERAL POPULATION IN THE 

1599
01:11:39,328 --> 01:11:39,796
COMMUNITY.

1600
01:11:39,796 --> 01:11:40,830
MORE SOCIAL COHESION.

1601
01:11:40,830 --> 01:11:43,766
HAVING MORE PEOPLE INTERACTIONS 

1602
01:11:43,766 --> 01:11:45,968
IS A BIG CHALLENGE AREA OF 

1603
01:11:45,968 --> 01:11:51,474
VIRTUAL MEETINGS AND THE CONCEPT

1604
01:11:51,474 --> 01:12:01,984
OF RELIGIOUSNESS AND CULTURAL 

1605
01:12:02,185 --> 01:12:04,087
COMPETENCE AND ACCESSIBLE CARE 

1606
01:12:04,087 --> 01:12:05,988
PERHAPS CAPTURED IN THE 

1607
01:12:05,988 --> 01:12:07,290
PATIENT-CENTERED MEDICAL HOME 

1608
01:12:07,290 --> 01:12:09,726
AND ULTIMATELY WE NEED TO 

1609
01:12:09,726 --> 01:12:10,927
REFLECT ON THE POWER OF 

1610
01:12:10,927 --> 01:12:11,894
INSTITUTIONS TO HAVE THE 

1611
01:12:11,894 --> 01:12:13,129
POLICIES THAT NEED TO BE 

1612
01:12:13,129 --> 01:12:13,396
ADDRESSED.

1613
01:12:13,396 --> 01:12:18,067
AND I'M SURE YOU'RE AWARE NIH 

1614
01:12:18,067 --> 01:12:20,369
WENT THROUGH SOME REFLECTION AN 

1615
01:12:20,369 --> 01:12:22,105
LAUNCH THE UNITE INITIATIVE I 

1616
01:12:22,105 --> 01:12:24,440
WON'T DWELL ON BUT THIS IS NOT A

1617
01:12:24,440 --> 01:12:26,809
SHORT TERM INVESTMENT.

1618
01:12:26,809 --> 01:12:29,145
THIS IS REALLY A LONG TERM 

1619
01:12:29,145 --> 01:12:34,217
EFFORT.

1620
01:12:34,217 --> 01:12:34,817
PROMOTING HEALTH EQUITY IN 

1621
01:12:34,817 --> 01:12:36,352
HEALTH CARE IS CRITICAL.

1622
01:12:36,352 --> 01:12:38,488
IT STARTS WITH EXPANDING ACCESS.

1623
01:12:38,488 --> 01:12:43,960
WE'VE SEEN THE ACA EXPERIMENT 

1624
01:12:43,960 --> 01:12:45,294
SURVIVE HEALTH INSURANCE.

1625
01:12:45,294 --> 01:12:47,797
IN UNSURED RATES HAVE BEEN 

1626
01:12:47,797 --> 01:12:49,665
DECREASED FROM 30% TO 50%.

1627
01:12:49,665 --> 01:12:52,435
LATINO OR HISPANICS HAVE THE 

1628
01:12:52,435 --> 01:12:55,471
HIGHEST RATES OF UNINSURED FROM 

1629
01:12:55,471 --> 01:12:59,041
A RACIAL AND ETHNIC GROUP AND 

1630
01:12:59,041 --> 01:13:05,081
BLACK AMERICANS ARE HIGHER THAN 

1631
01:13:05,081 --> 01:13:08,417
WHITES AND NEEDS TO BE MORE 

1632
01:13:08,417 --> 01:13:17,059
IMPLEMENTATION SCIENCE AND 

1633
01:13:17,059 --> 01:13:18,995
THERE'S NO EXCUSE WHERE 

1634
01:13:18,995 --> 01:13:22,431
HYPERTENSION SHOULD NOT BE HIGH 

1635
01:13:22,431 --> 01:13:25,835
PRIORITY AND MEASURE IT WITH HOW

1636
01:13:25,835 --> 01:13:27,970
WE'RE DOING IT IN EXPRESSING HIV

1637
01:13:27,970 --> 01:13:31,240
AND THE MOST DISADVANTAGED 

1638
01:13:31,240 --> 01:13:31,541
POPULATION.

1639
01:13:31,541 --> 01:13:33,009
THERE'S THE COMMUNITY HEALTH 

1640
01:13:33,009 --> 01:13:35,044
WORKER MODEL INTO THE SYSTEM 

1641
01:13:35,044 --> 01:13:36,879
WITH NAVIGATORS AND TARGETING 

1642
01:13:36,879 --> 01:13:39,182
CONDITIONS AND WE TALKED ABOUT 

1643
01:13:39,182 --> 01:13:41,651
PRIMARY CARE AND MAKING SURE THE

1644
01:13:41,651 --> 01:13:43,386
ELECTRONIC HEALTH WORKER DOESN'T

1645
01:13:43,386 --> 01:13:50,526
MAKE EQUITY WORSE.

1646
01:13:50,526 --> 01:13:51,828
DIDN'T INCREASE DISPARITIES WITH

1647
01:13:51,828 --> 01:13:54,397
VIDEOS AND NO LONGER OWN 

1648
01:13:54,397 --> 01:13:55,498
COMPUTERS BUT PHONES.

1649
01:13:55,498 --> 01:13:57,433
WHATEVER WE DO AND IT CONSUMES 

1650
01:13:57,433 --> 01:13:58,501
DATA SO WHATEVER WE'RE DOING 

1651
01:13:58,501 --> 01:14:04,874
WITH PORTALS WHICH ARE GREAT WAY

1652
01:14:04,874 --> 01:14:06,542
TO EMPOWER PATIENTS WE NEED TO 

1653
01:14:06,542 --> 01:14:13,282
ADDRESS EQUITY IN THOSE SYSTEMS.

1654
01:14:13,282 --> 01:14:14,417
HAVING PERFORMANCE MEASUREMENTS 

1655
01:14:14,417 --> 01:14:17,787
NOT JUST ON VALUE-BASED CARE BUT

1656
01:14:17,787 --> 01:14:18,087
EQUITY.

1657
01:14:18,087 --> 01:14:20,056
IF WE DECREASE READMISSIONS TO 

1658
01:14:20,056 --> 01:14:22,925
THE HOSPITAL TO 15% FOR HEART 

1659
01:14:22,925 --> 01:14:24,760
FAILURE, LET'S SAY, HOW GOOD ARE

1660
01:14:24,760 --> 01:14:26,696
WE DOING WITH AFRICAN AMERICANS 

1661
01:14:26,696 --> 01:14:29,031
WHO HAVE THE HIGHEST RATES OF 

1662
01:14:29,031 --> 01:14:31,267
HEART FAILURE COMPARED TO THE 

1663
01:14:31,267 --> 01:14:39,141
REST OF THE POPULATION.

1664
01:14:39,141 --> 01:14:40,409
AND WITH COVID THE PANDEMIC 

1665
01:14:40,409 --> 01:14:42,945
BROUGHT THEM HOME TO US AT NIH 

1666
01:14:42,945 --> 01:14:48,484
AND I CO-CHAIRED THE RADX FOR 

1667
01:14:48,484 --> 01:14:51,821
UNDER REPRESENTED POPULATIONS.

1668
01:14:51,821 --> 01:14:57,126
AND THIS SAY MODEL THAT I -- IS 

1669
01:14:57,126 --> 01:15:00,029
A MODEL THAT IS IMPORTANT.

1670
01:15:00,029 --> 01:15:02,598
I'D LIKE A CONTINUUM FOR A 

1671
01:15:02,598 --> 01:15:03,232
COMMUNITY-ENGAGED NETWORK WE 

1672
01:15:03,232 --> 01:15:06,402
FUND AND HAVE THE 

1673
01:15:06,402 --> 01:15:09,438
COMMUNITY-ENGAGED ALLIANCE.

1674
01:15:09,438 --> 01:15:11,874
WE CO-LEAD WITH NATIONAL HEART, 

1675
01:15:11,874 --> 01:15:12,475
LUNG AND BLOOD INSTITUTE.

1676
01:15:12,475 --> 01:15:14,243
WE SEE THIS AS AN ESSENTIAL 

1677
01:15:14,243 --> 01:15:16,412
RESEARCH PLATFORM AS WELL AS A 

1678
01:15:16,412 --> 01:15:22,785
WAY TO ADDRESS A MULTITUDE OF 

1679
01:15:22,785 --> 01:15:29,025
PROBLEMS IN COMMUNITIES AND I'LL

1680
01:15:29,025 --> 01:15:33,162
END NOW WITH JUST THESE GENERAL 

1681
01:15:33,162 --> 01:15:34,330
GUIDANCES FROM NIMHD 

1682
01:15:34,330 --> 01:15:35,398
PERSPECTIVE, MULTI-LEVEL 

1683
01:15:35,398 --> 01:15:37,967
INTERVENTIONS ARE CRITICAL AND 

1684
01:15:37,967 --> 01:15:42,939
EMPHASIS ON INTERSECTIONALITY AS

1685
01:15:42,939 --> 01:15:44,440
MENTIONED MORE THAN ONCE.

1686
01:15:44,440 --> 01:15:55,117
THE IDENTIFYING MECHANISMS AND 

1687
01:15:55,351 --> 01:15:56,619
BUILDING TRUST AND STRUCTURAL 

1688
01:15:56,619 --> 01:15:58,854
CHANGE TO MODIFY BEHAVIORS.

1689
01:15:58,854 --> 01:16:00,456
THANK YOU FOR YOUR ATTENTION.

1690
01:16:00,456 --> 01:16:01,824
THE LAST SLIDE IS OUR CONTACT 

1691
01:16:01,824 --> 01:16:05,361
AND LOOK FORWARD TO THE PANEL 

1692
01:16:05,361 --> 01:16:09,999
DISCUSSION.

1693
01:16:09,999 --> 01:16:15,705
>> THAT WAS A GREAT 

1694
01:16:15,705 --> 01:16:25,147
COMPREHENSIVE OVERVIEW.

1695
01:16:25,147 --> 01:16:34,623
MR. MALDONADO AND LET'S HOLD 

1696
01:16:34,623 --> 01:16:40,730
QUESTIONS UNTIL THE NEXT 

1697
01:16:40,730 --> 01:16:41,063
PRESENTATION.

1698
01:16:41,063 --> 01:16:47,036
I'M GOING TO BRING US TO THIS 

1699
01:16:47,036 --> 01:16:50,940
DR. LA RON NELSON PROFESSOR 

1700
01:16:50,940 --> 01:16:54,243
AT -- SORRY, I'M LOSING MY 

1701
01:16:54,243 --> 01:16:54,777
PLACE.

1702
01:16:54,777 --> 01:16:56,345
THE PROFESSOR AND ASSOCIATE DEAN

1703
01:16:56,345 --> 01:17:06,522
OF GLOBAL AFFAIRS AND PLANETARY 

1704
01:17:06,522 --> 01:17:08,891
HEALTH AT THE YALE SCHOOL OF 

1705
01:17:08,891 --> 01:17:10,559
PUBLIC HEALTH AND HIS RESEARCH 

1706
01:17:10,559 --> 01:17:12,528
FOCUSES ON DEVELOPING AND 

1707
01:17:12,528 --> 01:17:16,465
TESTING STRATEGY TO OPTIMIZE THE

1708
01:17:16,465 --> 01:17:18,534
EQUITABLE IMPLEMENTATION OF HIV 

1709
01:17:18,534 --> 01:17:21,937
PREP AND HIV MSDI TREATMENT IN 

1710
01:17:21,937 --> 01:17:22,505
BLACK COMMUNITIES IN THE 

1711
01:17:22,505 --> 01:17:26,609
U.S. AND CANADA AND SEXUAL 

1712
01:17:26,609 --> 01:17:30,980
MINORITIES IN AFRICA.

1713
01:17:30,980 --> 01:17:34,717
HE'LL PRESENT HIS TALK THE 

1714
01:17:34,717 --> 01:17:37,186
EPISTEMOLOGY OF IGNORANCE NORMAL

1715
01:17:37,186 --> 01:17:43,292
SCIENCE INEVITABLE INEQUITIES 

1716
01:17:43,292 --> 01:17:45,761
AND AUDACIOUS ANTIDOTES FOR THE 

1717
01:17:45,761 --> 01:17:47,096
HIV EPIDEMIC.

1718
01:17:47,096 --> 01:17:52,268
>> I WAS ASKED HOW NIH CAN

1719
01:17:52,268 --> 01:17:53,836
INTEGRATE HIV RESEARCH IN 

1720
01:17:53,836 --> 01:17:56,839
SYNDEMICS AND YOU'RE IN LUCK 

1721
01:17:56,839 --> 01:17:57,873
BECAUSE I'LL TALK TO YOU NOT 

1722
01:17:57,873 --> 01:17:59,875
ONLY FROM A RESEARCHER'S 

1723
01:17:59,875 --> 01:18:01,577
PERSPECTIVE BUT FROM THE 

1724
01:18:01,577 --> 01:18:03,245
PERSPECTIVE OF MENTAL HEALTH 

1725
01:18:03,245 --> 01:18:06,649
NURSE, A BLACK PERSON, A GAY 

1726
01:18:06,649 --> 01:18:08,350
PERSON AND TEACHER WHO SPENDS A 

1727
01:18:08,350 --> 01:18:14,523
LOT OF TIME THINKING ABOUT THIS.

1728
01:18:14,523 --> 01:18:17,126
SO THE INEQUITIES WE OBSERVE IN 

1729
01:18:17,126 --> 01:18:21,564
HIV ARE ALARMING.

1730
01:18:21,564 --> 01:18:23,499
BUT THEY'RE NOT UNUSUAL.

1731
01:18:23,499 --> 01:18:26,268
WE SEE THE SAME PATTERNS ACROSS 

1732
01:18:26,268 --> 01:18:27,670
MULTIPLE SOCIO ECONOMIC AND 

1733
01:18:27,670 --> 01:18:28,437
HEALTH BURDENS.

1734
01:18:28,437 --> 01:18:34,110
THIS MAP YOU SEE HERE WAS 

1735
01:18:34,110 --> 01:18:36,745
PRODUCED BY NFAR I PUBLISHED 

1736
01:18:36,745 --> 01:18:38,114
WITH ABOUT THE OBSERVED 

1737
01:18:38,114 --> 01:18:39,682
INEQUITIES IN COVID-19.

1738
01:18:39,682 --> 01:18:42,184
WHAT YOU SEE HERE IS A 

1739
01:18:42,184 --> 01:18:44,286
GEOGRAPHIC PATTERN WITH SOME KEY

1740
01:18:44,286 --> 01:18:47,189
SOCIAL AND HEALTH PROBLEMS ARE 

1741
01:18:47,189 --> 01:18:47,723
CONCENTRATED.

1742
01:18:47,723 --> 01:18:52,528
THAT'S POVERTY, UNEMPLOYMENT, 

1743
01:18:52,528 --> 01:18:54,163
BEING UNINSURED.

1744
01:18:54,163 --> 01:18:56,665
THERE'S INFECTIOUS DISEASE LIKE 

1745
01:18:56,665 --> 01:18:57,299
SYPHILIS AND DIABETES AND HEART 

1746
01:18:57,299 --> 01:19:00,236
DECEASE.

1747
01:19:00,236 --> 01:19:02,938
-- DISEASE.

1748
01:19:02,938 --> 01:19:05,141
I DON'T HAVE A MAP TO SHOW THE 

1749
01:19:05,141 --> 01:19:06,442
NEW DISTRIBUTION OF HIV 

1750
01:19:06,442 --> 01:19:07,309
INFECTIONS BUT IT LOOKS LIKE ONE

1751
01:19:07,309 --> 01:19:16,986
OF THE MAPS ON THE SCREEN.

1752
01:19:16,986 --> 01:19:19,221
THE PATTERNS OF DISEASE WE SEE 

1753
01:19:19,221 --> 01:19:21,056
ARE MORE SOCIALLY AND 

1754
01:19:21,056 --> 01:19:24,660
POLITIC

1755
01:19:24,660 --> 01:19:25,261
POLITICALLY DETERMINED.

1756
01:19:25,261 --> 01:19:30,266
IF WE LOOK DEEPLY IN THE COLORS 

1757
01:19:30,266 --> 01:19:32,268
THE GREEN, ORANGE AND RED YOU'LL

1758
01:19:32,268 --> 01:19:36,238
FIND ALL TYPES OF PEOPLE BUT 

1759
01:19:36,238 --> 01:19:39,141
MOSTLY MINORITIZED BASED ON 

1760
01:19:39,141 --> 01:19:44,446
RACIAL, GENDER, SOCIAL, INCOME 

1761
01:19:44,446 --> 01:19:49,652
AND STATSES.

1762
01:19:49,652 --> 01:19:56,792
THEY'RE NOT MINORITIZED NUMBERS 

1763
01:19:56,792 --> 01:19:59,461
BUT WITHIN THE PLACEMENT OF THE 

1764
01:19:59,461 --> 01:20:00,763
SOCIAL HIERARCHY.

1765
01:20:00,763 --> 01:20:04,166
THIS REFLECTS THE SOCIAL OH OF 

1766
01:20:04,166 --> 01:20:06,335
U.S. COMMUNITY AND THE 

1767
01:20:06,335 --> 01:20:11,106
DEVALUIZATION OF POPULATIONS 

1768
01:20:11,106 --> 01:20:11,774
ASSIGNED UNDER ADVANTAGED AND 

1769
01:20:11,774 --> 01:20:20,049
EXPOSED TO RISK.

1770
01:20:20,049 --> 01:20:24,587
THIS SHOWS THE WIDENING GAP WITH

1771
01:20:24,587 --> 01:20:28,090
THE INTRODUCTION OF NEW 

1772
01:20:28,090 --> 01:20:30,893
BIOMEDICAL DISCOVERIES AND THE 

1773
01:20:30,893 --> 01:20:32,127
IMPLEMENTATION OF PUBLIC HEALTH 

1774
01:20:32,127 --> 01:20:33,429
PRACTICE AND YOU SEE THE AFDA 

1775
01:20:33,429 --> 01:20:34,997
APPROVAL OF PREP.

1776
01:20:34,997 --> 01:20:36,398
THERE'S OTHER ADVANCES SCIENCE 

1777
01:20:36,398 --> 01:20:39,235
HAS DELIVERED TO US DURING THE 

1778
01:20:39,235 --> 01:20:40,002
SAME TIME PERIOD.

1779
01:20:40,002 --> 01:20:44,707
FOR EXAMPLE, RAPID POINT OF CARE

1780
01:20:44,707 --> 01:20:46,342
TESTING FOR HIV OR SELF-TESTING 

1781
01:20:46,342 --> 01:20:50,579
OR HOME-BASED TESTING AND 

1782
01:20:50,579 --> 01:21:00,990
TREATMENT AS PREVENTION.

1783
01:21:01,557 --> 01:21:07,263
IN THEORY THEY'LL CONTRIBUTE TO 

1784
01:21:07,263 --> 01:21:11,567
EVENTS AND WHITE MSM.

1785
01:21:11,567 --> 01:21:12,568
THIS IS NORMAL.

1786
01:21:12,568 --> 01:21:15,504
IT'S NORMAL BECAUSE OUR SOCIETY 

1787
01:21:15,504 --> 01:21:17,706
ORGANIZED IN A TWHA PROMISES 

1788
01:21:17,706 --> 01:21:19,275
BENEFITS TO PEOPLE WHOSE STATUS 

1789
01:21:19,275 --> 01:21:21,477
IS PRIVILEGED.

1790
01:21:21,477 --> 01:21:22,811
THIS ALSO PROVES THE HEALTH 

1791
01:21:22,811 --> 01:21:26,582
BENEFITS OF SCIENCE.

1792
01:21:26,582 --> 01:21:32,821
IN THE GRAPH OF INCIDENTS AMONG 

1793
01:21:32,821 --> 01:21:40,929
SMM THERE ALMOST NO IMPACT ON 

1794
01:21:40,929 --> 01:21:42,698
BLACK MSM.

1795
01:21:42,698 --> 01:21:48,203
THE BENEFITS FROM THE ADVANCES 

1796
01:21:48,203 --> 01:21:53,142
STAYED THERE AND DISPARITIES 

1797
01:21:53,142 --> 01:21:55,678
BECAUSE OF THE BENEFITS DO NOT 

1798
01:21:55,678 --> 01:21:56,545
TRICKLE DOWN.

1799
01:21:56,545 --> 01:22:03,786
TO DO THIS WE NEED TO REDESIGN 

1800
01:22:03,786 --> 01:22:09,425
SCIENCE TO BENEFITS FLOW MORE 

1801
01:22:09,425 --> 01:22:14,463
EQUITABLY OTHERWISE THIS WILL 

1802
01:22:14,463 --> 01:22:15,531
CONTINUE TO HAPPEN.

1803
01:22:15,531 --> 01:22:20,035
NORMAL SCIENCE IS THE WAY WE 

1804
01:22:20,035 --> 01:22:21,136
CONDUCT RESEARCH.

1805
01:22:21,136 --> 01:22:26,642
THIS INCLUDES EMBEDDED BLIND 

1806
01:22:26,642 --> 01:22:26,842
SPOTS.

1807
01:22:26,842 --> 01:22:28,444
BLIND SPOTS FOR UNDER 

1808
01:22:28,444 --> 01:22:29,111
MINORITIZED GROUPS SOME I NAMED 

1809
01:22:29,111 --> 01:22:31,547
AND OTHERS YOU HEARD ABOUT AND 

1810
01:22:31,547 --> 01:22:32,848
ARE EASY TO MISS.

1811
01:22:32,848 --> 01:22:36,285
IT'S A NICE WAY TO SAY EASY TO 

1812
01:22:36,285 --> 01:22:38,887
MISS AND EASY TO IGNORE.

1813
01:22:38,887 --> 01:22:43,459
THESE BLIND SPOTS ARE NOT 

1814
01:22:43,459 --> 01:22:43,992
INCID

1815
01:22:43,992 --> 01:22:44,293
INCIDENTAL.

1816
01:22:44,293 --> 01:22:48,364
SCIENCE REENFORCES THE DOMINANT 

1817
01:22:48,364 --> 01:22:52,134
PARADIGM OF HOW -- AND IT ALSO 

1818
01:22:52,134 --> 01:22:56,205
REINFORCES DOMINANT SOCIAL 

1819
01:22:56,205 --> 01:22:56,872
ORGANIZATION.

1820
01:22:56,872 --> 01:23:01,110
IT ALL FITS.

1821
01:23:01,110 --> 01:23:04,680
RACISM IS EMBEDDED IN SCIENTIFIC

1822
01:23:04,680 --> 01:23:07,449
INFRASTRUCTURE AND SOME NIH WORK

1823
01:23:07,449 --> 01:23:10,853
HAS EMPHASIZED THIS AND EMBEDDED

1824
01:23:10,853 --> 01:23:12,988
EVEN IN SCIENTIFIC PROCESSES.

1825
01:23:12,988 --> 01:23:17,126
IT FEELS NORMAL BECAUSE IT ALL 

1826
01:23:17,126 --> 01:23:19,528
GOES BUT THAT SUPPORTS THE 

1827
01:23:19,528 --> 01:23:26,235
STATUS QUO AND THIGHS Y-- THESE 

1828
01:23:26,235 --> 01:23:30,739
INEQUITIES HAPPEN.

1829
01:23:30,739 --> 01:23:34,777
NORMAL SCIENCE WORKS AND WE'RE 

1830
01:23:34,777 --> 01:23:37,012
TRYING TO FIND OUT IF WE'RE 

1831
01:23:37,012 --> 01:23:42,151
CONDUCTING SCIENCE AIMED AT 

1832
01:23:42,151 --> 01:23:42,851
IMPACTING ACADEMIC INEQUITIES 

1833
01:23:42,851 --> 01:23:47,823
WHAT WE NEED IS A REVOLUTIONARY 

1834
01:23:47,823 --> 01:23:52,828
SCIENCE TO DISRUPT THE INEQUITY 

1835
01:23:52,828 --> 01:23:53,362
PATTE

1836
01:23:53,362 --> 01:23:54,630
PATTERNS.

1837
01:23:54,630 --> 01:23:57,132
A BOOK CALLED THE STRUCTURE OF 

1838
01:23:57,132 --> 01:23:58,834
SCIENTIFIC REVOLUTIONS.

1839
01:23:58,834 --> 01:23:59,668
IT WAS LOOK AGENT SCIENTIFIC 

1840
01:23:59,668 --> 01:24:03,305
PROGRESS OVER A LONG PERIOD OF 

1841
01:24:03,305 --> 01:24:05,774
TIME AND TRYING TO TRACK HOW WE 

1842
01:24:05,774 --> 01:24:07,409
GOT HERE AND WHAT DID WE DO 

1843
01:24:07,409 --> 01:24:10,712
BEFORE THAT GOT US HERE AND HE 

1844
01:24:10,712 --> 01:24:14,116
REALIZED AND FOUND THAT THERE 

1845
01:24:14,116 --> 01:24:16,185
WERE BREAKS THAT SOME MAJOR 

1846
01:24:16,185 --> 01:24:17,319
ADVANCES DIDN'T SEEM CONNECTED 

1847
01:24:17,319 --> 01:24:20,322
TO THE WORK THAT HAD BEEN DONE 

1848
01:24:20,322 --> 01:24:20,556
BEFORE.

1849
01:24:20,556 --> 01:24:25,928
THINGS HAD CHANGED.

1850
01:24:25,928 --> 01:24:28,664
SO WHEN THERE'S TALK OF NORMAL 

1851
01:24:28,664 --> 01:24:29,865
SCIENCE IT'S REFERRED TO WHEN 

1852
01:24:29,865 --> 01:24:31,133
SCIENCE IS LESS AND LESS ABLE TO

1853
01:24:31,133 --> 01:24:33,368
ADDRESS THE QUESTIONS OF THE 

1854
01:24:33,368 --> 01:24:33,569
TODAY.

1855
01:24:33,569 --> 01:24:34,703
THE PRESSING PROBLEMS OF THE DAY

1856
01:24:34,703 --> 01:24:35,437
AND THIS REPRESENTS WHAT YOU 

1857
01:24:35,437 --> 01:24:37,139
CALL THE DRIFT.

1858
01:24:37,139 --> 01:24:43,278
AND THAT AT THE SOME POINT 

1859
01:24:43,278 --> 01:24:44,146
SCIENCE REACHES CRISIS.

1860
01:24:44,146 --> 01:24:46,081
WHAT ARE WE GOING TO DO?

1861
01:24:46,081 --> 01:24:46,682
THIS NOT WORKING.

1862
01:24:46,682 --> 01:24:50,886
THIS LEADS TO A NEW WAY OF 

1863
01:24:50,886 --> 01:24:53,722
THINKING THAT DEPARTS SHARPLY 

1864
01:24:53,722 --> 01:24:56,191
FROM APPROACHES THINGS AT THE 

1865
01:24:56,191 --> 01:24:58,393
TIME CONSIDERED REVOLUTIONARY OR

1866
01:24:58,393 --> 01:25:00,896
UNHEARD OF AND THE REVOLUTIONS 

1867
01:25:00,896 --> 01:25:03,665
LEAD TO PARADIGM SHIFT AFTER A 

1868
01:25:03,665 --> 01:25:08,237
WHILE BECOME THE NEW NORMAL.

1869
01:25:08,237 --> 01:25:10,239
FROM A RESEARCHER'S PERSPECTIVE 

1870
01:25:10,239 --> 01:25:11,840
WE'RE ALREADY IN A SCIENTIFIC 

1871
01:25:11,840 --> 01:25:12,541
CRISIS IN HIV.

1872
01:25:12,541 --> 01:25:13,575
WE ARE TRYING THINGS THAT ARE 

1873
01:25:13,575 --> 01:25:15,077
NOT WORKING.

1874
01:25:15,077 --> 01:25:17,145
I THINK IT'S BECAUSE OF THE WAY 

1875
01:25:17,145 --> 01:25:19,882
WE'RE TRYING IT AND WE MIGHT BE 

1876
01:25:19,882 --> 01:25:23,051
NEARING THE CUSP OF A REVOLUTION

1877
01:25:23,051 --> 01:25:25,120
IN HIV SCIENCE.

1878
01:25:25,120 --> 01:25:26,421
MAYBE WE'RE NOT ACKNOWLEDGING 

1879
01:25:26,421 --> 01:25:28,123
THAT BUT WE HAVE TO BE THERE AND

1880
01:25:28,123 --> 01:25:31,260
WHEN I SAY REVOLUTIONARY SCIENCE

1881
01:25:31,260 --> 01:25:32,995
I'M NOT COMING UP WITH WHAT IT 

1882
01:25:32,995 --> 01:25:35,430
MEANS FOR US TODAY BUT I THINK 

1883
01:25:35,430 --> 01:25:39,268
IT MEANS EVIDENCE IN ACTION OR 

1884
01:25:39,268 --> 01:25:40,335
EVIDENCE THAT ACTS.

1885
01:25:40,335 --> 01:25:43,739
IT HAS TO BE MORE THAN 

1886
01:25:43,739 --> 01:25:45,474
GENERATING NEW KNOWLEDGE.

1887
01:25:45,474 --> 01:25:46,942
THAT DOES NOT AFFECT THE SYSTEMS

1888
01:25:46,942 --> 01:25:48,710
WE JUST HEARD ABOUT FROM OUR 

1889
01:25:48,710 --> 01:25:58,086
NIMHD LEADERSHIP.

1890
01:25:58,086 --> 01:26:00,923
ONE WAY TO CHARACTERIZE THE 

1891
01:26:00,923 --> 01:26:02,157
SCIENTIFIC CRISIS IS THINKING OF

1892
01:26:02,157 --> 01:26:10,232
US BEING IN A NEW ERA OF HIV 

1893
01:26:10,232 --> 01:26:11,300
EPIDEMIC DRIVEN BY BEHAVIOR.

1894
01:26:11,300 --> 01:26:16,204
THE MARKETS AND SYSTEMS, HEALTH 

1895
01:26:16,204 --> 01:26:17,839
SYSTEMS, SOCIO CULTURAL SYSTEMS 

1896
01:26:17,839 --> 01:26:18,373
AND POLITICAL SYSTEMS.

1897
01:26:18,373 --> 01:26:19,641
THAT'S WHAT'S HAPPENING.

1898
01:26:19,641 --> 01:26:22,811
IF SCIENCE IS TO ADDRESS HIV, WE

1899
01:26:22,811 --> 01:26:24,680
HAVE TO ALSO FIGURE HOW TO 

1900
01:26:24,680 --> 01:26:26,815
ADDRESS OTHER BEHAVIORS THAT ARE

1901
01:26:26,815 --> 01:26:28,116
RELEVANT.

1902
01:26:28,116 --> 01:26:30,519
THINK OF AN EXAMPLE OF BLACK 

1903
01:26:30,519 --> 01:26:30,852
MSM.

1904
01:26:30,852 --> 01:26:36,625
YOU HEARD FROM THE CDC SOME 

1905
01:26:36,625 --> 01:26:38,393
YEARS AGO THAT IF THINGS DIDN'T 

1906
01:26:38,393 --> 01:26:44,766
CHANGE ONE AND TWO WOULD HAVE A 

1907
01:26:44,766 --> 01:26:48,370
CHANCE OF ACQUIRING HIV AND 

1908
01:26:48,370 --> 01:26:49,771
WHERE THERE'S HIGH PREVALENCE IN

1909
01:26:49,771 --> 01:26:52,641
THE HIV COMMUNITY THE ODDS OF 

1910
01:26:52,641 --> 01:26:53,909
BEING EXPOSED OR HAVING SEX WITH

1911
01:26:53,909 --> 01:26:56,011
SOMEBODY WHO HAS HIV IS GOING TO

1912
01:26:56,011 --> 01:26:57,713
BE HIGH REGARDLESS OF THE NUMBER

1913
01:26:57,713 --> 01:27:00,949
OF PARTNERS YOU HAVE OR THE 

1914
01:27:00,949 --> 01:27:01,850
FREQUENCY OF SEX.

1915
01:27:01,850 --> 01:27:05,120
SO THE BEHAVIOR WON'T BE THE 

1916
01:27:05,120 --> 01:27:11,393
DRIVER, THE DRIVER WILL BE OTHER

1917
01:27:11,393 --> 01:27:12,694
BEHAVIORS IS TREATMENT AND 

1918
01:27:12,694 --> 01:27:13,862
PREVENTION AVAILABLE IN YOUR 

1919
01:27:13,862 --> 01:27:16,465
COMMUNITY AND IS YOUR PROVIDER 

1920
01:27:16,465 --> 01:27:19,101
ABLE TO DISCUSS PREP WITH YOU?

1921
01:27:19,101 --> 01:27:22,704
ARE THERE IMPEDIMENTS FOR YOUR 

1922
01:27:22,704 --> 01:27:25,140
PROVIDER DISCUSSING SEX AND 

1923
01:27:25,140 --> 01:27:31,647
SEXUALITY AMONG YOUNG MSM AND 

1924
01:27:31,647 --> 01:27:32,848
DOES THE MANUFACTURE OF THE DRUG

1925
01:27:32,848 --> 01:27:34,916
MAKE IT EASIER FOR YOU TO GET.

1926
01:27:34,916 --> 01:27:36,018
WILL THE INSURANCE COMPANY PAY 

1927
01:27:36,018 --> 01:27:39,254
FOR THE DRUG?

1928
01:27:39,254 --> 01:27:42,224
ARE THERE STRONG POLITICAL 

1929
01:27:42,224 --> 01:27:44,292
IMPEDIMENT TO HAVING AUTHORITY 

1930
01:27:44,292 --> 01:27:47,529
TO PRESCRIBE THIS OR POLITICAL 

1931
01:27:47,529 --> 01:27:49,865
IMPEDIMENTS TO NURSE 

1932
01:27:49,865 --> 01:27:51,667
PRACTITIONERS BEING ABLE TO 

1933
01:27:51,667 --> 01:27:53,268
CLAIM FULL REIMBURSEMENT FOR THE

1934
01:27:53,268 --> 01:27:54,670
CARE THEY PROVIDER BECAUSE IF 

1935
01:27:54,670 --> 01:27:55,270
THEY DON'T THE HEALTH CARE 

1936
01:27:55,270 --> 01:27:58,940
SYSTEM WON'T MAKE IT POSSIBLE 

1937
01:27:58,940 --> 01:28:01,209
BECAUSE IT'S A FINANCIAL 

1938
01:28:01,209 --> 01:28:03,078
DISINCENTIVES.

1939
01:28:03,078 --> 01:28:04,446
NONE OF THESE ARE BY PATIENT 

1940
01:28:04,446 --> 01:28:08,216
BEHAVIOR BUT MARKET, SYSTEMS, 

1941
01:28:08,216 --> 01:28:10,619
CULTURAL AND POLITICAL SYSTEMS 

1942
01:28:10,619 --> 01:28:12,220
WILL AFFECT INDIVIDUAL AND 

1943
01:28:12,220 --> 01:28:14,389
POPULATION-LEVEL OUTCOME IN HIV.

1944
01:28:14,389 --> 01:28:16,158
OUR RESEARCH HAS TO GO THERE.

1945
01:28:16,158 --> 01:28:18,093
IF WE'RE GOING TO BE 

1946
01:28:18,093 --> 01:28:20,362
REVOLUTIONARY SCIENCE TO IMPACT 

1947
01:28:20,362 --> 01:28:21,363
THE EPIDEMIC WE HAVE TO GO 

1948
01:28:21,363 --> 01:28:21,563
THERE.

1949
01:28:21,563 --> 01:28:31,973
THERE'S WAYS TO DO IT.

1950
01:28:31,973 --> 01:28:33,408
WE NEED TO UNDERSTAND THE 

1951
01:28:33,408 --> 01:28:35,610
DRIVERS OF THE HIV INEQUITIES.

1952
01:28:35,610 --> 01:28:37,779
STUDIES THAT COMBINE MULTIPLE 

1953
01:28:37,779 --> 01:28:38,914
STRATEGIES AND LEVELS AND 

1954
01:28:38,914 --> 01:28:39,881
STUDIES THAT INTEGRATE 

1955
01:28:39,881 --> 01:28:40,849
STRATEGIES THAT IMPACT MORE THAN

1956
01:28:40,849 --> 01:28:47,155
ONE TARGET AT A TIME.

1957
01:28:47,155 --> 01:28:50,559
THIS DIAGRAM IS FROM A PAPER 

1958
01:28:50,559 --> 01:28:53,095
FROM BRIAN WIENER CALLED THE 

1959
01:28:53,095 --> 01:28:55,263
CONVERGENCE FRAMEWORK AND AN 

1960
01:28:55,263 --> 01:28:56,732
EXAMPLE OF INTERVENING WITH 

1961
01:28:56,732 --> 01:28:59,201
THREE TARGETS AT THREE LEVELS 

1962
01:28:59,201 --> 01:29:01,069
NEEDED TO IMPROVE THE ACCEPTANCE

1963
01:29:01,069 --> 01:29:02,738
OF CHEMOTHERAPY.

1964
01:29:02,738 --> 01:29:04,339
WON'T DO IT BY JUST TALKING TO 

1965
01:29:04,339 --> 01:29:09,144
THE PATIENTS AND NOT ENGAGING IS

1966
01:29:09,144 --> 01:29:10,979
THE PEER NETWORK.

1967
01:29:10,979 --> 01:29:13,081
YOU HAVE TO DO ALL THREE AND IN 

1968
01:29:13,081 --> 01:29:14,850
HIV WE HAVE TO LOOK AT 

1969
01:29:14,850 --> 01:29:16,718
MULTI-LEVEL DRIVERS AND WHAT CAN

1970
01:29:16,718 --> 01:29:18,086
BE DONE TO ADDRESS THEM TO 

1971
01:29:18,086 --> 01:29:19,187
REDUCE THE INEQUITIES.

1972
01:29:19,187 --> 01:29:25,060
AND I THINK NEW TECHNOLOGIES 

1973
01:29:25,060 --> 01:29:28,096
LIKE LEVERAGING BLOCK CHAIN 

1974
01:29:28,096 --> 01:29:29,464
TECHNOLOGY AND ARTIFICIAL 

1975
01:29:29,464 --> 01:29:31,266
INTELLIGENCE WHICH I DON'T KNOW 

1976
01:29:31,266 --> 01:29:33,902
A LOT ABOUT HAVE BEEN SHOWN IN 

1977
01:29:33,902 --> 01:29:35,170
MANAGEMENT SECTORS TO HAVE 

1978
01:29:35,170 --> 01:29:37,472
IMPROVEMENTS ON SERVICE OUTCOMES

1979
01:29:37,472 --> 01:29:38,673
BUT HEALTH SYSTEMS ALSO SERVICE 

1980
01:29:38,673 --> 01:29:40,742
SYSTEMS TO USE THE TECHNOLOGY TO

1981
01:29:40,742 --> 01:29:42,711
THINK HOW TO TO IMPROVE BUSINESS

1982
01:29:42,711 --> 01:29:44,079
OUTCOMES IN HEALTH SYSTEMS AND 

1983
01:29:44,079 --> 01:29:45,147
SERVICE OUTCOMES AND ULTIMATELY 

1984
01:29:45,147 --> 01:29:55,457
PATIENT OUTCOMES.

1985
01:29:57,125 --> 01:29:58,693
THEY NEED TO BE ABLE TO -- 

1986
01:29:58,693 --> 01:30:00,162
NORMAL SCIENCE YOU DESIGN 

1987
01:30:00,162 --> 01:30:01,129
INTERVENTION WITH FIXED 

1988
01:30:01,129 --> 01:30:03,665
COMPONENTS AND YOU TEST IT.

1989
01:30:03,665 --> 01:30:05,901
WITHOUT ANY RESPECT TO WHAT'S 

1990
01:30:05,901 --> 01:30:08,804
HAPPENING AROUND YOU OR AROUND 

1991
01:30:08,804 --> 01:30:10,639
US AND THESE EPIDEMICS THESE 

1992
01:30:10,639 --> 01:30:12,674
THINGS ARE EVOLVE.

1993
01:30:12,674 --> 01:30:15,243
SO INTERVENTIONS HAVE TO BE ABLE

1994
01:30:15,243 --> 01:30:18,814
TO EVOLVE OR BE FLEXIBLE IN SOME

1995
01:30:18,814 --> 01:30:21,116
WAY SO I WROTE HERE BEND TO 

1996
01:30:21,116 --> 01:30:23,752
AVOID BREAKING.

1997
01:30:23,752 --> 01:30:25,654
IF THE EPIDEMIC HAS CHANGED AND 

1998
01:30:25,654 --> 01:30:27,656
THE INDIVIDUAL HAS NOT, I THINK 

1999
01:30:27,656 --> 01:30:30,492
THERE'S A HIGH RISK IT WILL FAIL

2000
01:30:30,492 --> 01:30:32,861
AND THERE'S POTENTIALLY TO 

2001
01:30:32,861 --> 01:30:34,963
EVOLVE IN WAYS THAT SHOW IMPACT 

2002
01:30:34,963 --> 01:30:36,331
AND NOT FOR NORMAL SCIENCE.

2003
01:30:36,331 --> 01:30:38,166
WE HAVE TO THINK ABOUT HOW WE DO

2004
01:30:38,166 --> 01:30:38,366
THAT.

2005
01:30:38,366 --> 01:30:41,102
IT HAS TO MAINTAIN LOCAL 

2006
01:30:41,102 --> 01:30:44,372
RELEVANCE AND HAS TO BE 

2007
01:30:44,372 --> 01:30:45,307
IMPORTANT IN THE EPIDEMIC AND 

2008
01:30:45,307 --> 01:30:47,309
MAY MEAN TESTING WHAT YOU DESIGN

2009
01:30:47,309 --> 01:30:49,144
BUT ALLOW IS TO CHANGE BASED ON 

2010
01:30:49,144 --> 01:30:52,147
WHAT'S HAPPENING IN THE 

2011
01:30:52,147 --> 01:30:54,182
ENVIRONMENT AROUND WHAT IS BEING

2012
01:30:54,182 --> 01:30:56,484
IMPLEMENTED AND MAY INCLUDE 

2013
01:30:56,484 --> 01:30:58,887
BENDING SOME OF THE NORMAL RULES

2014
01:30:58,887 --> 01:31:01,223
WITHOUT SACRIFICING SCIENTIFIC 

2015
01:31:01,223 --> 01:31:01,523
RIGOR.

2016
01:31:01,523 --> 01:31:04,025
I PUT UP THIS AS AN EXAMPLE.

2017
01:31:04,025 --> 01:31:09,130
THE STUDY CO-LEAD AND DESIGN 

2018
01:31:09,130 --> 01:31:11,433
WITH CHRIS AND BOB AND IS A MULE

2019
01:31:11,433 --> 01:31:13,301
LEVEL INTERVENTION STUDY DONE 

2020
01:31:13,301 --> 01:31:14,436
ACROSS THE SOUTH.

2021
01:31:14,436 --> 01:31:17,973
THE FIGURE ON THE RIGHT IS 

2022
01:31:17,973 --> 01:31:18,940
CIRCULAR FIGURE WAS SUPPOSED TO 

2023
01:31:18,940 --> 01:31:20,809
SHOW THE INTEGRATED STRATEGY 

2024
01:31:20,809 --> 01:31:22,377
THAT TAKES STRUCTURAL 

2025
01:31:22,377 --> 01:31:25,313
INTERVENTIONS AND BEHAVIORAL 

2026
01:31:25,313 --> 01:31:29,618
INTERVENTIONS TO SUPPORT THE 

2027
01:31:29,618 --> 01:31:30,952
IMPLEMENTATION OF PREP TREATMENT

2028
01:31:30,952 --> 01:31:32,354
AND TESTING AND CIRCULAR FOR 

2029
01:31:32,354 --> 01:31:33,822
ANOTHER REASON.

2030
01:31:33,822 --> 01:31:37,626
WE COULD HAVE MADE IT A STRAIGHT

2031
01:31:37,626 --> 01:31:39,928
LINE BUT WE NEED THE 

2032
01:31:39,928 --> 01:31:40,662
INTERVENTION STRATEGY TO BE 

2033
01:31:40,662 --> 01:31:41,897
FLUID WHILE STILL BE FUNCTIONAL 

2034
01:31:41,897 --> 01:31:45,600
AND RIGOROUS BUT RESPONSIVE.

2035
01:31:45,600 --> 01:31:47,435
IT WAS A DIFFERENT TYPE OF STUDY

2036
01:31:47,435 --> 01:31:49,871
THEY THINK THE NETWORK HAD SEEN 

2037
01:31:49,871 --> 01:31:52,774
BUT REALIZED IT WAS NECESSARY IF

2038
01:31:52,774 --> 01:31:54,910
WE'RE GOING TO DO WORK THAT 

2039
01:31:54,910 --> 01:31:56,778
IMPACT THE EPIDEMIC.

2040
01:31:56,778 --> 01:31:59,881
IF WE DO STUDIES LIKE HPTN096 

2041
01:31:59,881 --> 01:32:01,483
AND OTHER STUDIES THAT ARE NOVEL

2042
01:32:01,483 --> 01:32:03,985
AND UNUSUAL WE NEED METHODS TO 

2043
01:32:03,985 --> 01:32:05,687
ACCOMMODATE THE NEW COMPLEXITIES

2044
01:32:05,687 --> 01:32:07,756
AND PART OF WHAT HAPPENS IS YOU 

2045
01:32:07,756 --> 01:32:09,124
HAVE SCIENTISTS THAT WORK 

2046
01:32:09,124 --> 01:32:10,992
TOGETHER TO COME UP WITH THINGS 

2047
01:32:10,992 --> 01:32:11,626
AND STATISTICIANS SAYING WE 

2048
01:32:11,626 --> 01:32:14,162
DON'T HAVE A WAY TO TEST THAT OR

2049
01:32:14,162 --> 01:32:16,031
METHODS TO EVALUATE THAT.

2050
01:32:16,031 --> 01:32:18,233
WE -- NIH, WE SHOULD INVEST IN 

2051
01:32:18,233 --> 01:32:18,733
THE DEVELOP.  

2052
01:32:18,733 --> 01:32:22,404
NEW METHODS OR TESTING NEW 

2053
01:32:22,404 --> 01:32:25,907
METHODS THAT CAN HANDLE THE 

2054
01:32:25,907 --> 01:32:27,642
POTENTIAL NEW WAYS OF DOING 

2055
01:32:27,642 --> 01:32:27,876
THINGS.

2056
01:32:27,876 --> 01:32:29,911
HERE'S EXAMPLE OF THINGS THAT 

2057
01:32:29,911 --> 01:32:33,548
HAVE BEEN DONE MORE RECENTLY.

2058
01:32:33,548 --> 01:32:37,118
THE MOST DESIGN MULTI-FACED 

2059
01:32:37,118 --> 01:32:41,122
OPTIMIZATION STRATEGY AND SMART 

2060
01:32:41,122 --> 01:32:41,957
DESIGNS, IMPLEMENTATIONAL 

2061
01:32:41,957 --> 01:32:47,162
DESIGNS AND WE NEED MORE OF THAT

2062
01:32:47,162 --> 01:32:50,131
AND NOVEL IDEAS TO HOW WE DO 

2063
01:32:50,131 --> 01:32:53,902
THIS AND NOVEL DESIGN AND 

2064
01:32:53,902 --> 01:32:54,169
STRATEGY.

2065
01:32:54,169 --> 01:32:56,604
THE NEXT EXAMPLE IS CALLED LEARN

2066
01:32:56,604 --> 01:33:00,942
AS YOU GO.

2067
01:33:00,942 --> 01:33:03,078
THIS IS A STRATEGY -- AN 

2068
01:33:03,078 --> 01:33:04,713
ANIMATED STRATEGY THAT TAKES 

2069
01:33:04,713 --> 01:33:07,282
DATA AND COLLECTS DATA BEING 

2070
01:33:07,282 --> 01:33:09,651
DESIGN AND ING OUT 

2071
01:33:09,651 --> 01:33:10,785
MATHEMATICALLY WHERE IT MIGHT 

2072
01:33:10,785 --> 01:33:13,488
NEED TO CHANGE AND NEEDS TO BE 

2073
01:33:13,488 --> 01:33:18,493
INFORMED BY HOW RACE, RACISM 

2074
01:33:18,493 --> 01:33:20,328
MIGHT INFORM UNDER LIE THE 

2075
01:33:20,328 --> 01:33:21,129
LOGIC.

2076
01:33:21,129 --> 01:33:23,431
I REMEMBER HAVING A STATISTICIAN

2077
01:33:23,431 --> 01:33:25,800
WHO DEVELOPED THIS COME TALK TO 

2078
01:33:25,800 --> 01:33:27,635
PEOPLE BLACK RESEARCHERS IN 

2079
01:33:27,635 --> 01:33:29,137
DALLAS WHO COULD APPRECIATE IT 

2080
01:33:29,137 --> 01:33:34,609
BUT CRITIQUED IT AND THERE ARE 

2081
01:33:34,609 --> 01:33:37,012
WAYS THAT MATH CAN SUPPORT -- 

2082
01:33:37,012 --> 01:33:41,082
HOW DO I WANT TO SAY THIS?

2083
01:33:41,082 --> 01:33:42,717
THIS CAN SUPPORT STATUS QUO SO 

2084
01:33:42,717 --> 01:33:46,154
WE DON'T JUST NEED NEW METHODS 

2085
01:33:46,154 --> 01:33:48,356
BUT METHODS INFORMED BY PEOPLE 

2086
01:33:48,356 --> 01:33:48,957
WHO HAVE DIFFERENTLY LIVED 

2087
01:33:48,957 --> 01:33:51,960
SOCIAL EXPERIENCES.

2088
01:33:51,960 --> 01:33:53,862
THE NEXT SLIDE GETS AT THAT.

2089
01:33:53,862 --> 01:33:56,264
ANOTHER AUDACIOUS WAY TO ADDRESS

2090
01:33:56,264 --> 01:33:58,099
THIS IS DEVELOPING SUPPORTING 

2091
01:33:58,099 --> 01:34:00,468
RESEARCH INFRASTRUCTURE 

2092
01:34:00,468 --> 01:34:03,171
DEVELOPMENT PARTICULARLY IN 

2093
01:34:03,171 --> 01:34:07,442
HBCUs, HISTORICALLY HISPANIC AND

2094
01:34:07,442 --> 01:34:08,343
INDIGENOUS INSTITUTIONS.

2095
01:34:08,343 --> 01:34:12,313
I LIKE THE PIONEER AWARD NIH 

2096
01:34:12,313 --> 01:34:12,514
DOES.

2097
01:34:12,514 --> 01:34:13,581
BECAUSE IT'S DIFFERENT.

2098
01:34:13,581 --> 01:34:15,550
IT DOESN'T FOLLOW THE USUAL 

2099
01:34:15,550 --> 01:34:15,817
STRUCTURE.

2100
01:34:15,817 --> 01:34:18,319
WHEN I HEAR ABOUT THEM, THE 

2101
01:34:18,319 --> 01:34:19,854
RESEARCH SEEMS TO BE VERY 

2102
01:34:19,854 --> 01:34:21,723
EXCITING OUT THE BOX RESEARCH 

2103
01:34:21,723 --> 01:34:24,059
AND THE PROCESS SEEMS 

2104
01:34:24,059 --> 01:34:24,793
STREAMLINED.

2105
01:34:24,793 --> 01:34:27,062
AND I THINK FOR TRAINING GRANTS,

2106
01:34:27,062 --> 01:34:29,998
P30s OR RESEARCH CENTERS, R25, 

2107
01:34:29,998 --> 01:34:31,299
ALL THOSE THINGS, WE NEED TO 

2108
01:34:31,299 --> 01:34:32,901
FIGURE OUT WAYS TO GET THEM TO 

2109
01:34:32,901 --> 01:34:38,139
PLACES WHERE THE PEOPLE WHO HAVE

2110
01:34:38,139 --> 01:34:38,873
SIMILAR SOCIAL EXPERIENCES LIVE 

2111
01:34:38,873 --> 01:34:40,809
AND THE FOLKS TRYING TO IMPACT 

2112
01:34:40,809 --> 01:34:42,377
ARE GETTING AN EDUCATION.

2113
01:34:42,377 --> 01:34:43,711
WE NEED TO MAKE IT EASIER FOR 

2114
01:34:43,711 --> 01:34:45,680
THAT TO HAPPEN.

2115
01:34:45,680 --> 01:34:47,715
WE NEED IT TO HAPPEN QUICKLY AND

2116
01:34:47,715 --> 01:34:51,419
I EMPHASIZE QUICKLY BECAUSE I 

2117
01:34:51,419 --> 01:34:53,788
THINK WE HAVE TO TREAT -- THIS 

2118
01:34:53,788 --> 01:34:57,659
IS GOING TO SOUND WEIRD TO SAY, 

2119
01:34:57,659 --> 01:34:59,427
WE HAVE TO TREAT HIV LIKE IT'S 

2120
01:34:59,427 --> 01:35:01,062
AN EMERGENCY.

2121
01:35:01,062 --> 01:35:05,133
I REMEMBER THE COVID PANDEMIC 

2122
01:35:05,133 --> 01:35:08,636
AND I SAW THE BEHAVIORS OF 

2123
01:35:08,636 --> 01:35:10,405
POLITICAL PEOPLE AND FEDERAL 

2124
01:35:10,405 --> 01:35:12,407
AGENCIES WHEN IT TREATED AN 

2125
01:35:12,407 --> 01:35:13,341
EPIDEMIC LIKE AN URGENT 

2126
01:35:13,341 --> 01:35:15,009
EMERGENCY.

2127
01:35:15,009 --> 01:35:16,744
I THINK SOME OF THOSE THOUGHT WE

2128
01:35:16,744 --> 01:35:18,680
COULD NEVER DO THIS BUT WE DID 

2129
01:35:18,680 --> 01:35:20,281
IT WE SHOULD APPLY IT TO HIV.

2130
01:35:20,281 --> 01:35:22,183
IT'S A LONG STANDING EMERGENCY.

2131
01:35:22,183 --> 01:35:24,886
THERE ARE WAYS WE CAN FIGURE OUT

2132
01:35:24,886 --> 01:35:27,856
TO MAKE THE PROCESSES BEING 

2133
01:35:27,856 --> 01:35:28,556
BETTER RESPONSIVE TO THE 

2134
01:35:28,556 --> 01:35:29,124
EPIDEMIC.

2135
01:35:29,124 --> 01:35:32,760
I THINK THIS IS ONE OF THOSE AND

2136
01:35:32,760 --> 01:35:33,461
DIVERSITY SUPPLEMENTS HAVE 

2137
01:35:33,461 --> 01:35:34,395
WORKED WELL.

2138
01:35:34,395 --> 01:35:35,864
FINDING WAYS TO INCREASE THE 

2139
01:35:35,864 --> 01:35:38,166
VOLUME OF THOSE AND MAKE IT 

2140
01:35:38,166 --> 01:35:46,641
EASIER FOR THOSE TO BE AWARDED.

2141
01:35:46,641 --> 01:35:47,976
INCENTIVIZE COLLABORATION AND 

2142
01:35:47,976 --> 01:35:50,078
REWARD COLLABORATION AND 

2143
01:35:50,078 --> 01:35:51,279
COMPETITION IS HEALTHY AND LEADS

2144
01:35:51,279 --> 01:35:54,048
TO INNOVATION AND IN OTHER WAYS 

2145
01:35:54,048 --> 01:35:56,684
TO MAKE THE MOST WITH LIMITED 

2146
01:35:56,684 --> 01:35:57,719
RESOURCES I THINK COOPERATING 

2147
01:35:57,719 --> 01:35:59,754
ACROSS FEDERAL GRANTEES IS ONE 

2148
01:35:59,754 --> 01:36:00,722
WAY TO DO THAT.

2149
01:36:00,722 --> 01:36:05,093
I SAW SOME OF THAT WORK WITH ONR

2150
01:36:05,093 --> 01:36:06,494
AND NIMHD AND THE PRISM PROGRAM 

2151
01:36:06,494 --> 01:36:07,829
WHERE THEY BROUGHT GRANTEES 

2152
01:36:07,829 --> 01:36:10,832
TOGETHER TO TALK ABOUT SOME 

2153
01:36:10,832 --> 01:36:13,501
THINGS AND I EVEN WORKED WITH 

2154
01:36:13,501 --> 01:36:17,005
LISA BOLLEG WHO HAD AN R21 TO 

2155
01:36:17,005 --> 01:36:19,374
DEVELOP A MEASURE AND I WAS 

2156
01:36:19,374 --> 01:36:24,479
LEADING A STUDY THAT NEEDED A 

2157
01:36:24,479 --> 01:36:25,847
MEASURE OF STIGMA BUT DIDN'T 

2158
01:36:25,847 --> 01:36:26,748
HAVE TIME TO DEVELOP ONE AND 

2159
01:36:26,748 --> 01:36:27,815
THEY DEVELOPED THE MEASURE AND 

2160
01:36:27,815 --> 01:36:29,350
WE USED OUR RESOURCE TO PUT IT 

2161
01:36:29,350 --> 01:36:31,286
INTO THE FIELD.

2162
01:36:31,286 --> 01:36:35,490
SO THAT WAS WE GOT MORE OUT OF 

2163
01:36:35,490 --> 01:36:37,258
THAT TOGETHER THAN ANY ONE OF US

2164
01:36:37,258 --> 01:36:38,993
COULD HAVE DONE.

2165
01:36:38,993 --> 01:36:40,828
SO MODELS THAT ENCOURAGE THAT 

2166
01:36:40,828 --> 01:36:43,898
TYPE OF COLLABORATION I THINK IS

2167
01:36:43,898 --> 01:36:44,666
IMPORTANT AND COOPERATION ACROSS

2168
01:36:44,666 --> 01:36:48,937
FEDERAL AGENCIES IS ALSO 

2169
01:36:48,937 --> 01:36:53,141
IMPORTANT BECAUSE CDC, NIH ALL 

2170
01:36:53,141 --> 01:36:55,143
HAVE DIFFERENT FOSI BUT THE 

2171
01:36:55,143 --> 01:36:57,312
PROBLEMS ARE NOT SILOED SO 

2172
01:36:57,312 --> 01:36:57,912
COOPERATION ACROSS FEDERAL 

2173
01:36:57,912 --> 01:37:05,119
AGENCIES IS ALSO KEY.

2174
01:37:05,119 --> 01:37:11,859
THE LAST SLIDE REALLY IS THE 

2175
01:37:11,859 --> 01:37:14,996
EPISTEMOLOGY OF IGNORANCE ABOUT 

2176
01:37:14,996 --> 01:37:16,798
WHAT WE KNOW AND DON'T KNOW.

2177
01:37:16,798 --> 01:37:19,300
DO WE PASSIVELY NOT KNOW OR ARE 

2178
01:37:19,300 --> 01:37:21,369
WE ACTIVELY NOT KNOWING?

2179
01:37:21,369 --> 01:37:22,303
IT'S NOT A RIDDLE.

2180
01:37:22,303 --> 01:37:25,006
IT'S A REAL QUESTION.

2181
01:37:25,006 --> 01:37:26,674
THE PART OF UNDERSTANDING OF 

2182
01:37:26,674 --> 01:37:30,278
IGNORANCE IS A GAP OF KNOWLEDGE.

2183
01:37:30,278 --> 01:37:31,012
INSUFFICIENT INFORMATION AND WE 

2184
01:37:31,012 --> 01:37:35,049
CAN EASILY FIX THAT IF WE 

2185
01:37:35,049 --> 01:37:35,917
PROVIDE SOME DATA.

2186
01:37:35,917 --> 01:37:38,419
I DON'T KNOW IF THAT'S IT.

2187
01:37:38,419 --> 01:37:40,388
I THINK WE'VE HAD A LOT OF 

2188
01:37:40,388 --> 01:37:41,522
INFORMATION FOR A VERY LONG TIME

2189
01:37:41,522 --> 01:37:43,291
AND I THINK IT REQUIRES A 

2190
01:37:43,291 --> 01:37:44,859
CRITICAL UNDERSTANDING OF WHAT 

2191
01:37:44,859 --> 01:37:49,130
IS IGNORANCE AND HOW WE DEAL 

2192
01:37:49,130 --> 01:37:51,599
WITH IT BECAUSE IN THE 

2193
01:37:51,599 --> 01:37:52,400
EPISTEMOLOGY OF IGNORANCE AND 

2194
01:37:52,400 --> 01:37:54,002
UNDERSTAND IT IS AND HOW IT 

2195
01:37:54,002 --> 01:37:55,203
FUNCTIONS, WHAT PRODUCES IT IN 

2196
01:37:55,203 --> 01:37:57,639
SOME WAY IT COULD BE A REFUSAL 

2197
01:37:57,639 --> 01:37:58,473
OF KNOWLEDGE.

2198
01:37:58,473 --> 01:38:00,041
ACTIVE RESISTANCE TO KNOWLEDGE 

2199
01:38:00,041 --> 01:38:01,943
OR ONLY ACCEPTING CERTAIN TYPES 

2200
01:38:01,943 --> 01:38:06,414
OF KNOWLEDGE WHICH ALLOWS US TO 

2201
01:38:06,414 --> 01:38:08,349
IGNORE CERTAIN THINGS FOR 

2202
01:38:08,349 --> 01:38:10,351
MINORITIZED PEOPLE INEQUITIES 

2203
01:38:10,351 --> 01:38:14,589
FOR MISS IT AND THINK WHETHER WE

2204
01:38:14,589 --> 01:38:15,990
ERECT THE ADMINISTRATIVE AND 

2205
01:38:15,990 --> 01:38:19,627
ACADEMIC STRUCTURES TO MAKE IT 

2206
01:38:19,627 --> 01:38:26,367
UNATTAINABLE OR LE SS ATTAINABLE

2207
01:38:26,367 --> 01:38:27,735
AND CAN MAKE IT MORE DIFFICULT 

2208
01:38:27,735 --> 01:38:30,972
FOR ACADEMIC BREAKS THROUGHS, 

2209
01:38:30,972 --> 01:38:32,340
THE KINDS WE NEED.

2210
01:38:32,340 --> 01:38:33,675
WE DO KNOW SOME THINGS.

2211
01:38:33,675 --> 01:38:35,943
THE FIRST SLIDE IS THE LAST 

2212
01:38:35,943 --> 01:38:37,078
SLIDE.

2213
01:38:37,078 --> 01:38:39,747
WE DO KNOW THAT THERE'S A 

2214
01:38:39,747 --> 01:38:44,118
WIDENING GAP IN HIV INCIDENTS 

2215
01:38:44,118 --> 01:38:47,221
NOT JUST IN MSM BUT WE KNOW WE 

2216
01:38:47,221 --> 01:38:48,556
MUST DO SOMETHING DIFFERENTLY 

2217
01:38:48,556 --> 01:38:53,161
AND I WOULD SAY DRAMATICALLY 

2218
01:38:53,161 --> 01:38:53,761
DIFFERENTLY TO ADDRESS THESE 

2219
01:38:53,761 --> 01:38:55,263
INEQUITIES.

2220
01:38:55,263 --> 01:38:59,334
THANK YOU.

2221
01:38:59,334 --> 01:39:00,835
>> THANK YOU, DR. NELSON
FOR A 

2222
01:39:00,835 --> 01:39:01,469
GREAT PRESENTATION.

2223
01:39:01,469 --> 01:39:02,537
IN THE INTEREST OF TIME I'LL TRY

2224
01:39:02,537 --> 01:39:04,639
TO KEEP US GOING WITH THE NEXT 

2225
01:39:04,639 --> 01:39:07,308
DISCUSSION AND TAKE QUESTIONS 

2226
01:39:07,308 --> 01:39:08,209
AFTER THAT.

2227
01:39:08,209 --> 01:39:13,314
SO WHY DON'T WE GO AHEAD THEN 

2228
01:39:13,314 --> 01:39:19,120
AND HEAR FROM TRUE EVOLUTION 

2229
01:39:19,120 --> 01:39:24,859
CHIEF EXECUTIVE OFFICER GABRIEL 

2230
01:39:24,859 --> 01:39:30,064
MALDONADO CEO OF THE 

2231
01:39:30,064 --> 01:39:35,703
ORGANIZATION SERVING THE LGBTQ 

2232
01:39:35,703 --> 01:39:37,605
YOUTH IN SAN BERNARDINO AND 

2233
01:39:37,605 --> 01:39:40,174
RIVERSIDE COUNTIES AND FORMER 

2234
01:39:40,174 --> 01:39:43,277
MEMBER OF THE PRESIDENTIAL 

2235
01:39:43,277 --> 01:39:46,647
ADVISORY COUNCIL AND UNDER 

2236
01:39:46,647 --> 01:39:50,151
PRESIDENT OBAMA AND SERVED ON 

2237
01:39:50,151 --> 01:39:53,020
THE NATIONAL ADVISORY BOARD FOR 

2238
01:39:53,020 --> 01:40:02,230
ADVISORY GROUPS FOR MERCK AND 

2239
01:40:02,230 --> 01:40:07,268
GILEAD AND HIS TALK IS DEFEATING

2240
01:40:07,268 --> 01:40:09,036
STIGMA AND ADVANCING HEALTH 

2241
01:40:09,036 --> 01:40:09,270
EQUITY.

2242
01:40:09,270 --> 01:40:10,671
>> I'VE BEEN A COMMUNITY 

2243
01:40:10,671 --> 01:40:12,340
ORGANIZER FOR THE MAJORITY OF MY

2244
01:40:12,340 --> 01:40:13,741
CAREER AND A BIG PART OF THE 

2245
01:40:13,741 --> 01:40:17,145
WORK I DO FOCUSSED ON THE 

2246
01:40:17,145 --> 01:40:17,812
INTERSECTION OF HEALTH EQUITY 

2247
01:40:17,812 --> 01:40:19,080
AND RACIAL JUSTICE.

2248
01:40:19,080 --> 01:40:21,315
I'M PRESENTING TRUE EVOLUTION 

2249
01:40:21,315 --> 01:40:23,484
AND OUR SPECIFIC PROJECT I WANT 

2250
01:40:23,484 --> 01:40:28,055
TO THANK DR. NELSON BECAUSE I 

2251
01:40:28,055 --> 01:40:29,624
HAVE NOTES FROM HIS PRESENTATION

2252
01:40:29,624 --> 01:40:31,459
AND TEED UP THE MODEL MY 

2253
01:40:31,459 --> 01:40:32,093
ORGANIZATION HAS BEEN WORK ON 

2254
01:40:32,093 --> 01:40:37,031
THE LAST THREE YEARS.

2255
01:40:37,031 --> 01:40:38,666
A LITTLE BIT ABOUT US.

2256
01:40:38,666 --> 01:40:41,369
WE WERE FOUNDED IN 2007.

2257
01:40:41,369 --> 01:40:43,271
WE'RE CELEBRATING 16 YEARS.

2258
01:40:43,271 --> 01:40:44,806
IT HAS BEEN EVOLUTION.

2259
01:40:44,806 --> 01:40:46,707
WE STARTED OFF AS AN ADVOCACY 

2260
01:40:46,707 --> 01:40:47,875
ORGANIZATION WORKING IN OUR 

2261
01:40:47,875 --> 01:40:49,143
LOCAL COMMUNITIES.

2262
01:40:49,143 --> 01:40:51,078
YOU'LL BE SURPRISED AT THE TIME 

2263
01:40:51,078 --> 01:40:53,648
EVEN OUR LOCAL CITY CHARTER 

2264
01:40:53,648 --> 01:40:55,016
STILL USE TERMS LIKE AMERICAN 

2265
01:40:55,016 --> 01:41:00,221
NEGRO AND ORIENTAL DURING 2007.

2266
01:41:00,221 --> 01:41:02,290
WE WERE AS AN ADVOCACY GROUP 

2267
01:41:02,290 --> 01:41:03,324
CUTTING AT FUNDAMENTAL BASIC 

2268
01:41:03,324 --> 01:41:05,126
LANGUAGES IN OUR COMMUNITIES.

2269
01:41:05,126 --> 01:41:07,295
IN 2007 WHEN I FOUNDED THE 

2270
01:41:07,295 --> 01:41:09,297
ORGANIZATION FOR THOSE THAT KNOW

2271
01:41:09,297 --> 01:41:16,704
CALIFORNIA HISTORY POLITICS IT 

2272
01:41:16,704 --> 01:41:19,907
WAS IN RIVERSIDE ACCOUNT WE HAD 

2273
01:41:19,907 --> 01:41:24,512
OVER 85% THAT VOTED YES ON PROP 

2274
01:41:24,512 --> 01:41:26,814
8 AND I WAS MET WITH SIGNS UPON 

2275
01:41:26,814 --> 01:41:30,351
MY FIRST DAY OF UNDERGRAD IN 

2276
01:41:30,351 --> 01:41:36,190
2007 THAT SAYS GOD HATES FAGOTS 

2277
01:41:36,190 --> 01:41:39,393
THAT'S WHAT I SAW ON THE CORNER 

2278
01:41:39,393 --> 01:41:43,064
OF MARTIN LUTHER KING AND CREST 

2279
01:41:43,064 --> 01:41:48,369
AND THAT HAS BEEN MY GOAL AND WE

2280
01:41:48,369 --> 01:41:49,937
BEGAN PROVIDING DIRECT SERVICES 

2281
01:41:49,937 --> 01:41:51,639
AND YOU'LL SEE THE LIST OF 

2282
01:41:51,639 --> 01:41:53,908
SERVICES ALONG WITH THE 

2283
01:41:53,908 --> 01:41:54,575
POPULATIONS WE SERVE.

2284
01:41:54,575 --> 01:41:58,279
WE HAVE GROWN FROM SERVING YOUTH

2285
01:41:58,279 --> 01:42:00,214
IN OUR ITERATION AND OVER THE 

2286
01:42:00,214 --> 01:42:06,387
LAST 10 YEARS TO AN AGING 

2287
01:42:06,387 --> 01:42:07,622
POPULATION FOR 65 AND OLDER.

2288
01:42:07,622 --> 01:42:10,691
AND WHAT I WANT TO SHOW YOU IS 

2289
01:42:10,691 --> 01:42:13,127
OUR HOUSING PROGRAM.

2290
01:42:13,127 --> 01:42:14,929
TRUE EVOLUTION BECAME EMERGENCY 

2291
01:42:14,929 --> 01:42:18,299
SUPPORTIVE HOUSING PROVIDERS IN 

2292
01:42:18,299 --> 01:42:23,905
2017 AND THAT TEED US UP FOR 

2293
01:42:23,905 --> 01:42:25,406
PROVIDING HOUSING DURING THE 

2294
01:42:25,406 --> 01:42:29,143
COVID-19 PANDEMIC WHEN WE WERE 

2295
01:42:29,143 --> 01:42:33,114
ASKED TO HOUSE A HOMELESS 

2296
01:42:33,114 --> 01:42:35,550
POPULATION AND WE WERE ASKED TO 

2297
01:42:35,550 --> 01:42:37,318
SERVE PEOPLE LIVING WITH HIV.

2298
01:42:37,318 --> 01:42:39,153
WE WERE TOLD WE'D ONLY GET 20 

2299
01:42:39,153 --> 01:42:41,188
AND IN THE FIRST TWO WEEKS WE 

2300
01:42:41,188 --> 01:42:43,057
RECEIVED 60.

2301
01:42:43,057 --> 01:42:44,458
AND WE HAD ABOUT 85 FOR THE LIFE

2302
01:42:44,458 --> 01:42:46,127
TIME OF THIS PROGRAM.

2303
01:42:46,127 --> 01:42:48,930
ALL PEOPLE LIVING WITH HIV.

2304
01:42:48,930 --> 01:42:50,298
ALL INDIVIDUALS MISSED IN THE 

2305
01:42:50,298 --> 01:42:53,134
MOST RECENT POINT IN TIME 

2306
01:42:53,134 --> 01:42:58,906
HOMELESS COUNT.

2307
01:42:58,906 --> 01:43:02,176
IT GAVE AN OPPORTUNITY FOR US TO

2308
01:43:02,176 --> 01:43:06,547
THINK OF AN AWARD ALONGSIDE 

2309
01:43:06,547 --> 01:43:10,585
RIVERSIDE COUNTY AND OUR 

2310
01:43:10,585 --> 01:43:13,621
PARTNERS SECURED PROJECT HOME 

2311
01:43:13,621 --> 01:43:15,056
KEY.

2312
01:43:15,056 --> 01:43:17,058
THIS WAS CALIFORNIA GOVERNOR 

2313
01:43:17,058 --> 01:43:19,126
NEWSOM'S PROGRAM TO DO EMERGENCY

2314
01:43:19,126 --> 01:43:22,330
HOUSING AND NOW THIS WAS ABOUT 

2315
01:43:22,330 --> 01:43:22,930
CREATING PERMANENT AND 

2316
01:43:22,930 --> 01:43:25,433
TRANSITIONAL HOUSING FOR THE 

2317
01:43:25,433 --> 01:43:25,766
ONGOING.

2318
01:43:25,766 --> 01:43:27,835
WE WERE INAUGURAL RECIPIENTS OF 

2319
01:43:27,835 --> 01:43:31,238
THE PROGRAM AND WERE GIVEN AN 

2320
01:43:31,238 --> 01:43:31,772
INNOVATIVE OPPORTUNITIES.

2321
01:43:31,772 --> 01:43:34,508
I'M LOOKING AT MY NOTES AND 

2322
01:43:34,508 --> 01:43:36,177
DR. NELSON SAID SO MANY THINGS I

2323
01:43:36,177 --> 01:43:37,111
WANTED TO QUOTE FROM AND THIS IS

2324
01:43:37,111 --> 01:43:38,479
AN EMERGENCY OF HOW WE SHOULD 

2325
01:43:38,479 --> 01:43:41,148
LOOK AT HIV.

2326
01:43:41,148 --> 01:43:45,753
WE DID IT DURING COVID AND WE 

2327
01:43:45,753 --> 01:43:48,389
ARE AN EXAMPLE OF WE DID IT 

2328
01:43:48,389 --> 01:43:51,325
DURING COVID AND THE GOVERNMENT 

2329
01:43:51,325 --> 01:43:58,132
DIDN'T PLACE ITS BURDENSOME VERY

2330
01:43:58,132 --> 01:43:59,433
BUREAUCRATIC PROCESS AND ALLOWED

2331
01:43:59,433 --> 01:44:02,536
US TO BE INNOVATIVE AND COME UP 

2332
01:44:02,536 --> 01:44:03,838
WITH A DIFFERENT MODEL IN 

2333
01:44:03,838 --> 01:44:05,172
ADDRESSING PEOPLE LIVING WITH 

2334
01:44:05,172 --> 01:44:07,074
HIV IN A 360 COMPREHENSIVE WAY.

2335
01:44:07,074 --> 01:44:08,442
THIS IS A SNAPSHOT OF OUR 

2336
01:44:08,442 --> 01:44:10,144
PROGRAM AND I HAVE A VIDEO FOR 

2337
01:44:10,144 --> 01:44:11,579
YOU TO SHOW YOU THE CAMPUS 

2338
01:44:11,579 --> 01:44:13,114
BECAUSE IT HAS OPENED.

2339
01:44:13,114 --> 01:44:17,752
AND SO OUR PROGRAM IS AN UP TO 

2340
01:44:17,752 --> 01:44:18,386
24-MONTH TRANSITIONAL HOUSING 

2341
01:44:18,386 --> 01:44:20,388
PROGRAM BECAUSE IT WAS FUNDED 

2342
01:44:20,388 --> 01:44:22,156
UNDER COVID-19 WE DO FOCUS ON 

2343
01:44:22,156 --> 01:44:25,092
THOSE THAT ARE PARTICULARLY AT 

2344
01:44:25,092 --> 01:44:27,728
HIGHEST RISK FOR COVID-19 AS 

2345
01:44:27,728 --> 01:44:28,996
WELL AS HIV ACQUISITION.

2346
01:44:28,996 --> 01:44:31,632
SO OBVIOUSLY THAT'S A BIG 

2347
01:44:31,632 --> 01:44:33,067
MAJORITY OF THE POPULATION WE 

2348
01:44:33,067 --> 01:44:34,101
SERVE AND THE POPULATION 

2349
01:44:34,101 --> 01:44:37,138
DR. NELSON SPOKE OF BUT WE WANT 

2350
01:44:37,138 --> 01:44:38,806
TO FOCUS 80% ON LGBTQ.

2351
01:44:38,806 --> 01:44:43,577
WE'RE VERY INCLUSIVE AND HAVE 

2352
01:44:43,577 --> 01:44:49,183
PEOPLE LGBTQ NOT LGBTQ BUT 

2353
01:44:49,183 --> 01:44:51,719
MISSED TO SEVEN THIS POPULATION 

2354
01:44:51,719 --> 01:44:53,454
AND AS THE PROGRAM WAS CREATED 

2355
01:44:53,454 --> 01:44:55,923
IN ADDRESSING PEOPLE LIVING WITH

2356
01:44:55,923 --> 01:45:01,128
HIV AT MINIMUM THREE-QUART ERS 

2357
01:45:01,128 --> 01:45:04,398
OF OUR PROGRAM GIVES SPACE FOR 

2358
01:45:04,398 --> 01:45:06,534
PEOPLE LIVING WITH HIV AND WE 

2359
01:45:06,534 --> 01:45:13,140
ARE AT 100% OF PEOPLE LIVING 

2360
01:45:13,140 --> 01:45:16,444
WITH HIV AND WE HAVE A BED FOR 

2361
01:45:16,444 --> 01:45:19,280
THE PROPERTY MANAGER WHO LIVES 

2362
01:45:19,280 --> 01:45:22,116
ON SITE AND SENIORS NOW MAKE UP 

2363
01:45:22,116 --> 01:45:23,684
50% OF OUR PROGRAM.

2364
01:45:23,684 --> 01:45:25,052
THAT 25% HAS DOUBLED AND IT'S 

2365
01:45:25,052 --> 01:45:26,987
BECAUSE OF WHERE THE NEED IS.

2366
01:45:26,987 --> 01:45:29,123
NOW I WANT TO SHOW YOU THE 

2367
01:45:29,123 --> 01:45:29,457
CAMPUS.

2368
01:45:29,457 --> 01:45:34,595
IT TOOK US THREE YEARS AND 

2369
01:45:34,595 --> 01:45:38,132
NEARLY $23 MILLION LATER.

2370
01:45:38,132 --> 01:45:39,900
IF YOU WERE ON THE CAMPUS AND 

2371
01:45:39,900 --> 01:45:41,702
WERE DOING A TOUR I'D SAY 

2372
01:45:41,702 --> 01:45:43,104
WELCOME TO PROJECT LEGACY.

2373
01:45:43,104 --> 01:45:46,774
YOU'LL SEE HERE A ONE-ACRE 

2374
01:45:46,774 --> 01:45:49,110
NEIGHBORHOOD BLOCK THAT SITS IN 

2375
01:45:49,110 --> 01:45:52,179
DOWNTOWN RIVER WITH FIVE 

2376
01:45:52,179 --> 01:45:55,816
RESIDENTIAL SINGLE FAMILY HOMES 

2377
01:45:55,816 --> 01:45:58,185
AS WELL AS THE 5,000 SQUARE FEET

2378
01:45:58,185 --> 01:46:00,821
COMMERCIAL BUILDING WITH OPEN 

2379
01:46:00,821 --> 01:46:01,589
RECREATIONAL SPACE.

2380
01:46:01,589 --> 01:46:06,327
EACH HOMES WERE NAMED AF A 

2381
01:46:06,327 --> 01:46:08,529
DIFFERENT FIGURE IN THE LGBTQ 

2382
01:46:08,529 --> 01:46:10,097
COMMUNITY.

2383
01:46:10,097 --> 01:46:13,100
IT'S A BEACON TO LET OUR 

2384
01:46:13,100 --> 01:46:16,837
COMMUNITY KNOW IN A SUBTLE BUT 

2385
01:46:16,837 --> 01:46:19,273
DIRECT WAY WE'RE HERE FOR THE 

2386
01:46:19,273 --> 01:46:19,640
PEOPLE.

2387
01:46:19,640 --> 01:46:23,911
THIS IS ACTUAL COMPLETED 

2388
01:46:23,911 --> 01:46:25,112
CAMPUSES INCLUDING THE GEORGEON 

2389
01:46:25,112 --> 01:46:31,018
JOHNSON HOUSE WITH SIX BEDS AND 

2390
01:46:31,018 --> 01:46:33,120
ANOTHER BED AND THEY'RE 

2391
01:46:33,120 --> 01:46:35,790
HISTORICAL NAMES PAST AND 

2392
01:46:35,790 --> 01:46:37,324
PRESENT AND ONE OF THE PIONEERS 

2393
01:46:37,324 --> 01:46:40,795
IN THE EARLY DAYS AND STILL WITH

2394
01:46:40,795 --> 01:46:44,331
US TODAY OF UNITY FELLOWSHIP 

2395
01:46:44,331 --> 01:46:44,932
CHURCH.

2396
01:46:44,932 --> 01:46:46,233
AND OUR COMMERCIAL BUILDING IS 

2397
01:46:46,233 --> 01:46:50,871
DEDICATED TO WHAT WE CALL THE 

2398
01:46:50,871 --> 01:46:52,072
INLAND EMPIRE LGBTQ COMMUNITY 

2399
01:46:52,072 --> 01:46:52,306
CENTER.

2400
01:46:52,306 --> 01:46:55,976
IN ADDITION WE'LL HAVE A HOST OF

2401
01:46:55,976 --> 01:46:59,079
RECREATIONAL AND WELLNESS 

2402
01:46:59,079 --> 01:47:01,982
PROGRAMS FOR A STATE OF THE ART 

2403
01:47:01,982 --> 01:47:04,251
FITNESS CENTER BUILT TO PROMOTE 

2404
01:47:04,251 --> 01:47:08,522
FOOD AND NUTRITION AND THIS IS 

2405
01:47:08,522 --> 01:47:14,295
THE 40,000 SQUARE FOOT OPEN 

2406
01:47:14,295 --> 01:47:15,462
SPACE TO THE RESIDENTS AND 

2407
01:47:15,462 --> 01:47:17,865
COMMUNITY AND WE CONSIDER 

2408
01:47:17,865 --> 01:47:18,465
OURSELVES A COMMUNITY 

2409
01:47:18,465 --> 01:47:19,133
NEIGHBORHOOD PROVIDER NOT JUST 

2410
01:47:19,133 --> 01:47:21,068
FOR RESIDENTS THERE BUT THE 

2411
01:47:21,068 --> 01:47:23,070
NEIGHBORHOOD ASSOCIATION WAS AN 

2412
01:47:23,070 --> 01:47:24,471
ACTUAL BIG PROPONENT AND 

2413
01:47:24,471 --> 01:47:25,739
SUPPORTER OF THIS PROGRAM AND SO

2414
01:47:25,739 --> 01:47:27,942
MANY OF THE FEATURED ELEMENTS OF

2415
01:47:27,942 --> 01:47:30,344
THE PUBLIC SPACING AND OPEN 

2416
01:47:30,344 --> 01:47:32,646
GROUNDS AND COMMUNITY GYM, THE 

2417
01:47:32,646 --> 01:47:33,547
WELLNESS PROGRAMS, THEY'LL ALL 

2418
01:47:33,547 --> 01:47:34,715
BE AVAILABLE TO THE COMMUNITY 

2419
01:47:34,715 --> 01:47:35,816
INTO OUR NON-RESIDENTIAL 

2420
01:47:35,816 --> 01:47:37,484
CLIENTS.

2421
01:47:37,484 --> 01:47:39,620
IF YOU GO TO THE NEXT SLIDE, 

2422
01:47:39,620 --> 01:47:43,257
I'LL SHOW YOU SOME VERY SPECIFIC

2423
01:47:43,257 --> 01:47:44,959
STRATEGIES WE'RE HOPING TO 

2424
01:47:44,959 --> 01:47:46,460
IMPLEMENT AND OPPORTUNITIES FOR 

2425
01:47:46,460 --> 01:47:50,798
SCIENCE TO LOOK AT FOR FUTURE 

2426
01:47:50,798 --> 01:47:51,098
REPLICATION.

2427
01:47:51,098 --> 01:47:52,266
AND OUR MODEL WORKS WOULD BE 

2428
01:47:52,266 --> 01:47:53,334
GREAT TO SHOW.

2429
01:47:53,334 --> 01:47:55,836
WE WANT TO ENSURE OUR PROGRAM IS

2430
01:47:55,836 --> 01:47:57,304
FOCUSSED ON LOW BARRIER 

2431
01:47:57,304 --> 01:47:57,571
SERVICES.

2432
01:47:57,571 --> 01:47:59,840
THIS IS EXPLORING ALL THE 

2433
01:47:59,840 --> 01:48:00,808
RESTRICTIONS AROUND ELIGIBILITY 

2434
01:48:00,808 --> 01:48:02,309
REQUIREMENTS SOMETIMES PROGRAMS 

2435
01:48:02,309 --> 01:48:03,844
RESTRICTIONS LIKE YOU CAN'T LIVE

2436
01:48:03,844 --> 01:48:05,479
IN A HOUSING PROGRAM IF YOU MAKE

2437
01:48:05,479 --> 01:48:06,847
INCOME.

2438
01:48:06,847 --> 01:48:08,782
THINGS THAT ARE COUNTERINTUITIVE

2439
01:48:08,782 --> 01:48:10,384
TO WHAT WE'RE TRYING TO ACHIEVE 

2440
01:48:10,384 --> 01:48:10,918
WITH CLIENTS.

2441
01:48:10,918 --> 01:48:13,254
WE WANT TO EXAMINE OUR INTERNAL 

2442
01:48:13,254 --> 01:48:15,990
POLICIES CONSISTENTLY AND 

2443
01:48:15,990 --> 01:48:17,057
REGULATORY POLICIES WITHIN THE 

2444
01:48:17,057 --> 01:48:21,128
STATE WE WORK IN AND THE 

2445
01:48:21,128 --> 01:48:22,229
COMPLEXITIES OF BEING IN A 

2446
01:48:22,229 --> 01:48:23,063
CALIFORNIA HEALTH CARE SYSTEM.

2447
01:48:23,063 --> 01:48:25,532
HOW DO WE SIMPLIFY ACCESS TO 

2448
01:48:25,532 --> 01:48:26,967
SOCIAL, MEDICAL AND HOUSING 

2449
01:48:26,967 --> 01:48:28,002
SERVICES FOR OUR CLIENTS.

2450
01:48:28,002 --> 01:48:29,803
THAT'S ONE OF OUR GOALS.

2451
01:48:29,803 --> 01:48:34,108
THE SECOND IS A COMPLETE 360 

2452
01:48:34,108 --> 01:48:35,142
COMPREHENSIVE SERVICE DELIVERY 

2453
01:48:35,142 --> 01:48:37,111
INCLUDING HOUSING, MEDICAL, 

2454
01:48:37,111 --> 01:48:39,280
SOCIAL SERVICES WHICH INCLUDES 

2455
01:48:39,280 --> 01:48:40,214
WORKFORCE DEVELOPMENT, SUBSTANCE

2456
01:48:40,214 --> 01:48:42,483
ABUSE TREATMENT SERVICES, 

2457
01:48:42,483 --> 01:48:43,717
WELLNESS PROGRAMS AND 

2458
01:48:43,717 --> 01:48:44,318
RECREATIONAL.

2459
01:48:44,318 --> 01:48:46,954
I WOULD SAY ABOUT 70% OF THESE 

2460
01:48:46,954 --> 01:48:49,123
PROGRAMS OUTSIDE OF MEDICAL HAVE

2461
01:48:49,123 --> 01:48:51,292
BEEN OPERATING AND FUNCTIONING 

2462
01:48:51,292 --> 01:48:53,727
EITHER EN OUR HISTORY OR BEGAN 

2463
01:48:53,727 --> 01:48:54,762
WE FIRST STARTED HOUSING 

2464
01:48:54,762 --> 01:48:56,463
RESIDENTS IN FEBRUARY OF THIS 

2465
01:48:56,463 --> 01:48:56,797
YEAR.

2466
01:48:56,797 --> 01:48:59,967
SO ABOUT 75% OF THOSE SERVICES I

2467
01:48:59,967 --> 01:49:01,669
MENTIONED ARE ALREADY MOVING 

2468
01:49:01,669 --> 01:49:03,337
ACTIVELY FLOWING, PROVIDING 

2469
01:49:03,337 --> 01:49:04,271
SERVICES TO CLIENTS.

2470
01:49:04,271 --> 01:49:06,874
WE ARE GOING TO BE BUILDING A 

2471
01:49:06,874 --> 01:49:09,009
FUTURE MEDICAL CENTER ON THE 

2472
01:49:09,009 --> 01:49:10,577
PROPERTY AND SO THAT WILL THEN 

2473
01:49:10,577 --> 01:49:13,080
BE IN 2025 WHERE WE WILL LAUNCH 

2474
01:49:13,080 --> 01:49:16,183
OUR CORE MEDICAL SERVICES.

2475
01:49:16,183 --> 01:49:17,151
THE THIRD SERVICE A THIRD 

2476
01:49:17,151 --> 01:49:19,653
STRATEGY IS HOUSING AS THE NEXUS

2477
01:49:19,653 --> 01:49:22,189
FOR ALL SERVICE DELIVERY.

2478
01:49:22,189 --> 01:49:23,657
IF THEY'RE NOT HOUSED WITH A 

2479
01:49:23,657 --> 01:49:26,393
QUALITY OF LIFE NOTHING ELSE 

2480
01:49:26,393 --> 01:49:31,999
WILL MATTER AND I HAVE FOUND 

2481
01:49:31,999 --> 01:49:33,667
HOUSING PROVIDERS HAVE MOST 

2482
01:49:33,667 --> 01:49:35,336
INFLUENCE OVER THE CLIENT AND 

2483
01:49:35,336 --> 01:49:37,137
WHEN YOU'RE RESPONSIBLE WHERE 

2484
01:49:37,137 --> 01:49:39,073
THEY SLEEP EVERY DAY YOU'RE A 

2485
01:49:39,073 --> 01:49:41,108
DRIVING FORCE TO ENSURE THEY 

2486
01:49:41,108 --> 01:49:42,476
STAY IN TREATMENT AND CARE AND 

2487
01:49:42,476 --> 01:49:45,546
ADDRESS THEIR MENTAL HEALTH 

2488
01:49:45,546 --> 01:49:46,847
PARTICULARLY WHEN IT'S RENT FREE

2489
01:49:46,847 --> 01:49:48,983
YOU CAN PLACE PROGRAMMATIC 

2490
01:49:48,983 --> 01:49:50,050
REQUIREMENTS FOR SHOWING UP TO 

2491
01:49:50,050 --> 01:49:51,719
SUPPORT GROUP AND ENGAGING IN 

2492
01:49:51,719 --> 01:49:53,187
FOOD AND NUTRITION AND THEY'RE 

2493
01:49:53,187 --> 01:49:54,855
MORE WILLING AND EXCITED AND 

2494
01:49:54,855 --> 01:49:56,857
ACTIVE TO PARTICIPATE BECAUSE 

2495
01:49:56,857 --> 01:49:58,625
THEY'RE CORE FUNCTION OF HOUSING

2496
01:49:58,625 --> 01:50:00,160
AND SURVIVAL IS ADDRESSED.

2497
01:50:00,160 --> 01:50:01,295
OUR FOURTH STRATEGY IS THE 

2498
01:50:01,295 --> 01:50:03,297
INTEGRATION OF WELLNESS AND 

2499
01:50:03,297 --> 01:50:06,367
NON-CLINICAL HEALTH SERVICES.

2500
01:50:06,367 --> 01:50:09,870
THIS IS CALLED OUR PHYSICAL 

2501
01:50:09,870 --> 01:50:15,943
FITNESS AND BOXING, TAI CHI, 

2502
01:50:15,943 --> 01:50:23,083
YOGA AND THE SENIORS WANTED TAI 

2503
01:50:23,083 --> 01:50:26,787
CHI AND THE YOUNGER PEOPLE 

2504
01:50:26,787 --> 01:50:27,588
WANTED BOXING.

2505
01:50:27,588 --> 01:50:29,757
AND FINALLY IT'S IMPORTANT TO ME

2506
01:50:29,757 --> 01:50:31,258
AND I'VE INFUSED THIS IN MY 

2507
01:50:31,258 --> 01:50:32,860
STAFF WE NEED TO HAVE A BALANCE 

2508
01:50:32,860 --> 01:50:36,530
BETWEEN A GUIDED EXPERIENCE AND 

2509
01:50:36,530 --> 01:50:36,964
SELF-DETERMINATION.

2510
01:50:36,964 --> 01:50:38,699
WE CANNOT JUST PIGEON THESE 

2511
01:50:38,699 --> 01:50:40,768
CLIENTS TO DOING EXACTLY WHAT WE

2512
01:50:40,768 --> 01:50:42,936
WANT ROBOTICALLY STEPPING.

2513
01:50:42,936 --> 01:50:45,839
WE NEED THEM TO BE INSPIRED TO 

2514
01:50:45,839 --> 01:50:47,274
BE DREAM AND LOWER THEIR 

2515
01:50:47,274 --> 01:50:52,046
ANXIETIES FROM SURVIVORHOOD AND 

2516
01:50:52,046 --> 01:50:55,115
TAP INTO THE PURPOSE THE INNER 

2517
01:50:55,115 --> 01:50:57,051
TRUTH OF WHERE THEY ARE GOING 

2518
01:50:57,051 --> 01:50:59,853
AND WHERE THEY WANT THEIR LIVES 

2519
01:50:59,853 --> 01:51:02,456
TO GO AND WE SPEND TWO YEARS 

2520
01:51:02,456 --> 01:51:05,092
FIGURING THAT OUT AND WE 

2521
01:51:05,092 --> 01:51:06,093
IMPLEMENT A RENT SAVINGS PROGRAM

2522
01:51:06,093 --> 01:51:07,694
IF YOU'RE EMPLOYED AND EMPLOY 

2523
01:51:07,694 --> 01:51:09,129
TECHNOLOGY AND HAVE A STATE OF 

2524
01:51:09,129 --> 01:51:11,398
THE ART SECURITY SYSTEM THAT 

2525
01:51:11,398 --> 01:51:12,800
ALLOWS FOR FLUIDITY AND 

2526
01:51:12,800 --> 01:51:14,034
FLEXIBILITY AND FREEDOM FOR 

2527
01:51:14,034 --> 01:51:15,669
CLIENTS TO MOVE IN AND OUT OF 

2528
01:51:15,669 --> 01:51:16,603
THE FACILITY, HAVE DIFFERENT 

2529
01:51:16,603 --> 01:51:18,405
TYPES OF ACTIVITIES, BEING ABLE 

2530
01:51:18,405 --> 01:51:20,541
TO WORK AT DIFFERENT HOURS OF 

2531
01:51:20,541 --> 01:51:22,309
THE DAY.

2532
01:51:22,309 --> 01:51:24,378
BASIC THINGS OFTEN NOT FEASIBLE 

2533
01:51:24,378 --> 01:51:26,080
IN MOST HOUSING PROGRAMS AND HOW

2534
01:51:26,080 --> 01:51:27,648
DO YOU USE TECHNOLOGY TO ACCOUNT

2535
01:51:27,648 --> 01:51:28,982
FOR THINGS LIKE SAFETY AND 

2536
01:51:28,982 --> 01:51:29,349
ACCOUNTABILITY?

2537
01:51:29,349 --> 01:51:34,922
THINGS LIKE THAT.

2538
01:51:34,922 --> 01:51:37,124
AND REPLACEMENT OF NOT GIVING 

2539
01:51:37,124 --> 01:51:40,394
THEM THEIR FREEDOM AND FINAL 

2540
01:51:40,394 --> 01:51:40,594
SLIDE.

2541
01:51:40,594 --> 01:51:42,529
SOME RECOMMENDATIONS I HAVE FOR 

2542
01:51:42,529 --> 01:51:46,133
THE SCIENCE COMMUNITY AND FOR 

2543
01:51:46,133 --> 01:51:47,301
NIH, THIS IS FUN STUFF.

2544
01:51:47,301 --> 01:51:50,104
NOT EVERYTHING HERE WILL BE 

2545
01:51:50,104 --> 01:51:51,472
WONKY SCIENCE RECOMMENDATIONS 

2546
01:51:51,472 --> 01:51:53,974
BUT ALSO BUILDING TRUST AND 

2547
01:51:53,974 --> 01:51:57,744
SOLIDARITY AND CONNECTION WITH 

2548
01:51:57,744 --> 01:51:58,112
YOUR COMMUNITY.

2549
01:51:58,112 --> 01:52:02,282
I JUST SAW ON LINKED IN A VIDEO 

2550
01:52:02,282 --> 01:52:04,985
FROM APPLE WHERE THEY SHOWED 

2551
01:52:04,985 --> 01:52:07,287
THEIR SUSTAINABILITY REPORT IN 

2552
01:52:07,287 --> 01:52:09,490
THIS COOL INTERACTIVE SCRIPTED 

2553
01:52:09,490 --> 01:52:12,226
VIDEO THAT WAS SO MUCH FUN AND 

2554
01:52:12,226 --> 01:52:13,494
EVEN WHEN YOU SEE IN POLITICAL 

2555
01:52:13,494 --> 01:52:14,928
POLLING YOU SEE WHEN THE PUBLIC 

2556
01:52:14,928 --> 01:52:17,131
TRIES TO VOTE ON WHETHER THEY 

2557
01:52:17,131 --> 01:52:19,600
TRUST CORPORATIONS MORE OR THE 

2558
01:52:19,600 --> 01:52:21,001
GOVERNMENT IT'S ALWAYS 

2559
01:52:21,001 --> 01:52:21,335
CORPORATIONS.

2560
01:52:21,335 --> 01:52:22,803
SOMETIMES IT'S THINGS LIKE A 

2561
01:52:22,803 --> 01:52:24,138
FOCUS ON YOUR BRAND AND 

2562
01:52:24,138 --> 01:52:25,906
CONNECTION WITH THE PEOPLE.

2563
01:52:25,906 --> 01:52:28,575
PEOPLE TRUST PEOPLE NOT SYSTEMS.

2564
01:52:28,575 --> 01:52:30,611
SO WHO ARE ALL OF YOU AND LET'S 

2565
01:52:30,611 --> 01:52:32,613
HEAR YOU FROM AND HOW DO YOU PUT

2566
01:52:32,613 --> 01:52:34,481
YOU ALL IN FRONT OF THE CAMERA 

2567
01:52:34,481 --> 01:52:36,683
MORE SO EVERYDAY PUBLIC CAN SEE 

2568
01:52:36,683 --> 01:52:37,151
YOU?

2569
01:52:37,151 --> 01:52:38,652
EXPANSION OF COMMUNITY-BASED 

2570
01:52:38,652 --> 01:52:40,120
RESEARCH INITIATIVES.

2571
01:52:40,120 --> 01:52:43,023
DEVELOP MORE INNOVATIVE WAYS FOR

2572
01:52:43,023 --> 01:52:44,558
EVALUATING THE RESEARCH 

2573
01:52:44,558 --> 01:52:45,058
OPPORTUNITIES.

2574
01:52:45,058 --> 01:52:47,227
MY ORGANIZATION HAS TRIED 

2575
01:52:47,227 --> 01:52:48,328
MULTIPLE OCCASION TO GET IN 

2576
01:52:48,328 --> 01:52:49,763
RESEARCH AND CAN'T SEEM TO LAND 

2577
01:52:49,763 --> 01:52:50,864
ON THE RIGHT LANGUAGE THAT 

2578
01:52:50,864 --> 01:52:55,035
SPEAKS TO REVIEWERS OR SPEAKS TO

2579
01:52:55,035 --> 01:52:55,435
PROJECT OFFICERS.

2580
01:52:55,435 --> 01:52:57,971
WE CAN'T SEEM TO SPEAK THE 

2581
01:52:57,971 --> 01:52:59,439
LANGUAGE THAT LANDS THE 

2582
01:52:59,439 --> 01:53:00,674
OPPORTUNITY.

2583
01:53:00,674 --> 01:53:02,342
AND SO MAYBE THERE'S ALSO 

2584
01:53:02,342 --> 01:53:04,511
OPPORTUNITY IN EXAMINING OTHER 

2585
01:53:04,511 --> 01:53:09,816
WAYS AND WAYS OF SCOPING SO 

2586
01:53:09,816 --> 01:53:10,918
COMMUNITIES LIKE OURS DON'T GET 

2587
01:53:10,918 --> 01:53:12,352
MISSED WHEN WE JUST MAY NOT KNOW

2588
01:53:12,352 --> 01:53:15,722
HOW TO SPEAK THE LANGUAGE ALL 

2589
01:53:15,722 --> 01:53:17,324
THE WAY FOR SCIENCE TO 

2590
01:53:17,324 --> 01:53:19,059
UNDERSTAND WHAT WE'RE TRYING TO 

2591
01:53:19,059 --> 01:53:19,359
COMMUNICATE.

2592
01:53:19,359 --> 01:53:20,060
FURTHER IMPLEMENTATION SCIENCE.

2593
01:53:20,060 --> 01:53:23,430
I'M A BIG FAN OF THE STATE OF 

2594
01:53:23,430 --> 01:53:24,698
CALIFORNIA'S PROGRAM WHICH IS IN

2595
01:53:24,698 --> 01:53:27,100
OUR MEDICAL PROGRAM TO TRY AND 

2596
01:53:27,100 --> 01:53:28,869
PROMOTE SOCIAL SERVICES AS PART 

2597
01:53:28,869 --> 01:53:33,106
OF THE INTEGRATED MEDICAL 

2598
01:53:33,106 --> 01:53:33,340
PROGRAM.

2599
01:53:33,340 --> 01:53:34,975
IT'S GIVEN US AN OPPORTUNITY TO 

2600
01:53:34,975 --> 01:53:37,511
BILL FOR OUR SOCIAL SERVICES AND

2601
01:53:37,511 --> 01:53:39,780
WOULD BE INTERESTED IN WHAT THE 

2602
01:53:39,780 --> 01:53:41,181
EFFECTIVENESS THIS IS FOR THE 

2603
01:53:41,181 --> 01:53:44,051
IMPLICATIONS OF POLICY AND 

2604
01:53:44,051 --> 01:53:49,656
FINALLY DISMANTLING THE SILOS.

2605
01:53:49,656 --> 01:53:52,426
THERE'S SO MANY OPPORTUNITIES 

2606
01:53:52,426 --> 01:53:54,528
ENCOURAGING BLENDED FUNDING AND 

2607
01:53:54,528 --> 01:53:57,130
ADDRESSING THIS IN MORE OF A 

2608
01:53:57,130 --> 01:54:00,300
SYNDEMIC APPROACH AND HOW DO YOU

2609
01:54:00,300 --> 01:54:01,568
BRING IN DIFFERENT FUNDING 

2610
01:54:01,568 --> 01:54:02,369
OPPORTUNITIES TO FULFILL THE 

2611
01:54:02,369 --> 01:54:04,471
PROGRAM BUT IT WOULD BE GREAT IF

2612
01:54:04,471 --> 01:54:06,406
THE FEDERAL GOVERNMENT DID THAT 

2613
01:54:06,406 --> 01:54:07,274
TOO AND LOOKED ACROSS DEPARTMENT

2614
01:54:07,274 --> 01:54:09,943
AND DIVISIONS TO COME UP WITH 

2615
01:54:09,943 --> 01:54:13,780
WAYS TO CREATE PRIVATE LEGACIES 

2616
01:54:13,780 --> 01:54:17,150
IN FUTURE USING INNOVATIVE 

2617
01:54:17,150 --> 01:54:22,122
DOLLARS AND I'M SURE THERE'S 

2618
01:54:22,122 --> 01:54:23,624
LIMITATIONS BUT IF YOU CAN JOIN 

2619
01:54:23,624 --> 01:54:24,758
FORCES WITH DIFFERENT AREAS OF 

2620
01:54:24,758 --> 01:54:26,159
RESEARCH THAT LOOKS AT DIFFERENT

2621
01:54:26,159 --> 01:54:27,294
DEPARTMENTS AND DIFFERENT TYPES 

2622
01:54:27,294 --> 01:54:30,297
OF STATES THAT WOULD BE GREAT.

2623
01:54:30,297 --> 01:54:31,265
THAT'S MY PRESENTATION AND THANK

2624
01:54:31,265 --> 01:54:37,271
YOU FOR YOUR TIME.

2625
01:54:37,271 --> 01:54:38,171
>> THANK YOU.

2626
01:54:38,171 --> 01:54:39,039
THANK YOU SO MUCH FOR ALL THE 

2627
01:54:39,039 --> 01:54:43,277
GREAT WORK YOU'VE DONE SO FAR.

2628
01:54:43,277 --> 01:54:47,180
WE ARE ACTUALLY A MINUTE SHY OF 

2629
01:54:47,180 --> 01:54:48,815
THE BREAK TIME BUT WHAT WILL 

2630
01:54:48,815 --> 01:54:51,718
SUGGEST WE TAKE 10 MINUTES OF 

2631
01:54:51,718 --> 01:54:53,053
QUESTIONS AND MAYBE TRY TO DO 

2632
01:54:53,053 --> 01:54:54,988
FIVE MINUTES OF BREAK INSTEAD OF

2633
01:54:54,988 --> 01:54:57,924
15 FOR WHATEVER PEOPLE NEED TO 

2634
01:54:57,924 --> 01:54:58,125
DO.

2635
01:54:58,125 --> 01:55:01,428
SO LET'S GO AHEAD AND OPEN THE 

2636
01:55:01,428 --> 01:55:04,164
FLOOR UP.

2637
01:55:04,164 --> 01:55:06,199
PLEASE RAISE YOUR HAND YOUR 

2638
01:55:06,199 --> 01:55:07,934
VIRTUAL HANDS AND WE'LL START 

2639
01:55:07,934 --> 01:55:12,806
TRYING TO GO IN ORDER FOR ALL 

2640
01:55:12,806 --> 01:55:13,273
THREE PRESENTATIONS 

2641
01:55:13,273 --> 01:55:15,509
DR. PEREZ-STABLE AND 

2642
01:55:15,509 --> 01:55:17,144
DR. NELSON'S AND 

2643
01:55:17,144 --> 01:55:23,684
MR. MALDONADO'S.

2644
01:55:23,684 --> 01:55:24,184
LUIS.

2645
01:55:24,184 --> 01:55:27,921
>> I HAVE TWO POINTS I'D
LIKE 

2646
01:55:27,921 --> 01:55:28,088
TO.

2647
01:55:28,088 --> 01:55:31,658
I BRING EXPERIENCE OF MENTORED 

2648
01:55:31,658 --> 01:55:33,660
FACULTY FOR OVER 15 YEARS AND 

2649
01:55:33,660 --> 01:55:37,130
THE LISTENING SESSION WITH OAR 

2650
01:55:37,130 --> 01:55:41,468
IN THE UNIVERSITY OF PUERTO RICO

2651
01:55:41,468 --> 01:55:43,270
AND MY FIRST POINT IS REGARDING 

2652
01:55:43,270 --> 01:55:44,638
THE GUIDELINES FOR STUDY SECTION

2653
01:55:44,638 --> 01:55:48,675
IN TRYING TO IDENTIFY WHAT IS 

2654
01:55:48,675 --> 01:55:51,812
SIGNIFICANT REGARDING HEALTH 

2655
01:55:51,812 --> 01:55:52,112
DISPARITIES.

2656
01:55:52,112 --> 01:55:55,182
A LOT OF THE PARTICIPANTS THAT 

2657
01:55:55,182 --> 01:55:57,017
TRY TO ADVANCE THIS WORK FACE A 

2658
01:55:57,017 --> 01:56:00,120
CHALLENGE WHEN IT COMES TO 

2659
01:56:00,120 --> 01:56:02,389
TRYING TO ADDRESS THIS ONE SIZE 

2660
01:56:02,389 --> 01:56:05,125
FITS ALL ANSWER RELATIVE TO 

2661
01:56:05,125 --> 01:56:06,293
IMPACT AND THE NEEDS OF THE 

2662
01:56:06,293 --> 01:56:07,260
COMMUNITY THAT THEY'RE TRYING TO

2663
01:56:07,260 --> 01:56:09,129
MAKE A DIFFERENCE IN.

2664
01:56:09,129 --> 01:56:13,900
I THINK WE NEED I THINK NIMHD 

2665
01:56:13,900 --> 01:56:16,570
CAN COME UP WITH GUIDELINE TO 

2666
01:56:16,570 --> 01:56:19,206
DEFINE WHAT IS SIGNIFICANT IN 

2667
01:56:19,206 --> 01:56:24,644
COMMUNITIES EITHER ECONOMIC 

2668
01:56:24,644 --> 01:56:26,380
IMPACT, PERCENT OF INDIVIDUALS 

2669
01:56:26,380 --> 01:56:28,415
AFFECTED AND WE NEED TO EMPOWER 

2670
01:56:28,415 --> 01:56:30,584
THE APPLICANT AND STUDY SECTION 

2671
01:56:30,584 --> 01:56:32,252
TO EVALUATE THESE APPLICATIONS 

2672
01:56:32,252 --> 01:56:35,021
IF WASN'T TO MOVE FORWARD.

2673
01:56:35,021 --> 01:56:37,090
-- WANT TO MOVE FORWARD AND 

2674
01:56:37,090 --> 01:56:39,326
REDUCING THE GUIDELINES TO THREE

2675
01:56:39,326 --> 01:56:40,427
SCORES.

2676
01:56:40,427 --> 01:56:41,995
ONE IS FACTOR ONE, IMPORTANCE OF

2677
01:56:41,995 --> 01:56:43,630
THE RESEARCH AND PERHAPS THERE'S

2678
01:56:43,630 --> 01:56:46,867
OPPORTUNITY TO INFUSE THIS POINT

2679
01:56:46,867 --> 01:56:49,302
IN TO WHAT ARE NEW GUIDELINES 

2680
01:56:49,302 --> 01:56:50,737
FOR EVALUATION BECAUSE I THINK 

2681
01:56:50,737 --> 01:56:53,907
UNLESS WE DO THAT, UNLESS WE ACT

2682
01:56:53,907 --> 01:56:56,143
IN THIS AREA WE'RE NOT GOING TO 

2683
01:56:56,143 --> 01:57:02,215
CHANGE THE PARADIGMS DR. NELSON 

2684
01:57:02,215 --> 01:57:08,955
RAISED OR MR. MALDONADO LANGUAGE

2685
01:57:08,955 --> 01:57:11,992
THAT TELLS THE STUDY WHAT'S 

2686
01:57:11,992 --> 01:57:15,061
SIGNIFICANT AND GUIDELINES FOR 

2687
01:57:15,061 --> 01:57:15,862
HEALTH DISPARITIES WOULD BE AN 

2688
01:57:15,862 --> 01:57:16,863
IMPORTANT ACTIVITY.

2689
01:57:16,863 --> 01:57:19,399
THE SECOND POINT IS REGARDING 

2690
01:57:19,399 --> 01:57:21,468
WHETHER NIMHD OR OAR WOULD HELP 

2691
01:57:21,468 --> 01:57:23,570
DEFINE A COMMON DEFINITION OF 

2692
01:57:23,570 --> 01:57:25,138
HEALTH DISPARITIES RESEARCH THAT

2693
01:57:25,138 --> 01:57:26,840
COULD BE USED TO ACCOUNT FOR ALL

2694
01:57:26,840 --> 01:57:29,109
THE PORTFOLIOS OF THE INSTITUTES

2695
01:57:29,109 --> 01:57:31,211
THAT MEET THIS CRITERIA ACROSS 

2696
01:57:31,211 --> 01:57:31,978
THE NIH.

2697
01:57:31,978 --> 01:57:32,579
BECAUSE WE TALKED ABOUT THE 

2698
01:57:32,579 --> 01:57:33,713
INSTITUTE AND WE TALKED ABOUT 

2699
01:57:33,713 --> 01:57:36,650
THE MAJORITY OF MONEY GOING TO 

2700
01:57:36,650 --> 01:57:38,418
OTHER INSTITUTES THAT HAVE 

2701
01:57:38,418 --> 01:57:38,985
BIGGER BUDGETS THAT ADDRESS 

2702
01:57:38,985 --> 01:57:43,256
THESE AREAS.

2703
01:57:43,256 --> 01:57:45,625
ACTUALLY COALESCING THE ACTUAL 

2704
01:57:45,625 --> 01:57:47,027
TOTAL INVESTMENT OF NIH IN 

2705
01:57:47,027 --> 01:57:48,628
HEALTH DISPARITY AND WHAT 

2706
01:57:48,628 --> 01:57:50,063
PERCENTAGE OF EACH INSTITUTE IS 

2707
01:57:50,063 --> 01:57:52,332
GOING IN THIS AREA WITHIN THE 

2708
01:57:52,332 --> 01:57:53,633
DEFINITION WE'LL AGREE WITH AND 

2709
01:57:53,633 --> 01:57:59,206
EMPOWER US TO SEE THE GROWTH IN 

2710
01:57:59,206 --> 01:58:00,841
INVESTMENT AS WELL AS MAKING 

2711
01:58:00,841 --> 01:58:02,342
SURE THEIR PORTFOLIOS MEET A 

2712
01:58:02,342 --> 01:58:05,111
MINIMUM OF INVESTMENT IN THIS 

2713
01:58:05,111 --> 01:58:06,646
AREA.

2714
01:58:06,646 --> 01:58:07,280
THOSE ARE MY TWO POINTS.

2715
01:58:07,280 --> 01:58:08,014
THANK YOU.

2716
01:58:08,014 --> 01:58:16,256
>> THANK YOU.

2717
01:58:16,256 --> 01:58:16,923
OMAR.

2718
01:58:16,923 --> 01:58:17,257
>> THANK YOU.

2719
01:58:17,257 --> 01:58:20,494
A VERY BRIEF REMARK.

2720
01:58:20,494 --> 01:58:23,330
I REALLY LIKE THE PRESENTATION 

2721
01:58:23,330 --> 01:58:27,834
OF DR. NELSON ABOUT 

2722
01:58:27,834 --> 01:58:29,369
REVOLUTIONARY SCIENCE BUT IT 

2723
01:58:29,369 --> 01:58:33,974
SEEMS A LOT OF IT WOULD FIT IN 

2724
01:58:33,974 --> 01:58:34,941
THE CONTEXT OF IMPLEMENTATION 

2725
01:58:34,941 --> 01:58:36,877
SCIENCE IN THE SENSE THAT WHAT 

2726
01:58:36,877 --> 01:58:40,780
SEEMS TO BE NEEDED JUST AN 

2727
01:58:40,780 --> 01:58:45,118
EXAMPLE IS ASTOUNDING IN TERMS 

2728
01:58:45,118 --> 01:58:51,091
OF THE DECLINE OF HIV INCIDENTS 

2729
01:58:51,091 --> 01:58:54,427
AMONG WHITE MSM AFTER PREP AND 

2730
01:58:54,427 --> 01:58:56,563
BLACK INCIDENTS SEEMS TO BE 

2731
01:58:56,563 --> 01:58:56,963
STAGNANT.

2732
01:58:56,963 --> 01:58:59,900
TO ME THAT'S THE FAILURE OF 

2733
01:58:59,900 --> 01:59:01,134
IMPLEMENTATION SCIENCE 

2734
01:59:01,134 --> 01:59:03,570
APPROACHES WE HAVEN'T BEEN ABLE 

2735
01:59:03,570 --> 01:59:05,138
TO DO MORE.

2736
01:59:05,138 --> 01:59:06,406
BUT I DON'T UNDERSTAND AND 

2737
01:59:06,406 --> 01:59:08,074
PERHAPS SOME CLARIFICATION WOULD

2738
01:59:08,074 --> 01:59:09,109
BE GREAT.

2739
01:59:09,109 --> 01:59:11,378
WHY DO WE NEED DIFFERENT METHODS

2740
01:59:11,378 --> 01:59:12,679
IN THE SENSE THAT THE SAME 

2741
01:59:12,679 --> 01:59:17,050
METHODS WE HAVE WOULD BE GREAT.

2742
01:59:17,050 --> 01:59:22,489
LIKE WE HAVE A NEW TECHNOLOGY 

2743
01:59:22,489 --> 01:59:26,126
SAY mRNA VACCINES AND WE HAVE 

2744
01:59:26,126 --> 01:59:28,461
NEW IMPLEMENTATION APPROACHES TO

2745
01:59:28,461 --> 01:59:30,530
MAKE SURE PREP GETS TO THOSE WHO

2746
01:59:30,530 --> 01:59:32,532
NEED IT MOST AND EVALUATE THEM 

2747
01:59:32,532 --> 01:59:34,601
WITH THE BEST TOOLS WE HAVE 

2748
01:59:34,601 --> 01:59:36,403
ALREADY IT SEEMS TO ME.

2749
01:59:36,403 --> 01:59:38,038
BUT I WOULD LOVE TO HEAR 

2750
01:59:38,038 --> 01:59:40,507
DR. NELSON'S COMMENTS ON THAT.

2751
01:59:40,507 --> 01:59:41,007
THANK YOU.

2752
01:59:41,007 --> 01:59:43,677
>> YES, THANK YOU FOR THAT

2753
01:59:43,677 --> 01:59:43,944
QUESTION.

2754
01:59:43,944 --> 01:59:46,279
AS I THINK OF HOW TO RESPOND TO 

2755
01:59:46,279 --> 01:59:46,446
IT.

2756
01:59:46,446 --> 01:59:48,448
I AGREE, I DON'T THINK WE 

2757
01:59:48,448 --> 01:59:51,952
NEED -- SO IN MY EXAMPLE WE KNOW

2758
01:59:51,952 --> 01:59:57,023
THE EFFICACY OF PREP.

2759
01:59:57,023 --> 02:00:04,431
THAT'S NOT IN QUESTION.

2760
02:00:04,431 --> 02:00:05,131
IMPLEMENTATION METHODS HAVE 

2761
02:00:05,131 --> 02:00:08,602
WORKED BUT NOT FOR EVERYONE.

2762
02:00:08,602 --> 02:00:09,836
IS THERE A DIFFERENT 

2763
02:00:09,836 --> 02:00:11,137
IMPLEMENTATION STRATEGY -- 

2764
02:00:11,137 --> 02:00:13,206
>> SORRY TO INTERRUPT.

2765
02:00:13,206 --> 02:00:16,142
THE METHOD TO ME SEEMS FINE IT'S

2766
02:00:16,142 --> 02:00:19,279
AN RCT WHAT SEEMS TO HAVE FAILED

2767
02:00:19,279 --> 02:00:20,747
IS THE IMPLEMENTATION OF PERHAPS

2768
02:00:20,747 --> 02:00:24,784
A NOVEL PACKAGE OF 

2769
02:00:24,784 --> 02:00:25,986
INTERVENTION -- MAYBE I'M 

2770
02:00:25,986 --> 02:00:28,955
NITPICKING HERE BUT AS A PERSON 

2771
02:00:28,955 --> 02:00:31,057
THAT CARES DEEPLY ABOUT METHODS 

2772
02:00:31,057 --> 02:00:32,926
I THINK THE METHOD'S FINE.

2773
02:00:32,926 --> 02:00:37,063
WE WOULD NEED AN RCT OR MORE 

2774
02:00:37,063 --> 02:00:39,132
INNOVATIVE OR REVOLUTIONARY 

2775
02:00:39,132 --> 02:00:39,466
INTERVENTION.

2776
02:00:39,466 --> 02:00:40,533
THAT'S ALL.

2777
02:00:40,533 --> 02:00:43,103
I ADMIRE WHAT YOU'RE TRYING TO 

2778
02:00:43,103 --> 02:00:45,305
DO AND I AM TRYING TO DO THE 

2779
02:00:45,305 --> 02:00:48,108
SAME I'M JUST SAYING THE METHODS

2780
02:00:48,108 --> 02:00:49,309
WE HAVE SEEM FINE AND HAVE 

2781
02:00:49,309 --> 02:00:52,912
BETTER IDEAS TO DO WHAT NEED TO 

2782
02:00:52,912 --> 02:00:53,947
BE DONE.

2783
02:00:53,947 --> 02:00:56,816
>> AND MAYBE THAT'S THE
POINT 

2784
02:00:56,816 --> 02:01:00,186
ABOUT THE DIFFERENCE BETWEEN 

2785
02:01:00,186 --> 02:01:04,124
EFFICACY AND IMPACT.

2786
02:01:04,124 --> 02:01:05,659
I THINK THEY'RE NOT DOING AS 

2787
02:01:05,659 --> 02:01:08,228
WELL FOR IMPACT AND FINDING HOUT

2788
02:01:08,228 --> 02:01:09,729
TO YOU TO DO EQUITABLE IMPACT.

2789
02:01:09,729 --> 02:01:12,232
I DO APPRECIATE YOUR QUESTION.

2790
02:01:12,232 --> 02:01:12,499
THANK YOU.

2791
02:01:12,499 --> 02:01:14,367
>> I FULLY AGREE.

2792
02:01:14,367 --> 02:01:17,137
I WOULD ADD REAL WORLD, WHAT THE

2793
02:01:17,137 --> 02:01:18,171
INTERVENTIONS DO IN THE REAL 

2794
02:01:18,171 --> 02:01:19,839
WORLD IS KIND OF WHAT YOU'RE 

2795
02:01:19,839 --> 02:01:22,308
GETTING AT AND I THINK BEING 

2796
02:01:22,308 --> 02:01:23,877
ABLE TO DO THAT IN THE MOST 

2797
02:01:23,877 --> 02:01:25,612
RIGOROUS WAY IS WHAT WE'RE AFTER

2798
02:01:25,612 --> 02:01:28,181
HERE AND WHAT METHODOLOGIES MAY 

2799
02:01:28,181 --> 02:01:35,455
BE APPLICABLE TO HELP GET US 

2800
02:01:35,455 --> 02:01:35,655
THERE.

2801
02:01:35,655 --> 02:01:41,127
>> I'M FROM NICHD I WAS
STRUCK 

2802
02:01:41,127 --> 02:01:44,397
BY GABRIEL'S COMMENT HOW HARD IT

2803
02:01:44,397 --> 02:01:47,600
IS FOR COMMUNITY BASES TO GET 

2804
02:01:47,600 --> 02:01:49,335
RESEARCH FUNDING AND PART OF THE

2805
02:01:49,335 --> 02:01:52,939
IMPROVE BENEFIT TO ADDRESS THE 

2806
02:01:52,939 --> 02:01:53,973
MORBIDITY OR MORTALITY CRISIS IN

2807
02:01:53,973 --> 02:01:57,944
THE COUNTRY WE LAUNCHED A 

2808
02:01:57,944 --> 02:02:01,114
COMPETITION TO ENCOURAGE SUCH 

2809
02:02:01,114 --> 02:02:03,750
ORGANIZATION TO DEVELOP THE 

2810
02:02:03,750 --> 02:02:04,384
INFRASTRUCTURE TO DEVELOP THE 

2811
02:02:04,384 --> 02:02:05,785
RESEARCH WE NEED AND IF WE'RE 

2812
02:02:05,785 --> 02:02:07,620
GOING TO ADDRESS THE MATERNAL 

2813
02:02:07,620 --> 02:02:08,488
HEALTH CRISIS IT'S GOT TO BE IN 

2814
02:02:08,488 --> 02:02:10,457
THE COMMUNITIES WHERE THAT IS 

2815
02:02:10,457 --> 02:02:12,625
HAPPENING AND THAT'S OFTEN NOT 

2816
02:02:12,625 --> 02:02:14,327
THE ACADEMIC MEDICAL CENTER.

2817
02:02:14,327 --> 02:02:15,428
AS PART OF THE CHALLENGE THESE 

2818
02:02:15,428 --> 02:02:17,130
ORGANIZATIONS WERE ABLE TO 

2819
02:02:17,130 --> 02:02:18,898
COMPETE FOR CASH PRIZES THAT 

2820
02:02:18,898 --> 02:02:21,801
ALSO THEN GAVE THEM THE 

2821
02:02:21,801 --> 02:02:23,203
RESOURCES TO START DEVELOPING 

2822
02:02:23,203 --> 02:02:25,605
THE CAPACITY AND DO THE TRAINING

2823
02:02:25,605 --> 02:02:27,674
TO BETTER ENGAGE IN RESEARCH.

2824
02:02:27,674 --> 02:02:30,009
AGAIN, WITH I THINK THE 

2825
02:02:30,009 --> 02:02:32,812
FINALISTS WILL GET ANNOUNCED 

2826
02:02:32,812 --> 02:02:33,913
NEXT YEAR BUT SOMETHING WE HEAR 

2827
02:02:33,913 --> 02:02:35,949
CLEARLY THE PROBLEM YOU 

2828
02:02:35,949 --> 02:02:37,083
IDENTIFIED AND ARE TRYING TO 

2829
02:02:37,083 --> 02:02:43,289
ADDRESS IT IN SOME NOVEL WAYS.

2830
02:02:43,289 --> 02:02:50,630
>> JOHN.

2831
02:02:50,630 --> 02:02:55,702
>> I WANTED TO REITERATE
THE 

2832
02:02:55,702 --> 02:02:56,503
APPLICATION OF IMPLEMENTATION 

2833
02:02:56,503 --> 02:02:58,071
SCIENCE AND LOOK AT WAYS TO LOOK

2834
02:02:58,071 --> 02:03:01,741
AT OUTCOMES WHERE WE COMPARE 

2835
02:03:01,741 --> 02:03:03,476
WHAT I WOULD SAY TRADITIONAL 

2836
02:03:03,476 --> 02:03:06,346
NIH-FUNDED SCIENCE LIKE 

2837
02:03:06,346 --> 02:03:09,115
DEVELOPMENT OF AN HIV VACCINE 

2838
02:03:09,115 --> 02:03:10,984
VERSUS UTILIZING PREP WHICH HAS 

2839
02:03:10,984 --> 02:03:12,552
AN AFFECT SIMILAR TO A VACCINE 

2840
02:03:12,552 --> 02:03:14,687
IN TERMS OF ELIMINATING NEW 

2841
02:03:14,687 --> 02:03:14,888
CASES.

2842
02:03:14,888 --> 02:03:17,123
I THINK WE HAVE THOSE ANALYTICS 

2843
02:03:17,123 --> 02:03:24,330
AN CAN SHOW THAT EVIDENCES IT 

2844
02:03:24,330 --> 02:03:29,135
WILL ENHANCE OUR OBJECTIVES 

2845
02:03:29,135 --> 02:03:38,678
AROUND HEALTH CARE DISPARITIES.

2846
02:03:38,678 --> 02:03:40,346
>> DR. PEREZ-STABLE.

2847
02:03:40,346 --> 02:03:42,081
>> ANSWERING THE FIRST TWO

2848
02:03:42,081 --> 02:03:46,886
COMMENTS, NIMHD IS CHARGED WITH 

2849
02:03:46,886 --> 02:03:48,488
MONITORING AND ASSESSING THE 

2850
02:03:48,488 --> 02:03:49,622
INVESTMENTS ACROSS THE AGENCY IN

2851
02:03:49,622 --> 02:03:53,793
MINORITY HEALTH AND HEALTH 

2852
02:03:53,793 --> 02:03:54,093
DISPARITIES.

2853
02:03:54,093 --> 02:03:55,128
THERE ARE TECHNICAL CHALLENGES 

2854
02:03:55,128 --> 02:03:57,230
OF WHAT COUNTS.

2855
02:03:57,230 --> 02:04:06,139
WE HAVE COME METHODOLOGICALLY 

2856
02:04:06,139 --> 02:04:07,874
AND THERE'S AN ALGORITHM AND 

2857
02:04:07,874 --> 02:04:09,108
HOPEFULLY IN 2024 WE'LL HAVE A 

2858
02:04:09,108 --> 02:04:10,543
GOOD HANDLE ON THAT.

2859
02:04:10,543 --> 02:04:13,112
IT'S IN THE BALLPARK OF ABOUT $5

2860
02:04:13,112 --> 02:04:13,546
BILLION.

2861
02:04:13,546 --> 02:04:15,215
YOU COULD DO THE MATH.

2862
02:04:15,215 --> 02:04:17,784
THIS IS SCIENCE NOT CAPACITY 

2863
02:04:17,784 --> 02:04:18,918
BUILDING OR INCLUSION OR 

2864
02:04:18,918 --> 02:04:21,254
DIVERSITY OF THE WORKFORCE.

2865
02:04:21,254 --> 02:04:23,423
THIS IS ACTUAL RESEARCH.

2866
02:04:23,423 --> 02:04:25,124
AND LOOKING AT IT BY INSTITUTE 

2867
02:04:25,124 --> 02:04:29,329
IS GOING TO BE PART OF MY 

2868
02:04:29,329 --> 02:04:30,296
RESPONSIBILITY WHICH I'LL 

2869
02:04:30,296 --> 02:04:31,464
PRESENT TO MY COLLEAGUES AT ONE 

2870
02:04:31,464 --> 02:04:31,731
POINT.

2871
02:04:31,731 --> 02:04:33,833
THE ISSUE RAISED ABOUT THE 

2872
02:04:33,833 --> 02:04:36,569
METHODS, I WOULD SAY, YES, YOU 

2873
02:04:36,569 --> 02:04:37,804
NEED A CLINICAL TRIAL BUT HOW DO

2874
02:04:37,804 --> 02:04:39,305
YOU GET PEOPLE TO IT?

2875
02:04:39,305 --> 02:04:41,140
WHAT WE PHASE WITH THE COVID-19 

2876
02:04:41,140 --> 02:04:43,042
TRIAL IF YOU LOOK AT WHAT 

2877
02:04:43,042 --> 02:04:44,811
HAPPENED IN THE FIRST TWO 

2878
02:04:44,811 --> 02:04:47,914
MONTHS, 90% OF THE VOLUNTEERS 

2879
02:04:47,914 --> 02:04:51,451
WERE WHITE AND THE PANDEMIC WAS 

2880
02:04:51,451 --> 02:04:55,288
DISPROPORTIONATELY IMPACTING 

2881
02:04:55,288 --> 02:04:56,956
AFRICAN AMERICAN, LATINO, 

2882
02:04:56,956 --> 02:04:57,624
AMERICAN INDIAN AND ALASKAN 

2883
02:04:57,624 --> 02:04:59,158
NATIVE COMMUNITY AND IT'S HOW WE

2884
02:04:59,158 --> 02:05:00,927
ENGAGE PEOPLE THAT HAS TO BE 

2885
02:05:00,927 --> 02:05:02,629
TAILORED AND DIFFERENT AND THOSE

2886
02:05:02,629 --> 02:05:03,963
ARE METHODS TOO.

2887
02:05:03,963 --> 02:05:09,135
I'LL LEAVE IT AT THAT.

2888
02:05:09,135 --> 02:05:09,769
THANKS.

2889
02:05:09,769 --> 02:05:13,773
>> THANK YOU.

2890
02:05:13,773 --> 02:05:16,009
>> I'M INTRIGUED BY THE 

2891
02:05:16,009 --> 02:05:17,043
CONVERSATION.

2892
02:05:17,043 --> 02:05:22,081
STARTED BY OMAR AND I THINK IT 

2893
02:05:22,081 --> 02:05:24,617
WOULD BE HELPFUL FOR MORE 

2894
02:05:24,617 --> 02:05:27,086
ENGAGEMENT BY NIH, OAR TO THINK 

2895
02:05:27,086 --> 02:05:28,588
ABOUT THE CROSS-SECTION BETWEEN 

2896
02:05:28,588 --> 02:05:30,790
METHODOLOGY AND HOW ARE WE 

2897
02:05:30,790 --> 02:05:32,325
ANSWERING QUESTIONS, WHAT 

2898
02:05:32,325 --> 02:05:34,560
QUESTIONS WE'RE ANSWERING WHICH 

2899
02:05:34,560 --> 02:05:38,598
OFTEN COMES FROM THE OBSTACLES.

2900
02:05:38,598 --> 02:05:40,433
AND MAYBE MORE IN MY INSTITUTION

2901
02:05:40,433 --> 02:05:43,336
THAN NIH WHERE PEOPLE IDENTIFY 

2902
02:05:43,336 --> 02:05:45,104
DISPARITIES AT INEQUITIES.

2903
02:05:45,104 --> 02:05:46,406
USUALLY RACIAL AND ETHNIC BUT 

2904
02:05:46,406 --> 02:05:50,443
CAN BE OTHERS AS WELL AND THEY 

2905
02:05:50,443 --> 02:05:51,711
DON'T SPEND TIME ON 

2906
02:05:51,711 --> 02:05:52,045
INTERVENTIONS.

2907
02:05:52,045 --> 02:05:53,112
SOMETIMES THE INTERVENTIONS CAN 

2908
02:05:53,112 --> 02:05:58,084
BE A DAILY PILL FOR PREP INSTEAD

2909
02:05:58,084 --> 02:06:00,386
OF REDUCING SEXUAL PARTNERS OR 

2910
02:06:00,386 --> 02:06:02,088
SOMETIMES LONG ACTING AGENTS BUT

2911
02:06:02,088 --> 02:06:05,525
THINKING CAREFULLY WHAT ARE THE 

2912
02:06:05,525 --> 02:06:07,260
MOST CRITICALLY APPLIED RESEARCH

2913
02:06:07,260 --> 02:06:07,827
QUESTION AND SOMETIMES 

2914
02:06:07,827 --> 02:06:09,062
OPERATIONAL ONES AND SEEING WHAT

2915
02:06:09,062 --> 02:06:14,167
METHODS WOULD ABUT US  -- ALLOW 

2916
02:06:14,167 --> 02:06:16,469
US TO IMPLEMENT THEM KNOWING WHO

2917
02:06:16,469 --> 02:06:18,171
IS INCLUDED IS ONE OF THE MOST 

2918
02:06:18,171 --> 02:06:23,109
ESSENTIAL ASPECTS OF A STUDY TO 

2919
02:06:23,109 --> 02:06:25,478
KNOW THE ANSWER YOU WANT IF NOT 

2920
02:06:25,478 --> 02:06:27,013
IT'S NOT ASKING THE QUESTION 

2921
02:06:27,013 --> 02:06:28,514
FROM THE POPULATIONS MOST 

2922
02:06:28,514 --> 02:06:28,815
AFFECTED.

2923
02:06:28,815 --> 02:06:31,684
ALL OF THAT TOGETHER I THINK 

2924
02:06:31,684 --> 02:06:33,086
COULD HELP AND WON'T BE DECIDED 

2925
02:06:33,086 --> 02:06:35,254
IN THIS MEETING BUT PROBABLY ONE

2926
02:06:35,254 --> 02:06:36,389
OF THE MOST IMPORTANT QUESTIONS 

2927
02:06:36,389 --> 02:06:38,825
FOR US IN GOVERNMENT AND 

2928
02:06:38,825 --> 02:06:41,327
RESEARCH IS TO SAY WHEN WE LOOK 

2929
02:06:41,327 --> 02:06:44,464
BACK WHAT MADE THE BIGGEST 

2930
02:06:44,464 --> 02:06:46,366
DIFFERENCE AND WHAT WOULD WE 

2931
02:06:46,366 --> 02:06:49,035
HAVE KNOWN ENOUGH THEN TO HAVE 

2932
02:06:49,035 --> 02:06:51,237
NOT DONE OR WISH WE HAD KNOWN 

2933
02:06:51,237 --> 02:06:53,139
ENOUGH NOT TO HAVE SPEND THE 

2934
02:06:53,139 --> 02:06:56,109
MONEY AND FOR ALL OF US IT'S A 

2935
02:06:56,109 --> 02:07:00,646
LARGE AMOUNT OF MONEY.

2936
02:07:00,646 --> 02:07:01,114
>> THANK YOU.

2937
02:07:01,114 --> 02:07:04,617
VERY GOOD POINTS.

2938
02:07:04,617 --> 02:07:06,285
I APPRECIATE THAT.

2939
02:07:06,285 --> 02:07:07,420
AND DR. COLLINS IS NEXT.

2940
02:07:07,420 --> 02:07:12,859
>> THANK YOU FOR TAKING MY

2941
02:07:12,859 --> 02:07:13,259
QUESTION/COMMENT.

2942
02:07:13,259 --> 02:07:15,495
SO ONE OF MY ROLES IS TO SERVE 

2943
02:07:15,495 --> 02:07:18,031
AS THE MSTP DIRECTOR AND IN THAT

2944
02:07:18,031 --> 02:07:23,903
ROLE WE TRY TO RECRUIT A DIVERSE

2945
02:07:23,903 --> 02:07:26,105
GROUP OF M.D. Ph.D. TRAINEES WHO

2946
02:07:26,105 --> 02:07:28,341
OFTEN PLAY A BIG AND IMPORTANT 

2947
02:07:28,341 --> 02:07:30,777
ROLE IN ALL KINDS OF ASPECTS OF 

2948
02:07:30,777 --> 02:07:33,146
THIS AND ONE OF THE THINGS THAT 

2949
02:07:33,146 --> 02:07:35,348
WE FACE IS A VERY SMALL PIPELINE

2950
02:07:35,348 --> 02:07:40,053
OF DIVERSE APPLICANTS AND IN 

2951
02:07:40,053 --> 02:07:43,156
PARTICULAR AFRICAN AMERICAN 

2952
02:07:43,156 --> 02:07:43,456
APPLICANTS.

2953
02:07:43,456 --> 02:07:45,324
OUR INSTITUTION COMMITS TO A 

2954
02:07:45,324 --> 02:07:47,193
PIPELINE PROGRAM TO BRING IN 

2955
02:07:47,193 --> 02:07:49,295
DIVERSE APPLICANTS EVERY SUMMER 

2956
02:07:49,295 --> 02:07:51,431
AND DO WHAT WE CAN TO INTEREST 

2957
02:07:51,431 --> 02:07:53,566
THEM IN OUR PATHWAYS AND HELP 

2958
02:07:53,566 --> 02:07:55,802
THEM WITH THEIR APPLICATIONS SO 

2959
02:07:55,802 --> 02:07:58,971
THEY'RE AS EXPRESSIVE AS 

2960
02:07:58,971 --> 02:08:02,475
POSSIBLE THIS IS A FOCUS A LONG 

2961
02:08:02,475 --> 02:08:03,776
TIME FOR DIRECTORS OF THESE 

2962
02:08:03,776 --> 02:08:05,111
PROGRAMS AND WE'VE NOT REALLY 

2963
02:08:05,111 --> 02:08:07,713
BEEN ABLE TO ACHIEVE AN 

2964
02:08:07,713 --> 02:08:11,084
EXPANSION OF THE APPLICANT POOL.

2965
02:08:11,084 --> 02:08:12,952
THERE'S A RELATIVE DEARTH OF 

2966
02:08:12,952 --> 02:08:15,088
SCARCITY OF FUNDS FROM THE NIH 

2967
02:08:15,088 --> 02:08:17,123
FOR THESE KINDS OF PROGRAMS.

2968
02:08:17,123 --> 02:08:19,225
THERE'S PREP AND THINGS LIKE 

2969
02:08:19,225 --> 02:08:20,793
THAT BUT THE NUMBER OF SLOTS 

2970
02:08:20,793 --> 02:08:22,161
WERE LIMITED AND I GUESS I JUST 

2971
02:08:22,161 --> 02:08:25,765
WANTED TO PUT MY TWO CENTS IN 

2972
02:08:25,765 --> 02:08:28,301
FOR GETTING THE NIH PERHAPS 

2973
02:08:28,301 --> 02:08:31,304
PERHAPS MORE PROGRAMS TO EXPAND 

2974
02:08:31,304 --> 02:08:33,106
THE WORKFORCE OF DIFFERS 

2975
02:08:33,106 --> 02:08:35,508
APPLICANTS GETTING INTO SCIENCE 

2976
02:08:35,508 --> 02:08:37,043
AND MEDICINE AND PHYSICIAN 

2977
02:08:37,043 --> 02:08:38,744
SCIENTIST TRAINING PROGRAMS AND 

2978
02:08:38,744 --> 02:08:39,812
MOTIVATING THEM TO DO SO.

2979
02:08:39,812 --> 02:08:49,122
WE CAN'T DO TOO MUCH OF THAT AS 

2980
02:08:49,122 --> 02:08:50,957
THESE THEY REPRESENT THE GROUPS 

2981
02:08:50,957 --> 02:08:52,692
OF PEOPLE AND MAY HAVE THE BEST 

2982
02:08:52,692 --> 02:08:54,527
WAYS OF UNDERSTANDING HOW TO 

2983
02:08:54,527 --> 02:08:55,061
REACH THEM AND SOLVE SOME 

2984
02:08:55,061 --> 02:09:03,836
PROBLEMS.

2985
02:09:03,836 --> 02:09:05,104
>> I APPRECIATE THAT.

2986
02:09:05,104 --> 02:09:06,339
ALL VALID POINTS.

2987
02:09:06,339 --> 02:09:07,840
WE HAVE TIME FOR ONE MORE 

2988
02:09:07,840 --> 02:09:09,742
QUESTION AND THEN I'M GOING TO 

2989
02:09:09,742 --> 02:09:13,112
TRY AND SEE IF I CAN GIVE US 10 

2990
02:09:13,112 --> 02:09:14,180
MINUTES FOR BREAK.

2991
02:09:14,180 --> 02:09:15,982
>> LET ME COMMENT ON 

2992
02:09:15,982 --> 02:09:19,385
DR. COLLINS' LAST STATEMENT.

2993
02:09:19,385 --> 02:09:20,887
I MENTIONED THE NIH PIONEER 

2994
02:09:20,887 --> 02:09:23,723
AWARDS I WAS THINKING ABOUT 

2995
02:09:23,723 --> 02:09:27,560
APPLYING THAT LOGIC TO TRAINING 

2996
02:09:27,560 --> 02:09:27,827
PROGRAMS.

2997
02:09:27,827 --> 02:09:31,297
SO YOU CAN DO WHAT YOU TALKED 

2998
02:09:31,297 --> 02:09:31,497
ABOUT.

2999
02:09:31,497 --> 02:09:34,400
IT SEEMED LIKE A VERY 

3000
02:09:34,400 --> 02:09:35,535
AVANT-GARDE WAY TO GET AT THINGS

3001
02:09:35,535 --> 02:09:37,637
THAT OTHERWISE I THINK SUFFER 

3002
02:09:37,637 --> 02:09:40,439
DUE TO NORMAL -- THESE REGULAR 

3003
02:09:40,439 --> 02:09:41,140
REVIEW PROCESS.

3004
02:09:41,140 --> 02:09:43,009
I JUST WANTED TO ACKNOWLEDGE 

3005
02:09:43,009 --> 02:09:45,111
WHAT YOU SAID AND I AGREE.

3006
02:09:45,111 --> 02:09:47,947
>> THANK YOU, LA RON.

3007
02:09:47,947 --> 02:09:49,715
WORD TO DR. OTT AND GO FOR 

3008
02:09:49,715 --> 02:09:49,916
BREAK.

3009
02:09:49,916 --> 02:09:50,416
>> THANK YOU.

3010
02:09:50,416 --> 02:09:52,151
I DON'T WANT TO KEEP ANYONE FROM

3011
02:09:52,151 --> 02:09:54,253
THE BREAK BUT I WOULD LIKE IT 

3012
02:09:54,253 --> 02:09:56,989
HEAR MORE ABOUT THE METHODS HOW 

3013
02:09:56,989 --> 02:09:59,458
TO REACH OR ADDRESS THE MISTRUST

3014
02:09:59,458 --> 02:10:02,295
IN MEDICAL INTERVENTIONS IN 

3015
02:10:02,295 --> 02:10:04,897
CERTAIN COMMUNITIES BECAUSE 

3016
02:10:04,897 --> 02:10:06,265
ESPECIALLY FOR THE MBC 

3017
02:10:06,265 --> 02:10:10,002
COLLABORATORIES WE HAVE A LARGE 

3018
02:10:10,002 --> 02:10:11,270
COMMUNITY OUTREACH PROGRAM ALSO 

3019
02:10:11,270 --> 02:10:13,139
WHERE WE'RE TRYING TO DO THIS, 

3020
02:10:13,139 --> 02:10:14,540
REACHING COMMUNITIES WHO NEED IT

3021
02:10:14,540 --> 02:10:20,513
THE MOST BUT ENCOUNTER A LOT OF 

3022
02:10:20,513 --> 02:10:23,749
MISTRUST AND IF THERE'S POINT 

3023
02:10:23,749 --> 02:10:26,519
FOR HIV I WOULD LIKE TO HEAR 

3024
02:10:26,519 --> 02:10:27,720
MORE IN THE PANEL DISCUSSION 

3025
02:10:27,720 --> 02:10:29,288
ABOUT METHODS HOW TO BEST 

3026
02:10:29,288 --> 02:10:33,125
ADDRESS THIS.

3027
02:10:33,125 --> 02:10:34,293
>> YES.

3028
02:10:34,293 --> 02:10:35,595
YOU ALMOST READ OUR MINDS.

3029
02:10:35,595 --> 02:10:39,832
THAT'S WHAT WE GET TO.

3030
02:10:39,832 --> 02:10:43,336
LET'S TAKE A 10-MINUTE BREAK AND

3031
02:10:43,336 --> 02:10:45,271
COME BACK AT 2:35 EASTERN TIME 

3032
02:10:45,271 --> 02:10:48,307
AND IN THE INTERIM, I BELIEVE 

3033
02:10:48,307 --> 02:10:49,642
THERE'S OTHER INSTRUCTIONS.

3034
02:10:49,642 --> 02:10:51,611
DON'T LOG OUT OF THE ZOOM BUT 

3035
02:10:51,611 --> 02:10:52,211
MUTE YOUR LINE AND HIDE YOUR 

3036
02:10:52,211 --> 02:10:56,339
CAMERA. 

3037
02:10:56,339 --> 02:11:01,410
WELCOME BACK, EVERYONE.

3038
02:11:01,410 --> 02:11:06,415
WE'LL NOW RESUME THE OARAC 

3039
02:11:06,415 --> 02:11:09,118
MEETING WITH AN NIH PANEL ON 

3040
02:11:09,118 --> 02:11:10,529
INTEGRATING SYNDEMIC MODELS IN 

3041
02:11:10,529 --> 02:11:11,664
HIV HEALTH DISPARITIES RESEARCH.

3042
02:11:11,664 --> 02:11:15,612
I'M TIMOTHY HOLTZ AND 

3043
02:11:15,612 --> 02:11:20,183
DR. KAPOGIANNIS WILL CO-MODERATE

3044
02:11:20,183 --> 02:11:21,651
AND WE'LL HAVE REPRESENTATION OF

3045
02:11:21,651 --> 02:11:23,253
SEVEN INSTITUTES WITH PORTFOLIOS

3046
02:11:23,253 --> 02:11:26,123
THAT ADDRESS HIV HEALTH 

3047
02:11:26,123 --> 02:11:26,423
DISPARITIES.

3048
02:11:26,423 --> 02:11:29,559
A MODERATED DISCUSSION AMONG 

3049
02:11:29,559 --> 02:11:31,995
PANELIST AND WITH OARAC MEMBERS.

3050
02:11:31,995 --> 02:11:35,465
WE'LL AIM TO END AT 3:55 EASTERN

3051
02:11:35,465 --> 02:11:36,133
TIME.

3052
02:11:36,133 --> 02:11:36,933
WELCOME AND THANK YOU FOR 

3053
02:11:36,933 --> 02:11:37,968
JOINING US.

3054
02:11:37,968 --> 02:11:40,837
TO GET STARTED I'LL CALL ON YOU 

3055
02:11:40,837 --> 02:11:42,339
IN ALPHABETICAL ORDER TO 

3056
02:11:42,339 --> 02:11:43,573
INTRODUCE YOURSELVES TO GIVE A 

3057
02:11:43,573 --> 02:11:46,276
BRIEF DISCUSSION OF YOUR TITLE, 

3058
02:11:46,276 --> 02:11:48,378
AFFILIATION AND WHAT YOUR 

3059
02:11:48,378 --> 02:11:50,313
INSTITUTE OR OFFICE FOCUSES ON 

3060
02:11:50,313 --> 02:11:50,947
REGARDING HIV AND HIV-RELATED 

3061
02:11:50,947 --> 02:11:55,018
RESEARCH.

3062
02:11:55,018 --> 02:11:58,522
>> CALLING ON THE
PANELISTS IN 

3063
02:11:58,522 --> 02:12:01,925
ALPHABETICAL ORDER, DR. AKLIN.

3064
02:12:01,925 --> 02:12:03,360
>> GOOD AFTERNOON AND
THANK YOU 

3065
02:12:03,360 --> 02:12:07,430
FOR ALLOWING ME TO PARTICIPATE 

3066
02:12:07,430 --> 02:12:07,631
TODAY.

3067
02:12:07,631 --> 02:12:09,966
I'M CURRENTLY SERVING AS THE 

3068
02:12:09,966 --> 02:12:11,334
DEPUTY DIRECTOR OF THE NATIONAL 

3069
02:12:11,334 --> 02:12:13,203
INSTITUTE OF NURSING RESEARCH.

3070
02:12:13,203 --> 02:12:15,672
EXCITED TO BE HERE.

3071
02:12:15,672 --> 02:12:16,640
JUST TO SHARE A LITTLE BIT ABOUT

3072
02:12:16,640 --> 02:12:18,942
WHAT WE DO AS WE MOVED INTO A 

3073
02:12:18,942 --> 02:12:22,512
NEW ERA FOR THE WORK WE'RE 

3074
02:12:22,512 --> 02:12:25,015
SUPPORTING OUR MISSION SO TO 

3075
02:12:25,015 --> 02:12:26,516
HELP INFORM PRACTICE AND POLICY 

3076
02:12:26,516 --> 02:12:28,084
TO OPTIMIZE HEALTH AND ADVANCE 

3077
02:12:28,084 --> 02:12:31,121
HEALTH EQUITY IN THE FUTURE.

3078
02:12:31,121 --> 02:12:33,323
SINCE 1985 WE HAVE BEEN DOING 

3079
02:12:33,323 --> 02:12:35,358
THE WORK NECESSARY TO SUPPORT 

3080
02:12:35,358 --> 02:12:37,727
THE DEVELOPMENT OF A LIFE COURSE

3081
02:12:37,727 --> 02:12:38,428
PERSPECTIVE AND TYPICALLY WHAT A

3082
02:12:38,428 --> 02:12:40,430
MEAN BY THAT IS AT THE CORE WE 

3083
02:12:40,430 --> 02:12:42,065
HAVE THE ABILITY TO COME UP WITH

3084
02:12:42,065 --> 02:12:43,433
SOLUTIONS AND POWER TO HAVE A 

3085
02:12:43,433 --> 02:12:47,637
BROAD REACH BECAUSE NURSES ARE 

3086
02:12:47,637 --> 02:12:47,938
EVERYWHERE.

3087
02:12:47,938 --> 02:12:49,773
IN OUR CLINICS AND HOSPITALS AND

3088
02:12:49,773 --> 02:12:50,574
WORKPLACES AND HOMES AND THAT 

3089
02:12:50,574 --> 02:12:51,608
GIVES US THE OPPORTUNITY TO 

3090
02:12:51,608 --> 02:12:59,349
BRIDGE AND  ASK QUESTIONS AND WE

3091
02:12:59,349 --> 02:13:03,220
NOW HAVE AN IN PLACE A 2022-2026

3092
02:13:03,220 --> 02:13:04,454
STRATEGIC PLAN.

3093
02:13:04,454 --> 02:13:07,190
WE HAVE FIVE RESEARCH LENSES TO 

3094
02:13:07,190 --> 02:13:08,725
GIVE A PERSPECTIVE TO LOOK AT 

3095
02:13:08,725 --> 02:13:10,093
HEALTH EQUITY, SOCIAL 

3096
02:13:10,093 --> 02:13:10,827
DETERMINATES OF HEALTH, 

3097
02:13:10,827 --> 02:13:14,497
POPULATION AND COMMUNITY HEALTH,

3098
02:13:14,497 --> 02:13:15,131
PREVENTION, HEALTH PROMOTION AND

3099
02:13:15,131 --> 02:13:17,300
SYSTEMS OF MODELS OF CARE.

3100
02:13:17,300 --> 02:13:18,068
WE'RE ENCOURAGING INVESTIGATORS 

3101
02:13:18,068 --> 02:13:20,770
TO LOOK AT THE LENSES BECAUSE OF

3102
02:13:20,770 --> 02:13:23,106
THIS WE'RE ABLE TO HARNESS 

3103
02:13:23,106 --> 02:13:24,641
RESEARCH IN DIFFERENT AREAS NOT 

3104
02:13:24,641 --> 02:13:25,642
NECESSARILY FOCUS ON ONE 

3105
02:13:25,642 --> 02:13:26,243
PARTICULAR DISEASE BUT IN 

3106
02:13:26,243 --> 02:13:31,414
PARTICULAR TO THE WORK LOOKING 

3107
02:13:31,414 --> 02:13:37,988
AT HIV/AIDS RESEARCH AND I'LL 

3108
02:13:37,988 --> 02:13:38,755
PAUSE THERE BECAUSE I RECOGNIZE 

3109
02:13:38,755 --> 02:13:42,993
WE WANT TO BE BRIEF.

3110
02:13:42,993 --> 02:13:44,327
THANK YOU.

3111
02:13:44,327 --> 02:13:46,396
>> DR. CHRISTOPHER
BARNHART.

3112
02:13:46,396 --> 02:13:49,332
>> I'M CHRISTOPHER.

3113
02:13:49,332 --> 02:13:55,071
I'M A HEALTH SCIENCE POLICY 

3114
02:13:55,071 --> 02:13:55,906
ANALYST.

3115
02:13:55,906 --> 02:13:58,942
OUR OFFICE COORDINATES RESEARCH 

3116
02:13:58,942 --> 02:14:02,979
WITH THE HEALTH AND WELL-BEINGLY

3117
02:14:02,979 --> 02:14:06,750
WORKING WITH THE NIH INSTITUTES 

3118
02:14:06,750 --> 02:14:09,486
AND OFFICE AND PROVIDE SUBJECT 

3119
02:14:09,486 --> 02:14:11,922
MATTER EXPERTISE ACROSS THE NIH 

3120
02:14:11,922 --> 02:14:17,494
AND LIAISE TO ENSURE POPULATION 

3121
02:14:17,494 --> 02:14:18,228
CONSIDERED AND REPRESENTED 

3122
02:14:18,228 --> 02:14:18,995
ACROSS THE AGENCY.

3123
02:14:18,995 --> 02:14:22,165
WE DON'T HAVE OUR OWN RESEARCH 

3124
02:14:22,165 --> 02:14:24,668
PORTFOLIO BUT WE REGULARLY FUND 

3125
02:14:24,668 --> 02:14:27,203
GRANTS AND CONTRIBUTE TO 

3126
02:14:27,203 --> 02:14:30,273
ACTIVITIES RELATED TO HIV AND 

3127
02:14:30,273 --> 02:14:33,710
MONITOR AND PERFORM ANALYSES ON 

3128
02:14:33,710 --> 02:14:34,511
IN HEALTH RESEARCH.

3129
02:14:34,511 --> 02:14:38,348
THE HIV/AIDS AS A SUBJECT HAS 

3130
02:14:38,348 --> 02:14:39,316
ALWAYS ACCOUNTED FOR AND 

3131
02:14:39,316 --> 02:14:43,653
CONTINUES TO ACCOUNT FOR A 

3132
02:14:43,653 --> 02:14:45,588
SIGNIFICANT PORTION OF THE 

3133
02:14:45,588 --> 02:14:48,058
PORTFOLIO AND LOOK AT LGBTQ 

3134
02:14:48,058 --> 02:14:49,659
COMMUNITIES GAY, BISEXUAL AND 

3135
02:14:49,659 --> 02:14:51,928
MEN HAVING SEX WITH MEN AND 

3136
02:14:51,928 --> 02:14:56,099
TRANSGENDER WOMEN WHO ARE BLACK,

3137
02:14:56,099 --> 02:14:58,501
AFRICAN AMERICAN, LATINO, 

3138
02:14:58,501 --> 02:15:00,804
AMERICAN INDIAN AND ALASKAN 

3139
02:15:00,804 --> 02:15:02,138
NATIVE AND THOSE WHO INJECT 

3140
02:15:02,138 --> 02:15:06,376
DRUGS OR ENGAGE IN SEX WORK OR 

3141
02:15:06,376 --> 02:15:08,311
SOCIO ECONOMICALLY DISADVANTAGED

3142
02:15:08,311 --> 02:15:10,513
AND LOOKING AT INTERVENTIONS TO 

3143
02:15:10,513 --> 02:15:12,315
HALT THE SPREAD OF HIV AND 

3144
02:15:12,315 --> 02:15:16,086
MEASURES FOR SGM FOLKS AND LOOK 

3145
02:15:16,086 --> 02:15:17,988
AT THE CONTINUUM FOR ALL SGM 

3146
02:15:17,988 --> 02:15:18,254
PEOPLE.

3147
02:15:18,254 --> 02:15:19,689
IT'S MY PLEASURE TO BE HERE AND 

3148
02:15:19,689 --> 02:15:20,390
LOOKING FORWARD TO A RICH AND 

3149
02:15:20,390 --> 02:15:29,265
INTERACTIVE DISCUSSION.

3150
02:15:29,265 --> 02:15:30,400
>> DR. BRYANT.

3151
02:15:30,400 --> 02:15:37,941
>> I'M THE DIRECTOR OF
HIV/AIDS 

3152
02:15:37,941 --> 02:15:40,677
AND ALCOHOL RESEARCH FOR NIAAA.

3153
02:15:40,677 --> 02:15:41,244
I'VE BEEN INVOLVED IN THE 

3154
02:15:41,244 --> 02:15:51,688
PORTFOLIO SINCE THE 1990s.

3155
02:15:54,557 --> 02:15:58,495
WE HAVE LOOKED AT COHORT 

3156
02:15:58,495 --> 02:16:00,797
STUDIES, ALTERNATIVE CENTRAL 

3157
02:16:00,797 --> 02:16:01,931
APPROACHES TO LOOKING AT HEALTH 

3158
02:16:01,931 --> 02:16:04,934
CARE SYSTEMS AND THE ROLE OF 

3159
02:16:04,934 --> 02:16:08,738
ALCOHOL USING ELECTRONIC MEDICAL

3160
02:16:08,738 --> 02:16:10,507
RECORDS, APPLICATION OF BIG 

3161
02:16:10,507 --> 02:16:14,077
DATA, ARTIFICIAL INTELLIGENCE.

3162
02:16:14,077 --> 02:16:17,614
WE NOW HAVE ENCODED OVER 11 

3163
02:16:17,614 --> 02:16:19,015
MILLION V.A. RECORDS WITH 

3164
02:16:19,015 --> 02:16:24,254
PATIENTS WE LOOKED AT IN 

3165
02:16:24,254 --> 02:16:27,757
MULTIPLE WAYS BROADLY SPEAKING 

3166
02:16:27,757 --> 02:16:29,559
WE EMPHASIZED PERSON BY 

3167
02:16:29,559 --> 02:16:30,493
ENVIRONMENT APPROACHES RELEVANT 

3168
02:16:30,493 --> 02:16:34,030
TO BEHAVIORAL AND 

3169
02:16:34,030 --> 02:16:35,565
PATHOPHYSIOLOGICAL AFFECTS FOR 

3170
02:16:35,565 --> 02:16:38,501
PATTERNS OF ALCOHOL CONSUMPTION 

3171
02:16:38,501 --> 02:16:40,937
AND ACCESS AVAILABILITY OVER THE

3172
02:16:40,937 --> 02:16:43,206
ENVIRONMENT OVER THE LIFE SPAN 

3173
02:16:43,206 --> 02:16:44,741
INCLUDING HEALTH CARE AND OTHER 

3174
02:16:44,741 --> 02:16:53,983
ASPECTS AND POLICY ISSUES.

3175
02:16:53,983 --> 02:16:55,652
AND LOOKS AT THE ROLE OF WHICH 

3176
02:16:55,652 --> 02:16:57,787
IS USE AND ALCOHOL-RELATED 

3177
02:16:57,787 --> 02:17:00,757
DISEASES IN THE CONTEXT OF 

3178
02:17:00,757 --> 02:17:04,260
PREVENTION AND TREATMENT FOR 

3179
02:17:04,260 --> 02:17:04,527
HIV/AIDS.

3180
02:17:04,527 --> 02:17:06,496
ALCOHOL USE DISORDER AND 

3181
02:17:06,496 --> 02:17:09,365
INCLUDING HEAVY EPISODIC 

3182
02:17:09,365 --> 02:17:12,469
DRINKING DIRECTLY IMPACTS 

3183
02:17:12,469 --> 02:17:15,171
INCREASES IN HIV INFECTION, 

3184
02:17:15,171 --> 02:17:19,209
FAILURE IN THE TREATMENT CASCADE

3185
02:17:19,209 --> 02:17:21,277
TO IMPAIR ADHERENCE TO 

3186
02:17:21,277 --> 02:17:22,512
MEDICATIONS AND TOXICITY AND 

3187
02:17:22,512 --> 02:17:24,981
INTERACTIONS WITH MEDICATIONS 

3188
02:17:24,981 --> 02:17:27,450
AND OTHER MULTIPLE MEDICATIONS 

3189
02:17:27,450 --> 02:17:31,821
PARTICULARLY PSYCHOTROPIC 

3190
02:17:31,821 --> 02:17:33,189
MEDICATIONS AND ONES PRESCRIBED 

3191
02:17:33,189 --> 02:17:40,363
WITH AGING AND OTHER COMORBID 

3192
02:17:40,363 --> 02:17:42,031
ILLNESSES SUCH AS COMPLICATIONS 

3193
02:17:42,031 --> 02:17:49,873
AND CO-INFECTIONS LIKE T.B. AND 

3194
02:17:49,873 --> 02:17:54,210
FALLS AND FRACTURES AND 

3195
02:17:54,210 --> 02:17:58,314
INSUFFICIENT HOUSING AND OTHER 

3196
02:17:58,314 --> 02:18:04,254
ENVIRONMENTAL FACTORS.

3197
02:18:04,254 --> 02:18:11,327
NIAAA HAS FOUR DIVISIONS LOOKING

3198
02:18:11,327 --> 02:18:14,497
AT HEALTH EFFECTS, METABOLISM 

3199
02:18:14,497 --> 02:18:17,667
AND TREATMENT AND NEUROSCIENCE 

3200
02:18:17,667 --> 02:18:21,471
AND THEY ALL INCLUDE LARGE 

3201
02:18:21,471 --> 02:18:26,509
COHORT ACTIVITIES ALSO IN 

3202
02:18:26,509 --> 02:18:30,313
COLLABORATION WITH OTHER I.C.s.

3203
02:18:30,313 --> 02:18:31,247
RELEVANT TO THE CURRENT 

3204
02:18:31,247 --> 02:18:34,517
DISCUSSION, NIAAA SPECIFICALLY 

3205
02:18:34,517 --> 02:18:39,589
FINDS INTERSECTIONAL APPROACHES 

3206
02:18:39,589 --> 02:18:40,757
WITH POPULATION-LEVEL RESEARCH 

3207
02:18:40,757 --> 02:18:42,859
AND THE ROLE OF HIV RISK 

3208
02:18:42,859 --> 02:18:45,528
RESEARCH AND ALCOHOL IN 

3209
02:18:45,528 --> 02:18:47,730
DISPARITIES AND DIVERSE SEXUAL 

3210
02:18:47,730 --> 02:18:50,600
MINORITY YOUTH AND OTHER HIGH 

3211
02:18:50,600 --> 02:18:53,570
RISK POPULATIONS.

3212
02:18:53,570 --> 02:18:54,504
THANK YOU.

3213
02:18:54,504 --> 02:18:56,839
>> THANK YOU.

3214
02:18:56,839 --> 02:18:58,841
DR. REDONNA CHANDLER.

3215
02:18:58,841 --> 02:19:02,412
>> GOOD AFTERNOON,
EVERYONE.

3216
02:19:02,412 --> 02:19:05,582
I'M THE DIRECTOR OF THE HIV 

3217
02:19:05,582 --> 02:19:08,651
RESEARCH PROGRAM AT NIDA AND THE

3218
02:19:08,651 --> 02:19:11,521
HEALING COMMUNITY STUDY.

3219
02:19:11,521 --> 02:19:13,089
NIDA SUPPORTS A WIDE PORTFOLIO 

3220
02:19:13,089 --> 02:19:15,458
ACROSS A RANGE OF SCIENCE 

3221
02:19:15,458 --> 02:19:19,929
EVERYTHING FROM BASIC SCIENCE TO

3222
02:19:19,929 --> 02:19:20,730
PREVENTION, TREATMENT 

3223
02:19:20,730 --> 02:19:23,499
DEVELOPMENT, EPIDEMIOLOGY AND WE

3224
02:19:23,499 --> 02:19:26,502
HAVE HAD FOR OVER TWO DECADES 

3225
02:19:26,502 --> 02:19:27,870
NOW A LARGE IMPLEMENTATION 

3226
02:19:27,870 --> 02:19:30,773
SCIENCE PORTFOLIO THAT LOOKS AT 

3227
02:19:30,773 --> 02:19:33,076
TRYING TO ENSURE THAT EFFECTIVE 

3228
02:19:33,076 --> 02:19:35,445
TREATMENT, INTERVENTIONS AND 

3229
02:19:35,445 --> 02:19:37,313
PRACTICES REACH THOSE WHO ARE 

3230
02:19:37,313 --> 02:19:40,049
MOST AT NEED AND THAT BREADTH OF

3231
02:19:40,049 --> 02:19:44,020
SCIENCE FOCUSSED ON SUBSTANCE 

3232
02:19:44,020 --> 02:19:44,887
USE AND ADDICTION INCLUDES THE 

3233
02:19:44,887 --> 02:19:46,256
INTERSECTION AT HIV.

3234
02:19:46,256 --> 02:19:50,493
WE'RE THE SECOND LARGEST FUNDER 

3235
02:19:50,493 --> 02:19:56,733
OF HIV RESEARCH NIH BEHIND NYE 

3236
02:19:56,733 --> 02:19:58,501
ADD THAT RECOGNIZE THE NATURAL 

3237
02:19:58,501 --> 02:20:01,104
OF SUBSTANCE USE ADDICTION AND 

3238
02:20:01,104 --> 02:20:03,740
HIV WITH OTHER CO-OCCURRING 

3239
02:20:03,740 --> 02:20:06,509
DISORDERS AND HAVE A QUESTION 

3240
02:20:06,509 --> 02:20:09,412
AROUND SYNDEMIC APPROACHES WE'LL

3241
02:20:09,412 --> 02:20:10,513
ADDRESS LATER.

3242
02:20:10,513 --> 02:20:14,450
IN PART OF WHAT'S BEEN PERTINENT

3243
02:20:14,450 --> 02:20:17,754
TODAY, NIDA HAS ALWAYS 

3244
02:20:17,754 --> 02:20:19,756
RECOGNIZED A DISPROPORTIONATELY 

3245
02:20:19,756 --> 02:20:22,492
BURDEN OF SUBSTANCE USE DISORDER

3246
02:20:22,492 --> 02:20:26,496
AND HIV ON AMERICAN INDIAN, 

3247
02:20:26,496 --> 02:20:29,132
NATIVE ALASKANS AND BLACKS AND 

3248
02:20:29,132 --> 02:20:29,532
HISPANICS.

3249
02:20:29,532 --> 02:20:31,167
WHILE SUBSTANCE USE INITIATION 

3250
02:20:31,167 --> 02:20:33,436
AMONG THOSE MINORITY INDIVIDUALS

3251
02:20:33,436 --> 02:20:37,740
BEGINS AT A LATER AGE IN 

3252
02:20:37,740 --> 02:20:39,342
ADOLESCENCE, THEY BEAR 

3253
02:20:39,342 --> 02:20:42,512
DISPROPORTIONATELY CONSEQUENCES,

3254
02:20:42,512 --> 02:20:49,352
SOCIALLY, LEGALLY, MEDICALLY WE 

3255
02:20:49,352 --> 02:20:50,887
HAVE HAD A FOCUS ON THOSE GROUPS

3256
02:20:50,887 --> 02:20:52,922
AND I'M ABLE TO DEVELOP AND 

3257
02:20:52,922 --> 02:20:56,793
SUPPORT RESEARCH IN THREE KEY 

3258
02:20:56,793 --> 02:20:56,993
AREAS.

3259
02:20:56,993 --> 02:20:58,961
ONE IS WITH WITHIN COMMUNITY 

3260
02:20:58,961 --> 02:21:00,196
ENGAGED RESEARCH AND WE'RE 

3261
02:21:00,196 --> 02:21:02,699
SUPPORTING ONE OF THE LARGEST 

3262
02:21:02,699 --> 02:21:03,633
COMMUNITY-ENGAGED RESEARCH 

3263
02:21:03,633 --> 02:21:04,934
INITIATIVES IN 67 COMMUNITIES 

3264
02:21:04,934 --> 02:21:13,509
ACROSS THE COUNTRY RIGHT NOW 

3265
02:21:13,509 --> 02:21:21,017
THAT HAVE BEEN IMPACTED BY THE 

3266
02:21:21,017 --> 02:21:22,518
AND HAVE AN EFFORT TO ENHANCE 

3267
02:21:22,518 --> 02:21:23,753
WELLNESS OR IMPROVE.

3268
02:21:23,753 --> 02:21:27,023
IT'S A LARGE RESEARCH NETWORK 

3269
02:21:27,023 --> 02:21:28,791
THAT PARTNERS WITH TRIBES ACROSS

3270
02:21:28,791 --> 02:21:29,225
THE COUNTRY.

3271
02:21:29,225 --> 02:21:34,130
IT'S INTENDED TO HELP INDIGENOUS

3272
02:21:34,130 --> 02:21:35,031
PEOPLES AND TRIBES TO 

3273
02:21:35,031 --> 02:21:38,501
BUILD CAPACITY AND FOR THEM TO 

3274
02:21:38,501 --> 02:21:39,802
BE ABLE TO IDENTIFY AND 

3275
02:21:39,802 --> 02:21:41,371
PRIORITIZE RESEARCH WITHIN THE 

3276
02:21:41,371 --> 02:21:43,940
SPACE OF HEALTH AND SUBSTANCE 

3277
02:21:43,940 --> 02:21:44,307
USE.

3278
02:21:44,307 --> 02:21:48,611
WITHIN THE GOAL OF BEING ABLE TO

3279
02:21:48,611 --> 02:21:50,146
IMPROVE ACCESS TO SUBSTANCE USE 

3280
02:21:50,146 --> 02:21:54,517
PAIN, TREATMENT AND OTHER 

3281
02:21:54,517 --> 02:21:56,686
RELATED HEALTH CONDITIONS.

3282
02:21:56,686 --> 02:21:59,255
WE'VE ALSO HAD A LONG STANDING 

3283
02:21:59,255 --> 02:22:00,590
COMMITMENT TO SCIENCE INCLUDING 

3284
02:22:00,590 --> 02:22:02,692
HIV WORK WITH INDIVIDUALS 

3285
02:22:02,692 --> 02:22:04,794
INVOLVED IN THE JUSTICE 

3286
02:22:04,794 --> 02:22:06,863
POPULATION WHICH AGAIN ARE 

3287
02:22:06,863 --> 02:22:08,164
MOSTLY MINORITY INDIVIDUALS.

3288
02:22:08,164 --> 02:22:18,841
AND WE HAVE JUST RECENT LY AND 

3289
02:22:19,442 --> 02:22:22,278
HAVE A LARGE NETWORK LOOKING AT 

3290
02:22:22,278 --> 02:22:23,246
PROVIDING EFFECTIVE HIV CARE AS 

3291
02:22:23,246 --> 02:22:27,116
PART OF ENDING THE HIV EPIDEMIC 

3292
02:22:27,116 --> 02:22:29,018
IN THE UNITED STATES FOR THOSE 

3293
02:22:29,018 --> 02:22:33,856
INVOLVED IN CRIMINAL JUSTICE.

3294
02:22:33,856 --> 02:22:35,925
SO OUR INSTITUTE DIRECTOR HAS A 

3295
02:22:35,925 --> 02:22:37,293
HUGE COMMITMENT TO THE AREA OF 

3296
02:22:37,293 --> 02:22:39,629
HIV RESEARCH AND MAKING SURE 

3297
02:22:39,629 --> 02:22:41,764
THAT IT'S WELL INTEGRATED INTO 

3298
02:22:41,764 --> 02:22:50,673
ALL THE INITIATIVES WE SUPPORT.

3299
02:22:50,673 --> 02:22:51,607
>> THANK YOU.

3300
02:22:51,607 --> 02:22:53,109
DR. ELISEO PEREZ-STABLE.

3301
02:22:53,109 --> 02:22:57,346
>> YOU ALREADY HEARD ABOUT
ME.

3302
02:22:57,346 --> 02:22:59,582
I THINK AT NIMHD'S FOCUS 

3303
02:22:59,582 --> 02:23:00,750
RECENTLY HAS BEEN ON 

3304
02:23:00,750 --> 02:23:03,386
INTERVENTIONS ALONG THE LINES OF

3305
02:23:03,386 --> 02:23:06,823
OUR PRIORITIES WITH THE CLINICAL

3306
02:23:06,823 --> 02:23:09,992
SETTING, SUPPRESSING VIRAL LOAD 

3307
02:23:09,992 --> 02:23:11,260
AND PROMOTING THE UPTAKE OF PREP

3308
02:23:11,260 --> 02:23:13,896
IN THE POPULATIONS WE DISCUSSED.

3309
02:23:13,896 --> 02:23:17,667
I WOULD COMMENT THAT WE HAVEN'T 

3310
02:23:17,667 --> 02:23:19,535
BEEN GETTING AS COMPETITIVE RO1 

3311
02:23:19,535 --> 02:23:24,707
APPLICATIONS IN THE LAST TWO OR 

3312
02:23:24,707 --> 02:23:29,345
THREE YEARS ON HIV.

3313
02:23:29,345 --> 02:23:30,947
WE DID A LITTLE BIT BETTER THE 

3314
02:23:30,947 --> 02:23:34,183
LAST FISCAL YEAR BUT IN HIV I 

3315
02:23:34,183 --> 02:23:37,220
THINK THE TARGET POPULATIONS ARE

3316
02:23:37,220 --> 02:23:37,420
CLEAR.

3317
02:23:37,420 --> 02:23:47,563
THANKS.

3318
02:23:48,297 --> 02:23:58,708
>> DR. DINANNE ROUSH.

3319
02:24:00,743 --> 02:24:03,946
>> WE LOOK TO ALLEVIATE 

3320
02:24:03,946 --> 02:24:04,680
CONSEQUENCES OF HIV IN THE 

3321
02:24:04,680 --> 02:24:08,084
ANNIVERSARY SYSTEM AND 

3322
02:24:08,084 --> 02:24:09,285
PREVENTING HIV TRANSMISSION AND 

3323
02:24:09,285 --> 02:24:11,587
MORBIDITY AND MORTALITY AMONG 

3324
02:24:11,587 --> 02:24:13,256
THOSE LIVING WITH HIV.

3325
02:24:13,256 --> 02:24:14,490
THE HIGH EMPHASIS ON MENTAL 

3326
02:24:14,490 --> 02:24:15,424
HEALTH AND THE ROLE IT PLAYS 

3327
02:24:15,424 --> 02:24:21,430
ACROSS ALL THE AREAS.

3328
02:24:21,430 --> 02:24:23,065
WE LOOK ACROSS MULTIPLE 

3329
02:24:23,065 --> 02:24:23,866
POPULATIONS WITH STRONG 

3330
02:24:23,866 --> 02:24:27,370
ATTENTION TO THE DIVERSITY, 

3331
02:24:27,370 --> 02:24:32,742
EQUITY, INCLUSION AND ACC

3332
02:24:32,742 --> 02:24:33,976
ACCESSIBILITY OVER THE LIFE SPAN

3333
02:24:33,976 --> 02:24:35,912
AND LOOK AT THE TREATMENT 

3334
02:24:35,912 --> 02:24:37,013
CASCADE AND HAVE A STRONG 

3335
02:24:37,013 --> 02:24:38,748
IMPLEMENTATION SCIENCE PROGRAM 

3336
02:24:38,748 --> 02:24:40,449
ON RESEARCH TO ENHANCE 

3337
02:24:40,449 --> 02:24:42,852
DISSEMINATION STRATEGIES AND THE

3338
02:24:42,852 --> 02:24:44,754
IMPACT OF EFFECTIVE 

3339
02:24:44,754 --> 02:24:47,356
INTERVENTIONS UNDERSTANDING THE 

3340
02:24:47,356 --> 02:24:49,892
PHYSIOLOGY WITH CNS PATH OL WITH

3341
02:24:49,892 --> 02:24:52,061
THE GOAL OF EFFECTIVE TREATMENT 

3342
02:24:52,061 --> 02:24:53,829
AND CHARACTERIZING PERSISTENCE 

3343
02:24:53,829 --> 02:25:01,404
IN THE CNS AND ERADICATION 

3344
02:25:01,404 --> 02:25:03,072
STRATEGIES AND USING NOVEL DATA 

3345
02:25:03,072 --> 02:25:06,542
SCIENCE TO ENHANCE PREVENTION, 

3346
02:25:06,542 --> 02:25:09,845
TREATMENT AND CURE EFFORTS.

3347
02:25:09,845 --> 02:25:12,181
WE PARTNER IN OUR WORK AND LOOK 

3348
02:25:12,181 --> 02:25:14,784
FORWARD TO THE DISCUSSION 

3349
02:25:14,784 --> 02:25:16,252
BECAUSE WE ALSO HAVE A STRONG 

3350
02:25:16,252 --> 02:25:17,620
PROGRAM IN INTERSECTIONALITY.

3351
02:25:17,620 --> 02:25:17,853
THANKS.

3352
02:25:17,853 --> 02:25:26,629
I'LL STOP THERE.

3353
02:25:26,629 --> 02:25:27,663
>> THANK YOU.

3354
02:25:27,663 --> 02:25:28,764
OUR FINAL PANELIST DR. WALTERS.

3355
02:25:28,764 --> 02:25:32,768
>> CAN YOU HEAR ME OKAY?

3356
02:25:32,768 --> 02:25:33,336
>> QUESTION.

3357
02:25:33,336 --> 02:25:34,003
>> GREAT.

3358
02:25:34,003 --> 02:25:36,472
IT'S GREAT TO BE HERE.

3359
02:25:36,472 --> 02:25:40,576
I'M KARINA WALTERS ENROLLED IN 

3360
02:25:40,576 --> 02:25:44,180
THE FOUNDATION OKLAHOMA AND 

3361
02:25:44,180 --> 02:25:45,114
DIRECT THE TRIBAL HEALTH 

3362
02:25:45,114 --> 02:25:46,482
RESEARCH OFFICE HERE AT THE 

3363
02:25:46,482 --> 02:25:48,184
NATIONAL INSTITUTES OF HEALTH 

3364
02:25:48,184 --> 02:25:52,555
STARTED FIVE MONTHS AGO SO I'M 

3365
02:25:52,555 --> 02:25:54,490
STILL GETTING FAMILIAR.

3366
02:25:54,490 --> 02:25:56,892
IT'S A VIBRANT HUB STRATEGICALLY

3367
02:25:56,892 --> 02:25:58,194
COORDINATING AND COLLABORATING 

3368
02:25:58,194 --> 02:26:02,732
WITH PARTNERS AND NATIVE SERVING

3369
02:26:02,732 --> 02:26:04,634
ORGANIZATIONS TO BUILD THE 

3370
02:26:04,634 --> 02:26:08,738
WORKFORCE FOR LIVES AND 

3371
02:26:08,738 --> 02:26:10,873
COMMUNITIES PRIMARILY FOR 

3372
02:26:10,873 --> 02:26:14,510
BUILDING AND COLLABORATING ON 

3373
02:26:14,510 --> 02:26:15,878
DEVELOPING INNOVATIVE INDIGENOUS

3374
02:26:15,878 --> 02:26:18,981
RESEARCH AND THAT INCLUDES 

3375
02:26:18,981 --> 02:26:20,449
PREVENTION RESEARCH IN THE 

3376
02:26:20,449 --> 02:26:22,385
HIV/AIDS PREVENTION RESEARCH AND

3377
02:26:22,385 --> 02:26:25,721
DEVELOPING A NATIVE RESEARCH 

3378
02:26:25,721 --> 02:26:29,825
WORKFORCE AND ALSO INTRAMURALLY 

3379
02:26:29,825 --> 02:26:32,662
PROVIDING TECHNICAL ADVISING FOR

3380
02:26:32,662 --> 02:26:34,296
BUILDING COMPETENCY FOR OUR NIH 

3381
02:26:34,296 --> 02:26:40,336
WORKFORCE TO PARTNER WITH  

3382
02:26:40,336 --> 02:26:41,070
TRIBAL ENGAGEMENT IN COMMUNITIES

3383
02:26:41,070 --> 02:26:47,109
AN LOOK FORWARD IN THAT 

3384
02:26:47,109 --> 02:26:49,078
EXTERNALLY FACING OFFICE OF THE 

3385
02:26:49,078 --> 02:26:52,548
DIRECTOR AND FINALLY 

3386
02:26:52,548 --> 02:26:54,350
COORDINATING AND COLLABORATING 

3387
02:26:54,350 --> 02:26:58,521
BOTH WITHIN NIH AND ACROSS THE 

3388
02:26:58,521 --> 02:27:00,056
I.C.s TO CONSIDER INNOVATIONS IN

3389
02:27:00,056 --> 02:27:03,092
PROGRAM AND RESEARCH AND 

3390
02:27:03,092 --> 02:27:05,861
PARTNERING WITH OTHER HHS TRIBAL

3391
02:27:05,861 --> 02:27:06,662
OPTIVES ON STRATEGIC INITIATIVE 

3392
02:27:06,662 --> 02:27:12,735
AND POLICY DEVELOPMENT.

3393
02:27:12,735 --> 02:27:16,972
WE DON'T DEVELOP GRANTS BUT 

3394
02:27:16,972 --> 02:27:19,108
PARTNER AND ON A PERSONAL NOTE 

3395
02:27:19,108 --> 02:27:29,652
PRIOR TO MY ARRIVAL HERE I WAS 

3396
02:27:30,586 --> 02:27:35,224
AN AMERICAN INDIAN HIV 

3397
02:27:35,224 --> 02:27:36,425
RESEARCHER.

3398
02:27:36,425 --> 02:27:38,494
EXCITED TO BE HERE AND BE ABLE 

3399
02:27:38,494 --> 02:27:42,832
TO ALSO TALK ABOUT OPPORTUNITIES

3400
02:27:42,832 --> 02:27:45,434
FOR COLLABORATING ACROSS THE 

3401
02:27:45,434 --> 02:27:47,870
I.C.s TO DEVELOP BETTER HIV 

3402
02:27:47,870 --> 02:27:48,671
PREVENTION COMMUNITIES.

3403
02:27:48,671 --> 02:27:51,907
WE TEND TO BE REALLY INVISIBLE 

3404
02:27:51,907 --> 02:27:58,514
AND RACIALLY MISCLASSIFIED IN 

3405
02:27:58,514 --> 02:27:59,215
DATA SYSTEMS.

3406
02:27:59,215 --> 02:28:00,816
WE HAVE HIGH NEED IN THIS AREA.

3407
02:28:00,816 --> 02:28:02,384
GLAD TO BE HERE.

3408
02:28:02,384 --> 02:28:02,785
>> THANK YOU ALL.

3409
02:28:02,785 --> 02:28:03,819
I'M EXCITED TO GET STARTED.

3410
02:28:03,819 --> 02:28:05,921
WE'RE GOING TO START WITH 

3411
02:28:05,921 --> 02:28:08,824
DR. PEREZ-STABLE I KNOW YOU HAVE

3412
02:28:08,824 --> 02:28:10,726
A 3:00 P.M. HARD STOP AND WE'LL 

3413
02:28:10,726 --> 02:28:12,128
START BY SPEAKING ABOUT 

3414
02:28:12,128 --> 02:28:14,196
INTEGRATION OF METHODS AND BEST 

3415
02:28:14,196 --> 02:28:15,965
PRACTICE AND CONTINUE THE 

3416
02:28:15,965 --> 02:28:16,966
DISCUSSION BEFORE THE BREAK.

3417
02:28:16,966 --> 02:28:19,635
GIVEN WHAT WE HEARD FROM YOU 

3418
02:28:19,635 --> 02:28:22,505
ABOUT THE NEED TO ADDRESS HIV 

3419
02:28:22,505 --> 02:28:25,474
HEALTH DISPARITIES RESEARCH 

3420
02:28:25,474 --> 02:28:32,715
USING SYNDEMIC MODELS AND LOOK 

3421
02:28:32,715 --> 02:28:37,586
AT RESEARCH AND WHAT WILL YIELD 

3422
02:28:37,586 --> 02:28:42,825
OUTCOMES ON MINORITIZED 

3423
02:28:42,825 --> 02:28:43,225
POPULATIONS?

3424
02:28:43,225 --> 02:28:48,197
>> THANK YOU.

3425
02:28:48,197 --> 02:28:50,232
I'M OPTIMISTIC BUT IT'S YET TO 

3426
02:28:50,232 --> 02:28:52,501
BE GET ESPECIALLY AFTER 

3427
02:28:52,501 --> 02:28:54,170
DR. NELSON'S PRESENTATION.

3428
02:28:54,170 --> 02:28:55,504
THERE'S TWO BIG CATEGORIES.

3429
02:28:55,504 --> 02:28:57,706
ONE IS A COMMUNITY-ENGAGED 

3430
02:28:57,706 --> 02:29:01,477
RESEARCH METHOD TO LOOK AT A 

3431
02:29:01,477 --> 02:29:03,646
COMMUNITY WHATEVER WAY WE DEFINE

3432
02:29:03,646 --> 02:29:14,123
IT AND CREATE A SUSTAINABLE 

3433
02:29:14,824 --> 02:29:18,527
PARTNERSHIP LOOKING AT MUTUAL 

3434
02:29:18,527 --> 02:29:24,233
REPRESENTATION  -- RESPECT AND 

3435
02:29:24,233 --> 02:29:24,466
TRUST.

3436
02:29:24,466 --> 02:29:28,504
PEOPLE HAVE BEEN IMPLEMENTING 

3437
02:29:28,504 --> 02:29:30,272
THESE METHODS FOUR DECADE.

3438
02:29:30,272 --> 02:29:34,410
IT'S ON AND OFF ACCORDING TO THE

3439
02:29:34,410 --> 02:29:34,877
GRANT CYCLE.

3440
02:29:34,877 --> 02:29:36,812
I THINK WE'RE AT THE POINT WE 

3441
02:29:36,812 --> 02:29:41,750
THINK IT'S TIME TO GENERICALLY 

3442
02:29:41,750 --> 02:29:47,389
SUSTAIN A NETWORK TO BE ADAPTED.

3443
02:29:47,389 --> 02:29:49,091
THE SECOND IS IMPLEMENTATION 

3444
02:29:49,091 --> 02:29:50,025
SCIENCE.

3445
02:29:50,025 --> 02:29:51,126
THERE'S EFFICACY FOR A DIFFERENT

3446
02:29:51,126 --> 02:29:56,732
DRUG, BEHAVIORAL APPROACH OR 

3447
02:29:56,732 --> 02:30:00,936
VACCINE AND GETTING IT TO PEOPLE

3448
02:30:00,936 --> 02:30:02,738
MOST IN NEED.

3449
02:30:02,738 --> 02:30:08,744
WIFE NOT INSTEAD OF INTO THAT 

3450
02:30:08,744 --> 02:30:17,052
WHETHER IT'S VIRAL PREVENTION 

3451
02:30:17,052 --> 02:30:21,056
AND LOOKING AT SUB-SAHARAN 

3452
02:30:21,056 --> 02:30:23,225
AFRICA AND PREP AND BEHAVIOR 

3453
02:30:23,225 --> 02:30:24,727
MODIFICATION IN TERMS OF CONDOM 

3454
02:30:24,727 --> 02:30:28,063
USE OR OTHER APPROACHES I THINK 

3455
02:30:28,063 --> 02:30:29,198
WERE IMPORTANT.

3456
02:30:29,198 --> 02:30:31,867
THE FINAL POINT IS THE 

3457
02:30:31,867 --> 02:30:32,368
STANDARDIZED MEASURES.

3458
02:30:32,368 --> 02:30:35,537
 AS WE COLLECT MORE DATA IN 

3459
02:30:35,537 --> 02:30:37,339
COMMUNITY SETTINGS, NOT 

3460
02:30:37,339 --> 02:30:40,276
MEASURING THINGS DIFFERENTLY ON 

3461
02:30:40,276 --> 02:30:41,944
THE DEMOGRAPHIC OR SOCIAL 

3462
02:30:41,944 --> 02:30:43,479
DETERMINATES OF HEALTH AND OTHER

3463
02:30:43,479 --> 02:30:45,681
VARIABLES IS CRITICAL FOR OUR 

3464
02:30:45,681 --> 02:30:48,984
SCIENTIFIC COMMUNITY TO DO.

3465
02:30:48,984 --> 02:30:52,922
AND DURING THE PANDEMIC WE 

3466
02:30:52,922 --> 02:30:54,857
IMPLEMENTED THAT IN THE RADXUP 

3467
02:30:54,857 --> 02:30:55,958
INITIATIVE AND THERE'S 

3468
02:30:55,958 --> 02:30:56,992
CHALLENGES THOUGH WE GOT GOOD 

3469
02:30:56,992 --> 02:30:58,827
UPTAKE ACROSS THE COUNTRY IN A 

3470
02:30:58,827 --> 02:31:02,498
LARGE PROGRAM.

3471
02:31:02,498 --> 02:31:02,798
THANK YOU.

3472
02:31:02,798 --> 02:31:04,700
>> THANK YOU SO MUCH,
ELISEO AND

3473
02:31:04,700 --> 02:31:06,135
THANK YOU AGAIN FOR JOINING US 

3474
02:31:06,135 --> 02:31:06,902
TODAY.

3475
02:31:06,902 --> 02:31:09,738
I'D LIKE TO TURN TO DR. RAUSCH 

3476
02:31:09,738 --> 02:31:12,007
AND DR. BARNHART.

3477
02:31:12,007 --> 02:31:22,384
AS INTERSECTIONALITY LOOKS AT 

3478
02:31:22,384 --> 02:31:26,655
CAUSES OF HEALTH INEQUITIES WHAT

3479
02:31:26,655 --> 02:31:32,061
DO YOU LOOK TO ADVANCE 

3480
02:31:32,061 --> 02:31:32,695
INTERVENTIONALITY RESEARCH AND 

3481
02:31:32,695 --> 02:31:34,496
START WITH DR. RAUSCH.

3482
02:31:34,496 --> 02:31:36,832
>> WE CONSIDER IT CRITICAL
TO 

3483
02:31:36,832 --> 02:31:38,334
ADDRESS THE ISSUE OF 

3484
02:31:38,334 --> 02:31:39,168
INTERSECTIONALITY IN THE CONTEXT

3485
02:31:39,168 --> 02:31:42,404
OF HIV.

3486
02:31:42,404 --> 02:31:45,140
OUR APPROACH HAS BEEN TO SUPPORT

3487
02:31:45,140 --> 02:31:48,744
RESEARCH THAT EMPHASIZES BASIC 

3488
02:31:48,744 --> 02:31:49,445
BEHAVIORAL AND SOCIAL SCIENCE 

3489
02:31:49,445 --> 02:31:52,247
PRIORITIES AIMED AT ENDING THE 

3490
02:31:52,247 --> 02:31:54,116
PANDEMIC AND ENDING THE HEALTH 

3491
02:31:54,116 --> 02:31:55,985
OUTCOME FOR PEOPLE WITH HIV 

3492
02:31:55,985 --> 02:31:57,152
ACROSS ALL POPULATIONS.

3493
02:31:57,152 --> 02:32:02,191
AND OUR ADVANCEMENT OF THE 

3494
02:32:02,191 --> 02:32:05,561
INTERACTIONALITY BASED RESEARCH 

3495
02:32:05,561 --> 02:32:06,862
HAS INCLUDED RESEARCH PROGRAMS 

3496
02:32:06,862 --> 02:32:08,330
AND INITIATIVES AND WORKSHOPS 

3497
02:32:08,330 --> 02:32:13,102
AND RFAs AND PARs AND NOSIs AND 

3498
02:32:13,102 --> 02:32:14,737
PUBLISHED MANUSCRIPTS.

3499
02:32:14,737 --> 02:32:18,774
AND RECENTLY A SPONSORED JOURNAL

3500
02:32:18,774 --> 02:32:21,543
IN THE APAH.

3501
02:32:21,543 --> 02:32:23,112
AND SOME EXAMPLES INCLUDED IN 

3502
02:32:23,112 --> 02:32:25,014
WHAT WE HAVE DONE AND CONTINUE 

3503
02:32:25,014 --> 02:32:29,651
TO DO, IN 2020, NIMHD AND OAR 

3504
02:32:29,651 --> 02:32:31,987
SPONSORED A STIGMA AND 

3505
02:32:31,987 --> 02:32:38,927
DISCRIMINATION WORKSHOP TO MO

3506
02:32:38,927 --> 02:32:41,163
MODELS LOOKING AT DISCRIMINATION

3507
02:32:41,163 --> 02:32:43,866
TO INFORM HIV AND HIV PREVENTION

3508
02:32:43,866 --> 02:32:45,467
AND RESEARCH BROADLY.

3509
02:32:45,467 --> 02:32:47,136
THE OPENING AND CLOSING SESSIONS

3510
02:32:47,136 --> 02:32:49,338
OF THE WEBINARS ARE PUBLICLY 

3511
02:32:49,338 --> 02:32:50,472
AVAILABLE AS WELL AS A SUMMARY 

3512
02:32:50,472 --> 02:32:51,840
OF THE WORKSHOP.

3513
02:32:51,840 --> 02:32:52,841
SEVERAL IMPORTANT OUTCOME FROM 

3514
02:32:52,841 --> 02:32:56,745
THAT WORKSHOP INCLUDE RESEARCH 

3515
02:32:56,745 --> 02:32:58,914
TO APPLY MICROLONGITUDINAL 

3516
02:32:58,914 --> 02:33:00,149
DESIGNS TO IDENTIFYING 

3517
02:33:00,149 --> 02:33:01,450
MECHANISMS AN PATHWAYS THAT 

3518
02:33:01,450 --> 02:33:03,952
UNDER LIE STIGMA AND PROMOTE 

3519
02:33:03,952 --> 02:33:06,488
MULTI-LEVEL AND STRUCTURAL 

3520
02:33:06,488 --> 02:33:07,623
INVENTIONS THAT MOVE BEYOND THE 

3521
02:33:07,623 --> 02:33:08,724
INDIVIDUAL LEVEL OF 

3522
02:33:08,724 --> 02:33:18,434
UNDERSTANDING.

3523
02:33:18,434 --> 02:33:22,504
 ALSO WE ADDRESSED 

3524
02:33:22,504 --> 02:33:24,907
INTERSECTIONAL STIGMA TO IMPROVE

3525
02:33:24,907 --> 02:33:26,308
HIV OUTCOMES.

3526
02:33:26,308 --> 02:33:28,110
THIS FOCUSSED ON MEASUREMENTS, 

3527
02:33:28,110 --> 02:33:30,212
HOW TO MEASURE IT AND ONCE YOU 

3528
02:33:30,212 --> 02:33:31,447
UNDERSTAND HOW TO MEASURE IT, 

3529
02:33:31,447 --> 02:33:34,850
YOU CAN BEGIN TO UNDERSTAND 

3530
02:33:34,850 --> 02:33:38,520
OPPORTUNITIES TO INTERVENE AMONG

3531
02:33:38,520 --> 02:33:39,922
MULTIPLE LEVELS.

3532
02:33:39,922 --> 02:33:50,466
ALSO IN 2023, ALONG WITH NIAD WE

3533
02:33:50,666 --> 02:33:52,067
LOOKED AT THE NIMHD RESEARCH 

3534
02:33:52,067 --> 02:33:55,571
CENTERS WHICH INCLUDED THE EHE 

3535
02:33:55,571 --> 02:34:00,843
SCIENTIFIC PRIORITIES, SYNDEMIC 

3536
02:34:00,843 --> 02:34:02,744
APPROACHES TO HIV PREVENTION AND

3537
02:34:02,744 --> 02:34:04,313
TREATMENT AND APPROACHES TO 

3538
02:34:04,313 --> 02:34:06,982
INCREASE FOCUS ON INTERSECTING 

3539
02:34:06,982 --> 02:34:09,318
DISEASES AND SOCIAL CONDITIONS 

3540
02:34:09,318 --> 02:34:15,457
THAT ACERBATE HEALTH INEQUITIES.

3541
02:34:15,457 --> 02:34:18,827
ALSO TO ENHANCE THE 

3542
02:34:18,827 --> 02:34:20,729
EVIDENCE-BASED APPROACHES TO 

3543
02:34:20,729 --> 02:34:22,097
ASSESS, MONITOR AND INTERVENE 

3544
02:34:22,097 --> 02:34:25,334
WITH RESPECT TO THESE 

3545
02:34:25,334 --> 02:34:26,969
INTERSECTIONS FOR OPTIMAL 

3546
02:34:26,969 --> 02:34:28,704
OUTCOMES AND PREVENTION AND 

3547
02:34:28,704 --> 02:34:28,971
TREATMENT.

3548
02:34:28,971 --> 02:34:33,475
WE RECENTLY IN '23 PUBLISHED A 

3549
02:34:33,475 --> 02:34:36,011
NOTICE OF SPECIAL INTEREST WITH 

3550
02:34:36,011 --> 02:34:37,446
STIGMA AND DISCRIMINATION AND 

3551
02:34:37,446 --> 02:34:39,281
OTHER SOCIAL AND STRUCTURAL 

3552
02:34:39,281 --> 02:34:40,849
DETERMINATES OF HEALTH IN HIV 

3553
02:34:40,849 --> 02:34:44,620
TREATMENT TO EXPAND THE RESEARCH

3554
02:34:44,620 --> 02:34:46,488
BASE TO UNDERSTAND BETTER AND 

3555
02:34:46,488 --> 02:34:49,191
DEVELOP NEW INTERVENTIONS.

3556
02:34:49,191 --> 02:34:52,127
THIS NOSI SOLICITS THEORETICALLY

3557
02:34:52,127 --> 02:34:56,565
AND EMPIRICALLY DRIVEN RESEARCH 

3558
02:34:56,565 --> 02:34:59,234
APPLICATIONS TO ADVANCE 

3559
02:34:59,234 --> 02:35:00,836
MEASUREMENT AND UNDERSTANDING 

3560
02:35:00,836 --> 02:35:02,171
FOR STRUCTURAL FACTORS TO 

3561
02:35:02,171 --> 02:35:03,872
EXAMINE THE MECHANISMS AND 

3562
02:35:03,872 --> 02:35:05,007
PATHWAYS BY WHICH THEY ARE 

3563
02:35:05,007 --> 02:35:07,075
BARRIERS SO THEY CAN BE USED TO 

3564
02:35:07,075 --> 02:35:09,778
DEVELOP AND TEST INTERVENTIONS 

3565
02:35:09,778 --> 02:35:11,780
TO ADDRESS SPECIFICALLY WHAT 

3566
02:35:11,780 --> 02:35:14,149
THEY ARE AND HAVE AN IMPACT TO 

3567
02:35:14,149 --> 02:35:19,054
IMPROVE THE PREVENTION AND 

3568
02:35:19,054 --> 02:35:22,024
TREATMENT OUTCOMES.

3569
02:35:22,024 --> 02:35:25,327
ALSO WE'VE BEEN SUPPORTING 

3570
02:35:25,327 --> 02:35:26,728
IMPLEMENTATION SCIENCE AND 

3571
02:35:26,728 --> 02:35:27,696
ENCOURAGE EVIDENCE-BASED 

3572
02:35:27,696 --> 02:35:28,530
INTERVENTIONS.

3573
02:35:28,530 --> 02:35:31,366
AND FINALLY, THIS CALLS FOR A 

3574
02:35:31,366 --> 02:35:33,936
SPECIAL ATTENTION TO KEY 

3575
02:35:33,936 --> 02:35:34,670
POPULATIONS SUCH AS MINORITY 

3576
02:35:34,670 --> 02:35:36,305
WOMEN LIVING WITH HIV AS WELL AS

3577
02:35:36,305 --> 02:35:38,507
MEN WHO HAVE SEX WITH MEN AND 

3578
02:35:38,507 --> 02:35:40,175
OTHER SEXUAL AND GENDER MINORITY

3579
02:35:40,175 --> 02:35:42,678
GROUPS PARTICULARLY THOSE YOUNG,

3580
02:35:42,678 --> 02:35:43,378
MINORITY AND LIVING IN THE 

3581
02:35:43,378 --> 02:35:53,855
SOUTHERN REGION OF THE U.S.

3582
02:35:54,456 --> 02:35:54,523
 

3583
02:35:54,523 --> 02:35:55,857
>> DR. BARNHART.

3584
02:35:55,857 --> 02:35:58,493
>> I THINK THE PLACE TO
START IS

3585
02:35:58,493 --> 02:36:00,229
IMPROVING MEASURES OF 

3586
02:36:00,229 --> 02:36:01,396
INTERSECTIONALITY AND 

3587
02:36:01,396 --> 02:36:02,864
OPPRESSION, DISADVANTAGE, POWER 

3588
02:36:02,864 --> 02:36:04,600
DYNAMICS,ETS PERHAP THIS WILL 

3589
02:36:04,600 --> 02:36:08,103
ABUT US TO MORE CLEARLY AND 

3590
02:36:08,103 --> 02:36:09,938
DEFINITIVELY LINK THEM TO 

3591
02:36:09,938 --> 02:36:10,439
HEALTH.

3592
02:36:10,439 --> 02:36:11,406
VALIDATION SHOULD BE PERFORMED 

3593
02:36:11,406 --> 02:36:15,210
WITH THE INTENDED AUDIENCE AND 

3594
02:36:15,210 --> 02:36:16,612
MEASURES OF DISADVANTAGE SHOULD 

3595
02:36:16,612 --> 02:36:20,949
BE VALIDATE WITH SGM YOUTH AND 

3596
02:36:20,949 --> 02:36:23,385
VALIDATION MEASURES AND A PLACE 

3597
02:36:23,385 --> 02:36:26,421
WHERE MORE QUALITATIVE MEASURES 

3598
02:36:26,421 --> 02:36:30,492
MAY CAPTURE DIMENSION AND 

3599
02:36:30,492 --> 02:36:30,892
INTERSECTIONALITY.

3600
02:36:30,892 --> 02:36:32,728
AND WE NEED TO DEVELOP 

3601
02:36:32,728 --> 02:36:33,929
STATISTICAL METHODOLOGY AND 

3602
02:36:33,929 --> 02:36:36,431
TOOLS TO ALLOW ANALYSIS OF 

3603
02:36:36,431 --> 02:36:37,065
COMPLEX DATA.

3604
02:36:37,065 --> 02:36:39,635
WE HAVE AN NOFO TO DEVELOP AND 

3605
02:36:39,635 --> 02:36:42,504
IMPROVE METHODS, MEASURES AND 

3606
02:36:42,504 --> 02:36:44,273
ANALYTICAL TECHNIQUES WHICH 

3607
02:36:44,273 --> 02:36:49,711
WOULD BE RELEVANT AND I'LL SAR  

3608
02:36:49,711 --> 02:36:52,247
SHARE THEM LATER.

3609
02:36:52,247 --> 02:36:54,449
I RECOMMEND LOOKING AT SEX 

3610
02:36:54,449 --> 02:36:55,150
CHARACTERISTIC DATA AS 

3611
02:36:55,150 --> 02:36:57,052
DEMOGRAPHIC DATA IN STUDIES THAT

3612
02:36:57,052 --> 02:36:59,054
DON'T NECESSARILY FOCUS ON THESE

3613
02:36:59,054 --> 02:37:02,491
BUT INCLUDE MEMBERS OF OTHER 

3614
02:37:02,491 --> 02:37:03,859
MARGINALIZED COMMUNITIES AND 

3615
02:37:03,859 --> 02:37:06,828
VICE VERSA COLLECTION OF SGM 

3616
02:37:06,828 --> 02:37:08,497
STUDIES WOULD BE IMPORTANT AND 

3617
02:37:08,497 --> 02:37:08,797
INFORMATIVE.

3618
02:37:08,797 --> 02:37:10,766
I THINK WE NEED TO INVESTIGATE A

3619
02:37:10,766 --> 02:37:12,868
BROADER RANGE OF HEALTH DRIVERS 

3620
02:37:12,868 --> 02:37:14,536
AND ACCOUNT FOR SOCIAL 

3621
02:37:14,536 --> 02:37:16,938
IDENTITIES AND STRUCTURAL AND 

3622
02:37:16,938 --> 02:37:19,007
SOCIAL DETERMINATES OF HEALTH TO

3623
02:37:19,007 --> 02:37:21,376
APPROXIMATE A PERSON'S 

3624
02:37:21,376 --> 02:37:21,710
CIRCUMSTANCES.

3625
02:37:21,710 --> 02:37:24,513
FOR EXAMPLE, PUBLIC HEALTH 

3626
02:37:24,513 --> 02:37:25,781
POLICY, CAREERS, SOCIAL CAPITAL 

3627
02:37:25,781 --> 02:37:27,382
AND ACCESS TO THESE.

3628
02:37:27,382 --> 02:37:28,350
WE SHOULD ADVANCE INTERVENTIONS 

3629
02:37:28,350 --> 02:37:30,485
THAT ADDRESS A PERSON'S NEED 

3630
02:37:30,485 --> 02:37:32,754
MORE HOLISTICALLY OPPOSED TO 

3631
02:37:32,754 --> 02:37:34,323
INDIVIDUAL CONDITIONS OR 

3632
02:37:34,323 --> 02:37:34,656
CIRCUMSTANCES.

3633
02:37:34,656 --> 02:37:37,326
FOR EXAMPLE, ADDRESSING MENTAL, 

3634
02:37:37,326 --> 02:37:40,362
SOCIAL AND ENVIRONMENTAL AND 

3635
02:37:40,362 --> 02:37:47,602
PHYSICAL HEALTH MAY BE MORE 

3636
02:37:47,602 --> 02:37:48,937
PREVENTIVE THAN ADDRESSING 

3637
02:37:48,937 --> 02:37:49,438
PERHAPS ISOLATION.

3638
02:37:49,438 --> 02:37:51,506
FOR RESEARCH ENGAGE THE FOCAL 

3639
02:37:51,506 --> 02:37:55,043
COMMUNITIES IN ALL PHASES OF 

3640
02:37:55,043 --> 02:37:55,544
RESEARCH INVESTIGATING 

3641
02:37:55,544 --> 02:37:57,512
INTERSECTIONAL ISSUES THROUGH 

3642
02:37:57,512 --> 02:37:58,714
REFINEMENT AND DISSEMINATION.

3643
02:37:58,714 --> 02:38:00,148
MAKE THESE PEOPLE TRUE PARTNERS 

3644
02:38:00,148 --> 02:38:04,486
IN RESEARCH ENDEAVORS AS THEY 

3645
02:38:04,486 --> 02:38:05,454
MAY BE THE BEST INFORMATION 

3646
02:38:05,454 --> 02:38:06,488
AVAILABLE FOR ISSUES AND HOW TO 

3647
02:38:06,488 --> 02:38:07,489
MITIGATE THEM.

3648
02:38:07,489 --> 02:38:09,458
WE SHOULD ENSURE THEIR INPUT AND

3649
02:38:09,458 --> 02:38:11,326
VIEW POINT ARE CONSIDERED AND 

3650
02:38:11,326 --> 02:38:14,496
INCORPORATED AND ADEQUATELY 

3651
02:38:14,496 --> 02:38:15,964
COMPENSATE FORD THEIR 

3652
02:38:15,964 --> 02:38:18,233
CONTRIBUTION AND NEEDS AND NEED 

3653
02:38:18,233 --> 02:38:21,169
TO CULTIVATE GENUINE BONDS WITH 

3654
02:38:21,169 --> 02:38:22,270
MEMBERS OF THE COMMUNITY.

3655
02:38:22,270 --> 02:38:24,940
I THINK WE NEED A SPECIAL EYE 

3656
02:38:24,940 --> 02:38:29,945
TOWARDS I MPLEMENTATION RESEARC 

3657
02:38:29,945 --> 02:38:32,547
AND POPULATION-SPECIFIC BARRIERS

3658
02:38:32,547 --> 02:38:34,850
AND THE MOST BASIC INTERVENTIONS

3659
02:38:34,850 --> 02:38:40,055
DON'T WORK WELL IN THEORITHEORI.

3660
02:38:40,055 --> 02:38:41,456
WE SHOULD ENCOURAGE RESEARCH 

3661
02:38:41,456 --> 02:38:44,760
SILOS AND CROSS-POLLINATION 

3662
02:38:44,760 --> 02:38:50,065
AMONG RESEARCHERS WHO STUDY 

3663
02:38:50,065 --> 02:38:52,601
INTERVENTIONED AND TRY TO AVOID 

3664
02:38:52,601 --> 02:38:53,402
PUTTING INFORMATION BEHIND 

3665
02:38:53,402 --> 02:38:55,470
PAYWALLS TO ENCOURAGE PEOPLE TO 

3666
02:38:55,470 --> 02:38:57,706
USE THE INFORMATION WE GENERATE 

3667
02:38:57,706 --> 02:38:59,274
AND SHOULD EMBRACE PRINCIPLES OF

3668
02:38:59,274 --> 02:39:00,609
TRANSPARENCY AND 

3669
02:39:00,609 --> 02:39:01,143
COMPREHENSIBILITY IN OUR 

3670
02:39:01,143 --> 02:39:07,949
COMMUNICATIONS.

3671
02:39:07,949 --> 02:39:09,217
>> THANK YOU.

3672
02:39:09,217 --> 02:39:11,386
LET'S DISCUSS ISSUES OF 

3673
02:39:11,386 --> 02:39:15,724
SUBSTANCE ABUSE AND HIV SYND

3674
02:39:15,724 --> 02:39:15,991
SYNDEMICS.

3675
02:39:15,991 --> 02:39:18,160
HOW IS YOUR INSTITUTION LOOKING 

3676
02:39:18,160 --> 02:39:19,227
AT THE INTERSECTION OF SUBSTANCE

3677
02:39:19,227 --> 02:39:21,129
USE DISORDERS AND MENTAL HEALTH 

3678
02:39:21,129 --> 02:39:26,501
DISORDERS AND HIV?

3679
02:39:26,501 --> 02:39:31,373
>> SO NIDA HAS ALWAYS
RECOGNIZED

3680
02:39:31,373 --> 02:39:36,044
THE SYNDEMIC NATURE OF HIV AND 

3681
02:39:36,044 --> 02:39:37,412
SUBSTANCE ABUSE.

3682
02:39:37,412 --> 02:39:41,016
YOU MUST LOOK AT HIV, SUBSTANCE 

3683
02:39:41,016 --> 02:39:45,253
USE AND OTHER TYPES OF RELATED 

3684
02:39:45,253 --> 02:39:46,588
CONTINUES OR ISSUES DEPENDING ON

3685
02:39:46,588 --> 02:39:50,192
THE FOCUS OF THE STUDY WHETHER 

3686
02:39:50,192 --> 02:39:54,496
IT IS MENTAL HEALTH, HEPATITIS, 

3687
02:39:54,496 --> 02:39:56,331
SOFT TISSUE INFECTIONS, SOCIAL 

3688
02:39:56,331 --> 02:39:57,365
DETERMINATES OF HEALTH, 

3689
02:39:57,365 --> 02:39:59,034
ETCETERA, IF YOU'RE GOING TO BE 

3690
02:39:59,034 --> 02:40:03,472
COMPETITIVE AND GET FUNDING.

3691
02:40:03,472 --> 02:40:07,175
IT'S PEAT  A PART OF WHAT WE 

3692
02:40:07,175 --> 02:40:09,411
TALK ABOUT BECAUSE EACH OF THESE

3693
02:40:09,411 --> 02:40:10,512
AMPLIFY THE OTHER IN TERMS OF 

3694
02:40:10,512 --> 02:40:15,784
THE IMPACT OF BURDEN AND DISEASE

3695
02:40:15,784 --> 02:40:19,087
AND HEALTH OUTCOMES.

3696
02:40:19,087 --> 02:40:21,623
AND YOU KNOW IT HAS ALWAYS BEEN 

3697
02:40:21,623 --> 02:40:25,760
EVIDENT AND VERY EVIDENT AGAIN 

3698
02:40:25,760 --> 02:40:31,032
THE SYNDEMIC NATURE AT PLAY WITH

3699
02:40:31,032 --> 02:40:33,735
THE CRISIS THAT WE ARE FACING IN

3700
02:40:33,735 --> 02:40:40,342
THE AREA OF ADDICTION AND 

3701
02:40:40,342 --> 02:40:41,243
OVERDOSE CRISIS.

3702
02:40:41,243 --> 02:40:44,946
WE HAVE SO MANY PEOPLE DYING 

3703
02:40:44,946 --> 02:40:48,717
ANNUALLY FROM DRUG OVERDOSES AND

3704
02:40:48,717 --> 02:40:50,285
THERE ARE A COUPLE OF FINDINGS I

3705
02:40:50,285 --> 02:40:52,654
CAN HIGHLIGHT THAT I PRESENTED 

3706
02:40:52,654 --> 02:40:54,656
TO OUR NATIONAL ADVISORY COUNCIL

3707
02:40:54,656 --> 02:40:57,225
LAST MONTH THAT SORT OF SPEAK TO

3708
02:40:57,225 --> 02:40:57,425
THIS.

3709
02:40:57,425 --> 02:40:59,961
THE NON-MEDICAL USE OF OPIOIDS 

3710
02:40:59,961 --> 02:41:01,830
IS THREE TIMES HIGHER AMONG 

3711
02:41:01,830 --> 02:41:06,935
PEOPLE LIVING WITH HIV.

3712
02:41:06,935 --> 02:41:08,670
THIS WAS WITHIN THE HIV REGISTRY

3713
02:41:08,670 --> 02:41:10,272
IN NEW YORK CITY.

3714
02:41:10,272 --> 02:41:11,840
IN NEW YORK CITY, THEY FOUND 

3715
02:41:11,840 --> 02:41:12,908
PEOPLE LIVING WITH HIV HAD 

3716
02:41:12,908 --> 02:41:16,044
DOUBLE THE RATE OF OVERDOSE 

3717
02:41:16,044 --> 02:41:18,013
DEATHS OF OVER ALL INDIVIDUALS 

3718
02:41:18,013 --> 02:41:19,981
IN NEW YORK CITY.

3719
02:41:19,981 --> 02:41:21,616
AND IN FACT, WITHIN HIV CLINICS 

3720
02:41:21,616 --> 02:41:24,052
THERE WAS A PERFECT OPPORTUNITY 

3721
02:41:24,052 --> 02:41:25,787
TO BE ABLE TO NOT ONLY FOCUS ON 

3722
02:41:25,787 --> 02:41:29,157
HIV OUTCOMES BUT SUBSTANCE USE 

3723
02:41:29,157 --> 02:41:32,127
OUTCOMES WHICH TYPICALLY IS NOT 

3724
02:41:32,127 --> 02:41:33,895
INTEGRATED IN THIS NATION.

3725
02:41:33,895 --> 02:41:36,264
SOMETHING LIKE PROVIDING 

3726
02:41:36,264 --> 02:41:38,199
EDUCATION AND DISTRIBUTING 

3727
02:41:38,199 --> 02:41:40,068
NALOXONE COULD HAVE SAVED LIVES 

3728
02:41:40,068 --> 02:41:41,336
AND ALLOWED PEOPLE THE 

3729
02:41:41,336 --> 02:41:42,671
OPPORTUNITY TO MOVE TO SUBSTANCE

3730
02:41:42,671 --> 02:41:45,607
ABUSE CARE AND HAVE BEEN ABLE TO

3731
02:41:45,607 --> 02:41:50,211
CONTINUE IN THEIR CARE FOR HIV.

3732
02:41:50,211 --> 02:41:54,482
FROM A BASIC SCIENCE PERSPECTIVE

3733
02:41:54,482 --> 02:41:59,020
WE LEARNED FENTANYL INCREASES 

3734
02:41:59,020 --> 02:42:00,422
REPCATION IN VITRO IN EXPRESSING

3735
02:42:00,422 --> 02:42:05,293
CELL LINES AND NALOXONE THAT 

3736
02:42:05,293 --> 02:42:08,430
TREATS OPIOID USE DISORDER MAY 

3737
02:42:08,430 --> 02:42:13,435
BLOCK THE FENTANYL REPLICATION 

3738
02:42:13,435 --> 02:42:18,039
AND YOU SEE THE SYNDEMIC NATURE 

3739
02:42:18,039 --> 02:42:19,674
AND YOU HAVE TO ADDRESS THE 

3740
02:42:19,674 --> 02:42:20,742
ISSUES SIMULTANEOUSLY.

3741
02:42:20,742 --> 02:42:24,012
WE WILL NOT BE SUCCESSFUL IF 

3742
02:42:24,012 --> 02:42:27,482
WE'RE GOING TO TRY AND PIECE AND

3743
02:42:27,482 --> 02:42:29,084
PARS THEM OFF.

3744
02:42:29,084 --> 02:42:31,553
WHEN YOU TALK ABOUT SYNDEMICS 

3745
02:42:31,553 --> 02:42:34,522
THAT WE DON'T TALK ABOUT AT ALL 

3746
02:42:34,522 --> 02:42:35,991
AT NIH AROUND THE HIV PORTFOLIO.

3747
02:42:35,991 --> 02:42:38,493
WE HAVE TO BEGIN TO CONSIDER AS 

3748
02:42:38,493 --> 02:42:44,699
THE IMPACT OF CLIMATE CHANGE.

3749
02:42:44,699 --> 02:42:46,935
I'M NOT EVEN TALKING ABOUT 

3750
02:42:46,935 --> 02:42:47,702
EXTREME WEATHER BUT TEMPERATURE 

3751
02:42:47,702 --> 02:42:50,505
AND WHAT IT DOES TO FOOD 

3752
02:42:50,505 --> 02:42:51,940
INSECURITY AND WATER 

3753
02:42:51,940 --> 02:42:53,141
AVAILABILITY AND INFECTIOUS 

3754
02:42:53,141 --> 02:42:54,409
DISEASES, MIGRATION, ETCETERA.

3755
02:42:54,409 --> 02:42:59,247
WE HAVE TO BEGIN TO CONSIDER 

3756
02:42:59,247 --> 02:43:00,882
THAT AND IF YOU WANT TO TALK 

3757
02:43:00,882 --> 02:43:02,751
ABOUT HEALTH INEQUITIES AND 

3758
02:43:02,751 --> 02:43:05,854
DISPARITIES, THE PARTS OF OUR 

3759
02:43:05,854 --> 02:43:07,856
WORLD AND OUR COUNTRY MOST 

3760
02:43:07,856 --> 02:43:11,960
DISPROPORTIONATELY IMPACTED BY 

3761
02:43:11,960 --> 02:43:13,628
EXTREME HEAT ARE THOSE WHY YOU 

3762
02:43:13,628 --> 02:43:17,232
SEE THE GREATEST DISPARITY.

3763
02:43:17,232 --> 02:43:18,533
SUB SAHARA AFRICA THEY'RE 

3764
02:43:18,533 --> 02:43:19,567
DISPROPORTIONATELY IMPACTED BY 

3765
02:43:19,567 --> 02:43:21,469
CLIMATE CHANGE AND WHERE THERE'S

3766
02:43:21,469 --> 02:43:23,004
MODELLING AND DATA THAT TALKS 

3767
02:43:23,004 --> 02:43:25,340
ABOUT THE INCREASE IN INCIDENTS 

3768
02:43:25,340 --> 02:43:27,475
OF HIV AS A RESULT OF THAT.

3769
02:43:27,475 --> 02:43:30,512
AND SO WE HAVE TO BEGIN TO THINK

3770
02:43:30,512 --> 02:43:32,747
MORE BROADLY ABOUT HOW TO KEEP 

3771
02:43:32,747 --> 02:43:34,616
TRACK OF THE BIG PICTURE AS WELL

3772
02:43:34,616 --> 02:43:36,484
AS THE CONTEXT WITHIN WHICH ALL 

3773
02:43:36,484 --> 02:43:39,054
OF THESE THINGS ARE HAPPENING IF

3774
02:43:39,054 --> 02:43:42,490
WE'RE GOING TO BE ABLE TO HAVE 

3775
02:43:42,490 --> 02:43:46,428
ANY SUBSTANTIAL GAINS.

3776
02:43:46,428 --> 02:43:47,062
>> THANK YOU.

3777
02:43:47,062 --> 02:43:49,964
COULD NOT AGREE MORE ABOUT THE 

3778
02:43:49,964 --> 02:43:54,502
IMPORTANCE OF CLIMATE CHANGE ON 

3779
02:43:54,502 --> 02:43:56,738
HEALTH.

3780
02:43:56,738 --> 02:43:58,540
DOCTORS, WALTERS AND BARNHART 

3781
02:43:58,540 --> 02:44:00,608
ARE THIS DETERMINATES THAT MAY 

3782
02:44:00,608 --> 02:44:03,411
YIELD HIGH IMPACT ON HIV HEALTH 

3783
02:44:03,411 --> 02:44:05,613
OUTCOMES AND FOCUS ON 

3784
02:44:05,613 --> 02:44:06,514
INTEGRATING INTO HIV RESEARCH?

3785
02:44:06,514 --> 02:44:11,486
DR. WALTERS?

3786
02:44:11,486 --> 02:44:14,089
>> FIRST, I CONCUR WITH A
LOT OF

3787
02:44:14,089 --> 02:44:17,926
THINGS ALREADY DISCUSSED AND TO 

3788
02:44:17,926 --> 02:44:20,195
HIGHLIGHT FOR AMERICAN INDIAN 

3789
02:44:20,195 --> 02:44:22,497
ALASKAN NATIVE COMMUNITIES WHAT 

3790
02:44:22,497 --> 02:44:24,566
WE ENCOUNTER IN HIV PREVENTION 

3791
02:44:24,566 --> 02:44:28,369
RESEARCH PUSHBACK BECAUSE HIV IS

3792
02:44:28,369 --> 02:44:31,272
NOT THE MOST PRESSING ISSUE BUT 

3793
02:44:31,272 --> 02:44:31,873
THE SOCIAL DETERMINATES OF 

3794
02:44:31,873 --> 02:44:36,377
HEALTH AND ACCESS TO CLEAN AND 

3795
02:44:36,377 --> 02:44:38,480
HEALTHFUL WATER AND CLIMATE 

3796
02:44:38,480 --> 02:44:41,282
CHANGE IMPACTS ARE 

3797
02:44:41,282 --> 02:44:41,916
DISPROPORTIONATELY IMPACTING 

3798
02:44:41,916 --> 02:44:43,318
NATIVE COMMUNITIES HAVING TO 

3799
02:44:43,318 --> 02:44:47,188
RELOCATE IN VILLAGES IN ALASKA 

3800
02:44:47,188 --> 02:44:48,857
TO GETTING HIT WITH ASTHMA 

3801
02:44:48,857 --> 02:44:49,591
BECAUSE OF THE DROUGHT 

3802
02:44:49,591 --> 02:44:50,191
CONDITIONS IN CALIFORNIA.

3803
02:44:50,191 --> 02:44:52,060
THERE'S A LOT OF IMPACTS 

3804
02:44:52,060 --> 02:44:52,327
HAPPENING.

3805
02:44:52,327 --> 02:44:54,996
SOMETIMES HIV IS NOT ON THE 

3806
02:44:54,996 --> 02:44:55,463
MIND.

3807
02:44:55,463 --> 02:45:00,335
THOUGH IT'S AN ISSUE AND IT'S A 

3808
02:45:00,335 --> 02:45:02,036
BIG ISSUE AND IN TERMS OF THE 

3809
02:45:02,036 --> 02:45:05,874
INNOVATIONS AND INTERVENTIONS, 

3810
02:45:05,874 --> 02:45:07,509
ONE THING I KNOW THERE'S NOT A 

3811
02:45:07,509 --> 02:45:11,946
LOT OF EFFICACY STUDIES ON 

3812
02:45:11,946 --> 02:45:13,782
INTERVENTIONS WITHIN AMERICAN 

3813
02:45:13,782 --> 02:45:16,184
INDIAN AND ALASKAN NATIVE 

3814
02:45:16,184 --> 02:45:17,485
COMMUNITIES AND FROM RELATED 

3815
02:45:17,485 --> 02:45:20,021
WORK WE'RE STILL WAITING TO SEE 

3816
02:45:20,021 --> 02:45:21,556
DATA COME OUT FROM ARE 

3817
02:45:21,556 --> 02:45:26,494
INNOVATIONS IN USING LAND-BASED 

3818
02:45:26,494 --> 02:45:29,531
HEALING APPROACHES TO GET 

3819
02:45:29,531 --> 02:45:30,498
OUTSIDE THE BEHAVIORAL FRAME 

3820
02:45:30,498 --> 02:45:34,235
WORKS OR PREVENTION SETTINGS AND

3821
02:45:34,235 --> 02:45:34,903
GET OUT IN THE ENVIRONMENT AND 

3822
02:45:34,903 --> 02:45:36,004
INTO THE COMMUNITIES AND GET 

3823
02:45:36,004 --> 02:45:37,872
THEM RECONNECTED TO LAND AND 

3824
02:45:37,872 --> 02:45:40,608
PLACE AS A WAY TO DELIVER 

3825
02:45:40,608 --> 02:45:42,510
INTERVENTIONS AND NATURE-BASED 

3826
02:45:42,510 --> 02:45:44,712
SOLUTIONS AND THINGS THAT NOT 

3827
02:45:44,712 --> 02:45:46,514
ONLY LINK US BACK TO ORIGINAL 

3828
02:45:46,514 --> 02:45:50,318
INSTRUCTIONS IN HELPFUL WAYS OF 

3829
02:45:50,318 --> 02:45:51,286
BEING IN THE WORLD BUT GETTING 

3830
02:45:51,286 --> 02:45:52,587
OUT OF THE CLINICAL SETTINGS AND

3831
02:45:52,587 --> 02:45:53,922
BEGIN TO SHIFT THE CONVERSATION 

3832
02:45:53,922 --> 02:45:58,493
TO COMMUNITY-LEVEL CHANGE AND 

3833
02:45:58,493 --> 02:46:00,128
COMMUNITY CHANGE THAT NEEDS TO 

3834
02:46:00,128 --> 02:46:02,497
HAPPEN TO BECOME A HEALTHIER 

3835
02:46:02,497 --> 02:46:03,431
COMMUNITY AND PEOPLE.

3836
02:46:03,431 --> 02:46:04,699
IT'S LESS INDIVIDUALIZED AND 

3837
02:46:04,699 --> 02:46:08,736
MORE FOCUSSED ON CONNECTING TO 

3838
02:46:08,736 --> 02:46:09,504
COMMUNITY FOR EXAMPLE IN ONE 

3839
02:46:09,504 --> 02:46:12,607
STUDY THE QUESTION IS WHAT KIND 

3840
02:46:12,607 --> 02:46:15,076
OF ANCESTOR DO MY ANCESTORS 

3841
02:46:15,076 --> 02:46:18,413
DREAM ME TO BE AND WHAT DO I 

3842
02:46:18,413 --> 02:46:19,814
DREAM FUTURE GENERATIONS TO BE 

3843
02:46:19,814 --> 02:46:21,349
THROUGH MY HEALTHFUL ACTIONS 

3844
02:46:21,349 --> 02:46:21,816
TODAY.

3845
02:46:21,816 --> 02:46:23,551
TAKING CARING OF MYSELF YOU'LL 

3846
02:46:23,551 --> 02:46:24,853
HEALTH AND DECISION MAKING, I'M 

3847
02:46:24,853 --> 02:46:26,387
NOT ONLY HELPING MYSELF AND 

3848
02:46:26,387 --> 02:46:28,790
PARTNERS AND FAMILY BUT HAVING 

3849
02:46:28,790 --> 02:46:31,426
AN IMPACT FOR A WORLDLY 

3850
02:46:31,426 --> 02:46:32,627
COMMUNITY.

3851
02:46:32,627 --> 02:46:34,629
MAKING THOSE LANGUAGES 

3852
02:46:34,629 --> 02:46:38,499
CONCEPTUALLY GETS AT MORE THE 

3853
02:46:38,499 --> 02:46:41,035
PATHOLOGY ORIENTED WORK THAT 

3854
02:46:41,035 --> 02:46:42,503
NATIVE COMMUNITIES ARE DEALING 

3855
02:46:42,503 --> 02:46:46,507
WITH STIGMATIZATION AND BACK TO 

3856
02:46:46,507 --> 02:46:48,042
RELATIONAL WAYS OF BEING IN THE 

3857
02:46:48,042 --> 02:46:50,612
WORD AND CONNECTING TO SOCIAL 

3858
02:46:50,612 --> 02:46:51,713
CONNECTEDNESS AND DEVELOPING A 

3859
02:46:51,713 --> 02:46:57,185
SENSE OF BELONGING IS CRITICAL.

3860
02:46:57,185 --> 02:47:00,021
PARTLY BECAUSE OF SO MUCH OF HIV

3861
02:47:00,021 --> 02:47:05,493
IS PART OF, LGBTQ AND RELATED TO

3862
02:47:05,493 --> 02:47:07,929
OTHER KINDS OF ISSUES THAT MIGHT

3863
02:47:07,929 --> 02:47:10,298
BE POTENTIALLY INITIALLY 

3864
02:47:10,298 --> 02:47:10,598
STIGMATIZED.

3865
02:47:10,598 --> 02:47:14,168
IT'S VERY IMPORTANT THAT SENSE 

3866
02:47:14,168 --> 02:47:15,003
OF BELONGING IS ANOTHER FACTOR 

3867
02:47:15,003 --> 02:47:17,205
AND INCREASING CONNECTEDNESS, 

3868
02:47:17,205 --> 02:47:22,310
INCREASED SENSE OF BELONGING.

3869
02:47:22,310 --> 02:47:24,212
HAVING THAT ONE PERSON WHO SEES 

3870
02:47:24,212 --> 02:47:25,880
YOU AS PART OF THE LARGER 

3871
02:47:25,880 --> 02:47:26,481
COMMUNITY.

3872
02:47:26,481 --> 02:47:28,449
A LOT OF OUR INTERVENTIONS THAT 

3873
02:47:28,449 --> 02:47:31,853
ARE SUCCESSFUL DON'T NECESSARILY

3874
02:47:31,853 --> 02:47:37,258
PASS THROUGH THE COMMUNITY BUT 

3875
02:47:37,258 --> 02:47:39,060
THROUGH THE AMERICAN INDIAN 

3876
02:47:39,060 --> 02:47:42,497
ALASKAN COMMUNITIES AND THEY 

3877
02:47:42,497 --> 02:47:45,767
LINK TO LGBTQ EVENTS AND WE NEED

3878
02:47:45,767 --> 02:47:48,469
TO FIGURE OUT CREATIVE 

3879
02:47:48,469 --> 02:47:49,203
INNOVATIONS AN IT'S COMPLEX 

3880
02:47:49,203 --> 02:47:53,808
BECAUSE WHEN I ASK OUR COMMUNITY

3881
02:47:53,808 --> 02:47:56,144
WHAT'S IT LIKE BEING FOR 

3882
02:47:56,144 --> 02:47:57,779
EXAMPLE, GAY IN OKLAHOMA AND HE 

3883
02:47:57,779 --> 02:48:00,915
SAID I DON'T KNOW I'M ONLY GAI 

3884
02:48:00,915 --> 02:48:03,518
IN TULSA.

3885
02:48:03,518 --> 02:48:05,153
IDENTITY AND THE INTERSECTION OF

3886
02:48:05,153 --> 02:48:06,154
BEHAVIOR NEED TO BE CONSIDERED.

3887
02:48:06,154 --> 02:48:08,556
I WANTED TO PUT A PLUG IN FOR 

3888
02:48:08,556 --> 02:48:11,392
ONE OTHER APPROACH I DON'T THINK

3889
02:48:11,392 --> 02:48:13,061
IS UNDER UTILIZED.

3890
02:48:13,061 --> 02:48:17,532
SOME OF THE WORK STARTING TO BE 

3891
02:48:17,532 --> 02:48:20,635
DONE AROUND TELEHEALTH AND 

3892
02:48:20,635 --> 02:48:21,402
VIRTUAL INTERVENTIONS WHERE 

3893
02:48:21,402 --> 02:48:24,205
PEOPLE PRACTICE BEHAVIORS, IT'S 

3894
02:48:24,205 --> 02:48:26,307
A SAFE PLACE TO ACCESS SUPPORT 

3895
02:48:26,307 --> 02:48:27,542
AND NETWORKING IN RURAL 

3896
02:48:27,542 --> 02:48:28,810
COMMUNITIES WHERE YOU DON'T 

3897
02:48:28,810 --> 02:48:29,978
NECESSARILY HAVE THAT IN PLACE 

3898
02:48:29,978 --> 02:48:35,750
AND IT GETS YOU CONNECTED TO 

3899
02:48:35,750 --> 02:48:36,617
OTHER FOLKS ON A VIRTUAL 

3900
02:48:36,617 --> 02:48:40,288
PLATFORM TO BEGIN TO ENGAGE IN 

3901
02:48:40,288 --> 02:48:42,056
INTERVENTIONS IN THAT AREA AND 

3902
02:48:42,056 --> 02:48:43,925
SO WE'VE DONE WORK IN THE 

3903
02:48:43,925 --> 02:48:45,727
AMERICAN ALASKAN COMMUNITIES 

3904
02:48:45,727 --> 02:48:46,894
WHERE WE'RE INTERESTED IN 

3905
02:48:46,894 --> 02:48:48,496
ACCESSING THAT BECAUSE IT 

3906
02:48:48,496 --> 02:48:50,431
DECREASE THE CHANCE OF BEING 

3907
02:48:50,431 --> 02:48:51,332
OUTED IN THE COMMUNITY BUT AN 

3908
02:48:51,332 --> 02:48:54,502
OPPORTUNITY TO CONNECT WITH 

3909
02:48:54,502 --> 02:48:56,037
OTHERS ACROSS THE UNITED STATES 

3910
02:48:56,037 --> 02:48:58,873
NOT JUST IN THE LOCAL COMMUNITY.

3911
02:48:58,873 --> 02:49:00,641
SO I'LL STOP THERE BECAUSE I 

3912
02:49:00,641 --> 02:49:02,510
KNOW WE'RE LIMITED IN TIME.

3913
02:49:02,510 --> 02:49:06,547
THANK YOU.

3914
02:49:06,547 --> 02:49:09,417
>> DR. BARNHART ABOUT 

3915
02:49:09,417 --> 02:49:10,551
INTERVENTIONAL STUDIES 

3916
02:49:10,551 --> 02:49:13,955
ADDRESSING SPECIFIC DRIVERS?

3917
02:49:13,955 --> 02:49:17,058
>> BEING FROM NIAAA I
THINK 

3918
02:49:17,058 --> 02:49:18,793
YOU'LL GET MY SPECIFIC DRIVER.

3919
02:49:18,793 --> 02:49:21,295
ALCOHOL USE DISORDERS ARE THE 

3920
02:49:21,295 --> 02:49:28,036
MOST PREVALENT SUBSTANCE USE 

3921
02:49:28,036 --> 02:49:30,505
DISORDER AMONG PEOPLE LIVING 

3922
02:49:30,505 --> 02:49:32,106
WITH HIV AND UNDER IDENTIFIED 

3923
02:49:32,106 --> 02:49:33,474
AND UNDER ADDRESSED AND THOUGH 

3924
02:49:33,474 --> 02:49:35,910
WE HAVE APPROPRIATE 

3925
02:49:35,910 --> 02:49:38,212
INTERVENTIONS I'LL SKIP ON SOME 

3926
02:49:38,212 --> 02:49:38,846
INFORMATION FROM MORBIDITY AND 

3927
02:49:38,846 --> 02:49:40,314
MORTALITY BUT THERE'S CHANGES IN

3928
02:49:40,314 --> 02:49:43,751
THE BIOMEDICAL HAVE BEEN 

3929
02:49:43,751 --> 02:49:48,589
DEVELOPED FOR MEASURING RISK FOR

3930
02:49:48,589 --> 02:49:50,391
INFECTION, PROGRESSION AND 

3931
02:49:50,391 --> 02:49:50,625
FRAILTY.

3932
02:49:50,625 --> 02:49:53,194
A NUMBER OF MULTIPLE 

3933
02:49:53,194 --> 02:49:56,731
META-ANALYSES HAVE RECENTLY 

3934
02:49:56,731 --> 02:49:59,167
CONCLUDED THIS CALLS FOR MORE 

3935
02:49:59,167 --> 02:50:02,403
ACTIVE ENGAGEMENT IN GOVERNMENT 

3936
02:50:02,403 --> 02:50:04,372
AND IMPLEMENTING 

3937
02:50:04,372 --> 02:50:06,407
ALCOHOL-FOCUSSED INTERVENTIONS 

3938
02:50:06,407 --> 02:50:07,408
AS WELL AS COLLABORATION AND 

3939
02:50:07,408 --> 02:50:10,511
KNOWLEDGE TRANSFER FROM 

3940
02:50:10,511 --> 02:50:14,582
HIGH-INCOME COUNTRIES TO DEV

3941
02:50:14,582 --> 02:50:18,019
DEVELOPING COUNTERPARTS TO 

3942
02:50:18,019 --> 02:50:20,755
EFFECTIVELY ADDRESS 

3943
02:50:20,755 --> 02:50:22,423
ALCOHOL-RELATED ISSUES IN PEOPLE

3944
02:50:22,423 --> 02:50:25,893
LIVING WITH HIV/AIDS AND 

3945
02:50:25,893 --> 02:50:26,494
EFFECTIVELY MOVING TOWARDS 

3946
02:50:26,494 --> 02:50:27,628
HIV/AIDS ERADICATION.

3947
02:50:27,628 --> 02:50:29,864
NOW, THERE ARE A WHOLE BURCHL OF

3948
02:50:29,864 --> 02:50:30,731
ISSUES AROUND MEASUREMENT AND 

3949
02:50:30,731 --> 02:50:35,303
SCREENING AND HOW THESE HAVE 

3950
02:50:35,303 --> 02:50:39,607
BEEN DEVELOPED BUT WE HAVE 

3951
02:50:39,607 --> 02:50:42,510
TESTED MODELS KSAR ADAPTIVE 

3952
02:50:42,510 --> 02:50:44,745
MODELS CONJOINED SCREENING FOR 

3953
02:50:44,745 --> 02:50:47,348
ALCOHOL, ANXIETY, PAIN, TRAUMA, 

3954
02:50:47,348 --> 02:50:50,351
TOBACCO AND OTHER MEDICATIONS 

3955
02:50:50,351 --> 02:50:51,919
AND OTHER APPROPRIATE SUBSTANCE 

3956
02:50:51,919 --> 02:50:55,890
USE WITHIN THE CONTEXT OF PEOPLE

3957
02:50:55,890 --> 02:50:56,858
ACQUIRING AND LIVING WITH 

3958
02:50:56,858 --> 02:50:57,391
HIV/AIDS.

3959
02:50:57,391 --> 02:50:58,993
AND WE'VE LOOKED AT THE 

3960
02:50:58,993 --> 02:51:02,163
FEASIBILITY OF THE RANGE OF 

3961
02:51:02,163 --> 02:51:04,899
INTERVENTIONS AND INCLUDING 

3962
02:51:04,899 --> 02:51:06,100
ADAPTIVE MODELS FOR MIXED 

3963
02:51:06,100 --> 02:51:07,935
BEHAVIORAL AND THERAPEUTICS.

3964
02:51:07,935 --> 02:51:12,073
THIS IS A STEP CARE FRAMEWORK.

3965
02:51:12,073 --> 02:51:14,509
MULTI-LEVEL INDIVIDUAL GROUP 

3966
02:51:14,509 --> 02:51:14,742
MODELS.

3967
02:51:14,742 --> 02:51:17,712
IT CHANGES SOCIAL NORMS.

3968
02:51:17,712 --> 02:51:18,746
E-HEALTH DELIVERY IN RURAL 

3969
02:51:18,746 --> 02:51:21,182
SETTINGS AND MODELLING THE 

3970
02:51:21,182 --> 02:51:24,752
IMPACTS OF COMPREHENSIVE HIV 

3971
02:51:24,752 --> 02:51:26,287
PREVENTION, TREATMENT IN SYSTEMS

3972
02:51:26,287 --> 02:51:26,854
LIKE THE V.A. AND KAISER 

3973
02:51:26,854 --> 02:51:32,460
PERMANENTE.

3974
02:51:32,460 --> 02:51:33,961
THESE ARE AT THE NATIONAL LEVEL 

3975
02:51:33,961 --> 02:51:34,862
AND OTHER COUNTRIES.

3976
02:51:34,862 --> 02:51:37,598
THIS INCLUDES ADVANCES IN NEW 

3977
02:51:37,598 --> 02:51:39,800
BIO SENSOR TECHNOLOGY, 

3978
02:51:39,800 --> 02:51:42,470
BIOMARKERS TO DETECT AND 

3979
02:51:42,470 --> 02:51:46,941
VALIDATE THESE ALCOHOL-RELATED 

3980
02:51:46,941 --> 02:51:48,242
MEASURES.

3981
02:51:48,242 --> 02:51:50,344
 I WON'T GO ON BUT THERE'S A 

3982
02:51:50,344 --> 02:51:52,046
NUMBER OF OTHER ISSUES AROUND 

3983
02:51:52,046 --> 02:51:54,482
THINGS LIKE PARTNER VIOLENCE, 

3984
02:51:54,482 --> 02:51:56,050
DOMESTIC AND INTERNATIONAL 

3985
02:51:56,050 --> 02:51:58,753
SETTINGS THAT ARE IMPORTANT AND 

3986
02:51:58,753 --> 02:52:06,160
WE ARE ISSUING A NUMBER OF 

3987
02:52:06,160 --> 02:52:07,828
ANNOUNCEMENTS AROUND 

3988
02:52:07,828 --> 02:52:08,462
COMPREHENSIVE CENTERS AND 

3989
02:52:08,462 --> 02:52:10,498
PROGRAM PROJECTS BUT THE MOST 

3990
02:52:10,498 --> 02:52:12,266
RECENT CONCEPT CLEARANCE THAT'S 

3991
02:52:12,266 --> 02:52:14,202
COMING UP THAT'S RELEVANT TO 

3992
02:52:14,202 --> 02:52:18,206
THIS IS REALLY LOOKING AT 

3993
02:52:18,206 --> 02:52:19,607
ADVANCING BIOMARKER RESEARCH FOR

3994
02:52:19,607 --> 02:52:26,514
IMPROVING CLINICAL RESEARCH AND 

3995
02:52:26,514 --> 02:52:28,149
MANAGEMENT OF ALCOHOL RELATED 

3996
02:52:28,149 --> 02:52:38,693
MEDICAL CONDITIONS AND HOW TO DO

3997
02:52:40,761 --> 02:52:41,629
THIS AND WE HAVE A MEETING 

3998
02:52:41,629 --> 02:52:49,003
AROUND PREVENTION.

3999
02:52:49,003 --> 02:52:50,771
WE ISSUED OVER 12 GRANTS ON 

4000
02:52:50,771 --> 02:52:53,841
ALCOHOL PREVENTION AND USE AND 

4001
02:52:53,841 --> 02:52:57,945
PLAN TO LOOK AT THIS AMONG 

4002
02:52:57,945 --> 02:52:58,779
WOMEN, LGBTQ AND SETTINGS WHERE 

4003
02:52:58,779 --> 02:53:04,485
THEY MIGHT BE APPLIED.

4004
02:53:04,485 --> 02:53:06,053
THIS IS COMING UP AND SPONSORING

4005
02:53:06,053 --> 02:53:06,687
A MEETING DIRECTLY RELATED TO 

4006
02:53:06,687 --> 02:53:08,756
THIS.

4007
02:53:08,756 --> 02:53:17,298
THANK YOU.

4008
02:53:17,298 --> 02:53:20,735
>> THANK YOU, KENDALL AND
THANK 

4009
02:53:20,735 --> 02:53:23,070
YOU ALL FOR THE RICH DISCUSSION 

4010
02:53:23,070 --> 02:53:25,373
AND WOULD LIKE TO TURN IT OVER 

4011
02:53:25,373 --> 02:53:28,976
TO DR. KAPOGIANNIS FOR OUR NEXT 

4012
02:53:28,976 --> 02:53:30,478
SECTION.

4013
02:53:30,478 --> 02:53:32,446
>> JUST TRYING TO SOAK
THIS ALL 

4014
02:53:32,446 --> 02:53:35,950
IN AS A RICH DISCUSSION AND 

4015
02:53:35,950 --> 02:53:37,618
THINKING LOOKING AT THIS FROM A 

4016
02:53:37,618 --> 02:53:38,519
POPULATION PERSPECTIVE AND 

4017
02:53:38,519 --> 02:53:40,154
SPECIFICALLY TO MINORITIZED 

4018
02:53:40,154 --> 02:53:41,455
POPULATIONS WE'VE BEEN 

4019
02:53:41,455 --> 02:53:42,556
DISCUSSING TODAY AS WE SAW 

4020
02:53:42,556 --> 02:53:44,058
EARLIER THERE'S DISPARITIES 

4021
02:53:44,058 --> 02:53:46,494
ACROSS RACIAL AND ETHNIC AND 

4022
02:53:46,494 --> 02:53:56,771
SEXUAL GENDER POPULATIONS AND 

4023
02:53:56,771 --> 02:53:58,339
THINKING ABOUT IT I REMEMBER 

4024
02:53:58,339 --> 02:54:01,275
SEEING A DISPARITY AND LOOKING 

4025
02:54:01,275 --> 02:54:05,479
ACROSS THE AGE GROUPS AND THE 

4026
02:54:05,479 --> 02:54:08,182
ONE GROUP THE AMERICAN INDIAN 

4027
02:54:08,182 --> 02:54:10,184
AND ALASKAN NATIVES AT THE TOP 

4028
02:54:10,184 --> 02:54:14,121
OF THAT AS WE GET OLDER THE 

4029
02:54:14,121 --> 02:54:15,856
DISABILITY PREVALENCE INCREASING

4030
02:54:15,856 --> 02:54:20,194
AND YOU PROBABLY KNOW THE DATA 

4031
02:54:20,194 --> 02:54:22,496
BETTER THAN I BUT WONDERING, 

4032
02:54:22,496 --> 02:54:24,865
DR. WALTERS, IF YOU CAN ADD TO 

4033
02:54:24,865 --> 02:54:28,169
THE CONTEXT OF METHODS AND 

4034
02:54:28,169 --> 02:54:30,504
APPROACHES THAT WITHIN YOUR 

4035
02:54:30,504 --> 02:54:32,340
COMMUNITY AND WITHIN THE MISSION

4036
02:54:32,340 --> 02:54:38,746
OF THROW THAT COULD GET TO 

4037
02:54:38,746 --> 02:54:43,284
ADDRESSING YOUR POPULATIONS AND 

4038
02:54:43,284 --> 02:54:46,387
METHODOLOGIES DISCUSSED BY FOLKS

4039
02:54:46,387 --> 02:54:51,092
ON THIS PANEL, DIANNE AND 

4040
02:54:51,092 --> 02:54:52,026
KENDALL, FOR EXAMPLE, THE 

4041
02:54:52,026 --> 02:54:53,994
INTERVENTION AND HOW TO GET AT 

4042
02:54:53,994 --> 02:54:56,764
THE POPULATIONS THAT MAY NOT BE 

4043
02:54:56,764 --> 02:55:01,235
EASILY ACCESSIBLE LIKE LGBTQ.

4044
02:55:01,235 --> 02:55:03,304
>> THAT'S A GREAT QUESTION
AND 

4045
02:55:03,304 --> 02:55:05,339
PROBABLY DESERVES MORE THAN A 

4046
02:55:05,339 --> 02:55:06,674
TWO TO THREE MINUTES RESPONSE.

4047
02:55:06,674 --> 02:55:08,776
LET ME HIGHLIGHT THINGS I WANT 

4048
02:55:08,776 --> 02:55:10,511
TO EMPHASIZE.

4049
02:55:10,511 --> 02:55:15,082
ONE IS THE MAJORITY OF AMERICAN 

4050
02:55:15,082 --> 02:55:17,451
INDIAN AND ALASKAN NATIVES ARE 

4051
02:55:17,451 --> 02:55:19,820
IN URBAN SETTINGS AND OUR 

4052
02:55:19,820 --> 02:55:24,458
COMMUNITIES WHO END UP IN URBAN 

4053
02:55:24,458 --> 02:55:25,059
AREAS A LOT AS WELL THERE'S 

4054
02:55:25,059 --> 02:55:28,329
STRONG POCKETS IN OUR RURAL 

4055
02:55:28,329 --> 02:55:29,930
COMMUNITIES.

4056
02:55:29,930 --> 02:55:34,502
BUT FINDING LGBT NATIVE SECTIONS

4057
02:55:34,502 --> 02:55:37,605
IS LIKE FINDING A RED NEEDLE IN 

4058
02:55:37,605 --> 02:55:40,174
A HAYSTACK AND THERE'S UNIQUE 

4059
02:55:40,174 --> 02:55:41,976
DEMANDS AROUND SAMPLING OR 

4060
02:55:41,976 --> 02:55:44,745
TRYING TO ESTABLISH PREVALENCE 

4061
02:55:44,745 --> 02:55:45,312
IN A POPULATION.

4062
02:55:45,312 --> 02:55:52,052
WE'RE NOT CLUSTERED BY COMMUNITY

4063
02:55:52,052 --> 02:55:54,488
THE RELOCATION PROGRAMS IN THE 

4064
02:55:54,488 --> 02:55:58,159
'50s THROUGH '70s DISPERSED 

4065
02:55:58,159 --> 02:56:00,761
NATIVE PEOPLE SO WE WOULDN'T 

4066
02:56:00,761 --> 02:56:01,762
BUNCH BY NEIGHBORHOOD.

4067
02:56:01,762 --> 02:56:03,230
IT'S VERY DIFFICULT DOING THIS 

4068
02:56:03,230 --> 02:56:03,497
RESEARCH.

4069
02:56:03,497 --> 02:56:05,399
THERE'S INNOVATION IN RDS 

4070
02:56:05,399 --> 02:56:06,534
APPROACH THAT HAVE BEEN TESTED 

4071
02:56:06,534 --> 02:56:17,011
WITH COMMUNITIES THAT WORK.

4072
02:56:25,486 --> 02:56:29,089
AND GET AN EXTENT OF THE ISSUES 

4073
02:56:29,089 --> 02:56:32,359
AND RELATION TO SOME OUTCOMES 

4074
02:56:32,359 --> 02:56:34,094
AND SAMPLING IS A BIG FACTOR AND

4075
02:56:34,094 --> 02:56:38,532
ANOTHER ONE WAS MEASUREMENT AND 

4076
02:56:38,532 --> 02:56:42,269
ADEQUATELY CAPTURING SOME OF THE

4077
02:56:42,269 --> 02:56:43,704
CONSTRUCTS THAT ARE MEANINGFUL 

4078
02:56:43,704 --> 02:56:44,905
TO OUR COMMUNITY.

4079
02:56:44,905 --> 02:56:48,609
AND ALSO THINGS THAT WE NEED TO 

4080
02:56:48,609 --> 02:56:50,444
FOCUS MORE ON WELL BEING AND 

4081
02:56:50,444 --> 02:56:52,646
WHO'S DOING WELL AND WHY AND HOW

4082
02:56:52,646 --> 02:56:54,515
WE BUILD PROGRAMS AN 

4083
02:56:54,515 --> 02:56:55,616
INTERVENTIONS THAT NURTURE THAT 

4084
02:56:55,616 --> 02:56:59,186
AND TO GET AT THAT WE NEED 

4085
02:56:59,186 --> 02:57:00,421
CONSTRUCTS MEASURED.

4086
02:57:00,421 --> 02:57:03,924
BELONGING AND CONNECTEDNESS AN 

4087
02:57:03,924 --> 02:57:04,892
THOSE KINDS OF THINGS BECOME 

4088
02:57:04,892 --> 02:57:06,494
MORE IMPORTANT AND IDENTITY AND 

4089
02:57:06,494 --> 02:57:07,394
MAKING SURE WE HAVE THE 

4090
02:57:07,394 --> 02:57:09,897
COMPLEXITY IN OUR IDENTITIES 

4091
02:57:09,897 --> 02:57:10,498
ENABLED IN THE PROCESS IS 

4092
02:57:10,498 --> 02:57:13,067
CRITICAL.

4093
02:57:13,067 --> 02:57:15,369
SO I THINK THOSE ARE TWO HUGE 

4094
02:57:15,369 --> 02:57:18,272
ISSUES, MEASUREMENT, SAMPLING 

4095
02:57:18,272 --> 02:57:19,874
AND REPRESENTATIVE POPULATION 

4096
02:57:19,874 --> 02:57:24,945
AND IN TERMS OF LOOKING AT MORE 

4097
02:57:24,945 --> 02:57:27,815
INTERSECTIONALITY ISSUES AND 

4098
02:57:27,815 --> 02:57:30,084
TRAUMA AND VIOLENCE AND LOOKING 

4099
02:57:30,084 --> 02:57:33,454
AT THAT IN RELATION TO SUBSTANCE

4100
02:57:33,454 --> 02:57:33,621
USE.

4101
02:57:33,621 --> 02:57:38,492
I'M WORRIED THE OPIOID EPIDEMIC 

4102
02:57:38,492 --> 02:57:44,899
HAS EXPLODED INDIAN COUNTRY AND 

4103
02:57:44,899 --> 02:57:46,233
PEOPLE ARE DYING FROM OTHER 

4104
02:57:46,233 --> 02:57:49,770
KINDS OF THINGS, OVERDOSE AND NO

4105
02:57:49,770 --> 02:57:52,106
ONE IS KNOWING IF THEY'RE LIVING

4106
02:57:52,106 --> 02:57:53,107
WITH HIV OR EXPOSED.

4107
02:57:53,107 --> 02:57:54,975
I THINK WE HAVE SERIOUS ISSUES 

4108
02:57:54,975 --> 02:57:55,976
THAT'S COMING DOWN THE PIKE.

4109
02:57:55,976 --> 02:58:00,281
WE NEED TO LOOK AT THAT AND 

4110
02:58:00,281 --> 02:58:00,981
FINALLY CULTURAL RELEVANCE IN 

4111
02:58:00,981 --> 02:58:02,082
PULLING COMMUNITIES IN TO LOOK 

4112
02:58:02,082 --> 02:58:06,287
AT THIS MORE WE NEED TO LOOK AT 

4113
02:58:06,287 --> 02:58:09,990
THINGS LIKE STIs AND RELATION TO

4114
02:58:09,990 --> 02:58:11,892
HIV AND POSITIVE SEXUAL HEALTH 

4115
02:58:11,892 --> 02:58:13,594
AND WORKING WITH YOUTH ON 

4116
02:58:13,594 --> 02:58:15,396
DEVELOPING POSITIVE 

4117
02:58:15,396 --> 02:58:18,098
COMMUNICATION AND POSITIVE 

4118
02:58:18,098 --> 02:58:19,066
SEXUAL HEALTH EXPERIENCES.

4119
02:58:19,066 --> 02:58:20,768
PART OF THE TRAUMA FROM BOARDING

4120
02:58:20,768 --> 02:58:22,803
SCHOOL TRAUMA IN OUR COMMUNITIES

4121
02:58:22,803 --> 02:58:26,941
WAS AN ABSOLUTE ERASURE OF 

4122
02:58:26,941 --> 02:58:28,542
HEALTHY SEXUAL SPIRIT AND WAYS 

4123
02:58:28,542 --> 02:58:30,044
OF NAVIGATING AND NEGOTIATING 

4124
02:58:30,044 --> 02:58:31,712
THOSE KINDS OF THINGS AND LOTS 

4125
02:58:31,712 --> 02:58:34,248
OF EXPOSURE TO SEXUAL TRAUMA 

4126
02:58:34,248 --> 02:58:34,648
INFORMALLY.

4127
02:58:34,648 --> 02:58:37,785
WE HAVE A LOT OF WORK TO DO TO 

4128
02:58:37,785 --> 02:58:38,485
ADDRESS SIMULTANEOUSLY SOME 

4129
02:58:38,485 --> 02:58:41,355
ISSUES AROUND SEXUAL VIOLENCE 

4130
02:58:41,355 --> 02:58:50,497
AND TRAUMA AND 

4131
02:58:50,497 --> 02:58:52,433
INTERGENERATIONALITY OF TRAUMA 

4132
02:58:52,433 --> 02:58:53,801
AND THAT'S OFF THE TOP OF MY 

4133
02:58:53,801 --> 02:58:58,505
HEAD I THINK WOULD BE IMPORTANT 

4134
02:58:58,505 --> 02:59:01,141
AND FINALLY GETTING AT BUILDING 

4135
02:59:01,141 --> 02:59:04,612
INTERVENTIONING -- CULTURALLY 

4136
02:59:04,612 --> 02:59:10,784
DERIVED IN THE INTERVENTIONS AND

4137
02:59:10,784 --> 02:59:12,052
TEACHINGS OF THIS PEOPLE AROUND 

4138
02:59:12,052 --> 02:59:16,056
HEALTHFUL BEHAVIORS AND WE HAVE 

4139
02:59:16,056 --> 02:59:17,424
STORIES AND SAYINGS AND PROVERBS

4140
02:59:17,424 --> 02:59:18,459
THAT HELP UNDERSTAND WHAT'S 

4141
02:59:18,459 --> 02:59:21,395
HAPPENING IN OUR BEHAVIOR OUR 

4142
02:59:21,395 --> 02:59:22,529
WAYS OF BEING IN THE WORLD 

4143
02:59:22,529 --> 02:59:23,664
INCLUDING HOW YOU UNDERSTAND 

4144
02:59:23,664 --> 02:59:29,737
YOUR BODY AND YOUR PARTNER'S AND

4145
02:59:29,737 --> 02:59:36,877
OTHER DECISION MAKING AND WE'RE 

4146
02:59:36,877 --> 02:59:38,779
WORKING WITH AMERICAN INDIAN 

4147
02:59:38,779 --> 02:59:41,181
ALASKAN COMMUNITIES AND TALKING 

4148
02:59:41,181 --> 02:59:42,816
ABOUT THE CONNECTEDNESS AND 

4149
02:59:42,816 --> 02:59:44,752
BELONGING AS WELL.

4150
02:59:44,752 --> 02:59:55,029
I'LL STOP THERE.

4151
03:00:09,677 --> 03:00:11,278
>> AND FOR LGBTQA PEOPLE I
THINK

4152
03:00:11,278 --> 03:00:13,047
I HAVE A NUMBER OF THINGS I 

4153
03:00:13,047 --> 03:00:14,214
WANTED TO HIGHLIGHT.

4154
03:00:14,214 --> 03:00:16,550
WE NEED TO INCREASE POLICY 

4155
03:00:16,550 --> 03:00:18,352
RESEARCH IN LIGHT OF THE CURRENT

4156
03:00:18,352 --> 03:00:19,019
DRAFT AGAINST HEALTH AND 

4157
03:00:19,019 --> 03:00:24,058
RESEARCH PARTICULARLY FOR TRANS 

4158
03:00:24,058 --> 03:00:31,532
PEOPLE AND HEALTH IS LACKING IN 

4159
03:00:31,532 --> 03:00:32,766
THE PORTFOLIO AND THERE'S ONE OR

4160
03:00:32,766 --> 03:00:33,333
TWO PROJECT.

4161
03:00:33,333 --> 03:00:35,269
WE ALL KNOW IT'S AN IMPORTANT 

4162
03:00:35,269 --> 03:00:36,970
ASPECT THAT INFLUENCES HEALTH 

4163
03:00:36,970 --> 03:00:38,806
AND THERE'S A SEVERE DEARTH OF 

4164
03:00:38,806 --> 03:00:39,440
IT.

4165
03:00:39,440 --> 03:00:44,044
WE NEED TO INCORPORATE MORE 

4166
03:00:44,044 --> 03:00:44,778
QUALITATIVE AND MIXED METHODS 

4167
03:00:44,778 --> 03:00:49,416
STRATEGY TO LOOK AT THE 

4168
03:00:49,416 --> 03:00:54,488
INEQUITIES FACED BY LGBTQ 

4169
03:00:54,488 --> 03:00:54,722
PEOPLE.

4170
03:00:54,722 --> 03:00:57,791
I WOULD FOCUS LOOKING AT SOCIAL 

4171
03:00:57,791 --> 03:01:08,335
DRIVERS AND INTERVENTION TARGETS

4172
03:01:17,644 --> 03:01:19,379
AND LOOKING AT PREVENTION 

4173
03:01:19,379 --> 03:01:20,748
STRATEGIES AN TREATMENT 

4174
03:01:20,748 --> 03:01:21,048
REGIMENTS.

4175
03:01:21,048 --> 03:01:23,684
WE NEED TO ENSURE THEY ARE HEARD

4176
03:01:23,684 --> 03:01:28,422
AND WHAT THEY HAVE TO SAY IS 

4177
03:01:28,422 --> 03:01:33,227
APPROPRIATELY INCORPORATED INTO 

4178
03:01:33,227 --> 03:01:39,633
RESEARCH PLANS AND STRATEGY.

4179
03:01:39,633 --> 03:01:42,436
HHS AS A CENTER TO HELP CONNECT 

4180
03:01:42,436 --> 03:01:43,303
WITH PEOPLE WITH LIVED 

4181
03:01:43,303 --> 03:01:48,642
EXPERIENCE AND FOLLOW BEST 

4182
03:01:48,642 --> 03:01:52,646
PRACTICES AND DOING SO.

4183
03:01:52,646 --> 03:01:57,451
AND ENGAGE PRACTITIONERS ACROSS 

4184
03:01:57,451 --> 03:01:58,652
THE CARE CONTINUUM AND SUBSTANCE

4185
03:01:58,652 --> 03:02:01,121
USE AND MENTAL HEALTH PROGRAMS 

4186
03:02:01,121 --> 03:02:02,790
TO ASCERTAIN WHAT THEY DEEM ARE 

4187
03:02:02,790 --> 03:02:06,727
THE MOST SALIENT ISSUES RELATED 

4188
03:02:06,727 --> 03:02:15,869
TO UPTAKE FOR LGBTQIA PEOPLE AND

4189
03:02:15,869 --> 03:02:26,513
ACCESS TO SERVICES THERE ARE 

4190
03:02:32,085 --> 03:02:37,991
LGBTQIA SPECIFIC BARRIERS AND 

4191
03:02:37,991 --> 03:02:38,258
CHALLENGE.

4192
03:02:38,258 --> 03:02:40,194
WE NEED TO TAILOR RESEARCH TO 

4193
03:02:40,194 --> 03:02:41,962
SPECIFIC POPULATION OF FOCUS 

4194
03:02:41,962 --> 03:02:44,498
INCORPORATING SOCIAL, CULTURAL, 

4195
03:02:44,498 --> 03:02:45,232
ENVIRONMENTAL AND POLITICAL 

4196
03:02:45,232 --> 03:02:46,633
CONTEXT IN WHICH OUR RESEARCH 

4197
03:02:46,633 --> 03:02:47,568
TAKES PLACE.

4198
03:02:47,568 --> 03:02:54,308
WE NEED TO USE WHAT WE HAVE, 

4199
03:02:54,308 --> 03:02:54,875
LEVERAGE EXISTING STRATEGY 

4200
03:02:54,875 --> 03:02:57,477
DEVELOPMENT AND ALL OF US HAS A 

4201
03:02:57,477 --> 03:03:01,048
MASSIVE DATA SET WITH A 

4202
03:03:01,048 --> 03:03:04,751
SUBSTANTIAL NUMBER OF LGBTQ AI 

4203
03:03:04,751 --> 03:03:06,253
PARTICIPANTS AND LOOK AT HIV 

4204
03:03:06,253 --> 03:03:07,554
BURDENS, WORK WITH OTHER 

4205
03:03:07,554 --> 03:03:08,889
INVESTIGATORS WHO ENGAGED IN 

4206
03:03:08,889 --> 03:03:10,490
COMMUNITIES OF INTEREST AND TEAM

4207
03:03:10,490 --> 03:03:13,660
UP WITH HEALTH CARE INSTITUTION 

4208
03:03:13,660 --> 03:03:16,063
HAVE LGBTQ CLIENTS IF WE AN AND 

4209
03:03:16,063 --> 03:03:17,865
NEED TO FACILITATE PARTICIPATION

4210
03:03:17,865 --> 03:03:19,700
IN RESEARCH FOR EVERYBODY 

4211
03:03:19,700 --> 03:03:21,735
POTENTIALLY THROUGH FOR EXAMPLE 

4212
03:03:21,735 --> 03:03:25,239
REIMBURSEMENTS FOR TIME OR 

4213
03:03:25,239 --> 03:03:26,473
INCLUSION AND EXCLUSION CRITERIA

4214
03:03:26,473 --> 03:03:28,675
AND LOOKING AT THE FOCAL 

4215
03:03:28,675 --> 03:03:29,142
POPULATION.

4216
03:03:29,142 --> 03:03:30,244
PEOPLE MAY WANT TO BE A PART OF 

4217
03:03:30,244 --> 03:03:32,746
RESEARCH BUT WE HAVEN'T MADE 

4218
03:03:32,746 --> 03:03:33,347
THAT EASY SO WE NEED TO FIX 

4219
03:03:33,347 --> 03:03:43,457
THAT.

4220
03:03:46,026 --> 03:03:50,497
>> WITHIN THE MINORITIZED 

4221
03:03:50,497 --> 03:03:53,800
POPULATION I'D LIKE TO GO TO 

4222
03:03:53,800 --> 03:03:57,137
DR. COURTNEY AKLIN.

4223
03:03:57,137 --> 03:04:02,509
TO GET AT THE QUESTION OF HOW IS

4224
03:04:02,509 --> 03:04:06,046
NIH ENCOURAGING RESEARCH 

4225
03:04:06,046 --> 03:04:06,613
SPECIFICALLY INVESTIGATING 

4226
03:04:06,613 --> 03:04:07,781
SOCIAL DETERMINATES OF HEALTH 

4227
03:04:07,781 --> 03:04:09,316
AND SOME EXAMPLE ARE FOOD AND 

4228
03:04:09,316 --> 03:04:14,221
HOUSING INSECURITY AND EFFORTS 

4229
03:04:14,221 --> 03:04:17,691
TO ADVANCE RACIAL EQUITY IN THE 

4230
03:04:17,691 --> 03:04:18,191
HIV RESEARCH PORTFOLIO.

4231
03:04:18,191 --> 03:04:19,259
>> THANK YOU FOR ASKING
THAT 

4232
03:04:19,259 --> 03:04:19,526
QUESTION.

4233
03:04:19,526 --> 03:04:20,794
IT'S AN EXCITING TO HAVE THIS 

4234
03:04:20,794 --> 03:04:22,429
CONVERSATION BECAUSE THERE'S 

4235
03:04:22,429 --> 03:04:25,132
BEEN AN ENORMOUS UNDERSTANDING 

4236
03:04:25,132 --> 03:04:30,504
OF UTILIZIZATION -- UTILIZATION 

4237
03:04:30,504 --> 03:04:31,571
OF SOCIAL DETERMINATES OF HEALTH

4238
03:04:31,571 --> 03:04:33,340
AND SO MUCH SO IT'S ONE OF THE 

4239
03:04:33,340 --> 03:04:35,776
LENSES OF OUR FRAMEWORK AS WE 

4240
03:04:35,776 --> 03:04:36,843
PUT TOGETHER OUR STRATEGY PLAN 

4241
03:04:36,843 --> 03:04:39,513
AND IT'S NEXT TO IMPOSSIBLE IF 

4242
03:04:39,513 --> 03:04:40,747
YOU'RE DEALING WITH ANY CLINICAL

4243
03:04:40,747 --> 03:04:42,082
OR RESEARCH WORK TO BE ABLE TO 

4244
03:04:42,082 --> 03:04:43,250
ADDRESS THE QUESTIONS WITHOUT 

4245
03:04:43,250 --> 03:04:45,585
LOOKING AT THE VARIOUS LEVELS 

4246
03:04:45,585 --> 03:04:49,489
AND LOOKING AT IT FROM A SOCIAL 

4247
03:04:49,489 --> 03:04:50,857
DETERMINATE OF HEALTH LENS 

4248
03:04:50,857 --> 03:04:52,025
ALLOWS US TO DO THAT.

4249
03:04:52,025 --> 03:04:53,794
IN SPITE OF THERAPIES WE KNOW WE

4250
03:04:53,794 --> 03:04:55,729
CURRENTLY USE TO REDUCE THE 

4251
03:04:55,729 --> 03:04:57,664
VIRAL LOADS TO NEAR ZERO AND 

4252
03:04:57,664 --> 03:04:59,132
PREVENTIVE MEASURES SUCH AS PREP

4253
03:04:59,132 --> 03:05:01,868
AND USE OF CONDOMS WE SEE THESE 

4254
03:05:01,868 --> 03:05:03,704
DISPARITIES AND THE QUESTION IS 

4255
03:05:03,704 --> 03:05:04,004
ALWAYS WHY.

4256
03:05:04,004 --> 03:05:06,440
WHAT CAN WE DO DIFFERENTLY IN 

4257
03:05:06,440 --> 03:05:08,742
TERMS OF TEASING A PART WHAT IS 

4258
03:05:08,742 --> 03:05:11,044
THERE FOR NINR ONE THING WE WANT

4259
03:05:11,044 --> 03:05:17,617
TO DO IN TALKING ABOUT SOCIAL 

4260
03:05:17,617 --> 03:05:19,086
DETERMINATES OF HEALTH AND BREAK

4261
03:05:19,086 --> 03:05:21,521
DOWN THE NOMENCLATURE.

4262
03:05:21,521 --> 03:05:24,358
AT NIH BOTH NIMHD AND NINR HAVE 

4263
03:05:24,358 --> 03:05:25,892
TAKEN THE LEADERSHIP ROLE BY 

4264
03:05:25,892 --> 03:05:27,127
ESTABLISHING A COORDINATING 

4265
03:05:27,127 --> 03:05:28,862
COMMITTEE FOR ALL OF NIH TO 

4266
03:05:28,862 --> 03:05:32,766
REALLY HARNESS IN ON WHAT WE 

4267
03:05:32,766 --> 03:05:34,868
MEAN WHEN WE TALK ABOUT SOCIAL 

4268
03:05:34,868 --> 03:05:36,069
DETERMINATES OF HEALTH IF YOU 

4269
03:05:36,069 --> 03:05:37,804
LOOK AT CDC AND WORLD HEALTH 

4270
03:05:37,804 --> 03:05:40,340
ORGANIZATION YOU'LL HEAR PLACES 

4271
03:05:40,340 --> 03:05:43,276
WHERE PEOPLE WORK, PLAY, 

4272
03:05:43,276 --> 03:05:43,510
WORSHIP.

4273
03:05:43,510 --> 03:05:45,445
IT'S BIGGER THAN THAT AND TRYING

4274
03:05:45,445 --> 03:05:47,014
TO UNDERSTAND IT LEADS TO BETTER

4275
03:05:47,014 --> 03:05:48,382
QUESTIONS WHEN YOU THINK OF IT 

4276
03:05:48,382 --> 03:05:51,885
IN MATERIALS OF THAT FRAMEWORK.

4277
03:05:51,885 --> 03:05:55,555
THE OTHER FRAMEWORK AND RIGHT 

4278
03:05:55,555 --> 03:05:58,492
NOW WE HAVE A NOTICE OF INTENT 

4279
03:05:58,492 --> 03:05:59,893
TO PLAY TO ESTABLISH AWARENESS 

4280
03:05:59,893 --> 03:06:01,728
ACROSS THE NURSING DISCIPLINES 

4281
03:06:01,728 --> 03:06:03,430
AND DISCIPLINES THAT ARE 

4282
03:06:03,430 --> 03:06:04,931
COMPLIMENTARY TO IT IN TERMS OF 

4283
03:06:04,931 --> 03:06:06,299
BEING ABLE IT'S A ONE-YEAR 

4284
03:06:06,299 --> 03:06:07,534
COURSE AND BEING ABLE TO LEARN 

4285
03:06:07,534 --> 03:06:10,504
HOW TO ALIGN THE FIELDS WITH THE

4286
03:06:10,504 --> 03:06:12,739
FULL UNDERSTANDING OF HOW TO 

4287
03:06:12,739 --> 03:06:14,508
CONDUCT AND EVALUATION RESEARCH 

4288
03:06:14,508 --> 03:06:16,176
LOOKING AT IT FROM A SOCIAL 

4289
03:06:16,176 --> 03:06:16,877
DETERMINATES OF HEALTH LENS AND 

4290
03:06:16,877 --> 03:06:18,712
ONE EXAMPLE I WANT TO POINT TO 

4291
03:06:18,712 --> 03:06:20,947
WE FUNDED RECENTLY IS LOOKING AT

4292
03:06:20,947 --> 03:06:22,849
YOUTH.

4293
03:06:22,849 --> 03:06:23,984
WE'VE HAD CONVERSATION ABOUT THE

4294
03:06:23,984 --> 03:06:25,452
DIFFICULTY OF HAVING YOUTH TO 

4295
03:06:25,452 --> 03:06:27,487
FOLLOW THE PREVENTIVE MEASURES 

4296
03:06:27,487 --> 03:06:30,257
WE KNOW WORK AND TRYING TO 

4297
03:06:30,257 --> 03:06:32,592
UNDERSTAND HOW TO DO THAT AND 

4298
03:06:32,592 --> 03:06:33,827
TAKING INTO CONSIDERATION THE 

4299
03:06:33,827 --> 03:06:34,061
CONTEXT.

4300
03:06:34,061 --> 03:06:35,562
WE HAVE STUDIES THAT LOOK AT 

4301
03:06:35,562 --> 03:06:36,730
HOMELESS YOUTH AND TRY TO 

4302
03:06:36,730 --> 03:06:38,498
DETERMINE NOT ONLY ACCESS TO 

4303
03:06:38,498 --> 03:06:41,535
CARE BUT ALSO THE OPPORTUNITY OF

4304
03:06:41,535 --> 03:06:43,804
LEVERAGING PLACES WHERE THEY 

4305
03:06:43,804 --> 03:06:44,871
ARE, EXAMPLE SCHOOL AND SCHOOL 

4306
03:06:44,871 --> 03:06:46,506
SETTING IS ONE OF THE STUDIES WE

4307
03:06:46,506 --> 03:06:48,742
RECENTLY FUNDED TO TRY TO 

4308
03:06:48,742 --> 03:06:51,812
DETERMINE AN EXAMPLE IF UP TAKE 

4309
03:06:51,812 --> 03:06:53,046
IS MORE REASONABLE WHEN BROUGHT 

4310
03:06:53,046 --> 03:06:54,648
TO A SCHOOL SETTING TO HAVE A 

4311
03:06:54,648 --> 03:06:55,782
CONVERSATION OF WHAT IT IS AND 

4312
03:06:55,782 --> 03:06:57,451
PUTTING IT IN THE LARGER 

4313
03:06:57,451 --> 03:06:57,784
CONTEXT.

4314
03:06:57,784 --> 03:07:00,187
THERE'S THE IS AVAILABILITY OF 

4315
03:07:00,187 --> 03:07:09,429
TREATMENT AND SCREENING THERE.

4316
03:07:09,429 --> 03:07:13,266
WE LOOKED AT A STUDY WITH UNMET 

4317
03:07:13,266 --> 03:07:16,236
NEEDS AND ANTIVIRAL THERAPY AND 

4318
03:07:16,236 --> 03:07:18,638
ADHERENCE AMONG BLACK 

4319
03:07:18,638 --> 03:07:19,506
INDIVIDUALS LIVING WITH HIV IN 

4320
03:07:19,506 --> 03:07:19,973
LOS ANGELES.

4321
03:07:19,973 --> 03:07:22,142
THE MAIN FOCUS IS TO USE A 

4322
03:07:22,142 --> 03:07:23,210
COMMUNITY-ENGAGED APPROACH WHERE

4323
03:07:23,210 --> 03:07:25,645
WE'VE TAKEN TO NURSE 

4324
03:07:25,645 --> 03:07:26,580
PRACTITIONERS OR PRIMARY CARE 

4325
03:07:26,580 --> 03:07:28,982
SETTINGS TO BE ABLE TO ASK THE 

4326
03:07:28,982 --> 03:07:30,484
QUESTIONS BUT MAKING SURE WHEN 

4327
03:07:30,484 --> 03:07:31,785
WE POSE THE QUESTIONS WE'RE 

4328
03:07:31,785 --> 03:07:33,854
DOING IT IN A WAY THAT GETS AT 

4329
03:07:33,854 --> 03:07:35,021
NOT JUST THE RESEARCH QUESTIONS 

4330
03:07:35,021 --> 03:07:35,856
BUT THE ACCEPTABILITY OF THE 

4331
03:07:35,856 --> 03:07:46,266
QUESTIONS WE'RE ASKING.

4332
03:07:49,970 --> 03:07:50,470
>> THANK YOU.

4333
03:07:50,470 --> 03:07:51,571
THAT'S WHAT I WAS LOOKING FOR 

4334
03:07:51,571 --> 03:07:56,810
AND I KNOW WE HAVE LIMITED TIME 

4335
03:07:56,810 --> 03:07:59,012
AND AN AMBITIOUS QUESTIONS AND A

4336
03:07:59,012 --> 03:08:03,717
WOULD LIKE TO MOVE TO OPEN IT UP

4337
03:08:03,717 --> 03:08:06,553
TO MEMBERS TO COME IN WITH THEIR

4338
03:08:06,553 --> 03:08:06,820
QUESTIONS.

4339
03:08:06,820 --> 03:08:08,688
I WOULD SAY DEPENDING ON HOW 

4340
03:08:08,688 --> 03:08:09,689
THAT GOES IF THERE'S ADDITIONAL 

4341
03:08:09,689 --> 03:08:14,494
TIME WE'LL GO BACK TO OUR OTHER 

4342
03:08:14,494 --> 03:08:15,762
SLATE OF QUESTIONS.

4343
03:08:15,762 --> 03:08:21,535
LET'S INVITE FOLKS TO RAISE 

4344
03:08:21,535 --> 03:08:30,844
HANDS.

4345
03:08:30,844 --> 03:08:32,646
I SAW DR. NILLAND FIRST.

4346
03:08:32,646 --> 03:08:34,281
>> THANK YOU FOR THE
SPEAKERS.

4347
03:08:34,281 --> 03:08:36,383
IT'S A RICH AND 

4348
03:08:36,383 --> 03:08:36,983
THOUGHT-PROVOKING DISCUSSION 

4349
03:08:36,983 --> 03:08:47,027
TODAY.

4350
03:08:47,027 --> 03:08:49,262
ONE THING THAT STRUCK ME IN 

4351
03:08:49,262 --> 03:08:52,232
DISPARITIES AS SOMEONE WHO 

4352
03:08:52,232 --> 03:08:54,501
TRANSITIONED TO RESEARCH 

4353
03:08:54,501 --> 03:08:57,237
INDEPENDENCE ONE THE I DO AS AN 

4354
03:08:57,237 --> 03:08:58,805
EARLY STAGE INVESTIGATOR WHEN I 

4355
03:08:58,805 --> 03:09:03,410
LOOK AT THE O ARDF AND WE LOOK 

4356
03:09:03,410 --> 03:09:06,513
AT DISPARITY RESEARCH AND WONDER

4357
03:09:06,513 --> 03:09:10,016
IF THAT'S SOMETHING OAR CAN 

4358
03:09:10,016 --> 03:09:13,486
ADVOCATE FOR MAKING THOSE DATA 

4359
03:09:13,486 --> 03:09:17,724
AVAILABLE AND TRANSPARENT 

4360
03:09:17,724 --> 03:09:20,527
BECAUSE THE WORK GOING ON AND 

4361
03:09:20,527 --> 03:09:22,529
SECOND REFLECTS ON WHAT 

4362
03:09:22,529 --> 03:09:24,164
DR. ELISEO PEREZ-STABLE 

4363
03:09:24,164 --> 03:09:29,002
ESTABLISHED ABOUT THE DEARTH OF 

4364
03:09:29,002 --> 03:09:39,212
POPULATI

4365
03:09:40,880 --> 03:09:43,683
POPULATIONS  THINKING ABOUT THE 

4366
03:09:43,683 --> 03:09:44,384
COMMUNITY-ENGAGED RESEARCH BEING

4367
03:09:44,384 --> 03:09:47,754
DIFFICULT TO PITCH AND GET 

4368
03:09:47,754 --> 03:09:47,988
FUNDED.

4369
03:09:47,988 --> 03:09:50,290
DR. NELSON TALKING ABOUT NORMAL 

4370
03:09:50,290 --> 03:09:53,126
SCIENCE AND DR. MALDONADO 

4371
03:09:53,126 --> 03:09:55,362
TALKING ABOUT THE NEW CRITERIA 

4372
03:09:55,362 --> 03:09:58,298
FOR A REVIEW PANEL TO GUIDE 

4373
03:09:58,298 --> 03:10:00,734
REVIEW PANELS.

4374
03:10:00,734 --> 03:10:02,769
NIH HAS TERRIFIC TOOLS FOR 

4375
03:10:02,769 --> 03:10:06,206
INVESTIGATORS TO FIGURE OUT AND 

4376
03:10:06,206 --> 03:10:08,475
NAVIGATE THIS COMPLEX SYSTEM 

4377
03:10:08,475 --> 03:10:10,844
LIKE AN ASSISTIVE REFERRAL TOOL.

4378
03:10:10,844 --> 03:10:13,413
FOR THE IPOs OR OTHERS, THERE'S 

4379
03:10:13,413 --> 03:10:15,949
A MECHANISM WHERE YOU CAN 

4380
03:10:15,949 --> 03:10:16,716
REQUEST ADDITIONAL EXPERTISE TO 

4381
03:10:16,716 --> 03:10:20,086
BE ON THE REVIEW PANEL BUT I 

4382
03:10:20,086 --> 03:10:21,054
WONDER WHAT OPPORTUNITIES MIGHT 

4383
03:10:21,054 --> 03:10:24,991
BE TO ENHANCE THE MEMBERSHIP OF 

4384
03:10:24,991 --> 03:10:27,560
THE REVIEW PANEL TO REFLECT 

4385
03:10:27,560 --> 03:10:32,132
BETTER THE APPLICATIONS COMING 

4386
03:10:32,132 --> 03:10:32,532
IN IN ADDITION TO 

4387
03:10:32,532 --> 03:10:42,809
[INDISCERNIBLE].

4388
03:10:44,177 --> 03:10:45,945
THERE'S BEEN SUBSTANTIAL 

4389
03:10:45,945 --> 03:10:48,882
INVESTMENT IN THE SPACE OF 

4390
03:10:48,882 --> 03:10:51,217
HEALTH DISPARITIES AND TERMS OF 

4391
03:10:51,217 --> 03:10:54,754
WHAT WE CALL THINGS AT NIH.

4392
03:10:54,754 --> 03:10:56,823
I REMEMBER OVER THE LAST THREE 

4393
03:10:56,823 --> 03:11:00,894
OR FOUR YEARS ANNUALLY SOMEWHERE

4394
03:11:00,894 --> 03:11:04,297
AROUND A FIGURE OF $450 TO $500 

4395
03:11:04,297 --> 03:11:06,399
MILLION GOING TO THE TOPICAL 

4396
03:11:06,399 --> 03:11:06,900
AREA.

4397
03:11:06,900 --> 03:11:09,869
I CAN TELL YOU THAT.

4398
03:11:09,869 --> 03:11:13,406
MORE DETAIL AND GETTING GRANULAR

4399
03:11:13,406 --> 03:11:17,077
DATA THAT CAN BE PART OF THIS IS

4400
03:11:17,077 --> 03:11:19,979
IMPORTANT TO DO AND I'LL LEAVE 

4401
03:11:19,979 --> 03:11:23,149
THAT TO OUR DATA GURUS AND GOING

4402
03:11:23,149 --> 03:11:24,884
BACK AND FOLLOW UP WITH YOU AND 

4403
03:11:24,884 --> 03:11:27,320
BLANKING ON YOUR OTHER COMMENT 

4404
03:11:27,320 --> 03:11:31,024
RELATED TO REVIEW.

4405
03:11:31,024 --> 03:11:35,662
I THINK AGAIN, THERE'S A LOT OF 

4406
03:11:35,662 --> 03:11:36,496
OPPORTUNITIES TO BE ABLE TO 

4407
03:11:36,496 --> 03:11:39,733
ADDRESS THAT FROM A PROGRAMMING 

4408
03:11:39,733 --> 03:11:42,902
PERSPECTIVE VIA INITIATIVES AND 

4409
03:11:42,902 --> 03:11:46,272
RFAs AND SPECIAL PANELS.

4410
03:11:46,272 --> 03:11:48,241
YOU'RE REFERRING MORE TO THE 

4411
03:11:48,241 --> 03:11:49,709
INVESTIGATOR SUBMITTED AWARDS 

4412
03:11:49,709 --> 03:11:51,678
AND HOW THINGS COME IN FOR NEW 

4413
03:11:51,678 --> 03:11:56,716
INVESTIGATORS, ETCETERA.

4414
03:11:56,716 --> 03:12:03,523
AND I THINK AGAIN I KNOW OUR 

4415
03:12:03,523 --> 03:12:05,158
REVIEW IS UNDERGOING A NEW 

4416
03:12:05,158 --> 03:12:07,594
PROCESS IN LOOKING AT PROCEDURES

4417
03:12:07,594 --> 03:12:09,696
AND IT'S A UNIQUE OPPORTUNITY TO

4418
03:12:09,696 --> 03:12:10,830
PROVIDE THAT FEEDBACK AND SEE 

4419
03:12:10,830 --> 03:12:12,899
WHAT WE CAN DO TO ADVANCE THE 

4420
03:12:12,899 --> 03:12:15,435
CAUSE FURTHER TO MAKE SURE WE'RE

4421
03:12:15,435 --> 03:12:15,668
ALIGNED.

4422
03:12:15,668 --> 03:12:18,505
WE'LL HAVE TO GET BACK TO YOU ON

4423
03:12:18,505 --> 03:12:26,179
THAT AS WELL.

4424
03:12:26,179 --> 03:12:27,480
>> LULU  -- LUIS.

4425
03:12:27,480 --> 03:12:29,749
>> I HAVE BEEN HEARING
ABOUT THE

4426
03:12:29,749 --> 03:12:32,685
PROPOSALS COME FROM MINORITY 

4427
03:12:32,685 --> 03:12:35,522
INSTITUTIONS AND THE INABILITY 

4428
03:12:35,522 --> 03:12:38,491
TO COMPETE WITH HIGHER INCOME 

4429
03:12:38,491 --> 03:12:41,027
INSTITUTIONS.

4430
03:12:41,027 --> 03:12:42,896
AS IT BEEN TALKED ABOUT TODAY, 

4431
03:12:42,896 --> 03:12:45,665
WE TO PROPOSE A WHOLE NEW 

4432
03:12:45,665 --> 03:12:45,932
PARADIGM.

4433
03:12:45,932 --> 03:12:46,833
WE KNOW WHAT WE'RE DOING DOESN'T

4434
03:12:46,833 --> 03:12:47,333
WORK.

4435
03:12:47,333 --> 03:12:50,870
WE'VE BEEN TALKING ABOUT IT FOR 

4436
03:12:50,870 --> 03:12:51,604
20 YEARS.

4437
03:12:51,604 --> 03:12:57,043
SO I THINK IT'S TIME FOR SOME 

4438
03:12:57,043 --> 03:13:04,484
NEW IDEAS IF YOU SEARCH HEALTH 

4439
03:13:04,484 --> 03:13:07,020
DISPARITIES ONE THING THAT SAYS 

4440
03:13:07,020 --> 03:13:08,555
COMMUNITY-BASED ISSUES BUT MAYBE

4441
03:13:08,555 --> 03:13:10,623
WE NEED TO KIND OF PROPOSE THAT 

4442
03:13:10,623 --> 03:13:13,960
THESE STUDY SECTIONS NEED TO BE 

4443
03:13:13,960 --> 03:13:19,866
TAILORED IN FUNDING LEVELS FOR 

4444
03:13:19,866 --> 03:13:20,200
INSTITUTIONS.

4445
03:13:20,200 --> 03:13:22,335
AND TRYING TO HAVE STUDY 

4446
03:13:22,335 --> 03:13:23,503
SECTIONS THAT REFLECT THE 

4447
03:13:23,503 --> 03:13:24,370
COMMUNITIES AND INSTITUTIONS 

4448
03:13:24,370 --> 03:13:27,006
THAT ARE TRYING TO BREAK INTO A 

4449
03:13:27,006 --> 03:13:27,273
FIELD.

4450
03:13:27,273 --> 03:13:29,843
OTHERWISE WE REFER BACK TO THE 

4451
03:13:29,843 --> 03:13:33,213
HIGH-INCOME INSTITUTION AND 

4452
03:13:33,213 --> 03:13:35,315
INVESTIGATORS NEED TO GET 

4453
03:13:35,315 --> 03:13:37,884
GRANDFATHER APPLICATIONS WITH 

4454
03:13:37,884 --> 03:13:38,785
OTHER INSTITUTION TO GET THEM 

4455
03:13:38,785 --> 03:13:39,686
THROUGH STUDY SECTION.

4456
03:13:39,686 --> 03:13:44,791
THE POINT I WANTED TO BRING 

4457
03:13:44,791 --> 03:13:45,992
BECAUSE IT'S AN OUTSTANDING 

4458
03:13:45,992 --> 03:13:48,862
GROUP OF INDIVIDUALS IN MULTIPLE

4459
03:13:48,862 --> 03:13:50,530
INSTITUTES IS TO ENCOURAGE 

4460
03:13:50,530 --> 03:13:52,866
EXISTING NETWORKS.

4461
03:13:52,866 --> 03:13:54,467
WE HAVE MINORITY INSTITUTIONS 

4462
03:13:54,467 --> 03:13:55,635
THAT KNOW THEIR CANDIDATES VERY 

4463
03:13:55,635 --> 03:13:56,903
WELL AND HAVE BEEN WORKING IN 

4464
03:13:56,903 --> 03:13:59,038
THE COMMUNITIES 25 YEARS OR 

4465
03:13:59,038 --> 03:14:00,306
MORE.

4466
03:14:00,306 --> 03:14:09,616
THE CCFARs DO THIS SUCCESSFULLY 

4467
03:14:09,616 --> 03:14:12,952
AND THERE'S AN EXAMPLE WHERE WE 

4468
03:14:12,952 --> 03:14:16,022
RECOGNIZE WE NEED MORE 

4469
03:14:16,022 --> 03:14:17,423
REPRESENTATION IN RESEARCH FROM 

4470
03:14:17,423 --> 03:14:19,425
INSTITUTIONS AND THEY'RE USING 

4471
03:14:19,425 --> 03:14:22,595
THE CFAR NETWORK TO PROMOTE.

4472
03:14:22,595 --> 03:14:25,365
THE NCI DOES THIS ACROSS 

4473
03:14:25,365 --> 03:14:25,632
NETWORKS.

4474
03:14:25,632 --> 03:14:31,471
MAYBE WE COULD EXPLORE HOW TO 

4475
03:14:31,471 --> 03:14:33,406
SPARK INITIATIVES WITHIN THE 

4476
03:14:33,406 --> 03:14:34,107
EXISTING NETWORKS THAT ALREADY 

4477
03:14:34,107 --> 03:14:38,478
REACH THE POPULATIONS OPPOSED TO

4478
03:14:38,478 --> 03:14:42,148
TRY TO EACH INSTITUTE CREATE 

4479
03:14:42,148 --> 03:14:52,759
SOMETHING AN MAYBE SYNERGIZING 

4480
03:14:55,728 --> 03:14:58,131
WITH THEM WOULD BE MORE 

4481
03:14:58,131 --> 03:14:59,365
SUCCESSFUL.

4482
03:14:59,365 --> 03:14:59,766
>> POINTS TAKEN.

4483
03:14:59,766 --> 03:15:02,802
DR. MERMIN.

4484
03:15:02,802 --> 03:15:03,670
>> THANK YOU.

4485
03:15:03,670 --> 03:15:09,742
I APPRECIATE IT THE CONFERENCE.

4486
03:15:09,742 --> 03:15:16,883
I AM -- I WANTED TO PROPOSE OAR 

4487
03:15:16,883 --> 03:15:21,888
THINK ABOUT WHAT ARE WE FUNDING.

4488
03:15:21,888 --> 03:15:25,658
ARE WE GOING THE MOST STRATEGIC 

4489
03:15:25,658 --> 03:15:27,594
SCIENTIFIC WORK THAT WOULD END 

4490
03:15:27,594 --> 03:15:35,668
UP IF IMPLEMENTED REDUCE THE 

4491
03:15:35,668 --> 03:15:37,570
DISPARITIES IN HIV.

4492
03:15:37,570 --> 03:15:39,305
THE ISSUE WE FIND OURSELVES 

4493
03:15:39,305 --> 03:15:42,475
GOING BACK DOWN THE PATHWAY OF 

4494
03:15:42,475 --> 03:15:45,878
SMALL DEMONSTRATION PROJECTS OR 

4495
03:15:45,878 --> 03:15:47,347
INTENSE NICHE RESEARCH THAT IS 

4496
03:15:47,347 --> 03:15:49,515
NOT AS USEFUL AS SOME OF THE 

4497
03:15:49,515 --> 03:15:53,820
OTHER RESEARCH THAT COULD BE 

4498
03:15:53,820 --> 03:15:55,388
MORE DIRECTLY APPLICABLE.

4499
03:15:55,388 --> 03:15:57,256
WE WANT TO DO WELL.

4500
03:15:57,256 --> 03:15:59,726
I GUESS ONE QUESTION IS HOW DO 

4501
03:15:59,726 --> 03:16:01,494
YOU LOOK BACK AT THE RESEARCH 

4502
03:16:01,494 --> 03:16:03,830
THAT WAS CONNECTED OVER THE PAST

4503
03:16:03,830 --> 03:16:06,966
10 YEARS FUNDED THROUGH THE HIV 

4504
03:16:06,966 --> 03:16:09,669
RESEARCH AND THEY DIDN'T 

4505
03:16:09,669 --> 03:16:11,204
SUCCESS.

4506
03:16:11,204 --> 03:16:13,539
I GUESS WE'D HAVE DIFFERENT 

4507
03:16:13,539 --> 03:16:14,173
DEFINITIONS.

4508
03:16:14,173 --> 03:16:15,475
WERE THEY BROUGHT TO SCALE?

4509
03:16:15,475 --> 03:16:17,810
DID THEY END UP BEING A LINCHPIN

4510
03:16:17,810 --> 03:16:20,947
TO SOME NEW INTERVENTION OR NEW 

4511
03:16:20,947 --> 03:16:23,316
APPROACH THAT REALLY WAS 

4512
03:16:23,316 --> 03:16:25,652
FUNDAMENTAL TO CHANGING THE 

4513
03:16:25,652 --> 03:16:28,254
WORLD OF NIH IN A WAY THAT WE 

4514
03:16:28,254 --> 03:16:31,057
THINK IS GOING TO MAKE A 

4515
03:16:31,057 --> 03:16:32,792
DIFFERENCE BECAUSE THAT PROCESS 

4516
03:16:32,792 --> 03:16:35,828
IF WE DON'T DO WE END UP KIND OF

4517
03:16:35,828 --> 03:16:38,398
HAVING A LOT OF TANGLED WEB OF 

4518
03:16:38,398 --> 03:16:39,699
MULTIPLE DIFFERENT PROJECTS 

4519
03:16:39,699 --> 03:16:41,634
AND STUDIES AND I THINK SOME OF 

4520
03:16:41,634 --> 03:16:42,935
THE RESEARCHERS WHO WANT TO 

4521
03:16:42,935 --> 03:16:45,838
APPLY WON'T SEE THEMSELVES OR 

4522
03:16:45,838 --> 03:16:51,444
THEIR RESEARCH BUT WE CAN DIRECT

4523
03:16:51,444 --> 03:16:52,845
THAT MORE BY THINKING WHAT WE'RE

4524
03:16:52,845 --> 03:16:54,681
FUNDING AND THE DESIGN OF THE 

4525
03:16:54,681 --> 03:16:57,550
RFAs AND GRANTS AND I THINK 

4526
03:16:57,550 --> 03:16:59,852
WE'RE MISSING SOME OF THAT IN 

4527
03:16:59,852 --> 03:17:04,857
SOME OF THE RESEARCH THAT WE ARE

4528
03:17:04,857 --> 03:17:13,099
FUNDING THAT THEY WEREN'T THE 

4529
03:17:13,099 --> 03:17:17,503
STUDIES THAT WOULD HAVE GONE IN 

4530
03:17:17,503 --> 03:17:22,475
THE LOGIC MODEL TOWARDS GREATEST

4531
03:17:22,475 --> 03:17:32,852
PUBLIC HEALTH SUCCESS.

4532
03:17:33,419 --> 03:17:34,654
>> WHEN THEY PUT TOGETHER
THE 

4533
03:17:34,654 --> 03:17:36,656
PROGRAMS AND INITIATIVES AND 

4534
03:17:36,656 --> 03:17:37,724
DEVELOPING THEM, I THINK 

4535
03:17:37,724 --> 03:17:39,525
EVERYBODY AND I DID THIS WHEN I 

4536
03:17:39,525 --> 03:17:41,427
WAS AT ONE OF THOSE, YOU CONDUCT

4537
03:17:41,427 --> 03:17:43,763
A PROGRAMMATIC ANALYSIS AND LOOK

4538
03:17:43,763 --> 03:17:45,465
AT JUICE FOR SQUEEZE AND WHAT'S 

4539
03:17:45,465 --> 03:17:46,265
HAPPENED AND WHERE THE GAPS ARE 

4540
03:17:46,265 --> 03:17:48,301
AND WHERE THEY NEED TO GO.

4541
03:17:48,301 --> 03:17:49,869
I THINK THAT IS PART OF THE 

4542
03:17:49,869 --> 03:17:53,072
PROCESS BUT I THINK THE OTHER 

4543
03:17:53,072 --> 03:17:55,975
PART THAT'S INTEGRAL IS AT THAT 

4544
03:17:55,975 --> 03:17:57,343
STRATEGIC PLANNING AND NIH-WIDE 

4545
03:17:57,343 --> 03:18:00,379
PRIORITY SETTING WE WERE TALKING

4546
03:18:00,379 --> 03:18:02,482
ABOUT BRIEFLY I MENTIONED 

4547
03:18:02,482 --> 03:18:07,086
EARLIER, I THINK IT DOES REQUIRE

4548
03:18:07,086 --> 03:18:10,056
A LITTLE BIT OF THAT ANALYSIS, 

4549
03:18:10,056 --> 03:18:13,159
THAT PROGRAMMATIC ANALYSIS 

4550
03:18:13,159 --> 03:18:16,462
ACROSS AND SEEING WHAT JUICE 

4551
03:18:16,462 --> 03:18:16,963
SQUEEZED LOOKS LIKE.

4552
03:18:16,963 --> 03:18:17,697
GOOD POINTS.

4553
03:18:17,697 --> 03:18:22,602
VERY GOOD POINTS.

4554
03:18:22,602 --> 03:18:24,437
ALL RIGHT.

4555
03:18:24,437 --> 03:18:28,107
ANYBODY ELSE FROM PANELIST HAVE 

4556
03:18:28,107 --> 03:18:30,042
TO LEAVE AN COUPLE MINUTES?

4557
03:18:30,042 --> 03:18:32,011
I DON'T SEE OTHER HANDS UP.

4558
03:18:32,011 --> 03:18:35,681
TIM, DO YOU WANT TO GO INTO 

4559
03:18:35,681 --> 03:18:36,415
ANOTHER QUESTION?

4560
03:18:36,415 --> 03:18:42,822
>> LET'S MOVE INTO
DISCUSSION OF

4561
03:18:42,822 --> 03:18:43,990
IMPLEMENTATION RESEARCH.

4562
03:18:43,990 --> 03:18:45,191
WE KNOW INFLAMMATION RESEARCH 

4563
03:18:45,191 --> 03:18:49,529
APPROACHES CAN LOOK AT DIRECT OR

4564
03:18:49,529 --> 03:18:51,264
INDIRECT FACTORS AND THAT 

4565
03:18:51,264 --> 03:18:56,702
MITIGATE STRUCTURING AND SOCIAL 

4566
03:18:56,702 --> 03:18:58,371
DETERMINATES OF HEALTH AND 

4567
03:18:58,371 --> 03:18:59,772
INTERSECTIONAL ISSUES AND 

4568
03:18:59,772 --> 03:19:01,174
THERE'S A LARGE PORTFOLIO.

4569
03:19:01,174 --> 03:19:02,508
WOULD YOU BRIEFLY TALK TO US 

4570
03:19:02,508 --> 03:19:05,077
ABOUT THE BEST PRACTICES OR 

4571
03:19:05,077 --> 03:19:05,945
SUCCESSFUL APPROACHES THAT COULD

4572
03:19:05,945 --> 03:19:08,581
BE EXPANDED OR POTENTIALLY 

4573
03:19:08,581 --> 03:19:18,791
ADAPTED IN NEW SETTINGS.

4574
03:19:18,791 --> 03:19:20,426
>> SO IMPLEMENTATION
SCIENCE IS 

4575
03:19:20,426 --> 03:19:22,328
A COMPLICATE ADD APPROACH AND 

4576
03:19:22,328 --> 03:19:26,465
NOT A SINGLE -- IT'S GOT TO BE 

4577
03:19:26,465 --> 03:19:28,668
AN INTEGRATED THING.

4578
03:19:28,668 --> 03:19:32,238
ONE THING LARON BROUGHT UP YEAR 

4579
03:19:32,238 --> 03:19:34,507
IS IT'S NOT A -- IN ORDER TO BE 

4580
03:19:34,507 --> 03:19:37,310
EFFECTIVE IT HAS TO BE 

4581
03:19:37,310 --> 03:19:37,743
MULTI-DISCIPLINARY.

4582
03:19:37,743 --> 03:19:38,811
ONE OF THE FIRST THINGS THAT HAS

4583
03:19:38,811 --> 03:19:47,353
TO BE MULTI-DISCIPLINARY BUT AND

4584
03:19:47,353 --> 03:19:48,354
THERE'S DIFFERENT ISSUES THAT 

4585
03:19:48,354 --> 03:19:49,422
WILL BE IMPORTANT.

4586
03:19:49,422 --> 03:19:53,993
SO THE REAL -- THE GOAL OF THE 

4587
03:19:53,993 --> 03:19:54,961
IMPLEMENTATION SCIENCE AGENDA IS

4588
03:19:54,961 --> 03:19:57,296
TO STRENGTHEN THE EVIDENCE WITH 

4589
03:19:57,296 --> 03:19:59,966
IMPLEMENTATION STRATEGY TARGET 

4590
03:19:59,966 --> 03:20:00,566
THE SOCIAL DETERMINATES OF 

4591
03:20:00,566 --> 03:20:02,802
HEALTH AND ULTIMATELY APPROVE 

4592
03:20:02,802 --> 03:20:05,271
OUTCOMES AND REDUCE INEQUITIES.

4593
03:20:05,271 --> 03:20:06,239
AND ONE OF THE FIRST CRITICAL 

4594
03:20:06,239 --> 03:20:09,542
THINGS ABOUT THAT IS TO ENGAGE 

4595
03:20:09,542 --> 03:20:12,912
COMMUNITY PARTNERS TO 

4596
03:20:12,912 --> 03:20:14,413
CONDUCTIVELY IDENTIFY WHICH 

4597
03:20:14,413 --> 03:20:15,748
SOCIAL DETERMINATES OF HEALTH 

4598
03:20:15,748 --> 03:20:16,782
AND WHICH OUTCOMES ARE CRITICAL 

4599
03:20:16,782 --> 03:20:18,885
TO ANSWERING THE QUESTION YOU 

4600
03:20:18,885 --> 03:20:21,954
WANT TO ANSWER IN THAT 

4601
03:20:21,954 --> 03:20:24,357
PARTICULAR COMMUNITY AND THE 

4602
03:20:24,357 --> 03:20:25,391
RESEARCH QUESTIONS AND METHODS 

4603
03:20:25,391 --> 03:20:28,027
ARE DEVELOPED AROUND THAT.

4604
03:20:28,027 --> 03:20:30,529
AND THEN INTERDISCIPLINARY 

4605
03:20:30,529 --> 03:20:35,501
RESEARCH TEAM AND STRONG 

4606
03:20:35,501 --> 03:20:36,702
INTERACTION WITH THE COMMUNITY 

4607
03:20:36,702 --> 03:20:42,408
BECAUSE THE INTERVENTION MAY 

4608
03:20:42,408 --> 03:20:44,810
HAVE EVIDENT BASE BUT HAS TO BE 

4609
03:20:44,810 --> 03:20:46,312
TAILORED TO THE COMMUNITY YOU'RE

4610
03:20:46,312 --> 03:20:47,513
TRYING TO WORK WITH.

4611
03:20:47,513 --> 03:20:50,182
SOMETIMES A HYBRID EFFECTIVENESS

4612
03:20:50,182 --> 03:20:53,319
AND IMPLEMENTATION APPROACH IS 

4613
03:20:53,319 --> 03:20:58,324
GOOD BECAUSE IT AND USING AN 

4614
03:20:58,324 --> 03:20:59,625
IMPLEMENTATION SCIENCE FRAME 

4615
03:20:59,625 --> 03:21:01,093
WORK YOU CAN BUILD IN CHECK 

4616
03:21:01,093 --> 03:21:02,828
POINTS AND PIVOT WITH THE 

4617
03:21:02,828 --> 03:21:04,830
APPROACH IF YOU'RE SEEING THAT 

4618
03:21:04,830 --> 03:21:06,499
YOU'RE -- THOSE THINGS ARE NOT 

4619
03:21:06,499 --> 03:21:08,968
WORKING PARTICULARLY AS YOU HAD 

4620
03:21:08,968 --> 03:21:09,235
EXPECTED.

4621
03:21:09,235 --> 03:21:12,071
THE OTHER THING I THINK THAT'S 

4622
03:21:12,071 --> 03:21:13,105
REALLY IMPORTANT THAT WE'RE 

4623
03:21:13,105 --> 03:21:14,807
GETTING MORE AND MORE INVOLVED 

4624
03:21:14,807 --> 03:21:20,680
IN IS USING DATA SCIENCE TO 

4625
03:21:20,680 --> 03:21:24,817
BETTER UNDERSTAND AND DEVELOP 

4626
03:21:24,817 --> 03:21:28,154
COMPLEX MODEL SYSTEMS TO 

4627
03:21:28,154 --> 03:21:30,489
UNDERSTAND THE PARTICULAR SOCIAL

4628
03:21:30,489 --> 03:21:31,157
STRUCTURAL DETERMINATES WITHIN 

4629
03:21:31,157 --> 03:21:32,258
THE POPULATION AND YOU CAN 

4630
03:21:32,258 --> 03:21:34,060
IDENTIFY MORE TARGETED 

4631
03:21:34,060 --> 03:21:34,694
PREVENTION, TREATMENT AND CARE 

4632
03:21:34,694 --> 03:21:40,166
OPPORTUNITIES.

4633
03:21:40,166 --> 03:21:43,002
AND THE OTHER THING IN 

4634
03:21:43,002 --> 03:21:44,837
COLLABORATION WITH DATA AND 

4635
03:21:44,837 --> 03:21:45,805
IMPLEMENTATION SCIENCE IS 

4636
03:21:45,805 --> 03:21:47,406
COMMUNITY AND IMPLEMENTING 

4637
03:21:47,406 --> 03:21:49,075
PARTNERS AND OTHER INTERESTED 

4638
03:21:49,075 --> 03:21:50,609
EFFECTIVE PARTIES CAN CLEARLY 

4639
03:21:50,609 --> 03:21:53,913
DEFINE THE PROBLEM AND THEN 

4640
03:21:53,913 --> 03:21:55,481
DEFINE AND PRIORITY PRIORITIZE 

4641
03:21:55,481 --> 03:21:59,085
THE KEY VARIABLES AND THEN 

4642
03:21:59,085 --> 03:22:03,622
DEVELOP THE APPROACH THAT HAS 

4643
03:22:03,622 --> 03:22:06,492
LIKELY THE OPPORTUNITY TO BE 

4644
03:22:06,492 --> 03:22:06,759
EFFECTIVE.

4645
03:22:06,759 --> 03:22:11,297
SO THAT'S KIND OF HOW WE'VE BEEN

4646
03:22:11,297 --> 03:22:11,630
WORKING ON IT.

4647
03:22:11,630 --> 03:22:14,800
THERE ARE LOTS OF LOGIC MODELS 

4648
03:22:14,800 --> 03:22:18,938
FOR IMPLEMENTATION SCIENCE AND 

4649
03:22:18,938 --> 03:22:19,672
DEPENDING ON THE QUESTION YOU 

4650
03:22:19,672 --> 03:22:23,075
WANT TO ASK YOU PICK THE BEST 

4651
03:22:23,075 --> 03:22:29,015
ONE THAT ALLOWS YOU TO MOVE 

4652
03:22:29,015 --> 03:22:31,384
FORWARD AND PUT THE BEST TEAM 

4653
03:22:31,384 --> 03:22:31,650
TOGETHER.

4654
03:22:31,650 --> 03:22:33,753
THOSE ARE MY SUGGESTIONS.

4655
03:22:33,753 --> 03:22:34,920
I'M SURE THERE'S OTHERS.

4656
03:22:34,920 --> 03:22:36,822
CATALYZING WHAT PEOPLE HAVE SAID

4657
03:22:36,822 --> 03:22:38,457
IN THIS MEETING.

4658
03:22:38,457 --> 03:22:40,493
ALL THE POINTS ARE VERY VALID.

4659
03:22:40,493 --> 03:22:42,128
IF YOU WANT TO ENGAGE THE 

4660
03:22:42,128 --> 03:22:43,195
COMMUNITY YOU HAVE TO ENGAGE THE

4661
03:22:43,195 --> 03:22:45,765
COMMUNITY THAT YOU WANT TO WORK 

4662
03:22:45,765 --> 03:22:49,301
WITH SO YOU ARE TALKING THEIR 

4663
03:22:49,301 --> 03:22:50,503
TALK AND APPROACHING MEETING 

4664
03:22:50,503 --> 03:22:54,874
THEIR NEEDS.

4665
03:22:54,874 --> 03:22:55,207
>> THANK YOU.

4666
03:22:55,207 --> 03:22:57,209
I'D LIKE TO GET IN THE NEXT 10 

4667
03:22:57,209 --> 03:22:59,812
MINUTES I'D LIKE TO GIVE A 

4668
03:22:59,812 --> 03:23:01,947
CHANCE TO DOCTORS, BRYANT, 

4669
03:23:01,947 --> 03:23:03,983
CHANDLER AND AKLIN TO ANSWER ONE

4670
03:23:03,983 --> 03:23:08,788
MORE QUESTION SPECIFICALLY TO 

4671
03:23:08,788 --> 03:23:11,357
DOCTORS, BRYANT AND CHANDLER 

4672
03:23:11,357 --> 03:23:16,128
FIRST WHAT DEMONSTRATES EFFICACY

4673
03:23:16,128 --> 03:23:17,930
TO REDUCE TRANSMISSION IN REAL 

4674
03:23:17,930 --> 03:23:18,264
WORLD CONTEXT.

4675
03:23:18,264 --> 03:23:20,800
FOR EXAMPLE, SOMETHING WE NEED 

4676
03:23:20,800 --> 03:23:24,570
TO DO WITH SYRINGE EXCHANGE 

4677
03:23:24,570 --> 03:23:25,204
PROGRAMS OR PREP FOR PEOPLE 

4678
03:23:25,204 --> 03:23:27,773
USING SUBSTANCES?

4679
03:23:27,773 --> 03:23:28,374
DR. BRYANT.

4680
03:23:28,374 --> 03:23:31,477
>> WHEN I WAS AT YALE
UNIVERSITY

4681
03:23:31,477 --> 03:23:34,113
30 YEARS AGO WE STARTED THE 

4682
03:23:34,113 --> 03:23:35,414
FIRST NEEDLE EXCHANGE PROGRAM.

4683
03:23:35,414 --> 03:23:42,888
SO I'M ALL FOR IT.

4684
03:23:42,888 --> 03:23:45,124
OUR FOCUS HAS BEEN ON TRYING TO 

4685
03:23:45,124 --> 03:23:48,327
LOOK AT THE PREVENTION ASPECT 

4686
03:23:48,327 --> 03:23:52,565
MORE CAREFULLY IN TERM OF THE 

4687
03:23:52,565 --> 03:23:56,102
WHOLE BEHAVIORAL ATTITUDES AND 

4688
03:23:56,102 --> 03:23:58,804
BEHAVIOR CHARACTERISTIC OF THE 

4689
03:23:58,804 --> 03:24:00,239
POPULATIONS THAT WE'RE LOOKING 

4690
03:24:00,239 --> 03:24:06,278
AT AND THEY'RE PRIMARILY ALCOHOL

4691
03:24:06,278 --> 03:24:08,547
DEPRESSED POPULATIONS WITH OTHER

4692
03:24:08,547 --> 03:24:09,181
COMORBIDITIES.

4693
03:24:09,181 --> 03:24:13,652
IT'S A CHALLENGE.

4694
03:24:13,652 --> 03:24:16,589
THE ISSUE IS WHAT WAS MENTIONED 

4695
03:24:16,589 --> 03:24:17,723
BEFORE IS HOW DO YOU INTEGRATE 

4696
03:24:17,723 --> 03:24:20,426
THE SUBSTANCE USE AND THIS IS 

4697
03:24:20,426 --> 03:24:22,495
TRUE OF OTHER SUBSTANCES INTO 

4698
03:24:22,495 --> 03:24:24,830
THESE SETTINGS PARTICULARLY 

4699
03:24:24,830 --> 03:24:27,266
HOUSING SETTINGS AND WHO HAS 

4700
03:24:27,266 --> 03:24:32,338
UPTAKE OF THESE THINGS.

4701
03:24:32,338 --> 03:24:35,007
SO WE'RE REALLY LOOKING 

4702
03:24:35,007 --> 03:24:36,575
DIFFERENTLY AT THE 

4703
03:24:36,575 --> 03:24:41,347
CHARACTERISTICS OF PREP AND PREP

4704
03:24:41,347 --> 03:24:44,950
AND CAP AVAILABILITY AND THE ONE

4705
03:24:44,950 --> 03:24:50,389
THING I WILL SAY IS THE NIAAA 

4706
03:24:50,389 --> 03:24:51,357
HAS DONE A LOT OF WITH POLICY 

4707
03:24:51,357 --> 03:24:53,025
RESEARCH AND THE CDC HAS DONE 

4708
03:24:53,025 --> 03:24:55,928
SOME OF THIS BUT YOU LOOK AT 

4709
03:24:55,928 --> 03:24:59,899
THINGS LIKE DENSITY OF LIQUOR 

4710
03:24:59,899 --> 03:25:04,003
OUTLETS AND GEOMAPING, 

4711
03:25:04,003 --> 03:25:06,505
GEOFENCING, ALL THESE THINGS 

4712
03:25:06,505 --> 03:25:10,476
MORE RELATED TO GEOSPATIAL TYPE 

4713
03:25:10,476 --> 03:25:14,813
OF INTEGRATION OF INTERVENTIONS.

4714
03:25:14,813 --> 03:25:17,216
HOW DO YOU FACILITATE 

4715
03:25:17,216 --> 03:25:17,550
INTERVENTIONS.

4716
03:25:17,550 --> 03:25:19,418
IT'S NOT EVEN THE IMPLEMENTATION

4717
03:25:19,418 --> 03:25:21,253
BUT HOW DO YOU LAY THESE THINGS 

4718
03:25:21,253 --> 03:25:26,759
OUT IN THE REAL WORLD AND HOW DO

4719
03:25:26,759 --> 03:25:27,793
PEOPLE DEVELOP THE COGNITIVE 

4720
03:25:27,793 --> 03:25:29,395
REPRESENTATIONS OF THE 

4721
03:25:29,395 --> 03:25:31,197
EFFECTIVENESS OF THESE 

4722
03:25:31,197 --> 03:25:31,530
INTERVENTIONS.

4723
03:25:31,530 --> 03:25:35,734
SO IT'S REALLY MORE OF A RISK 

4724
03:25:35,734 --> 03:25:36,335
MANAGEMENT APPROACH.

4725
03:25:36,335 --> 03:25:39,138
SO WE'RE ACTUALLY DOING QUITE A 

4726
03:25:39,138 --> 03:25:41,440
BIT AROUND RISK MANAGEMENT AND 

4727
03:25:41,440 --> 03:25:43,576
TRYING TO TRAIN HEALTH 

4728
03:25:43,576 --> 03:25:45,010
PROFESSIONALS INCLUDING 

4729
03:25:45,010 --> 03:25:47,813
PHARMACISTS IN TERMS OF BRIEF 

4730
03:25:47,813 --> 03:25:49,181
MESSAGING INTERVENTIONS THEY CAN

4731
03:25:49,181 --> 03:25:50,482
DELIVER IN A VARIETY OF 

4732
03:25:50,482 --> 03:25:59,592
SETTINGS.

4733
03:25:59,592 --> 03:26:01,860
>> THANK YOU, DR.
CHANDLER, SAME

4734
03:26:01,860 --> 03:26:02,127
QUESTION.

4735
03:26:02,127 --> 03:26:03,996
>> THERE'S A MOUNTAIN OF 

4736
03:26:03,996 --> 03:26:06,465
EVIDENCE TO DEMONSTRATE THE 

4737
03:26:06,465 --> 03:26:08,234
EFFECTIVENESS OF SYRINGE SERVICE

4738
03:26:08,234 --> 03:26:09,702
PROGRAMS FOR TRANSMISSION OF HIV

4739
03:26:09,702 --> 03:26:12,071
AND GETTING PEOPLE TO ENTIRE 

4740
03:26:12,071 --> 03:26:14,240
INTO SUBSTANCE ABUSE TREATMENT.

4741
03:26:14,240 --> 03:26:17,509
LOWERING OTHER REALLY EXPENSIVE 

4742
03:26:17,509 --> 03:26:22,514
MEDICAL CONDITIONS LIKE ENDO

4743
03:26:22,514 --> 03:26:25,117
ENDOCARDITIS INFECTION AND WHAT 

4744
03:26:25,117 --> 03:26:29,488
WE SEE ACROSS SOME PARTS OF THE 

4745
03:26:29,488 --> 03:26:34,526
COUNTRY IS THAT SYRINGE SERVICE 

4746
03:26:34,526 --> 03:26:44,470
PROGRAMS ARE UNDER SIEGE AND WE 

4747
03:26:44,470 --> 03:26:49,708
HAD A LARGE HIV OUTBREAK COUNTRY

4748
03:26:49,708 --> 03:26:50,809
AND THE SYRINGE SERVICE PROGRAMS

4749
03:26:50,809 --> 03:26:52,945
WERE STOOD UP AND A COUPLE YEARS

4750
03:26:52,945 --> 03:26:55,281
AGO THEY'VE BEEN SHUT DOWN.

4751
03:26:55,281 --> 03:26:56,415
WE'RE SEEING THEM SHUT DOWN 

4752
03:26:56,415 --> 03:26:59,418
ACROSS THE STATE OF WEST 

4753
03:26:59,418 --> 03:27:00,352
VIRGINIA WHICH IS HAVING TWO 

4754
03:27:00,352 --> 03:27:02,488
COUNTIES HAVE EXPERIENCING A BIG

4755
03:27:02,488 --> 03:27:07,226
HIV OUTBREAK.

4756
03:27:07,226 --> 03:27:09,328
YOU HAVE TO CHANGE THE HEARTS 

4757
03:27:09,328 --> 03:27:11,063
AND MINDS OF PEOPLE WITHIN 

4758
03:27:11,063 --> 03:27:13,999
COMMUNITIES.

4759
03:27:13,999 --> 03:27:15,200
WE CAN DEVELOP ALL THESE 

4760
03:27:15,200 --> 03:27:16,201
WONDERFUL FANTASTIC 

4761
03:27:16,201 --> 03:27:17,303
INTERVENTIONS AND APPROACHES BUT

4762
03:27:17,303 --> 03:27:22,975
IF YOU WANT UPTAKE AND WANT 

4763
03:27:22,975 --> 03:27:29,181
PEOPLE TO USE IT YOU HAVE TO 

4764
03:27:29,181 --> 03:27:37,856
THINK HOW TO DO THIS AND PART OF

4765
03:27:37,856 --> 03:27:40,926
THE THINGS WE'VE DONE IS STARTED

4766
03:27:40,926 --> 03:27:44,697
LOOKING AT HEALTH COMMUNICATIONS

4767
03:27:44,697 --> 03:27:46,532
CAMPAIGNS AND HOW BEGIN TO 

4768
03:27:46,532 --> 03:27:50,002
FIGURE OUT HOW TO EFFECTIVELY 

4769
03:27:50,002 --> 03:27:53,839
TAILOR MESSAGING TO COMMUNITIES 

4770
03:27:53,839 --> 03:27:54,873
THAT MEETS COMMUNITY MEMBERS 

4771
03:27:54,873 --> 03:27:56,975
WHERE THEY ARE WITH THEIR LEVEL 

4772
03:27:56,975 --> 03:28:01,513
OF SCIENTIFIC EXPERTISE OR NOT 

4773
03:28:01,513 --> 03:28:04,350
WITH THEIR FAITH BASED IDEAS AND

4774
03:28:04,350 --> 03:28:05,050
CULTURE AND LANGUAGE.

4775
03:28:05,050 --> 03:28:11,323
I THINK WE CAN ALL AGREE THAT WE

4776
03:28:11,323 --> 03:28:14,493
LEARNED A LOT ABOUT HOW FAR WE 

4777
03:28:14,493 --> 03:28:17,129
NEED TO GO WITH HEALTH 

4778
03:28:17,129 --> 03:28:18,364
COMMUNICATIONS WITH THE COVID 

4779
03:28:18,364 --> 03:28:19,231
PANDEMIC AND ISSUES AROUND THAT 

4780
03:28:19,231 --> 03:28:20,766
AND THAT REMAINS TO BE A 

4781
03:28:20,766 --> 03:28:24,203
CRITICAL AND IMPORTANT THING IN 

4782
03:28:24,203 --> 03:28:28,507
AND AN IMPORTANT AREA OF SCIENCE

4783
03:28:28,507 --> 03:28:32,811
TO CONSIDER NIDA AND NIMHD 

4784
03:28:32,811 --> 03:28:35,481
PARTNERED A YEAR OR SO AGO AT AN

4785
03:28:35,481 --> 03:28:36,849
INITIATIVE LOOKING AT HEALTH 

4786
03:28:36,849 --> 03:28:38,350
COMMUNICATIONS CAMPAIGN AND HOW 

4787
03:28:38,350 --> 03:28:39,852
TO EFFECTIVELY GET MESSAGING OUT

4788
03:28:39,852 --> 03:28:41,754
TO COMMUNITIES SO THERE'S A 

4789
03:28:41,754 --> 03:28:46,492
GREATER RECEPTIVITY AND WI

4790
03:28:46,492 --> 03:28:49,728
WILLINGNESS AND THESE PROGRAMS 

4791
03:28:49,728 --> 03:28:51,730
GRATE EXAMPLE, IT'S NOT JUST THE

4792
03:28:51,730 --> 03:28:53,866
PATIENT POPULATION YOU HAVE TO 

4793
03:28:53,866 --> 03:28:55,134
CONVINCE BUT THE BROADER 

4794
03:28:55,134 --> 03:28:56,435
COMMUNITY WITH WHICH THE 

4795
03:28:56,435 --> 03:28:57,202
INTERVENTION WILL SIT YOU HAVE 

4796
03:28:57,202 --> 03:29:02,541
TO CONVINCE TO SUPPORT IT AND 

4797
03:29:02,541 --> 03:29:07,479
LET IT BE THERE.

4798
03:29:07,479 --> 03:29:12,818
THERE ARE PLACES MORE OR LESS 

4799
03:29:12,818 --> 03:29:16,355
SUCCESSFUL AND HAVE TO GALVANIZE

4800
03:29:16,355 --> 03:29:19,491
LESSONS LEARNED AND OFTEN THINGS

4801
03:29:19,491 --> 03:29:20,826
WE DON'T CONSIDER AND THE OTHER 

4802
03:29:20,826 --> 03:29:26,832
THING WE HAVE TO REALIZE IS THAT

4803
03:29:26,832 --> 03:29:29,401
MORE PEOPLE AT RISK LIFK WITH 

4804
03:29:29,401 --> 03:29:33,572
HIV AND USING AND FOR PEOPLE 

4805
03:29:33,572 --> 03:29:41,847
INJECT BEING -- INJECTING DRUGS 

4806
03:29:41,847 --> 03:29:42,815
AND MINORITIES FACE 

4807
03:29:42,815 --> 03:29:43,449
DISCRIMINATION WITHIN THE HEALTH

4808
03:29:43,449 --> 03:29:49,822
CARE SYSTEM.

4809
03:29:49,822 --> 03:29:52,558
IT BECOMES A MATTER OF HOW DO 

4810
03:29:52,558 --> 03:29:55,060
YOU IMPACT THAT AND WE LOOKED AT

4811
03:29:55,060 --> 03:29:57,529
A SURVEY OF PRIMARY CARE 

4812
03:29:57,529 --> 03:30:01,467
PROVIDERS AND 45% THAT 

4813
03:30:01,467 --> 03:30:02,401
VOLUNTARILY PARTICIPATED IN THE 

4814
03:30:02,401 --> 03:30:03,802
SURVEY SAID SUBSTANCE USE WAYS 

4815
03:30:03,802 --> 03:30:05,237
MORAL FAILURE.

4816
03:30:05,237 --> 03:30:06,338
22% SAID THEY WERE ANGRY WITH 

4817
03:30:06,338 --> 03:30:09,041
THEIR PATIENTS INJECTING DRUGS 

4818
03:30:09,041 --> 03:30:10,976
AND 20% AGREED WITH THE 

4819
03:30:10,976 --> 03:30:13,745
STATEMENT PEOPLE WHO INJECT 

4820
03:30:13,745 --> 03:30:15,848
DRUGS ARE DISHONEST AND THESE 

4821
03:30:15,848 --> 03:30:19,718
ARE THE INDIVIDUALS WE'RE TRYING

4822
03:30:19,718 --> 03:30:21,487
TO HAVE PROVIDE MEDICATION FOR 

4823
03:30:21,487 --> 03:30:23,222
OPIOID USE DISORDER AND TRYING 

4824
03:30:23,222 --> 03:30:24,756
TO GET THEM TO PROSCRIBE PREP.

4825
03:30:24,756 --> 03:30:27,593
TRYING TO GET THEM TO BE ABLE TO

4826
03:30:27,593 --> 03:30:29,161
PROVIDE THE CARE NECESSARY AND I

4827
03:30:29,161 --> 03:30:32,631
DON'T WANT TO JUST BLAME THEM 

4828
03:30:32,631 --> 03:30:37,736
BECAUSE WE DON'T KNOW HOW TO 

4829
03:30:37,736 --> 03:30:38,971
HAVE HEALTH CARE SYSTEMS THAT 

4830
03:30:38,971 --> 03:30:44,743
ARE DISCRIMINATION FREE.

4831
03:30:44,743 --> 03:30:47,513
WE DON'T KNOW HOW TO INTERVENE 

4832
03:30:47,513 --> 03:30:48,914
IN AN EFFECTIVE WAY TO CREATE 

4833
03:30:48,914 --> 03:30:50,015
THE KINDS OF ENVIRONMENTS WHERE 

4834
03:30:50,015 --> 03:30:54,486
YOU SEE THE RIGHT KINDS OF 

4835
03:30:54,486 --> 03:30:56,822
INTERVENTIONS HAPPENING FOR THE 

4836
03:30:56,822 --> 03:30:58,390
RIGHT KINDS OF PEOPLE AND 

4837
03:30:58,390 --> 03:31:01,627
ENGAGING IN THE CHANGING OF 

4838
03:31:01,627 --> 03:31:02,494
HEARTS AND MINDS AND PROVIDING 

4839
03:31:02,494 --> 03:31:08,767
BETTER CARE.

4840
03:31:08,767 --> 03:31:11,036
>> I WANTED TO GET TO DR.
AKLIN 

4841
03:31:11,036 --> 03:31:13,205
FOR THE LAST QUESTION BEFORE WE 

4842
03:31:13,205 --> 03:31:14,806
END AT 4:00 EASTERN.

4843
03:31:14,806 --> 03:31:21,713
WHAT DID YOUR INSTITUTE TO DO TO

4844
03:31:21,713 --> 03:31:23,982
FOSTER COMMUNITY-BASED RESEARCH.

4845
03:31:23,982 --> 03:31:27,119
>> WHERE WE ARE IS
UNDERSTANDING

4846
03:31:27,119 --> 03:31:29,855
A NEW AND INNOVATIVE APPROACH 

4847
03:31:29,855 --> 03:31:31,189
ENGAGING WITH COMMUNITIES 

4848
03:31:31,189 --> 03:31:33,191
GETTING TO UNDERSTANDING HOW TO 

4849
03:31:33,191 --> 03:31:33,825
PARTNER WITH THE COMMUNITY.

4850
03:31:33,825 --> 03:31:35,961
BUT FOR US TAKING IT A STEP 

4851
03:31:35,961 --> 03:31:37,296
FURTHER AND HAVING THE COMMUNITY

4852
03:31:37,296 --> 03:31:39,865
DRIVE THE RESEARCH QUESTIONS AND

4853
03:31:39,865 --> 03:31:40,432
SUPPORTING THE COMMUNITIES 

4854
03:31:40,432 --> 03:31:41,567
SPECIFICALLY WHO HAVE THE 

4855
03:31:41,567 --> 03:31:44,336
ABILITY TO BE ABLE TO TAKE THE 

4856
03:31:44,336 --> 03:31:45,103
INTERVENTIONS AND TAKE THE 

4857
03:31:45,103 --> 03:31:46,471
INFORMATION IN TERMS OF 

4858
03:31:46,471 --> 03:31:47,706
PREVENTIVE MEASURES WE HAVE AND 

4859
03:31:47,706 --> 03:31:49,308
NOT ONLY LOOK AT ADAPTABILITY OF

4860
03:31:49,308 --> 03:31:51,109
THAT BUT THE ACCEPTABILITY TO 

4861
03:31:51,109 --> 03:31:52,244
THEN SEE UPTAKE.

4862
03:31:52,244 --> 03:31:58,717
ONE OF THE THINGS WE DO AND 

4863
03:31:58,717 --> 03:32:04,022
PARTNERED WITH COMPOS AN NIH 

4864
03:32:04,022 --> 03:32:05,324
WIDE PROGRAM TO ADVANCE SCIENCE 

4865
03:32:05,324 --> 03:32:07,059
FOR SOCIETY.

4866
03:32:07,059 --> 03:32:11,730
WE HAVE THE OPPORTUNITY TO 

4867
03:32:11,730 --> 03:32:12,297
SUPPORT THE COMMUNITY 

4868
03:32:12,297 --> 03:32:13,231
ORGANIZATION AND ASK COMMUNITY 

4869
03:32:13,231 --> 03:32:14,499
ORGANIZATION TO LEAD THE 

4870
03:32:14,499 --> 03:32:15,734
RESEARCH AND ENCOURAGE THAT 

4871
03:32:15,734 --> 03:32:16,535
COMMUNITY ORGANIZATION TO 

4872
03:32:16,535 --> 03:32:17,970
PARTNER WITH RESEARCHERS.

4873
03:32:17,970 --> 03:32:19,938
ESSENTIALLY LOOKING AT IT FROM 

4874
03:32:19,938 --> 03:32:21,640
THE OTHER WAY WHERE MOST 

4875
03:32:21,640 --> 03:32:22,975
INTERVENTIONS ARE LED BY 

4876
03:32:22,975 --> 03:32:24,810
RESEARCHERS ASKING TO INVOLVE 

4877
03:32:24,810 --> 03:32:26,311
COMMUNITY-BASED ORGANIZATIONS.

4878
03:32:26,311 --> 03:32:28,347
SO NINR TAKES A STRONG 

4879
03:32:28,347 --> 03:32:29,848
LEADERSHIP ROLE IN BEING ABLE TO

4880
03:32:29,848 --> 03:32:31,083
DO THIS SPECIFICALLY WHEN WE 

4881
03:32:31,083 --> 03:32:32,351
TALK ABOUT THE PROGRAMS WE HAVE 

4882
03:32:32,351 --> 03:32:35,554
SPONSORED AND SUPPORTED FOR HIV.

4883
03:32:35,554 --> 03:32:39,324
WE'RE FOCUSSING ON THE AFRICAN 

4884
03:32:39,324 --> 03:32:40,325
AMERICAN COMMUNITY AND MEN 

4885
03:32:40,325 --> 03:32:41,493
HAVING SEX WITH MEN AND MAKING 

4886
03:32:41,493 --> 03:32:42,694
SURE WE HAVE AN OPPORTUNITY TO 

4887
03:32:42,694 --> 03:32:45,063
BE IN A SPACE TO HEAR AND 

4888
03:32:45,063 --> 03:32:46,965
LISTEN, OBSERVE AND UNDERSTAND 

4889
03:32:46,965 --> 03:32:49,101
SPECIFICALLY THOSE BARRIERS SO 

4890
03:32:49,101 --> 03:32:51,336
WE CAN THEN DRESS IT FROM THE 

4891
03:32:51,336 --> 03:32:52,638
COMMUNITY UP -- ADDRESS IT FROM 

4892
03:32:52,638 --> 03:32:53,472
THE COMMUNITY UP.

4893
03:32:53,472 --> 03:32:58,810
WE SOUPPORTED AN RO1 INTERVENTIN

4894
03:32:58,810 --> 03:33:01,013
BEING MORE NEUTRAL IN OUR 

4895
03:33:01,013 --> 03:33:02,114
QUESTIONS AND ASKING SPECIFIC 

4896
03:33:02,114 --> 03:33:04,049
FOR THE ENVIRONMENT AND COUNTY 

4897
03:33:04,049 --> 03:33:05,951
WHERE THEY ARE, HOW BEST TO BE 

4898
03:33:05,951 --> 03:33:07,052
ABLE TO UNDERSTAND WHAT'S 

4899
03:33:07,052 --> 03:33:07,319
AVAILABLE.

4900
03:33:07,319 --> 03:33:08,487
WHETHER WE'RE LOOKING AT THE 

4901
03:33:08,487 --> 03:33:10,489
NEED TO TALK ABOUT EDUCATION AND

4902
03:33:10,489 --> 03:33:11,823
MESSAGING OR LOOKING AT THE NEED

4903
03:33:11,823 --> 03:33:13,258
OF PROVIDING ACCESS TO MAKE SURE

4904
03:33:13,258 --> 03:33:15,694
THEY HAVE THE AVAILABILITY OF 

4905
03:33:15,694 --> 03:33:16,962
BEING ABLE TO USE THAT IS 

4906
03:33:16,962 --> 03:33:18,497
ESSENTIALLY WHERE WE ARE WITH 

4907
03:33:18,497 --> 03:33:23,669
OUR COMMUNITY-ENGAGED WORK.

4908
03:33:23,669 --> 03:33:24,036
>> THANK YOU.

4909
03:33:24,036 --> 03:33:25,604
THIS HAS BEEN TERRIFIC.

4910
03:33:25,604 --> 03:33:27,873
THANK YOU TO ALL OF OUR 

4911
03:33:27,873 --> 03:33:32,010
PANELISTS AND OARAC MEMBERS FOR 

4912
03:33:32,010 --> 03:33:34,146
ENGAGING IN THIS THOUGHTFUL 

4913
03:33:34,146 --> 03:33:34,479
CONVERSATION.

4914
03:33:34,479 --> 03:33:38,483
WE'LL JUST TAKE A FIVE-MINUTE 

4915
03:33:38,483 --> 03:33:41,386
BREAK SO THAT WE WILL BE BACK AT

4916
03:33:41,386 --> 03:33:43,288
4:05 EASTERN TIME AND COME BACK 

4917
03:33:43,288 --> 03:33:45,157
TO THE HOME STRETCH SO PLEASE DO

4918
03:33:45,157 --> 03:33:47,426
NOT LOG OUT OF ZOOM.

4919
03:33:47,426 --> 03:33:48,393
MUTE YOUR LINE AND HIDE YOUR 

4920
03:33:48,393 --> 03:33:58,837
CAMERA AND BE RIGHT BACK.

4921
03:34:02,330 --> 03:34:07,068
>> WE'LL HERE FROM OUR NIH

4922
03:34:07,068 --> 03:34:09,637
ADVISORY COUNCIL AND EXECUTIVE 

4923
03:34:09,637 --> 03:34:10,771
COMMITTEES TO PROVIDE BRIEF 

4924
03:34:10,771 --> 03:34:11,706
SUMMARIES OF THE MEETINGS.

4925
03:34:11,706 --> 03:34:15,243
I BELIEVE WE'RE GOING TO HAVE A 

4926
03:34:15,243 --> 03:34:16,377
SLIGHT SHIFT FROM THE ORDER OF 

4927
03:34:16,377 --> 03:34:20,414
THE AGENDA AND GO FIRST WITH 

4928
03:34:20,414 --> 03:34:25,987
DR. LIGHTFOOT SERVING ON THE 

4929
03:34:25,987 --> 03:34:30,458
MENTAL HEALTH COUNCIL AND 

4930
03:34:30,458 --> 03:34:37,632
ASSOCIATE DEAN FOR RESEARCH AND 

4931
03:34:37,632 --> 03:34:38,232
THE PORTLAND STATE UNIVERSITY 

4932
03:34:38,232 --> 03:34:43,971
SCHOOL OF PUBLIC HEALTH.

4933
03:34:43,971 --> 03:34:45,940
DR. LIGHTFOOT OVER TO YOU TO 

4934
03:34:45,940 --> 03:34:46,741
PROVIDE UPDATES.

4935
03:34:46,741 --> 03:34:56,551
>> THANKS VERY MUCH.

4936
03:34:56,551 --> 03:34:57,952
>> THANK YOU.

4937
03:34:57,952 --> 03:35:08,396
HAPPY TO PROVIDE UPDATES.

4938
03:35:10,298 --> 03:35:16,437
THERE WAS AN EVENT ENTITLED THE 

4939
03:35:16,437 --> 03:35:19,140
EVOLUTION OF MENTAL RESEARCH.

4940
03:35:19,140 --> 03:35:22,543
THERE'S A BIG INITIATIVE 

4941
03:35:22,543 --> 03:35:24,111
HAPPENING IN NIMHD I THOUGHT 

4942
03:35:24,111 --> 03:35:26,681
MIGHT BE OF INTEREST TO THIS 

4943
03:35:26,681 --> 03:35:31,052
GROUP IS ADVANCING PRECISION 

4944
03:35:31,052 --> 03:35:34,755
MEDICINE IN PSYCHIATRY AND 

4945
03:35:34,755 --> 03:35:36,324
TAILORING THE TREATMENTS FOR 

4946
03:35:36,324 --> 03:35:38,693
INDIVIDUAL OFTEN TRIAL AND ERROR

4947
03:35:38,693 --> 03:35:43,097
AND BECAUSE OF THAT IT LEADS TO 

4948
03:35:43,097 --> 03:35:44,365
UNACCESSIBLE DELAYS IN RECEIVING

4949
03:35:44,365 --> 03:35:44,932
IVE TREATMENT.

4950
03:35:44,932 --> 03:35:48,002
THE INITIATIVE HAS BEEN LAUNCHED

4951
03:35:48,002 --> 03:35:50,004
TO ADDRESS THIS AND INTENDED TO 

4952
03:35:50,004 --> 03:35:52,406
LAUNCH WITH TWO PARALLEL AREAS 

4953
03:35:52,406 --> 03:35:56,744
OF NEED.

4954
03:35:56,744 --> 03:36:02,216
THE PRECISION DIAGNOSTICS AND TO

4955
03:36:02,216 --> 03:36:06,587
THE RFAs WERE RELEASED IN THOSE 

4956
03:36:06,587 --> 03:36:08,422
AREAS AND HOPE FOLKS IN DOING 

4957
03:36:08,422 --> 03:36:11,559
HIV WORK ARE THOUGHTFUL AND 

4958
03:36:11,559 --> 03:36:12,093
INTENTIONAL LOOKING AT 

4959
03:36:12,093 --> 03:36:13,561
OPPORTUNITIES.

4960
03:36:13,561 --> 03:36:17,665
I'M PLEASED TO ANNOUNCE LISA 

4961
03:36:17,665 --> 03:36:21,969
BOLE WAS NAMED THE THIRD JAMES 

4962
03:36:21,969 --> 03:36:23,671
JACKSON MEMORIAL AWARD WINNER IN

4963
03:36:23,671 --> 03:36:27,908
JULY OF THIS PAST YEAR.

4964
03:36:27,908 --> 03:36:29,677
SHE'S KNOWN VERY WELL TO THE HIV

4965
03:36:29,677 --> 03:36:30,978
COMMUNITY AND IN THE DEPARTMENT 

4966
03:36:30,978 --> 03:36:32,913
OF PSYCHOLOGICAL AND BRAIN 

4967
03:36:32,913 --> 03:36:37,051
SCIENCES AT THE GEORGE 

4968
03:36:37,051 --> 03:36:40,421
WASHINGTON UNIVERSITY AND 

4969
03:36:40,421 --> 03:36:47,061
CO-DIRECT THE CORE OF THE D.C. P

4970
03:36:47,061 --> 03:36:57,305
IT IS  --PFAR AND LOOKED AT 

4971
03:36:57,305 --> 03:37:07,815
ECONOMIC STATUS AND SEXUALITY.

4972
03:37:12,486 --> 03:37:14,722
THE AWARD'S NAMESAKE FOCUSSED ON

4973
03:37:14,722 --> 03:37:17,458
RACISM AND MENTAL HEALTH AND HAD

4974
03:37:17,458 --> 03:37:19,860
FAR REACHING IMPACT IN DISPARITY

4975
03:37:19,860 --> 03:37:21,329
RESEARCH AND MINORITY HEALTH.

4976
03:37:21,329 --> 03:37:24,365
GIVEN THE TOPIC BOTH THESE FOLKS

4977
03:37:24,365 --> 03:37:26,534
ARE REALLY KEY CONTRIBUTORS TO 

4978
03:37:26,534 --> 03:37:29,437
OUR KNOWLEDGE IN THIS AREA.

4979
03:37:29,437 --> 03:37:33,941
ALSO NOTE THERE'S BEEN A COUPLE 

4980
03:37:33,941 --> 03:37:35,476
OF CHANGES IN NIMHD LEADERSHIP 

4981
03:37:35,476 --> 03:37:39,113
WE'VE HAD A NEW DIRECTOR OF THE 

4982
03:37:39,113 --> 03:37:42,083
DIVISION OF SERVICES AND 

4983
03:37:42,083 --> 03:37:43,718
INTERVENTION DR. YOUNG HAD A 

4984
03:37:43,718 --> 03:37:47,321
CAREER IN INTERVENTIONS RESEARCH

4985
03:37:47,321 --> 03:37:57,865
AND KNOWN TO MANY OF US IN HIV 

4986
03:37:58,833 --> 03:38:04,238
PIM BROUWERS AND THE DIVISION OF

4987
03:38:04,238 --> 03:38:06,574
AIDS RESEARCH IN 2004 HE HELD 

4988
03:38:06,574 --> 03:38:09,243
VARIOUS ROLES IN HIS TENURE.

4989
03:38:09,243 --> 03:38:11,512
AND HE'S BEEN INSTRUMENTAL IN 

4990
03:38:11,512 --> 03:38:14,315
PROGRAM DEVELOPMENT, TRAINING 

4991
03:38:14,315 --> 03:38:15,716
ACROSS ALL PRIORITIES IN THE 

4992
03:38:15,716 --> 03:38:20,588
DIVISION OF AIDS RESEARCH.

4993
03:38:20,588 --> 03:38:24,692
AND THEN YOU'LL SEE HERE THE NEW

4994
03:38:24,692 --> 03:38:27,795
DEPUTY FOR THE DIVISION OF AIDS 

4995
03:38:27,795 --> 03:38:36,203
RESEARCH IS NOW GREG GREENWOOD.

4996
03:38:36,203 --> 03:38:37,738
QUICKLY WANTED TO SHARE NIMHD IS

4997
03:38:37,738 --> 03:38:38,572
GOING THROUGH A PROCESS TO 

4998
03:38:38,572 --> 03:38:39,707
CHANGE ITS MISSION STATEMENT.

4999
03:38:39,707 --> 03:38:45,813
HERE IN BOLD YOU CAN SEE SOME 

5000
03:38:45,813 --> 03:38:48,215
PROPOSED CHANGES IN THE MISSION 

5001
03:38:48,215 --> 03:38:50,284
STATEMENT TO SEEK THE 

5002
03:38:50,284 --> 03:38:50,951
FUNDAMENTAL KNOWLEDGE ABOUT THE 

5003
03:38:50,951 --> 03:38:52,620
NATURE AND BEHAVIOR AND LIVING 

5004
03:38:52,620 --> 03:38:54,555
SYSTEMS AND TO APPLY THAT 

5005
03:38:54,555 --> 03:38:56,657
KNOWLEDGE TO OPTIMIZE HEALTH AN 

5006
03:38:56,657 --> 03:38:58,759
PREVENT OR REDUCE ILLNESS FOR 

5007
03:38:58,759 --> 03:38:59,660
ALL PEOPLE.

5008
03:38:59,660 --> 03:39:01,762
WE'RE LOOKING FOR INPUT AROUND 

5009
03:39:01,762 --> 03:39:03,597
THE NEW PROPOSED MISSION 

5010
03:39:03,597 --> 03:39:03,864
STATEMENT.

5011
03:39:03,864 --> 03:39:06,066
RESPOND BY NOVEMBER 24.

5012
03:39:06,066 --> 03:39:12,606
I LISTED THERE THE N-O-T TO PUT 

5013
03:39:12,606 --> 03:39:19,713
THAT RESPONSE IN.

5014
03:39:19,713 --> 03:39:22,750
HERE'S SOME OF THE HIV SPECIFIC 

5015
03:39:22,750 --> 03:39:24,418
FUNDING OPPORTUNITIES NIMHD HAS 

5016
03:39:24,418 --> 03:39:26,754
AVAILABLE RIGHT NOW.

5017
03:39:26,754 --> 03:39:28,155
THE FIRST IS NOT NIH SPECIFIC 

5018
03:39:28,155 --> 03:39:30,257
BUT GIVEN WHAT WE TALKED ABOUT 

5019
03:39:30,257 --> 03:39:31,826
EARLIER AND THE COMMENTS AROUND 

5020
03:39:31,826 --> 03:39:35,362
FOLKS AGING WITH HIV, I THINK 

5021
03:39:35,362 --> 03:39:38,232
THIS IS AN APPROPRIATE P-A-R FOR

5022
03:39:38,232 --> 03:39:38,899
FOLKS INTERESTED IN THE AREA 

5023
03:39:38,899 --> 03:39:40,701
PARTICULARLY AROUND MENTAL 

5024
03:39:40,701 --> 03:39:42,236
HEALTH AND HOW THAT'S RELATING 

5025
03:39:42,236 --> 03:39:47,041
TO SUICIDE RISK LATER IN LIFE 

5026
03:39:47,041 --> 03:39:50,644
AND YOU CAN SEE HERE N-O-Ts 

5027
03:39:50,644 --> 03:39:53,981
AROUND CARE AND TREATMENT FOR 

5028
03:39:53,981 --> 03:39:55,783
ADOLESCENTS AS WELL AS MENTAL 

5029
03:39:55,783 --> 03:39:58,652
HEALTH COMORBIDITIES, STIGMA AND

5030
03:39:58,652 --> 03:40:00,321
SCIENCE AROUND HIV AND GLOBAL 

5031
03:40:00,321 --> 03:40:01,422
HIV TREATMENT TARGETS.

5032
03:40:01,422 --> 03:40:04,058
SO PLEASE JUST TAKE A NOTE OF 

5033
03:40:04,058 --> 03:40:06,193
THOSE AND I HOPE THERE'S FOLKS 

5034
03:40:06,193 --> 03:40:11,899
WATCHING LOOKING TO RESPOND TO 

5035
03:40:11,899 --> 03:40:16,670
THESE.

5036
03:40:16,670 --> 03:40:17,905
THERE'S ALSO TWO CONCEPT 

5037
03:40:17,905 --> 03:40:20,307
CLEARANCES APPROVED AT THE LAST 

5038
03:40:20,307 --> 03:40:22,843
NIMHD COUNCIL MEETING.

5039
03:40:22,843 --> 03:40:25,012
-- TWO RELATED TO HIV AT LEAST.

5040
03:40:25,012 --> 03:40:31,652
THE FIRST IS AN ANTI-HIV TESTING

5041
03:40:31,652 --> 03:40:34,755
CARE THROUGH PHARMACIES AND THIS

5042
03:40:34,755 --> 03:40:37,358
TO ENCOURAGE DESIGNS TO FURTHER 

5043
03:40:37,358 --> 03:40:39,627
CAPACITATE AND SCALE THE ROUTINE

5044
03:40:39,627 --> 03:40:41,028
DELIVERY OF HIV TESTING, 

5045
03:40:41,028 --> 03:40:45,366
PREVENTION AND CARE SERVICES 

5046
03:40:45,366 --> 03:40:50,037
THROUGHOUT PHARMACIES AND 

5047
03:40:50,037 --> 03:40:51,672
PHARMACY SETTINGS AND ENABLING 

5048
03:40:51,672 --> 03:40:55,576
STUDENTS AND PHARMACIES TO 

5049
03:40:55,576 --> 03:40:56,610
EFFECTIVELY DELIVER HIV 

5050
03:40:56,610 --> 03:40:56,877
SERVICES.

5051
03:40:56,877 --> 03:41:02,016
AND TOPICS TO FIT THERE ARE THE 

5052
03:41:02,016 --> 03:41:03,384
CONCEPT CLEARANCE AND SHORT LIST

5053
03:41:03,384 --> 03:41:06,420
NOT COMPREHENSIVE BUT ANYTHING 

5054
03:41:06,420 --> 03:41:10,257
RELATED TO PHARMACY BASED 

5055
03:41:10,257 --> 03:41:13,527
SCREENINGS FOR HIV AND COMMON 

5056
03:41:13,527 --> 03:41:15,829
COMORBID CONDITIONS AND PREP 

5057
03:41:15,829 --> 03:41:21,969
DELIVERY INCLUDING INJECTABLES.

5058
03:41:21,969 --> 03:41:22,536
PHARMACY-BASED MONITORING 

5059
03:41:22,536 --> 03:41:25,039
SUPPORT FOR TREATMENT AND 

5060
03:41:25,039 --> 03:41:26,974
ADHERENCE AND TRAINING STUDENTS 

5061
03:41:26,974 --> 03:41:31,011
AND TECHNICIANS TO SUPPORT HIV 

5062
03:41:31,011 --> 03:41:34,281
PREVENTION AND CARE.

5063
03:41:34,281 --> 03:41:37,151
THE LAST WAS STREAMLINING 

5064
03:41:37,151 --> 03:41:41,121
INTERVENTION FOR YOUTH LIVING 

5065
03:41:41,121 --> 03:41:49,997
WITH  HIV IN LOW-AND 

5066
03:41:49,997 --> 03:41:52,099
MIDDLE-INCOME COUNTRIES AND HOW 

5067
03:41:52,099 --> 03:41:54,735
TO BEST ADDRESS THE NEEDS OF 

5068
03:41:54,735 --> 03:41:56,570
YOUTH LIVING WITH HIV IN LOW AND

5069
03:41:56,570 --> 03:41:58,272
MIDDLE INCOME COUNTRIES.

5070
03:41:58,272 --> 03:41:59,974
THAT'S TWO MAIN GOALS OF THE 

5071
03:41:59,974 --> 03:42:00,207
CONCEPT.

5072
03:42:00,207 --> 03:42:01,275
FIRST WAS TO INCREASE THE NUMBER

5073
03:42:01,275 --> 03:42:04,278
OF MENTAL HEALTH INTERVENTIONS 

5074
03:42:04,278 --> 03:42:05,212
TAILORED TO THIS POPULATION BOTH

5075
03:42:05,212 --> 03:42:08,248
IN TERMS OF THEIR DEVELOPMENT 

5076
03:42:08,248 --> 03:42:10,718
NEEDS AS WELL AS ISSUES RELATED 

5077
03:42:10,718 --> 03:42:12,820
TO LIVING WITH A CHRONIC 

5078
03:42:12,820 --> 03:42:13,821
STIGMATIZED DISEASE AND TO 

5079
03:42:13,821 --> 03:42:20,427
ENSURE INTERVENTIONS ARE 

5080
03:42:20,427 --> 03:42:24,431
STREAMLINED FOR IMPLEMENTATION 

5081
03:42:24,431 --> 03:42:27,234
AND TOPIC APPROPRIATE WOULD BE 

5082
03:42:27,234 --> 03:42:28,435
DETERMINING THE OPTIMAL POINTS 

5083
03:42:28,435 --> 03:42:30,938
OR INTENSITY TO LESSEN THE 

5084
03:42:30,938 --> 03:42:31,639
INTERVENTION FOR YOUTH LIVING 

5085
03:42:31,639 --> 03:42:34,174
WITH HIV AND DETERMINING THE 

5086
03:42:34,174 --> 03:42:35,042
MINIMAL DOSE OR CRITICAL 

5087
03:42:35,042 --> 03:42:37,778
COMPONENTS NEEDED TO ACHIEVE 

5088
03:42:37,778 --> 03:42:39,179
CLINICALLY SIGNIFICANT 

5089
03:42:39,179 --> 03:42:39,513
IMPROVEMENTS.

5090
03:42:39,513 --> 03:42:40,748
MATCHING THE MOST EFFECTIVE 

5091
03:42:40,748 --> 03:42:43,484
INTERVENTION TO THE APPROPRIATE 

5092
03:42:43,484 --> 03:42:44,718
PERSON AND TESTING 

5093
03:42:44,718 --> 03:42:47,855
IMPLEMENTATION STRATEGIES TO 

5094
03:42:47,855 --> 03:42:49,289
LESSEN PROVIDER BURDEN WHILE 

5095
03:42:49,289 --> 03:42:49,857
DETERMINING THE QUALITY OF 

5096
03:42:49,857 --> 03:42:57,798
INTERVENTION DELIVERY.

5097
03:42:57,798 --> 03:43:00,067
NIMHD HELPED SPONSOR TWO 

5098
03:43:00,067 --> 03:43:01,902
MEETINGS IN THE YEAR HIV 

5099
03:43:01,902 --> 03:43:02,469
RELATED.

5100
03:43:02,469 --> 03:43:03,270
FIRST WAS VIOLENCE IN THE HIV 

5101
03:43:03,270 --> 03:43:07,274
CARE CONTINUUM AND SECOND WAS 

5102
03:43:07,274 --> 03:43:07,941
PHARMACY-CENTERED HIV RESEARCH.

5103
03:43:07,941 --> 03:43:11,145
THE RECORDINGS AND PROCEEDINGS 

5104
03:43:11,145 --> 03:43:12,079
ARE AVAILABLE SO PLEASE I 

5105
03:43:12,079 --> 03:43:15,549
COURAGE YOU TO TAKE A LOOK..

5106
03:43:15,549 --> 03:43:17,451
-- I ENCOURAGE YOU TO TAKE A 

5107
03:43:17,451 --> 03:43:17,651
LOOK.

5108
03:43:17,651 --> 03:43:27,027
WE HAD A RESEARCH HIGHLIGHT.

5109
03:43:27,027 --> 03:43:29,563
WE HEARD ABOUT THIS PARTICULAR 

5110
03:43:29,563 --> 03:43:31,765
STUDY AND PAPER.

5111
03:43:31,765 --> 03:43:34,501
SO THE BRAIN MICROGLIA MAY SERVE

5112
03:43:34,501 --> 03:43:35,869
AS AN HIV RESERVOIR.

5113
03:43:35,869 --> 03:43:42,309
IN THE STUDY THEY ISOLATED IS 

5114
03:43:42,309 --> 03:43:48,215
THE CELLS FROM NON-HUMAN 

5115
03:43:48,215 --> 03:43:53,420
PRIMATES AND SOUGHT EVIDENCE TO 

5116
03:43:53,420 --> 03:43:55,589
WHAT THIS PERSISTENT VIRAL 

5117
03:43:55,589 --> 03:43:58,759
INFECTION LOOKED LIKE AND SAW 

5118
03:43:58,759 --> 03:44:04,364
LACK OF DIVERSITY AND THEY 

5119
03:44:04,364 --> 03:44:08,435
COLONIZE REGIONS AND THIS AREA 

5120
03:44:08,435 --> 03:44:13,574
OF THE BRAIN DOES HARBOR HIV AND

5121
03:44:13,574 --> 03:44:16,777
SERVE AS SYSTEM RESERVOIR IN THE

5122
03:44:16,777 --> 03:44:16,977
BRAIN.

5123
03:44:16,977 --> 03:44:17,611
THERE'LL BE ADDITIONAL RESEARCH 

5124
03:44:17,611 --> 03:44:27,821
IN THE AREA.

5125
03:44:28,822 --> 03:44:33,761
WE HEARD ABOUT NIMHD'S 

5126
03:44:33,761 --> 03:44:34,762
INVESTMENT AND THERE'S THE 

5127
03:44:34,762 --> 03:44:37,164
COMMUNITY PARTNERSHIP TO ADVANCE

5128
03:44:37,164 --> 03:44:38,265
SCIENCE FOR SOCIETY.

5129
03:44:38,265 --> 03:44:40,167
I THINK THIS IS ALSO 

5130
03:44:40,167 --> 03:44:41,869
PARTICULARLY OF INTEREST FOR HIV

5131
03:44:41,869 --> 03:44:42,970
RELATED RESEARCHERS.

5132
03:44:42,970 --> 03:44:44,138
THERE ARE HIV RELATED STUDIES 

5133
03:44:44,138 --> 03:44:49,009
THAT HAVE BEEN FUNDED UNDER THE 

5134
03:44:49,009 --> 03:44:49,710
COMPASS PROGRAM SO IT'S 

5135
03:44:49,710 --> 03:44:51,345
SOMETHING WE ALL NEED TO BE 

5136
03:44:51,345 --> 03:44:53,180
AWARE OF AND IT WAS INTERESTING 

5137
03:44:53,180 --> 03:44:58,218
TO HEAR ABOUT THIS PROGRAM.

5138
03:44:58,218 --> 03:45:00,020
S TO GIVE YOU ALL A SENSE.

5139
03:45:00,020 --> 03:45:02,956
THIS PROGRAM IS SUPPORTED BY THE

5140
03:45:02,956 --> 03:45:04,424
NIH COMMON FUND.

5141
03:45:04,424 --> 03:45:07,361
IT'S FOCUSSING ON HEALTH EQUITY 

5142
03:45:07,361 --> 03:45:07,961
SO APPROPRIATE TO OUR 

5143
03:45:07,961 --> 03:45:08,962
CONVERSATION TODAY.

5144
03:45:08,962 --> 03:45:10,764
IT'S INTENDED TO LEVERAGE 

5145
03:45:10,764 --> 03:45:14,001
STRUCTURAL INTERVENTIONS AND 

5146
03:45:14,001 --> 03:45:15,536
MULTI-SECTORIAL PARTNERSHIPS.

5147
03:45:15,536 --> 03:45:22,776
ONE OF NIHs STRATEGIES AND 

5148
03:45:22,776 --> 03:45:23,777
THINKING ABOUT ADDRESSING THESE 

5149
03:45:23,777 --> 03:45:24,978
ISSUES AROUND SOCIAL 

5150
03:45:24,978 --> 03:45:26,747
DETERMINATES OF HEALTH AND 

5151
03:45:26,747 --> 03:45:27,147
HEALTH OUTCOME.

5152
03:45:27,147 --> 03:45:32,519
SO IT'S ALLOWING FOR REALLY 

5153
03:45:32,519 --> 03:45:33,754
EXPANSIVE WAYS TO LOOK AT SOME 

5154
03:45:33,754 --> 03:45:35,789
OF THESE ISSUES AND SO FAR HAS 

5155
03:45:35,789 --> 03:45:39,026
BEEN A SUCCESSFUL PROGRAM AND 

5156
03:45:39,026 --> 03:45:40,861
I'M BIAS BECAUSE THEY'RE ALSO 

5157
03:45:40,861 --> 03:45:42,763
FUNDING ONE OF MY PROJECTS BUT I

5158
03:45:42,763 --> 03:45:44,231
THINK WE'RE GOING SEE SOME 

5159
03:45:44,231 --> 03:45:45,165
REALLY IMPACTFUL SCIENCE COMING 

5160
03:45:45,165 --> 03:45:47,434
OUTIVE THIS PROGRAM.

5161
03:45:47,434 --> 03:45:53,440
-- COMING OUT OF THIS PROGRAM.

5162
03:45:53,440 --> 03:45:56,243
IN TERMS OF THE FISCAL YEAR '23 

5163
03:45:56,243 --> 03:45:59,246
BUDGET JUST WANTED FOLKS TO KNOW

5164
03:45:59,246 --> 03:46:09,823
THAT THERE WAS A $2.3 ALLOCATION

5165
03:46:09,823 --> 03:46:12,459
FOR NIMHD AND IT ANTICIPATES 

5166
03:46:12,459 --> 03:46:14,528
WARDING NEW AND COMPETING 

5167
03:46:14,528 --> 03:46:16,763
PROJECT GRANTS IN FISCAL YEAR 

5168
03:46:16,763 --> 03:46:20,033
'23 AND HAS AN ESTIMATED SUCCESS

5169
03:46:20,033 --> 03:46:22,703
RATE OF 23%.

5170
03:46:22,703 --> 03:46:26,773
IN ACCORDANCE WITH THE NEXT 

5171
03:46:26,773 --> 03:46:27,941
GENERATION INITIATIVE EFFORTS 

5172
03:46:27,941 --> 03:46:31,144
THEY'RE ANTICIPATING AWARDING TO

5173
03:46:31,144 --> 03:46:36,550
86 EARLY STAGE INVESTIGATORS AND

5174
03:46:36,550 --> 03:46:39,586
172 AT-RISK INVESTIGATORS AND 

5175
03:46:39,586 --> 03:46:50,097
FOR FISCAL '24 AND THE HOUSE 

5176
03:46:52,699 --> 03:46:54,935
APPROPRIATIONS COMMITTEE THEY 

5177
03:46:54,935 --> 03:46:58,772
PROVIDED A $2.2 MILLION FOR 

5178
03:46:58,772 --> 03:47:01,141
NIMHD A REDUCTION FROM FISCAL 

5179
03:47:01,141 --> 03:47:04,411
YEAR '23 ENACTED LEVELS AND THE 

5180
03:47:04,411 --> 03:47:06,813
SENATE APPROPRIATIONS COMMITTEE 

5181
03:47:06,813 --> 03:47:09,249
THEIR BUDGET WOULD PROVIDER $2.4

5182
03:47:09,249 --> 03:47:13,387
MILLION AN INCREASE OF $100 

5183
03:47:13,387 --> 03:47:15,255
MILLION ABOVE THE ENACTED LEVEL.

5184
03:47:15,255 --> 03:47:16,156
I BELIEVE THAT MIGHT HAVE BEEN 

5185
03:47:16,156 --> 03:47:20,427
IT FOR ME.

5186
03:47:20,427 --> 03:47:24,798
YES, THANK YOU VERY MUCH.

5187
03:47:24,798 --> 03:47:28,302
>> THANK YOU.

5188
03:47:28,302 --> 03:47:30,737
LET'S MOVE TO DR. OTT.

5189
03:47:30,737 --> 03:47:32,906
I WILL SAY A FEW WORDS.

5190
03:47:32,906 --> 03:47:35,108
DR. OTT SERVES AS THE MEMBER OF 

5191
03:47:35,108 --> 03:47:37,010
THE NATIONAL ADVISORY COUNCIL ON

5192
03:47:37,010 --> 03:47:40,414
DRUG ABUSE AND SENIOR 

5193
03:47:40,414 --> 03:47:41,448
INVESTIGATOR FOR THE GLASGOW 

5194
03:47:41,448 --> 03:47:42,716
TECHNOLOGY AND PROFESSOR OF 

5195
03:47:42,716 --> 03:47:48,422
MEDICINE AT UCSF.

5196
03:47:48,422 --> 03:47:55,529
TAKE AWAY THE UPDATES ON NACDA.

5197
03:47:55,529 --> 03:47:58,532
>> I'M DELIGHTED TO
PROVIDE AN 

5198
03:47:58,532 --> 03:47:59,333
UPDATE ON THE NATIONAL INSTITUTE

5199
03:47:59,333 --> 03:48:00,567
ON DRUG ABUSE FROM OUR LAST 

5200
03:48:00,567 --> 03:48:10,844
COUNCIL MEETING.

5201
03:48:15,615 --> 03:48:17,284
>> THE RESEARCH PORTFOLIO
IS 

5202
03:48:17,284 --> 03:48:21,588
VERY BROAD AND INTERTWINED WITH 

5203
03:48:21,588 --> 03:48:26,493
HIV RESEARCH AND SUPPORTS BASIC 

5204
03:48:26,493 --> 03:48:28,328
AND CLINICAL AND IMPLEMENTATION 

5205
03:48:28,328 --> 03:48:28,962
SCIENCE RESEARCH AND THERE'S 

5206
03:48:28,962 --> 03:48:32,099
SELECT AREAS OF FOCUS AS WE 

5207
03:48:32,099 --> 03:48:34,768
UNDERSTAND THE SYNERGISTIC AREA 

5208
03:48:34,768 --> 03:48:37,404
OF HIV AND SUBSTANCE USE AND 

5209
03:48:37,404 --> 03:48:38,405
EXAMINING CONTRIBUTIONS OF 

5210
03:48:38,405 --> 03:48:43,377
SUBSTANCE USE TO HIV AND 

5211
03:48:43,377 --> 03:48:46,680
HIV-ASSOCIATED COMORBIDITIES AND

5212
03:48:46,680 --> 03:48:49,816
INTEREST IN COMORBIDITIES AND 

5213
03:48:49,816 --> 03:48:52,419
PATHWAYS AND ETIOLOGY AND 

5214
03:48:52,419 --> 03:48:54,021
TREATMENT AND DISCRIMINATION AND

5215
03:48:54,021 --> 03:48:55,355
HEALTH CARE DELIVERY ALL 

5216
03:48:55,355 --> 03:48:56,456
SUBJECTS WE ALREADY DISCUSSED 

5217
03:48:56,456 --> 03:49:05,032
TODAY.

5218
03:49:05,032 --> 03:49:07,601
WE HEARD FROM THE DIRECTOR OF 

5219
03:49:07,601 --> 03:49:09,236
THE WHITE HOUSE OFFICE OF 

5220
03:49:09,236 --> 03:49:10,637
NATIONAL AIDS POLICY AN UPDATE 

5221
03:49:10,637 --> 03:49:13,540
ON FEDERAL EFFORTS TO ADDRESS 

5222
03:49:13,540 --> 03:49:15,342
THE NATIONAL EPIDEMIC OF HIV AND

5223
03:49:15,342 --> 03:49:21,448
HE HIGHLIGHTED THAT 1 IN 10 

5224
03:49:21,448 --> 03:49:23,383
INFECTIONS STILL CONTINUE TO BE 

5225
03:49:23,383 --> 03:49:24,317
IN PEOPLE WITH INJECTION DRUG 

5226
03:49:24,317 --> 03:49:26,920
USE AND THAT MANY OF THE FACTORS

5227
03:49:26,920 --> 03:49:30,290
THAT WE DISCUSSED INCLUDING 

5228
03:49:30,290 --> 03:49:32,159
HOMELESSNESS AND ALSO OPIOID USE

5229
03:49:32,159 --> 03:49:34,528
AND OVERDOSE AND METH USE 

5230
03:49:34,528 --> 03:49:36,430
CONTINUE TO BE DRIVING FACTORS 

5231
03:49:36,430 --> 03:49:38,565
OF NEW NIH INFECTIONS AND POORER

5232
03:49:38,565 --> 03:49:39,299
HEALTH OUTCOMES IN PEOPLE WITH 

5233
03:49:39,299 --> 03:49:49,376
HIV.

5234
03:49:55,615 --> 03:50:06,026
AND PLACE -- AND LOOKING AT 

5235
03:50:08,195 --> 03:50:08,962
SUBSTANCE USE RESEARCH THAT 

5236
03:50:08,962 --> 03:50:10,330
CENTERS OUTCOMES THAT'S 

5237
03:50:10,330 --> 03:50:12,799
IMPORTANT TO INFORMING EFFORTS 

5238
03:50:12,799 --> 03:50:16,403
TO ADDRESS HIV STEMMING FROM 

5239
03:50:16,403 --> 03:50:23,276
SUBSTANCE USE.

5240
03:50:23,276 --> 03:50:25,345
ANOTHER THING WE WANTED TO 

5241
03:50:25,345 --> 03:50:28,415
HIGHLIGHT IS THAT PREP IS 

5242
03:50:28,415 --> 03:50:31,518
WORKING IN PEOPLE WHO INJECT 

5243
03:50:31,518 --> 03:50:32,419
DRUGS AND THE FINAL 

5244
03:50:32,419 --> 03:50:34,788
RECOMMENDATION THE 

5245
03:50:34,788 --> 03:50:36,423
U.S. PREVENTIVE SERVICES TASK 

5246
03:50:36,423 --> 03:50:39,526
FORCE GIVES PREP AN A-GRADE FOR 

5247
03:50:39,526 --> 03:50:41,461
EFFECTIVENESS IN PREVENTIVE CARE

5248
03:50:41,461 --> 03:50:48,435
AND RECOMMENDS THE CLINICIANS 

5249
03:50:48,435 --> 03:50:58,245
PRESCRIBE PREP AND FOR FURTHER 

5250
03:50:58,245 --> 03:51:01,915
INFORMATION CAN BE FOUND BUT 

5251
03:51:01,915 --> 03:51:03,717
EMPHASIZES PEOPLE WHO INJECT 

5252
03:51:03,717 --> 03:51:08,421
DRUG SHOULD NOT BE INCLUDED FROM

5253
03:51:08,421 --> 03:51:11,558
THESE EFFECTIVE MEASURES.

5254
03:51:11,558 --> 03:51:15,162
HOWEVER, AS DR. CHANDLER 

5255
03:51:15,162 --> 03:51:16,429
MENTIONED THERE IS QUITE A BIT 

5256
03:51:16,429 --> 03:51:20,534
OF IMPLICIT BIAS TOWARDS PEOPLE 

5257
03:51:20,534 --> 03:51:25,405
WHO INJECT DRUGS AND THE PRIMARY

5258
03:51:25,405 --> 03:51:27,374
CARE PROVIDER SPACE.

5259
03:51:27,374 --> 03:51:29,576
ONE THIRD OF THE PARTICIPANTS OF

5260
03:51:29,576 --> 03:51:31,244
THIS STUDY DISPLAYED HIGH LEVELS

5261
03:51:31,244 --> 03:51:37,217
OF STIGMA TOWARDS PEOPLE WHO 

5262
03:51:37,217 --> 03:51:41,087
INJECT DRUGS.

5263
03:51:41,087 --> 03:51:47,928
AND LOOKING AT STATEMENTS FOR 

5264
03:51:47,928 --> 03:51:50,230
THOSE WHO INJECT DRUGS ARE 

5265
03:51:50,230 --> 03:51:51,097
DISHONEST AND SO THERE'S A LOT 

5266
03:51:51,097 --> 03:51:54,000
OF WORK HERE AND I THINK IF THIS

5267
03:51:54,000 --> 03:51:58,772
IS NOT CHANGING I THINK 

5268
03:51:58,772 --> 03:52:04,411
RECOMMENDATIONS LIKE PRESCRIBING

5269
03:52:04,411 --> 03:52:10,684
DRUGS.

5270
03:52:10,684 --> 03:52:14,120
AND WE NEED TO LOOK AT 

5271
03:52:14,120 --> 03:52:14,621
DISCRIMINATION AND 

5272
03:52:14,621 --> 03:52:15,655
INTERSECTIONAL STIGMA LOOKING AT

5273
03:52:15,655 --> 03:52:19,292
THE PROVISION OF GUIDELINE ON 

5274
03:52:19,292 --> 03:52:23,330
CONCORDANT CARE FOR THOSE USING 

5275
03:52:23,330 --> 03:52:27,434
DRUGS OUR LIVING WITH HIV AND 

5276
03:52:27,434 --> 03:52:29,102
IT'S A RELEVANT SUBJECT FOR 

5277
03:52:29,102 --> 03:52:32,439
PEOPLE WHO INJECT DRUGS AND FOR 

5278
03:52:32,439 --> 03:52:37,177
THE MISSION.

5279
03:52:37,177 --> 03:52:39,446
THIS IS THE LAST SLIDE WHERE WE 

5280
03:52:39,446 --> 03:52:41,548
WANTED TO EMPHASIZE THE CURRENT 

5281
03:52:41,548 --> 03:52:42,782
FUNDING OPPORTUNITIES THAT ARE 

5282
03:52:42,782 --> 03:52:47,854
VERY MUCH GEARED TO BE INTEGRATE

5283
03:52:47,854 --> 03:52:55,462
ED RESEARCH WHEN PROVIDING CARE 

5284
03:52:55,462 --> 03:52:59,666
AND HIGHLIGHTS HERE SPECIFICALLY

5285
03:52:59,666 --> 03:53:07,507
RESEARCH INTO MICROGLIAL PA

5286
03:53:07,507 --> 03:53:10,110
PATHOLOGY AND STUDIES AT THE 

5287
03:53:10,110 --> 03:53:11,978
INTERSECTION OF HIV AND POLY 

5288
03:53:11,978 --> 03:53:16,783
SUBSTANCE USE.

5289
03:53:16,783 --> 03:53:27,327
SO WITH THIS, I'LL TURN IT BACK.

5290
03:53:28,094 --> 03:53:33,667
>> I'LL BACK TO CORETTE
BYRD IN 

5291
03:53:33,667 --> 03:53:36,636
TERMS OF OUR HEALTH POLICY 

5292
03:53:36,636 --> 03:53:38,805
ANALYST AND CLINICAL GUIDELINES 

5293
03:53:38,805 --> 03:53:43,877
ACTIVITIES AS WELL AS OTHER 

5294
03:53:43,877 --> 03:53:52,485
CROSS-CUTTING ACTIVITIES.

5295
03:53:52,485 --> 03:53:54,988
>> TODAY I'D PROVIDE A
BRIEF 

5296
03:53:54,988 --> 03:53:56,489
OVERVIEW OF A FEW ADDITIONAL 

5297
03:53:56,489 --> 03:53:59,459
RECENTLY CLEARED CONCEPTS BY 

5298
03:53:59,459 --> 03:54:00,894
INSTITUTES, CENTERS AND OFFICES 

5299
03:54:00,894 --> 03:54:07,867
AT NIH RELATED TO HIV.

5300
03:54:07,867 --> 03:54:14,240
THIS SAY  -- IS A SUMMARY AND 

5301
03:54:14,240 --> 03:54:15,975
THERE'S REISSUED CONCEPT FOR A 

5302
03:54:15,975 --> 03:54:23,450
TOTAL OF 15 THIS PERIOD.

5303
03:54:23,450 --> 03:54:25,885
FIRST THE NATIONAL INSTITUTE OF 

5304
03:54:25,885 --> 03:54:27,954
ALLERGY AND INFECTIOUS DISEASE 

5305
03:54:27,954 --> 03:54:28,888
HAS NEW CONCEPTS.

5306
03:54:28,888 --> 03:54:32,425
THE STRATEGIES FOR ELIMINATING 

5307
03:54:32,425 --> 03:54:34,928
HIV PROTEINS SUPPORTS BASIC 

5308
03:54:34,928 --> 03:54:35,962
RESEARCH GRANTS THAT DEVELOP 

5309
03:54:35,962 --> 03:54:39,566
NOVEL THERAPEUTICS DIRECTED TO 

5310
03:54:39,566 --> 03:54:40,800
INTRACELLULAR HIV TARGETS BY 

5311
03:54:40,800 --> 03:54:42,469
VARIOUS MECHANISMS SUCH AS 

5312
03:54:42,469 --> 03:54:45,105
PROTEIN DEGRADATION AND 

5313
03:54:45,105 --> 03:54:46,906
TARGETING OF VIRAL RNA THROUGH 

5314
03:54:46,906 --> 03:54:49,576
INHIBITING RNA PROCESSING.

5315
03:54:49,576 --> 03:54:53,213
THE LIMITED INTERACTION TARGETED

5316
03:54:53,213 --> 03:54:55,014
EPIDEMIOLOGY NEW CONCEPT 

5317
03:54:55,014 --> 03:54:57,150
SUPPORTS A LARGE ELECTRONICALLY 

5318
03:54:57,150 --> 03:54:58,785
GENERATED COHORTS OF MEN WHO 

5319
03:54:58,785 --> 03:55:00,420
HAVE SEX WITH MEN AND 

5320
03:55:00,420 --> 03:55:02,989
TRANSGENDER WOMEN WHO ARE HIV 

5321
03:55:02,989 --> 03:55:05,959
NEGATIVE AND FOLLOW THEM TO 

5322
03:55:05,959 --> 03:55:08,128
STUDY THE EPIDEMIOLOGY OF HIV 

5323
03:55:08,128 --> 03:55:10,897
INCIDENTS IN LATIN AMERICA.

5324
03:55:10,897 --> 03:55:15,135
GENDER AFFIRMING HORMONE 

5325
03:55:15,135 --> 03:55:25,044
THERAPY, RESILIENCE, PHARMACO 

5326
03:55:25,044 --> 03:55:27,414
KINETICS STUDIED FOR INFECTION 

5327
03:55:27,414 --> 03:55:28,681
IN TRANSGENDER PEOPLE.

5328
03:55:28,681 --> 03:55:32,786
VACCINE RESPONSES ALSO KNOWN AS 

5329
03:55:32,786 --> 03:55:34,287
INDOR INTEGRATES BIO ENGINEERING

5330
03:55:34,287 --> 03:55:36,122
AND IMMUNOLOGY.

5331
03:55:36,122 --> 03:55:39,692
THIS INITIATIVE HAS SEVERAL 

5332
03:55:39,692 --> 03:55:39,993
OBJECTIVES.

5333
03:55:39,993 --> 03:55:44,664
ONE, TO IDENTIFY SIGNATURES AND 

5334
03:55:44,664 --> 03:55:46,800
MARKERS OF DURABLE HIV VACCINE 

5335
03:55:46,800 --> 03:55:47,567
RESPONSES.

5336
03:55:47,567 --> 03:55:51,070
TO IDENTIFY EARLY IMMUNE SIGNALS

5337
03:55:51,070 --> 03:55:51,938
FOR PROGRAMMING DURABLE HIV 

5338
03:55:51,938 --> 03:55:53,740
VACCINE RESPONSES AND TO APPLY 

5339
03:55:53,740 --> 03:55:55,575
THIS KNOWLEDGE TO THE 

5340
03:55:55,575 --> 03:55:56,676
DEVELOPMENT OF MORE DURABLE HIV 

5341
03:55:56,676 --> 03:55:59,446
VACCINES.

5342
03:55:59,446 --> 03:56:01,247
STRATEGIES FOR CONTROLLED 

5343
03:56:01,247 --> 03:56:04,317
RELEASE OF HIV VACCINES ALSO 

5344
03:56:04,317 --> 03:56:06,553
CALLED SCORE H ADVANCES 

5345
03:56:06,553 --> 03:56:09,189
EFFECTIVE AND PRACTICAL ANTIGEN 

5346
03:56:09,189 --> 03:56:10,490
AND IMMUNOGEN DELIVERY PLATFORMS

5347
03:56:10,490 --> 03:56:13,159
TO MANIPULATE AND CONTROL 

5348
03:56:13,159 --> 03:56:16,062
SPATIAL AND TEMPORAL RELEASE OF 

5349
03:56:16,062 --> 03:56:19,499
HIV VACCINES TO IMPROVE IMMUNE 

5350
03:56:19,499 --> 03:56:21,701
RESPONSES AND TO DELIVER COMPLEX

5351
03:56:21,701 --> 03:56:27,106
IMMUNIZATION REGIMENTS IN A 

5352
03:56:27,106 --> 03:56:29,042
SINGLE FORMULATION.

5353
03:56:29,042 --> 03:56:34,247
NIAID HAS NOTICE OF SPECIAL 

5354
03:56:34,247 --> 03:56:40,420
INTEREST TO SOLICIT RESEARCH 

5355
03:56:40,420 --> 03:56:45,558
PROPOSE THE GOALS OF ENDING THE 

5356
03:56:45,558 --> 03:56:48,928
HIV EPIDEMIC AND THE CENTERS FOR

5357
03:56:48,928 --> 03:56:50,363
AIDS RESEARCH WHICH IS ALSO 

5358
03:56:50,363 --> 03:56:56,970
KNOWN AS CFAR AND DEVELOPMENTAL 

5359
03:56:56,970 --> 03:56:57,604
CENTERS GRANTS SUPPORT PROGRAMS 

5360
03:56:57,604 --> 03:57:00,773
THAT EXPAND THE ROLE OF THE CFAR

5361
03:57:00,773 --> 03:57:02,542
DEVELOPMENT CORE TO INCLUDE 

5362
03:57:02,542 --> 03:57:03,943
ADDITIONAL SUPPORT AND 

5363
03:57:03,943 --> 03:57:07,447
INFRASTRUCTURE TO DIVERSIFY 

5364
03:57:07,447 --> 03:57:08,181
APPROACHES, INVESTIGATORS AND 

5365
03:57:08,181 --> 03:57:10,783
RESEARCH INTO HIV RELATED HEALTH

5366
03:57:10,783 --> 03:57:13,786
DISPARITIES.

5367
03:57:13,786 --> 03:57:16,322
ON THIS SLIDE YOU'LL SEE THE 

5368
03:57:16,322 --> 03:57:17,323
NATIONAL INSTITUTE OF CHILD 

5369
03:57:17,323 --> 03:57:19,826
HEALTH AND DEVELOPMENT HAS ONE 

5370
03:57:19,826 --> 03:57:21,027
NEW CLEAR CONCEPT AND THE 

5371
03:57:21,027 --> 03:57:22,295
NATIONAL INSTITUTE OF MINORITY 

5372
03:57:22,295 --> 03:57:24,430
HEALTH AND HEALTH DISPARITIES 

5373
03:57:24,430 --> 03:57:27,000
HAS TWO NEW CLEARED CONCEPTS.

5374
03:57:27,000 --> 03:57:30,670
FOR NICHD THE OPTIMIZING HEALTH 

5375
03:57:30,670 --> 03:57:34,274
OF CHILDREN WITH PERINATAL 

5376
03:57:34,274 --> 03:57:35,441
EXPOSURE SEEKS TO UNDERSTAND THE

5377
03:57:35,441 --> 03:57:36,442
SOCIAL ENVIRONMENT FACTORS THAT 

5378
03:57:36,442 --> 03:57:37,810
CONTRIBUTE TO THE HEALTH 

5379
03:57:37,810 --> 03:57:40,313
OUTCOMES OF POPULATIONS WHO ARE 

5380
03:57:40,313 --> 03:57:48,121
EXPOSED TO HIV AND ART IN UTERO 

5381
03:57:48,121 --> 03:57:51,291
AND BREAST FEEDING UNINFECTED AN

5382
03:57:51,291 --> 03:57:55,194
LOOKING AT STRUCTURAL STIGMA AND

5383
03:57:55,194 --> 03:57:56,429
INEQUALITIES.

5384
03:57:56,429 --> 03:57:57,597
FOR HOUSING STABILITY AMONG 

5385
03:57:57,597 --> 03:57:59,966
PEOPLE LIVING WITH HIV/AIDS FROM

5386
03:57:59,966 --> 03:58:02,735
POPULATIONS THAT EXPERIENCE 

5387
03:58:02,735 --> 03:58:04,771
HEALTH DISPARITIES SUPPORTS 

5388
03:58:04,771 --> 03:58:06,005
MULTI-LEVEL AND 

5389
03:58:06,005 --> 03:58:06,673
MULTI-DISCIPLINARY RESEARCH THAT

5390
03:58:06,673 --> 03:58:08,041
ADDRESS THE INTERSECTIONS 

5391
03:58:08,041 --> 03:58:10,176
BETWEEN HOUSING, CARE SEEKING 

5392
03:58:10,176 --> 03:58:12,378
AND TREATMENT BEHAVIORS OF 

5393
03:58:12,378 --> 03:58:16,416
PEOPLE LIVING WITH HIV AND 

5394
03:58:16,416 --> 03:58:16,883
EXPERIENCING HOUSING 

5395
03:58:16,883 --> 03:58:18,484
INSTABILITY.

5396
03:58:18,484 --> 03:58:20,887
AND THE SECOND CONCEPT 

5397
03:58:20,887 --> 03:58:24,424
MECHANISMS AND INTERVENTIONS TO 

5398
03:58:24,424 --> 03:58:25,358
ADDRESS COMORBIDITIES IN 

5399
03:58:25,358 --> 03:58:26,759
POPULATIONS THAT EXPERIENCE 

5400
03:58:26,759 --> 03:58:31,864
HEALTH DISPARITIES HAS A TWOFOLD

5401
03:58:31,864 --> 03:58:32,332
PURPOSE.

5402
03:58:32,332 --> 03:58:33,800
FIRST TO SUPPORT INTERVENTION 

5403
03:58:33,800 --> 03:58:34,067
RESEARCH.

5404
03:58:34,067 --> 03:58:36,936
TO IMPROVE QUALITY OF LIFE AND 

5405
03:58:36,936 --> 03:58:39,105
PROMOTE SUCCESSFUL AGING AMONG 

5406
03:58:39,105 --> 03:58:41,975
PEOPLE LIVING WITH HIV FROM 

5407
03:58:41,975 --> 03:58:48,014
RACIAL, ETHNIC AND LOWER SOCIO 

5408
03:58:48,014 --> 03:58:50,450
ECONOMIC LEVELS AND COMORBI

5409
03:58:50,450 --> 03:58:52,485
COMORBIDITIES ACROSS THE LIFE 

5410
03:58:52,485 --> 03:58:53,219
COURSE.

5411
03:58:53,219 --> 03:58:54,220
THE SECOND IS TO SUPPORT STUDIES

5412
03:58:54,220 --> 03:58:56,723
TO UNDERSTAND THE MECHANISMS 

5413
03:58:56,723 --> 03:58:58,992
UNDERLYING HIV RELATED 

5414
03:58:58,992 --> 03:59:00,660
COMORBIDITIES THAT CONTRIBUTE TO

5415
03:59:00,660 --> 03:59:02,362
EXCESS MORBIDITY AND MORTALITY 

5416
03:59:02,362 --> 03:59:04,764
IN HIV INFECTED POPULATIONS.

5417
03:59:04,764 --> 03:59:05,932
PARTICULARLY IN THOSE THAT 

5418
03:59:05,932 --> 03:59:07,166
EXPERIENCE HEALTH DISPARITIES 

5419
03:59:07,166 --> 03:59:13,673
AND MAY HAVE INTERSECTING 

5420
03:59:13,673 --> 03:59:20,413
IDENTITIES.

5421
03:59:20,413 --> 03:59:22,115
BOTH THE NATIONAL CANCER 

5422
03:59:22,115 --> 03:59:24,050
INSTITUTE AND NATIONAL INSTITUTE

5423
03:59:24,050 --> 03:59:26,753
OF AGING ISSUED ONE CONCEPT THE 

5424
03:59:26,753 --> 03:59:28,421
FUNDING OPPORTUNITIES SEEKS A 

5425
03:59:28,421 --> 03:59:30,456
CONTINUATION OF THE AIDS CANCER 

5426
03:59:30,456 --> 03:59:31,858
SPECIMEN RESOURCE AND THE 

5427
03:59:31,858 --> 03:59:36,429
PRIMARY OBJECTIVE THE ACSR IS 

5428
03:59:36,429 --> 03:59:40,433
TOE ACQUIRE AND STORE AND 

5429
03:59:40,433 --> 03:59:47,140
EQUITABLY DISTRIBUTE SAYS 

5430
03:59:47,140 --> 03:59:48,908
SPECIMENS AND DATA WITH 

5431
03:59:48,908 --> 03:59:50,943
HIV-RELATED MALIGNANCIES.

5432
03:59:50,943 --> 03:59:53,780
THE NIA IMPACT OF COMORBIDITIES 

5433
03:59:53,780 --> 03:59:57,617
AND COINFECTIONS OF HIV 

5434
03:59:57,617 --> 04:00:01,554
RESERVOIRS SEEKS APPLICATIONS BY

5435
04:00:01,554 --> 04:00:04,157
TWO OVERARCHING OBJECTIVES.

5436
04:00:04,157 --> 04:00:07,593
TO IMPROVE THE UNDERSTANDING OF 

5437
04:00:07,593 --> 04:00:09,829
BIOLOGICAL AND SOCIO BEHAVIORAL 

5438
04:00:09,829 --> 04:00:12,432
ASPECTS OF AGING THROUGH 

5439
04:00:12,432 --> 04:00:14,167
INFECTION AND TREATMENT OF HIV 

5440
04:00:14,167 --> 04:00:15,735
AND IMPROVE APPROACHES FOR 

5441
04:00:15,735 --> 04:00:16,803
TESTING, PREVENTION AND 

5442
04:00:16,803 --> 04:00:19,172
TREATMENT OF HIV INFECTION AND 

5443
04:00:19,172 --> 04:00:21,607
MANAGEMENT OF HIV-RELATED 

5444
04:00:21,607 --> 04:00:23,910
COMORBIDITIES, CO-INFECTIONS AND

5445
04:00:23,910 --> 04:00:24,944
COMPLICATIONS IN DIFFERENT 

5446
04:00:24,944 --> 04:00:26,479
POPULATIONS AND CULTURAL 

5447
04:00:26,479 --> 04:00:28,147
SETTINGS BY APPLYING THE CURRENT

5448
04:00:28,147 --> 04:00:35,922
UNDERSTANDING OF AGING SCIENCE.

5449
04:00:35,922 --> 04:00:43,663
TO CONCLUDE THE CONCEPTS FOR 

5450
04:00:43,663 --> 04:00:44,397
REISSUANCE.

5451
04:00:44,397 --> 04:00:46,299
THE LONG ACTING DRUG DELIVERY 

5452
04:00:46,299 --> 04:00:49,969
SYSTEMS FOR ART OPTIMIZATION IN 

5453
04:00:49,969 --> 04:00:51,471
HIV-INFECTED CHILDREN SUPPORTS 

5454
04:00:51,471 --> 04:00:53,606
DEVELOPMENT OF A LONG-ACTING 

5455
04:00:53,606 --> 04:00:56,476
DRUG DELIVERY FOR TREATMENT OF 

5456
04:00:56,476 --> 04:00:58,778
HIV 1 IN CHILDREN.

5457
04:00:58,778 --> 04:01:00,646
THE U.S.-BRAZIL COLLABORATIVE 

5458
04:01:00,646 --> 04:01:01,781
BIOMEDICAL RESEARCH PROGRAM 

5459
04:01:01,781 --> 04:01:04,417
SUPPORTS U.S. INVESTIGATORS 

5460
04:01:04,417 --> 04:01:08,721
WORKING IN BRAZILIAN COLLEAGUES.

5461
04:01:08,721 --> 04:01:14,160
THE FOCUS ON IMMUNOLOGY AND HIV 

5462
04:01:14,160 --> 04:01:19,665
AND AIDS AND COMORBIDITIES AND 

5463
04:01:19,665 --> 04:01:22,802
THE FINAL REISSUED CONCEPT IS 

5464
04:01:22,802 --> 04:01:23,436
SOUTH AFRICA BIOMEDICAL RESEARCH

5465
04:01:23,436 --> 04:01:27,106
PROGRAM TO RENEW THE U.S. SOUTH 

5466
04:01:27,106 --> 04:01:29,041
AFRICA COLLABORATIVE PROGRAM FOR

5467
04:01:29,041 --> 04:01:32,211
ANOTHER FIVE YEARS AND PROVIDE 

5468
04:01:32,211 --> 04:01:36,415
SUPPORT FOR U.S. AND SOUTH 

5469
04:01:36,415 --> 04:01:37,483
AFRICAN SCIENTIST TO COLLABORATE

5470
04:01:37,483 --> 04:01:39,485
WITH MEMBERS IN BOTH COUNTRIES 

5471
04:01:39,485 --> 04:01:40,753
AND SUPPORTS EARLY CAREER 

5472
04:01:40,753 --> 04:01:42,321
INVESTIGATORS AND INNOVATIVE 

5473
04:01:42,321 --> 04:01:42,522
IDEAS.

5474
04:01:42,522 --> 04:01:43,790
WITH THAT, THANK YOU FOR YOUR 

5475
04:01:43,790 --> 04:01:43,990
TIME.

5476
04:01:43,990 --> 04:01:48,194
OVER TO YOU, BILL.

5477
04:01:48,194 --> 04:01:49,061
>> THANK YOU.

5478
04:01:49,061 --> 04:01:52,431
NOW WE'LL GO BACK TO OUR 

5479
04:01:52,431 --> 04:01:54,567
ORIGINAL ORDER AND START WITH 

5480
04:01:54,567 --> 04:01:57,370
DR. GANDHI WELL KNOWN TO OARAC 

5481
04:01:57,370 --> 04:01:58,771
AS THE PRIOR CHAIR SHE'S SERVES 

5482
04:01:58,771 --> 04:02:01,707
AS THE MEMBER OF THE AID 

5483
04:02:01,707 --> 04:02:04,110
RESEARCH ADVISORY COUNCIL AND 

5484
04:02:04,110 --> 04:02:04,811
ASSOCIATE CHIEF OF THE DIVISION 

5485
04:02:04,811 --> 04:02:07,814
OF HIV AND INFECTIOUS DISEASES 

5486
04:02:07,814 --> 04:02:10,817
AND GLOBAL MEDICINE AT UCSF 

5487
04:02:10,817 --> 04:02:16,422
GENERAL MEDICAL HOSPITAL AND 

5488
04:02:16,422 --> 04:02:22,495
SERVESS THE MEDICAL DIRECT OF TE

5489
04:02:22,495 --> 04:02:23,296
WARD 6.

5490
04:02:23,296 --> 04:02:24,230
TAKE IT AWAY.

5491
04:02:24,230 --> 04:02:25,665
>> THANK YOU SO MUCH.

5492
04:02:25,665 --> 04:02:27,934
I'M SORRY THEY GOT US OUT OF 

5493
04:02:27,934 --> 04:02:28,568
ORDER.

5494
04:02:28,568 --> 04:02:32,405
I HAD A PATIENT ISSUE ACTUALLY.

5495
04:02:32,405 --> 04:02:35,374
THANK YOU SO MUCH.

5496
04:02:35,374 --> 04:02:42,782
THIS IS AN UPDATE FROM THE 

5497
04:02:42,782 --> 04:02:43,783
COUNCIL SEPTEMBER 11th AND THE 

5498
04:02:43,783 --> 04:02:48,387
IT WAS AN INTERESTING MEETING.

5499
04:02:48,387 --> 04:02:51,324
AND REGRETFULLY MY SECOND TO 

5500
04:02:51,324 --> 04:02:53,326
LAST ON COUNCIL.

5501
04:02:53,326 --> 04:02:57,530
THIS WAS EXTREMELY EXCITING TO 

5502
04:02:57,530 --> 04:02:59,131
HEAR ABOUT THE NEW DIRECTOR NOW 

5503
04:02:59,131 --> 04:02:59,465
THERE.

5504
04:02:59,465 --> 04:03:04,403
THAT WAS EXCITING TO HEAR AND WE

5505
04:03:04,403 --> 04:03:07,340
HEARD ABOUT FROM THE DIRECTOR ON

5506
04:03:07,340 --> 04:03:09,742
THE REPORT AND HEARD THE LAST 

5507
04:03:09,742 --> 04:03:13,846
UPDATE FROM THE FORMER ACTING 

5508
04:03:13,846 --> 04:03:20,753
DIRECTOR OF NIAID.

5509
04:03:20,753 --> 04:03:30,529
AND NIAID RELATIVE TO OTHER 

5510
04:03:30,529 --> 04:03:33,633
INSTITUTES LOOKING AT FY22 AND 

5511
04:03:33,633 --> 04:03:35,368
FY23 HAS DONE EQUALLY AS WELL.

5512
04:03:35,368 --> 04:03:37,937
THERE WAS AN INCREASE HIGHER FOR

5513
04:03:37,937 --> 04:03:40,206
NCI OTHERWISE WE'RE THERE IN 

5514
04:03:40,206 --> 04:03:44,410
TERMS OF SMALL INCREASES FROM 

5515
04:03:44,410 --> 04:03:46,312
2022 TO 2023.

5516
04:03:46,312 --> 04:03:50,716
SO I DO HAVE TO MENTION THOUGH 

5517
04:03:50,716 --> 04:03:52,685
THAT THERE WAS DISCUSSION AT THE

5518
04:03:52,685 --> 04:03:53,920
NIAID ADVISORY COUNCIL AND 

5519
04:03:53,920 --> 04:03:56,088
BROUGHT TO US BY THE DIRECTOR 

5520
04:03:56,088 --> 04:03:58,391
AND PROGRAM ABOUT THIS MOMENT IN

5521
04:03:58,391 --> 04:04:03,529
TIME THAT WE'RE HAVING AROUND 

5522
04:04:03,529 --> 04:04:03,863
POLARIZATION.

5523
04:04:03,863 --> 04:04:06,599
AROUND ATTACKS ON NIAID AND 

5524
04:04:06,599 --> 04:04:09,602
INFECTIOUS DISEASE AND 

5525
04:04:09,602 --> 04:04:10,770
UNFORTUNATELY SOMETHING 

5526
04:04:10,770 --> 04:04:13,339
PARTICULAR A PROPOSED FUNDING 

5527
04:04:13,339 --> 04:04:16,809
CUT IN THE HOUSE OF THE FULL ON 

5528
04:04:16,809 --> 04:04:19,812
23% COMPARED TO THE SENATE 

5529
04:04:19,812 --> 04:04:20,446
BUDGET PROPOSED WHICH WAS 

5530
04:04:20,446 --> 04:04:21,747
LEAVING NIAID FLAT LIKE THE 

5531
04:04:21,747 --> 04:04:22,782
OTHER INSTITUTES.

5532
04:04:22,782 --> 04:04:25,785
OF COURSE WE ALL KNOW WHAT'S 

5533
04:04:25,785 --> 04:04:26,886
HAPPENED AND THIS DID NOT END UP

5534
04:04:26,886 --> 04:04:28,020
GOING THROUGH THE HOUSE AND THE 

5535
04:04:28,020 --> 04:04:29,055
HOUSE GOT A SPEAKER DECLARED 

5536
04:04:29,055 --> 04:04:39,165
TODAY.

5537
04:04:46,238 --> 04:04:48,040
IT SPEAKS TO THE DECISIONS IN 

5538
04:04:48,040 --> 04:04:49,709
THE UPCOMING FINANCIAL 

5539
04:04:49,709 --> 04:04:51,243
MANAGEMENT PLAN AND THE 

5540
04:04:51,243 --> 04:04:56,082
ANNOUNCED PAY LINES USUALLY 

5541
04:04:56,082 --> 04:04:58,217
THESE ARE HIGHER AND THE 

5542
04:04:58,217 --> 04:05:00,086
ESTABLISHED P.I. THE PAY LINE IS

5543
04:05:00,086 --> 04:05:05,591
8 PERCENTILE AND NEW ONE COMING 

5544
04:05:05,591 --> 04:05:08,427
DOWN FROM 16 AND 12 

5545
04:05:08,427 --> 04:05:08,761
RESPECTIVELY.

5546
04:05:08,761 --> 04:05:11,163
AND SO THAT IS SOMETHING THAT'S 

5547
04:05:11,163 --> 04:05:13,599
HAPPENED AND TWO DAYS AGO NIAID 

5548
04:05:13,599 --> 04:05:16,569
ANNOUNCED THE R21 AND R3 PAY 

5549
04:05:16,569 --> 04:05:19,705
LINES 23 INSTEAD OF 29 AND SOME 

5550
04:05:19,705 --> 04:05:22,775
ACROSS THE BOARD CUTS.

5551
04:05:22,775 --> 04:05:23,943
HOPEFULLY BEING CONSERVATIVE AND

5552
04:05:23,943 --> 04:05:34,020
CAUTIOUS AND HEOPEFULLY IT WILL 

5553
04:05:34,020 --> 04:05:37,123
GET BER AND WE HAD TO HAVE 

5554
04:05:37,123 --> 04:05:37,957
DISCUSSIONS ATHET MEETING 

5555
04:05:37,957 --> 04:05:39,592
SPEAKING TO THIS DIFFICULT TIME 

5556
04:05:39,592 --> 04:05:42,561
FOR US AT NIAID AND WITH ALL THE

5557
04:05:42,561 --> 04:05:44,597
POLITICALIZATION AND I THINK IT 

5558
04:05:44,597 --> 04:05:49,168
WILL GET BETTER.

5559
04:05:49,168 --> 04:05:52,038
SO THERE WERE SUCCESSES AND ARE 

5560
04:05:52,038 --> 04:05:53,572
SUCCESSES AND IT'S BEEN AN 

5561
04:05:53,572 --> 04:05:56,442
INCREDIBLE YEAR IN TERMS OF 

5562
04:05:56,442 --> 04:05:59,712
ADVANCING IN HIV MEDICINE AND IN

5563
04:05:59,712 --> 04:06:02,048
THE ADVANCES NIAID DROVE IN 

5564
04:06:02,048 --> 04:06:07,486
TERMS OF THE COVID-19 PANDEMIC.

5565
04:06:07,486 --> 04:06:11,223
SO THE STUDIES FUNDED BY NIAID 

5566
04:06:11,223 --> 04:06:14,894
THAT REALLY WERE AND BY THE NIH 

5567
04:06:14,894 --> 04:06:19,165
EXCITING LED TO NOT ONLY THE 

5568
04:06:19,165 --> 04:06:20,366
APPROVAL OF THIS EVERY EIGHT 

5569
04:06:20,366 --> 04:06:22,768
WEEKS AS A PREVENTIVE AGENT BUT 

5570
04:06:22,768 --> 04:06:24,770
THE U.S. PREVENTIVE SERVICES ASK

5571
04:06:24,770 --> 04:06:29,375
FOR GAVE IT AS PREP AN A GRADE 

5572
04:06:29,375 --> 04:06:31,710
THIS YEAR WHICH MEANS IT WILL 

5573
04:06:31,710 --> 04:06:33,646
PAVE THE WAY FOR INSURANCE 

5574
04:06:33,646 --> 04:06:36,782
COVERAGE AS A SUPERIOR FORM OF 

5575
04:06:36,782 --> 04:06:41,454
PREP AT LEAST IN BOTH TRIALS AND

5576
04:06:41,454 --> 04:06:45,624
WOMEN AND TRANSGENDER WOMEN AND 

5577
04:06:45,624 --> 04:06:45,991
CISGENDER MEN.

5578
04:06:45,991 --> 04:06:48,961
IT WAS INCREDIBLE TO SEE THE 

5579
04:06:48,961 --> 04:06:51,530
ADVANCES THROUGH THE PLATFORM 

5580
04:06:51,530 --> 04:06:53,432
AND ACTIVE PLATFORM IN NOT ONLY 

5581
04:06:53,432 --> 04:06:56,435
COVID VACCINES BUT IN TREATMENT 

5582
04:06:56,435 --> 04:06:57,336
AND INVESTIGATIONAL THERAPIES 

5583
04:06:57,336 --> 04:07:00,272
FOR MILD TO MODERATE COVID AND 

5584
04:07:00,272 --> 04:07:05,044
NOW WORK IS ONGOING.

5585
04:07:05,044 --> 04:07:07,713
THEN WE DISCUSSED THE END HIV 

5586
04:07:07,713 --> 04:07:09,248
EPIDEMIC MONIES AND THE FUNNELS 

5587
04:07:09,248 --> 04:07:12,418
OF THOSE FUNDS TO EXCITING 

5588
04:07:12,418 --> 04:07:14,220
PROJECTS ACROSS THE INSTITUTES 

5589
04:07:14,220 --> 04:07:16,055
FOR STRATEGIES THAT WILL HELP 

5590
04:07:16,055 --> 04:07:19,425
END THE HIV EPIDEMIC AND 

5591
04:07:19,425 --> 04:07:21,393
COMMUNITY-FOCUSSED AND 

5592
04:07:21,393 --> 04:07:22,228
SCIENTIFIC ADVANCES IN 

5593
04:07:22,228 --> 04:07:24,230
DIAGNOSIS, TREATMENT, PREVENTION

5594
04:07:24,230 --> 04:07:31,937
AND OUTBREAK PREVENTION.

5595
04:07:31,937 --> 04:07:34,807
SO ACTUALLY CORETTE WENT OVER 

5596
04:07:34,807 --> 04:07:36,408
THESE SO I WON'T DWELL ON THE 

5597
04:07:36,408 --> 04:07:38,110
BUT CONCEPTS WERE BROUGHT TO THE

5598
04:07:38,110 --> 04:07:39,645
NIAID COUNCIL FOR APPROVAL.

5599
04:07:39,645 --> 04:07:41,780
ALL WERE VERY IMPACTFUL AND ALL 

5600
04:07:41,780 --> 04:07:42,648
WERE APPROVED BY COUNCIL BECAUSE

5601
04:07:42,648 --> 04:07:48,420
THEY WERE REALLY EXCITING.

5602
04:07:48,420 --> 04:07:49,855
I THOUGHT THE FIRST WAS 

5603
04:07:49,855 --> 04:07:51,223
INTERESTING BECAUSE WE FOCUS ON 

5604
04:07:51,223 --> 04:07:53,159
THE TRANSCRIPTIONAL PATHWAY FOR 

5605
04:07:53,159 --> 04:07:56,128
HIV BUT WHAT ABOUT AFTER 

5606
04:07:56,128 --> 04:07:57,263
TRANSLATION HAS OCCURRED AND 

5607
04:07:57,263 --> 04:08:00,432
THERE'S HIV PROTEIN AROUND.

5608
04:08:00,432 --> 04:08:01,901
WHAT ABOUT DRUGS THAT TARGET HIV

5609
04:08:01,901 --> 04:08:03,469
PROTEINS AN IT'S INTERESTING TO 

5610
04:08:03,469 --> 04:08:04,470
THINK WITH THE NOVEL POTENTIAL 

5611
04:08:04,470 --> 04:08:07,640
TARGET FOR TREATMENT AND CURE OF

5612
04:08:07,640 --> 04:08:10,509
ELIMINATING HIV PROTEINS AND RF 

5613
04:08:10,509 --> 04:08:16,382
AND R 126 -- R21 WAS APPROVED 

5614
04:08:16,382 --> 04:08:18,184
AND IF YOU LOOK AT PATTERNS 

5615
04:08:18,184 --> 04:08:19,818
AROUND THE WORLD WITH HOW HIV 

5616
04:08:19,818 --> 04:08:21,787
INCIDENTS HAVE BEEN GOING, 

5617
04:08:21,787 --> 04:08:23,889
GLOBALLY IT'S DECREASED FROM 

5618
04:08:23,889 --> 04:08:30,462
2010 TO 2020 FROM 2.1 TO 1.5 

5619
04:08:30,462 --> 04:08:33,866
MILLION BUT THERE'S INCREASES IN

5620
04:08:33,866 --> 04:08:34,433
CERTAIN REGIONS INCLUDING 

5621
04:08:34,433 --> 04:08:36,402
EASTERN EUROPE AND LATIN 

5622
04:08:36,402 --> 04:08:36,635
AMERICA.

5623
04:08:36,635 --> 04:08:39,205
AND THERE WAS A SUCCESSFUL 

5624
04:08:39,205 --> 04:08:43,709
PROGRAM ALREADY FUNDED IN THE 

5625
04:08:43,709 --> 04:08:48,380
U.S. OF THESE LIMITED TARGETED 

5626
04:08:48,380 --> 04:08:49,548
EPIDEMIOLOGY INITIATIVES AND 

5627
04:08:49,548 --> 04:08:51,817
FOCUSSED ON LATIN AMERICA AND 

5628
04:08:51,817 --> 04:08:59,959
AMONG VULNERABLE POPULATIONS IN 

5629
04:08:59,959 --> 04:09:01,994
LATIN AMERICA TO LOOK AT PREP 

5630
04:09:01,994 --> 04:09:03,162
FOR THOSE WHO HAVE REASON TO 

5631
04:09:03,162 --> 04:09:09,568
NEED IT AND INCREASING RATES OF 

5632
04:09:09,568 --> 04:09:10,736
VIROLOGIC EXPRESSION AND THIS 

5633
04:09:10,736 --> 04:09:12,404
SAY UG3 MECHANISM AND ALSO 

5634
04:09:12,404 --> 04:09:20,412
APPROVED.

5635
04:09:20,412 --> 04:09:22,648
TWO OTHER CONCEPTS.

5636
04:09:22,648 --> 04:09:23,849
CONTROLLED RELIEF OF HIV 

5637
04:09:23,849 --> 04:09:24,950
VACCINES.

5638
04:09:24,950 --> 04:09:25,618
CONCEPT NUMBER 3.

5639
04:09:25,618 --> 04:09:29,755
TO HELP IMPROVE THE IMMUNE 

5640
04:09:29,755 --> 04:09:32,091
RESPONSE PREVENTION OR 

5641
04:09:32,091 --> 04:09:34,260
THERAPEUTIC VACCINE OR CURE TO 

5642
04:09:34,260 --> 04:09:35,594
HELP CONTROL THAT IN THE HOPES 

5643
04:09:35,594 --> 04:09:37,930
IT WILL INCREASE IMMUNOGENICITY 

5644
04:09:37,930 --> 04:09:40,466
AND VACCINES THAT WILL MAKE 

5645
04:09:40,466 --> 04:09:42,334
VACCINES -- STRATEGIES TO 

5646
04:09:42,334 --> 04:09:43,335
ENGINEER VACCINES TO MAKE THE 

5647
04:09:43,335 --> 04:09:46,772
RESPONSES MORE DURABLE.

5648
04:09:46,772 --> 04:09:48,407
AND REALLY LOOKING AT BASIC 

5649
04:09:48,407 --> 04:09:49,742
SCIENCE AND APPLIED RESEARCH 

5650
04:09:49,742 --> 04:09:51,677
ASPECTS OF FORMULATED VACCINES 

5651
04:09:51,677 --> 04:09:53,812
THAT HOPEFULLY WILL LEAD TO MORE

5652
04:09:53,812 --> 04:09:57,182
DURABLE IMMUNE RESPONSES.

5653
04:09:57,182 --> 04:09:59,118
AND THEN KWON SENTS NUMBER FIVE 

5654
04:09:59,118 --> 04:10:00,919
AND SIX AGAIN WE DISCUSSED BUT I

5655
04:10:00,919 --> 04:10:03,689
THINK IT'S TERRIBLY IMPORTANT 

5656
04:10:03,689 --> 04:10:06,625
THAT THE NIAID DECIDED TO REALLY

5657
04:10:06,625 --> 04:10:09,028
LOOK INTO GENDER-AFFIRMING 

5658
04:10:09,028 --> 04:10:12,064
HORMONE THERAPY AND ITS IMPACT 

5659
04:10:12,064 --> 04:10:13,766
ON IMMUNOLOGY AND PHARMACO 

5660
04:10:13,766 --> 04:10:16,769
KINE

5661
04:10:16,769 --> 04:10:17,436
KINETICS.

5662
04:10:17,436 --> 04:10:20,406
THERE'S INTEREST BETWEEN THESE 

5663
04:10:20,406 --> 04:10:24,043
AND ANTIVIRALS THAT HAVE SMALLER

5664
04:10:24,043 --> 04:10:26,612
STUDIES AND NEED LARGER STUDIES 

5665
04:10:26,612 --> 04:10:36,121
TO LOOK AT THE DRUG IMMUNOLOGY 

5666
04:10:36,121 --> 04:10:37,756
AND ARE THERE THINGS WE CAN DO 

5667
04:10:37,756 --> 04:10:43,862
TO IMPROVE THE IMMUNOLOGY OF HIV

5668
04:10:43,862 --> 04:10:44,530
PREVENTION OR TREATMENT.

5669
04:10:44,530 --> 04:10:46,632
THIS IS AN EXCITING AN IMPORTANT

5670
04:10:46,632 --> 04:10:48,434
INITIATIVE IN LIGHT OF CURRENT 

5671
04:10:48,434 --> 04:10:49,702
SITUATIONS.

5672
04:10:49,702 --> 04:10:52,438
AND THEN THE OTHER IS THE ADULT 

5673
04:10:52,438 --> 04:10:54,139
WORLD WE'RE VERY INTERESTED IN 

5674
04:10:54,139 --> 04:10:55,974
LONG ACTING DRUG DELIVERY AND SO

5675
04:10:55,974 --> 04:10:58,444
MUCH MORE LIMITED OPTIONS FOR 

5676
04:10:58,444 --> 04:11:04,416
CHILDREN FOR LONG-ACTING AN

5677
04:11:04,416 --> 04:11:05,918
ANTIRETROVIRAL THERAPY AND 

5678
04:11:05,918 --> 04:11:07,286
THINKING OF ONES THAT ARE 

5679
04:11:07,286 --> 04:11:09,221
PATCHES THAT DON'T INVOLVE PAIN 

5680
04:11:09,221 --> 04:11:14,660
AND DON'T INVOLVE NEEDLES.

5681
04:11:14,660 --> 04:11:15,728
THINGS TO HELP CHILDREN GET 

5682
04:11:15,728 --> 04:11:19,431
ADVANCES IN LONG-ACTING ARVs.

5683
04:11:19,431 --> 04:11:21,834
AND I'LL END WITH THE FACT THAT 

5684
04:11:21,834 --> 04:11:24,603
THESE ALSO WERE TWO APPROVED 

5685
04:11:24,603 --> 04:11:26,538
CONCEPTS IN ONE.

5686
04:11:26,538 --> 04:11:28,407
THERE'S ESSENTIALLY A PROPOSING 

5687
04:11:28,407 --> 04:11:29,375
COLLABORATIVE SCIENCE BETWEEN 

5688
04:11:29,375 --> 04:11:33,412
THE U.S. AND BRAZIL IN A 

5689
04:11:33,412 --> 04:11:35,481
BIOMEDICAL RESEARCH PROGRAM 

5690
04:11:35,481 --> 04:11:37,249
DOVETAILING WITH THE INITIATIVE 

5691
04:11:37,249 --> 04:11:39,418
AND IMPORTANT FOR OUR GOOD WORK 

5692
04:11:39,418 --> 04:11:40,352
WITH COLLABORATIONS IN THAT 

5693
04:11:40,352 --> 04:11:46,759
REGION WITH THE INCREASING RATES

5694
04:11:46,759 --> 04:11:49,061
OF TRANSMISSION AND HIGH 

5695
04:11:49,061 --> 04:11:50,329
PREVALENCE OF HIV AND ANOTHER 

5696
04:11:50,329 --> 04:11:53,465
COLLABORATIVE MISSION BETWEEN 

5697
04:11:53,465 --> 04:11:56,101
THE U.S. AND SOUTH AFRICA ACROSS

5698
04:11:56,101 --> 04:12:00,139
INSTITUTES WITH DIFFERENT 

5699
04:12:00,139 --> 04:12:03,175
ASPECTS OF RESEARCH.

5700
04:12:03,175 --> 04:12:08,213
EXTREMELY IMPORTANT AND SOBERING

5701
04:12:08,213 --> 04:12:18,657
MOMENT AND THANK YOU FOR 

5702
04:12:20,092 --> 04:12:23,762
ALLOWING ME TO PRESENT.

5703
04:12:23,762 --> 04:12:28,434
>> NOW A RAISE OF HANDS
FOR ANY 

5704
04:12:28,434 --> 04:12:38,644
DISCUSSION?

5705
04:12:40,078 --> 04:12:41,713
I DON'T SEE HANDS TO LET'S MOVE 

5706
04:12:41,713 --> 04:12:43,582
AHEAD AND OUR FINAL UPDATES WILL

5707
04:12:43,582 --> 04:12:46,785
COME FROM THE HIV CLINICAL 

5708
04:12:46,785 --> 04:12:48,187
GUIDELINES WORKING GROUP OF 

5709
04:12:48,187 --> 04:12:49,822
OARAC INCLUDING GUIDELINES AND 

5710
04:12:49,822 --> 04:12:51,924
PANEL UPDATES.

5711
04:12:51,924 --> 04:12:54,760
ONE PRESENTER TODAY DR. ALICE 

5712
04:12:54,760 --> 04:12:56,228
PAU THE PRINCIPLE INVESTIGATOR 

5713
04:12:56,228 --> 04:12:59,198
FOR EVALUATING PATIENTS WITH HIV

5714
04:12:59,198 --> 04:13:02,167
TREATMENT FAILURE AND AN 

5715
04:13:02,167 --> 04:13:04,303
ASSOCIATE INVESTIGATOR FOR HIV 

5716
04:13:04,303 --> 04:13:05,737
MANAGEMENT AND DRUG INTERACTION 

5717
04:13:05,737 --> 04:13:06,338
CLINICAL TRIALS.

5718
04:13:06,338 --> 04:13:10,776
THE FOCUS OF RESEARCH IS IN HIV 

5719
04:13:10,776 --> 04:13:17,316
TREATMENT FAILURE AND DRUG 

5720
04:13:17,316 --> 04:13:19,284
RESISTANCE AND BECAME THE 

5721
04:13:19,284 --> 04:13:21,186
EXECUTIVE SECRETARY OF THE PANEL

5722
04:13:21,186 --> 04:13:23,922
IN 2004.

5723
04:13:23,922 --> 04:13:26,191
CO-EDITOR OF THE HHS PANEL AND 

5724
04:13:26,191 --> 04:13:28,126
TREATMENT OF INFECTIONS AND THE 

5725
04:13:28,126 --> 04:13:29,027
LEADER OF THE PHARMACOLOGY TEAM 

5726
04:13:29,027 --> 04:13:32,197
FOR THE GUIDELINES.

5727
04:13:32,197 --> 04:13:34,766
DR. PAU, OVER TO YOU TO PRESENT 

5728
04:13:34,766 --> 04:13:37,703
YOUR UPDATES.

5729
04:13:37,703 --> 04:13:38,871
>> THANK YOU, BILL.

5730
04:13:38,871 --> 04:13:44,042
I'M GOING TO MAKE IT SHORT.

5731
04:13:44,042 --> 04:13:47,145
SO I'M GOING PROVIDE YOU WITH 

5732
04:13:47,145 --> 04:13:50,349
SOME UPDATES OF WHAT WE HAVE 

5733
04:13:50,349 --> 04:13:53,252
DONE SINCE THE LAST TIME.

5734
04:13:53,252 --> 04:13:54,286
APOLOGIES FOR THE DATES BEING 

5735
04:13:54,286 --> 04:13:54,686
WRONG OVER THERE.

5736
04:13:54,686 --> 04:14:01,693
NEXT SLIDE.

5737
04:14:01,693 --> 04:14:04,429
IT'S BEEN 25 YEARS SINCE THE 

5738
04:14:04,429 --> 04:14:07,332
FIRST GUIDELINE PUBLISHED IN 

5739
04:14:07,332 --> 04:14:07,533
MMWR.

5740
04:14:07,533 --> 04:14:10,168
I WAS FIRST PUBLISHED IN APRIL 

5741
04:14:10,168 --> 04:14:15,173
24, 1998.

5742
04:14:15,173 --> 04:14:19,745
AT FIRST WHEN THE GROUP WAS 

5743
04:14:19,745 --> 04:14:21,380
FORMED IT WAS THOUGHT IT WOULD 

5744
04:14:21,380 --> 04:14:23,582
BE DISMANTLED IN THREE YEARS AND

5745
04:14:23,582 --> 04:14:25,751
25 YEARS LATER WE'RE STILL HERE.

5746
04:14:25,751 --> 04:14:27,386
YOU CAN IMAGINE IN THIS 

5747
04:14:27,386 --> 04:14:29,821
PARTICULAR SLIDE ON THE LEFT 

5748
04:14:29,821 --> 04:14:32,925
SIDE WE HAVE THE NNRTIs AND 

5749
04:14:32,925 --> 04:14:35,394
P.I.s.

5750
04:14:35,394 --> 04:14:40,766
AT THE TIME THE GROUP WAS FORMED

5751
04:14:40,766 --> 04:14:44,870
WE ONLY HAVE THESE THERAPIES.

5752
04:14:44,870 --> 04:14:49,741
HERE WE ARE WITH MULTIPLE DRUG 

5753
04:14:49,741 --> 04:14:52,344
CLASSES AND WE'RE ABLE TO SAY 

5754
04:14:52,344 --> 04:14:54,346
THE LANDSCAPE OF HIV TREATMENT 

5755
04:14:54,346 --> 04:14:58,784
IS DIFFERENT FROM WHAT HAD BEEN 

5756
04:14:58,784 --> 04:14:59,685
25 YEARS AGO.

5757
04:14:59,685 --> 04:15:02,387
SO WITH THAT WE HAD OUR FIRST 

5758
04:15:02,387 --> 04:15:04,990
RETREAT OF THE FULL PANEL SINCE 

5759
04:15:04,990 --> 04:15:05,691
2019.

5760
04:15:05,691 --> 04:15:08,427
WE'RE GOING HAVE A MEETING IN 

5761
04:15:08,427 --> 04:15:10,329
2020 THAT HAD TO BE CANCELED 

5762
04:15:10,329 --> 04:15:11,697
BECAUSE OF COVID AND WE BROUGHT 

5763
04:15:11,697 --> 04:15:15,033
BACK OUR FIRST GUIDELINES 

5764
04:15:15,033 --> 04:15:16,401
CO-CHAIR, DR. FAUCI TO COME 

5765
04:15:16,401 --> 04:15:16,602
BACK.

5766
04:15:16,602 --> 04:15:18,503
HE WAS ABLE TO COME BACK AND 

5767
04:15:18,503 --> 04:15:24,843
SHARE WITH US SOME OF THE 

5768
04:15:24,843 --> 04:15:25,077
HISTORY.

5769
04:15:25,077 --> 04:15:30,115
HE CALLED HIMSELF THE GRAND 

5770
04:15:30,115 --> 04:15:37,189
FATHER OF ANTIRETROVIRAL THERAPY

5771
04:15:37,189 --> 04:15:40,425
AND TALKED ABOUT WHAT CHANGED IN

5772
04:15:40,425 --> 04:15:42,628
THE LAST FIVE YEARS.

5773
04:15:42,628 --> 04:15:46,965
WE CELEBRATED OUTGOING MEMBERS.

5774
04:15:46,965 --> 04:15:49,801
SIM HERE.

5775
04:15:49,801 --> 04:15:55,240
DR. GANDHI AND JORDANO AND HUNT,

5776
04:15:55,240 --> 04:16:00,412
KELLER, LENNOX AND TOBASS.

5777
04:16:00,412 --> 04:16:04,683
THEY EXTENDED THEIR TERM BECAUSE

5778
04:16:04,683 --> 04:16:06,318
OF THE COVID-19 PANDEMIC.

5779
04:16:06,318 --> 04:16:07,152
WE APPRECIATED THEIR WORK THEY 

5780
04:16:07,152 --> 04:16:09,755
HAD DONE AND CONTINUED TO DO AND

5781
04:16:09,755 --> 04:16:13,291
WE WERE SAD TO SEE THEM GO 

5782
04:16:13,291 --> 04:16:15,394
BECAUSE THEY PUT IN A LOT OF 

5783
04:16:15,394 --> 04:16:16,728
WORK OVER THE YEARS FOR THE 

5784
04:16:16,728 --> 04:16:20,132
PANEL.

5785
04:16:20,132 --> 04:16:22,768
SO WHAT DID WE DISCUSS AT THE 

5786
04:16:22,768 --> 04:16:23,335
MEETING?

5787
04:16:23,335 --> 04:16:25,237
IT WAS A JAM-PACKED MEETING 

5788
04:16:25,237 --> 04:16:28,206
OTHER THAN SOCIALIZING, GET 

5789
04:16:28,206 --> 04:16:28,674
TOITO 

5790
04:16:28,674 --> 04:16:33,245
ING -- GETTING TO KNOW EACH 

5791
04:16:33,245 --> 04:16:34,613
OTHER AGAIN AND WE TALKED ABOUT 

5792
04:16:34,613 --> 04:16:35,380
WHERE WE ARE COMPARED WITH ALL 

5793
04:16:35,380 --> 04:16:37,916
THE DIFFERENT GUIDELINES ALL 

5794
04:16:37,916 --> 04:16:38,817
OVER THE WORLD.

5795
04:16:38,817 --> 04:16:41,553
AN IT WAS INTERESTING TO SEE 

5796
04:16:41,553 --> 04:16:48,894
THAT WE CONVERGED NOW FROM 10 

5797
04:16:48,894 --> 04:16:52,664
YEARS AGO AND THE INHIBITERS 

5798
04:16:52,664 --> 04:16:54,666
WERE NOWHERE FOR FOUND IN MANY 

5799
04:16:54,666 --> 04:16:55,500
COUNTRIES AND NOW AROUND THE 

5800
04:16:55,500 --> 04:16:59,705
WORLD GLOBALLY EVERYONE USES THE

5801
04:16:59,705 --> 04:17:02,808
INHIBITER AND THE NEXT TOPIC OF 

5802
04:17:02,808 --> 04:17:04,776
DISCUSSION WAS WEIGHT CHANGE AND

5803
04:17:04,776 --> 04:17:10,882
ADISPOS TI CHANGES WITH THE USE 

5804
04:17:10,882 --> 04:17:19,858
OF ANTIRET RET RETROVIRALS AND  

5805
04:17:19,858 --> 04:17:21,626
DISCUSSED THE STUDY AND HOW IT 

5806
04:17:21,626 --> 04:17:23,795
INFLUENCED THE GUIDELINES.

5807
04:17:23,795 --> 04:17:25,964
WE STARTED IN 2019 AND PUT A 

5808
04:17:25,964 --> 04:17:28,333
STOP TO IT AFTER THE PANDEMIC 

5809
04:17:28,333 --> 04:17:30,502
WAS GOING TO WRITE A SECTION ON 

5810
04:17:30,502 --> 04:17:39,811
HIV AND TRANSPLANT THAT WAS SOON

5811
04:17:39,811 --> 04:17:41,947
OUT AND INDIVIDUALS WITH HIV ARE

5812
04:17:41,947 --> 04:17:43,115
LIVING LONGER BUT SUFFERING FROM

5813
04:17:43,115 --> 04:17:48,420
END STAGE KIDNEY DISEASE AND 

5814
04:17:48,420 --> 04:17:50,388
LIVER DISEASE AS WELL AS 

5815
04:17:50,388 --> 04:17:51,790
MALIGNANCY WHERE IT REQUIRES 

5816
04:17:51,790 --> 04:17:52,657
TRANSPLANTS AND THOUGHT IT WOULD

5817
04:17:52,657 --> 04:17:55,794
BE IMPORTANT TO WRITE A NEW 

5818
04:17:55,794 --> 04:17:56,361
SECTION.

5819
04:17:56,361 --> 04:17:58,864
WE GROUPED THIS IN 2023.

5820
04:17:58,864 --> 04:18:01,199
HOPEFULLY WE'LL HAVE A NEWS 

5821
04:18:01,199 --> 04:18:02,768
SECTION ON HIV AND TRANSPLANT.

5822
04:18:02,768 --> 04:18:04,402
WE TALKED ABOUT DRUG 

5823
04:18:04,402 --> 04:18:05,337
INTERACTIONS AND HOW MUCH 

5824
04:18:05,337 --> 04:18:08,273
CHALLENGE WE HAVE IN WRITING 

5825
04:18:08,273 --> 04:18:10,041
GUIDANCE ON DRUG INTERACTION AND

5826
04:18:10,041 --> 04:18:11,810
SHOWING YOU SOME DATA IN THE 

5827
04:18:11,810 --> 04:18:13,211
NEXT COUPLE OF SLIDES TO SHARE 

5828
04:18:13,211 --> 04:18:15,680
WITH YOU THE REASON WHY WE SAY 

5829
04:18:15,680 --> 04:18:15,881
THAT.

5830
04:18:15,881 --> 04:18:17,015
AND LASTLY WE HAD SOME 

5831
04:18:17,015 --> 04:18:20,418
DISCUSSIONS ABOUT WHAT ARE THE 

5832
04:18:20,418 --> 04:18:22,654
NEW DRUGS IN THE PIPELINE AND 

5833
04:18:22,654 --> 04:18:23,555
MELANIE THOMPSON ALWAYS PRESENTS

5834
04:18:23,555 --> 04:18:26,158
SOME OF THE DATA SO WE KNOW WHAT

5835
04:18:26,158 --> 04:18:28,393
WE'LL BE EXPECTING IN THE COMING

5836
04:18:28,393 --> 04:18:31,496
YEARS.

5837
04:18:31,496 --> 04:18:32,697
SO THIS IS WHAT WE HAVE OVER THE

5838
04:18:32,697 --> 04:18:35,233
LAST FIVE YEARS OR SO.

5839
04:18:35,233 --> 04:18:37,869
YOU CAN SEE THAT FROM 2019 TO 

5840
04:18:37,869 --> 04:18:40,672
2022, 2021 THERE WAS A DIP AND 

5841
04:18:40,672 --> 04:18:42,874
THAT CORRESPONDS WITH THE 

5842
04:18:42,874 --> 04:18:47,279
PANDEMIC BUT NOW WHAT YOU SEE IS

5843
04:18:47,279 --> 04:18:50,916
AN INCREASE IN THE USE OF THE 

5844
04:18:50,916 --> 04:18:52,417
GUIDELINES IN 2022 AS WELL AS 

5845
04:18:52,417 --> 04:18:55,787
2023.

5846
04:18:55,787 --> 04:18:58,590
WE ALSO TRY TO FIGURE OUT WHO 

5847
04:18:58,590 --> 04:19:00,392
ARE READING THE GUIDELINES AND 

5848
04:19:00,392 --> 04:19:04,162
WHAT THE SECTIONS MOST BEING 

5849
04:19:04,162 --> 04:19:06,298
VIEWED AND WHAT HAS BEEN NUMBER 

5850
04:19:06,298 --> 04:19:07,299
ONE AS LONG AS I CAN REMEMBER 

5851
04:19:07,299 --> 04:19:08,967
AND ONE THING PEOPLE DON'T 

5852
04:19:08,967 --> 04:19:10,001
REALLY RECOGNIZE AND DON'T 

5853
04:19:10,001 --> 04:19:12,170
APPRECIATE IS THE FACT THAT THE 

5854
04:19:12,170 --> 04:19:13,338
DRUG INTERACTION SECTION ISLY 

5855
04:19:13,338 --> 04:19:17,509
NUMBER TWO ON THE LIST.

5856
04:19:17,509 --> 04:19:20,212
AND IT'S BEING VIEWED BY MANY 

5857
04:19:20,212 --> 04:19:24,115
PEOPLE FROM AROUND THE WORLD.

5858
04:19:24,115 --> 04:19:24,916
EVEN THOUGH THERE'S THE 

5859
04:19:24,916 --> 04:19:26,852
LIVERPOOL GUIDELINES THAT IS 

5860
04:19:26,852 --> 04:19:27,118
AVAILABLE.

5861
04:19:27,118 --> 04:19:30,922
THE REST ARE LISTED THERE WHICH 

5862
04:19:30,922 --> 04:19:32,691
IS NOT SURPRISING WHEN TO START 

5863
04:19:32,691 --> 04:19:41,733
WITH THE THERAPY AND SO FORTH.

5864
04:19:41,733 --> 04:19:44,135
AND WE TALKED ABOUT THE 

5865
04:19:44,135 --> 04:19:44,736
GUIDANCE.

5866
04:19:44,736 --> 04:19:46,638
YOU CAN SEE WE LOOK AT THE 

5867
04:19:46,638 --> 04:19:48,106
INCREASE IN NUMBER OF DRUGS THAT

5868
04:19:48,106 --> 04:19:51,610
WE HAVE TO REPORT ON DRUG 

5869
04:19:51,610 --> 04:19:57,616
INTERACTION BETWEEN 2013 AND 

5870
04:19:57,616 --> 04:19:58,049
2023.

5871
04:19:58,049 --> 04:20:00,151
THOUGH WE HAD MORE NUMBER OF 

5872
04:20:00,151 --> 04:20:02,754
DRUGS AVAILABLE, THE NUMBER OF 

5873
04:20:02,754 --> 04:20:06,191
DRUGS THAT WE REPORTED ON IN 

5874
04:20:06,191 --> 04:20:10,262
2013 WAS 23 AND 26 IN 2023.

5875
04:20:10,262 --> 04:20:12,631
AND THAT'S MAINLY BECAUSE WE 

5876
04:20:12,631 --> 04:20:13,765
ELIMINATED A NUMBER OF DRUGS NO 

5877
04:20:13,765 --> 04:20:14,866
LONGER IN USE.

5878
04:20:14,866 --> 04:20:16,735
IT'S NOT THAT WE ONLY HAD THREE 

5879
04:20:16,735 --> 04:20:17,669
THANK YOU DRUGS AVAILABLE BUT 

5880
04:20:17,669 --> 04:20:18,370
BECAUSE OF THE FACT THAT WE TOOK

5881
04:20:18,370 --> 04:20:20,405
AWAY SOME DRUGS.

5882
04:20:20,405 --> 04:20:22,941
THE NUMBER OF INTERACTIONS WENT 

5883
04:20:22,941 --> 04:20:25,744
FROM 213 TO 691.

5884
04:20:25,744 --> 04:20:27,746
AND THE NUMBER OF TABLES HAD 

5885
04:20:27,746 --> 04:20:30,649
GONE UP BUT MORE IMPORTANTLY IS 

5886
04:20:30,649 --> 04:20:32,851
THE NUMBER OF PAGES.

5887
04:20:32,851 --> 04:20:34,786
THE WHOLE GUIDELINES IS ABOUT 

5888
04:20:34,786 --> 04:20:37,455
490 PAGES, 116 OF THEM ARE 

5889
04:20:37,455 --> 04:20:39,424
DRUG-DRUG INTERACTIONS.

5890
04:20:39,424 --> 04:20:41,459
AND THAT'S REALLY DIFFICULT 

5891
04:20:41,459 --> 04:20:42,727
BECAUSE WE HAVE A VERY SMALL 

5892
04:20:42,727 --> 04:20:44,562
NUMBER OF ONCOLOGISTS THAT WORK 

5893
04:20:44,562 --> 04:20:45,397
ON THESE AND YOU CAN IMAGINE 

5894
04:20:45,397 --> 04:20:46,665
TRYING TO GO THROUGH EVERY 

5895
04:20:46,665 --> 04:20:52,404
SINGLE DRUG AND LOOK AT THE NEW 

5896
04:20:52,404 --> 04:21:02,647
INTERACTI

5897
04:21:15,794 --> 04:21:18,263
INTERACTIONS AND NOW WE'RE IN 

5898
04:21:18,263 --> 04:21:20,966
CATCH UP MODE AND WE HAVE TO 

5899
04:21:20,966 --> 04:21:25,603
THINK OF THE COMPLICATIONS WITH 

5900
04:21:25,603 --> 04:21:27,205
OTHER DRUGS AND THERE ARE FEW 

5901
04:21:27,205 --> 04:21:28,540
STUDIES THAT HAVE BEEN DONE FOR 

5902
04:21:28,540 --> 04:21:32,377
THESE AGENTS WITH THE STUDIES 

5903
04:21:32,377 --> 04:21:36,047
AND THE ABILITY OF THEM STAY FOR

5904
04:21:36,047 --> 04:21:40,085
A LONG TIME IN THE BODY AND 

5905
04:21:40,085 --> 04:21:41,419
DIFFICULT TO ANTICIPATE THE 

5906
04:21:41,419 --> 04:21:42,087
INTERACTIONS TO PROVIDE GUIDANCE

5907
04:21:42,087 --> 04:21:44,322
FOR THE CLINICIANS.

5908
04:21:44,322 --> 04:21:46,791
AND WHAT ELSE HAVE WE DONE SINCE

5909
04:21:46,791 --> 04:21:50,895
THE LAST TIME I REPORTED TO 

5910
04:21:50,895 --> 04:21:51,096
OARAC?

5911
04:21:51,096 --> 04:21:52,931
WE HAVE DECIDED COVID-19 AND HIV

5912
04:21:52,931 --> 04:21:53,999
SECTION NEEDS TO BE RETIRED 

5913
04:21:53,999 --> 04:21:55,233
BECAUSE WE DIDN'T HAVE THE TIME 

5914
04:21:55,233 --> 04:21:57,602
TO UPDATE AND THERE IS ALREADY 

5915
04:21:57,602 --> 04:22:00,939
THE COVID-19 TREATMENT 

5916
04:22:00,939 --> 04:22:02,707
GUIDELINES AS A SECTION OF 

5917
04:22:02,707 --> 04:22:03,775
COVID-19 AND WE REFERRED 

5918
04:22:03,775 --> 04:22:04,409
CLINICIANS TO THIS PARTICULAR 

5919
04:22:04,409 --> 04:22:06,778
SECTION.

5920
04:22:06,778 --> 04:22:08,913
AS I MENTIONED THE NEW SECTIONS 

5921
04:22:08,913 --> 04:22:10,782
BEING WORKED ON.

5922
04:22:10,782 --> 04:22:21,326
ONE IS THE HIV IN TRANSPLANT AND

5923
04:22:22,460 --> 04:22:24,462
ADIPOSITY AND LOOKING AT EXPERTS

5924
04:22:24,462 --> 04:22:26,131
AND WORKING WITH A PANEL TO 

5925
04:22:26,131 --> 04:22:27,165
DEVELOP RECOMMENDATIONS ON THE 

5926
04:22:27,165 --> 04:22:30,468
USE OF STATINS IN PEOPLE WITH 

5927
04:22:30,468 --> 04:22:30,969
HIV.

5928
04:22:30,969 --> 04:22:31,603
AND THERE'S BEEN DISCUSSION 

5929
04:22:31,603 --> 04:22:34,239
ABOUT THIS BECAUSE OUR 

5930
04:22:34,239 --> 04:22:37,308
GUIDELINES IS ANTIRETROVIRAL AND

5931
04:22:37,308 --> 04:22:38,810
THE QUESTION IS DOES IT BELONG 

5932
04:22:38,810 --> 04:22:40,812
TO US OR DOES IT BELONG TO THE 

5933
04:22:40,812 --> 04:22:45,583
PRIMARY CARE GUIDELINES WHICH IS

5934
04:22:45,583 --> 04:22:48,420
THE HIV MA THAT SPONSORS IT.

5935
04:22:48,420 --> 04:22:50,555
WE'RE LIKELY GOING TO COME UP 

5936
04:22:50,555 --> 04:22:52,357
WITH A ONE-PAGE RECOMMENDATION 

5937
04:22:52,357 --> 04:22:56,661
BUT WE NEED THE EXPERTISE FROM 

5938
04:22:56,661 --> 04:22:59,431
OUTSIDE THE PANEL TO HELP US TO 

5939
04:22:59,431 --> 04:23:01,366
PUT TOGETHER GUIDANCE THAT IS 

5940
04:23:01,366 --> 04:23:02,000
CREDIBLE FOR THE CLINICIANS TO 

5941
04:23:02,000 --> 04:23:09,374
USE.

5942
04:23:09,374 --> 04:23:10,775
LASTLY, THERE ARE A NUMBER OF 

5943
04:23:10,775 --> 04:23:11,976
UPDATES COMING IN THE EARLY 

5944
04:23:11,976 --> 04:23:12,210
SPRING.

5945
04:23:12,210 --> 04:23:15,713
WE'LL HAVE UPDATES ON WHAT TO 

5946
04:23:15,713 --> 04:23:19,918
START EARLY IN THE RECENT HIV IN

5947
04:23:19,918 --> 04:23:23,321
OLDER PEOPLE AND WOMEN AND 

5948
04:23:23,321 --> 04:23:25,090
SUBSTANCE USE AND DRUG 

5949
04:23:25,090 --> 04:23:28,393
INTERACTION AND THEN NEW 

5950
04:23:28,393 --> 04:23:33,264
INFORMATION ABOUT RENAL DOSING.

5951
04:23:33,264 --> 04:23:39,838
WITH THAT I'LL PASS IT BACK TO 

5952
04:23:39,838 --> 04:23:40,205
DR. KAPOGIANNIS.

5953
04:23:40,205 --> 04:23:42,707
>> VERY IMPRESSIVE AND
AMAZING 

5954
04:23:42,707 --> 04:23:43,141
THANK YOU.

5955
04:23:43,141 --> 04:23:52,784
ANY QUESTIONS, COLLEAGUES?

5956
04:23:52,784 --> 04:23:54,919
DON'T SEE ANY HANDS UP.

5957
04:23:54,919 --> 04:23:56,321
IF THERE'S ANY QUESTIONS PLEASE 

5958
04:23:56,321 --> 04:23:59,791
RAISE YOUR HAND.

5959
04:23:59,791 --> 04:24:02,327
GOING ONCE, GOING AND GONE.

5960
04:24:02,327 --> 04:24:03,394
OKAY.

5961
04:24:03,394 --> 04:24:08,299
THANK YOU, ALICE, ONCE AGAIN.

5962
04:24:08,299 --> 04:24:10,368
AS WE BEGIN TO CLOSE A REMINDER 

5963
04:24:10,368 --> 04:24:12,971
THAT THIS TIME WE HAVE A FEW 

5964
04:24:12,971 --> 04:24:18,643
MINUTES ALLOTTED FOR PUBLIC 

5965
04:24:18,643 --> 04:24:19,110
COMMENT.

5966
04:24:19,110 --> 04:24:20,378
DR. HOLTZ HAVE YOU RECEIVED ANY 

5967
04:24:20,378 --> 04:24:21,713
COMMENTS FOR TODAY'S MEET?

5968
04:24:21,713 --> 04:24:25,550
>> NO, WE HAVE NOT
RECEIVED ANY 

5969
04:24:25,550 --> 04:24:26,284
PUBLIC COMMENT FOR TODAY'S 

5970
04:24:26,284 --> 04:24:26,918
MEETING.

5971
04:24:26,918 --> 04:24:30,688
I HAVE A COUPLE NOTES FOR OARAC 

5972
04:24:30,688 --> 04:24:31,723
MEMBERS TO KINDLY SIGN AND 

5973
04:24:31,723 --> 04:24:32,991
RETURN THE CONFLICT OF INTEREST 

5974
04:24:32,991 --> 04:24:34,659
FORM AT THE CLOSE OF THE MEETING

5975
04:24:34,659 --> 04:24:36,194
AND THEY WERE SENT TO YOU THIS 

5976
04:24:36,194 --> 04:24:39,330
AFTERNOON.

5977
04:24:39,330 --> 04:24:41,166
ONE HOUSEKEEPING ITEM, THE 

5978
04:24:41,166 --> 04:24:48,806
MINUTES FROM THE 63rd MEETING 

5979
04:24:48,806 --> 04:24:51,009
WERE APPROVED IN ADVANCE OF 

5980
04:24:51,009 --> 04:24:52,310
TODAY'S MEETING.

5981
04:24:52,310 --> 04:24:53,611
WE'LL FOLLOW THE SAME PROCESS 

5982
04:24:53,611 --> 04:24:55,513
FOR THE NOTES OF TODAY'S MEETING

5983
04:24:55,513 --> 04:24:58,283
OVER E-MAIL IN ADVANCE OF THE 

5984
04:24:58,283 --> 04:24:59,617
NEXT VIRTUAL OARAC MEETING.

5985
04:24:59,617 --> 04:25:01,653
PLEASE NOTE THE NEXT PUBLIC 

5986
04:25:01,653 --> 04:25:03,254
MEETING WILL BE VIRTUAL AND 

5987
04:25:03,254 --> 04:25:04,489
SCHEDULED FOR THURSDAY, FEBRUARY

5988
04:25:04,489 --> 04:25:07,859
22, 2024.

5989
04:25:07,859 --> 04:25:09,093
DR. KAPOGIANNIS OVER TO YOU FOR 

5990
04:25:09,093 --> 04:25:11,796
CLOSING REMARKS.

5991
04:25:11,796 --> 04:25:13,898
>> THANK YOU.

5992
04:25:13,898 --> 04:25:15,466
THANK YOU, DR. HOLTZ.

5993
04:25:15,466 --> 04:25:19,504
I WANT TO EXTEND MY SINCEREST 

5994
04:25:19,504 --> 04:25:23,608
GRATITUDE FOR AN INFORMATIVE 

5995
04:25:23,608 --> 04:25:23,875
MEETING.

5996
04:25:23,875 --> 04:25:25,443
WE APPRECIATE YOUR DEDICATION 

5997
04:25:25,443 --> 04:25:27,745
AND CONTINUED FEEDBACK AND THE 

5998
04:25:27,745 --> 04:25:29,414
GREAT DIVERSITY OF PERSPECTIVES 

5999
04:25:29,414 --> 04:25:32,217
AND INPUT YOU HAVE TO PROVIDE.

6000
04:25:32,217 --> 04:25:34,986
I LOOK FORWARD TO OUR ONGOING 

6001
04:25:34,986 --> 04:25:36,888
DIALOGUE AND CONTINUED WORK 

6002
04:25:36,888 --> 04:25:40,425
TOGETHER AS WE USE HIV RESEARCH 

6003
04:25:40,425 --> 04:25:42,827
TO COMPREHENSIVELY ADDRESS THE 

6004
04:25:42,827 --> 04:25:43,695
MULTI-FACTORIAL INFLUENCES ON 

6005
04:25:43,695 --> 04:25:46,464
HEALTH DISPARITY AND BRING THEM 

6006
04:25:46,464 --> 04:25:47,932
INTO THE HIV PANDEMIC.

6007
04:25:47,932 --> 04:25:51,836
TODAY'S MEETING IS NOW 

6008
04:25:51,836 --> 04:25:52,403
ADJOURNED.

6009
04:25:52,403 --> 04:25:53,137
THANK YOU.

6010
04:25:53,137 --> 04:25:56,374