1 00:00:05,410 --> 00:00:12,520 EXCITING TO INTRODUCE DR. VICTOR 2 00:00:12,520 --> 00:00:14,689 BUT BEFORE WE DO THAT WE WOULD 3 00:00:14,689 --> 00:00:17,392 LIKE HIM TO COME FORWARD TO 4 00:00:17,392 --> 00:00:20,195 RECOGNIZE HIS EFFORTS. HE IS 5 00:00:20,195 --> 00:00:24,432 PRESIDENT OF THE NATIONAL 6 00:00:24,432 --> 00:00:30,338 ACADEMY OF MEDICINE. CHANCELLOR 7 00:00:30,338 --> 00:00:32,140 OF DUKE UNIVERSITY. ONE OF THE 8 00:00:32,140 --> 00:00:34,276 MOST INFLUENTIAL LEADERS OF 9 00:00:34,276 --> 00:00:37,812 HEALTH AND RECOGNIZED GLOBALLY 10 00:00:37,812 --> 00:00:39,347 AS A SCIENTIST, ADMINISTRATOR 11 00:00:39,347 --> 00:00:42,317 AND LEADER. HIS RESEARCH LAID 12 00:00:42,317 --> 00:00:46,021 THE FOUNDATION FOR LIFE SAVING 13 00:00:46,021 --> 00:00:52,027 DRUGS KNOWN AS ACE INHIBITORS. 14 00:00:52,027 --> 00:01:00,635 DR. DA SUE WAS A LEADER AND LED 15 00:01:00,635 --> 00:01:03,872 THE ACTION COLLABORATIVE ON 16 00:01:03,872 --> 00:01:04,506 COUNTERING THE U.S. OYED YOUED 17 00:01:04,506 --> 00:01:05,607 EPIDEMIC AND THE ACTION 18 00:01:05,607 --> 00:01:10,011 COLLABORATIVE ON CLINICIAN 19 00:01:10,011 --> 00:01:14,849 WELL-BEING. AND RESILL YENS 20 00:01:14,849 --> 00:01:16,384 AMONG OTHERS. AMONG HIS TENURE 21 00:01:16,384 --> 00:01:20,021 IN THE ACADEMY TO IMPROVE HEALTH 22 00:01:20,021 --> 00:01:21,923 EQUITY AND ADDRESS RACISM 23 00:01:21,923 --> 00:01:23,792 THROUGH HIS -- THROUGH A VARIETY 24 00:01:23,792 --> 00:01:24,526 OF PROGRAMMATIC ACTIVITIES 25 00:01:24,526 --> 00:01:27,829 ESPECIALLY THE CULTURE OF HEALTH 26 00:01:27,829 --> 00:01:33,501 PROGRAM DOCTOR DAZU OBTAINED HIS 27 00:01:33,501 --> 00:01:34,970 DEGREE AT UNIVERSITY AND HIS 28 00:01:34,970 --> 00:01:38,640 FELLOWSHIP WAS COMPLETED AT 29 00:01:38,640 --> 00:01:41,509 HARVARD. UNIVERSITY HE DID TWO 30 00:01:41,509 --> 00:01:44,145 FELLOWSHIPS IN BOSTON AND WORKED 31 00:01:44,145 --> 00:01:47,248 IN THE CHILDREN'S HOSPITAL IN 32 00:01:47,248 --> 00:01:50,218 BOSTON. WE ARE SO EXCITED TO 33 00:01:50,218 --> 00:01:54,990 HAVE DR. VICTOR DAZU TODAY TO 34 00:01:54,990 --> 00:01:56,124 DELIVER THE KEYNOTE ADDRESS 35 00:01:56,124 --> 00:01:58,059 ENTITLED THE NATIONAL ACADEMIES 36 00:01:58,059 --> 00:01:59,961 AND WOMEN'S HEALTH, PAST, 37 00:01:59,961 --> 00:02:03,999 PRESENT AND OPPORTUNITIES FOR 38 00:02:03,999 --> 00:02:14,342 PROGRESS. DR. DAZU? 39 00:02:39,334 --> 00:02:45,106 >> JOI DON'T WANT TO BE THAT FA 40 00:02:45,106 --> 00:02:46,741 FROM EVERYONE. HELLO, EVERYONE, 41 00:02:46,741 --> 00:02:48,710 IT'S GREAT TO SEE SO MANY 42 00:02:48,710 --> 00:02:50,979 FRIENDS AND PEOPLE WHO ARE SO 43 00:02:50,979 --> 00:02:52,147 ENERGETIC AND COMMITTED TO 44 00:02:52,147 --> 00:02:54,416 WOMEN'S HEALTH. IT'S A GREAT 45 00:02:54,416 --> 00:02:55,750 HONOR FOR ME, THANK YOU, TO 46 00:02:55,750 --> 00:02:59,287 SPEAK TO ALL OF YOU. I MEAN, 47 00:02:59,287 --> 00:03:01,656 YOU ARE THE DRIVERS OF SUCH AN 48 00:03:01,656 --> 00:03:03,925 IMPORTANT AREA OF WORK IN BOTH 49 00:03:03,925 --> 00:03:06,728 CARE AND RESEARCH AND EDUCATION. 50 00:03:06,728 --> 00:03:08,830 AND I TRULY APPRECIATE WHAT YOU 51 00:03:08,830 --> 00:03:10,432 ARE DOING. WE HAVE MOMENTUM. 52 00:03:10,432 --> 00:03:13,768 AS YOU KNOW, WOMEN'S HEALTH IS 53 00:03:13,768 --> 00:03:16,004 NOW I THINK IT'S HERE. IT'S 54 00:03:16,004 --> 00:03:17,939 MOVING FORWARD WITH GREAT 55 00:03:17,939 --> 00:03:19,274 MOMENTUM AND I WANT TO TALK TO 56 00:03:19,274 --> 00:03:20,408 YOU A LITTLE BIT ABOUT WHAT WE 57 00:03:20,408 --> 00:03:23,211 HAVE BEEN DOING AT THE NATIONAL 58 00:03:23,211 --> 00:03:24,079 ACADEMY, HOW WE CAN WORK 59 00:03:24,079 --> 00:03:25,980 TOGETHER TO ADVANCE WOMEN'S 60 00:03:25,980 --> 00:03:28,016 HEALTH. SO BY WAY OF 61 00:03:28,016 --> 00:03:29,084 INTRODUCTION FOR THOSE WHO DON'T 62 00:03:29,084 --> 00:03:31,753 KNOW US VERY WELL. I WILL TELL 63 00:03:31,753 --> 00:03:34,089 YOU THAT A FOUNDING ORGANIZATION 64 00:03:34,089 --> 00:03:36,658 IS IS NATIONAL ACADEMY OF 65 00:03:36,658 --> 00:03:40,028 SCIENCES, 1863 CHARTERED BY 66 00:03:40,028 --> 00:03:43,431 ABRAHAM LYNDON IN CONGRESS AS AN 67 00:03:43,431 --> 00:03:44,199 INDEPENDENT PART OF THE 68 00:03:44,199 --> 00:03:46,701 GOVERNMENT CLOSE WITH 69 00:03:46,701 --> 00:03:49,671 GOVERNMENT,S OR THAT GIVES 70 00:03:49,671 --> 00:03:53,641 ADVICE AND ENGINEERING AND 71 00:03:53,641 --> 00:03:55,977 MEDICINE. SO WE'VE HAD HUNDREDS 72 00:03:55,977 --> 00:04:01,116 OF HISTORY OF YEARS OF BEING AN 73 00:04:01,116 --> 00:04:04,385 ADVISOR, FORWARD-THINKING OF 74 00:04:04,385 --> 00:04:05,887 CONGRESS AND PRESIDENT LINCOLN 75 00:04:05,887 --> 00:04:08,123 THINKING ABOUT THE CIVIL WAR AND 76 00:04:08,123 --> 00:04:09,424 NEEDING SOMETHING INDEPENDENT. 77 00:04:09,424 --> 00:04:12,060 VERY PROUD OF THAT. NOW IN 1970 78 00:04:12,060 --> 00:04:15,296 WHEN IT BECAME CLEAR THAT HEALTH 79 00:04:15,296 --> 00:04:17,866 AND MEDICINE IS A KEY AREA, WE 80 00:04:17,866 --> 00:04:20,135 WERE THINKING AT THE TIME OF 81 00:04:20,135 --> 00:04:25,673 CREATING A THIRD ACADEMY. BUT 82 00:04:25,673 --> 00:04:26,407 IT WAS THEN THOUGHT THAT IT 83 00:04:26,407 --> 00:04:29,677 SHOULD BE AN INSTITUTE WITH THE 84 00:04:29,677 --> 00:04:30,278 NATIO 85 00:04:30,278 --> 00:04:32,113 NATIONAL ACADEMY OF SCIENCES THE 86 00:04:32,113 --> 00:04:35,517 IOM BUT IN 2015 THE YEAR THAT 87 00:04:35,517 --> 00:04:37,719 ARRIVED WITH THE TRANSITION TO 88 00:04:37,719 --> 00:04:40,021 NOW, THE THIRD ACADEMY SCIENCE, 89 00:04:40,021 --> 00:04:41,055 ENGINEERING AND MEDICINE. NOW I 90 00:04:41,055 --> 00:04:43,191 CAN TELL YOU ABOUT ALL OUR 91 00:04:43,191 --> 00:04:44,025 MEMBERS BUT I THINK THE MORE 92 00:04:44,025 --> 00:04:44,759 IMPORTANT THING I WANT TO TELL 93 00:04:44,759 --> 00:04:46,861 YOU IS WHAT WE HAVE ON THE RIGHT 94 00:04:46,861 --> 00:04:49,063 SIDE HERE. OUR JOB IS TO WORK 95 00:04:49,063 --> 00:04:52,033 WITH ALL OF YOU TO CONVENE 96 00:04:52,033 --> 00:04:54,135 PEOPLE LIKE YOURSELF ON CRITICAL 97 00:04:54,135 --> 00:04:56,838 AND IMPORTANT ISSUES TO 98 00:04:56,838 --> 00:04:58,606 CATALYZE, PROVIDE REPORT AND 99 00:04:58,606 --> 00:05:00,642 REALLY SHAPE POLICY IN A BIG 100 00:05:00,642 --> 00:05:04,012 WAY. NOW OVER THE YEARS YOU 101 00:05:04,012 --> 00:05:06,214 LOOK AT WHAT WE'VE DONE, MANY OF 102 00:05:06,214 --> 00:05:16,024 YOU KNOW THIS WELL, IN 1999, THE 103 00:05:16,024 --> 00:05:18,359 TO AEROIS HUMAN. HOW MANY 104 00:05:18,359 --> 00:05:25,266 PEOPLE KNOW ABOUT TO AEREAR IS 105 00:05:25,266 --> 00:05:26,668 HUMAN. WE HAVE MEDICAL ERRORS 106 00:05:26,668 --> 00:05:28,670 OCCURRING IN HOSPITALS AND AT 107 00:05:28,670 --> 00:05:33,141 THE TIME WAS 98,000. NOW THE 108 00:05:33,141 --> 00:05:34,108 NUMBER'S MUCH LARGER GIVEN THE 109 00:05:34,108 --> 00:05:36,744 EXPANSION OF THE POPULATION, 110 00:05:36,744 --> 00:05:38,479 AGING, ET CETERA 111 00:05:38,479 --> 00:05:40,014 AND REALLY LAUNCHED THE WHOLE 112 00:05:40,014 --> 00:05:45,820 GLOBAL EFFORT IN PATIENT SAFETY. 113 00:05:45,820 --> 00:05:49,657 1986, WE PUBLISHED THIS REALLY 114 00:05:49,657 --> 00:05:51,326 IMPORTANT REPORT TO SAY THAT 115 00:05:51,326 --> 00:05:52,660 MAPPING AND SEQUENCING THE HUMAN 116 00:05:52,660 --> 00:05:55,530 GENOME. AT THE TIME EVEN 117 00:05:55,530 --> 00:05:58,733 GENETICISTS SAID, NO WE CAN'T DO 118 00:05:58,733 --> 00:06:00,168 IT. THERE'S TOO MUCH 119 00:06:00,168 --> 00:06:00,935 INFORMATION AND GUESS WHERE WE 120 00:06:00,935 --> 00:06:07,275 ARE TODAY, WE CAN SEE THE 121 00:06:07,275 --> 00:06:10,011 GENOME FOR A FEW HUNDRED DOLLARS 122 00:06:10,011 --> 00:06:13,047 AND BECAUSE WE HAD A CRISIS IT 123 00:06:13,047 --> 00:06:15,683 WAS STARTED AS WITH MOST PEOPLE 124 00:06:15,683 --> 00:06:17,685 AS A SMALL PART OF THE 125 00:06:17,685 --> 00:06:19,087 POPULATION SO THIS WAS 126 00:06:19,087 --> 00:06:20,755 CONFRONTING AIDS AND LAUNCHED A 127 00:06:20,755 --> 00:06:25,026 LOT OF EFFORT INCLUDING 128 00:06:25,026 --> 00:06:30,064 AUTHORIZATION OF PEP FIVE AMONG 129 00:06:30,064 --> 00:06:31,466 OTHERS AND BECAUSE IT WAS THE 130 00:06:31,466 --> 00:06:33,801 FIRST TO POINT OUT THAT GENOME 131 00:06:33,801 --> 00:06:36,137 EDITING HAS MANY ETHICAL AND 132 00:06:36,137 --> 00:06:38,106 SOCIETAL IMPLICATIONS. ONE ON 133 00:06:38,106 --> 00:06:39,741 POPULATION HEALTH AND BECAUSE 134 00:06:39,741 --> 00:06:42,377 MORE RECENTLY ON PANDEMICS. I 135 00:06:42,377 --> 00:06:45,346 SAY ALSO ALL THIS JUST TO GIVE 136 00:06:45,346 --> 00:06:46,014 YOU AN IDEA OF WHY WE CARE ABOUT 137 00:06:46,014 --> 00:06:48,950 THIS TOPIC SO MUCH BECAUSE OUR 138 00:06:48,950 --> 00:06:53,988 JOB IS TO PROVIDED ADVICE TO TH 139 00:06:53,988 --> 00:06:55,456 U.S. PUBLIC AND MORE GLOBALLY WE 140 00:06:55,456 --> 00:06:58,026 LOOK AT WHAT ARE THE BIG ISSUES 141 00:06:58,026 --> 00:07:01,195 WE NEED TO TACKLE WE CALL THEM 142 00:07:01,195 --> 00:07:03,197 THE GRAND CHALLENGE AND THE TWO 143 00:07:03,197 --> 00:07:05,566 WE HAVE LAUNCHED ARE CLIMATE 144 00:07:05,566 --> 00:07:07,035 CHANGE AND LONGEVITY BUT WE ALSO 145 00:07:07,035 --> 00:07:09,270 SAY, WE GOT TO JUMP IN WHEN 146 00:07:09,270 --> 00:07:11,939 THINGS ARE IMPORTANT FOR US TO 147 00:07:11,939 --> 00:07:16,010 WEIGH IN TO REDIRECT, SHALL WE 148 00:07:16,010 --> 00:07:17,078 SAY, OR DIRECT THESE 149 00:07:17,078 --> 00:07:20,715 CONVERSATIONS THAT INCLUDES 150 00:07:20,715 --> 00:07:22,116 SYSTEMIC RACISM, FIREARM 151 00:07:22,116 --> 00:07:25,386 VIOLENCE AND IMPORTANTLY WOMEN'S 152 00:07:25,386 --> 00:07:27,021 HEALTH. PARTICULARLY POST DOBS 153 00:07:27,021 --> 00:07:27,855 AND DECISION. 154 00:07:27,855 --> 00:07:29,691 AND SO WE ARE TOTALLY COMMITTED 155 00:07:29,691 --> 00:07:32,760 TO EQUITY. 156 00:07:32,760 --> 00:07:37,799 DIVERSITY AND INCLUSION. SEW I 157 00:07:37,799 --> 00:07:39,400 WANT TO TODAY TELL YOU ABOUT 158 00:07:39,400 --> 00:07:41,069 WHAT WE'RE DOING IN WOMEN'S 159 00:07:41,069 --> 00:07:43,471 HEALTH AND IT GOES BACK A LONG 160 00:07:43,471 --> 00:07:45,940 WAY SINCE OUR FOUNDING OF IOM 161 00:07:45,940 --> 00:07:47,942 BUT MAYBE THE SLIDE GIVES YOU 162 00:07:47,942 --> 00:07:50,378 THE HISTORY, THE EVOLUTION OF 163 00:07:50,378 --> 00:07:53,748 WOMEN'S HEALTH BECAUSE IT WAS 164 00:07:53,748 --> 00:07:56,150 1972 AS YOU CAN REMEMBER THAT 165 00:07:56,150 --> 00:07:59,020 THE SUPREME COURT DECISION ON 166 00:07:59,020 --> 00:08:00,755 WOE VERSUS WADE APPROVED 167 00:08:00,755 --> 00:08:04,859 CONTRACEPTIVES AND THE RIGHT TO 168 00:08:04,859 --> 00:08:08,129 LEGALIZED ABORTION AND IN 1977 169 00:08:08,129 --> 00:08:10,998 FDA SAYS WE SHOULDN'T HAVE WOMEN 170 00:08:10,998 --> 00:08:14,369 OF CHILD BEARING AGE IN ANY DRUG 171 00:08:14,369 --> 00:08:18,806 TRIALS AND IT WAS IN 1093 WHEN 172 00:08:18,806 --> 00:08:20,041 THE REVITALIZATION ACT INCLUSION 173 00:08:20,041 --> 00:08:21,642 OF WOMEN AND MINORITIES AND 174 00:08:21,642 --> 00:08:22,543 RESCINDS THE GUIDELINE BANNING 175 00:08:22,543 --> 00:08:24,145 WOMEN FROM RESEARCH. I THINK 176 00:08:24,145 --> 00:08:27,482 WE'RE VERY EXCITED DURING THE 177 00:08:27,482 --> 00:08:30,318 APPROVAL OF THE CARE ACT THAT 178 00:08:30,318 --> 00:08:33,421 INCLUDES PREVENTATIVE SERVICES 179 00:08:33,421 --> 00:08:41,863 PARTICULARLY, MAMMOGRAMS, BIRTH 180 00:08:41,863 --> 00:08:43,631 CONTROL, BREAST-FEDING SUPPORT, 181 00:08:43,631 --> 00:08:47,101 IN 2012 YOU HAVE TO REPORT SEX, 182 00:08:47,101 --> 00:08:49,504 RACE, ETHNICITY IN YOUR REPORTS. 183 00:08:49,504 --> 00:08:53,908 AND IN 2016, NIH FINALLY 184 00:08:53,908 --> 00:08:57,478 IMPLEMENT POLICY OF SEX IS A 185 00:08:57,478 --> 00:08:59,514 BIOLOGICAL VARIABLE AND BECAUSE 186 00:08:59,514 --> 00:09:01,482 EXCITINGLY LAST YEAR AND THIS 187 00:09:01,482 --> 00:09:03,151 YEAR WOMEN'S HEALTH RESEARCH 188 00:09:03,151 --> 00:09:05,086 INITIATIVE ESTABLISHED BY THE 189 00:09:05,086 --> 00:09:05,653 WHITE HOUSE. 190 00:09:05,653 --> 00:09:08,122 IT'S A LONG JOURNEY, WE HAVE 191 00:09:08,122 --> 00:09:10,458 FOUGHT WELL AND WE ARE STILL -- 192 00:09:10,458 --> 00:09:12,126 HAVE MANY, MANY LONG TRIPS TO 193 00:09:12,126 --> 00:09:14,796 TAKE. BUT I AM VERY EXCITED 194 00:09:14,796 --> 00:09:15,997 ABOUT WHERE WE ARE TODAY. NOW, 195 00:09:15,997 --> 00:09:18,399 WHEN WE GOT INVOLVED IN IOM WE 196 00:09:18,399 --> 00:09:21,836 FOUND IN 1970 YOU CAN SEE VERY 197 00:09:21,836 --> 00:09:22,937 EARLY REWE COULDED THIS 198 00:09:22,937 --> 00:09:25,106 IMPORTANT ISSUE. AND OF COURSE 199 00:09:25,106 --> 00:09:30,445 MOST INITIAL WORK WAS LOOKING AT 200 00:09:30,445 --> 00:09:36,584 REPRODUCTIVE HEALTH, THERE ARE 201 00:09:36,584 --> 00:09:38,853 FIVE REPORTS HERE. THE 202 00:09:38,853 --> 00:09:42,957 ASSESSMENT OF BIRTH SETTINGS, 203 00:09:42,957 --> 00:09:44,592 LOOKING AT FINISHES WITH WOMEN 204 00:09:44,592 --> 00:09:46,527 AND CHILDREN, CONTRACEPTIVE AND 205 00:09:46,527 --> 00:09:50,398 OTHERS. BUT IN THE 1990S WE 206 00:09:50,398 --> 00:09:52,099 BECAME VERY ACTIVE IN 207 00:09:52,099 --> 00:09:53,868 RECOGNIZING THAT THERE REALLY IS 208 00:09:53,868 --> 00:09:55,837 MUCH BROAD ISSUE IN WOMEN'S 209 00:09:55,837 --> 00:09:58,573 HEALTH AND THIS IS JUST A 210 00:09:58,573 --> 00:10:01,175 COLLECTION OF REPORTS THAT WE'VE 211 00:10:01,175 --> 00:10:02,743 DONE IN REGARDS TO WOMEN'S 212 00:10:02,743 --> 00:10:05,913 HEALTH. I THINK INCREASINGLY 213 00:10:05,913 --> 00:10:06,547 IT'S THE UNDERSTANDING OF THE 214 00:10:06,547 --> 00:10:08,950 IMPORTANCE OF WOMEN AND 215 00:10:08,950 --> 00:10:10,885 INCLUSION IN CLINICAL RESEARCH 216 00:10:10,885 --> 00:10:13,654 AND PERSPECTIVE OF THE NEEDS IN 217 00:10:13,654 --> 00:10:16,023 WOMEN'S HEALTH. AS 218 00:10:16,023 --> 00:10:18,960 REPRESENTATIVE SAYS, IF ANYONE 219 00:10:18,960 --> 00:10:21,195 THINKS WOMEN ARE GOING TO KEEP 220 00:10:21,195 --> 00:10:22,263 PAYING HALF THE COST OF CARE AND 221 00:10:22,263 --> 00:10:32,807 (READING). AND SHE WAS REALLY A 222 00:10:39,280 --> 00:10:39,614 PIE 223 00:10:39,614 --> 00:10:42,917 PIONEER IN POINTING THAT OUT IN 224 00:10:42,917 --> 00:10:45,353 1990. YOU SEE THE BOOKS 1994, 225 00:10:45,353 --> 00:10:46,721 WOMEN AND HEALTH RESEARCH. THAT 226 00:10:46,721 --> 00:10:48,489 WAS ONE OF THE FIRST STUDY TO 227 00:10:48,489 --> 00:10:51,125 LOOK AT THE SCOPE OF RESEARCH IN 228 00:10:51,125 --> 00:10:53,294 WOMEN'S HEALTH. BUT IMPORTANTLY 229 00:10:53,294 --> 00:11:03,838 IN 2001, SEX AS A BIOLOGY. SEX 230 00:11:04,105 --> 00:11:06,307 MATTERS. EXPLORING BIOLOGICAL 231 00:11:06,307 --> 00:11:08,142 CONTRIBUTIONS. I THINK THE 2010 232 00:11:08,142 --> 00:11:12,780 REPORT IN TERMS OF PROGRESS, 233 00:11:12,780 --> 00:11:14,515 PITFALLS AND PROMISE IS A KEY 234 00:11:14,515 --> 00:11:16,117 REPORT WHICH I WILL TALK ABOUT A 235 00:11:16,117 --> 00:11:20,354 LITTLE BIT LATER AND OF COURSE, 236 00:11:20,354 --> 00:11:21,889 PREVENTATIVE SERVICES THAT WERE 237 00:11:21,889 --> 00:11:25,626 QUITE CENTRAL IN THE ADVISING 238 00:11:25,626 --> 00:11:27,595 THE OBAMA ADMINISTRATION ON 239 00:11:27,595 --> 00:11:30,698 INCLUDING WOMEN AND ACA, OVARIAN 240 00:11:30,698 --> 00:11:33,768 CANCER IN CLINICAL TRIALS. SO 241 00:11:33,768 --> 00:11:38,406 LOTS GOING ON IN TERMS OF THIS 242 00:11:38,406 --> 00:11:39,774 WHOLE AREA THAT WE'VE BEEN 243 00:11:39,774 --> 00:11:41,709 INVOLVED WITH. NOW MORE 244 00:11:41,709 --> 00:11:44,145 RECENTLY WE'VE BEEN LOOKING AT 245 00:11:44,145 --> 00:11:45,112 SEVERAL IMPORTANT AREAS ONE OF 246 00:11:45,112 --> 00:11:46,647 COURSE IS THE INCLUSION OF 247 00:11:46,647 --> 00:11:48,616 PREGNANT AND LACTATING WOMEN IN 248 00:11:48,616 --> 00:11:50,451 CLINICAL RESEARCH. I WILL SAY A 249 00:11:50,451 --> 00:11:52,386 FEW WORDS ABOUT THAT. ALSO 250 00:11:52,386 --> 00:11:54,855 IMPORTANTLY, THE RECOGNITION 251 00:11:54,855 --> 00:11:55,923 THAT CHRONIC CONDITIONED 252 00:11:55,923 --> 00:11:57,558 EQUIPMENT LIKE IN MEN, NEEDS TO 253 00:11:57,558 --> 00:12:01,128 BE REALLY LOOKED AT, HAVE MORE 254 00:12:01,128 --> 00:12:02,797 DATA AND UNDERSTANDING OF THIS 255 00:12:02,797 --> 00:12:07,168 ISSUE AND SO WE HAVE IN FACT A 256 00:12:07,168 --> 00:12:08,269 REPORT ADVANCING RESEARCH IN 257 00:12:08,269 --> 00:12:10,037 CHRONIC CONDITIONS IN WOMEN. 258 00:12:10,037 --> 00:12:11,072 TOMORROW WE'RE GOING TO HAVE 259 00:12:11,072 --> 00:12:13,774 INTERSECTION AND WORKSHOP OF 260 00:12:13,774 --> 00:12:15,509 INTERSECTION OF REGEN RAHTIVE 261 00:12:15,509 --> 00:12:17,812 MEDICINE IN WOMEN'S HEALTH BUT I 262 00:12:17,812 --> 00:12:20,848 WOULD SAY IMPORTANTLY, THE LAST 263 00:12:20,848 --> 00:12:22,016 ONE, ASKED BY CONGRESS TO SAY 264 00:12:22,016 --> 00:12:24,552 WHAT'S THE FUTURE IN WOMEN'S 265 00:12:24,552 --> 00:12:27,521 HEALTH, NIH AND THAT REPORT'S 266 00:12:27,521 --> 00:12:28,789 COMING OUT IN NOVEMBER AND I 267 00:12:28,789 --> 00:12:32,793 KNOW JANINE'S WIT -- WAITING. 268 00:12:32,793 --> 00:12:33,561 WE THANK YOU FOR YOUR 269 00:12:33,561 --> 00:12:35,529 LEADERSHIP. REALLY AMAZING. I 270 00:12:35,529 --> 00:12:38,733 WORK WITH JANINE IN MANY 271 00:12:38,733 --> 00:12:39,667 DIFFERENT FORUM. AND HER 272 00:12:39,667 --> 00:12:42,336 LEADERSHIP IS GREATLY 273 00:12:42,336 --> 00:12:43,904 APPRECIATED. BUT THIS REPORT, 274 00:12:43,904 --> 00:12:46,207 WHICH WE WILL LAUNCH IN NOVEMBER 275 00:12:46,207 --> 00:12:51,178 WILL MARK, I BELIEVE, WILL BE A 276 00:12:51,178 --> 00:12:52,747 SEMINAL REPORT TO ASSESS WHAT DO 277 00:12:52,747 --> 00:12:53,981 WE NEED TO DO? HOW MUCH DO WE 278 00:12:53,981 --> 00:12:56,150 NEED TO INVEST IN AND WHAT 279 00:12:56,150 --> 00:12:59,687 SHOULD NIH LOOK LIKE IN WOMEN'S 280 00:12:59,687 --> 00:13:00,955 HEALTH RESEARCH? SO I WANT TO 281 00:13:00,955 --> 00:13:02,356 BEGIN BY TALKING ABOUT RESEARCH. 282 00:13:02,356 --> 00:13:04,725 AND THEN I WANT TO TALK ABOUT 283 00:13:04,725 --> 00:13:07,161 THE BROAD ISSUE OF SOCIAL 284 00:13:07,161 --> 00:13:09,163 FACTORS AND OTHERS. IN 285 00:13:09,163 --> 00:13:12,600 RESEARCH, IF YOU LOOK AT HEALTH 286 00:13:12,600 --> 00:13:16,604 DISPARITIES. SEX AND GENDER IT 287 00:13:16,604 --> 00:13:19,006 REQUIRES EFFORT AT EVERY STAGE 288 00:13:19,006 --> 00:13:21,509 OF HOW INNOVATION IN THE 289 00:13:21,509 --> 00:13:23,444 ECOSYSTEM WE LOOK AT THE ENTIRE 290 00:13:23,444 --> 00:13:25,046 ECOSYSTEM FROM DISCOVERY 291 00:13:25,046 --> 00:13:26,414 RESEARCH ALL THE WAY TO 292 00:13:26,414 --> 00:13:28,015 POPULATION SO IT'S IMPORTANT TO 293 00:13:28,015 --> 00:13:30,484 INTEGRATE SEX AND GENDER AND TO 294 00:13:30,484 --> 00:13:32,186 HELP REFRESH EDUCATION AND 295 00:13:32,186 --> 00:13:34,789 TRAINING. AND ALSO IMPORTANT TO 296 00:13:34,789 --> 00:13:36,924 PROMOTE CARE THAT RECOGNIZES 297 00:13:36,924 --> 00:13:39,493 BIOLOGIC AND ENVIRONMENTAL 298 00:13:39,493 --> 00:13:41,295 FACTORS THAT AFFECT WOMEN'S 299 00:13:41,295 --> 00:13:44,131 HEALTH AND DISEASES. WE ARGUE 300 00:13:44,131 --> 00:13:46,901 THAT RESEARCH MUST PROVIDE 301 00:13:46,901 --> 00:13:49,103 EVIDENCE BASE TO UNDERSTAND THE 302 00:13:49,103 --> 00:13:51,038 INFLUENCE OF SEX AND GENDER 303 00:13:51,038 --> 00:13:53,808 ACROSS DEATH AND MORTALITY AND 304 00:13:53,808 --> 00:13:56,410 MORBIDITY AND HAS TO 305 00:13:56,410 --> 00:13:58,546 OPERATIONALIZE THIS RESEARCH TO 306 00:13:58,546 --> 00:14:02,216 DO SO, WE REQUIRE CLINICAL TRIAL 307 00:14:02,216 --> 00:14:03,217 DIVERSITY AND TARGETED ACTION. 308 00:14:03,217 --> 00:14:05,720 SO LET ME TALK A LITTLE BIT 309 00:14:05,720 --> 00:14:07,555 ABOUT THIS. WHAT ARE WE? WHERE 310 00:14:07,555 --> 00:14:09,724 ARE WE? WELL, FIRST OF ALL AS I 311 00:14:09,724 --> 00:14:12,727 MENTIONED, 2010, WE ACTUALLY 312 00:14:12,727 --> 00:14:15,396 PUBLISHED A REPORT TO SAY 313 00:14:15,396 --> 00:14:17,164 PROGRESS, PITFALLS AND PROMISE. 314 00:14:17,164 --> 00:14:18,666 THIS WAS COMMISSIONED BY 315 00:14:18,666 --> 00:14:20,434 CONGRESS AND IT SUGGESTS TO SAY 316 00:14:20,434 --> 00:14:22,770 WHERE ARE WE? IN WOMEN'S HEALTH 317 00:14:22,770 --> 00:14:24,138 RESEARCH IN BOTH POLICY, 318 00:14:24,138 --> 00:14:27,641 REGULATION AND ORGANIZATION? 319 00:14:27,641 --> 00:14:31,445 YOU CAN SEE THE SIX QUESTIONS WE 320 00:14:31,445 --> 00:14:34,048 ASK. ARE WE STUDYING THE MOST 321 00:14:34,048 --> 00:14:34,849 RELEVANT DETERMINANTS OF HEALTH, 322 00:14:34,849 --> 00:14:40,020 WE FOCUS ON THE MOST APPROPRIATE 323 00:14:40,020 --> 00:14:42,456 CONDITIONS AND END POINTS. ARE 324 00:14:42,456 --> 00:14:43,991 WE STUDYING THE MOST RELEVANT 325 00:14:43,991 --> 00:14:45,559 GROUPS OF WOMEN? ARE WE USING 326 00:14:45,559 --> 00:14:46,927 THE MOST APPROPRIATE RESEARCH 327 00:14:46,927 --> 00:14:48,896 METH 328 00:14:48,896 --> 00:14:50,164 METHODS, ARE WE TRANSLATING 329 00:14:50,164 --> 00:14:52,032 RESEARCH INTO PRACTICE AND ARE 330 00:14:52,032 --> 00:14:54,135 WE COMMUNICATING THESE FINDINGS 331 00:14:54,135 --> 00:14:55,336 EFFECTIVELY TO PATIENTS AND THE 332 00:14:55,336 --> 00:14:57,104 PUBLIC? YOU CAN ANSWER THE 333 00:14:57,104 --> 00:14:59,173 QUESTIONS AS WELL AS I DO. THE 334 00:14:59,173 --> 00:15:02,710 ANSWER IS, YES AND NOT QUITE. 335 00:15:02,710 --> 00:15:06,347 RIGHT? WE HAVE A ROCK WAY TO. 336 00:15:06,347 --> 00:15:08,816 THESE QUESTIONS 14 YEARS AGO 337 00:15:08,816 --> 00:15:12,119 WILL REMAIN RELEVANT TO WHAT WE 338 00:15:12,119 --> 00:15:19,360 ARE TRYING TO DO. AND WE MUST 339 00:15:19,360 --> 00:15:21,662 CONTINUE TO ADDRESS THESE 340 00:15:21,662 --> 00:15:23,430 QUESTIONS. THAT IS PROMISE WITH 341 00:15:23,430 --> 00:15:28,035 A LOT OF PITFALLS WE NEED TO 342 00:15:28,035 --> 00:15:28,869 OVERCOME. I THINK WHAT WE 343 00:15:28,869 --> 00:15:31,272 LEARNED IN WOMEN'S HEALTH 344 00:15:31,272 --> 00:15:34,708 RESEARCH AND THIS SLIDES COMES 345 00:15:34,708 --> 00:15:38,345 FROM REGENE IN 2022. BIOLOGICAL 346 00:15:38,345 --> 00:15:40,047 PERSPECTIVE. THE INTERNAL 347 00:15:40,047 --> 00:15:44,618 FACTORS, GENETIC, MOLECULAR, AND 348 00:15:44,618 --> 00:15:45,586 PHYSIOLOGIC LEVELS BUT IT HAS TO 349 00:15:45,586 --> 00:15:47,588 BE IN THE CONTEXT OF THE 350 00:15:47,588 --> 00:15:49,690 ENVIRONMENT. EXTERNAL FACTORS 351 00:15:49,690 --> 00:15:52,026 WHICH ARE GENDER, SOCIAL 352 00:15:52,026 --> 00:15:53,527 DETERMINANTS OF HEALTH AS YOU 353 00:15:53,527 --> 00:15:54,395 ALL KNOW, ENVIRONMENT AND PO 354 00:15:54,395 --> 00:15:57,598 POLICY. AND THESE TWO MUST 355 00:15:57,598 --> 00:15:58,899 INTERACT WITH EACH OTHER. NOT 356 00:15:58,899 --> 00:16:02,336 JUST LOOKING AT THE BIOLOGY BUT 357 00:16:02,336 --> 00:16:04,271 ALSO THE ENVIRONMENTAL FACTORS 358 00:16:04,271 --> 00:16:07,441 AND VICE VERSA. AND 359 00:16:07,441 --> 00:16:09,009 IMPORTANTLY, WHEN WE FIRST 360 00:16:09,009 --> 00:16:10,511 STARTED WE TALKED ABOUT 361 00:16:10,511 --> 00:16:12,012 REPRODUCTIVE HEALTH IT'S REALLY 362 00:16:12,012 --> 00:16:14,882 ABOUT THE ENTIRE LIFE COURSE 363 00:16:14,882 --> 00:16:19,553 FROM PRECONCEPTION IN UTERO, TO 364 00:16:19,553 --> 00:16:21,222 ADOLESCENCE, ADULTHOOD ALL THE 365 00:16:21,222 --> 00:16:22,389 WAY TO AGING. BUT YOU LOOK AT 366 00:16:22,389 --> 00:16:23,891 THE SCOPE OF THIS RESEARCH YOU 367 00:16:23,891 --> 00:16:27,294 CAN SEE THIS REALLY IS 368 00:16:27,294 --> 00:16:27,928 ENCOMPASSING EVERYTHING THAT'S 369 00:16:27,928 --> 00:16:29,363 REALLY IMPORTANT. THAT, IN 370 00:16:29,363 --> 00:16:31,765 FACT, IS WHAT WE ARE ALL ABOUT 371 00:16:31,765 --> 00:16:34,902 THAT'S IN FACT, WOMEN'S HEALTH 372 00:16:34,902 --> 00:16:37,137 RESEARCH. NOW, SO I'M GOING TO 373 00:16:37,137 --> 00:16:41,041 TALK ABOUT RESEARCH INTO 374 00:16:41,041 --> 00:16:42,243 SPECIFIC CONDITIONS. I'M GOING 375 00:16:42,243 --> 00:16:46,046 TO TALK ABOUT CLINICAL TRIALS, 376 00:16:46,046 --> 00:16:47,448 FUNDING, PRIORITIZATION, 377 00:16:47,448 --> 00:16:48,649 WORKFORCE AND LEADERSHIP. ALL 378 00:16:48,649 --> 00:16:50,317 THESE AREAS WE NEED TO WORK 379 00:16:50,317 --> 00:16:54,154 TOGETHER TO KEEP MOVING FORWARD. 380 00:16:54,154 --> 00:16:55,823 SO FIRST OF ALL, YOU LOOK AT SEX 381 00:16:55,823 --> 00:16:59,660 AND GENDER INFLUENCE. WELL, 382 00:16:59,660 --> 00:17:00,294 THIS SLIDE SHOWS YOU ALREADY THE 383 00:17:00,294 --> 00:17:02,963 DIFFERENT CONDITIONS, SUCH AS 384 00:17:02,963 --> 00:17:07,067 AUTOIMMUNE DISEASE ON THE LEFT, 385 00:17:07,067 --> 00:17:10,437 NEURODEGENERATIVE DISEASE ON THE 386 00:17:10,437 --> 00:17:14,575 MIDDLE, AND PAINFUL AND 387 00:17:14,575 --> 00:17:15,776 DEBILITATING DISORDERS ON THE 388 00:17:15,776 --> 00:17:19,246 RIGHT AND PINK SHOWS YOU WOMEN 389 00:17:19,246 --> 00:17:20,614 PREVALENCE. AND SOME OF THE 390 00:17:20,614 --> 00:17:22,917 CONDITIONS HIGHLY PREVALENT IN 391 00:17:22,917 --> 00:17:27,421 WOMEN THAN IN MEN. SO THAT SETS 392 00:17:27,421 --> 00:17:29,256 A STAGE TO SAY REALLY THERE ARE 393 00:17:29,256 --> 00:17:30,624 CLEARLY DIFFERENCES BUT WHEN YOU 394 00:17:30,624 --> 00:17:32,293 LOOK AT WHAT ARE WE TRYING TO 395 00:17:32,293 --> 00:17:34,094 STUDY I THINK THERE ARE THREE 396 00:17:34,094 --> 00:17:37,164 CATEGORIES ONE IS CONDITIONS 397 00:17:37,164 --> 00:17:42,403 WHICH ARE ONLY IN WOMEN SUCH AS 398 00:17:42,403 --> 00:17:45,272 ENDOMETRIOSIS, MATERNAL HEALTH, 399 00:17:45,272 --> 00:17:47,908 CONDITIONS HIGHLY PREVALENT IN 400 00:17:47,908 --> 00:17:52,746 WOMEN. YOU SAW THAT IN 401 00:17:52,746 --> 00:17:58,052 AUTOIMMUNE DISEASE, EVEN 402 00:17:58,052 --> 00:18:00,955 ALZHEIMER'S AND I AM A 403 00:18:00,955 --> 00:18:02,056 CARDIOVASCULAR KNOWING THAT 404 00:18:02,056 --> 00:18:04,725 HEART DISEASE IS 405 00:18:04,725 --> 00:18:05,793 UNDERRECOGNIZED. THE PATH OWE 406 00:18:05,793 --> 00:18:07,828 PHYSIOLOGY IS DIFFERENT. MICRO 407 00:18:07,828 --> 00:18:11,899 VASCULAR DISEASE. AND THE 408 00:18:11,899 --> 00:18:12,599 EXPRESSION IS DIFFERENT AND 409 00:18:12,599 --> 00:18:14,902 HENCE THE RECOGNITION, THE 410 00:18:14,902 --> 00:18:16,770 CONDITIONS ARE DIFFERENT. 411 00:18:16,770 --> 00:18:18,872 EXPRESSED BETWEEN MEN AND WOMEN. 412 00:18:18,872 --> 00:18:21,241 SO WHEN WE LOOK AT STUDYING 413 00:18:21,241 --> 00:18:22,042 DISEASES, THESE ARE THE THREE 414 00:18:22,042 --> 00:18:30,851 THINGS WE NEED TO LOOK AT. 415 00:18:30,851 --> 00:18:33,153 IMPACT SPECIFIC TO WOMEN AND 416 00:18:33,153 --> 00:18:37,191 EXPRESSED IN WOMEN NOW IN 417 00:18:37,191 --> 00:18:38,559 MATERNAL MORTALITY YOU KNOW 418 00:18:38,559 --> 00:18:40,394 THESE ARE BIG ISSUES. WE DID A 419 00:18:40,394 --> 00:18:43,931 STUDY IN 2020 CALLED BIRTH 420 00:18:43,931 --> 00:18:47,201 SETTINGS IN AMERICA AND WE 421 00:18:47,201 --> 00:18:48,569 POINTED OUT THERE'S NO RISK FREE 422 00:18:48,569 --> 00:18:50,070 SETTING FOR A PERSON TO GIVE 423 00:18:50,070 --> 00:18:51,138 BIRTH IN THE UNITED STATES. YOU 424 00:18:51,138 --> 00:18:53,474 ALL KNOW THE DATA. WE RANK THE 425 00:18:53,474 --> 00:18:55,743 WORST AMONG ALL DEVELOPED 426 00:18:55,743 --> 00:18:58,479 COUNTRIES. AND SO, THE QUESTION 427 00:18:58,479 --> 00:19:00,114 IS WHY. PATIENTS ARE SAYING 428 00:19:00,114 --> 00:19:02,049 THERE ARE GAPS BETWEEN WHAT THEY 429 00:19:02,049 --> 00:19:05,019 WANT AND THE CARE THAT THEY 430 00:19:05,019 --> 00:19:08,522 RECEIVE. AND OF COURSE, WE NEED 431 00:19:08,522 --> 00:19:11,191 TO UNDERSTAND THIS BASIC FOR 432 00:19:11,191 --> 00:19:13,327 THIS THROUGH RESEARCH, BUT ALSO 433 00:19:13,327 --> 00:19:15,896 INVEST IN WORKFORCE THAT CAN 434 00:19:15,896 --> 00:19:18,365 ACTUALLY BE A LOT MORE FOCUSED 435 00:19:18,365 --> 00:19:20,801 ON AND THEY BRING WOMEN'S 436 00:19:20,801 --> 00:19:22,069 MATERNAL HEALTH ALTOGETHER. SO 437 00:19:22,069 --> 00:19:26,006 IN 2021, WE HAD A WORKSHOP TO 438 00:19:26,006 --> 00:19:28,942 SAY TO TAKE A LOOK AT ADVANCING 439 00:19:28,942 --> 00:19:32,312 WOMEN'S HEALTH, MATERNAL HEALTH, 440 00:19:32,312 --> 00:19:34,181 EQUITY, AND OF COURSE YOU ALL 441 00:19:34,181 --> 00:19:37,051 KNOW THIS, YOU ARE THE LEADERS 442 00:19:37,051 --> 00:19:38,419 IN THE FIELD TO RECOGNIZE 443 00:19:38,419 --> 00:19:41,622 THERE'S SO MANY FACTORS 444 00:19:41,622 --> 00:19:43,257 CONTRIBUTING TO FULL MATERNAL 445 00:19:43,257 --> 00:19:46,060 HEALTH THAT INCLUDES ACCESS TO 446 00:19:46,060 --> 00:19:50,164 CARE, PREVALENCE OF NCD, 447 00:19:50,164 --> 00:19:52,066 MATERNAL STRESS AND TRAINING, 448 00:19:52,066 --> 00:19:55,335 SOCIAL DETERMINANTS. BIAS AND 449 00:19:55,335 --> 00:19:57,271 RACISM. AND YOU KNOW IT'S QUITE 450 00:19:57,271 --> 00:19:59,773 AMAZING, WE LOOK AT THE 451 00:19:59,773 --> 00:20:01,942 FREQUENCY OF THE INTERSECTION IN 452 00:20:01,942 --> 00:20:03,544 OUR COUNTRY VERSUS OTHERS. SO 453 00:20:03,544 --> 00:20:05,279 WE HAVE A LOT OF WORK TO DO, AND 454 00:20:05,279 --> 00:20:07,414 I HAVE TO TELL YOU SOME DAYS I'M 455 00:20:07,414 --> 00:20:09,049 A LITTLE FRUSTRATED TO SAY HOW 456 00:20:09,049 --> 00:20:12,419 CAN WE NOT MAKE BETTER AND 457 00:20:12,419 --> 00:20:13,620 FASTER PROGRESS? BUT I THINK 458 00:20:13,620 --> 00:20:16,056 THERE'S LOTS OF THINGS THAT WE 459 00:20:16,056 --> 00:20:19,393 DON'T FULLY UNDERSTAND. FOR 460 00:20:19,393 --> 00:20:22,062 EXAMPLE, EVEN IF YOU TAKE 461 00:20:22,062 --> 00:20:26,166 ACCOUNT FOR EDUCATION AT 462 00:20:26,166 --> 00:20:26,867 SOCIOECONOMIC LEVELS THAT ARE 463 00:20:26,867 --> 00:20:28,936 BEING EQUAL. WOMEN OF COLOR 464 00:20:28,936 --> 00:20:31,405 STILL HAVING MUCH MORE MORTALITY 465 00:20:31,405 --> 00:20:34,741 AND MORBIDITY. WHY IS THE CASE? 466 00:20:34,741 --> 00:20:37,478 IS THIS GOT TO DO WITH RACISM? 467 00:20:37,478 --> 00:20:38,879 WITH ACCESS TO CARE OR OTHER 468 00:20:38,879 --> 00:20:40,848 FACTORS? I THINK THERE'S A LOT 469 00:20:40,848 --> 00:20:43,050 OF WORK THAT NEEDS TO BE DONE IN 470 00:20:43,050 --> 00:20:45,619 THIS CASE. CHRONIC CONDITIONS, 471 00:20:45,619 --> 00:20:49,323 YOU KNOW, I THINK THIS IS REALLY 472 00:20:49,323 --> 00:20:50,791 UNDERSTUDIED. PEOPLE LOOK AT 473 00:20:50,791 --> 00:20:52,893 CHRONIC CONDITIONS AS A KIND OF 474 00:20:52,893 --> 00:20:54,394 A BUCKET OF EVERYBODY IN THERE. 475 00:20:54,394 --> 00:20:57,831 BUT AS I SAID, THERE'S A BIG 476 00:20:57,831 --> 00:21:00,033 DIFFERENCE BETWEEN WOMEN'S 477 00:21:00,033 --> 00:21:03,637 HEALTH AND MEN IN EXPRESSION OF 478 00:21:03,637 --> 00:21:05,672 DISEASE AND MANY OTHERS SO IF 479 00:21:05,672 --> 00:21:08,775 YOU LOOK AT THE GLOBAL DISEASE 480 00:21:08,775 --> 00:21:12,112 BURDEN, 47% CONDITIONS AFFECT 481 00:21:12,112 --> 00:21:14,781 WOMEN DISPROPORTIONATELY. AND 482 00:21:14,781 --> 00:21:17,918 4% AFFECT WOMEN DIFFERENTLY AND 483 00:21:17,918 --> 00:21:19,386 5% EXCLUSIVE TO WOMEN. SO WHEN 484 00:21:19,386 --> 00:21:22,055 WE LOOK AT THIS STUDY, WE HAVE 485 00:21:22,055 --> 00:21:24,158 MADE RECOMMENDATIONS THAT WE 486 00:21:24,158 --> 00:21:27,628 NEED A LOT MORE -- REALLY GOOD 487 00:21:27,628 --> 00:21:30,797 DATA TO IMPROVE DATA COLLECTION 488 00:21:30,797 --> 00:21:32,132 CONDITIONS THAT LOOK AT WOMEN 489 00:21:32,132 --> 00:21:33,967 AND PARTICULARLY ANY OF THE 490 00:21:33,967 --> 00:21:35,402 PRECONDITIONS. TO IMPROVE 491 00:21:35,402 --> 00:21:38,972 ESTIMATES OF IMPACT OF CHRONIC 492 00:21:38,972 --> 00:21:42,242 CONDITIONS AFFECTING WOMEN, TO 493 00:21:42,242 --> 00:21:44,011 UNDERSTAND HOW INFORMATION 494 00:21:44,011 --> 00:21:45,779 AFFECT CHRONIC CONDITIONS, 495 00:21:45,779 --> 00:21:48,248 PARTICULARLY WHEN YOU THINK 496 00:21:48,248 --> 00:21:50,450 ABOUT MANY OF THE AGING 497 00:21:50,450 --> 00:21:51,351 CONDITIONS, AUTOIMMUNE DISEASE 498 00:21:51,351 --> 00:21:54,888 AND OTHERS. BUT I THINK 499 00:21:54,888 --> 00:21:56,857 IMPORTANTLY UNDERSTANDING 500 00:21:56,857 --> 00:21:57,991 HORMONAL FLUCTUATION BECAUSE 501 00:21:57,991 --> 00:22:01,061 THEY REALLY INFLUENCE CHRONIC 502 00:22:01,061 --> 00:22:02,596 CONDITIONS AND OF COURSE CHANGES 503 00:22:02,596 --> 00:22:05,799 THE WAY IN WHICH WE APPROACH 504 00:22:05,799 --> 00:22:07,601 SYMPTOMS OF MENOPAUSE AND OTHERS 505 00:22:07,601 --> 00:22:10,137 AND IMPORTANTLY, UNDERSTANDING 506 00:22:10,137 --> 00:22:12,105 SOCIAL DETERMINANTS OF HEALTH 507 00:22:12,105 --> 00:22:15,909 THAT ARE AFFECTING WOMEN. NOW, 508 00:22:15,909 --> 00:22:19,780 THIS LEADS TO OF COURSE THE 509 00:22:19,780 --> 00:22:21,348 QUESTION OF DO WE HAVE ENOUGH 510 00:22:21,348 --> 00:22:23,083 DATA? ARE WE COLLECTING ENOUGH 511 00:22:23,083 --> 00:22:24,851 INFORMATION AND I THINK WE ALL 512 00:22:24,851 --> 00:22:26,920 AGREE THAT IT'S UNCONSCIONABLE 513 00:22:26,920 --> 00:22:28,922 THAT WOMEN ARE EXCLUDED FROM 514 00:22:28,922 --> 00:22:33,860 CLINICAL TRIALS. SO FINALLY IN 515 00:22:33,860 --> 00:22:35,829 1993 THROUGH THE REVITALIZATION 516 00:22:35,829 --> 00:22:37,264 ACT MADE THE INCLUSION OF WOMEN 517 00:22:37,264 --> 00:22:40,133 AND MINORITIES IN NIH-FUNDED 518 00:22:40,133 --> 00:22:42,603 RESEARCH. WE MADE A LOT OF 519 00:22:42,603 --> 00:22:45,272 PROGRESS. BUT NOT ENOUGH. AND 520 00:22:45,272 --> 00:22:49,276 IN THE 2022 STUDY THAT WE 521 00:22:49,276 --> 00:22:51,845 CONDUCTED WE SAY -- WE STILL 522 00:22:51,845 --> 00:22:56,116 HAVE LOTS OF ISSUES DEALING WITH 523 00:22:56,116 --> 00:22:58,185 THIS. WOMEN, YOU KNOW, IN 524 00:22:58,185 --> 00:22:59,987 SUBGROUPS ARE FACED CHALLENGES, 525 00:22:59,987 --> 00:23:05,726 PREGNANT, LACTATING WOMEN, 526 00:23:05,726 --> 00:23:08,128 SEXUALLY GENDER MINOR 527 00:23:08,128 --> 00:23:12,065 POPULATIONS AND SUBGROUPS. WE 528 00:23:12,065 --> 00:23:15,836 WROTE THIS EDITORIAL TO SAY IT 529 00:23:15,836 --> 00:23:20,140 IS IMPERATIVE FOR DIVERSITY 530 00:23:20,140 --> 00:23:20,974 INCLUSION CLINICAL TRIALS IN 531 00:23:20,974 --> 00:23:24,978 HEALTH RESEARCH. THE GOOD NEWS 532 00:23:24,978 --> 00:23:26,580 IS THERE'S BEEN ACTION TAKEN BY 533 00:23:26,580 --> 00:23:28,048 THE BIDEN ADMINISTRATION IN 534 00:23:28,048 --> 00:23:33,987 DECEMBER 2022, BIDEN SIGNED 535 00:23:33,987 --> 00:23:35,956 LEGISLATION. FOLLOWING THAT FDA 536 00:23:35,956 --> 00:23:39,459 RELEASED A DRAFT GUIDANCE 537 00:23:39,459 --> 00:23:40,661 REQUIRING RESEARCHERS TO IN 538 00:23:40,661 --> 00:23:42,496 COMPANIES SEEK APPROVAL IN LATE 539 00:23:42,496 --> 00:23:44,998 STAGE TRIAL, SUBMIT A PLAN TO 540 00:23:44,998 --> 00:23:46,900 SAY, YES, THERE'S DIVERSITY 541 00:23:46,900 --> 00:23:50,037 AMONG THE PARTICIPANTS. AND IN 542 00:23:50,037 --> 00:23:52,873 2024, FDA RELEASED DRAFT 543 00:23:52,873 --> 00:23:53,840 GUIDANCE REQUIRING DIVERSITY 544 00:23:53,840 --> 00:23:57,911 ACTION TO PLANS TO IMPROVE 545 00:23:57,911 --> 00:23:59,346 ENROLLMENT OF PARTICIPANTS FROM 546 00:23:59,346 --> 00:24:01,481 UPSIDE REPRESENTED POPULATION 547 00:24:01,481 --> 00:24:02,749 INCLUDING GENDER AND RACE AND 548 00:24:02,749 --> 00:24:03,550 OTHERS. 549 00:24:03,550 --> 00:24:05,986 SO I THINK THAT WE ARE GETTING 550 00:24:05,986 --> 00:24:08,021 THERE, BUT NOT QUITE. ONE AREA 551 00:24:08,021 --> 00:24:09,356 THAT CERTAINLY NEEDS TO BE 552 00:24:09,356 --> 00:24:12,125 LOOKING AT IS PREGNANT LACTATING 553 00:24:12,125 --> 00:24:14,161 PEOPLE IN RESEARCH. THEY HAVE 554 00:24:14,161 --> 00:24:17,364 BEEN EXCLUDED FROM RESEARCH TO 555 00:24:17,364 --> 00:24:20,133 DATE. SO WE TOOK THIS AREA ON 556 00:24:20,133 --> 00:24:22,969 AND PUBLISHED THIS YEAR, REALLY 557 00:24:22,969 --> 00:24:24,371 IMPORTANT POINT BECAUSE AS YOU 558 00:24:24,371 --> 00:24:31,478 KNOW 70% OF WOMEN AND AS GREAT 559 00:24:31,478 --> 00:24:33,180 AS 50% LACTATING PEOPLE TAKE 560 00:24:33,180 --> 00:24:34,715 PRESCRIPTION DRUGS SO WE GOT TO 561 00:24:34,715 --> 00:24:36,450 NOW WHETHER IT'S SAFE FOR THEM, 562 00:24:36,450 --> 00:24:41,321 EFFECTIVE FOR THEM, OR NOT. AND 563 00:24:41,321 --> 00:24:44,691 YET, PEOPLE HAVE CONFLATED 564 00:24:44,691 --> 00:24:45,826 PREGNANT AND LACTATING 565 00:24:45,826 --> 00:24:48,795 POPULATION AS PROBLEMATIC. 566 00:24:48,795 --> 00:24:54,067 BECAUSE ASSOCIATING THE 567 00:24:54,067 --> 00:24:55,335 LACTATING POPULATION WITH A 568 00:24:55,335 --> 00:24:56,436 LIABILITY THAT YOU SEE IN 569 00:24:56,436 --> 00:24:57,804 PREGNANT WOMEN AND THERE'S NO 570 00:24:57,804 --> 00:24:59,206 EVIDENCE. SO I THINK WHAT WE 571 00:24:59,206 --> 00:25:00,974 NEED TO DO IS BEGIN TO LOOK AT 572 00:25:00,974 --> 00:25:03,710 THE RISK AND LIABILITY ON THIS 573 00:25:03,710 --> 00:25:06,313 ISSUE. AND THE EXCLUSION OF 574 00:25:06,313 --> 00:25:08,849 THEM SHIFTS A RISK LIABILITY 575 00:25:08,849 --> 00:25:10,517 FROM WELL REGULATED CLINICAL 576 00:25:10,517 --> 00:25:13,887 TRIALS INTO LARGER LESS 577 00:25:13,887 --> 00:25:14,821 REGULATED PRACTICE. WHAT DO I 578 00:25:14,821 --> 00:25:18,325 MEAN BY THAT? WELL, YOU DON'T 579 00:25:18,325 --> 00:25:20,427 HAVE DATA AND YET YOU HAVE 580 00:25:20,427 --> 00:25:22,462 PEOPLE PRESCRIBING. PRESCRIBING 581 00:25:22,462 --> 00:25:26,266 WITHOUT INFORMATION OF EFFICACY, 582 00:25:26,266 --> 00:25:27,467 SAFETY, TO PREGNANT WOMEN OR 583 00:25:27,467 --> 00:25:29,469 LACTATING WOMEN SO I THINK WE 584 00:25:29,469 --> 00:25:31,905 SAY BOTH POPULATIONS MUST BE 585 00:25:31,905 --> 00:25:33,340 INCLUDED IN RESEARCH, TO BENEFIT 586 00:25:33,340 --> 00:25:36,109 FROM PROTECTION OFFERED BY THE 587 00:25:36,109 --> 00:25:38,879 MEDICAL REGULATORY SYSTEM. SO 588 00:25:38,879 --> 00:25:42,315 WHAT ARE OUR RECOMMENDATIONS? 589 00:25:42,315 --> 00:25:43,817 DIRECTLY MITIGATE LIABILITY. 590 00:25:43,817 --> 00:25:45,519 LET'S JUST FACE OKAY, THERE ARE 591 00:25:45,519 --> 00:25:48,121 RISK BUT JUST LIKE ANY OTHER 592 00:25:48,121 --> 00:25:50,290 RISK, AND OTHER POPULATION AND 593 00:25:50,290 --> 00:25:52,526 CLINICAL TRIALS, INFORMED 594 00:25:52,526 --> 00:25:54,494 CONSENT. RELEASE GUIDANCE ON 595 00:25:54,494 --> 00:25:57,330 RESEARCH EXPECTATION. IMPROVE 596 00:25:57,330 --> 00:26:02,135 TRAINING FOR RESEARCH STAFF, AND 597 00:26:02,135 --> 00:26:03,370 CONVERSATE HARM OF THOSE WHO ARE 598 00:26:03,370 --> 00:26:06,039 HARMED BY RESEARCH. THOSE IN 599 00:26:06,039 --> 00:26:08,108 FACT EXIST FOR EVERYBODY ELSE 600 00:26:08,108 --> 00:26:11,011 OUGHT TO DO THE SAME OF PREGNANT 601 00:26:11,011 --> 00:26:12,112 AND LACTATING WOMEN. THE SECOND 602 00:26:12,112 --> 00:26:14,147 OF COURSE IS TO MINIMIZE 603 00:26:14,147 --> 00:26:15,515 POTENTIAL HARM. CREATE GUIDANCE 604 00:26:15,515 --> 00:26:20,954 ABOUT WHEN AND HOW TO CONDUCT 605 00:26:20,954 --> 00:26:23,990 RESEARCH. AND INFORM OUR RODS 606 00:26:23,990 --> 00:26:25,859 ABOUT HOW TO OVERSEE THIS 607 00:26:25,859 --> 00:26:27,494 RESEARCH. THIS IS STILL A NEW 608 00:26:27,494 --> 00:26:29,196 FIELD. WE GOT TO GET THEM 609 00:26:29,196 --> 00:26:30,197 EDUCATED AND INVOLVE YOU, THE 610 00:26:30,197 --> 00:26:34,067 LEADERS TO BE ABLE TO INFORM 611 00:26:34,067 --> 00:26:35,635 THEM ABOUT THIS AND WE SAY TO 612 00:26:35,635 --> 00:26:38,305 CONGRESS YOU HAVE TO TAKE SOME 613 00:26:38,305 --> 00:26:40,140 ACTION. MORE RESEARCH FROM A 614 00:26:40,140 --> 00:26:42,342 FUNDING MECHANISM INCENTIVES AND 615 00:26:42,342 --> 00:26:44,110 REQUIREMENTS. WHAT AM I SAYING 616 00:26:44,110 --> 00:26:46,046 ABOUT THAT? BECAUSE COMPANIES 617 00:26:46,046 --> 00:26:47,981 ARE HESITANT BECAUSE OF 618 00:26:47,981 --> 00:26:50,150 LIABILITY. BUT IF YOU ALSO LOOK 619 00:26:50,150 --> 00:26:54,621 AT MANY OTHER AREAS, SUCH AS 620 00:26:54,621 --> 00:26:55,388 VACCINE AND OTHER TO CREATE 621 00:26:55,388 --> 00:26:58,058 OPPORTUNITY FOR THEM TO SAY, 622 00:26:58,058 --> 00:26:59,759 OKAY, THERE ARE INCENTIVES FOR 623 00:26:59,759 --> 00:27:02,562 US TO STUDY THIS POPULATION SUCH 624 00:27:02,562 --> 00:27:09,069 AS DRUGS WHICH CAN BE A PATENT 625 00:27:09,069 --> 00:27:12,105 EXCLUSIVITY, ET CETERA, AND CAN 626 00:27:12,105 --> 00:27:13,406 BE STUDIED IN PREGNANT AND 627 00:27:13,406 --> 00:27:14,674 LACTATING AND LET'S OPEN UP A 628 00:27:14,674 --> 00:27:16,943 NEW CHAPTER TO MAKE SURE WE 629 00:27:16,943 --> 00:27:17,978 DON'T EXCLUDE PREGNANT AND 630 00:27:17,978 --> 00:27:19,779 LACTATING WOMEN AND THEY'RE NOT 631 00:27:19,779 --> 00:27:20,413 THE SAME AND RECOGNIZE LIABILITY 632 00:27:20,413 --> 00:27:22,048 ARE NOT THE SAME THAT WE TAKE 633 00:27:22,048 --> 00:27:25,252 ALL OF THOSE ACTIONS. NOW LET 634 00:27:25,252 --> 00:27:26,853 ME TALK ABOUT FUNDING. I MEAN, 635 00:27:26,853 --> 00:27:29,189 I KNOW YOU KNOW THIS. RIGHT? 636 00:27:29,189 --> 00:27:32,826 YOU HAVE BEEN TALKING ABOUT THIS 637 00:27:32,826 --> 00:27:34,494 FOREVER. THAT WE LOOK AT STARK 638 00:27:34,494 --> 00:27:37,364 GAPS BETWEEN, YOU KNOW, MEN AND 639 00:27:37,364 --> 00:27:38,965 WOMEN, THOSE PARTICULAR 640 00:27:38,965 --> 00:27:42,202 DISEASES, LOOK AT ALZHEIMER'S. 641 00:27:42,202 --> 00:27:44,137 12% OF RESEARCH GO TO PROJECTS 642 00:27:44,137 --> 00:27:46,039 THAT FOCUS ON WOMEN YET WOMEN 643 00:27:46,039 --> 00:27:48,441 ARE TWO-THIRDS OF THE 644 00:27:48,441 --> 00:27:50,010 POPULATION. AND CARDIOVASCULAR 645 00:27:50,010 --> 00:27:53,346 DISEASE, 44% OF WOMEN HAVE SOME 646 00:27:53,346 --> 00:27:55,749 KIND OF CARDIOVASCULAR DECIDE, 647 00:27:55,749 --> 00:27:58,184 BUT ONE-THIRD TRIALS IN FEMALE 648 00:27:58,184 --> 00:28:03,156 AND 4% OF NIH, IN THIS CASE, 649 00:28:03,156 --> 00:28:04,024 CARDIOVASCULAR DISEASE BUDGET 650 00:28:04,024 --> 00:28:05,759 FOCUS ON WOMEN. YOU KNOW THIS 651 00:28:05,759 --> 00:28:07,160 WELL AND ONGOING CHANGE IN 652 00:28:07,160 --> 00:28:10,497 FUNDING, I MEAN, THERE'S JUST 653 00:28:10,497 --> 00:28:12,132 NOT ENOUGH FUNDING TO UNDERSTAND 654 00:28:12,132 --> 00:28:15,435 WOMEN'S HEALTH. IF YOU LOOK AT 655 00:28:15,435 --> 00:28:18,572 2021 FUNDING, I WILL GIVE YOU AN 656 00:28:18,572 --> 00:28:22,075 EXAMPLE, ENDOMETRIOSIS, ONE IN 657 00:28:22,075 --> 00:28:23,877 TEN AND PROSTATE CANCER, ONE IN 658 00:28:23,877 --> 00:28:26,246 EIGHT IN MEN. LOOK AT THE 659 00:28:26,246 --> 00:28:30,283 DIFFERENCE, TEN TIMES 660 00:28:30,283 --> 00:28:33,687 DIFFERENCE, 280 MILLION DOLLARS 661 00:28:33,687 --> 00:28:35,655 IN FUNDING. YOU ALL KNOW THIS 662 00:28:35,655 --> 00:28:37,090 AND I'M NOT TELLING YOU ANYTHING 663 00:28:37,090 --> 00:28:40,060 THAT'S NEW. IF YOU LOOK AT 664 00:28:40,060 --> 00:28:41,895 CHRONOLOGIC CONDITIONS THEY FALL 665 00:28:41,895 --> 00:28:44,197 UNDER NICHD SO YOU SAY, OKAY, 666 00:28:44,197 --> 00:28:49,669 AND ONLY 9% OF NICDH BUDGET IS 667 00:28:49,669 --> 00:28:50,570 FOR WOMEN'S HEALTH SO WE 668 00:28:50,570 --> 00:28:52,038 RECOGNIZE THE PROBLEM, RIGHT? 669 00:28:52,038 --> 00:28:55,375 AND WHEN YOU PUT A GRAND IN AND 670 00:28:55,375 --> 00:29:00,113 THANK JI KNOWN FOR THIS, YOU CAN 671 00:29:00,113 --> 00:29:01,815 SAY, WHICH DRIVE DO I PUT IT IN 672 00:29:01,815 --> 00:29:02,916 AND DO I HAVE PEOPLE THAT 673 00:29:02,916 --> 00:29:04,050 UNDERSTAND THE VIEW OF MY 674 00:29:04,050 --> 00:29:04,417 APPLICATIONS? 675 00:29:04,417 --> 00:29:05,685 SO THERE'S A LOT OF ISSUES THAT 676 00:29:05,685 --> 00:29:08,555 NEED TO BE ADRESSED AND AS I 677 00:29:08,555 --> 00:29:10,223 SAID, WE ARE ACTUALLY -- HAVE 678 00:29:10,223 --> 00:29:13,059 COMPLETED OUR STUDY, IT'S 679 00:29:13,059 --> 00:29:14,628 UNDERGOING FURTHER REVIEW AND 680 00:29:14,628 --> 00:29:18,865 WILL BE LAUNCHING THE RESPONSE 681 00:29:18,865 --> 00:29:22,068 LATER IN NOVEMBER. THIS IS IT. 682 00:29:22,068 --> 00:29:24,137 SO WE'RE GOING TO ASK CONGRESS 683 00:29:24,137 --> 00:29:27,374 TO SAY, LET'S DO A STUDY. LOOK 684 00:29:27,374 --> 00:29:30,477 AT THE CAPSULE OF UNDERSTANDING 685 00:29:30,477 --> 00:29:33,580 OF WOMEN'S RESEARCH ACROSS NI,H. 686 00:29:33,580 --> 00:29:36,116 IT IS THE LARGEST FUNDING AGENCY 687 00:29:36,116 --> 00:29:37,951 OF BIOMEDICAL SCIENCE IN THE 688 00:29:37,951 --> 00:29:38,752 WORLD. 689 00:29:38,752 --> 00:29:40,920 ARE THEY PUTTING ENOUGH EFFORT 690 00:29:40,920 --> 00:29:43,323 INTO IT I KNOW MANY OF YOU ARE. 691 00:29:43,323 --> 00:29:44,124 BUT WHAT ABOUT LEADERSHIP? WHAT 692 00:29:44,124 --> 00:29:45,859 ABOUT THE WHOLE ORGANIZATION? 693 00:29:45,859 --> 00:29:51,297 SO WE'RE GOING ANALYZE THE 694 00:29:51,297 --> 00:29:53,133 FUNDING AND RESEARCH THAT AFFECT 695 00:29:53,133 --> 00:29:54,267 WOMEN. WHAT IS COMMON AMONG 696 00:29:54,267 --> 00:30:00,106 WOMEN AND HOW IT IS TO FIND 697 00:30:00,106 --> 00:30:03,309 THEM. WE'VE ALSO BEEN ASKED TO 698 00:30:03,309 --> 00:30:04,277 ADDRESS SEX HEALTH DIFFERENCES 699 00:30:04,277 --> 00:30:05,812 AND OF COURSE WE NEED TO 700 00:30:05,812 --> 00:30:07,213 DETERMINE THE FUNDING NEEDED TO 701 00:30:07,213 --> 00:30:09,816 BRIDGE THE GAPS WITH HEALTH 702 00:30:09,816 --> 00:30:12,118 RESEARCH AT NIH SO WHAT WE'VE 703 00:30:12,118 --> 00:30:16,122 DONE IS, CONSULTED MANY OF YOU, 704 00:30:16,122 --> 00:30:18,258 HELD WORKSHOPS AND I KNOW THAT 705 00:30:18,258 --> 00:30:24,064 JENEEN HAS SPOKEN TO US, AND YOU 706 00:30:24,064 --> 00:30:25,799 WILL HEAR FROM OTHERS LATER ON 707 00:30:25,799 --> 00:30:27,434 AND I AM SURE YOU SERVE ON THE 708 00:30:27,434 --> 00:30:28,868 COMMITTEE. I THINK WE'RE NOW 709 00:30:28,868 --> 00:30:31,104 READY. AND I THINK CAN I TELL 710 00:30:31,104 --> 00:30:33,373 YOU THE FINDING BUT I THINK THE 711 00:30:33,373 --> 00:30:35,275 FINDING WAS CERTAINLY WILL TAKE 712 00:30:35,275 --> 00:30:36,609 US SIGNIFICANTLY INTO THE NEXT 713 00:30:36,609 --> 00:30:39,446 ERA. WHICH I THINK IS 714 00:30:39,446 --> 00:30:40,513 WELL-DESERVED. IT'S GOING TO BE 715 00:30:40,513 --> 00:30:41,548 VERY EXCITING. NOT EVERYONE'S 716 00:30:41,548 --> 00:30:47,887 GOING TO AGREE WITH IT BUT IT'S 717 00:30:47,887 --> 00:30:50,423 GOING IN THE RIGHT DIRECTION. 718 00:30:50,423 --> 00:30:54,561 ALSO, WORKFORCE AND LEADERSHIP. 719 00:30:54,561 --> 00:30:58,064 WE HAVE A COMMITTEE CAUSED THE 720 00:30:58,064 --> 00:31:00,834 COMMITTEE ON WOMEN IN SCIENCE, 721 00:31:00,834 --> 00:31:01,968 ENGINEERING AND MEDICINE. AND 722 00:31:01,968 --> 00:31:02,569 WE HAVE BROUGHT TOGETHER FOR 723 00:31:02,569 --> 00:31:08,108 MANY YEARS ON HOW TO DEVELOP 724 00:31:08,108 --> 00:31:09,442 LEADERSHIP IN THESE THREE 725 00:31:09,442 --> 00:31:10,510 DOMAINS AND LOOKING AT 726 00:31:10,510 --> 00:31:12,112 CONDITIONS OF OPPORTUNITIES TO 727 00:31:12,112 --> 00:31:15,148 UNABLE WOMEN TO LEAD. AND 728 00:31:15,148 --> 00:31:18,151 LOOKING AT THOSE FORM -- MODEL 729 00:31:18,151 --> 00:31:20,053 FORMS OF DISCRIMINATION, HOW WE 730 00:31:20,053 --> 00:31:22,055 SHAPED THE EXPERIENCE OF 731 00:31:22,055 --> 00:31:22,856 INDIVIDUALS AND WOMEN IN 732 00:31:22,856 --> 00:31:25,291 SCIENCE, ENGINEERING AND 733 00:31:25,291 --> 00:31:27,460 MEDICINE, SYSTEMIC INEQUITIES 734 00:31:27,460 --> 00:31:28,762 WE'VE BEEN WORKING TO OVERCOME 735 00:31:28,762 --> 00:31:33,266 THEM AND WE HAVE LOTS OF WORK IN 736 00:31:33,266 --> 00:31:37,270 THIS AREA. NOW, I THINK I'M -- 737 00:31:37,270 --> 00:31:39,639 I HAVE A SLIDE THERE, MAYBE IT 738 00:31:39,639 --> 00:31:41,841 COMES UP LATER BUT WHAT NIH IS 739 00:31:41,841 --> 00:31:44,043 DOING. I THINK IT WILL COME UP 740 00:31:44,043 --> 00:31:46,045 LATER. WHAT JENEEN'S DOING WITH 741 00:31:46,045 --> 00:31:47,847 THE OPPORTUNITY MAP WHICH I WILL 742 00:31:47,847 --> 00:31:51,017 TALK ABOUT, BECAUSE WE SET THE 743 00:31:51,017 --> 00:31:54,587 STAGE FOR WHERE WE NEED TO GO 744 00:31:54,587 --> 00:32:00,126 AND ABOUT THE LEADERSHIP ISSUE? 745 00:32:00,126 --> 00:32:04,564 BUT LET ME TURN TOWARDS WOMEN'S 746 00:32:04,564 --> 00:32:05,765 HEALTH AND THE IMPORTANCE OF 747 00:32:05,765 --> 00:32:06,633 EQUITY ISSUES. FIRST OF ALL I 748 00:32:06,633 --> 00:32:08,668 THINK WE ALL NEED TO RECOGNIZE 749 00:32:08,668 --> 00:32:11,037 THAT HUMAN HEALTH IS SOCIALLY 750 00:32:11,037 --> 00:32:13,740 PATTERNED. IT'S NOT JUST A 751 00:32:13,740 --> 00:32:14,440 BIOLOGY. IT'S REALLY 752 00:32:14,440 --> 00:32:16,643 ENVIRONMENT WHICH YOU LIVE IN 753 00:32:16,643 --> 00:32:18,645 AND THE CAUSE OF FACTORS WHICH 754 00:32:18,645 --> 00:32:20,680 ARE AFFECTING YOU AND 755 00:32:20,680 --> 00:32:21,981 INFLUENCING THEREFORE THE 756 00:32:21,981 --> 00:32:23,983 BIOLOGY RESPONSE. AND I WILL 757 00:32:23,983 --> 00:32:26,619 JUST TELL YOU THAT WOMEN'S 758 00:32:26,619 --> 00:32:28,054 HEALTH, WOMEN FACE SIGNIFICANT 759 00:32:28,054 --> 00:32:29,823 CHALLENGES. MY WIFE IS VERY 760 00:32:29,823 --> 00:32:31,090 MUCH INVOLVED, SHE WAS THE 761 00:32:31,090 --> 00:32:33,860 PRESIDENT OF SECOND STEP IN 762 00:32:33,860 --> 00:32:35,195 BOSTON WHICH REALLY LOOK AT 763 00:32:35,195 --> 00:32:36,963 WOMEN AND VICTIMS OF DOMESTIC 764 00:32:36,963 --> 00:32:37,263 VIOLENCE. 765 00:32:37,263 --> 00:32:42,635 AND HOW DO YOU PROVIDE THEM WITH 766 00:32:42,635 --> 00:32:44,737 SUPPORT, PROTECTION, AND 767 00:32:44,737 --> 00:32:48,107 OPPORTUNITY TO HAVE REMEDIATION 768 00:32:48,107 --> 00:32:50,143 TO DEVELOP CAREERS AND PATHWAYS. 769 00:32:50,143 --> 00:32:53,980 VERY PROUD OF THAT. SO FROM HER 770 00:32:53,980 --> 00:32:54,514 INVOLVEMENT, CERTAINLY I 771 00:32:54,514 --> 00:32:58,051 RECOGNIZE THE ISSUES OF 772 00:32:58,051 --> 00:33:01,054 VIOLENCE, SEXUAL VIOLENCE AND 773 00:33:01,054 --> 00:33:03,623 THE CAUSE OF ONE OF THE GREATEST 774 00:33:03,623 --> 00:33:06,826 REASON FOR HOMICIDE IS INTIMATE 775 00:33:06,826 --> 00:33:08,127 PARTNER VIOLENCE. SECOND CAUSE 776 00:33:08,127 --> 00:33:10,230 IS THAT THERE'S STIGMA 777 00:33:10,230 --> 00:33:12,131 SURROUNDING MENSTRUATION AND 778 00:33:12,131 --> 00:33:13,633 THEREFORE, YOU KNOW, THESE ARE 779 00:33:13,633 --> 00:33:15,869 CHALLENGES PARTICULARLY FOR 780 00:33:15,869 --> 00:33:18,204 PEOPLE AS THEY FACE 781 00:33:18,204 --> 00:33:19,405 MENSTRUATION. THERE'S CERTAINLY 782 00:33:19,405 --> 00:33:23,543 SOCIETAL STRUCTURES THAT I THINK 783 00:33:23,543 --> 00:33:24,744 CONTINUES TO CAUSE OPPRESSION 784 00:33:24,744 --> 00:33:27,747 AND LACK OF PRIVILEGES FOR 785 00:33:27,747 --> 00:33:30,283 WOMEN, IMPACT OF SEXISM, I THINK 786 00:33:30,283 --> 00:33:34,053 THAT AS I SAID BEFORE, WOMEN'S 787 00:33:34,053 --> 00:33:37,457 HEALTH AND NOT JUST REPRODUCTIVE 788 00:33:37,457 --> 00:33:39,025 HEALTH. ECONOMIC AND EDUCATION 789 00:33:39,025 --> 00:33:40,260 DISPARITIES. YOU KNOW, MANY OF 790 00:33:40,260 --> 00:33:42,161 THE CARE PROVIDERS, PARTICULARLY 791 00:33:42,161 --> 00:33:45,832 FOR FAMILIES YOU KNOW, WITH 792 00:33:45,832 --> 00:33:50,069 ELDERLY ARE WOMEN. AND SO WOMEN 793 00:33:50,069 --> 00:33:53,873 HAVE MANY, MANY CHALLENGING 794 00:33:53,873 --> 00:33:55,608 BURDENS ON THEIR LIFE. FOR MANY 795 00:33:55,608 --> 00:33:58,044 OF THESE FACTORS THEY ARE 796 00:33:58,044 --> 00:34:01,214 INTERSECTIONAL AND COMPOUNDED BY 797 00:34:01,214 --> 00:34:03,616 SYSTEMIC ISSUES, RACIAL, ETHNIC 798 00:34:03,616 --> 00:34:07,320 MINORITY POPULATIONS, SEX AND 799 00:34:07,320 --> 00:34:09,022 GENDER MINORITY GROUPS. LET'S 800 00:34:09,022 --> 00:34:11,090 TAKE THIS ONE, FOR EXAMPLE, WE 801 00:34:11,090 --> 00:34:13,860 ARE A NONPOLITICAL ORGANIZATION. 802 00:34:13,860 --> 00:34:17,096 AND I ALWAYS SAY THAT WE ARE NOT 803 00:34:17,096 --> 00:34:18,598 ABOUT TO WEIGH IN POLITICS 804 00:34:18,598 --> 00:34:20,633 BECAUSE OUR JOB IS TO BE 805 00:34:20,633 --> 00:34:22,702 INDEPENDENT AS IS OUR CHARTER. 806 00:34:22,702 --> 00:34:26,005 BUT WHEN IT COMES TO HEALTH, 807 00:34:26,005 --> 00:34:27,307 PEOPLE'S HEALTH, WE HAVE TO 808 00:34:27,307 --> 00:34:32,545 SPEAK UP, SO IN DOBBS VERSUS 809 00:34:32,545 --> 00:34:34,914 JACKSON WAS DECIDED, WE 810 00:34:34,914 --> 00:34:36,449 IMMEDIATELY JUMPED IN TO SAY 811 00:34:36,449 --> 00:34:39,252 THIS IS REALLY BAD FOR HEALTH OF 812 00:34:39,252 --> 00:34:41,854 WOMEN, ACCESS, QUALITY OF CARE, 813 00:34:41,854 --> 00:34:45,391 AND OF COURSE MANY OTHER 814 00:34:45,391 --> 00:34:46,759 CONCERNS. AND WHERE WE ARE 815 00:34:46,759 --> 00:34:48,895 SEEING SHORT AND LONG-TERM 816 00:34:48,895 --> 00:34:50,363 IMPACTS OF HEALTH AND WELL-BEING 817 00:34:50,363 --> 00:34:53,499 OF BIRTHING PEOPLE AND FAMILIES 818 00:34:53,499 --> 00:34:56,102 THEY INCLUDE HEALTH CARE ACCESS, 819 00:34:56,102 --> 00:34:58,204 SAFETY, ETHICAL/LEGAL CONCERNS, 820 00:34:58,204 --> 00:35:01,107 MANY OF YOU ARE PROVIDERS, YOU 821 00:35:01,107 --> 00:35:05,311 WORK IN HOSPITALS U YOU KNOW THE 822 00:35:05,311 --> 00:35:06,980 STORY, YOU CAN HEAR SO MANY OF 823 00:35:06,980 --> 00:35:07,413 THEM. 824 00:35:07,413 --> 00:35:09,449 BECAUSE RECENTLY YOU HEARD OF 825 00:35:09,449 --> 00:35:14,087 THE WOMEN WHO SEEK, WHO SOUGHT 826 00:35:14,087 --> 00:35:15,688 ABORTION CARE, DELAYED CARE 827 00:35:15,688 --> 00:35:20,126 BECAUSE OF COMPLICATIONS. 828 00:35:20,126 --> 00:35:22,295 DEATH. THESE TERRIBLE 829 00:35:22,295 --> 00:35:24,630 SITUATIONS. MY COLLEAGUES ALSO 830 00:35:24,630 --> 00:35:26,366 TELL ME WHEN THEY'RE FACED WITH 831 00:35:26,366 --> 00:35:28,067 SOMEONE IN THE EMERGENCY WHO HAS 832 00:35:28,067 --> 00:35:29,702 COMPLICATIONS OF CARE YOU HAVE 833 00:35:29,702 --> 00:35:32,105 TO CALL THE LAWYERS IN THE 834 00:35:32,105 --> 00:35:34,073 HOSPITAL. AND FREQUENTLY HEAR, 835 00:35:34,073 --> 00:35:36,109 WELL SHE'S NOT SICK ENOUGH, WHEN 836 00:35:36,109 --> 00:35:39,245 SHE'S SICK ENOUGH YOU CAN NOW DO 837 00:35:39,245 --> 00:35:41,280 THE INTERVENTION. AND NO, 838 00:35:41,280 --> 00:35:42,882 THAT'S NOT WHAT WE ARE HERE FOR. 839 00:35:42,882 --> 00:35:47,487 WE ARE HERE TO INTERVENE AND TO 840 00:35:47,487 --> 00:35:50,556 IMPROVE HEALTH. SO WE HEAR 841 00:35:50,556 --> 00:35:58,064 ABOUT BECAUSE MANY CHINESE AND 842 00:35:58,064 --> 00:36:02,869 MANY STATES ARE NOT GETTING THE 843 00:36:02,869 --> 00:36:04,070 EDUCATION NEEDED AND BECAUSE 844 00:36:04,070 --> 00:36:05,538 MANY ARE LEAVES THE UNITED 845 00:36:05,538 --> 00:36:07,774 STATES CAUSING SHORTAGES SO THIS 846 00:36:07,774 --> 00:36:09,675 IS LEAVING US WITH MANY ISSUES. 847 00:36:09,675 --> 00:36:14,914 FOR THAT REASON, I LAUNCHED A 848 00:36:14,914 --> 00:36:21,320 MAJOR INITIATIVE AT ACADEMY AND 849 00:36:21,320 --> 00:36:23,456 THIS GROUP LED BY CLARE MADE THE 850 00:36:23,456 --> 00:36:28,061 STATEMENT, THERE'S A NEED MORE 851 00:36:28,061 --> 00:36:32,098 COMPREHENSIVE RESEARCH, AND 852 00:36:32,098 --> 00:36:41,374 POLICY AGENDA (READING). NOW WE 853 00:36:41,374 --> 00:36:46,045 CAN GO A LONG TIME ON THIS IN MY 854 00:36:46,045 --> 00:36:49,015 OPINION. TERRIBLE DECISION, BUT 855 00:36:49,015 --> 00:36:50,917 MY JOB WAS TO THINK ABOUT WHAT'S 856 00:36:50,917 --> 00:36:53,986 HAPPENING TO HEALTH OF THE 857 00:36:53,986 --> 00:37:02,361 POPULATION OF WOMEN. SO, WE 858 00:37:02,361 --> 00:37:05,164 HAVE ACTUALLY WORKED THIS TASK 859 00:37:05,164 --> 00:37:07,400 FORCE IS NOW BECOMING A STANDING 860 00:37:07,400 --> 00:37:13,072 COMMITTEE ACROSS TALL -- ALL THE 861 00:37:13,072 --> 00:37:14,707 ACADEMIES. WE PUBLISHED PAPERS 862 00:37:14,707 --> 00:37:17,110 TO HIGHLIGHT THE IMPACT OF 863 00:37:17,110 --> 00:37:20,113 HEALTH WORKFORCE AND SOCIETAL 864 00:37:20,113 --> 00:37:22,081 IMPLICATIONS IN THE LANCET AND 865 00:37:22,081 --> 00:37:23,316 OTHERS. 866 00:37:23,316 --> 00:37:24,851 WE IN FACT HAVE A STANDING 867 00:37:24,851 --> 00:37:26,552 COMMITTEE I MENTIONED TO YOU 868 00:37:26,552 --> 00:37:29,789 THAT'S LOOKING AT THE 869 00:37:29,789 --> 00:37:31,757 IMPLICATIONS OF ACCESS TO 870 00:37:31,757 --> 00:37:33,826 REPRODUCTIVE HEALTH, ECONOMIC 871 00:37:33,826 --> 00:37:36,162 OUTCOMES, SERVE AS NATIONAL 872 00:37:36,162 --> 00:37:37,697 POLICY HUB FOR DISCUSSION IN 873 00:37:37,697 --> 00:37:39,232 THIS AREA. RAISE AWARENESS TO 874 00:37:39,232 --> 00:37:41,667 THE PUBLIC AND TO EVERYBODY ELSE 875 00:37:41,667 --> 00:37:44,837 AND ADDRESS MISINFORMATION. SO 876 00:37:44,837 --> 00:37:46,072 WE'VE REALLY HELD A SERIES OF 877 00:37:46,072 --> 00:37:48,841 WEBINAR YOU CAN SEE MORE RECENT 878 00:37:48,841 --> 00:37:50,676 ONES INCLUDE PROMISING STRATEGY 879 00:37:50,676 --> 00:37:54,180 TO ADDRESS HEALTH DISPARITIES 880 00:37:54,180 --> 00:37:58,084 ACROSS REPRODUCTIVE LIFE CYCLE. 881 00:37:58,084 --> 00:38:01,988 SHAPING ACCESS OF REPRODUCTIVE 882 00:38:01,988 --> 00:38:03,022 HEALTH. MATERNAL HEALTH 883 00:38:03,022 --> 00:38:07,560 DISPARITIES AND PRESSING ISSUES 884 00:38:07,560 --> 00:38:08,861 AROUND CONTRACEPTION. ACCESS, 885 00:38:08,861 --> 00:38:12,899 FROM THE VIEW OF ROE VERSUS 886 00:38:12,899 --> 00:38:15,368 WADE. BACK IN OCTOBER, WE HELD 887 00:38:15,368 --> 00:38:17,370 A WORKSHOP TO SAY THAT MANY OF 888 00:38:17,370 --> 00:38:18,638 YOU WHO ARE IN THIS RESEARCH 889 00:38:18,638 --> 00:38:21,908 AREA SAY WE NEED DATA. THERE'S 890 00:38:21,908 --> 00:38:23,843 JUST NOT ENOUGH DATA FOR US TO 891 00:38:23,843 --> 00:38:25,077 BE COORDINATED TO BE ABLE TO 892 00:38:25,077 --> 00:38:27,647 LOOK FORWARD TO SAY WHAT DO WE 893 00:38:27,647 --> 00:38:29,982 NEED TO DO? THIS IN FACT 894 00:38:29,982 --> 00:38:32,451 BROUGHT TOGETHER AS YOU CAN SEE 895 00:38:32,451 --> 00:38:35,588 ALL THE KEY PLAYERS LOOK AT THE 896 00:38:35,588 --> 00:38:37,757 LANDSCAPE OF DATA AND BECAUSE OF 897 00:38:37,757 --> 00:38:39,859 DATA GENERATION INTEGRITY, DATA 898 00:38:39,859 --> 00:38:43,763 COLLECTION, OVERCOMING THE 899 00:38:43,763 --> 00:38:45,364 STIGMA ISSUES AND LOOKING AT 900 00:38:45,364 --> 00:38:48,000 IMPROVEMENT AND THAT IS GOING TO 901 00:38:48,000 --> 00:38:52,071 BE REALLY IMPORTANT, ENABLING US 902 00:38:52,071 --> 00:38:58,077 TO SAY, TO HAVE MOMENTUM AND 903 00:38:58,077 --> 00:38:59,812 INTERVENE. AND WE WILL HAVE A 904 00:38:59,812 --> 00:39:01,547 SERIES OF ANOTHER WORKSHOPS THIS 905 00:39:01,547 --> 00:39:04,083 ONE IN NOVEMBER TO LOOK AT 906 00:39:04,083 --> 00:39:08,521 ISSUES OF IMPLICATIONS ON 907 00:39:08,521 --> 00:39:11,591 OCCURRING AND PRACTICAL 908 00:39:11,591 --> 00:39:13,092 IMPLICATIONS. THAT'S JUST A 909 00:39:13,092 --> 00:39:14,560 VEHICLE OF FACTORS AND BECAUSE 910 00:39:14,560 --> 00:39:16,062 MANY OTHER ISSUES OF RESEARCH. 911 00:39:16,062 --> 00:39:20,132 TWO WEEKS AGO, WE HELD A MEETING 912 00:39:20,132 --> 00:39:23,603 AT THE ACADEMY CALLED MEDICINE, 913 00:39:23,603 --> 00:39:25,871 LOWER COURT AND SOCIAL CONTRACT. 914 00:39:25,871 --> 00:39:27,707 WE BROUGHT TOGETHER THE LEGAL 915 00:39:27,707 --> 00:39:32,078 PROFESSION INCLUDING PREVIOUS 916 00:39:32,078 --> 00:39:33,112 JUDGES AND OTHERS. AND THE 917 00:39:33,112 --> 00:39:36,449 MEDICAL TO TALK ABOUT THE RECENT 918 00:39:36,449 --> 00:39:38,818 TRENDS IN LEGISLATIVE AND 919 00:39:38,818 --> 00:39:42,588 JUDICIAL DECISIONS THAT SEEM TO 920 00:39:42,588 --> 00:39:44,123 INTERFERE WITH OUR SOCIAL 921 00:39:44,123 --> 00:39:45,891 CONTRACT TO PROVIDE THE BEST 922 00:39:45,891 --> 00:39:48,094 CARE FOR WOMEN SO WE'RE DOING A 923 00:39:48,094 --> 00:39:49,862 LOT OF WORK IN THIS AREA. SO 924 00:39:49,862 --> 00:39:52,064 WHERE DO WE GO FROM HERE? WELL, 925 00:39:52,064 --> 00:39:54,100 FIRST OF ALL, WE NEED TO 926 00:39:54,100 --> 00:39:56,502 UNDERSTAND THAT GENDER AND SEX 927 00:39:56,502 --> 00:39:59,038 EQUITY SHOULD BE IN THE CENTER 928 00:39:59,038 --> 00:40:01,674 OF EVERYTHING WE DO. IN MEDICAL 929 00:40:01,674 --> 00:40:04,543 RESEARCH, EDUCATION, CLINICAL 930 00:40:04,543 --> 00:40:07,280 PRACTICE, WE LOOK AT YOUR CARE 931 00:40:07,280 --> 00:40:09,849 SYSTEM WHERE YOU PRACTICE AND 932 00:40:09,849 --> 00:40:11,250 ALL HEALTH CARE SYSTEMS, WHERE 933 00:40:11,250 --> 00:40:14,220 ARE THEY CENTER SOMETHING SEX 934 00:40:14,220 --> 00:40:16,355 AND GENDER EQUITY IN THEIR WORK? 935 00:40:16,355 --> 00:40:18,391 SECONDLY WE NEED TO MAKE SURE 936 00:40:18,391 --> 00:40:22,061 THE PUBLIC AND POPULATION HEALTH 937 00:40:22,061 --> 00:40:24,096 HAVE CERTAINLY THE HEALTH OF 938 00:40:24,096 --> 00:40:26,198 WOMEN CENTERED IN WHAT THEY DO 939 00:40:26,198 --> 00:40:28,834 AND BECAUSE SO IMPORTANT THING 940 00:40:28,834 --> 00:40:32,772 ABOUT POLICY, PRACTICE 941 00:40:32,772 --> 00:40:34,073 GUIDELINES, AND BECAUSE POLICY, 942 00:40:34,073 --> 00:40:36,108 THE THINGS THAT WE ARE ALL 943 00:40:36,108 --> 00:40:39,445 FIGHTING FOR FOR THE RIGHT 944 00:40:39,445 --> 00:40:40,279 REASON. NOW HERE'S THE SLIDE 945 00:40:40,279 --> 00:40:44,016 I'VE BEEN LOOKING FOR WHICH IS 946 00:40:44,016 --> 00:40:47,553 WHERE I THINK THE NEXT STEP IS 947 00:40:47,553 --> 00:40:49,522 WITH JENEEN'S LEADERSHIP ALONG 948 00:40:49,522 --> 00:40:52,058 WITH THE NIH MANY OF YOU MAY 949 00:40:52,058 --> 00:40:54,060 HAVE ATTENDED THIS MEETING ON IN 950 00:40:54,060 --> 00:40:56,128 FACT THE WOMEN'S HEALTH 951 00:40:56,128 --> 00:41:01,400 INNOVATION OPPORTUNITY IN 2023 952 00:41:01,400 --> 00:41:03,235 WHICH THEY PUT FORWARD AN 953 00:41:03,235 --> 00:41:05,905 OPPORTUNITY MAP. THIS IS REALLY 954 00:41:05,905 --> 00:41:08,074 IMPORTANT BECAUSE IT HELPS YOU 955 00:41:08,074 --> 00:41:10,076 OUTLINE WHAT ARE THOSE ISSUES 956 00:41:10,076 --> 00:41:12,378 AND OPPORTUNITIES, PRIORITIES 957 00:41:12,378 --> 00:41:15,081 THAT ADVANCE WOMEN'S HEALTH 958 00:41:15,081 --> 00:41:17,717 INNOVATION. THEY CALL TO 959 00:41:17,717 --> 00:41:18,317 ACTION, EQUITABLE INCLUSION 960 00:41:18,317 --> 00:41:20,019 PARTICIPATION FUNDING WOMEN'S 961 00:41:20,019 --> 00:41:22,922 HEALTH ACROSS THE ENTIRE RND 962 00:41:22,922 --> 00:41:25,024 ECOSYSTEM FROM DISCOVERY ALL THE 963 00:41:25,024 --> 00:41:26,959 WAY TO POPULATION. ALONG WITH 964 00:41:26,959 --> 00:41:28,994 CLINICAL TRIALS. INVEST IN 965 00:41:28,994 --> 00:41:32,131 WOMEN'S HEALTH INNOVATION TO 966 00:41:32,131 --> 00:41:37,570 PROGRESS THE NEEDS OF DIVERSE 967 00:41:37,570 --> 00:41:39,638 GROUPS OF WOMEN AND CREATE 968 00:41:39,638 --> 00:41:41,707 PARTNERSHIP. PUBLIC 969 00:41:41,707 --> 00:41:42,708 PARTNERSHIP. YOU CAN SEE 970 00:41:42,708 --> 00:41:45,611 THERE'S SIX AREAS OF ACTION. DA 971 00:41:45,611 --> 00:41:47,980 TODAY TALKED ABOUT. DESIGN I 972 00:41:47,980 --> 00:41:49,515 TALKED ABOUT REPERTOIRE AND 973 00:41:49,515 --> 00:41:52,151 SCIENCE POLICY, INNOVATION. 974 00:41:52,151 --> 00:41:54,820 SOCIAL DETERMINANTS, TRAINING 975 00:41:54,820 --> 00:41:55,421 AND ACCESS AND BECAUSE 976 00:41:55,421 --> 00:42:00,192 SCIENTIFIC AREAS OF NEEDS. IT 977 00:42:00,192 --> 00:42:04,130 CAN BE DECIDE, AND OTHERS. SO 978 00:42:04,130 --> 00:42:07,366 BACK IN A YEAR AGO, WE AT THE 979 00:42:07,366 --> 00:42:08,734 ACADEMY OF MEDICINE, TOOK THIS 980 00:42:08,734 --> 00:42:11,804 AS A MAJOR TOPIC FOR OUR ANNUAL 981 00:42:11,804 --> 00:42:12,104 MEETING. 982 00:42:12,104 --> 00:42:14,340 AND WE LOOK AT THE WHOLE ISSUE 983 00:42:14,340 --> 00:42:18,210 FROM CELLS TO SOCIETY. BUT THE 984 00:42:18,210 --> 00:42:21,080 KEYNOTE FROM PAULA JOHNSON MANY 985 00:42:21,080 --> 00:42:23,482 OF YOU KNOW, AND BECAUSE WE 986 00:42:23,482 --> 00:42:25,317 DISCUSSED THIS WHOLE LANDSCAPE. 987 00:42:25,317 --> 00:42:29,488 BUT I WILL TELL YOU WHAT REALLY, 988 00:42:29,488 --> 00:42:31,357 SUMMARIZE FROM OUR FINDING. ONE 989 00:42:31,357 --> 00:42:32,558 THING THAT STUCK FROM ME WHEN WE 990 00:42:32,558 --> 00:42:35,394 TALK ABOUT RESEARCH INNOVATION, 991 00:42:35,394 --> 00:42:39,799 I ASKED ROB THE FDA, THE 992 00:42:39,799 --> 00:42:41,333 COMMISSIONER WHAT IS THE 993 00:42:41,333 --> 00:42:43,836 PIPELINE FOR WOMEN'S HEALTH? HE 994 00:42:43,836 --> 00:42:46,472 SAYS, WELL, YOU KNOW, WE SEE 995 00:42:46,472 --> 00:42:49,375 QUITE A LOT BUT WE DON'T SEE 996 00:42:49,375 --> 00:42:51,377 THOSE WHICH YOU ACTUALLY LOOK AT 997 00:42:51,377 --> 00:42:53,679 EQUITY AND ACCESS BECAUSE RIGHT 998 00:42:53,679 --> 00:42:56,348 NOW LOTS OF INNOVATION IS DRIVEN 999 00:42:56,348 --> 00:42:57,550 BY THE OPPORTUNITY TO CREATE 1000 00:42:57,550 --> 00:43:01,520 PRODUCTS THAT HAS A MARKET. TO 1001 00:43:01,520 --> 00:43:03,155 ME, THAT MEANS ARGUE STRONGLY 1002 00:43:03,155 --> 00:43:04,957 THAT WE NEED TO THINK ABOUT 1003 00:43:04,957 --> 00:43:07,460 EQUITY IN OUR RESEARCH. AND 1004 00:43:07,460 --> 00:43:09,829 BECAUSE HOW DO YOU INCENTIVIZE 1005 00:43:09,829 --> 00:43:12,631 THE PRIVATE SECTOR ALONG WITH 1006 00:43:12,631 --> 00:43:15,100 YOU TO CREATE A LOT MORE 1007 00:43:15,100 --> 00:43:19,672 PRODUCTS THAT CAN HELP WOMEN 1008 00:43:19,672 --> 00:43:22,141 WITH THEIR HEALTH AS ACCESSIBLE, 1009 00:43:22,141 --> 00:43:25,544 AFFORDABLE AND EQUITABLE. OUR 1010 00:43:25,544 --> 00:43:29,748 CONCLUSION WHICH I WROTE THIS -- 1011 00:43:29,748 --> 00:43:32,751 WITH DESALVO AND MYSELF WILL 1012 00:43:32,751 --> 00:43:35,554 LOOK AT WHAT IS IMPORTANT IN THE 1013 00:43:35,554 --> 00:43:37,256 CONTINUUM OF HEALTH RESEARCH AND 1014 00:43:37,256 --> 00:43:39,725 THE DISPARITY THAT CONTINUES TO 1015 00:43:39,725 --> 00:43:41,527 STILL EXIST AND THROUGHOUT THE 1016 00:43:41,527 --> 00:43:43,529 KNOWLEDGE OUTCOMES AND 1017 00:43:43,529 --> 00:43:45,297 EXPERIENCE. PARTICULARLY FOR 1018 00:43:45,297 --> 00:43:47,633 BLACK, INDIGENOUS AND OTHER 1019 00:43:47,633 --> 00:43:50,703 WOMEN OF COLOR. WE TALKED ABOUT 1020 00:43:50,703 --> 00:43:55,040 RESEARCH, CARE, EDUCATION POLICY 1021 00:43:55,040 --> 00:43:56,809 AMONGST PATIENT AND 1022 00:43:56,809 --> 00:43:58,277 PARTICIPATION PROCESS BECAUSE WE 1023 00:43:58,277 --> 00:43:59,745 REALLY NEED THE FRONTLINE AND 1024 00:43:59,745 --> 00:44:01,714 THE LIVED EXPERIENCE TO INFORM 1025 00:44:01,714 --> 00:44:03,516 WHAT WE NEED TO DO IN GOING 1026 00:44:03,516 --> 00:44:04,683 FORWARD. AND THEN WE NEED TO 1027 00:44:04,683 --> 00:44:08,120 THINK ABOUT THE WHOLE CONTINUUM. 1028 00:44:08,120 --> 00:44:11,156 NOT SILOED BETWEEN CELLS TO 1029 00:44:11,156 --> 00:44:12,191 INFECT ALL THE REST OF SOCIETY 1030 00:44:12,191 --> 00:44:13,792 AND IT TAKES ALL OF US TO 1031 00:44:13,792 --> 00:44:15,828 UNDERSTAND THE NEED TO LOOK AT 1032 00:44:15,828 --> 00:44:20,132 WHAT YOU DO AND HOW YOU IMPACT 1033 00:44:20,132 --> 00:44:22,501 US. SO HERE'S SOME OF WHAT I 1034 00:44:22,501 --> 00:44:25,271 WAS THINKING, RIGHT? IF YOU 1035 00:44:25,271 --> 00:44:26,939 IMAGINE THAT YOU HAVE A 1036 00:44:26,939 --> 00:44:29,341 SCIENTIST WHO IS DOING SOME 1037 00:44:29,341 --> 00:44:31,677 WORK, THE CELLS THEY USE TO LOOK 1038 00:44:31,677 --> 00:44:34,280 AT THE BIOLOGY, HAVE THEY 1039 00:44:34,280 --> 00:44:36,715 ACTUALLY LOOKED AT THOSE CELLS 1040 00:44:36,715 --> 00:44:39,618 AND UNDERSTAND MAYBE THERE'S 1041 00:44:39,618 --> 00:44:40,252 DIFFERENCES BETWEEN THOSE THAT 1042 00:44:40,252 --> 00:44:43,822 COME FROM MEN AND WOMEN? AND IN 1043 00:44:43,822 --> 00:44:45,624 THE GENOME, THE REFERENCE 1044 00:44:45,624 --> 00:44:48,160 GENOME, WHO IS THE REFERENCE AND 1045 00:44:48,160 --> 00:44:50,296 SO THERE ARE LOTS OF ISSUES THAT 1046 00:44:50,296 --> 00:44:52,097 CAN BE POINTED OUT IN BASIC 1047 00:44:52,097 --> 00:44:58,671 RESEARCH AND, IN FACT, WE HAD A 1048 00:44:58,671 --> 00:45:00,039 LEADING SCIENTIST TALK ABOUT X 1049 00:45:00,039 --> 00:45:01,807 AND Y CHROMOSOME AND I THINK ALL 1050 00:45:01,807 --> 00:45:04,109 OF THAT HAS TO BE PART OF OUR 1051 00:45:04,109 --> 00:45:05,578 BASIC RESEARCH BUT THEN WE NEED 1052 00:45:05,578 --> 00:45:07,813 TO TAKE THIS DISCOVERY TO TRANS 1053 00:45:07,813 --> 00:45:10,149 LATE TO HAVE CLINICAL TRIALS TO 1054 00:45:10,149 --> 00:45:12,952 BE ABLE TO APPLY TO POPULATION. 1055 00:45:12,952 --> 00:45:15,821 THAT IS WHAT WE ARE ALL ABOUT. 1056 00:45:15,821 --> 00:45:20,125 SO I AM VERY EXCITED TO SAY WE 1057 00:45:20,125 --> 00:45:23,796 HAVE MOMENTUM. RIGHT? FIRST OF 1058 00:45:23,796 --> 00:45:27,700 ALL, LOOK AT WHAT PRESIDENT 1059 00:45:27,700 --> 00:45:31,370 BIDEN AND DR. JOE BIDEN DID AN 1060 00:45:31,370 --> 00:45:33,639 EXECUTIVE, IN THIS CASE 1061 00:45:33,639 --> 00:45:35,074 MEMORANDUM, AN EXECUTIVE ORDER 1062 00:45:35,074 --> 00:45:39,745 IN 2024 TO INITIATE THIS MAJOR 1063 00:45:39,745 --> 00:45:40,679 DIRECTION WITH HEALTH RESEARCH. 1064 00:45:40,679 --> 00:45:43,549 YOU'RE GOING TO HEAR FROM KAREN 1065 00:45:43,549 --> 00:45:44,883 LATER ON ABOUT WHERE ARE WE 1066 00:45:44,883 --> 00:45:47,720 GOING WITH THIS. I WOULD SAY 1067 00:45:47,720 --> 00:45:49,989 THE MOMENTUM'S THERE. FIRST OF 1068 00:45:49,989 --> 00:45:52,057 ALL, IRRESPECTIVE OF WHAT 1069 00:45:52,057 --> 00:45:54,426 ADMINISTRATION, I THINK WE GOT 1070 00:45:54,426 --> 00:45:57,262 MOMENTUM. SECONDLY, OUR REPORT 1071 00:45:57,262 --> 00:45:59,732 FROM CONGRESS NOT FROM THE 1072 00:45:59,732 --> 00:46:01,834 PRESIDENTIAL OFFICE IS GOING TO 1073 00:46:01,834 --> 00:46:04,103 ADVISE WHAT NEEDS TO BE DONE AT 1074 00:46:04,103 --> 00:46:05,404 NIH AND I CAN CERTAIN YOU TELL 1075 00:46:05,404 --> 00:46:07,706 YOU WE'RE GOING TO ASK FOR A LOT 1076 00:46:07,706 --> 00:46:08,941 MORE MONEY WITH HEALTH RESEARCH 1077 00:46:08,941 --> 00:46:11,543 AND I THINK IT'S CONSISTENT WITH 1078 00:46:11,543 --> 00:46:13,545 WHAT'S BEING LAUNCHED BY THE 1079 00:46:13,545 --> 00:46:16,115 WHITE HOUSE AND THERE ARE OTHER 1080 00:46:16,115 --> 00:46:18,951 ACTIVITIES WHICH WITH MANY OF 1081 00:46:18,951 --> 00:46:21,620 YOU AND ALMOST CERTAINLY JENEEN 1082 00:46:21,620 --> 00:46:23,555 IS, IN LOOKING AT THE FORUM, AND 1083 00:46:23,555 --> 00:46:26,892 GLOBAL LINES AND MANY OTHERS SO 1084 00:46:26,892 --> 00:46:28,093 I THINK, I'M VERY EXCITE THAT 1085 00:46:28,093 --> 00:46:31,497 HAD IN FACT, THINGS ARE 1086 00:46:31,497 --> 00:46:33,799 HAPPENING. IS IT ENOUGH? WELL, 1087 00:46:33,799 --> 00:46:35,768 OF COURSE NOT. BUT WE'RE GOING 1088 00:46:35,768 --> 00:46:37,469 TO WORK TOGETHER AND MAKE SURE 1089 00:46:37,469 --> 00:46:40,105 IT'S DONE RIGHT. 1090 00:46:40,105 --> 00:46:50,516 SO THANK YOU VERY MUCH. 1091 00:46:58,057 --> 00:46:59,758 >> WE HAVE FIVE MINUTES FOR ANY 1092 00:46:59,758 --> 00:47:02,027 QUESTIONS OR ANSWERS? ANYBODY 1093 00:47:02,027 --> 00:47:12,571 ANY QUESTIONS FROM ANYONE? YES. 1094 00:47:14,606 --> 00:47:16,175 >> REPLACE THE WORD SUGGEST WITH 1095 00:47:16,175 --> 00:47:19,645 REQUIRE. SHOULD I RESTATE IS 1096 00:47:19,645 --> 00:47:21,947 THAT? WITH DR. ROB CALIPH, A 1097 00:47:21,947 --> 00:47:24,116 GOOD COLLEAGUE AND AN 1098 00:47:24,116 --> 00:47:25,617 OPEN-MINDED PERSON, AS CHAIR OF 1099 00:47:25,617 --> 00:47:28,654 OUR FDA IS THERE ANY -- 1100 00:47:28,654 --> 00:47:31,457 >> HE USED TO WORK FOR ME. 1101 00:47:31,457 --> 00:47:33,158 >> ANY OPPORTUNITY TO REPLACE 1102 00:47:33,158 --> 00:47:36,495 THE WORD "SUGGEST" TO "REQUIRE" 1103 00:47:36,495 --> 00:47:38,097 AT THE FDA? 1104 00:47:38,097 --> 00:47:39,565 >> KNOW WELL, YOU CAN PICK UP 1105 00:47:39,565 --> 00:47:40,199 THE PHONE AND TALK TO HIM AS I 1106 00:47:40,199 --> 00:47:47,106 WILL. BY THE WAY, ALSO, HE WILL 1107 00:47:47,106 --> 00:47:49,408 TELL YOU THAT WE ARE MAKING AN 1108 00:47:49,408 --> 00:47:52,044 EFFORT WITH GENERAL EDITORS, 1109 00:47:52,044 --> 00:47:53,345 RIGHT? AND THERE'LL BE A 1110 00:47:53,345 --> 00:47:56,281 MEETING COMING UP SOON. 1111 00:47:56,281 --> 00:48:00,152 TO SAY ONE, DISAGGREGATION OF 1112 00:48:00,152 --> 00:48:02,154 DATA. SECOND, A REQUIREMENT, 1113 00:48:02,154 --> 00:48:04,056 RIGHT, I MEAN, WHERE WE GO IS 1114 00:48:04,056 --> 00:48:05,758 GOING TO BE QUITE INTERESTING. 1115 00:48:05,758 --> 00:48:08,227 MY FEELING IS, IF MAJOR 1116 00:48:08,227 --> 00:48:11,764 LEADERSHIP IN THE ECOSYSTEM FROM 1117 00:48:11,764 --> 00:48:15,567 FUNDING AGENCIES TO SCIENTIFIC 1118 00:48:15,567 --> 00:48:19,004 JOURNALS AND OF COURSE ACADEMIC 1119 00:48:19,004 --> 00:48:21,540 ORGANIZATIONS INDUSTRY, ALL 1120 00:48:21,540 --> 00:48:23,575 PUTTING THAT CENTER I THINK WE 1121 00:48:23,575 --> 00:48:26,745 CAN GET THERE. SO THANK YOU. 1122 00:48:26,745 --> 00:48:31,416 >> WONDERFUL, DR. DAZU, MEDICAL 1123 00:48:31,416 --> 00:48:34,186 CLINICAL OF GEORGIA, I HAVE A 1124 00:48:34,186 --> 00:48:36,121 QUESTION ABOUT A SLIDE THAT CAME 1125 00:48:36,121 --> 00:48:37,356 UP EARLIER IN YOUR TALK AND IT'S 1126 00:48:37,356 --> 00:48:42,995 MORE OF A SUGGESTION THAN A 1127 00:48:42,995 --> 00:48:44,062 QUESTION. IT WAS ABOUT THE 1128 00:48:44,062 --> 00:48:46,165 CATEGORIES OF FOCUS, CONDITIONS 1129 00:48:46,165 --> 00:48:47,499 THAT ARE PREVALENT AND DIFFERENT 1130 00:48:47,499 --> 00:48:50,702 IN WOMEN. EXACT CONDITIONS 1131 00:48:50,702 --> 00:48:52,538 WHERE WOMEN ARE PROTECTED? 1132 00:48:52,538 --> 00:48:54,540 WOULDN'T THAT BE ANOTHER AREA OF 1133 00:48:54,540 --> 00:48:57,009 FOCUS THAT EVERYONE SHOULD FOCUS 1134 00:48:57,009 --> 00:48:58,443 ON, FOR EXAMPLE KIDNEY DISEASE, 1135 00:48:58,443 --> 00:49:01,380 IF A WOMAN IS PROTECTED FROM 1136 00:49:01,380 --> 00:49:02,848 KIDNEY DISEASE PREMENOPAUSE THAT 1137 00:49:02,848 --> 00:49:04,483 IS A GREAT OPPORTUNITY FOR 1138 00:49:04,483 --> 00:49:05,784 RESEARCH TO FIND NEW MECHANISMS 1139 00:49:05,784 --> 00:49:07,519 THAT COULD BE POTENTIALLY USED 1140 00:49:07,519 --> 00:49:08,987 IN THE OTHER SEX. 1141 00:49:08,987 --> 00:49:11,190 >> VERY HELPFUL. THANK YOU. 1142 00:49:11,190 --> 00:49:12,257 YES. WE SHOULD ADD THAT AND I 1143 00:49:12,257 --> 00:49:14,359 HAVE A FEELING THAT THE DOCTOR 1144 00:49:14,359 --> 00:49:16,094 IS GOING TO MENTION THE SAME 1145 00:49:16,094 --> 00:49:20,098 THING, YOU CAN SUGGEST THAT TO 1146 00:49:20,098 --> 00:49:20,666 HER AS WELL. 1147 00:49:20,666 --> 00:49:30,576 >> TERRIFIC THANK YOU. 1148 00:49:30,576 --> 00:49:32,110 >> HI, JANET RICHARD. 1149 00:49:32,110 --> 00:49:36,148 >> I SEE THERE'S A GREAT 1150 00:49:36,148 --> 00:49:37,482 CONTINGENCY FROM THE HOSPITAL. 1151 00:49:37,482 --> 00:49:39,251 >> I'M CURIOUS ABOUT WHAT FEELS 1152 00:49:39,251 --> 00:49:40,919 LIKE A SILENCE POSTOPS, ABOUT 1153 00:49:40,919 --> 00:49:42,855 THE FACT THAT FAIRLY HALF OF 1154 00:49:42,855 --> 00:49:45,357 U.S. PREGNANCIES ARE UNPLANNED. 1155 00:49:45,357 --> 00:49:48,093 AND THAT MANY WOMEN ARE REALLY 1156 00:49:48,093 --> 00:49:50,562 UNHAPPY WITH THEIR CONTRACEPTIVE 1157 00:49:50,562 --> 00:49:51,530 CHOICES. IF THEY EVEN KNOW 1158 00:49:51,530 --> 00:49:53,565 ABOUT THEM AT ALL. SO I'M 1159 00:49:53,565 --> 00:49:56,101 CURIOUS ABOUT HOW THE NATIONAL 1160 00:49:56,101 --> 00:49:57,436 ACADEMIES HAVE APPROACHED THAT 1161 00:49:57,436 --> 00:49:59,705 QUESTION WHERE IT BUBBLES UP TO 1162 00:49:59,705 --> 00:50:00,305 THE SURFACE? 1163 00:50:00,305 --> 00:50:03,675 >> NO, I THINK THAT THESE ISSUES 1164 00:50:03,675 --> 00:50:05,811 HAS TO COME FROM ALL OF YOU. IN 1165 00:50:05,811 --> 00:50:08,847 MANY WAYS WE ARE TRYING TO BE 1166 00:50:08,847 --> 00:50:11,383 THE VOICE, THE CONVENING OF 1167 00:50:11,383 --> 00:50:14,152 THIS, RIGHT? SO ABSOLUTELY, I 1168 00:50:14,152 --> 00:50:16,121 MEAN, WE ARE NATIONAL ACADEMY. 1169 00:50:16,121 --> 00:50:17,456 BUT WE ARE NOT THE ONLY 1170 00:50:17,456 --> 00:50:20,125 ORGANIZATION. I THINK IT TAKES 1171 00:50:20,125 --> 00:50:22,828 PEOPLE LIKE YOURSELF TO ACTUALLY 1172 00:50:22,828 --> 00:50:25,597 BRING THIS ISSUE TO TO FORE, 1173 00:50:25,597 --> 00:50:28,100 THAT'S IMPORTANT. ABSOLUTELY, 1174 00:50:28,100 --> 00:50:29,801 THANK YOU. 1175 00:50:29,801 --> 00:50:32,237 >> OKAY. SO I WOULD LIKE TO 1176 00:50:32,237 --> 00:50:34,673 THANK DR. DAZU. 1177 00:50:34,673 --> 00:50:35,607 >> THANK YOU. 1178 00:50:35,607 --> 00:50:36,441 >> THANK YOU. 1179 00:50:36,441 --> 00:50:39,878 >> LET ME JUST SAY, IT'S SUCH AN 1180 00:50:39,878 --> 00:50:42,681 HONOR TO SPEAK TO ALL OF YOU. 1181 00:50:42,681 --> 00:50:47,786 YOU GUYS ARE REALLY, SORRY, YOU 1182 00:50:47,786 --> 00:50:52,157 PEOPLE (LAUGHS). ARE REALLY 1183 00:50:52,157 --> 00:50:55,861 MOVERS AND SHAKERS I KNOW YOU 1184 00:50:55,861 --> 00:50:57,496 SPEND YOUR CAREER IN THIS AREA 1185 00:50:57,496 --> 00:50:59,598 AND LOOK AT THE PROGRESS YOU'RE 1186 00:50:59,598 --> 00:51:01,566 MAKING. I'M ACTUALLY QUITE 1187 00:51:01,566 --> 00:51:02,935 OPTIMISTIC AS YOU LOOK AT WHAT 1188 00:51:02,935 --> 00:51:04,102 IS COMING DOWN THE PIKE ON 1189 00:51:04,102 --> 00:51:05,537 THINGS THAT WE ARE WORKING ON, 1190 00:51:05,537 --> 00:51:07,673 YOU ARE WORKING ON, OTHERS. I 1191 00:51:07,673 --> 00:51:09,441 THINK THAT REALLY THERE'S A 1192 00:51:09,441 --> 00:51:11,243 SENSE OF TREMENDOUS MOMENTUM 1193 00:51:11,243 --> 00:51:12,511 GOING FORWARD. AND I WILL BE 1194 00:51:12,511 --> 00:51:15,914 WITH YOU ALL THE WAY. THANK 1195 00:51:15,914 --> 00:51:25,914 YOU