1 00:00:04,985 --> 00:00:09,222 OKAY, WE'RE GOING TO GO AHEAD 2 00:00:09,222 --> 00:00:15,895 AND BEGIN. 3 00:00:15,895 --> 00:00:17,797 GREETINGS, EVERYONE. 4 00:00:17,797 --> 00:00:19,232 MY NAME IS DR. KARINA WALTERS, 5 00:00:19,232 --> 00:00:21,201 THE DIRECTOR FOR THE TRIBAL 6 00:00:21,201 --> 00:00:22,936 HEALTH RESEARCH OFFICE AT THE 7 00:00:22,936 --> 00:00:25,105 NATIONAL INSTITUTES OF HEALTH. 8 00:00:25,105 --> 00:00:27,674 AND I WANTED TO FIRST THANK 9 00:00:27,674 --> 00:00:29,743 TRIBAL LEADERS AND THEIR 10 00:00:29,743 --> 00:00:30,944 DESIGNEES AND EVERYONE ONLINE 11 00:00:30,944 --> 00:00:33,580 FOR PARTICIPATING IN THIS 12 00:00:33,580 --> 00:00:35,415 IMPORTANT CONSULTATION ON 13 00:00:35,415 --> 00:00:37,384 DISPOSITION OF BIOSPECIMENS 14 00:00:37,384 --> 00:00:38,718 COLLECTED FROM TRIBAL 15 00:00:38,718 --> 00:00:39,352 POPULATIONS. 16 00:00:39,352 --> 00:00:40,887 BUT BEFORE WE FORMALLY GET 17 00:00:40,887 --> 00:00:44,190 STARTED, I WOULD LIKE TO 18 00:00:44,190 --> 00:00:46,026 INSLIGHT MR. BOBBY SUMKE, NIH 19 00:00:46,026 --> 00:00:47,327 TRIBAL ADVISORY BOARD MEMBER TO 20 00:00:47,327 --> 00:00:48,995 OPEN WITH A BLESSING AND 21 00:00:48,995 --> 00:00:59,072 STARTING US OFF IN A GOOD WAY. 22 00:00:59,072 --> 00:01:00,707 >> THANK YOU, DR. WALTERS. 23 00:01:00,707 --> 00:01:03,877 IF YOU'LL PRAY WITH ME. 24 00:01:03,877 --> 00:01:09,582 GRACE AND MERCIFUL FATHER, WE 25 00:01:09,582 --> 00:01:11,785 COME HUMBLY WITH GRATITUDE AS WE 26 00:01:11,785 --> 00:01:13,853 MOVE THROUGH THIS SEASON OF 27 00:01:13,853 --> 00:01:14,921 THANKSGIVING AND CHRISTMAS, MAY 28 00:01:14,921 --> 00:01:16,923 WE ALWAYS BE MINDFUL OF THOSE 29 00:01:16,923 --> 00:01:18,124 WHO ARE LESS FORTUNATE THAN WE 30 00:01:18,124 --> 00:01:21,961 ARE AND MAY WE BE GENEROUS 31 00:01:21,961 --> 00:01:23,596 TOWARD THEM SHARING IN THOSE 32 00:01:23,596 --> 00:01:25,865 GIFTS YOU'VE PROVIDED FOR US. 33 00:01:25,865 --> 00:01:28,401 WE ASK FOR BLESSINGS ON THIS 34 00:01:28,401 --> 00:01:29,736 MEETING TODAY, ON THESE PEOPLE 35 00:01:29,736 --> 00:01:32,238 THAT ARE GATHERED TOGETHER, TO 36 00:01:32,238 --> 00:01:35,175 DISCUSS THESE ISSUES OF CONCERN 37 00:01:35,175 --> 00:01:37,944 AND RESPECT AND DIGNITY OF YOUR 38 00:01:37,944 --> 00:01:38,578 INDIAN PEOPLES. 39 00:01:38,578 --> 00:01:41,448 WE ASK WE BE COLLEGIAL AND 40 00:01:41,448 --> 00:01:44,484 RESPECTFUL AS WE DISCUSS THESE 41 00:01:44,484 --> 00:01:47,987 MATTERS, AND JUST BE WITH US 42 00:01:47,987 --> 00:01:52,058 THROUGHOUT THIS SEASON AND MAY 43 00:01:52,058 --> 00:01:53,460 WE ALWAYS BE COMPASSIONATE 44 00:01:53,460 --> 00:01:54,561 TOWARD ONE ANOTHER, PARTICULARLY 45 00:01:54,561 --> 00:01:57,063 DURING THIS TIME OF TRANSITION 46 00:01:57,063 --> 00:01:58,298 IN OUR COUNTRY. 47 00:01:58,298 --> 00:02:02,435 WE PRAY IN YOUR HOLY NAME, AMEN. 48 00:02:02,435 --> 00:02:02,869 >> AMEN. 49 00:02:02,869 --> 00:02:05,705 THANK YOU SO MUCH. 50 00:02:05,705 --> 00:02:06,906 REALLY APPRECIATE THAT. 51 00:02:06,906 --> 00:02:08,541 FOR A FEW MINUTES I'D LIKE TO 52 00:02:08,541 --> 00:02:12,078 TAKE SOME TIME FOR LOGISTICS FOR 53 00:02:12,078 --> 00:02:13,179 CONDUCTING THIS TRIBAL 54 00:02:13,179 --> 00:02:15,014 CONSULTATION BEFORE WE GET 55 00:02:15,014 --> 00:02:15,448 STARTED. 56 00:02:15,448 --> 00:02:17,283 AS WE GO ALONG LINKS AND 57 00:02:17,283 --> 00:02:18,318 RESOURCES RELATED TO THE 58 00:02:18,318 --> 00:02:19,853 PRESENTATION WILL BE POSTED IN 59 00:02:19,853 --> 00:02:20,820 THE CHAT. 60 00:02:20,820 --> 00:02:22,889 WE WILL OPEN UP FOR DISCUSSION 61 00:02:22,889 --> 00:02:24,457 LIVE AT THE END, BUT PLEASE KEEP 62 00:02:24,457 --> 00:02:25,425 YOURSELF ON MUTE DURING THE 63 00:02:25,425 --> 00:02:33,032 FIRST PART OF THE PROGRAM. 64 00:02:33,032 --> 00:02:35,502 AFTER THE OFFICE OF SCIENCE 65 00:02:35,502 --> 00:02:39,239 POLICY, OSP, PROVIDED A 66 00:02:39,239 --> 00:02:42,809 PRESENTATION WE'LL FOLLOW IN THE 67 00:02:42,809 --> 00:02:44,244 HHS TRIBAL CONSULTATION POLICY, 68 00:02:44,244 --> 00:02:47,080 TRIBAL LEADERS HAVE THE FLOOR TO 69 00:02:47,080 --> 00:02:48,948 ADDRESS THE ROOM FOLLOWED BY 70 00:02:48,948 --> 00:02:50,250 THEIR TRIBAL DESIGNEES. 71 00:02:50,250 --> 00:02:52,485 ALL OTHER ATTENDEES WILL ATTEND 72 00:02:52,485 --> 00:02:54,988 IN A LISTENING CAPACITY, UNLESS 73 00:02:54,988 --> 00:02:56,556 INVITED BY TRIBAL LEADER TO 74 00:02:56,556 --> 00:02:57,991 SPEAK ON THEIR BEHALF OR TO 75 00:02:57,991 --> 00:02:59,626 SPEAK ON THE FLOOR. 76 00:02:59,626 --> 00:03:05,064 MORE DETAILS WILL FOLLOW THIS 77 00:03:05,064 --> 00:03:06,833 PRESENTATION AFTER OSP PRESENTS 78 00:03:06,833 --> 00:03:08,368 THE INFORMATION. 79 00:03:08,368 --> 00:03:11,738 SO, IT'S MY PLEASURE TO 80 00:03:11,738 --> 00:03:13,740 INTRODUCE DR. JESSICA TUCKER, 81 00:03:13,740 --> 00:03:15,475 ACTING DEPUTY DIRECTOR OF THE 82 00:03:15,475 --> 00:03:17,210 OFFICE OF SCIENTIFIC POLICY AT 83 00:03:17,210 --> 00:03:17,377 NIH. 84 00:03:17,377 --> 00:03:18,745 IN THIS POSITION SHE HELPS 85 00:03:18,745 --> 00:03:20,513 PROVIDE LEADERSHIP ON A NUMBER 86 00:03:20,513 --> 00:03:22,482 OF POLICY TOPICS THAT IMPACT 87 00:03:22,482 --> 00:03:23,550 BIOMEDICAL RESEARCH, AND SHE 88 00:03:23,550 --> 00:03:26,186 WILL BE PRESENTING TO US TODAY 89 00:03:26,186 --> 00:03:27,487 ON OSP POLICY. 90 00:03:27,487 --> 00:03:28,788 SHE PREVIOUSLY SERVED AS 91 00:03:28,788 --> 00:03:36,463 DIRECTOR OF THE DIVISION OF 92 00:03:36,463 --> 00:03:37,497 BIOSAFETY, BIOSECURITY, EMERGING 93 00:03:37,497 --> 00:03:39,732 BIOTECHNOLOGY, LED WORK ON A 94 00:03:39,732 --> 00:03:44,137 NUMBER OF POLICY TOPICS 95 00:03:44,137 --> 00:03:45,538 INCLUDING NIH GUIDELINES. 96 00:03:45,538 --> 00:03:48,408 ADDITIONALLY DR. TUCKER WAS A 97 00:03:48,408 --> 00:03:51,010 PROGRAM DIRECTOR AT THE NATIONAL 98 00:03:51,010 --> 00:03:54,614 INSTITUTE FOR BIOMEDICAL 99 00:03:54,614 --> 00:03:57,484 ENGINEERING MENTIONING A PROGRAM 100 00:03:57,484 --> 00:04:02,155 ON GENE DRUG DELIVERY SYSTEMS 101 00:04:02,155 --> 00:04:03,490 AND SYNTHETIC BIOLOGY, PRIOR 102 00:04:03,490 --> 00:04:07,861 WORKED AT HHS AND WAS A VISITING 103 00:04:07,861 --> 00:04:10,597 PROFESSOR AT STONY BROOK 104 00:04:10,597 --> 00:04:11,264 UNIVERSITY, CONDUCTING 105 00:04:11,264 --> 00:04:12,365 ENGINEERING EDUCATION RESEARCH 106 00:04:12,365 --> 00:04:13,800 AND LECTURED WITHIN THE 107 00:04:13,800 --> 00:04:15,869 DEPARTMENT OF CHEMICAL AND 108 00:04:15,869 --> 00:04:17,170 MOLECULAR ENGINEERING. 109 00:04:17,170 --> 00:04:20,874 WITHOUT FURTHER ADO, DR. TUCKER, 110 00:04:20,874 --> 00:04:21,975 THE FLOOR IS YOURS. 111 00:04:21,975 --> 00:04:24,611 >> THANK YOU SO MUCH FOR THAT 112 00:04:24,611 --> 00:04:27,247 VERY WARM WELCOME TODAY, DR. 113 00:04:27,247 --> 00:04:28,448 WALTERS, AND YOUR INTRODUCTION. 114 00:04:28,448 --> 00:04:31,384 AND THANK YOU TO ALL OF YOU FOR 115 00:04:31,384 --> 00:04:35,121 BEING HERE TODAY TO DISCUSS THIS 116 00:04:35,121 --> 00:04:36,756 IMPORTANT TOPIC OF DISPOSITION 117 00:04:36,756 --> 00:04:39,058 OF BIOSPECIMENS COLLECTED FROM 118 00:04:39,058 --> 00:04:40,260 TRIBAL POPULATIONS. 119 00:04:40,260 --> 00:04:41,694 THIS IS AN ISSUE OF GREAT 120 00:04:41,694 --> 00:04:44,197 IMPORTANCE TO US AT NIH, AND WE 121 00:04:44,197 --> 00:04:50,103 WELCOME AND VALUE YOUR INPUT AND 122 00:04:50,103 --> 00:04:52,305 FEEDBACK AS WE SOLIDIFY OPTIONS 123 00:04:52,305 --> 00:04:54,374 TO RETURN BIOSPECIMENS IN WAYS 124 00:04:54,374 --> 00:04:57,010 THAT RESPECT TRIBAL SOVEREIGNTY. 125 00:04:57,010 --> 00:04:59,078 SO, NEXT FEW MINUTES, I PLAN TO 126 00:04:59,078 --> 00:05:02,048 FIRST DISCUSSION THE CONTEXT FOR 127 00:05:02,048 --> 00:05:03,349 THIS CONSULTATION, PROVIDING 128 00:05:03,349 --> 00:05:05,552 FIRST BACKGROUND ON NIH, AND 129 00:05:05,552 --> 00:05:07,420 THEN INFORMATION ON OUR RESEARCH 130 00:05:07,420 --> 00:05:08,721 AND PARTNERSHIP WITH TRIBES. 131 00:05:08,721 --> 00:05:10,156 AND THEN I WILL PROVIDE AN 132 00:05:10,156 --> 00:05:12,125 OVERVIEW OF THE OPTIONS THAT NIH 133 00:05:12,125 --> 00:05:15,161 HAS DEVELOPED WITH INPUT FROM 134 00:05:15,161 --> 00:05:20,633 OUR TRIBAL ADVISORY COMMITTEE, 135 00:05:20,633 --> 00:05:22,302 TAC, FOR HOW WE MIGHT RETURN OR 136 00:05:22,302 --> 00:05:24,170 MANAGE OR DISPOSE OF THEM IN A 137 00:05:24,170 --> 00:05:25,238 WAY MEANINGFUL TO TRIBES. 138 00:05:25,238 --> 00:05:27,340 IT IS IMPORTANT TO NOTE WHEN NIH 139 00:05:27,340 --> 00:05:30,176 PURSUES ANY OF THESE OPTIONS, 140 00:05:30,176 --> 00:05:32,011 TRIBES WILL BE FRONT AND CENTER 141 00:05:32,011 --> 00:05:32,779 IN DECISION MAKING. 142 00:05:32,779 --> 00:05:34,881 THEN OF COURSE AFTER I REVIEW 143 00:05:34,881 --> 00:05:37,483 THIS CONTEXT AND THESE OPTIONS 144 00:05:37,483 --> 00:05:38,918 WE'LL THEN BEGIN THE DISCUSSION 145 00:05:38,918 --> 00:05:39,886 PORTION OF THE MEETING, WHICH IS 146 00:05:39,886 --> 00:05:41,654 OUR OPPORTUNITY TO HEAR FROM ALL 147 00:05:41,654 --> 00:05:43,289 OF YOU, GET YOUR FEEDBACK AND TO 148 00:05:43,289 --> 00:05:47,994 ANSWER ANY QUESTIONS YOU MAY 149 00:05:47,994 --> 00:05:48,194 HAVE. 150 00:05:48,194 --> 00:05:50,630 FIRST I WANT TO PROVIDE A BRIEF 151 00:05:50,630 --> 00:05:54,667 OVERVIEW OF NIH AND RESEARCH WE 152 00:05:54,667 --> 00:05:55,134 FUND. 153 00:05:55,134 --> 00:05:57,637 NIH IS THE STEWARD OF THE 154 00:05:57,637 --> 00:05:59,639 NATION'S LARGEST INVESTMENTS IN 155 00:05:59,639 --> 00:06:00,840 CLINICAL RESEARCH. 156 00:06:00,840 --> 00:06:06,846 FOR FY 22 FY ALLOCATED $18 157 00:06:06,846 --> 00:06:07,447 BILLION FOR CLINICAL RESEARCH, 158 00:06:07,447 --> 00:06:09,582 $7 BILLION SPENT ON CLINICAL 159 00:06:09,582 --> 00:06:11,451 TRIALS AND RELATED ACTIVITIES. 160 00:06:11,451 --> 00:06:13,519 WITH THIS VERY LARGE INVESTMENT, 161 00:06:13,519 --> 00:06:15,822 NIH HAS A RESPONSIBILITY TO BE 162 00:06:15,822 --> 00:06:17,457 GOOD STEWARDS OF PUBLIC FUNDS TO 163 00:06:17,457 --> 00:06:20,193 ENSURE THAT WE FUND HIGH QUALITY 164 00:06:20,193 --> 00:06:23,997 RESEARCH TO ENSURE WE ENHANCE 165 00:06:23,997 --> 00:06:25,999 DIVERSITY AND ACCESS IN RESEARCH 166 00:06:25,999 --> 00:06:31,137 AND RESULTS OF RESEARCH. 167 00:06:31,137 --> 00:06:32,672 AND THAT WE PROTECT PARTICIPANTS 168 00:06:32,672 --> 00:06:34,641 WHO SUPPORT THIS RESEARCH WITH 169 00:06:34,641 --> 00:06:35,508 US. 170 00:06:35,508 --> 00:06:36,809 WE'RE INCREASING OUR FOCUS ON 171 00:06:36,809 --> 00:06:38,578 THE INDIVIDUALS AND COMMUNITIES 172 00:06:38,578 --> 00:06:41,314 WHO PARTNER WITH US. 173 00:06:41,314 --> 00:06:43,850 WE REALIZE THEY DEVOTE TIME AND 174 00:06:43,850 --> 00:06:44,617 PARTS OF THEMSELVES, 175 00:06:44,617 --> 00:06:45,918 BIOSPECIMENS, SO WE WANT TO MAKE 176 00:06:45,918 --> 00:06:48,221 SURE OUR WORK TOGETHER IS 177 00:06:48,221 --> 00:06:50,289 MEANINGFUL FOR THEM, THEIR 178 00:06:50,289 --> 00:06:52,258 HEALTH, THE HEALTH OF THEIR 179 00:06:52,258 --> 00:06:52,825 COMMUNITIES. 180 00:06:52,825 --> 00:06:56,863 SO, NIH IS REALLY PRIORITIZING 181 00:06:56,863 --> 00:06:58,297 ACCESS, ENGAGEMENT AND TRUST 182 00:06:58,297 --> 00:06:59,732 MAKING RESEARCH MORE INCLUSIVE 183 00:06:59,732 --> 00:07:01,701 AND ACCESSIBLE TO PEOPLE FROM 184 00:07:01,701 --> 00:07:04,537 ALL WALKS OF LIFE, MEETING 185 00:07:04,537 --> 00:07:06,172 PEOPLE WHERE THEY ARE, ENGAGING 186 00:07:06,172 --> 00:07:07,907 MORE COMMUNITIES AND INDIVIDUALS 187 00:07:07,907 --> 00:07:09,676 AS OUR RESEARCH PARTNERS IN WAYS 188 00:07:09,676 --> 00:07:11,944 THAT ARE MEANINGFUL TO THEM. 189 00:07:11,944 --> 00:07:13,813 AND REBUILDING TRUST IN SCIENCE 190 00:07:13,813 --> 00:07:15,014 ACROSS THE COUNTRY. 191 00:07:15,014 --> 00:07:16,683 HONORING COMMITMENTS TO THE 192 00:07:16,683 --> 00:07:19,719 PUBLIC AND TO RESEARCH 193 00:07:19,719 --> 00:07:20,053 PARTICIPANTS. 194 00:07:20,053 --> 00:07:21,521 AND RETURN OF RESEARCH RESULTS 195 00:07:21,521 --> 00:07:23,556 AND BIOSPECIMENS IS ONE WAY TO 196 00:07:23,556 --> 00:07:24,891 BUILD THIS TRUST. 197 00:07:24,891 --> 00:07:27,627 AND REBUILDING TRUST WITH TRIBAL 198 00:07:27,627 --> 00:07:29,896 POPULATIONS INCLUDES BEING 199 00:07:29,896 --> 00:07:30,797 CULTURALLY RESPECTFUL REGARDING 200 00:07:30,797 --> 00:07:32,131 BIOSPECIMENS, WHAT WE'RE HERE TO 201 00:07:32,131 --> 00:07:34,534 DISCUSS TODAY. 202 00:07:34,534 --> 00:07:36,169 NEXT SLIDE PLEASE. 203 00:07:36,169 --> 00:07:39,672 SO, I WANT TO EMPHASIZE NIH'S 204 00:07:39,672 --> 00:07:42,842 COMMITMENT IS COMMITMENTED TO 205 00:07:42,842 --> 00:07:45,478 STRONG RELATIONSHIP WITH AIN AND 206 00:07:45,478 --> 00:07:48,414 TRIBAL COMMUNITIES, WITH GOOD 207 00:07:48,414 --> 00:07:50,049 COMMUNICATION AND PARTNERSHIPS 208 00:07:50,049 --> 00:07:52,618 WITH TRIBES INCLUDING SUPPORTING 209 00:07:52,618 --> 00:07:53,986 RESEARCH IMPORTANT TO TRIBES, 210 00:07:53,986 --> 00:07:55,421 ENGAGING TRIBAL COMMUNITIES IN 211 00:07:55,421 --> 00:07:56,956 RESEARCH, MAKING SURE WE 212 00:07:56,956 --> 00:08:05,064 UNDERSTAND TRIBAL PREFERENCES 213 00:08:05,064 --> 00:08:06,933 PRACTICE, ENSURING RESPECT FOR 214 00:08:06,933 --> 00:08:07,700 TRIBAL SOVEREIGNTY AND ENSURE 215 00:08:07,700 --> 00:08:11,304 THIS IS NOT ONLY IN OUR POLICIES 216 00:08:11,304 --> 00:08:15,708 BUT WELL UNDERSTOOD TO EVERYONE 217 00:08:15,708 --> 00:08:16,242 CONDUCTING NIH-SUPPORTED 218 00:08:16,242 --> 00:08:17,577 RESEARCH, STRENGTHENING 219 00:08:17,577 --> 00:08:18,478 AWARENESS OF THESE POLICIES. 220 00:08:18,478 --> 00:08:20,179 AND ALL OF THIS LEADS TO WHY 221 00:08:20,179 --> 00:08:22,148 WE'RE HERE TODAY, TO MAKE SURE 222 00:08:22,148 --> 00:08:24,784 WE CAN RETURN OR OTHERWISE TAKE 223 00:08:24,784 --> 00:08:26,352 CARE OF TRIBAL BIOSPECIMENS IN A 224 00:08:26,352 --> 00:08:29,188 WAY THAT MAKES SENSE AND IS 225 00:08:29,188 --> 00:08:31,691 CULTURALLY ACCEPTABLE TO TRIBES, 226 00:08:31,691 --> 00:08:33,659 AND RESPECTS TRIBAL SOVEREIGNTY. 227 00:08:33,659 --> 00:08:34,660 NEXT SLIDE PLEASE. 228 00:08:34,660 --> 00:08:37,296 SO I WANT TO OUTLINE THE 229 00:08:37,296 --> 00:08:39,799 TIMELINE AND PROCESS WE'VE BEEN 230 00:08:39,799 --> 00:08:40,900 UNDERGOING HERE. 231 00:08:40,900 --> 00:08:44,504 STARTING IN JANUARY THIS YEAR MY 232 00:08:44,504 --> 00:08:47,340 OFFICE OSP BEGAN WORKING WITH 233 00:08:47,340 --> 00:08:49,876 TRIBAL HEALTH RESEARCH OFFICE 234 00:08:49,876 --> 00:08:52,178 AND OTHERS AT NIH TO DEVELOP 235 00:08:52,178 --> 00:08:54,580 CULTURALLY ACCEPTABLE AND 236 00:08:54,580 --> 00:08:58,751 APPROPRIATE OPTIONS, AND 237 00:08:58,751 --> 00:09:00,486 CONSULTATION WITH THRO PRESENTED 238 00:09:00,486 --> 00:09:02,588 TO TAC IN AUGUST, AND REVISED 239 00:09:02,588 --> 00:09:04,323 THESE OPTIONS BASED ON THE 240 00:09:04,323 --> 00:09:06,425 FEEDBACK RECEIVED FROM THE TAC 241 00:09:06,425 --> 00:09:08,060 AND HELD A FOLLOW-UP TAC 242 00:09:08,060 --> 00:09:09,395 PRESENTATION AND DISCUSSION IN 243 00:09:09,395 --> 00:09:11,998 SEPTEMBER TO CONFIRM THE 244 00:09:11,998 --> 00:09:13,299 OPTIONS, REVISED OPTIONS, WERE 245 00:09:13,299 --> 00:09:15,935 RESPONSIVE TO THEIR FEEDBACK. 246 00:09:15,935 --> 00:09:20,206 AND THIS WORK IS WHY WE'RE HERE 247 00:09:20,206 --> 00:09:22,542 TODAY, TODAY IS TRIBAL 248 00:09:22,542 --> 00:09:23,109 CONSULTATION. 249 00:09:23,109 --> 00:09:25,144 NEXT SLIDE PLEASE. 250 00:09:25,144 --> 00:09:27,580 SO, BEFORE WE TURN TO THE 251 00:09:27,580 --> 00:09:29,882 ACTIONS THAT WE'VE OUTLINED I 252 00:09:29,882 --> 00:09:31,317 WANT TO REVIEW THE SPECIFIC NEED 253 00:09:31,317 --> 00:09:34,587 AT HAND TODAY, WHAT WE SEE AS 254 00:09:34,587 --> 00:09:36,656 THE GOAL FOR TODAY'S 255 00:09:36,656 --> 00:09:37,223 CONSULTATION. 256 00:09:37,223 --> 00:09:40,293 OF COURSE, NIH RESEARCH CAN 257 00:09:40,293 --> 00:09:42,795 INVOLVE BIOSPECIMENS FROM TRIBAL 258 00:09:42,795 --> 00:09:43,496 POPULATIONS. 259 00:09:43,496 --> 00:09:46,966 AND NIH NEEDS TO HOW TRIBES 260 00:09:46,966 --> 00:09:48,201 WOULD LIKE BIOSPECIMENS TO BE 261 00:09:48,201 --> 00:09:50,036 RETURNED OR TAKEN CARE OF IN A 262 00:09:50,036 --> 00:09:52,471 WAY THAT RESPECTS TRIBAL 263 00:09:52,471 --> 00:09:55,875 SOVEREIGNTY AND CULTURAL 264 00:09:55,875 --> 00:09:56,175 SENSITIVITY. 265 00:09:56,175 --> 00:09:58,811 OUR GOAL REALLY, CONSULTATION 266 00:09:58,811 --> 00:10:00,413 TODAY, IS ULTIMATELY TO DEVELOP 267 00:10:00,413 --> 00:10:03,082 OUTCOME OF THIS, TO DEVELOP A 268 00:10:03,082 --> 00:10:05,484 CONSISTENT SET OF TRIBALLY 269 00:10:05,484 --> 00:10:07,453 ACCEPTABLE OPTIONS FOR NIH TO 270 00:10:07,453 --> 00:10:11,424 RETURN OR OTHERWISE TAKE CARE OF 271 00:10:11,424 --> 00:10:13,059 BIOSPECIMENS COLLECTED FROM 272 00:10:13,059 --> 00:10:14,694 TRIBAL MEMBERS, INCLUDING FROM 273 00:10:14,694 --> 00:10:16,796 INTERNATIONAL INDIGENOUS 274 00:10:16,796 --> 00:10:18,564 POPULATIONS. 275 00:10:18,564 --> 00:10:19,432 NEXT SLIDE PLEASE. 276 00:10:19,432 --> 00:10:21,767 NOW I WANT TO MOVE TO THE NEXT 277 00:10:21,767 --> 00:10:25,471 PHASE WHERE I CAN PRESENT THE 278 00:10:25,471 --> 00:10:26,572 OPTIONS WE'VE OUTLINED FOR 279 00:10:26,572 --> 00:10:28,307 RETURN AND REALLY LOOK FORWARD 280 00:10:28,307 --> 00:10:31,611 TO YOUR FEEDBACK ON THESE. 281 00:10:31,611 --> 00:10:33,346 SO, THIS SLIDE PRESENTS -- 282 00:10:33,346 --> 00:10:35,748 PROVIDES FIVE OPTIONS THAT NIH 283 00:10:35,748 --> 00:10:37,717 HAS IDENTIFIED IN PARTNERSHIP 284 00:10:37,717 --> 00:10:39,785 WITH THRO AND THE TAC HOW WE 285 00:10:39,785 --> 00:10:41,854 MIGHT RETURN OR OTHERWISE TAKE 286 00:10:41,854 --> 00:10:43,356 CARE OF BIOSPECIMENS COLLECTED 287 00:10:43,356 --> 00:10:46,893 FROM TRIBAL POPULATIONS THAT ARE 288 00:10:46,893 --> 00:10:48,895 HELD BY NIH. 289 00:10:48,895 --> 00:10:51,063 OUR GOAL WAS TO ENSURE RESEARCH 290 00:10:51,063 --> 00:10:54,166 EQUITY AND RESPECT FOR TRIBAL 291 00:10:54,166 --> 00:10:55,368 CUSTOMS AND PRACTICES. 292 00:10:55,368 --> 00:10:57,770 THESE OPTIONS ARE NOT MUTUALLY 293 00:10:57,770 --> 00:10:58,104 EXCLUSIVE. 294 00:10:58,104 --> 00:10:59,739 AND WE HOPE THAT YOU'LL LET US 295 00:10:59,739 --> 00:11:03,576 KNOW IF THERE'S ANYTHING WE CAN 296 00:11:03,576 --> 00:11:05,544 REFINE, ADD, CLARIFY WHEN WE 297 00:11:05,544 --> 00:11:06,846 TURN TO THE DISCUSSION LATER. 298 00:11:06,846 --> 00:11:12,118 OUR HOPE IS REALLY TO HAVE -- 299 00:11:12,118 --> 00:11:13,619 MANY OPTIONS ARE ACCEPTABLE TO 300 00:11:13,619 --> 00:11:15,721 TRIBES AND RESPECT TRIBAL 301 00:11:15,721 --> 00:11:16,555 SOVEREIGNTY. 302 00:11:16,555 --> 00:11:19,325 I WANT TO NOTE THAT OPTIONS A 303 00:11:19,325 --> 00:11:22,194 THROUGH C ARE FOCUSED ON 304 00:11:22,194 --> 00:11:23,396 BIOSPECIMENS BEING RETURNED 305 00:11:23,396 --> 00:11:25,164 DIRECTLY OR INDIRECTLY TO 306 00:11:25,164 --> 00:11:25,932 TRIBES. 307 00:11:25,932 --> 00:11:28,968 AND THEN D AND E ARE OTHER 308 00:11:28,968 --> 00:11:30,303 ALTERNATIVES TO RETURN. 309 00:11:30,303 --> 00:11:31,604 I'M GOING TO READ THESE SINCE I 310 00:11:31,604 --> 00:11:34,140 THINK THEY ARE IMPORTANT FOR OUR 311 00:11:34,140 --> 00:11:35,608 DISCUSSION TODAY. 312 00:11:35,608 --> 00:11:39,378 OPTION A IS DIRECT RETURN OF 313 00:11:39,378 --> 00:11:40,579 BIOSPECIMENS TO TRIBE OR TRIBES. 314 00:11:40,579 --> 00:11:42,581 THE TRIBE OR TRIBES WILL ARRANGE 315 00:11:42,581 --> 00:11:43,349 THE RETURN. 316 00:11:43,349 --> 00:11:45,584 OF COURSE NIH IS POISED TO 317 00:11:45,584 --> 00:11:50,222 ASSIST WITH RETURN AS NEEDED OR 318 00:11:50,222 --> 00:11:50,656 REQUESTED. 319 00:11:50,656 --> 00:11:53,292 OPTION B AND C HAVE TO DO WITH 320 00:11:53,292 --> 00:11:54,026 INDIRECT RETURN. 321 00:11:54,026 --> 00:11:57,430 OPTION B IS INDIRECT RETURN OF 322 00:11:57,430 --> 00:12:02,902 BIOSPECIMENS TO TRIBALLY 323 00:12:02,902 --> 00:12:03,903 DESIGNATED THIRD PARTY 324 00:12:03,903 --> 00:12:05,071 INSTITUTIONS OR ORGANIZATIONS 325 00:12:05,071 --> 00:12:05,871 IDENTIFIED BY TRIBE OR TRIBES. 326 00:12:05,871 --> 00:12:11,243 TRIER BE ON -- TRIBE OR TRIBES 327 00:12:11,243 --> 00:12:16,015 WILL ARRANGE RETURN, NIH 328 00:12:16,015 --> 00:12:17,783 ASSISTING WITH RETURN. 329 00:12:17,783 --> 00:12:20,953 OPTION C IS ALSO INDIRECT RETURN 330 00:12:20,953 --> 00:12:23,255 TO THIRD PARTY BUT INVOLVES 331 00:12:23,255 --> 00:12:24,690 IDENTIFICATION OF ORGANIZATION 332 00:12:24,690 --> 00:12:27,326 BY NIH IN CONSULTATION WITH 333 00:12:27,326 --> 00:12:29,528 TRIBES, AND ORGANIZED BY NIH. 334 00:12:29,528 --> 00:12:31,397 IN THIS CASE NIH WOULD ARRANGE 335 00:12:31,397 --> 00:12:33,032 THE RETURN. 336 00:12:33,032 --> 00:12:38,371 SO AS I MENTIONED OPTIONS D AND 337 00:12:38,371 --> 00:12:39,672 E PROVIDE MORE OPTIONS, 338 00:12:39,672 --> 00:12:41,540 ALTERNATIVE OPTIONS TO RETURN. 339 00:12:41,540 --> 00:12:42,775 OPTION D IS AFTER CONSULTATION 340 00:12:42,775 --> 00:12:49,215 WITH A TRIBE OR TRIBES THE TRIBE 341 00:12:49,215 --> 00:12:53,052 OR TRIBES MAY DESIGNATE NIH AS 342 00:12:53,052 --> 00:12:53,953 STEWARD. 343 00:12:53,953 --> 00:12:55,154 OPTION E AFTER CONSULTATION, 344 00:12:55,154 --> 00:12:57,590 TRIBE OR TRIBES MAY REQUEST NIH 345 00:12:57,590 --> 00:13:01,494 DISPOSE OF THE BIOSPECIMENS IN A 346 00:13:01,494 --> 00:13:04,897 CULTURALLY SENSITIVE MANNER. 347 00:13:04,897 --> 00:13:06,732 NEXT SLIDE PLEASE. 348 00:13:06,732 --> 00:13:08,734 SO, I HOPE THAT GIVES AN 349 00:13:08,734 --> 00:13:11,771 OVERVIEW OF WHAT WE'RE TRYING TO 350 00:13:11,771 --> 00:13:13,105 ACCOMPLISH, AND THE OPTIONS THAT 351 00:13:13,105 --> 00:13:15,307 WE PUT FORWARD HERE TODAY FOR 352 00:13:15,307 --> 00:13:15,641 DISCUSSION. 353 00:13:15,641 --> 00:13:17,143 WE DO HAVE SOME QUESTIONS THAT 354 00:13:17,143 --> 00:13:20,346 WE WOULD LOVE YOUR FEEDBACK ON 355 00:13:20,346 --> 00:13:21,881 DURING THE DISCUSSION PORTION. 356 00:13:21,881 --> 00:13:24,517 AND THE MAIN QUESTIONS WE HAVE, 357 00:13:24,517 --> 00:13:25,818 ALTHOUGH THERE ARE OTHERS, YOU 358 00:13:25,818 --> 00:13:27,353 KNOW, IF THERE ARE OTHER THINGS 359 00:13:27,353 --> 00:13:31,390 YOU'D LIKE TO SHARE PLEASE DO. 360 00:13:31,390 --> 00:13:34,126 DO THE PROPOSED OPTIONS 361 00:13:34,126 --> 00:13:34,860 ADEQUATELY RESPECT TRIBAL 362 00:13:34,860 --> 00:13:35,161 SOVEREIGNTY? 363 00:13:35,161 --> 00:13:36,228 DO YOU HAVE PARTICULAR CONCERNS 364 00:13:36,228 --> 00:13:37,530 THAT NEED TO BE ADDRESSED FOR 365 00:13:37,530 --> 00:13:40,166 ANY OF THE SPECIFIC OPTIONS? 366 00:13:40,166 --> 00:13:43,969 AND ARE THE PROPOSED OPTIONED 367 00:13:43,969 --> 00:13:46,505 SUFFICIENT AS A MENU OR ARE 368 00:13:46,505 --> 00:13:47,273 THERE ADDITIONAL OPTIONS THAT 369 00:13:47,273 --> 00:13:48,607 SHOULD BE CONSIDERED? 370 00:13:48,607 --> 00:13:53,112 OF COURSE, WE'RE HAPPY TO HEAR 371 00:13:53,112 --> 00:13:55,848 ADDITIONAL FEEDBACK AT THIS 372 00:13:55,848 --> 00:13:57,917 CONSULTATION AND WE WELCOME 373 00:13:57,917 --> 00:14:02,855 WRITTEN TESTIMONY ON OFFICIAL 374 00:14:02,855 --> 00:14:13,399 TRIBAL LETTER HEAD UNTIL JANUARY 375 00:14:15,868 --> 00:14:18,737 20, 2025, AS INDICATED IN THE 376 00:14:18,737 --> 00:14:23,676 LETTER SENT ON OCTOBER 30. 377 00:14:23,676 --> 00:14:24,343 NEXT SLIDE PLEASE. 378 00:14:24,343 --> 00:14:25,978 I GUESS THAT'S THE END. 379 00:14:25,978 --> 00:14:28,848 I WANT TO NOTE THAT WE'RE REALLY 380 00:14:28,848 --> 00:14:30,349 LOOKING FORWARD TO THE 381 00:14:30,349 --> 00:14:31,350 DISCUSSION ABOUT THE 382 00:14:31,350 --> 00:14:33,319 OPPORTUNITIES IN THESE AREAS 383 00:14:33,319 --> 00:14:35,621 WITH TRIBAL COMMUNITIES, WE LOOK 384 00:14:35,621 --> 00:14:37,523 FORWARD TO YOUR FEEDBACK AND AT 385 00:14:37,523 --> 00:14:40,326 THIS POINT I WANT TO RETURN THIS 386 00:14:40,326 --> 00:14:42,394 BACK TO DR. WALTERS TO LEAD US 387 00:14:42,394 --> 00:14:43,596 THROUGH THE NEXT STEPS. 388 00:14:43,596 --> 00:14:45,798 THANK YOU AGAIN FOR THE 389 00:14:45,798 --> 00:14:47,099 OPPORTUNITY TO PRESENT THIS TO 390 00:14:47,099 --> 00:14:48,434 YOU TODAY. 391 00:14:48,434 --> 00:14:49,635 I LOOK FORWARD TO THE 392 00:14:49,635 --> 00:14:49,935 DISCUSSION. 393 00:14:49,935 --> 00:14:52,238 THANK YOU. 394 00:14:52,238 --> 00:14:53,139 >> THANK YOU, DR. TUCKER. 395 00:14:53,139 --> 00:14:54,773 AT THIS TIME TRIBAL LEADERS HAVE 396 00:14:54,773 --> 00:14:56,742 THE FLOOR TO ADDRESS THE ROOM. 397 00:14:56,742 --> 00:14:59,912 I'M GOING TO REMIND FOLKS THAT 398 00:14:59,912 --> 00:15:01,780 ALL OTHER ATTENDEES WILL LISTEN 399 00:15:01,780 --> 00:15:04,083 IN LISTENING CAPACITY UNLESS 400 00:15:04,083 --> 00:15:06,085 INVITED BY TRIBAL LEADERS. 401 00:15:06,085 --> 00:15:06,852 THIS ENSURES HIGHEST RANKING 402 00:15:06,852 --> 00:15:08,487 OFFICIAL FROM EACH TRIBE IS 403 00:15:08,487 --> 00:15:09,922 GIVEN THE OPPORTUNITY TO ADDRESS 404 00:15:09,922 --> 00:15:12,858 THE SESSION FIRST, FOLLOWED BY 405 00:15:12,858 --> 00:15:15,161 OTHER ELECTED OFFICIALS, THEN 406 00:15:15,161 --> 00:15:18,898 DESIGNATED BY ELECTED OFFICIAL 407 00:15:18,898 --> 00:15:21,967 TO PRESENT. 408 00:15:21,967 --> 00:15:22,668 SO FOLLOWING ORDER, TRIBAL 409 00:15:22,668 --> 00:15:24,069 GOVERNOR WOULD HAVE THE FLOOR 410 00:15:24,069 --> 00:15:27,139 FIRST FOLLOWED BY TRIBAL VICE 411 00:15:27,139 --> 00:15:28,440 PRESIDENT, VICE CHAIRPERSON, OR 412 00:15:28,440 --> 00:15:29,975 LIEUTENANT GOVERNOR, THEN 413 00:15:29,975 --> 00:15:33,279 ELECTED OR APPOINTED TRIBAL 414 00:15:33,279 --> 00:15:34,980 OFFICIAL AND THEN DESIGNATED 415 00:15:34,980 --> 00:15:35,548 TRIBAL OFFICIAL. 416 00:15:35,548 --> 00:15:38,250 THE FLOOR IS OPEN TO TRIBAL 417 00:15:38,250 --> 00:15:40,085 LEADERS. 418 00:15:40,085 --> 00:15:41,086 IF HELPFUL, DR. TUCKER COULD 419 00:15:41,086 --> 00:15:45,524 POST THE SLIDE OF THE OPTIONS. 420 00:15:45,524 --> 00:15:47,860 AND DR. CALDWELL, IF YOU COULD 421 00:15:47,860 --> 00:15:51,163 PLEASE SLIDE INTO THE CHAT HOW 422 00:15:51,163 --> 00:15:53,799 WHERE PEOPLE CAN FORWARD THEIR 423 00:15:53,799 --> 00:15:54,867 COMMENTS ON OFFICIAL LETTER HEAD 424 00:15:54,867 --> 00:15:56,302 THAT WOULD BE GREAT SO THEY 425 00:15:56,302 --> 00:15:58,170 WOULD HAVE THAT AS WELL. 426 00:15:58,170 --> 00:16:05,945 SO THE FLOOR IS OPEN, AND I KNOW 427 00:16:05,945 --> 00:16:13,752 WE HAVE MR. BOBBY SOMKE AND 428 00:16:13,752 --> 00:16:14,853 BOBBY FREEMAN AND OTHERS. 429 00:16:14,853 --> 00:16:18,224 IF YOU WOULD LIKE TO OPEN UP THE 430 00:16:18,224 --> 00:16:19,758 FLOOR WITH QUESTIONS, I INVITE 431 00:16:19,758 --> 00:16:20,459 YOU NOW. 432 00:16:20,459 --> 00:16:21,827 AND ANY OTHER TRIBAL LEADERS 433 00:16:21,827 --> 00:16:30,035 THAT ARE PRESENT. 434 00:16:30,035 --> 00:16:38,043 435 00:16:38,043 --> 00:16:38,644 YES, CARRIE? 436 00:16:38,644 --> 00:16:40,012 >> GOOD MORNING. 437 00:16:40,012 --> 00:16:43,616 I GUESS MY FIRST QUESTION IS, IS 438 00:16:43,616 --> 00:16:48,220 THIS GOING TO BE AN OPTION 439 00:16:48,220 --> 00:16:50,089 BEFORE THE COLLECTION OF 440 00:16:50,089 --> 00:16:50,623 BIOSPECIMENS? 441 00:16:50,623 --> 00:16:53,158 LIKE ON A QUESTIONNAIRE OR 442 00:16:53,158 --> 00:16:54,126 WHATEVER, WITH THAT TRIBAL 443 00:16:54,126 --> 00:16:58,097 MEMBER, BECAUSE I FEEL LIKE, YOU 444 00:16:58,097 --> 00:17:00,299 KNOW, ESPECIALLY IN URBAN AREAS, 445 00:17:00,299 --> 00:17:02,268 WHERE, YOU KNOW, THEY MIGHT NOT 446 00:17:02,268 --> 00:17:05,871 HAVE A CONNECTION TO THEIR TRIBE 447 00:17:05,871 --> 00:17:08,707 OR -- AND THEY WANT TO HAVE 448 00:17:08,707 --> 00:17:10,809 SOMETHING SPECIFICALLY DONE WITH 449 00:17:10,809 --> 00:17:12,878 THEIR BIOSPECIMENS AFTER 450 00:17:12,878 --> 00:17:15,881 RESEARCH PURPOSES, IF THERE'S 451 00:17:15,881 --> 00:17:17,616 SOMETHING ON THE QUESTIONNAIRE 452 00:17:17,616 --> 00:17:21,020 KIND OF WITH THESE OPTIONS OF DO 453 00:17:21,020 --> 00:17:24,290 YOU WANT YOUR TRIBE TO WORK ON 454 00:17:24,290 --> 00:17:26,759 THE DISPOSITION OF IT OR, YOU 455 00:17:26,759 --> 00:17:28,661 KNOW, THE CENTER WHEREVER THE 456 00:17:28,661 --> 00:17:33,565 SPECIMENS WERE COLLECTED FOR 457 00:17:33,565 --> 00:17:36,468 THEIR INDIVIDUAL LIKE RIGHTS TO 458 00:17:36,468 --> 00:17:39,371 THAT SPECIMEN? 459 00:17:39,371 --> 00:17:40,906 >> THANK YOU FOR THE QUESTION. 460 00:17:40,906 --> 00:17:44,343 YEAH, I MEAN, IN THIS CASE WE 461 00:17:44,343 --> 00:17:45,744 ARE, YOU KNOW, THE MOST 462 00:17:45,744 --> 00:17:49,181 IMPORTANT THING IS THAT WE WANT 463 00:17:49,181 --> 00:17:53,552 TO ENSURE THAT WE RESPECT THE 464 00:17:53,552 --> 00:17:55,521 SOVEREIGNTY OF TRIBES AND WORK 465 00:17:55,521 --> 00:17:57,790 ON IN THE MOST APPROPRIATE 466 00:17:57,790 --> 00:17:59,591 MANNER TO HANDLE THESE 467 00:17:59,591 --> 00:18:03,195 SPECIMENS. 468 00:18:03,195 --> 00:18:07,466 FOR PURPOSES OF TODAY'S 469 00:18:07,466 --> 00:18:09,101 CONSULTATION WHERE BIOSPECIMENS 470 00:18:09,101 --> 00:18:12,137 HAVE ALREADY BEEN COLLECTED, 471 00:18:12,137 --> 00:18:14,606 TRYING TO ENSURE APPROPRIATE 472 00:18:14,606 --> 00:18:15,908 RETURN TO TRIBES, TRIBAL 473 00:18:15,908 --> 00:18:17,309 SOVEREIGNTY AND TRIBAL WISHES, 474 00:18:17,309 --> 00:18:19,044 BUT I WANT TO SEE, DR. WALTERS, 475 00:18:19,044 --> 00:18:20,713 IF YOU HAVE ANYTHING YOU WANT TO 476 00:18:20,713 --> 00:18:26,151 ADD TO THAT ABOUT MECHANISMS FOR 477 00:18:26,151 --> 00:18:27,786 CONSULTING WITH TRIBES 478 00:18:27,786 --> 00:18:28,387 PROACTIVELY. 479 00:18:28,387 --> 00:18:30,322 >> YEAH, THIS WILL BE PART OF 480 00:18:30,322 --> 00:18:33,158 THE -- WE'LL BE ROLLING THIS 481 00:18:33,158 --> 00:18:34,927 INTO THE INDIGENOUS DATA 482 00:18:34,927 --> 00:18:37,763 SOVEREIGNTY POLICY SO THAT FOLKS 483 00:18:37,763 --> 00:18:39,198 AT THE CONSENT PHASE, SOME OF 484 00:18:39,198 --> 00:18:43,035 THIS CAN BE IDENTIFIED EARLIER 485 00:18:43,035 --> 00:18:45,871 ON, AND AS OPPOSED TO KIND OF 486 00:18:45,871 --> 00:18:48,941 NOW BEING IDENTIFIED WITH 487 00:18:48,941 --> 00:18:50,142 REQUEST FOR RETURN OF 488 00:18:50,142 --> 00:18:52,678 BIOSPECIMENS FOR EXAMPLE. 489 00:18:52,678 --> 00:18:53,445 THE INTENTION WAS TO IMMEDIATELY 490 00:18:53,445 --> 00:18:56,715 BE ABLE TO HAVE SOME CLEAR 491 00:18:56,715 --> 00:18:58,617 GUIDELINES IF PEOPLE ARE 492 00:18:58,617 --> 00:18:59,685 REQUESTING DIRECT RETURN OF 493 00:18:59,685 --> 00:19:01,453 BIOSPECIMENS, AND HOW BEST TO 494 00:19:01,453 --> 00:19:03,622 HANDLE THAT IN A WAY THAT HONORS 495 00:19:03,622 --> 00:19:04,390 TRIBAL SOVEREIGNTY. 496 00:19:04,390 --> 00:19:06,792 BUT I DO THINK THIS CAN 497 00:19:06,792 --> 00:19:08,994 CERTAINLY BE ROLLED INTO CONSENT 498 00:19:08,994 --> 00:19:10,996 FORMS AND OTHER MOUs AND OTHER 499 00:19:10,996 --> 00:19:13,265 PROCESSES BOTH WITH TRIBES OR IN 500 00:19:13,265 --> 00:19:15,901 THE CASE OF URBAN FOLKS, PEOPLE 501 00:19:15,901 --> 00:19:17,202 BEING ABLE TO DESIGNATE THEIR 502 00:19:17,202 --> 00:19:18,771 SPECIMENS AS WELL. 503 00:19:18,771 --> 00:19:19,605 SO THERE'S DEFINITELY 504 00:19:19,605 --> 00:19:21,373 OPPORTUNITY FOR THAT. 505 00:19:21,373 --> 00:19:27,946 THANK YOU FOR THAT QUESTION. 506 00:19:27,946 --> 00:19:31,250 OTHER COMMENTS FROM OUR LEADERS? 507 00:19:31,250 --> 00:19:37,289 508 00:19:37,289 --> 00:19:40,225 509 00:19:40,225 --> 00:19:43,629 510 00:19:43,629 --> 00:19:43,829 BOBBY? 511 00:19:43,829 --> 00:19:47,566 >> THANK YOU. 512 00:19:47,566 --> 00:19:48,467 BOBBY SOMKE, OKLAHOMA AREA 513 00:19:48,467 --> 00:19:48,901 DELEGATE. 514 00:19:48,901 --> 00:19:50,769 YEAH, I HAD A QUESTION, WE'RE 515 00:19:50,769 --> 00:19:53,071 TALKING ABOUT SPECIMENS ALREADY 516 00:19:53,071 --> 00:19:54,573 COLLECTED AND IN POSSESSION OF 517 00:19:54,573 --> 00:19:59,711 NIH AND AS YOU MENTIONED MOVING 518 00:19:59,711 --> 00:20:01,246 FORWARD CAN BE ADDRESSED IN 519 00:20:01,246 --> 00:20:03,348 CONSENT PHASE, THAT'S BEING DONE 520 00:20:03,348 --> 00:20:05,250 IN SOME INSTANCES. 521 00:20:05,250 --> 00:20:09,788 WHEN YOU TALK ABOUT ARRANGING BY 522 00:20:09,788 --> 00:20:10,856 TRIBE, SORRY ABOUT THAT, I'VE 523 00:20:10,856 --> 00:20:12,291 GOT PEOPLE WORKING IN THE HOUSE 524 00:20:12,291 --> 00:20:16,995 TODAY AND THE DOGS ARE HAPPY. 525 00:20:16,995 --> 00:20:18,664 >> WE CAN'T HEAR THEM. 526 00:20:18,664 --> 00:20:19,498 >> OKAY, GOOD. 527 00:20:19,498 --> 00:20:21,266 YOU TALK ABOUT THE TRIBES 528 00:20:21,266 --> 00:20:21,533 ARRANGING. 529 00:20:21,533 --> 00:20:23,035 IS THAT INCLUDING THE COST OF 530 00:20:23,035 --> 00:20:24,436 ARRANGING FOR RETURN OF 531 00:20:24,436 --> 00:20:24,870 SPECIMENS? 532 00:20:24,870 --> 00:20:27,072 BECAUSE I KNOW THERE'S A COST 533 00:20:27,072 --> 00:20:30,242 INVOLVED IN THAT TYPE OF 534 00:20:30,242 --> 00:20:30,509 PROCEDURE. 535 00:20:30,509 --> 00:20:38,717 AND THEN ALSO MY OTHER QUESTION 536 00:20:38,717 --> 00:20:42,855 CHICKASAW NATION WHERE I WORK, 537 00:20:42,855 --> 00:20:45,357 WE HAVE BIOSPECIMENS IN NIH 538 00:20:45,357 --> 00:20:49,094 POSSESSION RIGHT NOW, LIKELY 539 00:20:49,094 --> 00:20:49,661 MULTI-TRIBAL INDIVIDUALS 540 00:20:49,661 --> 00:20:50,429 PARTICIPATING. 541 00:20:50,429 --> 00:20:52,064 AND SO WOULD YOU JUST -- HOW 542 00:20:52,064 --> 00:20:53,265 WOULD THAT BE HANDLED? 543 00:20:53,265 --> 00:20:56,902 WOULD YOU SAY THESE ARE 544 00:20:56,902 --> 00:21:02,140 SPECIMENS COLLECTED AT A STUDY 545 00:21:02,140 --> 00:21:03,242 IN THE CHICKASAW NATION OR HOW 546 00:21:03,242 --> 00:21:05,744 WOULD YOU KNOW WHO TO CONTACT 547 00:21:05,744 --> 00:21:06,845 FOR THOSE SPECIMENS PARTICULARLY 548 00:21:06,845 --> 00:21:11,683 WHEN THEY ARE MULTI-TRIBAL 549 00:21:11,683 --> 00:21:11,984 INDIVIDUALS? 550 00:21:11,984 --> 00:21:13,619 >> THANK YOU FOR THAT QUESTION, 551 00:21:13,619 --> 00:21:15,587 FOR THOSE QUESTIONS. 552 00:21:15,587 --> 00:21:19,758 YOU KNOW, I THINK IN TERMS OF 553 00:21:19,758 --> 00:21:21,827 THE COST OF RETURNS, YOU KNOW, 554 00:21:21,827 --> 00:21:24,329 OBVIOUSLY HERE WE'RE TRYING TO 555 00:21:24,329 --> 00:21:26,198 GET AN OVERVIEW OF THESE 556 00:21:26,198 --> 00:21:27,733 HIGH-LEVEL OPTIONS TO ENSURE WE 557 00:21:27,733 --> 00:21:29,635 HAVE A GOOD MENU THAT WOULD 558 00:21:29,635 --> 00:21:33,672 ADDRESS LOTS OF DIFFERENT 559 00:21:33,672 --> 00:21:33,972 SITUATIONS. 560 00:21:33,972 --> 00:21:35,107 IT WOULD DEPEND ON, YOU KNOW, 561 00:21:35,107 --> 00:21:36,742 EACH SITUATION IN TERMS OF COST 562 00:21:36,742 --> 00:21:39,478 WOULD HAVE TO BE DISCUSSED 563 00:21:39,478 --> 00:21:41,346 BETWEEN NIH INSTITUTE AND CENTER 564 00:21:41,346 --> 00:21:42,548 HOLDING THE BIOSPECIMENS AND THE 565 00:21:42,548 --> 00:21:45,617 TRIBE, WHAT ARE THE COSTS OF 566 00:21:45,617 --> 00:21:47,686 SHIPPING BIOSPECIMENS, BORNE BY 567 00:21:47,686 --> 00:21:49,888 THE INSTITUTE OR CENTER, WOULD 568 00:21:49,888 --> 00:21:52,257 DEPEND ON THE BUDGET ABILITY AND 569 00:21:52,257 --> 00:21:52,925 THINGS LIKE THAT. 570 00:21:52,925 --> 00:21:56,562 BUT CERTAINLY THAT WILL BE A 571 00:21:56,562 --> 00:21:56,895 CONSIDERATION. 572 00:21:56,895 --> 00:21:58,196 YOU KNOW, ONE OF THE THINGS THAT 573 00:21:58,196 --> 00:22:01,700 SHOULD BE DISCUSSED IN THESE 574 00:22:01,700 --> 00:22:02,267 CASES. 575 00:22:02,267 --> 00:22:04,870 AND IN YOUR SECOND QUESTION, YOU 576 00:22:04,870 --> 00:22:05,938 KNOW, I THINK THAT THAT'S PART 577 00:22:05,938 --> 00:22:08,373 OF THE REASON WHY WE HAVE SORT 578 00:22:08,373 --> 00:22:10,542 OF TRIBE OR TRIBES IN ALL THESE 579 00:22:10,542 --> 00:22:12,177 CASES, AS YOU ALLUDE TO, YOU 580 00:22:12,177 --> 00:22:14,479 KNOW, IN SOME CASES THERE MAY BE 581 00:22:14,479 --> 00:22:18,216 MULTIPLE TRIBES THAT WOULD HAVE 582 00:22:18,216 --> 00:22:21,486 TO BE -- THAT NIH WOULD HAVE TO 583 00:22:21,486 --> 00:22:24,022 WORK WITH IN ORDER TO DETERMINE 584 00:22:24,022 --> 00:22:26,625 THE TRIBAL PREFERENCES FOR 585 00:22:26,625 --> 00:22:26,992 DISPOSITION. 586 00:22:26,992 --> 00:22:28,160 AND SO I THINK, YOU KNOW, IF YOU 587 00:22:28,160 --> 00:22:29,895 HAVE ANY THOUGHTS ABOUT THAT OR 588 00:22:29,895 --> 00:22:30,896 DR. WALTERS, IF YOU HAVE 589 00:22:30,896 --> 00:22:33,332 ANYTHING TO ADD ABOUT THAT, IT'S 590 00:22:33,332 --> 00:22:35,934 SOMETHING THAT WE'RE AWARE OF, 591 00:22:35,934 --> 00:22:37,135 THAT WOULDN'T NECESSARILY JUST 592 00:22:37,135 --> 00:22:39,871 BE A SINGLE TRIBE THAT WOULD 593 00:22:39,871 --> 00:22:41,640 HAVE TO BE ENGAGED, MULTIPLE 594 00:22:41,640 --> 00:22:44,676 TRIBES, TO BEST UNDERSTAND THEIR 595 00:22:44,676 --> 00:22:45,110 WISHES. 596 00:22:45,110 --> 00:22:46,778 AND THAT WOULD CERTAINLY BE 597 00:22:46,778 --> 00:22:48,847 SOMETHING NIH WOULD BE VERY 598 00:22:48,847 --> 00:22:50,949 COMMITTED TO DOING IN THESE 599 00:22:50,949 --> 00:22:52,618 CASES, I JUST WANTED TO SEE, DR. 600 00:22:52,618 --> 00:22:54,886 WALTERS, IF YOU HAVE ANYTHING TO 601 00:22:54,886 --> 00:22:55,220 ADD. 602 00:22:55,220 --> 00:23:00,125 >> YES, TO THE COST QUESTION YOU 603 00:23:00,125 --> 00:23:00,892 RAISE, MR. SAUNKEAH, FIRST OF 604 00:23:00,892 --> 00:23:02,861 ALL, YES, NIH IS GOING TO DO 605 00:23:02,861 --> 00:23:04,396 EVERYTHING TO PROVIDE SUPPORT 606 00:23:04,396 --> 00:23:08,333 WHERE WE CAN TO TRY TO MAKE SURE 607 00:23:08,333 --> 00:23:10,302 THIS HAPPENS IN A GOOD WAY, IT 608 00:23:10,302 --> 00:23:11,970 DEPENDS ON I.C.s. 609 00:23:11,970 --> 00:23:13,905 THEY HAVE THEIR OWN SET OF 610 00:23:13,905 --> 00:23:14,806 BUDGETS AND ABILITIES TO PROVIDE 611 00:23:14,806 --> 00:23:17,209 THAT SUPPORT BUT WE WOULD WORK 612 00:23:17,209 --> 00:23:19,611 CLOSELY WITH THE TRIBE TO MAKE 613 00:23:19,611 --> 00:23:22,447 IT HAPPEN AND WE RECOGNIZE THAT 614 00:23:22,447 --> 00:23:24,983 IN SOME INSTANCES TRIBES WILL 615 00:23:24,983 --> 00:23:26,518 FINANCIALLY NOT BE ABLE TO, YOU 616 00:23:26,518 --> 00:23:28,153 KNOW, SHOULDER THAT BURDEN. 617 00:23:28,153 --> 00:23:29,755 SO BUT WE WILL WORK CLOSELY AND 618 00:23:29,755 --> 00:23:32,090 IT WILL BE ON A CASE-BY-CASE 619 00:23:32,090 --> 00:23:34,860 BASIS WITH THE TRIBES IN 620 00:23:34,860 --> 00:23:36,161 CONSULTATION WITH THE DIRECT 621 00:23:36,161 --> 00:23:39,665 CENTER OR INSTITUTE THAT'S 622 00:23:39,665 --> 00:23:48,306 FUNDING OR HOLDING SPECIMENS. 623 00:23:48,306 --> 00:23:54,312 ANYTHING ELSE ON THAT? 624 00:23:54,312 --> 00:23:57,082 >> SORRY, I JUST WANT TO DO A 625 00:23:57,082 --> 00:23:57,949 FOLLOW-UP QUESTION. 626 00:23:57,949 --> 00:24:01,653 SO IF WE'RE TALKING ABOUT 627 00:24:01,653 --> 00:24:03,188 SPECIMENS THAT HAVE ALREADY BEEN 628 00:24:03,188 --> 00:24:04,389 COLLECTED BY THE NIH, WHERE 629 00:24:04,389 --> 00:24:06,458 THERE ARE ALREADY MECHANISMS IN 630 00:24:06,458 --> 00:24:08,560 PLACE TO IDENTIFY WHICH TRIBE 631 00:24:08,560 --> 00:24:09,361 THOSE SPECIMENS POTENTIALLY 632 00:24:09,361 --> 00:24:11,630 COULD HAVE COME FROM, OR ARE WE 633 00:24:11,630 --> 00:24:13,565 TALKING ABOUT SPECIMENS THAT 634 00:24:13,565 --> 00:24:15,801 HAVE BEEN IN THE COLLECTION SO 635 00:24:15,801 --> 00:24:18,537 LONG THAT THEY ARE KIND OF 636 00:24:18,537 --> 00:24:19,438 ANONYMOUS COLLECTIONS? 637 00:24:19,438 --> 00:24:26,878 LIKE WHAT WAS THE MECHANISMS 638 00:24:26,878 --> 00:24:30,148 AROUND IDENTIFICATION PER LIKE 639 00:24:30,148 --> 00:24:34,319 RACIAL OR ETHNIC IDENTIFICATIONS 640 00:24:34,319 --> 00:24:36,388 WITHIN THE RESEARCH PROGRAM. 641 00:24:36,388 --> 00:24:41,760 I'M JUST TRYING TO FIGURE OUT 642 00:24:41,760 --> 00:24:44,396 AND TEASE OUT A LITTLE BIT OF 643 00:24:44,396 --> 00:24:44,730 THAT. 644 00:24:44,730 --> 00:24:45,363 >> YEAH, DR. TUCKER? 645 00:24:45,363 --> 00:24:49,634 >> SURE, YEAH, I MEAN, IT IS, 646 00:24:49,634 --> 00:24:51,369 YOU KNOW, IT DEPENDS. 647 00:24:51,369 --> 00:24:54,606 I MEAN, AGAIN, WE'RE TALKING 648 00:24:54,606 --> 00:24:56,007 ABOUT DE-IDENTIFIED BIOSPECIMENS 649 00:24:56,007 --> 00:24:59,077 THAT IN CASES OF MANY TIMES WHEN 650 00:24:59,077 --> 00:25:00,412 WE HAVE DE-IDENTIFIED 651 00:25:00,412 --> 00:25:02,380 BIOSPECIMENS THERE MAY BE THINGS 652 00:25:02,380 --> 00:25:04,883 WE KNOW LIKE THEY WERE COLLECTED 653 00:25:04,883 --> 00:25:05,884 FROM A TRIBAL COMMUNITY, RIGHT, 654 00:25:05,884 --> 00:25:07,719 THAT MIGHT BE PART OF SORT OF 655 00:25:07,719 --> 00:25:09,821 THE INFORMATION WE KNOW ABOUT 656 00:25:09,821 --> 00:25:12,190 THE BIOSPECIMENS THAT IT'S STILL 657 00:25:12,190 --> 00:25:14,526 DE-IDENTIFIED IN TERMS OF THE 658 00:25:14,526 --> 00:25:15,260 INDIVIDUAL, RIGHT? 659 00:25:15,260 --> 00:25:18,130 SO THERE REALLY ARE A WIDE RANGE 660 00:25:18,130 --> 00:25:20,232 OF, YOU KNOW, IT COULD BE A 661 00:25:20,232 --> 00:25:21,533 NUMBER OF DIFFERENT CASES, 662 00:25:21,533 --> 00:25:23,602 WHETHER SORT OF REALLY 663 00:25:23,602 --> 00:25:25,871 HISTORICALLY OLD SAMPLES OR 664 00:25:25,871 --> 00:25:28,740 CASES WHERE, YOU KNOW, WE HAVE 665 00:25:28,740 --> 00:25:29,975 SOME INFORMATION TO INFORM THAT 666 00:25:29,975 --> 00:25:33,245 IT MAY HAVE BEEN COLLECTED FROM 667 00:25:33,245 --> 00:25:33,578 TRIBES. 668 00:25:33,578 --> 00:25:37,516 SO IT COULD BE A NUMBER OF 669 00:25:37,516 --> 00:25:39,184 DIFFERENT CASES. 670 00:25:39,184 --> 00:25:40,585 >> YEAH, MS. FRIEDMAN, TO 671 00:25:40,585 --> 00:25:43,855 RESPOND, A GOOD EXAMPLE WOULD BE 672 00:25:43,855 --> 00:25:48,460 LET'S SAY HYPOTHETICALLY WE HAD 673 00:25:48,460 --> 00:25:49,661 A NUMBER OF OLDER BIOSPECIMENS 674 00:25:49,661 --> 00:25:51,196 TRIBES REQUESTED TO COME BACK IN 675 00:25:51,196 --> 00:25:55,033 THE SOUTHWEST, FOR EXAMPLE, AND 676 00:25:55,033 --> 00:25:55,300 COME HOME. 677 00:25:55,300 --> 00:25:56,802 AND, YOU KNOW, IF THAT WAS THE 678 00:25:56,802 --> 00:25:58,436 CASE WE WOULD WORK WITH THOSE 679 00:25:58,436 --> 00:25:59,204 TRIBES DIRECTLY. 680 00:25:59,204 --> 00:26:01,306 BUT IN THE CASE THAT SOME OF 681 00:26:01,306 --> 00:26:02,707 THESE OLDER BIOSPECIMENS MIGHT 682 00:26:02,707 --> 00:26:04,042 NOT HAVE BEEN LISTED 683 00:26:04,042 --> 00:26:04,910 SPECIFICALLY BY A PARTICULAR 684 00:26:04,910 --> 00:26:08,180 TRIBE LIKE, FOR EXAMPLE, MIGHT 685 00:26:08,180 --> 00:26:10,715 NOT SAY, YOU KNOW, GILA RIVER 686 00:26:10,715 --> 00:26:13,885 BUT MIGHT SAY PIMA, FOR EXAMPLE, 687 00:26:13,885 --> 00:26:16,822 THESE LARGER GROUPINGS, IN THOSE 688 00:26:16,822 --> 00:26:18,356 SITUATIONS WE WOULD WORK CLOSELY 689 00:26:18,356 --> 00:26:20,859 WITH ASSOCIATED TRIBES TO COME 690 00:26:20,859 --> 00:26:25,597 UP WITH MOU AND PROCESS THAT WAS 691 00:26:25,597 --> 00:26:27,899 AGREEABLE TO ALL PARTIES 692 00:26:27,899 --> 00:26:29,634 INVOLVED FOR PROPER CULTURAL 693 00:26:29,634 --> 00:26:31,169 RETURN OF BIOSPECIMENS, WORKING 694 00:26:31,169 --> 00:26:35,640 CLOSELY TO MAKE SURE WE'RE 695 00:26:35,640 --> 00:26:37,342 FOLLOWING TRIBAL PROTOCOLS AND 696 00:26:37,342 --> 00:26:39,611 NEEDS, ON A CASE-BY-CASE BASIS A 697 00:26:39,611 --> 00:26:39,911 LITTLE BIT. 698 00:26:39,911 --> 00:26:43,181 THERE ARE, YOU KNOW, WE DO HAVE 699 00:26:43,181 --> 00:26:44,516 OLDER SAMPLES AS WELL. 700 00:26:44,516 --> 00:26:47,552 ONE OF THE THINGS WE'RE DOING 701 00:26:47,552 --> 00:26:48,787 WITH INDIGENOUS DATA SOVEREIGNTY 702 00:26:48,787 --> 00:26:50,722 POLICY IS MOVING FORWARD TO MAKE 703 00:26:50,722 --> 00:26:52,958 SURE WE'RE UNDERSTANDING LIKE 704 00:26:52,958 --> 00:26:55,994 KIND OF TIME LINE, FOR EXAMPLE, 705 00:26:55,994 --> 00:26:57,395 PROCESSES OF RECONSENT, AND 706 00:26:57,395 --> 00:27:00,165 GETTING SOME OF THOSE ELEMENTS 707 00:27:00,165 --> 00:27:01,499 IN PLACE MOVING FORWARD AS WELL. 708 00:27:01,499 --> 00:27:03,668 SO THAT WILL ALSO BE 709 00:27:03,668 --> 00:27:04,870 COMPLEMENTING SOME OF THIS 710 00:27:04,870 --> 00:27:05,637 MOVING FORWARD. 711 00:27:05,637 --> 00:27:07,038 BUT WE JUST WANTED TO MAKE SURE 712 00:27:07,038 --> 00:27:09,241 THAT WE HAVE SOMETHING IN PLACE 713 00:27:09,241 --> 00:27:11,109 NOW TO BE ABLE TO WORK CLOSELY 714 00:27:11,109 --> 00:27:16,681 WITH TRIBES, IF THERE'S A 715 00:27:16,681 --> 00:27:19,618 REQUEST FOR DIFFERENT 716 00:27:19,618 --> 00:27:28,159 DISPOSITION OF CURRENT HOLDINGS 717 00:27:28,159 --> 00:27:32,931 718 00:27:32,931 --> 00:27:34,566 THERE MAY BE SOME UNIQUE 719 00:27:34,566 --> 00:27:35,867 SITUATIONS THAT ARISE TOO WHERE 720 00:27:35,867 --> 00:27:37,736 WE DON'T HAVE TRIBAL 721 00:27:37,736 --> 00:27:40,372 AFFILIATIONS, BUT WE KNOW THEY 722 00:27:40,372 --> 00:27:41,473 WERE COLLECTED FROM AMERICAN 723 00:27:41,473 --> 00:27:43,775 INDIAN/ALASKA NATIVE PEOPLE BUT 724 00:27:43,775 --> 00:27:44,943 NOT NECESSARILY BY TRIBE SO 725 00:27:44,943 --> 00:27:46,811 WE'LL NOT KNOW WHAT THE TRIBAL 726 00:27:46,811 --> 00:27:47,812 DESIGNATION IS. 727 00:27:47,812 --> 00:27:48,813 WE COULD SEEK YOUR CONSULTATION 728 00:27:48,813 --> 00:27:50,115 RIGHT NOW ABOUT HOW TO HANDLE 729 00:27:50,115 --> 00:27:50,315 THAT. 730 00:27:50,315 --> 00:27:52,984 THIS IS ONE OF THE REASONS WHY 731 00:27:52,984 --> 00:27:55,387 WE HAVE CONSULTATION, ALSO TO 732 00:27:55,387 --> 00:27:56,788 HELP INFORM THE POLICY HERE. 733 00:27:56,788 --> 00:27:59,224 THAT'S AN EXAMPLE THAT I COULD 734 00:27:59,224 --> 00:28:00,625 SEE THAT WOULD POTENTIALLY 735 00:28:00,625 --> 00:28:02,260 ARISE. 736 00:28:02,260 --> 00:28:07,198 737 00:28:07,198 --> 00:28:08,733 DO YOU HAVE SUGGESTIONS HOW TO 738 00:28:08,733 --> 00:28:11,569 ADDRESS THAT? 739 00:28:11,569 --> 00:28:12,904 THANK YOU, MS. FREEMAN, YEAH, 740 00:28:12,904 --> 00:28:17,509 WE'RE TRYING TO THINK OF EVERY 741 00:28:17,509 --> 00:28:18,476 POSSIBLE SCENARIO. 742 00:28:18,476 --> 00:28:20,879 BUT IN THE CASE -- JUST THINKING 743 00:28:20,879 --> 00:28:23,081 ABOUT THIS NOW WE DON'T HAVE 744 00:28:23,081 --> 00:28:25,951 TRIBAL AFFILIATION BUT THEY HAVE 745 00:28:25,951 --> 00:28:27,352 SELF-IDENTIFIED AS AMERICAN 746 00:28:27,352 --> 00:28:28,219 INDIAN/ALASKA NATIVE, IF THAT 747 00:28:28,219 --> 00:28:29,754 CAME UP AS AN ISSUE HOW WOULD 748 00:28:29,754 --> 00:28:31,389 THE TRIBES LIKE TO SEE THAT BE 749 00:28:31,389 --> 00:28:39,097 HANDLED? 750 00:28:39,097 --> 00:28:40,832 >> IF I COULD JUST RESPOND TO 751 00:28:40,832 --> 00:28:42,801 THAT, I THINK THAT IF THOSE 752 00:28:42,801 --> 00:28:45,103 CASES COME UP, AND I'M GOING TO 753 00:28:45,103 --> 00:28:46,204 ANTICIPATE THAT IT'S PROBABLY 754 00:28:46,204 --> 00:28:50,141 NOT GOING TO COME UP VERY 755 00:28:50,141 --> 00:28:52,310 FREQUENTLY, THAT THE QUESTION 756 00:28:52,310 --> 00:28:56,147 GETS POSED TO EITHER THE 757 00:28:56,147 --> 00:29:02,287 DELEGATE FROM ALASKA OR GO 758 00:29:02,287 --> 00:29:03,822 TOWARDS THE IRBs ESTABLISHED 759 00:29:03,822 --> 00:29:13,565 IN ALASKA OR ALASKA NATIVE 760 00:29:13,565 --> 00:29:16,101 HEALTH BOARD AND GET CONSENSUS, 761 00:29:16,101 --> 00:29:17,702 I WANT TO MAKE SURE EVERYBODY 762 00:29:17,702 --> 00:29:19,471 GETS A SAY. 763 00:29:19,471 --> 00:29:22,207 >> UH-HUH, UH-HUH, THAT'S REALLY 764 00:29:22,207 --> 00:29:22,440 HELPFUL. 765 00:29:22,440 --> 00:29:28,113 THANK YOU. 766 00:29:28,113 --> 00:29:28,680 OTHER THOUGHTS, QUESTIONS, 767 00:29:28,680 --> 00:29:30,949 COMMENTS? 768 00:29:30,949 --> 00:29:37,088 769 00:29:37,088 --> 00:29:39,758 ONE OF THE THINGS THAT WE DID, 770 00:29:39,758 --> 00:29:40,925 YOU KNOW, DR. TUCKER, YOU MIGHT 771 00:29:40,925 --> 00:29:45,230 WANT TO ADDRESS A LITTLE BIT TOO 772 00:29:45,230 --> 00:29:48,600 FOR OUR TRIBAL LEADERS WHAT 773 00:29:48,600 --> 00:29:51,269 STEPS DOES NIH PLAN TO TAKE 774 00:29:51,269 --> 00:29:52,470 FINALIZING OPTIONS TODAY, WHAT 775 00:29:52,470 --> 00:29:54,539 ARE THE NEXT STEPS FOLLOWING 776 00:29:54,539 --> 00:29:56,141 THIS MEETING? 777 00:29:56,141 --> 00:29:57,509 >> SURE, YEAH, HAPPY TO TALK 778 00:29:57,509 --> 00:30:03,615 ABOUT THAT. 779 00:30:03,615 --> 00:30:05,683 AS MENTIONED WE DO -- WE WANT TO 780 00:30:05,683 --> 00:30:06,985 CONSIDER EVERYTHING WE'VE HEARD 781 00:30:06,985 --> 00:30:11,056 TODAY, AND ANY WRITTEN TESTIMONY 782 00:30:11,056 --> 00:30:13,992 THAT WE RECEIVED TO THE E-MAIL 783 00:30:13,992 --> 00:30:16,428 ADDRESS THAT WAS POSTED BEFORE 784 00:30:16,428 --> 00:30:18,263 JANUARY 20, AND THEN WE'LL POST 785 00:30:18,263 --> 00:30:19,931 A REPORT OF THIS CONSULTATION 786 00:30:19,931 --> 00:30:23,902 WITHIN 90 DAYS SO THAT'S ON OR 787 00:30:23,902 --> 00:30:25,203 BEFORE MARCH 6, 2025. 788 00:30:25,203 --> 00:30:27,372 AND THEN OUR INTENTION IS TO 789 00:30:27,372 --> 00:30:30,442 ROLL OUT FINAL VERSION OF THESE 790 00:30:30,442 --> 00:30:32,644 OPTIONS ACROSS THE 27 NIH 791 00:30:32,644 --> 00:30:33,611 INSTITUTES AND CENTERS TO ENSURE 792 00:30:33,611 --> 00:30:36,247 THAT THEY ARE ALL AWARE AND CAN 793 00:30:36,247 --> 00:30:38,550 ADDRESS BIOSPECIMENS FROM TRIBAL 794 00:30:38,550 --> 00:30:40,285 POPULATIONS IN THE WAYS TRIBES 795 00:30:40,285 --> 00:30:42,253 HAVE INDICATED THEY FIND 796 00:30:42,253 --> 00:30:44,456 PREFERENTIAL AND THAT RESPECT 797 00:30:44,456 --> 00:30:45,757 TRIBAL SOVEREIGNTY. 798 00:30:45,757 --> 00:30:52,230 THOSE ARE THE INTENDED NEXT 799 00:30:52,230 --> 00:30:52,864 STEPS. 800 00:30:52,864 --> 00:30:56,167 >> ARE THERE ANY TRIBAL 801 00:30:56,167 --> 00:30:57,602 DESIGNEES HERE TODAY THAT WOULD 802 00:30:57,602 --> 00:31:03,508 ALSO LIKE TO EXTEND A COMMENT OR 803 00:31:03,508 --> 00:31:12,817 QUESTION? 804 00:31:12,817 --> 00:31:13,685 >> DR. WALTERS, THIS IS BOBBY 805 00:31:13,685 --> 00:31:14,018 AGAIN. 806 00:31:14,018 --> 00:31:17,122 CAN I ASK A QUICK QUESTION? 807 00:31:17,122 --> 00:31:19,457 >> ABSOLUTELY. 808 00:31:19,457 --> 00:31:22,327 >> THANK YOU. 809 00:31:22,327 --> 00:31:26,698 OPTION D, AFTER CONSULTATION 810 00:31:26,698 --> 00:31:30,201 WITH TRIBES, TRIBES DESIGNATES 811 00:31:30,201 --> 00:31:32,103 NIH AS STEWARD FOR BIOSPECIMENS, 812 00:31:32,103 --> 00:31:34,939 SO WHAT WOULD BE -- YOU'RE 813 00:31:34,939 --> 00:31:36,274 SAYING STEWARD OF BIOSPECIMENS, 814 00:31:36,274 --> 00:31:38,443 WOULD THOSE BE AVAILABLE FOR USE 815 00:31:38,443 --> 00:31:39,744 FOR OTHER RESEARCH PROJECTS OR 816 00:31:39,744 --> 00:31:43,481 ARE THEY JUST BEING STORED OR 817 00:31:43,481 --> 00:31:45,116 WHAT DOES THAT MEAN EXACTLY? 818 00:31:45,116 --> 00:31:47,652 COULD YOU GO INTO MORE DETAIL 819 00:31:47,652 --> 00:31:50,388 ABOUT WHAT WOULD OCCUR IF NIH IS 820 00:31:50,388 --> 00:31:54,325 THE STEWARD FOR THOSE 821 00:31:54,325 --> 00:31:54,659 BIOSPECIMENS? 822 00:31:54,659 --> 00:31:55,193 THANK YOU. 823 00:31:55,193 --> 00:31:58,463 >> DO YOU WANT TO JUMP IN, DR. 824 00:31:58,463 --> 00:31:58,696 TUCKER? 825 00:31:58,696 --> 00:32:01,232 >> SO, YES, GREAT QUESTION. 826 00:32:01,232 --> 00:32:05,069 I MEAN, I THINK THAT THIS OPTION 827 00:32:05,069 --> 00:32:10,208 THAT SOME OF THESE D AND E WERE 828 00:32:10,208 --> 00:32:11,709 EXPLORED BASED ON FEEDBACK FROM 829 00:32:11,709 --> 00:32:13,711 THE TAC AND THOSE DISCUSSIONS 830 00:32:13,711 --> 00:32:16,214 ABOUT THE NEED FOR OTHER OPTIONS 831 00:32:16,214 --> 00:32:19,050 IN CASE RETURN IS NOT WHAT'S 832 00:32:19,050 --> 00:32:21,786 PREFERRED BY THE TRIBES. 833 00:32:21,786 --> 00:32:23,521 AND SO THIS ONE DESIGNATING -- 834 00:32:23,521 --> 00:32:26,291 YOU KNOW, IF THE TRIBE WISHES TO 835 00:32:26,291 --> 00:32:28,893 CONTINUE TO DESIGNATE NIH AS THE 836 00:32:28,893 --> 00:32:29,661 STEWARD FOR THE BIOSPECIMENS, I 837 00:32:29,661 --> 00:32:32,964 THINK, YOU KNOW, IN THIS CASE, 838 00:32:32,964 --> 00:32:34,365 AGAIN, WE WOULD WANT TO WORK, 839 00:32:34,365 --> 00:32:36,234 YOU KNOW, LOOKING AT THE 840 00:32:36,234 --> 00:32:38,203 SPECIFIC SITUATION, WE WOULD 841 00:32:38,203 --> 00:32:40,605 WORK WITH THE TRIBES TO -- OR 842 00:32:40,605 --> 00:32:43,575 TRIBE TO DETERMINE WHAT 843 00:32:43,575 --> 00:32:45,410 STEWARDING MEANS TO THEM, RIGHT? 844 00:32:45,410 --> 00:32:48,613 AND WE WOULD RETAIN AND HOLD THE 845 00:32:48,613 --> 00:32:50,448 SPECIMENS, THAT'S THE INTENTION 846 00:32:50,448 --> 00:32:52,650 OF THAT OPTION, BUT IF TRIBES 847 00:32:52,650 --> 00:32:55,520 WANT IT USED FOR FURTHER 848 00:32:55,520 --> 00:32:55,987 RESEARCH WITH TRIBAL 849 00:32:55,987 --> 00:32:57,255 CONSULTATION, YOU KNOW, THAT 850 00:32:57,255 --> 00:32:58,890 COULD BE AN OPTION, RIGHT? 851 00:32:58,890 --> 00:33:01,292 SO I THINK THAT THOSE TYPES OF 852 00:33:01,292 --> 00:33:02,594 OPTIONS WOULD HAVE TO BE 853 00:33:02,594 --> 00:33:04,429 EXPLORED BASED ON THE SPECIFIC 854 00:33:04,429 --> 00:33:06,531 CASE AND, AGAIN, BASED ON THE 855 00:33:06,531 --> 00:33:09,367 TRIBE'S WISHES OF HOW NIH SHOULD 856 00:33:09,367 --> 00:33:10,602 BEST STEWARD THOSE BIOSPECIMENS 857 00:33:10,602 --> 00:33:12,270 MOVING FORWARD IF THAT OPTION 858 00:33:12,270 --> 00:33:14,105 WERE THE PREFERENCE FOR THE 859 00:33:14,105 --> 00:33:15,506 TRIBE. 860 00:33:15,506 --> 00:33:19,277 >> JUST TO BE CLEAR, I THINK 861 00:33:19,277 --> 00:33:20,478 ALSO, MR. SAUNKEAH, IF WE'RE 862 00:33:20,478 --> 00:33:22,113 HOLDING IT DO WE GET TO SHARE 863 00:33:22,113 --> 00:33:25,083 IT, AND THE ANSWER IS NO. 864 00:33:25,083 --> 00:33:28,353 WE WOULD BE FOLLOWING TRIBAL 865 00:33:28,353 --> 00:33:29,254 SOVEREIGNTY, DATA MANAGEMENT 866 00:33:29,254 --> 00:33:30,788 PLAN IN PLACE, AND DATA ACCESS 867 00:33:30,788 --> 00:33:33,891 PLAN THAT WOULD BE IN PLACE. 868 00:33:33,891 --> 00:33:35,493 AND THAT COULD BE DETERMINED -- 869 00:33:35,493 --> 00:33:39,664 THAT IS DETERMINED BY THE TRIBE 870 00:33:39,664 --> 00:33:40,665 WHAT THEY WOULD PREFER. 871 00:33:40,665 --> 00:33:42,500 AND, YOU KNOW, IF THEY SAID WE'D 872 00:33:42,500 --> 00:33:44,168 LIKE TO KNOW EVERY TIME A 873 00:33:44,168 --> 00:33:46,271 REQUEST IS MADE FOR THIS DATA, 874 00:33:46,271 --> 00:33:49,874 THIS WILL BE THE PLAN IN PLACE 875 00:33:49,874 --> 00:33:52,477 FOR REVIEWING THAT, AND WE -- 876 00:33:52,477 --> 00:33:54,012 IT'S RESTRICTED ACCESS AND, YOU 877 00:33:54,012 --> 00:33:54,612 KNOW, WHATEVER PARAMETERS THE 878 00:33:54,612 --> 00:33:56,214 TRIBE NEEDS TO PUT ON THAT WOULD 879 00:33:56,214 --> 00:33:59,517 BE HONORED AND WOULD BE PUT IN 880 00:33:59,517 --> 00:33:59,851 PLACE. 881 00:33:59,851 --> 00:34:02,020 SO, THAT'S FIRST AND FOREMOST. 882 00:34:02,020 --> 00:34:03,521 SO BECAUSE IT'S HOUSED HERE AND 883 00:34:03,521 --> 00:34:06,157 IT'S ON LOAN OR STEWARDED HERE, 884 00:34:06,157 --> 00:34:09,560 IT'S NOT -- IT WOULD NOT BE FREE 885 00:34:09,560 --> 00:34:11,095 FOR ALL AT ALL. 886 00:34:11,095 --> 00:34:13,831 IT WOULD HAVE TO BE A PROCESS, A 887 00:34:13,831 --> 00:34:16,434 DATA MANAGEMENT AND ACCESS AND 888 00:34:16,434 --> 00:34:19,404 SHARING PLAN THAT IS TRIBALLY 889 00:34:19,404 --> 00:34:21,172 APPROVED AND SUPPORTED. 890 00:34:21,172 --> 00:34:22,774 THAT WE WOULD BE HONORING. 891 00:34:22,774 --> 00:34:25,209 >> YEAH, JUST TO ADD TO THAT, 892 00:34:25,209 --> 00:34:27,578 YOU KNOW, ABSOLUTELY TRIBES 893 00:34:27,578 --> 00:34:28,913 WOULD DETERMINE HOW THE 894 00:34:28,913 --> 00:34:32,817 BIOSPECIMENS CAN BE USED AND 895 00:34:32,817 --> 00:34:35,186 DIRECT CIRCUMSTANCES IN THIS 896 00:34:35,186 --> 00:34:37,722 OPTION FOR THE BIOSPECIMENS. 897 00:34:37,722 --> 00:34:39,257 >> I REALLY APPRECIATE THAT 898 00:34:39,257 --> 00:34:41,225 BECAUSE, YOU KNOW, THIS IS -- 899 00:34:41,225 --> 00:34:41,993 IT'S DIFFICULT, DIFFICULT FOR 900 00:34:41,993 --> 00:34:44,395 NIH, YOU KNOW, TO DO THIS WORK, 901 00:34:44,395 --> 00:34:44,595 RIGHT? 902 00:34:44,595 --> 00:34:45,863 TO IDENTIFY EVEN WHO TO CONTACT, 903 00:34:45,863 --> 00:34:49,334 YOU KNOW, IN SOME CASES, WHAT 904 00:34:49,334 --> 00:34:51,202 TRIBE, HOW DO YOU GO ABOUT 905 00:34:51,202 --> 00:34:52,937 FINDING SOMEBODY, SO I REALLY 906 00:34:52,937 --> 00:34:53,738 APPRECIATE THE THOUGHTFULNESS 907 00:34:53,738 --> 00:34:54,672 THAT'S GONE INTO THIS. 908 00:34:54,672 --> 00:34:57,842 I FEEL LIKE THIS IS A PRETTY 909 00:34:57,842 --> 00:35:00,478 COMPREHENSIVE OPTION LIST AS 910 00:35:00,478 --> 00:35:02,180 WELL, AS DR. FRIMIN MENTIONED, 911 00:35:02,180 --> 00:35:04,749 WHAT I REALLY APPRECIATE IS THE 912 00:35:04,749 --> 00:35:06,818 CONSTANT GOING BACK TO 913 00:35:06,818 --> 00:35:07,685 CONSULTATION WITH CONSULTATION, 914 00:35:07,685 --> 00:35:09,053 WITH CONSULTATION, WITH THE 915 00:35:09,053 --> 00:35:11,622 TRIBE, SO THERE'S A LOT OF 916 00:35:11,622 --> 00:35:14,826 FLEXIBILITY BUILT INTO THIS. 917 00:35:14,826 --> 00:35:16,661 THERE ARE OPTIONS, BUT 918 00:35:16,661 --> 00:35:18,329 UNDERSTANDING THAT, YOU KNOW, 919 00:35:18,329 --> 00:35:19,731 DIFFERENT TRIBES WILL HAVE 920 00:35:19,731 --> 00:35:20,598 DIFFERENT IDEAS AND DIFFERENT 921 00:35:20,598 --> 00:35:24,469 WAYS THEY WANT TO HANDLE THIS 922 00:35:24,469 --> 00:35:25,770 PARTICULAR ISSUE BECAUSE IT'S -- 923 00:35:25,770 --> 00:35:29,607 I KNOW IT SAYS BIOSPECIMENS BUT 924 00:35:29,607 --> 00:35:31,376 THAT DOESN'T TELL EXACTLY WHAT 925 00:35:31,376 --> 00:35:33,478 THAT IS BECAUSE THOSE ARE 926 00:35:33,478 --> 00:35:34,145 PEOPLE'S STORIES, TRIBE'S 927 00:35:34,145 --> 00:35:36,414 STORIES, SO IT'S MORE THAN JUST 928 00:35:36,414 --> 00:35:37,014 THE BIOSPECIMENS THAT WE'RE 929 00:35:37,014 --> 00:35:38,049 TALKING ABOUT. 930 00:35:38,049 --> 00:35:41,886 SO I REALLY APPRECIATE THAT 931 00:35:41,886 --> 00:35:43,755 RESPECT THAT YOU'RE SHOWING, YOU 932 00:35:43,755 --> 00:35:45,923 KNOW, BY EVEN HAVING, YOU KNOW, 933 00:35:45,923 --> 00:35:48,493 AN OPTION THEN, YOU'RE GOING TO 934 00:35:48,493 --> 00:35:49,861 DO FURTHER CONSULTATION WHICH 935 00:35:49,861 --> 00:35:51,829 EVER OPTION A TRIBE CHOOSES. 936 00:35:51,829 --> 00:35:59,971 SO I REALLY APPRECIATE THAT. 937 00:35:59,971 --> 00:36:01,506 THANK YOU. 938 00:36:01,506 --> 00:36:02,707 >> THANK YOU SO MUCH. 939 00:36:02,707 --> 00:36:04,108 WE REALLY APPRECIATE YOUR 940 00:36:04,108 --> 00:36:08,613 THOUGHTFUL FEEDBACK. 941 00:36:08,613 --> 00:36:10,715 THANK YOU. 942 00:36:10,715 --> 00:36:11,349 >> ANY OTHER COMMENTS OR 943 00:36:11,349 --> 00:36:21,893 THOUGHTS THAT YOU WOULD LIKE TO 944 00:36:21,893 --> 00:36:22,093 SHARE? 945 00:36:22,093 --> 00:36:26,697 COUNCILMAN FRIMIN OR ARE THERE 946 00:36:26,697 --> 00:36:28,032 ANY TRIBAL DESIGNEES AS WELL 947 00:36:28,032 --> 00:36:33,938 THAT ARE ONLINE? 948 00:36:33,938 --> 00:36:39,510 THANK YOU, COUNCILWOMAN. 949 00:36:39,510 --> 00:36:39,744 OKAY. 950 00:36:39,744 --> 00:36:41,245 SEEING NONE, SOUNDS LIKE WE'VE 951 00:36:41,245 --> 00:36:45,216 MOVED TO THAT POINT WHERE WE'RE 952 00:36:45,216 --> 00:36:47,819 READY TO MOVE FORWARD. 953 00:36:47,819 --> 00:36:52,523 WE WILL PLEASE KEEP IN MIND 954 00:36:52,523 --> 00:36:55,026 THAT, YOU KNOW, WE HAVE 955 00:36:55,026 --> 00:36:57,562 OPPORTUNITY FOR COMMENTS ON THIS 956 00:36:57,562 --> 00:37:02,600 PROCESS, SO PLEASE BE SURE TO 957 00:37:02,600 --> 00:37:07,338 SUBMIT YOUR COMMENTS, SHEILA 958 00:37:07,338 --> 00:37:10,942 CALDWELL HAS POSTED IN THE CHAT, 959 00:37:10,942 --> 00:37:17,281 DR. CALDWELL, WHERE YOU CAN 960 00:37:17,281 --> 00:37:21,452 SUBMIT COMMENTS BEFORE JANUARY 961 00:37:21,452 --> 00:37:23,754 20, 2025 BY E-MAIL NIH.GOV, 962 00:37:23,754 --> 00:37:24,622 THAT'S ONLINE. 963 00:37:24,622 --> 00:37:28,659 NIH WILL PROVIDE A FINAL REPORT 964 00:37:28,659 --> 00:37:30,094 OF THE OUTCOME WITHIN 90 965 00:37:30,094 --> 00:37:31,295 CALENDAR DAYS OF THIS 966 00:37:31,295 --> 00:37:31,963 CONSULTATION AND ANY DECISIONS 967 00:37:31,963 --> 00:37:33,731 MADE AS A RESULT OF THE 968 00:37:33,731 --> 00:37:36,501 CONSULTATION WILL BE DONE ON OR 969 00:37:36,501 --> 00:37:37,335 BEFORE MARCH 6, 2025. 970 00:37:37,335 --> 00:37:39,270 I WANT TO THANK YOU ALL FOR YOUR 971 00:37:39,270 --> 00:37:42,707 TIME AND INPUT FOR THIS TRIBAL 972 00:37:42,707 --> 00:37:44,775 CONSULTATION. 973 00:37:44,775 --> 00:37:46,277 AND WE ARE OFFICIALLY DONE. 974 00:37:46,277 --> 00:37:49,046 SO THANK YOU VERY MUCH, AND LOOK 975 00:37:49,046 --> 00:37:53,551 FORWARD TO HEARING MORE FROM OUR 976 00:37:53,551 --> 00:37:53,851 COMMUNITY. 977 00:37:53,851 --> 00:37:54,752 AND MANY TRIBAL COMMUNITIES OUT 978 00:37:54,752 --> 00:37:55,052 THERE. 979 00:37:55,052 --> 00:37:56,487 THIS IS VERY IMPORTANT. 980 00:37:56,487 --> 00:37:58,022 THANK YOU, DR. TUCKER, FOR YOUR 981 00:37:58,022 --> 00:37:59,457 PRESENTATION. 982 00:37:59,457 --> 00:38:01,425 >> THANK YOU SO MUCH FOR THE 983 00:38:01,425 --> 00:38:01,726 OPPORTUNITY. 984 00:38:01,726 --> 00:38:03,294 REALLY APPRECIATE IT. 985 00:38:03,294 --> 00:38:05,029 >> THANK YOU ALL. 986 00:38:05,029 --> 00:38:15,029 >> THANK YOU.