Transcript National Institutes of Health Fogarty International Center

NIH International Programs
Flora N. Katz, Ph.D.
Fogarty International Center, N.I.H.
National Institutes of Health
Office of the Director
National Institute
on Aging
National Institute
on Alcohol Abuse
and Alcoholism
National Institute
of Allergy and
Infectious Diseases
National Institute
of Arthritis and
Musculoskeletal
and Skin Diseases
National Cancer
Institute
National Institute
of Child Health
and Human
Development
National Institute on
Deafness and Other
Communication
Disorders
National Institute
of Dental and
Craniofacial
Research
National Institute
of Diabetes and
Digestive and
Kidney Diseases
National Institute
on Drug Abuse
National Institute
of Environmental
Health Sciences
National Eye
Institute
National Institute
of General
Medical Sciences
National Heart,
Lung, and Blood
Institute
National Human
Genome Research
Institute
National Institute
of Mental Health
National Institute
of Neurological
Disorders and
Stroke
National Institute
of Nursing Research
National Institute of
Biomedical Imaging
and Bioengineering
National Center
for Complementary
and Alternative
Medicine
Fogarty
International
Center
National Center
for Research
Resources
National Library
of Medicine
National Center on
Minority Health and
Health Disparities
Clinical Center
Center for
Information
Technology
Center for
Scientific Review
Fogarty International Center, NIH
Mission:
Promote and support
scientific research and training
internationally to reduce disparities
in global health.
“Science for Global Health”
Fogarty International Center
Programs
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29 Programs in 91 countries:
Training (16)
 Research (11)
 Fellowship (2)
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Most of our programs receive co-funding
from other NIH Institutes and other USG
agencies
Structure of Programs
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Most grants require collaborations between US or
developed country investigators and investigators
and institutions in low and middle income
countries.
Emphasis placed on interdisciplinary approaches
not addressed adequately in current NIH global
portfolio
Many projects involve multiple foreign countries
Fogarty
International Center
Competing/In Development
Demography & Other
Social Sciences
Health, Environment and
Economic Development
Student
Program
Brain
Disorders
Vector Biology
& Arbovirology
Responsible
Medical Reporting
Hea
Program Expansions (illustrative examples)
International
Research Scientist
Career Development
Maternal &
Child Health
Tobacco
Prevention &
Control
Mental Health /
Stigma
Research
Environment &
Ecology
Health &
Economic
Development
Current Programs (illustrative examples)
HIV / Malaria /
TB & Other EIDs
Population &
Demography
Environmental &
Occupational Health
FIRCA
Program
Health
Disparities
Biodiversity
Foundation
Genetics
Clinical / Operational /
Health Services Research
Bioethics
Bioinformatics
Platform — Mission
Build International
Research Capacity
Promote Strategic
Alliances
Create Collaborative
International Research Networks
Conduct Appropriate
Research
Communication, Mentoring,
Program Management
Web-based Networking
Collaboratories for Fogarty
Training Programs
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NIMH Small Business Innovation
Research Contracts
To address the needs of international
collaborations to share data, materials,
meetings, and seminars
Access portal to relevant information
Videoconferencing capability
Barriers to connectivity-survey of
grantees (JG Perpich, LLC)
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Slow connection speeds—several
respondents routinely use modems at less
than 56K
Service charges on the internet service
providers (ISPs) can be prohibitive (many
of the laboratories are unable to use the
government email or internet structure due
to inefficiencies and have to pay for private
ISPs)
Barriers
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Infrastructure can be unreliable—
electricity, phone and internet connections
come and go periodically
Political/social issues—censorship of
discussions about blood, plasma and HIV
are real problems in some countries,
especially China
Data Management, Flow, and
Access
International Cooperative
Biodiversity Groups Program
Drug discovery
Economic
development
Biodiversity
conservation
New ICBG U01 Awards
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Uzbekistan/
Kyrgyzstan
Papua New Guinea
Vietnam/Laos
Madagascar
Panama
New Planning Grants
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Costa Rica
Jamaica
Jordan
Fiji
Samoa
Madagascar
Philippines
Vietnam-Laos ICBG Drug Discovery Program
Cuc-Phuong Park, Vietnam
(Inventory, Sample Collection)
Research Institute on
Medicinal Plants, Laos
(Samples and information)
National Institute for Science and
Technology, Vietnam
(Extractions, prescreens, chemistry)
University of Illinois, Chicago
(Bioassays, Chemistry, Literature and Database searches)
BMS-oncology
(cancer discovery and development)
Infrastructure is insufficient
without training
International Training in Medical
Informatics (1997-2003)
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Mission: Enhance Informatics capacity in
developing countries through training
10 Programs in 11 countries
Trained over 70 students, 40 to the level of
MPH, MSc, or PhD.
100% of trainees that received US training
returned to home countries
Examples of Projects
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Establishment of the first rural Medical
Records System in Kenya at a primary care
facility servicing an area with no
electricity, telephones, or tap water
Establishment of first postgraduate/degree
Program in Medical Informatics in subSaharan Africa
Distance learning project for MI in Brazil
Examples
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In addition to training, establishment (with
help from NLM) of a wireless wide area
network with internet link to connect the
College of Medicine at the University of
Malawi internally and with four
international projects funded by NIH, the
Wellcome Trust, the Gates Foundation, and
the Malaria Project.
Informatics Training for Global
Health (ITGH- 2004)
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Mission: To build capacity in informatics to
support biomedical and behavioral research in
developing country institutions and to develop
regional training centers. Training must be
integrated with ongoing research at foreign site.
Enquires regarding more than 70 institutions
Projects: Awards will be announced in May, 2004
More advanced applications?
Health, Environment, and
Economic Development (HEED)
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Mission: To encourage developmental and
exploratory research in developing
countries on topics that combine the issues
of health, environment, and economic
development.
Use of GIS analysis-one example
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US-Brazil: How do land use/cover
changes in frontier areas of Brazilian
Amazonia impact human health? Integrate
socio-demographic data and geo-referenced
land use/cover data into a unified georeferenced database.
FIC Website:
http://www.fic.nih.gov