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Global Health in the 21st Century
Global Health in the 21st Century
Global Health in the 21st Century
Global Health in the 21st Century
Global Health in the 21st Century
Global Health in the 21st Century
Global Health in the 21st Century
Global Health in the 21st Century
Global Health in the 21st Century
Global Health in the 21st Century
Global Health in the 21st Century
Global Health in the 21st Century
Global Health in the 21st Century
Global Health in the 21st Century
Global Health in the 21st Century
Global Health in the 21st Century
Global Health in the 21st Century
Global Health in the 21st Century
Global Health in the 21st Century
Global Health in the 21st Century
Global Health in the 21st Century
Global Health in the 21st Century
Global Health in the 21st Century
Global Health in the 21st Century
Global Health in the 21st Century
Global Health in the 21st Century
Global Health in the 21st Century
Global Health in the 21st Century
Global Health in the 21st Century
Global Health in the 21st Century
Global Health in the 21st Century
Global Health in the 21st Century
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Global Health in the 21st Century

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  • 1. Transforming Global Health: Mobilizing Resources & Connecting with the Academic Sector Consortium of Universities for Global Health Seattle, Sept 20, 2010 Roger I. Glass, M.D., Ph.D. Director, Fogarty International Center Associate Director for International Research, NIH
  • 2. The Fogarty Mission ““Science for Global Health”Science for Global Health” •Fogarty advances the NIH mission •Supports & facilitates global health research conducted by U.S. & international investigators •Builds partnerships between health research institutions in the US and abroad •Trains the next generation of scientists to address global health needs. “Taking Science where the problems are “
  • 3. Office of the DirectorOffice of the Director National Institute on Alcohol Abuse and Alcoholism National Institute on Alcohol Abuse and Alcoholism National Institute of Arthritis and Musculoskeletal and Skin Diseases National Institute of Arthritis and Musculoskeletal and Skin Diseases National Cancer Institute National Cancer Institute National Institute of Diabetes and Digestive and Kidney Diseases National Institute of Diabetes and Digestive and Kidney Diseases National Institute of Dental and Craniofacial Research National Institute of Dental and Craniofacial Research National Institute on Drug Abuse National Institute on Drug Abuse National Institute of Environmental Health Sciences National Institute of Environmental Health Sciences National Institute on Aging National Institute on Aging National Institute of Child Health and Human Development National Institute of Child Health and Human Development National Institute on Deafness and Other Communication Disorders National Institute on Deafness and Other Communication Disorders National Eye Institute National Eye Institute National Human Genome Research Institute National Human Genome Research Institute National Heart, Lung, and Blood Institute National Heart, Lung, and Blood Institute National Institute of Mental Health National Institute of Mental Health National Institute of Neurological Disorders and Stroke National Institute of Neurological Disorders and Stroke National Institute of General Medical Sciences National Institute of General Medical Sciences National Institute of Nursing Research National Institute of Nursing Research National Library of Medicine National Library of Medicine Center for Information Technology Center for Information Technology Center for Scientific Review Center for Scientific Review National Center for Complementary and Alternative Medicine National Center for Complementary and Alternative Medicine National Institute of Allergy and Infectious Diseases National Institute of Allergy and Infectious Diseases Nat’l Center for Research Resources Nat’l Center for Research Resources Clinical CenterClinical Center National Inst. of Minority Health and Health Disparities National Inst. of Minority Health and Health Disparities National Institute of Biomedical Imaging and Bioengineering National Institute of Biomedical Imaging and Bioengineering FogartyFogarty National Institutes of Health NCRRNCRR
  • 4. The Fogarty Portfolio – an Alphabet Soup 2010 $71 million > 400 grants
  • 5. The Fogarty PipelineThe Fogarty Pipeline Training College Graduate Post-Doc Collaborations Individuals Networks STRENGTHENING ForeignDomestic Chronic Infectious Research Environment Institutions &Research Basic Applied &
  • 6. Fogarty’s Strategic Plan • Address the growing epidemic of chronic, non- communicable diseases • Bridge the implementation research training gap • Develop human capital to address global health challenges • Foster a sustainable research environment in low-and middle-income countries • Build strategic alliances and partnerships in global health research and training
  • 7. Ruth Nduati, Faculty of Medicine, College of Health Sciences, University of Nairobi Salim Abdool Karim, Director, CAPRISA S. Africa Jean Pape, Director, GHESKIO, Haiti Philippa Musoke, Chair of Pediatrics, Makarere University, Uganda Pedro Chequer, Director, National STD/AIDS Program, MOH, Brazil Glenda Gray, Co-founder/Co-Director, Perinatal HIV Research Unit, Chris Hani Baragwanath Hospital, South Africa David Serwadda, Director, Institute of Public Health, Makarere University, Uganda AITRP (Aids Intn’l Training &AITRP (Aids Intn’l Training & Research Program (1988-…)Research Program (1988-…) Investing in LeadersInvesting in Leaders Zunyou Wu, Director, National Center for AIDS/STD Control & Prevention, Chinese CDC, China Zunyou Wu, Director, National Center for AIDS/STD Control & Prevention, Chinese CDC, China Patricia Garcia, Chief, National Institute of Health, Peru Patricia Garcia, Chief, National Institute of Health, Peru Marcos Espinal, Stop TB Partnership Secretariat, World Health Organization Marcos Espinal, Stop TB Partnership Secretariat, World Health Organization
  • 8. 0 5 10 15 20 25 30 1970 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 Year NumberofNIHGrantAwards FIC Institutional Capacity Building CASE STUDY: Cayetano Heredia University, Peru * NMRCD = US Naval Medical Research Center Detachment Training Research U.S. Fellowships Glue grants NMRCD* (23 y) U. Washington (16 y) Johns Hopkins (21 y) U. Alab. (15 y) Framework Biodiversity Minority Inf Disease Informatics Environ Health Clin Res Train AIDS Clin Res Train Ecol Inf Diseases Med Students Small grants (FIRCA) Postdocs Research? AIDS GRIP FIC Grants
  • 9. Bill Foege CDC Nigeria America’s leaders in global health have early overseas training Tom Quinn NIAID Zaire Al Sommer Hopkins Bangladesh Barry Bloom Harvard India Bob Black Hopkins Bangladesh Mike Merson Duke Bangladesh Alan Rosenfield Columbia Nigeria, Thailand Jeff Koplan CDC/ Emory Bangladesh Dick Guerrant U. Va Brazil Jerry Keusch Boston U Thailand
  • 10. Fogarty International Clinical Research Scholars and Fellows Program (FICRS-F) • Scholars 1 yr mentored research training for graduate level U.S. students in health professions in LMIC - paired with local scholar • Fellows 1 yr opportunity for post-doc (resident, fellow, jr. faculty) to begin research towards in LMIC site leading to future grant & collaboration in any area of health
  • 11. Fogarty - Fulbright Program • Announcement -2010 • First scholars - FY 2011 • 5 Scholars –1 year Botswana, Malawi, S.Africa, Tanzania & Uganda • FIC contributes orientation • Fulbright provides stipend www.fic.nih.gov/programs/training_grants/nih_fogarty.htm
  • 12. Fogarty International Clinical Research Scholars and Fellows Program (FICRS-F) Krista Pfaendler, M.D., FICRS-F Scholar, Zambia, 2006-2007 • Cervical Cancer Research Fellow at Centre for Infectious Disease Research • Implemented innovative, low-cost screening for cervical Ca with digital cameras & visual inspection using household vinegar • Conducted > 8,800 cervical exams during her 10-month stint in Zambia
  • 13. Fellows and Scholars Alumni Symposium September 23-25, 2010
  • 14. Framework Programs for Global Health • Encourages University to engage in training programs in Global Hlth • Requires campus collaboration- 3 or more schools (eg. law, business, PH, medicine, RN, communications • ~35 current universities • Leverages existing global health projects at institutions & encourages new training, collaborations & research • Institutions partner with overseas institutions to plan joint curricula & programs Dr. Patty Garcia teaches global health class, Universidad Peruana Cayetano Heredia, Lima, Peru http://www.fic.nih.gov/programs/training_grants/framework/index.htm Global Health Centers
  • 15. Consortium of Universities of Global Health September 14-15, 2009
  • 16. Funding FIC (NIH/ Other) Collaborative Long Term Relationships Human and Institutional Capacity building
  • 17. Cover of "The Economist", Dec. 13-19, 2003Cover of "The Economist", Dec. 13-19, 2003. Health Problems & Challenges of the Future Obesity Addictions Smoking Alcohol Drug abuse Environmental Hazards Climate Change Accidents Organization of health services
  • 18. • In the 1998 Miss America pageant, Nicole Johnson removed her insulin pump for the swimsuit competition and chose to wear a two-piece suit that revealed the tape for her infusion set. She still won the pageant. Why does an African child with HIV get care for life…. when the sibling with diabetes get no support at all ?
  • 19. • Research to optimize scientific advances & facilitate their adoption in the real world • Compelling need: 14,000 deaths per day from HIV, malaria & diarrheal disease, despite medical breakthroughs • The challenge: the “know-do” gap between scientific discoveries and their delivery to communities in need • “One size fits all” approach doesn’t work eg. HIV patients also likely have TB, malnutrition—requiring different treatment plans • Implementation science will help determine scientifically tested strategies strategies that will work “We face a formidable gap between innovations in health (including vaccines, drugs, and strategies for care) and their delivery to communities in the developing world.”
  • 20. Partnerships for Global Health U.S. Government Agencies Private Sector Foundations e.g. Gates, Wellcome, etc NGOs NHLBI, NCI,NIMH, NICHD, NCCAM,NIAID Developing World Medical Research Councils WHO World Bank Unicef Universities Medical Research Groups FIC
  • 21. Do you believe in Astrology ? • Presidential commitment to science & global health • $63 bn Global Health Initiative • NIH director – Global Health- a major focus • Consortium of Universities for Global Health – Enthusiasm on University Campuses The stars must be aligned !
  • 22. Global Health Initiative seven principles • Woman- and girl-centered approach • Strategic coordination and integration • Leverage multilateral organizations, partnerships and private sector • Country ownership, country-led plans • Health systems strengthening • Metrics, monitoring and evaluation • Promote research & innovation Global Health Initiative
  • 23. 1. High-throughput technologies in genomics and nanotechnology 2. Developing diagnostics, preventative strategies and therapeutic tools through public–private partnerships 3. Reining in the costs of health care with comparative-effectiveness research and personalized medicine 4. Expanding research into diseases affecting the developing world 5. Increasing budgets and investing in training & peer review to achieve a predictable funding trajectory
  • 24. 26  MEPI -collaborative effort by Office of the Global AIDS Coordinator (OGAC), NIH & HRSA  Grants will be administered by the NIH’s Fogarty International Center (FIC) and HRSA’s HIV/AIDS Bureau’s Global HIV/AIDS Program.  Funds from PEPFAR + NIH (OD, OAR, 5 Institutes & Centers
  • 25.  Number of Awards Programmatic (PEPFAR focused): 11 awards  10 Countries Linked (other health priorities): 6 awards  Cardiovascular Diseases  Maternal-Child Health  Mental Health  Surgery Coordinating Center: 1 award Pilot Awards: 2  Cancer  Emergency Medicine Awards are expected to be made before Sept. 30 27
  • 26. 28  Botswana  Ethiopia  Ghana  Kenya  Malawi  Mozambique  Nigeria  South Africa  Tanzania  Uganda  Zambia  Zimbabwe  30 African Institutions/organizations and 23 U.S. Institutions/organizations are participating .
  • 27. Global Health in the 21st Century • Embrace research on the NCDs • Extend beyond medicine, PH, nursing to law, business, engineering, IT, communication, behav. sciences • Engage & plan for young investigators •Partnerships will be key to success- at all levels •We must demonstrate value to us and others
  • 28. We need your help ! • Identify competitive candidates for scholars & fellows programs • Help broaden global health agenda on campus • Take advantage of grant opportunities that exist • Let us hear from you ! •We value having a strong partner in CUGH
  • 29. FIC Website: http://www.fic.nih.govFIC Website: http://www.fic.nih.gov
  • 30. Thanks

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