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    1. 1. NIH International Programs Flora N. Katz, Ph.D. Fogarty International Center, N.I.H.
    2. 2. Office of the Director National Institute on Alcohol Abuse and Alcoholism National Institute of Arthritis and Musculoskeletal and Skin Diseases National Cancer Institute National Institute of Diabetes and Digestive and Kidney Diseases National Institute of Dental and Craniofacial Research National Institute on Drug Abuse National Institute of Environmental Health Sciences National Institute on Aging National Institute of Child Health and Human Development National Institute on Deafness and Other Communication Disorders National Eye Institute National Human Genome Research Institute National Heart, Lung, and Blood Institute National Institute of Mental Health National Institute of Neurological Disorders and Stroke National Institute of General Medical Sciences National Institute of Nursing Research National Library of Medicine Center for Information Technology Center for Scientific Review National Center for Complementary and Alternative Medicine National Institute of Allergy and Infectious Diseases National Center for Research Resources Clinical Center National Center on Minority Health and Health Disparities National Institute of Biomedical Imaging and Bioengineering Fogarty International Center National Institutes of Health
    3. 3. Fogarty International Center, NIH <ul><li>Mission: Promote and support scientific research and training internationally to reduce disparities in global health. </li></ul><ul><li>“ Science for Global Health” </li></ul>
    4. 4. Fogarty International Center Programs <ul><li>29 Programs in 91 countries: </li></ul><ul><ul><li>Training (16) </li></ul></ul><ul><ul><li>Research (11) </li></ul></ul><ul><ul><li>Fellowship (2) </li></ul></ul><ul><li>Most of our programs receive co-funding from other NIH Institutes and other USG agencies </li></ul>
    5. 5. Structure of Programs <ul><li>Most grants require collaborations between US or developed country investigators and investigators and institutions in low and middle income countries. </li></ul><ul><li>Emphasis placed on interdisciplinary approaches not addressed adequately in current NIH global portfolio </li></ul><ul><li>Many projects involve multiple foreign countries </li></ul>
    6. 6. Fogarty International Center International Research Scientist Career Development Maternal & Child Health Environment & Ecology Mental Health / Stigma Research Tobacco Prevention & Control Health & Economic Development Bioinformatics Bioethics Genetics Clinical / Operational / Health Services Research Promote Strategic Alliances Conduct Appropriate Research Create Collaborative International Research Networks Build International Research Capacity FIRCA Program Health Disparities Population & Demography Environmental & Occupational Health HIV / Malaria / TB & Other EIDs Biodiversity Platform — Mission Responsible Medical Reporting Demography & Other Social Sciences Student Program Health, Environment and Economic Development Hea Brain Disorders Vector Biology & Arbovirology Competing/In Development Program Expansions (illustrative examples) Current Programs (illustrative examples) Foundation
    7. 7. Communication, Mentoring, Program Management
    8. 8. Web-based Networking Collaboratories for Fogarty Training Programs <ul><li>NIMH Small Business Innovation Research Contracts </li></ul><ul><li>To address the needs of international collaborations to share data, materials, meetings, and seminars </li></ul><ul><li>Access portal to relevant information </li></ul><ul><li>Videoconferencing capability </li></ul>
    9. 9. Barriers to connectivity-survey of grantees (JG Perpich, LLC) <ul><li>Slow connection speeds—several respondents routinely use modems at less than 56K </li></ul><ul><li>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) </li></ul>
    10. 10. Barriers <ul><li>Infrastructure can be unreliable—electricity, phone and internet connections come and go periodically </li></ul><ul><li>Political/social issues—censorship of discussions about blood, plasma and HIV are real problems in some countries, especially China </li></ul>
    11. 11. Data Management, Flow, and Access
    12. 12. International Cooperative Biodiversity Groups Program Economic development Biodiversity conservation Drug discovery
    13. 13. New ICBG U01 Awards <ul><li>Uzbekistan/ </li></ul><ul><li>Kyrgyzstan </li></ul><ul><li>Papua New Guinea </li></ul><ul><li>Vietnam/Laos </li></ul><ul><li>Madagascar </li></ul><ul><li>Panama </li></ul>
    14. 14. New Planning Grants <ul><li>Costa Rica </li></ul><ul><li>Jamaica </li></ul><ul><li>Jordan </li></ul><ul><li>Fiji </li></ul><ul><li>Samoa </li></ul><ul><li>Madagascar </li></ul><ul><li>Philippines </li></ul>
    15. 15. 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)
    16. 16. Infrastructure is insufficient without training
    17. 17. International Training in Medical Informatics (1997-2003) <ul><li>Mission: Enhance Informatics capacity in developing countries through training </li></ul><ul><li>10 Programs in 11 countries </li></ul><ul><li>Trained over 70 students, 40 to the level of MPH, MSc, or PhD. </li></ul><ul><li>100% of trainees that received US training returned to home countries </li></ul>
    18. 18. Examples of Projects <ul><li>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 </li></ul><ul><li>Establishment of first postgraduate/degree Program in Medical Informatics in sub-Saharan Africa </li></ul><ul><li>Distance learning project for MI in Brazil </li></ul>
    19. 19. Examples <ul><li>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. </li></ul>
    20. 20. Informatics Training for Global Health (ITGH- 2004) <ul><li>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. </li></ul><ul><li>Enquires regarding more than 70 institutions </li></ul><ul><li>Projects: Awards will be announced in May, 2004 </li></ul>
    21. 21. More advanced applications?
    22. 22. Health, Environment, and Economic Development (HEED) <ul><li>Mission: To encourage developmental and exploratory research in developing countries on topics that combine the issues of health, environment, and economic development. </li></ul>
    23. 23. Use of GIS analysis-one example <ul><li>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 geo-referenced database. </li></ul>
    24. 24. FIC Website: