NIH International Programs

Flora N. Katz, Ph.D.Fogarty International Center, N.I.H.

Office of the Director

National Instituteon Alcohol Abuseand Alcoholism

National Instituteof Arthritis andMusculoskeletal

and Skin Diseases

National CancerInstitute

National Instituteof Diabetes andDigestive and

Kidney Diseases

National Instituteof Dental andCraniofacial

Research

National Instituteon Drug Abuse

National Instituteof Environmental Health Sciences

National Instituteon Aging

National Instituteof Child Health

and HumanDevelopment

National Institute onDeafness and Other

CommunicationDisorders

National EyeInstitute

National HumanGenome Research

Institute

National Heart,Lung, and Blood

Institute

National Instituteof Mental Health

National Instituteof NeurologicalDisorders and

Stroke

National Instituteof General

Medical Sciences

National Instituteof Nursing Research

National Libraryof Medicine

Center for InformationTechnology

Center for Scientific Review

National Centerfor Complementary

and AlternativeMedicine

National Instituteof Allergy and

Infectious Diseases

National Centerfor ResearchResources

Clinical Center

National Center on Minority Health andHealth Disparities

National Institute of Biomedical Imagingand Bioengineering

FogartyInternational

Center

National Institutes of Health

Fogarty International Center, NIHFogarty International Center, NIHMission:

Promote and support scientific research and training

internationally to reduce disparities in global health.

““Science for Global Health”Science for Global Health”

Fogarty International Center Programs

29 Programs in 91 countries: Training (16) Research (11) Fellowship (2)

Most of our programs receive co-funding from other NIH Institutes and other USG agencies

Structure of Programs 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

FogartyFogartyInternational CenterInternational Center

International Research Scientist

Career DevelopmentMaternal & Child Health

Environment & Ecology

Mental Health / Stigma

Research

Tobacco Prevention &

Control

Health & Economic

Development

BioinformaticsBioethicsGenetics 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 Platform —— Mission Mission

Responsible Medical Reporting

Demography & Other Social Sciences

StudentProgram

Health, Environment and Economic Development

HeaBrain Disorders

Vector Biology & Arbovirology

Competing/In DevelopmentCompeting/In Development

Program Expansions (illustrative examples)Program Expansions (illustrative examples)

Current Programs (illustrative examples)Current Programs (illustrative examples)

FoundationFoundation

Communication, Mentoring, Program Management

Web-based Networking Collaboratories for Fogarty Training Programs

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) 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 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

Economic development

Biodiversity conservation

Drug discovery

New ICBG U01 Awards Uzbekistan/ Kyrgyzstan Papua New

Guinea Vietnam/Laos Madagascar Panama

New Planning Grants Costa Rica Jamaica Jordan Fiji Samoa Madagascar Philippines

Vietnam-Laos ICBG Drug Discovery ProgramVietnam-Laos ICBG Drug Discovery ProgramCuc-Phuong Park, VietnamCuc-Phuong Park, Vietnam

(Inventory, Sample Collection)(Inventory, Sample Collection)

Research Institute on Research Institute on Medicinal Plants, LaosMedicinal Plants, Laos(Samples and information)(Samples and information)

National Institute for Science and National Institute for Science and Technology, VietnamTechnology, Vietnam

(Extractions, prescreens, chemistry)(Extractions, prescreens, chemistry)

University of Illinois, ChicagoUniversity of Illinois, Chicago(Bioassays, Chemistry, Literature and Database searches)(Bioassays, Chemistry, Literature and Database searches)

BMS-oncologyBMS-oncology(cancer discovery and development)(cancer discovery and development)

Infrastructure is insufficient without training

International Training in Medical Informatics (1997-2003) 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 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 sub-Saharan Africa

Distance learning project for MI in Brazil

Examples 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)

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) 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 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.

FIC Website: FIC Website: http://www.fic.nih.govhttp://www.fic.nih.gov