WEBVTT

1
00:00:00.000 --> 00:00:06.220
 

2
00:00:06.240 --> 00:00:07.940
Good afternoon, everyone.

3
00:00:07.960 --> 00:00:11.420
This is Rick Woychik,
the director of NIEHS

4
00:00:11.440 --> 00:00:14.180
and I want to welcome you
to this special session

5
00:00:14.200 --> 00:00:19.260
of the National Advisory
Environmental Health Sciences Committee.

6
00:00:19.280 --> 00:00:22.860
I want to start off by saying
that pursuant pursuant to the government

7
00:00:22.880 --> 00:00:25.900
in the Sunshine Act,
all aspects of this meeting

8
00:00:25.920 --> 00:00:28.940
are open to the public,
except for the review , discussion

9
00:00:28.960 --> 00:00:33.900
and evaluation of grant applications
and related information.

10
00:00:33.920 --> 00:00:37.180
So again, welcome
all of you to the special session

11
00:00:37.200 --> 00:00:42.660
and we're going to be presenting to
you a. A

12
00:00:42.680 --> 00:00:44.300
concept to address

13
00:00:44.320 --> 00:00:47.660
the challenges
associated with climate change and health,

14
00:00:47.680 --> 00:00:51.100
and for reasons that will become clear in
just a few minutes.

15
00:00:51.120 --> 00:00:54.420
Joining me for this meeting are six
other IOC directors

16
00:00:54.440 --> 00:00:58.500
and I'd like to just take a moment
to ask them to introduce themselves.

17
00:00:58.520 --> 00:01:04.540
So could we start off with Dr. Bianchi?

18
00:01:04.560 --> 00:01:06.460
Hello, everyone, I hope you can see me,

19
00:01:06.480 --> 00:01:12.060
I can only see Dr Boyd check right now,
can you see me?

20
00:01:12.080 --> 00:01:12.780
Let's see.

21
00:01:12.800 --> 00:01:14.580
Yes, we can.

22
00:01:14.600 --> 00:01:15.780
Okay, great.

23
00:01:15.800 --> 00:01:16.260
Thank you.

24
00:01:16.280 --> 00:01:20.340
It's my it's my pleasure
because this is an incredibly

25
00:01:20.360 --> 00:01:22.980
important issue for children and families.

26
00:01:23.000 --> 00:01:24.500
Terrific. Diana, thank you.

27
00:01:24.520 --> 00:01:26.940
And Dr. Zink

28
00:01:26.960 --> 00:01:29.740
Shannon Hi, Shannon, I think

29
00:01:29.760 --> 00:01:32.740
from the National Institute
of Nursing Research.

30
00:01:32.760 --> 00:01:33.180
Terrific.

31
00:01:33.200 --> 00:01:34.260
Great to have you with us.

32
00:01:34.280 --> 00:01:37.260
And Dr. Ellis, they are established.

33
00:01:37.280 --> 00:01:41.220
Good afternoon or good morning for some,
I am, Melissa.

34
00:01:41.240 --> 00:01:41.980
But is this him?

35
00:01:42.000 --> 00:01:43.260
The director of the National Institute

36
00:01:43.280 --> 00:01:46.740
on Minority Health and Health Disparities
and glad to be here.

37
00:01:46.760 --> 00:01:47.660
Terrific, great.

38
00:01:47.680 --> 00:01:49.100
And we also joining us, Dr.

39
00:01:49.120 --> 00:01:52.340
Gibbons.

40
00:01:52.360 --> 00:01:54.460
Yes. Thank you, Rick.

41
00:01:54.480 --> 00:01:56.940
We're delighted to be part of this
as director

42
00:01:56.960 --> 00:01:59.860
of the National Heart,
Lung and Blood Institute important area,

43
00:01:59.880 --> 00:02:02.980
particularly regarding the health effects
of climate change.

44
00:02:03.000 --> 00:02:06.980
Great. Glad to be part of this. Thank you.

45
00:02:07.000 --> 00:02:07.540
Terrific.

46
00:02:07.560 --> 00:02:08.140
Excellent.

47
00:02:08.160 --> 00:02:11.620
And let's see, has Dr. Glass.

48
00:02:11.640 --> 00:02:14.260
I'm right here, thanks, and I'm

49
00:02:14.280 --> 00:02:17.660
glad to join this
on behalf of Florida International Center.

50
00:02:17.680 --> 00:02:21.460
And I think there's probably
no other issue that can be as global

51
00:02:21.480 --> 00:02:22.780
as climate change.

52
00:02:22.800 --> 00:02:25.020
It affects
absolutely everyone, everywhere.

53
00:02:25.040 --> 00:02:28.500
So we're delighted to be here.

54
00:02:28.520 --> 00:02:29.740
Excellent. Very good.

55
00:02:29.760 --> 00:02:30.660
And Dr.

56
00:02:30.680 --> 00:02:35.780
Gordon, have you joined us yet?

57
00:02:35.800 --> 00:02:38.700
Yes, Rick, I'm trying to start my video,
there you go.

58
00:02:38.720 --> 00:02:40.780
You can see me, you're not.
I can't see me.

59
00:02:40.800 --> 00:02:43.500
I'm on an iPad. But anyway, yes, I'm here.

60
00:02:43.520 --> 00:02:44.660
I actually have another meeting.

61
00:02:44.680 --> 00:02:46.380
I'm trying to juggle back and forth,

62
00:02:46.400 --> 00:02:49.260
but I'm going to stay with this one
as much as I can.

63
00:02:49.280 --> 00:02:54.700
It's this is climate change obviously
have huge impacts on mental health.

64
00:02:54.720 --> 00:02:58.860
A lot of what we can predict from
other work based upon say, for example,

65
00:02:58.880 --> 00:03:04.180
what we know about the mental health
impacts of of migrations and of disasters

66
00:03:04.200 --> 00:03:08.340
and of economic stressors, et cetera.

67
00:03:08.360 --> 00:03:12.220
But it's really important that we do
the research necessary to understand

68
00:03:12.240 --> 00:03:15.260
which communities are going to be greatest
affected from a mental health

69
00:03:15.280 --> 00:03:20.340
perspective and also develop interventions
that can help mitigate these effects.

70
00:03:20.360 --> 00:03:26.420
So really, really pleased to be joining
you and and really pleased that

71
00:03:26.440 --> 00:03:32.460
you're giving us the opportunity to help
to help build a program in this area.

72
00:03:32.480 --> 00:03:35.940
Well,
thanks to my six other IOC directors,

73
00:03:35.960 --> 00:03:41.100
and I also want to introduce
our acting deputy director, Dr.

74
00:03:41.120 --> 00:03:43.580
Gwen Collman.

75
00:03:43.600 --> 00:03:45.420
Afternoon, everyone.

76
00:03:45.440 --> 00:03:47.580
Happy to be here with all of you.

77
00:03:47.600 --> 00:03:51.380
And I want to introduce
the acting director for our division

78
00:03:51.400 --> 00:03:55.660
of astronaut research and training.

79
00:03:55.680 --> 00:03:59.260
Everyone, Gary Ellison
here, acting director of the division

80
00:03:59.280 --> 00:04:00.260
of Extramural Research

81
00:04:00.280 --> 00:04:04.500
and Training, as Dr. Woychik mentioned
 and welcome all of you,

82
00:04:04.520 --> 00:04:05.500
Great

83
00:04:05.520 --> 00:04:09.980
And Gary, I think you're going to take us
through and introduce our council members

84
00:04:10.000 --> 00:04:13.300
and some of the other visitors
that we have from other states.

85
00:04:13.320 --> 00:04:14.980
Is that correct?

86
00:04:15.000 --> 00:04:16.820
That's correct. Correct.

87
00:04:16.840 --> 00:04:20.020
And so I'll begin now

88
00:04:20.040 --> 00:04:20.460
again.

89
00:04:20.480 --> 00:04:25.740
I want to welcome all of you to this
special session of the National Advisory

90
00:04:25.760 --> 00:04:29.340
Committee
for Environmental Health Sciences,

91
00:04:29.360 --> 00:04:31.660
and I'd
like to thank all of the individuals

92
00:04:31.680 --> 00:04:36.220
who worked so tirelessly
to put this together.

93
00:04:36.240 --> 00:04:38.460
I'd like to start with

94
00:04:38.480 --> 00:04:42.300
an introduction of our council members,

95
00:04:42.320 --> 00:04:46.020
and if when I call your name, please

96
00:04:46.040 --> 00:04:49.900
state your name and your affiliation.

97
00:04:49.920 --> 00:04:50.860
Let's start with Dr.

98
00:04:50.880 --> 00:04:52.580
Goldman.

99
00:04:52.600 --> 00:04:57.420
Hello, everybody, I'm Lynn Goldman,
and I am dean of the Milken

100
00:04:57.440 --> 00:05:01.260
Institute School of Public Health
at George Washington University.

101
00:05:01.280 --> 00:05:01.900
Thank you.

102
00:05:01.920 --> 00:05:07.300
The Goldman doctor her specialty.

103
00:05:07.320 --> 00:05:10.620
I don't believe she's on it yet.

104
00:05:10.640 --> 00:05:11.860
OK. All right.

105
00:05:11.880 --> 00:05:14.380
Dr. Cavanaugh.

106
00:05:14.400 --> 00:05:15.180
John?

107
00:05:15.200 --> 00:05:17.540
Yes, thank you, Gary.

108
00:05:17.560 --> 00:05:18.660
Good afternoon, everyone.

109
00:05:18.680 --> 00:05:19.860
My name is Terry Cavanaugh.

110
00:05:19.880 --> 00:05:21.220
I'm a professor at the University

111
00:05:21.240 --> 00:05:25.100
of Washington Department of Environmental
and Occupational Health Sciences.

112
00:05:25.120 --> 00:05:25.660
Both Terry.

113
00:05:25.680 --> 00:05:27.220
Good to see you, Dr.

114
00:05:27.240 --> 00:05:31.100
Coffeemaker.

115
00:05:31.120 --> 00:05:32.540
Hi, I'm Katrina Smoker,

116
00:05:32.560 --> 00:05:35.860
I addressed the Community Engagement Corps
at the University of Rochester

117
00:05:35.880 --> 00:05:41.300
Environmental Health Sciences
Center gave Katrina Adobe to Parker.

118
00:05:41.320 --> 00:05:42.420
Hi, I'm Edith Parker.

119
00:05:42.440 --> 00:05:46.060
I'm the dean at the University
of Iowa College of Public Health.

120
00:05:46.080 --> 00:05:49.180
Thank you, Edith and Dr. Penny.

121
00:05:49.200 --> 00:05:50.780
Hi, everyone. Thank you, Gary.

122
00:05:50.800 --> 00:05:51.820
This is Trevor penning.

123
00:05:51.840 --> 00:05:56.500
I'm the director of the Center
of Excellence in Toxicology,

124
00:05:56.520 --> 00:06:01.140
which is the University of Pennsylvania's
P30 Environ Health Sciences Call Center.

125
00:06:01.160 --> 00:06:06.180
Thank you, Trevor, that the Lugo.

126
00:06:06.200 --> 00:06:07.820
Hi, everyone.

127
00:06:07.840 --> 00:06:09.180
Can you hear me?

128
00:06:09.200 --> 00:06:11.180
Yes. OK.

129
00:06:11.200 --> 00:06:15.940
My name is Marla logo and I am a professor
in the Department of Sociology

130
00:06:15.960 --> 00:06:22.260
and Disaster Studies at the University
of Texas at Rio Grande Valley.

131
00:06:22.280 --> 00:06:23.740
Thank you, Mala.

132
00:06:23.760 --> 00:06:28.700
Dr. Asset Brad Washington
University School of Medicine.

133
00:06:28.720 --> 00:06:29.780
Thank you, Brad.

134
00:06:29.800 --> 00:06:31.860
Dr. Tanqueray, Dr.

135
00:06:31.880 --> 00:06:33.980
Robin Tank.
We're here at Oregon State University.

136
00:06:34.000 --> 00:06:36.700
I also directed
the Superfund research program here.

137
00:06:36.720 --> 00:06:40.740
Thank you, Robin. Dr. Vasquez.

138
00:06:40.760 --> 00:06:42.540
I don't believe Cairns on either.

139
00:06:42.560 --> 00:06:46.580
OK, doctor, right Wright,

140
00:06:46.600 --> 00:06:49.180
Brighton chair of Environmental Medicine
at Mount Sinai School

141
00:06:49.200 --> 00:06:52.980
of Medicine and director of the Expo's
OMICS Institute.

142
00:06:53.000 --> 00:06:54.540
Thank you, Bob.

143
00:06:54.560 --> 00:06:58.100
Dr Sebelius.

144
00:06:58.120 --> 00:06:58.900
Hello.

145
00:06:58.920 --> 00:07:04.220
And also bullies, and I am an ex officio
member to the council, and I represent

146
00:07:04.240 --> 00:07:07.860
both the Centers for Disease Control,
National Center for Environmental Health,

147
00:07:07.880 --> 00:07:12.620
as well as the Agency for Toxic Substances
and Disease Registry.

148
00:07:12.640 --> 00:07:13.940
Thank you, Bill.

149
00:07:13.960 --> 00:07:16.820
Dr. Fitzpatrick.

150
00:07:16.840 --> 00:07:19.100
I don't believe she's on you.

151
00:07:19.120 --> 00:07:20.340
OK? And Dr.

152
00:07:20.360 --> 00:07:22.260
Geller, I know you're.

153
00:07:22.280 --> 00:07:23.740
Yes, this is Andrew Geller.

154
00:07:23.760 --> 00:07:29.140
I'm also an ex officio member representing
the Environmental Protection Agency.

155
00:07:29.160 --> 00:07:32.420
I'm in the Office of Research
and Development, where I'm the executive

156
00:07:32.440 --> 00:07:35.740
lead for lead
and environmental justice research.

157
00:07:35.760 --> 00:07:36.580
Thanks.

158
00:07:36.600 --> 00:07:37.540
Thank you, Andrew.

159
00:07:37.560 --> 00:07:43.500
And we have some special guests with us
today, members of other councils,

160
00:07:43.520 --> 00:07:49.420
among the six institutes and centers
that are involved in this initiative.

161
00:07:49.440 --> 00:07:54.220
So I'll start with Dr. Telfair.

162
00:07:54.240 --> 00:07:55.300
Hello.

163
00:07:55.320 --> 00:07:59.180
I'm Joseph Telfair, and I am professor

164
00:07:59.200 --> 00:08:03.140
and associate dean at Practicing Research
at Georgia Southern University.

165
00:08:03.160 --> 00:08:05.540
And I'm representing the M.H.

166
00:08:05.560 --> 00:08:07.660
Council Advisors.

167
00:08:07.680 --> 00:08:09.900
Thank you and welcome Dr.

168
00:08:09.920 --> 00:08:12.620
Wang.

169
00:08:12.640 --> 00:08:13.860
Hello, my name is

170
00:08:13.880 --> 00:08:18.940
Rebecca Wong and a professor of health
disparities, population and public health

171
00:08:18.960 --> 00:08:22.060
at the University of Texas Medical Branch,
and I'm

172
00:08:22.080 --> 00:08:25.300
representing the Nikkei Council.

173
00:08:25.320 --> 00:08:27.420
Thank you, Dr. Wong.

174
00:08:27.440 --> 00:08:32.580
Dr Lowe.

175
00:08:32.600 --> 00:08:33.740
Hello,

176
00:08:33.760 --> 00:08:38.660
my name is John Lowe, and I am a professor
at the University of Texas

177
00:08:38.680 --> 00:08:44.860
at Austin School of Nursing,
and I'm representing the council and INR.

178
00:08:44.880 --> 00:08:47.020
Thank you and welcome Dr.

179
00:08:47.040 --> 00:08:51.260
Waist-High.

180
00:08:51.280 --> 00:08:52.220
Good afternoon.

181
00:08:52.240 --> 00:08:54.020
I'm Judy Wasser height.

182
00:08:54.040 --> 00:08:57.620
I'm the chair of the Department of Global
Health at the University of Washington

183
00:08:57.640 --> 00:09:01.260
and a professor of medicine
and epidemiology here,

184
00:09:01.280 --> 00:09:05.820
and I am representing the Fogerty,
the Advisory

185
00:09:05.840 --> 00:09:08.260
Committee of the Fogarty
International Center.

186
00:09:08.280 --> 00:09:10.380
Thank you for hosting this.

187
00:09:10.400 --> 00:09:11.820
Thank you.

188
00:09:11.840 --> 00:09:16.020
And Dr. Zorya.

189
00:09:16.040 --> 00:09:17.940
Hello, everybody, I'm sorry.

190
00:09:17.960 --> 00:09:22.900
I'm an OB-GYN by training currently
dean of research at the European School

191
00:09:22.920 --> 00:09:27.180
of Medicine Medical Sciences
Campus, Actually, and AM member

192
00:09:27.200 --> 00:09:32.060
of the Council of the National Institute
of Minority Health and Disparities.

193
00:09:32.080 --> 00:09:33.780
And to be here.

194
00:09:33.800 --> 00:09:35.340
Thank you so much, everyone.

195
00:09:35.360 --> 00:09:37.460
Thank you for being here today.

196
00:09:37.480 --> 00:09:41.380
We have a lot to cover,
and so I'd like to get

197
00:09:41.400 --> 00:09:45.460
started with just a few announcements.

198
00:09:45.480 --> 00:09:47.740
And so first of all,

199
00:09:47.760 --> 00:09:51.420
how we conduct
this virtual could be meeting.

200
00:09:51.440 --> 00:09:54.700
The meeting is being webcast
and is important for

201
00:09:54.720 --> 00:09:58.460
our microphones
to be turned off after speaking.

202
00:09:58.480 --> 00:10:01.620
And as Nathan mentioned earlier today,

203
00:10:01.640 --> 00:10:07.100
please leave your camera off
unless you're speaking

204
00:10:07.120 --> 00:10:11.380
and and we'll ask you to unmute

205
00:10:11.400 --> 00:10:16.500
and also display your
camera when you're called on.

206
00:10:16.520 --> 00:10:17.100
Members of the

207
00:10:17.120 --> 00:10:21.260
public who may wish to express views
regarding any items discussed

208
00:10:21.280 --> 00:10:25.660
during the meeting
may do so by sending an email to council

209
00:10:25.680 --> 00:10:28.940
using the address
listed on the council web page.

210
00:10:28.960 --> 00:10:30.940
And I'll read that for you.

211
00:10:30.960 --> 00:10:39.500
It's NationalAdvisoryCouncil@NIEHS.NIH.GOV

212
00:10:39.520 --> 00:10:50.180
Again,
that's It's NationalAdvisoryCouncil@NIEHS.NIH.GOV

213
00:10:50.200 --> 00:10:53.700
Voting will be conducted
electronically via

214
00:10:53.720 --> 00:10:56.980
the council book,
and you should have received instructions

215
00:10:57.000 --> 00:11:01.060
from Liz McNair on how that would operate.

216
00:11:01.080 --> 00:11:03.620
And so what's going to happen today
is that

217
00:11:03.640 --> 00:11:07.060
we'll have a concept presentation by Dr.

218
00:11:07.080 --> 00:11:08.780
Claudia Thompson.

219
00:11:08.800 --> 00:11:14.980
There'll be three reviewers
who will discuss the concept

220
00:11:15.000 --> 00:11:17.740
and then we'll open it up for discussion

221
00:11:17.760 --> 00:11:20.740
for other members of the council,

222
00:11:20.760 --> 00:11:25.180
and we'll have a vote soon after that.

223
00:11:25.200 --> 00:11:28.180
So with that said,
I'll turn it back over to Dr.

224
00:11:28.200 --> 00:11:32.460
Wirtek for the remarks
before we go back to our concept.

225
00:11:32.480 --> 00:11:35.340
Terrific. Thanks very much, Dr. Allison.

226
00:11:35.360 --> 00:11:38.020
So I'll start off by
just giving you a little background here.

227
00:11:38.040 --> 00:11:41.620
The concept to be presented
during the special counsel by Dr.

228
00:11:41.640 --> 00:11:47.540
Thompson will outline a strategic
framework to address the climate crisis,

229
00:11:47.560 --> 00:11:52.620
and we'll be doing this by proposing
to to do basically four different things.

230
00:11:52.640 --> 00:11:56.220
first is to strengthen the capacity
for climate and health research at home

231
00:11:56.240 --> 00:11:58.140
and abroad.

232
00:11:58.160 --> 00:11:58.380
It will

233
00:11:58.400 --> 00:12:02.380
also promote the best science
and most impactful interventions,

234
00:12:02.400 --> 00:12:06.260
with an emphasis on health
equity and community engaged research.

235
00:12:06.280 --> 00:12:11.260
It will also support a pipeline
of climate change in health.

236
00:12:11.280 --> 00:12:14.660
I'm sorry to support a client,
a pipeline of climate change and health

237
00:12:14.680 --> 00:12:18.580
workforce and research, and to promote
synergies through collaboration

238
00:12:18.600 --> 00:12:22.300
with other federal agencies
and research organizations.

239
00:12:22.320 --> 00:12:25.340
So let me go to the next slide, please.

240
00:12:25.360 --> 00:12:28.540
So there's a little background,
I suspect, that you all realize that

241
00:12:28.560 --> 00:12:31.860
since the inauguration last January,
there has been an increasing

242
00:12:31.880 --> 00:12:34.980
focus on climate change
across the federal government.

243
00:12:35.000 --> 00:12:39.660
President Biden created the Office
of Climate Change and Health Equity,

244
00:12:39.680 --> 00:12:44.980
and he has also developed a specific plan,
a set of plans on climate change.

245
00:12:45.000 --> 00:12:48.660
He also issued executive order 14 008

246
00:12:48.680 --> 00:12:53.860
that specifically involves tackling
the climate crisis at home and abroad.

247
00:12:53.880 --> 00:12:57.540
It takes a government wide approach
to the climate crisis, and it's based on

248
00:12:57.560 --> 00:13:02.220
an environmental justice
framework to support the executive order.

249
00:13:02.240 --> 00:13:05.220
The presidents of the House
and the Senate budgets

250
00:13:05.240 --> 00:13:09.300
have all included language
to allocate $100 million

251
00:13:09.320 --> 00:13:12.460
to support research in climate change
and health equity.

252
00:13:12.480 --> 00:13:15.140
So while in
justice has been one of the lead

253
00:13:15.160 --> 00:13:17.940
I seized on climate change
and health in the past,

254
00:13:17.960 --> 00:13:21.100
it's clear that the challenges
associated with climate change

255
00:13:21.120 --> 00:13:24.940
greatly elevates threats to human health
across a wide

256
00:13:24.960 --> 00:13:28.700
range of illnesses and injuries
that are being studied across the NIH.

257
00:13:28.720 --> 00:13:33.980
It's bigger than what New Year,
just or what any single ICC can do.

258
00:13:34.000 --> 00:13:38.140
So while the $100 million
will be put into the New Year just budget,

259
00:13:38.160 --> 00:13:41.460
other ices at the NIH were named
and they have deliverables

260
00:13:41.480 --> 00:13:43.500
relating to the executive order.

261
00:13:43.520 --> 00:13:47.700
And it's also clear that the Biden
administration is looking for a niche wide

262
00:13:47.720 --> 00:13:51.740
response to the climate to the issues
of climate change and health.

263
00:13:51.760 --> 00:13:54.900
So therefore, we're taking an approach
where the hundred billion dollars

264
00:13:54.920 --> 00:13:58.780
will be used to catalyze
an NIH wide response

265
00:13:58.800 --> 00:14:02.220
to address the needs around climate change
and health and health equity.

266
00:14:02.240 --> 00:14:05.540
So next slide, please.

267
00:14:05.560 --> 00:14:05.780
So to

268
00:14:05.800 --> 00:14:11.420
provide leadership for this nice wide
response to several of us, I see directors

269
00:14:11.440 --> 00:14:15.180
that have a keen interest
in climate change and health.

270
00:14:15.200 --> 00:14:18.420
They're joining us
for this special session, value counsel,

271
00:14:18.440 --> 00:14:22.180
and they've introduced themselves
at the beginning of this session.

272
00:14:22.200 --> 00:14:25.140
So while I'm chairing the executive
committee, well, actually, we're

273
00:14:25.160 --> 00:14:29.660
all forming what's called the Executive
Committee for Climate Change and Health.

274
00:14:29.680 --> 00:14:31.900
Now I'm chairing the Executive Committee

275
00:14:31.920 --> 00:14:33.780
and I'll be working with other members
of the committee

276
00:14:33.800 --> 00:14:37.020
to provide input on the directions
of climate change and health

277
00:14:37.040 --> 00:14:40.860
and equity
health equity research at the NIH.

278
00:14:40.880 --> 00:14:44.380
So most notably,
the Executive Committee has re-energized

279
00:14:44.400 --> 00:14:47.940
a longstanding working group
with over 120 members

280
00:14:47.960 --> 00:14:51.980
from 18 offices
and four offices across the NIH.

281
00:14:52.000 --> 00:14:54.180
The working group is co-chaired by Dr.

282
00:14:54.200 --> 00:14:56.540
Aubrey Miller at NIEHS and Dr.

283
00:14:56.560 --> 00:15:00.620
Josh Rosenthal
at the Albany International Center.

284
00:15:00.640 --> 00:15:02.860
So there is a steering committee
of the working group

285
00:15:02.880 --> 00:15:08.220
with designated appointees from the six
represented on the Executive Committee.

286
00:15:08.240 --> 00:15:13.020
The steering committee is working
with doctors Miller and Rosenthal to make.

287
00:15:13.040 --> 00:15:15.460
Sure, that the goals of the working group
are achieved.

288
00:15:15.480 --> 00:15:19.900
And Dr Coleman, an idea justice providing
the much needed central coordination

289
00:15:19.920 --> 00:15:23.940
to make sure that everything
is working in synchrony with each other.

290
00:15:23.960 --> 00:15:28.140
So we're working hard to engage
other IOC directors and their staffs

291
00:15:28.160 --> 00:15:33.220
to be working with us on this I.h wide
initiative.

292
00:15:33.240 --> 00:15:36.140
So next slide, please.

293
00:15:36.160 --> 00:15:39.780
So before turning this back over to to Dr.

294
00:15:39.800 --> 00:15:44.940
Ellison, I want to once again recognize
all members of the executive committee

295
00:15:44.960 --> 00:15:48.060
who introduced themselves
at the beginning,

296
00:15:48.080 --> 00:15:52.980
and I truly appreciate their willingness
to join me to take the time to serve

297
00:15:53.000 --> 00:15:58.220
on the executive committee and provide
leadership for this new wide initiative.

298
00:15:58.240 --> 00:16:02.020
So thanks again to all of you
for joining for today's session.

299
00:16:02.040 --> 00:16:07.020
Next slide in my final slide
here is again, I want to just

300
00:16:07.040 --> 00:16:10.100
acknowledge
the co-chairs of the working group,

301
00:16:10.120 --> 00:16:14.060
as well as members of the steering
committee and others that contributed

302
00:16:14.080 --> 00:16:18.380
in very important ways
to getting us to where we are today.

303
00:16:18.400 --> 00:16:21.580
So without further ado,
and to keep things moving along here,

304
00:16:21.600 --> 00:16:23.340
let me turn this back over to Dr.

305
00:16:23.360 --> 00:16:26.700
Ellison, and he will review,
I believe, going to review

306
00:16:26.720 --> 00:16:29.820
the confidentiality
and conflict of interests.

307
00:16:29.840 --> 00:16:33.660
So, Gary, it's all yours.

308
00:16:33.680 --> 00:16:34.660
Thank you, Dr.

309
00:16:34.680 --> 00:16:35.140
Lloyd said.

310
00:16:35.160 --> 00:16:41.740
We'll get right into the presentation
by Dr.

311
00:16:41.760 --> 00:16:44.740
Thompson,
and if we could bring those slides

312
00:16:44.760 --> 00:16:48.660
up, please and Claudia,

313
00:16:48.680 --> 00:16:51.420
please prepare to

314
00:16:51.440 --> 00:16:52.460
present the concept.

315
00:16:52.480 --> 00:16:54.980
Thank you.

316
00:16:55.000 --> 00:16:56.900
OK, thanks.

317
00:16:56.920 --> 00:16:59.220
So good afternoon, everybody.

318
00:16:59.240 --> 00:17:02.060
I'm very excited
and really honored to present

319
00:17:02.080 --> 00:17:05.180
to you on behalf
of the very large NIEHS Team

320
00:17:05.200 --> 00:17:08.540
Dr. Woychik just acknowledged a concept
in Nature, Climate

321
00:17:08.560 --> 00:17:11.940
Change and Health Initiative.

322
00:17:11.960 --> 00:17:17.780
All right, one.

323
00:17:17.800 --> 00:17:21.460
I do not need to tell this audience
that climate change is putting our planet

324
00:17:21.480 --> 00:17:25.620
and all its inhabitants at risk, national
and international organizations

325
00:17:25.640 --> 00:17:28.820
have coalesced
and issued proclamations of concern.

326
00:17:28.840 --> 00:17:31.420
A recent Intergovernmental Panel
on Climate Change

327
00:17:31.440 --> 00:17:34.820
report was called a code red for Humanity
by the U.N.

328
00:17:34.840 --> 00:17:36.180
secretary general.

329
00:17:36.200 --> 00:17:37.700
There is irrefutable evidence

330
00:17:37.720 --> 00:17:41.660
that greenhouse gas emissions
from fossil fuel burning and deforestation

331
00:17:41.680 --> 00:17:45.740
are choking our planet and putting
billions of people at immediate risk.

332
00:17:45.760 --> 00:17:48.340
Global heating
is affecting every region on Earth,

333
00:17:48.360 --> 00:17:52.380
with many of the changes
becoming irreversible.

334
00:17:52.400 --> 00:17:52.740
But this

335
00:17:52.760 --> 00:17:57.060
past year also demonstrated
that climate change hazards do not go away

336
00:17:57.080 --> 00:18:00.140
just because other health
crises are erupting.

337
00:18:00.160 --> 00:18:03.740
This is a figure from a paper by Philip
say all that was published in Nature

338
00:18:03.760 --> 00:18:07.780
Climate showing that during the worldwide
COVID 19 pandemic,

339
00:18:07.800 --> 00:18:12.380
there were still major climate disasters
occurring across the globe

340
00:18:12.400 --> 00:18:16.100
and in many times
putting at most risk under-resourced

341
00:18:16.120 --> 00:18:19.940
and marginalized populations.

342
00:18:19.960 --> 00:18:20.500
As Dr.

343
00:18:20.520 --> 00:18:24.620
Wojciech mentioned in his opening remarks,
there is a renewed federal action

344
00:18:24.640 --> 00:18:25.820
on climate change.

345
00:18:25.840 --> 00:18:30.300
The complexity of climate change impacts
on health are enormous, being mediated

346
00:18:30.320 --> 00:18:35.020
by interrelated environmental exposures,
social and behavioral factors.

347
00:18:35.040 --> 00:18:40.540
These relationships are clearly
illustrated in this diagram developed by

348
00:18:40.560 --> 00:18:43.020
the Global Climate Research

349
00:18:43.040 --> 00:18:46.740
Program Health Assessment of 2016.

350
00:18:46.760 --> 00:18:50.140
As you can see here, climate drivers,
as depicted in the center

351
00:18:50.160 --> 00:18:53.380
top, affect health outcomes
directly through weather events

352
00:18:53.400 --> 00:18:57.780
such as extreme heat, wildfires,
droughts, storm surges and floods,

353
00:18:57.800 --> 00:19:00.940
but also indirectly
through a series of exposure pathways

354
00:19:00.960 --> 00:19:04.820
shown in the middle of this graphic,
such as air and water quality,

355
00:19:04.840 --> 00:19:08.940
soil quality, infectious disease
and population displacement events.

356
00:19:08.960 --> 00:19:12.700
These pathways, in turn,
are influenced by environmental context

357
00:19:12.720 --> 00:19:16.460
related to land use, geography,
infrastructure and agriculture,

358
00:19:16.480 --> 00:19:20.060
as depicted in the gray box on the map,
as well as social behavioral

359
00:19:20.080 --> 00:19:24.900
economic contexts that create
vulnerabilities across live stage gender

360
00:19:24.920 --> 00:19:30.820
poverty, discrimination and access to care
as listed in the gray box on the right.

361
00:19:30.840 --> 00:19:33.220
When we look at this holistically,

362
00:19:33.240 --> 00:19:36.020
it's clear
that there's lots of interconnections here

363
00:19:36.040 --> 00:19:39.820
and that the solutions for climate crisis
will require innovative

364
00:19:39.840 --> 00:19:45.740
transdisciplinary research ,
which will also use a systems approaches.

365
00:19:45.760 --> 00:19:48.500
We must also be cognizant that though
climate change

366
00:19:48.520 --> 00:19:52.620
may affect all of us, there are many
that will be disproportionately affected.

367
00:19:52.640 --> 00:19:56.700
This includes underserved populations
with health disparities,

368
00:19:56.720 --> 00:20:00.300
exposed workers, persons
with disabilities,

369
00:20:00.320 --> 00:20:05.780
vulnerabilities of related to life stages
such as during the fatal

370
00:20:05.800 --> 00:20:09.860
prenatal period, pregnant women
or the elderly, to name a few

371
00:20:09.880 --> 00:20:13.900
vulnerabilities that are associated with
preexisting chronic medical conditions,

372
00:20:13.920 --> 00:20:18.540
as well as populations of low and middle
income countries where there is existing

373
00:20:18.560 --> 00:20:23.100
diseases, malnutrition
and extreme poverty.

374
00:20:23.120 --> 00:20:26.900
Considering all the resources
and experience at NIH for addressing

375
00:20:26.920 --> 00:20:31.900
really complex issue, there is probably
no more of a challenging issue

376
00:20:31.920 --> 00:20:35.180
than the impact of climate change
on our health.

377
00:20:35.200 --> 00:20:39.100
Taking the call to a solution
driven action nature's fashionista

378
00:20:39.120 --> 00:20:40.180
estrategia framework

379
00:20:40.200 --> 00:20:45.380
to lead the agency forward with a climate
change and health initiative.

380
00:20:45.400 --> 00:20:46.260
This next slide

381
00:20:46.280 --> 00:20:50.180
just summarizes what the goal
and objectives of our program.

382
00:20:50.200 --> 00:20:53.060
It's to reduce health threats across
lifespan and build

383
00:20:53.080 --> 00:20:56.980
health resilience in individuals,
communities and nations across the world,

384
00:20:57.000 --> 00:20:59.900
especially among those
at the highest risk.

385
00:20:59.920 --> 00:21:03.620
Our objectives are to identify
risks and optimize benefits

386
00:21:03.640 --> 00:21:07.020
to develop the necessary research,
infrastructure and workforce

387
00:21:07.040 --> 00:21:09.860
to leverage partnerships
across many different scientific

388
00:21:09.880 --> 00:21:13.940
disciplines and organizations
to achieve the most impactful results

389
00:21:13.960 --> 00:21:18.980
and innovate across the research community
to ensure findings are credible,

390
00:21:19.000 --> 00:21:24.970
usable and equitable.

391
00:21:24.990 --> 00:21:26.260


392
00:21:26.280 --> 00:21:28.260
As Dr. Woychik mentioned,

393
00:21:28.280 --> 00:21:31.580
There's been a very large team
that's been working

394
00:21:31.600 --> 00:21:36.300
tirelessly through the summer to
to get to where we are today.

395
00:21:36.320 --> 00:21:39.740
And if nothing, it's been full speed ahead
and on a very accelerated

396
00:21:39.760 --> 00:21:42.740
pace, as you can see from the timeline
on the right.

397
00:21:42.760 --> 00:21:46.340
Starting with the formation
of the executive committee in the summer,

398
00:21:46.360 --> 00:21:49.860
there have been a number of inputs
and activities that have occurred

399
00:21:49.880 --> 00:21:53.660
over the last three or four months
that really been useful in forming

400
00:21:53.680 --> 00:21:57.260
and shaping our strategic framework
moving forward in.

401
00:21:57.280 --> 00:22:00.660
Some of those inputs are shown
on the left of the slide.

402
00:22:00.680 --> 00:22:02.340
I'd like to take just a few minutes

403
00:22:02.360 --> 00:22:07.340
to go through some of what we've been
doing and and the results

404
00:22:07.360 --> 00:22:10.740
and findings from these activities.

405
00:22:10.760 --> 00:22:15.500
first,
I'd like to discuss a portfolio analysis

406
00:22:15.520 --> 00:22:20.380
that was led by Louise Rosenbaum
from Nursing and Christy Drew at NIEHS,

407
00:22:20.400 --> 00:22:26.020
a portfolio of 350 funded wards from
fiscal year 2011 to 2020 across the NIH.

408
00:22:26.040 --> 00:22:28.980
This dark matter,
experts of the working group,

409
00:22:29.000 --> 00:22:32.660
as well as the NIH Office of Portfolio
Analysis.

410
00:22:32.680 --> 00:22:36.020
The following graphs displays
initial characterization

411
00:22:36.040 --> 00:22:39.500
of the portfolio,
as you can see from this picture.

412
00:22:39.520 --> 00:22:43.980
The greatest number of the work
grants funded were by NIEHS

413
00:22:44.000 --> 00:22:47.260
But what's really important
is that 21 other agencies

414
00:22:47.280 --> 00:22:51.620
also supported climate change in health
research and capacity building projects.

415
00:22:51.640 --> 00:22:55.300
As you can see, in essence of allergy
and infectious disease was second

416
00:22:55.320 --> 00:22:58.260
next tied to the number of funded wards,
followed by far

417
00:22:58.280 --> 00:22:59.660
with the International Center

418
00:22:59.680 --> 00:23:03.700
and the National Institute of
Child Health and Development.

419
00:23:03.720 --> 00:23:06.620
Doing a deeper dove using the NIH
research,

420
00:23:06.640 --> 00:23:10.900
conditioned disease privatization
and its climate change category,

421
00:23:10.920 --> 00:23:13.820
our RC DC concepts were identified

422
00:23:13.840 --> 00:23:16.820
for each of the 350 awarded grants.

423
00:23:16.840 --> 00:23:20.820
Initially, more than 50 300
different concepts were identified,

424
00:23:20.840 --> 00:23:22.420
but that's really not manageable.

425
00:23:22.440 --> 00:23:26.260
So we
there was a selection of the top concepts

426
00:23:26.280 --> 00:23:29.780
based on measures of uniqueness
and frequency.

427
00:23:29.800 --> 00:23:32.540
And this slide is showing the results
of a couple

428
00:23:32.560 --> 00:23:36.300
of the concepts
that I wanted to pull up for you today.

429
00:23:36.320 --> 00:23:38.820
Of the 350 awarded grants,

430
00:23:38.840 --> 00:23:42.980
233 experts explicitly identified weather

431
00:23:43.000 --> 00:23:47.660
related concepts with the most common
terms listed on the left bubble.

432
00:23:47.680 --> 00:23:51.860
And similarly, 215 awards
explicitly identified

433
00:23:51.880 --> 00:23:56.140
a health outcome and those that are most
common are shown in the right field.

434
00:23:56.160 --> 00:24:00.260
They said this is really
just the beginning of a much greater dot

435
00:24:00.280 --> 00:24:04.140
analysis that will move forward
to really understand where we are

436
00:24:04.160 --> 00:24:10.700
and see where the gaps are and help
to inform programs as we move forward.

437
00:24:10.720 --> 00:24:12.780
Another area activities that

438
00:24:12.800 --> 00:24:17.420
we did this summer was issuing a request
for application.

439
00:24:17.440 --> 00:24:19.380
The purpose for this was to really gather

440
00:24:19.400 --> 00:24:23.820
input on approaches
that age can take to enhance research

441
00:24:23.840 --> 00:24:27.700
on the health implications
of climate change in the US and globally.

442
00:24:27.720 --> 00:24:31.620
LED by Regina, Birth of Child
Health and women myself at NIH

443
00:24:31.640 --> 00:24:36.260
as the steering committee issued a request
for information on July 30th,

444
00:24:36.280 --> 00:24:39.180
with responses due on September 17.

445
00:24:39.200 --> 00:24:44.460
As you can see on this first slide,
there was total of 184 responses received

446
00:24:44.480 --> 00:24:48.420
from a range of organizations
since depicted on the pie

447
00:24:48.440 --> 00:24:54.380
chart on the left, with the majority
representing academic institutions.

448
00:24:54.400 --> 00:24:56.020
But was really kind of cool.

449
00:24:56.040 --> 00:24:58.740
And I think impressive
is that many of the responses

450
00:24:58.760 --> 00:25:03.660
that were received actually represented
consensus statements from an organization

451
00:25:03.680 --> 00:25:07.900
or from multiple departments
within the university.

452
00:25:07.920 --> 00:25:09.940
While all the data that we collected on

453
00:25:09.960 --> 00:25:13.660
that submissions were coded along
the lines of the six climate change

454
00:25:13.680 --> 00:25:19.340
and health priority areas that are shown
on the graphic on the right,

455
00:25:19.360 --> 00:25:22.900
as you can see from the slide,
the greatest number of responses addressed

456
00:25:22.920 --> 00:25:24.420
innovative research,

457
00:25:24.440 --> 00:25:28.540
and we saw similar short responses
for translation dissemination,

458
00:25:28.560 --> 00:25:32.500
scientific infrastructure, diverse
workforce and partnerships to address

459
00:25:32.520 --> 00:25:35.220
environmental justice and resilience and

460
00:25:35.240 --> 00:25:38.300
and less for the research response.

461
00:25:38.320 --> 00:25:42.020
So I'd just like to take a few minutes
to summarize

462
00:25:42.040 --> 00:25:46.060
some of the common themes
that we saw across these

463
00:25:46.080 --> 00:25:50.060
different priority areas.

464
00:25:50.080 --> 00:25:52.340
So when we look at

465
00:25:52.360 --> 00:25:53.780
innovative research,

466
00:25:53.800 --> 00:25:57.940
there is overwhelming affirmation
of the ideas outlined in our fight,

467
00:25:57.960 --> 00:26:02.220
and many provided specific strategies
to address the priorities and gaps

468
00:26:02.240 --> 00:26:06.900
or provided additional topic
urged for research to be done.

469
00:26:06.920 --> 00:26:10.420
Another common message that we saw was

470
00:26:10.440 --> 00:26:14.620
that research needed was needed
on the direct particular

471
00:26:14.640 --> 00:26:17.700
text of climate change,
the effects of adaptation

472
00:26:17.720 --> 00:26:21.020
and mitigation strategies
from the mechanistic level

473
00:26:21.040 --> 00:26:26.060
to the population level, and research
evaluating co-benefits of climate change.

474
00:26:26.080 --> 00:26:29.540
When we consider
the scientific infrastructure to address

475
00:26:29.560 --> 00:26:32.340
climate change and health.

476
00:26:32.360 --> 00:26:35.420
one of the common themes that we saw
was that nature.

477
00:26:35.440 --> 00:26:38.620
NIH should take a leadership role
in collecting, managing

478
00:26:38.640 --> 00:26:41.860
and sharing data
available from national repositories

479
00:26:41.880 --> 00:26:46.180
and creating that structure for data
in terms of availability, usability

480
00:26:46.200 --> 00:26:49.540
and forming networks of resources
that are available

481
00:26:49.560 --> 00:26:54.620
to broad public.

482
00:26:54.640 --> 00:26:55.260
When we look

483
00:26:55.280 --> 00:26:59.700
at concert research and community
partnerships, climate equity

484
00:26:59.720 --> 00:27:03.820
and Justice Woods very frequently
identified as an important concept that

485
00:27:03.840 --> 00:27:09.020
needed to be incorporated into programs
that we developed for this initiative.

486
00:27:09.040 --> 00:27:11.980
Cultivating domestic
international partnerships

487
00:27:12.000 --> 00:27:15.940
was also mentioned quite frequently,
as well as the need

488
00:27:15.960 --> 00:27:19.300
for community involvement
being an integral part of the research

489
00:27:19.320 --> 00:27:24.100
education
outreach activities for this initiative.

490
00:27:24.120 --> 00:27:24.620
When we

491
00:27:24.640 --> 00:27:28.020
consider translation
dissemination of research findings,

492
00:27:28.040 --> 00:27:32.100
a common message was the need
for improving community communication

493
00:27:32.120 --> 00:27:35.620
and dissemination of the findings
to the various stakeholders

494
00:27:35.640 --> 00:27:39.900
and development of sound evidence
based policies and interventions.

495
00:27:39.920 --> 00:27:44.100
There is also recognize
the need to support research and research

496
00:27:44.120 --> 00:27:49.140
to practice partnerships for effectively
communicating to broad audiences,

497
00:27:49.160 --> 00:27:52.540
as well as providing transparent,
inclusive processes

498
00:27:52.560 --> 00:27:57.220
to ensure equitable engagement
by experts with those with live,

499
00:27:57.240 --> 00:28:02.300
with lived experiences, non-profits
and some philanthropic organizations

500
00:28:02.320 --> 00:28:08.740
so that the data that is communicated
is equitable and means viable.

501
00:28:08.760 --> 00:28:11.300
And lastly,
when we look at diverse workforce

502
00:28:11.320 --> 00:28:14.700
to address human health
and climate change, it was emphasized

503
00:28:14.720 --> 00:28:19.420
the importance of transdisciplinary
efforts for education, training, research,

504
00:28:19.440 --> 00:28:22.740
outreach and communication,
as well as fostering partnerships

505
00:28:22.760 --> 00:28:26.900
between research intensive universities
and minority serving institutions

506
00:28:26.920 --> 00:28:30.460
in order to reach more levels
of the health workforce in establishing

507
00:28:30.480 --> 00:28:34.140
pipelines, providing more diverse students
into the health sciences.

508
00:28:34.160 --> 00:28:35.140
And last.

509
00:28:35.160 --> 00:28:39.660
When we think about
rapid response capacity,

510
00:28:39.680 --> 00:28:39.900
there

511
00:28:39.920 --> 00:28:45.100
was a general feeling that was important
for the collection of baseline

512
00:28:45.120 --> 00:28:49.620
health data, especially in areas of high
probability of extreme weather events,

513
00:28:49.640 --> 00:28:52.460
as well as considering
different approaches for collecting

514
00:28:52.480 --> 00:28:57.180
real near real time
analysis of climate related hazards

515
00:28:57.200 --> 00:29:02.140
on the functioning of health systems.

516
00:29:02.160 --> 00:29:03.140
Another activity

517
00:29:03.160 --> 00:29:09.820
that was occurred this
this fall was the landscape analysis

518
00:29:09.840 --> 00:29:13.820
to provide that high level overview
of activities related to climate change

519
00:29:13.840 --> 00:29:18.300
in terms of research
funding organizations outside of NIH,

520
00:29:18.320 --> 00:29:19.020
a small group

521
00:29:19.040 --> 00:29:22.900
led by a ministry and hailing North
Sofosbuvir, the International Center

522
00:29:22.920 --> 00:29:26.820
compiled information
based on publicly available sources.

523
00:29:26.840 --> 00:29:30.220
A lot of the information is based
on programmatic interest, funding,

524
00:29:30.240 --> 00:29:34.300
opportunity announcements and descriptions
of previously funded grants.

525
00:29:34.320 --> 00:29:35.980
And this was done in the fall.

526
00:29:36.000 --> 00:29:38.980
I think the main point
I'd like to make here is that

527
00:29:39.000 --> 00:29:43.100
there are many different activities
that are going across the US,

528
00:29:43.120 --> 00:29:47.300
federal government agencies,
as well as international organizations.

529
00:29:47.320 --> 00:29:50.580
But when we think about coordination,
Eric groups

530
00:29:50.600 --> 00:29:54.740
that are focusing on climate
and health focused research and

531
00:29:54.760 --> 00:29:58.940
and agencies and groups
that have data and information

532
00:29:58.960 --> 00:30:03.860
that can be relatively relevant
to climate change and health programs.

533
00:30:03.880 --> 00:30:07.580
But I think it's really important
that we understand what

534
00:30:07.600 --> 00:30:10.380
identify these potential topics
and partners

535
00:30:10.400 --> 00:30:14.540
for future communication, coordination
and collaboration of activities,

536
00:30:14.560 --> 00:30:18.380
as well as to identify areas of unique
NIH contributions.

537
00:30:18.400 --> 00:30:22.940
Because I think it will be important
to be complementary to not duplicative

538
00:30:22.960 --> 00:30:24.300
and to really look at where

539
00:30:24.320 --> 00:30:28.340
those intersection now these are between
our various organizations

540
00:30:28.360 --> 00:30:32.660
in order to Leavitt to leverage
all the knowledge available

541
00:30:32.680 --> 00:30:38.940
in order to advance an initiative
in climate change and health.

542
00:30:38.960 --> 00:30:39.900
The last

543
00:30:39.920 --> 00:30:43.380
activity I'd like to briefly mention
is that NIH Working Group

544
00:30:43.400 --> 00:30:47.260
synthesis or whiteboard meeting
that was held in September.

545
00:30:47.280 --> 00:30:51.100
The purpose of this was to gain input
from internal climate change and help

546
00:30:51.120 --> 00:30:54.100
working group and steering
committee members on what they consider

547
00:30:54.120 --> 00:30:56.900
the most important actions for
NIH to explore.

548
00:30:56.920 --> 00:31:00.060
It was really a very robust
two and a half three hour meeting

549
00:31:00.080 --> 00:31:03.860
brought together
61 participants from twelve issues,

550
00:31:03.880 --> 00:31:08.780
and we discussed the five themes
new ideas, gaps and case study examples.

551
00:31:08.800 --> 00:31:12.340
At the end of the day, which is really
I think

552
00:31:12.360 --> 00:31:17.260
some heartening was that when we really,
when we look at the comments are coming

553
00:31:17.280 --> 00:31:21.380
across the NIH in consideration of what
we've heard from many other inputs.

554
00:31:21.400 --> 00:31:26.980
There's real coalescing of
of need and topic areas for the future,

555
00:31:27.000 --> 00:31:32.900
including the importance
of training, tool development, equity,

556
00:31:32.920 --> 00:31:34.540
looking at the co-benefits

557
00:31:34.560 --> 00:31:38.380
systems, transdisciplinary approaches,
fostering partnerships

558
00:31:38.400 --> 00:31:42.060
and the role of community health workers
and citizen science and strategies

559
00:31:42.080 --> 00:31:47.980
to increase diversity, equity,
inclusiveness of the biomedical workforce.

560
00:31:48.000 --> 00:31:51.020
So to this point,
I've really been summarizing

561
00:31:51.040 --> 00:31:55.980
a lot of information that we've collected
over the summer and fall

562
00:31:56.000 --> 00:31:58.620
that has been helping to form and shape

563
00:31:58.640 --> 00:32:01.700
our strategic framework and initiative.

564
00:32:01.720 --> 00:32:04.820
And I'm just putting this slide back up
to remind you of the goals

565
00:32:04.840 --> 00:32:11.100
and the objectives
of this of this concept.

566
00:32:11.120 --> 00:32:16.420
And so as we of.

567
00:32:16.440 --> 00:32:19.300
Sorry about that.

568
00:32:19.320 --> 00:32:21.020
So what will we take

569
00:32:21.040 --> 00:32:25.420
all the information we gathered, as well
as the expertize of a members of our team?

570
00:32:25.440 --> 00:32:29.660
We have formally this visual that depicts,

571
00:32:29.680 --> 00:32:32.100
I'm sorry about that phone call.

572
00:32:32.120 --> 00:32:35.700
We have this visual here that

573
00:32:35.720 --> 00:32:39.060
that depicts
our framework and how we can think about

574
00:32:39.080 --> 00:32:42.980
operationalizing accounts
of climate change and health initiative.

575
00:32:43.000 --> 00:32:45.780
And it really, you know, is grounded

576
00:32:45.800 --> 00:32:50.940
in a foundation of four core tenants,
including Health Effects Research,

577
00:32:50.960 --> 00:32:54.740
which is that scientific investigation
of influences of climate change on health

578
00:32:54.760 --> 00:32:59.260
outcomes, including spatial
and temporal scales , pathways, mechanisms

579
00:32:59.280 --> 00:33:02.300
and risks of specific times
of vulnerability

580
00:33:02.320 --> 00:33:05.900
across the life stage,
as well as to special populations.

581
00:33:05.920 --> 00:33:08.700
Such research
will inform the identification of trends,

582
00:33:08.720 --> 00:33:10.860
prediction of risk and adoption of actions

583
00:33:10.880 --> 00:33:13.940
to prevent and respond
to the negative health outcomes.

584
00:33:13.960 --> 00:33:18.940
Another key tenet of the submission
of this framework is health equity.

585
00:33:18.960 --> 00:33:25.500
The emphasis on integration throughout.

586
00:33:25.520 --> 00:33:26.980
Sorry,

587
00:33:27.000 --> 00:33:30.500
health equity, which is the emphasis
on integration throughout the initiative

588
00:33:30.520 --> 00:33:36.490
on recognizing responding
to the needs of populations most at risk

589
00:33:36.510 --> 00:33:37.700


590
00:33:37.720 --> 00:33:40.100
of the
climate change impacts to the health.

591
00:33:40.120 --> 00:33:44.980
Health equity requires elevation of. Of

592
00:33:45.000 --> 00:33:46.980
the concern to rights of under

593
00:33:47.000 --> 00:33:50.220
and historically disadvantaged
communities, underserved and help

594
00:33:50.240 --> 00:33:54.300
disparate populations and communities
burdened by environmental injustice

595
00:33:54.320 --> 00:33:57.980
and including communities of color
by bringing focused attention

596
00:33:58.000 --> 00:34:01.620
to the lived experiences of the most
affected individuals of communities,

597
00:34:01.640 --> 00:34:02.180
will ensure

598
00:34:02.200 --> 00:34:06.140
that the benefits of our scientific
discovery create greater health equity .

599
00:34:06.160 --> 00:34:08.660
A third core tenet is intervention
research.

600
00:34:08.680 --> 00:34:13.020
That's science that provides evidence base
for development and implementation

601
00:34:13.040 --> 00:34:15.540
of timely and effective strategies

602
00:34:15.560 --> 00:34:18.700
to prevent disease and disability
promote health.

603
00:34:18.720 --> 00:34:22.020
The urgency of the climate change
of changing climate provides

604
00:34:22.040 --> 00:34:25.860
an imperative for research
that can both guide individual actions

605
00:34:25.880 --> 00:34:28.740
and policies of community
and population levels

606
00:34:28.760 --> 00:34:31.580
to improve health outcomes now
and in the future.

607
00:34:31.600 --> 00:34:34.980
And the last core Tenet
is training a capacity building

608
00:34:35.000 --> 00:34:38.620
that transmission of the fundamental
knowledge and skills to conduct

609
00:34:38.640 --> 00:34:42.580
multidisciplinary employment,
health sciences, developing innovative

610
00:34:42.600 --> 00:34:46.820
and supporting technologies,
and to translate findings to facilitate

611
00:34:46.840 --> 00:34:53.340
understanding of and adaption to the growing threat of climate change and health.

612
00:34:53.360 --> 00:34:55.780
And so

613
00:34:55.800 --> 00:34:58.300
and so,

614
00:34:58.320 --> 00:35:02.500
you know, and then in order to implement
these four core tenets

615
00:35:02.520 --> 00:35:04.500
or a number of different fields of science

616
00:35:04.520 --> 00:35:07.780
that are listed on the cards
on the outside of the real

617
00:35:07.800 --> 00:35:11.140
and you know, it's important
to realize that to advance

618
00:35:11.160 --> 00:35:14.940
this field is not a number of silence
working independently.

619
00:35:14.960 --> 00:35:19.540
But in fact, is that global cross
sectional, cross-sector, interagency

620
00:35:19.560 --> 00:35:22.860
and community partnerships
that will integrate information

621
00:35:22.880 --> 00:35:26.780
across many different fields and areas
in order to create that

622
00:35:26.800 --> 00:35:32.940
transdisciplinary, transformative research
that we envision for this program.

623
00:35:32.960 --> 00:35:36.980
And as we all know,
Transdisciplinary Research is really hard

624
00:35:37.000 --> 00:35:41.220
and it takes a lot of time and it takes
lots of people working together,

625
00:35:41.240 --> 00:35:44.020
finding commonalities
in a common language.

626
00:35:44.040 --> 00:35:47.500
And so the implementation
of a climate change and health initiative

627
00:35:47.520 --> 00:35:51.060
will require
experts from a wide breadth of fields

628
00:35:51.080 --> 00:35:55.900
that are just sort of illustrated
in this word cloud here.

629
00:35:55.920 --> 00:35:56.900
Now is Dr.

630
00:35:56.920 --> 00:36:01.460
Wojciech mentioned the consequences
of climate change impact

631
00:36:01.480 --> 00:36:04.220
all of us is not the purview of any one

632
00:36:04.240 --> 00:36:08.780
particular
I see, but affects and is important

633
00:36:08.800 --> 00:36:12.660
to the mission areas
of all of the NIH institutes and centers.

634
00:36:12.680 --> 00:36:17.460
And so the next couple of slides,
I just wanted to put some examples of

635
00:36:17.480 --> 00:36:21.860
of different topics
and themes that are relevant to the NIH

636
00:36:21.880 --> 00:36:28.580
and why it's important for
NIH to be initiating this program.

637
00:36:28.600 --> 00:36:31.060
We understand quite a.

638
00:36:31.080 --> 00:36:33.500
Well, quite a lot that dead

639
00:36:33.520 --> 00:36:36.900
heat related research has has impacts
on multiple health

640
00:36:36.920 --> 00:36:42.660
outcomes from elevated preterm
delivery of babies to stroke to increased

641
00:36:42.680 --> 00:36:46.900
stroke rates in adults that are in public
housing during heatwaves.

642
00:36:46.920 --> 00:36:50.420
The increases in cardiovascular events
and increases

643
00:36:50.440 --> 00:36:54.100
in conditions associated with droughts
and high temperatures.

644
00:36:54.120 --> 00:36:56.340
When we envision kinds of research
projects

645
00:36:56.360 --> 00:36:59.540
that address some of these issues,
it can be from a very mechanistic studies

646
00:36:59.560 --> 00:37:03.060
to understand how these exposures impacts
other systems.

647
00:37:03.080 --> 00:37:04.820
two randomized controlled trials

648
00:37:04.840 --> 00:37:08.620
with cooling, spaced and hydration
for elderly or pregnant moms.

649
00:37:08.640 --> 00:37:12.900
Characterizing social environmental
determinants of health among

650
00:37:12.920 --> 00:37:17.140
high risk communities for toward diseases,
as well as looking at launch showed

651
00:37:17.160 --> 00:37:23.130
clinical change in black, indigenous
and people of color due to climate change.

652
00:37:23.150 --> 00:37:24.260


653
00:37:24.280 --> 00:37:26.460
We also are aware that

654
00:37:26.480 --> 00:37:30.820
the impacts of climate change is on mental
health and community health.

655
00:37:30.840 --> 00:37:33.060
There is no literature showing the looming

656
00:37:33.080 --> 00:37:37.220
anxiety, depression, alcoholism,
drug abuse following natural disasters.

657
00:37:37.240 --> 00:37:40.460
That behavior change, violence
and poor learning

658
00:37:40.480 --> 00:37:44.300
is associated with huge exposures,
as well as, for example,

659
00:37:44.320 --> 00:37:48.220
loss of cultural identity,
especially for indigenous peoples

660
00:37:48.240 --> 00:37:51.780
or the contemplation of impaired future.

661
00:37:51.800 --> 00:37:54.260
We can start addressing
some of these issues from projects

662
00:37:54.280 --> 00:37:57.660
that might look at how we can address
climate change and depression,

663
00:37:57.680 --> 00:38:01.860
reducing the incidence of suicide
in indigenous groups or implementation

664
00:38:01.880 --> 00:38:06.260
science to ensure health equity.

665
00:38:06.280 --> 00:38:07.820
The last example I wanted to

666
00:38:07.840 --> 00:38:11.020
provide was just in infectious diseases.

667
00:38:11.040 --> 00:38:15.180
We're quite aware that there will be
a changing there's a changing distribution

668
00:38:15.200 --> 00:38:19.140
of vector borne diseases in relation
to temperature and rainfall changes.

669
00:38:19.160 --> 00:38:23.700
Frequencies of malaria, dengue
virus and water borne infections

670
00:38:23.720 --> 00:38:27.460
will increase globally
with a changing climate,

671
00:38:27.480 --> 00:38:31.820
as well as the emergence of zoonotic
viruses with climate associated changes.

672
00:38:31.840 --> 00:38:35.380
For example,
and wildfire and agricultural animals.

673
00:38:35.400 --> 00:38:39.820
Some examples could be looking
at developing computational modeling

674
00:38:39.840 --> 00:38:43.500
that work to predict outbreaks of vector
borne diseases or following high

675
00:38:43.520 --> 00:38:46.460
rainfall events or training in low
and middle income countries.

676
00:38:46.480 --> 00:38:50.900
Research response to client

677
00:38:50.920 --> 00:38:55.780
merging climate change events. So,

678
00:38:55.800 --> 00:38:58.860
so what are our next steps?

679
00:38:58.880 --> 00:39:00.580
We are anticipating, as Dr.

680
00:39:00.600 --> 00:39:02.980
Wojciech mentioned,

681
00:39:03.000 --> 00:39:07.740
based on current appropriation language,
the NHS could receive as much as $100

682
00:39:07.760 --> 00:39:13.260
million in fiscal year 2020 to to launch
a climate change and health initiative.

683
00:39:13.280 --> 00:39:16.660
As also mentioned,
the guiding principle for how this program

684
00:39:16.680 --> 00:39:18.420
will be implement and manage this

685
00:39:18.440 --> 00:39:22.220
through shared leadership
and collaboration across the NIH

686
00:39:22.240 --> 00:39:27.060
and with the uncertainties of when NIH
will receive its fiscal 22 appropriation,

687
00:39:27.080 --> 00:39:30.260
we might be facing a very rapid
push out of the funds.

688
00:39:30.280 --> 00:39:33.580
So the next few slides
articulate an initial rollout

689
00:39:33.600 --> 00:39:37.420
plan for fiscal year 22 and early 23.

690
00:39:37.440 --> 00:39:40.660
And I just want to emphasize again
that this is just the beginning

691
00:39:40.680 --> 00:39:46.580
for a long, sustained climate change
and health program for the NIH.

692
00:39:46.600 --> 00:39:47.180
The use of

693
00:39:47.200 --> 00:39:52.500
current and infrastructural enable
us to create a sustainable portfolio

694
00:39:52.520 --> 00:39:55.980
of climate change and health research,

695
00:39:56.000 --> 00:39:59.820
for example,
appropriation can be used as a catalyst

696
00:39:59.840 --> 00:40:04.580
to expand funding for grants
across the nation and ecosystem

697
00:40:04.600 --> 00:40:07.380
to create a sustainable portfolio

698
00:40:07.400 --> 00:40:10.380
of investigator initiated research,

699
00:40:10.400 --> 00:40:12.900
which is creating a pool of available
dollars.

700
00:40:12.920 --> 00:40:15.740
From the appropriation,
I see contributions

701
00:40:15.760 --> 00:40:19.060
looking at funding plans
for each council round.

702
00:40:19.080 --> 00:40:24.060
Working with other offices
of external research

703
00:40:24.080 --> 00:40:27.860
to thoughtI for multi-year funding.

704
00:40:27.880 --> 00:40:30.820
Partnering with the Center
for Scientific Review to prepare

705
00:40:30.840 --> 00:40:33.900
for the review
of an increased number of research,

706
00:40:33.920 --> 00:40:37.580
project grants, fellowships and career
development awards.

707
00:40:37.600 --> 00:40:42.180
As this program grows
over the next several years and also

708
00:40:42.200 --> 00:40:46.340
to learn from our other knowledge,
partners have received bolus of funds.

709
00:40:46.360 --> 00:40:47.900
What our best practices.

710
00:40:47.920 --> 00:40:51.140
For example, using the

711
00:40:51.160 --> 00:40:51.700
aging

712
00:40:51.720 --> 00:40:55.260
Alzheimer's program and other models
for using appropriation,

713
00:40:55.280 --> 00:40:59.540
I see funding to inform
how we move forward with this program.

714
00:40:59.560 --> 00:41:02.100
one way that we can start building that

715
00:41:02.120 --> 00:41:07.100
that pipe, that ecosystem of investigator
initiated grants

716
00:41:07.120 --> 00:41:11.100
is through the use of notices
of special interest to broadly advertise,

717
00:41:11.120 --> 00:41:16.140
and I intend to expand our climate change
and health portfolio by

718
00:41:16.160 --> 00:41:19.980
as well as leveraging existing programs
to administrative supplements

719
00:41:20.000 --> 00:41:22.940
or targeted additional funds to those
that will be awarded

720
00:41:22.960 --> 00:41:26.780
in fiscal year 20 to.

721
00:41:26.800 --> 00:41:28.740
And asking, is this the provocation,

722
00:41:28.760 --> 00:41:34.260
the catalyst to think about a flagship
Centers of Excellence program that fosters

723
00:41:34.280 --> 00:41:38.740
team science across disciplines
with extensive community engagement,

724
00:41:38.760 --> 00:41:40.140
as we've already mentioned.

725
00:41:40.160 --> 00:41:44.060
Transdisciplinary team science
does not happen overnight.

726
00:41:44.080 --> 00:41:45.460
It takes time.

727
00:41:45.480 --> 00:41:49.780
And one way to start processing
that research extramural community

728
00:41:49.800 --> 00:41:54.580
to to be able to respond
to such integrated programs in the future

729
00:41:54.600 --> 00:41:57.660
is to start with planning grants
that would bring together

730
00:41:57.680 --> 00:42:01.820
biomedical researchers,
climate scientists, data scientists,

731
00:42:01.840 --> 00:42:05.260
community partners
to work together to start

732
00:42:05.280 --> 00:42:08.060
thinking about and developing

733
00:42:08.080 --> 00:42:12.380
a coordinated approach
to to this to this problem

734
00:42:12.400 --> 00:42:16.460
embedded of which could be opportunities
for pilot projects and training

735
00:42:16.480 --> 00:42:19.420
to eventually
launch a Centers of Excellence program.

736
00:42:19.440 --> 00:42:21.580
And also, as we take into the future plan

737
00:42:21.600 --> 00:42:24.980
for other funding opportunity
announcements and out years on key

738
00:42:25.000 --> 00:42:28.380
research and training topics
as the budget allows,

739
00:42:28.400 --> 00:42:31.020
as many of you may or may not be awards.

740
00:42:31.040 --> 00:42:34.820
Be aware that when there is a

741
00:42:34.840 --> 00:42:38.660
base increase to an institute by law,
there should also be a commensurate

742
00:42:38.680 --> 00:42:40.460
increase in the small business,

743
00:42:40.480 --> 00:42:44.300
innovative research, small business
technology transfer program.

744
00:42:44.320 --> 00:42:47.420
And to that end, in preparation for that,

745
00:42:47.440 --> 00:42:50.860
the SBA,
our representatives from the Executive

746
00:42:50.880 --> 00:42:54.780
Committee,
I seem to be working together to develop

747
00:42:54.800 --> 00:42:57.500
a program
for the use of funding opportunity

748
00:42:57.520 --> 00:43:01.460
announcements and notices
to develop tools, resources, approaches

749
00:43:01.480 --> 00:43:06.140
to capture the effects of climate change
and social impacts of extreme weather,

750
00:43:06.160 --> 00:43:08.620
as well as to support adaptation
or mitigation

751
00:43:08.640 --> 00:43:10.620
strategies to minimize health hazards.

752
00:43:10.640 --> 00:43:12.460
Impacts from.

753
00:43:12.480 --> 00:43:15.540
From climate change.

754
00:43:15.560 --> 00:43:19.380
You know, and it's probably mentioned
multiple times already,

755
00:43:19.400 --> 00:43:22.140
we're in the
you know, this is a very broad concept

756
00:43:22.160 --> 00:43:25.220
for a lot of elements
that will be coming together

757
00:43:25.240 --> 00:43:27.020
and we're just at the beginning stages.

758
00:43:27.040 --> 00:43:32.020
And as NIH studies, we have many different
tools available to us to

759
00:43:32.040 --> 00:43:37.340
as we move forward to do deeper dives
into areas of need for the fields,

760
00:43:37.360 --> 00:43:40.180
for example, through the use
and issuance of conference grants

761
00:43:40.200 --> 00:43:44.660
and climate change, as well as NIH
supported workshops and conferences.

762
00:43:44.680 --> 00:43:49.100
And last, I'd just like to mention
that in addition to the

763
00:43:49.120 --> 00:43:53.100
the extramural
activities that we've been talking about,

764
00:43:53.120 --> 00:43:56.380
there's also been some initial discussion
on building climate change

765
00:43:56.400 --> 00:43:59.060
and health capacity
and intramural research program.

766
00:43:59.080 --> 00:44:00.500
At NIH.

767
00:44:00.520 --> 00:44:04.260
We're considering
possibly a modest sized program

768
00:44:04.280 --> 00:44:07.340
identifying across areas across dioceses

769
00:44:07.360 --> 00:44:10.420
where the pieces can include
climate change

770
00:44:10.440 --> 00:44:14.180
and health within their research program,
as well as identify critical

771
00:44:14.200 --> 00:44:18.180
needs for an interview or research program
to conduct climate change and health

772
00:44:18.200 --> 00:44:22.140
research in the future.

773
00:44:22.160 --> 00:44:23.860
So this is just beginning.

774
00:44:23.880 --> 00:44:26.900
There's a ton of work to do,
and we're just all really excited

775
00:44:26.920 --> 00:44:30.540
to be able to do that
and be presenting this concept today.

776
00:44:30.560 --> 00:44:34.380
But again, this is just the beginning
and what are our next steps?

777
00:44:34.400 --> 00:44:37.460
We will be continuing to strategize
and develop

778
00:44:37.480 --> 00:44:41.260
implementation planning for now
and for in the future.

779
00:44:41.280 --> 00:44:45.020
We'll do this by addressing
the climate crisis with the urgency,

780
00:44:45.040 --> 00:44:49.820
foresight, innovation and collaborative
spirit that this challenge will require.

781
00:44:49.840 --> 00:44:52.740
And I will start the capacity
at home and abroad

782
00:44:52.760 --> 00:44:56.180
and promote the best science,
most impactful interventions,

783
00:44:56.200 --> 00:45:01.260
with an emphasis on health
equity and community engaged research.

784
00:45:01.280 --> 00:45:01.820
Our program

785
00:45:01.840 --> 00:45:05.860
will develop a sustainable model
to support a conduit of needed health

786
00:45:05.880 --> 00:45:09.060
researchers
and research and promote collaborations

787
00:45:09.080 --> 00:45:13.580
with other federal agencies,
research organizations and communities.

788
00:45:13.600 --> 00:45:17.340
Combined, these efforts will empower
transdisciplinary solutions

789
00:45:17.360 --> 00:45:21.300
that will advance human health
in a rapidly changing world.

790
00:45:21.320 --> 00:45:24.020
And I would just like to end
with this quote by the U.N.

791
00:45:24.040 --> 00:45:29.260
secretary general,
which I really strongly feel really

792
00:45:29.280 --> 00:45:33.380
depict really is the reason
why we're here.

793
00:45:33.400 --> 00:45:36.220
Climate change exacerbates
chronic and contagious

794
00:45:36.240 --> 00:45:39.260
diseases, worsens
food and water shortages, increases

795
00:45:39.280 --> 00:45:43.100
the risk of pandemics and aggravates
mass displacement.

796
00:45:43.120 --> 00:45:45.180
What's clear
now is that the health effects

797
00:45:45.200 --> 00:45:49.300
are worse than anticipated
and that's already being felt.

798
00:45:49.320 --> 00:45:52.180
With that, I want to
thank you very much for your attention.

799
00:45:52.200 --> 00:45:56.100
I will now turn it over to our council
reviews doctors Goldman

800
00:45:56.120 --> 00:45:58.980
while Sir Heide Zarella,

801
00:45:59.000 --> 00:46:00.900
thank you again.

802
00:46:00.920 --> 00:46:03.380
And oh, my goodness,
thank you so much for that, Claudia

803
00:46:03.400 --> 00:46:09.020
Thompson, that was a wonderful overview,
and I think that I'm leading off briefly

804
00:46:09.040 --> 00:46:13.020
and then we'll turn it over to my fellow
reviewers,

805
00:46:13.040 --> 00:46:18.220
and I should start
by really congratulating the entire cast

806
00:46:18.240 --> 00:46:23.660
and the other ices that are involved
in this for having moved forward

807
00:46:23.680 --> 00:46:27.180
so rapidly
and with an approach that I think

808
00:46:27.200 --> 00:46:29.940
is very methodologically sound.

809
00:46:29.960 --> 00:46:36.060
I really have been impressed by the effort
that's been made to understand

810
00:46:36.080 --> 00:46:40.780
the entire landscape,
the data collection that was done,

811
00:46:40.800 --> 00:46:45.140
the entire scientific community
had a chance to give input

812
00:46:45.160 --> 00:46:47.860
into this process and the fact

813
00:46:47.880 --> 00:46:52.660
that we have such strong involvement
by a number of the ices

814
00:46:52.680 --> 00:46:56.660
that we actually see the directors
in this meeting with us.

815
00:46:56.680 --> 00:47:01.180
That's a that's unusual and
and it's a testament,

816
00:47:01.200 --> 00:47:06.060
I think, to a process that truly is
a collaborative process across the night,

817
00:47:06.080 --> 00:47:11.660
which is something that I think
we desperately need to see with an issue

818
00:47:11.680 --> 00:47:16.500
that is of this level
of complexity, as well as

819
00:47:16.520 --> 00:47:19.580
an area where the science is Adobe.

820
00:47:19.600 --> 00:47:22.620
It is still quite immature, I would argue.

821
00:47:22.640 --> 00:47:28.100
So this is an excellent start,
and I just wanted to start by saying that

822
00:47:28.120 --> 00:47:29.780
I also wanted to say

823
00:47:29.800 --> 00:47:35.660
that I think that the the framework
that was laid out, which is that

824
00:47:35.680 --> 00:47:40.220
the plan to be able to immediately
move forward in recognition

825
00:47:40.240 --> 00:47:43.900
of the way that the appropriations
process is likely to work

826
00:47:43.920 --> 00:47:47.580
and the need to get this effort

827
00:47:47.600 --> 00:47:50.660
off the ground, while at the same time

828
00:47:50.680 --> 00:47:55.060
wanting to establish a long term process
that is sustainable.

829
00:47:55.080 --> 00:47:57.580
I actually think that the

830
00:47:57.600 --> 00:48:01.900
the the plan, as I understand
it is, is striking the right note

831
00:48:01.920 --> 00:48:07.300
in terms of of the
the agency doing both of those things.

832
00:48:07.320 --> 00:48:12.060
That is not easy at all,
I think, to be focused on on a short-term

833
00:48:12.080 --> 00:48:16.180
need as well as the longer term need
and the level of urgency

834
00:48:16.200 --> 00:48:18.660
that so many of us have with this issue.

835
00:48:18.680 --> 00:48:20.940
I think I think it's great.

836
00:48:20.960 --> 00:48:26.700
It's at least the way I hear it, that
things will proceed on those two tracks.

837
00:48:26.720 --> 00:48:28.980
And here I am again, violently agreeing,

838
00:48:29.000 --> 00:48:33.260
but I also very much agree with the idea

839
00:48:33.280 --> 00:48:37.220
that this funding
is to catalyze the research.

840
00:48:37.240 --> 00:48:40.980
It seems like a lot of money, it's
not a lot of money,

841
00:48:41.000 --> 00:48:45.620
even if all 100 million are appropriated.

842
00:48:45.640 --> 00:48:47.140
This is a drop

843
00:48:47.160 --> 00:48:50.380
in the bucket
compared to what it's going to be needed.

844
00:48:50.400 --> 00:48:54.980
But if the funding does
catalyze the research,

845
00:48:55.000 --> 00:48:58.940
then I think that there will be far bigger
bang for buck than

846
00:48:58.960 --> 00:49:03.740
just from the direct benefits
to science from that money.

847
00:49:03.760 --> 00:49:08.180
And I think that that's that's
also something that I think it's important

848
00:49:08.200 --> 00:49:12.060
and trying to understand
how across the entire ecosystem

849
00:49:12.080 --> 00:49:18.260
of the niche that the rollout of this
can make that kind of catalytic impact.

850
00:49:18.280 --> 00:49:22.980
I think that that the planning,
the concept paper really, really set out

851
00:49:23.000 --> 00:49:24.260
very well.

852
00:49:24.280 --> 00:49:27.700
The other point with which I want to agree
very strongly

853
00:49:27.720 --> 00:49:34.180
is the concept of the need for multiyear
commitments, multiyear funding.

854
00:49:34.200 --> 00:49:37.500
That is going to be absolutely essential,
this is an area

855
00:49:37.520 --> 00:49:42.740
that is because these are.

856
00:49:42.760 --> 00:49:46.460
Mostly new efforts that have not yet

857
00:49:46.480 --> 00:49:51.180
grown big and strong out there
and academic institutions

858
00:49:51.200 --> 00:49:54.340
and other places,
that sustained commitment

859
00:49:54.360 --> 00:49:58.780
is going to be extremely important
to be able to one,

860
00:49:58.800 --> 00:50:02.820
just generate the commitment you need
from the best scientists to jump into this

861
00:50:02.840 --> 00:50:05.500
to be willing to take the risk to do this,

862
00:50:05.520 --> 00:50:08.380
but also to assure to the NIH

863
00:50:08.400 --> 00:50:11.940
that there will be positive results
from this effort.

864
00:50:11.960 --> 00:50:14.740
And so I think that the longer term

865
00:50:14.760 --> 00:50:18.100
commitment is extremely important.

866
00:50:18.120 --> 00:50:21.020
And so

867
00:50:21.040 --> 00:50:23.380
I also heard a lot about about

868
00:50:23.400 --> 00:50:26.780
looking at looking
at the environmental issues,

869
00:50:26.800 --> 00:50:31.020
the exposures,
the social and behavioral issues.

870
00:50:31.040 --> 00:50:32.180
I would also say in it

871
00:50:32.200 --> 00:50:36.700
and it maybe could be highlighted a little
more strongly in the concept paper.

872
00:50:36.720 --> 00:50:40.580
I think there are also biological issues
that are important.

873
00:50:40.600 --> 00:50:42.940
The concept paper alludes to the fact

874
00:50:42.960 --> 00:50:47.700
that there are groups
that are more vulnerable because of age.

875
00:50:47.720 --> 00:50:50.300
Dr. Bianchi mentioned children.

876
00:50:50.320 --> 00:50:50.900
Thank you.

877
00:50:50.920 --> 00:50:54.180
This is all pediatrician
that he created at the beginning of life

878
00:50:54.200 --> 00:50:57.340
there their vulnerabilities,
but also as for aging,

879
00:50:57.360 --> 00:51:00.500
there are vulnerable abilities,
and I think that

880
00:51:00.520 --> 00:51:05.060
that these biological differences
are also important in bringing biology out

881
00:51:05.080 --> 00:51:08.900
a little bit more strongly
could be helpful.

882
00:51:08.920 --> 00:51:12.420
So just kind of going through the concepts

883
00:51:12.440 --> 00:51:15.740
that were presented
as centers of excellence, a great idea.

884
00:51:15.760 --> 00:51:20.940
I think that the NIH has had an excellent
track record with building new fields

885
00:51:20.960 --> 00:51:23.540
through the funding of Centers
of Excellence

886
00:51:23.560 --> 00:51:27.580
and particularly in an area like this
that does require

887
00:51:27.600 --> 00:51:33.220
transdisciplinary science that centers
are going to be a way of doing that.

888
00:51:33.240 --> 00:51:38.060
It's not to say that every center is going
to be successful, but I think it is.

889
00:51:38.080 --> 00:51:42.660
It is the way to
break new ground in an area

890
00:51:42.680 --> 00:51:46.660
incentivizing the interdisciplinary work.

891
00:51:46.680 --> 00:51:50.540
The concept paper mentions
climate scientists

892
00:51:50.560 --> 00:51:53.540
and environmental and public health
scientists

893
00:51:53.560 --> 00:51:57.340
clinical research, as mentioned,
but of course, for others as well.

894
00:51:57.360 --> 00:52:01.700
And getting into areas around
adaptation and mitigation,

895
00:52:01.720 --> 00:52:04.140
there might be many areas of science

896
00:52:04.160 --> 00:52:07.460
that centrists
may want to bring in to the mix.

897
00:52:07.480 --> 00:52:13.340
And you know how to make sure
that the request for proposals

898
00:52:13.360 --> 00:52:18.580
that got incentivize really broad
collaboration or board efforts

899
00:52:18.600 --> 00:52:23.420
that are very hard to do in academia
and otherwise

900
00:52:23.440 --> 00:52:27.340
to be able to bring in a bigger tent
in terms of collaborators.

901
00:52:27.360 --> 00:52:32.420
I also think that the centers could also

902
00:52:32.440 --> 00:52:34.780
incentivize partnerships

903
00:52:34.800 --> 00:52:38.860
with minority serving institutions
and also with institutions

904
00:52:38.880 --> 00:52:42.740
that are in areas of particularly high
climate risk.

905
00:52:42.760 --> 00:52:48.060
That may not be the areas that have
the strongest scientific base to go after

906
00:52:48.080 --> 00:52:52.380
some of this funding, but
could be very important as collaborators.

907
00:52:52.400 --> 00:52:54.700
So, you know,

908
00:52:54.720 --> 00:52:56.340
along the Gulf Coast for hurricane

909
00:52:56.360 --> 00:53:00.140
risk in forest fire areas or

910
00:53:00.160 --> 00:53:02.940
up in Alaska, you know,

911
00:53:02.960 --> 00:53:06.660
whether it's possible
to encourage partnerships

912
00:53:06.680 --> 00:53:10.780
that would bring organizations
where there's some need to strengthen

913
00:53:10.800 --> 00:53:17.220
the science base around
what is going on in those communities?

914
00:53:17.240 --> 00:53:19.260
one thing I wasn't clear about

915
00:53:19.280 --> 00:53:22.300
as clear as I would have liked to have
been is the commitment to training.

916
00:53:22.320 --> 00:53:26.100
Even though it's on, it's on the

917
00:53:26.120 --> 00:53:29.700
the the the conceptual diagram,
the infographic.

918
00:53:29.720 --> 00:53:33.740
It's in May that the working group
produced, which was beautiful, by the way,

919
00:53:33.760 --> 00:53:38.740
I thought that the fiction of what
this is about.

920
00:53:38.760 --> 00:53:42.180
But you know how the training fits
into the picture

921
00:53:42.200 --> 00:53:46.340
and how that will be supported,
which is extremely important

922
00:53:46.360 --> 00:53:49.060
that again,
as we're building a new field of science.

923
00:53:49.080 --> 00:53:52.140
But for me
and concluding my piece of this,

924
00:53:52.160 --> 00:53:56.660
I'm just very excited by the concept paper
and the work that's been done to do it.

925
00:53:56.680 --> 00:53:58.780
Not just the methodology,
which is very slim,

926
00:53:58.800 --> 00:54:04.020
but actually the results of it,
which are very exciting and provide for me

927
00:54:04.040 --> 00:54:07.820
a lot of hope that we will be able
to see the emergence of this

928
00:54:07.840 --> 00:54:12.300
new kind of trans disciplinary
and very transformative research effort.

929
00:54:12.320 --> 00:54:15.860
So thank you.

930
00:54:15.880 --> 00:54:16.820
So maybe turning

931
00:54:16.840 --> 00:54:19.860
to my colleagues to the maybe.

932
00:54:19.880 --> 00:54:21.860
Yeah, thank you, Dr. Goldman.

933
00:54:21.880 --> 00:54:25.740
Have talked to us the height next.

934
00:54:25.760 --> 00:54:26.420
Thanks, Dr.

935
00:54:26.440 --> 00:54:28.460
Ellison.

936
00:54:28.480 --> 00:54:31.340
Good afternoon, first of all.

937
00:54:31.360 --> 00:54:37.780
Congratulations on this extremely
important and long overdue initiative.

938
00:54:37.800 --> 00:54:41.460
Done right,
it could be one of the most impactful

939
00:54:41.480 --> 00:54:45.300
initiatives that NIH has ever launched,

940
00:54:45.320 --> 00:54:47.700
as is well summarized

941
00:54:47.720 --> 00:54:50.740
in both the concept
and framework documents

942
00:54:50.760 --> 00:54:54.260
and was just beautifully highlighted
by Dr Thompson.

943
00:54:54.280 --> 00:54:58.580
Climate change is one of the most profound
and challenging forces

944
00:54:58.600 --> 00:55:01.660
shaping health in our lifetimes.

945
00:55:01.680 --> 00:55:04.980
Although an Ice Age, particularly A.H.

946
00:55:05.000 --> 00:55:09.540
S and Idea have supported research on some

947
00:55:09.560 --> 00:55:13.340
of the impacts of climate change
on human health,

948
00:55:13.360 --> 00:55:17.420
investments to date
have been quite limited in comparison

949
00:55:17.440 --> 00:55:21.020
to the magnitude of the need
and the opportunity,

950
00:55:21.040 --> 00:55:24.580
and have focused primarily
on descriptive studies

951
00:55:24.600 --> 00:55:28.500
with little intervention, research
or implementation science.

952
00:55:28.520 --> 00:55:35.140
So it is terrific to see this climate
change and Health Initiative proposal.

953
00:55:35.160 --> 00:55:35.700
In my view,

954
00:55:35.720 --> 00:55:41.380
major strengths include structuring it
as an NIH wide initiative,

955
00:55:41.400 --> 00:55:46.460
recognizing the disproportionate impacts
on marginalized populations in seizing

956
00:55:46.480 --> 00:55:50.060
the opportunity
to incorporate research to address

957
00:55:50.080 --> 00:55:53.300
the equity issues up front.

958
00:55:53.320 --> 00:55:55.820
Committing to using interdisciplinary

959
00:55:55.840 --> 00:55:59.100
and intersectoral approaches.

960
00:55:59.120 --> 00:56:02.860
And also to forging a foundation
of interagency

961
00:56:02.880 --> 00:56:08.220
and community partnerships
and a whole new level sort of on steroids,

962
00:56:08.240 --> 00:56:10.780
all of which will be absolutely critical

963
00:56:10.800 --> 00:56:15.340
to the success of this initiative.

964
00:56:15.360 --> 00:56:17.460
But each of these

965
00:56:17.480 --> 00:56:22.340
will also be likely
to be especially difficult in this case

966
00:56:22.360 --> 00:56:26.860
for reasons that I'll come back to
and in just a few minutes.

967
00:56:26.880 --> 00:56:31.660
The other other strengths
are the focus beyond descriptive studies

968
00:56:31.680 --> 00:56:38.060
to intervention research and incorporating
training and capacity building

969
00:56:38.080 --> 00:56:41.580
both for scientists and community members.

970
00:56:41.600 --> 00:56:44.060
But actually doing all of this

971
00:56:44.080 --> 00:56:48.180
and doing it right is a pretty tall order.

972
00:56:48.200 --> 00:56:52.780
So I'd like to share
our thoughts in four areas.

973
00:56:52.800 --> 00:56:53.980
Number one,

974
00:56:54.000 --> 00:56:56.540
climate change and human health is a

975
00:56:56.560 --> 00:56:59.820
quintessential global health issues.

976
00:56:59.840 --> 00:57:00.260
Sort of.

977
00:57:00.280 --> 00:57:03.900
A poster child for global health

978
00:57:03.920 --> 00:57:05.700
causes and health

979
00:57:05.720 --> 00:57:09.660
impacts of climate change are global.

980
00:57:09.680 --> 00:57:14.060
Indeed, if we're really committed
to addressing equity issues,

981
00:57:14.080 --> 00:57:18.140
we have to acknowledge that the impacts
are already hitting populations

982
00:57:18.160 --> 00:57:21.740
in low and middle income countries
disproportionately.

983
00:57:21.760 --> 00:57:25.420
And indeed, there's
actually little recognition

984
00:57:25.440 --> 00:57:31.060
that soon climate change is likely
to start undoing decades of progress

985
00:57:31.080 --> 00:57:35.460
in global health
in many of these countries.

986
00:57:35.480 --> 00:57:39.100
Furthermore, many,
if not most, of the solutions

987
00:57:39.120 --> 00:57:44.140
will have to be tested globally
and then iteratively refined for specific

988
00:57:44.160 --> 00:57:49.340
populations using sophisticated
implementation science methods.

989
00:57:49.360 --> 00:57:53.380
But Global is strikingly under addressed

990
00:57:53.400 --> 00:57:57.780
in the materials that were shared.

991
00:57:57.800 --> 00:57:58.540
There

992
00:57:58.560 --> 00:58:02.420
actually was very little explicit mention
of research or research,

993
00:58:02.440 --> 00:58:06.580
training and capacity
building in LMI Seas.

994
00:58:06.600 --> 00:58:12.340
Early sustained and robust involvement
of LMC investigators, institutions

995
00:58:12.360 --> 00:58:18.580
and partners will be absolutely essential
to the success of this program.

996
00:58:18.600 --> 00:58:19.740
Number two,

997
00:58:19.760 --> 00:58:25.140
I think we should be asking
what are the lessons about what works

998
00:58:25.160 --> 00:58:29.820
from building successful research
initiatives for other extremely urgent,

999
00:58:29.840 --> 00:58:33.780
complex and challenging
global health problems, especially in new

1000
00:58:33.800 --> 00:58:38.300
or very young research areas?

1001
00:58:38.320 --> 00:58:42.100
At the same time,
we also have to recognize and be proactive

1002
00:58:42.120 --> 00:58:47.420
in dealing with the fact that research
on climate change and health is different

1003
00:58:47.440 --> 00:58:52.820
in multiple ways, from traditional
research areas at habit knowledge.

1004
00:58:52.840 --> 00:58:55.580
Many of the most important
and innovative research

1005
00:58:55.600 --> 00:58:58.660
priorities
mentioned in the strategic framework

1006
00:58:58.680 --> 00:59:01.660
focus on anticipating and reducing risks

1007
00:59:01.680 --> 00:59:05.420
at transnational or global scale.

1008
00:59:05.440 --> 00:59:10.820
They will require new methods,
metrics and collaborations,

1009
00:59:10.840 --> 00:59:17.140
including large, multi-institutional
and multi-country consortia.

1010
00:59:17.160 --> 00:59:21.060
You know, some of the key lessons
from the HIV and COVID

1011
00:59:21.080 --> 00:59:25.340
research enterprises,
which are arguably two other very high

1012
00:59:25.360 --> 00:59:29.780
profile complex
challenging global health problems

1013
00:59:29.800 --> 00:59:33.340
are that interdisciplinary
and intersectoral approaches

1014
00:59:33.360 --> 00:59:38.460
and community involvement
have been both absolutely essential.

1015
00:59:38.480 --> 00:59:42.060
And if we're, to be perfectly honest,

1016
00:59:42.080 --> 00:59:46.580
often
very challenging, elusive and inadequate.

1017
00:59:46.600 --> 00:59:46.820
We're

1018
00:59:46.840 --> 00:59:50.860
actually still not very good
at bridging the differences in language,

1019
00:59:50.880 --> 00:59:55.420
worldview, funding streams, incentives
and disincentives,

1020
00:59:55.440 --> 01:00:01.140
and resulting priorities that exist across
disciplines, sectors and communities

1021
01:00:01.160 --> 01:00:05.540
and the disciplines and sectors
that are needed for research

1022
01:00:05.560 --> 01:00:09.580
that will actually move the needle
on climate change and health

1023
01:00:09.600 --> 01:00:14.500
are far more diverse and farther
from what traditionally sits

1024
01:00:14.520 --> 01:00:17.820
within the health sector, then

1025
01:00:17.840 --> 01:00:22.740
NIEHS or other see usually support.

1026
01:00:22.760 --> 01:00:27.860
Timeframes also differ
at both ends of the spectrum, on one hand,

1027
01:00:27.880 --> 01:00:30.780
there's the need to develop a rapid

1028
01:00:30.800 --> 01:00:35.460
a platform for rapid response
research mechanisms to be able to do

1029
01:00:35.480 --> 01:00:40.580
health research quickly in the context
of the kinds of humanitarian crises

1030
01:00:40.600 --> 01:00:45.300
that occur with climate related disasters
or pandemics.

1031
01:00:45.320 --> 01:00:49.940
Actually, Nyad's Centers for Research
in Emerging Infectious Diseases,

1032
01:00:49.960 --> 01:00:54.380
the Create network is grappling
with exactly the same challenge.

1033
01:00:54.400 --> 01:00:58.260
On the other hand,
timeframes for climate change can be long.

1034
01:00:58.280 --> 01:01:04.140
So time frames to demonstrate reduction
in climate change, risks to health,

1035
01:01:04.160 --> 01:01:08.580
improved outcomes or co-benefits,
maybe long as well.

1036
01:01:08.600 --> 01:01:11.740
So this means that support
must be flexible

1037
01:01:11.760 --> 01:01:15.660
and timely for rapid response
research opportunities

1038
01:01:15.680 --> 01:01:19.540
and also of sufficient duration,
as Lynn was talking about

1039
01:01:19.560 --> 01:01:24.900
to rigorously evaluate
relevant results of intervention research.

1040
01:01:24.920 --> 01:01:25.380
So these

1041
01:01:25.400 --> 01:01:29.100
considerations dictate,
I think, a pressing need an opportunity

1042
01:01:29.120 --> 01:01:32.340
for innovative mechanisms and approaches,
as well

1043
01:01:32.360 --> 01:01:35.780
as governance structures.

1044
01:01:35.800 --> 01:01:40.300
Therefore, number three is a few thoughts
about mechanisms in the concept note,

1045
01:01:40.320 --> 01:01:43.620
I was actually sort of surprised to read

1046
01:01:43.640 --> 01:01:47.580
that the first goal is to increase
the number of climate change

1047
01:01:47.600 --> 01:01:51.540
and health grant applications
submitted to engage with a plan

1048
01:01:51.560 --> 01:01:57.140
to prepare for a future Centers
of Excellence program.

1049
01:01:57.160 --> 01:02:00.220
The urgency and opportunity
around climate change

1050
01:02:00.240 --> 01:02:05.060
and health demand that I address in
NIH move quickly

1051
01:02:05.080 --> 01:02:09.900
to a network of research centers
focusing at this intersection.

1052
01:02:09.920 --> 01:02:12.980
In fact,
one of the best ways to build a pipeline

1053
01:02:13.000 --> 01:02:16.500
new interdisciplinary relationships
and infrastructure

1054
01:02:16.520 --> 01:02:20.980
is in the context
of doing research itself.

1055
01:02:21.000 --> 01:02:23.500
The urgent need for new types of research,

1056
01:02:23.520 --> 01:02:28.500
harnessing the expertize and synergistic
creativity of investigators

1057
01:02:28.520 --> 01:02:33.220
from disciplines and sectors
that have rarely collaborated before

1058
01:02:33.240 --> 01:02:36.860
makes this exactly the kind of situation
in which

1059
01:02:36.880 --> 01:02:41.900
the institute , in close partnership
with the other participating offices,

1060
01:02:41.920 --> 01:02:45.100
should issue an RFA
that clearly articulates

1061
01:02:45.120 --> 01:02:50.780
those needs and calls for truly innovative
research directions and frameworks

1062
01:02:50.800 --> 01:02:55.580
and new global, interdisciplinary
and intersectoral collaborations.

1063
01:02:55.600 --> 01:02:58.100
This is not likely to happen as quickly

1064
01:02:58.120 --> 01:03:03.260
or as efficiently by relying
on an investigator initiated mechanisms.

1065
01:03:03.280 --> 01:03:04.420
Whatever mechanism is

1066
01:03:04.440 --> 01:03:08.460
selected, at least three principles
will be important.

1067
01:03:08.480 --> 01:03:12.780
It will be critical to provide enough
lead time for submission

1068
01:03:12.800 --> 01:03:16.660
for investigators
to assemble new interdisciplinary

1069
01:03:16.680 --> 01:03:20.420
and intersectoral partnerships
both domestically and globally.

1070
01:03:20.440 --> 01:03:24.460
And this is something
that definitely takes time to do well.

1071
01:03:24.480 --> 01:03:29.500
In addition, the grants must be adequately
funded to do this work,

1072
01:03:29.520 --> 01:03:31.700
which frankly will be a heavy lift

1073
01:03:31.720 --> 01:03:35.620
if they're actually going to achieve
the vision of this initiative.

1074
01:03:35.640 --> 01:03:39.100
And furthermore,
real progress will require

1075
01:03:39.120 --> 01:03:44.500
major investments sustained over time,
as has been mentioned previously, ideally

1076
01:03:44.520 --> 01:03:48.660
with extended grant periods, so more time
can go into doing the research

1077
01:03:48.680 --> 01:03:50.940
rather than writing proposals.

1078
01:03:50.960 --> 01:03:53.260
Finally, governance related

1079
01:03:53.280 --> 01:03:56.980
to the centrality
of a truly global perspective.

1080
01:03:57.000 --> 01:04:02.580
one of the key health impacts of climate
change is the increased risk of pandemics

1081
01:04:02.600 --> 01:04:06.140
caused by novel or reemerging pathogens,

1082
01:04:06.160 --> 01:04:09.740
which frequently originate in low
and middle income countries.

1083
01:04:09.760 --> 01:04:12.780
Therefore, an idea has to be

1084
01:04:12.800 --> 01:04:16.860
has a major role
to play in this trans nature initiative

1085
01:04:16.880 --> 01:04:22.340
and must be represented on the Executive
Committee of the Steering Committee.

1086
01:04:22.360 --> 01:04:24.900
The ability of this initiative to provide

1087
01:04:24.920 --> 01:04:29.580
actionable data
for sustainable change and global scale

1088
01:04:29.600 --> 01:04:33.980
will also depend on a new level
of involvement of other U.S.

1089
01:04:34.000 --> 01:04:37.460
government
agencies and global health organizations.

1090
01:04:37.480 --> 01:04:39.500
From the get go,

1091
01:04:39.520 --> 01:04:41.660
the true
commitment to the interdisciplinary

1092
01:04:41.680 --> 01:04:46.180
and intersectoral approaches
that will have legs means that

1093
01:04:46.200 --> 01:04:50.740
the governance structure
should include in some substantive way.

1094
01:04:50.760 --> 01:04:52.540
Several of the other twelve U.S.

1095
01:04:52.560 --> 01:04:54.660
government agencies
participating in the U.S.

1096
01:04:54.680 --> 01:04:56.700
Global Change Research Program.

1097
01:04:56.720 --> 01:04:59.700
For example, CDC, USAID knowa

1098
01:04:59.720 --> 01:05:03.020
Department
of Agriculture Department of Energy.

1099
01:05:03.040 --> 01:05:03.500
Finish.

1100
01:05:03.520 --> 01:05:07.620
This initiative also provides
a unique opportunity for impact

1101
01:05:07.640 --> 01:05:12.300
by taking a global development perspective
that links and translates

1102
01:05:12.320 --> 01:05:16.100
research and research capacity
in low and middle income countries

1103
01:05:16.120 --> 01:05:19.980
on health with work to strengthen evidence
based programs

1104
01:05:20.000 --> 01:05:20.740
and policies

1105
01:05:20.760 --> 01:05:25.100
to achieve the Sustainable Development
Goals in areas such as eliminating hunger,

1106
01:05:25.120 --> 01:05:29.500
ensuring access to clean energy,
clean water and sanitation.

1107
01:05:29.520 --> 01:05:32.260
So strong consideration should be given

1108
01:05:32.280 --> 01:05:36.340
to including W.H.O., at least in liaison

1109
01:05:36.360 --> 01:05:36.940
capacity.

1110
01:05:36.960 --> 01:05:41.380
In all of this,
I'm going to stop there and again,

1111
01:05:41.400 --> 01:05:44.580
congratulations
on this landmark initiative

1112
01:05:44.600 --> 01:05:48.060
and thank you so much for this opportunity
to comment.

1113
01:05:48.080 --> 01:05:51.740
I'm cheering you on from here.

1114
01:05:51.760 --> 01:05:52.620
Thank you, Dr.

1115
01:05:52.640 --> 01:05:54.140
Watson, Hyde and Dr.

1116
01:05:54.160 --> 01:05:56.860
Goldman, both for your comment.

1117
01:05:56.880 --> 01:06:00.940
Next, we have doctors, Aurelia.

1118
01:06:00.960 --> 01:06:01.620
All right.

1119
01:06:01.640 --> 01:06:03.620
Hi again,

1120
01:06:03.640 --> 01:06:05.660
I'm just going to provide

1121
01:06:05.680 --> 01:06:08.940
several comments on an incremental basis

1122
01:06:08.960 --> 01:06:12.980
because my colleagues actually provided
most of the feedback.

1123
01:06:13.000 --> 01:06:16.660
I, first of all, need to congratulate
this initiative.

1124
01:06:16.680 --> 01:06:20.380
It was needed.

1125
01:06:20.400 --> 01:06:21.300
It was needed.

1126
01:06:21.320 --> 01:06:25.700
It is needed and it will need
to be implemented and sustained.

1127
01:06:25.720 --> 01:06:29.900
So three comments regarding

1128
01:06:29.920 --> 01:06:33.300
I boosted the

1129
01:06:33.320 --> 01:06:35.940
strategic framework, which I love,

1130
01:06:35.960 --> 01:06:40.140
and I actually loved this initiative
so far

1131
01:06:40.160 --> 01:06:43.340
because it's really rational and places

1132
01:06:43.360 --> 01:06:47.940
several reasons for research activities,

1133
01:06:47.960 --> 01:06:52.540
as well as for transdisciplinary research.

1134
01:06:52.560 --> 01:06:56.060
But as

1135
01:06:56.080 --> 01:06:58.140
Dr. Goldman mentioned, there's

1136
01:06:58.160 --> 01:07:01.860
sort of like maybe missing words
not necessarily the best,

1137
01:07:01.880 --> 01:07:05.740
but the biological impact
is not necessarily there.

1138
01:07:05.760 --> 01:07:10.500
For example,
the AP genetic changes in infants

1139
01:07:10.520 --> 01:07:14.180
born of mothers exposed to extreme cold.

1140
01:07:14.200 --> 01:07:17.100
So there's environmental changes
that produce

1141
01:07:17.120 --> 01:07:22.020
some genetic impact
and may have impact on future generations.

1142
01:07:22.040 --> 01:07:26.420
So that part was not directly addressed,
but I don't think that's really

1143
01:07:26.440 --> 01:07:30.460
needed to be so specific about what
anyway being an obstetrician.

1144
01:07:30.480 --> 01:07:34.140
I really thought that that was something
that we needed

1145
01:07:34.160 --> 01:07:37.580
to make sure that we have.

1146
01:07:37.600 --> 01:07:41.220
I believe that the Centers of Excellence

1147
01:07:41.240 --> 01:07:45.300
will be great as a catalyst,

1148
01:07:45.320 --> 01:07:47.460
but they need to make sure you need
to make sure

1149
01:07:47.480 --> 01:07:51.780
that they have partnerships
with investigators and groups

1150
01:07:51.800 --> 01:07:57.220
in the affected areas,
in the affected areas by climate change.

1151
01:07:57.240 --> 01:08:01.020
And probably not all the specific

1152
01:08:01.040 --> 01:08:05.380
vulnerable populations will be amenable or

1153
01:08:05.400 --> 01:08:09.740
will be able to participate or be reached
by these Centers of Excellence.

1154
01:08:09.760 --> 01:08:13.020
Or you need to make sure that you have
within either

1155
01:08:13.040 --> 01:08:18.020
geographic distributions areas
that are vulnerable to specific

1156
01:08:18.040 --> 01:08:21.980
climate disasters or activities
you need to have.

1157
01:08:22.000 --> 01:08:25.740
So some sort of distribution,
and I know you will, because that

1158
01:08:25.760 --> 01:08:28.260
is part of the framework.

1159
01:08:28.280 --> 01:08:30.780
And thirdly,

1160
01:08:30.800 --> 01:08:35.460
one area of concern that I have is that.

1161
01:08:35.480 --> 01:08:42.060
We're living in a world
that has a lot of communication

1162
01:08:42.080 --> 01:08:46.020
and miscommunication, and

1163
01:08:46.040 --> 01:08:48.420
this is a generation
that we're dealing with

1164
01:08:48.440 --> 01:08:51.740
that is exposed to all kinds of messages
right

1165
01:08:51.760 --> 01:08:56.180
and wrong and and messages
regarding climate change

1166
01:08:56.200 --> 01:09:00.780
have been all over
positive and negative, true and false.

1167
01:09:00.800 --> 01:09:03.580
And so somehow these

1168
01:09:03.600 --> 01:09:08.140
this initiative needs to pay attention
to those messages

1169
01:09:08.160 --> 01:09:13.100
to make sure that we have
not only the data, the

1170
01:09:13.120 --> 01:09:16.700
justification, they think, their actions

1171
01:09:16.720 --> 01:09:22.860
and the strategies to offset most of these
or some of the impact on health.

1172
01:09:22.880 --> 01:09:28.220
But we also need to make sure
that we have strategies to deal with

1173
01:09:28.240 --> 01:09:31.020
data or information misinformation.

1174
01:09:31.040 --> 01:09:33.100
I think that's very important.

1175
01:09:33.120 --> 01:09:38.020
You can do the best thing in research
and then communities might misinterpret

1176
01:09:38.040 --> 01:09:42.100
this as we have had experiences
with vaccines

1177
01:09:42.120 --> 01:09:46.580
and with HIV
and with all kinds of other health issues

1178
01:09:46.600 --> 01:09:49.420
that people see them
with their perspective,

1179
01:09:49.440 --> 01:09:54.700
not related to health,
but related to other local issues.

1180
01:09:54.720 --> 01:09:59.540
So this needs to be somehow,
maybe later on or maybe planned in advance

1181
01:09:59.560 --> 01:10:05.020
that misinformation, information
or data should be addressed.

1182
01:10:05.040 --> 01:10:08.740
I think this is a great,

1183
01:10:08.760 --> 01:10:10.860
a great initiative.

1184
01:10:10.880 --> 01:10:16.060
I am glad that these institutes
are partnering and I think this is

1185
01:10:16.080 --> 01:10:20.900
something that will history will
look at this initiative.

1186
01:10:20.920 --> 01:10:25.980
Maybe day by by these people
that are here, these institute directors,

1187
01:10:26.000 --> 01:10:30.260
and they are my heroes right now
from from where I'm reading

1188
01:10:30.280 --> 01:10:33.300
because this is something that certainly
we need

1189
01:10:33.320 --> 01:10:36.500
just in our country and all around.

1190
01:10:36.520 --> 01:10:42.100
So those are my $0.03.

1191
01:10:42.120 --> 01:10:42.700
Thank you, Dr.

1192
01:10:42.720 --> 01:10:44.020
Zarella.

1193
01:10:44.040 --> 01:10:48.940
And now I'd like to open it up
to council members for discussion,

1194
01:10:48.960 --> 01:10:52.580
if you'd like to make a comment
or you have a question.

1195
01:10:52.600 --> 01:10:57.580
Please use the reactions box
to raise your hand.

1196
01:10:57.600 --> 01:11:01.540
There's a raised hand
feature there, and I'll call on you.

1197
01:11:01.560 --> 01:11:04.140
And so first, we have Dr.

1198
01:11:04.160 --> 01:11:05.900
Perez.

1199
01:11:05.920 --> 01:11:08.780
Please.

1200
01:11:08.800 --> 01:11:12.340
I thank you so much for this presentation

1201
01:11:12.360 --> 01:11:17.940
and for distributing the materials
beforehand, because I think that this is

1202
01:11:17.960 --> 01:11:22.500
a tremendous initiative
and really, really needs

1203
01:11:22.520 --> 01:11:27.300
to be successful for the well-being
of all human race, basically.

1204
01:11:27.320 --> 01:11:29.820
So in that note,

1205
01:11:29.840 --> 01:11:33.220
I'm going to make three observations

1206
01:11:33.240 --> 01:11:38.180
that I think that the proposal
will benefit from looking at.

1207
01:11:38.200 --> 01:11:42.940
And the first one is a.

1208
01:11:42.960 --> 01:11:46.100
An apparent absence of attention

1209
01:11:46.120 --> 01:11:50.220
to the political economy
of climate change.

1210
01:11:50.240 --> 01:11:54.340
You know, after all,
we have research and information

1211
01:11:54.360 --> 01:11:59.660
and documentation of on climate change
since the 1980s, at least, but

1212
01:11:59.680 --> 01:12:02.820
that has not been translated into policy.

1213
01:12:02.840 --> 01:12:07.980
So I am afraid that this idea

1214
01:12:08.000 --> 01:12:10.940
can rest on

1215
01:12:10.960 --> 01:12:14.860
a wrong assumption that the most research
you have,

1216
01:12:14.880 --> 01:12:20.260
the more action you will have
at the policymaking side.

1217
01:12:20.280 --> 01:12:22.180
And that is

1218
01:12:22.200 --> 01:12:26.340
not documented by the paper historically.

1219
01:12:26.360 --> 01:12:31.580
So we will need to pay more attention
to macro institutions

1220
01:12:31.600 --> 01:12:36.540
like the political economy
of a policy processes

1221
01:12:36.560 --> 01:12:43.220
to be able to address what it is
a wicked issue or a wicked problem.

1222
01:12:43.240 --> 01:12:44.860
And that is the second point.

1223
01:12:44.880 --> 01:12:47.860
I think that the the proposal will benefit

1224
01:12:47.880 --> 01:12:53.100
from looking at two
frameworks the framework of

1225
01:12:53.120 --> 01:12:54.140
the science of team

1226
01:12:54.160 --> 01:12:58.580
science for the methodology of a trend

1227
01:12:58.600 --> 01:13:02.980
translational
and transdisciplinary research.

1228
01:13:03.000 --> 01:13:06.180
You know,
we all talk about transdisciplinary, but

1229
01:13:06.200 --> 01:13:11.220
I have seen very few examples
of real transdisciplinary work,

1230
01:13:11.240 --> 01:13:15.860
and I think that research groups
will need a lot of guidance

1231
01:13:15.880 --> 01:13:20.740
in the methodology of conducting a

1232
01:13:20.760 --> 01:13:23.860
transdisciplinary research in these areas.

1233
01:13:23.880 --> 01:13:28.220
And the second framework will be

1234
01:13:28.240 --> 01:13:31.580
the the concept of

1235
01:13:31.600 --> 01:13:34.500
wicked problems.

1236
01:13:34.520 --> 01:13:36.740
You know, climate change

1237
01:13:36.760 --> 01:13:40.340
has many stakeholders
at the global regional,

1238
01:13:40.360 --> 01:13:44.220
local levels, national levels

1239
01:13:44.240 --> 01:13:48.580
and have a many, many interests, political

1240
01:13:48.600 --> 01:13:53.020
and economic interests involved
in those decision making processes.

1241
01:13:53.040 --> 01:13:55.700
And that increases

1242
01:13:55.720 --> 01:13:58.660
uncertainty at a level

1243
01:13:58.680 --> 01:14:02.940
that our traditional science
is very uncomfortable dealing with.

1244
01:14:02.960 --> 01:14:05.900
So I think that if

1245
01:14:05.920 --> 01:14:09.700
we pay attention
to these theoretical frameworks

1246
01:14:09.720 --> 01:14:15.100
will help us designing a process and a

1247
01:14:15.120 --> 01:14:17.460
context in which this research

1248
01:14:17.480 --> 01:14:21.220
can actually be very, very useful.

1249
01:14:21.240 --> 01:14:24.140
And the third point I want to make

1250
01:14:24.160 --> 01:14:29.900
is that in terms of capacity building,
I really like the focus

1251
01:14:29.920 --> 01:14:33.140
on capacity building, but I'm afraid

1252
01:14:33.160 --> 01:14:36.620
that is often directed to the wrong people

1253
01:14:36.640 --> 01:14:40.900
because we tend to assume
that the only people that need

1254
01:14:40.920 --> 01:14:45.740
capacity building is community members,
for example, or community leadership.

1255
01:14:45.760 --> 01:14:50.100
And actually, many communities
have it right and they are very resilient.

1256
01:14:50.120 --> 01:14:54.940
They have very good behavioral

1257
01:14:54.960 --> 01:14:58.100
and environmental behaviors,
et cetera, et cetera.

1258
01:14:58.120 --> 01:15:03.460
But these our policymakers
and public administrators

1259
01:15:03.480 --> 01:15:07.620
and public officials,
the ones that need capacity building.

1260
01:15:07.640 --> 01:15:11.180
And I didn't see any strong

1261
01:15:11.200 --> 01:15:14.660
outreach and capacity building component

1262
01:15:14.680 --> 01:15:17.300
to the stakeholders

1263
01:15:17.320 --> 01:15:22.180
that are keeping us in this mess
in the in the first place.

1264
01:15:22.200 --> 01:15:28.500
And I have a couple of more,
but I'm going to stop here.

1265
01:15:28.520 --> 01:15:29.220
Thank you.

1266
01:15:29.240 --> 01:15:35.300
Thank you for your comments and please
if we can just keep our comments brief.

1267
01:15:35.320 --> 01:15:38.260
We want to get to a four or 5:00 p.m.

1268
01:15:38.280 --> 01:15:42.060
and we want to make be respectful
of everyone's time here.

1269
01:15:42.080 --> 01:15:42.860
I know that

1270
01:15:42.880 --> 01:15:47.980
this is such an exciting initiative
and we have much to say about it.

1271
01:15:48.000 --> 01:15:53.970
Dr. Penny.

1272
01:15:53.990 --> 01:15:57.380


1273
01:15:57.400 --> 01:15:58.900
And then Dr.

1274
01:15:58.920 --> 01:16:03.460
Cavanaugh got the right
and then back to her shoulder.

1275
01:16:03.480 --> 01:16:07.540
first of all, I wanted to wish Claudia
and her team congratulations.

1276
01:16:07.560 --> 01:16:10.100
I think this is a really important
initiative.

1277
01:16:10.120 --> 01:16:12.500
And I think it was very thoughtfully
put together.

1278
01:16:12.520 --> 01:16:15.580
And this is certainly a good place
to start building.

1279
01:16:15.600 --> 01:16:20.540
The comment I wanted to make
was actually on preparedness.

1280
01:16:20.560 --> 01:16:24.260
A lot of what we're planning to do
is reactionary to climate change

1281
01:16:24.280 --> 01:16:28.460
as opposed to being prepared
for climate change projections.

1282
01:16:28.480 --> 01:16:31.260
And that brings me back to the concept of

1283
01:16:31.280 --> 01:16:34.020
actually transdisciplinary research

1284
01:16:34.040 --> 01:16:38.940
and especially working
with scientists and climatologists.

1285
01:16:38.960 --> 01:16:40.140
I think we all

1286
01:16:40.160 --> 01:16:44.220
know from the Glasgow conference
that took place a few weeks ago

1287
01:16:44.240 --> 01:16:49.020
that despite people's best promises,
promises aren't kept

1288
01:16:49.040 --> 01:16:52.780
and therefore we need to start
modeling different scenarios

1289
01:16:52.800 --> 01:16:56.540
in terms of what will climate change
look like

1290
01:16:56.560 --> 01:17:00.220
and its effects on health
if those promises are kept?

1291
01:17:00.240 --> 01:17:03.020
And what will happen if they're not kept?

1292
01:17:03.040 --> 01:17:06.060
And I know different countries
have different deadlines for meeting

1293
01:17:06.080 --> 01:17:10.700
emissions controls, but I think we do need
that modeling to take place

1294
01:17:10.720 --> 01:17:14.700
so that we can actually direct
limited resources to the areas

1295
01:17:14.720 --> 01:17:20.690
most affected. OK.

1296
01:17:20.710 --> 01:17:22.620


1297
01:17:22.640 --> 01:17:24.420
Thank you, Dr. Penny.

1298
01:17:24.440 --> 01:17:26.620
Dr. Cavanaugh and then Dr.

1299
01:17:26.640 --> 01:17:29.380
Wright, please.

1300
01:17:29.400 --> 01:17:32.460
Thank you, Gary, and want to also echo

1301
01:17:32.480 --> 01:17:36.500
my support for this initiative,
and congratulations

1302
01:17:36.520 --> 01:17:40.140
to Claudia and the rest of the team
for putting this together.

1303
01:17:40.160 --> 01:17:43.500
one thing that I thought might address
this issue of how long it's

1304
01:17:43.520 --> 01:17:47.580
going to put together take to put together
the centers of excellence is to take

1305
01:17:47.600 --> 01:17:52.380
advantage of the infrastructure
that's already there and HHS and other eye

1306
01:17:52.400 --> 01:17:56.700
sees regarding already research centers
that have

1307
01:17:56.720 --> 01:18:00.180
a lot of multidisciplinary

1308
01:18:00.200 --> 01:18:02.700
expertize to put forward.

1309
01:18:02.720 --> 01:18:04.780
And I'm just wondering whether or not

1310
01:18:04.800 --> 01:18:09.140
taking some of the centers
that already exist.

1311
01:18:09.160 --> 01:18:12.980
I'm thinking of, for instance,
of the core centers, Superfund centers,

1312
01:18:13.000 --> 01:18:17.980
the oceans and human health centers
and putting that expertize to use.

1313
01:18:18.000 --> 01:18:21.900
And with these centers, be able
to apply, for instance, for supplementary

1314
01:18:21.920 --> 01:18:24.660
information to jumpstart this process

1315
01:18:24.680 --> 01:18:27.460
and get people oriented towards

1316
01:18:27.480 --> 01:18:31.260
putting together
these centers of excellence.

1317
01:18:31.280 --> 01:18:35.940
Thank you, Claudia,
do you want to respond to that?

1318
01:18:35.960 --> 01:18:38.780
Sure, thanks, Harry, for that.

1319
01:18:38.800 --> 01:18:41.700
I think one of the things
we talked about on the first

1320
01:18:41.720 --> 01:18:44.980
slide
was one of the activities that we did

1321
01:18:45.000 --> 01:18:48.860
launch was to look across the nature
of all the programs, centers,

1322
01:18:48.880 --> 01:18:52.620
et cetera, that are
that are already in place

1323
01:18:52.640 --> 01:18:58.180
that could potentially be leveraged
and could shift towards climate change.

1324
01:18:58.200 --> 01:18:59.380
And how so?

1325
01:18:59.400 --> 01:19:03.980
Your comment about administrative
supplements to existing programs,

1326
01:19:04.000 --> 01:19:09.820
especially, you know, for receiving
funding funds early in some time in 2002

1327
01:19:09.840 --> 01:19:13.180
might be something that we've talked about
and could consider.

1328
01:19:13.200 --> 01:19:17.900
So thank you for bringing it up
and reinforcing reinforcing that.

1329
01:19:17.920 --> 01:19:19.460
Thank you.

1330
01:19:19.480 --> 01:19:20.580
I'm just looking at the clock.

1331
01:19:20.600 --> 01:19:25.460
We have five minutes left
and we have to get a vote in before 5:00.

1332
01:19:25.480 --> 01:19:26.940
That's right.

1333
01:19:26.960 --> 01:19:30.140
OK, so I want to remind everyone that

1334
01:19:30.160 --> 01:19:35.660
if you have comments or questions,
you can send them to me in an email.

1335
01:19:35.680 --> 01:19:39.740
After the meeting, and we'll make sure
that they're addressed.

1336
01:19:39.760 --> 01:19:44.260
You can also use the chat feature
to add your comments as well.

1337
01:19:44.280 --> 01:19:45.700
We'll

1338
01:19:45.720 --> 01:19:48.700
save the chats for this meeting

1339
01:19:48.720 --> 01:19:52.260
and adjust accordingly.

1340
01:19:52.280 --> 01:19:54.140
We'll take one more comment.

1341
01:19:54.160 --> 01:19:54.940
Doctor, right?

1342
01:19:54.960 --> 01:19:57.140
And then we'll need to take a vote.

1343
01:19:57.160 --> 01:20:01.220
I'll just send an email
in the interest of time. OK?

1344
01:20:01.240 --> 01:20:03.500
And one more Dr.

1345
01:20:03.520 --> 01:20:06.980
Hertz-Picciotto.

1346
01:20:07.000 --> 01:20:08.380
And yes, we'll take a look.

1347
01:20:08.400 --> 01:20:14.580
Yeah, really briefly, I just
I echo the chorus of congratulations

1348
01:20:14.600 --> 01:20:18.700
on this incredible initiative
that is so timely

1349
01:20:18.720 --> 01:20:21.460
and well known to early.

1350
01:20:21.480 --> 01:20:25.620
And also, I just wanted to to mention that

1351
01:20:25.640 --> 01:20:29.140
I think in terms of areas and directions

1352
01:20:29.160 --> 01:20:34.780
and this emphasis on Cross Institute,
not just across institutes

1353
01:20:34.800 --> 01:20:38.980
within NIH, but across other federal
and other agencies

1354
01:20:39.000 --> 01:20:42.700
and organizations,
I think really has tremendous potential.

1355
01:20:42.720 --> 01:20:45.980
So I congratulate you on that as well.

1356
01:20:46.000 --> 01:20:50.660
And then and then the other point
I just wanted to make is that we can

1357
01:20:50.680 --> 01:20:53.100
I think we can be

1358
01:20:53.120 --> 01:20:55.460
thinking about

1359
01:20:55.480 --> 01:20:58.980
the ways in which we can research policies

1360
01:20:59.000 --> 01:21:03.420
and the impacts of different policies
which are happening as we speak

1361
01:21:03.440 --> 01:21:06.220
with different cities, counties, states

1362
01:21:06.240 --> 01:21:11.220
taking very different approaches towards
what they incentivize and what they don't

1363
01:21:11.240 --> 01:21:15.420
incentivize with regard
to whether it's mitigation or adaptation.

1364
01:21:15.440 --> 01:21:19.180
And of course, there's a there's a
there's a real overlap between

1365
01:21:19.200 --> 01:21:22.300
those two that when we mitigate greenhouse

1366
01:21:22.320 --> 01:21:25.380
gas emissions, we are also reducing
air pollution and all those other things.

1367
01:21:25.400 --> 01:21:29.980
So ways
in which we could be using niche resources

1368
01:21:30.000 --> 01:21:34.820
to understand
the policies that at a large scale

1369
01:21:34.840 --> 01:21:40.140
make might be making bigger differences
than just promoting behavioral changes.

1370
01:21:40.160 --> 01:21:42.140
So that's that's yeah. Yeah.

1371
01:21:42.160 --> 01:21:44.500
Thank you. Thank you so much.

1372
01:21:44.520 --> 01:21:46.500
Thank you all for. For your comments.

1373
01:21:46.520 --> 01:21:50.060
Thank you, Claudia,
for that wonderful presentation.

1374
01:21:50.080 --> 01:21:52.860
I'd like to now ask

1375
01:21:52.880 --> 01:21:58.300
for a motion for approval of this concept.

1376
01:21:58.320 --> 01:22:01.220
Simply removed.

1377
01:22:01.240 --> 01:22:02.100
OK. Dr.

1378
01:22:02.120 --> 01:22:05.180
Goldman and seconded by Dr. Taberna.

1379
01:22:05.200 --> 01:22:06.860
Thank you.

1380
01:22:06.880 --> 01:22:08.740
And now I'd like for you

1381
01:22:08.760 --> 01:22:11.980
to vote in your electronic counsel

1382
01:22:12.000 --> 01:22:15.700
book Vote
whether to approve or disapprove.

1383
01:22:15.720 --> 01:22:21.340
And Leslie,
you let me know when everyone is voting.

1384
01:22:21.360 --> 01:22:26.180
I thought, Oh, I'll be right there, right?

1385
01:22:26.200 --> 01:22:29.860
Yeah. Hi.

1386
01:22:29.880 --> 01:22:35.850
I think someone needs to mute.

1387
01:22:35.870 --> 01:22:40.780


1388
01:22:40.800 --> 01:22:43.860
Area see that there are a number of jets
that are coming in,

1389
01:22:43.880 --> 01:22:48.700
so we'll want to make sure
that we capture the chat box. Yes.

1390
01:22:48.720 --> 01:22:51.660
Stop the the Zoom session.

1391
01:22:51.680 --> 01:22:56.060
Yes, we're we're going to make sure
that we save the chat.

1392
01:22:56.080 --> 01:22:59.020
And again,
if you have any additional comments

1393
01:22:59.040 --> 01:23:02.660
or questions,
please make sure that you emailed me

1394
01:23:02.680 --> 01:23:07.060
and we'll make sure
that they're addressed.

1395
01:23:07.080 --> 01:23:07.780
And Rebecca,

1396
01:23:07.800 --> 01:23:10.940
thank you for the chat,
and thanks to Katrina for the chat.

1397
01:23:10.960 --> 01:23:14.780
John for the chat.

1398
01:23:14.800 --> 01:23:17.980
OK, Liz, how are we doing?

1399
01:23:18.000 --> 01:23:21.060
Things coming in electronic

1400
01:23:21.080 --> 01:23:24.900
Adobe to her, she recalled her daughter
pinning and data,

1401
01:23:24.920 --> 01:23:30.890
right? OK.

1402
01:23:30.910 --> 01:23:45.220


1403
01:23:45.240 --> 01:23:47.020
Good, good.

1404
01:23:47.040 --> 01:23:48.900
OK, thank you, everyone.

1405
01:23:48.920 --> 01:23:50.580
Dr. Woychik

1406
01:23:50.600 --> 01:23:54.260
OK, well, thank you for to everyone.

1407
01:23:54.280 --> 01:23:55.100
We are.

1408
01:23:55.120 --> 01:23:59.740
We're going to be adjourning here
right on time.

1409
01:23:59.760 --> 01:24:03.140
I want to especially
thank all of the reviewers.

1410
01:24:03.160 --> 01:24:05.260
I thought your comments were spot on.

1411
01:24:05.280 --> 01:24:06.380
We're going to try to.

1412
01:24:06.400 --> 01:24:08.540
Well, we're going to capture them

1413
01:24:08.560 --> 01:24:11.420
and we're going to have an executive
committee meeting later on this week.

1414
01:24:11.440 --> 01:24:14.380
And so we're going to try to distribute
the comments that were made

1415
01:24:14.400 --> 01:24:16.260
during this, this council session

1416
01:24:16.280 --> 01:24:20.300
to the executive committee members,
and we'll have a chance to discuss them.

1417
01:24:20.320 --> 01:24:21.580
So, Dr.

1418
01:24:21.600 --> 01:24:26.740
Clement, anything you want to comment on
before we adjourn and we're right at 5:00.

1419
01:24:26.760 --> 01:24:30.620
Just want to say thank you to everybody
for your very thoughtful comments.

1420
01:24:30.640 --> 01:24:33.500
We really appreciate all of your support.

1421
01:24:33.520 --> 01:24:34.180
Stay tuned.

1422
01:24:34.200 --> 01:24:37.740
We'll be bringing back progress
as we keep going.

1423
01:24:37.760 --> 01:24:39.820
So very, very important initiative.

1424
01:24:39.840 --> 01:24:44.140
And again, I want to thank my fellow IOC
directors, too,

1425
01:24:44.160 --> 01:24:48.100
for joining us for today's council
and for your active engagement,

1426
01:24:48.120 --> 01:24:52.140
providing governments for this
critically important NIH wide initiative.

1427
01:24:52.160 --> 01:24:53.580
I also want to thank actually

1428
01:24:53.600 --> 01:24:57.740
we didn't have a chance to do that,
but Josh Rosenthal and Aubrey Miller,

1429
01:24:57.760 --> 01:25:01.300
together with the working group
they have, they've spent a lot of that

1430
01:25:01.320 --> 01:25:05.020
background work happened over the course
of the last several months.

1431
01:25:05.040 --> 01:25:08.340
Adobe Chekov of Aubrey and Josh.

1432
01:25:08.360 --> 01:25:12.300
So thank you for

1433
01:25:12.320 --> 01:25:14.460
what was clearly a lot of very well

1434
01:25:14.480 --> 01:25:18.460
received works that it's been done.

1435
01:25:18.480 --> 01:25:20.220
So thanks to everyone.

1436
01:25:20.240 --> 01:25:24.660
And we really appreciate your time.

1437
01:25:24.680 --> 01:25:30.568
So with that, this special session
of council is now officially adjourned.