NIH International Programs
Flora N. Katz, Ph.D.
Fogarty International Center, N.I.H.
Office of the Director
Office of the Director
National Institute
on Alcohol Abuse
and Alcoholism
National Institute
on Alcohol Abuse
and Alcoholism
National Institute
of Arthritis and
Musculoskeletal
and Skin Diseases
National Institute
of Arthritis and
Musculoskeletal
and Skin Diseases
National Cancer
Institute
National Cancer
Institute
National Institute
of Diabetes and
Digestive and
Kidney Diseases
National Institute
of Diabetes and
Digestive and
Kidney Diseases
National Institute
of Dental and
Craniofacial
Research
National Institute
of Dental and
Craniofacial
Research
National Institute
on Drug Abuse
National Institute
on Drug Abuse
National Institute
of Environmental
Health Sciences
National Institute
of Environmental
Health Sciences
National Institute
on Aging
National Institute
on Aging
National Institute
of Child Health
and Human
Development
National Institute
of Child Health
and Human
Development
National Institute on
Deafness and Other
Communication
Disorders
National Institute on
Deafness and Other
Communication
Disorders
National Eye
Institute
National Eye
Institute
National Human
Genome Research
Institute
National Human
Genome Research
Institute
National Heart,
Lung, and Blood
Institute
National Heart,
Lung, and Blood
Institute
National Institute
of Mental Health
National Institute
of Mental Health
National Institute
of Neurological
Disorders and
Stroke
National Institute
of Neurological
Disorders and
Stroke
National Institute
of General
Medical Sciences
National Institute
of General
Medical Sciences
National Institute
of Nursing Research
National Institute
of Nursing Research
National Library
of Medicine
National Library
of Medicine
Center for
Information
Technology
Center for
Information
Technology
Center for
Scientific Review
Center for
Scientific Review
National Center
for Complementary
and Alternative
Medicine
National Center
for Complementary
and Alternative
Medicine
National Institute
of Allergy and
Infectious Diseases
National Institute
of Allergy and
Infectious Diseases
National Center
for Research
Resources
National Center
for Research
Resources
Clinical Center
Clinical Center
National Center on
Minority Health and
Health Disparities
National Center on
Minority Health and
Health Disparities
National Institute of
Biomedical Imaging
and Bioengineering
National Institute of
Biomedical Imaging
and Bioengineering
Fogarty
International
Center
Fogarty
International
Center
National Institutes of Health
Fogarty International Center, NIHFogarty International Center, NIH
Mission:Promote and supportscientific research and traininginternationally to reduce disparitiesin global health.
“Science for Global Health”“Science for Global Health”
Fogarty International CenterPrograms
29 Programs in 91 countries:
Training (16)
Research (11)
Fellowship (2)
Most of our programs receive co-fundingfrom other NIH Institutes and other USGagencies
Structure of Programs
Most grants require collaborations between US ordeveloped country investigators and investigatorsand institutions in low and middle incomecountries.
Emphasis placed on interdisciplinary approachesnot addressed adequately in current NIH globalportfolio
Many projects involve multiple foreign countries
FogartyInternational CenterFogartyInternational Center
InternationalResearch ScientistCareer Development
Maternal &Child Health
Environment &Ecology
Mental Health /StigmaResearch
TobaccoPrevention &Control
Health &EconomicDevelopment
Bioinformatics
Bioethics
Genetics
Clinical / Operational /Health Services Research
Promote StrategicAlliances
Conduct AppropriateResearch
Create CollaborativeInternational Research Networks
Build InternationalResearch Capacity
FIRCAProgram
HealthDisparities
Population &Demography
Environmental &Occupational Health
HIV / Malaria /TB & Other EIDs
Biodiversity
Platform — MissionPlatform — Mission
ResponsibleMedical Reporting
Demography & OtherSocial Sciences
Student
Program
Health, Environment andEconomic Development
HeaBrainDisorders
Vector Biology& Arbovirology
Competing/In DevelopmentCompeting/In Development
Program Expansions (illustrative examples)Program Expansions (illustrative examples)
Current Programs (illustrative examples)Current Programs (illustrative examples)
FoundationFoundation
Communication, Mentoring,Program Management
Web-based NetworkingCollaboratories for FogartyTraining Programs
NIMH Small Business InnovationResearch Contracts
To address the needs of internationalcollaborations to share data, materials,meetings, and seminars
Access portal to relevant information
Videoconferencing capability
Barriers to connectivity-survey ofgrantees (JG Perpich, LLC)
Slow connection speeds—severalrespondents routinely use modems at lessthan 56K
Service charges on the internet serviceproviders (ISPs) can be prohibitive (manyof the laboratories are unable to use thegovernment email or internet structure dueto inefficiencies and have to pay for privateISPs)
Barriers
Infrastructure can be unreliable—electricity, phone and internet connectionscome and go periodically
Political/social issues—censorship ofdiscussions about blood, plasma and HIVare real problems in some countries,especially China
Data Management, Flow, andAccess
International CooperativeBiodiversity Groups Program
Economic
development
Biodiversity
conservation
Drug discovery
New ICBG U01 Awards
Uzbekistan/
Kyrgyzstan
Papua New Guinea
Vietnam/Laos
Madagascar
Panama
New Planning Grants
Costa Rica
Jamaica
Jordan
Fiji
Samoa
Madagascar
Philippines
Vietnam-Laos ICBG Drug Discovery ProgramVietnam-Laos ICBG Drug Discovery Program
Cuc-Phuong Park, VietnamCuc-Phuong Park, Vietnam
(Inventory, Sample Collection)(Inventory, Sample Collection)
Research Institute onResearch Institute on
Medicinal Plants, LaosMedicinal Plants, Laos
(Samples and information)(Samples and information)
National Institute for Science andTechnology, VietnamNational Institute for Science andTechnology, Vietnam
(Extractions, prescreens, chemistry)(Extractions, prescreens, chemistry)
University of Illinois, ChicagoUniversity of Illinois, Chicago
(Bioassays, Chemistry, Literature and Database searches)(Bioassays, Chemistry, Literature and Database searches)
BMS-oncologyBMS-oncology
(cancer discovery and development)(cancer discovery and development)
Infrastructure is insufficientwithout training
International Training in MedicalInformatics (1997-2003)
Mission: Enhance Informatics capacity indeveloping countries through training
10 Programs in 11 countries
Trained over 70 students, 40 to the level ofMPH, MSc, or PhD.
100% of trainees that received US trainingreturned to home countries
Examples of Projects
Establishment of the first rural MedicalRecords System in Kenya at a primary carefacility servicing an area with noelectricity, telephones, or tap water
Establishment of first postgraduate/degreeProgram in Medical Informatics in sub-Saharan Africa
Distance learning project for MI in Brazil
Examples
In addition to training, establishment (withhelp from NLM) of a wireless wide areanetwork with internet link to connect theCollege of Medicine at the University ofMalawi internally and with fourinternational projects funded by NIH, theWellcome Trust, the Gates Foundation, andthe Malaria Project.
Informatics Training for GlobalHealth (ITGH- 2004)
Mission: To build capacity in informatics tosupport biomedical and behavioral research indeveloping country institutions and to developregional training centers. Training must beintegrated with ongoing research at foreign site.
Enquires regarding more than 70 institutions
Projects: Awards will be announced in May, 2004
More advanced applications?
Health, Environment, andEconomic Development (HEED)
Mission: To encourage developmental andexploratory research in developingcountries on topics that combine the issuesof health, environment, and economicdevelopment.
Use of GIS analysis-one example
US-Brazil: How do land use/coverchanges in frontier areas of BrazilianAmazonia impact human health? Integratesocio-demographic data and geo-referencedland use/cover data into a unified geo-referenced database.
FIC Website:http://www.fic.nih.govFIC Website:http://www.fic.nih.gov