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

2. National Institutes of Health
Office of the Director
National Institute
on Aging
National Institute
on Alcohol Abuse
and Alcoholism
National Institute
of Allergy and
Infectious Diseases
National Institute
of Arthritis and
Musculoskeletal
and Skin Diseases
National Cancer
Institute
National Institute
of Child Health
and Human
Development
National Institute on
Deafness and Other
Communication
Disorders
National Institute
of Dental and
Craniofacial
Research
National Institute
of Diabetes and
Digestive and
Kidney Diseases
National Institute
on Drug Abuse
National Institute
of Environmental
Health Sciences
National Eye
Institute
National Institute
of General
Medical Sciences
National Heart,
Lung, and Blood
Institute
National Human
Genome Research
Institute
National Institute
of Mental Health
National Institute
of Neurological
Disorders and
Stroke
National Institute
of Nursing Research
National Institute of
Biomedical Imaging
and Bioengineering
National Center
for Complementary
and Alternative
Medicine
Fogarty
International
Center
National Center
for Research
Resources
National Library
of Medicine
National Center on
Minority Health and
Health Disparities
Clinical Center
Center for
Information
Technology
Center for
Scientific Review

3. Fogarty International Center, NIH
Mission: Promote and support scientific research and training internationally to reduce disparities in global health.
“Science for Global Health”

4. Fogarty International Center Programs
29 Programs in 91 countries:
Training (16)
Research (11)
Fellowship (2)
Most of our programs receive co-funding from other NIH Institutes and other USG agencies

5. Structure of Programs
Most grants require collaborations between US or developed country investigators and investigators and institutions in low and middle income countries.
Emphasis placed on interdisciplinary approaches not addressed adequately in current NIH global portfolio
Many projects involve multiple foreign countries

6. Fogarty International Center
International Research Scientist Career Development
Maternal & Child Health
Environment & Ecology
Mental Health / Stigma Research
Tobacco Prevention & Control
Health & Economic Development
Bioinformatics
Bioethics
Genetics
Clinical / Operational / Health Services Research
Promote Strategic Alliances
Conduct Appropriate Research
Create Collaborative International Research Networks
Build International Research Capacity
FIRCA Program
Health Disparities
Population & Demography
Environmental & Occupational Health
HIV / Malaria / TB & Other EIDs
Biodiversity
Platform — Mission
Responsible Medical Reporting
Demography & Other Social Sciences
Student
Program
Health, Environment and Economic Development
HeaBrain Disorders
Vector Biology & Arbovirology
Competing/In Development
Program Expansions (illustrative examples)
Current Programs (illustrative examples)
Foundation

7. Communication, Mentoring, Program Management

8. Web-based Networking Collaboratories for Fogarty Training Programs
NIMH Small Business Innovation Research Contracts
To address the needs of international collaborations to share data, materials, meetings, and seminars
Access portal to relevant information
Videoconferencing capability

9. Barriers to connectivity-survey of grantees (JG Perpich, LLC)
Slow connection speeds—several respondents routinely use modems at less than 56K
Service charges on the internet service providers (ISPs) can be prohibitive (many of the laboratories are unable to use the government or internet structure due to inefficiencies and have to pay for private ISPs)

10. Barriers
Infrastructure can be unreliable—electricity, phone and internet connections come and go periodically
Political/social issues—censorship of discussions about blood, plasma and HIV are real problems in some countries, especially China

11. Data Management, Flow, and Access

12. International Cooperative Biodiversity Groups Program
Economic
development
Drug discovery
Biodiversity
conservation

13. New ICBG U01 Awards Uzbekistan/ Kyrgyzstan Papua New Guinea
Vietnam/Laos
Madagascar
Panama

14. New Planning Grants Costa Rica Jamaica Jordan Fiji Samoa Madagascar
Philippines

15. Vietnam-Laos ICBG Drug Discovery Program
Research Institute on
Medicinal Plants, Laos
(Samples and information)
Cuc-Phuong Park, Vietnam
(Inventory, Sample Collection)
National Institute for Science and Technology, Vietnam
(Extractions, prescreens, chemistry)
University of Illinois, Chicago
(Bioassays, Chemistry, Literature and Database searches)
BMS-oncology
(cancer discovery and development) 19

16. Infrastructure is insufficient without training

17. International Training in Medical Informatics (1997-2003)
Mission: Enhance Informatics capacity in developing countries through training
10 Programs in 11 countries
Trained over 70 students, 40 to the level of MPH, MSc, or PhD.
100% of trainees that received US training returned to home countries

18. Examples of Projects
Establishment of the first rural Medical Records System in Kenya at a primary care facility servicing an area with no electricity, telephones, or tap water
Establishment of first postgraduate/degree Program in Medical Informatics in sub-Saharan Africa
Distance learning project for MI in Brazil

19. Examples
In addition to training, establishment (with help from NLM) of a wireless wide area network with internet link to connect the College of Medicine at the University of Malawi internally and with four international projects funded by NIH, the Wellcome Trust, the Gates Foundation, and the Malaria Project.

20. Informatics Training for Global Health (ITGH- 2004)
Mission: To build capacity in informatics to support biomedical and behavioral research in developing country institutions and to develop regional training centers. Training must be integrated with ongoing research at foreign site.
Enquires regarding more than 70 institutions
Projects: Awards will be announced in May, 2004

21. More advanced applications?

22. Health, Environment, and Economic Development (HEED)
Mission: To encourage developmental and exploratory research in developing countries on topics that combine the issues of health, environment, and economic development.

23. Use of GIS analysis-one example
US-Brazil: How do land use/cover changes in frontier areas of Brazilian Amazonia impact human health? Integrate socio-demographic data and geo-referenced land use/cover data into a unified geo-referenced database.

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