International Research and Training Opportunities through FIC and NIH

1. International Research and Training Opportunitiesthrough FIC and NIH Natalie Tomitch, MPH, MBAProgram Officer for Eurasia and Central and Eastern Europe Fogarty International Center

2. The Secretary Deputy Secretary Administration for Children and Families (ACF) Administration on Aging (AoA) Food and Drug Administration (FDA) Health Resources and Services Administration (HRSA) Health Care Financing Administration (HCFA) Agency for Health Care Policy and Research (AHCPR) Indian Health Services (IHS) Centers for Disease Control and Prevention (CDC) Agency for Toxic Substances and Disease Registry (ATSDR) Substance Abuse and Mental Health Services Administration (SAMHSA) Program Support Center (PSC) U.S. Department of Health and Human Services National Institutes of Health (NIH)

3. National Institutes of Health Office of the Director National Institute of Allergy and Infectious Diseases National Institute on Aging National Institute on Alcohol Abuse and Alcoholism 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 National Library of Medicine National Center on Minority Health and Health Disparities National Center for Research Resources Fogarty International Center Clinical Center Center for Information Technology Center for Scientific Review

4. The NIH Mission “To uncover new knowledge that will lead to better health for everyone.”

5. NIH fulfills its mission by: • Conducting research in its own laboratories. • Supporting the research of non-Federal scientists in universities, medical schools, hospitals, and research institutions throughout the country and abroad. • Helping in the training of research investigators. • Fostering communication of medicaland health sciences information.

6. Domestic Award with a Foreign Component, including FIRCA (common) Direct Award to a foreign institution (rare, but increasing) Research Training NIH Research & Training Support Mechanisms R01, R03, R21, D43

7. NIH Priorities and Opportunities Evaluated in Peer Review Ideas from Individual Scientists InstituteAdvisory Councils ScientificReview NIHGrantees • Scientists and public members examine the institute portfolio. • Assess programs • Approve applications • Provide policy advice Each year, NIH receives approximately 25,000 researchproject grant applications. Applications are evaluated in peer review system. Approximately 25 percent of NIH applicants gain research funding.

8. Some Considerations for NIH-funded Research • Training of young researchers. • Protection of human and animal research subjects. • Research integrity and scientific accountability. • Dissemination of research results. • Technology transfer. • Balance among laboratory research, clinical research, and epidemiological research.

9. NIH Research Grants A foreign scientist is eligible to apply as P.I. or co-investigator to pursue research in any area normally funded by NIH - BUT -

10. NIH Research Grants(cont’d) Application must address two questions: (1) Why is the research being done abroad? - The foreign P.I. must demonstrate a special opportunity to further health research not readily available in the USA (due to special expertise or access to equipment, resources, or populations) (2) What is the benefit to the US population?

11. NIH International Research Expenditures Fiscal Years 1994 to 2000 Dollars

12. Fogarty International Center Mission:To promote and support scientific research and training internationally to reduce disparities in global health and to prepare current and future health scientists in the U.S. and abroad to meet global health challenges. “Science for Global Health”

13. National Institutes of Health Office of the Director National Institute of Allergy and Infectious Diseases National Institute on Aging National Institute on Alcohol Abuse and Alcoholism National Institute of Arthritis and Musculoskeletal and Skin Diseases National Cancer Institute National Institute of Child Health and Human Development 100% of Fogarty International Center activities are dedicated to reducing disparities in global health and advancing health research in low- and middle-income countries. “Science for Global Health” 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 National Library of Medicine National Center on Minority Health and Health Disparities National Center for Research Resources Clinical Center Center for Information Technology Center for Scientific Review Fogarty International Center

14. Fogarty International Center • Research and Training Opportunities for scientists in low- and middle-income countries and transitional economies: • Extramural Training Grants — 13 Programs • Extramural Research Grants — 11 Programs

15. Fogarty International CenterResearch Grant Programs • Fogarty International Research Collaboration Award (FIRCA) • Ecology of Infectious Diseases • Global Health Research Initiative Program for New Foreign Investigators (GRIP) • International Cooperative Biodiversity Groups (ICBG) • International Studies on Health and Economic Development • International Tobacco and Health Research and Capacity Building • Health Environment and Economic Development (HEED) • Brain Disorders in the Developing World: Research Across the Lifespan • Stigma and Global Health Research Program

16. Fogarty Int’l ResearchCollaboration Award (FIRCA) • Supports international research partnerships between NIH-supported U.S. scientists and collaborators in developing nations and countries in transition. • Provides $32,000 per year (up to 3 years) for equipment and supplies for foreign lab, travel, and stipend for the foreign PI. • Four reviews per year. • CRISP database (Computer Retrieval of Information on Scientific Projects)lists current DHHS research projects (NIH, CDC, FDA, AHRQ) at http://crisp.cit.nih.gov/

17. International Tobacco & Health Research and Capacity Building • WHO: Tobacco use is the leading cause of preventable death and disability in adults globally. By 2025, predicted 10 M deaths annually, 70% in developing world, straining resource needs. • Goal: development of scientific data for decision-making on tobacco issues, to include epidemiological-behavioral, prevention, communication, health services, and policy research of local relevance. • Partners include NCI, NHLBI, NICHD, NIDA, NINR, CDC, WHO-TFI, Canadian IHR.

18. Health, Environment, and Economic Development (HEED) • Goal: support interdisciplinary, international research collaborations on the linkages among health, environment, and development in developing nations and countries in transition • Developmental grants in 2003, full RO1s in 2005 • Strong research capacity building • Policy relevance and dissemination plans • Evaluation of impacts • Partners include NIEHS, NICHD, NIDA, OBSSR, USGS

19. Stigma and Global Health Research Program • Stigma prevents seeking prevention and care and participating in research that could lead to effective interventions. • Goal: to stimulate interdisciplinary research on the etiology and role of stigma in health, and to develop evidence-based interventions to prevent or reduce its negative effects on the health of individuals, groups and societies. • Partners include NCMHD, NHGRI, NIAAA, NIAID, NIDCR, NIDA, NIMH, NINDS, OAR, OBSSR, ORWH, HRSA, Canadian IHR.

20. Fogarty International Center Research Training Grant Programs • HIV/AIDS • Building Capacity in Support of ICIDR sites • Global Infectious Disease Research Training • Environmental and Occupational Health • International Cooperative Biodiversity Groups • FIC-NLM Medical Informatics • Maternal and Child Health • Population and Health • Research Bioethics • Malaria • Clinical, Operational and Health Services Research (ICOHRTA) • Genetics

21. FIC Research Training Grants(D43 ) • Opportunities for scientists and health professionals from low- and middle-income nations to train at the Ph.D., Masters, and post-doctoral levels while working on international research projects. • “Low- and middle-income” as defined by World Bank (per capita income < $9,000).

22. FIC Research Training Grants • Institutional training grant to U.S. universities and non-profit research institutions in response to a specific request for application (RFA). • Awardees are current NIH grant recipients with demonstrated research collaboration with foreign research institutions. • Purpose: support training of scientists for building of research capacity in developing nations and countries in transition.

23. Support Available Through FIC Training Grants Masters and Doctoral Degrees * Tuition, Stipends, Travel, Related Expenses Post-doctoral Fellowships* Tuition, Stipends, Travel, Related Expenses Short Courses (in U.S. or In-country)* Tuition, Travel, Per diem Training-related In-country research grants and * Re-entry grants Limited salary, admin support for U.S. university

24. Systematic approach Stability and Long-term Commitment Response to Local Needs and Priorities Long-term Mentoring Mutual Reinforcement of Training/Research Empowerment and Mutual Respect Individual and Institutional Partnerships Advanced In-country Research (upon return to home country) Networking Flexibility Leverage FIC Training Program Characteristics

25. AIDS International Training and Research Program (AITRP) • Purpose: development of epidemiological skills in AIDS diagnosis, prevention and treatment research, including clinical trials. • Training of researchers, technicians, and allied mid-level health professionals.

26. AITRP Programs in CEE and NIS • Baylor College of Medicine (Texas):Romania • State University of New York (SUNY)/ Brooklyn:Armenia, Baltic States, Czech Republic,Georgia, Hungary, Poland, Russia • University of Alabama at Birmingham:Russia, Ukraine • Johns Hopkins University:Russia, Tajikistan • Yale University:Russia

27. Global Infectious Disease ResearchProgram • Support of collaborative research related training on infectious diseases that are predominately endemic in or impact upon people living in developing nations and countries in transition.  • Partners: NIAID, CDC, USAID • Programs in CEE and NIS: • NY State Department of Health: Armenia, Czech Republic, Georgia, Kazakhstan, Kosovo, Poland • University of California at Berkeley: Czech Republic

28. International Training and Research Program in Environmental and Occupational Health (ITREOH) • Training of health scientists, clinicians, epidemiologists, toxicologists, engineers, industrial hygienists, chemists, and allied health workers. • Focus on epidemiology and prevention research, environmental monitoring, and engineering control. • Partners: NIEHS, NIOSH/CDC

29. ITREOH Programs in CEE and NIS • Great Lakes Center for Occupational & Environmental Safety and Health, University of Illinois, Chicago Focus on epidemiology, exposure assessment (Chernobyl-related health effects) Ukraine, Belarus, Russia • State University of NY (SUNY) School of Public Health, Albany Focus on air pollution, hazardous waste management, industrial hygiene, environmental and occupational health policy Czech Republic, Poland, Hungary, Romania, Ukraine, Uzbekistan

30. ITREOH Programs in CEE and NIS • University of Iowa, Center for International Rural and Environmental Health: Focus on exposure assessment to agricultural toxins, pesticides Czech Republic, Hungary, Poland, Romania, Slovakia, Slovenia • Michigan State University: Focus on Balkan Endemic Nephropathy (BEN) Bulgaria, Romania, Serbia

31. International Bioethics Education and Career Development Award in CEE and NIS • Case Western Reserve University, Cleveland: M.A. in Bioethics, including online interactive research ethics course, clinical ethics rotation, and analysis of case studies in international research ethics, research proposal development. Russia (St. Petersburg State University); Romania • Bangladesh Medical Research Council: Multidisciplinary training and capacity building of health research professionals in curriculum development and support of relevant research. Kazakhstan(School of Public Health, Almaty)

32. International Clinical, Operational, and Health ServicesResearch and Training (ICOHRTA) • Supports integrated multidisciplinary, clinical, operational, and health services research and training collaborations. • First series of grants focused mostly on mental health and drug abuse-related research training programs. • Participating NIH Institutes and Centers: FIC, NIDA, NIMH, NIA, NCCAM, NIDCR.

33. ICOHRTA Sites in CEE and NIS • University of Michigan at Lansing: Focus on substance abuse. Poland (Institute of Neuropsychiatry) • Children’s Hospital, Boston: Focus on children’s developmental disorders and mental health. Turkey (Ankara University) • University of California at Berkeley: Focus on financing of mental health services. Czech Republic (Charles University) • University of Alabama, Birmingham:Focus on substance abuse treatment, prevention and control of related health problems (HIV). Ukraine (Pirogov Medical University, Vinnitsa)

34. Trauma and Injury Research Training Program(new, active RFA) • Addresses the growing burden of morbidity and mortality in the developing world due to trauma and injury. • Training across the range of basic to applied science; epidemiology of risk factors; acute care and survival; rehabilitation; and long-term mental health consequences. • Partners: seven NIH partners, the Center for Disease Control and Prevention's National Center for Injury Prevention and Control, the Pan American Health Organization, and the World Health Organization (WHO).

35. Other Opportunities:NIH Visiting Program • Provides opportunities for foreign scientists to train and conduct collaborative research at NIH (1-3 years). • Open to scientists at all career levels. • Appointment must be requested by a senior NIH intramural scientist on behalf of the foreign scientist.

36. Other Opportunities:National Institute on Drug Abuse (NIDA) INVEST Fellowship • Provides opportunities for foreign scientists to train and conduct collaborative research related to drug abuse at NIH. • Open to scientists at all career levels. • Foreign scientist must seek appointment from a senior NIH intramural scientist.

37. Other Opportunities:U.S. Civilian Research & Development Foundation (CRDF) • With NIH funding, supports joint biomedical & behavioral research between U.S. and NIS investigators. • Catalyzing new linkages and development of scientific infrastructure. • Direct transfer of $ and equipment to NIS scientists, exempt from tax and customs. • New targeted HIV/AIDS Initiative: (1) workshops; (2) grants competition; and (3) final conference to set research agenda, formulate appropriate program interventions and policy implications. • http://www.crdf.org

38. “Bridges in Life Sciences” • Budapest, October 2003: Regional networking meeting and technology transfer workshop for U.S. and CEE researchers supported by NIH (~150 grants in 8 disciplines). www.varimed.hu Conferences • Purpose: to strengthen US-CEE and intra-regional collaborations, to bridge other efforts (EU), to address training needs as countries enter the EU. • Recommendations: continue regular targeted scientific networking meetings and training sessions in TT and grantsmanship. • May 2004: Reproductive health/ LBW (Bratislava, Slovakia); October 2004: HIV and Related Conditions (Bucharest, Romania); June 2005: Pan-European Forum (Dubrovnik, Croatia).

39. NIH Website: www.nih.gov/ FIC Website: www.fic.nih.gov/ For More Information

40. Questions? Please contact: Natalie Tomitch, MPH, MBA Program Officer for Russia, NIS (Eurasia) and CEE Tel: 301-496-4784 E-mail: tomitch@nih.gov