Research: Critical for Global Health

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Research Critical for Global Health

• Insert Your Name the Date of the Presentation
  Here

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Medical research changes our lives
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Medical Research Big domestic and global
paybacks

• 51 decline in death rates from stroke, 1975 to
  2000
• 70 reduction in AIDS-related deaths (U.S.),
  1995-2001
• Researchers discovered oral rehydration therapy
  for diarrhea, Pedialyte, that has saved
  childrens lives world wide

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New medical tools needed to fight global diseases

• Malaria - 247 million cases a year. Needed
  better diagnostics, better drugs, better
  prevention, and a vaccine.
• Tuberculosis - 1 in 3 worldwide have been
  exposed to TB (have latent TB). Needed better
  diagnostics, better drugs, and an effective
  vaccine.
• HIV/AIDS - Worldwide epidemic is spreading.
  Needed better drugs and a vaccine.

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Medical research should not neglect global
health, but has

• Over 30 years, 1,556 new drugs brought to market
• 179 for cardiovascular disease
• 21 for tuberculosis and tropical diseases
• Tuberculosis and tropical diseases affect the
  same number of people as cardiovascular disease.

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Global health matters to us for public health
reasons

• In 2003, SARS originated in Asia. Spread
  worldwide in a matter of weeks.
• West Nile virus originated in Africa. Now in
  nearly every state in the U.S.
• Extensively drug resistant tuberculosis is
  spreading globally. Has been reported in the
  United States.

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Global health matters to us for economic reasons

• (Here it would be helpful to add information on
  how global health affects your state, available
  at http//www.familiesusa.org/issues/global-health
  /publications/global-health-and-your-state.html)

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Global health matters to us for diplomatic and
security reasons

• Growing consensus that global health is linked
  to security
• National Academy of Sciences News Release, Dec.
  15, 2008 Global Health Should Be Key Component
  of U.S. Foreign Policy
• Report on presentation of Dr. S. Ward Casscells,
  assistant secretary of defense for health
  affairs, Jan. 2009 Global Health Key to Security
  Improvements

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It is part of maintaining our scientific
leadership
China gunning for brain gain
The Chinese Academy of Sciences (CAS) says that
it will pay for thousands of overseas scholars
and scientists to come and work in China over the
next five years.
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Government has a major role in global health
research
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National Institutes of Health (NIH)

• Annual budget of 30 billion
• Operates 27 Institutes and Centersit is
  Americas leading research institute
• 80 percent of NIH funds go to state institutions
  and businesses as grants and research contracts
• NIH components most focused on global health
• National Institute for Allergy and Infectious
  Diseases (NIAID)
• Fogarty International Center

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The Centers for Disease Control
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Department of Defense

• The Department of Defense researches global
  disease threats to our troops and U.S. civilians
  abroad.
• Several programs within DOD conduct research on
  global infectious diseases.

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United States Agency for International
Development

• USAID extends assistance to countries recovering
  from disaster, trying to escape poverty, and
  engaging in democratic reforms.
• Health research is integral to USAIDs
  assistance work

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Our investment in global health research
inadequate

• U.S. government research spending on eight
  leading neglected infectious diseases was 376
  million in 2007

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Strong agency funding essential to global health
research
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Research is expensive and results arent
guaranteed
Basic research to preclinical to Phase I, II, and
III trials
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But there are immediate paybacks

• Immediate economic benefit to states from
  research dollars that flow to them
• Our presence through overseas research can
  enhance goodwill
• Having systems in place can stop disease threats
  now

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In your advocacy, make the benefits immediate and
local

• In your advocacy, talk about how research dollars
  that go to your state spur economic growth use
  global health examples
• Talk about how global health matters to your
  state
• Adding data on any local global health threats
  for example, TB cases or West Nile can be
  effective

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In your advocacy, be aware of the audiences
special interests

• Check Committee assignments and special interests
  of the person youre meeting with and be sure to
  focus on those
• For example, if youre talking to someone
  interested in defense, make the security argument
  up front

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In your advocacy, have a specific request if you
can

• Helps to make your voice heard and to let members
  of Congress know that you think global health
  research is important.
• Members of Congress dont expect you to know all
  the answers, but -- if you can -- it helps to
  have a specific request
• This can be for research on a specific disease or
  funding related to a specific agency
• Before your meeting, find out where Congress is
  in the funding (appropriations) cycle and see
  what advocacy groups are asking for. You can
  reference requests that they have made public.

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Groups that can be sources for funding requests

• AIDS Vaccine Advocacy Coalition ADIS vaccine
  research funding
• Alliance for Microbicide Development Funding for
  HIV microbicides
• American Society for Tropical Medicine and
  Hygiene Funding for research on malaria and
  tropical diseases
• Infectious Disease Society of America Funding
  for TB research
• Research ! America Overall NIH advocacy
• The CDC Coalition Overall CDC advocacy
• Treatment Action Group TB and HIV/AIDS research
  funding

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Polio vaccine, 1955-2005 averted 1.1 million
polio cases saved 160,000 lives economic
benefit gt 180 billion
The Americas were declared polio free in 1994