NCI’s International Perspective Ben Prickril, Ph.D. International Programs Officer Office of International Affairs National Cancer Institute Email: prickril@mail.nih.gov

NCI and NIH 27 Institutes and Centers make up the National Institutes of Health. NCI is largest of these, with budget of 5 billion dollars. NCI coordinates the Nation’s research program on cancer prevention, detection, diagnosis, treatment, rehabilitation, and control. NCI established by Congress in 1937. Programs were intensified in 1971 after passage of the National Cancer Act. NCI initiated cancer control programs internationally to better use knowledge gained through cancer research.

Organizational Structure of NCI OIA Monitors international activities across NCI OIA Manages certain international activities

Striking the Balance in NCI’s International Activities Utilizing Existing International Research Infrastructure To Maximize Shorter-Term Return on Investment in Discovery (Working Primarily with Developed Countries) Building Research Infrastructure Where it is Currently Limited And Engaging in “Health Diplomacy” On the Part of U.S. Government (Working mainly with Developing Countries) Mainly Research Collaborations Mainly Capacity Building vs.

NCI Foreign Grants & Contracts (FY09) 73 Foreign Research Grants & 4 Research Contracts Totaling $29.5 Million In FY09, NCI funded a total of 5,179 Research Project Grants Contracts Dollars (1000’s)

ARCA

Perspective of the NIH Director on Global Health “And we should…make sure we’re focused not just on doing research in those countries but helping them develop their own research capacity in the longer term.” NIH Director Dr. Francis Collins Address to NIH staff 17 August 2009

NCI’s International Mandate in Legislation The National Cancer Act of 1971 and subsequent follow-up legislation specifically emphasize an international presence in directing that NCI: “…support: (A) research in the cancer field outside the United States by highly qualified foreign nationals which can be expected to benefit the American people; (B) collaborative research involving American and foreign participants; and (C) the training of American scientists abroad and foreign scientists in the United States.”

NCI International Visitors 2 11 9 1 7 29 181 4 6 5 3 Albania Argentina Australia Austria Azerbaijan Barbados Belarus Belgium Bolivia Brazil Bulgaria Cameroon Canada Chile China Colombia Croatia Czech Republic Denmark Ecuador Egypt 1 2 43 38 5 13 6 146 4 15 32 58 113 96 3 Ethiopia Finland France Georgia Germany Ghana Greece Hong Kong Hungary Iceland India Indonesia Iran Ireland Israel Italy Japan Jordan Kenya Korea, South Lebanon 1 2 5 4 3 17 30 Macedonia Malaysia Mexico Mongolia Morocco Nepal Netherlands New Zealand Nicaragua Nigeria Norway Pakistan Peru Philippines Poland Portugal Romania Russia Senegal Serbia Sierra Leone 6 2 4 21 1 8 13 3 Singapore Slovakia South Africa Spain Sri Lanka Sudan Sweden Syria Taiwan Tanzania Thailand Tunisia Turkey Ukraine United Kingdom Uruguay Uzbekistan Venezuela Vietnam Yemen One way in which NCI builds capacity for research is through shorter-term and longer-term visits to NCI by international scientists. Over 1000 visitors from about 80 countries come to NCI each year.

Summer Curriculum Syllabus Principles and Practice of Cancer Prevention and Control Course Module 1: Introduction to the Cancer Problem International Day: Cancer Prevention: An International Perspective Module 2: Diet, Physical Activity, and Cancer Prevention Module 3: Application of Cancer Prevention Methods Module 4: Epidemiology, Prevention, and Control of Site-Specific Tumors Module 5: Occupational Environmental Exposures in Cancer Module 6: Behavioral Science and Community Interventions Special Lecture: Advances in Cancer Prevention Module 7: Health Disparities and Cancer Prevention in Diverse Populations Module 8: Ethics, Law, and Policy in Cancer Prevention and Control Module 9: Disseminating Scientific Knowledge Special Lecturer 2009 Funmi Olapade

International Students Supported By OIA By Year and Region (306 total from LMIC’s)

Palliative care adds not only life to days but days to life. Early Palliative Care Improves Survival & Improves Mental State of Patients Patients with lung cancer Median survival: EPC = 11.6 months SC = 8.9 months Palliative care adds not only life to days but days to life.

OIA Website as a Gateway to NCI International http://oia.cancer.gov/ Point-and-click selection of region of interest Features NCI staff working internationally

For more details on any aspect of the presentation, contact: Today’s Presentation Was Intended to Highlight the “Tip of the Iceberg” For more details on any aspect of the presentation, contact: Ben Prickril, PhD prickril@mailnih.gov