1. NCI’s International Perspective
Ben Prickril, Ph.D.
International Programs Officer
Office of International Affairs
National Cancer Institute

2. 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 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.

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

4. 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.

5. 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)

6. ARCA

7. 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

8. 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.”

9. NCI International Visitors2 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.

10. 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

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

12. 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.

13. 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

14. 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