The Influenza Genome Sequencing Project ( IGSP ), initiated in early 2004, seeks to investigate influenza evolution by providing a public data set of complete influenza genome sequences from collections of isolates representing diverse species distributions.
70-726: The project is funded by the National Institute of Allergy and Infectious Diseases (NIAID), a division of the National Institutes of Health (NIH), and has been operating out of the NIAID Microbial Sequencing Center at The Institute for Genomic Research (TIGR, which in 2006 became The Venter Institute). Sequence information generated by the project has been continually placed into the public domain through GenBank . In late 2003, David Lipman , Lone Simonsen , Steven Salzberg , and
140-471: A certain percentage (2.8% in 2014) must be granted to small businesses under the SBIR/STTR program. As of 2011 , the extramural funding consisted of about 50,000 grants to more than 325,000 researchers at more than 3000 institutions. By 2018 , this rate of granting remained reasonably steady, at 47,000 grants to 2,700 organizations. In FY 2010 , NIH spent US$ 10.7bn (not including temporary funding from
210-508: A clinical trial, except for the most critically ill, as determined by the NIH Director. Over the last century, the responsibility to allocate funding has shifted from the OD and Advisory Committee to the individual ICs and Congress increasingly set apart funding for particular causes. In the 1970s, Congress began to earmark funds specifically for cancer research, and in the 1980s there was
280-473: A consortium of other scientists wrote a proposal to begin sequencing large numbers of influenza viruses at The Institute for Genomic Research (TIGR). Prior to this project, only a handful of flu genomes were publicly available. Their proposal was approved by the National Institutes of Health (NIH), and would later become the IGSP. New technology development led by Elodie Ghedin began at TIGR later that year, and
350-468: A diverse research portfolio in order to capitalize on major discoveries in a variety of fields such as cell biology, genetics, physics, engineering, and computer science. Fourth, address public health needs according to the disease burden (e.g., prevalence and mortality). And fifth, construct and support the scientific infrastructure (e.g., well-equipped laboratories and safe research facilities) necessary to conduct research. Advisory committee members advise
420-439: A preventive therapy for respiratory syncytial virus or RSV ( Synagis ). Additionally, NIAID partnerships with industry and academia have led to the advancement of diagnostic tests for several important infectious diseases, including malaria (ParaSight F), tuberculosis ( GeneXpert MTB/RIF ), and norovirus (Ridascreen Norovirus 3rd Generation EIA). NIAID has done research on mother-to-child transmission (MTCT) of HIV. In 1994,
490-601: A rate similar to inflation since the 1970s, research funding for the NIH nearly tripled through the 1990s and early 2000s, but has remained relatively stagnant since then. By the 1990s, the NIH committee focus had shifted to DNA research and launched the Human Genome Project . The NIH Office of the Director is the central office responsible for setting policy for NIH, and for planning, managing, and coordinating
560-544: A reputation for being on the cutting edge of scientific progress both through its intramural labs and through the research it funds at academic institutions. For example, NIAID collaborations with various partners led to the development of FDA-approved vaccines for influenza ( FluMist ), hepatitis A (Havrix), and rotavirus (RotaShield). NIAID also was instrumental in the development and licensure of acellular pertussis vaccines, conjugate vaccines for Streptococcus pneumoniae and Haemophilus influenzae type b or Hib, and
630-400: A series of audit reports revealing that throughout the fiscal years 2000–2010, institutes under the aegis of the NIH did not comply with the time and amount requirements specified in appropriations statutes, in awarding federal contracts to commercial partners, committing the federal government to tens of millions of dollars of expenditure ahead of appropriation of funds from Congress. The NIH
700-523: A significant amount allocated for AIDS/HIV research. Funding for the NIH has often been a source of contention in Congress, serving as a proxy for the political currents of the time. During the 1980s, President Reagan repeatedly tried to cut funding for research, only to see Congress partly restore funding. The political contention over NIH funding slowed the nation's response to the AIDS epidemic; while AIDS
770-683: A similar course of AZT. Subsequent clinical trials, including some funded by NIAID, showed that AIDS drugs also can reduce the risk of MTCT through breast milk. These and other studies have led to World Health Organization recommendations that can help prevent MTCT while allowing women in resource-limited settings to breastfeed their infants safely. More recently, NIAID-funded scientists found that testing at-risk infants for HIV and then giving ART immediately to those who test positive dramatically reduces rates of illness and death. HIV-infected infants were four times less likely to die if given ART immediately after they were diagnosed with HIV, when compared with
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#1732793886622840-491: A study co-sponsored by NIAID demonstrated that the drug AZT , given to HIV-infected women who had little or no prior antiretroviral therapy (ART), reduced the risk of MTCT by two-thirds. In 1999, an NIAID-funded study in Uganda found that two oral doses of the inexpensive drug nevirapine —one given to HIV-infected mothers at the onset of labor and another to their infants soon after birth—reduced MTCT by half when compared with
910-613: Is available to the general public whereas the individual-level data is accessible to researchers. According to the City Journal NIH denies access to such attributes as intelligence, education and health on the grounds that studying their genetic basis would be stigmatizing. The NIH partnered with Moderna in 2020 during the COVID-19 pandemic to develop a vaccine. The final phase of testing began on July 27 with up to 30,000 volunteers assigned to one of two groups—one receiving
980-612: Is composed of 27 separate institutes and centers that conduct and coordinate biomedical research. These are: In addition, the National Center for Research Resources operated from April 13, 1962, to December 23, 2011. The Advanced Research Projects Agency for Health (ARPA-H) is an entity formerly within the Office of the United States Secretary of Health and Human Services , which was created by Congress in
1050-443: Is determined by the scientist. The total number of applicants has increased substantially, from about 60,000 investigators who had applied during the period from 1999 to 2003 to slightly less than 90,000 in who had applied during the period from 2011 to 2015. Due to this, the "cumulative investigator rate", that is, the likelihood that unique investigators are funded over a 5-year window, has declined from 43% to 31%. R01 grants are
1120-475: Is funded by the National Institute of Allergy and Infectious Diseases (NIAID) which is a component of the NIH, which is an agency of the United States Department of Health and Human Services . The IGSP has expanded to include a growing list of collaborators, who have contributed both expertise and valuable collections of influenza isolates. Key early contributors included Peter Palese of
1190-525: Is one of the 27 institutes and centers that make up the National Institutes of Health (NIH), an agency of the United States Department of Health and Human Services (HHS). NIAID's mission is to conduct basic and applied research to better understand, treat, and prevent infectious , immunologic , and allergic diseases. NIAID has on-campus laboratories in Maryland and Hamilton, Montana , and funds research conducted by scientists at institutions in
1260-773: Is the director of the fellowship training program. The Infectious Diseases Fellowship Program is open to physicians who have completed three years of an internal medicine residency program in the United States or Canada. Fellows are eligible to sit for the ABIM Infectious Disease certification examination after two years. Christa Zerbe is currently the program director for the Infectious Diseases Fellowship Program. National Institutes of Health The National Institutes of Health , commonly referred to as NIH ,
1330-780: Is the primary agency of the United States government responsible for biomedical and public health research. It was founded in 1887 and is now part of the United States Department of Health and Human Services . Many NIH facilities are located in Bethesda, Maryland , and other nearby suburbs of the Washington metropolitan area , with other primary facilities in the Research Triangle Park in North Carolina and smaller satellite facilities located around
1400-597: The American Recovery and Reinvestment Act of 2009 ) on clinical research , US$ 7.4bn on genetics -related research, US$ 6.0bn on prevention research, US$ 5.8bn on cancer, and US$ 5.7bn on biotechnology . In 2008 a Congressional mandate called for investigators funded by the NIH to submit an electronic version of their final manuscripts to the National Library of Medicine 's research repository, PubMed Central (PMC), no later than 12 months after
1470-828: The Bayley Seton Hospital ). Officials of the Marine Hospital Service in New York decided to open a research laboratory to study the link between microscopic organisms and infectious diseases. Joseph J. Kinyoun , a medical officer with the Marine Hospital Service, was selected to create this laboratory, which he called a "laboratory of hygiene ." Kinyoun's lab was renamed the Hygienic Laboratory in 1891 and moved to Washington, D.C., where Congress authorized it to investigate "infectious and contagious diseases and matters pertaining to
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#17327938866221540-509: The Consolidated Appropriations Act, 2022 . Modeled after DARPA , HSARPA , IARPA , and ARPA-E , it is intended to pursue unconventional research projects through methods not typically used by federal agencies or private sector companies. Secretary Xavier Becerra delegated ARPA-H to the NIH on May 24, 2022. It received $ 1 billion in appropriations in 2022, and $ 1.5 billion in 2023, and as of June 2023 it
1610-627: The Hygienic Laboratory , was established within the Marine Hospital Service , which at the time was expanding its functions beyond the system of Marine Hospitals into quarantine and research programs. It was initially located at the New York Marine Hospital on Staten Island . In 1891, it moved to the top floor of the Butler Building in Washington, D.C. In 1904, it moved again to a new campus at
1680-752: The Mount Sinai School of Medicine in New York, Jill Taylor of the Wadsworth Center at the New York State Department of Health , Lance Jennings of Canterbury Health Laboratories (New Zealand), Jeff Taubenberger of the Armed Forces Institute of Pathology (who later moved to NIH), Richard Slemons of Ohio State University and Rob Webster of St. Jude's Children's Hospital in Memphis, Tennessee. In 2006
1750-699: The Old Naval Observatory , which grew to include five major buildings. In 1901, the Division of Scientific Research was formed, which included the Hygienic Laboratory as well as other research offices of the Marine Hospital Service. In 1912, the Marine Hospital Service became the Public Health Service (PHS). In 1922, PHS established a Special Cancer Investigations laboratory at Harvard Medical School . This marked
1820-692: The Wuhan Institute of Virology (WIV)—which has been at the center of speculation since early 2020 that SARS-CoV-2 may have escaped in a lab incident. Under political pressure, the NIH withdrew funding to EcoHealth Alliance in July 2020. On February 13, 2012, the National Institutes of Health (NIH) announced a new group of individuals assigned to research pain. This committee is composed of researchers from different organizations and will focus to "coordinate pain research activities across
1890-568: The mRNA-1273 vaccine and the other receiving salt water injections—and continued until there had been approximately 100 cases of COVID-19 among the participants. In 2021, the NIH contributed $ 4,395,399 towards the Accelerating COVID-19 Therapeutic Interventions and Vaccines (ACTIV) program. Following the outbreak of the COVID-19 pandemic , NIH-funded EcoHealth Alliance has been the subject of controversy and increased scrutiny due to its ties to
1960-701: The public health ." With the passage of the Ransdell Act in 1930, the Hygienic Laboratory became the National Institute of Health. In 1937, the Rocky Mountain Laboratory, then part of the United States Public Health Service , was transferred to Division of Infectious Diseases, part of the NIH. In mid-1948, the National Institute of Health became the National Institutes of Health (NIH) with
2030-577: The 21 drugs with the highest therapeutic impact on society introduced between 1965 and 1992, public funding was "instrumental" for 15. As of 2011 NIH-supported research helped to discover 153 new FDA-approved drugs, vaccines, and new indications for drugs in the 40 years prior. One study found NIH funding aided either directly or indirectly in developing the drugs or drug targets for all of the 210 FDA-approved drugs from 2010 to 2016. In 2015, Pierre Azoulay et al. estimated $ 10 million invested in research generated two to three new patents. Since its inception,
2100-826: The Center for Cancer Research, Office of Scientific Operations, Management Operations Support Branch, the division of Cancer Epidemiology and Genetics and the division of Cancer Treatment and Diagnosis. The National Institute of Environmental Health Sciences is located in the Research Triangle region of North Carolina . Other ICs have satellite locations in addition to operations at the main campus. The National Institute of Allergy and Infectious Diseases maintains its Rocky Mountain Labs in Hamilton, Montana , with an emphasis on BSL3 and BSL4 laboratory work. NIDDK operates
2170-772: The Director. NIH submits its budget request to the Department of Health and Human Services (HHS), and the HHS considers this request as a portion of its budget. Many adjustments and appeals occur between NIH and HHS before the agency submits NIH's budget request to the Office of Management and Budget (OMB). OMB determines what amounts and research areas are approved for incorporation into the President's final budget. The President then sends NIH's budget request to Congress in February for
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2240-490: The Jewish Chronic Disease Hospital. When three doctors resigned after refusing to inject patients without their consent, the experiment gained considerable media attention. The NIH was a major source of funding for Southam's research and had required all research involving human subjects to obtain their consent prior to any experimentation. Upon investigating all of their grantee institutions,
2310-835: The NIAID Data Discovery Portal to enhance the reuse of data and enable faster development of diagnostics, therapeutics, and vaccines. The NIAID Data Discovery Portal focuses on the findability of data, aggregating resources across numerous sources, including NIAID-supported repositories and general biomedical repositories. NIAID offers three-year fellowships for medical trainees in allergy/immunology and infectious diseases. These Accreditation Council for Graduate Medical Education (ACGME)-accredited fellowships provide intensive clinical training and research mentorship in clinical and basic science laboratories. Both NIAID fellowship training programs include one full year of clinical responsibilities including two or three months of
2380-560: The NIH Toolbox was rolled out to the research community. NIH Toolbox assessments are based, where possible, on Item Response Theory and adapted for testing by computer. NIH sponsors the Database of Genotypes and Phenotypes (dbGaP), a repository of information produced by studies investigating the interaction of genotype and phenotype. The information includes phenotypes, molecular assay data, analyses and documents. Summary-level data
2450-461: The NIH budget doubled. For a time, funding essentially remained flat, and for seven years following the financial crisis, the NIH budget struggled to keep up with inflation. In 1999 Congress increased the NIH's budget by $ 2.3 billion to $ 17.2 billion in 2000. In 2009 Congress again increased the NIH budget to $ 31 billion in 2010. In 2017 and 2018, Congress passed laws with bipartisan support that substantially increasing appropriations for NIH, which
2520-437: The NIH but may apply for funding. Throughout the history of the NIH, the amount of funding received has increased, but the proportion to each IC remains relatively constant. The individual ICs then decide who will receive the grant money and how much will be allotted. Policy changes on who receives funding significantly affect researchers. For example, the NIH has recently attempted to approve more first-time NIH R01 applicants or
2590-476: The NIH discovered that the majority of them did not protect the rights of human subjects. From then on, the NIH has required all grantee institutions to approve any research proposals involving human experimentation with review boards. In 1967, the Division of Regional Medical Programs was created to administer grants for research for heart disease, cancer, and strokes . That same year, the NIH director lobbied
2660-429: The NIH has often been a source of contention in Congress, serving as a proxy for the political currents of the time. In 1992, the NIH encompassed nearly 1 percent of the federal government's operating budget and controlled more than 50 percent of all funding for health research, and 85 percent of all funding for health studies in universities. While government funding for research in other disciplines has been increasing at
2730-670: The NIH intramural research program has been a source of many pivotal scientific and medical discoveries. Some of these include: In September 2006, the NIH Blueprint for Neuroscience Research started a contract for the NIH Toolbox for the Assessment of Neurological and Behavioral Function to develop a set of state-of-the-art measurement tools to enhance collection of data in large cohort studies. Scientists from more than 100 institutions nationwide contributed. In September 2012,
2800-453: The NIH would take the balance of each study design into consideration when awarding grants. The announcement also stated that this rule would probably not apply when studying sex-specific diseases (for example, ovarian or testicular cancer). One of the goals of the NIH is to "expand the base in medical and associated sciences in order to ensure a continued high return on the public investment in research." Taxpayer dollars funding NIH are from
2870-423: The National Institute for General Medical Science awarded funding to 30% of applicants. NIH employs five broad decision criteria in its funding policy. First, ensure the highest quality of scientific research by employing an arduous peer review process. Second, seize opportunities that have the greatest potential to yield new knowledge and that will lead to better prevention and treatment of disease. Third, maintain
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2940-565: The Phoenix Epidemiology and Clinical Research Branch in Phoenix, Arizona . As of 2017, 153 scientists receiving financial support from the NIH have been awarded a Nobel Prize and 195 have been awarded a Lasker Award . NIH devotes 10% of its funding to research within its own facilities (intramural research), and gives >80% of its funding in research grants to extramural (outside) researchers. Of this extramural funding,
3010-544: The United States and throughout the world. NIAID also works closely with partners in academia, industry, government, and non-governmental organizations in multifaceted and multidisciplinary efforts to address emerging health challenges such as the H1N1/09 pandemic and the COVID-19 pandemic . NIAID traces its origins to a small laboratory established in 1887 at the Marine Hospital on Staten Island , New York (now
3080-572: The United States. The NIH conducts its own scientific research through the NIH Intramural Research Program (IRP) and provides major biomedical research funding to non-NIH research facilities through its Extramural Research Program. As of 2013 , the IRP had 1,200 principal investigators and more than 4,000 postdoctoral fellows in basic, translational, and clinical research, being the largest biomedical research institution in
3150-649: The White House for increased federal funding in order to increase research and the speed with which health benefits could be brought to the people. An advisory committee was formed to oversee the further development of the NIH and its research programs. By 1971 cancer research was in full force and President Nixon signed the National Cancer Act , initiating a National Cancer Program, President's Cancer Panel, National Cancer Advisory Board, and 15 new research, training, and demonstration centers. Funding for
3220-507: The beginning of a partnership with universities. In 1930, the Hygienic Laboratory was re-designated as the National Institute of Health by the Ransdell Act , and was given $ 750,000 to construct two NIH buildings at the Old Naval Observatory campus. In 1937, NIH absorbed the rest of the Division of Scientific Research, of which it was formerly part. In 1938, NIH moved to its current campus in Bethesda, Maryland . Over
3290-473: The creation of vaccines against hepatitis , Haemophilus influenzae (HIB), and human papillomavirus (HPV). In 2019, the NIH was ranked number two in the world, behind Harvard University , for biomedical sciences in the Nature Index , which measured the largest contributors to papers published in a subset of leading journals from 2015 to 2018. In 1887, a laboratory for the study of bacteria,
3360-647: The creation of four new institutes. On October 8, 1948, the Rocky Mountain Laboratory and the Biologics Control Laboratory were joined with the NIH Division of Infectious Diseases and Division of Tropical Diseases to form the National Microbiological Institute. In 1955, Congress changed the name of the National Microbiological Institute to the National Institute of Allergy and Infectious Diseases to reflect
3430-522: The federal government with the goals of stimulating pain research collaboration… and providing an important avenue for public involvement" ("Members of new", 2012). With a committee such as this research will not be conducted by each individual organization or person but instead a collaborating group which will increase the information available. With this hopefully more pain management will be available including techniques for those with arthritis. In 2020 Beth Darnall , American scientist and pain psychologist,
3500-408: The first publication describing > 100 influenza genomes appeared in 2005 in the journal Nature The project makes all sequence data publicly available through GenBank , an international, NIH-funded, searchable online database. This research helps to provide international researchers with the information needed to develop new vaccines , therapies and diagnostics, as well as improve understanding of
3570-601: The first year caring for patients at the NIH Clinical Center, the nation's largest hospital devoted to clinical research. The subsequent two years are dedicated to research. The Allergy and Immunology Clinical Fellowship Program is open to physicians who are on track to complete an approved internal medicine or pediatric medicine residency program. Fellows are eligible to sit for the Board of Allergy and Immunology certification examination after two years. Kelly Stone
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#17327938866223640-525: The inclusion of allergy and immunology research. That change became effective on December 29, 1955. The following have been directors of the National Institute of Allergy and Infectious Diseases: NIAID is composed of the Office of the Director (OD), four extramural divisions: and three intramural divisions: The Dale and Betty Bumpers Vaccine Research Center is composed of four laboratories and two programs: NIAID's research priorities are focused on: NIAID's mission areas are: NIAID has established
3710-489: The institute on policy and procedures affecting the external research programs and provide a second level of review for all grant and cooperative agreement applications considered by the Institute for funding. In 2014, it was announced that the NIH is directing scientists to perform their experiments with both female and male animals, or cells derived from females as well as males if they are studying cell cultures, and that
3780-530: The most common funding mechanism and include investigator-initiated projects. The roughly 27,000 to 29,000 R01 applications had a funding success of 17-19% during 2012 though 2014. Similarly, the 13,000 to 14,000 R21 applications had a funding success of 13-14% during the same period. In FY 2016, the total number of grant applications received by the NIH was 54,220, with approximately 19% being awarded funding. Institutes have varying funding rates. The National Cancer Institute awarded funding to 12% of applicants, while
3850-653: The next few decades, Congress would markedly increase funding of the NIH, and various institutes and centers within the NIH were created for specific research programs. In 1944, the Public Health Service Act was approved, and the National Cancer Institute became a division of NIH. In 1948, the name changed from National Institute of Health to National Institutes of Health. In the 1960s, virologist and cancer researcher Chester M. Southam injected HeLa cancer cells into patients at
3920-466: The next fiscal year's allocations. The House and Senate Appropriations Subcommittees deliberate and by fall, Congress usually appropriates funding. This process takes approximately 18 months before the NIH can allocate any actual funds. When a government shutdown occurs, the NIH continues to treat people who are already enrolled in clinical trials , but does not start any new clinical trials and does not admit new patients who are not already enrolled in
3990-539: The official date of publication. The NIH Public Access Policy was the first public access mandate for a U.S. public funding agency. In 2000, the Joint Economic Committee of Congress reported NIH research, which was funded at $ 16 billion a year in 2000, that some econometric studies had given a rate of return of 25 to 40 percent per year by reducing the economic cost of illness in the US. It found that of
4060-703: The overall molecular evolution of Influenza and other genetic factors that determine their virulence. Such knowledge could not only help mitigate the impact of annual influenza epidemics , but could also improve scientific knowledge of the emergence of pandemic influenza viruses . The project completed its first genomes in March 2005 and has rapidly accelerated since. By mid-2008, over 3000 isolates had been completely sequenced from influenza viruses that are endemic in human ("human flu") avian ("bird flu") and swine ("swine flu") populations, including many strains of H3N2 (human), H1N1 (human), and H5N1 (avian). The project
4130-599: The programs and activities of all NIH components. The NIH Director plays an active role in shaping the agency's activities and outlook. The Director is responsible for providing leadership to the Institutes and Centers by identifying needs and opportunities, especially in efforts involving multiple Institutes. Within the Director's Office is the Division of Program Coordination, Planning and Strategic Initiatives with 12 divisions including: The Agency Intramural Research Integrity Officer "is directly responsible for overseeing
4200-538: The project in 2006, contributing over 150 influenza B isolates. The project began prospective studies of the 2007 influenza season with collaborators Florence Bourgeois and Kenneth Mandl of Children's Hospital Boston and the Harvard School of Public Health and Laurel Edelman of Surveillance Data Inc. National Institute of Allergy and Infectious Diseases The National Institute of Allergy and Infectious Diseases ( NIAID , / ˈ n aɪ . æ d / )
4270-730: The project was joined by Ilaria Capua of the Istituto Zooprofilattico Sperimentale delle Venezie (in Italy), who contributed a valuable collection of avian flu isolates (including multiple H5N1 strains). Some of these avian isolates were described in a publication in Emerging Infectious Diseases in 2007. Nancy Cox from the Centers for Disease Control and Prevention (CDC) and Robert Couch from Baylor College of Medicine also joined
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#17327938866224340-468: The research grant applications of young scientists. To encourage the participation of young scientists, the application process has been shortened and made easier. In addition, first-time applicants are being offered more funding for their research grants than those who have received grants in the past. In 2011 and 2012, the Department of Health and Human Services Office of Inspector General published
4410-458: The resolution of all research misconduct allegations involving intramural research , and for promoting research integrity within the NIH Office of Intramural Research (OIR)." There is a Division of Extramural Activities, which has its own Director. The Office of Ethics has its own Director, as does the Office of Global Research. Intramural research is primarily conducted at the main campus in Bethesda, Maryland , and Rockville, Maryland , and
4480-493: The standard of care (beginning ART in infants when they showed signs of HIV illness or a weakened immune system). This finding helped influence the World Health Organization (WHO) to change its guidelines for treating HIV-infected infants. The guidelines now strongly recommend starting ART in all children under age 2 immediately after they have been diagnosed with HIV, regardless of their health status. In 2023, NIAID Office of Data Science and Emerging Technologies (ODSET) created
4550-437: The surrounding communities. The Bayview Campus in Baltimore , Maryland houses the research programs of the National Institute on Aging , National Institute on Drug Abuse , and National Human Genome Research Institute with nearly 1,000 scientists and support staff. The Frederick National Laboratory in Frederick, MD and the nearby Riverside Research Park, houses many components of the National Cancer Institute , including
4620-533: The taxpayers, making them the primary beneficiaries of advances in research. Thus, the general public is a key stakeholder in the decisions resulting from the NIH funding policy. However, some in the general public do not feel their interests are being represented, and individuals have formed patient advocacy groups to represent their own interests. Important stakeholders of the NIH funding policy include researchers and scientists. Extramural researchers differ from intramural researchers in that they are not employed by
4690-414: The world, while, as of 2003, the extramural arm provided 28% of biomedical research funding spent annually in the U.S., or about US$ 26.4 billion. The NIH comprises 27 separate institutes and centers of different biomedical disciplines and is responsible for many scientific accomplishments, including the discovery of fluoride to prevent tooth decay , the use of lithium to manage bipolar disorder , and
4760-617: Was 37.3 billion dollars annually in FY2018. Researchers at universities or other institutions outside of NIH can apply for research project grants (RPGs) from the NIH. There are numerous funding mechanisms for different project types (e.g., basic research, clinical research, etc.) and career stages (e.g., early career, postdoc fellowships, etc.). The NIH regularly issues "requests for applications" (RFAs), e.g., on specific programmatic priorities or timely medical problems (such as Zika virus research in early 2016). In addition, researchers can apply for "investigator-initiated grants" whose subject
4830-455: Was appointed as scientific member of the group. To allocate funds, the NIH must first obtain its budget from Congress. This process begins with institute and center (IC) leaders collaborating with scientists to determine the most important and promising research areas within their fields. IC leaders discuss research areas with NIH management who then develops a budget request for continuing projects, new research proposals, and new initiatives from
4900-576: Was reported in newspaper articles from 1981, no funding was provided for research on the disease. In 1984 National Cancer Institute scientists found implications that "variants of a human cancer virus called HTLV-III are the primary cause of acquired immunodeficiency syndrome (AIDS)," a new epidemic that gripped the nation. In 1992, the NIH encompassed nearly 1 percent of the federal government's operating budget and controlled more than 50 percent of all funding for health research and 85 percent of all funding for health studies in universities. From 1993 to 2001
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