IRB, Office of Research Development COOK COUNTY BUREAU OF HEALTH SERVICES
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COOK COUNTY BUREAU OF HEALTH SERVICES

GRANTS NEWSLETTER



Volume 7, Number 3 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~March, 1999
Back Issues

Published by
OFFICE OF RESEARCH DEVELOPMENT
Hektoen Building
627 South Wood Street
Chicago, IL 60612
FAX: 312-738-3102

Karen M. Smith, PhD, Director
312-633-4940
email: kmsmith@wwa.com
Bennetta Anderson, Administrative Assistant
312-633-4941
Lillian Hampton, IRB Administrator
312-633-7792
email:  lhampton@hektoen.org
Funeka Sihlali, RN, Scientific Quality Coordinator
312-572-3506
email:  fsihlali@hektoen.org

COOK COUNTY BOARD OF
COMMISSIONERS
John H. Stroger, Jr., President
  Jerry Butler 
  Allan C. Carr
  Earlean Collins
  John P. Daley
  Gregg Goslin 
  Carl R. Hansen
  Ted Lechowicz 
  Roberto Maldonado
 William R. Moran
 Joseph Mario Moreno 
 Mike Quigley
 Herbert T. Schumann, Jr.
 Peter N. Silvestri 
 Deborah Sims
 Bobbie L. Steele 
 Calvin R. Sutker
COOK COUNTY BUREAU OF HEALTH
SERVICES 
Ruth M. Rothstein, Chief
Affiliates
Ambulatory & Community Health Network 
of Cook County
Cermak Health Services of Cook County
Cook County Department of Public Health
Cook County Hospital 
Oak Forest Hospital of Cook County 
Provident Hospital of Cook County

ADOLESCENT HIV PROGRAM EXPANDS

As the HIV epidemic increasingly affects poor and minority populations, concern rises that many adolescents may slip through the health care cracks, contracting the disease early but not receiving appropriate care until the disease has advanced. Since 1995, the Cook County Hospital Division of Adolescent Medicine has carried out a series of federally funded projects to provide coordinated outreach, education, counseling, testing and primary care for young people at risk throughout the Chicago region.

The National Institutes of Health funded the REACH (Reach for Excellence in Adolescent Care and Health) project in 1995, with Dr. Lisa Henry-Reid as principal investigator, to set up a city-wide system of referral and primary care for HIV-infected youth. The program also serves as the basis for a study of the natural history of the disease in younger patients. Although young people who contract HIV are often "street kids" with no ties to families or institutions, the REACH program has maintained a 93% retention rate over its history, providing comprehensive care to youth who otherwise might not get health care at all. 

In 1996, in a Special Project of National Significance Award , the Health Resources and Services Administration funded the Chicago HIV Risk Reduction Partnership for Youth (CHRRPY), headed by Dr. Jaime Martinez, to provide education, counseling and testing to at-risk youth in Chicago by way of a network of community-based agencies. The CHRRPY project has three goals: 1) to increase the number of youth receiving counseling and testing for HIV; 2) to use HIV testing and education as an opportunity to reduce youth's risky behavior; and 3) to increase the number of HIV+ youth entering the services of the Chicago Adolescent HIV Network. The project so far has documented over 2,000 outreach encounters with youth aged 19 and younger in community settings. In 1997, about 30% of these youth agreed to participate in the counseling and testing process. Prior to implementing this youth-targeted program, the rate was 1%. 

In fall of 1998, an extension of this program, the Chicago HIV Adolescent Medicine Project (CHAMP), led by Dr. Martinez, was funded by the Health Resources and Services Administration. A research-oriented service demonstration project, CHAMP will study health outcomes when adolescents are served by peer-specific, intensive outreach which places identified youth in a friendly, nurturing environment with specialized adolescent HIV services.

Recently the adolescent HIV program has also expanded to include the opportunity for participation in tests of new therapies for HIV-related illness. The Pediatric AIDS Clinical Trials Group will now include an adolescent section, overseen by Dr. Martinez, to make experimental therapies available to young persons with HIV. The dramatic decrease in deaths due to AIDS in the last two years is the result of new multi-drug therapies which greatly retard the progress of the disease. Patients in the County health system had access to these therapies by way of clinical research programs several years before they were approved for general use. The expanded clinical trials program insures that County physicians and patients of all ages will take part in the continued refinement of new types of anti-HIV drugs. With the opening of the CORE Center, the infrastructure now exists to fully support this program of comprehensive care to HIV-affected adolescents in ways which are tailored to their needs and the contexts of their lives. 


NEW ADDRESS FOR APPLICATIONS TO CDC

The Grants Management Office of the Centers for Disease Control and Prevention has moved to a new address. It is now:

2920 Brandywine Road
Atlanta, GA 30341-4146

Grant applications and inquiries regarding grant s should be sent to this address.



BIOMEDICAL RESEARCH GETS A LARGER SLICE OF THE PIE

The National Science Foundation has issued a report on federal funding for research and development for the period of 1970 to 1997. In that period the portion of federal funding devoted to life sciences rose from 29.4% to 43.1%. In contrast, the portion devoted to engineering dropped from 31.3% to 19.4%. In current dollars, federal funding grew about six-fold during that period, so the redistribution of the wealth does not exactly mirror changes in funding share. Engineering, for instance, saw a four-fold increase in dollars in the period that its share decreased nearly 12%. On the other hand, social science research lost both 1.9% share and 13% in current dollar funding.

Biomedical sciences and computer science were the two fields with the largest increases, both in share and in dollars. More than half the increase in life sciences funding was due to increased medical research funding. The dollar amount spent by the Department of Health and Human Services on research in 1997 was thirteen times what it spent in 1970.

The future for medical research looks as bright as its recent past. The National Institutes of Health received a record increase in its budget for the current fiscal year, and in Congress there are advocates of doubling the NIH budget over the next few years. 



RESEARCH SHOWS WHOLE COMMUNITIES DEPEND ON SAFETY NET HOSPITALS

The Commonwealth Fund, one of the major private funding agencies for health care and policy research, sponsored a recent report by Darrell J. Gaskin of Georgetown University titled, "Safety Net Hospitals: Essential Providers of Public Health and Specialty Services".

In it, Gaskin argues that safety net hospitals provide essential services to the whole community, over and above their care for the indigent. If funding sources are not maintained in the face of pressure from managed care, the whole community will suffer. The following is an excerpt from the report's executive summary:

"Through analysis of data from the American Hospital Association's Annual Survey of Hospitals for 1991 and 1995, this study shows that safety net hospitals are in fact not only vital sources of care for the indigent and uninsured but important providers of specialty services to the whole community. These hospitals are the primary providers of burn care, pediatric and neonatal intensive care, trauma care, psychiatric inpatient and outpatient care, and alcoholism inpatient treatment in their communities. 

Compared with other urban hospitals, safety net hospitals are nearly five times as likely to provide burn care, four times as likely to provide pediatric intensive care, and more than twice as likely to provide neonatal intensive care. Safety net hospitals are also more likely than other urban hospitals to offer HIV/AIDS services, crisis prevention, psychiatric emergency care, and other specialty care.

"For some types of specialized care, safety net hospitals provide a disproportionate share of care to privately insured and Medicare patients, as well as serving as a major source of care for the uninsured and those on Medicaid. For most of these services, safety net hospitals' market share is more than 20 percent greater than their share of total beds. At least one of four safety net hospitals providing selected specialized services has a market share exceeding 85 percent of these services. Burn care, inpatient alcoholism treatment, and pediatric intensive care stand out among the services that communities depend on safety net hospitals to provide.

"Notably, many of the public health and specialty services that are disproportionately provided by safety net hospitals are also high-cost and/or unprofitable services. These hospitals also tend to provide services that attract potentially difficult-to-treat patient populations, including a broad range of psychiatric and alcoholism services. Given the economics of some of these services, if safety net hospitals in some areas were to close, other community hospitals might be reluctant or financially unable to broaden the scope of their care."

To obtain a copy of the entire report, call the Commonwealth Fund at 1-888-777-2744 or go to http://www.cmwf.org on the web.
 
 



SEMINARS, CONFERENCES, WORKSHOPS, ETC 

[A long-term calendar showing most of the major academic medical society meetings can be found on the web at: http://www.aamc.org/meetings/mjmtgcal.htm

Adolescents & Co-Occurring Disorders, a regional conference sponsored by the Mayor's Office of Substance Abuse Policy, will take place at the Palmer House Hilton, May 3 and 4. For more information call 312-747-2606.

Association for Health Services Research, Annual Meeting, will be held in Chicago, June 27-29. For information call 202-223-2477.
[Editor's note: the program for this meeting includes representatives from all major funders of health services research. For those seeking grants in the field this is a very good networking opportunity]
 

Office of Research Development Workshops 

These workshops are open to any County-affiliated investigator or grant-seeker. Enrollment for some sessions is limited, so please register only for those you will be able to attend. 

Grant Writing Seminar:

Gives an overview of the entire process of developing a project and applying for funding. Includes information on approaching both governmental and private funders, describes an approach to developing grant budgets, discusses stylistic and content issues that are frequent stumbling blocks in writing grant applications.


Constructing a Grant Budget:

Covers many of the technical aspects of developing an accurate time line and budget for a grant proposal.


What Are All These Forms? Interacting With the Scientific Committee

Gives an orientation to procedures -- and the associated forms -- used by the Scientific Committee to 
ensure that patients are protected from undue risks in research. The Bureau forms will be discussed, and new policies and changes in federal regulations will be covered.


To register for any of these, call Bennetta Anderson at 312-633-4941. If you would like to schedule one or more of these workshops in your Department or at another site, please call Karen Smith at 633-4940. 
 
 

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FUNDING OPPORTUNITIES

National Institutes of Health:
All NIH announcements from the past several years, including full text versions of RFA's and PA's, can be reached on the web at:  http://grants.nih.gov/grants/guide/index.html

To have the NIH Guide sent automatically to your e-mail address every week, click on the LISTSERV link on this page and follow the instructions.

To ask specific questions about NIH grant programs, send e-mail to: grantsinfo@nih.gov 
 
 

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NIH RFA'S AND RFP'S: 

These are one time only opportunities. Call 312-633-4940 to check for due dates or to get copies of full announcements

NEW IMAGING TECHNOLOGIES FOR AUTOIMMUNE DISEASES (RFA AI-99-004) National Institute of Allergy and Infectious Diseases, National Cancer Institute National Center for Research Resources, National Eye Institute, National Heart, Lung and Blood Institute, National Institute of Arthritis and Musculoskeletal and Skin Diseases, National Institute of Dental and Craniofacial Research,
National Institute of Diabetes and Digestive and Kidney Diseases, National Institute of Mental Health, National Institute of Neurological Disorders and Stroke, Office of Research on Women's Health

IMMUNOLOGICAL PHENOTYPING OF MOUSE MUTANTS (RFA AI-99-005) National Institute of Allergy and Infectious Diseases, National Center for Research Resources, National Eye Institute, National Heart, Lung, and Blood Institute, National Institute of Diabetes and Digestive and Kidney Diseases, National Institute of Environmental Health Sciences, Office of Research on Women's Health

RESEARCH IN STATE AND COMMUNITY TOBACCO CONTROL INTERVENTIONS (RFA CA-99-001) National Cancer Institute

BASIC SCIENCE RESEARCH ON FEMALE PELVIC FLOOR DISORDERS (RFA HD-99-003) National Institute of Child Health and Human Development, Office of Research on Women's Health

DEVELOPMENT OF ANIMAL MODELS OF HIV RELATED LUNG DISEASE (RFA HL-99-012) National Heart, Lung, and Blood Institute, National Institute of Allergy and Infectious Diseases

DATA COORDINATING CENTER FOR THE SLEEP HEART HEALTH STUDY (RFA HL-99-014) National Heart, Lung, and Blood Institute

ENHANCING VACCINE-ELICITED PROTECTIVE IMMUNITY IN MALARIA (RFA AI-99-006) National Institute of Allergy and Infectious Diseases

NUTRITION ACADEMIC AWARD (RFA HL-98-016) National Heart, Lung, and Blood Institute, National Institute of Diabetes and Digestive and Kidney Diseases

ROLE OF THYMOSIN BETA-4 IN WOUND HEALING (RFP NO. NIH-NIDCR-12-98-2R) National Institute of Dental and Craniofacial Research

TARGET ORGAN DAMAGE IN AUTOIMMUNE DISEASE (RFA AR-99-003) National Institute of Arthritis and Musculoskeletal, and Skin Diseases, National Institute of Dental and Craniofacial Research, National Institute of Allergy and Infectious Diseases, National Institute of Diabetes and Digestive and Kidney Diseases, National Institute of Child Health and Human Development, National Institute of Environmental Health Sciences,National Institute on Deafness and other Communication Disorders, National Eye Institute, National Heart, Lung and Blood Institute, National Institute of Neurological Disorders and Stroke, National Institute of Mental Health, Office of Research on Women's Health

GINKGO BILOBA PREVENTION TRIAL IN OLDER INDIVIDUALS (RFA AT-99-001) National Center for Complementary and Alternative Medicine, National Institute on Aging

NEUROIMAGING ANALYSES AS CORRELATES OF HIV/CNS DISEASE (RFA MH-99-012) National Institute of Mental Health, National Institute of Neurological Disorders and Stroke

ABSTINENCE AND HIV/STD PREVENTION FOR YOUTH (RFA MH-99-010) National Institute of Mental Health, National Institute on Child Health and Human Development, National Institute on Nursing Research

INTERNATIONAL COLLABORATIVE ORAL HEALTH RESEARCH PLANNING GRANT (RFA DE-99-002) National Institute of Dental and Craniofacial Research

IMPLEMENTATION OF THE NATIONAL OCCUPATIONAL RESEARCH AGENDA (RFA OH-99-002) National Institute for Occupational Safety and Health, National Cancer Institute, National Heart, Lung, and Blood Institute, National Institute on Aging, National Institute on Deafness and Other Communication Disorders, National Institute of Environmental Health Sciences

INTERNATIONAL MATERNAL AND CHILD HEALTH RESEARCH AND TRAINING PROGRAM (RFA TW-99-002) Fogarty International Center

INTERNATIONAL TRAINING IN MEDICAL INFORMATICS (RFA TW-99-003) Fogarty International Center, National Library of Medicine

PREVALENCE AND DIAGNOSIS OF CELIAC DISEASE (RFA DK-99-015) National Institute of Diabetes and Digestive and Kidney Diseases

CENTERS FOR DIETARY SUPPLEMENTS RESEARCH: BOTANICALS (RFA OD-99-007) Office of Dietary Supplements, Fogarty International Center, National Cancer Institute, National Center for Complementary and Alternative Medicine, National Heart, Lung, and Blood Institute, National Institute of General Medical Sciences, National Institute of Diabetes and Digestive and Kidney Diseases, National Institute on Aging, National Institute on Drug Abuse, National Institute of Dental and Craniofacial Research, National Institute of Environmental and Health Sciences, National Institute of Mental Health, Office on Research of Women's Health

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NIH PROGRAM ANNOUNCEMENTS 
(PA'S): These are ongoing funding priorities, with due dates usually October 1, February 1 and June 1 of each year. Note that HIV-related applications are due January 2, May 1 and September. Past PA's, many of which are still open, can be searched at the NIH Guide web site.

HIV THERAPEUTICS: TARGETING RESEARCH GAPS (PA-99-067) National Institute of Allergy and Infectious Diseases, National Institute of Mental Health, National Institute of Diabetes and Digestive and Kidney Diseases

DISSEMINATION RESEARCH IN MENTAL HEALTH (PA-99-068) National Institute of Mental Health

NIDDK MENTORED RESEARCH SCIENTIST DEVELOPMENT AWARD (PA-99-069) National Institute of Diabetes and Digestive and Kidney Diseases

QUICK-TRIALS FOR PROSTATE CANCER THERAPY (PA-99-070) National Cancer Institute

MIDCAREER INVESTIGATOR AWARD IN MOUSE PATHOBIOLOGY RESEARCH (PAR-99-065) National Center for Research Resources, National Institute on Aging

DEVELOPING AND IMPROVING INSTITUTIONAL ANIMAL RESOURCES (PAR-99-066) National Center for Research Resources

THE HOWARD TEMIN AWARD (PAR-99-063) National Cancer Institute

INTERVENTIONS INFRASTRUCTURE PROGRAM (PAR-99-064) National Institute of Mental Health
 

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OTHER OPPORTUNITIES

April 7, June 2, July 28
BREAST CANCER RESEARCH, Department of Defense (301-682-5517 or http://cdmrp.army.mil )

May 18
COMMUNITY GRANTS, Substance Abuse and Mental Health Services Administration (301-443-9110 or http://www.samhsa.gov/grant/gfa_kda.htm )

May 10
EVALUATION OF TREATMENT MODELS FOR ADOLESCENTS, Substance Abuse and Mental Health Services Administration (301-443-6574 or http://www.samhsa.gov/grant/gfa_kda.htm )

April 30
TRAINING OF FAMILY PLANNING SERVICE PERSONNEL, Department of Health and Human Services (214-767-3401)

April 23, April 30
RESEARCH AND INNOVATION TO IMPROVE DISABILITIES SERVICES FOR CHILDREN, Department of Education (202-260-9182 or http://www.ed.gov/news.html )

June 1
RESEARCH ON HEREDITARY TYROSINEMIA TYPE I, National Organization for Rare Disorders (203-746-6518)

June 1
RESEARCH ON ESSENTIAL THROMBOCYTHEMIA, National Organization for Rare Disorders (203-746-6518)

April 15
BIOMECHANICS/INJURY PREVENTION, Centers for Disease Control (770-488-4824 or http://www.cdc.gov )

May 10
EXPOSURE TO BLOOD AND RISK OF HEPATITIS C, Centers for Disease Control (404-639-3048)

April 1
BREAST CANCER, Susan G. Komen Breast Cancer Foundation 9972-855-1600 or http://www.komen.org/grants/html/available.asp )

May 3
FAMILY VIOLENCE PREVENTION, Agency for Children and Families (202-401-4787 or http://www.acf.dhhs.gov/programs/ocs )

Various deadlines
ONCOLOGY HEALTH PROFESSIONAL TRAINING GRANTS, American Cancer Society, Inc (404-329-7558)

Various deadlines
CANCER-RELATED RESEARCH, American Cancer Society, Inc (404-329-7558)

April 9 (letter of intent)
HEALTH POLICY RESEARCH INVESTIGATOR AWARDS, Robert Wood Johnson Foundation (202-223-2477 or http://www.ahsr.org/rwjf

April 19 (letter of intent)
HEALTH PROFESSIONS PARTNERSHIP INITIATIVE, Robert Wood Johnson Foundation (202-828-1125 or http://www.rwjf.org

April 30
COMMUNITIES IN CHARGE, Robert Wood Johnson Foundation (216-736-7940 or http://www.rwjf.org

August 5 (concept paper)
LOCAL INITIATIVE FUNDING PARTNERS PROGRAM, Robert Wood Johnson Foundation (2609-275-4128 or http://www.rwjf.org
 

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