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Engaging in ACTION-LED RESEARCH to reduce the global burden of infectious diseases Photo: Morgan Arnold Sustainable Sciences Institute ANNUAL REPORT 2015 SSI: Our Mission Our unique approach supports scientific and public health communities in resource-poor settings to develop local capacity and strengthen public health systems, with positive impact. Global health relies on biomedical scientists and public health workers who can recognize and resolve health problems at the local level. In limited-resource settings, scientists and public health professionals face tremendous challenges, including lack of technical training, research tools, financial resources and up-to-date scientific information. SSI works with local partners to better meet the public health needs of their communities by: 1. Promoting action-led research in response to locally identified problems 2. Identifying innovative context-relevant technologies 3. Strengthening global knowledge exchange networks 4. Training and supporting professional development 78 training workshops for 1,800+ public health professionals from 29 countries in Latin America and Africa 100+ publications in peer-reviewed scientific journals have directly resulted from SSI workshops and mentorship Over $1 million donated in equipment to 23 labs in Latin America and Africa PROGRAM HIGHLIGHTS Dengue SSI, together with UC Berkeley and other consortium partners, was awarded two major 5-year NIH/NIAID grants: a Program Project (P01) and a Human Immunology Project Consortium (HIPC). The objective of these grants is to characterize the immune response to dengue virus natural infections and vaccination. Both grants enable SSI to continue conducting the Nicaraguan Pediatric Dengue Cohort Study, ongoing since 2004, now the longest continuously running dengue cohort in the world. Influenza SSI-Nicaragua was one of 4 sites selected to conduct a CDC-funded study on the burden of influenza virus infection among hospitalized infants in low- and middle-income countries and the potential of prevention through influenza vaccination. Other participant sites are in Albania, Jordan, and the Philippines. SSI also extended its collaboration with the NIAID Center of Excellence for Influenza Research and Surveillance (CEIRS) at St. Jude Children’s Research Hospital. This will allow SSI to continue two influenza studies aimed at understanding influenza epidemiology and transmission in a tropical setting, ongoing since 2011. Chikungunya SSI-Nicaragua supported the country’s preparedness efforts for the introduction of chikungunya (CHIK), a mosquito-transmitted viral disease that has been sweeping through Latin America since 2013. Anticipating the impending introduction into Nicaragua, in early 2014, SSI obtained reagents to set up molecular and serological diagnosis in the National Virology Laboratory (NVL). The NVL developed, validated, and distributed in-house assays in record time, which allowed the detection of the first imported cases in July 2014. SSI’s support allowed the Ministry of Health to get in front of this new epidemic and improve the response time, diagnostic capacity, and effectiveness of the public health system to combat CHIK. PROGRAM HIGHLIGHTS Capacity Building In 2015, SSI held 5 workshops and trained 90 scientists in laboratory techniques, scientific writing and research proposal writing. At the Jordan University of Science and Technology Center in Irbid, Jordan, veterinarians learned about laboratory detection of zoonotic diseases. In Nicaragua, Panama, and Colombia, research proposal writing and manuscript preparation were the focus, across a wide range of public health research topics. Since 1998, more than 1,800 scientists from Latin America and Africa have participated in SSI workshops! Hepatitis C The National Liver Institute – SSI Collaborative Research Center (NLI–SSICRC) in Egypt is focused on continued growth of the Liver Disease Biorepository (inaugurated in January 2014). To date, approximately 1,300 patients have had well annotated samples saved in the repository. Research projects on the molecular genetics of hepatocellular carcinoma and analysis of KIR (Killer Inhibitory Receptors) genotypes in Egyptians are ongoing. Research Associates Waleed Bakr, Asmaa Mosbeh, and Ahmed Atef received training from SSI collaborators at the California Pacific Medical Center and The Ohio State University. In November 2015, the Dean of the National Liver Institute at Menoufiya University met with SSI staff in San Francisco to discuss future collaborative research and training plans. ICT for Health Our Nicaragua-based ICT team worked in close collaboration with the Ministry of Health of Nicaragua to implement the FIRST ICT-Tools project (Fighting Infections through Research Science and Technology) funded by the Bill & Melinda Gates Foundation and the Instituto Carlos Slim para la Salud (Mexico). This project focuses on the creation of low-cost ICT tool prototypes to improve workflow and information flow around time-sensitive infectious disease epidemic response and outbreak prevention. SSI also helped develop and pilot DengueChat, a novel cellphone and web-based application to engage communities in evidence-based mosquito control. www.denguechat.org 2015 Training Focus Dr. Clemencia Ovalle (second from left) was first introduced to SSI as a young researcher at the Centro Dermatológico Federico Lleras Acosta (CDFLA) in Bogotá, Colombia, when she attended a SSI Peer Laboratory Training workshop in 2005. She then applied to SSI’s small grants program and was awarded $10,000 by SSI to study the standardization of PCR-RFLP mini-exons in Leishmaniasis for the diagnosis and characterization of the cutaneous and mucosal forms of the disease. Her laboratory at CDFLA received donated lab supplies and equipment through SSI’s material aid program, which allowed Dr. Ovalle to move forward with her research. Since then, Dr. Ovalle has obtained her Ph.D. and is now the Director of Teaching and Research at the CDFLA, with a completely remodeled laboratory. Having stayed in contact with SSI staff and mentors, Dr. Ovalle invited SSI to conduct a scientific manuscript-writing course in December 2014. Seventeen students, researchers, and medical doctors attended the course, where they spent 5 intensive days learning how to effectively write and submit a scientific Visit our new manuscript. Throughout the week, participants wrote and revised database of their manuscripts in preparation for submission for publication workshops on to scientific journals. Because of the success of the manuscript our website! workshop, Dr. Ovalle organized a second SSI grant proposal-writing workshop that took place in September www.sustainablesciences.org 2015. SCIENTIFIC IMPACT PAHO Collaboration SSI signed a 5-year cooperation agreement with the Pan American Health Organization (PAHO) to strengthen the promotion of scientific and technological development in Latin America and the Caribbean. This collaboration will focus on human resource capacity building, informatics support, and increasing the regional capacity for infectious disease surveillance, detection, and control. The agreement was signed by SSI’s president, Dr. Eva Harris, and Dr. Socorro Gross Galiano, PAHO Country Representative in Nicaragua, on behalf of Dr. Carissa Etienne, Director of PAHO in Washington, D.C. 10-Year Anniversary & Scientific Symposium On May 22, SSI-Nicaragua celebrated its 10th Anniversary and held its Annual Scientific Symposium with the Nicaraguan Ministry of Health. The event included presentations on dengue, influenza, chikungunya, and ICT projects, followed by a celebratory luncheon where SSI-Nicaragua staff and collaborators were recognized. SSI’s President, Dr. Eva Harris, Executive Director, Dr. Josefina Coloma, Scientific Director, Dr. Maria Elena Peñaranda, and long-time SSI collaborator and workshop instructor, Alejandro Belli, participated in the special occasion. Publications SSI supported dozens of researchers around the world in writing and submitting their research for publication in 2015. Our own researchers and collaborators had a number of articles published in a wide range of top-notch journals, spanning topics in immunology, virology, epidemiology, informatics, community-based participatory prevention of disease outbreaks, and the politics of health equity. See the full archive of our publications on the SSI website! www.sustainablesciences.org The British Medical Journal Your Support is Crucial! The need for strong public health institutions around the globe was poignantly highlighted this year by several high-profile infectious disease outbreaks, including the battle to control Ebola in West Africa and the race to diagnose and contain the chikungunya epidemic in the Western Hemisphere, with nearly 2 million suspected infections in the Americas since the start of the outbreak in late 2013. At the Sustainable Sciences Institute, we believe that for new technologies to fulfill their potential for improving health outcomes and the well-being of all, their design and implementation need to include neglected communities and populations. Our technology development and implementation model has a user-centric design with local experts, creators, and communities of end-users working together to ensure that the technology is implemented sustainably and equitably. SSI and partners have dedicated the last 17+ years to reducing barriers for local scientific and public health researchers and frontline health workers to access the knowledge, tools, resources, and support networks they need to effectively battle priority diseases at the local level. We have also increasingly engaged in advocacy for more equitable and sustainable approaches to locally managed global health research. Of course, we cannot do this work alone, and we hope that you will continue to support our mission. Your donations enable us to increase our reach and impact, strengthening and extending the work of scientists where science is needed most in the fight to improve global health and health equity. - Josefina Coloma, PhD (Executive Director) OPERATING BUDGET Capacity Building 3% Influenza Nicaragua 23% • HHS grants (50%) • private foundations (46%) • federal contracts (2%) F&A ICT 10% SSI's funding comes from a range of sources: Dengue Nicaragua 40% • individual donors (1%) 15% • non-federal contracts (1%) 9% Hep C Egypt 2015 Total: $1,940,568 Please help us grow our individual donor base! www.facebook.com/sustainablesciences Board of Directors & Staff Eva Harris, PhD, President Professor, Division of Infectious Diseases & Vaccinology, School of Public Health University of California, Berkeley Adil Ed Wakil, MD, Vice-President Associate Chief, Division of Hepatology California Pacific Medical Center P. Robert Beatty, PhD, Secretary Lecturer/Assistant Researcher University of California, Berkeley Jonathan Cronander, Treasurer Chief Financial Officer OrderSmart.com Lisa Danzig, MD Vice President, Clinical Development and Medical Affairs PaxVax, Inc. Jane L. Grogan, PhD Senior Scientist Genentech James Larrick, MD, PhD Managing Director, Panorama Research Institute & Velocity Pharmaceutical Development Stephen Popper, DSc Senior Research Scientist Stanford University School of Medicine Sondra Schlesinger, PhD Professor Emeritus, Washington University School of Medicine N. Ewen Wang, MD Associate Professor Associate Director, Pediatric Emergency Stanford University School of Medicine SSI CALIFORNIA Josefina Coloma, Executive Director Maria Elena Peñaranda, Scientific Director Marlon Buitrago, Senior Accountant Katie Marker, Project Manager Mary Masland, Grants Manager Alberto Murillo, Bookkeeper & Webmaster SSI EGYPT Mar-Jan Ostrowski, Egypt Program Coordinator Mohamed Sobhy, Hepatitis C Program Coordinator Hayam Abdel Azim, Administrative Assistant Mustafa Rateb, Accountant SSI NICARAGUA Lionel Gresh, Project Coordinator and On-site Director Aubree Gordon, Influenza Program Director Heather Zornetzer, ICT for Health Program Director William Avilés, Director of Informatics Mirtha Monterrey, Head Administrator Angel Balmaseda, Director, Nicaraguan Virology Program Guillermina Kuan, Site Coordinator, C/S Socrates Flores V. Andrea Núñez, Quality Control Officer SSI Champions Major Donors Bruce and Betty Alberts, Jon Freeman, Eva Harris, Russell G. Higuchi & Barbara M. Krummel, Jim Larrick, Ichiro Matsumura, Arthur B. Pardee & Ann B. Goodman, Stephen Popper, Ellen Prager, Naomi Sager, Milton & Sondra Schlesinger, Edmond Schonberg Individual Donors Assad Abidon Hassoun, P. Robert Beatty & Gabriel Viera, Jennifer Berline, Vicki Breman, Barbara Coen, Josefina Coloma & Dan F. Zeiger, Juan Enrique Coloma, Luz Elena Coloma, Jonathan & Mary Cronander, Susan Dapson, Linda D’Ari, Randy & Patricia Davis, Maria Isabel Escobar, Bill Fernald, William & Leslie Gitlin, Eva Gold & Joshua Markel, Ellen Goode, Barrie & Ralph Gonzalez, Rosamund Grady, Thomas L. Hall, James Healy, Christopher L. Henley, James Holston, Jane Koehler, Katie Marker, Mary Masland, Stan Metzenberg, Alberto G. Murillo, Mark Pallansch, Cristhian Parra, Maria Elena Peñaranda, Silvia Peñaranda, David Rider, Dmitiri Skjorshammer, Harvey L. Smith, Jose A. Villafana, Ed and Lori Wakil, Dr. & Mrs. Salih Wakil, Keith Yamamoto Foundation, Corporate, & Institutional Support Asociación de Investigatión, Desarrollo y Educación Integral (IDEO), Guatemala; The Bill and Melinda Gates Foundation; Centers for Disease Control and Prevention; Centro Dermatológico Federico Lleras Acosta; Colorado State University; Conservation, Food and Health Foundation; CRDF Global; Ibrahim El-Hefni Technical Training Foundation; Instituto Carlos Slim de la Salud; National Institutes of Health (NIH); NIH-National Institute of Allergy & Infectious Disease (NIAID)-Center of Excellence for Influenza Research and Surveillance (CEIRS)-St. Jude Children's Research Hospital; NIH-National Institute of Allergy & Infectious Disease (NIAID)-Human Immunology Project Consortium (Icahn School of Medicine at Mt. Sinai and La Jolla Institute for Allergy and Immunology); NIH-NIAID-International Collaborations in Infectious Disease Research (ICIDR); NIH-NIAID-International Research in Infectious Diseases, including AIDS (IRIDA); NIH-National Institute of Allergy & Infectious Disease (NIAID)-Small Business Innovation Research (Sevident); Pan American Health Organization (PAHO); Stanford University; UBS Optimus Foundation; United States Agency for International Development (USAID); Secretaría Nacional de Ciencia, Tecnología e Innovación, Panama (SENACYT); Universidad de las Américas, Quito; Universidad de San Francisco de Quito, Ecuador; University of California at Berkeley; University of California at San Francisco; University of Michigan Dedicated Volunteers & Contributors Ella August, Alejandro Belli, Sabrina Bolus, Dana Brock, Alejandra Castillo, Armando E. Castillo, Otoniel Cortéz, Luz Graciela Cruz, Joe Eisenberg, Nawras Farhan, Diana Flores, Val Fong, Kian Hojati, Jafet Ortíz, Tania Romero Gonzalez, Haider Sabah Kadhim, Cheri Sirois, Annelisa Synnestvedt, Gabriel Viera, Wonderful Wright Sustainable Sciences Institute Sustainable Sciences Institute (SSI) – Established 1998 870 Market Street, Suite 764, San Francisco, CA 94102 USA sustainablesciences.org | [email protected] Tel: +1-415-772-0939 SSI Nicaragua – Established 2004 Instituto de Ciencias Sostenibles, Centro de Salud Socrates Flores Vivas, Barrio Monseñor Lezcano, Managua, Nicaragua | Tel/Fax: +505-2254-7266 SSI Egypt – Established 2011 7 Amr Ben Alass Street, First Floor #1, Maadi, Cairo, Egypt National Liver Institute, Menofiya University, Shiben El Kom, Menofiya, Egypt