
The CCR’s Commitment to Health Disparities Research
participated in the two-day NCI Wide Workshop on Cancer Health Disparities at
the Natcher Conference Center, organized and co-chaired by CCR’s Associate
Director, Dr. L. Michelle Bennett. The workshop drew broad participation from
NCI staff. Attending were a diverse cadre of health disparities scientists and
administrators and senior leadership from the NCI intramural and extramural
divisions. I heard wide-ranging perspectives on minority health and health disparity
research that helped identify potential gaps, challenges, and opportunities
across the broad discovery-development-delivery continuum. What was most evident
in the workshop is the breadth and depth to which NCI divisions, offices, and
centers are engaged in health disparities research focused on reducing the undue
burden of cancer on the minority populations in our country as well as globally.
There was a general agreement among the participants that we need to communicate
more effectively within and across divisions, and with the external cancer community,
to share information about current efforts, develop collaborations around future
opportunities, and leverage strengths to reduce health disparities.
Basic science discoveries within the CCR are having a positive impact on many
health issues that disproportionately affect minority or disadvantaged populations.
Highly active antiretroviral therapy (HAART), pioneered by our intramural investigators,
has reduced the death rate from AIDS dramatically, and today it is used worldwide.
Another discovery positively influencing global health is an effective vaccine
against human papillomavirus (HPV). Original discovery and development research
by CCR investigators led to a prophylactic HPV vaccine that may ultimately eliminate
cervical cancer, a significant health problem among underserved women in the
developing world. CCR scientists today are also studying a number of cancers
that disproportionately affect minority populations in the United States (for
example endometrial, liver, lung, and prostate cancers).
In addition to work in the laboratory, we are also reaching out to the local
community to share our expertise, knowledge, and resources. For example, we
accepted an invitation from the National Institute of Arthritis and Musculoskeletal
and Skin Diseases (NIAMS) to share clinic space and provide cancer care at the
Upper Cardozo Clinic in Washington, D.C., to a largely Hispanic and African
American community. Through this effort, we hope to facilitate access to clinical
trials, both at the NIH clinical center and in the community. Over time we would
like to establish a broad network of community physicians, leaders, and universities.
In another effort, we organized a program to educate patient navigators from
NCI-funded Patient Navigator programs about clinical trials and opportunities
for accessing them, both in their communities as well as at the NIH clinical
center. Patient navigators serve as resources for medical information, including
information about medical services available to the communities they serve.
In conjunction with their diverse roles and responsibilities, it is hoped that
this training will improve access to clinical trials in these populations. Also,
the Cancer Research Interns in Residence (CRIR) program provides a training
opportunity for minority researchers in our intramural program. The CRIR was
inaugurated in 2004, and in two summers has recruited about 100 fellows.
Going forward, we will seek to increase awareness within the CCR community
about the spectrum of health disparities research/initiatives occurring not
only within our program, but also more broadly within the NCI. We will encourage
collaborations and partnerships with other NCI divisions, offices, and centers.
And by leveraging our strength in translational research using multidisciplinary
approaches, we will contribute to reducing cancer health disparities in minority
and underserved populations.
Robert H. Wiltrout, PhD
Director
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