2019 Hispanic Heritage Month Event
27
September

By Adem Lewis / in , , , , , , /


>>GOOD AFTERNOON. WELCOME.
THANK YOU FOR CHOOSING TO BE HERE WITH US TODAY TO CELEBRATE HISPANIC HERITAGE MONTH.
I’M GERARD ROMAN FROM THE NATIONAL INSTITUTES OF HEALTH, I’LL BE MODERATING AS WE HEAR PRESENTATIONS
FROM LEADERS AND EXPERTS ABOUT THE IMPORTANCE OF TODAY’S OBSERVANCE.
WE’LL HAVE A LIST OF INFORMATION TOPICS TO COVER, FIRST WE’LL HEAR ABOUT THE REMARKABLE
WORK OF THE PROFESSIONAL ORGANIZATIONS SERVING THE HISPANIC MEDICAL COMMUNITY, WE’LL GET
TO KNOW MORE ABOUT LATINO HEALTH, AND THE WORK OF THE NATIONAL INSTITUTE OF MINORITY
HEALTH AND HEALTH DISPARITIES. THEN WE’LL HEAR ABOUT THE WORK OF THE HISPANIC
EMPLOYEE RESOURCE GROUP IN SUPPORT OF DIVERSITY AND INCLUSION.
I’D LIKE TO THANK OUR SPEAKERS HERE TODAY, AND ALSO THE GUESTS IN WASHINGTON, D.C. HERE
TODAY AND FRIENDS AND EMPLOYEES WATCHING US VIA WEBCAST.
AT THIS TIME I INVITE EVERYONE TO STAND FOR POST OF THE COLORS AND REMAIN STANDING FOR
THE PLAYING OF THE NATIONAL ANTHEM. [ NATIONAL ANTHEM ]>>THANK YOU.
PLEASE BE SEATED. SPECIAL THANKS TO THE COLOR GUARD LED BY SERGEANT
JOSE LOPEZ. THEY DID A GREAT JOB.
IT’S MY PLEASURE TO INTRODUCE OUR FIRST SPEAKER, MISS JULIE MURPHY, EQUAL EMPLOYMENT OFFICER
AND DIRECTOR OF THE NEWLY ESTABLISHED OFFICE OF EQUAL EMPLOYMENT OPPORTUNITY, DIVERSITY
AND INCLUSION HERE AT HHS. MISS MURPHY IS PRINCIPAL ADVISER TO ASSISTANT
SECRETARY FOR ADMINISTRATION AT HHS, ON ALL MATTERS RELATING TO EEO, DIVERSITY AND INCLUSION.
AS YOU CAN READ IN HER BIO, SHE HAS A LIST OF CAREER ACCOMPLISHMENTS IN THE FEDERAL GOVERNMENT,
NOTABLY KEY LEADERSHIP POSITIONS IN HUMAN RESOURCES AND DIVERSITY AND INCLUSION, AT
THE DEPARTMENT OF VETERANS AFFAIRS AND HERE AT THE DEPARTMENT OF HEALTH AND HUMAN SERVICES.
MISS MURPHY WILL PROVIDE HER WELCOME REMARKS AT THIS TIME.>>GOOD AFTERNOON.
ON BEHALF OF THE ASSISTANT SECRETARY FOR ADMINISTRATION IN THE OFFICE OF EQUAL EMPLOYMENT OPPORTUNITY,
DIVERSITY AND INCLUSION, I WELCOME YOU TO THE 2019 HISPANIC HERITAGE MONTH OBSERVANCE.
THANKS TO THOSE OF YOU IN THE HHH SMALL AUDITORIUM AND TO THOSE LIVESTREAMING FOR YOUR SUPPORT
IN PRESENTATION OF OBSERVANCES THROUGHOUT THE DEPARTMENT.
TODAY WE COME TOGETHER NOT ONLY TO RECOGNIZE HIS PANIC AND LATINO CONTRIBUTION, CULTURE,
TRADITION AND HISTORY BUT ALSO TO CELEBRATE THOSE WHO ARE FORGING THE FIELD OF HEALTHCARE
TO PROMOTE THE DEPARTMENT’S MISSION, ADDRESS HEALTH DISPARITY AND SERVE THE COMMUNITY.
THE OBSERVANCE HAS BEEN DEEP ROOTS IN OUR COUNTRY’S HISTORY.
IT STARTED IN 1968 AS HISPANIC HERITAGE WEEK, UNDER PRESIDENT JOHNSON, 30 YEARS LATER THE
COMMEMORATIVE WEEK WAS COMMANDED BY PRESIDENT RONALD REAGAN TO COVER A 30 DAY PERIOD STARTING
ON SEPTEMBER 15 AND ENDING ON OCTOBER 15. THE HISPANIC HERITAGE MONTH OBSERVANCE WAS
ENACTED IN 1988, AND SEPTEMBER 15 WAS CHOSEN AS THE START OF HISPANIC HERITAGE MONTH, THE
ANNIVERSARY OF THE INDEPENDENCE OF COSTA RICA, EL SALVADOR, GUATEMALA, HONDURAS AND NICARAGUA.
ADDITIONALLY MEXICO AND CHILE CELEBRATE INDEPENDENCE DAYS ON SEPTEMBER 16 AND SEPTEMBER 18, FURTHER
COLUMBUS DAY WHICH CELEBRATES THE LONG AND IMPORTANT PRESENCE OF HISPANICS IN NORTH AMERICA
ALSO FALLS WITHIN THE 30 DAY PERIODS. THE HISPANIC/LATINO POPULATION IN THE SECOND
LARGEST GROUP IN THE UNITED STATES WITH 56.6 MILLION PERSONS REPRESENTING 17.6 OF THE POPULATION.
THE UNITED STATES BUREAU OF THE CENSUS PROJECTS THAT BY 2060, CAN YOU BELIEVE WE’RE THAT CLOSE,
AMERICA’S HISPANIC/LATINO POPULATION WILL INCREASE TO 119 MILLION, OR 28.6 OF THE TOTAL
POPULATION. WE MUST REMEMBER THAT PERSONS OF HISPANIC
AND LATINO BACKGROUND MAY REPRESENT DIFFERENT ANCESTRIES, ETHNIC AND CULTURAL GROUPS AND
COUNTRIES OF BIRTH INCLUDING THE UNITED STATES. UNFORTUNATELY, SIGNIFICANT DISPARITIES IN
HEALTH AMONG HISPANICS AND LATINOS IN THE U.S. HAVE BEEN WELL DOCUMENTED.
FOR EXAMPLE, TWO OUT OF FIVE DEATHS, 41% AMONG HISPANICS WERE RESULT OF CANCER AND CARDIOVASCULAR
DISEASE. HISPANICS AND LATINOS ARE 50% MORE LIKELY
TO DIE FROM DIABETES OR LIVER DISEASE. COMPARED TO NON HISPANIC WHITES, 22% LESS
LIKELY TO HAVE CONTROLLED BLOOD PRESSURE, AND HIGHER PREVALENCE OF OBESITY THAN NON
HISPANIC WHITE PEERS. YOU’LL HEAR FROM EXPERTS AFFILIATED WITH THE
MEDICAL ASSOCIATION AND NATIONAL INSTITUTE ON MINORITY HEALTH AND HEALTH DISPARITIES,
WHO WILL SHARE INFORMATION CONCERNING THE CONTRIBUTION OF HISPANIC HEALTH PROFESSIONALS
AND CONTINUOUS EFFORTS TO ENHANCE AND EXPAND RESEARCH AND DELIVERY OF HEALTH CARE SERVICES
TO IMPROVE HEALTH OUTCOMES AND REDUCE DISPARITIES AMONG THE HISPANIC AND LATINO POPULATION.
YOU WILL ALSO HEAR FROM HHS’S HISPANIC EMPLOYEE RESOURCES GROUP LEADERS, WHO WILL SHARE HOW
THEIR WORK HAS HELPED FULFILL OUR MISSION. WE THANK OUR FUTURE SPEAKERS, DR. RIOS, DR.
PEREZ STABLE, HHS ERG LEADERS, EEO AND DIVERSITY AND INCLUSION OFFICES AS WELL AS DIVERSITY
AND INCLUSION DIVISION MEMBERS OF THE HISPANIC HERITAGE MONTH PLANNING COMMITTEE LED BY JULIO
CARRERA. THE HHS STUDIO STAFF, FACILITIES MANAGEMENT
AND ALL OTHERS WHO MADE TODAY’S PROGRAM POSSIBLE. THANK YOU FOR JOINING US TODAY.
AND LET US JOIN THE NATIONAL CELEBRATION OF HISPANIC HERITAGE NOT JUST TODAY BUT EVERY
DAY OF THE YEAR. THANK YOU.
[APPLAUSE]>>OUR NEXT GUEST THANK YOU FOR IMPORTANT
BACKGROUND. OUR NEXT SPECIAL GUEST IS DR. ELENA RIOS,
NO STRANGER TO THE PROFESSIONAL COMMUNITY HERE OR AT NATIONAL LEVEL, PRESIDENT AND CEO
OF THE NATIONAL HISPANIC MEDICAL ASSOCIATION, REPRESENTING OVER 50,000 HISPANIC PHYSICIANS
IN THE UNITED STATES, DR. RIOS SERVES AS PRESIDENT OF NATIONAL HISPANIC HEALTH FOUNDATION, AT
NEW YORK UNIVERSITY, PRIOR TO HER CURRENT POSITION SERVED AS ADVISOR AT HHS OMH, ALSO
EXECUTIVE DIRECTOR OF HISPANIC SERVING HEALTH PROFESSION SCHOOL, WORKED WITH NATIONAL HEALTH
CARE REFORM TASK FORCE, SHE WORKED FOR THE STATE OF CALIFORNIA HEALTH PLANNING DEVELOPMENT
AND RESEARCHER, EDUCATION CREDENTIALS AS YOU CAN SEE IN THE BIO, CLEARLY PREPARE HER FOR
THE WORK SHE DOES ADVOCATING FOR HEALTH. B.A. IN HUMAN BIOLOGY AND ADMINISTRATION FROM
STANFORD. M.D. UCLA, INTERNAL MEDICAL RESIDENCY AT SANTA
CLARAA VALLEY. AND A FELLOWSHIP AT UCLA.
CLEARLY A PERSON THAT DEDICATED HER LIFE CAREER TO EQUITY AND HEALTH, AND SUPPORTING HISPANICS
AND LATINOS IN MEDICAL CAREERS, PLEASE JOIN ME IN WELCOMING DR. ELENA RIOS.
>>THANK YOU VERY MUCH. I JUST WOULD LIKE TO TURN THIS A LITTLE SO
I CAN SEE THE SLIDES. IT’S AN HONOR TO BE HERE.
I HAVEN’T BEEN HERE IN A WHILE. I LOOK FORWARD TO A LIVELY CONVERSATION, I
WAS ASKED TO DISCUSS LEADERSHIP, WHAT BETTER WAY THAN TALK ABOUT THE NATIONAL HISPANIC
MEDICAL ASSOCIATION, STARTED IN 1994, REPRESENT 50,000 LICENSED HISPANIC PHYSICIANS IN THE
UNITED STATES, AND DECIDED WE WOULD START OUR FOUNDATION TO BE ABLE TO ADDRESS RESEARCH
AND CHARITABLE AND EDUCATIONAL ACTIVITIES. OUR MISSION IS TO EMPOWER HISPANIC PHYSICIANS
TO WORK WITH ALL OF OUR PARTNERS, PUBLIC AND PRIVATE, TO IMPROVE HEALTH OF HISPANICS.
THIS IS SOME OF WHAT WE DO. I THINK IT’S IMPORTANT TO REALIZE THIS WAS
OUR NATIONAL CONFERENCE THIS YEAR, WE DO A LOT OF EDUCATING OF CONGRESS, AND EDUCATING
OF THE GOVERNMENT, ABOUT OUR RESPECTIVE REGIONS OF THE COUNTRY, POLICIES NEEDED TO IMPROVE
OUR QUALITY OF LIFE, HERE WE HAVE ON THE LEFT CAPITOL BUILDING, OUR CAPITOL HILL VISIT IN
APRIL OF THIS YEAR. AND ON THE RIGHT IS OUR LEADERS, OUR CHAIRMAN
OF THE BOARD OF THE FOUNDATION, MARK DIAZ, AND CHAIRWOMAN JUDY FLORES AND CORPORATE ADVISORS.
WE HAVE DR. CARLOS RODRIGUEZ AND DIRECTOR FROM
MINORITY HEALTH AT FDA TALKING ABOUT IMPORTANCE OF HAVING HISPANICS AND MINORITIES IN CLINICAL
TRIALS. WE’VE DONE ADVOCACY
SUPPORTED BY ONE OF OUR SPONSORS, AGAIN ON HEART DISEASE.
THIS WAS IN CALIFORNIA WITH THE NEW GOVERNMENT, GOVERNOR NEWSOME, RICHARD FIGUEROA AND MARTHA
DIAZ, VERY WELL KNOWN AS THE WIFE OF OUR CHAIRMAN OF OUR FOUNDATION.
AND ON THE RIGHT YOU CAN’T SEE BUT WE HAVE LEADERS, BOB MONTOYA, JESSICA, MARTHA TORRES,
JOSE WHO LEADS THE LATINO PHYSICIANS OF CALIFORNIA AND ALSO DEAN OF THE CHARLES THE PRESIDENT
OF DAVID CARLISLE. WE HAVE 15 CHAPTERS, THESE ARE PICTURES OF
OUR MEETING, WE WERE IN EL PASO THE WEEK BEFORE THE SHOOTING, IT WAS HORRIBLE, WE HEARD FROM
MANY LATINO DOCTORS WHO TOOK CARE OF THE INJURED, THIS IS THE CONGRESSWOMAN ESCOBAR’S DISTRICT
DIRECTOR WITH LEADERS. IN NEW MEXICO, THIS WAS THE BOARD OF DIRECTORS
OF THE NEW MEXICO HISPANIC MEDICAL ASSOCIATION. WE NOW HAVE COUNCIL OF YOUNG PHYSICIANS, COUNCIL
OF RESIDENTS IN THE LATINO MEDICAL STUDENT ASSOCIATION, THESE ARE SOME PICTURES OF THE
DIFFERENT GROUPS THAT ARE LAST YEAR’S CONFERENCE, AND THESE ARE SCHOLARSHIP PROGRAMS.
WE HAVE SCHOLARSHIPS TO STUDENTS NOW, WHO ARE DEDICATED TO SERVING THE HISPANIC COMMUNITY,
WHO MADE IT THROUGH COLLEGE AND MADE IT INTO MEDICAL SCHOOL AND DENTAL SCHOOL, NURSING
SCHOOL, PUBLIC HEALTH SCHOOL, PHARMACY SCHOOL, THIS YEAR WE’RE ADDING P.A. SCHOOL.
AND THIS IS THE TWO GALAS, NEW YORK AND LOS ANGELES, WE GIVE AWARDS, BRING THEIR PARENTS,
THEY HEAR FROM HONOREES WHO ARE OTHER LEADERS IN OUR COMMUNITIES TO SHARE WISDOM.
IN TERMS OF PRE MED STUDENTS AND PRE HEALTH STUDENT, WE HAVE A COLLEGE HEALTH SCHOLARS
PROGRAM. THIS IS ONE OF THE SIX CONFERENCES A YEAR
SUPPORTED BY THE OFFICE OF MINORITY HEALTH AT HHS.
WE’RE VERY HAPPY TO BE ABLE TO REACH DOWN TO THE COLLEGE KIDS IN OUR COMMUNITIES WHO
DON’T HAVE DOCTORS THAT ARE FATHERS AND MOTHERS, WHO DON’T KNOW WHAT IT MEANS TO BE DISCIPLINED
IN COLLEGE AND DON’T KNOW HOW TO STUDY AND TO BE ABLE TO GET FINANCIAL AID.
AND WE TAKE CARE OF NOT ONLY HELPING THEM WITH AWARENESS BUILDING BUT ALSO HELPING THEM
WITH MENTORING. WE’RE IN CALIFORNIA, TEXAS, AND IN THE EAST
COAST AT OUR NATIONAL CONFERENCE. THIS YEAR’S ADVOCACY FOCUS, I THOUGHT IT WAS
IMPORTANT TO LET YOU KNOW LEADERSHIP IS ALL ABOUT HAVING STRATEGIES BASED ON OUR OWN EXPERIENCE,
AND TAKING IT TO CONGRESS. WE HAVE FOCUSED AGAIN ON DIVERSITY FOR MEDICAL
EDUCATION, CARDIOVASCULAR DISEASE, BUT ALSO THE IMPORTANCE OF GRADUATE MEDICAL EDUCATION
AND TITLE 7 PROGRAMS WHICH ARE CENTERS OF EXCELLENCE, TO GET MORE STUDENTS INTO THE
PIPELINE. HIV, HUMANITARIAN IMMIGRANT TREATMENT WAS
ACTUALLY A BILL INTRODUCED BY CONGRESSIONAL HISPANICS CAUCUS, DACA IS IMPORTANT BECAUSE
WE HAVE MANY STUDENTS IN OUR FAMILIES NOT CITIZENS THAT NEED TO GET INTO FINANCIAL AID
PROGRAMS. WOMEN’S HEALTH, ESPECIALLY REPRODUCTIVE HEALTH,
MATERNAL MORTALITY HAVE BECOME MORE AND MORE OF AN ISSUE IN THIS LAST SEVERAL YEARS, AND
WE’VE BEEN ON TOP OF THAT AND ALSO WITH HEALTH CARE REFORM, WE’VE WORKED WITH TRANSFORMATIONAL
CLINICAL PRACTICE INITIATIVE, CMS, ALSO VALUE BASED CARE THAT’S HAPPENING, QUALITY CARE.
AT SOME PROGRAMS, I WANT TO POINT OUT WE’RE WORKING WITH MANY OF THE AGENCIES OF HHS AND
HAVE BEEN PARTNER FROM NIH TO CDC TO CMS TO NIDDK WITH FACULTY DEVELOPMENT PROGRAM AND
LOOK FORWARD TO LEADERSHIP DEVELOPMENT NOT ONLY OF FACULTY BUT PRIVATE PRACTICE DOCTORS
WHO WANT TO SIT ON COMMUNITY BOARDS. WE NEED TO GET MORE CEOs INTO CLINICS AND
HOSPITALS IN THIS COUNTRY AND WE’VE TALKED TO HRSA ABOUT THE IMPORTANCE OF FINDING MORE
NOT ONLY LEADERS BUT PRECEPTORS AND MENTORS FOR THE NEXT GENERATION.
THESE ARE OUR BOARDS OF DIRECTORS, I HAVE TO GO THROUGH THIS FAST.
I WANT TO TELL YOU WE’RE A RESOURCE. WE’RE VERY MUCH INTERESTED IN LEADERSHIP DEVELOPMENT
FOR THIS COUNTRY, AND WE HAVE NETWORKING OPPORTUNITIES. HOW DO WE DO THAT?
I MENTIONED THE PROGRAMS BUT WE HAVE A NATIONAL CONFERENCE THAT YOU’RE ALL INVITED TO IN APRIL
IN D.C., WE HAVE OUR CHAPTER FORUMS, WE NOW HAVE 15 CHAPTERS AROUND THE COUNTRY.
AND IN TERMS OF OUR POLICY, THESE ARE THE CITIES, FROM THE NORTH EAST, WEST, SOUTHWEST,
WASHINGTON, D.C. METRO. OUR HISPANIC HEALTH FOUNDATION HAS EDUCATIONAL
ACTIVITIES BUT MAINLY WE’RE KNOWN FOR OUR SCHOLARSHIP PROGRAM AND SOME RESEARCH TRAINING
THAT WE CONVENE AT OUR CONFERENCE. WE HAVE HAD SUPPORT FROM FOUNDATIONS, FROM
THE KELLOGG FOUNDATION, JOSIAH MACY JR., ABOUT TO START A “STOP VAPING” CAMPAIGN WITH AETNA
AND CVS OCTOBER 1. WE HAVE PCORI FUNDING TO DEVELOP INFRASTRUCTURE
WITH SOCIAL MEDIA, AND WE THINK THAT’S VERY IMPORTANT AND OF COURSE OUR SCHOLARSHIP PROGRAMS
THAT ARE IN LOS ANGELES AND NEW YORK CITY. AND THIS IS THE NETWORK THAT WE HAVE RIGHT
NOW. WE’RE VERY MUCH A PROFESSIONAL ORGANIZATION,
WITH LEADERSHIP DEVELOPMENT, WITH LEADERS OF ALL THE HISPANIC HEALTH PROFESSIONAL GROUPS.
AND HERE AT HHS, WE ALSO WORK WITH THE HHS HEO, AND THANK YOU FOR INVITING US THIS YEAR.
SO THESE ARE JUST SOME PICTURES TO SHOW YOU LEADERS ON OUR BOARD, JUDY FLORES IS CHAIRWOMAN,
CLINICAL ASSOCIATE PROFESSOR IN NEW YORK, WORKS AS CHIEF OF AMBULATORY CARE IN BROOKLYN.
MARK DIAZ IS NOW MEDICAL OFFICER WITH CALPERS, FOR MANY YEARS IN SACRAMENTO, HAS A LONGSTANDING
CAREER, IT’S NOT HERE BUT OF ALL OF OUR LEADERS HE’S PROBABLY THE ONE THAT HAS THE LONGEST
HISTORY OF MENTORING UNDERGRADUATE STUDENTS, HELPING THEM GET INTO MEDICAL SCHOOL.
FRANCISCO FERNANDEZ IS ON OUR BOARD OF DIRECTORS ALSO.
HE’S CUBAN, FROM FLORIDA, WHO WENT TO TEXAS BECAUSE HE BECAME THE FOUNDING DEAN OF THE
UNIVERSITY OF TEXAS RIO GRANDE VALLEY MEDICAL SCHOOL, A PSYCHIATRIST, DOING A LOT OF GREAT
WORK IN THE VALLEY. JORGE PUENTE IS ONE OF OUR BOARD MEMBERS WHO
CAME FROM THE PHARMACEUTICAL INDUSTRY, FROM PFIZER WHEN HE STARTED, BUT WENT OFF AND DID
HIS OWN ORGANIZATION. AND HE’S BEEN A BOARD MEMBER OF THE SMITHSONIAN
INSTITUTION, AND HE WANTED TO LET EVERYONE KNOW HERE THAT HE’S STARTING THE AMERICAN
MEDICINE EXHIBIT AT THE SMITHSONIAN, AND NATIONAL MUSEUM OF AMERICAN HISTORY STARTING IN 2020.
ALBERTO RENTERIA WENT TO COLLEGE WITH BETHEL, AND MEDICAL SCHOOL, ADVENTIST CALIFORNIA REGIONAL
DIRECTOR FOR RURAL HEALTH CLINICS, WORKED IN ARIZONA WITH NATIVE AMERICAN TRIBES, AND
HE’S A GREAT LEADER IN CALIFORNIA. DIANA RAMOS FROM CALIFORNIA HAS BEEN VERY
INVOLVED AT THE NATIONAL LEVEL THROUGH THE CALIFORNIA MEDICAL ASSOCIATION AND AMERICAN
MEDICAL ASSOCIATION. AND SHE’S ALSO WITH THE MARCH OF DIMES, SHE’S
AN OB/GYN DOCTOR. SERGIO RAMOLA IS LOCAL IN VIRGINIA, HAS BEEN
VERY INVOLVED WITH THE GOVERNOR’S TASK FORCE FOR LATINO ADVISORY BOARD.
AND INVOLVED WITH THE NEW MEDICAL SCHOOL THAT’S GOING TO BE OPENED UP THROUGH NOVA AND GEORGE
MASON, SERVES ON AHEC REPRESENTING NHMA. THIS IS ONE OF OUR LEADERSHIP FELLOWS, A STELLAR
FELLOW, NOW THE NEW YORK CITY HEALTH COMMISSIONER. AND I THINK IT’S JUST IMPORTANT TO SEE THE
RISE, SHE WORKED IN OUR OFFICE FOR TWO YEARS AS A FELLOW AFTER SHE FINISHED RESIDENCY AT
A LOCAL CLINIC. AND SHE’S DOING VERY WELL IN HER POSITION.
ANOTHER RISING STAR, MARGARITA LOESA FROM LOS ANGELES, SHE WORKS WITH THE VENICE FAMILY
CLINIC, SHE DOES A LOT OF GLOBAL HEALTH AND REFUGEE, GOES TO MEXICO AND TAKES A GROUP
OF STUDENTS ONCE A MONTH AND DOCTORS TO PROVIDE FREE CARE FOR THE LATINOS IN MEXICO.
JAIME ESTRADA, OUR CHAIRMAN FROM THE NHMA SAN ANTONIO CHAPTER, AND HE’S ACTUALLY RETIRED
NOW, BUT STARTED A NEW ORGANIZATION CALLED TEXAS DOCTORS FOR SOCIAL RESPONSIBILITY IN
SAN ANTONIO. FROM MIAMI, SHE’S CUBAN, INTERESTING HOW WE
HEAR ABOUT ALL OUR DIFFERENT REGIONAL LEADERS, AND HOW THEY STAYED IN THEIR COMMUNITIES AND
HAVE DONE TREMENDOUS HAD A TREMENDOUS IMPACT. SHE WAS AT THE UNIVERSITY OF MIAMI, NOW AT
FIU. SHE’S A PROFESSOR BUT VICE CHAIR OF EDUCATION
AND FACULTY DEVELOPMENT, SHE’S WRITTEN NATIONAL GRANT, JUST GOT FUNDED BY THE AMA, WHICH HAS
GRANTS THAT HAVE GONE TO DIFFERENT MEDICAL SCHOOLS TO CHANGE MEDICAL EDUCATION.
SHE’S VERY INTERESTED IN THAT AND SHE’S ALSO BEEN PROBABLY ONE OF THE FEW LATINO DOCTORS
IN THE COUNTRY THAT HAVE BEEN ON THE BOARDS OF MEDICINE.
SHE WAS ON THE FLORIDA BOARD OF MEDICINE FOR TEN YEARS.
AND ENRIQUE CAVALERO OUT OF BOSTON, AT THE JOSLIN DIABETES CENTER FOR A LONG TIME, WENT
BACK TO HARVARD MEDICAL SCHOOL TO DO TEACHING, AND HE’S OUR REPRESENTATIVE OR CHAIRMAN OF
THE GREATER BOSTON CHAPTER. AND MYSELF.
AND I HAVE TO SAY, THIS IS THE DAY THAT NHMA STARTED.
I WAS WORKING AT THE WHITE HOUSE IN 1993, UNDER THE HILLARY CLINTON HEALTH CARE REFORM
OUTREACH GROUPS, AND ONE OF THE THINGS THAT HAPPENED THAT YEAR WAS I GOT TO MEET HISPANIC
DOCTORS FROM AROUND THE COUNTRY, AND THE DAY THAT THIS PICTURE WAS TAKEN YOU SEE PRESIDENT
AND MRS. CLINTON IN THE MIDDLE, DR. SHALALA ON OUR RIGHT, EVERY MEMBER IN THE PICTURE
BESIDES THEM ARE PRESIDENTS OF MEDICAL SOCIETIES, THAT IN TOTAL MEMBERSHIP WAS MORE THAN THE
AMERICAN MEDICAL ASSOCIATION. THE AMA HAD COME OUT AGAINST THE HEALTH REFORM
PLAN, I WAS ASKED TO REPRESENT HISPANIC DOCTORS. AND THAT DAY, BECAUSE OF THE MEETING, THAT
WAS GOING TO BE ON C SPAN AND LOCAL PAPERS THE FEW DOCTORS THAT CAME WITH ME FROM CALIFORNIA
AND NEW YORK DECIDED ON A NAME, AND THE NAME WAS THE NATIONAL HISPANIC MEDICAL ASSOCIATION.
AND ON THE RIGHT WAS THE DAY I GOT AN AWARD FROM THE WHITE MEMORIAL HOSPITAL WHERE I WAS
BORN, WHERE MY MOTHER WAS A NURSE, AND WE WERE BROUGHT THIS WAS ONE OF THE ONLY RIDES
MY PARENTS HAD IN A LIMOUSINE. AND I HAVE TO SAY IT WAS A VERY IMPORTANT
DAY FOR ME TO GET AN AWARD FROM A LOCAL HOSPITAL, FOR COMMUNITY SERVICE.
AND BOTH MY PARENTS ARE GONE NOW. EXCUSE ME.
BUT IT WAS VERY IT WAS A VERY NICE EVENT. THAT’S IT.
THESE ARE OUR CONTACT INFORMATION. YOU CAN REACH US BY E MAIL, FACEBOOK, TWITTER,
LINKED IN, BOTH NHMA AND HHF, STAFF IS IN THE BACK, BEN MILANO, THANK YOU FOR BEING
HERE, AND WE’LL BE HAPPY TO ANSWER A FEW QUESTIONS. [APPLAUSE]>>WE HAVE TIME FOR QUESTIONS.>>HI, DR. RIOS.
CONGRATULATIONS ON SUCH A WONDERFUL JOB YOU’RE DOING WITH THE NHMA.
AND WHO ARE YOU WORKING IN HHS, WHO ARE YOU WORKING CLOSELY ON HHS BESIDES OFFICE OF MINORITY
HEALTH?>>OH, HHS.
WELL, AT HRSA, WORKING WITH LUIS, ONE OF OUR LEADERSHIP FELLOWS, ALSO.
WORKING WITH THE STAFF THERE TO TRY TO UNDERSTAND HOW WE CAN BETTER PROVIDE A RESOURCE AS MENTORS
AND PRECEPTORS TO SOME OF HIS LEADERS IN HIS PROGRAMS.
THAT’S HRSA. WITH CDC, WITH OUR HIV ADVOCACY NOT ADVOCACY
BUT TRAINING OF PRIMARY CARE PHYSICIANS TO UNDERSTAND THAT HIV IS NOT JUST AN INFECTIOUS
DISEASE BUT IT IS CHRONIC DISEASE. AND WORKING WITH THE OFFICE OF WOMEN’S HEALTH
THROUGH THE YEARS, THAT’S WHERE I WORKED BEFORE. AND I THINK WITH NIH, WITH DR. ELISEO PEREZ
STABLE, WHO IS ABOUT TO TALK, IT’S IMPORTANT TO REALIZE WE’VE NOMINATED DOCTORS TO HELP
GET THEM TO APPLY TO GRANTS BY WORKING WITH NIH, SPECIFICALLY WITH THE NIDDK PROGRAM WE
HAVE TO HELP TRAIN YOUNG DOCTORS AND PhDs TO THINK ABOUT CAREERS AT NIH AND ALSO TO
WRITE GRANTS AND GET INVOLVED IN MORE RESEARCH. SPECIFICALLY, JUST SO YOU KNOW, I JUST GOT
APPOINTED TO OFFICE ON RESEARCH ON WOMEN’S HEALTH ADVISORY COMMITTEE THIS YEAR, GOING
TO MY FIRST MEETING IN OCTOBER. THAT’S AN HHS ADVISORY COMMITTEE.
AND SO I’M PROUD OF THAT.>>THANK YOU.
ANY MORE QUESTIONS?>>IS THAT IT?
THANK YOU. [APPLAUSE]>>THANK YOU, DR. RIOS, FOR SHARING YOUR INSIGHTS
ON LEADING THE WAY FOR HISPANIC HEALTH AND FOR ALLOWING US TO APPRECIATE THE WORK OF
YOUR ORGANIZATION. ALSO FOR SHARING THE PROFILES OF INDIVIDUALS
DOING SO MANY GREAT THINGS IN SUPPORT OF HEALTH FOR EVERYONE, NOT JUST FOR HISPANIC, BUT FOR
EVERYONE. BEST WISHES AND SUCCESS ON YOUR VERY IMPORTANT
WORK. THE DEPARTMENT OF HEALTH AND HUMANS SERVICES
IS THE FEDERAL GOVERNMENT PRINCIPAL AGENCY FOR PROTECTING THE HEALTH OF ALL AMERICANS.
AND PROVIDING ESSENTIAL HUMAN SERVICES ESPECIALLY TO THOSE WHO ARE LEAST ABLE TO PROVIDE FOR
THEMSELVES. TODAY WE’RE SO PLEASED TO HAVE WITH US DR.
ELISEO PEREZ STABLE, DIRECTOR OF THE NATIONAL INSTITUTE ON MINORITY HEALTH AND HEALTH DISPARITIES.
AS DIRECTOR HE LEADS A COLLABORATIVE SCIENTIFIC STAFF, THAT DEFINES THE VISION FOR ADVANCING
HEALTH EQUITY THROUGH RESEARCH ON IMPROVING MINORITY HEALTH, AND REDUCING HEALTH DISPARITIES.
DR. PEREZ STABLE PRACTICED GENERAL INTERNAL MEDICINE FOR 37 YEARS AT UNIVERSITY OF CALIFORNIA,
SAN FRANCISCO, UCSF, BEFORE MOVING TO NIH SEPTEMBER OF 2015, PROFESSOR OF MEDICINE AT
USCF, AND CHIEF OF DIVISION OF GENERAL INTERNAL MEDICINE FOR 17 YEARS.
HIS RESEARCH INTERESTS INCLUDE IMPROVING HEALTH OF RACIAL AND ETHNIC MINORITIES, UNDERSERVED
POPULATION, ADVANCING PATIENT CENTERED CARE, IMPROVING CROSS CULTURE COMMUNICATION SKILLS
AMONG CLINICIANS AND PROMOTING DIVERSITY IN THE WORKFORCE.
FOR 30 YEARS, DR. PEREZ STABLE LED RESEARCH ON LATINO SMOKING CESSATION AND TOBACCO CONTROL
POLICY IN THE U.S. AND LATIN AMERICA, ADDRESSING CANCER SCREENING AND MENTORING OVER 70 MINORITY
INVESTIGATORS. HE HAS PUBLISHED OVER 250 PEER REVIEWED ARTICLES,
ELECTED TO NATIONAL ACADEMY OF MEDICINE IN 2001.
DR. PEREZ STABLE WILL UP HAD US UNDERSTAND THE IMPORTANT WORK HIS INSTITUTE DOES LEADING
SCIENTIFIC RESEARCH TO REDUCE HEALTH DISPARITIES. JOIN ME IN WELCOMING DR. PEREZ STABLE.
[APPLAUSE]>>THANK YOU FOR THE KIND INTRODUCTION, AND
GOOD AFTERNOON, EVERYONE. I’M DELIGHTED TO BE HERE IN DOWNTOWN WASHINGTON
TO SHARE WITH YOU SOME PERSPECTIVES FROM THE NATIONAL INSTITUTE ON MINORITY HEALTH AND
HEALTH DISPARITIES RELATED TO LATINO/HISPANIC HEALTH IN CELEBRATION OF HISPANIC HERITAGE
MONTH. OUR INSTITUTE BEGAN FORMALLY IN 2010, OUR
OFFICE DATES BACK TO 1990 WHEN SECRETARY LOU SULLIVAN OPENED THE OFFICE, DR. JOHN RUFFIN
WAS THE DIRECTOR, AT THAT TIME, AND ALL THE WAY THROUGH TO 2014.
IN THE YEAR 2000, THROUGH LEGISLATION, CHAMPIONED BY REPRESENTATIVE LOUIS STOKES, WE BECAME
A CENTER. THAT WAS PROBABLY THE CRITICAL TRANSITION
FOR OUR INSTITUTE IN THAT WE NOW HAD GRANT AUTHORITY, TO GIVE GRANTS.
IN 2010 WE WERE ESTABLISHED AS AN INSTITUTE. NEXT YEAR, WE’LL BE CELEBRATING OUR 10 20
30, 10 YEARS INSTITUTE, 20 YEARS CENTER, 30 YEARS AS OFFICE.
TO START WITH, BASIC DEFINITIONS, MINORITY HEALTH IS ANY INVESTIGATION AROUND RACE, ETHNIC,
MINORITY GROUPS AS NAMED IN THE CENSUS, WHETHER THE OUTCOMES OR BAD.
AND WE ALSO ENDORSE THE IDEA THAT ALL RACIAL/ETHNIC MINORITIES ARE SUBJECT TO DISCRIMINATION AS
A COMMON THEME, A FORM OF CHRONIC STRESS. THIS IS THE LIST OF RACE/ETHNIC CATEGORIES,
AFRICAN AMERICAN, NATIVE HAWAIIAN OR PACIFIC ISLANDER, WHITE, MORE THAN ONE RACE, LATINO
OR HISPANICS OF ANY RACE, IT’S THE ONLY ETHNIC GROUP RIGHT NOW SPECIFICALLY ASKED FOR IN
THE CENSUS. THE SOCIOECONOMIC STATUS PROFILE IS ADVERSE
COMPARED TO WHITES OR ASIANS, INTERMEDIATE BETWEEN WHITE AND AFRICAN AMERICAN.
IN EDUCATION 20 TO 40% OF ANY OF THE LATINO/HISPANIC NATIONAL GROUPS HAVE NOT GRAD IT WITH A GRADUATED
FROM HIGH SCHOOL. 2/3 OF LATINOS IN THE UNITED STATES WERE BORN
IN THE UNITED STATES. THE IDEA OF IMMIGRANTS ONLY IS A THING MORE
OF THE PAST. CAN YOU SEE THERE’S STILL SUBSTANTIAL NUMBER
THAT DON’T SPEAK ENGLISH WILL, MORE BELOW THE POVERTY LEVEL AT LEAST TWO TIMES THAT
OF WHITES IN SOME CASES UP TO THREE TIMES THAT OF WHITES.
THAT IS ONE OF THE QUERIES THAT HAS BEEN WITH ME SINCE I STARTED THINKING ABOUT RESEARCH
MANY YEARS AGO. AND THAT IS LATINOS LIVE LONGER THAN WHITES
OR BLACKS, THESE ARE DATA FROM THE UNITED STATES CDC, NATIONAL STEALTH FOR HEALTH STAT
SIX, LIFE EXPECTANCY 79 FOR MEN, 84 FOR LATINA WOMEN, THREE YEARS LONGER THAN FOR WHITE WOMEN.
SO ISN’T THAT INTERESTING? ADVERSE SOCIOECONOMIC STATUS YET LONGER LIFE
EXPECTANCY, MANY HEALTH OUTCOMES WE WORRY ABOUT IN THE U.S. AND IN THIS DEPARTMENTU
OUTCOMES BETTER FOR LATINOS COMPARED TO WHITES. PEOPLE HAVE COINED US, BEGINNING WITH DR.
MARQUIS, A PARADOX, THE USUAL SOCIAL DETERMINANTS DO NOT LEAD TO A WORSE HEALTH OUTCOME GLOBALLY.
DOESN’T MEAN THERE’S NOT A LOT OF PROBLEMS, AND THERE ARE MANY THINGS THAT COULD BE BETTER,
BUT IT DOES NOT FIT THE MODEL. AND THIS IS I THINK A PREMISE OF MUCH OF OUR
RESEARCH AT NIMHD, TO LOOK AT ANYTHING THAT’S BEEN ESTABLISHED AND QUESTION IT IN FACE OF
RACE/ETHNIC AND SOCIOECONOMIC STATUS, HOW DO THESE MEET OUTCOMES BASED ON EXISTING LITERATURE.
A CAUTION, VERY RECENTLY HAS BEEN OBSERVED, AMONG MIDDLE AGED ADULTS, 25 TO 44 IN THIS
PARTICULAR GRAPHIC, SIMILAR DATA FOR THOSE 45 64, WE HAVE WITNESSED AN INCREASE IN MORTALITY,
NOT JUST OVERALL FOR WHITES WHICH HAS BEEN KNOWN NOW FOR THREE YEARS, BUT MOST RECENTLY
THIS SURGE HAS BEEN OBSERVED FOR AFRICAN AMERICANS AND LATINO AMERICANS SINCE 2015 OR SO.
INCREASE IN MORTALITY FOR THIS AGE GROUP OF 25 TO 44.
THOUGHT TO BE DUE TO OPIOID USE EPIDEMIC, OPIOID USE DISORDER, AS WELL AS POTENTIALLY
OTHER FACTORS THAT COULD BE ADDRESSED. NOTICE ON THE RIGHT HAND SIDE THOUGH THE DECREASING
MORTALITY RATES FOR PEOPLE OVER 65, NOTE HERE THAT BLACKS AND WHITES ARE NOT DIFFERENT ANYMORE,
THAT GAP HAS BEEN CLOSED IN OUR COUNTRY IN THE LAST 20 YEARS, AND THAT LATINO HISPANICS
CONTINUE TO BE BETTER AND ALSO GOING IN IMPROVEMENT. HEALTH DISPARITY POPULATIONS LISTED HERE,
HEALTH OUTCOME IN THESE POPULATIONS THAT IS WORSE IN COMPARISON TO REFERENCE GROUP, OFTEN
WHITES OR NOT POOR, ET CETERA, IS WHAT WE CONSIDER A HEALTH DISPARITY.
SOCIAL DISADVANTAGE ALSO RESULTS FROM BEING DISCRIMINATED IN ALL THESE POPULATIONS, AND
MOST ARE ALSO UNDERSERVED IN THEIR ACCESS TO HEALTH CARE.
SO WHY DOES SOCIOECONOMIC STATUS MATTER? AGAIN, IT IS A POTENT PREDICTOR OF OUTCOMES,
WE CAN SEE HERE THAT IF YOU LIVE AT THE POVERTY LEVEL FOR HOUSEHOLD OF FOUR, INCOME OF $25,000,
POVERTY THRESHOLD, THREE TIMES MORE LIKELY TO DIE FROM ANYTHING COMPARED TO HOUSEHOLD
WHERE THE HOUSEHOLD INCOME IS $115,000 A YEAR, WHICH IS WELL OFF BUT CERTAINLY NOT WEALTHY.
THIS IS A VERY ROBUST GRADIENT, PARALLEL TO THINGS THAT WE NORMALLY THINK ABOUT IN CLINICAL
MEDICINE SUCH AS BLOOD PRESSURE, AND WHETHER OR NOT YOU USE TOBACCO.
YET WE DON’T DO USUALLY A GOOD JOB MEASURE OF THIS.
THERE ARE MANY SOCIAL DETERMINANTS OF HEALTH, WE INTERESTED IN ALL.
THIS IS NOT AN EXHAUSTIVE LIST BUT CERTAINLY OUTLINES.
HOW DO THESE RACE/ETHNICITY AND SOCIOECONOMIC STATUS INTERACT WITH NATIONAL ORIGIN, WHERE
YOU LIVE, CULTURE, RELIGION, YOUR IMMIGRANT STATUS, LANGUAGE PROFICIENCY, HEALTH LITERACY
AND NUMERACY, FOOD AND HOUSING SECURITY AND SEXUAL ORIENTATION AND GENDER IDENTITY.
OUR SCIENCE IS REALLY TO LOOK AT THIS INTERACTION OF ALL THESE DIFFERENT FACTORS, LOOKING AT
THE FOUR LARGE DOMAINS OF INDIVIDUAL BEHAVIOR AND ATTITUDES, RESPONSE TO STRESS, BIOLOGICAL
PROCESSES WHICH HAVE EXPLODED IN INFORMATION IN THE LAST TWO DECADES.
THE PHYSICAL ENVIRONMENT, WHICH IS ALSO HEIGHTENED IN THE LAST TWO DECADES, ITS ROLE AND IMPORTANCE
IN DETERMINING HEALTH, THE CULTURAL, ENVIRONMENT INTERACTION WITH OTHER PEOPLE WHICH WE’VE
KNOWN ABOUT FOR YEARS BEING POSITIVE HEALTH INFLUENCE.
FINALLY HEALTH CARE SETTING. I’M A GENERAL INTERNIST BY BACKGROUND, I THINK
EVERYDAY CARE FOR ALL CONDITIONS AND AGES AND ALL PEOPLE MATTER, NOT ONE PARTICULAR
DISEASE, OUR INSTITUTE INCLUDES ALL AGES, ALL DISEASES.
WHAT GOES ON IN PRIMARY CARE, SPECIALTY CARE, EMERGENCY ROOM, OR HOSPITAL, ALL CAN REDUCE
DISPARITIES OR MAKE THEM WORSE. OUR STAFF DEVELOPED THIS RESEARCH FRAMEWORK
WHICH IS ON OUR WEBSITE, WE POINT ALL OUR SCIENTISTS TO LOOK AT IT WHEN THEY ARE APPLYING
FOR GRANTS, TRY AND CAPTURE THE COMPLEXITY OF THESE FACTORS.
IT’S NOT MEANT TO BE COMPRISIVE OR CAUSAL BUT REPRESENTS HEALTH DETERMINANTS AS WELL
AS FIVE AREAS THAT I MENTIONED EARLIER, ESPECIALLY WITH REGARDS TO HEALTHCARE SYSTEM, TO ULTIMATELY
INFLUENCE HEALTH OUTCOME. A COUPLE SNAPSHOTS OF DATA FOR MORE SPECIFIC
DISEASES, RATES OF CANCER FOR MEN IN THE U.S., 2010 TO 2014.
YOU CAN SEE SOME NOTABLE THINGS HERE LIKE EXTREMELY HIGH RATE OF PROSTATE CANCER FOR
AFRICAN AMERICAN MEN AND ALSO LUNG CANCER, WHICH ARE UNEXPLAINED BY THE WAY, NOT EXPLAINED
BY SIMPLE ACCESS TO CARE OR BETTER TREATMENT, BUT DO NOT LATINO MEN IN GENERAL HAVE LOWER
RATES COMPARED TO THEIR WHITE OR BLACK OR ASIAN COUNTERPARTS, WITH EXCEPTION OF LIVER
CANCER AND THEN STOMACH CANCER, LESS FREQUENT BUT STILL STAND OUT AS BUYING MORE COMMON
IN MINORITY GROUPS. THIS IS A SURVEY DONE BY KAISER FOUNDATION,
ABOUT FOUR YEARS AGO, IT ASKED INDIVIDUAL RESPONDENTS IN THE PAST 30 DAYS WERE YOU TREATED
UNFAIRLY BECAUSE OF RACE OR ETHNIC BACKGROUND IN STORE WORK, ENTERTAINMENT PLACE, DEALING
WITH POLICE OR GETTING HEALTH CARE. OVER HALF OF AFRICAN AMERICANS SAID YES, IN
THE PAST 30 DAYS, NOT LIFETIME, MIND YOU, I WANT TO EMPHASIZE THAT, OVER A THIRD OF
LATINOS ALSO SAID YES. THESE DATA HAVE BEEN CONSISTENT FOR THE LAST
20 YEARS. SO, DISCRIMINATION IS A REAL FACTOR IN OUR
SOCIETY, AND TAKES THE FORM OF CHRONIC STRESS, CHRONIC CUMULATIVE STRESS THAT ULTIMATELY
LEADS TO ADVERSE HEALTH OUTCOMES, WE THINK, THROUGH A VARIETY OF BIOLOGICAL AND BEHAVIORAL
PATHWAYS OF WHICH WE ARE INTERESTED IN EXPLORING THE CAUSES.
IN JANUARY OF THIS YEAR, NIMHD PUBLISHED A SUPPLEMENT TO THE AMERICAN JOURNAL OF PUBLIC
HEALTH, THAT OUTLINES 30 RESEARCH STRATEGIES AND METHODS MEASUREMENT ETIOLOGY AND INTERVENTIONS,
ANALYTIC ESSAYS BASED ON PUBLISHED LITERATURE AND RESULTS OF EXTENSIVE SCIENTIFIC VISIONING
WORKSHOP WE UNDERWENT WITHIN NIH AND ALSO WITH SELECTED NUMBER OF STELLAR EXTRAMURAL
SCIENTISTS. I WANT TO EMPHASIZE THIS IS NOT JUST AN NIMHD
PERSPECTIVE, IT’S A CONSENSUS FROM ALL OF NIH OFFICE OF SCIENTIFIC OFFICERS INVOLVED
IN MINORITY HEALTH, HEALTH DISPARITIES. WE WROTE AN OPENING EDITORIAL THAT DR. COLLINS
CO SIGNED WITH ME, AND I THINK PARTICULARLY IMPORTANT PUBLICATION ON OUR PART.
WE ALSO IN PROMOTING NEW AREAS OF RESEARCH, THIS IS AN EXAMPLE OF A PRODUCT OF A SCIENTIFIC
WORKSHOP THAT WE HAD ON LEVERAGING INFORMATION TECHNOLOGY TO ADDRESS HEALTH DISPARITIES,
PARTICULARLY FOCUSED ON ELECTRONIC MEDICAL RECORD BUT NOT EXCLUSIVELY, AGAIN I WROTE
AN EDITORIAL HERE WITH A COUPLE OF OUR SCIENTIFIC CO AUTHORS FROM NIMHD, ESSENTIALLY EMPIRICAL
WORK SUBMITTED FOR PUBLICATION IN THE JOURNAL OF MEDICAL CARE, WHICH WAS PUBLISHED IN MAY
OR JUNE OF THIS YEAR. WE ARE NOW CO SPONSORS OF THE HISPANIC COMMUNITY
HEALTH STUDY, OR STUDY OF LATINOS, ONGOING COHORT STUDY THAT WAS FUNDED BY THE NATIONAL
HEART LUNG BLOOD VISITS, 8 TO 11 YEARS OF FOLLOW UP, A THIRD VISIT PLANNED FOR 2020.
THIS IS A STUDY OF STARTED WITH 16,000 PARTICIPANTS, CUBAN, PUERTO RICAN, DOMINICAN, MEXICAN, CENTRAL
AMERICAN, PLUS SOUTH AMERICANS WERE RECRUITED WHO WERE PUT INTO THE CATEGORY.
IT IS THE ONLY STUDY ON A NATIONAL LEVEL, COHORT BASIS, INCLUDING HETEROGENEITY OF LATINO/HISPANIC
NATIONAL ORIGIN GROUPS. ABOUT 13,000 OR SO HAVE BEEN RETAINED, AND
VISIT THREE WILL BE NEXT YEAR AND HAS A WEALTH OF INFORMATION ON BEHAVIOR, ATTITUDES, HEALTH
CARE SERVICES, AND BIOMARKERS FOCUSED AROUND CARDIOVASCULAR DISEASE WHICH IS THE NUMBER
ONE CAUSE OF DEATH, BUT ALSO INCLUDES A LOT OF OTHER ASPECTS AND WE EXPECT TO SEE ONGOING
TERRIFIC DATA COMING FROM THIS HEALTH STUDY. EXAMPLE OF FOUR OF OUR LEADERS WHO HAVE BEEN
LINKED TO NIMHD, A LONG TIME COLLABORATOR OF MINE ON CANCER CONTROL IN SAN ANTONIO,
TEXAS, SHE’S ALSO SITTING ON OUR SCIENTIFIC ADVISORY COUNCIL FOR NIMHD, A VOCAL LEADER
ON PREVENTION, HEALTH PROMOTION, AMONG LATINO COMMUNITIES EXPANDING FROM CHILDREN TO OLDER
ADULTS. ESTEBAN AT UNIVERSITY OF CALIFORNIA, SAN FRANCISCO,
POPULATION GENETICS, STARTED HIS RESEARCH 20 YEARS AGO, MAKING THE OBSERVATION AND ASKING
THE QUESTION THAT ASTHMA, MOST COMMON CHRONIC DISEASE OF CHILDREN, WAS DISPROPORTIONATELY
COMMON AMONG PUERTO RICANS. AND UNUSUALLY LESS COMMON AMONG MEXICANS.
YET BOTH WERE LATINOS, HOW COULD THAT BE? ANSWERING THIS QUESTION, THE FRAMEWORK, EXPLORING
GENETIC DIFFERENCES AND CLINICAL DIFFERENCES, ALSO ENVIRONMENTAL, BIOLOGICAL INTERACTIONS
THAT OCCUR WITH A VERY LARGE COHORT STUDY, FOCUSING ON CHILDREN AND ONE OF THEIR PARENT.
CARRASQUILLO, BORN IN THE U.S. BUT ALSO OF MEXICAN AMERICAN BACKGROUND.
OVINE IS PUERTO RICAN BACKGROUND, HE’S ORIGINALLY SPENT HIS CAREER IN NEW YORK, MADE A MOVE
TO SOUTH FLORIDA A NUMBER OF YEARS AGO TO TAKE ON A LEADERSHIP ROLE AS CHIEF OF DIVISION
OF GENERAL INTERNAL MEDICINE THERE, HAS WITH A GRANT FROM NIMHD ACTUALLY STUDIED THE EFFECTIVENESS
OF USING SELF ADMINISTERED HIV TESTS, HEPATITIS C TESTS, AND HPV TESTS, IN THE COMMUNITY USING
VERY SOUND COMMUNITY ENGAGED RESEARCH METHODS TO REACH DIVERSE COMMUNITY OF LATINOS AND
AFRICAN AMERICANS IN SOUTH FLORIDA. AND FINALLY JOSE TORRES, BASIC SCIENTIST IN
PUERTO RICO, ACTUALLY THE PRINCIPAL INVESTIGATOR OF THE RESEARCH CENTER OF MINORITY INSTITUTIONS,
THE SECOND ONE WE AWARDED IN THE RECENT CYCLE IN THE ISLAND U.S. TERRITORY OF PUERTO RICO.
I WANT TO LEAVE YOU WITH ACCESS LANGUAGE ACCESS PORTAL WE HOST AT NIMHD, REALLY RESPONDS TO
EXECUTIVE ORDER, IMPROVES ACCESS TO CROSS CULTURAL HEALTH INFORMATION, AND REALLY TARGETS
NOT JUST RESEARCH COMMUNITY AND COMMUNITY HEALTH WORKERS, CLINICIANS, PUBLIC HEALTH
DEPARTMENTS, AND ANY OTHER PERSON REALLY WORKS WITH LIMITED ENGLISH PROFICIENT PERSONS, DEPENDING
ON THE PART OF THE COUNTRY YOU’RE IN CAN BE A SUBSTANTIAL PORTION OF CLIENTS AND PATIENTS
THAT WE SEE IN OUR SERVICE SETTING. NOT QUITE TWO YEARS AGO, I RECRUITED MY FORMER
COLLEAGUE FROM UCSF TO COME TO NIMHD AND BUILD THE INTRAMURAL PROGRAM AT OUR INSTITUTE WHICH
HAS BARELY HAD EXISTED ON A LIMITED BASIS PRIOR TO 2015, AND HAS TAKEN ON THIS RESPONSIBILITY
WITH PASSION, TENACITY AND INTELLECTED AND I ENTRUSTED THAT ASPECT OF OUR INSTITUTE TO
HER, IT’S A LONG TERM PLAN, THIS IS NOT SOMETHING BUILT OVERNIGHT.
WE’RE NOT TALKING ABOUT A ONE OR TWO YEAR PROJECT.
THIS IS BUILDING FOR THE FUTURE OF SCIENCE ON CAMPUS, ON MINORITY HEALTH, HEALTH DISPARITIES,
THIS IS A VERY SIGNIFICANT LEGACY, THAT WE WILL LEAD FOR THE BIGGEST RESEARCH ENTERPRISE
ON THE PLANET TO HAVE THIS PRESENCE AT THE TABLE SO TO SPEAK.
TRAINING THE NEXT GENERATION IS A HIGH PRIORITY FOR US.
WE HAVE A NUMBER OF PROGRAMS THAT FEED INTO THIS, FIRST WE HAVE STARTED THE K AWARD PROGRAM,
K01, KO8, K23, WE’VE HAD K99, WE FUNDED THE FIRST GROUP FROM FISCAL ’19, ANOTHER FEW DAYS
TO GO, AND WE LOOK FORWARD TO CONTINUING TO SEE THESE APPLICATIONS COMING IN WHICH IS
REALLY A MAJOR STEP IN THE DIRECTION OF RESEARCH INDEPENDENCE FOR SCIENTISTS IN THIS COUNTRY.
WE ALSO HAVE INDIVIDUAL FELLOWSHIP GRANTS THAT GENERALLY GO FOR PRE DOCTORAL AWARDEES,
SO DISSERTATION AWARDS, GRADUATE STUDENTS. THE LOAN REPAYMENT PROGRAM, MANDATED, AGAIN,
IN STATUTE FOR NIH, PROVIDES UP TO $35,000 A YEAR FOR TWO YEARS, RENEWED UP TO TWO TIMES
FOR ELIGIBLE INDIVIDUALS WHO MAKE A COMMITMENT TO STAY IN RESEARCH NOW.
THE WAY IT WAS DESIGNED, TO DO MINORITY HEALTH, HEALTH DISPARITIES RESEARCH, BEING FROM AN
UNDERREPRESENTED GROUP OR DISADVANTAGED GROUP. WE HAVE PRELIMINARY ANALYSIS THAT SHOW THAT
IF YOU RECEIVE THIS LOAN REPAYMENT AWARD YOU’RE TWICE AS LIKELY TO GET ANY KIND OF NIH GRANT
OVER ENSUING 10 TO 15 YEARS COMPARED TO THOSE WHO APPLIED BUT WERE NOT GIVEN THE LOAN REPAYMENT
AWARD. IT’S NOT RANDOMIZED BUT ENCOURAGING EVALUATION
DATA. WE HAVE ENCOURAGED AND SUPPORTED OUR DIVERSITY
RESEARCH SUPPLEMENTS, ANY GRANT THAT IS ELIGIBLE TO APPLY FOR ONE OF THESE, WE’VE FOCUSED ON
EFFORTS, LIMITED FUNDS, ON THE POSTDOCTORAL TO FACULTY TRANSITION AS THE AREA OF EMPHASIS.
FINALLY, THE HEALTH DISPARITIES RESEARCH INSTITUTE, IS A WEEK IN BETHESDA ON CAMPUS IN AUGUST.
IT’S A COMPETITIVE APPLICATION FOR EARLY CAREER SCIENTISTS IN MINORITY HEALTH, HEALTH DISPARITIES.
WE TARGET THE GROUP, THE SENIOR POSTDOC OR FELLOW TO EARLY FACULTY STATUS, BRING THEM
TO CAMPUS FOR A WEEK, PROVIDE SCIENTIFIC LECTURES, IT’S ABOUT NETWORKING, HOW NIH WORKS, MEETING
OUR PROGRAM STAFF AT NIMHD, AS WELL AS PROGRAM STAFF FROM ALL OF THE AGENCIES WHO ARE INTERESTED
IN MINORITY HEALTH, HEALTH DISPARITIES. AND I’M VERY PLEASED WITH THE WAY THIS PROGRAM
HAS GONE IN THE FIRST FOUR YEARS AND WE’LL PLAN TO CONTINUE IT.
WE’RE PART OF THE “ALL OF US” RESEARCH PROGRAM. I THINK ULTIMATELY OVER 220,000 FULLY ENROLLED,
THIS WILL BE THE LARGEST STUDY OF LATINO HISPANICS IN THE U.S. BY THE TIME THEY ALREADY PROBABLY
ARE, MAYBE NOT AS DEEPLY PHENOTYPED OR AS STUDIED AS SOME OF THE COHORT STUDIES WE DO
MORE FAMILIAR WITH, LIKE HISPANIC COMMUNITY HEALTH STUDY, BUT CERTAINLY WILL BE A TREMENDOUS
RESOURCE FOR FUTURE RESEARCH SO IF YOU’RE NEWER, A NEWER INVESTIGATOR IN LATINO HEALTH,
HISPANIC HEALTH, LOOK TO “ALL OF US” COHORT AS A SOURCE FOR ANSWERING YOUR QUESTIONS,
OR ASKING QUESTIONS, AND BECOMING EXPERIENCED IN RESEARCH.
LET ME FINISH WITH JUST A COUPLE OF COMMENTS. CROSS CUTTING THEMES INCLUDING ADDRESSING
THE SOCIAL DETERMINANTS OF HEALTH, I HAVE TRIED TO COMMUNICATE TO MY COLLEAGUES AT NIH
THAT WHEN THEY HAVE A NEW DISCOVERY, RELATED TO WHETHER IT BE THE MICROBIOME OR microRNAS
OR BRAIN INITIATIVE, EPIGENETICS, A QUESTION I WILL HAVE IS WHAT IS IT LIKE BY RACE/ETHNICITY,
OR BY SOCIOECONOMIC STATUS. THEY ARE USUALLY WORKING WITH RODENTS SO WE’RE
NOT AT THE LEVEL OF ASKING THAT QUESTION. YOU COULD SAY THE SAME ASKING ABOUT GENDER
AND AGE, THIS IS ONE OF OUR MAIN WAYS OF BRINGING THIS TO LIFE, ON CAMPUS.
THESE ISSUES, THESE PERSPECTIVES DO MATTER IN HEALTH OUTCOMES THAT MATTER TO ALL OF THE
PEOPLE WE CARE ABOUT. NOW, IF THERE’S NO DIFFERENCE, GREAT, MOVE
ON. IT’S AN EMPIRICAL SCIENTIFIC QUESTION BECAUSE
THERE ARE TIMES WHEN THERE ARE MARKED DIFFERENCES AND THEN WE NEED TO BE AWARE OF THEM AND KNOW
HOW TO MANAGE THAT WHETHER FROM ONE PERSPECTIVE OR ANOTHER.
WE WANT TO VIEW HEALTH THROUGH LIFE COURSE CONTINUUM, WHAT HAPPENED TO YOU AS A CHILD,
HOW YOU GREW UP MATTERS TO YOU AS AN ADULT. I THINK THIS IS A BASIC PREMISE OF WHAT WE
DO, LOOKING AT ADDRESSING PLACE AND CONTEXT BEYOND BEHAVIORAL INTERVENTIONS.
I LIKE TO SITE AN EXAMPLE OF AN INTERVENTION IN SOUTHERN CALIFORNIA THAT WAS TARGETING
DECREASING SWEETENED SUGAR SWEETENED BEVERAGES AND BY PROVIDING CHILLED WATER IN SOUTHERN
CALIFORNIA WHERE IT IS WARM THATS WHAT WORKED THE BEST FOR THE HIGH SCHOOL STUDENTS. NOT
NECESSARILY ALL THE EDUCATION AND ALL THAT STUFF. THAT PROBABLY HELPED BUT THE MOST IMPORTANT
WAS TO GIVE THEM A STRUCTUAL CHANGE TO THEIR ENVIRONMENT AND THEN CONSIDER MECHANISMS AND
OUTCOMES THROUGH SCIENTIFIC LENSES. WE NEED MULTI LEVEL INTERVENTIONS. ITS NOT JUST GIVING
A PILL TO A PATIENT BUT MAKING SURE THE CLINICIAN KNOWS HOW TO COMMUNICATE WITH THE PATIENT.
IF THE SYSTEM IS ABLE TO RECEIVE THE PATIENT AND FOLLOW THE PATIENT AND GET THE FOLLOWUP
SO WE CAN MAINTAIN ADHERENCE. IT IS A CHRONIC CONDITION ALMOST ALWAYS THAT WE ARE DEALING
WITH. WE MUST IDENTIFY MECHANISMS SOMETIMES BEHAVIORAL BIOLOGICAL OR OTHERWISE INTERACTIONS
IN ORDER TO KNOW WHERE AND HOW TO INTERVENE AND THEN WE HAVE TO REALLY EMPHASIZE IN MY
OPINION THE PATIENT CLINICIAN COMMUNICATION AS A THERAPEUTIC INTERVENTION. HAVING TRUST
IN YOUR CLINICIAN IS THERAPEUTIC AND HAVING A LONG-TERM SUSTAINABLE
RELATIONSHIP WITH A CLINICIAN IS PROBABLY ALSO THERAPEUTIC.
AND I THINK THIS IS THE MODEL THAT WE NEED TO EMPHASIZE,
SUPPORT, AND REWARD GOING FORWARD TO MAINTAIN POPULATION
HEALTH. AND THEN THE STRUCTURAL CHANGE
THAT I GAVE YOU AN EXAMPLE EARLIER.
SO I THINK THAT SHOULD BE IT. YEAH.
THESE ARE OUR CONTACTS, PLEASE DON’T HESITATE TO REACH OUT TO
US THROUGH OUR WEB SITE, OR DIRECT E-MAIL.
WE’RE ALWAYS AVAILABLE FOR CONSULTATION.
THANK YOU VERY MUCH FOR YOUR ATTENTION.
QUESTION?>>AT THIS TIME WE HAVE TIME FOR
QUESTIONS. WE’RE DOING GOOD ON TIME.
SO ANY QUESTIONS? IN THE BACK HERE.
>>THANKS VERY MUCH. I WAS WONDERING IF YOU MIGHT ADD
SOME THOUGHTS ABOUT HOW THE ENVIRONMENT, THE WORK PLACE AND
ENVIRONMENT, WHAT SHOULD HAPPEN IN THAT SPACE, AND WITH RESPECT
TO MINORITIES?>>I THINK YOUR QUESTION IS HOW
DOES THE ENVIRONMENT FIT INTO ALL OF THIS?
>>THE WORK PLACE AS AN ENVIRONMENT.
>>OH, THE WORK PLACE. OKAY.
>>SO BECAUSE THE SOCIAL DETERMINE OCCUPATION IS REGARDED
AS ONE OF THOSE AREAS THAT YOU IS IMPORTANT TO DETERMINE.
>>IT’S INTERESTING THAT YOU ASK THAT.
THIS HAS BEEN A QUESTION WE’VE BEEN TALKING ABOUT A LOT
INTERNALLY WITH OUR SCIENTIFIC STAFF AND WE’RE ACTUALLY GOING
TO PLAN A SCIENTIFIC WORKSHOP SOMETIME IN FISCAL YEAR ’20, TO
DISCUSS THE ROLE OF OCCUPATION IN HEALTH, MINORITY HEALTH
DISPARITY. IT MAY SOUND LIKE OH WE KNOW
WHAT IT IS, BUT THE CONFLUENCE, OR THE CONFUSION, OR THE
COVARIANTS WITH SOCIOECONOMIC STATUS AND SOCIAL CLASS I THINK
IS WHERE WE WANT TO ADDRESS THAT.
THE WORK ENVIRONMENT MATTERS A LOT.
I MEAN GO BACK TO THE 1980’S, PEOPLE USED TO SMOKE TOBACCO,
COMBUSTIBLE TOBACCO WAS IN THE AIR IN MANY WORK ENVIRONMENTS
AND RESTAURANTS AND PLACES WE WENT.
SO CERTAINLY SERVICE WORKERS THAT THE FOOD AND SERVICE
ENVIRONMENTS WERE EXPOSED TO SECOND HAND SMOKE IN A BIG WAY.
THAT CHANGES FROM A POLICY PERSPECTIVE, MYOCARDIAL
INFARCTIONS, HEART ATTACKS GO DOWN, WITHIN SIX MONTHS.
NO ONE PREDICTED THIS WOULD HAPPEN BUT IT WAS CLEARLY
OBSERVED MANY TIMES, NOT ONLY IN THE U.S. BUT AROUND THE WORLD.
THAT’S ONE EXAMPLE. I THINK AIR POLLUTION,
PARTICULARLY MATTER EXPOSURES IN THE ENVIRONMENT IN GENERAL WILL
MATTER, AND THAT’S FOR OUTDOOR WORK.
THERE ARE ALSO THE CONCEPTS OR THE MODELS OF HOW MUCH CONTROL
DO YOU HAVE OVER YOUR JOB? AND IF YOU ARE SORT OF REQUIRED
TO BE SOMEWHERE AND REPETITIVELY DO SOMETHING THAT IS ASSOCIATED
WITH WORSE BURDEN OF CHRONIC STRESS AND WORSE HEALTH OUTCOMES
AS OPPOSED TO SOMEONE WHO IS IN MORE CONTROL OF THEIR SCHEDULE
AND CONTROL OF WHAT THEY DO, EVEN IF THE INTENSITY OF THE
WORK MAY BE HEIGHTENED WHICH HAS A RISK BENEFIT EQUATION TO
MODERATE. AND SO I THINK ALL OF THESE- –
NOW THE OTHER PART OF THE ENVIRONMENT THAT MATTERS IS THE
PLACE THAT WE LIVE IN. IF I TELL A PATIENT IN CLINIC
WELL YOU SHOULD GO OUT AND BUY THESE LOW CALORIE FOODS AND 2
PERCENT MILK BECAUSE HE OR SHE HAS DIABETES BUT THEN THEY DON’T
HAVE A VEHICLE AND THEY HAVE TO WALK OR TAKE PUBLIC
TRANSPORTATION EVERYWHERE THEY CAN GO AND THERE’S NO FULL
SERVICE GROCERY STORE WITHIN TWO MILES OF WHERE THEY LIVE,
BECAUSE THERE ARE NONE IN MANY NEIGHBORHOODS.
NOW THAT’S SORT OF A STRUCTURAL DISCRIMINATION FACTOR THAT
EXISTS, AND THEN WHEN THE PATIENT COMES BACK TO CLINIC,
THE DOCTOR MOST OFTEN SAYS OH YOU’RE NON-COMPLIANT.
YOU JUST DIDN’T DO WHAT I TOLD YOU.
AND IN REALITY, EVEN IF THEY HAD REALLY TRIED, THEY PROBABLY
COULDN’T HAVE BECAUSE OF SOME MOBILITY LIMITATIONS, OR
TRANSPORTATION ISSUES. SO I THINK THAT WE NOW HAVE A
BETTER UNDERSTANDING OF THE COMPLEXITY OF THESE FACTORS, AND
HOW THEY IMPACT OUR HEALTH. HOPE THAT GIVES YOU AN ANSWER.
SOME ANSWER.>>YOU TALKED ABOUT AN
EPIDEMIOLOGICAL PARADOX, WHAT ARE SOME OF THE THEORIES THAT
REFERS TO THE REASON FOR THAT.>>QUESTION IS ABOUT THE
PARADOX. SO THE FIRST CHALLENGE WAS DID
ANYONE BELIEVE IT? BECAUSE INITIALLY NOBODY
BELIEVED IT. AND SO WHEN COCO MARQUISE
PUBLISHED IT IN 1986 IT WAS AROUND THE IDEA OF INFANT
MORBIDITY BEING LOWER ALONG THE MEXICAN, ALONG THE BORDER IN
SOUTH TEXAS. I THINK WE’RE BEYOND NOT
BELIEVING IT. SOME FEEL THE MEASUREMENT IS
OFF, THAT’S WHY IT WASN’T. SO LATINO HISPANICS WERE MORE
LIKELY TO BE MISCLASSIFIED WHEN THEY DIED.
BUT THE MISCLASSIFICATION DIRECTION WOULD MOVE IN THE
DIRECTION OF OUTSIDE IS WHITE, SO THE NUMBER OF DEATHS MIGHT BE
DECREASED BUT ALSO THE POPULATION.
SO THAT COULD HAVE WORKED EITHER WAY.
AND THAT HAS BEEN DOCUMENTED, THAT THAT’S HAPPENED.
BUT LESS AND LESS SO NOWADAYS BECAUSE WE RELY ON
SELF-IDENTIFICATION, OR OTHER PROXY TO INFORM YOU.
BUT IN THE BEGINNING IT WAS PROBABLY A BIG FUDGE FACTOR IN
THESE MEASUREMENTS BECAUSE OF THAT.
A THIRD OPTION THAT PEOPLE PROPOSED BACK THEN WAS, IT CAME
TO BE KNOWN AS THE SALMON HYPOTHESIS, THE SALMON GO BACK
TO THEIR RIVER OF ORIGIN TO DIE, SPAWN AND DIE.
SO THE IDEA WAS, OH THE MEXICANS ARE GOING BACK ACROSS THE BORDER
TO DIE. OR WHEN THEY GET SICK, BECAUSE
IT’S CHEAPER TO BUY MEDS THERE. WHATEVER.
AND DEMOGRAPHERS CONTINUE TO ARGUE THAT.
I’M NOT SURE THEY’VE ACTUALLY TOTALLY ACCEPTED THIS ISN’T
TRUE, BUT THE CLINICAL POPULATION SCIENTISTS, I DON’T
SEE ANY EVIDENCE TO SAY THIS IS A PLAUSIBLE HYPOTHESIS THAT
WOULD EXPLAIN DIFFERENCES OF 30 PERCENT BETWEEN MORTALITY FROM
THE LEADING CAUSES OF DEATH AND DISABILITY IN THIS COUNTRY.
AND THE OTHER ONE, EVERYTHING’S NOW HYPOTHETICAL, WHY DO LATINOS
DO BETTER? MAYBE THERE’S SOMETHING ABOUT
BEING GENETICALLY MIXED THAT IS FAVORABLE.
PLANT BIOLOGISTS TELL ME THAT THAT’S TRUE FOR PLANTS, WHEN
THEY GET KIND OF MIXED THEY MAKE THEM MORE RESILIENT.
THAT’S TOTAL SPECULATION. I HAVE NO SCIENTIFIC EVIDENCE TO
SUPPORT THAT THOUGHT. THE OTHER, MORE COMMON THOUGHT
IS THAT THERE’S SOMETHING IN THE CULTURE THAT LEADS TO PERHAPS
MORE CONNECTIVITY, MORE SOCIAL INTERACTIONS, THAT LEADS TO
BETTER HEALTH OUTCOMES. AGAIN, IT’S NOT, NONE OF THAT IS
SHOWN. IT IS INTERESTING, FROM DATA
THAT WE HAVE, I HAVE PARTICIPATED IN LOOKING AT,
RELATED TO MORTALITY, MIND YOU. IT DOES NOT REFLECT QUALITY OF
LIFE OR MORBIDITY. LATIN AMERICA LOOKS VERY
SIMILAR. SO THE TWELVE COUNTRIES IN LATIN
AMERICA WITH ADEQUATE DEATH REGISTRY RECORDS THAT COULD BE
COMPARED TO U.S. LATINO, U.S. WHITES, AND U.S. BLACKS, THE
LATIN AMERICAN COUNTRIES IN GENERAL HAVE SIMILAR DATA AS THE
U.S. LATINOS. AND COUNTING PUERTO RICO AS A
SEPARATE ENTITY AS WELL, AS A U.S. TERRITORY.
SO THAT WOULD SUPPORT THAT THIS PARADOX IS NOT JUST A U.S.
PHENOMENA BUT IT’S ACTUALLY TRUE IN LATIN AMERICA.
THERE ARE IMPORTANT POINTS, ONE IS DEATHS FROM VIOLENCE ARE
HIGHER, SO NOT JUST HOMICIDE, BUT THE LEADING CAUSE OF DEATH
FOR MANY AGE GROUPS IN LATINOS IS ACTUALLY UNINTENTIONAL
INJURY. IT IS A LEADING CAUSE OF DEATH
OF CHILDREN OUTSIDE, OLDER THAN ONE YEAR OF AGE, BUT IN LATINOS
IT’S EVEN OLDER THAN THAT. THERE’S ALSO GOOD EVIDENCE THAT
EVEN THOUGH LATINOS MAY LIVE LONGER, THEY REACH THAT AGE WITH
GREATER BURDEN OF CHRONIC ILLNESS, SO MORE IMPACT OF
ACTIVITIES OF DAILY LIVING OR QUALITY OF LIFE.
THAT IS DEFINITELY TRUE FOR AFRICAN AMERICANS, AND LATINOS
ARE PROBABLY, AGAIN, SOMEWHERE IN BETWEEN.
BUT CLEARLY THE EVIDENCE POINTS TO A GREATER BURDEN.
AND ESPECIALLY, I THINK, WE’D HAVE TO MENTION THE STATUS OF
WOMEN IN LATIN AMERICA, WHERE THEY HAVE BEEN VICTIMIZED FOR
CENTURIES, REALLY, IN TERMS OF BOTH THE LEGAL ASPECTS, ABUSE
WITHIN AND OUTSIDE OF THEIR PARTNERSHIPS OR MARRIAGE.
SO I THINK THESE ARE THINGS THAT PEOPLE CARRY WITH THEM, AND WE
SEE A LOT OF THAT MANIFEST IN SUPER, YOU KNOW, GRADE THREE
OBESITY, AND MENTAL HEALTH ISSUES, AND OTHER ASPECTS THAT,
AS ADULTS. AGAIN IT’S THE IDEA THAT ADVERSE
EVENTS IN CHILDREN WILL LEAD TO THESE KINDS OF CHRONIC DISEASES
IN MIDDLE AGE, USUALLY MIDDLE AGE ADULTS.
>>HI, I WAS LOOKING AT YOUR TABLE FOR THE HEALTH DISPARITIES
FRAMEWORK AND IT OCCURRED TO ME THAT IT HAS A LOT OF
COMMONALITIES WITH THE IMPLEMENTATION SIGNS FRAMEWORK.
AND ESPECIALLY IN TAKING THE MICRO TO MACRO APPROACH.
SO I WAS JUST WONDERING WHAT KIND OF LEARNINGS IF ANY HAVE
YOU GATHERED TO INFLUENCE THE WORK YOU’RE DOING FOR HEALTH
DISPARITIES?>>SO DISCLAIMER.
THESE FRAMEWORKS, THEY’RE NOTHING UNIQUE, SO
INTELLECTUALLY UNIQUE ABOUT THEM.
THERE ARE A LOT OF PEOPLE HAVE PUBLISHED DIFFERENT FRAMEWORKS
OF DIFFERENT DOMAINS. SO WE TAILORED THIS TO BE
SPECIFIC TO NMHD MISSION. SO IMPLEMENTATION SIGN IS ONE
ASPECT OF WHAT WE WOULD THINK ABOUT.
BUT AS A SCIENCE AGENCY WE’RE ALSO VERY INTERESTED IN CAUSES,
AND ECOLOGICAL PATHWAYS. IMPLEMENTATION SCIENCE IMPLIES
YOU KNOW WHAT TO DO. YOU’RE JUST NOT DOING IT.
OR YOU’RE NOT DOING IT RIGHT. OR WE DON’T KNOW HOW TO DO IT
RIGHT. WE HAVE TO TEST DIFFERENT WAYS
OF DELIVERING THE INTERVENTION. BUT BEFORE YOU GET THERE, YOU’VE
GOT TO KNOW WHAT TO DO PART IS. AND I THINK THAT’S A LOT OF THE
DISCOVERY SCIENCE THAT WE ENDORSE.
SOMETIMES IT MAY OR MAY NOT LEAD TO AN INTERVENTION.
UNDERSTANDING, LET’S SAY, THAT THERE ARE GENETIC
PREDISPOSITIONS FOR INCREASED THROMBOTIC EPISODES FOR BLACK
AMERICANS OR THE LATINO WOMEN ACTUALLY HAVE A 15 PERCENT MAY
CARRY A GENE THAT PROTECTS THEM FROM BREAST CANCER.
IT’S NOT SOMETHING THAT WE WOULD NECESSARILY ACT ON RIGHT NOW,
BUT MAYBE AT SOME POINT IN THE FUTURE OTHERS MIGHT DEVELOP
INTERVENTIONS BASED ON THESE DISCOVERY FACTORS NOW.
SO TOTALLY AGREE IMPLEMENTATION SCIENCE IS IMPORTANT.
IT’S ONE PART OF WHAT WE’RE DESCRIBING HERE.
AND SOME OF THE OTHER INTERVENTIONS THAT WE WOULD
PROPOSE, OR SUPPORT, ARE STRUCTURAL, SOCIETAL.
SO WHERE DOES HAVING GREEN SPACE AND BUILDING SIDEWALKS FITS INTO
IMPLEMENTATION SCIENCE? IT DOESN’T.
IT DOESN’T EVEN FIT INTO HEALTH. IT’S REALLY A MORE GLOBAL
SOCIETAL FACTOR THAT IMPROVES. I THINK THESE ARE THE KINDS OF
THINGS WE LIKE TO HIGHLIGHT. THANK YOU.
>>DR. PEREZ-STABLE, THANK YOU FOR THE WONDERFUL OVERVIEW AND
ADMIRE THE WORK OF YOUR ORGANIZATION.
HE PROVIDED A LOT OF RESOURCES AND A LOT OF LINKS TO WHERE YOU
CAN FIND MORE INFORMATION, BUT THE NATIONAL INSTITUTE OF
MINORITY HEALTH AND HEALTH DISPARITIES IF YOU DON’T HAVE
THE SLIDES, PLEASE FEEL FREE TO CONNECT WITH US SO YOU CAN HAVE
ACCESS TO ALL THESE GREAT ACTIVITIES THAT ARE HAPPENING AT
THIS INSTITUTE. AND I WILL SAY THAT THE SUPPORT
THAT YOU’RE PROVIDING TO STUDENTS, POST-DOCS, EARLY
CAREER SCIENTISTS ARE MAKING THEIR WAY INTO THE PIPELINE.
AND THAT IS EVIDENT, I INVITE YOU TO TAKE A LOOK AT THE
SCIENTIST PROJECTS THAT OUR OFFICE PUT TOGETHER, AND TAKE A
LOOK AT THE HISPANIC AND LATINO SCIENTISTS DURING THIS MONTH,
AND THE WONDERFUL THINGS THEY’RE DOING AT THE NATIONAL INSTITUTES
OF HEALTH. GO TO WWW.EDI.NIH.GOV AND TAKE A
LOOK AT THAT CAMPAIGN. SO THANK YOU ONCE AGAIN.
THANK YOU FOR YOUR WONDERFUL SUPPORT.
THE NEXT PART OF OUR PROGRAM IS OUR EMPLOYEE RESOURCE GROUPS.
WE HAVE THE LEADERS OF THREE HISPANIC EMPLOYEE RESOURCE
GROUPS THAT CAME HERE TODAY TO SHARE INFORMATION ABOUT THEIR
GROUPS. AND HOW THEY OPERATE WITHIN THE
ORGANIZATIONS AND SUPPORT DIVERSITY AND INCLUSION.
AT THE END OF THEIR PRESENTATIONS EACH ONE OF THEM
IS GOING TO TELL YOU ABOUT THESE GROUPS.
WE HOPE TO HAVE SOME TIME FOR QUESTIONS AND ANSWERS, AND
INFORMATION, ADDITIONAL INFORMATION THAT YOU WANT TO
KNOW ABOUT THE GREAT WORK THAT THEY’RE DOING.
AN EMPLOYEE RESOURCE GROUP IS AN ORGANIZATIONALLY SUPPORTED GROUP
OF VOLUNTEER EMPLOYEES THROWN TOGETHER BY DIRECTORS OF THE
GROUP THAT MAY HAVE IN COMMON. THESE CHARACTERISTICS ARE BEYOND
ETHNICITY AND GENDER. THEY ARE KNOWN AS AFFINITY
GROUPS, BUSINESS NETWORK GROUPS, SPECIAL INTERESTS ORGANIZATIONS,
AND AT THE NIH AND ALSO AT THE HHS, AND YOU FIND A LOT OF THESE
GROUPS OPERATING, AND WE HAVE ONE OF THE MOST ACTIVE TRAINING
ACTIVITIES THAT DEPARTMENT THAT HELP US STAY INFORMED OF THE
WORK THAT THEY DO, AND ALSO PROVIDE RESOURCES TO THESE
GROUPS. SO THE FIRST PRESENTER TODAY IS
GOING TO BE ROSIE GOMEZ. ROSIE IS A SENIOR PROGRAM
SPECIALIST AT THE OFFICE OF EARLY CHILDHOOD DEVELOPMENT WITH
ADMINISTRATION FOR CHILDREN AND FAMILIES, ACF AT HHS.
SHE HAS DEDICATED HER CAREER TO FEDERAL SERVICE HELPING TO
IMPROVE THE HEALTH AND OVERHAUL WELL BEING OF THE NATION’S
FAMILIES. SHE HAS OVER 15 YEARS EXPERIENCE
WORKING IN THE FIELDS OF SOCIAL SERVICES, AND IN 2018 SHE GAME
THE CHAIR OF THE EMPLOYEE RESOURCE GROUP AMIGOS DE ACF.
AT THIS TIME, ROSIE’S GOING TO TELL US ABOUT AMIGOS DE ACF.
>>THANK YOU, I’M EXCITED ABOUT THE OPPORTUNITY TO TALK A LITTLE
BIT ABOUT AMIGOS DE ACF. WE’RE A NEW EMPLOYEE RESOURCE
GROUP, SO ONLY ABOUT TWO YEARS OLD.
AND WHAT’S BEEN GREAT IS ACF HAS REALLY INVESTED IN EMPLOYEE
RESOURCE GROUPS SO WE’RE ONE OF MANY THAT HAS COME ABOUT OVER
THE LAST COUPLE OF YEARS. SO WE’RE REALLY LUCKY THAT WE
HAVE BEEN SUPPORTED BY A LOT OF LEADERSHIP AT ACF AND A LOT OF
THE OFFICES. SO AMIGOS DE ACF IS REALLY AN
ORGANIZATION OF HISPANIC AND NON-HISPANIC EMPLOYEES THAT ARE
INTERESTED IN HISPANIC ISSUES. SO WE FOCUS ON NETWORKING
HISPANIC RETENTION AND RECRUITMENT, PROFESSIONAL
DEVELOPMENT, PARTNERING WITH NATIONAL LATINO SERVING
ORGANIZATIONS, AND THEN ACF DIVERSITY AND INCLUSION.
SO WE DEFINITELY ARE OPEN AND INCLUSIVE TO ALL EMPLOYEES,
REGARDLESS OF THEIR NATIONALITY AND RACE.
SO WE REALLY WANT TO PROVIDE A FORUM FOR HISPANIC EMPLOYEES TO
MEET, NETWORK, AND DISCUSS ISSUES THAT ARE IMPORTANT TO
THEM. AND THEN, OF COURSE, FOSTER A
WORK PLACE THAT IS SUPPORTIVE OF HISPANIC EMPLOYEES.
SO HOW DO WE DO THIS? WE DEFINITELY COORDINATE
MEETINGS, WE ORGANIZE SOCIAL EVENTS, AND IN 2020 WE REALLY
WANT TO START LAUNCHING MORE EDUCATIONAL OPPORTUNITIES THAT
WE CAN PROVIDE TO ACF AND THE LARGER HHS.
BUT BECAUSE WE’RE FAIRLY NEW IN THE LAST YEAR AND A HALF THAT
I’VE BEEN CHAIR, WE’VE REALLY BEEN FOCUSED ON THE NETWORKING
PART, BUILDING OUR MEMBERSHIP, AND REALLY UNDERSTANDING WHAT
OUR MEMBERS WANT, AND WHAT THEY WANT TO FOCUS ON.
SO IF ONE WAY THAT PEOPLE CAN JOIN IF YOU’RE IN THIS ROOM AND
YOU’RE PART OF ACF OR LISTENING LIVE, I KNOW MY CONTACT
INFORMATION IS UP HERE, SO YOU CAN ALWAYS E-MAIL ME.
WE HAVE ABOUT, A LITTLE BIT MORE THAN 60 MEMBERS IN OUR GROUP, SO
IT’S A FAIRLY LARGE GROUP. NOW NOT ALL THE MEMBERS JOIN
EVERY EVENT BUT THAT’S HOW MANY WE HAVE ON OUR LIST SERVE.
AND WHAT’S GREAT ABOUT OUR LIST SERVE I STILL HAVEN’T HAD
ANYBODY SAY PLEASE REMOVE ME FROM YOUR LIST SERVE.
SO PEOPLE WANT TO STAY CONNECTED, WHETHER THEY ATTEND
EVERYTHING OR NOT, WHICH I THINK IS REALLY IMPORTANT.
ON OUR LIST SERVE WE SEND OUT TRAINING OPPORTUNITIES, JOB
VACANCIES, INFORMATION ABOUT FREE PROFESSIONAL EVENTS, AND
TRAININGS AND INFORMATION FROM OUR OTHER ACF ERGS.
IF OUR SOCIAL COMMITTEE IS DOING AN EVENT WE’LL SEND SOMETHING
OUT. IF OUR VETERANS GROUP IS HAVING
A LISTENING SESSION WE’LL SEND INFORMATION OUT BECAUSE WE KNOW
THAT EVEN MEMBERS OF OUR GROUP ARE ALSO OR CAN BE MEMBERS OF
THE OTHER EMPLOYEE RESOURCE GROUPS.
THE OTHER THING THAT, OTHER ACF OFFICES HAVE PROVIDED US IS THE
ABILITY FOR ALL THE CHAIRS OF THE ACF EMPLOYEE RESOURCE GROUP
TO COME TOGETHER QUARTERLY AND REALLY DISCUSS WHAT’S BEEN
SUCCESSFUL WITH YOUR GROUP, WHAT HAVE BEEN SOME OF THE
CHALLENGES, PROVIDING US WITH SOME IDEAS AND I HAVE FOUND THAT
REALLY HELPFUL AS A CHAIR. SO RIGHT NOW I FEEL LIKE WE HAVE
A REALLY CORE GROUP OF MEMBERS, BUT WE’RE ALWAYS OPEN TO
WELCOMING NEW MEMBERS. AND ONE THING WE DO HAVE IS GOOD
PARTICIPATION FROM OUR CENTRAL OFFICE, BUT ALSO OUR REGIONAL
OFFICE. SO WE TRY TO DO A GOOD JOB OF
MAKING SURE ALL OF THE OPPORTUNITIES ARE AVAILABLE TO
THE REGIONAL STAFF, AND THAT IF THEY’RE ON THE PHONE DURING OUR
QUARTERLY MEETINGS, THAT WE TRY TO RECOGNIZE THAT, AND LAST TIME
I TRIED TO DO MORE VIDEO AND I THINK THAT’S WHAT WE’RE TRYING
TO DO, AS WELL AS GET PEOPLE SO WE CAN SEE THEM LIVE.
SOME OF THE MEMBERSHIP BENEFITS THAT I’VE HEARD FROM OTHER TEAM
MEMBERS, AND I’VE GAINED MYSELF, IS THE ABILITY JUST TO CONNECT
ACF-WIDE, SO I’VE BEEN WITH ACF FOR ABOUT THIRTEEN YEARS, AND I
FEEL LIKE WHEN I BECAME THE CHAIR, IT REALLY EXPANDED MY
NETWORK, AND I’VE HEARD THAT FROM OTHER MEMBERS AS WELL, AS
YOU START TO UNDERSTAND OTHER PEOPLE AND OTHER OFFICES, IT
ACTUALLY HELPS YOUR WORK AS WELL.
YOU HAVE THE ABILITY TO BE ON THIS LIST SERVE, SO AGAIN,
CONNECTING WITH DIFFERENT MEMBERS.
A LOT OF OUR MEMBERS APPRECIATE THE MENTOR, INFORMAL MENTORSHIP
PIECE. SO SOMETIMES THROUGHOUT YOUR
CAREER YOU NEED TO BE MENTORED, AND OTHER TIMES YOU WANT TO BE A
MENTOR. SO WE’VE SEEN THESE INFORMAL
RELATIONSHIPS HAPPEN IN OUR GROUP.
ALSO, OUR OFFICE OF DIVERSITY MANAGEMENT AND EQUAL EMPLOYMENT
OPPORTUNITY HAS BEEN VERY SUPPORT I HAVE BEEN OF OUR
GROUP. THEY’VE WORKED WITH OTHER
OFFICES TO PROVIDE LEADERSHIP TRAINING.
IN EARLY AUGUST WE HAD A PURPOSE-DRIVEN LEADERSHIP
TRAINING SO MANY OF OUR CENTRAL AND REGIONAL MEMBERS WERE ABLE
TO GET TOGETHER AND TALK ABOUT HOW DO WE USE THIS
PURPOSE-DRIVEN LEADERSHIP FOR OUR EMPLOYEE RESOURCE GROUP.
AS I MENTIONED BEFORE, SO WE HAVE QUARTERLY MEETINGS.
I THINK A LOT OF ERG’S MIGHT MEET MONTHLY BUT IF WE HE FELT
LIKE WE COULD GET FOUR REALLY GOOD MEETINGS A YEAR AND DO
THINGS IN BETWEEN. SO WE’VE TRIED COFFEE BREAKS
WHERE WE’VE SAID ON THE OFF MONTHS, WHOEVER CAN MEET AT
STARBUCKS FOR 30 MINUTES, LET’S MEET UP, GRAB COFFEE AND NETWORK
FOR A WHILE AND IF YOU NEED TO, GO BACK TO YOUR OFFICE.
AT OUR QUARTERLY MEETINGS WE TRY TO SPOTLIGHT A MEMBER.
SO A MEMBER HAS FIVE MINUTES TO TALK ABOUT THEMSELVES WHERE
THEY’RE FROM, WHAT OFFICE THEY’RE IN, SOME OF THE WORK
THEY’VE DONE. AGAIN, WE HAVE DIFFERENT
EXTERNAL, OR WE HAVE DIFFERENT AGENDA ITEMS, SO BACK IN
FEBRUARY WE KNEW THAT WE HAD TRAINING FUNDS AVAILABLE THAT
WERE COMING UP FROM ACF SO WE THOUGHT OKAY WE’LL USE THIS TIME
FOR PEOPLE TO BRING IDEAS ABOUT HOW THEY’VE USED THESE TRAINING
FUNDS IN THE PAST FEW YEARS, SO WE HAD A GREAT CONVERSATION
ABOUT THAT. I MENTIONED BEFORE THAT
RECRUITMENT OR RETENTION WAS ONE OF OUR FOCUS AREAS, SO WE’VE
USED A MEETING TO DO THAT THIS YEAR.
AND THE RECRUITMENT AND RETENTION PIECE OUR MEMBERS ARE
VERY INTERESTED IN. SO WE’VE HAD A LOT OF DISCUSSION
ABOUT THAT. WE’RE GOING TO HAVE A LISTENING
SESSION IN A FEW WEEKS FOCUSED ON THAT, BUT WE WANT TO CONTINUE
TO BE A CATALYST FOR THIS ISSUE AT ACF, AND BRING IT UP TO
LEADERSHIP IN SOME WAY. AND LASTLY, I WOULD SAY THAT, AS
THE CHAIR I COULDN’T DO THIS WORK WITHOUT GREAT MEMBERS, AND
WITHOUT A GREAT EXECUTIVE COMMITTEE.
SO I NOTICE WE HAVE HERE, JESSE ON THE EXECUTIVE COMMITTEE.
WE GET TOGETHER OFTEN TO DISCUSS, OKAY, WHAT ARE SOME OF
THE IDEAS THAT HAVE COME FROM THE MEMBERS THAT WE WANT TO MOVE
FORWARD ON? WHAT’S WORKING, AND WHAT’S NOT?
SO THANK YOU.>>WE’RE GOING TO HAVE THREE
SPEAKERS, FIRST THEY’LL GIVE THEIR PRESENTATIONS AND THEN
OPEN IT UP FOR QUESTIONS IF WE HAVE TIME.
THE NEXT SPEAKER IS GOING TO BE GLORIA SANCHEZ-CONTRERAS, MS.
SANCHEZ-CONTRERAS, INTERNATIONAL PUBLIC AFFAIRS SPECIALIST AND
SPANISH LANGUAGE SPOKESPERSON, IN COMMUNICATION, LEAD AT THE
U.S. FOOD AND DRUG ADMINISTRATION, FDA.
IF THIS ROLE SHE MANAGES MULTILINGUAL COMMUNICATIONS
ACROSS FDA AND WORKS TO TRANS CREATE CULTURAL EDUCATIONAL
MATERIALS AND MESSAGES FOR DIVERSE GROUPS IN THE U.S..
GLORIA SERVES AS THE CHAIR FOR OLYMPUS AN HOLA.
THAT’S AN ACRONYM? NO, IT’S HOLA, IT’S HELLO.
AT FDA AND WE’RE GLAD TO HAVE YOU HERE, SO PLEASE WELCOME TO
BE HERE.>>THANK YOU VERY MUCH.
SO I CAME TO FDA IN 2012, AND WHEN I CAME THERE WAS NO
HISPANIC ERG. ALL THE ETHNICITIES AND OTHER
RACES BUT WE DIDN’T HAVE ONE HISPANIC GROUP.
SO FIRST THING THAT I DID WHEN I CAME TO THE AGENCY WERE THE
HISPANIC GROUP, I WANT TO JOIN, I WANT TO MAKE FRIENDS AND I
WANT TO NETWORK AND THERE WAS NO GROUP.
AT THAT TIME WE HAD THE DIRECTOR OF OFFICE OF EQUAL EMPLOYMENT
AND I APPROACHED HIM AND HE SAID WELL LETS CREATE ONE.
SO WE MADE A CALL AND A NUMBER OF PEOPLE, A NUMBER OF PEOPLE
WERE INTERESTED. WE FORMED A GROUP IT GOT
RATIFIED BY THE COMMISSIONER AT THAT TIME.
WE DID OUR BYLAWS AND WE CAME UP WITH A NAME.
THE NAME DOESN’T HAVE AN ACRONYM, THAT WON BY POPULAR
VOTE, AND WE FELT VERY STRONG. WE HAD REGULAR MEETINGS I THINK
EVERY TWO WEEKS. WE CREATE OUR WEB PAGE, WE DID
MINUTES AND IT WAS A LOT OF WORK.
BUT THEN FORTUNATELY WHEN WE STARTED RUNNING THE MEETINGS AND
WE WANT VOLUNTEERS PEOPLE DIDN’T COME.
SO HOPEFULLY THAT HASN’T HAPPENED TO YOU IN THE ERG’S
IT’S VERY CHALLENGING TO GET PEOPLE WORKING BECAUSE EVERYBODY
HAS A FULL-TIME JOB. AND THEN WE CAME UP WITH A VERY
AMBITIOUS AGENDA. WE WANTED TO BRING STUDENTS TO
GET TO KNOW THE FDA, WE WANTED TO DO EVENTS, BROWN BAG LUNCHES,
AND WE WERE LIKE WE WERE DOING A LOT OF WORK AND THERE WERE NOT A
LOT OF VOLUNTEERS. SO NOW THE GROUP HAS BECOME
MORE, WE ARE VERY CONSCIOUS OF WHAT WE HAVE, AND THE TIME WE
HAVE. AND WE KNOW THERE ARE RESOURCES
OUT THERE IN THE OFFICE OF EQUAL EMPLOYMENT, IN THE OFFICE OF
HUMAN RESOURCES THAT THEY HAVE PROGRAMS AND THEY HAVE TO BE
WORKING WITH US. SO WE WANTED TO BE AN ADVISOR.
WE WANT TO PARTNER WITH THESE PROGRAMS.
SO WITH GOVERNMENT ELECTIONS UNFORTUNATELY WE DON’T HAVE AS
MANY VOLUNTEERS, SO HAVING SERVING AS A CHAIR FOR MANY
YEARS, AND PEOPLE COME TO THE AGENCY, THEY APPROACH ME, THEY
WANT TO PARTICIPATE WHAT WE’RE ABOUT AND HERE IS ONE OF MY
PARTNERS IN CRIME AND WE WANT TO REVIVE THE ORGANIZATION.
WE WANT TO LIKE DO SIMILAR THINGS THAT YOU DO FOR YOUR
ORGANIZATION, ROSIE. IT TAKES TIME, AND AS YOU KNOW,
AND WE NEED TO FIND THESE FEW LATINOS WHO REALLY ARE VERY
PASSIONATE AND WANT TO COMMIT TO THE ORGANIZATION.
RIGHT NOW, THE WAY WE KEEP IT IS VIRTUALLY, WE HAVE A LIST SERVE,
I ALSO HELP WITH THE HISPANIC ORGANIZATION AT THE LEVEL.
WE SHARE INFORMATION, WE HAVE A FACEBOOK PAGE, WHERE WITH A NEW
JOBS, EVENTS, ANYTHING THAT WE THINK IS RELEVANT.
FOR THIS TIME HAVING THE CHAIR I FIND OUT IT’S VERY IMPORTANT TO
HAVE THESE ERGS, PEOPLE WANT TO COME, THEY WANT TO FIND MENTORS,
THEY WANT TO FIND WHERE THEY CAN LEARN MORE ABOUT OPPORTUNITIES
FOR CAREER ADVANCEMENT. I FIND OUT THAT IT’S VERY
IMPORTANT FOR WOMEN BECAUSE MANY TIMES ESPECIALLY PEOPLE IN THE
REGIONS CANNOT COME TO THE EVENTS SO IT’S VERY IMPORTANT WE
DO WEBINARS. THE LESSONS THAT I HAVE LEARNED
FROM HELPING OUT WITH THESE EMPLOYER ORGANIZATIONS, IS THAT
WE NEED TO PARTNER WITH OFFICE OF EQUAL EMPLOYMENT, WE NEED TO
PARTNER WITH HUMAN RESOURCES, WITH DIVERSITY COUNSEL AND LEARN
ABOUT THE PROGRAMS THAT THEY HAVE.
LEARN HOW WE CAN WORK TOGETHER, PROVIDE FEEDBACK WHERE HISPANICS
ARE INTERESTED IN HEARING AND PARTICIPATING.
YOU KNOW, ALSO WHAT I CAN SHARE. BUT RIGHT NOW IF YOU WANT TO
JOIN THE FDA, YOU CAN WRITE ME. I’M ACTUALLY THE HHS LIST SERVE
AND ALSO THE FDA, SO YOU CAN JOIN EITHER ONE.
AND YOU KNOW LIKE I SAY, WE SHARE INFORMATION, YOU CAN ALSO
SEND US INFORMATION THAT WE CAN SHARE WITH THE GROUP.
WE HAVE FACEBOOK PAGE FOR HEO AND FOR FDA TOO.
THAT’S HOW WE HAVE KEPT THE GROUP ALIVE.
THAT’S ALL.>>THANK YOU, GLORIA.
NOW THE TURN OF DR. AHMED CALVO, HE’S THE PRESIDENT OF THE
HISPANIC RESOURCE GROUP WITH PARTICIPATION FROM HRSA, HRQ AND
OTHER HHS BACK IN THE PARKLAND BUILDING.
IN HIS DAY JOB HIS BEEN MEDICAL OFFICER IN HEALTH RESOURCES AND
SERVICES ADMINISTRATION, AND THE HHS, IN A VARIETY OF CAPACITIES.
THIS INCLUDES DIRECTOR AND CHIEF MEDICAL OFFICER FOR HRSA,
VARIOUS COOPERATIVES, BRANCH CHIEF OF CLINICAL IMPROVEMENT
BRANCH, BUREAU OF PRIMARY HEALTH CARE, ACTING DEPUTY CORRECTOR OF
HRSA CENTER FOR QUALITY, OFFICE OF THE ADMINISTRATOR, CHIEF
MEDICAL OFFICER AND ADVISOR HRSA, IT AND QUALITY.
A BUSY GUY. I’M TRYING TO FIGURE OUT HOW HE
FINDS TIME TO SUPPORT ALL THIS BUT I’M SURE HE HAS FUN WITH IT
AND HE’S ADDING A LOT OF VALUE TO HRSA AND EVERYWHERE ELSE.
>>THANK YOU VERY MUCH. I HAVE THE UNUSUAL
EPIDEMIOLOGICAL REALITY OF TWO THINGS I WANT TO BRING UP.
ONE IS THAT I WENT TO COLLEGE WITH ELENA AND TWO IS I WENT TO
MEDICAL SCHOOL WITH ELISEO. I’M INTERESTED IN FOLLOWING UP
ON THAT NETWORK. THE OTHER THING IS THE OFFICERS
OF HRSA ERG WE HAVE TWO COSTA RICANS.
GIVEN TO THE TINY NUMBER, I NEVER WOULD HAVE DREAMT OF THE
ODDS OF THAT HAPPENING, AND SO I’M AN EPIDEMIOLOGICAL PARADOX
OF A DIFFERENT KIND. FOR NATIONAL HISPANIC HERITAGE
MONTH ONE OF THE REALLY KEY PIECES, AS YOU MENTIONED AT THE
BEGINNING, IS THE INDEPENDENCE OF COSTA RICA TOOK PLACE ON
SEPTEMBER 16TH, WHICH IS ACTUALLY THE LAUNCH OF OFFICIAL
SORT OF DATE FOR THE SCHEDULE OF THIS MONTH.
IT HAPPENED WITH OTHER COUNTRIES AS WELL.
I THINK WHAT HAPPENED IS THAT THE COMMUNICATION WAS A LITTLE
SLOW BACK THEN SO IT TOOK A WHILE FOR SOME OF THE
INFORMATION TO GET FROM MEXICO CITY DOWN TO THE OTHER COUNTRIES
BEFORE THEY DECLARED THEIR INDEPENDENCE TOO.
SO THAT’S, I DON’T HAVE DATA TO PROVE ALL THAT BUT I DO BELIEVE
THAT THAT’S ACTUALLY TRUE. NOW WITH REGARDS TO THE HRSA
PART OF ALL THIS I WOULD LIKE TO SAY IT’S SIMILAR SO BOTH STORIES
ONLY AT HRSA, SO I’M DONE. THE EXPERIENCE IS VALUABLE FROM
A NETWORK POINT OF VIEW, FOR THE EMPLOYEES AND FOR THE REALLY
REMEMBRANCE OF WHERE WE CAME FROM, AND NOT FORGETTING WHAT
THIS IS ALL ABOUT. THAT’S WHAT HRSA IS REALLY ALL
ABOUT, REACHING INTO THE COMMUNITY, AND LACING THESE
COMMUNITIES TOGETHER AS A NATIONAL, ESSENTIALLY FOOTPRINT
OF DELIVERY OF CARE IN A WIDE VARIETY OF PROGRAMS.
HRSA HAS OVER 90 COMPLETELY SEPARATELY FUNDED STATUTORY
AUTHORITY FOR EACH OF THESE DIFFERENT BUREAUS AND OFFICES.
WE RUN THE OFFICE OF THE ADVANCEMENT OF TELEHEALTH, FOR
EXAMPLE. MOST PEOPLE THINK OF TELEHEALTH
AS BEING DONE BY THE VA BUT IT’S REALLY FUNDED TO A GREAT EXTEND
OUT OF HRSA, TO THE RURAL COMMUNITIES, AND ALL OVER THE
COUNTRY IN DIFFERENT KINDS OF NETWORKS.
YOU PROBABLY HAVE HEARD OF PROJECT ECHO, ET CETERA.
THERE’S A LOT OF COMPLEXITIES IN THE HVA BUREAU, BUREAU OF
PRIMARY HEALTH CARE ALONE HAS RIGHT NOW OVER 14,000 SITES,
DEPENDING HOW THEY COUNT THEM. BUT REALLY REACHING
APPROXIMATELY 28 MILLION PATIENTS.
SO WE’RE REALLY KIND OF LIKE THE SINGLE LARGEST PRIMARY CARE
DELIVERY NETWORK IN THE COUNTRY. YOU DON’T THINK OF IT THAT WAY,
YOU THINK OF IT AS INDIVIDUAL FQAC, BUT IN REALITY THEY’RE
INTERCONNECTED AND LINKED UP TO EXAMPLE WHAT ARE KNOWN AS HEALTH
CENTER CONTROL NETWORKS. THEY’RE REALLY INTERLACED ALL
THE HIT AND QUALITY MEASURES AND QUALITY KIND OF IMPROVEMENT
PROCESSES LINKED BACK TO THE HIV AIDS BUREAU, LINKED BACK TO THE
MATERNAL AND CHILD HEALTH BUREAU.
THERE ARE A LOT OF PROGRAMS CONNECTED THROUGH HRSA THAT ARE
OF VALUE TO THE COUNTRY. IT ALSO FUNDS A LOT OF WORK
FORCE ACTIVITIES THROUGH THE BUREAU OF HEALTH WORK FORCE THAT
ARE REALLY CRITICAL TO THE DELIVERY OF CARE AND THE
REACHING IN TO THE LATINO COMMUNITIES ALL OVER THE
COUNTRY. WE’RE REACHING TO A LOT OF
DIFFERENT COMMUNITIES, BUT IT’S ONE OF THOSE COMPONENTS ARE THE
HISPANICS. SO OUR WORK IN THE HISPANIC ERG
THIS YEAR IS GOING TO FOCUS ON A COUPLE OF AREAS OF DATA THAT IS
OF REAL INTEREST TO US. ONE IS THAT WE ARE GOING TO HAVE
OUR OWN NATIONAL HISPANIC HERITAGE MONTH EVENT NEXT
OCTOBER 8TH, WHICH IS A TUESDAY COMING UP, AND WE’RE INTERESTED
IN A COUPLE OF DIFFERENT PARTS OF THIS IN PARTICULAR.
ONE IS A RECENT PAPER THAT JUST CAME OUT IN AUGUST, FROM DAVID
BAUTISTA, OUT AT UCLA, HE’S A PH.D. OUT OF BERKLEY, WIDELY
KNOWN AS A HEALTH RESEARCHER. AND HE’S PUBLISHED AN
INTERESTING PAPER SAYING RACIALLY AMBIGUOUS BABIES AND
RACIAL NARRATIVES IN THE U.S. ARE GROWING CONTRADICTION FOR
HEALTH DISPARITY REPORTS. HERE’S AN INTERESTING POINT THAT
HE BRINGS UP. THE TRADITIONAL SORT OF
CALCULATIONS THAT HAVE BEEN USED FOR BUCKETS OF DATA FOR
RESEARCHING HEALTH DISPARITY BASICALLY SAYS YOU KNOW, WHITE,
BLACK, ASIAN, AMERICANS, PACIFIC ISLANDERS, AND YOU HAVE AN
ETHNIC CATEGORY, AS ELISEO POINTED OUT IN HIS REMARKS.
WHAT DO YOU DO WITH THE DATA WHEN OVER 50 PERCENT OF THE
HISPANICS DON’T IDENTIFY WITH ONE RACIAL TYPE OR ANOTHER?
PEOPLE ARE CHECKING OTHER, OKAY? NOW WHAT’S HAPPENING IS WITH THE
MELTING POT EFFECTS IN THE UNITED STATES, THERE’S MARRIAGE
OF ALL KINDS OF DIFFERENT CULTURES AND RACIAL BACKGROUNDS
WITH EACH OTHER, AND THEREFORE THAT’S GOING TO CAUSE A BIG
PROBLEM FOR YOU ELISEO GOING FORWARD SO TO SAY.
BECAUSE SCIENTIFICALLY HOW YOU CATEGORIZE RACES WHICH ARE
REALLY SORT OF ARTIFICIALLY CREATED IN SOME WAY, AS
CATEGORIES, WHEN THE KIDS OF BY RACIAL BACKGROUNDS OR
MULTIRACIAL BACKGROUND’S, OR EVEN MULTIETHNIC BACKGROUNDS ARE
GOING TO CHOOSE OTHER FOR EXAMPLE, THAT’S GOING TO CAUSE A
BIT MORE DIFFICULTY IN THE CATEGORIZATION PROCESS.
THEREFORE I THINK IT HAS ALL KINDS OF POTENTIAL IMPLICATIONS
FROM THE RESEARCH AND OUR POINT OF VIEW FOR THE WHOLE EXPERIENCE
OF THE HISPANIC RESOURCE GROUP. HOW DO WE CATEGORIZE PEOPLE?
HOW DO WE KNOW PERCENTAGE OF EMPLOYEES?
HOW DO WE DO THE CALCULATIONS OR EVEN THE POLITICS OF SOME OF
THESE DISCUSSIONS? SO THAT’S GOING TO BE PART OF
OUR DISCUSSION COMING UP ON OCTOBER 8TH.
BUT I THINK GOING FORWARD, THE ABILITY TO WORK TOGETHER, OUR
APPROACH IS GOING TO INVOLVE WORKING WITH THE ASIAN AMERICAN
AND PACIFIC ISLANDER ERG AT HRSA IN COLLABORATIONS WITH MULTIPLE
ERGS IN HRSA, IT’S KIND OF INTERESTING.
ONE OF OUR FPS, OUR DEPUTY ADMINISTRATOR IS LATINA, BUT
SHE’S THE OFFICIAL SENIOR CHAMPION FOR THE ASIAN AMERICAN,
PACIFIC ISLANDERS. WE’RE GOING TO BE DOING A
COLLABORATION TOGETHER BETWEEN OUR EXECUTIVE CHAMPION IN
COLLABORATION WITH DIANE ESPINOZA WHO RUNS THE OTHER ONE
AND TOGETHER LOOK AT AS A MATTER OF FACT DATA AND DIFFERENT
BUREAUS AND OFFICES WITHIN HRSA HAVE.
WHAT WE WANT TO DO IS SHOWCASE AN INTERNAL KIND OF GRAND ROUNDS
AROUND THE DATA OF HRSA SO THAT WE CAN PROS-CONNECT THAT.
AND THAT’S SOME OF THE THINGS THAT ERG CAN DO.
IT DOESN’T HAVE TO FOCUS ONLY ON ONE TOPIC.
IT CAN REALLY EVOLVE INTO COLLABORATION AND CO-ANALYTICS,
REALLY. AND MAY CREATE ADDITIONAL POINTS
OF DISCUSSION FROM A POLICY POINT OF VIEW, OR EVEN
PROGRAMMATIC IMPLICATION. BOTTOM LINE IS WE THINK THIS
NEXT YEAR WILL BE A LOT OF FUN FOR THE ABILITY TO DO SPECIFIC
THINGS THAT THE ERG WANTS TO SPONSOR, BUT CREATE A NETWORK,
BOTH WITH THE OTHER ERGS INSIDE THE AGENCY, AND WITH THE OTHER
SDSERS AND SENIOR STAFF WITHIN OUR OPERATIVE AS A WHOLE.
AND BECAUSE AT PARK LAWN WE HAPPEN TO HAVE MEMBERSHIP FROM
OTHER OPERATIVES IN THE SAME BUILDING.
SO MAYBE FOR THE FIRST TIME WE HAVE AN HISPANIC ERG THAT HAS AN
OFFICER THAT ACTUALLY IS AN ARC STAFFER.
RIGHT? IS THAT TRUE?
SO NATALIA IS CURRENTLY AT ARC, BUT SHE’S AN ERG OFFICER, WHICH
IS INTERESTING. AND WE THINK CREATING THOSE
KINDS OF COLLABORATIVE PROCESSES MORE AND MORE WOULD BE HELPFUL.
SO THE REST OF THE EXPERIENCE OF THE RUNNING AND DOING OF THE ERG
JUST DEPENDS ON, YOU KNOW, COORDINATING YOUR TIME AND WE DO
A LOT OF STUFF BY E-MAIL AND LITTLE PHONE CALLS, BECAUSE WE
HAVE FOUND THAT IT’S DIFFICULT TO PUT TOGETHER MEETINGS.
SO I THINK A LOT OF THE ACTUAL WORK BECOMES COORDINATING BEHIND
THE SCENES, AND THEN WE DO RUN A MONTHLY MEETING.
AND THAT’S THE OTHER ADVICE TO THE GROUP, I THINK TO THE EXTENT
THAT, I MEAN, YOU CAN PUT TOGETHER THE MEETING, GO AHEAD
AND HAVE IT. MY HESITATION IN THE PAST OF
EVEN CALLING A MEETING THINK I I DID NOT HAVE ANYTHING ON THE
AGENDA I WANTED TO PERSONALLY PUT ON TURNED OUT TO BE A
STRATEGIC MISUNDERSTANDING. BELIEVE ME, IF YOU CONVENE A
GROUP OF HISPANICS THEY’RE GOING TO TALK.
SO IF YOU ASK THEM WHAT IS IT THEY WANT TO DO, AND WHAT IS IT
THEY’D LIKE TO FIND OUT ABOUT OR TRY, THEY WILL COME UP WITH ALL
KINDS OF INTERESTING IDEAS. SO I GET MY ENDING COMPONENT IS,
TO WORK THAT TOGETHER IN A TEAM COLLABORATIVE APPROACH.
THAT’S ALWAYS TURNED OUT TO BE THE BEST WAY TO DO IT.
THE GROUP IS ALWAYS SMARTER THAN ANY ONE INDIVIDUAL.
SO ASK THE QUESTIONS IN TERMS OF WHAT THEY MAY WANT TO DO, AND
TURN IT AROUND AND SAY LET’S DO IT TOGETHER.
AND THAT ALWAYS HAS BEEN ACTUALLY A LOT MORE FUN.
THAT’S LASTLY MY COMMENT WHICH IS HISPANICS REALLY DO LIKE TO
HAVE FUN. THAT’S JUST BUILT INTO US, I
THINK. I DON’T KNOW IF GENETICALLY BUT
CERTAINLY CULTURALLY. WE HAVE A BIAS THERE.
IT’S GONE OF COURSE TO THE EXTREME IN COSTA RICA WHOEVER
RUNS AROUND AND TALKS ABOUT PURA VIDA, WHICH MEANS THEY LIKE TO
HAVE FUN. SO I’LL STOP THERE AND TURN IT
BACK TO THE MODERATOR. THANK YOU.
>>THANK YOU SO MUCH. I DON’T KNOW IF YOU NOTICED, ALL
THE DYNAMICS THAT ARE HAPPENING WITHIN THIS ERGS, BUT THERE’S
MENTORING HAPPENING, THERE’S NETWORKING, ADVOCACY, OUTREACH,
COLLABORATIONS, ANALYTICAL WORK, AND EMPLOYEES DO THIS IN
ADDITION TO THEIR DAILY JOBS. SO WE’RE TALKING SOMETHING
EXTRA. LET’S GIVE ALL OF THEM A BIG
HAND. AT THIS TIME WE HAVE SOME TIME
FOR QUESTIONS, IF YOU HAVE SOME QUESTIONS FOR THE PANELISTS,
PLEASE.>>DR. CALVO YOU MENTIONED
EXECUTIVE CHAMPIONS AT HRSA. THAT’S A CONCEPT I THINK WE’D
LIKE TO BRING TO ACF, AND I’D LIKE YOU, AND I DON’T KNOW IF
THE FDA HAS SOME AS WELL, IF YOU CAN TALK A LITTLE BIT ABOUT HOW
DO YOU GO ABOUT TO GET THOSE EXECUTIVE CHAMPIONS, AND
ANYTHING REGARDING THAT.>>OKAY.
SO FOR US, THE HEO HISTORY FOR THE DEPARTMENT, SEPARATE FROM
THE ERG, PROBABLY SHOULD BE UNDERSTOOD.
SO THE ERG HAS A COOL HISTORY OF EVOLUTION WITH THE OFFICE OF, I
CAN’T EVEN SAY, OEOCI. DI?
HOW DO YOU SAY THE ACTUAL ACRONYM.
EODI. I DON’T KNOW WHAT IT STANDS FOR.
BUT I THINK IT MEANS EQUAL OPPORTUNITY DIVERSITY INCLUSION
SOMEHOW ALL TOGETHER IN THERE. THE REAL VALUE IS THAT THE ERG
IS WORKING WITH THE AGENCY IN CO-ADDRESSING ISSUES OF
DIVERSITY AND INCLUSION. SO STRUCTURALLY, OUR CHARTER
FROM HRSA’S HISPANIC ERG ACTUALLY SAYS NOT ONLY THAT
OFFICERS WILL EXIST FOR THE ERG, AND I WAS RECENTLY ELECTED
PRESIDENT, BUT THAT ALONG WITH THAT COMES THE APPOINTMENT OF AN
EXECUTIVE CHAMPION. THE ERG, IN COLLABORATION WITH
THE OFFICE FOR EQUAL OPPORTUNITY AND DIVERSITY INCLUSION INSIDE
HRSA LOOKS AROUND WITHIN THE AGENCY FOR THE EXECUTIVES,
REALLY FDS-ERS, WHO MIGHT WANT TO OR BEST FIT WITH A PARTICULAR
ERG. SO LUIS PADILLA FOR US WAS A
LOGICAL CHOICE. HE IS THE HEAD OF THE BUREAU OF
HEALTH WORK FORCE AT HRSA, DIRECTLY REPORTS TO THE AGENCY
HEAD, AND IT’S VERY VALUABLE FOR HIM TO BE ABLE TO BRING UP
POINTS IN THE SENIOR EXECUTIVE TEAM DISCUSSIONS ABOUT STUFF
THAT’S GOING ON IN THE HISPANIC ERG.
IT CREATES AN INTERESTING ADVOCACY MODE RIGHT UP FRONT,
AND SO I’M A LITTLE TRICKY IN THAT REGARDS.
I INVITED HIM TO BE PART OF OUR OCTOBER 8TH MEETING WHICH MEANS
HE AUTOMATICALLY HAS AN ENGAGEMENT WITH US, WE RAN THE
PROGRAM BY HIM. IT JUST CREATES A DIFFERENT
DYNAMIC, I WOULD SAY. THERE’S A VERY GOOD
RELATIONSHIP, I THINK, BETWEEN LUIS AND DIANA, WHO HAPPENS TO
BE THE DEPUTY FOR THE AGENCY, DEPUTY ADMINISTRATOR I GUESS IS
HER OFFICIAL TITLE. SHE WAS WILLING AND WAS ASKED TO
BE THE EXECUTIVE CHAMPION FOR THE AAPI GROUP.
BUT THERE’S OTHERS, RIGHT? THERE’S GOING ONE IS OF THE
ADMIRALS IS A CHAMPION FOR THE VETERANS.
WHAT HAPPENS IS ESSENTIALLY CREATES A COMMUNITY OF EXECUTIVE
CHAMPIONS, BUT THEN CROSS-SHARING INSIGHTS FROM
RUNNING THE MEETINGS AND THE PLANNING FOR THE DIFFERENT KINDS
OF ERGS THAT CAN CROSS-POLLINATE TO THE OTHERS.
I THINK AS A WHOLE WHAT THAT HAS LED TO IS A VERY NICE ENGAGEMENT
OF A SENIOR TEAM AT HRSA AROUND THESE KINDS OF ACTIVITIES WHICH
IS REALLY A WIN I THINK FOR THE DEPARTMENTS PROCESSED AROUND ALL
THIS. AND SO FAR IT HASN’T BEEN
DIFFICULT, IT’S JUST A MATTER OF STRUCTURALLY THINKING ABOUT IT,
AND THEN BEING A LITTLE TENACIOUS ABOUT MAKING SURE THAT
THEY WOULD AGREE TO THIS. THE EXECUTIVES, JUST LIKE
ANYBODY WHO WOULD BE AN OFFICER OR MEMBER OF THE ERG, ARE ALL
WORRIED ABOUT TIME AND HOW MUCH RESPONSIBILITIES AND ISSUES
WOULD BE CREATED. BUT IN PRACTICE IT’S ACTUALLY
TURNED OUT TO BE VERY HEALTHY. I DON’T KNOW IF YOU GUYS WANT TO
ADD MORE TO IT.>>YES, IN THE FDA WE HAVE FOLKS
WHO IDENTIFY HISPANICS WHO HAVE MANAGEMENT POSITIONS OR ACF TO
CHAMPION THE ERG AND HELP US TO NAVIGATE THE AGENDA.
WE ALSO, LIKE I SAY THE WORK OF HOLA, FDA HAS EMOTION
PHYSICALLY, WE’RE NOT TRYING TO DO THE WORK OF MINORITY HEALTH
OR UNEMPLOYMENT OR OFFICE OF HUMAN RESOURCES, SHOULD BE DOING
TO DO THE RESEARCH FOR HISPANICS, HIRING AND RETENTION
OF HISPANIC GOES. WE WANT TO BE AN ADVISOR AND
PARTNER SO WE ARE TRYING TO UNDERSTAND THE POLITICS OF THE
AGENCY, WHO SHOULD WE BE TALKING TO?
WE HAVE A SEAT AT THE DIVERSITY COUNCIL WHERE ALL THESE THINGS
HAVE BEEN DISCUSSED. AND WE TRY TO PROVIDE A WEB
SITE. SO ANY PROGRAMS, ANY ACTIVITY
THAT IS BEING DEVELOPED BY THE AGENCY WE ALSO TAKE INTO
ACCOUNT. THE FUN PART OF ORGANIZING THE
NETWORKING, BRINGING IN SPEAKERS IS ALSO VERY HELPFUL.
WE FOUND RIGHT NOW WE HAVE A RETENTION PROBLEM IN HHA.
WE HAVE LESS HISPANICS THAN WE USED TO HAVE IN THE PAST.
SO I THINK IT’S VERY IMPORTANT FOR US TO HAVE THESE NETWORKING
EVENTS, BECAUSE WE ARE SO FEW HISPANICS IN THE AGENCY THAT
WE’RE LONGING TO HAVE CONNECTIONS TO OTHER HISPANICS.
SO WE’RE HAVING A HAPPY HOUR TODAY, HOPEFULLY YOU CAN JOIN
US. IT’S GOING TO BE AT 5:30, WE
SAID SOMETHING ABOUT IT EARLIER. WE ALSO A HISPANIC EVENT
TOMORROW IN THE FDA AND AFTER THAT WE’RE HAVING A NETWORK
LUNCH. IF ANYBODY’S INTERESTED IN
PARTICIPATING IN THE HISPANIC EVENTS FOR THE FDA I CAN SHARE
THE LINK. WE ALSO IDENTIFYING ACF.
ONE OF THE THINGS HHS AS A PARTNERSHIP WOULD LIKE IS WHERE
THEY HAVE THIS INSTITUTE ONCE A YEAR WHERE THEY PROVIDE AN
OPPORTUNITY FOR ANYBODY THAT IS FROM HISPANIC DESCENT, REALLY
OPEN TO EVERYBODY TO LEARN HOW TO BE AN ACF.
THEY HAVE A WONDERFUL PROGRAM AND NEXT TIME WE DO IT WE’LL
SHARE IT WITH ANYBODY.>>RIGHT, AND THE NETWORKING
EVENT THAT GLORIA IS REFERRING TO TAKES PLACE TODAY AT 5:30
P.M. AT GUAPO’S AT 8130 WISCONSIN AVENUE.
EVERYBODY IS WELCOME TO ATTEND AND WE HOPE TO SEE YOU THERE.
THANKS.>>DO WE HAVE A QUESTION?
SURE.>>SO MY QUESTION IS ABOUT, HOW
DO WE INTERACT FROM THE NON-PROFIT SECTOR WITH YOUR
GROUPS INFORMALLY? I’M NOT TALKING ABOUT A FUNDED
PROGRAMS, BUT YOU KNOW WE HAVE AN INTEREST IN SPEAKERS FOR
STUDENTS, MENTORS, SPEAKERS AT OUR CONFERENCES, AND HHS HAS A
WEALTH OF KNOWLEDGE AMONG ALL OF YOUR INDIVIDUALS, THAT’S ONE
QUESTION. THE OTHER QUESTION IS HOW DO WE
HELP INCREASE THE NUMBERS AT HHS?
>>YES, SO I THINK THAT FROM THE AGENCY, I THINK IT’S GOING TO
HAVE THESE MEETINGS WITH YOU KNOW LIKE WE HAVE TRIED TO CRACK
THE CODE, WHY CAN WE NOT HAVE MORE HISPANICS?
AND I THINK THERE’S PROGRAMS THAT GET INVOLVED BUT I KNOW IN
THE FDA, WE HAVE A STRONG OUTREACH, WE HAVE PEOPLE WHO ARE
REALLY GOING OUTS THERE RECRUITING RIGHT NOW AND
HOPEFULLY SOME OF THESE PEOPLE CHO INTO THE AGENCY ARE
HISPANICS. BUT I THINK WE NEED TO HAVE
CONVERSATIONS, AND THINGS HAVE CHANGED.
YOU KNOW A LITTLE PART OF THE HUMAN RESOURCES PART, AND
THERE’S A PART OF THE OFFICE OF EQUAL EMPLOYMENT, AND BONITA
WHITE CAN TALK ABOUT MORE OF WHAT THEY’RE DOING.
WE AS ERGS THE WAY WE CAN HELP IS PROMOTING THESE POSITIONS
WHEN THEY BECOME OPEN. I KNOW A LOT OF ERGS SHARE JOB
POSITIONS AND A LOT OF HISPANICS OUTSIDE THEY DON’T KNOW HOW TO
APPLY. IT’S VERY HARD FOR THEM TO
NAVIGATE. AT ONE POINT BONITA USED TO HAVE
THIS PROGRAM WHERE THEY HAD A WEBINAR OF HOW TO APPLY TO THE
GOVERNMENT. AND THEY WERE VERY POPULAR.
I REMEMBER PROMOTING THEM AND THERE WERE LARGE HISPANICS WHO
WANTED TO LEARN HOW CAN WE APPLY FOR GOVERNMENT POSITIONS WHEN
THAT PROGRAM DESCENDED FOR LIKE HISPANICS.
THERE’S A LOT OF THINGS WE NEED TO PROMOTE IT A LITTLE BIT
BETTER. I DON’T KNOW, I DO AS MUCH AS WE
CAN FROM OUR LIST SERVE. BUT THERE’S PEOPLE IN THE AGENCY
TRYING TO PUSH. SO MAYBE THAT’S SOMETHING WE CAN
WORK TOGETHER ON. (UNINTELLIGIBLE QUESTION).
>>SORRY. I WAS SAYING THAT WE WILL GET
YOU THE LISTING OF THE NAMES OF THE PRESIDENTS SO YOU CAN ENGAGE
AND ASK FOR WHAT YOU NEED.>>THE OTHER POINT I WOULD LIKE
TO ADD IS THAT I THINK WE HAVE AN INTERESTING STRATEGIC
POSSIBILITY IN CONVENING AUTHORITY.
IN OTHER WORDS, THE HISPANIC ERG CAN HELP YOU CONVENE MEETINGS,
CERTAINLY WITHIN DEPARTMENT BUILDINGS OR ELSEWHERE.
AND SO I THINK THIS CREATES AN INFORMAL SPACE FOR DISCUSSION
THAT THEN CAN HELP EVOLVE SOME OF THESE OTHER PROJECTS.
I THINK IN THE PAST WE HAVE REALLY MAINLY THOUGHT OF OUR
ABILITY TO SORT OF HAVE THE EMPLOYEES OF COURSE COME
TOGETHER IN A MEETING, BUT THERE REALLY IS NO REASON WHY WE
COULDN’T SPONSOR OTHER TYPES OF DISCUSSIONS AND MEETINGS, WHICH
CAN THEN SPAWN OFF ALL KINDS OF POSSIBILITIES.
SO I THINK THAT’S ONE OF THE THINGS THAT I WOULD LIKE TO
EXPLORE GOING FORWARD.>>I WOULD JUST QUICKLY ADD THAT
YOU KNOW, WE’RE ALWAYS LOOKING FOR VOLUNTEER OPPORTUNITIES, SO
IF THAT MEANS SPEAKING TO STUDENTS OR HELPING THEM WITH
THE PROCESS OF BECOMING A FEDERAL EMPLOYEE.
SO I THINK ANY IDEAS THAT YOU HAVE OUR GROUPS WOULD BE
INTERESTED IN.>>WE’RE GETTING CLOSE TO THE
END HERE. SO ONE LAST QUESTION, AND THIS
IS FOR ALL OF THEM. WHAT ADVICE CAN YOU PROVIDE TO
SOMEONE WHO MAY BE THINKING ABOUT STARTING A NEW ERG?
BECAUSE WE WANT TO HAVE MORE OF THESE GROUPS OUT THERE OPERATING
AND PRODUCING THE KIND OF WORK THAT YOU’RE PRODUCING.
>>I GUESS I WOULD SAY THAT YOU HAVE TO BE A CONNECTOR IN SOME
WAY. WHEN I FIRST BECAME THE CHAIR, I
RECEIVED A LIST OF PEOPLE WHO WERE ALREADY ON OUR LIST SERVE
AND I JUST WENT TO EACH FLOOR AND EACH OFFICE TO FIND THE
PEOPLE AND INTRODUCE MYSELF, TO TALK A LITTLE BIT ABOUT THE
GROUP. SO YOU HAVE TO, IN A WAY, IF
YOU’RE STARTING A NEW ERG, I THINK YOU HAVE TO FIND YOUR CORE
GROUP OF PEOPLE THAT ARE INTERESTED, THAT YOU MENTIONED
THAT ARE PASSIONATE ABOUT THESE HISPANIC ISSUES, AND THEN GO
FROM THERE. BUT YOU ALSO HAVE TO PUT
YOURSELF OUT THERE AS THE LEADERSHIP OF THIS GROUP, TO
INTRODUCE YOURSELF, TO DO THAT REALLY WALKING TO EACH OFFICE,
AND SOME OF THAT LEG WORK IN A WAY.
>>I WAS GOING TO SAY TO TALK TO OTHER ERGS, THEY KNOW HOW TO
BECOME ESTABLISHED, AND FORM A GROUP.
AND THERE’S A TON OF RESOURCES I’M SURE THE OFFICE CAN SAY MORE
ABOUT IT, THEY HAVE A LOT OF RESOURCES ON HOW TO START AN
ERG. BUT ALSO TALK TO OTHER ERGS.
>>I WOULD JUST SAY JUST DO IT. I MEAN YOU CAN TWIDDLE YOUR
THUMBS AND WORRY ABOUT IT FOR THE NEXT THREE YEARS, TEN YEARS.
CALL SOMEBODY TOMORROW AND GET IT DONE BY TUESDAY.
THAT CAME FROM OUR COLLABORATIVES.
OUR HEALTH DISPARITY COLLABORATIVES WERE RUN WITH THE
INSTITUTE FOR HEALTH CARE IMPROVEMENT.
AND ONE OF THE THINGS THAT CAME OUT WAS THIS PHRASE “BY NEXT
TUESDAY.” WHAT ARE YOU GOING TO DO BY NEXT
TUESDAY? IT TURNED OUT THAT IF YOU JUST
GOT PEOPLE TO COMMIT TO DOING SOMETHING BY NEXT TUESDAY, ALL
KINDS OF MAGICAL THINGS CAN HAPPEN, BECAUSE YOU NEVER KNEW
WHAT SOMEBODY ELSE IN THE ROOM MIGHT BE ABLE TO, IN FACT, DO BY
NEXT TUESDAY. SO THAT’S BECOME MY LITTLE
PHRASE THAT I USE ALL THE TIME, AND IT JUST HAS THE ABILITY TO
SPEED THINGS UP. IF YOU’RE WORRIED ABOUT IT AND
TRY TO UNDERSTAND ALL THE MINUTIA OF WHAT YOU NEED TO DO
TO CREATE ONE, YOU’LL NEVER GET GOING.
AND YOU’RE ESSENTIALLY BECOMING YOUR OWN HINDRANCE TO THE
ABILITY TO START SOMETHING. SO I JUST SAY WHAT ARE YOU GOING
TO DO BY NEXT TUESDAY? AND JUST DO IT.
>>ONE VERY BRIEF REFLECTION.>>A PERSONAL COMMENT.
25 YEARS IN THE MILITARY THEN JUMPED INTO THE FDA.
NOT A GREAT TRANSITION, NOT AN EASY ONE.
I WANT TO LEAVE YOU WITH THE THOUGHT, DO NOT UNDERESTIMATE
THE POWER OF AN ERG. DO NOT UNDERESTIMATE THE POWER
OF A HELPING HAND WELCOME. WE DON’T KNOW WHAT YOUR JOB IS
OR HOW YOU GOT HERE BUT YOU’RE HERE AND EMBRACE YOU AND FOUR
YEARS LATER, HERE WE GO. THANK YOU.
>>THOSE ARE WONDERFUL IDEAS, AND LET’S GIVE THEM ANOTHER
HAND. THANK YOU.
(APPLAUSE)>>NOW, FOR THE CLOSING IS
BONITA WHITE IS GOING TO GIVE US CLOSING REMARKS.
MS. BONITA V. WHITE HAS BEEN THE ARCHITECT OF THE EMPLOYEE
RESOURCE GROUP PROGRAM. TRULY ADMIRED BY THE EO AND BNI
COMMUNITY FOR HER WORK AND KNOWLEDGE AND SUPPORT.
SHE HAS BEEN RECOGNIZED FOR HER ROLE FOR HELPING HSS HIGH INNING
RANKING IN THE EMPLOYEE OF EMPLOYEE ENGAGEMENT AND I.Q..
SINCE 2013 SHE’S BEEN THE DEPARTMENT MASTER MIND LEADER IN
MONITORS PROVIDING GUIDANCE TO HHS AND ERG LEADERS.
AT THIS TIME MS. BONITA V. WHITE DIRECTOR OF DIVERSITY AND
INCLUSION OF HHS.>>THANK YOU, THANK YOU, THANK
YOU SO VERY MUCH. I WANT TO TAKE THIS OPPORTUNITY
TO GIVE A SPECIAL THANKS TO OUR MASTER OF CEREMONIES, GERRAD
ROMAN FROM NIH. AND HE CERTAINLY DID MASTER THE
CEREMONY. I ALSO WANT TO THANK THE
DIVERSITY AND INCLUSION DIVISION FOR HIS LEADERSHIP WITH THE
PLANNING COMMITTEE AND ALL THE MEMBERS OF THE PLANNING
COMMITTEE TOO. I’D ALSO LIKE TO THANK OUR NEW
DIRECTOR OF THE OFFICE OF EQUAL EMPLOYMENT OPPORTUNITY DIVERSITY
AND INCLUSION, MS. JULIE A. MURPHY FOR PROVIDING US WITH OUR
WELCOMING REMARKS, AND FOR NOT SPEAKING AND RUNNING.
SHE HAS STAYED THROUGH THE ENTIRE EVENT.
WE DON’T OFTEN SEE THAT. SO I DID WANT TO MAKE COMMENT
ABOUT IT TO ACKNOWLEDGE THAT WE APPRECIATE THAT VERY MUCH.
THE PEOPLE WHO ARE ON LINE, THE PEOPLE WHO ARE LIVE STREAMING
TODAY, WE WANT TO THANK YOU FOR HAVING BEEN WITH US, AND WE
CERTAINLY THANK ALL OF YOU WHO ARE IN THE ROOM, AS WELL AS THE
FOLKS WHO HAVE ASSISTED US FROM HHS STUDIO, THE FACILITIES AND
MANAGEMENT FOLKS, EVERYONE WHO HAS PLAYED ANY PART IN TODAY’S
VERY SUCCESSFUL EVENT. AND FOR THOSE OF YOU WHO WANT TO
HEAR IT ALL AGAIN, OR IF YOU WANT TO SHARE IT WITH SOME OF
YOUR COLLEAGUES, WE WILL BE RELEASING THE LINK SHORTLY, AND
YOU’LL BE ABLE TO LOOK, LISTEN ON DEMAND AT YOUR LEISURE, AND
WE HAD SOME AWESOME, AWESOME SPEAKERS TODAY.
DR. RIOS AND DR. PEREZ-STABLE, WE APPRECIATE YOU SO VERY MUCH
FOR ALL THE INFORMATION YOU SHARED.
AND WE CAN’T WAIT TO GET THE LINK SO WE CAN ABSORB IT ALL
AGAIN. WITH REGARD TO SOME OF OUR
UPCOMING EVENTS, YOU ALL ARE AWARE OF THE FACT THAT ON A
MONTHLY BASIS, USUALLY CORRELATES WITH THE OBSERVANCE
MONTH, WE HOLD THE HHS ERG LEADING PRACTICES ENGAGEMENT
ROUND TABLES. TOMORROW’S ROUND TABLE FOR THE
HISPANIC ERGS WILL BE HERE IN THE HUBERT H. HUMPHREY BUILDING
IN ROOM 105 A FROM 1:30 P.M. TO 2:30 P.M. AND IT WILL BE
FACILITATED BY ONE OF OUR TREMENDOUS ERG LEADERS, MS.
ROSIE PEREZ. THANK YOU SO MUCH IN ADVANCE FOR
HAVING AGREED TO DO THAT FOR US. AND OUR OTHER ERG PANELISTS THIS
AFTERNOON, WE’RE VERY PLEASED WITH HOW WELL YOU ALL HAVE COME
TOGETHER AS ERG LEADERS TO HELP THE DEPARTMENTS IN OUR EFFORTS
TO MAKE SURE THAT ALL EMPLOYEES ARE, IN FACT, CONNECTED,
ENGAGED, INCLUDED, AND ALL OF THOSE WONDERFUL THINGS.
WHEN WE HAVE THE HHS ERG ROUND TABLES, ONE OF THE OBJECTIVES,
OF COURSE, IS TO MAKE CERTAIN THAT THE ERG MEMBERS ARE ABLE TO
TALK ABOUT WHATEVER ISSUES OR CONCERNS THEY MIGHT HAVE, THINGS
THAT WE MIGHT HAVE TO ELEVATE TO OUR SENIOR LEADERSHIP, AND ALONG
WITH THE CONVERSATION THAT YOU WERE HAVING WITH THE PANEL,
WE’VE HAD SOME REORGANIZATIONS, BUT WE HAVE EVERY INTENTION OF
COMPLETELY REACTIVATING THE VOLUNTEER RECRUITER PROGRAM IN
WHICH THE ERGS PLAY SUCH A GREAT ROLE IN HELPING TO IDENTIFY
INDIVIDUALS, AND INCREASE AND DIVERSIFY OUR APPLICANT POOL FOR
THE DEPARTMENT. THAT IS A VERY, VERY IMPORTANT
PART. AND I ALSO WANTED TO MENTION TO
YOU, BECAUSE OF SOME OF THE DISCUSSION THAT WE HAD, WE’LL BE
ABLE TO PROVIDE YOU WITH THE LINKS TO TWO OF THE MOST RECENT
ACTIVITIES THAT WE HAVE HELD REGARDING ERG.
ONE WAS THE LUNCH AND LEARN THAT WE DID IN SEPTEMBER.
THE TITLE WAS “THE STRATEGIC POWER OF ERGS.”
SO SOME OF YOU, IF YOU DIDN’T SEE IT AT THE TIME, OR IF YOU
DIDN’T HAVE ACCESS TO IT AT THE TIME, YOU MAY WANT TO GO BACK.
AND WE ALSO HAD AN ERG CHAMPIONS WORKSHOP PRESENTATION.
AND SO WE HAVE A RECORDING OF THAT, AS WELL.
IF YOU WANT TO JOIN OUR LIST SERVE, IF YOU WANT TO STAY
CURRENT ON ALL OF THE THINGS THAT WE’RE DOING IN OUR
DIVERSITY AND INCLUSION PROGRAM, FEEL FREE TO SEND US AN E-MAIL,
[email protected] SO THAT YOU CAN STAY UPDATED AND INFORMED,
AND ALSO WE HAVE A MAX.GOV PAGE, AND THAT’S WHERE THESE WORKSHOPS
THAT I WAS MENTIONING ARE HOUSED.
AND TODAY’S EVENT AS WELL, WILL BE ON OUR MAX.GOV PAGE BECAUSE
THROUGH LIVE STREAMING WE’LL BE ABLE TO GET THAT ON DEMAND FROM
THE HHS CHANNEL. NOW, LAST BUT NOT LEAST, WE DO
HAVE A COUPLE OF UPCOMING EVENTS, OCTOBER THE 10TH WE’RE
GOING TO BE DOING A MULTI-SITE ERG SHOW CASE, AND WEDNESDAY,
DECEMBER THE 4TH, PLEASE MARK YOUR CALENDARS, BECAUSE WE WILL
BE HAVING OUR SEVENTH ANNUAL DIVERSITY DAY FOR THE
DEPARTMENT. AND WE CERTAINLY WANT YOU TO BE
A PART OF THAT. NOW MY VERY LAST REMARK HAS TO
DO WITH OUR EVALUATION FOR TODAY’S SESSION.
WE ALWAYS HAVE A LINK THAT WE PROVIDE FOR YOU TO DO AN
EVALUATION, AND GIVE US YOUR FEEDBACK.
WE VALUE YOUR FEEDBACK, AND IN FACT MANY OF THE THINGS THAT WE
DO, WE ARE ABLE TO DO BECAUSE WE HAVE HEARD FROM YOU, AND YOU
HAVE INFORMED US AS TO WHAT YOU LIKE, WHAT YOU DIDN’T LIKE, WHAT
YOU’D LIKE TO SEE. AND GIVING US TOPICS AND SPEAKER
RECOMMENDATIONS. SO WE CERTAINLY WANT YOU TO DO
THAT AGAIN WITH REGARD TO TODAY’S SESSION, GIVE US
FEEDBACK AND GIVE US SOME IDEAS AS TO WHAT YOU MIGHT LIKE TO SEE
FOR NEXT YEAR’S HISPANIC HERITAGE MONTH OBSERVANCE.
SO I THINK I HAVE COVERED EVERYTHING I WANTED TO SAY, AND
IF I DIDN’T, WE’LL SEND YOU AN E-MAIL.
THANK YOU. (APPLAUSE)


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