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National Institutes of Health
Office of Community Liaison
Meeting Minutes, July 15, 1999

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Community Liaison Council Meeting Minutes
4:00 p.m., July 15, 1999
Natcher Conference Center, Room D

Draft

WELCOME

Ms. Hedetniemi welcomed members and guests.

HANDOUTS:

Agenda 
Minutes of June CLC meeting 
NIH Record

ANNOUNCEMENTS/REPORTS

Ms. Hedetniemi said there had been a letter to the editor of the Bethesda Gazette concerning the observance of the dog leash ordinance on parts of the NIH campus. She will call the person who wrote the letter to explain that NIH recognizes that some neighbors use the campus as an extension of their grounds.  She hopes to be able to work out a solution that will allow this situation to continue without offending anyone.

NIH and Edgewood Glenwood have embarked on a joint project to construct and landscape a pathway on the border between this neighborhood and NIH. 

Mr. Clifford announced that access from Old Georgetown Road to the parking garage off Center Drive is closed, requiring traffic to use Lincoln Drive.  His office is working to create solutions to any traffic problems created by this closure.  He invited the CLC to observe the various types of crane in use on construction sites on campus, including a “Texas Twister,” one of two in the country and, at 100 tons, the largest hydraulic crane built.  It can be observed in use at the Vaccine Research Center. 

Ms. Hedetniemi believes that some confusion was created in the community by a recent description in the newspaper of plans for the Adult Guest House.  This will not, in any sense, be a hotel, nor will it put NIH in the hotel business.  It will be a place of lodging for adults, equivalent to the Children’s Inn for children, in that it will offer adults a place where they can stay free of charge with family members while undergoing extended or short-term treatment at NIH.  The Adult Guest House will be supported, as is the Children’s Inn, by private donations and volunteer assistants.

Maryland Delegate Bronrott, who is behind the Safe Streets Initiative, has been invited to talk to the CLC in September, as has Bonnie Fogel of Bethesda Academy of the Performing Arts.

PRESENTATIONS:

NIH Clinical Trial Data Base: 

Ms. Robin Kawazoe, Director, Office of Science Policy and Planning Dr. Alexa McCray, Director, Lister Hill National Center for Biomedical Communication, National Library of Medicine

In introducing the program, Ms. Hedetniemi noted that the NIH Clinical Trial Data Base (CTDB) was mandated by Congress in the FDA Modernization Act of 1997, Section 113, which required the Secretary of the Department of Health and Human Services to work through NIH to create a national data base for clinical trials.  She asked Ms. Kawazoe and Dr. McCray to report on the project to the CLC.  Ms. Kawazoe began by giving some background on the project, and then Dr. McCray described progress to date on implementation.

Ms. Kawaoe said various NIH institutes presently operate seven different data bases on clinical trials.  The aim of Section 113 is to create a centralized, standard data base for all trials.  In addition, the law requires each trial to offer standard information:  1) purpose of the protocol and its sponsor; 2) eligibility requirements; 3) location; and 4) a point of contact for more information.

Currently, Ms. Kawazoe and the Office of Science Policy and Planning are working through the Office of the Director to determine how to coordinate the information from NIH trials and others nationwide.  Her office also must study how to disseminate this information to the public, to medical practitioners, and to other institutions involved in clinical trials.  This is a complex task that involves meeting the public’s different needs and levels of experience.  A toll-free number for answering inquiries is being considered and may be installed within a couple of years, when all concerns regarding its use have been addressed and answered.

The National Library of Medicine will be the home for the data base, and Dr. McCray’s office is currently working on the prototype. Dr. McCray said the goal of the project is to create one place to come for information on clinical trials. The phased approach to developing this coordinated system will begin with the 21 institutes at the NIH and will move from NIH to other federal agencies with trials, such as the Food and Drug Administration, the Department of Defense, and the Department of Veteran Affairs.  The data base will contain both direct information on trials and links to related sites.

Dr. McCray expects the first system to be operating by the end of the year.  Public and regional medical libraries have assisted in testing the system and in getting the word out about its operation.  Because the data base will be on the World Wide Web, it will be readily available through the computers in use in libraries, social work offices, and doctor’s offices.

Dr. McCray offered several examples of how people in varying circumstances around the United States could obtain information about trials and also about medical conditions for which there are presently no trials but about which much could be learned online.  The aim of the data base is to be equally accessible to members of the public with direct access to computers and those who must rely on others for access to the system.  Dr. McCray’s examples suggested that health care professionals, social workers, and library technicians will be encouraged to use the data base on behalf of their clients with questions about their medical conditions or that of their families.

Ms. Hedetniemi expressed the hope that the prototype could be demonstrated at the Family Health Forum she is planning for Saturday, November 6, at the Natcher Conference Center.  Ms. Miller asked whether travel funds are available to bring people to where tests are taking place.  Dr. McCray said this would depend on who was running the trial and what funding was available.  Mr. Schofer asked whether the data base was for use in the United States alone.  Dr. McCray said the data base was not for use in the United States only, and the question of who could participate in the trials was addressed by individual trial directors.  Dr. Billings asked whether those who participate in trials will have access to trial results.  Dr. McCray said that this was one of the aims of the data base.

Ms. Des Roches asked how the 800 number will work.  Dr. McCray said the plan is for the person answering the phone to hook into the computer to search for information for the person calling.  Because the feasibility study for how to operate the phone information line successfully is still in progress, there are still questions about how it will be used.  Mr. Schofer thought the data base might be so successful that there would be competition for trials. Dr. McCray said that at this point most trials have difficulty in recruiting candidates.  Mr. Resnik hoped the data base would help disseminate information about NIH to the public.

Construction Updates:  Clinical Research Center and Storm Water Management Pond:  Yong-Duk Chyun of the Office of Engineering Services

Mr. Chyun showed the council a series of slides documenting work on the Clinical Research Center (CRC) to date.  This has included moving the entrance to the south side of the building, rerouting Center Drive, moving the west utility tunnel (80% complete), and beginning work on the CRC building itself. The new building will include a 250-bed hospital unit and 250,000 square feet of laboratory space. At this point, 80% of the excavation for the CRC is complete.

Mr. Chyun said soil conditions in the CRC site require caissons to be installed in some areas, while others require only footings.  Foundation walls are going up now, and the project should be completed in the summer of 2002.

A storm water pond will be built at the corner of Rockville Pike and West Cedar Lane.  It will be a “wet” pond with plantings around the edges in place of fencing. Mr. Chyun showed a photo of a similar pond in a nearby location and a drawing of the NIH pond and its surrounding planting.  Mr. Schofer asked whether the pond would create a mosquito problem. Mr. Chuyn said the pond would be aerated to prevent mosquito production.  Ms. Hedetniemi said the pond would also support fish and snails to keep down insects.

OCL Web Site:  Bob Gilbo, Base Ten, Inc.

Mr. Gilbo showed the new Web site to the council, and Ms. Hedetniemi asked for suggestions.  The group suggested that What to Do and What to Use were too close in name and should be changed to more clearly represent what is under each title.  Ms. Hedetniemi asked whether anyone had a problem with having their names listed as council members; no one voiced any concern about this.  She asked members to take the address of the site and examine it fully and give her comments on their conclusions.

OCL Newsletter

Ms. Hedetniemi said she was planning changes in the newsletter that will involve using Palladian’s desktop publishing capability as well as devices to highlight information more readily.  She will provide prototypes at future meetings.

NEXT MEETING:

THE NEXT MEETING WILL BE ON THURSDAY, SEPTEMER 16, 1999, AT 4:00 P.M. IN THE NATCHER CONFERENCE CENTER, ROOM D.

Attendees:

Janyce Hedetniemi, OCL, NIH 
Vivian Auld, National Library of Medicine 
Anthony Clifford, ORS, NIH 
Jeanne Billings, Wisconsin Condominium Association 
Yong-Duk Chyun, ORS, DES, NIH 
Robyn Des Roches, Edgewood Glenwood Association 
Ina Feinberg, City Commons of Bethesda 
Bob Gilbo, Base Ten, Inc. 
Jeanne Goldstein, Chevy Chase Valley Citizens Association 
Jack Hayes, East Bethesda Citizens Association 
Carolyn Revelle Hufbauer, M-NCPPC 
Robin Kawazoe, Office of Science Policy and Planning, OD
Ed Konig, East Bethesda Citizens Association
Alexa McCray, Lister Hill National Center for Biomedical Communication, NLM 
Ginny Miller, CLC Co-Chair, Wyngate Citizens Association 
Morton Goldman, Luxmanor Citizens Association 
Frank O'Rourke, Whitehall Condominium Association 
Robert Resnik, Huntington Terrace Citizens Association 
Eleanor Rice, Locust Hill Civic Association 
Ralph Schofer, Maplewood Citizens Association 
Stella Serras-Fiotes, Office of Research Services, NIH 
Jim Ward, Ayrlawn Citizens Association

 

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