27 September 2016

GACD Tackles the Global Burden of Lung DiseasesMembers of the Global Alliance for Chronic Diseases are funding more than thirteen international research projects into the prevention and management of chronic lung diseases.

Newswise — The research is to take place in more than 30 countries across the globe and represents over USD 55 million in research funding over 3-­‐5 years. The focus of the projects is on implementation research in low-­‐ and middle-­‐income countries (LMICs), vulnerable populations in high-­‐income countries (HICs), and aboriginal communities

“Lung diseases cause a tremendous amount of ill health and premature death globally, particularly in low- and middle-income countries where 90% of deaths due to chronic obstructive pulmonary diseases occur each year. This is why the GACD, as a collective of research funders dedicated to addressing chronic diseases, knew it was an issue that must be tackled. The GACD is extremely proud to be announcing such a ground breaking programme of research focused on finding real solutions to the growing burden of these diseases.”

Alain Beaudet, Chair of the GACD and President of the Canadian Institutes of Health Research Many research projects are conducted through a partnership between investigators in a developed country institution and investigators and institutions in low-­‐and middle-­‐ income countries.

The research focuses on implementation science to address chronic lung diseases as related to environmental exposures, including indoor and outdoor air pollution and/or smoking, as a major risk factor.

“Through our implementation science approach, we aim to manage chronic lung diseases in low- and middle-income countries, by examining which interventions will directly affect LMIC populations in affordable and scalable ways. NCDs are largely preventable through effective interventions tackling shared risk factors, namely tobacco use, unhealthy diet, physical inactivity and harmful use of alcohol. The GACD Lung Diseases Programme aims to address these factors directly.”Glenda Gray, Chair Elect of the GACD and President of the SAMRC.

NCDs cause 63% of deaths globally, according to the WHO. NCDs continue to be the leading cause of death and disability in the world and the burden of these diseases is rising rapidly amongst low- and middle-income countries. More than 3 million people die each year from chronic obstructive pulmonary disease (COPD) alone, with 90% of these deaths occurring in low- and middle-income countries.

Funded Projects (All projects are in $US)

Canadian Institutes of Health, Canada

1. Project title: Research on Commercial Tobacco Reduction in Aboriginal Communities (RETRAC2)Project location: CanadaPrincipal Investigator: Robert M. Schwartz, University of TorontoFunding amount: $1.3million

2. Project title: Examining the impact of tobacco pricing and packaging strategies on tobacco use and equity in middle-income countries Project locations: South Africa, Chile, Columbia, Ecuador, and VietnamPrincipal Investigator: Emmanuel Guindon, McMaster UniversityFunding amount: $1.5 million (co-funded with the International Development Research Centre and the South African Medical Research Council)

European Commission

3. Project title: Tackling second-hand tobacco smoke and e-cigarette emissions: exposure assessment, novel interventions, impact on lung diseases and economic burden in diverse European populations (The TackSHS Project)Project location: Spain, Ireland, Italy, United KingdomPrincipal Investigator: Esteve Fernandez, Catalan Institute of Oncology, SpainFunding amount: $3.3million

4. Project title: Tobacco cessation within TB programmes: A ‘real world’ solution for countries with dual burden of disease (TB and Tobacco project)Project location: United Kingdom, Pakistan, Nepal, BangladeshPrincipal Investigator: Kamran Siddiqi, York University, United KingdomFunding amount: $3.3million

5. Project title: Multidisciplinary tools for improving the efficacy of public prevention measures against smoking (SmokeFreeBrain)Project location: Greece, Bulgaria, Italy, Serbia, SpainPrincipal Investigator: Panagiotis Bamidis, Aristotle University of Thessaloniki, GreeceFunding amount: $3.3million

6. Project title: Free Respiratory Evaluation and Smoke-exposure reduction by primary Health cAre Integrated gRoups (Fresh Air)Project location: Uganda, Kyrgyz Republic, Vietnam, GreecePrincipal Investigator: Rianne van der Kleij, Leiden University, The NetherlandsFunding amount: $3.3million

7. Project title: EUREST-PLUS: Policy Implementation to Reduce Lung DiseasesProject location: Germany, Greece, Hungary, Poland, Romania, SpainPrincipal Investigator: Constantine Vardavas, European Network on Smoking and Tobacco Prevention, BelgiumFunding amount: $2.6million

Medical Research Council, United Kingdom

8. Project title: Case Finding and Effectiveness of a COPD Action Plan in Low and Middle Income CountriesProject location: Peru, Nepal and UgandaPrincipal Investigator: John Hurst, University College London, United KingdomFunding amount: $ 1.4million

9. Project title: Muslim Communities Learning About Second-hand Smoke (MCLASS II): An effectiveness-Implementation hybrid studyProject location: BangladeshPrincipal Investigator: Kamran Siddiqi, York University, United KingdomFunding amount: $970,000

National Institutes of Health, United States

10. Project title: Household Air Pollution and Health: A Multi-Country Liquefied Petroleum Gas (LPG) Cook stove Intervention TrialProject location: India, Guatemala, Peru, RwandaPrincipal Investigator: Thomas Clasen, Emory UniversityFunding amount: $32million (Funded by: the NIH Common Fund, National Heart, Lung, and Blood Institute, National Institute of Environmental Health Sciences, National Institute of Child Health and Human Development, and the National Cancer Institute, with support from the Bill & Melinda Gates Foundation)

Chinese Academy of Medical Sciences, China

11. Project title: Lung function of Chinese adults and the predictive value of peak flow rate to long-term incidence and prognosis of lung diseasesProject location: ChinaPrincipal Investigator: Jiapeng Lu, National Center for Cardiovascular Diseases, ChinaFunding amount $2.5million

National Council of Science and Technology, Mexico

12. Project title: Genomic analysis of drug-resistant tuberculosis in sputum sampleProject location: MexicoPrincipal Investigator: Francisco Xavier Soberon, National Institute of Genomic Medicine, MexicoFunding amount: $105,000

13. Project title: Search and validation of biomarkers for tuberculosis in Mexican patients with diabetes mellitusProject location: MexicoPrincipal Investigator: Mario Alberto Flores, Center for Research and Assistance in Technology and Design of the State of Jalisco, MexicoFunding amount: $233,000

South African Medical Research Council

The South African Medical Research Council co-funded the project entitles ‘Examining the impact of tobacco pricing and packaging strategies on tobacco use and equity in middle-income countries’ with the Canadian Institutes of Health Research (see no. 2).

National Health and Medical Research Council, Australia

Please note that the National Health and Medical Research Council, Australia will be announcing their awards shortly. Please refer the GACD website for further information.

Background The GACD is the first collaboration of major international public research funding agencies to specifically address chronic non-­‐communicable diseases. The Lung Diseases Programme is the GACD’s 3rd joint activity. Together with the Hypertension and Diabetes Programmes, the GACD Research Network now comprises more than 43 research projects on non-communicable diseases in low-­‐ and middle-­‐income countries or involving vulnerable populations in high-income countries. The GACD has also announced its intention to fund implementation research into the prevention and management of mental health in its next call for proposals. More details here.Together, the members of the alliance represent over 80% of public health research funding worldwide. Members of the alliance are:• Australia’s National Health and Medical Research Council• Canadian Institutes of Health Research• Chinese Academy of Medical Sciences• The U.K.’s Medical Research Council • The U.S.’s National Institutes of Health• Indian Council of Medical Research• South African Medical Research Council• European Commission's Health Directorate in the Research & Innovation DG• Mexico's National Institute of Medical Sciences and Nutrition Salvador Zubirán• Thailand’s Health Systems Research Institute• Argentina’s Ministry of Science, Technology and Productive Innovation• The Japanese Agency for Medical Research and Development• Brazil’s São Paulo Research Foundation

Contacts:GACDRosie Bartlett – Communications Manager, GACD [email protected]@gacd_media

Agency Press ContactsNIH (Fogarty)

Ann Puderbaugh

[email protected]

NHMRC (Australia) Alexis Cooper [email protected]

UK MRC Hermione Lawson [email protected]

SAMRC (S.Africa) Aziel Gangerdine [email protected]

CONACYT (Mexico) Moira Karosuo [email protected]

CIHR (Canada) Andrew McColgan [email protected] irsc.gc.ca

CAMS (China) Limin Li [email protected]

European Commission Lucia Caudet [email protected]