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The More than a year ago, Ned Feder, former National Institutes of Health researcher and now staff scientist at the Project On Government Oversight, wrote in a letter appearing in the The Scientist that NIH-funded scientists "have been filing financial disclosure statements within their own institutions. However, their disclosure statements are kept secret, within each institution." Feder asked the question, "Why not require easily accessible public disclosure of the statements?" It now seems that the US Department of Health and Human Services Office of the Inspector General (OIG) has caught on to Feder's observations. An OIG report, published this week, contained three findings … In other words, NIH not only doesn't keep very good track of conflicts among the scientists it funds, but it also fails to recognize the types of conflicts that it's not keeping track of. (Huh?) All this because it r elies solely on NIH grantees' home institutions to provide this information on conflicts of interest. So the OIG made three recommendations to the NIH so that it might shore up the situation before it gets even more out of control … Feder told The Scientist that these recommendations are only the beginning of what needs to be done to fix the way NIH manages conflicts of interest among NIH-funded researchers. "I agree with the recommendations in the [Inspector General's] report, which in my opinion are the minimum that is needed to deal with conflicts of interest," he said. According to the report, NIH agreed with two of these recommendations, but objected to obtaining detailed information about conflicts of interest from grantee institutions. … But according to Feder, increased government oversight of conflicts of interest at grantee institutions is crucial. "I recognize the severe drawbacks to another layer of government oversight," he said, "but even so I think thi s kind of oversight is needed." Feder said that leaving grantee institutions to manage their own conflicts of interest and to pass along summary information to the NIH will continue to cause problems. "There are too many examples where this self-policing has been abused," he said. Federal health investigators are undertaking a broad review of conflict-of-interest policies at the National Institutes of Health, with potentially wide ramifications involving the agency's oversight of nonfederal scientists who conduct research with government money. The review "will determine the extent to which the NIH oversees grantee institutions' financial conflict-of-interest issues," according to the Department of Health and Human Services' investigative branch. ... Without disclosure to the public by grant recipients, ethical conflicts easily arise, said Ned Feder, investigator for the advocacy group Project on Government Oversight. "Many senior scientists in academia supported by NIH also have well-paid private arrangements with drug companies, arrangements that may harm their medical research," he said. U.S. criminal investigators are re-examining cases against 103 scientists at the National Institutes of Health, most of whom were cleared in previous ethics probes or received light reprimands or warnings over conflict-of-interest complaints. Following strong criticism from Congress, the investigative arm of the Department of Health and Human Services also has begun a review of conflict-of-interest policies at the NIH, one of the world's premier medical research centers. ... Ethics advocates said they hoped new reviews would reveal any conflicts that might have tainted past medical research. "Who knows how much damage these conflicts of interest have done to the NIH mission of protecting the public's health?" said Ned Feder, a former NIH scientist who works now with the private Project on Government Oversight. "A review of the facts and the policies is long overdue." Current rules covering NIH employees do not apply to outside researchers who receive NIH grants. Grant rules stipulate that outside institutions enforce their own conflict-of-interest policies and voluntarily report any conflicts.
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