Since the establishment of the Institute of Infection and Immunity by the Canadian Institutes of Health Research (CIHR) in 2000, outbreaks of the SARS virus, Bovine Spongiform Encephalopathy (BSE) and West Nile virus have impressed upon Canadians the importance of infection and immunity research. These outbreaks, combined with an increased prevalence of Clostridium difficile (C. difficile), E. coli in water and food and the threat of pandemic flu have raised awareness of the central role that a robust infection and immunity research community plays in protecting the health of Canadians and preventing the global spread of disease.
Institute leadership in establishing and directing the Canadian SARS Research Consortium (2003), and the catalytic role of the Institute in the creation of both a national Network of Centres of Excellence in prion research (2005) and the pandemic preparedness research agenda (2006), illustrate the ability of the Institute to leverage Canadian research capacity and facilitate rapid and effective responses to national crises and emerging challenges.
Canada has a strong tradition of innovation and excellence in infection and immunity research with over $200 million in research funding from CIHR in this area. Currently the Institute invests approximately $8 million in basic and applied research projects each year related to infectious diseases and immune response in the host. This support complements existing Canadian research strengths and facilitates partner engagement in key initiatives, including research:
On behalf of CIHR, the Institute also manages special federal funding envelopes which support the HIV/AIDS and Pandemic Influenza Preparedness research agendas, in the amount of approximately $20 million annually. The Institute is the CIHR lead for the Federal Initiative to Address HIV/AIDS in Canada, working in partnership with Health Canada, the Public Health Agency of Canada and Correctional Services Canada. The Institute's HIV/AIDS research program is concurrently undertaking a separate strategic planning process, which will be aligned and integrated with the Institute's overarching strategic plan.
The Institute's impact to date has been highlighted in the international review of CIHR and it must continue to focus on the many challenges faced by the global community in the area of infectious disease and disorders of the immune system. However, future support for infection and immunity research in Canada will derive from multiple sources of which the Institute is but one.
In developing its strategic plan over the past year, the Institute engaged stakeholders in a national dialogue - seeking advice and listening carefully for emphasis and direction. Above all, stakeholders recommended that the Institute strategically focus its investments and provide national and international leadership to infection and immunity research. It was also recommended that the Institute continue to catalyze new research in priority areas and align and balance its investments with CIHR open competition support for infection and immunity research.
This strategic plan will be a key resource to inform the Institute's activities and operations, 2007 to 2012. Over the next five years the Institute will direct its small research investments towards a limited number of priority research themes in a manner consistent with the comprehensive goals and objectives outlined in this plan. The Institute's long-term goal is to set a course that promotes innovative infection and immunity research which will benefit Canadians and the international community, consistent with the overall vision and role of CIHR as it evolves. At the same time, the Institute will continue to advocate on behalf of the whole of the infection and immunity research community.
I appreciate the time and energy that infection and immunity researchers and stakeholder organizations have invested in developing this plan and recognize in particular the contributions of the Institute Advisory Board under the leadership of Dr. Lorne Babiuk. With the continued support of the Advisory Board and CIHR senior leadership, particularly Dr. Alan Bernstein, our aim is to transform Canadian infection and immunity research investments into enduring and beneficial impacts for those who fund research, those who carry it out and those who use its results. In the years ahead, Canadian scientists have an extraordinary opportunity to deliver on expectations that improved health and social and economic value will be forthcoming from public investments in research. Meeting these expectations will require an ongoing commitment to research excellence, collaboration and partnership, as well as knowledge translation and communication of research outcomes. With the continued support of the broader infection and immunity research community, I am confident that the goals articulated in this strategic plan can be achieved.
Finally, I would like to thank Diana Royce and Bruce Moor for their significant contributions to the development of this strategic plan.
Bhagirath Singh, PhD
Scientific Director
Institute of Infection and Immunity
June, 2007
Executive Summary
About the Canadian Institutes of Health Research
The Institute of Infection and Immunity
Institute Mandate, Mission, Vision and Values
Strategic Research Priorities
Strategic Goals, Objectives and Implementation Activities
Conclusion
Appendix A: Strategic Planning Approach
Appendix B: Institute of Infection and Immunity Advisory Board
Since 2000, the Institute of Infection and Immunity has had a mandate to develop and coordinate infection and immunity research on behalf of CIHR and ensure that research results are translated and applied to improving the health and quality of life of Canadians. This strategic plan envisions the Institute as a catalyst for the development of infection and immunity research areas that have long-term potential for significant social and economic impact.
The mission of the Institute is to provide national leadership, priorities and programs that promote novel infection and immunity research.
The vision of the Institute is to be an internationally-recognized innovator in support of infection and immunity research and a catalyst for the translation of new knowledge for global impact.
The values that guide Institute decisions, strategies and actions are excellence, innovation, collaboration, transparency and accountability.
Consistent with its mission, vision and values, the Institute will focus investments from 2007 to 2012, in five areas:
In the context of its investments in these research areas, the Institute will pursue the following strategic goals:
Over the next five years, the Institute aims to provide national leadership in enabling research excellence, leverage relationships and partnerships to promote innovation, and facilitate national and international research impacts through knowledge translation and communication. Through these actions and consistent with its mission, the Institute ultimately seeks to improve and sustain the health of Canadians and contribute to reducing the global burden of disease.
The Canadian Institutes of Health Research (CIHR) is the primary federal agency responsible for health research leadership and funding in Canada. The CIHR Act (June 7, 2000) established CIHR as a Departmental Corporation under Schedule II of the Financial Administration Act. As an arm's length agency of government, CIHR is accountable to Parliament through the Minister of Health.
The CIHR mandate is "to excel, according to internationally accepted standards of scientific excellence, in the creation of new knowledge and its translation into improved health for Canadians, more effective health services and products and a strengthened Canadian health care system" (Bill C-13, April 13, 2000).
The CIHR vision is to position Canada as a world leader in the creation and use of knowledge through health research that benefits Canadians and the global community.
CIHR is organized around 13 Institutes that are mandated to support health research across four domains: biomedical, clinical, health systems and services, and population and public health. Each Institute is led by a Scientific Director, who is an internationally recognized leader in their field. The Scientific Director receives guidance from an Institute Advisory Board (IAB) composed of volunteers from all areas of the health research community, including those who fund research, those who carry it out and those who use its results. Institutes are formally accountable to the President of CIHR, and, through the Minister of Health, to Parliament.
The thirteen Institutes share responsibility for achieving the CIHR mandate. The development of the Institutes has been guided by strategic priorities outlined in CIHR's Blueprint for Health Research and Innovation, 2004. These are:
In pursuit of its mandate and vision, CIHR has articulated five key outcomes, three of which are strategic and two that are enabling. The strategic outcomes are:
These strategic outcomes will be enabled through:
The CIHR approach to supporting health research is broad, inclusive and unique worldwide.
The Institute of Infection and Immunity is based at The University of Western Ontario in London, Ontario. Staff members supporting the work of the Institute are located in London and at CIHR headquarters in Ottawa.
The Institute has a mandate to develop and coordinate research in infection and immunity and ensure that research results are translated and applied toward improving the health and quality of life of Canadians.
Two strategic research priorities, Infectious Disease and Host Response, developed through extensive consultation with partners and stakeholders, guided the Institute's research investments from 2001 to 2006. Sub-themes in Infectious Disease included antimicrobial resistance, emerging infectious diseases, HIV/AIDS, Hepatitis C, and microbiologically safe food and water. Sub-themes in Host Response were asthma and allergy, autoimmune diseases, innate immunity, and organ transplantation and tissue regeneration. An overarching priority has been the enhancement of research capacity in all areas of the Institute mandate.
The Institute's initial five-year strategic plan plotted a course into the future that anticipated a continuous and iterative process of feedback guiding the Institute's development. The results of the CIHR Mid-Term Evaluation of the Institute of Infection and Immunity (III) (December 2005) confirmed that the Institute should continue to:
Specific measures to enhance Institute performance recommended in the Mid-Term Evaluation included the following actions:
The strategic plan for 2007-2012 endeavours to build on existing research strengths of the Institute's mandate and address areas identified in the mid-term evaluation. It also attempts to anticipate future social and economic needs for scientific excellence in research and development. Finally, it strives to take into account changes in the environment within which the infection and immunity research community operates.
In June 2006, CIHR published its Year 5 - International Review Panel Report, 2000-2005, the first external review of CIHR. The Report endorsed the CIHR model, citing the significant progress made towards an enhanced capacity to fund research across all health related disciplines and the strengthening of multidisciplinary research and training through strategic initiatives. The Report also made recommendations for the continued development of CIHR. Of particular relevance to the Institutes was recognition that Scientific Directors should be more actively involved in the research-related decision-making within CIHR, with a role in determining allocation of the research budget and oversight of peer review panels. New structures enabling these changes will depend on a clear vision for the mandate of each Institute coupled with strong linkages with the research community represented by the Institute.
The Institute's long-term goal is to set a course for innovative research in infection and immunity that will benefit Canadians and the global community, consistent with the overall vision and role of CIHR as it evolves. This plan maps a route to that goal.
The mandate of the Institute of Infection and Immunity is to support research to enhance immune-mediated health and to reduce the burden of infectious disease, immune-mediated disease, and allergy through prevention strategies, screening, diagnosis, treatment, support systems and palliation.
The Institute's mission is to provide national leadership, priorities and programs that promote novel infection and immunity research.
The Institute's vision is to be an internationally-recognized innovator in support of infection and immunity research and a catalyst for the translation of new knowledge for global impact.
The values that guide Institute decisions, strategies and actions are:
Excellence: Strive for excellence in advancing the mission of the Institute.
Innovation: Encourage and facilitate the introduction of new ideas, approaches, opportunities and practices.
Collaboration: Demonstrate positive, responsible, ethical and mutually respectful relationships with researchers, trainees, partners and stakeholders.
Transparency and accountability: Ensure that decision-making processes are fair, open, and grounded in sound ethical principles, that conflicts of interest are disclosed and managed appropriately, and that straightforward accountability mechanisms and performance indicators are implemented for all activities.
Defining research priorities is a key responsibility for all CIHR Institutes. The criteria used to select Institute of Infection and Immunity research priorities for 2007 - 2012 were developed following:
The following eight criteria were used to guide the selection of Institute research priorities 2007 - 2012:
All research funded by the Institute must, as a threshold condition, be of high quality as determined through a process of peer review.
The Institute's ongoing support of HIV/AIDS and Pandemic Influenza Preparedness coincides with federal government priorities, and specific funding envelopes are directed to research in these areas. The Institute is mandated to manage strategic research initiatives within these two areas on behalf of all of CIHR.
The other three priority areas are core areas of the Institute's mandate, and have been developed with a view to enhancing the use of new knowledge and technologies in immunology and infectious disease. In these areas, Institute research initiatives will be funded through the Institute strategic budget, which is currently set at approximately 1% of the overall CIHR annual budget.
From 2007 to 2012, the Institute will continue to pursue research excellence and capacity development, focusing its investments strategically across the following five priority research themes, and will seek to engage partners to augment Institute resources directed to these five areas.
In the past, the Institute has supported a number of research initiatives in this area, and the problems of emerging infections and resistance of infectious agents to conventional therapeutic strategies continue to be serious healthcare issues for the foreseeable future. The Institute envisions that the development and application of technologies for rapid identification and specific targeting of infectious disease agents will lead to significant improvements in combating infections, along with a reduced requirement for resistance-enhancing broad spectrum therapies. Selected areas of focus may include:
The Institute of Infection and Immunity is committed to supporting HIV/AIDS research, capacity building and knowledge translation initiatives across all CIHR themes for health research. The CIHR HIV/AIDS Research Initiative has a dedicated budget from the Federal Initiative to Address HIV/AIDS in Canada which will plateau at $22.6 million annually by 2008-9. In creating the Federal Initiative, the Government of Canada made a commitment to develop population-specific responses to the HIV/AIDS epidemic. In addition, the Institute is a partner in the Canadian HIV Vaccine Initiative (CHVI), a collaboration of the Government of Canada and the Bill and Melinda Gates Foundation to support a Canadian HIV vaccine program.
With the guidance of the CIHR HIV/AIDS Research Advisory Committee and through consultation with a wide range of stakeholders, the six priority areas below have been established. A more complete description of these areas is available on the Institute website.
Immunotherapy has proven difficult because of the complexity of interacting biological systems in the immune response, starting from the non-specific responses of the innate immune system and extending to antigen capture, processing and epitope-specific responses within the adaptive immune system. The various levels at which these interactions can be examined with the emerging tools of "immunomics" have created opportunities which may ultimately result in therapies tailored to the individual. The advent of high-throughput functional genomic and proteomic technologies have provided platforms aimed at achieving a system-wide understanding of biological systems in terms of their complete biological assets. Development and refinement of sophisticated tools to facilitate these "systems" approaches will be supported under this priority, along with research that advances the understanding of the biology of the immune response and explores the sociological and ethical impacts of new immunotherapy approaches. Research under this priority may include:
The Institute of Infection and Immunity established the Pandemic Preparedness Research Initiative (PPRI) to support research and capacity building that will leverage international efforts and improve Canada's ability to prevent and/or respond to an influenza pandemic. The PPRI has a defined federal budget of $21.5 million over five years from 2006 to 2011. It aims to build a network of researchers in Canada to address issues unique to this country so that local experts and knowledge will be available in the event of a pandemic. In addition, Canada's healthcare system and expertise make researchers in this country ideally suited to address specific research questions concerning pandemic influenza. The research priorities for this theme are:
Realizing the potential of new vaccine technologies requires advances in the measurement of immune responses to immunization, such as the simultaneous measurement of multiple serologic, cellular and cytokine parameters. Similarly, much is being learned about polymorphisms in key host defense genes that increase the risk of specific infections and will need to be considered when evaluating vaccines against infections. Understanding how these immune system factors interact when challenged is fundamental to the design and delivery of effective vaccines. Accordingly, priorities for research in this area include:
The Institute has identified five strategic goals to be pursued to 2012. These strategic goals align with CIHR "key outcome areas" and have been assembled with the long-term development of Canada's infection and immunity research community in mind.
Strategic objectives to be achieved and key actions, initiatives and programs may be implemented in relation to the strategic goals are listed below. Many of the objectives and implementation tactics are interdependent, and achievements in one area will facilitate progress in other areas.
Strategic Goal: Encourage and support high quality research in infection and immunity that contributes important knowledge and new insights relevant to human health.
Objective: Stimulate and support research that addresses Institute priorities in infectious and immune disease.
Objective: Support research that addresses emerging human health challenges.
Objective: Leverage CIHR and other research funding sources in Canada and abroad in support of Institute research priorities.
Objective: Monitor the full breadth of CIHR activities and investments to ensure that the broader infection and immunity research agenda is encouraged and supported.
Strategic Goal: Foster and sustain innovative environments to attract, train and retain high quality research personnel across the spectrum of disciplines contributing to the achievement of the Institute research mandate.
Objective: Stimulate the development of an interdisciplinary community of investigators and research trainees conducting research in priority areas.
Objective: Support and invest in infection and immunity investigators in all phases of their careers.
Objective: Create opportunities for international collaboration and promote Canadian research achievements in international settings.
Strategic Goal: Encourage and facilitate knowledge translation (KT) to all fields and sectors related to the Institute mandate.
Objective: Build capacity and provide support to assist in translating and communicating new infection and immunity research knowledge.
Objective: Support KT initiatives for improved human health outcomes.
Objective: Increase opportunities to enhance the international recognition of Canadian infection and immunity research
Strategic Goal: Develop and maintain effective partnerships that benefit Institute research domains.
Objective: Make the Institute the infection and immunity "research partner of choice" nationally and internationally.
Objective: Increase public and non-profit organization partnership and support for Institute activities.
Objective: Foster and leverage industry partnership to support Institute activities.
Objective: Develop strategic international research and KT partnerships.
Strategic Goal: Maintain and enhance organizational excellence through effective planning, communication and collaboration.
Objective: Model best practices in effective management and governance.
Objective: Enable organizational flexibility and responsiveness.
Objective: Enhance the public voice of the Institute and increase its national and international visibility.
Objective: Engage in regular consultation and consensus building with the Institute research community.
Objective: Strengthen the sense of community among Institute-affiliated researchers and between infection and immunity researchers and research funding organizations.
Objective: Evaluate progress toward goals
Consistent with its mission and vision, the Institute will continue to invest in infection and immunity research excellence and capacity development in a focused and strategic manner. By leveraging relationships and partnerships, the Institute also aims to provide national and international leadership that promotes innovation and fosters research developments that benefit human health.
In the years ahead, the Institute will increase its efforts to raise public and political awareness of the importance of a robust infection and immunity research capacity in Canada, and help position Canadian researchers as leaders within the global community of discovery, knowledge and knowledge translation.
Well developed strategic priorities impact every decision an organization makes. Strategic priorities may:
Strategic planning is about leadership, growth, alignment, focus and change within clearly defined parameters.
This strategic plan aims to communicate the strategic goals and objectives that will guide the development of the CIHR Institute for Infection and Immunity for the next five years in clear and concise language that allows all stakeholders, including the public, to clearly understand:
Research and consultation underpinning the development of this strategic plan include:
Lorne A. Babiuk, PhD, DSc, FRSC, FIDSA
(Chair) Director, Veterinary Infectious Disease Organization
Professor, Department of Veterinary Microbiology University of Saskatchewan
Luis Barreto, MBBS, MD, MHSc
Vice President, Public Affairs Sanofi Pasteur Ltd.
Robert C. Clarke, PhD
Deputy Chief Public Health Officer Public Health Agency of Canada
Warren Hill, PhD
Executive Director, Canadian Viral Hepatitis Network
Senior Research Analyst, BC Centre for Disease Control
James Lavery, PhD
Research Scientist, St. Michael's Hospital
Assistant Professor, Department of Public Health Sciences, University of Toronto
Mark Loeb, MD, FRCP(C)
Professor, Department of Pathology and Molecular Medicine
McMaster University
Joaquin Madrenas, MD, MSc, PhD
Director, FOCIS Centre for Clinical Immunology and Immunotherapeutics
Research Scientist, Robarts Research Institute, London, ON
Professor, Departments of Microbiology and Immunology, and Medicine University of Western Ontario
Mary Catharine McDonnell, MSW, RSW
Clinical Social Worker South Shore Health, Lunenberg, NS
Allison McGeer, PhD
Director, Infection Control, Mount Sinai Hospital
Professor, Departments of Laboratory Medicine and Pathobiology, and Public Health Sciences University of Toronto
Marc Ouellette, PhD
Canada Research Chair in Antimicrobial Resistance
Professor, Microbiology Université Laval
Christopher Power, MD, FRCPC
Professor, Departments of Medicine and Medical Microbiology & Immunology University of Alberta
Noel Rose, MD, PhD
Director, School of Medicine, Department of Pathology Johns Hopkins University
David Speert, MD
Professor, Department of Pediatrics University of British Columbia
Jana Stankova, PhD
Professor, Department of Pediatrics, Division of Immunology Université de Sherbrooke
Gillian E. Wu, PhD
Professor Faculty of Sciences and Engineering York University