2021-2026 STRATEGIC PLAN - OUR VISION FOR THE FUTURE
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STRATEGIC PLAN 2021–2026 TRANSFORMING RESEARCH TO IMPACT LIVES OUR VISION FOR THE FUTURE Canadian Institutes Instituts de recherche of Health Research en santé du Canada
Transforming Research to Impact Lives Our Vision for the Future Canadian Institutes Instituts de recherche of Health Research en santé du Canada At the Canadian Institutes of Health Research The Institute of Infection and Immunity (III) (CIHR), we know that research has the power invests in research on infectious diseases to change lives. As Canada’s health research and the body’s immune system. Through this investment agency, we collaborate with research, III addresses a wide range of health partners and researchers to support the concerns related to infection and immunity, discoveries and innovations that improve our including disease prevention and treatment, health and strengthen our health care system as well as public health promotion Canadian Institutes of Health Research CIHR Institute of Infection and Immunity 160 Elgin Street, 9th Floor McMaster University, Department of Medicine Address Locator 4809A Michael DeGroote Centre for Learning Ottawa, ON K1A 0W9 and Discovery www.cihr-irsc.gc.ca 1280 Main Street West Hamilton, ON L8S 4K1 https://cihr-irsc.gc.ca/e/13533.html Also available on the Web in PDF and HTML formats © Her Majesty the Queen in Right of Canada (2021) Cat. No. MR2-24/2021E-PDF ISBN 978-0-660-39256-1
Contents 6 Message from the 13 Strength Scientific Director in Numbers 8 Strategy at 14 Maximizing a Glance the Impact of Our Strategic 10 The Institute and Investments the Power of Science in the 16 Defining New 21st Century Directions for 21st Century Infection 12 About the Immunity Science Institute 16 Our Strategy
18 Overview of 34 Performance Strategic Goals Monitoring & Learning 20 Global Threats 34 Impact 22 21st Century 35 Acknowledgments Infection & Immunity 37 Contact Priorities in Canada 26 Building Careers 28 Infection & Immunity Knowledge Mobilization 30 Cross-Cutting Principles
Message from the Scientific Director Dear Colleagues, A lot has changed since we started the Thanks to the resilience of our researchers planning process in Fall of 2019 for the CIHR and the excellent stewardship of my Institute of Infection and Immunity (III)’s predecessors, Drs. Bhagirath Singh and Strategic Plan 2021-2026. In the short span Marc Ouellette, infection and immunity of 18 months, we have experienced first- research in Canada has grown into a hand how a new, untreatable infectious thriving, well-established community over disease can have a vast impact on every the last 20 years. aspect of our lives. The COVID-19 pandemic magnified the substantial health inequities Now, we need to build on our that exist around the world, including here in Canada. The continued egregious instances successes and foster a more of discrimination against Indigenous connected, inclusive, and diverse communities and communities marginalized scientific community, well- by race, including Black communities and other people of color, have further amplified equipped to solve the complex the urgency to eliminate racism in research global issues and the emerging and the research environment and address health challenges of the 21st the underlying social determinants of health that perpetuate health disparities. Now more century. Only through innovative than ever, all eyes are focused on research and transdisciplinary approaches to aid in the betterment of society, and we can we tackle future pandemics, must leverage the power of science to help address these global health issues. climate change and growing prevalence of chronic diseases and antimicrobial resistance. 6 | Message from the Scientific Director CIHR-III 2021-2026 STRATEGIC PLAN
I am excited to announce our Strategic Plan has tirelessly guided us through our 2021-2026. This plan is bold and forward engagement with our communities, and looking—it demonstrates commitment to provided valuable feedback to improve our build and enable leadership capacity in plan at each milestone of the development Canada, focuses on strategic areas that need process. Finally, I would like to thank the attention now, and provides flexibility to pivot research community and CIHR management to emerging issues that may require surge for entrusting me with this important capacity. It achieves impact by enabling diverse role. I feel privileged and honored to lead and inter- and transdisciplinary team science this Institute into its next phase, and I am to lead the way. It also supports the intentions optimistic that by working together, we of the CIHR Strategic Plan 2021-2031, which will drive excellent infection and immunity provides an overarching strategy for CIHR to research for equitable health outcomes in demonstrably improve the health of people Canada and around the world. in Canada and throughout the world. I would like to express my sincere thanks to the close to 750 Canadian stakeholders and international partners who shared their ideas, knowledge, and time with us during our consultation process. I sincerely hope you will see yourself reflected in this plan. A special thanks to my Institute team for their singular dedication, and other CIHR Institutes, especially the Institute of Indigenous Peoples’ Health (IIPH), and our CIHR colleagues in Charu Kaushic, PhD Ottawa for their steady support throughout Scientific Director, this process. Our Institute Advisory Board Institute of Infection and Immunity Message from the Scientific Director CIHR-III 2021-2026 STRATEGIC PLAN | 7
Strategy at a Glance The Institute of Infection and Immunity (III), We are dedicated to creating one of the 13 virtual CIHR institutes, has a research environment that the mandate to support research and build capacity in the areas of infectious disease propels Canada to the forefront and the immune system. Our mandate as a global leader in infection transcends disciplines and encompasses all and immunity research while also four CIHR health research pillars: biomedical, clinical, health systems services and supporting the delivery of CIHR’s population health. mandate and strategic priorities. We envision an Institute that The III Strategic Plan 2021-2026 focuses on a shared responsibility between III and our is home to a diverse community research community to work together on of highly- connected researchers 21st century problems. Through our position that collaboratively drive within CIHR and our connections with other CIHR institutes, we amplify opportunities research impact through strong for our research community. partnerships with people with living and lived experience, health practitioners, the public, industry, decision makers, and international allies. Together, we will strive to leverage the power of science to achieve equitable health outcomes for all in the 21st century. 8 | Strategy at a Glance CIHR-III 2021-2026 STRATEGIC PLAN
Our Strategic Framework Cross-Cutting Principles Equity, Diversity Global Communications & Inclusion (EDI) Threats & Engagement 21st Infection Century & Immunity Strategic Infection Knowledge Goals & Immunity Mobilization Priorities in Canada Building Careers Collaborations Monitoring & Partnerships & Learning Champion rights, Our Values anti-racism and gender equity Act with integrity, Achieve transparency, and organizational accountability excellence Be flexible Foster and proactive evidence-based decision making
The Institute & the Even before COVID-19 struck in 2020, 6 out of 13 of the WHO’s list 1 of most urgent Power of Science threats to global health over the next in the 21st Century decade were either driven by infectious disease or were linked to infection and immunity-related challenges. These included epidemics, the spread of infectious disease, Infection & Immunity antimicrobial resistance (AMR), the climate Research Matters crisis, health inequity, and water sanitation and hygiene in healthcare settings. Even as If ever there was a time major progress has been made by prevention efforts, timely diagnosis and safe, effective when infection and immunity and affordable treatments in reducing the research was at the forefront incidence, morbidity and mortality from of everyone’s mind, the years HIV, TB, and viral hepatitis, the work is far from over. We need to accelerate our of the COVID-19 pandemic efforts if we are to meet the international were it! The rapid spread of targets, including the 2030 UN Sustainable SARS-CoV-2 resulted in a Development Goals, the UNAIDS 90–90– 90 - An ambitious treatment target to major upheaval to lives, health help end the AIDS epidemic and the WHO systems, and economies End TB Strategy, all endorsed by Canada. around the world. Science Other global threats such as vector-borne infections driven by climate change and has been the lifeline that AMR continue to grow and cannot be solved allowed us to develop and by any one nation. Only through global apply the medical and social solidarity and creativity will we avert these looming crises. countermeasures needed to exit from this global health While controlling infectious diseases emergency. It is also the pillar remains an urgent priority, death rates from chronic diseases are rising and before on which we can lean on to COVID-19, contributed to over 50% of deaths address emerging challenges worldwide2. Canada’s top two causes of like variants, collateral death, cancer and heart disease3, are both driven and exacerbated by inflammation and impact of COVID-19, recovery dysregulated immunity. Immunity research from the current pandemic has been a cornerstone in advancing and preparation for future treatments for chronic diseases in the global pandemics. 1 https://www.who.int/news-room/photo-story/photo-story-detail/ urgent-health-challenges-for-the-next-decade 2 https://www.who.int/news-room/fact-sheets/detail/the-top-10- causes-of-death 3 https://www150.statcan.gc.ca/t1/tbl1/en/tv.action?pid=1310039401 10 | Power of Science CIHR-III 2021-2026 STRATEGIC PLAN
6 out of 13 of the WHO’s most urgent threats to global health are linked to infection and immunity related challenges past decade, as we learned to manipulate Looking ahead, III and the Canadian infection immune responses for novel and effective and immunity research community are interventions. However, a persistent well positioned within a rapidly changing sedentary lifestyle, environmental pollutants, research environment to continue leading – unhealthy diet, and aging will continue to nationally and globally – the development feed into the chronic disease epidemic. of innovative solutions for the infection and Solving these challenging issues through immunity challenges of the 21st century. We research will depend on our capacity to believe the current Strategic Plan will enable understand and address the intersections us, together with our research community, between social, environmental and to be proactive and strategic in tackling biological factors. these infection and immunity challenges with confidence. Power of Science CIHR-III 2021-2026 STRATEGIC PLAN | 11
The Institute 28 ongoing 6 Government strategic of Canada III is one of the 13 Institutes of the Canadian initiatives Priorities Institutes of Health Research, Canada’s health research investment agency. Our mandate is to support research, build capacity and mobilize knowledge in the areas of infectious National Variants Leadership Group. Our disease and the immune system. This mandate Institute also contributed to the development transcends disciplines and encompasses of Canadian strategies to guide multi- all four CIHR health research pillars. sectoral and concerted actions to address major health concerns, including the Pan- Since 2001, we have led and collaborated on Canadian AMR Framework, the forthcoming strategic opportunities to address the needs Pan-Canadian AMR Action Plan, and the and priorities within the Canadian infection Pan-Canadian STBBI Framework for Action and immunity research environment and and its five-year Action Plan. catalyze and synergize the excellent research supported by CIHR’s investigator-initiated III has also contributed to Canada’s leadership program. Currently, we support researchers on the global stage. To this end, Dr. Kaushic, through 28 ongoing strategic initiatives, as CIHR’s representative, was elected as the including major strategic initiatives like Chair of the Global Research Collaboration for vaccines, human immunology, and microbiome. Infectious Disease Preparedness (GloPID-R), We also provide scientific and strategic and a member of the Steering Committee leadership for 6 Government of Canada of the Joint Programming Initiative on AMR Priorities relevant to III’s mandate, including (JPIAMR). GloPID-R is a global consortium of the Sexually Transmitted and Blood-Borne funders that aims to enable a coordinated, Infection (STBBI) Research Initiative (formerly rapid and effective research response to the HIV/AIDS Research Initiative), AMR Initiative, infectious disease threats and JPIAMR is Canadian Immunization Research Network and a global collaborative aiming to curb AMR the Hepatitis C Initiative. In 2020-21 III also with a One Health approach. contributed significantly to CIHR’s COVID-19 research response. Through our programs and leadership roles, we also elevate the profiles of Canadian As part of CIHR, we work closely with other researchers by connecting them with government departments and agencies so the global research community through that emerging evidence for major public participation in funding programs and health issues is brought to decision makers. international organizations, thereby creating In her function as Scientific Director of III, opportunities for international leadership Dr. Kaushic participates in multiple national and global knowledge exchange. leadership tables and has advised decision- makers during the COVID-19 pandemic. This Overall, we work to leverage funding, form includes roles as Coordinator of the Immune partnerships, share resources, mobilize Science Group and Executive Committee knowledge, communicate with our community member of the COVID-19 Canadian Immunity and the public, and amplify the impact of Task Force (CITF), as well as member of the research in Canada and abroad. 12 | The Institute CIHR-III 2021-2026 STRATEGIC PLAN
Strength Scientific Leadership on Government of Canada Priorities in Numbers Scientific leadership 2,913 infection and immunity on initiatives from stakeholders & partners 6 Government of connected to III Canada Priorities representing an annual budget of Catalyzing Research & Fostering Partnerships $30.1M Annually, Infection & Immunity research leverages $38.6M in partnership 191 84 Led or helped shaped an investment of research projects national and $208M in COVID-19 supported through international investment through 63 funding Funding Partners 10 initiatives between opportunities since 2015 January 2020 to since 2015 March 2021 Mobilizing Building Canada’s Canada’s Science Research Capacity 57 media interviews 45 talks where III 17 Bhagirath Singh 144 individuals since 2018* represented its Early Career supported directly 12 scientific community since 2018* Awards granted for outstanding through training & career awards news articles, opinion pieces 32 research since its creation in 2010 and workshops since 2015 and scientific national & publications international events since 2018* where III enabled the participation of Canadian scientists * Data available from the start of the current Scientific Director’s since 2018* mandate (July 2018). Strength in Numbers CIHR-III 2021-2026 STRATEGIC PLAN | 13
Maximizing the The Catalyzing Power Impact of Our of Strategic Investment Strategic Investments Accelerating the Emerging Field of Microbiome Research III has a strong track record of leveraging its annual strategic budget of $8.6M to in Canada 2007-2025 significantly increase the impact of our investments across our strategic priorities and across all four research pillars. The Canadian Microbiome Initiative (CMI), the Canadian Donation and Transplantation 2009 Research Program (CDTRP), and the Health III & 1 CIHR Challenges in Chronic Inflammation initiative partner fund (HCCI) demonstrate the value of III strategic 12 Catalyst grants investment. These initiatives built on the previous successes of the Institute and in partnership with other CIHR Institutes, 12 Catalyst Grants established strong and connected research communities across Canada, and fostered 2008 synergies through interdisciplinary teams. III & partners $1.2M CMI positioned the Canadian research host the community with the right infrastructure to Canadian successfully leverage competitive funding Microbiome through CIHR’s investigator-initiated program, Workshop amplify the impact of investments and place Canada among the world’s leaders in microbiome research. The CDTRP initiative (Canadian National Transplant Research Program – CNTRP - at its inception) played Impact on the research a key role in bringing together transplant environment from $34.3M researchers, donors, patients and other stakeholders into a single network that has in strategic investment successfully leveraged $50M in partnerships and open funding. Catalyzed $120M total CIHR investment in microbiome research * Information retrieved from 10 (4 catalyst grants and 6 Emerging Team grants) reports available out of 19. 14 | Maximizing the Impact of Our Strategic Investments CIHR-III 2021-2026 STRATEGIC PLAN
2019 III, 7 CIHR 2018 partners & 2 external partners III & 7 CIHR fund 7 ongoing partners fund Research Teams 2014 1 ongoing III & partners pan-Canadian Research Core 7 Research Teams host the second 2010 Canadian $3.4M $14.2M Microbiome III & 3 CIHR Workshop partners & 5 external partners fund 7 Emerging An additional Team grants $30.9M 7 Emerging Team Grants leveraged from the Emerging Team grants through external funding $15.5M 526 scientific publications and and partnerships* products originated from the Catalyst and Emerging 136 researchers and highly Team grants* qualified personnel in “The microbiome emerging team microbiome research* grant produced 40+ papers and trained just as many students. “The microbiome catalyst grant was Three of my postdoctoral fellows truly the catalyst for my research obtained assistant professor or in this field. It has now resulted in senior analyst positions, and one close to $20M in additional funds, now co-leads a CIHR microbiome more than 70 publications, over 10 research team grant.” fruitful collaborations, a clinical Dr. Anita L. Kozyrskyj, trial and spin-off biotech company.” University of Alberta Dr. Alain Stintzi, University of Ottawa Maximizing the Impact of Our Strategic Investments CIHR-III 2021-2026 STRATEGIC PLAN | 15
Defining New Directions for 21st Century Infection & Immunity Science Our Strategy Vision Intent on understanding emerging priorities while building on the successes of the Strategic Plans 2013-2020, III began a highly consultative process in 2019 to prioritize III’s strategic efforts for the next 5 years. The Excellence in infection and new plan was shaped by a broad engagement process that gathered feedback from close to immunity research that leads 750 infection and immunity stakeholders from to equitable health outcomes across Canada, in addition to international for people in Canada and partners. Researchers, trainees, partners, practitioners, policy makers, advisory board around the world in the members, patient groups and Indigenous 21st century. health researchers and health organizations Mission shared their insights and recommendations via a variety of qualitative and quantitative consultation methods. The most frequently identified priorities emerging from our broadly disseminated survey informed the discussion of 8 Canada-wide workshops. To establish, engage and The priorities that emerged from these mobilize an inclusive, workshops were further refined through collaborative and diverse 9 focus group discussions. The final framework was validated with our Institute research community focused Advisory Board through a consensus- on excellent research based approach.* The Strategic Plan 2021- that addresses infection 2026 reflects what we heard during this inclusive and diverse consultative process and immunity priorities in and sets out priorities that align with the Canada and beyond. CIHR Strategic Plan 2021-2031 and the STBBI Research Initiative Strategic Plan (under development). * Additional details on our strategic planning process can be found on the III website. 16 | Defining New Directions CIHR-III 2021-2026 STRATEGIC PLAN
Values RESEARCH EXCELLENCE Our values guide us. They shape our culture, The CIHR Strategic Plan 2021-2031 and influence our decisions and actions champions a more inclusive concept of on a daily basis as we work to achieve our research excellence. III will work with strategic goals. As a CIHR Institute, III is CIHR as a whole to develop, implement, committed to upholding the values and and champion a more inclusive commitments of the organization which are concept of research excellence. We excellence and leadership, commitment to recognize that research excellence is collaboration, respect for people and integrity more than a journal impact factor. It and accountability. This means that over the is multidimensional and includes the next 5 years III will: quality of contributions in advancing the field, publication record, reproducibility ▫ Act with integrity, transparency, of research, multiple ways of knowing, and accountability in making decisions, open science, collaborations, community- setting priorities and assessing the based research, influence on policy, outcomes and impact of our strategic engagement activities, mentorship and investments. science communication. As such, we will reinforce CIHR’s policy directions ▫ Be flexible and proactive to consistent with the signing of the San ensure our work remains relevant Francisco Declaration of Research within a rapidly evolving research Assessment (DORA), CIHR’s Sex and environment. Gender-based Analysis Action Plan, Tri-Council Statements on Equity, ▫ Champion a rights-based research Diversity and Inclusion and Open environment that is anti-racist, promotes Access Policy on Publications. gender equity and recognizes the effects of intersectionality. Excellent research has maximal impact. This can be achieved when people with ▫ Achieve organizational excellence by living and lived experience, healthcare staying true to our values and cross- providers, policy makers, industry, the cutting principles and not compromising on public and other users of research the quality of work and leadership needed outputs are active collaborators for the Institute to support the infection throughout the entire research process. and immunity research community. ▫ Foster a learning system that enables evidence-based decisions and continuous improvement of initiative design and implementation, administration of funds and communication of results. Our Strategy CIHR-III 2021-2026 STRATEGIC PLAN | 17
20 22 Global Threats 21st Century Position Canada as a Infection & Leader in the Research Immunity Priorities Response to Global in Canada Infectious Disease Threats Realize the Full Potential of Infection & Immunity Research to Improve the Future Health of All Canadians
26 28 Building Infection Careers & Immunity Enable the current and Knowledge next generation of Mobilization environment researchers to collaborate and lead Foster and enable in the evolving infection knowledge mobilization and immunity research and implementation environment of research results
Preparing for and responding to current and emerging infectious disease threats is an enduring priority of III – and its importance has since been heightened by COVID-19. Climate change, rising global interconnectivity and population density, continuing environmental degradation, persisting social inequities, STR ATEGIC GOAL and increasing resistance to antimicrobial treatments have created the perfect storm Global Threats where infectious disease outbreaks and health emergencies will become more frequent and costly for our societies. Position Canada as a Leader in the Research Response to Global The opportunity to avoid future pandemics Infectious Disease Threats and catastrophic health emergencies will depend on our capacity to better prevent and prepare for timely responses. While pandemic prevention and preparedness will need billions of dollars, the cost of a pandemic is measured in trillions of dollars and millions of lives lost. Strategic Priorities Recognizing the importance of being proactive, III is committed to contributing to the national Prevent with a focus on and international efforts to prevent and prepare vaccines, prepare for, for future global infectious disease threats. and respond to global This goal can only be achieved through global infectious disease threats. coordination because as COVID-19 has shown, no one is safe until everyone is safe. Through Identify, understand, and its international leadership roles in GloPID-R prevent zoonotic diseases and JPIAMR, III is enabling Canadian researchers emerging and spreading due to lend their expertise globally, ensuring to climate change. Canada is contributing to the international research response to global health threats and Advance the application benefiting from these efforts. of a One Health approach in research to reduce This Strategic Goal aligns with CIHR’s antimicrobial resistance. strategies to drive progress on global health research and enhance rapid response capacity to pandemics and health emergencies, since these infectious disease threats do not recognize any boundaries. We will continue to learn from our experience with COVID-19 and apply our successes and renewed understanding of a proactive, collaborative approach to other global health threats, like AMR and zoonotic diseases emerging and spreading due to climate change. 20 | Global Threats CIHR-III 2021-2026 STRATEGIC PLAN
A Path Forward We will invest and build capacity in research future infectious disease outbreaks. The Pan- focused on preventing climate change-driven Canadian AMR Action Plan recognizes the zoonotic diseases and other global emerging interconnection between people, animals, and infectious diseases. Through our scientific the environment. III will align with this plan leadership and strategic investments, we to coordinate research within Canada and aim to accelerate research on infectious globally to advance One Health approaches to diseases with epidemic potential and actively prevent zoonotic transmission and reduce the participate in the consolidation of the essential prevalence of AMR. infrastructure, capacity, skills, and partnerships. Canada needs these to be in place to identify future threats and rapidly mobilize to generate the evidence, vaccines, diagnostics, treatments, and interventions needed in the event of Examples of How We Will Evaluate Success 1-3 Years 5 Years ▫ Increase in the number of infection ▫ Increase in the number of connections and immunity research initiatives established between III, its researchers strengthening research on the and international global health identification, prevention, preparedness stakeholders. and response to global infectious ▫ Growth in the number of investigators disease threats. applying a One Health approach to advancing research on identification, prevention, and response to global infectious disease threats. Anticipated Outcome Canada is recognized as a world leader in research on prevention, preparedness and response to global infectious disease threats, and its world-class Canadian infection and immunity research community is a key international collaborator in developing the solutions needed to maximize global security against infectious disease threats. Global Threats CIHR-III 2021-2026 STRATEGIC PLAN | 21
A range of social and environmental factors STR ATEGIC GOAL influence equitable health outcomes in both chronic and infectious diseases. As 21st Century the Scientific Lead on the Government of Infection & Immunity Canada STBBI Research Initiative, III has launched strategic funding opportunities to Priorities in Canada address the disproportionate impact of HIV/ AIDS on gay, Black, Indigenous, and other key Realize the Full Potential of populations in Canada and around the world. Infection & Immunity Research Beyond HIV, we know that the incidence and health outcomes of cardiovascular to Improve the Future Health disease, diabetes, or tuberculosis are of All Canadians highly influenced by social and structural factors. It is only by understanding these determinants and their intersections with other biological factors that research can Strategic Priorities provide the best health for all. Support research on To realize the full potential of research prevention and treatment to tackle these complex and intersecting of high-burden chronic infection and immunity challenges, and inflammatory diseases. researchers from diverse fields must come together to develop inter- and Focus on First Nations, transdisciplinary approaches. Only through Inuit and Métis peoples’ diversified teams will we spark the creative and innovative power needed to advance the self-determined health development of and access to diagnostic, priorities related to prevention, intervention, and care solutions infection and immunity. that will improve the health of all Canadians in the 21st century. Address the underlying biological, social Aligned with CIHR’s priority to pursue health and environmental equity through research, this III Strategic Goal determinants of health speaks directly to the future infection and to enhance equitable outcomes immunity research priorities most pertinent of infection and immunity to Canada. Preventing and treating the diseases in disproportionately inflammatory aspects of chronic disease is affected populations. a priority for the Institute. We will proactively work with our community to address these Support discovery health challenges in aging and other high- research to understand burden populations. We are also committed and address the to focusing on building relationships with infection and immunity issues Indigenous communities and scholars to that will shape Canada’s co-develop initiatives that address health disparities in First Nations, Inuit and Métis. future health priorities. 22 | 21st Century Infection & Immunity Priorities in Canada CIHR-III 2021-2026 STRATEGIC PLAN
A Path Forward COLL ABOR ATION AMONG DISCIPLINES TO SOLVE A COMMON PROBLEM We will advance strategic initiatives that span discovery In multidisciplinary research, investigators work in through to applied research parallel or sequentially from a disciplinary-specific and build capacity in areas base. In interdisciplinary research, investigators that focus on alleviating high- work together throughout the research process, burden chronic and inflammatory but still from a disciplinary-specific base. In diseases; developing a better transdisciplinary research, investigators work understanding of the underlying together using a shared conceptual framework infection and immunity-related that integrates disciplinary-specific theories, causes of chronic disease; and concepts, and methods. With a transdisciplinary identifying tailored approaches to approach, diverse stakeholders, such as people reduce the burden of current and with living and lived experience, academics, and emerging infection and immunity policy makers, cooperate through mutual learning diseases that most heavily impact to devise new solutions to complex research Canadians or manifest significant questions that span disciplines. health inequities. Examples of How We Will Evaluate Success 1-3 Years 5 Years ▫ Increase in the number of infection ▫ Increase in research activity engaging and immunity team-based research diverse teams, fostering integration initiatives focused on preventing and across discovery, clinical, health treating chronic and inflammatory services and population health research diseases and improving health equity in and contributing to equitable health disproportionately affected populations. outcomes for Canada’s infection and immunity priorities in the 21st century. Anticipated Outcome A diverse Canadian infection and immunity research environment that conducts excellent, inter- and transdisciplinary research on Canada’s future infection and immunity priorities, fosters integration across discovery, clinical, health services and population health research, and contributes to equitable health outcomes for all Canadians. Infection & Immunity Priorities in Canada CIHR-III 2021-2026 STRATEGIC PLAN | 23
Grounding Infection and Immunity Research in First Nations, Inuit and Métis Health and Our Commitment Wellbeing Perspectives to Reconciliation In alignment with the CIHR (2021-2031) and IIPH (2019-2024) Strategic Plans, III’s A Word of Thanks Strategic Goal: 21st Century Infection and Immunity Priorities in Canada will include We would like to thank the First Nations, a focus on research driven by First Nations, Inuit, and Métis researchers and Indigenous Inuit and Métis communities, including Health organizations who joined us in Urban Indigenous people, and grounded in a meaningful dialogue, where we listened, Indigenous and decolonizing methodologies. learned, and reflected together on the A commitment to reconciliation will guide development of our new Strategic Plan. our approach and actions and ensure We also thank IIPH Scientific Director, our initiatives are truly collaborative and Dr. Carrie Bourassa, and her staff for participative across all phases of research, their help in the engagement process and respect Indigenous cultures, values, and guidance in developing this section. beliefs and knowledge systems. Following the advice received during our Indigenous engagements, the following key principles will guide our activities. Self-determination & Self-governance Respecting the right of Indigenous Peoples III commits to continuing to have sovereignty of their own research to build relationships and data through a distinction-based with First Nations, Inuit approach, including setting their own research priorities, and ensuring Indigenous and Métis communities communities are engaged in the research with the understanding process, with access to disaggregated data that building reciprocal, so it may be analyzed, interpreted and shared in ways that are meaningful to the trusting relationships communities takes time. Reciprocity & Equality Promoting a reciprocal exchange and equal partnership between Indigenous Ways of Knowing and Western approaches to improve the physical, mental, emotional, and spiritual life of Indigenous and non-Indigenous communities involved in research 24 | 21st Century Infection & Immunity Priorities in Canada CIHR-III 2021-2026 STRATEGIC PLAN
A Path Forward Over the next 5 years, III will commit to Using these as a starting point for further actions that are consistent with addressing dialogue, we will co-develop with Indigenous health inequities rooted in the ongoing communities and organizations new ways legacy of colonialism. During our strategic to generate the knowledge and build the planning process, distinction-based research capacity for Indigenous communities to priorities vital to the holistic health and improve the health and wellbeing of First wellbeing of Indigenous communities were Nations, Inuit and Métis peoples in Canada. identified, such as addressing tuberculosis Through this process, we will contribute in Inuit communities, water security in to CIHR’s commitment to accelerating the remote communities and the roles of social self-determination of Indigenous Peoples inequity and climate change in infection and in health research. chronic inflammatory conditions. The need for building capacity and training programs led by Indigenous scholars was articulated. Examples of How We Will Evaluate Success 1-3 Years 5 Years ▫ Increase in the number of relationships ▫ Growth in the number of meaningful built and sustained with First Nations, partnerships led by and co-developed Inuit and Métis and/or Urban Indigenous with Indigenous researchers and communities for III to listen and communities to address self-determined understand the self-determined health priorities for the health and wellbeing research priorities related to infection of First Nations, Inuit and Métis. and immunity. Anticipated Outcome Reciprocal, trusting relationships between III, infection and immunity researchers, and First Nations, Inuit, and Métis communities that thrive within a research environment that recognizes distinctiveness and where Indigenous communities are leading Indigenous research and capacity building, progressing towards equitable health outcomes. Grounding Infection and Immunity Research CIHR-III 2021-2026 STRATEGIC PLAN | 25
The use of novel technologies with the power to foster innovation, open science, and team STR ATEGIC GOAL science will be key to driving the discovery and out-of-the-box thinking needed to tackle Building Careers the infection and immunity-related health priorities of the 21st century and position Enable the Current and Next Canada as a leader in the research response to Generation of Researchers to global infectious disease threats. Breakthrough discovery and innovation are fueled by inter- Collaborate and Lead in the and transdisciplinary research and diversity. Evolving Infection and Immunity To achieve the full potential of the Canadian Research Environment infection and immunity research community, we therefore need a diverse community that is bold with their ideas, inclusive in their collaborations and scientific methods, and enabled by their research environment. We Strategic Priorities need to celebrate diversity and transform it into a core strength of Canada’s research. Support researchers Developing the next generation of infection across academic lifespan and immunity leaders is a priority for III. We with a focus on enabling will focus on early career investigators and smooth career transitions continued support and leadership opportunities and addressing barriers for mid-career investigators. Developing experienced by early- and expertise and training in next-generation mid-career researchers and technology will be key to their success. underrepresented groups in growing their research careers. This Strategic Goal aligns with CIHR’s commitment to fostering sustainable research Develop training initiatives careers and their priority to advance research to equip researchers with excellence in all its diversity. III will champion a the expertise and skillsets more inclusive concept of research excellence needed to integrate new and focus on providing opportunities for technologies and methods underrepresented groups, recognizing the into their research. cumulative effects of the challenges faced by underrepresented groups over a researcher’s Build relationships career. We will strive for all researchers to and platforms for pursue fulfilling careers across their lifespan, collaboration to enable within an equitable, diverse and inclusive research environment, and with the skills team science, and they need to lead the Infection and Immunity inter- and transdisciplinary research of the 21st century. approaches. Scientific leadership is defined by a broader definition that extends beyond high impact publications and conference presentations. Refer to page 17 of this Plan to see what goes 26 | Building Careers into making research excellent.
A Path Forward We will continue to invest in career growth potential by supporting researchers from opportunities for infection and immunity underrepresented groups through targeted researchers, ensuring that top talent— funding and networking opportunities. especially early career investigators who Moreover, recognizing how women and parents often bring innovative yet higher risk ideas to of young children in our research community research4—is attracted to and retained within have experienced disproportionate disruptions Canada. We will also focus on supporting due to the COVID-19 pandemic, we will aim to mid-career investigators, a priority identified help reduce the impact of these disruptions on in the 2018 Institute External Review. We will their research programs by building flexibility strengthen Canada’s creative and innovative in our operational requirements. Examples of How We Will Evaluate Success 1-3 Years 5 Years ▫ Increase in the number of III mentorship, ▫ Growth in the proportion of researchers training and networking programs from underrepresented groups who have that advance innovative expertise and successfully transitioned to establish skillsets enabling the integration of stable careers and are well integrated new technologies and methods in the in infection and immunity research infection and immunity community. initiatives and events. ▫ Increase in the number of targeted ▫ Growth in the number of researchers research initiatives that enable enhanced integrating innovative skillsets, participation of underrepresented technologies and methods in their groups to achieve equitable outcomes research to advance careers in infection in career progression. and immunity research. Anticipated outcome An increasingly inclusive and diverse infection and immunity research community building the skills needed to make valuable contributions to individual and collaborative research programs, and pursuing fulfilling careers not impeded by race, gender and other intersecting factors. 4 https://www.nber.org/papers/w19866 Building Careers CIHR-III 2021-2026 STRATEGIC PLAN | 27
Seventeen years! This is the frequently cited average time it takes for a scientific discovery to change clinical practice. To STR ATEGIC GOAL shorten this lag, we need to pair research with active knowledge mobilization so Infection & Immunity that promising discoveries make their way Knowledge Mobilization into Canada’s health systems as policies, practices, programs and products for improved decision making, diagnostics, Foster and enable knowledge prevention, intervention, and care solutions. mobilization and implementation of research results Traditional knowledge translation frequently focused on the dissemination of knowledge at the end of the research project, with little uptake and use. Today, knowledge mobilization involves the co-creation, translation, synthesis, implementation, Strategic Priorities and dissemination of new knowledge between researchers and knowledge users. Support training on This contemporary concept of knowledge knowledge mobilization mobilization is the focus of this Strategic including with decision Goal. More effective problem definition and makers to inform rapid implementation of research findings policies and practice. can be facilitated by engaging knowledge users, including people with living and Advance people lived experience, healthcare providers, with living and lived policymakers, industry and the public, experience and early in the research process to inform community engagement the research questions, approaches and throughout the dissemination strategies. While traditional research process. end-of-grant knowledge mobilization remains a relevant dissemination strategy, Foster interactions III will promote integrated knowledge between researchers mobilization because it can strengthen and industry through connections between researchers and public-private evidence-based decision making, increase partnerships to public science literacy, and accelerate our accelerate product ability to turn knowledge into action. development. This Strategic Goal aligns with CIHR’s mandate to excel in the mobilization of new knowledge to improve the health of Canadians and was also identified as a priority in the 2018 III Institute External Review. 28 | Infection & Immunity Knowledge Mobilization CIHR-III 2021-2026 STRATEGIC PLAN
A Path Forward We will invest in training opportunities in To accelerate the commercialization of best practices to optimize the co-creation products originating from research, we will of research questions and foster a dynamic create opportunities for our researchers to and iterative knowledge mobilization process interact with non-academic partners and which includes integrated and end-of-grant industry stakeholders. knowledge mobilization. To quickly mobilize knowledge, we will create opportunities whereby the infection and immunity research community can connect with all types of knowledge users, and then deepen these relationships through partnerships. Examples of How We Will Evaluate Success 1-3 Years 5 Years ▫ Increase in the number of infection ▫ Growth in the connections and and immunity research initiatives partnerships established between providing training in and requiring academic and non-academic partners knowledge mobilization. to identify and/or address infection and immunity knowledge, product ▫ Growth in the number of infection and policy needs. and immunity programs facilitating partnerships between academic and ▫ Increase in knowledge mobilization non-academic partners to identify and/ activities within the infection and or address infection and immunity immunity research community. knowledge, product and policy needs. Anticipated Outcome Researchers integrating decision makers, health practitioners, people with living and lived experience, communities and industry in their research to co-create new solutions and accelerate translation and uptake for improved detection, treatment, prevention and care that improves the health of Canadians. Infection & Immunity Knowledge Mobilization CIHR-III 2021-2026 STRATEGIC PLAN | 29
Cross-Cutting Principles The following cross-cutting principles will be applied to drive the Strategic Goals outlined in previous sections. For III to be successful in achieving its Strategic Goals, an ongoing dialogue with our researchers and partners is essential. Together, we will pursue bold ideas and drive a more inclusive concept of research excellence. This shared responsibility is reflected in our approach to the cross-cutting principles of equity, diversity and inclusion; collaboration and partnership; Collaborations & Partnerships communications and engagement; and monitoring and learning, where for each principle we outline the roles for the Institute and the research community. These principles will shape not only how we lead and support the infection and immunity research community, but also the new dynamic relationship we look to foster moving forward. 30 | Cross-Cutting Principles
Equity, Diversity & Inclusion Communications & Engagement Monitoring & Learning CIHR-III 2021-2026 STRATEGIC PLAN | 31
Cross-Cutting Principles Equity, Diversity Collaborations & Inclusion (EDI) & Partnerships THE INSTITUTE THE INSTITUTE We will embed the principles of fairness, We will create and strengthen connections representation and valued participation— and partnerships and maintain consistent from an intersectionality perspective—in our communication with strategically aligned initiatives, peer-review panels and Advisory national and international players to address Board. We will contribute to CIHR’s Action the Government of Canada’s priorities, Plan to address systemic racism in the and leverage the funding, expertise and health research funding system. Given that resources needed to deliver excellence in the Tri-Agency self-identification Equity and infection and immunity research. Diversity Questionnaire will be implemented in all CIHR funding initiatives, III will ensure to use this information to continuously learn and improve its practice. INFECTION & IMMUNIT Y INFECTION & IMMUNIT Y RESEARCH COMMUNIT Y RESEARCH COMMUNIT Y The Institute will continue to enable the The Institute will support infection research community to develop the skills and immunity researchers to establish needed and implement best practices to collaborations across institutions, mitigate unconscious bias, integrate EDI communities, disciplines, sectors, research into their research teams and sex- and pillars and borders to increase capacity gender-based analysis plus (SGBA+) into and enhance the mobilization of new their research and peer review activities. knowledge and the impact of research results. TOGETHER TOGETHER We will foster a research We will leverage infection culture that realizes the full and immunity funding and benefit of Canada’s diverse strengthen Canada’s position as talent pool. a global leader and key research collaborator. 32 | Cross-Cutting Principles CIHR-III 2021-2026 STRATEGIC PLAN
Communications Monitoring & Engagement & Learning THE INSTITUTE THE INSTITUTE We will identify and monitor performance We will continue to promote Canadian metrics to assess the outputs, outcomes research on national and international and impact of III’s investments and stages and position III and our research partnerships and provide an evidence base community as a reliable source of scientific to optimize initiatives, strengthen the information. We will continue to raise integration of EDI principles and evaluate awareness about III, our Strategic Goals, our contribution to improving equitable Priorities, and initiatives. To ensure our health outcomes and the Sustainable work remains relevant within a rapidly Development Goals. evolving research environment, we will proactively connect with and engage the research community. INFECTION & IMMUNIT Y INFECTION & IMMUNIT Y RESEARCH COMMUNIT Y RESEARCH COMMUNIT Y As both III and its research community have The Institute will support an efficient a growing role in communicating research approach for the infection and immunity outputs and their significance to the public, research community’s reporting on the we will help researchers build the skills outputs, outcomes and impact of their needed to provide information and promote research and challenges encountered. This the benefits of science and research with will enable III to monitor the outcomes of the media, public and decision makers. We strategic investments and allow continuous will encourage and provide opportunities improvement and application of lessons for the research community to engage with learned that will benefit the research and provide feedback to III and CIHR. community as a whole. TOGETHER TOGETHER We will continue to grow the We will assess Canada’s progress infection and immunity research towards new knowledge, policies, community’s reputation as a practices, programs, and products reliable source of accurate and that will help inform decisions timely information and promote on new initiatives and ultimately the benefits of science and strengthen the infection and research for our society. immunity research environment in Canada. Cross-Cutting Principles CIHR-III 2021-2026 STRATEGIC PLAN | 33
Performance Impact Monitoring As we work together to tackle the 21st & Learning century research priorities outlined in this Strategic Plan, we will continue building an A monitoring plan will be developed infection and immunity research community by the Institute to regularly assess in Canada that is a) more connected, the progress, challenges and impact inclusive, and diverse; b) is trained and has of strategically funded initiatives and expertise in next generation technologies; proactively course correct as needed. and c) can lead and respond to current and We are committed to this continued emerging infection and immunity health application of lessons learned to ensure challenges globally and in Canada. This targeted outcomes are met, and we can thriving community will drive research quickly pivot as needed, to respond to impact through strong partnerships with emerging research priorities. This new industry, decision makers, communities, and Strategic Plan will enhance the Institute’s international partners. The priorities of this impact on infection and immunity plan will also contribute to several United research and our program operations by Nations Sustainable Development Goals improving the quality, effectiveness, and (SDG), including SDG #3 “Ensure healthy efficiency of activities. lives and promote well-being for all at all ages,” #5 “Achieve gender equality and Over the next year, III will develop both empower all women and girls”, #10 “Reduce an Implementation Plan, which will inequality within and among countries”, include specific activities designed to #9 “Build resilient infrastructure, promote advance the priorities of each Strategic inclusive and sustainable industrialization Goal, and a corresponding Performance and foster innovation”, and #13 “Take urgent Measurement Framework (PMF). The action to combat climate change and its PMF will be based on a data-driven, impact.” multidimensional model that incorporates a range of evaluative approaches and As we look ahead to the future, we are tools to monitor the impact of the excited to continue working with our Strategic Plan and III’s initiatives. This will world-class infection and immunity research include both qualitative and quantitative community to build this forward-looking key performance indicators aligned vision. Together, we will work towards our to each Strategic Priority and their common vision of achieving equitable health corresponding anticipated outcome for outcomes for people in Canada and around reporting. The Implementation Plan and the world. the PMF will be developed with support from the III Institute Advisory Board, input from relevant CIHR branches, and in collaboration with the CIHR Integrated Planning and Results Team. 34 | Performance Monitoring and Learning | Impact CIHR-III 2021-2026 STRATEGIC PLAN
Acknowledgments Aida Fernandes Executive Director, IMAGINE Network Many groups and individuals have contributed to the development of this Strategic Plan. We John R. Gordon would first like to acknowledge the members Professor, Department of Medicine of the III IAB for their advice, direction and University of Saskatchewan support throughout this process. Trevor Hart Ontario HIV Treatment Network (OHTN) III Institute Advisory Board* Applied Research Chair in Gay and Bisexual Men’s Health. Director, HIV Prevention Lab Brian J. Ward (Chair) Professor, Department of Psychology, Professor, Medicine & Microbiology Ryerson University Research Institute of the McGill University Health Centre Anthony M. Jevnikar Professor of Medicine, Surgery, Microbiology Jean S. Marshall (Vice-Chair) and Immunology, University of Western Professor, Microbiology and Immunology Ontario. Co-Director, Multi Organ Transplant Arthur B. McDonald Chair, Program. London Health Sciences Centre. Dalhousie University University Hospital. London, Ontario Marcel Behr Pauline Johnson Professor of Medicine, McGill University Professor, Department of Microbiology & Immunology, University of British Columbia John Conly Vancouver Professor of Medicine, Department of Medicine (Infectious Diseases), Cumming Manisha Kulkarni School of Medicine, University of Calgary and Associate Professor, School of Epidemiology Alberta Health Services and Public Health, University of Ottawa Director, Interdisciplinary Spatial Sarah Crome Informatics for Global Health (INSIGHT) Lab, Scientist, University Health Network, Toronto University of Ottawa General Hospital Research Institute, Multi Organ Transplant Program. Assistant Barbara Papadopoulou Professor, University of Toronto, Faculty of Full Professor, Department of Microbiology- Medicine, Department of Immunology Infectious Disease and Immunology Université Laval, CHU de Quebec Kimberly Elmslie Research Center Assistant Deputy Minister, Health Promotion and Chronic Disease Prevention Branch, Christopher Power Public Health Agency of Canada Professor of Neurology, University of Alberta, Canada Research Chair in Neurologic Infection and Immunity * Between May 2019 and November 2020 Acknowledgments CIHR-III 2021-2026 STRATEGIC PLAN | 35
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