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Bringing medical research to patients and the economy | Brigitte Smith | TEDxFulbrightMelbourne


[Music]

[Music] if you ask most people what Australia is

if you ask most people what Australia is

if you ask most people what Australia is good at the answer that they will come

good at the answer that they will come

good at the answer that they will come up with is sport and most people will be

up with is sport and most people will be

up with is sport and most people will be able to tell you who several Australian

able to tell you who several Australian

able to tell you who several Australian sporting heroes are that’s true but

sporting heroes are that’s true but

sporting heroes are that’s true but we’re also really good at medical

we’re also really good at medical

we’re also really good at medical research and fewer people know about

research and fewer people know about

research and fewer people know about that so I’m going to talk to you today

that so I’m going to talk to you today

that so I’m going to talk to you today about three medical research heroes and

about three medical research heroes and

about three medical research heroes and their stories we’re really good at

their stories we’re really good at

their stories we’re really good at medical research in Australia and the

medical research in Australia and the

medical research in Australia and the government at different levels spends

government at different levels spends

government at different levels spends about five billion dollars which is

about five billion dollars which is

about five billion dollars which is about two hundred and twenty five

about two hundred and twenty five

about two hundred and twenty five dollars for every Australian on medical

dollars for every Australian on medical

dollars for every Australian on medical research and this is some of the results

research and this is some of the results

research and this is some of the results so if we take scientific output divided

so if we take scientific output divided

so if we take scientific output divided by GDP the size of the economy

by GDP the size of the economy

by GDP the size of the economy Australia is actually second-best in the

Australia is actually second-best in the

Australia is actually second-best in the world which is a pretty outstanding

world which is a pretty outstanding

world which is a pretty outstanding result so we’re really good at that and

result so we’re really good at that and

result so we’re really good at that and the interesting thing is what what do we

the interesting thing is what what do we

the interesting thing is what what do we do with that what’s the product that we

do with that what’s the product that we

do with that what’s the product that we can get out of that it’s interesting to

can get out of that it’s interesting to

can get out of that it’s interesting to look at Massachusetts where I went on my

look at Massachusetts where I went on my

look at Massachusetts where I went on my Fulbright fellowship and with seven

Fulbright fellowship and with seven

Fulbright fellowship and with seven million people and 2.4 billion dollars

million people and 2.4 billion dollars

million people and 2.4 billion dollars of government research funding excellent

of government research funding excellent

of government research funding excellent universities excellent hospitals what

universities excellent hospitals what

universities excellent hospitals what have they created so the economist

have they created so the economist

have they created so the economist describes Massachusetts as the

describes Massachusetts as the

describes Massachusetts as the preeminent biotechnology hub in the

preeminent biotechnology hub in the

preeminent biotechnology hub in the world that 2.4 billion dollars of

world that 2.4 billion dollars of

world that 2.4 billion dollars of government funding has generated 80,000

government funding has generated 80,000

government funding has generated 80,000 jobs on an ongoing basis and lots of

jobs on an ongoing basis and lots of

jobs on an ongoing basis and lots of money flows in there were 13 Nasdaq Ivy

money flows in there were 13 Nasdaq Ivy

money flows in there were 13 Nasdaq Ivy always lost you billions of dollars of

always lost you billions of dollars of

always lost you billions of dollars of venture capital funding and public

venture capital funding and public

venture capital funding and public company funding and on their health side

company funding and on their health side

company funding and on their health side 445 new medical products in development

445 new medical products in development

445 new medical products in development in clinical trials and the FDA approves

in clinical trials and the FDA approves

in clinical trials and the FDA approves between 20 and 40 new drugs every year

between 20 and 40 new drugs every year

between 20 and 40 new drugs every year eight of the drugs in 2016 came out of

eight of the drugs in 2016 came out of

eight of the drugs in 2016 came out of Massachusetts so that’s an incredible

Massachusetts so that’s an incredible

Massachusetts so that’s an incredible global health impact so I am a venture

global health impact so I am a venture

global health impact so I am a venture capital investor just focused on life

capital investor just focused on life

capital investor just focused on life sciences and over

sciences and over

sciences and over Australian life sciences and over the

Australian life sciences and over the

Australian life sciences and over the last 20 years I’ve looked at thousands

last 20 years I’ve looked at thousands

last 20 years I’ve looked at thousands of Australian life science companies and

of Australian life science companies and

of Australian life science companies and we’ve got a lot of things right here so

we’ve got a lot of things right here so

we’ve got a lot of things right here so our researchers are good they’ve been

our researchers are good they’ve been

our researchers are good they’ve been good for a long time we’ve been doing

good for a long time we’ve been doing

good for a long time we’ve been doing medical research in this country for a

medical research in this country for a

medical research in this country for a hundred years there so there have been

hundred years there so there have been

hundred years there so there have been generations of excellent medical

generations of excellent medical

generations of excellent medical researchers five Nobel prizes in

researchers five Nobel prizes in

researchers five Nobel prizes in medicine and then the hospitals are

medicine and then the hospitals are

medicine and then the hospitals are really good the doctors are really good

really good the doctors are really good

really good the doctors are really good these incredible facilities where we are

these incredible facilities where we are

these incredible facilities where we are meeting today are an example of the sort

meeting today are an example of the sort

meeting today are an example of the sort of infrastructure that’s available to

of infrastructure that’s available to

of infrastructure that’s available to develop our medical research our

develop our medical research our

develop our medical research our regulator is a very favorable regulator

regulator is a very favorable regulator

regulator is a very favorable regulator very helpful to getting new products

very helpful to getting new products

very helpful to getting new products into patients and trying them so we have

into patients and trying them so we have

into patients and trying them so we have a thousand clinical trials done every

a thousand clinical trials done every

a thousand clinical trials done every year in Australia a lot of those

year in Australia a lot of those

year in Australia a lot of those clinical trials are actually of drugs

clinical trials are actually of drugs

clinical trials are actually of drugs that were developed elsewhere but we

that were developed elsewhere but we

that were developed elsewhere but we have the ability to do that and our tech

have the ability to do that and our tech

have the ability to do that and our tech system out our government also provides

system out our government also provides

system out our government also provides a lot of support with tax incentives to

a lot of support with tax incentives to

a lot of support with tax incentives to do R&D including clinical trials so most

do R&D including clinical trials so most

do R&D including clinical trials so most of the piece pieces are in place to have

of the piece pieces are in place to have

of the piece pieces are in place to have a thriving biotech industry there are

a thriving biotech industry there are

a thriving biotech industry there are 470 companies which is not bad but

470 companies which is not bad but

470 companies which is not bad but somehow we haven’t know that we’re not

somehow we haven’t know that we’re not

somehow we haven’t know that we’re not Massachusetts even though a lot of the

Massachusetts even though a lot of the

Massachusetts even though a lot of the pieces are in place and I think the

pieces are in place and I think the

pieces are in place and I think the place that it breaks down the bottleneck

place that it breaks down the bottleneck

place that it breaks down the bottleneck is right at the beginning getting the

is right at the beginning getting the

is right at the beginning getting the research out of the universities and

research out of the universities and

research out of the universities and medical research institutes and into the

medical research institutes and into the

medical research institutes and into the clinic so lost in translation patents

clinic so lost in translation patents

clinic so lost in translation patents issued per hundred million in research

issued per hundred million in research

issued per hundred million in research again Australia’s the red bar we’re

again Australia’s the red bar we’re

again Australia’s the red bar we’re horrible at that we don’t do nearly as

horrible at that we don’t do nearly as

horrible at that we don’t do nearly as much patenting as the US Great Britain

much patenting as the US Great Britain

much patenting as the US Great Britain and Canada for our research expenditure

and Canada for our research expenditure

and Canada for our research expenditure and spending companies out startup

and spending companies out startup

and spending companies out startup companies per hundred million dollars of

companies per hundred million dollars of

companies per hundred million dollars of research expenditure also pretty

research expenditure also pretty

research expenditure also pretty ordinary frankly so the reason for that

ordinary frankly so the reason for that

ordinary frankly so the reason for that I think is twofold one is that the

I think is twofold one is that the

I think is twofold one is that the incentives are not right and secondly

incentives are not right and secondly

incentives are not right and secondly that the culture is not quite right

that the culture is not quite right

that the culture is not quite right so if

so if

so if to our medical researcher the most

to our medical researcher the most

to our medical researcher the most prestigious source of research funding

prestigious source of research funding

prestigious source of research funding in this country is the National Health

in this country is the National Health

in this country is the National Health and Medical Research Council last year

and Medical Research Council last year

and Medical Research Council last year they made eight hundred and twenty

they made eight hundred and twenty

they made eight hundred and twenty million dollars of grants and this is a

million dollars of grants and this is a

million dollars of grants and this is a bar chart which shows you where that

bar chart which shows you where that

bar chart which shows you where that went

went

went so the red bar is Medical Research which

so the red bar is Medical Research which

so the red bar is Medical Research which is directed at patient outcomes and it’s

is directed at patient outcomes and it’s

is directed at patient outcomes and it’s tiny it’s 30 million dollars and the

tiny it’s 30 million dollars and the

tiny it’s 30 million dollars and the yellow over are 15 million dollars is

yellow over are 15 million dollars is

yellow over are 15 million dollars is what is research that is directed

what is research that is directed

what is research that is directed towards commercial outcomes so if you

towards commercial outcomes so if you

towards commercial outcomes so if you are a medical researcher and you want to

are a medical researcher and you want to

are a medical researcher and you want to get ahead are you going to focus on

get ahead are you going to focus on

get ahead are you going to focus on those tiny little bits at the top are

those tiny little bits at the top are

those tiny little bits at the top are you going to go for the part of Medical

you going to go for the part of Medical

you going to go for the part of Medical Research which really rewards you for

Research which really rewards you for

Research which really rewards you for publishing papers if you are a doctor

publishing papers if you are a doctor

publishing papers if you are a doctor you are funded for treating patients and

you are funded for treating patients and

you are funded for treating patients and not for doing medical research so the

not for doing medical research so the

not for doing medical research so the funding system doesn’t really push us

funding system doesn’t really push us

funding system doesn’t really push us towards having an industry and health

towards having an industry and health

towards having an industry and health outcomes as it might do so that’s an

outcomes as it might do so that’s an

outcomes as it might do so that’s an opportunity for government and there’s

opportunity for government and there’s

opportunity for government and there’s an also an opportunity for citizens

an also an opportunity for citizens

an also an opportunity for citizens which is that we should celebrate the

which is that we should celebrate the

which is that we should celebrate the people who do do it well who get the

people who do do it well who get the

people who do do it well who get the products out of the research institutes

products out of the research institutes

products out of the research institutes out of the universities and into

out of the universities and into

out of the universities and into patients changing health outcomes and

patients changing health outcomes and

patients changing health outcomes and into developing an industry

into developing an industry

into developing an industry Priscilla Kincaid Smith is my first

Priscilla Kincaid Smith is my first

Priscilla Kincaid Smith is my first Australian medical research hero she was

Australian medical research hero she was

Australian medical research hero she was the first woman professor at the

the first woman professor at the

the first woman professor at the University of Melbourne and I don’t know

University of Melbourne and I don’t know

University of Melbourne and I don’t know if you are familiar with the expression

if you are familiar with the expression

if you are familiar with the expression but last century if you were feeling

but last century if you were feeling

but last century if you were feeling stressed Beck’s was marketed to you with

stressed Beck’s was marketed to you with

stressed Beck’s was marketed to you with the banner feeling stressed have a cup

the banner feeling stressed have a cup

the banner feeling stressed have a cup of tea a Becks and a lie-down and it

of tea a Becks and a lie-down and it

of tea a Becks and a lie-down and it became a bit of a joke my husband says

became a bit of a joke my husband says

became a bit of a joke my husband says it to me when I’m a little bit stressed

it to me when I’m a little bit stressed

it to me when I’m a little bit stressed Priscilla Kincaid Smith worked out that

Priscilla Kincaid Smith worked out that

Priscilla Kincaid Smith worked out that following that advice was poisoning

following that advice was poisoning

following that advice was poisoning irreversibly poisoning your kidneys as a

irreversibly poisoning your kidneys as a

irreversibly poisoning your kidneys as a one of the ingredients in Beck’s fern

one of the ingredients in Beck’s fern

one of the ingredients in Beck’s fern aciton was actually destroying your

aciton was actually destroying your

aciton was actually destroying your kidneys so she worked it out that’s the

kidneys so she worked it out that’s the

kidneys so she worked it out that’s the medical research piece pretty good

medical research piece pretty good

medical research piece pretty good deduction but she then went to

deduction but she then went to

deduction but she then went to to lobby government tirelessly until Bex

to lobby government tirelessly until Bex

to lobby government tirelessly until Bex was banned and painkillers the use of

was banned and painkillers the use of

was banned and painkillers the use of painkillers was reduced and as a result

painkillers was reduced and as a result

painkillers was reduced and as a result of that work the translation work we

of that work the translation work we

of that work the translation work we have not got an epidemic of people with

have not got an epidemic of people with

have not got an epidemic of people with kidney damage on dialysis

kidney damage on dialysis

kidney damage on dialysis my next medical research hero is Marie

my next medical research hero is Marie

my next medical research hero is Marie Smith also not a relative of mine also a

Smith also not a relative of mine also a

Smith also not a relative of mine also a Smith and her innovation was to discover

Smith and her innovation was to discover

Smith and her innovation was to discover a drug for neuropathic pain the way

a drug for neuropathic pain the way

a drug for neuropathic pain the way Marie describes in Europe a sick pain is

Marie describes in Europe a sick pain is

Marie describes in Europe a sick pain is the incredible intense pain of a

the incredible intense pain of a

the incredible intense pain of a toothache but in your leg with no

toothache but in your leg with no

toothache but in your leg with no apparent cause so its nerve pain and

apparent cause so its nerve pain and

apparent cause so its nerve pain and Marida developed this drug spun it out

Marida developed this drug spun it out

Marida developed this drug spun it out from the University of Queensland into a

from the University of Queensland into a

from the University of Queensland into a company called spinifex which my firm

company called spinifex which my firm

company called spinifex which my firm invested in and in 2015 that company was

invested in and in 2015 that company was

invested in and in 2015 that company was sold as one of the biggest exits from

sold as one of the biggest exits from

sold as one of the biggest exits from the venture capital industry that

the venture capital industry that

the venture capital industry that australia has ever seen thereby creating

australia has ever seen thereby creating

australia has ever seen thereby creating a path to show that you can make money

a path to show that you can make money

a path to show that you can make money and it’s a smart investment to invest in

and it’s a smart investment to invest in

and it’s a smart investment to invest in translating medical research and murray

translating medical research and murray

translating medical research and murray believes that you shouldn’t do medical

believes that you shouldn’t do medical

believes that you shouldn’t do medical research unless you are going to

research unless you are going to

research unless you are going to translate it into medicines for patients

translate it into medicines for patients

translate it into medicines for patients and make a difference in the world

and make a difference in the world

and make a difference in the world third medical history medical hero

third medical history medical hero

third medical history medical hero excuse me is Sandra Anderson who had the

excuse me is Sandra Anderson who had the

excuse me is Sandra Anderson who had the insight that if you take mannitol and

insight that if you take mannitol and

insight that if you take mannitol and naturally occurring sugar turn it into

naturally occurring sugar turn it into

naturally occurring sugar turn it into tiny tiny little particles that you can

tiny tiny little particles that you can

tiny tiny little particles that you can breathe deep into your lungs you have a

breathe deep into your lungs you have a

breathe deep into your lungs you have a tool which you can use to diagnose

tool which you can use to diagnose

tool which you can use to diagnose asthma optimize treatment of asthma and

asthma optimize treatment of asthma and

asthma optimize treatment of asthma and treat lung diseases like cystic fibrosis

treat lung diseases like cystic fibrosis

treat lung diseases like cystic fibrosis enabling you to bring the mucus out of

enabling you to bring the mucus out of

enabling you to bring the mucus out of your lungs

your lungs

your lungs Sandra licensed that work to a company

Sandra licensed that work to a company

Sandra licensed that work to a company called farm axis which is now

called farm axis which is now

called farm axis which is now manufacturing that product in Australia

manufacturing that product in Australia

manufacturing that product in Australia exporting it around the world and that

exporting it around the world and that

exporting it around the world and that drug is treating patients around the

drug is treating patients around the

drug is treating patients around the world with lung conditions Sandra was

world with lung conditions Sandra was

world with lung conditions Sandra was motivated to bring people together from

motivated to bring people together from

motivated to bring people together from a lot of different disciplines make the

a lot of different disciplines make the

a lot of different disciplines make the tiny particles of mannitol hand filled

tiny particles of mannitol hand filled

tiny particles of mannitol hand filled them into capsules and work with

them into capsules and work with

them into capsules and work with patients

patients

patients see if the product worked and it did

see if the product worked and it did

see if the product worked and it did those three medical research heroes

those three medical research heroes

those three medical research heroes should be household names

should be household names

should be household names Priscilla Kincaid Smith Marie Smith

Priscilla Kincaid Smith Marie Smith

Priscilla Kincaid Smith Marie Smith Sandra Anderson you can remember them

Sandra Anderson you can remember them

Sandra Anderson you can remember them you can go and tell people about them

you can go and tell people about them

you can go and tell people about them and if we celebrate our heroes of

and if we celebrate our heroes of

and if we celebrate our heroes of medical research we can change medical

medical research we can change medical

medical research we can change medical research culture in Australia and get

research culture in Australia and get

research culture in Australia and get the industry and the health outcomes

the industry and the health outcomes

the industry and the health outcomes that we should five billion dollars of

that we should five billion dollars of

that we should five billion dollars of investment and the incredible legacy

investment and the incredible legacy

investment and the incredible legacy that we have is too good to waste

that we have is too good to waste

that we have is too good to waste [Applause]

”

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