Scientific Council Forty-seventh Session SC/47/6 09/12/2010 Lyon, 26–28 January 2011 Princess Takamatsu Hall PROPOSED PROGRAMME (2012–2015) AND BUDGET (2012–2013) DRAFT FOR SCIENTIFIC COUNCIL PROPOSED PROGRAMME (2012–2015) AND BUDGET (2012–2013) DRAFT FOR SCIENTIFIC COUNCIL TABLE OF CONTENTS EXECUTIVE SUMMARY 1. 2. 1 SCIENTIFIC STRATEGY 2012–2015 3 Describing the Global Cancer Burden IARC Monographs Cancer Etiology Mechanisms of Carcinogenesis Cancer Prevention Education and Training The Future International Leadership Role of the Agency 4 5 5 6 6 6 7 DETAILED SCIENTIFIC PROGRAMME 2012–2013 9 Area 1 Describing the Global Cancer Burden 9 Area 2 IARC Monographs 12 Area 3 Cancer Etiology 13 3.1 3.2 3.3 3.4 Infections Nutrition and metabolism Genetics Environment, radiation, lifestyle, and occupation Area 4 Mechanisms of Carcinogenesis 13 15 16 17 18 4.1 Molecular carcinogenesis 4.2 Epigenetics 4.3 Molecular pathology 18 19 20 Area 5 21 Cancer Prevention 5.1 Primary prevention 5.2 Screening 5.3 Quality assurance and guidelines 21 23 25 Area 6 27 Education and Training 6.1 IARC Fellowship Programme 6.2 IARC Courses 27 28 Area 7 29 7.1 7.2 7.3 7.4 Methodology and Research Tools Biostatistics Exposure assessment Biomarkers WHO Classification of Tumours 29 30 31 32 i Area 8 3. 33 8.1 Laboratory services 8.2 Biobank 8.3 Communication 33 34 35 Area 9 37 Research Leadership and Management 9.1 Direction and leadership 9.2 Programme management and development 9.3 Ethics 37 38 39 ADMINISTRATIVE PROGRAMME 2012–2013 41 Area 1 Administrative Management 41 Area 2 Human Resources Services 41 Area 3 Conference, Office and Building Services 42 3.1 3.2 3.3 3.4 4. Scientific Support Accommodation, Office and related Services Building Management Services Conference Services Records Management Services 42 43 44 44 Area 4 Budget and Finance Services 44 Area 5 IARC Grants Office 45 Area 6 Information Technology Services 46 PROPOSED BUDGET 2012–2013 49 4.1 Presentation 49 4.2 Development of the programme budget 50 4.3 Computation of the budget 51 4.3.1 4.3.2 4.3.3 4.3.4 4.3.5 Staff Costs Decrease in programme activities Increase in assessed contributions from Austria Increase in assessed contributions from India Exchange Rate 51 52 53 53 54 4.4 Financing of the regular budget 54 Appendix A 55 Information Table A: “Total staffing and non-staffing costs by Section and Group, by year and biennium” ii 5. BUDGET TABLES 5.1 SUMMARY TABLES A B C D E F G Determination of programme budget level 2012–2013 Proposed total IARC regular budget for the financial period 2012–2013 Summary of regular budget by appropriation section Summary of assessments on Participating States Summary of activities by area and source of funds Summary of resources by area and year Summary of regular budget by component and cause of increase/decrease H Summary of regular budget staffing by area and category 5.2 57 58 59 60 61 62 63 64 BUDGET TABLES BY AREA Appropriation Section 1: Governing and Scientific Councils Area 1 Governing and Scientific Councils’ meetings 65 Appropriation Section 2: Scientific Programme Area Area Area Area Area Area Area Area Area 1 2 3 4 5 6 7 8 9 Describing the Global Cancer Burden IARC Monographs Cancer Etiology Mechanisms of Carcinogenesis Cancer Prevention Education and Training Methodology and Research Tools Scientific Support Research Leadership and Management 66 67 68 69 70 71 72 73 74 Appropriation Section 3: Administrative Programme Area Area Area Area Area Area 1 2 3 4 5 6 Administrative Management Human Resources Services Conference, Office and Building Services Budget and Finance Services IARC Grants Office Information Technology Services 75 76 77 78 79 80 UN accounting rates of exchange: Euro to US dollar Annual rates of inflation in France 81 82 ANNEXES Annex 1 Annex 2 iii Scientific Council Proposed programme (2012–2015) and budget (2012–2013) SC/47/6 Page 1 PROPOSED PROGRAMME (2012–2015) AND BUDGET (2012–2013) EXECUTIVE SUMMARY The primary objective of the International Agency for Research on Cancer (IARC) is to conduct and coordinate high quality research that will contribute to the reduction of the global burden of cancer, by providing the scientific evidence for the development of effective strategies for cancer prevention and control. The Agency has a longstanding focus in promoting and developing research activities in low- and medium-resource countries in order to address the projected increase in cancer burden in these regions. The present Proposed Programme and Budget reflects the priorities set out in the IARC Medium-Term Strategy and Implementation Plan for 2010–2014 (GC/52/6) adopted by the Governing Council (resolution GC/52/R4). Based on these priorities the work of the Agency is centred on six core areas: Describing the global cancer burden — collection, storage and statistical analysis of data on cancer to provide accurate estimates of prevalence, incidence, survival and mortality; IARC Monographs — evaluation of evidence regarding the possible causal association between risk factors and cancer; Cancer etiology — employing a multidisciplinary approach to investigate the interaction between genetic and environmental factors on the development of human cancers; Mechanisms of carcinogenesis — study of the molecular mechanisms underlying carcinogenic processes, providing important insights into the plausibility of risk-factor/disease associations and the identification of biomarkers of exposure, susceptibility, early detection and prognosis; Cancer prevention — research into the effectiveness of intervention strategies on cancer prevention and control, including understanding how these can best be implemented in particular socioeconomic and cultural environments; Education and training — the Agency has a strong commitment to form new generations of cancer researchers through the development of an integrated programme of education and training in its areas of scientific expertise. In addition to these six core areas of activity there are three generic support or strategic areas: Methodology and Research Tools — comprises research areas that contribute to the research activities of groups across the Agency; Scientific Support — includes common resources and services that support the work of research groups; Research Leadership and Management — concerns the areas of activity relating to the definition and implementation of the Agency’s scientific strategy and programme, and the coordination of relations with governance structures and with external partners and collaborators. Overall the statutory costs of the Agency have increased from the previous biennium by 11.44%. These costs relate to staff costs and are, in major part, beyond the control of the Agency. In times of global financial constraint the Agency proposes to finance these additional costs by a combination of a reduction in programmed activities (-6.57%) and an increase in regular budget (+4.87%). The Agency’s administration costs have been proportionally reduced compared to 2010–2011 and the costs related to Governing SC/47/6 Page 2 Scientific Council Proposed programme (2012–2015) and budget (2012–2013) bodies are also slightly reduced in order to protect the scientific programme. The Agency will seek to further compensate for the reduced regular budget financing by a number of measures including: new Participating States, increased Voluntary Contributions from existing Participating States and additional extra-budgetary sources, including cost recovery against regular budget costs. The budget proposed for 2012–2013 is € 39 758 435 compared to € 37 911 000 in 2010–2011. Other than Austria that will pay its full assessment in 2012–2013 and India, whose WHO scale of assessment has changed effective 2011, no Participating State will have an increase of more than 4.25% over the biennium — or a maximum of € 50 253 per annum. Overall the Proposed Programme (2012–2015) and Budget (2012–2013) reflects not only the IARC Medium-Term Strategy and Implementation Plan but closely aligns to the broader core elements of the IARC Statute: ¾ Planning, promoting and developing research in all phases of the causation, treatment and prevention of cancer; ¾ Collection and dissemination of information on the epidemiology of cancer, on cancer research and on the causation and prevention of cancer throughout the world; ¾ Studies on the natural history of cancer; ¾ Education and training of personnel for cancer research. The Agency has thus developed a programme and associated budget that plays to its strengths as an international organization, its multidisciplinary approach and inherent collaborative nature. Scientific Council Proposed programme (2012–2015) and budget (2012–2013) 1. SC/47/6 Page 3 SCIENTIFIC STRATEGY 2012–2015 The IARC Medium-Term Strategy and Implementation Plan for 2010–2014 sets out a number of guiding principles, based on the Agency’s Statute, which direct and focus its activities in the short- and medium-term. The central role of IARC is to conduct research on human cancer, which provides evidence to develop strategies for cancer prevention and control and thus contributes to the reduction of the global burden of cancer. Given this broad remit the Agency develops much of its activities through the promotion and coordination of large international collaborative research projects involving a wide network of partners. IARC’s mission is pursued on a number of different levels, ranging from research on human subjects and populations through to molecular and cellular studies. By this interdisciplinary approach, the Agency is particularly suited to promoting research which integrates the knowledge of the basic causes and mechanisms of carcinogenesis into population-based studies. As an international organization with a worldwide mandate, IARC is uniquely placed to conduct and promote research in areas of the world where resources are limited, but where the need is often greatest; in this context the Agency has defined as one of its main priorities for research the fight against the projected increase of cancer burden in low- and medium-resource countries. Finally, in addition to conducting original research the Agency also has a strong commitment to education and training, to form the next generation of cancer researchers. The scientific organization of IARC has changed since the last Proposed Programme and Budget to be consistent with the emphasis given in the Medium-Term Strategy and Implementation Plan for 2010–2014. The current operational structure comprises nine research Sections (each with one or more research Groups): the Section of Cancer Information (CIN) monitors the global cancer burden by collecting and analyzing data on cancer prevalence, incidence, survival and mortality; the Section of IARC Monographs (IMO) evaluates the evidence regarding the possible causal association between risk factors and cancer; the Section of Mechanisms of Carcinogenesis (MCA) studies the molecular mechanisms underlying carcinogenic processes; the Section of Molecular Pathology (MPA) focuses on the identification of reliable markers for tumour classification and on correlating histologically recognized phenotypes with genotypes of human cancers; the Section of Infections (INF) focuses on a combined epidemiological/biological approach to the investigation of the role of infections in cancer; the Section of Environment and Radiation (ENV) investigates the role of a broad range of environmental risk factors in the etiology of human cancers; the Section of Nutrition and Metabolism (NME) investigates the role of factors such as diet, obesity, physical inactivity and endogenous hormones in cancer etiology; the Section of Genetics (GEN) focuses on identifying specific genes and gene variants that contribute to the development of cancer and how these genetic effects interact with environmental factors; the Section of Early Detection and Prevention (EDP) conducts research on the development and evaluation of strategies for cancer SC/47/6 Page 4 Scientific Council Proposed programme (2012–2015) and budget (2012–2013) prevention and control which are appropriate to local socio-economic and cultural contexts. In addition, there are four Groups within the Director’s Office: the Gambia Hepatitis Intervention Study (GHIS), Communications (COM), Education and Training (ETR), and Laboratory Services and Biobank (LSB). The latter three Groups have a wide range of activities that are relevant across the Agency. The six core areas of scientific activity as defined in the IARC Medium-Term Strategy and Implementation Plan (2010–2014) frequently involve contributions from several Sections, reflecting the emphasis on collaborative and interdisciplinary research outlined above. However, the main areas of scientific activity at IARC and the major focus of each Section are: ¾ Describing the Global Cancer Burden (CIN) ¾ IARC Monographs (IMO) ¾ Cancer Etiology (INF, NME, GEN, ENV) ¾ Mechanisms of Carcinogenesis (MCA, MPA) ¾ Cancer Prevention (EDP) ¾ Education and Training (ETR) An overview of the scientific strategy and current and planned research activities under each of these areas is provided below. Describing the Global Cancer Burden The monitoring of worldwide cancer occurrence and provision of accurate data on cancer incidence, prevalence, mortality and survival remains one of the primary activities of the Agency. Access to reliable, timely, national and regional cancer statistics is essential to support the development of effective cancer prevention and control programmes, by providing a measure of the problem and highlighting priorities for action. In addition, they provide an essential tool to evaluate the success of cancer control interventions through the monitoring of temporal and regional trends. However, the collection of cancer occurrence data continues to be inadequate in many regions, particularly in low- and medium-resource countries, due to the lack of resources and training for local cancer registries. Another important area of the Agency’s work in the context of the description of the global cancer burden is the standardization of tumour classification, which enables the uniformization, comparison and analysis of combined data obtained from different cancer registries. The WHO Classification of Tumours series (WHO Blue Books), currently produced at IARC, is the definitive reference work for tumour classification. The WHO Blue Books are also of great importance in disease classification in clinical practice. The series is remarkable for the contribution it has made to improve the Scientific Council Proposed programme (2012–2015) and budget (2012–2013) SC/47/6 Page 5 standardization of the histological classification of tumours and the Agency is now pursuing the publication of the 4th series. The Agency is also taking responsibility for the 11th revision of the International Classification of Diseases (ICD-11) for neoplasms. This activity is in collaboration with international experts and coordinated through WHO headquarters in Geneva. IARC Monographs The accurate identification and assessment of the carcinogenic potential of risk factors for cancer is fundamental for the development of effective cancer prevention strategies. In this area the IARC Monographs series has acquired an international reputation for its authoritative and independent evaluation of a broad range of potential risk factors for cancer. The Agency assembles and coordinates the activities of expert working groups, composed of an international panel of external and internal scientists, which undertake the evaluation of the published scientific evidence on each potential carcinogenic agent. With 100 volumes published to date, the IARC Monographs series is one of the most widely recognized outputs of the Agency, used extensively by national and international health agencies to develop approaches for preventing exposure to known and suspected carcinogens. Cancer Etiology Despite advances in the identification of the causes of a number of human cancers, there remains a significant proportion for which etiology is unclear. In this context, the interaction between genetic background and environment is increasingly recognized as being determinant in the development of the vast majority of cancers. The study of the etiology of human cancers is one of the largest areas of activity at IARC, involving contributions and collaborations between research groups in and outside the Agency. The interdisciplinary approach, enabling the integration of population- and laboratory-based studies, is particularly appropriate to research in this area. Recent developments in the area of genomics have enabled the identification of an increasing number of genes and gene variants which are associated with, or are known to contribute to, the development of specific types of cancer. In addition, the availability of novel technologies to assess environmental exposure, based on the identification of biomarkers of exposure developed through “omics” and other technologies, such as mass spectrometry or nuclear magnetic resonance, has opened new possibilities for addressing the etiological role of environmental exposures on the development of cancer. The Agency’s strategy on cancer etiology places a major emphasis on the identification and validation of biomarkers, which can be used in epidemiological studies to improve exposure assessment, define susceptibility and classify disease. Such biomarkers will also serve to address the biological plausibility of putative exposure–disease associations SC/47/6 Page 6 Scientific Council Proposed programme (2012–2015) and budget (2012–2013) and as endpoints in pilot intervention studies. Therefore, epidemiological studies having associated biobanks will be a priority. Mechanisms of Carcinogenesis Research into the mechanisms of carcinogenesis provides the essential bridge from basic sciences to population-based research. Advances in the understanding of the cellular and molecular mechanisms of carcinogenesis provide fundamental insights into the interaction between environmental and genetic/epigenetic factors that result in the development of cancer. These insights into cancer mechanisms open new opportunities for the discovery of novel strategies for cancer prevention and treatment. In addition, as described above, results from mechanistic research allow the identification of biomarkers for disease detection, progression and outcome, as well as biomarkers of environmental exposures which provide essential tools for molecular epidemiology studies. Increasingly the molecular pathologic characterization of tumours is a vital approach in linking specific genetic alterations to both cancer risk factors and cancer outcome. Other areas of focus of mechanistic research at the Agency are the development of functional genomic studies to explore the involvement of genetic loci identified by genome-wide association studies, and of studies into the mechanisms by which epigenetic modifications are implicated in cancer development and progression. Cancer Prevention The development and evaluation of intervention strategies for cancer prevention and early detection is of fundamental importance to the work of the Agency, because it represents the translation of the insights obtained in its other areas of research into concrete approaches for addressing the primary objective of reducing the burden of cancer. The focus of the Agency in this area is research into the development of cost-effective prevention strategies and how these can be best implemented at the population level in the context of the local socio-economic and cultural environments, with particular emphasis in low- and medium-resource countries. This work is relevant to WHO in terms of the development of public health policy and for the successful design of public health programmes. Education and Training The Agency will pursue its commitment to developing a strong education and training programme, which is contiguous with and integrated into its research activities, through the strengthening of its Fellowship and Courses Programmes. By maintaining active working relationships with past fellows, course attendees, etc., the Agency can greatly expand its network of external collaborators and provide fellows with valuable opportunities for conducting high-quality research and training. Scientific Council Proposed programme (2012–2015) and budget (2012–2013) SC/47/6 Page 7 The Future International Leadership Role of the Agency In the coming decades the growing burden of cancer will become a major public health concern in low- and medium-resource countries around the world. The research carried out and coordinated by IARC, with its focus on these regions, will be key to providing the evidence for the development of effective, coordinated, national and international strategies for cancer prevention and control, which will contribute to the reduction of the global cancer burden. The reputation of the Agency in low- and medium-resource countries is high due to several decades of collaborative research and training in these regions. In addition, its research is of the highest international quality. The Agency is thus excellently placed to take a leading role on an international scale in combating the projected increases in cancer burden worldwide. The Agency will continue to seek and develop partnerships with other organizations and scientists that share these objectives. It will continue to work in close partnership with WHO, and to coordinate its activities with the goals and priorities outlined in the WHO’s “Action Plan for the Global Strategy for the Prevention and Control of Noncommunicable Diseases”. Cooperative working with other international organizations, including the Union for International Cancer Control (UICC) and the International Atomic Energy Agency’s Programme of Action for Cancer Therapy (IAEA/PACT) will be important. The growing recognition of the threat that the increase in the burden of cancer, and more widely of non-communicable diseases, represents to socio-economic development has highlighted the need for urgent concerted international action. In this context, the UN General Assembly has convened a high-level summit on the “Prevention and control of non-communicable diseases”, which will take place in September 2011. It is expected that this summit will generate significant global commitment and momentum to implement policies and mobilize additional resources for the control of non-communicable diseases. The UN special summit will provide a unique opportunity for the official acknowledgement of the importance of control and prevention of cancer as a development issue. The Agency will play a leading role in promoting the recognition of the central contribution of research in identifying priorities for action, and, together with its network of partners and collaborators, in lobbying for the development of a coordinated international cancer research agenda that addresses, in particular, the needs of the developing world. SC/47/6 Page 8 Scientific Council Proposed programme (2012–2015) and budget (2012–2013) Scientific Council Proposed programme (2012–2015) and budget (2012–2013) 2. SC/47/6 Page 9 DETAILED SCIENTIFIC PROGRAMME 2012–2013 AREA 1 Describing the Global Cancer Burden IARC is the definitive reference source for the provision of information concerning worldwide vital statistics on cancer and this activity is coordinated within the Section of Cancer Information (CIN). The monitoring of cancer occurrence provides fundamental baseline information for the development of research programmes into the etiology of the disease as well as for the planning and evaluation of public health interventions. Geographical and ethnic group comparisons, temporal trends and ecological studies can all provide important clues as to the causes of cancer. At the same time, incidence and mortality rates quantify the size of the problem in a given population and provide the basis for initiating cancer control measures and evaluating their effectiveness. Alongside these indicators, survival and prevalence rates provide measures of treatment efficacy and the consequent numbers of cancer survivors in different populations. Cancer Incidence in Five Continents (CI5) has been published by IARC in nine successive volumes over the last 45 years. This publication, produced in collaboration with the International Association of Cancer Registries (IACR), contains comparable worldwide cancer incidence data. CI5 has become an invaluable tool for supporting both cancer research and national programmes for cancer control. These data are made publicly available through the CANCERMondial website. This also gives access to cancer mortality data, provided by the World Health Organization, together with other relevant software tools including GLOBOCAN 2008, which allows the production of cancer incidence and mortality estimates for all countries of the world. In order to increase the worldwide coverage of cancer registry data, CIN also provides programmes of support for cancer registries. This activity includes providing administrative facilities and a secretariat to the IACR and to the European Network of Cancer Registries (ENCR). CIN staff are involved in conducting site visits to assess the feasibility of establishing new cancer registries and to provide developmental advice to existing registries, particularly in low- and medium-resource countries. CIN arranges training courses on cancer registration and its application to epidemiology. Alongside the above, CIN conducts a programme of research focused on descriptive epidemiology. Core components include the study of temporal trends and patterns in the occurrence of and outcomes from cancer, as well as the development of methodological approaches to their analysis. Objectives ¾ To collect, analyse and disseminate information concerning the global cancer burden and to improve the timeliness of this information. SC/47/6 Page 10 Scientific Council Proposed programme (2012–2015) and budget (2012–2013) ¾ To provide support to cancer registries worldwide in terms of development, staff training, promotion of common standards for coding and classification and ensuring effective use of data produced. ¾ To increase coverage of population-based cancer registration in particular in low- and medium-resource countries. ¾ To conduct a programme of research in the descriptive epidemiology of cancer including geographical analyses, time trends and the estimation of the future burden of the disease. ¾ To develop the use of new sources of information concerning the burden of cancer and novel methodological approaches in the analysis of registration data. ¾ To develop online global cancer statistics tools for inclusion in CANCERMondial. Present plans CIN will continue to support cancer registries worldwide with a view to increasing the coverage of the global population with high-quality, population-based registration systems. Such support will include promotion of common standards and registration processes, development of and training in the CanReg5 registration system, improved coding and classification standards through the development of the 3rd revision of ICD-O, and extending the dataset captured by cancer registration processes (to include, for example, addition of stage, screening and treatment information). In particular, CIN will continue activities to build cancer registration capacity in low- and medium-resource countries. CIN is developing a strategy of promoting regionally-based resource centres which will provide a focal point for those engaged in or seeking to develop population-based registries in low- and medium-resource countries. CIN will make use of the global information available, to produce novel analyses describing cancer incidence, mortality, survival and prevalence by world area, level of economic development, cancer type, sex and age group. We also plan major collaborative publications examining: ¾ global time trends and the role of demographic, epidemiologic and cancer transitions according to human development indices; where possible, this work will also consider major histological subtypes and anatomic sub-sites for specific cancers; ¾ scenario-based predictions of the future cancer burden, globally and within specific populations, based on prospects for early detection, prevention and implementation of screening programmes; ¾ worldwide estimates of cancer burden attributable to infection (with the Infections and Cancer Epidemiology Group) and dietary factors (with the Nutritional Epidemiology Group) together with accompanying online maps (as enhancements to GLOBOCAN). Scientific Council Proposed programme (2012–2015) and budget (2012–2013) SC/47/6 Page 11 Within Europe, close collaboration with ENCR will be strengthened by the provision of an efficient secretariat at IARC, which will secure co-funding of the ENCR core activities, organize ENCR meetings and courses, provide support and advice to individual cancer registries, and further develop and maintain facilities for data exchange in standard and comparable formats. Centralization and dissemination of data will be further improved, as well as time-lines for the provision of results. For childhood cancers, our existing network of collaborators will be solicited to update the IARC database, and new data providers will be identified. A newly established survey facility will be used to explore the availability of new non-standard data items, with a special focus on data describing short-term and long-term survival. This extension of the database will allow a more thorough description of cancer burden in childhood populations and aid international comparisons. Future directions Alongside maintenance of the production of CI5 and GLOBOCAN, CIN will also develop a global cancer data repository and other resources to provide access to information concerning worldwide patterns of cancer mortality, prevalence, survival and where possible, staging and screening information. Continuing the development of user-friendly online presentation and analytical tools will be an important component. CIN will also provide an online repository for receipt of registration data from low- and medium-resource countries, even if these data do not meet the quality standards required by CI5, which can then be used for analytical purposes in order to produce comparative reports and to support collaborative research activities. CIN will also be making use, where available, of extensions to standard cancer registration datasets to examine incidence trends in relation to stage of disease at diagnosis and the introduction of population-based screening programmes. It is also planned to conduct methodological research in order to improve estimates of incidence and mortality of cancer when only sparse data are available, and to develop and employ methods for estimating potential years of life lost (PYLL) and disability-adjusted life years (DALYs) for cancer at the global level. The collection of novel data on follow-up of childhood cancer by European cancer registries will be piloted. The aim will be to establish routine procedures for the population-based evaluation of prognostic factors in selected patient groups with good prognosis, which cannot be done in clinical trials. The second main purpose will be to facilitate the availability of long-term follow-up data for analyses that are comparable at the population level. Resources 2012–2013 Regular budget: allocation € 2 399 400 staff supported 9.7 SC/47/6 Page 12 Scientific Council Proposed programme (2012–2015) and budget (2012–2013) Extra-budgetary funds confirmed to date: AREA 2 allocation € 279 260 staff supported 0.7 IARC Monographs The first step in cancer prevention is to identify the causes of human cancer. National and international health agencies can then take action to prevent avoidable exposures to known or suspected carcinogens. Individuals can also use this information to make better choices that reduce their exposure to cancer-causing agents. The IARC Monographs are a series of scientific reviews that evaluate environmental factors and the associated risk of human cancer. Since 1971, the programme has evaluated more than 900 agents and identified more than 400 known, probable, or possible causes of human cancer. Objectives ¾ To evaluate in the IARC Monographs the scientific evidence concerning environmental factors of public health importance. ¾ To consider the relevance of experimental models through comparison between tumours in experimental animals and humans in relation to the same exposure. ¾ To review mechanisms of human carcinogenesis and the use of mechanistic data, including biomarkers, in carcinogen evaluation. Present plans During the 2012–2013 biennium, the IARC Monographs programme will convene two or three international, interdisciplinary Working Groups per year to develop new volumes of IARC Monographs. In addition, the programme will convene two scientific workshops to take advantage of a unique opportunity to synthesize the information developed in Volume 100, which brought the IARC Monographs up-to-date on the more than 100 human carcinogens classified by IARC. The first, “Tumour Concordance between Humans and Experimental Animals”, will explore the predictive value of animal tumours and identify human cancers for which, currently, there are no good animal models. The second, “Mechanisms Involved in Human Carcinogenesis”, will synthesize information on the mechanistic events known to be involved in the development of human cancer. The programme is also continuing its initiative to increase public access to IARC Monographs information. All volumes and supplements are being made freely available on our website, adding an “e-pub” format to provide additional capabilities to IARC Monographs users, and compiling an electronic database of IARC Monographs findings that will include cancer sites and mechanisms. We have also streamlined internal data management operations, including electronic access to many scientific journals, better tools to manage and standardize the written contributions by external Scientific Council Proposed programme (2012–2015) and budget (2012–2013) SC/47/6 Page 13 scientists, and the purchase of desktop publishing software to speed up publication and to enable development of “e-pubs”. Future directions The IARC Monographs programme is resuming normal operations after developing the special six-part “Volume 100” review of human carcinogens. An international Advisory Group will be convened in late 2013 or early 2014 to recommend new high-priority topics for consideration by the IARC Monographs programme during the years 2015–2019. Resources 2012–2013 Regular budget: Extra-budgetary funds confirmed to date: AREA 3 allocation € 1 814 020 staff supported 6.15 allocation € 1 431 919 staff supported 5.5 Cancer Etiology The elucidation of the causes of cancer has represented a major field of research at IARC since its origin. Cancer etiology is covered in this area under four sub-headings. Three of them deal with the most important avoidable causes of cancer: infections (sub-area 3.1); nutrition and metabolism (sub-area 3.2); and environment, radiation, lifestyle, and occupation (sub-area 3.4). The projects include a combination of epidemiological and laboratory-based studies aimed at elucidating further the risk associated with the exposure to these categories of agents. Sub-area 3.4 includes environment and radiation exposures (e.g. medical diagnostic radiation, pesticides, or drinking water quality) as well as strong cancer risk factors such as tobacco and alcohol. Genetics (sub-area 3.3) includes genome-wide studies of tobacco-related cancers, kidney cancers, nasopharynx and childhood malignancies. Genomic studies also aim to carry out integrative analyses of germ-line and somatic variation to investigate the contribution of genetic variation in cancer susceptibility and outcome. Projects in the cancer etiology area tend to share some important features: large international studies with substantial or predominant inclusion of low- and medium-resource countries; integration of questionnaire-based and biomarker-based information; use of sound study design and statistical methods. 3.1 Infections Objectives Infections are the etiological cause of 15–20% of human cancers worldwide. Examples of associations between infectious agents and human cancer are numerous and include, SC/47/6 Page 14 Scientific Council Proposed programme (2012–2015) and budget (2012–2013) inter alia: human papillomavirus (HPV) with cervical and head and neck cancers; human T-cell leukaemia virus (HTLV) with adult T-cell leukaemia; Epstein-Barr virus (EBV) with nasopharyngeal cancer and lymphoma; human herpesvirus 8 (HHV8) with Kaposi sarcoma; hepatitis B and C viruses (HBV and HCV) with liver cancer; Helicobacter pylori (H pylori) with stomach cancer; Merkel cell polyomavirus (MCPyV) with Merkel cell sarcoma. In addition, human immunodeficiency virus (HIV) increases the probability of other cancer-related infections and, therefore, cancer development, due to its ability to impair the immune system. Projects in this sub-area aim to gain insight into several aspects of infectious agents: their potential role in human cancer, factors that influence the natural history of infections, biological properties of strains, and the natural variants of the different infectious agents. HPV, HBV, HCV, HIV, EBV, Helicobacter species other than H pylori, and MCPyV are the main subjects of studies in the 2012–2013 biennium. Present plans Epidemiological studies will comprise the following: (i) determination of the geographical distribution of specific infectious agents; (ii) case–control studies to assess the potential role of chronic infections in carcinogenesis; (iii) identification of additional risk factors for persistence of infections and cancer development, such as HIV or co-infection with other carcinogenic viruses, viral strains and natural variants; (iv) sentinel studies of populations where HPV vaccination programmes are established and HPV-based screening has been started. Laboratory work will include several projects that complement the epidemiological approaches mentioned above: (i) establishment of new links between infectious agents and cancer; (ii) development of novel diagnostic tools for cancer-associated infections; (iii) characterization of the biological properties of human viruses to predict their in vivo carcinogenesis. The Biosafety Level 3 Laboratory represents an important asset for the Agency’s work in this area. Future directions The long-term goals of these studies are to provide key information for the establishment of novel strategies to prevent and, possibly, cure infections and their associated cancers. Resources 2012–2013 Regular budget: Extra-budgetary funds confirmed to date: allocation € 2 822 494 staff supported 12.05 allocation € 99 183 staff supported 0.17 Scientific Council Proposed programme (2012–2015) and budget (2012–2013) 3.2 SC/47/6 Page 15 Nutrition and metabolism Objectives Diet, nutrition, metabolic/hormonal imbalances, excess energy consumption, obesity, and physical inactivity are thought to be important contributors to increasing cancer incidence rates worldwide. However, the mechanisms of action of these factors remain poorly understood. In addition, the contributing influence of dietary transitions from traditional to western-type diets which is taking place in low- and medium-resource countries (e.g. in Latin America), or exposures in fetal life/early infancy are not well studied. Thus, the main objective of the Section of Nutrition and Metabolism (NME) is to address these issues by evaluating the association between diet (including dietary patterns), nutrition, physical activity, and energy imbalance with cancer risk in high-, low- and medium-resource countries using cohort and case–control designs, or human intervention studies. Emphasis will be placed on: (i) improving the accuracy and interpretation of dietary exposures; (ii) developing, validating and disseminating standardized dietary methodologies relevant to international study settings; (iii) the application of biomarkers and metabolomics to study cellular, biochemical and physiological changes and their relation to gene-diet/nutrient/environment interactions (see also section 7.3). Present plans A centralized web-based platform will be implemented for standard dietary assessment in international settings (e.g. eastern and Latin American countries), and in different age groups. Metabolomic approaches and reference methods will be developed for the measurement of specific nutrients, hormones and related biomarkers (see also section 7.3). These tools will be used within cohort and case–control studies in high-resource countries (e.g. EPIC) and in low- and medium-resource countries (e.g. EsMaestras, others), and within intervention studies to evaluate the role of diet, physical activity, obesity, and metabolic disorders on cancer risk and survival. A consortium of birth cohorts from low- and medium-resource countries in epidemiological transition will be established. Future directions Large cohorts and multicentre case–control studies will be used to identify the role and mechanisms by which diet, physical activity, obesity and metabolic disorders such as diabetes affect cancer incidence and survival. Particular emphasis will be placed on: the occurrence of cancer at younger ages (e.g. premenopausal breast cancer); comparison of tumour characteristics and stage at diagnosis between different countries and subjects of different ethnic origins; early markers of cancer risk; metabolomics and nutrigenomics and gene/diet/environment interactions. Translation of the findings into public health recommendations and the development of appropriate cancer prevention strategies will be emphasized. SC/47/6 Page 16 Scientific Council Proposed programme (2012–2015) and budget (2012–2013) Resources 2012–2013 Regular budget: Extra-budgetary funds confirmed to date: 3.3 allocation € 1 970 080 staff supported 8.65 allocation € 355 390 staff supported 0.15 Genetics Objectives The study of genetics has the potential to make important contributions to cancer etiology and prevention including elucidation of causal pathways, identification of lifestyle factors (via gene–environment and Mendelian randomization-type studies) and identification of high-risk individuals. Genetic epidemiology studies carried out at IARC are developed taking into consideration the global or regional burden of a particular cancer and the extent to which it is understudied by other national or international groups. This has led to a range of cancer types being investigated including common yet relatively understudied cancers (e.g. lung cancer), less frequent cancer types (kidney and aerodigestive tract cancers) and rare cancers (nasopharyngeal carcinoma and very rare childhood cancers). Present plans Population-based studies within the Section of Genetics (GEN) typically involve extensive amounts of fieldwork with the goal of recruiting large series of cases and controls comprising extensive questionnaire information and biological samples. For young onset cancers (such as nasopharyngeal carcinoma and childhood cancers) a trio design (parent–offspring) is also employed. The Genetic Epidemiology Group (GEP) also takes a leading role in the development of international consortia. Genetic analyses usually comprise a genome-wide approach with large-scale coordinated replication studies in diverse populations. Studies involve an extensive evaluation of non-genetic factors including questionnaire data as well as biomarkers (e.g. HPV for head and neck cancers, dietary biomarkers and cotinine in lung cancer), usually in collaboration with other IARC groups and also external collaborators. Confirmed susceptibility loci are investigated in more detail in the Genetic Cancer Susceptibility Group (GCS) with a variety of techniques including in silico tests of the functional consequence of genetic variants, expression analysis and resequencing studies. The genetic services platform, nested within GCS, also provides a suite of genotyping and genomics techniques to the GEN Section and other IARC groups. Future directions Genetics is a rapidly developing field. It is essential for IARC to remain at the forefront of ongoing developments (e.g. in detection of rare variants, next generation Scientific Council Proposed programme (2012–2015) and budget (2012–2013) SC/47/6 Page 17 sequencing) if it is to remain competitive both scientifically and with respect to attracting fellows and external funding. An example of the commitment of the Agency to go beyond the traditional confines of the field is its role in initiating a whole genome sequencing project of renal tumours in collaboration with the Centre National de Génotypage (the CAGEKID project), that has been supported by the European Commission and is participating in the International Cancer Genome Consortium (www.icgc.org). Resources 2012–2013 Regular budget: Extra-budgetary funds confirmed to date: 3.4 allocation € 2 914 725 staff supported 13.2 allocation € 955 235 staff supported 1 Environment, radiation, lifestyle, and occupation Objectives The goal is to investigate a broad spectrum of cancer risks related to environmental, occupational, radiation and lifestyle-related exposures. A primary objective is to investigate environmental risk factors, particularly in low- or medium-resource countries where there is limited research but where pollution levels are often higher, as well as for under-researched cancers with limited understanding of their etiology. Present plans At present, several studies address exposure to pesticides, smokeless tobacco, low-dose ionizing radiation (both medical, diagnostic and environmental), electromagnetic fields, asbestos and other occupational exposures. Particular focus is placed on cancers related to a variety of risk factors such as head and neck cancer, esophageal cancer, brain tumours, childhood cancers and lung cancer, particularly in relation to occupation. Use of the established large-scale cohorts in Siberia and Iran allows further cancer investigations in regions of the world where there is limited research. Future directions One aim is to develop a research network to investigate cancer risk related to poor drinking water quality, heavy pollution of air and soil, poor working conditions, and its interplay with poor living conditions in low- and medium-resource countries. In relation to lifestyle and occupation, research on emerging technologies such as nanotechnology and the continued exposure to radiofrequency fields from wireless devices are of importance. Low-dose ionizing radiation remains a priority and important scientific challenge. SC/47/6 Page 18 Scientific Council Proposed programme (2012–2015) and budget (2012–2013) Resources 2012–2013 Regular budget: Extra-budgetary funds confirmed to date: AREA 4 allocation € 1 809 400 staff supported 7 allocation - staff supported - Mechanisms of Carcinogenesis Two IARC Sections are primarily involved in work in this area: the Section of Mechanisms of Carcinogenesis (MCA) and the Section of Molecular Pathology (MPA). The aim of the MCA Section is to contribute to cancer prevention and control through a better understanding of mechanisms of carcinogenesis. MCA focuses on investigating interactions between the environment, the genome and the epigenome through mechanistic and translational studies, in collaboration with epidemiology groups. The main cancers studied are hepatocellular carcinoma, squamous cell carcinoma of the aerodigestive tract and breast cancer. Another focus is to develop functional genomic studies to explore the involvement of genetic loci identified by genome-wide association studies, in collaboration with the GEN Section. MCA also develops and disseminates databases on molecular alterations in cancer in areas where there is a strong associated research activity at the Agency, e.g. the TP53 mutation database. The MPA Section studies the molecular basis of human tumours, in particular brain tumours, through combined epidemiological and genetic studies. MPA’s expertise in molecular cancer pathology is essential to successfully leading the WHO Blue Books project (See sub-area 7.3). 4.1 Molecular carcinogenesis The acquisition of targeted molecular alterations in specific genes induces modifications of cell proliferation, survival and senescence programmes that drive carcinogenesis. Research focuses on understanding how mutagens affect cell responses and biological properties to confer them selective advantages allowing tumour development. This includes translational research to identify molecular markers for early detection and prognosis of common cancers in low- and medium-resource countries. Objectives The overall objective is to understand the interplay between mutagenesis and biological selection in shaping patterns of mutations in cancer-related genes, in particular TP53. Specifically, studies focus on the molecular mechanisms that underpin the roles of TP53 mutations in cancers of the esophagus, liver, breast and lung, with a focus on these cancers in low- and medium-resource countries. Scientific Council Proposed programme (2012–2015) and budget (2012–2013) SC/47/6 Page 19 Present plans Present plans centre on DNA sequencing of oncogenes and tumour suppressor genes in tumours and in the germline to elucidate their contribution to cancer burden. Current studies involve a large Li-Fraumeni (germline TP53 mutations) cohort in Brazil and case–control studies on esophageal cancer (Iran, Kenya), breast cancer (Mali, Latin America) and liver cancer (Mali, Sudan, Thailand, and Colombia). Mechanistic studies based on primary cell cultures including cancer stem cells are being developed to analyse the roles of dysfunctional oncogenes/tumour suppressors. Current work addresses the role of p53 and its isoforms in the regulation of cell stem/progenitor status, proliferation and senescence. An open-access, web-based database of TP53 mutations is being developed as a tool for disseminating and integrating knowledge on this complex tumour suppressor gene. Future directions The next step in these projects will be the use of next generation sequencing to evaluate the overall burden of mutagenesis at the genomic level and to identify new targets of mutations induced by environmental carcinogens. In functional studies, the use of high-sensitivity metabolomics will allow the analysis of the biochemical impact at the cellular level of changes in gene expression associated with cell proliferation, survival and senescence. These studies will lead to further advances in the definition of biomarkers applicable to molecular epidemiological studies, in particular on the effects of nutrition and on the impact of environmental factors. Resources 2012–2013 Regular budget: Extra-budgetary funds confirmed to date: 4.2 allocation € 1 182 720 staff supported 4.9 allocation € 321 000 staff supported 1 Epigenetics All critical changes in cancer cells, such as silencing of tumour suppressor genes, activation of oncogenes and defects in DNA repair, can be caused not only by genetic but also by epigenetic mechanisms. Therefore, understanding epigenetic changes associated with environmental exposures as well as with cancer development and progression is fundamental to improving our abilities to successfully prevent, diagnose and treat cancer. Objectives The long-term goal of the Epigenetics Group (EGE) is to advance the mechanistic understanding of epigenetic changes in human cancer and assess the impact of nutrition and early-life exposures on epigenetic states and cancer susceptibility. SC/47/6 Page 20 Scientific Council Proposed programme (2012–2015) and budget (2012–2013) Present plans Current studies are focused on: (i) analyses of epigenetic profiles (concentrating on DNA methylation, long non-coding RNAs and microRNAs) in specific human cancers and identification of risk factors in the environment, diet and lifestyle associated with these changes; (ii) identification of epigenetic changes associated with cancer stem cells (CSCs) of specific human cancers; (iii) the mechanisms by which epigenetic modifications dictate cancer development and progression; and (iv) effects of early-life exposures on the epigenome using population-based prospective cohorts. Future directions Future studies aim to identify epigenetic signatures in cancer and surrogate tissues and to investigate the effects of early-life exposures to dietary, lifestyle and environmental factors (including folate intake, aflatoxin, alcohol and infectious agents) on epigenetic states (DNA methylation, histone modifications and microRNAs), using samples from cohort studies (including mother/child cohorts and intervention studies). Other major objectives are the identification of microRNAs and long non-coding RNAs specific to cancer stem cells of specific human cancers, and the development of epigenetic methods applicable to biobanks associated with epidemiological studies (including mother/child cohorts). Resources 2012–2013 Regular budget: allocation € 1 255 510 staff supported 5.85 Extra-budgetary funds confirmed to date: allocation staff supported 4.3 - Molecular pathology As described above, carcinogenesis is a multistep, complex process that may involve several genetic and epigenetic alterations of transformation-associated genes, as well as changes in patterns of gene expression. The type and timing of these alterations appear to be both tissue-specific and cell type-specific. Histologically recognized phenotypes reflect such changes at genetic and expression levels. Objectives The aims are to elucidate the molecular basis and genetic pathways of human tumours, to identify clues as to their etiology, to correlate histologically recognized phenotypes with genotypes, and to identify reliable molecular markers for tumour classification and tumour progression. Scientific Council Proposed programme (2012–2015) and budget (2012–2013) SC/47/6 Page 21 Present plans Present plans include population-based studies on the incidence of astrocytic and oligodendroglial brain tumours and the predictive value of genetic alterations on survival rates; the identification of novel genetic pathways operative in the pathogenesis of low-grade diffuse gliomas; and the identification of the molecular basis and etiology of diffuse gliomas that are diagnosed at birth or that develop in very young children. Future directions The ultimate goal is to establish molecular classifications that are more reliable than histological diagnoses alone in human neoplasms and to relate these both to the etiology of cancer and its treatment/management. Resources 2012–2013 Regular budget: allocation € 719 810 staff supported 2.6 Extra-budgetary funds confirmed to date: allocation staff supported AREA 5 - Cancer Prevention Prevention is the most cost-effective approach to cancer control provided the causes are known, the disease can be detected in the precancerous phase, effective treatment is available and systematic delivery of effective and affordable interventions is well managed. IARC is continuing to make significant contributions to cancer prevention globally by catalysing the identification of human carcinogens and the evaluation of simple and affordable screening methods, in particular for cervical, breast and oral cancer. In addition, significant efforts are being made to introduce and strengthen quality assurance in the context of national cancer screening programmes, particularly in Europe. 5.1 Primary prevention Evaluating primary prevention strategies is a key part of the Agency’s research portfolio. Major long-term effort is invested in evaluating vaccination against human papilloma virus and hepatitis B virus in relation to cervical and liver cancer respectively. In addition, observational studies are conducted to evaluate the impact of public health interventions including screening. SC/47/6 Page 22 Scientific Council Proposed programme (2012–2015) and budget (2012–2013) Objectives ¾ To evaluate the efficacy, feasibility, safety and acceptability of a 2-dose HPV vaccination regimen compared to the conventional 3-dose regimen in preventing persistent HPV infection and cervical neoplasia. ¾ To determine the efficacy of childhood vaccination against HBV for prevention of chronic liver disease and liver cancer in a region with high incidence of hepatocellular carcinoma. ¾ To evaluate the impact of routine interventions in public health services on the incidence of and mortality from major cancers such as uterine cervix, breast, large bowel, liver, lung, head and neck and colorectal cancers. Present plans A cluster-randomized trial is currently ongoing in India, involving 20 000 unmarried girls aged 10–18 years comparing two doses of quadrivalent HPV prophylactic vaccine to three doses. A randomized trial of the HBV vaccine was begun in The Gambia in 1986, involving 120 000 newborns. The study is entering the period where liver cancers are occurring and based on current data the final outcome of this trial will be measurable between 2015 and 2020. Current priorities are: (i) to maintain, develop and expand the coverage of the national cancer registry; (ii) to support clinical and laboratory activities aimed at improving identification and diagnosis of chronic liver diseases and liver cancer; and (iii) to optimize the linkage between cancer cases and the trial participants. Future directions The participants in the HPV vaccine trial will be followed up over a period of 15–20 years to evaluate serum neutralizing antibody levels, incident and persistent vaccine-targeted and non-targeted HPV infections, cervical intraepithelial neoplasia and invasive cancer in the study groups, as well as the safety, acceptability and long-term sequelae of the two different regimens. The current vaccine study platforms will be used to evaluate newer HPV vaccines such as L2 and polyvalent L1 vaccines in the future. The findings from this study will provide critical information on the safety and efficacy of unconventional and sub-optimal vaccination regimens and catalyse development of public health policies on HPV vaccination in low- and medium-resource countries. Through its contribution to improving the understanding of the risk factors for liver cancer and the clinical presentation of the disease in West Africa, The Gambia Hepatitis Intervention Study (GHIS) will provide a framework to develop recommendations and guidelines for effective reduction of the burden of liver cancer in high-incidence areas of Africa. These include the development of interventions aimed at improving early diagnosis, controlling viral replication in chronically infected subjects, managing chronic liver disease and, whenever feasible, proposing appropriate treatment to liver cancer patients. Scientific Council Proposed programme (2012–2015) and budget (2012–2013) SC/47/6 Page 23 Efforts will be made to study trends in the incidence of cervical, breast, colorectal, liver and oral cancers in the cohorts of participants in different screening group trials, conducted by IARC in partnership with national collaborators, as well as in routine national programmes focusing on screening and vaccination. Efforts will also be made to correlate the findings with specific interventions such as HBV vaccination, tobacco control procedures and screening interventions. Important information on the prevention of cancers, cancer deaths and quality of life, as well as strategies to improve the participation of target populations following different prevention interventions both in specific study settings and routine health service contexts, will be available in the next 5–10 years. Resources 2012–2013 Regular budget: allocation € 756 600 staff supported 2.05 Extra-budgetary funds confirmed to date: allocation staff supported 5.2 € 3 217 644 1 Screening Objectives ¾ Cervical cancer: To evaluate the efficacy, safety and acceptability of different cervical screening methods and cold coagulation in the treatment of cervical intraepithelial neoplasia. ¾ Oral cancer: To evaluate the efficacy and cost-effectiveness of oral visual screening by trained health workers in reducing oral cancer mortality in low- and medium-resource countries. ¾ Breast cancer: To evaluate the effectiveness of breast awareness and clinical breast examination in reducing breast cancer mortality; to evaluate alternative breast cancer screening techniques such as near infra-red illumination, ultrasonography and blood-based tests. Present plans Cervical cancer: Evaluation of the comparative efficacy of visual and HPV testing methods in cluster-randomized controlled screening trials (200 000 women) is ongoing in Osmanabad and Dindigul districts, India, to assess the impact on cervical cancer incidence and mortality. The outcome of a pilot cervix cytology screening programme in Thailand is being evaluated. Field studies are ongoing to evaluate the feasibility, safety and effectiveness of cold coagulation in the treatment of cervical cancer precursor lesions. SC/47/6 Page 24 Scientific Council Proposed programme (2012–2015) and budget (2012–2013) Oral cancer: Oral cancer incidence and mortality in a cluster-randomized controlled intervention trial in Trivandrum, India, are being established to document the long-term impact of different frequencies of visual screening. Breast cancer: A cluster-randomized trial (120 000 women) is ongoing in Trivandrum district, India, to evaluate the impact of three rounds of clinical breast examination and breast awareness at 3-year intervals, compared to a control group receiving the existing usual care. The first round of screening has been completed and the second round of screening is ongoing. Future directions Cervical cancer: The trends in cervical cancer incidence and mortality in the intervention and control cohorts of the randomized studies will be evaluated on an ongoing basis. Routine national screening programmes in Bangladesh, Thailand and the Republic of Korea will be evaluated. Cross-sectional studies will be conducted to evaluate the accuracy of rapid and less expensive HPV tests in detecting high-grade disease, and follow-up studies will be conducted in general populations as well as in high-risk groups such as HIV-infected women. Follow-up studies will be carried out to evaluate the use of biomarkers, such as P16 and E6, E7 protein expressions, in predicting potentially malignant precancerous lesions. Cervical screening training centres in Asia, Africa and South America will be further strengthened, educational materials will be provided and training programmes will be conducted to augment trained human resources in cervical cancer prevention on an ongoing basis. Oral cancer: The natural history of oral precancerous lesions within the screening study will be addressed. Technical assistance will be provided to scale up oral cancer screening in routine health services to demonstrate the feasibility of routine early detection through this approach. Breast cancer: Three rounds of clinical breast examination screening will be completed and long-term trends in breast cancer mortality will be established in the Trivandrum breast cancer randomized controlled trial. Studies will be organized to address the role of near infra-red imaging, ultrasonography imaging and a blood-based gene detection test in the early detection of breast cancer. Colorectal cancer: A demonstration project involving 150 000 subjects aged 50–65 years will be organized in Thailand to address the feasibility, safety and effectiveness of introducing faecal occult blood screening and colonoscopy triage in the control of colorectal cancer through routine health services. Studies will be organized to address the factors influencing the participation of target populations in specific screening/diagnosis/treatment interventions. Scientific Council Proposed programme (2012–2015) and budget (2012–2013) SC/47/6 Page 25 The above studies will provide valuable information that can facilitate the development of rational public health policies in different settings across low- and medium-resource countries. Resources 2012–2013 Regular budget: Extra-budgetary funds confirmed to date: 5.3 allocation € 621 605 staff supported 2 allocation € 58 080 staff supported - Quality assurance and guidelines Objectives ¾ To update the European Code Against Cancer. ¾ To update quality assurance guidelines for cancer screening. ¾ To integrate HPV vaccination for primary prevention of cervical cancer into the quality assurance guidelines for cervical cancer screening. ¾ To develop accreditation/certification schemes for breast cancer screening services fulfilling the respective guidelines. ¾ To report on the performance and impact of cancer screening worldwide. ¾ To promote international cooperation in guideline development. Present plans European Code Against Cancer: A scientific advisory group will be established for the continuous review and updating of the Code. This group will also provide authoritative information for improving communication of the Code. The relevant literature will be identified and analysed to update the recommendations on at least three of the Code’s topics. Piloting accreditation/certification: Based on the European guidelines for quality assurance in breast cancer screening and diagnosis and the European Directive on Accreditation, a protocol for voluntary accreditation of specialist breast units will be developed in cooperation with WHO, the European Cancer Network, the European Cooperation for Accreditation, and the IAEA’s Programme of Action for Cancer Therapy (PACT). Development of quality assurance guidelines for cancer screening: Updated supplements to the European guidelines for breast and cervical cancer screening will be published, including recommendations on HPV testing and HPV vaccination for primary prevention of cervical cancer. Publications based on the new European guidelines for quality assurance of colorectal cancer screening will be prepared. The Quality Assurance SC/47/6 Page 26 Scientific Council Proposed programme (2012–2015) and budget (2012–2013) Group (QAS) will collaborate with WHO/HQ and the Institut National du Cancer (INCa) in France in the preparation of an update of the WHO Guidelines on Cervical Cancer Prevention. Promoting international cooperation in guideline development: The current collaboration with non-EU countries in the European Cancer Network will gradually be extended to include low- and medium-resource countries. The initial focus will be on colorectal cancer screening in collaboration with the US National Cancer Institute, the Centers for Disease Control and the American Cancer Society. In addition, standards of reporting on implementation of cancer screening in the EU will be piloted for the reporting of cancer screening programmes in countries outside the EU. Future directions European Code Against Cancer: Revision of all recommendations in the Code will be completed. The scientific advisory group will monitor developments in primary and secondary prevention in order to support the evidence-based revision of the recommendations. Piloting accreditation/certification: Pilot studies will demonstrate how screening programmes can attain the required level of competence to reliably meet internationally recognized standards. Development of quality assurance guidelines for cancer screening: New developments will be taken into account and state-of-the-art quality assurance guidelines will gradually be transferred to other regions of the world or adapted to the conditions in low- and medium-resource countries. Reporting on implementation of cancer screening: An internationally recognized reference for cancer screening will be established (Cancer Screening in Five Continents) and used to monitor programme implementation worldwide. The above activities will generate improved recommendations for the implementation of primary and secondary cancer prevention in high-resource countries, and contribute to the development and testing of recommendations appropriate for low- and mediumresource countries. They will expand the available options for effective cancer control worldwide by facilitating the transfer of knowledge and expertise in quality assurance of cancer screening and primary prevention between countries at all resource levels. Resources 2012–2013 Regular budget: Extra-budgetary funds confirmed to date: allocation € 607 720 staff supported 1.9 allocation € 107 000 staff supported - Scientific Council Proposed programme (2012–2015) and budget (2012–2013) AREA 6 SC/47/6 Page 27 Education and Training Research training is one of the statutory roles of IARC and a key element of its mission since the inception of the Fellowship Programme in 1966. Education and training is vital to the Agency, providing as it does the opportunity to form a new generation of cancer researchers with the motivation and skills to tackle the global cancer burden. The purpose is to foster knowledge on key developments in cancer research, and to develop skills in epidemiological and laboratory research, with special emphasis on developing training initiatives in countries where resources for the control of chronic diseases in general, and cancer in particular, are limited. By helping to develop local expertise in cancer research and by strengthening research institutions through international collaborations, IARC aims to enhance cancer prevention through research. The programme in this area is currently organized in two major components: fellowships and training courses. 6.1 IARC Fellowship Programme In total IARC has awarded more than 500 fellowships to junior scientists from almost 70 countries for research training in cancer. More than 80% of fellows return to their home country on completion of their training and remain active in cancer research. As a result, IARC Fellowships have made a substantial contribution to the development of cancer research in many countries. The Agency also attracts top international cancer researchers who visit and work at the Agency, contributing to its programmes and making it an ideal environment for education, training and exchange. Objectives The main objective of the programme is to promote international collaboration in those aspects of cancer research related to the Agency’s own programme, by providing for the training of scientists particularly from or with projects related to low- and medium-resource countries. Present plans The Agency’s Fellowship Programme consists of several components: Postdoctoral Fellowships (2-year fellowships at IARC); Visiting Scientist Award (at IARC) and Expertise Transfer Fellowship (to an institution in a low- or medium-resource country) for senior scientists. Provision of in-house generic training for all post-doctoral fellows at IARC is being developed to enhance the training experience of junior scientists passing through the Agency. Future directions The current programme will be maintained and extra-budgetary funds will be sought for its expansion including establishing bilateral agreements with organizations in Participating States to increase scientific exchange and collaboration through training. SC/47/6 Page 28 Scientific Council Proposed programme (2012–2015) and budget (2012–2013) Resources 2012–2013 Regular budget: Extra-budgetary funds confirmed to date: 6.2 allocation € 1 122 875 staff supported 1.55 allocation € 764 860 staff supported - IARC Courses Each year more than 400 students from over 60 countries attend IARC-led courses in more than a dozen centres around the world. One success of IARC in the context of training has been its role in actively building and maintaining relationships with diverse and numerous key players in the field of cancer research, including past fellows, course attendees and course faculty. In this way the activity has helped to create subsequent opportunities for conducting high-quality research in a cost-effective way, as well as providing an important mechanism for recruiting scientists to cancer research. Objectives The primary aim of the IARC Courses Programme is to stimulate research on cancer, by improving scientific knowledge and developing practical skills of researchers worldwide, particularly in regions where lack of expertise prevents the development of cancer research. In addition the programme ensures the delivery of a coordinated set of courses by the Agency and through strategic partnerships with other organizations. Present plans The IARC Courses Programme is one of the continuing activities of the Agency and consists of the IARC Summer School and ad hoc courses. The IARC Summer School is a series of training modules offered at IARC around the same period each year, with programmes designed to provide integrated training to participants. Emphasis has been put on training in epidemiology and biostatistics with modules on descriptive, analytical and molecular epidemiology. Ad hoc courses are organized either inside or outside IARC to respond to specific needs, e.g. courses held in languages other than English or to support collaborations with specific IARC scientific activities. In particular, the Agency provides extensive training in cancer registration and cancer screening. Future directions The current programme will be maintained, and extra-budgetary funds will be sought to expand and to provide financial support to suitable candidates from low- and medium-resource countries in the absence of local resources. In addition, more advanced courses in, for example, cancer survival, biostatistics or molecular epidemiology will be developed in collaboration with national centres of excellence. Scientific Council Proposed programme (2012–2015) and budget (2012–2013) SC/47/6 Page 29 Resources 2012–2013 Regular budget: Extra-budgetary funds confirmed to date: AREA 7 allocation € 472 940 staff supported 1.5 allocation - staff supported - Methodology and Research Tools This section comprises research areas that support or integrate activities of research groups across the Agency, and includes Biostatistics, Exposure Assessment, Biomarkers and the WHO Classification of Tumours. The approach to the development of each of these sub-areas is outlined below. 7.1 Biostatistics Objectives The Biostatistics Group (BST) has two distinct objectives: ¾ To assist with the scientific activities of the other groups within the Section of Genetics (GEN) by developing methodologies for the analysis of their data. ¾ To create a professional environment for statisticians working across the Agency. Present plans Genetics Methodology: Current priorities in this area are: ¾ Improvement of the capacity of methods for in silico classification of genetic variants so they can be applied in an automated fashion across the human exome. This will be essential for the analysis of deep re-sequencing data, which will include large numbers of rare variants that cannot be analysed without first being grouped by likely degree of functional effect. ¾ Development of methods to integrate sequence data from tumour tissue with germ-line genotypes, in order to identify potential pathways of carcinogenesis. ¾ Providing guidance on the selection of analysis methods and facilities required to exploit data generated by next-generation sequencing technologies. Cross-Agency statistics support: The goal is to create a critical mass of statistical expertise, both to stimulate methodological research and ensure a high level of statistical support for other projects. SC/47/6 Page 30 Scientific Council Proposed programme (2012–2015) and budget (2012–2013) Current activities include: ¾ Establishment of the Biostatistics Consultative Committee, consisting of professional statisticians from across the Agency, to evaluate opportunities for internal and external collaboration, training and professional development. ¾ Creation of a web-based discussion forum, to allow statisticians at all levels and from all groups to easily discuss technical matters and share code or other information. Future directions Genetics Methodology: We will continue to follow the evolution of new sequencing technologies in order to ensure that IARC is positioned to benefit from them via optimal analytical methods. Cross-Agency statistics: A strategy will be developed to ensure that appropriate statistical training is provided to all post-doctoral fellows who spend a period of training at IARC. Resources 2012–2013 Regular budget: Extra-budgetary funds confirmed to date: 7.2 allocation € 367 300 staff supported 1 allocation - staff supported - Exposure assessment Objectives Accurate, valid and reliable exposure estimates are crucial in epidemiological studies, particularly when investigating relationships of possibly modest strength, as is often the case in epidemiology in relation to environmental and lifestyle risk factors. This sub-area aims at improving methods of exposure assessment in large-scale epidemiological studies, including the development of prediction models, biomarkers, validation of self-reports, and the development of time-dependent multi-exposure vectors. Present plans Improvements of exposure modeling are ongoing or have been initiated in some areas, particularly low-dose ionizing radiation from environmental as well as medical diagnostic exposures, and also non-ionizing radiation (i.e. radiofrequency electromagnetic fields associated with the use of mobile phones). Geographical information systems will be used to develop predictors of pesticide exposure. Mechanism-based biomarkers of exposure will be developed and these will include the application of metabolomics. Scientific Council Proposed programme (2012–2015) and budget (2012–2013) SC/47/6 Page 31 Future directions A long-range goal is the stepwise improvement of currently used methods of exposure assessment, including assessment of lifestyle exposures and pollutants of air, water and soil in different regions of the world and in particular in low- and medium-resource countries where there is a need for affordable exposure assessment methods. Particularly promising fields are the development of prediction models or identification of exposure-related biomarkers, further improving use of self-reported data through validation studies, and simulations or respective corrections in the risk analysis. Resources 2012–2013 Regular budget: Extra-budgetary funds confirmed to date: 7.3 allocation € 359 700 staff supported 1.3 allocation - staff supported - Biomarkers Objectives The objective in this area is the identification and validation of molecular biomarkers of cancer. Advances in the understanding of the mechanisms of carcinogenesis have led to the identification of biomarkers which provide useful tools in areas such as etiological research in molecular epidemiology, evaluation of carcinogens, measurement of exposures to environmental risk factors and assessment of cancer prevention interventions. Molecular biomarkers have thus become an essential tool in cancer research and a major focus of activity in a number of areas of research at the Agency. Present plans and future directions A new Biomarkers Group (BMA) has been created at the Agency within the Section of Nutrition and Metabolism (NME). The activity of this group will focus on the identification of biomarkers of dietary exposure and metabolism and the use of metabolomic approaches to measure dietary exposures and assess metabolic profiles, to provide new insights into diet–lifestyle–disease risk associations. More broadly, the work of this and other groups across the Agency will increasingly develop and make use of biomarkers for early detection and diagnosis, prediction of cancer risk, as indicators of prognosis or to evaluate the biological plausibility of putative associations between environmental exposures and cancer. Other types of studies on cancer may also employ biomarkers to improve assessment of exposure to environmental risk factors, define individual susceptibility, classify disease, or as endpoints in pilot intervention studies. SC/47/6 Page 32 Scientific Council Proposed programme (2012–2015) and budget (2012–2013) Resources 2012–2013 Regular budget: Extra-budgetary funds confirmed to date: 7.4 allocation € 972 810 staff supported 4.9 allocation - staff supported - WHO Classification of Tumours Objectives Without clearly defined histopathological and genetic diagnostic criteria, epidemiological and clinical studies are difficult to conduct. The objectives of this project are to establish a pathological and genetic classification and grading of human tumours that are accepted and used worldwide, and to publish the 4th edition of the WHO Classification of Tumours (WHO Blue Books series). Present plans In 2012–2013, the plan is to prepare the following three volumes of the WHO Blue Books series: “Tumours of the Breast”, “Tumours of Soft Tissues and Bones” and “Tumours of the Female Genital Organs”. Future directions To complete the 4th edition (total 12 volumes) in a timely manner, there will be an accelerated publication process. In order to distribute WHO Blue Books to a larger number of pathologists worldwide, there will be improved book sales through collaboration with WHO Press in Geneva. Translations into other languages and online versions may be considered. In low- and medium-resource countries, advanced diagnostic tools such as genetic analyses are limited or not available. Therefore the plan is to produce adapted diagnostic pathways using algorithms that allow a reliable diagnosis for major tumour types to be included in the WHO Blue Books series. Resources 2012–2013 Regular budget: Extra-budgetary funds confirmed to date: allocation € 248 610 staff supported 1.2 allocation € 654 400 staff supported 2 Scientific Council Proposed programme (2012–2015) and budget (2012–2013) AREA 8 SC/47/6 Page 33 Scientific Support This area describes the activities of shared technical services that are developed and managed as central facilities providing support to research groups as well as to the administration. These include common resources such as Laboratory services, Biobank and Communication. 8.1 Laboratory services There are a number of specialized resources and services used by each of the laboratory groups in the Agency. In order to ensure the integrated development of these areas, the Laboratory Steering Committee (LSC) oversees the core support services and sets priorities for investment, in line with the IARC Medium-Term Strategy, through advice to the Director. The recent assignment of a professional scientist post to be Head of the Laboratory Services and Biobank Group (LSB) provides further support to this area. Objectives ¾ To provide a common platform for basic laboratory services including histology services, glass-washing service, central store of laboratory consumables, biological/hazardous waste collection and all operations related to the control and implementation of laboratory safety. ¾ To provide an integrated approach to maintenance and replacement of major items of laboratory equipment across the Agency. ¾ To coordinate cost recovery where possible of core service costs through extra-budgetary means. ¾ To offer to all research groups at IARC the use of a Biosafety Level 3 Laboratory for the manipulation of biohazardous materials. Present plans and future directions Several of the activities described above are already in place at IARC and are fully operational. Efforts will be made to promote cooperation between the Agency’s laboratories with the aim of offering a broad spectrum of central facilities. In addition, it is planned to improve some of the existing central facilities, such as the central store, which will include a broader range of items routinely used by IARC groups. Resources 2012–2013 Regular budget: Extra-budgetary funds confirmed to date: allocation € 962 716 staff supported 6.15 allocation - staff supported - SC/47/6 Page 34 8.2 Scientific Council Proposed programme (2012–2015) and budget (2012–2013) Biobank The development of the IARC Biobank, containing collections of well-annotated human biological specimens, is a strategic activity for IARC, providing an essential tool for the exploration of the complex relationship between the environment, genetics and cancer. The IARC Biobank provides an infrastructure for such collections from across the Agency’s epidemiology groups and a laboratory platform for quality control, specimen processing (including DNA extraction) and distribution. The Biobank also represents a resource for the wider international cancer research community. Objectives ¾ To develop and manage a biobank of all biological specimens stored at IARC, including appropriate storage facilities. ¾ To provide a laboratory infrastructure for specimen processing, handling and shipping/distribution of human specimens. ¾ To ensure that the IARC Biobank remains at the forefront of technical and ethical standards of international biobanking. Present plans and future directions The Agency has responded to the importance of this area by further supporting the Biobank management and governance structure through the creation of the Biobank Steering Committee (BSC). The BSC will oversee the operation of the Biobank, and will work closely with the new Head of the Laboratory Services and Biobank Group, who will be responsible for the day-to-day management of the service supported by a technical team. The new structure will permit further implementation of the Laboratory Information Management System (LIMS) which has been developed to catalogue and track bio-specimens during processing and distribution to partner laboratories. The Agency has good relationships with partners in this area and will continue working through established networks of biobanks to develop internationally accepted standards and guidelines for biobanking. Resources 2012–2013 Regular budget: Extra-budgetary funds confirmed to date: allocation € 764 520 staff supported 3.55 allocation € 585 400 staff supported 4 Scientific Council Proposed programme (2012–2015) and budget (2012–2013) 8.3 SC/47/6 Page 35 Communication In addition to providing support to research groups and to the administration, activities in this sub-area, which include communication, publications and the Agency's library, are important extensions of IARC’s research programme and mission, and represent an important aspect of the Agency’s external communication strategy. Publications and Translation programme Objectives ¾ To provide support to the governing bodies and staff of the Agency in the form of high-quality scientific publications in the Agency’s areas of expertise, as part of an integrated programme of publications. ¾ To provide support to the governing bodies and staff of the Agency in the form of easily accessible, readable, high-quality information and documentation in the Agency’s official languages, for policy-making and its application by outside institutions. Present plans and future directions The Publications programme, in the framework of the Communications Group (COM), will continue providing guidance and expertise to other groups for their publication projects, using WHO Press as its exclusive dissemination channel for book production. The programme will actively develop electronic publications, and make the best use of its resources to develop Internet-based publications. Documents will be provided in both official languages for meetings of the governing bodies. These will be made available on IARC’s website and in hard copy upon request. Selected scientific publications, documents and correspondence will be translated within the resources available. Public Relations and Website Objectives The role of the Communications Group is to disseminate information on the Agency’s activities and raise its profile in the research and wider communities, by promoting media presence, enhancing visibility and providing better access to Agency databases and resources in general. Present plans and future directions The Communications Group has developed a number of means to attain the public relations objective mentioned above: regular releases to the press on all major IARC advances will continue to be sent to an ever-larger body of press correspondents worldwide; press conferences for direct contact between the various branches of research and the media, within the constraints of limited resources; participation in, and organization/co-organization of, local community and host-country events; development SC/47/6 Page 36 Scientific Council Proposed programme (2012–2015) and budget (2012–2013) and regular updating of the Agency’s interim/Biennial Report(s) and brochure, in both official languages. The IARC website also responds to the need to present the Agency’s activities and its ongoing programmes. The webmaster will continue to update and develop the website making it more user-friendly. The IARC website, as a primary means of dissemination of research results, will ensure greater visibility of research output by providing links to internal sub-sites such as the IARC Monographs databases and IARC’s CANCERMondial databases. The webmaster will also help to analyse the web needs of the IARC research groups and develop/upgrade various groups’ sub-sites to bring them in line with institutional identity guidelines. As the Agency’s website is increasingly the entry point for Agency “visitors”, it should therefore reflect its mission, values and strategy so that these are readily identifiable. In addition, the webmaster will continue to maintain and develop the IARC intranet, the internal Agency-wide information portal, which serves as a single access point to various resources and services for internal use. Library and Information Services Objectives ¾ To develop and maintain collections, resources and services to support Agency research. ¾ To ensure seamless access to global information for Agency researchers. ¾ To offer educational and reference services that are user-centred and responsive. ¾ To archive, preserve and disseminate the Agency’s institutional memory. Present plans and future directions Within the Communications Group, the Library is the focal point for the acquisition, dissemination and delivery of information services in support of the research carried out by the Agency. User-centred collections, resources and services will be delivered in a hybrid library environment: physical and virtual, local and remote, print and electronic. Resource sharing will be fostered through knowledge management strategies and participation in reciprocal local, regional and international information partnerships. Individual and group training will be provided for all staff, visiting scientists and students in the effective use of information resources. Current staff publications will be identified and archived. Retrospective identification and archiving of Agency publications will be carried out. Scientific Council Proposed programme (2012–2015) and budget (2012–2013) SC/47/6 Page 37 Resources 2012–2013 Regular budget: Extra-budgetary funds confirmed to date: AREA 9 allocation € 1 720 720 staff supported 7.2 allocation € 102 200 staff supported 1 Research Leadership and Management The key challenge of research leadership within the Agency is to develop and implement a clear strategy that provides the vision, direction and resources for its continuing growth and success. This requires constant dialogue and engagement with persons at all levels of the Organization, with the Staff Association Committee (SAC) as well as with the management and governance structures and with external partners and collaborators. 9.1 Direction and leadership The Director is responsible for providing leadership and for directing the research programme of the Agency, within the overall framework of the IARC Statute, the Medium-Term Strategy and the Programme Budget. This activity is developed and coordinated through regular consultation and collaboration with the staff, with external and internal advisory groups and committees, with the Senior Leadership Team (SLT) which advises the Director on scientific strategy and with the IARC Operational Team (IOT) which coordinates implementation of the decisions made by the Director. Objectives ¾ To direct, inspire and lead IARC in order to maximize the contributions of all staff and external collaborators towards attainment of the mission of the Agency. ¾ To create a working environment in which all staff of the Agency can develop and contribute a maximum to its aims and objectives. ¾ To continue to extend the Agency’s networks of scientific collaborations with external groups and institutions. ¾ To strengthen IARC’s research collaboration with intergovernmental and government bodies and other interested parties. ¾ To achieve further expansion of the Agency’s scientific programme by the attraction of new Participating States and voluntary contributions. SC/47/6 Page 38 ¾ Scientific Council Proposed programme (2012–2015) and budget (2012–2013) To build up and maintain good relations with IARC’s main funding partners, e.g. the European Commission, the United States National Institutes of Health, INCa and other funding organizations in the host country, as well as other local, national and international organizations or institutes. Present plans and future directions The Senior Leadership Team (SLT) provides a forum for senior staff to discuss and advise the Director in his decision-making with respect to implementation of the Agency’s scientific strategy, priorities for resource utilization and management issues. The SLT interacts with the IARC Operational Team (IOT), which coordinates the support services of IARC to ensure that the Agency can deliver its scientific strategy. Key areas that require an integrated vision are supported by committees made up of staff across the Agency, for example, the Biobank Steering Committee, the Laboratory Steering Committee and the Advisory Committee on Publications. In the area of external relations, the Agency’s extensive network of collaborations is widely recognized as one of its major strengths. International scientific leadership will be demonstrated by creation and expansion of research partnerships and by coordination of international collaborative projects. The existing mechanisms for the coordination of input to and feedback from important international research forums will be strengthened. Closer cooperation and coordination will continue to be sought with partner organizations within the United Nations system. In particular the close working relationship with WHO HQ and links to WHO Regional Offices will be further developed. Relationships with current and potential new Participating States will continue to be developed. The Agency will actively seek to coordinate work with all partners in relation to opportunities to influence policy development. Resources 2012–2013 Regular budget: Extra-budgetary funds confirmed to date: 9.2 allocation € 1 119 345 staff supported 2.35 allocation - staff supported - Programme management and development The objective is to implement and develop the scientific programme in accordance with the Medium-Term Strategy, with a focus on collaborative research that is interdisciplinary in nature. Under the overall guidance of the Director, Section and Group Heads manage the implementation of the scientific programme of the Agency. Scientific Council Proposed programme (2012–2015) and budget (2012–2013) SC/47/6 Page 39 Objectives ¾ To provide scientific programme management at the operational level. ¾ To provide for the development and learning needs of staff in accordance with the requirements of the Agency’s programme. ¾ To develop management processes that promote an organizational culture that encourages collaboration, creative thinking and motivates staff. ¾ To introduce a comprehensive knowledge-based information system for project and programme management. Present plans and future directions Section and Group Heads are responsible for leading their research teams or support services including the management of resources (human, financial and estate). The time allocated to management and administration activities is included in this section in order to separate it from the budgeted costs of the scientific activities. A key element of this role is career development of staff within the Sections and Groups through the Performance Management and Development System (PMDS) and identified training needs. The Director’s Development Provision (DDP) provides the Director with the flexibility to respond to and support emerging research opportunities. The DDP will be used to facilitate new initiatives and to strengthen existing ones as these arise during the biennium. In addition, incentives are now provided for Sections/Groups to develop successful projects funded through extra-budgetary sources, although such projects must be consistent with the Medium-Term Strategy. Resources 2012–2013 Regular budget: Extra-budgetary funds confirmed to date: 9.3 allocation € 1 592 135 staff supported 3.55 allocation - staff supported - Ethics Objectives The primary objective of the IARC Ethics Committee (IEC) is to protect the rights and welfare of human subjects participating in studies carried out or sponsored by the Agency. More generally, the objectives of the IEC are: ¾ To maintain the highest ethical standards for IARC-led research involving human subjects. SC/47/6 Page 40 ¾ Scientific Council Proposed programme (2012–2015) and budget (2012–2013) To show leadership in ensuring that IARC’s activities conform to the highest ethical principles. Present plans and future directions The membership of the IEC was renewed and enlarged at the beginning of 2010 and comprises seven external members from diverse backgrounds, three IARC staff members and one WHO staff member. The IEC will meet 4–5 times per year in Lyon and provide ethical evaluation of all new proposals for IARC research activities. It will ensure, to the extent possible, the international consistency and completeness of its ethical review decisions. Standard Operating Procedures (SOPs) and Rules and Procedures (RAPs) have been developed in compliance with international guidelines. For better traceability, a database of all proposals has been established and will be linked with the research project database developed by the IARC Grants Office. Resources 2012–2013 Regular budget: Extra-budgetary funds confirmed to date: allocation € 149 930 staff supported 0.5 allocation - staff supported - Scientific Council Proposed programme (2012–2015) and budget (2012–2013) 3. SC/47/6 Page 41 ADMINISTRATIVE PROGRAMME 2012–2013 AREA 1 Administrative Management Objectives The objective is to manage and develop the administrative policies, resources, and infrastructure of the Agency in order to effectively support the implementation of its scientific programme and enable the accomplishment of the objectives set out in the IARC Statute. Planned activities The administrative programme is developed in collaboration with the Director and the scientific groups, so as to reflect and respond to their needs and those of the Agency as a whole. The Division of Administration and Finance (DAF) will continue to coordinate the implementation of the programme through the development of administrative policies and services that promote a favourable working environment and ensure transparency and accountability throughout the Agency. Advice and support will continue to be provided on the administrative and financial management of the groups’ and the Agency’s resources in compliance with applicable rules and regulations. One major task will be the development and implementation of information systems that increase efficiency, by improving or replacing outdated processes, and provide timely and accurate information to the Agency’s staff and its partners. Resources 2012–2013 Regular budget: Extra-budgetary funds confirmed to date: AREA 2 allocation € 951 000 staff supported 4 allocation € 20 000 staff supported - Human Resources Services Objectives The objective is to provide a full range of effective human resources services so as to enable the Agency to attract and retain the best candidates thus supporting the achievement of the Agency’s objectives. SC/47/6 Page 42 Scientific Council Proposed programme (2012–2015) and budget (2012–2013) Planned activities IARC needs a specialized, skilled, productive and motivated workforce dedicated to its mission. This involves the identification of highly qualified candidates with the skills and competences required for IARC’s programmes, and the management of the recruitment process. Particular attention will be given to ensuring that successful candidates fit the very specific profiles of each post. Equally critical is the need to efficiently administer contracts and conditions of employment. The Human Resources Office (HRO) also takes an active part in providing advice on WHO policy and practices to all staff, including senior management. The Agency will promote an organizational culture which enables staff to achieve high levels of performance, through sound management and professional development. This requires constant dialogue with the staff and Staff Association, as well as clear and objective performance evaluation processes, such as the Performance Management and Development System, and support for professional development through the Staff Development and Training Programme. The Human Resources Office is also responsible for the provision of the services of the staff physician, the Agency’s social advisor and resources from the Central Secretarial Services (CSS). Resources 2012–2013 Regular budget: Extra-budgetary funds confirmed to date: AREA 3 allocation € 931 700 staff supported 5 allocation - staff supported - Conference, Office and Building Services Objectives The objective is to provide effective infrastructure, procurement, and logistical services, to create a quality working environment and support the implementation of the Agency’s programme. 3.1 Accommodation, Office and related Services Planned activities The provision of quality infrastructure services, including accommodation, office supplies and cafeteria services, is an essential function in support of the activities of the Agency’s staff. The cost-effectiveness of these services will continue to be improved, through the increasing use of pre-negotiated agreements and contracts. Scientific Council Proposed programme (2012–2015) and budget (2012–2013) SC/47/6 Page 43 The management of purchasing services and inventory will continue to be improved via the Agency’s new administration and finance system. Resources 2012–2013 Regular budget: Extra-budgetary funds confirmed to date: 3.2 allocation € 1 564 400 staff supported 6 allocation € 200 000 staff supported - Building Management Services Planned activities The ageing of the IARC buildings coupled with a lack of adequate investment over the years has resulted in a serious backlog of maintenance and refurbishment work. The Agency has undertaken essential maintenance works to ensure the safety of the buildings and staff. However, unless a comprehensive programme of building repairs and modernization of the infrastructure is implemented, the high costs of on-going maintenance will continue to be borne by IARC. Failure of one of the obsolescent infrastructure systems, such as the air-conditioning system, could result in an extremely costly temporary relocation of the Agency, and have a serious impact on IARC’s scientific productivity. Business continuity plans are under preparation to deal with such an eventuality. An effective long-term plan, with designated funding, in conjunction with the City of Lyon is vital to the maintenance of the Agency buildings. With increasingly stringent building regulations, additional funds will in any case be needed, for example to replace the security equipment in the Biological Resource Centre (BRC) where the fire fighting system based on an ionizing product will become illegal in 2014. Similarly, changes in other legal requirements, such as for air quality control, may impact on IARC. A capital master plan is currently being prepared based on consultation with the buildings’ owner (the “Ville de Lyon”) and representatives of the host country (France). This plan will be presented to the Governing Council in May 2011. Resources 2012–2013 Regular budget: Extra-budgetary funds confirmed to date: allocation € 3 296 200 staff supported 5 allocation € 700 000 staff supported - SC/47/6 Page 44 3.3 Scientific Council Proposed programme (2012–2015) and budget (2012–2013) Conference Services Planned activities Meetings and conferences will be serviced in the most professional and cost-effective way. These include the sessions of the Governing and Scientific Councils, technical meetings of working groups such as those held by the IARC Monographs or the WHO Blue Books programmes, IARC Courses and Summer School, and a number of international scientific meetings organized or hosted by the Agency. In addition, meetings organized by neighbouring institutions are regularly held at the Agency, providing a valuable link with the local research community. Resources 2012–2013 Regular budget: Extra-budgetary funds confirmed to date: 3.4 allocation € 423 550 staff supported 3.5 allocation - staff supported - Records Management Services Planned activities The core documentation of the Agency is kept in a central Registry. The modernization of the Registry was started in 2010–2011 and will increasingly rely on electronic handling and storage of documents. The development of simplified procedures for the routing, filing and archiving, and for the effective search and retrieval of Registry documents will continue to be priorities. Resources 2012–2013 Regular budget: Extra-budgetary funds confirmed to date: AREA 4 allocation € 228 100 staff supported 2 allocation - staff supported - Budget and Finance Services Objectives The objective is to follow best practice in financial management with integrity and transparency, providing efficient support for budget and financial administration for all sources of funds, including relevant financial reporting both internally and externally. Scientific Council Proposed programme (2012–2015) and budget (2012–2013) SC/47/6 Page 45 Planned activities IARC introduced its own administration and finance information system (SAP) on 1 January 2008. By the end of the 2010–2011 biennium, this new system will be fully functional, allowing budget, finance, accounting, payroll, inventory, HR management and procurement functions to be better managed. Work to further improve the system will continue in the 2012–2013 biennium, including SAP’s integration with other information systems to provide accurate and timely financial and budget data to the scientific groups. By the end of the 2010–2011 biennium, the International Public Sector Accounting Standards (IPSAS) must be fully implemented. In the biennium 2012–2013, all of the Agency’s assets and liabilities will be continuously recorded and disclosed in general purpose financial reports. The Agency’s audited financial reports will be prepared on an annual basis and in accordance with the relevant standards of IPSAS. The financial implementation of the approved Programme Budget for 2012–2013 will be periodically monitored and reported upon. Reports will be submitted to Participating States in accordance with the applicable Financial Regulations and Financial Rules. The Agency’s resources will be managed within acceptable risk parameters in order to maximize their potential. The Agency will seek recovery of all costs related to the implementation of extra-budgetary funded projects. Advice from the auditors will be carefully taken into account. Given that IARC frequently takes the coordinating role in externally funded multi-centre studies, risk analyses will be performed to allow decisions to be taken on whether contracts should be accepted. Resources 2012–2013 Regular budget: Extra-budgetary funds confirmed to date: AREA 5 allocation € 1 732 400 staff supported 9 allocation € 240 000 staff supported 2 IARC Grants Office Objectives The main objectives of the IARC Grants Office (IGO) are to manage relations with and secure funding from external organizations, while seeking further opportunities to complement the Agency’s resource base within the priorities of the Medium-Term Strategy. Planned activities The Agency’s strategy for resource mobilization is aligned to the Medium-Term Strategy and thereby respects the programme and priorities adopted by the Governing Council. SC/47/6 Page 46 Scientific Council Proposed programme (2012–2015) and budget (2012–2013) In the context of this strategy, relationships with current funding partners will continue to be developed and potential new sources of financing actively explored. Online tools that allow the efficient management of grant submissions, administration and reporting, together with the monitoring of funded projects will continue to be developed and implemented through IGO. These tools will be exploited to ensure timely delivery of project reports and high transparency of IARC’s extra-budgetary activities to the Governing Council, the Scientific Council and funding agencies. IGO will participate actively in the development of policies and project management tools to ensure compliance with the requirements of IARC and funding agencies and to ensure high transparency of ongoing activities. IGO will also set in place Standard Operating Procedures to maximize the recovery of regular budget costs from extra-budgetary resources in co-operation with scientific groups. Resources 2012–2013 Regular budget: Extra-budgetary funds confirmed to date: AREA 6 allocation € 383 400 staff supported 2 allocation - staff supported - Information Technology Services Objectives The main objective of the Information Technology Services (ITS) is to support, maintain and develop computing and networking resources for the scientific and administrative programmes of the Agency. Planned activities Centrally managed IT resources (databases, software, data storage, communications) are made available to the users and continually maintained (backups, updates, systems administration). After the migration of older servers to the VMware environment in 2010–2011, incremental upgrades (storage and computing power) will be needed, and the Local Area Network (LAN), key to the availability of these resources, will also continue to be upgraded to guarantee efficient and secure access. IT security will continue to be closely monitored, with a particular emphasis on exchange of information and good collaboration with WHO/HQ, in order to ensure that relevant guidelines and policies are being adhered to. General assistance to users, as well as assistance to the users of some specific systems (administration and finance, LIMS, etc.), will be provided through the Helpdesk and the continuous improvement of the ITS website. Scientific Council Proposed programme (2012–2015) and budget (2012–2013) SC/47/6 Page 47 While maintaining the present plans of activities, special attention will be paid to the evolution of the servers’ architecture and operations, to ensure that foreseeable needs in the scientific programme (e.g. next generation sequencing platform) are adequately met. In the administration area, we will seek to improve access to administrative information through the development of interfaces to the SAP system, and also to help update a number of administrative procedures using appropriate, modern software. Resources 2012–2013 Regular budget: Extra-budgetary funds confirmed to date: allocation € 1 360 000 staff supported 6 allocation € 250 000 staff supported - SC/47/6 Page 48 Scientific Council Proposed programme (2012–2015) and budget (2012–2013) Scientific Council Proposed programme (2012–2015) and budget (2012–2013) 4. PROPOSED BUDGET 2012–2013 4.1 Presentation SC/47/6 Page 49 The budget is presented in three appropriation sections: 1 - Meetings of the Governing and Scientific Councils 2 - Budget for the Scientific Programme 3 - Provision for administrative support services. These three sections are further divided into areas and, where appropriate, sub-areas. The sub-area is the smallest unit of the budget and may comprise one or several projects. For the current biennium, the areas and sub-areas have been updated to match the Medium-Term Strategy and Implementation Plan (2010–2014). The tables that follow summarize the human and financial resources estimated to be required to support the proposed Scientific Programme for the biennium 2012–2013. Budget information for human resources is provided in person-months per annum, based on ten months per year to allow for annual leave and public holidays, and thus reflect more accurately the true cost of performing an activity. The biennial cost is shown under the headings staff costs and non-staff costs for each activity (area and sub-area). An overview of the proposed budget 2012–2013 is given in eight summary tables. For comparison purposes, Summary Tables A, C, D, E, G and H give figures for 2010–2011 and 2012–2013. ¾ Table A illustrates how the global programme budget level has evolved from that of 2010–2011. ¾ Table B shows the total amount by appropriation section for the biennium. ¾ Table C compares the proposed budget with that approved for the 2010–2011 biennium, by appropriation section and by year. ¾ Table D shows the assessments on Participating States required to fund the proposed budget, compared with the assessments for 2010–2011. ¾ Table E shows the proposed regular budget allocations and projected extrabudgetary resources by programme area alongside the figures for 2010–2011. ¾ Table F presents the proposed regular budget allocations by year, broken down by staff and non-staff costs. ¾ Table G presents the proposed budget by component of expenditure showing how any increase or decrease arises between 2010–2011 and 2012–2013. ¾ Table H shows staff time in person-years allotted to each area of work and the total number of posts budgeted compared with the figures for 2010–2011. SC/47/6 Page 50 Scientific Council Proposed programme (2012–2015) and budget (2012–2013) In addition, Appendix A to Section 4 contains Information Table A, “Total staffing and non-staffing costs by Section and Group, by year and biennium”. 4.2 Development of the programme budget In accordance with resolution GC/48/R6, the euro has become the budget, assessment and accounting currency for the Agency since 1 January 2010. Thus, the Programme Budget for the biennium 2012–2013 is in euros. Section and Group Heads were requested to prepare budget proposals, referred to as Project Abstract Sheets (PAS), within the framework of the IARC Medium-Term Strategy and Implementation Plan for 2010–2014. Indicative Planning Figures for each Section/Group were provided to Section/Group Heads. The estimates for staff costs are calculated by applying standard staff costs by staff category and grade to the number of posts contained in the proposed budget for each category and grade. The Director subsequently met with all Section/Group Heads individually to challenge and discuss their respective proposals. The proposals were then incorporated into a first draft proposed budget for consideration by the IARC Senior Leadership Team (SLT). Following the discussions by the SLT, the budget was finalized by the Director for transmission to the Scientific Council, which will consider it at its annual meeting in January 2011 and make recommendations on it to the Governing Council. The IARC Programme Budget is an integrated budget; this means that research proposals are developed based on expected financing coming from both regular and extra-budgetary sources. Whilst it is difficult at such an early stage to be certain about the level of voluntary contributions, and indeed, the regular budget allocations are only proposals, the figures included under “Other Sources” are those which are either already signed or highly likely to be secured. From the 2010–2011 budget onwards, IARC/WHO is implementing the International Public Sector Accounting Standards (IPSAS). Under these Standards, estimated expenditure from all sources of funds must be included in budgets. In the approved Programme Budget 2010–2011, predicted expenditure from the Voluntary Contributions Account (“designated”) and from the Special Account for Programme Support Costs (the fund containing overheads earned on voluntary designated contributions) were already shown under “Other Sources”. In the proposed Programme Budget 2012–2013, the following approved funds have also been included under “Other Sources”: € 222 400 from the Voluntary Contributions Account (“undesignated”) to finance a P2 position for behavioural and sociological research (Governing Council Resolution GC/51/R9 refers); € 1 093 700 from the Governing Council Special Fund for (i) the publications programme, using anticipated proceeds from the sales of publications (Governing Council Resolution GC/51/R10 refers), and (ii) to finance a P3 position in Quality Assurance, using remaining funds from unbudgeted assessments (Governing Council Resolutions GC/49/R3 and GC/50/R18 refer). These Scientific Council Proposed programme (2012–2015) and budget (2012–2013) SC/47/6 Page 51 funds have been included in the proposed Programme Budget 2012–2013 to comply with the International Public Sector Accounting Standards (IPSAS) that require a comparison of financial expenditure against budgets in general purpose financial statements. IARC’s financial reports, both interim and biennial, will show in the future expenditure against all of these funds. 4.3 Computation of the budget When deciding upon the overall budget level to propose to the Governing Council for 2012–2013, there were several factors to consider: ¾ a significant increase in staff costs during 2010–2011 beyond the control of the Agency (4.3.1) and a required decrease in programme activities (non-staff) to be able to finance the increased staff costs (4.3.2); ¾ an increase in the assessed contributions of Austria (4.3.3); ¾ an increase in the assessed contributions of India (4.3.4); and ¾ the significant fluctuations in €/US$ exchange rates during the preparation of the Programme Budget (4.3.5). 4.3.1 Staff Costs The Agency is faced with an increase in its staff costs due to statutory cost inflation of € 4 337 585. The increase in staff costs is composed of the following amounts: Increase in staff costs of Professional staff: € 3 899 135 Increase in staff costs of General Service staff: € Total increase in staff costs 438 450 € 4 337 585 In the proposed Programme Budget 2012–2013 this increase would be financed as follows: Decrease programme activities – non-staff: € 2 458 500 Decrease programme activities – staff: € Increase over 2010–2011 Programme Budget: € 1 847 435 Total available to finance staff cost increase 31 650 € 4 337 585 The details can be seen in Summary Table G. The staff costs do not only include salaries but also all related staff entitlements, including pension fund contributions, staff health insurance premiums, home leave, education grant, as well as installation, end of service and repatriation grants. IARC has no control over its staff costs other than by reducing or increasing its staff positions. As IARC is part of WHO and therefore of the United Nations system, salaries and related entitlements of its Professional staff are decided SC/47/6 Page 52 Scientific Council Proposed programme (2012–2015) and budget (2012–2013) upon by the United Nations General Assembly, the International Civil Service Commission (ICSC) and the World Health Assembly. The ICSC is an independent expert body established by the United Nations General Assembly to regulate and coordinate the conditions of service of staff in the United Nations common system. Since the current Programme Budget 2010–2011 was prepared in 2008, the Professional staff costs have increased considerably. Factors that have contributed to the increase include ICSC decisions to adjust salaries due to increases in cost of living expenses (5% increase in 2010), statutory step increases granted to staff with satisfactory performance (2% increase every year), as well as adjustments in pension remunerations, staff health insurance schemes and other staff entitlements. WHO also introduced a 10% charge levied on all Professional staff salaries to finance and smooth out staff non salary entitlements. This decision was taken in the context of the introduction of the new International Public Sector Accounting Standards (IPSAS) that require UN agencies to disclose their full liabilities for accrued staff entitlements. In addition, the US dollar appreciated against the euro from 0.66€/US$ (budgeted exchange rate for 2010–2011) to 0.735€/US$ (UN exchange rate of October 2010) which further increased the Professional staff costs, as explained further in section 4.3.5 below. As a consequence, the actual Professional staff costs incurred as at October 2010 exceeded the average standard staff costs used for calculating the approved current Programme Budget 2010–2011 by between 10.5% (P.4) and 20% and more (P.3), depending on the grade of staff. The proposed Programme Budget 2012–2013 had to cope with this increase in costs since 2008, as well as anticipate future increases in Professional staff costs of 2% per year for statutory step increases; a further increase of 2–2.5% per year for various other costs is also foreseen. The salaries of locally-recruited staff are determined locally by applying United Nations common system policies. Under the Flemming principle, the pay and benefits of General Service staff are based on the best prevailing conditions of employment in the local labour market. No comprehensive salary survey was conducted by the Agency recently and the local staff salaries were therefore adjusted for inflation as per WHO and UN staff policies. The ICSC is considering introducing a single salary scale for France but the methodology and decision have not yet been agreed. The local staff costs used in the proposed Programme Budget 2012–2013 include a 2% increase in costs per year due to statutory step increases. 4.3.2 Decrease in programme activities It is proposed to finance the increase in staff costs in part through a decrease in programme activities (non-staff), as pointed out under paragraph 4.3.1. Scientific Council Proposed programme (2012–2015) and budget (2012–2013) SC/47/6 Page 53 The proposed decreases compared to the current Programme Budget 2010–2011 are as follows: Governing bodies (Appropriation Section 1) Scientific groups (Appropriation Section 2) Scientific management (Appropriation Section 2) Administration (Appropriation Section 3) Total Euros -5 000 -1 120 500 -645 200 -687 800 -2 458 500 Percentage -3.03% -17.18% -40.70% -15.68% To a large extent, these decreases have already been implemented in the 2010 allocations by using the Director’s authority under IARC’s Financial Regulations to move funds within appropriation sections. These reductions were required to be able to finance the increased staff costs during the current biennium 2010–2011. A decision was made by the Director to protect the “non-pay” budgets of the scientific groups as far as possible and to absorb a greater percentage reduction in the funds assigned to scientific management. The Director believes that with a new emphasis on additional funding from extra-budgetary donors and cost recovery through external grants, and hopefully the acquisition of new Participating States, the Agency will accomplish the objectives contained in its Medium-Term Strategy and Implementation Plan for 2010–2014 with the resources included in the proposed Programme Budget 2012–2013. However, any further reduction in funding would jeopardize the Agency’s ability to accomplish these objectives. 4.3.3 Increase in assessed contributions from Austria Austria joined IARC in 2008. According to Governing Council resolution GC/37/R9, Austria paid 25% and 50% of its full assessment in 2008 and 2009, respectively. For the current Programme Budget 2010–2011, Austria pays 75% of its full contributions for 2010 and a full assessment for 2011. For the proposed Programme Budget 2012–2013, Austria will pay its full assessed contributions in accordance with the Agency’s financial regulations. As a result, the proposed assessed contributions of Austria will increase by 18.79 %, compared to its assessed contributions for the current biennium 2010–2011. 4.3.4 Increase in assessed contributions from India In May 2010, the World Health Assembly changed the WHO scale of assessment of India from 0.45% to 0.534% (WHA63.5) for 2011. Governing Council resolution GC/15/R9 foresees that Participating States which contribute 0.5% or more but less than 2% in the WHO scale of assessment should pay 1 unit of the budget. As a consequence, India’s proposed assessed contributions will SC/47/6 Page 54 Scientific Council Proposed programme (2012–2015) and budget (2012–2013) increase by 21.95% compared to its assessed contributions for the current biennium 2010–2011. 4.3.5 Exchange Rate With the introduction of the euro as IARC’s functional currency for budgeting, accounting and financial reporting in 2010, the Agency’s risk exposure to currency fluctuations has decreased significantly. For the budget as a whole, the euro-content of all items of expenditure is evaluated at 80% of the total budget, 10% is US dollar-related and the remaining 10% in various other currencies (see GC/48/3). However, each expenditure item has a different exposure to the effects of currency fluctuations. General Service staff costs and building and security services are incurred entirely in euro and are therefore unaffected by fluctuations in the value of the euro versus the US dollar. On the other hand, 20% of Professional staff costs, consisting of such items as the Agency’s contribution to the Pension Fund, are US dollar-related and are affected by fluctuations in the value of the euro versus the US dollar. Due to the limited exposure of the Agency’s proposed Programme Budget 2012–2013 to the euro/US dollar exchange rate, it is not planned to re-value it before submission to the Governing Council in May 2011, as was the practice in the past when the Agency’s programme budgets were still prepared in US dollar. However, as the euro fluctuated widely against the US dollar in the course of 2010, the Agency decided to base its budgeted staff costs on the October 2010 payroll and to apply the UN exchange rate of October 2010, i.e. 0.735 €/US$, as the budgeted exchange rate for 2012–2013. 4.4 Financing of the regular budget It is proposed that the 2012–2013 budget be financed from assessments upon Participating States. Whilst the proposed overall increase in the budget level is 4.87%, assessments on Participating States would increase by between 3.32% and 4.25% — or € 54 047 and € 100 506 — for the biennium, with the exception of India and Austria, whose assessed contributions would increase by 21.95% (€ 279 096) and 18.79% (€ 245 262) respectively, for the reasons explained under 4.3.3 and 4.3.4 above. Scientific Council Proposed programme (2012–2015) and budget (2012–2013) SC/47/6 Page 55 SC/47/6 Page 56 Scientific Council Proposed programme (2012–2015) and budget (2012–2013) 5. BUDGET TABLES 5.1 SUMMARY TABLES (SC/47/6 Pages 57–64) Scientific Council Proposed programme (2012–2015) and budget (2012–2013) SC/47/6 Page 57 SC/47/6 Page 58 Scientific Council Proposed programme (2012–2015) and budget (2012–2013) Scientific Council Proposed programme (2012–2015) and budget (2012–2013) SC/47/6 Page 59 SC/47/6 Page 60 Scientific Council Proposed programme (2012–2015) and budget (2012–2013) Scientific Council Proposed programme (2012–2015) and budget (2012–2013) SC/47/6 Page 61 SC/47/6 Page 62 Scientific Council Proposed programme (2012–2015) and budget (2012–2013) Scientific Council Proposed programme (2012–2015) and budget (2012–2013) SC/47/6 Page 63 SC/47/6 Page 64 Scientific Council Proposed programme (2012–2015) and budget (2012–2013) 5.2 BUDGET TABLES BY AREA (SC/47/6 Pages 65–80) Scientific Council Proposed programme (2012–2015) and budget (2012–2013) SC/47/6 Page 65 SC/47/6 Page 66 Scientific Council Proposed programme (2012–2015) and budget (2012–2013) Scientific Council Proposed programme (2012–2015) and budget (2012–2013) SC/47/6 Page 67 SC/47/6 Page 68 Scientific Council Proposed programme (2012–2015) and budget (2012–2013) Scientific Council Proposed programme (2012–2015) and budget (2012–2013) SC/47/6 Page 69 SC/47/6 Page 70 Scientific Council Proposed programme (2012–2015) and budget (2012–2013) Scientific Council Proposed programme (2012–2015) and budget (2012–2013) SC/47/6 Page 71 SC/47/6 Page 72 Scientific Council Proposed programme (2012–2015) and budget (2012–2013) Scientific Council Proposed programme (2012–2015) and budget (2012–2013) SC/47/6 Page 73 SC/47/6 Page 74 Scientific Council Proposed programme (2012–2015) and budget (2012–2013) Scientific Council Proposed programme (2012–2015) and budget (2012–2013) SC/47/6 Page 75 SC/47/6 Page 76 Scientific Council Proposed programme (2012–2015) and budget (2012–2013) Scientific Council Proposed programme (2012–2015) and budget (2012–2013) SC/47/6 Page 77 SC/47/6 Page 78 Scientific Council Proposed programme (2012–2015) and budget (2012–2013) Scientific Council Proposed programme (2012–2015) and budget (2012–2013) SC/47/6 Page 79 SC/47/6 Page 80 Scientific Council Proposed programme (2012–2015) and budget (2012–2013) ANNEXES (SC/47/6 Pages 81–82) 0.801 0.820 0.844 0.816 0.821 0.831 0.831 0.812 0.786 0.754 0.810 Apr May Jun Jul Aug Sep Oct Nov Dec Annual average 0.806 2004/2005 0.840 0.832 0.820 0.827 0.829 0.814 0.773 0.771 0.757 0.733 0.678 0.694 0.705 0.734 0.731 0.740 0.744 0.732 0.750 0.755 0.771 0.760 2007 0.720 0.664 0.676 0.688 0.695 0.712 0.711 0.717 0.744 0.759 0.782 0.762 0.730 2009 0.702 2008/2009 0.683 0.758 0.773 0.729 0.698 0.658 0.636 0.643 0.642 0.634 0.661 0.676 0.686 2008 0.755 0.764 0.720 0.735 0.787 0.763 0.811 0.819 0.774 0.743 0.741 0.714 0.693 2010 Budget 2008/2009 approved at 0.815 €/US$ Budget 2010/2011 approved at 0.660 €/US$ 0.767 2006/2007 0.800 0.759 0.786 0.788 0.780 0.784 0.796 0.778 0.791 0.827 0.844 0.827 0.845 2006 Budget 2004/2005 approved at 0.911 €/US$ Budget 2006/2007 approved at 0.815 €/US$ Biennial average 0.850 0.804 Mar 0.765 0.804 Feb 0.737 0.801 2005 Jan 2004 January 2004 to December 2010 UNITED NATIONS ACCOUNTING RATES OF EXCHANGE: EURO TO US DOLLAR Annex 1 Scientific Council Proposed programme (2012–2015) and budget (2012–2013) SC/47/6 Page 81 SC/47/6 Page 82 Scientific Council Proposed programme (2012–2015) and budget (2012–2013) Annex 2 ANNUAL RATES 1 OF INFLATION IN FRANCE 2002 to 2009 1 Year ending 31 December Annual percentage rate of inflation 2002 2.11 2003 1.60 2004 1.94 2005 1.63 2006 1.51 2007 2.53 2008 1.00 2009 0.82 Rates based on “Indices mensuels des prix à la consommation” (“Série hors tabac/Ensemble des ménages” for 2002 to 2009) as published by the Institut National de la Statistique et des Etudes Economiques (INSEE).