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alternative intervention that would remove the problematic pollutants. He also noted a healthy skepticism regarding the actual attributable burden of disease and the cultural challenges of using a new system. Collins agreed that simply counting numbers of delivered stoves is not the right metric and that we need the science to demonstrate the potential utility of any intervention. Collins then referenced the MEPI program jointly to build capacity in sub-Saharan African universities which is currently an NIH partnership with OGAC, HRSA, CDC. Bill stated "we feel badly" that we don't fund this capacity building. He noted the potential value of K-RITH. He said we should look at this and consider if and if so how and to whom we should contribute and what the metrics for success would be. Bill suggested that MOOCs might be able to target high-end nurses or low-end doctors and really generate net benefit in knowledge to the medical system in developing countries. Collins proposed that we should look to have an annual meeting between key leaders at all the relevant NIH institutes (not just NIAID in whom we have already been doing this) and BMGF leaders to learn from each other and foster more effective collaboration. Bill endorsed this idea. Follow-up: = Chris W. to follow-up on meeting with all relevant NIH institutes (similar to NIAID)