International: IACFS/ME - International Association for CFS/ME, IACFSME

The meeting has just finished. Below are my rough notes, I may not have everything 100% right.

Fred Friedberg started the meeting, clearly setting the culture of the meeting as a top-down exercise. He talked about the energy on the board and that they wanted to convey this to us, the public.

The current board is Fred Friedberg, Lily Chu, Chuck Lapp, Luis Nacul, Sonya Marshall-Gradisenk, Rochelle Tosla, Therese Dowells and Irina Rozenfeld. (apologies for the spelling).

Website
Lily has redone the website - from the brief slide, visually it looks modern and good. It might be worth some of us having a good look at it.

Journal
The IACFSME journal 'Fatigue' - apparently the Medline review, whatever that was, was not positive. The findings are now under appeal. I asked some questions about the journal with the chat Q&A e.g. why is there no process to prevent the publication of harmful papers like the Crawley paper? what happened with the peer review process? And that if the journal was struggling, why persist with it?

Fred replied that if a paper is approved by the peer reviewers, what can they do? They can't censor science. Lily then said that we can't control what other journals do, seemingly not understanding that the question was directed at the organisation's own journal. The fact that the journal published papers taking down PACE in the past was mentioned at least three times - but that's not a reason to keep persisting with a journal now. There are other places where ME/CFS research can be published now. It was suggested that letters be written to the journal providing responses to papers, and feedback on editorial decisions.

Conference
The coming conference is on July 2023. It will only be in-person, not virtual, although there will be recordings. It looks as though Lily is putting in a lot of work again. They would welcome sponsors. Rivka Solomon asked why the conference could not be a hybrid in-person/virtual conference. (A very good question - for an international organisation serving ME/CFS, to not have a virtual option is ridiculous.). The answer given was that it costs too much money.

I'll take a break now, but will add more a bit later. Did anyone else attend? Apart from that one question by Rivka, it seemed that I was the only one asking questions. Pretty much everyone else was thanking IACFSME for their wonderful work. (For the record, I did also thank Lily for her good work on the last conference, and for giving Science for ME the opportunity to produce commentary on the conference.)

Edit to add: Maureen Hansen asked if a policy of mask wearing being required at the conference might be helpful. Lily replied that if someone wanted to wear a mask there won't be anything against it and that she herself might wear a mask.

Also, the IACFSME plan to alternate in-person conferences with virtual ones. The venue for this year's one is Stonybrook again (Fred's university).
 
Last edited:
Journal club
Rochelle talked about the virtual journal club, which is a very good initiative. I've been meaning to attend a session, but haven't got there yet. It is co-sponsored by Nova University (Klimas's one). The sessions are recorded and distributed to the journal club mailing list.
14 April - Pavel Zalowska and Kyajowska (sorry my hand writing is awful) from Poland on Cryotherapy and ME/CFS
17 May - Durstenfeld on CPET findings
They want to facilitate in-depth conversations.

Membership
Irina talked about membership. 70% is US; 30% from elsewhere in the world. Most are professional members. There are quite a lot of lifetime members - I didn't record how many but 15 to 20%, who presumably do not contribute membership fees.

Professional membership fees are $125/year - they get to vote.
Associate membership fees (aimed at patients and students) are $50 - they do not get to vote

They want to grow the membership. To do this, they will be surveying the existing members, having an 'invite a colleague' initiative, increasing visibility and engagement. This includes establishing a social media presence e.g. on Linked In. They want to improve the patient and caregiver pages on the website.

I asked why the membership structure is so unwelcoming to patients. The answer seemed to be that they don't really want patients. They said 'We are a professional organisation. We aren't a patient advocacy organisation. We would like to have more patients as volunteers and perhaps on the Board.'

And yes, it's fine for them to be a professional organisation. But, there was some really incredible comments about wanting the organisation to be objective, balanced and science-based, and that that did not necessarily go with having the involvement of patients who might want to be more political. I do hope the people concerned will listen back to those comments, and understand how they came across.

I just don't think they get it - they are an international organisation. A membership fee of US125 is out of reach of many potential members living outside the US, especially in the underfunded field of ME/CFS, and especially given the current low level of benefits delivered. They acknowledge the important role of patients in bringing down PACE, but seem happy with the organisation being 'about you but largely without you, especially if you are from outside the US'.

Financial
Chuck Lapp reported on the finances.
There are $188,000 in assets. There is an annual fixed budget of around $25,000. The journal costs around $4500/year, a part-time admin assistant costs $7000 year, Administration costs $7000/year and the conference cost varies.

Election of officers
This was all a bit opaque unfortunately. Officers have a six year term with scope for a 2 year extension if necessary. That said, Lily has been an officer since 2014 and Fred since 2009. Lily said that she wouldn't mind being regular board member rather than an officer, so that she could concentrate on special projects. That's disappointing, as I was hoping she might become President. People were asked to let the organisation know if you are interested in being on the board. They asked members to vote - but did not say who is standing.

They called for volunteers - contact iacfsmeorg@gmail.com

Aims
Lily reported that they want to
- achieve financial sustainability
- grow membership
- obtain pubmed indexing of the journal
- advocate for research funding
- support clinicians
- educate professionals and public
-be the go to on the science of Me/CFS and related diseases

I asked about the Primer, which is outdated and not evidenced based, I asked when it would be updated and whether it should be withdrawn in the meantime. My question was not answered.

I asked about the promotion of commercial products/treatments at the conference, and that they not only were give a speaking slot which is perhaps ok, but were given multiple exposure opportunities. This question was also not answered.


Input from the audience
Nancy Klimas expressed her thanks to the board and encouraged people to join the organisation. She said that the biggest thing to do now is connect with the Long Covid community.

Lucinda Bateman expressed her thanks.

An anonymous participant expressed enthusiastic support for the Primer (that entirely coincidentally came just ahead of my criticism of the Primer).

I suggested applying for grants e.g. to allow the conference to be virtual. Fred replied that they would if they could, but it's not easy. Another Board member then said that actually they had been successful in getting some grants.

There was some discussion about the fact that there is no funding for replication of studies into biomarkers. Vicki Whittemore replied that actually NINDS has funding opportunities for replication.

**end**
 
Last edited:
On the Medline review of the journal, mentioned upthread
From what I can see, the NIH operates Medline
The National Library of Medicine (NLM) decides whether the scientific and editorial character and quality of a journal merit its inclusion in MEDLINE. In making this decision, NLM considers scientific policy set by the NLM Board of Regents, the suitability of the journal for the NLM Collection (according to the criteria in the Collection Development Guidelines), as well as the recommendations of an NIH Federal Advisory Committee, the Literature Selection Technical Review Committee (LSTRC).

The LSTRC consists of fifteen members, including scientists (i.e., Ph.D.- or M.D.-level researchers and physicians) and medical librarians. The LSTRC generally reviews articles from the last two years of journal content and evaluates them primarily based on scientific and editorial quality.

MEDLINE’s Scientific Quality Review is a rigorous, multi-step process in which many factors are assessed. NLM views each journal comprehensively, rather than basing a decision on a defined list of criteria. Each title is reviewed by multiple individuals both within the NLM and the LSTRC, and final decisions are based on input from all these sources. The final decision of whether to index a journal for MEDLINE is made by the Director of the NLM.

A description of possible considerations during the Scientific Quality Review is given below. For an overview of the MEDLINE pre-application requirements as well as a step-by-step breakdown of the MEDLINE application and review process, please see How to Include a Journal in MEDLINE.

So, it sounds as though the Medline panel found problems with the Fatigue journal, perhaps deciding to not include it in Medline. And that the IACFSME is now engaging in an appeal process.
 
Journal club
Rochelle talked about the virtual journal club, which is a very good initiative. I've been meaning to attend a session, but haven't got there yet. It is co-sponsored by Nova University (Klimas's one). The sessions are recorded and distributed to the journal club mailing list.
14 April - Pavel Zalowska and Kujawska from Poland on Cryotherapy and ME/CFS
A reminder that this is coming up later today/tomorrow, depending on your time zone
1 pm New York time 14 April

More info here:
Combination of whole body cryotherapy with static stretching ... reduces fatigue and improves functioning of the [ANS] in CFS, 2022, Kujawski et al
You need to register.

I'm hoping to make it, but I've had a couple of (relatively) big activity days, so it's possible I won't. It would be great to have some S4ME people on the call.
 

May 2023 Journal Club - Cryotherapy and static stretching for ME/CFS - Drs. Kujawski and Zalewski
6 views 18 May 2023

Abnormal and prolonged recovery after physical, cognitive, emotional, and orthostatic stressors in ME/CFS may be due to a dysfunctional autonomic nervous system. For many years, athletes have experimented with cold water or similar exposure to stimulate the parasympathetic nervous system in the hopes of accelerating recovery after exercise. Do such treatments hold any promise for ME/CFS? Drs. Slawomir Kujawski and Pawel Zalewski will discuss possible benefits of cryotherapy and static stretching on various ME/CFS symptoms. The paper discussed is: "Combination of whole body cryotherapy with static stretching exercises reduces fatigue and improves functioning of the autonomic nervous system in Chronic Fatigue Syndrome."

Full-text link: https://translational-medicine.biomedcentral.com/articles/10.1186/s12967-022-03460-1
 
From an email dated 11 May:
We are delighted to announce that Fred Friedberg, PhD and Lily Chu, MD, MSHS have been re-elected to serve as President and Vice President, respectively, for the next 2 years, through April 30, 2024. Thank you to everyone who attended our recent public business meeting and/or voted in the election!

The President has a recently published paper:
Uplifts and hassles are related to worsening in chronic fatigue syndrome A prospective study 2023 Friedberg et al
:emoji_duck:
 
https://m.youtube.com/watch?v=Gv73uGSBLAQ

IACFS/ME October 2022 Virtual Journal Club - Dr. Arnaud Germain


121Views
19 Oct2022
Dr. Arnaud Germain from Cornell University (Ithaca, NY, USA) and his team compared metabolites in people affected by ME/CFS with healthy people during and after 2-day cardiopulmonary exercise testing. Previous studies did not track metabolites longitudinally following physical activity. They found significant differences in metabolites between the groups during the recovery period as well as differences between male and female study participants. The paper discussed is " "Plasma metabolomics reveals disrupted response and recovery following maximal exercise in myalgic encephalomyelitis/chronic fatigue syndrome." For the full-text, see:
https://insight.jci.org/articles/view/157621

If you enjoyed this video and are a clinician, researcher, or other professional interested in ME/CFS, long COVID, and related conditions, join us for live future sessions by contacting us at iacfsmeorg@gmail.com. Please provide verification of your professional status by including a link to your profile on your organization/ personal website or on LinkedIn. Since 1990, IACFS/ME has served as an international, non-profit organization for scientists, clinicians, patients, families, and other interested parties to learn about and share information concerning ME/CFS and related conditions. To find out more about IACFS/ME and our journal, conferences, and other activities, visit iacfsme.org.
 
From: International Association for Chronic Fatigue Syndrome/ Myalgic Encephalomyelitis (IACFS/ME) <iacfsmeorg@gmail.com.growthzoneapp.com>
Subject: Support IACFS/ME through your donation!


2023 IACFS/ME Donation Event

Now through January 31, 2024



CLICK HERE TO DONATE!


Dear IACFS/ME Members and Friends,

As we head towards the end of 2023, we want to thank you for your support of IACFS/ME, whether through becoming/ being a member, presenting at/ attending our conferences, submitting your work to Fatigue: Biomedicine, Health, and Behavior, donating to our organization, or joining our Virtual Journal Club!

There is so much more we could do in 2024 and beyond. Funding, people power (IACFS/ME is almost entirely volunteer-run), and resources often limit the actions we can take. Here are some projects we wish we could undertake:

- Updating the 2014 IACFS/ME Primer for Clinical Practitioners - The Primer has been downloaded over 200,000 times and was featured on a major governmental guideline clearinghouse. Patients, families, and clinicians have told us how useful it is. With progress in science and the advent of long COVID, it would benefit everyone if the Primer were to be updated.

- Livestreaming future IACFS/ME conferences - Our most demanded feature for conferences. For optimal viewing, livestreaming requires multiple cameras and a film director on-site to coordinate them.

- Providing free, online, accredited education for clinicians - Accreditation by a respected and knowledgeable agency requires fees.

- Awarding scholarships to new and junior clinicians/ scientists to attend our conferences

- Defraying the cost of open access publishing in Fatigue: Biomedicine, Health, and Behavior - There is no cost to submit to the journal and with usual publication. There are fees if an author choose to make an article open access. Publishing fees are determined by and go to the publisher, Taylor and Francis, not IACFS/ME.

- Educating others at national scientific/ medical conferences about ME/CFS - IACFS/ME leaders can give talks and/or manage an information booth at major conferences.

Please consider donating to IACFS/ME from now through January 31, 11:59 PM New York City time. IACFS/ME is a 501(c)(3) registered nonprofit in the United States.

Note:

The donation form is configured as an "Event" due to the platform we use. Donating/ registering requires no attendance at any event.

US residents: donate on or before December 31 if you want to deduct the donation from your 2023 taxes.


CLICK HERE TO DONATE!


Happy Holidays!

IACFS/ME

 
I agree NP
- Defraying the cost of open access publishing in Fatigue: Biomedicine, Health, and Behavior - There is no cost to submit to the journal and with usual publication. There are fees if an author choose to make an article open access. Publishing fees are determined by and go to the publisher, Taylor and Francis, not IACFS/ME.
IACFSME could shut down their journal and save money. People with useful articles about ME/CFS and related topics have many better options. Editorial decisions, such as publishing one of E. Crawley's papers, have caused more harm than good.

- Educating others at national scientific/ medical conferences about ME/CFS - IACFS/ME leaders can give talks and/or manage an information booth at major conferences.
While Fred Friedberg is President, I don't think the IACFSME is an appropriate recipient of donations. I certainly would not want to see donations from people with ME/CFS used to fund him to speak.

- Updating the 2014 IACFS/ME Primer for Clinical Practitioners - The Primer has been downloaded over 200,000 times and was featured on a major governmental guideline clearinghouse. Patients, families, and clinicians have told us how useful it is. With progress in science and the advent of long COVID, it would benefit everyone if the Primer were to be updated.
It's frankly frightening that 'patients, families and clinicians' think the primer is useful. While the 2014 document is not fit for purpose and causes harm, I am not confident that a new primer produced by the IACFSME would be an improvement. We only have to look at the speaker list from recent IACFSME conferences to see that it is probably not true that 'it would benefit everyone if the Primer were updated'.

I'm interested to know why you think this organisation is worth supporting @Tom Kindlon. I think Lily Chu is doing her best to do good things, but, overall, people with ME/CFS would be better off without the IACFSME. Mostly they seem to serve as a source of disinformation.
 
The International Association for Chronic Fatigue Syndrome/ Myalgic Encephalomyelitis has set up its first social media account, on LinkedIn
https://www.linkedin.com/company/iacfsme

First post is "Impressions of the December 2023 NIH/NINDS Research Conference on ME/CFS and Long COVID"
https://www.linkedin.com/pulse/impr...ihninds-research-conference-mecfs-long-eueke/

Doesn't really give details of the specifics of what was said at the conference
 
From an email update: a new board member for IACFSME:
He sounds good, he has a son with ME/CFS.

"
Dr. Sigurdsson is a hematologist-oncologist based in Iceland who has been instrumental in advancing care and research of ME/CFS in Iceland and Europe. In 2022, he produced an educational film about ME disseminated via Iceland's national broadcasting service (subtitled in English: click "cc" button on lower right corner) and this year, he created Iceland's first ME/CFS specialty clinic supported by their national health care system. He has regularly attended and contributed to IACFS/ME Board Meeting and also attended our last 3 scientific conferences. We are delighted to have someone so accomplished consider joining our Board.

To learn more about Dr. Sigurdsson, read his personal statement below and his recent post about Iceland's clinic on our LinkedIn page. (Don't forget to follow us on LinkedIn for more articles and updates!)

Thanks!IACFS/ME
"



From Dr. Sigurdsson:

I am deeply honored to be considered as a board member of the International Association for Chronic Fatigue Syndrome/Myalgic Encephalomyelitis. I am a medical doctor and graduated from University of Iceland in 1986. Following my initial residency in Icelandic hospitals, I pursued further training in the United States. From 1989 to 1992, I completed a residency in internal medicine at St. Raphael Hospital in New Haven, CT, a Yale-affiliated hospital, where I was twice recognized as the outstanding resident. Subsequently, I completed a fellowship in hematology and medical oncology at Yale New Haven Hospital in hematology and medical oncology, during which I also conducted two years of research in Dr. Nancy Berliner’s lab.

In 1996, I returned to Iceland with my family. Since then, I have primarily focused on my role as a clinician, dedicated to caring for cancer patients. Alongside my clinical work, I have held several key positions and contributed to various initiatives:

• President of the Medical Council, Landspitali University Hospital (2003-2007)

• Established Internal Medicine as a separate specialty and served as its first Medical Chief at Landspitali University Hospital (2013-2015)

• Program Director of Internal Medicine at Landspitali University Hospital and Akureyri Hospital (2013-2019). This new program, developed in collaboration with the Royal College of Physicians (RCP) in the UK, was certified by the RCP

• Member of numerous committees, including the organizational committee for the new Landspitali University Hospital (2007- 2010)

• Organized hematology/oncology unit at Akureyri Hospital (2010 – 2024) • Volunteer with the Icelandic Red Cross, including a mission to Haiti following the 2010 earthquake.

Throughout my career, I have remained deeply committed to continuing medical education. I am certified and have been twice re-certified, by the American Board of Internal Medicine in Internal Medicine, Hematology and Medical Oncology.

I am married to Dr. Fridrika Hardardottir, who holds a Ph.D. in immunobiology from Yale University. Shortly after we returned back from the USA, she began working at the Ministry of Education, Science, and Culture, focusing on higher education and research policy. Since 2013, she has worked as the Director of the International Division at the University of Iceland and has been a member of the university's senior leadership team.

We have three grown up sons. The eldest fell ill with ME/CFS in 2017, just as he was doing exceptionally well and was halfway through medical school. Since then, he has been mostly housebound. At that time, I had barely heard about ME/CFS and was shocked to discover that its impact could be greater than that of cancer, yet the health care services available were almost nonexistent. Since then, my major effort has been to manage an awareness campaign and to establish a clinical center for ME/CFS. This includes:

• Writing articles for local local newspapers to increase awareness.

• Organizing a seminar at the Icelandic Medical Society Educational Week with great help and contribution from Prof. James Baraniuk of Georgetown University, USA (2020)

• Hosting another seminar at the Icelandic Medical Society Educational Week with great help and contribution from Prof. Jonas Bergquist of Uppsala University, Sweden (2023)

• Producing a ME/CFS documentary for The Icelandic National Broadcasting Service (English subtitles) 2022, in collaboration with the Icelandic ME society.













• Long Covid documentary for The Icelandic National Broadcasting Service is now in the final stages (English subtitles) 2024

• Starting a collaborate with Department of Immunology at Landspitali University Hospital in a new research center focusing on infections and immunity in a wider perspective.

• Establishing the ME/CFS clinic with my team. The Minister of Health officially opened the clinic on August 16th, 2024

We in Iceland have tried to learn as much as possible from our international friends in the ME/CFS field.

• I have been a member of European ME Research Group at Invest in ME since November 2019. https://www.emerg.eu/index.shtml

• I have attended the last three IACFS/ME annual meetings, the last one in person in Stony Brook 2023. There I met all the wonderful people at IACFS/ME and offered to be a volunteer.

• I am a member of PIAF – pain, inflammation and fatigue www.piaf.se

If I will be selected as a board member of IACFS/ME I hope to contribute from my experience in Iceland including:

• Raising ME/CFS awareness internationally both among the public and health care providers

• Try to convince the American Board of Internal Medicine Board (ABIM), American Board of Psychiatry and Neurology (ABPN) and the American Board of Family Medicine (ABFM) to include ME/CFS in their curriculum and exams.

• Increase IACFS/ME influence among international scientist and healthcare providers (including European)

• If IACFS/ME decides to have their future meeting in Iceland, I would try to be of as much help as possible. Such a meeting could possibly be held in collaboration with other societies under the theme “ME Between Continents”.

Best regards,

Fridbjörn Sigurdsson
 
From: International Association for Chronic Fatigue Syndrome/ Myalgic Encephalomyelitis (IACFS/ME) <iacfsmeorg.gmail.com@growthzonemail.com>
Sent: Tuesday 14 January 2025 16:01
Subject: Thank you to the Lawrence and Irene Burnett Trust for their generous donation!



Happy 2025! We are writing to share some exciting news from IACFS/ME. We are pleased to announce that the Lawrence and Irene Burnett Trust has made a generous donation to support our ongoing initiatives. Mrs. Burnett was a champion of anti-poverty initiatives and led many social service projects in her lifetime. This substantial contribution underscores the Burnett Trust's commitment to improving the lives of those affected by chronic fatigue syndrome/myalgic encephalomyelitis.


We are deeply grateful for their support, which will enable us to expand our conference activities, advocacy, and educational efforts. We would like to extend our heartfelt thanks to the Burnett Foundation for their generosity and unwavering support of our mission. Their investment is not only a significant endorsement of our work but also a vital resource that will help us achieve our goals and make a meaningful difference in the community we serve.


If you would like to join the Burnett Family Foundation in their support, please consider making a donation to IACFS/ME. Click here to donate. Every amount helps and counts! Thank you!


Sincerely,

IACFS/ME
 
Back
Top Bottom