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hypertension, and <strong>in</strong> try<strong>in</strong>g to determ<strong>in</strong>e the genetics of<br />

complex diseases you need to look at vast numbers of<br />

people, you know, if you are look<strong>in</strong>g at any sort of asthma,<br />

any sort of large disease that you are talk<strong>in</strong>g about huge<br />

networks of <strong>in</strong>vestigators spread out all over the country<br />

and all over the world as it is and sometimes def<strong>in</strong><strong>in</strong>g what<br />

the community is, is difficult.<br />

They also recognize that do<strong>in</strong>g just your<br />

standard epidemiological studies you could -- the results<br />

that come out of those put <strong>in</strong>dividuals at risk. You f<strong>in</strong>d<br />

that African Americans have higher rates of salt <strong>in</strong>duced<br />

hypertension. You f<strong>in</strong>d that women -- men get heart disease<br />

faster than women, that there are -- the community can be<br />

women and the community can be men so <strong>in</strong> those sorts of<br />

sense it is difficult but where they are identifiable<br />

communities we do already seek <strong>in</strong>put.<br />

The consent form, the layered approach, I th<strong>in</strong>k<br />

that by hav<strong>in</strong>g a layered approach at least what we have<br />

found <strong>in</strong> the current study where it is be<strong>in</strong>g used it does<br />

require a much greater deal of <strong>in</strong>teraction between the<br />

cl<strong>in</strong>ic staff and the participant because you are gett<strong>in</strong>g<br />

someth<strong>in</strong>g that they have never seen before. And <strong>in</strong> a large<br />

number of our studies we are recontact<strong>in</strong>g, we are br<strong>in</strong>g<strong>in</strong>g<br />

-- you know, we have somebody from Fram<strong>in</strong>gham com<strong>in</strong>g back

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