“Barack Obama was elected to a second presidential term Tuesday, defeating Republican Mitt Romney,” the Washington Post reports (Farenthold, 11/6). Reuters writes, “President Barack Obama returns from the campaign trail on Wednesday with little time to savor victory, facing urgent economic and fiscal challenges and a still-divided Congress capable of blocking his every move” (Holland/Spetalnick, 11/7). “The president’s second-term foreign policy agenda … looks set to largely build on what he’s already begun,” The Atlantic states (Maher, 11/7). “Obama faces the departure of Secretary of State Hillary Clinton, who has said she isn’t planning to serve in a second Obama term,” Bloomberg/San Francisco Chronicle notes. The news service adds that some officials speculate the “leading candidates to succeed Clinton as secretary of state may be Massachusetts Senator John Kerry and United Nations Ambassador Susan Rice” (Nichols, 11/7).
US Global Health Policy
As part of its “Blueprint” series discussing the creation of a U.S. global AIDS blueprint called for by Secretary of State Hillary Clinton in July, the Center for Global Health Policy’s “Science Speaks” blog features a guest post by Allan Clear, executive director of the Harm Reduction Coalition, in which he highlights an existing “WHO, UNODC, UNAIDS Technical Guide [.pdf] for countries to set targets for universal access to HIV prevention, treatment and care for injecting drug users.” The guide “outlines nine interventions that, if implemented, could stop HIV in its tracks,” he says, writing, “At minimum, I would add two other interventions to that list: outreach to drug users and overdose prevention and response programs. After all, why work with populations at risk of contracting HIV only to have them die from drug overdoses?” (Barton, 11/6).
“The U.S. Farm Bill that was up for renewal in September in the House of Representatives could have included policies to support farmers in developing countries in their efforts to grow enough food to feed the local population,” but “Congress allowed the Farm Bill to expire on Sept. 30,” Ruth Messinger, president of the American Jewish World Service (AJWS), writes in the Huffington Post’s “Religion” blog. “If Congress does not act quickly after the election to pass a new Farm Bill, the money that exists for emergency food aid will run out in 2013,” potentially putting “up to 30 million hungry people at risk in the event of a crisis,” she continues, adding, “The failure to renew and reform the Farm Bill would also mean a missed opportunity to help end global hunger in the long term through sustainable solutions.”
The November 2012 issue of USAID’s “Global Health News” newsletter focuses on tuberculosis (TB). The newsletter features a link to a video titled “Voices of TB,” an infographic (.pdf) on innovations in TB diagnostics, and links to an IMPACTblog piece and a USAID press release discussing TB diagnostics (November 2012).
As part of its “Blueprint” series discussing the creation of a U.S. global AIDS blueprint called for by Secretary of State Hillary Clinton in July, the Center for Global Health Policy’s “Science Speaks” blog features an interview with Rochelle Walensky, a member of the Cost-effectiveness of Preventing AIDS Complications (CEPAC) and of the Office of AIDS Research Advisory Council at the NIH/DHS Panel on Antiretroviral Guidelines for Adults and Adolescents. According to the transcript, she discusses the key elements she feels should be a part of the blueprint, notes the interventions she feels would be critical components of a combination prevention package, and examines the role research should play in the blueprint, among other topics (Barton, 11/1).
The Global Washington blog summarizes a discussion about the role of U.S. foreign aid that took place last week in Columbus, Ohio, between former Senate Majority Leader Bill Frist (R-Tenn.) and former Gov. Bill Richardson (D-N.M.). While the discussion, convened by the U.S. Global Leadership Coalition and moderated by Ohio Public Radio and Television Bureau Chief Karen Kasler, focused on the future role of Ohio in global development, Frist said humanitarian aid is an important component of U.S. foreign policy and “encouraged the audience to see U.S. policies as ‘replacing desperation and disease and poverty with health and hope and opportunity,'” according to the blog. “Senator Frist and Governor Richardson were emphatically positive about the future of U.S. foreign aid, and both encouraged the audience to keep up with global health and business developments over the next few months,” the blog notes (Jensen-Clem, 11/1).
According to a Pan American Health Organization (PAHO) and WHO joint press release, USAID “has tripled its financial support for the Pan American Health Organization/World Health Organization (PAHO/WHO) Regional Tuberculosis Program, which seeks to prevent 15,000 deaths from tuberculosis in Latin America and the Caribbean over the next five years and reduce the incidence of this disease.” The press release notes the commitment “increases a previous $5 million USAID/PAHO agreement, signed in November 2011 to strengthen programs for tuberculosis, maternal and neonatal health, and health systems in the region over the course of a three-year period, to a total of $8.9 million.” The press release states that $5.1 million is earmarked for the tuberculosis program, “up from an originally expected investment of $1.5 million” (10/31).
As part of its “Blueprint” series discussing the creation of a U.S. global AIDS blueprint called for by Secretary of State Hillary Clinton in July, the Center for Global Health Policy’s “Science Speaks” blog features an opinion piece by Salmaan Keshavjee of Harvard Medical School and Partners In Health. With an estimated 1,000 people with HIV dying of tuberculosis (TB) every day, “[i]t is clear that our current approaches to addressing the global tuberculosis pandemic are inadequate,” he writes. Keshavjee says, “First, bold targets for reducing tuberculosis incidence and zero TB-HIV deaths must be prioritized in the blueprint. … Second, known strategies for stopping the spread of tuberculosis have to be actively implemented. … Lastly, any effective strategy has to ensure that HIV advocates at the community level are educated about the threat of tuberculosis,” and he describes each of his points in detail. He concludes, “The United States has shown visionary leadership in the area of HIV treatment and changed the lives of countless people for the better. It is time to take on tuberculosis with the same moral and pragmatic vigor” (Barton, 10/31).
Writing in GlobalPost’s “Global Pulse” blog, Nicola Pardy, an editorial intern at GlobalPost, reflects on the closure of the Global Health Initiative (GHI) office announced in July, noting that the government announced the establishment of a new Office of Global Health Diplomacy. She asks, “So, what has changed in this next phase of the initiative?” Pardy quotes Foreign Policy’s “The Cable” and the Center for Global Development’s “Global Health Policy” blogs, which commented on the announcement. She also cites a recent report by the Kaiser Family Foundation that examines how countries are responding to and implementing the women, girls, and gender equality principle of the GHI; highlights two case studies on GHI reproductive health-related activities in Guatemala (.pdf) and Ethiopia (.pdf) released by the Change Center for Health and Gender Equity in June; and notes an analysis of the GHI published in the Lancet this month. She concludes, “GHI’s lofty objectives have yet to come to fruition. Now it’s time to see whether the initiative has both the momentum and leadership to get there” (10/26).
“As the Acting Special Representative for Global Food Security, I lead U.S. diplomacy on food security and nutrition, and last week was a particularly busy one for the food security team,” Jonathan Shrier, acting special representative for Global Food Security, writes in the State Department’s “DipNote” blog. He details a number of food security-related activities that happened throughout the week, beginning with World Food Day, and writes, “Ending world hunger will require a collective effort among governments, international organizations, the private sector, and civil society” (10/27).