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Neglected Tropical Diseases (NTDs)

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USAID reports NTD treatment results

The U.S. Agency for International Development (USAID) released treatment results for the Neglected Tropical Disease (NTD) Control Program stating “that USAID funds for NTD control have enabled countries to provide more than 162 million treatments to more than 69 million people in Year 4 of the Program.”

Administration official discusses “Global Health and Foreign Policy”

In a speech titled “Global Health and Foreign Policy,” U.S. Representative to the Economic and Social Council of the United Nations Ambassador Rick Barton discussed the core principles of the Global Health Initiative (GHI) and stated “health is at the heart of the Millennium Development Goals [MDGs], and is essential to progress on poverty eradication, socio-economic development, primary education for all, gender equality, and partnering for development.”

Administration official discusses U.S. efforts to assist Least Developed Countries through the GHI and Feed the Future

In a statement before the Economic and Financial Committee (Second Committee) of the General Assembly of the United Nations, U.S. Deputy Representative to ECOSOC John Sammis summarized U.S. efforts to help reduce poverty and achieve the Millennium Development Goals (MDGs) through initiatives such as the Global Health Initiative (GHI) and Feed the Future (FtF).

S. 3697 – Creating Hope Act of 2010

The proposed bill would amend the Food and Drug Administration (FDA) Amendments Act of 2007, which, among other things, established a “priority review voucher” entitling pharmaceutical companies that developed a treatment for tropical diseases to an expedited review of another drug by that company or sale of the voucher to another company. The proposed bill would allow for repeated transferability (or sale) of the priority review vouchers, expand voucher eligibility to include drug development for rare pediatric diseases, and add “Chagas Disease” to the classification of tropical diseases.

S. 3676 – Department of State, Foreign Operations, and Related Programs Appropriations Bill, 2011

The Senate Committee on Appropriations approved by a vote of 18-12 the FY 2011 State and Foreign Operations appropriations bill with the following recommendations:

Total Funding for State & Foreign Operations: $54.06 billion ($2.6 billion below the President’s FY11 request; $5.3 billion above the FY10 enacted level)

Global Health and Child Survival Account (GHCS): $8.239 billion ($274 million below the President’s request; $460 million above the FY10 enacted level) with funding for specific areas is as follows:
- HIV/AIDS activities and the Global Fund to Fight AIDS, Tuberculosis and Malaria: $5.85 billion
- HIV/AIDS: $5.05 billion

- Global Fund to Fight AIDS, Tuberculosis and Malaria contribution: $800 million
- Malaria: $635.5 million

- Tuberculosis: $230 million

- Neglected Tropical Diseases (NTDs): $100 million

- Child Survival and Maternal Health: $641 million

- Nutrition: $100 million

- Family Planning and Reproductive Health: $700 million which includes funding from multiple accounts and provides $55 million to the United Nations Population Fund (UNFPA)

Millennium Challenge Corporation: $1.105 billion ($174.7 million below the President’s FY11 request; equal to the FY10 enacted level)

Feed the Future: $1.3 billion ($344 million below the President’s FY11 request)

“Global Gag” Rule Amendment:The Committee approved by a vote of 19-11 an amendment to the appropriations bill introduced by Senator Frank Lautenberg (D-NJ) that would codify into law President Obama’s decision to rescind the “global gag” rule (otherwise known as the Mexico City Policy), which prevented the U.S. from providing foreign assistance for family planning purposes to any organization that performed or promoted legal abortion.

H.R. 5783 – Investing in Our Future Act of 2010

The proposed bill would impose a 0.005% tax on the value of the currency (if greater than $10,000 USD) acquired in a currency exchange transaction. The revenue generated by this tax would be directed to three new trust funds established at the Department of the Treasure: 20% would be directed to a “Child Care Assistance Trust Fund,” 40% to a “Multilateral Global Health Trust Fund,” and 40% to a “Global Climate Change Adaptation and Mitigation Trust Fund.” The Secretary of State would have authority to provide grants from the Multilateral Global Health Trust Fund to entities such as the Global Fund to Fight AIDS, Tuberculosis and Malaria and other multilateral organizations that meet specific criteria outlined in the bill. The bill also states that funding for the multilateral organizations must be in addition to and not replacing existing funding and should be used for the purposes of “addressing HIV/AIDS, tuberculosis, malaria, maternal mortality, family planning, neglected diseases, and other health issues affecting developing countries.”

CRS Report – Centers for Disease Control and Prevention Global Health Programs: FY2001-FY2011

From the report summary: “This report explains the role CDC plays in U.S. global health assistance, highlights how much the agency has spent on global health efforts from FY2001 to FY2010, and discusses how funding to each of its programs has changed during this period.”

Congressional letter urges USAID to provide funding for Research and Development (R&D) of new treatments for NTDs

In a letter to the United States Agency for International Development (USAID) Administrator Dr. Rajiv Shah, thirteen members of Congress expressed the need to expand U.S. government Neglected Tropical Diseases (NTD) initiatives to include all fifteen NTDs as designated by the World Health Organization (WHO), and urges “USAID to determine the best funding strategy to allow for proper resources to be devoted specifically to R&D for all NTDs.”

USAID Senior Deputy Assistant Administrator Gloria Steele testifies before the House Committee on Appropriations on the FY 2011 Global Health and Child Survival account budget request

During a House Committee on Appropriations, Subcommittee on State, Foreign Operations, and Related Programs hearing titled “Global Health and HIV/AIDS programs at the Department of State and the U.S. Agency for International Development,” USAID Senior Deputy Assistant Administrator Gloria Steele, testified on the FY 2011 Global Health and Child Survival (GHCS) account budget request. Topics covered in her testimony include: a breakdown of the FY 2011 budget request and program plans; health systems strengthening; integrating health programs; engaging with multilateral, nongovernmental, faith-based, and community based organizations; public-private partnerships; and research.

White House releases FY 2011 Budget

The White House released the FY 2011 budget request, which included the following funding totals for the U.S. Global Health Initiative (GHI) and other global health and related activities:

Global Health Initiative (GHI) total: $9.572 billion, including

- $8.513 billion from State & Foreign Operations Global Health & Child Survival (GHCS) account, and

- $1.059 billion from HHS, DoD, and other State & Foreign Operations accounts.

- PEPFAR: Included in the GHI total is $6.990 billion for PEPFAR of which $1 billion is for the Global Fund ($700 million from the State Department and $300 million from HHS).

Additional funding details on the GHI and other global health related accounts:

State and Foreign Operations funding for global health:

- Global Health & Child Survival (GHCS): $8.513 billion
- USAID: $3.013 billion
- Maternal Health & Child Health/Nutrition: $900.0 million
- Maternal & Child Health: $700.0 million

- Nutrition: $200.0
- Vulnerable Children: $15.0 million

- HIV/AIDS: $350.0 million

- Family Planning/Reproductive Health: $590.0 million

- Other Infectious Diseases: $1,158.0 million, which includes
- Malaria: $680.0 million,

- Tuberculosis: $230.0 million ,

- Neglected Tropical Diseases (NTDs): $155.0 million,

- Pandemic Influenza and Other Emerging Threats: $75 million, and

- Other Public Health Threats: $18 million.
- Department of State: $5.500 billion
- HIV/AIDS: $5.500 billion (includes $700 million for the Global Fund)
- Millennium Challenge Corporation: $1.280 billion

Health and Human Services funding for global health:

- CDC ($351.9 total):
- Global AIDS Program: $118.1 million

- Global Immunization Program: $152.8 million

- Global Disease Detection: $37.8 million

- Global Malaria Program: $9.2 million

- Other Global Health: $35.1 million
- Global Fund: $300.0 million

- Fogarty International: $73.0 million