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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

Administration releases Global Health Initiative (GHI) Consultation Document

The Administration released “Implementation of the Global Health Initiative: Consultation Document,” which includes specific goals and targets, core principles, and an operational plan for the Global Health Initiative (GHI).

H.R. 3288 – Consolidated Appropriations Act, 2010

Originally introduced as the “Transportation, and Housing and Urban Development, and Related Agencies Appropriations Act, 2010,” H.R. 3288 was reported out of a Joint House-Senate Conference Committee on December 8, 2009 as a consolidated appropriations act that included the “Department of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2010” and the “Department of State, Foreign Operations, and Related Programs Appropriations Act, 2010”.

Health and Human Services funding for global health:

- CDC ($328 total):
– Global AIDS Program: $119.0 million

- Global Immunization Program: $153.7 million

- Global Disease Detection: $37.8 million

- Global Malaria Program: $9.4 million

- Other Global Health: $8.5 million
– Global Fund: $300.0 million

- Fogarty International: $70.1 million

- Pandemic Flu (includes the Office of the Secretary and CDC): $432.3 million

State and Foreign Operations funding for global health:

- Global Health & Child Survival: $7.779 billion
– USAID:
– Child Survival and Maternal Health: $549.0 million

- Vulnerable Children: $15.0 million

- HIV/AIDS: $350.0 million

- Family Planning/Reproductive Health: $525.0 million

- Other Infectious Diseases: $981.0 million (includes $585.0 million for malaria, $225.0 million for tuberculosis, and $65.0 million for neglected tropical diseases)
– Department of State:
– HIV/AIDS: $5.359 billion (includes $750 million for the Global Fund)
– Agriculture and Food Security: $1.170 billion

- Water and Sanitation: $315 million

- Millennium Challenge Corporation: $1.105 billion

Timeline of the bill:

- Introduced as the “Transportation, and Housing and Urban Development, and Related Agencies Appropriations Act, 2010” and reported out of the House Committee on Appropriations on July 22, 2009.

- Passed a vote in the House (256-168) on July 23, 2009.

- Reported out of the Senate Committee on Appropriations with an amendment on August 5, 2009.

- Passed a vote in the Senate (73-25) on September 17, 2009.

- Reported out of a joint House-Senate Committee as the “Consolidated Appropriations Act, 2010” on December 8, 2009.

- The joint House-Senate Conference Committee report passed a vote in the House (221-202) on December 10, 2009.

- The joint House-Senate Conference Committee report passed a vote in the Senate (57-35) on December 13, 2009.

- The President signed the bill into law on December 16, 2009.

State Department releases fact sheet titled “America’s Commitment to the Fight Against Global AIDS”

The fact sheet summarizes U.S. efforts to address HIV/AIDS including the latest results from the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR). Additionally, the fact sheet states that “the U.S. is placing a renewed emphasis on supporting partner country ownership of AIDS programs” and that “the Global Health Initiative will continue America’s commitment to priorities like HIV/AIDS, tuberculosis and malaria, and will integrate current programs with those that address maternal and child health, family planning and neglected tropical diseases.”

State Department official discusses global health diplomacy

In a speech titled “Global Health Diplomacy: Negotiating Health in the 21st Century,” Kerri-Ann Jones, Assistant Secretary of State, Bureau of Oceans and International Environmental and Scientific Affairs stated that “at the Department of State the emergence of health diplomacy and the increased importance of global health reflect three points:

1) The growing convergence of health challenges facing the developing and the developed world;

2) The growing importance of development as a key element of foreign policy; and

3) The increasing recognition that to address global health challenges requires approaches built on global partnerships.”

Assistant Secretary Jones proceeded to summarize President Obama’s Global Health Initiative (GHI) and the Administration’s work on influenza and described these efforts as “two specific examples where health diplomacy has been front and center in our recent work at the Department of State.”

Assistant Secretary Jones concluded her speech by making and elaborating upon three observations about the State Departments global health efforts:

- “First – The State Department is not a health agency.”

- “Second – The State Department does have a cadre of offices who work on health issues.”

- “Third – While not a health agency, the Department of State works in the diplomatic world and uses diplomatic forums and occasions to pursue health issues, to carry out health diplomacy.”

H.R. 3156 – To amend the Internal Revenue Code of 1986 to provide a credit against tax for expenses paid or incurred in non-clinical research for neglected diseases

The proposed bill would provide a tax credit for 50% of the non-clinical research expenses for specific neglected diseases “for which there is no significant market in developed nations and disproportionately affects poor and marginalized populations.”

NIH Announces New Program to Develop Therapeutics for Rare and Neglected Diseases

The National Institutes of Health (NIH) launched a new drug development initiative called the Therapeutics for Rare and Neglected Diseases program, or TRND. Initiated with $24 million in funding, the program is dedicated to producing new treatments for rare and neglected diseases.