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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).

CRS Report – State, Foreign Operations, and Related Programs: FY2010 Budget and Appropriations

From the report summary: “This report analyzes the FY2010 request, recent-year funding trends, and congressional action for FY2010, which includes the July 9 House approval of H.R. 3081, the State-Foreign Operations Appropriations bill for FY2010, July 9 Senate Appropriations Committee passage of its bill (S. 1434), and passage of H.R. 3288, the Consolidated Appropriations Act, 2010, signed into law December 16, 2009 (P.L. 111-117).

Senate letter encourages the President to meet authorized funding levels for HIV/AIDS, Tuberculosis, and Malaria in the FY2011 budget

In a letter to President Obama, eight Senators encouraged the President “to meet the authorized funding levels of the ‘Tom Lantos and Henry J. Hyde United States Global Leadership Against HIV/AIDS, Tuberculosis, and Malaria Reauthorization Act of 2008’” stating that “the success of our HIV/AIDS program is potentially compromised by a proposed slow-down in the pace of funding.” Additionally, the Senators welcomed the President’s “leadership in expanding the United States’ commitment to other global health priorities such as neglected diseases and maternal and child health under the Global Health Initiative,” while also stating that “we must be mindful that these important programs do not come at the expense of commitments made under the Lantos-Hyde Act.”

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.

Bipartisan Congressional letter to the President expresses support for “robust” FY 2011 International Affairs Budget

Congressman Berman sent a letter signed by 189 members of Congress expressing to the President “strong support for a robust International Affairs Budget” for FY 2011 stating that programs funded through the International Affairs budget support interventions for those “who live under oppressive poverty, face starvation, battle HIV/AIDS, malaria and other diseases and suffer the consequences of conflict and insecurity.”

PEPFAR Launches Five-Year Strategy

The U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) launched a five-year strategy outlining “the high-level direction of the program for its next phase.”

The strategy states that “PEPFAR will:

· Transition from an emergency response to promotion of sustainable country programs;

· Strengthen partner government capacity to lead the response to this epidemic and other health demands;

· Expand prevention, care, and treatment in both concentrated and generalized epidemics;

· Integrate and coordinate HIV/AIDS programs with broader global health and development programs to maximize impact on health systems; and

· Invest in innovation and operations research to evaluate impact, improve service delivery and maximize outcomes.”

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.”

Senator Sherrod Brown urges President Obama to include TB as a “prominent” part of the Global Health Initiative

Senator Brown wrote a letter to President Obama urging him “to make global tuberculosis (TB) control a prominent component of the Global Health Initiative (GHI).” In his letter, Senator Brown stated that “a request of $650 million for bilateral TB programs in fiscal year 2011 would represent a significant step in the right direction.”

“U.S.-China Joint Statement” includes commitments on global health issues

The White House released a joint statement between the U.S. and China in which the two countries “agreed to collaborate further in joint research in the health sector including on stem cells. They will deepen cooperation on global public health issues, including Influenza A (H1N1) prevention, surveillance, reporting and control, and on avian influenza, HIV/AIDS, tuberculosis, and malaria. They will also enhance cooperation on food and product safety and quality.”

USAID announces new program to address substandard and counterfeit medicines in developing countries

USAID announced the Promoting the Quality of Medicines (PQM) Program, a cooperative agreement with the U.S. Pharmacopeial Convention (USP) that “will serve as a primary mechanism to help assure the quality, safety and efficacy of medicines that are essential to USAID’s priority health programs.”