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CRS Report – The 2009 Influenza Pandemic: An Overview

The report summarizes “key events in the H1N1 pandemic response, followed by information about select federal emergency management authorities and actions taken by DHS, HHS, and state and local authorities. It then lists congressional hearings held to day; discusses appropriations and funding for pandemic flu preparedness and response activities; summarizes U.S. government pandemic flu planning documents; and lists sources for additional information.”

“Joint Statement between Prime Minister Dr. Singh and President Obama” includes commitments on global health issues

In a Joint Statement released by the White House, Prime Minister Dr. Singh and President Obama “agreed to build on existing strong ties across academia and scientific communities by advancing public health and biomedical research collaborations between the United States and India. The two countries plan to establish a Regional Global Disease Detection Center in India and to build a partnership with the U.S. Centers for Disease Control and Prevention. The leaders also pledged to enhance collaboration in controlling diseases such as polio, and discovering new and affordable technologies and treatments for the benefit of their peoples and for those of other countries who seek their assistance.”

State Department’s Office of Inspector General releases report titled “The Exercise of Chief of Mission Authority in Managing the President’s Emergency Plan for AIDS Relief Overseas”

The Office of the Inspector General (OIG) for the U.S. Department of State released a report titled “The Exercise of Chief of Mission (COM) Authority in Managing the President’s Emergency Plan for AIDS Relief Overseas” (PEPFAR). The report was part of an annual oversight plan required by the PEPFAR Reauthorization Act of 2008 and coordinated by the OIGs for the Department of Health and Human Services (HHS), the U.S. Agency for International Development (USAID), and the Department of State.

According to the report, “the purpose of the inspection is to determine how COMs are fulfilling their responsibilities to coordinate, direct, and support the PEPFAR program at overseas posts. The report describes and evaluates program oversight by COMs, including their role in policy and program implementation, the challenges they face, the effectiveness of mission support, and implications for sustainability.”

CRS Report – The 2009 Influenza A(H1N1) “Swine Flu” Outbreak: U.S. Responses to Global Human Cases

This report provides an overview of the U.S. role in the global response to the H1N1 influenza outbreak. The report highlights efforts by the Centers for Disease Control and Prevention and the U.S. Agency for International Development and summarizes potential issues for future consideration.

State Department official discusses new U.S. strategy for countering biological threats

In an address to the annual meeting of the Biological Weapons Convention (BWC), Under Secretary for Arms Control and International Security Ellen Tauscher summarized the Administration’s new National Strategy for Countering Biological Threats including the strategy’s objective to “promote global health security.” During her comments, Under Secretary Tauscher stated that “if we improve a country’s ability to respond to natural outbreaks, we have improved their capability to deal with bioterrorism.” Additionally, she announced that, as part of the U.S. effort to address biological weapon and infectious disease threats, “the Center for Disease Control will soon become the world’s first World Health Organization Collaborating Center for implementing International Health Regulations (IHRs). It will assist the WHO and other international partners to help build the necessary global infrastructure to fully implement the IHRs in all six WHO Regions.”

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.

Administration statements in observance of World Malaria Day

President Obama, Secretary of State Hilary Clinton, Ambassador to the United Nations Susan Rice, U.S. Malaria Coordinator Admiral Tim Ziemer, and NIAID Director Anthony S. Fauci, M.D. summarized and reaffirmed the U.S. commitment to the fight against malaria in official statements observing World Malaria Day.

Statement by Secretary of State Clinton on the H1N1 virus and the FY09 War Supplemental Request

In testimony before the Senate Appropriations Committee, Secretary of State Hillary Clinton summarized how the State Department is assisting and coordinating with other U.S. departments and agencies to address the H1N1 virus. Secretary Clinton testified that the State Department has established an influenza monitoring group, is “tracking how other governments are responding to the threat and what assistance we might offer,” and is in regular contact with the World Health Organization (WHO). Secretary Clinton also discussed food security and staffing needs in relation to the FY09 War Supplemental Request.