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Obama Proposes Massive Global Health Initiative


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By Merle David Kellerhals Jr.
Staff Writer

Washington - The United States is launching a six-year global health 
initiative that will help some of the poorest regions of the world fight 
health challenges that kill people who could otherwise be saved with 
improved health care, says President Obama.

"That is why I am asking Congress to approve my fiscal year 2010 budget 
request of $8.6 billion - and $63 billion over six years - to shape a new, 
comprehensive global health strategy," Obama said.

"We cannot wall ourselves off from the world and hope for the best, nor 
ignore the public health challenges beyond our borders."

Secretary of State Hillary Rodham Clinton said the initiative will become a 
crucial component of American foreign policy. Investments in global programs 
to fight HIV/AIDS, malaria, tuberculosis and other preventable diseases will 
save lives and reduce maternal and child deaths, she said.

Deputy Secretary of State Jack Lew told reporters at a White House briefing 
May 5 that the global health initiative goes beyond current programs 
designed to fight HIV/AIDS, malaria and tuberculosis and will begin 
addressing the health needs of women, children and families in developing 
nations. It is also designed to curb the impact of neglected tropical 
diseases.

"Neglected tropical diseases are a symptom of poverty and disadvantage," 
according to the World Health Organization. "Those most affected are the 
poorest populations often living in remote, rural areas, urban slums or in 
conflict zones."

Although medically diverse, neglected tropical diseases share features that 
allow them to persist in conditions of poverty, where they cluster and 
frequently overlap. More than 1 billion people - one-sixth of the world's 
population - suffer from one or more neglected tropical diseases, the WHO 
says.

"Research shows that a handful of neglected diseases could be eliminated 
with relatively modest resources and a sustained commitment," Lew said. 
"Basic obstetric care can exponentially reduce the number of mothers and 
children who die in childbirth."

Lew said basic health interventions for things like diarrheal diseases can 
sharply decrease the mortality of children under 5.

"We have the opportunity to cost-effectively contribute to political 
stability in a way that enhances our national security, while advancing our 
core humanitarian values," he said.

The initiative is included in the fiscal year 2010 federal budget, which was 
presented to Congress May 7. The 2010 fiscal year begins October 1. The 
budget proposal was delayed by the Obama administration to permit more time 
to evaluate federal programs and make adjustments.

Lew said the health initiative does not include a listing of specific 
regions and targeted countries, but, he said, a lot of countries in Africa 
could use more help.

In the first year of the initiative, Lew said, the $8.645 billion includes 
$7.4 billion in funding for the Bush administration's effective President's 
Emergency Plan for AIDS Relief (PEPFAR) and President's Malaria Initiative. 
Another $1.3 billion is for other global health priorities. Last year the 
United States provided $8.16 billion for global health issues; the increase 
this year is $459 million, he said.

Lew said this initiative builds, in part, on President Bush's PEPFAR 
program, which provides lifesaving treatment for more than 2 million people, 
up from 50,000 people six years ago.

"Dramatic gains have also been achieved under the President's Malaria 
Initiative, which in its third year alone has already reached more than 32 
million people in 15 African countries," Lew said.

Transcripts of President Obama's remarks ( 
http://www.america.gov/st/texttrans-english/2009/May/20090505165154eaifas0.283897.html ) 
and Secretary Clinton's remarks ( 
http://www.america.gov/st/texttrans-english/2009/May/20090505174936eaifas0.7123529.html ) 
on the global health initiative are available on America.gov.

What foreign affairs decisions should President Obama consider? Comment on 
America.gov's blog ( 
http://blogs.america.gov/campaign/2009/01/21/day-2-what-should-obama%e2%80%99s-top-priorities-be/ ) 
.

(This is a product of the Bureau of International Information Programs, U.S. 
Department of State.  Web site: http://www.america.gov)