us assistance for international responses to zika
TRANSCRIPT
U.S. Assistance for International Zika Responses
Tiaji Salaam-Blyther
Specialist in Global Health
March 5, 2016
U.S. Global Health Funding: FY2001-FY2017 (in constant 2016 U.S. $ millions)
CRS-2 Regional Task Force on Zika Symposium
Source: Created by CRS from congressional appropriations and congressional budget justifications.
Share of U.S. Global Health Assistance by Disease Category: FY2001-FY2017 Request
(in constant 2016 U.S. $ millions)
CRS-3 Regional Task Force on Zika Symposium
Source: Created by CRS from congressional appropriations and congressional budget justifications. Note: HIV/AIDS, Tuberculosis, and Malaria (HTAM)
USAID Global Health Funding in the Caribbean: FY2015 and FY2017 Request
(current U.S. $ millions)
CRS-4 Regional Task Force on Zika Symposium
Types of Aid Provided by USAID in the Caribbean: Barbados and Eastern Caribbean Regional • HIV/AIDS
Dominican Republic • HIV/AIDS
Haiti • HIV/AIDS • Maternal and Child Health • Family Planning and
Reproductive Health • Nutrition
Latin American and Caribbean Regional • Malaria • Maternal and Child Health • Family Planning and
Reproductive Health
Zika Emergency Request: FY2016
CRS-5 Regional Task Force on Zika Symposium
Agency/Activity Amount
U.S. Centers for Disease Control and Prevention - Domestic Responses
$828 million
Puerto Rico’s Medicaid Federal Medical Assistance Percentage - Health Services for Pregnant Women
$250 million
National Institutes of Health (NIH) and Food and Drug Administration (FDA)
- Vaccine Research and Diagnostic Development
$200 million
U.S. Department of Health and Human Services - Establishment of an Urgent and Emerging Threat Fund to
support domestic preparedness
$210 million
U.S. Agency for International Development (USAID) - Support for affected countries
$335 million
U.S. Department of State - Support for U.S. citizens in affected countries - Support for Zika responses by the World Health Organization
(WHO) and the Pan American Health Organization (PAHO)
$41 million
Total $1,864 million
Unobligated Ebola Funds for International
Assistance as of September 30, 2015
CRS-6 Regional Task Force on Zika Symposium
Agency/Activity Amount
U.S. Centers for Disease Control and Prevention (CDC) - Disease Control Assistance in Foreign Countries - Global Health Security Agenda
$920 million - $389 million - $531 million
U.S. Agency for International Development - International Disaster Assistance - Global Health Security and Infectious Disease Control - Training and Assistance to Prevent Economic and
Government Instability
$1,399 million - $567 million - $207 million - $625 million
U.S. Department of State - Medical Support and Evacuation and Repatriation
$3 million
Total $2,322 million
Sources: Departmental spend plans and/or quarterly reports and additional departmental communications. Note: Excludes funds for domestic responses and research and development.
Issues to Consider
CRS-7 Regional Task Force on Zika Symposium
If Unobligated Ebola Funds are Reprogrammed: • Resurgence? • Containing isolated cases?
Efficient Allocation of Resources:
• Identifying country capacities across region • Determining appropriate balance of bilateral and
multilateral support • Concentrate resources in epicenter or vulnerable
states? Appropriate balance of:
• Preparedness and Response Funds? • Health Systems and Disease Response? • Research and Development?
Reconsider Degree of Engagement in Region?