[Federal Register Volume 88, Number 181 (Wednesday, September 20, 2023)]
[Notices]
[Pages 64913-64914]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-20338]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[Docket No. CDC-2023-0075]


National One Health Framework To Address Zoonotic Diseases and 
Advance Public Health Preparedness in the United States: A Framework 
for One Health Coordination and Collaboration Across Federal Agencies

AGENCY: Centers for Disease Control and Prevention (CDC), Department of 
Health and Human Services (HHS).

ACTION: Notice with comment period.

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SUMMARY: The Centers for Disease Control and Prevention (CDC), in the 
Department of Health and Human Services (HHS), announces the opening of 
a docket to obtain comment on the draft National One Health Framework 
to Address Zoonotic Diseases and Advance Public Health Preparedness in 
the United States: A Framework for One Health Coordination and 
Collaboration across Federal Agencies (NOHF-Zoonoses). As directed by 
Congress through the House Appropriations Committee report accompanying 
the 2021 omnibus appropriations bill and the 2023 Consolidated 
Appropriations Act, CDC has partnered with the U.S. Department of the 
Interior (DOI), the U.S. Department of Agriculture (USDA), and other 
departments and agencies to develop this One Health framework to 
address zoonotic diseases and advance public health preparedness. This 
framework will facilitate One Health collaboration for zoonotic disease 
prevention and control across the United States Government for the next 
five years. It describes a common vision, mission, and goals for key 
federal partners involved in implementing a One Health approach to 
address zoonotic diseases and advance public health preparedness in the 
United States.

DATES: Written comments must be received on or before November 6, 2023.

ADDRESSES: You may submit comments, identified by Docket No. CDC-2023-
0075 by either of the methods listed below. Do not submit comments by 
email. CDC does not accept comments by email.
    <bullet> Federal eRulemaking Portal: http://www.regulations.gov. 
Follow the instructions for submitting comments.
    <bullet> Mail: RE: NOHF-Zoonoses Public Comments, 1600 Clifton Road 
NE, Mailstop H16-5, Atlanta, Georgia 30329.
    Instructions: All submissions received must include the agency name 
(Centers for Disease Control and Prevention) and Docket Number. All 
relevant comments received will be posted without change to http://regulations.gov, including any personal information provided. For 
access to the docket to read background documents or comments received, 
go to http://www.regulations.gov.

FOR FURTHER INFORMATION CONTACT: Natalie Wendling or Dominic Cristiano, 
One Health Office, Centers for Disease Control and Prevention, 1600 
Clifton Road NE, Mailstop H16-5, Atlanta, Georgia 30329. Telephone: 
404-639-8950. Email: <a href="/cdn-cgi/l/email-protection#1877767d707d79746c70587b7c7b367f776e"><span class="__cf_email__" data-cfemail="3956575c515c58554d51795a5d5a175e564f">[email protected]</span></a>.

SUPPLEMENTARY INFORMATION: 

Public Participation

    Interested persons or organizations are invited to participate by 
submitting written views, recommendations, and data. CDC and our 
federal partners invite input from interested parties throughout public 
health, agriculture, wildlife, environment, and other relevant sectors 
including authorities at the state, tribal, local, and territorial 
levels, non-governmental organizations, academic institutions, private 
sector, the public, and others on the proposed One Health framework to 
address zoonotic diseases and advance public health preparedness. This 
input is a valuable component in finalizing the framework, and the 
community's time and consideration are appreciated.
    CDC and our federal partners invite public comments to inform 
revisions to the proposed framework and follow-up activities. 
Commenters are encouraged to answer the following questions:
    <bullet> Are there any new or proposed objectives that should be 
prioritized?
    <bullet> What attributes and characteristics of the proposed 
framework will most likely lead to success?

[[Page 64914]]

    <bullet> Are there any specific barriers or gaps to achieving 
success?
    <bullet> Are there any critical steps or milestones necessary to 
successfully implement the proposed framework?
    <bullet> How do state, tribal, local, and territorial partners, 
non-governmental organizations, academic institutions, private sector 
partners, and other partners want to engage with federal collaborators 
to advance implementation of this framework?
    <bullet> What additional One Health issues should be prioritized in 
the future?
    <bullet> What information or recommendations are needed to ensure 
the guiding principles of health equity, sustainability, stewardship, 
and a multisectoral approach are adequately addressed in the framework? 
How can these guiding principles be elevated during follow-up 
development and drafting of implementation plans?
    Organizations should submit a single response reflective of the 
views of the organization/membership when possible. Please note that 
comments received, including attachments and other supporting 
materials, are part of the public record and are subject to public 
disclosure. Comments will be posted on https://www.regulations.gov. 
Therefore, do not include any information in your comment or supporting 
materials that you consider confidential or inappropriate for public 
disclosure. If you include your name, contact information, or other 
information that identifies you in the body of your comments, that 
information will be on public display. CDC will review all submissions 
and may choose to redact, or withhold, submissions containing private 
or proprietary information, such as Social Security numbers, medical 
information, inappropriate language or images, or duplicate/near 
duplicate examples of a mass-mail campaign.

Background

    Previous multisectoral work has identified a need for a national 
One Health framework to address zoonotic diseases and advance public 
heath preparedness in the United States. In 2017, CDC, DOI, and USDA 
organized a One Health Zoonotic Disease Prioritization (OHZDP) workshop 
for the United States. Participants included 30 government officials 
from federal and state agencies who work to address zoonotic diseases 
in the public health, animal health, and environment sectors. The 
workshop used a One Health approach to identify and prioritize endemic 
and emerging zoonotic diseases of greatest national concern for the 
United States that should be jointly addressed by federal zoonotic 
disease programs. Participants also developed plans for implementing 
and strengthening One Health approaches to address these diseases in 
the United States. The development of the NOHF-Zoonoses responds to one 
of the recommendations from the OHZDP workshop. In addition, Congress 
directed CDC, in partnership with other departments and agencies, to 
develop a One Health framework to address zoonotic diseases and advance 
public health preparedness in both the House Appropriations Committee 
report accompanying the 2021 omnibus appropriations bill \1\ and the 
2023 Consolidated Appropriations Act.\2\
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    \1\ H. Rept. 116-450--Departments of Labor, Health and Human 
Services, and Education, and Related Agencies Appropriations Bill, 
2021, H. Rept.116-450, 116th Cong. (2023), Title II--Department of 
Health and Human Services: pages 67-68 https://www.congress.gov/congressional-report/116th-congress/house-report/450.
    \2\ H.R. 2617, Public Law 117-328, ``Consolidated Appropriations 
Act, 2023,'' Division FF--Health and Human Services, Title II--
Preparing for and Responding to Existing Viruses, Emerging New 
Threats, and Pandemics, Sec. 2235, pages 1297-1298 (Dec. 29, 2022), 
https://www.congress.gov/117/bills/hr2617/BILLS-117hr2617enr.pdf.
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    The draft NOHF-Zoonoses, found in the Supporting Materials tab of 
the docket, is focused on coordinated federal activities in the United 
States and describes a common vision, mission, and goals for key 
federal partners involved in implementing a One Health approach to 
address zoonotic diseases. Successful federal One Health collaboration 
is contingent on continued strong partnerships and coordination with 
public health, agriculture, wildlife, plant, environment, and other 
relevant authorities at state, tribal, local, and territorial levels. 
One Health partnerships to address zoonotic diseases cross federal, 
state, tribal, local, and territorial government jurisdictions and 
involve non-governmental, academic, and private sector partners. All 
relevant sectors are encouraged to collaborate for effective and 
consistent One Health outcomes.
    Although this framework focuses primarily on zoonotic diseases and 
does not address other issues of One Health importance, the resulting 
partnerships, systems, and lessons will inform future One Health work 
and strengthen the nation's ability to address other threats and 
promote health, safety, security, and resilience at the human-animal-
plant-environment interface.
    Additional background information can be found on the following 
websites.
    <bullet> Federal One Health Coordination: https://www.cdc.gov/onehealth/what-we-do/federal-coordination.html.
    <bullet> United States Joint External Evaluation: https://www.who.int/publications/i/item/WHO-WHE-CPI-2017.13.
    <bullet> United States One Health Zoonotic Disease Prioritization 
Report: https://www.cdc.gov/onehealth/pdfs/us-ohzdp-report-508.pdf.
    CDC, USDA, and DOI will be offering three webinars to answer 
questions concerning the draft NOHF-Zoonoses. The time, date, and links 
to these webinars will be provided in a separate Federal Register 
notice.

    Dated: September 15, 2023.
Tiffany Brown,
Executive Secretary, Centers for Disease Control and Prevention.
[FR Doc. 2023-20338 Filed 9-19-23; 8:45 am]
BILLING CODE 4163-18-P


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