II

Calendar No. 728

106TH CONGRESS

2D SESSION S. 2943

To authorize additional assistance for international malaria control, and to

provide for coordination and consultation in providing assistance under

the Foreign Assistance Act of 1961 with respect to malaria, HIV, and

tuberculosis.

IN THE SENATE OF THE UNITED STATES

JULY 27, 2000

Mr. HELMS, from the Committee on Foreign Relations, reported the following

original bill; which was read twice and placed on the calendar

A BILL

To authorize additional assistance for international malaria

control, and to provide for coordination and consultation

in providing assistance under the Foreign Assistance Act

of 1961 with respect to malaria, HIV, and tuberculosis.

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled,

3 SECTION 1. SHORT TITLE.

4 This Act may be cited as the ‘‘International Malaria

5 Control Act of 2000’’.
2

•S 2943 PCS

1 SEC. 2. FINDINGS.

2 Congress makes the following findings:

3 (1) The World Health Organization estimates

4 that there are 300,000,000 to 500,000,000 cases of

5 malaria each year.

6 (2) According to the World Health Organiza7 tion, more than 1,000,000 persons are estimated to

8 die due to malaria each year.

9 (3) According to the National Institutes of

10 Health, about 40 percent of the world’s population

11 is at risk of becoming infected.

12 (4) About half of those who die each year from

13 malaria are children under 9 years of age.

14 (5) Malaria kills one child each 30 seconds.

15 (6) Although malaria is a public health problem

16 in more than 90 countries, more than 90 percent of

17 all malaria cases are in sub-Saharan Africa.

18 (7) In addition to Africa, large areas of Central

19 and South America, Haiti and the Dominican Re20 public, the Indian subcontinent, Southeast Asia, and

21 the Middle East are high risk malaria areas.

22 (8) These high risk areas represent many of the

23 world’s poorest nations.

24 (9) Malaria is particularly dangerous during

25 pregnancy. The disease causes severe anemia and is
3

•S 2943 PCS

1 a major factor contributing to maternal deaths in

2 malaria endemic regions.

3 (10) Pregnant mothers who are HIV-positive

4 and have malaria are more likely to pass on HIV to

5 their children.

6 (11) ‘‘Airport malaria’’, the importing of ma7 laria by international travelers, is becoming more

8 common, and the United Kingdom reported 2,364

9 cases of malaria in 1997, all of them imported by

10 travelers.

11 (12) In the United States, of the 1,400 cases

12 of malaria reported to the Centers for Disease Con13 trol and Prevention in 1998, the vast majority were

14 imported.

15 (13) Between 1970 and 1997, the malaria in16 fection rate in the United States increased by about

17 40 percent.

18 (14) Malaria is caused by a single-cell parasite

19 that is spread to humans by mosquitoes.

20 (15) No vaccine is available and treatment is

21 hampered by development of drug-resistant parasites

22 and insecticide-resistant mosquitoes.
4

•S 2943 PCS

1 SEC. 3. ASSISTANCE FOR MALARIA PREVENTION, TREAT2 MENT, CONTROL, AND ELIMINATION.

3 (a) FINDINGS.—Congress recognizes the growing

4 international problem of malaria and the impact of this

5 epidemic on many nations, particularly in the nations of

6 sub-Saharan Africa. Congress further recognizes the nega7 tive interaction among the epidemics of malaria, HIV and

8 tuberculosis in many nations, particularly in the nations

9 of sub-Saharan Africa. Congress directs the Administrator

10 of the United States Agency for International Develop11 ment to undertake activities designed to control malaria

12 in recipient countries by—

13 (1) coordinating with the appropriate Federal

14 officials and organizations to develop and implement,

15 in partnership with recipient nations, a comprehen16 sive malaria prevention and control program; and

17 (2) coordinating, consistent with clause (i), ma18 laria prevention and control activities with efforts by

19 recipient nations to prevent and control HIV and tu20 berculosis.

21 (b) AUTHORIZATION OF APPROPRIATIONS.—There is

22 authorized to be appropriated to the President

23 $50,000,000 for each of the fiscal years 2001 and 2002

24 to carry out this paragraph.
5

•S 2943 PCS

1 SEC. 4. COORDINATION AND CONSULTATION.

2 (a) IN GENERAL.—In providing the assistance and

3 carrying out the activities provided for under this Act, the

4 Administrator of the United States Agency for Inter5 national Development should work in coordination with

6 appropriate Federal officials.

7 (b) PURPOSE.—The purpose of such interagency co8 ordination and consultation is to help ensure that the fi9 nancial assistance provided by the United States is utilized

10 in a manner that advances, to the greatest extent possible,

11 the public health of recipient countries.

12 (c) PROVISION OF INFORMATION TO RECIPIENT

13 COUNTRIES.—The Administrator of the United States

14 Agency for International Development shall take appro15 priate steps to provide recipient countries with information

16 concerning the development of vaccines and therapeutic

17 agents for, HIV, malaria, and tuberculosis.

18 (d) INFORMATION SPECIFIED.—The Administrator

19 of the United States Agency for International Develop20 ment should provide to appropriate officials in recipient

21 countries information concerning participation in, and the

22 results of, clinical trials conducted by United States Gov23 ernment agencies for vaccines and therapeutic agents for

24 HIV, malaria, and tuberculosis.

25 (e) CONSIDERATION OF INTERACTION AMONG

26 EPIDEMICS.—The Administrator of the United States
6

•S 2943 PCS

1 Agency for International Development should consider the

2 interaction among the epidemics of HIV, malaria, and tu3 berculosis as the United States provides financial and

4 technical assistance to recipient countries under this Act.

Calendar No. 728

106TH CONGRESS

2D SESSION S. 2943

A BILL

To authorize additional assistance for international

malaria control, and to provide for coordinationand consultation in providing assistance underthe Foreign Assistance Act of 1961 with respectto malaria, HIV, and tuberculosis.

JULY 27, 2000

Read twice and placed on the calendar