III 

Calendar No. 451 

114TH CONGRESS 

2D SESSION S. RES. 436 

Supporting the goals and ideals of World Malaria Day. 

IN THE SENATE OF THE UNITED STATES 

APRIL 21, 2016 

Mr. WICKER (for himself, Mr. COONS, Mr. DURBIN, Mrs. BOXER, Mr. BOOZMAN, Mr. MERKLEY, Mr. COCHRAN, Mr. RUBIO, Mr. ISAKSON, Mrs. 

MURRAY, Mr. BROWN, and Mr. CARDIN) submitted the following resolution; which was referred to the Committee on Foreign Relations 

APRIL 28, 2016 

Reported by Mr. CORKER, without amendment and with an amendment to the 

preamble 

[Strike the preamble and insert the part printed in italic] 

RESOLUTION 

Supporting the goals and ideals of World Malaria Day. 

Whereas April 25 of each year is recognized internationally 

as World Malaria Day; 

Whereas malaria is a leading cause of death and disease in 

many developing countries, despite being preventable and 

treatable; 

Whereas fighting malaria is in the national interest of the 

United States, as reducing the risk of malaria protects 

members of the Armed Forces and other people of the 


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•SRES 436 RS 

United States serving overseas in malaria-endemic regions, and reducing malaria deaths helps to lower risks 

of instability in less developed countries; 

Whereas the elimination of malaria remains a bipartisan priority of the United States Government; 

Whereas, on December 14, 2006, President George W. Bush 

stated at the White House Malaria Summit, ‘‘So we are 

acting, and we’re leading. And with partners across the 

world, we are helping the people of Africa turn the tide 

against malaria. The goal of defeating malaria is a challenging goal, yet it can be done. It’s not going to require 

a miracle, it just requires a smart, sustained, focused effort.’’; 

Whereas, on September 27, 2015, President Barack Obama 

stated at the United Nations General Assembly, ‘‘Billions 

of our fellow human beings are at risk of dying from diseases that we know how to prevent. Many children are 

just 1 mosquito bite away from death. And that is a 

moral outrage. It is a profound injustice. It is literally a 

matter of life and death, and now the world must act.’’; 

Whereas support for efforts to fight malaria is in the diplomatic and moral interest of the United States, as that 

support generates goodwill toward the United States and 

highlights the values of the people of the United States 

through the work of governmental, nongovernmental, and 

faith-based organizations of the United States; 

Whereas efforts to fight malaria are in the long-term economic interest of the United States because those efforts 

help developing countries— 

(1) identify at-risk populations; 


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•SRES 436 RS 

(2) provide a framework for critical emergency disease treatment; 

(3) provide better health services; 

(4) increase local governance needed to address substandard and counterfeit medicines that exacerbate malaria resistance; 

(5) produce healthier and more productive 

workforces; 

(6) advance economic development; and 

(7) promote stronger trading partners; 

Whereas in 2015, malaria transmission occurred in 95 countries and territories; 

Whereas an estimated 3,200,000,000 people are at risk for 

malaria, with 214,000,000 active cases, the vast majority 

of whom are in sub-Saharan Africa, which accounts for 

90 percent of malaria deaths in the world; 

Whereas young children and pregnant women are particularly 

vulnerable to and disproportionately affected by malaria; 

Whereas malaria greatly affects the health of children, as 

children under the age of 5 account for an estimated 70 

percent of malaria deaths each year; 

Whereas malaria poses great risks to maternal and neonatal 

health, causing complications during delivery, anemia, 

and low birth weights, and estimates indicate that malaria infection causes approximately 400,000 cases of severe maternal anemia and between 75,000 and 200,000 

infant deaths annually in sub-Saharan Africa; 

Whereas heightened national, regional, and international efforts to prevent and treat malaria during recent years 

have made significant progress and helped save hundreds 

of thousands of lives; 


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•SRES 436 RS 

Whereas the World Malaria Report 2015 by the World 

Health Organization states that, in 2014, approximately 

55 percent of people in sub-Saharan Africa slept under 

an insecticide-treated mosquito net, and household surveys indicated that 90 percent of people used an insecticide-treated mosquito net if such a net was available in 

the household; 

Whereas in 2014, approximately 116,000,000 people were 

protected by indoor residual spraying; 

Whereas the World Malaria Report 2015 further states that, 

between 2000 and 2015— 

(1) malaria mortality rates decreased by 60 percent 

around the world; 

(2) in the African Region of the World Health Organization, malaria mortality rates decreased by 66 percent; 

and 

(3) an estimated 6,200,000 malaria deaths were 

averted globally, primarily as a result of increased interventions; 

Whereas the World Malaria Report 2015 further states that, 

out of 95 countries and territories with ongoing transmission of malaria in 2015— 

(1) 10 countries are classified as being in the 

preelimination phase; 

(2) 10 countries are classified as being in the elimination phase; and 

(3) 9 countries are classified as being in the prevention of malaria reintroduction phase of malaria control; 

Whereas continued national, regional, and international investment in efforts to eliminate malaria, including prevention and treatment efforts, the development of a vacVerDate Sep 11 2014 02:45 Apr 29, 2016 Jkt 059200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6300 E:\BILLS\SR436.RS SR436

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•SRES 436 RS 

cine to immunize children from the malaria parasite, and 

advancements in insecticides, are critical in order to— 

(1) continue to reduce malaria deaths; 

(2) prevent backsliding in areas where progress has 

been made; and 

(3) equip the United States and the global community with the tools necessary to fight malaria and other 

global health threats; 

Whereas the United States Government has played a leading 

role in the recent progress made toward reducing the 

global burden of malaria, particularly through the President’s Malaria Initiative (referred to in this preamble as 

the ‘‘PMI’’) and the contribution of the United States to 

the Global Fund to Fight AIDS, Tuberculosis, and Malaria; 

Whereas an independent, external evaluation, prepared by 

Boston University, examining 6 objectives of the PMI, 

found the PMI to be a successful, well-led program that 

has ‘‘earned and deserves the task of sustaining and expanding the United States Government’s response to 

global malaria control efforts’’; 

Whereas the PMI Strategy 2015–2020 articulates the malaria goal of the United States Government of working 

with countries and partners to further reduce malaria 

deaths and substantially decrease malaria morbidity, towards the long-term goal of elimination; 

Whereas the United States Government is pursuing a comprehensive approach to ending malaria deaths through 

the PMI, which is led by the United States Agency for 

International Development and implemented with assistance from the Centers for Disease Control and Prevention, the Department of State, the Department of Health 


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•SRES 436 RS 

and Human Services, the National Institutes of Health, 

the Department of Defense, and private sector entities; 

Whereas the PMI focuses on helping partner countries 

achieve major improvements in overall health outcomes 

through improved access to, and quality of, healthcare 

services in locations with limited resources; and 

Whereas the PMI, recognizing the burden of malaria on 

many partner countries, has set a target by 2020 of reducing malaria mortality by 1⁄3 from 2015 levels in PMIsupported countries, achieving a greater than 80-percent 

reduction from original 2000 baseline levels set by the 

PMI, reducing malaria morbidity in PMI-supported countries by 40 percent from 2015 levels, and assisting not 

fewer than 5 PMI-supported countries to meet the criteria of the World Health Organization for national or 

subnational preelimination: Now, therefore, be it 

Whereas April 25 of each year is recognized internationally as 

World Malaria Day; 

Whereas malaria is a leading cause of death and disease in 

many developing countries, despite being preventable and 

treatable; 

Whereas fighting malaria is in the national interest of the 

United States, as reducing the risk of malaria protects 

members of the Armed Forces and other people of the 

United States serving overseas in malaria-endemic regions, 

and reducing malaria deaths helps to lower risks of instability in less developed countries; 

Whereas the elimination of malaria remains a bipartisan priority of the United States Government; 

Whereas, on December 14, 2006, President George W. Bush 

stated at the White House Malaria Summit, ‘‘So we are 


emcdonald on DSK67QTVN1PROD with BILLS
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•SRES 436 RS 

acting, and we’re leading. And with partners across the 

world, we are helping the people of Africa turn the tide 

against malaria. The goal of defeating malaria is a challenging goal, yet it can be done. It’s not going to require 

a miracle, it just requires a smart, sustained, focused effort.’’; 

Whereas, on September 27, 2015, President Barack Obama 

stated at the United Nations General Assembly, ‘‘Billions 

of our fellow human beings are at risk of dying from diseases that we know how to prevent. Many children are just 

one mosquito bite away from death. And that is a moral 

outrage. It is a profound injustice. It is literally a matter 

of life and death, and now the world must act.’’; 

Whereas support for efforts to fight malaria is in the diplomatic and moral interest of the United States, as that support generates goodwill toward the United States and highlights the values of the people of the United States through 

the work of governmental, nongovernmental, and faithbased organizations of the United States; 

Whereas efforts to fight malaria are in the long-term economic 

interest of the United States because those efforts help developing countries— 

(1) identify at-risk populations; 

(2) provide a framework for critical emergency disease treatment; 

(3) provide better health services; 

(4) increase local governance needed to address substandard and counterfeit medicines that exacerbate malaria resistance; 

(5) produce healthier and more productive workforces; 

(6) advance economic development; and 

(7) promote stronger trading partners; 


emcdonald on DSK67QTVN1PROD with BILLS
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•SRES 436 RS 

Whereas, in 2015, malaria transmission occurred in 95 countries and territories; 

Whereas an estimated 3,200,000,000 people are at risk for malaria, with 214,000,000 active cases, the vast majority of 

whom are in sub-Saharan Africa, which accounts for 90 

percent of malaria deaths in the world; 

Whereas young children and pregnant women are particularly 

vulnerable to and disproportionately affected by malaria; 

Whereas malaria greatly affects the health of children, as children under the age of 5 account for an estimated 70 percent of malaria deaths each year; 

Whereas malaria poses great risks to maternal and neonatal 

health, causing complications during delivery, anemia, 

and low birth weights; 

Whereas heightened national, regional, and international efforts to prevent and treat malaria during recent years 

have made significant progress and helped save hundreds 

of thousands of lives; 

Whereas the World Malaria Report 2015 by the World Health 

Organization states that, in 2014, approximately 55 percent of people in sub-Saharan Africa slept under an insecticide-treated mosquito net, and household surveys indicated that 90 percent of people used an insecticide-treated 

mosquito net if such a net was available in the household; 

Whereas, in 2014, approximately 116,000,000 people were protected by indoor residual spraying; 

Whereas the World Malaria Report 2015 further states that, between 2000 and 2015— 

(1) malaria mortality rates decreased by 60 percent 

around the world; 


emcdonald on DSK67QTVN1PROD with BILLS
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•SRES 436 RS 

(2) in the African Region of the World Health Organization, malaria mortality rates decreased by 66 percent; 

and 

(3) an estimated 6,200,000 malaria deaths were 

averted globally, primarily as a result of increased interventions; 

Whereas the World Malaria Report 2015 further states that, 

out of 95 countries and territories with ongoing transmission of malaria in 2015— 

(1) 10 countries are classified as being in the preelimination phase; 

(2) 10 countries are classified as being in the elimination phase; and 

(3) 9 countries are classified as being in the prevention of malaria reintroduction phase of malaria control; 

Whereas continued national, regional, and international investment in efforts to eliminate malaria, including prevention and treatment efforts, the development of a vaccine to 

immunize children from the malaria parasite, and advancements in insecticides, are critical in order to— 

(1) continue to reduce malaria deaths; 

(2) prevent backsliding in areas where progress has 

been made; and 

(3) equip the United States and the global community 

with the tools necessary to fight malaria and other global 

health threats; 

Whereas the United States Government has played a leading 

role in the recent progress made toward reducing the global 

burden of malaria, particularly through the President’s 

Malaria Initiative (referred to in this preamble as the 

‘‘PMI’’) and the contribution of the United States to the 

Global Fund to Fight AIDS, Tuberculosis, and Malaria; 


emcdonald on DSK67QTVN1PROD with BILLS
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•SRES 436 RS 

Whereas, in 2011, an independent, external evaluation, prepared by Boston University, examining 6 objectives of the 

PMI, found the PMI to be a successful, well-led program 

that has ‘‘earned and deserves the task of sustaining and 

expanding the United States Government’s response to 

global malaria control efforts’’; 

Whereas the PMI Strategy 2015-2020 articulates the malaria 

goal of the United States Government of working with 

countries and partners to further reduce malaria deaths 

and substantially decrease malaria morbidity, towards the 

long-term goal of elimination; 

Whereas the United States Government is pursuing a comprehensive approach to ending malaria deaths through the 

PMI, which is led by the United States Agency for International Development and implemented with assistance 

from the Centers for Disease Control and Prevention, the 

Department of State, the Department of Health and 

Human Services, the National Institutes of Health, the Department of Defense, and private sector entities; 

Whereas the PMI focuses on helping partner countries achieve 

major improvements in overall health outcomes through 

improved access to, and quality of, healthcare services in 

locations with limited resources; and 

Whereas the PMI, recognizing the burden of malaria on many 

partner countries, has set a target by 2020 of reducing malaria mortality by 1⁄3 from 2015 levels in PMI-supported 

countries, achieving a greater than 80 percent reduction 

from original 2000 baseline levels set by the PMI, reducing 

malaria morbidity in PMI-supported countries by 40 percent from 2015 levels, and assisting not fewer than 5 PMIsupported countries to meet the criteria of the World 


emcdonald on DSK67QTVN1PROD with BILLS
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•SRES 436 RS 

Health Organization for national or sub-national preelimination: Now, therefore, be it 

1 Resolved, That the Senate— 

2 (1) supports the goals and ideals of World Ma3 laria Day; 

4 (2) recognizes the importance of reducing ma5 laria prevalence and deaths to improve overall child 

6 and maternal health, especially in sub-Saharan Afri7 ca; 

8 (3) commends the recent progress made toward 

9 reducing global malaria morbidity, mortality, and 

10 prevalence, particularly through the efforts of the 

11 President’s Malaria Initiative and the Global Fund 

12 to Fight AIDS, Tuberculosis, and Malaria; 

13 (4) welcomes ongoing public-private partner14 ships to research and develop more effective and af15 fordable tools for malaria diagnosis, treatment, and 

16 vaccination; 

17 (5) recognizes the goals, priorities, and authori18 ties to combat malaria set forth in the Tom Lantos 

19 and Henry J. Hyde United States Global Leadership 

20 Against HIV/AIDS, Tuberculosis, and Malaria Re21 authorization Act of 2008 (Public Law 110–293; 

22 122 Stat. 2918); 

23 (6) supports continued leadership by the United 

24 States in bilateral, multilateral, and private sector 


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•SRES 436 RS 

1 efforts to combat malaria and to work with devel2 oping countries to create long-term strategies to in3 crease ownership over malaria programs; and 

4 (7) encourages other members of the inter5 national community to sustain and increase their 

6 support for and financial contributions to efforts to 

7 combat malaria worldwide. 


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Calendar No. 451 

114TH CONGRESS 

2D SESSION S. RES. 436 

RESOLUTION 

Supporting the goals and ideals of World Malaria 

Day. 

APRIL 28, 2016 

Reported without amendment and with an amendment to 

the preamble 


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