III 
111TH CONGRESS 
1ST SESSION 
H. CON. RES. 103 
IN THE SENATE OF THE UNITED STATES 
MAY 5, 2009 
Received 
MAY 21, 2009 
Referred to the Committee on Foreign Relations 
CONCURRENT RESOLUTION 
Supporting the goals and ideals of Malaria Awareness Day. 
Whereas April 25 of each year is recognized internationally 
as Africa Malaria Day and in the United States as Ma-
laria Awareness Day; 
Whereas despite malaria being completely preventable and 
treatable and the fact that malaria was eliminated from 
the 
United 
States 
over 
years 
ago, 
more 
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HCON 103 RFS 
than 40 percent of the world’s population is still at risk 
of contracting malaria; 
Whereas, according to the World Health Organization, nearly 
1,000,000 people die from malaria each year, the vast 
majority of whom are children under the age of 5 in Afri-
ca; 
Whereas malaria greatly affects child health, roughly every 
30 seconds a child dies from malaria, and more than 
3,000 children die from malaria every day; 
Whereas malaria poses great risks to maternal health, caus-
ing complications during delivery, anemia, and low birth 
weights, with estimates by the Center for Disease Control 
and Prevention that malaria infection causes 400,000 
cases of severe maternal anemia and from 75,000 to 
200,000 infant deaths annually in sub-Saharan Africa; 
Whereas HIV infection increases the risk and severity of ma-
larial illness, and malaria increases the viral load in HIV- 
positive people, which can lead to increased transmission 
of HIV and more rapid disease progression, with sub-
stantial public health implications; 
Whereas in malarial regions, many people are co-infected 
with malaria and one or more of the neglected tropical 
diseases, such as hookworm and schistosomiasis, which 
causes a pronounced exacerbation of anemia and several 
adverse health consequences; 
Whereas the malnutrition and consequent chronic illness that 
result from childhood malaria leads to increased absen-
teeism in school and perpetuates cycles of poverty; 
Whereas an estimated 90 percent of deaths from malaria 
occur in Africa and the Roll Back Malaria Partnership 
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estimates 
that 
malaria 
costs 
African 
countries 
$12,000,000,000 in lost economic productivity each year; 
Whereas the World Health Organization estimates that ma-
laria accounts for 40 percent of health care expenditures 
in high-burden countries, demonstrating that effective, 
long-term malaria control is inextricably linked to the 
strength of health systems; 
Whereas heightened efforts over recent years to prevent and 
treat malaria are currently saving lives; 
Whereas progress and funding to control malaria has in-
creased ten-fold since 2000, in large part due, to funding 
under the President’s Malaria Initiative (a United States 
Government initiative designed to cut malaria deaths in 
half in target countries in sub-Saharan Africa), the Glob-
al Fund to Fight AIDS, Tuberculosis and Malaria, the 
World Bank, and new financing by other donors; 
Whereas the President’s Malaria Initiative has purchased al-
most 13,000,000 artemisinin-based combination therapies 
(ACT), protected over 17,000,000 people through spray-
ing campaigns, and distributed over 6,000,000 insecti-
cide-treated bed nets, the Global Fund to Fight AIDS, 
Tuberculosis and Malaria has distributed 7,000,000 bed 
nets to protect families from malaria and provided 
74,000,000 malaria patients with ACTs, and the World 
Bank’s Booster Program is scheduled to commit approxi-
mately $500,000,000 in International Development Asso-
ciation funds for malaria control in Africa; 
Whereas public and private partners are developing effective 
and affordable drugs to treat malaria, with more than 23 
types of malaria vaccines in development; 
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Whereas according to the Centers for Disease Control and 
Prevention, vector control, or the prevention of malaria 
transmission via anopheles mosquitoes, which includes a 
combination of methods such as insecticide-treated bed 
nets, indoor residual spraying, and source reduction (lar-
val control), has been shown to reduce severe morbidity 
and mortality due to malaria in endemic regions; 
Whereas the impact of malaria efforts have been documented 
in numerous regions, such as in Zanzibar, where malaria 
prevalence among children shrank from 20 percent to less 
than 1 percent between 2005 and 2007, and in Rwanda, 
where malaria cases and deaths appeared to decline rap-
idly after a large-scale distribution of bed nets and ma-
laria treatments in 2006; and 
Whereas a malaria-free future will rely on consistent inter-
national, national and local leadership, and a comprehen-
sive approach addressing the range of health, develop-
ment, and economic challenges facing developing coun-
tries: Now, therefore, be it 
Resolved by the House of Representatives (the Senate 
concurring), That Congress— 
(1) supports the goals and ideals of Malaria 
Awareness Day, including the achievable target of 
ending malaria deaths by 2015; 
(2) calls upon the people of the United States 
to observe this day with appropriate programs, cere-
monies, and activities to raise awareness and sup-
port to save the lives of those affected by malaria; 
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(3) reaffirms the goals and commitments to 
combat malaria outlined in the Tom Lantos and 
Henry J. Hyde United States Global Leadership 
Against HIV/AIDS, Tuberculosis, and Malaria Re-
authorization Act of 2008; 
(4) commends the progress made during the 
last year by anti-malaria programs including the 
President’s Malaria Initiative and the Global Fund 
to Fight AIDS, Tuberculosis and Malaria; 
(5) recognizes the work of the Roll Back Ma-
laria Partnership and affirms United States support 
for and contribution toward the achievement of the 
following targets: 
(A) Achieve universal coverage for all pop-
ulations at risk with locally appropriate inter-
ventions for prevention and case management 
by 2010 and sustain universal coverage until 
local field research suggests that coverage can 
gradually be targeted to high-risk areas and 
seasons only, without risk of a generalized re-
surgence. 
(B) Reduce global malaria cases from 
2000 levels by 50 percent in 2010 and by 75 
percent in 2015. 
(C) End malaria deaths by 2015. 
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(6) encourages fellow donor nations to maintain 
their support and honor their funding commitments 
for Malaria programs worldwide; 
(7) urges greater integration between United 
States and international health programs that target 
malaria, HIV, Tuberculosis, neglected tropical dis-
eases, and basic child and maternal health; and 
(8) commits to continued United States leader-
ship in efforts to reduce global malaria deaths, espe-
cially through strengthening health care systems 
that can deliver effective, safe, high-quality interven-
tions when and where they are needed, and assure 
access to reliable health information and effective 
disease surveillance. 
Passed the House of Representatives May 4, 2009. 
Attest: 
LORRAINE C. MILLER, 
Clerk. 
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