IV 
115TH CONGRESS 
1ST SESSION 
H. RES. 593 
Recognizing the importance of a continued commitment to ending pediatric 
HIV/AIDS worldwide. 
IN THE HOUSE OF REPRESENTATIVES 
OCTOBER 26, 2017 
Ms. LEE (for herself, Ms. ROS-LEHTINEN, Ms. NORTON, Mr. EVANS, Mr. 
COHEN, Ms. BARRAGA´N, Ms. MCCOLLUM, Mr. NADLER, Mr. KHANNA, 
Mr. MCGOVERN, Ms. MAXINE WATERS of California, Ms. ESTY of Con-
necticut, Ms. BORDALLO, Mr. LEWIS of Georgia, Mr. COSTELLO of Penn-
sylvania, Mr. SERRANO, Mr. RODNEY DAVIS of Illinois, Mr. QUIGLEY, 
and Ms. JUDY CHU of California) submitted the following resolution; 
which was referred to the Committee on Foreign Affairs, and in addition 
to the Committee on Energy and Commerce, for a period to be subse-
quently determined by the Speaker, in each case for consideration of such 
provisions as fall within the jurisdiction of the committee concerned 
RESOLUTION 
Recognizing the importance of a continued commitment to 
ending pediatric HIV/AIDS worldwide. 
Whereas approximately half of the 36,700,000 people living 
with the human immunodeficiency virus (HIV), the 
pathogen that causes the acquired immune deficiency 
syndrome (AIDS), worldwide are women and 2,100,000 
are children in 2016; 
Whereas HIV is a leading cause of death among women of 
childbearing age worldwide; 
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•HRES 593 IH 
Whereas nearly 90 percent of HIV-positive expectant mothers 
in need of HIV services worldwide live in sub-Saharan 
Africa; 
Whereas women around the world rely on essential pre- and 
post-natal care to provide screening for diseases such as 
HIV, and care for their health and the health of their in-
fants; 
Whereas when antiretroviral drugs are used as prophylaxis, 
mother-to-child transmission of HIV can be reduced to 
less than 5 percent; 
Whereas in 2005 only 14 percent of women were receiving 
prevention of mother-to-child transmission services and 
that number in 2016 was 76 percent; 
Whereas since 2001 the number of children born HIV posi-
tive has been more than cut in half; 
Whereas despite increased global and United States efforts 
over 400 children were born HIV positive each day in 
2016; 
Whereas 90 percent of children living with HIV are in sub- 
Saharan Africa; 
Whereas in 2016 only 43 percent of children with HIV were 
receiving antiretroviral therapy, far below the percentage 
of adults; 
Whereas without treatment half of all children with HIV will 
die by their second birthday, and 80 percent by their 
fifth birthday; 
Whereas 120,000 children died of AIDS-related causes in 
2016; 
Whereas 22 percent of new infections are in young women 
aged 15 to 24 in 2016; 
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•HRES 593 IH 
Whereas in sub-Saharan Africa, girls account for 75 percent 
of new annual HIV infections among adolescents; 
Whereas AIDS is a leading cause of death among adolescents 
globally; 
Whereas research efforts at the National Institutes of Health 
have led to extraordinary breakthroughs for children in-
fected with and at risk for HIV; 
Whereas the United States began investing in prevention of 
mother-to-child transmission (PMTCT) services in 2002 
with the announcement of the United States Inter-
national Mother and Child HIV Prevention Initiative; 
Whereas in fiscal year 2016, the President’s Emergency Plan 
for AIDS Relief (PEPFAR) supported HIV testing and 
counseling for more than 11,500,000 pregnant women 
and since the program’s inception the provision of 
antiretroviral drug prophylaxis to prevent mother-to-child 
transmission has allowed nearly 2,000,000 babies to be 
born HIV free; 
Whereas since 2002 the Global Fund to Fight AIDS, Tuber-
culosis and Malaria supported programs that provided 
4,200,000 HIV-positive mothers with antiretroviral drug 
prophylaxis to prevent the transmission of HIV to their 
children; 
Whereas in 2014 PEPFAR announced the Accelerating Chil-
dren’s Treatment Initiative (ACT) that will double the 
number of HIV positive children on treatment over 2 
years in 10 high-burden countries; 
Whereas the PEPFAR DREAMS initiative is working to re-
duce new HIV infections in adolescent and young women 
in 10 sub-Saharan countries; 
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•HRES 593 IH 
Whereas every mother should have the opportunity to fight 
for the life of her child; and 
Whereas every child and adolescent should have access to 
medicines to lead a long and healthy life: Now, therefore, 
be it 
Resolved, That the House of Representatives— 
(1) recognizes that the prevention of mother-to- 
child transmission of HIV is critical to stopping the 
spread of HIV worldwide; 
(2) applauds the United States leadership on 
efforts to eliminate new pediatric HIV infections and 
to scale-up pediatric treatment through programs 
and research; 
(3) recognizes that the fight to eliminate pedi-
atric HIV worldwide has been a priority area for the 
United States in their global AIDS response for 
more than 13 years and calls on this leadership to 
continue; 
(4) supports providing adolescents and young 
women with the evidence-based approaches necessary 
to prevent new HIV infections; 
(5) supports providing women and children with 
HIV counseling and testing services where possible, 
and scaling up access to services and medicines that 
prevent mother-to-child transmission of HIV and en-
sure HIV positive mothers survive and thrive; 
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•HRES 593 IH 
(6) supports scaling up of treatment for HIV 
for children and adolescents including greater access 
to more efficacious antiretroviral drug regimens, age 
appropriate services, and support for their care-
givers; and 
(7) recommits the United States to lead the 
world to the end of AIDS, to eliminate new pediatric 
HIV infections worldwide, and support women, chil-
dren, adolescents and families infected and affected 
by HIV. 
Æ 
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