of all cases globally occurring in only 4 countries, 
despite being preventable and treatable. 
(3) At the end of 2021, there were an estimated 
247,000,000 malaria cases in 84 endemic countries 
and 619,000 deaths from malaria. 
(4) Between 2019 and 2021, an estimated addi-
tional 13,400,000 cases and 63,000 deaths were at-
tributed to disruptions during that period of the 
COVID–19 pandemic. 
(5) Young children and pregnant women are 
particularly vulnerable to, and disproportionately af-
fected by, malaria, with children under the age of 5 
accounting for 76 percent of malaria deaths each 
year. 
(6) Malaria was once a leading cause of death 
in the United States. 
(7) Fighting malaria is in the national interest 
of the United States because 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 de-
veloped countries. 
(8) United States support for efforts to fight 
malaria— 
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(A) is in the diplomatic and moral inter-
ests of the United States; 
(B) generates goodwill toward the United 
States; and 
(C) highlights the values of the people of 
the United States through the work of govern-
mental, nongovernmental, and faith-based orga-
nizations of the United States. 
(9) Global investments made in malaria inter-
vention 
programs 
have 
averted 
an 
estimated 
2,000,000,000 malaria cases and 11,700,000 ma-
laria deaths between 2000 and 2021. 
(10) 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 and the 
contribution of the United States to the Global Fund 
to Fight AIDS, Tuberculosis and Malaria. 
(11) In fiscal year 2021, the President’s Ma-
laria Initiative protected nearly 100,000,000 people 
with 
insecticide-treated 
bed 
nets, 
more 
than 
21,000,000 people with indoor insecticide spraying, 
more than 8,000,000 children with seasonal preven-
tive treatments, and more than 5,000,000 women 
with preventive treatments in pregnancy. 
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(12) The United States is the largest donor to 
the Global Fund to Fight AIDS, Tuberculosis and 
Malaria, and every $1 contributed by the United 
States leverages an additional $2 from other donors, 
as required by law. 
(13) The United States Government is pursuing 
a comprehensive approach to ending malaria deaths 
through the President’s Malaria Initiative, led by the 
Administrator of the United States Agency for 
International Development and implemented with as-
sistance from the Director of the Centers for Dis-
ease Control and Prevention, the Secretary of State, 
the Secretary of Health and Human Services, the 
Director of the National Institutes of Health, the 
Secretary of Defense, and private sector entities. 
SEC. 2. SENSE OF CONGRESS. 
It is the sense of Congress to— 
(1) support the goals and ideals of ‘‘World Ma-
laria Day’’; 
(2) recognize the importance of reducing ma-
laria prevalence and deaths to improve overall child 
and maternal health in all endemic regions, espe-
cially in sub-Saharan Africa; 
(3) commend the recent progress made toward 
reducing global malaria morbidity, mortality, and 
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prevalence, particularly through the efforts of the 
President’s Malaria Initiative and the Global Fund 
to Fight AIDS, Tuberculosis and Malaria; 
(4) commend the efforts and achievements in 
preventing and treating malaria by endemic coun-
tries through the national malaria control programs 
of such countries; 
(5) welcome ongoing public-private partnerships 
to research and develop more effective and afford-
able tools for malaria prevention, diagnosis, treat-
ment, and vaccination; 
(6) recognize the goals, priorities, and authori-
ties to combat malaria set forth in the Tom Lantos 
and Henry J. Hyde United States Global Leadership 
Against HIV/AIDS, Tuberculosis, and Malaria Re-
authorization Act of 2008 (Public Law 110–293; 
122 Stat. 2918); 
(7) support efforts to reduce malaria case inci-
dence and malaria mortality rates by at least 90 per-
cent by 2030; 
(8) support continued leadership by the United 
States in bilateral, multilateral, and private sector 
efforts to combat malaria and to work with devel-
oping countries to create long-term strategies to in-
crease ownership over malaria programs; and 
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(9) encourage other members of the inter-
national community to sustain and increase their 
support for, and financial contributions to, efforts to 
combat malaria worldwide. 
SEC. 3. REPORTING REQUIREMENT. 
Not later than 180 days after the date of the enact-
ment of this Act, the Administrator of the United States 
Agency for International Development shall submit to 
Congress a report on the cumulative progress toward 90 
percent malaria reduction by 2030, including by providing 
incidence and mortality rates of malaria. 
Æ 
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