ASTMH 2014 Mid-Year Council Advocacy UpdateMay 4, 2014 – Crystal City, VA
Jodie Curtis, Executive Vice President
Erin Will Morton, MA, Senior Policy and Advocacy Advisor
ASTMH AccomplishmentsNovember, 2013 – May, 2014
ASTMH Hill Day: Tuesday, November 12 (recap)
First ever ASTMH “Hill Day” with general membership
12 members volunteered time to advocate on the Hill
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ASTMH Hill Day: Tuesday, November 12 (recap)
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17 Hill Meetings
- 11 Senate/6 House
- 12 Democrats/5 Republicans
“I hope you know how great and important
it is that you came to Capitol Hill to do this.
Folks up here need to hear from real
scientists.” Eric in Senator Gillibrand’s (D-
NY) office
ASTMH at the 2014 GHTC Briefing
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World Malaria Day Hill Event: April 29
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ASTMH is cosponsoring an NTD briefing
House: May 8Senate: May 12
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ASTMH is cosponsoring an event on Monday, April 28 to highlight the impact of vaccines in global child health
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Question Submitted for the Record (House DoD)
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April 2, 2014: Defense Subcommittee of House Appropriations Committee hearing on
proposed fiscal 2015 appropriations for agencies, programs, and activities under its
jurisdiction (Open Hearing on Defense Health Program)
ASTMH submitted questions for the record
Representative McCollum (D-MN) – Chair, Global Health Caucus
Witnesses:
- Jonathan Woodson, assistant secretary of Defense for health affairs
- Lt. Gen. Patricia D. Horoho, surgeon general, Army
- Vice Adm. Matthew L. Nathan, surgeon general, Navy
- Lt. Gen. Thomas W. Travis, surgeon general, Air Force
Question Submitted for the Record (House DoD)Representative McCollum: “…U.S. servicemen and women, they're often deployed to tropical disease epidemic regions …reducing the risk of malaria is one thing in which … you have a proud history of working on, but there's many, many other diseases that are being presented to servicemen and women. And it's critical in your mission to succeed in finding ways to either prevent or to treat.
…we … have problems with drugs and prophylactics used to keep our men and women safe from this tropical disease regions. And sometimes they're not reliable, sometimes they don't exist, and sometimes the side effects are such that it's very hard to get people to comply with correct usage and dosage.
…dengue fever is something that is spreading throughout is just not in Asia anymore, it's in -- it's in Africa, it's in Central America, not too far from our doorsteps and maybe possibly in Texas and in Florida with the climate change. I am not going to say this right, but I'm going to give it a shot, chinkachungagaya (ph) …
So what are you doing to … prioritize the R&D for the tools to combat these neglected and tropical diseases to ensure that we're prepared -- our servicemen and women are prepared?”
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Response from DoD
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Surgeon General of the Army Lieutenant General Patricia
Horoho: “Thank you, Ma'am, for the question. I just recently returned
from Thailand looking at one of our labs…that really has tremendous
focus in the area of malaria and disease preventions within the Asia
area.
…right now we're in Phase 3 clinical trials for vaccine prevention for
malaria, which is looking very, very promising. We're spending and
focusing our efforts on not just prevention, but also looking at the oral
prevention and trying to find other alternative medications that have
less side effects in some of the winds that are there today. And so I
know we're working very collaboratively with the Navy where they've
got research.”
Response from DoD, continuedSurgeon General of the Navy Vice Admiral Matthew Nathan: “…We quiz medical
students. We ask them what's the deadliest animal in the world and they come up with
snake or bear, or tiger. The mosquito, it kills more people per year than any other
animal in the planet.
… there's amazing strides being made with vaccines and hopefully, within the next few
years we'll have a viable vaccine for malaria especially as drug-resistant malaria is now
starting to emerge in Southeast Asia, which has no known treatment.
We're on scene with the Army. …I just got back from Singapore, Cambodia and
Vietnam where we have very robust epicenters of study going on collaboratively, which
not only offer global engagement, and partnerships, and diplomacy, but are creating
world- class science that perhaps can nip these in the bud.
… I think we're leaning forward on this. We recognize the threat not only to our
personnel, but to the world citizenry at large. And we're very interested in trying to make
headway on this and gain partnerships and trust with other nations as we do it.”
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GHTC Hill Visits Sen. Mikulski (D-MD) Sen. Cardin (D-MD) Sen. Franken (D-MN) Sen. Schumer (D-NY) Sen. Gillibrand (D-NY) Sen. Coats (R-IN) Sen. Donnelly (D-IN) Sen. Brown (D-OH) Sen. Portman (R-OH) Sen. Toomey (R-PA) Sen. Wicker (R-MS) Sen. Cochran (R-MS) Sen. Inhofe (R-OK) Sen. Moran (R-KS) Sen. Isakson (R-GA) Sen. Blunt (R-MO) Sen. Johanns (R-NE) Sen. Durbin (D-IL)
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Rep. Ellison (D-MN-5) Rep. Van Hollen (D-MD-8) Rep. Maffei (D-NY-24) Rep. Tonko (D-NY-20) Rep. Walorski (R-IN-2) Rep. Joyce (R-OH-14) Res. Com. Pierluisi (R-PR) Rep. Griffin (R-AR-2) Rep. Fleischmann (R-TN-3) Rep. McMorris Rodgers (R-WA-5) Rep. Granger (R-TX-12) Rep. McCollum (D-MN-4) Rep. Crenshaw (R-FL-4) Rep. Roybal-Allard (D-CA-40) Rep. Diaz-Balart (R-FL-25) Rep. Dent (R-PA-15) Rep. Ryan (D-OH-13) Rep. Engel (D-NY-16)
GHTC Hill Visits – Committee Staff
ASTMH attended a GHTC Hill
meeting with Stephen Steigleder,
Minority Staffer for the House LHHS
Appropriations Subcommittee
Stephen works for Rep. Rosa
DeLauro (D-CT), the Ranking
Member of the House LHHS
Appropriations Subcommittee
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ASTMH FY 2015 Report Language Requests
19 letters to Senate DoD Appropriations Subcommittee Members
18 letters to Senate Labor, Health and Human Services, and Education
Appropriations Subcommittee Members
15 letters to House DoD Appropriations Subcommittee Members
12 letters to House Labor, Health and Human Services, and Education
Appropriations Subcommittee Members
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ASTMH FY 2015 Written Testimony
Senate Homeland Security and Governmental Affairs Committee in
January regarding the Office of Management and Budget’s travel policy,
particularly regarding its impact on the participation of scientists at
conferences like the ASTMH Annual Meeting
House and Senate Labor, Health and Human Services, and Education
Appropriations Subcommittee regarding global health research and
development funding at NIH and CDC
House and Senate Department of Defense Appropriations Subcommittee
regarding infectious diseases research at the DoD
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ASTMH Cap Wiz Action Alerts
Letter on March 21 and 24 to 2405 and 2373 advocates, respectively, urging them
to contact their Member of Congress to support NIH by signing on to the McKinley-
Davis-Carson-King Letter for Medical Research. In total, 95 advocates sent 286
emails to their Members of Congress
Letter on March 11 to 2450 advocates urging them to contact their Member of
Congress to sign onto the Senator Paul Simon Water for the World Act (H.R. 2901).
In total, 39 advocates sent 39 messages to their Members of Congress
Letter on February 26 to 2459 advocates urging them to contact the President to
include funding in the FY 2015 budget for global health research and development
at NIH, CDC, DoD, and USAID. In total, 119 advocates sent 119 messages to the
President
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ASTMH Sign-on Letters
InterAction letter to Members of Congress urging their support in FY 2015 for
international development and humanitarian assistance
March 13 letter to Chairs and Ranking Members of the Senate and House of
Representatives’ Appropriations Committees urging them to restore the FY 2015
allocation to the LHHS Subcommittee to the FY 2010 level of $163.6 billion
Letters from the GHTC for FY 2015 to the House and Senate Appropriations
Committees regarding NIH and to the Subcommittees on: Labor, Health and
Humans Services, and Education; State and Foreign Operations; Department of
Defense; and the Food and Drug Administration
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ASTMH Coalition Activities
Global Health Technology Coalition (GHTC) Public Financing Working Group
GHTC Full Coalition Meeting
Malaria and NTD Roundtables
DoD Infectious Disease Working Group (Co-chair)
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What’s Happening in Washington
The Mood in Washington
Most divided Congress in history
Secretary Sebelius resigns
Election year politics
Budget is driving global health policy
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What’s Happening Inside the Beltway
President’s FY 2015 Budget released
Cuts to global health
FY 2015 funding process underway
Sequestration?
Another continuing resolution?
New HHS Secretary
New USAID Administrator
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Agency FY 2014 President FY 2014 Omnibus FY 2015 President
NIH $31,331,387,000 $29,926,000,000 30,200,000,000
NIAID $4,578,813,000 $4,358,841,000 $4,423,000,000
Fogarty $72,864,000 $67,577,000 $67,780,000
CDC $5,834,173,000 $6,900,000,000 $5,872,000,000
CDC Parasitic Diseases and Malaria
$22,231,000 $19,000,000 $24,000,000
Emerging and Zoonotic Infectious Disease
$380,664,000 $287,300,000 $393,549,000
Global Health/Child Survival (USAID)
$2,645,000,000 $2,769,000,000 $2,680,000,000
USAID NTDs $85,000,000 $100,000,000 $86,500,000
USAID Malaria $670,000,000 $665,000,000 $674,000,000
FY 2015 President’s Budget Comparison
Global Health Security Agenda
$45 million proposed in the President’s FY 2015 Budget
CDC Center for Global Health and National Center for Emerging Zoonotic and
Infectious Diseases
Huge priority for Dr. Frieden
“CDC seeks to accelerate progress toward a world safe and secure from infectious
disease threats and to promote global health security as an international security
priority, to
- Prevent and reduce the likelihood of outbreaks – natural, accidental, or intentional;
- Detect threats early to save lives;
- Respond rapidly and effectively using multi-sectorial, international coordination
and communication.”
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Elections?
Elections, Elections, Elections
Midterm election November 4, 2014
Fallout from the government shutdown
No one wants to be blamed for poor governance in an election year
House will stay Republican
Senate control is a toss-up
Presidential election November 8, 2016
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28Note: A Cook Political Report rating of Lean D/R or Toss Up denotes races that are currently considered to be competitive
Dem Seats On the Ballot in a Range of Left-Leaning Districts
* Senator is retiring
Breakdown of Democratic-held seats by Cook Political Report Rating
21 total Democratic seats
Udall (CO) D+1Harkin* (IA) D+1Shaheen (NH) D+1
Franken (MN) D+2Warner (VA) EVEN
Coons (DE) D+8Schatz (HI) D+20Durbin (IL) D+8Markey (MA) D+10Udall (NM) D+4Merkley (OR) D+5Reed (RI) D+11Booker (NJ) D+6
Senate Elections: 2014 and Beyond
Note: Sens. Walsh (D-MT), Rockefeller (D-WV), and Johnson (D-SD) hold seats currently rated Lean/Likely Republican.
Begich (AK) R+12Pryor (AR) R+14Landrieu (LA) R+12Levin* (MI) D+4Hagan (NC) R+3
Source: The Cook Political Report.
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Most GOP Seats On the Ballot in GOP StrongholdsBreakdown of Republican-held seats
by Cook Political Report Rating15 total Republican seats
Sessions (AL) R+14Risch (ID) R+18Roberts (KS) R+12Johanns* (NE) R+12Coburn (OK) R+19Inhofe (OK) R+19Graham (SC) R+8Alexander (TN) R+12Cornyn (TX) R+10Enzi (WY) R+22Scott (SC) R+7.8Collins (ME) D+6
* Senator is retiring ** Potential retirement
Source: The Cook Political Report.Note: A Cook Political Report rating of Lean D/R or Toss Up denotes races that are currently considered to be competitive
Senate Elections: 2014 and Beyond
Chambliss* (GA) R+6McConnell (KY) R+13
Cochran (MS) R+9
0
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Democrats Have More Open Seats at Risk in 2014 than Republicans
Source: The Cook Political Report.
Open Senate seats by party
Harkin (IA) D+1Levin (MI) D+4Johnson (SD) R+10Rockefeller (WV) R+13
Chambliss (GA) R+6Johanns (NE) R+12Coburn (OK) R+19
Senate Elections: 2014 and Beyond
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Current House Breakdown
* Includes two currently vacant Republican seats and two currently vacant Democratic seats
AnalysisDemocrats need a 17-seat gain to win control of the House in 2014
Number of House seats in the 113th Congress, by party*
Source: Cook Political Report.
2014 House Elections
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Only 79 Competitive or Potentially Competitive Seats in the House in 2014
Number of House seats in the 113th Congress, by party
Source: Cook Political Report.
2014 House Elections
218
Only 79 seats currently competitive or potentially competitive
Key committee leadership out
- Sen. Tom Harkin (D-IA) – HELP Chair; LHHS Chair
If Senate goes Republican global health programs may be in
jeopardy
- Keep an eye on Sen. Graham (R-SC) race
If House and Senate are Republican controlled domestic non-
defense spending likely to be squeezed more
Getting ready for 2016
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Election Implications
ASTMH Engagement – We can’t stop here!
Increase CapWiz participation
Repeat our message
Continue to engage with the community on global health funding priorities
Advocate R&D message on the Hill and with the community
Hill meetings, testimony, and briefings must continue
Social media and advocacy
Continue to raise advocacy issues in the ASTMH newsletter and blog
Advocacy Webinars
Increase participation in Hill Days
Create a culture of advocacy within the Society
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Hill Visits Tomorrow
Serap Aksoy
Jennifer Anderson
Dan Bausch
Alan Magill
Richard Oberhelman
Larry Slutsker
Ken Stuart
Katherine Taylor
Dave Walker
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Questions?
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