Bernadette Dunham, DVM, PhD
bdunham@gwu.edu
Ad hoc Committee Primary Spokesperson
One Health Commission Council of Advisors
Carrie La Jeunesse, DVM, CT
lajeuneconsulting@gmail.com
One Health Commission Council of Advisors
Cheryl M. Stroud, DVM, PhD
Bruce Kaplan, DVM
Contents Manager/Editor One Health Initiative Website
Co-Founder One Health Initiative team/website
Gerald W. Parker, DVM, PhD, MS
Board of Directors, One Health Commission
Associate Dean, Global One Health, Texas A&M University College of Veterinary Medicine & Biomedical Sciences
Joseph F. Annelli, DVM, MS
Former Director, One Health Coordination Center, USDA APHIS Veterinary Services, Senior Advisor for Agriculture and Health Systems, Office of the Associate Deputy Administrator.
Helena J. Chapman, MD, MPH, PhD
University of Florida
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Suggested amendments to latest DRAFT Pandemic and All-Hazards Preparedness Reauthorization Act of 2018, released on 4/27/2018 by the Senate HELP Committee for public comment by May 4, 2018.
The draft legislation specifically seeks to reauthorize the Pandemic and All-Hazards Preparedness Act (PAHPA). Initially enacted in 2006 to establish, as well as build on, an all-hazard protocol for public health threats that may contribute to a public health emergency. PAHPA was last reauthorized in 2013 and many of the provisions within it are set to expire in September, 2018.
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''(9) ZOONOTIC DISEASE, FOOD, AND AGRICULTURE.-Improving coordination among Federal, State, local, and tribal entities to prevent, detect, and respond to outbreaks of plant or animal disease (including zoonotic disease) resulting from a deliberate attack, the intentional adulteration of food, or other public health threats that could compromise national security, taking into account interactions between animal health, human health, and environmental health as directly related to public health emergency preparedness and response capabilities, as applicable.
Amend as follows:
''(9) ZOONOTIC DISEASE, FOOD, AND AGRICULTURE.-
In collaboration with the Secretary of Agriculture, improve coordination
through developing a One Health Framework among Federal, State, local, and tribal entities to prevent, detect, and respond to outbreaks of plant or animal disease (including zoonotic disease) resulting from a deliberate attack, the intentional adulteration of food, or other public health threats that could compromise national security, taking into account
a multi-sectoral One Health approach to interactions between animal health, human health, and environmental health as directly related to public health emergency preparedness and response capabilities, as applicable.
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''(iv) a strategy to minimize and address such gaps and improve inefficiencies.'';(G) in paragraph (7), as so redesignated-(i) in subparagraph (A), by inserting ''(taking into account zoonotic disease, including gaps in scientific understanding of the interactions between human, animal, and environmental health)'' after ''human health'';
Amend as follows:
''(iv) a
One Heath Framework strategy to minimize and address such gaps and improve inefficiencies.'';(G) in paragraph (7), as so redesignated-(i) in subparagraph (A), by inserting ''(taking into account zoonotic disease, including gaps in scientific understanding of the interactions between human, animal, and environmental health)'' after ''human health'';
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(c) STRATEGIC NATIONAL STOCKPILE.-Section 319F-2(a)(2)(E) of the Public Health Service Act (42 U.S.C. 7d-6b(a)(2)(E)) is amended by inserting before the semicolon '', taking into account the manufacturing capacity and other available sources of products and supplies in the stockpile''.
Amend as follows:
(c) STRATEGIC NATIONAL STOCKPILE.-Section 319F-2(a)(2)(E) of the Public Health Service Act (42 U.S.C. 7d-6b(a)(2)(E)) is amended by inserting before the semicolon '', taking into account the manufacturing capacity and other available sources of products and supplies in the stockpile''.
Amend (c) Stockpile (2) as follows: the Secretary shall, in collaboration with the Secretary of Agriculture conduct an annual review including the National Veterinary Stockpile
Amendments not considered in the DRAFT Pandemic and All-Hazards Preparedness Reauthorization Act of 2018 that should be added:
''Subtitle A - National All-Hazards Preparedness and Response Planning, Co-ordinating, and Reporting
''SEC. 2801. PUBLIC HEALTH AND MEDICAL PREPAREDNESS AND RESPONSE FUNCTIONS.
''(a) IN GENERAL-The Secretary of Health and Human Services shall lead all Federal public health and medical response to public health emergencies and incidents covered by the National Response Plan developed pursuant to section 502(6) of the Homeland Security Act of 2002, or any successor plan.
''(b) INTERAGENCY AGREEMENT-The Secretary, in collaboration with the Secretary of Veterans Affairs, the Secretary of Transportation, the Secretary of Defense, the Secretary of Homeland Security, and the head of any other relevant Federal agency, shall establish an interagency agreement, consistent with the National Response Plan or any successor plan, under which agreement the Secretary of Health and Human Services shall assume operational control of emergency public health and medical response assets, as necessary, in the event of a public health emergency, except that members of the armed forces under the authority of the Secretary of Defense shall remain under the command and control of the Secretary of Defense as shall any associated assets of the Department of Defense.''.
Amend as follows:
Insert the following after (a) and change (b) to (c):
''SEC. 2801. PUBLIC HEALTH AND MEDICAL PREPAREDNESS AND RESPONSE FUNCTIONS.
''(a) IN GENERAL-The Secretary of Health and Human Services shall lead all Federal public health and medical response to public health emergencies and incidents covered by the National Response Plan developed pursuant to section 502(6) of the Homeland Security Act of 2002, or any successor plan.
"(b) INTERAGENCY (multisectoral) COLLABORATION - The complexity of public health emergencies necessitates a whole of government response also known as a One Health (human, animal and environmental) approach. The Secretary of Health and Human Services and the Secretary of Agriculture shall jointly lead the development of a National One Health Framework to improve the efficiency and effectiveness of issues at the human, animal and environmental interface.
''
(c) INTERAGENCY AGREEMENT - The
Secretaries, in collaboration with the Secretary of Veterans Affairs, the Secretary of Transportation, the Secretary of Defense, the Secretary of Homeland Security, and the head of any other relevant Federal agency, shall establish an interagency agreement, consistent with the National Response Plan or any successor plan, under which agreement the Secretary of Health and Human Services shall assume operational control of emergency public health and medical response assets, as necessary, in the event of a public health emergency, except that members of the armed forces under the authority of the Secretary of Defense shall remain under the command and control of the Secretary of Defense as shall any associated assets of the Department of Defense.''
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