July 4, 2017
Crystal Watson, Matthew Watson, and Tara Kirk Sell

This article is the latest in an annual series published by the Johns Hopkins Center for Health Security analyzing federal funding for health security programs. It examines proposed funding in the President's Budget Request for FY2018 and provides updated amounts for FY2017 and actual funding for FY2010 through FY2016. The proposed FY2018 budget for health security-related programs represents a significant decrease in funding from prior years and previous administrations. 

Public Health & Healthcare Preparedness
How Health Care Bill Could Hurt a Program Beloved in Trump Country.
Telemedicine has become a powerful tool for these nurses, and Republicans like it - Health and Human Services Secretary Tom Price calls it an "exciting innovation." But the 26 percent cut to Medicaid planned by the administration and Congress for the next decade would deplete the funds that dozens of states are drawing on to make public schools a place of healing for schoolkids.  (Politico, 7/3/17)
Trump Signs Bill Introduced by David Young to Fight Agro-Terrorism.
The bill directs government officials to implement a program to coordinate the Department of Homeland Security's efforts to defend the nation's food systems against terrorism and other "high-consequence events" that present a threat to homeland security.  (Omaha World-Herald, 7/1/17)

Revocation of Authorization of Emergency Use of an In Vitro Diagnostic Device for Detection of Zika Virus.
The Food and Drug Administration (FDA) is announcing the revocation of the Emergency Use Authorization (EUA) (the Authorization) issued to Roche Molecular Systems, Inc. for the LightMix┬« Zika rRT-PCR Test. FDA revoked this Authorization on March 13, 2017, under the Federal Food, Drug, and Cosmetic Act (the FD&C Act), as requested by Roche Molecular Systems, Inc. by letter dated March 10, 2017.  (Federal Register, 6/30/17)
Evaluation of the Highly Pathogenic Avian Influenza and Newcastle Disease Status of Japan.
We are advising the public that we are proposing to recognize Japan as being free of highly pathogenic avian influenza and Newcastle disease. This proposed recognition is based on a risk evaluation we have prepared in connection with this action, which we are making available for review and comment.  (Regulations.gov, 6/30/17)
Influenza Activity in the United States During the 2016-17 Season and Composition of the 2017-18 Influenza Vaccine.
This report summarizes influenza activity in the United States during October 2, 2016-May 20, 2017 and updates the previous summary.  (CDC, 6/30/17)
Medicaid Program: Zika Health Care Services Program-Round 2.
This notice announces the April 7, 2017 posting of a funding opportunity for Round Two of the Zika Health Care Services Program which provides up to $6.45 million to support prevention activities and treatment services for health conditions related to the Zika virus for entities that meet the eligibility requirements of the Zika Health Care Services Program, but that did not receive an award under the Round One Funding Opportunity.  (Federal Register, 6/30/17)
Enhancing Public Health Emergency Preparedness and Response Capacities in the Americas.
Projects and activities proposed for this agreement will combine strategic coordination of public health preparedness and emergency response programs as well as technical collaborations to strengthen the capacities of both countries and the region to prevent, detect, report, and respond to public health emergencies of all types, focusing on pandemic influenza, other emerging infectious diseases, and chemical, biological, and radiological (terrorism) hazards.  (Grants.gov, 6/29/17)
Developing Global Standards for Public Health Emergency Operations Centers.
The goals of this cooperative agreement are to validate and promote global standards construction and operations of public health emergency operations centers (EOC); develop the partnership network among the WHO member states; and institutionalize a platform for international EOC exercises.  (Grants.gov, 6/29/17)
Prepare to Play It Cool: Helping At-Risk Populations Combat Extreme Heat.
While hurricanes, floods, and storms may be the types of severe weather most emergency planners and responders consider, extreme heat can be just as damaging, if not more. According to the Centers for Disease Control and Prevention, extreme heat kills more than 600 people every year in the United States, making it a top cause of weather-related deaths.  (ASPR, 6/29/17)
Jerome Adams Nominated As New US Surgeon General.
Adams was trained as an anesthesiologist and has been an advocate for addressing the opioid epidemic - an issue Dr. Vivek Murthy took on when he was surgeon general. Adams also has had to face the public health consequences of opioid addiction head-on as health commissioner, most notably when an HIV outbreak erupted in Scott County.  (STAT News, 6/29/17)
Health, United States, 2016 - With Chartbook on Long-Term Trends in Health.
Health, United States, 2016 is the 40th report on the health status of the nation and is submitted by the Secretary of the Department of Health and Human Services to the President and the Congress of the United States in compliance with Section 308 of the Public Health Service Act. This report was compiled by the Centers for Disease Control and Prevention's National Center for Health Statistics.  (CDC, 6/28/17)

What the Republic Health-Care Holdouts Want.
Short of simple persuasion, McConnell's narrow path to passage of the Better Care Reconciliation Act likely involves a combination of more money sought by moderates and a loosening of existing regulations that conservatives want-if the various factions will agree to a trade.  (The Atlantic, 6/28/17)
Keeping Kids Healthy in Sierra Leone.
Even before the recent Ebola outbreak, the lack of quality healthcare was a major challenge in Sierra Leone, leading to the country suffering some of the highest maternal and child mortality rates in the world. When a major outbreak strikes, overburdened health systems struggle to take care of other critical health issues, like making sure children are immunized against vaccine-preventable diseases.  (CDC, 6/27/17)
When and How to Help Older People During and After Disasters.
While many older people want to - and can - handle the challenges that arise from disasters on their own, their friends, loved ones, and even neighbors need to know when the older adults in their lives need a helping hand.  (ASPR, 6/27/17)
How to Talk to Anti-Vaxers.
Anthony Fauci, head of the National Institute of Allergy and Infectious Diseases, on persuading anti-vaxers, predicting the next outbreak, and working with Trump.  (The Atlantic, 6/26/17)
Latest Release in Free CE and CME Series on Infection Prevention and Control from CDC & Medscape.
To support education and prevention, CDC and Medscape are launching a series of six free CME/CE activities addressing the key issues surrounding infection prevention in healthcare facilities.  (CDC, 6/26/17)
More Lawmakers Want the Army to Hold a Hearing on Zika Vaccine Pricing.
half dozen US senators want the US Army to hold a public hearing to explore the controversy over the pricing of a Zika virus vaccine that Sanofi is developing with taxpayer dollars.  (STAT News, 6/26/17)

Homeland Security & Disaster Preparedness
Flood Safety Tips.
Each year, more deaths occur due to flooding than any other hazard related to thunderstorms. The most common flood deaths occur when a vehicle is driven into hazardous flood water. Fortunately, you can take steps to protect yourself, your family, and your home.  (CDC, 6/30/17)
Critical Infrastructure Protection: DHS Has Fully Implemented Its Chemical Security Expedited Approval Program, and Participation to Date Has Been Limited.
This report discusses (1) DHS's implementation of the expedited program and its report to Congress and (2) the number of facilities that have used the program and factors affecting participation in it. GAO reviewed laws and DHS guidance, analyzed DHS's report to Congress, and interviewed DHS officials.  (GAO, 6/29/17)
ECBC Researchers Receive Patent for Chemical Warfare Agent Destruction System.
Edgewood Chemical Biological Center researchers recently received a patent for their field deployable hydrolysis system, which was used to destroy approximately 600 tons of Syrian chemical warfare material aboard a maritime vessel in international waters back in 2014.  (Homeland Preparedness News, 6/29/17)
The True Test of a Successful Crisis Response: Public Trust.
 W. Craig Fugate, former FEMA director, describes how t
here will always be a crisis that will require an emergency response. And fundamental to the success of that response will be the public's reaction. Emergency managers can react and can mobilize, but they will not be successful unless they do so in such a way as to ensure the public trust.  (Domestic Preparedness, 6/27/17)
FY 2017 Homeland Security National Training Program - Continuing Training Grants.
FY 2017 training programs will provide training solutions to address specific national preparedness gaps, correlate training needs with exercise activities and outcomes, incorporate the core capabilities identified in the National Preparedness Goal, and ensure training is available and accessible to a nationwide audience.  (Grants.gov, 6/26/17)

Radiological & Nuclear Disaster Preparedness
James F. McDonnell.
In June 2017, President Trump appointed Mr. James F. McDonnell as the Director of the US Department of Homeland Security's Domestic Nuclear Detection Office (DNDO). DNDO is the lead federal agency mandated to develop and enhance radiological and nuclear detection and national technical nuclear forensics capabilities.  (Department of Homeland Security, 6/27/17)

Science & Technology Policy
Defense Science and Technology: Adopting Best Practices Can Improve Innovation Investments and Management.
We found that DOD's ability to innovate is limited by its funding policies, as projects are planned up to 2 years in advance, which can slow innovation and limit lab directors' autonomy. Additionally, DOD's culture prioritizes developing technologies only for programs that already have the needed funding.  (GAO, 6/29/17)
National Institute of Justice Study Report on Forensic Genomics.
In 2015, the National Institute of Justice awarded Battelle, the world's largest independent research and development organization, a 19-month applied research project to evaluate the feasibility of Massively Parallel Sequencing technology, also known as Next Generation Sequencing, for forensic science applications.  (Global Biodefense, 6/27/17)
Rep. Collins Loses $17 Million in Biotech Stock.
Collins' relationship with the Australian biotech firm Innate Immunotherapeutic has raised eyebrows in recent months. And the Office of Congressional Ethics is currently investigating whether Collins engaged in insider trading.  (Politico, 6/27/17)
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There are no hearings scheduled for this week.


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