[Congressional Bills 106th Congress]
[From the U.S. Government Publishing Office]
[S. 2943 Referred in House (RFH)]

  2d Session
                                S. 2943


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                            October 23, 2000

          Referred to the Committee on International Relations

_______________________________________________________________________

                                 AN ACT


 
 To authorize additional assistance for international malaria control, 
     and to provide for coordination and consultation in providing 
  assistance under the Foreign Assistance Act of 1961 with respect to 
                    malaria, HIV, and tuberculosis.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``International Malaria Control Act of 
2000''.

SEC. 2. FINDINGS.

    Congress makes the following findings:
            (1) The World Health Organization estimates that there are 
        300,000,000 to 500,000,000 cases of malaria each year.
            (2) According to the World Health Organization, more than 
        1,000,000 persons are estimated to die due to malaria each 
        year.
            (3) According to the National Institutes of Health, about 
        40 percent of the world's population is at risk of becoming 
        infected.
            (4) About half of those who die each year from malaria are 
        children under 9 years of age.
            (5) Malaria kills one child each 30 seconds.
            (6) Although malaria is a public health problem in more 
        than 90 countries, more than 90 percent of all malaria cases 
        are in sub-Saharan Africa.
            (7) In addition to Africa, large areas of Central and South 
        America, Haiti and the Dominican Republic, the Indian 
        subcontinent, Southeast Asia, and the Middle East are high risk 
        malaria areas.
            (8) These high risk areas represent many of the world's 
        poorest nations.
            (9) Malaria is particularly dangerous during pregnancy. The 
        disease causes severe anemia and is a major factor contributing 
        to maternal deaths in malaria endemic regions.
            (10) Pregnant mothers who are HIV-positive and have malaria 
        are more likely to pass on HIV to their children.
            (11) ``Airport malaria'', the importing of malaria by 
        international travelers, is becoming more common, and the 
        United Kingdom reported 2,364 cases of malaria in 1997, all of 
        them imported by travelers.
            (12) In the United States, of the 1,400 cases of malaria 
        reported to the Centers for Disease Control and Prevention in 
        1998, the vast majority were imported.
            (13) Between 1970 and 1997, the malaria infection rate in 
        the United States increased by about 40 percent.
            (14) Malaria is caused by a single-cell parasite that is 
        spread to humans by mosquitoes.
            (15) No vaccine is available and treatment is hampered by 
        development of drug-resistant parasites and insecticide-
        resistant mosquitoes.

SEC. 3. ASSISTANCE FOR MALARIA PREVENTION, TREATMENT, CONTROL, AND 
              ELIMINATION.

    (a) Findings.--Congress recognizes the growing international 
problem of malaria and the impact of this epidemic on many nations, 
particularly in the nations of sub-Saharan Africa. Congress further 
recognizes the negative interaction among the epidemics of malaria, HIV 
and tuberculosis in many nations, particularly in the nations of sub-
Saharan Africa. Congress directs the Administrator of the United States 
Agency for International Development to undertake activities designed 
to control malaria in recipient countries by--
            (1) coordinating with the appropriate Federal officials and 
        organizations to develop and implement, in partnership with 
        recipient nations, a comprehensive malaria prevention and 
        control program; and
            (2) coordinating, consistent with clause (i), malaria 
        prevention and control activities with efforts by recipient 
        nations to prevent and control HIV and tuberculosis.
    (b) Authorization of Appropriations.--There is authorized to be 
appropriated to the President $50,000,000 for each of the fiscal years 
2001 and 2002 to carry out this paragraph.

SEC. 4. COORDINATION AND CONSULTATION.

    (a) In General.--In providing the assistance and carrying out the 
activities provided for under this Act, the Administrator of the United 
States Agency for International Development should work in coordination 
with appropriate Federal officials.
    (b) Purpose.--The purpose of such interagency coordination and 
consultation is to help ensure that the financial assistance provided 
by the United States is utilized in a manner that advances, to the 
greatest extent possible, the public health of recipient countries.
    (c) Provision of Information to Recipient Countries.--The 
Administrator of the United States Agency for International Development 
shall take appropriate steps to provide recipient countries with 
information concerning the development of vaccines and therapeutic 
agents for, HIV, malaria, and tuberculosis.
    (d) Information Specified.--The Administrator of the United States 
Agency for International Development should provide to appropriate 
officials in recipient countries information concerning participation 
in, and the results of, clinical trials conducted by United States 
Government agencies for vaccines and therapeutic agents for HIV, 
malaria, and tuberculosis.
    (e) Consideration of Interaction Among Epidemics.--The 
Administrator of the United States Agency for International Development 
should consider the interaction among the epidemics of HIV, malaria, 
and tuberculosis as the United States provides financial and technical 
assistance to recipient countries under this Act.

            Passed the Senate October 19 (legislative day, September 
      22), 2000.

            Attest:

                                                    GARY SISCO,

                                                             Secretary.