On Public Health Security - June 2017 - The 2018 President's Budget Request: Planning for the Next Fiscal Year

On Public Health Security - June 2017 - The 2018 President's Budget Request: Planning for the Next Fiscal Year

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On Public Health Security
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June 2017
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Stephen C. Redd

Dear Partners,

 

On May 23rd, the President released his 2018 budget proposal, which details the Administration’s funding priorities for the next fiscal year. Over the next few months, Congress will review the request and develop the Fiscal Year (FY) 2018 appropriation, which may incorporate all or parts of this proposal. I’d like to highlight some key CDC initiatives at the FY 2018 funding level, as well as proposed changes to CDC programs in public health preparedness and response.

 

President’s Budget Request for CDC

 

The President’s budget requests $5.975 billion for CDC in Fiscal Year 2018, which is about a 17% reduction from Fiscal Year 2017. CDC, like many other parts of the federal government, had to make difficult fiscal choices and prioritized public health risk when determining where and how deep the reductions would be—no programmatic account was untouched. The budget request does include enhanced support for vector-borne disease outbreaks, critical investments to improve our laboratories and facilities, and continued efforts to reduce deaths due to opioid abuse, misuse, and overdose.

 

An additional initiative included in the FY 2018 Health and Human Services (HHS) budget request would give new authority to the HHS Secretary to transfer up to 1% from all HHS accounts into an Emergency Response Fund. This type of fund could help the Department respond quickly in unexpected or large-scale emergencies.

 

President’s Budget Request for Public Health Preparedness and Response

 

The FY 2018 President’s Budget requests $1.266 billion for preparedness and response, which is about a 10% reduction. If implemented, we plan to adjust our programs in the following ways:

 

State and Local Preparedness and Response Capability

 

At the FY 2018 proposed funding level of $551 million, a reduction of about 17%, CDC will no longer fund Academic Centers for Public Health Preparedness, and will revise the funding formula for the Public Health Emergency Preparedness Cooperative Agreement. This revision will assure resources are prioritized for jurisdictions at greatest risk for public health emergencies. We will use a portion of these funds for a competitive program to spur innovation and fill gaps in state and local preparedness. At the same time, we will maintain a basic level of preparedness in all currently funded jurisdictions. At this funding level, CDC will continue to support evaluation of grantee activities and assessments, such as the Operational Readiness Review, and will use these analyses to inform training and guidance for the public health preparedness field.

 

CDC Preparedness and Response Capability

 

At the FY 2018 proposed funding level of $140 million, a reduction of about 13%, CDC will focus resources on the Select Agent Program and other mission-critical activities. Some program areas that may be reduced or eliminated include smallpox vaccine research, chemical terrorism response capacity, preparedness for a nuclear or radiological event, and applied research to protect first responders.

Strategic National Stockpile (SNS)

The funding request for SNS remains level at $575 million. At this level, CDC will replace most, but not all, expiring SNS countermeasures. Also, CDC will continue to coordinate with the Public Health Emergency Medical Countermeasures Enterprise (PHEMCE) to develop strategies to meet the national priorities in the 2015 SNS Annual Review. In addition, CDC will continue to provide training and exercise support to sustain state and local capabilities to effectively distribute and dispense stockpiled medical countermeasures during an emergency.

We at CDC are committed to achieving the greatest health impact with the funding available and will work diligently, with the help of our partners, to continue to protect America’s health, safety, and security.

Thank you,

 

Stephen C. Redd, MD

RADM, USPHS

Director, Office of Public Health Preparedness and Response

Centers for Disease Control and Prevention

 

Upcoming Events


Participate in this year’s Annual Natural Hazards Research and Applications Workshop. The conference, entitled “Knowledge to Action: Reducing Hazards Losses and Promoting Disaster Resilience” will be held July 9th-12th in Broomfield, Colorado.


Learn about the latest research, ideas, and strategies in local public health at the 2017 National Association of County & City Health Officials (NACCHO) Annual Conference. The conference will be held July 11th-13th in Pittsburgh, Pennsylvania.


 

Additional Resources


CDC has developed a single-page brief, entitled “Emergency Preparedness & Vulnerable Populations: Planning for Those Most at Risk,” describing what CDC does to prepare for and respond to the needs of vulnerable populations during public health emergencies.


CDC recently released an update to the Interim Zika Response Plan for the continental U.S., or CONUS plan. The new, more streamlined document is cross-linked to CDC’s most recent information and guidance on the CDC Zika Response website.


CDC has just released its 2018 Yellow Book, the definitive guide for healthy international travel. This edition features the latest information about infectious disease threats such as Zika, Ebola, and MERS as well as updated guidance for use of antibiotics to treat travelers’ diarrhea.


CDC recently released a new Morbidity and Mortality Weekly Report (MMWR) entitled “Pregnancy Outcomes after Maternal Zika Virus Infection during Pregnancy—U.S. Territories, January 1, 2016-April 25, 2017.”