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It is distressing what is happening in the world with this pandemic, particularly when we have found interventions that work--interventions that can reduce HIV incidence by up to 80%.
Yet, we have not seen any systematic action to reduce the global spread of HIV/AIDS beca use all too often we have been short-sighted and refused to take action outside of our borders to help ease the suffering and loss of life which is taking place with respect to this pandemic in Africa and throughout the world.
This isolationists' mentality must stop. If America is to remain a global leader we ought to act like one and take the lead on helping to reduce the global spread of HIV/AIDS. On this issue, we can't claim the high horse, and then take the low road.
More than ever, we need to unite with the nations of the world and exert our leadership in responding to the destruction to society that has been wrought by HIV.
Here at home, and throughout the world, the consequences of HIV/AIDS are clear, HIV affects more people than it infects. It makes
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Miami-Dade County, Florida has the third highest incidence of HIV/AIDS case s in the United States. With 24,000 reported AIDS case s, Miami-Dade County has more cases than all but four states. A disproportionate number of these cases tend to be comprised of racial or ethnic minorities.
With strong prevention initiatives, we have helped slow the rate of new HIV infections in the U.S. And, we have made widely available new medications and treatment to those who are infected.
As a world leader, we have a responsibility to help other nations reduce infections and treat those who are ill, and to act locally and globally toward a cure for this dreaded disease.
The CHAIRMAN. Does the gentleman from Alabama (Mr. CALLAHAN) seek to claim the time in opposition?
Mr. CALLAHAN. Mr. Chairman, I claim the time and I reserve the balance of my time.
Ms. LEE. Mr. Chairman, I yield 1 minute to the gentleman from Illinois (Mr. DAVIS).
(Mr. DAVIS of Illinois asked and was given permission to revise and extend his remarks.)
Mr. DAVIS of Illinois. Mr. Chairman, I want to thank the gentlewoman for yielding me this time. We have heard the information. We understand the ravages of this tremendous disease running rampant throughout the continent. And so we know what action is needed. We know that we need resources. We know that we need to add additional money so that there can be health education information, so that there can be medicine and supplies, and so that individuals who are greatly in need of assistance can receive it. I simply want to commend the gentlewoman for this amendment, pledge undying, unstinting support for it, and urge all Members of this House to vote in favor of the Lee amendment.
[Time: 23:00]
Ms. LEE. Mr. Chairman, I yield 1 minute to the gentlewoman from New York (Mrs. LOWEY).
(Mrs. LOWEY asked and was given permission to revise and extend her remarks.)
Mrs. LOWEY. Mr. Chairman, I rise in strong support of this
amendment which would make a critical investment in combatting HIV-AIDS arou nd the world. When one looks at the
numbers, it is astonishing. More than 16.3 million people across the globe have
died of AIDS. Mor e than 33.6
million are currently living with the disease. Over the course of the year,
approximately 5.6 million more people will become infected with AIDS. > This is a
pandemic of immense proportions, and if we hold back on investing and finding
solutions to the world's AIDS cris
is now, there will be consequences, both domestically and internationally later
on.
The AIDS cris
is has disproportionately affected the developing world. Sub-Saharan Africa has been particularly hard hit.
Already 13.7 million Africans have died of HIV-AIDS, lea ving behind social and economic
devastation that will affect the nature and pace of African development for
years to come.
AIDS is h
urting Africa. It is crippling
Africa's viab ility as a
destination for business. I urge my colleagues to support this amendment.
Ms. LEE. Mr. Chairman, I yield 1 minute to the gentlewoman
from California (Ms. MILLENDER-MCDONALD).
Ms. MILLENDER-McDONALD. Mr. Chairman, today I rise in
strong support of the amendment of my colleague and friend, the gentlewoman from
California (Ms. LEE), and I urge everyone to support this amendment,
because it is really a moral issue that we are talking about tonight.
The devastation caused by this pandemic has been most
severe in sub-Saharan Africa wher
e over 23 million people are infected with HIV, and nearly 14 million Africans
have already died from AIDS. Thi s
is indeed, my friends, a moral issue, and we have an obligation and a
responsibility to heed the warning here.
The funding, $42 million, is not a cure-all for
HIV-AIDS, but it is an urgent and
necessary step in the right direction. This AIDS epid emic has also drastically decreased
life expectancy in Africa, and I
urge everyone within the sound of my voice to know that our children are being
left as orphans because of the death of their parents.
I urge Members to support the Lee amendment.
Ms. LEE. Mr. Chairman, I yield 1 1/2 minutes to the
gentlewoman from Texas (Ms. EDDIE BERNICE JOHNSON).
Ms. EDDIE BERNICE JOHNSON of Texas. Mr. Chairman, let me
thank the gentlewoman for presenting this amendment.
Mr. Chairman, I hope we are listening. I really do hope
that we are not going to close our eyes and turn our ears off and ignore this
problem. Let us try to listen to this one more time. A total of 5.4 million
people globally became newly infected with HIV in 1999. A total of 34.3 million
people globally are living with HIV-AIDS.
> We cannot sit here and allow this to happen
without some kind of intervention. There have been a total of 18.8 million
global AIDS-rela ted deaths since
the beginning of this epidemic. A total of 13.2 million children globally have
become orphaned since the AIDS epid emic. There are 34.3 million adults
and children living with AIDS in t
he world.
We have to act now. This is an emergency. Experience shows
that the right approach, applied quickly enough with courage and resolve, can
and does result in lower HIV infection rates and less suffering for those
affected by this epidemic. An ever-growing AIDS epid emic is not inevitable; yet unless
action against this epidemic is scaled up drastically, the damage is going to be
done.
We have got to act now. We have got to eradicate this ugly
disease. The time is now. It is urgent. Support my colleague's amendment.
Ms. LEE. Mr. Chairman, I yield 1 1/2 minutes to the
gentleman from California (Mr. WAXMAN).
Mr. WAXMAN. Mr. Chairman, I support this amendment. As the
only major power in the world and one that takes its moral responsibilities
seriously, this is a small step, but one we must take. I also supported the
Waters debt-relief amendment for the very same reason.
I found it offensive that the manager of this bill would
suggest that the gentleman from Alabama (Mr. BACHUS), or anyone else, was
anti-Israel for supporting debt relief. I think that was factually incorrect,
and this deficient foreign aid bill makes me think now it was designed in a way
to try to drive wedges between people and divide us; and that should have no
place on issues as serious as AIDS and
debt relief.
Mr. Chairman, I am going to vote for the Waters amendment,
and I am going to vote for the Lee amendment; and I am very seriously thinking
that this bill ought to be defeated.
Ms. LEE. Mr. Chairman, I yield 1 minute to the gentleman
from New York (Mr. MEEKS).
Mr. MEEKS of New York. Mr. Chairman, I wonder, where is
this compassion we often hear talked about? Compassion. You know, where I come
from, they have this saying; they say that talk is cheap. Put your money where
your mouth is.
When we talk about HIV-AIDS, we can talk about it and talk about how
bad it is and talk about how awful it is, but you know what? That talk means
nothing.
We need to put our money where our mouth is. Until we do
that, we are doing nothing but whistling Dixie. It is time for us to reverse
that, to understand that this world is much smaller than it was just 10 years
ago. If you do not believe it, let us not put our money where our mouths are.
You think the epidemic is over there; but you know what, there is a boomerang,
and what goes around will come around.
Mr. CALLAHAN. Mr. Chairman, I continue to reserve my point
of order.
Ms. LEE. Mr. Chairman, I yield 1 1/2 minutes to the
gentlewoman from North Carolina (Mrs. CLAYTON).
(Mrs. CLAYTON asked and was given permission to revise and
extend her remarks.)
Mrs. CLAYTON. Mr. Chairman, the Lee amendment deserves our
enthusiastic support. This amendment provides $42 million for our effort against
AIDS abro ad. We can be thankful,
Mr. Chairman, that many people in America today are living longer and more
comfortable lives with AIDS. Not
so in Africa. We can be grateful
that the life expectancy of a person in the United
> AIDS has
lowered the life expectancy in some places in Africa almo st 20 years in just the last 10
years. In America, the number of new AIDS case s in recent years has declined, or
at least has leveled off. Not so in Africa. In Africa, in some places, up to 35 percent of
all adults are inflicted by the HIV-AIDS.
The survival rate of women and children affected by AIDS in t he United States is steadily
increasing. Not so in Africa. > In some parts of Africa, hal f of all the pregnant women are
infected, and 15 percent of the children have been left as orphans due to
AIDS. Dru g therapy in response to
AIDS is a lmost $20,000 annually.
There is no money to pay. In fact, they commit less than $10.
Every day, in Africa, mor e than 5,000 people die from
AIDS--18 million lives have been
lost to AIDS in A frica, in recent years.
AIDS in A
frica, Mr. Chairman, has been
declared to be a threat to this Nation's national security. AIDS in A frica unde rmines efforts to extend
democracy. AIDS in A frica cont ributes to political instability
and encourages civil wars. AIDS in
A frica puts American
citizens at risk who may be there for business, military, diplomatic or other
purposes. AIDS in A frica is a menace to America.
In recent years, the introduction of newer and more
effective therapies, on the whole, has led to dramatic reductions in mortality
and morbidity and an increase in the number of people living with HIV/AIDS. Thi s progress has been due, in large
part, to the fact that funding in the United States for research, prevention,
care and treatment has multiplied, from a few hundred thousand dollars twenty
years ago to $6 billion in the fiscal year.
In Africa,
fun ding programs for the prevention and research for AIDS and HIV have fallen far short. The Lee
amendment, in a very modest way, seeks to bring some balance to that imbalance.
Mr. Chairman, unfortunately, there is no vaccine or
medication that will cure AIDS.
Yet , as the Washington Post indicated today, there is hope due to a new
tests. And, we know that through intervention, we can, and we have, caused
effective prevention of the spread of AIDS.
By preventing the spread of AIDS, we have reduced the demand for care
services. And, consequently, we have reduce the costs associated with AIDS.
We are making progress in America. Not so in
Africa. Sup port the Lee
amendment. The women, the children, the people of Africa are worthy of our support.
Ms. LEE. Mr. Chairman, I yield 2 minutes to the gentlewoman
from Los Angeles, California (Ms. WATERS).
Ms. WATERS. Mr. Chairman, I rise in support of this
amendment. I am amazed that we have spent so much time on the Africa Trad e bill talking about how we want
to be involved with trade in Africa. In
South Africa, we have spent
years getting rid of apartheid. We have worked hard to make sure that we give
democracy a chance in Africa. > But what good is all of this if, in fact, we do not
recognize that HIV/AIDS is d
evastating Africa? I j ust spoke
with the gentleman from New Jersey (Mr. PAYNE) who just returned from
Botswana; a beautiful infrastructure is that country. However, they are about to
be wiped out because of the way that AIDS is r avaging that small country.
The same thing is true in South Africa. Wha t good does it do to have done
all of that work to talk about getting rid of an apartheid government, to have a
new opportunity here for housing and for health and for all of those things that
we have fought for for so many years, when we have AIDS run amok.
This country cannot, cannot in good faith talk about
wanting to have a relationship with Africa and South Africa, whi ch it has embraced and all of
these other nations, and ignore the fact that AIDS is r avishing this continent.
Mr. Chairman, I would ask everyone to support this
amendment. This is a very mild amendment. As a matter of fact, the amount of
dollars that are being asked for is insignificant, almost. So I cannot
understand why anyone would be opposed to supporting this amendment. I believe
there is $42 million in this amendment. We are spending more money than that on
giveaways, practically, in the budget, throughout the budget of the United
States.
So I would ask my colleagues, please, please allow us to
leave this floor this evening with some renewed faith in our ability to have
just a little bit of a conscience as it relates to the continent.
Ms. LEE. Mr. Chairman, I yield 2 minutes to the gentlewoman
from northern California (Ms. PELOSI).
Ms. PELOSI. Mr. Chairman, I thank the gentlewoman for
yielding me this time and for her extraordinary leadership on this global AIDS
issu e.
Mr. Chairman, as my colleagues know, this past week the
world's leading experts on HIV/AIDS gath ered in Durbin, South Africa for the 13th International HIV/AIDS
Conf erence. The participants
shared their knowledge and attempted to find solutions to the challenges of
prevention, affordable treatment, and eventually a cure for HIV/AIDS. We must do our part in this country to
respond to what has truly become a global crisis.
Mr. Chairman, when those experts met in Durbin, South
Africa, the gentlewoman from
California (Ms. LEE) was there, and she is here tonight, less than 36
hours since her arrival in this country; she is here tonight leading the way.
The world is finally waking up to the scope and seriousness of the HIV/AIDS
prob lem, as more resources are
devoted to expanding the infrastructure to fight the disease. It would be a
serious blow if the United States did not live up to its commitments at this
time. Again, the gentlewoman from California (Ms. LEE) is here to lead
the way in that regard.
Mr. Chairman, in addition to commending my colleague, I
want to introduce into the RECORD a USAID report project which projects a
dramatic increase in AIDS orph
ans. Over the next 10 years, there will be more than 30 million orphans because
their parents will die of AIDS.
Thi s represents a dramatic increase.
How many more parents have to die? How many more children
have to become orphaned? Many of those children, HIV-infected themselves. How
many more children will have to die before we wake up to an appropriate,
appropriate response to AIDS? > This increase that the gentlewoman is proposing
brings what is in the bill up to the President's request of $244 million.
Frankly, it is the least we can do. It is certainly not enough, but it is a good
start for us. USAID will use these additional funds for education, prevention
and interventions to reduce mother-to-child transmissions. Funding will be used
to aid countries to establish their own HIV interventions.
I commend the gentlewoman for her leadership and I urge my
colleagues to support her amendment.
USAID Report Projects Dramatic Increase in AIDS Orph ans
DURBAN, SOUTH AFRICA. Of these 44 million orphans, 68 percent of their parents
will die of AIDS. Thi s represents
a dramatic increase from 1990, when AIDS acco unted for 16.4 percent of parental
deaths. Orphans are distributed among world areas in the same patterns as
HIV-prevalence, so that countries with the highest infection levels usually have
the highest orphan rates.
The orphan crisis is most acute in sub-Saharan Africa. In at least eight countries in this
region, between 20 and 35 percent of children under 15 have lost one or both
parents. By 2010, 11 countries will reach this rate.
Children on the Brink 2000 finds that with few exceptions
the number of children being orphaned will accelerate through at least 2010. In
many countries, the proportion of orphaned children will remain exceptionally
high until 2020 or 2030.
One country studied was Zambia. Children on the Brink 2000
finds that in Zambia, currently 27.4 percent, or 1.2 million children, who are
under age 15, are orphans. Chronic malnutrition is widespread. Orphan caregivers
are predominantly poor women. Children in these households are significantly
more disadvantaged than children in two-parent families, largely because women
have less access to property and employment. Female-headed households are larger
and poorer than male-headed households in all regions.
The executive summary of Children on the Brink 2000 was
released at a USAID press conference at the XIII International AIDS Conf erence in Durban, South Africa.
Since 1986, USAID has dedicated over $1.4 billion
dollars for the prevention and mitigation of this epidemic in the developing
world. USAID's HIV/AIDS budg et of
$200 million for 2000 is four times as great as the
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