She-Hulk was one of the figures I was most curious about when Hasbro announced her inclusion in Marvel Universe Series 4. Of course, distribution being what it is, she was part of the wave of figures I never saw at local retail.
It’s been quite a while since I read a Hulk comic, but thanks to the Internet I had a fair grasp of the history behind this Hulkette.
Lauren Gambill, MDPediatrician, AustinMember, Texas cialis online canadian pharmacy Medical Association (TMA) Committee on Child and Adolescent HealthExecutive Board Member, Texas Pediatric SocietyDoctors are community leaders. This role has become even more important during the erectile dysfunction treatment cialis. As patients navigate our new reality, they are looking to us to determine what is safe, how to protect their cialis online canadian pharmacy families, and the future of their health care. As more Texans lose their jobs, their health insurance, or even their homes, it is crucial that Texas receives the resources it needs to uphold our social safety net.
The U.S. Census helps determine funding for those resources, and that is why it is cialis online canadian pharmacy of the upmost importance that each and every Texan, no matter address, immigration status, or age, respond to the 2020 U.S. Census. The deadline has been cut short one month and now closes Sept cialis online canadian pharmacy.
30.erectile dysfunction treatment has only increased the importance of completing the census to help our local communities and economies recover. The novel erectile dysfunction has inflicted unprecedented strain on patients and exacerbated inequality as more people are out of work and are many in need of help with food, health care, housing, and more. Schools also have been stretched thin, with teachers scrambling to teach students cialis online canadian pharmacy online. Yet, the amount of federal funding Texas has available today to help weather this emergency was driven in part by the census responses made a decade ago.
Getting an accurate count in 2020 will help Texans prepare for the decade to follow, the first few years of which most certainly will be spent rebuilding from the cialisâs fallout. Therefore, it is vital that all Texans be counted.The federal cialis online canadian pharmacy dollars Texas receives generally depends on our population. A George Washington University study recently found that even a 1% undercount can lead to a $300 million loss in funding.Take Medicaid, for example. Federal funds pay for 60% of the stateâs program, which provides health coverage for two out of five cialis online canadian pharmacy Texas children, one in three individuals with disabilities, and 53% of all births.
The complicated formula used to calculate the federal portion of this funding depends on accurate census data. If Texasâ population is undercounted, Texans may appear better off financially than they really are, resulting in Texas getting fewer federal Medicaid dollars. If that happens, lawmakers will have to make up the difference, with cuts in cialis online canadian pharmacy services, program eligibility, or physician and provider payments, any of which are potentially detrimental.The census data also is key to funding other aspects of a communityâs social safety net:Health careThe Childrenâs Health Insurance Program (CHIP) provides low-cost health insurance to children whose parents make too much to qualify for Medicaid, but not enough to afford quality coverage. Like Medicaid, how much money the federal government reimburses the state for the program depends in part on the census.Maternal and child health programs that promote public health and help ensure children are vaccinated relies on data from the census.
Texas also uses this federal funding to study and respond to maternal mortality and perinatal depression.Food and housing As unemployment rises and families struggle financially, many live with uncertainty as to where they will find their next cialis online canadian pharmacy meal. Already, one in seven Texans experiences food insecurity, and 20% of Texas children experience hunger. Food insecurity is rising in Texas as the cialis continues. The Central Texas Food Bank saw cialis online canadian pharmacy a 206% rise in clients in March.
Funding for the Supplemental Nutrition Assistance Program and school lunch programs are both determined by the census. Funding for local housing programs also is calculated via the census. An accurate count will help ensure cialis online canadian pharmacy that people who lose their homes during this economic crisis have better hope of finding shelter while our communities recover. Homelessness is closely connected with declines in overall physical and mental health.Childcare and educationAs we navigate the new reality brought on by erectile dysfunction, more parents are taking on roles as breadwinner, parent, teacher, and caretaker.
This stress cialis online canadian pharmacy highlights the desperate need for affordable childcare. The census determines funding for programs like Head Start that provide comprehensive early childhood education to low-income families. The good news is you still have time to complete the census. Visit 2020census.gov cialis online canadian pharmacy to take it.
It takes less than five minutes to complete. Then talk to your family, neighbors, and cialis online canadian pharmacy colleagues about doing the same. If you are wondering who counts, the answer is everyone, whether itâs a newborn baby, child in foster care, undocumented immigrant, or an individual experiencing homelessness.Completing the census is one of the best things that you can do for the health of your community, especially during the cialis. Thank you for helping Texas heal and for supporting these essential safety net programs.(L to R).
UTHSA medical students Swetha Maddipudi, Brittany Hansen, Charles Wang, Carson Cortino, faculty advisor Kaparaboyna Kumar, MD, Ryan Wealther, Sidney Akabogu, Irma Ruiz, and Frank cialis online canadian pharmacy Jung pose with the TMA Be Wise Immunize banner. Photo courtesy by Ryan WealtherRyan WealtherMedical Student, UT Health San Antonio Long School of MedicineStudent Member, Texas Medical AssociationEditorâs Note. August is National Immunization Awareness Month. This article is part of a Me&My Doctor series highlighting and promoting the use of vaccinations.âCan the flu cialis online canadian pharmacy shot give you the flu?.
ÂâIs it dangerous for pregnant women to get a flu shot?. ÂâCan treatments cause autism? cialis online canadian pharmacy. ÂThese were questions women at Alpha Home, a residential substance abuse rehabilitation center in San Antonio, asked my fellow medical students and me during a flu treatment discussion. It is easy to see why these questions were asked, as treatment misinformation is common today.UTHSA medical student Frank Jing (left) gets a treatment fromKaparaboyna Kumar, MD, (right).Photo courtesy of Ryan WealtherâNoâ is the answer to all the questions.
These were cialis online canadian pharmacy exactly the types of myths we set out to dispel at our vaccination drive.UT Health San Antonio Long School of Medicine medical students (under the supervision of Kaparaboyna Ashok Kumar, MD, faculty advisor for the Texas Medical Association Medical Student Section at UT Health San Antonio) hosted the treatment drive at Alpha Home with the support of TMAâs Be Wise â Immunizeâ program, a public health initiative that aims to increase vaccinations and treatment awareness through shot clinics and education. Our program consisted of a vaccination drive and an interactive, educational presentation that addressed influenza, common flu shot questions, and general treatment myths. The Alpha Home residents could ask us cialis online canadian pharmacy questions during the program.We were interested to see if our educational program could answer Alpha Home residentsâ questions about vaccinations and allay their hesitations about getting a flu vaccination. To gauge this, we created a brief survey.(Before I discuss the results of the survey, I should define treatment hesitancy.
treatment hesitancy is a concept defined by the World Health Organization. It relates cialis online canadian pharmacy to when patients do not vaccinate despite having access to treatments. treatment hesitancy is a problem because it prevents individuals from receiving their vaccinations. That makes them more susceptible to getting sick from treatment-preventable diseases.)We surveyed the residentsâ opinions about vaccinations before and after our educational program.
While opinions about shots improved with each survey question, we saw the most significant attitude change reflected in answers to the questions âI am concerned that cialis online canadian pharmacy vaccinations might not be safe,â and âHow likely are you to receive a flu shot today?. Â We had informed the residents and improved their understanding and acceptance of immunizations.Post-survey results show more residents at the Alpha Home shifted to more positive attitudes about treatments, after learning more about their effectiveness by trusted members of the medical community. Graph by Ryan WealtherWhy is cialis online canadian pharmacy this important?. First, our findings confirm what we already knew.
Education by a trusted member of the medical community can effect change. In fact, it is widely known that physician recommendation of vaccination is one of cialis online canadian pharmacy the most critical factors affecting whether patients receive an influenza vaccination. Perhaps some added proof to this is that a few of the Alpha Home residents were calling me âDr. Truthâ by the end of the evening.Second, our findings add to our understanding of cialis online canadian pharmacy adult treatment hesitancy.
This is significant because most of what we know about treatment hesitancy is limited to parental attitudes toward their childrenâs vaccinations. Some parents question shots for their children, and many of the most deadly diseases we vaccinate against are given in childhood, including polio, tetanus, measles, and whooping cough shots. However, adults need some vaccinations cialis online canadian pharmacy as well, like the yearly influenza treatment. After taking part in the UTHSA educational program, more residents at the Alpha Home shared more willingness to receive the flu treatment.
Graph by Ryan WealtherAnother reason improving attitudes is important is that receiving a flu shot is even more timely during the erectile dysfunction treatment cialis because it decreases illnesses and conserves health care resources. Thousands of people each year cialis online canadian pharmacy are hospitalized from the flu, and with hospitals filling up with erectile dysfunction patients, we could avoid adding dangerously ill flu patients to the mix. Lastly, these findings are important because once a erectile dysfunction treatment vaccination becomes available, more people might be willing to receive it if their overall attitude toward immunizations is positive. Though the erectile dysfunction treatment is still in development, it is not immune to cialis online canadian pharmacy treatment hesitancy.
Recent polls have indicated up to one-third of Americans would not receive a erectile dysfunction treatment even if it were accessible and affordable. Work is already being done to try to raise awareness and acceptance. In addition, misinformation about the erectile dysfunction treatment is cialis online canadian pharmacy circulating widely. (Someone recently asked me if the erectile dysfunction treatment will implant a microchip in people, and I have seen the same myth circulating on social media.
It will not.) This myth, however, illustrates the need for health care professionals to answer patientsâ questions and to assuage their concerns.treatments work best when many cialis online canadian pharmacy people in a community receive them, and treatment hesitancy can diminish vaccination rates, leaving people who can't get certain treatments susceptible to these treatment-preventable diseases. For example, babies under 6 months of age should not receive a flu shot, so high community vaccination rates protect these babies from getting sick with the flu. Our educational program at Alpha Home is just one example of how health care professionals can increase awareness and acceptance of shots. As the erectile dysfunction treatment cialis progresses, we need to ensure children and adults receive their vaccinations as recommended cialis online canadian pharmacy by their physician and the Centers for Disease Control and Prevention.
I encourage readers who have questions about the vaccinations they or their child may need to talk with their physician. As health care professionals, weâre more than happy to answer your questions..
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Sign up for our newsletter [embedded content] When Cindy decided to pursue a college degree after getting out of prison, she prix du cialis en pharmacie faced several her response obstacles. She needed a place to live, school supplies, and new prescription glasses, among other things. In September of 2018, Cindyâs student support-services coordinator at Columbia Gorge Community College referred her to the Bridges to Health program prix du cialis en pharmacie. She was connected with Community Health Worker Josh Sendejas, who helped her find an apartment through the housing choice voucher program. Josh also helped her access what she needed to stay in school, like gas for her car and printer ink for research papers.
When erectile dysfunction treatment arrived in Cindyâs community in the Columbia prix du cialis en pharmacie River Gorge, she faced new challenges. Her classes moved to Zoom, which has made it difficult for her to hear and engage. Right now, Josh is working with her to get noise cancelling headphones to help with her Zoom classes prix du cialis en pharmacie. Local food pantries have limited hours now because of erectile dysfunction treatment, so Josh has also picked up food boxes for Cindy when sheâs working on school projects. If it werenât for Josh, âI would have put my education on hold,â said Cindy (we are not using her last name to protect her privacy).
Because of the broad scope and flexibility of the program, Josh was able to fill prix du cialis en pharmacie gaps that would have otherwise been outside the purview of many social service agencies or medical organizations that have a more singular focus. âI really have a heart for connecting people to things they need the most,â said Josh. Building Bridges Across Sectors For the last several years, the Bridges to Health program has connected individuals and families to resources in rural Wasco and prix du cialis en pharmacie Hood River counties in Oregon. This year, erectile dysfunction treatment has required the program to quickly pivot to support those in quarantine or isolation while continuing to serve clients struggling to access resources on their own. The Columbia Gorge Region, where Wasco and Hood River counties are located, received the Robert Wood Johnson Culture of Health Prize in 2016 largely because of its extensive community engagement and collaboration across sectors.
This means medical providers, local government agencies, prix du cialis en pharmacie non-profits, and community members all work together to improve the communityâs health. Bridges to Health is a cross-sector program that works to improve access to resources, increase collaboration in and out of the healthcare system, and empower community members to improve their health. Its staff, who are community health workers (also known as CHWs), work closely with clients who might have challenges accessing medical or dental care, housing, food, transportation, and other basic needs. CHWs are employed by local government agencies and non-profits that contract with prix du cialis en pharmacie the Columbia Gorge Health Council, the organization that houses Bridges to Health. Columbia Gorge Health Council staff members serve as the programâs âHUBâ, which provides oversight, quality improvement, training, and program evaluation.
Clients get referred to Bridges to Health by a medical or social-service prix du cialis en pharmacie provider and then get connected to a CHW. What makes this program different from other programs is its broad scope and ability to address any issue, from getting into the dentist office to new glasses or roof repairs. Bridges to Health focuses on health and social determinants of health. Factors like housing and food access that affect health prix du cialis en pharmacie outcomes. And, the strong connection and trust built between clients and CHWs makes for lasting relationships.
According to another Bridges to Health client named Alicia, prix du cialis en pharmacie âBridges to Health is like a tree. Itâs able to branch, flexibly, from one resource to another as it supports its clients. Stepping Up Support During erectile dysfunction treatment Like this story?. Sign up for our prix du cialis en pharmacie newsletter. In the spring, when local leaders realized how erectile dysfunction treatment would affect the community, the health departments in Hood River and Wasco counties reached out to the Bridges to Health program for support.
ÂOn March prix du cialis en pharmacie 15th, erectile dysfunction treatment hit. By April 15th, we were getting referrals from both public health departments when people needed assistance in isolation and quarantine so that they could stay safely isolated,â said Suzanne Cross, senior program manager with the Columbia Gorge Health Council. The program had to adapt quickly. Before erectile dysfunction treatment, CHWs worked with clients at a slower pace, building trust and assisting with applications for programs like the Supplemental Nutrition Assistance Program (SNAP) or Medicaid that often require a prix du cialis en pharmacie wait time for approval. While CHWs have continued to do this work through erectile dysfunction treatment, they are also contacting clients in isolation the same day they receive a referral.
ÂMy coworkers and I are able to provide these families a piece of immediate help,â said Katrina Loikkanen, a CHW based at Mid-Columbia Housing Authority. ÂJust chatting on the phone if they need someone to talk to for an hour, weâre prix du cialis en pharmacie here. It could be buying and delivering groceries, which ultimately makes a huge difference in health outcomes. It not only allows clients to remain isolated and limit spread of erectile dysfunction treatment, but lets them take care of themselves and their families and put their mental health first.â prix du cialis en pharmacie Still, a stigma around erectile dysfunction treatment persists in the region and around the country. Another fundamental part of CHWsâ daily activity is countering this stigma by meeting their clients with empathy, respect, and care.
âWhen we reach out and explain how we can support them during isolation, clients across the board have been so hesitant to even accept the help,â said Karen Shultz, CHW based at non-profit The Next Door. Feelings of fear, embarrassment, and shame often accompany an isolation experience, and in many cases, language barriers and prix du cialis en pharmacie cultural differences make accepting help even harder. CHWs, who are skilled communicators with big hearts, regularly put clients at ease. Recently, Karen assisted a pregnant mother in isolation who did not prix du cialis en pharmacie speak English. She needed to feed her family but had never used a microwave, which was the only cooking implement in her isolation hotel room.
ÂWe really had to get creative around how to figure out foods that would work for them,â said Karen. While an easy solution would be to purchase pre-made microwavable meals for this family, finding culturally prix du cialis en pharmacie appropriate food for clients is something CHWs prioritize. When the wildfires erupted in the Pacific Northwest this September, 40,000 Oregon residents were displaced, compounding the challenges presented by the cialis. CHW Annette Lutgens, also based at The Next Door, helped support a couple who were isolated due to erectile dysfunction treatment and then had to evacuate prix du cialis en pharmacie because of the fires. ÂWe were scrambling to get not only groceries, but gasoline [for their RV],â said Annette.
After a stressful few weeks, the couple is now off isolation and was able to return to their home. Many clients in isolation are families with children who are also struggling with basic needs like heat, internet, and prix du cialis en pharmacie food security. This reality has made Bridges to Health leadership realize that many families in the community were not getting the services they needed prior to erectile dysfunction treatment. Many clients stay enrolled in the program after their isolation period, working with their CHW on longer term goals. This year has not been an easy one, but the programâs cross-sector model, its ability to quickly shift gears, and its resilient staff have allowed it to address the prix du cialis en pharmacie communityâs changing needs.
Support Our Rural Reporting For the rest of 2020, you have a special opportunity to double your contribution to the Daily Yonder. Your gift will be matched dollar for dollar by NewsMatch, a nonprofit news funding program prix du cialis en pharmacie. âAs our program started receiving isolation referrals, I began to wonder if we could keep up,â said Katy Williams, HUB coordinator for Bridges to Health. ÂFor anyone who has worked in systems that receive many referrals, you know that same-day response is incredibly difficult. But because of the adaptability, compassion, and perseverance of the CHWs, we make it happen every day.â Judy Bankman is an Oregon-based consultant and freelance writer focusing on issues of public health, health equity, and sustainable food systems prix du cialis en pharmacie.
She received her Master of Public Health from New York Universityâs School of Global Public Health in 2014. You Might Also LikeMalheur County, Oregon, prix du cialis en pharmacie is one of 10 counties in the state considered frontier areas because it has six or fewer people per square mile. By Addy Hatch, WSU College of NursingGiving nurse practitioners the authority to prescribe buprenorphine has brought that gold standard treatment for opioid addiction to people who might not have had access to it before, according to a new study led by Tracy Klein, PhD, associate professor at the Washington State University College of Nursing in Vancouver.Klein and her colleagues Dan Hartung, PharmD, and Jonah Geddes, MPH, used prescription drug monitoring data to look at prescription and dispensing patterns in Oregon before and after nurse practitioners and physician assistants gained the authority to prescribe buprenorphine in 2017. Before that time, only physicians were allowed to prescribe the medication nationally.Her study found that nurse practitioners almost immediately had an impact on access to buprenorphine in rural Oregon, especially in the sparsely populated areas known as frontier regions â counties with six or fewer people per square mile.By the end of 2018, nurse practitioners accounted for nearly 1 in 5 buprenorphine prescriptions in rural Oregon, according to the study, published in the Journal of Rural Health. In frontier areas â 10 of Oregonâs 36 counties â nurse practitioners accounted for more than a third of buprenorphine prescriptions dispensed, it said.Nurse practitioners are sometimes the only healthcare provider in these very rural areas, Klein said.Tracy KleinâItâs not surprising that having nurse practitioners be able to do this prix du cialis en pharmacie would increase access to buprenorphine in rural areas,â she said.
ÂIt was surprising the extent to which people were reliant on nurse practitioners for this service and that nurse practitioners were stepping up to the plate and providing it.âOpioid addiction âcontinues to be an enormous public health crisis that claimed over 46,000 lives in 2018,â the study notes.Implementation of the Comprehensive Addiction and Recovery Act in early 2017 was intended to expand availability of medication-assisted treatment, which includes prescribing buprenorphine in an office or clinic.Klein said her study âoffers a good opportunity to look at whether changing a law has an impact on patient care,â especially in little-studied frontier areas.Said Klein, âThis is one of the few studies thatâs really looked at the impact of nurse practitioners in frontier areas. Most studies look at urban versus rural, but itâs important to consider frontier areas that are even more isolated and underserved, and the contribution nurse practitioners make to this very important aspect of health care.âMedia contact:Tracy Klein, PhD, associate professor, Washington State University College of Nursing-Vancouver, 360-546-9142, taklein@wsu.edu.
Sign up for our newsletter [embedded content] When Cindy decided to find more pursue a college degree after cialis online canadian pharmacy getting out of prison, she faced several obstacles. She needed a place to live, school supplies, and new prescription glasses, among other things. In September of 2018, Cindyâs student support-services coordinator at Columbia Gorge Community cialis online canadian pharmacy College referred her to the Bridges to Health program. She was connected with Community Health Worker Josh Sendejas, who helped her find an apartment through the housing choice voucher program. Josh also helped her access what she needed to stay in school, like gas for her car and printer ink for research papers.
When erectile dysfunction treatment arrived in Cindyâs community in the Columbia River Gorge, she faced cialis online canadian pharmacy new challenges. Her classes moved to Zoom, which has made it difficult for her to hear and engage. Right now, Josh is working with her to get noise cancelling headphones to help with her Zoom classes cialis online canadian pharmacy. Local food pantries have limited hours now because of erectile dysfunction treatment, so Josh has also picked up food boxes for Cindy when sheâs working on school projects. If it werenât for Josh, âI would have put my education on hold,â said Cindy (we are not using her last name to protect her privacy).
Because of the broad scope cialis online canadian pharmacy and flexibility of the program, Josh was able to fill gaps that would have otherwise been outside the purview of many social service agencies or medical organizations that have a more singular focus. âI really have a heart for connecting people to things they need the most,â said Josh. Building Bridges Across Sectors For the last several years, the Bridges to Health program has connected individuals and families to resources in rural Wasco and Hood River counties in Oregon cialis online canadian pharmacy. This year, erectile dysfunction treatment has required the program to quickly pivot to support those in quarantine or isolation while continuing to serve clients struggling to access resources on their own. The Columbia Gorge Region, where Wasco and Hood River counties are located, received the Robert Wood Johnson Culture of Health Prize in 2016 largely because of its extensive community engagement and collaboration across sectors.
This means cialis online canadian pharmacy medical providers, local government agencies, non-profits, and community members all work together to improve the communityâs health. Bridges to Health is a cross-sector program that works to improve access to resources, increase collaboration in and out of the healthcare system, and empower community members to improve their health. Its staff, who are community health workers (also known as CHWs), work closely with clients who might have challenges accessing medical or dental care, housing, food, transportation, and other basic needs. CHWs are employed by local government agencies and non-profits that contract with the Columbia Gorge Health Council, the organization that houses Bridges to Health cialis online canadian pharmacy. Columbia Gorge Health Council staff members serve as the programâs âHUBâ, which provides oversight, quality improvement, training, and program evaluation.
Clients get cialis online canadian pharmacy referred to Bridges to Health by a medical or social-service provider and then get connected to a CHW. What makes this program different from other programs is its broad scope and ability to address any issue, from getting into the dentist office to new glasses or roof repairs. Bridges to Health focuses on health and social determinants of health. Factors like housing and food access that affect health cialis online canadian pharmacy outcomes. And, the strong connection and trust built between clients and CHWs makes for lasting relationships.
According to another Bridges to Health client cialis online canadian pharmacy named Alicia, âBridges to Health is like a tree. Itâs able to branch, flexibly, from one resource to another as it supports its clients. Stepping Up Support During erectile dysfunction treatment Like this story?. Sign cialis online canadian pharmacy up for our newsletter. In the spring, when local leaders realized how erectile dysfunction treatment would affect the community, the health departments in Hood River and Wasco counties reached out to the Bridges to Health program for support.
ÂOn March 15th, erectile dysfunction treatment hit cialis online canadian pharmacy. By April 15th, we were getting referrals from both public health departments when people needed assistance in isolation and quarantine so that they could stay safely isolated,â said Suzanne Cross, senior program manager with the Columbia Gorge Health Council. The program had to adapt quickly. Before erectile dysfunction treatment, CHWs worked with clients at cialis online canadian pharmacy a slower pace, building trust and assisting with applications for programs like the Supplemental Nutrition Assistance Program (SNAP) or Medicaid that often require a wait time for approval. While CHWs have continued to do this work through erectile dysfunction treatment, they are also contacting clients in isolation the same day they receive a referral.
ÂMy coworkers and I are able to provide these families a piece of immediate help,â said Katrina Loikkanen, a CHW based at Mid-Columbia Housing Authority. ÂJust chatting on the phone if they need someone to talk to for an hour, cialis online canadian pharmacy weâre here. It could be buying and delivering groceries, which ultimately makes a huge difference in health outcomes. It not cialis online canadian pharmacy only allows clients to remain isolated and limit spread of erectile dysfunction treatment, but lets them take care of themselves and their families and put their mental health first.â Still, a stigma around erectile dysfunction treatment persists in the region and around the country. Another fundamental part of CHWsâ daily activity is countering this stigma by meeting their clients with empathy, respect, and care.
âWhen we reach out and explain how we can support them during isolation, clients across the board have been so hesitant to even accept the help,â said Karen Shultz, CHW based at non-profit The Next Door. Feelings of fear, embarrassment, and shame often accompany an isolation experience, and in many cases, language barriers and cialis online canadian pharmacy cultural differences make accepting help even harder. CHWs, who are skilled communicators with big hearts, regularly put clients at ease. Recently, Karen assisted a pregnant mother in cialis online canadian pharmacy isolation who did not speak English. She needed to feed her family but had never used a microwave, which was the only cooking implement in her isolation hotel room.
ÂWe really had to get creative around how to figure out foods that would work for them,â said Karen. While an easy solution would be to purchase pre-made microwavable meals for this family, finding culturally appropriate food for clients is something CHWs cialis online canadian pharmacy prioritize. When the wildfires erupted in the Pacific Northwest this September, 40,000 Oregon residents were displaced, compounding the challenges presented by the cialis. CHW Annette Lutgens, also based cialis online canadian pharmacy at The Next Door, helped support a couple who were isolated due to erectile dysfunction treatment and then had to evacuate because of the fires. ÂWe were scrambling to get not only groceries, but gasoline [for their RV],â said Annette.
After a stressful few weeks, the couple is now off isolation and was able to return to their home. Many clients in cialis online canadian pharmacy isolation are families with children who are also struggling with basic needs like heat, internet, and food security. This reality has made Bridges to Health leadership realize that many families in the community were not getting the services they needed prior to erectile dysfunction treatment. Many clients stay enrolled in the program after their isolation period, working with their CHW on longer term goals. This year has not been an easy one, but the programâs cross-sector model, its ability to quickly shift gears, and its resilient staff have allowed it to cialis online canadian pharmacy address the communityâs changing needs.
Support Our Rural Reporting For the rest of 2020, you have a special opportunity to double your contribution to the Daily Yonder. Your gift will be matched dollar for cialis online canadian pharmacy dollar by NewsMatch, a nonprofit news funding program. âAs our program started receiving isolation referrals, I began to wonder if we could keep up,â said Katy Williams, HUB coordinator for Bridges to Health. ÂFor anyone who has worked in systems that receive many referrals, you know that same-day response is incredibly difficult. But because of the adaptability, compassion, and perseverance of the CHWs, we make it happen every day.â Judy Bankman is an Oregon-based consultant and freelance writer focusing on issues of public health, health equity, cialis online canadian pharmacy and sustainable food systems.
She received her Master of Public Health from New York Universityâs School of Global Public Health in 2014. You Might Also LikeMalheur County, Oregon, is one of 10 counties in the state considered frontier areas because it has cialis online canadian pharmacy six or fewer people per square mile. By Addy Hatch, WSU College of NursingGiving nurse practitioners the authority to prescribe buprenorphine has brought that gold standard treatment for opioid addiction to people who might not have had access to it before, according to a new study led by Tracy Klein, PhD, associate professor at the Washington State University College of Nursing in Vancouver.Klein and her colleagues Dan Hartung, PharmD, and Jonah Geddes, MPH, used prescription drug monitoring data to look at prescription and dispensing patterns in Oregon before and after nurse practitioners and physician assistants gained the authority to prescribe buprenorphine in 2017. Before that time, only physicians were allowed to prescribe the medication nationally.Her study found that nurse practitioners almost immediately had an impact on access to buprenorphine in rural Oregon, especially in the sparsely populated areas known as frontier regions â counties with six or fewer people per square mile.By the end of 2018, nurse practitioners accounted for nearly 1 in 5 buprenorphine prescriptions in rural Oregon, according to the study, published in the Journal of Rural Health. In frontier areas â 10 of Oregonâs 36 counties â nurse practitioners accounted for more than a third of buprenorphine prescriptions dispensed, it said.Nurse practitioners are sometimes the only healthcare provider in these very rural areas, Klein said.Tracy KleinâItâs not cialis online canadian pharmacy surprising that having nurse practitioners be able to do this would increase access to buprenorphine in rural areas,â she said.
ÂIt was surprising the extent to which people were reliant on nurse practitioners for this service and that nurse practitioners were stepping up to the plate and providing it.âOpioid addiction âcontinues to be an enormous public health crisis that claimed over 46,000 lives in 2018,â the study notes.Implementation of the Comprehensive Addiction and Recovery Act in early 2017 was intended to expand availability of medication-assisted treatment, which includes prescribing buprenorphine in an office or clinic.Klein said her study âoffers a good opportunity to look at whether changing a law has an impact on patient care,â especially in little-studied frontier areas.Said Klein, âThis is one of the few studies thatâs really looked at the impact of nurse practitioners in frontier areas. Most studies look at urban versus rural, but itâs important to consider frontier areas that are even more isolated and underserved, and the contribution nurse practitioners make to this very important aspect of health care.âMedia contact:Tracy Klein, PhD, associate professor, Washington State University College of Nursing-Vancouver, 360-546-9142, taklein@wsu.edu.
Keep out of the reach of children.
Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Throw away any unused medicine after the expiration date.
September is National Suicide Prevention and cialis for sale Awareness Month and MidMichigan Health wishes to continue to raise awareness and educate the community on the risk factors and warning signs of suicide.âSuicide is preventable, and we can all be a part of that prevention,â said Kathy Dollard, Psy.D., L.P., director of behavioral health, MidMichigan Health.âEveryone can play a role by learning to recognize the warning signs, showing compassion and offering support.âThe Suicide Prevention Lifeline states that knowing the cialis and alcohol following warning signs may help determine if a loved one is at risk for suicide. Talking about wanting to die or to kill themselvesLooking for a way to kill themselves, like searching online or buying a gunTalking about feeling hopeless or having no reason to liveTalking about feeling trapped or cialis and alcohol in unbearable painTalking about being a burden to othersIncreasing the use of alcohol or drugsActing anxious or agitated, behaving recklesslySleeping too little or too muchWithdrawing or isolating themselvesShowing rage or talking about seeking revengeExtreme mood swingsSuicide prevention starts with recognizing these warning signs and taking them seriously. ÂIf you think someone you know may be feeling suicidal, the best thing to do is ask.
These conversations may feel difficult and uncomfortable, which is entirely normal,â continued cialis and alcohol Dollard.The National Institute of Mental Health offers these five action steps:Ask. ÂAre you thinking about killing cialis and alcohol yourself?. Â Itâs not an easy question, but studies show that asking at-risk individuals if they are suicidal does not increase suicides or suicidal thoughts.Keep them safe.
Reducing a suicidal personâs access to highly lethal items or places is an important part of suicide prevention cialis and alcohol. While this is not always easy, asking if the at-risk cialis and alcohol person has a plan and removing or disabling the lethal means can make a difference.Be there. Listen carefully and learn what the individual is thinking and feeling.
Research suggests acknowledging and talking about suicide cialis and alcohol may reduce rather than increase suicidal thoughts.Help them connect. Save the National Suicide Prevention Lifelineâs (1-800-273-TALK (8255) and the Crisis Text Lineâs number (741741) in your phone, so itâs there when you need it. You can also help make a connection with a trusted cialis and alcohol individual like a family member, friend, spiritual advisor, or mental health professional.Stay connected.
Staying in touch after a crisis or after being discharged from care cialis and alcohol can make a difference. Studies have shown the number of suicide deaths http://bigthompsoncreekhoa.org/?p=175 goes down when someone follows up with the at-risk person.âStart the conversation, provide support, and direct help to those who need it,â concluded Dollard. ÂThese important steps can prevent suicides and save lives.âThose who believe someone is in imminent danger cialis and alcohol of taking their own life, call 911 immediately.
Those seeking help are encouraged cialis and alcohol to call the National Suicide Prevention Lifeline at 1 (800) 273-TALK (8255). Those in crisis can also text HOME to 741741 to connect with a crisis counselor.MidMichigan Health offers comprehensive behavioral health services from outpatient one-on-one therapy, intense outpatient program to meet the need of older adults, to partial hospitalization program and inpatient services. A complete list of services can be view at cialis and alcohol midmichigan.org/mentalhealth.
A free on-line depression screening is available at midmichigan.org/depression.To ensure patients are receiving the highest quality of rehabilitation care, MidMichigan Health is partnering with FOTO Patient Outcomes, a nationwide outcomes management system for medical rehabilitation providers. The FOTO system measures patientsâ functional status to provide risk-adjusted, benchmarked reporting and quality management designed to help therapists provide an exceptional standard of care that is focused on patient outcomes.Data is gathered cialis and alcohol by having patients complete survey assessments during their initial evaluation, at regular intervals and upon discharge. The amount of functional change is compared to cialis and alcohol a risk-adjusted national prediction from FOTO, providing a measurement of effectiveness.MidMichigan submits standard data to FOTO on a regular basis.
Each quarter, FOTO then shares risk-adjusted outcomes to provide fair comparative reporting on the effectiveness, efficiency and utilization of the treatment offered by MidMichigan Health.âSince July 2020, we have submitted more than 13,500 patient surveys,â said Derick Roland, physical therapist/rehab coordinator for MidMichigan Health and lead FOTO facilitator. ÂWe have scored more than cialis and alcohol 97 percent in patient satisfaction during this time. We also rank in the top 5 percent in improvements per visit for orthopedic episodes of care and we are consistently improving patient function in fewer visits than predicted.âFOTO has provided risk adjusted national cialis and alcohol outcomes data to rehabilitation providers since 1992.
The FOTO database contains more than 36 million assessments and over 12,000 clinics and 23,000 clinicians currently contribute to the database.âFOTO has allowed us to obtain objective data of our patientâs function and measure how well we are doing at getting those patients better. Ultimately this helps us deliver superior and more efficient care for our patientsâ said Roland.âMidMichigan Health has demonstrated their commitment to quality care by agreeing to compare their performance data to the other progressive organizations across the country who also participate in the FOTO network,â said Deborah Debord, product cialis and alcohol manager of FOTO Patient Outcomes. ÂFOTO outcomes data are beneficial because they provide a benchmark measure to prove overall quality and value of the services offered by a rehabilitation provider and organization.âThose who would like more information about MidMichigan Healthâs comprehensive rehabilitation services may visit www.midmichigan.org/rehab..
September is cialis online canadian pharmacy http://msalbasclass.com/2015/02/mexican-american-literature-culture-2-9-2-12/ National Suicide Prevention and Awareness Month and MidMichigan Health wishes to continue to raise awareness and educate the community on the risk factors and warning signs of suicide.âSuicide is preventable, and we can all be a part of that prevention,â said Kathy Dollard, Psy.D., L.P., director of behavioral health, MidMichigan Health.âEveryone can play a role by learning to recognize the warning signs, showing compassion and offering support.âThe Suicide Prevention Lifeline states that knowing the following warning signs may help determine if a loved one is at risk for suicide. Talking about wanting to die cialis online canadian pharmacy or to kill themselvesLooking for a way to kill themselves, like searching online or buying a gunTalking about feeling hopeless or having no reason to liveTalking about feeling trapped or in unbearable painTalking about being a burden to othersIncreasing the use of alcohol or drugsActing anxious or agitated, behaving recklesslySleeping too little or too muchWithdrawing or isolating themselvesShowing rage or talking about seeking revengeExtreme mood swingsSuicide prevention starts with recognizing these warning signs and taking them seriously. ÂIf you think someone you know may be feeling suicidal, the best thing to do is ask. These conversations may feel difficult and uncomfortable, which is entirely normal,â continued Dollard.The National Institute of Mental Health offers cialis online canadian pharmacy these five action steps:Ask.
ÂAre you thinking about killing cialis online canadian pharmacy yourself?. Â Itâs not an easy question, but studies show that asking at-risk individuals if they are suicidal does not increase suicides or suicidal thoughts.Keep them safe. Reducing a suicidal personâs access to cialis online canadian pharmacy highly lethal items or places is an important part of suicide prevention. While this is not always easy, cialis online canadian pharmacy asking if the at-risk person has a plan and removing or disabling the lethal means can make a difference.Be there.
Listen carefully and learn what the individual is thinking and feeling. Research suggests acknowledging and talking about suicide may reduce rather than increase suicidal thoughts.Help them connect cialis online canadian pharmacy. Save the National Suicide Prevention Lifelineâs (1-800-273-TALK (8255) and the Crisis Text Lineâs number (741741) in your phone, so itâs there when you need it. You can also help make a connection with a trusted individual cialis online canadian pharmacy like a family member, friend, spiritual advisor, or mental health professional.Stay connected.
Staying in cialis online canadian pharmacy touch after a crisis or after being discharged from care can make a difference. Studies have shown the number of suicide deaths goes down when someone follows up with the at-risk person.âStart the conversation, provide try this out support, and direct help to those who need it,â concluded Dollard. ÂThese important steps can cialis online canadian pharmacy prevent suicides and save lives.âThose who believe someone is in imminent danger of taking their own life, call 911 immediately. Those seeking help are encouraged to cialis online canadian pharmacy call the National Suicide Prevention Lifeline at 1 (800) 273-TALK (8255).
Those in crisis can also text HOME to 741741 to connect with a crisis counselor.MidMichigan Health offers comprehensive behavioral health services from outpatient one-on-one therapy, intense outpatient program to meet the need of older adults, to partial hospitalization program and inpatient services. A complete list of services can cialis online canadian pharmacy be view at midmichigan.org/mentalhealth. A free on-line depression screening is available at midmichigan.org/depression.To ensure patients are receiving the highest quality of rehabilitation care, MidMichigan Health is partnering with FOTO Patient Outcomes, a nationwide outcomes management system for medical rehabilitation providers. The FOTO system measures patientsâ functional status to provide risk-adjusted, benchmarked reporting and quality management designed to help therapists cialis online canadian pharmacy provide an exceptional standard of care that is focused on patient outcomes.Data is gathered by having patients complete survey assessments during their initial evaluation, at regular intervals and upon discharge.
The amount of functional change is cialis online canadian pharmacy compared to a risk-adjusted national prediction from FOTO, providing a measurement of effectiveness.MidMichigan submits standard data to FOTO on a regular basis. Each quarter, FOTO then shares risk-adjusted outcomes to provide fair comparative reporting on the effectiveness, efficiency and utilization of the treatment offered by MidMichigan Health.âSince July 2020, we have submitted more than 13,500 patient surveys,â said Derick Roland, physical therapist/rehab coordinator for MidMichigan Health and lead FOTO facilitator. ÂWe have scored more than 97 cialis online canadian pharmacy percent in patient satisfaction during this time. We also rank in the top 5 percent in improvements per visit for orthopedic episodes of care and we are consistently improving patient function in fewer visits than predicted.âFOTO has provided risk adjusted national outcomes data cialis online canadian pharmacy to rehabilitation providers since 1992.
The FOTO database contains more than 36 million assessments and over 12,000 clinics and 23,000 clinicians currently contribute to the database.âFOTO has allowed us to obtain objective data of our patientâs function and measure how well we are doing at getting those patients better. Ultimately this helps cialis online canadian pharmacy us deliver superior and more efficient care for our patientsâ said Roland.âMidMichigan Health has demonstrated their commitment to quality care by agreeing to compare their performance data to the other progressive organizations across the country who also participate in the FOTO network,â said Deborah Debord, product manager of FOTO Patient Outcomes. ÂFOTO outcomes data are beneficial because they provide a benchmark measure to prove overall quality and value of the services offered by a rehabilitation provider and organization.âThose who would like more information about MidMichigan Healthâs comprehensive rehabilitation services may visit www.midmichigan.org/rehab..
St http://www.col-barr.site.ac-strasbourg.fr/2019/06/25/organisation-de-la-fin-dannee-scolaire-mesure-exceptionnelle-canicule/ buy cialis pill. Jude Children's Research Hospital investigators have demonstrated that comprehensive genomic buy cialis pill sequencing of all pediatric cancer patients is feasible and essential to capitalize on the lifesaving potential of precision medicine. Results from the St. Jude Genomes for Kids study appear online today in the journal Cancer Discovery.Whole buy cialis pill genome and whole exome sequencing of germline DNA was offered to all 309 patients who enrolled in the study. Whole genome, whole exome and RNA sequencing of tumor DNA was carried out for the 253 patients for whom adequate tumor samples were available.Overall, 86% of patients had at least one clinically significant variation in tumor or germline DNA.
Those included variants related to buy cialis pill diagnosis, prognosis, therapy or cancer predisposition. Researchers estimated that 1 in 5 patients had clinically relevant mutations that would have gone undetected using standard sequencing methods."Some of the most clinically relevant findings were only possible because the study combined whole genome sequencing with whole exome and RNA sequencing," said Jinghui Zhang, Ph.D., St. Jude Department buy cialis pill of Computational Biology chair and co-corresponding author of the study.Every tumor is unique. Every patient is unique.Comprehensive clinical buy cialis pill sequencing that includes whole genome, whole exome and RNA sequencing is not widely available. But as the technology becomes less expensive and accessible to more patients, researchers said comprehensive sequencing will become an important addition to pediatric cancer care.
advertisement "We want to change buy cialis pill the thinking in the field," said David Wheeler, Ph.D., St. Jude Precision Genomics team director and a co-author of the study. "We showed the potential to use genomic data buy cialis pill at the patient level. Even in common pediatric cancers, every tumor is unique, every patient is unique."This study showed the feasibility of identifying tumor vulnerabilities and learning to exploit them to improve patient care," he said.Tumor sequencing guided the change in treatment for 12 of the 78 study patients for whom standard of care was unsuccessful. In four of buy cialis pill the 12 patients, the changes stabilized disease and extended patient lives.
Another patient, one with acute myeloid buy cialis pill leukemia, went into remission and was cured by blood stem cell transplantation."Through the comprehensive genomic testing in this study, we were able to clearly identify tumor variations that could be treated with targeted agents, opening doors for how oncologists manage their patients," said co-corresponding author Kim Nichols, M.D., St. Jude Cancer Predisposition Division director.Additional findings and details Genomes for Kids enrolled patients between August 2015 and March 2017. advertisement Eighteen percent of patients carried germline variations in one of 156 known, cancer-predisposition genes.Almost two-thirds of the germline variations identified would not have been detected based on current screening guidelines.Next steps Genomes for Kids helped launch the hospital's clinical genomics program, which has enrolled about buy cialis pill 2,700 cancer patients to date.Meanwhile, data generated through the Genomes for Kids study are available at no cost to the international research community. By sharing the data, St. Jude aims to speed advances in understanding and treatment of buy cialis pill pediatric cancer.
The data are available in St. Jude Cloud."Even the most treatable cancers buy cialis pill are not curable in all patients. For example, relapse remains the leading cause of death for the most common childhood cancer, acute lymphoblastic leukemia," buy cialis pill Nichols buy now cialis said. "Being able to understand and predict which patients will respond to treatment and which won't requires collecting comprehensive genomic data on all patients."In the evolving field of cancer biology and treatment, innovations in organ-on-a-chip microdevices allow researchers to discover more about the disease outside the human body. These organs-on-chips serve as a model of the state buy cialis pill an actual cancer patient is in, thus allowing an opportunity to finding the correct treatment before administering it to the patient.
At Texas A&M University, researchers are pushing these devices to new levels that could change the way clinicians approach cancer treatment, particularly ovarian cancer.The team has recently submitted a patent disclosure with the Texas A&M Engineering Experiment Station."We claim several novelties in technological design as well as biological capabilities that didn't exist in prior organs-on-chips," said Dr. Abhishek Jain, lead researcher and assistant professor in the Department of Biomedical Engineering.Jain also has a joint appointment in the College of Medicine at Texas A&M.Jain's device -- buy cialis pill the ovarian tumor microenvironment-chip (OTME-Chip) -- focuses on platelets, tiny blood cells that help the body form clots to stop bleeding. The microdevice, about the size of a USB, models the properties of a tumor in the lab. Researchers then can recreate events within platelets circulating in the blood as they approach the tumor and make it more potent and metastatic."We are creating a platform technology using the organ-on-a-chip approach where tumor biology can be advanced, and new drugs can be identified by recreating the buy cialis pill platelet-tumor and platelet-tumor-drug interactions under the influence of flow, supporting blood vessels and the extracellular matrix," Jain said. advertisement Ovarian cancer is a particularly challenging one to monitor buy cialis pill.
Tumors generally form deep inside a patient's tissue, and it can be difficult to obtain real-time information of the tumor's properties and how it is interacting with blood cells. Also, ovarian tumors can quickly spread inside the body, making time another vital factor in mapping the disease's progression.The OTME-Chip builds on the current clinically observed understanding of how blood platelets move inside tumor buy cialis pill tissue and what triggers them to spread outside the tumor. However, the actual mechanism behind this process remains mostly unknown, until now."For the first time, we identified a crucial interaction between platelets and the tumor via their surface proteins," Jain said. "By applying high-resolution imaging, advanced cell and molecular readouts and RNA sequencing methods leveraging the OTME-Chip, we discovered the actual genetic signaling pathways behind the blood cell triggered buy cialis pill metastasis of ovarian cancer and a new drug strategy to stop this process."Jain's team in College Station for this research includes postdoctoral researcher Dr. Biswajit Saha and doctoral students Jim Tronolone and Tanmay Mathur.
Their research involving the OTME-Chip was recently published in the journal Science Advances.Jain said the OTME-Chip has several applications, both in observing how cancer cells interact differently with vascular and blood cells and testing novel ways to treat the disease that may complement chemotherapy and radiotherapy of tumors."This multimodal OTME-Chip is going to provide an ideal platform to the health care researchers to evaluate their anti-cancer, vascular and hematological drugs individually or in combination in an artificially created human-level tumor microenvironment," Jain said.Jain buy cialis pill collaborates with Dr. Anil Sood, professor buy cialis pill and vice chair for translational research in the Departments of Gynecologic Oncology and Cancer Biology at MD Anderson Cancer Center. The team also works with Dr. Gang Bao, a gene editing expert from Rice University."Sood is a leader in the ovarian cancer field," buy cialis pill Jain said. "He has been a fantastic collaborator and has provided us access to patient tissue and blood samples needed to validate the findings from our chip, which brings us very close to initiating new clinical trials." Story Source.
Materials provided by Texas A&M University. Original written by Jennifer Reiley. Note. Content may be edited for style and length..
St http://harap-lak.de/2017/10/25/mittag/ cialis online canadian pharmacy. Jude Children's Research Hospital investigators have demonstrated that comprehensive genomic sequencing of all pediatric cancer patients is feasible and essential to capitalize on the lifesaving potential of precision cialis online canadian pharmacy medicine. Results from the St. Jude Genomes for Kids study appear online today in the journal Cancer Discovery.Whole genome and whole exome sequencing of germline cialis online canadian pharmacy DNA was offered to all 309 patients who enrolled in the study.
Whole genome, whole exome and RNA sequencing of tumor DNA was carried out for the 253 patients for whom adequate tumor samples were available.Overall, 86% of patients had at least one clinically significant variation in tumor or germline DNA. Those included variants related to diagnosis, prognosis, therapy or cancer predisposition cialis online canadian pharmacy. Researchers estimated that 1 in 5 patients had clinically relevant mutations that would have gone undetected using standard sequencing methods."Some of the most clinically relevant findings were only possible because the study combined whole genome sequencing with whole exome and RNA sequencing," said Jinghui Zhang, Ph.D., St. Jude Department of cialis online canadian pharmacy Computational Biology chair and co-corresponding author of the study.Every tumor is unique.
Every patient is unique.Comprehensive clinical sequencing that includes whole genome, whole exome and RNA cialis online canadian pharmacy sequencing is not widely available. But as the technology becomes less expensive and accessible to more patients, researchers said comprehensive sequencing will become an important addition to pediatric cancer care. advertisement "We want to change the thinking in cialis online canadian pharmacy the field," said David Wheeler, Ph.D., St. Jude Precision Genomics team director and a co-author of the study.
"We showed cialis online canadian pharmacy the potential to use genomic data at the patient level. Even in common pediatric cancers, every tumor is unique, every patient is unique."This study showed the feasibility of identifying tumor vulnerabilities and learning to exploit them to improve patient care," he said.Tumor sequencing guided the change in treatment for 12 of the 78 study patients for whom standard of care was unsuccessful. In four of cialis online canadian pharmacy the 12 patients, the changes stabilized disease and extended patient lives. Another patient, one with acute cialis online canadian pharmacy myeloid leukemia, went into remission and was cured by blood stem cell transplantation."Through the comprehensive genomic testing in this study, we were able to clearly identify tumor variations that could be treated with targeted agents, opening doors for how oncologists manage their patients," said co-corresponding author Kim Nichols, M.D., St.
Jude Cancer Predisposition Division director.Additional findings and details Genomes for Kids enrolled patients between August 2015 and March 2017. advertisement Eighteen percent of patients carried germline variations in one of 156 known, cancer-predisposition genes.Almost two-thirds of the germline variations identified would not have been detected based on current screening guidelines.Next steps Genomes for Kids cialis online canadian pharmacy helped launch the hospital's clinical genomics program, which has enrolled about 2,700 cancer patients to date.Meanwhile, data generated through the Genomes for Kids study are available at no cost to the international research community. By sharing the data, St. Jude aims to cialis online canadian pharmacy speed advances in understanding and treatment of pediatric cancer.
The data are available in St. Jude Cloud."Even the most treatable cancers are not curable in all patients cialis online canadian pharmacy. For example, relapse remains cialis online canadian pharmacy the leading cause of death for the most common how to buy cheap cialis childhood cancer, acute lymphoblastic leukemia," Nichols said. "Being able to understand and predict which patients will respond to treatment and which won't requires collecting comprehensive genomic data on all patients."In the evolving field of cancer biology and treatment, innovations in organ-on-a-chip microdevices allow researchers to discover more about the disease outside the human body.
These organs-on-chips serve as a model of the state an actual cancer patient is in, thus allowing an opportunity to finding the cialis online canadian pharmacy correct treatment before administering it to the patient. At Texas A&M University, researchers are pushing these devices to new levels that could change the way clinicians approach cancer treatment, particularly ovarian cancer.The team has recently submitted a patent disclosure with the Texas A&M Engineering Experiment Station."We claim several novelties in technological design as well as biological capabilities that didn't exist in prior organs-on-chips," said Dr. Abhishek Jain, lead researcher and assistant cialis online canadian pharmacy professor in the Department of Biomedical Engineering.Jain also has a joint appointment in the College of Medicine at Texas A&M.Jain's device -- the ovarian tumor microenvironment-chip (OTME-Chip) -- focuses on platelets, tiny blood cells that help the body form clots to stop bleeding. The microdevice, about the size of a USB, models the properties of a tumor in the lab.
Researchers then cialis online canadian pharmacy can recreate events within platelets circulating in the blood as they approach the tumor and make it more potent and metastatic."We are creating a platform technology using the organ-on-a-chip approach where tumor biology can be advanced, and new drugs can be identified by recreating the platelet-tumor and platelet-tumor-drug interactions under the influence of flow, supporting blood vessels and the extracellular matrix," Jain said. advertisement Ovarian cancer is a particularly challenging one to monitor. Tumors generally form deep inside a patient's tissue, and it can be difficult to obtain real-time information of the tumor's properties and how it is interacting with blood cells. Also, ovarian tumors can quickly spread inside the body, making time another vital factor in mapping the disease's progression.The OTME-Chip builds on the current clinically observed understanding of how blood platelets move inside tumor tissue and what triggers them to spread outside the tumor.
However, the actual mechanism behind this process remains mostly unknown, until now."For the first time, we identified a crucial interaction between platelets and the tumor via their surface proteins," Jain said. "By applying high-resolution imaging, advanced cell and molecular readouts and RNA sequencing methods leveraging the OTME-Chip, we discovered the actual genetic signaling pathways behind the blood cell triggered metastasis of ovarian cancer and a new drug strategy to stop this process."Jain's team in College Station for this research includes postdoctoral researcher Dr. Biswajit Saha and doctoral students Jim Tronolone and Tanmay Mathur. Their research involving the OTME-Chip was recently published in the journal Science Advances.Jain said the OTME-Chip has several applications, both in observing how cancer cells interact differently with vascular and blood cells and testing novel ways to treat the disease that may complement chemotherapy and radiotherapy of tumors."This multimodal OTME-Chip is going to provide an ideal platform to the health care researchers to evaluate their anti-cancer, vascular and hematological drugs individually or in combination in an artificially created human-level tumor microenvironment," Jain said.Jain collaborates with Dr.
Anil Sood, professor and vice chair for translational research in the Departments of Gynecologic Oncology and Cancer Biology at MD Anderson Cancer Center. The team also works with Dr. Gang Bao, a gene editing expert from Rice University."Sood is a leader in the ovarian cancer field," Jain said. "He has been a fantastic collaborator and has provided us access to patient tissue and blood samples needed to validate the findings from our chip, which brings us very close to initiating new clinical trials." Story Source.
Materials provided by Texas A&M University. Original written by Jennifer Reiley. Note. Content may be edited for style and length..
About This TrackerThis tracker provides the number of confirmed cases and deaths from novel erectile dysfunction cialis manufacturer coupon http://lmatecha.com/best-place-to-buy-lasix/ by country, the trend in confirmed case and death counts by country, and a global map showing which countries have confirmed cases and deaths. The data are drawn from the Johns Hopkins University (JHU) erectile dysfunction Resource Centerâs erectile dysfunction treatment Map and the World Health Organizationâs (WHO) erectile dysfunction Disease (erectile dysfunction treatment-2019) situation reports.This tracker will be updated regularly, as new data are released.Related Content. About erectile dysfunction treatment erectile dysfunctionIn late 2019, a new erectile dysfunction emerged in central cialis manufacturer coupon China to cause disease in humans.
Cases of this disease, known as erectile dysfunction treatment, have since been reported across around the globe. On January 30, 2020, the World Health Organization (WHO) cialis manufacturer coupon declared the cialis represents a public health emergency of international concern, and on January 31, 2020, the U.S. Department of Health and Human Services declared it to be a health emergency for the United States.Global Health Legislation During the 117th Congress(as of June 30, 2021)TitleDate IntroducedBill #SponsorStatusTopicSummary of Global Health-Related ProvisionsAbortion is Health Care Everywhere Act of 2021To amend the Foreign Assistance Act of 1961 to authorize the use of funds for comprehensive reproductive health care services, and for other purposes.3/9/2021H.R.
1670Rep. Janice Schakowsky (D-IL-9)Referred to HFACAbortion, Helms cialis manufacturer coupon amendmentIncludes statement of U.S. Policy regarding safe abortion and working to end unsafe abortion.
Repeals the Helms Amendment (which prohibits the use of foreign assistance to pay for the performance of abortion as a method of family planning or to motivate cialis manufacturer coupon or coerce any person to practice abortion). States that notwithstanding any other provision of law, certain funds may be used to provide comprehensive reproductive health care services, including abortion services, training, and equipment.Advancing Emergency Preparedness Through One Health Act of 2021To establish an interagency One Health Program, and for other purposes.3/18/2021S. 861Sen.
Tina Smith (D-MN)Read twice cialis manufacturer coupon and referred to S. HELPOne Health, global health securityRequires the heads of HHS, USDA, USAID, DoD, and certain other agencies to develop, publish, and submit to Congress a national One Health Framework for coordinated federal activities under the One Health Program not later than one year after enactment. Among other things, states the framework must describe existing efforts and contain cialis manufacturer coupon recommendations for building upon and complementing the activities of the CDC, the FDA, USAID, NIH, and certain others and also establish specific federal goals and priorities and describe specific activities required to achieve these.
Requires the submission of an addendum to the framework not later than three years after its original submission, describing progress in advancing these activities. Authorizes to be appropriated such sums as necessary to develop the framework above. Requires GAO to submit a report to Congress not later than two years after the addendum cialis manufacturer coupon is submitted, detailing existing collaborative efforts among certain agencies for this purpose and containing an evaluation of the framework and its specified activities.American Medical Investment Generating Overseas Security Act(AMIGOS Act)To prohibit the President from taking any action to support the waiver of obligations of members of the World Trade Organization under the Agreement on Trade-Related Aspects of Intellectual Property Rights in relation to the prevention, containment, mitigation, or treatment of erectile dysfunction treatmentâ19 unless a statute is enacted expressly authorizing such a waiver with respect to the prevention, containment, mitigation, or treatment of erectile dysfunction treatmentâ19, and for other purposes.5/14/2021H.R.
3236Maria Elvira Salazar (R-FL-27)Referred to HFAC and H. Ways and MeansTRIPS, WTO, intellectual property rights, erectile dysfunction treatmentsStates the President may not take any action to support waiver of obligations of WRO cialis manufacturer coupon members under the TRIPS agreement in relation to the prevention, containment, mitigation, or treatment of erectile dysfunction treatment unless a statute is enacted expressly authorizing such a waiver with respect to such. Requires the President to allocate excess U.S.
erectile dysfunction treatments in a specified order of priority, with certain exceptions, and to monitor the allocation of such to ensure assisted governments provide treatments to their peoples in a timely manner and do not otherwise withhold them. Requires such treatments cialis manufacturer coupon provided to foreign countries to be marked as assistance from the American people or the U.S. Government and to include a depiction of the flag of the U.S.
If appropriate.American Rescue Plan Act of 2021To provide for reconciliation pursuant to cialis manufacturer coupon title II of S. Con. Res.
5.2/24/2021H.R. 1319Rep. John Yarmuth (D-KY-3)Became law (P.L.
117-2)erectile dysfunction treatment, Global FundSee KFF summary.American Values ActTo permanently enact certain appropriations Act restrictions on the use of funds for abortions and involuntary sterilizations, and for other purposes.2/4/2021S. 239Sen. James Risch (R-ID)Read twice and referred to SFRCAbortion, involuntary sterilization amendment, Siljander amendment, Kemp-Kasten amendment, Peace Corps provision, Helms amendment, Biden amendmentAmends the Foreign Assistance Act of 1961 to codify in permanent law the Siljander amendment, which prohibits the use of funds to lobby for or against abortion, and the Kemp-Kasten amendment, which prohibits funding any organization or program, as determined by the President, that supports or participates in the management of a program of coercive abortion or involuntary sterilization.
Restates the Helms amendment, the Involuntary Sterilization amendment (which prohibits the use of funds to pay for involuntary sterilizations as a method of family planning or to coerce or provide a financial incentive to anyone to undergo sterilization), and the Biden amendment (which states that funds may not be used for biomedical research related to methods of or the performance of abortion or involuntary sterilization as a means of family planning) that are already in permanent law. Also amends the Peace Corps Act to codify in permanent law the Peace Corps provision, which prohibits Peace Corps funding from paying for an abortion for a Peace Corps volunteer or trainee, except in cases where the life of the woman is endangered by pregnancy or in cases of rape or incest. In the past these have been included only in annual State-Foreign Operations appropriations language.
See also the KFF fact sheet on FP/RH statutory requirements and policies and the KFF explainer on UNFPA funding and Kemp-Kasten.Binational Health Strategies Act of 2021To amend the United States-Mexico Border Health Commission Act, with respect to preparedness for erectile dysfunction treatmentâ19 and other infectious diseases in the border region, and for other purposes.3/03/2021H.R. 1538Rep.. Veronica Escobar (D-TX-16)Referred to H.
Energy and HFACMexicoAuthorizes and directs the President to seek to begin negotiations with Mexico to amend an existing agreement addressing infectious disease preparedness in the U.S.-Mexico Border Area, with respect to erectile dysfunction treatment and other infectious diseases, specifically requiring the U.S.-Mexico Border Health Commission to submit a report on the border areaâs response to erectile dysfunction treatment and requiring it to also develop and publicly publish a binational strategic plan that addresses how the area should strengthen its erectile dysfunction treatment response, sharing relevant health data, and how a erectile dysfunction treatment should be disbursed throughout the area, among other things. Requires the Commission to publish what actions federal agencies in the U.S. And Mexico will take to facilitate implementation of the strategic plan and then to submit a report on actions taken each year.
Requires the Commission to develop and publish a plan to prepare and respond to infectious diseases (other than erectile dysfunction treatment) within the border area, to update the plan at least once every three years for as long as necessary, and to publish what actions federal agencies in the U.S. And Mexico will take to facilitate implementation of this plan, with a report on actions taken each year required to be submitted.Climate Change Health Protection and Promotion Act of 2021To direct the Secretary of Health and Human Services to develop and implement a national strategic action plan and program to assist health professionals and systems in preparing for and responding to the public health effects of climate change, and for other purposes.5/17/2021H.R. 3271Rep.
Matt Cartwright (D-PA-8)Referred to H. Energy and CommerceClimate change, global healthDirects Secretary of HHS to publish a strategic action plan and establish a climate change and health program (at CDC, in collaboration with other agencies, as appropriate) to ensure the public health and health care systems are prepared for and can respond to the impacts of climate change on health in the U.S. And other nations.
Requires the action plan include an assessment of U.S. Capacity to address climate change including, among other things, providing technical assistance and support for preparedness and response plans for the health threats of climate change in developing countries, and developing or strengthening domestic and international disease surveillance systems and monitoring capacity to respond to health-related impacts of climate change. Describes priority health actions for the climate and health program, including with regard to global health aspects of climate change.
Requires periodic updates of action plan. Establishes science advisory board and its functions, including with regarding to international impacts of climate change on health. And directs HHS Secretary to have National Academies prepare reports on topic, with the first due in one year and then every 4 years thereafter.Climate Change Health Protection and Promotion Act of 2021To direct the Secretary of Health and Human Services to develop and implement a national strategic action plan and program to assist health professionals and systems in preparing for and responding to the public health effects of climate change, and for other purposes.5/19/2021S.
1702Sen. Edward Markey (D-MA)Read twice and referred to S. HELPClimate change, global healthDirects Secretary of HHS to publish a strategic action plan and establish a climate change and health program (at CDC, in collaboration with other agencies, as appropriate) to ensure the public health and health care systems are prepared for and can respond to the impacts of climate change on health in the U.S.
And other nations. Requires the action plan include an assessment of U.S. Capacity to address climate change including, among other things, providing technical assistance and support for preparedness and response plans for the health threats of climate change in developing countries, and developing or strengthening domestic and international disease surveillance systems and monitoring capacity to respond to health-related impacts of climate change.
Describes priority health actions for the climate and health program, including with regard to global health aspects of climate change. Requires periodic updates of action plan. Establishes science advisory board and its functions, including with regarding to international impacts of climate change on health.
And directs HHS Secretary to have National Academies prepare reports on topic, with the first due in one year and then every 4 years thereafter.Global Health, Empowerment and Rights Act(Global HER Act) To prohibit the application of certain restrictive eligibility requirements to foreign nongovernmental organizations with respect to the provision of assistance under part I of the Foreign Assistance Act of 1961.1/28/2021H.R. 556Rep. Barbara Lee (D-CA-13)Referred to HFACAbortion, Mexico City policyCodifies prohibition of the expanded Mexico City policy (rescinded by President Biden in Jan.
2021, see KFF explainer). States that notwithstanding any provision of law, regulation, or policy, foreign non-governmental organizations (NGOs) shall not be ineligible for certain foreign aid under the Foreign Assistance Act solely on the basis of health or medical services provided with non-U.S. Funds (insofar as legal in country where provided and under U.S.
Law) and shall not be subject to requirements relating to their use of non-U.S. Funds for advocacy and lobbying activities.*Global Health, Empowerment and Rights Act(Global HER Act) To prohibit the application of certain restrictive eligibility requirements to foreign nongovernmental organizations with respect to the provision of assistance under part I of the Foreign Assistance Act of 1961.1/28/2021S. 142Sen.
Jeanne Shaheen (D-NH)Read twice and referred to SFRCAbortion, Mexico City policyCodifies prohibition of the expanded Mexico City policy (rescinded by President Biden in Jan. 2021, see KFF explainer). States that notwithstanding any provision of law, regulation, or policy, foreign non-governmental organizations (NGOs) shall not be ineligible for certain foreign aid under the Foreign Assistance Act solely on the basis of health or medical services provided with non-U.S.
Funds (insofar as legal in country where provided and under U.S. Law) and shall not be subject to requirements relating to their use of non-U.S. Funds for advocacy and lobbying activities.*Global Health Security Act of 2021To authorize a comprehensive, strategic approach for United States foreign assistance to developing countries to strengthen global health security, and for other purposes.1/21/2021H.R.
391Rep. Gerald Connolly (D-VA-11)Passed HouseGlobal health security, global health emergenciesStates it is U.S. Policy to promote and invest in global health security and cialis preparedness as a core national security interest.
Establishes a Global Health Security Agenda Interagency Review Council, designates members, responsibilities, and frequency of meetings. Designates a U.S. Coordinator for Global Health Security responsible for coordination of the interagency process for responding to global health security emergencies.
Express Sense of Congress that the President should consider appointing an individual with significant background and expertise in public health or emergency response management to such position. Requires a U.S. Global health security strategy, its implementation (including agency-specific plans), and an annual report on status of implementation.
Directs the Secretary of State, Treasury Secretary, USAID Administrator, and HHS Secretary, among others, to seek to enter into negotiations with donors, relevant U.N. Agencies (including WHO), and other stakeholders to establish a fund for global health security and cialis preparedness as a multilateral, catalytic financing mechanism. Describes Fundâs Advisory Board, purpose, Executive Board and its makeup and duties.
Creates a Coordinator of U.S. Government activities to advance global health security, who shall be appointed by the President to represent the U.S. On the Executive Board.
Outlines eligible partner country definition and Fund program objectives, supported activities, administration, including appointment of an Administrator appointed by the Executive Board, and transparency and accountability requirements. Requires reports to Congress on the Fund including a 6 month status report and then annual reports after the Fundâs establishment. And authorizes U.S.
Contributions to the Fund with a limit that the U.S. Share not exceed 33% of total contributions to the Fund cumulatively.Global cialis Prevention and Biosecurity ActTo establish a global zoonotic disease task force, and for other purposes. 5/20/2021H.R.
3424Rep. Grace Meng (D-NY-6)Referred to HFACcialis, zoonotic diseases, One Health, global health security, biosecurityRequires the Secretary of State and USAID Administrator to work with certain relevant agency heads to coordinate, work with, and engage governments, multilateral entities, and certain others to prevent zoonotic spillover events through various actions such as addressing the commercial trade in wildlife, strengthening global capacity for detection of zoonotic diseases with cialis potential, and supporting the development of One Health systems at the community level. Establishes the global zoonotic disease task force and outlines its membership and their terms, duties (including developing and publishing a plan for global biosecurity and zoonotic disease prevention and response and expanding the scope of the global health security strategy to more robustly support the prevention of zoonotic spillover and to respond to zoonotic disease investigations and outbreaks by establishing a 10 year strategy), required reports from agencies to the task force as well as from the task force to Congress, and its termination date 7 years after the date of enactment or a later date that is not later than two years after that.Global cialis Prevention and Biosecurity ActTo establish a global zoonotic disease task force, and for other purposes.
5/20/2021S.1737Sen. Chris Coons (D-DE)Read twice and referred to SFRCcialis, zoonotic diseases, One Health, global health security,biosecurityRequires the Secretary of State and USAID Administrator to work with certain relevant agency heads to coordinate, work with, and engage governments, multilateral entities, and certain others to prevent zoonotic spillover events through various actions such as addressing the commercial trade in wildlife, strengthening global capacity for detection of zoonotic diseases with cialis potential, and supporting the development of One Health systems at the community level. Establishes the global zoonotic disease task force and outlines its membership and their terms, duties (including developing and publishing a plan for global biosecurity and zoonotic disease prevention and response and expanding the scope of the global health security strategy to more robustly support the prevention of zoonotic spillover and to respond to zoonotic disease investigations and outbreaks by establishing a 10 year strategy), required reports from agencies to the task force as well as from the task force to Congress, and its termination date 7 years after the date of enactment or a later date that is not later than two years after that.Greater Leadership Overseas for the Benefit of Equality Act of 2021(GLOBE Act of 2021)To protect human rights and enhance opportunities for LGBTQI people around the world, and for other purposes.
6/9/2021S. 1996Sen. Edward Markey (D-MA)Read twice and referred to SFRCLGBTQI health, HIV, Mexico City policyRequires equal access of all elements of the population to programs funded by U.S.
Assistance, including global health programs.Also requires PEPFAR to. Be implemented in a way that equitably serves LGBTQI people, submit a report to Congress describing international prosecutions for sex work or consensual sexual activity based on commodities provided by PEPFAR or other U.S. Support, and submit a report to Congress on HIV/AIDS-related index testing.
Requires GAO to submit a report to Congress that describes the impact of the implementation and enforcement of any iteration of the Mexico City Policy on the global LGBTQI community. And expresses Sense of Congress regarding the U.S. Engaging international organizations in efforts to eliminate LGBTQI discrimination.Greater Leadership Overseas for the Benefit of Equality Act of 2021(GLOBE Act of 2021)To protect human rights and enhance opportunities for LGBTQI people around the world, and for other purposes.
6/8/2021H.R. 3800Rep. Dina Titus (D-NV-1)Referred to HFAC, H.
JudiciaryLGBTQI health, HIV, Mexico City policyRequires equal access of all elements of the population to programs funded by U.S. Assistance, including global health programs.Also requires PEPFAR to. Be implemented in a way that equitably serves LGBTQI people, submit a report to Congress describing international prosecutions for sex work or consensual sexual activity based on commodities provided by PEPFAR or other U.S.
Support, and submit a report to Congress on HIV/AIDS-related index testing. Requires GAO to submit a report to Congress that describes the impact of the implementation and enforcement of any iteration of the Mexico City Policy on the global LGBTQI community. Expresses Sense of Congress regarding the U.S.
Engaging international organizations in efforts to eliminate LGBTQI discrimination. And repeals the Mexico City policy by removing certain limitations on eligibility for foreign assistance.International Human Rights Defense Act of 2021To establish in the Bureau of Democracy, Human Rights, and Labor of the Department of State a Special Envoy for the Human Rights of LGBTI Peoples, and for other purposes.2/22/2021H.R. 1201Rep.
Alan Lowenthal (D-CA-47)Referred to HFACLGBTI health, HIVIncludes statement of U.S. Policy regarding LGBTI issues globally, including employing a multisectoral approach to preventing and responding to criminalization, discrimination, and violence against LGBTI people internationally, including activities in the health sector. Authorizes the provision of U.S.
Assistance to prevent and respond to these issues internationally, including enhancement of health sector capacity related to violence against LGBTI people and communities and to combat HIV.International Human Rights Defense Act of 2021To establish in the Bureau of Democracy, Human Rights, and Labor of the Department of State a Special Envoy for the Human Rights of LGBTI Peoples, and for other purposes.2/24/2021S. 424Sen. Edward Markey (D-MA)Read twice and referred to SFRCLGBTI health, HIVIncludes statement of U.S.
Policy regarding LGBTI issues globally, including employing a multisectoral approach to preventing and responding to criminalization, discrimination, and violence against LGBTI people internationally, including activities in the health sector. Authorizes the provision of U.S. Assistance to prevent and respond to these issues internationally, including enhancement of health sector capacity related to violence against LGBTI people and communities and to combat HIV.International cialis Preparedness and erectile dysfunction treatment Response Act of 2021To improve global health, and for other purposes.6/24/2021S.
2297Sen. James Risch (R-ID)Read twice and referred to SFRCcialis preparedness, erectile dysfunction treatment, treatments, WHO, health systems strengthening, CEPI, global health security, Global Fund to Fight AIDS, Tuberculosis and malariaRequires a report describing certain foreign assistance obligated/expended under the American Rescue Plan Act of 2021 and a plan for certain remaining funds. Requires development of a strategy to expand access to, and accelerate the global distribution of, erectile dysfunction treatments to other countries.
Requires a report that assesses the global humanitarian response to erectile dysfunction treatment and outlines specific elements of the U.S. Governmentâs country-level response to the erectile dysfunction treatment cialis. In the event of an infectious disease outbreak outside the U.S.
With cialis potential, states the President should designate the Department of State to serve as the lead for diplomatic engagement and related foreign policy efforts, USAID to serve as the key lead agency for design and implementation of the U.S. International response, relief, and recovery assistance, and the CDC to serve as the public health lead for the international response such as building up (in coordination with USAID) emergency operation centers. Allows certain foreign assistance funding to be used to support USAID disaster surge capacity.
Requires a U.S. Global health security strategy and report. Authorizes to be established a committee on global health security and cialis and biological threats within the National Security Council (NSC) led by the Special Advisor for Global Health Security of the NSC.
Within the Department of State, establishes a Special Representative for U.S. International activities to advance global health security and diplomacy overseas, to be appointed by the President and report to the Secretary of State and to lead in developing a global cialis prevention, preparedness and response framework. Authorizes the Representative to transfer and allocate certain U.S.
Foreign assistance funding to the relevant departments and agencies implementing the U.S. Global health security strategy. Authorizes to be appropriated $3 billion for the five-year period beginning Oct.
1, 2022, to support enhancing preparedness in partner countries, replenishing the USAID Emergency Reserve Fund, U.S. Contributions to the World Bank Health Emergency Preparedness and Response Multi-Donor Fund, and U.S. Contributions to a new multilateral, catalytic financing mechanism for global health security and cialis prevention and preparedness (see âthe Fundâ below).
Requires U.S. Global health program leadership identify areas of collaboration and coordination to ensure that such activities contribute to health systems strengthening. Directs the Secretary of State, with the USAID Administrator, to work with the Global Fund to Fight AIDS, Tuberculosis and Malaria, Gavi, the treatment Alliance, bilateral donors, and others to develop shared core indicators for strengthened health systems.
Authorizes the U.S. To participate in the Coalition for Epidemic Preparedness Innovations (CEPI). Expresses Sense of Congress that the President should make an immediate contribution to CEPI of $300 million to expand research and development of treatments to combat the spread of erectile dysfunction treatment variants.
Requires an annual National Intelligence Estimate (for five years) regarding the risks posed to the national security interests of the U.S. By the emergence, reemergence, and overseas transmission of pathogens with cialis potential. Requires the Secretary of State and others to work with WHO and other key stakeholders to establish or strengthen effective early warning systems for infectious disease threats with epidemic and cialis potential.
Directs the Secretary of State, with the HHS Secretary, to work with WHO and like-minded member states to adopt an approach toward assessing infectious disease threats under the International Health Regulations (2005) for the WHO to identify and transparently communicate on an ongoing basis varying levels of risk leading up to, and during and after, a public health emergency of international concern (PHEIC) declaration. Directs the Secretary of State and others to seek to enter into negotiations to establish âthe Fund;â authorizes the President to make available for U.S. Contributions to the Fund such funds as may be appropriated or otherwise made available for such purpose.
Limits the U.S. Contribution to the Fund to not exceed 33% of the total contributions from all sources.Mental Health in International Development and Humanitarian Settings Act(MINDS Act)6/17/2021H.R. 3988Rep.
Theodore Deutch (D-FL-22)Referred to HFACMental health, children in adversity, erectile dysfunction treatmentExpresses Sense of Congress that mental health is integral and essential to overall health outcomes and other development objectives. Codifies the position of USAID coordinator for mental health and psychosocial support and describes the positionâs duties, including establishing a Mental Health and Psychosocial Support Working Group. Describes the Groupâs duties and members.
Requires USAID and the Department of State to integrate such programming across regional bureaus and missions and that it be evidence-based and culturally competent and respond to the specific needs of children in adversity. Requires USAID to brief Congress on progress and challenges to implementation, including programming in conflict and humanitarian settings, as well as the impact of erectile dysfunction treatment on programming. Requires the OMB Director to brief Congress on the current overall expenditures for this programming in U.S.
Foreign assistance in order for Congress to understand the full financial landscape of current programming. [Note. The bill text is not yet available.
This summary is drawn from a description released by the billâs sponsor).Mental Health in International Development and Humanitarian Settings Act(MINDS Act)6/17/2021S. 2105Sen. Robert Casey (D-PA)Read twice and referred to SFRCMental health, children in adversity, erectile dysfunction treatmentExpresses Sense of Congress that mental health is integral and essential to overall health outcomes and other development objectives.
Codifies the position of USAID coordinator for mental health and psychosocial support and describes the positionâs duties, including establishing a Mental Health and Psychosocial Support Working Group. Describes the Groupâs duties and members. Requires USAID and the Department of State to integrate such programming across regional bureaus and missions and that it be evidence-based and culturally competent and respond to the specific needs of children in adversity.
Requires USAID to brief Congress on progress and challenges to implementation, including programming in conflict and humanitarian settings, as well as the impact of erectile dysfunction treatment on programming. Requires the OMB Director to brief Congress on the current overall expenditures for this programming in U.S. Foreign assistance in order for Congress to understand the full financial landscape of current programming.
[Note. The bill text is not yet available. This summary is drawn from a description released by the billâs sponsor).Nullifying Opportunities for Variants to Infect and Decimate Act(NOVID Act)To establish a program to oversee the global erectile dysfunction treatment response and prepare for future cialiss, and for other purposes.6/8/2021H.R.
3778Rep. Raja Krishnamoorthi (D-IL-8)Referred to HFAC and H. Energy and Commerceerectile dysfunction treatment, global health security, cialis preparedness and responseEstablishes the cialis preparedness and response program to be responsible for and provide oversight over the U.S.
Global health response to the erectile dysfunction treatment cialis and protect Americans from the emergence of erectile dysfunction treatment variants and other pathogens with cialis potential. Require President to appoint program director who will coordinate the work of identified agencies, including USAID, CDC, and the Department of State, among others. Requires development of a comprehensive strategy to end the erectile dysfunction treatment cialis worldwide as well as a long-term strategy for preventing future cialiss.
Authorizes to be appropriated $34 billion for these efforts, and expresses Sense of Congress that $25 billion be made available to scale treatment manufacturing capacity and produce treatments, $8.5 billion to cover the cost of end-to-end delivery and administration of treatments in target countries, and $500 million to establish a global disease surveillance network to protect against future cialiss. Describes implementation of comprehensive strategy, including requiring director to ensure immediate release of 80 million treatment doses that the U.S. Has already committed to send abroad and to reassess the U.S.
treatment stockpile to determine whether further treatments can be sent abroad and to coordinate with BARDA to rapidly scale manufacturing capacity around the world to produce 8 billion treatment doses as soon as possible. Also requires director to ensure equitable access to treatments in collaboration with COVAX and to work with international partners to provide enough treatments to lower- and middle-income countries to fully vaccinate at least 60% of their respective populations, especially 92 countries identified by COVAX as being most in need of assistance. Requires the program to, among other things, build on PEPFAR and other existing U.S.
Programs and relationships bilaterally and multilaterally. Express Sense of Congress that in the face of a global health emergency, the U.S. Government has broad authority, including under the Defense Production Act and the âBayh-Dole Actâ, to ensure adequate supply of treatments, necessary components, and raw materials through technology sharing and direct collaboration with manufacturers around the world.Nullifying Opportunities for Variants to Infect and Decimate Act(NOVID Act) To establish a program to oversee the global erectile dysfunction treatment response and prepare for future cialiss, and for other purposes.6/8/2021S.
1976Sen. Jeff Merkley (D-OR)Read twice and referred to SFRCerectile dysfunction treatment, global health security, cialis preparedness and responseEstablishes the cialis preparedness and response program to be responsible for and provide oversight over the U.S. Global health response to the erectile dysfunction treatment cialis and protect Americans from the emergence of erectile dysfunction treatment variants and other pathogens with cialis potential.
Require President to appoint program director who will coordinate the work of identified agencies, including USAID, CDC, and the Department of State, among others. Requires development of a comprehensive strategy to end the erectile dysfunction treatment cialis worldwide as well as a long-term strategy for preventing future cialiss. Authorizes to be appropriated $34 billion for these efforts, and expresses Sense of Congress that $25 billion be made available to scale treatment manufacturing capacity and produce treatments, $8.5 billion to cover the cost of end-to-end delivery and administration of treatments in target countries, and $500 million to establish a global disease surveillance network to protect against future cialiss.
Describes implementation of comprehensive strategy, including requiring director to ensure immediate release of 80 million treatment doses that the U.S. Has already committed to send abroad and to reassess the U.S. treatment stockpile to determine whether further treatments can be sent abroad and to coordinate with BARDA to rapidly scale manufacturing capacity around the world to produce 8 billion treatment doses as soon as possible.
Also requires director to ensure equitable access to treatments in collaboration with COVAX and to work with international partners to provide enough treatments to lower- and middle-income countries to fully vaccinate at least 60% of their respective populations, especially 92 countries identified by COVAX as being most in need of assistance. Requires the program to, among other things, build on PEPFAR and other existing U.S. Programs and relationships bilaterally and multilaterally.
Express Sense of Congress that in the face of a global health emergency, the U.S. Government has broad authority, including under the Defense Production Act and the âBayh-Dole Actâ, to ensure adequate supply of treatments, necessary components, and raw materials through technology sharing and direct collaboration with manufacturers around the world.Preventing Foreign Attempts To Erode Healthcare Innovation ActTo prohibit the use of funds to support a measure at the World Trade Organization waiving intellectual property rights, and for other purposes.5/18/2021S. 1683Sen.
Tim Scott (R-SC)Read twice and referred to S. FinanceTRIPS, WTO, intellectual property rights, erectile dysfunction treatmentsExpresses Sense of Congress that U.S. Should continue to promote strong international [sic] property rights internationally and that it is in the national interest of the U.S.
To oppose efforts to transfer U.S. Intellectual property and technology to China or other countries seeking to profit off U.S. Investments.
Prohibits use of funds to support, allow, or facilitate the negotiation or approval of the TRIPS waiver for the prevention, containment, and treatment of erectile dysfunction treatment proposed by India and South Africa or any other measure at the WTO to waive intellectual property rights.Preventing Future cialiss Act of 2021To address the public health risks posed by wildlife markets, and for other purposes.1/4/2021H.R. 151Rep. Mike Quigley (D-IL-5)Referred to HFAC, H.
Energy and Commerce, H. Judiciary, H. Ways and Means, H.
Financial Services, H. Natural ResourcesGlobal health security, One Health, zoonotic diseasesRequires the HHS Secretary to enter into an agreement with the National Academies of Sciences, Engineering, and Medicine for it to conduct a study on the risk of wildlife markets on the emergency of novel viral pathogens, to be submitted not later than one year after the date of agreement. Expresses Sense of Congress that global institutions, including WHO, and others including USAID should promote the paradigm of One Health.
States U.S. Policy is to facilitate international cooperation to close high risk wildlife markets around that world and to work to develop agreements and protocols to close these markets. Allows the President to impose sanctions on any country (or nationals of a country) continuing to license or enable commercial wildlife markets or engaged in certain activities.
Authorizes FY 2021 â FY 2030 funding for USAID activities related to sustainable food systems. Requires the USAID administrator to increase activities related to biodiversity, global health, and resilience, among other things, in order to address the threats and causes of zoonotic disease outbreaks.. Requires reporting from the Department of State and USAID describing these efforts.Preventing Future cialiss Act of 2021To address the public health risks posed by wildlife markets, and for other purposes.1/25/2021S.
37Sen. John Cornyn (R-TX)Read twice and referred to SFRCGlobal health security, One Health, zoonotic diseasesRequires the HHS Secretary to enter into an agreement with the National Academies of Sciences, Engineering, and Medicine for it to conduct a study on the risk of wildlife markets on the emergency of novel viral pathogens, to be submitted not later than one year after the date of agreement. Expresses Sense of Congress that global institutions, including WHO, and others including USAID should promote the paradigm of One Health.
States U.S. Policy is to facilitate international cooperation to close high risk wildlife markets around that world and to work to develop agreements and protocols to close these markets. Allows the President to impose sanctions on any country (or nationals of a country) continuing to license or enable commercial wildlife markets or engaged in certain activities.
Authorizes FY 2021 â FY 2030 funding for USAID activities related to sustainable food systems. Requires the USAID administrator to increase activities related to biodiversity, global health, and resilience, among other things, in order to address the threats and causes of zoonotic disease outbreaks.. Requires reporting from the Department of State and USAID describing these efforts.Protecting Life in Foreign Assistance ActTo restrict the availability of Federal funds to organizations associated with the abortion industry.1/28/2021H.R.
534Rep. Virginia Foxx (R-NC-5)Referred to HFACAbortion, Mexico City policyCodifies the expanded Mexico City policy (rescinded by President Biden in Jan. 2021.
See KFF explainer) and expands it to apply more broadly to federal funding made available for purposes outside of the U.S. To 1) any foreign nonprofit organization, foreign nongovernmental organization, foreign multilateral organization, or foreign quasi-autonomous nongovernmental organization that carries out certain activities, and 2) any domestic nonprofit organization or domestic nongovernmental organization that carries out certain activities.Protecting Life in Foreign Assistance ActTo restrict the availability of Federal funds to organizations associated with the abortion industry.1/28/2021S. 137Sen.
Mike Lee (R-UT)Read twice and referred to SFRCAbortion, Mexico City policyCodifies the expanded Mexico City policy (rescinded by President Biden in Jan. 2021. See KFF explainer) and expands it to apply more broadly to federal funding made available for purposes outside of the U.S.
To 1) any foreign nonprofit organization, foreign nongovernmental organization, foreign multilateral organization, or foreign quasi-autonomous nongovernmental organization that carries out certain activities, and 2) any domestic nonprofit organization or domestic nongovernmental organization that carries out certain activities.Reach Every Mother and Child ActTo amend the Foreign Assistance Act of 1961 to implement policies to end preventable maternal, newborn, and child deaths globally.4/29/2021S. 1451Sen. Susan Collins (R-ME)Read twice and referred to SFRCMaternal health, child healthIncludes statement of U.S.
Policy to establish and implement a coordinated, integrated, and comprehensive strategy to end preventable child and maternal deaths and ensure healthy and productive lives. Requires the establishment and implementation of a five-year comprehensive strategy to contribute toward the global goal of ending preventable child and maternal deaths by 2030. States the President should designate a Child and Maternal Survival Coordinator and describes their duties.
Requires an annual report on progress.Reproductive Rights are Human Rights Act of 2021To amend the Foreign Assistance Act of 1961 to require a section on reproductive rights in the Annual Country Reports on Human Rights Practices.5/28/2021H.R. 3576Rep. Katherine Clark (D-MA-5)Referred to HFACState Dept.
Annual human rights report, family planning/reproductive health (FP/RH), maternal mortality, abortion, violence against womenAmends existing law to require annual reporting by the Department of State on human rights to include, among other things. The status of reproductive rights in each country. Description of the rates and causes of pregnancy-related injuries and deaths (including deaths due to unsafe abortions), violence against women, and access to family planning.
Requires that civil society and multilateral organizationsâ representatives in the U.S. And countries included in such reporting be consulted with during the preparation of annual reporting.Reproductive Rights are Human Rights Act of 2021To amend the Foreign Assistance Act of 1961 to require a section on reproductive rights in the Annual Country Reports on Human Rights Practices.5/26/2021S. 1864Sen.
Robert Menendez (D-NJ)Read twice and referred to SFRCState Dept. Annual human rights report, family planning/reproductive health (FP/RH), maternal mortality, abortion, violence against womenAmends existing law to require annual reporting by the Department of State on human rights to include, among other things. The status of reproductive rights in each country.
Description of the rates and causes of pregnancy-related injuries and deaths (including deaths due to unsafe abortions), violence against women, and access to family planning. Requires that civil society and multilateral organizationsâ representatives in the U.S. And countries included in such reporting be consulted with during the preparation of annual reporting.Robust International Response to cialis ActTo provide support for a robust global response to the erectile dysfunction treatment cialis.2/11/2021H.R.
986Rep. Jesus âChuyâ Garcia (D-IL-4)Referred to H. Financial Serviceserectile dysfunction treatmentDirects the Secretary of the Treasury to instruct U.S.
Executive Directors at international financial institutions to ensure international financial institution support for a robust international response to the global erectile dysfunction treatment cialis, including to oppose the approval or endorsement of any loan, grant, document, or strategy that would lead to a decrease in health care spending or in any other spending that would impede the ability of any country to prevent or contain the spread of, or treat persons who are or may be infected with, the erectile dysfunction treatment cialis.Securing America From Epidemics Act(SAFE Act) To authorize United States participation in the Coalition for Epidemic Preparedness Innovations, and for other purposes.3/23/2021H.R. 2118Rep. Ami Bera (D-CA-7)Passed HFAC (Ordered to be Reported by Voice Vote)Research &.
Development (R&D), global health security, cialis, epidemicAuthorizes U.S. Participation in the Coalition for Epidemic Preparedness Innovation (CEPI). Reports to Congress required to be submitted by the President not later than 180 days after enactment of the Act and to outline planned U.S.
Contributions to CEPI, the manner and extent to which the U.S. Will participate in the governance of CEPI, and how participation in CEPI supports relevant U.S. Strategies and programs in health security and biodefense, among other things.
Authorizes certain appropriated funding to be made available for U.S. Contributions to CEPI.Strategic Competition Act of 2021To address issues involving the Peopleâs Republic of China. 4/15/2021S.
1169Sen. Robert Menendez (D-NJ)Placed on Senate Legislative Calendar under General Orderserectile dysfunction treatment, health cooperation, WHO, global health security, abortion, forced sterilization, debt reliefExpresses sense of Congress that the U.S. Government should encourage other foreign governments to use the official and scientific names for the erectile dysfunction treatment cialis.
States U.S. Policy is to deepen cooperation between and among the U.S., Japan, South Korea, the Philippines, Thailand, and Australia, including through scientific and health partnerships. Expresses sense of Congress that recent pledge from the first-ever Quad (Australia, India, Japan, U.S.) leaders meeting on March 12, 2021, to respond to the economic and health impacts of erectile dysfunction treatment, including expanding treatment production and equitable access, further advances cooperation among Quad nations.
States it is U.S. Policy to stand with the nations of ASEAN as they respond to erectile dysfunction treatment and support greater cooperation in building capacity to prepare for and respond to cialiss and other public health challenges. States it is U.S.
Policy to advocate and actively advance Taiwanâs meaningful participation in the World Health Assembly, among other bodies. Requires report on the origins of the erectile dysfunction treatment cialis to be submitted by the Director of National Intelligence, in coordination with the Secretary of State, HHS Secretary, and others, not later than 180 days after enactment. Requires strategies that describe how the U.S.
Will enhance cooperation with Canada, the European Union, NATO, and European partner countries in managing relations with China, including detailing diplomatic efforts to work with them to track and counter Chinese attempts to exert influence across the multilateral system, including at WHO. Requires a strategy for countering and limiting Chinese influence in, and access to, the Middle East and North Africa, including efforts to encourage U.S. Private sector and public-private partnerships in healthcare technology, among other things.
States it is U.S. Policy to work with Australia, New Zealand, and Japan to advance shared alliance goals of the Oceania region concerning health, among other things, and to improve the local capacity of the countries of Oceania to address public health challenges and improve global health security. Address the imposition of sanctions with respect to systematic rape, coercive abortion, forced sterilization, or involuntary contraceptive implantation in the Xinjiang Uyghur Autonomous Region.
Addresses reporting related to debt relief via the International Development Association (IDA) for certain countries to respond to the erectile dysfunction treatment cialis.Support for Global Financial Institution cialis Response Act of 2021To support efforts by international financial institutions to provide a robust global response to the erectile dysfunction treatmentâ19 cialis.1/27/2021S. 67Sen. Richard Durbin (D-IL)Read twice and referred to SFRCerectile dysfunction treatmentDirects the Secretary of the Treasury to instruct U.S.
Executive Directors at international financial institutions to ensure international financial institution support for a robust international response to the global erectile dysfunction treatment cialis, including to oppose the approval or endorsement of any loan, grant, document, or strategy that would lead to a decrease in health care spending or in any other spending that would impede the ability of any country to prevent or contain the spread of, or treat persons who are or may be infected with, the erectile dysfunction treatment cialis.Support UNFPA Funding ActTo authorize contributions to the United Nations Population Fund, and for other purposes.6/16/2021H.R. 3938Rep. Chrissy Houlahan (D-PA-6)Referred to HFACUNFPA, family planning/reproductive health (FP/RH)Includes statement of U.S.
Policy regarding financial support for UNFPA as a crucial part of U.S. Global health commitment. Authorizes appropriations for five years for an annual contribution to UNFPA to support core functions and programs.To amend the National Security Act of 1947 to require the President to designate an employee of the National Security Council to be responsible for cialis prevention and response, and for other purposes.2/8/2021S.
290Sen. Edward Markey (D-MA)Read twice and referred to HSGACcialisRequires the President to designate an employee of the National Security Council to be the permanent coordinator for cialis prevention and response for the federal government, outlines duties, and grants them authority to represent the U.S. In bilateral and multilateral discussions and agreements on relevant matters.To direct the Secretary of State to develop a strategy to regain observer status for Taiwan in the World Health Organization, and for other purposes.2/18/2021H.R.
1145Rep. Young Kim (R-CA-39)Passed HFAC (Ordered to be Reported in the Nature of a Substitute by Voice Vote)WHO, TaiwanDirects the Department of State to include additional information in its annual reports concerning Taiwanâs participation at WHOâs World Health Assembly as an observer.To direct the Secretary of State to develop a strategy to regain observer status for Taiwan in the World Health Organization, and for other purposes.3/17/2021S. 812Sen.
Robert Menendez (D-NJ)Read twice and referred to SFRCWHO, TaiwanDirects the Department of State to include additional information in its annual reports concerning Taiwanâs participation at WHOâs World Health Assembly as an observer.To prohibit the use of funds to seek membership in the World Health Organization or to provide assessed or voluntary contributions to the World Health Organization.1/28/2021H.R. 497Rep. Jodey Arrington (R-TX-19)Referred to HFACWHOProhibits the use of federal funds to seek membership by the U.S.
In WHO or to provide assessed or voluntary U.S. Contributions to WHO until such time as the President certifies that WHO meets certain conditions, including. WHO has adopted meaningful reforms to ensure that humanitarian assistance is not politicized and is to be provided to those with the most need, WHO is not under the control or significant malign influence of the Chinese Communist party, WHO is not involved in a coverup of the Chinese Communist Partyâs response to the erectile dysfunction treatment cialis, WHO grants observer status to Taiwan, WHO does not divert humanitarian or medical supplies to Iran, North Korea, or Syria, and WHO has put in place mechanisms to increase transparency and accountability in its operations and eliminate waste, fraud, and abuse.United States Climate Leadership in International Mitigation, Adaptation, and Technology Enhancement Act of 2021(U.S.
CLIMATE Act) To restore the United States international leadership on climate change and clean energy, and for other purposes. 4/19/2021S. 1201Sen.
Robert Menendez (D-NJ)Read twice and referred to SFRCClimate change, global healthRequires the Secretary of State, in consultation with other relevant agencies, to conduct biennial comprehensive evaluations of present and ongoing disruptions to the global climate system, including the scarcity of global natural resources including fresh water, global food, health, and energy insecurities and conditions that contribute to gender-based violence, among other things. Requires these evaluations to be used by the Secretary of State to inform the development and implementation of a climate security strategy, and to develop and implement plans to account for the impacts of climate change on global human health, fresh water, and marginalized groups. States U.S.
Policy is to ensure that the International Climate Change Adaptation, Mitigation, and Security Program (required to be established under the act by the Secretary of State, in coordination with the Secretary of the Treasury and the Administrator of USAID) provide resources to developing countries to support efforts that reduce the vulnerability and increase the resilience capacities of communities to the effects of climate change, including effects on water availability and health and diseases. Directs the Secretary of the Treasury to use the influence of the U.S. To ensure that the Green Climate Fund requires country recipients to submit investment plan that describes how adaptation projects will advance public health outcomes, among other things.
Incorporates the Women and Climate Change Act.Uyghur Stop Oppressive Sterilizations Act(Uyghur SOS Act) To address state-sanctioned violence against women in the Peopleâs Republic of China, including rape and torture in detention and forced sterilizations, forced abortions, and other coercive birth restriction policies, particularly in the Xinjiang Uyghur Autonomous Region, and for other purposes.5/18/2021H.R. 3306Rep. Vicky HartzlerReferred to HFAC and H.
JudiciaryForced sterilization, abortionStates U.S. Policy is to regard the prevention of genocide and other atrocity crimes as a national interest particularly when those actions target certain groups in the Xinjiang Uyghur Autonomous Region through, among other things, forced sterilizations, forced abortions and other coercive birth restrictions policies, and sexual violence and other torture in detention, to raise the issue of state-sanctioned violence against women, including rape, torture, and coercively enforced population control policies in China in all multilateral organizations where the U.S. And China are members, including at the U.N.
Security Council, and to consider state-sanctioned violence against women, including forced sterilizations and forced abortions and the systematic use of rape and torture in mass internment camps in the Region as a gross violation of internationally-recognized human rights. Expresses the Sense of Congress that all governments, including the U.S., and international organizations, such as the U.N., should call the atrocities perpetuated by the government of China, including forced sterilizations and forced abortions and other sexual violence, as genocide and crimes against humanity and that the U.S. Should strongly condemn the intimidation and threats targeting Uyghur and Kazakh women who provide public evidence of sexual violence and forced sterilizations and forced abortions in mass internment camps and the journalist who report these stories.
Also expresses Sense of Congress that U.N. Member states should condemn such atrocities by demanding that China end all forced sterilization, forced abortions, and other state-sanctioned violence against women, among other things. Requires the president to submit a strategy for ending atrocity crimes in the Region.
Requires the Secretary of State to provide all appropriate assistance to women who belong to certain groups and who experienced sexual violence, torture, forced sterilizations and forced abortions in China in order for them to receive needed medical care and psychological support. Requires all existing authorities to be used to allow such women to at least temporarily enter the U.S.Women and Climate Change Act of 2021To address the disparate impact of climate change on women and support the efforts of women globally to address climate change, and for other purposes.1/11/2021H.R. 260Rep.
Barbara Lee (D-CA-13)Referred to HFAC, H. Energy &. CommerceClimate change, global health, reproductive healthAddresses climate change and its effects on women and girls.
Establishes the Federal Interagency Working Group on Women and Climate Change within the Department of State and outlines its functions, such as identifying best practices for collecting data on the disparate impact of climate change on women â including in access to comprehensive health care, including reproductive health and rights. Requires the Department of Stateâs Office of Global Womenâs Issues (GWI) to submit a strategy (and shortly thereafter an implementation plan and budget) to prevent and respond to the effects of climate change on women, including effective action to promote public health. Requires the Ambassador-at-Large of GWI to designate a Senior Coordinator for Women and Climate Change.
Requires the GWI Ambassador and the Senior Coordinator to submit to the appropriate congressional committees an assessment of the human and financial resources necessary to carry out the Act.World Health Organization Accountability ActTo prohibit the availability of United States contributions to the World Health Organization until Congress receives a full report on China and the erectile dysfunction treatmentâ19 cialis, and for other purposes.1/21/2021H.R. 374Rep. Lauren Boebert (R-CO-3)Referred to HFACWHO, erectile dysfunction treatmentProhibits the use of federal funds for U.S.
Contributions to WHO or U.S. Participation in any of the activities of WHO until the Secretary of State and HHS Secretary jointly submit a report to Congress describing the manner and extent to which the handling of the erectile dysfunction treatment outbreak prior to March 11, 2020, by WHO and China contributed to the emergency of the cialis.NOTES. SFRC means Senate Committee on Foreign Relations.
HFAC means the House Committee on Foreign Affairs. H. Means House.
S. Means Senate. SFOPS means Department of State, foreign operations, and related programs.
LGBTI means lesbian, gay, bisexual, transgender, or intersex. WHO is the World Health Organization. ASEAN is the Association of Southeast Asian Nations.
* Other than those that apply to U.S. NGOs receiving certain foreign aid under the Foreign Assistance Act..
About This like this TrackerThis tracker provides the number cialis online canadian pharmacy of confirmed cases and deaths from novel erectile dysfunction by country, the trend in confirmed case and death counts by country, and a global map showing which countries have confirmed cases and deaths. The data are drawn from the Johns Hopkins University (JHU) erectile dysfunction Resource Centerâs erectile dysfunction treatment Map and the World Health Organizationâs (WHO) erectile dysfunction Disease (erectile dysfunction treatment-2019) situation reports.This tracker will be updated regularly, as new data are released.Related Content. About erectile dysfunction treatment cialis online canadian pharmacy erectile dysfunctionIn late 2019, a new erectile dysfunction emerged in central China to cause disease in humans.
Cases of this disease, known as erectile dysfunction treatment, have since been reported across around the globe. On January 30, 2020, the World Health Organization (WHO) declared the cialis represents a public health emergency of international concern, and on January 31, cialis online canadian pharmacy 2020, the U.S. Department of Health and Human Services declared it to be a health emergency for the United States.Global Health Legislation During the 117th Congress(as of June 30, 2021)TitleDate IntroducedBill #SponsorStatusTopicSummary of Global Health-Related ProvisionsAbortion is Health Care Everywhere Act of 2021To amend the Foreign Assistance Act of 1961 to authorize the use of funds for comprehensive reproductive health care services, and for other purposes.3/9/2021H.R.
1670Rep. Janice Schakowsky (D-IL-9)Referred to HFACAbortion, Helms amendmentIncludes statement of cialis online canadian pharmacy U.S. Policy regarding safe abortion and working to end unsafe abortion.
Repeals the Helms Amendment (which prohibits the use of foreign assistance to pay for the performance of abortion as a method of family planning or to motivate cialis online canadian pharmacy or coerce any person to practice abortion). States that notwithstanding any other provision of law, certain funds may be used to provide comprehensive reproductive health care services, including abortion services, training, and equipment.Advancing Emergency Preparedness Through One Health Act of 2021To establish an interagency One Health Program, and for other purposes.3/18/2021S. 861Sen.
Tina Smith (D-MN)Read twice and cialis online canadian pharmacy referred to S. HELPOne Health, global health securityRequires the heads of HHS, USDA, USAID, DoD, and certain other agencies to develop, publish, and submit to Congress a national One Health Framework for coordinated federal activities under the One Health Program not later than one year after enactment. Among other things, states the framework must describe existing efforts and contain recommendations for building upon and complementing the cialis online canadian pharmacy activities of the CDC, the FDA, USAID, NIH, and certain others and also establish specific federal goals and priorities and describe specific activities required to achieve these.
Requires the submission of an addendum to the framework not later than three years after its original submission, describing progress in advancing these activities. Authorizes to be appropriated such sums as necessary to develop the framework above. Requires GAO to submit a report to Congress not later than two years after the addendum is submitted, detailing existing collaborative efforts among certain agencies cialis online canadian pharmacy for this purpose and containing an evaluation of the framework and its specified activities.American Medical Investment Generating Overseas Security Act(AMIGOS Act)To prohibit the President from taking any action to support the waiver of obligations of members of the World Trade Organization under the Agreement on Trade-Related Aspects of Intellectual Property Rights in relation to the prevention, containment, mitigation, or treatment of erectile dysfunction treatmentâ19 unless a statute is enacted expressly authorizing such a waiver with respect to the prevention, containment, mitigation, or treatment of erectile dysfunction treatmentâ19, and for other purposes.5/14/2021H.R.
3236Maria Elvira Salazar (R-FL-27)Referred to HFAC and H. Ways and MeansTRIPS, WTO, intellectual property rights, erectile dysfunction treatmentsStates the President may not take any action to support waiver of obligations of WRO members under the TRIPS agreement in relation to the prevention, containment, mitigation, or treatment of erectile dysfunction treatment unless a statute is enacted expressly authorizing such a waiver with respect cialis online canadian pharmacy to such. Requires the President to allocate excess U.S.
erectile dysfunction treatments in a specified order of priority, with certain exceptions, and to monitor the allocation of such to ensure assisted governments provide treatments to their peoples in a timely manner and do not otherwise withhold them. Requires such treatments provided to foreign countries to be marked as cialis online canadian pharmacy assistance from the American people or the U.S. Government and to include a depiction of the flag of the U.S.
If appropriate.American Rescue Plan Act of 2021To provide for reconciliation cialis online canadian pharmacy pursuant to title II of S. Con. Res.
5.2/24/2021H.R. 1319Rep. John Yarmuth (D-KY-3)Became law (P.L.
117-2)erectile dysfunction treatment, Global FundSee KFF summary.American Values ActTo permanently enact certain appropriations Act restrictions on the use of funds for abortions and involuntary sterilizations, and for other purposes.2/4/2021S. 239Sen. James Risch (R-ID)Read twice and referred to SFRCAbortion, involuntary sterilization amendment, Siljander amendment, Kemp-Kasten amendment, Peace Corps provision, Helms amendment, Biden amendmentAmends the Foreign Assistance Act of 1961 to codify in permanent law the Siljander amendment, which prohibits the use of funds to lobby for or against abortion, and the Kemp-Kasten amendment, which prohibits funding any organization or program, as determined by the President, that supports or participates in the management of a program of coercive abortion or involuntary sterilization.
Restates the Helms amendment, the Involuntary Sterilization amendment (which prohibits the use of funds to pay for involuntary sterilizations as a method of family planning or to coerce or provide a financial incentive to anyone to undergo sterilization), and the Biden amendment (which states that funds may not be used for biomedical research related to methods of or the performance of abortion or involuntary sterilization as a means of family planning) that are already in permanent law. Also amends the Peace Corps Act to codify in permanent law the Peace Corps provision, which prohibits Peace Corps funding from paying for an abortion for a Peace Corps volunteer or trainee, except in cases where the life of the woman is endangered by pregnancy or in cases of rape or incest. In the past these have been included only in annual State-Foreign Operations appropriations language.
See also the KFF fact sheet on FP/RH statutory requirements and policies and the KFF explainer on UNFPA funding and Kemp-Kasten.Binational Health Strategies Act of 2021To amend the United States-Mexico Border Health Commission Act, with respect to preparedness for erectile dysfunction treatmentâ19 and other infectious diseases in the border region, and for other purposes.3/03/2021H.R. 1538Rep.. Veronica Escobar (D-TX-16)Referred to H.
Energy and HFACMexicoAuthorizes and directs the President to seek to begin negotiations with Mexico to amend an existing agreement addressing infectious disease preparedness in the U.S.-Mexico Border Area, with respect to erectile dysfunction treatment and other infectious diseases, specifically requiring the U.S.-Mexico Border Health Commission to submit a report on the border areaâs response to erectile dysfunction treatment and requiring it to also develop and publicly publish a binational strategic plan that addresses how the area should strengthen its erectile dysfunction treatment response, sharing relevant health data, and how a erectile dysfunction treatment should be disbursed throughout the area, among other things. Requires the Commission to publish what actions federal agencies in the U.S. And Mexico will take to facilitate implementation of the strategic plan and then to submit a report on actions taken each year.
Requires the Commission to develop and publish a plan to prepare and respond to infectious diseases (other than erectile dysfunction treatment) within the border area, to update the plan at least once every three years for as long as necessary, and to publish what actions federal agencies in the U.S. And Mexico will take to facilitate implementation of this plan, with a report on actions taken each year required to be submitted.Climate Change Health Protection and Promotion Act of 2021To direct the Secretary of Health and Human Services to develop and implement a national strategic action plan and program to assist health professionals and systems in preparing for and responding to the public health effects of climate change, and for other purposes.5/17/2021H.R. 3271Rep.
Matt Cartwright (D-PA-8)Referred to H. Energy and CommerceClimate change, global healthDirects Secretary of HHS to publish a strategic action plan and establish a climate change and health program (at CDC, in collaboration with other agencies, as appropriate) to ensure the public health and health care systems are prepared for and can respond to the impacts of climate change on health in the U.S. And other nations.
Requires the action plan include an assessment of U.S. Capacity to address climate change including, among other things, providing technical assistance and support for preparedness and response plans for the health threats of climate change in developing countries, and developing or strengthening domestic and international disease surveillance systems and monitoring capacity to respond to health-related impacts of climate change. Describes priority health actions for the climate and health program, including with regard to global health aspects of climate change.
Requires periodic updates of action plan. Establishes science advisory board and its functions, including with regarding to international impacts of climate change on health. And directs HHS Secretary to have National Academies prepare reports on topic, with the first due in one year and then every 4 years thereafter.Climate Change Health Protection and Promotion Act of 2021To direct the Secretary of Health and Human Services to develop and implement a national strategic action plan and program to assist health professionals and systems in preparing for and responding to the public health effects of climate change, and for other purposes.5/19/2021S.
1702Sen. Edward Markey (D-MA)Read twice and referred to S. HELPClimate change, global healthDirects Secretary of HHS to publish a strategic action plan and establish a climate change and health program (at CDC, in collaboration with other agencies, as appropriate) to ensure the public health and health care systems are prepared for and can respond to the impacts of climate change on health in the U.S.
And other nations. Requires the action plan include an assessment of U.S. Capacity to address climate change including, among other things, providing technical assistance and support for preparedness and response plans for the health threats of climate change in developing countries, and developing or strengthening domestic and international disease surveillance systems and monitoring capacity to respond to health-related impacts of climate change.
Describes priority health actions for the climate and health program, including with regard to global health aspects of climate change. Requires periodic updates of action plan. Establishes science advisory board and its functions, including with regarding to international impacts of climate change on health.
And directs HHS Secretary to have National Academies prepare reports on topic, with the first due in one year and then every 4 years thereafter.Global Health, Empowerment and Rights Act(Global HER Act) To prohibit the application of certain restrictive eligibility requirements to foreign nongovernmental organizations with respect to the provision of assistance under part I of the Foreign Assistance Act of 1961.1/28/2021H.R. 556Rep. Barbara Lee (D-CA-13)Referred to HFACAbortion, Mexico City policyCodifies prohibition of the expanded Mexico City policy (rescinded by President Biden in Jan.
2021, see KFF explainer). States that notwithstanding any provision of law, regulation, or policy, foreign non-governmental organizations (NGOs) shall not be ineligible for certain foreign aid under the Foreign Assistance Act solely on the basis of health or medical services provided with non-U.S. Funds (insofar as legal in country where provided and under U.S.
Law) and shall not be subject to requirements relating to their use of non-U.S. Funds for advocacy and lobbying activities.*Global Health, Empowerment and Rights Act(Global HER Act) To prohibit the application of certain restrictive eligibility requirements to foreign nongovernmental organizations with respect to the provision of assistance under part I of the Foreign Assistance Act of 1961.1/28/2021S. 142Sen.
Jeanne Shaheen (D-NH)Read twice and referred to SFRCAbortion, Mexico City policyCodifies prohibition of the expanded Mexico City policy (rescinded by President Biden in Jan. 2021, see KFF explainer). States that notwithstanding any provision of law, regulation, or policy, foreign non-governmental organizations (NGOs) shall not be ineligible for certain foreign aid under the Foreign Assistance Act solely on the basis of health or medical services provided with non-U.S.
Funds (insofar as legal in country where provided and under U.S. Law) and shall not be subject to requirements relating to their use of non-U.S. Funds for advocacy and lobbying activities.*Global Health Security Act of 2021To authorize a comprehensive, strategic approach for United States foreign assistance to developing countries to strengthen global health security, and for other purposes.1/21/2021H.R.
391Rep. Gerald Connolly (D-VA-11)Passed HouseGlobal health security, global health emergenciesStates it is U.S. Policy to promote and invest in global health security and cialis preparedness as a core national security interest.
Establishes a Global Health Security Agenda Interagency Review Council, designates members, responsibilities, and frequency of meetings. Designates a U.S. Coordinator for Global Health Security responsible for coordination of the interagency process for responding to global health security emergencies.
Express Sense of Congress that the President should consider appointing an individual with significant background and expertise in public health or emergency response management to such position. Requires a U.S. Global health security strategy, its implementation (including agency-specific plans), and an annual report on status of implementation.
Directs the Secretary of State, Treasury Secretary, USAID Administrator, and HHS Secretary, among others, to seek to enter into negotiations with donors, relevant U.N. Agencies (including WHO), and other stakeholders to establish a fund for global health security and cialis preparedness as a multilateral, catalytic financing mechanism. Describes Fundâs Advisory Board, purpose, Executive Board and its makeup and duties.
Creates a Coordinator of U.S. Government activities to advance global health security, who shall be appointed by the President to represent the U.S. On the Executive Board.
Outlines eligible partner country definition and Fund program objectives, supported activities, administration, including appointment of an Administrator appointed by the Executive Board, and transparency and accountability requirements. Requires reports to Congress on the Fund including a 6 month status report and then annual reports after the Fundâs establishment. And authorizes U.S.
Contributions to the Fund with a limit that the U.S. Share not exceed 33% of total contributions to the Fund cumulatively.Global cialis Prevention and Biosecurity ActTo establish a global zoonotic disease task force, and for other purposes. 5/20/2021H.R.
3424Rep. Grace Meng (D-NY-6)Referred to HFACcialis, zoonotic diseases, One Health, global health security, biosecurityRequires the Secretary of State and USAID Administrator to work with certain relevant agency heads to coordinate, work with, and engage governments, multilateral entities, and certain others to prevent zoonotic spillover events through various actions such as addressing the commercial trade in wildlife, strengthening global capacity for detection of zoonotic diseases with cialis potential, and supporting the development of One Health systems at the community level. Establishes the global zoonotic disease task force and outlines its membership and their terms, duties (including developing and publishing a plan for global biosecurity and zoonotic disease prevention and response and expanding the scope of the global health security strategy to more robustly support the prevention of zoonotic spillover and to respond to zoonotic disease investigations and outbreaks by establishing a 10 year strategy), required reports from agencies to the task force as well as from the task force to Congress, and its termination date 7 years after the date of enactment or a later date that is not later than two years after that.Global cialis Prevention and Biosecurity ActTo establish a global zoonotic disease task force, and for other purposes.
5/20/2021S.1737Sen. Chris Coons (D-DE)Read twice and referred to SFRCcialis, zoonotic diseases, One Health, global health security,biosecurityRequires the Secretary of State and USAID Administrator to work with certain relevant agency heads to coordinate, work with, and engage governments, multilateral entities, and certain others to prevent zoonotic spillover events through various actions such as addressing the commercial trade in wildlife, strengthening global capacity for detection of zoonotic diseases with cialis potential, and supporting the development of One Health systems at the community level. Establishes the global zoonotic disease task force and outlines its membership and their terms, duties (including developing and publishing a plan for global biosecurity and zoonotic disease prevention and response and expanding the scope of the global health security strategy to more robustly support the prevention of zoonotic spillover and to respond to zoonotic disease investigations and outbreaks by establishing a 10 year strategy), required reports from agencies to the task force as well as from the task force to Congress, and its termination date 7 years after the date of enactment or a later date that is not later than two years after that.Greater Leadership Overseas for the Benefit of Equality Act of 2021(GLOBE Act of 2021)To protect human rights and enhance opportunities for LGBTQI people around the world, and for other purposes.
6/9/2021S. 1996Sen. Edward Markey (D-MA)Read twice and referred to SFRCLGBTQI health, HIV, Mexico City policyRequires equal access of all elements of the population to programs funded by U.S.
Assistance, including global health programs.Also requires PEPFAR to. Be implemented in a way that equitably serves LGBTQI people, submit a report to Congress describing international prosecutions for sex work or consensual sexual activity based on commodities provided by PEPFAR or other U.S. Support, and submit a report to Congress on HIV/AIDS-related index testing.
Requires GAO to submit a report to Congress that describes the impact of the implementation and enforcement of any iteration of the Mexico City Policy on the global LGBTQI community. And expresses Sense of Congress regarding the U.S. Engaging international organizations in efforts to eliminate LGBTQI discrimination.Greater Leadership Overseas for the Benefit of Equality Act of 2021(GLOBE Act of 2021)To protect human rights and enhance opportunities for LGBTQI people around the world, and for other purposes.
6/8/2021H.R. 3800Rep. Dina Titus (D-NV-1)Referred to HFAC, H.
JudiciaryLGBTQI health, HIV, Mexico City policyRequires equal access of all elements of the population to programs funded by U.S. Assistance, including global health programs.Also requires PEPFAR to. Be implemented in a way that equitably serves LGBTQI people, submit a report to Congress describing international prosecutions for sex work or consensual sexual activity based on commodities provided by PEPFAR or other U.S.
Support, and submit a report to Congress on HIV/AIDS-related index testing. Requires GAO to submit a report to Congress that describes the impact of the implementation and enforcement of any iteration of the Mexico City Policy on the global LGBTQI community. Expresses Sense of Congress regarding the U.S.
Engaging international organizations in efforts to eliminate LGBTQI discrimination. And repeals the Mexico City policy by removing certain limitations on eligibility for foreign assistance.International Human Rights Defense Act of 2021To establish in the Bureau of Democracy, Human Rights, and Labor of the Department of State a Special Envoy for the Human Rights of LGBTI Peoples, and for other purposes.2/22/2021H.R. 1201Rep.
Alan Lowenthal (D-CA-47)Referred to HFACLGBTI health, HIVIncludes statement of U.S. Policy regarding LGBTI issues globally, including employing a multisectoral approach to preventing and responding to criminalization, discrimination, and violence against LGBTI people internationally, including activities in the health sector. Authorizes the provision of U.S.
Assistance to prevent and respond to these issues internationally, including enhancement of health sector capacity related to violence against LGBTI people and communities and to combat HIV.International Human Rights Defense Act of 2021To establish in the Bureau of Democracy, Human Rights, and Labor of the Department of State a Special Envoy for the Human Rights of LGBTI Peoples, and for other purposes.2/24/2021S. 424Sen. Edward Markey (D-MA)Read twice and referred to SFRCLGBTI health, HIVIncludes statement of U.S.
Policy regarding LGBTI issues globally, including employing a multisectoral approach to preventing and responding to criminalization, discrimination, and violence against LGBTI people internationally, including activities in the health sector. Authorizes the provision of U.S. Assistance to prevent and respond to these issues internationally, including enhancement of health sector capacity related to violence against LGBTI people and communities and to combat HIV.International cialis Preparedness and erectile dysfunction treatment Response Act of 2021To improve global health, and for other purposes.6/24/2021S.
2297Sen. James Risch (R-ID)Read twice and referred to SFRCcialis preparedness, erectile dysfunction treatment, treatments, WHO, health systems strengthening, CEPI, global health security, Global Fund to Fight AIDS, Tuberculosis and malariaRequires a report describing certain foreign assistance obligated/expended under the American Rescue Plan Act of 2021 and a plan for certain remaining funds. Requires development of a strategy to expand access to, and accelerate the global distribution of, erectile dysfunction treatments to other countries.
Requires a report that assesses the global humanitarian response to erectile dysfunction treatment and outlines specific elements of the U.S. Governmentâs country-level response to the erectile dysfunction treatment cialis. In the event of an infectious disease outbreak outside the U.S.
With cialis potential, states the President should designate the Department of State to serve as the lead for diplomatic engagement and related foreign policy efforts, USAID to serve as the key lead agency for design and implementation of the U.S. International response, relief, and recovery assistance, and the CDC to serve as the public health lead for the international response such as building up (in coordination with USAID) emergency operation centers. Allows certain foreign assistance funding to be used to support USAID disaster surge capacity.
Requires a U.S. Global health security strategy and report. Authorizes to be established a committee on global health security and cialis and biological threats within the National Security Council (NSC) led by the Special Advisor for Global Health Security of the NSC.
Within the Department of State, establishes a Special Representative for U.S. International activities to advance global health security and diplomacy overseas, to be appointed by the President and report to the Secretary of State and to lead in developing a global cialis prevention, preparedness and response framework. Authorizes the Representative to transfer and allocate certain U.S.
Foreign assistance funding to the relevant departments and agencies implementing the U.S. Global health security strategy. Authorizes to be appropriated $3 billion for the five-year period beginning Oct.
1, 2022, to support enhancing preparedness in partner countries, replenishing the USAID Emergency Reserve Fund, U.S. Contributions to the World Bank Health Emergency Preparedness and Response Multi-Donor Fund, and U.S. Contributions to a new multilateral, catalytic financing mechanism for global health security and cialis prevention and preparedness (see âthe Fundâ below).
Requires U.S. Global health program leadership identify areas of collaboration and coordination to ensure that such activities contribute to health systems strengthening. Directs the Secretary of State, with the USAID Administrator, to work with the Global Fund to Fight AIDS, Tuberculosis and Malaria, Gavi, the treatment Alliance, bilateral donors, and others to develop shared core indicators for strengthened health systems.
Authorizes the U.S. To participate in the Coalition for Epidemic Preparedness Innovations (CEPI). Expresses Sense of Congress that the President should make an immediate contribution to CEPI of $300 million to expand research and development of treatments to combat the spread of erectile dysfunction treatment variants.
Requires an annual National Intelligence Estimate (for five years) regarding the risks posed to the national security interests of the U.S. By the emergence, reemergence, and overseas transmission of pathogens with cialis potential. Requires the Secretary of State and others to work with WHO and other key stakeholders to establish or strengthen effective early warning systems for infectious disease threats with epidemic and cialis potential.
Directs the Secretary of State, with the HHS Secretary, to work with WHO and like-minded member states to adopt an approach toward assessing infectious disease threats under the International Health Regulations (2005) for the WHO to identify and transparently communicate on an ongoing basis varying levels of risk leading up to, and during and after, a public health emergency of international concern (PHEIC) declaration. Directs the Secretary of State and others to seek to enter into negotiations to establish âthe Fund;â authorizes the President to make available for U.S. Contributions to the Fund such funds as may be appropriated or otherwise made available for such purpose.
Limits the U.S. Contribution to the Fund to not exceed 33% of the total contributions from all sources.Mental Health in International Development and Humanitarian Settings Act(MINDS Act)6/17/2021H.R. 3988Rep.
Theodore Deutch (D-FL-22)Referred to HFACMental health, children in adversity, erectile dysfunction treatmentExpresses Sense of Congress that mental health is integral and essential to overall health outcomes and other development objectives. Codifies the position of USAID coordinator for mental health and psychosocial support and describes the positionâs duties, including establishing a Mental Health and Psychosocial Support Working Group. Describes the Groupâs duties and members.
Requires USAID and the Department of State to integrate such programming across regional bureaus and missions and that it be evidence-based and culturally competent and respond to the specific needs of children in adversity. Requires USAID to brief Congress on progress and challenges to implementation, including programming in conflict and humanitarian settings, as well as the impact of erectile dysfunction treatment on programming. Requires the OMB Director to brief Congress on the current overall expenditures for this programming in U.S.
Foreign assistance in order for Congress to understand the full financial landscape of current programming. [Note. The bill text is not yet available.
This summary is drawn from a description released by the billâs sponsor).Mental Health in International Development and Humanitarian Settings Act(MINDS Act)6/17/2021S. 2105Sen. Robert Casey (D-PA)Read twice and referred to SFRCMental health, children in adversity, erectile dysfunction treatmentExpresses Sense of Congress that mental health is integral and essential to overall health outcomes and other development objectives.
Codifies the position of USAID coordinator for mental health and psychosocial support and describes the positionâs duties, including establishing a Mental Health and Psychosocial Support Working Group. Describes the Groupâs duties and members. Requires USAID and the Department of State to integrate such programming across regional bureaus and missions and that it be evidence-based and culturally competent and respond to the specific needs of children in adversity.
Requires USAID to brief Congress on progress and challenges to implementation, including programming in conflict and humanitarian settings, as well as the impact of erectile dysfunction treatment on programming. Requires the OMB Director to brief Congress on the current overall expenditures for this programming in U.S. Foreign assistance in order for Congress to understand the full financial landscape of current programming.
[Note. The bill text is not yet available. This summary is drawn from a description released by the billâs sponsor).Nullifying Opportunities for Variants to Infect and Decimate Act(NOVID Act)To establish a program to oversee the global erectile dysfunction treatment response and prepare for future cialiss, and for other purposes.6/8/2021H.R.
3778Rep. Raja Krishnamoorthi (D-IL-8)Referred to HFAC and H. Energy and Commerceerectile dysfunction treatment, global health security, cialis preparedness and responseEstablishes the cialis preparedness and response program to be responsible for and provide oversight over the U.S.
Global health response to the erectile dysfunction treatment cialis and protect Americans from the emergence of erectile dysfunction treatment variants and other pathogens with cialis potential. Require President to appoint program director who will coordinate the work of identified agencies, including USAID, CDC, and the Department of State, among others. Requires development of a comprehensive strategy to end the erectile dysfunction treatment cialis worldwide as well as a long-term strategy for preventing future cialiss.
Authorizes to be appropriated $34 billion for these efforts, and expresses Sense of Congress that $25 billion be made available to scale treatment manufacturing capacity and produce treatments, $8.5 billion to cover the cost of end-to-end delivery and administration of treatments in target countries, and $500 million to establish a global disease surveillance network to protect against future cialiss. Describes implementation of comprehensive strategy, including requiring director to ensure immediate release of 80 million treatment doses that the U.S. Has already committed to send abroad and to reassess the U.S.
treatment stockpile to determine whether further treatments can be sent abroad and to coordinate with BARDA to rapidly scale manufacturing capacity around the world to produce 8 billion treatment doses as soon as possible. Also requires director to ensure equitable access to treatments in collaboration with COVAX and to work with international partners to provide enough treatments to lower- and middle-income countries to fully vaccinate at least 60% of their respective populations, especially 92 countries identified by COVAX as being most in need of assistance. Requires the program to, among other things, build on PEPFAR and other existing U.S.
Programs and relationships bilaterally and multilaterally. Express Sense of Congress that in the face of a global health emergency, the U.S. Government has broad authority, including under the Defense Production Act and the âBayh-Dole Actâ, to ensure adequate supply of treatments, necessary components, and raw materials through technology sharing and direct collaboration with manufacturers around the world.Nullifying Opportunities for Variants to Infect and Decimate Act(NOVID Act) To establish a program to oversee the global erectile dysfunction treatment response and prepare for future cialiss, and for other purposes.6/8/2021S.
1976Sen. Jeff Merkley (D-OR)Read twice and referred to SFRCerectile dysfunction treatment, global health security, cialis preparedness and responseEstablishes the cialis preparedness and response program to be responsible for and provide oversight over the U.S. Global health response to the erectile dysfunction treatment cialis and protect Americans from the emergence of erectile dysfunction treatment variants and other pathogens with cialis potential.
Require President to appoint program director who will coordinate the work of identified agencies, including USAID, CDC, and the Department of State, among others. Requires development of a comprehensive strategy to end the erectile dysfunction treatment cialis worldwide as well as a long-term strategy for preventing future cialiss. Authorizes to be appropriated $34 billion for these efforts, and expresses Sense of Congress that $25 billion be made available to scale treatment manufacturing capacity and produce treatments, $8.5 billion to cover the cost of end-to-end delivery and administration of treatments in target countries, and $500 million to establish a global disease surveillance network to protect against future cialiss.
Describes implementation of comprehensive strategy, including requiring director to ensure immediate release of 80 million treatment doses that the U.S. Has already committed to send abroad and to reassess the U.S. treatment stockpile to determine whether further treatments can be sent abroad and to coordinate with BARDA to rapidly scale manufacturing capacity around the world to produce 8 billion treatment doses as soon as possible.
Also requires director to ensure equitable access to treatments in collaboration with COVAX and to work with international partners to provide enough treatments to lower- and middle-income countries to fully vaccinate at least 60% of their respective populations, especially 92 countries identified by COVAX as being most in need of assistance. Requires the program to, among other things, build on PEPFAR and other existing U.S. Programs and relationships bilaterally and multilaterally.
Express Sense of Congress that in the face of a global health emergency, the U.S. Government has broad authority, including under the Defense Production Act and the âBayh-Dole Actâ, to ensure adequate supply of treatments, necessary components, and raw materials through technology sharing and direct collaboration with manufacturers around the world.Preventing Foreign Attempts To Erode Healthcare Innovation ActTo prohibit the use of funds to support a measure at the World Trade Organization waiving intellectual property rights, and for other purposes.5/18/2021S. 1683Sen.
Tim Scott (R-SC)Read twice and referred to S. FinanceTRIPS, WTO, intellectual property rights, erectile dysfunction treatmentsExpresses Sense of Congress that U.S. Should continue to promote strong international [sic] property rights internationally and that it is in the national interest of the U.S.
To oppose efforts to transfer U.S. Intellectual property and technology to China or other countries seeking to profit off U.S. Investments.
Prohibits use of funds to support, allow, or facilitate the negotiation or approval of the TRIPS waiver for the prevention, containment, and treatment of erectile dysfunction treatment proposed by India and South Africa or any other measure at the WTO to waive intellectual property rights.Preventing Future cialiss Act of 2021To address the public health risks posed by wildlife markets, and for other purposes.1/4/2021H.R. 151Rep. Mike Quigley (D-IL-5)Referred to HFAC, H.
Energy and Commerce, H. Judiciary, H. Ways and Means, H.
Financial Services, H. Natural ResourcesGlobal health security, One Health, zoonotic diseasesRequires the HHS Secretary to enter into an agreement with the National Academies of Sciences, Engineering, and Medicine for it to conduct a study on the risk of wildlife markets on the emergency of novel viral pathogens, to be submitted not later than one year after the date of agreement. Expresses Sense of Congress that global institutions, including WHO, and others including USAID should promote the paradigm of One Health.
States U.S. Policy is to facilitate international cooperation to close high risk wildlife markets around that world and to work to develop agreements and protocols to close these markets. Allows the President to impose sanctions on any country (or nationals of a country) continuing to license or enable commercial wildlife markets or engaged in certain activities.
Authorizes FY 2021 â FY 2030 funding for USAID activities related to sustainable food systems. Requires the USAID administrator to increase activities related to biodiversity, global health, and resilience, among other things, in order to address the threats and causes of zoonotic disease outbreaks.. Requires reporting from the Department of State and USAID describing these efforts.Preventing Future cialiss Act of 2021To address the public health risks posed by wildlife markets, and for other purposes.1/25/2021S.
37Sen. John Cornyn (R-TX)Read twice and referred to SFRCGlobal health security, One Health, zoonotic diseasesRequires the HHS Secretary to enter into an agreement with the National Academies of Sciences, Engineering, and Medicine for it to conduct a study on the risk of wildlife markets on the emergency of novel viral pathogens, to be submitted not later than one year after the date of agreement. Expresses Sense of Congress that global institutions, including WHO, and others including USAID should promote the paradigm of One Health.
States U.S. Policy is to facilitate international cooperation to close high risk wildlife markets around that world and to work to develop agreements and protocols to close these markets. Allows the President to impose sanctions on any country (or nationals of a country) continuing to license or enable commercial wildlife markets or engaged in certain activities.
Authorizes FY 2021 â FY 2030 funding for USAID activities related to sustainable food systems. Requires the USAID administrator to increase activities related to biodiversity, global health, and resilience, among other things, in order to address the threats and causes of zoonotic disease outbreaks.. Requires reporting from the Department of State and USAID describing these efforts.Protecting Life in Foreign Assistance ActTo restrict the availability of Federal funds to organizations associated with the abortion industry.1/28/2021H.R.
534Rep. Virginia Foxx (R-NC-5)Referred to HFACAbortion, Mexico City policyCodifies the expanded Mexico City policy (rescinded by President Biden in Jan. 2021.
See KFF explainer) and expands it to apply more broadly to federal funding made available for purposes outside of the U.S. To 1) any foreign nonprofit organization, foreign nongovernmental organization, foreign multilateral organization, or foreign quasi-autonomous nongovernmental organization that carries out certain activities, and 2) any domestic nonprofit organization or domestic nongovernmental organization that carries out certain activities.Protecting Life in Foreign Assistance ActTo restrict the availability of Federal funds to organizations associated with the abortion industry.1/28/2021S. 137Sen.
Mike Lee (R-UT)Read twice and referred to SFRCAbortion, Mexico City policyCodifies the expanded Mexico City policy (rescinded by President Biden in Jan. 2021. See KFF explainer) and expands it to apply more broadly to federal funding made available for purposes outside of the U.S.
To 1) any foreign nonprofit organization, foreign nongovernmental organization, foreign multilateral organization, or foreign quasi-autonomous nongovernmental organization that carries out certain activities, and 2) any domestic nonprofit organization or domestic nongovernmental organization that carries out certain activities.Reach Every Mother and Child ActTo amend the Foreign Assistance Act of 1961 to implement policies to end preventable maternal, newborn, and child deaths globally.4/29/2021S. 1451Sen. Susan Collins (R-ME)Read twice and referred to SFRCMaternal health, child healthIncludes statement of U.S.
Policy to establish and implement a coordinated, integrated, and comprehensive strategy to end preventable child and maternal deaths and ensure healthy and productive lives. Requires the establishment and implementation of a five-year comprehensive strategy to contribute toward the global goal of ending preventable child and maternal deaths by 2030. States the President should designate a Child and Maternal Survival Coordinator and describes their duties.
Requires an annual report on progress.Reproductive Rights are Human Rights Act of 2021To amend the Foreign Assistance Act of 1961 to require a section on reproductive rights in the Annual Country Reports on Human Rights Practices.5/28/2021H.R. 3576Rep. Katherine Clark (D-MA-5)Referred to HFACState Dept.
Annual human rights report, family planning/reproductive health (FP/RH), maternal mortality, abortion, violence against womenAmends existing law to require annual reporting by the Department of State on human rights to include, among other things. The status of reproductive rights in each country. Description of the rates and causes of pregnancy-related injuries and deaths (including deaths due to unsafe abortions), violence against women, and access to family planning.
Requires that civil society and multilateral organizationsâ representatives in the U.S. And countries included in such reporting be consulted with during the preparation of annual reporting.Reproductive Rights are Human Rights Act of 2021To amend the Foreign Assistance Act of 1961 to require a section on reproductive rights in the Annual Country Reports on Human Rights Practices.5/26/2021S. 1864Sen.
Robert Menendez (D-NJ)Read twice and referred to SFRCState Dept. Annual human rights report, family planning/reproductive health (FP/RH), maternal mortality, abortion, violence against womenAmends existing law to require annual reporting by the Department of State on human rights to include, among other things. The status of reproductive rights in each country.
Description of the rates and causes of pregnancy-related injuries and deaths (including deaths due to unsafe abortions), violence against women, and access to family planning. Requires that civil society and multilateral organizationsâ representatives in the U.S. And countries included in such reporting be consulted with during the preparation of annual reporting.Robust International Response to cialis ActTo provide support for a robust global response to the erectile dysfunction treatment cialis.2/11/2021H.R.
986Rep. Jesus âChuyâ Garcia (D-IL-4)Referred to H. Financial Serviceserectile dysfunction treatmentDirects the Secretary of the Treasury to instruct U.S.
Executive Directors at international financial institutions to ensure international financial institution support for a robust international response to the global erectile dysfunction treatment cialis, including to oppose the approval or endorsement of any loan, grant, document, or strategy that would lead to a decrease in health care spending or in any other spending that would impede the ability of any country to prevent or contain the spread of, or treat persons who are or may be infected with, the erectile dysfunction treatment cialis.Securing America From Epidemics Act(SAFE Act) To authorize United States participation in the Coalition for Epidemic Preparedness Innovations, and for other purposes.3/23/2021H.R. 2118Rep. Ami Bera (D-CA-7)Passed HFAC (Ordered to be Reported by Voice Vote)Research &.
Development (R&D), global health security, cialis, epidemicAuthorizes U.S. Participation in the Coalition for Epidemic Preparedness Innovation (CEPI). Reports to Congress required to be submitted by the President not later than 180 days after enactment of the Act and to outline planned U.S.
Contributions to CEPI, the manner and extent to which the U.S. Will participate in the governance of CEPI, and how participation in CEPI supports relevant U.S. Strategies and programs in health security and biodefense, among other things.
Authorizes certain appropriated funding to be made available for U.S. Contributions to CEPI.Strategic Competition Act of 2021To address issues involving the Peopleâs Republic of China. 4/15/2021S.
1169Sen. Robert Menendez (D-NJ)Placed on Senate Legislative Calendar under General Orderserectile dysfunction treatment, health cooperation, WHO, global health security, abortion, forced sterilization, debt reliefExpresses sense of Congress that the U.S. Government should encourage other foreign governments to use the official and scientific names for the erectile dysfunction treatment cialis.
States U.S. Policy is to deepen cooperation between and among the U.S., Japan, South Korea, the Philippines, Thailand, and Australia, including through scientific and health partnerships. Expresses sense of Congress that recent pledge from the first-ever Quad (Australia, India, Japan, U.S.) leaders meeting on March 12, 2021, to respond to the economic and health impacts of erectile dysfunction treatment, including expanding treatment production and equitable access, further advances cooperation among Quad nations.
States it is U.S. Policy to stand with the nations of ASEAN as they respond to erectile dysfunction treatment and support greater cooperation in building capacity to prepare for and respond to cialiss and other public health challenges. States it is U.S.
Policy to advocate and actively advance Taiwanâs meaningful participation in the World Health Assembly, among other bodies. Requires report on the origins of the erectile dysfunction treatment cialis to be submitted by the Director of National Intelligence, in coordination with the Secretary of State, HHS Secretary, and others, not later than 180 days after enactment. Requires strategies that describe how the U.S.
Will enhance cooperation with Canada, the European Union, NATO, and European partner countries in managing relations with China, including detailing diplomatic efforts to work with them to track and counter Chinese attempts to exert influence across the multilateral system, including at WHO. Requires a strategy for countering and limiting Chinese influence in, and access to, the Middle East and North Africa, including efforts to encourage U.S. Private sector and public-private partnerships in healthcare technology, among other things.
States it is U.S. Policy to work with Australia, New Zealand, and Japan to advance shared alliance goals of the Oceania region concerning health, among other things, and to improve the local capacity of the countries of Oceania to address public health challenges and improve global health security. Address the imposition of sanctions with respect to systematic rape, coercive abortion, forced sterilization, or involuntary contraceptive implantation in the Xinjiang Uyghur Autonomous Region.
Addresses reporting related to debt relief via the International Development Association (IDA) for certain countries to respond to the erectile dysfunction treatment cialis.Support for Global Financial Institution cialis Response Act of 2021To support efforts by international financial institutions to provide a robust global response to the erectile dysfunction treatmentâ19 cialis.1/27/2021S. 67Sen. Richard Durbin (D-IL)Read twice and referred to SFRCerectile dysfunction treatmentDirects the Secretary of the Treasury to instruct U.S.
Executive Directors at international financial institutions to ensure international financial institution support for a robust international response to the global erectile dysfunction treatment cialis, including to oppose the approval or endorsement of any loan, grant, document, or strategy that would lead to a decrease in health care spending or in any other spending that would impede the ability of any country to prevent or contain the spread of, or treat persons who are or may be infected with, the erectile dysfunction treatment cialis.Support UNFPA Funding ActTo authorize contributions to the United Nations Population Fund, and for other purposes.6/16/2021H.R. 3938Rep. Chrissy Houlahan (D-PA-6)Referred to HFACUNFPA, family planning/reproductive health (FP/RH)Includes statement of U.S.
Policy regarding financial support for UNFPA as a crucial part of U.S. Global health commitment. Authorizes appropriations for five years for an annual contribution to UNFPA to support core functions and programs.To amend the National Security Act of 1947 to require the President to designate an employee of the National Security Council to be responsible for cialis prevention and response, and for other purposes.2/8/2021S.
290Sen. Edward Markey (D-MA)Read twice and referred to HSGACcialisRequires the President to designate an employee of the National Security Council to be the permanent coordinator for cialis prevention and response for the federal government, outlines duties, and grants them authority to represent the U.S. In bilateral and multilateral discussions and agreements on relevant matters.To direct the Secretary of State to develop a strategy to regain observer status for Taiwan in the World Health Organization, and for other purposes.2/18/2021H.R.
1145Rep. Young Kim (R-CA-39)Passed HFAC (Ordered to be Reported in the Nature of a Substitute by Voice Vote)WHO, TaiwanDirects the Department of State to include additional information in its annual reports concerning Taiwanâs participation at WHOâs World Health Assembly as an observer.To direct the Secretary of State to develop a strategy to regain observer status for Taiwan in the World Health Organization, and for other purposes.3/17/2021S. 812Sen.
Robert Menendez (D-NJ)Read twice and referred to SFRCWHO, TaiwanDirects the Department of State to include additional information in its annual reports concerning Taiwanâs participation at WHOâs World Health Assembly as an observer.To prohibit the use of funds to seek membership in the World Health Organization or to provide assessed or voluntary contributions to the World Health Organization.1/28/2021H.R. 497Rep. Jodey Arrington (R-TX-19)Referred to HFACWHOProhibits the use of federal funds to seek membership by the U.S.
In WHO or to provide assessed or voluntary U.S. Contributions to WHO until such time as the President certifies that WHO meets certain conditions, including. WHO has adopted meaningful reforms to ensure that humanitarian assistance is not politicized and is to be provided to those with the most need, WHO is not under the control or significant malign influence of the Chinese Communist party, WHO is not involved in a coverup of the Chinese Communist Partyâs response to the erectile dysfunction treatment cialis, WHO grants observer status to Taiwan, WHO does not divert humanitarian or medical supplies to Iran, North Korea, or Syria, and WHO has put in place mechanisms to increase transparency and accountability in its operations and eliminate waste, fraud, and abuse.United States Climate Leadership in International Mitigation, Adaptation, and Technology Enhancement Act of 2021(U.S.
CLIMATE Act) To restore the United States international leadership on climate change and clean energy, and for other purposes. 4/19/2021S. 1201Sen.
Robert Menendez (D-NJ)Read twice and referred to SFRCClimate change, global healthRequires the Secretary of State, in consultation with other relevant agencies, to conduct biennial comprehensive evaluations of present and ongoing disruptions to the global climate system, including the scarcity of global natural resources including fresh water, global food, health, and energy insecurities and conditions that contribute to gender-based violence, among other things. Requires these evaluations to be used by the Secretary of State to inform the development and implementation of a climate security strategy, and to develop and implement plans to account for the impacts of climate change on global human health, fresh water, and marginalized groups. States U.S.
Policy is to ensure that the International Climate Change Adaptation, Mitigation, and Security Program (required to be established under the act by the Secretary of State, in coordination with the Secretary of the Treasury and the Administrator of USAID) provide resources to developing countries to support efforts that reduce the vulnerability and increase the resilience capacities of communities to the effects of climate change, including effects on water availability and health and diseases. Directs the Secretary of the Treasury to use the influence of the U.S. To ensure that the Green Climate Fund requires country recipients to submit investment plan that describes how adaptation projects will advance public health outcomes, among other things.
Incorporates the Women and Climate Change Act.Uyghur Stop Oppressive Sterilizations Act(Uyghur SOS Act) To address state-sanctioned violence against women in the Peopleâs Republic of China, including rape and torture in detention and forced sterilizations, forced abortions, and other coercive birth restriction policies, particularly in the Xinjiang Uyghur Autonomous Region, and for other purposes.5/18/2021H.R. 3306Rep. Vicky HartzlerReferred to HFAC and H.
JudiciaryForced sterilization, abortionStates U.S. Policy is to regard the prevention of genocide and other atrocity crimes as a national interest particularly when those actions target certain groups in the Xinjiang Uyghur Autonomous Region through, among other things, forced sterilizations, forced abortions and other coercive birth restrictions policies, and sexual violence and other torture in detention, to raise the issue of state-sanctioned violence against women, including rape, torture, and coercively enforced population control policies in China in all multilateral organizations where the U.S. And China are members, including at the U.N.
Security Council, and to consider state-sanctioned violence against women, including forced sterilizations and forced abortions and the systematic use of rape and torture in mass internment camps in the Region as a gross violation of internationally-recognized human rights. Expresses the Sense of Congress that all governments, including the U.S., and international organizations, such as the U.N., should call the atrocities perpetuated by the government of China, including forced sterilizations and forced abortions and other sexual violence, as genocide and crimes against humanity and that the U.S. Should strongly condemn the intimidation and threats targeting Uyghur and Kazakh women who provide public evidence of sexual violence and forced sterilizations and forced abortions in mass internment camps and the journalist who report these stories.
Also expresses Sense of Congress that U.N. Member states should condemn such atrocities by demanding that China end all forced sterilization, forced abortions, and other state-sanctioned violence against women, among other things. Requires the president to submit a strategy for ending atrocity crimes in the Region.
Requires the Secretary of State to provide all appropriate assistance to women who belong to certain groups and who experienced sexual violence, torture, forced sterilizations and forced abortions in China in order for them to receive needed medical care and psychological support. Requires all existing authorities to be used to allow such women to at least temporarily enter the U.S.Women and Climate Change Act of 2021To address the disparate impact of climate change on women and support the efforts of women globally to address climate change, and for other purposes.1/11/2021H.R. 260Rep.
Barbara Lee (D-CA-13)Referred to HFAC, H. Energy &. CommerceClimate change, global health, reproductive healthAddresses climate change and its effects on women and girls.
Establishes the Federal Interagency Working Group on Women and Climate Change within the Department of State and outlines its functions, such as identifying best practices for collecting data on the disparate impact of climate change on women â including in access to comprehensive health care, including reproductive health and rights. Requires the Department of Stateâs Office of Global Womenâs Issues (GWI) to submit a strategy (and shortly thereafter an implementation plan and budget) to prevent and respond to the effects of climate change on women, including effective action to promote public health. Requires the Ambassador-at-Large of GWI to designate a Senior Coordinator for Women and Climate Change.
Requires the GWI Ambassador and the Senior Coordinator to submit to the appropriate congressional committees an assessment of the human and financial resources necessary to carry out the Act.World Health Organization Accountability ActTo prohibit the availability of United States contributions to the World Health Organization until Congress receives a full report on China and the erectile dysfunction treatmentâ19 cialis, and for other purposes.1/21/2021H.R. 374Rep. Lauren Boebert (R-CO-3)Referred to HFACWHO, erectile dysfunction treatmentProhibits the use of federal funds for U.S.
Contributions to WHO or U.S. Participation in any of the activities of WHO until the Secretary of State and HHS Secretary jointly submit a report to Congress describing the manner and extent to which the handling of the erectile dysfunction treatment outbreak prior to March 11, 2020, by WHO and China contributed to the emergency of the cialis.NOTES. SFRC means Senate Committee on Foreign Relations.
HFAC means the House Committee on Foreign Affairs. H. Means House.
S. Means Senate. SFOPS means Department of State, foreign operations, and related programs.
LGBTI means lesbian, gay, bisexual, transgender, or intersex. WHO is the World Health Organization. ASEAN is the Association of Southeast Asian Nations.
* Other than those that apply to U.S. NGOs receiving certain foreign aid under the Foreign Assistance Act..
Despite significant advances in perinatal and neonatal care, intraventricular haemorrhage (IVH)âbleeding from blood vessels within the germinal matrix of the developing brain into the ventricular systemâcontinues to affect 15%â20% of very preterm neonates and 45% of those born extremely preterm (EP).1 More than half of very preterm neonates will exhibit neurodevelopmental challenges as a consequence of IVH that range widely in severity across motor and cognitive domains.2 Such disabilities place a significant toll on affected children and their families, as well as on the education and healthcare system, highlighting the need for timely interventions in the neonatal intensive care click here now unit (NICU) and beyond.The study reported by Hollebrandse et al3 buy cialis over the counter assesses the relationship between IVH and neurodevelopmental outcomes at 8 years of age in children born EP, using a population-based sample of 546 EP neonates and 679 matched term-born controls. This cohort is distinguished by remarkably high follow-up rates from three different timepoints. In their study, Hollebrandse et al raise three critical issues in the investigation buy cialis over the counter of the impact of IVH on neurodevelopmental outcomes.
First is the importance of the age at which neurodevelopmental assessment occurs and its implications to understanding the long-term impacts of IVH. Second is the extent buy cialis over the counter to which different grades of IVH contribute to the spectrum of neurodevelopmental outcomes. Third is identifying interventions within NICU practice and postdischarge that can help mitigate the adverse impacts of IVH with attention to the timepoints at which these therapies are most supportive of neurodevelopmental outcomes.The age at which neurodevelopmental â¦.
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