,i #aac? ,,congress #b;d ,session ,h4 ,r4 #dhdg ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,june #aa1 #bjad ,mr4 ,smi? ( ,new ,j]sey 7= himself1 ,mr4 ,meeks1 ,mr4 ,salmon1 & ,mr4 ,johnson ( ,georgia7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce1 & 9 addition to ! ,committees on ,=eign ,affairs & ,f9ancial ,s]vices1 = a p]iod to be subsequ5tly det]m9$ by ! ,speak]1 9 ea* case = consid]ation ( su* provisions z fall )9 ! jurisdiction ( ! committee conc]n$ ,a ,,bill ,to facilitate effective rese>* on & treatm5t ( neglect$ tropical diseases ?r\gh coord9at$ dome/ic & int]national ef=ts4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,end ,neglect$ ,tropical ,diseases ,act4 #b4 ,table ( cont5ts ,! table ( cont5ts ( ?is ,act is z foll[s3 ,sec4 #a4 ,%ort title4 ,sec4 #b4 ,table ( cont5ts4 ,sec4 #c4 ,/atem5t ( policy4 ,sec4 #d4 ,f9d+s4 ,sec4 #e4 ,def9ition4 ,sec4 #f4 ,rule ( con/ruction4 ,title ,i--,=eign affairs ,sec4 #aja4 ,expansion ( ,,usaid ,n,t,ds ,program4 ,sec4 #ajb4 ,actions by ,dep>tm5t ( ,/ate4 ,sec4 #ajc4 ,multilat]al developm5t & heal? in/itutions4 ,title ,,ii--,dep>tm5t ( ,heal? & ,human ,s]vices ,sec4 #bja4 ,promot+ ef=ts ?r\gh int]ag5cy work+ gr\ps & int]national =ums4 ,sec4 #bjb4 ,report on neglect$ tropical diseases 9 ! ,unit$ ,/ates4 ,sec4 #bjc4 ,c5t]s ( excell5ce4 ,sec4 #bjd4 ,panel on worm infection solutions4 #c4 ,/atem5t ( policy ,x is ! policy ( ! ,unit$ ,/ates to support a broad range ( implem5tation & rese>* & developm5t activities t "w t[>d ! a*ievem5t ( co/-effective & su/a9able treatm5t1 control &1 :]e possible1 elim9ation ( neglect$ tropical diseases = ! economic & social well-be+ = all p4 #d4 ,f9d+s ,congress f9ds ! foll[+3 7#a7 ,! ,_w ,heal? ,organization 7,,:o7 has id5tifi$ #ag neglect$ tropical diseases 7,n,t,ds74 ,approximately two billion p--almo/ "o-?ird ( ! _w's population--are at risk ( contract+ an ,,ntd1 & m ?an #a4d billion p are curr5tly afflict$ ) "o or m ,n,t,ds4 7#b7 ,9 #bjac1 ,,:o adopt$ a compreh5sive resolution on ,n,t,ds recogniz+ t increas$ national & int]national inve/m5ts 9 prev5tion & control ( neglect$ tropical diseases h succe$$ 9 improv+ heal? & social well-be+ 9 _m c\ntries4 7#c7 ,n,t,ds h an enorm\s impact 9 t]ms ( disease burd5 & quality ( life4 ,n,t,ds cause ! loss ( up to #ecd1jjj lives & #eg million disability-adju/$ life ye>s ea* ye>4 ,n,t,ds surpass bo? mal>ia & tub]culosis 9 caus+ great] loss ( life-ye>s to disability & premature dea?4 ,_m ,n,t,ds cause disfigurem5t & disability1 lead+ to /igma1 social discrim9ation1 & societal m>g9alization4 7#d7 ,n,t,ds create an economic burd5 ( billions ( doll>s ?r\gh ! loss ( productivity & high co/s ( heal? c>e requir$ = treatm5t4 ,p afflict$ by ,n,t,ds are less productive ?an _! heal?y c\nt]p>ts4 ,n,t,ds jeop>dize ! ability ( p to att5d "w & s*ool1 or to produce at full capacity4 ,= example1 controll+ "o ,,ntd1 hookworm1 9 *ildr5 c result 9 a #dc-p]c5t increase 9 future wage e>n+s4 7#e7 ,! social1 economic1 & heal? burd5 ( ,n,t,ds falls prim>ily on l[- & middle-income c\ntries1 :]e access to safe wat]1 sanitation1 & heal? c>e is limit$4 ,at lea/ #ajj c\ntries face two endemic ,,ntd burd5s1 & #cj c\ntries c>ry six or m endemic ,n,t,ds4 7#f7 ,n,t,ds are n conf9$ to ! develop+ _w1 h[ev]4 ,sev]al ,,ntd outbreaks h be5 report$ 9 ! ,unit$ ,/ates & o!r develop$ c\ntries1 especially among ! poor4 ,9 ! ,unit$ ,/ates1 ,n,t,ds disproportionately affect p liv+ 9 pov]ty1 & especially m9orities1 includ+ up to #b4h million ,african-,am]icans ) toxoc>iasis & #cjj1jjj or m p1 mo/ly ,hispanic-,am]icans1 ) ,*agas disease4 7#g7 ,_m ,n,t,ds c be controll$1 prev5t$1 & ev5 elim9at$ us+ l[-co/1 effective1 & feasible solutions4 ,und]/&+ ! economic burd5 ( ,n,t,ds on productivity & heal? c>e co/s c help to assure gov]nm5ts & donors t ! res\rces direct$ t[>d ,n,t,ds repres5t a good inve/m5t4 7#h7 ,rese>* & developm5t ef=ts are imm$iately ne$$ = all ,n,t,ds1 especially ^? = :i* limit$ or no treatm5t curr5tly exi/s4 7#i7 ,critical to develop+ robu/ ,,ntd control /rategies are epidemiological data t id5tify at-risk populations1 ensure appropriate treatm5t frequ5cy1 & in=m decisions ab\t :5 treatm5t c be r$uc$ or /opp$4 7#aj7 ,( ! #ad mo/ common ,n,t,ds1 r\ghly #hj p]c5t ( infections are caus$ by soil-transmitt$ helm9?s 7,,/h7 & s*i/osomiasis4 ,,/h are a gr\p ( ?ree p>asitic worms 7r\ndworms1 :ipworms1 & hookworms7 t afflict m ?an "o billion p worldwide1 includ+ #fjj million s*ool-age *ildr51 ( :om m ?an #cjj million suff] f sev]e morbidity4 ,s*i/osomiasis is ano!r helm9? infection affect+ at lea/ #bjj million p 9 develop+ c\ntries1 b "s e/imates indicate t ! true numb] ( p affect$ may be d\ble or ev5 triple t numb]4 7#aa7 ,! ma9 heal? problems caus$ by ,,/h are relat$ to _! negative effect on *ildhood nutritional /atus1 :i* c cause /unt+ & wa/+4 ,= example1 ,,/h infection may lead to anemia1 malabsorption ( nutri5ts1 loss ( appetite1 nausea1 abdom9al pa91 di>rhea1 & r$uc$ food intake4 ,:5 su* heal? problems are exp]i5c$ 9 e>ly *ildhood1 a peak gr[? & developm5t p]iod1 ! m5tal & physical damage--& loss ( future productivity & wage-e>n+ pot5tial--w likely be irrev]sible4 ,s*i/osomiasis causes end-organ damage to ! ur9>y tract1 female g5ital tract1 liv] & inte/9es4 ,x also results 9 *ronic heal? conditions 9 *ildr54 7#ab7 ,,/h & s*i/osomiasis are also p>ticul>ly detrim5tal to ! heal? ( wom5 ( reproductive age & pregnant wom54 ,_! und]ly+ poor iron /atus makes ^! wom5 mo/ susceptible to develop+ anemia4 ,iron defici5cy anemia result+ f hookworm infection dur+ pregnancy has be5 l9k$ to poor pregnancy outcomes su* z prematurity1 l[ bir? weight1 & impair$ lactation4 ,female g5ital s*i/osmiasis may be "o ( ! mo/ common gynecologic conditions 9 ,africa lead+ to g5ital pa91 it*+1 & ble$+ & m>k$ly increas$ susceptibility to ,,hiv_/,,aids4 7#ac7 ,=tunately1 !re is a simple1 co/-effective solution to ,,/h & s*i/osomiasis infections3 s+le-dose deworm+ pills t c be safely adm9i/]$ once or twice annually to ^? at risk4 ,ph>maceutical companies h committ$ to donate ! drugs ne$$ to treat all at-risk1 s*ool-age *ildr5 9 develop+ c\ntries4 ,regul> adm9i/ration ( deworm+ pills r$uces morbidity associat$ ) ,,/h & s*i/osomiasis infections by r$uc+ preval5ce & transmission rates4 7#ad7 ,! b5efits ( deworm+ are imm$iate & endur+4 ,a rigor\s r&omiz$ controll$ trial has %[n s*ool-bas$ deworm+ treatm5t to r$uce s*ool abs5teeism by #be p]c5t4 ,s*ool-bas$ deworm+ also b5efits "y sibl+s & o!r *ildr5 :o live ne>by b are too "y to be treat$1 lead+ to l>ge cognitive improvem5ts equival5t to half a ye> ( s*ool+4 #e4 ,def9ition ,9 ?is ,act1 ! t]m neglect$ tropical diseases or ,n,t,ds-- 7#a7 means infections caus$ by pa?og5s1 includ+ viruses1 bact]ia1 protozoa1 & helm9?s t disproportionately impact individuals liv+ 9 extreme pov]ty1 especially 9 develop+ c\ntries2 & 7#b7 includes-- 7,a7 ,buruli ulc] 7,mycobact]ium ,ulc]ans infection72 7,b7 ,*agas disease2 7,c7 d5gue or sev]e d5gue fev]2 7,d7 dracunculiasis 7,gu9ea worm disease72 7,e7 e*9ococcosis2 7,f7 foodborne trematodiases2 7,g7 human ,african trypanosomiasis 7sleep+ sickness72 7,h7 lei%maniasis2 7,i7 leprosy2 7,j7 lymphatic fil>iasis 7elephantiasis72 7,k7 on*oc]ciasis 7riv] bl9dness72 7,l7 rabies2 7,m7 s*i/osomiasis2 7,n7 soil-transmitt$ helm9?iases 7,,/h7 7r\nd worm1 :ip worm1 & hook worm72 7,o7 ta5iasis_/cy/ic]cosis2 7,p7 tra*oma2 & 7,q7 yaws 7endemic treponematoses74 #f4 ,rule ( con/ruction ,no?+ 9 ?is ,act %all be con/ru$ to increase au?orizations ( appropriations = ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t or au?orizations ( appropriations = ! ,dep>tm5t ( ,heal? & ,human ,s]vices4 ,i ,=eign affairs #aja4 ,expansion ( ,,usaid ,n,t,ds ,program 7a7 ,f9d+s ,congress f9ds ! foll[+3 7#a7 ,s9ce fiscal ye> #bjjf1 ! ,unit$ ,/ates ,gov]nm5t has be5 an ess5tial lead+ p>tn] 9 advanc+ control & elim9ation ef=ts = sev5 t>get$ neglect$ tropical diseases3 lymphatic fil>iasis 7elephantiasis71 on*oc]ciasis 7riv] bl9dness71 s*i/osomiasis1 soil-transmitt$ helm9?iases 7,,/h7 7r\nd worm1 :ip worm1 & hook worm71 & tra*oma4 ,additional in=mation sugge/s t su* ef=ts c\ld also produce collat]al b5efits = at lea/ ?ree o!r ,n,t,ds3 foodborne trematodiases1 rabies1 & yaws 7endemic treponematoses74 7#b7 ,! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t 7,,usaid7 ,neglect$ ,tropical ,diseases ,program has made important & sub/antial contributions to ! global fight to control & elim9ate ! sev5 mo/ common ,n,t,ds4 ,lev]ag+ m ?an #f4g billion 9 donat$ m$ic9es1 ,,usaid has support$ ! di/ribution ( m ?an "o billion treatm5ts 9 #be c\ntries across ,africa1 ,asia1 & ,lat9 ,am]ica & ! ,c>ibbean4 7#c7 ,unit$ ,/ates ,gov]nm5t lead]%ip has be5 in/rum5tal 9 ma9ta9+ ! global fight aga9/ ,n,t,ds & is a p>tn] 9 ! #bjab ,london ,decl>ation on ,n,t,ds1 :i* repres5ts a new1 coord9at$ pu% to accel]ate progress t[>d elim9at+ or controll+ #aj neglect$ tropical diseases by #bjbj4 7#d7 ,! ,,usaid ,n,t,ds ,program is a cle> example ( a successful public-private p>tn]%ip betwe5 ! ,gov]nm5t & ! private sector & %\ld be judici\sly exp&$4 7b7 ,s5se ( ,congress ,x is ! s5se ( ,congress t ! ,,usaid ,n,t,ds ,program 7z 9 effect on ! date ( ! enactm5t ( ?is ,act7 %\ld be modifi$ z foll[s3 7#a7 ,provide rapid impact package treatm5ts to z _m individuals suff]+ f ,n,t,ds or at risk ( acquir+ ,n,t,ds z logi/ically feasible4 7#b7 ,bett] integrate rapid impact package treatm5ts ) programs to control & elim9ate ,,hiv_/,,aids & mal>ia1 includ+-- 7,a7 by coord9at+ ,,hiv_/,,aids programs ) ! control ( female g5ital s*i/osomiasis1 n[ reveal$ z "o ( ,africa's mo/ important co-factors 9 its ,,aids epidemic2 & 7,b7 by coord9at+ mal>ia programs ) programs to control s*i/osomiasis & hook worm--toge!r ^! diseases produce pr(\nd & sev]e anemia4 7#c7 ,e/abli% s*ool-bas$ ,,ntd programs to provide an opportunity to rea* l>ge numb]s ( s*ool-age *ildr5 :o require treatm5ts = ,n,t,ds1 includ+ rapid impact package treatm5ts z feasible & at v l[ co/4 7#d7 ,= o!r ,n,t,ds1 su* z human ,african trypanosomiasis 7sleep+ sickness71 *agas disease1 lei%maniasis1 & d5gue fev]1 develop new approa*es to rea* ! goals relat+ to ! elim9ation ( ,n,t,ds z set =? 9 ! ,_w ,heal? ,organization 7,,:o7 ,,ntd ,roadmap4 7c7 ,expansion ( program ,! ,adm9i/rator ( ,,usaid %all exp& ! ,,usaid ,n,t,ds ,program 7z 9 effect on ! date ( ! enactm5t ( ?is ,act7 z foll[s3 7#a7 ,c>ry out monitor+ & evaluation to provide accurate measurem5ts to in=m future ,,ntd control & elim9ation /rategies4 7#b7 ,coord9ate ) ,,usaid developm5t sectors1 su* z sectors relat+ to wat] & sanitation1 hygi5e1 food security & nutrition1 & education 7bo? prim>y & preprim>y71 to e/abli% programs t address ,n,t,ds & advance ! goals ( ! #bjab ,london ,decl>ation on ,n,t,ds4 7#c7 ,include morbidity managem5t 9 treatm5t plans = high-burd5 ,n,t,ds1 su* z lymphatic fil>iasis 7elephantiasis74 7#d7 ,include ,n,t,ds t are recogniz$ z high-burd5 diseases 9 ! ,global ,burd5 ( ,disease ,/udy #bjaj1 includ+ foodborne trematodiases1 human ,african trypanosomiasis 7sleep+ sickness71 *agas disease1 lei%maniasis1 & d5gue fev] & relat$ arbovirus infections4 7#e7 ,include rese>* & developm5t1 consi/5t ) o!r ,,usaid disease prev5tion programs1 to ensure ! tools requir$ = elim9ation ( ^! diseases are available1 su* z drugs1 diagno/ics1 vacc9es4 7d7 ,rese>* & developm5t 7#a7 ,e/abli%m5t ,! ,adm9i/rator ( ,,usaid %all e/abli% a rese>* & developm5t program )9 ! ,,usaid ,n,t,ds ,program 7z 9 effect on ! date ( ! enactm5t ( ?is ,act74 7#b7 ,priority ,! rese>* & developm5t program %all focus on ! prev5tion & control ( ^? diseases ) ! highe/ ne$ = new treatm5ts1 diagno/ics1 & vacc9es1 includ+ soil-transmitt$ helm9?iases 7,,/h7 7r\nd worm1 :ip worm1 & hook worm71 s*i/osomiasis1 *agas disease1 human ,african trypanosomiasis 7sleep+ sickness71 lei%maniasis1 & d5gue fev] & o!r arbovirus infections4 #ajb4 ,actions by ,dep>tm5t ( ,/ate 7a7 ,(fice ( ! ,global ,,aids ,coord9ator ,section #a7;f77#b77;,b77ii7 ( ! ,/ate ,dep>tm5t ,basic ,au?orities ,act ( #aief 7#bb ,u4,s4,c4 #bfea;a7f77#b77;,b77ii77 is am5d$ by add+ at ! end ! foll[+3 7,,xiv7 ,neglect$ tropical diseases 7aa7 ,9 g5]al ,ensur+ coord9ation ( activities ( ! ,unit$ ,/ates 7includ+ fund+7 relat+ to combatt+ ,,hiv_/,,aids ) activities ( ! ,unit$ ,/ates 7includ+ fund+7 relat+ to combatt+ neglect$ tropical diseases to include ! control & elim9ation ( neglect$ tropical diseases1 p>ticul>ly 9 c\ntries & regions t are highly endemic = female g5ital s*i/osomiasis4 7bb7 ,def9ition ,9 ?is subclause1 ! t]m neglect$ tropical diseases has ! mean+ giv5 ! t]m 9 section #e ( ! ,end ,neglect$ ,tropical ,diseases ,act4 4 7b7 ,global ,fund 7#a7 ,9 g5]al ,! ,secret>y ( ,/ate %\ld seek to engage ! ,global ,fund 9 discussions on :e!r to exp& ! au?ority ( ! ,global ,fund = ! control & elim9ation ( neglect$ tropical diseases4 7#b7 ,global ,fund ,9 ?is subsection1 ! t]m ,global ,fund means ! public-private p>tn]%ip kn[n z ! ,global ,fund to ,fight ,,aids1 ,tub]culosis & ,mal>ia e/abli%$ pursuant to ,article #hj ( ! ,swiss ,civil ,code4 7c7 ,g-#bj c\ntries ,! ,secret>y ( ,/ate1 act+ ?r\gh ! ,(fice ( ,global ,heal? ,diplomacy1 %\ld engage ,g-#bj c\ntries to significantly increase _! role 9 ! control & elim9ation ( neglect$ tropical diseases1 p>ticul>ly ,arg5t9a1 ,brazil1 ,*9a1 ,india1 ,indonesia1 ,mexico1 ! ,republic ( ,korea1 ,saudi ,arabia1 & ,s\? ,africa4 #ajc4 ,multilat]al developm5t & heal? in/itutions 7a7 ,congressional f9d+ ,congress f9ds t ! treatm5t ( high burd5 neglect$ tropical diseases1 includ+ s*ool-bas$ deworm+ programs1 has prov5 to be a highly co/-effective education int]v5tion & s*ools c s]ve z ! be/ deliv]y me*anism = rea*+ l>ge numb]s ( *ildr5 ) safe treatm5t = soil-transmitt$ helm9?iases 7,,/h7 7r\nd worm1 :ip worm1 & hook worm7 9 p>ticul>4 7b7 ,unit$ ,nations ,! ,presid5t %all direct ! ,unit$ ,/ates p]man5t repres5tative to ! ,unit$ ,nations to use ! voice1 vote1 & influ5ce ( ! ,unit$ ,/ates to urge ! ,_w ,heal? ,organization1 ! ,unit$ ,nations ,educational1 ,sci5tific & ,cultural ,organization1 & ! ,unit$ ,nations ,developm5t ,programme to take ! actions describ$ 9 subsection 7d74 7c7 ,_w ,bank ,in/itute ,! ,presid5t %all direct ! ,unit$ ,/ates ,executive ,director at ! ,int]national ,bank = ,recon/ruction & ,developm5t to use ! voice1 vote1 & influ5ce ( ! ,unit$ ,/ates to urge ! ,_w ,bank ,in/itute to take ! actions describ$ 9 subsection 7d74 7d7 ,actions describ$ ,! actions describ$ 9 ?is subsection are ! foll[+3 7#a7 ,ensure ! dissem9ation ( be/ practices & programm+ on ,n,t,ds to gov]nm5ts & make data accessible to practition]s 9 an op5 & timely fa%ion4 7#b7 ,highlight impacts ( s*ool-bas$ deworm+ programs on *ildr5's heal? & education1 emphasiz+ ! co/-effectiv5ess ( su* programs4 7#c7 ,enc\rage gov]nm5ts to implem5t deworm+ campaigns at ! national level4 7#d7 ,designate a portion ( grant funds ( ! in/itutions to deworm+ initiatives & cross-sectoral collaboration ) wat] & sanitation & hygi5e ef=ts & nutrition or education programm+4 7#e7 ,enc\rage accurate monitor+ & evaluation ( ,,ntd programs1 includ+ deworm+ programs4 7#f7 ,engage gov]nm5ts 9 cross-bord] initiatives = ! treatm5t1 control1 prev5tion1 & elim9ation ( ,n,t,ds1 & assi/ 9 develop+ transnational agreem5ts1 :5 necess>y4 ,,ii ,dep>tm5t ( ,heal? & ,human ,s]vices #bja4 ,promot+ ef=ts ?r\gh int]ag5cy work+ gr\ps & int]national =ums ,! ,secret>y ( ,heal? & ,human ,s]vices %all cont9ue to promote ! ne$ = robu/ programs & activities to diagnose1 prev5t1 control1 & treat neglect$ tropical diseases-- 7#a7 ?r\gh int]ag5cy work+ gr\ps on heal?2 & 7#b7 ?r\gh relevant int]national =ums on behalf ( ! ,unit$ ,/ates1 includ+ ! po/-#bjae ,unit$ ,nations developm5t ag5da4 #bjb4 ,report on neglect$ tropical diseases 9 ! ,unit$ ,/ates 7a7 ,9 g5]al ,n lat] ?an #ab mon?s aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices1 act+ ?r\gh ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 %all submit to ! ,congress a report on neglect$ tropical diseases 9 ! ,unit$ ,/ates4 7b7 ,cont5ts ,! report requir$ by ?is section %all-- 7#a7 assess ! epidemiology (1 impact (1 & appropriate fund+ requir$ to address neglect$ tropical diseases 9 ! ,unit$ ,/ates2 & 7#b7 include ! in=mation necess>y-- 7,a7 to guide future heal? policy ) respect to su* diseases2 7,b7 to accurately evaluate ! curr5t /ate ( k conc]n+ su* diseases2 & 7,c7 to def9e gaps 9 su* k4 #bjc4 ,c5t]s ( excell5ce ,"p ,p ( title ,,iii ( ! ,public ,heal? ,s]vice ,act is am5d$ by ins]t+ aft] section #cii,v-#e ( su* ,act 7#db ,u4,s4,c4 #bhj;g-#af7 ! foll[+3 #cii,v-#f4 ,neglect$ tropical disease c5t]s ( excell5ce 7a7 ,coop]ative ,agreem5ts & ,grants 7#a7 ,9 g5]al ,! ,secret>y1 act+ ?r\gh ! ,director ( ! ,national ,in/itute ( ,all]gy & ,infecti\s ,diseases or ! ,adm9i/rator ( ! ,heal? ,res\rces & ,s]vices ,adm9i/ration1 z appropriate1 may ent] into coop]ative agreem5ts )1 & make grants to1 public or private nonpr(it entities to pay all or "p ( ! co/ ( plann+1 e/abli%+1 or /r5g!n+1 & provid+ basic op]at+ support =1 "o or m c5t]s ( excell5ce = rese>* into1 tra9+ 91 & developm5t ( diagnosis1 prev5tion1 control1 & treatm5t me?ods = neglect$ tropical diseases4 7#b7 ,eligibility ,to be eligible = a coop]ative agreem5t or grant "u ?is section1 an entity mu/-- 7,a7 h demon/rat$ exp]tise 9 rese>* on1 & ! epidemiology & surveillance (1 ! major neglect$ tropical diseases t are endemic to ! ,unit$ ,/ates1 su* z ,*agas disease1 d5gue1 lei%maniasis1 & ,we/ ,nile virus infection1 & helm9? infections2 & 7,b7 p>ticipate 9 "o or m n-=-pr(it product developm5t p>tn]%ips4 7b7 ,policies ,a coop]ative agreem5t or grant "u p>agraph 7#a7 %all be ent]$ into or aw>d$ 9 accordance ) policies e/abli%$ by ! ,director ( ! ,national ,in/itutes ( ,heal? or ! ,heal? ,res\rces & ,s]vices ,adm9i/ration1 z applicable4 7c7 ,coord9ation ) o!r in/itutes ,! ,secret>y %all coord9ate ! activities "u ?is section ) simil> activities conduct$ by o!r national rese>* in/itutes1 c5t]s1 & ag5cies ( ! ,national ,in/itutes ( ,heal? to ! ext5t t su* in/itutes1 c5t]s1 & ag5cies h responsibilities t are relat$ to neglect$ tropical diseases4 7d7 ,uses ( funds ,a coop]ative agreem5t or grant "u subsection 7a7 may be us$ =-- 7#a7 /aff+1 adm9i/rative1 & o!r basic op]at+ co/s1 includ+ su* pati5t c>e co/s z are requir$ = rese>*2 7#b7 cl9ical tra9+1 includ+ tra9+ = alli$ heal? pr(essionals1 cont9u+ education = heal? pr(essionals & alli$ heal? pr(essions p]sonnel1 & in=mation programs = ! public ) respect to neglect$ tropical diseases2 & 7#c7 rese>* & developm5t programs4 7e7 ,p]iod ( ,support2 ,additional ,p]iods 7#a7 ,9 g5]al ,support ( a c5t] ( excell5ce "u ?is section may be = a p]iod ( n m ?an #e ye>s4 7#b7 ,ext5sions ,! p]iod specifi$ 9 p>agraph 7#a7 may be ext5d$ by ! ,secret>y = additional p]iods ( n m ?an #e ye>s if-- 7,a7 ! op]ations ( ! c5t] ( excell5ce involv$ h be5 review$ by an appropriate te*nical & sci5tific pe] review gr\p2 & 7,b7 su* gr\p has recomm5d$ to ! ,secret>y t su* p]iod %\ld be ext5d$4 7f7 ,def9itions ,9 ?is section3 7#a7 ,! t]m neglect$ tropical disease has ! mean+ giv5 to t t]m 9 section #e ( ! ,end ,neglect$ ,tropical ,diseases ,act4 7#b7 ,! t]m product developm5t p>tn]%ip means a p>tn]%ip to br+ toge!r public & private sector rese>*]s to develop new1 or improve on curr5t1 global heal? tools1 su* z drugs1 diagno/ics1 insecticides1 vacc9es1 & vector managem5t /rategies-- 7,a7 t are = neglect$ tropical diseases2 & 7,b7 = :i* !re is g5]ally no pr(itable m>ket4 7g7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re are au?oriz$ to be appropriat$ su* sums z may be necess>y = ea* ( ! fiscal ye>s #bjae ?r\gh #bjai4 4 #bjd4 ,panel on worm infection solutions 7a7 ,e/abli%m5t ,! ,director ( ! ,national ,in/itutes ( ,heal?1 9 consultation ) ! ,adm9i/rator ( ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t1 %all e/abli% a panel to conduct an evaluation ( issues relat+ to worm infections1 includ+ pot5tial solutions su* z deworm+ m$ic9es 79 ?is section ref]r$ to z ! panel74 7b7 ,/rategies ,! panel %all develop recomm5dations = /rategies = solutions ) respect to-- 7#a7 repeat infections2 7#b7 vector control2 7#c7 clean wat] solutions2 7#d7 id5tify+ inc5tives to enc\rage basic rese>* = less toxic1 m effective m$ic9es2 & 7#e7 improv+ ! success & co/ effici5cy ( curr5t programs 9 ^! areas1 bas$ on a ?or\gh scan ( initiatives already und]way 9 bo? ! public & private sectors4 7c7 ,appo9tm5t ( memb]s ,! ,director ( ! ,national ,in/itutes ( ,heal? %all appo9t z memb]s ( ! panel individuals f ! public & private sectors :o are kn[l$geable ab\t or affect$ by worm infections1 includ+-- 7#a7 at lea/ #b repres5tatives ( nongov]nm5tal organizations2 7#b7 at lea/ #b repres5tatives ( private indu/ry involv$ 9 ! developm5t ( de-worm+ m$ications2 7#c7 at lea/ #b repres5tatives f academia2 & 7#d7 repres5tatives ( indu/ries relat+ to sanitation1 clean wat]1 & vector control4 7d7 ,report ,n lat] ?an #a ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! panel %all submit to ,congress & ! ,director ( ! ,national ,in/itutes ( ,heal? a report on its f9d+s & recomm5d$ /rategies1 includ+ recomm5dations = su* adm9i/rative action & legislation z ! panel det]m9es to be appropriate4 7e7 ,t]m9ation ,! panel %all t]m9ate n lat] ?an #f mon?s aft] submitt+ ! report requir$ by subsection 7d74