,,iii #aacth ,,congress #b;d ,session ,s4 ,,res4 #cic ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,march #bd1 #bjad ,mr4 ,brown 7for himself and ,mr4 ,isakson7 submitted the following resolution2 which was referred to the ,committee on ,foreign ,relations ,,resolution ,supporting the goals of ,world ,tuberculosis ,day to raise awareness about tuberculosis4 ,whereas #a_/c of the population of the world is infected with the tuberculosis bacterium2 ,whereas more than #i1ejj tuberculosis cases were reported in the ,united ,states in #bjac2 ,whereas more than #a1cjj1jjj individuals die from tuberculosis each year2 ,whereas over #ie percent of tuberculosis deaths occur in low- and middle-income developing countries2 ,whereas tuberculosis is the second leading global infectious disease killer1 behind ,,hiv_/,,aids1 and claims #a1hjj1jjj lives each year2 ,whereas tuberculosis is a leading killer of people living with ,,hiv_/,,aids1 causing #a_/e of all deaths among people with ,,hiv_/,,aids2 ,whereas tuberculosis is the third leading killer of adult women1 and the stigma associated with tuberculosis disproportionately affects women1 causing women to delay seeking care and interfering with treatment adherence2 ,whereas the global tuberculosis pandemic and the spread of drug-resistant tuberculosis present a persistent public health threat to the ,united ,states2 ,whereas according to #bjji data from the ,world ,health ,organization1 #c4f percent of all new tuberculosis cases are drug resistant2 ,whereas multi-drug resistant tuberculosis 7referred to in this preamble as ,,mdr-,,tb7 is present in virtually all countries surveyed2 ,whereas approximately #dej1jjj people around the world developed ,,mdr-,,tb in #bjab2 ,whereas extensively drug-resistant tuberculosis 7referred to in this preamble as ,,xdr-,,tb7 is a strain of tuberculosis that is very difficult and expensive to treat and has high and rapid fatality rates1 especially among ,,hiv_/,,aids patients2 ,whereas there have been more than #fc cases of ,,xdr-,,tb in the ,united ,states between #bjjd and #bjad2 ,whereas as of ,september #bjac1 #ib countries have reported at least #a case of ,,xdr-,,tb2 ,whereas the ,centers for ,disease ,control and ,prevention estimated1 in #bjji1 that the cost of hospitalizing a single patient with ,,xdr-,,tb is #dhc1jjj2 ,whereas1 between #bjje and #bjjg1 the #cgc ,,xdr-,,tb cases in the ,united ,states collectively cost the health care system an estimated #ec1jjj1jjj2 ,whereas the death rate of tuberculosis dropped #de percent between #aiij and #bjab2 ,whereas the ,institute of ,medicine found that a decrease in tuberculosis control funding and the spread of ,,hiv_/,,aids caused the resurgence of tuberculosis between #aihj and #aiib2 ,whereas although the number of tuberculosis cases in the ,united ,states continues to decline1 progress towards eliminating tuberculosis has slowed and the disease does not recognize borders2 ,whereas ,african ,americans are #h times more likely to have tuberculosis than ,caucasians1 and significant disparities exist among other minorities in the ,united ,states1 including ,native ,americans1 ,asian ,americans1 and ,hispanic ,americans2 ,whereas over #ecj1jjj children became infected with tuberculosis in #bjab2 ,whereas tobacco use greatly increases the risk of tuberculosis and death1 and more than #bj percent of tuberculosis cases worldwide are attributed to smoking2 ,whereas diabetes is a major risk factor for tuberculosis1 and people with diabetes are more likely to develop the disease and have a higher risk of death due to the disease2 ,whereas a new technology1 known as ,xpert1 developed in the ,united ,states1 is able to diagnose cases of tuberculosis within #b hours1 and such technology can even diagnose cases that are difficult to detect1 such as cases involving individuals living with ,,hiv2 ,whereas although drugs1 diagnostics1 and vaccines for tuberculosis exist1 these technologies are antiquated and increasingly inadequate for controlling the global epidemic2 ,whereas ,xpert can quickly detect resistance to #a of the primary tuberculosis drugs1 but other tests to detect drug resistance take at least #a month to complete and the medical community must develop even faster drug susceptibility tests to stop the spread of drug-resistant tuberculosis2 ,whereas ,bacillus ,calmette-,gurin1 a tuberculosis vaccine that is known as ,,bcg1 provides some protection to children but has little or no efficacy in preventing pulmonary tuberculosis in adults2 ,whereas there is a critical need for the development of tuberculosis drugs that individuals can safely take concurrently with antiretroviral therapy for ,,hiv2 ,whereas the ,millennium ,development ,goal of the ,world ,health ,organization is to reverse the spread of tuberculosis by #bjae2 ,whereas the enactment of the ,tom ,lantos and ,henry ,j4 ,hyde ,united ,states ,global ,leadership ,against ,,hiv_/,,aids1 ,tuberculosis1 and ,malaria ,reauthorization ,act of #bjjh 7,public ,law #aaj-bic2 #abb ,stat4 #biah7 and the ,comprehensive ,tuberculosis ,elimination ,act of #bjjh 7,public ,law #aaj-cib2 #abb ,stat4 #daie7 provides a historic ,united ,states commitment to the global eradication of tuberculosis1 including a commitment to successfully treating #d1ejj1jjj tuberculosis patients and #ij1jjj ,,mdr-,,tb patients between #bjjh and #bjac and to providing additional treatment through coordinated multilateral efforts2 ,whereas the ,united ,states ,agency for ,international ,development provides financial and technical assistance to nearly #dj highly burdened tuberculosis countries1 supports the development of new diagnostic and treatment tools1 and is authorized to support research to develop new vaccines to combat tuberculosis2 ,whereas the ,centers for ,disease ,control and ,prevention1 partnering with the other entities of the ,united ,states and individual ,states and territories1 directs the national tuberculosis elimination program1 directs essential national tuberculosis surveillance1 technical assistance1 and prevention activities1 and supports the development of new diagnostic1 treatment1 and prevention tools to combat tuberculosis2 ,whereas the ,national ,institutes of ,health1 through its many institutes and centers1 plays the leading role in basic and clinical research on the identification1 treatment1 and prevention of tuberculosis2 ,whereas the ,global ,fund to ,fight ,,aids1 ,tuberculosis1 and ,malaria provides #fc percent of all international financing for tuberculosis programs2 ,whereas the ,global ,fund to ,fight ,,aids1 ,tuberculosis1 and ,malaria finances-- 7#a7 proposals worth #c1bjj1jjj1jjj in #aab countries2 7#b7 tuberculosis treatment for #f1jjj1jjj people2 and 7#c7 #a1hjj1jjj ,,hiv_/,,aids and tuberculosis services2 ,whereas the prevalence and mortality rates of tuberculosis are declining in many countries with programs supported by the ,global ,fund to ,fight ,,aids1 ,tuberculosis1 and ,malaria2 and ,whereas ,march #bd1 #bjad1 is ,world ,tuberculosis ,day1 a day that commemorates the date in #ahhb on which ,dr4 ,robert ,koch announced his discovery of ,mycobacterium tuberculosis1 the bacteria that causes tuberculosis3 ,now1 therefore1 be it ,that the ,senate-- 7#a7 supports the goals of ,world ,tuberculosis ,day to raise awareness about tuberculosis2 7#b7 commends the progress of anti-tuberculosis efforts by entities that include the ,united ,states ,agency for ,international ,development1 the ,centers for ,disease ,control and ,prevention1 the ,national ,institutes of ,health1 and the ,global ,fund to ,fight ,,aids1 ,tuberculosis1 and ,malaria2 and 7#c7 reaffirms the commitment to global tuberculosis control set forth in section #d of the ,united ,states ,leadership ,against ,,hiv_/,,aids1 ,tuberculosis1 and ,malaria ,act of #bjjc 7#bb ,u4,s4,c4 #gfjc74