,,iii  #aacth ,,congress  #ast ,session 
,s4 ,,res4 #he  ,,in ,,the ,,senate ,,of
 ,,the ,,united ,,states  ,march #bj1   
#bjac ,mr4 ,sessions 7for himself and   
,mr4 ,cardin7 submitted the following   
resolution2 which was considered and    
agreed to  ,,resolution  ,designating   
,april #bjac as ,national ,congenital   
,diaphragmatic ,hernia ,awareness       
,month4  ,whereas congenital            
diaphragmatic hernia occurs when the    
diaphragm fails to fully form1 allowing 
abdominal organs to migrate into the    
chest cavity and prevent lung growth2   
,whereas the ,centers for ,disease      
,control and ,prevention defines        
congenital diaphragmatic hernia as a    
birth defect2 ,whereas congenital       
diaphragmatic hernia occurs in #a of    
every #b1ejj births2 ,whereas congenital
 diaphragmatic hernia affects           
approximately #a1fjj babies each year in
 the ,united ,states2 ,whereas the      
majority of congenital diaphragmatic    
hernia patients have underdeveloped     

lungs or poor pulmonary function2       
,whereas congenital diaphragmatic hernia
 patients often endure long-term        
complications1 including pulmonary      
hypertension1 pulmonary hypoplasia1     
asthma1 gastrointestinal reflex1 feeding
 disorders1 and developmental delays2   
,whereas congenital diaphragmatic hernia
 survivors sometimes endure long-term   
mechanical ventilation dependency1      
skeletal malformations1 supplemental    
oxygen dependency1 enteral and          
parenteral nutrition1 and hypoxic brain 
injury2 ,whereas congenital             
diaphragmatic hernia patients have a    
survival rate ranging from #fb percent  
to #ij percent depending on the severity
 of the defect1 the treatment available 
at delivery1 and whether extracorporeal 
membrane oxygenation must be used2      
,whereas congenital diaphragmatic hernia
 has affected more than #fjj1jjj babies 
throughout the world since #bjjj2       
,whereas babies born with congenital    
diaphragmatic hernia endure extended    

hospital stays in intensive care with   
multiple surgeries2 ,whereas congenital 
diaphragmatic hernia is as common a     
birth defect as spina bifida and cystic 
fibrosis2 ,whereas congenital           
diaphragmatic hernia is diagnosed in    
utero in only #ge percent of cases2     
,whereas congenital diaphragmatic hernia
 is treated through mechanical          
ventilation1 extracorporeal membrane    
oxygenation machines 7commonly known as 
heart and lung bypass machines7 and     
surgical repair2 ,whereas patients often
 outgrow congenital diaphragmatic hernia
 surgical repair1 leading to            
reherniation and requiring additional   
surgery2 ,whereas the occurrence of     
congenital diaphragmatic hernia does not
 discriminate based on race1 gender1 or 
socioeconomic status2 ,whereas the cause
 of congenital diaphragmatic hernia is  
unknown2 ,whereas the average hospital  
bill for a congenital diaphragmatic     
hernia patient is #ejj1jjj2 and ,whereas
 the total annual cost of medical care  

for children with congenital            
diaphragmatic hernia in the ,united     
,states is more than #hjj1jjj1jjj3 ,now1
 therefore be it  ,that the ,senate--   
7#a7 designates ,april #bjac as         
,national ,congenital ,diaphragmatic    
,hernia ,awareness ,month2  7#b7        
declares that steps should be taken to--
  7,a7 raise awareness of and increase  
public knowledge about congenital       
diaphragmatic hernia2  7,b7 inform      
minority populations in the ,united     
,states about congenital diaphragmatic  
hernia2  7,c7 disseminate information on
 the importance of good neonatal care   
for congenital diaphragmatic hernia     
patients2  7,d7 promote good prenatal   
care and the use of ultrasounds to      
detect congenital diaphragmatic hernia  
in utero2 and  7,e7 encourage research  
on congenital diaphragmatic hernia in   
order to discover its causes1 develop   
treatments1 and find a cure2 and  7#c7  
calls on the people of the ,united      
,states1 interest groups1 and affected  

persons to--  7,a7 promote awareness of 
congenital diaphragmatic hernia2  7,b7  
take an active role in the fight against
 this devastating birth defect2 and     
7,c7 observe ,national ,congenital      
,diaphragmatic ,hernia ,awareness ,month
 with appropriate ceremonies and        
activities4