#aaf? ,,congress  #a/ ,session  ,h4 ,r4 
#cdfj  ,,an ,,act  ,to facilitate       
effective rese>* on & treatm5t (        
neglect$ tropical diseases ?r\gh        
coord9at$ 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 ,sec4 #g4          
,expansion ( ,unit$ ,/ates ,ag5cy =     
,int]national ,developm5t ,neglect$     
,tropical ,diseases ,program4 ,sec4 #h4 
,actions by ,dep>tm5t ( ,/ate4 ,sec4 #i4
 ,multilat]al developm5t & heal?        
in/itutions4  #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 control1 &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 #b   
billion p1 almo/ "o-?ird ( ! _w's       
population1 are at risk ( contract+ an  
,,ntd1 & m ?an #a4d billion p are       
curr5tly afflict$ ) #a 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$4 ,at lea/ #ajj c\ntries face #b  
endemic ,,ntd burd5s1 & #cj c\ntries    
c>ry #f or m endemic ,n,t,ds4  7#f7     
,n,t,ds are n conf9$ 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 
( #c p>asitic worms 7r\ndworms1         
:ipworms1 & hookworms7 t afflict m ?an  

#a 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  
,! 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 scabies2  7,m7   
s*i/osomiasis2  7,n7 soil-transmitt$    
helm9?iases 7,,/h7 7r\ndworm1 :ipworm1 &
 hookworm72  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 ,developm5t4  #g4       
,expansion ( ,unit$ ,/ates ,ag5cy =     
,int]national ,developm5t ,neglect$     
,tropical ,diseases ,program  7a7 ,f9d+s
 ,congress f9ds ! foll[+3 7#a7 ,s9ce    
fiscal ye> #bjjf1 ! ,unit$ ,/ates       
,gov]nm5t has be5 an ess5tial lead] 9   

global ef=ts to control sev5 t>get$     
neglect$ tropical diseases3 lymphatic   
fil>iasis 7elephantiasis71 on*oc]ciasis 
7riv] bl9dness71 s*i/osomiasis1         
soil-transmitt$ helm9?iases 7r\ndworm1  
:ipworm1 & hookworm71 & tra*oma4        
,additional in=mation sugge/s t su*     
ef=ts c\ld also produce collat]al       
b5efits = at lea/ ?ree o!r neglect$     
tropical diseases3 foodborne            
trematodiases1 scabies1 & yaws 7endemic 
treponematoses74  7#b7 ,! ,unit$ ,/ates 
,gov]nm5t is a p>tn] 9 ! ,london        
,decl>ation on ,neglect$ ,tropical      
,diseases 7#bjab71 :i* repres5ts a new1 
coord9at$ int]national pu% to accel]ate 
progress t[>d elim9at+ or controll+ #aj 
,n,t,ds by #bjbj4  7#c7 ,:ile _m ( ! mo/
 common ,n,t,ds h safe1 easy to use1 &  
effective treatm5ts1 treatm5t options = 
! ,n,t,ds ) ! highe/ dea? rates1 includ+
 human ,african trypanosomiasis 7sleep+ 
sickness71 visc]al lei%maniasis1 &      
,*agas disease1 are extremely limit$4   
7#d7 ,! ,unit$ ,/ates ,ag5cy =          

,int]national ,developm5t 7,,usaid7     
,neglect$ ,tropical ,diseases ,program  
has made important & sub/antial         
contributions to ! global fight to      
control & elim9ate #e ( ! mo/ common    
,n,t,ds4 ,lev]ag+ m ?an #ae1gjj1jjj1jjj 
9 donat$ m$ic9es1 ,,usaid has support$ !
 di/ribution ( m ?an #a billion         
treatm5ts 9 #ca c\ntries across ,africa1
 ,asia1 & ,lat9 ,am]ica & ! ,c>ibbean4  
7#e7 ,s9ce #bjad1 ! ,,usaid ,neglect$   
,tropical ,diseases ,program has be5    
inve/+ 9 rese>* & developm5t = !        
treatm5t ( c]ta9 ,n,t,ds to ensure t    
promis+ new break?r\gh m$ic9es c be     
rapidly evaluat$1 regi/]$1 & made       
available to pati5ts4  7#f7 ,! ,,usaid  
,neglect$ ,tropical ,diseases ,program  
is a cle> example ( a successful        
public-private p>tn]%ip betwe5 !        
,gov]nm5t & ! private sector & %\ld be  
judici\sly exp&$1 z practicable &       
appropriate4  7b7 ,s5se ( congress ,x is
 ! s5se ( ,congress t ! ,,usaid         
,neglect$ ,tropical ,diseases ,program1 

z 9 effect on ! date ( ! enactm5t ( ?is 
,act1 %\ld--  7#a7 provide integrat$    
drug treatm5t packages to z _m          
individuals suff]+ f ,n,t,ds or at risk 
( acquir+ ,n,t,ds1 includ+ individuals  
displac$ by manmade & natural disa/]s1 z
 logi/ically feasible2  7#b7 bett]      
integrate ,,ntd control & treatm5t tools
 & approa*es into complem5t>y developm5t
 & global heal? programs by coord9at+1  
to ! ext5t practicable & appropriate1   
across multiple sectors1 includ+ ^?     
relat+ to ,,hiv_/,,aids1 mal>ia1        
tub]culosis1 education1 nutrition1 o!r  
infecti\s diseases1 mat]nal & *ild      
heal?1 & wat]1 sanitation1 & hygi5e2    
7#c7 e/abli% l[-co/1 high-impact        
community- & s*ool-bas$ ,,ntd programs  
to rea* l>ge at-risk populations1       
includ+ s*ool-age *ildr51 ) integrat$   
drug treatm5t packages1 z feasible2     
7#d7 z opportunities em]ge & res\rces   
all[1 engage 9 rese>* & developm5t ( new
 tools & approa*es to rea* ! goals      
relat+ to ! elim9ation ( ,n,t,ds z set  

=? by ! #bjab ,_w ,heal? ,organization  
publication ,accel]at+ ,"w to ,ov]come !
 ,global ,impact ( ,neglect$ ,tropical  
,diseases3 ,a ,roadmap = ,implem5tation1
 includ+ = ,*agas disease1 ,gu9ea worm1 
human ,african trypanosomiasis 7sleep+  
sickness71 leprosy1 & visc]al           
lei%maniasis2 &  7#e7 monitor rese>* on 
& developm5ts 9 ! prev5tion & treatm5t (
 o!r ,n,t,ds s break?r\ghs c be         
incorporat$ into ! ,,usaid ,neglect$    
,tropical ,diseases ,program1 z         
practicable & appropriate4  7c7 ,program
 priorities ,! ,adm9i/rator ( ,,usaid   
%\ld incorporate ! foll[+ priorities    
into ! ,,usaid ,neglect$ ,tropical      
,diseases ,program 7z 9 effect on ! date
 ( ! enactm5t ( ?is ,act73  7#a7 ,plann+
 = & conduct+ robu/ monitor+ &          
evaluation ( program inve/m5ts 9 ord] to
 accurately measure impact1 id5tify &   
%>e lessons le>n$1 & in=m future ,,ntd  
control & elim9ation /rategies4  7#b7   
,coord9at+ program activities )         
complem5t>y ,,usaid developm5t & global 

heal? programs1 includ+ programs relat+ 
to wat]1 sanitation1 & hygi5e1 food &   
nutrition security1 & education 7bo?    
prim>y & second>y71 9 ord] to advance ! 
goals ( ! ,london ,decl>ation on        
,neglect$ ,tropical ,diseases 7#bjab74  
7#c7 ,includ+ morbidity managem5t 9     
treatm5t plans = high-burd5 ,n,t,ds4    
7#d7 ,incorporat+ ,n,t,ds includ$ 9 !   
,global ,burd5 ( ,disease ,/udy #bjaj   
into ! program z opportunities em]ge1 to
 ! ext5t practicable & appropriate4     
7#e7 ,cont9u+ inve/m5ts 9 ! rese>* &    
developm5t ( new tools & approa*es t    
complem5t exi/+ rese>* inve/m5ts &      
ensure t new discov]ies make x ?r\gh !  
pipel9e & become available to           
individuals :o ne$ !m mo/4  #h4 ,actions
 by ,dep>tm5t ( ,/ate  7a7 ,(fice ( !   
global ,,aids coord9ator ,x is ! s5se ( 
,congress t ! ,coord9ator ( ,unit$      
,/ates ,gov]nm5t ,activities to ,combat 
,,hiv_/,,aids ,globally %\ld fully      
consid] evolv+ rese>* on ! impact (     
,n,t,ds on ef=ts to control             

,,hiv_/,,aids :5 mak+ future programm+  
decisions1 z necess>y & appropriate4    
7b7 ,global programm+  7#a7 ,9 g5]al ,! 
,secret>y ( ,/ate %\ld enc\rage !       
,global ,fund to take into consid]ation 
evolv+ rese>* on ! impact ( ,n,t,ds on  
ef=ts to control ,,hiv_/,,aids :5 mak+  
programm+ decisions1 p>ticul>ly ) reg>d 
to female g5ital s*i/osomiasis1 :i*     
/udies sugge/ may be "o ( ! mo/         
significant c(actors 9 ! ,,aids epidemic
 9 ,africa1 z necess>y & appropriate4   
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 enc\rage ,g-#bj        
c\ntries to significantly increase _!   
role 9 ! control & elim9ation ( ,n,t,ds4
  #i4 ,multilat]al developm5t & heal?   
in/itutions  7a7 ,congressional f9d+    

,congress f9ds t ! treatm5t ( ,n,t,ds1  
includ+ community- & s*ool-bas$ deworm+ 
programs1 c be a highly co/-effective   
int]v5tion1 & s*ools c s]ve z an        
effective deliv]y me*anism = rea*+ l>ge 
numb]s ( *ildr5 ) safe treatm5t =       
soil-transmitt$ helm9?iases 7r\ndworm1  
:ipworm1 & hookworm7 9 p>ticul>4  7b7   
,unit$ nations ,! ,presid5t %\ld direct 
! ,unit$ ,/ates p]man5t repres5tative to
 ! ,unit$ ,nations to use ! voice1 vote1
 & influ5ce ( ! ,unit$ ,/ates to urge ! 
,_w ,heal? ,organization & ! ,unit$     
,nations ,developm5t ,programme to--    
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%ion2  
7#b7 highlight impacts ( community- &   
s*ool-bas$ deworm+ programs on *ildr5's 
heal? & education1 emphasiz+ !          
co/-effectiv5ess ( su* programs2  7#c7  
enc\rage gov]nm5ts to implem5t deworm+  
campaigns at ! national level2  7#d7    
consid] ! designation ( a portion (     

grant funds ( ! in/itutions to deworm+  
initiatives & cross-sectoral            
collaboration ) wat]1 sanitation1 &     
hygi5e ef=ts & nutrition or education   
programm+1 z practicable & appropriate2 
7#e7 enc\rage accurate monitor+ &       
evaluation ( ,,ntd programs1 includ+    
deworm+ programs2 &  7#f7 engage        
gov]nm5ts 9 cross-bord] initiatives = ! 
treatm5t1 control1 prev5tion1 &         
elim9ation ( ,n,t,ds1 & assi/ 9 develop+
 transnational agreem5ts1 :5 & :]e      
necess>y4  ,pass$ ! ,h\se (             
,repres5tatives ,decemb] #c1            
#bjai4;,cl]k4