,,iv #aah? ,,congress #a/ ,session ,h4 ,,res4 #fic ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,septemb] #ah1 #bjbc,mr4 ,johnson ( ,georgia 7= himself1 ,ms4 ,velzquez1 ,ms4 ,lee ( ,cali=nia1 ,ms4 ,adams1 ,ms4 ,sewell1 ,ms4 ,cl>ke ( ,new ,york1 ,ms4 ,wilson ( ,florida1 ,mrs4 ,*]filus-,mc,cormick1 ,ms4 ,crockett1 ,ms4 ,pressley1 ,mr4 ,gre5 ( ,texas1 ,ms4 ,jackson ,lee1 ,mr4 ,jackson ( ,ill9ois1 & ,ms4 ,williams ( ,georgia7 submitt$ ! foll[+ resolution2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce ,,resolution ,express+ support = ! designation ( ,septemb] #i z ,national ,african ,immigrant & ,refugee ,,hiv_/,,aids & ,hepatitis ,aw>5ess 7,,nairhha7 ,day4 ,:]eas ! numb] ( ,african immigrants & refugees liv+ 9 ! ,unit$ ,/ates has increas$ by #ejj p]c5t betwe5 #aihj & #bjaf1 & ^! communities are expect$ to cont9ue gr[+ at a high rate3 ,unit$ ,/ates c5sus data h %[n t ! population ( ,african immigrants has gr[n by #ga p]c5t f #bjja to #bjaf alone2 ,:]eas ,,hiv infection rates are #f times high] 9 ! ,african immigrant population ?an 9 ! g5]al ,unit$ ,/ates population1 & are ne>ly twice ^? ( ,unit$ ,/ates-born ,black individuals2 ,:]eas ,african immigrants face ! highe/ av]age *ronic hepatitis ,b rates 9 ! c\ntry1 ) approximately #aj p]c5t ( ^! communities liv+ ) hepatitis ,b2 ,:]eas ,,hiv & hepatitis ,b & ,c are prev5table & treatable conditions1 & ) appropriate att5tion & focus1 heal? outcomes among ,african immigrant communities c be improv$ & lives c be sav$2 ,:]eas ! ,c5t]s = ,disease ,control & ,prev5tion recomm5ds t individuals born 9 ,africa1 or individuals born 9 ! ,unit$ ,/ates :o h at lea/ "o p>5t born 9 ,africa1 :o 7 n vacc9at$ at bir?1 %\ld be prioritiz$ = hepatitis ,b te/+2 ,:]eas ,african immigrant communities face significant *all5ges to ,,hiv & viral hepatitis te/+1 c>e1 & treatm5t1 & ?\gh !y h high rates ( infection1 !y h l[ rates ( diagnosis & c>e2 ,:]eas *all5ges to ,,hiv & viral hepatitis te/+1 c>e1 & treatm5t include /igma1 fe>1 lack ( aw>5ess & k1 language b>ri]s1 traditional values & social norms1 & limit$ access to heal? c>e s]vices1 & !re also exi/s a ne$ = provid]s & s]vices to be culturally & l+ui/ically appropriate to bett] meet ! ne$s ( ,african immigrants1 9 keep+ ) ! ,national ,/&>ds = ,culturally & ,l+ui/ically ,appropriate ,s]vices 7,,clas7 9 ,heal? & ,heal? ,c>e1 :i* describe a framework to deliv] s]vices t are culturally & l+ui/ically appropriate & respectful1 & t respond to pati5ts' cultural heal? beliefs1 pref]5ces1 & communication ne$s2 ,:]eas immigration /atus is also associat$ ) fe> ( heal? facilities1 l[ acculturation & unfamili>ity navigat+ complex heal? c>e sy/ems1 social & economic m>g9alization1 fe> ( deportation1 & a l[] rate ( heal? insurance1 all pos+ consid]able b>ri]s to ! heal? ( ,african immigrants & refugees liv+ 9 ! ,unit$ ,/ates2 ,:]eas ,,nairhha ,day is a day aim$ t[>d br++ local & national att5tion to ! heal? issues ( ,,hiv_/,,aids & viral hepatitis 9 ,african immigrant & refugee populations 9 ! ,unit$ ,/ates1 9 a way t is culturally & l+ui/ically appropriate1 & by address+ "s ( ! unique issues t ,african immigrants 9 ! ,unit$ ,/ates face ?r\gh aw>5ess1 education1 & res\rces1 ,,nairhha ,day w help emp[] communities to take *>ge ( _! own heal?2 ,:]eas ! objectives ( ,,nairhha ,day include rais+ aw>5ess & elim9at+ /igma2 education ab\t protection aga9/ ,,hiv1 viral hepatitis1 & o!r relat$ diseases2 plac+ control back )9 ! community by enc\rag+ scre5+s & treatm5t1 z well z hepatitis ,b vacc9ation2 & advocat+ = policies & practices t promote heal?y ,african immigrant communities1 families1 & individuals2 ,:]eas no exi/+ ,,hiv_/,,aids aw>5ess day addresses ! di/9ct factors influ5c+ ! high rates ( ,,hiv & viral hepatitis 9 ,african immigrants & refugees1 gr\ps :i* are (t5 ov]look$ or misclassifi$ z ,black or ,african ,am]ican 9 ,,hiv surveillance programs1 due to n collect+ or report+ on in=mation ab\t c\ntry ( orig92 ,:]eas ) ! rapid population rise ( ,african immigrants 9 ! ,unit$ ,/ates1 x is critical to raise aw>5ess among heal? c>e & social s]vice provid]s & among ,african immigrant & refugee communities ab\t ! risk ( viral hepatitis & ,,hiv_/,,aids1 _! pot5tial consequ5ces1 & opportunities = prev5tion1 diagnosis1 & treatm5t1 & z ,african immigrants become long-t]m ,unit$ ,/ates resid5ts1 x w be increas+ly important to provide scre5+1 prev5tion1 & treatm5t ( *ronic & infecti\s diseases ) a culturally s5sitive approa*2 ,:]eas build+ capacity )9 communities to promote k1 treatm5t1 & prev5tion ( ,,hiv & viral hepatitis contributes greatly to ! su/a9ability ( ! ,,nairhha ,day initiative1 =1 z communities increase _! capacity to respond to ! sil5t epidemics ( ,,hiv & viral hepatitis1 !y w develop _! own res\rces to cont9ue ?is "w2 & ,:]eas by enc\rag+ m p to get te/$ & seek treatm5t1 ,,nairhha ,day is aid+ ^? :o suff] n[ & prev5t+ o!rs f contract+ ^! transmissible diseases1 & by try+ to less51 if n remove1 ! /igma beh9d ,,hiv_/,,aids & viral hepatitis1 ,,nairhha ,day is facilitat+ community build+ & communication3 ,n[1 !re=e1 be x ,t ! ,h\se ( ,repres5tatives-- 7#a7 supports ! designation ( ,national ,african ,immigrant & ,refugee ,,hiv_/,,aids & ,hepatitis ,aw>5ess 7,,nairhha7 ,day2 7#b7 recognizes ! importance ( d$icat+ m att5tion & res\rces to address+ ,,hiv_/,,aids & viral hepatitis 9 ,african immigrant & refugee communities across ! ,unit$ ,/ates2 & 7#c7 enc\rages a commitm5t to r$uc+ new viral hepatitis & ,,hiv infections & hepatitis ,b & ,c- & ,,hiv-relat$ dea?s ?r\gh m robu/ scre5+1 vacc9ation1 & l9kage to treatm5t & c>e 9 ,african immigrant & refugee communities4