,,iv #aai? ,,congress #a/ ,session ,h4 ,,res4 #fic ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,septemb] #aj1 #bjbe,mr4 ,johnson ( ,georgia 7= himself & ,ms4 ,velzquez7 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 ,day or ,,nairhha ,day4 ,:]eas1 betwe5 #aihj & #bjai1 ! numb] ( ,african immigrants 9 ! ,unit$ ,/ates increas$ ne>ly sixte5fold1 a gr[? t r\ghly equates to a #a1ejj p]c5t increase1 f> surpass+ e>li] e/imates ( #ejj p]c5t2 ,:]eas1 f #bjjj to #bjai alone1 ! ,african immigrant population grew by approximately #bdf p]c5t1 ris+ f ar\nd #fjj1jjj to #b1jjj1jjj1 mak+ ,african immigrants ! fa/e/-gr[+ gr\p among ,black immigrants 9 ! ,unit$ ,/ates1 & _! numb]s are expect$ to cont9ue ris+ significantly 9 ! com+ decades2 ,:]eas ,,hiv infection rates are #f times high] 9 ! ,african immigrant population ?an 9 ! g5]al ,unit$ ,/ates population & are ne>ly twice ^? ( ,unit$ ,/ates-born ,black individuals2 ,:]eas1 despite ,pr,e,p's prov5 effectiv5ess 9 prev5t+ ,,hiv transmission1 few] ?an #cj p]c5t ( ,african immigrants are aw>e ( preexposure prophylaxis 7,pr,e,p71 & less ?an #e p]c5t h report$ prior use1 reflect+ a critical gap 9 prev5tion outrea*1 education1 & culturally responsive s]vices2 ,:]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$2 ,:]eas ! ,,cdc recomm5ds t individuals born 9 ,africa1 or individuals born 9 ! ,unit$ ,/ates :o h at lea/ #a 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 & treatm5t2 ,:]eas1 ?\gh !y h high rates ( infection1 !y h l[ rates ( diagnosis & c>e2 ,:]eas *all5ges include /igma1 fe>1 lack ( aw>5ess & k1 language b>ri]s1 traditional values & social norms1 & limit$ access to heal? c>e s]vices2 ,:]eas !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 appropriate2 ,:]eas1 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-- 7#a7 rais+ aw>5ess & elim9at+ /igma2 7#b7 education ab\t protection aga9/ ,,hiv1 viral hepatitis & o!r relat$ diseases1 plac+ control back )9 ! community by enc\rag+ scre5+s & treatm5t1 z well z hepatitis ,b vacc9ation2 & 7#c7 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 ,:]eas1 ) ! 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 & treatm5t2 ,:]eas1 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 treatm5t & prev5tion ( ,,hiv & viral hepatitis contributes greatly to ! su/a9ability ( ! ,,nairhha ,day initiative1 = z communities increase _! capacity to respond to ! sil5t epidemics ( ,,hiv & viral hepatitis1 !y w develop _! own res\rces to cont9ue ?is "w2 ,:]eas1 by enc\rag+ m p to get te/$ & seek treatm5t1 ,,nairhha ,day is aid+ ^? :o suff] n[ & prev5t+ o!rs f contract+ ^! transmissible diseases2 & ,:]eas1 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 ,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