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H.R. 5501, the Tom Lantos and Henry Hyde Global Leadership Against HIV/AIDS, Tuberculosis, and Malaria Reauthorization Act of 2008

August 4, 2009
Floor Statement
Rep. Maxine Waters [D-CA]: I strongly support H.R. 5501, the Tom Lantos and Henry Hyde Global Leadership Against HIV/AIDS, Tuberculosis, and Malaria Reauthorization Act of 2008.  This bill authorizes $50 billion over the next five years for international health programs, including $41 billion for HIV/AIDS treatment and prevention, $4 billion for tuberculosis programs, and $5 billion for malaria programs. 

 I just returned from South Africa, where I received the "OR Tambo Award," from South African President Thabo Mbeki.  I received this award because of my efforts to end the brutal system of apartheid in South Africa and to obtain the release of South African anti-apartheid activist Nelson Mandela from prison.  Apartheid was dismantled and Nelson Mandela was elected President of South Africa in 1994, when South Africa held its first democratic elections.

 I was very proud to receive the OR Tambo Award because I have always been and continue to be a friend to South Africa.  However, in South Africa today, the enemy is HIV/AIDS.  It is estimated that 5.5 million people are living with HIV/AIDS in South Africa.  That is more than any other country in the world.  Over 18% of the adult population of South Africa is infected by HIV.  Infected persons include thousands of well-educated professionals, such as doctors, nurses, civil servants and teachers.

 Everywhere I went in South Africa, people told me about the terrible problem they have trying to fill professional positions.  The shortage of educated professionals is a result of the fact that so many South African professionals have died of AIDS or are too sick to work. 

 The involvement of doctors, nurses, teachers, and other professionals is critical to stopping the spread of HIV and AIDS.  That is why I am pleased that this bill includes provisions to strengthen the health care infrastructure in countries like South Africa and train at least 140,000 new health care professionals and workers for HIV/AIDS prevention, treatment and care.  The bill also includes prevention funds to stop the spread of HIV and treatment funds to allow infected individuals to live productive lives and continue to serve their communities.

 It is impossible to address HIV without also addressing tuberculosis.  Almost nine million people develop tuberculosis every year.  At least 2.4 million are killed by the disease.  According to the World Health Organization, HIV and tuberculosis form a lethal combination, each speeding the progress of the other.  In the past 15 years, tuberculosis rates have doubled in Africa overall and tripled in areas with high HIV concentrations.  In some areas of Africa, up to 80% of tuberculosis patients also test positive for HIV.  This makes tuberculosis clinics an ideal location for HIV prevention, treatment, and care.

 I urge all of my colleagues to support this bill and help stop the spread of HIV/AIDS, tuberculosis, and malaria in South Africa and around the world.

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