Tag Archives: Zika Virus

Do-Nothing-But-Harm Congress Needs to Set Aside Anti-Abortion Fanatacism and Fund Zika Prevention

Senator Marco Rubio (R-Fl), a rabid opponent of abortion rights who has said that birth defects should not warrant an exemption, has told Congress to set aside ideology on Zika funding – because of the harm to Florida’s tourism industry and his reelection campaign © 2016 Karen Rubin/news-photos-features.com
Senator Marco Rubio (R-Fl), a rabid opponent of abortion rights who has said that birth defects should not warrant an exemption, has told Congress to set aside ideology on Zika funding – because of the harm to Florida’s tourism industry and his reelection campaign © 2016 Karen Rubin/news-photos-features.com

Zika is a small label from a tiny source that has world-shattering implications for families, for communities, for society and the economy.

It is also shorthand for everything that has been so absolutely wrong with the Republican-controlled Congress. It is no longer sufficient to describe it as “Do Nothing.” It is more appropriate to describe how their dysfunction, inaction, their idolatry to ideology has become destructive. Rather than a government with “limited power,” the right-wing ideology has intruded into our personal lives in such devastating.

Rather than treat Zika – a neurotropic virus that grows in target brain cells, literally destroying the fetal brain as it develops –  as the public health crisis that it is, the Right Wingers who control Congress have wrapped it up with abortion as an excuse to derail a vote.

The party that purports to hold a lock on family values? Pregnancy is stressful enough, but instead of being excited and happy at a pregnancy, a woman would be consumed by anxiety, and even hatred for the fetus and the baby that emerges.

When Zika first came to the world’s attention in Brazil, I was thinking that Americans were luckier than the hapless Brazilian women, who were being told to defer child-bearing for four years, because while abortion is illegal in that Catholic country, it is a Constitutionally protected right here in the US – except that the Right Wingers have found ways to throw up so many obstacles to a woman’s reproductive freedom, even declaring that a mother is a mere “vessel” to incubate the fetus, rather than a person with the same rights of self-determination as men.

Meanwhile, there are now approximately 18,000 confirmed case of the Zika Virus in the United States and territories, including 1,751 pregnant women infected, and that number is rising daily.

Earlier this year, the Senate overwhelmingly passed a bipartisan Zika funding measure by a vote of 89-8. Even Marco Rubio, now running for reelection to the Senate he demeaned during his run for the Presidency, who has said that birth defects should not be an “exemption” for an abortion, told his colleagues that Zika warranted setting ideology aside, but that was because of the harm it was having to Florida’s tourism industry.

But then Republicans changed course, packing the bill full of partisan political riders — like demanding a ban on funding to Planned Parenthood, undermining key provisions of the Clean Water Act, even allowing Confederate flags in cemeteries— and shut Democrats out of the debate.

Now, the money that had been available to the CDC, $292 million “ is out the door already and there are things we wish we could do but can’t because we don’t have the resources,” Dr. Tom Frieden, Director of the Centers for Disease Control (CDC) said on “The Takeaway” on NPR. “The decisions made today, or not made, will have implications for decades to come.”

There is so much that is not known about Zika – funding is needed for research for a vaccine, to diagnose, on better ways to control its spread, to understand the impacts of development for infants that do not manifest microcephaly immediately (Hearing loss? Learning disability?) and whether there are latent impacts that could impact even adults (a connection to Alzheimer’s has been raised).

“We need the dollars and the legal authorities so that when there is an emergency, we can treat it as emergency.

“If get in early, can avoid problems – with an earthquake or flood you are providing assistance and picking up the pieces. But with an epidemic, if we can get there early enough, we can do the equivalent of stopping an earthquake…

“The long delay in providing additional supplemental funding makes it difficult to have robust response, and makes it more important to have an infectious disease rapid response fund so we can spend money quickly and effectively. Republicans and Democrats in the House and Senate are on board with creating such a fund,” he said.

“Zika will be around for years to come, so it is important to invest now in better ways to stop it. The sooner we get the funding, we can embark on those projects,” he said.

The failure to act on Zika is part and parcel of the right wingers’ continued assault on abortion rights –– essentially a woman’s right to choose, to control her own body and her own destiny, a family’s right to protect itself and create the best environment for its children. They have gone so far as to block the use of an abortion pill that is safer and easier to use than surgical procedure, and even preventing doctors from using a safer regimen of the medication.

This is not about “life” – as we now see in Texas where their anti-woman, anti-choice ideological crusade has resulted in closure of dozens of Planned Parenthood clinics, with the result that the rate of maternal mortality has exploded.

“From 2000 to the end of 2010, Texas’s estimated maternal mortality rate hovered between 17.7 and 18.6 per 100,000 births. But after 2010, that rate had leaped to 33 deaths per 100,000, and in 2014 it was 35.8. Between 2010 and 2014, more than 600 women died for reasons related to their pregnancies.

“No other state saw a comparable increase,” writes Molly Redden in The Guardian. Those rates put Texas on par with the Third World, where having a baby is the most dangerous thing a woman can do.

This is further proof that the right-wingers who control Congress do not care about “life” they care about control. This is about modern-day enslavement of women. They see a woman as a vessel, a vassal, not as a free person with the rights to make their own life’s choices. While they say they want individuals to be able to care for themselves, producing a generation born with microcephaly means they and their families will have to be dependent upon the state.

This cavalier attitude to life – particularly children – is also manifest in Congress’ failure to act on lead in the drinking water in Flint and other urban areas, likely impairing their normal brain development, contributing to learning and behavioral problems and lowering their IQ’s—and poor and minority children are unfairly at the greatest risk of lead poisoning. Half a million kids in the US already have elevated levels of lead in their blood and millions more are at risk.

The consequences for local school budgets – just as one example – to have to accommodate the special needs of children impacted by lead and now Zika-caused microcephaly – is mindboggling, making the challenge for school districts to keep Mylan’s overpriced Epipens on hand seem like small potatoes.

The Republican controlled Congress’ refusal to come to consensus and treat Zika as the public health emergency it is – no different than a terror attack – but instead, to hamstring it with poison pills that make it unpalatable to pass is not like the Do-Nothing-But-Harm Congress hasn’t been doing mischief since its return from a 7-week vacation. This includes three bills designed to overturn Dodd-Frank protections of the financial system, a bill to neuter Obamacare, a possible impeachment of the IRS Commissioner, and a yet a new investigation, investigating the FBI investigators into Hillary Clinton’s emails (is that the 9th or 10th Congressional investigation?).

But let’s look at what the Do-Nothing-But-Harm Congress has done nothing about: gun violence prevention (No Fly, No Buy), the Flint water crisis, confirming Merritt Garland to the Supreme Court,  and they are even dragging feet about adopting a Continuing Resolution in order to avoid yet another Republican government shutdown.

Congress needs to fund Zika programs and create an infectious disease emergency response fund, which, apparently is actually supported (at least with lip service) by Democrats and Republicans in the House and Senate.

After his meeting with Congressional leaders on Monday, Obama expressed confidence there would be no government shut down and there would be funding for Zika.

Ah, President Obama, ever the optimist. We’ll see.

White House Issues Fact Sheet on Administration’s Efforts to Respond to Zika Virus

The White House has issued a Fact Sheet:  Preparing for and Responding to the Zika Virus at Home and Abroad:

 

Since late last year, the Administration has been aggressively working to combat Zika, a virus primarily spread by mosquitoes that has recently been linked to birth defects and other concerning health outcomes.  The Federal Government has been monitoring the Zika virus and working with our domestic and international public health partners to alert healthcare providers and the public about Zika; provide public health laboratories with diagnostic tests; and detect and report cases both domestically and internationally. 

 

The Administration is taking every appropriate measure to protect the American people, and today announced that it is asking Congress for more than $1.8 billion in emergency funding to enhance our ongoing efforts to prepare for and respond to the Zika virus, both domestically and internationally.  The Administration will submit a formal request to Congress shortly.

 

The Pan American Health Organization reports 26 countries and territories in the Americas with local Zika transmission.  While we have not yet seen transmission of the Zika virus by mosquitoes within the continental United States, Puerto Rico and other U.S. territories in warmer areas with Aedes aegpyti mosquito populations are already seeing active transmission. In addition, some Americans have returned to the continental U.S. from affected countries in South America, Central America, the Caribbean and the Pacific Islands with Zika infections.  The Centers for Disease Control and Prevention reports 50 laboratory-confirmed cases among U.S. travelers from December 2015- February 5, 2016.   As spring and summer approach, bringing with them larger and more active mosquito populations, we must be fully prepared to mitigate and quickly address local transmission within the continental U.S., particularly in the Southern United States.

 

The requested resources will build on our ongoing preparedness efforts and will support essential strategies to combat this virus, such as rapidly expanding mosquito control programs; accelerating vaccine research and diagnostic development; enabling the testing and procurement of vaccines and diagnostics; educating health care providers, pregnant women and their partners; improving epidemiology and expanding laboratory and diagnostic testing capacity; improving health services and supports for low-income pregnant women, and enhancing the ability of Zika-affected countries to better combat mosquitoes and control transmission. 

 

There is much that we do not yet know about Zika and its relationship to the poor health outcomes that are being reported in Zika-affected areas. We must work aggressively to investigate these outbreaks, and mitigate, to the best extent possible, the spread of the virus. Congressional action on the Administration’s request will accelerate our ability to prevent, detect and respond to the Zika virus and bolster our ability to reduce the potential for future infectious disease outbreaks.

 

Department of Health and Human Services – $1.48 billion

Centers for Disease Control and Prevention – $828 million.  The request includes funding to support prevention and response strategies through the following activities:

·         Support Zika virus readiness and response capacity in States and territories with mosquito populations that are known to transmit Zika virus, with a priority focus on areas with ongoing Zika transmission;

·         Enhance mosquito control programs through enhanced laboratory, epidemiology and surveillance capacity in at-risk areas to reduce the opportunities for Zika transmission;

·         Establish rapid response teams to limit potential clusters of Zika virus in the United States;

·         Improve laboratory capacity and infrastructure to test for Zika virus and other infectious diseases;

·         Implement surveillance efforts to track Zika virus in communities and in mosquitoes;

·         Deploy targeted prevention and education strategies with key populations, including pregnant women, their partners, and health care professionals;

·         Expand the CDC Pregnancy Risk Assessment Monitoring System, improve Guillain Barré syndrome tracking, and ensure the ability of birth defect registries across the country to detect risks related to Zika;

·         Increase research into the link between Zika virus infections and the birth defect microcephaly and measure changes in incidence rates over time;

·         Enhance international capacity for virus surveillance, expand the Field Epidemiology Training program, laboratory testing, health care provider training, and vector surveillance and control in countries at highest risk of Zika virus outbreaks; and

·         Improve diagnostics for Zika virus, including advanced methods to refine tests, and support advanced developments for vector control.

 

Centers for Medicare and Medicaid Services – $250 million. The request seeks a temporary one-year increase in Puerto Rico’s Medicaid Federal Medical Assistance Percentage (FMAP) to provide an estimated $250 million in additional Federal assistance to support health services for pregnant women at risk of infection or diagnosed with Zika virus and for children with microcephaly, and other health care costs.  This request does not make any changes to Puerto Rico’s underlying Medicaid program, and the additional funding will not be counted towards Puerto Rico’s current Medicaid allotment. Puerto Rico is experiencing ongoing active transmission of Zika. Unlike States, Puerto Rico’s Medicaid funding is capped, which has limited capacity to respond to these emergent and growing health needs.

 

Vaccine Research and Diagnostic Development & Procurement – $200 million. The request includes $200 million for research, rapid advanced development and commercialization of new vaccines and diagnostic tests for Zika virus. It includes funding for the National Institutes of Health to build upon existing resources and work to develop a vaccine for Zika virus and the chikungunya virus, which is spread by the same type of mosquito.  Funding will accelerate this work and improve scientific understanding of the disease to inform the development of additional tools to combat it. The request also includes resources for the Food and Drug Administration to support Zika virus medical product development including the next generation diagnostic devices.

 

Other HHS Response Activities – $210 million.  The request includes funding to establish a new Urgent and Emerging Threat Fund to address Zika virus and other outbreaks.  This funding would be available to support emerging needs related to Zika, including additional support to States for emerging public health response needs should mosquito populations known to be potential Zika carriers migrate to additional States.

 

In addition, the request includes funding to support Puerto Rico’s community health centers in preventing, screening, and treating the Zika virus, expand home visiting services targeting low-income pregnant women at risk of Zika virus, and provide targeted maternal and child health.

 

U.S. Agency for International Development  $335 million

The request includes investments to support affected countries’ ability to control mosquitoes and the transmission of the virus; support maternal health; expand public education on prevention and response; and create new incentives for the development of vaccines and diagnostics.  The request would also provide flexibility in the use of remaining USAID Ebola funds.  Activities would focus particularly on South America, Central America, the Caribbean, and would:

·         Implement integrated vector management activities in countries at-risk of Zika virus;

·         Stimulate private sector research and development of vaccines, diagnostics, and vector control innovations through public private partnerships and mechanisms to provide incentives such as advance market commitments or volume guarantees;

·         Support training of health care workers in affected countries, including providing information about best practices for supporting children with microcephaly;

·         Support for pregnant women’s health, including helping them access repellant to protect against mosquitos.

·         Establish education campaigns to empower communities in affected countries to take actions to protect themselves from Zika Virus as well as other mosquito-borne diseases; and

·         Issue a Global Health Security Grand Challenge calling for groundbreaking innovations in diagnostics, vector control, personal protection, community engagement and surveillance for Zika and other infectious diseases.

 

U.S. Department of State – $41 million

The funding request includes support for U.S. citizens in affected countries, medical support for State Department employees in affected countries, public diplomacy, communications, and other operations activities.  State would also support the World Health Organization and its regional arm, the Pan American Health Organization (PAHO), to minimize the Zika threat in affected countries while reducing the risk of further spreading the virus.  These resources will support critical public health actions underway, including preparedness, surveillance, data collection, and risk communication.  Activities would also include support for UNICEF’s Zika response efforts in Brazil; activities to bolster diagnostic capabilities through deployment of equipment and specialized training.

 

For more information on the Zika virus and CDC guidance about how Americans can protect themselves, visit http://www.cdc.gov/zika/.