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22 U.S.C. § 7601 — Findings
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Page 1965
TITLE 22—FOREIGN RELATIONS AND INTERCOURSE
§ 7601
security and stability in Afghanistan that is
submitted to Congress under sections 1230 and
1231 of the National Defense Authorization Act
for Fiscal Year 2008 (Public Law 110–181; 122
Stat. 385, 390).
(Pub. L. 112–81, div. A, title XII, § 1221, Dec. 31,
2011, 125 Stat. 1635.)
Editorial Notes
REFERENCES IN TEXT
Sections 1230 and 1231 of the National Defense Au-
thorization Act for Fiscal Year 2008 (Public Law
110–181; 122 Stat. 385, 390), referred to in subsec. (c), are
not classified to the Code.
CODIFICATION
Section was enacted as part of the National Defense
Authorization Act for Fiscal Year 2012, and not as part
of the Afghanistan Freedom Support Act of 2002 which
comprises this chapter.
Statutory Notes and Related Subsidiaries
COMPLETION OF ACCELERATED TRANSITION OF SECURITY
RESPONSIBILITY
FROM
UNITED
STATES
ARMED
FORCES TO THE AFGHAN NATIONAL SECURITY FORCES
Pub. L. 113–66, div. A, title XII, § 1222, Dec. 26, 2013, 127
Stat. 917, provided that:
‘‘(a) IN GENERAL.—It is the policy of the United
States, in coordination with the Government of Af-
ghanistan, North Atlantic Treaty Organization (NATO)
member countries, and other allies in Afghanistan,
that—
‘‘(1) the accelerated transition of security responsi-
bility from United States Armed Forces to the Af-
ghan National Security Forces and the associated
draw down of United States Armed Forces from Af-
ghanistan shall be completed by not later than De-
cember 31, 2014;
‘‘(2) the United States shall support an Afghan-led
and Afghan-owned peace negotiation process leading
to a political settlement of the conflict in Afghani-
stan, with the goal of establishing a secure and inde-
pendent Afghanistan and promoting regional security
a
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Page 1965
TITLE 22—FOREIGN RELATIONS AND INTERCOURSE
§ 7601
security and stability in Afghanistan that is
submitted to Congress under sections 1230 and
1231 of the National Defense Authorization Act
for Fiscal Year 2008 (Public Law 110–181; 122
Stat. 385, 390).
(Pub. L. 112–81, div. A, title XII, § 1221, Dec. 31,
2011, 125 Stat. 1635.)
Editorial Notes
REFERENCES IN TEXT
Sections 1230 and 1231 of the National Defense Au-
thorization Act for Fiscal Year 2008 (Public Law
110–181; 122 Stat. 385, 390), referred to in subsec. (c), are
not classified to the Code.
CODIFICATION
Section was enacted as part of the National Defense
Authorization Act for Fiscal Year 2012, and not as part
of the Afghanistan Freedom Support Act of 2002 which
comprises this chapter.
Statutory Notes and Related Subsidiaries
COMPLETION OF ACCELERATED TRANSITION OF SECURITY
RESPONSIBILITY
FROM
UNITED
STATES
ARMED
FORCES TO THE AFGHAN NATIONAL SECURITY FORCES
Pub. L. 113–66, div. A, title XII, § 1222, Dec. 26, 2013, 127
Stat. 917, provided that:
‘‘(a) IN GENERAL.—It is the policy of the United
States, in coordination with the Government of Af-
ghanistan, North Atlantic Treaty Organization (NATO)
member countries, and other allies in Afghanistan,
that—
‘‘(1) the accelerated transition of security responsi-
bility from United States Armed Forces to the Af-
ghan National Security Forces and the associated
draw down of United States Armed Forces from Af-
ghanistan shall be completed by not later than De-
cember 31, 2014;
‘‘(2) the United States shall support an Afghan-led
and Afghan-owned peace negotiation process leading
to a political settlement of the conflict in Afghani-
stan, with the goal of establishing a secure and inde-
pendent Afghanistan and promoting regional security
and stability; and
‘‘(3) any political settlement resulting from such
peace negotiations must result in insurgent groups
breaking ties with al Qaeda, renouncing violence, and
accepting the Afghanistan constitution, including its
protections for women and minorities.
‘‘(b) SENSE OF CONGRESS.—It is the sense of Congress
that, before making a public announcement regarding
a decision on a United States military presence in Af-
ghanistan after December 31, 2014, the President should
consult with Congress regarding the size, mission, and
estimated duration of such a presence.
‘‘(c) RULE OF CONSTRUCTION.—Nothing in this section
shall be construed so as to limit or prohibit any au-
thority of the President to modify the military strat-
egy, tactics, and operations of United States Armed
Forces as such Armed Forces draw down from Afghani-
stan.’’
CHAPTER 83—UNITED STATES LEADERSHIP
AGAINST HIV/AIDS, TUBERCULOSIS, AND
MALARIA
Sec.
7601.
Findings.
7602.
Definitions.
7603.
Purpose.
7604.
Authority to consolidate and combine re-
ports.
SUBCHAPTER I—POLICY PLANNING AND
COORDINATION
7611.
Development of a comprehensive, five-year,
global strategy.
Sec.
7612.
HIV/AIDS response Coordinator.
7612a.
HIV/AIDS Working Capital Fund.
SUBCHAPTER II—SUPPORT FOR MULTILATERAL
FUNDS,
PROGRAMS,
AND
PUBLIC-PRIVATE
PARTNERSHIPS
7621.
Sense of Congress on public-private partner-
ships.
7622.
Participation in the Global Fund to Fight
AIDS, Tuberculosis and Malaria.
7623.
Combating HIV/AIDS, tuberculosis, and ma-
laria by strengthening health policies and
health systems of partner countries.
7624.
Facilitating vaccine development.
SUBCHAPTER III—BILATERAL EFFORTS
PART A—GENERAL ASSISTANCE AND PROGRAMS
7631.
Assistance to combat HIV/AIDS.
7631a.
United States Agency for International De-
velopment.
7632.
Authorization of appropriations to combat
tuberculosis.
7633.
Assistance to combat malaria.
7634.
Malaria response Coordinator.
7635.
Report on treatment activities by relevant
executive branch agencies.
7636.
Study on illegal diversions of prescription
drugs.
PART B—ASSISTANCE FOR CHILDREN AND FAMILIES
7651.
Findings.
7652.
Policy and requirements.
7653.
Annual reports on prevention of mother-to-
child transmission of the HIV infection.
7654.
Pilot program of assistance for children and
families affected by HIV/AIDS.
7655.
Pilot program on family survival partner-
ships.
SUBCHAPTER IV—AUTHORIZATION OF
APPROPRIATIONS
7671.
Authorization of appropriations.
7672.
Sense of Congress.
7673.
Allocation of funds.
7674.
Assistance from the United States private
sector to prevent and reduce HIV/AIDS in
sub-Saharan Africa.
SUBCHAPTER V—INTERNATIONAL FINANCIAL
INSTITUTIONS
7681.
Report on expansion of debt relief to non-
HIPC countries.
7682.
Authorization of appropriations.
§ 7601. Findings
Congress makes the following findings:
(1) During the last 20 years, HIV/AIDS has
assumed
pandemic
proportions,
spreading
from the most severely affected regions, sub-
Saharan Africa and the Caribbean, to all cor-
ners of the world, and leaving an unprece-
dented path of death and devastation.
(2) According to the Joint United Nations
Programme on HIV/AIDS (UNAIDS), more
than 65,000,000 individuals worldwide have been
infected with HIV since the epidemic began,
more than 25,000,000 of these individuals have
lost their lives to the disease, and more than
14,000,000 children have been orphaned by the
disease. HIV/AIDS is the fourth-highest cause
of death in the world.
(3)(A) At the end of 2002, an estimated
42,000,000 individuals were infected with HIV or
living with AIDS, of which more than 75 per-
cent live in Africa or the Caribbean. Of these
Page 1966
TITLE 22—FOREIGN RELATIONS AND INTERCOURSE
§ 7601
individuals, more than 3,200,000 were children
under the age of 15 and more than 19,200,000
were women.
(B) Women are four times more vulnerable
to infection than are men and are becoming
infected at increasingly high rates, in part be-
cause many societies do not provide poor
women and young girls with the social, legal,
and cultural protections against high risk ac-
tivities that expose them to HIV/AIDS.
(C) Women and children who are refugees or
are internally displaced persons are especially
vulnerable to sexual exploitation and violence,
thereby increasing the possibility of HIV in-
fection.
(4) As the leading cause of death in sub-Sa-
haran Africa, AIDS has killed more than
19,400,000 individuals (more than 3 times the
number of AIDS deaths in the rest of the
world) and will claim the lives of one-quarter
of the population, mostly adults, in the next
decade.
(5) An estimated 2,000,000 individuals in
Latin America and the Caribbean and another
7,100,000 individuals in Asia and the Pacific re-
gion are infected with HIV or living with
AIDS. Infection rates are rising alarmingly in
Eastern Europe (especially in the Russian Fed-
eration), Central Asia, and China.
(6) HIV/AIDS threatens personal security by
affecting the health, lifespan, and productive
capacity of the individual and the social cohe-
sion and economic well-being of the family.
(7) HIV/AIDS undermines the economic secu-
rity of a country and individual businesses in
that country by weakening the productivity
and longevity of the labor force across a broad
array of economic sectors and by reducing the
potential for economic growth over the long
term.
(8) HIV/AIDS destabilizes communities by
striking at the most mobile and educated
members of society, many of whom are respon-
sible for security at the local level and govern-
ance at the national and subnational levels as
well as many teachers, health care personnel,
and other community workers vital to com-
munity development and the effort to combat
HIV/AIDS.
In
some
countries
the
over-
whelming challenges of the HIV/AIDS epi-
demic are accelerating the outward migration
of critically important health care profes-
sionals.
(9) HIV/AIDS weakens the defenses of coun-
tries severely affected by the HIV/AIDS crisis
through high infection rates among members
of their military forces and voluntary peace-
keeping personnel. According to UNAIDS, in
sub-Saharan Africa, many military forces
have infection rates as much as five times
that of the civilian population.
(10) HIV/AIDS poses a serious security issue
for the international community by—
(A) increasing the potential for political
instability and economic devastation, par-
ticularly in those countries and regions
most severely affected by the disease;
(B) decreasing the capacity to resolve con-
flicts through the introduction of peace-
keeping forces because the environments
into which these forces are introduced pose a
high risk for the spread of HIV/AIDS; and
(C) increasing the vulnerability of local
populations to HIV/AIDS in conflict zones
from peacekeeping troops with HIV infection
rates significantly higher than civilian pop-
ulations.
(11) The devastation wrought by the HIV/
AIDS pandemic is compounded by the preva-
lence of tuberculosis and malaria, particularly
in developing countries where the poorest and
most vulnerable members of society, including
women, children, and those individuals living
with HIV/AIDS, become infected. According to
the World Health Organization (WHO), HIV/
AIDS, tuberculosis, and malaria accounted for
more than 5,700,000 deaths in 2001 and caused
debilitating illnesses in millions more.
(12) Together, HIV/AIDS, tuberculosis, ma-
laria and related diseases are undermining ag-
ricultural production throughout Africa. Ac-
cording to the United Nations Food and Agri-
cultural Organization, 7,000,000 agricultural
workers throughout 25 African countries have
died from AIDS since 1985. Countries with
poorly developed agricultural systems, which
already face chronic food shortages, are the
hardest hit, particularly in sub-Saharan Afri-
ca, where high HIV prevalence rates are
compounding the risk of starvation for an es-
timated 14,400,000 people.
(13) Tuberculosis is the cause of death for
one out of every three people with AIDS
worldwide and is a highly communicable dis-
ease. HIV infection is the leading threat to tu-
berculosis control. Because HIV infection so
severely weakens the immune system, individ-
uals with HIV and latent tuberculosis infec-
tion have a 100 times greater risk of devel-
oping active tuberculosis diseases thereby in-
creasing the risk of spreading tuberculosis to
others. Tuberculosis, in turn, accelerates the
onset of AIDS in individuals infected with
HIV.
(14) Malaria, the most deadly of all tropical
parasitic diseases, has been undergoing a dra-
matic resurgence in recent years due to in-
creasing resistance of the malaria parasite to
inexpensive and effective drugs. At the same
time, increasing resistance of mosquitoes to
standard insecticides makes control of trans-
mission difficult to achieve. The World Health
Organization
estimates
that
between
300,000,000 and 500,000,000 new cases of malaria
occur each year, and annual deaths from the
disease number between 2,000,000 and 3,000,000.
Persons infected with HIV are particularly
vulnerable to the malaria parasite. The spread
of HIV infection contributes to the difficulties
of controlling resurgence of the drug resistant
malaria parasite.
(15) HIV/AIDS is first and foremost a health
problem. Successful strategies to stem the
spread of the HIV/AIDS pandemic will require
clinical medical interventions, the strength-
ening of health care delivery systems and in-
frastructure, and determined national leader-
ship and increased budgetary allocations for
the health sector in countries affected by the
epidemic as well as measures to address the
social and behavioral causes of the problem
and its impact on families, communities, and
societal sectors.
Page 1967
TITLE 22—FOREIGN RELATIONS AND INTERCOURSE
§ 7601
(16) Basic interventions to prevent new HIV
infections and to bring care and treatment to
people living with AIDS, such as voluntary
counseling and testing and mother-to-child
transmission programs, are achieving mean-
ingful results and are cost-effective. The chal-
lenge is to expand these interventions from a
pilot program basis to a national basis in a co-
herent and sustainable manner.
(17) Appropriate treatment of individuals
with HIV/AIDS can prolong the lives of such
individuals, preserve their families, prevent
children from becoming orphans, and increase
productivity of such individuals by allowing
them to lead active lives and reduce the need
for costly hospitalization for treatment of op-
portunistic infections caused by HIV.
(18) Nongovernmental organizations, includ-
ing faith-based organizations, with experience
in health care and HIV/AIDS counseling, have
proven effective in combating the HIV/AIDS
pandemic and can be a resource in assisting
indigenous organizations in severely affected
countries in their efforts to provide treatment
and care for individuals infected with HIV/
AIDS.
(19) Faith-based organizations are making
an important contribution to HIV prevention
and AIDS treatment programs around the
world. Successful HIV prevention programs in
Uganda, Jamaica, and elsewhere have included
local churches and faith-based groups in ef-
forts to promote behavior changes to prevent
HIV, to reduce stigma associated with HIV in-
fection, to treat those afflicted with the dis-
ease, and to care for orphans. The Catholic
Church alone currently cares for one in four
people being treated for AIDS worldwide.
Faith-based organizations possess infrastruc-
ture, experience, and knowledge that will be
needed to carry out these programs in the fu-
ture and should be an integral part of United
States efforts.
(20)(A) Uganda has experienced the most sig-
nificant decline in HIV rates of any country in
Africa, including a decrease among pregnant
women from 20.6 percent in 1991 to 7.9 percent
in 2000.
(B) Uganda made this remarkable turn-
around because President Yoweri Museveni
spoke out early, breaking long-standing cul-
tural taboos, and changed widespread percep-
tions about the disease. His leadership stands
as a model for ways political leaders in Africa
and other developing countries can mobilize
their nations, including civic organizations,
professional associations, religious institu-
tions, business and labor to combat HIV/AIDS.
(C) Uganda’s successful AIDS treatment and
prevention program is referred to as the ABC
model: ‘‘Abstain, Be faithful, use Condoms’’,
in order of priority. Jamaica, Zambia, Ethi-
opia and Senegal have also successfully used
the ABC model. Beginning in 1986, Uganda
brought about a fundamental change in sexual
behavior by developing a low-cost program
with the message: ‘‘Stop having multiple part-
ners. Be faithful. Teenagers, wait until you are
married before you begin sex.’’.
(D) By 1995, 95 percent of Ugandans were re-
porting either one or zero sexual partners in
the past year, and the proportion of sexually
active youth declined significantly from the
late 1980s to the mid-1990s. The greatest per-
centage decline in HIV infections and the
greatest degree of behavioral change occurred
in those 15 to 19 years old. Uganda’s success
shows that behavior change, through the use
of the ABC model, is a very successful way to
prevent the spread of HIV.
(21) The magnitude and scope of the HIV/
AIDS crisis demands a comprehensive, long-
term, international response focused upon ad-
dressing the causes, reducing the spread, and
ameliorating the consequences of the HIV/
AIDS pandemic, including—
(A) prevention and education, care and
treatment, basic and applied research, and
training of health care workers, particularly
at the community and provincial levels, and
other community workers and leaders need-
ed to cope with the range of consequences of
the HIV/AIDS crisis;
(B) development of health care infrastruc-
ture and delivery systems through coopera-
tive and coordinated public efforts and pub-
lic and private partnerships;
(C) development and implementation of
national and community-based multisector
strategies that address the impact of HIV/
AIDS on the individual, family, community,
and nation and increase the participation of
at-risk populations in programs designed to
encourage behavioral and social change and
reduce the stigma associated with HIV/
AIDS; and
(D) coordination of efforts between inter-
national organizations such as the Global
Fund to Fight AIDS, Tuberculosis and Ma-
laria, the Joint United Nations Programme
on HIV/AIDS (UNAIDS), the World Health
Organization (WHO), national governments,
and private sector organizations, including
faith-based organizations.
(22) The United States has the capacity to
lead and enhance the effectiveness of the
international community’s response by—
(A) providing substantial financial re-
sources, technical expertise, and training,
particularly of health care personnel and
community workers and leaders;
(B) promoting vaccine and microbicide re-
search and the development of new treat-
ment protocols in the public and commercial
pharmaceutical research sectors;
(C) making available pharmaceuticals and
diagnostics for HIV/AIDS therapy;
(D) encouraging governments and faith-
based and community-based organizations to
adopt policies that treat HIV/AIDS as a
multisectoral public health problem affect-
ing not only health but other areas such as
agriculture, education, the economy, the
family and society, and assisting them to de-
velop
and
implement
programs
cor-
responding to these needs;
(E) promoting healthy lifestyles, including
abstinence, delaying sexual debut, monog-
amy, marriage, faithfulness, use of condoms,
and avoiding substance abuse; and
(F) encouraging active involvement of the
private sector, including businesses, phar-
Page 1968
TITLE 22—FOREIGN RELATIONS AND INTERCOURSE
§ 7601
maceutical and biotechnology companies,
the medical and scientific communities,
charitable foundations, private and vol-
untary organizations and nongovernmental
organizations,
faith-based
organizations,
community-based organizations, and other
nonprofit entities.
(23) Prostitution and other sexual victimiza-
tion are degrading to women and children and
it should be the policy of the United States to
eradicate such practices. The sex industry, the
trafficking of individuals into such industry,
and sexual violence are additional causes of
and factors in the spread of the HIV/AIDS epi-
demic. One in nine South Africans is living
with AIDS, and sexual assault is rampant, at
a victimization rate of one in three women.
Meanwhile in Cambodia, as many as 40 percent
of prostitutes are infected with HIV and the
country has the highest rate of increase of
HIV infection in all of Southeast Asia. Vic-
tims of coercive sexual encounters do not get
to make choices about their sexual activities.
(24) Strong coordination must exist among
the various agencies of the United States to
ensure effective and efficient use of financial
and technical resources within the United
States Government with respect to the provi-
sion of international HIV/AIDS assistance.
(25) In his address to Congress on January 28,
2003, the President announced the Administra-
tion’s intention to embark on a five-year
emergency plan for AIDS relief, to confront
HIV/AIDS
with
the
goals
of
preventing
7,000,000 new HIV/AIDS infections, treating at
least 2,000,000 people with life-extending drugs,
and providing humane care for millions of peo-
ple suffering from HIV/AIDS, and for children
orphaned by HIV/AIDS.
(26) In this address to Congress, the Presi-
dent stated the following: ‘‘Today, on the con-
tinent of Africa, nearly 30,000,000 people have
the AIDS virus—including 3,000,000 children
under the age of 15. There are whole countries
in Africa where more than one-third of the
adult population carries the infection. More
than 4,000,000 require immediate drug treat-
ment. Yet across that continent, only 50,000
AIDS victims—only 50,000—are receiving the
medicine they need.’’.
(27) Furthermore, the President focused on
care and treatment of HIV/AIDS in his address
to Congress, stating the following: ‘‘Because
the AIDS diagnosis is considered a death sen-
tence, many do not seek treatment. Almost all
who do are turned away. A doctor in rural
South Africa describes his frustration. He
says, ‘We have no medicines. Many hospitals
tell people, you’ve got AIDS, we can’t help
you. Go home and die.’ In an age of miraculous
medicines, no person should have to hear
those words. AIDS can be prevented. Anti-
retroviral drugs can extend life for many years
* * * Ladies and gentlemen, seldom has his-
tory offered a greater opportunity to do so
much for so many.’’.
(28) Finally, the President stated that ‘‘[w]e
have confronted, and will continue to con-
front, HIV/AIDS in our own country’’, pro-
posing now that the United States should lead
the world in sparing innocent people from a
plague of nature, and asking Congress ‘‘to
commit $15,000,000,000 over the next five years,
including nearly $10,000,000,000 in new money,
to turn the tide against AIDS in the most af-
flicted nations of Africa and the Caribbean’’.
(29) On May 27, 2003, the President signed
this chapter into law, launching the largest
international public health program of its
kind ever created.
(30) Between 2003 and 2008, the United States,
through the President’s Emergency Plan for
AIDS Relief (PEPFAR) and in conjunction
with other bilateral programs and the multi-
lateral Global Fund has helped to—
(A) provide antiretroviral therapy for over
1,900,000 people;
(B) ensure that over 150,000 infants, most
of whom would have likely been infected
with HIV during pregnancy or childbirth,
were not infected; and
(C) provide palliative care and HIV preven-
tion assistance to millions of other people.
(31) While United States leadership in the
battles against HIV/AIDS, tuberculosis, and
malaria has had an enormous impact, these
diseases continue to take a terrible toll on the
human race.
(32) According to the 2007 AIDS Epidemic
Update of the Joint United Nations Pro-
gramme on HIV/AIDS (UNAIDS)—
(A) an estimated 2,100,000 people died of
AIDS-related causes in 2007; and
(B) an estimated 2,500,000 people were
newly infected with HIV during that year.
(33) According to the World Health Organiza-
tion, malaria kills more than 1,000,000 people
per year, 70 percent of whom are children
under 5 years of age.
(34) According to the World Health Organiza-
tion, 1⁄3 of the world’s population is infected
with the tuberculosis bacterium, and tuber-
culosis is 1 of the greatest infectious causes of
death of adults worldwide, killing 1,600,000
people per year.
(35) Efforts to promote abstinence, fidelity,
the correct and consistent use of condoms, the
delay of sexual debut, and the reduction of
concurrent sexual partners represent impor-
tant elements of strategies to prevent the
transmission of HIV/AIDS.
(36) According to UNAIDS—
(A) women and girls make up nearly 60
percent of persons in sub-Saharan Africa
who are HIV positive;
(B) women and girls are more biologically,
economically, and socially vulnerable to
HIV infection; and
(C) gender issues are critical components
in the effort to prevent HIV/AIDS and to
care for those affected by the disease.
(37) Children who have lost a parent to HIV/
AIDS, who are otherwise directly affected by
the disease, or who live in areas of high HIV
prevalence may be vulnerable to the disease or
its socioeconomic effects.
(38) Lack of health capacity, including insuf-
ficient personnel and inadequate infrastruc-
ture, in sub-Saharan Africa and other regions
of the world is a critical barrier that limits
the effectiveness of efforts to combat HIV/
Page 1969
TITLE 22—FOREIGN RELATIONS AND INTERCOURSE
§ 7602
AIDS, tuberculosis, and malaria, and to
achieve other global health goals.
(39) On March 30, 2007, the Institute of Medi-
cine of the National Academies released a re-
port
entitled
‘‘PEPFAR
Implementation:
Progress and Promise’’, which found that
budget allocations setting percentage levels
for spending on prevention, care, and treat-
ment and for certain subsets of activities
within the prevention category—
(A) have ‘‘adversely affected implementa-
tion of the U.S. Global AIDS Initiative’’;
(B) have inhibited comprehensive, inte-
grated, evidence based approaches;
(C) ‘‘have been counterproductive’’;
(D) ‘‘may have been helpful initially in en-
suring a balance of attention to activities
within the 4 categories of prevention, treat-
ment, care, and orphans and vulnerable chil-
dren’’;
(E) ‘‘have also limited PEPFAR’s ability
to tailor its activities in each country to the
local epidemic and to coordinate with the
level of activities in the countries’ national
plans’’; and
(F) should be removed by Congress and re-
placed with more appropriate mechanisms
that—
(i) ‘‘ensure accountability for results
from Country Teams to the U.S. Global
AIDS Coordinator and to Congress’’; and
(ii) ‘‘ensure that spending is directly
linked to and commensurate with nec-
essary efforts to achieve both country and
overall performance targets for preven-
tion, treatment, care, and orphans and vul-
nerable children’’.
(40) The United States Government has en-
dorsed the principles of harmonization in co-
ordinating efforts to combat HIV/AIDS com-
monly referred to as the ‘‘Three Ones’’, which
includes—
(A) 1 agreed HIV/AIDS action framework
that provides the basis for coordination of
the work of all partners;
(B) 1 national HIV/AIDS coordinating au-
thority, with a broadbased multisectoral
mandate; and
(C) 1 agreed HIV/AIDS country-level moni-
toring and evaluating system.
(41) In the Abuja Declaration on HIV/AIDS,
Tuberculosis and Other Related Infectious Dis-
eases, of April 26–27, 2001 (referred to in this
chapter as the ‘‘Abuja Declaration’’), the
Heads of State and Government of the Organi-
zation of African Unity (OAU)—
(A) declared that they would ‘‘place the
fight against HIV/AIDS at the forefront and
as the highest priority issue in our respec-
tive national development plans’’;
(B) committed ‘‘TO TAKE PERSONAL RE-
SPONSIBILITY AND PROVIDE LEADER-
SHIP for the activities of the National AIDS
Commissions/Councils’’;
(C) resolved ‘‘to lead from the front the
battle against HIV/AIDS, Tuberculosis and
Other Related Infectious Diseases by person-
ally ensuring that such bodies were properly
convened in mobilizing our societies as a
whole and providing focus for unified na-
tional policymaking and programme imple-
mentation, ensuring coordination of all sec-
tors at all levels with a gender perspective
and respect for human rights, particularly to
ensure equal rights for people living with
HIV/AIDS’’; and
(D) pledged ‘‘to set a target of allocating
at least 15% of our annual budget to the im-
provement of the health sector’’.
(Pub. L. 108–25, § 2, May 27, 2003, 117 Stat. 712;
Pub. L. 110–293, § 2, July 30, 2008, 122 Stat. 2919.)
Editorial Notes
REFERENCES IN TEXT
This chapter, referred to in pars. (29) and (41), was in
the original ‘‘this Act’’, meaning Pub. L. 108–25, May 27,
2003, 117 Stat. 711, which is classified principally to this
chapter. For complete classification of this Act to the
Code, see Short Title note set out below and Tables.
AMENDMENTS
2008—Pars. (29) to (41). Pub. L. 110–293 added pars. (29)
to (41).
Statutory Notes and Related Subsidiaries
SHORT TITLE OF 2018 AMENDMENT
Pub. L. 115–305, § 1, Dec. 11, 2018, 132 Stat. 4402, pro-
vided that: ‘‘This Act [amending sections 7611, 7622, and
7673 of this title] may be cited as the ‘PEPFAR Exten-
sion Act of 2018’.’’
SHORT TITLE OF 2013 AMENDMENT
Pub. L. 113–56, § 1, Dec. 2, 2013, 127 Stat. 648, provided
that: ‘‘This Act [amending sections 2151b–2, 7611, 7622,
and 7673 of this title] may be cited as the ‘PEPFAR
Stewardship and Oversight Act of 2013’.’’
SHORT TITLE OF 2008 AMENDMENT
Pub. L. 110–293, § 1(a), July 30, 2008, 122 Stat. 2918, pro-
vided that: ‘‘This Act [see Tables for classification]
may be cited as the ‘Tom Lantos and Henry J. Hyde
United States Global Leadership Against HIV/AIDS,
Tuberculosis, and Malaria Reauthorization Act of
2008’.’’
SHORT TITLE
Pub. L. 108–25, § 1(a), May 27, 2003, 117 Stat. 711, pro-
vided that: ‘‘This Act [enacting this chapter and sec-
tions 262p–8 and 2151b–2 to 2151b–4 of this title and
amending sections 2151b, 2222, and 2651a of this title and
section 242l of Title 42, The Public Health and Welfare]
may be cited as the ‘United States Leadership Against
HIV/AIDS, Tuberculosis, and Malaria Act of 2003’.’’
Executive Documents
DELEGATION OF FUNCTIONS
For delegation of functions of President under this
chapter, except for functions set forth in section
7622(d)(4)(C)(i), (ii) of this title, to Secretary of State,
see section 1–100(a)(16) of Ex. Ord. No. 12163, Sept. 29,
1979, 44 F.R. 56673, as amended, set out as a note under
section 2381 of this title.
§ 7602. Definitions
In this chapter:
(1) AIDS
The term ‘‘AIDS’’ means the acquired im-
mune deficiency syndrome.
(2) Appropriate congressional committees
The term ‘‘appropriate congressional com-
mittees’’ means the Committee on Foreign Re-
Cross-references
Connections may be documented source relationships, shared citations or nearby passages. Each explains its basis; a connection alone does not establish applicability to your situation.
Federal law — U.S. Code and appendices · legal_authorities
**(a) Balanced funding requirement**
(1) **In general** — The Global AIDS Coordinator shall—
(A) provide balanced funding for prevention activities for sexual transmission of HIV/AIDS; and
(B) ensure that activities promoting abstinence, delay of sexual debut, monogamy, fidelity, and partner reduction are implemented and funded in a meaningful and equitable way in the strategy for each host country based on objective epidemiological evidence as to the source of infections and in consultation with the government of each host county 11 So in original. Probably should be “country”. involved in HIV/AIDS prevention activities.
(2) **Prevention strategy**
(A) *Establishment* — In carrying out paragraph (1), the Global AIDS Coordinator shall establish an HIV sexual transmission prevention strategy governing the expenditure of funds authorized under this chapter to prevent the sexual transmission of HIV in any host country with a generalized epidemic.
(B) *Report* — In each host country described in subparagraph (A), if the strategy established under subparagraph (A) provides less than 50 percent of the funds described in subparagraph (A) for activities promoting abstinence, delay of sexual debut, monogamy, fidelity, and partner reduction, the Global AIDS Coordinator shall, not later than 30 days after the issuance of this strategy, report to the appropriate congressional committees on the justification for this decision.
(3) **Exclusion** — Programs and activities that implement or purchase new prevention technologies or modalities, such as medical male circumcision, public education about risks to acquire HIV infection from blood exposures, promoting universal precautions, investigating suspected nosocomial infections, pre-exposure pharmaceutical prophylaxis to
Source: Supplied U.S. Code snapshot — release unconfirmed · 22 U.S.C. § 7601
Stored review status: release_metadata_unconfirmed. Same stored citation; legal effect and authority still require review.