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For Immediate Release
Office of the Press Secretary
February 5, 2002

Defending Against Biological Terrorism

"Disease has long been the deadliest enemy of mankind. Infectious diseases make no distinctions among people and recognize no borders. We have fought the causes and consequences of disease throughout history and must continue to do so with every available means. All civilized nations reject as intolerable the use of disease and biological weapons as instruments of war and terror."

President George W. Bush
November 1, 2001

One of the most important missions we have as a Nation is to be prepared for the threat of biological terrorism - the deliberate use of disease as a weapon. An effective biodefense will require a long-term strategy and significant new investment in the U.S. health care system. The President is taking steps now that will significantly improve the Nation's ability to protect its citizens against the threat of bioterrorism. The President's Budget for 2003 proposes $5.9 billion to defending against biological terrorism, an increase of $4.5 billion -- or 319 percent -- from the 2002 level. This new funding will focus on:

1. Infrastructure. Strengthen the State and local health systems, including by enhancing medical communications and disease surveillance capabilities, to maximize their contribution to the overall biodefense of the Nation.

2. Response. Improve specialized Federal capabilities to respond in coordination with State and local governments, and private capabilities in the event of a bioterrorist incident and build up the National Pharmaceutical Stockpile.

3. Science. Meet the medical needs of our bioterrorism response plans by developing specific new vaccines, medicines, and diagnostic tests through an aggressive research and development program.

Responsibility for detecting and managing a bioterrorist attack needs to be shared among a wide range of Federal, State, local, and private entities. The resources made available in the President's Budget for 2003 will help the Nation develop an effective "early warning" system against a possible bioterrorist attack, and mount an effective operational response to manage its medical consequences. These enhanced capabilities, once in place, will also enhance the Nation's ability to respond to outbreaks of naturally occurring diseases.

Infrastructure: Strengthening America's Public Health System
The President is committed to improving the ability of State and local public health care systems to deal with bioterrorism. State and local medical personnel are a principal line of defense against bioterrorism, and will often be the first to recognize that we are under a biological attack. Ensuring that State and local health care providers have the appropriate tools and the training is critical as our health care community works to carry out this mission.

Many of our health care systems are not adequately prepared for a large-scale attack:

In his 2003 Budget, the President has proposed $1.6 billion to assist State and local health care systems in improving their ability to manage both contagious and non-contagious biological attacks, to expand health care surge capabilities, to upgrade public health laboratory capabilities, and to provide training for medical personnel. The Budget also makes available funding to support the development of regional medical mutual aid compacts. In the event of an emergency, these compacts will enable State and local emergency managers to augment local medical care providers quickly and efficiently. Finally, the communications network that links the acute care providers of our communities with their public health counterparts will be modernized and improved so that vital information on the detection and treatment of disease can flow swiftly.

Response: Enhancing Specialized Federal Capabilities
A major act of biological terrorism would almost certainly overwhelm existing State, local, and privately owned health care capabilities. For this reason, the Federal government maintains a number of specialized response capabilities for a bioterrorist attack. The President's Budget invests $1.8 billion to ensure that these specialized Federal resources are adequate for the threat we face.

The President and the Congress have already taken steps to acquire a national supply of smallpox vaccine and ensure that by the end of fiscal year 2002, the National Pharmaceutical Stockpile will contain sufficient antibiotics to treat 20 million people against diseases such as anthrax, plague and tularemia. The President's Budget for 2003 provides $650 million to carry the process of enhancing the National Pharmaceutical Stockpile even further through:

Recognizing the potentially global nature of bioterrorism, the Budget for 2003 devotes $10 million to create a team of epidemiological scientists who are committed to working with their counterparts in foreign countries to provide information, research, awareness, and early warning of potential health threats from abroad. Finally, the President's Budget for 2003 provides $20 million to strengthen the Epidemiological Intelligence Service (EIS) at the Centers for Disease Control in Atlanta. Established in 1951 following the start of the Korean War as an early-warning system against biological warfare, the EIS today has expanded into a surveillance and response unit for all types of epidemics.

Science: A New Medical Toolkit for Fighting Bioterrorism
Whether we succeed or fail in our response to an act of bioterrorism depends in large measure on the quality and effectiveness of our diagnostic tests, vaccines, and therapeutic drugs. Our experience responding to the anthrax letter attacks of October 2001 has revealed major inadequacies in our existing medical "toolkit" for fighting bioterrorism. Some of the diagnostics, vaccines, and therapeutics available to us today were developed during the Cold War and hence do not harness the full power of modern biomedical science.

The President's Budget for 2003 devotes $2.4 billion to jump-starting the research and development process needed to provide America with the medical tools needed to support an effective response to bioterrorism. These resources will be focused in the following areas:


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