Status of Master Protocol & Geneva meeting

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1. 2014-10-16 15:49 Michael Kurilla
   > > Cliff & Rick, > > On the Ebola Medical Countermeasures Senior Steering Group (EMC-SSG) this afternoon, Nicki asked about the status of Master Protocol and whether the intention is to present a Master Protocol at the Geneva meeting next week, as well as who from NIH is planning on attending. She's interested in arriving at acommon USG policy position prior to the meeting. > > I'm sure you're tied up with Clinical Center activities at the moment. Nicki is somewhat anxious. Anything I can relate? > > Michael G Kurilla, MD-PhD > Director, Office of BioDefense, Research Resources, and Translational > Research Associate Director for BioDefense Product Development DMID, > NIAID, NIH, DHHS > 5601 Fishers Lane 8G61 > Rockville, MD 20852 zz > The truly unusual day would be a day when nothing unusual happens. > - Persi Diaconis > October 17, 2014 The Honorable Rob Portman United States Senate Washington, DC 20510 Dear Senator Portman: Thank you for your letter to President Obama regarding the opportunity to further strengthen the U.S, government's efforts to contain the spread of the Ebola virus disease (Ebola) in the U.S. and stop the Ebola outbreak at its source in West Africa, Your letter was forwarded to the U.S. Department of Health and Human Services (HHS) for a response. As you are aware, the U.S government is accelerating response efforts to the outbreak, both domestically and abroad, through multiple channels. Like you, I am committed to ensuring an efficient and productive collaboration among all federal agencies involved, as we work together toward the shared goal of controlling this epidemic In response to your recommendation to appoint one agency leader to serve as a central point-ofcontact for all U.S, efforts related to Ebola, President Obama has named Mr. Ron Klain, to coordinate a whole-of-government response and to lead a regular series of meetings and calls with all federal agencies involved. Under his leadership, these agencies will continue to work together to stop the spread of Ebola both at home and abroad. Domestically, involved federal agencies are working together to prepare and fortify our national public health infrastructure to prevent entry of and respond quickly and effectively to Ebola cases in the United States, specificaily, the Centers for Disease Control and Prevention (CDC) acted quickly based on its plan to support state and local efforts to treat the U.S. index case in Dallas, Texas, CDC has updated these plans based on lessons learned, and details on these plans are enclosed for your reference. Globally, the U.S. government is collaborating to achieve four main goals related to the outbreak in West Africa, as declared by President Obama: © Control the outbreak, * Address the ripple effects of local economies and communities to prevent a truly massive humanitarian disaster. © Coordinate a broader global response. © Urgently build up a public health system in these countries for the future, The United States Agency for International Development continues to lead the U.S. overseas response to the outbreak, while the Department of Defense (DoD), CDC, the U.S. Department of State, the National Institutes of Health, the U.S, Food and Drug Administration, and the Office of the Assistant Secretary for Preparedness and Response are supporting the whole-of-government approach led by Mr, Klain and the National Security Council. Detailed information about the 'The Honorable Rob Portman October 17, 2014 roles of each of these agencies in the whole-of-government U.S. response is enclosed for your reference, The U.S. government has been in contact with the affected countries in West Africa since March and immediately engaged in the response--providing assistance and resources at the level requested by each country's government, The U.S. government already has committed more than $350 million toward fighting the outbreak in West Africa, including more than $111 million in humanitarian aid, DoD is prepared to devote more than $1 billion to the whole-of-government Ebola response effort. As a further indication of our prioritization of this response, the United States convened a special United Nations (UN) Security Council session on the epidemic, and President Obama called the world to action during a subsequent UN session called by SecretaryGeneral Ban Ki-moon, These U.S. actions have galvanized millions of dollars in international funding and in-kind support. We believe this whole-of-government approach is the best way to assist the ministries of health in the affected West African countries and protect the lives of the citizens of the United States. However, it is important to acknowledge that we cannot fight this epidemic alone. Continued collaboration with these countries and the international community is critical to stopping the spread of Ebola at home and abroad. The Ebola outbreak reminds us that our global efforts to build the capacity to prevent, detect, and rapidly respond to infectious disease threats like Ebola have never been more vital. In February, we came together with nations around the world to launch the Global Health Security Agenda (GHSA) as a five-year effort to accelerate action, On September 26, 2014, President Obama met with leaders of 40 nations as well as top Administration officials to advance progress in the GHSA. Over the next five years the United States has committed to working with at least 30 partner countries to invest in model systems to advance the GHSA. CDC and DoD will work with other U.S, agencies and partner countries to establish emergency operations centers, build information systems, and strengthen laboratory security to mitigate biological threats and build partner capacity. 'Thank you again for your letter and for your support of the U.S. government's response to the current Ebola epidemic, Please do not hesitate to contact me with any further thoughts or concerns, Sincerely, Sylvia M. Burwell Enclosure Details on Federal Agency Roles in the U.S. Response to the Ebola virus disease Outbreak 'The United States Agency for International Development (USAID) USAID is leading the international response to the Ebola outbreak in West Africa. In August, USAID deployed a Disaster Assistance Response Team (DART) to the region to coordinate and prioritize the U.S. government's response to the outbreak, The DART assesses and identifies priority needs and coordinates key areas of the response, such as planning, operations, and logistics, The 28-member DART team comprises staff from USAID, the Centers for Disease Control and Prevention (CDC), the Department of Defense (DoD), and the U.S. Forest Servic The DART has airlifted more than 16 tons of medical supplies and emergency equipment to

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