Hearing of the Emergency Preparedness, Response, and Communications Subcommittee of the Homeland Security Committee - "Taking Measure of Countermeasures"

Statement

Date: April 13, 2011
Location: Washington, DC

I would like to welcome all of our witnesses here today and thank you for your dedication
to making our nation more secure from terrorist threats.

The events of October 2001, when our nation was attacked through the mail with anthrax
letters, changed the face of medical preparedness.

These tragic events instilled anurgency to prepare for bioterror threats in a way that we had never done before. The2009 H1N1 influenza pandemic similarly caused us to turn inward, and review thesuccesses of our public health response, as well as our failures. The catastrophic events in Japan -- two natural disasters and a subsequent industrial disaster, an entirely
unforeseen combination of events -- once again force us to assess our preparedness
capacity, this time for a radiological and nuclear event.

This hearing was planned well before Japan was hit with an unimaginable crisis. We are
here today to discuss the ways we can and must be proactive, not just reactive, to
chemical, biological, radiological and nuclear threats, both natural and manmade.

The responsibility begins with the Department of Homeland Security. The threats must
be recognized, defined, and prioritized. The DHS threat and risk assessments are central
to this effort. These tools have become instrumental in providing an awareness of the
threat. They are designed not to instill fear, but rather to provide a healthy recognition of
reality, and an effective means by which to prioritize limited resources. I look forward to
hearing from our DHS witness today on how these assessments have grown, surpassed
criticism, and are providing their customers with an indispensible tool.

One of those customers is the Department of Health and Human Services, and its
Biomedical Advanced Research and Development Authority. BARDA is responsible for
advanced development and procurement of CBRN medical countermeasures. We look
forward to learning from the witnesses about BARDA successes that must be supported,
as well as continued challenges to forging an effective and fruitful relationship with the
private sector.

We know that BARDA has the authorities it needs to develop and acquire
countermeasures. What is less clear is why it has not made use of those authorities. Of
particular concern are the contracting delays. These delays seem to have increased in the
past year, since the contracting and procurement functions were taken out of BARDA and
placed under the Assistant Secretary for Preparedness and Response.

What is the strategic direction that BARDA is looking to take to allow development and
procurement of the best countermeasures, and in the most expedient, transparent, and
industry-friendly way possible?

What are the countermeasures that are missing from our stockpile -- do we need vaccines
for hemorrhagic fevers, or rapid diagnostics to know who has been exposed? How the
material threat determinations are informing HHS investments and meeting the needs laid
out by DHS is a central question.

The contributions of the Department of Defense to the health of our Nation through
medical countermeasure development go back decades. DOD was a pioneer in this area.
I look forward to hearing today how DOD's program has matured, and how its best
practices and expertise are leveraged by DHS and HHS. DOD and HHS have a unique
relationship, that of a shared stockpile. The shared anthrax stockpile, for example, allows
fewer vaccines to expire and therefore better resource efficiency. Of course, we would
also like to see a next-generation anthrax vaccine developed, and I am aware of
considerable delays on the part of BARDA to procure that -- pushing us until at least 2018
from what I understand. I look forward to hearing from DOD and HHS on how we can
meet this and other pressing countermeasures needs.

So once again I thank our witnesses for being here, and for working to protect our health,
protect our homeland, and foster more jobs and a healthier economy in the process.


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