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WASHINGTON--President Bush will call on Congress Wednesday to
provide $30 billion toward battling the global AIDS crisis over the
first five years after he leaves office, according to senior
administration officials, a doubling of the current U.S.
commitment.
The increase in the President's Emergency Program for AIDS
Relief (PEPFAR) would provide lifesaving treatment to 2.5 million
people, administration officials said Tuesday night -- some 1.4
million more than are currently served by the program.
The program's original five-year mandate, which provided for $15
billion in U.S. funding, expires in September 2008. Bush's plan
would extend that for five more years.
Bush will issue his request Wednesday afternoon, the officials
said, during a Rose Garden ceremony where he is scheduled to be
joined by supporters and beneficiaries of the program, including a
caregiver and an AIDS patient. At the same time, the president will
announce that first lady Laura Bush will travel to Africa in late
June and visit AIDS-related services funded by the program in
Zambia, Mali, Mozambique and Senegal, officials said.
Bush's announcement comes in a week when he is highlighting his
administration's commitment to international development and human
rights protections, both of which will be major items for
discussion next week when he joins other world leaders at a Group
of Eight summit meeting in Germany. Tuesday, Bush announced new
economic sanctions on Sudan, and he is also expected Wednesday to
nominate veteran diplomat Robert Zoellick as president of the World
Bank.
AIDS advocates hailed word of the president's plans.
"We think a doubling is definitely in order," said Paul Zeitz,
executive director of the Washington-based Global AIDS Alliance. "I
would call it bold action. Is it enough? No. Do we have to have
better policies? Yes. But PEPFAR is still a breakthrough and has
had a significant impact."
Globally, some 40 million people suffer from HIV/AIDS, a number
that has been fast increasing despite growing prevention
efforts.
Bush announced the program, the largest foreign-aid effort
directed at a single disease in U.S. history, in his 2003 State of
the Union address. Through last September, it was paying for
anti-retroviral treatment for 822,000 people in the "target
countries" -- 12 African nations, Guyana, Haiti and Vietnam.
The program also pays for drugs for 165,000 people elsewhere in
the developing world, and it has provided short courses of medicine
to more than 500,000 pregnant women, a strategy that has prevented
about 100,000 infections to newborns, program officials say.
Earlier this year, an independent panel of experts assembled by
the Institute of Medicine called the massive program "well
positioned" to help AIDS-devastated countries control their
epidemics.
Many advocacy groups, while praising the ambitious reach, have
criticized the program for its congressionally-imposed emphasis on
abstinence education. Nearly 7 percent of the money is tied to
abstinence education. Also, some have been critical that only a
fraction of the money is funneled into multinational efforts to
battle AIDS.
"PEPFAR has done a lot of good," Zeitz said. "But it could have
done more."
Rep. Tom Lantos, D-Calif., chairman of the House Committee on
Foreign Affairs, called the president's planned announcement "music
to my ears." But, he added, much more must be done.
Bush's announcement comes at an unusual time, as the legal
authority for the program does not expire until September 2008 and
Congress has already held one hearing in preparation for its
reauthorization.
But administration officials said he wanted to make the
announcement in advance of next week's summit, during which Bush is
likely to take criticism for his administration's positions on
climate change.
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