Abstract
This article is the latest in an annual series analyzing federal funding for health security programs. We examine proposed funding in the President's Budget Request for FY2019, provide updated amounts for FY2018, and update actual funding amounts for FY2010 through FY2017. Building health security for the nation is the responsibility of multiple agencies in the US federal government, as well as that of state, tribal, territorial, and local governments and the private sector. This series of articles focuses on the federal government's role in health security by identifying health security-related programs in public health, health care, national security, and defense and reporting funding levels for that ongoing work.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 281-303 |
| Number of pages | 23 |
| Journal | Health Security |
| Volume | 16 |
| Issue number | 5 |
| DOIs | |
| State | Published - Sep 1 2018 |
| Externally published | Yes |
ASJC Scopus subject areas
- Health(social science)
- Emergency Medicine
- Safety Research
- Public Health, Environmental and Occupational Health
- Management, Monitoring, Policy and Law
- Health, Toxicology and Mutagenesis
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Federal funding for health security in FY2019. / Watson, Crystal; Watson, Matthew; Gastfriend, Daniel; Sell, Tara Kirk.
In: Health Security, Vol. 16, No. 5, 01.09.2018, p. 281-303.Research output: Contribution to journal › Article › peer-review
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TY - JOUR
T1 - Federal funding for health security in FY2019
AU - Watson, Crystal
AU - Watson, Matthew
AU - Gastfriend, Daniel
AU - Sell, Tara Kirk
N1 - Funding Information: Department of Defense (DoD) Defense Threat Reduction Agency (DTRA) Cooperative Biological Engagement DARPA Research, Development, Testing and Evaluation (RDTE) Transformative Sciences Basic Operational Medical Science Biomedical Technology Biologically Based Materials and Devices Chemical and Biological Defense Program (CBDP) (Defense-wide) Applied Research Chemical Biological Defense Techbase Med Defense Advanced Technology Development (ATD) Chemical Biological Defense Techbase Med Defense Advanced Component Development & Prototypes (ACD&P) Contamination Avoidance Information Systems Medical Biological Defense System Development and Demonstration (SDD) Information Systems Medical Biological Defense RDT&E MGT Support OSD Biosafety (BSAT inspection oversight) Operational Systems Development (OP SYS DEV) Information Systems Medical Biological Defense Defense Health Program RDT&E Naval Medical Research Center: Biological Defense Research Directorate Subtotal DoD Civilian Biosecurity Program Funding Department of Homeland Security (DHS) Countering Weapons of Mass Destruction Office (CWMD) Customs and Border Protection (CBP) Agriculture Quarantine and Inspection Fees (AQI)a Office of Health Affairs (OHA) Chemical and Biological Readiness National Biosurveillance Integration Center (NBIC) Funding Information: Agriculture Thrust Area Biological Countermeasures Thrust Area Research, Development and Innovation Apex Real-Time BioThreat Awareness Bioagent Detection Counter Terrorist Thrust Bioagent Threat Assessment Disaster Resilience Thrust Bioagent Attack Resiliency Laboratory Facilitiesb,c Subtotal DHS Civilian Biosecurity Program Funding Department of Health and Human Services (HHS) Food and Drug Administration (FDA) Bioterrorismd Food Defense Advancing Medical Countermeasures Initiative (MCMi) Physical Security Life Sciences Biodefense Lab (operationalizing) Health Resources and Services Administration (HRSA) Countermeasure Injury Compensation Fund (smallpox) Assistant Secretary for Preparedness and Response (ASPR) Medical Countermeasures Dispensing (USPS pilot program) Subtotal HHS Civilian Biosecurity Program Funding US Department of Agriculture (USDA) Animal and Plant Health Inspection Service (APHIS) Safeguarding and Emergency Preparedness/Response National Veterinary Stockpile National Bio-and Agro-Defense Facility Agriculture Quarantine Inspection Subtotal USDA Civilian Biosecurity Program Funding National Science Foundation (NSF) Homeland Security Activities: Research to Combat Bioterrorisme Total Federal Civilian Biosecurity Program Funding Funding Information: Weapons Activities Appropriationa Nuclear Counterterrorism Incident Response Counterterrorism & Counterproliferation Programs NNSA Defense Nuclear Nonproliferation Defense Nuclear Nonproliferation R&D Nonproliferation and International Security International Material Protection & Cooperation Global Threat Reduction Initiative Global Material Security Material Management and Minimization Nonproliferation and Arms Control Nonproliferation Construction Nuclear Counterterrorism and Incident Response Subtotal DOE Civilian Rad/Nuc Program Funding Department of Homeland Security (DHS) Countering Weapons of Mass Destruction Office (CWMD) Technical Forensics (nuclear) International Rail (R/N detection) Radiation Portal Monitor Program Radiation Portal Monitor Replacement Program CWMD Research and Development (nuclear detection architecture) Domestic Nuclear Detection Office (DNDO) Federal Emergency Management Agency (FEMA) Radiological Emergency Preparedness Program (REPP)b Science & Technology Directorate (S&T) Radiological/Nuclear Response and Recovery (RNRR) Subtotal DHS Civilian Rad/Nuc Program Funding Department of Defense (DoD) Army (RDT&E) Nuclear Arms Control Monitoring and Sensor Network Defense Threat Reduction Agency (DTRA) Cooperative Threat Reduction (CTR) Global Nuclear Security Research, Development, Test & Evaluation (RDT&E) Counter WMD Applied Research Detection and Forensics Technologies (nuclear/radiological weapons) Detection Technologies (for radiological and nuclear threats) Funding Information: Department of Homeland Security (DHS) Countering Weapons of Mass Destruction Office (CWMD) Chemical Support Programs Office of Health Affairs (OHA) Chemical and Biological Readiness Chemical Defense Program Science & Technology Directorate (S&T) Chemical Threat Assessment (CTRA and CSAC) Chemical Attack Resiliency (Chemical Forensics) National Protection & Programs Directorate (NPPD) Infrastructure Security Compliance (CFAT Standards) Subtotal DHS Civilian Chemical Security Program Funding Department of State Organisation for the Prohibition of Chemical Weapons (OPCW) Department of Health and Human Services (HHS) Centers for Disease Control and Prevention (CDC) Chemical Laboratories (LRN-C)c National Institutes of Health (NIH) CounterACT Subtotal HHS Civilian Chemical Security Program Funding Total Federal Civilian Chemical Security Program Funding Funding Information: Department of Health and Human Services (HHS) Centers for Disease Control and Prevention (CDC) Immunization and Respiratory Diseases Influenza Planning and Response Emerging and Zoonotic Infectious Diseases Global Health Global Disease Detection and Other Programs (GHSA)a National Institutes of Health (NIH) Influenza Research (excluding ARRA funding) Food and Drug Administration (FDA) Pandemic Influenza Antimicrobial Resistance Office of the Secretary (OS) Pandemic Influenza Preparedness Activities Assistant Secretary for Preparedness and Response (ASPR) Pandemic Influenza Office of Global Affairs Pandemic Influenza Subtotal HHS Civilian Pandemic Flu and EID Program Funding US Agency for International Development (USAID) Global Health Securityb Department of Defense (DoD) Defense Health Program (RDT&E) Combating Antibiotic Resistant Bacteria (CARB) DARPA Research, Development, Testing and Evaluation (RDTE) Basic Operational Medical Science Biomedical Technology Subtotal DoD Civilian Pandemic Flu and EID Program Funding Total Federal Civilian Pandemic Flu and EID Program Funding Funding Information: State and Local Preparedness and Response Capabilitya CDC Preparedness and Response Capability (includes BioSense) Strategic National Stockpile (SNS) Environmental Health (emergency prep and response) National Institutes of Health (NIH) National Institute for Allergy and Infectious Diseases (NIAID) Biodefense and Emerging Infectious Diseases Research (NIAID) Office of the Director Nuclear/Radiologic/Chemical Countermeasures Researchb Office of the Secretary (OS) Commissioned Corps Readiness and Response Assistant Secretary for Preparedness and Response (ASPR) Preparedness and Emergency Operations National Disaster Medical System (NDMS) Hospital Preparedness (HPP) Grants (includes ESAR-VHP) Medical Reserve Corps Biomedical Advanced Research and Development Authority (BARDA) Project BioShield Strategic National Stockpile (SNS) Policy and Planning Operations Office of Global Affairs (OGA) Subtotal HHS Civilian Multiple-Hazard/Preparedness Program Funding Department of Homeland Security (DHS) Countering Weapons of Mass Destruction Office (CWMD) Strategic Planning & Analysis—Capability Operations and Support Readiness Program Medical Support Radiological/Nuclear and Chemical Detection Support Test and Evaluation (T&E) Acquisition Funding Information: Chemical and Biological Readiness Planning and Coordination Integrated Operations Health and Medical Readiness Federal Emergency Management Agency (FEMA) Preparedness and Protection Response and Recovery Mitigation Grant Programs Science & Technology Directorate (S&T) Integrated Terrorism Risk Assessment Integrated Consortium of Laboratory Networks Standards Thrust (including chemical and biological systems standards) Chemical and Biological Integrated Product Team Solutions Compact Personal Protective Equipment (for CBR agents) Customs and Border Protection (CBP) Container Security Initiative (formerly International Cargo Screening) Subtotal DHS Civilian Multiple-Hazard/Preparedness Program Funding Department of Defense (DoD) US Army National Guard (WMD Civil Support Teams and CBRN Capabilities) US Navy (WMD Detection) Defense Threat Reduction Agency (DTRA) Cooperative Threat Reduction Program (WMD components) Operations and Maintenance Nonproliferation Activities US Strategic Command Center for Combating WMD Research, Development, Testing and Evaluation (RDTE) Basic Research for Countering WMD Counter Weapons of Mass Destruction Applied Research Counter Weapons of Mass Destruction Advanced Technology Development Defense Advanced Research Projects Agency (DARPA) Biological Warfare Defense Program (CBR focus) Biologically Based Materials and Devices In vivo Nanoplatforms (sensing therapeutic CB threat agents) Funding Information: Basic Research (Life and physical sciences chem/bio research) Applied Research Chemical Biological Defense Techbase Nontraditional Agent Defense Techbase Med Defense Advanced Technology Development (ATD) Chemical Biological Defense Techbase Nontraditional Agent Defense Techbase Med Defense Advanced Component Development & Prototypes (ACD&P) Chemical Biological Defense System Development and Demonstration (SDD) Chemical Biological Defense Operational Systems Development (OP SYS DEV) Chemical Biological Defense Subtotal DoD Civilian Multiple-Hazard/Preparedness Program Funding Department of State Arms Control, Verification, and Compliance Office of Chemical and Biological Weapons Affairs International Security and Nonproliferation Nonproliferation, Anti-Terrorism, Demining and Related Programs Nonproliferation and Disarmament Fund Export Control and Related Border Security Assistance Global Threat Reduction (GTR) Diplomatic Engagement Worldwide Security Protection Operational Medicine Programsc Subtotal State Civilian Multiple-Hazard/Preparedness Program Funding Environmental Protection Agency (EPA) Homeland Security Grants to States (formerly Water Safety Grants) Communication and Information Critical Infrastructure Protection Preparedness, Response and Recovery Protection of EPA Personnel and Infrastructure Funding Information: Superfund Emergency Response and Removal Emergency Preparedness Subtotal EPA Civilian Multiple-Hazard/Preparedness Program Funding Department of Justice (DoJ) National Security Division National Science Foundation (NSF) Homeland Security Activities Protecting Critical Infrastructure and Key Assets Counterterrorism Emergency Planning and Response Subtotal NSF Civilian Multiple-Hazard/Preparedness Program Funding Department of Commerce (DoC) Bureau of Industry and Security—Export Administration US Department of Agriculture (USDA) Animal and Plant Health Inspection Service (APHIS) Emergency Management Food Safety and Inspection Service (FSIS) Public Health Data Communication Infrastructure System Subtotal USDA Civilian Multiple-Hazard/Preparedness Program Funding Department of Veterans Affairs (VA) Emerging Pathogens/Bioterrorism Total Federal Civilian Multiple-Hazard and Preparedness Program Funding Funding Information: Most funding for this category in HHS is provided through the NIH Biodefense and Emerging Infectious Disease Research program ($1.97 billion).33 This funding level is 9% ($204 million) below the FY2018 estimate. Funding for nuclear/radiological/chemical countermeasures research at NIH, which is normally around $75 million, was not included in this year’s budget materials and so is not accounted for in this analysis. Funding Information: Multiple-hazard and preparedness funding in ASPR would receive a 42% increase under the proposed FY2019 budget, due primarily to the addition of the SNS program to the ASPR portfolio. Funding for other programs in ASPR, including the Hospital Preparedness Program (HPP), Project BioShield (which supports the procurement of medical countermeasures against chemical, biological, radiological, and nuclear threats), and the Biomedical Advanced Research and Development Authority (BARDA), would gain small amounts of additional funding. Finally, the Medical Reserve Corps (MRC), a program that was funded at $13 million in FY2010, would be reduced by 33% to $4 million.34 Funding Information: The Emerging Pathogens/Bioterrorism program in the VA would receive $0.7 million in the proposed FY2019 budget, representing flat funding from FY2018.40 Publisher Copyright: © Copyright 2018, Mary Ann Liebert, Inc., publishers 2018. Copyright: Copyright 2018 Elsevier B.V., All rights reserved.
PY - 2018/9/1
Y1 - 2018/9/1
N2 - This article is the latest in an annual series analyzing federal funding for health security programs. We examine proposed funding in the President's Budget Request for FY2019, provide updated amounts for FY2018, and update actual funding amounts for FY2010 through FY2017. Building health security for the nation is the responsibility of multiple agencies in the US federal government, as well as that of state, tribal, territorial, and local governments and the private sector. This series of articles focuses on the federal government's role in health security by identifying health security-related programs in public health, health care, national security, and defense and reporting funding levels for that ongoing work.
AB - This article is the latest in an annual series analyzing federal funding for health security programs. We examine proposed funding in the President's Budget Request for FY2019, provide updated amounts for FY2018, and update actual funding amounts for FY2010 through FY2017. Building health security for the nation is the responsibility of multiple agencies in the US federal government, as well as that of state, tribal, territorial, and local governments and the private sector. This series of articles focuses on the federal government's role in health security by identifying health security-related programs in public health, health care, national security, and defense and reporting funding levels for that ongoing work.
UR - http://www.scopus.com/inward/record.url?scp=85055074622&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85055074622&partnerID=8YFLogxK
U2 - 10.1089/hs.2018.0077
DO - 10.1089/hs.2018.0077
M3 - Article
C2 - 30339096
AN - SCOPUS:85055074622
VL - 16
SP - 281
EP - 303
JO - Health security
JF - Health security
SN - 2326-5094
IS - 5
ER -