transparency in the blood supply. >> there's accelerated effort to develop tests so that blood can be assured to be safe. >> okay. you guys have been great in identifying the course for word. i've got a couple of questions. the testing under time to get more advanced, a lot of that involves around the president's request, a good request, i just read it. here it is from the white house to the speaker and all the members. he asked for about $1.8 billion. coincidentally, and i didn't know this, i have a letter back from mr. rogers, the chairman of appropriations, there's about $1.8 billion available with, leftover money from ebola. do you have the ability to move

that money into where we need it? >> the -- >> i'll ask both of you, cdc, nih spent a couple key points about ebola eric the outbreak is out of headlines but there is still substantial effort. last month's -- >> budget july the balance of about $1.819 billion spent the cdc doesn't have that large about four people. -- 1.8 or 1.9 billion. >> the administration does have again from mr. rogers, the chairman of appropriations is saying that unexpended dollar -- my whole question is there someone at available. view have money to address this? are you short? >> the resources for people who are committed. the our global health security

-- >> but you have, i mean we don't want to thank surrender by executive order. we shift the money. in a nano second you can see the president or the administration shifting money to some cause. do you have that ability to get the test kits -- i want ask dr. fauci because you've got a whole bunch of things in research. it was fantastic news to hear the summer trials, by this summer your moving ahead and you showed us how you doing that. i want to assure these numbers that you feel that you're the resources and support from the administration to move forward. do you, dr. fauci? >> our proportion of ebola many, we have -- >> you have people and other money. >> i'll explain what we are doing. our proportion of the ebola money we essentially spent all of it essentially spent all that except for name $89 billion.

we obligate almost all of -- >> do you have other sources? >> without the supplement has been asked for by the president is moving out of doing other things. let me tell you what we've done. we have money that we have been investing in contractors and grantees who do flavivirus research. we now erected them to switch over and add on -- we now directed them. >> they are under -- >> but have to not do other things in order to do that. >> you have people under contract? >> the global monies, commitments have been made to 17 high-risk countries in africa and asia which are very vulnerable for exactly what happened with ebola. >> you are directing some of those funds now to zika? >> no. those resources offer african

countries. >> but for what? ebola or for other diseases? >> to prevent and detect and respond to threats, including -- >> so it could be zika spirit in those countries that are not having zika. >> it is in different -- >> exactly. the geography of -- >> you intend to redirect some of that money now that we have is? >> we think that would be terribly dangerous in terms of the outbreaks that are ongoing. >> what i'm trying to get is make certain you have the resources come if you don't have been we need to know. we need to know that also the things they need to get onto contractor, under contract for the test kits, for the research, for the vaccine, for moving this little protocol forward, dr. fauci? >> just so i can clarify. in order to get a jumpstart, we took me that we have allocated for things like dainty and noted

over. i will not be -- dengue -- will not be able to proceed with a trout i described without additional money which is one of the reasons why -- >> that's what we need to know. we need to tell our colleagues the request is in the president gave it to us last week. we'll have to work with our leadership but we want you to have the funds available. we do want to neglect important research. one of the reasons i voted for the omnibus is we have additional money in research. i was told alzheimer's and some other disease. you can't rob peter to pay paul spent our plans are dependent upon some of the supplement. >> again, i have other questions like notifying, you notify our dod that oversees personnel through state and dod. are there official notices going out on the risk and the warnings of? >> yes. we've been working closely with the other departments.

>> we've got families and everybody all around the globe. i've got over my time. we will come back as we have got plenty of time as you can see with the members that are here. ms. duckworth, i will yield to you and thank you. >> thank you, mr. chairman. dr. schuchat, i wonder if i could deliver the chairman was like but in terms of notifying travelers as they coming back. i'm wondering about the travelers in the united states committee on the way out of what information is being provided. what the guidance was provided to devastated communities in the continental u.s. regarding zika? >> we been working closely with the clinical community including obstetricians. we have developed joint guidance. we accused the obstetrician's website. in fact, has destroyed our guidance water that we been able to to the city 5000 obstetricians in america. we've held calls and sessions for questions and answers. we are very keen to be letting

women know before they travel. signage and the outreach is through both direct health clinician channels answer consumer groups as well. i did a scary mommy blog and we've been working on a soldier me as well as professional groups so that women know and their families know what to expect. we know that when the most trusted source is their own doctor and so we want your own doctor to know the answer to the question. with the breaking cinema like this information is updated frequently. it's not jus just a one time guidance but ongoing updates. >> is that a similar effort with i guess family physicians or groups? i'm thinking of countries as i was traveling i would need to get immunized for a range of other diseases before going anywhere. if i was planning a trip i would be going to get those immunizations. is a zika being added as part of the conversation? >> that's right.

our travel hell second most popular site on cdc's website and we work closely with the clinical union and the special travel health and travel industry to make sure people know what to expect where they're going, what you eat and drink or not and what shots they might be before the travel so zika has been added. >> dr. fauci come on a big fan of nih. i think we should be funding you at far higher levels because its savings to its investment in do you know if there's a specific stage during pregnancy with exposure to zika is more likely to cause microcephaly? >> we don't know for sure but if it acts a virtual all other viruses that cause congenital abnormalities the first trimester is overwhelmingly the most vulnerable. ..

and there in their isn't just a one-size-fits-all. you have a great to tree of variability. it's not surprising that you have something as severe microcephaly as to the fetus not even surviving or you might have birth with some abnormalities of vision or perhaps mental issues so it goes from one end of the extreme to another. it's probably just the variability of the penetration of the virus through the placenta to the baby. >> are those mental issues also

include mental illness like schizophrenia or bipolar? >> there has been reports in the past, not with zika virus, of infections that mothers have during early parts of pregnancy and what is apparently an increase in the incidence of certain types of disorders. there is some controversy about that but there's enough information to suggest there would be an impact on some aspect of brain function which might also include things like psychiatric issues. >> i think you might be the organization that works with the dod perhaps. what about military women that are being deployed, especially, i served in operation new horizon multiple times. i also served in various missions in latin america.

what do we do with dod and military men and women who are going over? >> we been working closely with both the military and the department of state so that our guidance for americans try veiling abroad can be consistent with the military that are serving abroad as well as for state department employees and their families. we do think that in places where there is active circulation of zika virus virus right now, particularly latin america, that there will be, that it's not good for pregnant women to be there. if they are interested in redeploying elsewhere i think the departments are working with them on that. >> is there any plan to do any type of universal testing and monitoring of troops that are assigned there? >> they're planning to go and do a week and come back but it is a nice population that you will track who will go and come back. >> one of the active coordinations across the government is the leadership calls that we have.

the government is participating in that. they do in an enormous amount of research so i'm not personally aware if there is tracking in terms of covert studies going on. but that is something. >> thank you i'm always very proud of our robust public health system in the united states. i feel it works best when nobody notices. in this global economy with pandemics, it's always something we have to be cautious about. my questions are two lines of questioning. doctor, how would you characterize the american role in pandemic preparedness?

we are looked at both because americans travel a lot but also because of our leadership. how do we interact with the global community and make sure we are using our resources in an effective and read way. >> i think it's getting better and better. every time we have a challenge, every time we have a threat, to the response of evil love, and even now, all of us are experiencing, and people who are now involved very deeply with zika virus, we are ready see how the community responded in a much more robust way than we did before. i think we have done well all along but we are doing better now because of experience.

>> so it's improving. >> i think so. we have a global agenda that we are a part of. that is also part of the preparedness issue. >> doctor from the cdc perspective? >> i think people are taking the issues of preparedness very seriously. the importance of being able to prevent, detect and respond to everywhere is vital. the u.s. as a leader in that but we have many other people joining in the process. they did jump on this a lot quicker than previously. >> i'm told you were involved when the aids epidemic first evolved. being from the bay area, even as as we were dealing with that in researchers were dealing with it, the miscommunication was a

huge struggle. all these years later, you now have social media. i'm just curious, you spend a lot of your time correcting misinformation. which you like to talk about that or what you're learning about how we communicate via social media and what time you have to expend correcting what's out there. has that changed over time? >> part of the administration is that we try very hard to get out there publicly with the media, but the classic media and the social media, trying to get the

information out. what we learned all the way back from the year of hiv and aids is that we want to get correct information out. when we don't know the answer to something, we say we don't know the answer. that's the reason why you are hearing us be very cautious, for example of saying, we believe and think that there is a direct cause of relationship between infection of a pregnant woman and microcephaly, but we haven't yet done the definitive study. the reason we don't want to say anything definitive, unless we do the study, because there might be other cofactors that are involved that we don't know about. if we come out confidently saying something and then it turns out not to be the case, we are very careful to talk on evidence base opposed to what the answer is. >> from the cdc perspective? >> we think changes in communication have both benefited and harmed. it's much easier to reach a lot of people but that means it's a lot easier for everyone to reach a lot of people. the credibility of the public

health folks doing the talking is critical. we really want to protect that. >> i think were aware of the benefit and the curses of social media. i yield back. >> thank you very much. >> thank you gentleman. >> i have a few more follow-up questions. we have people in the united states who were infected outside. do we know if the disease can be transmitted from a mosquito biting an infected person?

>> so we are gaining in the number of infected people in the united states. it's in their blood and a mosquito bites them. then we infect the mosquito population here. >> that certainly can happen. >> i'm not a scientist. >> certainly that is the way it spread in the areas where there is local transmission in the latin america and caribbean. we have those mosquitoes in the united states, particularly in the southeast and along the gulf coast. one of the things that we are preparing for is that we have, as you heard, a considerable number of imported cases that got infected elsewhere and come home. were going to see more of those. what would not be surprising is that sometime in the future we would see local transmission where, just what you are saying happens. summit he comes. they get hit by mosquito. >> what they say about that as you stop the mosquito. we had west nile. we have west now right here in

d.c. >> it's mosquito control. >> exactly and that's what the people in florida -- >> that's mostly a state and local issue. i don't know if we are helping as local entities or if they can use their funds, we have cdc funds. >> we have community block. >> quite a bit of the emergency request is to be able to support state and local mosquito control. mosquito control is very patchy right now. >> in florida we are damn good at it. >> we have had mosquitoes in most of the golf course region, i've worked in louisiana and they are pretty good at it. again there are places that are not as good as it and the reaction that florida has taken is that florida set a model for the united states, but what we

want to do is make certain we are covering the rest. it sounds like we are ready have a little damage in puerto rico, the virgin virgin islands and some of the caribbean regions. >> yes the lids of living conditions and climate in puerto rico and the caribbean are such that the mosquitoes are very intense circulating around. in early areas that have good mosquito control in the us, the type of mosquito that we are dealing with is a bit difficult. they are a daytime fighter. it's inside and outside. >> again public information for the folks in the continental united states, you've got to use insect repellent and the state has to do more spring. were seeing some of the recommendations are ready. even small amounts of standing water are breeding down grounds for the coming spring and

summer. >> it just seems to be more intensive control because this one is quite different. especially in puerto rico. >> you didn't mention this, but i read about it and didn't think about it. did you mention that the games are being held in brazil in their winter? did you mention that? it might've been in your written testimony. folks don't know that which means that you've got the best chance of not getting infected in brazil where your olympics are being held. is it in july or august? >> that some of your coldest months down there. you have least likely time of being infected for folks that want to go. we want our u.s. team to participate and be protected. we want our visitors also to be protected. every time you get a chance, you need to tell folks that you have

the least chance of being bitten for infected during that period of time because it's the opposite of the northern hemisphere. >> dod has already done a lot of work. how do we how have we been coordinating the dod? can you tell us? >> there is quite a bit of inner government or nation across the government for protection. there's also a lot of research that dod does. they are part of our countermeasures. >> so were not duplicating. >> same with the ebola research. one of the promising back scenes was developed through military work. >> what would you say? >> i totally agree. in fact i worked with the dod on

a number of issues. the most recent of which was evil up. we will be doing it here. we have very good coronation and it comes centrally. waste coordinate among all the agencies. >> at this point in the record, with your permission i'll enter in the record and were trying to get everybody who's involved here their testimony. we asked dod who is not a witness if they have testimony from the department of defense. we have testimony from u.s. agency for international development and we have testimony from the american mosquito control association. and the gentle lady moves that this be made part of the record without objection. we will put that in the record. at this point, again i've got to federal agencies here and the state witness association for

our olympic committee and we need to know that we have a coordinated and seamless connect with all of our agencies. did you want to, any more on dod? >> i just saw here that there's research outside the united states with the british technology company, the name i don't know but there currently testing genetically modified mosquito named oh ex 513 a in brazil. are you aware of this? are we doing anything with these folks? >> yes we are. the idea of genetically modified mosquitoes, which you make a male sterile and release it into the environment is something we've done.

the release of genetically modified mosquitoes, in order to prevent the procreation of other mosquitoes is something that has been tried in the local ways where you go into a relatively restricted geographic area and it seems to be rather effective at a local level. the challenge with genetically modified mosquitoes and in addition to the societal pushback about anything dramatically modified being released into the environment is that it's difficult to scale it up on a country ride basis. that's one of the problems we have with that. >> okay and so i'm just trying to find out if work covering all of our bases here. then you've got, i'm learning more as we go along, you recommended cdc insect repellent and i just found, i didn't know they had this this is insect repellent for clothing and gear.

our knowledgeable ranking member who knows about dod said yes they have this but they've also found it causes cancer. this seems like a good product. i go down to puerto rico all the time. one of my favorite places to visit and i just came back after the holidays. is this stuff good to use? are you recommending that tell us if the cure is worse than the disease. >> we work really closely with the epa who registers insecticides and repellents. our website has a link to what is okay and what is not. there are many repellents and treatment for the clothing. some of the products are fine. >> you said this is okay. >> i'll also be conscious of my very knowledgeable ranking.

>> she said they use this for uniforms. i had never heard of it. it's just interesting. again getting information out to people on how they can protect themselves is so important so we've covered some of that. i was kind of shocked the first time i heard your 62 days, at least for the males to possibly be infected and pose some risk. i've not seen that before. is that the first time you've announced it today? >> that report has been out for a few weeks now. >> i've heard 21 - 30 days. that's a different situation but i think we need to be aware of that. i appreciate you making it known publicly. doctor, you haven't been

neglected. you're at the other end of the spectrum. we have a report from our local health officials and quick response from the governor. quick response from you at the state level. tell us, i know it's awkward having cdc and nih here. is there something we are missing is there something you could recommend that we should pay attention to from the state level? you are on the front line. >> thank you for your question. we have to manage the situation in the state and locally with what we know. what we have appreciated is guidance from the cdc now that is acknowledging what we don't know and helping us to really provide insight for people out of an abundance of caution so that we can keep them safe.

i think there has been a key change from evil up to zika. there is acknowledgment by the cdc that just because they don't have a definitive answer to something doesn't mean something doesn't need to be said. we still need the guideline. we again are leveraging all of the cdc guidelines to protect the people of florida and our visitors. >> question and a follow-up to my question. about the genetically modified organisms. i guess there was some effort in florida to curtail mosquito borne threats in florida using that approach. are you aware of that? >> yes i am aware of that in the past and. >> is that a route we should take? >> what did we use that on? i

don't recall. i'll have to get you the specific virus against which we were using a mosquito approach. i would echo what he said. i believe there needs to be a great deal of public awareness and education before doing that. we need to be aware of unintended consequences from using genetically modified mosquitoes. >> the other thing is you are at the state level and the federal level. when i spoke with our local health directors she said we get these cases and were also responsible for monitoring the individuals who are infected. she says well, we have very limited staff and i need people than to be the monitors. as you get multiple people, you need multiple staff checking up on them. some of the resources to the local entities to actually monitor these folks it appears it might be putting a strain on them. do you have a way of dealing with that?

do we have emergency funds at the state level to make sure that folks that are infected are monitored? >> at this point we are applying what we learned through monitoring for evil up virus. we had a very aggressive program. >> they told me. >> listen to this, they told me one way we would go when we thought someone was infected with evil a, they would ask what your temperature was. because you didn't want to come in contact with them. that was a different situation. you have to modify your approach to the risk even for the worker. my concern was to make certain you have workers who can go out and monitor these folks. right now these are very limited

numbers. we will have to make certain at the state level or on an emergency basis if we see where we have to have additional personnel that that need is met. >> i think those are the major questions. we have some serious issues here. you have done a great job in staying ahead of it. usually this committee is very harsh and we've had some tough time with the start of ebola and some other issues. i am very pleased with where we are right now. we just want to keep it under control and go forward. do you have anything else? >> again we will keep the record open for additional questions for our witnesses. i want to thank each of you for your good work for testifying today and i look forward to the working with you. we will try to pledge ourselves to get the resources that are necessary in a timely fashion.

with there being no further business before the subcommittee, this hearing is adjourned. thank you. [inaudible conversation]

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dash and and and and not. >> a hold for political junkies to do tracks the government does it happens. >> there are a lot alexians on the hill. >> if there is so much more that c-span does to make sure i know what is going on. basis. i'm not familiar with the specific cases he raises with

me. if you want a job in no come only can make sure it gets raised in the into quickly. >> questions to the prime minister. [shouting] >> thank you, mr. speaker. the house will be aware of the dreadful accident that occurred yesterday afternoon in which one died and three are missing. the whole house will join me in and in our condolences to the family and friends of the big guns in our best wishes to those who are still missing or injured. i want to pay tribute to the incredibly brave actions of our emergency services who dealt with the incident with typical professionalism. the executive or carry out a full investigation to find out what led to the tragedy. the >> mr. speaker, admitted with ministerial colleagues and others in addition to my duties specialist or their meetings today. >> michelle donovan peered >> thank you, mr. speaker. the prime minister on today's

occurrence, while they have successfully integrated during refugees already including babies and children that would otherwise be frozen or starved to death? however, a serious delay by the home office despite those that have tried to introduce more into the area. i would like to prime minister to telephone or he can do. can a look into it in outline what we can do to fulfill our moral duty to become desperate people? >> clip to pay tribute to the many councils up and down the country who it done a magnificent job in integrating and taken in syrian refugees and their families, finding them homes, schools and often time finding them jobs, too. if you look at what happened across europe in terms of the relocation and resettlement program, britain has done far better than any other country in terms to this resettlement program. we have delivered 1000 honorable

friend asked what we can do. first of all i will make sure she can make the home office to talk about how we can make sure this system works well. we will continue to invest in this year in refugee camps are monopolies that the 11 alien dollars we raised in the landmark london conference and will continue to do what we can to deliver the 20,000 syrian refugees we said we would take into our country. [shouting] >> thank you, mr. speaker. i want to let you the prime minister's tribute to servers. also at the families of the person who died and those who are missing or injured. we rely on our emergency services than we should make sure they are always there for all of us. a survey published yesterday shows that nine out of 10 junior

talk to already work extra hours beyond their normal contract. the survey also showed falling morale amongst this vital group of staff. what does the prime minister think this health secretary speech of the deal and imposition of a contract will do to their morale? >> ursula come in the health secretary did not veto a deal. but we've had this for four years discussions about how important it is to have an nhs that works on a seven day basis. that may pay tribute to the fact so many in the nhs work so hard already in the weekend. but what matters is making sure we can have a genuine seven-day nhs. what i say to junior doctors is that no junior doctor working legal hours will receive a pay cut. the contract will not impose longer hours and in fact, s. tougher safeguards to make sure reduces the hours that were.

we are not seeking to save money from the new contract. nights and saturday evenings in sunday's continue to attract unsocial or payments. this is a good deal from a government putting tens of millions forward in hhs. [shouting] >> mr. speaker, this dispute at the junior doctors has been debated in this represented recess about mortality. i will read the prime minister but they say and i quote, it is not possible to ascertain the extent to which they may be present preventable. so is the prime minister and his health secretary being rash and misleading with these figures? tree and to >> let me agree with the right honorable gentleman about something, the dispute has been played by scaremongering and inaccurate statistics.

[shouting] the british medical association and the first intervention said this was a dirty% pay cut. that was completely untrue. in fact, so one true that they had to take their pay calculator off their website and they never put it back up again. not billions they're very directly the question that excess deaths. the 6000 figure before excess deaths was based on a question asked by the health secretary, the medical direct to read the nhs. now we've had time to go into these figures in more detail. i can tell the house this period that the health secretary was indeed guilty. he was guilty of an understatement. the true figures for access that of the weekend are 11,000, not 6000. the right honorable gentleman will now withdraw this is totally unjustified.

what he would stride and announced the figures? >> mr. speaker. [shouting] mr. speaker, it is worth reflect and for one moment there is no dispute with the junior doctors in scotland or in wales because the government had the sense to reach an agreement with the junior.err. he must also be aware that the majority of the public of england i run that tied at the junior doctors, not the secretary of state. the situation actually gets worse the ministers weaker. a freedom of information request by the pdc to say and ask for the source of the health secretary statistics. civil servants and the department of health decided to, and i quote, offer up the most bland statement possible they would neither confirm nor

contradict the health secretary statement. if in time to prime minister -- statement and indeed reach an honorable settlement with the newly adopt it in? [shouting] 's >> erupt that question before he heard my answer. it's a possible description of how a right-sided amateur figure being about 1000. there is absolutely no withdraw our accusation against the health secretary after he gets those figures. there's no dispute in scotland and wales with the junior doctors. the region for that is in scotland and wales are not trying to create more of a seven-day nhs. the seven-day nhs was not only in our manifesto because i want to make sure that hard-working people can access health

services at an equal rate right through the week because you don't just get bill and the weekdays, but also he reads his own part toward into their election defeat. they admit there was a very popular concept and it is. what i would say to him as you can see in england we are putting 10 billion pounds more into the nhs. this guy 10,000 more doctors. we've got 10,000 more nurses. we are treating more patients. we have a settlement to the gp contract. we have a settlement of the junior doctors contract. we are building a strong nhs for patients and that is what this is about. [shouting] >> mr. speaker, we all want a strong and successful nhs. you don't achieve that by provoking industrial action, misrepresenting research are failing to get agr