you mentioned earlier, the importance of educating congress about the public health and health securityssues. we heard about the potential for increasing the washington presidents and cdc, in order to better engage for some of those congressional offices. gary emphasize the importance of bolstering an executive dialogue on the cdc. what d.c. as a potential for moving dialogue around cdc? what will it take to really enable the agency to make its case? particularly, people who are new, who are learning for the first time? >> first of all, i want to completely agree with everything everyone has said. as a fairly recent former member of congress, the only reason i went to cdc one time was because i was at a speaker at another conference in georgia, and atlanta. that representative rogers had on the opioid crisis. i realize that here i was working on cdc related issues around pandemic repaired miss. i had never been invited. i did not know much about the cdc operation in atlanta. i was overwhelmed when i took the tour. i had had similar tours of other agencies. of the nih, of aspirin barda.

our nation's public health infrastructure was underdeveloped well before the coronavirus pandemic. some populations were particularly vulnerable because of long-standing [indiscernible] and economic disparities. on top of these, the administration chose to minimize and discouraged proven health measures by undermining these scientists leading the pandemic response. today's hearing -- we must take stock of what we have learned so we can determine how to move forward. this is two and half years of oversight work, our final report, which we will [indiscernible] and adopt immediately following this hearing, includes 30 recommendations that inform what we need to do to prevent and prepare for future crises. we must invest in this generation, including vaccines and treatments to be prepared not only for future variance of the coronavirus, but for other unknown pathogens that may reach us in the future. we must strengthen supply chains, increase domestic manufacturing, and ensure our stockpiles are well supplied to make sure these essential workers are not exposed for the next emergency. w

it is not integrated into public health. we do not have great ways to communicate with her health care providers. not a lot of education to providers is aware of what public health is. it is fundamental to be able to understand the individual person's health and the decisions of individuals. there is so much more work to do and making sure that communication is two way with the public, policymakers, legislators and our large institutions and agencies, we can understand the why and also explain the limitations and weaknesses of these decisions so that we have actions and have them be meaningful and have them make sense. i appreciate the focus. >> let me turn to you, you weren't working closely on the covid testing and -- were working closely on the covid testing and treatment. i know how the thought a great deal about the challenges of communicating -- how you thought a great deal about the challenges of communicating and the needs to move therefore. -- that forward's. . how do you wish to improve the agency's ability to move

when done right, public health is inextricably tied to promoting health equity, because of viruses, unclean water, uncontrolled chronic diseases, food deserts, or violence. we see certain segments of our population endure greater tolls of morbidity and mortality. aggressive, intentional action through partnership and collaboration is essential to strengthen our public health infrastructure and make health equity a concrete, tangible action instead of just a feel-good catchphrase. when the pandemic hit at the end of my first year, while all -- we had many large days and nights reviewing large amounts of data and working to shape our response, educate people, on both how to spread, prevent, and when, how, why, and where to get vaccinated. at the same time, safety net hospitals were struggling with limited resources and were stretched to the limits while covid became part of their lives. hospitals faced enormous numbers of people seeking treatment. covid has further highlighted the need to focus on addressing those issues of health equity, and i asked the committee to consider the following pr

challenges deepened over the past three years, how to rebuild the agency and restore that trust in public health and science has become important questions to consider and are the topic of today's discussion. welcome. i am a senior fellow with the global health policy center. it is my pleasure to moderate the discussion today centered around a new report issued by the csis commission on strengthening america's health security called building the cdc the country needs. this report argues a significant reset of the cdc is necessary and possible if building carried out through building actionable recommendation across branches of government and across party lines. no small task. the csis commission is a bipartisan group of experts. it is cochaired by the former cdc director and current cd -- ceo of the foundation of the national institutions of health and by the former congresswoman from indiana susan brooks. in august, the commission launched a working group on the cdc to consider the following questions. what are the most important near-term steps that will drive a significant reset with cdc, wit

surveillance capabilities and that we grow and support our public health workforce. these, along with other recommendations in the report are very important measures. i hope that my colleagues on both sides of the aisle will work together to implement these recommendations so we can prepare for future challenges and improve our ability to protect all americans in the case of another virus attacking us. again, i want to thank you for the in-depth analysis, the many hearings, the professionals that you brought before us. i support your report. rep. clyburn: thank you very much. if no one else is seeking recognition, we will move to a vote. the question now occurs on the amendment in the nature of a substitute to the committee report. all those in favor, say aye? although suppose, say no. >> no. >> the opinion of those have it. it is agreed to. reporting the report as amended. all those in favor, say yaye. although -- -- all of those in favor say aye. although opposed say no. the ayes have it. let the record reflect that mr. jordan opposed favorable reporting by voice.

prior to the, i served as the director of illinois public health. we were intentional about engaging disproportionately at risk communities to tackle health disparities. these communities, whether they were rural communities, communities of color, economically under-resourced communities, these are often the same community served by safety net hospitals. covid-19 laid bare the health disparities that have historically played underserved communities. these communities face a disproportionate share of illness, of poverty, of hunger as well as trauma. during the pandemic, thousands of hospitalizations and deaths, including illinois, where patients with underlying chronic conditions. covid-19 unfortunately has why didn't the life expectancy gap between white and black and brown communities. as weeks as the lessons learned from the pandemic, we need to address our overall public health infrastructure, build up and maintain the public health work force and not just the times of pandemics or crises. we also need to support the form of data modernization and

there was a time and place for covid-19 public health emergency. on this day three years ago then department of health and human services secretary azar first invoked the covid-19 public health emergency. the covid-19 public health emergency was used at the beginning of the pandemic to establish operation warp speed and provide for c.m.s. waivers that led to -- the speaker pro tempore: the gentleman will suspend. the house will be in order. please take conversations off of the house floor. the gentleman from kentucky is recognized mr. guthrie: the covid-19 public health emergency was used at the beginning of the pandemic to establish operation warp speed and provide c.m.s. waivers that led to millions of seniors receiving critical health care services through mediums such as telehealth, removing various forms of red tape getting in the way of health care providers' ability to care for their patients. now exactly three years later of the original disaster public health declaration, we are in a much better position to address covid-19. we have proven

supported in so many different ways including by the voters of san francisco when they support public health bonds, they support clinics like this. they support the opportunity to provide healthcare to san franciscans regardless of whether or not they have health insurance. that's what places like this provide an opportunity to help make sure that people are able to get the support that they need, and so again, i want to thank you all so much for being here today. thank you to it great departments and everyone who played a role in this. it is a lot of work and it does take a village. thank you again to marie x family and her friends and people who knew her. i know when she passed away in 2020 it was really devastated for the public health community and so i know that you know, as much as some of you miss her, i know especially her daughter paloma today missing her because you know her work and advocacy for social justice, push for creative solutions and change and as a result of naming this clinic in her honor it really cements her leg acy of work in the city and county of san francisco so t

so, let me first thank the public health commission, which completed its work last summer, and especially the cochairs former state senator luke henley, former estate commissioner judy munroe and her current health commissioner dr. chris box and. thank you. [applause] now, i hate to remind us but i will, we ranked 45th for smoking, 46th for obesity, 43rd for access to mental health providers and 41st for childhood immunizations. among all states. they are our competition but what really struck me is that her life expectancy in indiana has declined in recent years, specifically among those who are front and center to our future, working aged adults between 25 and 64 years old. that is a pattern we have to reverse, and i will politely push and prod and poke everyone i can to adopt the commission's recommendations, including a significant increase in our state's public health appropriations, $120 million in the first year in and $227 million in the second year. nearly all of these dollars will be deployed locally in your districts where our fellow hoosiers need them tailored to the unique ci

public works commission. due to the ongoing covid-19 health emergency and given the public health recommendations issued by the san francisco department of public health, and the emergency orders of the governor and mayor

two let's transform the delivery of public health access across the state from hollywood structure be designed over a century and three let's continue to make unprecedented investment in the classrooms of indiana schools from pre-k, k-12 through college and the various adult learning pathways we offer. and here is why they can do all of these three things at the levels i propose to my budget last week. recall when i stood right here in 2017. our revenues were roughly $15.5 billion. by the end of fiscal year 2022 revenues have grown to over $21 billion. that's almost $6 billion we have controlled the size of government along the way. [applause] looking forward our revenues are estimated to exceed what we spend by $2.3 billion expected to grow by another 3% in each year of the next biennial. ladies and gentlemen because of our strategic collaboration indiana has become known for our responsible budget and this one is no different. we have again proposed to make an additional 1 billion-dollar contribution to the pre-1996 teachers pension fund. in 201,130 years even cut from the time to f

this nags public health officials.ricans getting fully vaccinated and boosted. 80% of americans are at least partially vaccinated. again, the president saying the public health emergency will end in a couple of months. house republicans say that's because of us. >> this week house republicans will pass a bill that will force the federal government to acknowledge what the american people already know, the pandemic is over. >> the white house yesterday finally said they will end these public health emergencies. the problem is the president said he is going to wait until may. well, mr. president, if you know it is the right thing to do don't wait until may. >> our great reporters are back with us. it is true, the politics here are pretty clear. some democrats did not want to take a vote. if the president, you know, to say we need to keep it going. marjorie taylor greene tweeting, too late, republicans already announc announced we are declaring covid is over. biden trying to take the question. maybe you can fact check it a

public health, and education. governor holcomb has served in since 2017, after mike pence resigned as governor to become vice president. this is half an hour. thank you. pursuant to section 13 of article five of the indiana constitution, the indiana general assembly has convened for the purpose of hearing a message from of the governor. ladies and gentlemen of the house and senate, distinguished guests, i have the high honor of introducing our governor, eric holcomb. [applause] mister speaker, mister president, madam chief justice. lieutenant governor, members of the general assembly. my fellow hoosiers, it's a real honor and privilege to report to you, once again, on the state that is so beloved and shares so much in common, as hoosiers, about how we can make it even a better place. to live, to work, to build a future. please understand one thing upfront, i intend to work even harder over the next two years and i have any other time, to continue to improve our prospects for every single person who calls indiana h

departments of public health you are not doing enough. not enough to protect the public or urging that masks be used. there is no campaign to further this goal. and to tell people in simple ways how they can protect themselves from the triple threat of covid, rsv and the flu. i thk thank you very much fsh for your time and hope you were listening. thank you. thank you for sharing your comments. you are unmuted. let us know you are there. >> i'm here. >> you got 3 minutes. >> great. i'm scott gordon an industrial hygienist since 1986. i have been in employed by companies spesified equipment to conduct training in protected equipment including masks and res per searies and such the key is training the operator using the mask trin in the how to wear it that mask will be useless. i ask each the people in the community how much training have you received regarding masking. my understanding in my experience is that no one received any training. also, in response to people who claim masking is effective. there are no studies that show that. no co

pulling the plug on the national -- on public health emergency declarations will throw federal programsur health care system into chaos. no longer will americans be able to receive free covid testing and treatments. hospitals that already struggle to stock their shelves with proper p.p.e. will face an even greater uphill battle. now, i'm not saying these declarations should continue indefinitely. nobody is saying that. president biden announced yesterday he plans to end the declaration on may 11. but we need time to understand the impact that ending the declarations will have on our country. the responsible thing to do is to provide an orderly offramp for these agencies so that essential benefits aren't suddenly ripped away from those who need them most. and essentially getting rid of telework for our federal agencies when it has allowed our country to work through this historic pandemic is nonsense. studies have shown that telework has been largely beneficial, resulting in increased productivity, reduced absences, reduced turnover and reduced office cost. if corporate america has chose

let me first thank the public health commission. it completed its work last summer. especially the cochairs. [applause] i hate to remind us but i will. we ranked 45th for smoking, 46th for obesity, 43rd for access to mental health providers. and 41st for childhood immunizations among all states. our competition. what really struck me is that our life expenses -- expectancy in indiana has declined in recent years. specifically among those who are front and center to our future. working aged adults between 25 and 64 here's old. that's a pattern we have to reverse. i will politely push and prod and poke everyone i can to adopt the commission's recommendations . including a significant increase in our states public health a probation cured $120 million in the first year, 220 $7 million in the second year. nearly all of these dollars will be deployed locally, and your districts, where our fellow hoosiers need them. taylor to the unique circumstances of each community partner. this initiative will come from the willing counties. to design and propose ways to leverage their

it's appalling, and the department of public health and the health commission is complicit, complicit in this situation, so i point the finger at you all as you tread water and try to figure out what the heck you're doing. how dare you. how dare you when you should have known for years what you should have have been doing which is paying attention to laguna honda. its residents and its staff, its union staff who does its best i tell you, its best to keep their clients, their patients well cared for, clean, fed and loved. i have nothing but disdain -- >> thank you for your comments. your time for public comment is -- >> thank you. >> thank you. i'm sorry. i apologize for cutting people off so i have to do that for every person. everyone has the same amount of time. caller you're unmuted. please let us know you're there. >> yeah. we talk about the laguna honda crisis and in deed it's a crisis where 11 died already and perhaps hundreds more if the default plan of closure and deadly discharges actually takes place in 16 days. to see the laguna honda crisis in isolation is a narrow vision

emergencies, including the coven 19 pandemic, which has posed a serious challenge not only to public health, but also to economies and livelihoods. the continent also faces health threats from other infectious diseases, from humanitarian crises and the rising burden of chronic illnesses, such as cancer and diabetes. every year, according to the world health organization, africa faces more than a 100 health emergencies. more than any other region in the world. we can now welcome to the program doctor, am at oklahoma, the acting director of the african unions centers for disease control. he joins us from addis ababa. thank you for joining us on the program. dr. oma, now the continent has faced major health care challenges recently, yet it's coped with outbreaks like covert and abolla better than some predicted. what do you think this says about the continent? states of preparedness for these threats? thank you for having me. been member over public health events that we've dealt with throughout 2022. for example. these in excess of a dozen, although the most known ones will be covered under a

for texas to use public health authority, as brian suggested, is something with a model th works.as can do that, too, could do it now using invasion authority, but public health authority is another source that joe biden keeps renewing at the federal level, not like they can complain about representative harrison passing a bill in texas to do the same thing in texas. >> carley: thank you both for joining us this morning. we appreciate your insight on this important topic. todd, over to you. >> todd: we're remembering our bel beloved alan komissaroff. he covered every major news event, he was a happy warrior and always had a smile on his face. >> carley: prayers to alan's family, his wife rachel and his son ben and daughter olivia. alan was just 47 years old. go fund me page is raising money for his children's future, we welcome anyone to donate to support his family during this difficult time. >> carley: six people are facing domestic terrorism police after rioters destroyed businesses and attack officers in atlanta. the media is telling a different story. >> violent, violent, onl

from a public health perspective. _ effectively.perspective, what are _ effectively. from a public health perspective, what are the - effectively. from a public health perspective, what are the sorts | effectively. from a public health i perspective, what are the sorts of things that, you know, and authorities need to be aware of right now, both people dealing with this in china and also other countries who are trying to manage covid searches as well. hospitalisation rates are the most important thing, so we have to keep an eye and hospitalisation rates and instill other public health interventions as quickly as possible, if you to see those rates reach levels that are causing the infrastructure to be stressed, i think from a virus perspective, a variance can appear anywhere in the country, anywhere in the worlds, what we want to really pay attention to is the limiting case numbers so the virus doesn't get the opportunity to repeal the —— replicate and communicate the strain and spread more easily evade immunity induced by infection

you led the public health response in illinois, during the critical juncture. did you observe these inequities? what was the cause of poor outcome in the communities of color? when i listen to your testimony, i heard some of the answers to the questions that i am raising. i would like to add a little bit to the question, to have you share with us your opinion about whether or not we had too much bureaucracy in the business. yes, we know that blacks and latinos have died this proportionately -- disproportionately. we know seniors receiving medicare are overwhelmed with paperwork that they cannot handle. what can you tell us about the death rates and bureaucracy? we absolutely did see is significant increase in the mortality rates in our communities of color and black and brown communities, compared to their white counterparts. >> mystics and shared, some of -- mystics and shared that was related to the members of the black and brown communities going to work every day. going to work every day, and the early days of the pandemic, when there was not adequate testi

we have incredible work or shortages in the public health system. this year congress does need to -- they have a reauthorization coming up for the pandemic and all hazards preparedness act and that is one possible -- it is going to be -- they are going to do that. it is very likely that they will be successful in doing that. it is not like the issue is disappearing. it will be up for reauthorization. host: here is a tweet. "anything river guarding -- regarding health savings accounts, maybe even the federal government putting $2000 a year for citizens of every age. who can afford paying off -- out-of-pocket health care costs after paying for the insurance? aca is largely insurance focused, not health care." guest: ok, you bring up an excellent point. i am sorry i do not support hsa for all, that is not what policymakers are talking about even though this is a part of our fabric now is having -- now that employers are offering hsas as an option. what you bring up is the cost issue and this is cost of the individual. even insured individuals are havin

. >> once the title 42 public health order is no longer in place. dhs will use its longstanding title eight. immigration enforcement authorities to process all individuals encountered at the at the outset, let me be clear title 42 or not. the border is not open. we will continue to fully enforce our immigration laws in a safe, orderly and humane manner. individuals without a legal basis to remain in the united states will be subject to prompt expulsion under title 42 or removal under title eight. we will comply with the court orders that require us to continue enforcing the title 42 order. and we will also use this time to enhance and increase our use of expedited removal under title eight were permitted to do so. building on our work throughout 2022. today, we are announcing new border enforcement measures to improve border security, limit irregular migration and create additional safe and orderly processes for people fleeing humanitarian crisis to lawfully come to the united states. these measures taken together are concrete steps to enhance the s

i am so proud of our public health response and what we were able to do to lead the way in san francisco. in fact, we are one of the most dense cities in the country and we saw one of the lowest death rates for covid anywhere and we should be proud of that. [applause] sunday was the 50 anniversary of roe versus wade and why are we here? why do we have the district attorney, diana beckten here and state senator from another county and our district attorney brook jenkins and other representives from our local to our state to our many of our officials from all over the bay area region. why are we here today? we are here because we understand we just celebrated the 50th anniversary of roe v wade last year, the rights of women to choose how they take care of their health by not granting access to abortion in places all over the united states is absolutely a direct threat against women's health, period. [applause] so, we are here because kimberley ellis, the director of the commission on the status of women came to me and to other women throughout the bay area to talk about how are we going to

he divested out of public health. that's impart how we've arrived, that this apparent clash between science on the one hand in front, on the other. ah, when i catch up with toby found chin he remains diplomatic about the deep riffs. took full between him and the then president. we were consider the best prepared country for a pin them. but as it turns out, when you get a whopper, light cove, it 19th, you're never as prepared as you really want to be. so that was the tension that sort of merged into some political divisiveness in the country. so 28000000 americans are without insurance, even after obamacare. 24000000 americans are under insured. o swats of the country are in essence disconnected out our of our capacity to intervene in their health. mm. mm. mm. mm. oh, oh, can you tell me i need a decade. h r v vaccine to get where it is. but was covered with, we're looking at the end of this year. well, it's been more than a decade rad. we started at vaccine. we're in h, i the in 1986 to 7. the amp study. if it works,