The White House

Office of the Press Secretary

Statement by the President on the Passing of Sally Ride

Michelle and I were deeply saddened to hear about the passing of Sally Ride.  As the first American woman to travel into space, Sally was a national hero and a powerful role model.  She inspired  generations of young girls to reach for the stars and later fought tirelessly to help them get there by advocating for a greater focus on science and math in our schools.  Sally’s life showed us  that there are no limits to what we can achieve and I have no doubt that her legacy will endure for years to come.  Our thoughts and prayers go out to Sally’s family and friends.

The White House

Office of the Press Secretary

Statement by the Press Secretary on H.R. 4155

On Monday, July 23, 2012, the President signed into law:

H.R. 4155, the “Veterans Skills to Jobs Act,” which requires Federal agencies, when considering applicants for Federal licensure or certification, to consider relevant training that applicants may have received during service in the Armed Forces.

The White House

Office of the Press Secretary

President Obama Signs West Virginia Disaster Declaration

The President today declared a major disaster exists in the State of West Virginia and ordered Federal aid to supplement state and local recovery efforts in the area affected by severe storms and straight-line winds during the period of June 29 to July 1, 2012.

Federal funding is available to state and eligible local governments and certain private nonprofit organizations on a cost-sharing basis for emergency work and the repair or replacement of facilities damaged by the severe storms and straight-line winds in the counties of Barbour, Boone, Braxton, Cabell, Calhoun, Clay, Doddridge, Fayette, Gilmer, Grant, Greenbrier, Hardy, Harrison, Jackson, Jefferson, Kanawha, Lewis, Lincoln, Logan, Marshall, Mason, McDowell, Mercer, Mingo, Monroe, Nicholas, Pendleton, Pleasants, Pocahontas, Preston, Putnam, Raleigh, Randolph, Ritchie, Roane, Summers, Tucker, Tyler, Upshur, Wayne, Webster, Wetzel, Wirt, Wood, and Wyoming.

Federal funding is also available on a cost-sharing basis for hazard mitigation measures statewide.

W. Craig Fugate, Administrator, Federal Emergency Management Agency (FEMA), Department of Homeland Security, named Dolph A. Diemont as the Federal Coordinating Officer for federal recovery operations in the affected area. 

FEMA said additional designations may be made at a later date if requested by the state and warranted by the results of further damage assessments.

The White House

Office of the Press Secretary

Fact Sheet: President Obama’s Work to Honor our Military Families and Veterans

On Monday, July 23, President Obama addressed the Veterans of Foreign Wars and discussed his Administration’s work to secure our nation, fight terrorism, renew American leadership in the world, better serve our troops and military families and honor our veterans. In his remarks, President Obama announced a redesign of the Transition Assistance Program.  Developed by the Veterans Employment Initiative Task Force established by the President last August, Transition GPS will help our separating servicemembers successfully transition to the civilian workforce, start a business, or pursue higher education. The President also called on Congress to pass his Veterans Job Corps proposal and to extend the Returning Heroes and Wounded Warrior tax credits for businesses that hire veterans.

Additional background information on President Obama’s work to honor and support America’s military families and veterans is included below.

Transition GPS:  Transforming the Transition Assistance Program
In August 2011, President Obama visited the Washington Navy Yard and directed the Departments of Defense and Veterans Affairs to lead a task force to develop the first major redesign of the military’s Transition Assistance Program (TAP) in over 20 years.  Prior to the President’s announcement, TAP consisted of pre-separation counseling and a voluntary, three-day workshop from the Departments of Labor, Defense, and Veterans Affairs that was presented at selected military installations nationwide, and attended by nearly half of the service members who separated from the services each year.

In his remarks to the VFW, the President announced the launch of a revamped transition program, which will help our separating service members successfully transition to the civilian workforce, start a business, or pursue training or higher education.  This new transition program, entitled Transition GPS, will:

• Extend the transition program period from 3 days to 5-7 days.
• Strengthen, standardize, and expand counseling and guidance for service members before leaving the military.
• Transform the military’s approach to education, training, and credentialing for service members. 

Transition GPS will be implemented throughout the Armed Forces by the end of 2013 and includes the following key components:

 Pre-Separation Assessment and Individual Counseling: Through the new transition program, separating service members will have individual counseling to discuss their career goals and start their transition process.  Subsequently, members will have a needs and goals assessment coupled with a counseling session about benefits, resources, and available assistance across a wide scope of military separation topics.  Each service member will develop an Individual Transition Plan that documents his or her personal transition, as well as the deliverables he or she must attain to meet the new transition program’s Career Readiness Standards.

• 5-Day Core Curriculum: The five-day Transition GPS Core Curriculum will include a financial planning seminar, a workshop offered by the Department of Veterans Affairs on available veterans’ benefits and services, and a re-designed employment workshop offered by the Department of Labor. Transitioning service members will also undertake a Military Occupational Code Crosswalk to translate their military skills, training, and experience into civilian occupations, credentials, and employment.  An Individual Transition Plan session will allow Members to seek guidance from subject matter experts, identify career goals, and develop a roadmap for their transition.   

• Career-Specific Additional Curriculum: In addition to completing the Transition GPS Core Curriculum, transitioning service members will also have the option of participating in a series of two day tailored tracks within the Transition GPS curriculum: (1) an Education track, for those pursuing a higher education degree; (2) a Technical and Skills Training track, for those seeking job-ready skills and industry-recognized credentials in shorter-term training programs; and (3) an Entrepreneurship track, for those wanting to start a business.

• CAPSTONE Event: Before their separation from military service, service members will participate in a CAPSTONE event, which will verify that transitioning service members completed the Transition GPS curriculum and achieved Career Readiness Standards.  Service members who require additional assistance will be referred to supplemental training opportunities. In addition, through the CAPSTONE event, all service members will be offered a ‘warm handover’ to appropriate government agencies and organizations that will be able to provide them continued benefits, services, and support as veterans.

• Military Life Cycle Transition Model: The new transition program will incorporate career readiness and transition preparation into the entire span of a service member’s career. In the past, transition and preparation for the civilian workforce occurred late in a service member’s time in the military – near the point of separation. Under this new program, these concepts will be incorporated earlier to ensure that the counseling, assessments, and access to resources to build skills or credentials occur at earlier stages of a service member’s military tenure.

Hiring Our Veterans
Since the President took office, he has been committed to putting veterans back to work rebuilding and protecting America. From the work of the Joining Forces Initiative to encourage the private sector to hire tens of thousands of veterans to the passage of tax credits for businesses that hire veterans, the President has implemented a range of policies to connect veterans to job.   Additionally, the President continues to call on Congress to pass the Veterans Job Corps proposal he announced in the State of the Union to help Afghanistan and Iraq veterans get jobs as cops and firefighters, as well as other jobs serving their communities. The President’s record on hiring veterans includes:

• Creating Two New Veterans’ Tax Credits: In November 2011, the President signed into law two new tax credits for hiring veterans, both of which he proposed as part of the American Jobs Act. The Returning Heroes Tax Credit provides an incentive of up to $5,600 for firms to hire unemployed veterans and the Wounded Warrior Tax Credit doubled the existing tax credit for long-term unemployed veterans with service-connected disabilities to $9,600.  Both credits are set to expire at the end of this year, and the President is calling on Congress to extend those credits.

• Helping More Veterans Start Businesses:  Nine percent of all U.S. firms are owned by veterans and more than 2.4 million veteran-owned businesses employ more than 5.75 million individuals. Between 2009 and 2011, over $3 billion through over 12,000 Small Business Administration loans went to small businesses owned by veterans and service disabled veterans. 

• Increasing Access to Intensive Reemployment Services: Post-9/11 veterans are now able to download the Veteran Gold Card, which entitles them to enhanced reemployment services including six months of personalized case management, assessments and career counseling at their local American Job Center.

• Developing Online Tools to Boost Veteran Employment: The Administration launched the Veterans Jobs Bank, an easy-to-use tool to help veterans find job postings from companies looking to hire them. It already searches over one million job postings and is growing. Additionally, the Department of Labor launched My Next Move for Veterans, a new online resource that allows veterans to enter their military occupation code and discover civilian occupations for which they are well qualified.

• Increasing Hiring of Veterans in Healthcare-Related Fields: The President challenged Community Health Centers to hire 8,000 veterans – approximately one veteran per health center site – over the next three years and the Health Resources and Services Administration pledged to open up career paths in addition to nursing and expand opportunities for veterans to become physician assistants.

• Hiring More Veterans in the Federal Government: The federal government has helped lead efforts to employ veterans, hiring more than 200,000 veterans since 2009.

• Streamlining Civilian Credentialing for Service Members and Veterans: Last month, the Department of Defense established, under the President’s direction, a Military Credentialing and Licensing Task Force, which will identify opportunities where service members can earn civilian occupational credentials and licenses without the need for additional training. As the first action of the Task Force, all branches of the military worked with manufacturing credentialing agencies to enable up to 126,000 service members to gain industry-recognized, nationally-portable certifications for high-demand manufacturing jobs.

Supporting Our Veterans and Military Families
Other steps taken by the Obama Administration to support veterans and military families include:

• Strengthening the VA: Under President Obama, the VA has received record-levels of funding, with the FY13 budget calling for $64 billion in discretionary spending, and $76 billion in mandatory funding. In addition, the Administration has made it clear that veterans benefits are exempt from sequestration.

• Strengthening Military and Veteran Education Benefits: In April, President Obama signed an Executive Order to help ensure all of America’s service members, veterans, spouses, and other family members have the information they need to make informed educational decisions and are protected from aggressive and deceptive targeting by educational institutions.

• Extending Benefits to Victims of Agent Orange:  In the last two years, VA has processed 230,000 claims and awarded $3.62 billion in retroactive benefits to nearly 130,000 Veterans and survivors who were harmed by Agent Orange.

• Mental Health:  The Deployment Health Clinical Center (DHCC), a Component Center of Defense Centers of Excellence, developed the RESPECT-Mil program, which enables primary care providers to screen and treat patients for PTSD and depression.  To date, the program has screened over one million primary care patients, identifying more than 68,000 Service members with previously unmet psychological health needs and referred them to care.  The program has expanded to more than 60 primary care clinics across more than 25 Military Treatment Facilities. Today, more than 1,117 DOD Military Family Life Consultants (MFLC) provide support on active duty installations in all 50 States, four Territories, and the District of Columbia. In FY11, MFLCs provided approximately 6.8 million face-to-face counseling sessions.

• Ending Veterans Homelessness: The Obama Administration is on pace to meet the President’s goal of ending veterans homelessness by 2015. The number of homeless veterans has decreased by 12 percent from 2010 to 2011 on a given night.

• Working to Prevent Suicide: VA has increased the number of mental health professionals by 48 percent since 2006 and in April, announced they would hire an additional 1,600 mental health providers.  Since 2009, VA has increased the mental health care budget by 39 percent.  The Department of Defense has made suicide prevention a top priority, increased behavioral health care providers by 35% over past three years and increased the number of these health care providers in front line units.

• Eliminating the Disability Claims Backlog: While VA has processed more than one million disability claims in the last year, more work remains to be done. VA has redeployed 1,200 claims experts to target and tackle the most complex claims in the backlog.  The Department is also deploying new technology and procedures to ensure our Veterans get the timely, quality benefits they need and deserve.

• Supporting Veterans with Post-Traumatic Stress Disorder: In July 2010, the VA published a historic change to its rules, streamlining the process and paperwork needed by combat veterans to pursue a claim for disability pay for post-traumatic stress disorder (PTSD). The VA has also expanded its mental health programs, hiring more than 3,500 mental health professionals since 2009. Additionally, VA’s 2013 budget proposal includes $6.2 billion for mental health initiatives.

• Honoring Vietnam Veterans: President Obama and the entire federal government have partnered with State and local governments, private organizations, and communities across America to launch the Commemoration of the 50th Anniversary of the Vietnam War—a 13-year program to honor and give thanks to a generation of proud Americans who saw our country through one of the most challenging missions we have ever faced and pay tribute to the more than 3 million men and women who answered the call of duty with courage and valor. 

• Traumatic Brain Injury: VA has launched a comprehensive program to identify, screen and treat all Veterans with traumatic brain injury (TBI), and to ensure that they receive patient-centered, integrated care and benefits.  President Obama signed an amendment to the Americans with Disabilities Act which allows individuals with PTSD and TBI to more easily seek legal protections as they look for and participate in employment opportunities.

The White House

Office of the Press Secretary

President Obama Honors Outstanding Early-Career Scientists

President Obama today named 96 researchers as recipients of the Presidential Early Career Awards for Scientists and Engineers, the highest honor bestowed by the United States Government on science and engineering professionals in the early stages of their independent research careers. 

“Discoveries in science and technology not only strengthen our economy, they inspire us as a people.” President Obama said.  “The impressive accomplishments of today’s awardees so early in their careers promise even greater advances in the years ahead.”

The Presidential early career awards embody the high priority the Obama Administration places on producing outstanding scientists and engineers to advance the Nation’s goals, tackle grand challenges, and contribute to the American economy.  The recipients are employed or funded by the following departments and agencies: Department of Agriculture, Department of Commerce, Department of Defense, Department of Education, Department of Energy, Department of Health and Human Services, Department of the Interior, Department of Veteran Affairs, Environmental Protection Agency, National Aeronautics and Space Administration, and the National Science Foundation, which join together annually to nominate the most meritorious scientists and engineers whose early accomplishments show the greatest promise for assuring America’s preeminence in science and engineering and contributing to the awarding agencies' missions.

The awards, established by President Clinton in 1996, are coordinated by the Office of Science and Technology Policy within the Executive Office of the President. Awardees are selected for their pursuit of innovative research at the frontiers of science and technology and their commitment to community service as demonstrated through scientific leadership, public education, or community outreach.

This year’s recipients are:

Department of Agriculture
Joseph E. Jakes, U.S. Forest Service
Ian Kaplan, Purdue University
Christina L. Swaggerty, Agricultural Research Service

Department of Commerce
Anthony Arguez, National Oceanic and Atmospheric Administration
Ian Coddington, National Institute of Standards and Technology
Frank W. DelRio, National Institute of Standards and Technology
Jayne Billmayer Morrow, National Institute of Standards and Technology
Kyle S. Van Houtan, National Oceanic and Atmospheric Administration
Rebecca Washenfelder, National Oceanic and Atmospheric Administration

Department of Defense
David M. Blei, Princeton University
Ania Bleszynski Jayich, University of California, Santa Barbara
Alejandro L. Briseno, University of Massachusetts, Amherst
Lee R. Cambrea, Naval Air Research Intelligence
Vincent Conitzer, Duke University
Chiara Daraio, California Institute of Technology
Craig J. Fennie, Cornell University
Keith Edward Knipling, Naval Research Laboratory, Department of the Navy
Wen Li, Wayne State University
Timothy K. Lu, Massachusetts Institute of Technology
Cindy Regal, University of Colorado Boulder
Matthew B. Squires, Air Force Research Laboratory, Department of the Air Force
Joseph E. Subotnik, University of Pennsylvania
Ao Tang, Cornell University
C. Shad Thaxton, Northwestern University
Maria Laina Urso, U.S. Army Research Institute for Environmental Medicine

Department of Education
Li Cai, University of California, Los Angeles

Department of Energy
Stanley Atcitty, Sandia National Laboratories
Jeffrey W. Banks, Lawrence Livermore National Laboratory
Amy J. Clarke, Los Alamos National Laboratory
Derek R. Gaston, Idaho National Laboratory
Christopher Hirata, California Institute of Technology
Heileen Hsu-Kim, Duke University
Thomas Francisco Jaramillo, Stanford University
Pablo Jarillo-Herrero, Massachusetts Institute of Technology
John R. Kitchin, Carnegie Mellon University
Peter Mueller, Argonne National Laboratory
Daniel B. Sinars, Sandia National Laboratories
Jesse Thaler, Massachusetts Institute of Technology
Heather Whitley, Lawrence Livermore National Laboratory

Department of Health and Human Services
Erez Lieberman Aiden, Harvard University
Nihal Altan-Bonnet, Rutgers University
Peter D. Crompton, National Institute of Allergy and Infectious Diseases
Margherita R. Fontana, University of Michigan School of Dentistry
Ervin Ray Fox, University of Mississippi Medical Center
Valerie Horsley, Yale University
Steven T. Kosak, Northwestern University Feinberg School of Medicine
Erica N. Larschan, Brown University
Daniel R. Larson, National Cancer Institute
Krista M. Lisdahl, University of Wisconsin – Milwaukee
Emanual M. Maverakis, University of California, Davis
Biju Parekkadan, Massachusetts General Hospital and Harvard Medical School
Jay Zachary Parrish, University of Washington
Peter Philip Reese, University of Pennsylvania
Niels Ringstad, Skirball Institute, New York University School of Medicine
Pawan Sinha, Massachusetts Institute of Technology
Georgios Skiniotis, University of Michigan
Beth Stevens, F.M. Kirby Neurobiology Center, Boston Children's Hospital
Justin Taraska, National Heart, Lung, and Blood Institute
Jennifer Rabke Verani, National Center for Immunization and Respiratory Diseases
Brendan M. Walker, Washington State University
Lauren Bailey Zapata, National Center for Chronic Disease Prevention and Health Promotion

Department of the Interior
Joseph P. Colgan, U.S. Geological Survey
Karen R. Felzer, U.S. Geological Survey
Justin J. Hagerty, U.S. Geological Survey

Department of Veterans Affairs
Jeffrey R. Capadona, Louis Stokes Cleveland Veteran Affairs Medical Center
Charlesnika T. Evans, Edward Hines Jr. Veterans Affairs Hospital
Amy M. Kilbourne, Veterans Affairs Ann Arbor Healthcare System
Kinh Luan Phan, Jesse Brown Veterans Affairs Medical Center

Environmental Protection Agency
Adam P. Eisele, U.S. Environmental Protection Agency
Mehdi Saeed Hazari, U.S. Environmental Protection Agency

National Aeronautics and Space Administration
Morgan B. Abney, Marshall Space Flight Center
Ian Gauld Clark, Jet Propulsion Laboratory and California Institute of Technology
Temilola Fatoyinbo-Agueh, Goddard Space Flight Center
Jessica E. Koehne, Ames Research Center
Francis M. McCubbin, Institute of Meteoritics, University of New Mexico
Yuri Y. Shprits, University of California, Los Angeles

National Science Foundation
Baratunde Aole Cola, Georgia Institute of Technology
Brady R. Cox, University of Arkansas
Meghan A. Duffy, Georgia Institute of Technology
Joshua S. Figueroa, University of California, San Diego
Michael J. Freedman, Princeton University
Erin Marie Furtak, University of Colorado Boulder
B. Scott Gaudi, The Ohio State University
Curtis Huttenhower, Harvard University
Christopher A. Mattson, Brigham Young University
David C. Noone, University of Colorado Boulder
Parag A. Pathak, Massachusetts Institute of Technology
Alice Louise Pawley, Purdue University
Amy Lucía Prieto, Colorado State University
Mayly C. Sanchez, Iowa State University and Argonne National Laboratory
Sridevi Vedula Sarma, Johns Hopkins University
Suzanne M. Shontz, Pennsylvania State University
Mariel Vázquez, San Francisco State University
Luis von Ahn, Carnegie Mellon University
Brent R. Waters, University of Texas, Austin
Jennifer Wortman Vaughan, University of California, Los Angeles

The White House

Office of the Press Secretary

Statement by the Press Secretary on the Death of Oswaldo Payá

The President's thoughts and prayers are with the family and friends of Oswaldo Payá, a tireless champion for greater civic and human rights in Cuba.  Payá  gave decades of his life to the nonviolent struggle for freedom and democratic reform in Cuba as the head of the Christian Liberation Movement, the leader of the Varela Project, and through his role as a civil society activist.  He remained optimistic until the end that the country he loved would see a peaceful and democratic transition.  We continue to be inspired by Payá's vision and dedication to a better future for Cuba, and believe that his example and moral leadership will endure.  The United States will continue to support the Cuban people as they seek their fundamental human rights.

The White House

Office of the Press Secretary

Statement by NSC Spokesman Tommy Vietor on Deputy National Security Advisor Michael Froman’s Trip to Sub-Saharan Africa

Assistant to the President and Deputy National Security Advisor for International Economic Affairs Michael Froman led a high level delegation consisting of senior Administration officials from the Department of Commerce, the U.S. Agency for International Development, USTR, the Overseas Private Investment Corporation, the Department of State and the National Security Staff to sub-saharan Africa from July 11 – 20. The trip included stops in Dar es Salaam, Tanzania; Addis Ababa, Ethiopia; Nairobi, Kenya; and Abuja, Nigeria. At each stop the delegation met with a cross section of government officials, private sector leaders and young entrepreneurs to push forward on a range of issues and initiatives including: the Partnership for Growth, the East African Community trade and investment partnership, the New Alliance for Food Security and Nutrition, the National Export Initiative, the Young African Leaders Initiative as well as energy generation, transmission and distribution and infrastructure development. This trip comes on the heels of the launch of the U.S. Strategy Toward Sub-Saharan Africa, and was focused on steps to accelerate efforts to enhance U.S. Government collaboration with our African partners to promote increased investment, build the capacity of Africa's economic institutions, and drive sustained economic growth and poverty alleviation in the region.

The White House

Office of the Press Secretary

Fact Sheet: HIV/AIDS Prevention

 “We’ve got to keep refining our strategy so that we’re saving as many lives as possible.  We need to listen when the scientific community focuses on prevention.  That’s why, as a matter of policy, we’re now investing in what works -- from medical procedures to promoting healthy behavior. “
--President Obama, December 1, 2011
 
Toward an AIDS-free Generation
 
Prevention and treatment go hand-in-hand as we endeavor to realize President Obama’s vision of an AIDS-free Generation.  American leadership has not only produced breakthroughs in prevention efforts, it has also provided unprecedented access to a wide range of prevention efforts to millions of people in America and across the globe.
 
Since 2009, prevention breakthroughs supported with American investments in scientific research include:
 
1)      The discovery that treatment of people living with HIV not only improves their health, but reduces the risk of transmission to others.
2)      The discovery that taking certain HIV medications reduces the risk of sexual acquisition among men and women at high risk for HIV exposure.
3)      The discovery of an effective microbicide that prevents HIV transmission to women
4)      The approval of the first rapid home HIV test kit that allows people to get results in 20 minutes.
5)      The discovery of important immune correlates of HIV protection that may help lead to the discovery of an effective vaccine.
 
On the domestic front, since 2000, HIV infection rates in the United States have remained stable at approximately 50,000 new infections each year. To re-invigorate leadership and accountability in the domestic response to HIV, the Obama Administration released the first-ever comprehensive National HIV/AIDS Strategy (NHAS), which has four primary goals: to reduce new HIV infections; to increase access to care and improve health outcomes; to reduce HIV-related health disparities and inequities; and to achieve a more coordinated national response to the epidemic. Ongoing implementation of the National Strategy means:
• Focusing on science-driven HIV prevention efforts by supporting and expanding targeted use of evidence-based HIV prevention approaches.

• Making smarter investments by intensifying HIV prevention in the communities where HIV is most heavily concentrated.
Increasing access to HIV screening and medical care, including through implementation of the Affordable Care Act.

• Supporting a shared response to the domestic epidemic thorough the support of HIV prevention efforts across all levels of U.S. society, including Federal, State, and local governments, centers of learning, faith-based communities, and the private sector.
 
On the global front, The U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) is the global leader in implementing a wide range of effective prevention activities that are turning the tide against the epidemic.  Antiretroviral treatment has long saved lives and now we have evidence that it is also 96% effective in preventing transmission to others.  Pediatric HIV can be eliminated worldwide and PEPFAR is the global leader in the effort to prevent mother-to-child transmission, preventing 200,000 infant infections in FY 2011 alone.  In the past few years, research has proven that Voluntary Medical Male Circumcision (VMMC) is a low-cost procedure that reduces the risk of female-to-male transmission by more than 60% - and the benefit is life-long.   The U.S. has supported over one million male circumcisions in recent years and PEPFAR is leading the world in support for a rapid expansion of VMMC.
 
Key effective prevention interventions are:

HIV Testing – Testing is key when it comes to preventing the spread of HIV.  Knowledge of ones HIV status is a prerequisite to accessing treatment and taking appropriate preventative steps to stay safe or protect others.  In 2011 alone, PEPFAR supported testing for more than 40 million people.  Despite a significant increase in the number of Americans getting tested, nearly one in five of the 1.1 million Americans living with HIV today is unaware of his or her infection. HIV testing technology has been substantially improved over time to allow for earlier diagnosis, rapid testing, and as of July 2012, the first over-the-counter home-use rapid HIV test kit, giving Americans the tools to easily test themselves in under 40 minutes.
 
Condoms – When used consistently and correctly, latex condoms are highly effective in preventing sexual transmission of HIV. In heterosexual relationships where one partner is HIV-positive and the other is HIV-negative, when condoms were consistently used, HIV-negative partners were 80% less likely to become infected than those in similar relationships in which condoms were not used.  For this reason, the U.S. has long been a leading provider of condoms for HIV prevention in the developing world, and condoms are a key component of domestic prevention efforts.
 
Treatment as Prevention – Antiretroviral treatment has long saved lives and now we have evidence that it is also highly effective in preventing transmission to others.  The May 2011 National Institutes of Health HPTN 052 study showed that effective treatment of a person living with HIV reduced the risk of transmission to heterosexual partners by 96%.
 
Prevention of Mother-to-Child Transmission (PMTCT) – Pediatric HIV can be eliminated.  PEPFAR has been the global leader in the effort to prevent mother-to-child transmission, preventing 200,000 infant infections in FY 2011 alone. In the United States, mother-to-child transmission has declined by 90% since the early 1990’s.
 
Voluntary Medical Male Circumcision (VMMC)
– In the past few years, research has proven that this low-cost procedure reduces the risk of female-to-male transmission by more than 60%.  PEPFAR is leading the world in support for a rapid expansion of VMMC, and has supported over one million male circumcisions in Sub-Saharan Africa in recent years.
 
Prevention Programs for People at High Risk for HIV Infection and Living with HIV - Individual, small-group, and community interventions for people who are at high risk of HIV infection and for those living with HIV can reduce risky behavior and may play an important role in many comprehensive HIV prevention strategies.
 
Substance Abuse Treatment and Access to Sterile Syringes - Effective substance abuse treatment that helps people stop injecting drugs eliminates the risk of HIV transmission through needle sharing and has also been shown to reduce risky sexual behaviors.   Additionally, increasing the availability of sterile syringes is associated with significant reductions in HIV risk. Reducing or stopping non-injection substance use, including heavy alcohol use, may also prevent HIV.
 
Pre-exposure Prophylaxis (PrEP) - For HIV-negative individuals, taking a daily dose of antiretroviral medication is proven to reduce the risk of infection among gay and bisexual men as well as heterosexual men and women.  Effectiveness of this treatment is dependent on how strictly an individual follows the prescribed regimen.
 
High-impact Prevention for Key Populations – There is substantial evidence of the effectiveness of a core set of interventions for most-at-risk populations The package of prevention services includes; risk reduction, including partner reduction; counseling; condoms and related services; HIV and STI screening and treatment; HIV care and treatment; and comprehensive treatment services for substance users, including people who inject drugs.
 
Looking Ahead

 
As part of the National HIV/AIDS Strategy, the Center for Disease Control is working on a High-Impact Prevention approach that will increase cost efficiency and realign resources to have the greatest impact the epidemic – stretching the taxpayer’s dollars and ensuring that HIV prevention efforts have the greatest possible impact.
 
On World AIDS Day 2011, President Obama announced that he would be expanding prevention services for those in need.  Over the next two years, the U.S. will reach more than 1.5 million HIV-positive pregnant women with ARVs to prevent them from passing the virus to their children; will distribute more than 1 billion condoms: and PEPFAR will seek to support more than 4.7 million VMMCs in Eastern and Southern Africa.  PEPFAR is also working to expand the use of rapid test kits to enable more widespread and routine HIV testing both within and outside of health facilities.

The White House

Office of the Press Secretary

Fact Sheet: HIV/AIDS Treatment

“To extend lives and stem transmission, we need to make sure every HIV-positive American gets the medical care that they need.”
--President Obama, July 13, 2010
 
The Obama Administration is committed to further advancing the science of HIV/AIDS treatment and improving access to treatment both domestically and globally. Antiretroviral treatment (ART) is saving lives and recent studies have shown that ART is highly effective in preventing HIV transmission to partners.
 
Domestically, the Ryan White Program provides treatment and support services to over half a million people living with HIV, and the Affordable Care Act will increase health coverage for tens of thousands of Americans living with HIV.  Globally, we are reaching nearly four and a half million people with lifesaving treatment, and we are on track to meet President Obama’s World AIDS Day commitment to reach six million people with treatment by the end of 2013.
 
American Leadership in Action
 
In the 1980s, scientists from the National Cancer Institute at the National Institutes of Health (NIH) developed and tested AZT, the first antiretroviral drug approved by the U.S. Food and Drug Administration (FDA) to be used as a treatment for HIV/AIDS.  NIH researchers also identified the structure of HIV and key targets for drug development, including protease inhibitors.  In 1995, the first protease inhibitor was approved by the FDA, ushering in a new era of highly active antiretroviral therapy.  NIH supported the key studies that demonstrated the effectiveness of using combinations of these antiretroviral drugs.  Since then, nearly 30 antiretroviral agents have been licensed.  This has resulted in dramatic improvements in the quality of life and life expectancy of many HIV-infected individuals, and additional therapies are under development.
 
Creating an AIDS-free Generation
 
A core intervention in the fight to end AIDS is ensuring access to antiretroviral ART. Simply put, ART saves the lives of those who would otherwise die from AIDS-related illness.  In addition, there is growing evidence that families and entire communities benefit from access to treatment due to the restoration of health of treated adults and the subsequent improvement in the nutritional, educational, and life outcomes of their children.
 
In the United States, since 1993, we have significantly reduced the number of deaths from AIDS-related illness. The rate of mother-to-child transmission of HIV in the U.S. has dropped by more than 90 percent during the last two decades, resulting in fewer than 200 cases per year. A person living with HIV who goes on treatment can now be expected to live a near-normal lifespan.
 
In 2010, President Obama released the country’s first comprehensive National HIV/AIDS Strategy, which has reinvigorated the domestic response to AIDS by making smarter, more effective investments in science, prevention, and treatment. The President has made implementing the Strategy a top priority by requesting increased funding for HIV treatment and care services in each of his Budgets.
 
As part of this effort, the President increased Federal investments for AIDS Drug Assistance Programs (ADAPs) to expand access to life-saving medications As of July 2012, the Obama Administration’s investment in ADAP will eliminate State ADAP waitlists, based on estimates provided by States. In FY 2013, the President proposed a total of $1 billion for ADAPs, a $67 million increase above FY 2012, so that all Americans living with HIV/AIDS have access to life-extending treatment.
 
Globally, we are reaching nearly four and a half million people with lifesaving treatment.  By focusing on proven interventions and continuing to push for greater efficiency and lower cost, the President’s Emergency Plan for AIDS Relief (PEPFAR) will be able to achieve the President's ambitious goal to treat 6 million people living with HIV in FY 2013.  PEPFAR is a real life success story of making each dollar save as many lives as possible.
 
PEPFAR has expanded its prevention, care and treatment programming, and now has significant investments in more than 35 countries in several regions worldwide.  Since FY 2008, PEPFAR has increased the number of people receiving treatment by 124%, the number of pregnant women receiving antiretroviral prophylaxis to prevent mother-to-child transmission by 72% and the number of individuals receiving HIV testing and counseling by 87%.
 
Looking Ahead
 
On World AIDS Day 2011, President Obama announced a new treatment goal of providing ART to six million people by the end of 2013 – two million more than our previous goal.  We are delivering on this goal.  Globally, with accelerated scale-up of combination prevention, UNAIDS estimates that the number of new infections will fall below the number of those newly eligible for HIV treatment by 2015.
 
Domestically, ongoing implementation of the National HIV/AIDS Strategy and the Affordable Care Act mean that more Americans will have sustained access to HIV care. The Affordable Care Act expands Medicaid for the lowest income people; it strengthens and improves Medicare, and makes private insurance work better for all Americans, including people with HIV. It prohibits discrimination on the basis of HIV status. And, it has already banned lifetime limits on insurance coverage, and is phasing out annual limits in coverage. It also increases access to critical prevention services, including HIV testing. These changes will improve health outcomes for tens of thousands of Americans at risk for and living with HIV.
 
On the research front, NIH-supported scientists are working to identify ways to improve antiretroviral drugs and the provision of ART.  Trials are underway to:  study longer-acting versions of drugs to minimize the number of doses a patient must take; develop new and better therapies with fewer toxicities; strategies to assist individuals to adhere to drug regimens; develop new and improved drugs for HIV-associated clinical complications and co-morbidities, including TB, HCV, and other diseases; better ways to administer therapy to minimize interactions with other medications that some with HIV need to take for co-infections.  Significant progress in both basic and treatment research aimed at eliminating viral reservoirs in the body, is leading to new hope that the world will someday see a cure for the millions living with HIV/AIDS.

The White House

Office of the Press Secretary

Fact Sheet: The Global AIDS Epidemic

“This is a global fight, and it’s one that America must continue to lead…  Looking back at the history of HIV/AIDS, you’ll see that no other country has done more than this country, and that’s testament to our leadership as a country.  But we can’t be complacent.”
--President Obama, December 1, 2011
 
As the 19th International AIDS Conference comes to the U.S. for the first time since 1990, thanks to bipartisan action by Presidents Obama and Bush and the Congress to lift the ban on people living with HIV entering the country, we are at a tipping point in the fight against AIDS.  As the largest global donor, we see an AIDS-free generation in sight.  As President Obama said on World AIDS Day, we will win this fight.
 
The Obama Administration is taking action to turn the tide on HIV/AIDS by strengthening the scientific investments that have revolutionized prevention and care for people living with HIV.  We are focusing on results to save as many lives as possible.  We are strengthening the President’s Emergency Plan for AIDS Relief (PEPFAR) and the Global Fund for greater impact and sustainability.
 
Creating an AIDS-Free Generation

 
Under the Obama Administration, PEPFAR has made unprecedented progress, building on the solid foundation laid by the Bush Administration.  Today, PEPFAR is treating nearly four and a half million people, and we are on track to meet President Obama’s World AIDS Day commitment to reach six million people with treatment by the end of 2013.   In 2011 alone, more than 40 million people received HIV testing and counseling services, including 9.8 million pregnant women – an 88% increase since 2008.
 
To create an AIDS-free Generation, the President has emphasized the need for shared responsibility – among partner countries, donor nations and multilateral organizations.  The U.S. is the largest contributor to the Global Fund to Fight AIDS, Tuberculosis and Malaria, where our donations leverage funds from other donors, multiplying the impact beyond what U.S. dollars could do alone.  We have led an urgent effort to ensure the Fund’s resources are effectively and efficiently spent.  PEPFAR and the Global Fund are highly interdependent – together supporting over 70% of all persons on treatment worldwide in 2011.  That’s why President Obama made an historic commitment of $4 billion to the Fund over three years.
 
Faith-based organizations and civil society are critical partners in the effort to create an AIDS-free Generation.  Public-private partnerships will also continue to play an important role in PEPFAR’s response, expanding the total pool of resources available. Creating an AIDS-free Generation will only be achieved through a shared responsibility of all committed to the fight.
 
American Leadership in Action
 
As we begin to see the beginning of the end of AIDS, we reflect upon how far we’ve come in the fight against this pandemic. In 1981, the Centers for Disease Control and Prevention (CDC) reported the first cases of AIDS.  Since that initial discovery, the U.S. government has led a global response based on scientific research sponsored by the National Institutes of Health (NIH) and other U.S. government agencies.  One of the most notable developments was the introduction of antiretroviral treatment (ART) in the mid-1990s, which helped HIV-infected patients manage their disease.  However, low- and middle-income countries were devastated by the pandemic.  By 1999, an estimated 34 million people worldwide were living with HIV, with more than 20 million in sub-Saharan Africa.  In some countries, one out of three adults was HIV-positive.
 
It was clear that leadership was needed.  In 2001, with U.S. leadership, the United Nations Security Council declared the AIDS epidemic a security issue.  In 2002, the U.S. government made the founding contribution to the Global Fund to Fight AIDS, Tuberculosis and Malaria.  In 2003, President George W. Bush announced a transformative program – the President’s Emergency Plan for AIDS Relief.  PEPFAR’s initial focus was on providing an emergency response to: prevent new HIV infections; provide life-saving antiretroviral treatment; and provide compassionate care and support for those infected and affected by the disease, including orphans and vulnerable children.
 
PEPFAR has always been the beneficiary of bipartisan support.  During its first five years, Congress appropriated more than $18 billion for PEPFAR.  As of 2012, more than $37 billion has been provided for bilateral HIV/AIDS programs. Especially since Congress reauthorized it in 2008, PEPFAR has focused on the transition from an emergency response to one of sustainability and accountability – stressing the importance of country ownership and leadership of each nation’s response to its own epidemic.
 
Looking Ahead
 
The Obama Administration remains steadfast in its commitment to people living with, or affected by, HIV throughout the world.  The next phase of PEPFAR will focus on translating recent scientific advances into programmatic efforts to save even more lives.  While we still have work cut out for us, by building on the successes and impact of PEPFAR; advancing country ownership; and promoting shared responsibility, together we will build a healthier, more secure world.